HomeMy Public PortalAbout5111 PAL MAL AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY raa 1 Lil Acl11V1\ 1 V1\ 1 iJliyii i
COUNTY OF LOS ANGELES BUILDING
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Z ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
O CITY APPLICATION AND STATE THAT THE ABOVE 1$ CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS.REGULATING BUILDING CONSTRUCTION.
Z LOT NO. SIZE OF LOT/�7 SIGNATURE OF
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VALUATION FEE DATE }, NAME
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COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER I L
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP RO LS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION:LOCATIONt' NEC -blt DATEAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALSAND STATE LAWS REGULATING BUILDING CONSTRUCTION.n _ FBRACING,RBOLT88, ��J '3
SIGNATURE OF r�'J GS � ifl1la!lw
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VALUATION /
FEE /� C9m FINAL �� �/� //l-
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 1209060001
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BIIILDING ADDRESS:
ITR: 12205 LT: 10 SQ. FT STORIES TYPE 5111 PAL MAL AV
I STRUCTURE: 3400 V-B TEMP CA 917803434
[ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
18585-022-011 1 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
ITENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
1 1EXIST OCC GRP: 109/06/12 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF TE F AL BY: CODE:
TAYLOR NORMAN (626) 319-4412- 1 9,200
1819 WALNUT AV I
ISDIM 917731926 FEES PAID IDESCRI TION OF WORK 1
REMOVE WOOD SHAKES INSTALL PLYWOOD AND COMP SHINGLE HOUSE
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IAND GARAGE I
APPLICANT: TEL. NO: I I I
IKEEFER'S ROOFING (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27.80 1 1
11216 BEGONIA COURT IAB STATE GREEN BLDG FEE 9200.00 VAL 1.00 ISPECIAL CONDITIONS:
UPLAND, CA 91784 IAC STRONG MOTION RESID 9200.00 VAL 0.90
ID2 PERMIT W/0 EN-HC 9200.00 VAL 216.60 1
TOTAL FEES 246.30 I
CONTRACTOR: TEL. NO: JAPPROVALS HTE INSPECTOR SIGNATURE
IKEEFER'S ROOFING (909) 608-0622- 1 I I I
11216 BEGONIA COURT LIC. NO 1LOCATION AND SETBACKS
UPLAND CA 91784 760903 C39
ISOIL3 ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I
1 LIC. NO: (SLAB/UNDER FLOOR 1 I 1
1 i 1RAISED FLOOR FRAMING 1 1 1
]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JuNDERFLOOR INSULATION I 1
1147H273 3 001 1 1
I I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APTTOCOND: STAT CLASS: I I
21 1 1ROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS1 1SHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO I IFRAME INSPECTION 1 I
I 1FIRE SPRINKLER HANGERS I I
I I (INSULATION/WEATHER STRIP( I
1
I 11NTERIOR LATH/DRYWALL I 1 1
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1 1 1RATED FLOOR/CEIL ASSEM. I I I
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1 1RATED SHAFTS/OPENINGS 1
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1 1 1T-BAR CEILINGS I 1 I
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1 IMPORT ID: DPR261 ROUTE TO: BS0508 I I I I
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