Loading...
none, Addition to SFT and a covered , ApplicationINSTRUCTIONS FOR ADMINISTRATIVE APPROVAL OF PROJECTS (OVER -THE COUN rat APPROVAL) According to Section 17.24.020 of the Rolling Hills Municipal Code, illegal uses or structures are -required to be made conforming or shall be removed, (regardless of when or by whom they were constructed). Therefore, you may be required to modify or remove any unauthorized or unlawful use or structure on your pr ty prior to or in conjunction with this application. ‘ba L Property o�bner (s) signature Pursuant to Chapter 17.44 of the Municipal Code (Zone Clearance), staff may approve certain projects administratively providing all of the development standards specified in the Municipal Code are complied with. Projects submitted for administrative approval will be reviewed for structural and total net lot coverage and percentage of disturbed area, setbacks, grading, walls, area of existing house to be demolished and all other development standards. Additions, accessory structures and pools will also be reviewed for availability of stable/corral or area set aside for a future stable/corral RHCA Architectural Committee review and Dept. of Building and Safety construction permits are required for all construction. The City of Rolling Hills does not collect a fee for over-the-counter review. Building permit fees will be assessed at the time the project is submitted to the Department of Building and Safety. PLEASE NOTE • No construction may commence, no matter how small, until you have from 3 entities: City of Rolling Hills, Rolling Hills Community Association and Building and Safety Department • All construction involving additions, new structures and most electrical work require undergrounding of all utility lines • For solar panels, if work requires upgrading of electrical panel or relocation of the panel or utility lines, then all of the utility lines must be placed underground • Entire roof replacement is required for additions and repairs of any size to the roof, when the existing roof material does not meet City standards for VHFHSZ • Most construction require LA County Health Department review for septic system • All additions and new structures require evaluation by the Fire Department Fire Prevention Engineering Section • Most projects require Fire Department review for Fuel Modification (planting zones in relationship to distance to structures) • lighting on the ...x t_l� must meet City's Outdoor Lighting Ordinance standards • Construction/demolition (C&D) permit is required for hauling away construction debris, including rocks, dirt and spoils Adm. Approval Rev. Page 1 of 17 4/2016 • All measurets are to be taken from the outsidgballs of structures; trellis shall be measure from the outside beams, not posts • For additions, verify with PVFUSD if school district fees will be assessed • The City contracts with LA County Building and Safety, 310 534-3760 and with Willdan Engineering Building and Safety, 562 908- 6200 (expedited process, 25% fee over the permit fee schedule) for plan checking, permit issuance and inspection services )( Initial / \ Property Owner Date_ ! ! r ► 5 • I Adm. Approval Rev. Page 2 of 17 4/2016 • • PLAN SUBMITTAL PROCESS It is recommended that the property owner, applicant and/or applicants' representative meet with staff prior to submitting a request for administrative approval to review the application process and the information required for submittal. Current survey, photos of the entire property, certified site plan/elevation plan, structural and impervious surface coverage calculations & other information, if requested, must be submitted. (See Checklist for Plan Submittal). 