HomeMy Public PortalAbout5928 ROSEMEAD BLVD_Building__ 76A638A CE#803 3-66
. APPLICATION FOR BIL®ING PERMI''r
COUNTY OF LOSANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY '
JOHN A. LAMBIE', COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP•T OF BUILDING CROSS ST.
DIST ICT NO OR U TYPE P S Y
FDR
APPLICANT TO FILL IN � C CONST.
STATISTICAL CL IFICATION SEWER MAP
928 N. Rosemead Blvd. i CLASS NO.�DWELL UNITS BK �PG d
BLOCK Y USE ZONE MAP �y
NO. O�
0 SPECIAL
N0. OF SLOGS. CONDITIONS '
S� (�3 NOW ON LOT
111.7 '' BLDG. SETBACK FROM
Erick Carlsbn NOL #�T 6-j']86 FRONT PROP..LINE OF -
p "TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS 28 N. RosemeadBlvd. HIGHWAY WI F OM C.L.
CITY T T,T)�P C! BLDG. SETBACK FROM
ARCHITECT OR TEL. ":SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACT/ORZ o' R NO
LIC ADDRESS 600 A.SanGabriel NO 16o65o CORNER CUTOFF YES �' NO
CITY San Gabriel cls C- SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
NEW ADD ALTER REP-/C��i DEMOLISH
SQ.FT. NO. OF NO. OR
SIZE STORIES FAMILIES
USE OF
STRUCTURE ? ►'-oof Hguse & C- Q"' A
with -1 Co n. S ii Tj'les
SIGNATURE OF
APPLICANT
.��
' VALUATION$ '
' ' APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ 00 FORMS,MATERIALS
FRAME, FIRE STOPS,-
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
SUILDI NO CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH.INT.
TION OF THE LAB! CODE OF THE S ATE OF CALIFORNIA RELAT• _
ING TO WORKMEN'S FENPAT1ooyy IN CE. '
�"ln`XOO� O LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PE4tMITTEE =ZA
ND POSTED
ADDRESS a �' G
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M,o • CASH
` N
• 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 1204040002
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 5904 LT: 167 I SQ. FT STORIES TYPE 1 5928 ROSEMEAD BL I
1 (STRUCTURE: 14 V-B I TEMP CA 917801536 1
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: HERMOSA I
15384-016-014 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
[TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-3 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 104/04/12 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: (FINAL DATE FINAL BY: CODE: [
IHERVEY, LINDA (626) 485-3581- 1 2,500 [ [
15928 ROSEMEAD BL I I 1
ITEMP 917801536 I FEES PAID IDESCRIPTION OF WORK [
I [ IRECOVER ROOF 40 LB PAPER & 3 TAB SHINGLES I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I I
APPLICANT: TEL. NO:
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 1
[ IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: I
1AC STRONG MOTION RESID 2500.00 VAL 0.50
D2 PERMIT W/O EN-HC 2500.00 VAL 99.00 1 1
I I TOTAL FEES 128.30 [
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE [
ISAME AS OWNER - [
1 LIC. NO 1 1LOCATION AND SETBACKS I I I
] [SOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS 1 1
1 LIC. NO: I (SLAB/UNDER FLOOR I I I
1 1RAISED FLOOR FRAMING I 1 I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION
I I I
1150H265 3 00 1 I I I
I I ]FLOOR SHEATHING 1 I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
1 0 NO 21 1 1ROOF SHEATHING I 1
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS (� /� I I I 1
1 NO NO NO � 1FRAME INSPECTION 1
000 u' 'oI (JJ��J IFIRE SPRINKLER HANGERS 1 1 1
I I (INSULATION/WEATHER STRIP( 1 1
1 [ 11NTERIOR LATH/DRYWALL 1
1 (EXTERIOR LATH
I I I
[ [RATED FLOOR/CEIL ASSEM. [ 1 1
I IRATED WALL ASSEMBLIES I 1
[ I IRATED SHAFTS/OPENINGS Itj
I
1 [ IT-BAR CEILINGS I I I
I ] I
I I (LOT DRAINAGE I ] 1
I I I
1 (REPORT ID: DPR261 ROUTE TO: BS0508 [ 1 1 I