HomeMy Public PortalAbout5204 DOREEN AVE_Building__ _ - COUNTY OF LOS ANGELES TEMPLE CITY N 0500 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0611070023
PHONE: (626) 285-0488 EXT:
LEGAL ID:. NO. OF CONST BUILDING ADDRESS:
TR: 11290 LT: 4 BL: .001 UN: .002 SQ. FT STORIES TYPE 5204 DOREEN AV
STRUCTURE: VN TEMP CA 917803440
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
BSB5-022-024 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/07/06 JK 11/02/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN)kLEF}
� NAJ, BY: CODE:
CHANG, JENNIFER (626( 890-9195- 2,000 //((//
5204 DOREEN AV
zo
TEMP 917803440 FEES PAID DESCRIPTION OF WqRK
CHANGE 6 WINDOWS INYL WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC 2000.00 VAL 82.20
TOTAL FEES 110.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERPLOOR INSULATION
147X273 3 O1
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOT` 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
l EXT13R1OR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAPTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BSOS08
lfiAfi38A'CE#BW5.61APPLICATION �FOR 'BUILDING PE IT '
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF-:COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION
LocwurY
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST ,
WILLIAM A. JENSEN SUPT OP-BUILDING CROSSST.'
DISTRICT NO. GROUP TYPE - 'p ESSED BY 1
FOR APPLICANT TO FILL IN CONST: Li
.BUILDING STATISTICAL CLASSIFICATION E ER MAP .
ADDRESS S d .d ,(jK P
G - CLASS. NO. DWELL. UNITS
LOT NO, "•S L' BLOCK WATER NOT REQUIRED RECEIVED,
�;- CERTIFICATE: _
EY
TRACT 'Z t MAP HIGHWAY STATE'MAJOR SECOND, CAL
/I NO.OF BLOGS. NO. 'CIRCLE'
SIZE OF LOT Q • 'NOW ON.LOT USE ZONE SPECIAL -
USEbF - CONDITIONS -
'EXISTING BLDG. 2/L '
�J' TEL.
OWNER E / SC) NO. U LDI CNG - EXIST.
BAK YARD HWY STREET NAME WIDTH'
ADDRESSie' - _ FRONT -
ARCHITECTOR' TEL. - - P, L. Y
ENGINEERNO. SIDE a'
P. L, V
aooREss Te INSPECTION RECORD -�:_
CONTRACTOR NO' , O
ADDRESS
DESCRIPTION OF WORK /3IG? _litl ='t�Q!) '/ N
w_)_ADD WR REPAIR DEMOLISH �/ //A/� �' /n
SO. FT. NO.OF / NO.OF -IL&W_ Wr.Y' L 01) / '�� as�.
1$ ZE STORIES l FAMILIES �J/ �'�J-/l.
USE OF A/,D/QPea' 'GJ /G(3Z -
STRUCTURE
SIGNATURE OF /O/�. A�-'csr'ID SCA//D I'^^. APL '44'Jw
APPLICANT
VALUATION$ /z
APPROVALS '.DATIE INSPECTOR'S SIGNATURE
P.C. PMT. _ FOUNDATION: LOCATION
FEE $ FEEFORMS, MATERIALS
FRAMEFIRE STOPS,
i HEREBY ACKNOWLEDGE THAT HAVE HEAD THI APPLICATION BRACING BOLTS F If I �/JA
• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. /1}r•� 'c� '/'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS t
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING:THE WORK
AUTHOR IZED,H EREBY I WILL NOT EMPLOY ANY PERSONAN.VIOLA- ,_LATH. INT.
TION OF THE LABOR COD F,THE STATE OF CALIFORNIA'RELAT- qT _ •��—!,
LNG TO WORKMEN'S COM TION INSURANCE.
LATH, EX
' i1 V / U✓
SIGNATURE,OF. �jw//�� HOUSE NUMBER COR-
PERM! TEE
OR•PERMITTEE — - �`-' RE CT AND POSTED
ADDRESS FINAL /;2q/&,,
.CLYDE N. DIR LAM, PRINCIPAL STRUCTURAL EN IN ER
PLAN CI EC% VALIDATION c c M.O. DASH PERMIT VALIDATION cK M.O. CASH
LAGS 9 6 0 8 Mil 15 2 3 D.' 2 1 .n U
Lf_,,I,.o 0 8 9 0 hPRR 1 1 1 D A 2.0 0
TEMPLE CITY
P
76A63e: 'E 4803 12/69
FORjBUILDING PERMIT
COUNTY'OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION euILDING � n4
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY -
FOR APPLICANT TO FILL IN "EAREST 1 '
Print or tyce onl CROSS ST.
BUILDING - DISTRICT NO. I GROUP TYPEESSED BY
ADDRESS 52 No D e Te 1 e C .SD g = CONs�
STATISTICAL CLA551FICATIONI _ SEWER MAP I
LOT NO, BLOCK _
CLASS NO. 0/ DwELL,UNI TS Blt----P9
TRACT //Z CJ� USE ZONE MAP polo
NO.OF SLOGS. NO. G
SIZE OF LOT NOW ON LOT _ SPECIAL
USE OF CONDITIONS
EXISTING BLDG. '
TEL.
OWNERM . J . Thompson NO. T 7663. BLDG.SETBACK FROM
ADDRESS - FRONT PROP.LINE OF (STREET)
TYPE OF XISTING SETBACK HIGHWAY. + YARD = TOTAL
CITY em City , Calif . HIGHWAY FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER "D' BLOG.SETBACK FROM
ADDRESS SIDE PROP. LINEOF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY + YA - TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. '
ADDRESS NO, +
LIC. CD
CITY San GabHel Cal
1 CLASS C^39_ CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER CICCD
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
W
ADDRESS y
SO. FT. NO. OF NO. OF NEN, 11Z
S1ZE STORIES FAMILIES
USE.OF ,.1 ADD Li
STRUCTURE re air and coat roo
with J .M . Decro at ALTER y❑y
SIGNATURE OF REPAIR)}
APPLICAN - DEMOL ❑
VALUATION s2 0 APPROVALS DATE INISPECTOR'G sIGNATORC
P.C. PMT. FOUNDATION:FEE S - FEE S '6 . OD . FORMS MATERIAALTS ON
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AHD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZEO
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT,
LABOR CODE OF. TH TATE OF CALIF i IN RELATING TO
WORKMEN'S COMP A N IH CE. LATH; EXT,
SIGNATUR F HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS FINAL Q. p
JOHN F. LEWIS, PRIN IPAL ST RU RAL-ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ -PERMIT VALIDATION cK. M.G. CASH .
�•. or 6.4.2:=6ti AUG21 1 -D. 6.:0.0