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76A698A CE#809 6-62 APPLICATION FOR EUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING.
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,,SUPT OF BUILDING CROSS ST.
DISTRICT N P E B
FOR APPLICANT TO FILL IN CONST. '/
BUILDINGSTATISTICAL CLASSIFICATION a ER MALD
ADDRESS 4 7 &L?" � �• C• a BK G2—
CLASS.NO. DWELL:UNITS I
LOT NO CK WATER NOT R.EQUIRED��ECEIVED ❑
CERTIFICATE:
TRACT MAP �I HIGHWAY STATE MAJOR SECON ,LOCAL
NO.OF BLDGS. NO. (J ICIRCLE�
SIZE OF LOT 7 NOW ON LOT .� USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. VAF-t-WL
I RN
-
OWNER KANK /- AACHICO BUILDING I} EXIST.
SETBACK YARD HWY ,I STREET NAME WIDTH
ADDRESS p C O U i N1 X11 . FRONT `
ARCHITECTOR OR�c GAAx F}0Rp NO.1 u Z S'l 1-i S L
' SIDE
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Q P. L.
ADDRESS v, 'D SAN Neat4/iAn1Pei C
CONTRACTOR .C, U S TE R NOL't-V 2 S 311 L
ADDRESS `b N• 6. Iit SA/V 6e&#Ati0
DESCRIPTION OF WORK
, LL
NEW ADD ALTER REPAffDEMOLISH C
u,
SQ.FT. „ NO.OF NO.OF 2
SIZE U STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE F
APPLICAN
VALUATION S- p/u
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEES FEES a FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE,THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS - /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, J
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS I / / / w
BUILDING CONSTR T N. 1 CERTIFY THAT IN DOING. THE WORK yr ,.
AUTHORIZED"HER Y 1 ILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. Aw
TION OF THE L OR C DE OF HE STATE OF CALIFORNIA RELAT-
/ ✓..r
INC TO WORKM N'S O PENS T N INSU NCE. LATH,EXT.
SIGNATURE HOUSE NUMBER COR- I
PERMITTEE G' RECT AND POSTED
ADDRESS r I /✓.� N PR��e1rFINAL
JOHN•F. LEWIS. PRINCIPAL ST. RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
�.�iCo 9 7 5 2 JA A 17 1 D 4.00-
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F9A999A CC�/A0917-91 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS S-11, /. S
DEPARTMENT OF COUNTY ENGngm u�T N
BUILDING- AND SAFETY DMSION LOCALITY 1 eras Pc c i y.
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST i C
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. TI/q/!}S,
DISTRICT NO. GROUP I TYPE PROCESSED BY
FOR APPLICANT TO FILL IN � � r CONST,
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
I U CrAm
ADDRESS 3BK PG
y CLASS.HO. DWELL.UNITS L - f 2
LOT NO. !i 'rTII H2-f� BLOCK WATER NOT REQUIRED11RECEIVED
CERTIFICATE:
TRACT MAP ! HIGHWAY STATE MAJOR SECON LOCAL
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT.. NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. FF•,, ,—
C ^ NO.*I�V'E�E3
OWNER I'J t� C Id BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TE P.L. SjJLT,{- ,U.4• S )
ENGINEER /left Lo
T 1 V 2J` �fi ;SIDE
ADDRESS /�
CONTRACTOR C. 1)SrE R �No.7V.2,ra 1 1 INSPECTION RECORD p
ADDRESS 16 O 0. SgN 'aCl D'0
DESCRIPTION OF WORK
• W
N ADD ALTER REPAIR DEMOLISH h
SQ.FT. NO.OF NO.OF ?
IZE STORIES y y FAMILIESUSEOF
/
S'T'RUCTURE 11}l.L.� /t��l &N Q!F
SIGNATURE O
APPLICANT A
VALUATION$
—4-00
APPROVALS DATE INSPECTOR'S SIGNATURE
F E $M�= FEE $ "�PMT. op FOFORMS!MATERIALS
LOCATION
r
FRAME:FIRE STOPS,
1 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 COUNTY DINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONST CT N. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HE BY 1 IL T EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE BOR CO F HE ST OF CALIFORNIA RELAT-
ING TO WORK EN' O S TION 1 URANCE. LATH,EXT. t
SIGNATURE F HOUSE NUMBER-COR-
PERMITTE RECT AND POSTED •' / Jam/
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION m M.o. cASH PERMIT VALIDATION T .o. CASH
LAW .� 7 9 W I'Jl l �i 1 V 6.00-
57
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 0812080037
PHONE: (626) 285-0488 EXT:
LEGAL ID: 1NO. OF CONST I BUILDING ADDRESS:
SQ. FT
ON FILE STORIES TYPE 5671 SULTANA AV
STRUCTURE: 1466 V-B TEMP CA 917802353
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
15387-028-001 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 JISSUED ON: PROCESSED BY:
EXIST OCC GRP: 112/08/08 SR
OWNER: TEL. NO: ISLDGS. NOW ON LOT: VALUATION: [FINAL DATE FINAL BY: CODE:
ITHAO, JUN (213) 219-0571- 1 4,670 p
15679 SULTANA AVE. I 0:1
TEMPLE CITY CA 91780 FEES PAID IDESCRIPT ON OF WORK
IREMOVE EXISTING ROOFING MATERIAL. INSTALL 1/2"OSB PLYWOOD,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ILIGHT WEIGHT EAGLE LITE TILE ON THE ROOF I
(APPLICANT: TEL. NO: I I
1SHON (323) 731-0123- �AA BLDG PERMIT ISSUANCE 27.75 I 1
1460 W. JEFFERSON BL IAC STRONG MOTION RESID 4670.00 VAL 0.50 ISPECIAL CONDITIONS: I
[LOS ANGELES CA 90007 1D2 PERMIT W/O EN-HC 4670.00 VAL 132.60 1
TOTAL FEES 160.85 ]
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ]
IU.S.A. ROOFING (323) 731-0123- 1 ]
11460 W. JEFFERSON BLVD. LIC. NO ILOCA^ION AND SETBACKS I I I
[LOS ANGELES, CA 90007 772855 C39 1
]SOILS ENGINEER APPROVAL 1 1 1
I I I I I
[ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 ISLAB/UNDER FLOOR I I I
1 1 [RAISED FLOOR FRAMING 1 1 ]
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ]UNDERFLOOR INSULATION I I I
1147H265 3 001
�!/ 1 FLOOR. SHEATHING I I 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
NO 21 I ROOF:SHEATHING I
i L I (/ M/
SCHOOL WITHIN HAZARDOUS I I 1 V� I Y
SHEAR PANELS
]AIR QUALITY: 1000 FEET MATERIALS i [ I I�
NO NO NO I _ IFRAME INSPECTION 1
IREQUIRED TOTAL SETBACK FROM EXIST I [FIRE SPRINKLER HANGERS I I ]
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I ]
IFRONT PL- I (INSULATION/WEATHER STRIPI I I
1 SIDE PL-
IINTERIOR LATH/DRYWALL
I [EXTERIOR LATH
1 I IRATED FLOOR/CEIL ASSEM. 1 1 1
1 I IRATED WALL ASSEMBLIES [ 1 [
[RATED SHAFTS/OPENINGS ]
1 IT-BAR CEILINGS 1 1
I ILOT DRAINAGE I I 1
I
REPORT ID: DPR261 ROUTE TO: BS0508 I 1 1