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HomeMy Public PortalAbout9411 LOWER AZUSA RD_Building__ i I 'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESMENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0012060015 1 PHONE: (626) 285-0488 EXT: { EGA ID: NO. OF CONST NEW WILDING ADD SS: TR: 13329 LT: 20 k: .001 SO. FT STORIES TYPE OCCUP GROUP 9403 LOWER AZUSA RD STRUCTURE: 0 1 VN R3 TEMP CA 917804220 ASSESSOR INFORMATION UMB R: I GARAGE: NEAREST CROSS STREET: HELEO 8590-021-011 I OTHER: 500 1 VN R3 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: 'EXIST BLDG USE, USE 0 SS ED, ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/11/-00 UT 06/10/01 OWNER: TEL. NO: 'BLDGS. NOW ON LOT: VALUI ATION: FN DAT F BY: CODE: LUONG;ERICA (626) 287-6926- 1 7,350 4803 HELEO AVE 2 TEMP 917803040 FEES PAID DESCRIPTION OF WORK NEW WCOD toXCIM49M OPE FLATTIQ— APPLINT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTIONR SLD 7350.00 VAL 0.74 SPECIAL CONDITIONS: AX BUILDING VTE FE 54.70 D2 PERMIT A - 6 ELE 0.; VAL 183.00 P` 266.19 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO U-0—CACON A D19 SE BA KS SOILS tNGINEER APPROVAL ARCHITECT-OR ENGINEER: TEL. NO: - / FOUNDATION/TRENCH F RMS LIC. NO• 1111111 LAB UNDER FLOOR L � � SDI FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZON3: D pi_�n n DW C ���O��� UNDERF).00R INSULATION U ST L L F OOR SHEAT 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLAS . NO 21 �. NSI EL FLOOR SHEATH SCHOOL WI HAZARDOUS \ i- I11 t* ROOF S EATHI G AIR QUALITY: 1000 FEET MATERIALS 0 ❑ `I i3 O� 1 NO NO NO I� FIRE DEPT. FRAME INSPECT REQUIRED TO AL SETBACK FROM EXIST46� BLDG D T. FRAM INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: �`+ t FRONT PL- Service SHEAR PANELS SIDE PL- IN A ION/ THER STRIP INTERIPR LATH/DRYWALL EXTERIOR L H OT DRAINAGE SBOKE-D TEC IO D C S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 I , I 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 0412020014 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONS -BUILDING ADDRESS: TR: 13329 LT: 20 BL: .001 SQ. FT STORIES TYPE 9403 LOWER AZUSA RD STRUCTURE: VN TEMP CA 917804220 ASSESSOR IXFORMATION NUM NEAREST CROSS STREET: HELEO 8590-021-011 THOMAS PAGE: 596 GROD�S=,LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID S ZONE: R- -I-SS-UE-D--OW--- -PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/02/04 JK 11/27/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI �L DATE FINAL BY: CODE: LUONG, CAY (626) 673-6336- 500 a -� 9411 LOWER AZUSA TEMP 917803040 FEES PAID IMCRIPTION OF WORK REPLACE THIRD BEDROQQM BY CONVERTING FAMILY DEN INTO THIRD APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BEDROOM AND ADD NEo0SE9R8®M4mAk'vb'w-, SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 500.00 VAL 48.02 CONTRACTOR: TEL. N0: TOTAL FEES 130.97APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING 0. OF FAMI ES: DWELLING ITS: AP CO D: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL ITHIN HAZARDOUS SHEAR PANEUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION � / REQUIREDTOTAL SETBACK FROM EXIS FIRE SPRINKLER HANGERS C u / SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR L- I TE IOR LATH/DRY A WON- EXTERIOR EXTERIOR LATH RATED FLOOR CE L ASSEM. �✓y RATED WALL ASSEMBLIES RATED SHAFTS/OPENTN-GS T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I WORKERS' COMPENSATION DECLARATION s r e, affirm fhaf 1 have r certificate of consent r self APPLICATION F®R BUILDING P E RM I T insure, or -ertificate of Workers' Compensation Insurance, or a certifiecTcopy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY V Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING DRESS El ❑ Certified copy is filed with the county building inspec- , BUILDING DRESS ����� /7f� �� tion department. Date Applicant CITY LE C/LLe zip ?/7aQ 0 LOCALITY �r NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT /�N //f9 NOW ON LOT ONE CROSS ST. COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT"W" BLOCK LOT NO.2.0 J MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) 76jw u TEL•Za 5"—ja?