HomeMy Public PortalAbout6276 HART AVE_Building__ 76A638A CE#803 8-64 APPLICATION FOR 8 OIL011Z PERWT .
COUNTY OF LOS.ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS i _
BUILDING AND SAFETY DIVISION LOCALITY �p
'JOHN A. LAMBIE, COUNTY'ENGIN'EER - NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.- �!
DISTRICT O 'G Rr PE. PRO SWB
FOR APPLICANT TO 'FILL IN e°-"'. ONST.
BUILDING STATISTICAL SI FICA TION• 'SEWER MAP.
ADDRESS 'BK PG
CLASS NO. DWELLUNITS
LOT NO. �re23 BLOCK USE ZONE MAP
TRACT . S Q - SPECIAL
/ / NO. OF BL DG.S.. CONDITIONS
SIZE OF LOT sQ x /Q NOW ON LOT '
USE OF - -
EXISTING .- y ) BLDG. SETBACK FROM
OWNER �i = I / NOL - �, - FRONT PROP..LINE OF - - (STREET)
� TYPE OF EXISTING SETBACK HIGHWAY' + 'YARD - TOTAL
ADDRESS 1,5 4 HIGHWAY WIDTH. 'F OM c..L. - -
v + ?
CITY` /}� .E �i, - BLDG. SETBACK FROM __-- ll
ARCHITECT O 'TEL.. /1 SIDE PROP. LINE OF z� //Iry (STREET),
ENGINEER NO: G�i 1 " " TYPE OF EXISTING SETBACK HIGW Y + YARD _ TOTAL
HIGHWAY WIDTH FROM C.L.
H }
A�DDRESS���, Z r � /�f�i/fJC �/ �h/' �) d
CONTRA CTORR /' e '- /C NOL + ./ - � V ._OU
ADDRESS ,:5-0
04®, NO tj
Z� CORNER CUTOFF YES O NO- O
CITY LCILCASS SEE REVERSE SIDE .FOR.SPECIAL APPROVALS
DESCRIPTION OF WORK h
A a Z
NEW A ALTER REPAIR DEMOLISH /.p (/'J'/yf - 2v"'�1.,
SQ F T.V, �7 N O. O F NO. OF d' "•I - "�•'rJ�A" l - L ,. Y✓'°�
SIZE .`1 uG. STORIES' FAMILIES/ '�•" f%��vrY,�J7,,/Z V •qf ��`
USE OF i4.Y;it'I `-✓P '3 RI :c .Y"
S TRUCTUR
� J ✓<
SIGNATURE OF
APPLICANT
VALUATION$ � � X10 --
- APPROVALS -DATE INSPETOR'SSIGNATURE
P.C. PMT. FOUNDATION' LOCATION ,/\ �:C..�.
FEE$ - FEE$ o' FORMS, MATERIALS
'FRAME, FIRE STOPS,
• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT$ / t
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION' _ {1
WITH ALL COUNTY ORDINANCES ANIS STATE LAWS REGULATING GAS VENT. DUCTS _ T.
9UILDING CONSTRUCTION. 1 CERTIFY-THAT.-IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CO 2 OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C P SATION INSURA 7 - \
- LAT H.•E_X T. I
SIGNATURE OF HOUSE NUMBER COR-
,R
OR-
PERMITTEE• RECT AND-POSTED
ADDRESS 7 S O /Q'Y E�/� FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG(
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION DK. M.O.. _'CA�.. /
7597a JAN' 1 D N� .
Lhuo 15 .6.0 0
r376A63-��CE #803 4/72
APPLICATION FOR BUB DOING ERtil9T �
COUNTY OF LOS ANGELES ASSESSOR
- DEPARTMENT OF COUNTY ENGINEER MAP BOOK 86 PAGE 021 PARCEL 010
BUILDING AND SAFETY DIVISION . BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY `
FOR APPLICANT TO FILL IN NEAREST
j 00
Print ort a only) CROSS ST. '
BUILDING - DISTRR�T GROUP - P CESSED BY
ADDRESS 62?6 N. Hart' Ave ..� . Q N T,
STATISTICAL CLASSIFICATION SEWER MAP -
LOT NO. 238 BLOCK .
CLASS NO. DWELL, BK/=PG
TRACT 4 IN 50 PT Or Lot 239 US ONE MAP
NO.OF BLOGS. NO. eoo
SIZE OF LOT 0 _Y, ZOO NOW ON LOT 1 f SPECIAL
USE OF r CONDITIONS
EXISTING BLDG. Home
TEL _
OWNER ar T O• i 2 BLDG.SETBACK FROM
Hart
FRONT PROP.LINE OF Oma.
