HomeMy Public PortalAbout9701 LAS TUNAS DR_Building__ WORKERS"9-OMPENSATION DECLARATION r
(thereby<-affiym that I have a certificate of consent to self PERMIT insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR �y/LOMM PERM I T
or a certified coop thereof Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Poli N�X'1! • —I mpany�L�LfL_Fu� 7�
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDINGADDRESS
❑ Certified copy is filed with the county building inspec- ` BUILDING 9 '70 1 i S � � �,.
tion department. ADDRESS L�� Q .
Date 18 X96 AppIicaht5/M6gj 1 �. CITY �L ZIP 91 (J LOCALITY
NO.OF BLDGS. NEAREST
CERTIFICATE OF'EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACE BLOCK- : •.. '.LOT NO." MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) �L• ^ a
OWNER 1 ®t "." •�'NO.O'�8��•� IBJ/ USE ZONE MAP
I certify that in the performance of the work for which this .,' NO.
permit is issued, I shall not employ any person in any manner ADDRESS 0 (/ SPECIAL
so as to become subject to the Workers'•Compensation Laws. t' r, =�, n�rCONDITIONS 0
.a CITY ,�.. ZIPS. ✓ ,16 D! U
Date Applicant. ARCHITECT OR ti:•r:,TEL z , DISTRICT GROUP TYPE' FIRE PROCESSED BY
NOTICE TO APPLICANT: If,.after making this Certificate of ENGINEER NO. " '$'' CONST. - ZONE G
Exemption, you should become subject.to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESSD� ,� a.
with comply with such provisions or this permit shall be n� e ) TEL. Io 7 / STATISTICAL CLASSIFICATION APT. CONDO. 0
deemed revoked. CONTRACTOR ,
/—! G L ♦ lay, NO., �/ �� G z
Illj
LICENSED CONTRACTORS DECLARATION 3' LIC. ^7 CLASS NO.��DWELL.UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS-1 O � w s W D'�� �IY NO. 63 /1_
(commencing with Section 7000)of Division 3 of the Business LIC. �p Q SEWER MAP
and Professions Code,and my license is in full force and effect. CITY' r CLASS �J J I BK. PG. VALIDATION
p SQ. FT. , NO;OF NO.OF CHECK
License Number ? 7 _Lic. Class
D .A_ SIZE STORIES FAMILIES ONE VALUATION
Contractor
5/m C e 6 L kDate a �3' �j DESCRIPTION OF WORK NEW
J ✓/ G-o'�
ElI am exempt under Sec. �j( yL C C ADD ❑ ,
• ALTER ❑
B.&P.C. for this reason V
REPAIR ❑ $
Date: USE OF
EXISTING BLDG. ,DEMOL ❑ ` �
Signature APPLICANT TEL.? FINAL
g OWNER-BUILDER DECLARATION (PRINT) I �CQ NO —76
I hereby affirm that I am exempt from the Contractor's License p] DATE
Law for the following reason (Section 7031.5, Business and ADDRESS Z0 S +.vrD��� Oar a 1� FINAL
Professions Code): PRESENT B CI FEE
BUILDING y �'
❑ 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 pool
OOC-0-0001 6/1$/90
7044, Business and Professions'Code.) MOVING I TEL. {y
E] 1,as owner of the.property,am exclusively contracting I CONTRACTOR NO. R�:80 1 FSM 11 a 0 •
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code.)
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPACKEFROM XISJ/
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
3 P.C. Fee$ Permit Fee LDMA Ref. q
Lender's Address ;
1 certify that I have read this application and state that the Issuance Fee LDMA P/C#
3 above inforLand
ion is correct. I a e to comply with all County .Investigation Fee
ordinances State I s r ing.to building construction, Total Fee LDMA Perm. #
r thori epr ntatives of this County to entae- Lo property for inspectiion purposens.
