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76A638ACE #8033-69 .APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS-ANGELES BUILDING !IIU�1
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5004 No . He 1 i o ,. Temple City
BUILDING AND SAFETY DIVISION LOCALITY �J
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,•SUP'T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROU YPE (/ PRO S BY
(PRINT OR TYPE ONLY) v S
BUILDING - STATISTICAL CL&SSIFICATION _ . SE ER.;MAP .
ADDRESSHeler.) , CLASS NO. DWELL.UNITS - -BK'
LOT NO. BLOCK USE ZONE MAP- --- -
1 N0. -
TRACT SPECIAL
N0. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
TEL. �. FRONT PROP. LINE OF. • (STREET)
OW NER N0.- TYPE OF EXISTING SETBACK 'HIGHWAY + YARD - " .TOTAL
ADDRESS 5004 NO
HIGHWAY WIDTH FROM C.L.
O - �
CITY Te 1 ,t Calif.
ARCHITECT OR - - - TEL. BLDG.SETBACK FRO - - (STREET)
ENGINEER -: N0. SIDE PROP. LINE OF
TYPE OF EXISTING SETBACK WHIG YARD _ TOTAL
ADDRESS rip HIGHWAY WIDTH FROM C.L.
CONTRACTOR H . L . R dol C o . I. EDL2 88^ 0 0 +
ADDRESS .529 E . Val ley B1 dN0 186086 CORNER CUTOFF YES ❑ NO ❑ `'
LIC
CITY Rosemead , Ca ff. CLASS C.^39. SEE REVERSE SIDE FOR SPECIAL APPROVALS Q
CONSTRUCTION LENDER /U
NAME AND BRANCH
ADDRESS - - -'2
SQ. FT. NO. OF NO. OF: ❑
SIZE STORIES -- FAMILIES NEW
USE OCTURE re^roof 0 _el 1 n W1•th ADD
STRUCTURE ❑ "
ALTER ❑
Comp . REPAIR
SIGNATURE OF DEMOL -
APPLICANT /�
VALUATION $ 600 . 00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ - FEE $ '9 QO FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STA'T'E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLA OF THE LABOR CODE LATH, INT.
L I
OF THE STATE. OF C IF NIA I ENG TO RKMEN'S COM-
, ,
PENSATION INUR _LATH, EXT.
SIGNATURE OF - HOUSE NUMBER CORRECT
PE RMITTn
pp AND POSTED
ADDRESBl " U FINAL AA/ly,�p
JOHN F. LEWIS, PRI NCI PAL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATIONCK. M.... CASH
CR
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76A630A CE $003 1-62A- LII®N FOR
B. UILDING PERMIT E MIT -
COUNTY OF LOS ANGELES BUILDING �D
DEPARTMENT OF COUNTY ENGINEER ADDRESS.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. I
DISTRICT NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL IN `jam CONST:
BUILDING C y- STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS sQ� /( �.� BK PG
CLASS. NO. WELL. UNITS
LOT NO. 'BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: ly 1:1
TRACT / MAP HIGHWAY STATE MAJOR SECOND, LOCAL
NO.OF BLDGS. N - / (CIRCLE)
SIZE OF LOT s NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL • `J 1
OWNERUJI d NO BUILDING YARD HWY R ET NAME EXIST.
SETBACK WIDTH
ADDRESS 1 t FRONT
ARCHITECT OR TEL. P. L
ENGINEER NO. SIDE
P. L.
CL
ADDRESS ' 'o
NCONTRACTOR
®C_
ADDRESS Z O
DESCRIPTION OF WORK Lu
CL
NEW DID ALTER REPAIR DEMOLISH z
SQ. FT. Zp NO. OF NO. OF o
SIZE DO STORIES FA IL ES
USE OF
STRUCTURE
V
SIGNATURE OF
APPLICANT
VALUATION $ - � -
_ APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ •_� FEE $ � FORMS, MATERIALS / �/�. }°„ •� fes^' ,�•-ley/ ' „o
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS /w %,✓+k /.J�:- ';�' j�"-✓tom
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 /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- L•ATFiS•-INT'..
f 6�i1A
TION OF THE LABOR CODE OF T STATE OF CALIFORNIA RELAT. ///
ING TO WORKMEN'S COMPENSAT I URANCE.
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR- °
PERMITTEE RECT AND POSTED
ADDRESS •FINAL
JOHN F. LEWIS, PRINCIPAL STURAL ENGINEER
"'PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
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_ 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 9907080057
PHONE: (626) 285-0488 EXT:
LEGAL 15: NO. OF CONST BUILDING ADDRESS:
TR: 13329 LT: 34 SQ. FT STORIES. TYPE 5004 HELEO AV 06
STRUCTURE: 0 VN TEMP CA 917803824
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA
8590-022-010 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1. ISSUE ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/08/99 UT 01/04/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT E Y: CODE:
CHAN;IVY (626) 286-3848- 1 1,600
5004 HELEO .XPIRE
TEMP 917803824 FEES PAI DESCRIPTION OF WORK
REPLACE 16 WINDOWS WITH ALUMINUM WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION,RESID1600.00 VAL 0.50 SPECIAL CONDITIONS:.
D2 PERMIT W/O-EN HCS 1'600 00 VAL 82.65
EL'EST0 FEES 110.90. .
