HomeMy Public PortalAbout6334 PRIMROSE AVE_Building__ ®s 76AG38A
GE/803(RFV.J/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT TO FILL IN' ADDRESS .
BUILDING � -
ADDRESS . I 'Fr • LOCALITY
NEAREST
CITY TCAA cl,ivZIP CROSS ST.
NO.OF BLDGS. ASSESSOR 61
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP .TYPE FIRE PRO SED BY
TRACT BLOCK LOT NO. � � CONS E
TEL.��JL: .D
OWNER NO, agC
STATISTICAL CLASSIFICATION W ER MAP
ADDRESS CLASS NO. DWELL.UNITS----] 3 BK/O Pi?_
CITY ZIP
ARCHITECT ORj L e TEL.NO. VALUATION owo ,
ENGINEER
ADDRESS BLDG.SETBACK FROM
TEL. //gy�p j FRONT PROP.LINE OF (STREET)
CONTRACTOR — ` L NO ATM TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
C LIC. - FRONT PROP.LINE HIGHWAY WIDTH
_fiADDRESS ✓ kk- J�J NO.
) • LIC. + _
CITY L.• Q CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT. j! NO.OF NO.OF CHECK + _
SIZE gJp< STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ P.C.Fee$ �`7 . (� Permit Fee / D
(f , / X ADD f„ Issuance Fee
C BM #3131�� ALTER ❑
REPAIR ❑ Total Fee
USE OF DEMOL ❑
EXISTING BLDG, i Z
APPLICANT �e EL C
(PRINT) �6J17 Pl ~
o 23125A
ay
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BY(SIGNATURE) _i Z P '# o.0 0 0 2 3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE x 14,40
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES -2 0 0
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF I1 µ O U
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z o 0 0
PENSATION INSURANCE. S
SIGNATURE OF /�( / IL 03.08-79
PERMITTEE vv ;2 31 2 6 A
ADDRESS
Z # 000001
TEL. 2
CITY AL umd gft NO. p 2'0•� 2 5�O O
77CONDITI(AS
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2 5 O O
SPECIAL
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FINAL- W
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DATE ; + 7,
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.E4 .. 6-62 APPLICATION FOR BUILDING PERMIT 11
COUNTY OF LOS ANGELES BUILDING
UI elsN 3
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUP ++T OF BUILDING CROSS ST. FOPS �ttJ
DISTRICT GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN CONST. if
BUILDING 33 -L STATISTICAL CLASSIFICATION S ER MAP
ADDRESS 21 f �I S BKaG
CLASS. NO.IL DWELL. UNITS ,�[�
LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT yL/ M44-
AP ,(1 HIGHWAY STATE MAJOR SECON , LCAL
N .OF BLDGS. NOO
.. C� (CIRCLE
SIZE OF LOT [C-7 y O NOW ON LOT b USE ZONE SPECIAL
USE OF CONDITION
EXISTING BLDG.
TEL.
OWNER Mlllcr a�� P(Zickr- NO.�6� S BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 53-J-> LIL FRONT /
ARCHITECT OR TEL. P L. '
ENGINEER NO. - SIDE
P. L.
ADDRESS _ _ a
CONTRACTOR MI II(.r a,,,, TELL
f 21c� NO..1�T(,-y L
ADDRESS Z Cenm�c.�l.e, �C•'. �e �,.•}; -`Q
DESCRIPTION OF WORK
L
LL
NEW .' ADD ALTER REPAIR DEMOLISH a
V
. FT. NO. OF NO. OF 2
SIZE 1 39 o STORIES FAMILIES
USE OF I
STRUCTURE
SIGNATURE OF 0 C_ Q
APPLICANT C1�-
VALUATION $
l.� APPROVALS DATE INSPECTOR'S SIGNATURE
FO
FEE $ � FEE $ ` FORM` N:AE, kL,
' FOR
FkAME: FI E STOPS. _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
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. I CERTIFY THAT IN DOING THE WORK _ —
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. /
:.ATH, EXT. -
SIGNATURE OFF c- HOUSE NUMBER COR-
PERMITTEE� RECT AND POSTED
ADDRESS���7 C*-i�c.I�'0.�4*^0"�Ic C.I-I'� FINAL I
JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
TEC 2 Q 2 3 0 2 X3.5 0 '
COUNTY OF IAS 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 0806020013
PHONE. (626) 285-0488 EXT:
1 LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ON FILE I SQ. FT STORIES TYPE 1 6334 PRIMROSE AV I
ISTRUCTURE: 2300 V-B I TEMP CA 917801345 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15382-022-038 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: EXPIRES ON: I
[ (EXIST OCC GRP: 106/02/08 SR 11/29/08 1
1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F DATE FIN CODE: [
ILO WEN HUA;CHING CHING TZOU (626) 292-6772- 1 4,800 1 I
16334 PRIMROSE AV I I 1
ITEMP 917801345 I FEES PAID I CRIPTION OF WORK
I ITEAR OFF & REROOF HOUSE & G RAGE INSTALL OSB PLYWOOD & 30 I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IYEAR COMPOSITION SHINGLES 1
1APPLICANT: TEL. NO: I I I
ISUNSHINE ROOFING (626) 581-7688- IAA BLDG PERMIT ISSUANCE 27.75 I_ I
1516 N. DIAMOND BAR IAC STRONG MOTION REBID 4800.00 VAL 0.50 ISPECIAL CONDITIONS: I
1DIAMOND BAR CA 91765 1D2 PERMIT W/0 EN-HC 4800.00 VAL 132.60 I 1
TOTAL FEES 160.85 1
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I
[SUNSHINE ROOFING, INC. (626) 581-7688- I 1- I
1516 N DIAMOND BAR BLVD #183 LIC. NO 1 ILOCATION AND SETBACKS I 1 I
[DIAMOND BAR CA 91765 755126 C39 1 I I
1 1SOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
I LIC. NO: i ISLAB/UNDER FLOOR I I I
1 1RAISED FLOOR FRAMING 1 I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
1 153H262 3 Oil
I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I.
1 NO 21 i 1ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I
1 NO NO NO1 1FRAME INSPECTION I I I
REQUIRED TOTAL SETBACK FROM EXIST i 1FIRE. SPRINKLER HANGERS I 1
[SET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- 1 11NSULATION/WEATHER STRIPI I I
[ SIDE PL- I I 1-1 I
I I 11NTERIOR LATH/DRYWALL I I I
[ I 1EXTERIOR LATH I I I
[ I IRATED FLOOR/CEIL ASSEM. I I [
IRATED WALL ASSEMBLIES I I I
I
IRATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS 1 I I
[ I ILOT DRAINAGE 1 I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
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