HomeMy Public PortalAbout10601 LOWER AZUSA RD_Building__ '•76A638Aq.g i4803 4/72
APPLICATIO -FORC'JILDING PERMIT
yV,COUNTY OF LOS..ANGELES A c��
DEPARTMENT'OF COUNTY ENGINEER °K L�' P CEL
BUILDING AND SAFETY DIVISION BUILDING -
MAKE CHECKS PAYABLE TO:, ADDRESS'17__
HARVEY T. BRANDT•, COUNTY: ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST17
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DISTRICT NO. GROUP TYPE' iPf30CESSED B
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SIZE OF LOT f NOW ON,LOT. � •.v SPECIAL -- -
USE OF • CONDITIONS 's
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NAMET
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'.ADDRESS - 31r71 A<SQ. FT NO. OF NO. OF NEW , I -
SIZE STORIES I FAMILIES ,
USE OF L ADD ❑ ' --
STRUCTURE /t" //N`/ ['
ALTER❑
REPAIR❑
SIGNATURE O
APPCICANT
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` EVALUATION $ �•/ 0 _ _ - _ - -'.E APPROVALS - _ DATE .'INSPECTOR'S SIGNATURE -
'FOUNDATION: LOCATION
FEE $ {_� I FEE-$• FORMS,•MATERIALS r
.� - FRAME: FIRE STOPS,
- , �� vJ-
THEREBY ACKNOWLEDGE THAT I HAVE READ:T:H18-APPLICATION. BRACING 'BOLTS
AND STATE THAT THE ABOVE.IS"CORRECT AND AGREE TO COMPLY - -
_ a•�( .7F,URN�ACE: LOCATION,
WITH. ALL ORDINANCES]AND LAWS REGULATING_BUIL"DING,CON-F4+ -1$ "GA_S VENT,.,DUCTS '
-STRUC TION. I C ERTI FY S THAT'•IN DOING•-THE WORK AU THORI ZED,
•HEREBY I WILL NOT. EMPLOY ANY PERSON IN VIOLATION OF,THE/i LATH�,�.INT. � � j.
,LABOR CODE OF THE STATE- OF`CALIFORNIA IN 'RELATING TO ,I
-WORKMEN'S COMP _S TION INSURANCE _ )C'•2�+•
! LATH), EXT.
SIGNATURE OF
- HOUSE.NUMBER CSOR
PERMITTEE
ADDRES .. .. .. r ) .• - -
:.
`PLAN CHECK VALIDATION- M CASH PERMIT VAL ATION CK M.O.' CASH
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• APPLICATION FOR B'IJ I YING P:ER T
FOR APPLICANT°T0 FILL1N ", �f o�',Ype OnI�a _
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DEPARTMENT. OF COUNTY-ENGINEER --
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IN
❑.
:-
-/ IN COAS TAL ZONE YES,❑ -NO ❑
VALUATIONP :GC.��®• .. NO ❑
•� - CATEGORICAL EXEMPTION -YES❑
x HEREBY ACKNOWLEDGE THAT AVE-REA D'THIS•`APPLICATION; ENVIRONMENTAL' 3
WITH ALL ORDINANCES' AND''LAWS:`R EGU EATING" BUILDING COM PACT EXEM P.TION DECLARATION SIGNED DATE),
ANO STATE THAYTHE`ABOVE-IS CORRECT AND-AGREE-`TO COMPLY-' IM
.- .L _.
•a IMPACT RE PORTcP PROCESSED (DA TE)
ST.RUCTI ON:' I CERTIFY THAT�.IN. DOLNG THE:.WORK AUTHORIZED= - -
`H.EREBY 'P WILL NOT EMPLOY ANY PERSON IN'-VIOLATION<OF'TH E-; - - -
•
LABOR., CODE OF':-T' 'STATE OF ,CALIFORNIA.'IN�-RELATING TO
_,WORKM E N'S'"CO MPEN A ION NS: RA NC.E.
