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Home My Public Portal About4932 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY11 1 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 1, p � ' /► ' WM. J. FOX', CHIEF ENGINEER I ® G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ILDING DISTRICT NO PLAN CK. NO PERMIT NO DDRESS LOCALITY 4fl-rl R IVIED Y DATE OF APPL DATEISSUED w[AaEBr SPgRKL�r7-I�T rLR Iio5,qiULD _ QRDAA_4T 1- , rte- Me OWNER LFM F• y// �/� ADDR[HB I / MAIL ) ADDRESS 3 S/ .2: i"/3 L E VQ/✓,E LOCALITY T TEL. NEAREST CITYG L Mo,✓TE ND CROSS ST FIRE NO OF TYPE / GROUP ENGIN ARCHITECTOR TEL ZONE PLANE V nRln[[R NO BLDG ��JJ / p D NO SETBACK LINE y TEL. APPROVED CONTRACTOR NO BY DATE USE APPROVED DRESS // ZON BY DATE D[SC RI PY,ONA A LLOYY1ND /(p BLOCK '� q' CORRECTIONS y p J TRACT �TT,'y!O / j.- �00 /� �C/ ter.•. [•L '`/ k/ / v er16 BIZ[OF LOT 5Y X 171 NO OF ILDDB �ONF 1 / ) NOW ON LOT US[DF I NO OFp--4NO OF p(IBTINp BLDG FAMIUROOMS DESCRIPTION OF WORK NEW ALTERATION ADpITION J• /p a REPAIR MOVING DEMOLISH G Bq R. NO OF BRIE- ROOMS STORIES Z Z WALL // ROOF r QOVCRING /j �,P QOVERINp COHPD USELolii�o S/NGL F.9MiC ✓ �F< ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWWREOU IND SUI INS CO BTRU N ,' //N p//y/p, FRAME FIRE STOPS. Y7 SIGNATURE OF /�//,^e BRACING.BOLTS Y h5 OWNER / ��'{{{/// 11 I LATH, INT 1 AUTHORIZED AOT LATH,EXT P C,4 PLANTER INT F[[ I PLASTER, EXT 7 �ee gg / VALUATION FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OFLOS ANGELES I L D 0 IV G WM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FML IITFOR OFFICE USE ONLY BUILDING DISTRICT NO PLAN CK NO PERMIT NO ADD HLypLOCALITY �- RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST �+ A CROSS ST, J /7 BUILDING ADDRESS (/ OWNER MAIL LACALITY G ADDRESSA<AE U. NEAREST �/r /J/ CROSS ST CITY67— /(�C `/zx NO / L i/ FIRE NO O n GROLLR�' ARCHITECT OR TEL ZONE PLAN --1 ENGINEER NO BLDG / / SETBACK LINE / ADDRESS APPROVED -- TE` BY DATE CONTRACTOR NO USE APPROVED ZONE BY DATE ADDRESS HOUSE/ NUMBERING LEGAL DESCRIPTION LOT NO BLOCK MAP NUMBFR eZ"O G FIELD CHECK BY TRACT Z004 7- 6 AR oUf NO ASSIGNED BY AT NO OF BLDGS i( CORRECTIONS SIZE OF LOT goNOW ON LOT L i USE OF r NO OF EXISTING SLD6 & j PwMLLIp + DESCRIPTION OF wo]m NEW ALTERATION I ADDITION - REPAIR DEMOLITION AO BO FT NO OF D SIZE ROOMS STORIES Z AP QT WALL ROOF T' COVQtIN6 � COV� GRIN6 USEOFSTRUCTUR[ Lam-, 6CP ROW A INSSPECTPKCT •B SIGNATURE OATS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AR FOUNDATION LOCATIO `� ^ PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAM[ FIRESTO ' HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING. SOL LAWS REGULATING BUI ING CONSTRUCCCTTT111ON FURNACE LOCATION, BIGNATUR[OF (/� GAB VENT. DUCTS P[RMITTE[�'w/ ADDRESS 4/ 7 ,? TL�1�Cc L�TY BLV1 LATH INT LATH EXT AUTHORIZED AOT PLASTER INT )MWM DEO )0.00 s �� / :T,7 PLASTER. EXT 7 )vALuwTIDN -7 �I FINAL G` ��- t WORKERS COMPENSATION DECLARATION . I-here, affirm that I haver cemhcmp of tion Ins to self APPLICATION J90IR BUILDING PERMIT inaJre, or a certificate of Workers Compensation Insurance, sor a certified copy thereof (Sec 38DO, Lob C ) _ - _ _ COUNTY OF LOS ANGELES - - �-- BUILDING'AND SAFETY, Policy No fCompany .s� ❑ CertBUILDING Certified copy ,s hereby furnished FOR APPLICANT TO FILL IN -' ADDRESS q37 -`�1L1��-E CITY BLVT� ❑ Certified copy u filed with the county budding inspec- BUILDING -4 93a -ft f1^pLE c LTY 8 L rt,4p1,G C LTY' C A qt-180 hon apartment I Dote Applicant - aTY_fC"7i L-.E CITY ZIP ClILOCALITY -NO OF BLDG5 CERTIFICATE OF FXEMPTION FROM WORKERS' SIZE OF LOT - - NOW ON LOT =SST 'S PF L E COMPENSATION INSURANCE ASSj:550R (This BLO section need not be completed if the permit is for one TRACT CK LOT NO MAP BOOT( PAGE d� PARCEL fiL7� hundred dollars ($100)or less ) TEL �' OWNER TLJ DS ON LFJONG - NOQ8'1-236 USE