HomeMy Public PortalAbout5421 SANTA ANITA AVE_Building__ IDs 76A638A
CE NBD3(REV.11/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FINGOR
gAPPLICANT TO FILL IN , ADIDRSSLDING_ ,.k/�1 rS N / All i�
ADDBUILDR SS Stij I �A# N LOCALITY /�/l� 644
NEAREST
CITY ZIP C O ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PRQCESSED BY
TRACT BLOCK LOT NO.... r�` (, /r�� �j ` CONST ZONE
OWNER lQif 1 dw el-l !• NO..SS�2-vlJd LJ -o �'( 3
e�
�• STATISTICAL CLASSIFICATION SEWEERR MAP
ADDRESS A? I V•AlC. >� CLASS NO. ELL.UNITS1311119 �Y9CITY u2 1 +dZIP
ARCHITECT OR ,JTEL. VALUATION
ENGINEER ,✓ f v V
ADDRESS 1 /''' ] q y BLDG.SETBACK FROM
CONTRACTOR I�- NJ7• K!• NO.33/-003tf FRONT PROP.LINE OF (STREET)
rr j a`' HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING .
ADDRESS Af.1 I �� I � NO. J .7 y Z• 'n FRONT PROP.LINE HIGHWAY WIDTH
CITY (.[?2//.1/ CLASS V + -2() 10,4
- 2(� f
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING
ADDRESS CITY SIDEVROP.LINE HIGHWAY WIDTH- Q
SQ.FT. NO.OF NO.OF CHECK + = V
SIZE STORIES
/�?C !/f/ FAMILIlSad
/ ONE � Q
DESCRIPTION OF WORK KeL y �Y NEW ❑ USE ZONE MAP b b l
r L ADD ❑ SPECIAL W
,f 1p F. EE s (',Sz L„/' C/); 1pf. /.#-, CONDITIONS y
IJ 2�A I �A 67rCr2 G f!Z ALTER ❑ FINAL - ,+° +�� - --��
` % AIR m DATE( }�' BY % Z
USE OF DEMOL ❑ Cd ^CCC###
EXISTING BLDG. + r
APPLICANTQ ` �j�j caJ
(PRINT)
�2tL.Cr TEL
NO. 3 3�-GO a
O
r
BY(SIGNATURE)'
IHEREBY ACKNOWLtDGE THAT I HAVE EAD THIS APPLICATION AND STATE x 2 0 5 3.8 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V # o 0 0 0 0 1
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- Z
PENSATION INSURANCE.- g 2 0 0 6 1.00
SIGNATURE OF � d o.o o 6 1.0 O v
PERMITTEE
ADDRESS--/-d &7/ Z 0529r-80
TEL. // O
CITY �u9 NO. -V o 33
O
P.C.Fee$ Permit Fee L >
r S—
Issuance Fee
W
• 6
Total Fee
a
'BA638A CE#803 8-63 APPLICATION•' FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �.
DEPARTMENT OF COUNTY ENGINEER ADDRESS p2
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. L\
DISTRICT NQ. G TYPE D B
QIr c T.
FORT APPLICANT TO FILL IN
BUILDING STATISTICAL CLA IFICATION WER MAP
G��
ADDRESS CLASS.NO. DWELL.UNITS ^P't,7 L
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED ❑ RECEIVED
TRACTO AP 0 HIGHWAY
MAJOR
STAT ECOND,LOCAL
NO.OF HLDGS.
SIZE OF LOT NOW ON LOT USE ZO Er SPECIAL
USE OF CONDITIONS
EXISTING BLDG. &- f-4 .�
TEL.
OWNER . NO. BUIL INC YARD. HWY STREET it NAME EXIST.
IV,� SETBACK WIDTH
ADDRESS FRONT
ARCH ITECT O N P. L. 0
ENGINEER /V i NO SIDE
P. L.
ADDRESS I(� 6 y
TEL. �✓ ^
CONTRACTOR NO. e- U
ADDRESS 99
0
DESCRIPTION OF WORK p - ri
NEW X ADD AL ER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF w !} + ! (�' �_ sd✓t
SIZE - S ORIES �/ FAMILIES t //��,/• !fJ
USE OF Com., .✓I� on -L'g -'pcee •r--
STRUCTURE T� U
/102
SIGNATURE OF • MUs7'-6 oAj
APPLICANT �✓
VALUATION
J06 T'O12.Ff4 ` �•11 J� Al�!'. lJ��'6l1•P.LGrE�c �_!•
` ✓/ l v'-- APPROVALS DATE INSPEC OR'S SIGNATURE
P.C. PMT. ao FOUNDATION: LOCATION
FEE $ I FEE $ '��.: FORMS. MATERIALS —0 -
FRAME: FIRE STOPS, ® 4
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS C7 Kr
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- �•
TION OF THE LABOR E OF THE STA OF CA ORNIA RELAT- LATH, INT.