1. Submit a minimum of two sets of plans using the CHECKLIST as a guide. 2. Submit the application and calculations as required on the 'CALCULATION OF LOT COVERAGE" forms. 3. Depending on the nature of the proposed project staff may review and approve the project immediately over-the-counter or take few days to review it. 4. After review and arr... .l staff will stamp the plans `Approved" and keep one set of the plans and calculations in the Planning address file. Staff may place certain conditions on the approvaL 5. Over-the-counter approval is valid for one year. Meaning a building permit is to be obtained within one year of approval of the project by City staff. Re -approval may be granted. 6. Following City approval, RHCA Architectural Committee review is required. 7. If a new driveway approach is proposed, Traffic Commission application and review is required. If in any easement, prior to submittal to the City, RHCA approval is required. 8. After approval of the project by the City and RHCA, plans and arr.,,r.:ate specifications, calculations, conditions, etc. are to be submitted to Building and Safety Department (County or Willdan Engineering) for plan check and issuance of permits. 9. Building permits are required for nearly any construction. 10. Project must be built per the approved plan. Any modifications must be approved by City, RHCA and the Building Department. 11. Applicant's representative and contractor will be required to certify that the plans submitted for plan check mirrors those approved by the city and that the construetian; •lI be per the plans. (Obtain certification forms from City). Properly Owner Public:PLANNING MASTERS AdministrativeApprovallnrtructionsOvertheCounierRev2016.docx Adm. Approval Rev. Page 4 of 17 4/2016 APPLICATION FOR ADMINISTRATIVE APPROVAL (Over the counter approval pursuant to Zone Clearance, Chapter 17.44 of the Rolling Hills Zoning Ordinance) 6-4 6i-1 14A-K62Y PROPERTY OER'S NAME mc.,Ks-Ai2pLE. vc/-r 1 _ OWNER'S ADDRESS OWNER'S TELEPHONE & EMAIL PROPERTY ADDRESS Cf AGENT'S NAME tit N. WY S11:- AGENT' S ADDRESS AGENT'S TELEPHONE & EMAIL NATURE OF PROPOSED PROJECT Describe in detail the nature of the proposed project 11) A-Dpi-noKt M- Page 8 ofi7 e9 Adm. Approval Rev. 412016 Describe the prop* use(s) of the project: • tAmi PROPERTY OWNER'S ACKNOWLEDGMENT I (We) declare that I (We) am (are) familiar with City's rules as they relate to this project and with the submittal and construction requirements. Incomplete applications will delay the approval process. I (We) also understand that other than the City, prior to start of construction, approval and building permits are required from the RHCA and Department of Building and Safety and that any modification, change or variation to the approved plans must be reviewed and approved by the agencies listed above prior to commencing such construction. I (We) declare under penalty of perjury that the foregoing application is true and correct. By: NA" �.r Property Date: I I - t By: Date: Property owner Address City Adm. Approval Rev. Page 9 of 17 4/2016 • • DATE I �' ZONING CASE NO. ADDRESS ALL MEASUREMENTS TO BE TAKEN FROM THE EXTERIOR FINISHED WALLS OF STRUCTURES. ALL STRUCTURES MUST BE SHOWN ON THE PLAN AND LISTED HERE CALCULATION OF LOT COVERAGE AREA AND STRUCTURES EXISTING PROPOSED TOTAL NET LOT AREA `� \ ,'-%q.ft. sq ft I t f 7 6sq.ft RESIDENCE 1''-sq.ft. ) tin+ sqft. '2i7,0+ sq.ft. GARAGE + E' sq.