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HomeMy Public PortalAbout9158 LAS TUNAS DR_Building__ TEMPLE CITY 76A638ACE 8031-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES 13UILDING �9S 7-- DEPARTMENT OF COUNTY ENGINEER ADDRESS 8 !I,vw S BUILDING AND SAFETY DIVISION LOCALITY / PL� /T JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN S Q 9 !'-Z CONST. �' s r�TS BUILDING /I STATISTICAL CLASSIFICATION SEWER MAP ADDRESS / /1 CLASS. NO.-DWELL. UNITS .L BK PG/� 'j" LOT NO. lry BLOCK WATER NOT REQUIRED ©C RECEIVED ❑ ' C q CERTI�F-IICATE: TRACT J / MANOP O© �p ({CIGHWA NO.OF BLDGS. STAT MAJOR ECOND, LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTINGBLDG. ylbCl�/(! -. C-� FTEL. OWNER '� NO. BUILDING YARD HWY STREET NAME EXIST. �. WIDTH SETBACK ADDRESS . FRONT Alhif�-7-{� 'I/TSL J f 1 /,00 ARCHITECT OR TEL. P. L. ��! ENGINEER NO. SIDE P. L. ADDRESS 0 q TEL. U CONTRACTOR NO. d' ADDRESS O F DESCRIPTION OF WORK W d H NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. a► NO. OF /NO. OF SIZE STORIES ►-✓ FAMILIES ' USE ( O l-� STRUCTURE J 7� SIGNATURE OF APPLICANT VALUATION $ .a l APPROVALS DATE INSPECTOR'S SIGNATURE P.C. �- PMT �J FOUNDATION: LOCATION FEE $ FEE $ — FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF ! HOUSE NUMBER COR- p PERMITTEE GY RECT AND POSTED ADDRESS L-� - FINAL 1.. JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG PLAN CHECK VALIDATIONPERMIT VALIDATION CK. M.O. CASH e 41J 9 < 9 0' JAN 17 4 4f D .0 0 •'<p .76A638ACE 80310-68 APPLICATION FOR BUIL.DING..PEE,RMIT ' - :.1•:. COUNTY OF LOS ANGELES -BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss ' BUILDING AND SAFETY DIVISION LOC4LITY JOHN A. L'AMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUP'T.OF BUILDING CROSS ST. DISTRICT NO. GRO P I TYPE PRO FOR APPLICANT TO FILL IN coNsr. BUILDINGS TATISTICAL C SIFICATION SEWER MAP ADDRESS /_/`�O V..4S-5 r�JN/4S Q� I BK � P 'CLASS.NO. WELL.UNITS LOT No. -BLOCK - -MAP c� -STATE - YES O NUMBER 6 - - I HWY. : TRACT USE ZONE SPECIAL v / CONDITIONS NO.OF.BLDGS s� 2 SIZE OF LOT I NOW ON LOT .2 �'� USE OF 000"' EXISTINGBLDG. L PO .$ —jo- BUILDING BARD HWY STREET NAME � EXIST. SETBACK - - WIDTH OWNER FRONT -r/' MAIL ADDRESS 4 aSIDE TEL P.L. CITY - N INSPECTION RECORD ARCHITECT OR �TEL. ENGINEER - NO. ADDRESS. - ._ TEL CONTRACTOR _ NO. .•�'Ji_^,- ADDRESS 64Q1 DESCRIPTION OF WORK . NEW ` LTE REPAIR DEMOLISHa SQ.FT. 'J / NO.OF NO OF I I~I"`J "'pz' !` 6„­� SIZE STORIES FAMILIES - - - - - USE OF ,s - STRUCTURE /4dO&SJ .CAPU 6A 1pE;S SIGNATURE OF APPLICANT ^T� APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS A. ./ ., vlY S FOUNDATION:LOCATION FORMS,MATERIALS VALUATION$ �� FRAME:FIRE STOPS. BRACI14G,-BOLTS FU RNACE -LOCATION. FEE $ I'FEE I GAS VENT.DUCTS (.:HEREBY ACKNOWLEDGE_THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE ABOVE IS-CORRECT AND, LATH.INT. _ _✓' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES-AND STATE LAWS `REAGgUL!SSTIINGJ BUILDING CONST UCTION. LATH,EXT. SIGNATURE C�j_U//JJ��//Y' HOUSENUMBER.COR- PERMITTEF. 