HomeMy Public PortalAbout5415 CAMBURY AVE_Building__ •'' APPLICATION FOR RELOCATION BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BUILDING
Deportment of County Engineer ADDRESS
County of Los Angeles ^
ZBAess JOHN A. LAMBIE,COUNTY ENGINEER LOCALITY C
DBS-79-II-55 CASSATT D. GRIFFIN. SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL um DISTRICT NO. GROUP TYPE SEWER MAP 0
K P
IOWNER::Z�_"75'
PROPOSED n.-'.BUILDING � � . 1CONSTDDRESMAPV NUMBER �� STATE
YESNOLOCALITY CPRESENT USEZONE SPECIAL ,p �} 0
BUILDINGCONDITIONS plvT t"t-HN 67'30ADDRES LOCALITY BUILDING EXIST. f eARD HWY STREET NAME< SETBACK WIDTH
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ADDRESS SIDE
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CITY ✓""• NO. ' -2 - T
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CONTRACTOR NO. A
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CONTRACTOR NO.
TE INSPECTOR'E GNA RE
ADDRESS FOUNDATIO : LOCATI
PRESENT �` �A/ .1��D
FORMS.MATERIALS (�I/( LLZf.�
/7
USE OF 1/`VIG FRAME: FIRE STOPS.
BUILDING BRACING,BOLTS
USE OF ED` , �' FURNACE: LOCATION q9 pI,
BUILDING GAS VENTS.DUCTS LIA �lV
/ ( LATH. INT.
SQ.FT.
SIZE I/Q/ ROOMS ^� /pSTO1RIES • LATH.EXT.
WALL ROOF
COVERING I COVERING 187.(/M" HOUSE NUMBER COR- \
LEGAL ./� RECT AND POSTED
DESCRIPTION LOT NO. GO I BLOCK 1 �/�(�
/ - FINAL �/ 1L'/(X D
TRACT T c+ MO
DISTRIC NGINEER
NO.OF BLOGS. WORK COMPLETED /
SIZE OF LOT NOW ON LOT
USE OF No.of SURETY BOND y�
RELEASED V
EXISTING BLDG. FAMILIES
I HEREBY STATE T THE INFORMA ION GIVEN IS I HEREBY ACKNOWLEDGE THAT I HA E READ THIS
CORRECT. r APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATURE OF AND AGREE TO COM Y WITH ALLCOUNTY ORDINANCES
APPLICANT AND STATE LAWS ULATING BUILD G CONSTRUC-
TION.
ADDRESS I- 4 SIGNATURE OF
PERMITTEE � //y
VALUATION 5.o. FEE. $ --
ADDRE
FEES i -S4
4 7�'/�,3• �/�/ I���M /�
JOHN A. LAMBIE, COUNTY ENGINEER ATION CLYDE N. DIRLAM.CHIEF BLDG. INSPECTOR
C Mo CASH
tir,r,9231 � JNA 72 5 A
` ' '• &5893% FEB 1 6 h 18-00
COUNTY OF LOB ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1205300058
PHONE: (626) 285-0468 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5415 DANBURY AV
,ISTRUCTURE: ^-B TEMP CA 917602640
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
16568-020-009 '' THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
TENANT: IEXIST BLDG USE REBID USE ZONE: R-1, TISSUED ON: PROCESSED BY:
IEXIS'P OCC GRP: 105/30/12 SR
II OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL BY: CODE:
ICHOI, CHARLES (310) 439-8774- I 5,000 I
15415 CAMBURY AV '•
ITEMP 917602640 FEES PAID 1i SCRIPT N OF WORK
IKITCHEN REMODELING DRY WALL REPAIR NEW CABINETS
1IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (
APPLICANT: TEL. NO:
IRAZ GRINBAUM (816) 448-1355- IAA BLDG PERMIT ISSUANCE 27.80 1
427 N. CITRUS AVE :AB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: I
LOc ANGELES 90036 IAC STRONG MOTION RESID 5000.00 VAL 0.50 1
1 1B2 PERMIT W/ENERGY 5000.00 VAL 145.90
