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Home My Public Portal About10411 LOWER AZUSA RD_Building__ 76A698�1 CE#809.7.58 A! 6mV•AT I9®® . �® •..BUILDING.. B E: BUILDING AND .SAFETY-DIVISION BUILDING o `ADDRESS Department of County Engineer. :. County of.Lo_s Angeles tocAtlTY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. " .:DISTRICT NO. GBQUP :TYPE SEWER MAP BOH-APPLICANT TO FILL IN ,l/+1 B PG LCONST.� BUILDING: �y J�•�• p - " ADDRESS '1 a' (�+,f�.r /- R. U�A•!� STATISTICAL CLASSIFICATION - �/ 7 'CLASS. NO. DWELL: UNIT LOT NO."p� �f' - S r,,•.�` BLOCK MAP - 'STATE YES O NUMBER TRACT /- � ' (� "1� USE ZONE .SPECIAL _ • HWY -NO. OF SLOGS. CONDITIONS. - SIZE OF.LOT - Q. I SNOW ONLOT I USE OF- EXISTING.BLDG._ -_ZjiAi p'L.� b L✓L LL/bi c1 BUILDING - EXIST. _ "d _ SETBACK. YARD' HWY• / _STREET NAME _ .WIDTH - OWNER J, 0 U S �' �/�I 0 P_ 1a f= S5 FRONT. 601- MAIL _ O:/ MAIL QQ L_ �jj J'/ P.-L.- - - - C) ADDRESS �':CJ •� 5 /V.•,J`� .�=Q..X. ��.-O SIDE _ !Y TEL. P. L CITY %• i �f✓L7 f2l A. NO. ARCHITECT OR TEL, INSPECTION RECORD ENGINEER 'NO. , ADDRESS CONTRACTOR C, i z_ NO . ; •�.� �Li.,6. ,� ./J.� +stse.�- i p Gv`as, •�- .ADDRESS 5&1� 5 .d Ad I/izax Fm U /' DESCRIPTION OF WORS11-7 T _• - NEW "-: ADD ALTER •-- REPAIR - DEMOLISH SO. FT. - - NO. OF NO. OF G 1 ,((i SIZE- � j' :STORIES �` FAMILIES pF� t . USE OF.STRUCTURE - - - /414 / t- At G- _ " L APPROVALS _ b t/ - SIGNATURE OF DATE INSPECTOR'S SIGNATURE ADDRESS ��5 // /y /Ct/f/ t° �/C - FOUNDATION: LOCATION FORMS, MATERIALS $ - - FRAME: FIRE STOPS. . P. C. •$ / 7.. BRACING..BOLTS - P �/` FEE` FURNACE: LOCATION. VALUATION '�� ® FEE $ ��- GAS VENT, DUCTS ��•�' .V - INt ��frr✓t�.s I HEREBY-ACKNOWLEDGE THAT I HAVEREAD THIS'AP- LATH, INT. t .rfL�t.rC:i.` PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - r• -AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. /'1 4/�Y �ll6s+/.n*J4j'4.. v1 STATE LAWS REGULATING 'BUILDINGCONSTRUCTION. • SIGNATURE OF /J .HOUSE NUMBER COR- PERMITTEE ��'' - �/ RECT AND.ROSTED.' ^ �. -. fig ��Gf� lll •. ADDRESS � FINAL _ JOHN A. L'AMBIE, COUNTY'ENGIN R, a CLYDE N. DIRLAM,'ORINCIPAL'ST.RU TURAL ENGINEER PLAN CHECK VALIDATION' k. M.O.' CASH PERMIT VALIDATION ,GK M.O..: CASH' r: r.y �°x..8.3 . 1 6 A, - ' 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 0207190041 PHONE: (626) 285-0488 EXT: LEGAL D: NUMBER TR: 13645 LT- 14 SIGN DESCRIPTION: "DENTIST" 10411 LOWER AZUSA RD TEMP CA ASSESSOR INFORMATION NUMBER: NEAREST CROSS3470 STREET: ARDEN 8585-017-019 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY TENANT- E IS LDGUED ON: PROCESSED EXPIRES 0 : EXIST OCC GRP: 07/19/02 JK 01/15/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHAN;SUNG - 7,000 � 10411 LOWER AZUSA TEMPLE CITY 91780 FEES PAID DSCRIPTIO F OR NEW POLE SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: SIMON JAN (626) 839-1922- AA BLDG PERMIT ISSUANCE 27.75 15902A HALLIBURTON AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS: HACIENDA HTS 91745 D1 PLANCHECK W/O EN-HC 7000.00 VAL 141.27 D2 PERMIT W/O EN-HC 7000.00 VAL 166.20 TOTAL FEES 335.92 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HACIENDA SIGNS (626) 961-6606- 15902 HALLIBURTON #178 A LIC. NO LOCATION SETBACKS HACIENDA HEIGHTS CA 91746 804336 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FO MS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO 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 9810200011 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13645 LT: 14 SQ. FT STORIES TYPE 10411 LOWER AZUSA RD STRUCTURE: 840 VN TEMP CA 917803470 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-017-019 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/25/98 UT 11/25 9 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHAN;SUNGT (626) 448-7433- 1 13,100 4903 BIRCHLAND PL. 4- TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK CONVERT SINGLE HOME TO DENTAL OFF E-RELOCATE EXISTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE AND CONVERT TO STORAGE ONLY APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 13100.00 VAL 265.35 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AE STRONG MOT.ION�OTHER. 