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AA638A CE#8032-63 APPLICATION FOR BUIL®INC PERPA IT .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY"ENGINEER AD°REss • ` .
BUILDING AND SAFETY DIVISION LOCALITY I
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP VrypE' SSED BY
FOR APPLICANT TO FILL IN S �� CONST.`)
BUILDING. ? STATISTICAL CLA IFICATION S ER MAP
ADDRESS " � S? BK i
'^n 1 CLASS.NO..�WELL.UNITS
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LOT NO. �� Y Vv�a� '?�, G� . BLOCK WATER NOT REQUIRED 1 XI RECEIVED ❑
CERTIFICATE: lii� ww
TRACT MAP _ �d HIGHWAYSTATE MAJOR SECON ,LOCA
NO.OF BLDGS. / NO. al/ ICIRCLEI
SIZE OF LOTNOW ON LOT
USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER NO. BUIL NG EXIST.
SETBACK YARD HWY AME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L. kL
ENGINEER NO. SIDE >
ADDRESS P L i 0
TEL. -U- 6
CONTRACTOR NO. 8 ` _ I
ADDRESS ''1•-1 1. 0
DESCRIPTION OF WORK — �� ►'I"� ^� '� a
NEW 9DD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO. OF
SIZE' STORIES FAMILIES Q r
USE OF
STRUCTURE iw I
SIGNATURE OF
a APPLICANT
VALUATIO -:—o
v " APPROVALS DATE INSPECTOR•55IGfJTORE
P.C. PMT � FOUNDATION: LOCATION
FEES FEE $ v .FORMS. MATERIALS01
FRAME: FIRE STOPS.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILD,
NGCONSTRUCTION. I 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 MPENSATION INSURANCE.
LATH. EXT.
SIGNATURE O _ HOUSE NUMBER COR-
PERMITTEE �7�7�+� M�6'••P/4C/� RECT AND POSTED
ADDRESit, A FINAL -
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
L"-' O 0 5 9 2G JUN 2 9 : 1 D -11.50- 4
76A638A CE#803 2-63APPLICATION FOR BUILDING PERMIT
COUNTY'OF LOS ANGELES BUILDING S- ,
DEPARTMENT OF-COUN-'Y ENGINEER AD°REss ✓ 2!'. 0- 161
BUILDING AND SAFETY DIVISION LocALIrY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST Y
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
FADDRDISTRICT NO G T E E 9
FOR APPLICANT TO FILL IN NST.
E
/OJr� '? 3yt STATISTICAL CLASSIFICATION S ER MAP
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CLASS. NO._S„L_DWELI UNITS B� P
BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:, El
MAP `HIGHWAY
NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND LOCAL
OT Q P NOW ON LOT O USE Z014E SPECIAL
CONDITIONS (t'�BLDG. G /IWO7BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
G FRONT Pr
ARCHITECT OR TEL. P. L. _tel
ENGINEER NO.'.' SIDE
ADDRESS
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a
CONTRACTOR TEL.
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DESCRIPTION OF WORK . . 1_ LU
EW ADD ALTER REPAIR DEMOLISH Q LL Z
SQ.FT. NO.-OF NO' OF OF
SIZE STORIES FAMILIES' 1 0
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STRUCTURE �
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS. DATE INSPECTOR'S SIGPIATURE
FOUNDATION: LOCATION / 1
FEE FEE $ FORMS, MATERIALS b-30 �Q— ✓I�•.,
—^ FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �a'�l n _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDIf
ING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.•
TION OF THE LABOR{ODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT.
J.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL V-
JOHN F. LEWIS..PRINCIPAL STRUC URAL ENGINEER ,
OANCHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LFI o 3 3 2.0:8' AUG 3.1 .1' p \S^ 7;00-
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T 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 11_05170022
PHONE: (626) 285-0488 EXT:
ILEGAN0. OF CONST BUILDING ADDRESS:
ITR: 7690 LT: 9 UN: .002 SQ. FT STORIES TYPE 10533 OLIVE ST
STRUCTURE: V-B TEMP CA 917802865
[ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET:
18586-029-035 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: RESID USE ZONE: R1 (ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 105/17/11 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN CODE:
1
ISKULTIN, ELLEN (813,5308) 426-9581- � s
10533 OLIVE ST FEES PAID 1D PTIO OF WORK
TEMP 917802865 (REPLACE SIX WINDOWS
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( I
(APPLICANT: TEL. NO: I 1
ISANCHEZ JOSE (323) 793-4956- IAA BLDG PERMIT ISSUANCE 27.80 I
19545 BYRON AVE IAB STATE GREEN BLDG FEE 3530.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IAC STRONG MOTION RESID 3530.00 VAL 0.50 I 1
D2 PERMIT W/O EN-HC 3530.00 VAL 116.00
TOTAL FEES 145.30 1 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
IJ E CONSTRUCTION (909) 503-6926- 1 1 1
11560 ORGUESTA CT LIC. NO I ILOCATION AND SETBACKS I 1 1
ICOLTON CA 92324 814637 1 1
I (SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. N0: - (FOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLABfUNDER FLOOR I 1
I I
(RAISED FLOOR FRAMING 1 I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
1147H273 3 001 1
IFLOOR SHEATHING 1 1 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1
1 0 NO 21 I (ROOF SHEATHING 1
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1 FRAME INSPECTION I 1
IFIRE SPRINKLER HANGERS I 1 1
I I
(INSULATION/WEATHER STRIP( 1 1
1 IINTERIOR LATH/DRYWALL I
1EXTERIOR LATH 1 I
I I
(RATED FLOOR/CEIL ASSEM. 1 1 I
IRATED WALL ASSEMBLIES
I
(RATED SHAFTS/OPENINGS I 1 1
IT-BAR CEILINGS I 1 1
I I
ILOT DRAINAGE I I 1
IREPORT ID: DPR261 ROUTE TO: BS0508