HomeMy Public PortalAbout5470 SARA MAR LN_Building__ 76AS30A CE V 0031 <[ APPLICATION FOR BUILDING (NaPERMIT '
COUNTY OF LOS ANGELES BUILDING
DEPARThU MT OF COUNTY ENGINEER DDRESS �V]O .SM~"
BUILDING AND SAFETY DIVLSION LOCALITY /
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST "J14
FOR APPLICANT TO FILL IN,
DISTT GROUP TYPE ESSED Br
BUILDING pp / g\,TATISTICALCLASSIFICATION WER MAP
ADDRESS 5%'!o VAQ a LA /� " dN 1 BK ➢G
^J 'l NCLAS$ NO DWELL UNITS G_.
LOTNO 3] FIVOV[I G�/-TSS BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT AG OLOLOON LOTMAP HIGHWAY \
.Y 7 N3y. '/'/].VW SLOGS NO
SIZE OF LOT ( OF Q ICIRCL[) `-'TATE MAJOR SECOND OCA
3 USE ZONE SPECIAL
USE OF I CONDITIONS Itolp —
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OWNER/. r TEL
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DESCRIPTION OF WORK
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VALUATIONS a D
APPROVALS DAT InEF[CTo BION U
PC -3 PMT FOUNDATION LOCATION 1 /
FEE S FEE E FORMS MATERIALS ✓
FRAME FIRE STOPS J ' '/ 1
H"E[Y ACKNOWLEDGL THAT 1 HAVE READ THI[ APPLICATION BRACING BOLTS 7
AND 11TATE THAT THE ABOVE U CORRECT AND AD"" TO COMPLY FURNACE LOCATION V I /J J �'� •WITH ALL COUNTY OROINANCBB AND STATE LAW[ R[OUTATINO GAS VENT DUCT$ T
BUILDING CONSTRUCTION I CLRi1FY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERYON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
IND TO WORKMEN[COMFENBATION INSURANCE
LATH EXT
SIGNATURE O HOUSE NUMBER COR t
PERMITTEE RECT AND POSTED
ADDRESS /a '�'• FINAL O !/ _ti
JOHN F LEWI$ PRI CIPAL ST URAL ENGINEER
CK
PIAN CHECK VALIDATION M O CASH _ PERMTT VALIDATION CK M O CASH
1" /?R 24 2 3 D 3 2 CI G
L(,L'o6024�2 Ju" ?4 0 ,614(D0--
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_ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC FORKS 9701 IAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1201090017
PHONE (626) 285-0488 EXT
(LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE I 5470 SARA MAR LN
I STRUCTURE 25 V-B TEMP CA 917803224
JASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY
18588-022-026 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R-1 IISSUED ON PROCESSED BY
(EXIST OCC GRP 101/09/12 SR
I I I
TOWNER TEL NO JBLDGS NOW ON LOT VALUATION IFINAL DATE F BY CODE I
I HAN, YIN (626) 652-5605- 1 6 500 I 1
11847 S CALIFORNIAI
I -
ISAN GABRIEL CA 91776 FEES PAID �IPTION OF WORK I
OU
I 114OU`S^E AND GARAGE TEAR OFF ROOF AND INSTALL 30 YR COMP I
IFEE DESCRIPTION QUANTITY UOM AMOUNT ISHINGLES CLASS •A• I
)APPLICANT TEL NO
IBENITEZ HERIBERTO (323) 806-4959- JAA BLDG PERMIT ISSUANCE 27 80 1 1
11012 W BEVERLY BLVD JAB STATE GREEN BLDG FEE 6500 00 VAL 1 00 (SPECIAL CONDITIONS 1
MONTEBELM CA 90640 AC STRONG MOTION RESID 6500 00 VAL 0 70
D2 PERMIT W/O EN-HC 6500 00 VAL 166 60 1
TOTAL FEES 196 10 -
1CONTRACTOR TEL NO IAPPROVAIS DATE INSPECTOR SIGNATURE
JLEOMAX ROOFING AND WATERPROOFING (323) 806-4959- 1 1
11012 WEST BEVERLY BLVD #330 LIC NO (LOCATION AND SETBACKS 1 I
MONTEBELLO CA 90640 924201 C39
I )SOILS ENGINEER APPROVAL
)ARCHITECT OR ENGINEER TEL NO t )FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I )UNDERFLOOR INSULATION I
1147H269 3 001 I 1
I I FLOOR SHEATHING 1 1
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I
0 NO 21 -1 )ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS
)AIR QUALITY 1000 FEET MATERIALS I I 1
I NO NO NO J (FRAME INSPECTION 1 I 1
I I (FIRE SPRINKLER HANGERS 1
I I
1 1 )INSULATION/WEATHER STRIP) I 1
IhTERI00. )ATH/DRYWALL
I (
1 (EXTERIOR LATH
I ' I
J (RATED FLOOR/CEIL ASSEM I
' 1 I
RATED WALL ASSEMBLIES
I
IRATED SHAFTS/OPENINGS
I
IT-BAR CEILINGS
I ;
1 1 ILOT DRAINAGE 1
I
REPORT ID DPR262 ROUTE TO BS0508 I
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