INC TO WORKMEN' OMP NSATION INS E. LATH,EX ~� --�
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS w y� T �N�v FINAL ��
i
JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMT VALIDATION CK. M.O. CASH
h,
L'ioo7357tO JAN 723 D 1.56.00A
LACO 0,1 7 9 G APR �, 1 D 3 1 2:0 0-1
ISA688A CIE#808-5-57 -AY Y LICATI®N F®R BUILDING II ERKG
COUNTY OF LOS ANGELES 'BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
mia-' DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN BK PG
BUILDING ���,,,',�yy D • D&v4e L EOKICONST.
ADDRESS ✓TZI�N STATISTICAL CLASSIFICATION '
LOT NO. BLOCK CLASS.NO j DWELL.UNIT
MAP STATE
4 NUMBER HWY. YES O
n
TRACT �� a U.8 Z E SPECIAL
NO.OF BLDGS. CONDITIONS 7
SIZE OF LOT ,91 A 3�- NOW ON LOT
USE OF
EXISTINGBLDG. ReSt �� G.4��6e
4i BUILDING
/� ETBACK YARD HWY STREET NAME W.IDTH
OWNER a 1449Mo Cr4l Ofl✓e 7 L?o o.3A/ F09 01 0
MAIL
ADDRESS.S 4 2! Polva e 0.vI v e P.L:
_ SIDE
o CITY : L e �'/Ty TEL' P.L . g
9RCHITECT OR TEL r`x �G' INSPECTION RECORD
ENGINEER NO. 1 /
A l aA_1•GIS
ADDRESS p / �/
CONTRACTOR L I�Vl— 6/N/V NO.I=dT�z3 LL GCC �`' �LGC/r r,
ADDRESS Aq -
DESCRIPTION OF WORK
lw.L r'vtw /
H NEW I*""ADD ALTER REPAIR DEMOLISH e
SQ.FT. w NO.OF NO.OF 14e-Le
SIZE �G STORIES � FAMILIES
USE OF STRUCTURE
SIGNATURE OF r APPROVALS
APPLICANT
t12-O DATE INSPECTOR'S SIGNATURE
ADDRESS
FOUNDATION: LOCATION
FORMS..MATERIALS !� .7 f33 /4l'/iN�J�j•L^%�
FEE $ FBRACING.BOLTRAME: FIREOSS
VALUATION FEE FURNACEGAS VENTED CTS B �-J/� V !,K• �'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 4/1-
LATH,INT. 6 b n n f l I
P41CATION AND STATE THAT THE ABOVE IS CORRECT AND ,
AOE �TO COMPLY WITH ALL COUNTY ORDINANCES AND �1,/,, �J� LGEi `-
STA�I'�LAWS REQp �TI�N�G 13UILDDIINNG CONSTRUCTION.' LATH.EXT. A: `��� �r '.1/ � r
SIGNATURE OFt/!`*�///�Z fZ/ HOUSE NUNI:OCOR-
PS
PERMITTED �f a. RECT AND POSTED
ADORES P FINAL
JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM,PRINCIPAL STRgqZyRAL ENGINEER
PLAN CHECK VALIDATION M.O. CASH PEDUT VALIDATION ctc M.o. cash
'.�-5_1 4 4 D; DEC 16 1 6 1 1 .7 5AIR
,`luO 5 4 3 S I; DEC 3 Q 1 2 3.5 0Jr
®'
��G:? r ry
COUNTY OF LOS ANGELES TEMPLE CITY =.` # 3608 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610220035
i PHONE: (818) 285-0488 EXT:
LEGALD: NO. OF CONST BUILDING ADDRESS:
TR: 10898 LT: 5 BL: B SQ. FT STORIES TYPE 5421 SANTA ANITA AV
STRUCTURE: 0 V TEMP CA 917803668
ASSESSOR INFORMATION BER: NEAREST CROSS STREET: FREER
8573-018-009 (THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
I
WI—Sr USE: SID PROCESSED BTE NT: PIR ON:
EXIST OCC GRP: 10/22496 TC 10/22/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINALIDATE FINAL Y: CODE:
TORNBERG RALPH TR (000) 000-0000- 1 24,500 z_jj_q j O_„
5421 SANTA ANITA AVE ll I� e
TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK
FEE DESCRIPTION:
REMOVk/REPLACE WITH 1/2" PLYWOOD INSTALL CLASS A SHINGLE
�Q Tf1�01�u'd; d� AMOUNT:
APPLICANT: TEL. 0: o
