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HomeMy Public PortalAbout9822 LAS TUNAS DR_Building__ DEPAB;MENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS A.NGELESjun � `t � ® � WM. J. FOX. CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ADORE t�� (� DISTRICT NO. �. PLAN CK,NO, PERMIT NO. BUILDING a,/ / .61 - /[ _ _ � . /•• �• 7 LOCALITY RECEIVED - DATE CyOF�AP�P/L,./� (/ DATE ISSUE/D NEAREST CROSS ST. py(� BUILDING OWNER ,/i7(>'r® lP�i1 (� � . s I% ION'a � ADDRESS MAILd9 �tq, LOCALITY 7-, -ADDRESS d [7r"�6. I r ��� NEAREST Js/ U�•� -` � , . Ge9'd CITY TEL_ CROSSST, FIRE NO.OF TYPE GROUP, ARCHITECT OR TEL. ZONE PLANS, ENGINEER . NO. ® .�e� .�+' (� / f BLDG. Y .�f ADDRESS - APPROVEBACKD LINE y c CONTRACTOR NO $fah BYPROVED `- DATE '/� USE APPROVED ADDRESS ZONE t_" BY, _ DATE LEGAL DESCRIPTION -LOT NO. _ BLOCK �U CORRECTIONS ; r S / TRACT (� C('�OQI.t � S /�� ./!/ems r9 a c.a LLt/[7C' /E SIZE OF LOT SC NOW ON LOTS USE OF _ NO.OF IIINO.OF ` EXISTING BLDG. FAMILIES ROOMS - DESC IPTION OF WORK NEW ALTERATION ADDITION ' O A REPAIR MOVING DEMOLISH Sq.FT. NO.OF y SIZE ROOMS &;1 STORIEB Z D WALL ROOF - - - ' ' ,Jr r COVERING COVERING U ` BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE A COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS �/��� '�/G/ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING,BOLTS /J 9 R•r!/��i�j HIGNATURE OF � PERMITTEE ' LATH, INT. � AUTHORIZED AGT LATH, EXT. , 76A638A 9-48 DSS-3 SOM SETS $ - P.C.$ f� PLASTER,INT. J FEE f • PLASTER,EXT. A VALUATION " ! �a FEE FINAL i Ds 76A638A - t J CE#803(REV;11/78) :APPLICATIO •F _SU.IL G. PE, '1 COUNTY OF LOS ANGELES W-�,BUILDING_AND SF Y BUILDING FOR'APPLICANT TO FILLS I�N,�',_,,._ ; _ 1 '_ ;. ADD ADADDRESS.•, •• - '- LDING IDRESS Cke',Z h.,_ �v`U -� w. LOCALITY NEAREST CITYY _ZIP' Q, \C7�J• CROSS ST f^ ,NO OF BLDGS ASSESSOR, v SIZE OF LOT wu ZC 1�p NOW ON LOT MAP BOOK', " PAGE- - • PARCE DISTRICT G UP TYPE = FARE ESSED BY , TRACT rd ` BL'OGK LOT NO _ C r• + TEL OWNER e�1►� �Gy �-+ }�l%ka:NO ADDRESS �f G» W�J STATISTICAL CLASS IFCATION" ,, SEWER MAP" is �jCLASS NO DWELL UNITS - _,BK t PG _ CITY V: M ZIP ARCHITECT,OR ` TELJ'� O ENGINEER \ -- NOS" VALUATION $ ADDRESS _ �. _ BLDG SETBACK FROM ^ TEL FRONT PROP LINE OF (STREET) C.94;W NO _ NOTAL SETBACK FROM TYPE OF EXISTING C HIGHWAY + YARD• - FRONT PROP LINE; 'HIGHWAY:WIDTH ADDRESS / K!I_ ANO _ f LIC CITY `'kkOC M Y CLASS CONSTRUCTION LENDER r» BLDG SETBACK FROM NAME AND BRANCH SIDE PROP'LINE OF ISTREETI � _ HIGHWAY* + YARD TOTALSETBACKFROM TYPE OF EXISTING O ADDRESS �� CITY SIDE PROP LINE HIGHWAY WIDTH SO FT NO OF NO OF CHECK + " _ 'V cc SIZE STORIES FAMILIES 'ONE _ � ❑ USE ZONE MAP DESCRIPTION OF WORK• ••NEW- NO SPECIAL ADD ❑ (// �� CONDITIONS ALTER, FINAL'.3^A,1 G BY�tF'I�,--� 4 REPAIR,•❑ DATE '7• O USEOF =IV' 1 �►aY vk4Ws`t DEMOL +'•' EXISTING BLDG W� ❑ _ .z 2 APPLICANT TEL C (PRINT) NO Q BY(SIGNATURE U,_ I HEREBY ACKNOWL ETH HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE,IS C RECT AND REE TO