HomeMy Public PortalAbout9828 WOODRUFF AVE_Building__ APPLICATION FOR
BUILDING PERMIT
BUILDING
FOR APPLICANT TO FiLL IN ADDRESS /V'7
FER
G p— — r
4—F_" �. LOCALITY
�' NEAREST/ cv ZIP CROSS ST.
NO.OF BLDGS. ASSESSOR
L``OT Q NOW ON LOT LMAP BOOK PAGE PARCEL
6 BLOCK LOT NO. 6DISTRICT GROUP TYPE FIRE PR SSED BY
CONST. ONETL.NO.
STATISTICAL CLASSIFICATION SEWERMS � �I CLASS NO. DWELL.UNITS / BK
-77
�. ZIPNOPCT OR TEL. _�i SPEC( LER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑
-71 TEL.
CONTRACTOR �. BLDG.S BACK FROM
FRONT qROP.LINE OF ISTREETI
ADDRESS V 5 C. !Jc Nw HIGHW Y t YARD = TOTAL SETBACK FROM TYPE OF EXISTING
/���, LIC. FRONT PROP.LINE HIGHWAY WIDTH
CITY � / L CLASS
}
CONSTRUCTION LENDER Y O
NAME AND BRANCH 'L` BLDG.SETBACK FRO U
ADDRESS CITY SIDE PROP.LINE OF (STREET) O
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTA SET ACK TYPE OF EXISTIN U
D SIDE PROP.L WAY WIDTH w
SIZE STORIES Z FAMILIES ONE N
t = Z
DESCRIPTION OF WORK G NEW
ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USE OF �,�� ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL
APPLICANT I;
TEL
(PRINT (/ / NO `�
BY( NAT
HAT I HAVE READ THIS APPLIC IN STATE
THAT THE ABOVE I$CORRECT AND AGREE TO COMPLY WI ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERT THAT IN DOING THE
WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNAT E O FINAL ; � BY
PERM( DATE
ADDRE (�
lJ �, . TEL 1.� P.C. Fee$ �rd v Permit Fee
CIT`�-c��' —N -3-36
Issuance Fee
VALUATION� ic,l/ �v G)
/ Total Fee 73 1
PLAN CHECK VALIDATION <�CK. M.O. CASH _ PERMIT VALIDATION �CK. M.O. CASH
w.
5 0 3i;ti0b L,0 1 8 2 7 S.{)
OS 76A638B CE M80319 6/76 _ �.,
' I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS +� ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA BL 0508 9806240021
PHONE: (818) 285-0488 EXT:
LEGAL I : NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 61 SQ. FT STORIES TYPE 9828 WOODRUFF AV
STRUCTURE: 0 VN TEMP CA 917801706
ASSESSOR INFOR TIO BER: NEAREST CROSS STREET:
8587-026-001 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG S RESID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/24/98 UT 06/24/
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ALONSO SABAS A;EVANGELINA (818) 287-8102- 2 1,800
5957 AGNES AV 1-1
TEMP 917802218 FEES PAID DESCRIPTION OF WORK
REMOVE/RECOVER WITH 25 YR. COMP 4HINGLE \
APPLICANT: TEL. N0:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
_
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
iAC STRONG MOTION RESID -1800.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT WO EN-HC 1800.00 VAL 82.20
TOTAL FEES'• , 110.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO i /% 'I \ °' LOCATION AND SETBACKS
r;
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: T L. N0: j I ''� FOUNDATION/TRENCH FORM
LIC. NO: 'I - - -- - SLAB/UNDER FLOOR
-
RAISED FLOOR FRAMING
AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: , ;; UNDERFLOOR INSULATION
15OH269 3 01.
FLOOR SHEATHING
NO. OF FAMILIES: DWELLI G NITS: T CO : STAT CLASS: ---- -NO 21 S '� \ ROOF SHEATHING
SCHOOL A ARDO SSHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO � •.,: FRAME INSPECTION
REQU RED TOTAL SETBAC FOM E ST FIRE SPR NK ER HANGER9
SET BACK YARD: HWY: PROP LINE: WIDTH: -
FRONT PL- - -':� INSULATION/WEATHER STRIP
SIDE PL- -_ _ - - INTERIOR LA DRYW
EXTERIOR LATH
i
RATED FLOOR/C IL ASSEM.
RATED WALL ASSEMBLIES
RATED S AFTS/OPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508