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HomeMy Public PortalAbout5526 ROBINHOOD AVE_Building__ II APPLICATION FOR BUILDI G PERMI� COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIM, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. R APPLICANT T FILL IN DISTRICT O TYPE Y Print or type onl CONST. BUILDING r� , v STATISTICALIFICATION SE R MAP ADDRESS �J d CLASS NO DWELL•UNITS BK PG LOT NO. BLOCK USE ZONE/ MAP O NO. TRACT CONDITIONS NO.OF BLDGS. SPECIAL SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM TE FRONT PROP.LINE OF (STREET). OWNER NO. TYPE OF EXISTING SETEACK HIGHWAY + YARD = TOTAL ADDRESS '' HIGHWAYWIDTH FROM C.L. ✓ + _ CITY -7—,, ( ,, BLDG.SE FROM ARCHITECT OR TEL. SIDE PROP.LI (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK AY + YARD = TOTAL ADDRESS ��.y / HIGHWAY WIDTH FROM C.L_ CONTRACTOR / `NOL + = p LIC. C� ADDRESS NO. .77 CORNER CUTOFF YES ❑ NO � CITY � CLASS C SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER d NAME AND BRANCH rn ,f Z ADDRESS M_ FT. 4O. OF NO. OF Nay ❑ SIZE `STORIES FAMILIES USE OF ADD ❑ STRUCTURE ALTER ❑ SIGNATURE OF REPAIR APPLICANT ENOL ❑ b VALUATIONS APPROVALS DATE INSPECTOR'S SIONATUR[ SINGING P.C. PMT. FOUNDATION: LOCATION FEE 8 FEES FORMS MATERIALS FRAME: RE FISTOPS, 1 H[R[BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND !TATE THAT THE ABOVE 1! CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCE! AND LAW! REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION. I C[RTI FY THAT IN DOING THE WORK AUTHORIZED H[R[BY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. O LABOR CDE OF TH STATE OF LIFOR 1 IN RELATING TO WORKMEN'! COMP6 TION I RA LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL Z!V72 JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CAIIH _ PERMIT VALIDATION CK. M.O. CASH 2 1 3 4Q3 OGT 6 1 D 9,QQ� TeAeseA ceseo° 6°APPLICATION FOR BUILDI G PER IAft COUNTY OF LOS ANGELES r� BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS `J BUILDING AND SAFETY DIVMON LOCALITY JOHN A. LAMOIE, COUNTY ENGINEER COLISMAN W. JENKINSI •UP'T OF BUICDIHO NEAREST CROSS ST. R APPLICANT T F IN DI IC gBQUP TYPE . PR D Print or only) a CpNST. . BUILDING STATISTICAL C FICATION ER MAP ADDRESS CLASS NO DW ELL•UNITS13K PG I LOT NO. BLOCK USE'ZONE MAP NO. TRACT SPECIAL CONDIT C*4S O.OF BLgGS. SIZE OF LOT f NOW ON LOT F EXISTING BLDG, BLDG•SETBACK FROM - EL F 0 PROP.LI NE OF - (STREET). OWNER O• 18TIN0 8ETDACK HIGHWAY' + YARD T TOTAL ADDRESS HI A DTH FROM C.L. CITY BLDG.SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP.LINE OF (STREET) TYPE OF EXISTING ETBACK HIOHWA -YARD = -TOTAL ADDRESS HIGHWAY WIDTH FFlOM C.L. TEL CONTRACTOR NO. + ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ LIC. CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVAL$ C) DESCRIPTION OF WORK u z NEW ADD ALTER REPAIR DE40LI8H ' SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE O APPLICANT VALUATION ! � #4k APP QVALS DATE IK FEcron'■ --ATUR 7P.C. PMT. FOUNDATION: LOCATION . FEE ! FEE ! FORMS MATERIALS I H[RE1G ACKNOWNEDOI THAT I HAV[ RIAD THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STAT[ THAT TH[ DIMA I• LAND S