HomeMy Public PortalAbout6118 PRIMROSE AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BUILDING
ADDRESS A //8 IV, P41,1440siseDEPARTMENT OF COUNTY ENGINEER
clrY ;, C,� ZIP BUILDING AND DIVISION
NO.OF BLDGS. BUILDING ~
SIZE OF LOT 6b' NOW ON LOT ADDRESS v¢—
G%17 BLOCK LOT NO. / LOCALITY
TELNEAREST
OWNER �} /fir NOS7�If/ CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICTTrROUP TYPE FIRE SED BY
-CITY /" ZIP CONST. ZONE ARCHIT CT OR TEL.
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAf
ADDRESS TEL.//ppCLASS NO. � DWELL.UNITS —aBK-3 OPG
er� ��
CONTRACTOR VLCJ� NO. ASEZONE NOP
LIC.
ADDRESS NO. SPECIAL
LIC. 'L� CONDITIONS
CITY CLASS ROAD DEPARTMENT APPR RED YES ❑ NO ❑
CONSTRUCTION LEND
NAME AND BRANCH @� !>" BLDG.SETBACK FRO
�qr/ FRONT PROP.LINE (STREET)
ADDRESS CITY 4• , TOTAL SETBACK FROM TYPE OF EXISTING
SO.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE' HIGHWAY WIDTH
SIZE ,�d STORIESFA ILIES ONE }
DESCRIPTION OF WORK a NEW ❑ + 26 O
ADD BLDG.SETBACK FROM oe
SIDE PROP.LINE OF (STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
50& /� HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH , N
USE OF REPAIR ❑ l Z
EXISTING BLDG. "r g I)4 I'DEMOL ❑ +
APPLICANTn TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) V�IC6 1j_ NO.
— � IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE!
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATIO O D _9 /�
I HEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION AND STATE 4� /p`rr �r, �� �
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ;1 ,�+ _
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 7 Ef L.`h Tb tug)q,-,, ,,,r�(`r
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 OF �jf;; 77
PERMITTEE
ADD S r FINAL BY
•"�E /�ON✓��y^ w/LL RGCy'LC /�4e
TEL DATE �C�J�� Lb
CITY NO
MAKE CHECKS P ABLE TO: FEE $FET
HARVEY T.BRANDT.COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
r�
6 0 0�.�a>t, 9 �. c >vl_
9 6.0 U n,-,o
®s 76A63BA CE#803 3.75
DEPARTMENT OF BUILDING AND SAFETY ru-YL1VRd1Viv rVii rGiunii
COUNTY OF LOS ANGELES ® a
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDINGS
ADD ESS Primrose Ave. l-�
LOCALITY / i Gi RECEIVED 9Y DATE OFAPPL. DATE ISSUED
NR 68 Flaherty St. , Temple City �d.5.50 &-6 ��/ 0 - 6/C�/
BUILDING &!l rJ
45
OWNER Meeker Land Companyr-c-,�a ADDRESS �a os
AMAIL
DDRE99 11236 E. Live Oak Ave• LOCALITY C •
NEAREST /13 IW��/y�
EL SS BT. I
CITY Arcadia TNO. DO-72151 CRO
-- - FIRE NO.OF TYP GROUP
ARCHITECENGINEER eo.A.TOdBissel NO. FL-11+. p2O ZONE PLANE
BLDG. i « O�'
ADDRESS
SETBACK LINE
f�GG
APPROVED
TEL BY DATE
CONTRACTOR NO.
USE APPROVED
-ADDRESS / r - ZONE BY DATE
LEGAL
DEBC PTION LOT NO. �J LOCK -z-enQ CORRECTIONS
TRACT
SIZE OF LOT 50x112 I NO.OF SLDG9.
NOW ON LOT none QF - ! �LaG� `,
USE OF NO.OF NO.OF
EXIBTINO BLDG. none FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH p
Bq.FT. NO.OF Z
SIZE 110 I ROO IMSy • STORIES 1 �' Z�,- 1 ` fr;Zl U �N �� �Y�x ���� r
Roar
OV RING Plaster ` COVERING fid•Shgles. 'tc
BU LDINmWResidence
Plan 5-A r' wr llvnnh p;prtc 1 ,, At _
Garage 18 x 20 ROUWD W-tp. Wf9, VFNr r3'r
gt3F. WiL-l. no atAv].
(l)lm Re /i e/A,6 t P!2 61Z
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Cg( 3 rr fi pr_- APPROVALS
APPLICATION AND STATE THAT THE ABW IS CORRECT FOUNDATION: LOCATION INSP OTOR DATE
AND AGREE TO C LY IT ALL CO WTORDINA FORMS,MATERIALS nw �b
AND STATE BUIL ON C ON.
