HomeMy Public PortalAbout5600 GRACEWOOD AVE_Building__ T -
(84
i � T a) v_ Ak
r APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BAUI. a0
BU'LIDGEJ
ADDRESS LOCAL {,
NEAREST
CITY ZIP CROSS ST. -
NO.OF BLDGS. ASSESSOR
SIZE OF LOT .S NOW ON LOT MAP BOOK PAGE' PARCEL
DISTRICT GROUP TYPE FIRE BY
TRACT rJ BLOCY LOT NO. 1 `��� �� cot yfloiF , ,1
owN
-ry STATIST ICA LCLASSJF1CA ON �$✓WB2
AD 1 ESS J 1 CLASS NO. DWR I UNITS JJ PG
aTY At,3ZIP 140
E"G NEER - O. VALUATION $ Oa c)
ADDkESS W,,CAcAgAAD L, FROG
TEL FRONT PROP.UNE O CST REEF)
CONTRACTOR NO. HIGHWAY .+ YARD. TOT�T PROP.UNE FROM H YPEOFY EXISTIING
1JC
ADDRESS NO. _
LIC-
CITY
ICCITY CLASS
CONSTRUCTION LENDER BLDG. OP.SET] LILAC FROM
NAME AND BRANCH SIDE PROP.LINE OF _OREM
HIGHWAY + YARD TOTAL SETBA X FROM TYPE OF EXISTING r
ADDRESS CITY SIDE PROP.LINE H AY WIDTH G
SQ.FT NO.OF NO.OF CHECK + V
SIZE STORIES AMIDES ONE 0
DESC - 9119
RIPTION OF WORK NEW P.C.Fee$ca��77,52 Permk Fee Q
ADD 7SD,() 9-
Issuance Fee
A LTER _
REPAIR Total Fee
USE OF ^�
EXISTING BLDC" D-EMOL r QC 3 �" Z
APPLICANT r TEL -Z 3 }
IPRINTI .- NO.Qs1
µgyri,
BY LSIGNATURE] �_.Cr O 9-
7 V. >
//—
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION AND STATE /O
THAT THE ABOVE M CORStEC.T AND AGREE TO COMPLY WITH All ORDINANCES 5
AND LAWS REGLIATI NG BUI LN NG 03,1 UCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VfU-ATION OF
THE LAAOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WOiMMENS COM-, 1
PEMATION INSLRtANCE 1
SIGNATURE OF �� 6
PERMITTEE
ADDRESS .� S
CITY �� o
ZONE MAP:: > l/
i NO.
Q D SPED
CONDITIONq
FINAL r B ( _ - —Z4--7`/
DATE tr
r }
Cl!/603(FWV.6/76) -
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
AUILDING
FOR APPLICANT TO FILL IN . ADD RIESS
BUILDING
ADDRESS iO L TY 9�f ( �•
N /►
CITY (,� IP CROSS ST. d 47
OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE HRE ESSED BY
TRACT BL OT NO. CcKg / ZON E
TZ,?
EL (J,j —I ' / T7 1 ,
OWNER t�J C� die—AT N O
/a STATISTICAL CLASSIFICATION S ER
ADDRESS QASSNO, ;���/DWELL.UNITS BK PG
CITY Af,L4. ZIP '
ARC] EC?OR TEL VALUATION $ 3 9l d
ENGINEER NO.
ADDRESSSETBACK F M
TEL FRONT P RO P.LINE OF IST REST)
CONTRACTOR Nb. 7 TOTAL SETBACK FROM TYPE OF EXISTING
-/ Q UC �7�^� HIGHWAY + ,YARD. FRONT PROP.UNE HIGHWAY W DTH
AD NO.2- I� _
LIC +
CITY CLASS
CONSTRUCT1ON LEN BLDG.SETBACK FROM.
_ SIDE PROP.LINE OF' (STREET)
NAME AND BRANCH
♦HIGHWAY + YARD TOTAL SETBACK FROMTYPE OF EXISTING
ADDRESS CITY SIDE PROP,LINE HIGHWAY WIDTH
SQ.FT. N.O.OF NO.OF CHECK +
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW P.C: Fee . :X-Q Permit Fee
O
ADD
luuancp Fee
ALTE3i
rDEZL
Total FeeUSE OF h &V'Z;EXIST( G DG. Li Z
APPLICANT TEL
(PRI NTI NO. 1
BY ISIGNATUREI /w/
I HEREBY AOQJOWLE CE THAT I HAVI:READ THIS A?nJCATO-N AND STATE ' �1, Oak
THAT THE ABOVE TS CORRECT AND AGREE TO COMPLY WITH All ORDINANCES
AND LAWS RECL TlNP BUILDING CONSTZX7K)N.I CERTIFY THAT IN DD(NG THE
WORT(AUTHORIZEO"HE I WILL NOT EMPLOY ANY PEirCW IN VIOLATION OF
THE LABOR CODE.0F THE STATE OF FORK IA INR&AT1NG TO KOWAIEN-S COM,
PENSATiON I
SIGNATURE
PERMITTEE .q
ADDRESS
clrY I
USE ZONE MAP 3
ni) NO.