D %! 6'- 1 �y (y SEE REVERSE FOR EXPLANATORY LANGUAGE
Signatu a of Applicant or Ag nt Date
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 fi BUILDING PERMIT
.DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW COMMERCIAL
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 j, BL 0508 0311070017
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT- STORIES TYPE OCCUP GROUP 9701 LAS TUNAS DR
ASSE1 STRUCTURE: 0 3 VN U1 '-.-TEMP-CA 91780
SS 0 NEAREST CROSS STREET: KAUFFMAN
;. I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
TENANT:. S DG USC-1 ISSUED ON:- ""P 0 SSBY: EXPIRES :
CITY OF TEMPLE CITY EXIST OCC GRP: 11/07/03 JK 11/01/04
OWNER: TE 0: BLDGS. NOW ON OT: ON: FINAL DATE FINAL BY: - CODE:
CITY OF TEMPLE CITY (626) 285-2171- ' 4,900 12/17/03 QUINN
9701 LAS TUNAS DR.
TEMPLE CITY, CA FEES PAID DESPRIPTIONOF WORK
INSTALL 401 FLAGPOLE IN FRONT OF CITY HALL EAST OF EXISTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FLAGPOLE
APPLICANT: TEL. 0:
SO CAL FLAGPOLE (323) 257-8201- AA BLDG PERMIT ISSUANCE 27.75
4551 YORK BLVD AC STRONG NOTION RESID 4900.00 VAL 0.50 SPECIAL DITIONS:
LOS ANGELES 90041 D1 PLANCHECK W/0 EN-HC 4900.00 VAL •112.71
D2 PERMIT W/O EN-HC 4900.00 VAL 132.60
TOTAL FEES 273.56 i
CONT C 0 E 0: APPROVALS DATE I SP C 0 SIGNATURE
SO CALIF FLAGPOLE (323) 257-8201- 1
4551 YORK BLVD. LIC. NOLOCATION AND SETBACKS
.
LOS ANGELES, CA 90041 C33 * 1.
SOILS ENGINEER_.APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOU1NDATIONPRENCH FORMF
LIC. NO:' S AB/UNDER FLOG
4
RAISED
FLOOR FRAMINGP 0: SEWER MAP BOOK: FIRE ZONE: CMP: UNDERFLOOR INSULATION
X X X 3 104 1
FLOORSHEATHING
0. OF FAMILIES: DWELLING S: APT/CO : STAT CLASS: I
NO 07 ROOF SHEATHING
SC HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS I
NO NO NO FRAME INSVECTIUN
FIRE RHAGRS
SPON WEA ER S R
INTERIOR
EXTERIOR AT
SRATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RAT,I I
ED SHAFTS/OPENINGS
' f
* ADDITIONAL DATA ON FILE -BAR C I GS
LUT!DRAINAGE
'I
! REPORT ID: DPR261 ROUTE TO: BS0508
1 i ,
COUNTY OF' LOS ANGELES. TEMPLE CITY # 0508 ,BUILDING PERMIT--,,
DEPARTMENT OF'PUBLIC.'WORKS ` 9701 LAS TUNAS - ,ALTERATION/REPA•I•R—
BUILDING AND SAFETY./ LAND DEVELOPMENT TEMPLE CITY CA 91780 : -BL 0508 9907210022'
PHONE: (626) 285-0488-EXT: -
LEGAL I
D:'. ST D G ,
_ DDR S :
ON FILE SQ. FT STORIES, TYPE (:9701 LAS TUNAS DR.
