HomeMy Public PortalAbout5238 TEMPLE CITY BLVD_Building__ DEPARTBIENT OF BUILDING AND SAFETY APPLICATION FOR PERDM
COUNTY OF LOS ANGELES ® i 1 t YL ® f
WM. J. FOX. CHIEF [MDIN[ ®[R {�
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FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN OK NO PERMIT NO. /
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DESCRIPTION ICT NO BLOCK
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=-=1=H[R[BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FORMS.
MA LOCATION INSPECTOR DATE
AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES FFMORMB. ATERIALS 12
AND STATE LAWS REGULATING BUILDIND CONSTRUCTION
FRAM[ FIRE �� � J�%
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7MOSA C[O803 S-ee APPLICATION6FOR BUII(�DING PERMIT
COUNTY OF LOS ANGELES ENBUILDING s— 3
DEPARTMENT OF COUNTY ENGINEER ADDRESS � Z/
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS.SUP T Or BUILDING CROSS ST A
OISTRyCT NO 011 Q.((D TYPE P E BY
FOR APPLICETTILL-IN �� Z coN
8 UILDINO �j STATISTICAL C SIFICATION SEWE MAP
ADDRESS 5238 Al C� 'yBK PG
CL NO DWELL UNITS _
LOT NO 1,96_ _ _BLOCK = _r US NE -MAP-NO .4-7TRACT /3683 SPECIAL!/CONDITIONS
SIZE OP LOT 3 XI OMOF BLOTtUSE of /-/eDMBLDB O NER 0Uill
2��� f ` 8's' 3 207 ItONT PRM LIM[01• 60� - (tTR[[T)
TYPE 01 EX12TIMO t[TBACK IGHWAY YA - TOTAL
ADoneas 38 NP.7Y I M C LCITY 7fwppee - +
ARCHITECT OR THL BLDt BETBACF FROM
H NOINEER �ON�i NO $109 PROP LINK 01 ETRE{T7
TYPE 01 EXISTING t[TBACK NIONWAY YARD = TOTAL
ADDRESS NMNW AY WIDTH FROM C L
CONTRACTOR Or.✓Alae NO` �� + 161
ADDRESS S/►MLNO LIC CORNER CUTOFF Yfi9 NO O
CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS m
DESCRIPTION OF WORK
/ W
NEW ADD LTHR REPAIR DEMOLISH RB, GUTTE RIVEWAYIAPPROACM, Z
SO FT NO OP NO OP
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vALUATILNS j .00 HeII APPROVALS DA/TE IMBP[C 't SIGNATURE
P C PMT a,, FOUNDATION, LOCATION -�
FEE �.i/S FEES S- FORMS MATERIALS L
AME, FIRE STOPS, i
I MNERDY ACKMOWLEDO[ THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AMD STATE TAT TN[ ASOVE IS CORRECT AND AOR[[ TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS R[OULATINO OAS VENT DUCTS
VUILOIMO CDMETRUCTION I CERTIFY THAT IN DOING THE WORK _
AUTNORIE[D N[R[SY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE WOR COD[ OF THE STAT[ 01 CALIFORNIA RELAY
IND TO WORKMEN E COMP[NMTI INSURANCE LATH EXT
A I��
SIGNATURE OF HOUSE NUMBER COR- _
PERM ITTE _ N P T yy
ADDRESS FINAL
JOHN
T�Fp�LEWIS PRINCIPAL S AL ENGINEER
PLAN CHECK VALIDATION CK NO CASH PERMITVALIDATIO CK No CAEN
7924% APR 1 D 500-
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 0912170053
PHONE _(626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 15683 LT 108 SO FT STORIES TYPE 5238 TEMPLE CITY BL 1
STRUCTURE 20 , ; V-B {��� TEMP CA 917803832 1
ASSESSOR INFORMATION NUMBER _ NEAREST CROSS STREET - 1
18589-013-030 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY Cl
TENANT (EXIST BLDG USE REBID( USE ZONE R-1 ISSUED ON PROCESSED BY
IEBIST_OCCGRP,.��� -.r.=__-__- 12/17/09 -SR_ _
OWNER TEL NO IBLDGS NOW ON LOT VALUATION FINAL DATE FI BY CODE
BY SANH
CITY BL 5 500
5238 I��
TEMP 917803832 FEES PAID CRIPTION OF RK 777 rr
ITEAR OFF HOUSE AND ATTACHED GE 30 YR DIMENSIONAL SHINGLE(
IEEE DESCRIPTION QUANTITY DOM AMOUNT I I
APPLICANT TEL NO I I I
SUAREZ (213) 393-2804- IAA BLDG PERMIT ISSUANCE 27 75 I
1700 S FORD BLVD JAB
STATE GREEN BLDG FEE 5500 00 VAL 1 00 (SPECIAL CONDITIONS
(LOS ANGELES CA 90022_ AC STRONG MOTION AESID 5500 00 VAL 0 55
D2 PERMIT W/O ER-HC 5500 00 VAL 149 40 1
TOTAL FEES 178 70
1 CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
IA-1 ROOFERS INC (213) 393-2804- - 1
700 S FORD BL LIC NO ILOCATION AND SETBACKS
LOS ANGELES, CA 90022 701641 1
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO i ` ' � � -� FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I `- �- � UNDERFLOOR INSOLATION
I147H269 3 001 1
I - FLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
I NO 21 ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUSUA1SHEAR PANELS Ii4 '�1' it
LAIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION I
I
REQUIRID TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS I
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIPI
I SIDE PL-
h -_ -
INTERIOR LATH/DRYWALL
I I I I I I
1 _ EXTERIOR LATH
1 (RATED FLOOR/CEIL ASSEM
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RATED WALL ASSEMBLIES I
1 RATED SHAFTS/OPENINGS I
I 1T-13AR CEILINGS
` I (LOT DRAINAGE
s I I
(REPORT ID DPR261 ROUTE TO BS0508 1