I E,K SPEGAL
CONDITIONS
FINAL - BY
DATE 71
yWOPhRS'CCMAPEMATION TION
. l.hq4-c�fIrm iat l haver ce'Comte�af corwn' tane, APPLICATIONFOR BUILDING PERMIT
re; urtificate of Workers'Compensatlbn Irsuronce,Zml000
r ryry py thereof (�. �' Lab. C-) COUNTY OF LOS ANGELES BUILDING AND SAFETY.
Pollcyo.CZ9 Company.CIiTeml �
❑ 'Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADou>=ss
❑ Certified copy Is filed with the couhty building Inspec- BUILDItJ(, n
tlon department. ADORE55 LOCALITY C�
/-�
NEAREST J,i
Date Applicant G� QTY ZIP 42055 ST.
FICATE OF EXEIMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SRI OF LOT NOW OtJ L MAP BOOK PAGE PARCEL
(This section need not be coca leted if the permit is for one. ZO►'E
1 hundred dollars ($100)of lessTRACT LOT NO. J_
SPECIAL-
I certify that In the performance of.the work for which this OWN62 1 7 CONDITIONS fL
D6TFJCT GROiJP TYPE IRE j3Y O
permit Is Issued, I.shall not employ any person In any mannerCONSU
to as to become subject to the Workers'�Comparnoation Laws: CRY /f ZIP � TV 0
I� Date Applicant ARCH TEL STATISTIG,L CLASSIR TK�tJ API. F
NOTICE TO APPLICANT: If, after makin this Certlficatit of 11
Exemption, you should become subject to the Workers �� �' CLASS NO. �'I DWELL UNITS a
Compensation provisions of the Labor Code, you trust forth- ADDRESS SEWER MAP
with comply with such .provisions or this permit shall be TELz
deemed revoked. CONTRACT NO. BK. µPG, VALIDATION
r LICENSED CONTRACTORS DECLARATION LK_
r f hereby affirm that I am licensed under pro vhlonsof Chapter 9 ADDRESS NO. VALLI TION
{ (..Ing with Section 7000)of DfvW.,.3 of the Business and UC
Profwslons Code, and my license is In full force and effect. CITY CLASS ;
�. /nJ`yy AA SQ. Fr. No.OF No.OF Cl__ ;21 09.4A
G
f. License Number ,2x 33 Lic.Clasp(IJ 0 SIZE ISTORIES FAMILIES CNE
a � Date D : # 0 0 0 2
Contract-,42 Le DESCRIPTION OF WORK
A
r
ADDD❑ 13 I am exempt under Sec. ALTER FINAL
B.BP.0 for this reason
REPAIR DA
❑ 4120`84.
USE OF DEAtiOi El
Signature
( Date: EXISTING BLDG.
Signature APPUCANT TEL
OWNER-BUILDER DECLARATION PRI
I hergby affirm that I am exempt from the Contractors Ucense'
Law for the following r.eason'(Sectlon 7031,5, Business and 9 r,3S V 1 (x 1 A
Professions Code):
BUILDING • 0 0 0 •
# 1
❑ I, m owner of the property, or my employees wlth ADDRESS
wages as their sole compensation,will do the work and
the structure Is not Intended or offered for sale(Section LQCALITY ( - 256.13
7044, Buslnep and Professions Code). MOVING TEL
❑ I, as owner of the' o °R NO. a o 2 5 b 1 3
pr party, am exclyslvely confi'acting
with licensed contractors to construct the project (Sec-tion 704, Business and Professions Code} ) 204-84
. .
REQCOt4STRUCTION LENDING AGENCY. YARD KWY T�� U WIDTH ,
I hereby affirm that there Is a conitructlon lending agency for
the performance of the work for which thts permit Is Issued
(Sec. 3097, CIV. C.).
e 7. Lender's Nam•
Lenders Address Permit Fee
I certify that I}ave read this application and state that the hsuarc6 Fee
above Information Is correct. I agree to comply with.all County Inwsty flon Fee
ordinances and ,State laws relating to building construction,
Total Fee
and hereby authorize reprneentatives of thts.County to enter
ypon th bove-mention property for Inspection purposes.
