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Home My Public Portal About9861 LOWER AZUSA RD_Building__ 76A669A CIE#909.7.66 APPLICATION FOR BUILDING PERMIT 1 BUMDRIG AND SAFM DMSION BUI EISNB 861 Lower Az11B d Department of County Engineer Fl Monte County of Los Angeles LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST ` L CASSATT D.GRIFFIN.SUPT OF BUILDING g ST DISTRICT O OUP TYPE SEWER MAP FOR APPLICANT TO�IFIU IN BK PG BUILDING 9861 Lower Azusa Rd. STATISTICAL C SSIFICATION ADDRESS LOT NO BLOCK CLASS NO DWELL UNITS / NUMBER HWY YES TRACT USE ZONE SPECIAL NO OF BL46s / NDITIONS SIZE OF LOT NOW ON LOT USE OF I=e EXISTING BLDG BdIMING YARD HWY STREET NAME EXIST Arthur Steele SETBACK WIDTH OWNER S A FP MAILA OAd FRP �O ADDRESS 9861 Lower SIDE CITYEl Monte No AT6087Z I P.L ARCHITECT OR TEL INSPiTION RECORD ENGINEER NO ADDRESS CONTRACTOR Be_rtram i Htg• NWT 04791 ADDRESS 1 1� DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE Installing 50,OOOBTU Floor a �'�SI APPROVALS SIGNATURE OFAbLAZk4 APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS P C f FRAME FIRE STOPS. $180,00 BRACING BOLTS VALUATION vV FEE s Q0 FUGAS YEN LOCATION— / ^'Aw 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ND LATH EXT STATE LAWS REGULfTING BUILD0 RUCT N SIGNATURE OF HOUSE NUMBER COR- PERMITTEB BUILDING RECT AND POSTED ADDRES FINAL JOHN A.LAMBIE.COUNTY ENGINEER CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL ENGINEER PLAN CBE= VALIDATION CK M O CASH PEUM VALIDATION K M O CASH Rosemead, Calig. ! AP-2505v; SEP20 1 200 2m WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate mpe of consent to self APPLICATION F O I L D I N G PERMIT insure,or a certificate of Workers'Compenation Insurance,or a certified copy thereof(Sec 3800, Lab C ) COUNTY OF LOS ANGELS BUILDING AND SAFETY Policy No Company BUILDING 1:1Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' IF Act OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT W ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one U ZO MAP hundred dollars($100)or less ) TRACT BLOCK LOT NO NO TEL @CIAL d I certify that in the performance of the work for which this OWNER _ CONDITIONS O QW permit is issued, I shall not employ any person in any manner RIOT GROUP TYPE FIRE SSED Y V so as to become subject to the Workers'Compensation Laws ADDRESS 49--2 CONST F�.�. Date Applicant ARCHITECT OR1 ZIP TEL STATISTICAL CLAWOVION APT CON W NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CLASS NO vim/// DWELL UNIT$ 0- Exemption, you should become subject to the Workers' #A Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be 19 deemed revoked CONTRACTOR41JlV-ff011SK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC a v Professions Code, and my license is in full force and effect CITY CLASS E SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ❑ E ❑ I am exempt from the licensing requirements as I am a pa(412 ADD licensed architect or a registered professional engineer ALTER ❑ FINAL g (� acting in my professional capacity (Section 7051, DATE 7 Business and Professions Code) U OF REPAIR C] EXISTING BLDGr v<t/IID/�'T/��/ DSL ❑ FINAL P Lit or Reg No Date APPLICANT /y ./ TEL 9y OWNER-BUILDER DECLARATION PRINT 0,,r /t/ NO I hereby affirm that 1 am exempt from the Contractor's License Lawor the following reason (Section 7031 5, Business and ADDRESS Pro ssions Code) PRESENT BUILDING 1, as owner of the property, or my employees 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 2 4 9 7 8 A 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- # • • • • • tion 7044, Business and Professions Code) ADDRtSS REQUIRED TOTAL SETBACK FROM EXIST 2 • • 19.00 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT • • • 1 9 O O the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) IDE S 0 &27-81 Lender's Name Lender's Address PC Fee S Permit Fee I certify that I have read this application and state that the Issuance Fee —� above information is correct I agree to comply with all County Investigation Fee ordinances and State jaws relating to building construction, Total FeeAlp D and hereby authorize representatives f this County to enter un the pbov�me It property i on urposes� '� r SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING' PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DBVRLOPMENT TEMPLE CITY CA 91780 BL 0508 0510100002 PHONE (626) 20S-0488 EXT / LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 9861 LOWER AZUSA RD STRUCTURE VN TEMP CA 917803924 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 1*4,7 . 8589-020-036 THOMAS PAGR- 597 GRID B5 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 10/10/05 JK 10/os/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL D FINAL BY CODE GONZALES„ ALFREDO (310) 261-9157- 50,000 3472 YORSHIRE RD f� PASADENA, CA 91107 FEES PAID DESCRIPTION OF WORK INTERIOR REMODEL, RELOCATE KITCHEN, REPLACE 14 WINDOWS FEE DESCRIPTION QUANTITY DOM AMOUNT (SAME SIZE) AND TEAR OFF AND REROOF W/COMPOSITION SHINGLES APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RSSIIf 50000 00 VAL 5 00 SPECIAL CONDITIONS AX BUILDING REVIEW FEE 54 70 B2 PERMIT W/ENERGY 50000 00 VAL 877 47 FR INV WORK W/O PERMIT 257 00 DOL 257 00 CONTRACTOR TEL NO TOTAL FEES 1,221 92 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION CH FORMS LIC NR SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS t NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRS SPRINKLER HANGERS SST BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION WEATHER STRIP SIDS PL- INTERIOR LATS DRYWALL � V v EXTERIOR LATH �Q (� RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508