HomeMy Public PortalAbout5938 1/4 CAMELLIA AVE_Building__ APPLICATION FOR BUILDING PERMIT,
COUNTY OF LOS ANGELES BUILDING AND SAFETY '
WORKER'S COMPENSATION DECLgRATION FOR APPLFCANT TO FILL IN
I nweny'affirm tt,ai I nave e cwtMoete Of eohaeM to aeff kwxo, 1 I ,�.L/fj /
or a e of Mckers'GOrrp�neatio knsurance,or a certtfleti 1
Copy Lab
crry
o - ) ,,,
LDCALfrY
8ZE'OF LOT Na OF'BL.DGa NOW ON LOT
❑ GecttFled copy is hereby fumfthed. 7/'" NFA EST ST.
a Cwfflod copy.is flo with the county txJ OrQ Inspection. TRACT- 5L
LOT Na
r;L zona£ MAP Na
Ddb r�'APpGcNtt .�!]M I"lY �� -/�48E880R MAP BOO!( � � PSE �'�. SPECIAL COrDffIONB
CERTIFIG4TE OF EXELUMON FROM WORKERS' .. �E TPL Na
COMPENSATION INsuRANCE • ' wtrrlr� ,coo Fr.of sa ioa YES NO
need not be
n�DDFIEs9 oFaouP
(This section completQtl.tf.the permit 16 for dna txJr,dred.. PFJOGESAED -
dcAmm(5100)or km&) CITY ZIP cw tI y that M the OW Trrenbe Of the work for vd-Mch this porra t
Is Immed, I shall no( ernpbron y any PeIn auy roamer ao"da to.. . 1i47
become subjed to the Workers'Compensation Laws.. ARCIifEC7 OR ENGMM♦EEER TEL Na -
CLA881FICi(TION - APT CQND0 .
Date ApQdc aratADDRESS C;!A88 Na DWELL UNTB'--
NOTICE TO APRJG4NT.- If, after. rnf4 p thio Co.rtHbate of
Emrptlon, you W-a>!d become 'aub)act to the Noncar' CONTRACTOR TEL NO. BAC )ARD TOU1L�FROMCompensation wmiebns of the Labor Code,'you must iorttnvftt, 1 ?(SQ
comply with mucin provkbne or this pem*shall be deerhed revoked. ADDRESS L � c../ � P r
LICENSED CONTRACTORS DECLARATION Crry Lea CLASS- p 0
r hereby affirm that I am licensed OU
r rJr?derprwleiorre of Chapter B Ba=wER MAP
(exrcrwot,p wkh Section 7000)O.Dfvbbn 3 d the BlJet,ess arid. Sia FT.� .Cf 8 NO. F'AMt-E8 ! -
Profesdore'Code,and my-1lceraae Is In.fuI force and elfect.- 14400 NEW- 11� BK PG - O
ticense Number Cieae OF wt�Fnc ADD -❑ 11ON , hU
Conbm for >a L ALTER D S" d,QO. LL
❑ I am exempt under Sec. REPAIR ❑ Z
B.BP.C.for tftls reason ' DEMOL ❑ '
UiaA P/C r. .
Dam USE OF EXISTM BLDG- URM ❑
1
ftnabire
APPLICANT(PFBVT) TEL NO. Perm•
a.I,as owner ot.the property, or-rny arrooyees.with wages as. ACCT.Y
that sole oompensetion, will do'.thA work and ttm structure Is ADDRESS
not frttended or offered for sale (Section 7o4,a, Buet)esa and ft WE
1 ITEMS
PrOtsesbre Code.) wu Tai APPLICNrr OR FLmnE ra■DNG occLFWT HANDLE A FMZAJDDLre MIU134AL. 1—
❑ I, as awner Of the.property, am exckraMety cootracttnp with, OR A LNXTLFV-CONT M43 A w2MaDOU9 uveae ECUAL TO an OFF-ATM TFMN THE
AAI(XME 8PECr®ON THE HAZARCOJe uAJERL D tf:( lON al7ET
kensed contactors to cone�uct the proleot,(Section 7044, FINAL ay
onTOTAL 108 --'90
'ende.
