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FIA438A CC#8031-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OR BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE ,rr� ML=(
CONST. ,J/
BUILDING STATISTICAL CLASSIFICATION ER MAP
ADDRESS - ) 14s---"
K �G
may' CLASS.NO. DWELL.UNITS
LOT NO. 15 OC WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT �7% - MAP /n HIGHWAY STATE AJOR ECOND, LOCAL
NO.OF SLOGS. NO. v (CIRCLE)
SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TE . TT
OWNER N ZX BUILDING EXIST.
��y.e SETBACK YARD HWY TRE NAME WIDTH
ADDRESS Vic�c./7 FRONT
ARCHITEC OR TEL. P. L.
ENGINEER L ,� C' NO. SIDE
P.L.
ADDRESS CL
TEL, INSPECTION AECpAD O
CONTRACTOR u.AJ' - NO.
ADDRESS 0
DESCRIPTION OF WORK
W
CIL
to
N ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO.OF
IZE STORIES FAMILIES
USE OF Tl `
STRUCTURE ` i — G(,I r �L- — ,_.//��� e•:._ �t
SIGNATURE OF �—
APPLICAN' ,
VALUATION$ 7 ` G
APPROVALS DATE INSPECTOR'S SIGNATURE
P,C. PMT. OV FOUNDATION: LOCATION
FEE S FEE S FORMS,MATERIALS
FRAME: FIRE STOPS, cj. ! F vp- ow. w. 11
I 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LAT• INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COQ ENSATION INSURANCE.
LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESSTw
AL -
CLYDE N. DIRLAM, PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERM VALIDATION GK. M.O. CASH
.A6.
.� 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 0402100019
PHONE: (626) 285-0488 EXT:
LEGA I 0. OF CONST BUILDING ADDRESS.
ON FILE i SQ. FT STORIES TYPE 6127 TEMPLE CITY BL
STRUCTURE: 1800 VN TEMP CA 917801748
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5385-012-030 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
ENANT: EX ST BLDG USE: RESI USE ZONE: R- ISSUED 0 PROCESSED 8 EXPIRES ON:
EXIST OCC GRP: 02/10/04 VG 02/04/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
GOSS CHARLES;MARY Y (626) 287-2261- 3,200 2L
L OFLI
6127 TEMPLE CITY BL
TEMP 917801748 FEES PAID 'DESCRIPTION-0 WORK
REMOVE EXISTING COMP SHINGLES INSTALL 30 YR COMP SHINGLES
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0:
DOWD ROOFING CO (626) 857-1070- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3200.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3200.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO. APPROVALS DATE INSPECTOR SIGNATURE
DOWD ROOFING CO. (626) 857-1070-
540 S. GLENWOOD AVE. LIC. NO LOCATION AND SETBACKS
GLENDORA CA 91741 380611 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIONPRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED, F OOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
N0. OF FAMILIES: DWELLING UNITS: AP /CO D: STAT CLASS:
NO 21 ROOF SHEATHING o/
SCHOOL WITHIN HAZARDOUS SHEAR PANELS (T
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- i INSULATION/WEATHER STRIP
SIDE PL-
INTE IOR LATH/DRYWALL
EXTERIOR LATH
RATED F OOR/CEI ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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 0403010013
PHONE: (626) 285-0488 EXT:
LEGAL-ID: NO. OF CONS I DI GAD SS:
ON FILE SQ. FT STORIES TYPE 6127 TEMPLE CITY BL
STRUCTURE: VN TEMP CA 917801748
ASSESSOR INFORMATION R: NEAREST CROSS STREET: GARIBALDI
5385-012-030 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG S REBID USEZONE: R-1---- rSSUED 0 CESSED-BY: E IRES 0 :
EXIST OCC GRP: 03/01/04 VG 02/24/05
OWNER: TEL. 0: B DGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
GOSS, MARY (949) 380-8772- 90'000
27422 VIA AMISTOSO -fir
MISSION VIEJO 92692
FEES PAID DESCRIPTION 0 OR
REMODEL ENTIRE HOUSE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0-
HEINLEIN (626) 523-5422- AA BLDG PERMIT ISSUANCE 27.75
1311 W. GREENHAVEN AC STRONG MOTION RESID 90000.00 VAL 9.00 SPECIAL CONDITIONS:
SAN DIMAS, CA 91773 D2 PERMIT W/O EN-HC 90000.00 VAL 1,196.85
TOTAL FEES 1,233.60
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR S G AT E
DEAN'S HOME REPAIR (626) 523-5422-
P.O. BOX 1393 LIC. NO LOCATION D S ACK
GLENDORA, CA 91740 808571 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE 0: FOUNDATION/TR C FO MS
LIC. NO: SLAB/UNDER
UNDER-
ISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150-269 3 01
FLOOR SHEATHING
0. OF FAMILIES: DWELLING S: P CO D: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL ROS SEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS `
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE S RI LER HA GE S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
TERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.FLOOR/C r
RATED WALL ASSEMBLIES
RATED F
T-BAR CEILINGS
LOT-DRAINAGE
REPORT ID: DPR261 ROUTE TO: 680508