HomeMy Public PortalAbout8608 WORTHINGTON DR - Building - 1960-04-01 S
A ROAD DEPT. P=r"h;T Iv
FOR AN:' MATERIAL S, ',._RK
qq 11 DONE IN THE ROAD RIurIT OF �"JAY.
FIFA888A CE 809880 2APPLICATION TOR BUILDING PEI�1!!lI"'I;
0
COUNTY OF LOS ANGELES BUILDING / •'' —'
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY /
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,Sup'T OR BUILDING CROSS ST.
gzimmDISTRIC NO. GRO P TYPE P G SED BY
FOR APPLICANT TO FILL IN _ CONST'
BUILDING STATISTICAL CLASSIFICATION SLIVER MAP
ADDRESS L U BK PG
CLASS.NO.�DWELL.UNIT
LOT NO. 8 BLOCK MAP STATE YES O
NUMBER Hwy.
TRACT USE ZONE /SPECIA
2634-1 NO.OF BLDGS. ,� / CONDITIONS
SIZE OF LOT x I NOW ON LOT U
USE OF
EXISTING BLDG. �'� BUILDING YARD Y STR _T NAME EXIST.
aC 1 @eYl SETBACK WIDTH
OWNER FRONT
MAIL P.L. (J
ADDRESS 10227 FairgroveSIDE
P.L. '
CITY Tujunga NO`�I.. 3827INSPECTION RECORD
ARCHITECT OR TEL rf1. e
ENGINEER NO. J /y e f7(1r0
�,`� f�.•(• 'rc'S.f'L-r['v!, 4r
ADDRESS fA
T , ti'ort . Le(str4id :�f.A�t'�f:�+1 � - tt�.fi;•..�
CONTRACTOR Jack Kileen NF�d'-1.3827.3 +
ADDRs- 10227 Fairgrove Ave Tujunga
DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OFNO. OF
SIZE STORIES 1 FAMILIES 1
USE OF
STRUCTURE
garaged
r
SIGNATURE OF -
APPLICA
APPROVALS DATE INSPECTOR'S SIGNATURE
ADD R- S. 27 Fair rove Ave `l'u+un a FOUNDATION:LOCATION FORMS.MATERIALS
MATERIALS
VALUATION /ys� fa0 0 I �d 40 FRAME:FIRE STOPS,
BRACING,BOLTS 4 e9
P.C. D� PMT. FURNACE:LOCATION, /� J
FEE, '— FEE S �o- GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT T E ABOVE IS CORRECT AND
AGREE TO C10F
PLY WI H A COUNTY ORDI CES AND LATH,EXT. 7 9I
STATE LAWREGU TIN BUILDING C RUCTION.
SIGNATURE r HOUSE NUMBER COR- I
PERMITTE RE CT AND POSTED O
ADDRE FINAL
[CLYDE N. DIRL_AM, PRINCIPAL ST CT RAL ENGINEER-
PLAN CHECK VALIDATION CK. M.C. CASH PERMIT VALIDATION CK. M.O. CASH
Lm
t, 7507 ;,AR ' 92 3 A 24.0G ®,
8 6 3 4 APR A
,
1 1 51 .00
• WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to Self APPLICATION FOR BUILDING PERMIT �
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
PolicyNo.230070 Company- State Comte
BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN
E] G
ADDRESS Q
® Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS
Date 1/1/87 Applicant r'') ,L_ Fres CITY San Gabriel ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM OSMS, NO.OF BLDGS. NEAREST "
COMPENSATION INSURANdE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
-hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
USEI NE MAP
I certify that in the performance of the work for which this NO.
permit is issued,I shall not employ any person in any manner I SPECIAL �.
so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS 0
Date Applicant CITY San Gabriel ZIP 129
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE . PROCESSED BY
ENGINEER NO. n CONST. ZONE
Exemption, you should become subject to the Workers' � � /
C4
Compensation provisions of the Labor Code, you must forth- ADDRESS (J V IL
with comply with such provisions or this permit shall be g
deemed revoked. CONTRACTORMOntebello Rfg TEL-322-6975 STATISTICAL CLASSIFI TION APT. rNDO.
TEL-322-6975
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 868 T C WayNO. 48852 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY MontebelloCLASS C-39 BK PG VALIDATION
248852 C--39 SIZE STORIES FAMILIES
LicenseCONE
License Number Lic.Class
VALUATION
Contract
Contracto / 44141C.,LPre.�ate 8/31/86 DESCRIPTION OF WORK tear off no exi ilffng❑ $ 5744.00
❑ I am exempt u roof a Reroof W/ 30 sq Cla �D ❑
pill.
fiberglass s i.ng ess ALTER ❑
B.&P.C. for this reason REPAIR ® $
USE @Iope 4/12
Date: EXISTING BLDG. dWellincl DEMOL ❑ _ _� A
Signature APPLICANT TEL. FINAL �j j
(PRINT)Montebello Rf NO. 722-697
OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor's License # 0 0 0
Law for the following reason (Section 7031.5, Business and ADDRESSWaxyFIN
Professions Code): PRESENT BY Adze
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ® c 5 2 4•Q A
7044, Business and Professions Code). MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. #,t o 0 0 0 0
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). 0 0 8 7 3 8
REQUIRED TOTAL SETBACK FRRM'
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT o 0 0 $7 3 8
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE $ 3 -86
B
Q Lender's Name
$LDMA Ref. #
Lender's Address P.C. Fee$ Permit Fee �e( '
I certify that I have read this application and state that the Issuance FAMMIzIft LA P/C#
¢ above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fe a LDMA Perm. # '
LJ and hereby authorize representatives of this County to enter
9 upon the ove-mentioned property for inspection purposes.