COMPLY WITH ALL,ORDINANCES , r,y._: •, _ 9 7,6 A , AND LAWS REGULATI G BUILDING C NSTRUCTION I CERTIFY THAT IN DOING THE �' _ U WORK AUTHORIZED H GE I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF " THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING,TO WORKMEN,S COM _ •, • 2 # O O O PENSATION INSURANCE '• SIGNATURE OF S e PERMITTEE o 0 0 �•Q40 V ADDRESS Z -TEL- _ 0 0 2 2.8' 8'0 CITY - NO Q PC Fee$ Permlt Fee i V �� v M > ' Issuance Fee' Totdl Fee Lu L 09-3 �>> 2SM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �������� . - -� COUNTY OF LOS ANGELES WM. J. FOX, CHIEF _ENGINEER P{O.OF--r�� BLDG. � ORD NO. DISTRICT NO'. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE Jas, - ,I / ��'] re J' �J�� / �? FIRE �,,,, APPROVED �(„ /� J J / 6 3 ZONE /y+� BY �(/�� DATE RECEIVED/BYE DATE OF APPL. DATE ISSUED USEZONE / \•� BYPROVED DATE APPLICANT.-FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING '7 O E •NAME ADDRESS S •/ ��f � �,(G Fw Z -Z ADDRESS LOCALITY K)�Cf Z NEAREST T, If.�U FYfP1J-�T' rJ'A/Lt�a•r.L3�J � yI CITY CROSS ST. ��//////Gf/ a STATE TEL. NAME,VyC,QI SCS y,Y �Csi_PJ • foiS(��y LICENSE y�+NDOw ,�l�/ �i `NO �d ��f r � ..�%t 1~-• G/�S6�i O NAM, / lf��:gg/7I��jY A �pp l��\`�A��"6-�CL4"- i131' �c�l ri.f"1�3 ADDRESS G ADDRE88'7/9 1 /P1 MIS, IL t TEL. CITY NO.' 0 CITY /J �� {7 '��j�,/S/j ` I HEREBY ;ACKNOWLEDGE THAT 1 HAVE READ THIS U A APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE 3 9 .L TEL. Y. ` AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO NO / •. AND STATE LAWS REGULATING BUILDING CONSTRUCTION LOT NO Y� SIZE OF LOT,!510�1'V�1 SIGNATURE OF -1F NOOWNER . OF BLDGS. Q G. ' BLOCK NOW ON LOT AUTHORIZED AGT. , $'� � J W TRACT (�j• �, / ;- CORRECTIONS D USE OF BLDGS: NOW.ON LOT' t/V ./rri-r��¢ d JDi'/l"d.� �� .�✓�-�i� ice/ DESCRIPTION ,OF WORK Y USE OF BUILDING � �/�yQ.�',j7�` - Z NEW ill TYPE '. ' . GROUP ,7 -l7 ' NO:OF NO:OF ALTERATION ROOMS' �• FAMILIES ADDITION SIZE &01'9 map Z 7L ^n=/ REPAIR' STORIES •� MOVING WALL COVERING / U G Q (, DEMOLISH ROOF COVERING $. � P $ FINAL APPROVAL FEE —2 Q �/zl—INSPECTOR'S_ ��".wA� VALUATION FEE' / ��� DAATE NAME WORKERS' COMPENSATION DECLARATION 'hereby affirm that I have certificate of consent to self A P P L I CATION FOR B U I L D I.N-G P PERMIT N insure, or a,certificate of Workers' Compensation Insurance, - - - _ � or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS AGELES BUILDING AND SAFETY Policy No 11 Company �y1d�, r42 BUILDING �y Certified copy is hereby furnished' FOR APPLICANT TO FILL IN ADDRESS , 2--2— ❑• Certified,copy is filed with the county building inspec- BUILDING c ZJ tion department ADDRESS GZ L,%�S 'F {^-!A "j A J Date 149b) Applicant L� � CITY ' re---f(<- t f ZIP LOCALITY' CERTCATE OF EXEMPTION FROM WORKERS' SIZE OF 16T !