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HomeMy Public PortalAbout8853 ELM AVE_Building__ NN ., 11�� 1Ij'(/'�, IIII �1I1�II1I 11I ��eq tI1��!.' '❑�/�A .: . 6A636A:CE�M 80310,58'..' APPLICATION FOR BUILDING -PERM-IT " �• COUNTY�OF LOS ANGELES Bu..01NG' ADDRESS. a DEPARTMENT OF COUNTY`ENGINEER BUILDING AND SAFETY -DIVISION LOCALITY>JQHN A.LAMBIE,COUNTY EN61NEER NEAREST:' "` -:_':CASSATT D.GRIFFIN;.SUPT OF BUILDING .CROSS ST. - .f DISTRICT NO,.:.• ROUP TYPE - PUQCESSED BY FOR:APPLICANT TO FILL IN I CONST BUILDING - - - ' S ER-MAP ADDRESS �, �� - VY.- - STATISTICAL CLASSIFICATION_ BK - sPG - /�- �L./�''l��-��.//�� �,�/� / �•J ' CLASS NO, DWELL UNITS `— � � � �. LOTNOc( % ,7lI �S/" P�S�/oG.l�j( / ,XLOCK MAP STATE,,"YES O. NUMBER - _- HWY. TRACT - -�" C -., USE ZONE­ -.:SPECIAL ._ . NO.OF:.BLDGS. ` SIZE OF`LOT NOW ON LOT CONDITIONS USE OF EXISTING BLDG. •BUILD ING EXIST - - YARD HWY •STREET NAME-, - SETBACK '.WIDTH - OWNER :�+ �^�' FRONT MAIL.ADDRESS P.L. SIDE .-_: _ • . �qq_ p TEL-41_ �4 P L:• :-: - ARCHITECT o TEL.' - AVSPECTION.•RECORD: ENGINEER - - NO. ADDRESS TEL. 'CONTRACTOR 0' - NO. ADDRESS`' Ga/IZ'L�'/: '-•- .- .. .;_. .. - ..� _ . - _ DESCRIPTION OF,W ORg ; NEW DD " ALTER REPAIR DEMOLISH so.FT. :' - NO.OF SIZESTORIES FAMILIES USE OF iTRUCTUAkEF SIGNATURE OF... C� A -.- 'APPROVALS- - APPLICANT J M'.DATE ". `INSPECT.OR'S SIGNATURE . E ADDRESS' ' " FOUNDATION:,LOCATION FORMS,MATERIALS ' �� �/ //i .i�7aT)✓ FRAME: FIREiSTOPS. G1, O�� _ FEE - -BRACING, BOLTS' --/ -=S:�I //.:.as�'�/V'�-�� VALUATION $] .d- : FURNACE:'LOCATION: _ p - �r :FEE -GAS VENT;DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH;INT PLICATION.AND STATE THAT THE ABOVE IS CORRECT AND - - 351. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.AND f STATE_:LAWS .R G ATING BUILDING CO STRR_UCTION. LATH; EXT. ;-' !O`:� '• -. SIGNATURE OF _ HOUSE,NUMBER COR- PERMITRECT AND POSTED -- ' ADDR ,^/yam ESS 0° - FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG ER. PLAN CHECK VALIDATION cK. ' "wo. > CADH PEBMIT_"VALIDATION CK." M.o.. AS ' 76A696&CEry6C8• ,_6, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY i JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRIC NO. GR UP TYPE P SSED BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS 8853 Elm 7-- PG . :� - CLASS. NO._�DWELL.UNITS LOT NO. — a LOCK WATER NOT REQUIRED / RECEIVED CERTIFICATE: - TRACT �L,. ' ',3 MAP NO. ' .� HIGHWAY STATE MAJOR SECOND,NO.OF BLDGOC SIZE'OF LOT�.f i�3 1 I NOW ON LOTS USE ZONESPECIAL LE). USE OF -CONDITIONS ' EXISTING BLDG. TEL, OWNER George Stenton NO. BUILDING EXIST. SETBACK YARD HWY ST,E T NAME WIDTH" ADDRESS 8853 Elm Temple -lty FRONT ARCHITECT OR TEL. P. L. ���• _ ENGINEER NO. _ SIDE P.I ` ADDRESS INSPECTION RECORD. 0 -CONTRACTOR Virgin ROOF C.O NEo`A-T70507 ADDRESS 600 S o San Gabriel Bl PS-G- O DESCRIPTION OF WORK W EL t!1 NEW ADD ALTERREPAIR DEMOLISH - Z SQ.FT. N NO.OF IZE STORIES FAMILIES USE OF STRUCTURE Re-ro t of Hsg. only SIGNATURE � APPLIC VALUATION$ 1.6 oo _ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ 4 OO FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE-ABOVE IS.CORR CT AND AGREE TO COMPLY FURNACE:LOCATION, ' WITH ALL COUNTY ORDINANCES A STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTR UCTION..I CERT Y THAT IN DOING THE WORK -- AUTHORIZED HEREBY I N T MPLOY ANY PERSON IN VIOLA" LATH, INT. TION OF THE LABOR D OF E STPJE OF CALIFORNIA RELAT- ING TO WORKMEN' CO TION INSURANCE. LATH,EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE �J - RECT AND POSTED ADDRESS 600 Ss Sari abriel Blvd,: ? FINAL Sari Gabriel CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH LALO 2.5,2 8 AUG 3... 