HomeMy Public PortalAbout5013 DOREEN AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
-lUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9905110067
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
BK: 32 PG: 10 PC: 1 SQ. FT STORIES TYPE 5013 DOREEN AV
STRUCTURE: 0 VN TEMP CA 917803473
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-023-063 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/11/99 UT 11/07/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
TRUDNG;CITY,
(626) 575-0222- 1 1,500 N r1 el /�4
5013 DOREEN AVE 9 [-�![—'IN�
TEMPLE CITY, CA S PAID �bCRIP ION�� 0
REMOVE AND RECOVER W H GAF 25 YR. COMP. SHINGLE ROOFI G
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MATERIAL
APPLICANT: EL. O:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HCa1500.00 VAL 82.20
TOTAL FEES 110.45
PNGELES L O
CONTRACTOR: TEL. N0: �� APPROVALS DATE INSPECTOR SIGNATURE
�S � .
SAME AS OWNER - V y
LIC. NO LOCATION ANDS B C S
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORR
LIC. NO 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C P,: UNDERFLOOR INSULATION
147H273 3 I0J I U c ILS I I I I 111/v O Il I1 I1 \ FLOOR SHEATHING
�
0. 0 A LES: DWELLING U I S: AP / ON : STAT CLASS:
�J� ll .
NO 21 h 8 - _ ROOF SHEATHING
SCHOOL I I HAZARDOUS `1, O 0 �- SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS Q 0 L—}
NO NO NO A ' ®� FRAME INSPECTION
REQUIRED SET BACK YARD: HWY: TOTAL PROPTLLINE: WIDTH: Vb/YC SefVOeTh FIRE E SP I L R HANGERS
2 INSULATION/WEATHER STRIP
SIDE PL- INTERIOR LAT /D Y AL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENING
T-UR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
APPLICATION FOR, BUILDING PERMIT.
FOF,JAPPLICANT TO-F ILL IN (Print ortype only)
BU'DING p -COUNTY OF LOS ANGELES
ADDRESS - D 13 ,S '� Q 7- z' E? YL DEPARTMENT OF COUNTY ENGINEER
CITY 7e ) ZIP . BUILDING ANDS FETY DIVISION
O.OF BLDGS. BUILDING ??
SIZEOFLOT X Lc a NOW ON LOT ADDRESS �'�%.J'.
TRACT BLOCK LOT NO. LOCALITY _p
/ TEL. NEAREST !. -
OWNER L, OC'R- Q d ,T NO. '/- ,(2y CROSS ST. ✓ /
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
-CITY ! L . ZIP yDISTRICT GROUP TYPE CONJ'_/• �IORIEJ yRO(-ISSED BY
ARCHITECT OR TEL' 4) ' -
ENGINEER NO. STATISTICAL CLASSIFICATION -- SEWER MAP
ADDRESS _ _ - _ TELNO
Se_ CLASS NO.cz!DWELL UNITS BK 37PG
c
CONTRACTOR `l'.. � NO. USE ZONE NO,
C.
LIC. NO,
ADDRESS 5, .e C.
SPECIAL
LIC. CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER _
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP,LINE OF (STREET(
ADDRESS- — - - - CITYTOTAISETBACKFROM TYPE OF EXISTING
50.FT. NO.OF NO.OF CHECK HIGHWIPV + YARD = FROM PROP.LINE HIGHWAY WIDTH
SIZE $TORIES FAMILIES ONE
_ a
DESCRIPTION OF WORK NEW, ❑ + - - O
ADD BLDG.SETBACK FROM . , m
SIDE PROP.LINE'OFi - (STREET) '- O
ALTER ❑ TOTAL SETBACKF.ROM 'TYPE OF EXISTING G
HIGHWAY + YARD = .SIDE PROP.LINE HIGHWAY WIDTH . ti
SE OF A REPAIR. Q -
EXISTING BLDG. D 13L + - "
APPLICANT TEL CORNER CUTOFF YES ❑• NO ❑
IPRINTI NO,
BY(SIGNATURE) / 'V✓" , ,/� IN OPEN SPACE YES ❑ NO ❑
- - COASTAL PERMIT ZONE YES ❑ NO '
VALUATION $ I ' . - - -
I HEREBY 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' l ,l>2 '
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'SCOM. !f/
PENSATION INSURANCE.
SIGNATURE OF,, I�L A10 7— le�'Qy
PERMITTEE _
ADDRESS .g4rr•^-a- 'e%�-
FINAL
TEL. DATE
CITY NO.
