HomeMy Public PortalAbout9674 LAS TUNAS DR_Building__ FDS 76A638A
CE,#803(REV-1 1/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING .-
ADDRESS LOCALITY 714 ,
NEAREST
CITY ZIP CROSS ST.
t / NO.OF BLDGS. ASSESSOR
SIZE OF LOT J NOW ON LOT MAP BOOK
�PAGEPARCEL
DISTRICT GROUP TYPE FIRE PRO ESSEL-BY
TRACT BLOCK LO`NO. sa.? 0 �/ei fi � CONST ZONE
OWNER NOTE fi_ 3
STATISTICAL CLASSIFICATION EWER MA//P��'
ADDRESS CLASS NO. [�DWELL.UNITS 115- BK�� PG
'T
CITY ZIP
ARCHITECT ORTEL. VALUATION s �
ENGINEER 7C/t - NO )-
,912 7
ADDRESS o BLDG.SETBACK FROM
TEL. FRONT PROP,LINE OF (STREET)
CONTRACTOR6 NO - TOTA SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY t YARD = F NT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. _
L&
�J t
CITY CLASS p
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 13
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH C
SO.FT NO,OF NO OF CHEEK + = V
SIZE STORIES FAMILIES ONE ^] O
❑ USE ZONE NOP �LsO /
DESCRIPTION OF WORK NEW
ADD ❑ C I SPECIAL d
CONDITIONS yb
ALTERFINAL❑ BY Z
REPAIR ❑ DATE /s
USE OF DEMOL G
EXISTING BLDG. pi� � /� Z
APPLICANT TEL 0
(PRINT
BY(SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE RE THIS AT ON AND STATE // �/ {]L G J,
-HAT THE ABOVE 15 CORRECT AND AGREE TO OMPL WITH ALL ORDINANCES '(O O W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THEu # • • • • • 1
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE
PENSAT OR CODE OF THE S TE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- z CE Z.• 48850
SIGNATURE OF 0 G 8 R 5 0 5)
PERMITTEE \
ADDRES ! /t � ) Z
TEL. � 4.11 r 2
CITY NO. C
J
P.C. Fee$ M S,D,a Permit Fee �0 >
Issuance Fee
W
Tocol Fee
sv IL
WORKERS'COMPENSATION DECLARATION
APPLICATION
®.
here6y�atg'm that I have.a certificate of consent-to self �P P����T I®� �®� ��'�®,I N G PERMIT
i"insure,
or`6 cerTifi'tafe of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) ' • . .
COUNTY OF LOS ANGELES B DI •-AND SAFETY
Policy No. Company '
Certified copy is hereby furnished. R APPLICANT TO FILL IN BUILDING
ADDRESS
❑ Certified copy is filed with the county building'inspec- BUI[DING
tion department. ADDRESS
Date Applicant CITY- ' 4'/ !' ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS'' O.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 �('71_
I certify that in the performanc t e w 'for.which'this OWNER NO. r1 /�!t NO. �v((//�r 24? �
permit is issued, I shall not em an n i ny manner - f/ / �?j SPECIAL IL
so as-to become subject fo e m n tion Laws. ADDRESS �v i' C\..// CONDITIONS O
Date CITY ZIP
= CSP
NOTICE TO.APPLICANT: If, 'a er' Certificate of ARCHITECT O / TE DISTRICT GROUP TYPE FIRE PROCE ED BY
Exemption,' you should b ome�biec fo• the Workers' ENGINEER N 7((/ CONSrT./ ZONE
Compensation provisions the bor Code, you must forth- ADDRES D - V J C
with comply with such , r ions or this.permit shall be -
deemed revoked. CONTRACTOR ! � N L. ` STATISTICAL CLASSIFICATION APT. C DO.
