The URL can be used to link to this page

Home My Public Portal About9101 HERMOSA DR_Building__ DEPARTMENT OF Btl"LPIDTG- AND SAFETY APPLICATION FOR PERMIT - %.; COUNTY OF L459 ANGELES WM. J. FOX. CHIEF ENGINEER nIl 1 01� �m FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING - DISTRICT NO. , PLANCK.NO.-- - PERMITNO,. ADDRESS ��// /1�m.•a-- _ �f ; 32.9 �1.- 3 8- LOCALITY -✓_ &Oltt�-'. C.�G/[///ff. RECEIVED BY DATE OF APPL. DATE ISSUED v NEAREST U.L V / ,-G� -�_ ► 3 -C� -`�'- � �� CROSS ST. U BUILDING _OWNER ��e A AD DRE99 .•�� F. MAIL LOCALITY AO DRESS y� /{�. /�- /�J� . ../ NEARESTI �f CITY .-l�/7'h/./7-�/1 NO.Vie. A •/syr CROSS 9T. �/•F T �� - FIRE NO.OF TYPE GROUP ' ARCHITECT Off TEL. ZONE PLANS ENGINEER NO. BLDG. ORO.NO. _ADDRESS SETBACK LINE Q rl t /Jry APPROVED CONTRACTp R/!J/�A.cti.R �i/ .Ztn NOL J019 73S-,t / � HY ��jj GATE 5O .�{+/'� ♦ 'j� ZONE E- BY DATE DATE ` ADORE IU ) G'. N.ss j /�A.Q. N. �•. LEGAL ^ CORRECTIONS DESCRIPTION I LOTHO. ��/ BLOCK `Q p 7 TRACT 4) SIZE OF LOT,.t ,F X �u� U NOW ON LOTS (i(�'h(/� J J USE OF NO.OF ND.pF - ) EXISTING BLDG. FAMl uEa ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION I �nr'��f !J J'Jh7I-1I:/IV / //��'�]��L� 1p A REPAIR MOVING DEMOLISH 1- �J J�/q�/�✓F� / •'�/f (T/u+ O SO 1., ROS STORIESWALL D fj} COVERING ✓��&v s. I COYG£AING SPS+ Y M' FRS y - �L Lj� (/6! WLA�D C1�A'/� fYF r USE OF NEW BUILDING AA.L" .IJ/74.1,. �6edrtA ✓ T�h J SMR Pl / F QI=4R7-1J 70 . RF EMd t�F/7 /✓✓� .h'l�T�/ / 'To SEE /l-- 7'K SAA >,'O Alf ,ER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS „zr,z7yAPPROVALSvaA,/4e-!f APPLICATION AND STATE THAT THE ABOVE 18 CORRECTINSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS, MATERIALS ( nA ��a ':Si AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /� FRAME: FIRE STOPS, /1 `)-�L` / •�t/ SIGNATUREOF /iS SCJ ry� BRACING,BOLTS ( YI/.I l Y PERMITTE Aiii/t� LATH. INT. AUTHORIZED LATH, EXT. 9sg63Bq-3 9m9 $� PCB l�I'rf PLASTER, INT. 5 m 8600 P. . S `. 7 fO FEE pLA9TER,EXT. _ VALUATION 1.3 SD FEE FINAL / lll/I(�1 J 7 2- J� / APPLICATION FOR`�"�Z,ft X`� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ERJILDING PERMIT `r BUILDING AND SAFETY DIVISION- LDING FOR APPLICANT TO FILL IN ADIDRESS BUILDING � ADDRESS I� p �j LOCALITY NEAREST CITU �ti.F .G6 P T ZIP / / 70 O CROSS ST. / n WO.OF SLOGS. /J ASSESSOR SIZE OF LOT (p Q NOW ON LOT �(i MAP BOOK PAGE PARCEL ��..cc 9 _ DISTRICT GROUP TYPE FIRE PROCES D BY TRAC I 5�0 A BLOCK LOT NOJ� I N v p �. CONST'/ ZpNE TEL. 'j-- V Y dJ OWNER /1; _ 13 P-h NO. -C STATISTICAL CLASSIFICATION SEWER MAP ADDRESS S y CLASS NO.-;, / DWELL,UNITS SK PG CITY F p. USE ZONE MAP �y ZIP 7/00 NO. 00/ ARCHITECT • TEL / SPECIAL ENGINEER,)� (S.t//ERNO. 747-690•f CONDITIONS AOGRESS L T 67. 6.,4 NT. ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO C] s TEL. BLDG.SETBACK FROM CONTRACTOR EAS,lA Np ,g yy-6•FyL rt LIC.,�1 FRONT PROP.LINE OF (STREET) ADDRESS P Ci/J 12 6 NO.,C .217 0 HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING /i LIC. ` FRONT PROP. LINE HI G WIDTH CITY qY nFj-N S CLASS R i CONSTRUCTIO LENDER + NAME AND BRANCH y BLDG.SETBACK FROM CD ADDRESS CITY SIDE PROP.LINE OF (STREET) C.3 SQ. F Np, OF NO. OF CHECK HIGHWAY + YARD = TOTAL 4 ACK FROM TYPE OF EXISTING SIZE U STORIES FAMILIES"'0 ONE SIDE P. LINE HIGHWAv WIDTH O DESCRIPTION OF WORK NEW E�DI + _ O_ ADD yy CORNER CUTOFF YES ❑ NO ❑ Z A OALTER ❑ REPAIR❑ IN OPEN SPACE YES 1:3 IDENO SOT NG BLDG. .