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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,