HomeMy Public PortalAbout86221 WORTHINGTON DR - Building - 1960-04-01 go
A ROAD DEPT. PERVAIT IS -•RE^UfR=DFOR ANY MATE2I!-.L S;�;I;<<..; �• _
p ,� W,:,RK
DONE.IIV THE RuAD Rsv,-,l' Of VVAY:
7eAe9eA CE#8086.0. 'APPLICATION FOR EWIL®ING PERMIT
COUNTY'OF LOS ANGELES Bu,ILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. i J
�• m DISTRICT NO. GRO P TXPE ESSED BY
FOR APPLICANT TO FILL IN y coNsr.;
BUILDINGp./ STATISTICAL CLASSIFICATION I SEWER MAP
ADDREssp(yWorthin• ton Dr.- S. G. BK - PG
CLASS.NO.�DWELL.UNIT
LOT NO.-4 BLOCK . MAP L STATE O
NUMBER (} L HWY. YES
USE ZONE
TRACT SPECIAL •
NO.OF BLDGS. 1 CONDITIONS
SIZE OF LOT I NOW ON LOT O �� '� f
USE OF I j
EXISTING BLDG. " BUILDING
i 'SETBACK WARD HIM, STRE NAME WIDTH
H
OWNER FRROL T vJ�MAIL J
Po
ADDRESS SIDE s
CITY TEL•FL38273 P.L. q
ARCHITECT OR TEL. /JSPECTION RECORD r
ENGINEER NO.
ADDRESS
./iQ.Rs I '1l Q .C� X71 fLrrLl -
CONTRACTOR
jacic Hilleen NO�Le 38273
ADDRESS
DESCRIPTION OF WORK !/
NEWx ADD ALTER REPAIR DEMOLISH
SQ. FT NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE Residenob and Two Car
Attached ar .
SIGNATURE OF
APPLICA
FFORMSrMATEROlALS10N 710 n fl +
VALUATION $ /� FRAME:FIRE STOPS, /
TIEFBRACING,BOLTS i �7 `
.FURNACE:LOCATION,
P.C. [�G PMT. a GAS VENT,DUCTS 5 '
FEE I FEE $ V V J
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THATa'HE ABOVE IS RRECT AND
AGREE TO COMPLY WITH A COUNTY ORD ANCES AND LATH,EXT. r l l
-STATE LAWS REGU TI BUILDIN TRUCTION.
SIGNATURE OF -HOUSE NUMBER COR-
PERMITTE +— RECT AND POSTED _
JJ v
ADDRE FINAL
CLYDE N. DIR'LAM, PRINCIPAL ST KC#FAL ENGIWEEER
PLAN!CHECK.VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. OCH
LACD 7-5.;o 9�g imAR 9. 2 3- h 2 4.0.0 U b ®P.
ao
• - -' -, �L A�,o�, 6 3 .. •o fti?iti 1 •1• A `. 4. 8.0 0
Ir,
APPLICATION f
PPLICATIONr FOR COUNTY OF LOS ANGELES
OF BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIV SION ENGINEER
FOR APPLICANT TO FILL IN ADDRESS Z. 7 '
BUILDING
ADDRESS �6�I iG"T/1���`f�'7�/� �� LOCALITY n.
NEAREST
CITY �/���� ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT UP TYPE FIRE ESSED Y
TRACT j BLOCK LOT NO. CON �NE
TEL.
OWNER /� g Z4Old�f� N STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 36 /mss,,� CLASS NO. DWELL.UNITS BK PG
CITY 15 fWl ��CL ZIP ZONE NO.
