HomeMy Public PortalAbout5522 SARA MAR LN_Building__ J!AG"A CE*00oan;�fe�e APPLICATION
N FOR BUILDING PERMIT 1
Wa DING AND SAFE 1 DrMON BUILDING
Department of County Eng{65�Z ADDRESS
Department 'T
County o;Los An4elm LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST ,f
CASSATT D GRIFFIN 8U!T OF BUILDING CROSS ST
DISTRICT NO I GROUP TI•PE SEW K MAP G
FOR APPLICANT TO FILL IN coNBr
BUILDI
ADOR1gr AMQY L.��G STATISTICAL CLASSIFICATION
TOJN� G «N Y CLASS NO DWELL UNIT
LOT NO v i BLOCK
EMAPSTATE �.ES
NUMBER ` HWY
TRACT M.J .wv Vakyd U8 Z NE SPECIAL
NO OF BLDGSCONDITION
SIZE OF LOT SSX/D V' NOW ON LOT ��~USE OF J
EXISTING BLDG BUILDING EXIST
AA,� SETBACK YARD HWY STREET NAME WIDTH
OWNER /9 7, Q�6 -T-�' FRONT
MAILP L
ADDRESS /✓�Jp���.S SIDE
CITY �9.TaQL4 LN cf/' TEL
/+OI/ P L �p
ARCHITECT OR TEL IN� iTION RECORD
ENGINEER NO
TE
ADDRE 8 g
CONTRACTOR E�..TgftN dQrYY NO L o S
[YbfiEb .SSC ZMa.ty V / 2✓
DESCRIPTION OF WORK
xip ADD ALTER REPAIR DEMOLISH
90 FT �� ./ O OF NO OF
SIZE ACT�J STORIES FAMILIEJ
USE OF STRUCTURE /�
OS" /=.arc:Ie I
_ APPROVALS
SIGNATURE O
APPLICANT DATE IN ECTUR SSIGNATURE
IV.i M
ADDRESS i sa.e v FOUNDATION LOCATION
FORMS MATERIALS
P C f �J FRAME FIRE STOPS
5 / FEE / BRACING BOLTS { �_I
VALUATI H 9 FURNACE LOCATION _
FHH GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STAT!THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS REGUL.ATING BUILDING CO RUCTION
BIGNATUR HOUSE NUMBER COR-
PERMrrr RECT AND POSTED C
ADDs5!/y 3 iy
F(ES - FINAL I
JOHN A LAMBIE CounrY ENGINEIR CLYDE N DIRLAM PRINCIPAL STRU URAL ENGINEER
PLAN C== VALIDATION cK w o CALN PLeD6IT VALIDATION DK No C H
L'IC0829CU rW1716 1700dn
L!'IC.D 8 8 1 H� (41Y 2 1 1 3400 n m
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APPLICATION FOR COUNTY OF LOS ANGELES
BUILDING PERMIT °BULDNGAND SAFDIIRTMENT OF COUNTY VSIONR
FOR APPLICANT TO FILL IN ADDDRR� ,53—
BUDDING-
ADDRESS 5522 Sara Isar Ln. OCALITY
EARESCITY Temple City ZIP CROOSSSS ST
_ NO OF BLDGS _ _ ASSESSOR 1
SIZEOFLOT` NOW ON LOT MAPBOOK PAGE PARCEL
TRA - a LOT NO' ^ - DISTRICT TR 8 Z P TYPE FIRE ROC D BY
TELCONN j ZO
OWNER Leonard NO 287-_ 23 V
STATISTICAL CLASSIFICATION _ SEWER MAP
ADDRESS 22 Sara. liar Ln. CLASS NO a'/ DWELL UNITS PBK/p 9PG
CITYTemple Ctty ZIP USEZONE MAP0
ARCHITECT OR TEL SPECIAL
fq
ENGINEER NOINO -2.
CONDITIONS
ADDRESS findROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
EL
CONTRARORACOrn Roof NO 99- FRONT
SETBACK EOM
ADDRESS 1414 Laurel St - ry�2C881 HIGH PROP LINE OF IE OF II
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
CITY So._ Pasadean- LIC C39 FRONT PROP LINE IHIGHWAYI WIDTH-
CLASS
CONSTRUCTION LENDER + ,-0 10
NAME AND BRANCH BLDG SETBACK FROM 9
ADDRESS CITY SIDE PROP LINE OF ISTREETI 0
[BYESIGNATURE)
100 NO OF 1 NO OF 1 CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE Of EXISTING
r
STOR16 FAMILIES ONE SIDE PROP LINE _ HIGHWAY WIDTH n
N
+ Z
RIPTION OF WORK NEW
i)air Fire damage ADD CORNER CUTOFF YES ❑ NO ❑
heavy shape roof ALTER ❑ No ❑
y IN OPEN SPACE YES
REPAIR
F BLDG dwelling REPAIR
IN COASTAL PERMIT ZONE VES ❑ NO ❑
Tlr
CANT TEL
RINTI Acorn hoof NO799� a/J�•"
IGNATUREI Ll
EREBY ACKNOWLEDGE THAT I HAVEREAD THIS APPLICATION AND STATE G THE ABOVE IS CORKER AND AGREE TO COAWY WITH ALL ORDINANCES
AMS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OFBOR CODE OF THE STATE OF CALIFOIMIA IN RELATINT10N INSURANCE
SIGNATURE OF FINAL BY
PERMITTEE DATE
ADDRESS_ p�
Off, TEL PC Fee E Permit Fee /
lM
Issuonce Fee
VALUATION 3Q6 TmM Fee
PLAN CHECK VALI-D-AfTION cK •o CASH � PERMITVALIDATION C r o C"m
✓Q'/�Lf_ `L'_`' t amu-+-r
7 2DEC 5 1 ° 9.0 0 4t!O
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07 0 5