F FRAME: STOPS,
BRACING,,BOLTS
SIGNATURE F
0
PERMI—E LATH,INT.:
AUTHORIZED LATH,EXT.:
13139-5 saM scra 1-4e $ � P D,a3 r PLASTER,INT.
FEEy PLASTER,EXT.
9 °
VALUATION
`��� FEE AI ��' FINAL
�.r�1NORKERS'COMPENSATION DECLARATION
1b" affi that'I have a certificate-of consent to self
Y :APPLICATION F®R..' BUILDING. PERMIT
insur or crE4rtificate of Workers' Compensation Insurance, ,
ora cUrtifled copy thereof(Sec. 3800, Lab. C.) 'COUNTY OF LOS ANGELES'" BUILDING AND SAFETY
Policy No. Company BUILDING
❑ Certified copy is hereby furnished. , . / FOR APPLICANT TO FILL IN ADDREss d
❑ Certified copy is filed with the county building inspec- BUILDING Op
tion department. ADDRESS + H
Date Applicant CITY l:_l zip' / ,' LOCALITY
NO. 644
WOF,BLDGS. c} NEAREST /,,n
CERTIFICATE OF EXEMPTION FROM ORKERS' ,, SIZE OF LOT �d K I � NOW ON LOT f— CROSS ST. 1 A
COMPENSATION INSURANCE ASSESSOR
(This section need not'be completed if the permit is for one �j TRACT BLOCK LOT NO. MAP BOOK PAGE ° PARCEL '
hundred dollars ($100)or less.) nn� /��,w, TEL.
OWNER 6• f4- •C9F;� NO: 8Z-' lbtt USE:ZONE ':. MAP s..
I certify that in the performance:of the•work for which this•' SPE }
- " SPECIAL.
permit is is'sued,.l shall'not employ any person.in any manner ADDRESS ��'I'��r� CL
CONDITIONS "
CS to tie ome subject,to the Wor rs'Com ens ti n Laws. -.
r ! CITY ZIP
Date��� " ' _Applicant ARCHITECT OR• TEL. FIRE2E.S�ED BYNOTICE TO APPLICANT: If aftermakin i ENGINEER ••-•= •- NO. DISTRICT GROUP' TYPEOth s .Certificate of CONST'. ZONE.
Exemption, you should:.Become subjecf to the Workers' w
-Compensation provisions of the Labor Code, you must•forth'- ADDRESS, a-
with comply with such provisions or this permit .shall be -TEL• STATISTICAL CLASSIFICATION_ ART. CONDO... Z
deemed revoked. CONTRACTOR% ;NO: —
UCENSED CONTRACTORS DECLARATION LIC. CLASS NO. �� 'DWELL. UNITS
I hereby affirm that I am Ii provisions of.Chapter 9 ADDRESS NO.
LIC. SEWER MAP
•(commencing with Section 7000)of Division 3•of the Business /.. VALIDATION
and Professions Code,and my license is in full force and effect.-. CITY CLASS BK-` PG: -
SQ.FT. NO.OF NO.OF CHECK
License Number, '' Lic.Class SIZE STORIES' FAMILIES ONE =
VALUATION.-
DESCRIPTION OF WORK TryYjO �1i4 G d
Contractor Date NEW El
W T�� ADD ❑ ,.
El 1 am exempt under Sec. _nnom,,2 ALTER
B;BP.C. for this reasonREPAIR $
USE OF
Date:' EXISTING BLDG. �-S D GS - DEMOL II
Signature APPLICANT /�'J TEL. FINAL _
(PRINT): �' t°l L NO., :i6d ' Q
OWNER-BUILDER DECLARATION = DAT
E•
I hereby affirm that.I am exempt ftom the Contractor's License
Law for the following reason (Section 7031.5, Business dhd ADDRESS
Professions PRESENT-
BUILDING
RESENT BUILDING
❑ 1, as owner'of the property, or-my employees with ADDRESS :.., :,� "
wages as their sole•compensatioh,will do the work and ' , :16 j. +
the structure isnot•intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING. TEL. �• -' ' - '`f _
1,as owner of the property,am exclusively contracting CONTRACTOR NO.
