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Home My Public Portal About5740 PRIMROSE AVE_Building__ APPLICATION'FOR BUILDING PERMIT FOR PLICANT TO FI L IN '(Print or type onl BUILDING.? COUNTY OF LOS ANGELES ADDRESS-• DEPARTMENT OF COUNTY ENGINEER ' CITY ,�" ZI•P BUILDING AND SAFETY DIVISION NO.OF BLfCrGS ILDING SIZE OF OT NOW ON L DDRESS 6 � TRAC BLOCK LOT LOCALITY ` r•u ZE NEAREST OWNS CROSS ST. i ASSESSOR ADDRESS j9__r MAP BOOK PAGE PARCEL CA mDISTRICTGROUP TYPE . FIRE PROCESSED BY CITY ZIP CONST. ZONE 144 ` > ARCHITECT OR TEL. ENGINEER NO. ' STATISTICAL CLASSIFICATION SEWS MAP ADDRESS CLASS NO. �DWELL.UNITS SK PG CONTRACTOR NO USEONE MA NOP _ 0� ADDRESS / NO' SPECIAL CITY LIC. �� CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LIMDER ` C NAME AND BRANCH BLDG.SETBACK FROM � FRONT PROP.LINE OF (STREET). ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH i SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ BLDG.SETBACK OM 14 4 ADD ❑ SIDE PROP.LINED (STREET) ALTER HIGHWAY + . YARD _ TO L SETBACK FROM TYPE OF EXISTING r PROP. LINE HIGHWAY WIDTH - REPAIR USE OF + EXISTING BLDG. DEMOL ❑ APPLICANT TEL CORNER CUTOFF S NO (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES NO Q/ IN COASTAL ZONE YES NO '[] VALUATION s O ori CATEGORICAL EXEMPTION Y NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPS SATION INSUFqC5f SIGNATURE PERMITTEE ADDRES r7 'FINAL Y TEL CIT ® NO. DATE KE C1lECKS 1 YABLE TO: FEE I FEE HARVEY T. BRANDT, COUNTY ENGINEER JA D� r PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.C. CASH` 9 '91,,My 15- 1 U, 1 2.0 0 A'8 76A638A CEN803 7/73 + ' APPLICATION FOR COUNTY OF LOS ANGELES „Y , ' DEPARTMENT OF COUNTY ENGINEER BUl LD I N G PERMIT BUILDING AND SAFETY N . BUILDING FOR APPLICANT TO FILL IN ADDRESS .5•. BUILDING ADDRESS A� LOCALITY'. _ - NEAREST " CITY E ZIP CROSSST. NO'OF BLDGS. ASSESSOR. SIZEOF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ROC ED BY TRACT BLOCK LOT NO. �^ CONST TEL. OWNE - ` F STATISTICAL CLASSIFICATION SEWER ADDRE CLASS NO. DWELL.UNITS BV PG CITY ,el.VxX 6:7T ZIP D US/E)ZONE NOP �� 6 ARCHITECT OR _ EL. SPECIAL- -07 ENGINEER NO. - -Piz t/\ CONDITIONS.. ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR NO. BLDG.SETBACK-FROM LIC FRONT PROP.LINE OF (STREET) ADDRESS A.A A NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION DER NAME AND BRANCH BLDG.SETBACK FROM 8 ADDRESS CITY SIDE PROP.LINE OF" (STREET) lz SO.FT. / NO:OF NO.OF CHECK HIGHWAY +� YARD TOTAL SETBACK FROM - TYPE OF EXISTING 15 SIZE / STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N DESCRIPTION OF WORK NEW ❑ + = Z ADD CORNERCUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF ' REPAIR a IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEL (PRINT) NO. BY ISIGNAT &A&Z jU I HEREBY ACKNO L GE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE.' •-� SIGNATURE O ' FINAL / ../�' BYti PERMITTEE DATE ADDRESS TEL, y p —0— P.C.Fee$ Permit Fee 463 CITY A NOId Issuance Fee VALUATION r�G � F� Total Fee ..PLAN CHECK VALIDATION ,, CK.": M-0., CASH PERMIT VALIDATION K.' M.O. 'cAsH J ®S 76AS38A CE/803A 8/77 78A896A D218-3 3-55 FOR BUILDING PERM-IT' .. �. DIVISION OF BUILDING AND SAFETY BUILDING J[T/ p �d /'� Department of County Engineer ADDRESS / 0 /it I1,00-plJ County of Los Angeles LOCALITY . 