HomeMy Public PortalAbout4825 FIESTA AVE_Building__ it
r
76A636A CE#803 8 63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T of BUILDING CROSS S
DISTRICT JI GP TYPE P C S D Y
FOR APPLICANT TO FILL IN S S CONS T
BUILDING " STATISTICAL CLASSIFICATION SEWER MAP
ADDRESSa BK
� CLASS NO DWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP / HIGHWAY \
NO OF BLDGS / NO /�Q 6 (CIRCLE) STATE MAJOR SECOND OCAL
SIZE OF LOT NOW ON LOT ,( USE ZOSPECIAL
/
USE OF ONDITION j/�C. of 51- ?09
EXISTING
TEL
OWNER 1 NOB IL AC
EXIST
EATBCK YARD HWY STREET NAME WIDTH
ADDRESS FRONT /
ARCHITECT OR TEL P L Q
ENGINEER NO SIDE
L
ADDRESS c a
TEL �j - Q
CONTRACTO N 0 l` u
ADDRESS , O
DESCRIPTION OF ORB W
a /�(// a
NEW ADD ALTER REPAIR DEMOLISH f"
T /l ~'V'� NO OF NO OF
SIZE / �1 STORIE FAMILI / r
USE OFSTRUCTURE
61
SIGNATURE OF
` APPLICANT
' VALUATION $ /
APPROVALS DATE INSPECTOR S SI GNA�U
pC S� PMT FOUNDATION LOCATION 10M16*
FEE $ FEE $ `� 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'ISTATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK 1 ' tt
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT j r!�A ,.g' JM
TION OF THE LABOR COD, O THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COM SA ION INSURA
�° "
LATH EXT
SIGNATURE OF HOUSE NUMBER COR 7
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F I EWIS P41" S U TURAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VA LIDA TIOI N M O CASH
9 AuG
co
v
t r
3 LAW 3 1 6 2 AUG 26 1 0 5 7.0 0� 3
J638A CEN803 9 68+
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST /
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST L dClJE�2 /gZUs/}
DISTRICT N GROUP TYPE R ES8£L�B
FOR APPLICANT TO FILL IN CONST T c
(Print or type only)
BUILDING STATISTICAL CLAS I ATION SEWER MAP
ADDRESS CLASS NO DWELL UNITS BK PG
LOT NO 3� �j7���G J7— BLOCK USE ZONE MAP
O
TRACT �� SPECI CONDIIT ONS
AL
NO OF BLDGS
SIZE OF LOT Q NOW ON LOT
USE OF
EXISTING BLDG h,0 25 BLDG SETBACK FROM
EL y FRONT PROP LINE OF (STREET)
T
OWNER �E NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C L
CITY / f LDG SETBACK FROM
ARCHITECT OR TEL SIDEPROP LINEOF (STREET)
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL _
CONTRACTOR NO + G
ADDRESS LICNO CORNER CUTOFF YES ElNO ❑ C
G
CITY CL SS SEE REVERSE SIDE FOR SPECIAL APPROVALS C.
CONSTRUCTION LENDER
NAME AND BRANCH
ADDRESS
SQ FT NO OF NO OF NEW
SIZE STORIES FAMILIES
USE OF CfQ LL ADD ❑
STRUCTURE
�Q s/GT vy I ALTER ❑
,G CAY/`J REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATIONS �� OQ
I APPROVALS DATE INSPECTOR 5 SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ 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 ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSA ION INSURANCE
7 �� LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PERMIT VALIDATION CK MO CASH
t Ar., 1 3 3 8"" AUS 7 1 D 9.00 N d
- I
COUNTl 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 1406300095
PHONE (626) 285 0488 EXT
(LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 11454 LT 31 BL 001 1 SQ FT STORIES TYPE 4825 FIESTA AV
I ISTRUCTURE 2400 V B TEMP CA 917803815
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA
18590 020 029 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY CAI
ITENANT JEXTST BLDG USE RESID USE ZONE R 1 IISSUFD ON PROCESSED BY
IEXIST OCC GRP 106/30/14 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFTITAL6DATE FINAL BY CODE
IKREEBLE KENNETH T (626) 442 4442 1 7 900 1
14825 FIESTA AVE
ITEMP 917801931 FEES PAID 1D S�,RIPTIO OF WORK
1 IREMO�,E EXISTING COMP ROOF INSTALL NEW 30 YR COMP ROOF HOUSE 1
_IEEE DESCRIPTION QUANTITY UOM AMOUNT 1AND ATTACHED GARAGE
APPLICANT TEL NO I
BRIAN KEEFER (909) 608 0622 IAA BLDG PERMIT ISSUANCE 27 80 1
11216 BEGONIA CT IAB STATE GREEN BLDG FEE 7900 00 VAL 1 00 ISPECIAL CONDITIONS
UPLAND CA 91764 IAC STRONG MOTION RESID 7900 00 VAL 0 80
ID2 PERMIT W/O EN HC 7900 00 VAL 183 00
TOTAL FEES 212 60
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IKEEFER S ROOFING (909) 608 0622 1-
11216 BEGONIA COURT LIC NO ILOCATION AND SETBACKS 1
UPLAND CA 91784 760903 1
ISOI_S ENGINEER APPROVAL
+ARCHITECT OR ENGINEER TEL NO I IFOU74DATION/TRENCH FORMS
I I-
I LIC NO '1 (SLAB/UNDER FLOOR I 1
1 (RAI ED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 1UNDIRFLOOR INSULATION
3 001 I I
IFLOOR SHEATHING I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I
NO 21 I (ROOF SHEATHING
I I
1 SCFOOL WITHIN HAZARDOUS ISHEYR PANELS
(AIR QUALITY 1000 FEET MATERIALS
NO NO NO I I FRAME IPTSPECTION I I I
IFIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I1
(INTERIOR LATH/DRYWALL I
I IEXTERIOR LATH I
IRATFD FLOOR/CEIL ASSEM I
I I I I I
RATED WALL ASSEMBLIES I
IRATFD SHAFTS/OPENINGS I I
I I I I I
I IT BAR CEILINGS
1LOT 'DRAINAGE I I I
IREPORT ID DPR261 ROUTE TO BSO508 I