1 _ TOTAL. FEES 175.20
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ILI2ERTY CONSTRUCTION (888) 741-8370-
1427 N CITRUS AVE LIC. NO (LOCATION AND SETBACKS
LOS ANGELES, CA 90036 640562 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS
I LIC. N0: SLAB,JNDER FLOOR
1 RAISE-D FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( UNDERFLOOR INSULATION
I147H269 3 001 I
IFLOOo SHEATHING
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1_
1 0 NO 21 IROOF SHEATHING
I _I I- I
1
AIR QUALITY: SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
1000 FEET MATERIALS
NO NO NO - I FRAME INSPECTION
AFIRE SPRINKLER HANGERS
IINSULATION/WEATHER STRIPI I
1 - 11NTERIOR LATH/DRYWALL
I
I E%TERInR LATH
IRATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
(RATED.SHAFTS/OPENINGS
I
I I IT-BAR CEILINGS I I I
1 ILOT DRAINAGE
1 ,r (REPORT ID: ,DPR261 ROUTE TO: _BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
r DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1308140038
PPONE: (6261 285-f,488 EXT-
ILEGAL ID: T N0. OF CONST I BUILDING ADDRESS: 1
ON FILE SQ. FT STORIES TYPE 5415 CAMBURY AV
_ STRUCTURE: v TEMP CA 917802640
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE T
18588-020-009 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
(TENANT: ]EXISTBLDGBLDG USE: REStD USE ZONE: R-1 11SPUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 08/14/13 SR
TOWNER: TEL. N0: IRLDGS. NOW ON LOT: VALUATION: IFT_L:AL DTE PlTpAL BY: CODE: I
ICHUI, CHARLES (310) '439-8774- 1 3,000 Ir�
15415 CAMBURY AV 1 ��/���
TEMP 917802640 FEES PAID DLICR TION OF WORK
IBA:'HROOM REMODEL 1
_IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I
1APPLICANT: TEL. NO: i I
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 2280 1
AS STATE GREEN BLDG FEE 3000.00 VAL 1.00 SPICIAL CONDITIONS:
1AC STRONG MOTION RESID 3000.00 VAL 0.50
IB1 PLANCHECK W/ENERGY 3000.00 VAL 92.60 1
__1B2 PERMIT W/ENERGY 3000.00 VAL 108.90 CONTRACTOR: TEL. NO: T TOTAL FEES 230.80 1APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LTC. NO LOCATION AND SETBACKS
1 j ISo:L$ ENGINEER APPROVAL I I I
ARCHITECT OR ENGINEER: TEL. NO: T 1FOU:ZOA'TION/TRENCH FORMS I ,
I
1 LIC. NC: � (Sid-P-/C.:DER FL003 I I I
I - RAI-ED FLOOR FRAMING I I I
II NAP NO: SEWER MAP BOOK: PAGE: FIRE. ZONE: CD:P: T TL::Jc RFLOOR INSULATION I I I
1147X269 _ OOT
_ _I IFLCOR SHEATHING I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
0 NO 21 1 ROC= SHEATHING
jscxooL WITHIN HAZARDOUS I IS"�- R PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS 1 1 -1-1 1
I NO NO NO IFRFI9F_ INSPECTION
I I I I I I
IFIRE SPRINKLER HANGERS
1_
I I 11N5ULATION/WEATHER STRIP �- 1
I I
11NTERIOR LATH/DRYWALL 1
I
I I I EXTERIOR LAT I,�V��1
IRAT'ED FLOOR CEIL ASSEM. I
_ RATSD WALL ASSEMBLIES T
-_
I I IRATED SHAFTS/OPENINGS I I I
I 1 IT-BAR CEILINGS 1 I 1
1 1 I LOT,DRAINAGE I 1 1
(REPORT ID: OPR261 ROUTE TO: B50508 I I I I
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