LICENSED CONTRACTORS DECLARATION [IC CLASS NO. ZZ' DWELL•. UNITS
-
I hereby affirm that lam licensed under provisions of Chapter 9 ADDRESS' .> N SEWER MAP
(commencing with Secfiori•7000)of Division 3•�of the Business and •LIC; -
Professions Code; and my license'is in full force and effect.. CITY CLASBK VALIDATION
SQ.-FT. N. .OF _ NO.OF•- CHECK
Lic u Lic.ClassSIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WO NEW - Q. $ops.fes t3�
❑
/ ADD ��✓G�/I a exe rider Se 7 ® i
. ALTEV❑'
B 8P . for his reaso REPAIR' ❑ $ 6 4 3,2 A
Date: USE OF DEMOL
EXISTING BLD r ❑ o a o'0 2
# 1
Signature APPLICANT E FINA
OWNER-BUILDER DECLARATION PRINT O_�- DAT ~� ( ° -.37.50
I hereby affirm that 1 am exempt from the Contractor's-License �•
ADDRE - 3 7 5 0
Law for the following•reason (Section 7031.5, Business and - F A e o o
Professions Codd):- i PRESET Y
F1 1,I, as owner of the property, or myemployees with I ADDRESS•
0-1.29-87
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.
with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code).
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 -2.6 4 9.6 A. '..
the performance•of the work for which this permit is issued P.L. o o e o•0 1
(Sec. 3097, Civ. C.AlanL
SIDE
o P.L..
Lender's Name o 0 4 9.'8 8
w� LDMA Ref. # _'
Lender's Address P:C:Fee$ (3 Permit Fee V•• 0 0 0 4 9 8 8 0
021 .0L-87
e 1 certify that'l have read this application and.state that the _ Issuance Fee D LDMA P/C#-
above infor orr r to comply with all County Investigation Fee ;
ordinances end State ws. lati to building construction, Total-Fee LDMA Perm. #
3 n by authorize r pr se ive f this County to enter
j; Pon the ov_e-mentio o fo inspection purposes. -
1 SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign ure of-Applicant or Agent Date O
WORKERS'COMPENSATION DECLARATION
r
—•'I hereby affirm that I have a certificate of consent to self y�q D D D Dj•.
insure, or a certificate of Workers'Compensation Insurance, G�=t� �� 19 3110 M ON(RP EM T
or a certified copy-thereo (Sec. 3800, b C.) Y
Policy No Company COUNTY OF LOS ANGELES MOLDING AND SAFETY
m
Certified copy is hereby furnish FOR APPLICANT TO FILL IN BUILDING
• ADDRESS
Certified copy is filed with the county building inspec- BUILDING f ►r-
tion department. ADDRESS s LOCALITY :'
NEAREST �..
Date Applicant r CITY C&v ZIP CROSS ST. WAW 101,
CERTI ICATE OF EXEMPTION.FROM ORKERS' NO.OF BLDGS. ASSES§OR
COMPENSATION INSURANCE .'SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section neednot be completed if.the permit is for one• '. USE ZONE MAP
hundred dollars($100)or less.), i.TRACT BLOCK LOT NO. l� NO.
TEL. SPECIAL r `>_
I certify that in the performance of the work for which this OWNER9. LS NO. CONDITIONS 13
permit is issued,I shall not employ any person in any manner j DISTRICT GROUP TYPE FIRE PR SSED BY O
so as to become subject to the Workers'Compensation Laws. ADDRESSf CONST.. r ZO
Date Applicant' 44&CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO.
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.-
LU
'Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such.provisions or.this permit-shall be z
deemed revoked. ��;%CONTRACTORAge Np, BK. PG, VALIDATION,
6161V
LICENSED CONTRACTORS DECLARATION 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. k2
-Professions Code, and my license-is in full.force.and effect: :r CITY CLASS $'
`SQ. FT. NO.OF NO.OF CHECK
License,Number L`6 3
- 5✓,Lic.Class SIZE STORIES FAMILIES ONE _ 7
6:4 A
Contractor• Date DESCRIPTION'OF WORK NEW ❑ '� 0 0 0 0 2 3.
