HomeMy Public PortalAbout5019 DALEVIEW AVE_Building__ C..i��G
-BA CE PBDB 4/7APPLICATION FOR BUILDING/ PERMIT -
r
t COUNTY OF LOS ANGELES AssessoR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING tt n
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT oP BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type Only) CROSS ST.
BUILDING DISTRICT NO GRO TYPE
CONST. R(jC D
ADD ESS
v STATISTICAL CLASSIFICATION S WER MAP
NO- BLOCK
CLASS NO. L
DWEL ,UNITS SK PG
TRACT •t USE ZONE MAP
TT NO.OF BLDGS. NO.
SIZE OF LOT _ 7 V NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG. -
TEL.
OWNE NO. is1 J
BLDG.SETBACK FROM
ADDRESS .'�D J FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK I HIGHWAY } ,YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITEC OR TEL. } _
ENGINEER NO. BLDG.SETSAC ROM
ADDRESS. SIDE PROP. LINE (STREET)
J TEL. TYPE OF EXISTING SEHIGHWAY } YARD = TOTAL
CONTRACTOR -y�.pv NO. HIGHWAY WIDTH FRTSOM C.L.
LIC. _ d
ADDRESS NO. + U
LIC.
CITY CLASS CORNER CUTOFF YES NO ❑ O
CONSTRUCTION LENDER - (-
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS LU
d
ADDRESS N
Z_
SQ. FT. NO. OF NO. OF NEW - -
SIZE STORIES FAMILIES
USE OF ADD
STRUCTURE
ALTER ❑
REPAIR(-]
SIGNATUR
APPLICANT C DEMOL ❑
VALUATION 5 APPROVALS DATE INGPFCTGR'e EIGNATURE
P.C. PM . 'J FOUNDATION: LOCATION
FEE S FEES /7a OLA 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,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STR VC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE _ LATH, INT.
LABOR CODE DF THE STATE OF-CALIFORNIA IN RELATING TO "
WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT. '
SIGNATURE
PERMITTEE Od//�"r- > �`^r'Ef/ Ai HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS SfV4y aP-�.r�/"� - �' FINAL
JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION . cN. M.G. CASH _ PERMIT VALIDATION OK Mo. CASH
6i
,76A_638A CE 9803 4/70 { la _
4. APPLICATION FO BUIL ING PER IT
•'COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMMIE, COUNTY ENGINEER ADDRESS -[� YGP
COLEMAN WL JENKINSj SUP T OF BUILDING LOCALITY L
r
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
Print ort DDI „rayiJ
DISTRICT NO. GROUP TYPE PRO SSED BY
BUILDING —G, CONST, ,�
ADDRESS �.L
STATISTICAL CLA SI FICA71ON SEWER MAP
NO. 3 BLOCK CLASS NO._DWELL,UNITS BK� PG//-
'TRACT eef) ,UONE MAP r
NO.OF BLDGS. /J NO.
SIZE pF LOT "— 7 (� NOW ON LOT J 1 SPECIAL
USE OF ��, iii / CONDITIONS
EXISTING BLDG :yG1491c&.4iE�
TIE
OWNER NO. l BLDG.SETBACK FROM
A DORESS FRONT PROP.LINE OF (STREET)
�..--s..�.J
/} TYPE OF E%(STING SETBACK HIGHWAY } YARD = TOTAL
CITY + u
HIGHWAY1 WIDTH I FROM C.L.
ARCHITECT OR TEL, } _
ENGINEER NO. BLDGS ETBACK FROM
ADDRESS SIDE PROP.LINEOF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR I NO. HIGHWAY WIDTH FROM C.L.
LIC. _ d
ADDRESS NO. + U
LIC. S I�'
CITY CLASS CORNER CUTOFF •\�YE'S�u �� NO ,V., p
CONSTNAME AND BRANCHHDER SEE REVERSE SIDE FOR SPECIAL A PROVAL N U
n.