ZONE mMAP yy Na I certify that in the perforonce of the work for which this p _ permit is issued, I shall not employ any person in any manner ADDRESS c h^L= R't A8�V E - - /C — CON---NS 0 so as to become subject to the Workers Compensation Laws dOiG CITY ZIP V Dote Applicant ARCHITECT OR w L J 136 TEL F DI I GROUP TYPE IRE PROCESSED BY O NOTICE TO APPLICANT If after making this Certificate of ENGINEER e R NO 34 CONST ZONE �� Exemption, you should become subject to the Workers {�P _�_I V •S bi_ Compensation provisions of the Labor Code, you must forth- ADDRESS e>� .J J N with comply with such provisions or this permit shall be L STATISTICAL CLASSIFICATION APi CONDO deemed revoked CONTRACTOR n' LICENSED CONTRACTORS DECLARATION UC CLASS NO RDWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business UC /7 �- and Professions Code and my license Is in full farce and affect CITY "5'WCLAS BK G' PG oZy _ -VALIDATION SO NO NO OF CHECK - rl' ' License Number L¢ Class SIZE"S STORIES FAMILIES ONE _ VALUATION t, Contractor Date DESCRIPn Q NEW Et 3 O M 'P N C IA1 �O O A -T> ADD l ❑1 am exempt under Sec ,AND fV�w 2 cRPS - B BP C for this reason p s� "f IR ElS Date USE OF EXISTING BLDG S 1 y DEMOL F_,1 Signature '�Ip T) 'TuPSt i4 �'0NGj oal81-� 3 FINAL - - - OWNER-BUILDER DECLARATION DATE _ _ I hereby affum that I am exempt from the Contrador'a License �q.� TE M PL-E C L Y 8(„V D ){AV a Low for the following reason (Section 7031 5, Business and ADDRESS T FINAL , �_" �' - - Professions Code) PRESENT By - 'F7F =G BUILDING --5A N E ii �O V - � "� ® I as owner of the property, or m employees with L v JJ wages as their sole compensation,will do the work and ADDRESS _ - _ �``,` - _ \ ,{ �N` the structure is not intended or offered for sale(Section LOCALITY 7041, Business and Professions Code) CMOVING ONTRACTOR TEL NO ❑ I,as owner of the property,am exclusively contracting' tt , ---.>> S (IIE`fr �i with licensed contractors to construct the project (Sec- - - hon 7041, Business neand Professions Code ) CONSTRUCTION LENDING AGENCY - K •yARp Hµry AL SOBA NCEFRpN WIDTH - I hereby affirm that there is a construction lending agency for - FRONT they erformance of the work for which this permit is issued P L _ i'A ' + •_ (Sec3097, Civ C ) SLIDE PL Ilk11 Lender's Name '_ _ J t btS�r7L 4 f LDhw Ref`I�1 Lender's Address ^ PC Fee$ m�a/•�� Perm,t Fee `/ - 3 I certify that I have read this application and state that the luaancs F.e J LDMA P/C M above information,s correct I agree to comply with all County Inveshgotlon Fee ordinances and State laws relating to building construction, Total Fee Co( LDMA Perm f and hereby authorize representatives of this County to enter upon the above-mentioned p1(loperty for inspection purposes �' rp h IX Qp S -8-92 SU REVERN FOR IEXPLANATOIEY LANGUAGE - Signature of Applicant or Agent Date WORKERS'COMPENSATION DECLARATION J,hereby affirm that I have a certificate of consent tosat ,elf APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 38DO Lab C 1 Policy No Company COUNTY OF LOS ANGELES BUILDING AND S FETY I Cenified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 32- z V24 Certified copy is filed with the county building inspvc BWLDING -{..� w 9 tion department ADDRESS 2 I rlNr Ciff VL r/ Date Applicant CITY I ZIP LOCALITY Ir CERTIFICATE OF EXEMPTION FROM WORKERS t� NO O MS rE.AFE$7 COMPENSATION INSURANCE S1ZE Of LO7 I NOW F S 0T ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT & LOT NO MAP BOOK PAGE PARCEL LJ USE ZONE I certify that in the performance of the work for which this (NNJER H� NOr�/ fI NO permit is issued, I sholl not employ any person in any manner ADDRESS �. Z GI/ FLVP 1 SFEOAL so as to become subject to the Workers'Compensation Lam �yy.. 1 CONDITION$ Dare Applicont CITY L.