HomeMy Public PortalAbout6012 PRIMROSE AVE_Building__ 78A888A CE#808_8_57 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES . B.UILDING /9
DEPARTMENT OF COUNTY ENGINEER ADDRESS (/
BUMDING AND SAFETY DIVISION LOCALITY Idt
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
U. DISTRICT NO,
GROUP I TYPE EWER MAP
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FOR APPLICANT TO FILL IN
CONSTAe
BUILDING 0STATISTICAL CLASSIFICATION
ADDRESS O -
/ CLASS.NO DWELL.UNIT-q
LOT NO. BLOCK MAP -7STATE
NUMBER }.WY. YES O
TRACT USE 7,ONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT 6bX NOW ON LOT
USE OF I _ '
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
J SETBACK WIDTH
OWNER O/SO/✓. /►/ / w FRONT
MAIL Ave-
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ADDRESS ITV _ SIDE
CITY O //� ant, S rP.L. `
ARCHITE OR TEL. INSPECTION RECORD
ENGINEER NO.• ;
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ADDRESS f
TEL.
CONTRACTOR NO.
61 Y`EN -- LA)D v F flo U.SF .
~ ADDRESS i.
DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF 3,6 2 t-x 4'7S-) RA PrF-kS 7.7 "4(O.
SIZE STORIES FAMILIES
USE OFSTR T.0 /1�P 2(/1 S ff 01-,QFQVA7Tc
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SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION a���
=F*EE
ERIALSJ FRAME: FIRE STOPS,
BRACING,BOLTS IVALUATIOFUC,.R11SVENTEDCTSN
w 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREETOC MPLY ITH ALL COUNTY ORDINANCES AND
STATE LAW TING BUILqAG PONSTTRIJCTION. LATH,EXT.
SIGNATU HOUSE NUMBER COR-
PERM T r RECT AND POSTED
ADDRESS FINAL
JOHN A.LAMBIE.COUNTY ENGINEER. = CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENG
PLAN CEECS VALIDATION CK. M.O. CASH PERMIT VALIDATION. CK. M.O.
LA1 1772� .r�AR 3 1 A 4.00 M
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5' 'Es' CITY OF TEMPLE- : CITY
CE#803(REV.11/78) ,
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN _ ADDRESSS Q 2- �
BUILDING.
ADDRESS 6,012Primrose LOCALITYNEAREST
/
CITY T em l e Cit ZIP .91780 CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCE SED BY
TRACT BLOCK LOT NO.. CONST: ZONE
OWNER A. :E. Hendriz N�86=6.957 -3 1 3
STATISTICAL CLASSI FIIC,,ATION SEWER//M''AP
ADDRESS CLASS NO. DWELL.UNITS. BK/i(-A
CITY Temple City ZIP
ARCHITECT OR TEL. VALUATION 1246 .00
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM-
FRONT PROP.LINE OF (STREET)
CONTRACTOR .H• ;L • R a n d.o 1 Ci#p 2$8-�40 40. - -
- TOTAL SETBACK FROM TYPE OF EXISTING ,
HIGHWAY + YARD =1. FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS 5 2 9 •E. valla B-1 . 2-186886
CITY San Gabriel cASS •C-39 +
BLDG.SETBACK FROM
CONSTRUCTION LENDER
SIDE PROP.LINE OF (STREET)
NAME AND BRANCH
_ HIGHWAY + YARD •= TOTAL SETBACK FROM TYPE OF 1EXISTING �.
ADDRESS CITY SIDE.PROP..LINE HIGHWAY WIDTH.
SQ.FT. NO.OF NO.OF 1 CHECK + _ ag
SIZE STORIES' I FAMILIES' ONE
USE ZONE MAP
DESCRIPTION OF WORK- R•e,roof house NEW ❑ NO.
SPECIAL
and garage using Com o ADD ❑ CONDITIONS BY
S h i n g l es. 12x18 ALTER Ll FINAL ry
REPAIR JNM DATE ¢ !� �a �•
USEOF DEMOL ❑
EXISTING BLDG. z
APPLICANTTEL C
[PRINT)•H. L/ Randol C:o. NO.288-4040
BY(SIGNATURE)'
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - u� 9 91 4 5 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES _
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V # 0 0 a 0 0 1
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- _ z
PENSATION INSURANCE.' 2 0 0 3&00
d
SIGNATU0 0 0 3M 0 0 M
PERMITTEE
U .
ADDRESS z 0226-80
—. - z
CITY - San' Gahrie1 , (a. TEL � o
P.C.Fee$ Permit Fee" 2.7.Issuance F
ee WTotal Fee 3 4
'APARTMENT OF BUILDING AND SAFE N 5 195 BUILDING
OijNTY OF LOS ANGELES Z
WM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILL IN EEEEE- FOR OFFICE USE ONLY
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DISTRICT NN PuN K..DR REc. D. PERMIT NO.
