HomeMy Public PortalAbout5827 PRIMROSE AVE_Building__ TEMPLE,, Cert
76A638A CE#8091.82 APPLICATION FOR BUILDING PERMIT ;
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4�jylti
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. e
DISTRICT NO. I GROUP TYPE ESSED BY
FOR APPLICANT TO FILL INCONST.
BUILDING .` STATISTICAL CLASSIFICATION S WER MAP
ADDRESS • Y IJIYjpSQ CLASS.NO. DWELL.UNITS`� BK
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJOR SECOND, OCA
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT X s NOW ON LOT USE ZONE SPECIAL
USE OFp) CONDITIONS
EXISTING BLDG. `-S e riC-4
` TEL.
OWNER ��/ IS NO.HRW , BUILDING YARD HWY STREE NAME• EXIST.
(i ` r BYO e� �� SETBACK WIDTH
ADDRESS 3q. 'FRONT
ARCHITECT OR TEL. P. L. e o44
ENGINEER NO. SIDE' ' C
P. L.
ADDRESS
TEL. In u N
CONTRACTOR A t .L�6C/1 Li�
G7 jI yN0.
- OI
ADDRESS Qy� a L' ��L \Je
DESCRIPTION OF WORK w
SL
" V1
NEW ADD ALTER V1 REPAIR DEMOLISH
SQ.FT. NO.OF ) NO.OF
SIZE STORIES { FAMILIES
USE OF
STRUCTUR S IQ
SIGNATURE OF
APPLICANT
SVALUATION $ a Q v
��gJ
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. _ PMT. FOUNDATION: LOCATION
FEE $ FEES FORMS, MATERIALS
FRAM.Ei FIRE STOPS, ljr ,i(
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS TT _(p la A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK Ju � ♦�
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. 9�
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- v
ING TO WORKMEN'S QpamSATIOH INS 1 LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- A
PERMITTEE ` 'RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. - CASH _ PERMIT VALIDATION CK M.O. CASH
LA(;9 3 6 4 9% AUG 2 9 1 0 8-.00—
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 1410160005
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
[TR: 6561 LT: 668 ]STRUCTURE: SQ. FT STORIES TYPE 5827 PRIMROSE AV
0 VN TEMP CA 917802111
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
18587-012-007 ] ] THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY ]
(TENANT: (EXIST BLDG USE: REBID USE ZONE: R-2 [ISSUED ON: PROCESSED BY: ]
1 ]EXIST OCC GRP: 110/16/14 SR
(OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: ]FINAL DATE ,FINAL BY: CODE:
1WILSON JOSEPHINE (626) 286-5997-
5827 PRIMROSE AV ]2 3,600 ]
]TEMP 917802111 [ FEES PAID [DESCRIPTION OF WORK 1
I [REMOVE EXISTING ROOF INSTALL 30 YRS SHINGLES [
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: [
[APPLICANT: TEL. NO: [ 1 I
[HERRERA, TRINO (626) 644-1875- [AA BLDG PERMIT ISSUANCE 27.80 1 ]
11846 S CALIFORNIA AV [AB STATE GREEN BLDG FEE 3600.00 VAL 1.00 [SPECIAL CONDITIONS:
]MONROVIA CA 91016 [AC STRONG MOTION RESID 3600.00 VAL 0.50
[D2 PERMIT W/O EN-HC 3600.00 VAL 115.80 ] ]
[ TOTAL FEES 145.10 [ [
[CONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE
[HERRERA ROOFING AND GENERAL CONTR. (626) 644-1875- 1 1 1
11846 S. CALIFORNIA AVENU LIC. NO [ [LOCATION AND SETBACKS [ [ I
[MONROVIA CA 91016 943801 [ 1 [ [
I [SOILS ENGINEER APPROVAL
[ARCHITECT OR ENGINEER: TEL. NO: [ [FOUNDATION/TRENCH FORMS I I [
I - I
] LIC. NO: ] [SLAB/UNDER FLOOR [ [ [
I ] ]RAISED FLOOR FRAMING ] ] [
]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION 1
1150H269 3 011 1 1-1
I I [FLOOR SHEATHING [ [
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I [
1 1 NO 21 1 [ROOF SHEATHING /j�.//�/ [
[ SCHOOL WITHIN HAZARDOUS ISHEAR PANELS [
1 ] [
[AIR QUALITY: 1000 FEET MATERIALS
] NO NO NO ] [FRAME INSPECTION [ I I
] ]FIRE SPRINKLER HANGERS ] [
[ 1 ]INSULATION/WEATHER STRIP] ] 1
[ [ ]INTERIOR LATH/DRYWALL ] ] ]
[ ] EXTERIOR LATH [ [ [
] I [RATED FLOOR/CEIL ASSEM. [ [ [
] [ ]RATED WALL ASSEMBLIES ] ] [
] [ ]RATED SHAFTS/OPENINGS I I I
1 [ ]T-BAR CEILINGS 1 ] 1
1 I [LOT DRAINAGE
[ I I
[ [REPORT ID: DPR261 ROUTE TO: BS0508 1 1 [ [
I [ I [ I I