HomeMy Public PortalAbout9942 NADINE ST_Building__ 70Aeee^�69#808. 56APPLICATION FOR—BUILDING PERMIT" 1
BURDMG AND SAFETY DIVISION BU.ILD.INGAIN
Department Of County Engineer ADDRESS
AIL
County of Los Angeles LOCALITY v: P T
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS
FOR APPLICANT TO FILL IN DISTRIc o. GRO�[P PE, ;y ISE
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BUILDING
ADDRESS G�1�J� P C STATISTICAL CLASSIFICATION
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NUMBER HWY
TRACT UN ZONESPECIAL
Q NO.OF BLDGS. O i CONDITION
SIZE OF LOT 3 I NOW ON LOT /
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USE OF
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CONTRACTOR owiveR NO. _ A�J "
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DESCRIPTION OF WORK
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SIGNATURE OF
APPLICANT DATE IN CTOR'S NATURE
ADDRESS /6 1l FOUNDATION:LOCATION r
LC FORMS. MATERIALS <
$ ,Q (, P.C. i FRAME: FIRE STOPS. '
_ FEE BRACING. BOLTS
VALU'� s FURNACE: LOCATION.
FEE r GAS VENT. DUCTS `
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1 HER Y ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATI AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT K�
STATE LAWS REGULATING B LD1 CON RUCTION.
SIGNATURE OF a HOUSE NUMBER COR-
PERMITTEE ;RECT AND POSTED
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ADDRESS ZsyFINAL
JOHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM.'PRINCIPAL$TRUCTURA
PLAN CHO= VALIDATION CK. M.O. CASH PEUM VALIDATION cic. CASH
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t. APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS -
BUILDING AND SAFETY'DMSION LOCALITY
JOHN A. LAMBIE, COUNTY,ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST -
CROSS
EAREST .
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP. TY PRQ6,ESSED BY
} � T.q-T.
Print ort a only) .S 1 0 �LC_
BUILDING ) i ^ STATISTICAL CLASSIFICATION - I EWER•MAP
ADDRESS / V CLASS NO.�_DWELL.UNITS TBK PGt q
LOT NO. BLOCK USE ZONE MAP �Qd
/►� NO.
TRACT /��. 1 SPECIAL.
NO.OF BLDGS. CONDITIONS
SIZE OF LOT X NOW ON LOT
USE OF �n
EXISTING BLDG, r /_/�/�.� BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET).
OWNER 4jQ JE rEft y NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CITY Cj7yBLDG.SETBA
KFROM
ARCHITECT OR TEL. SIDE PROP,LINE OF (STREET)
ENGINEER NO. _
TYPE OF EXISTING SETBACK HIGHWAY D - -TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. I + = Y
CONTRACTOR C G NO. •0133d
IC. �
ADDRESS Q LM / NO. CORNER CUTOFF YES ❑ NO ❑ v
CITY )C 1 4 CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK N
z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF L
SIZE STORIES FAMILIES
USE OF
STRUCTURE /N� �mtil
SIGNATURE OF /J
APPLICANT C�
VALUATION$
w� APPROVALS DAT INSPECTOR'S SIGNATURE
P.C. PMTFEE$ FEE $ 73•� FOFORMS'MATERCAALS g
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 18 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S MPENSATION INSURANCE.
I LATH, EXT.
SIGNATUL
RE OF �� HOUSE NUMBER COR- .
PERMITTEE RECT AND POSTED
ADDRESS. FI NAL
0
GJOHN F. LEWIS, PRIKCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION C'K.• M.o.. CASH _ PERMIT VALIDATION. CK. M.O. CASH
L.AEa6'9 5 '7�2OCT22 I D 3 825- q
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COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0806240002
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: 1
ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9942 NADINE ST
ISTRUCTURE: 0 1 V-B R3 I TEMP CA 917802622
(ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: GOLDEN WEST 1
18588-019-020 I OTHER: I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I I I
TENANT: 1EXIST BLDG USE: USE.ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON: I
(EXIST OCC GRP: 107/02/08 SR 12/29/08 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1
IEASTHAM, KATHLEEN M (626) 286-8837- 1 8,000 I
19942 NADINE ST I I
ITEMP 917802622 1 FEES PAID IDDESCRIPTION OF WORK 1
]CONVERT GREAT ROOM INTO NEW BEDROOM AND-BATH
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - 1131 PLANCHECK W/ENERGY 8000.00 VAL 171.11 I
I 1AA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I
IAC STRONG MOTION RESID 8000.00 VAL 10.80 I
1B2 PERMIT W/ENERGY 8000.00 VAL 201.30
TOTAL FEES 400.96 ] I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I ILOCATION AND SETBACKS I I I
I I I I I I
I ISOILS ENGINEER APPROVAL I I I
I I I ] I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS
I LIC. N0: I ]SLAB/UNDER FLOOR I I I
I IRAISED FLOOR FRAMING 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
3 O1 I `�`u,�{`[/ \ t (tel
I I ��(( Gl.l f G'U1 Ql'� i (1ST LEVEL FLOOR SHEATH 1 ] 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
1 NO 21 1 12ND LEVEL FLOOR SHEATH I I I
t
1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I I I
LAIR QUALITY: 1000 FEET MATERIALS I I. I I I
1 NO NO NO IFIRE DEPT. FRAME INSPECPI I I
I I
REQUIRED TOTAL SETBACK FROM .EXIST 1BLDG DEPT. FRAME INSPE I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- I ISHEAR PANELS I I
I SIDE PL- I I I I
I I 11NSULykTION/WEATHER STRIP , I
I I (INTERIOR LATH/DRYWALL
1 I I / I
I - (EXTERIOR LATH.
I I ILOT DRAINAGE I
�I ISMOKE DETECTION DEVICES I I
I IFIRE DEPARTMENT APPROVALI I I
I I I I401PI
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I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
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