HomeMy Public PortalAbout9068 EMPEROR AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION
BUILDING APTD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1403030050
PHONE (626) 285-0488 EXT
LEGAL ID I NO OF CONST BUILDING ADDRESS I
ITR 12504 LT 35 BL 001 I SQ FT STORIES TYPE 1 9068 EMPEROR AV
I _ISTRUCTURE 445 I SGAB CA 917752066
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
15382-018-022 _� THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY CAI
I I I I
ITENANT IEXIST BLDG USE SWIMM USE ZONE IISSULD ON PROCESSED BY 1
IEXIST OCC GRP 103/03/74 SR
IOWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL AT FINAL B CODE I
ICHING, SUNNY (626) 318-6825- 1 1 0 II
19068 EMPEROR AVE 1
ITEMPLE CITY CA 91780 I FEES PAID 1 ESCRIPTIO OF WORK I
I IBACKFILL SWIMMING POOL
IFEE DESCRIPTION QUANTITY UOM AMOUNT I 1
APPLICANT TEL NO II 1
IW`J, BENNY (626) 757-0058- IAA BLDG PERMIT ISSUANCE 27 80
11532 FISHBURN AVE 102 DEMOLITION INSPECTN 163 50 ISPECIAL CONDITIONS 1
ILOS ANGELES CA 90063 1 TOTAL FEES 191 30 IRESTRICTED AREA ON SITE, NOT SUITABLE FOR BUILDING I
1 I (COVENANT RECORDED 1
I I I _-
ICONTRACTOR TEL NO I 1APPR.),ALS DATE INSPECTOR SIGNATURE 1
IPROSPERITY CONSTRUCTION (626) 757-0058- I ---
11532 FISHBURN AVENUE LIC NO I IPEDL°-RIAN PROTECTION I I
ILOS ANGELES CA 90063 966300 1 1 _ 1
I I ISEWER 31SCONNECTION 1 I
1ARCHITECT OR ENGINEER TEL NO I IAB:--N'.):N PRIVATE DISPOSALI
I I I 11
I LIC NO I IUNDERGRND STRUCT REMOVALI I I
I I I
I I (AND SOIL RECOMPACTION I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 I
I 001
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I
1 0 NO 24 1 I I
1 SCHOOL WITHIN HAZARDOUS I 1
1AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO I 1 1 1 I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I IREPORT ID DPR261 ROUTE TO BS0508 1 I I I
APPLICATION FOR 'BUILDING�PERMIT
F LICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BU. D DEPARTMENT OF COUNTY ENGINEER
ADDRESS L � C � i
CITYis✓t.� �,� C�� ZIP BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT 7-2-4 1 NOW ON LOT ( ( ADDRESS
TRACT BLOCK LOT NO I LOCALITY
TEL NEAREST
OWNER `, NO, CROSS ST
ASSESSOR
ADDRESS j( MAP BOOK _ PAGE EL
DISTRICT TYPE FIRE PROC SSED BY
CITY ZIP NE
ARCHITECT OR TEL U
ENGINEER '` jtj NO STATISTICAL CLASSIFICATION SEWE AP
ADDRESS �� —L--,>L-0 CLASS NO �/DWELL UNITS BK PG
TEL
CONTRACTOR NO ^ZONE MAP
ADDRESS — NO
NO �� I '4 SPECIALLIC V
CONDITIONS
CITY — CLAS G�� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH DG SETBACK FROM
RONT PROP LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT ` NO OF p NO OF CHECK ki GHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES Z FAMILIES �� ONE >-
++ a
DESCRIPTION OF WORK NEW ❑ O
1 f c— ADD BLDG SETB M (STREET) O
SIDE PROP LINE OF
j ALTER JITMAL M TYPE OF EXISTING G
i c !� ❑ HIGHWAY + YARD = SID P P LINE IGHWAY WIDTH N
USE OF REPAIR _ Z
EXISTING BLDG � � DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE) C�
Q l IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLAVEIN OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKME S VM _
PENSATION INSURANCE
SIGNATURE:0!��
PERMITTEE
ADDRESS
FINAL BY
TEL DATE �
CITY NO
MAKE CHECKS PAYABLE TO FEE FET
HARVEYT BR T,COUNTY ENGINEER ` � �� ^�
PLAN CHECK VAL DAT ON cK M CASH PER T ALIDATIO cK M o CASH
3 8 nFr3 u 1
3.0
381�V'-'nFr, 1 1 0 21.75A
®s 76A638A CE#803 3 75
MENT OF BUILDING ANb SAFETY APPLIUma—, - n rr+nr•aa+
%,vur?TY OF LOS ANGELES 8 U 1 1. D N G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / r/7 Sa G/ i DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS 1 ! G �Z�. ..�,,�}-1, "J
LOCALITY �Ci-�YL. /�.1 -•"� `�" RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST.
BUILDING
OWNER /� /\� ___!ADDRESS
MAIL
ADDRESS (J f j A/I _-,� `f ���-� X LOCALITY
' /,! n
NEAREST
CITY -�''Y��� -�� NO. CROSS ST.
