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76p'638A riAll0381 34 APPLICATION FOR BUILDING P . RMIT
v?� COUNTY OF LOS ANGELES BUILDING
• DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST.
DISTRI TtjO. GROUP TYPE P SED BY
FOR APPLICANT TO FILL IN CONST:
BUILDING j �) STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS CLASS NO._-j—DWELL UNITS_� BK PG J
LOT NO. Y BLOCK USE ZONE MAP G`
No.
CCJJ _
TRACT SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING B BLDG. SETBACK FROM
I TEL FRONT PROP. LINE OF (STREET)
OWNE NO. TYPE OF EXISTING SETBA K HIGHWAY + YARD = TOTAL
ADDRES •-5 HI W AY IDTH 'F FROM C.L.
tj
+ = C�
CIT
ARCHITEC TEL BLDG. SETBACK FROM
ENGINEE NO. �� SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESSy HIGHWAY WIDTH FROM C.L. CL
CONTRACTOR j TEL. + _ U
ADDRESS Np CORNER CUTOFF YES NO __ 0
IC
CITY CL s SEE REVERSE SIDE FOR SPECIAL APPROVALS w
D SCRIPTION OF WORK y
• Z
E ADD ALTER REPAIR DEMOLISH
SQ FT. NO. OF NO. OF /;�// P!L rA°.N Tr'f .sP �_ �.�;iCi.:. •fi P' �'Y
SIZE STORIES FAMILIES
USE OF ( e`I°."� P�f/'tic..l
STRUCTURE
SIGNATURE OF �,p
APPLICANT / t a4A �-
VALUATION
APPROVALS DATE INSPECTO82.SIGNATURE
P.C. PMTFOUNDATION, LOCATION .fir i �-�I••.-w�a
i FORMS,.MATER.IALS _ U 'f>C� 1�;•�•) '� i
FEE$ FEE$ ��
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION • BRACING BOLT �f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LO CATIO'N'•. /G{•.�Jil.N/ r •cia•-��
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS i
9UILD I NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY•I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. Z
!'j''•_
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. '�` "'-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. ,P���� � � , �`•-`-��s, fps
SIGNATURE OF i N HOUSE NUMBER COR_ f may_'___
PERMITTEE a� RECT AND POSTED ,v./ - r.d •�./:k
ADDRESS FINAL /`,4,.. ',ef`'
JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION .K. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH
j .. 9 1. OCT 29 2 3 D 2 6.75A ,
►� LQ 7 2'6 0- NOV 10 1 D 5 7.0 ON
WORKERS' COMPENSATION DECLARATION
F�insureboraff ipm a certificate of Workers'tificate of consent to self Compensat on Insurance, i -APPLICATION ® BUILDING. RM'
or a certified copy thereof(Sec. 3800, Lab. C.) i COUNTY OF LOS ANGELES BUILDING AND SAFETY
P�licy No. ' Company Ta�1[J
Certified copy is hereby furnished. ) FOR APPLICANT TO FILL IN BUILDING
o%
Certified copy is filed wit a county buildi spec i BUILDING
-tion department. ADDRESS
11 I CITY , Ul ZIP LOCALITY L�
Date L Applica NO.OF BLDGS. NEAREST
CERTIFICATE OF EXE PTI•N R WI RKERS' S)ZE'OF LOT NOW ON LOT CROSS ST.
COMPENS ION IN,U CE ASSESSOR �t
(This section need not be omplete if the permit is for one TRACT BLOCK LOT NO. MAP BOOK ?�a d PAGE G PARCEL 4TH
hundred dollars ($100)or ess.) TEL. USE ZONE MAP
OWNER D NO.
I certify that in the perfor ce of�the work f r which this yn SPECIAL
permit is.issued,.l shall not employ any person10
/in any manner ADDRESS /l_/ CONDITIONS CL
Q
so as to become subject'to the Workes:Compensation Laws. ,'•; U
CITY ZIP
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY Q
NOTICE TO APPLICANT: If, after making this .Certificate of ENGINEER- NO. CONST. ZONE
.Exemption, you should become subject to the Workers' P . ' i e
Compensation provisions of the Labor Code, you.must forth- . ADDRESS �dC `3 3 nW
with comply'with such provisions 'or this permit,shall be TEL. y`.STATISTICAL CLASSIFICATION APT. CONDO.
Z
deemed revoked. CONTRACTO NO.
