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VYIL " .1 FOX. COuwm sNa1NQ0e APPLICATION
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FOR APPLICANT TO Fal. IN FOR OFFICE USE ONLY
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COUNTY OF LOS ANGELES BUILDING �36
DEPARTMENT OF COUNTY ENGINEER AODRE9 /� r
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JOHN A LAMBIE COUNTY ENGINEER NEAREST �+
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1 HEREBY HAT THEL ABOVE
THAT 1 HAVE READ THIS APPLICATIONA No BRACING BOLT
WITHBALL THAT THE DIVA 1E CORRECT S AND A WS[ E LATINGPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWN REGULATING WORK DA$ VENT DUCTS
9UILDING D HEREBY
NOT ET THAT IN DOING THE WORK
TION
THE
HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LANOR CODC OF THE STATE OF CALIFO IM flELAT
IRO TO WORKMEN 8 COMPENSATION INS II CE
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SIGNATU HOUSE NUMBER COR-
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JOHN F LEWIS PRINCIPAL ST q RAL ENGI I#ER
PLAN CHECK VALIDATION CK NO CASH _ PERMIT VALIDATION CKM O CASH
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUPTY OF LOS ANGELES
\. wM: J. FOX, DHI[r•EHDINEES e9lf'1 ' U 1 LI ® ! N G
FOR-kPIDLICANT TO FILL IN FOR OFFICE USE ONLY
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1 N[RCSY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT FOUNDATION LOCATION IN !E DTCR A
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES rORMS.MATCRIALS
AND STATE LAMS REDULATINO BUILDING CONSTRUCTION
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING® '
WM. J. FOX, CHIEr ENGINEER
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1 HEREBY ADKNOWLEDOE THAT 1 HAVE READ THIS APPROVALS
APPLIDATION AND STATIC THAT THE ABOVE IS CORRECT
AND AGRICIC TO COMPLY WITH ALL COUNTY OROINANOZZ FOUNDATION LOCATION INBPEOTOR DATE
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS. MATERIALS
� 7e FRAME• FIRESTOPE6
SIGNATURE or /) 4rA� _/ A� /� u BRACING. BOLTS
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COUNTY OF L08 ANGELES JUILDING-
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WILLIAM J FOX. COUNTY ENOINHR 4 APPLICATION
CASSATT D GRIFFIN, BUP T OF BUII.DINO
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGU DISTRICT NO PUN CK OR RKc NO PERMIT NO
AD el • S �I
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APPROVALS
INSPECTOR•SSIGNATUR H DATE
FOUNDATION LOCATION
FOR MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRESTOPS I
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS I
CORRECT FURNACE LOGTIO
NIR R TO COMPLY WrrH ALL COUNTY ORDINANCES GAB VENT DUCTS
AND STATE LA Il LAYING BUILDING coNQTRUCT1oN
SIGNATURE OF
/ LATH INT
PRIM H
LATH Err
ADD
PLASTER, INT
AUTHOIIZSD AGT
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RECTAND
VALUATION FEE S FINAL
1 .ANSA 01118, Hl
' COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112120047
PHONE (626) 285-0488 EXT
(LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ PT STORIES TYPE ] 6234 TEMPLE CITY BL ]
]STRUCTURE 1750 V-B I TEMP CA 917801749 1
ASSESSOR INFORMATION NUMBER ] I NEAREST CROSS STREET
5385-016-018 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY C�
(TENANT IXIST BLDG USE RES ID USE ZONE R-J ISSUED ON PROCESSED BY I
MIST OCC GRP 12/12/11 SR
