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HomeMy Public PortalAbout6164 / 6168 HART AVE_Building__ t APPUC AMON FOR oMLDNIG PERNT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN 'BUILDINGD��$S I hereby affirm that I have a;certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insuran e,or a certified CITY ZIP copy thereof (Sec.3800,Lab.C.) LOCALITY C_ / Compa < Policy No/A A' _7 SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. Q X Igo NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.' department. USE ZONE MAP NO Date Applicant KKJJ . - ) ' r/ C•v� S � �: ASSESSOR MAP BOOK PAGE PARCEL -� 7/q� J� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. �1� / COMPENSATION INSURANCE � �v� !�[Op4c So tn 247-2646 WITHIN 1000 FT.OF SCHOOL? VES NO This section need not be completed if the permit is for one hundred ADDRESS ' ( P P � � /� DISTRICT - GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) n I.certify. CITY ZIP that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so.as to -ARCHITECT OR ENGINEER - TEL NO. become Subject t0 the Workers'Compensation Laws. _ ' STATISTICAL CL SIFICATION APT CONDO Date Applicant ADDRESS ` , - CLASS NO. DWELL UNITS - NOTICE TO APPLICANT If, after making this Certificate.Of REQUIRED TOTAL SETBACK FROM EXIST' Exemption, ' you Should become subject t0 the Workers' - CONTRACTOR '� TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation'provisions of the Labor Code, you must forthwith �(/. Cf7�-ts 2 �- g(,-o FRONT comply with.such provisions or this permit shall be deemed revoked. -ADDRESS//�� LIC.NO. _ P L LICENSED CONTRACTORS DECLARATION ` t S�� ��S o'�� Zc� Z SIDE CITY _c1+ LIC.CLASS .,/J PL I hereby affirm that I am licensed underprovisions of Chapter 9 v � /� SEWER MAP (commencing with Section 7000)Of Division Of the-Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force a effect. NEW El Bk PG D 3g'Ld g 2. VALUATION d License Number Lic.Class DESCRIPTION OF WORK ADD ❑ Q Contractor J_k/GO1c�t Date �l�lQ ��C Q O ALTER $ 1 2�®0^0 ccU REPAIR •❑ O ❑ I am exempt under Sec. � � $ F.. B.8 P.C.for.this reason i �A,4reO f&Vt41 (y � C-0-tC+-¢��5�� DEMOL ❑ W s �7 LDMA P/C# Date: O S USE OF EXISTING BLDG. URM ❑ C/Signature APPLICANT PRINT) TEL NO. LDMA Perm#. Z ❑ I, as owner'of the p erty, or my employees with wages as W-C—OtiSId `2 � �6L- Z their sole compensa on, will do the work and the structure is ADDRESS ` /_ Q 0 not intended or offered for sale (Section 7044, Business and 00 5'r4����d l a.0 4Cv d FINAL DATE _ Q y p +�i 3 3 Professions Code.) 3.3!0-+ 1f`a_ILt • - WILL THE APPLICANT OR FUTURE. OCCUPANT HANDLE A HAZARDOUS MATERIAL Z��.�. J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El 1, as-owner of the property,;am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES 1:1 No 1:1Business and Professions Code.) AC?-'T =a WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ OCCUPANT REQUIRE.A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 0 1,:' CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR GUIDEUNES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ 2 ITEMS N the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALSINFORMATION GUIDE AND THE SCAQMD PERMITTING .. - - 1 5 O 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, f I I . 