Loading...
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