HomeMy Public PortalAbout9707 VAL ST_Building__ APPLICATION FOR BUILDING, PERMIT. �1
FOR APPLICANT TO FILL IN (P.IDe R. LYRE mm ' L1
BuILDINc COUNTY OF LOS ANGELES
ADDREss DEPARTMENT OF COUNTY ENGINEER
CITYL zIP BUILDING AND SAFETY DIVISION
NO OF SLOGS BUILDING D _
SIZE OF LOT NOW ON LOT - AODRESS
T T BLOCK LOT NO LOCALIT
TNEAREST
OWNER wlf NCROSS ST
ASSESSOR
ADDRESS E AC N MAP BOOK - PAGE PARCEL
DISTRICTGROUP TYPE FIRE ESSED BY
CITU ZIP CONST ZON ' s
ARCHITECT O - - TEL - UPi ti
ENGINEER
NO
STATISTICAL CIHLLNA,,SSIFICA 117N /;EWER MAP
ADDRESS CLASS NO / DWELL UNITS L BI�DPG
CONTRACTOR -TEL �,� USE ZONE MAP
NO
LI -� NO
ADDRESS N X.J SPECIAL
CITY LIC CONDITIONS
gOAD DEPARTMENT APPROVAL REQUIRED 73 / YES ❑ NO E]\
CONSTRUCTION LENDER
NAME AND BRANCH �oCLASS BLDG SETBACK FROM
FRONT PROP LINE OF (STREETI CS
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD - 'FRONT PROP LINE O
SO FT ST OF NO OF CHECK HIS
WIDTH
SIZE STORIES FAMILIES ONE
+ �
DESCRIPTION OF WORN NEW
DD ❑ BLDG SETBACK FROM Z
SIDEPROP LINEOF (STREET)
I LTER ❑ RIGH WAY- } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
EPAIR❑
SIDE PROP LINE HIGHWAY WIDTH
USE TI }
EXISTING BLDG DEMOL ❑
r,TATE
TEL/y((,S��Lf� CORNER CUTOFF YES ❑ NO ❑
NO
T R IN OPEN SPACE YES ❑ NO ❑
"� IN COASTAL ZONE YES ❑ NO ❑
ONS JO (oOO - - CATEGORICAL EXEMPTION ' YES❑ NO ❑
Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRDNMENTAL
THAT THE ABOVE 1! CORRECT AMD AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
ORDtNAMC[B AND LAW! REGULATING BUILDING CON
I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HER Le
WILL NOT "PLOY ANY PERIOX IX VIOLATION OF TN[
LABOR CODE OI THL !TATE OF CALIFORNIA IM RE EATING TO '�
WORKMEN
! TION 1 PAM
SIGNATUR
P �c
ADORES-S e E E.�
CI TY� NOL .. BY
yI 7 DATE
MAKE CBLCKS PAYABLE 70 P o t PMT $
HARVEY T BRANDT COUNTY ENGallINEER FEE + z")2' /� 25.�b FEE / 3LU 0
PLAN CHECK VALIDATION , cK MD CASH PERMI )VALIDATION CK Mo CASH _
4 2 1V`:IAY 28 2 3 1 0 2.15
)BA Bfic' 24 13 25.65
`
- ^ - - ,65,„.JIM 2-4 - 1 oro rr 2c 3A 0 A-98
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS ALTERATION/REPAIR
' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 1 BL 0508 1210250070
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST _ BUILDING ADDRESS 1
IBK 60 PO 9 PC 2 SO FT STORIES TYPE 9707 VAL ST E
- ISTRUCTURE V-B TEMP CA 917800000 '
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET -
15383-017-031 THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl
(TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY _
'EXIST OCC GRP 110/25/12 SR
IOWNER TEL NO JBLDGS NOW ON IAT VALUATION IFINAL'DDAATE FINhL BY CODE
VA ARA (B 1B) 642-0361- I 20,000
19707
1970] VALLEY ST
TEMP 917800000 + FEES PAID IDESCRIPTION OF WORK
KIICHEN AND 2 BATHRMS REMODEL, REPLACING 9 (E) WINDOWS S
(FEE DESCRIPTION QUANTITY DOM AMOUNT INEW DOOR (SAME SIZE) NEW DRYWALL AND LIGHTS AT (E) GARAGE
APPLICANT TEL NO
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80
AB STATE GREEN BLDG FEE '` 20000 00 VAL 1 00 SPECIAL CONDITIONS
AC STRONG MOTION RESID 20000 00 VAL 2 00
B2 PERMIT W/ENERGY 20000 00 VAL - 423 10 - 1
_SFR INV FORK W/0 PERMIT 342 20 DOL 342 20
CONTRACTOR TEL NO TOTAL FEES 796 10 1APPROVAIS DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
' LIC NO I IIA ATION AND SETBACKS
ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO ISLAB/UNDER FLOOR ,
(RAISED FLOOR FRAMING
IMP NO SEWER MAP BOOK PAGE FIRE ZONE CMP1 1UNDERFLOOR INSULATION I
1153H269 3 00 -
I I (FLOOR SHEATHING
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
0 NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
1FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIP(
INTERIOR LATH/DRYWALL 1
8XTERIOR LATH
RATED FLOOR/CEIL AS 11 1
RATED WALL ASSEMELIE9 1 1
RATED SHAFTS/OPENINGS 1
1T-BAR CEILINGS � 1
TOT DRAINAGE 1
(REPORT ID DPR261 ROUTE TO BS0508
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