HomeMy Public PortalAbout6220 OAK AVE_Building__ 76A 638A CF,/t8033.�+9 I ,/,f
APPLICATION FOR BU LDIN�G PERMIT
. 4i
COIe M—t'( OF-LOS ANGELES BUILDINGn '
DEPATMENT(OF COUNTY ENGINEER ADDRESS �� r
Rtr'�
BJOHN A. LAMBIE, COUNTY ENGINEER .UILDING AND SAFETY DIVISION LOCALITY h P i�
:." /
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS S
FOR APPLICANT TO FILL IN DISTRICT N GROUP TYP CON PR SED BY
(PRINT OR TYPE ONLY) .� Q a
BUILDING //� _ _ STATISTICAL GAR
d S WER MAP +•.��
ADDRESS (v�°Q OrQ,� �C -rF�t�/?`• �j CLASS NO. I I UNITS BKC— PGo'�
LOT NO.�B���DA/�r Zo•yj BLOCK USE ZONE A// MA.P
_ _ _ N0
TRACT S/; /} �/ /� Z> a /�,ye/' �-'i SPECIAL r
NO OF BLDGS. r CONDITIONS r•74 k -
SIZE OF LOT �•- ��( � f/ NOW ON LOT
USE OF _ _ <,. i/ h
EXISTING BLDG. ��S/.'o'—c'v � _ BLDG. SETBACK FRpI
Ljy Ej(/ NO ���� FRONT PROP.-LINE OF -(STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS
!odZO J�r D�/� ��� HIGHWAY WIDTH FROM C.L.
CITY
ARCHITECT ORL. BLDG.SETBACK FROM
ENGINEER N0.• SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR NO.
IV LIC.
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑
LIC.
CITY CLASS NEEERSE Spm �'OR,SPmIYIAL APP ALS i
CONSTRUCTION LENDER AN716;00.69
�� �rp` �(1 V.
NAME AND BRANCH :s o (/ e 1
ADDRESS �6�yUll►LBL @GG LLAi4rblsUM'I+••� i
SQ. FT. ) N0. OF N0. OF `
SIZE /� STORIES FAMILIES NEW USE OF rSTRUCTUREADD �w l'J,e-4 0 �REPAIR SIGNATURE OF DEMOL APPLICANT ` /J4
VALUATION$ wif = APPROVALS DATE -INSPE OR'SpIjqTURF
P.C. PMT. FOUNDATION: LOCATION /1 O
FEE$ ` FEE$ G—l� FORMS MATERIALS /7 L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION FRAME: FIRE STOPS,
BRACING BOLTS �� 70
AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. Ir�G`GA ��Jrt/j'zC,
OF THE STATE OF CALIFO IA IN RELATING TO ORKMEN'S COM- _
PENSATION INSURA . LATH, EXT.
SIGNATURE HOUSE NUMBER CORRECT
-
PERMITTEEOF AND POSTED
ADDRESS FINAL /
JOHN F. LEWIS, PR NCI AL ST URAL ENGINEER
N CHECK VALIDATION CK. M.O. CASH — PERMIT VALIDATION CK. M.O. CASH
(�fr3 2 .99R JAN12 1 D 00.0 ON s
r
CE/803 IREV.6/781 L'l elb
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BU WING
FOR APPLICANT TO FILL IN ADIDRESS �.�ZO
D�
ADDRESS tAil 6220 N O a k LOCALITY Cr
NEAREST
CITY Temple City zip 91780 CROSSST. �® .,..
