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Home My Public Portal About8746 BURGHARDT RD_Building__ YbA638A'"A803 B-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGNEER ["CROSS ELESUILDINGDEPARTMENT OF COUNTY ENGIBUILDING AND SAFETY DIVISION LOCALITYJOHN A. LAMBIE. COUNTY ENGINEEREAREST COLEMAN W. JENKINSSUP T DF BUILDING ST. DI S T uiz- NO. GROUPTYPE C SED BY FOR APPLICANT TO FILL IN CONST. Aa ULDDREISN.S (J 6 E STATISTICAL CLASSIFICATION SEW R MAP ,. CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP IN TRACT NOgfq" . I, J n SPECIAL 6oIS /D(/ NOWONBLOTS CONDITIONS SIZE OF LOT USE OF E N BLOB. SETBACK FROM EL. FRONT PROP. LINE OF (STREET) OWNS NO. _� TYPE OF EXISTING SETBACKHI BX WAY + YARD = TOTAL ADDRESS ^ I p HIGHWAY H 'F M C.L. CITY A ,E/ + ARCHITECT R }+ '' TEL. BLDG. SETBACK FROM ENGINEER /� y NO. �d SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CIL CONTRACTOR 'T ADDRESS q LO a'4 1)-6 CORNER CUTOFF YES NO O CITr GIG SEE/REVERSE SIDE FOR SPECIAL APPROVALS W DESCRrPTION OF WORKy IAL/PJA6F/ �ia�L ��: _ Z_ NE ADD n ALTER REPAIR DEMOLISH /rE' -n �� 5 ZEQ. T /S� V STORIES FAMINO OF NOO IF-S USE OF / STRUCTURE, !O SIGNATURE OF ' 2 '� /, C / — APPLICANT VALUATION$ Z a® -aaO APPROVALS DATE )NSP ECTOR'491GNATURE P.C. PMT. //_ FOUNDATION, LOCATION / ,1 FEES -71,5 L_ FEE$ ((J� FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION O �� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SUILOING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK �l AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. F AR INC TO WORKMEN'B C MPENS ION INBURANCE. LATH. EXT. 1/LEa i CDR PERMITTEE OF HORE CNN ADEPOSTT E �- ADDRESS , FINAL .JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION cK. M.o. CASH c4 0 6 4'; J'JL2 3 2 3 A 3 0.251 4 7 6 9 AUG 1 S 1 A 64.00- �VL 76AB38A CER.8033-66 APPLICATION FOR BUILDING PERMI.� COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY : s. ,tAX , JOHN A. LAMBIE. COUNTY ENGINEER NEAREST - F COLEMAN W. JENKINS.BUP'T OF BUILDING CROSS ST. DIST�f Y KT . GRi TYPE P OC , 4 ES FO 8 FOR APPLICANT TO FILL IN , (f�f CONST._ � / _ BUILDING STATISTICAL C ,$SSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS BK PG LOT NO. U BLOCK USE ZONE MAP NO. � I� TRACT J / SPECIAL N0. OF BLOCS. / CONDITIONS SIZE OF LOT ! NOW ON LOT USE OF EXISTINGBLDG. SETBACK FROM TEL,- FRONT PROP, LINE OF (STREET) OWNER - YPE 01 I EXISTING SETBACK XI GX WAY } YARD = TOTAL ADDRESS HIGHWAY DTH FROM L.L. } _ CIT BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE 01 EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRAC R ANO _ ADDRES d1C CORNER CUTOFF YES ❑ NO ❑ y CZ CZ Cvry I - `IG_AS SEE REVERSE SIDE FOR SPECIAL APPROVALS ZDESCRIPTIM OF WORK LL a NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO. OF NO. OP SIZE STORIES FAMILIES USE OF STRUCTU E SIGNATURE OF i APPLICANT VALUATION$ .OQ APPROVALS DATE INSP ECTOR'S SIGNATURE P C q. PMT. FOUNDATION, LOCATION FEE A !/� FEES - FORMS, MATERIALS FRAME, FIRE STOPS,' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILOING 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- INGTOWORKMEN S COMPENSATION I NBURANCE. LATH. EXT. SIGNATURE OF • J HOUSE NUMBER COR- PERMITTEE RECT AND POSTED it ADDRESS FINAL -;-- 6 JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH LA[:o 2 9 12 k8 FEB 1 1- D- 12.00- WORKERS' COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'CompensationtionInsurance, or a certified copy thereof (Sec. 3800, Lab. C.) Policy NoC'd ' ff t CompanyCOUNTY OF LOS ANGELES BUILDING AND SAFETY ' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDINGro ._ ADDRESS 3 Certified copy is filed with the county building inspec- BUILDING hon department. (r f' ADDRESS n / ss, t' :r- t Date e� Applicant _ _ CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION' ROM WORKERS' NO.OF BLDGS. NEAREST / COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CRO55 ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR } hundred dollars($100)or less.) MAP BOOK PAGE PARCEL p- OWNER NO. ' ' r </ USE ZONE MAP O I certify that in the performance of the work for which this - NO. U permit is issued, I shall not employ any person in any manner SPECIAL LU so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS LL Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate Of ARCHITECT OR TEL. DISTRICT I GROUP TYPE FIRE PROCESSED BY ENGINEER NO. Exemption, you should become subject to the Workers CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS - !