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Home My Public Portal About9913 LOWER AZUSA RD_Building__ DIVISION OF BUILDING AND SAFETY i BUILD Department of County Engineer County of Los Angeles APPLICA ON WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFT4T USE ONLY DISTRICT NO PLAN Cr-DR R[O No. PERMIT NO. BUILDING 3 / ADDRESS S-6 ITY RECEIVED BY DATE OF APPL DATE ISSUED RA#lLOCAL NEAREST / oeB BUILDING ADDRESS OWNER MAILLOCALITY ADDRESS "qqjNRAREST - {- CROSS ST. ITY /YI�N�. NO. 'I7 FIRE NO.OF TYPEGROUP ZONE ARCHITECT OR TEL I PLANS ENGINEER NO. BLOC. ORD. NO. SETBACK LINE ADDRESS USE APPROVED / Td ZONE BY DATE CONTRACTOR / �' NC. HOUSE NUMBERING ADDRE88 MAP NUMBER NO ASSIGNED BY LEGALCORRECTIONS DEBORIPTION LOT NO. BLOCK TRACT NO. OF BLDGB. SIZE OF LOT NOW 014 LOT _ USE OF NO OF EXISTING BLDG FAMILIES DESCRIPTION OF WORK °B 0 NEW ALTERATION ADDITION Z D REPAIR DEMOLITION I r Bq.FT. NO.OF SIZE ROOMS STORIES EXT WALL I ROCS COVEMNO OOVERING USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTORISSIGNATURE DATE FOUNDATION? LOCATION FO'RMSr MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAMED FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS COI AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING,BOLTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FURNACE* LOCATION, n GAB VENT,DUCTS SIONAT RE OF ,� ,� 11�A� .0 LATH, INT. PERMITTER (IL CCC111JJJ111AAMAA.AMN��"` LATH. EXT. ADORE .y� AUTHORIZED AGT. 11/� ld� 1 / PLASTER, INT. ^ C p PLASTER. EXT. FEE 0 00 HOUISE NUMBER COR- VALUATION 0 RECT AND POSTED FEE FINAL le: 76^63B^ DBS 3 1-59 OF DEPARTMENT OF BUILDING AND SAFETY ; APPLICATION FOR PERMIT f COUNTY OF LOS ANGELES Wg U 1 L D I N G M. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK.NO PERMIT NO. BUILDING ADDRESS / LOCALITY RED IVSD BY DATE OFAPPIf D E ISSUED NEARESTON �1 �Ny BUI IND OWNER ` f V KLL AD REBS MAIL / LOCALITY ADDRESS /� NEAREST CITYTEL. M` CROSS BT C FIRE NO OF a I TYPE GROUP ARCHITECT OR TEL ZONE PLANS ENGINEERNO 1CM 041 ON BLDG. DD SETBACK LINE APPROVED TEL. CONTRACTOR BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO BLOCK r TRACT SIZE OF LOT v y , HOW ON LOTS D 1 �� USE OF ! NO OF NO OF /� a EXISTING BLDG FAMILI 00Its4 T v DESCRIPTION O WORK NEW ALTERATION ADDITION D A REPAIR MOVING DEMOLISH O Bq FT. NO OF = SIZE �� R OMS STORIES y WALL I RODF 1' COVERING A. t: COVERING 6 USE OF NEW r BUILDING 1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONE RU TION y FRAME- FIRE STOPS, SIGNATURE OAAT J BRACING BOLTS PERMITTE LATH, INT. AUTHORIZED LATH, EXT. 76"3eA PLASTER,INT. DBS-3 8OM GGLere $ � p C � SFEE PLASTER,EXT. VALUATION FEE / �� FINAL �iv�d�l/J y- S�� 'WORKERS'COMPENSATION DECLARATION w T w 4 - 1 hereby affirm that I have r cern Come of tion Insurance, to self - - APPLICATION FOR BUILDING P E R_M I T trl�ure, or o certificate of Workers'Compensation Insurance, or a certifi c py thereof(Sec 3800, COUNTY OF LOS ANGELES _ BUILDING AND SAFETY _ ' Polity No mpany BUILDING - I - Certified copy is hereby furnished R APPLICANT TO FILL IN ADDRESS S 13 Certified copy is filed with the cou buildin i ec- BUILDING / / �� 7xliccmt ADDRESS (N Date CITY / ZIP LOCALITY RTIFI OF EXEMPYION FROM WORKERS' OF ASO OF BLDGS _) J NEAREST - - - COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT v"�" OSSS$SOTR. (This section need hbf be completed if the permit is for one TRACT - BLOCK LOT NO MAP= PAGE PARCEL .hundred dollars($IOD)or leas ) TEL USErE MA I certify that in the pert once