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76A636A CE 8032-63 APPLICATION[ FOR BUILDING PERMI. •�J
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY_ ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY�J
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT
Ug. I GROUP TYPE C
FOR APPLICANT TO FILL IN o CONS .
BUILDING 'STATISTICAL CLAS§IFICATION, SEWER MAP
ADDRESS OI/� ✓� G- e O G
SO,
/,21'!CF A10. /b �r lrA3Y Id/pr 'CLASS.NO._ODWELL.UNITS"� ' �V
LOT NO.1!2t!jy BLOCK WATER' NOT REQUIRED RECEIVED ❑
CoERTIFICATE:
TRACT +r rA A L'*' A C MAP HIGHWAY STATE MAJOR SECOND, CA
q NO.OF BLDGS,, NO. Q (CIRCLE)
SIZE OF LOT /�j l� I ZI NOW ON LOT Z USE ZONE SPECIAL
USE OF /��� /� CONDITIONS
EXISTING BLDG. Ya vc
OWNER ,��mo R/ TEL.
NO. BUILDING YARD HWY STREET NAME EXIST.
S
/� /��
SETBACK- WIDTH
ADDRESS. I�I,� V /�( P �`� FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE >
P. L. I A. i CLO
ADDRESS ,
'CONTRACTOR �fi P'T NO. I Sf 1 rn.11 ?�' e� i V
ADDRESS CA* t.oTy—,-r hy., J:� �•
DESCRIPTION OF WORK r w
i Z
NEW ADD ALTER REPAIR DEMOLIS
SQ:FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $
,•APPROVALS•'_ DATEINSPECTOR'S SIGN-ATURE
P.C. PMT. FOUNDATION: LOCATION. t S
FEE $ FEE $ FORMS, MATERIALS f
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. �- •1 •F�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS / -
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK / S
AUTHORIZED HEREBY I WILL NOT EMPLOY'ANY PERSON IN VIOLA-. LATH:[NS. {. j• ; '
'TION•OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH. EXT.
SIGNATURE OF 4p HOUSE NUMBER COR- �, a
PERMITTEE RECT AND POSTED //
ADDRESS r FINAL' 4 /4r
JOHN.F.'LEWIS. PRINCIPAL 5 C RAL'ENGINEER
PLAN CHECK'VALIDATION cK. M:O. CASH _ PERMIT VALIDATIO CK. M.O. CASH-
0 1 5 4- CGT ' .5 1 D 4,G)'10 N
76A6WCENSO54-64 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER dD D R Ess r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST J '
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. .
DISTR� NO. GROUP TYPE. P EBBED BY
FOR APPLICANT T`0-FILL IN �� CONST.
BUILDING u — STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS I�/ 0��� F ,` • BK G .7h
OP 8,�(+ CI� fY y`� rJf� CLASS NO. DWELL UNITS_� + • �r+V
7f/ / SL/ LOCK /�{ USE ZONE MAP
n /1 NO.
TRACT 4A l� !1a I�RN ( 0 SPECIAL
•-
S ZE OF. LOT _/ �XI.'t/' NOWOONBLOTS —o� CONDI I/O�N�7
USE OF f
riXISTING_L62g. BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF I (STREET)
OWNER t�IAIOAJ NO. TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL
ADDRESS 41XV Al a•l'/i XV,0 NIPWAY I WIDTH FROM C.L.
1 74
CITY �, Gr BLDG. SETBACK FROM + '
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
CONTRACTOR - No + O
ADDRESS4P'/J_ tV NO . y3� CORNER CUTOFF YES NO ❑ 0
CY S cic �� SEE REVERSE SIDE FOR SPECIAL APPROVALS ,v
DESCRIPTION OF WORK ( �+ �� _ y
/ A-y x, :.� o�'� tet'-'>�d . z_
EW ADD ALTER REPAIR DEMOLISH
SQ.FT. �` NO. OF NO. OF ' •' /��� +�° p° ',
SIZE ��90 �5Y STORIES FAMILIES ) ` /sem-• �% / -
STRUCTURE O) I�J /V wr fs�JF�/? CI✓Y?� lJ�,?�r C!�
SIGNATURE OF /,p/p_//,-7- I i•4a •.:rg gl',', f- �-.�,,*�) A ag":--y
APPLICANT
VALUATION$ L}�1 C/ APPROVALSATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION 1 ��/�
FEE ' FEE$CPO a FORMS,.MATERIALS__ l ,/�•3 l'�+Yil
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
RUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK )) ,1
AUTHORIZED HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. /n/h
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN
ENSATION NSURANCE. LATH. EXT.
_SIGNATUREOHOUSE NUMBER COR
D
N
PERMITTEE RE AND POSTED /r /'n.s f6
ADDRESS N Fl NAL
JOHN F. LEWIS. PRINCIPAL ST U69U AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK-'� M.O. CASH
o.
jju ' 209--r QCT 623 30.25A
LACo6 7 '8 4�2 OCT25 s D 6 050N q
COUNTY OF LOS 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 0406140046
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6154 OAK AV
STRUCTURE: 1850 1 VN R3 TEMP CA 917801653
ASSESSOR INFORMATION NUMBER: GARAGE: 200 1 VN U1 NEAREST CROSS STREET: LONGDEN AVE.
5385-010-036 OTHER: TH0MAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
TENANT:- S BLDG USE: U-Sr ZONE: ISSUED ON: PROCESSED BY: WIRES ON:
EXIST OCC GRP: 07/14/04 JK 07/09/05
OWNER: TEL. NO: BLDGS. NOW UN LOT: VALUATION: FINAL DATE FINAL BY: CODE:
GUAN, TONY (626) 893-8533- 159,000 ''//
6154 OAK AV /I I/-
TEMP 917801653 FEES PAID DESCRIPTION OF WORK
ADD 3 BEDROOMS, 3 BATHS, FAMILY ROOM & LAUNDRY; ADD ONE-CAR- -
FEE DESCRIPTION: QUANTITY: UOPI: AMOUNT: GARAGE TO EXISTING 2-CAR GARAGE
APPLICANT: TEL. N0:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 159000.00 VAL 1,569.12 _
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 159000.00 VAL 15.90
B2 PERMIT 4/ENERGY 159000.00 VAL 1,458.79846.02
TOTAL FEES 3,
_
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARC ITTECT CR !:NGIMEER: TL": . NO: FOUNDATiONITRENCH FORMS
ARCH-IM DESIGN (626) 284-0371-
1300 E. MAIN ST. LIC. NO: SLAB/UlIDE-R F OOR
ALHAMBRA, CA 91801 NONE I _
RAISED FLOOR FRA�,ING I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION I
3 01
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS ST LEVEL FLOOR SHEATH
NO 21NAL FLOOR SHEATH
SCHOOL WITHIN HA ARDOUS ROOF SHEAT IRM
AIR QUALITY: 1000 FEET MATERIALS '
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT,
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
IN LATIO /WEATHER STRIP ,
INTERIOR LATH/DRYWALL J
EXTERIOR LATH
LOT DRAINAGE
SMOKDETECTION DEVICES-
FIRE
EVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508