/ d with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. 2 deemed revoked. CONTRACTOR % L. : / " O. >cd- W . LICENSED CONTRACTORS DECLARATION LIC, CLASS NO._4 DWELL. UNITS, H, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /( �� NO. I / (commencing with Section 7000)of Division 3 of the Business and LIC �,.r r,- SEWER MAP Professions Code, and my license is in full force and effect. CITY �' / CLASS C-- BK PG VALIDATION SD. FT. NO. OF NO.OF CHECK License Number.'� t %' ,� LIc.Class ' y SIZE STORIES FAMILIES ONE LT VALUATION f DESCRIPTION OF WORK NEW ❑ Contractor:a Date ' '` ' ` $ -`c:__ ./ ADD ❑ I am exempt under Sec. ALTER ❑ ` , BAP.C. for this reason f •�.>�' - " REPAIR ❑ $ USE OF Do* EXISTING BLDG. DEMOL ❑ APPLICANT TEL. Signature OWNER.81 ( DECLARATION PRINT NO. DATE L I hereby affirm that 1 am exempt from the Contractor's License Low for the following reason (Section 7031.5, Buslness and ADDRESS FINAL Professions Code): PRESENT By , ( ❑ BUILDING 7 M I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andloop3: • e • • • 1, the structure is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. c r I, as owner of the property, am exclusively contracting CONTRACTOR NO. ,(; •,,1, I.t: V with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY REQSET BACK YARD HWY IRED IOTA PROP. LINE WIDTSETBACK FRom H I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name li LDMA Ref. X $ Lender's Address P.C. Fee E Permit Fee Ji ' g.- I certify that I have read this application and state that the Issuance Fee I ' ' / LDMA P/C X above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. N and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. $ i- ,(�_ - /; 'j SEE REVERSE FOR EXPLANATORY LANGUAGE f Sig�ure of Applicant or Agent Dote COUNTY OF LOS ANGELES TEMPLE CITY @ 0506 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 HL 0508 1403170009 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 NO. OF CONST BUILDING ADDRESS: 1 ITA: 29922 LT: 20 1 SQ. FT STORIES TYPE 8746 BURGRARDT RD 1 I STRUCTURE: 1800 V-B SCAB CA 917752650 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15386-012-068 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI I I_ I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 103/17/14 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FI7NAL DATE FIN/A\L^J BY: CODE: GHEN MING HSIANG;NEN YING - 6,0 0 0 `•'y.�� I N' 8746 HORGHARDT RD r TEMPLE CITY CA 91780 FEES PAID 113@SCRIPTION OF WORK (TEAR OFF SHEATING INSTALL COMPOSITIN SHINGLES 30 YRS (HOUSE I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IONLY) APPLICANT: TEL. NO: 1TEJEDA, JUAN (626) 922-2234-15826 HAYLAND ST AB STATE GREEN BLDG FEE 6000.00 VAL 1.00 HIAA BLDG PERMIT ISSUANCE 27.80 I III SPECIAL CONDITIONS: ILA PUENTE CA 91744 JAC STRONG MOTION RESID 6000.00 VAL 0.60 D2 PERMIT W/0 EN-HC 6000.00 VAL 149.40 IFR INV WORK W/O PERMIT 344.00 DOL 344.00 (CONTRACTOR: TEL. NO: TOTAL FEES 522.80 (APPROVALS DATE INSPECTOR SIGNATURE TATO JACK ROOFING (626) 922-2234- 115826 HAYLAND STREET LIC. NO ILOCATION AND SETBACKS ILA PUENTE, CA 91744 816608 a I 1SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR _ I RAISED FLOOR FRAMING I MAP NO: SEWER MAP HOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION 3 001 I FLOOR SHEATHING 1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I NO 21 1 1ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 SHEAR PANELS -' 1AIR QUALITY: 1000 FEET MATERIALS I NO NO NO I FRAME INSPECTION I I I I 1FIRE SPRINKLER HANGERS I I 11N5ULATION/WEATHER STRIP I I I INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS I* ADDITIONAL DATA ON FILE (LOT DRAINAGE I REPORT ID: DPR261 ROUTE TO: DS0508