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HomeMy Public PortalAbout4819 TEMPLE CITY BLVD_Building__ . - � T CO S {� WM. ..I CHIEF GINEER ANGELES f S p I L ® [ N G EN I w FOR APPLICANT TO FILL IN V 1 Q A Q FOR OFFICE USE ONLY BUILDING } }7'�') �y ISTRICT NO PLANCK NO PERMIT NO ADDRESS /D.� S Soarr 5Q�.1r/. �OV=E�E:1 � LOCALITY pI(�cmk Cry, I RECEIVED BY DATE OF�yAPPL�+ DA`T+EI/BBUED NEAREST CROSS BT ebsLc-y l 1//✓IZ/V� 1 '!/�A-- yy ho-.2 -- t/ MZEC,—,e 44AW Co. ADD ESNS BUILD OWNER MAIL ADDRESS N, .(IUF OA'C LOCALITY CITY lIC/a 0/f� TOL �7 - Z501 CROBBST IN-'��•T TEMPLE CITY 7uwaA CERa03 8•ee APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMSIE COUNTY ENGINEERNEAREST COLEMAN W JENKINSAUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DICcolp+sT P r SrR T N G a UILDINO �' m :LASS ASSIFICATION SEWER MAP ADDRESS 481 N. Temple Cit Blvd. CLASS NO OW ELL UNITS BK LOT NO BLOCK USE ZONE MAP D TRACT or eL 01 cz NO SPECIA NoL SIZE OF LOT MOW ON LOT USE OF ""TING BLDG- BLDG SETBACK FROM TEL IRONT PROP LINE OF (STREET) OWNER NO TYPE OF ■FISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS T C Blvd. I F DL CITY Temple City XV - ARCNITEC OR TEL BLDG SETBACK FROM _ _ ENGINEER NO SIO[ PROP LIN[OF ■TR[ET TYPE 01 EK IST INO S[TSACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH IROMCL CONTRACT[[O�RR��V H C 0140 TEL O } _ ADDRESS 600 San kbpel Np 1 �v CORNER CUTOFF YES 0 NO CITY Q-- CLIC C 39 SEE REVERSE SIDE FOR SPECIAL APPROVALS a DESCRIPTION OF WORK 0 NEW ADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF CC SIZE STORIES FAMILIES US OF STR CTURE Market — Repair with Sno-HideWhite Coating SIGNATURE OF Virgin oo Uo. APPLICANT VALV ATIDN$ I 7'3 10 1 OU APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION, LOCATION FEE$ PEES 12P00 FORMS MATERIALS FRAME, FIRE STOPS, 1 HGEGY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BDLT AND STATE THAT THE ABOVE IG CONFECT AMC AORE[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY R*INANC[[ AND STAT[ LAWS IKOULATING GA! NT DUCTS NILOI NG CONRR ION I C[RTI FY THAT IN DOING THE WORK AUTHORII[p NER[G 1 WILL NOT EMPLOY ANY P[RSOH IN VIOLA LATH INT TOM OF THE LABO CODH OF TH[ STAT[ OP CALIFORNIA RELIT ING TO WORKMEN S P[NGATION INSURANCE xr SIGNATURE OF Vlr II P 0 HOUSE NUMBER COR- PERMITTEE POST A ADDRESS 00 San Gabriel Blvd. , Gab ] N ALL JOHN F LEWIS P iNCIPAL ST RAL ENGINEER PLAN CIECK VALIDATION CK MO CASH _ PERMIT VALIDATIONCK M O GS" LAC43 3 6 5i� JW29 1 D 1 2.00— e aL 76ONA Ab CE 1800(REV IT/78)T' APP_LICAT �VBt;U�ILOI RM IT !1 COUNTY OF LOS ANGELES _ _ _ _ BUILDING AND SAFETY - FOR APPLICANT TO FILL IN_ BUDDING 48 ADDRESS- BUILDING ADDRESS LOCALITY _ NEAREST CITY ZIP CROSSST Nqr o OF BIDGS ___ _ c = ASSESSOR_ - _ SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARC "- -DISTRICT GROUP TYPE FIRE ESSED BY TRACT BLOCK LOT NO O�i CONST / - OWNER YQUAI A STATISTICAL CLAW( ON SEWER MAP ADDRESS CLASSNO DWELL UNITS BK PG I C1TY ZIP'- - " ARCHITECT OR - TEL VALUATION $ 2 ENGINEER - - NO - !� - ADDRESS BL ETBA K M E FRONT PROP LINE EETI CONTRACTOR TOT BACK FROM TYP ISTIN LIC HIGHWAY + YARD F TPROP LINE HIG WIDTH ADDRESS NO LIC- p•- CITY CLASS CONSTRUCTION LENDER -- - _ __ _ _ BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) -` - _ HIGHWAY •+ YARD - TOTAL SETBACK FROM TYPEOF 1EXISTING Sr ADDRESS CITY SIDE PROP LINE HIGHWAYI WIDTH 50 FT NO OF NO OF CHECK SIZE STORIES - - FAMILIES ONE O USE ZONE MAP DESCRIPTION OF WORK NEW NO -' - SPECIAL F Fay ADD ❑ - CONDITIONS- - - - a ALTER FINAL 77// J� BY REPAIR DATE EXISTOING BLDG ?o,'7.-/, /DEMOL 2 0 -- APP(PRINT? O S T O 967 v t # • • • • 2 3 BY(SIGNATURE( 440 2 ­ 2160 id ' > . . . 2160� - IHEREBY ACKNOWLEDGE THAI HA E READ A TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES C p_ AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE 0 5 0 B-8 0 - WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5COM _ PENSATION INSURANCE SIGNATURE OF - - - - -- I - �g 0 2 S2 A -- PERMITTEE # ADDRESS . . . . ..