SIG�NATURE•OF, -
P.E R M I TT EE -
ADDRESS
FINAL'
T E., 9�X117 DATE
CITY `.Nb J v - K
QR
P Cl^ PMT%L1hE" C NECKS H.a}":113LE 70:. FEE ' FEEHARVEYT'. BRAND.T .COUNTY'EN;GINE
.PLAN.'CHECK VALIDATION cK M o - ..cnsH PERMIT. ,VALIDATION cK.' McASH
s
r 7A'.63BA CE#803.12%7
6' 2 .e'•. - :�.....
:r APPLICATION_ FOR 'BUILDING: PERMIT _
wFQ,R APPLICANT TO FILL IN (P,int�o, type only)
BUrLD'
NG- - - COUNTY OF LOS ANGELES
.ADDRESS - DEPARTMENT OF COUNTY ENGINEER _
BUILDING'AND SAFETY DIVISION
-CITYid o
f • ZI -
N .OF BLDGS _ _ BUILDING
SIZE OE__LOT -)C j i .NOW ON LOT
TRACT y BLOCK LOT NO. v LOCALITY' -
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.; -ASSESSOR
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-LIC - - CONDITIONS -
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' ROAD DEPARTMENT APPROVAL REQUIRED NO
-F,Y.ES-❑ ❑�.
CONSTRUCTION LENDER
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A PP.LIC'ANT ,TEL - CORNER CUTOFF YES. .❑ NO ❑ -
:('PRINT) _ •�.. ND.'33w:6 _ -
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' IN OPEN SPACE YES.❑ `NO ❑ ,
BY (SIGNATURE) a S1f. ,$'
COASTAL ZONE• ,' E]
YES ❑.- - NO _
-VACUA=T1',ON�;cr (� -i _.: . ' , __ ... -
Y CATE GORI CAL_EX EM PTI ON .:YES❑ NO• ❑ .
I.HEREBY-ACKNOWLEDGE THAT I '.HAVE READ THIS APPLICATION- ENVIRONMENTAL
'_AND'S-TATE-THAT THE ABOVE-IS CORRECT ANO.;AGREE`:TO,COMPLY IMPACT - EXEMPTION DECLARATION SIGNED (DATE)
;WITH .AL L'ORDINANCES AND LAWS REGULATING BUILDING CON-
S T RUCTI ON...•-I CE:R TI FY THAT--:IN•D01-NG THE--WORK;A U T HO R I Z E 6' IMPACT REPORT•.PR_OCESSED (DATE) -
HEREBY [,WILL NOT EMPLOY ANY PERSON IN-V,IO LATION••OF-THE -
LABOR - CODE OF THE STATE OF CALIFORNIA IN -RELATING TO -
WORKMEN'S ,COMPENSAT ION 'NS URANC E. _ - -
- - •. - _
' SI'GNA'TURE OF.
'PERMITTEE - - "•
ADDRESS f - - - -
; _.�. - TEL .'` DAT
i
CITY :,NO. .: ' ,
.. . _ - P.C`.: � ._. -- PMT- _.
F. 11 IK£ (.NECKS PA.YA131-E TO: FEE � FEE
HARVEY T.., BRANDY COUNTY ENGINEER
_.;PLAN. CHECK.VALIDATION cK. M O . CASH PERMIT VALIDATION cK M.O. CASH v
76.A638A,C E#803 12/72
76'A 638 A..C.E #80.3 4/•72 _ -
APPLICAT101 • FOFZ BIJ,IL.D6NG PIERMIT
COUNTY OF LOS ANGELES'.' _ASS ESS ORk
DEPARTMENT-.OF .COUNTY ENGINEER. MAP BOOK- PAGE PARCEL
BUILDING AND SAFETY DIVISION AiDbR SS "
,MAKE CHECKS.PAPABL'E TO: .' ADDRESS: ' ,
'HARV.EY T.'BR'ANDT,'COUNTY ENGINEER. L0C' LJTY " --
FOR' APPLICANT TO:FILL-;IN_' NEAREST71
r:
(Print or'type on[ CROSS ST.
