HomeMy Public PortalAbout5437 WELLAND AVE_Building__ F8A838A CE0803 8-83 APPLICATION FOR BUILDING PERMIT .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST l
WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST. r
DISTR T Ng. GROUP TYPE O SSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING _ STATISTICAL CLASSIFICATION S#NER MAP
ADDRESS > y W CLASS.NO. DWELL.UNIITS�S• MBK G
LOT NO. BLOCK 'c/p0 WATER NOT REQUIRED IYI. RECEIVED
/ _ CERTIFICATE: LLII
TRACT .16 J MAP NO. HIGHWAY RCLE) STATE MAJOR SECON ,LO A
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OFI—;3CONDITIONS
EXISTING BLDG. .PM<, (//f
TEL.
OWNER NO.V&1W7 BUILDING EXIST.
SETBACK YARD HWY STR NAME WIDTH
ADDRESS #//AO DAAACL05 02am FRONT
ARCHITECT OR TEL. P• L•
ENGINEER WUR NO. SIDE
P.
ADDRESS dAe.L
TEL. C
CONTRACTOR ,ts NO. V
ADDRESS ✓OF4+•e— tY
DESCRIPTION OF WORK QV
W
O.
NEW ADD ALTER REP DEMOLISH N
SQ.FT. NO.6F z
SIZE STORIES I FAMILIES Zj
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ ��
APPROVALS' DATE INSPECTOR'S SIGNATURE
P.C. PMT. 'FOUNDATION: LOCATION /
FEE $ FEE $ �. FORMS, MATERIALS f
FRAME: FIRE STOPS, l
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS j
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING TWE WORK '
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RE AT-
INC TO WORKMEN'S CQ
E OF /PENSATION SURANCE. LATH. EXT.
SIGNATURHOUSE NUMBER COR- C�
PERMITTEE RECT AND POSTED ! f t 5
ADDRESS .dr°! ^�R' r rl� FINAL
JOHN F. LEWIS. PRINCIIPAL!STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L.uu G 2 5 ? 1:Ov13 0 1 D 4'00"
0ON Q
TEMPLE CITY
F.A.7UI cc#003.1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGn%= ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST r
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN CONST.
DISTRICT NO GR TYPE r PR BY
J`
BUILDING .'STATISTICAL C SIFICATION S ER MAP
ADDRESS x � 5437'Welland(Front) K Psi
CLASSNO. DWELL.UNITS-
LOT
NITS LOT NO. - BLOCK WATER
TRACT 10260 CERTIFIC�A��TE` NOT REQUIRED RECEIVED
SIZE OF LOT.7' ^67066 INO.OFBLDGS. 2 NOp V.S O "CIRCLE)AY STATE MAJOR SECOND LOCAL
NOW ON LOT USE ZONE SPECIAL t/
USE OF Dwelling & CONDITIONS J
EXISTING BLDG. Guest House
OWNER DSII. MACK & TGR. LINE Ho ED95576 BUILDING EXIST.
665 So, Vermon y_ en Ora SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P.L. (/
ENGINEER none NO. SIDE
ADDRESS INSPEC ON RECORD d
Santa An ConstrL•AT79744 O
CONTRACTOR O. ti a
ADDRESS 8717 Eo Las Tunas, San Gabriel )4�-
DESCRIPTION, OF WORK r O
i 1� '' %moi..}' �► A 0
• � _ a?` �V i � yrs.
.`:.YL•Y� .;•F. . . -1 4'7•" ..r%9•.'..�I'I�.drr/r Lu
C.
