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7tisA638A CE #803 4/72APPLICATI N FORILDING PERMIT �]
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT
FOR APPLICANT TO FILL IN NEAREST
Print ort a onl CROSS ST.
DISTRICT NO. G`R P TYPE P O ESS BY
BUILDING l C ST
ADDRESS 0•J /1 /)&7/ / B
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO .C/� BLOCK CLASS NO._/DWELL,UNITS BK !J--P
TRACT US ONE MAP
NO.OF BLDGS. f NO.
SIZE OF LOT/60NOW ON LOT / SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER _NC). 7_ D BLDG,SETBACK FROM
ADDRESS l� "FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY G'/v HIGHWAY WIDTH FROM C.L.
ARCH TECT R TEL. } _
ENGINEER KeQ NO. 3a�Z BLDG.SETBACKFROM >'
ADDRESS 4/NCb/h l�G fj�y�� SIDE PROP.LINE OF (STREET) O)
CONTRACTOR I(� (,[!y �7LJf�L" '—U � H G WAY TYPE OF EW DTHG ROM C.L.SETBACK HIGHWAY } YARD = TOTAL O
ADDRESS J,�D 'ct7r NO LIC' + — W
a.
LIC.
CITY �� CLASS CORNER CUTOFF YES ❑ NO ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH — flE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT, NO. OF NO. OF NEW
SIZE S STORIES / FAMILIES
STRUUSE OCTURE S f �` eGADD
�L� ALTER REPAIRSIGNATURE OAPPLICANT DEMOL
VALUATION $ /GG
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ . 70 FEE S ��66 FORMS, MATERIALS
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,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMP SATIO INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR_
PERMITTEE // RECT AND POSTED
ADDRESS /y7` FINAL
PLAN CHECK VALIDAT N cK. M.O. CASH _ PERMIT VALIDA ICbI3 CK. M.O. CASH
I . 1062 �: 1 21 D 2.20, n O
1 `n 2 0 5 '3' 3, MAY 1 1 1 D 9.0 0.,, 3
1
76A638ACEn8032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS G.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING - CROSS ST.
17 [DIST R CT NO. GROUP TYPE �PR' ESSED-B
FOR APPLICANT .TO FILL IN coNs
BUILDIN , �`• STATISTICAL CLASSIFICATION EWER MAP
ADDRESS ? �� BK / PG /
CLASS. NO. DWELL. UNITS /`
LOT NO. `BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT MAP HIGHWAY
NO.OF BLDGS. NO. ICIRCLE) STATE MAJOR SECOND, OC L s
SIZE OF LOT J9 ,` �y NOVON LOT
USE ZONE SPECIAL
USE OF '/ego CONDITIONS.
EXISTING BLDG. -j/`'
'� NO Y 6C' '
OWNER BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS s� T J FRONT Y
ARCHITECT OR TEL./ P. L. (Iflo
ENGINEER NO. SIpE
ADDRESS
O
CONTRACTOR TEL V
NO.
ADDRESS O
DESCRIPTION OF WORK w
a
N
NEW ADD ALTER REPAIR - DEMOLISH Z
SQ. FT. NO. OF NO. OF - --
SIZE STORIES -FAMILIES
USE OF �^ _
STRUCTURE G-
'
SIGNATURE OF
APPLICANT pp
VALUATION $ . -`1
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. ��- _ FOUNDATION: LOCATION - / ��g �
FEE $ J d FEE $ FORMS. MATERIALS' SZO-�P� LAj ' _
FRAME: FIRE STOPS. -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS ('1'r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING'"^' GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT, m+�
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. 6%j-
SIGNATURE
rSIGNATURE OFHOUSE NUMBER COR-
PERMITTEE G - RECT AND POSTED o
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O.. CASH _ PERMIT VALIDATION CK. M.U. CASH
v._f o 9 �:f 9 r:,i!)R rr 2 3 0 2 8.5 0 '
ti Lrc
, 5 3 7 tAY,12 J- o 5 7.00N
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 0903310046
PHONE: (626) 285-0468 EXT:
(LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 11148 LT: 7 BL: .001 UN: .002 SQ. FT STORIES TYPE 4934 ARDEN DR
ISTRUCTURE: V-B I TEMP CA 917604003
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18585-016-032 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 103/31/09 SR I
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: . 'VALUATION: F A AT FIN CODE:
JDILLINGHAM, GLORIA (626) 443-5234- 1 5,900 1
4934 ARDEN DR -
ITEMP 917804003 1 FEES PAID IDESCRIPTIO0 OF WORK
1 IT/O (E) ROOF, NEW SHINGLES, INSTALL 9 NEW WINDOWS RETROFIT,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: J1 SLIDING DOOR RETROFIT ALL SAME LOCATIONS SAME SIZES.
(APPLICANT: TEL. NO: I I
BETTER CONSTRUCTION & DESIGN INC. (818) 399-1112- IAA BLDG PERMIT ISSUANCE 27.75 1
117001 OAK VIEW DRIVE IAB STATE GREEN BLDG FEE 5900.00 VAL 1.00 ISPECIAL CONDITIONS:
IENCINO, CA 91436 IAC STRONG MOTION RESID 5900.00 VAL 0.59
ID2 PERMIT W/O EN-HC 5900.00 VAL 149.40
TOTAL FEES 178.74 -
CONTRACTOR: TEL. NO: y APPROVALS DATE INSPECTOR SIGNATURE
BETTER CONSTRUCTION AND DESIGN (818) 399-1112-
117001 OAK VIEW DR LIC. NO ILOCATTON AND SETBACKS I I
IENCINO, CA 91436 817160 B
I ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS I I I
LIC. NO: j SLAB/UNDER FLOOR
I
1 RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION
1144H273 3 001 1 1
I I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
I NO 21 IROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I I
I NO NO NO I IFRAME INSPECTION I I
I I I
IREQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- I ITNSULATION/WEATHER STRIP(
SIDE PL- I I I I I
(INTERIOR LATH/DRYWALL I I I
I I I I I
IEXTERIOR LATH I I
I
IRATED FLOOR/CEIL ASSEM.
I
(RATED WALL ASSEMBLIES
I
(RATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508