BULLDING_,: DISTRICT NO -.GROUP:.,.TYPE . PRO ES$ D BF.
Q�jQf - d CONST"-
ADDRES " sG C1-.-
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LOT NO �,-' � '" BLOCK. � � - 't.CLASS�.NO, DWELL^• UNITS
TRACT. �. . .�� - -
- USE-ZONE MAP- - ..
NO:OF SLOGS `NO.
SIZ:EbF.LOT ( NOW ON••L^OT SPECIAL
USE OF., . ...,. °.,. - - �� .CON.DITIONS•= -
�EXIST,ING BLDG. >
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YES G NO
.CONSTRUCTION LENDER : t "
NAME ANo BRnNCH ". SEE REVERSE-SIDE=FOR'SPECIAL APPROVALS.
ADDRESS ..'
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USE OF ADD
STRUCTURE= / / Y
' ALTER Q
SIGNATURE OF REPAIR❑ _
APPLICANT„ - y -
,.
VALUATION-'$ APPROVALS - DATE -I, s ECTOR' 5IGNATURE
P.
C.
PMT..` FOUNDATION:.LOCATION
FEE $ i. FEE$ / FORMS;'MATERIALS
•- -_ - - - 'FRAME: FIRE STOPS -
=1 HEREBY;ACKNOWLEDGE THAT I-HAVE READ THIS APPLICATION ' - BRACING, BOLTS
FURNACEi.'LOCATION,:
AND STATE THAT-,THE ABOVE. 15 CORRECT AND:AGR EE,TO COMPLY
WITH .ALL` ORDINANCES AND LAWS REGULATING 'BUILDING-'CON- `GAS VENT,,DUCTS't%" ^"
ST.RUCTI`ON':- I ,CERTI'FY ^THAT-IN `.DOING-•THE WORK''AUTHORIZED
_HEREBY I WILL-'NOT EMPLOY-ANY•PERSON IN VIOLATION.OF THE -
•L•ABOR. CODE,' F' E STA T,E' OF.••CAL.IFORNIA IN RELATING TO. LATH,, :.
'•:W.ORKMEN:'S COM EN AT:ION-I�NCLATH,'EXT _uSIGNATURE,OF, -• HOUSE'NUMBERLCOR-
`PERMITTEE ' RECT°AND POSTED -
, .. /M. -
_... L amu. _
ADDRESS - FI.NAL
PLAN CHECK VALIDATION - M O. �CAS�H�� PERMIT VRLIDATIQN CK. M O: CASH
! t. 0. + 1
r _
. .. ..
" J PPLICATION-FOR .BIJILDIN.G PERMIT
FOF APF4-!CANT TO'FILL IN (Print or type only)
BUILDING _ - . -_ COUNTY-OF LOS ANGELES.
ADDRESS 'DEPARTMENT-OF COUNTY ENGINEER
cl'Tv �� /O ,P - ;_. BUI DIN -AND.S' FETY IVISION
-_ O.OF BLD3 - BUILDING -
SIZE-OF LOT`J'V X ( b NOW ON LOT .:. �' ADDRESS -
ITRACT - BLOCK
LOT E . ,� . NEAREST
/
' TEL. NEAREST -
-OW.NE.R.. •h. -•NO.- - - CROSS'ST.
ASSESSOR
ADDRESS Ll _o.. _ MAP BOOK - - PAGE - PARCEL '
-
--� -, .DISTRICT. I GROUP PEFIRE ROC SSED BY
CITY ZIP - - � Q - PON . _ ZONE- -
`ARCHITECT-O TEL.
ENGINEER .•-..' NO" STAT.ISTICAL_CLASSIFCAT.fON' - - .
