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76Ae38A C[#B03B-e1APPLICATION FOR BUILDING P IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DrirmON LOCALITY
JOHN A. LAMBIE, COUNTY EtvglmxKR NEAREST
LLJAM A, J11NOV4. u OF 1 G CROSS 8T.
015T ICT G UP T,Y PROCESSED BY
FOR
APMCMSTO FILL IN CONT.
BUILDINGt STATISTICAL CLASS FICATION
ADDR ESS
.CLASS.NO�DWELL.UN ��G
LOT NO. BLOCK' WATER NOT REQUIRED. �-RECEIVED
CERTIFICATE:
TRACT - M HIGHWAY STATE MA.J.OR SECOND, C L
_ NO.OF D NO. ICIRCL[)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF .. IT CONDITIONS
1EXISTING D
TE
OWNER NO BUILDING ExIUT.
SETBACK YARD HWY EBT MR 1. IDTH
ADDREBH FRONT
ARCH ITECT OR TEL P. L
ENGINEER NO. SIDE t
ADDRESS
;IrTEL INSPECTION RECORD
CONT'RACTO (r NO. RED - 11m,
.
D ON OF WORK RAL e Aping Appgnvpn. H
NEW ADD ALTER REPAIR •DEMOLISH
SQ.FT. NO.OF NO.OF
IZE 1.1 STORIES FAMILIES
USE OF
RUCTU
7 SIG ATURS OF
APPLICANT
VALUATION S �B •—
APPROVALS DAT9 IN3pG OR's 310 TITRE
P.C. rlwT, _ FOUNDATION:LOCATION
F E FE FORM• MATERIALS
FRAME: FIR[bTOPB,
IH[R[SY ACKNOWL[DG[THAT I HAV[READ THIS APPLICATION BRACING DOLT8
AND fTAT[THAT THE ABOVE 1/CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, -
WITH ALL COUNTY ORDINANCES AND STATELAWS R[GUATING CLAS DUCTS
BUILDING CONSTRUCTION. I CKFtTIFY THAT IN L.
DOING THE WORK
AUTHORIZED H[RKNY I WILL NOT EMPLOY ANY P"SON IN VIOLA. LATH INT.
TON OF TH[ LABOR F THE STAT[ OF CALIFORNIA RELAT-
ING TO WORKMEN'• INSURANCE.
LATH E7(T.
SIGNATURE HOUSE NUMBE
PERMITTE RECT,NDPO�RCOR-
ADORES F
CLYDE N. DIRLAM, I Cl AL BTR RAL ENGIN13M
PLAN CSF.CZ VALIDATION m r.o. CASH PmmT V _AON R.O. CAax
LAC077 6 9Q; DEC 3 _ 1 D 6LO- v
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76A638b . .t.803 1/71 C!
���E. ,APPLICATION FOR BUILDI G PERM
S
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL pq
+ BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort a only) CROSS ST.
DISTRICT N GR TYPE PR E D BY
BUILDING _ • r �^ CONST.
ADDRESS a
STATISTICAL CL SI FICA TION SEWER MAP
LOT NO � dl13 BLOCK
��11ff CLASS NO.-,,,2/DWELL.UNITS BKPG
TRACT CQ' ?" USE ZONE MAP
�e
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT �.7 SPECIAL
USE OF ✓1'J CONDITIONS
EXISTING BLDG, ¢r� d"efS�rc
7rE L.
OWNER NO. ai BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY
HIGHWAY WIDTH FROM C.L.
>(
ARCHITECT OPr TEL. +
ENGINEER NO.
BLDG*SET154.CK FROM
ADDRESS SIDE PROP. L (STREET)
TEL TYPE OF EXISTING SETBACK + YARD = TOTAL a
CONTRACTOR �� NO. .3 HIGHWAY WIDTH FROM C.L. U
ADDRESS ` NO + O
LIC. U
CITY G�(/ff. a /� CLASS CORNER CUTOFF YES ❑ NO ❑ ua
CONSTRUCTION LENDER a
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS Z
ADDRESS
SO. FT NO. OF NO. OF' NEW ❑
SIZE STORIES FAMILIES
USE OF J ADD
STRUCTURE /I, /,4
ALTER
PAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ ''�
APPROVALS DATE INSPE TOR'S SIGNATURE
P.C. PMT. '� FOUNDATION: LOCATION _.
