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7¢A638A CE #803 3 69
APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING
-7
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST LUdo
REXISTING
OR APPLICANT TO FILL IN DISTRICTo GRP TYPE ST SSED BY
(PRINT OR TYPE ONLY)
/ STATISTICAL C SIFICATION SEWEFj MAP
CLASS NO DWELL UNITS B PG
' BLOCK USE ZONE MAP
NO
// 2 SPECIAL
NO OF BLDGS CONDITIONS
LOT Q [) NOW ON LOT
BLDG d BL TRACK FROM
TEL FRONT LINE OF (STREET)
BASTYPE OF EXISTI BACK HIGHWAY + YARD = TOTAL
/ HIGHWAY WIDTH FRO
CITY /
ARCHITECT OR TEL SIDE PROP LINE OETBACK FM (STREET)
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY + YAR - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL + _
CONTRACTOR NO
LIC
ADDRESS L NO CORNER CUTOFF YES ❑ NO
CITY CLASS SE REVJtRSE SIDJE FOAt S CIA,11 APPROVA S pI
CONSTRUCTION LENDER
NAME AND BRANCH
ADDRESS
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OF
SO FT NO OF NO OF ❑ - Z
SIZE STORIES FAMILIES NEW
STRUCTURE A I a. AADDER u.
REPAIR ❑ J�G 6P �� �J � , ,� ► v.{i
ASIGNATURE PPLICANT LkloOF DEMOL ❑ •�C f /
VALUATION APP�OVA LS DATE INSPECTOR 3 SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ I�j Jcd FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS J `�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GA V T DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANYPERSON IN VIOLATIO OF THE LABOR CODE LATH INT
OF THE STATE OF CALIFORNIA IN RELATI 0 WORKMEN S COM
PENSAT ION
INSUR
LATH EXT
SIGNATURE OF
PERMITTEE HOUSE NUMBER CORRECT
AND POSTED
ADDRESS-- FINAL a'
JOHN F LEWIS PR NCI AL STRUCTURAL ENGI
PLAN CHECK VALIDATION CK M G CASH _ PERMIT VALIDATION CK M G CASN
2 d 8 w AtOii 7 1 L 12 0 0
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1110.1 64
7eA888A C-_*809 9 88 •
APPLICA 10N�OFOfR BU I LD1 G PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADORES +SL-
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST If •
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TY V B
CO
Print or type only) •
BUILDING STATISTICAL CL SSI IC TION S R P
ADORES CLASS NO WELL UNITS BK PG
LOT NO BLOCK USE ZONEI MAP
NO C21-O o
SPECIAL
TRACT 3 e CONDITIONS
NO OF BLDGS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
T FRONTPROP LINEOF (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADORES HIGHWAY WIDTH FROM C L
+
CITY
ARCHITECT TEL BLDG SETBACK FROM
SIDE PROP LINEOF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTRACT µ�, NO Q d + t
o_
ADDRES NO I LIC CORNER CUTOFF YES ❑ NO ❑ V
CITY CLASS — S SEE REVERSE SIDE FOR SPECIAL APPROVALS
v
ESCRIPTI N OF WORK a
h
Z
EW DD ALTER REPAIR DEMOLISH -
F NO OF NO OF
SIZE STORIES FAMILIES
USE OF F •
STRUCTURE
L
OS
APPROVALS DATE INSPECTOR 8 SIGNATURE
P CPMT FOUNDATION LOCATION
�
FEE SO'V FEE$ 4 OQ FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 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 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH IN
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN 8 COMPENSATION INSURANCE
LATH EXT
SIGNATURE OIL HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS jib &dAda Q'LA& /—s" FINAL
CK M o cwsH _ .JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION
PERMIT VALIDATION CK M D CASH
7 0%'a DEC 4 1 D 6 Q 0- c
�IZ�O.C{iY1P/
A ROAD DEPT PERMIT IS REQUIRED
► EOR ANY MATERIAL S-ORAGE OR WORK
NE IN THE ROAD GIST OF
AY
=A•o•••• APPLICA ION-- OR I ING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINM ADDRESS
BUIMING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRIC NO I GROUP TY PRO SED BY
FOR APPLICANT TO FILL M CONSr
BUILDING STATISTICAL CLASSI CATION SEWER MAP
ADDRESSAl ^^ BK Pf3
7 Cl ASS NO DWELL UNITS L /(p
LOT NO -3 V �/ BLOCK MAP STATE YES NO
NUMBER HWY
TRACT USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT x.Sr� NOW ON LOT t{ r
USE OF f
EXISTING BLDG BUILDING EXIST
/. SETBACK YARD HWY STREET NAME W TH
OWNER /. ` , / ho a FRONT
MAIL ' EL SPIDE '
sA
ADDRESS
CITY No it INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
TEL
CONTRACTO N 0
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS MATERIALS
VALUATION $ 9 D FRAME FIRE STOPS
BRACING BOLTS
PC PMT FURNACE LOCATION
FEE S FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT
SIGNATURE OF � (� HOUSE NUMBER COR
PERMITTEE. RECT AND POSTED
ADDRESS FINAL �6
CK w o CASH CLYDE N DIRLAM PRINCIPAL STR cCTURALL E cash
PLAN 0=1[ VALIDATION PE OW VALIDATION
�_"076sG J(A 6 1 u 300 `^ ®.
