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7GA638A CE 4809.9-60 Al l Li VATYON ■ O■ 1 a. UILDING 7 ES\WT ,
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER LOCALITY Temple Lity w'
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST i
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST pal 1`T l
DIST ICT I G OU -HYPE P ESSED BY
FOR APPLICANT TO FILL IN _ J✓ CONST
BUILDING 10510 L STATISTICAL CLASSIFICATION S ER MAP
ADDRESS y arose St. Tela le BK PG
�T CLASS NO DWELL UNITS�I
LOT NO 13 • Gi t✓ BLOCK MAPSTATE YES NO
f NUMBER HWY
_ TRACT 26 _ USE ZONE SPECIAL '
SIZE OF LOT 52 x 100 I NO OF SLOGS. on CONDITIONS
NOW ON LOT ly
USE OF
EXISTING BLDG HT BUILDING EXIST
° YARD' HWY TREET NAME WIDTH
TT,,�� •I 7� p r7 SETBACK
OWNER'l�leenerlievelopmen.tNO !-2151 FRONT
P L
ADDRESS n SIDE '
ARCHITECT.OR EL �I ° P L
ENGINEER li .13 _ ND _ INSPECTION 4E RD
ADDRESS 18 i1 •Vermont Glendo
CONTRACTORAle..-�eT e�.,,Deave • / ' , , (9 OW O
,1TEL. 6` V
ADDRESS tame asbove a
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DESCRIPTION OF WORE W
a
NEW T ADD ALTER REPAIR DEMOLISH '' N
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SSQ IZE T 12(J NO OF' NO OF '
STORIES 1 FAMILIESUSE
1
STRUOCTURE ` Plan -G Rev.
Residers attach gara.
SIGNATURE ev
APPLICANT
VALUATION$ C � I APPROVALS OATt INSPECTOR S SIGNATUREPC 4 a PMTFOUNDATION LOCATIONFEE $ �^ FEE FORMS, MATERIALS
FRAME FIRESTOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �S{
AND STATE THAT THE ABOVE 15 CORRECT AND'AGREE TO COMPLY FURNACE LOCATION, r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING.CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH'THIS PERMIT 15 ISSUED SHALL NOT .tATT-INT
EMPLOY ANY PERSON A MANNER SO A5 E OME SUBUECT.
TO THE WORKMEN' COMTIONeL S- F C FORIA LATH, EXT R nw
SIGNATURE 11// USE NUMBER COR-' Al
PERMIT EE_ RECT AND POSTED ,�//
ADDRESS-1- c 2 �+ L- v U d y FINAL '/ -vd z
CLYDE N DIRLAM, PRINCIPAL STIR :T—RAL ENGINEER
PLAN CHECK VALIDATION 0101.0. CASH '
PERMIT VALIDATION cK. M O. . CASH
LAf,',O,7, 5 2 7 %_,i JAN.?9 2 3�D ;,i2 4.0 0 A
1 1 5 7 APR 1 6. 1- D 5 7.0 10 Z
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 1107050002
PHONE (626) 285-0488 EXT
(LEGAL ID 1 NO OF CONST 1 BUILDING ADDRESS
ITR 26554 LT 13 1 SQ FT STORIES TYPE 10510 LYNROSE ST 1
I (STRUCTURE. 1290 V-B 1 TEMP CA 917802838 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET PAL MAL I
18586-011-033 1
I THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, C
I
(TENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1
I (EXIST OCC GRP 107/05/11 SR
I . i
(OWNER- TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATE FINAL BY CODE 1
IWANG ZHI W,REBECCA J (626) 448-5100- 1 6,000
110510 LYNROSE ST 1
I
1TEMP 917802838 1 FEES PAID IDESCRIPTION OF WORK 1
1TEAR OFF AND REROOF WITH COMPOSITION SHINGLES HOUSE AND 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT (GARAGE 1
(APPLICANT TEL NO
I
I
1SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1 I
IAB STATE GREEN BLDG FEE 6000 00 VAL 1 00 ISPECIAL CONDITIONS 1
1AC STRONG MOTION RESID 6000 00 VAL 0 60 I
I 1D2 PERMIT W/O EN-HC 6000 00 VAL 149 70 1 I
I 1FR INV WORK W/O PERMIT 257 00 DOL 257 00 I 1
(CONTRACTOR TEL NO I TOTAL FEES 436 10 IAPPRCVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER -
LIC NO 1
(LOCATION AND SETBACKS
I I I I
1 (SOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I 1
LIC NO (SLAB/UNDER FLOOR 1 I 1
1 1 IRAISED FLOOR FRAMING 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I
1150H273 3 001
I 1FLOOR SHEATHING
NO OF FAMILIES DWELLING I 1
ILING UNITS APT/COND STAT CLASS 1
1 0 NO 21 1 1ROOF SHEATHING TT�r
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS ,Y�-•►��(J
I I I
(AIR QUALITY 1000 FEET MATERIALS I
NO NO NO 1 1FRAME INSPECTION
I I
1 IFIRE SPRINKLER HANGERS
1 1
EAHREU 11NSULATION/WEATHER STRIPI 1, I
11NTERIOR LATH/DRYWALL 1
1 I (EXTERIOR LATH I I
1 1 IRATED FLOOR/CEIL ASSEM I
I IRATED WALL ASSEMBLIES I
I I I I
I IRATED SHAFTS/OPENINGS 1 I
1 I I I
I I IT-BAR CEILINGS I I
I I I I
I I I I
1 I ILOT DRAINAGE 1
1 !REPORT ID DPR261 ROUTE TO BS0508
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