HomeMy Public PortalAbout6161 OAK AVE_Building__ TEMPLE CITY
76AGSBA CIE.#908.1-sI APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITYac I
L
JOHN A. LAMBIE. COUNTY ENGINESR NEAREST
WILLIAM A.JENSEN SUPT of BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISGROUP TypE
MS ED BY
CONST. t
BUILDING / /(�/ STATISTICAL LASSIFICATION SE R MAP
�$
ADDRESS !V y� CLASS.NO\ DWELL.UNITS '°
r rZ r
LOT NO. a. BLOCK WATER T REQUIRED RECEIVED
y- CERTIFICATE:
TRACT.�/1�7�//�9r/f/t�/! y�9/y /R MAP e�+��� HIGHWAY STATE MAJOR c�OND LOCAL
SIZE OF LOT d�tll J( ��J Q I NO.OF BLDGS..A NOryyi.E�(d, cc1RCLE) "
r NOW ON LOT USE ZONE SPECIAL
USE TI }�wL CONDITIONS
EXISTING BLDG. /� _
OWNER NO.`f,S`3IP'� BUILDING YARD LWY STREET ME EXIST.
SETBACK WIDTH'
ADDRESSV ill FRONT
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
P.L. , d
ADDRESS TEL. �` r`/ %/INSPECTION RECORD'.. !'-'' '' O
CONTRACTOR NO. _
ADDRESS -
:DESCRIPTION OF WORK � � ��r�� G�'; � S. ~e /
N'
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
.SIZE �/-- STORIES FAMILIES
(ISE OF
STRUCTURE EYV
SIGNATURE O ,.
APPLICANT '
:VALUATION$ �fa
APPROVALS ATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION:LOCATION �•' '" `� '
FEE $ �� I FEE $ FORMS,MATERIALS ��-
FRAME:FIRE STOPS, i v
I 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 1 WILL NOT.EMPLOY ANY PERSON IN VIOLA- LATH.INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSAT7 INSURANCE. LATH,EXT.
SIGNATURE-OF HOUSE NUMBER COR-
PERMIW.EE
r1 RECT AND POSTED
ADDRESS ! ! v FINAL
CLYDE N. DIRLAM,!AF�lIVCIPAL ST CT RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK m.o. cABH
- TEMPLE CITY
79118390 C8#9G&1-61 APPLICATION FOR BUILDING P RMIT-
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUMDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST a
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DI IN G;LP TYPE CONST.
BULDING CAL/ STATISTIC TION S R MAP
ADDRESS
( CLASS.NO. DWELL.UNITS-
LOT
NITS LOT UO. LOCK WATER NOT REQUIRED RECEIVED
CERTIFIC.ATE:-
TRACT- ,, k MAP /�� HIGHWAY
NO.OF BLDGS. / NO. 4U (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL '
USE OF if f . _CONDITIONS'
EXISTING BLDG. *� p�
i
TEL
• .7 7
IL INC EXIST.
OWNER
SETBACK , YARD HWY STREET NAME WIDTH
ADDRES FRONT
.6Z ch
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
P.L.
ADDRESS TELL//f INSPECTION RECORD p
CONTRACTO • ' NOli� 2 7 V
ADDRES I=
DESCRIPTION OF WORK G
W
- a
NEW ADD • ALTER REPAIR DEMOLISH H
SQ.FT. NO.OF NO.OF
SIZE . STORIES FAMILIES
USE OF _pST UCTURE
Yo
SIGNATURE OF
APPLICANT
VALUATION$do-o" &--o I
APPROVALS DATE INSPECTOR'S SIGNATURE
p'C. PMT.. FOUNDATION:LOCATION
FEE $ FEE $ FORMS,MATERIALS
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 PE ON IN VI LA- LATH,INT.
TION OF THE LABOR CODE.OF THE STAT 1 ORNIA AT-
ING TO WORKMEN' O P SA
LATH,EXT. /
PERMITTEE F 6 H0 64RECT ANUMBER ND POS7EDR• 7
ADDRES FINAL Z J"L4/16,3
CLYDE N. DIRLAM, RINciPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. N.O. CASH PER!Wr V111LIDATION . cK Y.O. CASH
L11isQ 1 2 2 6 to R 1 7 R.1 .V 0 M
r 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 1303130032
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE 1 6161 OAK AV I
ISTRUCTURE: V-B I TEMP CA 917801654 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
15385-002-015 1 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
ITENANT: EXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: I
EXIST OCC GRP: I
103/13/13 SR
(OWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: IFI DATE FI CODE: I
IGALINDO, KRIS (626) 278-1106- I 18,500 I
16161 OAK AV I I
ITEMP 917801654 I FEES PAID I SCRIPTION OF WORK 1
I 1VOLUNTARY SEISMIC RETROFITTING AND REMOVE AND REPLACE
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IEXISTING MASONRY FIREPLACE PER ENGINEERING DETAIL SAME 1
(APPLICANT: TEL. NO: I ILOCATION BRICK FINISH
ICURTIS KYLE BANKS (626) 296-7700- IAA BLDG PERMIT ISSUANCE 27.80 1 [
12005 LINCOLN AVE IAB STATE GREEN BLDG FEE 18500.00 VAL 1.00 SPECIAL CONDITIONS: I
1PASADENA CA 91103 IAC STRONG MOTION REBID 18500.00 VAL 1.90 I 1
IDI PLANCHECK W/O EN-HC 18500.00 VAL 312.60 I 1
1 ID2 PERMIT W/O EN-HC 18500.00 VAL 367.80 I 1
ICONTRACTOR: TEL. NO: I TOTAL FEES 711.10 (APPROVALS DATE INSPECTOR SIGNATURE I
IBOSTON BRICK AND STONE (626) 296-7700- I I
12005 LINCOLN AVE LIC. NO I (LOCATION AND SETBACKS II
(PASADENA CA 91103 783578 * 1 1 e I d I
[SOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUADATION/TRENCH FORM I
IBARBER, COREY (443) 854-4946- I 1J -fL�/
6
11127 MAGNOLIA STREET LIC. NO: 1 (SLAB/UNDER FLOOR I I
ISOUTH PASADENA CA 91103 NONE I I 1 I
I I IRAISED FLOOR FRAMING I I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I
3 00
1 (FLOOR SHEATHING [ I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
NO 21 IROOF SHEATHING
I I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I I 1
1 NO NO NO I (FRAME INSPECTION
IFIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIP( I [
I (INTERIOR LATH/DRYWALL I 1 1
I I I
I 1 1EXTERIOR LATH
I I �
I I [RATED FLOOR/CEIL ASSEM.
1 1 RATED WALL ASSEMBLIES I
1 1RATED SHAFTS/OPENINGS I
I I IT-BAR CEILINGS 1
1 I* ADDITIONAL DATA ON FILEI I I I
I
I I ILOT DRAINAGE I 1 I
IREPORT ID: DPR261 ROUTE TO: BS0508 I
[ I