HomeMy Public PortalAbout10202 GREEN ST_Building__Is— T
� I
DMSION OF BUILDING AND SAFETY BUILDING
Department of County Engineer
County of Los Angeles
WM. J. FOX,
COUNTY ENGINEER APPLICATION
BUIL
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS LOCALITY
�'`
NEAREST
LOCALITY CROSS ST.
DISTRICT NO. PLAN CK. OR REc. No. PERMIT NO.
NEAREST
CROSS ST.
OWNER �B�/Q T �.' A RECEIVED BY DATE OF APPL. DATE ISSUED
MAIL D '
ADDRESS USE ZONE NO. OF I TYPE I GROUP I FIRE ZONE
PLANS
CITY %�/'/ NO.. S-
ARCHITECT OR47 TEL. ZONING DATED
ENGINEER NO. APPROVED BY-
BUILDING ORD.No.
ADDRESS SETBACK LINE:
TELCONTRACTOR�L.L' /^//XO NO., BYPROVED DATE
/� HOUSE NUMBERING
ADDRESS r?K'/.j, .1!) :ala---T1 /+feG: t+r III
LEGAL MAP NUMBER NO. ASSIGNED BY
DESCRIPTION LOT NO. I BLOCK _
DATE CORRECTIONS I INSPECTOR
TRACT
NO. OF BLDGS.
SIZE OF LOT I NOW ON LOT _
USE OF NO. OF
EXISTING BLDG. /C._j✓t i'C /. c' f'- I FAMILIES/
O
DESCRIPTION OF WORK
Z
NEW LTERATION ADDITION
REPAIR DEMOLITION
SIZE zy (p D ROOMS C STORIES
EXT. WALL STucROOF
- I COVERING
COVERING /
USE OF STRUCTURE C.'e ^
APPROVALS
INSPECTOR'S SIGNATURE DATE
C[�./,i- ." FOFOUNDATION: LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE - HIS RMS, MATERIALS
IS FRAME: FIRE STOPS,
CORRECT.
PLICATION AND STATE THAT THE INFORMATITIfl1�N THIS
18 BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SiwrF t/cr*ir/,7.�/p
SIGNATURE OF LATH, INT.
PERMITTEW
.J
ADDRESS - ,� {— - �. LATH, EXT.
PLASTER, INT.
AUTHORIZED AGT.
.� PLASTER. EXT.
���.� FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE $ FINAL -
76A888A D983 2-88 f
7aA93 ACs 1803-a-T7 APPLICATION FOR BUILDING ER-? IIT . I
COUNTY OF LOS ANGELES BUILDING �
DEPARTMENT OF COUNTY ENGINEER ADDRE88 vL O
BUILDING AND SAFETY DIVISION LOCALITY -- •~
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CA.f1ATT D.GRIFFIN nlrT OR BUILDIN• OSS ST. ALL -
DISTRI GROUP SEWER MAP
FOR APPLICANT TOM IN 1 TYPE SK PG
CONST.
BUILDING STATISTICAL 881FICATION -
wDDR$88 ��V`
/ y DLO CK ILA l NO UNI
LOT NO, MAP STATE
NUMBER HWY. YES
TRACT ` U E ZO E SPECIAL
NO.OF BI,.DGB. — _CONDITIONS
SIZE OF LOT NOW ON LAT
USE OF
(STING B BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER FRONT
MAIL (Z ^ P.L
ADDRESS Z' J IJL.V- — SIDE
P.L
NO 7
ARCHITECT OR TINSPECTION RECORD
EL qS
ENGINEER NO.
ADDRESS
TEL
CONiTRACTOR W tri NO.
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLI8H
SQ.FT. NO.OF
SIZE STORIES TSAM.ILIEIS
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'$SIGNATURE
ADDRHBb FOUNDATION: LOCATION
sFORMS,MATERIALS
P.C- ; FRAME: FIRE STOPS,
�Tv FEE BRACING,BOLTS
VALUATION 00 FURNACE: LOCATION.
pro / 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
STATE LAWS REGULATIB CTION. LATH EXT.
SIGNATURE O HOUSE NUMBER COR.
PERMI7-I'E LD1NG RECT AND POSTED
ADDR FINAL
_JOHN A.LAMBIE UNTY ENGINEER, CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
FLAN CE=VALMA7iON CK. hLo. CASH PEBMU VALLD TION Ctt. IlLo. Cott
L10,0 3•C3 2-gt m l 1 A l,O O
7.A"SAC,<a0*_&.U7 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING ^7 Q
DEPARTMENT OF COUNTY ENGINEER ADDREBH L—
BUII.DING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINKER NEAREST
A�ATT D.GRIFFIN SUPT OF BUILDING CROSS ST
DIFSTRICT GROUPCOPE SEWER MAP
FOR APPLICANT.TO Fal IN BK Po
BUILDING CON
ADDRESS- \ Q��pO�LIL STATISTICAL SSIFICAT40N
LOT NO. 11- BLOCK CLASS.NO. UNITS
MAP , STATE NO
�i NUMBER HWY.
