HomeMy Public PortalAbout5828 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
PLANSF3LDG. FIRE r
FILED ®ETS- ZONE ZONE DISTRIC3 ALO. PLF�II�CHK..sF�E PERMIT No.
ICNo.
TYPE OF
_BLDG. III IV V X GROUP • a
BLDG. SETBACK LIN/EST/�+)'/ _ DA/�/TJE//OfF7P/PLS^ RECEIIVlEDI Y�• DAT ISSUEDy
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f APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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2 CITY �I�/fY �U K)/'/ C f [ <��6' LOI ,_:� :i" SIZE OF LOT�O 1� /t�
u STATE
U LICENSE NO, fil e� 1 ° GU NO. OF SLOGS.
�.*� J TEL. No.l6 114/-).;jd
BLOCK NOW ON LOT *6 I1r
O � ,/�� USE OF BLDG.
CLASS OF WORK TRACT A1�J C/ NOW ON LOT
DESCRIPTION OF WORK
NEW �I ADDITION DEMOLISH _
ALTERATION I REPAIR I—I MOVING I
USE OF ��yy NO. OF Qn
BLDG. 0 03p, <- a IROOMS Q
SIZE OF 3O -'e I STORIES ND. OF
BLDG. Al�
�CORRE�CTIONS
SPECIFICATIONS /� _ 5'. z'-Ce' t
FOUNDATION
MATERIAL " TD�FI PIERS l
THICKNESS—TOP
THICKNESS—BOTTOM
J
DEPTH IN GROUND Q
Z
SUPERST CTURE U'
SIZE SPACING SPAN C
R. W. PLATES (SILL)® O
_
GIRDERS
JOISTS—FLOOR
JOISTS—CEILING)
BEARING WALLS
PARTITIONS
ROOF RAFTERS FINAL APPROVAL
SILL BOLTS 1
COVERING DATEf_�— f5ql,
INSPECTOR'S NAME~
WALL I ROOF I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND 'STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
P.C. FEES AND STATE LAWS RE TING B I ING CONSTRUCTION.
iC � `
w SIGN �-
VALUATIONS FEE S .OWN,EM OR AUTHORIZED AGENT
DB-3 8-58
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM.,,Ie'FOX, CHIEF ENGINEER
PLANS BLDG. /� zoNE DISTRIP'Gallo. PLAN CHK. FEE PERMIT No.
–FILEDTYPE OF SETS ZONE (P RECEIPTI ( � p,
BLDG_ 1 11 19 IV V, X GROUP DATE OF!APPL. REG IVE Y DATE ISSUED
BLDG. SETBACK ;NE ORD. No. �"`/I"u/4,FD All/L 7dAy
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �
G
BUILDING
d. NAME ADDRESS
F W � /
W ADDRESS LOCALITY Ly�
UZ �� �'
Z Z CITY CROSSSST. Jif/inrl� y'/"�
W LI ENSE N06•T f TEL. ND. r rE NAME
_ MAIL
p NAME / r 1 / 3 ADDRESS
CA13DRESS/114 8F 6-(- v'T+"ftlV 4' N I O CITY TEL NO.
F r SIZE OF LOT
Z CITY �.�.�/)'� 1 J d' LOT -5 O
V STATE O V NO. OF BLDGS.
LICENSE NO. TEL,No, J W BLOCK NOW ON LOT p v
USE OF BLDG. -
CLASS OF WORK � NOW ON LOT _
- -
DESCRIPTION OF WgDgtR.///
NEW I °/I ADDITION kOVING EMQLISH �ALTERATION r1REMIR USE O
No. OF
BLDG F �`,f t/c dC. (IJ-1.�fa (ROOMS
SIZE OF ! STORIES No. OF .,
BLDG. I FAMILIES I CORRECT ONS C
1 �
SPECIFICATIONS
FOUNDATION
EXTERIOR PIERS '
MATERIAL
THICKNESS—TO� G
THICKNESS—BSOTTOM,n Ap J
DEPTH IN GR®OUNb Afk I z
v
PERU t9 D
L SIZE SPACING SPAN E
R. W. PLAT •(81^L) Q 0
GIRDERS
JOISTS—FLOOR
JOISTS—CEILING
BEARING WALLS
PARTITIONS
ROOF RAFTERS
6 r. SPP dd11 �
SILL BOLTS ° .' ems•
-- - � �j7�Vny �Etit.F �
COVERING DATE V `� INSPECTOR'S NAME
WALL ROOF 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
P.C.FEE 55 AND STATE AVy5 R GUb LATING 1 )!DING CONSTRUCTION.