(STREET)
ADDRESS 6276 1%1. hart Ave.
•TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY Temple City, California 91780 HIGHWAY WIDTH FROM C.L. '
ARCHITECT OR TEL. } = iL U
ENGINEER NO. BLDG.SETBACK FROM `may off..
ADDRESS
SIDE PROP.LINE OF (STREET) CD
V
TEL.; .TYPE OF EXISTING SETBACK .HIGHWA } YARD = TOTAL �.
CONTRACTOR Bob Urkhammer NO. L�L4_ HIGHWAY WIDTH FROM G.L. p
ADDRESS 10671 Freer Ave. - NO + D _ /b
CITY Temple City 91780 CLASS CORNER,CUTOFF YES ❑ NO z
CONSTRUCTION LENDER
NAME AND BRANCH None SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS ^_ -
SQ. FT. NO. OF NO. OF NEW
SIZE STORIES FAMILIES -
USE
STRUOCTURE Block Wall P' � 1.Z�I L_0&2.ADLTER ❑
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑ }
r
VALUATION $ 800"00 - APPROVALS DATE INSVEC -oR's sIc TU RE
FOUNDATION: LOCATION ,
FEE $ FEE $ .�V FORMS, MATERIALS
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, -
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. . IN
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFOR NIA IN RELATING TO
WORKMEN'S COMPENSATION INSU ANCE. -
LATH, EXT.
SIGNATURE O! HOUSE NUMBER COR-
PERMITTEE ,�' AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
! 1('n 0 1 8 673 PEAR 2 6. 1 D 15,O ._
.-APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN IPS Tor type only)
BOLDING � �' COUNTY OF LOS ANGELES
ADDRESS PJ, 61 _� `� - DEPARTMENT OF COUNTY ENGINEER
CITY -�� ��' zIP BUILDING AND SAFET DIVISION
NO.OF BLOGS.
/ _ � BUILDING -
SIZE OF LOT { �'f� �� NOW ON,LOT � ADDRESS ,
TRACT BLOCK LOT NO... LOCAL!
TELN i`r d K NEAREST '
OWNE ,-;- •'�' 1� - />" /�-NO <;� i -. v� �) CROSS ST.,
_ - - ASSESSOR
A DDR'ES r�7 �,J.., �' �_- _ MAP BOOK PAGE R C E L
�y DISTRICT IGROUPITYPE FIRE PROC SSED BY
CITY zip.�11.) J� ..�^ CONST, -ZON -
ARCHITECT 6'R TEL. Z�� - -
ENGINEER N O.- y
STATISTICAL CLASSIFICATION BEWERAPQ
ADDRESS - CLASS N�_OWELL,UNITS BK G
- TEL. U ZONE MAP
CONTRACTOR- NO - p - -
' IC. - NO.
ADDRESS LIC.
.r( SPECIAL
LIC.
CITY CLASS
ROAD DEP ARTMENT APPROVAL REQ'UIR-EDYES❑ NO❑
CONSTRUCTION LENDER
NAME: AND BRANCH BE SETBACK FROM
- FRONTPROP.LINEOF ! " .(STREET),
ADDRESS CITY -
HIGHWAY. } YARD — TOTALISETBACK FROM TYPE-OF EXISTING V
SQ. FT. - NO. OF NO. OF �CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE. .. O
}
DESCRIPTION-OF WORK NEW ❑ — • pU_,
_ BLDG,SETBACK FROM -k CO
�,._A 6 ✓G,!5-
1 •M"o r .-. ADD ❑ SIDE PROP. LINEOF - (STREET) Z
ALTER _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD — HIGHWAY WIDTH,
REPAIR❑ SIDE PROP. LINE
USE OF �* //n }- _
EXISTING BLDG.(�� ;t j. 4�� DEMOL ❑e .- -
APPLICANT //)j /• J T L CORNER CUTOFF YES ❑ NO. ❑
j
BY (SIGNATURE) _ IN OPEN SPACE -YES El NO
❑
,. � � d�� /� '
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION •1' CATEGORICAL EXEMPTION YES-❑ �NO�❑,
I HEREBY"ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE'THAT THE ABOVEISCORRECT A"ND,AGR.EE TO COMPLY IMPACT - EXEMPTION DECLARATION SIGNED .-(DATE)
WITH ALL ORDINANCES AND* LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY JHAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF-THE -
LABOR CODE OF THE7STATE OF CALIFORNIA IN RELATING TO '
