HomeMy Public PortalAbout9070 LAS TUNAS DR_Building__ ' APPLICATION FOR COUNTY OF LOS ANGELES
B U I L'D I N G PERMIT DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING (/ '
FOR APPLICANT'TOiF'ILL IN ADDRESS
BUILDING '
ADDRESS LOCALITY
CITY Temple Cit ZIP NEARESTCROSS ST.
NO.OF SLOGS ASSESSOR
SIZE OF LOT x. UO NOW ON LOT MAP, BOOK PAGE PARCEL
�j DISTRICT GROUP TYPE FIRE OC SED Y
TRACT' � BLOCK LOT NOQQQ�� �� b CONST ZpNE
OWNER John Waade NOL2V��1161 STATISTICAL CLASSIFICATION
2--
ADDRESS
M P
ADDRESS 9070 Las Tunas 'CLASS NO.�'� DWELL UNITS BK PG
CITY Temple City ZIP UnSE ZONEFMAARCHITECT OR TEL. / ,�� CIAL
ENGINEER - NO. ���..•/// DITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR Tmj)aNEL BLDG SETBACK FROM
FRONT PROP LI NE OF (STREET))
LTC
ADDRESS 337 S. Woods Ave NO '159496 NIG AY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
A,,, �r LIC FRONT PROP LINE HIGHWAY WIDTH
CITY 8 Angeles, Calif. CLASS C-
CONSTRUCTION LENDER +
NAME AND BRANCH a
BLDG.SE O
ADDRESS CITY SIDEPROP LINEOF (STREET) V
SO FT NO OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBAC M TYPE OF EXISTING 1=SIZE STORIES FAMILIES' ONE SIDE PROP LINE HWAY WIDTH O
DESCRIPTION OF WORK NEW ❑ + _ N
Re-roof vith'Rigid prepared ADD CORNER CUTOFF YES ❑ NO ❑ z
Class C " material. LTER IN OPEN SPACE^ YES ❑ NO ❑
REPAIR❑
USE OF EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG.
APPLICANT TEL -
(PRINT) NO.
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIF 6D REL.1,:N CL
WORKMEN'S COMPENSATION INSURANCE (� �j� o ` -
SIGNATURE O FINAL i /",? B
PERMITTEE _ DA•TE
ADDRESS S. W ds Ave
CITY Los Angeles, Ca. NOL 263-518 P.C. Fee$ Permit Fee 9.00
77,
Issuance Fee
VALUATION$ Total Fee XC 9.00
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION ick M o CASH
4 %i`ksu�i i t y D C�-- v v Ay
76A888A CE 0*809123 12/78 •_
DEPARTMENT OF BUILDING AND SAFETY APPLICATION r-Otc rLrcMIT
COUNTY OF LOS ANGELES B U 9 DING
WM: J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING / ,2' T
ADDRESS L..
LOCALITY �a /�//®� / 7'Ir RECEI ED BY DATE OFAPPL. DATE ISSUED
NEAREST aL/�-_/'q, a,,-, �
CROSS ST. /v 1 l e
BUILDING
.per ESS
ADDR
OWNER �. / v
ADDRESS 7 .o � 5 �/, /�MAILLOCALITY
NEAREST-.
EAREST
TEL CROSS ST. A�
CITY NO. ����0
FIRE NO.OF- I TYPE r GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO. _
BLDG. ORD.NO.
ADDRESS SETBACK LINE
AA APPROVED
rE
CONTRACTOR Q C NO1 /T��L� BY DATE
USE APPROVED
ADDRESS L 7ZONES-3 BY DATE
LEGAL �. CORRECTIONS
DESCRIPTION LOT NO. BLOCK �
TRACTNO.OF
p
SIZE OF LOT ` J /.�p I NOW ON OTS
USE OF - NO.OF NO.OF
EXISTING BLDG.3 FAMILIES
ROOMS
DESCRIPTION OF WORK -
NEW ALTERATION ADDITION x O
A
REPAIR MOVING DEMOLISH p
Sq.FT. NO.OF Z
SIZE ROOMS STORIES r
WALL ROOF
COVERING i r - COVERINGGa raj 4
USE OF NEW
G
BUILDINy )
I
7-c>
i
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION NSPECTOR DATEp
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS (p^'��- C•D
AND STATE LAWS REGULATING BUILDING CON TRUCTION.
FRAME: FIRE STOPS, -
SIGNATURE OF BRACING,BOLTS
OWNER LATH,INT.:
AUTHORIZED AOT. LATH,EXT.:
DSS-3 25M SETS 1-47 $ P.C.5 PLASTER. INT. - -
FEE PLASTER, EXT.