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO. CONST. ZONE
TELOWNEROI a $ anenbur NEP -851 °�'� }
ADDRESS 6220 N . Oak STATISTICAL CLASSIFICATION r SEWS AP
CLASS NO. X f DWELL.UNITS BK;> PG
CITY Temple City zip 91780
ARCHITECT OR TEL. VALUATION $ 9 5,2 .0 0
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
H. L . Randol C688-4040 FRONT PROP.LINE OF (STREET)
CONTRACTOR -R. EgHIGHWAY + YARD __ TOTAL SETBACK FROM TYPEOF EXISTING
ADDRESS 529 E. Valle 9.1 .NO. 186086 FRONTPROP.LINE HIGHWAY WIDTH
LIC. +
CITYSan b CLASS —
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH it
SQ.FT. NO.OF NO.OF CHECK + _ w
SIZE STORIES 1 FAMILIES 1 ONE
DESCRIPTION OF WORK re-roof house NEW ❑ P.C.Fee$ Permit Fee 1,8.0 0
& garageusing compo shin les ❑ 7 00
ALTER ❑ Issuance Fee o
12x18 REPAIR Z Total Fee 25.00
USE OF DEMOL
EXISTING BLDG. C
APPLICANT
(PRNT) Howard L . Rando1N6288-4040
O
BY ISIGNATUREI
THATHHE ABOVE IIS CORRECT AND WLEDGE TH�T(AGREE TO COMPLY WITH ALL ORDINANCES HAVE READ THIS APPLICATION AND STATE w 21 3 8 9 A
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V # 0 0 0 0 0 1
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- Z
PENSATION INSURANCE,
96 2 - - 2600
SIGNATURE O O c 0 2 O C,
PERMITTEE
ADDRESS 529 l e Z 1 1. 17-78
CIT�an Gabriel , C.a. Na88-4040
0
USE ZONE MAP +�
i NO. ®O
�. / SPECIAL
CONDITIONS
m
FINAL .�j�r r7 Gj BY �afl,i� ' d
DATE j [ .! j �f✓.1
r'i wad,
76A698A CE BOS I-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BUILDING AND'SAFETY DMSION LOCALI.
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DIST 11
CT N GROU TYPE P E Y
'
FOR APPLICANT TO FILL IN CONST.
BUILDING' STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS G Q A BK P!:?/
CLASS. NO.--O—DWELL.UNITS
LOT NO. � LOCK I�.f WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRAC " MAP
L/Q HIGHWAY
STA TE MAJOR
N U:97e LOCAL
NO.OF.BLDGS.
SIZEm6F LOT`1VI. �fly NOW ON LOT .USE ZONE SPECIAL J
USE OF CONDITION /
• EXISTING BLDG.
TEL.
OWNER4's S � lNO. BUILDING EXIST.
^�j /� 9 SETBACK YARD H STREET NAME WIDTH
ADDRESS S d tl j /�j� �q _� �J" �;� FRONT OI /
ARCHITECT OR TEP. L.
ENGINEER NO. SIDE '
P. L.
Q
ADDRESS c
E L. . /
CONTRACTOR f�� re-
131,1 F
IL
G3 ,;' n•�. t..:f/�J/ •p y
I ADDRESS 1h A A t Y 1 _.'7 /4�
DESCRIPTION OF WORK �
a
JNEW V' ADD AL'CER REPAIR DEMOLISH
SQ.FT. q NO.*OF NO. OF �J /lilt 1 r �:7(.!� �` '_i,1!:t ✓J\+
SIZE //z? STORIES FAMILIES � '' ✓}` ! ✓j
USEOF J J� /!`` �� l.ri.� Z'tl+'✓i�j
STRUCTURE rs; / f
SIGNATURE OF A
APPLICANT N�
VALUATION $ PV
v �+
�0 APPROVALS ATE INSPEarpa_'S SIGNATURE
P.C. L�� PMT! Q{f FOUNDATION: LOCATION' / -7 ✓/ /,•,"W,
FEE $�J FEE $r � �� FORMS, MATERIALS
FRAME: FIRE STOPS, I /
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ BRACING,-BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
i WITH ALL COUNTY ORISIIOANCES AND STATE LAWS REGULATING GAS VENT, D,CICTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK [i
AUTHORIZED HEREBY 1 WILL NOT EMPLOY'ANY PERSON.IN VIOLA- LATH, /�,f F fa/f`
INTV wl vl �/
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- f _ f
ING TO WORKMEN'S COMPENSATION INSURANCE, LATH,EXT.
SIGNATUREO HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
I ADDRESS - ~ . ,FINAL W t/(0 2 ;5'V��
I JOHN F..LEWIS, TiNCIPA-L STRU URAL ENGINEER
PLAN CHECK VALIDATION (CKM.O. CASH _ PERMIT VALIDATION cK. M.O. CASH
i. LjjGo 6 8. S, 8 w• NOV 13 2 3 D 2 5.0 0 A v
' LA o 8 04 3:a -DEC 7 1 D 5 0.0 0
76AG38A CE 9803 4/72 �4� / -
APPLICATION FOR BUILDING PERMIT'*tgoo fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS �22D A ,/s'
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
Print ort a onl
DISTRICT NO. GROUP PE �. PRO SSED BY
[TRACT
UILDING CONST��L _Q
DDRESS
STATISTICAL CLASSIFICATION SEWER MAP /
OT NO. BLOCK CLASS NO.2f DWELL,UNITS BKPr. /
USE ZONE MAP
NO.OF BLD NO. C
SIZE OF LOT NOW ON L J SPECIAL
USE OF fff���--- CONDITIONS
EXISTING BLDG.