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.�DWELL. UNITS
—
/I herebyaffirm that I am licensed under provisions of Chapter 9 ADDRES E. NO. Z
P P SEWER MAP
� (commencing with Section 7000)of Division 3 of ihe�Business LIC.
' CITY CLASS �
and Professions Code,andmy license is in full force and effect. VALIDATION BK. PG.
SQ. FT. NO.OF NO. OF CHECK
U ense Number Lic. Class SIZE. STORIES FAMILIES ONE
{' VALUATION
on r cto Date G DESCRIPTION OF WORK NEW ❑
00 ®ADD ❑
❑I am exempt under Sec. r T
ALTER
B.BP.C. for this reason
' Nis✓ REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑ ,:.1
Signature APP`PRINT)ICANTJNp FINAL �;?_?: ,4
OWNER-BUILDER DECLARATION m DATE ,� —�f c7i
I hereby affirm that I am exempt from the Contractor's License 33017
Law for the following reason (Section 7031.5, Business and ADDRESS E• FINAL
Professions Code): PRESENT By i i
BUILDING 5 t .
I,-as owner of the property, or my employees with ADDRESS I I ; a
wages as their sole compensation,will do the work and
fix '
the structure is not intended or offered for sale(Section LOCALITY `Llj' :�_�
7044, Business and Professions-Code.) - MOVING TEL. T Yc
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. i I EMS;
with licensed contractors to construct the project (Sec- ADDRESS 3; T.r�'.1; 207 53
tion 7044, Business and Professions Code.)
REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. C K rtii� C
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH CH�4•f`, _ • �•�ti
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. ;:i-j(y!{a ,'• Ij
(Sec. 3097, Civ. C.). SIDE
Lender's Name 00,001-0001 t ' ' ` ''
/. //O 1 LDMA Ref. # f, �E/�y
' P..C. Fee$ Permit Fee /� J
Lender's Address
I certify that I have read this application and state that the Issuance Fee v;z ,j LDMA P/C#
above'information is corre04 agree to-comply with all County Investigation Fee ` o
ordinances and State IgNIVelatiho to building construction, Total Fee /�O -, LDMA Perm. #
and .e by autho ze a ntat' es of this County to enter
up o th abov a rop ty for inspection purposes.
SEE-REVERSE FOR EXPLANATORY LANGUAGE
i na re f Applicant or Age Date
,...rWORKERS'COMPENSATION DECLARATION krno
L
I he b• ,affirm that I have a certificate of consent to self ®1.t ,o'r a certificate of Workers'Compensation Insurance, A El L I CAT I O e LJ I ISI PERMIT
' or a;certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING..AND SAFETY
R611cy No. Company BUILDING'
"❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING nIle
tion department. ADDR54S V S L V LOCALITY /
NEA
REST h
Date Applicant CITY C, e T ZIP -'I pV CROSS ST. a} l J Q
CERTIFICATE OF EXEMPTION FROM WORKERS' f NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE l SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP C.O
hundred dollars($100)or less.) TRACT BLOCK LOT NO.
TEL. , SPECIAL
1 certify that in the performance of the work for which thisOWNER NO. if CONDITIONS
IL
permit is issued, I shall not employ any person in any manner ADD (�S C DISTRICT .GROUP TYPE FIRE PR ESSED BY O
so as to ecoA
/e subject to the W rkers'Compensation Laws. Jr ) (� �+ e/ CONST. ZONE09
Date Applicant ^ CITY Q `( ZIP JS O STATIS7IQCAL C ICATION APT. CONDO.
NOTI TO APPLICANT: If, aft ntkin this Certificate of ARCHITECT OR TEL.
Exemption, you should beco ubject to the Workers' ENGINEER NO. CLASS NO. �` DWELL. UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER P
with comply with such provisions or this permit shall be e
TEL. 2 VALIDATION
deemed revoked. � � N CONTRACTOR NO. BK•
LICENSED CONTRACTORS DECLARATION• LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LVALUA�TIO�N(commencing with Section 7000)of Division 3 of the Business and LIC.Professions Code,and my license.is in full force and effect. ` CI7Y CLASS 0
SQ.FT. O.OF NO.OF CHECK '
License Number Lic.Class SIZE `a STORIRIE�Sj� FAMILIES � ONE
SfObRK "'N ZS'Y� NEW ❑ $
Contractor Date DESCRIPTION
am exempt under Sec. U.1 l 3 I C.0 1 l ADD
ALTER ❑ FINAL 7
F ❑ DATE
B.&P.C. for this reason C o+ REPAIR J 1 0 A
Date: USE OF FINA
EXISTING BLDG. DEMOL ❑ B
Signature APPLICANT � TEL.
