HomeMy Public PortalAbout5537 TEMPLE CITY BLVD_Building__ TeAnaeA ceReoaaes APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGINOSIDE
ADDREIN s'S 7 .� <<f �I��•
DEPARTMENT OF COUNTY dEER �L
BUILDING AND SAFETY DON LOCALITY / , � -
JOHN A LAMBIE COUNTY EER NEAREST
WILLIAM A JENBEN SUF T of Ba CROSS ST eg
/DIS d W�
DIS^RIGS N -('i(tpU YPE Y
FOR APPLICANT TO FII o ✓/V/ coNsr
BUILDING 1YH �G STATISTICAL CLASSIFICATION E ER MAP
ADDRESS V FJ ! L KCLASS NODWELL UNIT$
LOT NO CK WATER�� CERTIFICATENOT REQUIRED RECEIVED
TRACT /�J/r$'�O✓ Vie«' Aa MAP O HIaNwAY
NO OS NO (CIRCLES $TATE MAJSIZE OF LO y NOW T USE ZONE SPECIAL
USE OF CONDITIONS
EXISTINGGBLDGEL
OWNER /! � /� i4 �s�� BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS /1 k[ �� FRONTARCHITECT OR P LENGINEER SIOE
P L
ADDRESS -
� � /- NO �P 100Y 0
CONTRACTOR a /e O�� V
ADDRESS 17'40 S Clf ll' 119AIll'.641, O
DESCRIPTION OF WORK !
NE ADD ALTER REPAIR DEMOLISH N
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
IK
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE INSPECTOR a GIGNATUR[
FOUNDATION
MATERIALS
P C PMT 0/ ^ l
FEE $ FEE $ O"T/
FRAME FIRE STOPS
I HEREBY
THAAC T
THE
OE 15 I HAVE READ THIS ATO LOTION BRACINGBOLT
AND STAT[ THAT THE ABOVE le CORRECT AND AWS E COMPLY FURNACE LOCATION /
WITH ALL COUNTY TI ORDINANCES CER AND AT I LAWN REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING lIN SOLAWORK / I
TION
TH HEREBY I WILL NOT EMPLOY ANY CALIFORNIAN IN VIOLA LATH INT
TION OF TN[ LABOR CODE OF THE STATE OF ALIFRELAT
INa TO WORKMEN 8 COM TION INeURA -
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTE gyp, + RECT AND POSTED /
ADDRESS 7ao GH/' ��•• e� FINAL
JOHN F LEWIS PRINCIPAL STI URAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION cK mo CASH
Lti,p0 6 8 5;3 _J030 i D 10.00- 1
' i�lA72d�
DMSION r0 f c&lC IMG AND SAFETYDepm1 t3U I L®I N G
WM J FO]C, COUNTY MIN6HR APPUCyATION /
FOR99APPISCAN? TO PIId" IN /� r ADDRESS
BU ILDIN43 .A):?
/
ADDLLHSS„J SJ /YI TIn Ip C/fc. 1.71✓y LOCALITY ��L/ L-VLt.i
LOCALITY a h,z Zl e C/ '-c. (' , /' CROSS ROSS 1 T
Cm
NEAREST ` / • DISTRICT NO PLAN C` oR R[G No PER IQ
[/ /y ) 6 3 / 3 �—
OWNER P/&A P h CA otr- 1 P i /'�RHJ/C�H)IvKD�EY DATE
/or A`PPL DATE ICEUEDI
AMAILDDRESS :J J /I/P� L I O �- b V
-/� /! 1 UBH ZONE NO OR TYPE GROUP RIRH ZONE
CITY
MGIINItHR OARCITMCTR��II G//l PCO TO -972 / - l I ZONING ;-- lr�P1 l ��.— ,4-
A 5 E. C7/P `¢- GSOI BUILDING �`� oltD r
// SETBACK LINE 2,,' PL �4 ,
coNrnwcroRSPJ 4 /'lcitnTEL �� 33S B -0, �/ tn j�rti �/ '
V HOUSE NUMBERING
ADDRESSLEGAL 723e:,2,�H 'In L+1`//1 JG YI /r/G� /Y/l �{