777�/VV/ ��CC// RECTAND POSTED , ADDRESS FINAL "'- CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.' m. .. cn srl 76A638A CE9803 5-65 APPLICATION F R BUILDI G ERMI.T COUNTY OF LOS ANGELES DEPARTMENT. OF COUNTY ENGINEER ADOREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. - DISTRICT NO .G P TYPE PR S 'BY- FOR APPLICANT TO FILL IN CONST:­ STA G... STATISTICAL LASSI FICA TION- 4. ' SEWER MAP' `- ADDR SS` - T� CLASS NO. DWELL UNITS PK `PG - LOT NO. - ill" O BLOCK USE ZONE MAP +7 ©� NO. TRACT % SPECIAL N0. OF SLOGS. C� CONDITIONS SIZE OF LOT NOW ON LOT r USE OF EXISTING BLDG. BLDG. SETBACK FROM - �- TEL. FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF _EXISTING SETBACK- HIGHWAY �- .YARD - TOTAL. ADDRESS HIGHWAY WIDTH FROM C.L. ' CITY - ARCHITECT OR TEL BLDG. SETBACK FROM ' ENGINEER NO. SIDE PROP. LINE OF - (STREET)' TYPE OF .EXISTING SETBACK" HIGHWAY + YARD - TOTAL: ADDRESS ��/' HIGHWAY WIDTH "FROM C.L:. - - CONTRACTOR,)w(//Y NOL• + --- - O LIC CORNER CU TOFF YES E] NO 0 V ADDRESS NO CC LC CITY C LA15 SEE.REVERSE SIDE FOR'SPECIAL APPROVALS O - DESCRIPTION OF WORK w a NEW ADD ALTER REPAIR DEMOLISH }p Z SQ.FT. N O. O F N O. O F �' SIZE ml0 STORIES FAMILIF_S B USE OF STRUCTU _ SIGNATURE OF ,„•w. > ,o ! -13../I"[B r.S y^" S - ' APPLICANT VALUATION$ APPROVALS DATE 17 nSIGNATURE P.C. PMT. do FOUNDATION, LOCATION FEE FEES FORMS, MATERIALS _ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9U ILDING 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- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED' ADDRESS S F.I N-A JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK.. M.O CASH L i4 2 -AUG 19 1 0 4,0.0~ "I _ LU w I I 76A638A CE#803 8-63 APPLICATION FORBUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. /Ji[ DIS�21C�NO OUP TYPE P b D .FOR APPLICANT TO FILL IN __-? U CONST. BUILDING / STATISTICAL CLASSIF CATION SEWER MAP ADDRESS /�J �j� BK PG CLASS. NO. DWELL. UNITS —A LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE: TRACT MAPHIGHWAY BLDGS. NO. (CIRCLE) STAT MAJOR ECOND, LOCAL NO. OF SIZE OF LOT N W ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. / w / yy}(' OWNER F�V �yIV 1C/_JNO BUILDING EXIST. D A ! SETBACK YARD HWY STREET NAME WIDTH ADDRESS /j� IL/!V FRONT ARCHITECT OR -TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS w TEL. O CO NTRACTOgR I �f,`._' NO. V ADDRESS JJ Q DESCRIPTION OF WORK W NEW ADD A TER REPAIR DEMOLISH W N SQ. FT. NO. OFNO. OF Z SIZE STORIES FAMILIES USE OF STRUCTURE , SIGNATURE OF I APPLICANT VALUATION $ . APPROVALS DATE INSPECTOR'S SIGNATURE P.C. - PMT. P FOUNDATION: LOCATION .FEE $ FEE $ -. FORMS. MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS vv AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANYPERSON IN VIOLA- LATH. INT. TION OF THE LABOR DE OF THE STATE OF2JIM5 ORNIA RELAT- ING TO WORKMEN' C PEN SA7yC�F -RANG LATH. EXT. SIGNATURE OF - HOUSE NUMBER COR- PERMITTEE ­11AND POSTED CT A /J ADDRESS FINAL ¢ -� - JOHN F. LEWIS.O'PRI NCIPAL STR CK. .URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH -JUL 18 Z 9.0 0" WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificateoof consent to self A P P L AT I O�N FOR BUILDING PERMIT 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 ❑ . Certified copy is hereby furnished. FOR.APPLICANT TO FILL IN BUILDING ADDRESS ' ElCertified copy is filed with the county building inspec- BUILDING f tion department. ADDRESS / - 14S "f Date Applicant CITY �n �' ZIP O - LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT oZ 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 OWNER RZ o> NO ���S� USE.ZONE �;-P—E;CIALIONS I certify that in the performance of the work for which this (/ (� permit is issued, I shall not employ any person in any manner ADDRESS O 0'N/Y !'