HomeMy Public PortalAbout9506 LAS TUNAS DR_Building__ City of Temple City
I ,
APPLICATION FOR BUILDING. PERMIT
FOR APPLICANT TO FILL IN (Pri'nt,or•type only)
BUILDING BUILDING
ADDRESS 95o6 Las Tunas Dr.; . ADDRESS
CITY TemP3.0 aty ZIP
NO.OF BLDGS. LOCALITY t, y7ry
I SIZE OF LOT NOW ON LOT NEAREST
CROSS ST.
ASSESSOR
.TRACT-!,s&- BLOCK LOT N04 46 MAP BOOK PAGE PARC_E-L
• TEL. DISTRICT GROUP TYPE - FIRE ..F1QOCJESSED BY
OWNERMrq. iTonpq _ p 8
NO. p �✓fy CONS ' -z
ADDRESS 8 Arcadia Ave* Apt [J
CITY San`Gabriel, Calif- 91775 STATISTICAL CLASSIFICATION SEWER-MAP
ARCHITECT OR TEL. CLASS NO.-�DWELL.UNITS
.ENGINEER NO. USE ZONE MAP -
//f �J NO.
ADDRESS SPECIAL '
TEL. CONDITIONS
CONTRACTOR Alh,Ainbra Ronfing
No. 282-1958
ROAD:DE PARTM ENT APPROVAL REQUIRED YESNO
LIC. .
ADDRESS 712 4�0, marengo N0191147BLDG.SETBACK FROM -
CITY Alhambra, Calif• CLASS - FRONT PROP.LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
CONSTRUCTION LENDER FRONT PROP. LINE HIGHWAY WIDTH
NAME AND BRANCH
ADDRESS CITY +
SQ. FT. NO. OFNO. OF CHECK BLDG.SETBACK FROM
SIZE STORIES FAMILIES ONE SIDE PROP.LINE OF (STREET)
NEW '.❑ ,HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING '
DESCRIPTION OF WORK j ❑ SIDE PROP. LINE HIGHWAY WIDTH OC)
h ADD + _ CL
ALTER ❑ Cn
REPAIR •CORNER CUTOFF YES-❑ NO ❑ Z
USE OF
EXISTING BLDG. DEMOL ❑ IN OPEN SPACE - ..YES ❑ NO '❑ '
APPLICANT TEL IN COASTAL ZONE YES NO ❑ '
(P RIN;T) NO. -
CATEGORICAL EXEMPTION YES❑ NO ❑
BY (SIGNATURE) ENVIRONMENTAL -
Q - IMPACT EXEMPTION DECLARATION SIGNED (DATE)
VALUATION s IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED, -
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE. _
LABOR CODE OF THE STATE OF .CALIFORNIA IN'RELATING TO
WORKMEN'S COMPENSATI RANCE, ^7�J ) '
SIGNATURE OF _ �/ / FINAL BY -
'PERMITTEE _ DATE
s
ADDRESS P.C.[Q PMT. 100 100
-'
_.?12
- FEE iY� FEE NSG
TEL. i � -
CITY w NO.'2'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA ATION CK. M.O. CASH
27-:r4 �flk: .2 4.) U
76A638B CE#803A 5/73 -
' I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO ILL IN FOR OFFICE USE ONLY
DISTNO. PLAN CK. NO. PERMIT NO.
BUILDINGf (/^
ADDRESS L ��,
s� RE-;�y 11VE'D/.B�Y-\� DATE OF APPL. DATE IS /D LOCALITY ��'IV�Kd�t/
NEAREST
CROSS ST. I J �1✓ BUILDING ® Fir A F9� A
ADDRESS
OWNER
MAIL w y /��" ) LOCALITY `�
ADDRESS NEAREST
' .{j �. ''yy yy,//..G/`C.� /Aa' �`'C-.c�Y.°`:�I�s/'�`/'"� CROSS ST.
TEL
ts
CITY / vARd NO.' ZFIRE ONE I PLANS U I �~ I GROO_
ARCHI ECT O- TEL.
ENGINEER NO. BLDG.
SETBACK LINE
ADDRESS APPROVED
BY DATE
CONTRACTOR TE USE /J APPROVED
TEL.
ZONE ��BY DATE
ADDRESS 1 HOUSE NUMBERING
DESCRIPTION I LOT NO.`,. t ooq/��
LEGAL .rt g• I BLOCK MAP NUMBER m %®TEED CHECK BY
TRACT, 60
NO. ASSIGNED BY •e- DATE'
TT NO. OF BLDG - CORRECTIONS
SIZE OF LOT .p�, - I V I NOW ON LOT "
USE OF y 1�`/9= I NO. OF x
EXISTING BLD'G!\ vv FAMILIES'
DESCRIPTION OF WOR
NEW I _ I ALTERATION I I ADDITION
REPAIR ( I DEMOLITION Iy I fteW
SQ. FT NO. OF D
SIZE (� ROOMS STORI S' D
EXT. WALLROOF �a r
COVERING. �' �(>�I COVERING �r 1
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STEPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING gg@U1KIfI311..IIG CONSTRUCTION.