M MOM POR EXrLANATOCY LANGUAW -
gnaturs Icant or Agent ..
��� r�JpRKl�s'con�N`sAnoN D�cLARAtION , .-� .. •
r ' Ck- certificate
fica I have a certificate-of consent to self APPLICATION FOR BUALDING PERMIT �
T. ro, o:'a certlflcate of Workers' Compensation Insurance,
or a certifled copy thereof (Sec.'3800, Lab: C_)
s +�n[ COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pgllcy tyodLJ'C �^—Company '
Certified copy Is hereby.fvrnlshed. FOR APPLICANT TO FILL IN BUILDING
nes
Certified copy Is fled with the county bulldinglnsi e__ BUIU NG'
tion d*parirrtent: ADDRESS
pat Appli • ZIP LOCALrFY Lam. U
CERTIFFC ATE OF E>MMFFK* FROM - N DGS NEAREST
CyON1PENSATIQN'INSURANC7 SIZE C:F LOT NOW ON LOT- ST.
(Thls`section deed not be'com leted if the rmit it pn M.APNSSEB.0R
'hur dr dgljars (S100)'or lets g, . TRACT BLOCK LCR tJO: MAP BOOK'' PAGE PARCEL
)OWNER tJO. Z«E60
I cq,Mffy that In-th4 performance o-f ibe work for which this � �
Permit is)saved, I iliall not employ any n Yn any manner L+� =
so'as'to becom sbblect to fhe Workersmpensaflori Laws. ADDRESS COtDI11oNS 8
Date ;ppplf�aAt ARCHffECT zIP_ LJ�
o
NOTICE'TO If, diter making' this Certlffcdte of ENGIFE� NO DISTRICT. C,ROLJP TYPE _ RRf BY.- F
Uemptlor5, yb�should becoMe sbbject to the Workers CD T' /
Compensation provWons of.the. Labor Code,-you must forth- ADDRESS ` Y uu
with comply.•with such provislons or,,ihis permit shall be - 7�r� STATISTICAL CLASSi TION AFT.
deemed rQyoke�:., CONTRACTOR. tJO.
LICENSED CONTRACTORS DECLARATION - -- . - CLASS td0. �- DWELL UNrM
I hereby affi frn that]am licensed-underprovWons of Chapter 9 NO.
(commenclhfl with Sedlgn 7000)of Divbtqn 3 of the Business and
LK'_ MAP
MAP
' Pro , and my license'Is lin full}fotei"ort efieSJ. CITY j CLASS S, VALDATION
SGL NO.OF NO.QF 4rlEac
SIZE STORrES FAMILIES Ofd
Nim �'. iOY'FLI�,C VALUATION
date DESCRIPTION OF WORK - NEW- - ; -
ADD oil, -
I am exempt under Sec.
i TER
B.3P.C_ for this reason AIR
USE OF i
Rafe: EXISTING BLDGXXMOI
Signature _._. APPLICANT _ y TELIOFWAL
OWNER-BUILDER DECLARATN DATE -, _ # 1,2 a 4.f -
-khereby offlrm thaC:
t-I am exempt from the ontroctor'"cense '
Law for the following rbasaFr) (Section 7031.5, Buslnsb and ADDRESS ( oPRESENT �4 c o 0
��8 ], �
-Prof&"]6ns'C-6d6): BUILDING 8 T a 6
DI, as owner of the property, or my employees with ADDRESS -- __ 1 2,3'1 -8,4.
wages as their sole compensation;will do the work and -
the structure Is not Intended or offered for sale(Section LCCALTTY ' t
7044, Business and Professions Coqle} MOVING TEL _
1, as owner of the property, am excluslvely contracting �' _
TRACTOR
with Itcensed contrgctors to construct the project (Sec' '
tion 7044, Buslness and Professlons Code). ADDRESS
CONSTRUCTION LENDING AGENCY' � SET BACK YARD HWY TOTALPROP. Ut4E WIDTH _
I hereby affirm that there Is a construction lending agency FRONT
the-performance of the work for which this permit is issued - P.L - - - -
OR
(Sec 3097, Civ. C. SIDE
B -
Lendb�s Name
P.C_ Fee>< - Permit fM - LDMA Ref. f
L.ender's Address �{ '
I certtfy.that I have-read this appllcatlon.and state that-the Issuance Fee" (J LDMA P/C f
above Information is correct. I agree to comply wtth all County Irrvmrtgaflan Fee
ordinances and $ipte laws rplat ng to building-cglmjtructlon, Total Fee � - LDMA Perm, f
and hereby authorize repr hives of this County to enter
upo ve-m"ntlop6d property for Sn purposes atuy^�Ie
/'I
so kiVQf!I'OR DQ7i
LAAT0[Y LAllOUI1W
-Signre of Appl or Agent- - Date j I
-1.'S�RKERS'COMPENSATION DECLARATION+ __'
afftirm�that I have a certificate of consent to self P P L ICAT l Q R_ B lel L DING PERI 11 T
r CerilfFcdte of Workers' Compensation Insurance,
_ rtlflled copy thereof (Sec. 3800, Lab. C.)
