The URL can be used to link to this page

Home My Public Portal About9574-9576 LOWER AZUSA RD_Building__ 76A638A CE#803 9-68 p APPLICATION FOR BUILDING PELl COUNTY OF LOS ANGELES BUILDING 746 41 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST � COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. 104N Rc CGI -RLvot DISTRICT NO. G P TYPE CESSED BY FOR APPLICANT TO FILL IN coNs (Print or type only) .S,o g � BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS G CLASS NO.Iv/ OWELL.UNITS BK<7 PG36 LOT NO. BLOCK USE ZONE MAP 20/S �/ NO. L TRACT CONDITIONS SPECIAL NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM r / TEL. FRONT PROP.LINE OF (STREET) OWNER • L TYPEXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY FROM C.L. CITY BLDG.SETBACK FROM ARCHITtCT OR TEL. SIDE PROP,LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING1 SETBACK I HIGHWAY + RD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL + — O} CONTRACTOR _e0 CD ADDRESS NO 9� CORNER CUTOFF YES ❑ NO . � CITY a CLICLASS L SEE REVERSE SIDE FOR SPECIAL APPROVALS v CONSTRUCTION LENDER d NAME AND BRANCH H,41 ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OFDD ❑ STRUCTURE ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT `13 VALUATION $ O APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE$ Q FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING 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 S TRUCTION. 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 -CALIF OR NIA IN RELATING TO WORKMEN'S MPENSATION INSURANCE. LATH, EXT. SIGNATUR HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRI CIPAL STIR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH [.Ar, 2 4 0 6F8 OG'24 1 3 0 6.O'OON I ' f � DMSION OF BUILDING AND SAFETY BUILDING�� Depcolinent of County falgtnees WM J DFO] NOUNTY ENGINEER A/P(P�LICATION BUILD 0 FOR TO FILL IN ADDRESS BUILD INS G D LOCALITY � ADDRES �� NEAREST V LOCALITY CROSS ST NEAREST DISTRICT NO PLAN CK OltRKfNo PERMIT NO ROSS ST S OWNER -4- /RECEIVED BY DATE OF A�PPL DATE ISSUED MAIL / �� N 0.1�1��" Com/ rJ ADDRESS r USE ZONE I NO OF TYPE I GROUP FIRE ZONE TEL PLANS 1 NO ARCHITECT TEL C�L ZONING _ DATM ENGINEER NO APPROYRD BY- BUILDING ORD No ADDRESS -SETBACK LINE TEL APPROVKD DATE CONTRACTOR NO By moos--c- `C/��''�/ ' HOUSE NUMBERING LEGAL MAP NUMBER NO ASSIGNED BY DESCRIPTION I LOT NO BLOCK ' DATE I Com=TIONS INSPECTOR TRACT NO OR SLOGS SIZE OF LOT NOW ON LOT USE OF NO OF EXISTING BLDG AM LIES p DATION OF WORE NEW ALTERATION ADDITION REPAIR DEMOLITION 1'p Tye Lp:{-i^ CSA�D 8 NO OF ZEA ROOMS STORIES �O =� 6 img ��DwRAB� CWALL ROOF OVERING I COVERING 40/2 3 CALCA'O 5 a.M �� ° , I SQA• -01 USE OF STRUCTURE ` "versi APPROVALS INSPECTOR'S SIGNATURE ATK FOUNDATION LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AR FRAME FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IB CORRECT BRACING, BOLTS I AGREE TO COMPLY ALL COUNTY ORDINANCES FURNACE LOCATION. L, A. AND STATE LAWS REGU T N ILDING CONSTRUCTION GAS VENT, DUCTS SIGNATURE OF LATH, INT PERMITTER � LATH. EXT ADDREB �7�+ PLASTER, INT AUTHORIZED AGT PLASTER, EXT S FEB K HOUSE NUMBER COR- S RECT AND POSTED P" a v VALUATION FEE �.. FINAL "A636A Dons A-118 �� • WORKERS'COMPENSATION DECLARATION hereby a certificate that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT e insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec 380D, Lab C ) COUNTY OF LOS ANGELES , BUILDING AND SAFETY Polk Normo t�n..xatls Company P Y M r YN Certified copy is hereby furnishedBUILDING L' FORAPPLICANT TO FILL IN ADDRESS J Certified copy is filed with the county building inspec- BUILDING ^ cJ tion department ADDRESS 257 AL1 o wer A Date O` 19 Applica WOR" 5' CITY C. ZIP LOCALITY CERTIFICATE