HomeMy Public PortalAbout5010 DOREEN AVE_Building__ 7GA630A CE48038-64 APPLICATION FOR BUILDING ERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNT Y ENGINEER ADDRESS �(!/I— — /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W:JENKINS,SUF T OF BUILDING CROSS ST. T
DISTRICT NO. GRO TYPE PROs SED BY
FOR APPLICANT TO FILL IN (� b� coNsr.�f �/ ref
BUILDING STATISTICAL CLASSIFICATION SEWOR MAP
ADDRESS 5tj t Q CLASS NO.�DWELL UNITSI + BK PG'3
LOT NO' ( l / L )BLOCK AT USE_ NE MAP _fa'J}-//V.
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TRACT 'd, OJ NO. cxe 4
SPECIAL
N0. OF BLOBS. CONDITIONS
SIZE OF LOT 7(J ��,+ �J NOW ON LOT
USE OF
EXIST',
BLDG. SETBACK FROM _
ROP. LINE OF
OWNER. N/O�L / S TYPE OF EX15TING SETBACK /HIGHWAY + YARD = (STREET)
ADDRESS ` HIGHWAY WIDTH I OM C.L. �)
CITY �/f'I +
ARCH TELT O _ TEL. BLDG. SETBACK FROM
ENGINEER NO. SIDE PROP. LINE OF (STREET)
/. TYPE OF EXISTING 3ETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. 1
TEL. + = O
CONTRACTOR .Nb I I V
LIC' CORNER CUTOFF YES NO C
ADDRESS / NO O
CITY IILL SEE REVERSE SIDE FOR SPECIAL APPROVALS v
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DESCRIPTION OF WORK
2
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO. O NO. OF
SIZE _ 7STORIES FAMILIES
USE OF /
STRUCTURE
SIGNATURE OF
APPLICANT 2 L"G
Ll
VALUATION$ APPROVALS DATE INSPECTOR'SSIGNATURE
P.C. PMT. QV FOUNDATION, LOCATION
FEE$ �—' FEE$ ^ FORMS, MATERIALS
-
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEO GE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT IN.DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S CO PENSATION INSU.ANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEEC�'I �,/J, 4XL RECT AND POSTED
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. V M.D. CASH
Liu u O �F 1 9�g A?R 1 2 1 D 4.00-
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DEPARTMENT OF COIIN7Y RNGINIM
DMSION OF S41II.DING ANDS ff
9
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COUNTY OF LOS ANGELES OF R 7 d ®I
-WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN. SUPT OF BUILDING.
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRIC_ToNO. PUN CK.OR RHC.NO. PERMIT NO.
ADDRESS .$'O A�L-.C� Q ��
LOCALITY / RE IVED BY DATE OF AP/P�L. DATE ISSUED
NEAREST ^•� ��d .J `�-'��_S�
CROSS ST
�j �+ BUILDING
OWNER O• Q R/ /� ADDRESS �j
MAIL LOCALITY
ADDRESS O S (�iS �{7r•/
EL, /y '//`/ NEAREST
CITY 19/i Li TO d / S�6 S/.1 CR0698T. r
ARCHITECTOR TEL. FIRE NO. OF TY GBW P
ENGINEER NO ZONE I PLANS
ADDRESS BLDG. 1 _ r• /y
�] �} 7� 1y,/ BLDG.y�SETBACK1,LINE
CONTRACTOR /� //61AG6� /✓ NOL *14& USE
ZONE ,• / BYPROV ED DATE
ADDRESS ��� �r 11hA ^ 4lC C BOG c7 HOUSE NUMBERING
LEGALMAPNUMBER L� NO. ASSIGN' BY
T
DESCRIPTION I LOT NO. II I BLOCK ` CORRECTIONS ,
TRACT O S I �D
el
NO. OF BLDS.
SIZE OF LAT J5•Q I NOW ON LOTGTf!-Gr 3 6 /FT ��
USE OF NO. OF - -
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK D -
•' a
NEW r ALTERATION ADDITION D
' 2
REPAIR DEMOLITION D
r
L� / /
6 ZE T /�� ROOMH (. STORIES _
EXT. WALL pQ ROOF /n�
COVERING .J�UaGO I COVERING 1'4 ^1 e>'
USE O STRUCTURE
r zo Gg� APPROV S
Vi_ INSPECT 'BSIGNATURE DAT
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS
CORRECT. O -
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, O •-_/ ��
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS r
SIGNATURE OF LATH. INT.
