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Home My Public Portal About4430 TEMPLE CITY BLVD_Building__ DEPAI'TMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' QUNTY OF LOS ANGELES ,AN - '11946 BUILDING �... J. FOX, CHIEF ENGINEER - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY GRESS T DIBTR�NO. PLAN OK No PERMIT NO. "O'E G 12 12Z So. sl)wsF' ff/- VAR AGy� n LOCALITY / JEMp/ F [c //�/y BY DATE or APPL 9 DATE ISJ(BHDUCID NEARESTB CRO T OWNER Y - 5 , RAH BADDRESS UILDING MAIL /J NEAREST CITY No ROSS BT�/I�µ.�i � FIR[ ND OF TYPE I GROUP ARCHITECT OR T¢L ZON f I PLANB Z ENGINEER No '777/��, BLDG �. _ ORD NO. ADD R[TBACK LIN[ APPRQV[D TEL BY DAT[ CONTRACTOR NOo USE _ APPROVED D REBB ZONEJ7 BY DAT[ `EO"` CORRECTIONS DESCRIPTION LOT LOT NO I BLOCK // q �r' J^ TRACT / 27 /� off fK L�/ [�/. f' .21 - NO OF BLOOM SIZE or LOT ID I NOW ON OT MA 1 USE or NO Or NO DF �J EXISTING BLDG -)'1A. F.wluu/ ROOMS / DESCRIPTION OF WORK P �J ✓ NEW ALTERATION ADDITIDM O / aB REPAIR MOVING D[MOLIBH p No Or BSI ZER /4.0 J ROOMS 7 STT`O(RIE.SCL[` COVERINGS/D/NG I COV[RINS�!/7//r(J�U ' "U'USEOr NEW RES/DENc.°E c �� BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION. NBP[C OR DAm4 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANC[B FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME FIRE STOPS. 'SIGNATURE or BRACING. BOLTS OWNER LATH, INT.- AUTHORIZED ADT LATH, EXT A FEE • Op PLASTCR. INT FE[ / — PLASTER. EXT _ VALUATION f �OO —' B� / FINAL DEPARTMENT OF BUILDING AND SAFETY) APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING ® WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO ---PLAN OK NO PERMIT ND AD'DR[BD / n LOCALITY C L 1}7 R[OE V[D BY DAT[OF APDL DAT[ISSUED =Ras ST. 4A WF !P . 0— —,V _ L BUILDI NO OWNER G 6 t C ,L L E ADDRESS ADDRESS �'n �J�/�� t / LOCALITY 6 o1Tr n CFM r ra.n No —� ORCBBeST FJ/L� ZvSf''>7 FIR[ MO Df TYPE SROU� ARCHITECT OR TEL ZONE PLAN B�� ENGINEER NO SLOG ADDRESS SETBACK LINE 1 APPROVED TCL By ' DATE CONTRACTOR �. NO UB[AQOAPPROVED � ZONE SYS DAT[ LEGAL CORRECTIONS DEBCRIITIOnN �LOT NO BLOCK TRACT 1)N X i p NO OF BLDGB BIZ[OF LOT NOW ON LOT USE OFNO 12A..OF O i Roar. / Y.3-6 DESCRIPTION OF WORK Q NEW ALTERATION ADDITION O a REPAIR MOVING DEMOLISH p BD FT NO OF ' Z SIZE ROOMS STORIES Z r WALL COVERINGSn gOOf / COVERING /✓C� G C ue["NLW BUILDING /�- E3 a 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT INSPECTOR DAT[ AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FFORM%MATION2 LOCATION AND BTATE LAWS REBULATINO BUIL13IND CONSTRUCTION FORMS.MATERIALS n FRANEI ►IR[BT SIONATUR[QF T/j(/ BRACING BOLTS P[RM%TT[ LATH. INT AUTHORIZED LATH. [XT. ' 7us'YA-3 TM P C.S PLASTER. INT rc[ PLASTER.EXT. VALUATION " _ SZ/ FEE FINAL ,may i TEMPLE CITY", ." APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES B INa DEPARTMENT OF COUNTY ENGINMM A qE� BUILDING AING ASAFETY DIVISION LOCALITY t JOHN A LAMBIE. COUNTY ENGINEER NEAREST 1 M A JKNSIEN. gu ,Ru DISTRICT NO G UP TYPE PR SED BY FOR APPLICANT TO FILL IN G CONST BUILDING a STATISTICAL CLASSIFICATION y9 ER MAP ADDREHB O TQN1 6 i+1V CLASS NO WELL UN1T8 SK PO LOT NO BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE TRACT MAP HIaNwAY NO OF SLOGS NO (CIRCLE, STATE MAJOR CON LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS USE EXISTING T-BLDG /1 / OWNHgT C. LC.o NO LtI 1244 BUILDING EXIST �I,1 Q SETBACK YARD HWY STREET NAME WIDTH ADDRESS 44D Te—fit (,� 17�V{ FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE ADDRESS d TEL jn1 Q7 INSPECTION RECORD O CONTRACTOR 'I'I�CVAP NO AT-q17 ! U ADDRESS 0 W V 5r'1126A1f / w Q DESCRIPTION OF WORE /IVA< /i NEW ADD ALTER REPAIR DEMOLISH n 21 SO FT NO OF NO OF – IZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION E APPROVALS DAT JwEgOp 5gilWATURE PC PMT FOUNDATION LOCATION FEE FEE FORMS MATERIALS 1 FRAM! FIRESTOPS I HEREBY ACKMOWLED01 THAT I HAV!READ THIS APPLICATION BRACING BOLTS AND STAT!THAT THE ABOVE IY CORRECT AND AGREE TO COMPLY FURNACE LOCATION J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS J BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK T / AUTHORIZED HIRESY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATHIM TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RRLAT ENO TO WORKMEN E COMPENSATION IN6URAN LATH EST I 1 SIGNATURE OF HOUSE NUMBER COR- 7RMITTE RECT AND POST AODRES w Q PIMA I�s'.62 CLYDE N DIRLAM PRINCIPAL STRUCTU L PLAN CfiEC•H VALIDATION oR. no cABx PERMIT VALIDATION m no U1�0 7 1 8 6 Q9 cul 17 s o 3.0 0 �� ?6Aa38A CE#BGE5SIAPPLICATION FOR BUILDING PE IT COMM OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGDVEER ADDRESS MWING AND SAFETY.DIMION LOCAL rrYrr I JOHN A LAMBIE. COUNTY ENGINEER NEAREeT IAM JENSEN UP BUILDING CROSS ST DI6TR1 fl0 O P FOR APPLICANT TO FILL IN BY U CONST BUILDING STATISTICAL CATION ER MAP ADDRESS BK PO CLASS NO DWHLL17 UNIT L07 N0 BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE TRACT MAP ,/ IGHWAY NO OF BLDGS NO Il ICIRCLCI STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USF ZONE SPECIAL USE OF CONDITIONS EXISTING BL O TEL OWNER NO - B LDING YARD HWY STREET NAM EXIST / P SETBACK WIDTH OGRESS b L FP L � I I ARCHITECT R TEL P L ENGINEER NO SIDE 30 ADDRESS TEL INSPECTION RECORD CONTRACTOR NO ON --� ADDRESS -- DESCRUMON OF WORE NEW ADD ALTER REPAIR DEMOLISH / SO FT NO OF NO OF RE STORIES FAMILIES USE OF STRUCTURH d SIGNATURE OF APPLICANT / VALUATION S APPROVALS DATE INSPECTOR E SIGNATURE P C PMT FOUNDATION LOCATION FEE F!E S FORMS MATERIALS 1 FRAME FIRE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY FURNACE LOCATION � ' I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ' BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK _ AUTHORII ED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 1 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA "SLAT ING TO WORKMEN S COMPENSATt N INSURANCE SIGNATURE OF PERMITTEE HOUSE NUMBER COR- RECT AND POSTED ADDRESS FINA CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENoEA PLAN CHECK VALIDATION cK r o eAEx PERMIT VALIDATION cN r o //vim [.f--LD 7 2 7 2 Qi Ai 19 1 D 2.0 0 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD NG ADDRESS _ Q I/ I hereby affirm that I have a certificate of consent to self Insure BUILDING O C m z ^ T 41. — /` Lt T U�V or e certificate of Nbrkers Compensation Insurance o a CBltlfled G /�/j �E LI CAr - / 7 (:Po copy thered (Sec 3800 Lab C) CITY' �T L('�,� >JP9` 7 8 LocAirry Poky NO Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST�C�R/059 ❑ Codified Copy Is filed with the county building Inspection TRACT BLOCK LOT NO LBE/�/C/t // '^ S •—"T1J department - USE ZONE MAP NO , Date Applicant ASSESSOR MAP BOOK PAGE MRCEL - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER COMPENSATION INSURANCE S �O TEL y#ivy 74—f— YES NO VyfiMN 1000 FT OF SCHOOL' (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or