& — sq.ft. 4 c' sq.ft. SWIMMING POOL/SPA " sq.ft. sq.ft. sqft. POOL EQUIPMENT r Nit sq.ft sq.ft GUEST HOUSE — sq-ft sq-ft sqft. CABANA �" sq.ft. sq.ft. sq.ft. STABLE (dirt volume to be included in grading quantities) e.' sq.ft. *4-r50 sq.ft. 50sq.ft. RECREATION COURT sq.ft. NA- sq.ft. ATTACHED COVERED PORCHES sgSt. (+ sq.ft. 14- sq.ft. ENTRYWAY/ PORTE COCHERE, BREEZEWAYS sq.ft. sqft. sq.ft. ATTACHED TRELLISES sq-ft. sqft. sqft. *DETACHED STRUCTURES: (circle all that applies) SHEDS, TRELLISES, GAZEBO, - LO sq.ft. ^ sq.ft. �? ?JCP sq.ft. BARBECUE, OUTDOOR KITCHEN, Nit- sq.ft. sqft. ROOFED PLAY EQUP.- over 15 ft. sqft. sqft. sqft. high and over 120 sq. ft. in area, WATER FEATURES, ETC. sqft. sq-ft. Q sgft. SERVICE YARD 1 � sq.ft.-' sq-ft. " ! L/ sq.ft. OTHER sgSt. sqft. sq.ft. BASEMENT AREA `" sq.ft. sgft. sq.ft. (volume to be included in grading quantities) DEPTH OF BASEMENT TOTAL STRUCTURES 4(2.30 sq.ft. ,- ' 4 ' sgSt. +1 °Dsgft. % STRUCTURAL COVERAGE = & % '' • 7 % S % TOTAL STRUCTURES EXCLUDING: up to 5 (legal) & up to 800 sq.ft. detached structures are not higher than 12 ft. (no more '7j l 1114- sq.ft. than 120 sqft. per structure per deduction, except for trellis) % STRUCTURAL COVERAGE 4 ► 0 % -15- sq.ft. a2gsq.ft. SPR Rev. 2016 City ofRolling Hills ALL FLATWORI3ST BE SHOWN ON THE PLANiD LISTED HERE PRIMARY DRIVEWAYS) 11-2/2lgft. PAVED WALKS, PATIO AREAS, COURTYARDS 1 -7 sq.ft. POOL DECKING sq.ft. mgt. 105 sq.ft. 2, 14 sq.ft. 455-7 sq.ft. sq.ft. r sq.ft. OTHER PAVED DRIVEWAYS, ROAD EASEMENTS, PARKING PADS sq.ft. sglt. sq-ft- TOTAL FLATWORK 1 I b.sq.ft. © sq.ft. 1'7..J 1 sgft. % TOTAL FLATWORK COVERAGE 'J. " % % % TOTAL STRUCTURAL & FLATWORK COVERAGE —11-7a 160 sq.ft. % TOTAL COVERAGE 17. + % sq.ft. ems,% dC/isq.ft. TOTAL STRUCTURAL &7 i FLATWORK COVERAGE �-^ i 1 4C'sq.ft. sq.ft. 7, C5 "F!isq.ft. Excl. the allowance of up to 5 — 800 sq. ft. structures from previous page. % TOTAL COVERAGE -7, 1— % % ,5 •'2.-. % TOTAL SQFT. OF PERVIOUS SURFACES (Other than landscaping; i.e. D.G., pavers set in sand, grass crete) TOTAL DISTURBED AREA % DISTURBED AREA sq.ft. I? : -2.o v Imo.% sq.ft. I -Ca % I b sq.ft. sq.ft.1 o,700 -4-% All structures (attached and detached) must be listed. * Miscellaneous conforming free standing accessory structures such as sheds, trellises, covered patios, gazebo, fountains, barbecue, outdoor fire place, etc. are not counted towards coverages unless greater than 120 s.f., (except for trellises), their combined area exceeds 800 sq. ft., or if there are more than 5 such structures on the property. Adm. Approval Rev. Page 11 of 17 4/2016 76A667C (CE-617B) 9/75 • -APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION ?NUMBER FOR APPLICANT TO FILL IN (PRINT OR TYPEI FIXTURE OR ITEM WATER CLOSET BATH TUB SHOWER LAVATORY SINK DISHWASHER CLOTHES WASHER SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM a FEE 3 BUILDING ADDRESS'. I LOCALITY „^•/ n j� // NEAREST /� f/LJ/'�F /� -..- CROSS ST. / 1 rF /-'- i /t>/i'/ OWNER r if _/.4'L IL Cry n /l/ MAIL '~ ADDRESS / WATER HEATER 1 GAS SYSTEM G„ OUTLETS A _... OUTLETS OVER '-' 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL ;'.Plan check fee PLUMBING PERMIT ISSUING FEE S TOTAL FEE Plan check applicant _,:Name •-,Address =City d' -` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION :AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR .',LICENSED AS REQUIRED BY LDS ANGELES COUNTY AND STATE OF °CALIFORNIA OR THA I AM THE LEGAL OWNER OF, AND INT L• TO CRIBED RESID .Y IAL PROPERTY. a ao RESIDE IN THE ABO _=.SIGNATURE OF PERMITTEE PLAN CHECK V,At.I. TION Tel. No. APPROVALS UNDER SLAB WORK ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED FINAL <l. C!