H
ADDRESS NO OF No//
SIOZET 360 STORIES FAMIOLFES NEW
USE OF ADO ❑ _ L 7 '�
STRUOTURE
ALTER ❑
REPAIRED
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATIONS 00
APPROVALS DATE Ius Pl/T.R•G SIGNATURE
P.C. �J PMT �P^^ FOUNDATION: LOCATION •5� / //
FEES 7s FEE Sd��l f FORMS,'MATERIALS J11-6111 J1 /q-Y�LLgC.r�,+', �L
_ FR
BRACING,
FIRE
BOLOTS �7I
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STIRUC TION. CERTIFY THAT IN DOING THE WORK AUTHORIZED
W
HEREBY I ILL,NOT EMPLOY ANY..PERSONINVIOLATION-OF THE CAYFR-.INT. w
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO v
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDREss 30 FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION .OK. M.D. CASH
�.P.,r 9 9 6 5+; .FR28 1 D 2 7.75-
96A939A CEu803 B-63 APPLICATION FOR BUILDING P MI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS j�J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISJCT NO. GROUP TYPE PR SED BY
FOR APPLICANT TO FILL IN CONST. —(
SUILDIN STATISTICAL CLASSIFICATION 5 ER-MAP
ADORE O /E E - - K P
,CLASS. N0_15—DW ELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE: _
TRACT v MAP HIGHWAY
NO.OF BLOGS. / NO. (CIRCLE) STATE MAJOR SECOND, OCAL O
SIZE OF LOT NOW ON LOT I USE ZONE PECIAL
USE OF , A r� �y CONDITIONS
EXISTING BLDG. EA u I // rra�yy Jlf L
TEL
OWNER 0AJ r 6N NO.IQ' PT75 BUILDINGEXIST.
G /yam 6 SETBACK YARD HWY STREE AVE�IJWIDTH
ADDRESS S ®I / eVi/!!�w -/✓•/ L/T FRONT
ENGIiNEARIERT OR ��� /}/C NO k SIDE
P. L.
ADDRESS ! '71 �NIJ mt� wvp-/.A•q a
j i� Q
CONTRACTOR -��®� /� m NTOEL.. �jJ/ V
ADDRESS 3_� , 4 714,,;-
DESCRIPTION
L DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR DEMOLISH H
SQ. FT.. . I NO. OF NO. OF ?
SIZE STORIES FAMILIES -USE OF
STRUCTURE V I T C ✓ .e
5t - Ais cr ? 2
SIGNATURE O J O
APPLICANT !wT
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �i FOUNDATION: LOCATION
FEE $ FEE $ 6 FORMS. MATERIALS
FRAME: FIRE STOPS.
HEREBY AC K HOWLED GE THAT I HAVE READ THIS APPLICATION BRACING, BOL%TS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY F RNACE' LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BOILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CQ,MPENSATION INSURANCE
� LATH. EXT.
SIGNATURE O / / ..' // HOUSE NUMBER COR-
PERMITTEE 1QGld1� •'CCC...IGGfNWfD c+'VT ERECT AND POSTED
AFINAL
Y JOHN F. LEWIS. PRINCIPAL STRUC AL ENGINEER
ELAN CHECK VALIDATION CK, WE, CASH PERMIT VALIDATION CK. M.D. CASH i'
UL0 7 8 6 2-G JAM 2 5 1 D 8.0 0- 0.1
,APPLICATION FOR BUILDING PERMIT
- 'FOR APPLICANT+.TOFILL IN IP, Nt0.lyP, .,10 ..
BUILDING COUNTY OF LOS ANGELES
ADDRESS 5O/ I�Ac � ' J '/ DEPARTMENT` OF.COUNTY ENGINEER
clTv TE pct' �r.'7 ZIP BUILDING AND ETY DIVISION
��// JJ W NO.OF BLDGS. BUILDING
SIZE OF LOT J X ( Z. NOON LOT I ADDRESS:
/
TRACT BLOCK I LOT NO. LOCALITY
pp TEL. LL..0 _ NEAREST
OWNER AA O. SI��H'/S�rta O. 9/ CROSS ST.
ASSESSOR
ADDRESS ( �/j L-t;i/l/�A/ 4L/f_1 MAP BOOK I PAGE RCEL
/��p G /�.7�
DISTRICT GROUP TYPE FI PRO ESSED BY
CITY -aM Pte Cil ZIP ( ,y _ CONST. ZO E /
ARCHITECT OR TEL. .�oa -!—
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. Dal
DWELL,UNITS BK
TEL
CONTRACTOR ND-l^ U ONE MAP '�'�/
-LIC. NO. OC
ADDRESS - NO, >• / SPECIAL
LIC. CONDITIONS
CITY CLASS.
