HomeMy Public PortalAbout5013 FIESTA AVE_Building__ ` I 76A638A CE#803 2 63APPLICATION APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING O/�r ��"��
DEPARTMENT OF COUNTY ENGINEER ADDRESS J_ J
_ BUILDING AND SAFETY DIVISION LOCALITY 7— �� e r I
JOHN A LAMBIE COUNTY ENGINEER NEAREST f '
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WILLIAM A JENSEN Sup 7 OF BUILDING CROSS ST , AA R O Jr,4 ,
DISTRICT NO GROUP I TYPE P O ED BY
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STATISTICAL CLASSIFICATION WER MAP ���,,,III
BK PGyyCLASS NO DWELLUNITS BLOCK WATER-] CERTIFICATE NOT REQUIRED RECEIVED`❑a.[. NOP p2Q ({CI CLE) STATE MAJOR SECOND CANO OAY
FBLDGS 3 NOW ON LOTUSEZONE SPECIAL(�^ / CONDITIONS
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ARCHITECT OR TEL P L 'z O Q IlT 14
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NEW ADD ALTER REPAIR DEMOLISH rI G �/)� 1 Iz , ?
SO FT NO OF NO OF
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SI %" STORIES FAMILIES - S �_ ♦'
USE OF ) L I t ` /v
STRUCTURE
SIGNATURE OF i 1
APPLICANT
VALUATION 3J ev Q + _ &jj
APPROVALS DATE INSPECTOR ASIGNATURE
P C PMT -p. FOUNDATION LOCATION
FEE FEE $�•` �' _ FORMS MATERIALS
FRAME FIRE STOPS �` /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS (®
k 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 I LATH INT q
TION OF THE LABOR COD C OF THE STATE OF CALIFORNIA RELAT _
ING TO WORKMEN 5 COMPENSATION INSURANCE '
/ w LATH EXT
SIGNATURE OF r 7/ HOUSE NUMBE COR
PERMITTEE /, RECT AND PAj6STED
ADDRESS �� -.+�� FINAL L
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r y4 JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
'PLAN CHECK -VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH
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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 0209180063
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST BUILDING
TR 13329 LT 52 SQ FT STORIES TYPE 5013 FIESTA AV
STRUCTURE VN TEMP CA 917803819
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA
8590 019 012 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY
TENANT BLDG USE R PROCESSED BY EXPIRES ON
EXIST OCC GRP 09/18/02 JK 03/17/03
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE CODE
WORKMAN ROY A BETTY J TRS (626) 287 7930 5,900
5013 FIESTA AV EX[M
TEMP 917803819 FEES PAID DESCRIPTION OF WORK
REMOVE WOOD SHAKE INSTALL 7/16OSB 8 40YR PRESIDENTIAL COMP
APPLICANT TEL NO FEE DESCRIPTION QUANTITY UOM AMOUNT
GUY GRATER (909) 593 4982 AA BLDG PERMIT ISSUANCE 27 75
7115 MONTEREY ST AC STRONG MOTION RESID 5900 00 VAL 0 59 SPECIAL CONDITIONS
LA VERNE 91750 D2 PERMIT W/O EN=HC s= X5900 00 VAL 149 40
TOTALQFEES 177 74
CONTRACTOR
N �® GELES
APPROVALS DATE INSPECTOR SIGNATURE
DANDGROOFING (626) 593 4982
7115 MONTEREY ST LIC NO LOCATION S
LA VERNE, CA 91750 534986/C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO /r/ f�r"I� ^~ \ FOUNDA 0 / C 0
LIC NO _ �-1 ��illlll � SLAB/UNDER FLOOR
RAISED RUO-
-MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP T7
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UNDERFLOOR I S 0
144H269 3 01 1,�`� FLOOR
SHFATHIWT
NO OF FAMILIESL /COND STAT CL
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NO 21' -— — — — — — r,J ROOF SHEATHING
SCHOOL I A ��V /2 7 Tl AWS ��rSHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS �� /7
NO NO NO '� / FRAME INSPECTION
REQUIRED L S T CKR EXIST �\ / T Q / FI N ANG
SET BACK YARD HWY PROP LINE WIDTH \�c�SQ I�
FRONT PL ����� NSULATION/WEATHER STRIP
SIDE PL = _J^f
INTFRIOR LATH/DRYWALL
EXTERIOR LAT
RATED FL / EIL ASSEM
RATED WALL ASSEMBLIES
RATED T E GS
T BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508