fees) sAAfe AS A+6 aVe DISTRICT GROUP ST ME ZONE PROCESSED BY I certify that In the perfomance of the work for whr the arY ZIP permit s �/D� issued shell not empty arty person In any manner so as to ,f become Subject t0 the Workers COmpansatwn Laws ARCHITECT OR ENGINEER TEL NO TATI SSTICAL 55IIFICATION APT CONDO Date Applicant ADDRESS CLASS NO �p2DWELL UMTS NOTICE TO APPLICANT If after making this Certificate of REGUIRED TOTAL SETBACK FROM EXIST Exemption you should became subject to the Workers CONTRACTOR ' r / TEL NO ' SET BACK yppp 1{Wy PROP LINE WIDTH Compensation proomns of the Labor Code you must forthwith iV ry comply with such provisions or this permit shall be deemed revolted ppD(/��Ey�s T `//�''�� a uC NO FRONT LICENSED CONTRACTORS DECLARATION ' � '��P� D BIDE CITY —7 C /�� LIG_r ACID— P L oherebye affing that I am licensed o DwisonoV of the Of Chapter 9 C•' {..' SEWER NW (commencing with Section 7000)of Orvsion 3 of the Blslrless and SO FT SIZE NO OF STORIES NO OF FPMILIES Professions Code and my license Is In full force and effect NEW ❑ BK PG ; } DESCOF r 1 a License Number LX; Class OContracto Date 1:3 $ O ALTER ❑ 1 am exempt under Sec 3� REPAIR ❑ $ Q BEPC for then , L DEMOL ❑ W DIAA P/C 0 Date USE OF EXISTING BLDG URM ❑ S Rtu re APPLICANT(FR rr) TEL NO MW Perm r 1 ` Z as�avne the property or my employees with wages as = aI_I_T.i their sole compensation will do the work and the structures ADDRESS O not Intended Or offered for sale (Sector 7044 Business and FINAL DAM �L4 Q 3303 111.1 Profe5 s Code) NqL TIE APPUGVIi IrrLgE BIAI.DNp OCCLMMr NAN0.E A IU2IfmOU9 MATERUL ❑ I as owner Of file propery 8m BxCIILSNBTy COrtfBCtirg With A MI%TUVE CANT A INZ/.fiNo$MgTERM1 ECUAL TO OR(ME/.TER TINN THE 1 ITEM AMCW19 9PEGFEO THE HAUALUIIs MAiERW$NFORMATIpV GUwE� FINAL BY j y licensed contractors to construct the project (Section 7044 'Ea ❑ No TOTAL 1? ,_/�i Business and Professions Code) _ WILL THE ERENOEo USE OF THE 9UOLNO BY THE APPLICANT on FUTURE BLILONO ` CONSTRUCTION LENDING AGENCY 000U n REOURE A RIM For CCNSTRUCTKA OR IADOKIC "F THE SOUTH I HErF 121.15 CAAST AIR oIINJTY OEVENT DISTRICT ISCApADI SEE PERM"NO CHECKLIST FOR No � �� ATI cuoEUNEs I hereby affirm that there Is o conch this ending agency( lion vEs❑ the Performance of the work for which itis Pomrt s sued(Sac ' r m IHAVE READ THE IUZARNo$MATER YfCRNA IOUOE NY]TIE eUONp PEgM'TTNO ,�gT CN C I L!E UNDERSTAND MY REMENTS I'ER TME LOS NlaELE9 COLNTV CODE Lenders Name MAT x PRvrm AM,Nool oewnu00iaA FRquTHE 4ocoHcinai,NoHAZAfiD(M.9 IJQIII}Q�I]1 L:�2L�1� Lenders Address W 31,"57 1 F9912:15 I f perjury that I hale read this application is are state under penalty g Of perjury that the above Information Is correct I agree to comply f/FlEE PERMIT FEE $ with county oNlnances and tete laws reletlrlg to building , S c it Ion and her aWhn re sof this County ISSUANCE FEE la4 'YO t e Iha pmpery t0!uspectgn p7UrposesS 1NVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE , 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 0811030014 PHONE (626) 285-0488 EXT I ' I LEGAL ID I NO OF CONST BUILDING ADDRESS I ITR 12998 LT 91 I SQ FT STORIES TYPE 4430 TEMPLE CITY BD ISTRUCTURE 232 V-B I TEMP CA 917804230 _ ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA - 8592-001-020 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY C (TENANT EXIST BLDG USE RESID USE ZONE R-3 SS90ED