HomeMy Public PortalAbout5609 CAMBURY AVE_Building__ y....,76A6A. CE 4803 1/7I
.`: .,APPLICATION FOR BUIL �GPERM T
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COUNTY, OF`LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING 0
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST `
Print., tV.F ..10 CROSS ST.
BUILDING'I DISTRICTONG TYPE
ADDRESS AK.✓ + A�V CONST,
LOT NO. BLOCK
STATISTICAL CLA SIFICATION SEWER-MAP
-
_ CLASS NO. _DW EL L,UNITS- BK PG
TRACT USE ZONEI MAP
NO.OF FLOGS. NO.
SIZE OF LOT NOW ON LOT. SPECAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER � - E! ��,/,; NO. BLDG.SETBACK FROM
ADORES G FRONT PROP.LINE OF (STREET)
TYPE OF E%I STING SETBACK HIGHWAY } YARD = TOTAL
CITY �� '•T HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. } _
ENGINEER NO. BLDG.SETBACK FRO
ADDRESS SIDE PROP. LINE OF (STREET)
TEL p _ TYPE OF EXISTING SETBACK HIGHWA } YARD = TOTAL a
CONTRACTOR /{r $ '� NO. E.�O l IGHWAY WIDTH FROM C.L. CD
ADDRESS LIC:
CITYCLASS CORNER CUTOFF VES ❑ NO ❑ yVj
CONSTRUCTION LENDER a
NAME AND BRANCH "- SEE REVERSE SIDE FOR SPECIAL APPROVALS ES
ADDRESS _
i,SO. FT. - y NO. OF NO OF
SIZE X266 STORIES FAMILIES/ (N ❑
NEW N
USE OF � ADD /LfLlS _ %/t/ -T _ s
STRUCTURE. �..
ALTER ❑ _
9rREPAIR.❑ rr
SIGNATURE OF Q�J
APPLICANT 4 DEMOL ❑ `
i 4 77(f, qtzeAZ�
VALUATION
. 10QF A PROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, �,{J FOUNDATION: LOCATION
FEES dell I FEE S FORMS, MATERIALS ',L, —7/ _ wiLmJ
FRAME: FIRE STOPS, _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS I /`
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENTDUCTS
STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED , yy
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE .LATH, INTO 4
LABOR CODE OF THE STATE 01 CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION NSURAN/CJJ. LATH, EXT. '� ✓F _
RMITTE
SIGNATURE O J, HOUSE NUMBER COR- � n
PER �/ RECT AND POSTED A
ADDRESS �J�`� 6) FINAL //p
//� 73 /o n ,X —
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION M.o. LASH _ PERMIT VALIDATIO K. M,O, CASH
.... oAUG 2 ,2-3rn 4:1:404 T
9� AUG .5 1 u 6 9.00,'. ti 4
APPLICATION FOR UILDING PE�f_2MIT
/]6A836A CEu803 8-64
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST, - -
COLEMAN W. JENKINS,SUPT,OF BUILDING CROSS•ST.' I
DISTRICT,NO. UP TYPE,' P SSEO BY
T
FOR APPLICANTO FILL IN c
/ IINE
Cl -
BUILDING /f STATISTICAL CLASSIFICATION '9EVER MAP
ADDRESS /' �' CLASS NO..-Lgq.._DWELL UNITS BK PG
,217
LOT NO. 9 BLOCK USE ZONE MAP '-
NO. 44
TRACT SPECIAL-
N0. OF BLp05. CONDITIONS -
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
EL. FRONT PROP. LINE OF (STREET)
OWNER O. TYPE OF EXISTING SETBACK HIGHWAY } D = TOTAL
A D DR ESyS� XIO AY WIDTH 'F ON C.L.
/ . - .. ) ! +•
CITY _
TBACK FROM
ARC TECT TEL. SIDE PROP. LINE OF (STREET)
ENGINEER Z / ..NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD = .TOTAL
ADDRESS �_ HIGHWAY WIpTH FROM C.L. d
TEL - } _ 0
CONTRA NO..
ADD R ESS /f LCORNER CUTOFF YES ❑ NO E Q
CITY cl n SEE REVERSE SIDE FOR SPECIAL APPROVALS -U
W
DESCRIPTION OF WORK y
Z_
NEW 77A.. ALTER -REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF A
SIZE Q STORIES FAMILIES ' /q
USE
S T R U C TURE• F
SrGNATURE OF / e ',/ �I /DLry. N�.I aa
APPLICANT
I��EJICs�
VALUATION$ .LG I APPROVALSlK P A�E I! qA WOE
FEE$ • FEE$ FOUNDATION, LOCATION fG / ) /' /2 / /�
FORMS, MATERIALS k �f,�J/ylj//
FRAME, FIRE STOPS,
1 HEREBY ACNNOWLEOGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY, FURNACE: LOCATION -
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
RUILDI NO CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZEDHEREBYI 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 INSURANCE:
LATH. EXT.
SIGNATURE OF G7� %� �/ '� HOUSE NUMBER COR--
PERMITTEE l_ - 1� �/ .fes/ RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPALS O- RAL ENGINEER
PLAN CHECK VALIDATION GK. M.o: CASH _ PERMIT VALIDATIO CK. M.D. DASH
5 7 7 1!':? S;_P 21 2 .1 D 3.7 5•.
� 5 77 7 2 uS, Sr,P21 `2 D 1 5.00"
,ON
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING REMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1006210014
PHONE: (626) 285-0488 EXT:
(LEGAL ID: N0. OF CONST - BUILDING ADDRESS:
(TR: 15159 LT: 6 SQ. FT STORIES TYPE I 5609 CAMBURY AV
II
T STRUCTURE: V-B _ TEMP CA 917802602
1ASSESSOR INFORMATION NUMBER: T NEAREST CROSS STREET: LIVE OAK
18586-012-010 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (TISSUED ON: PROCESSED BY:
1 IEXIST OCC GRP: 106/21/10 SR
TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IF NAL DATE FI BY: CODE:
CHAIN AUBREY S (626) 614-0540- 3,000 1('�/�/O -
15609 CANBURY AV 1 ` .
ITEMS 917802602 FEES PAID I DESCRIPTION OF WORK
I REPLACE 9 WINDOWS (SAME LOCATION)
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1
(APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 I I
AB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS:
IAC STRONG MOTION RESID 3000.00 VAL 0.50
ID2 PERMIT W/O EN-HC 3000.00 VAL 99.00 T
TOTAL FEES 128.25
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - .- I I.
LIC. NO ILOCATTON AND SETBACKS
' (SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. N0: . I 1FOUNDATION/TRENCH FORMS I I I
LIC. NO: `I1 (SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION
1147x269 3 001
I I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
1 _ NO 21 1 INGOT SHEATHING
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS T
HAIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
(FIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIPI
. (INTERIOR LATH/DRYWALL
1 IEXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
I I (RAPED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS I I I
LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: RS0508
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