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HomeMy Public PortalAbout5918 CLOVERLY AVE_Building__ A ROAD DE`F P,"l," T IS REOUIRED FOR ANY A'-,`R!}- �1 = OR WORK DONE IN THE ROA, I",,;IIF OF WAY. _ 76AS38A CE#0098159 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING (� DEPARTMENT OF COUNTY ENGINEER ADDRESS c a , ✓c?r+ BUMDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE _ PROCESSED BY 3k F FOR APPLICANT TO FILL IN 3`'' ;tl�'v2 corisT - (.� BUILDING STATISTICAL CLASSIFICATION SEWER MAP, ADDRESS -eI CLASS NO DWELL UNITS"-' BK J FG� LOT NO / BLOCK MAP �p STATE-V YES NO // NUMBER .r i G/. HWY TRACT 561 USE ZONE SPECIAL > - _ ' C NO OF BLOGS CONDITIONS SIZE OF LOT l © ✓ I NOW ON LOT USE OF r z EXISTING BLDG �cS /G -- �'` BUILDING XIST SETBACK YARD HWY TREET NAME WIDTH r OWNER ✓C i s - C� SS FRONT ' MAIL tt , L ADDRESS 5-12117f - SIDE ' TEL P L CITY NO ' - INSPECTION RECORD ARCHITECT OR - TEL ENGINEER NO ADDRESS n TEL CONTRACTOR 0,,) ,Il NO > ADDRESS DESCRIPTION OF WORK NEW ADD ALTER> REPAIR DEMOLISH ' SQ FT NO OF NO OF r SIZE STORIES FAMILIES _ USE OF STRUCTURE SIGNATURE OF APPLICANT ` ' FOUNDATION ALS DATE INSPECTOR S SIGNATURE ADDRESS .�L- ��-L+ .(�G..��C .- ' FORMS MATERIALS VALUATION $ G'J FRAME FIRE STOPS BRACING BOLTS PC PMT C�G' FURNACE LOCATION ` FEE $< FEE $ GAS VENT DUCTS _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PL P- LATH INT T PLICATION AND STATE THAT THE ABOVE IS CORRECT AIJD ' AGREE TO COMPLY WJTH ALL COUNTY.ORDINANCES ND ' STATE LAWS REG /TING BUILDI —C NS$yRUC 1 N LATH EXT > t SIGNATURE OFOUSE NUMBER COR- - PERMITTE ! -� L 1 / RECT AND POSTED ADDRESS / �, /oo `FINAL - ;727) 6 O cTU.i-- -- CLYDE N DIRLAM, PRINCIPAL ST T M o ENG CASH PLAN CHECK VALIDATION CK IN o cases cK PERMIT VALIDATION f L.�ao 1 i 1 L% 5' 1 A 3 s R f - 4 -• �ll�e'o�l�t��i�V .S' ITMENT OF BUt6mr. AND SAFETY APPLICATION FOR-PERMIT COUN9M OF LOS ANGELES ta , WM. J. FOX. CHIEF ENGINEER � � 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT NO BUILDING 1J �LI "F�Aw _ a 11 ADDRESS .� °' � � � / -7 LOCALITY r6 I')°'{ o I,:. ( RECEIVED BY _ � DAT(FJ�OF/AP L t,/` �D/ATE17-S I�HSU(E�D CROSBB T Y9 1 Gl J 0 BUILDI f ADDREISS OiNG ��l� !� OWNER !}dam�1J) l� A-� 1 a A 11 MAIL ADDRBS (1 /"b �(14 LOCALITY I CITY 1ti /. C «! NNEAREST EL CROSS ST y FIRE NO OF TYP FG OU q ARCHITECT OR�� J�+ TEL ZONE PLANS G• ENGINEER / ( W($ a`)7< ANO / - BLDG ORD NO /► A ADDRESH/«�& �.ffd �1x sJ' � /� kl'�PIC SETBACK LINE I \ APPROVED ; t� BY DATE CONTRACTOR (,e� Jam[ . NO 7 USE p APPROVED ADDRESS ZONE BY _21DATE �Q DESCRIPTION LOT NO.q CORRECTIONS • I BLOCK - 4 TRACT � NO OFBLDGSn�� SIZE OO F LT '4 /' NOW ON LOT 9 USE OF NO OF NO OF EXISTING BL G �_ FAMILIH9 ROOMS DESCRIPTION OF WORK I NEW lK ALTERATION ADDITION _ O REPAIR MOVING O �f DEMOLISH 'yJA^ S ZE ROOMS } STORIES / f W I r WALL py (��y ROOF ^^ COVERING/�„ b� �( l�'�JFt, OVERING`QIWIX A A q USE OF NE A y _ �1 BUILDING W f9/ c`i V, 4 L.r i+sr•)ill f d V L f),S-r 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, ' SIGNATURE 0 � �' '`�� BRACING,BOLTS PERMITTE f_ d ! LATH, INT (( AUTHORIZED AG It, LATH, EXT ll 76A63BA-3 7-49 P C PLASTER,INT fI SO FEE i1 h PLASTER,EXT $ VALUATION FINAL FEE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI BUILDING ADDRESS ��/��/ d• Ci I hereby affirm that I have a certificate of.consent to self insure, p Cs�r o- �GL'L�c' l �L - or a certificate of Workers'Compensation Insurance,or a certified ZI COPY thereof(Sec.3800,Lab.C.) QIIXC. a 0 LOCALITY,-- Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT P/_ ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NOn USE ZONE MAP NO. department. ASSESSQR MAP BOO PAGEn Date Applicant r ,per SPECIAL CERTIFICATE OF EXEMPTION FROM WORKERS' o l G'irJ� SSS�At, WITHIN taoo Fr OF SCHOOL? Yes No COMPENSATION INSURANCE ADDRESS _ � (This section need not be completed if the permit is for one hundred Ify �S a YDISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY Z `/ I certify that in the performance of the work for which this permit ��� /1— , Y is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. �� DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTO TEL.NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL CD v I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP SO.FT.SIZE NO.OF STORES NO.OF FAMILIES (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG 01 Professions Code,and my license is in full force and effect. r, DESCRIPTION OF WpRK ADD ❑ VALUATION W License Number Lia Class 5 ,C M co Contractor Date e �• ALTER ❑ z c7 LG a . c�R! �/� �a`� REPAIR C3 $ ❑ I am exempt under Sec. , B.&P.C.for this reason �JO 1'L�� DEMOL ❑ LDMA P/C# t Data: USE91`EXISTING BLDG.- URM El IL Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# :.i.; r Ir ❑ I, as owner of the property, or my employees with wages asO ``€'! -18 751 their sole compensation, will do the work and the structure is ADDRESS _ not intended or offered for sale (Section 7044, Business and FINAL DATE 3- ll -�( p Professions Code.) OR ATHE MIXTUREC ON AI FUTURE BUILDING OCCUPANTHANDLE EQUAL TO O HAZARDOUSMATERIALTHAN J 1 I T SIL 523 ® d 5 ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ` Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > i.F,i•' i licensed contractors to construct the project.(Section 7044, YES ElNO❑ '` '`1``'1 Business and Professions Code.) 1 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING €",-Ir�.�NGE a JIJ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ ;1 . 1,�a W*;,; a r_ the performance of the work for which this permit is issued(Sec. ._)s 13 s !s 1_ j 1:' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 0. n s 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES £.+'J '! All 9!-17 m. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING "'+•=i'= o Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address OWNER oRAGENT o I certify that I have read this application and state that the above FEE PERMIT FEE information is correct. I agree to comply with all county P.C. S-/s- ordinances and State laws relating to b it ing construction,and hereby authorize r resent Ives of ounty to enter upon ISSUANCE FEE the v enti ed ro r' on purposes. 01-1 INVESTIGATION FEE TOTAL FEE siC-r wroo 6n;w Apem DM SEE REVERSE FOR EXPLANATORY LANGUAGE • APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLIC'A'NT TO FILL IN BUILDING ADDR ss I hereby affirm that I have a certificate of consent to self insure, eu� IgIE$S•` C 1 �/ or a certificate of Workers' Compensation Insurance,or a certified tY� ��,,JJ C✓ copy thereof(Sec.3800, Lab. C.) CITY •���/ / i-�'+) ZIP /')?U LOCALITY Policy No. Company SIZE OF LOT C `' ) NO.OF fLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS D_ Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' ow R r TEL NO. S Qd COMPENSATION INSURANCE ��SSSggg L G/ A-`0-1J Asea Vo $ '�>�� WITHIN 1000 FT.OF SCHOOL? ves No (This section need not be completed if the permit is for one hundred A05` �p' . 