FIRE NO.OF TYPE GROUP
ARCHITECT ORTEL. ZONE I PLANS
ENDINEER y. NO.
BLDG. ORD. NO.
ADDRESS �� -C.I' SETBACK LINE
f
TEL APPROVED
CONTRACTOR " NO. BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL I 3 I _, CORRECTIONS
'
DESCRIPTION LOT NO. BLOCK
TRACT .S 6 - �/✓S/OF- �'Y.a.C�->S. Nd 7• /,C
/ I NO.OF BL 3
SIZE OF LOT ff ( / NOW ON LOTT
USE OF ���, NO.OF NO.OF 6
EXISTING BLDG. FAM LIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR I MOVING DEMOLISH p
SQ. FT. NO.OF Z
SIZE ' ROOMS STORIES /
WALL Y .I ROOF
COVERING J I COVERING
USE OF NEW
BUILDING
f I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
i
APPLICATION AND STATE THAT THE ABOVE IS CORRECTFOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /
FRAME: FIRE STOPS, - )
SIGNATURE OF BRACING,BOLTS /
OWNER
LATH,INT.:
AUTHORIZED AGT. t
LATH,EXT.:
DBS-3 25M SETS 1-47 $ f., P.C PLASTER. INT.
FEE /( ._
�vY - PLASTER, EXT.
e
VALUATION .y
FEE FINAL
ei••»��`-'-
DEPARTMENT OF BUILDING AND SAFETY APPLIUATLUL4 r ULI k'=Uni r
COUNTY OF LOS ANGELES B U I C D 1 N G
• wm. J. FOX, CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
0UILDIN / ( J'y G -DISTRICT NO. PLAN CK.NO. PERMIT NO.
�? �y3 .7
I -
LOCALITY R/q�/EIVED XY DATE OF APPL. //DATE\I98UED
NEAREST G'�'w ^� ✓� �Zf �7 O ���"�,7
CROSS ST
BUILDING
OWNER /
ADDRESS �
MAIL �j ,t�� LOCALITY
ADDRESS
NEAREST
TEL CROSS ST.
CITY NO. _ �--
FIRE NO.OFI GROUP /
ARCHITECT OR/( TEL. ZONE PLANS v
ENGINEER ( ,NO. TYPE
7)c 1
' e SETBACK LINE / 3RD.NO.
ADDRESS / � ' \ .�Q-
APPROVED
TELB�. DATE
CONTRACTOR NO
USE �//, APPROVED
ADDRESS ZONEBY DATE
LEGAL
DESCRIPTIO+N� LOT NO: I BLOCK CORRECTIONS
TRACT
n x �� / Q NO OF SLOGS./Y
,..-
SIZE OF LOT / �( / I NOW ON LOT ♦'`-� O-
USE OF, NOOF NO.OF
EXISTING BLDG. Q FAMILIES ROOMS
DESCRIPTI 6 N OF WORK
NEW ` ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH O_
Sq FT. NO.OF Z
SIZE �� �, RODM9 TORIES D
WALL "" - ROOF r
OVER I COVERING
u
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISFFOUNDATION:
APPROV S
APPLICATION AND STATE THAT THE ABOVE IS CORRECT LOCATION PECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESERIALSAND STATE LAWS REGULATING BUILDING CONSTRUCTION
BTOP9, IfSIGNATURE OF LTS
OWNER /0 �f�/� LATH,INT.:
AUTHORIZED AOT. �- C I `�' �`
LATH,EXT.:
DBS-3 2SM SETS 1-47 $ P.C.III PLASTER. INT.
FEE (f/ PLASTER, EXT.
VALUATION `� O FEE �� `� FINAL
70AGSBA CE#$M G-58 - _APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING 9068 E. Emperor St
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY ^ -1
JOHN A LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRIC OUP �PE P OCESSED BY
FOR APPLICANT TO FILL IN CONST
BUILD
ADD EISS 9068 E• Emperor St . STATISTICAI`�I ASSIFICATION SEW ER AP
"
CLASS N=DWELL UNITS I
LOT NO BLOCKMAP YES
NUMBER O D HWYE
TRACT 12504 U ZONE SPECIAL
SIZE OF LOT 72 X 16 I NO OF BLDGS 2 CONDITIONS
NOW ON LOT
EOF D l residential o
EX
BUILDING YARD HWY STREET NAME EXIST
OWNER A. B .B Levisee SETBACK WIDTH
MAILp FRONT 6"dADDRESS O68 E, Em eror St. P L
SIDE
ITv San Gabriel TEL P L
NO
ARCHITECT OR TEL 5597 INSPECTION RECORD
ENGINEER G• TEL NO Ch
ADDRESS 1528 Canada Glendale 8 nF /
CONTRACTOR Swan Pools TUt 0 -7 / r./,b9 d AOTIY�/
ADDRESS 371.0 Colorado
DESCRIPTION OF WORE
NEW x ADD ALTER REPAIR DEMOLISH '
r
SQ FT. 18 X 3 NO OF NO OF I „3
SIZE STORIES FAMILIES
USE OF STRUCTURE#10949 --
wt sw' ool
SIGNATURE OF APPROVALS
DZ
APPLICANT ('
ADDRESSl Canada Blvd. STFc�L DATE -INSPECTOR S SIGNATURE
FOUNDATION LOCATION
FORMS MATERIALS
$
a PC $ _3 U FRAME FIRE STOPS
FEE BRACING BOLTS
VALUA 1� FEE $1
Z C) FURNACE LOCATION
GASVENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
" STATE LAWS RE ULA�BUILDIN CONSTRUCTION LATH, EXT
SIGNATURE OF '- HOUSE NUMBER COR-
PERMITFERECT AND POSTED
President
ADDRESS 13336 Ventura • FINAL
CLYDE N DIRLAM. PRINCIPAL ST CT RAL ENGINEER
PLAN CHECK VALIDATION cK M o CASH PERMIT VALIDATION cK m o CASH
k
00 0 4 6 - JUL 24 2 3 A 3 00
- LACo 00 4 7 JUL 2 4 1 A 1 2 .Q Q .