-�Z USE ZONE �NO OWNER�(ipLYC Lv G/Y NO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS O� LOW �usH Ip1�, IAL J a}.so as to become subject to the Workers'Compensation Laws. c 9�7�0 DITIONS �G + O CITY /� 4F C� zip Date Applicant ARCHITECT OR TEL. CC NOTICE TO APPLICANT: If, afte ing this a tficate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should beco a ubject to t e Workers' ., CONST NE k- Compensation provisions of the Labor Code, you must forth- =ADDRESS o v CL ua with comply with such provisions or this permit shall be s. TEL. STATISTICAL CLASSIFICATION 1 A CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASSBK VALIDATION License Number Lic. Class SIZE�y�Z� I NO.STORIIEES D�F FAMILNO.LIIES Ddb CHECK ONE ��/ �j ' VALUATION Contractor Date DESCRIPTION OF WORK CJW6r � NEW ❑ $ �© ❑I am exempt under Sec. C� e4,11 L4b0 eA)-S'C J ADD ❑ . �L1A07/N�Tf UNJ ,DOO/R ALTER ❑ B.BP.C. for this reason REPAIR $ Date: USE OF EXISTING BLDG.LICANT `S'� REJM941C€ DEMOL ❑ Signature APP(PRINT)APOc� 1'Zvy TEL.2 ,�^�28� FINAL OWNER-BUILDER DECLARATION DATE I hereby offirm that I am exempt from the Contractor's License ��/�� �� �3uJ'r4 ,Q� �C•�dp� 9 Law for the following reason (Section 7031.5, Business and ADDRESS 7— 1 �l FINAL Professions Code): PRESENT By ® I, as owner of the property, or my employees with BUILDING ACCT e 4ADDRESS / wages as their sole compensation,will do the work and / 4.12 i�1L o=1] the structure is not intended or offered for sale(Section LOCALITY , T�f �� g"�a f�L� or 7044, Business and Professions Code.) MOVING TEL. ��� N� ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. faf �'�,/ t� with licensed contractors to construct the project (Sec- ADDRESS TOTAL -0 28 o_el131 tion 7044, Business and Professions Code.) CHE€K 128.}f 1 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH }i I hereby affirm that there is a construction lending agency for FRONT CHANGE .00 the performance of the work for which this permit is issued F.L. (Sec. 3097, Civ. C.). SIDE P.L. 0101D I-0001 / 7/90 Lender's Name T 1 LDMA Ref.# o 0 g P.C:Fee$ Permit Fee �/ 9722 M 1(0 Lender's Address I certify that I have read this application and state that the Issuance Fee 13 . 1) LDMA P/C# above information is correct. I agree to comply with all County Investigation FeeK ordinances and State laws relating to building construction, Total Fee 14S/ - 50 LDMA Perm. # and hereby authorize representatives of this County to enter upon the a e-me ioned operty for inspecti n Pur oses. �M? SEE REVERSE FOR EXPLANATORY LANGUAGE i9 re icc Agent Dat WORKERS'COMPENSATION DECLARATIrA t� • s / •� hereby affirm that I have a certificate of consent to self APPLICATIONe FOR BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY � FOR APPLICANT TO FILL IN cy No. Company Certified copy is hereby furnished. BUILDING i ADDRESS _i Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 4,0 LJ Q SEL 11,01 LOCALITY { NEO5AREST ,Q Date Applicant CITY t 1L S ZIP 17 J? © CR O: ST. 2ti� CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE- SIZE OF LOT IO NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one "' USE ZONE MAP J_ hundred dollars($100)or less.) TRACT BLOCK LOT NO. lJ NO. 0 (C �, TEL. p SPECIAL d OWNER L E L" N�p ��� CONDITIONS I certify that in the performance of the for which this O permit is issued, I shall not a oy a perso in any manner DISTRICT GROUP TYPE FIRE PR CESSED BY (� ADDRESS so as to become subject to a s'Co pensation La s. r% t U$14y O �,-/ CONST. Z?NE ' �+ — Ze C4j CITY E ail PI- (� ZIP / r o r j( r)/ J ate A ARCHITECT OR TEL. STATISTICAL CLASSIFICATION APT. CONDO:] U NOTICE TO APPLICANT: If, a t g this C ficate LU Exemption, you should become su lect to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITSCL Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be '— deemed revoked. TEL. CONTRACTOR NO. BK PG41 VALIDATION LICENSED CONTRACTORS DECLARATION J LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 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 CLASS $ SQ. FT. NO.OF NO.OF CHK License Number Lic.Class SIZE d STORIES 6 FAMILIESEC ONE ContractorDate DESCRIPTION OF WORK YGK NEW ❑+ $ ElI am exempt from the licensing requirements as I am a ADD lALTER ❑ FINAL icensed architect or a registered professional engineer acting in my professional capacity (Section 7051, DATE REPAIR ❑ Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. ❑ By Lic.or Reg.No. Date APPLICAN `/ /� TEL. OWNER-BUILDER DECLARATION PRIN . , .0 IV Ct V Ell NO.,/� I hereby affirm that I am exempt from the Contractor's License ADDRESS �i 3 Q 6!