1` U /'� DISTRICT GROUP TY CDNST. IRE ZONE PROCESSED BY dollars ($100) or less.) +� I certify that in the performance of the work for which this permit CIT� ZIP L is issued, I shall not employ any person in any manner so as to ARCHITECT EN EE OR R TEL NO. O .J become subject to the Workers'Compensation Laws. 0 1 STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR „^ TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 0 /.`del U` FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. �/ NEW ❑ BK PG , a License Number Lic.Class DESCRIPTION ORK ^ . ADD X $LUATION 0 c� Contractor Date � ALTER ❑ C611e S 1 El W11 REPAIR ElI am exempt under Sec. $ V BAP-C.for this reason DEMOL ❑ LDMA P/C# _ W Date: USE of E�xl`sT�N4G sL[�. n URM ❑ =' co Signature APPLICANT(PRINT) r�C TEL NO. LDMA Perm# r:[.F g Z— ❑ I, as owner of the property, or my employees with wages as Z - their sole compensation, will do the work and the structure is ADDRESS O _s1.l,31J not intended or offered for sale (Section 7044, Business and FINAL TI Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ' f' A P Y. Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 1 'r' licensed contractors to construct the project (Section 7044, YES[INo ElBusiness and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING'BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. 'i("I-�J•=5 pp I hereby affirm that there is a construction lending agency for YES El No Elt L g 5 F a 5� a the performance of the work for which this permit is issued(Sec. i_' tE_�-11 C 01-1"s � I HAVE READ THE HAZARDOUS MATERIALS IN GUIDE AND THE SCAQMD PERMITTING 'p`ii: .,,�,,o, ,_ 3097,Civ.C.) CHECKLIST:I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ _'. TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUSF{, } — 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. (-F i�7+t;7w �?i i o Lender's Address O OWNER OR AGENT i. o I certify that I have read this application and state under penalty _ f'1 it€�i-�11,�I!i i I_,.: .���1is, O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE ^ • '\^ o with all county ordinances and State laws relating to building o L vv 71 o -qc m construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon 11e bove-menty for inspection purposes. �� CO �(f 7' -4 INVESTIGATION FEE TOTAL FEE r �Sgna _QpypF ra'ooApem r-_ •B�j� Date �Q SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION Iherebynsure, oraafcertif cafirm tharte of Worke s' Compensatioa certificate of n ent to Insuran eself APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) �7 Jl COUNTY OF LOS ANGELES BUILDING AND SAFETY R Policy No. Company 6UQuG /imr ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING ADDRESS �y/F CGo V tf?2( ( do/n dep rtment. Date � zy �s_ Applicant i6 CITY Z PCS 12/r ZIP q 172® LOCALITY W. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO, MAP BOOK PAGE PARCEL / TEL. USE ZQNE MAP I certify that in the performance of the work for which this OWNER r /1 /J Af r; LG O. lr//J1 NO. permit is issued, I shall not employ any person in any manner ADDRESS c] el- ,i / 6f U— ' 4 V / SPECIAL t so as to become subject to the Workers'Compensation Laws. �j p CONDITIONS 0. CITY (��t/ L t' v/�� ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of NO DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER - CONST ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be c TEL. STATISTICAL CLASSIFICATION APT. NDO. N deemed revoked. CONTRACTOR IAP ��i�t,�s NO. 9?5-73,1 r� LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS v/�7 L%'' 'U S 7- NO. 4� (commencing with Section 7000)of Division 3 of the Business and LIC/JL� LJ 3y SEWER MAP Professions Code, and my license is in full force and effect. CITY OCJi.r! Q-.