Bnatom d"RDOseabns Coi rEs El No❑ CHECK1L] .
j vLL Tlf!nTk
E?OED um OF f mom dy TF! APpucwT On PffLwe a■rrar�
CONSTRUCTION LENDING AGENCY cow AT�O1eE A marl Porn oaT uE PERuFr r cHICU Ku s TH
Foo
cow An owuTv LLvaA000rr o�Tcecwnot eEE raarrTE+O a EaamT Foo
a■x�■cg ^4-
I hereby by
that niers Is s cDrw;tTijabn lord N•agency fon nee❑. NO❑
the performance of the work fo which thh permit b squad(Sec., i�AEAD,'af HAZARDOUS WArMIALS FF0FOAA71 N WIDE AN.
THE��^PFAaTTINa C
3097,Civ.C.) �LIFOFRSwo un REar8Brf1 UlDfa2THE
,ILCIS ANnaEO TAUNTV CCOE, ('y�-�__ow J LI p6L
Lenders Name• 64A ERN4 REPOrn2io S z aO iOo TA Pe:GAi Fiid4 THCONCEFWNG E s LRJ1 RJ-owl .�},I�y I74
Lenders Addreaa oe,Ar+1O ]�}[] 1 r)17• i
ori a err
I mtffy that I bale read this application and stab under pweJty P FEE PE3iUT FEE
of per)wy thef the above Wormation Is corma Lawes to conpty D
with an county orcWmrx ee and State frim. rekbV to buBN q r
conetuction, and hereby aLtvdze-representaflves of thin County 68LW4CE FEE
to erler upon the for J
NVEST'WO) N FEE TO-[AL FEE /a -
�N7 SEE AEVE RSE FOR EXPLANATORY LANGUAGE % i
. APPLICATION FOR BUILDING PERMIT
COUNTY OF L03 ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO Fll1 IN BLJiofNG ADOFIEsS
3�` t /L�
I hereby efllrm tlmt I have a certifloate of consent b sett Ineut_
sure, � ►DIING ADDRESS i J !3 g /G �9
E 579-RaRa
or a certtfk�Ye of Workers' Compensation Yia
ieance,or a cerdW
copy thereof(Sea 3800,Lab,C.) CITY L T Z a^ LOCALITY
I cy No. cn��7/ y STr9rt x{(wis Zs Ar Z �'
SIM Cf LOT Na OF BLDos NOW ON LOT
❑ CertVied Copy Is hereby fu I NEAREST CROSS ST.
❑ CertfBed Copy b Mod with the txilding TRACT un N0. .
n �,9E 40.
Date Applfcartt K. AS9E830A MAP f300F< PAGE R�AC�1 Jr�/j—
CERTIFICATE OF EXEMPTION FROM WORKERS' OYSTER TEL NO.
/L. ,3 SPEC]AL CORD(TON9
COMPENSAWN INSURANCE me,� WITHIN 1000 FT.OF sopa? YES No
(TMs eeciion need not be compbted If the permFt Is for ADDRESS one hundred .7 f 4,41 {�I DISTFOCT oRDLR FRE 3>NE PROCE83ED aY
«b
ddLars 1$100) aa.)
I certify that in the perf«muance of the work for wtlich Vile permit Cfty oFtC 20 U 1
Is Issued, 9 Z'P / _ 3
I shall not employ any person in any mnner
aso as to ✓✓
become mbJect to the Hbricere'Compensation Laws. ARCHITECT OR EN(*EER TEL NO.