� _ � Z -TEL- -- - 2 • A 3400- r ; CITY NO ' a '• • • 3400V '_ _ _ P C Fee S a) 14/7 PermB Fee - / > ' 0508-80 Issuance Fee / Total Fee / WORKERS'COMPENSATION DECLARATION <-f 41 - hereby affirm that I have certificate of tionconsentra ce APPLICATION- FOR BUILDING PERMIT coeurs a a certificate of Workers Compensation Insurance I or a certified copy thereof (Sec 3800, Lab C ) Policy No.S3b33yP3 Company .r>.fTs Cse•nilQ-- - COUNTY OF LOS ANGELES_ BUILDING AND SAFETY Certified copy is hereby furnishedBUILDING FOR APPLICANT TO FILL-IN - ADDREss Certified copy is filed with the county building inspec- /� f� ,/tion department ADDRESS AA l y�YO---c LOCALITY -7 NEAREST Date /—'K-Pf Applicant CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FR ORKERS NO aX &DGS ASSESSOR ` COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (Thu section need not be completed if the permit is for one TRACT - - BLOCK LOT NO USE ZOPE / - -- hundred dollars($100)a less )- - > - -- - t _ ./ _ _ ' - - - - I certify that in the performance of the work for which this OWNER S".;A - A NO S/ Z Z_'I CONDITIONS d permit is Issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers Compensation Laws ADDRESS -f I CO ZONE - O OC Date Applicant ARCHITECT OR p ZIP �L `� l STATISTICAL p�FICA.,TFI CONDO O NOTICE TO APPLICANT If, after making this Certificate of RCHITENGINEER IJO" ClASStdf�DWEl1 UNITS_ to Exemption, you should become subject to the Workers' d Compensation provisions of the Labor Code, you must forth ADDRESS - - - SEWER MAP with comply with such provisions or this permit shall beZ deemed revoked CONTRACTOR IFiK ftp - BK SPG 3/ VALIDATION LICENSED CONTRACTORS DECLARATION s( LIC I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS NO Q VALUATION 0 O (commencing with Section 7000)of Division 3 of the Business and1� y� LIC CLASS 3 : Q Professions Code, and my license a in full force and effect CITY /" poll 3.SS E IIESQNO S FAMIS ONE NO OLIECx Lrcense Number3 cc Lic Clan SIZSTOR Contractor //0 �ile �S� L DESCRIPTION OF WORK NEW ISI f 1 r T ADD. I am exempt under Sec V F� �� '� ALTER ❑ FINAL 7 B 8P C for this reason �� / - .4 OT O ,i REPAIR ❑ DATE, �� `�4 " O O C n A Date USE OF EXISTING BDG DEMO. ❑ By FINAL �^_ + e . • ) Signature APPLICANT TEL _ ;e a . i a n o OWNER-BUILDER DECLARATION PRINT D NO .. p "f I hereby affirm that I am exempt from the Contractor s License O,S H wI t�,� ► �lr J1`� Law for the following reason (Section 7031 5, Business and / - - Professions Code) C 1 1 p— P, Q ❑ &AIDING _ _ _ _ I, as owner of the property, or my employees with ADDRESS . wages as their sola compensation,will do the work and _ the structure is not Intended or offered for sale(Section LOCALITY 7041 Business and Profession Code) MOVING TEL 1,m owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 70" Business and Professions Code) _ REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY ' I hereby affirm that there is a construction lending agency for , FROM - PROP LINE WIDTH - the performance of the work far which this permit Is Issued P L r' 7Sec 3097, Civ C ) s PL Lender's Name Lender's Address PC Feell Permit Fee t I certify that I have rood this application and state that the Issuance Fee < above information is correct I agree to comply with all County Investigation Fee e$ ordinances and State jaws relating to building conshuctlon, Total Fee and hereby authorize representatives of this County M enter sa upon the above-mentioned property for Inspection purposes 9 � /—51—lielitel _ S@ REVERN FOR EXPLANATORY LANGUAGE - &gn of Applicant w Agent Dass as )WORKERJ COMPENSATION'DECLARATION surebora car fica I have certificate of consent to .el, APPLICATION FOR BUILDING PERMIT ` insure or a certificate of Worker Compensation Insurance, or o certified copy thereof (Sec 3800 Lob C)- COUNTY OF LOS ANGELES i BUILDING AND SAFETY Policy No eg8RY7 Company S Fr`N� ` ❑ Certified copy is hereby furnished , . )FOR APPLICANT TO FILL IN ` =RD'W' p o �j / ADDRESS O /9 T.n /Q C/7— P/✓O Certified copy o fled with the county building impar gUILpING IZY tion deportment / ADDRESS � 7—e IPA t T 1 -tA ' t " Date 3 8�Applicant CITY /•'M �G `Cr`T" `(IP• LOCALITY RTIFICATE OF EXEMPTI WORKE SIZE OF LOT �/ ^��� No OFF BBU)GS - NEAREST COMPENSATION INSURANCE ST LOWv A ZtIS A Avr—_ (Thu section need not be completed if the permit is for one ASSESSOR hundred dollars (5100)or less ) TRACT BLOCCK.r - LOT NO MAP BOOK PAGE PARCEL OWNER- YO S / /qQ LCLT TEL U)N I certify that in the performance of the work for which this Flo /yDH I permit is[mod, I shall not employ any person in any manner ISA/I_T 5PECULL so as to become subject to the Workenompensotlon laws ADDRESS 1 TPMP/P �r`� L ✓b CONDITIONS Date Applicant urrTr PIE rrT ZIP �j NOTICE TO APPLICANT If, cher making ec this Certificate of ARCHIENGINTElT TEL DISTRI�i`/ GROUP TYPE FIRE By O Exemption, You should become subject to the Worker' �s ,I y 2 OONST ZONE V Compensation provisions of the Labor Code, you must forth V o `J LsaJ with comply with such provisions or this permit shall be ADDRESS TEL STATISTICAL CLASSI TION APT CONDO cr) deemed revoked CONTRACTOR rVf 6RAp[.2 /v 532-2f LICENSED CONTRACTORS DECLARATION LIC CLASS Ivo DWELL