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NIAMA CE#0099-69 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING i 5�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY .—.e ,e
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /,
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. /fl�I�j1 Q rGs
DIS t ICT NO QROUP TYPE PROG ED BY
FOR APPLICANT TO FILL IN `��L) Y CONST. % r.
BUILDING STATISTICAL CLASSIFICATION SEW R MAP
ADDRES _.r 7"" �+ B P
CLASS.NO. s DWELL. UNITS
LOT NO. 7 BL005d MAP ^(,.' STATE ,
NUMBER / J HWY. YES O
TRACT USE ZONE SPECIAL
NO.OF BLDGS. / CONDITIONS
SIZE OF LOT.:F;;;"0( I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
`�j SETBACK YARD H EE NAME WIDTH
OWNER/�iy' f FRONT
MAIL P.L. =ice
ADDRESS SIDE
TEL. P.L.
NO.y INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
e
TEL
CONTRACTOR NO..
7 Cm .44s
ADDRESS -
DESCRIPTION OF WORK IZ O 6fH 6 dr o
c - ae
NEW ADD ALTER REPAIR DEMOLISH N
SQ. FT. NO. OF NO. OF _ 1
STORIES f FAMILIES - -
USE OF
STRUCTURE
at.
SIGNATUROF
APPLICA
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS, MATERIALS ��: ^G` s- `.•t..ti.'
VALUATION $ �!>U I FRAME: FIRE STOPS,
BRACING, BOLTS ,+'
P.C. G I PMT. / I FURNACE: LOCATION,
$
FEE FEE $,_5?
GAS VENT,DUCTS c
1 H REBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. I �'� �' �.♦ ..
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGUL BUILDING NSTRUCTION. LATH, EXT. tA
SIGNATU
HOUSE NUMBER COR-
PERMIT E RECT AND POSTED
ADDRESS FINAL 'Z C-
CLYDE N. DIRLAM, PRIN IPAL STCT AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
10
;02647 1 D
36
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 0202040016
PHONE:. (626):285-0488 EXT:
LEGAL ID:. - - NO. OF ,. -CONST . BUILDI-NG:ADDRESS:
TR: 10992 LT:..7 BL: A SQ. FT STORIES TYPE ; 4851 GLICKMAN AV
STRUCTURE: VN TEMP CA-917804019
ASSESSOR INFORMATION NUMBER: NEAREST CROSS. STREET: LOWER AZUSA
8585-012-027 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
TENANT:. EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: .EXPIRES ON:
TEJADA JOSIE. EXIST OCC GRP: 02/04/02 JK 08/03/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY' CODE:
WINBERG EDWARD I;MARY J (626) 355-6662- 3 1,800 ?(.
122 WHITE OAK DR,
ARCD 910061725 FEES PAID DESCRIPTION OF WORK
INSTALL NEW 30YR SHINGLE OVER EXISTING LAYER
FEE DESCRIPTION: QUANTITY: UOM:' AMOUNT:
APPLICANT:, TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 -
AC STRONG MOTION RESID_ 1800.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC _ 1800.00 VAL 82.20
TOTAL FEES 110.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL .
ARCHITECT OR ENGINEER: -TEL. N0: - FOUNDATION/TRENCH FORMS
LIC. NO: -' SLAB/'UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:. CMP: UNDERFLOOR INSULATION
144H273 3 01
- FLOOR SHEATHING
N.O. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY,: .1000 FEET MATERIALS .
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROMEXIST FIRE SPRINKLER.HANGERS
:
SET BACK YARDHWY:. PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
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