HomeMy Public PortalAbout5816 PRIMROSE AVE_Building__ 5d 76A63BA
• C€N803(REV.11/78)
CITY OF T.EMPIE CITY . _
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFET
FOR APPLICANT TO FILL IN ADDRESS .
BUILDING
ADDRESS 5816' N. Primrose. LOCALITY
NEAREST
CITY ZIP CROSS ST.
-
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT , MAP BOOK �� ARCEL
DISTRICT ROUP TYPE FIRE P SED BY
TRACT BLOCK LOT NO.. CONU—
N85-4840
OWNER M. son STATISTICALCLA `IFICATION I WER AP
ADDRESS CLASS,NO. UNITS B PG
CITY ZIP 91780
ARCHITECT OR TEL. • VALUATION $ 1180.00 .
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTCH. L.' Randol.CC.IrlC NO. 288-4040 TOTAL SETBACK FROM TYPE OF 1EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAYI WIDTH
ADDRESjj2q p ValleyNO.
LIC. + _
CITY San Gabriel Ca-. CLASS C-397SC3
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH - SIDE PROP.LANE OF (STREET)
HIGHWAY -+ YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH. . 0
SQ.FT.. NO.OF NO. LF CHECK + _
SIZE STORIES FAMILIES. ONE 0
USE ZONE MAP ,�y/j� _
DESCRIPTION OF WORK NEW. ❑ No. C/v
ADD ❑ R ' SPECIAL
Siding front of house & CONDITIONS-•-'• y
ALTER ❑ FINAL,OP o BY - a
REPAIR' DATE
USE LJ j
EXISTING
DEMOLNG BLDG. y�/
APPLICANT - TEL /` .�/ -
(PRINT) H. L. 'Randol CO.InCNo. 288-4040 a
BY ISIGNATUR _-. < z 0 25 8 A
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y{,,� '# O o 0 0 0 1
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd _
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V Z 0 0 34,00
THE LABOR COQE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- = 2_
PENSATION INSURANCE.' g to O o 3 LI,O O U
d
SIGNATURE 00508-80
Ole
PERMITTEEP. 4_2 �_-,/ .. -
ADDRESS Z
TEL C
CITY San C' hri _l , Ca. No. 288-4040 a
p
P.C.Fee$ Permit Fee 27.00 >
Issuance Fee 7.00
' 34 ' ' d
Total Fee .00
r8A888A 8.3 e•Btl -
APPLICATION FOR BUILDING PERMIT 1
BUILDING Q� C�7
DIVISION OF Bi7MDING AND SAFETY ADDRESS V e ale
Department of Coun'T Engineer
County of Loe Angeles LOCALITY
WM.J.FOX, COUNTY ENGINEER NEAREST ` $ �.
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. /f
DISTT NO. GRQUP I ryPE I G
' FOR APPLICANT TO FML IN SEWER MAP 4'LT.._
BUILDING �7 /J/ �!1)�lJ��`Gt+. NUMAP MBER STATE
HWY YIX O
ADDRESS QCT/ (� �IJJ /�/ �C
LOT NO. 7 BLOCK USE ZONE SPECIAL
/ / CONDITIONS
TRACT , `(/
EKIOT-
SIZE OF LOT . ,��� I NOW ON LOTSNO.OF B r1BUILDING STREET NAME YARD HWY WIDTH
USE OF
EXISTING BLDG. c��'�C FRONTP.L. r�W br
OWNER✓a/ /L� C7'li�/�IrO� �✓
P.
MAIL
ADDRESS r5 fJ /�/"'`///�Z/ J/`dO TRACT DWELL. I UNIT 5 -INDUSTRIAL
TE
_CITY � / `�% NO. t DWELL. 1 UNIT 6 PUBLIC BLDG.
AR®CHI ECT OR TEL ,r�� 2 DUPLIX f UNIT 7 ADON. ALT.. E
ENGINEER �' NO. 3 APT. UNIT
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTINSPECTION RECORD
O (%rJNO•
ADDRESS �CY(i/l
DESCRIPTIONOFWORK
NEW ' AAD/�D�}j. ALTER / REPAIR
' DEMOLISH
S ZE T• �7! °�1I STORIES�/�G_FA y�L IES�/�
USE OwvJlJJC
Naafi 73- •sb 6 A i fts,
_SIGNATURE OF
APPLICANT? APPROVALS,
ADDRESS / / �U ' DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION y �• r
P.C. $ FORMS.MATERIALS r7� ?J7f lY.Q1.i.t s. __ti
FEE FRAME: FIRE STOPS, v
VALUATION !$ ® BRACING.HOLTS
REE FURNACE:LOCATION,
1, HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS,
GAS VENT,DUCTS n
APPLICATION AND STATE THAT THE ABOVE• IS CORRECT r /
AND AGREE TO COMPLY WITH"ALL COUNTY ORDINANCES' LATH.INT. •.S b o 1 --
I w
AND STATE LAWS REGULATING BUILDI G CONSTRUC-'
TION. LATH,IXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED " 1
ADDRESS 'b�}• FINAL 10 c F+le
WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
[AC6.2 6 2 8 A FEB 7 1 1 2.0 0 ,�
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 1201090074
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST
1 BUILDING ADDRESS:
ITR: 6561 LT: 647 1 SQ. FT STORIES TYPE 1 5816 5818 PRIMROSE AV 1
I . ISTRUCTURE: 1200 V-B I TEMP CA 917802110
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
18587-015-026
I 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
(TENANT: EXIST BLDG USE: DETAC USE ZONE: R-2 (ISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: 101/09/12 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL Dop FIYAL BY: CODE: 1
ICHEN, KADA _ 3,000 .-l r�1e I
15818 PRIMROSE AV I I �� I
ITEMP 917802110 1 FEES PAID ID CRIPTION OF WORK
I I DETACHED GARAGE ROOFING SHINGLES AND LAY NEW OSB RADIANT
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IBAR.ZIER 1/2 THICKNESS INSTALL NEW ASPHALT SHINGLES 40 YRS I
(APPLICANT: TEL. NO: I IWARRANTY
(EASTERN CONSTRUCTION INC. (626) 625-5036- IAA BLDG PERMIT ISSUANCE 27.80 1 1
I IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS:AC STRONG I
I 3000.00 VAL 0.50
ID2 PERMIT WW//O EN HC D 3000.00 VAL 99.10
TOTAL FEES 128.40 1 I
(CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE
(EASTERN CONSTRUCTION, INC. (626) 625-5036- I 1 I
11104 S. SHADYDALE AVENUE LIC. NO I ILOCATION AND SETBACKS I I I
IWEST COVINA, CA 91790 762877 * I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR fiNGIN88R: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I
I -
LIC. NO: I 1SLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING
I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I
1150H269 3 001 1
IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
0 NO 21 1 IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 I
I I
1AIR QUALITY: 1000 FEET MATERIALS 1
NO NO NO I IFRAME INSPECTION I I
IFIRE SPRINKLER HANGERS I I I
I
I (INSULATION/WEATHER STRIPI I I
IINTERIOR LATH/DRYWALL I I I
I I I
I (EXTERIOR LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM. I I I
IRATED WALL ASSEMBLIES I I I
(RATED SHAFTS/OPENINGS 1 I
1 I IT-BAR CEILINGS I I I
1* ADDITIONAL DATA ON FILE I I I
1 I ILOT DRAINAGE I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I
I I I I I