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HomeMy Public PortalAbout9659 LAS TUNAS DR_Building__ GA638A CE#803 6-09 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTbIENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST - CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCfi W BY FOR APPLICANT TO,FILL ''j 1- I CONST. BUILDING STATISTICAL SSI FI CATION I SEWER AP ADDRESS BK PG CLASS.NO. DWELL. UNITS LOT NO. BLOCK MAP v „� STATE YES NO / NUMBER HWY. TRACT �n �J !D USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT C Z USE OF EXISTING BL BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWN FRONT MAILP. L. ADDREJ-73rSIDE TE P.L. CITY - " INSPECTION RECORD ARCHITECT Oft TEL. ENGINEER NO. ADDRESS ` / LN EL. CONTRACTOR NO ADDRESS DESCRiP,TfdN OF WORK NEW ADD ALTER REPAIR DEMOLISH SO.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE 1 i�`► s !Acro SIGNATURE OF APPROVALS APPLICAN DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS P,C. S --- FRAME: FIRE STOPS. FEE BRACING. BOLTS VALUATION S ! �_ FURNACE: LOCATION. FEE L GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE TjiAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITH ALL COUNTY ORDINANCES AND STATE LAWS R TING BUI DINg CONSTRUCTION. LATH,EXT. SIGNATURE OR HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH) 6 5 6m OCT 2 C' 1 A 2.0 0 ®r u c- I 16A638A CE4803 863 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND SAFETY DIVISION LOCALITY 7' Jo JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT R TYPE FOR APPLICANT TO FILL IN CONST. u BUILDING STATISTICAL CLASSI ICA ION SEWER MAP ADDRESS .S- 1 E-BK f CLASS. NO. DWELL. UNITS LOT NO. 1 BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT NO �2d O HIGHWA M STAT AJO SN ECOD. LOCAL NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. BUILDING EXIST. _SETBACK YARD HWY STREET NAME WIDTH ADDRESS � FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS } IL E I' CONTRACTOR N �V (OJ ADDRESSS O LEA ESCRIPTION OF WORK W CL D ALTER REPAIR DEMOLISH z NO.OF NO. OF STORIES FAMILIES a Too F��Li- k/ Q U ' APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PIVIT FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY A NOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE TM THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL 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- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSc'��y�� �(//�M de'd FINAL JOHN F. LEWIS. PRINCIPAL STR RAL ENGIr4FfFR PLAN CHECK VALIDATION W. Qf PERMIT VALIDATION CK. M.O. CASH 075 OCT 21 44 D .cl0 11iL� 5 0 7 6 OCT 21 1 D 6.0 0 %szl'f2f7� DEPARTMENT COUNTY ENGINEFBUOILDING DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO. ADDRESS s :' LOCALITY RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST -- - 6 CROSS ST, - BUILDING ADDRESS ,� !� -� - - ,v.-t 7 OWNER � MAIL LOCALITY" / ADDRESS - NEAREST 6 TEL. CROSS ST. / CITY NO. FIRE I NO. OF TYPE I GROUP ARCHITECT OR TEL. f .''_ ENGINEER NO. ZONE PLANS ADDRESS BLDG. ORD. NO. SETBACK LINE �' Q CONTRACTOR NQ"USE /�� n APPROVED ZONE-- BY DATE HOUSE NUMBERING ADDRESS LEGALpp y� MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO. /Z�7 I BLOCK - rya l CORRECTIONS TRACT /� NO. OF SLDGS. SIZE OF LOT J - /! NOW ON LOT USE OF •-t _ I NO. OF _ -------- - -- - -- - EXISTING BLDG _ FAMILIES DESCRIPTION OF WORK D - RE AIR —I DEMOLITION I ALTERATION ADDITION — --------—- ------- - --- - ------ -._-- ---- -- -- D — r SO. FT. NO. OF SIZE z Y G ROOMS � STORIES --- ------ -- EXT. WALL I ROOF L COVERING COVERING i�.. v. USE OF STRUCTURE -- - — 3 APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTER LATH. EXT. ADDRESS_ PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. S P. C. $ FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE $ FINAL 76A636A DBS 3 8-E2 DEAT OF BUILDING AND SAFETY APPLICATION FOR PERMT TY OF LOS ANGELES BUILD{ N G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN _ FOR OFFICE USE ONLY BUILDING =- f DISTRI¢°r NO. �P11LAN CK. NO. ERMIT NO. ADDRESS .i u -Y (�Y/`� ���7� LOCALITY /R��CCOEIV�ED BY DATE OF ArPPL. DATEISSUED NEAREST CROSS ST. .