SIGN_. r•�4
VALUATION S 06;60 FEE S J6 T 'OLIlftR OR AUTHORIZED AGENT
:DB-8 8-88 )&-R
,76A:f SA►CE *V3 4/70
rr APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS P
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY 1
FOR APPLICANT TO FILL IN cRAosRs sr. `^ ,L/)'s �U ✓ ,
Print orf a onl
BUILDING
DISTRICT GROUP CONST.j PE PROCESSED BY
ADDRESS 4 tr O� V vv���,^^ �� -1/
ITY
STATISTICAL CLASSIFICATION SEWEFrMAP
LOT NO. rt , 6 BLOCK CC-� a►
CLASS NO.,y,b.._DWELL.UNITS BK PG
TRACT USE ZONE MAP
NO.OF BLDGS. NO. D
SIZE OF LOT NOW ON LOTS SPE A
USE OF CONDITIONS
EXISTING EILDG.
TEL�o
OWNER n/ NO.`7 BLDG.SETBACK FROM
ADDRESS _ FR PROP.LINEOF (STREET)
TYPE OF ING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WID ROM G.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + D = TOTAL
CONTRACTOR .,4. NO. 33• HIGHWAY WIDTH FROM C.L.
LIC. y
ADDRESS ?1-7,94 ,4 NO. � p + - C
CITY �/LJ '` ClCLASS /J' CORNER CUTOFF YES ❑ NO ❑ m
CONSTRUCTION LENDER F
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS LL
a
ADDRESS
NO. OF
SQ. FT. NO. NEW ❑
SIZE STORIES FAMILIOFES '®
USE OF ADD ❑ o'-O �yLG/I
STRUCTURE ALTER r L1
SIGNATURE OF REPAIR❑ t�Yyy � L� ✓ �� �A-7'�-
APPLICANT DEMOL ❑ f I�
VALUATIONS d� 00_
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F E S FEES Ix 4, FORMS, MATERIALS
FRAME: FIRE STOPS, �{
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION BRACING BOLTS (/
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUI G CON- GAS VENT, DUCTS
STRUC TI ON. I CERTIFY THAT IN DOING THE Wf
HORIZED
HEREBY 1 WILL NOT THAT
ANY PER 1 � OF THELATH, INT.
LABOR CODE OF THE STATE 0 TING TO
WORKMEN'S COMPENSATION A• LATH, EXT,
SIGNATURE OF �� HOUSE NUMBER COR-
PERMITTEE d RECT AND POSTED
ADDRESS f FINAL
JOHN F. LEWIS. P I<NOIPAL STRU—CTURAL ENGINEER
PLAN CHECK V LID TION CK:)M.O. CASH _ PERMITVA �A ION CK. M.O. CASH
I A C 1 ' 77 f�1�� -'2 3 D
�` . Lz-3 9.0 0 A �1
Ar„ 0 1, 9 6?3 MAR 27 1 D 1 ,5.00-
I
.f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 EL 0508 1001050034
PHONE: (626) 285-0488 EXT: DUPLICATE
]LEGAL ID: (NUMBER OF SIGNS: I { BUILDING ADDRESS: i
ITR: 6561 LT: 585 BL: .001 [SIGN DESCRIPTION: CABINET SIGN WAIGHTING I 5828 TEMPLE CITY BL
1 1 —1 TEMP CA 917802112
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS
19587-018-022 I
THOMAS PAGE: 596 GRID: J3 LOCALITY- TEMPLE CITY, Cl
ITENANT: ]EXIST BLDG USE: (ISSUED ON: PROCESSED BY:
IDR. PETER CHI M.D. (EXIST OCC GRP: 101/05/10 SR
TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE.
