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A LIGATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS �/ Q
BUILDING �.
A DD 3 LOCALITY
-
CITY L Z P N EA REST CROSS ST.
.OF RUDGL ASSESSOR
SIZE OF LOT NOW ON LOT BOOK P E PARCH
DISTRICT I GROUP I TYPE FIREROC ED BY
TRACT I BI-CgLOT NO. 0 ^ OONSTt � E
OWN d a.1� `/
ATLSTICAL CXJ E P'
'ADDR2,1A CLASS NO. DWELL UNITS BK
7
CITY ZIP
AROINEEECT OR TEL VALUATION
ENGINEER NO. 'ablr A`
ADDRESS M
TEL- FRONT PROP.UNE OF (STREET)
CONTRACTOR NO. TOTAL SETBACK FROM TYPE OF EXISTING
UC HIGHWAY + YARD FRONT PROP.LINE HIGHWAY] WIDTH
ADDRESS NO.
tic + .
aTY CASs
CONSTRUCTION LENDER BLDG.SETBACK FROM .
NAME AND BRANCH SIDE PROP.LINE OF (STREET(
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT /„ [NO.OF NO.OF m CHECK +
SJZE b� STORIES FAMIUEES�/ _ ONE
DESCRIPTION OF�WORK � 01..05 NEW P..0 Fee$ Permit Fee l T
C-)O}+ PO-i–T ADD
luuance Fee
Q ALTER
REPAIR Total Fee
USE OF ^ / DEMOL
IXfSTING�BLD(G�,APi' ,,�1/.T/'rCANT �f[1�L
(PRINI�.ITry PY GL N01d /-, F
r
BY(SIGNATURE) I
I HERE35Y THAT I VE READ THIS APPLICA AN STATE
THAT THE AN IS AND AGREE TO COMPLY WITH ALINjagPITtANCES
AND LAWS REGU A eULDWG COfSTRll(TION,I CERTIFY THAT IN DOING THE
WORK AUTH(MZED HEREDY I WILL NOT EAST ANY PERSON IN VIOLATION OF
THE LABOR COOS A THE STATE OF C!JJ FORK lA N RELATING TO WORICMBJ'S OOM4
PENSATKxJ INSIJRAAII($ 1M,1•'h`/i
SIGNATURE OF
PERMITTEE ir;f 5 0
ADDRESS d a
TEL.
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USE ZONE M¢AP
NO—
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SPECIAL
FINAL CONDITONS
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76AE20A CE#S07e-EIAPPLICATION FOR BUILDING PERMIT .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDS
BUILDING AND SAFETY DIVISION LOCALmr
.JOHN A. LAMBIE, COUNTY EN41Nme NEAREST
VWl 1 u or Nui LDiNa Ctto"ST. �l -
DISTRICT N GROUP I TYPE ED BY
FOR APPLICANT,TO FILL IN le CONs1.
BUILDING A ISTICAL CLASSIFICATION
ADDRE" C�`�� ��� �
CLASS.NO_'7S�L_DWELL UN "
LOT NO. BLOC.`K WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT - MAP HIGHWAY
NO.OF■LDOa.
NO. ccIRCL.a> STATE MAJOR RECON LOCAL
SIZE OF L NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
IX I a BLDG
BUILDING YARD HWY STRH[T NAME IXIST.
SETBACK WIDTH
ADDR FRONT
ARCHITECT OR IF TEL P. L.
ENGINEER NO. SIDE O
ADDRESS INSPECTION RECORD
CO O
ADDR
DFSCBIPTION OF WORK
1-1 EW AD12 ALTER REPAIR DEMOLISH
Lagerrf. NO.OF NO.OF
IZE STORIES
USE OF
STR U CT
SIGNATURE OF -
APPLICANT
y VALUATION S
APPROVALS ' 'T DAT IIIkPECTOk' SIGNATURE
P.0 ~ PMT FOUNDATION:LOGATION `;. I `, / y_•
FEE � FEE FO
�
RMS YAFERIALd
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THEADOVE 19 CORRECT AND AGREE TO COMPLY FURNAL
CE: OCATION;
WITH ALL COUNTY ORDINANCES AND STATS 1. R.ULATINO GAB VE T
DUC
BUILDING CONSTRUCTION. I C[RTIFY THAT IN DOING THE WORK
AUTHOR IZED HEREBY I WILL NOT]EMPLOY ANY PERSON IN VIOLA- LWH,
INT.
TION OF THIS LABOR CODE OF.TH]E STATE OF CALIFORNIA RXLAT-
ING TO WORKMEN'S COWPENSATION SURANCE. EXT.
