HomeMy Public PortalAbout5112 BALDWIN AVE_Building__ 76A638A CE#803 8-63 APPLI r'�ATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /C �� Y
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY rT L-s f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. �Cy 'e j
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL INS L� / CONST `_
BUILDING T STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS5112 T��O• Baldwin tivenue QBK->
CLASS. NO. J DWELL. UNITS n
LOT NO. 2 BLOCK A WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT JOC321
MAP NO. / (iCIG CyLAY
E) STATE AJOR ECOND. LOCAL
�1 NO.OF BLDG S.
SIZE OF LOT 84 X 200 NOW ON LOT 2 USE ZONE SPECIAL
USE OF Residence CONDITIONS
EXISTING BLDG. �7
OWNER+'falter F. NE04'4 CJ-9590 BUILDING EXIST.
TT Lewise /� 9 SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 5112 lb?O• Baldwin AVe• 1 • *FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
-- P. L. ! t
ADDRESSTEL. 0 - ?i .,vY. c�h O
CONTRACTOR Self NO.
'� V
ADDRESS ��6
DESCRIPTION OF WORKLu
G
CL
NEW ADD ALTERREPAIR: DEMOLISH v Z
SIQZE T 12 32 STORIES FAMIOLF ES
USE OF ratio
STRUCTURE
SIGNATURE O
APPLICANT
VALUATION $ /�
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE $ O 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 FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INS ANCE. LATH, EXT.
N.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED _
ADDRESS_!5_ /l 6 «��` FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
X2229 AUG 5 1 0 11.50-
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 1212030056
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST I BUILDING ADDRESS
ITR 10821 LT 2 BL A I SQ FT STORIES TYPE 5112 BALDWIN AV
I ISTRUCTURE 1800 V B TEMP CA 917603901
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18585 007 002 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
ITENANT JEXIST BLDG USE RESID USE ZONE R 1 JISSUED ON PROCESSED BY I
(EXIST OCC GRP 112/03/12 SR I
(OWNER TEL NO 1BLDGS NOW ON LOT VALUATION (FINAL DATE F BY CODE
IMURBACH JOHN M 5 000
15112 BALDWIN AV I�I
TEMP 917803901 FEES PAID IDESCRIPTION OF WORK I
1 ITILE REROOF CHANGE OUT UNDERLAYMENT DOUBLE 30 LB FELT I
IFEE DESCRIPTION QUANTITY UOM AMOUNT IREVEPSE EXISTING TILE
(APPLICANT TEL NO I I I
IBLANCIE GUY (626) 679 1284 IAA BLDG PERMIT ISSUANCE 27 80 I
16252 TEMPLE CITY BL IAB STATE GREEN BLDG FEE 5000 00 VAL 1 00 ISPECIAL CONDITIONS 1
ITEMPLE CITY CA 91780 JAC STRONG MOTION RESID 5000 00 VAL 0 50 1
1 ID2 PERMIT W/O EN HC 5000 00 VAL 132 60 1
i I TOTAL FEES 161 90 I
ICONTRACTOR TEL NO I IAPPRO✓ALS DATE INSPECTOR SIGNATURE
IB AND G ROOFING (626) 679 1284 I 1 I
16252 N TEMPLE CITY BLVD LIC NO ILOCA-ION AND SETBACKS I I
ITEMPLE CITY CA 91780 903492 1
I ISOILS ENGINEER APPROVAL I
I
1ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I
LIC NO I 1SLAB/UNDER FLOOR I
I
I i I I I I
IRAISED FLOOR FRAMING 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDER^LOOR INSULATION I I
1147H269 3 001 1 1-1
I I IFLOOR SHEATHING I 1
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I
1 0 NO 21 IROOF SHEATHINGI
I -V�R�t) /4
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS 1 1 11 1
1 NO NO NO I IFRAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS 1 I
I I I
I I (INSULATION/WEATHER STRIPI I I
I (INTERIOR LATH/DRYWALL I I I
I I I I I I
IEXTER-OR LATH
I I I
I IRATED FLOOR/CEIL ASSEM I 1 I
I I I I I I
I IRATED WALL ASSEMBLIES I I
I I I I I I
IRATED SHAFTS/OPENINGS
I I I
IT BAR CEILINGS I I I
I I I
ILOT DRAINAGE 1 I
I I I
I (REPORT ID DPR261 ROUTE TO BS0508 1 I I