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7SA898A CE#8091157 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BMLDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO j GRO TYPE SEWER MAP
FOR APPLICANT TO FILL IN ��`'� L CONST PG
BUILDING
ADDRESS ( VD)� STATIST]CALCLASSIFICATION
J //�/ Ale
14010
CLASS NO DWEL UNITS
LOT NO BLOCK MAP STATE
NUMBER Q HWY YES O
TRACT USE�_ZOfjE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT O O NOW ON LOT
USE OF �t
EXISTING BLDG BUILDING EXIST
f SETBACK YARD HWY STREET NAME WIDTH
OWNER • FRONT
MAIL P L
ADDRESS a SIDE
TEL P LCITY '
NO
RC TOR TEL INSPECTION RECORD
ENGINEER , S NO
ADDRESS V / _
�^ TEL F3 Sl 7-,5' A -7 A 4- /
J
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK V '� ' 410 '`� ��
/ D .,S'
EW ADD ALTER REPAIR DEMOLISH /
NO OF NO OF Cyd 5
SIZE STORIES FAMILIES
USE OF STRUCTUREf,✓ d y b
SIGNATURE OF_5dQ APPROVALS
APPLICANT
DATE INSPECTOR S SIGNATURE
ADDRESS QL10k7 ave FOUNDATION LOCATION
$ FORMS MATERIALS
P FRAME FIRE STOPS O d FEE BRACING BOLTS
VALUATIO� FURNACE LOCATION
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRU ION LATH EXT
SIGNATURE( ` HOUSE NUMBER COR
PERMITTE RECT AND POSTED
ADDRESS o FINAL o- .�Sri 97 �l/
? CLYDE N DIRLAM PRINCIPAL STRUCTURAL E R
PLAN CHECK VALIDATION CK mo CABM PERMIT VALIDATION CK M o CASH
10763 °°, MAY1216 A 5.50A �' a
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or.^ 4Z ZSX OATL AIPLI<CATION FOR PEI I{MiT
DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF LOS ANGELES '
WM J FOX, CHIEF ENGINEER
NO OF O BLDG A ORD NO DISTRICT NO PLAN CK NO PERMIT NO
PLANS SETBACK LINK S lj ` D 65
FIRE APPROVED
ZONE BY DATECEIVED BY D jME OF PL DATE ISSUEDO
USE APPROVED Iv 6 ' '- E`¢
ZONE / BY DATE /
APPLICANT FILL IN HEAVILY OUTLINED PORTIION ONLY ([
K BUILDING
O NAME ADDRESS
C
F W
0 Z ADDRESS LOCALITY
NEAREST
U m CITY ` CRO38 8T y//J�f��
Q E TEL I NAME �
ICENBE NO NO
MAIL
E NAME 3 ADDRESS�� W / /'x��
U CITY NO
1- 0 40 g TEL V
ADDRESS a.7
Z I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO G AND STATE LAWS REGULATING BUILDING CONSTRUCTION
ZO LQT NO -39 SIZE OF LOT�Q 04 SIGNATURE OF
OWNER
NO OF
BLOCK �J NOW ON LOTS G I AUTHORIZED AGT
J W
yl TRACT .T 4 LO CORRECTIONS
D USE OR BLDGS
NOW ON LOT
DES/CyR�IPTION OF WORKUSE OF
BUILDINGlb�4// A 5- 4--d-
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WARNINGI
This Construction may be in vioiation of
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NEW H/ TYPE GROUP
NO OF 3 I NO OF }
ALTERATION ROOMS FAMILIES t
ADDITION SIZE e4l, i I
REPAIR STORIES / h
17
MOVING WALL COVERIN i(%C.-0/
DEMOLISH P02F COVERING
$ FKB $ {� FINAL APPROVAL
/ K / aO ��! U v _INSPECT RLS
VALUATION FEE ' DATE I�NAME f
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES /
WM J FOX CHIEF ENGINEER U ' L D ' G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY r
BUILDING ,/ DISTRICT NO PLAN CK NO PERMIT NOOK"//J
ADDRESS
LOCALITY X4,1Q � ��,�� _ RECEIVED BY DATE OF APPL DATE ISSUED
NEAR EBT v5 S� _ �D ZZ �0
'110:8
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OWNER (/o- BUILD
f ADDREISB
NG
MAIL / _ / LOCALITY
ADDREBBNEAREST
CITY / �q�� T D � CROSB BTI a 1✓6�6L/ /,