1OWNER:
1
ICHI, PETER (626) 285-II54- I 1,000
5828 TEMPLE CITY BL I v1
ITEMP 917802112 FEES PAID [DESCRIPTION OF WORK v—
I1 ICABINET SIGN W/LIGHTING
I —]FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:j
(APPLICANT: TEL. NO: I I
1SUCCESS SIGN GROUP (626) 444-8181- [AA BLDG PERMIT ISSUANCE 27.75 I
2812 PECK RD.
JAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS:
LEL MONTE, CA 91731 [AX BUILDING REVIEW FEE 54.70
ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40
TOTAL FEES 148.85 I INSPECTOR SIGNATURE
TEL. NO: (APPROVALS DATE
lCONTRACTOR-
ISUCCESS SIGN GROUP (626) 444-8181-
12812 PECK RD LIC. NO1LOCATION AND SETBACKS
EL MONTE CA 91776 896068 C4S 1
I
ISOILS ENGINEER APPROVAL
ENCH FORMS
(ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: I SUPPORT STRUCTURE
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: cMP:J01
0
—1
No. OF FAMILIES: DWELLING UNITS: APT/COND. STAT CLASS: 1
NO 20
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1 1 1
] 1 I 1 1
(REPORT ID: DPR261 ROUTE TO: BS0508 1 1 I
i
bCOUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0211130038
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING
TR: 6561 LT: 585 BL: .001 SQ. FT STORIES TYPE 5828 TEMPLE CITY:BL
STRUCTURE: VN TEMP CA 917802112
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-018-022 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: D USE: R5SID USESS PROCESSED EXPIRES
EXIST OCC GRP: 11/13/02 JK 05/12/03 .
OWNER: TEL. NO: BLDGS. NON ON LOT: VALUATION: F INA AT CODE:
KILBAS RICHARD E - 4,500 /
5828 TEMPLE CITY BL /
TEMP 917802112 FEES
RE OVE EXISTING HOT TAR ROOF;REINSTALL NEW HOT TAR ROOF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
0:
TEMPLE CITY ROOFING (909) 608-0622- AA BLDG PERMIT ISSUANCE 27.75
1216 BEGONIA COURT AC STRONG MOTION RESI_D4500.00 VAL 0.50 SPECAAL CONDITIONS:
UPLAND 91784 D2 PERMIT W/O ENaHC"' ___- °---4500.00 VAL 132.60
"r I _,TOTAL'-EEES 160.85
CONTRACTOR: TEL. N0: . „ . '' .`r��•`„A '•.. APPROVALS DATE INSPECTOR SIGNATURE
TEMPLE CITY ROOFING CO. (909) 608-0622- a�:
1216 BEGONIA COURT LIC. NO :>,�•” " i' OCATION AND SETBACKS
UPLAND, CA 91784 HIC * ! / �'
SOILS ENGINEER APPROVAL
C E R E G R: L. NO: - tilh /� t r . 0 � P Ot S
LIC. N0: SLABJUNDER FLOOR
D G
- ----- - - -- - - I
MAP N0: SEWER MAP B00 PAGE: FIRE ZONE: CMR: UNDEZFLOOR INSULATION
15OH269 3 04
FLaf SHEATHING
OF FA ILIES: DWELLING UNITS: P CO D: STAT L S: --NO 21 �� - i ROOK SCHOOL WITHIN HAZARDOUS i1 i ,7 SHUR PANELS
AIR QUALITY: 1000 FEET MATERIALS �,, " ;y
NO NO NO ��� / i --'' - •� FRAME INSPECTION
REQUIRED 0 SETBACK FRO ST �.� !e,t� : ' S S
SET BACK YARD: HWY: PROP LINE: WIDTH: _ '_ '
FRONT PL- o: ��?C:I '�_'.y��'= :'s6 INSULATION/WEATHER STRIP
SIDE PL-
IN
EXTERIOR
ASSER7.
RAID WALL ASSEMBLIES
RATI
H T 0 S
T-UR CEILINGS
* ADDITIONAL DATA ON FILE
;
LOTiDRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508