HomeMy Public PortalAbout10225 NADINE ST_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
OF
-%BUILDING PERMIT DEPARTMENT
BUILDING AND SAFNTY EJy DVSIONR
LDING
FOR APPLICANT TO FILL IN ADIDRESS16 2-
BUILDING
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FADDRESS10225 Nadine St• LOCALITYe City ZIP cN�sssr ti
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE P ESSED BY
TRACT BLOCK LOT NO L CONST
OWNER John Varela NOTEL —'1'C762 /`
7 I ,lo o 1-,.,,.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 10225 CLASS NO 21 DWELL UNITS N BK /v PG
CITY Temple City ZIP USE ZONE NO
oZ D
ARCHITECT OR TEL / SPECIAL
ENGINEEP NO
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTEL
❑
CONTRACTOR Montebello f • N0722-6975 BLDG SETBACK FROM
p LIC FRONT PROP LINE OF (STREET)
ADDRESS868 T KW NO TOTAL SETBACK FROM TYPEOF EXISTING
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
CITYMontebello C ASSC—
CONSTRUCTION LENDER + - oY
NAME AND BRANCH BLDG SETBACK FROM 8
ADDRESS CITY SIDE PROP LINE OF (STREET) 0
SQ FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE STORIES 1 FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH N
=
DESCRIPTION OFWORKReroof existin NEW ❑ + Z
bld • w -1 asphalt Shri ADD El CORNERCUTOFF YES ❑ NO ❑
ALTER IN OPEN SPACE YES ❑ NO ❑
USE OF REPAIR 09
IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG dwell in DEMOL
APPLICANT PR N ) John Varela N0579-4062
BY(SIGNATURE)
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 BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATURE OF AL BY
PERMITTEE $ Truc k y DATE 1-5 -7 7
ADDRESS
CITY Montebello
TEL 2 — P C Fee$ Permit fee 27900
Issuance Fee •QQ
VALUATION$1650.00 � 0 ;# % Total Fee $34.00
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76AG30A CE#603 6 62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGROM ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY C ,
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DIST ICT NO GROUP I TYPE P ESSED BYE
FOR APPLICANT TO FILL IN CONST
BUILDING / STATISTICAL CLASSIFICATION S WER MAP
ADDRESS CLASS NO DWELL UNITS ty BK pr
i
LOT NO 4eBLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT &ce MAP HIGHwwv
NO OF BLDGS NO (eIReLE) STATE MAJOR SECON LO
SIZE OF LOT NOW ON LOT Z USE Z'd'NE7 SPECIAL
USE OF CONDITIONS
EXISTING BLDG
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OWNE Q SrA
NO BUILDING EXIST
B �� SETBAFRONCK
YARD HWY STREET NAME WIDTH
,ADDRESS RCHITECT OR TEL P L
ENGINEER NO SIDE
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ADDRESS
TEL G
CONTRACTOR NO
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ADDRESS
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DESCRIPTION OF WORE �
`/NO OF NO OF _ d
NEWLY ADD ALTER REPAIR DEMOLISH -7 ' Z
S ZE STORIES FAMILIES
USE OF 1'n ./
STRUCTURE P
SIGNATUREOFowl
APPLICANT dg& 1
VALUATION S aJ
APPR VALE DAT INSPECTOR S BIG ATURE
PC PMT 40 FOUNDATION LOCATION �1 $ /
FEE S `�"�O� FEE S FORMS MATERIALS G�` Q
FRAME FIRE STOPS /
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS V�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THbi
E LABOR CODE OF THE S TE CC CALIFORNIA RELAT
ING TO WORKMEN S CO ENS ION 1 URANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE / RECT AND POSTED
ADDRESS 7 t FINAL
PLANT CHECK VALIDATION CK Mo cwsH _ JOHN F LEWIS PPEMMT VALRI C PAL ST URAL EN (NEER
IDATION CK M O CASH
1 A0040 'LL uLw3G l D 1 5C, d"
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y 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 1210180075
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 15862 IT 18 SQ FT STORIES TYPE 10225 NADINE ST
I ISTRUCTURE V B TEMP CA 917802728 1
ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET
18586 027 018 1 1 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
TENANT [EXIST BLDG USE RESID USE ZONE R 1 JISSUED ON PROCESSED BY
(EXIST OCC GRP 110/18/12 SR I
OWNER TEL NO JBLDGS NOW ON LOT VALUATION 1FINAL DATE FINAL BY CODE 1
IHUANG ANDREW GRACE BETTY Y C (626) 579 3720 1 2 450
110225 NADINE ST I I
TEMP 917802728 FEES PAID IDESCRIPTION OF WORK
I KITCTIEN REMODEL
IFEE DESCRIPTION QUANTITY DOM AMOUNT
APPLICANT TEL NO
1SAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 1
JAB STATE GREEN BLDG FEE 2450 00 VAL 1 00 ISPECIAL CONDITIONS
IAC STRONG MOTION RESID 2450 00 VAL 0 50
JB2 PERMIT W/ENERGY 2450 00 VAL 108 90
IFR INV WORK W/O PERMIT 166 20 DOL 166 20
CONTRACTOR TEL NO I TOTAL FEES 304 40 JAPPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER I I I
1 LIC NO 1 1LOCATION AND SETBACKS I I I
ISOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I I
1 LIC NO 1 1SLAB/UNDER FLOOR 1
1 1 (RAISED FLOOR FRAMING I I I
IMP NO SEWER MAP BOOK PAGE FIRE ZONE CMp I 1UNDERFLOOR INSULATION I I I
147H273 3 001 EXPIRED I I I I
I I (FLOOR SHEATHING I I I
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
I 0 NO 21 I IROOF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS �`� ' ISHEAR PANELS I I I
LAIR QUALITY 1000 FEET MATERIALS I I I I I
NO NO NO I IFRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS I I I
I I I
1 1 11NSULATION/WEATHER STRIP( I I
I
1 i (INTERIOR LATH/DRYWALL I I I
I (EXTERIOR LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM I I I
I I I
I
1 (RATED WALL ASSEMBLIES 1 I 1
I IRATED SHAFTS/OPENINGS I 1 I
IT BAR CEILINGS I I I
ILOT DRAINAGE I I I
REPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I I I I