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Home My Public Portal About5334 TEMPLE CITY BLVD_Building__ 76A638A CE09036-66 APPLICATION FOR BUILDING ERMIT67 COUNTY OF LOS ANGELES B UILDING -� DEPARTMENT OF COUNTY ENGINEERS BUILDING AND SAFETY DIVISION Y JOHN A LAMBIE COUNTY ENGINEER TCOLEMAN W JENKINS.SUP T o1 BUILDING T N OUP TYPE PROFOR APPLICANT TO FILL IN CONST BULDING ICAL CLASSIFICATION SEWER MAP A pDRE53JOPGO DWELL ULOTNOBLOCK E MAP _ NO TRACT SPECIAL NO 01 111.111I ION SIZE OF LOT 5' SO NOW ON LOT 3 USE OF EXISTING BLDG 1-4 BLDG SETBACK FROM TEL F OMT PROP LIN! 01 (STREET) OWNER 1 B ( 1VL O TYPE EXISTING SETBACK HIB Y YARD = TOTAL ADDRES ' BL H ! P MCL ` CITY �1 - + - — ARCHI ECT O TEL BLDG SETBACK FR ENGINEER NO SIDE PROP LIM 01 k, RClTI TYPE OF EXISTING eE ACK HIEHWAY + YARD = TOTAL � ADDRESS A HIGHWAY WIDTH FROMC L w� TEL + _ CONTRACTOR M NO ADDRESS B Np CORNER CUTOF YES NO OV / 1 LCLASS IC SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH 14,Z SO FT NO OF N SIZE3 37 STORIE5 t USE OF A MI LIFV STR CTURE / SIO ATU E OF APPLICANT VALUATION$ 060 APPROVALS DATE INSPECTOR lSIBNATURE P C PMT \j 0 FOUNDATION LOCATION PEE F E E$ FORMS MATERIALS IRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OP THE STATE OF CALIFORNIA RELAT ING TO WORKMEN 6 COMPEN TION INSURANC LATH EXT SIGNATURE 0F/��/(1 n_ HOUSE NUMBER COR- PERMITTEE C(fi RECT AND POSTED ADDRESS J1 31V 7.ennp1BL,'d- 7 e FINAL JOHN F LEWIS PdINCI AL SfiRUCTURAL ENqjbLE.FR PLAN CHECK VALIDATION CK 11 CASH 1 7 9 5 0 PERNUT4VALIDATIOND1 CK O BH r APPLICATION OR BUIL G PERMIT FOR APPLICANT TO FILL IN (P".t 0, type oDly) BUILDING ADDRESS BUILDING ADDRESS CITU ZIP 7 c\ a NO OF BLDG S LOCALITY ee SIZE OF LOT Sit, 12 Q NOW ON LOT NEAREST CROSS ST TRACT BLOCK LOT NO ASSESSOR MAP BOOK PAGE PARCEL OWNER ^ NOL DISTRICT GROUP TYPE FIRE ESSED BY q CONST zy ADDRES [/ !.� STATISTICAL CLASSIFICATION SEWER MAP ARCHITECT O CITY ZIP Y CLASS NO� DWELL UNITS BK PG TEL ENGINEER NNO USE ZONE OP O/ ADDRESS SPECIAL CONTRACTOR TEL CONDITIONS NO LIC ROAD DEPARTMENT APPROVAL REQUIRED YES 11NO C] ADDRESS •( • NO BLDG ETBACK FROM LIC I CLASS FRON PROP LINEOF (STREET) CITY Q TOTAL SETBACK FROM TYPE OF EXISTING CONSTRUCTION LENDER HIGHW 4 YARD — FRONTIPROP LINE HIGHWAY WIDTH NAME AND BRANCH - ' ADDRESS I CIN + T 50 FT NO OF NO OF CHECK BLDG SETBACK - a 312E STORIES FAMILIES ONE SIDE PROP LINE OF TREETI U NEW HIGHWAY + YARD TOTAL SETBACK PROM TYPO EXISTING DESCRIPTION OF WORN SIDE PROP LINE HIGHWAY4 WIDTH DD U + _ ALTER Z -REPAIR CORNER CUTOFF YES ❑ NO C USE OF EXISTING BLDG EMOL ❑ IN OPEN SPACE YES ❑ NO ❑. APPLI CA T , NEOL* IN COASTAL ZONE YES ❑ NO ❑ PRINT h BY (SIGNAT [MY IRONM[MTAL CATEGORICAL EXEMPTION YES❑ NO E] Q IMPACT EXEMPTION DECLARATION SIGNED (DATE) VALUATION+ D IMPACT REPORT PROCESSED (DATU 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY .3 •• / // na' ow/ e WITH ALLORDINANCES AND "We REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IM DOING THE WORK AUTHORIZED '/ MEREST I WILL MOT CMPL NY PERSON IM VIO TION OF THC �1 A�— • L OKKMENGl ECO 0, [MBA !T TSURF LIFORMIA [LATINO TO GQU;/LG SIGNATURE FINAL BY � PERMITTE DATE ,,/A1 FEE PMT + /t `- ADDRESS FEE S, ' T 6 CITY NO PLAN CHECK VALIDATI MI CK M O CASH PERT VALIDATION CK .0 usH 283�"MAR21 io� I 9.0 76A8388 CE9803A 5/79 DEPARTIMNT OF BUILDING AND SAFETY APPLICATION FOR PERMT r COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLIC TO FILL IN I FOR OFFICE USE ONLY BUILDING r DIBTRIDT'NO PLAN OK NO PERMIT NC' ADDREBB V 1, LOCALITY R[ IVSD Y DATEOFAPPL DATEISSUED/� BUI LOINS OWNER ADDREBB .F MAIL LOCALITY ADDRESS NEAREST TEL G�`/ OR13M BY FIRE NO OF TYPE ORO P �' ARCNITEQTO TEL ZONE PLANE ENGINEER NO BLDG / ORD NO DD SETBACK LINE -0.;-- APPROVED OF — CONTRACTOq , TEL By DATE USE _ APPROVED DRE r G ZONE I BY DATE LEGAL �P CORRECTIONS DESCRIPTION LOTTNO BLOCK TRACT /��J } 1 SIZE OF LCT V Vr Z` NOW ON LOTS } , UBEOF NO OF No OF S BT D w O DESCRIPTION OF WORE NEW ALTERATION ADDITION I ------------ a° REPAIR MOVINGDEMOLISH r / BO FT No of '- SIZE Roams STORIEB WALL ROOF � ' " I •` "I'� I COVERING COVERING USE OF NEW BUILDING 6 is J = 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DAT/E AND ADREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS GULATIN IL NG CONSTRUCTION FRAME ►IREBTOPS, SIGNATURE OF BRACING,1301.78 ✓ A/S �- �-J y PERMITTE LATH, INT AUTHORIZED AOT LATH, CXT Ii �) �6A6ftti v-�a P C B LASTE PR,INT �9B'3 bM ORY � /L�� FEE r'./ // PLASTER,EXT cJ ✓/ B VALUATION FEE � 4 FINAL T�..�a,.... APPLICATION FOR BUILDING PERM I ll COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY c .JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENBEN our Tor BUI LDING CROSS ST ye FOR APPLICANT TO FILDIrSTRI N cft CON P O B e J � � CONSTO�BUILDING STATISTICALC IFICATION SE ER MAP ADDRESSBCLABS NO WE L UNITS LOT NO /F MAP STATE YESNUMBER HWYTRACT JUSEZONE SPECIAL ONDITIONS 6IZE OF LOTS ' NOWOUSEOF EXISTING BLDG 44`11`1 Aeg of� SLIMING EXISTSE BACK YARD HWY STREET NAME WID H,OWNE FRONTJ P LDDRE9 TIL SIDEENGNARCHIEERT OR 5 / P LINSPECTION RECORD ADDRESS S a 0 CONTRACTOR ADDRESS K— O DESCRIPTION OF WONEW ADDALTER REPAIR Z SOFT NO OF SIZE 0 STORES USE OF STRUCTURE O Q SIGNATURE OF APPLICANT VALUATION DD a-- _ APPROVALS DATE INSP TOR SS NATURE PC PMT FOUNDATION LOCATION FEE $ FEE (J V FORMS MATERIALS J FRAME FIRE STOPS I HEREMY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I TIFY THAT IN PERFORMANCE OF THE WORN FOR WHICH I PERMIT IS U.7=1-SMALL NOT LATH INT EMPLOY ANY PERSON IN A MANNER SO AS GECOMC SUBDECT TO THE WORKM B COM NS LAWS F ALIFORN'A / LATH EXT 61GNATURE HOUSE NUMBER COR- GNAT' RECT AND POSTED ADDREs FID - /Y--Yl CLYE N DIRLAM PRINCIPAL STRUCTURAL EN ER PLAN CHECK VALIDATION OK. MO G H PERMIT VALIDATION cK M o usH L°L„ 5308 ' 1tit 2 1 0 200 '4 APPLICATION' FOR BUILDING PERMIT COUNTY OF LOS ANGELES- BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION POR APPLICANT TO FILL IN BU LDr+o ADDRESS I hereby affim that I haft a certificate of consent to self Insure, A NO 7E C/ L UP I?