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HomeMy Public PortalAbout9102 EMPEROR AVE_Building__ ,_76A638A CE b6032-63 APPLICATION FOR BUILDING PERMIT �r COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND-SAFETY DIVISION LOCALITY — i YJ JOHN A LAMBIE °COUNTY ENGINEER -NEAREST F WILLIAM A JENSEN SUP T OF BUILDING J CROSS ST 4 y r DISTRICT O GROUP TYPE BY , FOR APPLICANT TO FILL'IN CONST BUILDINGJ�•�'] STATISTICAL CLASSIFICATION - S ER MAP - ADDRESS �/v pGr�Q� ` ` , JFK 17 G � I CLASS NO DWELL UNITS ..-. L �/ - BLOCK ° WATER CERTIFICATE NOT REQUIRED ❑ ,RECEIVED «TRACT + MAP �Q HIGHWAY • STATE MAJOR SECON LOCA +NO OF BLDGS' NO CJ (CIRCLE) SIZE OF LOT o- `NOW ON LOT USE ZONE - SPECIAL 1 ' ,USE OF , - CONDITIONS_ 'EXISTING BLDG TEL ( a OWNER 5, - _ BUILDING EXIST YARD HWY STRE T NAME SETBACK WIDTH ADDRESS - FRONT ARCHITECT OR i - TEL F' L ENGINEER, _ NO SIDE P L ADDRESS TEL 0CONTRACTO / NO w ADDRESS - _ O DESCRIPTION OF WORK . W IL NEW ADD_ ALTER REPAIR DEMOLISH '+ N SQ FT NO OF NO OF t / ? SIZE 'STORIES FAMILIES USE OF , STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR S SIGNATURE PC PMTS' �f FOUNDATION FEE S I-FEE 5LOCATION � r�� +, ( i J / � FORMS MATERIALS FRAME FIRE STOPS `I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Id GAS VENT, DUCTS BUILDING CONSTRUCTION -1 CERTIFY THAT IN`DOING THE WORK ' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT •� TION OF`THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT _ -KING TO WORKMEN S�COMPENSATION INSURAN I LATH EXT f�'1 SIGNATUREOF_, �t���( ' HOUSE NUMBER COR PERMITTEE I/TL�. .i� L_h, p1 - RECT AND POSTED I ' ADDRESS FINAL o`-0 ` JOHN F LE PRI CIPAL ST URAL ENGINEER_.-- PLAN CHECK VALIDATION'' .rCK _,M0 CASH _ PERMIT VALIDATION cK i M O CASH �+i 0 2 8 6 1 NOV 2 2 1 D 1 1 .5 0" `l t _ ,. �.,. 2 e 7V638A CE r=603 "'APPLICATIONF BUIL G PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING24,0 MAKE CHECKS PAYABLE 70 ADDRESS HARVEY T BRANOT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST j Print ort a only) CROSS ST l �� BUILDING nn DISTUNoO GFtoup TYPE ADDRESS CONSr7q// PRO S4SED Y �D�C./ C/OO � ✓0 STATISTICAL CLASSIFICATION SEWER MA LOT NO BLOCK CLASS N DWELL UNITS BK PG 9 TRACT / `IV - U ZONE MAP - NO OF SLOGS NO C>20 U SIZE OF LOT NOW ON LOT yZ/ ( SPECIAL USE OF CONDITIONS EXISTING BLDG OWNER ,/. VAWD GdQ j5V 0&1 k TO BLDG SETBACK FROM ADDRESS © Z FRONT PROP LI NE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL CITY HIGHWAY WIDTH FROM C L ' ARCHITECT OR TEL t = ENGINEER NO BLDG KFRO � ADDRESS SIDE PROP LI (STREET) p TEL TYPE OF EXISTING SE K FIG t = TOTAL U CONTRA CTO O It `/,a3 HIGHWAY WIDTH F M C L � ADDRESS,�&Q /�� LIC NO �7OY �7 - t W LIC CITY �jC CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH �j /T-- SEE REVERS SIDE FOR SPECIAL APPROVALS ADDRESS / 'S /"J s`/ /h I►"vt B �1D 3 LU NO OF NO OFEl STORIES FAMILIES NEW l ADD ALTER REPAIR❑ F DEMOL�V(/ APPROVALS - ATE - INS TORS IGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE$ FORMS MATERIALS ' OL FRAME FIRE STOPS 7 -3 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WI NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT LABOR COD 0 THE STATE OF CAL RNIA IN RELATING TO WORKMEN'S M NSA RA NCE LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL -3/2f/ PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATIO CK M O CASH �'�, 0 9 8 6 73 mAY 7 1 D 4 2.0 0~ 76A636A CE N603 2-63 APPLICATION -FOR BU IL' DI G