HomeMy Public PortalAbout10632 KEY WEST ST_Building__ ,4,
764638A CE 0803 12/69
�4 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
'DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUP T OF.BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST A
Print or tyDe only) CROSS ST.
DISTRICT NO. GROUP TYPE PROC SSED BY
BUILDING 3z / �i� (� �.i/ CONST,
ADDRESS �((j V dl' f�-
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO- BLOCK CLASS NO. -1-10 DWELL.UNITS BK PG:.
TRACT USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT S� 0 NOW ON LOT SPECIAL
USE OF '
/ CONDITIONS
EXISTING BLW.
- TEL.
OWNER NO. BLDG.SETBACK FROM
ADDRESS '�^ �� FRONT PRGe_.LINE OF (STREET)
TYPE OF EXIST] SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH C.L.
ARCHITECT O✓ TEL. + _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP,LINE OF (STREET)
TEL. .TYPE OF EXISTING SETBACK HIGHWAY + YA _ TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L.
LIC. + _
ADDRESS NO. CD
LIC. U
CITY CLASS CORNER CUTOFF YES ❑ NO IY
CONSTRUCTION LENDER O
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W
ADDRESS tai)
SQ. FT. NO. OF NO. OF Z
NEW
SIZE STORIE FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑
REPAIR❑
SIGNATURE OF U
APPLICANT ♦ DEMOL ❑
VALUATION $ �, APPROVALS DATE INs CTOR'S SIGNATURE
Alap
P.C. PMT, �r FOUNDATION: LOCATION
FEE $ FEE $ /i Q 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. I CERTIFY 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 'CALIFORNIA IN RELATING TO
WORKMEN'S Co ISATION INSURANCE. LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL41
JOHN F. LEWIS. PRIN(:-IPfkL STRUCTURALENG ER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK M O CASH
�(` 6 8 1 19 SEP 17 1 D 9.0 0^'
ak
DEPARTMENT OF COUNTY ENGIIE
DIVISION OF BUILDING' AND SAFETY BUILDING--
COUNTY OF,LOS ANGELES • IWILLIAM J. FOX, COUNTY ENGINE�x APPLICATION AM ' -''"-'''
CASSATT D. GRIFFIN, SUPT OF BUILDING G
FOR APPLICANT TO FILL IN . ' FOR OFFICE,,USE ONLY .`
DISTRICT NO. PLAN CK.OR Rec.No. PERMIT NO:
BUILDING r1 (` _
ADDRESS V / i Q # Q ev- S q��
/ u 1
LOCALITY _ ( RECEIVED eA
BY • DATE OF APPL. DATE ISSUED
NEAREST
' T
A
BUILDING
OWNER , G U . ADDRESS!
MAIL
l /^- k
'ADDRESS 1r ,v `t 'e r V ` LOCALITY
' ' NEARESTI i.
TEL. CROSS ST.
CITY NO _
ARCHITECT OR TEL. � /
FIRE NO. OF TYPE ~" GRO
ENGINEER NO. ZONE �.I PLANS '�; X
- QRS O.
BLDG.
ADDRESS SETBACK LINE
e 'TEL• / / USE , APPROVED '
CONTRA O '} ♦ . Io b ZON Y? ATE
ADDRESS 1 SQ(/q C-6 $A e 1310d. HOUSE NUMBERING .
LEGAL MAP NUMBER ✓D V , NO. ASSIGNED BY
DESCR PTION NO. BL - K I s
q ,# CORRECTIONS
TRACT "
/ NO. OF BLDGS. _ _
SIZE OF LOT X POO i jam
NOW ON LOT
USEOF NO. OF -- Y.a _ ►y. e..
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK -
0
NEW ALTERATION ADDITION I Z
DEMOLITION
REPAIR Z
r
SQ. FT. / NO. OF- -
SIZE 063 ROOMS � STORIESEXT. WALL /
ROOF
COVERNG CC I COVERING
USE OF STRUCTURE F }
1 ; _
1
APPROV - S
INSPECT 'S 8 GNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS /�
'1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION,
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS 'may
AND•STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF LATH, INT.
:PERMITTE U /
e. LATH. EXT, i
ADDRESS
PLASTER, INT.
AUTHORIZED AGT.
