The URL can be used to link to this page

Home My Public Portal About5820-5820 1/2 TEMPLE CITY BLVD_Building__ 78 38A CE#809 9-67 APPLICATION FOR BUILDI- G_ PERM) � COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS {/G BUILDING AND SAFETY DIVISIONLocALIrY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST f COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. Gt/ FOR APPCANT TO FILL IN DISTRICT No. GR T LIYPE ED �• CONST Print or type only) BUILDING STATISTICALL CL IFICATION SEWER MAP ADDRESS 5820 North Temple City Blvd; CLASS NO. DWELL.UNITS BK• -PG LOT NO. Temple City BLOCK USE ZONE MAP DQ NO. TRACT SPECIAL f CONDIT ONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM T�L FRONT PROP.LINE OF (STREET). OWNERCharlotteS Beauty §;To-n TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. a + CITY BLDG.SETB ROM ARCHITECT OR TEL. SIDE PROP.LINE (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK WAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR Bryant Mg. NO' 286-1141 + a ADDRESS 1350 E. Las Tunaso' 221751 CORNER CUTOFF YES Q NO v CITY San Gabriel LIC. S C-20 SEE REVERSE SIDE FOR SPECIAL APPROVALS t3 DESCRIPTION OF WORK �� , 0- NEW NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF . STRUCTURE Install air conditioner SIGNATURE OF APPLICANT VALUATION$ 964.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMTFEE$ FEE$ 12.00 FOFORMS!MATER ALS ON FRAME: RE FISTOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT JM"BOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COU TY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONrRUCTI ' I RTIF AT IN DOING THE WORK AUTHORIZED H EB)/ P RY ANY'PERSON IN VIOLA- ' TION OF THE ABO C E ATE OF CALIFORNIA LAT- LATH, INT. ING TO WOR KM N' C S SURANCE LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRES do, FINAL 3 G JOHN F. LEWIS. PRIM &PAL ST URAL ENGINEER PLAN CHECH VALIDATION "K. M.O.' CASH _ PERMIT VALIDATION CK. M.O. CASH P APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING DEPARTMENTT OF COUNTYY OF LOS ENGINEERELES ADDRESS CITY10 ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT BLOCK LOT NO."-677 LOCALITY �P4?K.U�CiT,.0^ TEL. NEAREST OWNE /'�� RNO.p� CROSS ST. ADDRESS�/� ,�'�l `� yr MAP BOOK ASSESSOR PAGE PARCEL `J DISTRICT GROUP PE FIRE SEED BY CITY CS ZIP O`ST, Z ARCHITECT QPF� ,c c A TEL. -000 ENGINEER IFL F�J1 NO STATISTICAL CLASSI CATION SEWER MAP ADDRESS0 2yV% CLASS NO.��DWELL.UNITS BI/�7PG TEL - CONTRACTORI ja NO �� USE ZONE NOP DD ADDRESS jjg , pLjp� Zj �� SPECIAL ` �, LIC. ,��nn� CONDITIONS CITY & 111 CLASS(? y_4) ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG. ETBACK FROM FRON PROP.LINEOF (STREET) ADDRESS CITY HIGHWA + YARD ,TOTAL SETBACK FROMI TYPE OF 1EXISTING SQ. F'..) NO. OF NO. OF CHECK FRONT PROP. LINE fH�DTH SIZE GCJ STORIES FAMILIES ONE DESCRIPTION OF WORK NEW + L ADD E] SDE PROPEL NE OF BLDG.SETACK FROM (STREET) C 1/4\+'�.yG{••.� ALTER ❑ HIGHWAY + YARD TOTAL SETBACK FROM T F EXISTING ~ —REPAIR[] SIDE PROP. LINE HIGHWA WIDTH C USE OF EXISTING BLDG. DEMOL ❑ + z APPLICANT TEL CORNER CUTOFF YES ElNO ❑ IPRINT)t (� N w , I�'t`tl IN OPEN SPACE YES ❑ NO BY (SIG ❑ VALUATION, �) IN COASTAL PERMIT ZONE YES ❑ NO ❑ •.I� Ll. IN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERS 0)1 IN VIOLATION OF THE LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEI r OOMPEN,SA_TI \INSURANCE. , SIGNATUSE` R �i I .� • O ��'1CYN Al PERMITT`E o ADDRESS `) � � 77Z) 4/6U% -::�QZL6 Z/ FINAL BY ��`✓ CITY NOL• DATE �' '�'-7? MAKE CHECKS PA}'ABLE TOr FEE'$ FEE $ HARVEY T. BRANDY, COUNTY ENGINEER 2 PLAN'CHECK VALIDATION CK. M.O. CASH — E I T D TIO �C ... CASH 2 5 9Pnr.T 21 2f3 D 9.0 196 ci7 if)%10v tits 1 0 "L 5.0 0 A�b 76AG36A C6#809 5/74 bkPARTMENT Og BUILDING AND SAFETY ! APPLICATION Ftal PERMIT a ..COUNTY OF LOS ANGELESqAM_ �777,��I WM. J. FOX, CHIEF ENGINEER DGS C 3rd�'v iS U 1 LD 1 NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING / f� DISTRICT NO. �PLAN CK.NO. PERMIT NO. ADDRE38 1 11 R �;+, •I f ,� Mr-zVj BYDATE OFAPPL. DLOCALITY ��.„I ' r /NEAREST �CROSS 9T. / r� (% (� OWNER .{1'`Lr �i �/. ! 1 Ji t ,.r•'? �DRE59 / ' , O Car !