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
NSTRUCTENDER
CO
NAME AND BRANCH ET CK FROM
FRONT y
FRONTP OP.LINE OF ISTREE TI CD,
CITY -
HIGHWAV } YARD TOTAL SETBACK FROM TYPE OF EXISTING U
Sp. FT e9 NO. OF NO. OF _ CHECK' FRONT PROP, LINE HIGHWAY WIDTH
OC;
SIZE �a t� STORIES FAMILIES ONE O
NEW ❑ U
DESCRIPTION OF WORK W
CL
- BLDG.SE TRACK FROM "- ,•, h
JCx ,-N _
O / IV CT ADD .SIDE PROP.LINEOF (STREET) Z
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING
��pPO D
?f REPAIRHIGHWAY } YARD - SIDE PROP. LINE HIG YJ WIDTH
USE O
L� ❑
EXISTING BLDG. /7 u'/I'f DEMOL ❑ + -`
APPLCANT- �^ �1 TEL d' CORNER CUTOFF YES,[_] NO
(PRINTF {Jt IY1.A!/I!-$cI✓ No.
F ❑ _
BY ISIGNA TUR _ NO
/L4t-"1
IN OPEN SPACE YES
QQ 0� ((� IN COASTAL ZONE YES I] NO E-]VALUATION rT sem+-� V Lit
CATEGORICAL EXEMPTION YES NO'�
I HEREBY ACK"WLEOGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT'THE ABOVE 15 CORRECT AND AGREE TO COMPLY 'IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -
LABOR CODE THE STATE OF CALIFORNIA IN RELATING TO _9O ^� G ^� C S•��G'/tl
WORKMEN'S CO`NPE ATI ,IN5URA /�
SIGNATURE OF '� D/ E.A4v
PERMITTEE
.ADDRESS "L € -fix/ •C
CITY / P_�✓I�Z. �b NO.L�/T�� DATE
KE
NAL BY
tia hE CHI-C KS P:1)ABLE- /'O: FEE $ FEE,$
HARVEY T. BRANDT, COUNTY ENGINEER
1 �
'PLAN CHECK VALIDATION M.o. CASH _ PERMIT VALIDATION ' Mo CASH
76 g638A CE#80312/J2
i ttf�_ 4 0 Dec 11 1. ,D 8 .5 ria
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELESGI �l (� �fj (�?
WM. J. FOX. CHIEF ENGINEER CBS lJ L N G
FOR APPLICANT TO FILL INFrR
OFFICE USE ONLY
BUILDING T PLANCK.NO. PERNITNO.
ADDREBBLOCALITY TEMPLFc CLT DATEOFAPPL. DATEISSUEDDNEAREST
CROSS ST.
OWN[R • , EL.LJMAt� R69 LG VI IE(A-1
MAIL ADDRESS t'�KLJEIJQ�.TC �U�. LOCALITY I C i
ST
CITY AN CDA(3t tet- TNo �T6'soba a CRo S
pJST.
ARCHITECTOR _ TEL ZONE PLANS TMP DR
ENGINEER "' NO.
BLDS. ORD.NO. .
ADDRESS SETBACK LINE Z
G e.. APPROVED
CONTRACTOR CO. t4CaL)AAA IJ NOL Jr.�1 CT BY - DAT[
/
USEAPPROVED
ADORE 88 SAME ZONE -I BY DATE
LEGAL /y^J CORRECTIONS
DESCRIPTION
— LOTNO. '.J"J BLOOK
TRACT k4-o--4.o
NO.OF BLDG
SIZE OF LOT O ' I NOW ON LOTS
USE OF �_ NO.OF NO.OF
EXISTING BLDG. FAMILIee ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
R
REPAIR Q MOVING �+�. �OEMOLIBH S
9 ZETA ��WALL ��/) ROOMS '40 ,;STORIES STOO'RIES k
ROF
COVERING \'L E� I COVERINGUSEOr
B U ILDINOW )u�N�.
GAQAc-EA A-TTAcHsc> 7-a.r o
-r T
11-4 AL
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPB,
SIGNATURE OF BRACING.BOLTS
PERMITTEE
LATH, INT.
AUTHORIZED AOT C=Js - LATH. EXT.
76A638A-3 u-� $ DOI 1 2 PLASTER.INT.
FEE
O "y p •• PLASTER,EXT.
VALUATION 1 FEE B' � FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO 91N ' FOR OFFICE IISE ONLY
BUILDING DIBTRI�NO. PLAN CK.NO. PERMIT NO.
L.
