HomeMy Public PortalAbout9159 BIDWELL ST_Building__ APPLICATION .FOR BUILDING PERMIT
r. COUNTY OF.LOS'ANGELES . BUILDING AND SAFETY
WORKER'S CpMPENSAInON DECLARATION FOR APPLICANT TO flLL IN
I hereby afflrm that I have a awtficate of c0neent to eetf b&Jre, 5- • B Z AQ lVe-L L
or a certflDste of wixkere' Campensa6Dn•Insurance,or a certfW � Q 1 D of L-� p ,L e c! r y 1011copy thereof(Sea 380-0,Lab.C.) L C 7d� L°GLFrY /�
�� No, Company �OF OF BLDG3 Now ON LOT �C�R 4,O A'/ " '
❑ CerffW copy to hereby fumiefred. !l NEAREST CROSS ST.
❑ Gemmed Copy is.ffW Witt, the qty bulldtng ln&pection g:7 B,�c+c L.OT NO. � 9 �— �' v
Japartr—t USE ZONE MAP ND.
�� Applk t ASSESSOR MAP PAGE PARCEL
9PEC4AL COND DOW
TEL CERTIFK:.4TE OF EXEfiAPT10N FROM WORKERS` OR� C f�Pte'- P w1rrF� loco f r.of 9CIio01 t YES No
COMPENSATION INSURANCE '
(Thio eectbn need nd be corrpieted H file permit Ie for one hu id red pgTO
TCT GROUP TYPE CONST. FEE PROCESSED BY
• ddlars (5100),or leas) / ZIP 0? /
/T
I certfy that In tie performance d the wort'_for Wtoch tyle pwmIt CIT1 M P L� [ /?. Q D�
b taeued, I shall.not employ any peraorh In any manner 80 as to ARC-CWT OR ENGWEER TEL Na �� '
bectxna'sub)eb t0 the Hbrkm'COmpen8Ht0(F Lmo& S?Xk'MGQL d1SSF-rCIDN APT CONDO
' Date - Applicant ADDRESS CLASS NO.'a DIMELL UMTS
NOME TO APPUC NT.' If, after making thb Cerlf ..te of REOUFED TOpL SETBACK FROM EXIST
F)rnption, YOU atDuld, become subject to the Aiof$r re' CONTRACTOR 7E NO. &ET BACK YARD RYVY PH0P LIE AUTH
Compenaffii0n provlelooe of the Labor Code, you hwet forthvrt FROG
ow0y with such prdvlebrse or thb permtt shall be deemed revoked. ADDRESS LLC NO. PL
SDE
LICENSED CONTRACTORS DECLARATION CrrY Ur-CLASS PL
I hereby afitrm that I am lh eneed Imderprovbbr,e of Chapter 9 AV,P
(commer>Cirig wtth SeOton 7000)of D#vtsbrr 3 of the&Anew and 9a F T.S&M Na OF STORES NO.C`FAMUES
Profesedcm Code,and my ker a ko In foil force and etfed- NEW BK PG
Licence. mer NubLb.Clew DEsp�tKoN OF WOW 3 ADD d v,LuxmN a-D , Q
Contraotor Date ALTER ❑ $ V
SeREH4iR r
- ❑.k din7n exempt order o. e o Ps � � � DEMOL ❑ $
BAP.C.for fhb reason A LDAM R/C r i
.Date. USE EXISTING /{-T URM ❑
t A ACCT.Ir
❑ I as owner of the property, Or my empbyeaa with wages as J��+f, lc �4��/0 Ngo LOMA Term+ _ o r�v� 1 . 1
their wie cmripeneation, will do the wo*.-and the sbwWre to ADDRESS
riot Intended of offered for Bale (Section 7044, BLWrK s and ! vG FP&AL I ITEMS
Code.) wLL T[-1E APPUGANr OR FUTURE BULONa CCCIPANT HANDLE FAZA XU3 MAHA -
4 as owT « tt,e property, sm exofuatvgly cor,trscttnp wro, E axrP,axa A Fuarroole MAseaAL E-0lYLL TO OrEvEA rFUN T E TOAL 102 30
MIOLMS SPEC ON TFE IiAZArDOUe MAT6�18 WCO A r"GLADE? VIAL
IlCeneed contractors to cormtrLe the pro)eot (SeGbm 7044, YFa❑ No❑ CFECI4 1Q .30
136shess and Pro(eeebne Cede.) _
wLL THE 1=LEE CF Tlf BUDLNO BY OR FUTLAE BILDNG
CONSTRUCTION LENDING AGENCY AT DTT>�� '� mal
gUDB NEa C� "
1 hereby affirm that txXB Is a constnictlon lereng W-cy for YEs❑ rro❑ m, r�
the performance of the work for whtoh this perm H Is lasuad(Seo. i�F�TFE rw vCaA vAnEF a NFORwv)oN GLADE Arn n-E acs �R1+0O �. 0V 1 V 7/93
3097,Ctv.a)' cHKK-w I uNDtw m MY REou mD rra�THE LOB AlIOF11EP COL.,TY cObE. - .y_ - -9 1x7 1. .. Ali 10:ti-+t
TITLE 2.ai1PlSi 2.20 BECK"22 220.
