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Home My Public Portal About5448 TEMPLE CITY BLVD_Building__ APPLICATION FOR BUILDING PERMIT _ COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BeU yDQHese hereby affirm that I have a certdpate of consent to self mains �44 aE C `� "T'�S C or a certificate of Workers Compensation Insurance or a certated �'TLJ Copy thereon (Sec 3800 Lab C) CRY ZIP 4 Policy NoPaI'Y.2T SG 7P (`gmpgm, Ir—� w 1 1 LOCALITY SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy 6 hereby furnished NEAREST CROSS ST ❑ Certified copy Is filed with the county building inspection I TRACT BLOCK LOT NO department USE NNE MAP NO ASSESSOR MAP BOOK PAGE PARCEL Date $ Applicant 5e15Pt I G SnCcrV I`1G SPECIAL CONDITIONS / 1 `D CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER NO TEL YES No COMPENSATION INSURANCE _ vm,tN t000 FT of scHooL7 (This sedan reed not be completed R the permit Is for one hundred ADDRESS I pS,TTRRICTQ GROUP CONTIST FIRE ZONE PROCF,BS[D BY Ideate(5100) or lees) - C lAY /\ ��v / I moue that m the performance of the work for which this as to re Coaled I sha11 not employ rs person at any manner so as to �CT OR ENGINEER TEL NO T hecorne subject to the MAxkem Compensation Laos Smny.R�CLASSIFICATION APT DO Date Applicant ADDRESS 1 CLASS NO � DWELL UNnB e AOTICE 70 APPLICANT If after making this Cerhficate of REWIRED TOTAL SETBACK FROM EXIST Exemption you should become subject' to the Workers CONTRACTOR TEL NO SETBACK Conpensatpn provlsprs of the Labor Code you must forthwith 6 YARD ITVIV PROP DIJE WIDTH comply With such prwSlou Or this perms Shall be deemed revoked ADDRESS LIC N pP LL M LICENSED CONTRACTORS DECLARATION ' LIC:C: C `ILS sloE CLA99 P L I hereby affirm that I am licensed underprovleprxs of Chapter 8 SEY Efl MAP (Conrtlerping with Becton 7000)of DMewn 3 of the BU91fe99 and SO FT SRE NO OF STORIES I NO OF FA ACE Professors Code and my 1Ccertse Is In full force and � dyeffect NEW ❑ BI< PC , - >- License Number da2 97�—Lic Class DESCRIPTION OF WORK ADD ❑ VALUATION Q.Q. Contractor to q /2x:,19.5' ALTER ❑ $ ❑ I am exempt under Sec L' REPAIR ❑ [F�] B BPC for this reasr M DEMOL ❑ L (7 LDMA P/C LU Date USE OF E%19TIN0 BLDG URM ❑ , ^� 0 Signature APPLICANT(PRINT) TEL NO LDMA Perm♦ L" Z ❑ 1 ea owner d the property will or tth employees and with wages as =O i than sale con,per,satlon well do the work and the structure u ADDRESS _ rpt Intended or offered for sale (Section 7044 Business and FINAL DATE G .,SUS ci t,aj Professions Code) x THE,Ivn,rvn on Pimm BUILDING accuwrr Iwu.E n Iwzu+mns I.uTeFui ❑ 1 as owner of the property am exclusively contractingwith OR n A0CTJ E m OJNNG A rwumotrs rwTERou Eaw.ro oR pREATER TtrErl TIE 5'Z4—'95 1 MgUH19 9PECIREO ON TIE HAZMNIIS w(IEw.LL9 lFrNATicN Guni FINAL BY licensed contractorsProtea cr construct the Project (Sedpn 7044 + Buslrpas and Profesepre Code) rEs❑ No❑ � xt RF r OURS use OF RE ao w e TE MDQFcAoR R RE aN oND __I� 1y` S OCQPANT REWIRE A PElAfI FOR CONSTRlIC11CN OR MOgFicRgN FROM TIE SOUTH ' CONSTRUCTION LENDING AGENCY cwsr xn ouurry ' ""' '—asrraCT IscAOMm sFF PFnunTwu uecxusr Rr T I hereby affirm that there m a construction landing agency for vas❑ No❑ I (li illi 1� a the performance of the work for which this Perm1 Permit Is issued(Sec { }( -H `_, 741:' 3097 Cor C) cRE�aE > Is R Cr.EirM LOSµoE1 Fe CCCU�cm I =rt 1 ' TTRE zeHwnFn z zo sECTaHs:zo Iro TRRCIpH z xo Igo eaecEmxlp RAUTaoans t NtI_f. I 12_.4 J Lenders Name AMTFRAL$REnorrnuo A!p FOR oeaiAw A FERMI RipM TIE srraMo Lender Address Q C M MEET I Certify that I nava read this application and state under penalty PC FEE PERMIT FEE � � �O g of perjury that the above information Is Correct I agree to con" R with all ly odnanca9 and State laws relating to building caLstr and eby eU ze representatives of the County ISSUANCE FEE m t0 prOpaftY fo Ifl9pef11011 pLIrp09m 1 m S INVESTIGATION FEE TOTAL FEE/i �C 5�-a�i• 1 r 1 SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1008110013 