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HomeMy Public PortalAbout4359 TEMPLE CITY BLVD_Building__ TDAweACE.eoaa-eeAPPLICATION FOR BUILDINti PERMIT IJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVLSION LOCALITY L JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, BUP T Or BUILDING CNEAREST ROSS ST O G TVP P B FOR APPLICANT TO FILL IN DISTRICT N �. pp (Print ort a Only) BUILDING STATISTICAL C IFICATION SEWER MAP ADDRESS 11 Tem le Ci Blvd. CLASS NO DWELL UNITS BK PG LOT NO BLOCK USE ZONE MAP NO I y TRACT SPECIAL NO OF BLDGS CONDITIONS ' SIZE OF LOT I NOW ON LOT USE O EXISTING BLDG DweLling BLDG SETBACK FROM OWNER U8 - F J Little NOL 2FRONTPROP LINEOF -(STREET) TYPO OF EXISTINGSETlAIX HIGHWAY } YARD• - TOTAL ADDRESS Z,OEWIDTH FROM C L CITY ARCHITECT OR TEL BLDG SETBAC - ENGINEER _ NO SIDE PROP LINED (STREET) TYPE OF EXISTING SETIIACK Y• } YARD = TOTAL ADDRESS p HIGHWAY WIDTH FROM C L CONTRACTOR Virgin ROOF TEL 28^7C-x05[07 } - d ADDRESS600 S. San Gabrie O 160650 CORNER CUTOFF YES ❑ NO U CITY San Gabriel CLASS C_39 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK d N 2 NEW ADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE Reroof old section with 30# fimlt. and 9W in hot asRhalt, SIGNATURE OF APPLICANT VALUATION S APPROVALS DATE IN/P[CTGR'1 SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE 9 .00 FORMS MATERIALS FRAME FIRE STOPS 1 HCR[/Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND /TAT[ THAT THE AROVC 1/ CORRECT AND AGREE TO CO"', FURNACE LOCATION WITH ALL COUNTY ORDINANCE/ AND STATE LAW/ REGULATING GAS VENT DUCTS /UILDINU0 CONCIRUCTION CCIRIrY THAT IN DOING THE WORK AUTHORIZED H[R[[V I WILL NOT EMPLOY 6San ROOM IN VIOLA LATH INT TIOM 01 TM[ WO COD[ 01 TME STATE NIA 4LAT INO TO WORKw CM 1 O TYN I� rjrrt Co. LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDREss600 S.San Gabriel brie FINAL JOHN F LEWIS PRINCIPAL STRV=TURAL ENGINEER PLAN CHECK VALIDATION CK w0 CASH PERM VALIDATION cK wo Cd1H 3 0 5 SEP 6 1 D 9.00- 79I1038A CE 4803 3-69 APPLICATION FOR BUILD NG PERMIT �I COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADORESS 4357 r O j. BUILDING AND SAFETY DIVISION LOCALITY An JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUPT OF BUILDING CROSS ST d FOR APPLICANT TO FILL IN o1sT��RICr o VHUUP TYPE CO ST PR OCE ED BY- (PRINT OR TYPE ONLY) 710 BUILOI NG STATISTICAL CLASSIFICATION SEWER MP, ADDRESS L _ CLASS NO DWELL UNITS BK PG LOT NO BLOCK USE ZONE MOAP �T C; N /L TRACT — SPECIAL - NO OF SLDG3 CONDITIONS SIZE OF LOT NOW ON LOT USE OF �a_ �� � EXISTING BLDG Y ✓ FROSETBACK FROM FRONT T PROP LINE OF (STREET) OWNER NOL -+ FR TYPE OF E%ISTI SETBACK HIGXWAY J + YARD = TOTAL ADDRESS ��?t HIGHWAY WIDTH FROM C L CITY ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO 510E PROP LINE OF V (STREET) TYPE OF EXmTNG SETBACK HIGHWAY +' YARD TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL CONTRACTOR NO I + ADDRESS NO LI CORNER CUTOFF_ YES ❑ NO ❑ Q LIC U CITY CLASS ~� SEE REVERSE SIDE OR SPECI L APPROVALS y CONSTRUCTION LENDER r' N NAME AND BRANCH Q ADDRESS Y SO FT NO OF NO OF ❑ 2 SIZE STORIES FAMILIES NEW USE OF ADD ❑ STRUCTURE 14 /� ALTER /— � X ��(' ds/e REPAIR ❑ SIGNATUREOF DEMOL El APPLICANT kz VALUATIONSiQ::P �SiIRS / APPROVALS DATE uaP[c Tons ncnATun[ FEES IPMTFEES 6E FOUNDATION T pAAION FRAME FIRE STOPS, ,I NEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION RA I AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSMUC- Y T TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFO II RELATING TO WORKMEN'S COM- PENSAT N INSURAI LATH, E%T SIGN4URE OF PHO NUMBER CORRECT ER ITTEE POSTED ADORES INAL JOHN F LEWIS, PRI CIP L STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M o CASH — PERMIT VALIDATION CK M a �(',�2 1 0 2 OCT 2 1 D //J/n- 6.00- Q �v v T d4wEA crreeos E-ee ' r APPLICATION FOR BUILDINd PERMIt COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEM ADOR ESS BUILDING AND SAFETY DIVISION LOCALITY_ JOHN A LAMBI E, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST R APPL ANT T FILL IN DISTRICT NO I GROUP TYPE PR D d ev- CON Prl nt ort a anaG7 BUILDING STATISTICAL CLAS FICATION SEWER MAP ADDRESS I CLASS NO DWELL UNITS_ BK PG LOT NO BLOCK USE ZONEI MAP '- TRACT NO L S h/f Z SPECIAL 1 NO OF BLDGS CONDITIONS SOF LOT NOW ON LOT .q ,[USE , EXISTING BLDG AVG N1oc LOG SETBACK FROMftoftog�- OCI T L FRONTPROP LINEOF (STREET) OWNER O TYPE OF EXISTING SETBACK HIGHWA �} VARO = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CITY ARCHITECT OR TE;6'jr'm.,"ar ETBACK FR ENGINEER NOROP LINED (STREET) )STI SETBACK HIGHWAY } YARD = TOTAL ADDRESS Y WI FRW CL TE } _ Y CONTRACTOR NOLIC d ADDRESS NOCORNER CUTOFF YES ❑ NO ❑ S LIC [C CITY CLREVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WO y Z NEW ADD ALTER REPAIR — SQ FT NO OF S1ZE STORIES USE OF STRUCTURE SIGNATURE OF O APPLICANT VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE P C PMTFOUNDATION LOCATION FEE S FEE 5 � FORMS MATERIALS FRAME FIRE STOPS I HERROY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AW AGREE TO COMPLY FURNACE LOCATION, MATH ALL COUNTY ORDINANCES AND [TATE LAwS R[GuuTING GAS VENT DUCTS euILOINO CCN RUCTION I CERTIFY THAT IN DoINO THE WORK AUTHORISED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LARGO! CODE OF THE STATE OF CALIFORNIA RE LAT IND TO WORKMEN S COY SATIO INSU LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _WhRECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRIt4CIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK NO CASH , PERM VALIDATION CK No CAC �_Ar^ 9 3 3 7 0 APR 14 D 9.00- A WORKERS COMPENSATION DECLARATION hereby affirm that I have r certificate of tion Insurance, nuranelf -- - - APPLICATION FOR - BUILDING PERMIT insure, ora certificate of Workers Compensation Insurance, or a certified copy thereof ($e� 3800;Lab C ) `- - -' _- "- --- --'- --- - - Pol¢yNoILY 42) ompany &6i"Cl D TwSou;NC 644wCOUNTY OF LOS ANGELES BUILDING AND SAFETY n Certified copy Is hereby furnished - + FOR APPLICANT TO FILL IN BUILDING - El' Certdled copy Is filed with I- coun budding i - - BUILDING ' hon department ` ADDRESS D. 1 Date s�,"}�Apphcam , CITY - _ _ tf -- ZIP y LOCALITY I 'r CE IFICATE OF EXEMPTION F M'WORKERS - + - / NO OF BLDGS I 1 - NEAREST ' COMPENSATION IN CE-" Lu SIZE OF LOT NOW ON LOT N ST (This sechon'need not be