I• with lice nsed.*contractors.to construct the'project (Sec-• I ' -t••�-J°$'.r :13
ADDRESS'.
tion 7044, Business and Professions Code.)•
CONSTRUCTION LENDING AGENCY RE?URD
YARD HwY TOTAPROFiINE ROM'' WIDTH•
I herebyaffirm that there.is d construction lending-agency for FRONT
the performance=of-the work for-which this permif.ts issued P.C•"
Lk
(Sec. 3097, Civ. C.). SIDE
Lender's Name t"•t ':. .„i"t_i't°' - I-+r L
$ / LDMA Ref.#
P.C. Fee$ Permit Fee 70 t d7 3
Lender's Address LT+� '�j"'' °t�
I certify'that I have read this application,and.state that the Issuance Fee •S� LDMA P/C#' _
above information is correct. I agree to comply with all County Investigation Fee ,
ordinances and State laws relating to building construction, Total Fee LDMA Perm. # ,
and hereb authorize'repres ntatives of this.County to enter
n the ov`_ment' ned, party for Inspectio/Da
pas. s,.
RY LANGU
i.
�
a SEE:REVERSE-FOR EXPLANATOAGE
gnature oplicant or Age
WORKERS'COMPENSATION DECLARATION
in sereby affirm that I have certificate of consent to self P P L I CAT I®N FORBUILDING P E RSA I T
,insure, or'a certificate of Workers' Compensation Insurance,
orre t•/' cc�ye (Sec. 3800 La . C. COUNTY OF LOS ANGELES BUILDING AND SAFETY
d!yompan
ElCertified copy is hereby fur shed. FOR APPLICANT TO FILL IN ADDRIESS
w..
Elcou
Certified copy is filed wit a p i Ing in pec BUILDING
gDDRESS
ion de rt ent.
_ �2 j E p
D d / A I c ZIP 9 "�//a j"LoCAUTY / G'
NO.OF BLDGS. ;y. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT ;. CROSS ST.
COMPENSATION INSURANCE ?"ASSESSOR
(This section need not be completed if the permit is for one. TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL.
OWNER /�r NO. USE ZONE MAP
I certify that in the performance of the work for which this NO.SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS61a ,� / CONDITIONS d
q� 86 U
so as to become subject to the Workers'Compensation Laws. O
CITY / — Cl/ ZIP y
Date Applicant ARCHITECT OR TEL. OC
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O
CONST. NE 1-
Exemption, you should become subject to the Workers' Q U
Compensation provisions of the Labor Code, you must forth- ADDRESSDO a
with comply with such provisions or this permit shall be TEL. 'STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR NO ; / Z
LICENSED.CONTRACTORS DECLARATION ii '/ LI J CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS t/ �U NO. �/
LIC. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business ��JJ /J
and Professions Co e a d cense is in full fort and a ct. CITY - T s CLASS (�G,L`f BK VALIDATION
�Y SQ. FT. NO.OF NO.OF CHECK
License Number Lic. Class C.� SIZE STORIES I FAMILIES ONE
/y� VALUATION ord
Contract Date-//-,? G DESCRIPTION OF WORK NEW ❑ " $ /(J(J 3 ^�/�Jt
ADD ❑
❑I am exempt under Sec.
S ,.,/5 ALTER ❑ .' $
B.BP.C. for this reason ;
USE OF REPAIR ❑ '3
Date' EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) f NO. DATE 5
I hereby affirm that I am exempt from the Contractor's License ?
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT By
❑ I, as owner of the property, or m em to ees with BUILDING
P P Y. Y P Y ADDRESS c��,/✓ �hC� „o S
wages as their sole compensation,will do the work and -�►' `�j d a!`
the structure is not intended or offered for sale(Section LOCALITY ® Ol _
! ''t`-�, =ti=9
7044, Business and Professions Code.) • MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. iTEy-
with licensed contractors to construct the project (Sec- ADDRESSa Al a
TOTAL SETBACK FROM EXIST
tion 7044, Business and Professions Code.) 1, i HL. "1 '26 m .,-r
REQUIRED .
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
1 hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. CHA!GPE ,?I_i
(Sec. 3097, Civ. C.). SIDE
P.L.