- CLASS 7 BK PG. VALIDATION C� �s �3� SQ. FT. NO. OF NO. OF CHECK License Number "i �✓Z v Lic.Class C� SIZE STORIES FAMILIES �' ONE r / ❑ VALUATION Contractor�T�/`.s �1�'r Dare �� DESCRIPTION OO,,F,,WORK�7 L NEW $ " 71 d Gt ❑ /CGS/wUl� f�U!/_�I M 9 ADD ❑ , I am exempt under Sec. ❑ n /� ALTER B.BP.C. for this reason _ �1�5s �d &,Wp©s/r70'y ✓ REPAIR $ D T USE OF ❑ EXISTING BLDG. G�7A1 <V/V � DEMOL Signature APP(PANTT J/Yt ����'s NO. ?� 73J FINAL �� 7 �Q '20024A OWNER-BUILDER DECLARATION �/ DATE /� (� I hereby affirm that I am exempt from the Contractor's License ADDRESS J/ y7 ���s� FA tVy� AA FI Law for the following reason (Section 7031.5, Business and # °r° ° °11 Professions Code): PRESENTB ❑ BUILDING .° 1 6.2 3 8 I, as owner of the_property, or my employees with ADDRESS wages as their sole compensation,will do the work and .". 1 623 8 5 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0'6 2 9 8 8 with licensed contractors to construct the project(Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.pCK LINE WIDTH 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 Lender's Name /l/ D N e P.L. LDMA Ref. If P.C. Fee$ Permit Fee t Lender's Address 3 loll- I certify that I have read this plication and state that the Issuance Fee 1 �/ LDMA P/C# above information is correct. I gree to comply with all County Investigation Fee Q 0 ordinances and State laws elating to building construction, Total Fee U LDMA Perm. # R and hereby authorize rep sentatives of this County to enter m ' upon the above-men tio ed property for inspection purposes. m cu a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date 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 0305080014 PHONE: (626) 285-0488 EXT: c, LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 SQ. FT STORIES TYPE 5918 CLOVERLY AV STRUCTURE. VN TEMP CA 917802018 ASSESSOR FKFORMATION NUMBER• NEAREST CROSS STREET: LAS TUNAS 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: EXPIRES ON: AMIDA SOCIETY EXIST OCC GRP: 05/08/03 JK 05/02/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION- FINAL DATE FINAL BY: CODE: AMITABHA PURELAND, INC (626) 282-3700- 10,625 i ~ 5918 CLOVERLY AV TEMPLE CITY 91780 FEES PAID DEWRIOPTION01—WORK REPLACE 34 WINDOWS, SAME SIZE, SAME LOCATIONS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER (626) 446-1228- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 10625.00 VAL 1.06 SPECIAL CONDITIONS: BEN-TAI CHEN D2 PERMIT W/O EN-HC 10625.00 VAL 233.40 TOTAL FEES 262.21 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 04 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL INTEP.IOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUIiDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0504200050 PHONE: (626) 285-0488 EXT: L GA D: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 SC. FT STORIES TYPE 5918 CLOVERLY AV STRUCTURE: VNTEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS-STREET: 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIS BLDG USE: COMME USE ZONE: RI ISSUED 0 PROCESSED B IRE ON: EXIST OCC GRP: 04/20/05 .JK 04/15/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHEN, JASON (626) 282-3700- 14,410 430 S. GARFIELD AVE ALHAMBRA FEES PAID DESCRIPTION OF WORK REPLACE 33 WINDOWS RETROFIT WITH UC GRIDS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: EL. NO P.C. CONSTRUCTION (562) 802-3016- AA BLDG PERMIT ISSUANCE 27.75 17125 ANTONIO AVE AC STRONG MOTION RESID 14410.00 VAL 1.44 SPECIAL CONDITIONS: CERRITOS, CA 90703 D2 PERMIT W/O EN-HC 14410.00 VAL 300.60 TOTAL FEES 329.79 