HomeMy Public PortalAbout9035 EMPEROR AVE_Building__ 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 1112210070
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 NO. OF CONST I BUILDING ADDRESS:
1 ON FILE I SQ. FT STORIES TYPE I 9035 EMPEROR AV I
1 (STRUCTURE: 2900 V-B I SGAB CA 917752016 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I
15382-011-010 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, Cl
(TENANT: JEXIST:BLDG USE: RESID- USE ZONE: R-1' (ISSUED ON: PROCESSED BY: I
I IEXIST OCC GRP: 112/21/11 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN CODE: I
ICHANG CHIAO CHANG;GUH SHU HUEY (626) 451-0931- 1 4,500 1 I
19035 EMPEROR AV I If Z I
SGAB 917752016 i FEES PAID IDESCRIPTION OF WORK 1
I IMAIN HOUSE TEAR OFF AND REROOF 30 YR ROOF, ASPHALT SHINGLES I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 11/2 PLYWOOD, 1 LAYER AND PATCH DRYWALL AT KITCHEN OUTLET I
1APPLICANT: TEL. NO: I I 1
ICERVANTES, LEONARD (818) 854-1159- JAA BLDG PERMIT ISSUANCE 27.80 1
122035 BURBANK BLVD. JAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: I
(WOODLAND HILLS 91367 JAC STRONG MOTION RESID 4500.00 VAL 0.50 1 1
ID2 PERMIT W/O EN-HC 4500.00 VAL 132.80 I
1 I TOTAL FEES 162.10 1 1
ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE I
IARBEL CONSTRUCTION INC. (800) 787-8909- 1 1 1
122025 VENTURA BLVD. #205 LIC. NO 1 ILOCATION AND SETBACKS I 1
IWOODLAND HILLS, CA 91364 894807 I -- I 1 1
1 ISOILS ENGINEER APPROVAL 1 1 1
JARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I
1 LIC. NO: ISLAB/UNDER FLOOR 1
I 1 (RAISED FLOOR FRAMING 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J (UNDERFLOOR INSULATION I I I
1153H265 3 001 1 1 I
I I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I
I 0 NO 21 1 (ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I 1 I
(AIR QUALITY: 1000 FEET MATERIALS I I 1 1 1
I NO NO NO I FRAME INSPECTION 1 I I
1 (FIRE SPRINKLER HANGERS I 1
1 (INSULATION/WEATHER STRIPI I
1 (INTERIOR LATH/DRYWALL
1 1 EXTERIOR LATH 1
1 IRATED FLOOR/CEIL ASSEM. 1
I IRATED WALL ASSEMBLIES 1
IRATED SHAFTS/OPENINGS
IT-BAR CEILINGS I 1
I ILOT DRAINAGE 1 1
I 1 1 I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 1
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 1112210072
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9035 EMPEROR AV
1 (STRUCTURE: V-B SGAB CA 917752016
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15382-011-010 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST•BLDG USE: DETAC' USE ZONE: R-1 JISSUED ON: PROCESSED BY:
1 - (EXIST OCC GRP: 112/21/11 SR
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
ICHANG CHIAO CHANG;GUH SHU HUEY (626) 451-0931- 1 1,500
19035 EMPEROR AV I
ISGAB 917752016 I FEES PAID IDESCRIPTION OF WORK
IDETACHED GARAGE TEAR OFF AND REROOF 30 YR ROOF, ASPHALT
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISHINGLES 1/2 PLYWOOD, 1 LAYER I
(APPLICANT: TEL. NO: I I 1
ICERVANTES, LEONARD (818) 854-1159- IAA BLDG PERMIT ISSUANCE 27.80 1 1
122035 BURBANK BLVD. IAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS:
IWOODLAND HILLS 91367 1AC STRONG MOTION RESID 1500.00 VAL 0.50 1 1
ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 I I
1 1 TOTAL FEES 111.50 1 I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
1ARBEL CONSTRUCTION INC. (800) 787-8909- 1 1 1
122025 VENTURA BLVD. #205 LIC. NO 1 ILOCATION AND SETBACKS I 1 1
IWOODLAND HILLS, CA 91364 894807 1 1 1 1
1 ISOILS ENGINEER APPROVAL I 1 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 ISLAB/UNDER FLOOR I I
1 1 IRAISED FLOOR FRAMING 1 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 (UNDERFLOOR INSULATION 1 1 I
1153H265 3 001 I 1
I I IFLOOR SHEATHING 1 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I
1 0 NO 21 I IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I 1
I NO NO NO I 1FRAME INSPECTION I 1
1 IFIRE SPRINKLER HANGERS 1
1 1 11NSULATION/WEATHER STRIPI I I
INTERIOR LATH/DRYWALL
1 1EXTERIOR LATH 1
1 IRATED FLOOR/CEIL ASSEM. 1 I
. I I IRATED WALL ASSEMBLIES I I I
IRATED SHAFTS/OPENINGS
IT-BAR CEILINGS I 1
. ILOT DRAINAGE I I
1 IREPORT ID: DPR261 ROUTE TO: 9S0508
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 1112210074
PHONE: (626) 285-0488 EXT:
NO. OF CONST BUILDING ADDRESS:
ILEGONIFILE SQ. FT STORIES TYPE 9035 EMPEROR AV
STRUCTURE: V-B SGAB CA 917752016
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15382-011-010 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, Cl
I
TENANT: EXIST'BLDG USE:* PATIO USE ZONE: R-1 JISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 112/21/11 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
ICHANG CHIAO CHANG;GUH SHU HUEY (626) 451-0931- 500 �f
17035 EMPEROR AV
ISGAB 917752016 FEES PAID JDtSCkIPTION OF WORK
PATIO TEAR OFF AND REROOF 30 YR ROOF, ASPHALT SHINGLES 1/2
1 _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IPLYWOOD, 1 LAYER
(APPLICANT: TEL. NO: I I
ICERVANTES, LEONARD (818) 854-1159- IAA BLDG PERMIT ISSUANCE 27.80 I I
122035 BURBANK BLVD. IAB STATE GREEN BLDG FEE 500.00 VAL 1.00 ISPECIAL CONDITIONS: I
IWOODLAND HILLS 91367 IAC STRONG MOTION RESID 500.00 VAL 0.50 1 I
ID2 PERMIT W/O EN-HC 500.00 VAL 43.60
1 _1 TOTAL FEES 72.90 I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IARBEL CONSTRUCTION INC. (800) 787-8909- I I I
122025 VENTURA BLVD. #205 LIC. NO I ILOCATION AND SETBACKS I
IWOODLAND HILLS, CA 91364 894807
1 ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I
LIC. NO: 1 (SLAB/UNDER FLOOR I I I
I I I
IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION
1153H265 3 001 I I I I
I I IFLOOR SHEATHING
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
1 0 NO 21 1 IROOF SHEATHING I I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS I I
NO NO NO I IFRAME INSPECTION
IFIRE SPRINKLER HANGERS I
(INSULATION/WEATHER STRIPI I
1 (INTERIOR LATH/DRYWALL
1 (EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM.