7/14/8 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of VOW-
Agent Date
L
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1305130013
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 25341 IT: 8 SQ. FT STORIES TYPE 8608 WORTHINGTON DR
STRUCTURE: 17 V-B SGAB CA 917752647
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15386-007-050 1 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY CAI
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY:
1 (EXIST OCC GRP: 105/13/13 SR 1
(OWNER:
1 4,650 1
18608 WORTHINGTON DR
ISGAB 917752647 FEES PAID IDESCRIPTION Of WORK
ITEAF OFF EXISTING ROOFING MATERIAL ON HOUSE INSTALL COMPOSITI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT MON SHINGLES GAF SHAKEWOOD ON HOUSE
APPLICANT: TEL. NO: I
ITA, MANDY (909) 598-8988- 1AA BLDG PERMIT ISSUANCE 27.80 I_
1516 N DIAMOND BAR IAB STATE GREEN BLDG FEE 4650.00 VAL 1.00 ISPECIAL CONDITIONS:
DIAMOND BAR 91765 IAC STRONG MOTION RESID 4650.00 VAL 0.50
ID2 PERMIT W/O EN-HC 4650.00 VAL 132.60 1
TOTAL FEES 161.90
[CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
[SUNSHINE ROOFING INC (909) 598-8988- I I
1516 N DIAMOND BAR BLVD #183 LIC. NO ILOCATION AND SETBACKS
DIAMOND BAR CA 91765 755126 * I-
(SOT-7S ENGINEER APPROVAL I I
ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I 1
I LIC. NO. (SLAB/UNDER FLOOR I I I
I I-
I IRAISED FLOOR FRAMING 1 1
I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J IUNDFRFLOOR INSULATION
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I IIF I
I NO 21 I IROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I I I I I
I NO NO NO I IFRA+IE INSPECTION I I
I I IFIR)✓ SPRINKLER HANGERS
I
I IINSULATION/WEATHER STRIP(
1 I (INTERIOR LATH/DRYWALL 1 I I
I I I I I I
I I EXTP RIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I I
I IRATr3D WALL ASSEMBLIES I I I
I i I
RATED SHAFTS/OPENINGS I I
1 I IT-BAR CEILINGS
�* ADDITIONAL DATA ON FILE I I I
I I ILOT DRAINAGE
1II I
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1305130015
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS:
ITR: 25341 LT: 8 I SQ. FT STORIES TYPE I 8608 WORTHINGTON DR
STRUCTURE: 5 V-B I SGAB CA 917752647
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15386-007-050 1 I THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY CAI
ITENANT: ]EXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
I (EXIST OCC GRP: 105 /13/13 SR I
(OWNER: TEL N0: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE F BY: CODE: I
ICHIOU, KATHERINE YEN ( I 1,150 1
8608 WORTHINGTON DR I m :A 4
ISGAB 917752647 I FEES PAID ]DESCRIPTION 45F WORK 1
ITEAR OFF EXISTING ROOFING MATERIAL ON DETACHED GARAGE INSTALI
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IL COMPOSITION SHINGLES GAF SHAKEWOOD ON GARAGE I
]APPLICANT: TEL. NO: I I I
ITA, MANDY (909) 598-8988- JAA BLDG PERMIT ISSIIANCE 27.80 I I
1516 N DIAMOND BAR JAB STATE GREEN BLDG FEE 1150.00 VAL 1.00 ISPECIAL CONDITIONS:
IDIAMOND BAR 91765 ]AC STRONG MOTION RESID 1150.00 VAL 0.50 1
I ID2 PERMIT W/O EN-HC 1150.00 VAL 82.20 1
I 1 TOTAL FEES 111.50 I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISUNSHINE ROOFING INC (909) 598-8988- I 1 1
1516 N DIAMOND BAR BLVD #183 LIC. NO I 1LOCATION AND SETBACKS I I I
IDIAMOND BAR CA 91765 755126 * I 1 I I
I I (SOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I I
I LIC. NO: I ]SLAB/UNDER FLOOR I I I
II (RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION
3 OOI IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I I I
I NO 21 1 IROOF SHEATHING I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I
(AIR QUALITY: 1000 FEET MATERIALS I I I I
I NO NO NO I IFRAME INSPECTION I I
I I (FIRE SPRINKLER HANGERS
I
I I TINS LATION/WEATHER STRIP( I I
I I [INTERIOR LATH/DRYWALL I I
I I I I I
I I
I (EXTERIOR LATH I
I I IRATED FLOOR/CEIL ASSEM.
I I IRATED WALL ASSEMBLIES 1
I (RATED SHAFTS/OPENINGS ]
IT-BAR CEILINGS I
I* ADDITIONAL DATA ON FILE 1-1-1
]
I ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 ] I I ]