HomeMy Public PortalAbout5245-5247-5249-5251-5236-5255 VILLAGE CIRCLE DR_Building__ APPLICATION FOR BUILDING .PERMIT
FOR APPLICANT TO FILL IN (Print Or type only)
BUILDING T. COUNTY OF LOS ANGELES
ADDRESS —�3%• DEPARTMENT OF COUNTY ENGINEER
CITY-77
�. ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING /-
SIZE OF LOT NOW ON LOT ADDRES
TRACT BLOCK LOT NO. LOCALITY
NEAREST '
OWNER NO. CROSS ST.
ASSESSOR
ADDRESS J .J MAP BOOK PAGE PARCEL
DISTRICT IGROUPITYPE FIRE P SfSED BY
CITY _ ZIP CONSTZONE
ARCHITECT OR TEL.
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. DWEL•L.UNITS BK PG
CONTRACTOR O �;)� � 'USE ZONE NADP I Q
OG� 0�.37— IIrSPECIAL
LICADDRESS N
Y CONDITIONS
C IT
—��.. CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SET Z1CK FROM
FRONT PRPP.LINE OF (STREET)
ADDRESS CITY NIyHWAY } YARD 'TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES t7 ONE
DESCRIPTION OF WORK NEW 19 Nil,
a
ADD ❑ BLDG.SETBACK FROM
SIDE PROP.LINE OF (STREET) C
SALTER ElHIGHWAY } YARD = TOTAL,SETBACK FROM YPE OF EXISTING C~'.
REPAIR❑ SIDE PROP. LINE H HWAY WIDTH Y.
a
USE OF } = Z
EXISTING BLDG. DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ NO
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION, �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY L NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR C OF THE STATE OF •CALIFOR N RELATI TO
WORKMEN'S COMP TION INSURANC .�
SIGNATURE OF — 7J
PERMITTEE
ADDRESS
TEFINAL BY
CITY NO. 3% P.C.. 'DATE
44
MAKE CHECKS PAYABLE TO: FEE
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION I CK. M:O. CASH
000L'-'rEB 28 1 351.37 7
76AGSBA CE#009 S/74
APPLICATION FOR BUILDING,PERMIT
FOR APPLICANT TO FILL IN '(Print or type only) `
BUILDINCOUNTY OF LOS ANGELES
ADDRESSt245-7-9-51-3-5 Village Gi 11r-DEPARTMENT OF COUNTY ENGINEER
CITY zip 1 .80 BUILDING AND SAFETY DIVISION ,
7 f
SIZE OF L0T4.5 res NOW UQMQF BLOTS 1 j ADIDRESU��A J - 7 -✓/ Jr� Y `�`'
•
TRACT 0J LOT NO. 1OO LOCALIT _P�yY _ t
NEAREST
OWNERIm erial Savin s NOt95-8801 CROSS ST.
ADDRESS 61 So• Lake' St• - ASSESSOR
MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE P CESSED BY
CITY Pasadena ZIP 91101 �R CONST./ ZO7�LE
ARCHITECT R TE � u � IV/ —�
ENGINEER stel NO' 6 -001 ST' TISTICAL CLASSIFICATION,
ADDRESS17231 X. Railroad City Of nd� SEWER MAP
(!LASS NO.Aq_DWELL.UNITS (O � BK PG
CONTRACTORHop Baldwin NEE 8- 0 USE ZONE MAP J�
ADDRESS 10017 Green St. N0`.237497 �� SPECIAL (J
�Y LIC. P. CONDITIONS
CITY Tem le Vit CLASS B-1
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LEN ER avs BLD
-
NAME AND BRANCH _ e ial Sin & G.SETBACK FROM C
T�7� FRONT PROP.LINE OF BEET) C
ADDRESS61 S�o Lake CITY Pasadena HIGHWAY + YARD = TOMAL S TBACK FROM TYPE OF EXISTING C
SQ. FT. NO. OF NO. OF -/� CHECK FRONT PROP. LINE HIGHWAY WIDTH .