Lenders Name, D� �/ ! l;i!I I,l1"I i:� +'.•i',''i
P.C. Fee$ Permit Fee d LDMA Ref. #
Lender's AddPWA r,10
i ,
1 certify t t I have read this application and state that the Issuance Fee t� LDMA P/C#
above i motion is torr ct. I agr mply with all County Investigation Fee
3 ordin c s and St to relating to ilding construction, Total FeeAll LDMA Perm. #
C and her by a th iz resentati es of this County to enter
upon t a e-fie d pr pe r nspec i n p o;
o 1 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of pp leant or Agent Date
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 0303280002
PHONE: (626) 285-0488 EXT:
ON FILE SQ. FT STORIES TYPE 6118 PRIMROSE AV-
STRUCTURE: VN TEMP CA 917801657
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBLADI
5385-012-017 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: MST
USE:
- PROCESSED IRE
EXIST OCC GRP: 04/03/03 JK 03/28/04
OWNER: TEL. N0: BLDGS. NOW ON 0 AL TIOW'_ FINAL DATE FINAL BY: CODE:
GRAF VIRGIL;MARILYN TRS GRAF TRUST (626) 287-1611- 22,230
6118 PRIMROSE AV 7
TEMP 917801657 FEES PA D DESCRIPTION OF WORK
REPAIR DAMAGE TO HOUSE AND FOUNDATION DUE TO SETTLING OF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FOUNDATION
APPLIC
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 22230.00 VAL 2.22 SPECIAL CONDI IO S:
D1 PLANCHECK W/O EN-HC 22230.00 VAL 369.75
D2 PERMIT W/0 EN-HC 22230.00 VAL 435.00
CONTRACTOR: TEL. N0: TOTAL FEES 834.72APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
i..
SOILS ENGINEER APPROVE
ARCHITECTR i 0 ND I/T NCH FORMS ( I�1
LIC. NO: ; SLAB/UNDER FLOOR
RAISED L G
MA XNO: SEWER RE P BOOK: PAGE: FIZONE: -CMPT UNDERFLOOR INSULATION
01
FLOOR SHEATHING-
NO. OF FAMILIES: DW G P CO D: STAT S:
NO 21 ROOF SHEATHING
-SCHOOLRO SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
RMUIR50 TOTAL SETBACK FR S SPR N LER R
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- NS L TIO /WEAT ER TRIP
SIDE PL-
INTERIORLATH/DRYWALL
EXTERIOR LATH
RATED C SE .
RATED WALL ASSEMBLIES
-BAR CEILINGS
LOT DRATNAGE
REPORT ID: DPR261 ROUTE TO: SS0508
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 1408210100
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES TYPE I 6118 PRIMROSE AV I
ISTRUCTURE: 22 V-B I TEMP CA 917801657
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15385-012-017 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
ITENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: [
I 1EXIST OCC GRP: 108/21/14 SR I
(OWNER: TEL. NO: ]BLDGS. NOW ON LOT: VALUATION: ]F D TE FIN BY- CODE:
IGRAF VIRGIL;MARILYN TRS GRAF TRUST (626) 390-8512- 1 9,000 1 / j
16118 PRIMROSE AV I I /4q
I
ITEMP 917801657 1 FEES PAID IDES�PTION OF WORK I
I I ITEAR OFF, INSTALS, PLYWOOD 30 LB FELT AND GAF HD ASPHALT [
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES ON HOUSE I
(APPLICANT: TEL. NO: I I I
ILABBE, GUY (626) 815-1279- IAA BLDG PERMIT ISSUANCE 27.80 1_ I
11308 E COLARADO BLVD IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 SPECIAL CONDITIONS:
(PASADENA CA JAC STRONG MOTION RESID 9000.00 VAL 0.90
ID2 PERMIT W/O EN-HC 9000.00 VAL 199.80
TOTAL FEES 229.50
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IJ N DAVIS ROOFING CO. (626) 815-1279- [ 1
11308 E COLORADO BLVD LIC. NO 1 ILOCATION AND SETBACKS I I
#B 572125
PASADENA CA 91106 1 ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: ]FOUNDATION/TRENCH FORMS ] [ I
LIC. NO: I (SLAB/UNDER FLOOR I 1
IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMOOI ]UNDERFLOOR INSULATION .1-1
I
1 FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ] I I I
NO 21 I [ROOF SHEATHING 1
] SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I
LAIR QUALITY: 1000 FEET MATERIALS I I [
1 NO NO NO IFRAME INSPECTION [ I
� I I
[FIRE SPRINKLER HANGERS [ [
1 ]INSULATION/WEATHER STRIP[ I I
I [INTERIOR LATH/DRYWALL [ ]
I [EXTERIOR LATH [ I
I I (RATED FLOOR/CEIL ASSEM. I I
IRATED WALL ASSEMBLIES I I
IRATF,D SHAFTS/OPENINGS
I I
IT-BAR CEILINGS I ] I
I* ADDITIONAL DATA ON FILE 1
LOT AINAGE
1 I I
I ( DR
I REPORT ID: DPR261 ROUTE TO: BS0508 1 [
