HomeMy Public PortalAbout5813 ROWLAND AVE_Building__ (55 76A68811&1 1
CE'F/80:iI-JV.6/-78) •-
APPLICATION FOR, BUILDING PERMIT_
COUNTY OF LOS ANGELES BUILDIN D SAFETY
FOR APPLICANT TO FILL IN
BUILDING
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BUILDING
ADDRESS a/ :�&cc, � .141,A LOCALITY -
�.. NEAREST
CITY M VA! 6 ZIP.- ?/790 CROSS ST. GfJO
No.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PAELCEL
DISTRICT GROUP TYPE FIREPRO SED BY
TRACT BLOCK LOT NO. O CONST. E
TEL V �'
OWNER 7— N0.,2 F,S .
/ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ZaiL� CLASS NO. 12� DWELL.UNITS_�j BK PG
CITY G "' 'zip 7,V40
ARCHITECTOR TEL.
ENGINEER NO. VALUATION $ 7 D'
- '
ADDRESS BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STREET)
CONTRACTOR . NO: YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY, +. _ -FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS 64 NO.
LIC. + _
CITY 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. � NO.OF NO.OF CHECK + . _
SIZE �-/JC STORIES FAMILIES ONE cc
DESCRIPTION OF WORK NEW P.C.Fee$ Permit Fee
ADD Issuance Fee us
ALTER ❑
REPAIR ❑ Total Fee . 7j
USE OF DEMOL. ❑
EXISTING BLDG.' ZC
APPLICANT ! TEL A
(PRINT) S NO.
BY(SIGNATURE) +' '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AN
APPLICATION• D?STATE, -Y -
THAT THE ABOVE IS-CORRECT AND AGREEYO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE'. _
WOK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VI
ROLATN OF
ON V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-" Z ;9 6 632A
PENSATION INSURANCE r -
SIGNATURE OF 2 0 - 5200
PERMITTEE'
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ADDRESS - _a-- •-O o'o o .5 2.-0TEL' l:v
CITY °`� NO. 3 C 0 91 2-79
USE ZONE NOP• Q "''
SPECIAL '
CONDITIONS .
FINAL 4-Z3�� BY
DATE "'r �t.J....�_ .
DEPARTMENT OF BUILDING AND SAFETY APPLICATION' FOR PERMIT
_ COUNTY OF LOS ANGELES ; ' C D 1 N G
M. J. FOX, CHIEF ENGINEER r
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING `yam �J �.r,/ Q'/� DIBTRICT�10. PLAN CK.NO. ''P�ERMI/IT++NO.,
ADDRESS � � — e iC,®f+�/1 Kid ') -L (F C c
LOCALITY / eto�����)Q��A���/��/ RECE/!)VED BY' DATE orAPPL. q DATE ISSUED
NEARESTf�lK�7 6.f . ail/ l .+-� y ►d L/I
CROSS ST. �v
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BUILDING
OWNER ! '� d. !M^fe% �. �b����d ADDkE99
MAIL ���/j�� ��II }/qq LOCALITY
ADDRESS �� jG0�i/�(ca 414
NEAREST
/ ��j�iYe( ��Y NO. CROSS ST.`. - 'vZ'� -C-��..•� -�7��,
CITU FIRE NO.OF TYPE ' GROU
ARCHITECT OR � // TEL. ZONE �'� PLANS
ENGINEER A10AA NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
�,s7 w� TEL APPROVED
CONTRACTORi� � �/��I01'9 ND.� +�7.6e 7 BY DATE
USE (r/�� {/
ADDRESS ?472, �u���„`,/(r'Y ® �+�. ZONE"� / By DATE DATE
LEGAL
DESCRIPTION I LOT NO.�ke" BLOCK " �/ CORRECTIONS
TRACT C. (
NO.OF SLDBS.
SIZE OF LOT) �l�t/� ,7 : 4 I NOW ON LOT
USE OF � �/4�„/4 NO.OF A NO.OF
EXISTING BLDG [�fl !s. flf FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
D
m
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
SIZE ROOMS STORIES D
WALL ROOF r
COVERING I COVERING
USE'DF'NEW"
BUILDING'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION:LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING B
FRAME: FIRE STOPS,
UILDING CONSTFeUCTION. —
�/7 /
SIGNATURE OF a BRACING,BOLTS /l J
PERMITTEE �f LATH,INT.:
AUTHORIZED AOT- •`�" ��� '� -
LATH,EXT.:
• DSS-3 SUM SETS 1-4B $ P.D.6 PLASTER,INT.
