HomeMy Public PortalAbout5027 TEMPLE CITY BLVD_Building__ TEMPLE CITY
76AG38A CE 4603 12/69
APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION JOHN
SS
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS E'iI� �E/ /
COLEMAN W. JENKINS. SUI Tor BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST L� �2oSA
D CROSS ST
BUILDING DISTRICT NO GROUP TYPE ESSED BY
ADDRESS m City Blvd , T .C , S E $; coNST
STATISTICAL- //
CLASSIFICATION SEWER MAP
LOT NO BLOCK CLASS NO DWELL UNITS_ BK--rPGS' [y�
TRACT USE ZONE MAP
NO OF BLDGS �� NO
SIZE OF LOT NOW ON LOT SPEC AL
USE OF ZC�a CONDITIONS
EXISTING BLDG
OWNER Robert H . Soroker NoL714-683
FSETBACK
RONTPROP L NEOF C (STREET)
ADDRESS 43 M Street R
TYPE OF ISTING SETBACK GH
HIWAY i YARD = TOTAL
CITU Riverside , Calif . HIGHWAY EXWIDTH FROM C L
ARCHITECT OR TEL Lerve_ 80 } 2p = ZO
ENGINEER NO
BLDG
ADDRESS SIDE PROP ROP LI LINEEOF OF (STREET(
TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR HIGHWAY WIDTH FROM C L
ADDRESS 529 E . Val ley Bld . NO 186086 - } _ po
LIC ;, U
CITY CLASS - CORNER CUTOFF VES ❑ NO L�
CONSTRUCTION LENDER o
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS w
ADDRESS
N
SO FT NO OF NO OF C3 _
SIZE STORIES FAMILIES NEW
USE OFADD ElSTRUCTURE Re-roof ALTER ❑
3-tab camp . Sh S REPAIR
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATIONS 1000 .00 . APPROVALS DATE INSPECTOR • SIGNATURE
P C PMT FOUNDATION LOCATION
FEE 5 REE S FORMS MATERIALS
FRAME FIRE STOPS
I HERESY ACKNOWL[DOE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND [TAT[ THAT THE ABOVE 13 CORRECT AND AOR[[ TO COMPLY FURNACE LOCATION
WITH ALL OR DINANC[S AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION I C[RTIIY THAT IN DOING THE WORK AUTHORIZED
HERE SY I WILL NOT EMPLOY ANY PERSON VIOLATION OF THL LATH INT
LASOR CODE OF THE STAT ))0I LIF NI IN REL ING TO
WORKMEN'S COMP[ K BU [ LATH EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 529 E . Valley B1vd .SanGab . FINAL i 7i
No CASH JOHN F LEWIS PRINCIPAL STS URAL ENGINEER
PLAN CHECK VALIDATION CK
..PERMIT VA-MATIOII{' cI MG CASH
IA[:7476RADW 5 1 D 12.00- V
I
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 1202140085
PHONE (626) 285-0488 EXT
LEGAL ID I NO OF CONST BUILDING ADDRESS
ITR 13329 LT 60 SQ FT STORIES TYPE I 5027 TEMPLE CITY BL
I STRUCTURE 2500 V-S I TEMP CA 917803830
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-015-013 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY C
I
TENANT EXIST BLDG USE RESID USE ZONE R-1I
I99UFD ON PROCESSED BY
MIST OCC GRP _ 102I14/12 SR
IOWNER TEL NO IBLDGS NOW ON IAT VALUATION FINAL AM
FI BY CODE
ISCHU15027 TE LE CITY 9 (626) 286-2631- I 5,200 I �1�
1502] TEMPLE CITY BL `
ITEMP 917803830 FEES PAID ]DESCRIPTION OF PARK
(TEAR OFF 6 REPLACE ROOF 30 YR COMPOSITION TILES
I IFEE DESCRIPTION QUANTITY DOM AMOUNT
(APPLICANT TEL NO
SAME AS OWNER - 'IAA BLDG PERMIT ISSUANCE 27 80
IAB STATE GREEN BLDG FEE 5200 00 VAL 1 00 (SPECIAL CONDITIONS
IAC STRONG MOTION REBID 5200 00 VAL 0 50
ID2 PERMIT W/O EN-HC 5200 00 VAL 149 70 f-
TOTAL FEES 179 00
CONTRACTOR TEL NO I IAPPRfOVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I I I I
LIC NO I VACATION AND SETBACKS
IISOIIS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO ISLAB/UNDER FLOOR
(RAI SfiD FLOOR FRAMING
I
(MRP NO SEWER MAP BOOR PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
I194H269 3 00 I
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS FLOOR SHEATHING
0 NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS
NO NO NO i IFRAME INSPECTION
IFIRE SPRINKLER HANGERS
I
_ (INSULATION/WEATHER STRIP
I I
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
AATSO 9HAFT9 OPENINGS
T-BAR CEILING9
IAT DRAINAGE
I
` (REPORT ID DPR261 ROUTS TO BS0508
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