of the work for whish this OWNER NO } FSPECIAL permit is issued,I sh of employ any person in any manner _ ADDRESS _ CONDITIONS so as to become subject to the Workers'Compensatidn Laws '7 -- Date Applicant CITY I /ZIP I 0 - NOTICE TO APPLICANT If, after making this Certificate of ENGINEER OR NCO 70 f/. DISTRICT GROUP TYPE _ FIRE Y Exemption, you should become subject to the Workers' ryt _ ., NST ZONE �.. Compensation provisions of the Labor Code, you must forth- ADDRESS - 'G with comply with such provisions or this permit shall be deemed revoked CONTRACTOR ATISTICAL ICATK)N APT CVDO LICENSED CONTRACTORS DECLARATION - - - CLASS NO DWELL UNITS I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS (commencing with Section 7000)of Division 3 of the Business and _ _ _ LIC SEWER MAP Professions Code, and my license is in full force and ec1 CITY CLASS B PG �( VALIDATION (/ SQ FT NO OF NO OF CHECK V License Nym Lic CI SIZE STORIES IFAMILIES ONE :� VALUAnoN Contractor Dote DESCRIPnON'OF WORK �C> NEW $ O 1 I am exempt under Sce - poll-, - ;14754A t ALTER � B&P C for this reason REPAIR $ # • a • • 23 Date USE OF EXISTING BLDG DEMOL 4 • * 37.50 ' Signature APPLICANT TELFINAL OWNER-BUILDER DECLARATION PRINT �� NO 12 DATE, � �� • • * 37.50K I hereby off irm that I am exempt from the Contractor's license ADDRESS �� FIS 0602486 6 Law for the following reason (Section 7031 5, Business and Professions Code) aBUILDING _ 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 ended or offered for sale(Section LOCALITY 7044, Business d Professions Code) MOVING TEL - 1,as owner the property, am exclusively contracting °NTRACTOR NO T 9 4 7 515 A with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRE # • 0,0 • • SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY T�PROP LINE WIDTH I hereby affirm that there is o construction lending agency for FROM 1 - 949.88 the performance of the work for which this permit is issued PL - - (Sec 3097, Civ C ) SIDE • • • 4 9 8 8 5- _ _ PL - - 060,2=86 ' i � Lender's Name � IDMA Ref # Lender's Address - - P C fee$ - Permit Fee , I certify that I have read t s pphcatson and state that the - - - Issuance Fee LDMA P/C# - above information is correct I ee to comply with all County Investigation Fee_ f ordinanc d $tat laws r g to building construction, Total Fee- LDMA Perm # r and h by utho a repr atr es of this County to enter upo e e for inspectl urposes SEE REVERSE FOR TJ(PLANATORY LANGUAGE Signaturq&f Applicam or Dote WORKERS'COMPENSATION DECLARATION J �,• 1 I�by affirm that 1 have certificate of consent self APPLICATION FOR BUILDING PERMIT i ure, or a certificate of Workers'Compensation 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 ADDRESSSS ❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS • WFiI� 5 LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO ASSESc SIZE OF LOT NOW F B LOGS MAP BOOK PAGE PARCEL COMPENSATION INSURANCE (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less) TRACT BLOCK LOT NO ,/) NO TEL K� SPECIAL >' I certify that in the performance of the work for which this OWNER SO NO CONDITIONS d 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 J5• OWJ A V•y CONST _ ZONE V 6-or I -% im Date Applicant CITY �� ZIP STATISTICAL CLAPIFICATION TEL APi ONDO 0 NOTICE TO APPLICANT If, after making this Certificate of ENGINEER LTJ NO 3 -3�2 ILU V Exemption, you should become subject to the Workers' CLASS NODWELL UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS50�A ey SEINER MAP v► with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR Ata ,( . NO /sTEL '�s BK �PG, t� VALIDATION LICENSED CONTRACTORS DECLARATIONUC 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS kJ NO.o? VALUATION (commencing with Section 7000)of Division 3 of the Business andLICS Professions Code,and my license is in full force and effect CI EW CLAS $ d O License Number"A2 3421j)// Lic Class SIZE STORIES FAMILIES'NO OF NO OF CONE HECK 00. Contractor 1",10 Date DESCRIPTION OF WORK NEW ❑ $ 1 am exempt under Sec ?