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HomeMy Public PortalAbout4503 ELLIS LN_Building__ (BS 76A638A CE#803(REV.11/78) -24/ b. APPLOC A N . ® r� BUS 0 G PE RM OT COUNTY OF LOS ANGELES BUILDING AND SAFETY t/o;h l X13 FOR APPLICANT TO FILL IN BUILDING !� ADDRESS 63� BUILDING ADDRESS _ LOCALITY 1C , NEAREST CITY ZIP 0 CROSS ST. 1 16 NO.OF BLDGS. ASSESSOR SIZE OF LOT Y66QNOW ON LOT - MAP BOOK PAGE PARCEL _ ppp��� DISTRICT GROUP TYPE FIRE PRO SSED BY TRACTIf tJ BL CK LOT � �O p of CONST. i ZONE TL. S EV 3 OWNER f' T L Ile I STATISTICAL CLASSIFICATION SEWER MAP CLASS NO. DWELL.UNITS ABK/3 PG CITYSm _ ZIP , ADDRESS ARCHITECT O , %Ag TEL- o VALUATION $ ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. �� FRONT PROP.LINE OF (STREET) CONTRACTO NO. _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD . LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO.� LIC. O + _ r CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH : 0 � 0 NO.OF NO.OF CHECK + _ SIZE GpEj STORIES FAMILIES ONE USE ZONE MAP p® DESCRIPTION.OF WORK NEW NO. D �tj ' " SPECIAL ADD ❑ � CONDITIONS ta ALTER ❑ DA FINAL �/ U BY REPAIR ❑ 'I. USE OF DEMOL ❑ EXISTING BLDG. i + sS z . :2,5 0Z 0,A APPLICANT TEL ( e �� 2 (PRINT) • l NOlS/ 7rL,,l_ Q #;°,°:° ° 23 O BY(SIGNATURE( ' `/ �y� G Q .2 o o 4 a 0 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE •0 0 0 4 O O c5 ._ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH.ALL ORDINANCES _ a Lu AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 4 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN,VIOLATION OF tJ THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM PENSATION INSURANCE.' g SIGNATURE OF 0 5 03_. 1 A PERMITTEE � z ADDRESS ` z # 0 0 0'•0 0 1 TEL.. d' C CITY �� NO,. `� 2 ° CJ 2 0 0 P.C. Fee$ � r a.� Per Fee , eao > ° ° � 26,005 It /.1,� Issuance Fee 0 4 2 9'-8 1 Total Fe CE#803(REV.11/78) APPLOoATQ® V FOR. BU LN IG PE RM OT COUNTY OF LOS ANGELES /BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS 7 �6 J t BUILDING ADDRESS LOCALITY NEAREST / CITY ZIP o CROSS ST. OLth«� NO.OF BLD S ASSESSOR SIZE OF LOT 3 . NOW ON LO MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE C ED BY TRACT = BLOCK LOT NO8748 `�� /� CONST. ZONE E TEL + .t OWNER r NO G ( STATISTICAL CLASSIFICATION C �,6� SEWER MAP ADDRESS d 7 ��J �� CLASS NO. 03 DWELL.UNITS. BIL( PG CITY � V ZIP_ /7 ARCHITECT OR TEL. VALUATION $- ENGINEER NO. w ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR _ NO.a� / HIGHWAY .+ YARD = TOTAL SETBACK FROM TYPE OF EXISTING . �� LIC.NO. I�p FRONT PROP.LINE HIG WAY WIDTH ADDRESS + ,/ �^/ LIC. CITY CLAS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF _ (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING � ADDRESS CITY' SIDE PROP.LINE HIGHWAY WIDTH• SO.FT SNT OF NO.OF CHECK + _ 99 SIZE �?* STORIES FAMILIES ONE USE ZONEMAP DESCRIPTION OF WORK ),7,2L2 � NEW NO. S U J ADD ❑ SPECIAL CONDITIONS W ALTER ❑ FINAL /�/a BY �{/'f REPAIR ❑ DATE V �, USE OF DEMOL Cl m - �v EXISTINGBLDG5 114LI Y7�/ �, N"!�� Z APPLICANTTELA 2 o 0 4 5 O O (PRINT) NO.