9P,Tl9TlCJ1L C1A481ACJ11 IO1 1 APT CONDO
Date— "beam ADDRESS CLASS NO.- U Wl-B
NOTICE TO AWIJQ iT H, after makfng thb Certtflcate of REOLVCD TOLYL SETBACK FROM EXIST
Exemption, you ehoLk become sub}e(•t to the Workers' TEL NO. SET BACK )AFD HfWY PF40P LTE WaTH
Compensation prwkabre of the Labor Code, you must forthwith lU vz-ecrrrFlYiT
P L� (i
copfy with such provbiorle«this permit shall be deemed revoked. 99 DC.Na P L
c� S S, SIDE
LICENSED CONTRACTORS DECLARATIONeolLs P L
I hereby I am licensed underprovIsl ns of Chapter B r-CLASS_'
SEWER MAP � a_( Section 7000 of Dtvldon 3 o(the Busk-oas and sa FT.WE NO.OF STORIES Na OF FAAi.lE9
and my Is In full force effect NEW ❑ BK PO 8
Lbense Lb.Class -3 OF YODW - ADD ❑ vuIWICN ,. .
Date11-7 4t- pry orsT eCCs ALTER ❑ $ ` 60
ElI em exempt order Seo r 4o _ uA46 REPAIR El $
z
B. P.C.for thb reason ACj 71Pcl 7/ ' aWOL ❑ LDIM PIC•
Date: USE EXISTING BLDG- S URM ❑ +
Signa
�� APPUGWT(PFVVT) - TEL NO. LDMA Perm 1
❑.I,.-as owner of the property, or my empbYeea with wages as Z ACCT•T
their sole Compensation, wlll do the work and the structure le ADDRESS
not intended or offered for sale (Section 7044, Busknee end RNAL DAL'
PlLfeaabne Code.) walu1�THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A FVZA COU8 MC-BaAL ,
❑ I, as owner of the property, em exckudvely contracting vvfth AMOrxra�cTtRE c«rvwra A w Ar+w w MA EraAL�as r uo-�THAN TW-
licensed oontrectors tD the prpJ (Sectbn 7044, ePecr�oN TFE HAZIFECUe MaFxvLe ? FINAL TOTAL 105 -30
) YEB❑ No❑
1�1esa and RD(esalons Code. wf Mf�CryY/ 1 .3)
LL TFQ ®DUt'E�OF TFC DUELING BY THE APPL.II:�NlT OR RJTIIE R�Lr�le ,rfbt-r4
COCLF NT WOL E A PEF"T FOR CONeTR0C`n0N OR M00r9G41CN FR(W THE 8CLn-H
�aT AR OLL4_rrY WANA EWNT DWRICT(BCAOA"81E P8:UTTNO C1-ECKLW FOR
CONSTRUCTION LENDING AGENCY COGAEUNE% S6`� .1243
I hereby afM1Tn that there Is a conofTuodon lendhlg agency for YEa❑ No❑
n the Performance of the work for which this permft is Issued(Seo.
3097, Cfv.C.) a�Eaa aT. use KY READ THE �Dnis H=
iINDER TRWnON HE LOAN4ELE8 COUNTY cooE
Larders Berne TM-WKrEn2,Le CHAPTER
Rn2i08ECIC aevuar0ioAPtrur 2-2a 1410 CONKA3*8NG THE H"�D`S �- 1 4f /9�t
L andera ? 1 AM 8:47
o C004M on ianrr
I cer-u y I read this etste ur>� Peery P.C.FEE PEFtlff FEE
Of the above b I agree to comply
w#h coo ordrlerlcee State relatJng to butldng
end a of tt* I$SUMC:E F 1-E
t
to forC5?
c r,NESTKWK)N FEE TOESL FEE D D
3
SEE REVERSE FOR EXPLANATORY LANGUAGE
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby edftrm that I have a cerdlicate Of consent to Bail tTeare, %MDNc3 ADDRESS L i 'I-f fL
or a certtffoede of Mbrtcern' Campeneatign hs-wenoe,or a cartN3ed CITY Co 59j(�
copy thered(Sea 3800,Lab.a) t�curry. ZP
Po"Na_�oZ'7�p TcCo >y S7'!9i u� SIM of Lar Na OF BLDoa NOW ON Lor
❑ Certtw copy is hereby fu NEAREST CROSS ST.