1 A 4.0 0 . 7eA698A 08S-9 ry�1 IIl��-r R U 11 I O V� 11 FO BUILDING 11- E tl Utl®tl tl` I 11.55 d'C DIVISION OF BUILDING AND -SAFETY ADDRESS NG Department of County Engineer ADDRESS ` County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �. CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. . , �',�.• - DISTRICT NO, GROUP._ TYPE 77TSEWER; MAP FOR APPLICANT TO FILL IN K PCS a _� .� BUILDING CONST. ADDRESS -. - NUMBER•.�-L7�c.�' Ora SiWY YES NO LOT NO. " '� ,I� �j"-` BLOCK USE ZONE SPECIAL - �� CONDITIONS TRACT ' NO.OF SLOGS. BUILDING EXIST.. SIZE OF LOT-t� I OW ON.LOT � YARD HWY STRE T NAME SETBACK En, WIDTH USE OF I FRONT � EXISTING P. L. / OWNER SIDE MAIL P. L. ADDRESS - O TRACT DWELL. 1 UNIT 5 INDUSTRIAL TEL. 1 DWELL. � 1 UNIT CITY �— NO. -�` 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS - - 8 MISCEL. ADDRESS 4� COMMERCIAL - CONTRACT R TEL 3j INSPECTION RECORD ADDRESS 1 <�,e.; - DESCRIPTION OF WORK tr NEW °' ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT ..� APPROVALS ADDRESS A DATE INSPECTOR'S SIGNATURE $ " FOUNDATION: LOCATION ©� P.C. FORMS, MATERIALS FEE FRAME: FIRE STOPS, r' VALUATION $ 416 BRACING. BOLTS 'I :S p FEE 7 -�• FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS APPLICATION A STATE THAT THE ABOVE IS CORRECT AND AGREE TO PLY WITH A L.COUNTY ORDINANCES LATH, INT. AND STATE LA S EGULATIN BUI ' ING CONSTRUC- T[ON. ONSTRUC-TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERM EE OR-PERMITTEE RECT AND POSTED p, ADDRESS FINAL )L .,)V JOHN A.LAMB I , COU TY ENGINEER DATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK .MO CASH , 3 2 7 DEC 12 1 6.0 0 to ,_. WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consPJl to Self' < D M D O } O D -insure, or a certificate of Workers' Compensation Insuronce _ .� �.��� O LI V � or a certified copy thereof (`Sec. 3800, Lab. C.) , COUNTY OF LOS.ANGELES BUILDING AAD SAFETY Policy No. Corripany BUILDING_ Certified copy'is Fiereby'furnished:. r FOR APPLICANT TO FILL IN - ADDRESS V E] Certified copy is filed with the county building:inspec- BUILDING p a� tion department. t f p��_ ADDRESS EIMY f LOCALITY . '6q :. .._ IS ,�/► .. . /� Ai n NEAREST ," /� Dote Applicant 11• V� ` ' CITY ( t ZIP(� CROSS ST: (J C IFICATE OF EXEMPTION FROM WORKERS' O. OF BLDGS: ASSESSOR SIZE OF LOT' NOW ON LOT MAP BOOK - tPAGE PARCEL - COMPENSATION INSURANCE. . MA (This section need.not be completed if the permit,is4orone EN nS.TT' P" hundred dollars ($100)or less ) TRACT: .' BLOCK LOT NO. Q OWNERS NO VCONDITIONSSPECIAL I certify that in'the performance of the work for which this T GROUP TYPE FIRE'_ PR SED.BY" 0 permit isissued,.I shall not employ any person in any manner GAVE CONST. Z L)so as to become-subject to the Workers'Compensation Laws. ADDRESS-�(' pCITY ( L� (.t'(� ZIP O �! DateOAZ Applicant` L,.,. l r' STATISTICAL CLASSIFICATION APT. NDO. � ARCHITECT OR TEL. NOTICE,TO APPLICANT: If, after making thisz ficate of ENGINEER NO, CLASS NO. V DWELL. UNITS Exemption, you should become subject to -the' Workers ': IL with comply with such- rovisioabor.Code, you must forth= ADDRESS - SEWER MAP Compensation provisions of the ns r this.permit shall be PY i P rsf TEL. -VALIDATION deemed revoked. CONTRACTOR NO. BI PG, :t LICENSED CONTRACTORS DECLARATION LIC, I"hereby affirm that I am licensed under