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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY 441 J3 &'u•
FOR APPLICANT TO FILL IN BUILDING /
ADDRESS
BUILDING /, •�
ADDRESS I�LJ LOCALITY
N EAREST
CITY ZIP CROSS ST. ry
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE ESSED BY
TRACT BLOCK LOT NO. �. CONST. ZONE
TEL. ^3 � \
OWNER Q S NO, lins
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS LIA t0- !�Qtbolc t.Ij CLASS NO. DW ELL.UNITS 8K H4fPG `/ y
CITY aAAAjAgt= &o ZIP 6��o p p
ENGHARCIT E T / TEL JpJ aZ �p VALUATION $ �� D p , L�
ADDRESS BLDG SETBACK FROM
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FRONT PROP.LINE OF (STREET)
CONTRACTOR NO. HIGHWAY + YARDTOTAL SETBACK FROM STYPE OF EXISTING
LIC. = FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS/y NO. +
LIC. S
CITY
CLASS 'L V
LDBACK FROM
CONSTRUCTION LENDER G.SET
NAME AND BRANCHIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 6
ADDRESS 0 SIDE PROP.LINE HIGHWAY WIDTH A
SO.F N OF NO.OF CHECK + = U
SIZE C D STORIES FAMILIES ONE
DESCRIPTION OF WORKNEW P.C. Fee$ s7 2 Permit Fee
ADDR Issuance Fee c•/ v
REPAIR ❑ `y–JC V V Total Fee
USE OF DEMOL
EXISTING BLDG. 0 & ZZ
APPLICANTQ, TEL d`
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BY(SIGNATURE) V Q
I HEREBY ACKNOWLEDGE T I HAVE READ THIS APPLICATION AND STATE Y
THAT THE ABOVE IS CORR ND AGREE TO COMPLY WITH ALL ORDINANCES �, m
AND LAWS REGULATING BUI INC,CONSTRUCTION.I CERTIFY THAT IN DOING THE Z
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF N ��.�3[•, �� Z
THE LABOR CODE OF THE ST OF CAL( RNIA IN RELATING TO WORKMEN'S COM
PENSATION INSURANCE
SIGNATURE OF
PERMITTEE
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'COUNTY OF LOS ANGELES R TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS r 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803180114
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 35397 UN: 5 SQ. FT STORIES TYPE 5601 WELLAND AV B
STRUCTURE: 0 VN TEMP CA 917802972
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-015-039 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: IS B G USE: RESID usE 0 : R-2 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 03/18/98 UT 03/18/99
OWNER: TEL. NO: BLDGS. OW ON LOT: VALUATION: FINAL DATE INAL BY: CODE:
SARAFIAN MONICA 000 - 1 11,000 �y
5601 WELLAND AV -Y —3"
TEMP 917802972 FEES PAID UESCRIPTIONOF WOR
TEAR OFF AND INSTALL 1/211 CDX PLY 0 COVER WITH NATURE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GUARD SHAKES
APPLICANT- . NO:
SUNSET ROOFING (626) 357-3996- AA BLDG PERMIT ISSUANCE 27.75
5660 GARY PARK AVE. AC STRONG MOTION RESID 11000.00 VAL 1.10 SPECIAL CONDITIONS:
ARCADIA, CA D2 PERMIT W/O EN-HC 11000.00 VAL 234.75
TOTAL FEES 263.60
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SUNSET ROOFING (626) 357-3996-
5660 GARY PARK AVE. LIC. NO LOCATION AND SETBACKS
ARCADIA, CA. 91006 603218/C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOU LATIO /TRE C FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED OOR R MING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1501277 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING NITS: APT 0 ff.--r—AT-CLASS. '
YES 21 ROOF SHEATHING
SCHOOL IN TR Out SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTA SETBACK R ST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
I T R OR LATH/DRYWALL
EXTERIOR LATH
RATEDE 5
RATED WALL ASSEMBLIES
i
RATED SHAFTS/OPENINGS
-BAR CEILINGS
LOT DRAINAffr
REPORT ID: DPR261 ROUTE TO: BS0508