HomeMy Public PortalAbout5759 TEMPLE CITY BLVD_Building__ �A:. APPkICATION FOR BUILDING
PERMIT
FOR..APPLICANT TO FILL IN (Print or type only)
=UiLDING
ADDRESS /75 725k 1,-fs R1{f 15 COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
CITY �G� C! z I P /" 8a BUILDING AND SAFETY DIVISION
I
NO.OF BLDGS. / ADDRESS
— ' r�
SIZE OF LOT NOW ON LOT / R
TRACT ,} / BLOCK I LOT N0145fllf LOCALITY -
IF
NEAREST
OWNER y(z,.i- NO. 16? CROSS ST.
j r ASSESSOR
ADORE s / r� love C�/ 6/61Y , MAP BOOK PAGE PARCEL
CITY �iC L C ZIP Y �8•f} DISTRICT GROUP CONST ITYPE ZINE PROCESSED BY
ARCHITECT OR ' TEL.- a( �
ENGINEER -NO. STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS CLASS NO._;9LLDWELL.UNITS BK PG
CONTRACTOR ® TEL.
ntil� O 'USE ZONE MAP
ADDRESS��� lj .I XJTE�J�, NO LIC,2.$ •� SPECT L
CONDITIONS
CITY wH177f c(r CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
NAME AND BIRANCHNDER 0 tc-tIA-all
BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD .TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. � NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE O STORIES FAMILIES -ONE
DESCRIPTION OF WORK NEW ❑ + C
/� ADD BLDG.SETBACK FR
IN Sw �l ALTER:[:]
PROP.LINE OF (STREET) C
ALTER' HIGHWAY + YARD = T L ACK FROM TYPE OF EXISTING C
REPAIR❑ SI P. LINE HIGHWAY WIDTH C
USE OF + - * v
EXISTING BLDG.' DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) N0.
BY (SIGNATURE) IN OPEN SPACE - YES ❑ N ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION',$ .35. 0
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION •""��>� ��� ,L. 1✓ /.7C fir --- /•l �p1�"�JI"y'�
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- -{^. IE2fC• ,F45_: M_ff/_'D ����,? ll s�u.A"P-�—.
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED _
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE _ .�
LABOR CODE OF THE ST TE OF •CALIFORNIA IN RELATING TO � f:;1„ ;;�,."W"„; ^. i •,'•�; ,, �
WORKMEN'S COMPENSATI INSURANCE.
SIGNATURE OF 7? J Y 1 Z� V✓f2i� CSN/Cf�
PERMITTEE-
ADDRESS
-
Aa
/\DDRES/S JJJ ' i g� �--� //'
CITY_ GI P- / . NOL• "/ G/ DATE
BY
MAKE CHECKS PAYABLE TO: FEE' FEE $
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT V I IDATION CK. M.O. CASH
76AG38A CE#803 5/74 0'6 8'0-FEB 5 1 1) 3 5.2 5 ®bd
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 0801170003
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I
ITR: 6561 LT: 609 I SQ. FT STORIES TYPE I 5759 TEMPLE CITY BL I
ISTRUCTURE: V-B I TEMP CA 917802510 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I
18587-016-012 1 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
ITENANT: I.EXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
1 1EXIST OCC GRP: 101/17/08 SR 07/15/08
TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: (FINAL DATBY: CODE:
IVANVALKENBURG LYNN;ROBERT (818) 287-7829- 4,250 1
EXPIR
15759 TEMPLE CITY BL T'
ITEMP 917802510 1 FEES PAID IDESCRIPTION OF WORK I
I I IREPATR LEAK REMOVE TILE AREA TO BE REPAIRED INSTALL FELT I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IPAPER AND REINSTALL TILE 1
(APPLICANT: TEL. NO: I I I
ILIGHT HOUSE ROOFING & REPAIR (626) 452-1976- IAA BLDG PERMIT ISSUANCE 27.75 I
14152 BALDWIN AVE IAC STRONG MOTION RESID 4250.00 VAL 0.50 ISPECIAL CONDITIONS: I
1EL MONTE CA 91731 ID2 PERMIT W/O EN-HC 4250.00 VAL 132.60