G
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. '" CONDITIONS
ADDRESS ROAD DEPARTMENT-APPROVAL REQUIRED YES❑ NO❑
TEL
CONTRACTO /C . , NQ(. lj BLDG.SETBACK FROM
LIC;.;, / FRONT PROP..LINE OF (STREET)
_4
ADDRES 7- �� �j7' NOd'10/ HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
CITY &4V-%A/D CLASS
CONSTRUCTION LENDER + a
NAME AND BRANCH BLDG.SETBACK FROM OV
ADDRESS CITY SIDE'PROP.LINE OF (STREET) wO
SQ.FT. NO.-OF NO.OF CHECK HIGHWAY t YARD = TOTAL SETBACK FROM TYPE A EXISTING U
SIZE STORIES FAMILIES ONE
_ SIDE PROP.LINE HIGHWAY WIDTH N
DESCRIPTION OF WORK NEW ❑ +
05ADD CORNER CUTOFF YES ❑ NO ❑
/C W aO ALTER REPAIR IN OPEN SPACE YES ❑ NO ❑
,J ❑
USE OF �J 7�P DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG.
APPLICANT TEL /} A/� AN,
S—r„ ?we.
IPRINTI -7 NO. � / �E•1' 1 ! l� ��++��
LADDRESS
NATURE) f �.
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
HE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
WS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
OR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
TURE OF � 2 FINAL /� BY
TEE � 'l i 'DATE'
SS
134
��/�O TEL P.C.Fee$ r �/ Permit Fee
Issuance Fee
ATION� 2,J
/
(J Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION �`M.o. CASH
82, 7.E--FEB 24 2 3 A 1 4.4 0 ,&z;
- 822r- 24 1 A 25.00Ari
SS 76AS38A CE 0803A 6/76
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 0109240033
PHONE: (626) 285-0488 EXT:
I
0. OF CONST D R :
TR: 25341 LT: 4 S9. FT STORIES TYPE 8621 WORTHINGTON DR
STRUCTURE: 2200 VN SGAB CA 917752646
SS NEAREST CROSS STREET:
5386-007-046 THOMAS PAGE: 596 GRID: G2 LOCALITY: SAN GABRIEL, C
:EXISTL S -RESID USE ZoffF--W--f— SS 0 PROCESSED BY: P ..
EXIST OCC GRP: 09/24/01 VG 03/23/02
OWNER: TEL. NO: BLDGS. NO ON LOT: VALUATION: FI L; DAT FINAL BY: CODE:
GARCIA MA OLIVA ( 3,000 yy,, /
8621 WORTHINGTON DR V 2- O( �O
SGAB 917752646 FEES PAM CkZ{'�FO�d MORK
T/0 EXIST ROOF, REHSEAT AND INSTALL 25-YR COMP SHINGLES
FEE DESCRIPTION: QUANTITY: UON: AMOUNT:
APPLICANT:
CONSUMER ROOFING CENTER (818) 982-9443- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC_—,3000.00 VAL 99.00
�GEM_ T07A.FEES 127.25
CONTRACTOR: TEL. NO: ES co APPROVALS DATE INSPECTOR SIGNATURE
CONSUMER ROOFING CENTER (818) 982-9443-
7438 VARNA AVE LIC. NO LOCATION AND SETBACKS
HOLLYWOODNORTH HOLLCA 91605 3615
,� SOILS ENGINEER APPROVAL
CN T C 0 ENGINEER: 0: FO DA 0 ENCH FO S
LIC. N0:'� F- - I I - y SLAB/UNDER FLOOR
—
'
RAISED FLOOR FRAMING
14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- UNDERFLOOR INSULATION
XX 3 01: ' �;rr��I I j �� ``��� • �II f'��ff�� (;'�
FLOOR SHEATHIWG
0. OF FAI41LIES: DWELLING N S .- --- -- ------ I
NO 21%- ,- �— 01-=�� ROOF SHEATHING
AIR QUALITY: 1000FEET MATERIALS ` JSCHL WITHINEl
v / '`,' SHEAR PANELS
1 - r
NO NO NO ` I_I -tllI FRAME-INSPECTION
SET BACK YARD: HWY: PROP LINE: WIDTH: /qC ❑ p��i S R RS
FRONT PPL_ Servic-' e r��� NSULTION/WEATHER STSIDE RIP
INTER.IOR LATH D LL
EXTERIOR LAT
RATED-FLOOR/CEIL SSE .
RA E 'WALL ASSEMBLIES
RATED S PE GS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
� OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508