HomeMy Public PortalAbout4816 TEMPLE CITY BLVD_Building__ P" DEPARTIMNT OF BUILDING Aim SAFEty �►rri avn r+v>l r vn r�snara-�
QOIINTY OF LOS ANGELES- to le 194% U '
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FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY /,Z
DISTRICT NO PLAN OK NO PERMIT MO
BUILDINGDDRESS .� �� 77S�e
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R D/ DAT[Or APPL DAT[ISSUED
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OWNER �W i ���1�1 0 BODRQISS /
MAIL LOCALITY
ADDRESS it71 `
NEAREST
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CITY - 67a� ,
FIRE
— I ND or TYPE GROUP
ARCHITEC
T R [L Q ZON PLAMB
ENDINE[R NO
RD NO
ADDRESS W"�. L I SETBACK LINE -
APPROVED '
TEL' BY DATE
CONTRACTOR NO (0 n.A II
UBE D
YPROVCD DAT[
AD LEGAL _ CORRECTIONS
DESCRIPTION LOT NO BLOCK
TRACT
@ I ND aF SLDGB �!n A �f'l !n /I ��/ �l I
SIS[O►LOT NOW ON LOT
USE OF NO or I NO OI '
IXIBTINB BLDG FANIum ROOMS - f', ]
DESCRIPTION OF WORE y
NEW ALTERATION ADDITION
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.y � 9
REPAIRMOVING
NO OF
B DEMOLISH ' p
i[ /w ROOMS STORIES r
WALL OC►
COVERING
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DI BUILDING
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_ 1 HEREBY ACKNOWLEDGE—TAT I HAVE READ THIS APPROVALS
APPLICATION-AND STATE THAT THE ABOVE IB CORRECT, FOUNDAT�IppN LOCATION INSPECTOR �/ DATE
AND ACIRRE TO COMPLY WITH ALL AND STAT[ LAWS RE! ULAT NG BUILDING CONSTRUCTION ' FORM0.NAT[RIALS /(/ 'h 5 /- 19—, /
Z11FRAMs FI,BOLTBq
///JJJ��1 AB 1 BRACINp BOLTS
SIGNATURE OF JIJ _^IYdY_y�•✓9l_i//y_'
PERMITTCE I _
AUTHORIZED AGT
LATH,EXT
_DM-3 sons eEta 7019 ,8 69Po ]Fm"%5-
OB cc; PLASTER.INT
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-VALUATION -
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
• ! WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL W BUIU31NO
I hereby a0trm that I have a certificate of consent to seti Insure, BUI `
or a certi icate of VAirken Compensation Insurance,or a oetted �� E e "p
nappy thafed(Seecn/3000Lab C) Cm E C P9/'1 OCAL TV
Polk:y No06IJ4/47 Con,par,y V;g7E �ylNd
_r &ZE OF LOT /- NO OF BLOW NOW ON IAT 7x'
�' ar0�ed copy Is hereby furnished - Q �Tp fJ NEAREST CROSS
S1r (7
❑ Certified Copy Is filed with the CourcyWin a P'eCB ,y* /- "LOCK LOT NO v/
depeltertt /T (O mUSEZONE MAP NO
DSOs Appi ASSESSOR MAP BOOK MOE.:!�, PARCEL SPECIAL CONDITIONS o�Z 1"
CERTIFICATE OF ON FROM WORKERS' OWN J n NO
KE - yEs No
COMPENSATION INSURANCE Ol�� A�r'o wRTI,IN,000 Fr of eclaaT
(Ths.eetuon need not be completed!t the permit Is for one hundred / //y ,��5 TL(N/`�-S DISTRICT (GRDUP TYPE toter FIRE ZONE PROCESSEDBY,
dollen(t100)or less) f�
I certify that In the performance of the work for which this permt - L'Coe
T ZUP 7 O D - �D -� ✓ 3 G� �,
W Issued I shall not employ any person In any manner so as to ARCNffECrc,R ENGINEER TEL.NO
become subfect to the Workers Cornpemation Laws TI
STAns Tr-,1 F ON APT CONDO
Wn Applicant ADDRESS -- CLO NO DWELL UNITS
NOTICE TO APPLICANT If after making this Certificate of REQUIRED TOTAL'SETBACK FROM EXIST
Exemption you should become subject to the Workers _�t�-� S� TEL NO �/ SETBACK yAw Ntw PROP LINE WIDTH
Compensation provisions of the Labor Code, you must IorthwiN twe
comply with such provlswro orthIsperr,teha0 be deemed revoked AODfI u NO FROFfT
�� �2est a 76/3/ P L >
LICENSED CONTRACTORS DECLARATION �m L� �� uo a.tiRs / P of 8
I hereby affirm that I am licensed under provisions of Chapter B SPNER MAP �1f A
(conwrlencing wth Section 700dre
0)of DNIWon 3 of the Business and SO FT NO OF ORES NO g�AM WES AC CT.T C�
Pnaa®wrm Code and license is In full force and effect '-!S'— NEW BK PO
License PAu LIC CIaN �� / DESCRIPTION OF WORK ADD ❑
000-5rAeucr e7 hL�- ALTER ❑ S TtoN ��� i ITE13 z
El lamsxemptur,dersec 6.9 e.9GE. REPAIR ❑ $ TOTAL 107 _ 42-'
B BPC for" DEMOL El CHECK - 107.4::
Date USE OF EXISTING BLDGURM 11_ LgeA P/C. IHIITESig
G e Ar7 m B•eC/�L—
LDMAP.m.