�/ ADDRESS ADDRESS OWNER MAIL LOCALITY .._ �/ 7- ADDRESS, T ADDRESS NEAREST t TEL. CROSS S,, . . M L t ' CITY NO. (:• FIRE OF-.>_ TY1�'!`�' ARCPIITECT OR TEL. ZONE NS �][,,,,� ENGINEER - NO. BLDG. 1 NO. ADDRESS /, SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR NO. . USEPPROVED ZON L AY DATE ADDRESS fHOUSE NUMBERING LEGAL DESCRIPTION LOTNO, BLOCK �V:!- MAP NUMBE ^'Q 0 7 FIELD CHECK BY TRACT Ll / NO. ASSIGNED $B>� A=rt— DAT NO. OF BLDGS. X CORRECTIONS SIZE OF LOT NOW ON LOT U ! I+ { USE OFI NO. OF EXISTING BLDG. FAMILIES UVJ iy2 e �! ��� DESCRIPTION OF WORK NEW I I ALTERATION I I ADDITION Ar O REPAIR I I DEMOLITION SQ. FT. NO. OF '-�L�/�T.R✓ .t.7? r�r<�TO.�✓ C sc>� �tIG1RI/�L' L1 SIZE ROOMS STORIES % Z EXT. WALL /J COVERING {I Cd6VOERING4.!'-�/-.�(ii 2 f-/,-z t, USE OF STR - etc s.-E�c Ji .� �.E.I•mss! Q / APPROVALS (��o✓��� INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP- POUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN leiFORMS, MATERIALS �'L _I -16-7 �- CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTR CTION. y FU NACE: LOCATION, SIGNATUREOF � ;� VENT, DUCTS �� £`� MI LATH+:DINT. ,,, .(iG►'�`.t*..�... T Y2- fIZ- ADDRE -< <' 4 LAT EXT. AUTHORIZED AGT. _ = r PLASTER, INT. B 76A638A• DS3 10-80 .4 P. C. $ } C' O / ) —Q__ FEE �1 PLAS, EXT. _ VALUATION /"O I a $ FEE 3 — FINAL 76A638A CE 4803 12/69 APPLICATION FOR BUILDI PERM COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING ` LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tyDe onl CROSS ST. BUILDING DISTRICT NO I GROUP TYPE P O ES p B ADDRESS 9659 Las Tunas Drive �' ©� CONST, `� LOT NO BLOCK STATISTICAL CLASSIFICATION SEWER MAP I�c.S CLASS NO.111-IDWELL,UNITS PG TRACT NO.OF BL USE ZONE MAP 00 ^ NO. SIZE OF LOT NOW ON LOT /l// SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER R. L. Plartin NO. BLDG.SETBACK FROM ADDRESS 3138 Killarney Lane FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY Costa Mesa HIGHWAY WIDTH FROM G.L. ARCHITECT OR TEL. + ENGINEER NO. BLDG.SETBACK ADDRESS SIDE PROP.LINE OF (STREET) TEL �} TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL CONTRACTOR Co NO. 28'7-O O!�'7 HIGHWAY WIDTH FROM C.L. ADDRESS 600 S. San I-Tabriel NO 160650 + _ San Gabriel LIC. C-39 c CITY r CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS L ADDRESS c C, SQ. FT. NO. OF NO OF ❑ SIZE STORIES l&2 FAMILIES NEW USE OF ADD ❑ STRUCTURE ALTER ❑ with hot roof materials REPAIR SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $11,0,x,.00 APPROVALS DATE INSPECTOR'S SIGNATURE PC. PMT. FOUNDATION: LOCATION FEE $ FEES .00 FORMS, MATERIALS FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STIR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION I RANCE. LATH, EXT. SIGNATURE OF �O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 5 FINAL `710 7,1 JOHN F. LEWIS, PRINCIPAL ST R RAL ENGINEER PLAN CHECK VALIDATION CK. ,A O. CASH CK._ PERMIT VALIDATION M.O. CASH 1 3 1 kl-" DEC 2 3 1 D 9.0 0- J WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or ertificate of Workers'Compenstion Insurance, or a certifiaed cocpy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING / FOR APPLI A T L,I ADDRESS tCertified copy is filed with the county building inspec- BUILDING — - --- --- tion department. ADDRESS LOCALITY Q NEAREST w Date Applicant CITY G� y ZIP Cl le) CROSS ST. , CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK I PAGE PARCEL (This section need not be completed if the permit is for one — USE ZONE MAP G hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. y TEL. SPECIAL n, I certify that in the performance of the work for which this OWNS 7 S tVA(_61,41ffSNO. CONDITIONS 0 permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PR ESSEDAY V so as to become subject to the Wo kers'Co ns tion ADDRESS 6-S 9 �` O Z CONST. ZONE O Date 2 Applican CITY ✓ ZIP STATISTICAL CLASSIFICATION J PT. CONDO. ~ ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making th Certificate of Z �- W Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS d V1 Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be /� 1/1' 1/ — TEL. ./ �7 LVALIDATION deemed revoked. CONTRACTORS/�A8�.-a� I'-�/V NO. �Z�T� BK. PGLICENSED CONTRACTORS DECLARATION �/ / LIC.I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Q'4r1 v 4/N NO,09 X79 VALUATION(commencing with Section 7000)of Division 3 of the Business and �` LIC.Professions Code, and my license is in full force and effect. CITY S�CJ�� CLASS 7 $ /16Q License NumberJ,l01D12nv� r Lic/C�lass `� SIZEFT STORIIEE;S��p MILLIIES CHECK Contract��f�4N 6�I l/�y`Da'� J2—9— �� IK O` IV7— NEW $ DESCRIPTION OF WORK I am exempt from the licensing requirements as I am aN,o NQP ADD licensed architect or a registered professional engineer fALTER FINAL j acting in my professional capacity (Section 7051, REPAIR DATE J Business and Professions Code). USE OF / FINAL EXISTING 16- SJ DEMOL Lic.or Reg. No. Date APPLICANT / TEL. /Ja By PRINT)/ ��N-5- NO.//� ��� OWNER-BUILDER DECLARATION ��, I hereby affirm that I am exempt from the Contractor's License I , Law for the following reason (Section 7031.5, Business and ADDRESS 2 aS /v0. Professions Code): PRESENT /01 ,117 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. 2 2 2 2 5 A I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- #'• • • • • tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. 2 • • 4300 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT • • • 4 3 O 0 the performance of the work for which this permit is issued P L (Sec. 3097, Civ. C.). SIDE L. 12 O 9'.—8 Lender's Name ° Lender's Address P.C. Fee$ Permit Fee ,J I certify that I hove read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee (� ° and h reby authorize representatives of this County to enter Lup n e above nt a propert for inspection purposes. D /� r,p cD SEE REVERSE FOR EXPLANATORY LANGUAGE D Signature of pplicant or Agent Date ©s 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 0408310026 PHONE: (626) 285-0488 EXT: EGA 1 ID: N U MBE W OF SI .S:G1 B :L 1 G A MESS: TR: 6561 LT: 135 SIGN DESCRIPTION: TWO SETS ILLUMINATED CHANNEL LETTERS, ' 9659 LAS TUNAS DR TEMP CA.917802103 ASSESSOR INFO RM TION MBER: NEAREST CROSS STREET: 8587-020-018THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: —- SS D0 : PROCESSED' BY- EX? ES ON: SEAFOOD VILLAGE EXIST OCC GRP: 08/31/04 'JK 08/26/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALTION: FINAL DATE FINAL BY: CODE: WU SHENG-CHE;JUI=MEI (818) 333-9304- 3,200 2311 JURADO AV �� G HACH 917454424 FEES P 1D DESCRI IalJ F WORK TWO'SETS ILLUMINATED CHANNEL LETTERS MALL SIGN IN 24, & 18 FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: HEIGHT APPLICANT: TEL. O. SIGN ART CO (626) 287-2512- AX BUILDING REVIEW FEE 54.70 423 S. CALIFOORNIA AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: SAN GABRIEL D1 PLANCHECK W/O EN-HC 3200.00 VAL 98.43 i _ TOTAL FEES 180.88 CONTRACTOR: - TEL. NO: APAP 'OVALS DATE INSPECTOR SIGNATURE SIGN ART CO. (626) 287-2412- 423 CALIFORNIA ST LIC. NO LOCATION AND SETBACKS SAN GABRIEL CA 757903 C45 SOILS ENGINEER APPROVAL RCHITEC OR EP GIN 'c.: TEL. 0: ! FO A IOl!