HomeMy Public PortalAbout5026 BALDWIN AVE_Building__ (2) APPLICATION FOR BUILDING PERMIT
FbR APFILICANT TO FILL IN (Print or type Only)
BUILDING _ COUNTY OF�LOS ANGELES
ADDRES B 1 w DEPARTMENT OF COUNTY ENGINEER
CITY Tem le City ZIP 91,780 BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT 1O X81 r +NOW ON LOT None ADDRESS ;Z 6 lVor eA J-V W/ >�
TRACT 10821 BLOCK trBii TOT NO 2&3 LOCALITY �Jr' r /
C�R.,Johnsttom TEL NEAREST S
OWNER �1 c1 1111 NO CROSS ST �
I ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
1 80 DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY I ZIP CONST.�— ZO n t
ARCHITEC OR TEL __� VL e2&JAgIn)
ENGINEER NO
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS p CLASS NO SC_L— DWELL UNITS ' TRB PG 6
CONTRACT04chulZBros. NOL 287 41 USE ZONE MAP
ii / NO
ADORER 2581;@sTunasDr. NO I�� 'C)7J SPECILIC AL ONS
CITBanGabrlel CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONSTRUCTION LENDER }
NAME AND BRANCH Nona BLDG SETBACK FROM 4
C
FRONT PROP LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIQZE T 16NO OF 2 STORIES 1 FAOMIOLFES 1 CHECK FRONT PROP LINE HIGHWAY WIDTH
ONE
I +
DESCRIPTION OF WORK House with NEW z
BLDG SETBACK FROM
an attached 2car_ arage ADD SIDE PROP LINE OF (STREET)
ALTER ❑ HIGHWAY -F YARD TOTAL SETBACK FROM TYPE OF EXISTING
=
REPAIR[] SIDE PROP LINE HIGHWAY WIDTH
USE OF } = 4
EXISTING BLDG � DEMOL 11AP PRIN)NT J.A.S`ChulZ NO CORNER CUTOFF YES ❑ NO ❑
IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATURE)
_ IN COASTAL ZONE YES ❑ NO ❑
�ALUATI ON �0
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COM TION I N S U NCE
SIGNATURE OF
PERMI3'i%. z, .. ��-� Q
TTEE p � T�
ADDRESS 11 U Z
_ Q 1, /� FINAL BY �y
CITY SanGabri.eli NOt8 5_541 DAITE Q
MAKr CH( CKS PAYABLL TO FEE FEE V
HARVEY T BRANDT COUNTY ENGINEER
PLAN CHECK VALIDAT QN cK M O CASH PERMIT VA ATIONCK M O CASH
JI
5 7 3F---'jAN X1(2 o 1 13 4
7 5 0V`-FE6 1U 2 3 D 1 C: 8 U ®y
�71 CE#803 7/73 —
1 7 5 1"'FEB iUI 1 B 2 U 7 0 O a-o
1
COUNTY OF LOS ANGELES TEMDLE C TY # 0508 6UiLDING PERMIT
DEP-RTMENT OF PUBLIC WORKS 9701 LAS TUNAS PESTDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY C4 91780 BL 0508 0401140009
PHONE (626) 285 0488 EXT
f
LEGAL ID h0 OF CONST EW BUILD ING ADDRESS
TP 10821 LT 3 BL 001 UN 002 SQ FT STORIES TYPE OCCUP CROUP' 5026 BALDWIN AV
_ STRUCTURE 828 1 VN R3 TEMP CA 9 7804010 JJ
ASSESSOR INFORMATION NLJMBER '' GARAGE 637 ' VN U1 Y NEAREST CROSS STREET LA ROSA
18585 008 033 OTHER THOMAS PACE 5Q7 GRID B4 LOCAL"Y TEMPLE CITY C
TENANT EXIST BLDG USE USE ZONE ISSUED ON PPOCESSED B RES ON
EXIST OCC GRP 05/19/04 VG 05, 1,/05
nM
OvJNER TEL NO BLDGS NOW ON LOT VAL ATIOQ FINAL T IVZLB CODE
LI YAZHONG (626) 675 93yi 82 000
5026 BALDWIN AVE
TEMPLE CITY 91780 FEES PAID IDESCRIPTION OF qORK
ADD FAMILY ROOM AND 2 BATHROOMS 418 S F (ONVLRT GARAGE TO
APPLICANT TEL NO FEE DESCRIPTION QUANTITY UOM AMO'1NT I2 BEDROOMS 410 S F AND BUILD NEW ATTACKED 3 CIR CAR 637 SF
4SU (626) 236 8305 B1 PLANCHECK W/EwERGY 82000 00 VAL 1 0'5 00
AA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITTONS
AC STRONG MOTION RESiD 82000 00 VAL 3 ?0
B2 PERMIT W/ENEPGY 82000 00 VAL 1 229 42
CONTRACTOR TEL hG i— TOTAL FEES 2 310 37
- APPROVALS GATE IhSPr TOk S,CNATURE
HU XUE PEI (626) 379 97 3
1522 ACACIA STREET LIC N, LOCATION AND .,ETB CKS
ALHAMBRA CA 91801 704228 B
SOILS ENGINEEk APPROVAL
I _ I
APCH ITELT—G-R-ENG SEP TEL NC l jFOJNDATI N/TREFC, ORMS
HSU GEORGE (626, -36 800`
6,6 N OLIVE AVE LI" Nr I IGLaB/UNDER FL00' _
A'_T'AMBRA CA 91801
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Mrs NO SEWER MAP BOOK PAGE FIRE ZONE (WP UNDERFLOOR INSOLATIC,h
01 i
ST LEVEL FL5U7 SHEATH
NO 0 FA LI D4,ELLING IT APT/ OND 5 fT ALTS;
NO 2� INAVE—LF LCGa SHEA-H�
SchOOL WITHIN HAZARDOIjS lQOOF SNE Tot
AIR QUALITY 1000 FEET MATERI4_3 i
NO NO NO FTRE DEPT FRAIE Ir4SPE T
REQUIRED TOTAL SETBACK FOR EA—JS I BLDG DEPT FRAME INSPSCT //
SET BACK YARD HWY PROP LINE WIDTH 7
FRONT PL JHEAR PANELS !. L
SIDE PL (
N ULATIO /WEATRaL— n
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INTERIOR LAT"/DRfWf41A L�
EXTERIOR LATh
t
LOT DRAINAGE
z.MOKE D TECTTOP DEV-Tiff
rIRE DEPARTMENT APPROVAL
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REPORT ID DPR261 ROUTE TO BS0508
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