HomeMy Public PortalAbout4921 DOREEN AVE_Building__ ' 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 0210040006
PHONE: (626) 285-0488 EXT:
LEGAL NO. OF CONST BUILDING ADDRESS:
TR: 13645 LT; 53 SQ. FT STORIES TYPE 4921 DOREEN AV
STRUCTURE: VN TEMP CA 917804117
ASSESSOR INFORMATION M ER: NEAREST CROSS STREET: LOWER AZUSA
8585-024-039 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/04/02 JK 04/02/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE��/py� Y: CODE:
VOONG;CARRIE (626) 429-8023- 1,000
4921 DOREEN AVENUE Xf�,/
TEMPLE CITY 91780 FEES PAIDESCRI�PTI0NOF WORK
C/0 12 WINDOWS,FRONT DOOR,DRYWALL,BATHRM FIXTURES, & KITCHEN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SINK;REMOVE WALL BETWEEN DINING RM & LIVING RM
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC - 1000.00 VAL 65.40
TOTAL FEES 93.65
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO - LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: - FOUN A ON/TRENCH FORMS
LIC. NO: - SLAB/UNDER FLOOR
r
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP; UNDERFLOOR INSULATION
144H273 3 - 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLA S:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST TrRF SPRINKLER HANGERS /
SET BACK YARD: HWY: PROP LINE: WIDTH: _
FRONT PL-
INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH D YWALL
EXTERIOR LATH
RATED FL00 tL ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
DX'F�JLSMENT OF BUILDING AND SAFETY
�\COUNTY OF LOS ANGELES / [ S �-
WM. J. FOX, CHIEF ENGINEER 2 T APPLICATION
• FOR.APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILD DISTRICT N/O. P H pK o0R Rcc.'No. PERMIT NO.
ADDRESS G/ -I :/� �F E I\/ . `o: (. /r� F I ,1) .,/,;
^ L �j �I�' RECEI BY DATE OF AJ-PL ATE ISSUED'
LOCALITY / /-� DI.N `. 1 %N 3/Z/ / , �J
CR0B9 ST.
NEAREST t�-/ E`\ vi/' � 1% I BUILDING
VLb n Ci Vy�Q
t9 r � w / ADDREB9, �/ 1{I
OWNER 1� 1 I 1 1 M M /�
MAIL
�/ M /'� (� rr ^ _ LOCALITY t
ADDRESS ^/ 9 2 0n PC Fs W+ /y �� NEAREST,
.}�' AL1 t /� Q� q CR OB9 BL
CITY I r /�I L� 1� I� l� Np`TI 0.P-i ISI FIRE I Nil.Of' TYPE
ARCHITECTOR r'^^ TEL ZONE PLANS
ENGINEER I �. 71/�I� NO. \ \ . BL00. 3 ,�
SETBACK LINE -U (�
ADDRESS USE APPROVE ♦ ;
0 L41 Al rp TEL 1 ZON BY lDAT
CONTRACTOR /� N.�OO. .H(/p.. NUMBERING
ADDRESS
ADDREB9 O f' Y' ly`/ / MAP NUMBER�./� CNO. ASSIGNEO'BY
LEGAL t" CORRECTION`
DESCRIPTION LOT NO. S BLOCK
TRACT 3� 0 L44 S,J n' /►
SIZE OF LOTH X / O NOW ONLOTIV'fl[- Z
USE OF NO. OF / f-4
EXISTIN BLDG. I FA..L.CS _.
DESCRIPTION OF WORK
A
NEW •\ ALTERATION ADDITION
REPAIR DEMOLITION F
SIZE . II ROOM, STORIES
LdT ®p J
EXT.WALL (TM / ew ROOF
COVERT NO , ( V C. G V COVERINS . �7 �IIRIt 2 y SZ
USE OF STRUCTURE J
Ale", .�-
�/baa f G 0.2.E _.
INSPECTION FOR _J/v V APPROVALS
OCCUPANCYAS / INSPECTOR'S SIGNATURE DATE
` FOUNDATION: LOCATION / p
FO M9. MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FR ME: FIRESTOP9,
CORRECT. RACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES URNACE: LOCATION, -��
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. pRN VENT, DUCTS
SIGNATURE OF 4 A . LATH, INT.
IGNATUTEE + /M�
LATH, EXT. �/N'/•I`
ADDRESS 2tC� WV v
PLASTER, INT.
AUTHORIZED AOT.
' PLASTER, EXT..
$ P.
Y FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION Ou Mai FEE a �� FINAL )5/ S7L
76P638A DR$3 7-51
'DEPARTMENT OF BUILDING AND SAFETY
fl
COUNTY OF LOS ANGELES M
WM. J. FOX, CHIEF ENGINEER 'J 24jIS Zi, APPLICATION _
FOR ARPLICANT TO FILL IN FOR OFFICE USE ONLY
ADISTRIC.T NO. Qa REcI PERMIT NO.