UNITS_ Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P33 /`/ E/0-1 S� NO ,j Z y26 (commencing with Section 700D)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license Is In full force and of w CITY �2frN ASSLLASSyj - VALmATION 32 y26 �` '� License Number Lic Class Ey� SIZER TORIES F� 6 ONE 7- VALUATION Contractor G1 Date 3 DESCRIPTION OF WORK — t �SO 0 Sr e FAGS 7fW) "DD I am exempt under Sec ALTER B BP C for this reason AD r /✓ REPyuR i Date USE BLDG DEQ ;19 2 3 0 A Signature APPLICANT TEL FINAL • • • 023 } OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor s License DA I • 637.50 Low for the following reason (Section 7031 S Business and ADDS RNAL - Professions Code) - - T 37.505 BUILD8I aowner of the property, or my amplyeewh ADDRESS P/E UT ✓ wogm as their sole compensation,will clothe work and 0 a23-88 , the structure is not intended w f offered for sole(Section LOCALITY 7044 Business and Professions Code) TEL I, m MOVING owner of the property am exclusively contracting CTOR NO 3 9 2 3H A with licensed contractors to construct the project (Sec ADDRESS - -- • • • • •l� non 7044 Busmess and Professions Code) - CONSTRUCTION LENDING AGENCYBACK YARD IiN'Y L UNE WIDTH I I • • 4 Q 5 0 ACK RCIVi EXIST I I hereby affirm that there iso construction lending agency for FRONT the performance of the work forper mitis which the pmit a issued F L - • • - 40505 (Sec 3097, Gv C ) SIDE Lender s Name P L 0 323-88 LDMA Ref Y Lender s Address PC Fee S Perms Fee 30. ' I cenlfy that I have read this application and state that the Issuance Fee 701V P. PIC R R above Information Is correct I agree to comply with all County Inveaigatlon Fee R6 ordinances and State laws relating to building construction, Total Fee IDMA Perm 1 and hereby authorize representatives of this County to enter i UT the a ors-mentloned property for Inspects?on iposegsp OR PO a 00 ` W VR WIANATORY LAMWAGB Sgnanne of plkont or Agent Date WORKERS' COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to ,elf APPLICA-60N FOR BUILDING PERMIT - insure ora certificate of Workers Insurance,Compensation Inronce, or a certified copy thereof (Sec 3800, Lob C ) COUNTY OF LOS ANGELES ,BLLILDING AND SAFETY Poltcy No Company ❑ Cem6ed copy is hereby furnished FOR APPLICANT TO FILL IN [AU,L _ ❑ Certified copy is filed with the county budding Inspec- BUILDING - tion department t ADDRESS G Date Applicant CITY!:c (-J ZIP LITYOF lk ESTCERTIFICATE OF SATION IN FROM WORKERS � SIZE OF LOT NOW ON LOT 5 ST —'I-.COMPENSATION INSURAhKE _ _(Thu section need not be completed if the permit n for one T1tACT &CCK LOT NO BOOK PAGE PARCELhundred dollars ($100)or less ) TEL r ZONE MAP OWNER NO I certify that in the performance of the work for which this } permit is issued, I shall not employ any person in any manner - ADDRESS �i ' - t SPECLATIONS so as to become sub act to the Worker Compensation Laws �7 _ _ .. r .. 4 CITY ZIP el I ` U Dote ( " Applicant CY ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT If, after mc,ung this Certificate of - ENGINEER -- -NO CUtJST ZONE , 17) Exemption you should become subject to the Workers �Op Q Compensation provisions of the Labor Code, you must forth- - ADDRESS - - - �- with comply with such provisions or this permit shall be TEL STAT15TICAL CLASSIFICATION APT I CONDO Z deemed revoked I CONTRACTOR NO LICENSED CONTRACTORS DECLARATION, SZy7 LIC CTAH55 NO DWELL UNITS— LICENSED hereby affirm that I am licensed under provisions of Chapter 9 - ADDRE55 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC ^��i and Professions Code,andmy I nse is in full force and effect CITY 7-C- CLASS (� VALIDATION 50 FT NO OF NO OF CHECK BK PG License Number _Lic Clain SIZE $TORIES FAMILIES ONE ' f� /� VALUATION Controctorl ` ` A�' Dale DESCRIPTION OF WORK ( NEW ❑ = 00100 •10 0 El1 am exempt under Sec ADD ❑ ► - ' ALTER R -. B 8P C for this reason REPAIR ❑ $ USE OF nate EXISTING BLDG DEA1IX ❑I Signature APPLICANT - TEL - FINAL - OWNER-BUILDER DECLARATION (PRINT) NO DATE , I hereby affirm that I am exempt from the Contractor s License - - - - Low for the following reason (Section 7031 5, Business and ADDRESS FINAL 23 Professions Code) - - - - - - - - - By - ❑ I, .. owner of the property, or my employees with ADDRESS - AC(T'i wages as their sole compensation,will do the work and i 3303 50.50 the structure is not intended or offered for sale(Section LOCALITY Poo7044, Business and Professions Code ) MOVING - - TEL { 1 S �❑ I, os owner of the property,am exclusive) contractor CONTRACTOR NO with licensed contractors to construct the project (See ��� = e ACC T•T tion 