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7GA638A CIE#803 I-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST L
DISTRICT NO -TYPE P S Y '
FOR APPLICANT TO FILL IN I o CONST
BUILDING i / STATISTICAL CLAS KATION S ER MAP
ADDRE53 J (! l` (Q f! /BKS—CPG
CLASS NO DWELL UNITS
LOT NO 5` BLOCK WATER NOT REClUIRRECEIVED
CERTIFICATE
TRACT x�..� MAP HIGHWAY
I NO OF BLDGS NO (cIRCLE> STATE MAJOR SECOND LOCAL
SIZE OF LOT 79 Y / (� I NOW ON LOT USF ZONE SPECIAL
USE OF /1 CONDITIONS
EXISTING BLDG
TEL 6 '
OWNER LJ` Y PJ NO J'�O BUILDING EXIST
/ ` /l � SETBACK YARD HWY STREET NAME W, TH
ADDRESS 7 /� �II 1 J C4�(P FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L >_
ADDRESS TEL ) INSPECTION RECORD , O
CONTRACTOR NOA !� -e � ' p`
ADDRESS - bG �/
DESCRIPTION OF WORK �r'+LriJ1tY� �" �k'IA�, O
W
CL
NEW ADD ALTER REPAIR DEMOLISH 4 Z
SQ FT NO OF NO OF —
IZE STORIES FAMILIES
USE OF
r STRUCTURE
SIGNATURE OF�/r
APPLICANT '__/)t Q �C rl-U Ci
VALUATION$ .2 &&Q,
--M
APPROVALS DATE INSPECTOR S SIGNATURE
FPC EE $ FEE $ "� FOUNDATION LOCATION
FORMS MATERIALS
FRAME FIRE STOPS
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK n A` /�J`//�'
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 1 w I // wS
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT
SIGNATURE ' HOUSE NUMBER COR
PERMITTEE RECT AND POSTED G /�
ADDRESS- FINAL
I- ..� FINAL
CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK M o CASH PERM VALIDATION CK M D cASH
LAuo 6 2 5 3* OCT 31 1 D 1150-
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76ABfBA CIE 801 S 60 APPLICATION FOR BUILDIN PERMIT
#
COUNTY OF LOS ANGELES BUILDING
P DDRESS 61-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALI
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO I GROUP I TYPO PR SEDBY
FOR APPLICANT TO FILL IN `� CONST
STATISTICAL CLASSIFICATION SEWER MAP
BUILDING BK G�
ADDRESS
CLASS NO DWELL UNITS
LOT NO G LOCK MAP STATE YE NO
NUMBER HWY
TRACT USEZONE SPECIAL
�7 NO OF BLDGS / CONDITIONS
SIZE OF LOT G1�P/� y I NOW ON LOT
USE OF
EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST
SETBACK WI TH
OWNER Bill E. Burge NO,�7_,��1162r -FRONT
OWNER1/171,
ADDRESS -192( Rio Hondo Pky. SIDE
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS d
TEL.
CONTRACTOR Caprl Homes ln&o,,i35164 / �.0
ADDRESS l l Q27 R'I n Nnndn Pk;
DESCRIPTION OF WORK
a
An
NE ADD ALTER REPAIR DEMOLISH _ Z
SQ FT NO OF NO OF I
SIZE q o STORIES FAMILIES
USE OF
STRUCTURE 2-Car Gar e
C ,
SIGNATURE OF
APPLICANT
I
VALUATION$ �-
APPROVALS DATE INSP CTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS 'le A
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS d ��
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT /
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA h'M
LATH EXT ((3��'
SIGNATURE OF HOUSE NUMBER COR ,p
PERMITTEF RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK M o cnsrl CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER
PERMIT VALIDATION cK M o r.Asa
I
� 65z�, 'P13 0 600
I
TEMPLE CITY
pp 1 -
76A61EACEylO] 1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEEtA ADDRESS
BUILDING AND SAFETY DMSIONAL(
JOHN A LAMBIE COUNTY ENGINEERREST /
WILLIAM A JENSEN SUP T OP BUILDINGSSS STAIL
CT O GROU TYPE P CESSED BY
FOR APPLICANT TO FILL IN (� CONSv