PERMIT r COUNTY OF LOS ANGELES ABlUI DDREISs 'L E �� p pkv c�� r DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY ` JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SuP T OF BUILDING CROSS ST L DIST CT N G UP TYPE `P O D B FOR APPLICANT TO FILL,IN` coNsr BUIL,PING T - STATISTICAL CLAS IFIC TION _ S WER MAP �� r ADDRESZ S O 2 = Kms, G + CLASS NO DWELL UNITS LOT NO BLOCK WATER + CERTIFICATE NOTtREQUIRED IXI - RECEIVED ., TRACT ' �� MAP _ �,3, -HIGHWAY t NO OF BLDGS NO_ , ti (CIRCLE) STATE MAJOR SECOND LOCAL -SIZE OF-LOT - NOW ON LOT, USE ZOr4E SPECIAL USE OF CONDITIONS EXISTING BLDG Ckf _TEL2 OWNER et L Q0 �' NO B ILDING „ EXIST SETBACK YARD HWY STREET,NAME WIDTH ADDRESS 4FRONT ARCHITECT OR .0, TEEW, P L ENGINEER No Z� 'SIDE ADDRESS Z ',J+ O f •� /�� } �- O_ A CONTRACTOMLui N 'S 6 t��r•,', ..I'- ,,.1� - ,'fix ADDRESS / v-v , O I i / V DESCRIPTION O WORK W -NEW ADD ALTER REPAIR 'DEMOLISH _ SQ FT - NO`OF NO OF SIZEiso S RIES, ` FA ILIES f'� V ,. J USE OF ST UCTURE Q\ aJL SIGNATURE OF • d '` �' APPLICANT VALUATION y - z APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION ,FEE $ J FEE $ Y �S-(✓ FORMS MATERIALS FRAME FIRE STOPS - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS + ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION I WITHALL COUNTY ORDINANCES AND STATE.LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY'PERSON+IN VIOLA LATH INT `.TION OF THE^LABOR CODE OF THE STATE-OF CALIFORNIA RELAT ING TO WORKMEN S CO ENSATION INSURANCE • ' LATH EXT ) SIGNATURE OF HOUSE NUMBER COR ' PERMITTEE-- RECT AND POSTED ADDRESS, •FINAL JOHN F LEWIS~PRINCIPAL ST URAL ENGINEER PLAN CHECK'VALIDATION K MO CASH _ PERMIT VALIDATION CK M 0 CASH �I�,0 2 4 9,3 NOV 132 3, D 9.2 5'; "�' u r LAC0 2 4(`9'4 NOV''l.3 1 D 1 '8.5 0N �: TEMPLE CITY ' ` I r 76A638ACE�r.. .-, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING O 2 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE •COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DIST ICT Np TYPE P O S IBY FOR APPLICANT TO FILL IN 0 Y_' FoNST ' BUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS 2 A�Ore_ - K Cy CLASS NO DWELL UNITS /� / LOT NO BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE n/ TRACT 6 " MAP _HIGHWAY -,[ NO OF BLDGS NO (CIRCLE) STATE MAJOR SECON LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL _ LRH . - i CONDITIONS G BLDG C4 I '^ EL �JQ ' NO BUILDING EXIST SETBACK YARD III HWY STREET NAME WIDTH ISS ' £ FRONT, ECT OR TEL P L ER NO SIDE ``l P L SS TEL ��.y``y//� 0 ACT - ({£. C �✓ O LL /J 0 SS DESCRIPTION OF WO ��'' "�� N CL ADD ALTER REPAIR DEMOLISH,NO OF NO OFSTO FAMILIES � ��— --, USE O FA/A STRUCTURE � �^�- SIGNATURE OF` APPLICANT VALUATION APPROVALS DATE INSPECTOR S SIGNATPC IMT URE vv' FOUNDATION LOCATION FEE $ FEE $ f FORMS MATERIALS _ FRAME FIRE STOPS �t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING -GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT ' TION OF THE LABOR DC OF THE STATE OF CALIF NIA RELAT ING TO WORKMEN 5 C ENSATION SURAI LATH EXT ' SIGNATURE OF HOUSE NUMBER COR _ PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRITICIPAL SORAL ENGINEER PLAN CH VALIDATION CK M CASH _ v PERMIT VALIDATION CK M o CASH LVLC) 3 0 4 3 DEC 2 1 D 6.00- S 78A 638A CE #803 1/71 r �� _ a APPLICATION FOR,B�JILDIN PERmll COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY � FOR APPLICANT TO FILL IN NEAREST CROSS ST Print or tyDe only) BUILDING r ^ DIS„RI NOS GRO TYPE