TEL. /
OWNER NO BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
I TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY ! '�fi' E 1 HIGHWAY WIDTH FROM C.L.
ARCHITECT O EL, + i74D
ENGINEER • U NO.
BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) v
TE TYPE OF EXISTING SETBACK HIGHWAY/ + . YARD = TOTAL C
CONTRACTOR ,NO ylI — ,� HIGHWAY WIDTH FROM C.L. f
ADDRESS, pLjp _ •I'
LIC. �y
CITY �. , CLASS(/ CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH A10411C, SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. ��{{ NO. OF NO. OF NEW ❑
SIZE V STORIES FAMILIES 1
USE OF
/
STRUCTURE / 3 XMO ALTER [Ell /
I&DREPAIR❑
SIGNATURE OF / /r
APPLICANT DEMOL ❑ / ,
VALUATION 5,
�, APPROVALS DATE /IN9PEG'S SIGNATURE
FEES '®G) FEE$ 5 rOFORMS,I MATERIALS-
SION �f
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS i1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS '
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED ,
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATIO OF.:;HE lf,
LABOR CODE OF THE STATE OF -CALIFORNIA IN EL T T
i LATH, INT. �.
WORKMEN'S COMPS TION INSUR NCE. LAT , EXT,
SIGNATURE SE NUMBER COR-
PERMITTE RECT AND POSTED' A
ADDRESS s�� �� FINAL
. t
r• /
PLAN CHECK VALIDATIONd-b
M.o. CASH _ PEWT VALIDATION M.O. O.A..
1515 a' 3� 9.00N .a
8 1 6 7 N'- OCT1 1' D 1 5,00--v
APPLICATION, FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS /� a/ X07 a'D L
or a certificate of Workers'Compensation insurance,or a certified 62ZD `-' °� V E
Copy thereof(Sec.3800,Lab.C.) CITY ^A� c"i r ZIP / 1 '7'g 6 LOCALITY
Policy No. Company SIE OF LLO,T/��, NO.OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. aV x !�I' b T ,� NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. 5A rem A w d-r Al USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGED PARCEL peri2�`
� ) SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE 01—" S��A+1y 1 3� -30'46 WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS
dollars($100)or less.) Z Z-� I� DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
CITY ZIP �00 S
I certify that in the performance of the work for which this permit 7
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith zole x � FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC.CLASS PL
I hereby affirm that I am licensed underprovislons of Chapter 9SEWER MAP SQFT NO.OF STORIES NO.OF FAMILIES
a
.
(commencing with Section 7000)of Division 3 of the Business and ` p
Professions Code,and my license is in full force and effect. NEW ❑ BK PG v
License Number Lic.Class DESCRIPTION OF WORK ' i _oo ADD ❑ VALUATI N pop0
Contractor Date f 5 PSG��JC ALTER ❑ $ v
W
9L
❑ 1 am exempt under Sec. REPAIR ❑ $ z
B.BP.C.for this reason DEMOL X LDMA P/C#
Date. USE OF EXISTING BLDG. URM ❑
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# i'
❑ I,as owner of the property, or my employees with wages as Z
their sole compensation, will do the work and the structure is ADDRESS :171"i 7 ;•1
not intended or offered for sale (Section 7044, Business and FINAL DATE Q00.
Professions Code.) WILL _� D 1 ;_ti
LL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7 e
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
11 I, as owner of the property, am exclusively contracting with Q ••t-'�•+� -,
AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY I,I j AL 1;.*-� z=
licensed contractors to construct the project (Section 7044, it CHECK •- •. _ �b-_a
Business and Professions Code. YES❑ NO❑
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING c 65.