WORKMEN'S COMPENS 7]ON 9URANC _
,o SIGNATURE OF / L, ,r',t
PERMITTEE
ADDRESS '^. L h�L�
.." FINAL BY
TEL DATE
CITY �� f f® NO. �. - � / �,�• � t
JIA KE CHECKS PAYABLE '1'0: FEE $ FEE
HARVEY T. BRANDT• COUNTY ENGINEER
PLAN CHECK VALIDATION CK: M.O. CASH o PERMIT VALIDATION CK. M.O. ASH
`0 O��FEB '14 1 3.:Q 0
76A63.8A CE#803 12/72 .. -
v
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 1210010043
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 NO. OF CONST I BUILDING ADDRESS: 1
ITR: 5904 LT: 238 SQ. FT STORIES TYPE 1 6276 HART AV 1
I ISTRUCTURE: 1300 V-B TEMP CA 917801630 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15384-009-012 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
(EXIST OCC GRP: 110/01/12 SR I
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1
ICHONG, GEORGE (626) 622-8184- 1 3,200 1 I
16276 HART AV I I _I
ITEMP 917801630 1 FEES PAID IDESCRIPTION OF WORK I
I IRE-STUCCO ENTIRE HOUSE 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
1APPLICANT: TEL. NO: I I I
IKATIGBAL, MAGNO (909) 267-8749- JAA BLDG PERMIT ISSUANCE 27.80 1 I
1961 CALLE HERMOSA JAB STATE GREEN BLDG FEE '3200.00 VAL 1.00 ISPECIAL CONDITIONS:
ISAN DIMAS CA 91773 JAC STRONG MOTION RESID 3200.00 VAL 0.50 I I
ID2 PERMIT W/O.EN-HC 3200.00 VAL 115.80 I I
IFR INV WORK W/O PERMIT 342.20 DOL 342.20 1
(CONTRACTOR: TEL. NO: I TOTAL FEES 487.30 JAPPROVALS DATE INSPECTOR SIGNATURE I
IM S K BUILDERS (909) 267-8749- 1 1
1961 CALLE HERMOSA LIC. NO 1 ILOCATION AND SETBACKS 1
ISAN DIMAS, CA 91773 72084 1 1 1
ISOILS ENGINEER APPROVAL
JARCHITECT OR ENGINEER: TEL. NO: 1 - IFOUNDATION/TRENCH'FORMS I I
1 LIC. NO: 1 EXPIRE
(SLAB/UNDER FLOOR I
I 1 ® �` ,,`��� i RAISED FLOOR FRAMING 1 1
(NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 0 1 (UNDERFLOOR INSULATION
1153H265 3 001 1 11
I I IFLOOR SHEATHING 1 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 'I
1 0 NO 21 1 IROOF SHEATHING I 1
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
JAIR QUALITY: 1000 FEET MATERIALS 1 - 1 1-1
1 NO NO NO I IFRAME INSPECTION I
I I IFIRE SPRINKLER HANGERS i 1
1 I INSULATION/WEATHER STRIPI I I
I I I I I I
(INTERIOR LATH/DRYWALL 1 1 I
1 1 IEXTERIOR LATH 1 I
I IRATED FLOOR/CEIL ASSEM.
I I I I I I
1 - IRATED WALL ASSEMBLIES I ( I
(RATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS I 1
I* ADDITIONAL DATA"ON FILE I I I I
ILOT DRAINAGE 1 1 1
IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 I 1
I I I I I I
16A638 A CEH8638.-6, APPLICATION FOR BUIL.DIN1C� PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS /.
r
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. J.ENKINS,SUPT OF BUILDING CROSS ST. ��',\
DISTRICT NO �, GR P PE, "" PRO CESS(`ED"B,-
FOR APPLICANT:TO FILL IN --of!. ONST. I .
BUILDING STATISTICAL CLIA SI FICA TION /SEWErR MAP
DDRESS ..-�" BK f _ PG
A
CLASS NO. DWELL UNITS. L. �
LOT NO. _ BLOCK USE ZONE MAP
No
TRACT S �
- 0 / SP ECIAt
J
% NO. OF BLDGS. / C.ONDITfONS
SIZE OF LOT X /1J.�5 NOW ON LOT
i
USE OF
EXISTING BLDG. %_ BLDG. SETBACK FROM
TEt FRONT PROP. LINE OF (STREET)
OWNER �/ - CIIA ; NO. �'�'✓ r5 TYPE OF .EXISTING SETBACK HIGHWAY + YARD. = TOTAL
C o HI
ADDRESS 1,� GHWAY WIDTH FROM C.4.