AND AOR[= TO LAMING FURNACE: LOCATION, SWFTHUIL ALL COUNTY ORDINANCE/ AND /TAT[ LAWS R[QULATINO GAS VENT, DUCTS ■UILDINO CONITR UC710N•,I CERTIFY THAT IM DOING TH[ WORK AUTH ORIZm HERI'Y I WILL SNOT EMPLOY ANY POMfON IN VIOLA- TION OF THE LADOR CODE OF THE /TATE OF CALI FOM IA'RILAT. LATH, INT. IND TO WORKMEN'/COMP[NILATION INSURANCE. LATH, EXT, ' SIGNATURE oz::Z1 O HOUSE NUMBER CR- PERMITTEE btr RECTAND POSTED ADDRMSS,"�)A_Ak FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENO R PLAN CHECK VALIDATION L'K. M.u. cmm _ PERMIT VALIDATION DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO F LIN FOR OFFICE USE ONLY BUILDIN IS.TRR.IICCT//Njy PLAN CK.NO. PERMIT NO. XL ADDREBS }Y 62�:j _ ._. 1. ��j i .r 3 1-9 LOCALITY Los Angeles, CI®an'✓ RE C IV D DA O71 � DATE ISSUED CRosa'. Live Oak Avenue ?'' /d 4 T1 BUILDING +i _ OWNER Linde Finance 8c Development COI`:I ADDRESS MAIL Z" gyp,.,,, ADDRESS 232 So. Beferl Drive LOCALITY NEAREST - - -�J CITY Beverly Hills, CalifTEL.. NO. CR 5-44555-4455CROSS ST. FIRE NO.OFTYPE GROUP' ARCHITECTrC L a3 above TEL. ZONE PLANS ENGINEER �[[QU NO. BLDG. OR O. ADDRESS SETBACK LINE c,,�. APPROVED CONTRACTOR �e as above TEL BY TE USEAPPROVE ADDRESS ZON BY DAT LEGAL CORRECTION DESCRIPTION I LOT NO. BLOCK TRACT 16957 S. SIZE OF LOT 55x305 I rNOW ON LOT none _ USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW =ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p SQ.IZ FT. 3 y.R10.OF 6 1 D SIZE WALL .1.,. ROOMS STT�ORIES ,L,, r COVERING S VuCC'o I COV13 F ERING Dolomite. BUSE O UILDING W Dwelling and attached garage Plan 105-B 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CON TCTION. FRAME: FIRE STOPS, SIGNATURE OF Inde Fi a e ent BRACING,BOLTS PERMITTE _. LATH, INT. AUTHORIZED T n LATH, EXT. 76AS38A-3 7-49 $ C P.C.$ �, /. PLASTER,INT. FEE yy PLASTER,EXT. VALUATION -: G� FIN FEE � — AL ['_6'63BA CE 18Zr9 3­69 APPLICATION FOR BUILDI G P5jWl COUNTY OF LOS ANGELES BUILDING DEFfARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN Dis T N IG:r T ST. PRgfZ9SED BY (PRINT OR TYPE ONLY) / BUILDING 0 0© h STATISTICAL CL2r ICATION SEW MAP , ADORES RLJ CLASS NO. -LXL_DWELL.UNITS BK PG LOT NO. 3 BLOCK USE ZONE MAP �J M 6 _ / N0. p TRACT SPECIAL CONDTIONS SIZE OF LO fr fr NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TBL• FRONT PROP. LINE OF (STREET) OWNER TC NO. TYPE OF'?*&TINQ SETBACK HIGHWAY + YARD = TOTAL ADDRESSHIGHWAY WI ROM C.L� O ,/,goo CITY ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER NO. SIDE PROP. LINE OF - TYPE OF EXISTING SETBACK HIGHWAY + Y TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR TEL. + o N0. LIC. ADDRESS N0. CORNER CUTOFF YES F] NO ❑ l3 CITY CLASS SK4 RHVERSE SIDIS I-OR SP IAL APPROVALS CONSTRUCTION LENDER H, NAME AND BRANCH �(J ADDRESS SQ. FT. NO. OF NO. OF ❑ Z SIZE STORIES FAMILIES KEW USE OF ADD ❑ STRUCTURE ALTER REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT VALUATION �- APPROVALS DATE INSPKCTOR'S SISXATUIIC P. PMT. FOUNDATION:FORM TOA .