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76A638A CE#8033-66 APPLICATION FOR, BUILD( G PERM(
COUNTY OF LOS ANGELES BUILDING-
DEPARTMENT 9112 E. Hermosa Dr. T.C.
OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
'JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W.'JENKINSSUP'TOF BUILDING CROSSST.
DIST5jCT NG TYPE. PR SS Y
FOR APPLICANT TO FILL IN `5' CONST.r
BUILDING n o /. STATISTICAL CX�'J.-SIFICATION SEWER P
ADDRESS 9112 E. Hermosa Dr. T., C CLASS NO.%LDWELL UNITS - BK /:PG
LOT NO. - BLOCK USE ZONE MAP
NO.
TRACT 'SPECIAL - -
NO. OF BLDBS. CONDITIONS
SIZE OF LOT NOW ON LOT - -`
USE OF ":-P
EXISTINO ALnh BLDG. SETBACK FROM
OWNER .Arthur Male '- NO. 28 62 FRONT PROP, LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD' _ *TOTAL
ADDRESS 2 HIGHWAY WIDTH FROM C.L.
CITY Temple City I, Ca 1 BLDU. SET BACK.FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO,
TYPE OF E%ISTINO SETBACN HIGHWAY _} YARD =.. TOTAL
ADDRESS 't - HIGHWAY WIDTH FROM C.L.
CONTRACTORH:L:RandolCOKo` 4 288 0 0 -+ L
ADDRE55529.-.E.-Valle NO I g92 CORNER CUTOFF YES ❑ NO ❑ U
CITY Gabriel c C SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK w
a
y
NEW ADD ALTER REPAIR X DEMOLISH Z
S0.FT. NO. OF - NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF�11 11611 '
APPLICANT p
VALUATION$ 81. 0 IO .00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ Tp Li FEES FORMS, MATERIALS
FRAME, FIRE STOPS,' '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WOflNMEN'S COMP NSPTION fd URANCE. LATH. EXT.
SIGNATURE O ' HOUSE NUMBER COR-
PERMITTEE RCT
AND POSTED
ADDRESS II Py B1vdi__5_A__G FINAL
JOHN F. LEWIS.,PRINCIPAL SlyENGINEER
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION,, CH.' M.o CASH
Lno_T7 .0 5'� ttnP22 1 8.00
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76A638A CE#803/8 4 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES Aul N
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JERKINS SUP'T.OF BUILDING CROSS ST.
OUP FOR APPLICANT TO FILL IN DIs Rlcr NO PIk 17;11,ONST. / E�s�y eY
BUILDING STATISTICAL L SSIFICATION SEWER�AAP
A DO RE SS
L BK 7 PG
CLASS NO. DWELUNITS LL��
LOT NO. BLOCK USE ZONE MAP .MO
! NO. '-� /
TRACT V Q SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OFoo I
%IS ING BLDG. BLDG. SETBACK FROM
TEL, y FRONT PROP. LINE OF (STREET)
OWNER NO. / TYPE OF EXISTING I 'SETBACK HIGHWAY + YARD = TOTAL
ADDq SS 'IJ �(� IIIG WAY WIDTH . 'FROM C.L. !�11
CITY
BLDG. SETBACK FROM
E N
ARC HIT EC O TN .L. S1DE PROP. LINE OF (STREET)
GINEE
TTPE OF E%ISTI NO SETBACK HIGHWAY } YARD = TOTAL
ADDRESS y HIGHWAY WIDTH FROM
CONTRACTOR NOL.33 ,/� + O
ADDRESS�O•D - NO 3✓1700 CORNER CUTOFF YES NO O
G1 Tv c c C SEE REVERSE SIDE FOR SPECIAL APPROVALS V
w
DESCRIPTION OF W RK og/?o/f V (Over
7T7 Z
NEW ADO ALTER REPAILSH
SO.FT. / NO. OF NO. OF (/ A/'w0 �•-y� /f//JA
SIZE (/ STORIES FAMILIES n /
USE TY / ��0'QEAYI' '[�
STRUCTURE I f
SIGNATURE O liL 4-G c�--!" �J�,, i F OIG /LJ�G� !iY/•-C 1
APPLICANT
VALUATIONS D
FP DO �� APPROVALS PATE J INSPECTOR-SS12TURE
p.C. T. FOUNDATION, LOCATION (J O 1 �j��
FEE$ FEE$ FORMS, MATERIALS //o ��✓ �
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAW REGULATING GAS VENT, DUCTS
9UILDING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN ENSAT IO INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE RECT AND POSTED /�F,/n /
ADDRESS O FINAL /t7'�G'l/
JOHN F. LEWIS. PRINCIPAL STR II RAL ENGINEER
ATION
PLAN CHECK VALIDATION c««.) M,D. GASH PERMIT VALIDC«. M.G. CASH
I-Al o 4 8 5 2 U AuD 2 3 2
V� tLo4 3 5 ;ea M023 1 D 1 8.50- v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - _ -' BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL U508 9902180014
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 5905 LT: 86 SQ. FT STORIES TYPE OCCUP GROUP 9112 HERMOSA DR
STRUCTURE: 400 1 VN R3 TEMP CA 917801918
ASSESSOR INFORMA ION NUMBER: GARAGE: '.NEAREST CROSS STREET:
5387-016-032 OTHER: .THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/18/99 UT 02/18/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
MA JACK TING-SHEN (626) 287-9762- 1 29,600 r q
9112 HERMOSA DR -/ /"�
TEMP 917801918 FEES PAID DESCRIPf ION OF WORK
ADDITION OF 1 BEDROOM (TOTAL OF 3) AND 2 BATHROOMS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (TOTAL OF 3)
APPLICANT: TEL. NO:
LEES CONSTRUCTION CO. (626) 289-3399- AA BLDG PERMIT ISSUANCE 27.75
232 W. MISSION DR. AC STRONG MOTION_RESID X29600.00 VAL 2.96 SPECIAL CONDITIONS:
SAN GABRIEL, CA AX BUILDING�REVIEW_F.EEl_:�� 54.70
B2 PERM I T,W/ENERGY,3E LE S 29600.00 VAL 589.55 OTALI(FFEES 674.96 -
P�� T
CONTRACTOR: TEL. N0: OS �V
LEES CONSTRUCTION CO. 818289339 APPROVALS DATE INSPECTOR SIGNA UR
' V � T�'
232 W MISSION DR LIC. NO LOCATION AND SETBACKS
SAN GABRIEL CA 91776 612929
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: / FOUNDATION/TRENCH FORMS
LIC. NO: 171111 SLAB/UNDER FLOOR
L RAISED FLOOR FRAMING
3 �01'�� o [�Q (� V V O�IIV� 3'(�
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:,) UNDERFLOOR INSULATION G
NO. OF FAMILIES: DWELLING UNITS: P COND: ST CLASS.. , , ST LEVEL FLOOR SHEATH
NO 21 ND LEVEL FLOOR SHEATH
y , I
S HOOL WITHIN HAZARDOUS Y U O �i Y�• ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST Vb�. p<� BLDG DEPT. FRAME INSPECT
SETFROBACK YARD: HWY: PROP LINE: WIDTH: 7C ST PL- ervice That SHEAR PANELS
SIDE PL19
-
INSULATION/WEATHER STRIP _/ 4/1
INTERIOR LATH/DRYWALL /
EXTERIOR LAT
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508