provisions of Chapte'r9 ADDRESS.' , NO. o 'VALUATION (commencing with Section 7000)of Division 3 of'the Business.and uC. - Professions Code,.and my license,is in full-force and effect. CITY'. CLASS $ SQ.FT. NO.'OF NO.OF ` " CHECK License.Number Lic:Class- SIZE STORIES FAMILIES ONE D ' Contractor Date DESCRIPTION OF WORK (� NEW 1 am exempt under Sec. Se r L.11 ADD ALTER � •FINA 134P.C. for this reason IVa : REPAIR DAT " Date: USE OF DEM OL. FIN EXISTING BLDG. ray , Signature APPLICANT TEL. '. OWNER-BUILDER DECLARATION PRINT NO. hereby affirm that I am exempt from the Contractor's License D Law for the following reason (Section 7031.5,Business.ani ADDRESS- Professions Code): PRESENT Q BUILDING L1 J J1 •7,2 R I, as owner of the property; or my employees with ADDRESS' wages as their sole compensation,will do the work and i e o .o o a the structure is,not intended or offered for sale(Section LOCALITY" Lr 7044, Business-and Professions Code)." MOVING TEL. CONTRACTOR... NO.C 'c l o ot I,'as owner of the property, am exclusively contracting o with licensed.contractors to construct the Project (Sec=" �' 0 2 '�B—'� tion'7044, Business and Professions Code). ADDRESS, REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK.. ' YARD` 'HWY PROP. LINE WIDTH D I hereby affirm that there is a constr.uctio.n.lending agencyfor FRONT -• :'. !he performance of the work for which 'this permit is issued P.L.'". (Sec. 3097, Civ. C.):. .:SIDE m P.L,-. Q Lender's Name _ P C. Fee$ Permit Fee �— Lender's Address > I certify that'I have read this-application and state that the Issuance Fee (J . above information,is correct. I agree to comply with,all County Investigation Fee S ordinances and State laws relating to building construction,- u Total Fee- and hereby authorize representatives of this County to enter ' ��— upo the above-mentioned property,for insp ction purposes: T a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Ap cant or Agent Date ®f WORKERS'COMPENSATION DECLARATION ; _ 7"T / I hereby affirm that l have a certificate of consent to self /n� n /n� O O WRONG p[Eg N u LI ly insure, or a certificate of Workers' Compensation Insurance, A UL �j=�� R �� or a certified copy thereof (Sec: 3800, Lab. C..) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ' Certified copy is hereby furnished.. ' � FOR APPLICANT TO FILL IN BUILDING ' Certified copy is filed with the county building inspec- BUILDING tion department.' ADDRESS �IFIU73 Al/ LOCALITY �y NEAREST .Date Applicant j CITY �f ZIP r 1S CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLD . 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 d USE ZONE MAP D hundred dollars ($100)or less.)." TRACT BLOCK LOT NO. NO. TEL i SPECIAL I certify that in the performance of the work for which this OWNER N . CONDITIONS 0 permit is issued, I'shall not employ any person in any manner DISTRICT .GROUP TYPE FIRE PRO ESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS {ONST:' ZONE 7�0 S�o� 3 j/ 3 Date Applicant CITY RCHITECT OR TZ,YPZI ZIP TE Q J STATISTICAL CLASSIFICATION APT. CONDO. O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NOC© �'/�7 CLASS NO.