HomeMy Public PortalAbout5005 FIESTA AVE_Building__ 1 a DIPARTMENT OF WELDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES -a-. 1 7131�i U I L I I1MG
WM J FOX CHIEF ENGINEER
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OVED
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CONTRACTOR LQ�`.�/�� s/�a I�A�J���j ZONE d` BYHOUSE
` DATE
HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO BLOCK MAP NUMBER O 1 FIELD CHECK BY
TRACT /3 IS J, NO ASSIGNED BY DATE
No OF BLDGS I CORRECTIONS
SIZE OF LOT 3 " NOW ON LOT
USEOF NO EXISTING BLDG C://7 R"q p v FAMILIES
r DESCRIPTION OF WORK ��� �� O.r�
NEW r�Itr I I ALTERATION I I ADDITION I A
REPAIR I I DEMOLITION
SQ FT NO OF
SIZE ',3 ROOMS STORIES Z
EXT WALLROOF ID'
COVERING 4 ST►t[OI COVERING
USE OF STRUCTURE
APPROVALS
INSPECTO S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS fAFUNDATION LOCATION �J
PLICATION AND STATE THAT THE INFORMATION GIVENORMS MATERIALS
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISAME FIRE STOPS
HEREON AND WITH ALL COUNTY ORDINANCES AND STRACING BOLTS _
LAWS REGULATING BUILDING CONSTRUCTION RNACE LOCATION
SIGNATURE OF AS VENT DUCTS I
PERMIT TE �/ g
ADDRESS- -7 f�` � &,ex &j t7 �/Q� TH INTAUTHORIZED AGTTH EXT
�j PLASTER INT
ASSBA DOSS 10-50 $ FEE $ /
PLASTER EXT
VALUATION �� o O FEE $ �O FINAL 4'�"�" -
�Je�
.'-Nu SAF E a ti..JLfCATIt .i
-,r aY OF L%.8 ANGELES
DEPAl' WM. J. FOX, CHIEF ENGINEER B U I L D I N G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST.
BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRESS
NEAREST
TEL. CROSS ST.
CITY NO. -
"'�"' FIRE NO.OF TYPE I DROOP
ARCHITECT OR TEL. ZONEI PLANS
ENGINEER NO.
-- -- - - ----- BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL. APPROVED
CONTRACTOR NO. BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. I BLOCK
TRACT
NO. OF SLOGS.
SIZE OF LOT I NOW ON LOT
USE OF I NO.OF I NO. OF
rn
EXISTING BLDG. FAiLIEa ROOMS
DESCRIPTION OF WORK
NEW _�]__ATERIT
ATION ADDION O
-LA
REPAIR MOVING DEMOLISH _ 0
Sq. FT. NO.OF Z
_ SIZEROOMS STORIES r
WALL
ROOF
COVERING wt COVERING
USE OF NEW
BUILDING
APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS INSPECTOR DATE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION,
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS -
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER LATH, INT.:
AUTHORIZED AGT._ LATH, EXT.:
$ P C $ PLASTER, INT.
FEE PLASTER, EXT.
VALUATION FEE FINAL
__ _,
78A638A CE#803 B 63 APPLICATION FOR BUILDING PERMIT _
COUNTY OF LOS ANGELES ADDRESS J D
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GR P I T E PR ESSED BY
FOR APPLICANT TO FILL IN S�,? CONST
BUILDING Q STATISTICAL CLASSIFICATION SEWER MA
ADDRESS CLASS NO DWELL UNITS BK J
LOT NO BLOCK WATER ❑
1 CERTIFICATE NOT REQUIRED RECEIVED
TRACT J �- MAPHIGHWAY STATE MAJOR SECOND C
NO OF SLOGS NO � (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG X
TEL
OWNER NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL P L �
ENGINEER NO SIDE
ADDRESS a Ir '�' CJ ��7 I✓/ � •i/� I f- O
L y
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CONTR NO !! V
ADDRESS 0
DESCRIPTION OF WORK u
W
O.
NEW D ALTER REPAIR DEMOLISH V1
SQ FT NO OF NO OF z
SIZE STORIES FAMILIES
USE OF +
STRUCTURE
SIGNATURE OF
APPLICANT /)''`)
VALUATION $
APPROVALS DATE INSPECTOR S SIGNATURE
PC 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 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 CCDC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S MPE ATION I SURA NCE LATH EXT
SIGNATURE OF� V HOUSE NUMBER COR
PERMITTEE //////"``������� RECT AND POSTED
ADDRESS FINAL -�lL
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STIRC-11
URAL ENGINEER
IDATION
PERMIT VALM O CASH
� I
8 5 7 1:o MAY 1 6 1 D 600-
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 1210100026
PHONE (626) 285 0488 EXT
ITEGAL ID I NO OF CONST I BUILDING ADDRESS
ITR 13329 LT 53 SQ FT STORIES TYPE 5005 FIESTA AV 1
(STRUCTURE J B TEMP CA 917803819 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18590 019 013 I THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY Cl
ITENANT IEXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY 1
IEXIST OCC GRP 110/10/12 SR I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE 1
IMANDAU FAYE (562) 522 8386 1 770 1
15005 FIESTA AV I
ITEMP 917803819 FEES PAID IDESCRIPTION OF WORK
I I IREPLACE 5 WINDOWS
IFEE DESCRIPTION QUANTITY UOM AMOUNT
1APPLICANT TEL NO I
ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 I 1
IAB STATE GREEN BLDG FEE 770 00 VAL 1 00 ISPECIAL CONDITIONS
1AC STRONG MOTION RESID 770 00 VAL 0 50
ID2 PERMIT W/0 EN HC 770 00 VAL 65 40 I
IFR INV WORK W/O PERMIT 166 40 DOL 166 40 I
ICONTRACTOR TEL NO I TOTAL FEES 261 10 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER
' LIC NO ILOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I
1 LIC NO 1 (SLAB/UNDER FLOOR 1 1 1
I I I
IRAIS�D FLOOR FRAMING
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION
1144H269 3 001 1 I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I /I J (FLOOR SHEATHING
0 NO 21 -i EXPIRE® V I ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS 1 I I
1AIR QUALITY 1000 FEET MATERIALS I
1 NO NO NO I (FRAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS
I I I
INSULATION/WEATHER STRIPI _ I I
I I
I I (INTERIOR LATH/DRYWALL
I I I
1EXTERIOR LATH I 1
I I I
I IRATED FLOOR/CEIL ASSEM I I
I I I I
I I RATED WALL ASSEMBLIES
I IRATED SHAFTS/OPENINGS
I I I
IT BAR CEILINGS I I
I I I
ILOT DRAINAGE I I
I I I
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