TRACT �' �I ! 7 �f 8E+O HPHCIAL
NO.OP BLDGB. NDITION8
SIZE OF LOT NOW ON LOT
USE OF C V
EXIfjTINQ gLpo. J BUILDING YARD HWYSTREET NAME EXIST•
SETBACK WIDT}i
O WNHR FRONT
MAIL P.L
ADDRESS 2 SIDE - ..
P.L
CITY
T INSPECTION RECORD
ARCHITECT OR TEL -
ENGINEER NO.
D
1 1 , TEL
CONTRACTOR W NO.
D
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR _
SQ.PT. NO.O -
.SIZE STO IES FAMILIE6
USE OF STRUCTURE
BIGNAT'URE OF APPROVALS
APPLICANT
DATE INLPECTOR'1819 ATURE
ADDREB" FOUNDATION. LOCATION
FORMS.MATERIALS
s
P.C- III FRAME: FIRE STOPS.
FEE BRACING,BOLTS
VALUATIONF_UR
NATCE: LODCATION.
GAS VENUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE EAD THIS AP- _
PLICATION AND STATE THAT THE ABOVE 18CORRE AND LATH INT' .
AGREE TO COMPLY WITH ALL COUNTY ORDINAN AND
STATE LAWN GULAG ILDING T CLION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
Pffj;LMITTEpr R ECT AND PO STEL.
ADDR FINAL Sf
JOi-1N A- LAMBIE COUNTY ENGINEER, CLYDE N. DIRLAM,PRINCIPAL'ST}�UCTURAL ENGINEER
PIAN CEEM VLLMATION C!L Y.O. CAAH PE®QI VArMJMON Cx. WO. CAS"
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUI LNG PERMTT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1110270073
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST NEW BU=ING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10202 B GREEN 8T
STRUCTURE: 36 1 V-B U TEMP CA 917803336
ASSESSOR INFORMATION NUMBER: GARAGE. NEAREST CROSS STUFFY: GLICKMAN
8585-006-034 OTHER: TBOHAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
TENANT: RTT T BLDG USE: USE ZONE: ISSUED ON: PROCE98ED BY:
EZIBT OCC GRP: 12/08/11 SR
OWNER: TEL. 140: BLDGS. NOW ON LOT: VALUATION: FINAL DATE B COLE:
PILPA, FLORENCI.p I (626) 497-2997- 10,000 �� 1
5120 BALDWIN AVE. �[
TEND 917803336 FEES PAID DESCRIPTION OF WORK
STACK ROOF 4:12 SLOPE RECONSTRUCT ENTIRE ROOF AND PORCH
. FEE DESCRIPTION: QOAN 7Y: UOM: AMOUNT:
APPLICANT: TEL. NO:
KATIC3EAU, MAGQO (909) 267-8749- D1 PLANCHSCK W/O EN-HC 10000.00 VAL 184.60
961 CALLE HERIOSA AA BLDG PMakrT ISSUANCE 27.80 SPECIAL CONDITIONS-
SAN DIKAS C?. 91791 AB STATE GREEN BLDG FEE 10000-.00 VAL 1.00
AC STRONG MOTION REBID 10000.00 VAL 1.00
D2 PERMIT W/O EN-HC 10000.00 VAL 217.10
CONTRACTOR: TEL,. 190: TOTAL FEES 431,50 APPROVALS DATE INSP TOR SIGNATURE
M 8 K BUILDERS (909) 267-8749-
961 CALLE HER}OSA LIC. NO _ LOCATION AND SETBACKS
SAN DD4AS, CA 91773 720840B +
Soils ENGINEAP OPAL
ARC-=CT OR ENGINEER: TEL. NO: FdUND'ATION TRENCH FORMS
LIC. NO: SLAB/SER FLOOR
RAISED FLOOR FRAKETG
MAP NO: SEWER MAP BOOK: PAGE: FIRS ZONE: Qom: UNDNRFLOOR IIGSDLATION
3 00
IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: /COND: STAT CUSS:
0 NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QQIW=: 1000 FEET MATERIALS l l
NO NO NO FIRE DEPT. FRAME INSPECT
BLDG DEPT. FRAME INSPECT .