IFR INV WORK W/O PERMIT 257.00 DOL 257.00 1 1
I I TOTAL FEES 417.85 1 I
(CONTRACTOR: TEL. NO: T 1APPROVALS DATE INSPECTOR SIGNATURE
ILIGHTHOUSE ROOFING AND REPAIR (626) 451-1976- l
14152 BALDWIN AVE LIC. NO I 1LOCATION AND SETBACKS
IEL MONTE, CA 91731 751595 C39 I
I
1 1 1SOILS ENGINEER APPROVAL 1 1 I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 1SLAB/UNDER FLOOR 1 1 1
I (RAISED FLOOR FRAMING 1 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDE�.FLOOR INSULATION I I
115OH269 3 O1. I� I I 1
I. IFLOOR SHEATHING I I I
[NO. OF FAMILIES: DWELLING UNITS: APT//COND: STAT CLASS: 1 I I 1
NO 211 1ROOF SHEATHING `1 y
T SCHOOL WITHIN HAZAMOUS I ISHEAR PANELS T O 1 T
(AIR QUALITY: 1000 FEET MATERIALS I I l I I
NO NO NO 1 1FRAMF INSPECTION 1 1 I
1REQUIRED TOTAL SETBACK FROM EXIST I IFIRE;SPRINKLER HANGERS I I I
I I I
(SET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- 1' (INSULATION/WEATHER STRIPY I I
SIDE PL— 1 I I I I
b (INTERIOR LATH/DRYWALL
I I I
V (EXTERIOR LATH I I I
I I I
I' (RATED FLOOR/CEIL ASSEM. I I I
1 Ii1(RATED WALL ASSEMBLIES 1 I
I 1 1RATED SHAFTS/OPENINGS I 1 1
I I' IT-BAR CEILINGS I I
I 1 I
TI ILOT DRAINAGE I I I
I I I
I,REPORT ID: DPR261 ROUTE TO: BS0508 I I 1
I I I I I 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 1202160021
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 6561 IT: 609 I SQ. FT STORIES TYPE I 5759 TEMPLE CITY BL I
(STRUCTURE: 1000 V-B I TEMP CA 917802510 I
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18587-016-012 1 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C�
ITENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: 1
1 1EXIST OCC GRP: 102/16/12 SR 1
1OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL Y: CODE: ]
VANVALKENBURG LYNN;ROBERT (818) 287-7829- 1 6,000I� �1\ I
15759 TEMPLE CITY BL 1 I L I
TEMP 917802510 1 FEES PAID IDESCRI ION OF WORK
I I IREMOVE AND REPAIR BROKEN CLAY 2 PL TILES ]
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 I
1APPLICANT: TEL. NO: I I I
1UP ON THE ROOF INC. (951) 698-3797- 1AA BLDG PERMIT ISSUANCE 27.80 1 1
1 IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
1AC STRONG MOTION RESID 6000.00 VAL 0.60
D2 PERMIT W/O EN-HC 6000.00 VAL 149.70 /� 1 ]
I I TOTAL FEES 179.10 �� 5�Ql � ? Re e 41 zA P- e,611
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOAJSIGNATURE I
IUP ON THE ROOF INC. (951) 698-3797- I 1 I
126769 QUEEN CT LIC. NO I ILOCATION AND SETBACKS I I 1
IMURRIETA, CA 92503 NONE I 1 1 1 I
I (SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNUATION/TRENCH FORMS I I I
1 LIC. NO: 1 ]SLAB/UNDER FLOOR 1 1
] 1 1RAISED FLOOR FRAMING I I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUNL'ERFLOOR INSULATION I I I
1150H269 3 001 1 I 1 ]
I I IFLOOR SHEATHING ] 1 ]
1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 0 NO 21 1 1ROOF SHEATHING I 1 ]
1 SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS
AIR QI I I
1UALITY: 1000 FEET MATERIALS I I 1 1
1 NO NO NO 1 IFRAME INSPECTION I 1 I
1 1 iFIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIP] 1
1 I 11NTERIOR LATH/DRYWALL I 1
1 I (EXTERIOR LATH 1 1
I
I 1RATED FLOOR/CEIL ASSEM. 1 1 1
1 I (RATED WALL ASSEMBLIES I I
I 1 1RATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS I I I
I 1 I
(LOT DRAINAGE I I
I I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 ] I
I I I I I I