[ �3 Q c 45,00 BY(SIGNATURE)' 19, 6,1040 y l > 0 29-81 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE /r- TQ�.y/� V THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY.WITH ALL ORDINANCES (�j OC G (J til AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM �4✓/ (��, �� :Z5 _ ❑ - PENSATION INSURANCE.' r(, C(/ OIL �5029A SIGNATURE OF PERMITTEE # 0 0 0 0 0 1 ADDRESS - z 2 , 8240 0 , J Com - 2 0 CITY i NO. t° 8 2 6 c� O 0IL29-81 P.C. Fee$ L4, �O Permit Fee > .'fid 6 Issuance Fee W Total Fe / ' '�? - ©s 76A638A Q CE#803(REV.11/78) APPLOCAL N F9 BUOLDIIVIG PE ISM OT 9 � ,jP BUILDING AND SAFETY 6/`1. COUNTY OF LOS ANGELES 1 Cly, O LICANT TO FILL IN ` BUILDING ADDRESS r+�-J . BUILDING f ADDRESS LOCALITY / NEAREST CITY ZIP cri Q CROSS ST. NO,OF BLDGS. ASSESSOR SIZE OF LOT:�O NOW ON LOT MAP BOOK PAGE I PARCEL DISTRICT. GROUP TYPE FIRE OC SED BY TRACT �2 BLOCK LOT NO8� CONST. ZONE TEL so - OWNER �, NO. ��, STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 'r 3� iL_' CLASS N/ f DWELL.UNITS X18 BK j3PG CITY { ZIP & ARCHITECT O TEL. O. �� . VALUATION $ ENGINEER ' N ADDRESS f/ BLDG.SETBACK FROM,. ` TEL: FRONT PROP.LINE OF (STREET) CONTRACTOR ` NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIG WAY WIDTH ADDRESS NO.I 6(J 4 _ LIC. +Z's CITY !r CLASS BLDG,SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF ISTREETI NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH- SQ.FT rf_q NO.OF I7 NO.OF 2 CHECK + _ U SIZE C� STORIES• L FAMILIES ONE ag USE ZONE MAP DESCRIPTION OF WORK 7 NEW NO. ADD ❑ f SPECIAL CONDITIONS $A ALTER ❑ FINAL / BY REPAIR •❑ DATE C/ USE OF EXISTING BLDG.Gp I DEMOL ❑ �rC ' O APPLICANT 1 TEL ,7 F IPRINTI y y d NO.Z8*7 7gj- a O BY(SIGNATURE) / DO > I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION AND STATEyn THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ^z C) (pd W � rJ' 0 2 3 A AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- # o o o-o o'1 PENSATION INSURANCE.' y .�v�•ri �✓� ` 2.0'� 97,00 SIGNATURE OF PERMITTEEo,o 0 9 7,0 0 2 ADDRESS 1�C15 1! J c TEL-.Z&aO*U:29. -81 TEL., r CITY10M NO. P.C. Fee$ p� Permit Fee v > Issuance Fee ' W d Total Fee CE#803(REV.1 1/78�) p �p_pv � A( P[�llCAI�'I®II I FOR Bx.11IL®O� p GPERIllIT ` COUNTY OF LOS ANGELES BUILDING AND SAFETY�rt✓ �� W-4 S. ol FOR APPLICANT TO FILL IN BUILDING — ADDRESS 50 3 BUILDINGq,_, / � r ADDRESS ` �(V� LOCALITY NEAREST CITY ZIP CROSS ST. NO.OF BLDM. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP. TYPE FIRE PROCE D BY TRACT BLOCK LOT N CONST/ ZONE T ELWTEL. /G,� I L OWNER. 1 NO STATISTICAL CLASSIFICATION EWER MAP ADDRESS CLASS NO. 45r DWELL.UNITS rx�BK l�PG CITY ZIP v6 ARCHITECT O TEL. C.j VALUATION $ 8 �/ ENGINEER v NO. v ADDRESS BLDG.SETBACK FROM / q� TEL. f FRONT PROP.LINE OF �/ (STREET) CONTRACTOR V F NO. TOTAL SETBACK FROM TYPE OF EXISTING . LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO.I_ ?z ©� / LIC. " + L _ � t� .. 401 CITY /1 CLAS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH . 0 SO.FT ✓� NO.OF NO.OF /� CHECK + _ 61ZE (,�� STORIES FAMILIES % ONE - ag USE ZONE MAP �0 DESCRIPTION OF WORK - NEW _ NO. SPECIAL ti. ADD 1 111. ❑ 4/ CONDITIONS ALTER ❑ FINAL .