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HomeMy Public PortalAbout6228 MUSCATEL AVE_Building__ (a5 781688(^ a CE 8803(REV.6/78:. ` APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING f ..' ,� (rFOR APPLICANT TO FILL IN ADDRESS ,�(��,[ BUILDING ADDRESS � iKT LOCALITY 01� +��] NEAREST CIT Cr ( CROSS ST. ZIP ASSESSOR SIZE OF LOT —510lS NOW ON LOTS Z MAP BOOK PAGE PARCEL TRACT DISTRICT G P T E FIRE VILR(j �lY - "{6'C',r BLOCK/ ( ( LOT NO. p �� ST. OWNER S-(�yI/ Ve> �IYt'1165NO.�D�I�97 7_Q ,/ STATISTICAL CLASSIFICATION SEWER M ADDRESS �N- d•s�JG =� 6V� CLASSNO.�DWELL.UNITS__j BK (,uPG CITY J Ao GA )aI ZIP 177 ENGARCIiNEER ITECT OR ® NO. VALUATION �JO ADDRESS BLDG.SETBACK FROM / `, {{ A TEL. FRONT PROP.LINE OF (STREET) J CONTRACTOR D NO. HIGHWAY + YARDTOTAL SETBACK FROM TYPE OF EXISTING LIC. - FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. _ LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH 0 SO.FT. NO OF NO.OF pp CHECK + _ SIZE Zy 12- STORIES FAMILIES tl ONE DESCRIPTION OF WORK LfIrT14 FAT)b NEW EN P.C.Fee$ Permit Fee (ted�r7j� ADD ❑ Issuance Fee ALTER ❑ 2_v2g REPAIR ❑ Total Fee USE OF EXISTING BLDG. �1/ I rDEMOL ❑ Z (PPO (PRINT) I tl 0�{IVB VU., N0. 117IS�� Q O BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE lnif V THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF {J THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- z ;2-2'4-7,,7.A PENSATION INSURAN E. fl A i/ A 6 #r� 0o'0001 SIGNATURE OF /vJ'U PERMITTEE � 2 0 0 2 2 0 0 ADDRESS yZ ���l/L i Z TEL. , , o a 00220030: cITx ip d2J/L 014 NO16 1 1 + �J 3 0' 7 9 USE ZONE MAP NO. y SPECIAL / CONDITIONS :E FINAL BY s DATE (DS 76A638A CE#8031REV.6/78) APPLICATION FOR5. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FALL IN ADDRESS '113 BUILDING ADDRESS >/�C� CALITY NEAREST CI s ZIP. CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL TRACT ✓� �• ,BLOCK LOT,NO. DISTRICT GROUP CONS ZTYPE FONE ;RaSSED BY TEL. .s. o "loo OWNER N0. '�/` STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. ''/!i CLASS NO-3 DWELL.UNITS--j fy7BK/ CITY ZIP ARCHITECT TEL. VALUATION $ ©� � ENGINEER NO. ADD BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) C �i y TOTAL SETBACK FROM TYPE OF EXISTING ADDR U L LIC./ell HIGHWAY. + YARD _ FRONT PROP.LINE HIGHWAY WIDTH �} LIC. /: C� + CITY r (moi CLASS l— J CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF [STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH It LFT -- a- NO.OF NO. CHECK + - = u SIZE ..J ST IES F LIES ONE 1129 J 10 DESCRIPTION OF WK NEW P.C.Fee$ Permit Fee E ,rL?yJ ADD 033 d Issuance Fee, / g - ALTER El REPAIR ❑ Total Fee USE OF, ,A.c'Cn - zo" -25S"73 DEMOL ❑ vio EXISTINGBLDG. 4. ��APPLICANT TEL T� 5 f (PRINT) NO. • e o a o 23 BY(SIGNATURE) // //jj�� I HEREBY ACKNQWLEDGE THAT I HAV R THIS A PLICATION AND STATE •"•6��� Z"EA�--j-27ZTHAT THE - -- 64,80 AND LAWS EGUITH ALL ORDINANCES LAS GBUELDINGCOT AND G RUCOT CN.nIPL IFYT ATIN•DONGTHE , r lC = c o 0 6((,$065 WORK AUTHOJBZ HEREBY I WILL T EMPL Y A P ON IN VIOLATION OF Z- �Z-� THE LABOR COD F THE STATE O LIF, I LAT( GTO WORKMEN'S COM- r� f PENSATION N RANCE. g . 0 103-79 SIGNAT F PERM! E ri P/ ;220k6A ADDRESS /TEL. T ( O o 0 0 0 0 l CITY NO. r ' ,r , r+•^ p 2 0 0 8 x 0 0 ,USE ZONE MAP 1 J Q No. :2-02 IAL PKF o 0 0 3 R 0 0�v /�- ITIONS ,aI FINAL BY � DATE E; `KERS'COMPENSATION DECLARATION r hereby fI have certificate of consent self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers'Compensation Insurance, �t or a certified copy thereof(Sec. 3800, Lab. C.) y COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. �4 Company_ �0 ' ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS ® Certified copy is filed with the county-building inspec- BUILDING tion department. ADDRESS �Z LOCALITY �i NEAREST Date 12--10-� Appli'ap , i CITY ZIP CROSS ST. G/Y CERTIFICATE.OF EXEMP. N FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE .- SIZE OF LOT– _ NOW ON LOT Z MAP BOOK PAGE PARCEL USE ZONE MAP (This section need not,be completed,if.the permit Ls for one ,. hundred dollars($100)or less.) TRACT,. BLOCK LOT NO. / NO. :. TEL ,. ! 'SPECIAL, }. I certify that in.the performance of the 'for which this OWNER NO: CONDITIONS 2. DISTRICT '.GROUP TYPE FIRE PRO SSEDLBY O permit is issued,I shall not employ any person in any manner CONST. ZONE '�^ so as to become subject to the Workers'Compensation Laws. ADDRESS Z� -� i 0 Date Applicant CITY L ZIP STATISTICAL CLASSIFICATION ~ APT. CONDO. 0 NOTICE TO APPLICANT: If, after-making this Certificate'of ARCHITECT O TEL. twit ENGINEER NO. CLASS NO. •- DWELL.UNITS Exemption, you should become subject' to the.Workers'' � Compensation provisions of the Labor Code, you must forth- ADDRESS (SEWER MAP CA with comply with such provisions or this permit shall be TEL. e deemed revoked. O CT S NO. ' J'7 BK• PG,�� VALIDATION LICENSED CONTRACTORS DECLARATION Jgr> �(/ J��(/� /p PLIC. 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 �J`P $ i License Number 1�54�� HECK Lic.Class —� SIZE��JJt� STORIES AMIOLIES CONE Contractor Date I'2-10- 3Z DESCRIPTION OF WORK L NEW ❑ $ ❑I am exempt under Sec. &S 05-0 JZ44ADD ALTER ❑ FINALr%° d'1 • B.&P.C. for this reason �•. � �-- REPAIR DATE`- ❑ ' USE OF" .1�-* �j ( FINAL Date: EXISTING BLDG. DEMOL ❑ By Signature APPLICANT L. OWNER-BUILDER DECLARATION PRINT `ytJ O.4 ' I hereby affirm that I am exempt from the Contractor's License ADDRESS 11713 �✓ 7 � Law for the following reason (Section 7031.5, Business and" r Professions Code): PRESENT BUILDING I'I' as owner of the property, or.my employees with ADDRESS wages as their sole compensation,will do the work and the r structure is not intended or'offered for sale(Section LOCALITY n r, , 1 7044, Business and Professions Code). MOVING TEL. = ! ❑ I,as owner of the.property,am exclusively contracting CONTRACTOR NO. y with licensed contractors to construct the project.(Sec- ADDRESS tion 7044, Business and Professions Code). � r Cf 0 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 the'performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). 'SIDE t �= e P.L. Lender's Name- ' �* 3 Lender's Address P.C.Fee$ Permit Fee = � \ , ' I certifythat'I have read this application and state that the PP Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to`building construction, Total Fee ct.".J and&hery,authorize representative of this County to enterupbove-mentione pr er r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ' ®s APPLICATION_,FQR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BU) " I hereby affirm that I have a certificate of consent to self insure, BUI NG1S �1 or a certificate of Workers'Compensation Insurance,or a certified (='sd'�`D4�+ zIP copy thereof(Sec. 500, C R U.,Imo_ 1/�1 L OCA Policy No. �.2 A� ompany "" SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. T CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE 7ANE MAP NO. de Applicant art t. Dat �/!i`�}1-rc�r� Q' � T ASSESSOR MAP BOOK PAGE PARCEL / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o E�(`d L ����j� COMPENSATION INSURANCE r1�C "[ WITHIN 1000 FT.OF SCHOOL? No (This section need not be completed