SIZE 8101 STORIES 2 FAMILIES 16- ONE FC
DESCRIPTION OF WORK NEW C
New 'Developmplit ADD ❑ BLDG. ETBACK FROM
SIDE PSROP.LINE OF (STREET)
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING
=
�a_ HIGHWAY _ + YARD REPAIR❑ SIDE PROP.'LINE HIGHWAY WIDTH
USE OF
EXISTING BLDG.Single Family Re WOL 1:1 +
}
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) Noel B ldwin NO• 8- 0
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES NO
0 NO
3�0 ❑ ❑ '
VALUATION • f a CATEGORICAL EXEMPTION YES❑ ❑ '
I HEREBY ACKNOWLEDGE THAT CRAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED - (DATE)
HEREBY L NOT EMPLOY ANY PERSON .I ATION 0 THE
LABOR E STATE OF CALIF IA I RELNG TO
WORKMEN'S COMPE ATPI INS NCE
SIGNATURE O .S r `� /-A
PERMITTEE170-gr f 07
ADDRESS_1001fStreet.�'
-1 ryt FINAL BY
CITY •TemT)le lil 'TEL
8- 0 DATE /,moi"��/-f� 1 '
P C; $�63, -7,K PMT.C
MAKE CHECKS-PAYABLE TO: FEE FEE P
HARVEY T. BRANDY, COUNTY ENGINEERC;2 �
PLAN CHECK VALIDATION �Km.o. CASH PERMIT VA ATION CK. M.O. CASH �v
-827r'_'FEB- 1821 D 263.4 Atb -
76A638A CEit)iD.3fIl
$ 8c-"FEB 18 1. D- ��
526.95 p
.®s 7GA688A'" n
ICE 0808(*EV.6%78) , iYa'IS
:•
APPLICATION," FOR. BUILDING PERMIT -.
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT'TO FILL IN, ADDRESS Q
ADDRESS
�j� ��f.}�,��. C/►PCk �Yr'� LOCALITY
NEAREST-
CITY Pjv!•v If, a 1 ZIP �I i SO CROSS ST.
n //''i' NO.OF BLDGS. ASSESSOR
SIZE OF LOT oC� 10A-AIA-e-op
V. . NOW ON LOT ...J- .- MAP BOOK PAGE PARCEL
DISTRICT GROUP
� V g TYPE FIRE
OCESS BY
TRACT COT NO.. 3LCONST E
N : 44-3Qr.OWNER ;�e +
STATISTICAL CLASSIFICJATION EWER MAP
ADDRESS a _ 1 La' +�4 ®r CLASS NO.' / DWELL.UNITS-Lj BK PG
CITY ��. G�. ZIP fit•?.
ARCHITECT OR TEL.
ENGINEER' NO. VALUATION
ADDRESS.- BLDG.SETBACK FROM
L FRONT PROP.LINE OF (STREET)
CONTRACTO NO. TOTAL SETBACK FROM TYPE OF EXISTING .-
HIGHWAY + YARD ,
LIC.. - FRONT PROP:LINE HIGHWAY WIDTH
ADDRESS L NO _
LIC. 4-
CITY
CITY ' CLASS
CONSTRUCTIO LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF •(STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITYM. • SIDE PROP.LINE HIGHWAY WIDTH
SGl.FT. NO.OF NO.OF CHECK + = EA
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ P.C.Fee$ Permit Fee / �J
e_4' ft4 >t.4,-. 0-5E4 ADD' 93i� Issuance Fee y
ALTER ❑
REPAIR ❑ Total Fee
USEOF' DEMOLElEXISTING BLDG. Z
APPUCANL_ �p t TEL 'I''J1�2 Grp G
(PRINT) V�GP�226�1 NO:`QTR 31 30
2
BY(SIGNATURE)
I HEREB ACK &LEDGE THAT I HA THIS APPLICATION AND STATE bud
THAT THE BOV 15 CORRECT AND AGR T COMPLY WITH ALL.ORDINANCES w
AND LAWS LATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-, Z p
PENSATION INSURANCE. :5 Z'6 7 Q 2 R
SIGNATURE I# 0 010,0 0 1
PERMITTEE
ADDRESS Zell, * .2 o>!2,5,0.0
TEL. .O_0 +0 0 o 2500
qy
CITY N "o Q
USE ZONE MAP 0 0 9.2 0 7 9
r'L) SPECIAL !I
CONDITIONS :E
FINAL `/Q ► yJ BY
DATE (O�
;
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 0810150056
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 29602 LT: 1 UN: 13 SQ. FT STORIES TYPE 5255 VILLAGE CIRCLE DR
ISTRUCTURE: 12 V-B TEMP CA 917803356
ASSESSOR1INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8585-001-080 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
TENANT: [EXIST BLDG USE: RESID USE ZONE: R-3 JISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 110/15/08 SR
OWNER: TEL. NO: IIBLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE:
