HomeMy Public PortalAbout6253 TEMPLE CITY BLVD_Building__ 76AB3EA CE R803 4/72
APPLICATION FOR BUILDING PERMIT 9
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING Z
AIA AE CHECKS PA S ABLE /O ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY C
UADDRESS ,/125,F
T FILL N CROSSSTorfG
(Print or ty-o �Iv DISTRICT NO GRO P TYPE PROCESSED BY
_ B CONST
STATISTICAL CLASSIFICATION SEWER P
BLOCK qCLASS NO�OWELL UNITS_ BK PG
USE ZONE MAPO OF SLOGS NO NOW ON LOT /j SPEC L
USE OF �3 CONDITIONS
EXISTING BLDG
'/ TEL
OWNER /y� NO BLDG SETBACK FROM
ADDRESS FRONTPROP LINEOF ISTREETI
TYPE OP ISTING SETBACK HIGHWAY } YARO = TOTAL
CITY HIOHWA IDTH FROM C L
ARCHITECT OR TEL }
ENGINEER NO
BLDG
ADDRESS SIDE PROPROP LINE
OF -(STREET) O
yy^^
LTYPE OF UISTING SETBACK IGHWAY } YARD = TOTAL C
CONTRACTOR NZ' ,L/E�L NO3S7370 HIGHWAY WIDTH FROM C L p
ADDRESS UI' WI Fao44. LIC =
NO } WW
CITY Ok,/1//JJ 0. CILASS CORNER CUTOFF YES ❑ NO ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SP IAL APPROVALS
ADDRESS
SO FT NO OF NO OF /7NEW, El SIZE STORIES FAMILIES ❑
USE OFADD
STRUCTURE JVRO=
ALTER
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION S APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEES FEE S �� FORMS MATERIALS
FRAME FIRE STOPS
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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CE OF T !TAT! 01 ALIfORN II RELATING TO
WORKMENOD'! C ISAT 1 IBV LATH EXT
SIGNATU OF HOUSE NUMBER COR-
PERMITT E RECT AND POSTED
ADDRESS ^ FINAL AVIV
PLAN CHECK VALIDATION cN Mo CASH _ PERMIT VALIDATION -1 caaH
5 n N QCT 31 1 0 9.00-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAI JUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TFe„PLEftTY CA 91780 BL 0508 0011080055
PHONE (b26) 285-0488 EXT.
LEGAL ID NO OF CDNST BUILDING ADDREgS —
ON FILE SO FT STORIES TYPE 6253 TEMPLE CITY SL
STRUCTURE 0 VN TEMP CA 917801750
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET LONGDEN
5385-011-002 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R-5 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 11/08/00 UT 05/08/01
OWNER –Tn—WU--- SLOGS NOW ON LOT VALUATION FINAL DATE CODE
GRAY GARY W - 1 2,500 // /3 Gtl
6253 TEMPLE CITY BL !
TEMP 917801750 6E—ADTTOif-6
REPLACE ROOF ON HOUSE AND GARAGE, 25YR FIBERGLASS ELK SHINGL
APPLICANT FEE DESCRIPTION QUANTITY DOM AMOUNT METAL EDGE AROUND PERIMETER,
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG NOTION RESID 2500 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O.ENEHC 12500 00 VAL 99 00
PN(,ELESTOTAL-FEES 127 25
CONTRACTm TEL NO
SAME AS OWNER NQS Ty
APPROVALS DATE INSPECTOR SIGNATURr—
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPRMAr-
ARCHITECT OR ENGINEER ItL NO FOUNPATIGN/TRENCH FORMS
LIC NO A SLAEl/UNDER FLOOR
MAP NO SEWER MAP BOOK PAGE F] UNDERFLOOR INSULATION
1111111
RAISED FLOOR FRAMING
153H265 31 0/ 1� c UC
9 0AR U FLUOR SHEATHING5
NO OF FAMILIES DWELLING LIMITS APT/CQND STAT CLAW
NO 21\\C a 8 �'"
SCHOOL WITHIN HAZARDOUS
AIR QUALITY 1000 FEET MATERIALS4s; SHEAR PANELS
NO NO NO A O Oi �I �llyFRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EX I0 /� FIRE SPRINKLER RANGERT--
SET RACK YARD HWY. PROP LINE WIDTH G6/iC �
FRONT PL- `SE'�ViCB ThatINSULATION/WEATHER STRIP
SIDE PL-
REPORT ID DPR261 ROUTE TO BS0508