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76AG30A CC#803 1-61 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
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP I TYPEP ESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING �..�� n STATISTICAL CLASSIFICATION ^—I SEWER MAP
ADDRESS BK
CLASS.NO DWELL.UNITS
LOT NO.
A� BLOCK WATER NOT REQUIRED RECEIVED
TRACT ss
CERTIFICATE: HIGHWAY
_ STATE MAJO SEC
SIZE OF LOT SC b IN
NO.OF BLDGS. NO. CIRCLE)
4 NOW ON LOT USE ZONE SPECIAL
USE OF 1 z CONDITIONS
EXISTING BLDG. _
TEL.
OWNER -c-Z.. NO. BUILDINGEXIST.
SETBACK YARD HWY STREET AME WIDTH
ADDRESS J,�.Z,- e-lt C�fiG!_•9i FRONT (�J
ARCHITECT OR - TEL. P.L.
ENGINEER NO. SIDE
P.L. }
ADDRESS 4 JJE TEL. INSPECTION RECORD O
CONTRACTOR NO. U
ADDRESS ix
O
DESCRIPTION OF WORK U
_ W
a
/NEW ADD ALTER REPAIR DEMOLISH rn
T. �� NO.OF NO.OF
SIZE 2a STORIES FAMILIES
USE OF _ L�
STRUCTURE C�
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ I FEE $ 3 FOUNDATION: LOCATION
_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 STA E OF CALIFORNIA RELAT-
ING TO WORKMEN'S COM EN-^ATION 1 URA E.
� J LATH,EXT.
SIGNATURE OF -( ,Y �, Y� HOUSE NUMBER COR-
PERMITTEE ��....•• -. RECT AND POSTED
ADDRESS� - FINAL
CLYDE N. DIRLAM, PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION cK. m.o. c.A.SH PERMIT VALIDATION cK. N.O. C"H
.,
TEAM- LE CIT`
76AG38A CE#603 1-61 APPLICATION FOR BUILDING PERMIT,
COUNTY OF LOS ANGELES BJILDING --
DEPARTMENT OF COUNTY ENGINEER rODREsS (!
BUILDING AND SAFETY DIVISION1
LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE _ SSED BY
FOR APPLICANT TO FILL IN � d I I CONST.-1c
BUILDINGts, i t ' '�/✓o STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS -S 3 `�f'u B
CLASS. NO.-/-AO—DWELL. UNITS �f �
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRS S 4/ MAP HIGHWAY STATE MAJO SECN
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT `'�I /J I NOW ON LOT USE ONE PECIAL
USE OF CONDITIONS
EXISTING BLDG. TiI.
� TEL.
OWNER ' .L'� ^-' NO. BUILDING EXIST.
SETBACK YARD HWY STREE NAME WIDTH
ADDRESS 'eL. G�I+`l/ FRONT n�.
ARCHITECT OR TEL. P. L. (G
ENGINEER NO. SIDE
P.L.
ADDRESS INSPECTION RECORD a
TEL. o
CONTRACTOR NO. V
ADDRESS d'
DESCRIPTION OF WORK F
UJ
a
NEW ADD ALTER REPAIR DEMOLIS N
SQ. FT. NO.OF z
SIZE STORIES FAMILIES
USE OF
STRUCTURE
VALUATION$ I
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE S= _FORMS, MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 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 CgMPENSATION INSIIRAN E.
LATH,EXT.
SIGNATURE OF J , HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
C�
ADDRESS— L FINAL
CLYDE N. DIRLAM, PRINCIPAL ST TUIRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 f;C 4 J 0 N91.1
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 1112140034
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 13531 LT: 2 SQ. FT STORIES TYPE 1 5013 ARDEN DR 1
STRUCTURE: 1456 V-B TEMP CA 917804005 1
(ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: LOWER AZUSA 1
18585-014-017 i THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 112/14/11 SR 1
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
1LIN, PAUL (626) 448-1029- 1 1,500
5013 ARDEN DRA�
TEMP 917804005 FEES PAID 1��TION OF WORK
IREPLACE 5 WINDOWS
1 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 1
(APPLICANT: TEL. NO: 1
1G CORP INTERNATIONAL (661) 444-0463- JAA BLDG PERMIT ISSUANCE 27.80 1 1
111719 WILHARNER ST JAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
TAFT, CA 93268 JAC STRONG MOTION RESID 1500.00 VAL 0.50
ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20
IFR INV WORK W/O PERMIT 257.00 DOL 257.00 -- -1
(CONTRACTOR: TEL. NO: 1 TOTAL FEES 368.50 (APPROVALS DATE INSPECTOR SIGNATURE 1
IG. CORP INTERNANTIONAL (661) 444-0463- 1 1
111719 WILHARNER STREET LIC. NO 1 1LOCATION AND SETBACKS 1
ITAFT, CA 93268 917819 B I1
--i ISOILS ENGINEER APPROVAL 1
ARCHITECT OR ENGINEER: TEL. NO: i 1FOUNDATION/TRENCH FORMS 1 1
LIC. NO: 1SLAh/UNDER FLOOR 1 1 1
I I I
1 IRAISED FLOOR FRAMING 1
I I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION 1 1
I I
144H273 3 001
I 1 IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I-
0
_0 NO 21 1 - IROOF SHEATHING 1
1 SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS 1 1 1
(AIR QUALITY: 1000 FEET MATERIALS 1
1 NO NO NO 1 1FRAME INSPECTION 1 1
I I I
1 1FIRE SPRINKLER HANGERS
I I I
1 (INSULATION/WEATHER STRIPI 1 1
1 JINTERIOR LATH/DRYWALL
1 i (EXTERIOR LATH 1
1R.ATED FLOOR/CEIL ASSEM.