SIGNATURE"PF SENUMBKR COR-PERM IT'TE _ Z CT AND rOaTADDRES •1 J �� r ti,
CLYDE N. DALAM, PRINCIPAL ENGINXVt
PLAN CE= VALIDATION m mo. cASH PERMIT VALIDATION o Y.O, aAISa
9 8 2 42 PIAR
1 D 5.0 0
�,• WORKERS' COMPENSATION.DECLARATION
APPLICATION FOR ILDING PERMIT
I hereby affirm that I have a certificate'of consent to self
,Insure, or b certificate of Workers'Compen;flon Insurance;or
a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGEL BUILDING AND SAFETY
Policy No. Company minim
ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN A
Certified
f—F Certified copy Is filed with the county building Inspec- BUILDING
LJ Ilan department. ADDRESS - `r` LOCAUrY
NEAREST
Date Applicant CITY + TIP, J CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' V J NO. OF BLS- ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed If the permit Is for one USE ZOt4E g0
hundred dollars ($100)or leu:) TAT BLOCK LOT NO. A NO. }
TE1_ -i_ /✓� SPECIAL. a
I certify that In the performance of the work for which this OYVNER D[STRICi GRN TYPE FI BY 0
permR Is Issued, I shall not employ any person In any manner
I
so as to become subject to the Workaws. �� � CONST.
Dat
`. CITY ZIP G
e pllpant 7pa � '�� STATISTICAL OR TEL STATISTL IFtCAT10N AFT. CONDO.
NO CE TO APPLICANT: If, afte making this Certificate of ENGIrEER NO ty
Exemptlon, you should became subject to the Workers' CLASS NO. DWELL UNITS N
Compensatlon provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be
deemed revoked. CONTRACT NCO VALIDATION
LICENSED CON-ERACTORS DECLARATION. uC
I hereby affirm that I am licensed under provisionsof Chapter 9 ADDRESS VALUATION
(commencing with Section 7000)of Division 3 of the Business aro LIC.
Professions Code, and my license is In full foice and effect. 1 BASS $
SQ. NO. OF NO. OF CHECK
Llcense�lumber Llc.CI SIZE STORIES FAMIUES ONE
Confractorl7• / _ DESCRIPTION OF WORK NEW s
+1btY�C /rnll S Date
I am exempt from the licensing requirements as I am a i h ADD
licensed architect or a registered profeulonal engineer ALTER FINAL
acting In my professional capacity (Section 7051, DATE /J- -7'
Business and Professions Code). RFPA I R
USE OF
D(LSTING BLDG. pFNyOL FINAL
Lic.or Reg. No. G
Date APPDAAT TEL By V -
OWNER-BUILDER-DECLARATION PRINT NO.
I hereby affirm that f am exempt from the Contractor's License � �
Law for the following reason (Section 7031.5, Business and" ADDRESS
Professions Code):
BUILDING
1,I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure Is not Intended or offered for sale(Section Llnvm4gatlon
Y 225-S 3 R
7044, Business and �rofeulons Code). G TEL
❑ I, as owner of the property, am excluslyely contracting CTOR NO. # 0 0 0:0 0
1 ,
with licensed conimctors to construct the project (Sec- S y�
tion 7044, Busyness and Prbfesslons Code). 2'- 0 7 7,0 0
IRED TOTAL SETBACK FROM DIST.
CONSTRUCTION LENDING AGENCY CK YARD FI�VY PROP. UNE WIDTH 0'0.'o 9.7 Q
I hereby afflrm that there Is a construction lending agency for T
06
the performance of the work for which this permit Is Issued O 1� 0 7-8 2
(SeG. 3097, Civ. C.). ,
Lender's Name
f Perm t Faye i
Lender's Address
I certify that I have read this application and state that the Issuance Foe
above Informatl0n Is correct. I agree to comply with all bounty atlon Fe•
ordinances and State laws relating to building construction, Total Fee
and hereorize ntativea of this County to enter
upon t abo n property for Inspection purposes.
SEE REVOM I'OR£XPLANATORY LANGUAGE
^ Signature of Applicant or Agent ��
COUNTY OF L0S ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DIPARTIO T OP PUBLIC WORS 9701 LAB TURAS ALTZRATION/REPAIR
BUII.DL]PG AND 8A1tPT / LAm DEVNL.OPMENT TEMPLE CITY CA 91780 BL 0508 0602060049
PHONY. (676) 185-0488 ZIT:
LEGAr. ID: NO. Or CONEtT BUILDING ADDRX.SS.
TR. 6561 LT. 154 UN: .007 SQ. rT STORIES TYPE 6036 C&MZI.LI.A AV
STRUCPURN. 1000 VN TEMP CA 917602007
A88Z8SOR INTORMATIOW ITOIBIR. NEAREST CROSS STRINTi
5385-018-077 THOMAS PAGE. 597 QYID. A.2 LOCALITY. TEMPLE CITY, C
TZWANT. EXIST BLDG UHE. REBID USE ZONE. R-7 ISSU® ON. PROCZSM BY. KKP IY28 ON.
EAST OCC GRP: 07/06/06 JMc 07/01/07
oWNZR. TEL. NO. BIMOS. NOW ON LOT. VALUWICW, FINAL BY. CODE:
BALAM, ILLY 7,000
��m
6036 CANKLLTA AV 4 /1
TEMP 917807007 FEES PAID DES" PTICf9 Or WORK
TZAR OFF AND #30LB FELT TILE (LIGET WRIGHT) WkWIZ LITE #787
FZZ DESCRIPTION. QU7JWTTITT. UOM: AMOUNT. MALIBU ICBO #4660
APPLICANT: TEL. NO.