❑ Certftied copy b tiled with the bufl&Q TAT BLOCK LOT
USE DONE AAAA NO.
DHtB-I Applbant ASSESSOR WBOOK RAGE RV�iC�1
F�'��` Z4�Q SPECIAL CCN0 MOMS
CERTFICATE OF EXEMPTION FROM WORKERS' ow�R TEL ra r
COMPENSATION INSURANCE t wm-r4 Tow FT.OF SCH00L7 YES
NO
AD
MTAs section need not be oorrpleted If the permk b for one hundred l 1 T'/L__kA.
UsTfncr oaooP coNST. FFE WrE PRocESSED By
doaam (b 100) or lase)
_4 ZIP
I certify ttiet to the performance Of the work for which thin permlt CITY
w Issued, I ahalI not enpby any lxreon In arty merrier so es to V
beoome el *c.'t to the fullers'Compenaffibn Laws, ARCHFTECT OR ENGINEER TEL Na.
8UMSTICAL CLAkSFr.A11ON APT CdNDO
Date Applic-d ADDRESS CLASS Na- - DWELL III
NOTICE TO APPIX.wT• If, after making tt-& Certificate of
Emmptlon, you Should become Subject to the Workers' C ( /� TEL No �g� yip F.hyy T�PFOP PPE ySETBACK FROM �
CArtpeneatbn provWons Of.fhe Labor Code, you must forthwith /=6A 7-e4tf / k Cir a Srr—fl FRONT
oomply with each pro�lelons or this permit shall be deemed revoked. AQDFIESS PL
LICENSED CONTRACTORS DECLARATION -O. o� S4 L uc NK). �-4 7 S[lE
I hereby affirm that I am Iloaneed �r ��k LIC CLA§� P L
(
arderprwbbne d Chapter 8 G_�• ��WPY oomrnerldrlg with Section 7000)rnfiAll
3 d the Bueineaa and ��.8>� NO.OF STORES NO.OF FAJ,<E8 a•
Profeaabne and rry I oroe andetfect NEW BK POof w aes L A�CLw£ ,L'Y✓sTi.cl G 771 LSC S ADD ❑ O o G
Date ALTER ❑
Ilk
,0L pets�/d f/fLr U
0m I aexempt under REPAIR 1:1LCL
u
BAP.C.for 0-do reason
Avg £vV (��lPas�rlo,c/ Slf L ❑ �
LDMA P/C r
Sigmbxo Dam- IJSE OF EXtSTR�(3 BLDGCc-mss, URM ❑
APPLICANT(PFN T) TEL NO. LDMA Penn I 1
❑.L-ae owner of the property, or my errpbyeee wfth wages as = t •ate-T.T
their era corrgpenNikn, will do tips work and the er-UcWre is ADDRESS il+J1.FJ 12 1.75
not h rlded or offered for sale (Section 704A, 5Uelnees and FINAL DAM
Professions Code.) 15LL THE APPLICANT OR FUTURE A■DM OCC PDXT HANDLE A HAZARDOUS WOE}iAL 1 ITEM
CJ kJ
❑ 1, aS Owner of the property, am exclusively COntracung with OR A ID(TUFE CONTAPANG A HAZARDOUS 4KrEFML EQUAL TO OR UFF-A Ea THAN THE
377 ON Tri HAZARDOUS WkrEFA-L�W0F§AQION OL�E7
Icansad aontraaore m oonetrTAci the project (section 704.4, Ah40UNT8 WECPErEe El No❑ F1iA1 BY TOTAL 121-35
BLIetrTeea err Profeeabrta Code) ANAL THE N ENCED UBE OF THE n ar.awe aY t E APPLK 4 T OR Riam BLn-Dm CIECK 11 1.35
OCCUPANT FEOIIE A PEFUT FOP CONBTRA'nON OR MOtivgcJU- N FFION THE SCUT
CONSTRUCTION LENDING AGENCY ooAr w aLWJTy uvraD&Wr DrsrRCT(9aAC&rot BIE P7 V4r NG a-EaaIST FOR �� �(�1
I hereby efNTi that there La a xcfbn lendhV agency for YES El la❑ i
Cv the periamanoe d oued the work for wh1ch this permit Ia lss (Sec. Fi�A�Ol1B
O 3097,Ctv.a) I HAVE READ�HEUDEFIB�lO wvEx.Ls IFOFiHpN OLo�AND n-E P£A�CT
p-ECXL19T.I tivo W FC-0L�lTI uND�Ji„�Los ANoaQ- 1
100 THPODUGH 2--a CONCERNING HAZARDOUS M�FUBf� 4I 7194
Lenders Name �e FEPOR AIO• OR OTINM A PERMFTHE
.