7041 Business and Professions Code) DRREQc t 3303 615.89 CONSTRUCTION LENDING AGENCY SET EA D TOTAL ROP LINE SETBACK IIS 1� , YARD HWY I hereby affirm that there is a construction lending agency for FRONT _ I - - r` :•)_ - t', 2 ITM ~ the performance of the work for which this permit is issued P L _ TOTAL i5663 J9 (Sec 3097 Civ C ) SIDE Larder's Name P L 4 - - O ECK W.39 - l� WMA Ref M - /�LTAfIr•r- P C Fee S Permit Fse J 0 br➢'91VC .0W Ladder s Address -w _ . � - i IC%rtify that I have read this application and state that the Issuance F LDMA P/C N above m rmation a correct I agree to comply with all County _ Investigation Fee _ _ 6 �S - - 0000-0001 - 6/18/96 ordinon sand State laws relating to building construction Total Fee LDMA Perm N and he4by authorize reprqsqjntohvpa5of this County to enter _ 6972 1 AN 8:54 upon t � -me honqd pkeefor inspect jL/E�n purjj�(osea �� lL {'0 _ ME REVERSE FOR EXPLANATORY LANGUAGE t - I ignoMe of Vcam or Adoolf Date WORKERS COMPENSATION DECLARATION �(( : hereby affrrm that I have o certificate of consent to "ifAPPLICATION FOR BUILDING PERMIT LI IS ((yyyy1(YYYY,///mauve, ora cis ficate of Workers' Compensation Insurance, ora co co y thereof (Sec 3800, la COUNTY OF LOS ANGELES BUILDING AND SAFETY D No Company BUILDING Certified copy is hereby furniChad FOR APPLICANT TO FILL IN ADDRESS Certified copy ,s filed with the county building mspec- I BUILDING;A1 tion department ` ADDRESS H ' LOCALITY -�y-� NEAREST 1 Date Applicant CITY 1 LE ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' I SIZE OF LOT pQ X Z AAP BOOK - P PARCEL / OF B DG5 COMPENSATION INSURANCE NOW ON LOT (Ihs section need not be completed if the permit is for one AA � --L 3� jL USE ZONE hundred dollar($100)or less ) TRACT " 1 at= LOT NO TEL ` ' I cerriiy that m the performance of the work for which ilia OWNER 7$ tv1 CJ NO 15 C/�� COFIDIT10N5 d permit is,slued, I shall not employ an n m an manner �♦ DISTRICT GROUP TYPE FIRE BY O so as to become subject to the Workers''CCoompensat on Laws CITYADD . 1 ' L 1 E LJIi� CONST 7,G�E 0 Date Applicant \ CACI °b ZIP TEL ATI CAL MSSIFICAT J APT O NOTICE TO APPLICANT If, after making this Certdicote of FIGIIJEERORtL NO 1 CLASS NO DWELL UNITS_ LY Exemption, you should become subject to the Workers' A x� d Compensation provisions of the Labor Code you must forth S W� N. q& ` 1 SEWER,NAP � with comply with such provisions or this permit shall be / TEL a deemed revoked CONTRACTOR 73(' Z/ BK PG, VALIDATION LICENSED CONTRACTORS DECLARATIONLIC �7 S/7z/D I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Np 10 VALUATION (commencing with Section 7000)of Division 3 of the Bintmess and q jC L _, 'A Profeauons Code and my license is ,n full force and effect Cm /1/� CLASS $�� '»- -�� 1 4 2 9 A 375A-0 —/ SO FT NO 'A aF cNEu , License Number �� � yJ� Uc Clou G 4s SIZE 3CjZ� STORIES 1 FAMILRS OfdE # • • • • 23 (ControcIor,&/&AA/_, Date DESCRIPTION of WORK NEW B O O to) 2 . 7 0 1 8 9 ❑ I am exempt under Sec J ^ uC� ALTER 19 FINAL - - 70189' B 8P C for this reason REPAIR ❑ DATE '240 e4— 0 4 2 5—8 3 Date OQSTING BLDG ,{�Q 9 � c DE� ❑ FINAL By �CJ Signature n MT �'�I , `(J 1�.FL t TEL "A'05VV OWNER-BUILDER DECLARATION I hereby off m,that 1 am exempt from the Comroctor's License 71 S ZUT� 1 00 Law for the following reason (Section 7031 3, Business and Professions Code) ❑ 1, as owner of the property or my employees with BUILDINGADDRESS ,= j; o o • o % wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCAUTY _ 1 0 o T7 1 r (_ 7011, Business and Professions Code) HONING TEL , 1, as owner of the property,am exclusively contracting CONTRACTORNO with licensed contractors to construct the project (Sec- r tion 7044, Business and Professions Code) 'SSS CONSTRUCTION LENDING AGENCY rinv"tigation YARD TOTAL I LIQ F� WIDMDTN I hereby affum that there a o construction lending agency for 111111. 2' O the performance of the work for which this permit ,s issued (Sec 3097 Civ C ) 2 . au32 Lender s Name _ 8 - lender s Address �T I certify that 1 hove rood this application and state that the Isuance Fee above information s correct I agree to comply with all County ordinances and State Iowa relating to building construction, Tool Fee s and hereby authorize representatives of this County to enter i u/�momv�mie�mn• ed properly for inspection purposes fEE tlV�e WR l7PlANATOtY IAMOUAGpplicant or Agent Das j WIPRKERS COMPENSATION DECLARATION a•LI hereby affirm that I have certificate of consent to ,elf APPLICATION FOR W ILDI NG PERMIT unsure orp certificate of Workers Compensation Insurance -- or a Certified copy thereof (Sec 3800, Lab C) - COUNTY OF LOS ANGELES - BUILDING AND SAFETY , Policy No Company - i ,- BUILDING ' //JJ El , Certified-copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS y�/ ❑ Certified copy is filed with the county budding inspec- BUILDING - - - - tion department ADDRESSL;L "- Dote Applicant Ory OF lip LocgLTTY- -- - NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT vv ON LOT - COMPENSATION INSURANCE _ _ _ _ CROSS ST _ _ - - - his section need-not be coin leted if the ermit u for one TRACT BLOCK LOT NO i ASSESSOR R P Pe AMP BOOK PAGE- "_ PARA 'hundred dollars ($100) orless ) OWER 115E ZONE MAP I certify that in the performance of the work for which thisNO SPECIAL >_ permit is issued I shall not employ any person in any manner ADDRESS "YQ / CO DITIONS `0 a so as Agbecome subject to the Workers' Compensation Laws _ Ou CITY ZIP - Date Applicant ARCHITECT OR TEL DI RIOT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT If, offer making this CerhhENGINEER NO cale of - - n CONST _ ZONE G Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS u �J with comply with such provisions or this permit shall be I CONTRACTOR o STATISTICAL CLASSIFICATION APT CONDO ) n Z deemed revoked LIC CLASS NO oZ DWELL UNTTS_ LICENSED CONTRACTORS DECLARATIONvisionsADDRESS NO 11 I hereby cing that I am licernecl7000)under provisions 3o f h Chapter9 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 SO FT NO OF NO OF CHECK - License Number Lc Cksss SIZE STORIES FAMILIES ONE - - VALUATION Contractor i Date DESCRIPTION OF WORK - NEW El ADD ❑ ❑I am exempt under Sec ► ` ALTER ❑ B&P C for this reason REPAIR ❑ $ _ Date USE OF _ _ .. - _ EXISTING BLDG '- OEMOL ❑ Signature APPLICANT - _ TEL _ FINAL OWNER-BUILDER DECLARATION (PRINT) NO 1J` DATIE V I hereby affirm that I am exempt from the Contractors License ADDRESS -- - _ FINAL 23 Low for the following reason (Section 7031 5, Business and ` Prof lona a ACCT.: Frypss �� IN -- By's L7 I a rA f X property, or my employees with BADDRESS _ 70 t $0,50 wages as their sole compensation,will do the work and - - , - the structure is not intended or offered for sale(Section LOCALITY 1 7044, Business and Professions Code ) - MOVING - TEL ❑ I, m owner of the property,am exclusively contracting CONTRACTOR NO ACCT.i -' with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code ) ADDRESS 3303 92.25 CONSTRUCTION LENDING AGENCY SET I YARD HWY T CK NEFROM' ExIS 2 ITEMS I hereby affirm that there is a construction lendmp agency for FRONT the performance of the work for which this permit is issued P L - TOTAL 142. 75 (Sec 3097, Civ C ) SIDE PL — CHECK 142.75 Lenders Name PC Fees DSO Pormt Fee LDAM Ref f OW CTE - .00 Lenders Address , q I certify that I have read this application and state that the Issuance Fee 07-790 LDMA P/C/ i 0000-000t 1 6/13/46 above information a correct I agree to comply with all County - Imes-ngmwn Fee 9 _ ordinances and State Iowa relating tiSbudding construction, TT-1-- Fee , vG A LDAM Perm N 7 1 10 12 ` and hereby outhorn representatives of this County to enter AYE upo t I_o men,reed pro rry for vim io $pur r Alp/ �./ \ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ApplicchroilAgent Date -COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS • SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9705130049 PHONE: (818) 285-0488 ENT LEGAL ID NUMBER OF SIGNS- 2 BUILDING ADDRESS. TR' 14647 LT 35 BL 001 SIGN DESCRIPTION ONE PLASTIC FACE ON EXISTING SIGN-ONE 4819 TEMPLE CITY BL TEMP CA 917804236 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8590-017-029 THOMAS PAGE 597 GRID A5 LOCALITY: TEMPLE CITY TENANT EXIST BLDG USE ISSUED ON PROCESSED BY. El(PIRES ON TEMPLE CITY RANCH MARKET EXIST OCC GRP: 05/13/97 TC 05/13/98 YOUNG DAVID;SUSIE (818) 797-1530- 900 _17-x1 / 2260 WOODLYN RD _ '{ PASD 911043337 FEES PAID DESCRIPTION OF WORK TWO NEW SIGNS-ONE PLASTIC FACE ON EXISTING SIGN FEE DESCRIPTION QUANTITY: LION AMOUNT KURT (818) 286-4434- AA BLDG PERMIT ISSUANCE 27 75 AE STRONG MOTION OTHER ^900 00 VAL 0 50 AX BUILDING REVIEW-FEE E•\900'00 VAL 654 5 25 02 PERMIT Y/OE11=HC•CONTI(ACTOR TEL NO: C __ PN TOTAL IFEES'1� 148 20 APPROVALS DATE INSPECTOR-SIGKATURr__ URBAN GRAPHICS (818) 448-1718- `v �v 10930 GRAND AVE LIC NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NOME SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL. No: FOUhDATION/TRENCH FORMS LIC NO SUPFMT STRUCTURE RAP NO SEWER MAP BOOK PAGE: Mr-mr: DO PUBLIC WORKS NO. OF FAMILIES DWELLING UNITS APTMWF�� No ,20OUS a AIR QUALITY 1000 FEET MATERIALSNO NO go 1 /j l^•• ervice �ravv REPORT ID DPR261 ROUTE TO SS0508 