/�� /T vs l� /IG Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and C I R L the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. r'a o o a o I, as owner of the property, am exclusively contracting CONTRACTOR NO. o o J rh r i- with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). a I r REQUIRED TOTAL SETBACK FROM EXIST. ' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT [ 612-8 1 the performance of the work for which this permit is issued P L V v ^� 0 (Sec. 3097, Civ. C.). SIDE P L. .) v b o Lender's Name P.C. Fee$ PermitFee Lender's Address I certify that I have read this application and state that the Issuance Fee above informati n is correct. I agree to comply with all County Investigation Fee ordinanc and St ws r lacing to building construction, Total Fee �7 / and h eb ut ze repr entatives of this County to enter upo the • ov ntione property for i pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE no nt or Age Date es • APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD ES I hereby affirm that I have a certificate of consent to self insure, BUILDIN ADDRE {p-} B 7 or a certificate of Workers'Compensation Insurance,or a certified r 'Z� � copy thereof(Sec.3800,Lab.C.) CITY ��yy �' ) ZIP / LOCALITY Policy No. Company SIZE OF LO NO.OF BLDGS NOW ON LOT T ❑ Certified Copy is hereby furnished. I I NEAREST CROSS ST. ❑ 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 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE/LAN 7 COMPENSATION INSURANCE G4 C �i �7� r 47 l� L�'� WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRECITY S 1,Je.. ��y ZIP 1`�Y ' �OC'I� DISTRICT GROUP E C ST. FIRE ZONE PROCE D dollars($100)or less.) n I I certify that in the performance of the work for which this permit y 7 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGI EER TEL NO. become ubje t to he Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CON Date-��Applicant ADDRESS CLASS NO.�� DWELL UNITS NOTICE PPLICANT. If, after 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 -�t SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES NEW 1p Professions Code,and my license is in full force and effect. BK PG a License Number Lic.Class DESCRI N OF RK ADD ❑ VALUATION Q O� Contractor Date e 8 ALTER ❑ $ ®�o s b U REPAIR ❑ ?S'•f a' ❑ I am exempt under Sec. �- - BAP.C.for this reason DEMOL ❑ �' U LDMA P/C# LLJ Date: USE OF EXISTING BLDG. URM ❑ :^Z- if G U D- SignatureAPPLICANT(PRINT) TEL NO. LDMA Perm M ;'I,ri;N ��/ I, as owner of the property, or my employees with wages as Z )- i' their sole compensation, will do the work and the structure is ADDRESS O ;FttT�� "`" not intended or offered for sale (Section 7044, Business and FINAL DATE G Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J E] I, as owner of the property, am exclusively contracting with Q -- licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES❑ No AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ❑ 6WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR GUIDELINES. 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 SCAOMD PERMITTING T 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Lender's Name TMA ERILE ALS REPORTING ANCHAPTER 2 20 SECTIONS FOR OBTAINING A PERMIT FROM THE SCAOMD.CONCERNING HAZARDOUS Lender's Address 0 DINNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /J� JQ N with all county ordinances and State laws relating to building / construction, and hereby authorize representatives of this County ISSUANCE FEEGo az_ /D ro nter upon the ove-mentioned property for inspectio pure ses. 5� Z loci INVESTIGATION FEE TOTAL FEE � &Z=W App'.C..nt MWrani 0.b SEE REVERSE FOR EXPLANATORY LANGUAGE