WORKERS' COMPENSATION DECLARATION
s Insirtie, u affirm that I have r certificate of consent to self A P P L I AT',ON FOR BUILDING P E RM I T
" ms ore, �r a certificate of Workers' Compensation Insurance, +
.`or d certified copy ther of (Sec 3800, Lab C )
//��,, COUNTY,OF, LOS,ANGELES, BUILDING AND SAFETY
Policy No��Company
El Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS D BUILDINGt v�
Certified copy is filed with the county building inspec- BUILDING
tion department ADDRESS 6
Date 'may Applicant CITY ZIP LOCALITY
CERTI KATE OF EXEMPTI FROM WORKERS' NO OF BLDGS NEAREST
COMPENSATION SURANCE SIZE OF LOT NOW ON LOT CROSS ST
(This section need not be completed of the permit is for one /► 3 ASSESSOR
hundred dollars ($100)or less ) TRACT (/ BLOCK LOT NO MAP BOOK PAGE PARCEL
TEL US ONE MAP
I certify that in the performance of the work for which this OWNER P� NO NO
permit is issued, I shall not employ any person in any manner SPECIALi
so as to become subject to the Workers'Compensation Laws ADDRESS G't�7'f CONDITIONS U
CITY G ZIP
Date Applicant G XARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PRO SSED BY O
NOTICE TO APPLICANT If, after making this Certificate of ENGINEER l I? NO
Exem tion, you should become subject to the Workers' � CONST NE H
a v I !=, � k_25U
Compensation provisions of the Labor Code, you must forth- ADDRESS VL GW..
with comply with such provisions or this permit shall-be EL / STATISTICAL CLAS$IFI ATION APT NDO (ndeemed revoked CONTRACTOR NO alC1 Z
LICENSED CONTRACTORS DECLARATION s LIC CLASS NO WELL UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO O
(commencing with Section 7000)of Division 3 of the Business and l LIC SEWER MAP
Professions Code, and my license is in full force and effect CITY ra CLASS BK PG' VALIDATION
SQ FT -2! O OF NO OF r CHECK
License Number Lir Class SIZE `SSTORIES FAMILIES I ONE
VALUATION
Contractor Date �da DESCRIPTION OF WORK NEW ❑ s o�L
t /Pi fpm ADD ;9999.4A `
I am exempt under Sec ❑
ALTER ,
B&P C for this reason �.." I REPAIR ❑ $
USE OF ❑ I • 26550
Date ` EXISTING BLDG .ft DEMOL
APPLICANT O 0 5
Signature ai FINAL • • 2 6 5 5
OWNER-BUILDER DECLARATION PRINT) DATE
I hereby affirmthat I am exempt from the Contractor's License ADDRESS 1 FIN 6.27-88
Law for the following reason (Section 7031 5, Business and
Professions Code) PRESENT
By
BUILDING BUILDING ` a
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 LOCALITYs..
7044, Business and Professions Code) MOVING TEL
-
I, as owner of the property, am exclusively contracting CONTRACTOR NO r
with licensed contractors to construct the project (Sec-
ADDRESS
tion 7044, Business and Professions Code)
REQUIRED YARD HWY TOTAL SETBA
CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH t
I hereby affirm that there is a construction lending agency for FRONT v. R
the performance of the work for which this permit is issued P L �� .%r�~ �'a
(Sec 3097, Civ C ) SIDE _
PL t
Lender's Name
C LDMA Ref_N t I f
PC Fee S Permit Fee
J 41 't
Lender's Address
I certify that I have read this application and state that the Issuance Fee ,�0 LDMA P/C M
above information is correct I agree to comply with all County Investigation Fee c
q ordinances and State laws relating to building construction, Total Fee Ll LDMA Perm q w
$ and hereby o thonze representatives of this County to enter ~.
upon thea e-mentioned property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE �\
n Signature of Applicant or Agent Date
t r