BUILDING ��DORE9. - 040 111? JF z7r
LOCALITY `i r�) RECEI D BV DATA %ADPL. DTE 189U=D
�7 S
NEAREST �/�//
CRO999T. VV
BUILDING
ADDRESS,
LOJ.
CALITY
?Of I
ADDRESS 1/ 7 A 9 /1// DO PCEAI PrVI NEAREST
J
MAIL
` �(
TEL r Q $ OR0
88 ST. a �l
NO. 1�D, 6 I -3I FIRE NO.ce TYPE � GROUP
ARCHITECT OFO /^ ' 'EOL 1 , ZONE PLANS y
ENGINEER A/G BLDG. �J/I ! B.
A_ 9ETSACK'!LINE �V � e.
ADDRESS T -
CONTRACTOR a WAIF' TE NOL �-�E ZONE - I BYon
USE PRpVE DATE3 yi S
��/^� HH//�I t H USE NUMBERING
ADDRESS I'1-M E MAP NUMBER NO. ASSIGNED BY
LEGAL ` qq CORRECTIONS
DESCRIPTION [/LOT NO. S ,.7 BLOCK
TRACT 13 (4
hf, `' b/ y� NO. OF BLOGB.
SIZE OF LOT / S -[ ( 0 NOW ON LOT /V
USE OF NO. OF
EXISTIN BLDG. FAMILIES
DESCRIPTION OF WORK 00
NEW 1�ALTERATION ADDITION S
Z
s
REPAIR DEMOLITION F
S). FT. /I Q O NOGM / /
SIZE K U ROOMS STORIES
EXT.WALL I ROOF
COVERING COVERING
USE OF STRUCTURE
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS,
CORRECT. BRACING. BOLTS { `-'
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, /
AND STATE LAWS REGULATING BUILDING CONSTRR/}/��CTIOONN.. GAB VENT, DUCTS
SIGNATURE OF r \ 1'.!� 1 LATH, INT.
PERMITT,EE//^e A� ](�) �f `V�✓V 1
ADDRESS T r �? /V 1 LATH, EXT.
PLASTER, INT. oI"
AUTHORIZED ADT. _
/'' PLASTER, EXT.
®✓�/�/ HOUSE NUMBER COR- /
RECT AND POSTED
VALUATION _ _ FEE FINAL
7"n SA P... 7-51 K�
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0905070003
PHONE: (626) 265-0488 EXT:
(LEGAL !D: I NO. OF CONST NEW I BUILDING ADDRESS:
ITR: 13645 LT: 53 1 SQ, FT STORIES TYPE OCCUR GROUP( 4921 DOREEN AV
I iSTRUCTURE: 439 1 V-B R-3 I TEMP CA 917804117
ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: KEY WEST
8585-024-039OTHER: 46 1 V-B D - THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
TENANT: (EXIST BLDG USE: USE ZONE:
TISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 105/12/09 SR
IOWNER: TEL NO: IBLDGS. NOW ON LOT: VALUATION: 1IFINAL DATE FINAL BY: CODE: 1
IWANG, WALTER (626) 922-4921- 1 65,990 1
4921 DOREEN AVE.
(TEMPLE CITY CA 91780 1 FEES PAID DESCRIPTION OF WORK 1
IADD: BEDROOM, BATHROOM, DEN, LIVING RM, 439 S.F. AND PORCH
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 46;S .F.
APPLICANT: TEL. N0:
IDE ARTOLA (213) 215-9813- 181 PLANCHECK W/ENERGY 65990.00 VAL 896.90 1
12020 S. VERMONT AVE 1AA BLDG PERMIT ISSUANCE 27.75 1S PECIAL CONDITIONS:
LOS ANGELES IAB STATE GREEN BLDG FEE 65990.00 VAL 3.00 1
1 IAC STRONG MOTION REBID 65990.00 VAL 6.60 1 1
I {B2 PERMIT W/ENERGY 65990.00 VAL 1,055.18 I
I CONTRACTOR: TEL. NO: 1 TOTAL FEES 1,989.43 (APPROVALS DATE INSPECTOR SIGNATURE 1
WANG, WALTER (626) 922-4921-
4921 DOREEN AVENUE LIC. NO ILOCATION Al SETBACKS /
TEMPLE CITY;'.CA 91780 NONE I. V
(SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: 1SLAB/UNDER FLOOR
I +� RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: r a (UNDERFLOOR INSULATION I
3 OO \n �I r�".. �`QI� lkoyw'
11
ST LEVEL FLOOR SHEATH
N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: V\ 8 \ v \C ) 1 ' I/
NO 21 12ND LEVEL FLOOR SHEATH I r
SCHOOL WITHIN HAZARDOUS (ROOF, SHEATHING
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
(
(REQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECTI1 _ �J
SET BACK YARD: HWY: PROP LINE: WIDTH:(FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
- (ANTERIOR LATH/DRYWALL_ /
EXTERIOR LATH
1V
(LOT DRAINAGE �
EXPIRED 0)
(SMOKE DETECTION DEVICES
AFIRE DEPARTMENT APPROVAL(
I I I I I II
(REPORT ID: DPR261 ROUTE TO: BS0508