DESCRIPTION LOT NO 7L O BLOCK MAP NUMBER �d NO'ABHIONHD BY �y1
c n DATE CORRECTIONS INSPECTOR
TRACT /.]qq.)/ o �P'44) Anr R,f
81ZB OP LOT c��"1 CM3/ .� NO OF BLDGS
NOW on LOT
91WF 140 "LogQ.�J �pC v,. � NO OR -FAMILIKII1 �— .✓G NJES F. O
DESC WnON OP WOES s Et PCov6O aL o v .�-�__
Z
NEW ALTERATION ADDITION / / (1 VP' /1
REPAIR DEMOLITION
NO or
SIZE tO / .7. b ROOMS % STORIES 9 S 3
EXT WALL,/ /JJ RooF
COVERING , ,T..P n/R i COVERING RW J. OMA77 80
UBE OP STRUCTURE
d Bn /.vsAc+ar/cnJ
APPR VAIS vlaxi�
1I�� e� �w INS'ECTO SIGNS DATE
V`I]� CO M 1 i r FLOC
OUNDATION
ATERIAL.S IO �� Cr a
1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS AP- PRAMS FIRM STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS
CORRECT
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES RII RNACH LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS
Sti E U M G( �� ` 0 V' 4 h - C/s n.cs 5'r //'
SIGNATURE OF,/ LATH. INT/: _ ni.- L L '✓ S�
KRMI Q 1
ADD ?• /yG1�lH r�!(T),�1 n.11-! i Ir LATH MET
✓ INT
AUTHORIZED AOT
PLAST ELT
Oo P bpi_ ��j[f �� HRREECTwHAIuiI
VALUATION ►H8 S 9 `T� FINAL 1 N SS
�uwu wss sw
L ' i71 BUILDING
BUILDI5 5.'3 %- L[ ✓,(u d'
APPLICATION � LOCALITY
DIVISION OF BUII.DINfi AND SAFETY
1MparOtma t ad OO®ty Engluaw DISTRICT RECEIPT N0. PER M
00=L7 a. IA& ARgelEB
WM. J. FOX. COUNTY ENGINEER GRCU DATE RECEIVED OAT[ISSUED
CABSATT D SRIFf IM. Sup" ar Baiwimo
F- 3 o -s D7- -s
FOR APPLICANT TO FILL IN TYP RECEIVED BY , ISSUED BY
J�ti wt�f�t/�
OWNER
M MAP /7 ��a HTATL Y[B O
ADDREBB I NUMBER f— NWY
UBEZON[ SPECIAL
CITY T -Z"— CONDITIONS
ARCHITECT ORT,✓ TEL. lid C 0
ENGINEER Y fI' �(,yy(R` NO
BUILDING YARD NWY [R NAME IXIST.
SETBACK ._/ WIDTH
n� FP.RONT �O ? 4:iro /� a O
CCNTRABTDp N0.�L(. / /L ',l
SID[
ADDRESS P.L.
SUILOING DAT[ CORRECTIONS INSPECTOR
ADOR[BB a HOLD FOR 9 OUSTNAL WASTE ( LIARANCE
LOT NO �x BLOCK —
t
TRACT �t > ) , C
SIZE CF LOT A3 /� NOW OM LOTR V 1
UB60F ( 1 Z L.F)C T L.Dc.�TELn AS - AI. .
DESCRON OF WORK r
IPTI
a
6-1
til D p
NEW ACD ALTER REPAIR DEMOLISH
Bo FT. 1 L
SIZE /B TORI[l rAM ILLI EB
USE or STRUCTURE I 0 1�.. A I l�LI
0 1 LDA
Na or Z c, mm wliuuTca.aA rG
IHEREBY ADKNOWL[DS[ THAT I HAVE READ T1419 AP-
PLICATION AND STAT[ THAT THE INFORMATION GIVEN IS APPROVALS INBP99TORSaIGNATURK DATE
CORRECT
1 AGREE COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION$ LOCATION
AND HTAT[ LAWS REGULATIN9 BUILDING CONSTRUCTION FORME.MATERIALS
/�—r FRAM[ rIR[STOPS.
SIGNATURE Or BRACING BOLTS
P[RMI FURNACE LOCATION.
GAS VENT DUD"
Ifie
ADDR[RR QJYa
AUTNQR$Z[e ART_ _ LATH INT.
LATH IXT.
