HomeMy Public PortalAbout9662 LAS TUNAS DR_Building__ • 76A638A :�.E 11803 1/71 Ly
APPLICATION FOR BUILDING PERMW`
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
r
COLEMAN W. JENKINS, SUPT OF BUILDING LOCA LI Tlr�-_J77/914,
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS ST.
BUILDING DIT F ONS OUP NS PR S BY
ADDRESS T,
zw STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK .�
CLASS NO.s2�_DWELL,UNITS BK PG —
TRACT USE ZONEj MAP
NO.OF BLDGS. ry NO. (/
SIZE OF LOT NOW ON LOT /lam' SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER r NO. BLDG.SETBACK FROM
ADDRESS - FRONT PROP,LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR,—, TO
}
ENGINEER NO. ~ 5-' BLDG.SETBAC ROM
ADDRESS �jL SIDE PROP.LINE (STREET)
— TEL TYPE OF EXISTING SETBAC IGHWAY } YARD = TOTAL d
HIGHWAY WIDTH FROM C.L. C
CONTRACTOR NO L
ADDRESS LIC =
NO.
C
CITYx<C 0,34L CLASS " CORNER CUTOFF YES ❑ NO ❑ LL
CONSTRUCTION LENDER a
NAME AND BRANCHSEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OFC �� ADD
STRUCTURE
ALTER
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑
t
VALUATION $ i o-�
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C, PMT, FOUNDATION: LOCATION
FEE $ FEE $ �G) FORMS, MATERIALS
.�RAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STR UC TION. I CERTIFY THAT IN DOING THE RK AUTHORIZED
HEREBY I WIL NOT EMPLOY ANY PERSON I VI LA TI ON OF THE LATH, INT,
LABOR CODE
STATE OF LIFO IA IN RELATING TO
WORKMEN'S
OF LIFO IA IN RELATING TO
WORKMEN'S COM 'AT ION 'NSU E. LATH, EXT,
SIGNATURE O / HOUSE NUMBER COR-
PERMITTEE RECT AND PCSTEO
ADDRESS FINAL
JOHN F. LEWIS. PRI CI AL STIR URAL ENGINEER
PLAN CHECK VALIDATION �cK. M.O. CASH _ PERMIT VALLA ON CK* M.O. CASH
i_;�lo t 3 {' 9 N AUG ' 2 2 3 D 7.2 0 1
P -4 6 N AUG 31 1 D 2,0 OM
76Ao98A CENB03 9-68 APPLICATION FOR BUILDING PERMIT
COT;NI'Y OF LOS ANGELES BUILDING
DS!PARTNIENT OF COUNTY ENGINEER ADDRESS c16 �]L L A-S f (.L N 45
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN
DISTRICT;NO UP oNST. R s B
(Print or type only) ✓r �j (f CL
BUILDING / �1 STATISTICAL CLASSIFICATION SEWER MAP
L
ADDRESS C76 2, I—A-5 TLLAJ AS CLASS NO. DWELL.UNITS BK
LOT NO. �S' —o� BLOCK USE ZONE MAPO O
NO.
TRACT CONDITIONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER / �S AlLrl NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS yfp(g 2 L/I}S •TLC..RJr�S �^
CITY TE'/10)Pt.� C r T v� +
B G.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAYI WIDTH FROM C.L.
TEL. 3_x/5 _
L NTE S! A! No. y'� 3 +
CONTRACTO
ADORES LIC. CORNER CUTOFF YES NO
7 o SA AJ-rA- A-�c11 T A- NO. b 3 7 Sr ❑ ❑ c
CITY CL �JJOOU T!` CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER - 9
NAME AND BRANCH qU D D
ADDRESS
SQ. FT. NO. OF NO. OF NEW / ,/ '
SIZE STORIES FAMILIES f1
USE OF ADD ❑ si•' :i,•.r[_h I.•G1�`
STRUCTURE —47o Ire [ I ,R
1 ALTER ❑ .r..�•t./-�;1.(,�
SIGNATURE OFREPAIR[] v
APPLICANT / F_MOL ❑
VALUATION $ Ltj % APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. / r PMT. FOUNDATION: LOCATION
FEE S FEE$ J a [? FORMS. MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULA�Gl BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING T/y'� WORK AUT HO ZED
HEREBY 1 WILL NOT E }SOY NY PER IN VIOL ION THE LATH, INT.