FEE $ FEE S O .4-5/ V 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,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED og
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. (I
LABOR CODE OF THE STATE OF -CALIFORNIA N RELATING TO
WORKMEN'S COMPENSATION URANC
�/ ,. LATH, EXT,
SIGNATURE
UOF � HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED /
ADDRESS
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION' cK. M.O. CASH
7SA828A CE0003 9-07 V
APPLICATION FOR BUILD G PER.'v
V-Clo rY OF LOS ANGELES BUILDING 1
DEPARTN5MW OF•rOUNTY ENGW= ADDRESS
B=ING ANI) $AFF.TY DIVISION LOCALITY t
JOHN A. LAMBII�, Cou NTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FRESS
R APPLICANT T FILL IN DI�RICT G TYPE BY
Print or a only) ',S O� CONST.
/!/ STATISTICAL CLASSIF ATION S
^� CLASS NO DWELL,UNITS BK PG
BLOCK USE ZONE MAPONO.SPECIAL
r NO.OFBLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE or
EXISTING BLDG. BLDG.SETBACK FROM
� TEL FRONT PROP.LINE OF (STREET)
OWNER L�4% NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS �!/ t HIGHWAYWIDTH FROM C.L.
7( +
CITY
BLDG.SETBACK FROM
ARCHITEC OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. x +
t�
CONTRACTOR / NO.LIC
[ S1 O
ADDRESS NO. / CORNER CUTOFF YES ❑ NO ❑ G�
LIC.
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS '
DESCRIPTION OF WORK Lu
6 i
NEWADD ALTER REPAIR DEMOLISH
SQ. FT. NO. NO. OF /
SIZE STORIES FAMILIES
USE OF
STRUCTURE 1 1�}�'�'h M{1'�►+
SIGNATURE OF rc 4e
APPLICANT or •O
VALUATION f .
_ APPROVALS DATE INSP[ OR'• SIGNATURE
P.C. J ) PMT, z FOUNDATION: LOCATION
FEES ! * y / FEE 3 FORMS MATERIALS
FRAME: FIRE STOPS,
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AHD STAT[ THAT THE A60V9 IS CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS R[GU LATINO
■U ILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK GAS VENT DUCT$
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA. ~
y TION OF THE LASOR COD[ OF TH[ STATE OF CALIFORNIA R[LAT. LATH, INT.
ING TO WO#KM[N'S COM NG.AT10N INSURANCE
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
' JOHN�Fp.�I ErWIS.�P�7RIIN CIP7AL ST RAL ENGINEER
PLAN CICS VALIDATION CK M.O. CASH _ rLL7.LY111 VAIaI LJATION CK. . M.O. CASH
35404,M1223 D 16ZOL
LV
3.6 5 3,-3` W20 2 3 0 1 3.i 3-
i-LAL� 3 6 6 4kS WAR20• 1 D 5 91.2'5' 41
CEIMTY OF LOS ANGELES - TEMPLE CITY f 0508. - BUILDING PERMIT
-
9071 OF.PLBLIC WORKS: .: - 9071 LAS TUNAS. RESIDENTIAL At?D
_ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA B.L. 0508 9707070006
PHONE:- (818) .265-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUI LDI N([-ADDRESS:
ON.FILE. SQ. FT. STORIES TYPE OCCUP GROLP ,1. .9441 GARIBALDI AV.
STRUCTURE: 77 1. VN. R3 TEMP CA 917801648
ASSESSOR IN FORMAT ION.WJ91ER: GARAGE:- NEAREST ZROn STREET: CLOVERLY
5385.008-020. :- OTHER: -. THOW.PAGE: 596 GRID: J2 Y LOCAJ_IT- TENO LE CITY
i. ._
TBT:. EXIST BLDG USE: USE ZONE: IMED ON: PROCESS ED BY: EXP I R ES ON:
: D(IST OCC GRP: _ MP7/07 TC' 07/07
OWN ER:' TEL.-IRT- 9096. WN ON UIT: VALUArMg- FINAL DATE t-L MAL UT-�
SCHOLVINCK FEDOR A;CAROLYN A (626) 309-0320- 1 5,600 It_Zr '
9"1. GARIBALDI AV I
TEMP 917801648 FEES PAID DERWAV-11CIN OF U13RK
: ADO SQ. PT. OF F LQO�t.SAAC E-fa T SEER BAT HRQ�� LOW OMI.-
FEE DESCRIPTION: QUANTITY: UOK: ANOUIT: -
:
SAKE AS.(AMER TEL..