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BDILDING ADDRESS IBR 267 PG 99 PC 1 SQ FT STORIES TYPE 5448 TEMPLE CITY BL I (STRUCTURE 1109 V-B ' TEMP CA 917803150 I (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 8588-023-034 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY EXIST OCC GRP 08/16/10 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF" CODE IGUYANT RHDEJEANNIE (626) 285-0587- 1 7,000 15448 TEMPLE CITY BL TEMP 917803150 FEES PAID DESCRIPTION OF WORK DEMO (E) FLAT ROOF CAP SH (APPROX 1,109 SQFT) INSTALL NEW1 IFEE DESCRIPTION QUANTITY DOM AMOUNT 1/2' OSB RADIANT BARRIER PLYWOOD INSTALL NEW GAF WHITE TORCI (APPLICANT TEL NO I ISTP ENTERPRISES (626) 287-7544- AN BLDG PERMIT ISSUANCE 27 80 1_ 5454 TEMPLE CITY BL AS STATE GREEN BLDG FEE 7000 00 VAL 1 00 SPECIAL CONDITIONS TEMPLE CITY CA 91780 AC STRONG MOTION REBID 7000 00 VAL 0 70 D2 PERMIT W/O EN-HC 7000 00 VAL 166 60 TOTAL FEES 196 10 CONTRACTOR TEL NO IAPPROVAIS DATE INSPECTOR SIGNATURE STP BNTHRPRI56-S, INC (626) 287-7544- 5454 TEMPLE CITY BLVD LSC NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 598157BC36 I I SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS I I LIC NO SLAB/UNDER FLOOR I RAISHD PI.00R FRAMING I MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMF I UNDERFLOOR INSULATION 147H269 3 OOI (FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 NO 21 I (ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS SHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIAT 1 NO NO NO FRAMs INSPECTION I FIRE SPRINKLER HANGERS I INSULATION/WEATHER STRIP( INTERIOR LATH/DRYWALL I EXTERIOR LATH (RATED FLOOR/CEIL ASSEM (RATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS IT-BAR CEILINGS ADDITIONAL DATA ON FILE I LOT DRAINAGE I 1 REPORT ID DPR261 ROUTE TO BS050B I I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IPS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0912210006 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS IBK 267 PG 99 PC 1 SQ FT STORIES TYPE 5448 TEMPLE CITY BL (STRUCTURE 354 V-B TEMP CA 917803150 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET GAINES 8588-023-034 I , ' THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY Cl TENANT - - _ _ _ _ EXIST BLDG USE �RESID USE ZONE R-1 TISSUED ON PROCESSED BY EXIST OCC GRP - - - --- - - - -- - c 12/21/09 - _ --_._ SR _ OWNER TEL NO - -- GUYANT RHUEJEANNIE (626) 285-0587- BLDGS NOW ON IAT VALUATION 000 FI AL DATE FINAL BY CODE 5448 TEMPLE CITY BL 0 TEMP 917803150 FEES PAID IDE9CRIPTION OF WORK IDEMD (E) CEILING, WALL 6 FILAR COVERING INSTALL NEW CEILING IFEE DESCRIPTION QUANTITY UOM AMOUNT (INSULATION FRAME IN NEW CLOSET IN ^s^" "' DEMO 6 INSTALL NEI APPLICANT TEL NO STP ENTERPRISES INC (626) 287-7544- AA BLDG PERMIT ISSUANCE 27 75 I— I 5454 TEMPLE CITY BL AS STATE GREEN BLDG FEE 20000 00 VAL 1 00 ISPECIAL CONDITIONS TEMPLE CITY CA 91780 IAC STRONG MOTION REBID 20000 00 VAL 2 00 B2 PERMIT W/ENERGY 20000 00 VAL 423 06 1 CONTRACTOR TEL NO I TOTAL FEES 453 81 (APPROVALS DATE INSPECTOR SIGNATURE STP ENTERPRISES, INC (626) 287-7544- 5454 TEMPLE CITY BLVD LIC NO - IACATION AND SETBACKS I TEMPLE CITY, CA 91780 598157BC36 (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH PORMS I I LIC NO (SLAB/UNDER FIAOR (RAISED FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP dS (UNDERFLOOR INSULATION 147H269 3 Of 0 Ate t.l�'`� FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT'/GOND STti AT CLA �\ /�NO 2 ,\�L'.1�Y Me�� 'ho e'�C 4'♦`P (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS II AIR QUALITY 1000 FEET MATERIALS _ NO NO NO FROM INSPECTION (REQUIRED TOTAL SETRACT FROM EXIST ) FIRF SPRINKLER HANGERS (SET BACK YARD RWY PROP LINE WIDTH PRONE PL- INSULATION/WEATHER STRIP SIDE PL- - - D ILNTERIOR LATH/DRYWALL I I EXTERIOR LATH - IRAISED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES I _ (RATED SHAFTS/OPENINGS I IT-BAR CEILINGS • ADDITIONAL, DATA ON FILE I (IAT DRAINAGE I (REPORT ID DPR261 ROUTE TV BS0508