� li P + i ARCHITECT OR NOTICE TO APPLICANT If, cher making this Certificate of I DISTRICT GROUP TYPE FI ByENQO Exemption, you should become subject to the Workers �j R UP TYPE ZONE FU- Compensation provisions of the Labor Code, you mud forth- ADDRESS 3 n I s/L 0 K Lpy.� with comply with such provisions or this permit sholl be TE STATISTIGIL CLASSIFICATION i APT l Kis deemed revoked CONTRACTOR NO Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO 2Z DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (commencing with Section 7000)of Division 3 of the Business and nSEWER/}JtP Professions;Code, and my license is in full force and effect CITY Jl CLASS BK JNA/ PG VALIDATION SO FT I FJO OF NO OF CHECK License Number Lic Class SIZE STORIES 2 FAMILIES Or* " NEW VALUATION 31223 A DESCRIPTION of WORK $ $' 6 � • • • • 2 3 Contractor Dote uQI,, I am exempt under Sec 1k1 �IL FAA ADO ALTER no 1 * 55a45 B 8P C for this reason tit/// (J\` Date I T AIR $ � . . 55fl455 EXISTING B Signature All I FINAL \� 1 130-88 g OWNER-BUILDER DECLARATION PRINT DATE I hereby offirm that I am exempt from the Contractor s License D' Low for the following reason (Section 7031 5, Business and ADDRESS FINAL Profession;Code) p By 1, as owner of the property or my employees with BUILDING 413 ' T�1 -SLV ' wages as their sole compensation will do the work and , the structure is not intended or offered for sole(Section LOCALITY 7010, Business and Professions Code) MOVING TEL I as owner of the property, am exclusively contracting CONTRACTOR NO , with licensed contractor to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY BACK YARD KWy TOTAL PROP UNE WI oL EXIST I hereby affirm that there s a construction lending agency for FRONT 2 O .Z DTH the performance of the work for which this permit is rved P , (Sec 3097, Civ C 1 SIDEf _ __ PL D T ' Lender s Name IOMA Ref I Lender a Adr $ - P C Fee f S S Pwmn F„ - ' Address I I certify that I hove read this application and state that the .. Issuance Fee LDMA.PK E above information is correct I agree to comply with oil County Invurrgo—F— ordinances F ordinances and State jaws relating to building construction, _ Tool Fee TDMA Perm R and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes Y EB REVERE!FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dole COUNTY OF LOS ANGELES TEMPLE CITY N1 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0201310042 PHONE (626) 285-0488 EXT LEGAL To: Ito OF CONST BUILDING TR: 14467 LT 16 - SO. FT STORIES TYPE 4932 TEMPLE CITY•BL ' STRUCTURE: VN TEMP CA,NEAREST, 917803868A55ESSM INFORMATION NUMBER SPITY 8589-014-001 - _ THOMAS PAGE: GRID ET A5 LOCALITY- TEMPLE'CITYTENANT EXIST BLDG USE' RESIO USE Mr�-F-T-- ISSUED ON: PRMT99MIr. EXPIRES ON - w EXIST OCC GRP 01/31/02 JK 07/30/02 OWNER: TEL NO. BLoGS. NOW ON LOT: -VALUATION FINAL DATE Fj BY OWE: VACA; DIANA AND CRUZ (626) 285-1319- 2 20,650 i 4932 71180E CITY BL 6 � TEMP 917803868 FEES PAID R F HOUSE GARAGE AN 0 IMDOYS FEE DESCRIPTION QUANTITY: I=- AMOUNT. APPLICANT TEL No NICK TIRKO (909) 392-8287- AA BLDG PERMIT ISSUANCE 27 75 4095 N FRUIT ST 0809 -- AC STRONG NOTION RESID 20650 00 VAL 2 07 SPECIXL CONDITIONS LA VERNE 02 PERMIT W/O.EN:HC,—=20650 00 VAL 401 40 /'/� GE LESTOTAL FEES 431 22 CONTRACTOR TEL NO: APPROVALS DATE I NsnTTOW NICK'S RE)WELING �l R (909) 392-8287- �,' 4095 N FRUIT STREET LIC NO „/L /`'� LOCATION AND SETBACKS SPACE 809 409663 B LA VERNE, CA 91750 / / !4 rN l� 1"�'r-�ARCHITECT OR ENGINEER TEL NO: FOUNDATION/TRENCH F6189- \ LIC NO� �L. � � -MAP NO SEWER MAP BOOK PAGE FIRE - Rump TC6MF7RXRTWV- 144H269 3 101 DG66'kYL t FLOOR SHEATHING MO2111 i � ��, SHEATHING --Tcgom-vrrwrw--HAZARDOUS �/ AIR QUALITY: 1000'FEET MATERIALS ��=� �� _ �1 'r' �� No NO No SET BIACK YARD �� HW PROP LIKE' _ WIDTH FRONT PL-'DE PL" INTERIOR LATH/URYWA[C7,7 INSULATION/WEATHER PW EXTERIOR LATH d' RATED SHAFTS/OPENINC9--- T-BAR CEILINGS LOT DRAINAGE REPORT ID. DPR261 ROUTE TO: BS0508