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HomeMy Public PortalAbout4917 BALDWIN AVE_Building__ (2) t w A APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS / v''-�-- BUILDING �j ADDRESS o- 1 „j� ICOCALITY CITY G ZIP C1, NEAREST CST ROSS r NO OF BLDGS ASSESSOR SIZE OF LOT VI O X 17a NOW ON LOT MAP BOOK PAGE PARCEL n O,✓ DISTRICT PE FIRE ESSED BY TRACT Li � BBLOCK „ LO NO p � 0g1,G NST ZONE r OWNER n `}"N� �YIV NOLSrlg-g3� STATISTICAL CLASSIFICATION �//�� � �2SEWE(RMA� J ADDRESS •C4 0, CLASS NO��DWELL UNITS Lc BI[TJ pG CITY A e.rn ZIP tj $C USE ZONE NOP /p ARCHITECT OR TEL f SPECIAL ENGINEER h NO '�'� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO ~ TEL BLD SETBACK FROM CONTRACTOR , NO LIC FRO TPROP LINE OF (STREET) TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS f, NO NIGH Y t YARD - HIGHWAY WIDTH s)y + t LIC +f FRONT PROP LINE , CITY 1 CLASS _ CONSTRU N LENDER t - NAME AND BRANCH _ BLDG SETBACK FROM , n' ADDRESS v CITY SIDEPROP LINEOF (STREET) SQ FT NO OF NO OF CHECK HIGHWAY t Yq RD = TOTAL SETBACK FROM OF EXISTING CC SIDE PROP LINE HIGH WIDTH O 5' SIZE 77 STORIES y� FAMILIES ONE _ ` U t - � 41 DESC RIPT N OF WORK NEW ren ADD CORNER CUTOFF YES ❑ NO ❑ Z yALTER ❑ „ 2, IN OPEN SPACE YES ❑ NO ❑` _ + ❑ USE OF 5� / y ��*�_ EMOL REPAIR❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG ( H r �APPLICANT,� A �'" TEL C� W) L�'{.(� s'r ��f, 4 b� L rI �aL (PRINT) a NO it BY (SIGNATURE) ti G! 1 +sl q gp,s, B r— �Y i � ���ri� �.�. C♦' I HEREBY ACKNOWLEDGE THAT 1 H1 VE READ THIS APPLICATION � Jt(4 c .A 9d1R�/r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1R�A W DP i l.V l 1 u WITH ALL ORDINANCES AND LAWS_REGULATING BUILDING CON r STR UC TION I CERTIFY THAT IN DOI�N E WORK AUTHORIZED 6T /L+ VGi HEREBY I WILL N EMPLOY ANY PER ON�I VIOLATION OF THE LABOR CODE OF TH STAT F CA IFORN IN ELATIN TO WORKMEN 5 CO E TMON I URANCE A .r�/1 SIGNATURE O ' W FINAL L..-�%py1�_ BY PERMITTEE l{� � DATE I/i/rO1�VVV��//�����_ ADDRESS TEL, 1q Q'1 PC Fee$ C� 7 0 Permit Fee 69 CIT +�� NO Issuance Fee VALUATION$ rJ jf ,` w Total Fee PLAN CHECK VALIDATION ''GK M o CASH PERMIT VALIDATION cK 1 M o CASH h 0-Zr 1�-JAS r 3 © 6 a 0,0 76A638A CE#80315 1275 ..v. _ -- ' t t .1 Y ,APPLICATION FOR Il BUILDING PERMIT LDING I FOR APPLICANT TO FILL IN ADDRESS / BUILDING ` ADDRESS 3 9 1 N ' I►Ic�wl.3 V E LOCALITY T NEAREST CITY t_m i l ZIP CROSSST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL p c / DISTRICT GRO TYPE FIRE PROCESS7 BY TRACT BLOCK LOT NOoZ77///O Q CONST E TEL OWNER Ir 4 (ts ` NO SI7� I �O� � STATISTICAL CL SSIIFFI,CATIION EWER MA> ADDRESS S Q NI CLASS NODWELL UNITS —BK V JPG I CITY ZIP UEZONE MAP O/ " ARCHITECT OR" TEL J'�- NO ENGINEER NO SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ �p TEL CONTRACTO AaL t�R NO 42.)