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Home My Public Portal About8925 HERMOSA DR_Building__ 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 091119ODSO PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 151 UN: .002 SQ. FT STORIES TYPE 8925 HERMOSA DR ISTRUCTURE: 1300 V-B I TEMP CA 919801619 1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD 15384-017-041 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXIST OCC GRP: 111/19/09 SR IOWNER: TEL. NO: IIBLDGS. NOW ON IAT: VALUATION: (FINAL D E FIN BY: CODE: 1 SHENG YWANG (626) 205-5021- 4,200 18925 HERMOSA DR. 11 1�� (TEMPLE CITY CA 91980 FEES PAID IDESCRIPTI N OF WORK 1 (REMOVE ONE LAYER CAP INSTALL WHITE TORCH DOWN ROOFING ON IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IAPROX 1300 SQ.FT. OF ROOF LESS THAN 1/2 OF ROOF APPLICANT: TEL. NO: KEEFER'S ROOFING CO- (909) 608-0622- IAA BLDG PERMIT ISSUANCE 29.95 11216 BEGONIA COURT IAB STATE GREEN BLDG FEE 4200.00 VAI, 1.00 (SPECIAL CONDITIONS: (UPLAND, CA 91984 IAC STRONG MOTION RESID 4200.00 VAL 0.50 1 ID2 PERMIT W/0 EN-HC 4200.00 VAL 132.60 TOTAL FEES 161.85 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IKEEFER'S ROOFING CO. (909) 608-0622- 11216 BEGONIA COURT LIC. NO ILOCNTICN AND SETBACKS UPLAND CA 91484 760903 C39 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: 1 FOUNDATION/TRENCH FORMS LIC. NO: SL /UNDER FLOOR I I I RAISED FLOOR FRAMING _I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: j UNDERFLOOR INSOLATION ' 1150H265 3 001 I I (FLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 11 NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION J (REQUIRED TOTAL SETBACK FROM EXIST i iFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: (FRONT PL- I INSULATION/WEATHER STRIP( SIDE PL- 1NTERIOR LATH/DRYWALL (EXTERIOR LATH RATED FLOOR/CEIL ASSEM. 1 (RATED WALL ASSEMBLIES I (RATED SHAFTS/OPENINGS T-BAR CEILINGS ILOT DRAINAGE (REPORT ID: DPR261 ROUTE TO: BSO508 WORKERS'COMPENSATION DECLARATION ' 0 L✓a4 Iinsb g, y 0 m that I of W r certificate of consent to self APPLICATION. FOR BUILDING PERMIT ' insUYe, or a certificate-of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) _COUNTY OF LOS*ANGELES BUIL D D AFETY .,,. .' Policy No. Company - Certified copy is hereby furnished. IOR � � ADDRESS Certified copy is filed with the county building inspec- BUILDING ' r tion department. .ADDRESS, LOCALITY NEAREST Date Applicant CITY'. L • _ , ZIP //.,9 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' / NO. OF BLD S. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT -Y/ 7 NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. t NO. 1100 7 TEL. ll • SPECIAL } I certify that in the performance of the work for which this OWNER �- F S��s O. �ar''` 7/ CONDITIONS 6 permit is issued, Ishall not employ any person in an anner l! ,�j '/ r q DISTRICT .GROUP TYPE FIRE PROCESSED BY O so as to become subject to the WorkWkg m en 6 N L s. ADDRESS 3 yA7��/}/ p 4i1��q/ �s�� _I CONST. ZONE U CITY s��i%/Tr, ' ZIP /�•e 1,� - 3 0 Date 4_L__- -��pplicant �` r STATISTICAL CLASSIFICATION APT. C NDO. H ARCHITECT OR r TEL. / NOTICE TO APPLICANT: If, after mhisertificote of ll �� 7��-�U 3�. f� V Exemption, you should become subject to the Workers' ENGINEER ._G- J��/'i NO /�� CLASS NO. DWELL. UNITS_ a Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP to with comply with such provisions or this permit shall be / ? deemed revoked. - - CONTRACTOR �' ( yy TEL ��ys/ BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION /�y}Ilf�C-� I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3� ��L��I"N6. VALUATION (commencing with Section 7000)of Division 3 of the Business and w /gyp w ` LIC # e e e e Professions Code, and my license is in full force and effect. CITY s4/r1/% !/ C' L CLASS E ° ° BO, SO. FT.y� NO.OF r NO. OF CHECK , 8 0.3 3 6 License Number Li,.Class SIZE )v / / STORIES �- FAMILIES ONE o e Contractor Date DESCRIPTION OF WORK - NEW mil) ( 0.22-85 r ADD ❑ I am exempt under Sec. • L� ALTER ❑ FINAL 8.8P.C. for this reason REPAIR DATE❑ 2 5 4,4 A USE OF Dote: EXISTING BLDG. DEMOL ❑ .FIN Signature / APPLICANT r TEL. ey , - # ° ' • ' 2 3 B OWNER-BUILDER DECLARATION PRINT /T 64;4: .