HomeMy Public PortalAbout6012 TEMPLE CITY BLVD_Building__ 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 1201130032
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST
BUILDING ADDRESS:
I (STRUCTURE: 4000 V-B TR: 6561 LT: 205 I SQ. FT STORIES TYPE I I
I 6012 TEMPLE CITY HL
I TEMP CA 917802046 I
IASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
I15385-014-014 I i THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI TENANT: IEXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: I
1 IEXIST OCC GRP: 101/13/12 SR
(OWNER: TEL. NO: IHLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINALB CODE:
IBURK JACK (626) 796-8384- 11 12,000 I 1
IPO BOX 519 I I 1
ITEMP 917800519 1 FEES PAID ID CRIPTION F WORK 1
(TEAR OFF AND INSTALL 30 YEAl COMPOSITION SHINGLES
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( [
(APPLICANT: TEL. NO: I I
1B&M ROOFING (909) 802-6925- IAA BLDG PERMIT ISSUANCE 27.80 I I
12930 S COLONIAL AV IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 ISPECIAL CONDITIONS:
1ONTARIO CA 91761 IAC STRONG MOTION RESID 12000.00 VAL 1.20 1 1
I ID2 PERMIT W/O EN-HC 12000.00 VAL 250.90 1 I
I _IFS INV WORK W/0 PERMIT 257.00 DOL 329.70 I I
[CONTRACTOR: TEL. NO: 1 TOTAL FEES 610.60 (APPROVALS DATE INSPECTOR SIGNATURE 1
IB & M (909) 802-6925- I 1 I
12930 S COLONIAL AV LIC. NO [ ILOCATION AND SETBACKS
IONTARIO CA 91761 626722 I 1_ 1 I I
ISOILS ENGINEER APPROVAL 1 1 I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
RAISED FLOOR FRAMING
I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I
1150H269 3 001 1_ 1-1 • I
1 _1 IFLOOR SHEATHING 1 1 [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I
I 0 NO 22 1 IROOF SHEATHING 1, _
SCHOOL WITHIN HAZARDOUS I [SHFNAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS 1 I 1 1
1 NO NO NO 1 1FRAME INSPECTION 1 I 1
I IFIRE SPRINKLER HANGERS I 1 1
1 1 (INSULATION/WEATHER STRIPI I 1
I _
1 I (INTERIOR LATH/DRYWALL I [ I
I I
1 I (EXTERIOR LATH I I I
I I I
I IRATED FLOOR/CEIL ASSEM. I I I
IRATFD WALL ASSEMBLIES I 1 1
I I I
I I IRATED SHAFTS/OPENINGS I I I
I I � I
IT-BAR CEILINGS I I I
I LOT DRAINAGE I I I
I I I
REPORT ID: DPR261 ROUTE TO: BS0508 I I I
Ps 76A638A ��-
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- = .APPLICATION FOR..BU I.L.DING' PERM,IT
COUNTY OF LOS ANGELES... _ BUILDING AND SAFETY
BUILDING
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BUILDING �p
ADDRESS ` ` LOCALITY_ .._
oll NEAREST.
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SIZE OF LOT /- I NOW ON LOT MAP BOOK PAGE PARCEL
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BY(SI.GNATU
I HE ACK WLE -AHA I VE READ THIS APPLICATION AND STATE sY ,
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ABOV CORRECT AND•AGREE TO COMPLY WITH ALL ORDINANCES _ �L pp
WS R ATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V 0 3 q 6 A "
K A RIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
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b- ,76A638A_
CE#803(ft�7.11./78)
APPLIAPPLICATION FOR'-�BUIL DI G PERMIT
CATION COUNTY OF LOS ANGELES - .:BUILDING AND SAFETY yw'
BL
FOR APPLICANT TO FILL IN. AUDIDRESS
BUILDING
ADDRESS G LOCALITY
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CITY (, ZIP 7/ �� CROSSST..
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SIZE OF LOT /� NOW ON LOT MAP BOOK PAGE I PARCEL-
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TRACT BLOCK LOT NO._VGLJ CONST. NE
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HERE. CKNO LEDGE THAT I HAVE READ THIS APPLICATION AND STATE i _ry� 6 �'2o �,
THAT THE BOVE I ORRECT AND AGREE TO COMPLY WITH ALL.ORDINANCES v
AND LAW REGU . NG BUILDING CONSTRUCTION.I CERTIFY THATJN DOING THE V
WORK A RI HEREBY I WILL NOT EMPLOY ANY PERSON IN IOLATION OF
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PENSATION INSURAN g j/ rD
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bs 76A638A'
CE#803e(RW.11/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDINGQ =�
FOR APPLICANT TO FILL IN.. ADDRESS
BUILDING
ADDRESS L LOCALITY
NEAREST
CITY ZIP CROSS ST. [
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
' DISTRICT GROUP TYPE FIRE ESSED BY
TRACT BLOCK LOT NO., � ` CONST ZONE
U
TEL.
OWNER NO.
1. STATj CLASSIFICATION— UNITS S B ERM PG
ADDRESS A/ I5WWE�EE LL..
CITY ZIP
ARCHITECT UR T VALUATION
ENGINEER
ADDRESS BLDG.SETBACK FROM
TE FRONT PROP.LINE OF (STREETI
CONTRACTOR . TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY t YARD
LIC. FRONT PROP:LINE • HIGHWAY WIDTH
ADDRESS NO.
LIC. . t =
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER-
SIDE PROP.LINE OF (STREET(
NAME AND BRANCH
_ HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF I EXISTING p,
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH. O
SQ.FT. NO.OF NO.OF CHECK t = " V
09
SIZE STORIES FAMILIES ONE
USE ZONE MAP .
DESCRIPTION OF WORK NEW, ❑ NO. C�•p U 1—
SPECIAL
ADD ❑ r CONDITIONS N
ALTER ❑ FINAL
REPAIR ❑ DATE_
USE OF DEMOL ❑
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APPLICANT TEL ; 0
(PRINT) O.
o 2079,5A
BY ISIGNATURE < •
I Y ACKNOWLEDGE HAT I HAVE READ THIS APPLICATION AND STATE bC a o 0 0 0
'THA HE ABOVE IS CORR AND AGREE TO COMPLY WITH ALL ORDINANCES
AN LAWS REGULATING DING CONSTRUCTION.I CERTIFY THAT IN DOING THE ION OF 't o 0 0 7,00
HE L AUTHORIZED THE STY I WILL NOT OF CALIIFORNIAOY ANY IN ELATING�TO WORKM NN IN TS COM• �3� Z
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