/S` 4A4r.— CITY TEL. NO. �® e CONTRACTOR ADDRESS g- 54 ( C12; jrdy,J.. ;')d fR''0• tI EL.L O. 424 30% LICENSE NO., ??2 r CLASS C• DISTRICT NO. I GROUP ZONE' F' ESS ED BY INSPECTION RECORD CK. M.O. CAS PERMIT VALIDATION DATE INSPECTOR'S SIGNATURE 631 • M.O. CASH 32itPlrr 31I 5 240004 INSPECTOR COPY 7bAS63c- CEs0SB iz/TS APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN New Residential Bldgs. & Pools 31 & 2 Fmaily Sq. Ft. Multi -family Sq. Ft. ".Residential Swimming Pools Outlets: Light, Switch & Receptacle First 20 ' Additibnal Lighting Fixtures First 20 Additional Fixed Appliances Not Ove 1 HP Range _ Heater D W :Oven Dryer _ W M ;'Top _ FAU _ W H _ :Hood -___. Fan _ -Disp. A.0 Power Apparatus & Large Appliances Size & Type HP, KW, KVA, or KVAR Up to 1 Incl. Over 1 to 10 Incl. Over 10 to 50 Incl. Over 50 to 100 Incl. Over 100 Services 0 - 200 Amp, Under 600 V 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V Temp. Power Pole & Appurtenances Sign with One Branch Circuit Additional Sign Branch Circuits (Other) I EACH I NO. 1$ — I$ / _I I I I I I PERMIT FEE (Sub -Total) PLAN CHECKING FEE (One -Fourth Permit Fee) PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. FEE ADDRESS'a ' Pi ci SAi DL-L LOCALITY ,C�ot-t-1NG I-1;L1J I NEARSOUTH F/EL.r) cRoss EST. sT OWNER OR I FIRM NAME MAIL SO ADDRESS ICITY Tel. No. PLAN CHECK APPLICANT / ...c77 M.O. CASH ADDRESS CITY Tel, No. P •A LIC M• A Les APPLICANT �+ (7- ADDRESS .J PAc% S*}-/)l)LE' e'-S% CITY &ply_/n/6 N !Ci__f Tel. No. 44L/ APO q LICENSE OR - REG. NUMBER Class, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OP THE ABOVE DESCRIBED RESIDEN L PROPER. PERMITEE SIGNATUR itte DISTRIC/ .Oc I722 CE$SBY APPROVALS TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL NOTES PERMIT VALIDATION - 43 .. -4610 .2': DATE INSPECTOR'S SIGNATURE INSPECTOR COPY • • WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereoo1Sec. 3800 Lab. C.) Policy'�No./VO VQ) '?Company` i✓ YJ Certified copy is hereby furnished. Certified copy is filed with the county building inspection dep ment. Date Applicant (/� (,CC/ /b ,r CERTIF ATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the work Involved by the permit Is for one hundred dollars ($100) or less.) I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws. I 20-0026 DPW 9/89 76A667A APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES Data Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. OLicense Number k�%! ! 9 Lic Class 36 t: •! �j Contractor j%/}/L . CG� artDate 2/ 2 5r// 7 ❑ I am exempt under Sam B.&P.C. for this reason Data - Signature SINGLE FAMILY HOME OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the structure Is not Intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097, Civ. C.) Lender's Nam Lender's Addres< I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize represent of this County to enter upon the above-mentloned property ctiory¢]trpr es. Signature of P.�trnittee'; r .' NUMBER 2 DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. FOR APPLICANT TO FILL IN (PRINT OR TYPE) FIXTURE OR ITEM WATER CLOSET BATH TUB SHOWER LAVATORY SINK DISWASHER CLOTHES WASHER SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM WATER HEATER GAS SYSTEM OUTLETS OVER 5 PER SYSTEM OUTLETS Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name Address City Tel. No. FEE �1 R5 5l 5% a 75 / 03 00 Sl 0 R6 . a6 1 as BUILDINS R � •, tt j W. ADDRESS ,!