NEW XX ADD ALTER REPAIR DEMOLISHSQ 11 r Z
ZE T-400 STORIES FAMIN OF OLIES 1 8T
STRUCTURE Detached Garage
SIGNATURE OF
APPLICANT
VALUATION$ � 0.fl I
/�� APPROVALS DATE INSPECTOEF�SSIGNATURE
FEE $ PMT.PMT
FEE $ 1 CLO FOFORMSDAT!MATER ALSON
FRAME:FIRE STOPS, �7/yJ/���'/L( y d .' �./•s''j
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS 6 �I'R� J,rf• �f
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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. y�-�"'�'^••-- ;j�j`.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENS N INSURANCE. LATH,EXT. ,.�� �� '. /I' y"✓�,•/
SIGNATOR HOUSE NUMBER COR
PERMITTEF RECT AND POSTED \ )1 !J'�nx�`'"
ADDRESS FINAL ICI i 1✓ .7
CLYDE N. DIRLAM, PR NCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK+ E.I.O. CASH
�. 408 .4 2 2 k FEB 1 4 -1 D 9 D 0 �.
1
/6A898A CE9808 8-69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 17
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DIST CTGR TYPE ED
FOR APPLICANT TO FILL IN 0 yr CONST.
BUILDINGSTATISTICAL CLASSIFICATION ..JJJ��✓ SEWER MAP
` C�
ADDRESS CLASS. NO. DWELL.UNITS B_ (/
LOT NO. ( BL CK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
TRACT NOP �� O ciGHWA STATE MAJOR SECOND LOCAL
NO.OF BLDGS.
SIZE OF LOT X NOW ON LOT • USE ZONE SPECIAL
USE OF ` CONDITIONS
EXISTING BLDC3. BC
TEL. / �J
OWNER NO. O BU DING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT A
ARCHITECT OR TEL. P. L. 8
ENGINEER NO. SIDE
P. L. .
ADDRESS I� t �� /�
` TEL f, _. AkA,, A,
t r_
CONTRACTOR NO. A.
ADDRESS
DESCRIPTION OF WORK
ra
• W
O..
NEW ADD ALTER REPAIR DEMOLISH lin
SQ.FT. NO.OF NO.OF _
SS STORIES FAMILIES
USE OF
STRUCTURE
rif
SIGNATURE OF
APPLICANT
VALUATION $23 611-0APPROVALS DATE INSPECTOR'S SI NATURE
P.C. PMT. ,9� FOUNDATION: LOCATION
FEE $ FEE $ • V FORMS, MATERIALS [ R
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ' BRACING. BOLTS i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL .COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS. `
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSU ICE. LATH.EXT.
SIGNATURE • HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL �'� �
' JOHN F. LEWIS. PRINCIPAL STRUCTURAL EINEE,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LAo6 2 8 2-10" NOV 30 1 D ' 4,00N
d nP P L I CAT I O N FOR COUNTY OF LOS ANGELES
� OF COUNTY4
EPARTMENT BUILDING PERMIT DBUILDING AND SAFETY DEVSIONR
BUILDING
FORK APPLICANT TO FILL IN ADDRESS -3 C �
LDING
ADDRESS
�� �% ��G G �� LOCALITY t
CITY / C_/YJ/vd� &:7--1 NEAREST
ZIP CROSS ST.
N0.OF BLDGS. ASSESSOR
SIZEOF LOT 6 11Y NOW ON LOT MAP BOOK PAGE PARCEL
a DISTRICT � GROUP TYPE FIRE 7SED BY
TRACT ' 6d. BLOCK LOT NO. �� CONST. ZO
OWNER AGO �d i)1lYI AiYS T L' "SO�/ v .4 r— - �1"I
ADDRESS 7 STATISTICAL CLASSIFICATION SEWER MAP
c CLASS NO. DWELL.UNITS BK PG
CITY /ter-rj)'4c�x�!>" ZIP 70 d USE ZONE NO.
ARCHITECT OR EL. SPECIAL
ENGINEER NO. / CONDITIONS .
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
TEL. -
CONTRACTOR NO. BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS' NO. TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY h1v - CLASS
CONSTRUCTON LENDER + - a
NAME AND BRANCH BLDG.SETBACK FROM VO
ADDRESS CITY SIDE PROP.LINE OF (STREET).
