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
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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