•. . - AA BLDG.PERMIT ISSUANCE 27.75
AC STRONG NOT ION REBID 5600.00 VAL JO.56 ,
- B2 PERM_ IT.W/EN 00 VAL 165.00
I,_„GTEEP 193.31
CONTRACTOR: TEL. NO: APPROVALS DAIE INSPEJQTOR SUNLATLRE
SAME AS OWNER
:LIC. NO . -.
OFULMDAT ,FOW
SLABAJNDER FLOWPAGE: FIRE ZONE- UNDERILOOR IR90OUTW
ol
is OCIR SH EAT H
F-DUErW[NITS: APT/CC
NO ., 21 :4 U
LEVEL\ (SLWAX WITHIN HAZARDOUS �
AIR QUAL;TY: 1000 FEET MATERIALS. y O .
NO NO NO
FIRE DEPT..FMOWTUMT.
SET BACK YARD: .,' HWY: PROP LINEN _- WIDTH:, � jt�.
FRONT PLS
SIDE'PL
ry
USULATIONNE.&TH�R STRIP
L& DRAIKAU
DETECTIN V=
u
i. FIFE DEPARTREWT7139WE
REPORT ID: DPR261 ROUTE TO: BS0508
f
[[Q�NTY OF LOS ANGELES �, TEMPLE CITY
' BEP' TMEMT OF PUBLIC WORKS 9071 LAS TUNAS BUILDING PERMIT
BUIiDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL D5508 9�Ab0087TIREP
PHONC: (818) 285-0488 EXT: ,r` .7 _146i
ON FILE - SQ. FT STORIESTYPI OCCUP GROUP 9441 GAkIBBAAUI Ayy
STRUCTURE: 377 1 VN R3 TEMP -CA 91760169
ASSESSOR INFORMATION MhK: GARAGE: NEAREST CROSS STREET:
53a5-008-020 OTHER:- THOMAS PAGE: 596 GRID: J2- - LOCALITY: TEMPLE CITY
TENANT:
USE ZONE: I SM
EXIST OCC GRP: 061 /47 �- PROCESSED:TC O6/ .
()WN Bu TEL. NO: BLDG$- VALUATION: TINAL DATE FINAL OWE:
ON LOT
SC#OLVLNgC FEDOR h;CAROLYN A {818).309-0320• 27,900V
9441 GARIBALDI AY _
ql
TERP 917801648 .
AMITWN OF.STUD (OFFICE) AND it EL p(ISTING BATHROOM
FEE'DESCRIPTJON: QUANTITY: .UOM: AMOLKT;
SAME AS QWER. - AA BLDG PERMIT ISSUANCE27.75
AC STRONG MOTION RE9ID 2790O.Od VAL I 2.79 : .
AX BUILDING REVI E� 54.70 :
B2 PERMIT Y VAL._' 561 33.
E 646.57
MWRACTOR: TEL. NO: APPROVALS DAT9 INSPECTOR SIGNATLRE
SAME AS OWNER
- - - LIC. NO �ARCHITECT'OR ENGINEER: TEL -
. /t
LIC. NQ:'t.
j - F
3• a� PUBLIC WORKS -
90 21 r 0 Co. 0 �`'✓
AIR QUALITY: 1000 FLET MATERIALS �► ❑
No No = NO pFIRE DEPT. FRW INPELT.
