HomeMy Public PortalAbout6002 RENO AVE_Building__ nate oal to Int to self 'APPLICATION FOR BUILDING PERMIT
of Workers' Compensation Insurance,
c , ereof(Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY
cy No. Compog BUILDING /
Certified copy is 40eby fu nished.. FOR APPLICANT TO `FILL IN ADDRESS (�d6 �C�?b Ale,
❑ Certified copy is filed with the,county building inspecBUILDING
-
tion department. i
' .,CITY 1�L ZIP =LOCALITY . %
Date Applicant NO.OF BLDGS. NEAREST
I ",
CERTIFICATE OF EXEMPTION FROM WORKERS' .SIZE OF COT c� NOW ON LOT CROSS ST. -
COMPENSATION INSURANCE ASSESSOR f
(This section need not be completed if the permif-is for one TRACT BLOCK LOT NO. :MAP BOOK 5j3 PAGE 01-7 PARCEL 0 e
hundred dollars ($100)or less.) L
OWNER /�/j O, �^ USE ZONE MAP
I certify that in the performance of the work for which this NO.
P employ Y P. Y vend aC—. SPECIAL
permit is issued, I shall not em to an arson in an manner ADDRESS it o_
CONDITIONS
so as to become subject to the Workers'Compensation Laws. O
� �-�' R U
CITY - /tPA ZIP /s 0V
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO SED BY . oe
U
NOTICE-TO APPLICANT: If, after making this Certificate of I; ENGINEER ' rand,ua. CONM ZONE
Exemption, you should become subject -f6 the Workers'
Compensation provisions of the'Labor Code, you must forth- ADDRESS' •� CL
with comply with such provisions or this permit-shall be TEL. STATISTICAL CLASSIFICATION A CO Z
deemed revoked. CONTRACTOR NO. —
LICENSED CONTRACTORS DECLARATION i LIC. CLASS NO. DWELL. UNITS
—
SEWER 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 - LIC•
and professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ. F; NO. OF NO. OF CHECK
License Number Lic. Class SIZE I STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK 111,9410 NEW
ADD ❑ $ 00
LJ
❑I am exempt'under Sec.
- ALTER ❑ .
B.BP.C, for this-reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑ 'Y
Signature APPLICANT LFINAL e�J
OWNER-BUILDER DECLARATION (PRINT) NO�$'�����" s DATE /
I hereby.affirm that I am exempt from the Contractor's License ADDRESS c3 / C
Law for the following reason (Section 7031.5, Business and FINAL t
Professions Code): PRESENT B ®'y- -i a
' I, as owner of the property,. or m ' with BUILDING Y / 1 1 a e .
\\\ P P Y� Y 'employees r ADDRESS ` .,
wages as their sole compensation,will do the work and 3307 198.85
the structure is not intended or offered for sale(Section LOCALITY ?, 9 r
7044, Business and Professions Code.) I MOVING TEL. i 1 i 1 Gt iS„-
CONTRACTOR NO. � (� ` -198 -_
❑ I, as owner of the property,am exclusively contracting 6. a"-'
with licensed contractors to construct the project (Sec- ADDRESS '
tion 7044, Business and Professions Code.) ��` iUau
REQUIRED TOTAL SETBACK FROM EXIST. CHANGE a17
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH S, G
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ.-C.). SIDE
P.L.. CI Oil—OCl41 1/31/90
Lender's'Name: ' LDMA Ref. # '0615 1 AMIGO.46
P.C. Fee$ Permit Fee
Lender's Address /nS
I certify that I have read this application and state that The Issuance Fee r O v LDMA P/C# r
above information is correct. I agree to comply with all County Investigation Fee
i ordinances and State laws relating to building construction, i Total Fee 1 -5 LDMA Perm.#
and hereby authorize representatives of this County to enter
upo)the /jP,�e-me(ntid property for inspection purposes.
4 D J C A/♦'4,Z / p� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent ate
I
APPLICATION FQR'BUILDING PERMIT
COUNTY OF LOS ANGELES I BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD REBS
IBUILD G ADDRESS OOH
I hereby affirm that I have a certificate of consent to self insure, Z�. O
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof(Sec.3800,Lab.C.) !C/m Ilk r ZIP ® LOCALITY
Policy No. Company SIZ OF LOT NO.OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished.
NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection
TRACT BLOCK LOT NO.
department. USE 1 MAP NO.