CHUNG (713) 500-7956- AA BLDG P13MMIT ISSUANCE 77.75
6140 CAMAILLI.A AVE AC STRONG MOTION REBID 7000.00 VAL 0.70 SPZCTIT, CO DITIONS:
TEMPLE CITY 0 91780 D7 P W/O Ef-HC 7000.00 VXL 166.70
TOTAL FEES 194.65
CONTRACTOR: TEL. NO: APPROVALS DAT➢ INSPZCTOR SIGX&TURN
PROTNI COWSTRUCTION CO. (713) 500-7956-
6140 CAMBIA AVE LIC. NO LOCATION AND SZTBAC S
TEMPLE CITY, CA 91780 B/L 30568 +
SOILS ENGINEER APPROVAL
AR TEUrZ T OR ENGITEIR: TEL. NO: FOIDIDATION TRZWCH FORttB
LIC. NO. SLAB UNDZR FLOOR
RAISED FLOOR FRAMING
MAP NO. SZWER MAP BOOL. PAGE: FIRE ZONE, CMP. UNDERYLOOR INSULATION
15OH769 3 01
FLOOR SWATHING
NO. Or FAM.ILINS: DWELLING UNSTB. APT COm. STAT CLABB.
NO 71 ROOF RR12XTBgG
SCHOOL WITHIN E[XZAR OU8 SamR PANELS
AIR QUALITY. 1000 rEZT NXTIERTATS
NO NO NO FRAME INBPBCTIOMM
YZQUIRID TOTAI, SZTBACI FR.CK =SFT FIRE SPR13FKLZR HANGERS
SET BACL TAYD. HWY: PROP LINE. WIDTH.
FRONT PL- INSULATION WZATHRR STRIP
SIDE PL-
INTIIRIOR LATH DRYWALL
IIXTERTOR LATH
RATm FLOOR CEIL ABBEM.
RATED WALL ASSEBLIES
RATED SHAFSB OPZNI7G8
T-BAY CEILINGS
+ ADDITIONAL DATA CH FILE
LOT DRA.IINAGZ
RIPORT ID. DPR761 ROUTE TO. BS0508
' COUNTY OF LOB ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DZPARTM[WT OF PUBLIC WORKS 9701 LAB TSS ALTERATION/REPAIR
BUII,DI=G AND SAY= / LAND DXVRLOPIaaT TEMPLE CITY CA 917RO BL 050E 0603060004
PHONZi (676) 285-0488 ETT:
L2GAL IDS NO. OF CONST BUILDING ADD3LWS:
TRS 6561 LTA 154 UN: .007 SQ. FT STORIZB TYPE 6036 CAMELLIA AV
STRUCTURE. VN TZ{P CA 917807007
ABSESSOR INFORMATION NUM®ZR: iLLRJLGr
CY088 STREET.
5305-018-077
T80iOAB P)10Zi 597 QAIDi A] LOCALIT7. TEMPLE CS T7, C
T'XJaXT: NZIST BLDG USN: REBID USE ZONZ: R-7 ISSUED Owl PROCESSED BYt ZXPIYNB ON:
ZXIST OCC GRP: 03/06/06 JK 03/01/07
OZNER.. TEL. =O, BLDGS. NOW ON LOT: VALIDATION: FINAL DATE FIaL BY: CODE:
SALAM, ELLY (676) 614-5904- 3,500 X77
6036 CAMELLIA AV `0,6 --
TEMP 917807007 FZZS PAID DESCRIPTION OF WORK
STUCCO NHTIR3 HOUSE
FEE DZSCRIPTIOiX. QUANTITY: VOK. AMOUNT:
APPLICZ Tl TEL. NO:
SAME AS OWIZR - AA BLDG PERMIT ISSUANCE 77.75
AC STRONG MOTION RNSID 3500.00 VAL 0.50 SPECIAL M ITIONS:
D7 PER W/O ZV-HC 3500.00 VAL 115.80
TOTAL FEES 144.05
C0M7TRACTOR. TEL. SOS APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO LOCATION AMID OUTBACI S
SOILS ZNGnrKZR APPROVAL
ARCHITECT OR ZNGItIYY: TEL. 10. FOUKDATION TRENCH FORMS
LIC. NOi SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: BNWZR MAD BOOKi PAG➢: FIRE ZON"EI CHP: UNDERFLOOR INSULATION -
150H169 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UXITS: APT CONDI STAT CIA 6-7
NO 71 POOP SHEATHING
SCHOOL WITHIN HXXJLRDOUS SHEAR PANELS
AIR QUALITY: 1000 YKET MATZRIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRT>I[I" FMNN13RRB
BET HACK Y71YD t HW7 t PROP L INE. WID`PH
FRONT PL- INSULATION WEATEXR BTRIP
BIDE PL-
1BTERIOR LATH D"RSWALL
EXTERIOR LATH S�J�
RATED FLOOR CEIL ASSXM. V
RATED WALL ABSw[BLIZB
RATED SHAFTS OPMnXGS
T-BAY CEILINGS
LOT DRLI3 LGE
REPORT IDi DPR261 ROUTE TO. 880500
L