BUILDING TISTICAL CLAS 1 (CATION SEWER MAP
BK PG
ADDRESS ASS]NO ELL UNITS
LOT NO S.S.T-� BLOCER NOT REQUIRED RECEIVED
IFICATE
Li
TRACT /'2 / qq I HIGHWAY STATE MAJOR SECOND LOCAL
NO OF BLDGS ) (CIRCLE)
SIZE OF LOT NOW ON LOT ZONE SPECIAL
USE OF CONDITIONS
XISTING BLDGTne ELOWNERd NODING EXIST
ACK nYARD HWY STREET NAMEWIDTH
ADDRESS ONTARCHITECT OR TELL �r7
ENGINEER NO SIDE
P L
ADDRESS
TEL INSPECTION RECORD a
CONTRALTO C NO l
ADDRESS O
DESCRIPTION OF WORK
W
CL
NEW ADD ALTER REPAIR DEMOLISH , Z
SQ FT NO OF NO OF _
IZE STORIES FAMILIES
USE OF
STRUCTUR /1
SIGNATURE OF
APPLICANT
VALUATION$ /' n
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION `
FEE $ FEE �� FORMS MATERIALS t ai'/+�
FRAME FIRE STOPS Q
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION Y r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 714
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK —r /� {
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 6 Oaf'
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION URA I�CE
LATH EXT
NUMBER
PERMITTEE- OF ESIGNATUREli HOUSE
AND POS EDD
ADDRESS FINAL /]�1 WH liL/✓�—�
CLYDE N DIRLAM PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERM VAIJDATION M D CASH
2366 .3 SEEP 200
r l
{ CELS C7MPENSATION DECLARATION 1 3"
tLAhereby`officm that � have q.,.ertificcste of consent to self APPLICATION FORRU I L D I N G -PERMIT- _
insure or a certificate 'of Workers Compensation Insurance
or a certified copy thereof (Sec 3800 Lab C ) - - Y-
tt COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ^ ADDRESS
❑❑ Certified copy is filed with the county building inspec BUILDING r-
tion department ADDRESS
Date Applicant CITY ' ` ZIP //� Q LOCALITY t
J ` CERTIFICATE OF EXEMPTION FROM WORKERS t F NEAREST
SIZE OF LOT NOW LOT CROSS w� t
COMPENSATION INSURANCE '� C
(This section need not be completed if the permit is for one - - a ASSESSOR U ✓ '
hundred dollars ($100),or less ) °f TRACT BLOC LOT NO MAP BOOK r. PAGE PARCEL
TEL USE ZONE MAP '
t+ OWNER NO �g NO 14 s -
I certify that in the performance of the work for which this -_- /�
permit is issued I shall not employ any person in any manner 1/��6 .eXR ✓-Ii _' SPECIAL r _ t i d
ADDRESS 7^v CONDITIONS +t - O
so as to be ome subject to the Worke s Compens tion Laws V
Dater `�' Applicant c.,6r'�"""�� CITY _ ZIP �Q i I_ V „ 10
NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT�GROUPJ TYPEFIRE PRO SED BYENGINEER NOriExemption you ishould become I subject to the Workers / CONST , ZONE , { WCompensation provisions of the Labor Code you must forth - ADDRESSQA/ t (/ � -
with comply with such provisions or this permit shall be - - TEL' STATISTICAL CLASSIFICATION APT NDO
deemed revoked , CONTRACTOR NO _ ' 1 WEI a
LICENSED CONTRACTORS DECLARATION - - - - LIC -
- CLASS NO I-DLL UNITS - T
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO
(commencing with Section 7000)of Division 3 of the Business and _ _ LIC _ SEWER MAP
1
Professions Code and my license is in full force and effect CITY CLASS a VALIDATION -
' SQ FT NO OF NO OF _ CHECK BK PG
License Number ! Lic Class SIZE STORIES FAMILIES - ONE VALU �f
TIO d-
t i'� t a r ESCA �
t^ 1 DESCRIPTION OF WORK ` NEW E] ? 0
Contractor- 1 Dote z ADD $
I am exempt under Sec v
z ALTER ❑ f
' B&P C for this reasonREPAIR p $ - - ;23968A
USE OF ,�.