/TRENCh PURMS LiC. NO,.' SVPPGW"="=.i .?i2ur,--u { �i P NO: SEWER MAP BOOK: PAGE:, FIRE ZONE: CMP �- 00 0. OF FAMILIES: DWELLING UNITS: AP CO D: S AT CLAMS : NO 20 ' - -9-CROOL WITHIN AZARDOUS I AIR QUALITY: 1000 FEET MATERIALS NO •NO 'NO - I I W REPORT ID: DPR261 ROUTE TO: 9S0508 APPLICATION FOR [BUILDING PERMIT _ I COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BulL G ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESSftfq or a certificate of Workers'Compensation Insurance,or a certified /W copy thereof(Sec.3800,Lab.C.) CITY I ZIP r Policy No. Company LOCA�CROSS SIZE OF LOT r NO.OF BLDGS.NOW O LOT r7t. DAjC- NEAR ❑ Certified copy is hereby furnished. GD e p s, ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL ,I SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE � 33 —Z WITHIN 1000 Fr.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS n,�1 DISTRICT GROUP FIRE ZONE PROCESSED BY dollars($100)or less.) 2 vK�TJX ' CITY I certify that in the performance of the work for which this permit &r&, vA f ZIP PE4 is issued, I shall not employ any person in any manner so as to eJ r O becorne ubject to the Worke ' om ation ARCHITECT OR ENGINEER TEL NO. en STATISTICAL CLASSIFICATION APT CONDO Date Applicant - — vv L L_ ADDRESS CLASS NO. A-L. DWELL UNITS ` NOTICE TO APPLICANT.• rafter making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP a (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES CD v Professions Code,and my license is in full force and effect. NEW ❑ BK PG DESCRIPTION OF WORK VALUATION O License Number LID.Class ADD ❑ � Contractor Date ALTER ❑ $ 12e LU a ❑ I am exempt under Sec. REPAIR ❑ $ z B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ J'='�T'r•sr =ri Signature APPLICANT(FR/NT) TEL NO. LDMA Perm# `4. ='`; '`.50 *,.,as owner of the property, or my employees with wages as Z r=`t.(�,r it =013 their sole compensation, will do the work and the structure is ADDRESS O �° not intended or offered for sale (Section 7044, Business and FINAL DATE Q uvl�vi,�=i�_riJ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL t b�� J f^{L) �I—LILIa�1 ��� +rf+T ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y 9 licensed contractors to construct the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY PM 4_+7 ❑ =�= _��f Business and Professions Code.) VES 11 No a WILL THE INTENDED USE•OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING33027; 8 r I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH °4t. CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 1 - T; GUIDELINES 2 I ICI S'' I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the,work for which this permit is issued(Sec. 10 '� =� m 901 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CM 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, LjE 68-40 TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS {•! E `t Lender's Name MATERIALS REPORTING AND•FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 0 OWNER OR AGENT GI certify that I have read this application and state under penalty o of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /J . O N with all county ordinances and State laws relating to building f� a � s ru tion, and hereby authorize representatives of this County ISSUANCE FEE O o ent upon thea ve-mentioned property or inspe io purp ses. INVESTIGATION FEE TOTAL FEE / u,e.w�acfmm a � o (O r SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0111020018 PHONE: (626) 285-0488 EXT: LEGAL 10: 0. 