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HomeMy Public PortalAbout9209 LAS TUNAS DR_Building__ �'.vvty L I yr 'J;iC15 Li 14 Lip J:Z5 WM. J. FOX, CHIEF ENF3INEER L9-" i • i . FOR. APPLICANT TO FILL IN FOR OFFICE USE ONLY 1O/ j`�—T D19TR1 O. PLAN CK. NO. PERMIT NO. ?. BUILDING /^f / /i A1 Q n `�'v /�7y I 0- ADDRESS /`' A/Tii�V _ LOCALITY ` � ��/-F �,/ j RECEIVED BY DATE OF APPL.. DATEISSUEDNEAREC CROSS ST Io–,:i V� ���V NG OWNER (/ I 1/Y ADDRESBUILD / ey . G(.� . v MAIL /f// n TEL /� LOCALITY ADDRESS �I'7"J �j( /iC /�. .fir �q NEAREST CITY �/,.r•/// ! /V �. '�i 17 / NO TI6 CROSS ST. ' FIRE ND.OF' TYPE GROUP AENGINEER RCHITECT OR .- TEL. ZONE PLANS - //1�, BLDG. ,ORD. NO. -ADDRESS Pte_-p1 SETBACK LINE - TEL. APPROVED ' CONTRACTOR NO. BY DATE USE `/APPROVED ADDRESS )/� ZONE .0 '1' B Y DATE LEGAL CORRECTIONS• DESCRIPTION I' LOT.N 7 I BLOCK TRACT NO. OF BLDGS. SIZE OF LOT%:5'4)X. If I NOW ON LOT - EXISTING BLDG. - I FADM•ILLIIES 1 ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH O_ Sq. FT. /�� �/ NO.OF ! _ Z SIZE qi/ ,/` ���-- ROOMS STORIES r r WALL C�/. /� _ -� I ROOF _ A COVERING ��(i(��:�"C.N,��e�. COVERING "p�+,ow _ USE OF NEW . I HEREBY ACKNOWLEDGE THAT I HAVE READ ,THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF J BRACING, BOLTS ' OWNER / 1 - LATH, INT.: , AUTHORIZED A G T - - . LATH, EXT.: $ F�FEE*; PLASTER, INT. ... PLABTER, EXT. VALUATION E,I ' 1 �� FINAL �� �� 76AS28A CE y803 0-.. APPLICA"T"ION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS "f BUILDING AND SAFETY DMSION LOCALITY r JOHN A.LAMBIE,COUNTY ENGINEER NEAREST 1 CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. DI STRICT NO. GROUP TYPE P SED BY FOR APPLICANT TO FILL IN CONST. BUILDING S RP ADDRESS5TAASTATISTICAL CLASSIFICATION BK G CLASS. NO. DWELL UNITS LOT NO. '/ "/ BLOCK MAP STATE •�- NUMBER HWY. YES TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF T �� NOW ON LOT USE OF EXISTING BLDG BUILDING EXIST. SETBACK YARD HWY STREET AME WIDTH OWNER i FRONT —ADD D�C� I�/. SIDE p - TEL. Z P.L. cITY Ll NO' INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTE REPAIR DEMOLISH SQ FT. NO OF NO.OF SIZE STORIES(jlfC- FAMILIES/__ USE OF STRUCTURE ' 1 rl SIGNATURE OF _ iy APPROVALS APPLICANT /ff' / DATE INSPECTOR'S SIGNATURE ADDRESS _.L(,,. I Ade FOUNDATION: LOCATION FORMS,MATERIALS $ P,C, S FRAME, FIRE STOPS, FEE ERACING, BOLTS VALUATION S FURNACE LOCATION. FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. PLICATION AND STA;IE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITH ALL COUNTY ORDINANCES AND STATE LAWS RE LAT BUILNG ONSTRUCTIO LATH, EXT. SIGNATURE OF - HOUSE NUMBER COR. PERMIT TE RECT AND POSTED ADDRESS I FINAL `�" •C�"�- ' CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENjflNEjR` PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATION CK m o. cwsH 7 3 6 3 s Juej 2 1 A 2.0 0 Or a , /'f • WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self A P P L I CA ,'„JON FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) _566NT "OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified co is hereby furnished FOR APPLICANT TO FILL IN BUILDING PY y ADDRESS i/.,/-/?-j ❑ Certified copy is filed with the county building mspeo- BUILDING gpDRESS �Z� E. u�} -tion department T � '7�(/'� T A lic t CITY M” CITY ZIP C t / (J`� LOCALIT �• NO OF BLDGS NEAREST / vL C FICATE OF E MPTION FRO ORKERS' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR Q�J (This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK F/ PAGE 1091PARCEL O` hundred dollars ($100) or less ) , TEL Q OWNER NO Z�S� 0 USE ZONE MAP pftW I certify that in the performance of the work for which this rr J�'�('� NO SPECIAL _ permit is issued, I shall not employ any person in any manner ADDRESS l 0 / ✓ CONDITIONS d so as To become subject to the Workers'Compensation Laws �L ZIP e �(T] O CITY Date Applicant ARCHITECT OR TEL' DISTRICT GROUP TYPE FIRE PRO�ED NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CONST ZONE Exemption, you should become subject to the Workers' Oa p V Compensation provisions of the Labor Code, you must forth- ADDRESS 1) a with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT C O N deemed revoked CONTRACTOR NO ? LICENSED CONTRACTORS DECLARATION LIC CLASS NO WELL 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 LIC SEWER MAP and 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 VA W i t iVDtdS NEW ❑ LUA ION Contractor Date DESCRIPTION OF WORK ADD ; ❑ ` 7 VV , ❑I am exempt under Sec rill ALTER B&P C for this reason REPAIR ❑ $ Date, USE OF _ EXISTING BLDG DEMOL ❑ Signature APPLICANT (PRINT) NO FINAL 7,0 e�l� OWNER-BUILDER DECLARATION DATE E —t;l_ I hereby affirm that I am exempt from the Contractor's License ADDRESS F -, Law for the following reason (Section 7031 5, Business and FINAL 1 307 Professions Code) PRESENT By ® I, as owner of the property, or m employees with BUILDING 1 P P Y� YADDRESS wages as their sole compensation,will do the work and '" ACCT. the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code ) MOVING TEL v CONTRACTOR NO �JV7 7 V o S3 I, as owner of The property, am exclusively contracting T with licensed contractors to construct the project (Sec- ADDRESS 1 ZTM tion 7044, Business and Professions Code ) REQUIRED YARD HWY TOTAL SETBACK FROM EXIST TOTAL 98-63 CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 4( CY, 98.6 � the performance of the work for which this permit is issued P L F� (Sec 3097, Civ C ) SIDE, {. PL Lender's Name „ P C Fee$ Permit Fee LDMA Ref # -. Lender's Address / �!�[+[I--OW f, j•/ 5/F3 a 1 certify that I have read this application and state that the Issuance Fee LOS S LDMA P/C# 1 4� � 8 above information is correct I agree to comply with all County Investigation Fee / ordinances and State laws relating To building construction, Total Fee • (D LDMA Perm # a and hereby authorize representatives of this County to enter upon the above-mentioned property for inspections purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date APPLICATION FOR BUILDING PERMIT it 4� COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN ADDRESS I hereby affirm that I have a Certificate of consent to self Insure, BUILDING ADDRESS �o or a certificate of Workers'Compensation Insurance,or a certified ITY ZIP +�j(�J �[ �--�� z 2A copy thereof(Sec Lab C) _ ��� ` 5,4LOCALITY Policy No / a Company ��TA,� X� SIZE OF OT 01 NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished NEARESZ.2E221T 2'Certlfled copy is filed with the co Lidding Inspection TRACT BLOCK LOT NO USE ZONE MAP NO department� � Q Date fG i / ASSESSOR MAP BOOK PAGE PARCEL /� —F�ppllcant / j SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER _ / TEL NO 1�1� YES NO COMPENSATION INSURANCE Hr ' WITHIN 1000 FT OF SCHOOL? ADDRESS � DISTRICT GROUP TYPE CONST' FIRE ZONE CESSED BY (this section need not be completed if the permit is for one hundred ,([,jdollars($100)or less) ZIPI certfy that In the performance of the work for which this permit L 7 � / A t(� 949 3 Is Issued, I shall not employ any person In any manner so as to ARCHITECT R ENGINEER TEL NO become subject to the Workers'Compensation Laws ATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT- If, after making this Certificate OfREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL O SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /`� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS Z LIC NO 7 PL Ci `5 �� / SIDE >' LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL a I hereby affirm that I am licensed under provisions of Chapter 9 'I' SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMILIES Professions Code,and my license Is in full force and effect NEW, ❑ BK PG , 0 DESCRIPTION OF WORK VALUATION W License Number fS�e7 Llc Class�' �� ADD ❑ CL Contractor 06"ls' Rate ALTER ❑ ��© `" L z ❑ 1 am exempt under Sec REPAIR ❑ B.&P C for this reason DEMOL ❑ LDMA P/C# Date USE OF EXISTING BLDG URM ❑ Signature APPLIC��PRINT) TEL N[q LDMA Perm# ❑ I, as owner of the property, or my employees with wages as ��A1 /fl v / Oa their sole compensation, will do the work and the structure is ADDRESS ' FINAL DATE AV-'C °Ir not intended or offered for sale (Section 7044, Business and Professions Code) 010-WILL ?I °^L WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ITEMS❑ I, as owner of theproperty, em BxCIUSIVBI contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ; tTEIlJ Y ff THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, Business and Professions Code) 1-1 NO❑ TOTAL 70 m 34-' WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING .�, OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH NEt•��/ t'� 70.33, CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLISTFOR GUIDELINES }13 " I hereby affirm that there is a construction lending agency for YES 1:1 NO E] {:RANGE a0 the performance of the Work for which this permit Is issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE.TITLE Z CHAPTER 220 SECTIONS 2 20 1 OD THROUGH 2 20 140 CONCERNING (}O{'1(I^,{};I li �,�I�/{,'{f a Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD [J V V �Ji t 1 1 Lender's Address ow.