VILLAGE OWER HOA (800) 729-5673- �� 10,500
1200 CENTER COURT DR.
ICOVINA, CA �I FEES PAID DESCRIPTIO OF WORK
NEAR OFF EXISTING ROOF SHEWITH 1/2 OSB INSTALL NEW LIFE
I ;1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ITILE LIGHT WEIGHT TILE WEIGHT 6 LB PER SQUARE FEET. 1
(APPLICANT: TEL. NO: :I I I
IHESS ROOFING & CONSTRUCTION (562) 927-8045- �1AA BLDG PERMIT ISSUANCE 27.75 I_ 1
IP.O. BOX 40438 IAC STRONG MOTION RESID 10500.00 VAL 1.05 ISPECIAL CONDITIONS: 1
IDOWNEY CA 90239 'ID2 PERMIT W/0 EN-HC 10500.00 VAL 233.40 I 1
TOTAL FEES 262.20 1
(CONTRACTOR: TEL. NO: 11 (APPROVALS DATE INSPECTOR SIGNATURE I
IHESS ROOFING AND CONSTRUCTION (562) 927-6617- �1 I I
18823 STAMPS ROAD LIC. NO lI LOCATION AND SETBACKS I I I
IP.O. BOX 40438 695910 C39 ;1 I- I I I
IDOWNEY, CA 90240 1 ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUI;DATION/TRENCH FORMS I I [
LIC. NO: 1 (SLAB/UNDER FLOOR
I i IRAIJED FLOOR FRAMING I I I
I li I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:-,l UNDERFLOOR INSULATION I I I
1147H273 3 001 I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 NO 21 �I (ROOF SHEATHING I� I
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
I I
(AIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO I FRA0 INSPECTION I I
I
IREQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- [INSULATION/WEATHER STRIPI I I
I SIDE PL- 11-1 I
I ANTERIOR LATH/DRYWALL I I I
I I IEXTERIOR LATH I I I
I 1 IRATED FLOOR/CELL ASSEM. I I I
I 1 [RATED WALL ASSEMBLIES I I I
I I (RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I I
I I I I
[LOT DRAINAGE I I I
I I(REPORT ID: DPR261 ROUTE TO: BS0508 I [ I I
I 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 1501120066
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 29602 IT: 1 UN: 14 SQ. FT STORIES TYPE 1 5253 VILLAGE CIRCLE DR 1
I (STRUCTURE: 800 V-B I TEMP CA 917803356 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-001-081 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 101/12/15 SR 1
[OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL TE FIDIAL BY: CODE: [
ILORDON MANAGEMENT CO. (626) 967-7921- 1 5,000 I 1
11275 E CENTER COURT I I
ICOVINA CA 91722 [ FEES PAID 1 CR TION OF WORK [
I I IT OFF EXISTING ROOFING, INSTALL PLYWOOD REROOF WITH NEW [
1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ITILE BORAL DURALITE TILE #2FBCJ6464 I
]APPLICANT: TEL. NO: I I I
ICASSADY ROOFING (562) 944-5817- IAA BLDG PERMIT ISSUANCE 27.80 [
113021 LAKELAND ROAD IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 1SPECIAL CONDITIONS: [
SANTA FE SPRINGS AC STRONG MOTION RESID 5000.00 VAL 0.50 I [
1D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 1 [
[ IFR INV WORK W/O PERMIT 344.00 DOL 344.00 I [
(CONTRACTOR: TEL. NO: I TOTAL FEES 505.90 IAPPP.OVALS DATE INSPECTOR SIGNATURE 1
ICASSADY ROOFING, INC. (562) 944-5817- ] 1- I
113021 LAKELAND RD LIC. NO I ILOCATION AND SETBACKS I I
ISANTA FE SPRINGS CA 90670 531906 I 1 I I I
] I ISOILS ENGINEER APPROVAL I I 1
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I [
LIC. NO: I (SLAB/UNDER FLOOR 1 I I
I I IRAISED FLOOR FRAMING I 1
INAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATIONI I I
I
3 OOI 1FLOOR SHEATHING I [