/D-Q vim-soasto become subject to the Workers'Compensation Laws. O Dote cant cdc< CITY P!r/� ZIP NOTICE VPAPPLI ANT: If, after making this Cer' icate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER NO. CONS . ZONE I" Exemption, you 'should become subject to the Workers' () Compensation provisions of the Labor Code, you must forth- ADDRESS `� �" `� V W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. DO. deemed revoked. CONTRACTOR NO. i1 Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. !/DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP 2097,1 :A Professions Code, and my license is in-full force and effect. CITY CLASS BK t� PG. G VrLIDATION 3 SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE _ VALUATION I' .• 4i .45 DESCRIPTION OF WORK �� NEW ❑C3b Contractor' Date $ ✓-� i ADD �'• • a 4 t1,4 5� . ❑ 1 am exempt under Sec. d� f t O, ❑ ALTER $ 8 B.i3P.C. for this reason o�� REPAIR ❑ Date: USE,OF DEMOL EXISTING BLDG. Signature 'APPLICANT TEL. ��8, FINAL g - OWNER-BUILDER DECLARATION PRINT O /Y DATE I hereby affirm that.l am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS O G —r1.1>1 ,.-," /90= INAL Professions Code): By ❑ BUILDING I, as owner of the property, or my.employees with ADDRESS � - 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. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 1 with licensed contractors to construct the project (Sec- ADDRESS 1 tion 7044, Business and Professions Code). 1 CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOT APROP.ACK FROM EXIST. LINE 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.L. (Sec. 3097, Civ. C.). SIDE PA. Lender's Name ``� P.C. Fee$ v Pe ee LDMA Ref. # Lender's Address 0 1 certify that I have read this application and state that the : Issuance Fee LDMA P/C# o above information is correct. I agree to comply with all County Investigation'Fee 0 ordinances and 51 aws ret to building construction, Total Fee LDMA Perm. # R and hereby o e.representotiv f this County to enter ' upon the ov - en ' e pro fo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ure ot ApPlIC0 o Dotdr q 00. WORKERS'COMI.PENSATION DECLARATION 4 ►PPLICATION FOR B�UILDING4 PERMIT , I hereby affirm that„I have a:.certificate of consent_to self insure' or a certificate of Workers' Compensation Insurance, , or a certified copy thereof (Sec. 3800, Lab.'C.f” COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified'co is hereby furnished. 7+' BUILDING 'copy y FOR APPLICANT TO FILL IN ADDRESS 9158 'Las Tunas Certified copy is,filed with°the county building inspec- BUILDING Temple City, CA 91780 tion department: ADDRESS 9158 Las Tunas P Y, Date 'Applicant CITY T emp 1e C i t y __ 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 OWN TEL. _ _ 5 NE MAP USE ZONE I certify that in the.performance of the work for which.this N - -� permit is•issued, I sholl,not employ any person in any manner _ __ - _ '_ -" _ _ SPECIAL - -• iL so as to become'subject to We Workers''Compensation taws: ADDRESS-- CONDITIONS O CITY -._ _ ZIP Date Applicant . r '0 NOTICE TO APPLICANT: If, after making this-Certificate of ARCHITECT OR TEL. DISTRICT -,_GROUP_'TYPE __ FIRE PROCESSED BY,. O ENGINEER- NO. CONST. ZONE ~ Exemption, you should become subject •to the Workers' "- U Compensation provisions of the Labor.Code,-you must forth- I"ADDRESS - with comply with such,provisions .or, this permit shall be - rY rq TEL.Z - 5 ATISTICAL IFICATION CONDO. Z deemed revoked. CONTRACTOR NO. - .