'ADDRESS 7� E. •(J r. COI//r W AP
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.CONTRACTOR ;-S > TEL. USE ZONE MAP D _
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�- - CONDITIONS -`
CI T. '.GQV,.P:.HA. CLASS_G 4'J
_ ROA':D DEP_ARTMENT.APPROVA_L REQUIRED ..YES❑.' NO._❑
CONSTRUCTION LENDER
'NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF - (STREET) >-
ADDRESS 1 CITY - �-
- HIGHWAY + YARD' TOTAL SETBA FROM TYPE'OF EXISTING O
SO.'FT 'NO:�OF - NO:;OF - CHECK FRONT=PROP:LINE HIGHWAY - WIDTH U
�!/r:6
-SIZE b -STORLES- FAMILIES ONE - -
DE'S"CRIPT.I'ON
OF WORK NEW - U
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ADD _� SIDE_ PROP.LINE OF (STREET)- v)
- [-. - ALTER O -- F_ TOTAL SETBACK-F_ROM TYPE OF EXISTING
HIGHWAY ' YARD'' -
Z
"- - REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USEf OFB �1� DEtv10L
EXISTING BLDG.
"v7 ❑
CORNER CUTOFF _ YES ❑ '- NO ❑-
A.PPLIC.AN,T,, //tR.�'/► �y� '-•MM- •TEL - - _ - _
:(PRINT) Vi 446 l -S/ `v�. _^ -
BY.ISIGNA TURES` - - IN:OPEN SPACE ' YES ❑ NO ❑
n� 'COASTAL..ZONE - YES ❑ NO ❑' '-
VALUA'TION�. �G-CCI r'• .:e`:- - - . ... ,- ._ -
CATEGORICAL,EXEMP,TION, YES•❑- 'NO ❑•�
".I.HEREBY ACKNOWLEDGE THAT I HAVE READ T;1ILN
CATION ENVIRONMENTAL - -
.AND'STATE"THAT: THE'-ABOVE '15 tORRECT+ANDYAGCOM PL-Y 'IMP:ACT - 'EXEMPTION DEC LA RATIO _SIGNED "(DATE) -
WITH ALL ORDINANCES' AND LAWS REGULATINGG CON- - ' - A
STRUCTION. I CERTIFY .THAT IN DOING'THE.WORIZED LMP T.REPO RT.p RO SED (DATE)
;HEREBY I.WILL NOT 'EMPLOY ANY PERSON IN 'VIOF THE
LABOR CODE OF THE"•STATE'OF-CALIFORNIA_,;«IING TO • - - -`
W0RNM E N'S YOMPENSA T IONJ NSURA N C E.
SIGNATURE OF
' PERMITTEE ADDRESSTEFINLBYDATE CITY �I/ + �.� . .NO
ALIKE (JIFCKS PAYA131-E "CO: P.C. PMT`.QQ'
FEE � FEE
HARVEY T. BRAN
IDT, COUNTY ENGINEER
Vo
GG
'PLAN CHECK-'VALIDATION cK: M:O. PERMIT,VA ID TION cK
- CASH -.M.O. .CASH
771; JLIN2Q-,2 3 -D -14-4
76 A638A CE N603 1 rte. _ �j J�,�ld 2 LJ�
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-APPLICAT.ION.mFOR, BUILD]NG PERMIT
F.QRAPPLICANTTO-FILL-IN (Print or type only)
COUNTY OF LOS ANGELES
BUILDING
ADDRESS /CSGa! cvC vim— ,DEPARTMENT OF'COUNTY ENGINEER
CITY ( •. ZIP' :-
BUILDING AND SAFETY DIVISION
� NOW ON LOT NO.OF BLDGS BUILDING /q
SIZE OF LOT Q.6+g' DRESS
TRACT J: BLOCK LOT NO. (/. LOCALITY f
•�-� ell
TEL. p NEAREST
OWNER ��j NO. p SJTS7 CROSS ST.
r ASSESSOR
ADDRESS U��i .0/ fY//� MAP BOOK PAGE' CEL
' 'DISTRICT -GROUP TYPE ~' FIRE. PRO ESSED BY-
-CITY " ZIP" / Fy^ CONST--, ZONE
ARCHITECT O .CEL. .Q�` /' 2—
ENGINEER
-
ENGINEER t `'��"� .TJ' STATISTICAL CLASSIFICATION. SEWER- AP
ADDRESS. q �/?��/ ' CLASS NO. ZZ�DWELL.UNITS BK PG
TEL'.
