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ISA638A CE#BOa B_Ba APPLICATI®N FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /�-
DEPARTMENT OF COUNTY ENGINEER ADDRESS (Q
BUILDING AND SAFETY DIVISION LOCALITY /
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP TYPE O D BY
FOR APPLICANT TO FILL IN O CONST
BUILDING J STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS. NO. DWELL.UNITS B zC
LOT NO. 46 BLOCK WATER f CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT s^� MAP HIGHWAY STATE AJOR ECOND,LOCAL
NO.OF BLDGS. NO. 2 DO (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE tPECIAL
USE OF CONDITIONS
EXISTING BLgGC
OWNER NO. BUILDING EXIST.
SETBACK YARD HWY ST EET NAME WIDTH
ADDRESS /fQ/' J/2G FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS
CONTRA �� NEL- �_ ;/� 0
ADDRESS
• 7-f�..�c�-�- ^�y � �/� J
IN
DESCRIPTION OF WORK r u' a
CL
NEW DD ALTER REPAIR DEMOLISH y
SQ.FT NO.OF NO. OF z
SIZE STORIES FAMILIES
USE OF ,1
` STRUCTURE / l
n
SIGNATURE
APPLICAN
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. / FOUNDATION: LOCATION
FEE FEE $ FORMS. MATERIALS
FRAME: FIRE STOPS,
I B
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION RACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- d
TION OF THE LABOR CODE OF TIE STAT F CALIFORNIA RELAT. LATH. INT.
ING TO WORKMEN'S P NSA• N IN A LATH.EXT. f
SIGNATURE / HOUSE NUMBER COR.
PERMITTEE _ RECT AND POSTED i d
ADDRESS 2 FINAL
JOHN F.-LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Lht;o 3 5 4 �. - JUL 18 1 D 11.50-
d
8A688A C,:#80810.88 APPLICATION FOR BUILDING PERMI"T 1
COUNTY OF LOS ANGELES BUILDING 5 7 (R `
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST v
CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. ,i . A. }t
K DISTRICT NO. GROUP f TYPE ED Y
FOR APPLICANT TO FILL IN P cr CONST.
BUILDING C n v y STATISTICAL CLASSIFICATION S R MAP
ADDRESS e[CI CLASS.NO----DWELL.UNIT BK
f
LOT NO. HLOCK MAPTATIC
NUMBER 0O HWY. YES NO
I -TRAc/J�(P A USEZONE SPECIAL .
0
✓ CONDITIONS
,. +� NO.OF.HLDGS
SIZE OF LOT c 5 I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST'
SETBACK WIDTH
OWNERFRONT � /
MAIL
ADDRESS SIDE
sTEL. P.L.
CITY 6LQw-,, NO. INSPECTION RECORD
" ARCHITECT OR TEL.'
ENGINEER- NO.
ADDRESS L�
r TERJk-i�3 6
T TOR ' NO
i ADDRESS') `6O W• 1
DESCRIPTION OF WORK i''"I/.. i� v� I/r_=ham, rt •.v,
NEW ADD • ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF E1" %Nli _1Y (Jt'3'� ': { 1I 9 i7�`'
SIZE STORIES FAMILIES/ P/� r 46A/r�,r V
USE OF -�
STRUCTURE
'i SIGNATURE OF
i APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
oC� FORMS,MATERIALS
VALUATIONS FRAME:FIRE STOPS,
BRACING,BOLTS
F E $ - I FEE• S 3,0 c, I F GAS VENT,DUCTS TION,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
,AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE' LAWS ULA IN72,�BUILDI G CONSTRUCTION. LATH,EXT-
SIGNATURHOUSE NUMBER COR-
E
PERMITTEL-�lH ( .�/� c Z. RECT AND POSTED n Co7STi!
ADDRESS DS 6�> La, ' t4 r:R gl± FINAL
CLYDE N. DIRLAM, PRINCIPAL S711CT RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
O-VT 2 44. -
JA-
OF -•
VT�r ANll SAtLTy Y.t,R,l•1t1
NGELES
WI r J FF ENGINEER f BU I LD ' N ti
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/� /j L/ !' DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS G •G ', L I S �/u/T J� -
.../��� ' RECEIVED BY DATE OF APP `DATE ISSUED
LOCALITY /LS e4 r �/ ► I `
NEAREST
CROSS ST.
BUILDING
OWNER ADDRESSMAIL
r •w'' y �,/�/
ADDRESS LOCALITY
NEAREST
TEL.//Q 'j •%,��?�-
CITY NO. CROSS 3T. '
FIRE NO.OF TYPE.,. . GRk4P
ENGIN EERT OR , { /f T L. ZONE PLANS
[ f
BLDG. _ ORD.NO.
ADDRESS SETBACK LINE
APPROVED -
k, TEL. ! 1&.,� BY DATE
- CONTRACTOR � NO..