OF EXEMPTI FROM NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR Aqlk hundred dollars($100)or less ) MAP BOOK PAGE PARCEL TEL I certify that to the performance of the work for which this OWNER NO USE ZONEJCONDITIOI >.permit is Issued, I shall not employ any person m any manner 09 j LIAL so as to become subject to the Workers'Compensation Laws ADDRESS S V Date Applicant CITY ZIP X10 Z/ TEL NOTICE TO APPLICANT if, offer making this Certificate of ARCHITECT OR DISTRICTr-// GROUP TYPE FIRE SSED BY O G Exemption, you should become subject to the Workers' ENGINEER NO ��oI COLT ZONE W Compensation provisions of the Labor Code, you must forth- ADDRESS — A6 IL with comply with such provisions or this permit shall be deemed revoked CONTRACTOR TELNO STATISTICAL CLASSIFICATION APT NDO S t LICENSED CONTRACTORS DECLARATION LIC CLASS NO 2-I 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 and LIC ^ 'I SEWER MAP Professions Code, and my license is in full force and effect CITY 151:x- alp t CA CLASS [% `P� BK PG VALIDATION NO License Number �y1q 0&& Lic Class �.- S SI FTNOOF FA OF CHECK 512E ORIES FAMILIES ONE 17 J G c vALunrloN .c� Contractor Y r✓� 6-a r CC&V Date '�^ a`� DESCRIPTION OF WORK N w � ❑ $ / r ✓ C! poll. t` ADD ❑I am exempt under Sec G/17L �' L k` ALTER ❑ �3 0 9 2 Q 8 8P C for this reason REPAIR ❑ $ # e e • • e to �'�•� USE OF a e2&50 EXISTING BLDG DEMO' Stgnafu APPLICANT TEL FINAL WNE UIL ECLARATION PRIM NO DATE`" I hereby affirm that I am ex m from the Contractor's License e e e 2 EI5 0 0 Law for the following rel (Section 7031 5, Business and ADDRESS FINA Professions Code) FIMMI ey I Q08-85 BUILDING 1,1, as owner of the property, or my employees with ADDRESS 41- 00A ' . DD�D wages as their sole compensation,will do the work and 110.the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL 1,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) ETBACK F CONSTRUCTION LENDING AGENCYRE ABACED KUIRED YARD HWY TOTAL OP SET BACK PROP LINE 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 g PL Lender s NameLDMA P C Fee$ Permit Fee Ref # Lender's Address _ I certify that I have read this application and state that the Issuance Fee F/ O LDMA P/C# a above information is correct 1 agree to comply with all County Inveat.gation Fee ordinances and State laws relating to building construction, Total Fee r U and hereby authorize representatives of this County to enter a J IDMA Perm # u on the ove-me coned pr pecfion purposes 1 Ip O • 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applican r en Date @1 ~ WORKERS COMPENSATION DECLARATION cl insure herebor a certif cotta of Worke srtCompensat on Insurancent to e APPLICATION FOR BUILDING PERMIT c or ac rt fledo c1f�Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY �olicy ompany BUILDING 13Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS twk Certified copy is filed with the county building inspec fBUILDINGl 5 t7 fon department RESS 1 Date Applicant ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERSW DGS OF BLNEAREST COMPENSATION INSURANCE SIZE OF LOT ON LOT CROSS ST (This section need not be completed if the permit is for one TRACT BLOCK LOT NO BOOK PAGE PARCEL hundred dollars($100)or less ) I certify that in the perfor the work for which this OWNER O �� MAP P10 IL permit is issued I shall no employ a n in any manner SPECIAL O' so as to becom subject a om sation Laws 'ARE CONDITIONS V date Appllm iconi CI ZIP OC NOTI O A I NT If aft m kin t is ertifi to of ARCH CT OR TEL DISTRICT GROUP TYPE FIRE BY O Exemption you should bec me s bl to W kers ENGINEER NO �, X CONST ZONE W Compensation provisions of a La r Code you forth ADDRESS " 1 t y with comply with such pr ision or this permit shall