D ADDRESS yld.Z G crmec-1RQ� �a CONST � STATISTICAL CLASSIFICATION SEVER MAP LOT NO J{ BLOCK CLASS NO /DWELL UNITS TRACT USE ZONE MAP NO OF BLDGS NO SIZE OF LOT NOW ON LOT SPECIAL USE OF /� M �. CONDITIONS EXISTING BLDG 1,4 QQ� n L OWNER4o tL/ 4)✓v .ACJ TOL�O 6?S U BLDG SETBACK FROM ADDRESS �Q�, E L-_ OtjPG�/Q R FRONT PROP LINE OF (STREET) //�� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY fJCQ,46/C /C- 1L, HIGHWAY WIDTH FROM C L ARCHITECT R JJ� TEL + _ ENGINEERWi� 640 LCi NO.. / BLDG SETBACK FR AODRESS ;, V Jar SIDE PROP LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIGH YARD = TOTAL d CONTRACTOR NO HIGHWAY WIDTH FROM C L U LIC + _ ADDRESS NO O LIC U CITY CLASS CORNER CUTOFF YES ❑ NO ❑ W CONSTRUCTION LENDER a NAME AND BRANCHAla SEE REVERSE SIDE FOR SPE IAL APPROVALS `` ADDRESS / SQ FT NO OF NO OF ❑ L , SIZE STORIES FAMILIES NEW + USE OF ADD STRUCTURE (- ALTER �i SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ �� 11-7 r VALUATION $ �� A PROVALS DATEINSP Ton's S NATURE P C PMT FOUNDATION LOCATION /S / ?' } FEE S FEE $ FORMS MATERIALS (/ FRAME FIRE STOPS /C Al71 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS 1 STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO / / lie WORKMEN'S COMPENSATION INSURANCE LATH EXT SIGNATURE OFop_p =J .0, �,�L IS_� 1 HOUSE NUMBER COR- PERMITTEE lG✓ RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINC�IPA4 STRUCTURALENGI PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK .0 CASH LAGO2676 u6i 4 1 D 21 .75- � 1 WORKERS' COMPENSATION DECLARATION ^ insure, affirm that I have r certificate of consent to self AP P L I CATION FOR .B U�I L D I N G PERMIT 1 insure, or a certificate of Workers' Com ensation Insurance, or a certified copy thereof (Sec 38OU Lab• C ) ` '' _ y t _ y t, j/` COUNTY OF LOS ANGELES • BUILDING AND SAFETY F Policy No Company JZ h cam*-" - - — - !- ❑" Certified,copy is hereby furnished 1 •,+ , FOR APPLICANT TO FILL IN BUILDING _ ADDRESS Certified copy is filedwiththe couriry _ building inspec- BUILDING _ a i tion deparfinent ADDRESS2/021 ( ; Date /:Z Applicant CITY J ' ZIP LOCALITY CERTIFICATE OF EXEMPTI FRO WORKERS" - NO-OF BLDGS - - r NEAREST. 'i 'lCOMPENSATIO INSURANCE l SIZE OF LOT NOW ON LOT CROSS ST A4J '+ (TFiis section need ndt be completed ifthe permit is for one - z - ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL USEJZNE MAPI certify that in'the performance of the work for rich this OWNER NO NO permit isissued, I shall not employ any person,in an'y manner - _ SPECIAL - } -- - - - - - O so as to become subject to the Workers'�Compensdtion Laws ADDRESS = CONDITIONS a �,{,... ..- CITY _ _ZIP_ _ - - - 4 - ---- , - - � Date ` ' Apphcani 1 NOTICE TO"APPLICANT If, after ritaking'this Certificate of ARCHITECT OR TEL` O . DISTRICT _ GROUP I.TYPE,,, FIRE PR SSED BYIr~Exemption, you should become subjectto 'the Workers' - ENGINEER NO CONZONE i VCompensation provisions of the Labor'Code, you must forth- ADDRESS �' r� - _ I U with comply with such provisions or, this,permit,shall be ._ - - - H deemed revoked.- ; : , ,� TEL Z STATISTICAL CLASSIFICATION APT CO Z CONTRACTO NO N� / r } LICENSED CONTRACTORS DECLARATION, ' - �� - LIC-- - CLASS Nd DWELL'UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS I4 NO 31 7 (commencing with S'e'ction 7000)of Division 3 of the Business and LIC - SEWER MAP 1 +• t Pr'6fes'sion's.Code, and my liceAe is+n full force and effect CITY CLASS 3 - "- VALIDATION - iR BK PG _3 SQ FT NO OF _ NO-OF CHECK ! .