��X �� NOW ON LOT " , C OSSSST IFI COMPENSATION INSURANCE ASSESSOR.,"D,r^ (This section need not•be completed if.the perrnit'is for one TRACT BLOCK LOT NO MAP BOOK D D g� PAGE a'2� PARCEL ' hundred dollars ($100) or less ) TEL / j _Z�p C> OWNER /� �j ��J l 9 C� NO USE•ZONE•. , NO I.certify that in the performance of the work for which this SPECIAL' } permit is issued, I shall not employ any person_m any manner ADDRESS- ' r�`�-� CONDITIONS so as to become subject to the Workers'Compensation Laws O . , CITY ZIP LJ Date Applicant ARCHITECT OR,-' TEL ck NOTICE TO APPLICANT If, after makingthis Certificate of ENGINEER NO - DISTRICT GROUP TYPE FIRE PROCESSED BY CONST ZONE F' Exemption, you should become ,subject to, the 'Workers' ��� V• LU Compensation provisions of the Labor Code, you must forth-' ADDRESS a with comply with, such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION, APT CONDO Z deemed revoked , CONTRACTO N Irk / _ LICENSED CONTRACTORS DECLARATION LIC CLASS NO �'Z DWELL UNITS — ADDRESS hereby affirm that I amlicensed under provisions of Chapter 9 ADDRESS n (��i t' f�L•' NO r �l p -t ;(commencing with,Section 7-000)of Division 3 of the"Business �- LIC SEWER MAP and Professions Code,and my license is in full force and effect CITY [w* �1 C- i Villa CLASS' S BK PG VALIDATION SQ FT NO OF NO'OF CHECK License Number" ' /P r Lic Class •'�' SIZE STORIES FAMILIES ONE - VALUATION Contractor 1 WAIAll- ._ 'Date _ DESCRIPTION OF WORK :QL i� ti NEW El $ C"? �"f � ADD El Elpip.I am exempt under Sec I ALTER ❑ B&P C for this reasonREPAIR,❑ $ _ Date USE OF • : EXISTING BLDG Nil 9(ms Els�' "7�<< DEMOL ❑ Signature APPLICANTTEL OWNER=BUILDER DECLARATION (PRINT) ( —".� NO `� LiC�"Y FINALDATE a '2 -I hereby affirm that I am exempt from the Cohtractor's License ' Law for the following reason (Section 7031 5, Business and ADDRESS - FINAL' Professions Code) PRESENT _ By — BUILDING Ll Tj L�" ❑ 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 _ E••,,' t c 70",-Business and Professions Code ) MOVING' TEL •- llEly�CONTRACTOR NO 3 a 0C) ❑ j, as owner of the property, am exclusively contracting Efr;t. with licensed contractors,to construct the•project,(Sec- _ ADDRESS hon 7044, Business and Professions Code ) i�•I'HfiijL CONSTRUCTION LENDING AGENCY SETQBACKD YARD HWY. TOTAL ROP SETBALINECK FROM EXIST 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 - C[�la t=�f—;_l� (Sec 3097,Civ C ) SIDE Lender's Name P L `�t:t� j Atli 1. - .. ,fin,. LDMA Ref�#t• $ + P C Fee$ ! Permit Fee Lender's Address o I certify'that I'have'read this application and state that-the Issuance Fee 3 LDMA P/C# - ,~ above information is correct I agree to comply with all County Investigation Fee i 6�+ .•, r ordinances and State laws relating to building consTfuction,' Total Fee LDMA Perm # ' and hereby authorize representatives of this County to enter - - upon a a' mentioned property for mspecti - SEE REVERSE FOR EXPLANATORY LANGUAGE Sig a ure of Applicant or Agent Dci t,.