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,JIEPARTME HG AND SAFETY APPLICATION FOR PERMIT,
fi OUNT d ANGELES y
WM. J. FOX, CHIEF ENGINEER LDING
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL
BUILDING q /f� /, hh DISTRICT NO. - pLAN CK.AO. PERMIT'NO
ADDRESS Of/P S .y 13d:. 6 ;. 7-
LOCALITY �L/ �Jf-P C � �
RECEIVED BY DATE OFAPPL.- DATEEISSUED
•'NEAREST
1 CROSS ST. Al n )�1Q BUILDING I
y- /� DRESS 13ro.a ,o u.r.a
OWNER A "/ . G U L• AD
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MAIL /� ^ LOCALITY57;
„ ADDRESS If�( y �„• 4 H A WA NEAREST
-f'�/ TEL. T CROSS ST. Y 4 Q p Cf I (J
CITY- /.'/-F- C �/ / NO.�/•��O O FIRE NO.OF n TYPE I GROUP .,
+ ARCHITECT OR Hyl`-,' TEL. ZONE -PLANS
ENGINEER BLDG: �` (� 'I ORD. NO:,
SETBACK LINE /- JO� �y
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR NO. USE / APPROVED -"�-
ZONE/V-/ BY DATE
. ADDRESS 4
HOUSE +NUMBERING
LEGAL / I
DESCRIPTION LOT NO. Y 3 /BLOCK , 'MAP NUMBERr�O a FIELD CHECK BY
TRACT/YJJSS/a N ��Fi/r G' s NO. ASSIGNED IBY�DATE
/_ S I NO. OF SLDGS. CORRECTIONS
3 X �0 -
SIZE OF LOT (e NOW ON LOT T � _
USE OF NO.'OF '
EXISTING BLDG. FAMI U.. /I •� t 0 Q `
• DESCRIPTION OF WORN _ 1
r>r � yd
NEW t/ I ALTERATION I ADDITION
REPAIR
SO:,FT. /a 7dNO. OF
SIZE' /a ROOMS (Q STORIES
_
EXT. WALL c y- ROOF ad p / r
COVERING �/ / �CaCOVERINGS /N@L ES n'P ,_•� l �.•;
USE OF STRUCTURE -
�� n
6 P ' A�7-E G A Q 1=
APPROVALS v
INSPECTOR'S SIGNATURE DATE,
I .HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION': LOCATION
PLICATION. AND STATE, THAT THE INFORMATION GIVEN dS FORMS, MATERIALS
CORRECT.
I'AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRESTOPS;
HEREON AND WITH ALL COUNTY ORDINANCES AND.STATE BRACING, SO �.,___. //i/ter/
LAWS REGULATING BUILDING CONS-T�RUCpT�IO�N. FURNACE: LOCATION,
SIGNATURE OF e GAS VENT, DUCTS, a /`
PERMITTEP - T -
ADDRESS JI+ �4' rC]/Y� A I) yof )( 7-, C LATH, INT.' II�Ii.�a
-A � / nom-
o LATH. EXT. II 14p,
• AUTHORIZED ACT:
PLASTER, INT.
76gfi98A•'D333 1090 .��/ /1 P. C.
FEE PLASTER, EXT.
1 - FEE $ �/ �O FINAL SSL
I?EPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING®� t��
WM. J. FOX. CHIEF ENGINEER L tl�l
FOR APPLICANT TO FILL IN r FOR OFFICE USE ONLY
DISTRICT NO. - PLAN CK.,NO. PERMIT NO.
BUILDING
LOCALITY L/ /ADDRESS
RECEIVED BY DATE OF APPPL. DATEISSUED
NEAREST —6—
C
R0898T. �'>� BUILDING
/ ADDRESS
OWNER LOCALITY
E L-
MAIL
ADDRE88, }7, J/I/y(/� NEAREST jl
CITY•, M TEL CROSS 8T. �Q (/.-( /L /
NO. FIRE
I NO. OF I TY E I GROUP
ARCH'
TEL.
PLANS �—
ENGINEER NO BLDG. -- ORD. NO.
C, SETBACK LINE
ADDRESS 'I -
APPROVED I
TEL BY DATE
CONTRACTOR NO. USE APPROVED
ZONE_� BY DATE
ADDRESS ¢ �° G(/�v{� - HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO.` BLOCK MAP NUMBER FIELD CHECK BY
TRACT ��� (/ NO. ASSIGNED BY DATE
NO. OF BLDGS. I - CORRECTIONS- -
7 SIZE OF LOT NOW ON LOT IJ.2 I.y y C
USEOF ' NO. OF
DESCRIPTION OF WOR%
EXISTING BLDG. j I Fwuulas
I,. i–r7 R.
- -
NEW I ( ALTERATION I ADDITION ,
REPAIR I I DEMOLITION
SQ. FT. Q' NO. OF O
SIZE ROOMS STORIES j
EXT. WALL ROOF / d r
COVERING COVERING }
FADDRE65
TRUCTURE •'
APPROVALS
INSPECTOR'S SIGNATURE DATE
REBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
ON AND STATE THAT THE INFORMATION GIVEN 19 FORMS, MATERIALS
T.
IREE TO COMPLY WITH THE ,CORRECTIONS LISTED FRAME: FIRE STOPS,
AND WITHALLCOUNTY ORDINANCES AND STATE ' . BRACING, BOLTS
EGULATING BUILDING CONSTRUCTION.
FURNACE: LOCATION,
SIGNATUREOF ^L S � GAS VENT, DUCTS
MITTEE-� -.
LATH. INT. '
aL/ LATH, EXT.