LABOR CODE OF TH AT F`-CALIF NIA AN RELA 1 G TO
WORKMEN'S CO STI N I S RANGE. LATH, EXT.
SIGNATURE OF i Ll HOUSE NUMBER COR-
PERMITTEE d a� USE NAND POSTED
ADDRESS 0 � lW.VTd �T/f -
FINAL
JOHN F. LEWIS. PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION M.O. CASH _ PERMIT VALIDATION `K. M.O. CASH
4 5 4 .9 APR 17 2-3 D 5.4 O_ ► ' a
I Ap •4 7' 1 96':' Alii 3 O 1 D 9.0 Q
-IL
WORKERS'COMPENSATION DECLARATION
Hereby affirm that I have certificate of consent self APPLICATION. F®R BUILDING P E RM I T
injrure, or o&certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) -
000NTY OF LOS ANGELES. BUILDING AND SAF TY
Policy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the county building inspec- FS,ZE
ING L'" n�
tion department. ESS /� {��/-�Q,T�
Date Applicant T5?- 4-6T + ZIP • !.�'7C/D LOCALITYat
CERTIFICATE OF EXEMPTION FROM WORKERS' NO:OF BLDGS. NEAREST
COMPENSATION INSURANCE F LOT NOW ON LOT <CROSS ST.
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR
hundred dollars($100)or less.) �/ /�" /� MAP BOOK PAGE PARCEL
OWNER/1,0)92 y4r-'V / [1( Ep 19 USE ZONE MAP
I certify that in the performance of the work for which this _ NO.
permit is issued,I shall not employ any erson in any manner /� ,� z ,t //� SPECIAL
so as to become subject to the W ker • omp nsotion Laws. ADDRESS7,p/ �: T ref/�, /l�l ! l� CONDITIONS
cY ! epp �' CITY /"i�k0•/%• zip
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY. O
Exemption, you should become subject to-theWorkers' ENGINEER NO. CONST ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS .� .Jo�p
with comply with such provisions or this permit shall be pp D.?
deemed revoked. CONTRACTOR�J��,X�;1Y/ NNO.• 3Z�� / STATISTICAL CLASSIFICATION APT. CONDO. Z
LICENSED CONTRACTORS DECLARATION nn -�(�/ �j .CLASS NO.�DWELL. UNITS
I hereby affirm that I am licensed under provisions f Chapter 9 ADDRESSJOb fgQ� `"b Ej LIC.
i NO. SEWER MAP
(cammericing with Section 7000)of Division 3 of the Business and p,n� � q�(� LIC
Professions Code,and my license is in'full force and effect. CI / / CLASS BK PG VALIDATION
SQ.FT. NO.OF NO.OF CHECK.
License Number Lic.Class SIZE STORIES l FAMILIES ONE ,
DESCRIPTION OF WORK-/JA,66 T d NEW E] VA/LLVATION
Contractor Date El ' L • ,S _ ADD [I $ v Dor � z 8 4 3,2 A
I am exempt under Sec. �-'�'— `"��' ALTER ® # 000,0:23
B.BP.C..for this reason REPAIR $
Date: USE OF DEMOL I o e 37.50
EXISTING BLDG.
Signature APPLICANT TEL FINAL ° o e 3 7 5 0 35
OWNER-BUILDER DECLARATION PRINT /4-/L/4iN DATE
I hereby affirm that I am exempt from the Contractor's Licensei T ,1 .1.25-87
Law for the following reason (Section 7031.5, Business and ADDRESS L ���[//'' ! C. FINAL
Professions Code): PRESENT By -
aBUILDING z 8 4 13 A
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and # o o e o 0,1
the structure is not intended or offered for sale•(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. :1'o 0 3 (].0
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 o o e 3 3.0 0 5
REQUIRED ACK F
t CONSTRUCTION LENDING AGENCY SET BACK YARD HWY pSTOTAL SETBACK LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT •. 1 .1.25-87
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name LDMA Ref. #
n P.C.Fee$ permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Fee O LDMA P/C# 010.