Ld FEE PLASTER,EXT.
s� CC t
VALUATION FEE FINAL
P s Q6A63&*',.
CE#803(REV.1 I/78) '
APPLICA ON R BUIL E RM IT
COUNTY OF LOS ANGELES DING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING �/ry
ADDRESS
BUILDING -
ADDRESS LOCALITY G
NEAREST
CIT �� (i ZIP CROSS ST. �J
O.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL"
DISTRICT IGROUP TYPE I FIRE PR D Y
TRACT BLOCK LOT NO. CON S:'TO_�'
el
OWNER
STATISTICALCLAS FICATION SEWERMAP
ADDRESS44 CLASS DWELL.UNITS _ B/'"J/ZG
CITY �Z ZIP
ARCHITECT OR TEL. VALUATION
ENGINEER NO.
ADDRESS SETBACK
FFRONTPROP LANE OF L `GISTREETI
. �/_, �
CONTRACTOR � ;� O. TOTAL SETBACK FROM TYPE OF EXISTING
LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS �A ' O.PZ�'Sooe + 41
/J
LIC. /CITY L,r CLASS r
CO STRUCTION LENDER BLDG.SETBACK FROM
SIDE PROP.LINE OF (STREET)
NAME AND BRANCH
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 4
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH G
SO FT NO.OF NO OF CHECK + _
u
SIZE STORIES FAMILIES ONE 0
oe ❑ UZO�d MAP ®�
DESCRIPTION F WORK NEW NO. i
SPECIAL
ADD CONDITIONS I N
ALTER ❑ FINAL BY / Z
REPAIR ❑ DATE ' ��- C
USE OF DEMOL ❑
EXISTING BLDG. Z
APPLICANT TEL C
!PRINT) NO.
O
BY(SIGNATURE)
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE m,,�
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES w
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN_S COM- - Z
PENSATION INSURANCE.'
SIGNATURE OF '
PERMITTEE _
ADDRESS 2gl `
Z
r E L. O
CIT N
P.C. Fee$ Permit Fee >
r
Issuance Fee
W
Total Fee/�5 D
COUNTY OF T'OS ANMES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0606300009
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 6561 IT: 408 SQ. FT STORIES TYPE OCCUP GROUP 5813 ROWLAND AV
STRUCTURE: 640 1 VN R3 TEMP CA 917802239
ASSESSOR INFORMATION NUMBER: GARAGE: 431 1 VN U1 NEAREST CROSS STREET:
8587-030-026 OTHER: 525 1 VN U1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
TENANT: USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
11/17/06 JK 11/12/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F NAL DATE FI CODE:
NGO, ROGER (213) 910-0442- 81,450
5813 ROWLAND AV �
TEMP 917802239 FEES PAID DESCRIPTION OF WORK
NEW GUEST HOUSE IBR/lBA W/ATTACHED 2 CAR GARAGE AND MAIN
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: HOUSE DEMO (E) GARAGE AND BUILD 2 CAR GARAGE W/LAUNDRY ROOM
APPLICANT: TEL. NO:
SHEENA (213) 910-0442- B1 PLANCHECK W/ENERGY 65750.00 VAL 896.90
5813 ROWLAND AVE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 AC STRONG MOTION RESID 81450.00 VAL 8.15
B2 PERMIT W/ENERGY 81450.00 VAL 1,229.42
TOTAL FEES 2,162.22
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NGO, ROGER (213) 910-0443-
5813 ROWLAND AVENUE LIC. NO LOCT_TION AND SETBACKS
TEMPLE CITY, CA 91780 NONE
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS !7
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1508269 E 106 3 01
1ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO O1 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEP FRAME NSPECT
SET BACK YARD: ENY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS i
SIDE PL-
INSULATION/WEATHER STRIP
�.
INTBRIOR LATS/DRYWALL
I QC '( \� EXTERIOR LATS��r LOT DRAINAGE
SMOKE DETECTION DEVICES
\ 444 FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508