78A838A CE 0803 ° Clry OF TEmTz CITY
"APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING ``LL
JOHN A LAMBIE COUNTY ENGINEER ADDRESST
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
nnf nl CROSS ST
BUILDING
DISTRIC NO GFTYPE P B
ADDRESS 5947 No. Oak - TeWle City. b CONST
STATISTICAL CLASSIFICATION SEWER MAPS
LOT NO BLOCK CLASS NO WELL UNITS
TRACT USE ZONE MAP
NO OF BLDGS NO C,740o
SIZE OF LOT NOW ON LOT rI SPECIAL
USE OF \\ CONDITIONS
EXISTING BLDG
TEL
OWNER Mr- Frank Jon a
NO - BLDG SETBACK FROM
ADDRESS 12832 So. Corlior FRONT PROP LINE OF (STREET)
TT,�,
.�, TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY La 1iMM l.i'adaCallf.K HIGHWAY IDTH FROM C L
ARCHITECT OR TEL +
ENGINEER NO BLDG SETBACK FROM
ADDRESS SIDE PROP LINE OF (STREET)
TEL p p TYPE OF EXISTING SETBACK GHWAY t YARD = TOTAL
CONTRACTOR Alhambra RoOf1 CiL 282-1 58 HIGHWAY WIDTH FROM C L
ADDRESS 712 So* Marengo NO 25316
3 = C)
CITY Alhambra, Calif• CLASS CORNER CUTOFF YES ❑ NO ❑ C
CONSTRUCTION LENDER SEE REVERSE SIDE FOR SPECIAL APPROVALS t
NAME AND BRANCH
ADDRESS H
Z_
SQ FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES
USE OF
STRUCTURE Re-roof 30# Base Sheet ADD ❑
I-9 Cap Sheet -%9m White bw ❑
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATIONS 435.00 APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEES FEE$ 9,00 FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL OROINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TH LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATIN
WORKMEN S COMPENSATION INSURANCE LATH EXT
SIGNATURE OF t,, HOUSE NUMBER COR
PERMITTEE RECT AND POSTED I
ADDRESS en -Alhambra FINAL
PLAN CICS VALIDATION CK M O CASH JOHN F LEWIS PRI CIPAL STRU URAL ENGINEER
_ PERMIT VALIDATIONCcK M O CASH
t Ar,.1 8 0 8c= AUG 4. 1 D 900- cu
f "
TEMPLE CI'T'Y
...«..ahos Iliro APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGlNM ADDRESS
BUILDING AND SAFETY DIMON LOCALITY ,
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN Sup-T or Bumnima CROSS ST
DISTRICT NO GROUP TYPE PR SED Y
FOR APPLICANT TO FILL IN S CONST
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS LL BK PG
CLASS NA-DWELL UNIT
A.
LOTNO9411d' M71 BLOCK MAP STATE YES
NUMBER H
TRACT U8EZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BUILDING 17 EXIST
TEL SETBACK YARD HWY STREET NAME WIDTH
OWNER NO -2PLIAFRONT D��j O
P L II�t
ADDRESS ♦ SIDE
ARCHITECT OR TEL P L
ENGINEER NO � IIVSPECTION BECOBD
ADDRESS f
TEL I
CONTRACTOR NO I O
ADDRESS ft � U
DESCRIPTION OF,,WORK 0
ADD ALTER REPAIR DEMOLISH w
SIZE FT Z L STORIES 10OF
L 0 S a
USE OF �s d
STRUCTURE ( L2 MAU /Z
SIGNATURE OF 19LI
APPLICANT
VALUATION$ 19W P
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT aQ FOUNDATION LOCATION
FEE FEE FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
FURNACE LOCATION
AGREE O COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS
t CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN 8 COfjrTSATION LAW4.Vf CALIFORNIA LATH EXT
SIGNATURE O HOUSE NUMBER COR
PERMITTEE. ' RECT AND POSTED
ADDRES ` AAfiN(d*:jjUFINAL
aQW AA0fYyffe CLYDE N DIRLAM PRINCIPAL ST RAL ENGINEER
PLAN CE= VALIDATION aK. 'et o cASR PERMIT VALIDATION ( m ,/ M o cmm
Lr Lo E w .. 0 - 001 27 2 p 2 6 :) 0
1101,
A ROAD DEPT. PERM TIS REQUIRED
FOR ANY MATE:I,',L Sty :, E Ok WORK
DONE IN THE ROAD k.GH F OF WAY.