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE P.C. CONSTRUCTION (562) 802-3016- 17125 ANTONIO AVE LIC. NO LOCATION N SETS C S CERRITOS, CA 90703 740021 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0 NDA ON/TRE CH OR S LIC. NO: SLAB/UNDER FLOOR RAISED_-FLOOR FRAMING AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 0. Of ILIES: DWELLING UNITS: P /CO D: STAT LASS: FLOOR SHEATHING NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS S AR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION EQUIRED TOTAL ACK FROM EXIST FIRE SPR N L R A GER SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER ST IP SIDE PI- ER OR LAT RYWA EXTERIOR LATH RATED FLOOR/C I ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILING LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 1002040010 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 293 BL: .001 1 SQ. FT STORIES TYPE 5918 CLOVERLY AV J 1 )STRUCTURE: V-B TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DR. 18587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY (TENANT: 1EXIST BLDG USE: COMME USE ZONE: C-2 JISSUED ON: PROCESSED BY: JAMIDA SOCIETY 1EXIST OCC GRP: 02/1.0/10 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: JFIIIAL DATE FIN CODE: JAMITABHA PURELAND, INC. (626) 382-3700- 750 1430 S. GARFIELD AVE. JALHAMBRA CA 91801 J FEES PAID 1DE RIPT ON OF WORK J J J )REVISE ADA RAMP J J )FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ) J JAPPLICANT: TEL. NO: J 1 J JAMIDA SOCIETY (626) 286-5700- JD1 PLANCHECK W/O EN-HC 750.00 VAL 82.11 1 15918 CLOVERLY AVE. JAA BLDG PERMIT ISSUANCE 27.75 )SPECIAL CONDITIONS: 1 1TEMPLE CITY CA 91780 JAB STATE GREEN BLDG FEE 750.00 VAL 1.00 J 1 1 JD2 PERMIT W/O EN-HC 750.00 VAL 65.40 J 1 J J TOTAL FEES 176.26 J J )CONTRACTOR: TEL. NO: J JAPPROVALS DATE INSPECTOR SIGNATURE J JAMIDA SOCIETY (626) 286-5700- J 1 1 15918 CLOVERLY AVENUE LIC. NO J )LOCATION AND SETBACKS I I I )TEMPLE CITY, CA 91780 NONE J 1 1 1 J )SOILS ENGINEER APPROVAL J 1 JARCHITECT OR ENGINEER: TEL. NO: 1 )FOUNDATION/TRENCH FORMS I J I 1 LIC. NO: 1 )SLAB/UNDER FLOOR 1 1 I 1 1 JRAISED FLOOR FRAMING 1 1 1 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 JUNDERFLOOR INSULATION 1 1 1150H265 3 001 1 11 1 1 1 1FLOOR SHEATHING J 1 1 JNO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 1 NO 22 1 1ROOF SHEATHING 1 J 1 J SCHOOL WITHIN HAZARDOUS J )SHEAR PANELS J 1 I JAIR QUALITY: 1000 FEET MATERIALS J J J 1 1 J NO NO NO J )FRAME INSPECTION 1 I I )REQUIRED TOTAL SETBACK FROM EXIST 1 )FIRE SPRINKLER HANGERS I )SET BACK YARD: HWY: PROP LINE: WIDTH: I 1 I )FRONT PL- J )INSULATION/WEATHER STRIP) 1 J 1 SIDE PL- J 1 1 J 1 J JINTEP.IOR LATH/DRYWALL I I I I I I I I I 1 J (EXTERIOR LATH 1 1 1 J 1 )RATED FLOOR/CEIL ASSEM. I I I I I I I 1 )RATED WALL ASSEMBLIES I i )RATED SHAFTS/OPENINGS I I I I I I I I 1 1 1T-BAR CEILINGS J J 1 I I I I I I 1 1 )LOT DRAINAGE J 1 1 I I I I I I 1 1REPORT ID: DPR261 ROUTE TO: BSO508 1 1 1 1 I I 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 0907080013 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 6561 LT: 293 BL: .001 SQ. FT STORIES TYPE 5918 CLOVERLY AV I (STRUCTURE: V-B TEMP CA 917802018 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1 18587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: COMME USE ZONE: C-1 (ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 109/28/09 SR I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DATE F NAL BY: CODE: JAMITABHA PURLAND, INC. - 1 60,000 1I 15918 CLOVERLY AV I I ITEMP 917802018 j FEES PAID ID SCR PT N OF WORK I I (REMOULDING BUILDING EXTERIOR (RE-STUCCO & MOULDING AROUND I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IWINDOWS & CROWN MOULDING AROUND PARAPET WALL) FENCE ROOF TOPI (APPLICANT: TEL. NO: I I I ITAI (626) 823-5045- ID1 PLANCHECK W/O EN-HC 60000.00 VAL 764.87 1 1 19552 WENDON STREET IAA BLDG PERMIT ISSUANCE 27.75 ISPECIALCONDITIONS: ITEMPLE CITY CA 91780 IAB STATE GREEN BLDG FEE 60000.00 VAL 3.00 IAC STRONG MOTION RESID 60000.00 VAL 6.00 I 1 ID2 PERMIT W/O EN-HC 60000.00 VAL 899.85 (CONTRACTOR: TEL. NO: TOTAL FEES 1,701.47 (APPROVALS DATE INSPECTOR SIGNATURE I IJ H ENGINEERING AND CONSTRUCTION (626) 823-5045- 14055 WILSHIRE BLVD. SUITE 524 LIC. NO ILOCATION AND SETBACKS (MONTEREY PARK CA 91754 787046 B I1 I I (SOILS ENGINEER APPROVAL I I 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I LIC. NO: I 1SLAB/UNDER FLOOR I I I I I I I I I I IRAISED FLOOR FRAMING I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I 11SOH265 3 001 1 11 I I I (FLOOR SHEATHING I I I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 11 I NO 22 1 IROOF SHEATHING I I I I I I 1 I 1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I I 1 (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO IFRAME INSPECTION I I I I I I (REQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I 1 1 IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I 1- 11 I 1 I 11NTERIOR LATH/DRYWALL I I I I I I I I I (EXTERIOR LATH I I I I I I I RATED FLOOR/CEIL ASSEM. I I I I I I I I I I IRATED WALL ASSEMBLIES I I I I I I I I IRATED SHAFTS/OPENINGS 1 I I I I I I I I IT-BAR CEILINGS I* ADDITIONAL DATA ON FILE I1 ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I t COUNTY OF LOS ANGELES TEMPLE CITY 0508p BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 1 ! TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803180010 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUIL-DING-ADDRESS: TR: 6561 LT: 293 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5918 CLOVERLY AV STRUCTURE: 0 2 VN B TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: B 03/18/98 UT 03/18/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: AMITABA PURLAND, INC. (626) 282-3700- 1,500 5918 CLOVERLY AV TEMP 917802018 FEES PAID DESCRI TION OF WORK STAIRS AND GUARDRAIL _ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES_ID -- - 1500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O.EN-HC 1500.00 VAL 82.20 TOTAL F-EES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �' LOCATION AND SETBACKS - SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: �' FOUNDATION/TRENCH FORMS LIC. N0: - SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 04 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 1 , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9801150004 PHONE: (818) 285-0488 EXT: LEGAL D: NUMBER OF SIGNS: I BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 SIGN DESCRIPTION: FOAM LETTER SIGN NON ILLUMINATED 5918 CLOVERLY AV TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/15/98 UT 01/15/99 r OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. CODE: AMITABA PURLAND, INC. (626) 282-3700- 900 { � 430 S. GARFIELD #489 1 21! ALHAMBRA, CA FEES PAID DESCRIPTION OF WOR ONE INDIVIDUAL POLISHED GOLD AL MINUM FORM LETTER SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 900.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 �D2 PERMIT W/O EN-HC 900.00 VAL 65.25 TOTAL FEES 148.20 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING NITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY ,. # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709240008 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5918 CLOVERLY AV STRUCTURE: 0 1 VN B TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DR. 