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76A63BA CE#(303 6 62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS C G'
BUILDING AND SAFETY DIVISION LOCALITY �{
JOHN A LAMBIE COUNTY ENGINEER
NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT N I G OUP TYPE I P SSED BY
FOR APPLICANT TO FILL IN CONS
BUILDING STATISTICAL CLASSIFICATION S WEIR MAP
ADDRESS Av G
CLASS NO DWELL UNITS
-A 10
LOT NO d BLOCK WATER
CERTIFICATE NOT REQUIREDry RECEIVED
TRACT MAP HIGHWAY
NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT NOW ON LOT USE ZONE / SPECIAL
USE OFI CONDITIONS /
EXISTING BL G C C
TEL
OWNER NO UILDING YARD HWY STREET NAME EXIST
SETBACK 4, WIDTH
ADDRESS Q FRONT ` I v
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L �-
ADDRESS CL
TEL AA
CONTRACTORII� NO[� 3� t A / \� OU
ADDRESS
DESCRIPTION OF WORK
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NEW ADD ALTE REPAIR DEMOLISH 0-
I N
SQ FT NO OF NO OF Z
SIZE .0 Q STORIES FAMILIES
USE OF
STRUCTURE G�
SIGNATURE O
APPLICANT
VALUATIO zoo ^_ S
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT
FOUNDATION LOCATION -�
FEE $ —�� FEE $ (� ��� i FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY t FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK y�7
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT ,�y
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORK�MPENSATION INSURA CE LATH EXTSIGNATURE HOUSE NUMBER COR
PERMITTEE RECT AND POSTED ) I
ADDRESS FINAL
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STRUE URAL ENGINEER
PERMIT VALIDATION (CK M 0 CASH
LACo 1 4 1 2 FEB ?6 1 D 6 00 7
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78A838A C�0803 96A-PPLICATION FOR BUILDIN PERM, IILJII
rt COUNTY OF LOS ANGELES
BUILDING f/
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4T
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BUILDING AND SAFETY DIVISION LOCALITY ,� ��T—
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST LGA to
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE OCESSED BY
(Print or type only) �'j()V ba CONST
BUILDING .. STATISTICAL CLASSIFICATION SEWER NJVP
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ADDRESS CLASS NO DWELL UNITS BK PG's6
LOT NO Z Z BLOCK USE ZONE NOP 2� 1
TRACT CONDPECIIT ONS
AL
NO OF BLDGS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
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OWNER Ld h0 y. �}-p� NO 777 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ® ^ HIGHWAY WIDTH FROM C L
CITY
ARCHITECT TEL BLDG SETBACK FROM t t� GGL__ (STREET)
SIDE PROP LINE OF �,A 1
- �4�.rL
ENGINEER NO
owlTYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ��� HIGHWAY WIDTH FROM C L
CONTRAC O j NEL J, ? LGGc� �d + 26 �d o
ADDRESS Q LI ( G� CORNER CUTOFF YES �/ NO ❑ V
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CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPT ON OF WORK a
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E ADD ALTER REPAIR DEMOLISH I
FTNO OF NO OF ` J
SIZE ?, STORIES FAMILIES r
USE OF