FURNACE: LOCATION,
.SIGNATURE OF J�% GAS VENT, DUCTS
PERMITTEE .rA. lt?'�''
O-/ /Y�v_ LATH, INT.
ADDRESS /� �� 7
LATH, EXT.
AUTHORIZED AGT.. t
PLASTER, INT.
76A688A• DBSB 10-80 $ P. C. $
® FEE PLASTER, EXT.
yA r1c�' �� FEE $ FINAL
*a-3 3-40 25M APPLICATION FOR PERMIT
.DEPARTMENT OF BUILDING AND SAFETY r
COUNTY OF LOS ANGELES nuILDING
WM. J. FOX, CHIEF ENGINEER.'
NO: OF '121 BLDG. I. ! ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANs--�--=S. SETBACK LINEcS <n
FIRE• APPROVED �- To"4tp gym•
ZONE BY DATE RECEIVEDABY DATE'OF APPL. DATEISSUED
USE APPROVED
ZONE Q e., BY DATE f Y . ?
T
APPLICANT FILL IN HEAVILY' OUTLINED PORTION ONLYBUILDING
NAME 'ADDRESS
W Z _ ADDRESS �� -�� LOCALITY �� I
!7 _ NEAREST
W CITY CROSS_-ST. b
Q STATE - TEL. __ ._ • - -
LICENSE NO. - NO. W 'NAME
Z MAIL
EO NAME � ADDRESS. V -
Q ADDRESS �J'. Ar -CITYIx
'�bii2f �NOI.
[ -HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
Z CITY [ .moi. '
O ,wry n APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE /J,I�F? TEL. ,�J• Qr� _ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO �f .0 NO. dCF✓md'� GY�(9 AND STATE.LAWS.REGULATING%BUILDING CONSTRUCTION.
ZO LOT. NO. SIZE OF LO6T 'J�, /l I SIGNATURE OF A
I- NO. OF BLDGS. AUTHORIZED AGT. c
L - BLOCK NOW ON.LOT
., CORRECTIONS
D TRACT
W
D USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF. WORK
USE.OF.
BUILDING
A ti It cf ke
. a
z
_ a
O
NEW TYPE ',�,{_I`, GROUP
NO. OF - I NO. OF - -
ALTERATION ROOMS �— FAMILIES -
'ADDITION SIZE -
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH I w0^R COVERING - -
�,5 P.C. s FINAL: APPROVAL
1 FEE
$ � �� !� y� I INSPECTOR'S
VALUATION FEE DA E*y C�' NAME
62-3-8-40 25M APPLICATION FOR PERMIT -
:FT.A4tTMENT OF BUILDING AND SAFETY
� -�=COUNTY OF LOS ANGELES pv I L li
WM. J. FOX, CHIEF ENGINEER
_NO._0F, rBLDG. ORD. NO. DISTRICT NO._ PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE - - og ?—Z
FIRE APPROVED Ir
ZONE BY RECEVED BY .DATE OF APPL. DATE ISSUED
USE /�/'_+ APPROVED
ZONE`' . BV - DATE 1 /I� =�.. ! v o• i� I
APPLICANT FILL IN HEAVILY LOU'1'LINED PORTION ONLY
F � BUILDING . p- J ,�''
p NAME rPC%' r n a u P ADDRESS. ��O !•.� #_T' /Ci�ry`�-Q`r 4,
W Z ADDRESS 17-41 . Q 117 . �A LOCALITY -
I- - - --
�/// // NEAREST / //,� 1i
U W 'CITY LOQ 140, C/R /1" CROSS:ST.(. /G`tJP� [C/ UP IY /y/117; CJ
Q STATE �" TEL NO � �,5 d""; III NAME / !/..J�-� !� �A hw w C�
LICENSE NO. , ^ L/��
U /�� °". !� - O MAIL ,
NAME �sJri tY ADDRESS
<U / q., s/�y TEL.
, ADDRESS CITY NO.
I
Z CITY S a h r-a 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U - - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATETEL.1 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION:
Z LOT. NO. SIZE OF LOT 'SIGNATURE OF
i- NOOF BLDGS. AUTHORIZED AGT- ��
a BLOCK NOW. ON LOTd�
U /�+ CORRECTIONS
W TRACT
- - - I"w -
USE OF BLDGS. �" �3 '• � o a �` t
NOW ON LOT
DESCRIPTION OF WORD ,,�� �, I. �• a ��� t�--Z
USE OF
tv
- LD•4 .