PLASTER„EXT.• _
$
j_ •HOUSE NUMBER COR-
•"°® RECT AND POSTED
VALUATION - d
FEE FINAL
7GA63" DBH 8 9-3A
1
. ot
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 0710040048
PHONE: (626) 285-0488 EXT:
ILEGAL ID: •I NO. OF CONST BUILDING ADDRESS: 1
ITR: 19189 LT: 110 I SQ. FT STORIES TYPE 1 10632 KEY WEST ST I
I ISTRUCTURE: 364 VN I TEMP CA 917803464 I
(ASSESSOR INFORMATION NUMBER: I - 1 NEAREST CROSS STREET: PAL MAL 1
I8585-025-013 I I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I I I I
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
I (EXIST OCC GRP: 110/26/07 SR 04/23/08 1
I I I I
(OWNER: TEL. NO: -1BLDGS. NOW ON LOT: VALUATION: IFINAL DA FI BY: CODE: 1
(ANN C. CHEN (626) 575-7189- 1 10,000 1
110632 KEY WEST ST. I 1 ��
1TEMPLE CITY CA 91780 1 FEES PAID I RIPTION OF WORK I1
I IPATIO ENCLOSURE 364 S.F. WITH BAMBOO PULL DOWN SHADES 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
1APPLICANT: TEL. NO: I 1 I
1GEORGE HSU (626) 552-1655- ID1 PLANCHECK W/O EN-HC 10000.00 VAL 184.11 1
1908 CONCORD AVE. 1AA BLDG PERMIT ISSUANCE 27.75 1SPECIAL CONDITIONS: I
1MONTEBELLO, CA 90640 1AC STRONG MOTION RESID 10000.00 VAL 1.00 1 I
1 ID2 PERMIT W/O EN-HC 10000.00 VAL 216.60 1 1
1 I TOTAL FEES 429.46 1 1
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
(ANN C. CHEN (626) 575-7189- 1 1
110632 KEY WEST STREET. LIC. NO I ILOCATION AND SETBACKS
1TEMPLE CITY, CA 91780 NONE I I 1 1
1 I ISOILS ENGINEER APPROVAL 1
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRE NCH FORMS I I I
I LIC. NO: I 1SLAB/UNDER FLOOR I 1 I
I I I I I I
I I IRAISED FLOOR FRAMING 1 1 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I
1147H273 3 011 I -1-1 1
' I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I II
1 NO 21 1 1ROOF SHEATHING � . xj
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
1AIR QUALITY: 1000 FEET MATERIALS 1 I I F1
1 NO NO NO 1 IFRAME INSPECTION ! I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I
ISET BACK YARD: HWY- PROP LINE: WIDTH: I - 1
IFRONT PL- I 11NSULATION/WEATHER STRIP(
SIDE PL-
INTERIOR LATH/DRYWALL 1 I 1
1 1 1EXTERIOR LATH i 1
I - IRATED FLOOR/CEIL ASSEM. �. I
I I I I I I
1 I IRATED WALL ASSEMBLIES 1 1 I
I IRATED SHAFTS/OPENINGS 1 I
I I I I I I
I I IT-BAR CEILINGS I 1 I
I I I I I I
I ILOT DRAINAGE I 1
I I I I I I
IREPORT ID: DPR261 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 ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0709070008
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1
ITR: 19189 LT: 110 I SQ. FT STORIES TYPE 1 10632 KEY WEST ST 1
I ISTRUCTURE: VN 1 TEMP CA 917803464 1
ASSESSOR INFORMATION NUMBER: ( I NEAREST CROSS STREET: PAL MAL
18565-025-013 I I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: EXPIRES ON: 1
(EXIST OCC GRP: 109/07/07 SR 03/05/08 1
I 1 I I
10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DAT FIN CODE: 1
ICALVIN J. SELBY, ANN C. CHEN (626) 575-7189- 1 4,000 I ,/ / 1
110632 KEY WEST ST. I Ii� I
ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF WORK 1
1 I IREPLACE 10 WINDOWS (SAME SIZE) 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1
(APPLICANT. TEL. NO: 1 I 1
1SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 1
1 IAC STRONG MOTION RESID 4000.00 VAL 0.50 ISPECIAL CONDITIONS: 1
1 1D2 PERMIT W/O EN-HC 4000.00 VAL 115.80 1 1
1 1 TOTAL FEES 144.05 1 I
I I I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
1 LIC. NO I ILOCATION AND SETBACKS I 1 1
I I I I I I
1 I ISOILS ENGINEER APPROVAL 1 I
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 (SLAB/UNDER FLOOR I I I
I I I I I I
I I IRAISED FLOOR FRAMING I I I
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 (UNDERFLOOR INSULATION I I I
1147H273 3 011 1 11 1
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
1 NO 21 I 1ROOF SHEATHING I I I
I I I I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I I I
1 NO NO NO 1 IFRAME INSPECTION 1 I I
I I I I I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 (FIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I 1 1
IFRONT PL- I (INSULATION/WEATHER STRIPI I 1
I SIDE PL- 1 I I I I
I I 11NTERIOR LATH/DRYWALL 1 1 1
I I I I I I
1EXTERIOR LATH I I I
I I I I I I
I I IRATED FLOOR/CEIL ASSEM. I I I
I I I I I I
I 1 IRATED WALL ASSEMBLIES I I I
I I I I I I
I 1 IRATED SHAFTS/OPENINGS 1 1 1
I I I I I I
I I IT-BAR CEILINGS 1 I I
I I II I I
I - ILOT DRAINAGE I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I 1
I 1= I I I I