HomeMy Public PortalAbout5447 TEMPLE CITY BLVD_Building__ � �le
TaAaseA cEReGs G-a°APPLICATION FOR ( 6c 7
BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5447 No. Temple City Blvd.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST ple City
COLEMAN W JENKINS. SUP T OF BUILDING DROSS 5T
FOR APPLICANT FILL IN DISTRICT NO c uP CONST PR ED BY
(P,..t Dr 1 e onl .�L Q
BUILDING STATISTICAL C.6f'SSIFICATION SEWER AMP
ADDRESS 54147 No. Tem le City Blvd. (CLASS NO a DWELL UNITS_ BKp PG Z3
LOT NO (/ BLOCK USE ZONEI MAP 7
NO
TRACT S Z 0 SPECIAL
NO OF BLDGS CONDITIONS
ONOITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG DWelling BLDG SETBACK FROM
TEL FRONTPROP LINEOF .,STREET)
OWNER NO TYPE OF lExiSTING SETBACK HI GHWAV + YARD = TOTAL
ADDRESS5447 No. Temple City Blvd. HIGHWA WIDTH FAOMCL
CITY Temple City O 1 + 2_6 = Z
ARCHITECT OR TEL BLDG SETBACK FROM (STREET)
ENGINEER NO SIDE PROP LINE OF _
TYPE OF [STING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL
CONTRACTO NO - + C
ADDRESS 600 S, San Gabriel BI NO 160650 CORNER CUTOFF YES ❑ NO
clrY San Gabriel 91776 CLIC C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH Z
ADDRESS
SQ FT NO OF NO OF NEW ❑
SIZE STORIES l FAMILIES
USE OF ADO E3STRUCTURE Dwelling
ALTER ❑
SIGNATURE OF REPAIR®
APPLICANT DEMOL ❑
VALUATION $ 749.00 APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE S FEES FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
ST RUC
TIONI CERTIFY THAT IN DOING THE WORK AUTHORISED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LASOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSA ION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRI CIPAL STW RAL ENGINEER
_PLAN CHECK VALIDATION CK MO GBH 'PERMIT VALIDATION CK MO CASH
LgcP 13 5 2-� AUG 7 i D 1 2.0 0� Q
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 1211300031
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 15820 LT 10 SO FT STORIES TYPE 5447 TEMPLE CITY BL
ISTBUCTURE 1400 V-B TEMP CA 917803152
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
'8588-026-020 1I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI
(TENANT EXIST BLDG USE RESID USE ZONE R-3 (ISSUED ON PROCESSED BY I
- EXIST OCC GRP -- - _ (11/30/12 SR I
(OWNER TEL NO BLDGS NOW ON IAT VALUATION IFI DATE FI(I4A� I
I, BY CODE I
IZHANG XIAOYU (626) 286-8209- 1 5 000 �(� �Z V
15447 TEMPLE CITY BL . l I
ITEM@ 917803152 FEES PAID DESCRIPTION I
( F WORK
(CHANGE OUT WINDOWS THROUGHOUT HOUSE (15 WINDOWS) I
IFEE DESCRIPTION QUANTITY VOM AMOUNT I I
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 80 I I
IAB STATE GREEN BLDG FEE 5000 00 VAL 1 00 ISPECIAL CONDITIONS I
+ AC STRONG MOTION REBID 5000 00 VAL 0 50 I
D2 PERMIT W/O EN-HC 5000 00 VAL 132 60 I I
FS INV FORK W/O PERMIT 339 60 DOL 339 60
CONTRACTOR TEL NO TOTAL FEES 501 50 (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER _
LIC NO VACATION AND SETBACKS
(SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS
LIC NO ISLA3/UNDER FLOOR _
I - IRAIGyED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMS
147H269 3 00 (UNDERFLOOR INSULATION
INC OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS (FLOOR SHEATHING I1-1-11
I
I 0 NO 21 ROOF SHEATHING I
SCHOOL WITHIN HAZARDOUS ` I (SHEAR PANELS
(AIR DUALITY 1000 FEET MATERIAr.9
NO NO NO IFRA•RE INSPECTION
IF1RF SPRINKLER HANGERS
(INSULATION/WEATHER STRIPI I
IMPRIOR LATH/DRYWALL
(EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM
IRATED WALL ASSEMBLIES
(RATED 9HAFT5/OPENINGS I I
T-OAR CEILINGS
L I ) , I
tI LOT DRAINAGE
I IMPORT ID DPR261 ROUTE TO BS0508
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