13100:00 VAL 2.75 B2 PERMIT W/ENERGY , 13100.W-VAL 312.18 TOTAL'„FEES 608.03 CONTRACTOR TEL. NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �� ' �. ' ' �'�� LOCATION AND SE _ ACKS � SOILS ENGINEER APPR AL ARCHITECT OR ENGINEER• TEL. NO ' :�— �,�� , FOUNDATION/TRENCH FORMSAn V LIC. NO: �- � -� I � `�"�l''' ,i SLAB/TINDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: �` UNDERFLOOR INSULATION 144H273 3 04 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:' NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �� `� t i SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALSNO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST V��n FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL 9" INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN PBUILDING AD ES$ I hereby affirm that I have a certificate of consent to self insure, BUILJI S rL11( DE ll or a certificate of Workers' Compensation Insurance,o a c ified r copy there f(q,,3 0 ab. .) CITY Q /` L ZIP .� 1...M ( C- � Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Cer copy is hereby furnished. NEAREST C OSS T. Certified copy is filed with the county building in tion TRACT BLOCK LOT NO. dep tm I /'w A USE ZONE MAP NO. Date '�+ Applicant - � SSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERT FICATE OF EXEMPTION FROM WORKERS' OWNER r NO�� COMPENSATION INSURANCE '- U WITHIN 1000 FT.OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred ADDRESS n dollars($100)or less.) � �I LO�.c��r" K DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CITY I ZIP I certify that in the performance of the work for which this permit l� C if�_2 5 is issued, I shall not employ any person in any manner so as to ARCHITECT On EN (NEER TJO. become subject to the Workers'Compensation Laws. \Ol STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 1-1�-/ DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of F REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the WorkersCONT TOR T L -o SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith S G� —/ FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS�� L LI i� P L LICENSED CONTRACTORS DECLARATION l PILE CITY ` / LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 v It A. —� SEWER MAP N (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Cod d my license is in full force and fect. �` NEW ❑ BK PG ► �- License Number Lic.Class / DESCRIPTION OF WORK f�eADD ❑ VALUATION Contractor D J ME) ALTER ❑ /v -- �'G O (b REPAIR $ OO El am exempt under Sec. B.&P.C.for this reason , C lj DEMOL ❑ LDMA P/C# (U Date: USE OF EXISTING BLDG. C URM ❑ a Signature APPLICANT(PRINT) /D 17 TEL NO. LDMA Perm# Z El 1, as owner of the property, or my employees with wages as M L) Z ACCT their sole compensation, will do the work and the structure is ADDRESS O � -, 125.55 / _ vl FINAL DATE ~ 37303 not intended or offered for sale (Section 7044, Business and �� Q Professions Code.) cool WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ♦` 45, 1 ITEM, ❑ 1, as Owner of the property, 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 TOTALTfi�. 5 —'� '—� Business and Professions Code.) YES❑ No❑ 1� �J WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 125.55 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH q�,�// ,l _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR ��1py S YAr_ CHANGE LlA1 11EC 1�(� GUIDELINES. WY, V Lilt NGE °utr I hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance Of the work for Which this permit Is Issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097, CIV. C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ' Clflf tf1�C7f1(�j 11/15/95,1/j r/Or N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS L14300 0001 1 7 , Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. -322 �e r2 CL Lender's Address OJ�a. 1 Ffii1. ••_I.. OWNER OR AGENT O o I certify that I have read this application and state under penalty O ofry that the above information is correct.I agree to comply P.C.FEE PERMIT FEE (J h county ordinances and State laws relating to building !/X con uction, and hereby authorize representatives of this County ISSUANCE FEE O 10 co to ter pon the bove mentio d property for inspection purposes co INVESTIGATION FEE TOTAL FEE - o � gnature of plicanl ar Agent Date ' SEE REVERSE FOR EXPLANATORY LANGUAGE