I I I I
- I IRATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS
I I I
• IT-BAR CEILINGS I I
I I I
I ILOT DRAINAGE I I
1 IREPORT ID: DPR261 a ROUTE TO: BS0508 II I
I I I
s
og .
APPLICATION FOR BUILD: _ s
COUNTY OF LOS ANGELES BUILDI L ,A FE
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRE 0,,,S—
rBTY
UILDING $EI hereby affirm that I have a certificate of consent to self insure, LIJ7or a certificate of Workers'Compensation Insurance,or a certified IZIP
copy thereof(Sec.3.800, ab.C.)
LOCALITY
Policy NO. v Company '3-t SIZE OF LOT NO.OF BLDGS.NOW ON LOT
p_Certified copy is hereby furnished. //-,;I A/.-f I NEAREST CROSS ST.
Vis(Certified copy is filed with the county b ding inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO.
ASSESSOR MAP BOOK PAGE PARCEL
Date Applican y SPECIAL CONDITIONS
-OWN TEL.NO.
A el
CERTIFICATE OF EXEMPTION FROM WORKERS' E1 e S— &z1 WITHIN 1000 FT.OF SCHOOL? YES No
COMPENSATION INSURANCE ADD J
(This SBCtI n need not be completed if the permit is for one hundred `� DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY
dollars($1 )or less.)
certify that'n the performance of the work for which this permit CITY]]) _ zIP 19/n�
i3 issued, I s 11 not employ any person in any manner so as to ARICCHHIITTEACTT OR ENGINEER TEL.NO.
become subjec to the Workers'Compensation Laws. STATISTICAL OSSIFICATION APT N
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APP CANT.- If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
CON RA TO TEL.NO.
Exemption, you S OUId become Subject t0 the Workers' �� SETBACK YARD HWY PROP LINE WIDTH
Compensation provisi ns of the Labor Code, you must forth%-- t1CJFRONT
comply with such provisions or this permit shall be deemed revoked. /+D LIC.NO. P L
t�0 JOG-�d L-� SIDE >_
LICENSED CONTRACTORS DECLARATION CI 1.1 .�LASP L
I hereby affirm that I am licensed under provisions of Chapter 9 �� SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW ❑ BK PG CD
License Number Z- v
'1' DESCRIPTION K
Lic.Class u J ADD C] VALUAT10
Contract Data clALTER ❑ $ Z
O
ElI am mpt under Sec, _ REPAIR
8.8P.C.f this reason % DEMIDL ❑ LOMA P/C#
Date: USE OF EXISTI BLDG. URM ❑
Signature AP ANT R T) ,['ten L.NO. LDMA Perm#
❑ I, as owner o he property, or my employees with wages as �S T �0 � d p
their sole comp sation,will do the work and the structure is ADDRESS i
not intended or Brad for sale (Section 7044, Business and Sr '� z-� %Y J FIN DATE Q
Professions Code.) ) =:
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL (,z _J
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN
❑ I, as owner of the roperty, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j2 HIL �1'
licensed contractors o construct the project.(Section 7044, ves❑ No❑ _
Business and Profess' ns Code.)
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
�•. ,:j:'i ^ _
CONSTRU ION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST
FOR GUIDELINES. ` _
I hereby affirm that the is a construction lending agency for YES❑ NO❑
the performance of the w rk for which this permit is issued(Sec. �O`3 ,e
3097,CIV.C.. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD F _� ]a I^i_.)^) ) E .+ _;'_/•+
PERMITTING 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 - ` { •a
Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. i ) iii 'y
Lender's Address
OWNER OR AGENT
o 1 certify that I have read this application and state that the above
information is correct. I agree to comply with all County P.C.FEE PERMIT FEE / / ^
ordinances and State laws relating to building construction,and / ,hJ
a. hereby authorize rppresentatives of this County to enter upon ISSUANCE FE
the Amhove ritiorfel props for inspection purpos s. u/
1 In ��� D� INVESTIGATION FEE TOTAL FEE
1 VV
SipnW,e A of pplkanl a Apml
SEE REVERSE FOR EXPLANATORY LANGUAGE,