HomeMy Public PortalAbout4913 WILLMONTE AVE_Building__ APPLICATION FOR BUILDING* PERMIT '
FOR APPLICANT TO FILL IN (Print or type only)
BUII�LtiING COUNTY OF LOS ANGELES
ADDRESS /3 I✓/CcMb J : DEPARTMENT OF COUNTY ENGINEER
CITY j-/Y) L� /'i zIP �' BUILDING AND SAFETY DIVISION
, X NO.OF BLDGS. BUILDING /
SIZZEE OF LOT NOW ON LOT ADDRESS
p
T C BLOCK,\ LOT NO. Jl LOCALITY
OWNER $(JJ�,PD NOLNEAREST
b`/ CROSS ST.
ASSESSOR
ADDRESS /LL177,0'AJ/-Z7 sT MAP BOOK PAGE PARCEL
CITY L / ZIP �f✓ DIS GROUP CONS FIRE ESSED BY
ARCHITECT OR4
', )J TEL. •
ENGINEER u /� N���
STATISTICAL CLASSffIFICATION SEWER MAP
ADDRESS CLASS NO.9''lDWELL.UNITS —, BK PG
CONTRACTOR NOL ' ZONE MAP
LIC.
ADDRESS NO, �� SPECIAL
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG. TRACK FROM
FRONT ROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY { YARD - TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STO ES FAMILIES ONE
❑ + �-
D'ES'CRIPTION OF WORK Q
NEW
BLDG.SETBACK FROM C7
ADD SIDE PROP.LINE OF TREET)
L/ T
_ ALTER HIGHWAY + YARD TOTAL SETBACK FROM TYPE F EXISTING
REPAIR[-] SIDE PROP. LINE HIGHW Y WIDTH W
USE OF =
EXISTING BLDG. DEMOL 1:1 + 1
APPLICANT f n/1�R�� NOLs`/)/-7q/g CORNER CUTOFF YES ❑ NO ❑
(PRINT) L K `Q 6fls'FJ d
BY (SIGNATURE) IN IN OPEN SPACE YES ❑ - NO ❑
Q .00.
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ �Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / - � � ��I•.�^fi-r�1� ` � '' & �^�l � - �
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ���•J:'a
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE f t� f
LABOR CODE OF THE
STATE OF .CALIFORNIA IN RELATING TO 4 V I'1 " bQ 5''T
WORKMEN'S C ATION INSU E. --
SIGNATURE OF ���� ,. ✓��
PERMITTEE • {(r `
ADDRESS
1. //� / I N A L IBY/'fes `
CITY � L� L/T NE6r� 6 DATE " f!
MAKE CHECKS PAYABLETO: P.C. $ og-T5
FEE' FeE $
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M.O. CASH m P VALIDATION CK. M.O. CASH
2 t3� C 16 1 U `1 5.0 0 •98
76AG38A CE0803 9/74
YGA6e8ACE#8030-n. 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
CASSATT D. GRIFFIN Sup,T OF BUILDING CROSS ST.
DIST NO. GROUP TYPE PR
FOR APPLICANT TO FILL IN �- CONST.
BUILDING yJ��, A/ �' STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS r
O e p CLASS.NO. WELL.UNITS
LOT NO. F BLOCK MAP STAT
NUMBER ;;Zo HWYE. YES NO
TRACT USE ZONE SPECIAL
NO.OF BLDGS.NO. '
SIZE OF LOT SID X �.. I NOW ON LOT .
USE OF
EXISTING BLDG. BUILDING EXIST..
n ��f SETBACK YARD Hwy
STREET NAME WIDTH
OWNER �o/Y Ft E'64?g
FRONT 1 ' r- .
MAIL
/ P.L. (`
ADDRESS �� �p F! �� SIDE
TEL. P,L.
CITY �e,7.r� ;P L NO. fd61:
ARCHITECT OR TEL. INSPECTION RECORD
,
`il, ENGINEER NO.
L -r`G
ADDRESS n' �p
.TEL. � Y V iq-r o• U_ � � � •�L� I
CONTRACTOR NO.