!8 90 d-(1 ru B HOUR[NUMBER OUR"
T
3,D R[OAND Pcnrmo
VALUATION S
FEE ;) FINAL
9M�iBw OW
3 1•M
Tawaa en ceaeos BaT r I
APPLICATION FOR BUIL I G PERMfT LJ
CdUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUE T Or BUILDING NEAREST
CROSS ST
DIST ICT N GR P TYPE BY
FOR APPLICANT TO ILL N CONST
(P".t Gr typ. Gnl �'_3 1, a
BUILDING __ STATISTICAL C SSI CATION SEWER MAP
ADDRESS /tM1>At` CLASS NO DWELL UNITS_ -Blc--at'�
LOT NO BLOCK USE ZONE MAP O' /{
NO V
TRACT SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT / .p/�NOW ON LOT
USE OF
EXISTING GG BLDG V !ems
p BLDG SETBACK FROM
OWNER („BICa TµeRJV CA'I EL 1S6 63�i FRONTPROP LINEOF _(STREET)
YPE OF ISTING SETBACK HIGHWAY } YARD - TOTAL
ADDRESS J 7 /w�MP�(E WAV WIDTH FROM C L
CITY 74CM/pLE G // +
ARCHITECT OR TEL BLDG SETBA OM
ENGINEER NO SIDE PROP LINE (STREET)
TYPE OF ISTING SETSAC HIGHWAY i YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL _
CONTRACTOR NO + Loo
L I CORNER CUTOFF YES ❑ NO ❑ U
ADDRESS LI
Cl
CITY
LIC SEE REVERSE SIDE FOR SPECIAL APPROV
DESCRIPTION OF WORK a
H
Z
NEW ADD ALTER REPAIR DEMOLISH
SO FT / / NO OF NO OF
S1ZE STORIES FAMILIES
USE OF
STRUCTURE 6
G u kc
SIGNATURE OF
APPLICANT /1
VALUATION S J �p
o-- APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT O E- FOUNDATION LOCATION
FEES FEES FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY AC R NOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BDLTS
AND STATE THAT THE ABOVE le CORRECT AND AGREE TO COMELY (FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGGAS VENT DUCTS
OUILDIN0 CONSTRUCTION I CERTIFY THAT IN 00,AG
THE WORK
AUTHORIZED HE
TION OF THE LABOR CODE OF THE STATE OF CALIFORN:A ZKLATLATH INT
ING TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATUREOF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS •�•
FINAL // Ly
MJOHN F LEWIS PRINCIPAL STRUCTURAL E
PLAN CHECK VALIDATION CK D CASH NG
_ PERMIT VALIDATION CK r o uaH
4947 Jw 6 1 D 6.00- Q
WORKERS COMPENSATION DECLARATION
hereby affirm that I havecertificate of n, to self - APPLICATION FOR BUILDING PERMIT
insure or a certificate of Workers Compensation tion Insurance
or a certified copy thereof (Sec 3800 Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No 757144 Company State Fund
Certified copy is hereby furnished FOR APPLICANT TO FILL IN �aufNG
ADDRESS
EDC Certified copy is filed with the county budding mspec BUILDING
n non department ADDRESS 5537 Temple City Blvd.
Date 1/9/90 Applicant Monarch Roofing CITY Temple City ZIP LOCALITY__,
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST
(This section need not be completed if the permit is for one - ASSESSOR ,
hundred dollars ($100)or less ) - TRACT BLOCK LOT NO MAP BOO( PAGE PARCEL
TEL
OWNER Dave Holmes o 287-258 USE E
I certify that in the performance of the work for which this �
permit is Issued I shall not employ any person in any manner ADDRESS 5537 Temple Cit -B I vd. SPECIAL
so as to become subject to the Workers'Compensation Laws CONDITIONS
C!n Temple City ZIP 8L
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL DISTRICt GROUP TYPE �./ FIRE Y O
Exemption you should become subject to the Worken' ENGI R NO s� A� /1 CONST -l/ Z f-•
sV1 U FC` U
Compensation provisions of the Labor Coda you must forth- ADDRESS _
with comply with such provisions or this permit shall be a'
deemed revoked ' STATISTICAL CIASSIFICATION APT CONDO to
coNTRAcroR NN o 796-619 Z
LICENSED CONTRACTORS DECLARATIONCLASS NO DWELL UNITS_
I hereby cffmn that I am licensed under provisions of Chapter 9 ADDRESS 2412 E. Walnut, LNO
391983
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect CITY Pasadena CLASS C-39 VALIDATION
SO FT NO OF NO OF CHECK PG
License Number 391983 Lic Class C39 SIZE STORIES l FAMILIES 1 ONE nq ,
Contractor Mnnart7b Rnnf DNWJL_ 1 /9/90
DESCRIPTION OF WORK Apply one f/g NEW tui, y00. 00
ase an two ,
I am exempt under Sec hot aphal *: 91Aod RQ
B&P C for this reason #5 Granite. UL R1306 REPAIR 6 52. 33
Date USE OF
EXISTING BLDG ^ EMO
D
sig"stuns "PPL J BTEL
erryNo 7966191 FINAL
OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor s License 412 E. alnut Suite D
Law for the following reason (Section 7031 5, Business and SS FINAL 1 ,
Professions Code) AC GTsi
❑ BUILDING
1, as owner of the property or my employee with ADDRESS
wages as their sole compensation will do the work and ' M7 52.U3
the structure is not intended or offered for sale(Section LOCALITY rye.