§A700 4681 1 AM 8:�'j
o auaF OR AAerT -
I read thio appl and Lader penelyP.G FEE PERMfr F�above Irdormd on I eRee b complyortLnanoee a reieting b dikingnd fort-pent tlis 4 £F?VESTx3ATTOM FEE T01AL FEE or
SEE REVERSE FOR EXPLANATORY LAWIJAOE
t + COUNTY OF IAS AN(CE FA TEMPLE CITY 0508 BUILDING PERMIT
DEPARTTOP OF PQB.LIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVEWPmEvr TENO?LE CITY CA 91780 BL 0508 0810130007
PHONE: (626) 285-0488 EMT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 146 SQ. FT STORIES TYPE 5936 CAM=SA AV
STRUCTURE: V-B TEMP CA 917802001
ASSESSOR INPOP24ATION NUM13ER: NEAR&ST CROSS STREET:
8587-020-031 THOMAS PACE: 597 GRID: Al LOCALITY: TEMPLE CITY, C
TENANT: EMIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 10/13/08 SR
01ANOieigR: TEL. NO: BLDG9. NOW ON LOT: VALOATION: F FMY: CODE:
CI-IAti 'ru (626) 236-3121- 300 11!! �/f}��y7
5936 CAMBIA'AVE. f
TEMPLE CITY CA 91780 FEES PAID DWCRIPTION OF WORK
REPLACE DRYWALL AS NFDID
FEE DESCRIPTION: QUANTITY: UCt4: AMOUNT:
APPLICANT: TEL. NO:
BOBBY TRINH (626) 625-5036- AA BLDG PERMIT ISSUANCE 27.75
1808 S. 9TH ST. ¢B AC STRONG NOTION REBID 300.00 VAL 0.50 SPECIAL CONDITIONS:
ALHAMBRA, CA 91803 D2 PERMIT W/O EN-HC 300.00 VAL 43.65
TOTAL FEES 71.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
EASTERN CONSTRUCTION, INC. (626) 625-5036-
1808 S. 9TH ST. @B LIC. NO LOCATION AND SETBACKS
ALHAMBRA, CA 91803 762877
SOILS ENGIIh;IIt APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: POUNDATION TRENCH FORMS
LIC. NO: BLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEttER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
1508269 3 00
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING OMITS: APT GOND: STAT CLASS:
NO 21 ROOF S+DBATI-IING
SCHOOL WTTBIN HAZARDOUS 9HE�aF: PANELS
AIR QUALITY: 1000 FEET MATERIALS )
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP T. WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYNALL
EXTERIOR LATH
RATED FLOOR CELL ASSRM.
RATED VULL ASSEMBT.
