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Home My Public Portal About10111 GREEN ST_Building__ (a"u,,�, CITY OF TEMPLE CITY APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDLRar U// ADD" 10111 Green Street LOCALITY 1A REST CITY e City - zip 91780 Nc�ssST. NO.OF SIZE OF LOT . ASSESSOR 80X219 NOW ON�LOOTT BOOK PAGE PARCEL p s� DISTRICT GROUP. TYPE FIRE EDBY LOT r^ CONST. ZONE OWNER Michael T. Palmi. 'v 4 �^ STATISTICAL CLASSIFICATION V ER ADDRESS 10111 Green StreetCLASS NO DWELL UNITS BKI CITY Temple City ZIP ARCHITECT OR TEL. VALUATION ENGINLER MAP NO. ADDRESS cZrRACY FROM CONTRACTOAerican &Ulde*287-9744 FRONT PROP UNE OF TOTAL SETBACICFROM TYPEOF EXIS(STlNNGI �p q n' HIGHNT WAY + YARD. FROPROP.UNE HIGHWAY WIDTH ADDRESS 581 T le i 104325 t' GTY T le Ci C� CI sS B-1 CONSTRUCTION LENDER BLDG. P. K FROM LI SIDE PROP.UNE OF tSTREEl1 NAME AND BRAN01 TOTAL SETBACK FROM TYPE OF DGSTING HIGHWAY + YARD SIDE PROP.UNE HIGHWAY WIDTH ADDRESS CITY .0 SO.F. NO.OF NO.OF 1 CHECK + SIZE STORIES) FAMILIES ONE DESCRIPTION OF WORK NEW P.C.Fee b Permit Fee amily Room. 1/2--Bath ADO Issuance Fee y� ALTER REPAIR Total Fee L USE CF DwellingDEMOL EXISTING BLDG. , APP11PmNT,American 1 er O 87-9744 e s 1BY(SIGNATURE)B I HERESY AOQrOWLEDGE THAT I FII, READ THIS APKKATION AND STATE - THAT THE ABOVE IS CORRECT AND TO COMPLY WITH ALL om NANm AND LAWS RH"�AT1NG BU ILDiNG CONST•U T10N-I CE;MFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILLNOT fMP1AY ANY PERSON IN VIOLATION OF -4 6 9 S 4A THE LABOR CODE Of THE STATE OF CALIFORNIIA IN RELATING.TO WOWAkEN'S CQM- . N3'S TION VLWR r_ an 17 - - . aj�j # 0 0 0 0 0 1 SIGNATURE OFB �. 2 0 14200 / J PERMITTEE ADDRESS 81 e • 0 0 1 4 2 0 0 CITY Temple City TE 287"744 I a 0 1 -7 9 Z NE MAP i NO. d > J SPECIAL CONDRK)NS FINAL 7r` BY DATE �� l ` APPLICATION F0�_ COUNTY OF LOS ANGI;L£S DEPARTMENT OF COUNTY ENGINEER B•U I L D I N C PERMIT BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS D/j BUILDING ADDRESS LOCALITY NEAREST CITY j� ZIP- f CROSS ST.. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK - PAGE PARCE D STRICT GROUP TYPE FIRE P D BY -ZCONST ZO�j TRACT' BLOCK LOT NO. C J J TEL. OWNER / O• STATISTICAL CLASSIFICATION EWER MA ADDRESS D/ ' CLASS NO-- -2-/ DWELL.UNITS B119,h CITY ZIP �� Q USE ZONE MOPN . _11-0/ 0 ARCHITECT OR TEL SPECIAL ENGINEER NO. CCVDITIONS ADDRESS ROAD DEPARTMENT APPROVAL, REQUIRED YES❑ NO ❑ TEL. rr BLDG.SETBACK FROM CONTRACTOR r /� ,,Q LIC. FRONT PROP.LINE OF (GYRE ) ADDRESS (/ /l NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYP EXISTING CITY LIC. _ FRONT PROP. LINE WAY WIDTH CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY SIDEPROP.LINEOF (STREET) S SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL TRACK FROM TYPE OF EXISTING OC SIZE STORIES FAMILIES ONE Sipe PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW ❑ + _ DD ❑ CORNER CUTO F ❑ NO ❑ ALTER -REPAIR IN OPEN SPACE ES ❑ NO USE OF " � IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. EMOL ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE R[AD THIS APPLICATION _ AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING ■UILDINO COX- ST RUCTION. IC THAT IN DOING THE WORK AUTHORIZED H ER[SY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE SIA T. AT[ OF CALIFORNLA IN RELATING TO WORKMEN'S CO MP[NSAT I URAXC SIGNATURE OF FINAL BY PERMITTEE DATE ADDRESS y '� � � f TEL' P.C.Fee$ Permft Fee CITY NO. t ,�►y� Issuance Fee "— VALUATION$ I'SC./ �/ �+p�/T+� "ATION -Total Fee� �• �� PERMIT PLAN CHECK VALIDATION CK. M.O. CASH CK. M.O. CASH e-6 ar 24 :1, o .7 2 1 5 .