-/,o CoPick— ADD ;P 4 0 9.7 A � ` ALTER ❑ FINAL B&P C for this reason -L• C Q REPAIR ❑ DATE ,#,•1• • • 23 Dote USE OF EXISTING BLDG ! �/v e E DEAAOL ❑ FINAL By *e e 4 1,4 5 Signature APPLICANT TEL Br 0 6 0 4 1,4 5 OWNER-BUILDER DECLARATION PRIM OSS aA t Z Nom/ .a , t 1 hereby affirm that I am exempt from the Contractor's License (a R,/k VA 0 9' 1 1 -84 Law for the following reason (Section 7031 S, Business and �d `RE�� w !! l Professions Code) ❑ BUILDING ' •, I, as owner of the property, or my employees with ADDRESS � 77409.8A wages as their sole compensation,will do the work and 1 LOCALITY # s • • • • 1 the structure is not intended or offered for sale(Section , ❑ 7044, Business and Professions Code) MOVING TEL 2 �•t• 5 9.'2 5 y 1,as owner of the property,am exclusive) contracting with licensed contractors to construct the project (Sec- ADDRESS � C • • 59,25=� � tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXISTQ I Q 1 1 —8 4 1A/ CONSTRUCTION LENDING AGENCY SET BACK YARD HY PROP LINE WIDTH •IN/7`If1,1! 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 tSec 3D97,Ctv C ) SIDE o PL Lender's Name Lenders Address PC Fee E Permit Fee 1 certify that I have read this application and state that the Issuance Fee above information is correct 1 agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ereby authorize represe tatives of this County to enter U pon a above-menti ed operty for inspec o pu / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ApPlIE001 or Agent lboiV • WORKERS COMPENSATION DECLARATION S APP (CATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self �jnsure, or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 3800, Lob C ) V /' �f/^� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy ob .Company_ � l� Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS QCertified copy is filed with the county bui ung i spec- BUILDING tion department ADDRESS r Date/0.1—M _9V_ApphcantL4,F, CITY ZIP - LOCALITY �LL CERTIFICATE OF EXEMPTION FRO KERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST AGNes (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR hundred dollars ($100)or less ) MAP BOOK PAGE PARCEL TEL USE ZONE I certify that in the performance of the work for which this OWNER NO tp permit is issued, 1 shall not employ any person in any mannerADDRESS L Q SPECIAL so as to become subject to the Workers'Compensation Laws CONDITIOtVS CITY // ZIP Date Applicant ARCHITECT OR TEL NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE BY Exemption, you should become subject to the Workers' o CONST ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS .10O !� with comply with such provisions or this permit shall be CONTRACTOR 6 STATISTICAL CLASSIFICATION APT CONDO deemed revoked /� LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS_f:L I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS v AF tV0 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and /� LIC Professions Code, and my license is in full force and effect CITY )64- CLASS 0-3 SK PG VALIDATION r 4 SQ FTINC, OF NO OF CHECK License Number Lc Cla Gv SIZE ISTORIES FAMILIES ONE w► a VALUATION Contractor.