0
NEW .TYPE _ GROUP
NO. OF I NO, OF "' '�
ALTERATION ROOMS - FAMILIES
ADDITION - SIZE 3,L/ x -
_ REPAIR STORIES - -
MOVING -WALL COVERINGl/�'� '
DEMOLISH I ROOF, COVERING �!✓a�' v
P.C. $
FEE AL
�, I INSPECTOR'S gam,
VALUATION FEE 6 #{` DGl . NAME
WORKERS'.COMPENSATION DECLARATION.
of consnt to se
insure, oraa certificate of Worke s' Comffirm 'that' I have a' ipensation Insurance, APPLICATION FOR BUILDING PERMI T
or a certified copy thereof (Sec. 3800, Lab.'C ) COUNTY OF.LOS.ANGELES BUILDING AND
'SAFETY
Policy No. Company 7
Certified copy is hereby furnished.. "FOR APPLICANT TO FILO IN BUILDING
ADDRESS
Certified copy is filed with the county.building ins pec- BUILDING n
tion department. ADDRESS '7
Date Applicdnt CITY ZIP . � r pb 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 TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars.($100) or less.) _ TEL.
OWNER ^ j NO. USE ZONE MA:P
- NO
I certify that in the performance of the„work+for which this n SPECIAL }
permit is issued,-I shall not employ any person in any manner ADDRESS y) �. CONDITIONS ICL
as to become subject to the Workers'Compensation Laws. O
����� e CITY Q ZIP
Date Applicant iLY1Lp � ��+Y^� ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY
NOTICE TO APPLICANT: If,- after'making this-Certificate of ENGINEER. NO. CONST. ZO E 0
Exemption, you should become subject,
To.the .Workers' _ V
Compensation provisions of the Labor Code, you must forth- ADDRESS t� GGG LCi=��'�i� d
v
with comply,with-such provisions or this permit shall beTEL STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR NO
LICENSED CONTRACTORS DECLARATION ,5'''i1 _ _e NIc O �r S/ CLASS NO. DWELL. UNITS
I herebyaffirm that I am licensed under-provisions of Cha .ter 9 ADDRESS 3Jt7CA 6
P c - SEWER MAP '
(commencing with Section 7000)of Division 3'of the Business LIC. '
CLASS
and Professions Code,and my license is in full force and effect. CITY /- ( BK. PG. VALIDATION
SQ. FT./' NO. OF NO. OF CHECK
10
License NuYm�ber�(,dI`Ih. )�ls/ Lic. Class_ SIZE / STORIES FAMILIES ONE
VALUATION
Contractor Date L2—.21--qz DESCRIPTION OF WORK NEW a� -
- ADD El - $ �
❑I am exempt under Sec. ADD
_Or
LALTER El
B.&P.C. for.this reason hI ft'n ®Viw— A REPAIR ❑ $ 3130
Date: USEGING BLDG. DEMOL El E4 t•!
APPLICAN Signature TN
®��� FINAL
OWNER-BUILDER DECLARATION (PRINT & t5.61 /3 ( : AL
r6 1
DATE y
1 hereby affirm that I am exempt from the Contractor's LicenseICNECK Y,•,e ;r,
Law for the following reason (Section 7031,5, Business and ADDRESS DA FINAL
Professions Code):. PRESENT BY . CH�iNG ,1JJ
❑ I, as owner of the ro ert or,.m employees with BUILDING.
P P Y% YADDRESS
wages as their sole compensation,will do the work and
.the structure is not intended or offered for sale(Section LOCALITY , I —000 1
00 )1 12/2 1 '
/.^i'92 .
7044, Business and Professions Code.-) MOVING' TEL.
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. ? �:7 r
I,
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business arid Professions Code.) '
REQUIRED YARD' HWY TOTAL SETBACK FROM EXIST:
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH',
I hereby affirm that there is a,construction lending agencyfor FRONT
the performance of the work for which this permit is.issued P:L.
(Sec. 3097, Civ: C:). SIDE„
P.L.
Lender's Name. CDMA Ref. #
P.(f. Fee Permit Permit Fee �6(
3 Lender's-Address
I certify that I have read this application,and state'that the Issuance Fee LDMA P/C#
above information-is correct. I agree to comply with all County Investigation Fee
8 /
0 ordinances and Slate laws relating io building construction, Total Fee, ( LDMA Perm. #
and hereby authorize representatives of this County to'enter
upon the abov entioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applimnt-or Agent-' Date -