RATED SHAFTS OPEFR7GS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: 1390508
t CQUNPY OF IAS ANEF= TEMPLE CITY # 0508 BUIIAINJG PERMIT
DEPA.R'UQNP OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUII033.919 AND SAFETY / LAND DRVEIARRNT TEMPLE CITY CA 91780 SL 0508 0810130008
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 146 SQ. FT STORIFi9 TYPE 5936 1/2 CAMELLIA AV
STRUCTURE: V-B TBSP CA 917802001
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-020-031 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RFiSID USE ZONE: R-3 ISSUED ON: PROC SSID BY:
EXIST OCC GRP: 10/13/08 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F129L' FINAL BY: CODE:
CHAN METH (626) 236-3121- 300
5936 CTA AVE.
TEMPLE CITY CA 91780 FEES PAID D PTIOH OF WORE
REPLACE DRYWALL AS NEEDED
FEE DESCRIPTION: QUANTITY: DOH: AMOUNT:
APPLICANT: TEL. NO:
BOBBY TRINH (626) 625-5036- AA BLDG PERMIT ISSUANCE 27.75
1808 S. 9TH ST. #B AC STRONG M TION RFLSID 300.00 VAL 0.50 SPECIAL CONDITIONS:
ALHAMBRA., CA 91803 D2 PERMIT W/O EN-HC 300.00 VAL 43.65
TOTAL FEES 71.90
CONPRACOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
-,..EASTERN CONSTRUCTION, INC. (626) 625-5036-
43._8.0,�8.,m9,.,'9TH ST. #B LIC. NO LOCATION AND SETBACKS
ALHA�HA, CA 91803 762877
SOILS ENGINEER APPROVAL
CHITECP OR ENGn=: TEL. NO: FOUMaATION TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMRA3
HAP NO: SEWER MAP BOOM: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H239 3 00
FLOOR 9HEATHI27G
NO. OF FAMIIJE.S; Df{E=S ?G UKITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
ASR QUALITY: 1000 FRET MATERIALS
NO NO PO FRAME IPSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSUIJ.TION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAF'T'S OPENINGS
T-BAR CEIL13POS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: 1350508
COUNTY Off' LOS AN[7E= TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMRFT TEMPLE CITY CA 91780 BL 0508 0810130009
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 146 SQ. FT STORTR.g TYPE 5936 1/4 CAMELLIA AV
STRUCTURE: V-B TEMP CA 917802001
ASSESSOR INPORMATION NCNBER: NEAREST CROSS STREET:
8587-020-031 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
Tl2VkNT: RT7 T BLDG USE: RIZSID USE ZONE: R-3 ISSUED ON: PROCESSED BY:
RT7 T OCC GRP: 10/13/08 SR
OYER:
TEL. NO: BLDG3. NOW OF LOT: VALAATIOF: �II, MATE*� CODE
CHAN IEN�TA (626) 236-3121- 300 11\ ^/C/LjIY//-U
5936 CAMEJLT>t AVE.
TEMPLE CITY CA 91780 FEES PAID DESICRIPTION OF SARK
REPLACE DRYIOaLL AS NEEDED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
BOBBY TR= (626) 625-5036- AA BLDG PERMIT ISSUANCE 27.75
1808 S. 9T14 ST. #B AC STRONG MOTION RRSID 300.00 VAL 0.50 SPECIAL CONDITIONS:
ALHAMBRA, CA. 91803 D2 PERMIT W/O EN-HC 300.00 VAL 43.65
TOTAL FRES 71.90
CONTRACTOR: TEL. 190: APPROVALS DINE INSPECTOR SIGNATURE
EASTERN CONSTRUCTION, INC. (626) 625-5036-
, i 1808 S. 9TH ST. #B LIC. NO LOCATION AND SETBACKS
AL OBRA, CA 91803 762877
SOILS ENGR7EER APPROVAL
ARCHITECT OR E INMZ2: TIL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150FL269 3 00
� FLOOR 9FIEAT7-[I27G
NO. OF F]AMIlI-&S: DWELLING UNITS: APT/COAD: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN FAZAR.DOOS- SHEAR PANELS
AIR QUALITY: 1000 FRET DOLTRRIALS
NO 190 190 FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM PT7 T FIRE SPPTNKTFR HANGERS
SET BACK YARD: HWY: PROP T. WIDTH:
FRONT PL- INSULATION iEdTHEE STRIP T
SIDE PL-
INTERIOR LATH/DRYWALL
Er=OR LATH
RATED FLOOR CELL ASSEM.
