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HomeMy Public PortalAbout5239 BALDWIN AVE_Building__ APPLICATION FOR BUILDING PERMIT COUNTY OF LO2`IWGELE � L BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION t FOR APPLICANT TO FILL IN ' * U BUILDING ADD Ess _ I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS or a certificate of Workers Compensation Insurance or a certified S 3 /34t--OL'�„� copy thereof (Sec 3800 Lab C) CITY ZIP �/n P,- C � OO 'z LOCALITY / Policy NO Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished 7L]1 . S:S-1 -3 NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK R- LOT NO : USE ZONE MAP NO department ASSESSOR MAP BOOK PAGE PARCEL Z Date Applicant � SPECIAL CONDITIONS � CERTIFICATE OF EXEMPTION FROM WORKERS, OWNER TEL NO&J COMPENSATION INSURANCE rn�c K/7vZ ? - Z WITHIN 1000 FT OF SCHOOLS YES No 1 This section need not be completed If the 1 permit Is for one hundred ADDRESS ( P ` J DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100) or less) Ir certify that In the performance of the work for which this permit _ TY Is Issued I shall not employ any person in any manner so as to CIT - Zln 7 1 &Q �D� GGLst�'G r/ subject to the Workers Compensation Laws ARCHITECT OR ENGINEER I TEL NO become sub 1 P STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L � I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and S%7�ZE„ NO OF STORIES NO OF FAMILIES Professions Code and my license is in will force and effect /�� NEW 11 BK PG , a License Number Lic Class DESCRIPTION OF WORK ADD VALUATION O Contractor Date ALTER ❑ $ 3 DA© U / cc ❑ I am exempt under Sec Azlea Le REPAIR El $ 0 B&P C for this reason DEMOL ElLDMA P/C# _ III Date USE OF EXISTING BLDG URM 1:1 (- Signature APPLICANT(PRINT), TEL NO _ LDMA Perm# ` 1 kh�!T. s Z r$I as owner of the property or my employees with wages as ) Z tii ll their sole compensation will do the work and the structure Is ADDRESS 0 not Intended Or Offered for sale (Section 7044 Business and 1 FINAL DATE A Q 30390. .50 Professions Code) 0 v 3 90 U ti V WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE '❑ I as owner Of the property am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES F 5 licensed contractors to construct the project (Section 7044 (1 a Business and Professions Code) YES El YES ❑ AC(T e a WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING t. OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH /� (/M_ 3303 682.82 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR {( 4 V ? ITE GUIDEUNES i "- V -- x j, 2 I hereby affirm that there is a construction lending agency for YES❑ NO❑ /► //'/�'•�Q•/&t 23 'IS �i� the performance of the work for which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING — i '- /� CHECK ,� 33 3 3097 CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE / /[ t uEr v, 73� �y TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS / 1 tl `[ 3 Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD oLenders Address CHANGE .00 O OWNER OR AGENT o I certify that I have read this application and state under penalty O of perjury that the above Information Is correct I agree to comply P C FEE ® PERMIT FEE _ with all county ordinances and State laws relating to building' �� 0000-0001 9/13/99 construction and hereby authorize representatives of this County ISSUANCE F 7�$0 1 �M �a�L Cl) to enter upon the ab e m Io d propert r inspection purposes �� f o ✓\ INVESTIGATION FEE TOTAL FEE Q �1A � p®t 1".1 Ape I D 1 (J SEE REVERSE FOR EXPLANATOOPA &AGE l i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec.3800,Lab. C.) CITY ZIP LOCALITY Policy No. Company SIZE OF LOT NO,OF BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. - NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERTEL NO, COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) CITY ZIP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION CITY SIDE d LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP O (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIESV Professions Code,and my license is in full force and effect. NEW ❑ BK PG License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION , J Contractor Date ALTER ❑ } ❑ I am exempt under Sec. REPAIR ❑ $ Q B.&P.C. for this reason DEMOL ❑ cc LDMA P/C# Q Date: USE OF EXISTING BLDG. URM ❑ a_ Signature 23 2 APPLICANT(PRINT) TEL NO. LDMA Perm# W El 1, as owner of the property, or my employees with wages as Z ACCT their sole compensation, will do the work and the structure is ADDRESS 0 f not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 r licensed contractors to construct the project (Section 7044, YES CT.4 WILL Business and Professions Code.) El No 11 WILL THE INTENDED USE OF THE BUITHE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION UCTITI ON OR MODIFICATION FROM THE SOUTH 3 CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR y r GUIDELINES. 