>C AT FE $ FEE S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, L AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. /}/7` ` SIGNATURE /� LATH, EXT. PERMITTEE, /r HOA ND P STEDR CORRECT ADDRES%���; I ,LLD �l FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.0. CASH a�^ 2 s 1 D 6.00- V _ vS+oRio connPfN�onoirLARbnoN ,y,rlr TI hereby affirm ttta, I hgve a .gerttflate of cornent tq�f# T .�P�PL I CAT f _.�F O R {��1 L �' E R�A�T Insura or a certlflcpte o{`fVork" �ompensatlon Insurgnce, oro'cnrtlfted cody.'thereof (Seer 3800 a C.) - "k! - - 'COUNTY OF LAS,ANGELES SIJIL�I�IGii►Np $�FETY. :t . Pol[q No. '. -, �.,! T mpgn - - - - - 1 Certlfled-copy-Is herby furnished.,'' FOR.APPLICANT TO FII! IN BUILDING• _ '... ADDRESS saN-1 er0ad copy Is filed *Ith the coutifk bulJding rn»}?xK91JILDiNG -T ; /� t • F�•'� 'tfotL,�e¢7rtrh"ent:' 'i ADDRESS f • DatIF; Appl1cdnt CMY Zip'" t CERTI F4CATE OF FXEA�Ti RS' - --_.- _ _ -NO.-OF BLDC&�- - - - tEARESI - ^ COidPENSAtI ON I NSU RANCF sJ�of Lor NOW OrF LOT (.I-hhs•'sectlp)in*ed&not be completed if the'paem[t Is:for oneASSFS�OR bundred dollars,(x�AO}or-lea,) LL TRACT- BLOCK LOT NO. MkovocoZ- F. q(3F', P TB- r rtffy,f of J ihA �isrfprmance gf.ihe wgrlc_Yor.vC 4t!„tfils - OWNER ea ' `NO. permit Is Its •I abalr not a pYoy tlriy perkor In dny mgnher s15 6 to becbitie sabjgct to't�eiYVorite+s Compbnsafron laws. �� � COt1D[iTONS pQte<'''i •, p,,�, cm�- - - - - - DP NOT1 `TC'APPLICAF4r-: ,'•afteF maklnq 4hls Lertlflcate of '�HTkT CM2 '' [)tSTRECi. _ DPE.� t. -_- ._. !.RR> _. "BY.. ZONF uerriptrgf,,'you ,should becofr ea sub[aV-to-' the}W oAc&ri tJb.. CCk�ST' Compensatlbn prpvlslons,of t}re Labor•'Code;.ymu•must fart - .Y1.1". _ ,`K L'.I. T. -i�✓ -- yvJth cor>3pfy with 'sash;provlilora'or•thra'tpermlt,shall�e - - - - 1 deetfipd jj!PTE5�U i;py .. ;4 •. t..... ti corrl�Ac7oQ oL6 STATISTICAL ars l I 1 1 I _APr. �y,,, UCEN&D CONTkACTORS DEEL4RATK)R- i y , 1 - L1C - CLASS NO. DN9 L�LiNrr5� I hdrpby affirmJ,�••dt.I cm IIoer}sed u P Ylalarm of Chapter 9 Al)ORf55 40i�r - (mrntner>cJnp wFit�SecUq,1-/1�)of Ort i of the&nlnen artd J- -- - -' - - .LIG _ SE�VFR MAP s.laru'Co¢p,.dnd'tAy'Irk Is Ire fU(I �orc att¢effi t. CITY Rt6te4 I eic pG. r 1vAioATan"'__ �- SQ:FT.___ NO.OF NO•..AE Ea L�cp Jer Nmb � �Ic CI Cs• - 51� F ern - 04 - l i• a: :,a•,• ,r. an t DESCRIPTION OF WOW E $�� .- - - r - ADb am exempt undbr Sec_ B.&P.C.•fbr tt itsas reon '. 'RfPAR - -Datil D(ZM NG BLDG. MAIL (PRINT-)Ignatu MO ER IIDER DEClARAT10N _ _ _ DA1Fr -lhera6y tlwtd"a exetP4from.the.Contractor's11cons* ADDRESS J r . Z •; R, Law-for followtfi�rbas6rf'(Settlod 7031,5,-Buslnea and o-.7-$-0 f1• BUILDING 1 I I, as owner of the property' or my employees''y✓lth ADDRESS.- -- - _ _ ;Y- ''o o'o,~f ab 0� wages as their sole comp fj a Ion,wrlll do the wpic'and the structure Is not Intended or offered for sale(Settian LOCALITY 7f}A4,'Binlnea'pndProfesslor)FCodek.. _ TING' -- TEL - _p., i. -•- a 25+,85 1, as owner of that property, am exclusively cgntr66In9TRACTOR wJth ilcensed--contractors to construct-the-proled(Sec- - - tion 70441 Busln6saand Profbssiono Code). 's'�� CONSTRL1CT10N LENDING AGENCY - gsFInyssflgatton � 'YARD 'IWY TOTALPROP. UW DTH I hereby dfflrm that there Is 9 construction lengIN agency for the pdrforrrrdixe of the,work for which this pi>Kmit Is issued -P.E. - - - -- (Sbc. 3097, Civ. C.). SI Lenders Name - - _ - FiJ LDMA Ref.