0 SS: TR: 6561' LT: 135 SQ. FT STORIES TYPE 9659 LAS TUNAS DR STRUCTURE: VN TEMP CA 917802103 ASSESSOR NEAREST CROSS STREET: KAUFFMAN 8587-020-018 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG U E: 0 SE ZONE: C-1 ISSUED0N: PR005SS5D EXPIRES ON: EXIST OCC GRP: 11/02/01 JK 05/01/02 OWNER: TEL. N0: DGS- NO N OT: VALUATION: FINAL ATE FINAL BY: CODE: WU HUMEI (626) 287-0620- 1 2,000 9659LAS TUNASDR ( (-Ot—0 �✓ TEMPLE CITY 91780 MUM= OF WOR o REMOVE EXISTING ROOF & INSTALL 4PLY GRAVEL ROOF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 0: K C ROOFING (323) 737-4077- AA BLDG PERMIT ISSUANCE 27.75 1124 S. HOBART BL AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES 90006 D2 PERMIT W/O EN-HC==""--2000.00 VAL 82.20 !_ -�-- /i�',�,^ 110.45 CONTRACTOR: TE N0: .ale\'�� APPROVALS DATE INSPECTOR SIGNATURE K C ROOFING CO. (323) 737-4077- �L � 1124 S. HOBART BL LIC. NOLOCATION AND SETBACKS LOS ANGELES CA 90006 743129 C39 * °`? i' �\ ��e / h fer ;✓ N .f`=•` \ \\ SOILS ENGINEER APPROVAL ARC G TEL. O: OU 0 TR H ORMS I LIC. NOI' r �' I t~_ I - - d SLAB/ DER FLOOR RAISED FLOOR FRAMING P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: P:- I}i�,� � � � rj `; %_I,�%r�1 I� 7 UNDERFLOOR INSULATION 150H269 3 M 04 �uJ L-5)�-- I�.� 'r\! `_J I7.'' \,,, FLOOR SHEATHIN§--- NO. G I Q NO 22%- ROOF SHEATHING /O SCHOOL IT HAZARDOUS , 0 ,I I /% ., r 'r R PANELS AIR QUALITY: 1000 FEET MATERIALS ,\ - y NO NO NO �2 f i `�.: I I' FRAME INSPECTION REQUIRED �/ TOTALC 0 R SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: _, L 1- � / FRONT PL- � W�-;j=sF � INSULATION/WEATHER STRIP SIDE PL- E OR LA DRYWALL XTERIOR LATH RATED FLOOR/CEIL ASSEN. RATED WALL ASSEMBLIES RATED GS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES = .. BUILDING AND SAFETY • WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS G� or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP Q LOCALITY ZPoli N0. V Company dfC C SIZ OF L T NO.OF BLDGS.NOW ON LOT rtified copy is hereby furnished. NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS Q i/ CERTIFICATE OF EXE PTION FROM WORKERS' OWNER TEL NO. T COMPENSATION INSURANCE S 'i 33 ! WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) T/ a!?- DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY C Y ^^, ZIP/� 7�� sail h/n �� I certify that in the performance of the work for which this permit ` C �l e � C is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEE TEL NO. wl-10"� In L become subject to the Workers'Cc pensa' s. ,�/ STATISTICAL CLASSIFICATION APT CONDO Date. -r-�t` Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.• If, fter making this Certificate of REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONT ACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith r(k( �� 37SJ 5� FRONT comply with such provisions or this permit shall be deemed revoked. A RELIC�Ig�L� t PL LICENSED CONTRACTORS DECLARATION - LIC.CC CLASS J SIDE, CR P L I hereby affirm that I am licensed underprovisions of Chapter 9 G`L SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE O. RIES NO.OF FAMILIES Professions Code,an my license is in full force and-effect. I I NEW ❑ BK PG C3 License Number Y. Lic.Class DESCRIPTIONpF WORK ADD ❑ VALUATION op ,-J O Contractor Date ALTER ge $ Lvu a ❑ I am exempt under Sec. REPAIR ❑ $ z B.BP.C.for this reason DEMOL ❑ LDMp PIC 0 Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRWNT) /' TEL N.O. LDMA Perm# _ ❑ I,as owner of the property, or my employees with wages as (�� 3 y ��` Z 'r O AP ' =s their sole compensation, will do the work and the structure is ADD S /� --�— 510. not intended or offered for sale (Section 7044, Business and � �j �/ �7� FINAL D Q •=-U-6 5`i j" Professions Code.) HALL THE APPLICANT M FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL yn Jt] `� , G , OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL Tb OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALBY 0 )=+' licensed contractors to construct the project (Section 7044, A4.