3 f I hereby affirm that there is a construction lending agency for YES❑ No❑ TOTAL N the performance Of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING .f I�wrar44!y^; m 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Ml"C�'l/ "`j TITLE 2.CHAPTER 2.20 SECTIONS 2.20 100 THROUGH 2.20 140 CONCERNING HAZARDOUS L��.T.!' 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. CL Lender's Address " Q OWNER OR AGENT o I certify that I have read this application and state under penalty oof P.C.FEE PERMIT FEE '�t��J� � i perjury that the above information is correct.I agree to comply (4$• (��j Le o with all county ordinances and State laws relating to building < construction, and hereby authorize representatives of this County ISSUANCE FEE ry� to enter upon the above-mentioned property for inspection purposes. F X 5 ' INVESTIGATION FEE TOTAL FEE r Sgnature of Applicant or Agent Date SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. f - NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred ADDRESS p P DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) CITY ZIP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date ApplicantADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC,NO. P L LICENSED CONTRACTORS DECLARATION SIDE 0- CITY LIC.CLASS P L 0- I I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP 0 (commencing with Section 7000)of Division 3 of the Business and SQ.F.T. RI ,SIZE, NO.OF STOES NO.OF FAMILIES Professions Code,and my license is in full force and effect. >" "-' NEW ❑ BK PG W License Number Lic. Class DESCRIPTION OF WORK ADD ❑ VALUATION Contractor Date ALTER ❑ ElI am exempt under Sec. REPAIR ❑ $ < BAP.C. for this reason DEMOL El LDMA LDMA P/C# O Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# LIJ ~ El 1,I, as owner of the property, or my employees with wages as O their sole compensation, will do the work and the structure is ADDRESS C 6 not intended or offered for sale (Section 7044, Business and FINAL DATE �~ :1,'xi3 .�tiQ,._e[� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE P Y. Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 Ax licensed contractors CO construct the project (Section 7044, yes El NO ElI�'�-T.! Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING C�Y2 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 6.` n 8' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. 1 k M I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit Is Issued(Sec. IHAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING TOTAL T ^^^y���'1113 � S 2 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. (•( f�/ '} w TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS •_•�1L�,!�T7 (a?�7.131 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. ��,, EL Lender 's Address CHWiF '00 OWNER OR AGENT O o I certify that I have read this application and state under penalty O of perjury that the above information is correct. I agree to comply P.C.FEE `.�, PERMIT FEE o with all county ordinances and State laws relating to building AW 1 9/13/" m construction, and hereby authorize representatives of this County ISSUANCE F I � �.� I to enter upon the above-rgsntioned proper-for inspection purposes. + INVESTIGATION FEE TOTAL FEE Sgna[ure of AOVlinan�„r Aoel Dere SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATIO FOR BUILDING PERMIT r � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a.certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance, or a certified / t copy thereof (Sec.3800,Lab.C.) CITYY ' C.�4 ZIP f l� LOCALITY Policy No. CompanySIZG%GC OT F�OF LNO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. I Q1, NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER - TEL o. O COMPENSATION INSURANCE q— WITHIN 1000 FT.OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred ADDRESS M A M, DISTRICT GROUP T C SS. FIRE ZONE PROCESSED BY dollars ($100)or less.) �J I certify that in the performance of the work for which this permitCIT I) ZIP A is issued, I shall not employ any person in any manner so as to ARCHITEC OR ENGINEE TEL NO.CAV 9MO ✓/j become Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 1 DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION PILE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG , License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION O Contractor Date C f Q I D ALTER ❑" $ 600,00 U ElI am exempt under Sec. REPAIR El B.&P.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ IL Signature PL/IC�NT•(PRWTy O_ LDMA Perm# ''`'`j Z IviI, as owner of the property, or my employees with wages as I1.—M'� —� Z +� •i I s�� their sole compensation, will do the work and the structure is ADDRESS y� ii11 /� ��(( O not intended or offered for sale (Section 7044, Business and l".. 