-ay BLDG SETBACK FROM d ,� 4 FRONT PROP LINE OF (STREET) ADDRESS 4-�% Jam/ 55 NO /a�S*3 _ TOTAL SETBACK FROM TYPE OF EXISTING J �j LIC HIGHWAY + YARD - FRONT PROP LINE HIGHWAY WIDTH CITY /'/~1110/yIQ CLASS A l + CONSTRUCTION LENDER } NAME AND BRANCH O BLDG SETBACK FROM U ADDRESS CITY SIDE PROP LINE OF (STREET) QO SQ FT NO OF NO OF CHECK HIGHWAY + YARD = lUT6LqTBACK FROM TYPE OF EXISTING w '- IDE PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE °- ❑ + = Z DESCRIPTION OF WORK NEW ' ADD CORNER CUTOFF> YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ U Qhs ti L�� REPAIR ❑ IN COASTAL PER ONE YES ❑ NO ❑ EXISTING BL DEMOL ❑ APPLICANT TEL (PRINT) NO BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT LOY ANY PERSON IN VIOLATION OF f THE LABOR CODE OF THE STATE OF CALIF AIN RE TING TO WORKMEN S COM r PENSATION INSURANCE SIGNATURE OF 4 FINAL �(� / BY PERMITTEE DATE ADDRESS flkl TEL / CITY l� NO P C Fee$ 3 os PermitFee Issuance Fee VALUATION � Total Fee PLAN CHECK VALIDATIONM o CASH PERMIT VALIDATION CK M o CASH c 346rcl- JUN, 3023 D 13.0 -5 A:3 ' — 3 4 7 JUN 30 41 D X -17-5, ©3 76A63813 CE 1803B 6/76 r 7 DEPARTMNT OF BUILDING AND SAFETY L ' w _ COUNTY OF LOS ANGELES WM J FOX, CHIEF ENGINEER ' APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY A . .` ,/� `1/� DISTRICT NO P-AN CK OR REc No /��"j/PERRMII NO BUILDING ADDRESS f�7 C W�1 U A M W 1 /10 CEIV D BY DATE OF APPL DATE ISSUED LOCALITY AA NEAREST CROSS ST BUILDING CC ADDRESS � G OWNER T3 1 l LOCALITY MAIL ADDRESS "T l 1 /![Q I7 l.�- ICJ ( nV As W Ya, NEAREST CROSS 9T rte` 54 1 TEL. CITY NO FIRE I NO OF I E GROUP ZONE -��If` PLANS.--- ARCHITECT OR TEL ENGINEER NO BLDG I NO SETBACK LINE O ; ADDRESS USE _ BY APPROVED L _ e TEI� / ZONE 1 DATE < CONTRACTOR" A,� a I I No r (Z.r�pO HOUSE NUMBERING ADDRESS Z1 11"MIZ rQ Q P NUMBER NO ASSIGNED BY-__t_ LEGAL p BLOCK t CORRECTIONS , DESCRIPTION LOT NO _ O-s ®� -,e/..F TRACT ff; ` ' L NO OF NOW ON LOT B Z c !j 1 G wool/n Al rel SO ��1.� SIZE OF LOT USE OF rs EX STN BLDG �(�� +�`�R( /�,C la I F�IL°Ea DESCRIPTION OF WORK 7 ° �rLG r ee� / z I l NEW ALTERATION ADDITION /e,ArAf E/ / REPAIR DEMOLITION " Sq FT NO OF SIZE � ROOMS � STORIES EXT WALL "n ROOF T COVERING COVERING " ie` USE OF S RUCT RE • B � ��f� /d cZ uli� �I'�d/f t //�� Aw1 .�y�ia9��joupcaK 4���Yl� INSPECTION FOR A 6 a��h /1a A AT f/ OCCUPANCY A9 FOUNDATION LOCATION�/, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FORMS MATERIALS / f ,>/ CORRECTN AND TATE THAT THE INFORMATION GIVEN IS FRAME BRACINGFIRE BOLTSTOPS, I AGREE O C MPLY WITH ALL COUNTY ORDINANCES AND STAT LAWS EGULATING BUILDING CONSTRUCTION FURNACE LOCATION i GAS VENT DUCTS •,/� SIGNATURE OF LATH INTiA'6C/L�Ci(t Ao PERMITTE ' �. i LATH EXT /(�r/ r .r+ ADDRESS - PLASTER INT - AUTHORIZED AGT PLASTER EXT FEE HOUSE NUMBER COR 4(00 RECT AND POSTED !8 VALUATION FEE ! FINAL 76A638A DSS 3 7 51 APPLICATION FORS COUNTY OF LOS ANPELEs DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT , BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ' ADDRESS �Q/ a,&LAAt t,✓ Aox— BUILDING T ADDRESS ! LOCALITY I NEAREST CITY , ZIP CROSS ST ���� NO OF BLOGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PA EL Cj aq //�� (y��!J DISTRICT GROUP TYPE �FIRE )PRO