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
NO 21
IROOF SHEATHING ] 1
SCHOOL WITHIN HAZARDOUS ] ISHEAR PANELS [ 1 I
(AIR QUALITY: 1000 FEET MATERIALS I I- I I I
NO NO NO I IFRAME INSPECTION I
I I IFIRE SPRINKLER HANGERS I
INSULATION/WEATHER STRIP( 1 I
1 {. IINTERIOR LATH/DRYWALL 1 I I
I 1EXTERIOR LATH I ] 1
I I I
IRATED FLOOR/CEIL ASSEM. I I I
RATED WALL ASSEMBLIES I I
I RATED SHAFTS/OPENINGS 1
1
1 I' iT-BAR CEILINGS I I I
I (LOT DRAINAGE 1 I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 I 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 1412030004
PHONE: (626) 285-0488 EXT:
ILEGAL ID: [ NO. OF CONST BUILDING ADDRESS: 1
ITR: 29602 LT: 1 UN: 17 I SQ. FT STORIES TYPE 1 5247 VILLAGE CIRCLE DR 1
I ISTRUCTURE:' V-B I TEMP CA 917803309 1
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: [
18585-001-084 I i THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
ITENANT: EXIST BLDG USE: RESID USE ZONE: R-3 (ISSUED ON: PROCESSED BY: 1
1EXIST OCC GRP: 112/03/14 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL Y: CODE: 1
IWILSON JAYNE T (818) 349-4921- I 12,000 I I
15247 VILLAGE CIRCLE I I I
ITEMP 917803309 1 FEES PAID ID S RIPTI OF WORK I
I I 1K7TCHEN REMODELING DRY WALL PAIR + CABINETS & TILE I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ I
(APPLICANT: TEL. NO: I I I
IRAZ GRINBAUM (818) 448-1355- IAA BLDG PERMIT ISSUANCE 27.80 I_ I
15632 VAN NUYS BLVD. IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IVAN NUYS CA 91316 IAC STRONG MOTION RESID 12000.00 VAL 1.20 I I
I JB2 PERMIT W/ENERGY 12000.00 VAL 275.20 1 I
TOTAL FEES 305.20 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
WISE BUILDERS 2011 INC. (818) 226-4494- I 1 I
17434 BULLOCK STREET LIC. NO 1 ILOCATION AND SETBACKS I I I
ENCINO CA 91316 984419 _
I I 1SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 ' p•. ' 1SL;B/UNDER FLOOR 1 1 1
1 i IRAISED FLOOR FRAMING 1 1
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ UNDERFLOOR INSULATION I I I
1 3 OOI IFIGOR SHEATHING I I I
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I-
NO I I I
21 1 I (ROOF SHEATHING I 1 1
SCHOOL WITHIN HAZARDOUSI ISHEAR PANELS 1 I
[AIR QUALITY: 1000 FEET MATERIALS I_ I I
NO NO NO i (FRAME INSPECTION I I I
IFIRE SPRINKLER HANGERS I I I
I 11NSULATION/WEATHER STRIPI I I
I 1 IINTERIOR LATH/DRYWALL I 1
I I I
I (EXTERIOR LATH I I
1 I I
1 I IRATED FLOOR/CEIL ASSEM. 1 I I
IRATED WALL ASSEMBLIES [ I
1 IRATED SHAFTS/OPENINGS I I I
I 1
IT-BAR CEILINGS
I I 1
I [LOT DRAINAGE [ I I
I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I 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 1412150079
PHONE: (626) 285-0488 EXT:
[LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ITR: 29602 IT: 1 ON: 17 [ SO, FT STORIES TYPE [ 5247 VILLAGE CIRCLE DR
ISTRUCTURE% 176 V-B [ TEMP CA 917803309
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585 -001-084 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
[ 1EXIST OCC GRP: 112/15/14 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DATE FI Y: CODE:
IWILSON, JAYNE (818) 349-4921- 1 1 2,000 I [
15247 VILLAGE CIRCLE [
ITEMP 917803309 1 FEES PAID 1UESCRIPTION OF WORK 1