7044, Business and Professions Code) MOVING TEL TOTAL
ITEMS
I as owner of the property, am exclusively contracting CONTRACTOR NO TOTAL . 3J
n44
with licensed contractors to construct the project (Sec ADDRESS c�f
on 70 , Business and Professions Code) REQUIRED TOTAL GIGK Jl•dJ
CONSTRUCTION LENDING AGENCY - SET BAO( YARD HWY PROP LINE WIDTH ���
I hereby affirm that there is a construction lending agency for FRONT WANE
ANE .O[I
the performance of the work for which this permit is issued P L
(Sec 3097 Civ C ) SIDE
PL ;iz�L_.ytLT p�
Lender s Name pVUOD-0001 �1s/�10170
$ 73" LDMA Ref Y D1W 1 MI 9:w5
Lender's Address PC F"$ Perron Fee , u
I certify that I have read this application and state that the Isunnce Fee .D jDMA P/C Y
above infornwnon is correct I agree to comply with all County Invesngotion Fee
8 ordinances a d State jaws relating to building construction, Tolal F 7�J IDMA.Penn Y
R and here roe reglesentatives of this County to enter
upon th a menti property for inspection purposes
SH REVERSE FOR OOLANATORY LANGUAGII
ro of Applicant or nt / Dote
`r APPLICATION FOR BUILDING PERMIT
✓ � _i v
+ COUNTY OF LOS ANGELES-_ / BUILDING AND SAFETY
WORKER eCOMPENSATION DECLARATION FOR APPLICANT TO FILL INeulLaNc1� ,
BUILD943 ADDRESS ' �.3
I hereby affirm that I have a certificate of consent to SO iq e � 4
or a certificate of Workers Compermetlon Insurance or e certified
copy thereof (Sec 3800 Lab C) civ
Policy No `�o(e-1 V l.. Compan,,
c SIZE OF LOT NO OF BLDGS NOW ON LOT
11 Certified toPY s hereby furnished `���\'R NEAREST CB0.93 SF
CQ'Certlfed copy is fried with the count'bUIlding inspection TRACT BLOCK LOT NO
department `1 _ - - USE ZONE MAP NO
Date \\ '1 4Qkpplicant�� ^ ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL coNDmoNs
CERTIFICATE OF EXEMPTION FROM WORKERS OWNER TEL NO yes No
COMPENSATION INSURANCE jF
Q- `7� a' —a' wrT*+w 1DDD FT of scfaoL7
(Thus section need not be completed if the permit s for one hundred AGGRESS C AC �\ DISTRICT GROUP CONST FRE ZONE PROCESSED BY
dollars($100)s less)
I teAly that m the performance of the work for which this permit 4w zR�\1 $ ` //``
is issued I shall not employ any person in any manner so as to ARCheiECi OR ENGINEER TEL NO �OO �' role"
become sublatt to the Workers Canpersatlon Lawn SD\nSTICJIL CLASSIFICATION APT CONDO
WtO Applicant ADDRESS - - CLASS NO DWELL UFIS
NOTICE TO APPLICANT If after making the Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption you should beCOme subject t0 the Workers CONTRACTOR TEL NO SET BACK YARD FaYY PROP LINE WIDTH
Cornpensabon pronspre Of the Labor Cade you must brthmith 'l FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL
LICENSED CONTRACTORS DECLARATIONS \7S SIDE
LIC CLASS P1.