ASSESSOR INFORMATION R:; STRUCTURE: 0 VN `l J'NEAREST-CROSS-STREET:•KAUFF14AN
`THOMAS PAGE: GRID: LOCALITY: TEMPLE 'CITY
E E Z RIT ON USE: GOVER USE ZONE: R-3 ISSUED ON: PROC SSED BY: EXPIRES-ON:
EXIST OCC GRP: 07/22/99 UT- 01%18/00
OWNER: TEL. B DGS. NOW ON. LOT: VALUATION:. FINAUDATE FIA BY: CODE:
CITY OF.TEMPLE CITY (626) 285-2171- ' 1 450,000' a_ Z�.,.�
9701 E: LAS TUNAS DR .. -. ,
TEMPLE CITY,-CA - FEES. ID. DSC ;P ON O_WOR__
--DEMOL' TFON OF PORTION-OF-ROOF AND-CHANGE•PITCH.; TEAR OFF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:_AND INSTALL NEW ROOF GENSTAR 20 YR. HOT-MOP•_NE. EATING
APPLICANT: TEL. 0: _ _. --
ARMOND BAGHRAMIAN (818)'249-8852- AA BLDG PERMIT- ISSUANCE 0:00
2315 MONTROSE AVE. AC STRONG MOTION RE D_450000.00 VAL 0.00 SPECIAL CONDI-TIO S. -
MONTROSE, CA D2 PERMIT W OsE -W5-00 0.00 VAL 0.00
0:• �. E •0.00
ANGELES DoE
CONTRACTOR: TEL. NO: Q�J �/p/�, APPROVALS DATE INSPECTOR SIGNATURE
ARMOND BAGHRAMIAN (818) 249-9751-
2315 MONTROSE AVE #101 LIC. NO LOCATION D SETBACKS
MONTROSE CA, 91025 559043 B
_ SOILS ENGINEER APPROVAL
ARCHITECT OR E G R: TEL. NO: 0 DATION/TRENC 0 S
LIC. N 1111111 SLAB/UNDE FLOOR
• ' AISED FLOOR*FRA ING
150H26: SEWER MAP BOOK: PAGE: FIRE ZONE: Mp g UNDERFLOOR INSULATION
BUC VAV 0 R K FLOOM!SHEATHING
0. OF- FAMILIES: DWELLIAG S: AP CO D: STAT CLASS:—
NO 212V% ROOF SHEATHING
SCHOOLWITHIN RDOUS17 H PANELS
AIR QUALITY: 1000 FEET MATERIALS ! - Q•
NO NO NO A ' �g FRAME INSPECTION
REQUIRED TOTAL SETBACK EXIST
SET BACK YARD: HWY: PROP LINEN '• WIDTH:
FRONT• PL- `sL'tViCd; T INSU ATION/ FATHER RIP
SIDE PL-
IN
TER OR
EXTERIOR AT •
10 Z941-
� . RATED F 00 C SS
RATEDj%ALL.ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL. DATA ON FILE
kGEREPORT ID: DPR261 ROUTE TO: BS0508
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 0008230044
PHONE: (626) 285-0488 EXT:
1
LEGAL
D: NO. OF CONST BUILDING A ES
ON FILE SQ. FT STORIES TYPE 9701 LAS TUNAS DR
i STRUCTURE: 0 VN TEMP CA 91780
ASSESSOR INFORMATIO NUM NEAREST CROSS STREET: KAUFFMAN
THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
1
EXIST BLDG USE: GOVER USE ONE: R-5 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/23/00 UT 02/20/01
OWNER: TEL. NO: i BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN Y: CODE:
CITY OF TEMPLE CITY (626) 285-2171- 1 53,000
9701 E. LAS TUNAS DR
TEMPLE CITY, CA FEES PAID DES CRIPIT ION 0 WORK
RENOVATION OF EXISTING BATHROOMS TO MEET ADA REQUIREMENTS
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT:
APPLICANT: TE O•
SBS CORPORATION (626) 794-4838- AA BLDG PERMIT ISSUANCE 0.00
1260 LINCOLN AVE AE STRONG MOTION OTS&53000.00 VAL 0.00 SPECIAL CONDITIONS:
PASADENA, CA C2 PERMIT W/ ND , VAL 0.00
P�GELES X.►o FSEs 0.00 '