( * 789.87 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS o - 789, 8710 Professions Code): PR ENT OBUILDING I, as owner of the property, or my employees with ADDRESS 0 7.25-85 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' 7044, Business and Professions Code). MOVING TEL. , as owner of the property, am exclusively contracting CONTRACTOR NO. •r, ,.l . with licensed c,ntroctors'to construct the project (Sec- ADDRESS `�'� • \� r ♦'3� t 'tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK ROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HwY PROP. LINE' WIDTH I hereby affirm that there is a construction lending agency for FRONT ® ' - , - 'T," the performance of the work for which this permit is issued P.L. 34,25 (Sec. 3097, Civ. C.). SIDE , 1.0 m 'P.L. xz S Lender's Name r j Q>(G 4k 8 5 c' Lender 's Address P.C. Fee E l Permit Fee' I� Oz3.-7J C G - /0's 0 ST certify that I have read this application and state that the b ' Issuance Fee above information is correct. I agree to comply with all County Investigation Fee nves /T� �� ordinances and State laws relating to building construction, Total Fee V and he e y author' a eFir entatIves of this County to enter upon ave- ent' ne roperty for inspection purposes. - - - �r SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s WORKERS'COMPENSATIONDECLARATION hereby affirm I haver certificate of consen =elf APPLICATION FOR BUILDING PERMIT - Ta. t insure or a certificate of Workers' Compensation Insurance, or a certified copy'thereof (Sec. 3800, Lab. C ) - COUNTY OF LOS ANGELES BUILDING,AND SAFETY Policy No: Company 17 Certified copy Ts hereby,furnisherL ,.� , FOR APPLICANT TO FILL IN ' BUILDwG e ADDRESS 'RI Certified copy is filed with the county'building mstpec- BUILDING i - LL_i. tion department.•- " n ADDRESS OS EW716-f0 , Date2 Applicant JJ/��- CITY E�,LE /T ZIP -- _ ._ LOCALITY - CERTIFICATE OF EXEMPTION FROM WORKERS'- -' NO. OF BUDGE. NEAREST .. __ COMPENSATfON INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. v / r (This'section need not be completed if the permit,ii fortune - -- - - -102 - '- - ASSESSOR, - ' - ' - - .- hundred dollars ($100)or.less.) .. TRACTCK LOT NO. MAP BOOK - PAGE PARCEL TEL +q� USE ZONE MAP I certify that in the performance of the work for which this OWNER NU'^8 -/,2,z j NO. 'Q } I is issued, I shall not employ any person In any manner gppRE55>��' .c / SPECIAL - - - -- 1 so as`to become subject to the Workers'Compensabon`Ldws. [y�,/,.� CONDITIONS - V CITY llgn_ ri•""i'ZN-.b .ZIP Date Applicant •- ARCHITECT OR TEL. - O NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUP TYPE . FIRE P O SSED BY H Exemption, 'you should .become subject to the 'Workers' ENGINEER NO. n� jJ CONST. : ZONE W Compensation provisions of the Labor Code, you must forth- ADDRESS ydj with comply with such provisions or,this .permit shall be - -- - �� N - -_-. deemed revoked. CONTRACTOR TELO.7O$po TT',,//�// STATISTICAL CIA$5..1FICATION - APT. CONDO. _ t. t LICENSED CONTRACTORS DECLARATION,..-.• - �+ � -- LIC CLASS NO. - DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS) 4 41, NO.�'09 JJ.r (commencing with Section 7000)of Division'3 of the Business and LIC SEWERµAP - t Professions Cade,.and my license is in full force and effect. CITY CLASS -0�- BK VALIDATION SO. FT. NO.OF NO.-OF _ CHECK_ - lt'n License Numb 09SJS Lia Class G� R SIZE STORIES FAMILIES ONE VALUATION pO _ , z 4 a 9 A Contractor /� Date DESCRIPTIONOFWORK -- - NEW 0 Jp ADD ❑ $ !�C00 , # e It s e e ❑ I am exempt under Sec. - ❑ ALTER - I ^ "' 4050 B.BP.C. for this reason ., REPAIR. Q $ - - Dare: USE OF DEMOL ° ' 4 0.5 0 EXISTING BLDG. - --Signature -' - APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT /LEE,cJ �B/POS N0.79B-8�7F� _ DATE =Zj _ _. - 2, 06-8.5 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINA Professions Code) '--"' - - '- - PRESENT By - ❑ BULLRING I, as owner of the property, or.my employees with ADDRESS wages ct their sole compensation,will f o the work and the structure is not intended or offered for sale(Section LOCALITY ' -'7044, Business's nd Professions Code)- - MOVING - - - - TEL '- ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed'contractors to construct the project (Sec- -- ADDRESS tion 7044, Business and.Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY - TOTAL ROP.ACK LINE WIDTH a - i•- -- - I hereby affirm that there is a construction lending agency for FRONT - t the performance of the work for which this permit is issued P.L. - --- - - - - - t-- - - - (Sec. 3097, Ci, C.). SIDE ' P.I. m. Lender's Name IO,D_ LDMA Ref. N Lender's Address - - P:C. Fee$ - Permit Fee - - - - /,/ Lcertify that.I.have read.Ihis application and state that the Issuance Fe 4/f/ TDMA P/C-N ¢ above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to,building construction, - d and hereby authorize representatives of this County to enter. - Total Fee LDMA Perm. N m upo he bove-men(one pr erty for inspection purposes. ' a 2-10'6 SEE REVERSE FOR EXPLANATORY LANGUAGE igkmure of-Appllcant or Agent - Date' WORKERS'COMPENSATION DECLARATION n hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT 11Sf insure, or o certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. G) ' ' ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. F,-'? FOR APPLICANT TO FILL IN ADDRESSCertified copy is filed with Lha county building inspec- NG S/Q /tion department. SS / .7 Q /f L� LOCALITYNEAREST Date Applicant ZIP CROSSST CERTIFICATE OF EXEMPTION FROM WORKERS' �/ / NO.OF BLDGS. ASSESSOR 01 COMPENSATION INSURANCE F LOT JJ O X J Q NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE Z E MAP �1,hundred dollars ($100)or less.) BLOCK LOT NO. NO. ! "'_T SPECIALI certify that in the performance of the work for which this R T Olrf�lCw�C%S� CONDITIONS permit is issued, I shall not employ any person in any manner n DISTRICT GP TYPE FIRE PR ED BV so as to become ubject to the Wor r C m en i L s. SS/' /V � 'L/' �A ps CONST. NE V. -9!/08 U O A ✓O zIPDate Applicant CLASSIFICATION �T! CONDO. V NOTIC TO PPLICANT: If, atter ma ing thisCertificate of ECTOR TEL.Exemp ion, you should become subject to the Workers' EER NO. CLASS NO. DWELL. UNItsCompensation provisions of the Labor Code,you must forth- Z with comply with such provisions or this permit shall be SS SEWER MAPTEL VALIDATIONdeemed revoked. ACTOR NO. BK. - PG, LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and IC Professions Code, and my license is in full force and effect. CITY CLASS $ SQ. F NO.OF NO.OF / CHECK License Number Lic.Class SIZ ®40� STORIES FAMILIES ONE � 5 Contractor Date DESCRIPTION OF WORK �/ff(-�C— NEW ❑ Li 1 am exempt under Sec. Cma,5iP,y �� — AODR ❑ FINAL B.BP.C. for this reasonDATE REPAIR SE• Date: EXISTIINAL TINGNG BLDG. t' J.U6A�Cr� DEMOIL ❑ By Signature APPLICANT TEL, OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages their sole compensation,will o the work and the structure for is not intended or offered for sale(Section LOCALITY �fJ �•(// r/Y! G 7044, Business and Professions Code). MOVING R TEL ///�/(> ..`� ` 2 2 5.8 A I, as owner of the property, am exclusively contracting CONTRACTOR NO. ! ((Va V with licensed contractors to construct the project (Sec- ADDRESS �' a o 0 0 0 tion 7044, Business and Professions Code). ,. REQUIRED TOTAL SETBACK FROM EXIST. / n CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH LiL l L(/GG 'S 2 0 - 49.88 1 hereby affirm that there is a construction lending agency for FRONT /�,J/ - 4983'6 4 9 g the performance of the work for which this permit is issued P.I. ,/l�p'ryyfJ L" (Sec 3097,.Civ. C.). SIDE - Cp�C�Ci�/pY/L L n'2 6—&Q Lender's Name Lender's Address P.C. Fee$ Permit tae I certify that I have read this application and state that the Issuance Fee s above information is correct. I agree to comply with all County Investigolion Fee ordinances and State laws relating to building construction, Total Fee D andshereby authorize representatives of this County to enter upj'6/I�Ith/eIL(1L , mentioned rope ',.fpr inspection purpos "/ - [Jy�i� SEE REVERSE FOR EXPLANATORY LANGUAGE /\ -- 1gnatme of Applicar�S or Agem pa ®s