%"-
- �OLJIWY OF LOS ANGELES, ; BUILDING AND SAFETY
Policy No. Company -
Certified copy is hereby furnl FOR APPLICANT TO FILL IN
�� Certified copy Is filed with t e co ullding I c- BUILDING
epartmA ADDRESS -
�^Date plica - ZIP LOCALITY _
ll! CERTIFICATE ON F S'" NO: OF NDGS: NEAREST-COMPS'SAT ION.INS SIZE OF LONOW ON LOT ST.
ASSESSCA
(This section need not •corrip-1 If permit rs for one -- - /y
hundred.dollars (;100) TRACT BLOB LOT NO. ep i PAGE PARCH
OSE ZONE. (.
I certify that In the performance of the work for which this f,
Perm[" Issued, I shall not employ any person In any manner - ADDRE ,6Z� �/� _ �.� �fflfX�S d
so as to become subject to the Workers'Compensation'Laws.
CITY 1C�i ZIP - - - - -
Dpte I IcanT
NOTICE TO APPLICANT�Ifp 'affbr maklnp..thls Certificate of ARCH T DISTRICT Gf20. TYPE' FIRE BY 0
-r
Exemptiorr, you should become subject'to the Workeri p/ CONST' ZOrE rj j
Compensatlon provisiorwofthe Labor Code, you must forth. p� 1 �rU.( - _ .
with compty with such provisions or .this•permit shall be
deemed revoked. ' T15T1CAL CLASSI TION AFT. CONDO. ,•
LICENSED CONTRACTORS DECLARATION - - .Z 0 CLASS NO. D1�EI1 UNITS
I hereby affirm that I qm licerued under provisions of Chopte`9 NO.
(commencing with Section 7000)of DlvWw 3 of the Business and _ SEWER MAP
Professions Code, and my II Is In full force and ect. CITY CLASS BK-/V S - VALIDAT}ON
t/r SQ tJ0 tJO._OF CHECK
L Num A c CI 51Z STORIES F UES - - ONE
Jq� f VALUATYON
nhdctoi� Dat4 DESCRIPTION OF WORK " NEW ;
Eh18am exempt under,Sec- b - ADD - loll-
TER -
B.BP.C. for this reason `2!6 s�' ALTER
REPAIR ; 70
,�('�J �/,0 d
Date: USE OF DHNIX -
IX ISTI NG BLDG. `.- E -
Slgnature NO. '�-tom/' FINAL 1
OWNER-BUILDER DECLARATION _ DATE
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason'(Section 7031.5; Business and ADDRESS ,
Professions Cod-e): PRESENT By
BUILDING
❑ I, as owner of the property, or my employees with ADORfsS
wages as their sole compenzatlon,will do the work and LOCALITY r c • .',.- ` �t
the structure Is not Intended or offered for sale(Section
7044, Business and Professions Code). MOVING' - TEL- ' - o
I, as owner of the property, am exclusively contracting QDNTRACT-_ OR NO -
with Ilcensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). v
CONSTRUCTION LENDING AGENCY SET BAIX YARDHWY, T TAt SETBACK FROM
PROP. Ute 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, Ov. C.). SIDE
'>3
P.L. _
E'• Lenders Name. .� `
LDMA Ref. / 1
Lender's Address P.C- F»$ y Prmlt Fee
I certLfy that I have read this application and state that thep r7. ,�i - hsuance Fee �V LBMA P/C r -
S 1bove I I agree to compfy with all County Invealpation Fee
8{ ordl to laws ating to building construct n, To►al ee �s LDMA Prm.'I
and orize reprose Ives of County to ter J
u ve-mentioned Ion es
o
>b REVIRS1 t,0*07LANATORY LANGUAGE,
S, n rtt r Agent(
I
_ — -
WORKERS'COMPENSATION DECLARATION
7 ,
hereby affirm that I haveor certificate of rornt to .eff A P P L I CAT I O N.� F O R BUILDING P E�tM I T �
Insure, or a certificate of Wkeri Compensationn Insurance,
or a certified copy-thereof jSec 3800, Lab. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pollcy.No. Company BUILDING
ru—t Certified copy Is Hereby fumished. FOR APPLICANT TO F LL IN gpDREESS
❑ Certified copy Is filed with the county building Inspec- 1INJILDING '
tion department. ADORf55 LOCAUTY
NEAREST
Date Applicant CITY TempLe Citu ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'- . . NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGEUSE
PARCft
(This seS[ion need-hof be com feted If the permit Is for one TRACT LOT 'S' NO.