CONTRACTOR: TEL. NO: ®� /� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - d
LIC. N0. LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: / FOUNDATION%TRENCH FORMS
LIC. NO: L 1111.111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
1MAP NO:44H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP
O �J>� .OI Lid I V/ UNDERFLOOR INSULATION
II l� O w u� FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 O h I ROOF SHEATHING
\\
SCHOOL WITHIN HAZARDOUS \ ISHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO 1 __ FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM- EXIST ��®� a ��Od� FIRE SPRINKLER HANGERS
SET, BACK YARD: . HWY: PROP LINE: WIDTH:
FRONT PL- �vice INSULATION/WEATHER STRIP .
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEI ASSEM.
RATED WALL ASSEMBLIES
RATED 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 1204190022
PHONE: (626) 285-0488 EXT:
ILEGAL ID: BUILDING ADDRESS:
I N0. OF CONST
ITR: 13329 LT: 34 SQ. FT STORIES TYPE I
1 5006 HELEO AV 06 1
I ISTRUCTURE: 600 V-B TEMP CA 917803824 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA
18590-022-010 i - i THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
(TENANT: (EXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
1 1EXIST OCC GRP: 104/19/12 SR 1
10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
ILAU, ANDY (626) 922-3373- 1 2,000 I 1
15004 HELEO AV 1 I 1
ITEMP 917803824 1 FEES PAID IDESCRIPTION OF WORK 1
I IRE-ROOF TEAR OFF 1/2" O.S.B. 30 YR COMP SHINGLES DETACHED
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IGARAGE 1
(APPLICANT: TEL. NO: I I I
(TANG, YAN HOI (626) 288-1536- IAA BLDG PERMIT ISSUANCE 27.80 1 I
13912 VACHON DR. IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 (SPECIAL CONDITIONS: 1
IROSEMEAD, CA 91770 IAC STRONG MOTION RESID 2000.00 VAL 0.50 1 I
I ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 1 1
1 i TOTAL FEES 111.50 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IYAN HOI TANG (626) 288-1536- 1 1_ 1
13912 VACHON DR LIC. NO 1 ILOCATION AND SETBACKS I
IROSEMEAD, CA 91770 620138-C39 *I I 1 I 1
I I (SOILS ENGINEER APPROVAL 1 1
1ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I I I
I - I
LIC. NO: 1 (SLAB/UNDER FLOOR I I
I I I
I (RAISED FLOOR FRAMING I I I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I 1 I
1144H269 3 001 1 1 I I
I -I (FLOOR SHEATHING 1 I 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 1
0 NO 21 1 (ROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I 1 I I
1 NO NO NO (FRAME INSPECTION
I I I
1 I (FIRE SPRINKLER HANGERS I I I
I I I
I 1 11NSULATION/WEATHER STRIPI I 1
I I (INTERIOR LATH/DRYWALL I I I
I I I
1 I IEXTERIOR LATH 1 I I
I I I
I 1 (RATED FLOOR/CEIL ASSEM. 1 I I
(RATED WALL ASSEMBLIES I I I
I I I
IRATED SHAFTS/OPENINGS 1 I I
IT-BAR CEILINGS I I I
I 1* ADDITIONAL DATA ON FILE
I I I
1 I ILOT DRAINAGE I I I
I I I
I (REPORT ID: DPR261 ROUTE TO: ES0508 I I 1 I
1 I 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 1204190021
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST I BUILDING ADDRESS: I
ITR: 13329 IT: 34 SQ. FT STORIES TYPE I --S"G HELEO AV 06 U
1 ISTRUCTURE: 2000 V-B I TEMP CA 917803824 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA
18590-022-010 1 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 104/19/12 SR 1
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FIN CODE:
ILAU, ANDY (626) 922-3373- 1 7,000
15004 HELEO AV I
ITEMP 917803824 FEES PAID IDE CRIPTION OF WORK
I IRE-ROOF TEAR OFF 1/2" O.S.B. 30 YR COMP SHINGLES I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
(TANG, YAN HOI (626) 288-1536- IAA BLDG PERMIT ISSUANCE 27.80 I
13912 VACHON DR. IAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 (SPECIAL CONDITIONS: I
IROSEMEAD, CA 91770 IAC STRONG MOTION RESID 7000.00 VAL 0.70 I I
ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20 I
1 I TOTAL FEES 195.70 I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IYAN HOI TANG (626) 288-1536- I I
13912 VACHON DR LIC. NO I (LOCATION AND SETBACKS
ROSEMEAD, CA 91770 620138-C39 .I
ISOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I
I LIC. NO: ISLAB/UNDER FLOOR I
I I I
IRAISED FLOOR FRAMING I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
I144H269 3 001 I I I
I I (FLOOR SHEATHING I I
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
0 NO 21 I (ROOF SHEATHING I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
I NO NO NO 1 IFRAME INSPECTION I I
I I (FIRE SPRINKLER HANGERS
I I I
I I (INSULATION/WEATHER STRIPI I I
I (INTERIOR LATH/DRYWALL I I I
I I I
I I (EXTERIOR LATH I I
I I I
I I (RATED FLOOR/CEIL ASSEM. I I I
I I (RATED WALL ASSEMBLIES I I
I I I
I (RATED SHAFTS/OPENINGS I I I
I I I
I I IT-BAR CEILINGS I I
I I* ADDITIONAL DATA ON FILE
I I I
ILOT DRAINAGE
I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I I