1� `+6T FINAL DATE Qij ';i,=)r Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDA A HAZARDOUS M ERIAL M 9" � J 1 ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BYk C�,� licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) _ ' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '�'`-`= W17 o•L'J CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR i GUIDELINES. }( �•: I hereby affirm that there is a construction lending agency for YES 11 NO ❑ _ l N the performance Of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ' ' �" "1i" H 7 04 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ?L•!`"�•i: 'c TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS :;;,;•i i ,t_5'. :0 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address =?I(_} OWNER OR AGENT O -• o I certify that I have read this application and state under penalty o P.C.FEE �33 Of perjury that the above information is correct.I agree t0 Comply �D 5(,/ PERMIT FEE S with all county ordinances and State laws relating to building �� �"_I ..0--U 1 1 61 `_t m construction, and hereby authorize representatives of this County ISSUANCE FEE t- M t e ter upon the above- entione property for inspections ppry urpose. �'l Lh -' i f' c o 33 Io vf 6 "6 ''n9 INVESTIGATION FEE TOTAL FEE /' �7 / D n sipnaw.e of Aponcao,or Ap 11 oa1e / '\ SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106140056 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6755 LT: 39 SQ. FT STORIES TYPE OCCUP GROUP 5239 BALDWIN AV STRUCTURE: 462 1 VN R3 TEMP CA 917803202 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8589-006-009 OTHER: 252 1 VN R3 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/14/01 UT 12/11/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: GRAHAM MICHAEL J;VICKIE L (626) 279-9223- 37,000, 5239 BALDWIN AV TEMP 917803202 FEES PAID DESCRIPTION OF WORK RENEWING PERMIT FOR BL97 010062 (ADDING TO EXISTING PATIO APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOF (141X181) NEW SECTI N NO SLAB) AND PERMIT 42280 (TWO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 37000.00 VAL 0.37 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY' 37000.00 VAL 69.09 ",,TOTAL FEES 97.21 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS 0 SOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: _ - - SLAB/UNDER FLOOR i RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \ ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TO AL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE 1 REPORT ID: DPR261 ROUTE TO: BS0508 r. COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9707010062 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6755 LT: 39 SQ. FT STORIES TYPE OCCUP GROUP 5239 BALDWIN AV STRUCTURE: 0. 1 VN R3 TEMP CA 917803202 ASSESSOR INFORMATION NUMBER: GARAGE: 0 1 NEAREST CROSS STREET: 8589-006-009 OTHER: 252 1 THOMAS PAGE: 597 -GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/01/97 TC 07/01/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE: GRAHAM MICHAEL J;VICKIE L (818) 452-0823- 3 2,000 5239 BALDWIN AV TEMP 917803202 FEES.PAID DESCRIPTION OF WOR ADDING TO EXISTING PATIO ROOF(14' X 181) NEW SECTION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NO SLAB APPLICANT:. TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE - 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS:,, AX BUILDING REVIEW:-FEE 54.70 D2 PERMIT W/0 EN=HC : 2000:00 VAL 82.20 TOTAL FEES% 165.15 CONTRACTOR: TEL. N0: , �, ��� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO - \V LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: 0 DATION/TRENCH:FORMS LIC. N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEV5L-FLOOR SHEATH 0. OF FAMILIES: DWELL NG UNI S: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE.DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD:, HWY: PROP LINE: WIDTH: Z FRONT PL SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNT; OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9707010062 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6755 LT: 39 SQ. FT STORIES TYPE OCCUP GROUP 5239 BALDWIN AV STRUCTURE: 0 1 VN R3 TEMP CA- 917803202 ASSESSOR INFORMATION NUMBER: GARAGE: 0 1 NEAREST CROSS STREET: 8589-006-009. OTHER: 252 1 THOMAS PAGE: 597 GRID: B4 • LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: ROCESSED.BY: EXPIRES ON: EXIST OCC GRP: 07/01/97 JC 07/01/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: GRAHAM MICHAEL "J;VICKIE L (818) 452-0823- 3 2,000 5239 BALDWIN AV TEMP 917803202 FEES PAID DE RI TION OF WOR ADDING TO EXISTING PATIO ROOF(141 X 181) NEW SECTION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NO-SLAB APPLICANT: TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0'EN'-HC: '2000:00 VAL 82.20 TOTAL FEES' 165.15 CONTRACTOR: TEL. N0: 2 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO OCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 . 01 ST LEVEL FLOOR S EATH NO. OF FAMILIES: DWELLING NTS: APT COND: STAT CLASS: y) NO 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO � / FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME. INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS . SIDE PL- INSULATION/WEATHER STRIP U INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 j moi"