if the permit is for one hundred AD ES� 'yp DISTRICT GROUP TYPE E ZONE PROCESSED BY dollars($100)or less.) !T� O W I certify that in the performance of the work f which this permit /_ fll�� Z11307 �,is issued, I shall not employ any person in an manner so as to r�become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSSIFI/CATIONAPT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of ^ ��y REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' COR �� l��L`� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith t 1 e FRONT comply with such provisions or this permit shall be deemed revoked. IeIC.�q 2 PL LICENSED CONTRACTORS DECLARATION —.7 SIDE �+ LIC. S_, PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIE NO.OF FAMILIES Professions Code,an RX��c Is in full forc d eff ct. NEW ❑ BK PG License Number V LDic.Class 1 DES R 10 OF K � � ADD ❑ VALUATION �5� � Contractor ate �^ ALTER ❑ Y r D ❑ I am exempt under Sec. REPAIR ❑ $ H BAP.C.for this reon DEMOL ❑ LDMA P/C# Date: '— USE OF EXISTING BLDG. URM ❑ a "77 Signature APPLICANT(PPoNT) TEL NO. LDMA Perm ::I1L �� .)le a.❑ I, as owner of the property, r y employees wages as Z their sole compensation, will do the work and the structure is ADDRESS O 1 ITEMS EMS not intended or offered for sale (Section 7044, Business and FINAL DATE 40 TOTAL t1 1LF' o(3-�5 a 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 "+ ❑ I, as Owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY CHECK licensed contractors to construct the project (Section 7044, YES❑ No❑ t-�f f�'�E I Business and Professions Code.) WILL _ LL THE INTENDED USE OF THE BUIDLING 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(SCAOMD)SEE PERMITTING CHECKLIST FOR �I / IC101 9_CL {Q l (�{( I hereby affirm that there is a construction lending agency for GUIDELINES.YES 11 No El0001 U N the performance of the work for which this permit is issued(Sec. 06571 A1110:09 a 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1 N 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 0 OWNER OR AceNr o I certify th I have read this application and state under penalty O of perjury at the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all Igbrity ordinances and State laws relating to building S construe an hereb authori representatives of this County ISSUANCE FEE ��• �� to ent on h mentio d p ert r insp ^ e INVESTIGATION FEE TOTAL FEE //► D Sgtnl,u! Applt-1 AWnt D^.la z/ J. SEE REVERSE FOR EXPLANATORY LANGUAGE 1 WORKERS'COMPENSATION DECLARATION of coent to s insure roafcertif cairm rte of Wo ke s'tificate Compensat on Insurancef A P P L I CAT.I O N F O R BUILDING PERMIT 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 ADDRESS Certified copy is filed with the county building inspec- BUILDING d / �' 'e r�y(, tion department. ADDRESS d 'ten, l�(1 '7 (� Date Applicant CITY Al N �T`�r� � ZIP 7/ J LOCALITY �CLrv� CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. s (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL ` ,N Tr EL. USE ZONE MAP S 1 OWNER c' Lam/ vi I certify that in the performance of th work for which this `�1 � Q' z$�� NO. permit is issued, I shall not employ any erson in any manner SPECIAL so as to become subject to the W rker pomp s i n s ADDRESS CZz9 Al `(kS G+ T C_ CONDITIONS W CITY ��17�/ V ZIP ]� �j Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, aft making this Certificate of DISTRICT GROUP TYPE LFIRE E PROCESSED BY 0 17-1 Exemption, you should become subject to the Workersp ' ENGINEER NO. ^Com ensation rovisions of the Labor Code, ou must forth- C\\ V