HomeMy Public PortalAbout4836 DOREEN AVE_Building__ (ClN
76A638A CE#8030-64APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING f .
DEPARTMENT OF COUNTY ENGINEER ADDRESS N12
BUILDING AND SAFETY DIVISION LOCALITY �Q
'JOHN A. LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W. JE NKINSSUP'T.OF BUILDING CROSS ST.
DISTRICT NO G OUP TYPE, P=C SSED BY
FOR APPLICANT TO FILL IN /p �tGG[ r coNsr. �«�L
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS a2jc.N _ BK PG 3
T� CLASS NO. DWELL UNITS
LOT N c{. 17_1 0 LOCK USE ZONE' NOAP
TRACT SPECIAL
/ I NO�OF BLOCS. CONDITIONS C+
SIZE OF LOT �, NOw ON LOT
USE OFcc
E IB INC lLLQ SCA •Q- L� BLDG. BE FROM
TEL. FRONT PROP. LINE OF "�+ (STREET)
Id
OWNER U!! NO. TYPE OF EXISTING 5ETBACK HIGHWAY + YARD = TOTAL
ADDRESS C HIGX WAY W T 'I OM LL '
CITY &,o + = 15,e)
ARCHITECT OR /. TEL. BLDG. SETBACK FROM
ENGINEER�r%�y'�(,. GIT�TE NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS L' (LC;/�- HIGHWAY WIOTH iROM C.L. 1
CONTRA C/TOR LUf N TE LL Vv� / } _ 'O
LIC
ADDRESS/ �. Z 4. V Lasl NO CORNER CUTOFF YES NO O
CITY CL C53 SEE REVERSE SIDE FOR SPECIAL APPROVALS v
W
DESCRIPTION OF WORK °
Y� Z
NEW F� ADD ALTER REPAIR DEMOLISH • //
SO.FT. NO. OF NO. OF � �• ��j��
SIZE ST RIES AMILIES
SUSE OF TRUCTURE RI �1
SIGNATURE, //yy y •V_ V+r�yESe'
APPLICANT //�� 1.(,CCt
VALUATIONi -agobj �. I B
APPROVALS P�++ DATE NS/P�E�C,T�O�R�S�9 I G�NA�TURE
P.C. Y/ PFO
MT. Z FORMSIMATERIALSON K,LFIb.T u �,r,..
FEE,IS ,(_ FEES
FRAME, FIRE STOPS, V
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ATO CO TON BRACING BOLTS
ANDWITH
STATE THAT THE PROVE IS CORRECT AND AWS E COMPLY ( FUGAS CE: LOCATION
WITH NG COUNTYCONSTRUCTION,
TIORDINANCES, IR AND STATE LAWS REGULATING / GAS VENT. DUCTS /
AUILORIZ CONSTRUCTION. CERTIFY THAT. IN DOING THE WOR
AUTHORIZED F TH HLABOY WILL NOT EMPLOY ANY PERSON IN VIOLA-RELAT- LATH. INT.
TION OF THE LABOR COD[ OF THE STATE OF CALIFORNIA RELAT. '
INC TO WORKMEN'S CO ENSASTI OI 15VRANCE.
LATH. EXT.
SIGNATURE O �.X, !Rt,Q� J HOUSE NUMBER COR9c"F� I�`f
PERMITTEE RECT AND POSTED ,C1Y..'"
ADDRESS — FINAL "y
JOHN F. LEWIS. PRINCIPAL STRUCTy AL ENGINEER
PLAN CHECK VALIDATION ON M.O. CASH _ PERMIT VALIDATION cK. M.o. CASH
L ACO 3 9 5 3a AL 23 2 1 D 3,% 5- v
LAICO 3 9 5 4`D JUL 2 3 1 D 1 5.00-
APPLICATION( FOR BUILDING PERMIT
FOR APPCICANT TO FILL IN (Print or type only) `
BUILDINGCOUNTY OF LOS ANGELES
ADDRESS % - DEPARTMENT OF COUNTY ENGINEER
OTr e= Z_�g Li 7i/ ZIP BUILDING AND YaTTY DIVISION
N1.OF BLDGS. BUILDING Q
SIZE OF LOT Y % x T LIS NOW ON LOT ADDRESS �J3 -L
TRACT 3.� �� BLOCK LOT N 5i0fL,64 LOCALITY -"
OWNERc/3�,n_7 E �rnEGiC.NO.¢4- cR�ossS
pp
ASSESSOR
ADDRESS po Xeo 'an el:;-6-7k MAPBOOK PAGE PARCEL
{ITY DISTRICT GROUP TYPE - FIRE CESSED Y
% ZIP G� CONST. ZO
ARCHITECT OR TEL
ENGINEER _ NQ STATISTICAL CLASSIFICATION $EWER AP
ADDRESS C> ( DWELL.UNITS SK PG
CLASS NO.
CONTRACTOR 90�/Y
TEL �7
StT.V LIC. (�A24-71 USE ZONE MAP ' O
q �j /� NO.
ADDRESS/ TJ 0/7 �GZ�[ -/f/ NO. .2-2-6/ �I SPECIAL
A� LIC. CONDITIONS
`ENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER 7-
NAME AND BRANCH A10 /✓C.' BLDG.SET CK FROM
FRONT PR .LINEOF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPEOF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHWA + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE t-I STORIES FAMILIES
DESCRIPTION OF WORK NEW ❑ + O
QQ� 7y�[�' BLDG.SETBACK m
Z F:L kc')-J!2 ADD "� SIDE PROP,LINE OF (STREET) O
3 ALTER ❑ ALS BA K F YPE OF EXISTING w
USEOF / l/ REPAIR ❑ HIGHWAY + YARD = -SIDE PROP.LINE IGHWAY WIDTH . Z
EXISTI NGBLDG.a�/-"--- A r EMOL ❑ +
APPLICANT � " TEL CORNER CUTOFF YES E] NO
❑
(PRINT) y NO, ' 3 QO L
/ 1 IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE(
pp ,IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION $ !/
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -
THELABORCODEOFTHESi E OF CALIFORNIA IN RELATING TO KMEN COM.