ON PROCESSED BY IEXIST OCC GRP 11/03/08 SR I I (OWNER TEL NO IBLDGS NOW ON LOT I I I VALUATION IFINAL DATE, FTH>ALBBY CODE 1 ICASTRO JUAN E,ELIZABETH L (626) 444-4705- 1 _ 3 600 I��/T' ��'J 14430 TEMPLE CITY BL I� (1 SS// (TEMP 917804230 FEES PAID D SCRD SCR-�N/OF YORK I CHANGE PITCH ROOF AT FAMILY ROOM AND REROOF WITH COMPSITION IEEE DESCRIPTION QUANTITY DOM AMOUNT SHINGLES 232 S F IAPPLICANT TEL NO PS CONSTRUCTION (626) 442-2764- IAA BLDG PERMIT ISSUANCE 27 75 1 1Ey415 PERSIMMON AVE IAC STRONG MOTION RESID 3600 00 VAL 0 50 [SPECIAL CONDITIONS (TEMPLE CITY CA 91780 LAX BUILDING REVIEW FEE 54 70 D2 PERMIT W/O EN-HC 3600 00 VAL 115 80 , I 1 TOTAL FEES 198 75 [CONTRACTOR TEL NO I 1APPROVAL9 DATE INSPECTOR SIGNATURE IF S CONSTRUCTION (818) 370-2901- I I 15415 PERSIMMON AVE LIC NO VACATION AND SETBACKS ] TEMPLE CITY CA 91780 431044 B r I ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO I \` [FOUNDATION/TRENCH FORMS 1 1 LIC NO I SLAB/UNDER FLOOR 1 _ (RAISED FLOOR FRAMING [MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMPI JUNDERFLOUR INSULATION 1144H269 3 00 I I IFLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I - 1 NO 21 1 R00- SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANE S [AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS ]SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDS PL- tel' [INTERIOR IATH/DRYWALL 1 EXTERIOR LATH ] RATED FLOOR/CEIL ASSET( (RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS T-BAR CEILINGS [ IAT DRAINAGE 1 I [REPORT ID DPR261 ROUTE TO BSO 508 I I I I I r, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0908120002 ! PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 12998 LT 91 SQ FT STORIES TYPE 4430 TEMPLE CITY BL STRUCTURE V-B TEMP CA 917804230 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LOWER AZUSA I 8592-001-020 I THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY, Cl ITERANT - EXIST'BLDG USE RESID USE ZONE R-3 ISSUED ON PROCESSED BY (EXIST OCC GRP 08/12/09 SR OWNER TEL NO IBLDOS NOW ON LOT VALUATIONFINAL T FIN�L� CODE 1 , JUAN (6261 444-4]05- I ],500 4430 T �(\ J 4430 TEMPLE CITY BL ITEMP 917804230 FEES PAID IDESCR LION OF WORK CHANGE OUT 24 WINDOWS SAME hOCATION IFEE DESCRIPTION QUANTITY DOM AMOUNT ! APPLICANT TEL NO IP S CONSTRUCTION (626) 442-2764- AA BLDG PERMIT ISSUANCE 27 75 15415 PERSIMMON AVE AS STATE GREEN BIRO FEE 7500 00 VAL 1 00 SPECIAL CONDITIONS TEMPLE CITY CA 91780 AC STRONG MOTION RESID 7500 00 VAL 0 75 _ D2 PERMIT W/O EN-HC 7500 00 VAL 183 00 FR INV WORK W/O PERMIT 257 00 DOL 257 00 (CONTRACTOR TEL NO TOTAL FEES 469 50 APPROVALS DATE INSPECTOR SIGNATURE IP S CONSTRUCTION (818) 370-2901- 15415 PERSIMMON AVE LIC NO I IL.00ATION AND SETBACKS ITEMPLE CITY CA 91780 431044 B I I ISOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER TEL NO FOINDATION/TRENCH FORMS LIC NO (SLAB/UNDER FLOOR RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 144H269 3 001 FLiOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 21 ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS SHGR PANELS I AIR QUALITY 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION I REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH I I I FRONT PL- IINSULATION/WEATHER STRIP I SIDE PL- I (INTERIOR LATH/DRYWALL (EXTERIOR LATH I I IRATED FLOOR/CE IL ASSEM � I I RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS I LOT DRAINAGE REPORT IO DPR261 ROUTE 1O BS0508 1