� 79AS39A CK*8q7■ 1:/7E D � Pcoh �— NSATION DECLARATION t li iaye W a certificate of consent to self -APPLI ATIO'N FOR BUILDING PERMIT Wodcers' Co pensatlon Insurance,hereof (Set. 3600 ab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Com BUILDING Certlfled copy Is her urnlshed, FOR APPLICANT TO FILL IN ADDRESS Certified copy Is with the ty building Inspec- BUILDING tion deportm ADDRf55 Date cant CITY ZIP qr7Z LOCALITY 64 CER IFICATE OF ION FROM WORKERS' td0.OF NEAREST COMPENSATION INSURANCE SIZE'OF LOT NOW ON LOT sr. 14 (This section need not be completed If the permit Is for one - � ' - LOT NO• MAP BOOK PAGE PARCH ASSESSOR hundred dollars ($100)or less.) TEL / E I certify that In the performance of the work for which this NO. I permit Is Issubd, I shall not employ any person In any manner rr")SPECLl so as to becom cable i to the Wo nsatlon Laws. ADDRECDEDffICXJS • S (9111 Date Jlppllcgn - CITY ZIP I�� NOTI TO : If, rhaking'this Certificate of t ARCH ITEd OR TEL DISTRICT TYPE FIRE B Exemption, you should beco a sublect to the Workers C3 Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TH deemed revoked. STATISTICAL TION CONTRACTOR I �� _ LICENSED CONTRACTORS DECLARATION J LIC C[ASS NO DWELL UNfTS� j I I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS a' l- NO (Mnrmendn9 with Sedlon 7000)of Dlvislon 3 of the Business and p uO (] SEWER MAP Professions Coda, and my license Is In full force and effect. CITY L CLASS �7• VALfaAT1 N 50. PGL.— NO. OF NO. OF Cl*Cy License Number Llc.Class SLZE STORIES FAMILIES ONE _ VAILUATIOti Cohtractor Date DESCRIPTION OF WORK NEW $ SOQ ADD ,I am exempt under Sec. �� B.dP.C_ for this reason R1PAJR $ USE OF DEMOL Data: DUSTING BLDG. Slgrrature APPLI(ANr FYiAL �( OWNER-BUILDER DECLARATION PRINT tJ0 DAl�rt D I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): ;10764A ❑ BU RDI NG '1 I, as owner of the property, or my employees with ADDRESS #'o'o • 0 0 woges as their sole compensation,will do the work and the structure Is not Intended or offered for sale(Section LOCALITY 0 7 a Q 70.44, Business and Professions Cod•}. MCMNG TEL I, as owner of the property, am exclusively contracting TRACTOR �' '�.a Q Q� with licensed contractors to construe the project o 0 0 FSI (�-� ADDRESS tion 7044, Business and Professions Code). RIM CONSTRUCTION LENDING AGENCY YARD I twY TOTAL 09.23-88 I hereby affirm that there Is a construction lending agency for �T the performance of the work for which this permit Is Issued P (Sec. 3097, Civ. C.). SIDE P.L. Lender's Nam Ibf. f E C Fee f PermH Fee ' Landers Address I certify thdt I have read this application p d st¢1e that the Iasaance Few LDMA P/C f' above Informat-lon Is correct. I agree to comply with all County n on Fee t . ordinances and State laws relatingto building construction, I n + I ng Tota I Fee V LD"Pbrrri and hereby authorize representatives of this County to enter upon above-mont pro for InapectloP pu o 'a fa Nrv�F'QF!Dt?LAMATORY LANGUAGE n Applkont or Agent I COUNTY OF LOS ANGRIM TEMPLE CT'i'Y 9 0508 BUILDING PERMIT DEPART?GNT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILD NG AND SAFW TY / LAND DSVRLOPMU9T TEMPLE CITY CA 91780 BL 0508 0710030055 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST I BUILDING ADDRESS: ON FILE SQ. FT STORSSS TYPE 10111 GREEN ST STRUCTURE: VN TEMP CA 917803334 ASSESSOR INFORMATION NUMBER: NFAR&ST CROSS STREET: . 