HomeMy Public PortalAbout10209 NADINE ST_Building__ ~ JGA638A CE0803 9 68
' APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST B
DISTRICT NO GROUP TYPE PRO S D BY
FOR APPLICANT TO FILL IN CONS
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BUILDINGyy�� STATISTICAL CLASSIFICATION EWER MAP
ADDRESS Z O (/��I E CLASS NO 900k_DWELL UNITS BK PG!
LOT NO BLOCK USE ZONE MAP
' NO
TRACT < SPECIAL
IT ONS
NO OF BLDGS /
SIZE OF LOT x �o?O NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
/� NOL - FRONTPROP LINEOF - -(STREET)
OWNER
/,8EaT TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY �WIDTH FROM C L
CITY a�w�r 7 •
BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINEOF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTRACTORWAt V44 /WAA``eAET L + c
ADDRESS/O � N /IVC 7T NO 12l03 CORNER CUTOFF YES ❑ NO ❑ Ilk
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CITY Le G T CLALIC SEE REVERSE SIDE FOR SPECIAL APPROVALS LL
CONSTRUCTION LIENDER CL
NAME AND BRANCH / G g
ADDRESS , 4
SQ FT NO OF NO OF ANEW ❑
SIZE STORIES FAMILIES
USE OF �/ ��� ADD
STRUCTURE
ALTER ❑
SIGNATURE REPAIR❑
APPLICANT MOL 5• J ✓� � ✓
VALUATION S �QQ I APPROVALS DATE INSPE S SIONA TU RE
FEES FEES 2 ' FOUNDATION
I MATERIALS
FRAME FIRE STOPS Y
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS 57
AND STATE THAT THE ABOVE 18 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIrORHIb IN RELATING TO
WORKMEN 8 COMPENSATION INSURA CE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL --.2,v
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PLAN CHECK VALIDATION CK M O CASH _ JOHN
NPEPAM VALIDATION tCKTURANLO ENC BMER
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DEPARTUM OF BUILDING AND SAFETY APPLICATION FOR PERbar
COUNTY OF LOS ANGELES BUILDING
WM d FOX OmerENSINEER I+
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILQ y-�/ /i DISTRICT NO PLAN OK NO PERMIT NO
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LOCALITY
RECEIVED I DATE jq or APPL. DATE
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ENGINEER NO .xi v
SLOB / i OR NO
SETBACK LINE
Jd _ APPROVED
rl M� BY DATECONTRACTOR EL.
USEAPPROVED
A D ZONE BY DATE
DESCRIPTION I LOTTHO / BLOCK �O 9 CORRECTIONS
TRACT /.'r*e 2 d►r / -f V
SIZE OF LOT v /l V /Il O NO OF'LD"ON LOT �✓�
UBE OF NO OF � NO OF
EXISTI S A ILIEe ROOM
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
>0
REPAIR MOVING DEMOLISH O
r-r �j �
SEIZE L ROOMS s STORIES / r
WALL COVERING �v C C 0 COV Ooor VER
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNCATION LOCATION OTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS REGULATING BUILDING CONST UCTICN ` 'v
�" FRAME FIRE STOPS.
