HomeMy Public PortalAbout5019 BALDWIN AVE_Building__ TEMPLE CITY
76A638A CE 48031-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �+^
DEPARTMENT OF COUNTY ENGINEER ADDRESS
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BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DIST CT NO. G OUP TYPE ESSED BY
FOR APPLICANT TO FILL IN S+ CONST. {
BUILDING IEL STATISTICAL CLA IFICATIONEWER MAP
ADDRESS �J �"`-$K G
CLASS. NO. DWELL. UNITS !S
LOT NO. B WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT I , �' HIGHWAY STATE AJOR COND, LOCAL
NMet O.OF SLOGS. ( IRCLE)
SIZE OF LOT NOW ON LOT USE ZONE' SPECIAL
USE OF /I CONDITIONS
EXISTING BLDG. /`/-JY
TEL.
OWNER [. _ O. BUILDING EXIST.
SETBACK YARD HWY STRE T NAME WIDTH
ADDRESS YL FRONT
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ARCHITECT OR TEL. P. L '�"✓< --
ENGINEER NO. SIDE }
P. L.
ADDRESS a
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TEL. V
CONTRACTOR `P NO.
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ADDRESS Q
DESCRIPTION OF WORK '�` LU
a
NE ADD ALTER REPAIR DEMOLISH Z
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NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF a it
STRUCTURE
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SIGNATU F
APPLICANT42
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VALUATION $ "'L'�t 1- 1 �}-�1
r APPROVALS AT INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
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FEE $ '��``- FEE $ '� FORMS. MATERIALS / V
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS I -
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK �^
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF LABOR CODE OF THE STATE OF CALIFORNIA EAT-
ING TO ORKMEN'S COMPENSAT N ANCE.
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRES FINAL
JOHN F. LEWIS. PRINCIPAL STIRURAL ENGINEER
PLAN CHECK VALIDATION 6 M.O. CASH _ PERMIT VALIDATION c-./ M.G. CASH
3 6 7 4lco' AUG 30 2 3 D 28.501
i l'rLo 5 4 Z{:� GCT 15 0 1 .7 5
5 5 4 2 Eo GCT I. 5 1D 60.50- "'
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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 I TEMPLE CITY CA 91780 BL 0508 0506070074
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5019 BALDWIN AV
STRUCTURE 1'700 VN TEMP CA 917804011
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8589-026-027 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 06/07/05 JK 06/02/06
OWNER TEL NO BLDGS NOW ON LOT VALUATION F NAL PATE _ FINAL BY CODE
YAMASAKI TETSUYA (626) 443-1221- 5 000 ./�•— S
5019 BALDWIN AV I
TEMP 917804011 FEES PAID DESCRIPTION OF WORK
TEAR-OFF AND REROOF 20 YRS COMPOSITION SHINGLES HOUSV(;jZnv
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
RHEE (323) 864-7388- AA BLDG PERMIT ISSUANCE 27 75
17013 PIRES AVE AC STRONG MOTION RESID 5000 00 VAL 0 50 SPECIAL CONDITIONS
CERRITOS CA 90703 D2 PERMIT W/O EN-HC 5000 00 VAL 132 60
- TOTAL FEES 160 85
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
JAY RHEE (323) 864-7388-
17013 PIRES AVENUE LIC NO ' LOCATION AND SETBACKS-
CERRITOS CA 90703 829737B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
144H269 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS -
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTFRIOR LATH
RATED FLOOR/C,IL ASSEM
RATED WALL AS EMBLIES
RATED SHAF S/OPENINGS
T-B EILINGS
LOTr DRAINAGE
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