MAKE CHECKS PAYABLETO: - FEE $' T $
FE
HARVEY T.8RANDT.COUNTY ENGINEER Sf I_:2 3
PLAN CHECK VALIDATION CK. M.O. CAsH PERMIT VALIDATION m.o. CASH --
_ 2 3 9' wGV 21 1 D 5.2 5 At^6
®T 76A638ACEN8033 75'
DEPARTMENT OF BUILDING AND SAFETY
APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �T T���E�TATI('�
,. /WM.J. FOX, CHIEF ENGINEER �J `L3
NO. OF "✓ BLDG. ORD.NO. DISTRICT NO. PLAN K.K. NO. PERMIT NO.
PLANS SETBACK LINE /� .S/L �G� (/7ss
FIRE 0 APPROVED •7 V G
ZONE Jay DATE _ RECEIVED BY DATE OF APPL. DAT ISSUED_
USE Fl / APPROVED .. . S _ � //�`^
ZONE BY DATE /.�C i T
APPLICANT FILL IN HEAVILY OUTLINEED PORTION ONLY
BUILDING I
OX NAME ADDRESS
W Z ADDRESS LOCALITY 2Y�
1. -
Z Z NEAREST y
U , CITY CROSS ST.�JILL4�)�'•.
R
STATE NO. /J / ♦ /r�� I, _ /
LICENSE NO. TE
W
p
NAME /�, n, �Q reye NsnH 3 MAIL
ADDRES$�4 �
~ 0 TEL.
U
Q ADDRESS A yH/,tw CITY NO.
K
Z I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
CITY f/T�)eA / !Nq/�tl N ��✓I�
O f-/ L /. a APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
STATE
AND AGREE TO COMPLY WITH ALL COUNTY
U LICENSE NO. 2146 7,.h NO. .�{{DY� 96 AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z LOT NO. SIZE OF L'0TIftl tl SIGNATURE OF
p OWNER
/y NO. OF BLDGS. �{
M BLOCK AUTHORIZED AGT.
J 0 TRACT f��. Q / CORRECJTIONS,,.r/ A
0 USE OF SLOGS.
NOW ON LOT
DESCRIPTION OF WORK USE OF
�1 /Oi1111 L t
—BUILDING _ II I%h A.y11II (Nn
e&t11 i n�iLl A, 1r „
l\
O
A
Z
D
1/ r
NEW TYPE y GROUP _
NO. OF NO. OF
ALTERATION . ROOMS FAMILIES
ADDITION SIZE C /
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING
$ GOO FEE S}/.4z FINAL APPROVAL
VALUATION I FEE SU 4i I ❑ E/� I NAME/INSPECTOR'S
C
T6A6D9A OB
., APPLICATION FOR BUILDING PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER' ADDRESS _ _
BUILDING AND SAFETY DIVISION. LOCALiry
JOHN A. LAMBIE, COUNTY'ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CR05S ST. /
DISTgJ� plq. OUP PE OPO ESSED BY
FOR APPLICANT TO FILL RJ S// Y CONST. .
BUILDING _ STATI STICAL CLASSIFICATI ON S WER MAP
ADDRESS
0 ( - CLASS. NO.�DW ELL. UNITS�� BK G
LOT NO. BLOCK WATER
CERTIFICATE: /SNOT REQUIRED RECEIVED
TRACT .NO.OF BLDGS. MAP /(/ HIGHWAY
I H EI
NO. STATE MAJOR SECOND. CA
SIZE OF LOT}� NOW ON LOT USE ZONE SPECIAL -
USE OF / CONDITIONS . J
EXISTING BLDG - Si 1 E17 �• I ^ /J[fJ� -
OWNER Ci. V NO. Cy:I'4�d
� _ UTBACK YARD HWY TREET NAME +'•EXIST.
SETBACK }',WIDTH
ADDRESS � A M FRONT
ARCHITECT OR �I qq TEL. P: L .
ENGINEER AJ NO. SIDE }J A �
ADDRESS _ P. L. ��G7 j 0.
CONTRACTOR o o le ('n(AQ1m �O Z� / I s/
ADDRES rJ
DESCRIPTION OF. WORK
NEW AD _6KLTER REPAIR DEMOLISH r
SO. FT. NO. OFNO. OF - l�
SIZE Zo STORIES FAMILIES
USE OF —l ', ��n �/p-
{
( - ~ f Wf ri(
STRUCTURE
Ki 4- _
SIGNATUREOF ` IV ON L Z`i' OTlt.2 'TO
APPLICANT_
CALL RE 'F
I- 1 _LJ 1 �.i
VALUATION S
APPROVALS DATE INSFECTOR;S SIONAT0 E
/ FOUNDATION: LOCATION
P.C. �� PMT. •,J GI P.C.
