HomeMy Public PortalAbout10568 DANBURY ST_Building__ ,6A53.>�F#A.,=-63AP.PLICATION FORa BUILDING. PERMIT
COUNTY'OF LOS ANGELESBDILDING (! �
DEPARTMENT OF COUNTY ENGINEER
ADDRESS . /V (!2 '
BUILDING AND SAFETY .DIVISION LOCALITY — Gam' 0-/
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST )' _
WILLI AMA. JENSEN, SUP'.T of BUILDING CROSS ST.
• I DISTRICT NO. I GROUP ITYPE PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING - STATISTICAL CLASSIFICATION SEWER MAP
ADORE SS
CLASS. NO. ® DWELL. UNITS BK MA'
LOT NO. o BLOCK I WATER NOT REQUIRED ❑ RECEIVED ❑
TRACT 2860 CERTIFICATE:
LNO.
HIGHWAY
L NO.OF BLDGS. U ICIRCLEI STATE MAJOR SECOND. CAL
SIZE OF LOT6Z X 81 NOW ON LOT none SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
EOWNS a C NO — EXIST.
YARD HWY TREET NAME WIDTH
ADORESSSa.41 Baldwin Ten 1e Clt ARCHITECT O TE ENGINEER lAll ElOdp7ell NOt ADDRESS 4224 Arla Rd. Altaderia I a
CONTRACTOR
1� B.B.C.BBNO ,�� I Q
ADDREss5041 Baldwin Temple Cit A, w
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DESCRIPTION OF WORK
6 ADD ALTER REPAIR DEMOLISH v7
NEW Z
SIQZET �p. STORIES 2 FAMIOLFES
NOOF c.
USE OF
STRUCTUREesiden a & Garagp
SIGNATURE OF 1
APPLICANT
C
VALUATION _p_. Cb✓7-U
s+yi�l4_ APPROVALS DATE INSPECTORSSIGNATURE
P.C. S PMT. (() FOUNDATION: LOCATION
FEE 5 FEES FORMS. MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COVNTV ORDINANCE$ ANO STATE LAW$ REGVLATING GAS VENT. DUCTS
BUILDING 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-
INC TO WORKMEN'S ,MPENSATION INS VRANCE. LATH. EXT.
SIGNATURE OF /
PERMITTEEE/� HOUSE NUMBER COR.
���`-� — RECT AND POSTED / q
ADDRESS FINAL v�' G
JOHN F. LEWIS:�PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION c '�M.o. CASH _ PERMIT VALIDATION cK. M.o. CASH
tl! o % 055 d142 => D . 37.'' 5.
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202060048
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 28607 IT: 1 1 SQ. FT STORIES TYPE 10568 DANBURY ST I
I ISTRUCTURE: V-B TEMP CA 917802821 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: PAI MAL
18586-011-046 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
I I I
(TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 102/06/12 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION IFINAL DATE FINAL BY: CODE:
I POULOS JOHN T;YIOTA 1 (626) 448-5034-
10568 DANBURY ST 1 5,000
ITEMP 917802821 FEES PAID pESCR PTION OF WORK y
IREMOVE EXISTING ROOF INSTALL 1/2 PLYWOOD OSB INSTALL 30 FELTI
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IAND INSTALL 30 YEARS SHINGLES CLASS "A" I i
APPLICANT: TEL. NO:
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.60 I I
IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 (SPECIAL CONDITIONS: I
I IAC STRONG MOTION REBID 5000.00 VAL 0,50 1
I ID2 PERMIT W/O EN-HC 5000.00 VAL 132,80
I I TOTAL FEES 162,10
(CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
I LIC. NO I ILOCATION AND SETBACKS
I I I
I I SOILS ENGINEER APPROVAL I
I
IARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
II
I LIC. NO: III SLAB/UNDER FLOOR
I
(RAISED FLOOR FRAMING 1
I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I 1UNDERFLOOR INSULATION
150H273 3 001
I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
1 I NO 21 1 1ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
I NO NO NO FRAME INSPECTION
I (FIRE SPRINKLER HANGERS
IINSULATION/WEATHER STRIP
IINTERIOR LATH/DRYWALL
(EXTERIOR LATH I
I (RATED FLOOR/CE IL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
I I (LOT DRAINAGE
I I
IRE PORT I0: DPR261 ROUTE TO: BSO508
I
I I