HomeMy Public PortalAbout5626 CAMBURY AVE_Building__ - T6A63BACEtt8093-68 APPLICATION FOR BUIL'DI,NG PERMIT LJ
DCOUNTY OF LOS ANGELES aulLowG
EPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY — — C2,JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SVP'T OF BU ILOING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY.
CONST
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BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ✓,.(/ CLASS NO.—f—OV .UNITS BK - � PG,J-7
LOT NO. OCK USE ZONE MAP -'
NO. f C
TRACT S- .L�—/ SPECIAL -"
NO.OF BLDG$. /1 CONDITIONS "
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG: BLDG.SETBACK FROM "
L. FRONT.PROP.LINE OF (STREET).
OWNER O' TYPE OFEX
ADDRESS ISTING SETBACK HIGHWAY } YARD - TOTAL
,/ HIGHWAY WIDTH FROM C.L.
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CITY ACL. dam � J- — oJJI } d - V
BLDG.SETBACK FROM ..
ARCHITECTO - TEL. SIDE PROP-LINEOF (STREET)
ENGINEERNO.
TY
PE OF E%)ST'
NG SETBACK -HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH PROM C.L.
TEL.. -.+ _ -_ •d
CONTRACTOR NO. ., O
.,nry LIC, CORNER CUTOFF VES NO U
ADDRESS, �sr� F LIC Ll
LIC. m
CITY i CLASS SEE REVERSE' E FOR SPECIAL APPROVALS
17
U
DES
ION OF WORK
N
Z
NEW ADDje� ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES r -;
USE OF �• -C.e.
STRUCTURE � '
y �
SI NA TU RE
APPLICANT J
VALUATION,$ ..1 I. .,
PMT. ? 'J APPROVALS DAT� INs cron•s sI N vRE
FEES •� FORMS, MATERIALS '.I
(/ -FOUNDATION: LOCATION-- �
FEE $ V J �• '
FRAME:.FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE REL..THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:'LOCATION,
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. AI
ING TO WORKMEN'5 COMPENSATION INSURANCE. /
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
P ERMITTEE RECT AND POSTED
ADDRESS - FINAL 0
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHEckVAIDATICIV CK. M.O. CASH _ PERMITVALMATION�M.O. CASH
IN
� �� 96 8 APA21 -1D 3 3.Q0-
JOA93BA CE tB0S IT ]APPLICATION FOR.BUILDING PERMIT g
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINAUaDING 5626' No.Cambur Tem le Cit
EER . ADDREss
BUILDING AND SAFETYDIVISION LOCALITY . Temple Cit
JOHN A',LAMBIE,COUNTY ENGINEER .NEAREST n ,i T k
..CASSATTD.GRIFFIN,SUPT OF BUILDING CROSSST. West Baldwin Live - Oak
DISTRRR�T NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL'IN SK PG
,S ICONST.-S� '
ADD EISS 5626 No.Cambur ,'Te p le Ci - STATISTICAL CLASSIFICATION
CLASS. NO.�DW ELL.UNITS
LOT NO. - BLOCK MAP - STATE
NUMBER HWY YES NO
TRACT USEZONE SPECIAL -
NO.OF BLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF -
EXISTINGBLDG. BUILDING 'EXIST. -
SETBACK YARD HWY STREET NAME WIDTH
OWNER Mr, W.J.CalverleyFRONT -
ADDRESS. 5626 NO.Cambur - SIDE -
�i! li '
CITY Temple Cit - NoAT6O7O2 P L
ARCHITECT OR TEL. INSPECTION RECORD
.ENGINEER NO.,
ADDRESS - - -
4}XA�, d,qp. Termite �T26618
ADDRESS ain Alhambra __-
DESCRIPTION OF WORK .
NEW ADD ALTER REPAIR DEMOLISH .. .
SO.FT. NO,OF NO,OF - ��Y•, -
SIZE STORIES 'FAMILIES USE OF STRUCTURE Re 9i dent I -
}.
OW
SIGNATU RE Ont• APPROVALS
'APPLIG rI _ t,
ADORES 112 E�Main- ambra DATE INSPECTOR'S SIGNATURE
FOUNDATION:.LOCATION
FORMS,MATERIALS
$-, 150.00 n P.C.
S FRAME:
BRACI FIRE STOPS.
FEE
-
` VALUATION FURNACEaLOCATION,-
FEE 2- GASVENT..DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.,
PLICATION AND STATE THAT THE
ABOVE IS CORRECT AND
AGREE TO COMP-L WITH=ALL UNITY IS AND
.'STATE LAWS R ULATIN IL NG C2hNSTRUCTION. LATH,EXT.
SIGNATURE OF - HOUSE NUMBER COR-
'PERMITT RECT AND POSTED '
ADDRESSFINAL
CLYDE N..DIRLAM.'PRI NCI PAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION crc. M.O. usx PERMIT VALIDATION,- IK- M,O. cwsx `
( G4:.5 2 4-VI SEP:. 5 1 A 2.Q 0 M
TEMPLE CITY .
16AS36A CF.#B.35.61 APPLICATION FOR BUILDING PERMIT;
COUNTY OF LOS ANGELESBUILDING t fl
DEPARTMENT OF,'COUNTY ENGINEER. ADDRESS -
BUIMING AND SAFETY DIVISION LOCALITY c
JOHN A. LAMBIE,'COUNTY ENGINEER NEAREST
WILLIAM.A. JENSEN SUP'T OF BUILDING CROSS ST.
DISTRICT NO: GROUPp EDBY( .
FOR APPLICANT TO FELL IN. TYPE'
,j�' CONST..