{-(i LG-- ie5/6'40 gills LOCALITY CROSS ST. ASSESSOR MAP BOOK PAGE PARCEL OWNER' JIS d— k ' /592114„✓ MAIL ADDRESS S pack.sad Lti IJ— CITY ! I� U L '! tic- TEL NOSTifq I R' 7 CONTRACTOR a t Ran S. CITY L. 0,44.10! 7H t+ /\ TEL. NO3j ) � A(722,..r'^ a LICENSE NO. \"i"Y CLASS — O DfOT eOpPROSSED BY CC O 0 W D_ co z ADDRESS FINAL DATE FINAL BY yy OO y5e00 SEE REVERSE FOR EXPLANATORY LANGUAGE r6/09/tl (, VALIDATION #5 07* *456.00 *45600 1d 1. ***E 5&30g 12-06. 02-25-94 COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ON FILE ASSESSOR INFORMATION NUMBER: 7567-010-016 TENANT: OWNER: HOFFMAN HUGH C;NANCY B 5 PACKSADDLE RD RHLL 902745239 APPLICANT: HURST SERVICE ROOF* • CONTRACTOR: HURST SERVICE ROOFING CO., INC. 770 MIRAFLORES AVENUE SAN PEDRO CA 90731 ARCHITECT OR ENGINEER: MAP NO: SEWER MAP BOOK: PAGE: 4922 TEL. NO: TEL. NO: TEL. NO: (310) 832-6263- LIC. NO B/L 27266 * TEL. NO: LIC. NO: FIRE ZONE: CMP: 4 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 AIR QUALITY: NO SCHOOL WITHIN 1000 FEET NO HAZARDOUS MATERIALS NO ROLLING HILLS 24320 NARBONNE LOMITA CA 90717 PHONE: (310) 534-3760 EXT: NO. OF CONST SQ. FT STORIES TYPE STRUCTURE: 5000 V-B EXIST BLDG USE: HOUSE EXIST OCC GRP: BLDGS. NOW ON LOT: FEE DESCRIPTION: AA BLDG PERMIT ISSUANCE AB STATE GREEN BLDG FEE AC STRONG MOTION RESID AX BUILDING REVIEW FEE D2 PERMIT W/O EN-HC * ADDITIONAL DATA ON FILE REPORT ID: DPR261 t( 1202 USE ZONE: R-A VALUATION: 24,000 FEES PAID QUANTITY: UOM: 24000.00 VAL 24000.00 VAL 24000.00 VAL TOTAL FEES ROUTE TO: BS1200 BUILDING PERMIT ALTERATION/REPAIR BL 1202 1011010026 BUILDING ADDRESS: 5 PACKSADDLE RD W RHLL CA 902745239 NEAREST CROSS STREET: THOMAS PAGE: 823 GRID: D4 LOCALITY: ROLLING HILLS ISSUED ON: PROCESSED BY: 11/01/10 RB IFINAL.DATE FINAL BY: CODE: \ ,7, IDESCRI ON 0 T;OR IT/0 EXISTING REPLACE WOOD AS NEEDED INSTALL LT WEIGHT CLASS AMOUNT:IA CEMENT TILE ESR 1647 66.50 1 1.00 'SPECIAL CONDITIONS: 2.40 PLANNING & ASSOCIATION APPROVALS 196.40 1,088.30 1,354.60 APPROVALS DATE INSPECTOR SIGNATURE LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-FAR CEILINGS LOT DRAINAGE COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ON FILE ASSESSOR INFORMATION NUMBER: 7567-010-016 TENANT: OWNER: HOFFMAN HUGH C;NANCY B 5 PACKSADDLE RD RHLL 902745239 APPLICANT: HOWE CUSTOM HOME BUILDERS* CONTRACTOR: HOWE CUSTOM HOME BUILDERS 4135 WEST 228TH PLACE TORRANCE CA 90505 ARCHITECT OR ENGINEER: MAP NO: SEWER MAP BOOK: PAGE: TEL. NO: TEL. NO: TEL. NO: (310) 373-9658— LIC. NO 849956 B TEL. NO: LIC. NO:' FIRE ZONE: 4 CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:.. NO 21 AIR QUALITY: NO SCHOOL WITHIN 1000 FEET NO HAZARDOUS MATERIALS NO ROLLING HILLS 24320 NARBONNE LOMITA CA 90717 PHONE: (310) 534-3760 EXT: SQ. FT STRUCTURE: EXIST BLDG USE: SFR EXIST OCC GRP: BLDGS. NOW ON LOT: FEE DESCRIPTION: NO. OF CONST STORIES TYPE V—B AA BLDG PERMIT ISSUANCE AB STATE GREEN.BLDGFEE AC STRONG MOTION RESID D7 ADDNL'PLANCHECK FEE P1 RESPVPC <10KW P2,INSPCT..RES PV<10KW__ 'REPORT ID: DPR261 # 1202 USE ZONE: R—A VALUATION: 45,000 FEES PAID QUANTITY: UOM: `.45000.00 VAL -45000.00 VAL .O:25';HOU TOTAL FEES' ROUTE TO: BS1200 AMOUNT: 70.80 2.00 4.50 60.11 111.90 100.30 349.61 BUILDING PERMIT ALTERATION/REPAIR BL 1202 1307180075 R BUILDING ADDRESS: 5 PACKSADDLE RD W RHLL CA 902745239 NEAREST CROSS STREET: THOMAS PAGE: 823 GRID: D4 LOCALITY: ROLLING HILLS ISSUED ON: PROCESSED BY: 07/22/13 RB FINAL DAT (FINAL BY: CODE: O (alp I-) DESCRI IO OF WOR ROOF MOUNTED SOLAR PANELS SPECIAL CONDITIONS: PLANNING & ASSOCIATION APPROVALS ON PLANS APPROVALS LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INSULATION FLOOR SHEATHING ROOF SHEATHING SHEAR PANELS FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED RATED RATED T—BAR FLOOR/CEIL ASSEM. WALL ASSEMBLIES SHAFTS/OPENINGS CEILINGS LOT DRAINAGE DATE INSPECTOR SIGNATURE Sig • COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT LEGAL ID: ON FILE ASSESSOR INFORMATION NUMBER: 7567-010-016 TENANT: OWNER: HOFFMAN HUGH C;NANCY B 5 PACKSADDLE RD RHLL 902745239 APPLICANT: HOWE CUSTOM HOME BUILDERS* CONTRACTOR: HOWE CUSTOM HOME BUILDERS 4135 WEST 228TH PLACE TORRANCE CA 90505 TEL. NO: TEL. NO: TEL. NO: (310) 373-9658- LIC. NO 849956 B ARCHITECT OR ENGINEER: TEL. NO: LIC. NO:'. ROLLING HILLS 24320 NARBONNE LOMITA CA 90717 PHONE: (310) 534-3760 EXT: FEES PAID FEE DESCRIPTION: QUANTITY: UOM: Al PERMIT ISSUANCE FEE P2 PC RES PV<10KW P3 INVRTR RES PV <10KW S3 ADDTNL ELECT PLAN CK 0.20 HOU TOTAL FEES t 1202 REPORT ID: DPR265 ROUTE TO: BS1200 AMOUNT: 70.80 111.90 20.40 60.11 263.21 ELECTRICAL PERMIT EL 1202 1307180044 BUILDING ADDRESS: 5 PACKSADDLE RD W RHLL CA 902745239 NEAREST CROSS STREET: THOMAS PAGE: 823 GRID: D4 LOCALITY: ROLLING HILLS ISSUED ON: PROCESSED BY: PLAN BY: 07/22/13 FINAL ATE RB FINAL BY: CODE: DESATZONOF WORR� ELECTRICAL FOR ROOF MOUNTED SOLAR SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE TEMPORARY POWER POLE UNDERGROUND CONDUIT UFER GROUND ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED • WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the county building inspec- tion department. Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws. Dote Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chopter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Number Lic. Class Contractor Date ❑ I am exempt under Ser B.&P.C. for this reasor Dote: Signature OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code.) Li I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter upon the above -mentioned property for inspection purposes. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES FOR APPLICANT TO FILL IN BUILDING 5 Fs'g(Ah,)r F F0 ADDRE(SS,� �/ j�r/'t 1 � Jl ^� -'] ( � CITY ffLLAlt, Hy i .. S ZIP PG NO. OF SIZE OF LOT 'Z t 06 hj C NOW ON LOTS I (f TRACT (11- L L 9y ( ' BLOCK l-y- I LOT NO. 0 ` {� OWNER � V u(21 &' j t NO. ` i -1 V ADDRREESSS 1,3, rU(�4-7*. Ci�TNIAN Pr 4V `(1--y CITY I�A211 `�I-i/ EelZH ZIP 6i 0 L_� 1 7 ARCHITECT OR ENGINEER r 1 ` 14 2 /‘NI NO. CA --I, ADDRESS l-3 S ' CR ' 2.0 13 TEC. CONTRACTOR (tVMM %7 L 62 i .A a_ NO. - 3 ADDRESS CITY SC. C�1 NO. OF I NO. OF CHECK SIZE t� STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ '%et te-. Lac-c- LIC. NO. LIC. CLASS ADD IALTER ❑ REPAIR ❑ USE OF tat -St t r)1 (p„'L_ I DEMOL ❑ EXISTING BLD{G�%��"j'� �/� ��,� ,j�1p1�� (�{�-7-y APP(PRINT)NO. iV I I Z:1 ADDRESS 1'L S , "'• 1 i27 1 , c.f.; (-cip-2.7 I IIIII 1111111 II II III III I III I I • Ii! 11llh 111 I mil lll r II I I I III I InimW 111111111111111111 PRESENT BUILDING ADDR:,,,, LOCALITY MOVING CONTRACTOR ADDRESS REQUIRED SET BACK FRONT P.L. SIDE P. L. YARD HWY TEL. NO. TOTAL SETBACK FROM • EXIST. IIIn PROP. LINE WIDTH BUILDING ADDRESS LOCALITY NEAREST CROSS ST. ASSESSOR MAP BOOK USE ZONE BUILDING AND SAFETY c� 6 ittast,x .!%L( • MAP NO. SPECIAL CONDITIONS DISTRICT GROUP TYPE CONST. IPAGE IPARCEL FIRE PROCESSED BY JE STATISTICAL CLASSIFICATION APT. CONDO. CLASS NO. p+ G/ DWELL. UNITS 1:9— P.C. Fee $ /o,". tJ 3 Investigation Fee Permit Fee Issuance Fee Total Fee SEWER MAP BK. PG. VALUATION FINAL DATE FINAL By LDMA Ref. # LDMA P/C # LDMA Perm. # SEE REVERSE FOR EXPLANATORY LANGUAGE VALID TILT ti•••-23 2.16203 ••162,036 I)5()2-89 INSPECTOR COPY Signature of Applicant or Agent Date