IZED AGT. 1(YY
- PLASTER, INT.
PLASTER, EXT.
VALUATION i// V FEE S-/ �— FINALi7lz
4
I
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUIaDIN
DEPARTMENT OF COUNTY ENGINEER ADORE;
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A, JENSEN SUPT OF BUILDING CROSS ST.
DISTR CT�NfO G��P TYpE ESSED BY
FOR APPLICANT TO FILL IN J CONST.
BUILDING _ STATISTICAL CLASSIFICATION I SE ERMAP
ADDRESS0412 C . a4 Q ,G
CLASS. NO. DWELL. UNITS K
L F7lS' BLOCK MAP STATE YES O
11II ` ' ( NUMBER HWY.
TRACT ��� I�N �����V L1.G CZ�s USEZONE SPECIAL
r NO.OF BLDGS. r[♦J],I CONDITIONS
SIZE OF LOT,!5�g XINOW ON LOT
USEOF'
EXISTING BLDG. k/\V L LL {rN, BUILDINGEXIST.
llrr�� ry�TEL. SETBACK YARD HWV TREET NAME WIDTH
OWNERaekl`Ic.S / AT-111'r a2IHNO. FRONT
ADDRESS �{4I2 r+ �KCJ/�O�VQy SIDE ✓1
ARCHITECT OR TEL. P. L. CP/V
ENGINEER NO SP CTION RECORD
}
ADDRESS � d
CONTRACTOR K�• 11�1S k;
D -4 NO, - -LVY^ Ol An I -( A V
AD DR EBB��(/"7 ��"IG�F+�/\�d-� I7O
DESCRIPTION OF WORK v
UU
a
NEWX ADD ALTER REPAIR DEMOLISH y
SO. FT. O� NO.OF NO.OF �!^ Le/G< < Z
SIZE 1--� IS
' FAMILIES
USE OF
STRUCTURE L. 9
SIGNATUREOFPZ
APPLICe' ITANT ='
VALUATION S N L n
APPROVALS DATE i INSPECTOR'S SIGNATURE
FEE $ CG FPMTEE /� FOUNDATION: LOCATION
FORMS. MATERIALS
FRAME: FIRE STOPS,
I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ..-
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, /t- y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS '
BUILDING CONSTRUCTION, I CERTIFY.THAT IN TH ERFORMANCE ��/♦ f
OF THE WORK FOR WHICH T PERMIT IS 155 I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANNER 50 AS ECOME 5 ECT
TO TME WORKMEN'SIfSATION LAWS ALITOR r
n 1 _y..er/ / I
LATH.EXT. 91�
SIGNATURE OF HOUSE NUMBER CDR
-
PERMITTE s RECT AND POSTED
ADDRESS FINAL /./l '
CLYDE N. DIRLAM. PRINCIPAL STR URAL.ENGINEER
PLAN CHECK VALIDATION cK. M.D. CASH PERMIT VALIDATION Cn M.O., CASH
05 52 3 D ;7,�:0 O o JIRD 16 1 D 3 0.0 0
/ J;..
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 BE 0508 1009010003
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
I ON FILE SQ. FT STORIES TYPE 9408 BROADWAY _
I (STRUCTURE: 2500 V-B _. TEMP CA 917802445 1
(ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET: ALESSANDRO
18588-02]-022 _ THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
(TENANT: - - (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: - 109/01/10 SR
TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF TE FIN BY: CODE:
MR. & NRS. HIRSEH (714) 731-8580- 11,500
19408 BROADWAY
ITEMP 917802445 1 FEES PAID 1D SC IPTION OF WORK 1
IREMOVE EXISTING ROOF LAYERS. INSTALL OSB SHEATING OVER EXIST(
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IING OPEN SHEATING 1-LAYER #30 FELT & 30 YR DIMENSIONAL SHINGI
(APPLICANT: TEL. NO: 1
(LEACH, ROY (909) 899-6313- IAA BLDG PERMIT ISSUANCE 27.80 1 I
114629 SADDLEPEAK DR. IAB STATE GREEN BLDG FEE 11500.00 VAL 1.00 ISPECTAL CONDITIONS: 1
FONTANA, CA 92336 1AC STRONG MOTION RESID 11500.00 VAL 1.20
1 ID2 PERMIT W/O EN-HC 11500.00 VAL 250.90
1 TOTAL FEES 280.90
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ILEACH ROOFING CO. (909) 899-6313-
114629 SADDLEPEAK DR. LIC. NO LOCATION AND SETBACKS I
FONTANA, CA 92336 691152 C39 _.
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. NO: ISLAB/UNDER FLOOR I I
I
I_'-
RAISED FLOOR FRAMING
MAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP:T 1UNDERFLOOR INSULATION
1147H265 3 001 1 11 I
I I IFLOOR SHEATHING I
IND. OF FAMILIES: DWELLING UNITS: APT/CONE: STAT CLASS: I I - I
NO 21 IROOF SHEATHING / J
SCHOOL WITHIN HAZARDOUS ' (SHEAR PANELS T
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1FRAME INSPECTION I
I I _ 1FIRE SPRINKLER HANGERS
I I I
• 11NS;ATION/WEATHER STRIPI I I
INTERIOR LATH/DRYWALL
I I I
_ IEXTERIOR LATH
I I I
RATEDFLOOR/CEIL ASSEM.
RATED WALL ASSENBLIES
I I I
IRATED SHAFTS/OPENINGS
I I I
T-BAR CEILINGS
I+ ADDITIONAL DATA ON FILE
' I ILOT DRAINAGE
I IRE PORT ID: OPR261 ROUTE TO: 850508
I