ADDRESS _
DESCRIPTION OF WORK '`�
? NEW L--ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES / FAMILIES
USE OF
STRUCTURE @.S.✓0 0-ov C 4T
SIGNATURE OF � GiP /Q
APPLICANT
/ APPROVALS DATE INSPECTOR'S SIGNATURE
LADDRESS FOUNDATION:LOCALLY
ALUATI �' /W FORMS',MATERIALS Z��Z
FBRACING,BOLRAME:FIRE TS
IMP
S
P.C. PMT. Od FURNACE:LOCATION,
FEE FEE $ "� GAS VENT,DUCTS 3 •Yd a
1 HEREBY ACKNOWLEDG THAT I HAV READ THIS AP- n
PLICATION AND STATE T�iAT THE ABOVE S CORRECT AND LATH,INT. S'
AGREE TO COMPLY WI ALL COUNTY ORDIN;$-NCES AND Ir
STATE LAWS RE NG BUI-DING ONSTRUCTION. LATH,EXT,
SIGNATURE OF "' HOUSE NUMBER COR- (✓
PERMITTE `�� �' / �r RECT AND POSTED -7.L U -;4-
ADDRES 1'I A4� Zd A 5 ✓ r FINAL 3 -Yd "�' G► �L'�����
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION C. M.O. —H PERMIT VALIDATION I CK. M.O. CASH
rjLo 4 4 1 1 DEC 1 6 2 3 A 21 0 0 b .
(jE04 :589n- DEC21 1A 45.00 �.
l��i��c�r✓�/ . . YAG' ,
• 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 1111280043
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 9848 IT: 6 UN: .003 I SQ. FT STORIES TYPE 1 4913 WILLMONTE AV 1
ISTRUCTURE: 30 V-B I TEMP CA 917804045 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18589-024-004 I I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
I I
ITENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
1 1EXIST OCC GRP: 11/28/11 SR 1
(OWNER: TEL. NO: 1HOGS. NOW ON LOT: VALUATION: (FINAL DAT ` FINAL BY: CODE:
[COWARD, ANNETTE (626) 448-6998- 9,880 I 1
14913 WILLMONTE AV [
ITEMP 917804045 I FEES PAID IDEMRIPTION OF WORK [
I [ IRE-ROOF TEAR OFF WOOD SHAKE RE SHEET WITH 1/2 OSB APPLY 30LBI
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IFELT CLASS A DIMENSIONAL SHINGLES (LIFETIME) I
[APPLICANT: TEL. NO: I I I
IJN DAVIS ROOFING (626) 827-5980- IAA BLDG PERMIT ISSUANCE 27.80 1 I
1 IAB STATE GREEN BLDG FEE 9880.00 VAL 1.00 ISPECIAL CONDITIONS:
1 IAC STRONG MOTION RESID 9880.00 VAL 1.00 1 I
[ ID2 PERMIT W/O EN-HC 9880.00 VAL 217.10 1 1
TOTAL FEES 246.90 I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IJ N DAVIS ROOFING CO. (626) 815-1279- 1 1- I
11308 E COLORADO BLVD, #B LIC. NO [ ILOCATION AND SETBACKS I I I
IPASADENA, CA 91106 572125039 * 1 I I I 1
I I 1SOILS ENGINEER APPROVAL 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: - j IFOUNDATION/TRENCH FORMS 1
I I I
LIC. NO: 1SLAB/UNDER FLOOR [ I [
IRAISED FLOOR FRAMING [ 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 [UNDERFLOOR INSULATION 1 1 1
1144H269 3 001 1 1 1
I 1FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
NO 21
1 1ROOF SHEATHING [ 1
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS I 1 1 1 1
1 NO NO NO1 FRAME INSPECTION I I I
I I FIRE SPRINKLER HANGERS [ I [
I I INSULATION/WEATHER STRIPI I [
I I 11NTERIOR LATH/DRYWALL I 1 I
I 1 I
I 1 IEXTERIOR LATH 1 1
I I I
I. IRATED FLOOR/CEIL ASSEM. I I I
I I IRATED WALL ASSEMBLIES I I I
I I I
I I
IRATED SHAFTS/OPENINGS 1 I I
I i IT-BAR CEILINGS I I 1
1* ADDITIONAL DATA ON FILE 1
II 1 I
I 1 LOT DRAINAGE
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I 1
I I I I I I