2 above information is correct. I agree to comply with all County' Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm.#
and hereby authorize representatives of this County to enter
'g pan t abdve- ent' ned property for inspection 7purposes.
Date
SEE REVERSE FOR EXPLANATORY LANGUAGE
- Signcture of Apq icant or Agent Datte '
r
Al WORKERS'COMPENSATION DECLARATION
1-hereby affirm that I have a certificate of consent to selfP L I���I®� �'® � I L®I N G PERMIT
I insure, or a certificate of Workers'Compensation Insurance,
or a certified co y thereof(Sec. 3800, L . ,)
//�� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No!/�Compan
Certified copy Whereby furnished. FOR APPLICANT TO FILL IN 'BUILDING Ess Ga.h dtiJ'74,6
❑ Certified copy is filed with the county building inspec- BUILDING
tion departme ADDRESS 67.
Datef Applicant �' CITY _ ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERIK' NO.OF BLDGS. NEAREST t
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT t CROSS ST0"�✓
(This section need not be completed if the permit is for one v ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. !MAP BOOK PAGE PARCEL
/+ TEL. USE ZONE MAP
I certify that'in the performance of the work for which this OWNER CQ NO. NO.
permit is issued, I shall not employ any person in any manner IAL
ADDRESS CONDITIONS
so as to become subject to the Workers'Compensation Laws. r. O
2;1 {roc tti ~ CITY ZIP
Dat Z� Applicant A TARCHITECTOR TEL.
NOTICE TO APPLICANT: If, after making'this Certif ate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PR SSED BY O
Exemption, you should become subject to the Workers' CONST. ZONE V
r' ///� W
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be ��c NL• : STATISTICAL C IFICATION CONDO. 11
deemed revoked. CONTRACTOR
LICENSED CONTRACTORS DECLARATION LIC� CLASS No.. LL. UNITS
I hereby affirm that Lam licensed under provisions of Chapter 9 ADDRESS �r^'n• d ¢ SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and // LIC.
Professions Code,and my license is Tri full force and effect. CITY L CLASS BK PG.' VALIDATION
,� SQ. FT. NO.OF NO.OF CHECK
License Numbe �—_46 Lic.Classar SIZE STORIES FAMILIES ONE VALIL114TION
Contracto 4&—"j
Date a� DESCRIPTION OF WORK �s NEW ❑
❑ J w $I am exempt under Sec. - s � ADD ❑�.
ALTER ❑;„.
B.BP.C. for this reason REPAIR ❑ $ 13 LI,2 A
Date: USE OF
EXISTING BLDG. DEMOL ❑ , # 0 0 0 o a
Signature APPLICANT' EL. DPO FINAL /f ° ° 4 Q 5 0
OWNER-BUILDER*DECLARATION I PRINT ,c JrX NO. DATE G
I hereby affirm that I am exempt from the Contractor's License 0 o 0 4 Q 5 0=
Law for the following reason (Section 7031.5, Business and ADDRESS Ae S.
FIN
Professions Code): PMENT B�� .12 1 6-8 8
❑ BUILDING ,
1, as owner of the property, or myemployees 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:
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code): I .
CONSTRUCTION NDING AGENCY SETT BACK YARD HWY TOTAPROPBACNEFIF
LEO WIDTH
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 4-2 A
I i P.C.Fee$ Permit fee C490
LDMA Ref. N
Lender's Address
L I certify that I have read this application and state that the Issuance Fee a LDMA P/C-4
i above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction,
and hereby authorize rep esentatives of this County to enter Total Fee IDMA perm. tf
$ upon the ab o prop r inspection purposes.
