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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