!B Q 7
VALUATION FEE FINAL U J
DB-3 9-43 SM SETS APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES LIBUILE)ING
WM. J. FOX, CHIEF ENGINEER
NO.OF BLDG. ORD.NO. DISTRICT O. PLAN JCK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE APPROVED
ZONE BY DATE RECEI ED BY DATE OF "PL: DATE ISSUED
USE APPROVED ���' / 40� /wL,
ZONE BY DATE � Y!
APPLICANT FILL IN HEAVILY OUTLINED PORTION r,ONLY
s BUILDING
p NAME ADDRESS r
K
0Z ADDRESS LOCALITY
}- a NEAREST
UZ W CITY CROSS ST.
Q STATE TEL.
LICENSE NO. NO. NAME
Z MAIL
O NAME 3 ADDRESS
VV O TEL.
S ADDRESS _ CITY NO.
It
h
a 1 HEREBY ACKNOWLEDGE THiT I HAVE READ THIS
U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
® /
LQT NO. SIGNATURE OF� SIZE OF LOT
OWNER
G 6~NO . OF BLDGS./ AUTHORIZED AGT.
W BLOCK NOW ON LOT
-' UCORK ONS �
TRACT
WUSE OF Le
D NOW ONB
BLOT S
DESCRIPTION OF WORK
USE OF
BUILDING
WARN , r
Ms construction may be in violation of
r�
- � 1Cl ou are
cautioned to consjit vrith v
uc ion car Bice before rommenc-
in _ J
ffil 1. Q
_Z
NEW TYPE GROUP > 0
NO.OF NO.OF A,
ALTERATION ROOMS A- FAMILIES
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERINF,
DEMOLISH ROOF COVERING
S P.C.s
F6s FINAL APPROVAL'
INSPE/ 1! UAL ATION/�� __ FE6 sriS.�
DATE ! ! I NAME
CTOR'8 "
DB-3 Iz.al IoM x I --`"APPLICATION FOR PERMIT
DEPARTMENT OF BU4DING AND SAFETY
COUNTY OF LOS ANGELES BUILDING T�����(� 1
WM. J. FOX, CHIEF ENGINEER v 1
NO.OF BLDG. !1 ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE so 4y�y"�oj•
FIRE APPROVED
ZONE BY _� �D9ytE�'c RECEIVED BY DATE OF APPL. DATE ISSUED
USE APPROVED
ZONECZ BY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �
O BUILDING 1710
NAME ADDRESS
o
W W ADDRESS LOCALITYNEARE
C t
F
U Z CROSSST
W
CITY CROSS ST.
Q STATE TEL.
FAP►
LICENSE NO. NO. NAME a •4��`�Po
'�A} /� �ry ,�-p W �}
K { 8 .,�� � f4.a 3 ADDRESS V
MAIL
O NAME
1 _ O
K5!ADDRESS 1 r1 Q fm I4y �� CITY 1.$,A AO . NO.
F CITY Oma I HEREBY ACKNOWLED E THAT I HAVE READ THIS
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE r TEL AND AGREE TO COMPLY WTH ALL COUNTY ORDINANCES
LICENSE NO NO 1. O I AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
ZLOT NO SIZE OF LIT C r SIGNATURE OF
O
OWNER
J F NO. OF BLDGS. AUTHORIZED AGT. `
Q 0. BLOCK NOW ON LOT
D � ,
w W TRACT �� 9CORRECTIONS
USE OF D NOW ONLOT
S E'Gd'/ C, � t e. a. LT.AJ�
DESCRIPTION OF WORK ///
USEOF '
BUILDING 121..1` f J
V
711A. t �r ,, ci pax ifr
z
v
i O
NEW TYPE GROUP-r
NO. OF NO. OF
ALTERATION ROOMS /FAMILIES
q
ADDITION SIZE i-s/ e 9 mac.
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING
$ P.C.$
FEE _/ FINAL APPROVAL D
"J' INSPECTOR'S
VALUATION FEE ��' DATE /� NAME
WORKERS'COMPENSATION DECLARATION ~4 y =^, _ ~y z/
hereby affirm that I have r certificate of yconsent.ran e, ;_A P P L I CATION F O R ,13V I L D I N G PERMIT
Insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof (Sec 3800, Lab 'G) ,, - _ � "- " - - - - -,
POII�_ 0d -;�A O Company_' COUNTY OF LOS ANGELES :BUILDING AND SAFETY
❑ Certified copy is hereby furnishedFOR APPLICANT_ ADDRESS
TO FILL IN BUILDING
(�
� Certified copy is fil•ed•wrth the county building Inspec- �� BUILDING �y - '
tion department ADDRESS 7 b �j s
-r - -t
Date - Applicant CITY P ZIP LOCALITY ;
CERTIFICATE OF EXEMPTION FROM WORKERS" - --NO OF BLDGS -- NEAREST „.
