HomeMy Public PortalAbout6304 SALTER AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR`APPLIE-ANT TO FILL IN (Print or type only)
BUILDING3 COUNTY OF LOS ANGELES
ADDRESS `�' DEPARTMENT OF COUNTY ENGINEER
CITY v BUILDING AND SAFETn DIVISION
NO OF QLDGS. BUILDING nI
SIZE OF LOT C/-�O NOPONLOT ADDRESS _300 A
A
TRACTloggf% BLOCK LOT NO LOCALLI Y 02
TEL. NEARES
OWNER ),(e_,Q 1 W •(�� NO. .-j CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE EL
DISTRICT GROUP TYPE FIRE PROC SED BY
CITY ZIP � ONST. ZONE \
ARCHITECT OR TEL. V0
ENGINEER NO.
( � _ STATISTICAL CLASSIFICATIONSEWER MAP
ADDRESS �) CLASS N�OWELL•UNITS � am Pu
CONTRACTOR NOL ZONE MAP
LIC. NO.
ADDRESS NO, v SPECIAL
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH BLT.SETBACK FROM
FR NT PROP.LINE OF (STREET)
ADDRESS CITY HIG WAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C
SQ. F NO. F NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C
Ss 1i T s FAMILIES ONE
DESCRIPTION OFFORK �5.. „ NEW e
❑ BLDG.SETBACK FROM
ADD SIDE PROP.LINE OF (STREET)
/ ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYP F EXISTING
REPAIR❑ SIDE PROP. LINE HIGFiW WIDTH
EXISTING BLDG. DEMOL ❑USE OF +
APPLICANTEL f CORNER CUTOFF YES
T' ❑ NO ❑
(PRINT) .) ('� �!�" � N0. �Ip"�3�
IN OPEN SPACE YES ❑ NO •❑
BY (SIGNATURE)
nn 7� IN COASTAL ZONE YES ❑ NO ❑
VALUATION s V V CATEGORICAL EXEMPTION YES❑ NO ❑
1 HEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO �'�^�
WORKMEN'S COMPEN ATION INSURANCE./—)
SIGNATURE OF r'1.LS -/=/.✓/S 2'/ t4G
PERMITTEE �
ADDRESS L3 rJ/r/j7!�Z11-NJ
t FINAL �y /J BY "
TEL. ( � DATE /� i / 9,41
CITY NO. '- Q Q
MAKE CHECKS PAYIBLE TO: FEE $ FEE $
HARVEY,T. BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIOW `cK. ` M O. CASH
6 7>N APR 2.2 1 U 2 1.7 5 ,&S
7GA638A CEp803 7/73
Y • 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 1004190047
PHONE: (626) 285-0488 EXT:
1LEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES TYPE I 6304 SALTER AV I
ISTRUCTURE: V-B I TEMP CA 917801428 ]
IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ]
15383-021-024 I I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
(TENANT. (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: [
(EXIST OCC GRP: 104/19/10 SR
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: J
IMI, XIOIVAN - 1 5,700 I I
16304 SALTER AV 1 I I
ITEMP 917801428 1 FEES PAID IDESCRIPTION OF WORK I
111 VINYL REPLACEMENT WINDOWS SAME SIZE 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
JAPPLICANT: TEL. NO: I I I
JWU (714) 990-9988- JAA BLDG PERMIT ISSUANCE 27.75 1 I
1451 W. LAMBERT RD. JAB STATE GREEN BLDG FEE 5700.00 VAL 1.00 ISPECIAL CONDITIONS: I
I BREA, CA 92821 AC STRONG MOTION RESID 5700.00 VAL 0.57
ID2 PERMIT W/O EN-HC 5700.00 VAL 149.40
1 I TOTAL FEES 178.72 1 I
ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1
IBRYAN, WU (949) 701-8714- 1 1 I
1451 W. LAMBERT ROAD #208 LIC. NO 1 JLOCATION AND SETBACKS I I I
IBREA, CA 92821 899265 B 1 I I I I
I I ISOILS ENGINEER APPROVAL I I I
JARCHITECT OR ENGINEER: TEL. NO: J IFOUNDATION/TRENCH FORMS I I I
LIC. NO: I ]SLAB/UNDER FLOOR I I ]
] [RAISED FLOOR FRAMING 1 I
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ JUNDERFLOOR INSULATION I 1 I
1153H269 3 001 1 I I I
I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS. I I I I I
NO 21 1rROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS 1 EXPMEU
ISHEAR PANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS 1 I I I I
NO NO NO 1 C.1 -- �J/ I FRAME INSPECTION I I I
IREQUIRED TOTAL SETBACK FROM EXIST I / // IFIRE SPRINKLER HANGERS J
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- I IINSULATION/WEATHER STRIP] I I
SIDE PL- I
I IINTERIOR LATH/DRYWALL J ]
I I JEXTERIOR LATH ] I I
I (RATED FLOOR/CEIL ASSEM. I ] I
1 IRATED WALL ASSEMBLIES I I ]