RATED TALI ASSF24BL,IFS
RATED SHAFTS OPRNINGS
T-BAR CEILINGS
LOT tt2AINAGE
REPORT ID: DPP-261 ROUTE TO: BS0508
CO= OF LOS AN&ELFS TF30= CPPV # 0508 BULLIJING PERMIT
'
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SA= / LAND DEVELOPMENT TL.NPI.R CITY CA 91780 BL 0508 0810220011
PHONE: (626) 285-0488 EXT:
LEGAL ID: 190. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 146 90. FT STORIES TYPE 5938 CAMELLIA AV
STRUCTURE: V-B TE21M CA 917802001
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STR..EFii': TEMPLE CPPV BLVD.
8587-020-031 THGMAS PAGE: 597 GRID: A2 IAC.ALITY: TOGILE CITY, C
T22ZANT: EZL9T BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PRO(119SED BY:
EXIST OCC GRP: 10/22/08 SR
OWI9R: TEL. 190: BLDGS. NOW ON LOT: VALJ=ON: FINAL DA F Y: CODE:
CHN KENNETH (626) 236-3121- 300 �[
5936 CAMELLIA AVE. t1;� o
T 4PLE CITY CA. 91780 FEES PAID JEtCRIPTION OF WORK
REP ACE DRYWALL AS NESDED
FEE DESCRIPTION: QUANTITY: UCP4: AJ40UW:
APPLIC2M: TEL. NO:
BOBBY TRFH (626) 625-5036- AA BLDG PERMIT ISSUANCE 27.75
1808 S. 9TH ST. QB AC STRONG MOTION R&SID 300.00 VAL 0.50 SPECIAL CONDITIONS:
Ar HAMBRA, CA 91803 D2 PERMIT W/0 EN-HC 300.00 VAL 43.65
TOTAL FEES 71.90
CONTRACTOR: TEL. NO- APPROVALS DATE INSPECTOR SIGNATURE
EASTERN CONS`iRUCPION, INC. (626) 625-5036-
1808 S. 9TH ST. #B LIC. NO LOCATION AND SETBACKS
ALHAMB.RA, CA 91803 762877
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGREMZ: TEL,. NO: FOUNDATION TRENCH FORMS
LSC. NO: SIAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOL: PAGE: FIRS ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 00
FLOOR SHEAT412C
NO. OF FTMTLIFA: D$ML1T10 UNITS: APT CCN : STAT CLASS:
NO 21 ROOF 9HEATH37.4G
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS -
190 NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLE HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/S1EA71- R STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEII, ASSEM.
RATED WALL ASSR)(al T-F'S
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPP-261 ROUTE TQ: B80508
COUNTY Off' LOS AN14ELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUII,DING AND SAFETY / LAND DEVELOPI4ENT TEMPLE CITY CA 91780 BL 0508 0810220013
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 146 SQ. FT STORIES TYPE 5938 1/2 CAMELLIA AV
STRUCTURE: V-B TEMP CA 917802001
ASSESSOR INFORMATION NUMBER: NEAREST CS2089 STREET: Tn4PTE CITY BLVD.
8587-020-031 THD61,S PAGE: 597 ARID: A2 LOCAL=: TEMPLE CITY, C
TT20LNT: E7M BLaG USE: R-&SID USE ZONE: R-3 ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 10/22/08 9R
OWNER: TEL. NO: BLDGS. NOW ON LAT: VAL=ON: F CODE:
CHAN Kfi2UAE'TH (626) 236-3121- 300 n 5936 CAA AVE.