COMPENSATION INSURANCE SIZE OF LOT 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 USE ZONE ' MAP ;
I•certify that in the performance of the work for which-this OWNER ) _'1 Y' '`NO V - - �-
permit,is'issued, I shall ndt employ any person in any manner ADDRESS - S�I'9 G' .� SPECIAL- —� d.
so as'to'become subject to the Workers'Compensation Laws CONDITIONS' O
r Date Applicant i CITY_ ( __. .. _ ZIP_. _S�l
1
IX
NOTICE TO APPLICANT If, aftermaking this CertificateARCHITECT OR TEL of ENGINEER NO f", DISTRICT GROUP TYPE FIRE _L PRqCESSED BY O
Exemption, you should 'become subject to'the Workers', CONST.µ ZONE G
Compensation provisions of the'L•abor Code, you must forth- P 3_
with comply with such provisions or,.this permit shall be' . _ ADDRESS- _ `� _ �`�� �U _ _ ✓ _ N
TEL' STATISTICAL CLASSIFICATION APT CONDO,
deemed revoked CONTRACTOR N _
LICENSED�CONTRACTORS DECLARATION LIC CLASS NO a t� DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 9067 E La S NO
1 (commencing with Section 7000)of Division 3 of the Business and . _ _ -LIC-- : SEWER MAP -` M1
`d I Professions Code,,and my license is in full force and effect CITY Y CLASS BK ' ;�� w" ° VALIDATION
C/ SQ FT_ _ NO OF l NO,OF_ CHECK
J License Number 4"518;65 Lic Class B - SIZE ' STORIES / FAMILIES ONE
Builders y _ VALUATION la
ContractorD -Fx W AssOGiattP Date DESCRIPTION OF'WORK - NEW O s
Pte+ S I ADD (J(��
❑ I am exempt under Sec - ___>_,. _ _ ❑ '- - - •- - '
` - - ALTER
B 8P C for this reason I REPAIR s' "
Date USE OF
~ EXISTING BLDG DEMOL ❑ _ _
Signature o• - APPLICANT TEL FINAL _
OWNER-BUILDER DECLARATION PRINT) NO _ _ DATEr,
I'hereby affirm that I am exempt from the Contractor's License R - t /,
Law for the following reason (Section 7031 5, Business and ADDRESS FINAL" 2'3'0 IL 8 A
Professions Code "' ' - -B - - r t
o o`o o a'�
BUILDING Y c ;
k❑ I, as owner of the property, or my employees with ADDRESS_ - _ _ _ „ � _ ,. _. •• 2 0,0 Jr 9,25' '
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 .o o,o 5-9.2 5 c=>
❑ /
I, as owner of the property, am exclusively contracting CONTRACTOR NO ; O 77.3 0--8 4 '
with licensed contractors to'construct-the project'(Sec- ADDRESS _ -
_ tion 7044, Business and Professions Code) '
_
-CONSTRUCTION LENDING AGENCY---. REQUIRED TOTAL SETBACK SET BACK YARD HWY PROP LINE - WIDTH
hereby affirm that there Is a construction lending agency for FRONT
the performance of the work-for which this-permit is Issued P L.-
y (Sec 3097, Civ C ) SIDE
O
P L
Lender's Name
(�
/V�f�/ LDMA Ref #
�!\^ -' - - -• - -- - - - - ^----
PC Fee-$' - '--^-- ---' Permit Fee" - - - - - - - - -- - - - - - -
/ Lender's Address {
. I certify that I.have read this application and state that the - Issuance Fee +J J- LDMA P/C#-• -- ' �- -- "^ - "
a above information is correct I agree to comply with all County Investigation Fee
g ordinances and State laws relating to bui _ g construction, _ -- - _ _ __ � +
and hereby uthonze represen ves oft is ounty to enter Total Fee•. - LDMA-Perm- #
up the o ve-mentioned pr pe y for i sp ction purposes t
o SEE REVERSE FOR EXPLANATORY LANGUAGE_
' Signature of Applicant or Agent - Date - - -- - ---• - - _- -- -- •-- ._ __ ._..,,. _ ... ,_.- _ - .. - -- i
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to Self APPLICATION FOR BUILDING PERMIT
iaxure, or'b certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec 3800, Lab C )
• COUNTY OF LOS ANGELES_ BUILDING AND SAFETY .