I
I I 1RATED SHAFTS/OPENINGS I I ]
I I IT-BAR CEILINGS I [ I
1 ] ILOT DRAINAGE I I I
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I 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 0705230038
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE 6304 SALTER AV
STRUCTURE: 2200 VN TEMP CA 917801428
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15383-021-024 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, CI
(TENANT: 'EXIST BLDG USE: RESID USE ZONE: R-1 IISSU$D ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: I05/2�/07 SR 05/17/08
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF •NAL T FI BY: CODE:
SONG KANG L;SUN XIAOYAN (626) 287-8276- I 7,900 1
16304 SALTER AV I,
TEMP 917801428 FEES PAID DESCRIPTION OF WORK
ITEAR;OFF & REROOF HOUSE & ARAGE INSTALL OSB PLYWOOD &
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IALMIERLITE TILE SHAKE 2 SK CB 3934 7 CBO ER 2696 5.9 LB
APPLICANT: TEL. NO: I I
ISUNSHINE ROOFING (626) 581-7688- IAA BLDG PERMIT ISSUANCE 27.75 I 1
1516 N. DIAMOND BAR IAC STRONG MOTION RESID 7900.00 VAL 0.79 ISPECIAL CONDITIONS:
DIAMOND BAR CA 91765 ID2 PERMIT W/O EN-HC 7900.00 VAL 183.00
TOTAL FEES 211.54
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SUNSHINE ROOFING (626) 581-7688- I
1516 N. DIAMOND BAR BLVD. LIC. NO ILOCATION AND SETBACKS
DIAMOND BAR CA 91765 755126 I
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IFOUNbATION/TRENCH FORMS I I
LIC. NO: II (SLAB/UNDER FLOOR
I �
IRAISBD FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDEIRFLOOR INSULATION I
I153H269 3 011, I
FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I tee► '"�' ��
NO 21 IROOF' SHEATHING 011 t,
SCHOOL WITHIN HAZARDOUS I SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I I I I I
I NO NO NO I IFRAME INSPECTION I I I
I
IREQIIIRED TOTAL SETBACK FROM EXIST I� (FIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- Ii (INSULATION/WEATHER STRIPI I I
SIDE PL- I I I I
I• (INTERIOR LATH/DRYWALL I I I
I (EXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I I
II IRATED WALL ASSEMBLIES I I I
IRATED SHAFTS/OPENINGS-1-1
i I IT-BAR CEILINGS I ! I
it I
II ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I
I
�76At6��RE�80�4/72 /
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDINGO ,
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onl CROSS ST. `
DISTRICT NO. UPT -PROCESSED B
BUV'LDADDRESS
CONS
SS ' T
STATISTICAL CLASSIFICATION SEWER MKP
LOT NO. I BLOCK
CLASS NO, d f DWELL.UN ITSBK L_PG?F1
TRACT ZONE MAP '
NO.OF BLDGS. I NO.
SIZE OF LOT NOW ON LOT OAA � SPECIAL
USE OF �v CONDITIONS
EXISTING BLDG,
OWNER VI CE Pte- L; NO." jf7 2f/
BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE O (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY �� –' HI,PHWAY WIDTH FROM G.L.
ARCHITECTTEL. -7 �)
ENGINEER NO, 'g �O +
BLDG.SETBACK FROM CL
ADDRESS 'j�,2 P Lu AALA5 7-4 �rLL-N00P A SIDE PROP.LINEOF (STREET) CC
,,I TEL. TYPE OF EXISTING SETBACK HIGHWA + YARD = TOTAL Cr
CONTRACTOR ! W O, HIGH AY WIDTH FROM G.L.L'c
]meq LICF
ADDRESS )!V NO ^/2 6d + �1 6
CITY G°A CLASS ( CORNER CUTOFF_ -YES ❑ NOCONSTRUCTON ❑
NAME AND BIRANCHND RRO - s[ ;lL-- EE.REVERSE SIDE FOR/Sf ECIAL APPROVALS
ADDRESS E=MAI in n a A- � � �
SQ. FT NO. OF NO. OF NEW
SIZE 1900 STORIES FAMILIES /
USE OF ��[[ ADD ❑
STRUCTURE ALTER ❑ �`f
�G �
REPAIR[]
SIGNATURE F
APPLICANT > ,DEMOL ❑
C
VALUATION S �� APPROVALS DATE 1 Ec R's sl ATU RE
F E S/ a 0 FEE S2T �O rOFORMS I MATERIALS
ON
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO _7 9173
WORKMEN'S CO AT`N I SURA CE. LATH, EXT.
SIGNATUR HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS `x0 a1y", FINAL
I`7ql/7z, 't� d
PLAN CHECK VA LION CK. M.O. CASH PERMIT VA /ONCK. M.O. CASH
23 D 14 9.40A Z �
,�(' G 4 2 4?3 APR 6 1 D 249.00-