UILDADDREI99 ale �• �oee+�1 ®J'� \1 / ®/ 7-2 -'
LOCALITY 771
.RECEIVED BY DATE OF APPL DATE ISSUED
NEA EST 1 �& � �� L. - a�°� 3-1
CRO8R9BT. J By�Qe� �//�/" BUILDING �I y �/ ,�✓y7�e] X11
OWNER I + o ftiJ . ADDRESS 6:� ®® /s M f� /v.�I�y�( q
MAIL LOCALITY
ADDRESS`7^Tj y �f J, S.s di 1V R h NEAREST
a, TEL pp f �/ CROSS ST. ®����
CITY ?� ,'/,' L. I_. �( /' NO. I� G�I� +�✓. -J FIRE NO.OF TYPEr= GROUR�,
ARCHITECT OR TEL ZONE I PLANE T _/ �vol
ENGINEER NO. BLDG. ORD,pst�G.
SETBACK LINE S t=om"/L9
ADDRESS USE yq+ , APPROVED ,
TEL ZONE Ww ° ABY DATE
CONTRACTOR NO. n�c..;, HOUSE NUMBERING /
ADDRESS MAP NUMBER �0"/ NO. ASSIG E By2!54
LEGAL a L CORRECTIONS
DESCRIPTION LOT NO. //5.1 BLOCK
TRACT � �� I
�� NO. OF BLDGB. � A
SIZE OF LOT NOW ON LOT
USE OF NO.OFA. /
EXISTIN BLDG. FAMILIES l
DESCRIPTION OF WORK
o-
NEW - ALTERATION I ADDITION �G M �� �S�e'r'E�r� D
REPAIR DEMOLITION ,rte ,` 1, .�• fy r
Sq.FT. �, NO.OF / r0 GC rY•'�f� .S + �!/yI! r7 i
SIZE / ROOMS STORIES
EXT.WALL I ROOF ap.
Tit-" t
COVERING �(/?��r COVERING 37
USE OFi TRUr3TURE
T
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION J
/ l.+`f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
FORMS, MATERIALS 2::-zz
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. BRACING,BOLTS 3
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES V
AND STATE LAWS jREGULATING BUILDING FURNACE: LOCATION,'
GAS FURNACE:VENT,DUCTS
SIGNATURE OF 1I1/ '� r
4� c��7`ri// '% r i� iJ` LATH, INT. t•u� / I ( I t .
PERMITTEE v �. .- �`, ` V V` U .�
LATH. EXT. Cl'f� v
ADORE El
PLASTER, INT.
AUTHORIZED AMT.
PLASTER, EXT.
FEE �� gK
RECT AND POSTED
:� HOUSE NUMBER COR-
--
VALUATION ® ®® ® FEE c� Sep( FINAL
7SAlo9BA DBS 3 741 v
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 0707310017
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
TR: 6561 IT: 258 I SQ. FT STORIES TYPE I 6012 PRIMROSE AV
STRUCTURE: VN I TEMP CA 917802033
(ASSESSOR INFORMATION NUMBER: ; I NEAREST CROSS STREET:
15385-013-014 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
1TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: EXPIRES ON:
1EXIST OCC GRP: 107/31/07 SR 01/27/08
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I A A FI CODE: I
ISALAZA , ARMANDO (626) 291-5754- 1 7,500 �� [
16012 PRIMROSE AV I
ITEMP 917802033 FEES PAID I SCRIPTIO OF WORK I
I I 1 (9) WINDOW CHANGE OUT RETR IT
1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
(APPLICANT: TEL. NO: I 1 1
ICREPEAULT (800) 763-4000- IAA BLDG PERMIT ISSUANCE 27.75 1 1
115261 CONNECTOR IN. AC STRONG MOTION RESID 7500.00 VAL 0.75 ISPECIAL CONDITIONS: [
1HUNTINGTON BEACH ID2 PERMIT W/O EN-HC 7500.00 VAL 183.00 1 I
1 I TOTAL FEES 211.50 1 I
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1
IGALKOS CONSTRUCTION INC (800) 763-4000- I 1 I
115261 CONNECTOR LANE LIC. NO 1 ILOCATION AND SETBACKS I 1 1
1HUNTINGTON BEACH CA 92649 492715 HIC •I I I 1 1
1 I (SOILS ENGINEER APPROVAL I 1 I
1ARCHITECT OR ENGINEER: TEL. NO: [ [FOUNDATION/TRENCH FORMS 1 1 I
1 LIC. NO: 1 ISL"/UNDER FLOOR I 1 1
I ( 1 1
RAISED FLOOR FRAMING I I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDHRFLOOR INSULATION 1 I
1150H265 3 011 I I I I 1
IFLOOR SHEATHING I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I I
NO 21 1 IROOF SHEATHING I I I
I I I I I I
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALSI I I
NO NO NO I' IFRANIE INSPECTION I I I
IREQUIRED TOTAL SETBACK FROM EXIST ! IFIRJq SPRINKLER HANGERS 1
1
[SET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- I (INSULATION/WEATHER STRIP [ I
SIDE PL- 1 [ I I [ [
I I (INTERIOR LATH/DRYWALL [ [
I. (EXTERIOR LATH I 1
1 � IRATBD FLOOR/CBIL ASSEM. 1 1 I
I I RATED WALL ASSEMBLIES 1
I, (RATED SHAFTS/OPENINGS 1
I IT-BAR CEILINGS
I 1* ADDITIONAL DATA ON FILE I I I 1
ILOT DRAINAGE I I 1
I IREPORT ID: DPR261 ROUTE TO: BS0508 [ 1 I 1
I I I I