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH •�•. ` �+-•—
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES
I hereby affirm that there is a construction lending agency for YES❑ NO❑
a the performance of the work for which this permit is issued(Sec. r _
0 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,CY 1
TITLE 2.CHAPTER 2 20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. �'''C;✓ All 1 t'o-1
o Lender's Address i-
p OWNER OR AGENT
I certify that I have read this application and state under penalty
0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
a n�
with all county ordinances and State laws relating to building 5
m construction, and hereby authorize representatives of this County ISSUANCE FEE
a eenter upon the above-mentioned property for inspection purposes. -,z-
to
INVESTIGATION FEE TOTAL FEE Z. f_S
7"A"1 AVG irant a Apunl Dme Com/
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS'COMPENSATION DECLARATION t
eby affirm that I have certificate of consent to self I P L I CAT I O�1 E�0 d D I N G P E ItM I T
ure, or a certificate of Workers' p
.Com ensation Insuranc I
or Fertseoly thereof(Sec. 38 , Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Po y No. 7 Company -
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (O � Z. O O,#x
Certified copy is filed with the county building inspec- BUILDING
tion departmentzl� . ADDRESS LOCALITY
NEAREST L
Date Applicant CITY ZIP CROSS ST.
! CERTIFICATE OF EXEMPTION FROM.WORKERS' NO.V BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE- MAP
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. Z
TEL. SPECIAL y,
I certify that in the performance of the work for which this OWNER NO. CONDITIONS m.
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO SEP BY O
+ADDRESS CONST. ZONE t�
so as to become subject to the Workers'Compensation Laws. C9
-J _
i +�
Date Applicattf ; CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO.
NOTICE TO APPLICANT: If, after making this Certificate'qf AltdkAiET'OR' TEL;
ENGINEER: s D1O. SS NO D tJ!
Exemption, you should become.•subject:to' the, Workers: i. s�
:•
Compensation provisions of the Labor Code, you must forth ADDRESS C�SEWER MAP
WELL..UNITS
with comply with such provisions or this permit.sholl be
deemed revoked. CONTRACTOR BK. .PG,? VALIDATION
LICENSED CONTRACTORS DECLARATION LIC. Q(
I hereby affirm that I am licensed under provisions of Chapter 9 g ADDRESS O; 1 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license Win full force and effect. CITY CLASS $fir 6c
I SQ. NO.OF NO.OF CHECK
License Number Lic.Clas SIZE STORIES FAMILIES ONE17
ontractor ��l � Date. DESCRIPTION OF WORK NEW ❑
❑I am exempt under Sec. 1 ADD ;
W ALTER ❑ FINAL
B.&P.C. for this reason REPAIR ❑ DATE
�
USE OF FINAL
Date: EXISTING B DEMOL C1FINAL �r
Signature APPLICANT TEL `
OWNER-BUILDER DECLARATION s. PRINT O.
I hereby affirm that I am exempt from the Contractor's LicenseDR S ] t C ,* 1� 7V
Law for the following reason (Section 7031.5, Business and ADDRESS �7
Professions Code): PRESENT
❑ I, as owner of the property, or my employees with ADDRESS n 7 ,S 5 n
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY o o
7044, Business and Professions Code). MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 2 ° 1 0050
with licensed contractors to coristruct the project (Sec- ADDRESS `01. :n
tion 7044, Business and Professions Code). 7 1j
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH -f?Lj
I hereby affirm that there is a construction lending agency for FRONT •
the performance of the-work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE '
i 'P.L.
! Lender's Name - -
I
'Lender's Address P.C.Fee$' Permit Fee o
�
I certify that I have read this application and state that the Issuance Fee
i above information is correct. I agree to comply with.all County E Investigation Fee
ordinances and State laws relating to building construction, Total Fee
and hereby authorize representatives of this County to.enter ..... .
