HomeMy Public PortalAbout4572 ELLIS LN_Building__ /.'71 41
76A638A CE 8032-63 APPLI:CA-TI r N FOR.B:'' .IiL�:D;I N.G:.PERMIT", `•.. .:,�;. .• - `.
COUNTY OF LOS ANGELESB UILDING i
' ADDRESS
DEPARTMENT -OF I COUNTY:ENGINEER
' BUILDING•A'ND SAFETY DIVISION LOCALITY` a 1
JOHN.A. LAK1BIE,•C6UNTY ENGINEER . NEAREST
WILLIAM A. JENSEN, SUP•T,OF BUILDING - _ CROSS ST. . _ ibc.•sw'
DISTRICT NO GROUP.% TYPE., P ; -
FOR=APPLICANT` TO FILL IN : :!' cONsr;' !ROCE SED BY
fG
`BUILDING ` STATISTICAL CLASSIFICATION; SEWER MAP ..
ADDRESS
.. -CLASS. NO.• DWELL:UNITS_j
LOT NO:, `'",n .WATER • . NOT:REQUIRED ® 'RECEIVED
CERTIFICATE: '
Li
TRACT,. MAP HIGHWAY STATE MAJOR SECOND, OCAL'
" - NO.OF BLDGS., NO. 'Q �Q' (CIRCLE) ,
SIZE OF LOT - NOW ON,LOT. USE ZONE SPECIAL f, '
USE OF - - � CONDITIONS
EXISTING BLDG,
TEL
OWNER • e-. O. _ _ !L17C7 BUILDING .EXIST:
SETBACK' YARD,. HWY STREET NAME WIDTH
-ADDRESS. /KJ-. ". FRONT•
A-RCHITECT R - - TEL: _ P L �'<�' "•�
ENGINEER ��' NO. SIDE
P. L. }
.ADDRESS•. - - -
TEL - 0
CONTRACTOR . O. ! - -
ADDRESS•. - _ - O
DESCRIPTION;OF'WORK u
W
NEW. ADD ALTER.- :REPAIR DEMOLISH N
SQ FT 4_._ - - - NO. OF, NO: OF -
SIZE STORIES. FAMILIES '
,USE OF - ,�-
STRUCTURE
•SIG TURE•OF �
APPLICANT-
VALUATION,$ ✓ `
• APPROVALS . " DATE, INSPECTOR'S SIGNATURE
P.C. PMT.- r FOUNDATION: LOCATION -
FEE $ FEE $ o� FORMS,•MATERIALS,.
_ - - FRAME: FIRE.STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE'THAT THE ABOVE IS;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. - -
TION OF THE.LABOR CODE OF THE STATE OF CALIFOR- A RELAT-
ING TO WORKME 'SN"INSURANCE.,, LATH,..EXT., -
SIGNATURE OF �COMSHOUSE NUMBER COR-
E
OR- - -
PERMITTEE . ECT AND POSTED _
ADDRESS NAL U
•
JOHN-F. LEWIS, PRINCIPAL ST TURAL ENGINEER
PLAN. CHECK VALIDATION CK.' M.O.. CASH _ PERMIT VALIDATION CK: ., M.O. CASH
�n AUG 2 Q 6"00- ,
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 0608070021
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:. ;
TR: 12998 LT: 80 SQ. FT STORIES TYPE 4527 ELLIS LN
STRUCTURE: 1700 VN TEMP CA 917804251
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
8592-001-009 THOMAS PAGE:, 597 GRID: AS LOCALITY; TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: '
EXIST OCC GRP: 08/07/06 JK 08/02/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: - VALUATION: F A FINAL. BY: CODE:
SIEN PANG (626) 280-2058- -3,500
4525 ELLIS IN
��:
TEMP 917804207 FEES PAID DESCRIPTION OF WORK
REROOF, TEAR OFF 30 YR SHINGLES ONLY HOUSE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: _
APPLICANT: TEL. NO: -
BRETMAN YIFET - (818) 987-7277- SAA BLDG PERMIT ISSUANCE 27.75
5461 YARMOUTH AVE Ac STRONG MOTION RESID. .3500.00 VAL 0.50 SPECIAL CONDITIONS:
ENCINO, CA 91316 D2 PERMIT W/O EN-HC 3500.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ROYALTY REMODELING, INC. (818) 883-5588-
6269 VARIEL AVE LIC. NO LOCATION AND SETBACKS -
SUITE #F 794466B
WOODLAND HILLS CA 91367 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS �4
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
144H269 3 Oil
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF 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
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES -
RATED.SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508