15 N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING.AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address }{ O OWNER OR AGENT ..............:..i•HAN GE o I certify that I have read this application and state under penalty ,. o. P.C.FEE �/D ..J D .PERMIT FEE 9a -a of perjury that the above information is correct.I agree to comply ........................ o with all county ordinances and State laws relating to building• ' m construction, and hereby authorize representatives of this County ISSUANCE FEE 0000-ilL=ilt to enter u on the bove-mentio operty for inspections purposes. (p. Cl/ "' 4 15 • 0. INVESTIGATION FEE TOTALFEE .._ n Sign, APPIi^ .t Agent - Oat. ' SEE REVERSE FOR EXPLANATORY LANGUAGE APPUCAMOK�QR [BULIONG PERNT COUNTY OF LOS'ANGELE'3 BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION ;. F R APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that-I have a certificate of consent to self insure, BUILDIN R '"'�""�' -or a certificate.4f Workers' Compensation Insurance,or ertif. d ��� � 1 / �O copy'theregf(Sec.380 ,Lab.C.) CITY ZIP Policy No.J i 4 �" �/j �i LOCALITY Company 9 ,` SIZE OF LOT NO.OF BLDGS.NOW ON LOT ' ❑ Certified copy is hereby.furnished. NEAREST CROSS ST. �ertified copy is filed with the county building inspection-' 'TRACT BLOCK LOT NO. depart nt. n USE ZONE MAP NO. Date 'Applicant ASSESSOR'MAP BOO K, - PAGE - PARCEL SPECIAL CONDITIONS C RTIFICATE OF EXEMPTION FROM WORKERS' NE TE NO. O/ COMPENSATION INSURANCE © �.., b N 2-� 7- 0 b WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not,be completed if the permit is for one hundred ADDRES� r = b DISTRICT GROUP TYPE CON FIRE ZONE PROCESSED BY dollars ($100)•or less.) , CITY /IF '� I certify that in the perfor nce of the work for which this permit is issued, I shall not employ ny person in'any manner s0 as t0 gRCHITEC OR ENGINEER TEL NO. become subject to the WOrkers ompensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date ApplicantADDRESS CLASS NO. —G�� DWELL UNITS NOTICE'TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRA T�OR, TEL Na. SET BACK -YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ItI1`�l S u iFRONT comply with such provisions or this permit shall be deemed revoked. AVP.FSSLIC.N�7 0 P L LICENSED CONTRACTORS DECLARATION C� � SIDE CITY CIGS C--/ .PL 1 hereby affirm that I am licensed,underprovisions,of, Chapter. 9 �^ I �" SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE Nd.-OF OF STORIES N OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG ' ('�8 - DESCRIPT ON OF,WO - ADD ❑'" VALUATION D' a License Number Lic.Class ti 0 Confract Date ALTER ❑ '` U /L2 ltJ REPAIR '❑,. ❑ I am exempt under Sec. BAP.C.for this reason DEMOL ❑. LDMA P/C# V Date: USE,o XIST DG. URM '•. •0. _. a®r d Signature •-. -✓� ..TEL NO. LDMA Perm# r,:i-t•-: J a 0;f _Z APPLI RINt� I` ❑ I, as owner of the property,'or my employees with wages as (�-� Z .�• _r their sole compensation, will do the work and the structure is ADDRESS O i E! C not intended or offered for sale (Section 7044, Business and FINAL DATE 0 J 65 60 Professions Code.) j I Z g _ _ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL (� ❑ I, as owner of the y, y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J CHECK s S=G• property, am exclusive) contracting with AMOUNTS SPECIFIED O E HAZARDOUS MATERIALS INFORMATION GUIDE?' FINAL BV �i•F �'';` licensed contractors to construct the project (Section 7044, VES❑ N . ..�• i'tc3t n i_! 