F,EE FORMS. MATERIALS
FEE S
FRAME- FIRESTOPS. '�(✓
HEREBY ACKNOWLEDGE THAT IO HAVE READ THIS APPLICATBRACING. BOLTS 17 /
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ------------���
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT'EMpLOY ANY PERSON IN VIOLA.- LATH, INT. y
TION OF THE LABOR CODE OF THE STATE OF ALIFORNIA RELAT. _
ING TO WORKMEN'S COMPENEAT ON INS.
7 LATH. EXT.
SIGNATURE OF 1 HOUSE NUMBER COR-
PERMITTEE_ RECT AND POSTED
ADDRESS '/ FINAL
.JOHN F. LEWIS. PRINCIPAL ST FPL ENGINEER
PLAN CHECK VALIDATION CK. M.O. GASH = PERMIT VALIDATION GK. I M.O' GASH
IJP 01 0 5 81^2 OCT 4 1 D
_,•APPLICATION FOR.
BUILDING PERMIT 11
FOR APPLICANT=T ILL IN ADIDRESS LDING <V /'v
• BUILDING
ADDRESS LOCALITY r
_ _ •� _ .G> _ .NEAREST. - / - -
CITY yR. J ZIP /� CROSS ST. /V/ "1L
NO.OF BLDGS. ASSESSOR
SIZE OF LOi NOW ON LOT ' MAP BOOK PAGE PARCEL
6 / DISTRICT GROUP" TYPE - FIRE PROCESSED BY
'TRACT (� BLOCK' G LOT NO. CONST ZONE
TEL S �O �' 1- (� D- 'i i
OWNER q _ NO. _
C STATISTICAL CLASSIFICATION SEWER MAP )
ADDRESS .SD/, l/L CLASS NO. DWELL.UNITS 'BK/.�"..PG J
CITY _,( L `.ZIP C Q USEZONE MAP' -
NO. i
ARCHI OOR TEL. SPECIAL _
ENGINEER _ - f NO. :/ CONDITIONS
ADDRESS ROAD DEPARTMENT-APPROVAL REQUIRED - -, YES ❑ NO ❑•-
EL L /
CONTRACTOR" �� / NO. BLDG.SETBACK FROM
_ UC FRONT PROP.LINE OF - - ISTREETI' -
ADDRESS� NO. 3G O p. HIGHWAY YARD YARD = TOTAL SETBACK FROM TYPE OE EXISTING
LIP LIC. FRONT PROP.LINE r HIGHWAY WIDTH
CLASS
CONSTRUCTION LENDER - +
NAME AND BRANCH. l¢ ev - O
BLDG. FROM - - U
'SIDE PROP..LINEOF - - ISTREETI m
ADDRESS—— -K-Y—_— O
SO.FT: NO.OF NO.OF CHECK HIGHWAY + YARD = TOTALSETBACKFROM TYPE OF EXISTING w
SIZE STORIES FAMILIES ONE SIDE PROP.LI NE HIGHWAY,_W IDTH a
N
DESCRIPTION OF WORK NEW
. > ADD CORNER CUTOFF VES ❑ NO ❑'
G t. .T .ALTER. 'IN OPEN SPACE _ YES ❑ NO ❑
/ REPAIR
.USE F. ❑ IN COASTAL PERMIT ZONE. VES ❑ NO. ❑•
EXISTING BLDG. DEMOL
APPLICANT, _. TEL
IPRINTI y NO /O"4 IAC/9/2y,_�—y/
BY(SIGNATURE)
IA
HEREBY A AT
HAVE
D-THIS APPLICATION'AND STATE'
AT.THE AB E IS CORRECT AND AGREE.TO COMPLY WITH ALL ORDINANCES
,AND LAW GULATING BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE - - A/1 5✓ ,
'7✓OR TIORIZED HEREBY I WIIL NO NY PERSON IN VIOLATION OF
THE LABOR CODE INSURANCE,STATE FCA RNIA w R EATING TO MENS COM �
'THE LPENSABOR INSURANCE, L/ /' 1.1{/,[./``.'/i
SIGNATURE OF / } _- -- FINAL V By
PERMITTEE ( BATE
ADDRESS
CIT IVO- �f �1 P.C.Fee$ Y ) Permit Fee
/ / O / Ismonce F e '
VALUATION / �//J
�� 1 � � Total Fee, 4:' L- '- U c)'
PLAN CHECK VALIDATION cK.'' M.O. ;CASH' _ PERMIT VALIDATION CK. M.O. cnsH
4. 56N T 12 1 U 42.00e.
OS-76AS38B CE 08038 6/76 --