Policy No Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN - ADDRESS O C1
Certified copy is filed with the county building inspec- BUILDING
Tion department ADDRESS LOCALITY
// r NEAREST
Date Applicant CITY /C E PA)A5
Q_ 91 CROSS ST Ah
CERTIFICATE OF EXEMPTION FROM WORKERS' 'NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT 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 NO
TEL SPECIAL D
I certify that in the performance of the work for which this OWNER NO —�� CONDITIONS O.
permit is issued, I shall not em to an arson in an manner DISTRICT GROUP TY FIRE ESSED BY O
P P Y Y P Y ADDRESS ZONE U
so as to'become subject•to the Work Comp nsation Laws tX
Dare ppli CITY ZIP STATISTICAL C SSIF TION APT CONDO O
NOT( TO APPLICANT If, aft akin is Certificate of ARCHITECT OR TEL U
ENGINEER NO CLASS NO DWELL UNITS LU
Exemption, you should beco e.subje to the Workers' ti
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TEL
deemed revoked I CONTRACTOR NO BK PG, VALIDATION
LICENSED CONTRACTORS DECLARATION UC
I hereby affirm that I am licensed under provisions of Chajite`r 9 ADDRESS NO VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Code, and my license is in full force and effect CITY CLASS $ ,
SQ FT NO OF NO OF CHECK
License Number Lic Class SIZE STORIES FAMILIES ONE
Contractor Date DESCRIPTION OF WORK NEW ❑
I am exempt under Sec ADD ❑
ALTER ❑ FINAL
B.&P.0 for this reasonREPAIR ❑ DAT
USE OF ❑ FINA
Date. EXISTING BLDG DEMOL BY
Signature APPLICANTTEL
OWNER-BUILDER DECLARATION PRINT O
I hereby affirm that I am exempt from the Contractor's License',
Law for the following reason (Section 7031 5, Business and ADDRESS Mop ,�
Professions Code) �l�
ADDRESS
wages as their sole compensation,will do the work and LOCALITY
BUILDING
I, as owner of the property, or my employees with �t
the structure is not intended or offered for sale(Section
7044, Business and 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)
REQUIRED TOTAL SETBACK FROM EXIST ;2 cJ 71.3 A
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there,is a construction lending agency for FRONT • ► # o-,0 0 0 0
the performance of the work for which this permit is issued P L
(Sec 3097, Civ C ) SIDE
m �
PL I a � 33�.00
Lender's Name a o 0 3 3 0 QZ-1
Lender's Address P C Fee$ Permit Fee —Z.
10.20s. 8'6 .
I certify that I have read this application and state that the Issuance Fee
above information is correct I agree to comply with all County Investigation Fee TT
ordinances and State laws relating to building construction, Total Fee
d and hereby authorize representatives of this County to enter
up o he above-mentione operty for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o Ap ant or Agent t
®t
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0112180016
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE , 9070 LAS TUNAS DR
STRUCTURE: TEMP CA 91780
ASSESSOR NEAREST CROSS STREET: SULTANA
5387-024-016 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG S S 0 S :
EXIST OCC GRP: 12/18/01 JK 06/16/02
TEL. NO: DGS. N N 0 VALUATION: AL, A E FINAL E:
CITY OF TEMPLE CITY (626) 285-2171- 4,000 _ /o L
9701 LAS TUNAS DR
TEMPLE CITY FEES PAID DgSCOIPTION O-rVM
DEMO BLDG
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT:
GREG GILSON (909) 469-2600- AA BLDG PERMIT ISSUANCE 0.00
1551 E. MISSION 02 DEMOLITION INSPECTN 0.00 SPECIAL CONDITIONS:
POMONA 91766 TOTAL FEES 0.00
CONTRACTOR: TEL. NO: G E L E APPROVALS DATE INSPECTOR S GNATURE
THREE D SERVICE CO. (909) 469-2600-
1551 E MISSION LIC. NO PEDESTRIAN PROTECTION
POMONA CA 91766 252618 C21
SEWER DISCONNECTION
i
ARCHITECT 0 0: ABANDON
LIC. NO: 1111111 DERGRND STRUCT REMOVAL
fAND SOIL RECOMPACTION
MAP
X 0: SEWER ONE: CM�o11
0 D USE)
LC n T,� nOR(1/7 v 3
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-
NO 23 `�, �J �/ LJ
SCHOOL WITHIN HAZARDOUS O 0 ' Ags-
t,
AIR QUALITY: 10000FEET MATEERIALS �,�r
NO
ser ick Th�$
REPORT ID: DPR261 ROUTE-TO: BS0508