HomeMy Public PortalAbout10686 KEY WEST ST_Building__ 6r76A 638;A,CE 9'3.03 1/7j
APPLICATION FOR BUILDIN PERMIT,
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING D �0 -',
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY —Q
FOR APPLICANT TO FILL IN ' NEAREST
' CR OSS'ST.Print ort only) �1/-�••�'
BUILDING e Ac DISTRICT N G TYPE - J O
ADDRESS D� _C.7 5, _ CONST;--•
STATISTICAL CLASSIFICATION SEWER MAP,. '
LOT NO. ' BLOCK '
CLASS NO.�(: DWELL,UNITSBK PGjl
TRACT - P
USE"ZONEMAP
/)
SIZE OF LOT �p(y /� / NOWOONBLOT. �NO,
PECIAL USE OF ONDITIONS -
EXISTING BLDG.
IN j TEL':
OWNER nJ NOBLDG.'SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
/-V (,� gi(•!
TYPE OF EXISTING SETBACK HIGHWAY } 'YARD TOTAL
•CITY HIGHWAY .-WIDTH ; FROM G.L. •• - '
ARCHITECT OR �\ TEL
- 11. } _
ENGINEER Sol NO. BLDG. ETSACK FROM _
ADDRESS SIDE PROP.LINE OF (STREET)
' TEL. .TYPE OF EXISTING SETBACK HIGHWAY } •YARD = TOTAL O
CONTRACTOR �� NO. HIGHWAY WIDTH FROM C:L.- - U
ADDRESS /.� NO } _
O
.LIC.' �-
CITY CLASS CORNER CUTOFF "-YES [jNO ❑ W
CONSTRUCTION LENDER d
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT.)(,'1 STORIES FAOMIOLFES f NEW
SIZE b'!V ❑
USE OF ADD -
STRUCTURE'I,� ''Y• -
oO ALTER ❑
SIGNATURE O REPAIR❑
APPLICANT DEMOL ❑
VALUATION $ -
APPROVALS D TE IN TOR's Ic ATURE
P.C. '� ` - - PMT. (.�.3 Z,s-' •FOUNDATION: LOCATION
FEE $/� �/ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE�READ THIS APPLICATION BRACING BOLTS rAl CC_
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _
WITH. ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS•VENT, DUCTS T
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED'
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA ION.OF THE LATH, INT. _
LABOR CODE OF THE ,STATE OF -CALIFORNIA I ELATI NG•TO -
WORKMEN'S COMPE
AI
LATH, EXT,
SIGNATURE OF 1 - HOUSE NUMBER COR-
PERMI,TTEE RECT AND POSTED
ADDRESS JZ� FINAL
JOHN F. LEWIS. PRINIPA/,STRLl_QEWRAL ENGINEER
PLAN CHECK VALIDATION cK O ASH _ PERMIT VALID T ISI CK M.O. CASH
S 5.9 5 ..V .
.h�9 1.6 h-N oGT 10 0 1 4 3.2 5 N .
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print-or type only)
-BUI ess� S COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
'CITY ZIP' ' - �..BUILDING AND SAFET DIVISION :
-SIZE OF LOT
6 N W ON LOTS J I ADIDRESLDI S/��/� JYI�C
TRAC BLOCK - LOT NO,' J LOCALIT
\-- TEL NEAREST
OWNER S .iy,FJ0. - CROSS ST. �•-'
ASSESSOR
ADDRESS MAP BOOK PAGE RCEL
DISTRICT I OUP TY E FIRE PRO SSD Y
CITY 7 ZIP �" M _ NST ZO •� /. .