NATIONAL ROOFING (818) 888-7586- AA BLDG PERMIT ISSUAI, 27.75
5636 KEOKUK AC STRONG MOTION RESID 4500-.OPAL X21:445 SPECIAL CONDITIONS:
WOODLAND HILLS, CA D2 PERMIT W/O Elk-.HC 24500 OU-VAL\ 4�2:s(3 I
®� iTOTAL FEES �502�2
CONTRACTOR: TEL. N0: ����� ,. y, / , APPRO�(ALS DATE INSPECTOR SIGNATURE
5636 KEOKUKKNATIONAL OFING (818) 888.-75N86- G LOCATION AND SETBACKS
WOODLAND HILLS CA 91367 594952C39 ��d O '2
om o�,,so n d SOIiINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: V OUNDND;TIOTION/TRENCH ORMS
LIC. NO: SLAB/UNDER FLOOR
RAISE FLOOR R
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 6 UNDERpLOOR INSULATION
147H277 3 01 I
�'FLOOR,SHEATHING
0. OF FAMILIES: D ELLING NITS: APT/COND: STAT CLASS: I
YES 21 ���� ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS S EARI A ELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO OSTI I FRAME1, INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: * HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTER',IOR LATH/DRYWALL
EXTERIOR LATH
;
RATEIXFLOOR/CEIL ASSEM.
RATED;WALL ASSEMBLIES
TEDi S FTS/OPENINGS
T-BAR CEILINGS
0 D(RAI AGE
REPORT ID: DPR261 ROUTE TO: BS0508 I
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9701270002
PHONE: (818) 285-0488 EXT:
LEGA D: NO. OF CONST BUILDING ADDR S :
TR: 10898 LT: 5 BL: B SQ. FT STORIES TYPE 5421 #18 SANTA ANITA AV
I STRUCTURE: V TEMP CA 917803668
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-018-009 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: ESID USE ZONE: R- SSUED ON: PROCESSED BY: DUMB--ON:
EXIST OCC GRP: 01/27/97 TC 01/27/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE -CODE:
TORNBERG RALPH TR - 1 17,500 R'n"Flu:
EES PAID DESCRIPTION OF WORK
REPAIR FIRE DAMAGE TO APARTMENT
FEE DESCRIPTION: , ®QIJANTI Uuff AMOUNT:
APPLICANT: TEL. NO: �ay
GILBERT WHITCOMB CONS. (818) 796-6700- AA BLDG PERMIT ISSUANCE - 27.75
AC STRONG MOTIOONN REEJSSID��1_•7500-00-VOL` 4175 SPECIAL CONDITIONS:
D2 PERMIT W/0 �EN�Y=H 17500.-00-VAL 354.35y
TOTAL FEES 383:85 �
CONTRACTOR: TELN0: - F� I�' ;il� JAPPROVALS DATE INSPECTOR SIGNATURE
GI 10730RRIVERSIDEBDRONSTRUCTION 769-6700C. NO � !� ;i �� I !' ♦� BIUCATION AND SETBACKS
+`�
TULUCA LAKE, CA 91602 274240 � —— ri -- - -
-—,SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: '_- L'��11 � I�C=� �'!�JFOUNDATION/TRENCHFORMS
LIC. N0: I,SLAB/UNDER FLOOR
ILI =I ' hr
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: '' `�, ` `�L ��� ! �1/ i :UNDERFLOOR INSULATION
147H277 3 01, -FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: AP CO D: STAT CLASS:
YES 21 OOF SHEATHING
SCHOOL I I HAZARDOUS SHEAR-PANELS
AIR QUALITY: 10000FEET MATERIALS `
NO FRAME INSPECTION
EQUIRED TOTAL SETBACK ROM EXIST FIRE SPRINK R NG RS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- ` G
ERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FL00 /CE LAS M.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I