COUNTY OF LOS ANGELES TEMPLE CITY A 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0310130007 PHONE (626) 285-0488 EXT LEGAL ID NO. OF CONST NEW BUILDING ADDRESS TR 14647 LT 35 BL D01 SC FT STORIES TYPE OCCUP GROW 4819 TEMPLE CITY SL STRUCTURE 0 1 VN B TEMP CA 917804236 ASSESSOR INFORMATION NUKBER' NEAREST CROSS STREET: LOWER AZUSA 8590-017-029 THOMAS PAGE 597 GRID A5 _ LOCALITY- TEMPLE CITY TENANT. EXIST BLDG USE- COME USE ZW c-e T9= ON PROCESSED BT EXPIRES ON- TEMPLE CITY RANCH MARKET EXIST OCC GRP B 12/24/03_ VG _ _ 12/18/04 OWNER oLDGS. NOW ON LOT VALUATION: FINAL DATE FIKA CODE: YOUNG DAVID,SUSIE (818) 797-1530- I 7,200 �!D�/ 2260 WOODLYN RD 7 PASO 911043337 FEES PAID DESCRIPTION Of WORK FEE DESCRIPTION QUANTITY UOM. AMOUNTINSTALL AUTOMATIC SLIDING GLASS DOORS FOR ENTRANCE APPLICANT TEL No. I TEMPLE CITY RANCH MARKET - AA BLDG PERMIT ISSUANCE 27 75 4.819 TEMPLE CITY BLV AE STRONG MOTION OTHER 7200 00 VAL 1 51 SPECIAL CONDITLONS: TEMPLE CITY 91780 D1 PLANCHECK W/O EN-HC 7200 00 VAL 155 55 D2 PERMIT W/D EN-HC 7200 00 VAL 183 00 TOTAL FEES 367 81 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE CHEN, JIMIN (626) 927-0871- 304 N LINCOLN AVE AM LIC NO i MONTEREY PARK CA 91775 698941BHIC� SOILS ENGMIMAYMMA7 ARCHITECT OR ENGINEEIF TEL-. NO- FOUNDATION/TRENCH FORMS LEE PETER (626) 280-9000- 8746 VALLEY BLVD NL LIC NOSLAo/UNDER FLOOR ROSEMEAD, CA 917/0 3948 RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE- FIRE ZONE CNP UNDEPFLODR INSULATION X 3 04 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT7EMff—TrM—EDff9— NO 22 ROOF SHEATHING SCHOOL WITHIN SHEAR PANELS AIR DUALITY 1000 FEET MATERIALS No NO NO FRAME INSPECTION rrffff_9MNKLER HANGERS INTERIOR LATH/DRYUA= EXTERIOR LATH RATED WALL ASSEMBLIES RATED SHAFT5/UPl:NlM99___ T-BAR CEILINGS LOT DRAINAGE REPORT ID-�DPRZ61 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT _ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1207120011 PHONE (626) 285-0488 EXT ILEGAL ID NUMBER OF SIGNS 2 BUILDING ADDRESS TR 14647 LT 35 6 BL 3 ISIGN DESCRIPTION CHANNEL LETTER WALL SIGN 6 ONE CABEN11 4819 TEMPLE CITY BL TEMP CA 91780 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18590-017-029 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY, CI TENANT EXIST BLDG USE ISSUED ON PROCESSED BY (EXIST OCC GRP 107/12/12 SR OWNER NAL N TEL NO BLDGS NOW ON LOT VALUATION FI DAT FINpyVY CODE MMR WANG (62T 618-3698- ON 'I r/� 4819 TEMPLE CITY BL )TEMPLE CITY CA 91780 FEES PAIDICCCRI PT ION OF WORK 1 1CHANNEL LEITER WALL SIGN ONE CAB ENIT SIGN FACE CHANGING I FEE DESCRIPTION QUANTITY DOM AMOUNT 1 (APPLICANT- TEL NO 1 IJIN CHENG YU (626) 497-6453- AA BLDG PERMIT ISSUANCE 27 80 19363 LOWER AZUSA RD IAB STATE GREEN BLDG FEE 3700 00 VAL 1 00 SPECIAL CONDITIONS TRMPLE CITY CA 91780 1AX BUILDING REVIEW FEE 54 70 I ID2 PERMIT W/O EN-HC 3700 00 VAL 115 80 I I TOTAL FEES 199 30 1 ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 INEW SIGNS AND PRINTING (626) 571-9288- 1 ) 18902 GARVEY AVENUE LIC NO LOCATION AND SETBACKS ROSEMIEAD CA 91770 956512-C45 • - SOILS ENGINEER APPROVAL 1 I ARCHITECT OR ENGINEER TEL NO I JFOUNDATION/TRENCH FORMS I1 LIC NO SUPPORTSTRUCTURE MRP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 001 NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 NO 20 SCHOOL WITHIN HAZARDOUS I )AIR QUALITY 1000 FEET MATERIALS I NO NO NO ) I I I I I I I I 1 I 1 1 I 1 ADDITIONAL. DATA ON FILE REPORT ID DPR261 ROUTE TO DS0508 COUNTY OF LOS ANGFLES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202270040 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST NEWBUILDING ADDRESS " ITA 14647 LT 35 6 BL 3 I SQ FT STORIES TYPB OCCUP GROUP 4819 TEMPLE CITY SL I ISTRUCTURE 9652 1 V-B M A-2 TEMP CA 91780 ASSESSOR INFORMATION NUMBER 8590-017-029 NEAREST CROSS STREET THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY Cl [TENANT EXIST BLDG USE COMME USE ZONE TISSUED ON PROCESSED BY 1 ISHENG ZHEN TANG (EXIST OCC GRP M 110/04/12 SR 1 IDWNER TEL NO BLDG5 NOW ON TUT VALUATION IFI DATE FINAL BY CODE [YANG, DAVID/SUSIE (626) 864-9878- [ 300 000 1 !