HomeMy Public PortalAbout10750 FAIRVIEW AVE_Building__ t '
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES " I L G
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F WM J FOX, CHIEF ENGINEERUE" - -
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DESCRIPTION LOT NOW/O BLOCK G/ MAP NUMBER 2`y,.fn FIELD CHECK BY
TRACT � NO ASSIGNED BY , / y SATE '
' NO OF BLDG--S-,d CORRECTIONS
SIZE OF LOT I NOW ON LOT
USE OFI NO 0_F
EXISTING BLDG ��� FAMILIES
DESCRIPTION OF WORK
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APPROVALS4
INSPECTORI;SIGNATURE _DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION S�/!y
PLICATION ,AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT
I AGREETO COMPLY WITH THE CORRECTIONS L STED FRAME FIRE STOPS,
HEREON AND WITH ALL COUNTY,ORDINANCES AND TATE BRACING, BOLTS
LAWS REGULATIN BUI G CO STRUCTIO FURNACE LOCATION,
SIGNATURE OF \ GAS VENT, DUCTS r i
PERMITTE </ /
� LATH, INT
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LATH, EXT �
AUTHORIZED AGT
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VALUATION I V" FEE FINAL Z-<57
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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 0706110011
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS 1
ITR 4902 LT 2 BL G SQ FT STORIES TYPE 10750 FAIRVIEW AV 1
STRUCTURE VN TEMP CA 917804109
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET PERSIMMON 1
18574-022-004 I I THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY, CI
ITENANT 1EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON 1
EXIST OCC GRP 106/11/07 SR 06/05/08
I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF AL DAT F Y CODE 1
ICHAN, SIMON (805) 488-1992- 1 4,200 1 �7 1
1 115 E CLARA ST I I C((CCCJJJJJJ !`' 1
IPORT HUENEME 93041 1 FEES PAID 1DESCRIPTION OF WORK I
I IREPLACE 22 WINDOWS & REPAI 2 DOORS 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 1
(APPLICANT TEL NO I I
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1 I
IAC STRONG MOTION RESID 4200 00 VAI, 0 50 ISPECIAL CONDITIONS I
ID2 PERMIT W/O EN-HC 4200 00 VAL 132 60 1 I
1 i TOTAL FEES 160 85
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC NO I ILOCATION AND SETBACKS I I I
I I I I I I
1 1 ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS 1 1 I
1 LIC NO 1 (SLAB/UNDER FLOOR 1 I I
IRAISED FLOOR FRAMING I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I
XX 3 oil I 1
I I IFLOOR SHEATHING I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I
1 NO 21 I IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
1AIR QUALITY 1000 FEET MATERIALS I I
1 NO NO NO 1 IFRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I
ISET BACK YARD HWY PROP LINE WIDTH I I I I I
IFRONT PL- I IINSULATION/WEATHER STRIPI I I
I SIDE PL- I I I I I
I i (INTERIOR LATH/DRYWALL 1 1 I
yo \ 1'\bl OlV\ rI i EXTERIOR LATH 1
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00y, _ IRATED FLOOR/CEIL ASSEM 1 1 1
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IRATED WALL ASSEMBLIES 1 I
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IRATED SHAFTS/OPENINGS 1 I I
I I IT-BAR CEILINGS 1 I
I ILOT DRAINAGE 1 I
I I I
I {' IREPORT ID DPR261 ROUTE TO BS0508 I I 1
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