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HomeMy Public PortalAbout10616 KEY WEST ST_Building__ I DSION F OF COUNDING ENGINEER BUILDING DMSION OF BUII.DHdG AND SAFETY - - COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER i APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE,,USE ONLY DISTRICTNO. PLAN CK.OR R...No. PERMIT NO. BUILDING ADDRESS LO J 5� d Q Q LOCALITY RE EIVED BY DATE OF APP DATE ISSUED NEAREST CROSS ST . a/ Mal ue–, BUILDING OWNER ADDRESS O MAILLOCALITY ADDRESS , ,, S NI�. V NEAREST TEL � CITY O (.m 1 Q TpL - 6 CROSSST ARCHITECT OR TEL FIRE NO OF _TYPES GROUP ENGINEER NO. ZONE PLANS �� I ' I ' ADDRESS SETBACK LINE TEL USE APPROVED t, CONTRA O C ZONE A �� BY s AT HOUSE NUMBERING 1 ADDRESS ,�► Ji G I/I /l P.� /IIJi LEGAL MAP NUMBER d U _LNO ASSIGNED BY 1 DESCR PTION I T NO.h BLOCK � .' CORRECTIONS— TRACT NO. OF BLDGS. / SIZE OF LOT l X I NOW ON LOT v t USE OF v� NO. OF EXISTING BLDG FAMILIES DESCRIPTION OF WORK ' a o – NEW ALTERATION I ADDITION Q Z REPAIR DEMOLITION D SQ FT2 NO OF SIZE /C)(, 7 ROOMS (O STORIES / COVERRIF I 6 ' c_C_ I COVERING CC> 4.1 USE OF STRUCTURE APPROV S INSPECT 'S SIGNATURE DFLTE FOUNDATION. LOCATION / FORMS. MATERIALS �s I'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS /w CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE. LOCATION, GAB VENT, DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION S16NATUR11 OF ' �' / -LATH, INT PERM ITTB j� / t LATH EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT �4 o � FEE f HOUSE NUMBER COR- B v RECT AND POSTED / VALUATIONSA. FEE '�,,.� - FINAL 78A688A DBS 3 S-SII APPLICATION FOR BUILDING PERMIT FOR 4C?F2ICANT TO FILL IN (Print ortype,only) L t Tr OF _rEM PLE C'&?Y' BUILDING COUNTY OrLOS ANG S ADDRESS © (acoiE �f DEPARTMENT OF COUNTY ENGINEER CITY_"-L ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING J SIZE OF LOT Q NOW ON LOT ADDRESS / O(a CP TRACT ( Cl IS Cl BLOCK LOT NO ( LOCALITY TEL NEAREST n�� OWNE NO CROSS ST ASSESSOR ADDRESS ` MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRO E SED BY CITY 4rak ZIP ��f U �7 CONST' / ZON{-� J ARCHITECT OR TEL V ENGINEER S NO STATISTICAL CLASSIFICATION SEWER MAP / _ADDRESS CLASS NO DWELL UNITS BK3 `PG T Ei CONTRACTOR L.:- N7 �15�Z NE NMOP � 0 v JJ � � IC JCS/ SPECIAL ADDRESS l�tiJ OkQ©� 7� CONDITIONS I LC //'' CITY L. LSSL CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF I CHECK. HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES'' FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + - p ADD ® BLDG SETBACK FROM SIDE PROP LINE OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w ( r ❑ HIGHWAY YARD = SIDE PROP LINE HIGHWAY WIDTH N USE OF REPAIR Z EXISTING BLDG DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ I zA O O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE as + i THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATU PERMITTEE ADDRESS FINA TEL CITY t�^ J61 NO`7 DA EL 77 BY MAKE CHECKS PAYABLE TO PC FEE $ FET HARVEY BRANDT,COUNTY ENGINEER �� 'da� PLAN CHECK VALIDATION cK M o CASH PERMIT VALIDATION cK m o CASH 5-3 51tiAPR 7 2 3 9 0 1 3.0 5.3 .6 APR 7 1 :1.'7 25 Am ®f 76A638A CE#803 3 75 ' COUNTY OF LOS ANGELES TEMPLF CITY 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0405110053 PHONE: (626) 285-0488 EXT: LEGAL CO ST BUILDING ADDRESS: TR: 19189 LT: 113 SQ. FT STORIES TYPE 10616 KEY WEST-ST - STRUCTURE: 1200 VN TEMP CA 917803464 ASSESSORION NUMBER: NEAREST CROSS STREET: DOREEN 8585-025-016 THOMAS PAGE: 597 --GRID: C4, LOCALITY: TEMPLE CITY, C EXISTBLDG USE: .ESID USE R S N: PROCESSED B ES ON: EXIST OCC GRP: 05/11/04 VG 05/06/05 OWNER: TEL. N0: BLDGS. NOW ON LCT: VALUATION: FI QE1TE` FIN CODE: TAKANO KUNIO;WANG CHUEN OH (626) 579-4641- � 3,000 uJ�.,/n 10616 KEY,WEST ST TEMP 917803464 F -DMRIPTION OF WORK T/0 EXIST ROGF, RESHEAT AND INSTALL 20-YR COMA SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O Eh-HC 3000.00 VAL 99.00 FR INV WORK W/0 PERMIT 128.50 DOL 128.50 TOTAL FEES 255.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATUR SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: ATIO /TRE C FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOGR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING 0. OF FAMILIES: DWELLI UNITS: APT/C : STAT CLASS: NO 21 ROOF SHEATHING r SCHOOL WITHI AZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EX SPRIN HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LAIR/DRYWALL EXTERIOR LATH TED R/ E L ASSEM. i TED WALL ASSEMBLIES RATED SHAFTS/CIPENINGS -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 i