+
CITY_�•/f G,.r �l T tom;! J ` y ,-� 1/'.
ARCHITECT O TEL. BLDG. SETBACK FROM
ENG(NEER NO. �yJ� Cj SIDE PROP, LINE OF I _ ��� l - (STREET)
i TYPE OF EXISTING SETBACK HIGHW/lY + YARD - TOTAL
HIr.N. v „xSIPT.E! Fr iM r_.L.
ADtIRESs1J�i'/ L %L�e L"� �..�fifd`� _....
CONTRACTOR /� NCIL �' �4/I
ADDRESS �S J<: C,I� � T/U�.NOI/® CORNER CUTOFF YES NO �\
CITY
LIC
SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
NEW A ALTER REPAIR DEMOLISH ..
SQ.FT.r� fJO. OF NO. OF
SIZE .L � STORIES FAMILIES/Q
USE OF
_ STIRUCTUR
SIGNATURE OF 1-
APPLICANT
VALUATION$ 'C� coCp
APPROVALS DATE INSPECTOR'S SIONATUfi
P.C. PMT. FOUNDATION, LOCATION
FEE$ F'EE$ r r FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY AC KNOWLEDGF_ THAT I HAVE READ THIS APPLICATION' BRACING BOLTS ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION •
WITH ALL COUNT"Y ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS-
BUILDING CO NSI'RU C'TION-. 1 CERTIFY THAT: IN DOING THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANN' PERSON IN VIOLA. LATH. INT.
TION OF THE LAPOR CO FIDE THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S r' PENSA"i'ION INSU RANG J LATH. EXT. '
SIGNATURE OF ;*� HOUSE NUMBER COR-
PERMITTEE �E-�-�.���__hhh_•����- -_ .� RECT AND POSTED I
ADDRESSJ F I N A L
r F /1 C.-P .-Ir,- 1 S'[.a l_i TI,IRAI_ NGEEF
PLAN CHECK VALIDATION CK, M.G. CASH PERMIT VALIDATION CK. M:O CASH
Lti� 0 7 5 y l' ; Ji1` 1°"5 1 D 6.E
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WOPKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND'OEVELOPMENT TEMPLE CITY CA BL 0508 9610010027
PHONE: (818) 285-0488 EXT:
LEGAL D: N0. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 238 SQ. FT STORIES TYPE 6276 HART AV
STRUCTURE: 0 V TEMP CA 917801630
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-009-012 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/01/96 TC 10/01/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL
TONDRO CHARLES R;EVELYN TRS (818) 287-2923- 1 6,330 J Q`2-Ab
HART AV
TEMP 917801630 FEES PAID DESCRIPTION OF WORK
REMOVE/RECOVER WITH 25 YR. FI GLASS SHINGLE,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SEXTON ROOFING (838) 963-6882- AA BLDG PERMIT ISSUANCE - 27.75
718 E. ALOSTA AVE AC STRONG MOTION RESID 6330.00 VAL 0.63 SPECIAL CONDITIONS:
GLENDORA, CA D2 PERMIT W/O ENSHC- C(6330.00 VAL 166.95
�_ NOTAL FEESn 195.33 ,
CONTRACTOR: TEL. N0:
SEXTON ROOFING (818) 963-6882 APPROVALS DATE INSPECTOR SIGNATURE
718 E. ALOSTA LIC. NO U-0—CATION AND SETBACK
GLENDORA, CA 91740 601896/C39
)\ T< SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. LA0: Z !i/� �,,4-1�f,' FOUNhATION TR NCH FORMS
LIC. LA0: SLAB/UNDER FLOOR
---_-_
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP'- UNDERFLOOR INS
153H265 3 01
- -- - FLOOR
SHEATHING
LA0. 0 FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS !
NO 21 i �� \\� �� �rt�r°\i X'S
ROOFSHEATHING
S HOOL WITHIN HAZARDOUS % \�� (j '% S EAtt PANELS
AIR QUALITY: 1000 FEET MATERIALS ``✓_j \
NO NO NO d� _ _ - FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST " J
�_ -=� � FIRE,SPRINKLER H LAGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: `,l(01
FRONT PL- ��f���1^C I__ �} INSULATION/WEATH R STRIP
SIDE PL-
INTERIOR
I!