USE APPROVED ' �,� �•
ADDRESS / / ZONE �Y DATE
LEGAL
DESCRIPTION LOT NO. BLOCK - •�` / CORRECTIONS
TRACT �. •,/v� /ft'c�I` / '
NO.OF BLDGS.
SIZE OF LOT Z 5 X I NOW ON LOT 4 P)t!
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIE9 ROOMS , ,y e//
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH -
SQ.FT. ", NO.OF ! ^/ _ 2
SIZE . ROOMS STORIES yv' -�� ' y
WALL / RdOF 'CA3`I'5, r
COVERING ( COVERING
USE OF NEWy -
BUILDING /✓T7,..: /'.�-. �D C «-!/-� - .. �:I�Wt
I HEREBY ACKNOWLEDGE THAT 1 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 �, ,r`•` r, i_..,' •- �-
BRACING,BOLTS
GWNtR'' LATH,INT.:
AUTHORIZED AGT _ LATH,EXT.: - -
DBS-3 25M SETS 4-47 $ P C.II; PLASTER,INT.
a Q CPOP.
f _ PLASTER,EXT. '
J $ e)
VALUATION
FEE �- FINAL --:� ,,:•,
• 'WORKERS'COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self I ' APPLICATION' FOR B U ISL D I N G PERMIT �,
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.)' j COUNTY OF LOS ANGELES BUILDING AND SAFETY
v Policy,No. Company r*gmo'" t JJ
❑ . Certified copy is hereby furnished: i FOR APPLICANT TO FILL IN BUILDING
� , /Ci SRad yCertified copy is filed with the co rtty building ins ec- BUIiDING tion department. ADDRESS !✓Date() L7 ' ApplicantL/L' J1Z ��v CITY i f7' ZIP CERTIFICATE OF EXEMPTION FROM WORK RS NO.OF BLDGS.COMPENSATION INSURAN SIZE OF LOT NOW ON LOT .(This.section need not•be completed if th permi or one I hundred dollars($100)or.less.) TRACT BLOCK LOT NO. K H' PAGE PARCEL
TAIAE MAP
I certify that•in the performance of the work for which this OWNERS � -S�` NO.
permit is issued, I shall not'employ any person in any manner ; ADDRESS 3 (,� �� �y SPECIAL ®^
so as to become subject to the Workers'Compensation Laws p— CONDITIONS V
09
Date Applicant<"�, /1 '�`�"- rRH
v ZIP %��v U
NOTICE TO APPLICANT: 'If, after making this Certificate of ECT OR TEL. DISTRICT GROUP TYPE FIRE PRO SSED BY ..
ER NO. CONST. ZONE
Exemption, you should become subject to the Workers' ?. /}
Compensatin provisions of the Labor Code, you-.must forth- S 51 4 - �'
with comply with such provisions or:this•permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked: CONTRACTOR r�r� — 1 0.��� ' g •
LICENSED CONTRACTORS DECLARATION ) LIC. .� s CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS f !7 /�l11 �?!r� NO.47s`�'9-(
(commencing with Section 7000)of Division 3 of the Business and. LIC SEWER MAP
Professions'Code, and my license is in full force and'effect. CITY] a� "� CLASS 0VALIDATION
r ¢ SQ. FT. NO.OF NO.OF CHECK
LicenseNuBK. j PG.
�l S Lic
D .Class'J SIZE: STORIES FAMILIES ONE VALUATION
�m'ber�f 7�
Contractors T/ �lR/2I"" Date I � DESCRIPTION OF WORK /L AD '. ❑Y $
r�
❑ I am exempt under Sec. , 19 3 4 8 5 A
U414 ALTER (3B.BP.C. for this reason /t�� 'r' ��T T J '� REPAIR $ + # o o 0 0.23
Date; USE OF QC
DEMOL i
EXISTING BLDG. 57�J • _ ❑`s' ( 0 0 5 7,38
APPLICANT /- cc - TEL./�� 101
Signature PRINT Baas gyp(' V� NOt;`^3,� �"/ t FINAL ' j
OWNER-BUILDER DECLARATION DATE o 0 0 5 7,•3 =
' -
I hereby affirm that I am exempt from the.Contractor's License I �! .
Law for the following reason (Section 7031.5, Business and ADDRESS WO FINAL ( 1. 1 8-8'5
Professions Code): ' PRESENT By
BUILDING
❑ I, as owner of the property, or myemployees with ADDRESS L.-•��-
wages as their sole compensation,will do the work and
the structure Is not intended or offered for sale(Section LOCALITY 3 5 7 A '
7044, Business and Professions Code). • MOVING TEL.
❑ I, as owner of the property, am exclusive) contracting CONTRACTOR NO.
