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HomeMy Public PortalAbout5918 TEMPLE CITY BLVD_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) , BUILDING COUNTY OF LOS ANGELES ADDRESS T /I.EC�Gb"Z t,cJD DEPARTMENT OF COUNTY ENGINEER CITY j—Cyt L Cit zIP ���fc� BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING �G SIZE OF LOT9.5-(,K 17S NOW ON LOT ADDRESS J` ' e/ri az ir- TRACT maMy ro BLOCK LOT NO L LOCALITY J /'fir -/ J TE . NEAREST OWNER -r,6A. 4I�t:IA� NOL CROSS ST. ASSESSOR ADDRESS Sp. 1 s " MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE FIRE PROCESSED BY CITY C,jgWip .prac CA ZIP CONST. ZONE ARCHITECT OR TEL. 2 ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. OWELL.UNITS LSK PG CONTRACTOR TEL USE ZONE MAP LIC. NO. ADDRESS NO. SPECIAL LIC. -P✓CON DI TI ONS CITY ��� CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ � NAME AND BRANCH /vG•t!� BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING L SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH ` SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK L_L s��e NEW ADD Ej BLDG.SETBACK F M Diu E5162'"t 8L/ Va! e-3 SIDE PROP.LINE OF (STREET) % ALTER ❑ HIGHWAY + YARD TA ACK FROM TYPE OF EXISTING • = USE OF Aj2pd1AA1e&- —REPAIR❑ - S P NE HIGHWAY WIDTH EXISTING BLDG.Sgj"_- 9 � .CUrCb'� DEMOL ❑ APPLICANT ,y� TEL Sly C� CORNER CUTOFF YES ❑ NO E] INT) �(i (b lKad-vae-cr N0. BY (SIGNAT IN OPEN SPACE _ YES ❑ NO Q IN COASTAL ZONE YES ❑ NO VALUATION P '� CATEGORICAL EXEMPTION YES❑ N ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT EPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODEOF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. / SIGNATURE OF PERMITTEE ADDRESS 9 b��" L✓!7• TEL FINAL Y CITY ' NO.�P7�I� DATE 44 TPMT- MAKE CHECKS PAYABLE TO: FEE $ FEE -I' HARVEY T. BRANDT. COUNTY ENGINEER . � PLAN CHECK VALIDATION CK. M.O. SH PERMIT VALIDATION CK. M.O. CASH 7GA638ACE#8083-88 APPLICATION :FOR:BUILDING PERMIT I.J COUNTY OF LOS ANGELES BUMMING DEPARTMENT OF COUNTY-ENGIIVEER .-ADDRESS. �l17 BUILDINGAND SAFETY DIVISION LOCALI JOHN A. LAMBIE', COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP'T OF BUILDING 'CROSS ST.- �ke DISTRICT O GROUP. TY-PES ed] FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL AS IFICATION SEWER MAP ADDRESS S e t e/ p/ -BK PGCLASS NO �DWELL UNITS' LOT NO. BL CK USE ZONEMAP DB - NO. vr7� TRACT G_2 SPECIAL " NO. OFBLDGS. CONDITO 5 - SIZE OF'LOT - I NOW ON LOT USE OF EXISTINO BLDG, SLDG. SETBACK FROM / TEL. -FRONT PROP. LINE.OF (STREET) OWNER i NO. TYPE OF EXISTING 4kTBACK HIGHWAY.-. ARD. = TOTAL ADDRESS HIGHWAY D FROM C.L. CITY BLDG. 8ET 'CK FROM %RCHITECT OR TEL. SIDE PR LINE OP ,(STREET) ENGINEER - NO. TYPE-0 EXISTING SETBACK. HIGHWAY, �• YARD = TOTAL ADDRESS - HIGHW Y WIDTH FROM C.L. ', CONTRACTOR q[ TEF" y /�3 ADDRESS O 207 E9.J Y CORNER CUTOFF YES ' NO CITY LCLASS If— �3 IC SEE REVERSE SIDE FOR SPECIAL APPROVALS c DESCRIPTION OF WORK c • L NEW ADD ALTER • REPAI DEMOLISH cr SQ,FT. NO. NO. OF SIZE / STORIES FAMILIES USSTRUCTUR /�. tF SIGNATUR OF APPLICA T VALUATION.$ i i • i �, i .00 APPROVALS. DATE' INSPECTOR'881GNATURE P.C. PMT. /C/� FOUNDATION;LOCATION FEE - FEE$ o FORMS, MATERIALS ._ FRAME, F,IRE.STOPS., 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE, LOCATION ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILO,NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK - AUTHORIZED HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA- .LATH. INT.' _ y7 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INC TO WORKMEN'S COMPENSAT WINS RANCE. - LATH. EXT. UOF SIGNATR � �/f HOUSE NUMBER GOR- PE4tMITTE - RE AND POSTED - ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG PLAN CHECK VALIDATION CK. M.O. CASH _ PERM VALIDATION CK. M.O. CASH :. LA °6-3'6-_b'zs D€C'15" 1 :D; :8.C�.Q'� I COUNTY OF LOS ANGELES TEMPLE C�`>;Y # 0508 'BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TtlNAsw"%- =ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '-BL 0508 9810120011 PHONE: (818) 285-0488 EXT: -� LEGAL ID: NO. OF CONST !BUILDING ADDRESS' TR: 6561 LT: 188 SQ. FT STORIES TYPE =5918''TEMPLI`CITY BL STRUCTURE: 0 VN ,TEMP CA 91 M20_0 ASSESSOR INFORMATION NUMBER: :NEAREST CROSS STREET: LAS TUNAS 8587-019-022 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: E IS BDG USE: COMME- USE ONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON: AMERICAN WEST GLASS EXIST OCC GRP: 10/12198 UT 10/12/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL�VATE FINAL BY: CODE: DUVAL DIANA K - 1 3,400 y 5918 TEMPLE CITY BL (:�-27�`�� TEMP 917802010 FEES PAIDElD SCRl:P-T-IUN-OF-WORK-" - — -- REMOVr AND-RECOVERWITH-GENSTAR. ASS A !?-Y.R. BUILT UP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TORCH"DOWN-- APPLICANT: TEL. NO: WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OVER X3400.00 VAL 0.71 SPECIAL CONDITIONS: D2 PERMIT W/O ENS C—9400s0.0 VAL 115.80 GE LETg'A 144.26 CONTRACTOR: TEL. NO: OS ��/,. APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- �. 4016 TEMPLE CITY BLVD LIC. NO LOCATION AND SETBACKS ROSEMEAD CA 91770 423177C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDffION/TRE C FORMS LIC. NO: 1111111 SLAB/. NDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPe IP UNDERFLOOR INSULATION 150H269 3 01DD ��C W 0�K FLOOR SH A HI G 0. OF FAMILIES: DWELLING U ITS: AP /COND: STAT C ASS: 1 NO 22 0 ROOF SHEATHING SCHOOL WITHIN ZARDO �� ��tl+, SHEAR PANELS_ AIR QUALITY: 1000 FEET MATERIALS 0 ❑ NO NO NOk{' �U FRAME INSPECTION EQUIRED TOTAL SETBACK FROM EXIS 4�j� �`0<� FIRE SPRINKLER HA GERS SET BACK FRONT PL- YARD: HWY: PROP LINE: WIDTH: �C `fie rVic a Thai Vv INSU*TION/WEATHER STRIP SIDE PL- NTERIOR LATH/DRYWALL EXTERIOR LATH RATED F OOR CEIL ASSEM. RATED WALL ASSEMBLIES RAT50 SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508