❑ 1 ole owner of the property or m
my employees with wages es /Q�'✓�S zO
for sob compensation, will do the work and the structure my
not Intended or.% for sale (secbon 7064, Business and O2 myC�S�' Pe111L DA 4/ Q .T'�y 1 R92;07
Profeeelefm Code) MGLLTEAPPLI(wVNTCa ossa auLdrq OCpAYlrNM4EA1 WA1�W8YATOIML s— / , DEM:_
❑ 1 as owner of the property, am eXCI contracting wdh oa A wxniX+E c.rraemlo A I,AZAImam MATmML c.UTAL ro aR aRE06,Torn
,Is„�fY „g TII AMpMDaw ,WARO.,A wT6,MU Mowun.n oumEl FML
aN >
licensed
contractors
Proleel to cCO"'oda; the project (section 7ou l.Es❑ ra I� - - d�i 'ry �L 141 - 18
wlu E w s oca use aF,E auanva ter E ATJGWT oe rmec a AU o r HECK 141..7_1
CONSTRUCTION LENDING AGENCYoccLarxrl®IXRaAP61MTFOR COIBTRUCTOM�I s@nnonc �rroM
F�I CHANGE
D .130
I hereby atfmn at there Is a construction WndM agency for res 13
the performance of the work for which this permit Is Issued(Sec .
3057.CN C I HAVE RlAD TRE IIAxliI UND wTB,LLLY aNNLRpN ND1 AIO TIE NOffLm
) �/'� PBtla,Tar.C1fSA.mT I IAaX3K,AIDW REp,eBIEM,9„061 TIE LOS ANa�.E9
I%{/ cwrtvc..a.muzauPrmsn�.mwssm,mnwau.NrxuwcoNcewuwo
LerMafe Name IwiAnooua wlecualtPom,IgArO wRoewraaaAr6wur rROM TIERNOO
Lender's Address 57011
l.`Ia1.1.Ynrt
I certify that I have need this application and state that the above PC FEE PFAMrt FEE
Information s correct I agree to comply with all county
ordinances and state Tawe to Iaing mnatructl.n'and D • • 6O
hereby
10rof fhb purpose
to enter L= - ISSUANCE FEEIru
/ / INVESTIGATION FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE C
L
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COIMERCIAL ADDITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0406240004
PHONE. (626) 285-0488 EXT
LEGAL ID Ito OF CUNST NEW BUILDING ADDRESS:
TR 14467 LT. 4 SO. FT STORIES TYPE OCCUP GROUP 4816 TEMPLE CITY BL
ASSESSOR INF STRUCTURE 1492 1 VN B - TEMP CA 917804235
8589-015-003 - - - NEAREST CROSS STREET LOWER AZUSA _
THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY, C
IENANT ERIST BLDG U� CONINE USE ZONF�-C-r— ISSUED ON. PROCESSED BY EXPIRES ON.
RELIABLE DENTAL STUDIO_ _ EXIST OCC GRP B _ 11/30/04 JK 11/25/05
OWNER
NO BLDGS NOW ON LOT — FINAL DATE FINAL BY CODE
TSAI, ROY (626)TEL.
37-1218- 60,000 ��?
4816 LONGDEN AV c.T"
TEMP 917801609 p�R�p--QF �—
ADD NEW STUDIO LAB TO EXISTING OFFICE LAB
FEE DESCRIPTION QUANTITY UDM AMOUNT
APPLICANT TEL NO
BARBER CONSTRUCTION COMPANY (310) 704-1582- Al PLANCHECK W/EN-HC 60000 00 VAL 879 60
312 N. LONG BEACH BL AA BLDG PERMIT ISSUANCE 27 75 _
LONG BEACH CA 90221 AE STRONG NOTION OTHER 60000 00 VAL 12 60
A2 PERMIT W/ENERGY-HC 60000 00 VAL 1,034 83
CONTRACTOR TEL NO: TOTAL FEES 1,954 78
BARBER CONSTRUCTION CO (310) 7D4-1582- APPROVALS-
312 N LONG BEACH BLVD LIC. NO LOCATION AND SETBACKS
COMPTON CA 90221 351114 B
SOILS ENGINEER APPRNA7
ARCHITECT OR ENGINEER -7n--m FOUNL)ATiON/TRENCH FOMU-
POLY DESIGN GROUP (626) 679-5238- L'1/
PO BOX 6854 LIC NOb
ALHAMBRA, CA 91801 NONE
O
SLAB/UNDER FLOOR
MAP NO: SEWER MAP wax PAGE FIRE ZONE: CNP UNDERFLOOR INSULATION
144-269 3 04
NO. OF FAMILIES DWELLING UNITS: APT7CMiff-9TXT-MjV2- FLOOR SHEATHING
NO 22 ROOF SHEATHINGSCHOOL WITHIN -IT093509— $HEAR PANELS �—
AIR QUALITY- 1000 FEET MATERIALSaE
NO NO - NO FRAME INSPECTION
�J
INSULATION/WEATHER STRIP .7 r
CA=�
INTERIOR LATH/DRYWALL
LA
C -
RATED WALL ASSEMBLIES
RATED SHAFTS/OPERINGr-
-
REPORT ID DPR261 ROUTE TO: BS0508
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