�• ' - LICENSED CONTRACTORS DECLARATION -- LIC: CLASS NO.�DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 9067 E. Las Tunas- DY NO. 451865 (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 Tem le City, CA 91780 CLASS B BK. PG VALIDATION SQ. FT. NO.OF NO. OF CHECK_ n License Number 4.51865 Lic.Class SIZESTORIES FAMILIES E LUATIO Contractor D & W Builders 'DESCRIPTION OF WO / NEW El ADD EJ ❑ I am exempt under Sec. A}S���Y -0/v"• — - , ' ALTER B.&P.C. for this reason C cl aaV ✓v USE OFC/ /�y�'} C_ _ REPAIR. ❑ 5 Date: EXISTING BLDG. Gt/ V / 0 DEMOL ❑ 1 i Signature APP PRAM)D Sr W ASSOC. Bld TEL. FINAL �f OWNER-BUILDER DECLARATION _ ' NO. 2HS=9041 DATE __. _ I hereby affirm that I•am exempt from the Contractors License Law for the following reason (Section 7031.5,Business and ADDRESSFINXL '2.9 A Professions Code): _ PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their'ole compensation,will do the work and o o, the structure is not intended or offered for sale(Section LOCALITY .2 7 8 0'0. 7044, Business-cind Professions`Code). MOVING - "� "`"TEL."" " " ' I, as owner of the property, am.exclusively contracting NO. 0'0'x- CONTRACTOR U, . with licensed contractors to construct the'project (Sec- O 0 0 0 tion 7044, Business and Professions Code). ADDRESS � 2 8'---8 4- ' REQUIRED _ TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD'' 'HWY' '"_ PROP. LINE 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.L: - - - - (Sec. 3097, Civ. C.). SIDE m _ P.L. Lender's Name - a - LDMA Ref:# m lender's Address P:C. Fee$ Permit Fee _ I.certify that.I have read this application and state that the Issuance Fee LDMA P/C#• - - Q above information is correct. I agree to comply with all County Investigation Fee ordinances and State.laws,relating to building construction, u and hereby authorize representatives of this County to enter •Total-Fee'_, LDMA Perm: # upon the above-mentioned property fr inspection purposes. a/' ��� �`� ✓�zf SEE REVERSE FOR EXPLANATORY LANGUAGE , n Signatur of A ntor g t Date WORKERS'COMPENSATION DECLARATION 4 I here�affirm that I have a certificate of consent to self � nsureor a certificate of Workers' Compensation Insurance, A P P L LCAT I O N FOR BUILDING PERMIT 'or'a certified copy thereof (Sec. 3800, Lab. C.). COUNTY OF LOS.ANGELES . BUILDING AND SAFETY Policy No. Company BUILDING {rx� // p Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS V U TCn{ IL Certified copy is filed with the county building inspec- BUILDING D f n tion department. p ADDRESS y1J-O - �iY,Q s /� LOCALITY em 191- vl NEAREST Date Applicant CITY ,� .2 / ZIP U CROSS ST. 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 7(_� hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. (j TEL SPECIAL y OWNER OI evYD{ NO. v O�� CONDITIONS I certify that in the performance of the work for which-this DISTRICT GROUP TYPE FIRE PROCESSED BY O permit is issued, I shall not employ any person in any manner - ADDRESS �7r� �I /Id d (/� —� CONST. E so as to become,subject to the Workers'Compensation Laws— CITY /7, e!