Date Applicant ASSESSOR APS K PAGE PARCEL
8 SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' 11 0,OWNS ? ( L./
COMPENSATION INSURANCE /¢/1 �ld.�^ / WITHIN 1000 FT OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDR S /�-lL/V O �
DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
CITYI� i ZIP A
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to
become su jec t0 the Workers'C pensation Laws. ARCHITECT OR ENGINEER TEL NO.
��S C ���.� STATISTICAL CLA�JSSI/F,ICATION APT CONDO
Date pplicant 77 J' 'ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT.• If, after making this Certificate of I REDUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' ;C RA R �r�1 EL / SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of'the Labor Code, you must forthwith 5 ( C� f? �� FRONT
comply with such provisions or this permit shall be deemed revoked. pOg S C� IC O PL
LICENSED CONTRACTORS DECLARATION > SIDE
,CITY UC OLA�S a P L
I hereby affirm that I am licensed underprovisions of Chapter 9 L44T (�� SEWER MAP
(commencing with Section 7000)of Division 3 of the Busine s and ISO.FT.SIZE NO.OF STORIES NO.OF FAMILIES NEW BK PG
Professions Code,and my in-sei in full force andeff/QC_t.
License Nu er Lic.Class C° " dS DESCRIPTION OF WORK ADD ❑ VALUATIO ,
I ,�^ f LrJi�liir�'
Contractor Lfu � Date j ALTER ❑ C
REPAIR ❑ 1-
0 1 am exempt under Sec. i $ 1 IL
B.BP.C.for this reason DEMOL ❑ U
LDMA P/C#
V
Date: USE OF EXISTING BLDG. URM ❑ ;� e
I :23 e
Signature IAPPLI NT(PRINT) LDMA Perm# `:,�.
3
I
❑ I, as owner of the property, or my employees with wages as Z �'''t°Ir
their sole compensation, will do the work and the structure is IADD �° r�0.511
not intended or offered for sale (Section 7044, Business and �AAt1d� G FINAL DATE Q
Professions Code.) I WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ 1, as owner of the property, am exclusively contracting With I AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY -� ACC-.-L
licensed contractors to construct the project (Section 7044, s°$
YES❑ NO❑
Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING I ti `I) s= °71-1
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH n
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR y ITEMS.
Edi=
GUIDELINES
I hereby affirm that there is a construction lending agency for I YES❑ No❑ E OTAL 1515 ® 80
C4 the performance of the work for which this permit is issued(Sec. HAZARDOUS GUIDE PERMITTING
I HAVE READ THE q _
N 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER E LOS ANGELES COUNTY CODE, I CHECK 155K °&(
TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. CHANGE
o Lender's Address a+meR AGENT !T 19 G °
0
o I certify that I have read this application and state under penalty pC.FEE PERMIT FEE
c of perjury that the above information is correct.I agree to comply ��D �� D-0100-01011 11{ !%'+`._
a with all county ordinances and to laws relating to building �./l/
construction, and hereby auth rep sentatives of this County ISSUANCE FEE /' 21068 AM 9:41-1
Xennponthe abo e p rty for inspec1`//1;P1O7
� (O
/j INVESTIGATION FEE TOTAL FEE /D O
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS' COMPENSATION DECLARATION
I here affirm tl ut I have,o'certificate
Iof to self
insure, ora certificate o�orkers CompensoS BUILDING P E RM I TatinI , APPLICATION FO
or a certified copy thereof(Sec. 3800, Lab. C.)
c COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.7BUILDING
32� Company >r �rs� '
"❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
`Certified copy is filed with the county building inspec- BUILDING
tion department. (E� ADDRESS Gj / � Q n
Date� 1 Applicant e ms"�` j'�'Zy. CITY /�� '� elX! ZIP !���Q LOCALITY v
NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK I LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) ,/ TE Gt
OWNE % r /�fjiA�4�- N a,� ��S USE ONE OP
I certify that in the performance of the work for which this _ �1
SPEC AL
permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS
� a
so as to become subject to the Workers'Compensation Laws. /��� O
CITY � ZIP
Date Applicant. ARCHITECT R TEL. DISTRICT I GROUP ITYPE FIRE ekROCESSED BY
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER _Jr,F ,a OA NO. �.v CONST. ZONE
Compensation
you should become subject to the Workers- Yj f 1 `� I CL
Com ensation provisions of the Labor Code, you must forth- ADDRESS 1(J I
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. to
deemed revoked. CONTRACTOR t�rx%4L9> NO.����,�f 0 Z
LICENSED CONTRACTORS DECLARATION Fi-�(�b LoUmr� LIC. CLASS NO. DWELL. UNITS
ADDRESS NO.426bG
I hereby affirm that I am licensed under provisions of Chapter 9
LIC. /� SEWER MAP
(commencing with Section 7000)of Division'3 of the Business e/� ���.. „{-�. 1'J �
and Professions Code,and my license is in full force q�d effect. CITY A CLASS BK PG33%&LIDATION .?•r1'1,K
�h SQ. FT. - NO. OF NO. OF CHECK
License Nut/m�beAzesno Lic. Class Jq SIZE STORIES n ryFAMILIES ONE VALUATION_ ,A� 1 ITEMS
Contractor ��� ' Date�r31 `� DESCRIPTION OF WORK �D�i�G �/TCe�. NEW $�® �,�® TOTAL 251_82
❑1 am exempt under Sec. ' ��fi l�Ap tae, 1(✓Yt'✓' �f`�j¢ ADD �(� ► CHECK ,51 Gd
ALTER ❑ i e 41
B.BP.C. for this reason r!�►1C� �-- /�.�i $ �p�j�� CHANGE ■f1[(
gQ,� REPAIR ❑ � /f f p
USE OF D LAhl_T AJ t� DEMO
❑ (J O
� Date: EXISTING BLDG. w 1 '-t ,t a
Signature APPLICANT / /� TEL FINAL _ 9 � �`-t-� �1 j10/ 7/x9
(PRINT)C dJ.Tf�/('• ��N ttP� Z� F
OWNER-BUILDER DECLARATION DATE '� �f� �j ar
I hereby affirm that I am exempt from the Contractor's License Gs D AMID'01
Law for the following reason (Section 7031.51 Business and ADDRESS 600 s�0 �✓_• 1.�. / cFu FINAL
Professions Code): PRESENT By r
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 pool 1
7044, Business and Professions Code.) MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
see PERA41T
with licensed contractors to construct the project-(Sec- ADDRESS ���
tion 7044, Business and Professions Code.) 3J iv rte,
REQUIRED TOTAL SETBACK FROM EXIST. c/uY 1 _
CONSTRUCTION LENDING AGENCY � SET BACK YARD HWY PROP. LINE WIDTH �, ITEMS
EI I�
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. •'`- , TOTAL 8�a, v
(Sec. 3097, Civ. C.). SIDE
P.L. ��-IErJi'; 2C 8=
Lender's Name /_ y CHANGE [1fl
�/• Permit Fee V LDMA Ref. # e
Lender's Address P:C:Fee S
o I certify that I have read this application and state that the Issuance Fee , 00 tAAA P/C#
8 ve information is correct. I agree to comply with al l County Investigation Fee' I (� 2M/271/590
r finances and State laws relating to building construction, Total Fee • LDMA Perm. #
ereby rize representatives of this County to enter �f j�� 3 A1 _ ';
the ab v entioned property for inspection purposes.
�'C-�— �7�0 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent D '
WORKERS' COMPENSATIOM DECLARATION
r hereby off ri that 1.01 eerie consent.to self
insure, or a certificate oWorkers' Compensation Insurance, APPLICATION F BUILDING P E RM I T
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Y'Policy No. Company
BUILDING
❑ Certified copy is hereby fyrnished. FOR APPLICANT TO FILL IN ADDRESS Q� 40Z
El Certified copy is1fled with the county building inspec- [ BUILDING
tion department. ` ADDRESS () Aloe,
A �
Date Applicant CITY L ` ZIP LOCALITY ,Q
f4O.OF BLDG .
CERTIFICATE OF EXEMPTION FROM WORKERS' ,. SIZE OF LOT o� J NOW ON LOTS NEAREST
CROSS ST.
COMPENSATION INSURANCE l�C,eh/Y/�SA
ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LO MAP BOOK 15_349 PAGE �� PARCEL O
hundred dollars ($100)or less.)
OWNER [,� N $ 3a� ..:US ZONE MAP
I certify that in the performance of the work for which this SPE
permit is issued, I shall not employ any person in any manner ADDRESS (5C i e- 11 / CONDITIONS a
so as to become subject to the Workers'Compensation Laws. l O
CITY ZIP U
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE OCES BY �
NOTICE TO APPLICANT: If, after making this Certificate of t, ENGINEER O Ora NO. CONST. ZONE 0
Exemption, you should become subject to the Workers' �� U
Compensation provisions of the Labor Code, you must forth- ,ADDRESS a
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION AP . CO O. Z
deemed revoked. CONTRACTOR NO. rr CLASS NO. DWELL. UNITS
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business
LIC. SEWER MAP
and 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
VALUATION
Contractor Date DESCRIPTION OF WORK Xn Q - NEW ❑ ., $
ElI am exempt under Sec. ADD ❑ ,
ALTER ❑ .+
B.BP.C. for this reason $ REPAIR $
USE OF
Date: EXISTING BLDG. DEMOL
Signature APPLICANTFINAL
OWNER-BUILDER DECLARATION } (PRINT) Q(J —g
I hereby affirm that 1 am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 1
a
Professions Code): `."PRESENT By A1.•CT,•Q
® BUILDINGI, as owner of the property, or my employees with
ADDRESS {{��jj �Q/ p ;-�� U�o�l°f
wages as their sole compensation,will do the work and LOCALITY 00 e-AaIY"�' -0/f,
v'�_7
the structure is not intended or offered for sale(Section i
7044, Business and Professions Code.) MOVING TEL.