/�/(`�y` 12260 WOODLYN RD IPASADENA CA FEES PAID 1 1 TE'L'ENANTMPROVEMENT pIION OF KRETAIL FOOD MARKET (7900 SQ FT ) FOOD TO 1 I IFEE DESCRIPTION QUANTITY DOM AMOUNT GO RESTAURANT AREA (1752 SQ FT ) 1 [APPLICANT TEL NO - CAMACHO, TITO C (323) 775"2515- Al PLANCHECK W/EN-HC 200000 00 VAL 1 905 00 1 AA BLDG PERMIT ISSUANCE 27 80 SPECIAL CONDITIONS JAB STATE GREEN BLDG PEE 300000 00 VAL 12 00 1 [ JAE STRONG MOTION OTHER 300000 00 VAL 63 00 1 [ _JA2 PERMIT W/ENERGY-HC 300000 00 VAL 3 000 10 I ICONTRACTOR TEL NO ID7 ADDNL PLANCHECK FEE 4 00 HOU 437 60 1APPROVALS DATE INSPECTOR SIGNATURE ILAMS COOLING INC (323) 578-2250 106 CERTIF OF OCCUPANCY 101 40 1 = 14206 WHITESIDE ST LIC NO I TOTAL FEES 5 546 90 1LOCATION AND SETBACKS ILOS ANGELES CA 90063 _ 946097 B II I SOILS ENGINEER APPROVAL ARCH ITECT OR ENGINEER TEL NO\ [FOUNDATION/TRENCH FORMS LIC NO I (SLAB/UNDER FLUOR 1 i 1RAISED FLUOR FRAMING 1 [MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 _ UNDERFIUOR INSULATION I T 3 001 Ino OF FAMILIES DWELLING UNITS APT/COND STAT CLASS [FLOOR SHEATHING _ D no ez JROOF[SHEATHING I SCHOOL WITHIN HAZARDOUS i (SHEAR PANELS I JAIR QUALITY 1000 FEET MATERIALS i NO NO NO [FRAME INSPECTION FIRE SPRINLU.ER HANGERS 11NSULATION/WEATHER STRIP[ / 11NTERIOR LATH/DRYWALL T I I EXTERIOR LATH 1 RATED FLOOR/CEIL ASSETS 1 1 RATED WALL AS 98MBLI89 1 RATED SHAFTS/OPENINGS 1 1 T-BAR CEILINGS LOT DRAINAGE 1REPORT ID DPR261 ROUTE TO BS0508 ' I I I I I I COUNTY OF CLOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1301030038 PHONE (626) 285-0488 EXT LEGAL ID NUMBER OF ADDED/RELOCATED BUILDING ADDRESS ITR 14647 LT 35 6 BL 3 SQ FT SPRINKLER HEADS 222 4819 TEMPLE CITY BL 1ASSES90R INFORMATION NUMBER STRUCTURE 9352 TEMP CA 91780 ES 18590-017-029 NEART CROSS STREET THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE (ISSUED ON PROCESSEDBY 9HENG ZHEN TANG EXIST OCC DRY 01/03/13 SRR OWNER TEL NO JBLDGS NOW ON LOT VALUATION FTTT lll'''}�TE FIUAT, BY CODE (YANG, DAVID/SUSIE (626) 864-9878- I 9,100 12260 WOODLYN RD PASADENA CA FEES PAID IDEgCRIrrIOf4 Or WORK I IIFIRE SPRINKLER SYSTEM FEE DESCRIPTION QUANTITY DOM AMOUNT IAPPLICANT TEL NO WAN H SUNG TI7U C (626) 961-5896- AA BLDG PERMIT ISSUANCE 27 80 jP0 BOX 93448 IAB STATE GREEN BLDG FEE 9100 00 VAL 1 00 (SPECIAL CONDITIONS INDUSTRY CA 91715 IDO FIRE SPRINKLER PC 9100 00 VAL 184 10 ID2 PERMIT W/0 EN-HC 9100 00 VAL 216 60 ICTOTAL FEES 429 50 CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE (SUPERIOR FIRE PROTECTION INC (626) 961-8896- IPO BOX 93448 LIC NO IFIRE DEPARTMENT INSPECT ICITY OF INDUSTRY CA 91715 664457 IFIRE SPRINKLER HANGERS IAACHITECT OR ENGINEER TEL NO IFIRE DEPARTMENT APPROVAL( I LIC NO I (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 00 NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO NO I I I I I I I I I REPORT ID DPR261 ROUTE TO BS0508 I I I I I I �loop- COUNTY OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401050014 PHONE. (626) 285-0488 EXT: NUMBER OF SIGNS I BUILDING ADDRESS. TR 14647 r LT: 35 8L .001 SIGN DESCRIPTION: 1 SET CHANNEL LETTERS WALL SIGN 117 5 4819 TEMPLE CITY BL ASSESSOR INFORMATION NUMBER: TEMP CA 917804236 NEAREST CROSS STREET LOWER AZUSA 8590-017-029 - _ THOMAS PAGE: 597 GRID: A5 LOCALITY. TEMPLE CITY TENANT EXIST BLDG USE ISSUED ON: PROCESSED BY. EXPIRES CN: TEMPLE CITY RANCH MARKET SEXIST OCC GRP- 01/05/04 VG 12/30/04 OWNER: TEL. NO SLOGS NOW ON LOT VALGATT5W— F I RRAIL-9 FINAL BY CODE- YOUNG DAVID,SUSIE (818) 797-1530- 3,000 =Z 2260 WOODLYN RD PASO 911043337 FEES PAID DESCRIPTION Of WORK _ - 1 SET CHANNEL LETTERS WALL SIGN - 117 5 S F FEE DESCRIPTION QLYINTITY. LION AMOUNT APPLICANT: TEL NO SIGNS EXPRESS MFG. CO. (626) 443-3333- AA BLDG PERMIT ISSUANCE 27 75 AE STRONG MOTION OTHER 3000 00 VAL 0 63 SPECIAL CONDITIONS 01 PLANCHECK W/O EN-HC 3000 00 VAL 84 15 D2 PERMIT W/O EN-HC 3000 DO VAL 99 00 TOTAL FEES 211 53 CONTRACTOR. TEL. NO APPROVALS DATE rNSPECTOR SIGNATURE SIGNS EXPRESS MFG. CO (626) 443-3333- ' 2446 MERCED AVE LIC. NO LOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 552097 C45 SOILS ENGINEER APMRNA7 ARCHITECT OR ENGINEER. TEL NO. FOUNDATION/TRENCH FCMU- LEE PETER (626) 280-9000- P7A VALLEY BLVD ML LIC. NO SUPPORT STRUCTURE ROSEMEAD. CA 917/0 3948 MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 00 No OF FAMILIES DWELLING UNITS. APT/CCND STAT CLASS NO 20 SCHOOL WIM9— 700050r— AIR QUALITY 1000 FEET MATERIALS NO NO NO REPORT ID DPR261 ROUTE TO 850508 COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507060073 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14647 LT 35 G HL 3 SQ FT STORIES TYPE 4819 TEMPLE CITY BL STRUCTURE 89 VN TEMP CA 91780 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AXUSA 8590-017-029 THOMAS PAGE 597 GRI➢ A5 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE COMMS USE ZONE C-3 ISSUED ON PROCESSED BY EXPIRES ON MIST OCC GRP 07/07/05 JK 07/02/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION PI AL DA E FINAL BY CODE YOUNG DAV IDLSUSIE (626) 797-1530- 14,500 V_/ 4819 TEMPTS CITY BL 7 TEMPLE CITY CA 91780 FEES PAID ESCF IPF ION OF WORK TEAR OFFOLD ROOF REPAIR ROTTED M IRSTALL MODIFIED TORCH