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7GA626A CE X909 006 APLICATION FOR BUILDING PERMIT 6 .�
COUNTY OF LOS ANGELES BUILDING
D ARTMENT OF COUNTY ENGINEER ADDRESS
UILDING AND SAFETY DIVISION LocauTY
JOHN A LAMBIE COUNTY ENGINEER NEAREST 1
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRI GROU TYPE P,
FOR APPLICANT TO FILL IN CONST
BUI DING /� • STATISTICAL C SSIFICATION EWER MAP
AD ESS BK PG
CLASS NO DWELL UNITS
LO NO BLOCK
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NUMBER 00 HWYE YES O
TRACTUSEZONE SPECIAL q 7 �r
NO OF BLDGS S ,y CONDITIONSp�yli�� �/¢j{� #' S/ 7
SIZE OF LOT l I NOW ON LOT ([L��L//�I�
USE OF
EXISTING BLDG BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P L
ADDRESS SIDE
TELC
CITY NO A-1--242)8 P L
ARCHITECT R TEL
INSPECTION RECORD
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ENGINEER NO
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DDRES
CONTRACTO TN Q
ADDRES
DESCRIPTION OF WORK
NE ADD ALTER REPAIR DEMOLISH
ESQ FT {J NO OF NO OF
SIZE Q �f G STORIES j FAMILIES
USE OF S CTURE r I
SIGNATURE OF < < APPROVALS
APPLICANT
DATE INSPECTOR S SIGNATURE
ADDRESS ����' FOUNDATION LOCATION
FORMS MATERIALS
P C $ FRAME FIRE STOPS
FEE BRACING BOLTS
VALUATIO $ FURNACE LOCATION
FEE GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT f`✓
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLYITH ALL COUNTY ORDINANCES AND ��
STATE LAWS EG TING BUI IN CONSTRUCTION LATH EXT � Q r
SIGNATURE OF HOUSE NUMBER COR �"
PERMITTEE RECTANDPOSTED �j CJI
FINAL
ADDRESS
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CLYDE N DIRLAM PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATIOpr Mo CASH PERMIT VALIDAMN CK M O 1 CASH
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6 111 2 32 3 A 15 0 0 iv '
LI quaa 5 2 5 -',t,3 216 1 A 3 0 Q0,
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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 0211180045
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONSTING
TR 5903 LT 20 BL 001 SQ FT STORIES TYPE 6125 AVON AV
STRUCTURE VN SGAB CA 917752605
ASSESSORA IO NEAREST CROSS STREET LONGDEN
5386 007 028 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE R SID USE D ON PROCESSOS ON
EXIST OCC GRP 11/18/02 JK 05/17/03
OWNER TEL NO BLDGS NOW ON LOT VALUATION FY-0
FINAL CODE
MCLEAN SHIRLEY (949) 361 5554 2,500
82 AVENIDA CRISTAL
SAN CLEMENTEDESCRIPTIONOF
INSTALL 30YR CLASS A GAF TIMBERLINE FIBERGLASS COMP SHINGLES
APPLICANT NO
FEE DESCRIPTION QUANTITY UOM AMOUNT OVER EXISTING
A 8 S ROOFING OF PASADENA (626) 357 7715 AA BLDG PERMIT ISSUANCE 27 75
848C MERIDIAN ST AC STRONG MOTION RESID 2500 00 VAL 0 50 SPECIAL CONDITIONS
DUARTE D2 PERMIT W/O EN HC 2500 00 VAL 99 00
TOTAL FEES 127 25
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
A AND S ROOFING OF PASADENA (626) 357 7715
848 C MERIDIAN ST LIC NO LOCATION AND SETBACKS
DUARTE, CA 91010 324573 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATIoff7TnWff9-Fo-RR9
LIC NO AB/UNDER FLOOR
FRAMINGRAISED FLOOR
P NO SEWER AP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
150H261 3 01
FLOORNO G
OF S DWELLING U AP STAT
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUSSHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTIO
REQUIRED TOTAL SETBACKEXIS FIRE S L R HANG RS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL INSULATION/WEATHER STRIP
SIDE PL
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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