I hereby affirm that I am licensed urlderprOYnsions Of Chapter 9 r C 4 \ 0, C SEWER IMP r
(Commencing with Section 7000)of Division 3 of the Business and SO FT 5� NO OF STORES NO OF FAMILIES
Professions Code and my license is in full force and effect 3gOL7 \ NEW ❑ BK - PG ► d
License Number �17\73 Luc Class 3q DESCRIPTION OF WORK ADD ❑ VALUAf10N O
Contracts J�•�oL-�( L Date \\`7Q\�-' l-
ir
I am exempt under Sec ALTER ❑ $ - (r
80.! 6� C12-Q REPAIR ❑
❑
BBPC for this reason \aAr. eNvlecN DEMOL ❑ LDMq P/C A 9
Date u EXISTNq@LDGMC URM ❑ 1 fA
'
Signature APPLICANT(PANT) TEL NO LDMA Perm+ ACC I .T z
❑ I as wvner of the property or my employees wrth wages as
them sola COmpefaetlal well do the w011( and the structures ADDRESSF `I ? ?5..4
not Intended or offered far sale (Section 7044 Business and RMAL DATE C
Professions Cade) WU-Tiff APPLKMrT OR FURRE WWNG OCCUMNT IWicIE A IWAAOOUS MAtERHL r /0- 11-43 7 1 ITEMS
C1propertyaS Own of the property 8m 8 OR A IAXTUE CONTNIANQ A NISNOgns MATERHL EOIYL TO OR GREATER T14N TIE Q 101 AL 153 - 45
KCIIJaNety COrItraClYg Wlih AMOUli$sPECFEO ON TIE IIALA0g1a MATT nII NFORMATKN GUOEi FOUL BY >
licensed csrcrasors to construct the project (Section 7044 vEs❑ No❑ /V CHECV 1`'.R`
Business and Professions Code)
wRL TIE N`MNQE0 USE OF TIIE sUDLNG BY TIE APRJ('INT OR Fl URE WApNG
000URTr REQUIRE A f£AW FOR COISrRUf:TIKN OR MOgFKJTpN FROM TIIE 9CUTH I-HAHVG Ll
CONSTRUCTION
CONSTRUCTION LENDING AGENCY Wl4r AN QJAU`rY MAAUDEAENT DIS R CT IscAeuol s E PErurren clEcuausr FOR
ouOEulEs
I hereby affirm that there is a construction lendug agency for �s❑ ,to❑
a the performance of the Hark for which this permit s issued Sac IHAV'REAp TIE NA2Arssrs MATERINSINsom,unoN aLOE AND TIE scAoMo PERATi r1k�(0-0 + i 11 12 r 1
3097 CIV C) OECKLLRT UFDERs1AN0 MY REOUFEAEMS lRd)ER TIE IDs ANGELES COUlTY CODE T OOOO JOU 1 11/.r J, �/L
TmE 2 tIMP T 20 SECTIONS 2 20 100 TINOODN 2 20 140 CONCERNINGNAWi0009 -I�J 7••52
Lender a Name MMERIALS REPORTeq AND FIXi OBDIIDIO A PERMIT FROM TIE aVDAO f'111a - .