be C TEL �/� STATISTICAL CLASSIFICATION APT DO Z deemed revoked CONTRACTOR 7 J LICENSED CONTRACTORS DECLARATION tIC CLASS NO _DWELL UNITS - LICENSED hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS N090016± SEWER MAP (commencing with Section 7ODD)of Division 3 of the Business and LIC Professions Code and my license is in full force and effect [EXISTING Z CLASS BK PG VALIDATION SQ No 01! NO OF HECK License Num Lc Class_ SIZE ORIES FAMILIES CONE NEW VALUATION tractor Date ✓ RIPTION OF WORK ADD $ �� , ;13 8 7 6 A I am a mp and ALTER ❑ # • • • • 23 B&P C for Is reason REPAIR $ - 3750 Date OF DEMOL BLDG • • • 37 505 Signature ICANT TEL FINAL OWNER BUILDER DECLARATION (PRINT4 WAY=6DATE �6 U 2 0 j'8 6 I hereby off irm that I am exempt from the Contractor s License Law for the following reason (See-tion 7031 5 Business and 'CRESS FI Professions Code) $ ❑ BUILDING I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and LOCALITY , the structure is.not intended or offered for sale(Section 7044 Business and Professions Code) MOVINt CONTRACTOR TEL 3 91 3 A ❑ 1 as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec ADDRESS # e e e e e 1 tion 7044 Business and Professions Code) SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY Ugq K YARD HWY ED TOTAL PROP LINE WIDTH J - 4988 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L e * *49885 (Sec 3097 Civ C j SIDE � _ PL 024-86 Lenders Name _ - Q IDMA Ref # PC Fee$ 15 Permit Fee- 3 - Lender s Address Fr I certify that I have read this application and state that the Issuance Fee SO LDMA P/C k above o►ma is correct I agree to comply with all County Investigation Fee Q ` ordin ces and Sta a sting to building construction Total Fee / LDMA Perm M d and her uthorize �&Senves this County to enter upo abov hoinspection purposes 'Ala SEE REVERSE FOR EXPLANATORY LANGUAGE S nate)of Appli nt or t Date i WORKERS COMPENSATION DECLARATIONI hereC r ficate of consent to insure affirm a certificate of WorkersrtCompensat on Insurancelf A P P L I CAT I O F OR BUILDING PERMIT or ay ltiflgdfcopy tf(Se3800 Lab ) Polip � c ' J�CompanyCOUNTY OF LOS ANGELES BUILDING AND SAFETY Certified co is hereby furnished BUILDING ❑ copy y FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec BUILDING S i f tion department ADDRESS 77vv "wilt L(/ y� LOCALITY ` Date Applicant CITY 7-e�r v ZIP V79 0 CS sT G CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS / ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for oneTRA2.q USE ZONE MAP hundred dollars($100)or less ) 1 BBLLO'OC/K� /��f,`� LOT NO �v NO 7 G��G `w/KP/ M _ ?i SPECIAL I certify that in the performance of the work for which this OWNER NO (�/ 1CONDITIONS permit is issued I shall not employ any person in any manner / - DISTRICT GROUP TYPE FIRE BY O so as to become subject to the Workers Compensation Laws ADDRESS �er/ /�� CONST t , ZONE V A V W Date Applicant ASI / ZIP TEL 'r STATISTICAL CLASSIFICATION APT CONDO V NOTICE TO APPLICANT If after making this Certificate of ENGINEER G��"GoY1 baGNiC NO –/ 36 W ctAss No Dweu uNrrs Exemption you should become subject to the Workers N Compensation provisions of the Labor Code you must forth ADDRESS $3d Q f ��yj 4 SEWER MAP with comply with such provisions or this permit shall be deemed revoked CONTRACTOR �.GrB 40 7*' (� TEL 74,3— BK Pc VALIDATION LICENSED CONTRACTORS DECLARATION L --� I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS i4 AQ Zt S NO 8 711� VALUATION (commencing with Section 7000)of Division 3 of the Business and w UC Professions Code and my license is in full force and effect CITY �cA/l� ew CLASS 1$ — License Number Lic Cl SIZE X/0� STORINO IEES FAMILIES ONI NO OF E s <9278A NAI Date DESCRIPTION OF WORK T?�PI?