0
g SEE REVERSE FOR EXPLANATORY LANGUAGE
0
Signature of App Date
WORKERS'COMPENSATION DECLARATION
fe, c
a eh that I have certificate of consent to self APPLICATION
PLIC T I® F BUILDING P E I T
insusure, or a certificate of Workers'
ice\
kers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �j�y TSN
Certified copy is filed with the county building inspec- BUILDING I L f�j '�04115 DA ,7,� 7 e4 C-41
tion department. ADDRES'SFyr.3 r—A`J „rJ
Date Applicant CITY /'-''' �r ZIP %[�/7d `'',s�
LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. fir.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NOS./ MAP BOOK PAGE PARCEL
OWNER G t C, �F{ NO�E r J, U ZONE MAP
I certify that in the performance of the work for which this 33 NO. o�
permit is issued, I shall not employ any person in any manner SPECIAL t
so as to become subject to the Workers'Comp, sation Laws. ADDRESS CONDITIONS U
Date 17 Applicant
CITY ZIP
NOTICE TCf APPLICANT: If, after making'thil Certific&7e of ARCHITECT OR TEL• l
DISTRICT GROUP TYPE FIRE PROCESSED BY O
'
ENGINEER NO. CONST. ZONE
Exemption, you should become subject to the Workers
Compensation provisions of the Labor Code, you must forth- ADDRESS l./f V �/ 804
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASS FICATION APT. CON N
deemed revoked. CONTRACTOR / NO. 1
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. L/ DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE 2ITO+ STORIES A FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION
/OFPWW.'ORRK y�/ d� r" NEW ❑'; $ � d -b
�wDV�a MAW— I e- AIMN/� WN vv ADD
I am exempt under Sec. ❑ '•'
ALTER
B.BP.C. for this reason G3h�2 �V^'► ° REPAIR ❑ s
USE OF
Date: EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. ( �
PRINT FINAL
✓ 0� NO.- x
OWNER-BUILDER DECLARATION j� �/ DATE
C�
I hereby affirm that I am exempt from the Contractor's License ADDRESS /�1 7�I�/77 D • �7 FINAL -2 1 1 5,0 A
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT my U
BUILDING (� x
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and A
the structure is not intended or offered for sale(Section LOCALITY ® ^ a ( }, } 7—88
7044, Business and Professions Code). MOVING TEL. f2
I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec ADDRESS 3,
tion 7044, Business and Professions Code).
ROM
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK
UNEF WIDTH
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 '
m LDMA Ref. #
P.C.Fee$ Permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Fee 56 LDMA P/C#
o above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total FeeAtllLDMA Perm. #
and hereby authorize representatives of this County to enter
upon the above-mention property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
m
LSignature of Applic t or Agent Date
er ? • " COUNTY OF LOSANGELES•' TEMPLE CITY # 0508 -
. ... I�BUILDING PERMIT'• ,•
DEPARTMENT-OF PUkLIC WORKS - .; w •9701 LAS.TUNAS TENAN•T_IMERMEMENT.
BUILDING AND, SAFETY' / LAND DEVELOPMENT.. TEMPLE CITY CA 91780 .- BL 0508 9908020079
PHONE: (626) 285-0488 EXT::
G ID: NO. OF CONST E 8 ADDRESS:
TR: 6561 LT: 526 BL: .001 SQ. FT STORIES.. TYPE OCCUP GROUP L 966 LAS TUNAS DR
STRUCTURE: 0 1 VN B TEME_CA 917802139
ASSESSOR 0 A ON NUMBER: NEAREBT CROSS STREET: KAUFFMAN ,
8587-021-015 . THOMAS PAGE: 597 GRID; A3 '•LOCALITY: TEMPLE.CITY'
TENANT: -ERT-Sr-90-0-USM COM SE ZONE:
ISSUED PROC SSD Y: . RES 0
ALPHA SCIENCE ED.' CENTER EXIST OCC GRP: B. 08/02/49
UT.. /29%00
OWNER: TEL. NO: BLDGS.• OW ON• LOT: VALUATION: FINAL DATEFINA CODE: .
CHIAO CHAD CHIEH - 15,000: I
9656 LAS TUNAS I�•
TEMPLE CITY, CA FEES PAID -DESCRlPT-ION-OF-WORK—_= _ - -
T.I. IMPROVEMENT-2 CLASSROOMS, FFICES AND,H/C BATHROOM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: T5L._F0_.