(OWNER TEL NO IBLDGS NOW ON LUT VALUATION ]FINALnDATE F��A�TTBY CODE (((
6234SARROZO ROBERT - i 4,400 I 1 /IJ �( A� '}-\
6234 TEMPLE CITY BL JI-'-'{I-r 1 • \\y 1
TEMP 917803216 FEES PAID DESCRIPTION OF WORK
I ] REROOF 1 UNIT TEAR OFF ROOFS TO SHEETING 30 YR CLASS A
IAPPLICAN'f IFEE DESCRIPTION QUANTITY UOM AMOUNT (COMPOSITION SHINGLES
1EL NO
I WEATHERGUARD (800) 828-4646- AA BLDG PERMIT ISSUANCE 27 80 1
1153 EXCEISION FAY AS STATE GREEN BLDG FEE 4400 00 VAL 1 00 (SPECIAL CONDITIONS
]UPLAND CA 91786 AC STRONG MOTION REBID 4400 00 VAL 0 50 I .`
D2 PERMIT W/O EN HC 4400 00 VAL 132 80 1 I
TOTAL FEES 162 10
ICONIRACLOR TEL NO I ]APPROVALS DATE INSPECTOR SIGNATURE I
I WEATHERGUARD CO INC (909) 982-7000- I
1153 EXCELSIOR WAY LIC NO LOCATION AND SETBACKS
UPLAND CA 91786 921927 1 1 1
ISOILS ENGINEER APPROVAL I I
I I
ARCHITECT OR ENGINEER TEL NO ]FOUNDATION/TRENCH FORMS
I LIC NO I SLAB/UNDER FLUOR
(RAISED FLOOR FRAMING
I
1MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP I \ \ UNDERFLOOR INSULATION
150H269 _
3 001
I FLOOi SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I
0 NO 21 1 , 'U ROOF SHEATHING ]
I SCHOOL WITHIN HAZARDOUS SHEAR PANELS
]AIR QUALITY 1000 FEET MATERIALS I I I
NO NO NO I ]FRAME INSPECTION
]FIRS SPRINKLER HANGERS ] I
(INSULATION/WEATHER STRIPI I I
I I INTERIOR LATH/DRYWALL I I I
I I
EXTERIOR LATH
I
RATED FLUOR/CEIL ASSEM
I I 1
]RATED WALL ASSEMBLIES
II I
I�� sxAF•rs/oaeL4lNcs I 1
IT-BAR CEILINGS
I I
ILOT DRAINAGE
I I I
IREPORT ID DPR261 ROUTE TO 850508
I I I
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 1112120048
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST BUILDING ADDRESB
ON FILE SQ PT STORIES TYPE 6234 1/2 TEMPLE CITY BL 1
ISTRUCTURE 1750 V-B TEMP CA 917801749
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 1
5385-016-018 I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY Cl
ITENANT IMIST BLDG USE RESID USE ZONE R-3 (ISSUED ON PROCESSED BY
IEKIST OCC GRP 112/12/11 SR
I
10WRRR TEL NO [SLOGS NOW ON IGT VALUATION (FINAL DATE FINAL BY CODE
IBARROZO, ROBERT - 4 900
16234 TEMPLE CITY BL I�/ /I - `�k�r
ITEMP 917803216 1 FEES PAID 1 S I ION OF WORK 1
IREROOF 1 UNIT TEAR OFF ROOFS TO SHEETING 30 YR CLASS A
IEEE DESCRIPTION QUANTITY DOM AMOUNT COMPOSITION SHINGLES
APPLICANT TEL NO
WEATHERGUARD (800) 828-4646- IAA BLDG PERMIT ISSUANCE 27 80
153 EXCELSION WAY JAB STATE GREEN BLDG FEE 4400 00 VAL 1 00 1SPECIAL CONDITIONS J
UPLAND CA 91786 JAC STRONG MOTION REBID 4400 00 VAL 0 50 1
1D2 PERMIT W/O EN-HC 4400 00 VAL 132 80
TOTAL FEES 162 10 I
JCONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
1WEATHERGUARD CO INC (909) 982-7000- 1
1153 EXCELSIOR MAY LIC NO I ILOCATION AND SETBACKS
UPLAND, CA 91786 921927
1SOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I J
LIC NO JSIAB/UNDER FLOOR I
(RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 UNDERFLOOR INSULATION I
115014269 3 001 -1-1
I I FLOOR SHEATHING
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 J 1
0 NO 21 IRCOF SHEATHING I
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
1AIR QUALITY 1000 FEET MATERIALS
NO NO NO I FRAME INSPECTION I
I (FIRE SPRINKLER HANGERS
I 1 I I
IINSIJLATION/WEATHER STRIP( 1
I1-1-
INTERIOR LATH/DRYWALL
(EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM
I I
RATED WALL ASSEMBLIES
RATRD SHAFTS/OPENINGS
I T-BAR CEILINGS
1LOT DRAINAGE
I I
REPORT ID OPR261 ROUTE TO BS0508 I 1
I I I I I I