SSED BY J TRACT` 4940 BLOCK - LOT NO Q S�(�6 1 6j ST TEL ! `J OWNER G NO y STATISTICAL CLASSIFICATION SEWEpRR,MAP ADDRESS CLASS NO Q DWELL UNITS B!W J PG Ci USE ZONE MAP CITY ZIP NO ARCHITECT OR TEL / SPECIAL ENGINEER NO j_ CONDITIONS r ADDRESS ` ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL fi BLDG SETBACK FROM N FRONTPROP LINEOF (STREET) IC ADDRESS[ NO HIGHWAY + YARD s _ TOTAL SETBACK FROM TYPE OF EXISTING — LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS " CONSTRUCTIO LENDER + >_ NAME AND BRANCH - a.. BLDG SETBACK FROM ADDRESS CITY SIDE PROP LINEOF (STREET) V SO FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH U + — LLI DESCRIPTION OF WORK NEW N ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z / — f L(.C., JALTER ❑ IN OPEN SPACE " YES ❑ NOUSE ❑ REPAIR❑ EXISTING NG BLDG �' EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT TEL t (PRINT) NO BY (SIGNA°TURE) { � r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 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 PERSON IN VIOLATION F THE LABOR CODE OF THE STATE OF CALIF RNIA IN RELA ING TO WORKMEN S COMPE FON IH RANCE ^ ,x SIGNATURE OF I / X111 FINAL / BY PERMITTEE fa tL DATE ADDRESS d S� CITY NOL P C Fee$ Permit Fee ---?,/ 1 QQ ¢� Issuance Fee VALUATION$ — Total Fee PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M o CASH 4 - - 2 g t,FEB 7 1 D 2 17 5 a j'4,78A838A CE*803B 12/75 "' 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 BUIMING AND SAFETY Policy No. Company BUILDING ElCertified copy is hereby furnished. . FOR APPLICANT TO FILL IN ADDRESS " %l 7 ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS U/ ,t Date Applicant CITY -I � ZIP I/ LOCALITY � CERTIFICATE OF EXEMPTION FROM WORKERS'. SIZE OF LOT 1*7f111q, NO. OF BLDG NEAREST, NOW ON LOT CROSS ST. COMPENSATION INSURANCE �- ASSESSOR r� (This section need not be completed if the`: ermit is for one TRAC MAP BOOK �d % PAGE�o?J PARCEL 45L0 hundred dollars ($100).or.less.) TEL. Qp USE ZONE MAP u �r OWNER LLO (/T LA NO. NO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS g' (� E -� SPECIAL CL CONDITIONS O so as to become subject to the Wor rs' Compensatio La / 2 a d CITY � G L�i C.� ZIP Dat Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APP CANT: If, after makin thy Certifi to of ENGINEER ®� NO. f- 9 CONST. ZONE r U Exemption, you should become subject t the orkers' ,) w Compensation provisions of the Labor Code, you must forth- ADDRESS ���/ 4 a- with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z Q I deemed revoked. CONTRACTOR �1V/V NO. — LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY.. CLASS BK PG VALIDATION SQ. FT. . NO. OF NO. OF CHECK License Number Lic.'Class SIZE I STORIES FAMILIES ONE ® VALUATION DESCRIPTION OF WORK NEW a ► v7 Contractor Date �'" (O OO ❑ ❑I am exempt under Sec. ADD ALTER 101B.