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76AH98A CE{/.OH H-HH APPLICATION FOR BUILDING PERMIT ,
COUNTY OF LOS ANGELES ADDRESNG
S 4 ' /
DEPARTMENT OF COUNTY ENGINEER c
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST � -
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE pj Aj' ESSED BY
FOR APPLICANT TO FILL IN CONST. / '—�
BUILDING ER MAP
- STATISTICAL CLASSIFICATION
ADDRESS !t3-41 }- ' 1 -[, :C-rs"�f l✓l BK PG
f
� rr�� CLASS.NO.�DWELL. UNITS /
LOT NO. F'Ir BLOCK ) MAP _ STATE YES CS�
j NUMBER H Y.
TRACT / O / / USE ZONE SPECIAL f
�_� NO.OF BLDGS. / CONDITIONS
SIZE OF LOT ' ' L �/ I NOW ON LOT f
USE OF
EXISTING BLD BUILDINGEXIST.
j SETBACK YARD HWY PTREET ,AME WIDTH
OWNER FRONT
ADDRESS � � SIDE
ARCHITECT O TEL, INSPECTION RECORD
ENGINEER NO. '^'l
D.
DDRESS
CONTRACTORv,W":2 �rlbfTCt-1 N ;L'Agl ltZ psi}
DD ES �i C .�-j-
DESCRIPTION OF WORK
NEWJ ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE 2 7 r
SIGNATURE OF G� APPROVALS
APPLICANT
/ DATE INSPEC R'S SIGNATURE
ADDRESS /--
FOUNDATION: LOCATION
FORMS.MATERIALS Z r °^: �'
$ / P.C. S �'r FRAME: FIRE STOPS.
FEE BRACING.BOLTS
VALUATION s?o FURNACE: LOCATION. t
FEE f GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _
AGREE TO COMPLY WIT ALL COUNTY ORDINANCES AND
STATE LAWS REGU 1NG BUILDING,CONSTRUCT ON. LATH,EXT.
SIGNATURE OF`:, - �, HOUSE NUMBER COR-
PERMIT'
OR-
PERMITTE RECT AND POSTED l
ADDRESS / •'- FINAL '7
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL-EAI EER
PLAN CHECS VALIDATION CK.' M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0 0, DEC 11 1 A 3 0.0 0 V,0.
76AS38A CE A1036.58 APPLICATION FOR BUILDING PEfZ , IT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A°DREss
BUILDING AND SAFETY DIVISION LOCALITYd
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST L.
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. j GROUPTYPE P ESSED BY
FOR APPLICANT TO FILL IN ;L _ I CONST.•�F S
BUILDING --�///J SE ER MAP
ADDRESS (� STATISTICAL CLASSIFICATION PG
BK
LOT NO. BLOCK CLASS.NO.— WELL. UNITS I �_! d
MAP STATEi
NUMBER HWY. BYES
TRACT //� USE ZONE SPECIAL
SIZE OF LOT L X°L-�I+ I NO.OF SLOGS. ` CONDITIONS
NOW ON LOT /___ -
USE OF _\L
EXISTING BLDG. �i BUILDING /� EXIST.
' YARD HWY S ; EET 4AME
SETBACK ,- � WIDTH
OWNER .,Q' _ FRONT
MAIL '� r P.L. 1 G ',L-�js v' 46
ADDRE/SS„ "' /,� 9 > SIDE
INSPECTION RECORD
ARCHITECT OR// f
ENGINEER j�-g_/ NO
DDRESS
_ TEL
CONTRACTOR
ADDRESS
DESCRIPTION OF WORK
NEW ADD ` ALTER REPAIR DEMOLISH
SQ.FT. _ NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
G
SIGNATURE OF r.`- APPROVALS
APPLICANT
�, e^ DATE INSPECTOR'S SIGNATURE
ADDRES ,p26 FOUNDATION: LOCATION'
FORMS,MATERIALS
P.C. S FRAME: FIRE STOPS.
FEE BRACING,BOLTS
VALUATION S'? 0"v FURNACE: LOCATION.
FE ! GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES AND LATH.EXT.
STATE LAWS REG ATINB
G UIL N CO TRUCTION.
SIGNATURE OF - /�"P / HOUSE NUMBER COR-
PERMITTE 0, RECT AND POSTED / --->
ADDRESS
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O: b_AiAi °
UL
1- 29 3 DEC 2 3 A 3.0 (.
OF
COUNTY OF LOS ANGELES ``d' -.� TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND-DEVELOPMENT TEMPLE CITY CA BL 0508 9705060032
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 10992 LT: 4 BL: B SQ. FT STORIES TYPE 4824 GLICKMAN AV
STRUCTURE: 1500 V TEMP CA 917804018 `
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-015-023 THOMAS PAGE: 597 GRID: B5. LOCALITY: TEMPLE CITY
TENANT: SEXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: XPIRES ON:
EXIST OCC GRP: 05/06/97 TC 05/06/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
BLANCHARD LORA A;ROSENBOHM RICHARD "(909) 620-6771,- 3 1,430
11 TRAIL RIDGE Cl _5"W-41
POMO 917664955 FEES PAID DESCRIPTION OF WORK .
RECOVER OVER EXISTING 20 YR. COM SHINGLE CLASS A GAF
FEE.DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SEXTON ROOFING CO. (818) 963-6882- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG_MOTION RESID 1430.00:VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT'W/O EN-HC- y, , ' r=1430.00'VAL 82..20
--TOTAL FEES 110.45
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SEXTON ROOFING (818) 963-6882-
718 E. ALOSTA LIC. NO - LOCATION AND SETBACKS
GLENDORA, CA 91740 601896/C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS
LIC. N0: ~in4i I' �= 7- i .- " SLAB/UNDER FLOOR .
„
_ RAISED FLOOR FRAMING
•
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I; i�� j' ;� ' C- = ! UNDERFLOOR INSULATION
144H273 3 01
---- - - - -- - - --- FLOOR'SHEATHING .
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS
NO 21 1`' ,ti+ E lff"r' ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I r '� ? `" _ ' SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS -
-NO NO NO '- � '' " FRAME'INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST �.> �' -=__- _---_ _ =' _`Z FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: " WIDTH: ' -___ --" ;.• '
FRONT PL- INSULATION/WEATHER STRIP
C j
SIDE PL- ,1,;,,1 '__ .� s; ,' '
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