ARGHITECT-Of TEL. Vp
ENGINEER NO _
STATISTICAL CLASSIFICATION EWER MAP
ADDRESS - 'CLASS NO DWELL,UNITS BKF4g �
CONTRACTO - •NOL -= USE,ZONE NADP V
LIC. _
'ADDRESS �.. /µ%1N0. "� CONDPECIAL
IT ONS '
CITYLIC
g�& L.CLASS V
_ -ROAD DEPARTMENT'APPROVAL REQUIRED• 'YES❑ No-❑
CONSTRUCTION LENDER
�-
NAME AND BRANCH BLDG.SETBACK FROM ,C
FROfir PROP.LINE OF (STREET) C.7
ADDRESS CITY _ T,OTAL SETBACK FROM TYPE OF EXISTING
HIG WAY + YARD
.SQ. FT /!t NO. OF - NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH �
SIZE (v STORIES FAMILIES ONE
+ _ U
LL
'DESCRIPTION OF W NEW V
❑ BLDGCK FROM _ Z
_ .- ADD SIDE PROP. L (STREET)
ALTER ❑ I'TOTA SETBACK TYPE OF EXISTING
HIGHWAY + • -YARD, = SIDE'PRO P. LINE WAY 'WIDTH
REPAIR❑
USE OF
BL G,__ `if DEMOL ❑ - !+
EXISTING -
APPLICANT _ _ CORNER CUTOFF YES ❑ NO
RI ❑
(PR N
IN OPEN SPACE YES ❑ NO
BY (RGNAT ❑ -
IN COASTAL ZONE YES ❑ - NO ❑
VALUATION - '� " - 'CATEGORICAL EXEMPTION' YES❑ ' NO ❑'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
,AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY IMPACT. - EXEMPTION DECLARATION SIGNED - (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BU ILDI NG'CON
-
STRUCTION 1 CERTIFY THAT IN DOING HE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSO IN VIOLATION OF THELABOR 'C -
WORK MENDS ECO MP T TION INS URA NC ESTATE OF LI RNIA IN REL INC TO ������� �` y'f' w'®�Ay�^ M ®
I� M _ QC �J//) v 1
SIGNATURE '�.' A y!,_ ,
PERMITTE
ADDRESS .�. gAQ• - / _ _ _ _. .- _
FINALB'Y
1 TEL. \�/_ DATE C/�, �,
CITY ,iJ1. r N G' `� .7 Q
PMT
MAKF_ CHECKS PAYABLE TO: F E FEE 1
HARVEY T. BRANDT, COUNTY ENGINEER ��
AN CHECK VALIDATION CK M O CASH PERMIT•~VALIDATION CK O CASH
44T'r_'JUN .3 23 .0 1 4:63a:;r
76A6 36A CE#803 7/73 ,1
5. 4-.5JUN. •3 ',� 4 8,7 5 ,&..'1-i
r
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 1008240047
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
1BK: 40 PG: 34 PC: 3 I SQ., FT STORIES TYPE 1 10686 KEY WEST ST 1
I ISTRUCTURE: .23 V-B TEMP CA 917803466 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1
18585-029-034 I I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I I I I
1TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: , 1
1 (EXIST OCC GRP: 108/24/10 SR 1
I I I i
1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F DATE FINAL BY: CODE: 1
1HING KWONG LEUNG (626) 579-5439- 1 4,800 1j�
110686 KEY WEST ST I I U
TEMP 917803466 I FEES PAID IDESCRIPTION OF WORK
I I (TEAR OFF & REMOVE EXISfINI ROOF SHINGLES INSTALL NEW 30 YR I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IMALARKEY COMPOSITION SHINGLES 1
(APPLICANT: TEL. NO: I I I _
(DAVID TA (909) 598-8988- IAA BLDG PERMIT ISSUANCE 27.80 1 1
120300 CARREY ROAD IAB STATE GREEN BLDG FEE 4800.00 VAL 1.00 ISPECIAL CONDITIONS: 1
(WALNUT, CA 91789 IAC STRONG MOTION RESID 4800.00 VAL 0.50 I I
I ID2 PERMIT W/0 EN-HC 4800:00 VAL 132.80 1 1
I I TOTAL FEES 162.10 1 1
1CONTRACTOR: TEL.-NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
ISUNSHINE ROOFING INC. (626) 581-7688- 1 - 1 I
1516 N DIAMOND BAR BLVD #183 LIC. NO - 1LOCATION AND SETBACKS 1 1 I
1DIAMOND BAR, CA 91765 755126 C39 I I I 1 I
1 I ISOILS ENGINEER APPROVAL I I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I _ I
I LIC. NO: 1 1SLAB/UNDER FLOOR
I I I I I I
I I IRAISED FLOOR FRAMING I I I
I I I I I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I
1147H273 3 001 1 I 1 I
I I IFLOOR SHEATHING I I I
1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
1 NO 21 1 IROOF SHEATHING, 1
I I I I
I SCHOOL WITHIN HAZARDOUS I 1SHEAR,PANELS I
(AIR QUALITY: 1000 FEET MATERIALS I I I I I
NO NO, NO 1 1FRAME INSPECTION I I
IFIRE SPRINKLER HANGERS I
I I I I I I
1 (INSULATION/WEATHER STRIPI I I
I I 11 l
I (INTERIOR LATH/DRYWALL I I 1
I I I I I I
I 1 1EXTERIOR LATH 1 I I
I 1 IRATED FLOOR/CEIL ASSEM. I I
` I I IRATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS
1 I ILOT DRAINAGE 1 I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 I 1
I I I I I I