EM S
;.
I, as owner of the property,am exclusively contracting CONTRACTOR NO. TOT AL 11-38 .0101
with licensed contractors to construct the project (Sec- L� �f
tion 7044, Business and Professions Code.) LADDR 1 r:TTEtvK 111.GO
TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH �* CHANGE e311
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued(Sec. 3097, Civ. C.).Lender's Name (0031 1/31/90
0 LDMA Ref. # � � 1 AM 10 4!,
Permit Fee
Lender's Address1 certify that I have read this application and state that the Issuance Fee 3r ; LDMA P/C#
above information is correct. I agree to comply with all County n Fee qg 0-0
ordinances and State laws relating to building construction, Total Fee I i LDMA Perm. #
and hereby authorize representatives of this County to enter
upon the above-me ioned property for inspection purposes.
o � +Z� bJU SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature cR Applicant or Agent Date
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 0902230006
PHONE: (626) 285-0488 EXT:
[LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 5904 LT: 145 SQ. FT STORIES TYPE [ 6002 RENO AV I
ISTRUCTURE: V-B [ TEMP CA 917801530 [
[ASSESSOR INFORMATION NUMBER: [ [ NEAREST CROSS STREET: HERMOSA [
15384-017-011 [ [ THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
[TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: [
[ [EXIST OCC GRP: 102/23/09 SR [
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI DW FI CODE: [
IFAIRMAN GEORGE D III (626) 285-4305- I 8,000 [ I
16002 RENO AV I
[TEMP 917801530 [ FEES PAID jDESCRIPTION OF WORK [
I [ IREMOVE OLD FIREPLACE & INSTIL NEW ZERO CLEARANCE FIREPLACE [
[FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[& CHIMNEY IN SAME LOCATION PER MANUFACTORS SPEC MODIFY (E) *I
[APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
[ IAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: [
IAC STRONG MOTION RESID 8000.00 VAL 0.80 I I
LAX BUILDING REVIEW FEE 54.70 [ I
[ ID2 PERMIT W/O EN-HC 8000.00 VAL 183.00 I [
ICONTRACTOR: TEL. NO: I TOTAL FEES 267.25 [APPROVALS DATE INSPECTOR SIGNATURE ]
ISAME AS OWNER - [ I I
LIC. NO [ [LOCATION AND SETBACKS [ I I
I [ ISOILS ENGINEER APPROVAL I I [
[ARCHITECT OR ENGINEER: TEL. NO: [ IFOL7NDATION/TRENCH FORMS I [ [
[ LIC. NO: [ ISLAB/UNDER FLOOR I [
I I I I
IRAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I [ [
I153H265 3 00 I I [ I
I I IFLOOR SHEATHING [ [ [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [ I I [ I
I NO 21 [ IROOF SHEATHING I [ [
I SCHOOL WITHIN HAZARDOUS [ [SHEAR PANELS I I I
[AIR QUALITY: 1000 FEET MATERIALS I I- I I I
NO NO NO I IFRPME INSPECTION I I
IREQUIRED TOTAL SETBACK FROM EXIST [ IFIRE SPRINKLER HANGERS I I [
]SET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- I IINSULATION/WEATHER STRIP I I
I SIDE PL- ] I I I
] [ IINTERIOR LATH/DRYWALL [ I I
I [EXTERIOR LATH I [ I
IRATED FLOOR/CEIL ASSEM. I [ I
IRATED WALL ASSEMBLIES [ [ I
I IRATED SHAFTS/OPENINGS [
[ [ IT-BAR CEILINGS I [
[ [* ADDITIONAL DATA ON FILE I [ I [
I [LOT DRAINAGE I I I
[ IREPORT ID: DPR261 ROUTE TO: BS0508 I [ I I
I I [ I I I
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 1305300049
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 5904 IT: 145 I SQ. FT STORIES TYPE I 6002 RENO AV I
ISTRUCTURE: V-B I TEMP CA 917801530 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15384-017-011 I I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI
I
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 105/30/13 SR
(OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN HY: CODE: I