A'I �fZ /�'�.
PERMITTE
ADDRESS LATH.L,L�/ EXT.
` (nT �T�U� il-✓1 �� _ 7
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
[ALUAlION
REE ® L' HOUSE NUMBER COR-y/• RECT AND POSTED(� l FEE Oma- FINAL
TBA"" DB88 B^BE
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 0110170068
PHONE: (626) 285-0488 EXT:
LEGALS G ADDRESS:
TR: 11290 LT: 11 BL: D ON: .002 SQ. FT STORIES TYPE 5010 DOREEN AV
STRUCTURE: VN TEMP CA 917803437
ASSESSOR0 MA NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-022-035 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
EXIST LD ID ISS D - PROCESSED BY: PI ON:
EXIST OCC GRP: 10/17/01 JK 04/15/02
OWNER: TEL. 0: BLDGS. NOW ON LO VALUATION: FINAL DATE( AL 8 : CODE:
LU; TRI (626) 444-5715- 1 3,750 h�L9.�/1"�
5010 DOREEN AV
TEMP 917803437 E A DESCRIPTIO]OF WORK '
REPLACE ROOF ON HOUSEBGARAGE: 25YR ASPHALT SHINGLE ON HOUSE
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TORCH DOWN ON GARAGE
APPLICANT:
CHARLIE WANG (714) 961-1266- AA BLDG PERMIT ISSUANCE 27.75
1955 BROOKHAVEN AVE AC STRONG MOTION RESID 3750.00 VAL 0.50 SPIAL CONDITIONS:
PLACENTIA 92870 D2 PERMIT W/O EN-HC—�a37,50.00 VAL 115.80
GELESTO`T`A0+F,EES 144.05
CONTRACTORLIE T TEL.)N961-1266- �O`' ��/A� APP OVALS DATE INSPECTOR SIGNATURE
1955 BROOKHAVEN AVE. LIC. NO LOCATION AND SETBACKS
PLACENTIA, CA 92870 693717 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: . NO: �, FOU ATIO FORMS
LIC. NO: 1( ,I c.-1111111 SLAB/UNDER FLOOR
RAISED FLOOR FR ING
AP NO: SEWER MAP BOOK: PAGE: RE ZONE: CMP, 1 IrIk 1�n '�l �����)jI �(/
UNDERFLOOR INSULATION
X 3 40U \�J I_03 L,�'L\�J \'/ \'/ 00 1!J2�K FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: APT/CON TAT AS :----- --- - - b
NO 211.\ --- 0= �. - _ - ROOF SHEATH NGSCHOOL WITHIN
r ,^11
HAZARDOUS / G r i,. M7"ANELS
AIR QUALITY: 1000 FEET MATERIALS �]
NO NO NO 7 n �I�ii=77y FRAME INSPECTION
REQUIRED TOTAL SETBACK F (� J I`J� /5�' FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- C Sery a Yhac I INSULATION/WEATHER STR FP
SIDE PL-
- INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED-FL-0-0-ff7CFT[-X!SSFW.7
RATED WALL ASSEMBLIES
RATED S 0 G
T- A LEI[ GS
w ADDITIONAL DATA ON FILE
LOT DffKrffK0-
REPORT ID: DPR261 ROUTE TO: BS0508
., COUNT[ 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 BL 0508 1010070026
PHONE: (626) 285-0408 EXT:
(LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITS: 11290 LT: 11 BL: D ON: .002 SQ. FT STORIES TYPE OCCUP GROUP 5010 DOREEN AV
STRUCTURE: 721 1 V-8 R3 I TEMP CA 919803437
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
18585-022-035 OTHER: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1E%IST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: 1
IEXIST OCC GRP: 108/23/11 SR I
10WNEA: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE1/� FINAL BY: CODE: 1
1LDU, MINH K (626) 319-2320- 1 96,900 /j ✓ Il
15010 DOREEN AV I
TEMP 917803437 FEES PAID ID8S RIPTION OF WORK
I
J ADDTTION TO RESIDENCE BEDROOM, TWO BATHROOMS, STORAGE CLOSETI
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: JAND LAUNDRY CLOSET 1
APPLICANT: TEL. NO:
ISIEBEL, JOHN E (800) 815-5335- IB1 PLANCHECK W/ENERGY 96900.00 VAL 1,161.60 1
