HomeMy Public PortalAbout6221 ROWLAND AVE_Building__ VISION OF BUILDING AND SAFETYb,Department of County Engineer
County of Los Angeles �7
WM. J. FOX, COUNTY ENGINEER I ,� APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING �/ DISTRICT NO. PLA�NN CK.DR REG./NSD. PERMIT NO.
ADDRESS -S _ OJ �� r �/���.✓
RECEIVED BY DATE OF"Pi- DATEISSUED
LOCALITY
LOCALIT n ;5 Q r0/ill.Sq /'oZG Sf����/.� 1-✓��/f�°-'1
�BUILDING
ADDREBB �.[�� /Vd /1 G(J
OWNER .T OVI A i7/ f% to / J
MAIL LOCALITY/TT f174x- (' /4i
ADDRESS Of j! ;5:h' ! eC r".' ND:AREST /
CROSS BT.
FIRE I NO.OF I TYPE / ' I 13ROUP �
V
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. BLDG. e• / OJ2D. NO.
ADDRESS
SETBACK LINE
-
UEE APPROVED
TEL ZONE/V / BY DATE
CONTRACTOR NO. HOUSE NUMBERING
ADDRESS MAP NUMBER �O O� NO. ASSIGNED_8Y
LEGAL � CORRECTIONS
DESCRIPTION LOT NO. `J 5�-' BLOCK
TRACT / xf n p _2 h ! 1
NO. OF BLDMIL !/=1;� !./j
SIZE OF LOT ,��' X n t� I NOW ON.LOT CC
USE OF I NO.OF
-'�—
EXISTING BLDG. I FAMILIES Vt
DESCRIPTION OF WORN
NEW +/ ALTERATION ADDITION Z
D
REPAIR DEMOLITION r
9p.FT. NO.OF
_SIZE / 7/p . _ ROOMS STORIES
EXT.WALL ROOF
COVERING �� 7►-/l e p_ OI COVERING Vil , e, (�
USE OF STRUCTURE ,/ /7
r
A F: /4- r
INSPECTION FOR APPROVALS
OCCUPANCYAS INBPECTOR'SSIGNATURE DATE
FOUNDATION: LOCATION `^`
/ V
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
FORME. MATERIALS
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOP
BRACING.BOLTSB,
CORRECT. 6
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANDES FURNACE: LOCATION, '
AND STATE LAW REGULATING BUILDING CONSTRUCTION.
j GAB VENT.DUCTS
SIGNATOR OF �,�` Yeti_ �t"� LATH, INT.
PERMITTr_rl.!�eel' - tl T—
/ LATH. EXT. 1 % ✓
ADDREBB
r
PLASTER, INT.
AUTHORIZED ABT.
/ PLASTER, EXT.
FEE N1,7 HOUSE NUMBER COR-
/ r1 RECT AND POSTED
VALUATION (y 5 3[ )1, �-/I I •.
REE FINAL �:.1r��Gw¢�.E'.�t 12' 3-�...
,
7GA630A DBB 3 1-52
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
F
INGL y v COUNTY OF LOS ANGELES
Ess DEPARTMENT OF COUNTY ENGINEER
/ LL C! zIP BUILDING.AND SAFETY DIVISION
NO.OF BLOGS. BUILDING
SIZE OF LOT, - y/ NOW ON LOT ADDRESS 92 -Avvm f
TRACT0 BLOCK LOT NO L06ALITY iTE NEARESTI
OW NE2reS F 1CrrW NO ZZ� GROSS ST. r,•-.. '�w
ASSESSOR
ADDRESS62 �/ (3� ��// MAP BOOK PAGE PARCEL
/�- ` ! DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY! ' LL C r ZIP y CONST
� ZONF�
.(
ARCHITECT'C5R TEL. �•a ` �! C �`f yr1,.s
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO..Z/—DWELL,UNITS BK PG
CONTRACTOR �J s�lS/ NOL r� USE ZONE MAP
( ADDRESS� PA ffv -'c N0.
O. ZZ /3 ,� s /h� h SPE AL
CITY LIC. / AJG CONDITIONS
^on'llC cC ` LASS ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO
CONSTRUCTION LENDER /
NAME AND BRANCH I- C=- BLDG,SETBACK FROM
FRONT PROP,LINE OF (STREET)
ADDRESS CITY
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
❑ +
DESCRIPTION OF WORK NEW
ADD BLOG.SETBACK OM (STREET)
d 029:7-10SIDE PROP.LINEO
_ ALTER HIGHWAY + VA RD T L SETBACK FROM TYPE OF EXISTING
REPAIR❑ PROP. LINE HIGHWAY WIDTH
USE OF + _
EXISTING BLDG. [�lY DEMOL ❑
APPLICANx TEL CORNER CUTOFF Sr❑ NO
(PRINT) T L S4 0 v j.3(0
BY (SIGNATUR ) 62(�� I OPEN SPACE YES NO
a IN COASTAL ZONE YES NO
VALUATION•Y CATEGORICAL EXEMPTION NO
I HEREBY ACKNO EDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY 1 WILL NOT OY Y PERSON IN VIOLATI OF THE
LABOR CODE OF S T F CALIFOR IN R L TING TO
WORKMEN'S COM N TI N RANC4.