with comply with such provisions or this permit shall be ADDRESS �� W deemed revoked. &p�J�t`�r'�(&� TEL. STATISTICAL CLASSIFICATION APT. CONDO. CONTRACTOR �Wi`VGb NO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 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 CLASS BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ VALUATION Contractor Date ADD A,, $5 ©O I am exempt under Sec. IL P I 1-0 WOW 1-1;—1f ALTER B.BP.C. for this reason REPAIR $ USE OF Date. EXISTING BLDG. DE= Signature APPLICANT CNT) TEL. FIN(PRA OWNER-BUILDER DECLARATION DAT ✓�' `� I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FINA Professions Code): PRESENT �Q BY BUILDING I, 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 1 4 A I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- 0 0 0 0 0 ADDRESS tion 7044, Business and Professions Code). F D r r - m REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH '< � r Ihereby affirm that there is a construction lending agency for FRONT 07. 1 << the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name �C LDMA Ref. # P.C.Fee$ Permit Fee J Lender's Address 1 1 certify that I have read this application and state that the Issuance Fee L , LDMA P/C N ° above information is correct. I agree to comply with all County Investigation Fee 0 ordInc&qs and State laws relating to building construction, Total Fee R and heby authow his County to enter LDMA Perm. q pon bove- spection purposes. �� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ocobte COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507080037 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5904 IT: 6 ON: .002 SQ. FT STORIES TYPE OCCUP GROUP 6228 MUSCATEL AV N STRUCTURE: 384 2 VN R3 SGAB CA 917752627 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5386-010-012 OTHER: 149 2 VN R3 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/14/05 JK 11/09/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE _ FINAL BY: CODE: CHO, DENNIS (626) 292-6921- 36,270 r�/� 6228 MUSCATEL AV r SGAB 917752627 FEES PAID DESCREPTION OF WORK 1ST. FLOOR REMODEL AND ADD TO (E) BEDROOM 84 SOFT. 2ND.FLOOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BEDROOM, BATHROOM, REMODEL & UPGRADE (E) BATHROOM, RELOCATE APPLICANT: TEL. NO: TSUSHIMA - B1 PLANCHECK W/ENERGY 36270.00 VAL 587.22 317 W. MAIN ST #417 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ALHAMBRA, CA 91801 AC STRONG MOTION REBID 36270.00 VAL 3.63 B2 PERMIT W/ENERGY 36270.00 VAL 690.86 TOTAL FEES 1,309.46 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MAR GERALD WAYNE (626) 646-1988- 8835 EMPEROR AVENUE LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91775 439297E SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS 11 TSUSHIMA, RICK K (626) 282-3417- 317 W MAIN ST #417 LIC. NO: SLAB/UNDER FLOOR ALHAMBRA, CA 91801 439297B * RAISED FLOOR FRAMING MAP NO: SEWER MAP-BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS 2 V NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: BWY: PROP LING: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION W8AT8ER STRIP 17 INTERIOR LATS/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BSO50S " 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 1206290019 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 6 UN: .002 SQ. FT STORIES TYPE 6228 MUSCATEL AV N ISTRUCTURE: 400 V-B SGAB CA 917752627 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 15386-010-012 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: EXIST BLDG USE: DETAC USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXIST OCC GRP: 107/02/12 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: L DAT INAL BY: CODE: 1 ICHO, VIRGINIA (626) 292-6921- 1 6,500 1 I 16228 MUSCATEL AV ISAN GABRIEL CA 91775 1 FEES PAID I DEIBC=PTIIJN OF WORK 1 I ITEAR OFF EXISTING ON HO SE ONLY AND REROOF. INSTALL 1/2" 1 1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IOSB PLYWOOD NAIL ON FELT AND 30 YR COMP. SHINGLES. 