INTERIOR LATH/DRYWALL
EXTERIOR LATH
ti
RATED FLOOR/CELL AS EM.
RATED WALL ASSEMBLIES
REED SHAFTS/OPENINGS
T-BAR CEILINGS
LOTIDRAINAGE
r.
REPORT ID: DPR261 ROUTE TO: BS0508
t
� i
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 1005270052
PHONE: (626) 285-0488 EXT: ,
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 5904 LT: 238 I SQ. FT STORIES TYPE ;6276 HART AV- 1
I ISTRUCTURE: 1300 V-B TEMP CA 917801630 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15384-009-012 1 1 -THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I I I I
ITENA.NT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
1 1EXIST OCC GRP: 105/27/10 SR 1
I I I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1F2 L DATE FINAL Y: CODE: 1
ICHONG, GEORGE (626) 622-8184- 1 4,000
16276 HART AV _ IN
ITEMP 917801630 1 FEES PAID IDESCRIPTION OF WORK' 1
I I (REPLACE ASPHALT SHINGLES 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1
(APPLICANT: TEL. NO: I I I
IGARCIA, MARCILINO (626) 622-8184- 1AA BLDG PERMIT ISSUANCE 27.75 1
I IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
I IAC STRONG MOTION RESID 4000.00 VAL 0.50 1 1
I ID2 PERMIT W/O EN-HC 4000.00 VAL 115.80 I
I I TOTAL FEES 145.05 1 I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IGARCIA, MARCILINO (626) 622-8184-
1 LIC. NO I ILOCATION AND SETBACKS I I
1 NONE
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
I - I
LIC. NO:. i ISLAB/UNDER FLOOR I
I I I
I (RAISED FLOOR FRAMING 1 I 1
IMAP NO: SEWER'MAP BOOK: PAGE: - FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I
1153H265 3 001 1- 1
I I IFLOOR SHEATHING 1 1 I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
. NO 21 i IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS .� I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I
NO NO NO 1 IFRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS 1 I I
I I I
IINSULATION/WEATHER STRIPI I
I (INTERIOR LATH/DRYWALL 1
I I I
I (EXTERIOR LATH I I
I I I
IRATED FLOOR/CEIL ASSEM. I I I
IRATED WALL ASSEMBLIES I I
I I I
IRATED SHAFTS/OPENINGS I I I
I I I
IT-BAR CEILINGS 1 1 1
I I I
1LOT DRAINAGE I 1 1
I I I
1 (REPORT ID: DPR_261 ROUTE TO: BS0508 I I
I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104120005
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 5904 LT: 238 SQ. FT STORIES TYPE OCCUP GROUP 6276 HART AV
STRUCTURE: 70 1 VN R3 TEMP CA 917801630
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN
5384-009-012 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/12/01 UT 10/09/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL 9ATE FI Y: CODE:
JANG, HSIEN (818) 287-2923- 5,250
6276 HART AV
TEMP 917801630 FEES PAID DES I TION F WOR -
BATHROOM ADDITION
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5250.00 VAL 0.53 SPECIAL CONDITIONS:
AX BUILDINGREV.I-EW.FEE�� 54.70
D2 PERMIT,-W%O-EN-HC=- �_ 5250:00 VAL 149.40
TOTAL,FEES 232.38
CONTRACTOR: TEL. NO: /� `L�G� Y APPROVALS DATE INSPECT SIGNATURE
SAME AS OWNER ��
LIC. NO / LOCATION AND SETBACKS
a 1-
SOILS ENGINEER APPROVAL A
f
ARCHITECT OR ENGINEER: TEL. NO: ` FOUNDATION/TRENCH FORMS Z
LIC. N0I � � ��`�1111111 SLA UNDER FLOOR � 2 `
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,. n r UNDERFLOOR INSULATION
3 �� 0:1:�I l I I❑��(Ii I ( `�'����� ( �D �i
�� I�/L�U L'1 �l ❑J Li L❑❑ J ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:----- —----—---------- --
NO 21\� 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ?° ROOF SHEATHING
u
AIR QUALITY: 1000 FEET MATERIALS \ �� i 4`
NO NO NO !�u�� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST Cy BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: ��Be� ❑_ � CD �l�Or
FRONT PL- � $1� SHEAR PANELS
SIDE PL- hr VB e�� �
- — INSULATION/WEATHER STRIP ,I`y
INTERIOR LATH/DRYWALL �p w
EXTERIOR LATH
20 1
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
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