1 1RATED WALL ASSEMBLIES 1 1 1
I I _
1 1RATED SHAFTS/OPENINGS 1
I I _
1T-BFR CEILINGS 1 1
1 1LOT DRAINAGE 1
1 i
. iREPORT ID: DPR261 ROUTE TO: 9S0508
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 1104180068
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ITR: 13531 LT: 2 SQ. FT STORIES TYPE 5013 ARDEN DR
I ISTRUCTURE: V-B I TEMP CA 917804005
(ASSESSOR INFORMATION NUMBER: II NEAREST CROSS STREET: LOWER AZUSA I
18585-014-017 1I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
1 (EXIST OCC GRP: 104/18/11 SR 1
I I I ,�/n/'�j' � I
IOWN, TEL. 8- iBLDGS. NOW ON LOT: VALUATION: iFIN// ! V TE FI BY: CODE:
(LIN, SHU JEN (626) 448-1029- 1 3,000 I / 1
15013 ARDEN DR
ITEMP 917804005 .) FEES PAID ID9SCRIPTION OF WORK 1
IBATHROOM REMODEL I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 I
JAPPLICANT: TEL. NO: I I 1
ISAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27.80 1 1
1 JAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IAC STRONG MOTION RESID 3000.00 VAL 0.50 1 I
JB2 PERMIT W/ENERGY 3000.00 VAL 109.00 J
I _IFR INV WORK W/O PERMIT 128.50 DOL 128.50
ICONTRACTOR: TEL. NO: ' I TOTAL FEES 266.80 JAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I 1
I LIC. NO 1 ILOCATION AND SETBACKS I 1 1
1 1 ISOILS ENGINEER APPROVAL I 1
I I I I I I
JARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I
1 LIC. NO: I JSLAB/UNDER FLOOR
I I I
1 IRAISED FLOOR FRAMING J
I J J J J I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( JUNDERFLOOR INSULATION I
1144H273 3 001 1 1-1 1
I I IFLOOR SHEATHING I I 1
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 1
NO 21 1 IROOF SHEATHING I I 1
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS 1 1 1 1
NO NO NO 1 (FRAME INSPECTION 1
1 I IFIRE SPRINKLER HANGERS 1 1
I I I I I I
1 1 JINSULATION/WEATHER STRIPI I I
JINTERIOR LATH/DRYWALL I
I i I I I I
IEXTERIOR LATH
I I I I I I
IRATED FLOOR/CEIL ASSEM. I
I I I I I I
1 J IRATED WALL ASSEMBLIES
I I I
IRATED SHAFTS/OPENINGS
1 1 IT-BAR CEILINGS I 1
I I I
J ILOT DRAINAGE
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I
COUPIIiY 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 1108300040
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 13531 LT: 2 SQ. FT STORIES TYPE 1 5013 ARDEN DR 1
I (STRUCTURE: 1456 V-B TEMP CA 917804005 1
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
18585-014-017 1 i THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
(TENANT: IEXIST.BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: 108/30/11 SR
DOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL Y: CODE:
ILIN, PAUL (626) 448-1029- 1 20,000 •�//
15013 ARDEN DR � y
TEMP 917804005
FEES PAID ID S RIPTION OF WORK
I IKITCHEN REMODEL, REPLACE DRYWALL ON LIVING ROOM, HALLWAY 1
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JAND TEAR OFF AND REROOF WITH 30 YEAR ASPHALT SHINGLES
JAPPLICANT: TEL. NO:
IG CORP INTERNATIONAL (661) 444-0463- IAA BLDG PERMIT ISSUANCE 27.80 1