8585-003-035 THOMAS, PAGE: 597 GRID: B4 L0K2J- 'Y: T124PLE CITY, C TENANT: EII9T BLDG USE: REBID USE ZONE: R-1 ISSIIED ON: PROCFSSID BY: EXPIRES ON: RIT T OCC GRP: 10/03/07 SR 03/31/08 OWNER: TSL. NO: BLbGS. NOW ON LOT: VALUATION: FpqAL DATE BY: CODE: PISARZEWICZ, ANGELA (626) 443-4262- 22,600 /y /�•7 10111 GRI HN ST TEMP 917803334 FEES PAID DWCRIPTION OF WORK 12 WINDOWS AND 2 DOORS REPLACE3012W RENSW{'AL BY ANDERSON FEE DESCRIPTION: QUANTITY: DOPS: AMOUNT: Wf� APPLICANT: TEL. NO: JASON LUONG (909) 208-6164- AA BLDG PERMIT ISSUANCE 27.75 18890 SEATON AVE. AC STROM MOTION RESID 22600.00 VAL 2.26 SP IAL CONDITIONS: FERRIS, CA 92570 D2 PERMIT H/0 RN-HC 22600.00 VAL 435.00 TOTAL FEES 465.01 i CONTRAC DR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DESIGNE02 SASH AND DOOR SYSTEMS (909) 208-6164- 18890 9EATON AVENUE LIC. PO LOCATION AND SETBACKS PERRIS CA 92570 595166 B 903MO ENGINEMR APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAIN/UNDER FLOOR FLOOR FRAMING MAP NO: SEVER MAP BOOK: PASS: FIRE ZONE: CMP: UNDERFL00R INSULATION 147H273 3 01 NO. OF FAMI IF6a: DWELLING UNITS: APT/GOND: STAT CLASS: FLOQR SHEATHING NO 21 ROOF SHEATHING i SCHOOL WITHIN HAZARDOUS SHEAR PANIM9 AIR QCALITY: 1000 FEET MATERIALS HO NO SO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM RZL9T FIRt SPRINKLER HANGERS SET BACK YARD: HWY: PROP L]7.4E: WIDTH: FRONT PL- YNSULATIOS WEATHER STRIP SIDE PL- 1 nr#RiOR LATH DRYNALL OR LATH FIAOR/CEIL ASSEM. RATED WALL A89EMBLIE9 RATP SHAFTS OPENIMS T-0 - CEILINGS LOT DRASHAGE REPORT ID: DPR261 ROUTE TO: B90508 ) i COUNTY OF LOS ANGELES TEMPLE CITY NM 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAYR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 BL 0508 0108210013 PHONE: (626) 285-0488 EXT: LEGAL ID: —90. OF CONST BUILDING ADDRESS: ON FILE SG. FT STORIES TYPE 10111 GREEN ST STRUCTURE: 2500 VU TEMP G 9178033:14 NEARESt CROSS STREET: BALDWIN 8585-003-035 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: 0ff9r-ffEM-ME: RESID USE ZONE: )D( ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/21/01 UT 02/17/02 OWNER: TEL. 100: 10997-NOW-M LOT: VALUATION: TflVT3MT— ABELINA BLQCKER (626) 279-9081- 6,000 . 10111 9EE N ST TEKP 917803334 . TEAR-CFF EXISITNG ROOF, INSTALL /2 OSB PLYWOOD, REROOF Y/25 FEE DESCRIPTION: -QUANTITY: UOM. AMOUNT: COMP.%SHINGLES CLASS A. APPLICANT: TEL. KO: CORTEZ (626) 918-1007-- AA BLDG PERMIT ISSUANCE 27.75 15884 DOUBLEGROVE ST AC STRONG MOTION ID6O00.DO VAL 0.60 LA PUE]NTE G 91744 D2 PERMIT Y ---- 00 VAL 149.4-0 !��T4GELE ` 177.75 METRACTOR: TEL. NO:CORTEZ ROOFING (626) 918-1007- %ti S �/ \ DATE�SPECT�I�CTUiE 15884 DOUBLEGROVE ST LIC. NO / �• \`� LOCATION AND SETBACKS LA PUENT E G 91744 762520 C39 SOI LS ARCHITECT OR ENGINEER: SLA87ilDER FEW LIC. NO RAISED FLOOR FRAMING MAP DOOK: PAW: l Xx 3: 0- ,� n r �I� �I l` [�I��` r?jI rr\ l Lam. L�Ll v 1� ;(. L I�Ll --NoNO. OF FAMIL LIMITS: APT/CCKD: STAT C 21ROOF IHEATHING ROOL THIN �t , �.