SIGNATURE O
PERMITTEE
ADDRESS
��!!���� �/f TT FINAL BY /J
CITY (/��fAG.�To. ' DATE 20 - S�
MAKE. C! ECKS PAYABLE TO: FEE FEE W
HARVEY T. BRANDT. COUNTY ENGINEER
41>
PLAN CHECK VALIDATION CK. M.O. CASH ® PERMIT VALIDATION CK. M.O. CASH
7 7 7 rJUtJ .16 1 D 1 5.0.0 49
76A638A CERB03 7/73
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 1308120041
PHONE: (626) 285-0488 EXT:
[LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 18002 LT: 24 SQ. FT STORIES TYPE 6221 ROWLAND AV
I ISTRUCTURE: 2200 V-B I TEMP CA 917801725
ASSESSOR INFORMATION NUMBER: II NEAREST CROSS STREET: WENDON
15385-025-027 1 I t THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY CAI
[TENANT: IiXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: 108/12/13 SR
(
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF E FI CODE:
]UCKELE VINCENT (626) 215-0274- I 8,500
16221 ROWLAND AV I
TEMP 917801725 FEES PAID (DESCRIPTION OF-WORK
IREROOF INSTALL O.B.S. 7/16 / REMOVE OLD ROOF INSTALL 30 YR
;FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ILANDMARK CENTAINTEED INSTALL #30 ASTM UNDERLAYMENT FELT
APPLICANT: TEL. NO: I (ETC
ISAME AS OWNER - ]AA BLDG PERMIT ISSUANCE 27.80 I-
]AB STATE GREEN BLDG FEE 8500.00 VAL 1.00 ISPECIAL CONDITIONS:
]AC STRONG MOTION RESID 8500.00 VAL 0.90
ID2 PERMIT W/O EN-HC 8500.00 VAL 199.80
_I TOTAL FEES 229.50
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
LIC. NO I (LOCATION AND SETBACKS I I
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ]FOU-NDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] JUNDrRFLOOR INSULATION
I I I
3 00 1-- 1-1
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. I I-_ I I
NO 21 I IROOF SHEATHING
I I I-_ VW)I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I_ I I 1
I NO NO NO I ]FRAME INSPECTION I ]
I I IFIRE SPRINKLER HANGERS I I I
I I ]INSULATION/WEATHER STRIP] I I
I I IINTERIOR LATH/DRYWALL I I I
] I I
I ]EXTERIOR LATH I I I
] I I
IRATED FLOOR/CEIL ASSEM. ] I I
] IRATEb WALL ASSEMBLIES 1
1 1
I OHRT SHAFTS/OPENINGS I I I
I ] IT-BAR CEILINGS I I I
I ] ILOT DRAINAGE I I I
I I I
—IREPORT ID: DPR261 ROUTE TO: BS0508 I I
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 1104200003
PHONE: (626) 285-0488 EXT:
(LEGAL ID. NO. OF CONST BUILDING ADDRESS: ]
TR: 18002 LT: 24 SQ. FT STORIES TYPE ] 6221 ROWLAND AV I
] ]STRUCTURE: V-B I TEMP CA 917801725
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15385-025-027 I I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
I (EXIST OCC GRP: 04/20/11 SR ]
(OWNER: TEL. NO: ]BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: ]
ILEE, LILLIAN (626) 287-6488- 1 6,000 1I
16221 ROWLAND AV ] I I
ITEMP 917801725 1 FEES PAID (DESCRIPTION OF WORK i1
I I IREPLACE ALL THE WINDOWS TOTAL 15 WINDOWS 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSIIANCE 27.80 1
1 IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS:
I IAC STRONG MOTION RESID 6000.00 VAL 0.60 1 1
I ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 I
I I TOTAL FEES 179.10 ] I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ]
ISAME AS OWNER - 1 I I
1 LIC. NO 1 1LOCATION AND SETBACKS I I I
I I ISOILS ENGINEER APPROVAL I ] I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 (FOUNDATION/TRENCH FORMS I 1 I
] LIC. NO: ] ISIAB/UNDER FLOOR i I I
I ] IRAISED FLOOR FRAMING 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J ]UNDERFLOOR INSULATION I I I
1153H269 3 001 1 1-1 I
I I IFLOOR SHEATHING ] I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I ] I I
1 NO 21 1 1ROOF SHEATHING 1 I I
] SCHOOL WITHIN HAZARDOUS ] ISHEAR PANELS I I I
LAIR QUALITY: 1000 FEET MATERIALS ] I I I I
1 NO NO NO 1 IFRAME INSPECTION ] I I
1 I 1FIRE SPRINKLER HANGERS ] I I
I I ]
I I (INSULATION/WEATHER STRIPI I I
I I INTERIOR LATH/DRYWALL I I I
� I I
] 1 (EXTERIOR LATH I I I
] ] I
1 1
IRATED FLOOR/CEIL ASSEM. 1 I I
I IRATED WALL ASSEMBLIES ] I
1 I IRATED SHAFTS/OPENINGS ] I
I ]
] ] IT-BAR CEILINGS I I I
I
] ]LOT DRAINAGE ] I ]
I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] I
I I I I I