HomeMy Public PortalAbout10204 LIVE OAK AVE_Building__ APPLICATION FOR BUILDING PERM-IT
FO' APPLICANT TO FILL IN (PfID} or rvoe only)
BUILDING COUNTY OF LOS ANGELES
Af6DRESS ,�D " v � DEPARTMENT OF COUNTY ENGINEER
CITY ,O(.E /T ZIP - /7D
NO / .. B/
Ss'/y///0 NOWON LOTADDRESS
BUILDING AND SAFETY DIVISION -
y OS + - ADI
TRACT/(0 7 w" BLOCK- LOT NO- �' - LOCA LIT
�1 __ //TEL NEAREST
OWNER //� _�. I�JRSQ�/NO ���� CROSS ST
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ASSESSOR
ADDRESS G 0 - E t✓p- OAS MAP BOOK '" PAGE PARCEL
CITY PCS (� /�O , DISTRICT. •GROUP' TYPE FIRE SSED BY
ZIP C �'. Q CONST.. ZONE
ARCHITECT^OR TEL - - - �,a
ENGINEER C�1 NO STATISTICAL CL SSJFICA TION--
WER AP
ADDRESS CLASS NO _DWELL UNITSBK PG
CONTRACTOR - NOL -USE ZONE[nP
LIC
ADDRESS NOS SPECIAL
LIC ? 'D' CONDITIONS
CITY CLASS
. ROAD-
DEPARTMENT APPROVAL REQUIRED YES[:] NO ❑
CONSTRUCTION LENDER
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NAME AND BRANCH BLDG SETBACK FROM - - �-
- - FRONT PROP LI NE OF (STREET) C
ADDRESS CITY
HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING �
SQ FTNO OF / NO. OF / CHECK - FRONT PROP LINE HIGHWAY WIDTH
SIZE _ STORIES FAMILIES ONE L;
+ - LL
-DESCRIPTION OF WORK I NEW
d
' BLDG SETBACK FROM Z
/J ADD SIDEPROP LINEOF (STREET) -
ALTERXI HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
9f! PAIR❑
EXISTING SIDE PROP LINE HIGHWAY WIDTH
USE OT +
NG BLDG /4O�iNtd+ !DEMO -
APPLICAN �^'�T),�-L CORNER CUTOFF YES ❑ NO ❑
(PRINT) J'�j�►{/N 0.
BY (SIGNATURE) OPEN SPACE YES ❑. NO ❑
I i,
COASTAL ZONE YES ❑ NO
-VALUATION$ 7 1 . _ -
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION NVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WIT ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ,
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE q //
LABOR CODE OF T STATE F. CALIFORNIA IN RELATING TO L,%:� r�
WORKMEN'S M
COPE ATION IAQ,. Q,
SIGNATURE OF
PERMITTEE
ADDRESS
TEL
FINAL BY
CITY NO DATE 1- 17,761 Q Q •
PMT
MA'KF CHECKS PAYABLE TO FEE $ FEE
HARVEY T. BRANDT. COUNTY ENGINEER
'PLAN CHECK VALIDATION _ cK M o CASH_ -e PERMIT VALIDATION CK M 0 CASH
- r
i
5 -0 (SAY 30 1 'D 35.9-
5
:76A638A CEP803 7/73
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 0606220020
PHONE. (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS
TR: 16957 LT 40 SQ. FT STORIES TYPE 10204 LIVE OAK AV
STRUCTURE: 20 VN TEMP CA 917802713
ASSESSOR INFORMATION NUMBER• NEAREST CROSS STREET BALDWIN,
8586-020-011 THOMAS PAGE. GRID:' --- -LOCALITY TEMPL£'CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE R1 ISSUED ON: PROCESSED BY EXPIRES ON.
EXIST OCC GRP: 06/22/06 JK 06/17/07
i
OWNER: TEL. NO: BLDGS. NOW ON LOT: _> VALUATION FINAL2Mf
F�� BY: CODE:
WONG, EVA (909) 937-7133- - -- 5,000 (/
10204 LIVE OAK AV
TEMP 917802713 FEES PAID DgSCfRIPTION OF WORK
TEAR OFF ON HOUSE & GARAGE INSTALL 1/2 OSB RECOVER W/30#F£LT
FEE DESCRIPTION QUANTITY: UOM• AMOUNT 30 YR COMP. SHINGLES "A" 4 & 12
APPLICANT: TEL. NO
REXWAY ROOFING, INC (606) 333-5615- AA BLDG PERMIT ISSUANCE 27.75 -
507 N AZUSA AVE #C AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS
LA PUENTE, CA 91744 D2 PERMIT W/O EN-HC 5000.00 VAL 132 60
TOTAL FEES 160.85
CONTRACTOR TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
REXWAY ROOFING, INC. (626) 333-5615-
507 N AZUSA LIC NO - _ LOCATION AND SETBACKS
LA PUENTE CA 91744 655986C39 * - `-
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE• CMP• UNDERFLOOR INSULATION
150H273 3 01
FLOOR SHEATHING
NO. OF FAMILIES. DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEFR PANELS - -
AIR QUALITY 1000 FEET MATERIALS _
NO NO NO FRAME INSPECTION -
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY PROP LINE: WIDTH
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508