19701 WILSHIRE BLVD. IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS:
IBEVERLY HILLS 90212 AB STATE GREEN BLDG FEE 96900.00 VAL 4.00
IAC STRONG MOTION RESID 96900.00 VAL 9.70
JB2 PERMIT W/ENERGY 96900.00 VAL 1,390.10 1_
CONTRACTOR: TEL. NO: JOB CERTIF OF OCCUPANCY 101.30 JAPPROVALS DATE INSPECTOR SIGNATURE
JKHUU, SUZANNE (626) 319-2205- TOTAL FEES 2,714.50 1
15010 DOREEN AVENUE LIC. NO ILOCATION AND SETBACKS
ITEMPLE CITY, CA 91780 NONE J W-P1
SOILS ENGINEER APPROVAL 1
_I
1ARCHITECT OR ENGINEER: TEL. NO: 1 JFOUNDATION/TRENCH FOAMS I I
ISYNERGY ARCHITECTURE (800) 815-9335-1111
1
19701 WILSHIRE BLVD. SUITE 100 LIC. NO: SLAB/UNDER FLOOR
IBEVERLY HILLS, CA 90212 NONE I _
(RAISED FLOOR FRAMING
I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I
3 001 1 1-1-
I 11ST LEVEL FLOOR SHEATH
INO. OF FAMILIES: DWELLING UNITS: APT/CONI): STAT CLASS: I
0 NO 21 1 !2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS JROOFSHEATHING
JAIR QUALITY: 1000 FEET MATERIALS
NO NO NO IFIRE DEPT. FRAME INSPECT
_ I
I 1 1BLDG DEPT. FRAME INSPECT( 1 1
I I JSHEAR PANELS 1
J (INSULATION/WEATHER STRIP �1 e;
Il N( L�
I I (INTERIOR LATH/DRYWALL
IEXTERIOR LATH
I I (LOT DRAINAGE
I � IShK)KE DETECTION DEVICES
I I
I I (FIRE DEPARTMENT APPROVAL( I I
I I J I I I
REPORT ID: pPR261 ROUTE TO: 850508 J
COUNTY OF IAS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1110180023
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ITR: 11290 LT: 11 BL: D UN: .002 SQ. FT STORIES TYPE 5010 DOREEN AV
I (STRUCTURE: V-B TEMP CA 917803437
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
18565-022-035 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEX IST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 110/18/11 SR
IOWNER: TEL N0: IBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FIN,ALN�Yl CODE: T
ILUU, MINH K (626) 319-2320- T 10,000 �����///
/ IY 1
15010 DOREEN AV (� -1
1TEMP 917803437 T FEES PAID TpESCRIPTION OF WORK 1
(INTERIOR REMODEL WITH NEW INSULATION, DRYWALL, KITCHEN, BATHI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TROOM REMODEL, REPLACE 11 WINDOWS AND RE-STUCCO FRONT HOUSE
IAPPLI CANT: TEL. N0:
ILUU, TRI (626) 319-4324- IAA BLDG PERMIT ISSUANCE 27.80 1
1 A STATE GREEN BLDG FEE 10000.00 VAL 1.00 (SPECIAL CONDITIONS:
IAC STRONG MOTION RESID 10000.00 VAL 1.00
IB2 PERMIT W/ENERGY 10000.00 VAL 238.90
TOTAL FEES 268.70 T
(CONTRACTOR: TEL. NO: TAPPROVALS DATE INSPECTOR SIGNATURE 1
ILUU, TRI (626) 319-4324- 1
(MINH KHIET LUU LIC. NO T TLOCATION AND SETBACKS I
1726 W. LONGDEN NONE T
ARCADIA, CA 91007 (SOILS ENGINEER APPROVAL
T ARCHITECT OR ENGINEER: TEL. NO: T (FOUNDATION/TRENCH FORMS I
LIC. NO: T ISLAB/UNDER FLOOR I
I I I
TRAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( TUNDERFLOOR INSULATION
1147H273 3 001
I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/CONO: STAT CLASS: I
0 NO 21
(ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
I I I
(FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I
(INTERIOR LATH/DRYWALL
I EXTER IOA LATH r 1
(RATED FLOOR/CEIL ASSEM.
(RATED WALL ASSEMBLIES
I I I
(RATED SHAFTS/OPENINGS
I I I
T-BAR CEILINGS
I I (LOT DRAINAGE
!REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I