T&.HRLR CITY CA 91780 FEE-9 PAID D PTION OF WORK
REPLACE DRYWALL AS NEEDED
FEE DESCRIFIZON: Qc[ANTITY: UOM: ANDUNT:
APPLICANT: TEL. 190:
BOBBY TRINH (626) 625-5036- AA BLDG PERMIT ISSUANCE 27.75
1808 S. 9TH ST. #B AC STRONG MOTION RE9ID 300.00 VAL 0.50 SPECIAL CONDITIONS:
ALHAMBRA, CA 91803 D2 PERMIT W/O EN-HC 300.00 VAL 43.65
TOTAL FEFB 71.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
EASTERN CONSTRUCTION, INC. (626) 625-5036-
1808 S. 9TH ST. #B LIC. NO LOCATION AND SETBACKS
ALHAMBRA, CA 91803 762877
SOIIS RMINEM APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS
LSC. NO: SLAB FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: QST: UNDERFLOOR IDL4ULATION
150H269 3 00
FLOOR SHEATHING
NO. OF FAlm J-&S: DWELLLILIG UNITS: APT CON D: STAT CLASS:
:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHRAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME IRSPECTION
REQUIRED TOTAL SETBACK FROM =ST FIRE SPRZN= HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
rrarrrcrOR LATH/DRYMALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSMS T,
RATED SHAFTS OPENINGS
T-BAR CEIIJMS
LAT 177ALINAGE
REPORT ID: DPR.261 ROUTE TO: B80508
COUNTY OF LOS AN6EL,F�9 TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TO AS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEN= CITY CA 91780 BL 0508 0810220015
PRONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 146 SQ. FT STORLES TYPE 5938 1/4 CAKKLLIA AV
STRUCTURE: V-B TEMP CA 917802001
ASSESSOR INFOR..)9=0N NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8587-020-031 THIDM S PAGE: 597 GRID: A2 LOCALITY: TE24PT•E CITY, C
TEIU.NT: El= BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY:
EZIST OCC GRP: 10/22/08 SR
OlQE3R: TEL. NO: BLDGS. NOW ON LAT: VALUATION: FILL CODE:
CHAN 112u H (626) 236-3121- 300 11 r'
5936 CAI� 1
A AVE.
TEXPLE CITY CA 91780 FEES PAID D PTION OF WORK
REPLACE DRYWALL AS NEED
FEE DESCRIPTION: QDANTIT'Y: UON: AMOUNT:
APPLICANT: TSL. NO:
BOBBY Tl;= (626) 625-5036- AA BLDG PERMIT ISSUANCE 27.75
1808 S. 9TH ST. /B AC STRONG MOTION REBID 300.00 VAL 0.50 SPECIAL CONDITIONS:
ALHAMBRA, CA 91803 D2 PERMIT W/O EN-HC 300.00 VAL 43.65
TOTAL FEES 71.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 9IGNA270RE
EASTERN COA.4TRU=ON, INC. (626) 625-5036-
1808 S. 9TH ST. MB LIC. NO LOCATION AND SETBACKS
ALHAMBRA, CA 91803 762877
SOILS ENGIWEER APPROVAL
ARCHITECT OR E WEIR: TEL. NO: FOQNBATION/TRENCH FORMS
r LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR DESULAION
1508269 3 00
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UN=: APT/COAD: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL Wl-= HAZARDOUS SHEAR PANELS
AIR QCAL.ITY: 1000 FEET Ml TTRIA S
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EYIHT FIRE SPRINIZ ER HANGERS
SET BACK YARD: HWY: PROP LINE: Wl=
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
UrrERIOR LATH/Un-WALL
T
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBL,IfiB
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT P-XINAaR
REPORT ID: DPR261 ROUTE TO: B80508