LEAVON DEVELOPMENT (626) 280-5253- AA BLDG•PERMIT ISSUANCE 27.75 1
428 PARK AVE. !AE STRONG MOTION -O ER, 15000.00 VAL 3.15' SPECIAL CONDITIONS:
MONTEREY PARK; CA : AX BUILDING VWE
54:70C2.PERMIT LE 15 VAL 401.23
LEAVONCONTRACDEVELOPMENT (818)•626-2803-233 x,05 AAy APPROVALS DATE INSPECTOR SIGNATURE
'.428 PARK AVE LIC. NO LOCATION AND SETBACKS
MONTEREY PARK CA 91754 613257 8
/ SOILS ENGINEER APPROVAL
ARCHITECT OR E G NEER: 0: / 0 NDATION/TRENC —FOR-WS--
' LIC. NO 1111111 SLAB/.UNDER-F OOR
S D. 00 RAMI G•
MAP NO: SEWER MAP BOOK. PAGE: FIRE ZONE: TIPMUSUC
NDERFLOOR INSULATION
3 WORKS , .
FLOOR�SHEATHING
; NO. OF FAMILIES: DWELLING S: APT/CON : STAT CLAS •—
NO 22 ROOF SHEATHING
SCHOOL I H AR 0 S \ +t SHEAR S
AIR QUALITY: 1000 FEET MATERIALS ❑ `
NO NO NO A �y FRAME INSPECTION }D
FIRE,SPRINKLER A G S
,C SerVIC@ That -f-NS—ULATION/WEATHER STRIP
y} INTERIOR LATH/DRYWALL
EXTERIOR.LATH
C IS .
+
RATED WALL ASSEMBLIES
EDS S P INS•
-BAR CEILINGS .
LOT!DRAINAGE
I REPORT ID: DPR261 ROUTE TO: 8S0508
s
�•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 1306030008
PHONE: (626) 285-0488 EXT:
ILEGAL ID: INUMBER OF SIGNS: 1 BUILDING ADDRESS: I
ITR: 6561 LT: 526 BL: .001 SIGN DESCRIPTION: ONE SET INTERNAL ILLUMINATED CHANNEL 9662 LAS TUNAS DR I
I HED TO RACEWAY TEMP CA 917802139 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18587-021-015 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
I I I
TENANT: 1EXIST BLDG USE: ISSUED ON: PROCESSED BY:
JEWC (EXIST OCC GRP: 106/03/13 SR
[OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: [FINAL DATE FINAL BY: CODE: 1
IEWC (626) 202-8562- 1 1,000 1 [
19662 LAS TUNAS DR I I [
ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF WORK 1
I [ 1ONE SET INTERNAL ILLUMINATED CHANNEL LETTER WILL SIGN ATTACHI
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT.1 I
1APPLICANT: TEL. NO: I I 1, [
IYU, ALLISON (626) 336-1616- IAA BLDG PERMIT ISSUANCE 27.80 1 I
1116354 VALLEY BLVD IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
LA PUENTE CA 91744 AX BUILDING REVIEW FEE 54.70
1 D2 PERMIT W/O EN-HC 1000.00 VAL 65.40 [ 1
1 TOTAL FEES 148.90 [ I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IFIRST SIGN CO. (626) 336-1616- 1 1 I
116354 VALLEY BLVD LIC. NO I ILOCATION AND SETBACKS I I I
ILA PUENTE, CA 91744 605688 * I I 1 I I
I I ISOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS 1 I [
LIC. NO: i EXPIR ® SUPPdRT STRUCTURE 1 I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (,/� /
I 001 1 I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I [ I
i
1 NO 20 I I [ I
1 SCHOOL WITHIN HAZARDOUS [ 1 [ I
AIR QUALITY: 1000 FEET MATERIALS I I
1 NO NO NO
I i I I I I
I 1 1 I I I
I 1 I 1 I I
I I• I 1 I I
I I I I I
I I{* ADDITIONAL DATA ON FILE I 1 I I
I
1 (REPORT ID: DPR261 ROUTE TO: BS0508 [ 1 I I
I I I I I I