RMIRED /nBLDG DEPT. MW INSPECT
FSET BACK
RONT PL- YARD:' } Y.: PROP LINE: WIDTH: Ll
SIDE PL- INTERIOR LATH/DRYWALL
_ v�•
I � INSULATION[WEATHER STRIP
SMOKE DETECTION DEVICES
FIRE DEPARTff0n-XM9MW
` REPORT ID: DPR261 ROUTE TO: BS0508
.<' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPA.RTNE TT OF PUBLIC MORES 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202210006
PHONE: (626) 285-0488 - ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORSES TYPE 9441 GARIBALDI AV
STRUCTURE: 3800 V-B TEMP CA 917801648
ASSESSOR INFORMATION NUMBER: h4EnREST CROSS S7.Rl=:
5385-008-020
THONLlB PAGE: 596 GRID: JZ FOCALITY: TEMPLE CITY, C
TENTNT: ED= BLDG USE: RFS ID USE ZONE: R-1 ISSUED ED BY:
EZIST OCC GRP: 02/21/12 SR
OWNER: TEL. NO: BLDGB. NOW ON LOT: VALUATION: F BY: CODE:
ZHANG, DAOIF (626) 623-2931- 12,500
9441 GA.R BALDI AV
TffidP 917801648 FEES PAID AffqRIPTION OF MORE
TEAR OFF F3=FTING INSTATE 30 YRS COMPOSITION ROOF SHINGLES
FEE DESCR=ON: QCANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
BARE, YONG (909) 455-4459- AA BLDG PERMIT ISStANCE 27.80
3806 RIVERSIDE DR. AB STATE GREEN BLDG FEE 12500.00 VAL -1.00 SPECIAL CONDITIONS:
CHINO, CA 91710 AC STRONG NOTION RESID 12500.00 VAL 1.30
D2 PERMIT W/0 EN-HC 12500.00 VAL 267.70 '
FR INV MORE W/O PERMIT 257.00 DOL 257.00
CONTRACTOR: TEL, NO: TOTAL FV-S 554.80 APPROVALS DATE INSPECTOR SIGNA.IVRE
PARE'S ROOFING (909) 455-3566-
3806 RIVERSIDE DR. LIC. NO LOCATION AND S3Tll CXS
CHINO, CA 91710 960999-C39
SO ENGINEER APPRO
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SRIU R MAP BOOK: PAJaE: FIFE ZONE: _ UNDERFLOOR INSULATION
150H.265 3 00
FLOOR SHRATHING
NO. OF FTMILI&S: DWEEIJ-TNG UNITS: APT/GOND: STAT CLASS: .
0 NO 21 ROOF SHEATHING c
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QGALITY: 1000 FEET ?GTETAI_9
NO NO NO FRAME INSPECTION
FIRE spRnaTFR ftugums
1NSQIA=O3WFATHRR STRIP
INTERIOR LATH DRYNALL
zrrzR�OR,LXTH
RATED FLOOR CELL ASSE1[.
RATED WALL ASSENBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT I RAINAGE
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 / LAPID DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1209140019
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDI19G ADDRE4.9:
ON FILE SQ. FT STORIES TYPE 9441 GARIBALDI AV
STRUCTURE: 500 V-S TEMP CA 917801648
ASSESSOR INFORMATION NUMBER:
NEAREST CROSS 9TREST:
5385-008-020 THOIC0 PMH: 596 (SLID: J2 LOCALITY: T HPLE CITY CA
TENANT: E= BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 09/14/12 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FpqAL {ATS F BY: CODE:
ZHAM, DA•QEN (626) 623-2731- 1 5,000
9441 GARIBALDI AV
TEMP 917801648 FEES PAID DkSCRIPTION 0, YORK
REPAIR DRYWALL IN THE DINING ROOFS
FRE DESCRIPTSCN: QUANTITY: UOM: A140U T:
APPLICANT: TEL. NO:
SAME AS 09GUR - AA BLDG PERMIT ISSUA?gCB 27.80
AB STATE GREEN BLDG FEE 5000.00 VAL 1.00 SPECIAL CONDITIONS:
AC STROM MOTION REBID 5000.00 VAL 0.50
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES 161.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWN$R -
LIC. NO IOCATION AND SETBACKS
SOILS E9GI1Q:E[R APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LSC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRA!@VG
MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H265 3 00
FLOOR SHEATHING
NO. OF FAMILIES: DSMELLLaG UNITS: APT GOND: STAT CLASS:
0 NO 21 ROOF SHEA=ING
SCHOOL WIT= HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME IIISPECTICF
FIRE SPRINKLER HANGERS
INSULATION STRIP
INTERIOR LAT7�{ DRYWALL
EXTERIOR LATH
RATED FLOOR CSNZ ASSEM.
RATED WALL ASSE)SBLIE9
R?.= SHAFTS OPSNTN7G8
T-BAR CYnGS
LOT DRAINAGE
REPORT ID: DPP-261 ROUTE TO: B80508