HomeMy Public PortalAbout10750 GRAND AVE_Miscellaneous__ 76M444-DBS 75 12-54 MISCELLANEOUS APPLICATION 1
DIVISION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAILERS
Department of County Engineer
County of Los Angeles BUILDING
WM. J. FOX. COUNTY ENGINEER ADDRESS 16240
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLIC MT TO FILL IN NEAREST
_ OWNER /[fit--Y - CROSS ST.
MAI . h' -
ADDRESS / ( y DISTRIV�,NO. OUP"' TYPE CONST.
CITY �' +., L.E NO T
MAP t,..�f STATE � �',r>
TEL. NUMBERy J HWY V�J
CONTRACTOR , NO. USE_ZOKE SPECIAL
ADDRESS CONDITIONS_
7 o�
,�- DESCRIPTION I LOT NO /O'''-7Z4,( �~ BUILDING EXIST.
YARD HWY STREET NAME
NO. OF BLDGS. SETBACK WIDTH
TRACT ! "/ NOW ON LOT �
- FRONT _].L �.•-
' USE OF )) /I P' L.
SIZE OF LOT :�� �� I EXISTING BLDGId�'�r' � '' SIDE
APPLICATION FOR P L
OCCUPANCY INSPECTION RECORD
INSPECTION SAFETY PERMIT
TRAILER USE /'-+. LIMITED TIME USE
.......................
I..................__............................................................................I....................................
.......................I..................._................................................_............................I.....................................
D�,TE r, - DATE ........................I..................................................................................................I........................_...........
i
FROM:
_ TO:
USE OF STF(UCTURES OR DEVICES .......................I..................................................................................................I...................................
.
................._...I..........._......................................._............._..._.....................I................_..................
..........._...........L...............................................................................................I..................................
....................I...................................:...._.............................I.............._..........I................................
................_................._.._..........._....................................................................I........................._..........
.._.........................................................................................................i...................................
..
APPROVALS
INSPECTION FOR DATE I INSPECTOR'S SIGNATURC
OCCUPANCY AS OCCUPANCY APPROVAL -�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS _ GROUP OCC.LOAD
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES TRAILER USE _
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
SAFETY PERMIT
SIGNATURE OF .,a� -I
PERMITTEE i,..f� � TEMPORARY
STRUCTURE APPROVED
ADDRESS TEMPORARY
STRUCTURE REMOVED
FINAL APPROVAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
2 O 7v. Am29 2 6 55-.0 0/�K'%03 2 7 Or.. mAy 2 8 7 a
BY ""Q-( / #BY 0�^
DEPUTY :� DEPUTY
COUNTY OF LOS AA EIY-9 TELE CITY 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORJ.S 9701 LAS TUNAS MP 0508 1110190002
BUILDING AND SA= / LARD DEVELOPMENT TEMPLN CITY CA 91780
PHONE: (626) 285-0488 ETT:
L&3aL ID: NO. OF COAST NEW BUILDING ADDRESS:
TR: 4902 LT: 1 BL: E SQ. FT STORIES TYPE OC= GROUP 10750 GRAND AV
STRUCTURE: 1 V-B U TYMP CA 917803544
ASSESSOR INFORMATION NUMBER: NT�ARESr CROSS STREET: PERSIMMON
8574-024-001 EYS.ST BLDG USE: THCHAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
EI LST OCC GR-P: USE ZONE:
VONT: ISSUID ON: PROCESSED BY:
BLDGS. NC ON LOT: VALIDt'[ZON: 10/19/11 SR
0
OVlNER: TEL. NO: FINAT DATE FINAL BY: CODE:
WEN, ZIAO YAN (626) 922-3847- LIST ITEM:
10750 GRAND AV a 1
TEMP 917803544 DESCRIPTION OF WORK
RE-CONVERT TWO CAR GARAGE TO ITS INTENDED USE
OCCUP LOAD EXIST: AND RE-CONVERT ATTACHED PATIO BACs TO ITS ORIGINAL COINDITION
APPLICANT: TEL. NO: OCCUP LOAD NNW: AS A COVERED OPEN PATIO
SAME AS OWNER -
PARKIM SPACES REQUIRED: SPECIAL CONDITIONS:
PARl@NG SPACES PROVIDED:
EZTT HARDSOiRE:
CONTRACTOR: TEL. NO: LIhffTED TIME USE
SAME AS OWNER - NRR OF EZITS: FROM TO
LIC. NO
FEES PAID
APPROVALS DATE INSPECTOR SIGNATZTRE
FEE DESCRIPTION: QUANTITY: UOM: AMOIINT:
ARCEITECT OR ENGINEER: TEL. NO: TRAILRR USE
- OA PERMIT ISSUANCE 27.80
LIC. NO: 01 R/M OCC/USE INSPECT 146.00 SAFETY PEM3(IT
TOTAL FEES 173.80
TEMP. STRUCT. APPROVED
MAP NO: 9 MAP BOOS: PAGE: FIRE ZONE: CMP: TEMP. STRUCT. REMOVED
147H277 _
NO. OF FAMILIES: DW]3LLI27G UNITS: APT COND: STAT CLASS:
NO
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEST F9�TSRSA2�
NO NO NO
REPORT ID: DPP-267 ROUTE TO: B80508