SQ.E 3FT. NO- NO.OF CHECK IGHWAY + YARD = TOTTYPE OF EXISTING
SIZis AL SETBACK FROM
STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH CL
G
DESCRIPTION OF WORK ��J'C�OS6 NEW ❑ + = Z
ADD ❑ CORNER CUTOFF YES ❑ NO ,❑
ALTER i IN OPEN SPACE YES ❑ NO ❑
USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. v/.4 g!9-/l-C-r- DEMOL ❑
APPLICANT p_ A � TEL
IPRINTI ���G wa . NO.
BY(SIGNATURE( / �• !� svZ J.O/S�-S tom" -'' �� '-"tel
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - / _ ,! p�•'
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES /
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY AT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE VIOLATION OF-
THE LABORCODEOFTHESTATEOFCALIFORNIAINRELAr RKMEN'SCOM.
PENSATION INSURAN
,7 �u &r
SIGNATURE;OF ��� FINAL �BSor
PERMITT �'�/
DATE lV
ADDRESS
TEL. P.C.Fee$ Permit Fee
CITY NO.
1
VALUATION$
Issuance Fee •—�
�/�U D
Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATION CK. .O. CASH
3 9 0 JAN 31 1 0 5 5.5 U ®-b
OS 76A688A CE/808A 6/76 /� ��
;,� APPLICATION FOR BUILDING PERMIT
F�C'1R APPLI"C/ANT TO FILL IN (Print or type only)
eIN S �/�LLA/YaO COUNTY OF LOS ANGELES
ADD
DEPARTMENT OF COUNTY ENGINEER
CITY 0,17- zip '511740 0 BUILDING AND SAFETY DIVISION
/� NO.OF BLDGS.- BUILDING
SIZE OF LOT�T//�j' NOW ON LOT .2 ADDRESS 4 4A 1P v
TRACT BLOCK LOT NO LOCALITY o C r
TEL - �— / NEAREST
OWNE / NO. V V� CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICT ]GROUP TYPE FIRE PROCESSED BY
CITY ZIP CONST- ZO E
ARCHITECT OR TEL. ciK
ENGINEER NO.
STATISTICAL CLASSIFICA ION SEWER MAP
ADDRESS CLASS NOA) OWELL,UNITS BK PG
CONTRACTOR TO USE ZONEMAP
LIC. NO.
A 29
ADDRESS NO, SPECIAL
LIC. CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO '
CONSTRU ION LE R
NAME AND BRANCH7 BLDG,SETBACK FROM
FRONT PROP,LINE OF (STREET)
ADDRESS CITY
TYPEOF
SQ. FT. NO. OF NO. OF CHECK HIGHWAY •}• YARD = T OTALFRONTEPROP LINE TBACK M HIGHWAY EXISTING
p
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK D A* � NEW ❑ + G
ADD 0
BLDG,SETBACK FROM v
SIDE PROP,LINE OF (STREET)
��� A ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
�7 REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF +
DEMOL
EXISTING BLDG. ❑
APPL PRINT) L NOL //�i�� CORNER CUTOFF YES ❑ NO ❑
i� IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATOR
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ CATEGORICAL EXEMPTION YES❑ NO ❑
1 HEREBY ACKNOWLEDGE THAT I HAVE 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 JIMP�CT REPORT PROCESSED (DATE)
HfiREBY I WILL EMPLOY ANY PERSON IN VIOLATION OF THE ,{ ;
LABOR CODE TH 9TATfi F CALIFORNIA IN RELATING TO l,/3�� fy'��y �,I�V`, ,�,'� t 4(�ft.�d•{I1`,��
WORKMEN'S C MP TION I RANCE. (
SIGNATUR r �.? ~
PERMITT E
ADDRES
FINAL BY
TEL DATE �..L7..'
�' ?
CITY NO.
,11;�•E CHECKS PAYABLE •TO: FEE � FEE
HARVEY T. BRANDT, COUNTY ENGINEER /
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
� ir- 3 4 2 573 OCT 2 1 D 2 1 .7.5L
75A538A CEN803 12/72
1!ti!
r Yt • _ •,
16
D _ APPLICATION F R BUI
i6A898A CEAIB 9 8 69 DING PERMIT O L
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
BE DISTRICT N G TYPE O BeE
FOR-APPLICANT TO FILL IN L CONST.
