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7$AOSBA CE#8021-I�f : APPLICATION FOR BUILDING PERMIT • • -
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COUNTY OF LOS ANGELES BUILDING sc
DEPARTMENT OF COUNTY ENGINEER AD
BUILDING 'AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
FOR'APPLICANT TO FILL IN DIST I/�) 'y P TYPE ES BY
(/ FJ CONST.
BUILDING STATISTICAL C FICATION S RMAP
ADDRESS 5 8 3 3 , w .,,;,.�.•,, 4 i 1 _ K-
CLASS.NO. 'DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
�� - CERTIFICATE:
TRACT - MAP /1 IGHWAY ATE MAJOR`SECON LOCAL
NO.OF BLDGS. NO v (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE`_ SPECIAL
USE O CONDITIONS
EX STNG BLDG.
`
OWNER Ra I. LO
-f a F r NO.A T.4.1 4'2BU L ING EXIST. "
YARD HWY STREET NAME.
• SETBACK � W DTH '
ADDRESS ff tl3 a C,. 1-�� FRONT
ARCHITECT OR - I TEL P.L. 60
ENGINEER NO. SIDE
ADDRESS
TEL - I �� j :INSPECTION _ RD.. �', -.,
.CONTRACTOR - - _ NO.
ADDRESS / ,
DESCRIPTION OF WORK a"f4l7mf �/ �— . . O
ri
Lu
CL
NEW, ADD ALTER REPAIR DEMOLISH /� /� {/s ,t ! h
SQ.F.T. NO.OF NO.OF 7T/� °7.f�` Z
IZE STORIES FAMILIES I� p
USE OF
STRUCTURE �� ` �/ �� / L 1
r�" 1... i:�/ �/�/I Pl oll�L`�/l�b�t 7�1 i�•ZT7
SIGNATURE OF ' P y„I• �yl.�..Q+ - LlC14�i ✓�
APPLICANT n�A-Vll. e+ T.tJI f� B A
VALUATION$
APPROVALS '-DATE INSPECTOR'S SIGNATURE ,
&o FOUNDATION: LOCATION
F E $ FEE $ 6 ��(/ FORMS,-MATERIALS
FRAME: FIRE STOPS, ,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES-AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TI
IOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF 7 n _ HOUSE'NUMBER COR-
PERMITTEE- •v�'+�-' RECT AND POSTED
ADDRESS -] �-'� 1 FINAL �-_X1z-/0/1',/
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENAtNE
PLAN-CHECK VALIDATION cK. ' M.o. CASH PERMIT VALIDATION C'K. M.D. CASH
LAf�p 1 2 8 4 - APR 1 7. � n 5 .n 0
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 0902040026
- PHONE ,(626) 285-0488 EXT: _ - - _ _ _
LEGAL ID: NO. OF CONST - BUILDING ADDRESS- '
ITR- 6561 LT: 518 SQ. FT STORIES TYPE 5833 KAUFFMAN AV 1
I (STRUCTURE. V-B TEMP CA 9,17802206 1
(ASSESSOR INFORMATION NUMBER - 1 - 1 NEAREST CROSS STREET: LAS TUNAS - 1
18587-021-008 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE. RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY- 1
I IEXIST OCC GRP: 102/04/09 SR 1
(OWNER: TEL. NO: 1BLDGS NOW ON LOT. VALUATION: IFINAL DAT FIN B CODE: 1
IFITE WILLIAM A - I 4,110
15833 KAUFFMAN AV
ITEMP 91780.2206 - - FEES PAID 15ESCRI IO OF WORK _ 1
113- WINDOW REPLACEMENT
IFEE DESCRIPTION: _QUANTITY: UOM AMOUNT- I -
(APPLICANT: TEL. NO:
ISTP ENTERPRISES INC. (626) 287-7544- JAA BLDG PERMIT ISSUANCE 27.75 .1
15454 TEMPLE CITY BL. JAB STATE GREEN BLDG FEE 4110.00 VAL 1.00 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 JAC STRONG MOTION RESID -4110.00 VAL 0.50 1 -
I - ID2 PERMIT W/O EN-HC 4110.00 VAL 132.60 1
I TOTAL FEES 161.85 1
(CONTRACTOR. TEL- NO: 1 - (APPROVALS DATE INSPECTOR' SIGNATURE 1
ISTP ENTERPRISES, INC. (626) 287-7544- j I
15454 TEMPLE CITY BLVD. LIC. NO I ILOCATION AND SETBACKS 1 I
ITEMPLE CITY, CA 91780 - 598157BC36 I r -
I ISOILS ENGINEER APPROVAL
JARCHITECT OR ENGINEER: TEL. NO: I ' ' _ ~ IFOUNDATION/TRENCH FORMS I I
I LIC. NO 1 ISLAB/UNDER FLOOR I I 1
- - RAISED FLOOR FRAMING 1 I
IMAP NO: SEWER MAP BOOK. PAGE: FIRE ZONE: CMP: J JUNDERFLOOR INSULATION I 1
1150H269 3 001 =�
I IFLOOR SHEATHING 1 I
IND. OF FAMILIES: DWELLING UNITS: APT/GOND. STAT CLASS: I I
NO 21 1 (ROOF SHEATHING 1 1
SCHOOL WITHIN HAZARDOUS - ISHEAR PANELS I I
JAIR QUALITY: 1000 FEET MATERIALS 1 I' 1
I NO NO NO (FRAME INSPECTION
(REQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I I
ISET BACK YARD: .HWY: PROP LINE- WIDTH- - - I 1
(FRONT PL- J (INSULATION/WEATHER STRIPI I'
I SIDE PL- I I I I I
I IINTEPIOR LATH/DRYWALL
1 - IEXTERIOR LATH I
IRATED FLOOR/CEIL ASSEM.
_ RATED WALL ASSEMBLIES -
- RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
ILOT DRAINAGE
I I I I
' REPORT ID DPR261 ROUTE TO: BS0508 - -
1 I I I I I