ARCHITECT OR TEL ZONE�G PLANS �� TYPE GROUP
ENGINEERFIRE
NO
BLDG C OR NO
ADD EB �'� SETBACK LINE
APPROVED
TEL BY �— DATE
CONTRACTOR NO �"'�
!��• USE Z,)_—BY
j APPROVED
ADDRESS 6�a
ZONE /Lf BY DATE
LEGAL --7-640 CORRECTIONS
DESCRIPTION LOT99NO BLOCK O
TRACT O �7 CySU ,�B ^ T
NO OF-46LDG
SIZE OF LOT -4-40h / O I NOW ON LOTS �� U ew
V
UBE OF NOOF NO OF g
EXISTING B DG FAMILFB ROOMS �7
DESCRIPTION OF WORK 'J �" j J
NEW ALTERATION ADDITION • O
r A_
REPAIR SO FT �y A
" MOVING o DEMOLISH h O
SIZE �_7ROOMS (� STORIES r �(�� ✓�G�Q D
WALL ROOF
ICOVERING
COVERING
UBE OF NEW _ _ /^ ¢dL tV1 IZ t!, — H
_BUILDING �?"7�!'1�(/
i,r Alf,
T 9 Eo b
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS S �� l'UP1ld APPROVALS 6�S0_ )Dr /"l0 0
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE A
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS MATERIALS
FRAME FIRE STOPS
SIGNATURE OF GBRACING BOLTS
PERMITTEE fl ;>-L
LATH, INT
AUTHORIZED AGT LATH, EXT b
1
76A638A 3 7 49 $ C/.�} P C �I PLASTER INT
v' FEF , _ PLASTER EXT
VALUATION FEE �� FINAL
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 1206050060
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 5903 LT 38 SQ FT STORIES TYPE 6252 AVON AV
I ISTRUCTURE 26 V B SGAB CA 917752608 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
15386 009 008 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY Cl
TENANT 1EXIST BLDG USE RESID USE ZONE R 1 IISSLED ON PROCESSED BY
(EXIST OCC GRP 106/C5/12 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1FT PI, DATE FINAL BY CODE
HALL TOM (626) 286 6731 1 11 490
16252 AVON AV
ISGAB 917752608 FEES PAID 1WSCRIPT ON OF WORK
IREMC.VE ASPHALT SHINGLES AND REPLACE WITH 30 YEAR COMPOSITIONI
1 IFEE DESCRIPTION QUANTITY UOM AMOUNT 1SHITGLES
(APPLICANT TEL NO I I I
IMETRO RYAN P (626) 463 7049 IAA BLDG PERMIT ISSUANCE 27 80 I
170 SOUTH LAKE AVE IAB STATE GREEN BLDG FEE 11490 00 VAL 1 00 ISPECIAL CONDITIONS I
(PASADENA CA 91101 1AC STRONG MOTION RESID 11490 00 VAL 1 20 I I
CD2 PERMIT W/O EN HC 11490 00 VAL 250 20 I I
TOTAL FEES 280 20 I I
ICONTRACTOR TEL NO 1APPROSALS DATE INSPECTOR SIGNATURE 1
IBEACH CITIES ROOFING (626) 463 7049 1
125775 AVENIDA PEDREGAL LIC NO I ILOC TION AND SETBACKS
ISAN JUAN CAPISTRANO CA 92675 697489C39 I_
1 1 ISOI-C ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER TEL NO I IFOUN�ATION/TRENCH FORMS I I
1 LIC NO ISLA�B/UNDER FLOOR I 1 1
1 1 RAID D FLOOR FRAMING I I 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDEPFLOOR INSULATION I I
1153H261 3 00, 1 I I
1 -1 IFLOOR SHEATHING 1 I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I- L I I
1 0 NO 21 1 IROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS I ISHEA PANELS 1 I
1AIR QUALITY 1000 FEET MATERIALS I 1 I 1 1
1 NO NO NO I IFRAME INSPECTION
I I I
1 I IFIRF SPRINKLER HANGERS 1 1 1
I I I
I 1 (INSULATION/WEATHER STRIPI I I
I I IINTEIIOR LATH/DRYWALL I 1 1
I I I
1 I IEXTE�<IOR LATH I 1 I
I I I
IRATEL FLOOR/CEIL ASSEM I I 1
I I I
IRATED WALL ASSEMBLIES I I 1
I I I
IRATED SHAFTS/OPENINGS I I 1
I I I
1 I IT BAR CEILINGS I 1 1
I I I
ILOT DRAINAGE I 1
I I I
1 IREPORT ID DPR261 ROUTE TO BS0508 I 1 1 I
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