7GA098A CE#8020-CY APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION
LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN SUPT OF BUILDING CROSS ST. L
DISTRICT NO. I GROUP j TYPE SSED BY
FOR APPLICANT TO FILL. IN CONST.
BUILDING _ _ STATISTICA CL�$SIFICATION S ER MAP
ADDRESS T/ 3 9Wt! ��J �'X, 1/6
Kp PG_
J �• CLASS.NOqq DWELL. UNITS
LOT NO. / CbCK NUM ER HWY. YES O
I
I` TRACT USE ZONE SPECIAL
NO OF BLDGS. ,+ CONDITIONS
SIZE OF LOT D (5-0I NOW ON LOT 'L- /
USE OF ) i
EXISTING BLDG. ',U e J/!// BUILDING YARD HWY EET N E EXIST.
) SETBACK WIDTH
OWNER h a ra Elk.,t' S L'O F�20NT
MAIL 'L
ADDRESS 4 vt" rp 14IDE -
�' b 3*
CITY e I No I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER NO.
ADDRESS TEL
CONTRACTOR S /�`�/✓ ' NO. f�3B/
ADDRESS
7 VallP X Ood Alot-etYc-
DESCRIPTION OF WORK }r -` �J
i V L LI
NCW ADD ALTER REPAIR DEMOLISH
SQ. FT. OF NO. OF - -
SIZE 2 TORIES -Z' FAMILIESUSE OF
Z
STRUCTURE I Z �✓�/ %Z�� / T L
7
SIGNATURE OF �� .�1' �.%i" t-" .
APPLICANT /,/J APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS 1 Ell l / FOUNDATION: LOCATION
FORMS,MATERIALS 7
VALUATION $ ®® FRAME: FIRE STOPS,
BRACING, BOLTS
P.C. _�f Q PMT. �•� FURNACE: LOCATION, ! �✓. `./�'' li n;.•;-
FEE yam• FEE $7 GAS VENT,DUCTS 6- '� '�J�•"'�`;'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LAtH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND J
AGREE TO COMPLY WITH ALL COUNTY ORDINCES AND
STATE LAWS RE LATING BUIL G CO U ION. LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTE R�CTAND POSTED
3
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATIO OFM.O. CASH PENT VALIDATION (y M.O. CASH
? 4 g 0 4 9 o Int 2 3 A 2 8.5 0' ,
,AC 5'i ®J
LO9611 n 4 ?0 1 A 57.00 rt4
COUNTY OF IAS 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 0806020001
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST I BUILDING ADDRESS I
ITR 6561 LT 341 UN 003 I SQ FT STORIES TYPE 1 5947 OAK AV I
STRUCTURE 20 V B I TEMP CA 917802028
(ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS STREET LAS TUNAS 1
18587 007 004 I I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY Cl
ITENANT 1EXIST BLDG USE COMME USE ZONE C 1 (ISSUED ON PROCESSED BY EXPIRES ON 1
(EXIST OCC GRP 106/02/08 SR 11/29/08 1
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1FI DATEFI CODE 1
IMOFFITT JOHN J KAREN E (323) 681 9675 1 12 000 I I
12075 LOS ROBLES AV I I I
Tr
ISMAR 911081653 1 FEES PAID iD SCR IO OF WORK v1
I I IREMOVE THE EXISTING 3 LAYER S OF ROOFING INSTALL A CLASS I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 A FIRE RATED MODIFIED BITUMEN 2 LAYER ROOFING SYSTEM 1
(APPLICANT TEL NO I I I
LEACH (909) 899 6313 IAA BLDG PERMIT ISSUANCE 27 75 I) I
11627N HUMBOLDT AVE IAC STRONG MOTION RESID 12000 00 VAL 1 20 ISPECIAL CONDITIONS I
IONTARIO CA 91764 ID2 PERMIT W/O EN HC 12000 00 VAL 250 20 I 1
I I TOTAL FEES 279 15 I I
ICONTRAC70R TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
ILEACH ROOFING (909) 899 6313 1 1 I
114629 SADDLEPEACK DR LIC NO 1 ILOC.TION AND SETBACKS I I I
IFONTANA CA 92336 691152 C39 I I I I I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I
1 LIC NO I (SLAB/UNDER FLOOR I I I
I i +RAISED FLOOR FRAMING I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I I
1152H265 3 011 I I I I
IFLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I
1 NO 22 1 IROOF SHEATHING 1 1
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS I I I I I
1 NO NO NO 1 1FRAIE INSPECTION I I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD HWY PROP LINE WIDTH I 1 t I I I
IFRONT PL 1 (INSULATION/WEATHER STRIPI I I
I SIDE PL I 1 1-1 I
I I 11NTERIOR LATH/DRYWALL I I I
I I IEXTuRIOR LATH I I I
I I IRATED FLOOR/CEIL ASSEM I I I
I I (RATED WALL ASSEMBLIES I I I
i (RATED SHAFTS/OPENINGS I I I
I I IT BAR CEILINGS I I I
ILOT DRAINAGE I 1 I
I I I
IREPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I I I I