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HomeMy Public PortalAbout5616 TEMPLE CITY BLVD_Building__ 0 CT 9 1957 76AE38ACEJtl3 1056 APPLICATION FOR BUILDING PERMIT 1 BUIIDING AND SAFETY iDMADDSION BUTCREDI"NO - 7,- P.t.G' L Depmtm.Dl of Counts EnginioT Counts o!Loo Angalw \ LOCALITY �4 C JOHN A LAMBIE. COUNTY ENGINEER\ NEAREST CASSATT D GRIFFIN, SUE T OF BUILDING W G DISTRICT NO OR .n.PB _.V 86WBR MAP FOR APPLICANT TO FILL IN N/� eoNer BUILDING ADDRESS \ STATISTICAL CL IFICATION LOT NO h_ BL CLASS NODWELL UNIT MAP 29TATE YES O TRACT (qI G NUMBER HWV USE79NEM IAL NO OF BLDGS DITION SIZE OF LOT 533 —� 715 NOW ON LOT USE OF EXISTING BLDG �t-'�A./ /✓/L BUILDING EXIST SETBACK YARD H STREET NAME WIDTH OWNER -A-' FONT 6 MAIL ( P L ADDRESS G 2 r, . P-(. A v SIDE L P NEL P L Cln CI 33a}3 INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS CONTRACTOR A'4 P 61 NOtu33ao3 �- ADD qx T .aPA C .i DESCRIPTION OF WORK NEW ie ADD ALTER REPAIR DEMOLISH SO. PT NO OF NO OF SIZE QOO STORIES FAMILIES USE OP BTRUCTURB APPROVALS - SIGNATURE OF APPLICANT /I l /- DATE INS RE ADDRESS POFORMBT MATERIALSTION 4 1 S S 7Q 02{tj. ,yr4 P C II FRAME FIRE STOP$ F!! 6RACING BOLTS VALUATION FURNACE LOCATION FEE GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT PLICATION AND STAT[THAT THE ABOVE IS CORRECT AND -� Or AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT STAT! LAWS RH U T N BUILDING CONSTRUCTION SIGNATURE OF li ERECT AND POSTED OUSE NUMBER R PERMITTB[ i ADORER _FINAL MURALII�JOHN A LAMBIE, COUNTY ENGINEER CLYDEN DIRLAM, PRINCIPAL ST PLAN CHECK VALmATIPWI: ER7 NO C"H PEHMlT VJ=AnO1 CK No WH _AC03093� OCT 816 680018 m LGIe,64S, ane 5 1 A 136-00 APPLICATION FORfrbt�bgf> PERMIT FOR APPLICANT TO FILL IN (P,,m 61 IYP. GDIY) BUILDING ?TTCOUNTY OF LOS ANGELES _ ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ;NF BUILDING AND SAFETY DIVLSION BUILDING C/ /� SIZE OF LOT ADDRESS 54TRACT BLOCO LOCALITY NEARESTOW NE CROSS ST'ASSESSORIfADDRESS �� MAP BOOK PAGE ' P EL DISTRICT GROUPTYPE FIREO SSECITY { /'OQ CONS ZONE ARCHITEC OR `I/l aENGINEER STATISTICAL CLASSIFICATION _ SEWER MAP ADDRESS CLASS NO I DWELL UNITS CONTRACTOR TEL USE ZONE NOP P ADDRESS LIC _3 SPECIAL LI CITY LIC CONDITIONS CIL SS AD DEPARTMENT APPROVAL REQUIRED YES[] NO ❑ CONSTRUCTION LEN E NAME AND BRAN BLDG SETBACK FROM FRONTPROP LINEOF (STREET( R� ADDRESS06 ITY _ TOTAL SE TBA CK FROM TYPE OF EXISTING Sq FT OF NO OF CHECK HIGHWAY } YARD _ HIDHWAV WIDTH SIZE ub S DRIES FAMILIES117 ONE FRONT PROP LINE DESCRIPTION OF W RN NEW ❑ + DD BLDG SETBACK FROM h SIDEPROP LINEOF (STREET) Z GALTER ❑ _ TOTAL SETBA ROM TYPE OF EXISTING ❑ s HIGHWAY + YARD SIDE PROP LIN HIGHWAY WIDTH REPAIR USE OF ! } _ EXISTING BLDG DEMOL ❑ APPLICAN t ,n 7EOL :f7 - CORNER CUTOFF YES ❑ NO ❑ (PRINT) J F/ �j