HomeMy Public PortalAbout5103, 5105 DALEVIEW AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0301100009
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: N0. OF —CONST NEW BUILDING DRESS:
TR: 14020 LT: 34 SQ. FT STORIES TYPE OCCUP GROUP 5103 DALEVIEW AV
STRUCTURE: 380 1 VN U1 TEMP CA 917803522
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: ARROWOOD
8574-006-013 OTHER: THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIR S N:
EXIST OCC GRP: 01/10/03 , JK 01/05/04
OWNER: TEL. N0: BLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL �BY: CODE:
UNG•LENG K (626) 279-9816- 5,586
5101 DALEVIEW AVE
TEMPLE CITY 91780
FEES PAID DESCRIPTION OF WORK
NEW 9.5'X40' OPEN PATIO WITH LAUNDRY AREA (WASH SINK, WASHER
APPLICANT:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND DRYER)
TEL. N0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 5586.00 VAL 0.56 SPECIAL CONDITIONS:
02 PERMIT W/0 EN-HC=-=�5586.00 VAL 149.40
�1GELE-TOTAL FEES 177.71
CONTRACTOR: TEL. N0: C> P `otjj� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - �0 Ty
LIC. NO LOCATION AND SETBACKS
'I SOILS ENGINEER APPROVAL /-
ARCHITECT OR ENGINEER: L. N : FOUNDATION/TRENCHFOR—MS
LIC. NO: 11171�1 SLAB/UNDER FLOOR J /
IIIFFF'lJl'---lll �'_
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
UNDERFLCOR INSULAT ON
3 01 aV1H%sl STLEVEL FLOOR SH T
H
NO. OFFAMILIES: DWELLING UNITS: APT/COND: STAT LASS:-
NO
21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS O hs' t1 R00 SHE HING
NO NO NO \L�'��('jJ FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK—FROM EM sBLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: b�jC Iic ! t�O
FRONT SC=V�CQ Th4Y� SHEAR PANELS
INSULATION/WEATHER S RI
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT RAINAGE
SMOKE DETECTION DE ICES
FIRE DEPARTMENT AP ROVAL
REPORT ID: DPR261 ROUTE TO: SS0508
F�'
CITY OF TEMPLE CITY
1.A.38A. CE#BOBS-., APPLICATION- FOR. BUILDING." PERMIT
COUNTY OF CLOS ANGELES -ApoR°EIS's O J 1/iia; Lei
DEPARTMENT OF-COUNTY ENGINEER / y, -
BUILDING AND SAFETY DMSION LOCALITY CITY
JOHN A. LAM SIE, COUNTY ENGINEER NEARESTI
WILLIAM A. JENSEN SUPT OF BUILDING '
CROSS ST, 'f'/'G aU O O
DIST6LCT NO. GROUP TYPE PROCESSEDBY f.
FOR APPLICANT TO FILL IN - 3 . O CONST. `g i'led ci
.BUILDING '
STATISTICAL CLASSIFICATION ER MAP-
ADDRESS b /O f. G BK.- • PG
CLASS. NO.�D ELL. UNITS - /.lO -
LOTNO. C 1 .BLOCK' WATER - NOTREgUIRED RECEIVED
CERTIFICATE:
Li
TRACT ` MAPHIGHWAY STATE MAJOR,SECOND, LOCA
'7/� 'NO.OF'BLDGS. NO. O 3 (CIRCLE)
_
SIZE OF LOT/(/x G•' NOW ON LOT U57 ZONE SPECIAL 1
USE OF CONDITIONS /O
.EXISTING B G.
ff TEL. J .
OWNE NO. BUILDING YARD HWY STREET NAME EXIST.
" (SETBACK WIDTH
ADDRESS FRONT l,' I -
ARCHITECT-OR TEL.' - P. L. ( /a:�p MIo �/ }
ENGINEER '! ' NO. SIDE d
ADDRESS
EL. INSPECTION RECORD
CONTRACTOR O
ADDRESS �a U
DESCRIPTION OF WORK �� a
Z
.Z
NEW ADD - ALTER REPAIR DEMOLISH `/ - �.✓
_ /, NO.OF NO.OF
IZE [/ OSS STORIES FAMILIES /.