CONTRACTOR: TEL. N0: SOS �/� APPROVALS DATE INSPECTOR SIGNATURE
S B S CORPORATION (626) 794-4838-'
1260 LINCOLN AVE LIC. NO LOCATION AND SETBACKS
SUITE 1000 742782 B
PASADENA, CA 91103 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: 0: FOUNDATION/TRENEF FOR S
LIC. N0SLAB/UNDER FLOOR
1111111
e
RAISEDOOR FRAMING
11550H269 SEWER MAP BOOK: PAGE: FIRE ZONE: OWN! U
B" L /J®L'mn-' /J S UNDERFLOOR INSULATION
Q[6� �t1�7/ [{J�LKltEIK(V FLOOR SHEATHING
0. OF FAMILIES: DWELLING TS: APT/COND: STAT CLAS
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS !*+ S EAR PA ELS
AIR QUALITY: 1000 FEET MATERIALS ❑' ell
NO NO NO A ❑ �y FRAME INSPECTION
REQUIRED TOTAL SETBACK-FROM EXIST !/b [Jn �w��t� FIRE SPRINKLER HANGERS
SET BACK
YARD: HWY: PROP LINE: WIDTH: ��C
FRONTPL- SerVIC@•ribl. I SULATI EATHER STRIP
SIDE PL- INTERIOR AT DRY AL
;L ,do
EXTERIOR LATH
RATED LOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRA AGE
REPORT ID: DPR261 ROUTE TO: BS0508
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508 0401220040
PHONE: (626) 285-0488 EXT:
c ID: NO. OF CONST BUILDING ADDR . -
ON FILE SQ. FT STORIES TYPE 9701 LAS TUNAS OR ,
STRUCTURE: VN TEMP CA 91780
ASSESSOR INFORMATIONNUMBER: i NEAREST CROSS STREET: KAUFFMAN"
THOMAS PAGE: GRID LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: CITY USEZONE: C-2 ISSUED ON: PROCESSED BY: EXP ES ON:
CITY OF TEMPLE CITY EXIST OCC GRP: 01/22/04 VG 01/16/05
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DDS�T FINAL Y: CODE:
CITY OF TEMPLE CITY (626) 285-2171- 130,000 'V
9701 LAS TUNAS DR.
TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK
r CITY HALL EMPLOYEE LOUNGE/COMMUNITY ROOM REMODEL AND
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IMPROVEMENT PROJECT
APPLICANT: TE 0•
ANGELES CONTRACTOR (714) 899-1826- AA BLDG PERMIT ISSUANCE 0.00
AE STRONG MOTION OTHER 130000.00 VAL 0.00 SPECIAL CONDITIONS:
Al PLANCHECK WEN-HC 130000.00 VAL 0.00
A2 PERMIT W/ENERGY-HC 130000.00 VAL 0.00
TOTAL FEES 0.00
CONTRACTOR: TEL. N0: - DATE INSPECTOR SIGNATURE
ANGELES CONTRACTOR (714) 899-1826-
APPROVALS
7446 ORANGEWOOD AVE. LIC. NO , LOCATION AND SETBACKS
GARDEN GROVE, CA 42841 748477 S '
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIO /TRENCH FORMS
LIC. N0: SLAB/UNDER FLOOR o
'
RAISED FLOOR RARTWG
1 .
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 b4 ! '
'
NO. OF FAMILIES: DWELLING 'i LO9R SHEATHING ING U ITS: APT/COND: STAT CLASS
NO 22 , ROOF SHEATHING
SCHOOL WITHIN ZARDO S SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS i
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONTSIDE PL- INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
I
EXTERIOR LATH
RATED FL00 /CEIL ASSEM.
