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Home My Public Portal About9521 LOWER AZUSA RD_Building__ � r•ra e e� _ TUMOR C8#.os s/eo APPLICATION FOR BUIL®I G PERMIT �. COUNTY OF LOS ANGELES BUIL fibs ldl. DEPARTMENT OF COUNTY ENGIIOEER BU11DING AND SAFETY DMSION .. L6CALITY-� JOHN A. LAMBIE, COUNTY-ENGINEER NEAREST / WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. _ DISTRI NO GROUP TYPE PROC Y - FOR APPLICANT TO FILL IN j I-CONST. - BUILDING STATISTICAL C16SIFICATION SEWER MAP ADDRESS � �• Ov n CLASS.NO. /DWELL.UNIT LOT NO. L BLOCK MAPNUMBER HSTATE WY. YES C� TRACT -y� / USE ZONE SPECIAL' SIZE OF LOT(3`V ,t/ 92 I NO.OF BLDGS. ,�+ CONDITIONS NOW ON LOT ,(! USE OF. EXISTING BLDG. BUILDING YAST T NAME EXIST. b SETBACKWIDTH OWNE O. FRONTFJD !,[-IUq- .., P.L. ADDR S SIDE ARCHITECT OR. ENGINEER NO. INSPECTION RECORD ADDRESS TEL. CONTRACTOR NO., rs` �I -- O ADDRESS `� G l AAel ��EV' * ef�rr� V DESCRIPTION OF WORK ,. NEW ADD ALTE REPAIR DEMOLISH SQ.FT. NO.OF ! NO.O IES SIZE STORIES USE OF ST UCTURE SIGN URE OF AP ICANT VALUATION �® I APPROVALSVATS iNSPE OR'S SIGNATURE P.C. PMT. FOUNDATION:LOCN ATIO FEE '$/ FEE $ — FORMS.MATERIALS � Ia P r•++ P \ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRBAMRACE:INFIGRE STOPS, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION: AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS- REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. WILL NOT EMPLO ANY PERSON IN VIOLATION OF THE WORKMEN'S CO N O WS OF CALIFORNIA. LATH,EXT. SIGNATUREJ IjPUSE NUMBER COR- PERMITTEE IWT AND POSTED A ADDRESS NAL /rib CLYDE N. DIRLAM, PRINCIPAL ST 'URAL ENGINEER PLAN`-CHECK VALIDATION cK..- m.c. cA*H PFJM,= VALIDATIONQ/ r-K M.O. cAsii �o o 5...7 m �>la 6 1 .p 3.4 0 - v) DEPARTMENT OF BUILDING AND SAFETY '• APPLICATION FOR PERMIT COUNTY OF LOS ANGELES . WM. J. FOX. CHIEF ENGINEER BUILDING® ' G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �j DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS !?C� / �V t /tl�C/7/ J.fll�fif�l7 �. r'J -Il .�' _� T y LOCALITY /Rf3� ECE V rE/ BY DATE OF APPL. DAZ ISSUED NEA NEAREST /(�,,..+ /�.--�^+•/ J CR085 ST. `�..11' ASL./ 67 !! V Jv OWNER fi(S' /I/�liW�'•/(�� - C , , JJ DORESS n0(,J MAIL , GAS lit U ADDRESS �r(a _�a1 (/�R{ 1• . LOCALITY NVARE ST T- CITY }•-C)-C-' �GLe�/1 Np7�f l/ �}••rJ �/" CROSS 8T. sni,, ARCHITEC�OR FIRE NO.OF // TYPE" GROUP TEL. ZONE.- PLANS - l� ENGINEER NO. BLDG. - rl OfRD:NO. ADDRESS SET9ACKLINE q.3°)\ "r° l�L J� 'r T /y APPROVED I CONTRACTOR r�%�•`G?'t!i�L' NI." OBY DATE aft. USE APPROVED ADD RESS•�L / ll�l�I ��Cll C�.(% ZONE �+ ' BY DATE G .r CORRECTIONS LEGAL / ' DESCRIPTION gg LOT NO. rBLOCK TRACT f - / -•'J'u C�-vr7 62 [9 rd'.•v-_ G / NO.OF BLDGS. G SIZE OF LOTyO/{, I I NOW ON LOT car USE OF ! NO.OF- NO.OF EXISTING BLDG, f !/r:.� I FAMILIES�I RODM5 DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH 0 Sq.FT. / NO.OF Z SIZE ROOMS STORIES y WALLV ' r COVERING � � r %6•f$Q, I COVERINr USE OF NEW BUILDING _/f��r[�.�^-67'}.(c ��P Gam•�-� r;_C+ ��=. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. r9 ) '• FRAME: FIRE STOPS, SIGNATURE OF � BRACING,BOLTS PERM ITTE F •C(Ai.!Ui•�Cn` /Jt�PiC•i..-'�' LATH INT. r AUTHORIZED A T ? , E.� I LATH, EXT. 76AS38A 9-48 DBS-3 813M secs P.C,$ PLASTER,INT. � ) FEE _ PLASTER,EXT. / III VALUATION FEE FINAL �, _ /lvltr_fir!//�•rA WORKERS`COMPENSATION DECLARATION hereby affirm that. I If certlf;�ate of,consent to self ytAPPLICATION FOR BUILDING PERMIT sure, or a certificate of Worr kers' ComlSensation insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company %= ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ZW/7 ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS CITY 77 C ZIP / O LOCALITYDate Applicant NO.OF BLDG5. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT a(I NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER /Zyz 4,-- p, USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS AC DITIONS-� / SPECIAL n}. so as to become subject to the Workers'Compensation Laws. /� CONO CITY�g /,cyS,ZIP d6 /^70 Date Applicant ARCHITECT O / � 7E p r � (� YW r&O)J /,�� DISTRICT GROUP TYPE FIRE PR ESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER N CONST. ZONE Exemption, you should become subject to the Workers' //'d Compensation provisions of the Labor Code, you must forth- ADDRESS S 571 �� r� vC/ 3 a with comply with such provisions or this permit shall be TEL. TISTICA ON APT. CONDO. Z 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. ,/ LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY BO OAQ CLASS 33 �/ALIDATION -7 and Professions Code,and my license is in full force and effect. BK, M. ,�,Sj�r if}�...,�,� SQ. FT. NO.OF NO.OF CHECK License Number Uc. Class SIZE STORIES FAMILIES ONE TTEI15 DESCRIPTION OF WORK NEW ❑ VALU�ON O Contractor Date / TOTAL 6-0 5 o Z33 Z-S-MR ®1� ®/V ADD ❑ $ ❑I am exempt under Sec. ® C�� 6i5,U? ALTER ❑ B.BP.C. for this reason ,r h� REPAIR ❑ $ CHANCE .00 Date: EXISTIINE OFG BLDG. c7Ir/C �V� DEMOL ❑ Signature OWNER-BUILDER DECLARATION APP(PRINT)s' ' r'� N FINAL 0(7Q1�—fl�LIU1 10/ 3/s If d DATE -,L i [ i I hereby affirm that I am exempt from the Contractor's License ADDRESS��rf S all tl�� 6.036 1 r,Mi2:06 Law for the following reason (Section 7031.5, Business and �� FINAL 1 ro essions Code): PRESENT y 1� BY ,.ti . I, as owner of the property, or m employees with BUILDING ACC ®r P P Y� Y wages as their sole compensation,will do the work andADDRESS 7�7 �iil the structure is not intended or offered for sale(Section LOCALITY `' e•_ 7044, Business and Professions Code.) MOI MOVING TEL. 1 ITEMS v I,as owner of the property,am exclusively contracting CONTRACTOR NO. v� with I icensed contractors to construct the project (Sec- TOTAL �' o � ADDRESS tion 7044, Business and Professions Code.) HECK 737.50 REQUIRED TOTAL SETBACK FROM EXIST. CHECK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE ,DO the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C..). SIDE P.L. 100130-13011 1/ /90 Lender's Name d 121�5 P.C. Fee$ Permit Fee --;-, LDM7937 A Ref. # 1 AM 11;25 Lender's Address Poo I certify that I have read this application and state that the Issuance Fee -3 LDMA P/C# 3 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 upo the ove-mentioned proper for inspection purposes. Z SEE REVERSE FOR EXPLANATORY LANGUAGE ' nature pplicant or Date • COUNTY OF IAS 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 1305280085 PHONE: (626) 285-0488 EXT: LEGAL ID: II NO. OF CONST I BUILDING ADDRESS: ITR: 11454 LT: 29 � � SQ. FT STORIES TYPE 9521 LOWER AZUSA RD I _ISTRUCTURE: 2300 V-B TEMP CA 917804222 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 18590-020-014 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl ( ( TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 05/28/13 SR [OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: AL E / FIN B CODE: JZHU, WEI (626) 993-8046- 5,000 17� // 19521 LOWER AZUSA RD ` TEMP 917804222 11 FEES PAID ID CRIP ION OF WORK IRE-STUCCO ENTIRE HOUSE (INCL ING ALL PAPER AND WIRE MESH) I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISMOOTH SURFACE AND TEAR OFF - REROOF WITH COMPOSITION I (APPLICANT: TEL. NO: I (SHINGLES I ICHAN, CARLSON (626) 282-2368- IAA BLDG PERMIT ISSUANCE 27.80 1 J 1925 S ATLANTIC BLVD IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 (SPECIAL CONDITIONS: (MONTEREY PARK 91754 JAC STRONG MOTION RESID 5000.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60 I J J TOTAL FEES 161.90 — (CONTRACTOR: TEL. NO: IAPPROVALS DATE INSPECTOR SIGNATURE JUS LONGTON INC. (626) 282-2368- 1 ' 1925 S. ATLANTIC BLVD. #201 LIC. NO 1 JLOCiaTION AND SETBACKS J J J (MONTEREY PARK, CA 91755 950477 1 1 1 I I J I JSOI:S ENGINEER APPROVAL I I JARCHITECT OR ENGINEER: TEL. NO: IFOUHDATION/TRENCH FORMS I I I 1 LIC. NO: I ISLA13/UNDER FLOOR J J (RAISED FLOOR FRAMING J J J IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 JUNDFRFLOOR INSULATION I I 1144H261 3 061 1 1 J 1 ,1 (FLOOR SHEATHING J J J INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 I IROOF SHEATHING 1 J 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS JAIR QUALITY: 1000 FEET MATERIALS 1 I— J J J I NO NO NO I (FRAME INSPECTION J J J (FIRE SPRINKLER HANGERS 1 J I I I I I I J I JINSULATION/WEATHER STRIP( J J I JINTERIOR LATH/DRYWALL I I I JEXTERIOR LATH 1 I I I I I I I (RATED FLOOR/CEIL ASSEM. I I I I (RATED WALL ASSEMBLIES I I I I I (RATED SHAFTS/OPENINGS I I 'I J I I J J IT-BAR CEILINGS I ILOT DRAINAGE J J I I I REPORT ID: DPR261 ROUTE TO: BS0508 I_ I I J I J