completed if the permit is for one - - - - —- - - ASSESSOR v^"„ hundred dollop(5100)or less ) ` TRACT BLOCK LOT NO MAP BOOK'• o PAGE PARCEL TEl USE ZONE I certify thoi m the'Oerformance of'the work for which this OWNER tJ0 - tip I i} permit Is Issued 1 shall not employ any person In any manner _ _ N sr SPECIAL•- - - - EL W as to become subject to the Workers Compensation Laws. ADDRESS 1 - Z CONDITIONS �V Date ' Applicant ,• I _ CITY I 1 ZIP_q 11 - _ _ _ _ _ _N _ �._ 109 NOTICE TO APPLICANT If, after making this Certificate of. ARCHITECT OR TEL I DISTRICT G UP TYPE _ , FIRE D BY - 10 Exemption'you should become subject to the Workers - ENGINEER NO OONSF. ZONE Compensation provisions of the Labor Code you must forth- ADDRESS �rU _ n with comply with such provisions a this permit shall be - TEL- - deemed revoked i, , ` - + , CONTRACTOR STATISTICAL CLASSIFICATION I Al:,' ONDO LICENSED CONTRACTORS DECLARATION + - - - - - - - - - LIC - -- OASS NODWELL UNITS_ A I hereby affvm that I am licensed under provisions of Chapter 9 ( ADDRESS ftp 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 - - - - I VALWATTON BK PG _ SO FT _ -_ Fp OF _ __ NO OF _ _CHECK License Number ' Llc Class SIZE STORIES FAMILIES ONE r .+ VALUATION Contractor" ' Dale ' 1 DESCRIPTION OF WORK \ - NW'' $ 3 6U� I - - - D 2 1,1 3A - L ADD ❑lame empt under Sec - - OW--T ALTER ,u � •f• ••• 23 B&P C far this reason 0REPAIR $ - 2 • • 4 9 4 1 -' USE OF ' I Date EXISTING BLDGDDEMOL - • •-• Signature APPLICANT TEL FINAL y 4 9 4 1 OWNER-BUILDER DECLARATION (PRINT) NO DATE - /� _.. _( 0-420-,84 - I .b2Q-$4 - I hereby offmm that I am exempt from the Contractor s License Law for the followmg reason (Section 7031 5 Business and ADDRESS FINAL- Professions Code) . _ _ _ PRESENT -`By © ADDRESS I, as owner of the property or my employees withBUILDINGh ADDRESS _- _ _ _ _ _ wages thea sole compensation will fa the work and 0 33 ' _ r the structure Is not intended or offered for sole(Section LOCALRY 21 1 4A 7041 Business and Professions Code)- _ - MOVING'^ - --'^ _' _ _ - TEL I as owner of the property am exclusively contracting CONTRACTOR NO • • •,• • 1 with licensed contractors to construct the project (Sec ADDRESS 2 • • b b 3 hon 7644 Business and Professions Code) , -' - " CONSTRUCTION LENDING AGENCY - SET BApL -YARD CK FROM EXIST HWY` TOT PROPSETLINE WIDTH - • • 6 d 6 3 Q 1 hereby affirm that there so construction lending agency for FRONT f + 1r -the performance of the work for which this permit is Issued -- P L- - - - - - - -- - - - - - -Q 620-84 - 1 (Sec 3097, Civ C ) SIDE PL J Lender's Name - - _ - , IDMA Ref E >� Lender's Address PC Fee S - Permit fee I _ polo G _I certify that I have read this application and nate that the In..Fee / 67D -LDMA P/C E above Information Is correct I agree to comply wnh all County _ Investganon Fee -- - -- - - ordinances a State laws relating to budding cons}ruci,.n Tolol Fee V J LDMA Perm It ij Ong—hereby au orae repr totrves of this County to enter f es u e ab)v entioned Impaction purposes SEE REVERSE FOR UO'IANATLMY LANGUAGE s, _ _ _ gnctvm of Appllma or Agent WORKERS COMPENSATION DE AIZATION hereby affirm that I have a cer mpe, of consent to self APPLICATION FOR BUILDING PERMIT _111111 insure or a cenificote of Workers Compenstion Insurance or d + , a certified copy thereof (Sec 3BOO Lab C ) !,t ( COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company 1 Certified copy in hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec t BUILDING tion department ADDRESS Ct q LOCAL Y .