�DWELL.'UNITS C Exemption, you should become subject to the Workers'- Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be Fz deemed revoked. TEL.. BK. LG,/04rVALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. i hereby affirm that I am licensed under provisions'of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS S. '�S 00 O D r SQ. FT. '/" NO. OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE NEW D $ Contractor Dote DESCRIPTION OF WORK 'ADD I am exempt under Sec. ALTER FINAL r, A B.BP.C: for this reason D DATE / REPAIR Date: USE OF DEMOL FINAL EXISTING BLDG. By Signature- APPLICANT TEL:' \ g OWNER-BUILDER DECLARATION. PRINT NO. I hereby affirm that I am exempt from the Contractor Law for the following reason (Section 7031.5,,Business and ADDRESS D 5 7. •0 A 's License Pro scions Code): PRESENT BUILDING 0 0 0 0 0 1 I, as owner of the ,property, or my employees with ADDRESS f wages as their sole compensation,will do the work and rl'� 1 7 1,775 the structure isnot intended or offered for sale(Section LOCALITY. 7044, Business and Professions Code)._ MOVING TEL.' - 'a.0 1 71.7'�v' I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS T 1 g— 3 tion 7044, Business and*Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY• SET BACK' YARD HWY PROP. LINE WIDTH I hereby offirm.that there is`a construction•lending agency for FRONT D the performance of the work for which this permit is issued P.L. (Sec. 3097,.Civ. C.). SIDE o T.L. o Lender's.Name Lender's Address - P.C. Fee$ Permit Fee A', pZ , 1 certify that I have read this application and state that the. Issuance Fee �Q'; s0 a above information is correct.: / 7 I agree to comply with.all County o Investigation Fee f ordinances and State laws relating to-building construction, Total Fee L �( w / �. u and hereby authorize representatives,of this County to enter W up �o/ve--mentio ed pr perty for inspection oses. i . - •` •' a �AJ SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant or gent ate V.ORKE R'S CONENSA'i ION DEC LAR/16 ON off irm that I have a certif icate of consent to se ora certificate of Workers' Compensation Insurancei,f APPL5CAT1W`N FOR BUMINNG PERM57 i certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Icy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN P'�'i-LDING ESS C_/ L Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ie-Applicant CITY ZIP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOTCROSS ST. COMPENSATION INSURANCEFL _ .ASSESSOR lis section need not be completed if the permit isforOne TRACT IBLOCK OT NO BOOK I PAGE PARCELcited dollars ($100)or less.) TEL. MAP OWNER NO. USE ZOPJE, I NO. �rtify that in the performance of the work for which this % i SPECIAL rmit is issued, I shall not employ any person in any manner ADDRESS 1CONDITIONS Us y0 become subtle, t to the Workers' Compensation Laws. > CITY ZIP q C ARCHITECT OR TEL DISTRICT,. GROUP TYPE FIRE PROCESSED BY TICE TO'APPUCANT: If, after making this Certificate of ENGINEER NO, CONST. .NELl �mpfion, you should become subject to the Workers' .mpensation provisions of the Labor Code, you must forth- ADDRESS Nkt I V I I �mcomply with such provisions or this permit shall be TEL. -z APT, CONDO. > STI,�TJSTICAL CLASSIFI�ATION 0 ed revoked. CONTRACTOR !�O. < LICENSED CONTRACTORS DECLARATION LIC CLASS NO: DWELL. UNITS O_ ADDRESS NO, I —-­ L, ._=� C ereby affirm that I am licensed under provisions of Chapter 9 immencing with Section 7000)of Division 3 of the BusinessLIC.. SEWER MAP d Professions Code,and my license is in full force and effect. CITY CLASSVALIDATION U SQ. FT/ NO. OF NO. OF I CHECK BK. PG. SIZE STORIES FAMILIES ONE �ense Number Lic. Class— S VALUATION mtractor Date DESCRIPTION OF WORK NEW 0 $ ._­ — ADD ❑ I am ex.empt under Sec. ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ED Signature APPLICANT TEL. FINAL1�� OWNER-BUILDER DECLARATION (PRINT) NO. DATE iereby affirm that I am exempt from the Contractor's License ,w for the following reason (Section 7031.5, Business and ADDRESS FINAL ofessions Code): PRESENT By BUILDING 1, 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 LOCALITY 7044, Business and Professions Code.) MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- tion 70", Business and Professions Code.) ADDRESS TOTAL FROM EXIST. REQUIRED CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.ETBSETBACK E WIDTH 'iereby affirm that there is a construction lending agency for FRONT !e performance of the work for which this permit is issued P.L. ec. 3097, Civ. C.). SIDE M REQUIRED SET BACK FRONT P L 5 IDE P p -nder's Name :DMA Ref. # Fee 1-nder's Address P.C. Fee$ Permit Fee P/ certify that I have read this application and state that the Issuance Fe g LDIAA P/C# bove information is correct. I agree to comply with all County Investigation Fee )I, P L, L rdinances and State laws relating to building construction, Total Fee/ 010A Perm. # nd hereby authorize,representatives of this County to enter pan the above-mentioned property for inspection purposes, SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Age 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 1210290066 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1 ITR: 3623 LT: 101 UN: .002 SQ. FT. STORIES TYPE I 8853 ELM AV 1 I (STRUCTURE: V-B I TEMP CA 917801843 I (ASSESSOR INFORMATION NUMBER: . 1 NEAREST CROSS STREET: ROSEMEAD 1 15387-010-011 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-3 (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 110/29/12 SR (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE - F Y: - CODE: 1 IKAO, STEVE (626) 285-7581- - 400 18853 ELM AV I I ITEMP 917801843 1 FEES PAID JDE!SGklPTIOlq OF WORK 111 I I (REPLACE WATER DAMAGE WOOD FLOOR JOIST AND PLYWOOD 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I IWONG, KIM- - (626)286-6080- IAA BLDG PERMIT ISSUANCE 27.80 1 11300 E LAS TUNAS DR - IAB STATE GREEN BLDG FEE 400.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ISAN GABRIEL-CA 91776 IAC STRONG MOTION RESID 400.00 VAL 0.501 1 ID2 PERMIT W/O EN-HC 400.00 VAL 43.70 1 I TOTAL FEES 73.00 (CONTRACTOR: TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE IKIM WONG PLUMBING INC (626) 286-6080- I 1 11300 E LAS TUNAS DRIVE LIC. NO I 1LOCATION AND SETBACKS I I I ISAN GABRIELCA 91776 752619 I I I I I I (SOILS ENGINEER APPROVAL I I I I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I ' 1 I I LIC. NO: I ISLAB/UNDER FLOOR I I I I I. I ' I - IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I 1150H261 3 001 • 1 IFLOOR SHEATHING I I' INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- 0 -0 NO 21 1 IROOFSHEATHING I I I I I- I I I 1 CHOOL WITHIN HAZARDOUS I (SHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALS I I- I _I NO NO NO I IFRAA1E INSPECTION I - I IFIRE' SPRINKLER HANGERS r 7, I I I (INSULATION/WEATHER STRIPI - I - I I I I I I (INTERIOR LATH/DRYWALL, I I I I I I I I - I (EXTERIOR LATH I I I I I I I I I (RATED FLOOR/CEIL ASSEM. 