ADDRESS I- , '1 C 1'. q 9 -�Q? 73
LOCALITY E [ RECEIVED BY DATE OF_IAPPL. DATEISSUEDNEARESTWO BBT �1 I^) TADDRESSbrAj�q �0 Y A �1 G V IOWNER (r(� �,`MAIL A DOR
LOCALITY VCITY CJ lr-
CROBB BT. O FIRE NO.OF TVP[�� GROUP
ARCHITECT OR . ZONE PLANS .Vi+
ENGINEER NO.
BLOB. RD.NO.
ADDRESS SETBACK LINE q
APPROVED
CONTRACTOR TEL S,4-099 BY OAT[
USEAPPROVED
ADDRESS /✓� ZONE BY DATE
LEGAL -CORREC�wTIn�ONS
DESCRIPTION LOT NO. 1J 3 BLOCK
TRACT 11407- 0
140Z0
No or
SIZE OF LOT /Q $( /6'?, I NOW ON LOTS G
UBE OF NO.OFNO.OF
EXISTING BLD% FAMILIEe ROOM9
DESCRIPTION OF WORK yl
NEW ALTERATION ADDITION /O
REPAIR MOVING DEMOLISH / N G_
size T. 'G i/ G NO.OF ` E 2
WALL (� T 7 ROOMS J 9TOR/I`EB /1 �I /r/
Dor
COVERING COVERING
F
NEW '�
BUILDING
V/ I
EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
CATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
GREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
ATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
URE OF BRACING.BOLTS
ITTEE LATH, INT.
IZED ADT - LATH. EXT.
3 2-� V$ P C.S �L;FINAL
PLASTER. INT.
V I CIOFEE PLASTER.EXT.
ION o T B L�
FEE
WORKERS'COMPENSATION DECLARATION ' �E
insure,or afirrcertificalte ofave Workes' Compensation Insurance, I APPUCLO&OWE FOR RMMMNG. PEG3MIT LI IS
or a certified copy ereof (Sec. 3800, Lab. C.) - -
y �f X19 WW1 p Y s rw� COUNTY OF LOS ANGELES. . BUILDING AND SAFETY
Polic N Company
Certified co is here, furnished. - BUILDING
Py ' v FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed With the county building inspec- BUILDING �� ����J
`P tion depalrtme+n�l7 ADDRESS' (..Ci// - LOCALITY _
NEARE
Dal pplimnt. CITY
Imo.`� ZIP CROSS ST.
. . CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS.' ASSESSOR
.COMPENSATION INSURANCE, SIZE.OF LOT Z D" NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed,if the permit is for one- '' - USE ZONE MAP
hundred dollars.($100)or fess-) TRACT BLOCK LOT NO. NO.
- / SPECIAL
I certify that in the performonce of the-work for which this OWNER - TEL. y NQ CONDITIONS - - >
permit is issued I shall not employ any person in any manner GROUP I TYPONST ZONEE FIRE PROCESSED.BY !O
ADDRESS_JL/ /Y'K+ (/(L✓ CU
so as to become subject to the Workers Compensation Laws.
CITY A ZIP
Date ` ' Applicant {.. SATISTICALC IFICATION APT. CONDO.
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O ` TEL.
Exemption, you should become subject' to the Workers' ENGINEER N/' LNBr ( CLASS NO. DWELL. UNITS_ d
Compensation provisions of the Labor Code, you must forth-. ADDRESS ���"`� SEWER MAP
with comply with such provisions or this permit shall be �/ TEL s�
deemed revoked - CONTRACTOR ((� NO. /� BK. PG', VALIDATION
LICENSED CONTRACTORS DECLARATION �pp�. LIG �r
hereby affirm that Tom licensed under provisions of Chapter 9 ADDRES `(J-1r NO.37 ze VALUATION
(commencing with Section 7000)of Division 3 of the Business and - t4 b� LIC.