� Date Applicant CITY ZIP 91/ 00 CRROOSS ST CERTIFICATE OF EXEMPTION FROM WORKERS 7 NO OF BLDG$ ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT " MAP BOOK PAGE PARCEL (This%action need not be completed if the permit is for one 5 N USE ZONE hundred dollars ($100)or less ) _ TRACT 9 LOT NO NO TEL �( SPECIAL IL I cemfy thot in the performance of the work for which this OWNER 6A LAlk NO — `� 1 CONDITIONS O permit is issued I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE D BY V so as to become subject to the Workers Compensation Laws ADDRESS y' e O — Cv---A / do Y %V/ O Date Applicant CITY ZIP STATISTICAL LASSIE LCAT A CONDO NOTICE TO APPLICANT If after making this Cenificota of ARCHITECT OR t TEL W Exemption you should become subject to the Workers ENGINEER NO CLASS NO DWELL UNITS_ d Compensation provisions of the Labor Code you muss forth I N ADDRESS I SEWER Z with comply with such provisions or this permit shall be deemed revoked CONTRACTOR TEL I BK VALIDATION LICENSED CONTRACTORS DECLARATION LIC - I hereby affirm that I am licensed under provisions of Chapteri? ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LK Professions Code and my license is in full force and effect CITY CLASS s 9S 000 ' ` SOFT+41 NO OF NO OF CHECK L¢ense Number Lic ClassSIZE 7/�O STORIES FAMILIES 0 ONE Contractor Date DESCRIPTION OF WORK NEW ❑ S ❑ ADD I am exempt from the licensing requirements as I am a I licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051 REPAIR ❑ DATE Business and Professions Code) ` USE OF EXISTING BLDG DEMOL FINAL B Lic or Reg No Date APPLICANT TEL y �� '�0 �� 8 A OWNER BUILDER DECLARATION (PRINT) NO /y hO� . . . . . I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS z 2 -'69850 Professions Code) PRESENT 1Z 8 ❑ BUILDING . . 6 9E, 5 0 U I as owner of the property or my employees with ADDRESS ��� 20 �� wages as their sole compenwtion will do the work and LOCALITY z � 0 6 0 9—8 1 the structure is not intended or offered for sale(Section 7044 Business and Professions Code) MOVING TEL ga�_, as owner of the property am exclusively contracting CONTRACTOR NO i with licensed contractors to construct the project (Sec- x ADDRESS 7044 Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE w1wil , 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 CIN C ) SIDE PL Lender s Name /�� 8 lender s Address P C Fee dg/ of C- Permit Fe /Q.�> I certify that I have read this application and state that the Issuance Fee /_ V above information is correct I agree to comply with all County InvesoVaoon Fee T) ordinances and State lows relating to building construction Total Fee i L7 v and her a onze repsentatives of this County to enter e o v nti nodepro y for mspeclion purposes 6 � SEE REVERSE FOUR EXPLANATORY LE Sign of Applicant or Agent Dote 0e O6