Date EXISTING BLDG DEMOL ❑ # e e • • • 1
Si nature APPLICANT TEL // FINAL
g PRINT � d �/�� Q NO f 47.3r '� t _
OWNER BUILDER DECLARATION _ JJ /�`' �- DA ---j I •-• 8 7 3
1 hereby affirm that I am exempt from the Contractor s License F ADDRESS ys�r0 E"S -- ��� /�P. FINA S ` r
Law for the following reason (Section 7031 5 Business and
Professions Code) _ PR ` 'Ely Y r • • •.-8 7 3 8 0=
BUILDING ,�/ - ��
_ I as owner of the property or my employees with ADDRESS 0`Z Q.3-86 1
wages as their sole compensation will do the work and LOCALITY �lL. t ~ v ` t
the structure is not intended or offered for sale(Section
7044-Business and Professions Code) MOVING - "' TEL
❑ CONTRACTOR - v NO
I as owner of the property am exclusively contracting t`
r t
' with licensed contractors to construct the project (Sec
tion 7044 Business and Professions Code) ADDRESS
REQUIRED TOTAL SETBACK _ _ _ s __ -
- CONSTRUCTION LENDING AGENCY '� ' SET BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P L--
(Sec 3097 Civ C ) SIDE r + a {
PL
m _
Lender s Name
- LDMA Ref # ;
P C Fee$ - Permit Fee
Lender s Address u _/, f r-r-
> certify that I have read this application and state that the _ __ _ Issuance Fee Q- V - - 4 LDMAtP/C#
above information is correct I agree to comply with all County Invesngauon Fee
ordinances and-State laws relating to buiIds ng construction Total Fee 0 -LDMA Perm # - - -
v and hereby authorize representatives of this County to enter
_upon the above mentioned property for inspection purposes 4
r
al,- . � �` �� �� SEE REVERSE FOR EXPLANATORY LANGUAGE +
^_^^Signature of Applicant or Agent 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 0601060021
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR 12998 LT 15 SQ FT STORIES TYPE 4526 FIESTA AV
STRUCTURE 24 VN TEMP CA 917804209
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA
8592-001-028 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R 1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 01/06/06 JK 01/01/07
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
BRUNO ARMANDO VIVIAN (626) 674 2823 11 170 /—p- —
4526 FIESTA AV
TEMP 917804209 FEES PAID DESCRIPTION OF WORK
TEAR OFF NEW ROOF 24 SQUARES TORCH FLAT NEW RIDGE
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
GARVEY ROOFING (626) 358 9208 AA BLDG PERMIT ISSUANCE 27 75
174 W FOOTHILL AC STRONG MOTION RESID 11170 00 VAL 1 12 SPECIAL CONDITIONS
MONROVIA CA 91016 D2 PERMIT W/O EN HC 11170 00 VAL 250 20
TOTAL FEES 279 07
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GARVEY ROOFING (626) 356-9208
174 W FOOTHILL BL LIC NO LOCATION AND SETBACKS
MONROVIA CA 91016 692839 C39
SOIIS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS
_t
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDFRFLOOR INSULATION
144H269 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS
NO 21 ROOT SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAPiE INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRL SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL INSULATION/WEATHER STRIP
SIDE PL
INTERIOR LATH DRYWALL
r
EXTLRIOR LATH
RATbD FLOOR CEIL ASSEM
RATkD WALL ASSEMBLIES
RATPD SHAFTS OPENINGS
T BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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 1211010042
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 12998 LT 15 SQ FT STORIES TYPE 4526 FIESTA AV
ISTRUCTURE V B I TEMP CA 917804209
(ASSESSOR INFORMATION NUMBER i I NEAREST CROSS STREET 1
18592 001 028 I 1 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY Cl
I I I
ITENANT JEXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY 1
1 EXIST OCC GRP 111/01/12 SR 1
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
IBRUNO ARMANDO BERTHA (626) 448 6950 I 1 500 1 1
14526 FIESTA AV I I 1
ITEMP 917804209 I FEES PAID IDESCRIPTION OF WORK 1
1 1 16 WINDOWS REPLACED 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I
(APPLICANT TEL NO I I
ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 I 1
1 IAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 ISPECIAL CONDITIONS 1
—IAC STRONG MOTION RESID x1500 00 VAL 0 50 1 -
ID2 PERMIT W/O EN HC 1500 00 VAL 82 20 1
1 TOTAL FEES ill 50 1
CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER I I I
I LIC NO I ILOCATION AND SETBACKS
I ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
1 LIC NO 1 ISLAB/UNDER FLOOR I I I
1 11 1
IRAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP �i �/� 1rnn `� /1 r�Q� JUNDERFLOOR INSULATION
1144H269 3 01 C ��`��iiWCCII V�. '111sss 1
I I IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS `/
1 1 NO 21 (ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS ISHEAP PANELS 1
(AIR QUALITY 1000 FEET MATERIALS I �/
1 NO NO NO ` \� `� (FRAME INSPECTION 1
r
1 IFIRE SPRINKLER HANGERS 1
1 INSULATION/WEATHER STRIP I I
EXPIRED _ ;INTERIOR LATH/DRYWALL I I
,i (EXTERIOR LATH I I I
u rRATED FLOOR/CEIL ASSEM
IRATED WALL ASSEMBLIES I
I I I I I I
1 IRATED SHAFTS/OPENINGS
I I I I I I
1 IT BAR CEILINGS 1
ILOT DRAINAGE
I I I I I I
IREPORT ID DPR261 ROUTE TO BSO508
I I I I I I