� F COUNTY OF LOS ANGELES �. TEMPLE CITY # 0508 BUILDING PERMIT ?' DEPARTMENT OF PUBLIC WORKS 4'' 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT • TEMPLE CITY CA 91780 BL 0508 0111070006 ' PHONE: (626) 285-0488 EXT: BUILDINGLEGAL ID:, 0. TR: 6561•.,: LT: 440 SQ.'FT STORIES TYPE 9822 LAS TUNAS DR STRUCTURE: VN TEMP CA 917802208 ASSESSOR -INFORMATION NEAREST CROSS STREET: GOLDEN WEST, 8587-027-013 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: Urgr_RTTUM COMME USE ZONE-. C-1 ISSUED ON: PROCESSED EXIST OCC GRP: 11/07}01 JK 05/06/02 NER: '."i•U;�I• i);I;, .: EL. BLDGS. NOW ON LOT: L N: FIN L' T FIN CODE: BOUTROS JASON Kc::'l[; (818) 287-0441- 5,000 9822 LAS TUNAS DR TEMP,9178O2208 _ .�.. : FEES PAID DESCIXIPTIO)g OF WORK T/0 EXISTING ROOF; RESHEET FRONT AREA, REROOF WHOLE BUILDING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: W/25YR COMP SHINGLE CORTEZ ROOFING (626) 918-1007- AA BLDG PERMIT ISSUANCE 27.75 15884 DOUBLEGROVE ST AC STRONGNOTIONRESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: LA PUENTE 91744 D2 PERMIT W/O EN=HC�5000.00 VAL 132:60 - TOTAL FEES 160.85 ' ���L�S �• CONTRACTOR: TEL. NO: o�/� APPROVALS DATE SIG AT RE CORTEZ ROOFING (626) 918-1007- 15884 DOUBLEGROVE ST LIC. NO LOCATION AND SETBACKS LA PUENTE CA 91744 762520 C39 SOrLSIENGINEER APPROVAL RC FOUNDATION/TRENCH FORMS LIC. N0: 1111111 SLAB/UNDER FL5TR ^t ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BO0 PAG E ZONE: C P R INSULATION 150H269 3WORK M_T U'E'l"L 0. 0 I /C NO 22 ROOF S R I NG -_7__TC_flOOL WITHIN AIR QUALITY: 1000 FEET MATERIALS NO NO NO . pis f: FRAME INSPECTION ell REQUIRED TOTAL SETBACK FROM EXIST TrWE SET TAPL-CK YARD: HWY: PROP LINE: WIDTH: bzI(. "a4 + �.��`�0 INSULATION/WEATHER STUP FRONT ervice SIDE PL- I IOR LATH/DRYWALLINTER EXTERIOR LATH RATED WALL ASSEMBLIES RATED'SHAFT975FEWM� T- AR CEI NGS LOT DRAINAGE REPORT 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 0908130017 PHONE (626) 285-0488 EXT: LEGAL ID NO OF CONST BUILDING ADDRESS. ITR 6561 LT 440 SQ FT STORIES TYPE 9822 LAS TUNAS DR I ISTRUCTURE V-B TEMP CA 917802208 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18587-027-013 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl TENANT IEXIST BLDG USE- COMME USE ZONE: C-2 (ISSUED ON PROCESSED BY. IEXIST OCC GRP 109/28/09 SR I I I I OWNER TEL NO IBLDGS. NOW ON LOT VALUATION (FINAL fff FIN BY- CODE 1WEINSTEIN, PHYLLIS A (626) 285-7322- 1 49,470 I ., 15104 DENSMORE AVE 1ENCINO, CA 91436 FEES PAID MSCRIPTION OF WORK IFACADE IMPROVEMENT NEW WINDOWS, PAINT EXISTING BUILDING AND IFEE DESCRIPTION QUANTITY UOM AMOUNT (STUCCO FACADE (APPLICANT TEL. NO 1WEINSTEIN - IDI PLANCHECK W/O EN-HC 49470 00 VAL 678.03 1 IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS I IAB STATE GREEN BLDG FEE 49470.00 VAL 2.00 - IAE STRONG MOTION OTHER 49470.00 VAL 10 39 ID2 PERMIT W/O EN-HC 49470 00 VAL 797 70 (CONTRACTOR TEL NO ID7 ADDNL PLANCHECK FEE 2 00 HOU 218 70 (APPROVALS DATE INSPECTOR SIGNATURE 1 1KODIAK KONSTRUCTION, INC (626) 622-3741- 1 TOTAL FEES 1,734 57 J_ I 1130 W CAMINO REAL AVENUE LIC NO I (LOCATION AND SETBACKS I D I IARCADIA, CA 91007 868266 B I I V 1 1 ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER. TEL NO I (FOUNDATION/TRENCH FORMS I I I 1 LIC NO- 1 1SLAB/UNDER FLOOR �� I I I I I I IRAISED FLOOR FRAMING I I I I I IMAP NO SEWER MAP BOOK PAGE- FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I I 115OH269 3 001 1 1 I I I (FLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS- I I I I I I NO 22 I IROOt SHEATHING I 1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I 1AIR QUALITY. 