�11 f,II�•� or a certificate of VAuken'Compensation Insurance,or a oertif ed �, aP IX YJ/ copy thereof(Sec 3900 Lab C) Cd Policy ComNo panySIZE OF LOT NO OF BLDG&NOW ON LOT r+PL �^' ❑ Certified copy Is hereby furnished ' ST L/ F— , ❑ Cstffled copy Is filed with the county bulkWV Inspection TRACT BLOCK LOT NO - - USE ZONE MAP NO Dab Applicant ASSESSOR BOOK PAGE PARCEL O Q O SPECIALCONDMONS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE �N _ /NG - YY7 WITHIN10MFTOFSG100LTADDREn YES NO (This section need not be completed d the permit le for one hundred DISTRICT GROUP �CQNST [TE err donate($ hari)In *performance Cm aP /-�'Of/ R� / I certify that In the of the work for which Cels penin cI/� (J/( ✓\[_ le Wiled I shall not snploy My person in any matins eo as to ARCHnMEU0RMN01N1E5R TEL NO become subject to the Workers COmpenaa4On Laws STATISTICAL CAnON APT Dab Applicant ADDRESS CLA89 NO DWELL UNITS NOTICE TO APPLICANT It after making this Certificate of REQUIRED TOTAL RE'rBACK FROM EKIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO RREQ BACK YARD 11yJY PROP UNE VADT71 Compensation provisions of the Labor Cade you mgt forthwith comply with such prns mAsloor this permit shall be deemed revoked ADDRESS LIC NO FRONT PL LICENSED CONTRACTORS DECLARATION cineSIDE LAC CLASS I hereby affirm that I am Il ansed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and �fflbNO of No CF IUES NEW El BK .PG C Probeelors Code•and my license le In full farce and effect poll. - License Number LIC Claes I C p RIPTION OF WORK ADD �A,L};�J Contractor Deft ALTER ❑ ❑ I am exempt under Sac - REPAIR ❑ s B APC ler this rseeorn DEMOL 1:1 - Date 119E OF COSTING BLDG LM"P/C s URM 1:3 1 R APFU _ LDMA Pbme I AiiT ` I, ea owner of tiro property. or my employees wdtlh wages se f• '' - r acs comperhmtbn,will do the work and Ce stnKdure le ADDRESS . _ _ ( F 07 339•�- not Intended a offered for Bele (Section 7041, Badness end ' ' t'aI1L Dill! t ' Professions Code) rnLLTEAPRIC/JrglntnseeAlnsrOOCCUPANrhw«eAhMlARaol161M1611AL • 1 ITEMS ❑ I as owner of the property, am exdusivety contracting with OR A MhxnlRe COMrA11tNG A NAUIma®NAIBhuL EouA ro aR oRiumo,THAN \I L raAYOUr18 ei'BCF®aN T1�NA:Aaaam NATe3luta NraaAnw auoel FauL BY > TOTAL J.3'?9J - Q— Ixarsed ConireOlMe to cOlatrucl the project (Section 7014 1-1-11 - Buaness and Professtam Code) `�❑ "o❑ , , ',CHECK HECYi �.6S wru ra wreom ue of ra ewnowo err ra APPl1GVlr ce rvnAa BUlosrO OCCUwHr 16IXI0�A{Bear Poe CONIialCihON 011 Mad NCAIhOM nnplllh E aOUtN CONSTRUCTION LENDING AGENCY �Ix�MuuovFTrr oBrRhor tev,otol see PBYRTIIq GEGNST h ,. � t_ _ CHANGE __ .CKI L �J I hereby affim that there le e construction landing eperKry for �s❑ ra❑ i "V n 1 f I the performance of the work for whish this permit s Issued(Sec H,cB RBvo Tia h1AZAaoOxs Mereaua ssonuArhaN xanoc AMO The aC.Aa1x0 3-K,- 3097. \ - CWC) PeeaTnNo alFna�M I unesrANa NT awuse�Irs h,®h ra wit AN0o2s 13000-MOI 3/13/517 Lenders Name hhAriaaamBNAiesuaa�wrsewrhr�a,vo wno�iA hie oAvvmr'�mhosuTHB LehdersAddreee 9tru5 1 AM9:U' /I ONQ 01 A�.f 1IyLI I certify that I have read this application and state that the above PC PEE r Information Ie correct I agree to comply with a0 county and Stele Ism rels i g to building construction,and authorize lqvft county ter upon 19suANCE S$Zthe purposes T3 . 0 U t iweff IGAnoN FEE roT SEE REVERE FON EXPLAMTORI•LANGUAGE - WORKERS COMPENSATION DECLARATIQ% __ ' I � � "I i� - hereby a cer that I have o certificate of tion Int to self App�I�A+ION, FOR B-61\11ING' PERMIT lISI msyre, or a eerNficate of Workeri Compensation InaUrance, or a cerlifted copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ' 11 Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BADORESS s G l 6 ING Cwtdied copy is filed with the county building mspec- BUILDING � » tion department ADDRESS �✓!