�kIP j"� 7 3 1 O Date--S.' �d Applicant STATISTICAL CLASSI C ION APT. 1�6NDO, U NOTICE APP CANT: If, after making this "cote of ARCHITECT OR TEL. Exemption, you -should become subject to the Workers' ENGINEER NO CLASS NO. DWELL. UNITS LU Compensation provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP H with comply with such provisions or this permit shall be _ z deemed revoked. CONTRACTOR NO. BK. �.� VALIDATION LICENSED CONTRACTORS DECLARATION, U 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 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 L?V'/{� o d Contractor Date DESCRIPTION OF WORK �ayJ'� aF NEW $ a/ ]2 ail A ADD I am exempt under Sec. /UICt �Y -0 !+v'7 GI�/+ O # ••e.• 4.0 - ALTER � DAT L� - - I • - 4(150 B.&P.C. for this reason /al+a -� �' /Ls�`C REPAIR USE OF ❑ • • ° 4 Q 5 0'9 ` Date: EXISTING BLDG. DEMOL NA By Si nature APPLICANT / TEL �L 0 6r 0 9"'8.7 9 OWNER-BUILDER DECLARATION PRINT /Ol l ,-4c NO..- TI'9®s� l\ / I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and ADDRESS. Profe ons Code): PRE ENT BUILDING, I, as owner of the property or my employees with ADDRESS wages as their sole,compensation,_will do the work and ;2 7 0.4.8 A the structure is not intended or offered for sale(Section LOCALITY # • ° 2'3 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- 1 • • 37.510 tion 7044, Business and Professions Code). ADDRESS -' REQUIREDTOTAL SETBACK FROM EXIST. ® • •'3 7.5 0 UG3 _ CONSTRUCTION LENDING AGENCY SET BACK 'YARD HWY PROP. LINE 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.L. ► 0 Sl 51-87 (Seca 3097, Civ. C.). SIDE ' m , P.L. Lender's Name /1 $ Lender's Address P.C. Fee$ 5,"? '570 Permit'Fee U oe I certify'thatI have read this application and state that the Issudn e` 4* above informatio orrec. to comply with.all County Investigation Fee g ordinances and _tate.laws relating t uilding construction, Tor ee u and hereby r e nt es o this County to enter upon the o erty fo inspection pur oses. a / SEE REVERSE FOR EXPLANATORY LANGUAGE ' n ®f Sin crate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401300026 PHONE: (626) 285-0488 EXT: LEGAL D: NUMBER OF SIGNS: 1 BUILDING ADDRESS: ITR: 5905 LT: 67 BL: .001 SIGN DESCRIPTION: FOAM WALL SIGN 9158 LAS TUNAS DR TEMP CA 917801905 ;ASSESSOR INRPMATION NUMBER: NEAREST CROSS STREET: SULTANA ;5387-017-036 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: _ EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/30/04 VG 01/24/05 i OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINA ' D E FINAL BY: CODE: WANG, DANIEL (626) 374-8403- 500 9224 LAS TUNAS OR TEMP 917801905 FEES PAID DESCRIPTION OF WORK NEW FOAM WALL SIGN 36 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: ZHU (626) 203-9515- D1 PLANCHECK W/0 EN-HC 500.00 VAL 82.11 9158 LAS TUNAS D2 PERMIT W/O EN-HC 500.00 VAL 43.65 SPECIAL CONDITIONS: TEMPLE CITY 91780 AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 500.00 VAL 0.50 _ D1 PLANCHECK W/O EN-HC 500.00 VAL 82.11 CONTRACTOR: TEL. NO: TOTAL FEES 236.12 APPROVALS DATE INSPECTOR SIGNATURE ZHU, NAI GANG (626) 203-9515- 9158 LAS TUNAS DR. LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIG. N0: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: i 1 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I REPORT ID: DPR261 ROUTE TO: BS0508