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APPLICATION FOk BUILDING. PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING FIND SAFETY DIVISION BUILDING O� .`
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �w r
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY /, A4 1-:m ,
FOR APPLICANT TO FILL IN 'NEAREST /
Print or type only) ;CROSS ST. - fA,/
ADDRESS , - DIS�R�ICT j�Jp. 9pl�` CONST. PRTYPE (7 O SSED BY.
LOT NO. BLOCK STATISTICAL CLASSIFICATION SEWER MAP
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_ CLASS NO. .�w DWELL,UNITS BK�' PG,,,/r
TRACT USE ZONE MAP
NO.OF SLOGS. NO.
SIZE OF LOTNOW ON LOT v / SPECIAL .
USE OF CONDITIONS
EXISTING BLDG.
TEL. (
OWNER NO. U r5
BLDG.SETBACK FROM
ADDRESS L FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR f7 TEL. } _
ENGINEER NO. BLDG.SETBACK FROM -
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR HIGHWAY WIDTH FROM C.L.
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ADDRESS LIC. '}
NO. - O
LIC.
U
CITY CLASS CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH Li SE.7 REVERSE SIDE FOR ECIAL APPROVALS W
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ADDRESS
SQ. FT. - NO. OF NO. OF
NEW
SIZE STORIES FAMILIES
USE OF ADD
STRUCTURE
- ALTER ❑
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ APPROVALS DATE IN E TOR'S 51 NATURE
FOUNDATION: LOCATION
FEE $ FEE $ - FORMS, MATERIALS Z
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST R UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF HE STATE OF •CA L.IFOR IJA IN RELATING TO
WORKMEN'S C4 ENSATION INSURANCE / % LATH, EXT.
SIGNATURE ��j/,i2Ct cl.0 �GCL/J77 HOUSE NUMBER COR-
PERMIT E RECT AND POSTED
ADDRESS FINAL 311-1171
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
' PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. " M.
I t4f'a'9v' 2 iiR 9 1 D 19.00- a
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76A638ACE#8033-66 AI�PLPCATION FOR .IC UPI' DPNG PERMPT
COUNTY OF-LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Zg�
BUILDING AND SAFETY DIVISION LOCALITY C
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GROUPTYPE PROCESSED BY
FOR APPLICANT TO FILL IN �- j CONST. },
BUILDING ;;/yam-Q'� �r STATISTICAL C ASSIFICATION SEWER P
ADDRESS �3 '-1" i'ar� St . Temnle City CLASS NO.�DWELL UNITS. / BK�PG6
LOT NO. 11--,,342 "e - BLOCK USE ZONE MAP
TRACT J U _ SPEC'IAL'- '
SIZE OF LOT 80x103 .6 I NO. OF LDGS. CONDITIONS B9Ar1A& Of- L �O
NOW ON LOT Z
USE OF single family . res .
EXISTN BLDG. SETBACK FROM
OWNER John- Marshall TEL-286-9822. FRONT PROP. LINE OF C/� - - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY -+ .YARD TOTAL
ADDRESS iU Las 'Mnati Drive HIGHWAY WIDTH FROM C.L "
CITY San Gabriel - `J7 Kc.T +
ARCHITECT OR TEL (� J� BLDG.,SETBACK FROM. _
ENGINEER C Purs ley NO. -287-94'2Q SIDE PROP. LINE OF (STREET).
�+ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 1O Las Tunas Sa 'P HIGHWAY WIDTH FROM C.L.
CONTRACTOR John Marsha 7;-tL'286-9822 + -
'
ADDRESS U'L Las 'funaz�o l 5015 CORNER CUTOFF YES - NO U
CITY San Gabriel LIC bl SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK
AND PARKWAY TREE REQUIRED N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ.FT. 1355NO. OF NO OF •. ' '
SIZE - STORIES 1 FAMILIES 1 O ' '
USE OF stallations should be taken out at the L. A. Co. Rcad Dep
STRUCTURE
y^S'1 ni7l P 'PqM l 1 V PC Office, or T. C. Co. Engineer's Office in-imeciately In orc.ar- +- avc
SIGNATURE F until Permit has been issued. fly for parkway free permii at T.
APPLICAN 12 City Hall
V AL U A T O /Jc �/ �.� 'a � .00 r1 •--1.1 � -'. (FH°`R:.. .✓� f�"P's�i�,�
`� IA PPR�OVA LS DATE - INSPEC R'SSIGNATURE
PMT FEE$�� FEE$ / �J FO FORMS,MA'
QMATERIALOC,
' /�! �j - �
UNDAFRAME, FIRE STOPS, �J
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT 69 Z7 J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY ILL IOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABO C DE F THE STATE OF CALIF RNIA RELA
ING TO WORKMEN' G P SATION INSU RAN ATH. EXT.
SIGNATURE 01 HOUSE NUMBER COR-
PERMITTEE I RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STD URAL ENGINEER
PLAN CHECK VALIDATION CK. - M.O. CASH - PERMIT VALIDATION CK. • M.D CASH
t l o 7 0 g: 5:- APR 7 _`S,D 3.3.7 5
f L � 6 7 -%0- SEP 1 8 1 D 1 0 1.'5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS .� a ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004100059
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 342 SQ. FT STORIES TYPE 6024 HART AV
STRUCTURE: 0 VN TEMP CA 917801914
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-014-011 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/10/00 UT 10/07/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE r FINAL B DE:
COMAIANNI ANNA M (818) 285-5730- 1 350
6024 HART AV
TEMP 917801914 FEES PAID DESCRIPTION OF WORK
SWEEP DOWN EXISTING PATIO ROOF-6OVER WITH HOT MOP
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 350.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0EN=HC�350.00 VAL 43.65
ELES.TOA®��S 71.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
�®�
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
A SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: / 1111111 SLAB/UNDER FLOOR
IL RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-.: (� n n n/� UNDERFLOOR INSULATION
150H265 3 � u=�U " II �C
��Y 0��(�\ FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:— LLL��� u U��J
NO 21 \� O ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 10 0 t,, SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS 19 0 `; L_1 _
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST �� El FIRE SPRINKLER HANGERS
SET BACK FRONT PL YARD: HWY: PROP LINE: WIDTH. ����IC��� L
� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T_BAR_CEI-LINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508