kaj Lends Address
0
I certify that I have read this application and state under penalty I
g of per"y that the above information s cornett I agree to comply 1;27PC FEE PERMIT FEE
it with all county ordinances and Sate laws relating to building '
construction and hereby authpn2e representatives of the County ISSUANCE FEE
m a�upal the above-men-lmled property Inspection purposes 'I '
n\q( INVESTIGATION FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE
1 _
\ •^ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC LARKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0008150061
PHONE (626) 285-0488 EXT
LEGAL ID No OF CONST BUTLDING ADDRESS
ON FILE SQ FT STORIES TYPE 5537 TEMPLE CITY BL
STRUCTURE 0 VN TEMP CA 917802530
ASSESSOR INFORMATION NUMBER NE8588.005.029 THOOMASTPAGESS597REEGRIDROADA3UAYLOCALITY TEMPLE CITY
TENANT. EXIST BLDG USE COKME USE ZONE R-3 ISSUED ON PROCESSED BY tXPLKt:b ON
EXIST OCC GRP 11/06/00 UT 05/06/01
OWNER TEL NO SLDGS NOW ON LOT VALUATION FI AL DATE FINAL BY CODE
GRACE BAPTIST CHURCH TEMPLE Cl (818) 286-6342- 1 8,000 ���0�
5537 TEMPLE CITY BL
TEMP 917802530 DE L;RiPTION OF WORK
FACADE RENOVATION, NEW PARAPIT, RAISE EXISTING PARAPIT
FEE DESCRIPTION QUANTITY IAM AMOUNT
APPLICANT TEL NO
DANIEL WONG ASSOCIATES (626) 405-1827- D1 PLANCHECK W/O EN-HC 8000 00 VAL 155 55
50 S DELACEY AVE AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS
PASADENA, CA 91105 AE STRONG MOTION=OTHE0..-8000 00 VAL 1 68
D2 PERMI T.W/OPENSZ LES TOTT�FEES VAL 3la3 00
67 98
CONTRACTOR NO APPROVALS DATE INSPECTOR SIGNATURE
C E FRY CONSTRUCTION (909) 920.5015- �0 -v�TY '
286 CORPORATE WAY LIC NO LOCATION AND SETBACKS
UPLAND, CA 91786 299051/BARCHITECT OR ENGINEER. TEL NO FOUNDATION/TRENCH FORMS
/
ROBERTS, JEFFREY (818) 640-3755//
8722UIMURPHY AVE LIC No SLAB/jNDER FLOOR
SLAND, CA 91040 NONE �/
RAIS6 FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE
147H269 3 I—L4U'B" C �n10
0� uV '7 S FLOOR SHEATHING
NO OF FAMILIES DWELLING LIMITS _
NO 22`\f
SHEAR PANELS
SCHOOL WITHIN
AIR QUALITY 1000 FEET MATERIALS \ Q Q I .�s`
NO NO NO FRAME INSPECTION
o OO �y lZZ 0REQUIRED TOTAL SETBACK FROM E)(I STFIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH Gb/iC `SSIO(
FRONSIDT PL- Service That
INTERIOR LATH/DRYWACE
EXTERIOR LATH
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID OPR261 ROUTE TO SS0508
.SS-37 0.� a i7 ,,82,.{
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9808040034
PHONE (818) 285-0488 EXT
LEGAL 10: NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE 5537 TEMPLE CITY BL
STRUCTURE 0 VN TEMP CA 917802530
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8588-005-029 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY
TENANT LXISI BLUti ME HL51 I) L15L LONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 08/04/98 __ UT 08/04/99
OWNER- TEL NO BLDGS NOW ON LOT VALUOTW— FINAL DATE FINAL B 0
GRACE BAPTIST CHURCH TEMPLE Cl (818) 286-6342- 1 2,900 a�/ /lp
DE
5537 TEMPLE CITY BL D f-fl
TEMP 917802530 FEES PAID 6nT(FiPrrow-6 um.
TEAR OFF AND RECOVER WITH 25 YEAR CELOTEX CLASS A COMP
FEE DESCRIPTION QUANTITY LON AMOUNT SHINGLE
APP ICA T TEL NO
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27 75
4016 TEMPLE CITY AC STRONG MOTION,RESID— 2900 00 VAL 0 50 SPECIAL CONDITIONS
ROSEMEAD,CA D2 PERMIT W/O-EN-HC �2900.00 VAL 99 00
/ P�y(3ELE:TOTA jFEES 127 25
CONTRACTOR TEL NO5 CANT`
APPROVALS DATE I W9RTTM-n-dWffWr--
WEATHERITE ROOFING (626) 287-0669-
4016 TEMPLE CITY BLVD LIC NO LOCA,iON AND SETBACKS
ROSEMEAD CA 91770 4231TTC39
SOILS ENGINEER APPRMAU-
rr//�
LIC NO�j/ illl ll'
SLAB/UNDER FLOOR
147H269 3 101 �V � UC �%��0Lf
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 21 D k66F-gffnn fiAg,—
AIR QUALITY 1000 FEET MATERIALS 61 �-
NO NO NO A O �i n �,�REQUIRED TOTAL bLlIiACK FROM EXIST
FIRE SPRINKLER HANGERT
�� FRAME INSPECTION
SET BACK YARD HWY PROP LINE WIDTH 46/�C 0 C�C��
FRONT PL- `S�''r VICTha
C INSULATIOW/WEATHER UM
SIDE PL-
INTERIOR LATH/DRYWAEU
EXTERIOR LATH
RATED FLOOR/CEIL AMR—
RATED WALL ASSEMBLI ff—
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
CODUTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9811170006
PHONE (818) 285-0488 EXT-
LEGAL ID- NUMBER OF SIGNS I BUILDING ADDRESS
ON FILE SIGN DESCRIPTION: NEW 9 5 MONUMENT SIGN 5537 TEMPLE CITY BL
TEMP CA 917802530
NEARESTASSESSOR INFORMAIIOM NUMBER SSREEIV
8588-005-029 THOMAS PAGGE597GRID A3 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE ISSUED ON PROCESSED BY tXPIRES ON
EXIST OCC GRP 11/18/98 _ UT _ 1!/W99
OWNER TEL NO BLDGS NOW ON LOT VALaTr6F— FINAL DATE CODE.