1 I 1 _ (RATED WALL ASSEMBLIES ' IRATED SHAFTS/OPENINGS I 1 I I I I I I I IT-BAR CEILINGS I I I I* ADDITIONAL DATA ON FILE I I I I I ILOT DRAINAGE I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I 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 0705310012 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS: 1 ITR: 3623 LT: 101 UN: .002 I SQ. FT STORIES TYPE 1 8853 ELM AV 1 I ISTRUCTURE: 1000 VN I TEMP CA 917801843 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD 1 15387-010-011 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-3 11SSUED ON: PROCESSED BY: EXPIRES ON: (EXIST OCC GRP: 105/31/07 SR 05/25/08 I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F AL DATE FINALCODE: 1 IHWANG SHUWA;HWAN SHUN T (818) 285-2449- 1 3,000 18853 ELM AV I I V ITEMP 917801843 FEES PAID IDESCRIPTION OF WORK 1 I I IFRONT HOUSE REPLACE WITH 20 Y1qRS SHINGLES TO MATCH THE I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IREMODEL PART OF THE HOUSE 1 (APPLICANT: TEL. NO: I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I IAC STRONG MOTION RESID 3000.00 VAL 0.50 ISPECIAL CONDITIONS: I 1D2 PERMIT W/O EN-HC 3000.00 VAL 99.00 1 I I 1 TOTAL FEES 127.25 I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO I ILOCATION AND SETBACKS I I I I I I I I ISOILS ENGINEER APPROVAL I I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I 1 LIC. NO: 1 (SLAB/UNDER FLOOR I I I I I I I I I I IRAISED FLOOR FRAMING I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 1150H265 3 Oil I I I I 1 -1 IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- I I I 1 NO 21 1 IROOF SHEATHING I I I I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO 1 IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I ISET BACK YARD: HWY: PROP LINE: WIDTH: I (INSULATION/WEATHER STRIP( IFRONT PL- I I I I I SIDE PL- 1 I I (INTERIOR LATH/DRYWALL I I 1EXTERIOR LATH I II IRATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS I I I 1 -1-- - - ---- --- - I- - ,I-^ I -I-- - ----- - - IIT-BAR-CEILINGS 1-1 I ' I ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I I I I ;-COUNTY Oil LOS ANGELES — TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP ` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508310023 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 3623 LT: 101 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 8853 ELM AV STRUCTURE: 86 1 VN R3 TEMP CA 917801843 ASSESSOR INFORMATION NUMBER: GARAGE: 408 1 VN U1 NEAREST CROSS STREET: ROSEMEAD 5387-010-011 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/20/06 JK 01/15/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION:19, FIN�eI„B-Y: CODE: HWANG SHUWA;HWAN SHUN T (626) 285-7581— 19,200 N�A � M�V/J 8853 ELM AV TEMP 917801843 FEES PAID D2SCRIPTIOW OF WORK FRONT HOUSE (E) GARAGE TO BE DEMOLISH AND BUILD ATTACHED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 2 CAR GARAGE 408 S.F. AND ADD NEW BATHROOM 86 S.F. APPLICANT: TEL. NO: JACKLYN YAN (626) 284-4009— B1 PLANCHECK W/ENERGY 19200.00 VAL 359.60 2121 W. MISSION RD AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS.: ALHAMBRA, CA 91803 AC STRONG MOTION RESID 19200.00 VAL 1.92 B2 PERMIT W/ENERGY 19200.00 VAL 423.06 TOTAL FEES 812.33 CONTRACTOR: TEL. NO: APPROVALS . DATE INSPECTOR SIGNATURE LAWRENCE CHAN (323) 259-5405— LIC. NO LOCATION AND SETBACKS NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOMTDATION/TRENCH FORMS r JASON SUN — LIC: NO: SLAB/UNDER FLOOR NONE RAISED FLOOR FRAMING .� MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO -21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET - MATERIALS NO NO .NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL— SHEAR PANELS SIDE PL— ! INSULATION/WEATHER STRIP,. t f Wl. G INTERIOR LATH/DRYWALL l Y EXTERIOR LATH LOT DRAINAGE •l\6 '1N,J"pW,',/JL� 4 SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508