1 ]APPLICANT: TEL. NO: TANG, HENRY (562) 244-7796- IAA BLDG PERMIT ISSUANCE 27.80 1 IAB STATE GREEN BLDG FEE 6500.00 VAL 1.00 ISPECIAL CONDITIONS: IAC STRONG MOTION RESID 6500.00 VAL 0.70 ID2 PERMIT W/O EN-HC 6500.00 VAL 166.20 TOTAL FEES 195.70 I [CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1 IH L ROOFING (562) 244-7796- 118734 ALBURTIS AVENUE LIC. NO 1 ]LOCATION AND SETBACKS I I I IARTESIA, CA 90701 670406 C39 SOILS ENGINEER APPROVAL ]ARCHITECT OR ENGINEER: TEL. NO: - 1 ]FOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I 1 1 1 ]RAISED FLOOR FRAMING I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1153H261 3 001 I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 1 0 NO 21 1 [ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS [ [ AIR QUALITY: 1000 FEET MATERIALS I I 1 [ NO NO NO I IFRAME INSPECTION I 1 ]FIRE SPRINKLER HANGERS ]INSULATION/WEATHER STRIP( 1 I (INTERIOR LATH/DRYWALL 1 I I 1 ]EXTERIOR LATH [ ]RATED FLOOR/CEIL ASSEM. 1 I IRATED WALL ASSEMBLIES 1 1 I ]RATED SHAFTS/OPENINGS 1 1T-BAR CEILINGS I 1 1 ]LOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I 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 1206290025 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BIIILDING ADDRESS: ITR: 5904 LT: 6 UN: .002 SQ. FT STORIES TYPE I 6228 MUSCATEL AV N 1 J (STRUCTURE: 500 V-B I SGAB CA 917752627 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15386-010-012 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: J J IEXIST OCC GRP: 107/02/12 SR 1 JOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: [FINAL DATE FgY k?,- I AL CODE: J ICHO, VIRGINIA (626) 292-6921- 1 3,000 J 16228 MUSCATEL AV 1 ISAN GABRIEL CA 91775 FEES PAID D$SCAIPTION OF WORK 141 1 ITEAR OFF EXISTING ON DETACHED GARAGE AND REROOF. INSTALL 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:11/2" OSB PLYWOOD NAIL ON FELT AND 30 YEAR COMP. SHINGLES. 1 JAPPLICANT: TEL. NO: I I I [TANG, HENRY (562) 244-7796- IAA BLDG PERMIT ISSUANCE 27.80 1 I JAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: J AC STRONG MOTION RESID 3000.00 VAL 0.50 I 1D2 PERMIT W/O EN-HC 3000.00 VAL 99.00 [ 1 I I TOTAL FEES 128.30 J I ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE IH L ROOFING (562) 244-7796- 1I I I 118734 ALBURTIS AVENUE LIC. NO I 1LOCATION AND SETBACKS IARTESIA, CA 90701 670406 C39 I I I I I 1 ISOILS ENGINEER APPROVAL I I [ARCHITECT OR ENGINEER: TEL. NO: - 1 [FOUNDATION/TRENCH FORMS I I I [ LIC. NO: 1 JSLAB/UNDER FLOOR 1 [ J IRAISED FLOOR FRAMING 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J 1UNDERFLOOR INSULATION I I 1153H261 3 001 1 I I I I IFLOOR SHEATHING I I I NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I [ 0 NO 21 1 IROOF SHEATHING I J SCHOOL WITHIN HAZARDOUS J [SHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS J I I I 1 NO NO NO 1 IFRAME INSPECTION I I I 1 [FIRE SPRINKLER HANGERS I I I [ I JINSULATION/WEATHER STRIP[ � I I 1 11NTERIOR LATH/DRYWALL I I I I I 1EXTERIOR LATH I I I I [ IRATED FLOOR/CEIL ASSEM. [ I I IRATED WALL ASSEMBLIES 1 I I 1RATED,SHAFTS/OPENINGS 1 I IT-BAR CEILINGS I I I I I I JLOT DRAINAGE J J I I II 1 I I I (REPORT ID: DPR261 ROUTE To: BS0508 1