/ LOCALITY L oF NEAREST Date Applicant CITY ZIP 7 O CROSS S7 CERTIFICATE OF EXEMPTION FROM WORKERS NO OF&DGS ASSESSOR , COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCH (This section need not be completed if the permit is for one 41 USE ZONE MAP hundred dollaro (f100)or leu ) TRACT � BLOCK ^ Loi NO NO r� TEL` 1 5PECLAL I certify that in the performance of the work for which this OWNER dr 'W3 I CONDITIONS d permit is Issued, I shall not employ an person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O ao as to become sub to the Work Compensot n L ors ADDRESS CONST ZONE V IM DCte'�Applicant � CITY ZIP STATISTICAL CLASSIFICATION APT C O NOTICE TO APPLICANT If offer inq ih Certificate of ARCHITECT OR TEL V Exemption you should becom �bleCf the WOrkeri ENGINEER NO CLASS NO DWELL UNITS_ �W , Compensation provisions of the r Code you musi forth- with comply with such provisions or this permit shall be ADDRESS SEWER MAP r� Z deemed revoked CONTRACTOR TEL BK d+ PG `' VAUDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC ..�.•aL Professions Code and my license o in full force and effect CITY CUSS f a( d�B• poll.50 NO OF NO OF CHECK License Number Lic Cloaa SIZE STORIES FAMILIES ONE Contractor Dote DESCRIPTION OF WORK NEW ❑ f ' PDO I am exempt under Sac 1 ALTER FINAL _ B 8P C for this reason REPAIR ❑ DATE Dara DLIISSE TING BLDG t DEMOL ❑ FI A p 6,2 S 1 A Signature AFRICAN TEL /� u x e x 2 OWNER-BUILDER DECLARATION PRIM NO I hereby affirm that I am exempt from the Contractor s License VV - Poo, �/��1 r ? e e U 9 Law for the following reason (Section 7031 5 Business and E55 115110 _ I Professions Code) a so a a 9 Q,8 E ❑ `�- / / // //� I, as owner o4 the property, or my employees with BUILDINGADDRESS L// C/(/ -( -CY// wages as their sole compensation,will do the work and I a 2 Q-Pi 'J ti the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) I CONSTRUCTION LENDING AGENCY REQUIRED IIREEDD YARD tTVII' TOTAL SETBACK FROM EXIST PROP LI WIDTH _ I hereby affirm that there u a construction ivhi wn is per agency issued for FRONT �_ 'the performance of the work for which this permit s issued P L , (Sec 3047, Civ C ) SIDE 1 PL Lender's Name 8 Lender's Address PC Fee f Permit Fee = �) I bendy that I have rood this application and stare that the Issuance Fee ./7 v above information is correct I ogresgree to coo comply with all County Invepigotlon Fee , ordimnces and State jaws relating to building construction, and here authorize ropresentatrves o la County to enter Tonal Fee / upon th bove-mentio property f =,on purposes SEE REV9fE FOR EXPLANATORY LANGUAGE nWure Applrcant or Agent Data I mgr COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT lam• DEPARTMENT OF PUBLIC WORKS 9701 LA.S TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1302190042 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 15531 LT 4 I SQ FT STORIES TYPE 5334 TEMPLE CITY BL I ISTRUCTURE V-B TEMP CA 917803148 1 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE I 8589-001-004 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI (TENANT EXIST BLDG USE RESIO USE ZONE R-1 10ISSUED 2/19/13 SR