HomeMy Public PortalAbout6120 BURTON AVE_Building__ ,...,,.. APPLICATION FOR BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDINGaA
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
_ BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUVT OF BUILDINGCROSS ST.
DISTRICT NO. Gft UP TYPE B
FOR APPLICANT TO FILL IN �7` ' CONST.
�/ '1 �7 STATISTICAL CLASFICATION SEWER MAP
ADDREISS (Q�K �/ /v�. Bti/ZTa.✓ 5Y" BK
CLASS. NO. DWEL . UNITS '�
LOT NO. / BLOCK MAP STATE ES NO
//�� // 'NUMBER (J HWY.
TRACT a 6 Q � b _ USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT �T O O �� I NOW ON LOT
USE OF
EXISTING BLDG. BUI'LdING EXIST.-
YARD HWY STREET NAME
"�` /1 / TEL/ SETBACK WIDTH
I� OWNER /�,�Q�C/A.cr (LI�(/,S/ [,��JAy� N NO
ADDRESS
�3^� FRONT `,.^/�n—�
y ADDRESS 5�,} il7 i 7.F/ //./�� SIDE
ARCHITECTOR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS 1
TEL 0
CONTRACTOR S`RNL/C NEO 541A
ADDRESS JAML O
DESCRIPTION OF WORE G
o_
a
NE ADD ALTER REPAIR DEMOLISH Z
SIZET /V XZD STORIES FAMILIES
USEOF
E
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATIO $ w
APPROVALS DATE INSP CTOR'S SIGNAT RE
P.C. PMT. FOUNDATION: LOCATION
FEE $ I I PEE $ FORMS. MATERIALS /1 /
FRAME: FIRE STOPS, /
HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING; BOLTS I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
8 U ILDING,CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE -
OF THE WORK FOR WHICH TH15 PERMIT IS ISSUED 1 $HALL NOT LATH, INT. /I
EMPLOY ANY PERSON N AN MANNER 50 AS TO BECOME AUDI G
TO THE WORKMEN' OMP SATION WS OF C IFORNIA. / I
LATH. EXT. W�
SIGNATURE - • HOUSE NUMBER COR-
PERMITTE RECT AND POSTED C �y
ADDRESS _ t FINAL ✓ 6 ��
CLYDE N. CIRLAM. PRINCIPAL STR RAL ENGINEER
PLANCK VALIDATION cK. m.o. CASH PERMIT VALIDATION CK. M.O. CASH
UI,,,-'D 4 7 6 1 F,P 3 1 A
' COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1107210059
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 26026 IT 1SQ. FT STORIES TYPE 6120 BURTON AV N 1
(STRUCTURE: V-B SGAB CA 917752632
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HELD£MAN
15386-007-052 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 107/21/11 SR
B LDG5. NOW ON LOT: VALUATION.2 1� FINAL BY: CODE:
OWNER: TEL. NO: FINAL
CUYPERS, JOHN - 8,200
16120 BURTON AV
SGAB 917752632 FEES PAID IDLOSCRIPTION OF WORK
REPLACE 7 WINDOWS, CLOSE OFF 2 WINDOWS, STUCCO EXTERIOR AND
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DRY WALL AND INSULATE IN BEDROOM #1 AND BEDROOM #2
(APPLICANT: TEL. N0:
RIVERA, EDUARDO (626) 390-3231- IAA BLDG PERMIT ISSUANCE 27.80 1
IAB STATE GREEN BLDG FEE 8200.00 VAL 1.00 SPECIAL CONDITIONS:_
1AC STRONG MOTION REBID 8200.00 VAL 0.80 _
IDS PERMIT W/O EN-HC 8200.00 VAL 200.30
IFR INV WORK W/0 PERMIT 257.00 DOL 257.00
CONTRACTOR: TEL. NO: TOTAL FEES 486.90 (APPROVALS DATE INSPECTOR SIGNATURE
IE R HEART CONSTRUCTION (626) 390-3231- 1IBJ
1710 NOSTRAND DR LIC. NO ILOCATION AND SETBACKS I I
ISM GABRIEL CA 91775 784217 B * 1 I-
I ISOILS ENGINEER APPROVAL I
I I
IARCHITECT OR ENGINEER: - TEL. NO: FOUNDATION/TRENCH FORMS
I
I LIC. NO: (SLAB/UNDER FLOOR
I I_
I IRAISED FLOOR FRAMING
I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( ( (UNDERFLOOR INSULATION I I I
150H261 3 001
IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I
1 0 NO 21 IROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS
SHEAR PANELS
(AIA QUALITY: 1000 FEET MATERIALS
I NO NO NO I FRAME INSPECTION
IFIRE SPRINKLER HANGERS
(INSULATION/WEATHER SIR
(INTERIOR LATH/DRYWALL
I--
EXTERIOR LATH
(RATED FLOOR/CEIL ASSEM.
1RATED WALL ASSEMBLIES
I
(RATED SHAFTS/OPENINGS
IIT-BAR CEILINGS
I* ADDITIONAL DATA ON FILE
I LOT DRAINAGE
I
REPORT ID DPR261 ROUTE T0: BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1108250074
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 26026 LT: 1 SQ. FT STORIES TYPE OCCUR GROUP(, 6120 BURTON AV N
(STRUCTURE: 130 1 V-B R-3 SCAB CA 917752632 '
ASSESSOR INFORMATION NUMBER: GARAGE: j NEAREST CROSS STREET: HELDEMAN
15386-007-052 OTHER: THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1E%IST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I
EXIST OCC GRP: ;10/13/11 SR
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
CUYPERS, JOHN - 19,270 1l
16120 BURTON AV i2/�_1 {.'
SGAB 917752632 FEES PAID ;DESCRIPTION OF WORK
[LEGALIZE 130 SOFT, EXISTING BATHROOM AND BREEZEWAY AND ADD
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IONE WINDOW 6'X 4' AND 6'0 X 618 PAT10. DOOR
(APPLICANT: TEL. N0:
RIVERA, EDUARDO (626) 390-3231- IBI PLANCHECK W/ENERGY 19270.00 VAL 360.70 1
AA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS:
IAB STATE GREEN BLDG FEE 19270.00 VAL 1.00
IAC STRONG MOTION REBID 19270.00 VAL 1.90
IB2 PERMIT W/ENERGY 19270.00 VAL 424.40
(CONTRACTOR: TEL. NO: TOTAL FEES 815.80 (APPROVALS DATE INSPECTOR SIGNATURE
IF R HEART CONSTRUCTION (626) 390-3231-
1710 NOSTRAND DR LIC. NO LOCATION AND SETBACKS
(SAN GABRIEL CA 91775 794217 R
(SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
I
LIC. P:C: SLA3/UNDER FLOOR /
I 1RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION
I
3 OO1 11
I 11ST LEVEL FLOOR SHEATH ,
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: i I
0 NO 21 12ND'LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS (ROOF SHEATHING t 1
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO IF-IRE DEPT. FRAME INSPECT(
(BLDG DEPT. FRAME INSPECTI
(SHEAR PANELS
I I
INSULATION/WEATHER STRIP(
� I
(INTERIOR LATH/DRYWALL
EXTERIOR LATH
+/
ILOT DRAINAGE I I
(SMOKE DETECTION DEVICES
(FIRE DEPARTMENT APPROVAL
ADDI ONAL DATA ON Fl.LEI `
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