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SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE IRs roR s SI ATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ i ( FORMS MATERIALS is
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
T
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZEDZS
WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THEODE OF THE STATE OF CALIFORNIA RELATING TO WORKMPEN TION 4RALATH EXTSIGNATURE PERMITTEHOUSE NUMBER COR
RECT AND POSTED
ADDRESS FINAL G
JOHN F LEWIS PRINCIPALS RAL ENGINEER
PLAN CHECK VALIDATION O M D CASH _ PERMIT VALIDATIO CK ` M O CASH
LRLO 4 9 8 2 JUN 7 2 1 D 694- Q
�LALO4 5,-Z JUN w7 0 27.75
'.r-�RTMEIW OF BUILDING AND SAFETY ' ('4'APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ®0 /�s
WM J FOX, CHIEF ENGINEER � �'� ®Q ® I N V
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FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLANCK NO PERMIT NO
BUILDNG O-e
ADDRESS V �f {� A L D
LOCALITY lofkylo Of
NEAREST / E Irl t'`/L e 77V CEI ED BY D E OFA PL DATE ISSUED
CROSS BT ` A {�a Dei v� n/�_� ��
OWNER J o 5 /-4 E-e88'47- BUILDI G 7` �Z ^Gl�A/
ADDR�S
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ADDRESS �
TEL. CROSS 8T
CITY Lo S A/ ���5 NO NEAREST��
FIRE NO OF TYPE GRO P
ARCHITECT ORTEL ZONE PLANS
ENGINEER )U.0 All E NO
BLDG f ^� I fa�RD)NO
ADDRESS
SETBACK LINE i IJ IFJ
ay (\'� u �j / APPROVED �—
CONTRACTOR �tZ r Sat I T/1 NO O L��(p�� BY �G'-`-"-�- /��At DATE
USE+ * j APPROVED ^'
ADDRESS 3 3 o 9 45g2t)An� L v D ZONE BY /DATE `J
DESCRIPTION LDT N _Z Z- 3 '0.BLOCK CORRECTIONS
TRACT 94 p I 2
��a�X Z O 7 I NO OF BLDG9
SIZE OF LOT ��jj �/ `�.,m�,NOW ON LOT
F NO OF
EX STOING BLDG foe S-'"�4I F M�[e /I ROOMS tO '
DESCRIPTION OF WORK
NEW ALTERATION I ADDITION
O
REPAIR MOVING DEMOLISH A2
Bq FT S O NO OF
SIZE ROOMS Z STORIES �_IES - t� D
WALL ROOFS 7-U C4o I COVERING 5 H/AJ 4 L 4 r
COVERING
UBE OF NEW�� LQ..b i
BUILDIN2o0M
G
1 �
1 HEREBY ACKNOWLEDGE THAT/I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT -FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES sFORMS MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION v ,US 16 f G-y
FRAME FIRE STOPS, ^ /y
SIGNATURE 13F y L/ _ BRACING BOLTS q
PERMITTE S (]'E `2 LATH INT
AUTHORIZED AOT LATH EXT
9138 a SOM SETS 7 47 $ P C IIIPLASTER INT
FEE `M PLASTER EXT
VALUATION be),
O FEE ffil V v FINAL "� /,f,� ��
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 1206060068
PHONE (626) 285 0488 EXT
ILEGAL ID NO OF CONST
BUILDING ADDRESS
ITR 9481 LT 106 SQ FT STORIES TYPE 1
AL
TEMP C
I ISTRUCTURE 3029 V B 5041 C 9178
A 917804400
11
ASSESSOR INFORMATION NUMBER
18589 026 040 1 NEAREST CROSS STREET LA ROSA
THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
TENANT JEXIST BLDG USE RESID USE ZONE R 1 JISSUED ON PROCESSED BY
-JEXIST OCC GRP 106/06/12 SR
I
(OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
(BRADLEY MARY A (626) 444 61141
15041 BALDWIN AV I 28 000 I
ITEMP 917804011 1 FEES PAID (DESCRIPTION OF WORK I
I IREMOVE OLD WOOD WINDOWS AND REPLACE 42 WINDOWS WITH NEW
I _IFEE DESCRIPTION QUANTITY UOM AMOUNT IVINTTYL DOUBLE PANE WINDOWS AND SLIDING DOOR 1
APPLICANT TEL NO 1
SAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 1
I IAB STATE GREEN BLDG FEE 28000 00 VAL 2 00 1SPECIAL CONDITIONS 1
IAC STRONG MOTION RESID 28000 00 VAL 2 80 1
ID2 PERMIT W/O EN HC 28000 00 VAL 510 80 I
1 TOTAL FEES 543 40 1 ( z
ICONTRACTOR TEL NO 1
SAME AS OWNER I (APPROVALS DATE INSPECTOR SIGNATURE I
I
I LIC NO 1LOr,TlON AND SETBACKS
I I I
(SOILS ENGINEER APPROVAL 1 1
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS 1 I 1
LIC NO i (SLAB/UNDER FLOOR I I 1
I I I
IRAI,ED FLOOR FRAMING I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1
UNDERFLOOR INSULATION
1147H265 3 001 1 I
I I IFLCOR SHEATHING 1 I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1
0 NO 21 1 IROCF SHEATHING I I
1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I
(AIR QUALITY 1000 FEET MATERIALS I
NO NO NO -i IFRAME INSPECTION I
I FIRF SPRINKLER HANGERS 1 1
(INSULATION/WEATHER STRIP( I I
1TNTLRIOR LATH/DRYWALL I I
1 I I I
IEXTFRIOR LATH 1 1
I I I
1 IRATED FLOOR/CEIL ASSEM 1 1 1
1RATFD WALL ASSEMBLIES 1 1 1
IRATED SHAFTS/OPENINGS 1 1 1
1 I I I
IT BAR CEILINGS 1
I I I
I 1 ILOT DRAINAGE 1 1 1
I
(REPORT ID DPR261 ROUTE TO BS0508 1 1
_1 i I I
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 1204160004
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST I BUILDING ADDRESS
ITR 9481 LT 106 I SQ FT STORIES TYPE 5041 BALDWIN AV
I ISTRUCTURE 3029 V B I TEMP CA 917804011
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA
18589 026 040 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
TENANT IEXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY
IEXIST OCC GRP 104/16/12 SR I
I I I I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF AL DATE FINAL BY CODE
IBRADLEY MARY A (626) 444 6114 I 25 000 17'
15041 BALDWIN AV !/
(TEMP 917804011 FEES PAID ID RIPTION OF WORK vI
I ICOMPLETELY REMOVE OLD WOOD SHAKE ROOF AND RAIN GUTTERS AND
IFEE DESCRIPTION QUANTITY UOM AMOUNT IREP-ACE WITH NEW COMPOSITION SHINGLE ROOF AND RAIN GUTTERS
(APPLICANT TEL NO I I
ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 I '
IAB STATE GREEN BLDG FEE 25000 00 VAL 1 00 ISPECIAL CONDITIONS
IAC STRONG MOTION RESID 25000 00 VAL 2 50
ID2 PERMIT W/O EN HC 25000 00 VAL 468 60
TOTAL FEES 499 90
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER
I LIC NO i (LOCATION AND SETBACKS I I I
I I I a
I ISOTTS ENGINEER APPROVAL I 1
(ARCHITECT OR ENGINEER TEL NO 1 IFOJhDATION/TRENCH FORMS I I I
1 LIC NO 1 (SLAB/UNDER FLOOR I I I
I IRAISED FLOOR FRAMING I -
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION
I I
I147H265 3 OOI I I
I I IFLOOR SHEATHING I
1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I 0 NO 21 _1 1ROOw SHEATHING
S! I/IA
SCHOOL WITHIN HAZARDOUS ISHFAR PANELS
(AIR QUALITY 1000 FEET MATERIALS I
NO NO NO I IFPAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS I 1 I
I (INSULATION/WEATHER STRIPI I I
iI i 11
IIN fiRIOR LATH/DRYWALL
I I I
IEXTERIOR LATH I I I
I I I
i IRATED FLOOR/CEIL ASSEM I I I
I IIRA-ED WALL ASSEMBLIES
JV
IRA-ED SHAFTS/OPENINGS
IT BAR CEILINGS
I I I
ILOT DRAINAGE I I
I I I
IREPORT ID DPR261 ROUTF TO BS0508 I I I I
I I I I I I