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