&P.C. for this reason �' REPAIR ❑ $ Date: USE OF EXISTING BLDG. ,s DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DAT I hereby affirm that I am exempt from the Contractor's License - Law for the following reason (Section 7031.5, Business and ADDRESS FINA F, Professions Code): PRESENT By s ' BUILDING I,•as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 3 4 �;- the structure is not intended or offered for sale(Section LOCALITY s 7044, Business and Professions Code.) MOVING TEL. iFC ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. TOTAL 1,t with licensed contractors.to construct'the project (Sec-. e —¢ ' ADDRESS tion 7044, Business and Professions.Code.) REQUIRED TOTAL SETBACK FROMJ�� LDMA CONSTRUCTION LENDING AGENCY SET BACK. YARD HWY PROP. LINE .s.1.-r I hereby affirm that there is a construction lending agency for FRONT '.:)`IE iING` the performance of the work for which this permit is issued P.L.' ' (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name A Ref. # P.C. Fee$ Permit Fee �� s`3?9 sj Lender's Address 0 I certify that I have read this application and state that the Issuance Fee A P/C# ► above information is correct. I agree to comply with all County Investigation Fee /� � 6 ordinances and State laws relating to building construction, Total Fee / Perm. # a and hereby authorize representatives of this County to enter upon above-mention rop rty for ' pection pu ses. ��� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f Applicant r Agent Date Y 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 0602080011 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 9848 LT 20 SQ FT . STORIES TYPE 4917 BALDWIN AV STRUCTURE VN TEMP CA 917804009 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA 8589 025 020 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 02/08/06 JK 02/03/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE TZU HUNG LIN & HSIU TUAN LIN (626) 442-6668 2 500 4917 BALDWIN AV TEMP 917804009 FEES PAID DESCRIPTION OF WORK REPLACE DRYWALL AND CONVERT BREEZEWAY TO STORAGE 113 S F FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SAME AS OWNER AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 2500 00 VAL 0 50 SPECIAL CONDITIONS D2 PERMIT W/O EN-HC 2500 00 VAL 99 00 TOTAL FEES 127 25 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB UNDER FLOOR 3 RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UND.RFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS L� SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSULATION/WEATHER STRIP SIDE PL- INT�RIOR LATH DRYWALL r C EXTERIOR LATH RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 ` s 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 0505310018 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 9848 LT 20 SQ FT STORIES TYPE 4917 BALDWIN AV STRUCTURE 2200 VN TEMP CA 917804009 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA 8589 025-020 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 12/16/05 JK 12/11/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY LIN TZU HUNG 626442668 - 20 000 4917 BALDWIN AV TEMP 917804009 FEES PAID DESCRIPTION OF WORK CHANGE FROM FLAT ROOF TO PITCH ROOF WITH 