1 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ...... OCCUPANT.REQUIRE A PER FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - .. CONSTRUCTION.LENDING AGENCY COAST AIR QUM47MENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FORGUIDELINES I hereby affirm that there is a construction lending agency forVES❑ N the performance of the work for which this permit is issued(Sec. -'I I24 �rj 3097, Civ.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING - +^ii' 1 A i 3a5,: N CHECKLIST.I UNDER TAND MY REQUIRE TS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2. 0 SECTIONS'2.20. THROUGH 2.20.740 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTI FOR OBTA ING A PERMIT FROM THE SCA OMD. ... ' o Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of th' C unty ISSUANCE FEE ' co to e+ai r u@ pon the above enter Toned property for inspe to roses. nINVESTIGATION FEE TOTAL FEE Sig—re T sre of AoWi�m«Agem o e (p (C� V SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION I • I hereby affirm that T'have a certificate of consent to self (� M O n n &A /1 insure;°8r-a,certificate'of Workers' Compensation Insurance%, / N. ��LI V, �O L��J �®� (�UU or��•certified copy/thereof�Sec. 3800,is :C COUNTY OF.LOS ANGELES 03U9LDINC''AIIbD'`SAFEYY olicy No� 7 b fCo'mpanj BUILDING / ❑ ertified copy is-hereby.furnfurni'she'd. FOR APPLICANT TO FILL N' ADDRESS Gfl� % Certified copy is filed with the'•county building inspec- I BUILDING tion department. 4 ., ADDRESS 1p : - / LOCALITY U(� w- , _ . . NEAREST Date �U Applicant �' ' � CITY., ZIP CROSS'ST.. /. C RTIFIC TE OF.EXEMPTIONN OF BLDGS_FROM ORKERS' . ASSESSOR COMPENSATION INSURANCE'. SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL (This section need not be completed W:the-permit is for one MAP . C> USE ZONE hundred dollars ($100).oF.less.) , n•' TRACT.. e BLOCK LOT-NO . '�Z / NO. ©�.' /� TEL �. SPECIAL ( OWNER V G �U l NO' ((5� s` CONDITIONS' 4, I certify that in the•performance.of the,work for which this L DISTRICT GROUP TYPE PRO ESSED B'f O .. permit`is issued; l shall -hof employ any person.in any manner CONST ZOFIRE NE ,so as to become subject to the•Workers'Compensation Laws. ADDRESS _✓v`� 7. (J� Date Applicant STATISTICAL CLASSIFICATION.• APT` _ CONDO.' �- CITY ZIP NOTICE TO APPLICANTi:,If, after making.this'Certificate'of ARCHITECT OR.• TEL. ENGINEER NO. DWELL. UNITS W' CLASS NO; Exemption, you should become subject'-to-the; Workers` CL. Compensation.provisions of.the Labor Code;you,must forth- ADDRESS SEWER MAP. z With comply with' such ,provisions or this permit shall be _ r 6--7,TEL: ��tt deemed revoked. CONTRACTOR I/I NO LJ BK. PG, . -� F, - 6-7 VALIDATION .LICENSEDCONTRACTORSDECLARATION / r �/2 I hereby affirm that I arhlicensed'uhder'provisions of Chapter9 ADDRESS426 l S L/��i.Sr NO. /✓t� � VALUATIOW (commencing with Section 7000)of'Division 3 of the Business and LIC.. Professions Code, and my:license-'is.in'full force.and effect. CITY , : CS l�ti✓ �fG CLASS.C-73 $ ` Q�' ` SQ: FT. - NO. OF NO. OF CH CK /�, V' 1 SIZE STORIES FAMILIES ' ONE 1 License Number Lic.Class Contractor DESCRIPTION OF WORK' 1l/e '/UIQ NEW ❑ $ f am exempt under Sec. 7 ADD Q ALTER ❑ FINAL �7 B.BP.C: for this reason raG�el''/�/�Tz2!'17 / e f/l IR ❑ DATE G- REPAIR a : USE OF FINAL EXISTING BLDG. DEMOL ❑ g,.. APPLICANT tj��/ By Si nature PRINT) 7�., r /CCV lam+ FR-B ILDER DECLARATION �'� hereby affirm/that I am'exempt from-the Contractor'slicense / f � �41.2A Law.for the following reason (Section-7031 5 •Busi_ness'and ADDRESS SS `Cs !