hundred dollari (;100}or less.
Z4ilza. ARAM onv cexz
sSF AL.; r
8410 f,
I certify that In The perfounance of the work for whish this OVr� 4,96pbW .6 �' — COI�fFK fL
permit Is Issued, I shall not employ any person In any manner eeL, F1C D ROUP TYPE ARE PRO4;S BY O
so as to become subject to the Workers Compensation Laws 1 CONST. Z U
CITY Tem e City ZIP 91780
D O�t>
Date Applicant ARCHfIECT OR CLASS] ICAT}ON AFT. .
NOTICE TO APPLICANT: If, after making this Certificate of ARC�Fffit aA55 NO pWgl_ UNITS W
Exemptlon, you should become subject to the Workers' d
Compensation provisions of the Labor Code, you must forth- ADDS 844 W. Co.PmuiC BZ. L.ACA 90041 SEWER #t
with comply.with such provisions or this permit shall be Ta- Z
m
deeed revoked. CONTRACTOR NO. BK r" PG, VALIDATION
LICENSED CONTRACTORS DECLARATION AlUC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION /
(commencing with Section 7000)of Dlvtsloli 3 of the Business and UC f
Professions Code, and my Ilcense Is In full force and effect. \\\ CITY CLAM $25.000.00
SQ.-Fr. NO.OF NO.OF CHECK ►
Llcense.Number Llc.Clams SIZE STORES I FAMILIES ONE
$
Contractor pie DB5MPTION OF WORK NEW ❑
ADD ❑
I am exempt under Sec quat xoow ® }7
. ALTER FINAL
'B.BP.C_.for this rea}on-. REPAIR ❑ DATE
Date' USE OF I EXISTING BLDG. DEehOL ❑ MINAL
By
Signature A13PUCANT Te-
OWNER-BUILDER DECLARATION (PRINT) NO.
I hergby affirm that I am exempt from the Contractors License ,
Law for the following reason (Sectlo� 7031.5,. Business and ADDkM
Pr Ions Code):
aDiNG
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 LOCALITY
#' (� ° • °!I
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively coniro4ting
oR NO. 21- 25Q0:0
with licensed contractors to construct the project (Sec- ADDRESS
o'0 2 0, 0'0
tion 7044, Business and Profdsslons Code).
CONSTRUCTION LENDING AGENCY R;,,a YARD HWY T��� UNI� W ► 0 9.0 9'-82
1 hereby,affirm that there Is a constructioh lending agency for FRONT
the performance of the work for which this permit Is Issued P.L
Sec 3097, Civ. C_). SIDE
P.L.
Lenders Nome
Lenders Address- P.C. Fee Permit Fee
c
I certify that I have read this appllcatiora and Rate that the Issuance Fee
above Information Is correct. I agree to comply wtth all County Investlgat4on"Fee
ordlnancgs and State laws relating to building construction, Total Fee Q d
and hereby orize represgntatives of this County to enter
upon the e-mentioned pr f r Inspectlon purposes.. .
— 2, 50 R11114M f✓t PM D04 AMATORY LAN6UAGR
Slgrxsture of Applicant or Agent Date .
_ z
COUNTY OF LOS ANGSIRS TEMPLE CITY # 0508 B=,DING PERK=
DEPARTMENT OF PUBLIC WORTS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CTTY CA 91780 BL 0508 1209190073
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BU=ING ADDRESS:
BT: 94 Pia: 46 PC: 1 SQ. FT STORIES TYPE _ 5600 GRAC NDOD AV
STRUC URE: V-B TH24P CA 9178000o�0r�o0
ASSE.9SOR INFORMATION NUMBc+vrnER: NEAREST CROSS H+i�-�++++: BC(ME STREET
85-86-015-038
- - T1+OFA9 FADE: 597 ARID: B3 LOCALITY: 'rEMpr•E CITY, C
TENANT: REIST BLDG USE: HOSPI USE ZONE: R-1 LSSUFD ON: PROCESSED BY:
T-MOBILE WEST CORP. RZIST OCC GRP: 02/21/13 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIIZkL DATE BY: CODE:
SANTA ANTTA CONVALFS= HOSPITAL - 10,000 - .