1r . 56.40
OWNER-BUILDER DECLARATION PRINT NO.
I hereby affirm that I am exempt from the Contractor's License � lJ !U
z mac:
Law for the.following reason (Section 7031.5, Business and ADDRESS
y - :. ..•.. .•.
Professions Code): PRESENT
BUILDING
L1TU 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 1, r1
7044, Business and Professions Code). MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. ii o 0 0 0 0 1
with licensed contractors to construct the project (Sec-
'tion 7044, Business and Professions Code). ADDRESS 2 ° 1 0 6. 1 3
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY' SET.BACK YARD HWY PROP. LINE WIDTH ,u I 0 1 j
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. 0'6 2 ll —C 3
tSec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
Lender's Address P.C. Fee$ yl, Permit Fee
I certify that I have read this application and state that the Issuance Fee V S- 0
above information is correct. I agree to comply with.all County Investigation Fee `
ordinances and State laws relating to building construction, Total Fee Q / 3
and hereby authorize representatives of this County to enter _ w-
$ on the above-m ti ned roperty for inspection pur oses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent to as
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0309160025
PHONE: (626) 285-0488 EXT:
L 0. OF CONST NEW BUILDIRGADlOR5SS:
TR: 7690 LT: 8 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 10557 OLIVE ST
STRUCTURE: 204 1 VN R3 TEMP CA 917802865
ASSESSOR OR ON NUMBER: GARAGE: NEAREST CROSS STREET: BALDWIN AVE.
8586-029-041 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
EXISTDG USE: S 0NE: ISSUED N: PROCESSED EXPIRES
EXIST OCC GRP: 09/22/03 JK 09/16/04 -
OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FIN L D E FINA BY: CODE:
FANG CHIN-MING;JOYCE (626) 443-6348- 16,000 7 ��
10557 OLIVE ST G _
TEMP 917802865 FEES PAID D S IPT ON OF WORK
ADD NEW DEN - 204 S.F.
APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
CORTES (562) 806-7166- 61 PLANCHECK W/ENERGY 16000.00 VAL 296.77
8321 EASTERN AVE. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
BELL GARDENS 90201 AC STRONG MOTION-RESTD-_ "--.,16000.00 VAL 1.60
B2 PERM I7,411ENERGY ,16000.00 VAL 349.14
tTOTAL_FEES 675.26
CONTRACTOR: TEL. N0: �3 " fl N� APPROVALS DATE INSPECTOR SIGNATUR
REALTY BUILDERS (800) 205-2677- X
v
8929 EXPOSITION BLVD LIC. NOr/, > OCIO AND SETBACKS
LOS ANGELES, CA 90034 797103 B SOILS ENGINEER APPROVAL
5 _
ARCHITECT OR ENGINEER: T N0: ,�/� i! r i ff_'_-�r ` 0 DA 0 /TRE CH FORMS
M. C. DESIGN & ASSOCIATES (562) 806-7166,- �� � I �• `��' D 2
8321 EASTERN AVE. LIC. NO: -—'-'-
BELL GARDENS, CA 90201 NON E,1I' =__ �� I j!�
' 1� S AB/UNDER FLOOR - -
'- - -- �_ I _ _ J --iRAISED FLOOR FRAMING
MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: jj CMa1; i--� i f If, ,-� ,�F ti. -i ;• .,z y UNDERFLOOR INSULATION
` ,' 1L I LEVEL FLOOR SH
EATH
0. O F L EES: D LI G TS: A /CON-: STA C SS:---------- —_—__- -__---
NO 21�� r- �, �a� ,--- _- . - - - ND LEVEL FLOOR SHEATH
SCHOOL T HAZARDOUS ROOF-SHEATHING' l _ , I
AIR QUALITY: 1000 FEET MATERIALS \�,r
NO NO NO v �1,-`i': i� .�A, FIRE DEPT. FRAME INSPECT
REQUIRED 0 SETBACK FROff EXIS ��\,•���� j i ��.f,�f BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: ;`•'��sE / !. ��
FSIDE PL- SHEAR PANELS 1
INSULATION/WEATHER STRIP
r
INTERIOR LATH/DRYWALL
EXTERIOR LATH
I
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: SS0508