BUILDING STATIST]CAL CLASSI FICATION. - SEWS MAP "
ADDRESS 5626 No. Cacti-ur 'I K P
- CLASS. NO.�DWELI UNITS-
LOT
NITS �—
LOTNO. L -BLOCK WATER. ,NOT REQUIRED RECEIVED
CERTIFICATE:
'.TRACT M77
AP HIGHWgv
NO.OF BLDGS. NO, tU RCLEI STATE MAJOR SECOND, LOCAL
SIZE OF LOT I NOW 01 LOT US-- ZONE SPECIAL - - -
USE OF - CONDITIONS -EXISTING BLDG.
,r� - .-
W. J. Calverl . TEL. C��LDING EXIST.
OWNER YARD HWY - STREET AME
SETBACK_ WIDTH
ADDRESS 5626 N. C ambury FRONT' d
ARCHITECT OR - TEL P. L.
ENGINEER NO. SIOE
P. L U'
ADDRESS Te - INSPECTION REC
CONTRACTOR Virgin Roof o.NQIFIT7 5 7 _ _ - - ImO
ADDRESS 600 S. San -Gabriel Blvd.
- - ~
U
W
DESCRIPTION'OF WORK Sari Ga
NEW ADD ALTERREPAIR. DEMOLISH
SO.F.
N , NO.OF
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ 1056.OO y;,..+ J r -
_ �RAPPROYAIst DATE' •. "INSPECTDP'S SIGNATURE
_ 1 FOUNDATION: LOCATION
FEE '
FC ''�--��- - FEE $ 11.50. FORMS.'MATERIALS
$.
- FRAMCING,ESTOPS. -
1 HEREBY ACKNOWLEDGE THAT 1 RE T AND
APPLICATION BRACING, BDLTI
AND STATE THAT THE ORDINANCES
IS CORRECT TE AGREE EE TO COMPLYREGULATING
FURNACE:-LOCATION, -
WITH ALL COUNTY ORON. I GES ANO STATE LAWS REGULATING GAS VENT DUCTS '
AUT
BUILDING CONSTRUCTION. NERTIFY,THAT IN PERSON
TIN WORK
AUTHORIZED ORIZEO HEREBY WILL ,TH EMPLOYSTATE ANY PERSON IA VIOLA- LATH. INT.
TION OF THE LABOR CODE OF,THE STATE OF CALIFORNIA RELAL -
ING TO WORKMEN'S C /ENSATION R{*B. NCE. moi' LATH.EXT:
-
SIGNATURE OF HOUSE NUMBER COR. I
PERMITTE ������ ��-�F-� / 'RECT AND POSTED
ADDRESS 600 S. San Gabriel Blv . FINAL Al YWa',f�- � l/-•3'I9.��
San Gabrie 1' CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN, CHECK VALIDATION m . M.o.' cAsH. PERMIT VALIDATION cK, M.D. CASH'
LA(� 5 6.71;0 OGT17 -Y` o, 1 1.50~
A ROAD DEF . 'P::RNUT IS' REQUIRED -
FOR ANY-MATER:..
DONE IN THE ROAD RIG-i( OF' WAY.
.APPLICATION FOR BUILDING PERMIT . .
COUNTY OF LOS ANGELES Bu1LDwG'
DEPARTMENT OF COUNTY ENGINEER ADDRESS zE
BUILDING AND SAFETY DIVISION LocALiry
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS rST.,
DISTRICT NO. GROUP TYPE_- PRO ESSED BY .
FOR APPLICANT TO FILL IN �5� 1 CONST I L
ADDRESS BUILDING STATISTICAL CLASSIFICATION I SEWER MAP "
6 r1)'DDlir T. C,- COK PG:
CLASS. NO:- C
DWELL.UNITS
_LOT NO. / BLOCK - MAPSTATE
g NUMBER G HWY, YES NO
TRACT USE ZONE SPECIAL -
NO;OF BLDGS. �_ CONDITIONS
SIZE OF LOT -.� NOW ON LOT - - ,
USE OF - • -0-0
EXISTING BLDG. BUILDING Y EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER Walter'.J. . Calvarlev FRONT
MAIL P.L.
ADDRESS 'rO2tl! PI amUur' SIDE -
TEL.
clrr Temple City No"&t 60 �` P.L. INSPECTION RECORD '
ARCHITECT OR - TEL
ENGINEERV.11.3r
ADDRESS OF N, Valley .San Gabriel i
TEL. - —/ /' v,
CONTRACTOR - NO. - l
FF D
ADDRESS-
DESCRIPTION'OF WOR%".. "
7o S,57 r,6 2' M.6 Foy -
NEW ADD ALTER REPAIR DEMOLISH - - -
SQ: FT. NO. OF NO. OF /YSP/✓:
SIZE STORIES FAMILIES .
USE OF
STRUCTURE RRq j Q— -
r--
Forced air fv ar. /
SIGNATURE OF 9 0 /VYI./f l7S" ` S/ /Y[�GZ/41J /�T
ovcq
APPLICANT..' l / -�
'APPROVALS DATE' INSPECTOR'SBIGNATURE
ADDRESS _ / FOUNDATION:.LOCATION -- _
MATERIALS
,
'VALUATION'$ FRAMEFIRE TOPS }
6q OO :
/ BRACING,BOLTS
- FURNACE:LOCATION,
FEE S I FEE $ 5 DOI GAS VENT,DUCTS '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
LATii, INT:
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH.ALL COUNTY ORDINANCES AND d
STATE LAWS. REGULATING BU "DING CONSTRUCTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- -
PERMITTE RECT AND.POSTED
ADDRESS__T'- )n FINAL `�]'�1T� �w •tuLY
CLYDE N. DIRLAM, PRINCIPAL ST CT RAL ENGINEER _
' PLAN CHECK VALIDATION CK. '� CASH PERMIT VALIDATIO '°I' M:O.' CASH