a 100 THRCU H 140 CONC.EP04W HAZAFDOUe
Larders Nerve _ 64UEWLS nEPOFTrM AND FOR oaP,aca A PS:U T FBiON TFE BCACAD. - - -••. - - .�- ., .
Lenders Addr e" Ci.rR OR MINT
O
I certify that I have reed Us application and state under pKwity
of pw)-ry trot the aboae InformatI n Is correct I agree to conpfy P,C PEFOAT FEF
with all gxTdy orr9narTcee and State lews retafing to buliding
cor*Vuc ion, and hereby autTodre-represe(TtEd es d thio County t9SUANC£FEE
b enter uT the d v =
frepecbon purposes.
PIVEgi'K�ATION FEE TO-E L FEF IA
SEE REVERSE FOR EXPLANATORY LANGUAGE
r
COUNTY OF LOS ANOELE9 TEMPLE CITY # 0508 BUILDING PERN3:T
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BU=TNG AND SAFETY / LAND DEOELOPMENP TEMPLE CPI"f CA 91780• BL 0508 1303180048
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 12977 LT: 19 SQ. FT STORIES TYPE OCCUP GROUP 9159 BIDW37r ST
STRUCTURE: 493 1 V-B R3 TEMP CA 917802447
ASSESSOR INFORMATION NOMBER: GARAGE: uF1aFLaT CROSS STREET:
5387-017-026 O=: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CA
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 05/02/13 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FF BY: CODE:
wow, JOIFY (626) 381-8029- 73,080LLFo
9159 BIDWEST '
TEMPLE CITY CA 91780 FEES PAID DISCRIPTION OF WORK
ND
nrrw
ur�+r+v ADD ONE MASTER BEDROOM, BATHROOM, LAUNDRY ROOM AND EXTE
QUT
FEE DESCRIPTION: lr=: UOM: AMOUNT: LIT=N AREA
APPLICANT: TEL. NO:
HUANY, JASON (626) 720-7999- 131 PLANCHECK W/ENERGY 73080.00 VAL 971.00
322 LA RALLEN, DR AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS:
WALNUT' CA AB STATE GREEN BLDG FRE 73080.00 VAL 3.00
AC STRONG MUTTON RESID 73080.00 VAL 7.30
B2 PERMIT W/ENERGY 73080.00 VAL 1,142.40
CONRACTOR: TEL. NO: 08 CERTIF OF OCCUPANCY 101.40 APPROVALS DATE INSPECTOR SIGNATURE
SRN INVESTMENT GROUP, INC. (626) 484-3573- _ TOTAL FEES 2,252.90
243 ABOGADO AVENUE LIC. NO LOCATION AND SETBACKS
WALNUT CA 91789-2502 925183 +
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS
DONIOONG, PETER LEE
LIC. NO: _ SL.AB ER FLOOR
NONE
RAISED FLOOR FRAMING
MAP 190: SEWER MAP BOOK: PAGE: F= ZONE: QP: UNDERFLOOR INSULATION
3 00
1ST LEVET. FLOOR SHEATH
NO. OF FA)QL•�4: DMELLII7G M=: APT GOND: STA (ZAS9:
0 NO 21 iirD LSiVYL FLOOR SHEATH
SCHOOL WTTHDN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET bUTERTALS
NA PO PO FIRE DEPT. FRAME INS='��--
BLDG DEPT. FRAME INSPE
SHEAR PANELS
\ l
INSULATION/WEATHER 9
INTERIOR LATH DRYK ILL
1 .
EXTERIOR LATH
. LQT DRAINAGE
SMOTE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
ADDITIONAL DATA ON FTT.R
REPORT ID: DPR261 ROUTE TO: BS0508