5522 GRACEWDOD AVE.
TEMPLE CITY CA 91780 FEES PAID - Dk9CRIPTION OF WORK
MODIFY (E) WIRRLE99 FACIISTY BY REPLACINQ 6 AWUNRA.S,
FEE DESCRIPTION: QUANTITY: UON: AMOUW: RRMJVE TMAS (E) AND INSTALL 3 NEW TMAS, INSTALL 3 NEW HYBRID
APPLICANT: TEL. NO: CABLES INSTALL FLOOR MOUNT EQUIPMENT RACT AND INSTALL 2 CABI
CHATWIN, Pcn ,T,Tp (714) 617-9921- Dl PLANCIIE(T W/O EN-HC 10000.00 VAL 184.10
3020 W HARBARD ST - AA BLDG PERMIT ISSUANCE 27.80 SPECLAL CONDITIONS:
SANTA ANA CA 92704 AB STATE GREEN BLDG FEE 10000.00 VAL 1.00
D2 PERMIT W/O RN-HC 10000.00 VAL 216.60'
TOTAL FEES 429.50
CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE
PROCESS CEMJ LAR INC (714) 617-9921-
3020 W HARVARD STRRET LSC. NO ION AND SETBACKS
SANTA ANA CA 92704 951819 +
SOILS ENGINEER APPROVAL '
ARCHITECT OR E INE:KR: TEL. NO: FOUNDATION/TRENCH FORMS '
CDG (949) 753-8807-
26455 RANCHO PKWY SOOTH LIC. NO: SLAB/UNDER FLOOR ,
LAKE FORE4T, CA 92630 NONE _
RjLI FLOOR FRAMING
[ALP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CNP? UND R IN99TATION
15OR273 3 00 _
FLodR SHEATHING
NO. OF FAMILL S: DWELLING UNITS: APT/CONT): STAT Cl A.9S:
0 NO 22 ROOF SHRATHIRG
fi
SCHOOL WITHIF HAZARDOUS SHEAk PANELS
AIR QUA= 10 0 0 FEET MAT TR-IA S
NO NO NO FRAML INSPECTION
FIRS SPRIl4KLLER HANGERS
INSgJ A.TI08 WRT.THER STRIP .
INTERIOR LATH DRYWALL
EYTFRSOR LATH
RATED FLOOR/CFTL ASSEM.
.
RATED WALL ASSENBT,
RATED SHAFTS OPENINGS
T-BAR CEILINGS
+ ADDITIONAL DATA ON FILE
LOT"DRABIAGE
REPORT ID: DPP-261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 9 050.8 , + A BUILDING PERMLt
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUITDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SBL 0508 0004180017
PHONE: (626) 285-0488 EXT:
LEGAL ID: No. OF CONST NEW BUIL
BK: 94 PG: 46 PC: 1 SQ. FT STORIES TYPE OCCUP GROUP 5600 GRACEWOOD,AV
STRUCTURE: 487 1 VN B TEMP CA 91780QO00
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS-STREET: LIVE OAK
8586-015-038 OTHER: THbMAS' PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
E)(IST OCC GRP: B 05/31/00 UT 11/27/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VAL UAT ION: FINAL DATE FINAL BY:
GOLDEN STATE HEALTH CENTERS INC (818) 986-1550- 60,000 -2-
13347 VENTUTA BL 13 :fi
SHRM 914233912 FEES PAID DESCRiPTION OF WORK
UN}(ANNED TELECOM"I CAT IONS FACILIT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