e
r
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 1408210101
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE 6118 PRIMROSE AV
STRUCTURE: 5 V-B I TEMP CA 917801657
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I
15385-012-017 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
ITENANT: IEXIST BLDG USE: DETAC USE ZONE: R-1 11SSUED ON: PROCESSED BY:
IEXIST OCC GRP: 108/21/14 SR 1
[OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1 D T8 FI Y: CODE: 1
[GRAF VIRGIL;MARILYN TRS GRAF TRUST (626) 390-8512- 1 2,000 [ I
16118 PRIMROSE AV I [ [
ITEMP 917801657 1 FEES PAID ID SCRIP O OF WORK [
I [ ITEAR OFF, INSTALL PLYWOOD 3 LB FELT AND GAF HD ASPHALT
I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES ON DETACHED GARAGE
[APPLICANT: TEL. NO: [ 1
]LABBE, GUY (626) 815-1279- AA BLDG PERMIT ISSUANCE 27.80 1
1308 E COLARADO BLVD IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 SPECIAL CONDITIONS:
]PASADENA CA IAC STRONG MOTION RESID 2000.00 VAL 0.50 1
ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 1
I [ TOTAL FEES 111.50 1
ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
IJ N DAVIS ROOFING CO. (626) 815-1279- I 1 I
1#308 E COLORADO BLVD 5LIC. NO [ ILOCATION AND SETBACKS
I � I
(PASADENA CA 91106 (SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
] LIC. NO: 1 (SLAB/UNDER FLOOR ] I I
] 1 ]RAISED FLOOR FRAMING ] 1
]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE. CMP: (UNDERFLOOR INSULATION
001
I 1FLOOR SHEATHING I I I
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
[ NO 21 ] IROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS 1SHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I I I I
NO NO NO [FRAME INSPECTION [ I I
IFIRE SPRINKLER HANGERS I I
I I I I I
] I ]INSULATION/WEATHER STRIP] ] 1
1 ]INTERIOR LATH/DRYWALL ] 1
I I 1EXTERIOR LATH 1
I I IRATED FLOOR/CELL ASSEM. I I [
I I IRATED WALL ASSEMBLIES I I ]
1 1
IRATED SHAFTS/OPENINGS 1 1
I I ]T-BAR CEILINGS I I I
I
1* ADDITIONAL DATA ON FILE ]
I I ILOT DRAINAGE
1 1REPORT ID: DPR261 ROUTE TO: BS0508 1 I I
I 1 I i I I
I
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 1409160075
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES TYPE 6118 PRIMROSE AV ]
ISTRUCTURE: V-B TEMP CA 917801657
IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15385-012-017 ] ] THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 109/16/14 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFU4.AL D TEFI BY: CODE:
I
1GRAF VIRGIL;MARILYN TRS GRAF TRUST (626) 390-8512- ] 8,194
6118 PRIMROSE AV Lk
(TEMP 917801657 I FEES PAID IDE CRI TION OF WORK ]
I I IREPLACEMENT OF 17 WINDOWS
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
(APPLICANT: TEL. NO: I I I
IARCADIA SASH & DOOR INC. (626) 445-8712- IAA BLDG PERMIT ISSUANCE 27.80 1 I
1129 E LA PORTE ST. AB STATE GREEN BLDG FEE 8194.00 VAL 1.00 ISPECIAL CONDITIONS: I
IARCADIA CA 91006 AC STRONG MOTION RESID 8194.00 VAL 0.80 1
I ID2 PERMIT W/O EN-HC 8194.00 VAL 199.80 I I
TOTAL FEES 229.40 I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
IARCADIA SASH AND DOOR INC. (626) 445-8712- 1
1129 E. LA PORTE ST. LIC. NO 1 ILOCATION AND SETBACKS I I I
]ARCADIA, CA 91006 737793
(SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: ] IFOUNDATION/TRENCH FORMS I I I
I
LIC. NO: ] ]SLAB/UNDER FLOOR ] 1 ]
RAISED FLOOR FRAMING I I ]
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 UNDERFLOOR INSULATION I I I
II 3 00] IFLOOR SHEATHING I I I
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
] NO 21 ] IROOF SHEATHING I I
I I I
1 SCHOOL WITHIN HAZARDOUS ] (SHEAR PANELS ] 1
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1 IFRAME INSPECTION ] ] 1
1 i (FIRE SPRINKLER HANGERS
I I
IINSULATION/WEATHER STRIPI I I
I
IINTERIOR LATH/DRYWALL I I I
] ] IEXTERIOR LATH I I
I ] I
]RATED FLOOR/CEIL ASSEM. I ] I
] I IRATED WALL ASSEMBLIES I I I
IRATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS I I
I I* ADDITIONAL DATA ON FILE ILOT DRAINAGE 1
I I I
]REPORT ID: DPR261 ROUTE TO: BS0508 I I I I