BUILDING STATISTICALC IFICATION SEWER MAP
ADDRESS � • �'SK
CLASS. NO. DWELL.UNITS j
LOT NO. BLOC113&b WATER NOT REQUIRED ❑ (RECEIVED ❑
+�
CERTIFICATE:- r�
TRACT ICLLOCAL
NO.OF BLDGS. NO. (/�o (CRE) STATE MAJOR SECOND
SIZE OF LOT �/ // NOW ON LOT USE ZONE SPECIAL
USE OF �j CONDITIONS
EXISTING BLDG. 0 ,
TEL. ` L
OWNER ` NO. BUILDING EXIST.
YARD HWY STREET NAME
SETBACK � WI TH
ADDRESS `/ � e Ire, FRONT /�
ARCHITECT OR TEL P. L. V
ENGINEER NO. SIDE
P. L.
ADDRESS
TEL. O
CONTRACTOR r NO. V
ADDRESS
DESCRIPTION OF WORK " 13
NEW DD ALTER REPAIR DEMOLISH H
SQ.FT. NO.OF NO. OF O�
SIZE STORIES FAMILIES o 3-AS 1" NjD vtecQ n h a IF m
USE OF �i.i
STRUCTURE +a
sSL)
SIGNATURE OF A Q
APPLICANT
VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION /
FEE $ FEE $ 1, p 0-9 FORMS. MATERIALS �(J�
FRAME: FIRE STOPS,
1 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. 1 CERTIFY THAT IN DOING'THE WORK -
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. •f-•s_• --�-"'�'` '
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. -� '�-a•-•-�•�^•^"""'
SIGNATURE OHOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS d 1d FINAL pZ
JOHN F. LEWIS. PRINCIPAL STRUCTURAL E
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. cnsH
(AC 7 8 .5 9�2 JAN 2 5 1 D 6.0 0`' ZU .
T-L C
7W638A C 0803 4/72
FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK jjdAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING s
MAKE CHECKS PAYABLE TO: ADDRES
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS S
BUILDING DISTRICT NO. GROUP TYPE PR"WERM BY
,�-�+ �^ CONS ADDRES �� r —STATISTICALs�CLf SSIFICATION SE
LOT NO, BLOCK CLASS NO. DWELL,UNITS BKf PG//
TRACT USE ZONE MAP
NO,OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF ti CONDITIONS
EXISTING BLDG. .00
w TEL.
OWNER �J BLDG.SETBACK FROM
r FRONT PROP.LINE OF (STREET)
ADORES S
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CIT HIG WAY WIDTH FROM C.L.
J
ARCHITECT DIV T +
ENGINEER NO.
BLDG,SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) CC',
`• TEL oy�J JJ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C
CONTRACT �I_' N ,Q /yL'97� HIGHWAY WIDTH FROM C.L.
RESS C
—G Llc. 9� , + = a
ADDNO.
CITY - CLASS CORNER CUTOFF YES ❑ NO ❑ a
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW
SIZE STORIES dq FAMILIES
SE OF ^ ADD
TRUCTU
ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 'FOUNDATION: LOCATION
FEES FEESFORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 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
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE THE STATE •CACI RNIA IN REL`�TO
WORKMEN'S COMPENSATION I RR ANO
LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTE�E{— r RECT AND POSTED
ADDRES ", 'p ✓ FINAL
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION GI M , CASH
Ar 10 -9 -973 Mix( 1 1 D N Icu
c "J
TEMPLE CITY
76A638A CE-'8031-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS s 93 �� N v
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Tf 1W1/(,d
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. ,,-1
DISTRICT NO. GROUP TYPE PR D BY
FOR APPLICANT TO FILL IN f-_p CONST._M
BUILDING r /„� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (/�/ BK PG
r_ CLASS. NO.�DWELL. UNITS?