� EMOL ❑ IN COASTA��PERMIT ZONE YES C] NO EX ❑ APPLICANT A TEL (PRINT) C NO. BY (SIGNATURE) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL OR OINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I C80TIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERS O VIOLATION OF THE LABOR CODE OF THE E CAL OR IA IN of LAT)N4 TO WORKMEN'S COMPENS d INS ANCE I '� . 3 SIGNATURE OF FINAL /,;7 BY PERMITTEE DATE r ADDRESS >� EL P.C. Fee$ Permit Fee �.-/ • 7L1 CITY Q {� VALUATION$ /AS-19 i) Issuance Fee Total Fee PLAN CHECK VALIDATION cK. M.o. CASH / PERMIT VALIDATION cK. M.o. .ASH 76A638A CEC80313 IZ/78 0 7 2.'=-JAN 7 1 1) 2 1.7 5 A-z WORKERS' COMPENSATION DECLARATION . . - lhereby affirm that I havecertificate of consent to self - APPLICATION FOR BUILDING PERMIT L� insure, or a certificate of Workers' Compensation Insurance, . or a certified copy thereof(Sec. 3800, tab. C:) - COUNTY OF LOS ANGELES , BUILDING AND SAFETY PolicyNo. Company _ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING z V1_4 r ADDRESS Certified copy is filed with•the county building inspec- BUILDING 'tion department. ADDRESS Date Applicant CITY ZIP V LOCALITY . CERTIFICATE OF EXEMPTION FROM WORKERS' . NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT S NOW ON LOT CROSS ST, (This section need not be.completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. p USE Z NE MAP OWNER NO, GZO�O d JI 2e I certify thot'in the performance of the work for which this NO. Pe is issued, I shall not employ any person in any manner /� J'' L/�A(/ SPECIAL t so a5 to become subjaEt to the Workers' mpensation Laws. ADDRESS. .:L., G (f I V CONDITIONS Dy., U' Date�B—App licont 70 CITY 1 ZIP- NOT IP S �� NOTICE A PLICANT: If, after cooking this Certificate of ARCHITECT OR TEL, DISTRICT GROUP TYPE FIRE PROCESSED BY �. you should become subject to the Workers' ENGINEER NO. CONST. ZONE Exemption, y I 'f U Compensation provisions of.the Labor Code, you must forth- ADDRESS J`V J ✓� W with comply with such,provisions or this permit shall be r deemed revoked. - T STATISTICAL CLASSIFICATION APT. C sn CONTRACTOR O. Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. I - (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and,my license is in full force and effect. CITY CLASS BK PG - VALIDATION. SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class - SIZE STORIES FAMILIES ONE. - ❑ VALUATION DESCRIPTION OF WORK NEW N Contractor Data ,ADD.. 0 $ 05 5 3 A I dm exempt under Sea ALTER 0 e 8.8P.C. for this reason REPAIR. ❑ $ OF EXISTING BL Date: USE CLOSt� PA-T-) 0 DEMOL f „I, • • 605'0 - �- Signature _ APPLICANT TEL. ?_ FINAL ' OWNER-BUILDER DECLARATION PPINTI ( NO. DATE. • O ° 6 Q 5.05 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FI - Professions Code):-. FR By 0 2 9_g'8. Q - - ' I, - BUILDING as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sole(Section - 7044, Business and Professions Code). - MOVING TEL.. ' 0 I, as owner ofthe property, am exclusively contracting CONTRACTOR NO. - with licensed contractors to construct the project (Seo- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT EQBACK' YARD HWY IOTA PROP RINE 