��// REPAIR ❑ DATEUSE X STTIING BLDGI/A DEMOL ❑ ® Oa �/ g0 APPLICANT+^ ' TEL (7 Q PRINT [ NO. G '7 70- ~ BY(SIGNATURE(.f` '.r - i' 'k '�, OO Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE• ;25025A . THAT THE ABOVE-IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES G '�2 D v v W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S # o 010 0 0+1 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY.ANY PERSON IN VIOLATION OF U THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM Z PENSATION INSURANCE." ir.+ - g `Z io.0 9 7 00 SIGNATURE OF � ,o 00 9.7,0 0 PERMITTEE ADDRESS �- z 0 4.2 9—8 1 CIT Y �fr�'i� � NOCia O P.C. Fee$ rr Permit Fee > Issuance Fee W d Total Fee WORKERS,COMPENSATION,DECLARATION � ~ I 'hereby affirm that I have a certificate of consent to self LI 00 QM D d D [� insure, or a certificate of Workers'Compenstion Insurance, or A a certified copy thereof ( ec. 3800, La`b. C..) -2 ' 0 - COUY�TY OF LOS AMG �t'ys? ; BUILDIWG AND SAFETY Policy N V 3 Company • r 1I4LWALA BUILDING ❑ Certified copy is hereby furnished. FORA CANT TO FILL IN ADDRESS Certified copy is filed withi.the county building inspec- BUILDING loa tion department. ADDRESS r S s LOCALITY i 1 NEAREST Date Applicant CITY f/l ZIP CROSS ST. CERTIFICATE OF EXEMPTIO ROM WORKERS'. NO. OF BLDGS. /,,v, ASSESSOR COMPENSATION.I URANCE SIZE OF LOT NOW ON LOT �! MAP BOOK. PAGE PARCEL (This section need not be comp ted if the permit is for one r� st USE ZONE MAP hundred dollars ($100)or.less.) TRACT 11 I-gyp 7-- BLOCK LOT NO. /ln/ NO. J I I ,4 I TEL. lT- SPECIAL .deY[J elikv I certify that in'the.performance.of the work for which this OWNER .H 440,No. � L lllnnn CONDITIONS ✓ O permit.is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE LF110RE PROCESSED BY U so-as'to become subject to the Workers'Compensation Laws. ADDRESS -1®0 js, i �+� CONST.i .. E ` 0 CITY /a11$C.A OrL' ZIP Date Applicant STATISTICAL CLASSIFICATION APT. .CONDO. U LU NOTICE' TO APPLICANT: If, after making this Certificate of AR TECT,OR. l TEL. J -- / Exemption, .you should become subject to the Workers' NGINEE 0 NO. CLASS NO.- 4-3 UNITS 0L7�Yfl/1 �' .Compensation provisions of the Labor Code, you must forth- ADDRESS' � �'''" -1 - SEWER MAP v with comply with such provisions-or this permit shall be deemed revoked. BK4G1� VALIDATION CONTRACTOR N . LICENSED CONTRACTORS DECLARATION LIC. i ereby affirm that I am licensed under,provisions of Chapter 9 ADDRESS 41>me NO. VALUATION (commencing with Section 7000)of Divisign 3 of the Business and LIC. Professions Code,.and my'license is in full force and effect. .CITY. CLASS $ SQ. FT. INO. OF I NO. OF CHECK License Number Lic.Class SIZE- AMI LIES ONE Contractor's©M( At,FTA1 Date 12-1 D RIPTION OF WORK NEW ❑ $ >RR Iam exempt from the licensing requirements as I am a �/ i9(�licensed architect ora registered professional engineer FINALacting in my professional capacity (Section 7051, �UCe 6 t� DATE Business and-Profession I s Code)., USE OF IEXISTING BLDG. 7� DEMOL FINAL By Lic•or Reg.No —Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) f NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS r11. Professions Code): PRESENT ❑ BUILDING I, as owner of the. property,'or*my employees with ADDRESS wages as their sole compensation,will do the work and r z 3 4'9,5 A the structure is not intended.or offered for sale (Section LOCALITY _ 7044, Business and Professions Code): MOVING / TEL. # 0-0 0 0 0 1 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 2 o'o.3 1,Q O tion.7044,'Business and Professions Code). YARD 0 ' REQUIRED TOTAL SETBACK FROM EXIST. ;00 3 14 0 0 Ft 'CONSTRUCTION LENDING'AGENCY SET BACK HWY PROP. UNE WIDTH ° I hereby affirm that there is a construction lending agency for FRONT 12.2.3- 8 0 the performonce'of the work for-which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name. Lende'r's Address P.C. Fee$ Permit Fee w I certify that I have read this application and state that the Issuance Fee above information.is correct..I agree to comply with all County Investigation Fee 0 ordinances and State,laws,relating to building construction, Total Fee w and hereby authorize representatives of this County to enter upon the above-menti ned property for inspection urposes. c 7 'SEE REVERSE FOR EXPLANATORY-LANGUAGE gnature of Applicant or Agent Dote. y _ ©s 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 1212030084 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1 ITR: 37582 UN: 10 I SQ. FT STORIES TYPE 1 4503 ELLIS LN 1 2 .3 1 I (STRUCTURE: 1150 V-B 1 TEMP CA 917804250 I (ASSESSOR INFORMATION NUMBER: _ I I NEAREST CROSS STREET: LOWER AZUSA 18592-001-056 I THOMAS- PAGE: 597 GRID: AS LOCALITY:. TEMPLE CITY.CAI I I I (TENANT: IEXIST BLDG USE: DETAC USE ZONE: R-3 (ISSUED ON: PROCESSED BY: I. IEXIST OCC GRP: 112/03/12 SR _ (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAI. DATE F NAL BY: CODE: I IFARBER ROBERT J;ANNA L (626) 462-8168- 1 - 3,500 I I 14503 ELLIS LN 1 1 ��� 1� ITEMPLE CITY CA 91780 I FEES PAID DESCRIPTION OF WORK 1 IFLAT ROOF OVER DETACHED GARAGE TEAR OFF AND REROOF 1 I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: ,I - I _ I ICHANG, BRYAN (562) 307-6532- IAA BLDG PERMIT ISSUANCE 27.80 1 119042 SAN JOSE AVE IAB STATE .GREEN•BLDG FEE 3500.00 VAL 1.00 ISPECIAL CONDITIONS: I IROWLAND HEIGHTS 1AC STRONG MOTION RESID 3500.00 VAL 0.50 1 - I I ID2 PERMIT W/O EN-HC 3500.00 VAL 115..80 1 I I TOTAL FEES 145.10 1 I` ICONTRACTOR: TEL. NO: . 1 - -. 1APPROVALS DATE. INSPECTOR SIGNATURE 1 IGOLDEN WEST ROOFING SERVICES INC (562) 307-6532- 1 1 119042 SAN JOSE AVE LIC. NO 1LOCAT!:ON AND SETBACKS _ IROWLAND HEIGHTS CA 91748 933907 ISOILS ENGINEER APPROVAL I _ I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I LIC. NO: ISLAB/UNDER FLOOR I I ' IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPiI (UNDERFLOOR INSULATION I I I 1144H269 3 001 1 11 I I __.-1 IFLOOR,SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 0 NO 21 1 1ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS II (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO I (FRAME INSPECTION I l I I (FIRE SPRINKLER HANGERS I I (INSULATION/WEATHER STRIPI I I (INTERIOR LATH/DRYWALL I I I I I I I I 1EXTERIOR LATH I 1 I IRATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I ' IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I I 1* ADDITIONAL DATA ON FILE I I I I I ILOT DRAINAGE I I I I I I I IREPORT ID: DPR261 ROUTE TO: 2S0508 I I I I I I 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 1212030085 PHONE: (626) .285-0488 EXT: ILEGAL ID: { NO. OF CONST BUILDING ADDRESS: ITR: 37582 UN: 10 1 SQ. FT STORIES TYPE 4503 