� Al -q,-6;T MAIL / �Q y / 7{ y LOCALITY ADDRESS ,E7/Pr lr�.��l�!•%�I� N d�.d%� NEAREST TEL.1'1r/^ /L� CROSS 8T. CITY / , • NO.///- F FIRE NO.AOF /�` TYPE . r GROUP ARCHITECT OR TEL. ZONE �� PL NO or �Y® ENGINEER I' NO. BLDG. D.NO. ADDRESS `'` SETBACK LINE L _ APPROVED � f TEL 7Y c� {+ BY DATE CONTRACTOR.; �ti: ;J, .• j �/ 7(yd+(! y; USE APPROVED ADDRESS ZONE BY DATE LEG=L DESCRIPT/�ION J LOT NO. � r V I BLOCK CORRECTIONS TRACT A s /•f NO.OF BLDG9.,1. SIZE OF LOT,—)) ,1 // /y I NOW ON LOT �'riJv'rt�7 USE OF �— I NO.OFNO.OF EXISTING BLDG. FAMILIES 4 ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O 1 A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE / •J e)e) ROOMS STORIES y r COVERING COVERING C?r"%1 USE OF VrBUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT -FOUNDATION:LOCATION INSPECTOR DATE T� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS _!�_ C/�'� AND STATE !.AWB REGULATING BUILDING CONSTRUCTION. /� FRAME: FIRE9TOP8, / � ! � �_ �� SIGNATURE OF P- /' / ,r`� BRACING,BOLTS / PERM ITTEP-' ^•�' �1f11/)ir !r�il�l�� '+, L !� f: �,- / - LATH,INT.: y' AUTHORIZED AST 4/ r r LATH EXT.: - DBS-3 5OM SETS 7-47 $ P C * PLASTER,INT. 6 ®Q FEE � STER,EXT. VA UATION FEE ��( - ® FINAL TYLU w1 AD WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent self APPLICATION FOR A U I L D I N G P E RM I T insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. RC997500 Company Revublic Indemnity El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDR ss ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 5820 & 5820 Te Date 7-1-92 A IicantVirain Roof Co. CITY Temple Cit ZIP 91780 LOCALITY pp NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACE BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER Charlotte Rhoades NO. USE ZONE MAP I certify that in the performance of the work for which this //�� SPE permit is issued, I shall not employ any person in any manner ADDRESS 5801 Temple City Blvd, CONDITIONS O so as to become subject to the Workers'Compensation Laws. U CITY Temple Cit ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE O Exemption, you should become subject to the Workers' ��/ 1/ U Compensation provisions of the Labor Code, you must forth- ADDRESS oC Y N with comply with such provisions or this permit shall be CONTRACTOR Vir in Roof Co. NO. 2$ - STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. A A DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 1 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY San Gabriel CLAss C39 BK. PG. VALIDATION SQ. FT NO.OF NO.OF CHECK License Number 160650 Lic. Class C39 SIZE 15 S S STORIES 1 FAMILIES ONE VALUATION Contractor Virgin Roof Co.Date 6-30-93 DESCRIPTION OF WORK Tear off then NEW ❑ ❑1 am exempt under Sec. a 1 #40 111 and ca S ADD ❑ $ 3935.00 - ALTER ❑ B.BP.C. for this reason (15 S s.) REPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. Commercial Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) Vi NO. 287-0 0 DATE t I hereby affirm that I am exempt from the Contractor's License Ir VW Law for the following reason (Section 7031.5, Business and ADDRESS P.O. BOX J San G FINA ��_'a•.•. Professions Code): PRESENT BY a _' BUILDING ❑ I, as owner of the property, or my employees with ADDRESS ` "'1 �• ��r- c rc wages as their sole compensation,will do the work and "r- .tis. Q .-C_e LOCALITY r the structure is not intended or offered for sale(Section '' C:' a --=&r 7044, Business and Professions Code.) MOVING TEL. . CONTRACTOR NO. El - I,as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions.Code.) REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 'r "Cr the performance of the work for which this permit is issued P.L. =-r+: (Sec. 3097, Civ. C.). SIDE Lender's Name P.L. LDMA Ref: # P.C. Fee$ Permit Fee 155.80 Lender's Address , ' 1 certify that I have read this application and state that the Issuance Fee 24.75 LDMA P/C# p� above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 180.55 LDMA Perm. # and hereby authorize representatives of this County to enter upon the abo -mentioned property for inspection purposes. 12-16-91 SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date