P P Y Y 9 ' # 0 0 0 0 0 1
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). 0 0 7 a 0 O
REQUIRED YARD HWY TOTAL SETBACK FROM S .
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT 0 0 '0 7 a Q 0
the performance of the work for which this permit-is issued P:L.
(Sec. 3097,Civ. C.). SIDE
J 1.27 85
o
P[Investigation
L. ...,. �;� ��.. '.i,
o Lender's Name !�J l a* LDMA Ref,#
-• P.C.- $ Per Fee x+ /I �V
Lender's Address
@ I.certify that I have read this application and state that.the _. Issuance Fee tot/ LDMA P/C# -
above information is correct. I agree to comply with all County Fee '
ordinances and State Jew%reloqnq to building construction, 7X ,016 Total Fee r LDMA Perm. #
and hereby outhoriz rep se oti s of this County to enter
o upon the above-me'is d p open fo 'nspection pu1poses.
W.te ,
SEE REVERSE FOR EXPLANATORY LANGUAGE
• Signatur Applicprit orAg t
i
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 0506170038
PHONE: (626) 285-0488 'EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 136 SQ. FT STORIES TYPE 9657 LAS TUNAS DR
STRUCTURE: VN TEMP CA 917802103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
8587-020-019 THOMAS PAGE-. -597 GRID: A3 LOCALITY: TEMPLE CITYM C
4
TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/17/05 JK 06/12/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI FI L BY: CODE:
LAM, CINDY (626) 552-2811- 36,000
630 E. MAIN STREET I
ALHAMBRA, CA 91801 FEES PAID D SCR TION OF WORK
F CIA REMODELING INCLUDING WINDOWS, DOORS, FASCIA PANELS &
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DECOR ON PARAPET WALL
APPLICANT: TEL. NO:
CHEAH (626) 731-0962- AA BLDG PERMIT ISSUANCE 27.75
826 W. SANTA ANITA AS STRONG MOTION OTHER 36000.00 VAL 7.56 SPECIAL CONDITIONS:
ALHAMBRA, CA 917802 AX BUILDING REVIEW FEE 54.70
D2 PERMIT W/O EN-HC 36000.00 VAL 615.00 ti
TOTAL FEES 705.01
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CHEAH, WENG YOON (626) 300-8818-
826 W. SANTA ANITA ST. LIC. NO LOCATION AND SETBACKS
SAN GABRIEL, CA 91776 743531 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: I SLAB UNDER FLOOR
I I
o RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
i
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
i
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1108030008
PHONE: (626) 285-0488 EXT:
ILEGAL ID: INUMBER OF SIGNS: 1 I BUILDING ADDRESS: I
TR: 6561 IT: 136 ISIGN DESCRIPTION: (1) SET OF INTERNALLY-ILLUMINATED LEDI 9,657 LAS TUNAS DR
I OF FOAM LETTER WALL-SIGN I TEMP CA 917802103
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
8587-020-019 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: (ISSUED ON: PROCESSED BY:-
(EXIST OCC GRP: 08/03/11 SR
]OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IF TE FIN CODE: I
JWUSHU (626) 287-3100- 1 1,800 II
19657 LAS TUNAS DR I I I
ITEMP 917802103 1 FEES PAID (DESCRIPTION OF WORK uI
I I (1) SET OF INTERNALLY-ILLUMINATED LED WALL-SIGN AND' (1) SET I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: 1 1 1
ILE, KEN (626) 571-9288- IAA BLDG PERMIT ISSUANCE 27.80 I I
18902 GARVEY AVE JAB STATE GREEN BLDG FEE 1800.00 VAL 1.00 ISPECIAL CONDITIONS: J
IROSEMEAD, CA 91770 JAE STRONG MOTION OTHER 1800.00 VAL 0.50 J
JAX BUILDING REVIEW FEE 54.70 I
ID2 PERMIT W/O BN-HC 1800.00 VAL '82.20
ICONTRACTOR: TEL. NO: I TOTAL FEES 166.20 JAPPROVALS DATE INSPECTOR SIGNATURE I
INEW SIGNS AND-PRINTING (626) 571-9288- 1 1 1.
18902 GARVEY AVENUE LIC. NO I ILOCATION AND SETBACKS I I 1
IROSEMEAD', CA 91770 956512045 I. I I I 1
I I SOILS ENGINEER APPROVAL I I I
JARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISUPPORT STRUCTURE• I I I
I I I J I I
I I I I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I I I I
001 I I I I
INO. OF FAMILIES: DWELLING UNITS:' APT/COND: STAT CLASS:-
NO
LASS:NO 20
SCHOOL WITHIN HAZARDOUS I I J I 1
JAIR QUALITY: 1000 FEET MATERIALS I I I 1 I
NO NO NO I I I I I
I I I I I I
I I I I ] I
I I I I I
I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I