SHEAR PANELS
INSULATION WEATHER STRIP
INTERIOR LATH/DRYWALL
ErrRRIOR LATH
LOT DRAINAGE
SMOKE DEFECTION DEVICES
FIRE DEPARTMENT APPROVAL
+ ADDITIONAL DATA ON FILE
REPORT ID: DPP-261 ROUTE TO: BS0508
COUNTY OF LAS ANGPT, Th34PLLE CITY 0508 BUILDING PERMIT
... DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BU iNa AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA.91780 RL 0508 1105020034
PHONE: (626) 285-0488 ETP:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10202 B GREEN ST
STRUCTURE: 0 1 V-B R-3 THMP CA 917803336
ASSES90R INFORMATIOCI NUMBER: GARAGE: REApFIST CROSS STREET: GLICR4AN
8585-006-034 OTHER: MIDMA9 PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
TENANT: RTTAT BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY:
EZIST OCC GRP: 08/17/11 9R
OWNER: TEL. NO: BLDGS. NOW ON LAT: VALUATION: F4KAL,DATE FINAL BY: CODE:
PILPA, FLARENCIA I (626) 497-2997- 25,000
5120 BALDWIN AVE.
TEMP 917803336 FEES PAID DESCRIPTION OF WORK
REAR UNIT INPTSRIOR RE[ADDEL/REPLACEMENL• OF TERM= DAMAGED
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
PIL.PA, FLARENCIA (626) 497-2997- B1 PLANCHECE W/ENURGY 25000.00 VAL 439.60
AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS:
AB STATE GREEN BLDG FEE 25000.00 VAL 1.00
AC STRONG NOTION RESID 25000.00 VAL 2.50 .
B2 PERMIT W/ENERGY 25000.00 VAL 517.10
CONTRACTOR: TEL. NO: FR INV WORK W/O PERMIT 257.00 DOL 257.00 APPROVALS DATE INSPECTOR SIGNATURE
M 9 K BUILDERS (909) 267-8749- TOTAL FEES 1,245.00
961 CALLS HERMOSA LIC. NO LOCATION AND SETBACTS
SAN DIMAS, CA 91773 720840B +
_ l
SOILS ENGIlNUFM APPROVAL
ARCHITECT OR ENGINHXR: TEL. NO: POUNDATION TRENCH FORMS
LIC. NO: SLAB/l7NDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOI: PAGE: FIRS ZONE: CMP: .�. �... UNDERFLOOR INSULATION
3 00
LST LEVEI, FLOOR SHEATH
NO. OF FAKELIES: DWELS,ING UNITS: APT/COND: STAT CLASS:
0 NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO - FIRE DEPT. FRAME INSPECT
BLDG DEPT. FRAME INSPECT
SHEAR PANELS
INSULATION/WEATHER STRIP
II7TII2IOR LATH DRYK LL
ETTERIOR LATH
LAT DRAINAGE
SMOKE DETECTION DEVICES
FIRE pEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
- REPORT ID: DPR-261 ROUTE TO: 13S0508
COUNTY OF LOS ANOSI..R9 TEMPLE CITY / 0508 BILI lm PERMIT
DEPART!4ENT OF PUBLIC MIRT.S 9701 LAS TUNAS FIRE SPO NXILE
B=ING AND 9AF'Si7 / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0706250041
PHONE: (626) 285-0488 EXT: _
LEGAL ID: NUKMM OF ADDED RELOCATED B07I01M ADDRESS:
ON FIDE 9Q. FT SPRTNXTaR HEADS 10202 GREEN ST
S'I'RDCIVRE: TEMP CA 917803336
ASSESSORINFORMATION NUMBER: NSARFLaT
i4T CROSS S'IV : GL.ICA4AN
8585-006-034 THOMAS PAGE: 597 m : B4 LOCA=: T73[P1,2 CITY, C
TENANT: RZIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/25/07 SR 06/19/08
090SER: TEL. NO: BLDOS. NOW ON LOT: VALLATION: FINALL Y: CODE:
FIORENCIA PILPA (626) 455-0677- 2,000 Il�,ff��1111��
10202 GREEN ST _
TII4P 917803336 FEES PAID DESCRIPTION OF MIRK
FIRE 9PRIN]CIERS 14 HEADS
FEE DESCR-I=ON: QUANTITY: OOM: AMOUNT:
APPLICANT: TEL. NO:
F 4 R FIRE PROTECTION, INC. (626) 255-2312- AA BLDG PERMIT ISSUANCE 27.75
4418 RLIT LANE DO FIRE 9PFLINXIER PC 2000.00 VAL 82.11 SPECIAL CONDITION.9:
EL MONTE CA 91731 D2 PERMIT W/O EN-RC 2000.00 VAL 82.20
TOTAL FEES 192.06
C08PR.ALTOR: TSL. NOS APPROVALS DATE INSPECTOR SIG2ZKTOFS
P 4 A FIRE FROTEC'PION, INC. (626) 255-2312-
4418 EL1-T9 LANE LIC. NO FIRE DEPARTMENT IN:SPECI
EL MONTE CA 91731 584519 C16
FIRE 9 PR12ZZL HANGERS
ARCHITECP OR EMIXIER: TEL. NO: FIRE DEPARTMENT APPROVAL
LIC. NO:
MAP NO: SEMER MAP BOOL: PAGE FTRE ZONE: CMP:
00
NO. OF FA?CrLJ:RS: DWELLING WITS: APT CND: STAT CLASS:
1.10 20
SCHOOL WITHIN HAZARDOUS
AIR QQAI=: 1000 FEET MATIMMA S
NO NO NO
REPORT ID: DPR261 RDUTR TO: B90508
I