-{ - tonde�apddriss tt 1_certtfy that.I.hcrve read this applicatrbn_and state that the twuanc.'Fee LbMA'P/Cabove Infwrrwtion h corFect. I agree to cprri }y.with all CountyFee ®( 4q4a9 .and s5tate Iarv_rgl8tlny t4.l�yll ing�gnshyctlgn, ` l Total fsi KA LAMA perm. ;. .and aVtFkxi - ntaHves of this County M enter u e abov tl property for Inspection purposes, - `" s� so WMW MOR DMAWATORY L/tWWAGti - 7 .. 5 Appikmt orAgent { APPLICATION F, OFC BI�ILDING PERMIT l ,. COUNTY OF LOS ANGELE� BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm that I have a certificate of consent to self insure, BUDING ADDRESS or a certificate of workers' Compensation Insurance,or a certfled Rod/A//Y0o D copy thereof (Sec.MOO, Lab.c.) —p m'p l e Ci T l( C A. I ZIP LOCILLJTY Pdlcy No. C+oT>PRrry 812E OF LOT NO.OF BLDGB.Now ON LOT ❑ Certtfied copy is hereby fumfaFied. r775ST— l NEAWSf MOSS SF. LOT NO. d9partnerILElfil CertlW copy Is ed with the county bulldlnp Irtepectbn TAT BLOCK . USE ZONE MAP NO. Date Applkant ASSESSOR MAP BOOK PAGE R4AC.E1 5 6 l$ v Q 5 9PEClAL rotor rloNs OWNER TEL Nc I CERTIFICATE OF EXEMPTION FROM WORKERS' ..51 V }>1&1V CNNoR g/g 35 740/7 WfT11 N 1000 Fr.of scr,00L, YES NO COMPENSATION INSURANCE (Tula seotlon need not be completad If the permit Is for orb hundred ADDRESS 6/5' E L&Moq/ A1�c oI9TTacT Gr-aLIP TYPE coNST. FRZONE rE PRocesseD BY dollars ($too)or lase.) I certify that In the performance of the work for which this permit C>f1 ZIP b lamed, I shall not employ any person In arty manner so as to M o A/RO 1/14 AACrGTECT OR ENGWEER NO. become oubJect to the Yrbrtrars'COrrtperisatlon Laws SP,T"TK.AL ✓ APT CONDO Date Ap;NlcE t wotE88 CLASS NO. � W ELL UMTS NOTKE TO APR-CANT- If, after makkV this Certfflcata of REOIARED TOTAL SETBACK FROM EXIST Exemption, yoU should become sub)ect to the Vkrkars' CONTRACTOR TEL NO. SET BACK YARD FM1yY PROP LIE wII1lH Compeftsaflon provisions of the Labor Code, you aunt forttrklh OWA/6R FRONT comply with arch provlelons or thio permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SI DE OT'rY L1C.CLA88 P L I hereby affirm that I am Iloensed underprovtabra of Chapter 8 SEWER MAP (commenotrq with Section 7000)of Dtviolon 3 0(the Bushtess and 90.FT.ffiF NO of 9 NO.CF Mn FAJES Profeaslone Code,and my Llcenae Is In full tooe and effect 231 ST- NEW ❑ BK PG �- oF vvoRx p D p {� wu u aloN t1 Licerlae Number Luc. Class popQ Contractor Date ALTER ❑ $ 'db ElI am exarrpt under Sec. RE R ❑ RAP.C.for this reason ❑ LDMA P/C• Date: USE OF EXISTM BLDa URM ❑ \ ?? a sr�re kttsid�.n _ � APPUCAN f R�JT J TEL DMA Perm t I, as owner 1 W of the property, o wages 8;B employees with wagas E C 0 7 C f -1 Z 1V•CT.T them scie compensation, win do the work and the strwb-e b ADPFtEBS 0 330t 50.50 not Intended or offered for sale (Seotion 7044, Buidness and 161 V TLxLkm AVE FINAL DATE Profeaebrte Code) -` V Tnf AF CANT oR FUTURE 9 NG OCCUWU HMOLE A HAZARDOUS AYSETIAL l l 7� ❑ ee owner of the OR A k4XT FtE COKPIiJG A HAZARDOUS k4-JE t1M.EQUAL TO OR OFFQE7 TF"THE property, ant exckxdyaty corrtraceng with ArlrouNTs aFP ON THE RAZIFDOUe WTEFMLS IFORMUION