PROCESSED BY 1fiXIST OCC GRP I 1 (OWNER TEL NO IBLD(i5 NOW ON IAT VALUATION IFINAL TE F NAL CODE I RIAGO JOSEPH A,KIMBERLY L (626) 286-4477- 9 500 15339 TEMPLE CITY BL I o 231/i 3 ITEMP 917803148 I FEES PAID 0E5 PTIQN OF WORA I 1 I KITCHEN REMODEL FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO I ISAME AS OWNER - - AA BLDG PERMIT ISSUANCE 27 80 1 1 IAB STATE GREEN BLDG FEE 9500 00 VAL 1 00 SPECIAL CONDITIONS I IAC STRONG MOTION RESID 9500 00 VAL 1 00 I IB2 PERMIT W/ENERGY 9500 00 VAL 238 30 1 (CONTRACTOR ' TOTAL FEES TEL NO 268 10 (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO i [LOCATION AND SETBACKS SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS LIC NO ISLAB/UNDER FLOOR I I _ IRAISED FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UNDERFIAOR INSULATION - I147H269 3 X001 1 1 FLOOR SHEATHING ING OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I _ 0 NO 21 1 (ROOF SHEATHING 1 I SCHOOL WITHIN HAZARDOUS i SHEAR PANELS 1AZR QUALITY 1000 FEET MATERIALS NO NO NO FRANK INSPECTION FIRE SPRINKLER HANGERS IINSUTATION/WEATHER STRIPI 1 _I ( 1 11 I INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I ` (RATED PIAOR/CEIL ASSEM 1 (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS 1 1 ' I LOT DRAINAGE (REPORT ID DPR261 ROUTE TO BS0508 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1302190044 PHONE (626( 285-0488 EXT ILEGAL IO I NO OF CONST NEW I BUILDING ADDRESS TR 15531 LT 4 SO FT STORIES TYPE OCCUP GROUPI 5334 TEMPLE CITY BL 1 STRUCTURE 710 - 1 V-S R3 TEMP CA 917803148 - 1 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET OLIVE _ 18589-001-004 OTHER THOMAS PACE 597 GRID A4 LOCALITY TEMPLE CITY CAI TENANT EXIST BLDG USE RSSID ISSUED ON PROCESSED BY I _ EXIST OCC GRP R3 02/19/13 SR [OWNER TEL NO BLOGS NOW ON LOT VALUATION I RINGO JOSEPH A,KIMBERLY L (626) 286-4477- 2 500 (FINAL E FI1/�/L CODE 15334 TEMPLE CITY BL 1 // 1 (TEMP 917803148 - I M 1 FEES PAID 1DESCRI ION WORK 1 TO FINALIZED EXPIRED PERMITS FROM 03-15-95 FOR ROOM ADDITION( APPLICANT IFEE DESCRIPTION QDANTITY DOM AMOUNT IBEDROOM BATHROOM, ELECTRICAL, MECHANICAL AND PLUMBING TEL NOI II ISAME AS OWNER - TAA BLDG PERMIT ISSUANCE 27 80 1- I I JAB STATE GREEN BLDG FEE 2500 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 2500 00 VAL 0 50 E2 ADD INSPECT HRLY RTE 2 00000 HOU 289 80 1 TOTAL FEES 319 10 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I I I LIC NO I JLOCATION AND SETBACKS (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH P050 ILIC NO SaXB/UNDER FLOOR I 1 1 RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDERFLOOR INSULATION - I147H269 K 109 3 001 I I I I 11ST LEVEL FLOOR SHEATH INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I ) 1 1 0 NO 99 I 2ND LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARLX)OS I IROOF SHEATHING I (AIR QUALITY 1000 FEET MATERIALS 1 —1-1 1 I NO NO NO 1FIYE DEPT FRAME INSPECT I I (BLDG DEPT FRAME INSPECT - I (SHEAR PANELS I I 1 INSULATION/WEATHER STRIP( I INTERIOR LATH/DRYWALL I I I I EXTERIOR (ATH I ( I IAT DRAINAGE SMOKE,DETECTION DEVICES FIRE�DEPARTMENT APPROVAL I Fr- I REPORT ID DPR261 ROUTE TO 890508 , TBA 0.t BA CERBOB B-BB - APPLICATION FOR BUIL ING PE§MIT U COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 3 BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINS, SUI T Or BUILDING CROSS ST I FOR APPLICANT TO FILL N DISTRICT NO - GR P TYPE P B Pn nr or • onl D CONST BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS_ BK PG LOT NO BLOCK USE ZONE MAP O NO TRACT SPE IAL NO OF SLOGS CONDITIONS ' SIZE OF LOT NOW ON LOT . USE O EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNER NO TYPE OF EXISTI SETBACK HIGHWAY } YARD = TOTAL ADDRESS Las I Tunas Dr HIGHWAY WIDTH FROM C L + _ CITU ARCHITECT R TEL BLDG SETBACK FROM - - ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL } = y CONTRACTOR NO d ADDRESS 710 S. Garf i e CORNER CUTOFF YES ❑ NO ❑ U CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK N 2 NEW ADD ALTER REPAIR DEMOLISH _ SO FT NO OF NO OF SIZE S FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION S j APPROVALS DATE INVECT0A'[ SIGNATURE PMT FOUNDATION MATERIALS RIALS ON FE / FEE 5 FEES Gf FRAME FIRE STOPS / I N[R[[Y THAT THE 19 I HAVECORRECT REAAND GM ATO COMPLY BRACING C TS AND BALL ACKNOWLEDGE rN[ Awv[ IE CORRECT AND AOR[[REGULATING COMITY FURNACE LOCATIONWITH / BUIL ALL COUNTY TIO I CER AND [TAT[ LAW[ EWORK GAS VENT DUCTS BUIAUTLDING D HER IUCTION 1 CERNOT EM THAT IN OOINO THE WORK TION or TH HERESY I WILL F T E STA ANY CALIFORNIAPERSN IN VIOLA LATH`INT TION OF THE LABOR COD[ SA ION [TA AIIFRELAY IND TO WORKMEN[COY MTIOM IM[ R C[ /r ) ! r� LATH EXT SIGNATURE OF /W/i {!�J HOUSE NUMBER COR- ADDRESS 1 PERMITTEE RECT AND POSTED p FINAL PLAN CHECK VALIDATION CK NO CASH PER JOHN F LEWIS PRI CIPAL SJ��lRYO `LENGINEER MIT VALIDATION�sJ LAr _ 843O� FEB14 1 D 6_.00- H 1 TEMPLE CITY APPLICATION FOR BUILDING P R IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINME ADDRESS BUII.DING AND SAFETY DIVMON LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST WI AMA JENSEN. llU F BUILDING CROSS ST - FOR APPLICANT TO FILL IN DIBTR CT NO GROUP TYPE P 86D BY /3/ CONST BUILDING ♦ " y STATISTICAL CLASSIFICATION SQ ER MAP ADDRESS LI , UBK Pp._. C84 NO WILL UN Z C LOT NO L K ATER NOT REQUIRED RECEIVED \ ERTIFICATE Is li TRACT MAP HIONWA NO OF LDGB NO (CIRCLET T STATE MAJO EC ND LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG TEL (/ OWNER NO BUILDING YARD HWY ST EET NAME EXIST SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL P L ENGINEER NO LIDE P } ADDRESS 6 CONTRACTOOR NO INSPECTION RECORD O ADDRESS O 1 O DESCRIMON OF WORK a h NEW ADD ALTER REPAI DEMOLISH Z so FT NO OF SIZE FAMILIES MILIES USE OFR STUCTURE r 810NATUREOF APPLICANT r VALUATION S � APPROVALS DATE INSPECTOR l SIGNATURE FOUNDATION LOCATION FEE PC PMT �FORMB MATERIALS PEE � FRAM! FIRE STOPS 1 HEREBY ACKNOWLEDOE THAT I HAVE READ THIS APPLICATION BRACING BG LTB I ✓'� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACH LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DCUAM B WILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHOR IZKO HEREBY I WILL NOT EMPLOY ANY PUSOX IN VIOLA uI IM TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT INO TO WORKMEN S CO PENSAT O NSURANC LATH EXT SIGNATURE OF HOUSE NUMBER COR - PERMITTEE RECT AND POST D ADDRESS TINA I 'CLYDE N DIRLAM IN PAL STRyy�ec��RAL ENGINEER PLAN CE= VALIDATION GK. BIG, PERMIT VALIDATION (u ) no CAnl LPL0 5 8 0 2: APR 2 4 I D `L✓i'" 6.0 0