ELLIS LN 4 5 6 1 ISTRUCTURE: 1150 V-B I TEMP CA 917804250 I' (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA 18592-001-056 I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: DETAC USE ZONE: R-3 (ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 112/03/12 SR 1 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FIAL BY: CODE: FARBER ROBERT J;ANNA L (626) 462-8168- 1 3,500 14503 ELLIS LN1 I�. I ITEMPLE CITY CA 91780 FEES PAID IDESCRI TION OF WORK I IFLAT ROOF OVER DETACHED GARAGE TEAR OFF AND REROOF IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I I ICHANG, BRYAN (562) 307-6532- IAA BLDG PERMIT ISSUANCE 27.80 1 119042 SAN JOSE AVE IAB STATE GREEN BLDG FEE 3500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IROWLAND HEIGHTS - IAC STRONG MOTION RESID 3500.00 VAL 0.50 I 1 ID2 PERMIT W/O EN-HC 3500.00 VAL 115.80 I I TOTAL FEES 145.10 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IGOLDEN WEST ROOFING SERVICES INC (562) 307-6532- I 1 119042 SAN JOSE AVE LIC. NO I ILOCATION AND SETBACKS IROWLAND HEIGHTS CA 91748 933907 1 1 { ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: _ (SLAB/UNDER FLOOR 1 (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE. ZONE: CMP: ( (UNDERFLOOR.INSULATION 1144H269 - 3 001 1 1 I I I IFLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 0 NO 21IROOFSHEATHING• . I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1 1AIR QUALITY: 1000 FEET MATERIALS I 1 NO NO NO IFRAME INSPECTION IFIRE SPRINKLER HANGERS I 1 I' IINSULATION/WEATHER STRIPI IINTERIOR LATH/DRYWALL 1 1EXTERIOR LATH - I IRATED FLOOR/CELL ASSEM. I IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS 1 IT-BAR CEILINGS I I I* ADDITIONAL DATA ON FILE I I I ILOT DRAINAGE I 1 IREPORT ID: DPR261 ROUTE TO: ES0508 I I I I I I I i 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 0503310004 PHONE: (626) 285-0488 EXT: GAL D: NO. OF CONST BUILD NG ADDRESS: TR: 37582 UN: 10 SQ. FT STORIES TYPE 4503 ELLIS LN STRUCTURE: 9500 VN TEMP CA 917804250 - SSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8592-001-056 THOMAS PAGE:'597 GRID: A5 LOCALITY: TEMPLE CITY, Cl NA Wf EXIST BLDG USE: R SID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/31/05 JK 03/26/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA TE FINAL BY: CODE: ELLIS LANE HOA (818) 919-5958- 45,000 Z/ 1125 GLENVIEW RD b WCOV 917913556 FEES PAID AUCRIPTION OF WOR REMOVE EXISTING WOOD SHAKE, INSTALL 30 YR ASPHALT SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLASS A APPARTMENTS AND GARAGES APPLICANT: EL. NO: TRACY (818) 843-0544- AA BLDG PERMIT ISSUANCE 27.75 801 S. FLOWER ST. AC STRONG MOTION RESID 45000.00 VAL 4.50 SPECIAL CONDITIONS: BURBANK, CA 91502 D2 PERMIT W/O EN-HC 45000.00 VAL 732.45 TOTAL FEES 764.70 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE S B R INC. (818) 843-0544- 801 S. FLOWER ST LIC. NO LOCATION AND SETBACKS BURBANK, CA 91502 802575C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND.- STAT CLASS: NO 21 ROOF SHEATHING e� SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIR ED TOTAL SETBACK FRO EXIS TfRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- �F�Y! E IOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508