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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