0 // lADD
I am exempt under Sec. ` X1817' &UIMALTER ❑ FINAL �Q��s � e ? �C
B.&P.C. for this reason D f REPAIR DATE (�
Date: : USE OF ❑ FINAL C
DEMOL r
• :, EXISTING BLDG. - ❑
APPLICANT ' TEL. Y O •.1 2 4`j' 3
Signature' _
OWNER-BUILDER DECLARATION PRINT c��(�(� NO:-
I hereby affirm that I am•exempt from the Contractor's LicenseQ/LO�(10U[ D
Low for the following reason (Section 7031.5, Business and ADDRESS _
Professions Code): PRESENT
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I,as owner of the property,am.exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec-
ADDRESS
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH D
I hereby affirm that there is a construction lending agency for FRONT
the performance'of the work for which this permit is issued P.L.
tSec. 3097, Civ. C.). SIDE 4 9'5;6 A
c 'P.L•
I'
o Lender's Name ,••. • • � c� I `j'o 0 49,8.-8
P.C.Fee$ Permit Fee +. JV
- Lender's Addres's
I
r I certify thct I have read thls application and state that' the
1 Issuance Fee �. sv 4 9 8:8 c=�
c above informotiion,is correct:I c ree to'com I,with--ill Coun, O O —
9 PY ty. Invest(gat+on•.Fee.i O 4 z
ordinances pnd.State;laws"relating•to:Iiuilding-;conatructiori; Tatal.Fee..' 2 "
....`:.
and hereby authorize repre'seriiatives of this County to enter
' up the above-rim' tinned prop for,insp6ction'purposes: +'• ': .' '' : , ;:; ;m! ,
SEE,.REVERSE FOR EXPLAPIATORY LAPIGUAGrE �.
®s
Sig ure of Appli or Agent Fitei'
tt
II ��
1 ,
COUNTY OF LOS ANGELES TEMPLE CITY „# 0508 . --BtJtE NG PERMIT .
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - ALTERATION/REPAIR R
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 1 �BL, 0508 9808310014
PHONE: (818) 285-0488 EXT: 4
1
LEGAL ID: NO. OF CONST BUI.L-D1 G-ADBRESS•:
TR: 6561 LT: 523 SQ. FT STORIES TYPE U674 LAS TUNAS DR
STRUCTURE: 0 VN %P-CA'9T7802139`-
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN
8587-021-012 - !THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
I
TENANT: EXIST BLDG SE: COMME USE ZONE: C- ISSUED 0 PROCESSED EXPIRES ON:
EXIST OCC GRP: 08/31/,98 UT 08/31/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL -DATE FIN CODE:
URQUIDI CONRAD - (818) 281-3977- 2 3,800 « �
1033 2ND ST
ALHM 918014720 I FEES PAID ;DESUR•1-PT=�0 '°OF'NO–
TEAR �FF EXISTING 001, MQP AND INS, LCL NEW BUILT UP HOT��•.-TAR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNC' "
APPLICANT: TEL. NO:
RANCHO ROOFING (626) 914-4290- AA BLDG PERMIT ISSUANCE 27.75
5017 N. SUNFLOWER AV AE STRONG MOTION O.HER—,3800.00 VAL 0.80 SPECIAL CONDITIONS:
COVINA, CA 91742 D2 PERMIT W/O EN=HC-- Z=-3800V00 VAL 115.80
/ �NGELETOTA1;VFEES 144.35
CONTRACTOR: EL. N914-4290- \,�� ��A� APPROVALS DATE INSPECTOR SIGNATURE.
5017 N. SUNFLOWER AVENUE LIC. NOOC C T1,ON AND SETBACKS
COVINA, CA 91724 602655/C39 I
SOILSIENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH1FORMS
" - I
LIC. NO: lllllll SLAB/ NDER FLOOR
RAID FLOOR FRAMING
150H269 3 0-
[f- Ud � C K
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPe' �O UNDERFLOOR INSULATION
LOOR SH THING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 22 O ROOF SHEATHING
SCHOOL ITHIN HAZARDOUS a ',� SHEAR'P NE S
AIR QUALITY: 1000 FEET MATERIALS U �
NO NO NO FRAME;INSPECTION
EQUIRED TOTAL SETBACK FROM EXIST 46� O�� FIRE SPRINKLER A GERS
SET BACK
YARD: HWY: PROP LINE: WIDTH:
FRONT PL- �i Service'that INSULATION/WEATHER STRIP
SIDE PL- i I
INTERIOR LA DRY A L
i� EXTERIOR LATH
(J RATCE ASSE .
RATED MALL ASSEMBLIES
i RAT D:SHAF S/OPE INGS
4 I
4 T-BAR;CEILINGS
OT DRAINAGE
f+
,REPORT ID: DPR261 ROUTE TO: BS0508