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.I. (Sec. 3097, Civ. C.). SIDE P.I. .Lender's Name LOMA Ref. 8 Lender's Address P.C. Fee$ . Permit Fee (l ® - I certify that I have read this application and state that the ' Issuance Fee TS ..P/C 0 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building's construction, - Tocol FeeC R and hereby authorize representatives of this County toenter - 1� LDMA Perm. upon the ob e-mentioned pro arty for ins Pection pu asses • EEE REVERSE FOR EXPLANATORY LANGUAGE / ignoture of Applicant or enr Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0506 1304290098 PHONE: (626) 285-0488 EXT: i (LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 5904 LT: 357 SQ. FT STORIES TYPE OCCUR GROUPI 9101 HERMOSA DR ISTRUCTURE: 768 1 V-B R-3 TEMP CA 917801919 (ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 15384-014-031 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI -�� (TENANT: EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: RXIST OCC GRP: 07/10/13 SR OWNER: TEL. NO: 18LDGS. NOW ON LOT: VALUATION: (F/I�NAL�(D-�ATE F/SyAAL BY: CODE: WEI, ZHIBING (626) 200-6316- 103,220 1/i`".�- 1 9101 HERMOSA DR ITEMP 917801919 FEES PAID II)ESCRIPTION OF WORK I1-STORY ADDITION 768 SF. 1 BEDROOM, 2 BATHROOMS, OFFICE ROOMI IFEE DESCRIPTION: QUANTITY: GUM: AMOUNT: IAND FAMILY ROOM I APPLICANT: TEL. NO: I i I WEI, ZHIBING (626) 200-6316- IB1 PLANCHECK W/ENERGY 103220.00 VAL 1,229.70 1 _1 19101 HERMOSA DR IAA BLDG PERMIT ISSUANCE 27.60 (SPEC-Air CONrITTONS: ITEMPLE CITY CA 91780 TAH STATE GREEN BLDG FEE 103220.00 VAL '5.00 I IAC STRONG MOTION REBID 103220.00 VAL 10.30 1 _182 PERMIT W/ENERGY 103220.00 VAL 1,446.70 I_ CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 (APPROVALS DATE INSPECTOR SIGNATURE ISP CONSTRUCTION & SERVICES INC (626) 682-8557- TOTAL FEES 2,820.90 1_ 12208 KELBURN AVENUE LIC. NO I ILOCATION AND SETBACKS I ROSEMEAD CA 91_770 906074 l IISOILE ENGINEER APPROVAL I ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORM I ILTC. NO: ISIABr UNDER FLOOR RAISED FLOOR FRAMING _I 1__I_I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION T 3 COI iIST LEVEL. FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I _ ] 0 NO 21 1 12ND LEVEL FLOOR SHEATH. I I _1 I— I SCHOOL WITHIN HAZARDOUS I IROOF SHEATH ING T (AIR QUALITY: 1000 FEET MATERIALS NO NO NO IFIRE DEPT. FRAME INSPECT] _I I BLDG DEPT. FRAME INSPECT SHEAR PANELS I 1 INSULATION/WEATHER STRIP( 1NT'dRI0R LATH/DRYWALL 11EXTERI0R LATH I ILOT DRAINAGE 1 I SMOKE DETECTION DEVICES I_ IFIRE DEPARTMENT APPROVALI I I I IREPO$T ID: DFR2E1 ROUTE TO: BS 0508 I COUNTY O'*WS -;T-T2LES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1309160015 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 NO. OF CONSTIBUILDING ADDRESS: ITR: 5904 IT 357 SQ. FT STORIES TYPE 9101 HERMOSA DR STRUCTURE'. 