RATEDiWALL ASSEMBL ES
RATED SHAFTS/OPENINGS
T-BARICEILINGS
i
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 1 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109220070
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ` I NO. OF CONST I 1: BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE 1 ! 9701 LAS TUNAS-DR 1
ISTRUCTURE: V-B I TEMP CA 91780
ASSESSOR INFORMATION NUMBER: .1
I I NEAREST CROSS STREET:
18587-025-906 1 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl
1 TENANT: EXIST BLDG USE: TEMPL USE ZONE: R-3 ISS7ED ON: PROCESSED BY:
� 1EXIST OCC GRP:, 109/22/11 SR 1
[OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FI CODE: 1
ICITY OF TEMPLE CITY (626) 285-2171- 1 40,000 [ [
19701 LAS TUNAS DR. [ [9�94 1
[TEMPLE CITY, CA [ FEES PAID 1DE CRIPTION OF WORK
I IMON6MENT SIGN [
[ 1FEfi DESCRIPTION: QUANTITY: QOM: AMOUNT:[ [
(APPLICANT: TEL. NO: I [
[ARAMEXX CONSTRUCTION (909) 746-8066- [AA BLDG PERMIT ISSUANCE 0.00 1 1 [
16251 SCHAEFER AVE. JAB STATE GREEN BLDG FEE 40000.00 VAL 0.00 ISPECIAL CONDITIONS: [
CHINO, CA 91710 ID2 PERMIT W/O EN-HC 40000.00 VAL 0.00 I [
TOTAL FEES 0.00
[CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURB
1
IARAMEXX CONSTRUCTION (909) .746-8066- 1 1 I
16251 SHCAEFER AVENUE SUITE K LIC. NO I ILOCATION AND SETBACKS I 1
(CHINO, CA 91710 939815 C27 I I [ 1
I [ .1SOILS ENGINEER APPROVAL It 1
I I
L I I
[ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
IHIRSCH & ASSOCIATES, INC. (909) 746-8066- 1_!
12221 E. WINSTON RD. SUITE A LIC. NO: 1 [SLAB/UNDER FLOOR I 1 1
[ANAHEIM, CA 92806 NONE 1 1 ., -1-1 I
1 I IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J 1pNDERFLOOR INSULATION I I I
1150H269 3 001 I- 1 1
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ;I I I I I
I 0 NO 22 1 IROOF SHEATHING 1 I 1
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 1 1
[AIR QUALITY: 1000 FEET MATERIALS 1 I 1 I 1
1 NO NO NO I IFRAME INSPECTION I 1 [
I .]FIRE• SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I I
I [
I 1 1
I 1 11NTERIOR LATH/DRYWALL 1 1 I
I I I
-1-1 I
1 I [EXTERIOR LATH I I I
I [RATED FLOOR/CEIL ASSEM. I 1
1 1 RATED WALL ASSEMBLIES
� I �
I IRATED SHAFTS/OPENINGS I 1
1 1
IT-BAR CEILINGS 1
I I ILOTIIDRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
✓t►j 70/WPENSA"t'ION DECLARATION
'.ffir.'^ ^"� have a certificate of consent to self � \ �
a cert Ficate of Workers'Compensation Insurance, APPLICATION F .� BUILDING PERMIT
o'N" •t
ie, =opy thereof(Sec. 3800.. Lab. C.)
A\ �eo` Company COUNTY OF LOS ANGELES BUILDING AND SAFETY
s'o d copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
..,ed copy is filed with the county building inspec- BUILDING ADDRESS
tion deportment. ADDRESSr 70 ,L,t9S /a'/1rA.j c �J
late Applicant CITY /-rlh/c,-- �� zip �l/ Q LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
SIZE OF LOT •Z X 2r C NOW ON LOT
COMPENSATION INSURANCE CROSS ST.
chis section need not be completed if the permit is for one ASSESSOR
undred dollars ($100)or less.) TRACT I I,�,� BLOCK LO7 NO. MAP BOOK PAGE PARCEL
,certify that in the performance of the work for which this OWNER Cn'4f D� jE/N C/ NO. FZ -�/ USE?ONE NO }
ermit is issued, I shall not employ any erson in any manner �j y SPECIAL CL
as to become subject to the W ke Co sa i La 's ADDRESS �� /�J4r /IifVCP y[�( ��i CONDITIONS O
/ CITY T�/I/F C. / ZIP CJ
Rpto Applicant N-��
E TO APPLICANT: If, after aking this ertificate of ARCHITECT OR E.L.