BIT PEE ➢BSCRIPTION QUANTITY QOM AMOUNT DOWN BITUMEN APPLICANT TEL NO LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27 75 4533 SHSIRLEY AVE AC STRONG MOTION RESID 14500 00 VAL 1 45 SPEC.AL CONDITIONS EL MONTE, CA 91731 D2 PERMIT W/O EN-RC 14500 00 VAL 300 60 TOTAL FEES 329 80 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE GOLDEN KEY INC (626) 285-9016- 1 DRA NEVADA GOLDEN KEY LIC NO LOCACION AND SETBACKS 4533 SHIRLEY AVENUE 775115 C39 EL MONTH CA 91731 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO SLAB UNDER FLOOR RAKED FLOOR FRAMING MAP NO SEVER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS ADT COND STAT CLASS NO 22 ROOF SHEATHING /O SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAM2 INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER RANGERS SST BACK YARD RMY PROP LINE WIDTH FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH I . RATED FLOOR CEIL ASHEN - I , RATED WALL ASSEMBLIES RATED SHAFTB OPENINGS - T-BAR CEILINGS LOT DRAINAGE I REPORT ID DPR261 ROUTE TO BS0500 COUNTY OF LOS ANGST ES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9101 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1008040031 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEWBUILDING ADDRESS TR 14647 LT 35 BL 001 SQ FT STORIES TYPE OCCUP GROUP 4819 A TEMPLE CITY BL STRUCTURE 65 1 V-B B TEMP CA 917804236 1 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA 18590-017-029 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY C TENANT MIST BLDG USE COT4E USE ZONE TISSUED ON PROCESSED BY EXIST OCC GRP B _ 111/09/10 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION Ili/09/10 DATE FIN&L BY CODE YOUNG DAVID SUSIE (626) 797-1530- 8,000 2260 WOODLYN RD I PASD 911043337 FEES PAIDEESSCRIPTION OF WORK 4 I IREPiACE EXIST SERVICE COUNTER IN E%IST FASTFOOD RESTAURANT IFEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO JENG MATT (888) 765-8982- IA1 PLANCHECK W/EN-HC 8000 00 VAL 179 30 T IAA BLDG PERMIT ISSUANCE 27 80 (SPECIAL CONDITIONS IAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 AS STRONG MOTION OTHER 8000 00 VAL 1 70 I IC2 PERMIT W/HANDICAP 8000 00 VAL 192 60 (CONTRACTOR TEL NO TOTAL FEES 402 40 (APPROVALS DATE INSPECTOR SIGNATURE IXIN YUAN CONSTRUCTION INC (626) 579-9898- 1 - 1 1718 CHICO AVENUE LIC NO VACATION AND SETBACKS IS EL MONTE CA 91733 899026 B ' 1 SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I FOUNDATION/TRENCH FORMS I I IJENG MATT (626) 222-0621- I 1713 DOARTE7 NONE tlG303 L ISLAB/UNDER FLOOR ARCADIA CA 100 � (RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR TNCU3ATION T 1 3 041 IFLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ' NO 22 1 IROO" SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS ( 1 NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS 1 I � INSULATION/WEATHER STRIP( - I '- INTERIOR LATH/DRYWALL EXTERIOR LATH 1 RATED FLOOR/CEIL ASSEM - RATED WALL ASSEMBLIES 1 1RATED SHAFTS/OPENINGS T-BAR CEILINGS IDT DRAINAGE _ 1 1 REPORT LD DPR261 ROUTE TO BS0509 1 • 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 0302260027 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14647 LT 35 BL- .001 SO FT STORIES TYPE 4819 A TEMPLE CITY BL STRUCTURE VN TEMP CA 917804236 ASSESSOR INFORMATION NUMBER' NEAREST CROSS STREET. LOWER A2USA 8590-017-029 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE COMME USE 2?%E: C-2 ISSUED ON. PROCESSED BY EXPIRES ON EXIST OCC GRP 02/26/03 JK 02/21/04 OWNER: TEL NO SLOGS NOW ON LOT VALUATION �ML BY MOE YOUNGVIDSUSIE - 4,000 2260 N N RD E� U3 PASO 911043337 FEES PAID DESCRIPILum -Or REMOVE EXISTING, INSTALL GAF TRIPLY CAP SHEETS APPLICANT —TEL NO — FEE DESCRIPTION OUANTITY LEN AMOUNT. CONTINENTAL CONSTRUCTION CO (626) 378-1882- AA BLDG PERMIT ISSUANCE 27 75 6026 PRIMROSE AVE AC STRONG MOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS TEMPLE CITY 91780 D2 PERMIT W/O EN;HC --- 4000 W VAL 115 80 _TOTAL,FEES 144 05 � C_LE SCONTRACTOR TEL I APPROVALS DATE INSPnTM-9rM9TMY— CONTINENTAL CONSTRUCTION CO. (626) 309-9972- /0�'� 6026 PRIMROSE AVE LIC M0. A� �(��� LOCATION AND SETBACKS TEMPLE CITY, CA 91780 -664434BC39ARCHITECT OR ENGINEER !SOILS ENGINEER APPRNAr- Lic _ No !SLAB/UNDER FLOOR IRAISED FLOOR FRAMING MAP NO. SEWER RAP BOOK. PAGEUNDERFLODR 19901ATTW- 144X269 3' OLNO OF FAMILIES DWELLING UNITS APT7CM-9TIT-a-AW- - - _•. t a NO 22SCHOOL WITHIN HAZARDOUS ROOF SHEATHING ij $HEAR PANELS AIR QUALITY- 1000 FEET MATERIALS NO NO NO FRAME INSPECTION SET BACK YARD MWY PROP LINE WIDTXFIRE SPRINKLER HANGER- V - V FRONT PL- C _- v L SIDE PL- �� �Et'rIC2 i��,'��i i REPORT ID DPR261 ROUTE TO BS0508