CONTRACTOR NO. USE ZONE AP �) '
_ v
.. 'LIC:" _
ADDRESS NO. (n,,_ SPECI ^ _
LIC:, `-2, CONDITIONS .
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES`❑ NO ❑
CONSTRUCTION LENDER _
NAME AND BRANCH BLD(j.SETBACK FROM
FROIT PROP.LINE OF _:. - .:__ STREET).
ADDRESS- CITY 0 TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF. NO.OF CHECK HIG WAY + YARD = FRONT PROP`LINE HIGHWAY 'WIDTH
SIZE r` STORIES FAMILIES ONE } .
DESCRIPTION OF WORK. NEW ❑ + - CL
O.
ADD ❑ BLDG. ACK FROM = .
j rrps� . �- / ,f i SIDE PROP. --(STREET) O
ALTER UTO AL SETBACK FROM E OF EXISTING w
HIGHWAY + , YARD =
REPAIR SIDE PROP.LINE• HIG Y WIDTH N
-❑.
USE OF. _v + Z_
EXISTING BLDG: �c,rr�T� DEMOL ❑ - -
APPLICANT TEL CORNER CUTOFF YES NO
T
(PRINT) 6I NO�O
NV OPEN SPACE. YES NO
BY(SIGNATURE)
»
IN COASTAL PERMIT ZONE YES �• NO
VALUATION$
I HEREBY ACKNOWLEDGE THAT I'HAVE-READ THIS.APPLICATION AND STATE - -THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY WITH ALL ORDINANCES
-AND LAWS REGULATING BUILDINGCONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZEDHEREBYI WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - ..
THE LABOR CODE OF THE STATEOF CALIFORNIA:IN RELATING TO WORKMEN'S COM- - - '
PENSATION,INSURAN -. •,.. ,..,, _. .,, ->...: -
SIGNATURE.OP'_ _ 7
PERMITTEE
ADDRESS sj
FINA71
CITY .il ..Yr12 TEL. DATEL BY
MAKE CHECKS.PAYABLE•TO: FEE $: FET $
HARVEY T.BRANDT,COUNTY ENGINEER
PLAN CHECK VALIDATION K M.O. CASH PERMIT VALIDATION C cK` M.o. CASH
3 0 .O SEP'; 23 _ ,.1 35'
®S 76A63BA CE#803 3-76' - - •'- '" -
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 0611070056
PHONE: (626) 285-0488 EXT:
:LEGAL ID: - - �� _, - NO. OF- CONST. .BUILDING 7gDDRESS n p bw
TR: 13645 - LT: X70 ; SQ. FT STORIES TYPE 10601 LOW °
ER
STRUCTURE': 1300 VN - - TEMP CA 917804127
- ASSESSOR INFORMATION NUMBER: + _ •iISEF1RES4I' CY20S�5`STREET.Z,; ." , "�ry 1���. i 4!'•,�
8585-026-039 - �" _.yTHOMAS,PAGE: 597 GRIDq"`.C5,y sLO.@AL`I7`Y3•tTMLE'CITY, C
TENANT:.- - EXIST BLDG USE: COMME. USE ZONE: C-3 ISSUED ON: -- PROCESSED BY: EXPIRES ON:
IN-N-OUT RESTAURANT _ TXIST OCC GRP: . n 11/07/06 JK 11/02/07'
OWNER: TEL. NO: BLDGS. NOW ON LOT: �+ ,r%• �—VALUATION: FINAL DATE FINAL BY: '- --- - .-CODE:
IN-N-OUT BURGERS INC (626) 905-1077- i J ,i27.,-000 ^��.•�
13502 VIRGINIA AV - - - _ - /
BAPK 917065885 "
a ^t�. ,` .� ,4 ; - FEESPAID DESCRIPTION OF WORK
~ - - -- TEARjOFF INSTALL 3 PLY MODIFIED CLASS A ROOF ENERGY STAR-
' - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COOL' ROOF 1.300 S.F. .