DISTRICT GROUP TYPE FIRE PROCESSED BY
tem tion, you should becom subject to the Workers' ENGINEER 710 OA NO.�Or�� �� 1
P Y I �" ZONE
)mpensation provisions of the Labor Code, you must forth- ADDRESS r LU
9th comply with such provisions or this permit shall be
temed revoked. CONTRACTOR TEL. STATISTICAL CLASSIFICATION APT. CONDO. V)
NO.
LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITS 4
hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
:ommencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP
rofessions Code, and my license is in full force and effect. CITY CLASS VALIDATION
// SQ. FT.fi r NO. OF NO.OF CHECK BK. PG.
tense Number e 6 e/6 Lic.Class SIZE % STORIES FAMILIES ONE
/a%/1//l/E/Z CO/yST/�sle 7114f2/v C VALUATION
ltractor Date DESCRIPTION OF WORK NEW
ADD ❑ G' �� ! D�
1 am exempt under Sec. / j ❑ 01111.ALTER
1.&P.C. for this r on REPAIR ❑
USE OF
Date: ❑
DEMOL
EXISTING BLDG. pt'/—SCG
pnature APPLICANT TEL. FINAL
DE ECLARATION PRINT NO.
DATE
y o r t at I am exempt from the Contractor's License
or t following reason (Section 7031.5, Business and ADDRESS FINA
essi s Code): PRESENT BBULDING
y �;/l;�"�(
as owner of the property, or my employees with ADDRESS
-iges as their sole compensation,will do the work and
Iructure is not intended or offered for sale(Section LOCALITY
iusiness and Professions Code). MOVING TEL. ',-
-�r of the property, am exclusively contracting CONTRACTOR NO.
3Rd contractors to construct the project (Sec- ADDRESS
Buainess and Professions Code).
/ 'STRUCTION LENDINGAGENCY REQUIRED YARD HWY TOTAL SETBACK FROMEXIST.
i SET BACK PROP. LINE WIDTH
/ }here is a construction lending agency for FRONT
the work for which this permit is issued P.L.
/ SIDE
P.L.
/
P.C. Fee$ Permit Fee LDMA Ref. # '
0.
/ �ad this application and state that the Issuance Fee LDMA P/C#
/ orrect. I agree to comply with all County Investigation Fee
laws relating to building construction, Total Fee LDMA Perm. #
representatives of this County to enter
),ned property f inspection purposes.
//• 1-' J ! 1/ 1/.- 4 SEE REVERSE FOR EXPLANATORY LANGUAGE
:ant or Agent Date - �;,,�•,-7 ..,,.. r _ _-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508 1304250022
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: [
ON FILE I SQ. FT STORIES TYPE 1 9701 LAS TUNAS DR [
I .1STRUCTURE: VN I TEMP CA 91780 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KAUFFMAN
18587-025-906 1 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY 1
TENANT: 1EXIST BLDG USE: CITY USE ZONE: C-2 ISSUED ON: PROCESSED BY: [
CITY OF TEMPLE CITY [EXIST OCC GRP: 104/25/13 SR 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FRBY:BY: CODE: [
]CITY OF TEMPLE CITY (626) 285-2171- 1 4,480 1 1 L
19701 LAS TUNAS DR 1 I I
ITEMPLE CITY CA 91780 I FEES PAID IDSgSCRIPTI N OF WORK
I I IT/0 ROOF AROUND ALL A/C UNITS & APPLY TORCH DOWN MODIFIED ]
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[BITUMEN & REPLACE ROCK AS NEEDED [
]APPLICANT: TEL. NO: I I I
TRIOS, LOUIE (626) 444-7555- IAA BLDG PERMIT ISSUANCE 0.00 [ I