upon the above-m npried property for inspection pu�rpgses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant —_or Agent pate . ®s
COUNTY OF LOS ANGELES TEMPLE CITY J-'8508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS AIJFRATI.ON/RERAJIt
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -_-BL 0508 9811120043
PHONE: (818) 285-0488 EXT:
GA D: NO. OF CONST B I DI G_A DRESS:
ON FILE SQ. FT STORIES TYPE -'6220_OAK AV r
STRUCTURE: VN TEMP 9.17801655
ASSESSOR INFORMATION UMBER: `NEAREST CROSS STREET: LONGDEN
5385-010-027 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EX S B G USE: ESID USE ZONE: R-1 ISSUERON:
PROCESSED EXPIRES ON:
EXIST OCC GRP: 11/12/98 UT 11/12/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY' CODE:
PITZER
K TRUSTEE;PITZER FAMILY (818) 287-3508- 1 4,930 /L44
TEMP 917801655 FEES PAID UESLKIFFION OF WOR
REROOF OVER EXISTING HOUSE AND ARAGE W/OWENS CORNING 25YR
-FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP SHINGLE
APPLICANT: TEL. O:
RANDOL ROOFING (626) 288-4040- IAA BLDG PERMIT ISSUANCE 27.75
529 E. VALLEY BL. AC STRONG MOTION RESI.D .930.00 VAL 0.50 SPECIAL CONDITIONS:
SAN GABRIEL, CA 'D2 PERMIT W/O EN=HC�-4930:Q0 VAL 132.60
_`,�^��•��TOTALZ-ft&,o�� 160.85
CONTRACTOR: TEL. NO: ��/j'r APPROVALS DATE INSPECTOR SIGNATURE
RANDOL ROOFING AND CONSTRUCTION (626) 288-4040-
�; e
529 E. VALLEY BLVD LIC. NO OCATION AND SETBACKS
SAN GABRIEL, CA 91776 451937/6 J �� SOILS ENGINEER APPROVAL
ARCHITECTOR ENGINEER: TEL. O: - / — I ti._� \ \` SOUND TION/TRENC FORMS
LIC. N0: Ii ' I i 1`
—' I J . SLAB/UNDER FLOOR
RAISED FLOORR G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPS iiJ1L! f^�� I�l f` f r_"a)�/! UNDERFLOOR INSULATION
153H265 3 07 �� `I� n1
iIJ �i 1 . %!
xFLOOR SHEATH NG
0. OF FAMILIES: DW LING ITS: APT/COND: STAT CL SS: _
NO 21 fj /' p J ROOF SHEATHING
Z7 0
SCHOOL WITHIN HAZARDOUS �. / r. t•, � / SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NOz ' „J� IJ ' , FRAME INSPECTION
EQUIRE OTA SETBACKFROM EXIST 4',(j�'� / �] S
p�` FIRE SPRIN E ANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: C n� - $
FRONT PL- `-eFvic 1105 INSULATION/WEATHER STRIP
SIDE PL-
R, OR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR C IL ASS M.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508
i i
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 0212310029
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST 'BUIL
ON FILE I SQ. FT STORIES TYPE 6219 OAK AV ADDRESS.
STRUCTURE: VN TEMP CA 917801656
ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LONGDEN
5385-001-021 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: S . RESID USE ZONE: R-2 ISSUED . PROCESSED BY: EXPIRES .
EXIST OCC GRP: 12/31/02JK 12/26/03
I I
OWNER: TEL. NO: LOGS. NOW ON LOT: VALUATION: FINAL(D TE FINAL—BY: CODE:
ROSS VERNON B;DARILYN M - 5,000
6219 OAK AV 03 L.
TEMP 917801656 FEES PAID DESCRIPTIONO OR �—
T/O HSE & GARAGE ONLY;INSTALL 1/2°CDX PLYWOOD & 30YR CLASS A
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES
APPLICANT: JEL. O'
SALAS (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
4251 BALDWIN AVENUE AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE D2 PERMIT W/O_.EN-HC=-- 5000.00 VAL 132.60
vq1 160.85
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
WEATHERGUARD ROOFING (626) 287-0669-
4251 BALDWIN AVE. LIC. NO LOCATION S
EL MONTE, CA 91731 808888 C39 �f :E•
SOILS ENGINEER APPROVAL
A C EC 0 E G N R: E 0: i� � ' r �.` -a ,�'� OU D 0 R C FORMS
LIC. NO:lI / -_ - ( ;t---- --1 � SLAB/UNDER FLOOR
.;1 - 1
L � - --L-- �a—'-I '- �• i--'�--'I- RAISED FLOOR FRAMING
MAP N0: SEWER MAP 800K: PAG FIRE ZONE: CMP: 1 11 J' UNDERFLOOR INSULATION
153H265 3 y01 a' �I'--i���J �V :SIJ`'—. J'' '.5�`" C�
A �- FLOOR SHEATHING
0. OF FAMILIES: DWELLING U T : AP CO : STAT CAS\-- '
NO 21 a�\ -�\ -- /' i1 --_- - -/ ROOF SHEATHING
SCHOOL WITHINHAZARDOUS t f !/ lI '-' �; / � SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NOL
il`J, .Nh>' FRAME INSPECTION
REQUIRED 0 L SETBACKIST— : '•.:361 I/ FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- °O�elNICE M�;�- INSULATION/WEATHER STOP
P
SIDE PL- _ I
R LATH/DRYWALL
EXTER JOR LATH
L 0 CEIL ASSEM.-
RATED'W ASSE BLIES
RATED G
I -BAR.CEI INGS
ILOY DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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