30 YEAR GABLE FEE DESCRIPTION QUANTITY UOM AMOUNT SHINGLES FOR 2 CAR GARAGE AND GUEST HOUSE FROM THE APPROVED APPLICANT TEL NO GLYCHER (818) 908 5382 D1 PLANCHECK W/0 EN-HC 7000 00 VAL 141 27 5725 ROSEDAR BLVD AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS TARZANA CA 91356 AC STRONG MOTION RESID 20000 00 VAL 2 00 D1 PLANCHECK W/O EN-HC 20000 00 VAL 185 64 D2 PERMIT W/O EN-HC 20000 00 VAL 384 60 CONTRACTOR TEL NO TOTAL FEES 741 26 APPROVALS DATE INSPECTOR SIGNATURE GLOBE REMODELING INC (818) 908-5382- 15500 ERWIN ST #4011 LIC NO LOCATION AND SETBACKS VAN NUYS CA 91411 725717 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR } RAISED FLOOR FRAMING MAP NO SEWEZ MAP BOOK PAGE FIRE ZONE CMP UNDE' LOOR INSULATION 144H269 3 C1 _ FLOOR SHEATHING NO OF FAMIL7ES DWELLING UNITS APT/COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS (� AIR QUALITY 1000 FE7T MATERIALS NO NO NO FRAME INSPECTION �O G REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSL-ATION WEATHER STRIP SIDE PL INTERIOR LATH/DRY/WALL ,2 6 EXTERIOR LATH RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 _��✓�� ���!L lel %S �r� ah GCS i s 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 0001120006 PHONE (626) 285 0488 EXT LEGALID NO OF CONST BUILDING ADDRESS TR 9848 LT 20 SQ FT STORIES TYPE 4917 BALDWIN AV STRUCTURE 0 VN TEMP CA 917804009 ASSESSOR M—OR-RUMN NUMBER NEAREST CROSS STREET LOWER AZUSA 8589 025 020 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESID USE ZONE R 1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 01/12/00 UT 07/10/00 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY ODE LIN,TZU HUNG 1 5,150 'L� Q O / 4917 BALDWIN AV TEMP 917804009 FEES PAID DESCRIPTION OF WOR TEAR L'F (FRONT FELT AND TILE) (REAR FELT AND SHINGLE) FEE DESCRIPTION QUANTITY UOM AMOUNT (FLAT AREA MODIFIED ROLL TORCH AND METAL) APPLICANT TEL NO PACIFIC STATE ROOFING, INC (626) 334 1446 AA BLDG PERMIT ISSUANCE 27 75 16562 NEWBURGH ST AC STRONG MOTION RESID 5150 00 VAL 0 52 SPECIAL CONDITIONS AZUSA, CA D2 PERMIT W/O-EN-HCS 5150 00 VAL 149 40 GELESTc FEES 177 67 CONTRACTOR TEL NO ®&j �f(19�� APPROVALS DATE INSPECTOR SIGNATURE PACIFIC STATE ROOFING (626) 334 1446 16562 NEWBURGH ST LIC NO LOC AN SETBACKS AZUZA CA 91702GS CA 90670 667912 C39 �i SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER NO FOUNDYTION/TRENCH FORMS LIC NO 11111 1 SLABVNDER FLOOR RAISED FLOOR FRAMING M44H269 SEWER MAP BOOK PAGE FIRE ZONE d �� �U Q L `\n I]�1 FLOOR SHEATHING INSULATION A7� OF FAMILIES DWELLING UNITS APT/COND STAT CLASS - w(/\\��/ w y I la ! NO 21�( O 0 ROOF SHEATHIN c SCHOOL WITHIN HAZARDOUS 10 1 �� PANELS AIR QUALITY 1000 FEET MATERIALS 0 El NONONO NO 0 �I /� FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE ^PR N R ANG RS SETBACCK YARD HWY PROP LINE WIDTH �eBFRON �+ a ��Vae Tba INSUL TION/WEATHER STRIP SIDE PL TOM OR LATH/DRYWALL EXTERIOR LATH RATED FLO /CEIL ASSEM RATED IWALL ASSEMBLIES RATED SHAFTS/OPENINGS T BAR CEILINGS f LOT DPAIN G REPORT ID DPR261 ROUTE TO BS0508