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SK44A CE*SOS Io•$8 A0 PLICATIOtl[i H O•R BUIL®IN d i° RdV'�� ,®
BUILDING AND SAFETY DIVISION BUILDING
4946
Department of County Engine! ADDRESS .
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
DISTRICT O. . GROUP TY02 - SEWER• MAP
FOR APPLICANT TO FILL IN G
BUILDINGhh � _ I CONST.� f
ADDRESS• V STATISTICAL CSSIFICATION
CLASS.NO. DWELL. UNITi�__- I
LOT NO. J 9p BLOCK MAP STATE YES O
(� NUMBER HWY
TRACT ° USE ZONE SPECIAL
I O.OF BLDGS. / CONDITIONS
SIZE OF LOT / OW ON LOT
IA4 .14
USE OF
EXISTING BLDG. BUILDING YARD HWY - STREET NAME - EXIST.
SETBACK A WIDTH%
OWNER• A"46f Y 91 a' FRONT , f
MAIL P. L.
ADDRESS a - IDE
Q. NO.TEL'F�. a
CITY ff 9 j INSPECTION RECORD
ARCENGINEER OR TEL
/, /`� >� NO.Ci f�J/
ADDRESS �j 7 ° '
TEL.
CONTRACTO � /•T
; _ /--' e
ADDRESS ��rz 1 /�C��S' 0-e • i
DESCRIPTION OF WORK
NEW _ADD ALTER REPAIR DEMOLISH
S Z ST FT. ../ / / d OF FA OF
SIZE STORIES FAMILIES USE OF ISTRUCTURE
APPROVALS -
SIGNATURE OF
APPLICANT DATE INSPEICTORS SIGNATURE
ADDRESS FOUNDATION:LOCATION _
FORMS. MATERIALS / l°///••r. r•_i.;_r:
P.C. S FRAME: FIRE STOPS.
FEE D�dd BRACING.BOLTS
FURNACE: LOCATION. i
VALUATION/�.D o d ,� r� FEE S� 'GAS VENT.DUCTS I G-Io',� _�/! tni(//+i.'_._•.a
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. IMT. .��
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND •
X�1111 c�i
AGREE TO COMPLY V41TH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS R TINGOUSE NUMBER 6R-
1L G CONSTRUCTION.
SIGNATURE OR 9- .1 HRECT AND POSTED ` l ^7
PEI tMITT MIL
ADDRESS— FINAL
OHN A.LAMBIE. COUNTY ENGINEER. CLYDE N.DIRLAM.-PRINCIPAL'STR RAL ENGINEER
PLAN CHECK VALIDATION cK. m.c. CASH PERMIT VALIDATION cK. rl.o. F"H
'. 3 9 3 .9 OOT 31� 1 6 2 Q:,�j m
1 � 4 0 8 1;•. NOV ':6 1 - 43.50 . no
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 0101290005
PHONE: (626) 285-0488 EXT:
LEGA D: NO. OF CONST BUILDING ADDRESS:
TR: 19043 LT: 26 SQ. FT STORIES TYPE 4860 ROBINHOOD AV
STRUCTURE: 0 VN TEMP CA 917804028
ASSESSOR INFORMATION N B R, NEAREST CROSS STREET: LOWER AZUSA
8585-010-031 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
TENANT: EX ST B DG USE: RESID USE ZONE: R__l PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/29/01 UT 07/28/01
OWNER: TEL. NO: BLDGS. NOW•ON LOT: VALUATION: FINAL DATE � Y: CODE:
SCHAUS HAROLD A - 1 7,200
4860 ROBINHOOD AV
TEMP 917804028 FES PAID DESCRIPTION OF WOR
TEAR OFF SHAKE ROOF, INSTALL 7/16 OSB SHEATHING, 25 YR.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PRESTIGE COMP. SHINGLE
APPLICANT: EL.