7 . WM.J.FOX.COUNTY ENGINEER NEAREST • CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. W' 0 �•�Q 1r I mwffmav� DISTRICT NO. GROUP TYPE 8E BK MAPPG - - FOR APPLICANT TO FILL IN ,� eJ I CONST. BUILDING �j y i �' Q• MAP a� STATE,, YES O ADORE88ryj�/y6/1�Y1WY+y.G y2�J.L�U.r�/^�•,�"'� NUMBER p\� D Hwy WY - LOT NO.�7C a iGC'1 B�� BLOC— K USE ZONE SPECIAL. - CONDITIONS TRACT 6 a7 6 l - SIZE OF LOT ( /x 19y j INO.OF NOW ON LOTS �- BUILDING YARD HWY STREET NAME EX IST. SETBACK WIDTH USE OF FRONT �+. EXISTING BLDG. ,y P.L. Q � .- CD•t/-_ 4b . OWNER SIDE MAIL ADDRE$8 P7/ D "/ 091Li O TRACT DWELL. I UNIT ' /l� }� 5 INDUSTRIA[: CITY I� w-Z NOL"k-r '� db;L 1 DWELL. I UNIT 6 pUHLIC BLDG. ARCHITECT R -TEL. 2 DUPLEX 1 UNIT 7 ADDN..ALT.. ETC.. ENGINEER NO. $ APT. UNITS MISCEL.r-4✓f/ /? 7�"T ADDRESS N A 4 COMMERCIAL. EL CONTRACTOR NC.. INSPECTION RECORD ADDRESS JDE�SCRIPTION OF WORK NEW /ALTER. REPAIR DEMOLISH 8Q. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF �sP'/I��syl APPLICANT APPROVALS ADDRESS / O �1 i +�Il/I^' du+� G� DATE INSIRECTOWS SIGNATURE $ FOUNDATION:LOCATION CIL FORMS:MATERIALS 1I �•1 �� u ...__ • FEE FRAME: FIRE STOPS. VALUATION !8 �� BRACING.BOLTS FEE FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC TION. 1� LATH.EXT. SIGNATURE OF fwrl! r ? C� Wr . HOUSE NUMBER COR- PERMITTE�E �p RECT AND POSTED )r7 --FINAL. ADDRESS � " y!� U�? + � ,G�w ¢ FINAL. WWI.J.FOX.COUNTY-ENGINEER ALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR AI. aelC.1111'� 1-1-41 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 1202090062 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: [TR: 6561 LT: 653 UN: .002 SQ. FT STORIES TYPE 5740 PRIMROSE AV I (STRUCTURE: 20 V-B TEMP CA 917802507 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 18587-016-020 1 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT (EXIST G EXIST BLDG USE: RESID USE ZONE: R-1 102/09/12N: PROCESSSSED BY: 1 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: IKAO, JUDY (626) 353-5519- 15740 PRIMROSE AV 1 4,000 I��zt�Z TEMP 917802507 FEES PAID IDESCRIPTION OF WORK I ITEAR OFF AND REROOF WITH 30 YR COMP SHINGLES AND NEW PLYWOOD IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (APPLICANT: TEL. NO: ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION RESID 4000.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 4000.00 VAL 116.00 I I TOTAL FEES 145.30 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I ILIC. NO 1 1LOCATION AND SETBACKS I I I [ (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAB/UNDER FLOOR 1 I I 1 (RAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION I I I 115OH269 3 001 I I I I I I [FLOOR SHEATHING I I I 1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I [ 0 NO 211 ROOF SHEATHING I [ SCHOOL WITHIN HAZARDOUS [ SHEAR PANELS [AIR QUALITY: 1000 FEET MATERIALS [ I I I I NO NO NO I IFRAME INSPECTION I [ I [ IFIRE SPRINKLER HANGERS 1 I [ INSULATION/WEATHER STRIP( I I +INTERIOR LATH/DRYWALL I 1 [EXTERIOR LATH [ I 1 I IRATED FLOOR/CEIL ASSEM. I I I [ IRATED WALL ASSEMBLIES [ I 1 (RATED SHAFTS/OPENINGS [ I [ [ [T-BAR CEILINGS [ I [ 1 1 ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I