GUIDE? FINAL BYY A�XT.T kerteed contrraotors to corotruot the pro}ect (Sectkc 7044, YES❑ NO'KI �} Bualness and Profbaslorrs Code.)a� NLL TFE WENDED USE OF nFr-E IDM BY THE APFtr-A T OR FUTURE Fr■DNG L��1V,.1 396.45 OCC~REalE A PMW FOR CONBTRUG710NoR FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY"'Ax'aBAIENT O°TRCT ISJOMDI SEE PBVATTM CHECKUST FOR .2 ITEMS I hereby affirm that there Is a cone uotlot lending agency for YES❑ NO TOTAL 446 - 95 N the performance Of the work for which fhle pEvm ft Is issued(Ser. I HVYE FEAR THE HAZARDOUS LWTFIALa IFOHA40N GIDE AND T}f�cu�►o PEAATTNO �{I 1 l[ m 3097,Civ.C..) CFECXLW.I UNDEFJ T M MY REOUI E ENTB UIOE77 of LOB.woE1FFs cOUNry cOOE t.(� Taj. TITLE 2,a-64 T 2-M SECTOND 22a 100 nNOUai 220.140 OONCBWW FMZAFDOM . Lenders Name NVTEFL"FEPORTNO AND FOR OBWOOi A PI!FW FFOM THE SOJOIO. M1ALtfS .Ilrl Larder's Address 0 oval OR rmrr I certffy that I have read this apptloation and State under pertatty fiv d perJury that the above Irnformatlon Is correct.I agree lo corrpty P.C.FEF �f, �.t PERMIT FEED Wr�rw,i { ! 7/?4 4 with al County ord wises and State laws relating to bukMV C� •J v O i V1.�.RJ—LJU..I 1 if conatnction, and hereby authorizz rapresentative of &JB Canty ISSLIANCE FEE 3351 1 AM 9:17 to enter upon rth�e-ebov -- property for ktap-bon purposed / -01 V 4f�7 .4r7 1-7-Y M/EBTIGATION FEE TOp,1.FEE / . Y 90. d oc �/b+ fQ SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PL13LIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL D508 0401060036 f PHONE: (626) 285-OAW EXT: LEGAL 10: NO. OF CONST NEW BUILDINn ADDRESS: TR: 16957 LT: 83 SQ. FT STORIES TYPE OCCUP GROUP 5526 ROBINHOOD AV STRUCTURE: 665 1 VN R3 TEMP CA 917802718ASSESSOR INFORMATION NUM-BER: 8586-018 045 GARAGE: NEAREST CROSS STREET:`{ir ~' OTHER: 300 1 VN R3 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C TEMANT EXIST BLDG US E: USE ZMr7— ISSUED ON: PROCESSED BY: EXPIRES ON: . EXIST OCC GRP 06/29/04 JK 06/24/05 OWNER: BLDGS. NOW CIN LOT: VALLIATT5T-- FI , DATE F I NAL 13Y: — SIV H (626) 357 6017 64,00 5526 0 722. J /^j 5526 ROBINHCOD AV ( /V TEMP 917802718 FEES PAID DESCRIPTION OF WORK APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD FAMILY ROOM, BEDROOM & BATH, REMODEL 2 BDRMS & DINING HUANG (626) 452-9190- 81 PLANCHECK W/ENERGY 64000.00 VAL 878.38 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 64000.00 VAL 6.40 B2 PERMIT W/ENERGY 64000.00 VAL 1,033.40 MNTP,ACTOR: TEL. NO: TOTAL FEES 1,943.43 APPROVALS DATE IMPECTOR SIMZkTDRT-- HUANG TENG-TSAN (6=6) 452-9190- f 5423 hALIFAX RD LIC. NO LOC-ATION AND SETBACKS TEMPLE CITY, CA HOME ' ARCHITECT OR ENGINEER: TEL. NO: FOLINDATIGNrTRENCH FORMS CHEM DAN (909) 598-8858- 20548 VEJAR LIC. N0: WALNUT, CA 91789 047140RAISED FL5W7i-TUURT0 f� �—� KAP NO: SEWER MAP BOOK 7--�- FIRE ZONE- Cmp: UNDERFLOOR IN99DOTM- 3 01 NO. OF FARTEM: DWELLING UNITS: APT/COND: STAT C[Br-.-- IST LEVEL FL55W-9RD0'F.-- NO 21 WL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPr.-7RME INSPECT REQUIRED TOTAL SETBACK FROM EXISr— BLDG DEPT. FRAME IKSPEC—T SET BACK YARD: HWY: PROP LIME: WIDTH: FRONT PLSHEAR PANELS - SIDE PL- REPORT ID: DPR261 ROUTE TO: BS0508