�'S "S ��..54� (��Y�/ r 1 Professions Code):' PRESENT o o'o o'o ❑- BUILDING •1, as owner of the property or my employees with = ADDRESS '`t o g '7 Q Wages as their compensation;will do'the work and L LOCALITY thestructure is notintended or offered for sale(Section �o 0 0 '7 g'`( " 7044,.Business'and Professions Code). MOVING TEL. CONTRACTOR NO. ; ❑ ..I, as owner.of the property,-am:exclusively.coniracting + w" Q 2b,-8'3 , with licensed contractors'to construct the-project.,(Sec` ADDRESS -`tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY' SET BACK - PROP. LINE WIDTH YARD .HWY I hereby offirm'that there is d construction lending agency.for FRONT the performance of-the work for,which this permit is issued P.L. D (Sec. 3097, Civ. C.). SIDE m P.L'. Q Lender's Name _ P.C. Fee'$ Permit Fee .. ' Lender's Address w Fcertif• that l'have'reod this,'a hcation and state that the "' Y PP- lssuance'Fee (� above.informotion is correct I agree to comply with:all.County Investigat on Fee g ordinances a,nd State laws relating to building construction; - Total Fee: / u and her by authorize representativ sof this County to enter a u t above-mention d pro ty far inspection purposes. - G SEE REVERSE FOR EXPLANATORY LANGUAGE o - /. '. - - Signature of Applicant or Agent I Date COUNTY OF LOS ANGELES j TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0611170024 PHONE: (626) 285-0488 EXT: DUPLICATE ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: 1 ITR: 5904 LT: 229 SQ. FT STORIES TYPE. OCCUP GROUPI 6164 HART AV 1 I - ISTRUCTURE: 640 1 VN R3 I TEMP CA 917801628 1 (ASSESSOR INFORMATION NUMBER: 1 GARAGE: 481 1 VN U1' NEAREST CROSS STREET: LONGDEN I 15384-010-010 OTHER: 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 103/16/07 JK 03/10/08 1 I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION.: IFINAL DATE FIN CODE: 1 ICHU, MING RONG _ (626) 446-3586- 1 82,437 1 11120 S. 3RD. AVE I I IARCADIA, CA 91006 1 FEES PAID (DESCRIPTION OF WORK I (BUILD 2ND: UNIT 1BR/1BA W/ATTACHED 2 CAR GARAGE I - IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1 (APPLICANT: TEL. NO: I ICHU (626) 446-3586- IB1 PLANCHECK W/ENERGY 82437.00 VAL 1,054.25 1 11120 S. 3RD. AVE IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: 1 1ARCADIA, CA 91006 IAC STRONG MOTION RESID 82437.00 VAL 8.24 IB2 PERMIT W/ENERGY 82437.00 VAL 1,240.31 1 I TOTAL FEES 2,330.55 1 I ICONTRACTOR: - TEL. NO: 11 1APPROVALS DATE INSPECTOR SIGNATURE 1 (MING RONG CHU (626) 446-3586- 1 (MING EING CHU LIC. NO 1 ILOCATION AND SETBACKS 1 ' I 11120 S. 3RD AVENUE NONE 1 I �� I 1ARCADIA, CA 91006 1 ISOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS -I I ICHU, MING RON (626) 446-3586- 11120 S 3RD AVE LIC. NO: 1SLAB/UNDER FLOOR 1ARCADIA, CA 91006 S2926 I I - (RAISED FLOOR FRAMING 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION '. 