500 V-B II TEMP CA 917801919 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15384-014-031 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI (TENANT: IEXIST BLDG USE: RES ID USE ZONE: R-1 JISSUED ON: PROCESSED BY: I IEXIST OCC GRP: 109/18/13 SR T TOWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL %;E FI AL HY: CODE: WEI, ZHIHING (626) 200-6316- 1 17,500 ' 19101 HERMOSA DR T 1 ' ITEMP 917801919 FEES PAID E7EESSCRIPTION OF WORK 1 (REFRAME REMAINING PORTION OF EXISTING ROOFING (500 SQ.FT.) IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: T T APPLICANT: TEL. NO: WEI, ZHIHING (626) 200-6316- TD1 PLANCHECK W/O EN-HC 17500.00 VAL 29840 9101 HERMOSA DR IAA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: ITEM.PLE CITY CA 91180 AS STATE GREEN BLDG FEE 17500.00 VAL 1.00 1 IAC STRONG MOTION RESID 17500.00 VAL 1.80 IDC PERMIT W/O EN-HC 17500.00 VAL 351.00 CONTRACTOR: TEL. NO: T TOTAL FEES 600.00 (APPROVALS DATE INSPECTOR SIGNATURE IJP CONSTRUCTION AND SERVICES, INC. (626) 688-8557- T 1 12208 KELBURN AVENUE LIC. NO TLOCATION AND SETBACKS ROSEMEAD CA 91770 906074 SOILF ENGINEER APPROVAL _I ARCHITECT OR ENGINEER: TEL. N0: T FOUNi)AT ION/TRENCH FORMS I I I I I I 1 LIC. NO: TSLAB/UNDER FLOOR RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF:( UNDERFLOOR INSULATION 001 TFLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ,I NO 21 (ROOF SHEATHING I I I I I SCHOOL WITHIN HAZARDOUS SHEAR PANELS HAIR QUALITY: 1000 FEET MATERIALS NO NO .NO TFRAME INSPECTION (FIRE SPRINKLER HANGERS I I I I 11NSULATION/WEATHER 9TRIP1 1INTERIOR LATH/DRYWALL 1 1 1EXTERIOR LATH (RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS T-BAR CEILINGS (LOT DRAINAGE I I I ' TREPORT ID: DPR261 ROUTE TO: BS0508 1 COUNTY OF LOS ANGELES TEMPLE CITY W 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1304290079 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. pF CONST NEWBUILDING ADDRESS: ITR: 5904 LT: 357 SQ. FT STORIES TYPE OCCUR GROUPII 9101 HERMOSA DR 1 ASSESSOR INFORMATION NUMBER: STRUCTURE: 381 1 V-B R-3 II TEMP CA 917801919 GARAGE: 400 1 V-B U NEAREST CROSS STREET: 15384-014-031 OTHER: 313 1 V-B U THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI TENANT: I USE ZONE: R-1 TISSUED ON: PROCESSED BY: 109/10/13 SR OWNER: TEL. NO: IBLOGS. NOW ON LOT: VALUATION IFINAL DATE FINIAL BY: CODE: 1WEI, ZHIBING (626) 200-6316- 1 80,822 I � .��I 19101 HERMOSA DR ISL ITEMP 917801919 FEES PAID DESCRIPTION OF WORK 1 BUILD GUEST HOUSE IBR/lEA W/ATTACHED 2 CAR GARAGE AND PORCH IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 IAPPLICANT: TEL. NO: 111 WEI, ZHIBING (626) 200-6316- 91 PLANCHECK W/ENERGY 80822.00 VAL 1,035.80 111 19101 HERMOSA DR AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS: ITEMPLE CITY CA 91780 AB STATE GREEN BLDG FEE 80822.00 VAL 4.00 COVENANT RECORDED �AC STRONG MOTION RESID 80822.00 VAL 8.10 _1B2 PERMIT W/ENERGY 80822.00 VAL 1,218.60 CONTRACTOR: TEL. N0: 108 CERTIF OF OCCUPANCY 101.40 APPROVALS DATE INSPECTOR SIGNATURE JP CONSTRUCTION 6 SERVICES INC (626) 688-8557-) I TOTAL FEES 2,395.70 12208 KELBURN AVENUE LIC. NO ILOCATION AND SETBACKS ROSEMEAD CA 91770 906074 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS,_ 1 r 1 LIC. NO: 1 ISLAH/UNDER FLOOR �1 1 JRAISED FLOOR FRAMING MAP N0: SEWER MAP HOOK: PAGE: FIRE ZONE: CMn: I 1UNDERFLOOR INSULATION 3 021 I1ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: -- 2 YES 02A -1 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS IROOF SHEATHING "I AIR QUALITY: 1000 FEET MATERIALS NO NO NO1 IFIRE DEPT. FRAME INSPECT ]BLDG DEPT. FRAME INS PELT 1SHEAR PANELS IINSULATION/WEATHER STRIP I- III 1 1 11NTERIOR LATH/DRYWALL IEXTERIOR LATH ILOT DRAINAGE SMOKE DETECTION DEVICES 1 IFIRE DEPARTMENT APPROVAL I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I II1 I1