� NEW ❑ W I am exempt under Sec t_J-1t �'pi/!%ty�y�f 0�L IAj XlpQ y ADD ❑ ° ° ° o2,3 B 8P C for this reason (9Yl/f'ZI( I�5fr4Drl9� ALTER REPAIR ❑ DATE � 2 ° 35700 Dote EUXis�ING BLDG S�� DEMOL ❑ FINAL +°k°,3 5 7 0 0 Signature APPLICANT lain fi ra�dso�, TELNO -553 er „L0229-84 OWNER BUILDER DECLARATION y 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDR S S>�� S� /��OS �p 0 9 65 A Professions Code) BUILDING t # o 0410 • • Poo - ^ 13 1 as owner of the property or my employees with ADDRESS i wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section LOCALITY 2 ° 43050 7044 Business and Professions Code) MOVING TEL t�ai I as owner of the property am exclusively contracting CONTRACTOR NO 10 °�° 4 3 Q 5 0 with licensed contractors to construct the project (Sec tion 7044 Business and Professions Code) ADDRESS i01503-84 I CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST SET BACK PROP LIN 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 PL Lender s Name ` Lender's Address P C fee E .-6 � Permit Fee 40 . I certify that I have read this application and state that the Issuance Fee a above information is correct I agree to comply with all County Inveotgation Fee 2 ordinances and State laws relating to building construction Total Fee 30 '6d d and hereby authorize representatives of this County to enter upon the above mentijo�n�ed property for inspection purposes ° 9 � A �` 01 71 / i SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date / 5 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 0902260007 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 12998 LT 20 BL 001 1 SQ FT STORIES TYPE 9576 LOWER AZUSA RD I (STRUCTURE V-B TEMP CA 917804224 ASSESSOR INFORMATION NUMBER ` NEAREST CROSS STREET TEMPLE CITY 18592-001-061 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY, Cl TENANT JEXIST BLDG USE COMME USE ZONE C-3 11SSUED ON PROCESSED BY 1EXIST OCC GRP 102/26/09 SR 1 (OWNER TEL NO JBLDGS NOW ON IAT VALUATION IFINAL DAT FINALY CODE (TANG, JIAN JUN (626) 375-1060- 1 1,500 I J 19576 LOWER AZUSA RD (TEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTIO14 OF WORK ViI I I (PARTITION WALL ON WET AREA AND GROOMY AREA I J 1FEE DESCRIPTION QUANTITY UOM AMOUNT 1 1 (APPLICANT TEL NO ID T K CONTRUCTION INC (323) 261-1388- JAA BLDG PERMIT ISSUANCE 27 75 J I 1855 MONTEREY PASS RD JAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 (SPECIAL CONDITIONS 1 (MONTEREY PARK 91755 JAE STRONG MOTION OTHER 1500 00 VAL 0 50 I I I JAX BUILDING REVIEW FEE 54 70 I J JB2 PERMIT W/ENERGY 1500 00 VAL 90 42 I I (CONTRACTOR TEL NO I TOTAL FEES 174 37 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ID T K CONSTRUCTION, INC (323) 261-1388- I 1 I 1855 MONTEREY PASS ROAD LIC NO J ILOCATION AND SETBACKS (MONTEREY PARK, CA 91754 637017 B II I I I I (SOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER TEL NO - 1 1FOUNDATION/TRENCH FORMS 1 I I 1 LIC NO 1 1SLAB/UNDER FLOOR I I I I (RAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 JUNDERFLOOR INSULATION I I I 11 IFIAOR SHEATHING 144H269 3 001 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I I I J NO 22 J IROOr SHEATHING I I I I E I I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I JAIR QUALITY 1000 FEET MATERIALS I I I I I I NO NO NO I (FRAME INSPECTION I I (REQUIRED TOTAL SETBACK FROM EXIST J 1FIRE SPRINKLER HANGERS J J ISET BACK YARD HWY PROP LINE WIDTH I I I I I (FRONT PL- I JINSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I I I JINTERIOR LATH/DRYWALL I I I I I (EXTERIOR LATH I I I RATED FLOOR/CEIL ASSEM I I ( I I I I I (RATED WALL ASSEMBLIES I I I 1 1 1RATED SHAFTS/OPENINGS 1 1 I I IT-BAR CEILINGS I I I I I ILOT DRAINAGE I I I I f (REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I I