119020 E NORTHAM ST IAB STATE GREEN BLDG FEE 4480.00 VAL 0.00 ISPECIAL CONDITIONS: '
]WEST COVINA CA 91792 IAC STRONG MOTION RESID 4480.00 VAL 0.00 I• it
I [D2 PERMIT W/0 EN-HC 4480.00 VAL 0.00 ]
1 1 TOTAL FEES 0.00 ]DLT
c, I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
[TRS SERVICES (626) 444-7555- 1
119020 E NORTHAM STREET LIC. NO ti (LOCATION AND SETBACKS I I ]
IWEST COVINA CA 91792 968981
1 I [SOILS ENGINEER APPROVAL 1 I 1
(ARCHITECT OR ENGINEER: TEL. NO: I [FOUNDATION/TRENCH FORMS ] I I
] LIC. NO: ] ]SLAB/UNDER FLOOR I I I
I ] I
IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:j] (UNDERFLOOR INSULATION I [ [
1 XX 3 041 ( 1-1
FLOOR SHEATHING I I [
[NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: [ 1 [ 1
[ 0 NO 22 I IROOF•SHEATHING [ [
] SCHOOL WITHIN HAZARDOUS I [SHEAR PANELS I I
]AIR QUALITY: 1000 FEET MATERIALS I I ] I I
1 NO NO NO I IFRAMF. INSPECTION I I I
I 1 IF RE SPRINKLER HANGERS [ 1 I
I i (INSULATION/WEATHER STRIP(
I I
I I 11NTERIOR LATH/DRYWALL I 1 1
�I [EXTERIOR LATH I 1 I
I 11 [RATED FLOOR/CEIL ASSEM. ] I I
I �] RATED WALL ASSEMBLIES ] I [
RATED SHAFTS/OPENINGS I [
1 ] 1T-BAR CEILINGS I I I
(LOT DRAINAGE
I I I
1 [REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW COMMERCIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0311070017
PHONE: (626) 285-0488 EXT:
LEGAL 0: NO. OF CONST BUIDDING ADDRESS:
ON FILE SQ. FT- STORIES TYPE OCCUP GROUP 9701 LAS TUNAS DR
STRUCTURE: 0 3 VN U1 TEMP CA 91780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN
_ r
THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
TENANT: FR S BLDG S E ISSUED 0 PROCESSED 8Y: EXPIRES O :
CITY OF TEMPLE CITY EXIST OCC GRP: 11/07/03 JK 11/01/04
OWNER: TEL. -NO, -BL-GS.--OW ON LOT: VALUATION: FINAL VAT7^ � FINAL BY: ODE:
CITY OF TEMPLE CITY (626) 285-2171- 4,900 2 I7U�
9701 LAS TUNAS DR.
TEMPLE CITY, CA FEES DES IO OF-WORK
INSTALL 40' FLAGPOLE IN FRONT OF CITY HALL EAST OF EXISTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FLAGPOLE
APPLICANT: EL. O:
SO CAL FLAGPOLE (323) 257-8201- AA BLDG PERMIT ISSUANCE 27.75
4551 YORK BLVD AC STRONG MOTION RESID 4900.00 VAL 0.50 SPECIAL CONDITIONS:
LOS ANGELES 90041 D1 PLANCHECK W/O EN-HC 4900.00 VAL 112.71
D2 PERMIT W/O EN-HC 4900.00 VAL 132.60
TOTAL FEES 273.56
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SO CALIF FLAGPOLE (323) 257-8201-
4551 YORK BLVD. LIC. NO LOCATION AND SETBACKS
LOS ANGELES, CA 90041 C33
SOILS ENGINEER APPROVAL
I
ARCHITECT OR ENGINEER: --T-Er. NO FOUNDATION/TR C ORMS /-11; �?
LIC. NO: SLAB UNDER FLOOR t!
RAISED OOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDE5FLOOR IN5 LATION
X X X 3 04
FLOOR SHEATHING
0. OF FAMILIES: DWELLING S: APT/C : STAT CLAS :
NO 07 ROOF'SHEATHING
SCHOOL IT IN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIR R Et HANGERS
INSULATION/WEATHER STRIP
i
INTERIOR LATH/DRYWAL
EXTERIOR LATH
i
TEDF00 / ASE .
RATED WALL ASSEMBLIES
RATED- SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
'p GE
REPORT ID: DPR261 ROUTE TO: BS0508