&/"v &,d/4!--Date 1K /0 ~Q� DESCRIPTION OF WORK NEW $13100 ADD 1 am exempt under Sec , ALTER � B 8P C for this reason REPAIR : d to Dote USEF EXISTING BLDG DEMOL Z Signature APPLPRINT TEL NT NO 6r FINAL OWNER- LDER DECLARATION DATE -�j1-4AQ I hereby affirm that 1 exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS d FINAL Professions Code) BY 1 aBUILDING A�/� I, as owner of the property, or my employees with ADDRESS �4Te7j wages as their sole compensation,will do the work and LOCALITY the structure is not mten8ed or offered for sale(Section p+� nr ADD 7044, Business and Professions Code) MOVING TEL �7 82.0Ll I,as owner of the property, am exclusively contracting CONTRACTOR NO 1 ITEM with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS TOTAL 82.00 CK F CONSTRUCTION LENDING AGENCY REQUIRED BYARD HWY TOTAL LINE WIDTH MICK 82.00 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L � 011 (Sec 3097,Civ C ) SIDE P 1. �! Lender's Name LDMA Ref • P C Fee$ Permit Fee lop. Lender's Addres1 Al'110e 1� I certify that I have read this application and state that the issuance Fee � conA P/C Y above information is correct I agree to comply with all County Investigation Fee 0 ordinances and StOnto ws relating to building construction, Torol Fee ' LDMA Perm tY $ and eby outhopresentattves of this County to enter upo t e above-med props for inspection purposes It It r--`0 .—� SEE REVERSE FOR EXPLANATORY LANGUAGE i Sngnatu Applicant or Agent Date 111' 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 1207190072 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 9848 IT 12 SQ FT STORIES TYPE 9913 LOWER AZUSA RD STRUCTURE` 1600 - V-B TEMP CA 917804041 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BALDWIN 8589-024-024 I 4 e THOMAS PAIGE 597 GRID B5 LOCALITY TEMPLE CITY, C I I - TENANT EXIST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCESSED BY EXIST OCC GRP 07/19/12 SR OWNER TEL NO BLDGS NOW ON IAT VALUATION (FINAL TS FIJUA6 BY CODE BROWN JOHN J,EULALIE M TRS BROWN TR (626) 824-9213- 3,700za 9913 LOWER AZUSA RD I TEMP 917804041 I FEES PAID WSMIPTION OF WORK IRE-ROOF, TEAR OFF AND INSTALL 30-YR COMP SHINGLES FEE DESCRIPTION QUANTITY UOM AMOUNT I APPLICANT TEL NO I ARCHADEL INC (310) 516-8400- IAA BLDG PERMIT ISSUANCE 27 80 I 1859 W 169TH ST #D IAB STATE GREEN BLDG FEE 3700 00 VAL 1 00 SPECIAL CONDITIONS GARDENA, CA 90247 JAC STRONG N3700 00 VAL 0 50 ID2 PERMIT W/O EN HC TOTAL FEES 00 VAL 1115 80 45 10 (CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE IARCHADEL, INC (310) 516-8400- 11859 W 169TH STREET UNIT D LIC NO LOCATION AND SETBACKS IGARDENA, CA 90247 830661 C39 I I ISOIL.S ENGINEER APPROVAL I `ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I LIC NO ' SLAB/UNDER FLOOR I ` RAISED FLOOR FRAMING t-. I MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMPI UNDERFLOOR INSULATION 144H269 3 Dol o I l I I (FLOOR SHEATHING I 1 NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 0 NO 21ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS SHEAR PANELS I AIR QUALITY 1000 FEET MATERIALS II NO NO NO IFRAME INSPECTION I IFIRE SPRINKLER HANGERS �� i� ' •^+` 1Q, I INSULATION/WEATHER STRIP I INTERIOR LATH/DRYWALL EXTERIOR LATH IRATED FLOOR/CELL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS t LOT DRAINAGE ``` �• REPORT ID DPR261 ROUTE TO BS0508� _IN I