HomeMy Public PortalAbout6013 TEMPLE CITY BLVD_Building__ T,ARTbIENT OF BUS WNGAND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �L � � �®�
WM. J. FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLANCK. NO, PERMIT
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BUILDING
ADDRESS Q � .3 ,O f/1 P k c '/ n i •'a.:1
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST ^P {� I_ /i'lleyS S
CROSS ST, i7 .& / 82V I— BUIL131NG �
OWNER /lire � •yam
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ADDRESS NEAREST
TEL CROSS ST.
CITY NO. / q 1 FIRE NO. OF TYPE-17- GROUP
ARCHITECT OR TEL. ZONE I PLANS -z.--I
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE �.n7I/if• a+
ADDRESS t APPROVED ` 7
TEL. �+ BY DATE
CONTRACTOR { �� NO. 8 '� 1T) l; USSIEE APPROVED
ZONE
By DATE
ADDRESS �j Z M r 71'ov 0 v /� HOUSE NUMBERING
LEGAL
DESCRIPTION LOTPOZOO
^Z OCK I MAP NUMBER J FIELD CHECK BY
TRACT �3� NO. ASSIGNED BY ! &25 AT
x �. NO. OF BLDGS. CORRECTIONS
I �� C/ d
SIZE OF LOT Q I NOW ON LOT
USE OF NO. OF _
EXISTING BLDG, w 'n J /Al r I FAMILl6S }
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION I � C•����h Jr
REPAIR I I DEMOLITION I I I it ti
SQ. FT. i• NO. OF
SIZE / Il (`• ROOMS `'1 STORIES / es, �, �% l i;� �r A� D
EXT. WALL U r c,• 0 I ROOF U tf xc A14 7- ,P�77'/.IF/FD r
COVERING S COVERING
USE OF STRUCTURE . O
APPROVALS J�
INSPECTOR'S SIGNATURE DAT9 �1.1
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION:LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN ISFORMS, MATERIALS �• [ -/
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED S' FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE�� BRACING, BOLTS
LAWS REGULATING_ BUILMING CON8TRUCTION. FURNACE: LOCATION,
/, � ? GAS VENT, DUCTS
SIGNATURE j1j- /r•/�1� 6�/t �/�
PERMITTEE `
LATH, INT.
ADDREes+ _/`�/.� ? d• lr+� C�;' t' } 6�
" f,/ ��••�n 1`r/` � LATH, EXT.
AUTHORIZED AGT. •• l ,
PLASTER, INT.
76Aa78A• DBS! 10-50 $ P. C.
® 0�® ' FEE / �� PLASTER, EXT. _
VALUATION �J J
FEE Y /I ✓
I `
CbUNTY OF'IAS 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 1501220135
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 6561 IT: 214 UN: .002 I SQ. FT STORIES TYPE 1 6013 TEMPLE CITY BL
I ISTRUCTURE: V-B I TEMP CA 917802013
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI [
15385-013-008 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-3 (ISSUED ON: PROCESSED BY: [
(EXIST OCC GRP: 101/22/15 SR I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI BY: CODE: 1
IWONG, MEL (626) 234-6527- 1 5,000 1
16013 TEMPLE CITY BL I I 1
ITEMP 917802013 I FEES PAID IDESCRIP I N OF WORK 14
[
[ IKITCHEN, BATHROOM REMODEL AND REPLACE 9 WINDOWS
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] I
]APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I
] IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 [SPECIAL CONDITIONS:
ACISTRONG MOTION RESID 5000.00 VAL 0.50 [B1 PLANCHECK W/ENERGY 5000.00 VAL 124.00 [
I
___JB2 PERMIT W/ENERGY 5000.00 VAL 145.90 I I
ICONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 344.00 DOL 344.00 [APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I TOTAL FEES 643.20 1 I
LIC. NO [ (LOCATION AND SETBACKS I I I
ISOILS ENGINEER APPROVAL I I [
[ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS I I I
LIC. NO: ] [SLAB/UNDER FLOOR I I I
[RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMB:1 !UNDERFLOOR INSULATION I I
3 00
[ I IFLOOR SHEATHING ] I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I_ I I I
[ NO 21 i IROOF SHEATHING [ ] I
SCHOOL WITHIN HAZARDOUS [ ISI4EAR PANELS [ [ [
(AIR QUALITY: 1000 FEET MATERIALS I I [ I
[ NO NO NO ] 1FRAME INSPECTION
] I IFIRE SPRINKLER HANGERS [ I
] I (INSULATION/WEATHER STRIP(
I
[ I (INTERIOR LATH/DRYWALL I [ I
(EXTERIOR LATH
IRATED FLOOR/CELL ASSEM. [ [ [
I [ IRATED WALL ASSEMBLIES [ I [
' IRATED SHAFTS/OPENINGS
] I I
I [ P IT-BAR CEILINGS [ [
ILOT DRAINAGE I I I
I [REPORT ID: DPR261 ROUTE TO: BS0508 I [ [ I
I I I I I I
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AITD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1502050077
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I
ITR: 6561 IT: 214 UN: ,002 I SQ. FT STORIES TYPE OCCUP GROUPI 6013 TEMPLE CITY BL #A #B I
I ISTRUCTURE: 0 1 V-B R-3 I TEMP CA 917802013 I
(ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: GARIBALDI T
15385-013-008 I OTHER: I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
ITENANT: (EXIST BLDG USE: RESID 11SSUED ON: PROCESSED BY:
T ,EXIST OCC GRP: R-3 102/05/15 SR
I
TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN Y: CODE:
IWONG, MEL (626) 234-6527- 100 1 I
16013 TEMPLE CITY BL I I 1
ITEMP 917802013 1 FEES PAID IDESCR TI OF WORK
ADDRESS CORRECTION FROM 6013 AND 6013 1/2 TO 6013 #A AND #B
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1TEMPLE CITY BLVD.
(APPLICANT: TEL. NO:
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 T
I IFK HOUSE NUMBERING 54.00 ISPECIAL CONDITIONS: I
TOTAL FEES 81.80
1 TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1
(CONTRACTOR• I I
ISAME AS OWNER LIC. NO I (LOCATION AND SETBACKS
(SOILS ENGINEER APPROVAL [ I I
(ARCHITECT OR ENGINEER: TEL. NO: - T [FOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
I
I RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION 1 I I
3 OOI IFLOOR SHEATHING 1 I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I [ I I
1 1 NO 20 1 (ROOF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS 1 I I I
T NO NO NO I IFRAME INSPECTION T 1 I
I
(FIRE SPRINKLER HANGERS I I I
[ I IINSULATION/WEATHER STRIP( I I
IINTERIOR LATH/DRYWALL I I I
T IEXTERIOR LATH I I
I I IRATED FLOOR/CEIL ASSEM. I 1
IRATED WALL ASSEMBLIES I I I
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I [
TLOT DRAINAGE I I
I IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I