USE OF
STRUCTURE L
:SIGNATURE F., -
kAT[ON:
APPLICANT {7.!VALUATIO ' O. lAPPROVALS DA E. INSPECTOR'S SIGNATUREP.C. LOCATIONEE $ MS,'MATERIALS V
FRAME: FIRESTOPS.
HEREBY ACKNOWCEDG E-THAT I HAVE READ THIS APPLICATION BRACING,-BOLTS I', O'
AND STATE THAT THE ABOVE;IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COV INANCEB AND STATE LAWS REGULATING' GAS VENT DUCTS
BUILDING GTR
.;I',CERTIFY THAT IN DOING'THE WORK n
AUTHOR, D HEREBY I ILL NOT EMPLOY ANY PERSON IN VIOLA: LATH, INT.
TION OF HE LABOfl C E OF_=STIFOR�!A RELAT-ING TO ORKMEN'S< MPENSALATH, EXT.FERMI RE OF HRECT AND POS EDRSIGNAPERMITT Ul-- - '
AODREs FINAL
CLYDE N. DIRLAM. PRINCIPAL ST RAL ENGINEER
P CHECK VALIDATION cK M.o. ' cASH PERMIT VALIDATION
L%` o 9 4 9 7 —� 111%Vl 5 2 3 D 10.EJ 'J
✓' � x, ,0814 IH y 1 D /�j
APPLICATION FOR COUNTY. OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND TY DIVISION LLLJJJ
FOR APPLICANT TO FILL IN. A�oaess__,5-/ O
BUILDING
ADDRESS /oS 7/' JI, LLLi LOCALITY
CITY /.pijC•G4 ZIP •�7�L1 NEAREST
GROSS ST.
-NO:OF BLDGS: - ASSESSOR
SIZE OF LOT OX1NOW ON LOT MAP BOOK PAGE PARCEL
��tt�" DISTRICT GROUP, TYPE FIRE ^EO BY
TRACT U BLOCK LOT NO_ ✓✓fJ CONST. ZONE
�� - I TEL �s A _ .. -
•OWNER O 7Jl NO. 73Y STATISTICAL CLASSIFICATION SEWERP
ADDRESS _ CLASS NQ_f OWELL,UNITS o-BK�igJ'G
USE ZONE MAP �j � �•
CITY — ZIP - NO.o.��J -
ARCHITECT nn TEL. Y SPECIAL
ENGINEER l'�41 Ie NO. / CONDITIONS
ADDRESS ROADDEPARTMENT APPROVAL REQUIRED , YES❑ NO ❑
' TEL. BLDG.S TBACK FROM
CONTRACTOR NO FRONT ROP.LINEOF ISTREETI
LIC.
ADDRESS, NO. ,HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP. LINE ,HIGHWAY. WIDTH _
CITY CLASS - _
CONSTR ENDER +
d
'NAME AN RANCH - BLDGS TBACK FROM - CD
ADDRESS CITY - SIDE PRO LINEOF (STREET) V
SO, FT. NO. OF ' NO. OF -CHECK HIGHWAY + RD _ TOTA B K FROM TYPE,OF E%ISTING O
512E STORIES FAMILIES ONE NIGHWAv WIpTH a~?
DESCRIPTION OF WORK NEW D +
ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z
/ QG ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR❑
EXISTING BLDG!USVOF 1 0-72 - DEMOL IN COASTAL PERMIT ZONE YES ❑ NO C]
APPLICANT TEL
(IR NT; ,Co4sE ick No. --73yoC
'BY (SIGNATURE)
_ I HEREBY ACKNOWLEDGETHAT 1 HAVE READ THIS APPLICATION T '
AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BU ILOINS CON- '
STRUC TI ON. 1 CERTIFY THAT'IN-DOING THE WORK,AUTHORIZED -
HEREBYWILL HOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OI THE STATE OF CALIFORNIA IN RELATING TO
W
WORKMKMEN'S COMRENSATIOHINSURANCE.
SIGNATURE OF FINgc_ �_� - Y
PERMITTEE DATE
AOC�RESS
TEL. P.C. Fee$ Permit Fee,
CITY NO. '
Issuance Fee
VALUATION160.
Total Fee
i PLAN CHECK VALIDATION cK. M.o. cgsH PERMIT VALIDATION cN. M.o. CASH
3.0 �.,.
�76A638A CE*803B 12/73