NE(TEL COMMUNICATIONS (949) 862-2300- D1 PLANCHECK W/0 EN-HC 60000.00 VAL 764.87
17275 DERIAN AVE., AA BLDG PERMIT IME 27.75 .
IRVINE, CA 92614 AE STRONG !1Q ----60A00.00 VAL 12.6.0 G O D >9
D2 P ERM I�+f/s1 1( L E S .,6Q�0O
��A .QO VAL 1899.85
.f. y' ' €ESS ,705.07
CONTPACTOR: TEL. NO:
APPROVALS DATE INSPECTOR SIGNATURE
PROCESS COM"ICATION DEVELOPERS (714) 427-6370-
3020 HARVARD ST. LIC. NO !i;i f \�•�
SANTA ANA, CA 92704 696069/C20
-OMLS ENGINEERARCHITECT OR ENGINEER: TEL. NO:
DELTA GROUP ENGINEERING, INC. (949) 622-0
2601 MAIN ST., X1=260 LIC. � SLAB/UNDER FIC
IRVINE, CA NONE
RAISED FLOOR FRAMINGMAP NO: SEWER MAP BOOK- PAGE: FIRE ZONE: CKP-
Ee.lUNDERFLOOR INSULATION
II h ' I NO. OF =,
FLOOR SHEATHINff
0 NO 1
SCHOOL WITHIN --F1xvml5511T— il
i I /
r+�
AIR QUALITY: 1000 FEET MATERIALS
MO NO NOFRAME Ih
w 1
F IRE SPR INKLMFM9MnZ9---
Servico Sh J� INSMATION/WEATHER STRIP
.
IWT
RIOR LATH/DRYWALL
EXTERIOR LATH
PATED WALL ASSEMBLIES
RATED S[LAFTS/NyFWflTff9--
* ADDITIONAL DATA ON FILE 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 COMMERCIAL ADDITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0407290049
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO-.- OF CONST NEW BUILDING ADDRES9"-
BK: 94 PG: 46 PC: 1 SQ. FT STORIES TYPE OCCUP GROUP 5600 GPACEYOOD AV
STRUCTURE: 0 0 V B TEMP G 917800000
ASSESSOR
SSESS INFORMATION Nt ER:
NEAREST CROSS STREET: LIVE OAK
THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
TENANT: -M�USE: COME USE ZONE: C-1 ISSUED ON: - RE�ON:
CINGULAR WIRELESS EXIST OCC GRP: B 09/30/04 JK /25/
OWNER: TEL. 0: BLDG9. WOW ON LOT: VALUATION: F T F --5'" MDE:
GOLDEN STATE HEALTH CENTERS INC (818) 986-1550- 75,000
13347 VENTURA BL I t' Z�
SHRM 914233912 1 FEES PAID D ESU I IOW OF WORK
Nw WIRELESS TELECOM"ICATIONSFACI E AS A MOINOP
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT IMA STRUCTRUtE AND ASSOCIATED EQUIPMENT
HARRIS - MC MANAMA CONSTRUCTION (909) 4915178- Al PLANCHECK W/EN-HC 75000.00 VAL 1,024.75
21943 BOGGS LANE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
WILDOMAR CA 92595 AC STRONG MOTION RESID 75000.00 VAL 7.50
B1 PLANCHECK W/ENERGY 75000.00 VAL 980.20
CONTRACTOR: NO: TOTAL FEES 2,040.20 APPROVALS DATE INSPECTOR SIGNATURE
HARRIS-MANAMA CONSTRUCTION (909) 491-5178-
21943 BOGGS LN LIC. NO LOCATION AND SETBACKS
YILDOMAR, G 92.595 8354418 ARCHITECT TEL. 0: FOUNDATION/TRENCH FORMS
WIFWMEER APPROVAL
VELOCITEL INC. (949) 809-4999-
18701 FIT6H AVE. LIC. N0: SLAB/UNDER FLOOR
IRVINE, G 92614 NONE
MAP W: SEVER MAP BOOK: PAGE: FIRE :
3 03
FLCPR SHEATHING
-AILIES: DWELLING UNITS: APT/COND: STAT
MO 22 CLASS:
SCHOOL WITHIN SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS/
NO NO, NO
FIRE SPRIWKUEF-MU9rff9--
INSULATIONAFEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED WALL T990tR-rff9'-
T-RAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: RSO508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERDQT
DRPARTMENT OF PUBLIC WORMS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP
BUI ING AND SAFETY / LAND DEVELOP%ENT TEMPLE CITY CA 91780 BL 0508 1001210009 _
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
BL: 94 PG: 46 PC: 1 SQ. FT STORIES TYPE OC-CUP GROUP 5600 GRACFi'WOOD AV