G B ROOFING INC. (909) 599-8191- AA BLDG PERMIT ISSUANCE 27.75
1317 HANSEL LANE AC STRONG MOTION RESID 7200.00 VAL 0.72 SPECIAL CONDITIONS:
SAN DIMAS, CA !D2 PERMIT W/OMEN=HC--'-�-------7,200.00 VAL 183.00
� I�c 0TAL'FEES� 211.47
CONTRACTOR: TEL. N0: ;' � y`�/ APPROVALS DATE INSPECTOR SIGNATURE I
G B ROOFING (909) 599-8196- 0`
1317 HANSEL LANE LIC. NO
"> w LOCATION AND SETBACKS
SAN DIMAS, CA 91773 743622 C39 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE 0: {,;/r �I= LI_~ �,, \ `�`�� FOUNDPTIO /TRE NCH FORMS I
II i
LIC. NO ' %_ _�I i I __� �, SLAB/UNDER FLOOR
__ ___l_I IL __�_ i_I I __=`__li_N RAISED FLOOR FRAMING
AP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: �,ii ;; 11', � r, ;;;;� ,�;, UNDERFLOOR INSULATION
144H273 3
? �_'• I'-.J�_�����? `� ! :_= J . �`�' %� ' FLOOR SHEATHING
0. OF FAMILIES: DWEL ING ITS: APT/CO : STAT CLASS:-
NO
ASS•-NO 21 -, -F �� �! - - ---- .!-� ROOF SHEATHING
SCH00 I I -HAZARDOUS )'�1 'J+' �! I 1 �'1 �� SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO �� _, r` .�' FRAME INSPECTION
EQUIRED TOTAL SE BACK RO EXIST-
t.�.•;^�.-'�� I- ` /".:;-- FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: y`,;'6j I_ 1� �yvJ`!•tf"
FRONT PL- �`$'�r 'ICj 1 � �` INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LA D
EXTERIOR LATH I
ATED LOOR CE L ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
1
COUNTY OF LOS ANGEL'S 4 TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC Zlii RKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0101290005
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 19043 LT: 26 SQ. FT STORIES TYPE , 4860 ROBINHOOD AV
STRUCTURE: 0 VN TEMP CA 917804028
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-010-031 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
TENANT: EXIST B DG SE: RESID USE ZONE: R-1 ISS ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/29/01 UT 07/28/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
SCHAUS HAROLD A - 1 7,200 Z-1-191
4860 ROBINHOOD AV
TEMP 917804028 FEES PAID D SCRIP ION OF WOR
TEAR OFF SHAKE ROOF, INSTALL 7/16 OSB SHEATHING, 25 YR.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PRESTIGE COMP. SHINGLE
APPLICANT: TEL. NO:
G B ROOFING INC. (909) 599-8191- AA BLDG PERMIT ISSUANCE 27.75
1317 HANSEL LANE AC STRONG MOTION RESID 7200.00 VAL 0.72 SPECIAL CONDITIONS:
SAN DIMAS, CA D2 PERMIT W/O PEN-:HC'-_----_-_- -7.200.00 VAL 183.00
OTAL
T' .`FEES 211.47
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
G B ROOFING (909) 599-8196- 4'�e' "i•
1317 HANSEL LANE LIC. NO %,� _ °' ` LOCAT 0 AND SETBACKS
SAN DIMAS, CA 91773 743622 C39 ,
V SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: jf: ��i- I {'i \�-- , FO NUATIO /TRE C FORMS
LIC. NOS: i —�" _ i I i SLAB/UNDER FLOOR I
RAISED FLOOR FRAMING
AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
X
1 'i;• � UNDERFLOOR INSULATION
144H273 3
1 4 FLOOR SHEATHING
0. OF IES: DWELLING ITS: PT/CO D: STAT CLASS—.Z --- ---------------------------
NO 211y\-— ��_ /I ROOF SHEATHING ry�
` \ /;;3' 4
SCHOOL WITHIN HAZARDOUS !�� � �� �% 1 �� i_� � - ..,1 ,L', /� SHEAR PANS
AIR QUALITY: 1000 FEET MATERIALS 1 �`.• %
NO NO NO `,` /� =I _`� ;""••c' ,`;: FRAME INSPECTION
SEREQUIRED T BACK YARD: HWY: OTAPROPTLLAINE•CK FRO WIDTH: �` ii- C� '_� .!o' .�;' FIRE SPRINKLER HANGERS
FRONT PL- �� �a- -- +' `/. INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED OOR/C IL ASSEM.
RATED WALL ASSEMBLIES
A ED SHAFTS/OPENINGS
-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508