��! fr� c AIR QUALITY: 11000 FEET MATERIALS � f�rNo No Y�. FIRE INKL HANGERS REQUIRED TOTAL SETBACK FROM EXIST SET BACK YARD: AN:, PROP LINE: WIDTH: ��`��%0, r �1*moi FRONT PL- \SOI VIC9 at SIDE PL- TATE IM LATH/5ff7�r EXTERIOR LATHi RATED FLOOR7ME RATED WALL KUM= RATED SHAFT97WWWW 1 - REPORT ID: DPR261 ROUTE TO: BS0508 CCIUNTY OF LOS AArLfS TEMPLE CITY 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA t -&L 0508 9610090070 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDI ON FILE SQ. FT STORIES TYPE 10111 GREEN ST STRUCTURE: 324 V TEMP CA 917803334 NEAREST CROSS STREET: BALDWIN 8585-003-035 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY EXIST OCC GRP: 10/D9/96 TC 10/09/97 FINAL DATE -CODE: OWNER: TEL. BLDGS. NOW ON LOT: VAL TION: FIM By BERG STEEPHENT (818) 448-7885- 2 2,000 (d-LqFEES PAID DESCRIPTION OF 960K TEMIP 917803334RELOCATE GARAGE 101 TO THE SO��r FEE DESCRIPTION: J� TID �.J AMOUNT: APIPLICMT: TEL. NO: A.A BL .75 SAME AS OWNER MIT ISSUAN AC STDRONG MOTION D ` 000 00-V �.+ 7. 0 . OC D2 PERMIT W/O E? ", '�: TSTA FEES4JOCONTRACTOR: TEL. a APROVALS TE INSPECTOR SIGNATURE SAME AS 06INER - `,�!• I I 'y ', LIC. MO r�`, /',-I - ? -- SOILS ENGINEER APPROVAL FOUNDATION/TRENCH FORMS ARCHITECT OR ENGINEER: TEL. NO: LIC. N0:NO: SEWER KAP DOCK: PAGE: FIR LA SLAS)LINDER FLOOR RAMING 3 01 ear ` THING KAP E ZONE' CMP.: TIOW 147H273 '.. NO NO. OF FAMILIES: DWELL UNITS: APT/MND: STAT CLASS: SHEAR PANELS SCRM WITHIN 21 AIR QUALITY: 1000 FEET MATERIALS ' CIA q) FRAME INSPECTION NO NO NO 0' 3TOTAL SET9)LC"RCM EXI ST FIRE SPRINXLF-R HANGERS SET BACK YARD: MY: PROP LINE- WIDTH: FRONT PL- SIDE PL- REPORT ID: DPR261 ROUTE TO: BS0508 COUKTY OF LOS ANGELES TEMPLE CITY OyOx BUILDrfG PERMIT DEPARTMENT OF PUBLIC WORKS � 9701 LAS TUTAS RESIDENTIAL ADO/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 9178Q • BL 0508 9905050004 PHONE: (626) 285-04W EXT: LEGAL 1D: W. OF CONST NEW ObILDING. ON FILE SO. FT STORIES UP TYPE OCCGROUP 10111 GREEK ST ADDRESS: STRUCTURE: 86 1 VN R3 T CA 917803334 ASSESSOR I BER: GARAGE: N EST CROSS STREET: BALDWIN 8585-0037035 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TE)MT: EXIST BLDG USE: USE ZONE: I SSUED-ON- PROCESSED BY: EXPIRES ON: EXIST OCC GRP:. 05/07/99 VG 11/03/99' OWNER BERG •STEPHEN (818) 448-7885- 10,000 1011 GREEN ST TEMP 917x03334 Fhhb.PAID DESCRIPTION OF WORK f EXTEND AND-CONVERT EXIST BONUS TO 3RD BDRM DIVIDE FEE DESCRIPTION: QUANTITY: LXIM: AMOW: FMLY RM TO CREATE 4TH BDRM AND ADD SHOVER TO.HALF-BATH APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75. AC STRONG MOTION RES 10000_00 VAL. 1.00. `� AX BUILDING 54.70 % 92 PERMIT (jELE VAL 23x.26 321.71,CONTRACTOR: TEL. NO: ' SAME AS OWNER `,QS T y Fy LIC. NO L?C4T I ON AND SETBACKS SOILS ENGINEER APPROVALE LIC. NO 111111 RAISED, FLOOR MUMU MAP NO: SEWER MAP BOOK: P)RE--- FIRE ZONE: LXDERFfDR IN§UDOTW- 3 ED)L W(DFF-))Ks -GRD U FLO m 1ST LEVEL FLOOR SHEATH NO. OF FANIIIES: DWELLING UNITS: OT/MRD: STAT C. — NO 21 SCHOOL WITHINO ❑ ROOF SIEATHIWff-- AIR QUALITY: 1000.FEET MATERIALS NO NO NO a . REQUIRED TOTAL SETBACK FROM BLDG 69T SET BACK YARD: WY: PROP LINE: WIDTH: $ � FRONT PL- C `St3"Vic Thai SHEARPANELS CI SIDE PL- EXTER I OR EAT LOT D�AINAGE SMOKE PETECTIM-nV= FIRE dEPARrRmu-m7mw REPORT ID: DPR261 ROUT.= TO: BSD508 i