STRUCTURE: 49 1 V-B B TEMP CA 917800000
ASSESSOR INFORMATION NUhOER: NFINREST CROSS STREET: BOGUE STREET
8586-015-038 TT?C69.9 PAGE: 597 GRID: B3 LACALITY: TEMPLE CITY, C
TENANT: EZIST BLDG USE: HEALT USE PANE: R-1 I9 ON: PROCESSED BY:
SPRINT WIRELESS EXIST OCC GRP: B 03/18/10 SR
OSG E R: TEL. NO: BLDGS. NOW ON LOT: VALrUATION: 7plAL DATE FINAL B Y: CODE:
GOLDEN STATE HEALTH CELTPER.9 INC (b 26) 579-0310- 20,000 �(
13347 VENTURA BL U
SHRM 914233912 FEES PAID ESCRIPTION OF WORK
INSTALLATION OF NEN 4G CABINET WITHIN THE EXISTING SPRINT
FEE DESCRIPTION: QUANTITY: VON: AMOUNT: LEIr.4E AREA SLAP OUT SIX =STING ANTENNAS TO (3) NEW PANEL
APPLICANT: TEL. NO:
BEMIS DEVEWPNENT INC. (714) 730-0606- Al PLANCHECL W/RN-HC 20000 00 VAL 375.95
250 EL CAMINO RRAL AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
TUSTIN, CA 92780 AB STATE GREEN BLDG FEE 20000.00 VAL 1.00
A2 PERMIT K/ENERGY-HC 20000.00 VAL 442.29
TOTAL FEES 846.99
CONSRACtOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NETWORK COMMUNICATIONS INSTALLATION (714) 278-1019-
2478 E. FENDER AVENUE SUITE H LIC. NO LOCAuTION AND SETBACKS
FULLERTON, CA 92831 B,C10
SOILS ENGINEER APPROVAL
ARCAIIT,CT OR ENGINEER: TEL. NO: FOUNDATTON/TRENCH FORMS
LIC_ 190: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEIG3R MAP BOOL: PAGE: FIRE ZONE: C107: UNDERFLOOR INSULATION
1508273 3 00
FLOOR SHEATHII7G
NO. OF FAl(ILI•:S: D%TE rT1Q7 UNITS: AFT GOND: STAT CLASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET )ULTEaIALS
NO NO NO FRAME INSPECTION
FIFE SPRINla.ER HANGERS
IN3IILATI0N/WEATHER STRIP
INTERIOR LATH DRYWALL
EZTE IOR LATH
RATED FLOOR CEIL ASSEM.
RATED TALL ASSE24BLIE3
RATED SHAFTS OPEN-lNGS
T-BAR CEILINGS
+ ADDITIONAL DATA ON FITS
LOT DRAI20wGE
REPORT ID: DPR261 ROUTE TO: 13.90508
ti
COUNTY OF LOS ANGELES TE3GLE C= 0508 BUTT ING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0802140004
PHONE: (626) 285-0488 ETT:
LEGAL ID: NUMBER OF ADDED TED BUILDING ADDRESS:
BK: 94 PG: 46 PC: 1 SQ. FT SPR--[Tl= HEADS 5600 GRACENOOD AV
STRUCTURE: TEMP CA 917800000
ASSESSOR INFORMATION NUMBER: NEARELST CROSS STRRST: LIVE OAK
8586-015-038 THO+9%S PAGE: 597 GRID: B3 LOCALITY: TEMPLE C1TY, C
TElD1NT: =ST BLDG USE: ISSUED ON: PROCESSED BY: EKPIRRS ON:
SANTA ANTU. RETIREMENT EXIST OCC GRP: 02/14/08 SR 08/12/08
OWNURi TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATaPiRMBY: CODE:
GOLDEN STATE HEALTH CENTERS INC (818) 986-1550- 4,750
13347 VENTURA BL
SHRM 914233912 FEES PAID DESCRIPTION OF WORK
HOOD 4 DUCT SYSTEM (ANSUL)
FEE DESCRIPTION: QUANMT'Y: QOM: AMOUNT:
APPLICANT: TEL. NO:
FROSETH (951) 830-1892- AA BLEG PERMIT ISSUANCE 27.75
DO E= SPR-TNILER PC 4750.00 VAL 112.71 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 4750.00 VAL 132.60
TOTAL FEES 273.06
CONTRACTOR: TSL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FIRBIASTER (951) 830-1892-
900 ALLEN AVE LIC. NO FIRE DEPARTMENT INSPECT
GLENDALE,CA 90201 555875 C16 FIRE I
SPRlk= HALfQER.9
ARCNTTECT OR EN TN=: TEL. NO: FIRS DEPARTMENT APPROVAL
LSC. NO:
MAP NO: SEWER MAP BOOK: PAGE: FIRS ZONE: CMP;
00
190. OF FAM[ELLRS: DSlaff-ING UNITS: APT/COND: SPAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATT.RIALS
NO NO NO
RRPORT ID: DPR-261 ROUTE TO: BSOSOB