111719 WILHARNER ST JAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 ISPECIAL CONDITIONS:
ITAFT, CA 93268 JAC STRONG MOTION RESID 20000.00 VAL 2.00 1
JB2 PERMIT W/ENERGY 20000.00 VAL 424.40 -'
TOTAL FEES 455.20 `
CONTRACTOR: TEL. NO: '+ - JAPPROVALS DATE INSPECTOR SIGNATURE
IG. CORP INTERNANTIONAL (661) 444-0463- 1
111719 WILHARNER STREET LIC. NO 1 (LOCATION AND SETBACKS 1
ITAFT, CA 93268 917819 B 1
1 -i ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - - 1 FOUNDATION/TRENCH FORMS
LIC. NO: - JSLAB/UNDER FLOOR
I I `
1 RAISED FLOOR FRAMING I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I JUNDERFLOOR INSULATION
1144H273 - 3 001
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1
1 0 NO 21 1 (ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 I I
JAIR QUALITY: 1000 FEET MATERIALS 1
1 NO NO NO 1 1FRAME INSPECTION
I I
J IFIRE SPRINKLER HANGERS
I I I
1 1 JINSULATION/WEATHER STRIPI
1 i JINTERIOR LATH/DRYWALL
1 (EXTERIOR LATH
1 1 IRATED FLOOR/CEIL ASSEM.
1 (RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
I I
1 - IT-BAR CEILINGS
ILOT DRAINAGE
I I
1 1REPORT ID: DPR261 ROUTE TO: BS0508
I I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING 1
i% WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
`� DISTRICT NO. PLAN CK.NO. PERMIT NO:
BUILDING �0 /3 .C/e/► l U� � �� � ®31f-31f--3-
LOCALITY
ADDRESS eYC/� �d�1'g�J1
LOCALITY mjoA_4c C rry �REE�CEIVEDZVg�� reD�ATE OOI r AyPQPL.fI DAT.E ISSUED
NEAREST / AWle,� Usti �d e� 1,4 �OS�' f�/'�, ! ,! /
CRO98 BT.e�
_ BUILDING C/a !/
��� '00�
OWNER �� .i ^�G '� ADDRESS /�
MAIL /134- �. / +p 4o? . S7. LOCALITY J ' �.m O
ADORE BS/ C- -1,�1, �..Gl/'7 // yy ms�s-- �
IT L � .E Np'C/ '6� � CROSS ST__ l��C�7 ,,,V Ad
FIRE NO.OF TYP,[ BR=
0411P
OR TEL. ZONE 7F PLANS
ENGINEER NO.
BLDG. ys=� ,OgD.N' -
ADDRESS
SETBACK LIN[ Z o v . ��7T'
APPROVED
By�j3DATEk%J �
]fCONTRACTaZNO. dbb
(D
USE APPROVE
ADDREBS S°S',IN 'evc4 ffl�v09 '9a ZONE: BY // DATE ,5,?/
LEGALCORRECTIONS
DESCRIPTION I LOTNO. BLOCK
TRACT �l
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF NO.OF NO.OF /Q� / // �J 11 �//f/�
EXISTING BLDG. I FAMILIES I ROOMS //6// /� !) ,��/2/, //d'I /A !
DESCRIPTION OF WORK
NEW ALTERATION ADDITION //� �✓ ���I p
REPAIR MOVING DEMOLISH l�.r'/� / l'��.w- ILj1i ��1�i1//� /I-t+'/mss/ p
9q.FT. NO.OF
SIZE ROOMS STORIES
WALL ��y� ROOF `• ,�
COVERING S/�yv�o I COVER ING110/8��0�d�///�/ ,/l��� C,/p // /�i �+-i-, yy�.�.1 YiGt. P .fy j
BUILD[USE OF NEW , I Amlly [Jy"✓elll ICl N J' /f /- / / //i In
BUIL�TDyI1NG�e��`�Q.�c.�/�/f,✓� /�yy^ / / A �,L i
All/ Pn8/ o v v'� p o o'� �/ //p L3�' /N
iT
e
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT IN PED, 1 DATE
AND AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. y
FRAME: FIRE STOPS, P p y
SIGNATURE OF W T-j�F./„^f BRACING.BOLTS
PERMITTEE
s� LATH, INT. �4?^'e�j�,f��n ^: f'� /,f i• ,
AUTHORIZED AG_
LATH, EXT.
76A63BA-3 2-50 $ _ :_ P.C.8 PLASTER,INT.
f �+ FEE PLASTER.EXT.'
VALUATION �5�47
FEE FINAL