HomeMy Public PortalAbout5335 SANTA ANITA AVE_Building__ APPLICATION FPR BUIUDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only) r _2 :•
COUNTY OF LOS ANGELES
-ADDRESS — �' ,�,LDING � ,�, .- DEPARTMENT OF COUNTY ENGINEER
CITY ZIP �BUILDING-AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT X NOW ON LOT ADDRESS1�-
TRACT o f �/ BLOCK LOT NO. LOCALITYG
t NEAREST
OWNER VC n �` 0 S NO.L GV .-At 0 CROSS ST. i
n ASSESSOR
ADDRESS t i r �, '�t MAP BOOK PAGE PARCEL
,/ DISTRICT GROUP TYPE FIRE ESSED BY
CITY �/ t �r ZIP lL1O �y �— _ TYPE �J ZONE
ARCHITECT OR TEL. r 7 O _1_ — I�� (,
'c 1tif
ENGINEER F—ov--f /f NO.
STATISTICAL CLASSIFICATION SEWF,�AP
ADDRESS DWELL.
CLASS NO. 0
TEL. UNITS BK
_ PG
CONTRACTORG -� No.Hy6 L` USE ZONE MAP
LIC. V.SPECIAL
ADDRESS Jdt-If, NO. �I 5 7r �� CONDITIONS
LIC.
CITY cot CLASS ROAD DEPARTMENT APPROVAL RE (RED YES ❑ NO ❑
CONSTRUCTION LENDERfr t /!
`rL- BLDG.SETBACK FROM
NAME AND BRANCH Co i
p � � FRONT PROP.LINE OF y`'�- �• - (STREET)
ADDRESS /DQ W! .. CITY (, *r Agj TOTAL SETBACK FROM TYPE OF EXISTING
SO.FT NO.OF /� NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES R� FAMILIES ONE
DESCRIPTION O `80 b NEW + / o �G J p
BLDG.SETBACK FROM oC
r, ADD ❑ SIDE PROP,LINE OF IST ESTI O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
❑ HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH
USE OF REPAIR Z
EXISTING BLDG. IDEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PR NIT) �� TEL
N ^y�L(J
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ U G
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �(
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION,I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM
PENSATION INSURANCE. _
SIGNATURE OF
PERMITTEE °
ADDRESS
µw, J L� FINAL BY
TEL t
CITY II �- C c l /6t TEL 17�L DATE
MAKE CHECKS PAYABLE TO: FE FET
HARVEY T.BRAN DT,COUNTY ENGINEER w) . CJS �� Z j
i
PLAN CHECK VALIDATION cK M.O. CASH _ PERMIT VALJbATION cK�f M.o. CASH
U i� 1cr c:J
,r 3 u 8 5.9 5
/ or :L 52.65h,
(01 76A638A CE#803 3-75 "J �• _' - +D 1 i U y� J `,• '
c-3--'1
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 0505310010
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 32489 UN: 1 SQ. FT STORIES TYPE 5335 SANTA ANITA AV
STRUCTURE: 18 VN TEMP CA 917803626
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-036-019 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/31/05 JK 05/26/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
BUCKLEY JOSEPH A - 3,250
9407 LEMON AV
FEES PAID DESCRIPTION OF WORK
TEAR OFF AND HOT MOP DOWN AND COMPOSITION SHINGLES
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
GARCIA (626) 453-0972- AA BLDG PERMIT ISSUANCE 27.75
11367 LAMBERT AVE AC STRONG MOTION RESID 3250.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE, CA 91732 D2 PERMIT W/O EN-HC 3250.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SOUTH COAST AND VALLEY ROOFING (626) 453-0972-
11367 LAMBERT AVE. LIC. NO LOCATION AND SETBACKS
EL MONTE, CA 91732 830059 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1478277 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
i
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I