Professions Code, and my license is in full force annd effect. CITY �Ii CLASS $/♦ CSG/
37� J� SQ. FT. STO IE NO.OF CHECK D
License Number F� �� .tic Class^ • SIZE STORIES FAMILIES ONE
/�`�� &'&f � DESCRIPTION OF WORK NEW. ❑ $
Conlrador N 4YT wi ate A �D ADD
I am exempt under Sec , /t1 Gf"�
ALTER � FINAL
❑
B.BP.Q for this reason REPAIR DATE
ft Date: USE OF i DEMOL FINAL -
EXISTING BLDG. (.✓�f 4; ❑ FI hw`
Signature - - APPLICANT TEL.y
OWNER-BUILDER DECLARATION. PRINT /6'cM NO` &—ei / ' / '
I hereby off irm that I am exempt from the Contractor's Llcense - - So / D {/� oK / 3
Law for the following reason (Section 7031.5, Business and . ADDRESS III"'��"" ��JJ y
Professions Code): PRESENT
I, as owner of theproperty, or'm em to ees with BUILDING
y p y ADDRESS
wages as their sole compensation,will do the Work'and -
the structure.is not Intended or offered for sale(Section LOCALITY _
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to.construct'the project (Sec-
tion 7044, Business and Professions Code). - 8 8 3j,TA
REQUIRED TOTAL SETBACK FROM EXIST. �# •,
CONSTRUCTION LENDING AGENCY &
SET BACK YARD HWV PROP. UNE.- WIDTH - _ - °s•s .
I hereby affirmthatthere is a'construction lending agency for FRONT D
the performance.af the work for which this permit is issued P.L. 2•� .� O Q 3
(Sec. 3097, Civ. G). � - SIDE
Lender's Name - P.L / ,° ° (W 3OX.
_Lender's AddressP.C. Fee$ Permit Fee _ / O 1,O.b—8.3.
I certify that I have read this application and state that the Issuance Fee Ln
.a above information is correct. I agree to comply with all County Investigotion Fee _ -
g ordinances and State laws relating to building construction; Total Fee '
G and hereby authorize representatives,of this County to enter
uPon above-menti n�rty for spection purposes.
/ 6 y SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of App icon or Agent `Dat' e - ®s
COUNTY OF LOS ANGELES TEMPLE CITY 1f 0508 BUILDING PERMIT
- DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802050022
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 14020 LT: 33 SQ. FT STORIES TYPE 5019 DALEVIEW AV r y
STRUCTURE: 0 VN TEMP CA 917803520 1"v Lf� 1 /�V
ASSESSORINFORMATION NUMBER: NEAREST CROSS STREET: l b
8574-006-011 THOMAS PAGE: 597 GRID: 04 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG E: RESID USE ZONE: R-1. IS�U ON: PROCESSED BY: -EXPIRES ON:
EXIST OCC GRP: 02/05/98 UT 02/05/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL D�� O I B CODE:
MATHISON DONALD B;KATHRYN E (818) 444-2475- 1 2,500 /Z'ri/
5019 DALEVIEW AV
TEMP 917803520 FEES PAID DESCRIPTION OF WORK I , V
TEAR OFF AND INTSTALL 25 YR. ASPHALT SHINGLE OVER EXISTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PLYWOOD
APPLICANT: TEL. NO:
SUNSET ROOFING (626) 357-3996- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HCS --- —2500tOO VAL 99.15
b, GE1 LTOTALiFEES 127.40
CONTRACTOR: TEL. NO: Glv / APPROVALS DATE INSPECTOR SIGNATURE
SUNSET ROOFING (626) 357-3996-
5660
57-3996 5660 GARY PARK AVE. LIC. NO LOCATION AND SETBACKS
ARCADIA, CA. 91006 603218/C39 /'
5t � SOILS ENGINEER APPROVAL
ARCHITECT OR ENGIN ER: TEL. NO: �� �^ i � \` FOUNDATION TRENCH FORMS
t
1 111 CIL. NO: � i 71�1 SLAB/UNDER FLOOR 2'+:
RAISECFL R F� RAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
147H277 3 01 \--\ UNDERFLOOR INSULATION
„ V i/ ��;A
FLOOR SHEATHING
NU. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS V'G,C.O
NO 21 (� 1 �(, ' ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS \YOpX �S�'CCIA"L O� �4��SI �i�L�T�("A SH AR PANELS
AIR QUALITY: 1000 FEET MATERIALS �. J
NO NO NOe-v 1 FRAME INSPECTION
REQUIRED TOTAL SETBAN FROM EXIST FIRE SPRINKLER HANGERS
SET BACKYARD: HWY: PROP LINE: WIDTH: �� INSULATION/WEATHER STRIP
FRONT PL- (�
SIDE PL- Y/pQ HT1 �GCC(q 11INTERIOR LATH/DRYWALL
EXTERIOR LATH
11 1 RATED FLOOR/CEIL ASS M.
C yr �Gc }1
`�• RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508