1150H265 E 67 3 011 I 11ST LEVEL FLOOR SHEATH INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: l I NO 01 12ND LEVEL FLOOR SHEATH I I I I SCHOOL WITHIN HAZARDOUS 1 (ROOF SHEATHING I 1AIR QUALITY: 1000 FEET MATERIALS - 1 I I I ( I I NO NO NO 1 - IFIRE DEPT. FRAME INSPECT( I I IREQUIRED TOTAL SETBACK FROM _EXIST 1 1BLDG DEPT. FRAME INSPECTI I I ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 (FRONT PL- - ISHEAR PANELS I SIDE PL- I II INSULATION/WEATHER STRIP( 1 I I I �7, I 1 (INTERIOR LATH/DRYWALL 1 IEXTERIOR LATH I ILOT DRAINAGE I I 1 ISMOKE DETECTION DEVICES I I 1-1 IFIRE DEPARTMENT APPROVAL( 1 I I I I I I I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I i I f, COUNTY OF LOS ANGELESTEMPLE CITY # 0508. BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0703160052 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: 1 ITR: 5904 LT: 229 I SQ. FT STORIES TYPE OCCUP GROUPI 6164 HART AV I I ISTRUCTURE: 0 1 VN R3 I TEMP CA 917801628 1 ASSESSOR INFORMATION NUMBER: I GARAGE: 651 1 VN U1 I NEAREST CROSS STREET: LONGDEN 15384-010-010 I OTHER: - - I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 EXIST OCC GRP: 103/16/07 JK 03/10/08 1 10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINALDATE FINAL BY: CODE: 1 ICHU, MING RONG (626) 446-3586- 1 19,270 1 11120 S. 3RD. AVE I IARCADIA, CA 91006 1 FEES PAID IDESCRIPTION OF WORK I 1 IDEMO (E) GARAGE AND REBUILD 3 CAR GARAGE 651 S.F. 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: I I I ICHU (626) 446-3586- IAA BLDG PERMIT ISSUANCE 27.75 1 1 11120 S. 3RD. AVE 1AC STRONG MOTION RESID 19270.00 VAL 1.93 ISPECIAL CONDITIONS: I 1ARCADIA, CA 91006 ID2 PERMIT W/O EN-HC 19270.00 VAL 384.60 1 1 1 TOTAL FEES 414.28 1 1 1CONTRACTOR: TEL. NO: 1 _ (APPROVALS DATE INSPECTOR SIGNATURE IMING RONG CHU (626) 446-3586- 1 1 I ' IMING EING CHU LIC. NO ILOCATION AND SETBACKS1 11120 S. 3RD AVENUE NONE I 1 / - I IARCADIA, CA 91006 1 ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS ICHU, MING RON (626) 446-3586- 1 1 `hII 11120 S 3RD AVE LIC. NO: 1 1SLAB/UNDER FLOOR I I I ' 1ARCADIA, CA 91006 S2926 I 1 1-1 1 I 1 IRAISED FLOOR FRAMING 1 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 3 - 011 1 1-1 1 1 11ST LEVEL FLOOR SHEATH I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT 'CLASS: 1 I I I I 1 NO 21 1 12ND LEVEL FLOOR SHEATH 1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I I (AIR QUALITY: 1000 FEET MATERIALS 1 I r I 1 NO NO NO 1 1FIRE DEPT. FRAME INSPECT( aI IREQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECTI I I ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I IFRONT PL- ISHEAR PANELS I I _ I I SIDE PL- i I IfI I I I (INSULATION/WEATHER STRIP I 1 I 11NTERIOR LATH/DRYWALL 1 I I 1EXTERIOR LATH I 1 1 I I ILOT DRAINAGE 1 1 1 I ISMOKE DETECTION DEVICES 1 1 1 IFIRE DEPARTMENT APPROVAL( I I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I 1 1 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 0611170023 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: J ITR: 5904 LT: 229 I SQ. FT STORIES TYPE OCCUP GROUPI 6164 HART AV I I ISTRUCTURE: 796 1 VN R3 I TEMP CA 917801628 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS .STREET: LONGDEN 1 15384-010-010 I OTHER: 450 1 VN R3 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: USE. ZONE: JISSUED ON: PROCESSED BY: EXPIRES ON: J 1 1EXIST OCC GRP: 103/16/07 JK 03/10/08 I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI AL BY: CODE: J ICHU, MING RONG (626)..446-3586- J 107,990 1 I 11120 S. 3RD. AVE JARCADIA, CA 91006 I FEES PAID IDESCRIPTION OF WORK I I I JVD BEDROOM, BATHROOM, FAMILY ROOM 796 S.F. REMODEL EXISTING( I •- _ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:J450S'F: I (APPLICANT: TEL."NO: I I I ICHU (626) 446,-3586- JB1 PLANCHECK W/ENERGY 127260.00 VAL 1,377.82 1 I 11120 S. 3RD. AVE JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: JARCADIA, CA 91006 JAC STRONG MOTION RESID 107990.00 VAL 10.80 1 J I JB2 PERMIT W/ENERGY 107990.00 VAL 1,475.76 J 1 I I TOTAL FEES 2,892.13 J I ICONTRACTOR: TEL. NO:- I - JAPPROVALS DATE INSPECTOR SIGNATURE J IMING RONG CHU (626) 446-3586- 1 1 I IMING EING CHU LIC. NO I ILOCATION AND SETBACKS I I 11120 S. 3RD AVENUE NONE 1 I J I I IARCADIA, CA 91006 1 ISOILS ENGINEER APPROVAL I I I JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I ICHU, MING RON (626) 446-3586- I I I 11120 S 3RD AVE LIC. NO: J JSLAB/UNDER FLOOR JARCADIA, CA 91006 52926 J I I I I J J IRAISED FLOOR FRAMING I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFL60R INSULATION J I I I 3 Oil I - I 11ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 1 J NO 21 J 12ND LEVEL FLOOR SHEATH I I I J J I J SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING J JAIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO I IFIRE DEPT. FRAME INSPECT( I' IREQUIRED TOTAL SETBACK FROM EXIST J IBLDG DEPT. FRAME INSPECT( " ISET BACK YARD: HWY: PROP LINE: WIDTH: J J I I IFRONT PL- I ISHEAR PANELS / 1 I SIDE PL- 1 I I I JINSULATION/WEATHER STRIPI I I I J JINTERIOR LATH/DRYWALL I J I I I 1EXTERIOR LATH I J I I I I I I ILOT DRAINAGE I I I I I I I I ISMOKE DETECTION DEVICES 1 J I I J IFIRE DEPARTMENT APPROVAL) I I I I I I I I I- IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I 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 0703280042 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 5904 LT: 229 1 SQ. FT STORIES TYPE 1 6164 HART AV 1 I ISTRUCTURE: VN I TEMP CA 917801628 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 1 15384-010-010 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: . EXPIRES ON: 1 I IEXIST OCC GRP: 103/29/07 JK 03/23/08 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI AL BY: CODE: 1 ICHU, MING RONG (626) 446-3586- 1 2,500 I�• �� 11120 S. 3RD. AVE 1ARCADIA, CA 91006 FEES PAID (DESCRIPTION OF WORK 1 I I (ADD ONE MORE BATHROOM, CONVERT DINING ROOM TO BEDROOM WITH IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICLOSET SEE ALSO PERMIT BL. 0611170023 1 (APPLICANT: TEL. NO: I I - I I ICHU (626) 446-3586- IAA BLDG PERMIT ISSUANCE 27.75 1 1 11120 S. 3RD. AVE IAC STRONG MOTION RESID 2500.00 VAL 0.50 ISPECIAL CONDITIONS: 1 1ARCADIA, CA 91006 1B2 PERMIT W/ENERGY 2500.00- VAL 108.90 1 1 I TOTAL FEES 137.15 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IMING RONG CHU (626) 446-3586- 1 1 IMING EINGCHU LIC. NO 1 ILOCATION AND SETBACKS I 11120 S. 3RD AVENUE NONE I IARCADIA, CA 91006 ISOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I ICHU, MING RON (626) 446-3586- 1 1 1 1 I 11120 S 3RD AVE LIC. NO: ISLAB/UNDER FLOOR I I I 1ARCADIA, CA 91006 52926 I I I (RAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I 1UNDERFLOOR INSULATION I I I 115OH265 3 011 I I I I I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I NO 21 1 IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS 1 I NO NO NO 1 (FRAME INSPECTION I 1 IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I 1 I IFRONT PL- I 11NSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I 1 I 11NTERIOR LATH/DRYWALL I I I 1EXTERIOR LATH 1 I I (RATED FLOOR/CEIL ASSEM. I 1 I IRATED WALL ASSEMBLIES 1 I IRATED SHAFTS/OPENINGS 1 I I I IT-BAR CEILINGS I I I I (LOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I