APPLICANT: TEL. NO:, - _ -
SADLER ROOFING CO. (949) 675-5095- AA BLDG PERMIT ISSUANCE 27-75
125 .GRAND CANAL AE STRONG MOTION OTHER 27000.00 VAL' 5.67 SPECIAL CONDITIONS:
BALBOA ISLAND 92662 D2 PERMIT W/O EN-H6 27000.-00 VAL 497.55
- TOTAL FEES 53,0.97'
CONTRACTOR.: - TEL. NO: I APPROVALS -DATE .INSPECTOR SIGNATURE
SADLER ROOFING CO. - (949) 675-5095
125GRAND CANAL LIC. N0 Ear'• t � t: " *4,.;`y �Z,�"r:1 .` 3 r 1 1`,t• - ' LOCATION AND SETBACKS
BALBOA-ISLAND CA 92662 2B4857/C39, -
SOILS ENGINEER APPROVAL -
ARCHITECT OR ENGINEER: - TEL. NO: II - FOUNDATION/TRENCH FORMS -
LIC. NO: i SLAB/UNDER FLOOR _
• RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:! UNDERFLOOR INSULATSON
144H273 - 3 Oil - -
- FLOOR SHEATHING -NO'. OF FAMILIES: DWELLING UNITS: APT/COND: -STAT CLASS:
NO 22 I ROOF SHEATHING tl /L.•.-h -
SCHOOL WITHIN HAZARDOUS ! _. SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO I FRAME INSPECTION- - -
REQUIRED TOTAL SETBACK FROM EXISTI FIREf_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 -
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
`a14ro5•` k�_ ' .:``�"te,�4 S\q�� 7�i ...�9'�.-�w��,ro y,.���d a•.,
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RETAINING WALL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9805210035
PHONE: (818) 285-0488 EXT:
LEGAL ID: TOTAL HEIGHT: 8 FT BUILDING ADDRESS:
TR: 13645 LT: 70 RETAINING HEIGHT: 8 FT 10601 LOWER AZUSA RD
WALL LENGTH: 172 FT TEMP CA 917804127
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: DOREEN
8585-026-039 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/14/98 UT 08/14/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
IN-N-OUT BURGERS INC (626) 338-5587- 10,000
13502 VIRGINIA AV ZJ
BAPK 917065885 FEES PAID DES RI TION OF WORK
REMOVE EXIST VARIABLE HT WALL ON NO. & EAST OF PROPERTY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND REPLACE W/31,6' & 81 FREESTANDING BLOCK WALL.
APPLICANT: TEL. NO:
VILLANUEVA/IN-N-OUT (626) 813-8263- D1 PLANCHECK W/O EN-HC 10000.00 VAL 185.13
13502 HAMBURGER LN AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
BALDWIN PARK 91706 D2 PERMIT W/O EN=HC�--10000 OO VAL 216.60
29.48
1&4GELET01T, FEES 4
CONTRACTOR: IN N OUT TEL. NO: 8263- APPROVALS DATE INSPECTOR SIGNATURE
ILLANUEVA,13502 HAMBURGER LN LIC. NO LOCATION AND SETBACKS
BALDWIN PARK, CA 91706 NONE
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUND/TRENCH FORMS
LAMOUREUX, MSL ENGINEERING, INC. (909) 305-2395- _
402 W. ARROW HWY, SUITE 4 LIC. NO: 1111111 FORMS/GROUT LIFT
SAN DIMAS, CA 91740 NONE ,
ND IGROUT LIFT
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: GMPi: RD GROUT LIFT
144-273 OOp� D MC
" WALL DRAIN
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: j
NO 20 O S �i BACKFILL COMPACTION
SCHOOL WITHIN HAZARDOUS T*+ SURFACE DRAINAGE
AIR QUALITY: 1000 FEET MATERIALS 0 Al
0 ®�
NO NO NO
O�
Q
Service
REPORT ID: DPR261 ROUTE TO: BS0508
f.