• VES[I NO 11v1! Business and Professions Code.) ---7•�r7"; WILL THE INTENDED USE*OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING zj>(..I_+ 105.30 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ,� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR i j)EN,,, GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO 11TI3TA I ��4O a the performance of the work for which this permit is issued(Sec. ti _ o I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING F a = ti 1 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. '-I EEC f•' CY TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. )�ti�711 _ l o Lender's Address C OWNER OR AGENT o I certify that I have read this application and state under penalty L ,.��_ , o P.C.FEE PERMIT FEE #+a' of perjury that the above information is correct.I agree to comply D.�� r/ �Q tjE ijl}—#lel:i O:' J: :-t N with all county ordinances and State laws relating to building !/ ,._€ _ - construction,and hereby thorize representatives of this County ISSUANCE FEE /. �D I-+1 ° L' m to enter on the ova- ntioned property for insgeotio purpos s. (O a O ,O INVESTIGATION FEE ' TOTAL FEE /jf J 6 s4e. «Agent Gw 6/ SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF IAS 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 1407310077 PHONE: (626) 285-0488 EXT: (LEGAL ID: I NO. OF ,CONST NEW [ BUILDING ADDRESS: ITR: 6561 LT: 135 1 SQ. FT STORIES TYPE OCCUP GROUPI 9659 LAS TUNAS DR (STRUCTURE: 0 1 V-B B I TEMP CA 917802103 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: 18587-020-018 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG.USE: COMME USE ZONE: 1 ' (ISSUED ON: PROCESSED BY: 1 [MICHAEL LEE [EXIST OCC GRP: B 107/31%14 SR [ (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF AL TE FIN BY: CODE: [ ILI CHEN HSU - I 3,000 19659 LAS TUNAS DRIVE I [ ! ITEMPLE CITY CA 91780 I FEES PAID I CR31PTIOS OF WORK I Ij ITENANT IMPROVEMENT FOR MAIL OX BUSINESS - NON BEARING [ IIFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[PARTIkON; SERVICE COUNTERS (APPLICANT: TEL. NO: 1 ILEE, MICHAEL - ('IAA BLDG PERMIT ISSUANCE 27.80 1 [ 19659 LAS TUNAS DRIVE IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: I TEMPLE CITY CA 91780 IAE STRONG MOTION OTHER 3000.00 VAL 0.60 1 I IAl PLANCHECK W/EN-HC 3000.00 VAL 96.80 1 IIA2 PERMIT W/ENERGY-HC $000.00 VAL 113.90 [ I ICONTRACTOR: TEL. NO: 1VS INV WORK W/O PERMIT 344.00 DOL 344.00 [APPROVALS DATE INSPECTOR SIGNATURE 1 1PROGRESSIVE ENVIORNMENTAL CONCEPTS (562) 965-9379- 11 TOTAL FEES 584.10 1 I 9049 LEMORAN AVE LIC. NO [I ILOCATION AND SETBACKS [ I [ ]DOWNEY CA 90240 543710 1 1 I ISOILF'ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I [FOUNDATION/TRENCH FORMS I I I [ LIC. NO: I ISLAB/UNDER FLOOR I I I I II IRAISED FLOOR FRAMING 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION [ I 3 00 I IFLOOR SHEATHING [ [ 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 1 0 NO 22 1 IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR'PANELS I I (AIR QUALITY: 1000 FEET MATERIALS 1 I 1' I I 1 NO NO NO 1 1FRAME INSPECTION I I (FIRE SPRINKLER HANGERS 1 IINSUI,ATION/WEATHER STRIPI I I (INTERIOR LATH/DRYWALL [ [ 1EXTERIOR LATH 1 I 1 1 [RATEDIFLOOR/CEIL ASSEM. I I I [ IRATEP(.WALL ASSEMBLIES I I [ [' (RATED SHAFTS/OPENINGS I I [ [ II IT-BAR CEILINGS 1, ILOT'DRAINAGE [ [ I I',BPORT ID: DPR261 ROUTE TO: BS0508 I I I I