GRACE BAPTIST CHURCH TEMPLE CI (818) 286-6342- 4,000
5537 TEMPLE CITY BL
TEMP 917802530FEES PAID ON it �L
NEW MONUMENT SIGN (9 5 1)
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AE STRONG MOTION OTHER 4000 00 VAL 0 84 SPECIAL CONDITIONS
AX BUILDING REVIEW.FEE�1 54 70
D2 PERMIT W/O'EM:Hc GEL C 4000'00`VAL 115 80
O5 P TOTAQFEES T 199 D9
CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER V J-
l[C NO LOCATI ON AND SETBAC
i
ARCHITECT OR ENGINEER TEL NO' TW=ION77RENCH F=
LIC NO- 1111111
MAP NO SEWER MAP BOX: PAGE FIRE ZONE CNP
D;NO OF FAMILIES: PUBLIC WORKS
No 20
---9E955r-9rTffrw— HAZARDOUS
y(rt��N1
AIR QUALITY 1000 FEET MATERIALS '
NO NO NO ® ®y
c Service That
i
REPORT ID. DPR261 ROUTE TO SS0508
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 0103120046
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE 1 5537 TEMPLE CITY BL
STRUCTURE 0 VN TEMP CA 917802530
ASSESSOR INFORMATION NUMBER' NEAREST CROSS STREET BROADWAY
8588-OD5-029 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY
TENANT FXIST SLOG USE COME USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON:
EXIST OCC GRP: 03/12/01 pYDIQ Lf) 09/08/01
TEL NO sLDGS NOW ON LOT VALUTrM— FTA FU1
GRACE•BAPTIST CHURCH TEMPLE Cl (818) 286-6342- 1 3,700
5537 TEMPLE CITY BL
TEMP 917802530 FEES PAID DESCRIPTION OF WORK
T/O EXISTING ROOF ON FRONT FLATDECK SECTION ONLY, REROOF
FEE DESCRIPTION QUANTITY: LION AMOUNT OVER EXISTING DECK WITH GAF CLASS A BUILT LIP 1 BASE 2 PLY
APPLICANT --rn--o—
MUSULMAN ROOFING CO (626) 339-0394- AA BLDG PERMIT ISSUANCE 27 75
1066 E. EDNAl AVE AE STRONG MOTION OTHER 3700 00 VAL 0 78 SPECIAL CONDITIONS
COVINA, CA D2 PERMIT W/O-EN-`HC'--- 3700 00 VAL 115 80
CO5 P�GELF$TOUiTFEES 144 33
CONTRACTOR TEL NO. V
AN ROOFING INC (626) 339-0394-
1066APPROVALS DATE INS"Ela-Mularr—
E � �Tj-
1066 E EDNA PL LIC NO LOCATION AND SETBACKS
COVINA CA 91724 420356 C39
SOILS ENGINEER APPR67AU--
ARCHITECT OR ENGINEER —TEL NO FOUNDATION/TWEREFTOW-
ROBERTS, JEFFREY (818) 640-3755-
8722 MURPHY AVE LIC N0� , ,, ��„ SLAB/UNDER FLOOR
8722 UR CA 91040 NMAP NO SEWER MAP SM PAGE nn—far—qw- UNDERFLOOR MWUMT5W—
ONE
147X269 3 1 04 �Uj D C �A110�K9 FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS. APT/CUND STAT CLASS
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
i �AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME, ��
REQUIRED TOTAL SETBACK FROM EXIST
fib/ ❑ o��
SET BALK YARD HWY PROP LINE WIDTH �N
FRONT PL- iC Service ThT�
SIDE PL-
INTERIOR LATH/URYWALr—
• ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO SS0508