HomeMy Public PortalAbout5314 NOEL DR_Building__ TEMPLE CITYle
luss.abos APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS "GEMBUILDING
DEPARTMENT OF COUNTY ENGIIGM ADDRESS
BUILDING AND SAFETY DIMON LOCALITY
JOHN A LAMBIE COUNTY ENQINEER NEAREST /
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST S
DISTRICT Nlf Q _ GROOP TYPE P ED BY
FOR APPLICANT TO FII.L IIsi vv CONST
BUILDING ` STATISTICAL CLASSIFICATION SE ER MAP
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FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
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 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LTH INT ,
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT �J
ING TO WORKMEN 8 PENSATION IN URANCE LTH EXT Y /'
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rAPPLICA ION F R BUILDING PERMIT
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BUILDING AND SAFETY DIVISION BUILDING /✓/
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COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
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STATISTICAL CLASSIFICATION SIIWIER MAP
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APPROVALS DATE INSPECTOR S SIGNATURE
P C ,Q,/) PMT FOUNDATION LOCATION /
FEE S t (/ V FEE$ .. FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,
RACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THEWQjK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN V ATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA N RELATING TO
WORKMEN S COMPENS N IN RANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL J g ZL2L
JOHN
��+F��LEWIS PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH _ riailL�iiA VALIDATIO CK M O CASH
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Bu FOR APPLICANT TO FILL IN AD162 14 Noel Dr.
BUILDING S314 Noel Dr.
ADDRESS LOCALITY e
CITY Temple City ZIP
NEAREST Olive & Rosemead
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP I TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO �[ CONST ZONE
OWNER Perslda Kamenar NO y Q3 Q.z.-
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 5314 Noel Dr. CLASS NO __DWELL UNITS h BK PG
CITY Temple City ZIP
ARCHITECT OR TEL VALUATION $ 1334.00
ENGINEER NO
ADDRESS BLDG TEL FRONTSPROP LINE OF 140e (STREET)
CONTRACTORMontebello Rf • N6722-6975HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING
ADDRm868 TrUCkwa N02488 2 FRONT PROP LINE HIGHWAY WIDTH
CITY Montebello cCnss C- + � 2� L-0 c,
CONSTRUCTION LENDER BLDG SETBACK FROM
NAME AND BRANCH SIDE PROP LINE OF (STREET(
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH 0
SO FT NO OF NO OF CHECK + = V
SIZE I STORIES FAMILIES ONE
DESCRIPTION OF WORK Reroof existingJEW ❑ PC Fee$ Permit Fee 27-00 O 0
bldg. w asphalt shingles ADD ❑ 1Issuance Fee 7-00 N
#265
lLO 5 ALTER ❑ a
7T REPAIR ® Total Fee 34.00USE {
EXISTTIING BLDG dwelling DEMOL �irs�..�. Z 0 -7-7 ID--7 9
APPLICANT TEL �`•'�_ C
(PRINT) NO
O
BY(SIGNATURE)
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE >Y
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Id
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE V
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 z41 2 3 A
PENSATION INSURANCE 2 f
1
# . . . . . 1
SIGNATURE OF
PERMITTEE aVL 2 • e34,00
1
ADDRESS
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•10 • 34.003
TEL 1
CITY NO 0C 1
USE ZONE MAP O' ` u O 1 -79
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CONDITIONS
FINAL d
DATE ��/e
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