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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