I I IDRYWALL REPAIR IN LIVING R M AND MASTER BEDROOM FOR FIRST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IAND SECOND FLOOR I
(APPLICANT: TEL. NO: I I
IGRINBAUM, RAZ (818) 226-4494- IAA BLDG PERMIT ISSUANCE 27.80 1 [
117434 BULLOCK ST IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: I
IENCINO CA 91316 IAC STRONG MOTION RESID 2000.00 VAL 0.50 I I
JB2 PERMIT W/ENERGY 2000.00 VAL 90.40 1 I
TOTAL FEES 119.70 1 I
]CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IWISE BUILDERS 2011 INC. (818) 226-4494- 1
117434 BULLOCK STREET LIC. NO 1 ILOCATION AND SETBACKS ] ]
IENCINO CA 91316 984419 1 I I I
ISOILS ENGINEER APPROVAL I I I
]ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I ] I
1 LIC. NO: 1 ISLAB/UNDER FLOOR 1 1 1
• RAISED FLOOR FRAMING I I I
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 [UNDERFLOOR INSULATION
I I
I 3 OOI IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I ]
1 NO 21 IROOF SHEATHING 1 1
SCHOOL WITHIN HAZARDOUS I SHEAR PANELS I ] [
[AIR QUALITY: 1000 FEET MATERIALSI I I I I
NO NO NO 1 IFRAME INSPECTION 1
1 IFIRE SPRINKLER HANGERS I I I
I ]INSULATION/WEATHER STRIPI I I
(INTERIOR LATH/DRYWALL [ I I
] I I
I (EXTERIOR LATH I I I
I I I
RATED FLOOR/CEIL ASSEM. I [ ]
IRATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I [ I
I I
I [LOT DRAINAGE I I I
IREPORT .ID: DPR261 ROUTE TO: SS0508 I I I I
I I 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 1412010043
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 29602 LT: 1 UN: 17 SQ.. FT STORIES TYPE
5247 VILLAGE CIRCLE DR
I ISTRUCTURE: V-B
TEMP CA 917803309
ASSESSOR INFORMATION NUMBER:
NEAREST CROSS STREET:
18585-001-084 1 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
1
TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 112/01/14 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN CODE:
WILSON JAYNE T (818) 349-4921- 1 5,000 1
15247 VILLAGE CIRCLE
1TEMP 917803309 FEES PAID IDESCRIPTION OF WORK
IBATHROOM REMODELING DRY WALL + NEW TILE
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I
APPLICANT: TEL. NO: I I
IRAZ GRINBAUM (818) 448-1355- JAA BLDG PERMIT ISSUANCE 27.80 I I
15632 VAN NUYS BLVD. JAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS:
1VAN NUYS CA 91316 IAC STRONG MOTION RESID 5000.00 VAL 0.50
JB2 PERMIT W/ENERGY 5000.00 VAL 145.90 I
TOTAL FEES 175.20
CONTRACTOR: TEL. NO: 1 APPROVALS DATE INSPECTOR SIGNATURE
WISE BUILDERS 2011 INC. (818) 226-4494- I
117434 BULLOCK STREET LIC. NO (LOCATION AND SETBACKS
IENCINO CA 91316 984419
1 SOILS ENGINEER APPROVAL I
[ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: (SLAB/UNDER FLOOR
1RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION
3 001
' FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
1 NO 21 1 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1SHEAR PANELS I 1
LAIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1FRAME INSPECTION I I
IFIRE SPRINKLER HANGERS 1 I I
I (INSULATION/WEATHER STRIP( I I
I 1 11NTERIOR LATH/DRYWALL
I 1EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM.
I 1RATED WALL ASSEMBLIES I 1
1 1 II RATED SHAFTS/OPENINGS
IT-BAR CEILINGS 1
I II
1 I ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO. BS0508 I I I I
I I I I I I