IFAIRMAN GEORGE D III CO TR - [ 1 8,000 I I
16002 RENO AV 1 I
ITEMP 917801530 I FEES PAID ID SCRIPTION OF WORK I
I [ IREPLACE FOUR WINDOWS AND ONE SLIDING GLASS DOOR I
I __(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1
(APPLICANT: TEL. NO: I I
IROHRBACH, DENNIS (951) 712-0781- IAA BLDG PERMIT ISSUANCE 27.80 1 I
118890 SEATON AVE IAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS:
IPERRIS CA 92570 IAC STRONG MOTION RESID 8000.00 VAL 0.80 1
ID2 PERMIT W/O EN-HC 8000.00 VAL 183.00 1
I [ TOTAL FEES 212.60 I
ICONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE [
IRENEWAL BY ANDERSEN (951) 657-4179- [ 1
118890 SEATON AVENUE LIC. NO I ILOCATION AND SETBACKS I
IPERRIS CA 92570 870641 * I I I I
ISOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH,+FORMS
1 LIC. NO: 1 (SLAB/UNDER FLOOR I I
I
I [ IRAISED FLOOR FRAMING I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION I I 1
3 00 I- I [
IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1
NO 22 I IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS [ I I I 1
[ NO NO NO i [FRAME INSPECTION 1 1
I
1FIRE SPRINKLER HANGERS I 1 I
IINSOLATION/WEATHER STRIPI I I
(INTERIOR LATH/DRYWALL I I 1
I I I I
(EXTERIOR LATH I 1
IRATED FLOOR/CEIL ASSEM. 1 I 1
1RATED WALL ASSEMBLIES I I I
IRATED SHAFTS/OPENINGS
I
IT-BAR CEILINGS I I I
I* ADDITIONAL DATA ON FILE I I I 1
(LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1
I I
r +
a 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 1501120024
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: I
ITR: 5904 IT: 66 I SQ. FT STORIES TYPE I 6202 RENO AV I
I ISTRUCTURE: V-B I TEMP CA 917801534 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: [
5384-004-002 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
I
L L I
(TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: ]
I (EXIST OCC GRP: 01/12/15 SR [
I I I
[OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IYE, BAO YI (626) 560-7299- 1 5,000 I
16202 RENO AV I I I
ITEMP 917801534 1 FEES PAID [ ES RIPTION OF WORK 1
I I IKITCHEN AND BATHROOOM REMAEL ]
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
IWANG, LE WEI (626) 281-6984- IAA BLDG PERMIT ISSUANCE 27.80 1 I
11006 S YNEZ AVE AB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IALHAMBRA CA 91802 IB1
AC STRONG MOTION RESID 5000.00 VAL 0.50
PLANCHECK W/ENERGY 5000.00 VAL 124.00
1 JB2 PERMIT W/ENERGY 5000.00 VAL 145.90 I I
ICONTRACTOR: TEL. NO. IFR INV WORK W/O PERMIT 344.00 DOL 344.00 [APPROVALS DATE INSPECTOR SIGNATURE [
IWANG'S CONSTRUCTION (626) 281-6984- 1 TOTAL FEES 643.20 1 I
IPO BOX 263 LIC. NO I ILOCATION AND SETBACKS [ I I
IALHAMBRA CA 91802 909578 - I I I [ J
I I ISOILS ENGINEER APPROVAL I [ I
I I I I I I
[ARCHITECT OR ENGINEER: TEL. NO. I IFOUNDATION/TRENCH FORMS I I I
LIC. NO: [ (SLAB/UNDER FLOOR I I I
1 (RAISED FLOOR FRAMING I [
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I UNDERFLOOR INSULATION I I
1 3 001 II I1 1
I
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:. I I I [ I
] NO 21 1 IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
]AIR QUALITY: 1000 FEET MATERIALS I I [ I I
1 NO NO NO I [FRAME INSPECTION I I I
IFIRE SPRINKLER HANGERS I I I
I J I I I I
] I IINSULATION/WEATHER STRIPI I I
J I J I I
I J IINTERIOR LATH/DRYWALL [ ] I
I J I J I I
J IEXTERIOR LATH I I I
I I I I
(RATED FLOOR/CEIL ASSEM. [ [
I [ IRATED WALL ASSEMBLIES [ I [
(RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
I
I [ ILOT DRAINAGE I [ [
I i I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 I [