• I SIZE' STORIES FAMILIES ONE ' Z License Number'�� )�7 Lic Class '� - r. .Y• •, Contractor Date ! DESCRIPTION OF WORK` NEW VALUATION ' ❑ $ r ` o ADD ❑ jam exempt under Sec y ❑ , i TER ❑ 1 .. .1', B&P C for this reason _ REPAIR ❑ s I Date USE OF _ EXISTING BLDG DEMOL ❑ _ Signature - - APPLICANT TEL FINAL 1 5 1.5-A OWNER-BUILDER DECLARATION PRINT NO -� _ _ DATE- �' I hereby affirm that I am exempt from the Contractor's License #o`o 6-0-0 1 " Law for the following reason (Section 7031 5, Business and ADDRESS FIN " " ; Professions Code) PRESENT BY ° --5 9.2 5-12 „ ❑ BUILDING ! I, 'as owner of the property, or my employees with ADDRESS _ _ wages as their sole compensation,will do the work and LOCALITY ' 5 9 2'5 ffv ,the structure is not intended or offered for sale(Section ” -7044,-Business and Professions Code) MOVING TELl �^' 0 21 2—8 5' I, as owner of the property, am exclusively contracting CONTRACTOR NO lt. �-` with licensed contractors to construct theproject (Sec- Finvest tion 7044, Business and Professions Code) D _TOTAL SETBACK 1 CONSTRUCTION LENDING AGENCY - YARD HWY PROP LINE WIDTH i I hereby affirm that there is a construction lending agency for ' -the performance of the work for which this permit is issued - - (Sec 3097, Civ C ) _ i �� I -Lender's Name _ n _ _ __ :_._ i, LDMA Ref # nt Lender's Address _ ^- Permit Fee - r i I certify that I.have read this application and state-that the _ ___ Issuance Fee 119,J �- LDMA P/C#- - - - -- ft - Q above information is correct I agree to comply with all County on Fee , ordinances and State jaws relating to building construction, _ w _ __ _ _ _ r: v and reby autho representatives of this County to enter Total Fee �� r� LDMA Perm # ! 1 m up the above- a ti ned property for inspection purposes }F - 8- SEE REVERSE FOR EXPLANATORY LANGUAGE -Signa re of Applicant or Agent-- - - r 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 0604100002 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14396 LT 1 SQ FT STORIES TYPE 9102 EMPEROR AV STRUCTURE 1500 VN TEMP CA 917800000 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5382-015-001 THOMAS PAGE GRID LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 04/10/06 JK 04/05/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE VINCENT, DEBORAH (626) 285-2557- 10,000 9102 EMPEROR AVE SAN GABRIEL CA 91775 FEES PAID DESCRIPTION OF WORK TEAR OFF AND REROOF WITH COMPOSITION SHINGLES HOUSE/GARAGE FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 10000 00 VAL 1 00 SPECIAL CONDITIONS D2 PERMIT W/O EN-HC 10000 00 VAL 216 60 TOTAL FEES 245 35 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 153H265 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING / SCHOOL WITHIN HAZARDOUS SHEAR PANELS ( (' AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OP PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306050041 ' PHONE (626) 285-0488 EXT (LEGAL ID NO OF CONST NEW J BUILDING ADDRESS 1 ITR 14396 IT 1 SQ FT STORIES TYPE OCCUP GROUPI 9102 EMPEROR AV J 1 ISTRUCTURE 240 1 V-B R3 I TEMP CA 917800000 1 (ASSESSOR INFORMATION NUMBER GARAGE 1 NEAREST CROSS STREET 1 15382-015-001 I OTHER I THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl (TENANT (EXIST BLDG USE USE ZONE JISSUED ON PROCESSED BY IEXIST OCC GRP 106/05/13 SR I I I I DOWNER TEL NO IBLDGS NOW ON LAT VALUATION 1FINAL JD IN BY CODE 1 IHOUSDEN, DEBORAH (310) 991-2685- 1 36,000 1 