LOT NO. 30� / BLOCK WATER
CERTIFICATE: NOT REQUIRED ® RECEIVED
TRACT lo d MAP NO U�� {
NOOF BLDGS. (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT p /� l NOW ON LOT USE ZONE SPECIAL
USE OF A_ t! _ CONDITIONS e5lft/I Z Z ,S
EXISTING BLDG. ��-�-1 (•
TEL.
OWNER721a ' NO.( +)N BUILDING YARD HWY STREET NAME EXIST.
7h SETBACK WIDTH
ADDRESS (j . FRONT ,,��//
ARCHITECT OR T P. L. ZL� weZ'c iyliy
ENGINEER NO. SIDE '
P. L.
ADDRESS A
TEL. (,
CONTRACTOR NO.
OI
ADDRESS �I C
DESCRIPTION OF WORK
.,; a
v
NEW ADD ALTER REPAIR DEMOLISH owz_
SQ. FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE Y
S5dA rr'J
AII&Si0d G U d
SIGNATURE OF
APPLICANT _
Ln
VALUATION $ / Q Q APPROVALS DATE INSPECTOR'S SIGNATURE
9FOUNDATION: LOCATION
FEE $ FEE $ 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 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. LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG ER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LA,o 4 9 4 7,.:” SLP 28 1 D 4.0 0
COUNTY OF LOS ANGELES TEMPLE CITY „ # 05' r 'BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 S _ 13L_0508•-9910060069
PHONE: (626) 285-0488 EXT:
L
EGA NO. OF CONST E B I GR SS:�
TR: 10260 LT: 21 SQ. FT •STORIES TYPE OCCUP GROUP 5437 WELLAND AV_.
STRUCTURE: 595 1 VN R3 —TEMP-GA 917803510
ASSESSOR OR 0 BER: GARAGE: NEAREST CROSS STREET: LIVE OAK
8573-016-029 OTHER: 315 1 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: EXIST D U USE ZONE: - Tow—OrF PROCESSED EXPIRES 0 :
EXIST OCC GRP: 10/21/99 UT 04/18/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VAL TION: FINAL DATE FINAL BY: COD
TANG;WILLIAM (626) 233-6816- 1 56,630
5437 WELLAND AV /-
TEMP 917803510 FEES PAID DESCRIPTION OF WOR
ADDITION OF TWO BEDROOMS AND BATH/CON ERT EXISTING ENCLOSED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PORCH TO HABITABLE SPACE (NEW LIVING ROOM)
APPLICANT: 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 56630.00 VAL 5.66 SPECIAL CONDITIONS:
B1 PLANCHECK WLENEHG7156630.00 VAL 813.58
B2 PERMIT •Eq Gr.-- 630%% 0 VAL 957.17
GELE� O� EKES 1,804.16
CONTRACTOR: TE 0: � � APPROVALS DATE INSPECTOR SIGNATOR
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
1
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS
CREATIVE DESIGN (714) 288-0308
P 0 BOIX 4535 LIC. NO: 1111111 SLAB/UNDER FLOOR
ORANGE CA 92867 NOE I
l RAISED LOOK
MAP N0: SEWER MAP B00 PAGE: FIRE_ZONE: 00
UNDERFLOORINSULSTION311,UL1091WC WO� MS T LEVEL FOO
0. OF FAMILIES: DWELLING UNITS: P COND: STAT CLASS
NO
21 �, O ND LEVEL FLOOR SHEAT
.,> :;�h
SCHOOL WITHIN DO ! � � �. ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO El �I ��y FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK-FROM EXIST <� BLDG-DEP SP C
SET BACK YARD: HWY: PROP LINE: WIDTH: 11FRONT PL- SerViCe Thy' SHEAR-PANELS
SIDE PL-
INSULATION/WEATHER S Z
INTERIOR LATH/DRYWALL
OffE OR
OT DRAI AGE
SMOK ETECTIONDEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508