� AGENT I�1 i v i o I certify that I have read t application and state that the above PC FEE PERMIT FEE Information Is correct gree to comply with all county ordinances an e I lating t°building construction,and hereby authorize t Iv Of this County to enter upon ISSUANCE FEE the above-menti o for spectlon purposes �� 6 INVESTIGAT FEE TOTAL FEE 1 s+yrwn a SEE REVERSE FOR EXPLANATORY LAN U APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified copy thereof (Sec 3800, Lab C) CITY IP `�. � LOCALITY POIICy No Company �-{/ SIZE OF LOTI I NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy IS filed with the county building Inspection TRACT BLOCK LOT NO department �/� USE ZONE MAP NO l / Date 2 Applicant ! ASSESSOR MAP BOOK PAGE PARCEL _ I / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER da // TEL NO COMPENSATION INSURANCE �L(.C�i, WITHIN 1000 FT OF SCHOOLS YES NO (This section need not be completed if the permit Is for one hundred ADDRESS DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less) CITY ZIP n ' I certify that In the performance of the work for which this permit d Is Issued, I shall not employ any person In any manner so as to become subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO —4?96 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTORTEL NO SET BACK YARD HWY PROP LINE WIDTH <T Compensation provisions of the Labor Code, you must forthwith �j 6 comp) with such provisions or this permit shall be deemed revoked FRONT Y P p ADDRESS LIC NO P L L60AH SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT'SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license Is In full force and effect �- NEW ❑ BK PG , d License Number LIC Class G J DESCRIPTION OF WORK ADD ❑ VALUATION Q Contractor C Date —3 ALTER ❑ ❑ I am exempt under Sec REPAIR ❑ $ 0 BBPC for this reason DEMOL ❑ LDMA P/C# W Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Perm# t14•�•I eY Z ❑ I, as owner of the property, or my employees with wages as 0 33137 6u�.45 their sole compensation, will do the work and the structure Is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q 1 ITEMS Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL TO9 TAE m � OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FINAL BY licensed contractors to construct the project (Section 7044, f ' Business and Professions Code) VES 1:1No❑ CHUCK t,6.45 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDINGr.Illitj �i .I fi i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGE Li CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDEDNES I hereby affirm that there Is a construction lending agency for YES❑ NO❑ N the performance of the work for which this permit Is Issued(Sec NG 0006_0001 4/ 5/K-1 3097,Civ C) CHECKLIST D I UNDERSTAND THE UMY REQUIREMENS MATERIALS OTS UNDER THE LOS ANGELRMATION GUIDE AND THE ES COUNTY CODEMD TITLE ri� _ a TITE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS tjihf'} j AM (,1 a iL7 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD s V v 1 A t to Lender's Address OMJER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE ,O N Amilie with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon thea ove-mentioned property for Inspection purposes DNR 4V 3 INVESTIGATION FEE TOTAL FEE I` sQremre of Andram o, oeta (O •d' SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0312040004 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 377 BL: .001 SG. FT STORIES TYPE 9209 9211 LAS TUNAS DR STRUCTURE: VN TEMP CA 917801908 ASSESSOR0 A U NEAREST CROSS STREET: ENCINITA 8587-001-013 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: IS G NE: C-1 TnVCD ON: P S EXPIRES 0 : EXIST OCC GRP: 12/04103 JK 11/28/04 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINAL D E FINAL BY: CODE: 9711 VALLEY LLC - 4,000 r D DESfPTIONF WORK ONLY; TORCH DO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T/0 COMMERCIAL BUILDING APPLICANT: T YAN HOI TANG (626) 288-1536- 4A BLDG PERMIT ISSUANCE 27.75 3912 VACHON DR AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: ROSEMEAD 91770 D2 PERMIT W/O EN-HC TOT4000.00AL FEES VAL 115'80 ��� 4�1�G �`�� amu' 6,L,.6 OAS De., CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE YAN HOI TANG (626) 288-1536- 3912 VACHON DR LIC. NO LOCAT 10 A S ROSEMEAD, CA 91770 620138 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENC LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATIO 150H265 3 04 F )�R SH EATHING 0. OF FAMILIES: DWELLI G UNITS: APT/ D: STAT CLAM- NO 21OROF S Cr3 .i SCHOOL WITHIN HAZARDOUS TRUR PANEL AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE HANG SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATT/TR--y9A-LL- EXTERIOR LATH RATEDL ASS . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE DRAINAGELOT REPORT ID: DPR261 ROUTE TO: BS0508