1000 FEET MATERIALS 1 I I I NO NO NO -i (FRAME INSPECTION I IREQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I ISET BACK YARD HWY PROP LINE WIDTH I I I (FRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- 1 1-1 1 I I 11NTERIOR LATH/DRYWALL 1 I (EXTERIOR LATH / 1 IRATED FLOOR/CEIL ASSEM I I I I I (RATED WALL ASSEMBLIES I I I I I I I I (RATED SHAFTS/OPENINGS I I I 1 IT-BAR CEILINGS I I I I ILOT DRAINAGE I I I I I i (REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I I f � . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0905130009 PHONE (626) 285-0488 EXT (LEGAL ID I NO OF CONST NEW I BUILDING ADDRESS- 1 ITR 6561 LT 440 1 SQ FT STORIES TYPE OCCUP GROUPI 9822 LAS TUNAS DR 1 I ISTRUCTURE 1,0' 11 V-B -B I TEMP CA 917802208 1 (ASSESSOR INFORMATION NUMBER. 1 �'` I NEAREST CROSS STREET 1 18587-027-013 THOMAS PAGE 597 'GRID. A3 LOCALITY TEMPLE CITY, Cl I I I I (TENANT- (EXIST BLDG USE COMME USE ZONE (ISSUED ON PROCESSED BY 1 IEXIST OCC GRP B 105/26/09 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DAT FIN Y CODE I IWEINSTEIN, PHYLLIS A (626) 285-7322- 1 600 1 15104 DENSMORE AVE 1ENCINO, CA 91436 I FEES PAID 1D CRIP ION OF WORK I I I (ADDING A TOILET, SINK (ADA) TO AN EMPTY ROOM I I IFEE DESCRIPTION. QUANTITY DOM AMOUNT (APPLICANT TEL NO I - IWEINSTEIN - 1A1 PLANCHECK W/EN-HC 600 00 VAL 82 10 1 IAA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS: 1 I IAB STATE GREEN BLDG FEE 600.00 VAL 1 00 1 I 1AE STRONG MOTION OTHER 600 00 VAL 0 50 1 1 1A2 PERMIT W/ENERGY-HC 600.00 VAL 50 20 1 1 (CONTRACTOR- TEL NO I TOTAL FEES 161 55 (APPROVALS DATE INSPECTOR SIGNATURE 1 IKODIAK KONSTRUCTION, INC. (626) 622-3741- 1 1 1 1130 W CAMINO REAL AVENUE LIC NO 1 ILOCATTON AND SETBACKS I I I IARCADIA, CA 91007 868266 B 1 11 I I I (SOILS ENGINEER APPROVAL 1 I I I I I I I 1ARCHITECT OR ENGINEER: TEL NO I 1FOUNDATION/TRENCH FORMS I I I I LIC NO 1 (SLAB/UNDER FLOOR I I I I I I I I I I I (RAISED FLOOR FRAMING I I IMAP NO. SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I i- 3 041 L r f'A` 1n, 1�`C (FLOOR SHEATHING I I I INO OF FAMILIES. DWELLING UNITS APT/GOND STAT CLASS I V C VV I 1 1 1 1 NO 22 1 ( 1. 1ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS ! 1SHEAR PANELS 1AIR QUALITY 1000 FEET MATERIALS 1 I I I 1 NO NO NO 1 �ry(v��t Q 1 FRAME INSPECTION I I 1 I I 17` I I I I I (FIRE SPRINKLER HANGERS 1 I I (INSULATION/WEATHER STRIPI I I I I I I I 1 I (INTERIOR LATH/DRYWALL 1 I I I I I I I 1 1EXTERIOR LATH I I I I IRATED FLOOR/CEIL ASSEM I 1 I - IRATED WALL ASSEMBLIES I I I I I I I (RATED SHAFTS/OPENINGS 1 I 1 _ IT-BAR CEILINGS I I 1 1 1 ILOT DRAINAGE I I 1 IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I