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: AMIDA SOCIETY EXIST OCC GRP: B 09/24/97 UT 09/24/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: AMITABHA PURELAND, INC. (626) 282-3700- 1 8,000 5918 CLOVERLY AV I N(I TEMP 917802018 EES PAID DESCRIPTION OF WORK MISC. REMODEL-2 BATHROOMS TOC PLY WITH ADA REQUIREMENTS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND ADDING RECEPTION COUNTER AT ENTRANCE APPLICANT: TEL. NO: SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 SAE STRONG MOTION OTHER 8000.00 VAL 1.68 SPECIAL CONDITIONS: IAX BUILDING REVIEW FEE 54.70 D2 PERMIT W/�0 SEN=HC' 9000:00 VAL 183.90 --TOTAL FEES;- 268.03 CONTRALTO TEL. N0: —� APPROVALS DATE INSPECTO SIGNATURE SAME AS OWNER LIC. NO /� �� - ���\ ��� LOCATION AND SETBACKS SOILS ENGINEER APPROVAL � rig ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. N0: SLAB/UNDER FLOOR ;• RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: '' ' UNDERFLOOR INSULATION 150H265 3 04 FLOOR SHEATHING Wo. �OF FAMILIES: —DWELLING--UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS � -���� ��/ AIR QUALITY: 1000 FEET MATERIALS NO NO NO l� V���' � V;� FRAME INSPECTION- ` FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL /0-/"7 EXTERIOR LATH RATED FLOOR/C IL ASSE . RATED WALL ASSEMBLIES (yl,� RATED SHAFTS/ PENINGS 111��� llliii f'11 T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 F\ " COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA SL 0508 9801150005 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 SQ. FT STORIES TYPE 5918 CLOVERLY AV STRUCTURE: 0 VN TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/15/98 UT 01/15/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: AMITABA PURLAND, INC. (626) 282-3700- 1 2,500 T YLJ( 430 S. GARFIELD #489 ALHAMBRA, CA FEES PAID DESCRIPTION F WORK INTERIOR REM DEL-ADD WALL _ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 2500.00 VAL 99.15 _ TOTAL FEES 182.10 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 04 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (rw REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 � •� ' R COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCPAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106200057 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5918 CLOVERLY AV STRUCTURE: 340 1 VN B TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DRIVE 8587-013-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: XX ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: B 07/11/01 JK 01/07/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: AMIDA SOCIETY/ JASON CHEN (626) 282-3700- 25,000 C 5918 CLOVERLY —�/ /c� TEMPLE CITY FEES PAID DESCRIPTION OF WORK RESTROOM REMODELING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - Al PLANCHECK W/EN-HC 6000.00 VAL 146.04 AA BLDG PERMIT ISSUANCE-. 27.75 SPECIAL CONDITIONS: AE STRONG MOTION- OTHER :25000.00 VAL 5.25 Al PLANCHECK 'W/EN-HC 25000.00 VAL 312.02 A2 PERMIT"W/ENERGY'-'HG 25000.00'VAL 538.89 CONTRACTOR: TEL. N0: - -% _ TOTAL,FEE,S 1,029.95 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO ��`�'" ✓'" �'� LOCATION AND SETBACKS •\ "t y SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: - -- - -- i - -i;� SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS / - \i SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ;� FRAME INSPECTION NO NO NO � FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508