PENSATION INSURANC
SIGNATURE OF
PERMITTEE _
ADDRESS / 2
FINAL BY
CIT �`� GL rC NO. S �DOP ' DATE �'ati`4
MAKE CH CKS PAYABLE TO: FEE'$ - FET $ 102 • 7
HARVEY T.BRAN DT.COUNTY ENGINEER /7 / Lam.
PLAN CHECK VALIDATION -K. M.O. CASH (� PERMIT VALIDAT ONcK. M.O. CASH
709 sign 1523 D 61.6_ 5 L
042N'•-1 ± iD 1 V 2.75Atid
®R 76A638ACEN803375 -
CpLc
COUNTY OF LOS ANGELES TEMPLE CITY 9 OSOB BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 7701 LAS TUNAS ALTERATION/REPAIR
BUILDINGG ANDND SAF SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 0609120082
' PHONE: (626) 285-0485-048 8 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 13645 LT: 65! BL: .001 SQ.. FT STORIES TYPE 4836 DOREEN AV
STRUCTURE: VN TEMP CA 917804115
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-026-033 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/12/06 JK 09/07/07
OWNER: TEL N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATEPI - BY: - CODE:
GREEK ROBERT E;MARILYN E (626) 448-1029- 500 11"_6
�V/
4836 DOBEN AV (�{� 61 �/��
TEMP 917804115 FEES PAID DESCRIPTION OF WORK
REMODEL KITCHEN (PATCH DRYWALL)
PEE DESCRIPTION: QUANTITY: VOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS:
B2 PERMIT W/ENERGY 500.00 VAL 48.02
TOTAL FEES 76.27
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUYDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
144H273 3 01
FLOOR SHEATHING
N0. OP FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS -
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ZD: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807210092
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 13645 LT: 65 BL: .001 SQ. FT STORIES TYPE 4836 DOREEN AV
STRUCTURE: 0 VN TEMP CA 917804115
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA RD.
8585-026-033 THOMAS PAGE: 597 GRID: C5_ LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
/- EXIST OCC GRP: 07/21/98 UT 07/21/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI DATE FINAL BY CODE'
GREEK ROBERT E;MARILYN E (626) 448-1024- 1 3,200 v
4836 DOREEN AV Z- 9) `7 $ ?�--
TEMP 917804115 FEES PAID DESCRIPTION OF WORK
RECOVER HOUSE AND GARAGE WITH ELK, 30 YR. COMP. SHINGLE
FEE DESCRIPTION: QUANTITY: UOM; AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION,RESID'_- „3200.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0°EN-HC- .;3200:00 VAL 115.80
�n =i OTA jFEES 144.05
CONTRACTOR: TEL. N0: '� ��� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
1,p
ARCHITECT OR ENGINEER: TEL. NO: tiJ' _ -% \ FOUNDATION/TRENCHFORMS
i
LIC.-NO: - -_ --- ! -mit illi SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
li y
i
MAP NO: SEVER MAP BOOK: PAGE: FIRE ZONE: CMP: �� ����' �r� � I� i � � � 'I UNDERFLOOR INSULATION
144X273 3 i0d
N0. OF FAMILIES: DWELLING UNIT FLOOR SHEATHING pPT/LOND: STAT CLASS --- --- _ - --.- _�
NO 21 '�\ \ i -' / ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS �� \ 3 F''t` ��• SITEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXISTC� _ ` �0 FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: ��rV: �.-+RyB
FRONT PL- _ ic2 INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR ATH/DRYWALL
EXTERIOR LATH
RATEDFLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY `- # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0007190007
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 13645 LT: 65 BL: .001 SQ. FT STORIES TYPE 4836 DOREEN AV
STRUCTURE: VN TEMP CA 917804115
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-026-033 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/19/00 UT '1/16/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
GREEK ROBERT E;MARILYN E (626) 448-1024- 1 2,500 '7_�2 �(,�
4836 DOREEN AV L-dV
TEMP 917804115 FEES PAID DESCRIPTION OF WORK
INSTALLATION OF 10 NEW WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
KOACH'S WINDOWS AND DOORS (909) 309-8984- AA BLDG PERMIT ISSUANCE 27.75
285 W. ALLEN AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS:
SAN DIMAS, CA D2 PERMIT W/O EN-HC` 2500.00 VAL 99.00
ii-�.. �JOTAL-FEES 127.25
\1J-_L�__o
CONTRACTOR: TEL. N0:
KOACH'S WINDOWS AND DOORS (909) 305-8984- APPROVALS DATE INSPECTOR SIGNATURE/� �� ��
285 W. ALLEN AVE. LIC. NO � .� �� LOCATION AND SETBACKS
SAN DIMAS, CA 91773 729464 C17 !, J
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ,� FOUNDATION/TRENCH FORMS
C. N0
ppppppUUUUUUffffff l ` SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:01UNDERFLOOR INSULATION
144H273 3 � '
4L
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLAS :--- - --- -- - -- --- - -- - - -�
NO 21 �( - -- U e I -- / /�� ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS
r SHEAR PANELS
AIR QUALITY; 1000 FEET MATERIALS
NO NO NO -� AAS., �_/ � FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXISTV iC //� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: b/' _ 0;
_/
FRONT PL- `SeThaf INSULATION/WEATHER STRIP
SIDE PL-
rvice
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508