SIGNATURE OF ~ BRACING BOLTS 4
PERM ITTE W /
LATH INT
AUTHORIZED AOT LATH, EXT 4�1-a
7"638A 9 7 49 � J Osop —I
� P C R C a PLASTER INT
I' FEE -
PLASTER EXT
8
VALUATION FEE FINAL
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 0805300010
PHONE (626) 285 0468 EXT
ILEGAL ID NO OF CONST I BUILDING ADDRESS
ITR 15862 IT 21 I SQ FT STORIES TYPE 1 10209 NADINE ST 1
I ISTRUCTURE 200 V B I TEMP CA 917602728 I
(ASSESSOR INFORMATION NUMBER II 1 NEAREST CROSS STREET 1
16586 027 021 I Ij -THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
ITENANT IEXIST BLDG USE RESID USE ZONE R 1 11SSUED ON PROCESSED BY EXPIRES ON 1
I (EXIST OCC GRP 05/30/08 SR 11/26/08 I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATIONIFI1 TE FINAL CODE
IJOZEFCZYK IRENE H (626) 444 3022 1 1 500 I I
110209 NADINE ST I I SCRI 1
ITEMP 917802728 I FEES PAID IDEON F WORK
IRE STUCCO FRONT OF HOME 1
IFEE DESCRIPTION QUANTITY UOM AMOUNTJAPPLICAI I
IGORINAA &TTEL
0
SON EXT (562) 8611721 IAA BLDG PERMIT ISSUANCE 27 75 I I
19155 RAVILLER DR IAC STRONG MOTION RESID 1500 00 VAL 0 50 ISPECIAL CONDITIONS I
1DOWNEY CA 90240 ID2 PERMIT W/O EN HC 1500 00 VAL 82 20 1 I
I I TOTAL FEES 110 45 1 t I
(CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IGORINA & SON EXT (562) 861 1721 I t 1 1
19155 RAVILLER DRIVE LIC NO 1 IL0CATION AND SETBACKS I I1
IDOWNEY CA 90240 735035 C35 1 tt I I 1
1 1SOIIS ENGINEER APPROVAL I I 1
(ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
I LIC NO I ISLAB/UNDER FLOOR I I I
I I (RAISED FLOOR FRAMING I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFIOOR INSULATION I I 1
1147H273 3 Oil 1 1-1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I IFLOOR SHEATHING 1
I NO 21 1 IROOF SHEATHING I I 1
I I I I I I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
LAIR QUALITY 1000 FEET MATERIALS I I I I
NO NO NO IFRAME INSPECTION I II
IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS I ! I
ISET BACK YARD HWY PROP LINE WIDTH
INT PL I (INSULATION/WEATHER STRIPI I
I SIDE PL I I I I
11NTERIOR LATH/DRYWALL I Ix I
I 1 (EXTERIOR LATH I I
I I 1RA7D FLOOR/CEIL ASSEM 1 I
IRATED WALL ASSEMBLIES I I I
(RATED SHAFTS/OPENINGS
IT BAR CEILINGS I I
I ILAT DRAINAGE
I
IREPORT ID DPR261 ROUTE TO BS0508 1 I I
I 1
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COUNTY OF LOS ANGELES TEMPLE CITY # P08 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0006200054
PHONE (626) 285 0488 EXT
LEGAL ID NO OF --70997- -1-BUILDIN
TR 15862 LT 21 1 SQ FT STORIES TYPE ` 10209 NADINE ST
STRUCTURE 0 VN TEMP-CA 917802728
ASSESSOR INFORMATION NUMBER--
8586 027 021 t ,NEAREST CROSS STREET DAINES
1THO14AS PAGE 597 GRID B3 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R I ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 06/20/00 UT 12/17 / /00
OWNER TEL NO BLDGS NOW ON VALUATION FINALIDAT CODE
JOZEFCZYK IRENE H 1 LOT 4 060
10209 NADINE ST t
TEMP 917802728 tFEES PAID MCRIPTIOl F- R IK
LOF
TEAR OFF A R ROOF HOUSE AND G4 TH CERTAINTEED
APPLICANT TEL NU + FEE DESCRIPTION QUANTITY UOM AMOUNT 25 YR FIBERGL S SHINGLES
RANDOL ROOFING (626) 288 4040 AA BLDG PERMIT ISSUANCE 27 75
2304 TROY AVE AC STRONG MOTION RESID 4060 00 VAL 0 50 SPECIAL CONDITIONS
SO EL MONTE CA D2 PERMIT W/O•EN-HC X4060 00 VAL 132 60
PNGELE$ T�OTOAL�FEES 160 85CONTRACTOR TEL NOAPPROVALS DATE,
RANDOL ROOFING (626) 288 4040 C
2304 TROY LIC NOND SETBACKS
'
SOUTH EL MONTE CA 91733 C33 C39 * LOCA110111
SOILSA
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ARCHITECT OR ENGINEER TEL NO FOUNDATION/TREW97MW
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LIC N�
1111111
MAP NO SEWER MAP BOOK PAGE FIRE ZME
147H273 3 ' 01� UBLIC WORKS LOOR"MFLOOR fINSULATION
SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT 1S
All
NO 2ISCHOOL WITHIN HAZARDOUS / _ ROOF 1
t. SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO C
REQUIRED TOTAL SETBACrTW EXIST5
SETBACK YARD HWY PROP LINE WIDTHFRONT Pl. '*c Service Thati�°t S R
SIDE PL
INTERIOR LATH/DRYWALL
1
EXTERIOR
� r
ASSEMBLIESRATED WALL
RATED SHAFTSIOPENINGS
T BAR CEILINGS
' * ADDITIONAL DATA ON FILE
LOT DRAINAGEt
t REPORT ID DPR261 ROUTE TO BS0508
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