19102 EMPEROR AVE I I I 1 ISAN GABRIEL CA 91775 J FEES PAID I'5124CRIPTIOA OF WORK Q1 J I JADDITION OF 240 SQFT BEDROOM AND BATHROOM ALONG WEST SIDE J I IFEE DESCRIPTION QUANTITY UOM A AMOUNT JOF (E) BLDG I (APPLICANT TEL NO I I I (SAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27 80 1 1 J IAB STATE GREEN BLDG FEE 36000 00 VAL 2 00 (SPECIAL CONDITIONS J I IAC STRONG MOTION RESID 36000 00 VAL 3 60 1 J 1 JB1 PLANCHECK W/ENERGY 36000 00 VAL 575 60 J J JB2 PERMIT W/ENERGY 36000 00 VAL 677 20 i J ICONTRACTOR TEL NO 108 CERTIF OF OCCUPANCY 101 40 JAPPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - J TOTAL FEES 1,387 60 1 1 I LIC NO 1 (LOCATION AND SETBACKS I I I - ISOILS ENGINEER APPROVAL J 1 JARCHITECT OR ENGINEER TEL NO J FOUNDATION/TRENCH FO I 1 I LIC NO (SLAB/UNDER FLOOR 1 I I (RAISED FLOOR FRAMING J I I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I 1 3 001 1 -1-1 I I (IST LEVEL FLOOR SHEATH I J 1NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I 1 I j SCHOOL WITHIN HAZARDOUS 1ROOF SHEATHING J JAIR QUALITY 1000 FEET MATERIALS I I I I J NO NO NO J IF1RE DEPT FRAME INSPECTI I I I I i 1 I 1 1 J !BLDG DEPT FRAME INSPECTI I I I I I I (SHEAR PANELS I I I 11NSULATION/WEATHER STRIP I I JINTERIOR LATF/DRYWALL I I JEXTERIOR LATH I 1 1 1 ILOT DRAINAGE 1 1 I I I I I I I I I (SMOKE DETECTION DEVICES J 1 1 1 J IFIRE DEPARTMENT APPROVAL( I I I I I I I I I i I I I I I I i I I I J IREPORT ID DPR261 ROUTE TO BS0508 1 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 RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307010023 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW 1 BUILDING ADDRESS ITR 14396 LT 1 I SQ FT STORIES TYPE OCCUP GROUPI 9102 EMPEROR AV ISTRUCTURE 240 1 V-B R3 I TEMP CA 917800000 (ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET 1 15382-015-001 I OTHER THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl ITENANT (EXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY I IEXIST OCC GRP 107/01/13 SR 10WNER TEL NO 1BLDGS NOW ON LOT VALUATION IFINAL DATE FINA BY CODE 1 IHOUSDEN, DEBORAH (310) 991-2685- 1 12,600 19102 EMPEROR AVE I Oil-k ISAN GABRIEL CA 91775 1 FEES PAID 1 CRIPTION OF WORK 1 I IREVISE PLANS TO ALLOW FOR 6" ADDITIONAL WIDTH OF ADDITION + 1 J IFEE DESCRIPTION QUANTITY UOM AMOUNT 185 SQ FT SEE ALSO BL 1306050041 1 (APPLICANT TEL NO I I I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1 1 J JAB STATE GREEN BLDG FEE 12600 00 VAL 1 00 ISPECIAL CONDITIONS 1 J JAC STRONG MOTION RESID 12600 00 VAL 1 30 I J IB1 PLANCHECK W/ENERGY 12600 00 VAL 249 70 I 1 J IB2 PERMIT W/ENERGY 12600 00 VAI, 293 70 I I CONTRACTOR TEL NO TOTAL FEES 573 50 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I LIC NO 1 ILOCATION AND SETBACKS I I I I I I I I I I J ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I 1 LIC NO I ISLAB/UNDER FLOOR I I J I I I J I IRAISED FLOOR FRAMING J J J I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I 1 3 001 1 11 J I 11ST LEVEL FLOOR SHEATH 1 I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I I (AIR QUALITY 1000 FEET MATERIALS 1 I I I I 1 NO NO NO I IFIRE DEPT FRAME INSPECTI I I J I 1BLDG DEPT FRAME INSPECTI I I I - ISHEAR PANELS I I I I I (INSULATION/WEATHER STRIPI I I I (INTERIOR LATH/DRYWALL I I J I I I I 1EXTERIOR LATH I I I I I I I J ILOT DRAINAGE I I I I I I J J (SMOKE DETECTION DEVICES I I I I I I I I J I IFIRE DEPARTMENT APPROVAL( I I I I I I I I REPORT ID DPR261 ROUTE TO BS0508 J I I I