AAA1 BY (SIGNATURE( IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ 3v I- CATEGORICAL EXEMPTION YES❑ NO C]I HEREBY,ACK NOW LEGGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING SUa01NG CON I lTRUC TION I CERTIFY THAT IN D01YG THE WORK AUTHORIZED { IMPACT REPORT PROCESSED—(DATE) HERESY I WILL NOT EMPLOY ANY FIRS ON IN VIOLATION OF TH[ / LABOR CODE OF TH[ STATE OF CALIFORNIA IN RELATING TO Z WORKMEN B COMPENSATION INSURA MCL SIGNATURE OF PERMITTEE �' j ADDRESS A TE FINAL CITY ` i NO DATE /� I�— !� BY t1 IhE ( fIL hS N 11 1 Hf_L 10FEE 5 FEE o HARVEY T BRANDT. COUNTY ENGINEER /✓J ' x PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK .0 cAeH gyp{ , 1 9 0 173 JUN 28 1 D 9.00•' T6A63SA CEN603 12/72_ _ _ WORKERS COMPENSATION DECLARATION /I hereby affirm ?hot ica I hover certificate of tion Int to ,elf APPLICATION FOR BUILDING PERMIT insure or o certificate of Workers Compensation Insurance or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Co�P�Y Certified copy is hereby furnished FOR APPLICANT TO FILL IN �IWW� J ❑ Certified copy n filed with theVcouo,,,ng1Wc BUILDING �/ 7s/ro tion department Az ADDRESS C !�`-'� Dote, r'3 Applicant CITY rH4 ZIP LOCALITY CERTI KATE OF EXEMPTION FROM WORKERS NO 9LDG,5 NEARESTIF r COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (Thu section need not be completed if the permit is for one ASSESSOR _ hundred dollars(5100)or less ) TRACE - BLOCK - LOT NO IAAF BOOK PAGE - PARCEL- , TEL 115E ZONE I certify that in the performance of the work for which this OWNER NO jV0 r permit is issued I shall not employ any person in any manner ADDRESS I` ��� SPECIAL w , so as to become subject to the Workers Compensation Las [ CONDITIONS Dote Applicant 1555 NOTICE TO APPLICANT If after making this Certificate of ARCHITEC70R TEL DISTRICT GROUP TYPE FIRE BV Exemption you should become subject to the Workers ENGINEER NO �'ExT col ZONE Compensation provisions of the Labor Cade you must forth- ADDRESS s� ^11 3 with comply with such provisions or this permit shall be deemed revoked TEL �`� STATISTICAL CLAtj� TION ALR CONTRACTOR oR /4�.�c- No�` LICENSED CONTRACTORS DECLARATION .7 LIC Q �f CLA55 NO DWELL UNITS_ I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS 3L NO / / SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION 3Q'.2 WL'7 /s•�3� SO FT NO OF NO OF CHECK License Number Cy LIc C103s C SIZE STORIES FAMILIES ONE � Q� VAIUA /, Conlrgctor /L.t�G�—A.d� pafe.� //� DE�IPTION OF WORK NEW f FyQO_Bo O /E�Gr/c ps ADD , I am exempt under Sec � ALTER I yl B dP C for this reason s REPAIR : In USE OF _/S z Dote EXISTING BLDG T S ` Signature ' APPLICANT Ii• TELp�2d'f�,�' FINAL OWNER BUILDER DECLARATION PRINT NO / DATE I hweby off rm that I am exempt from the Contractor s License ADDRESSV� � ;.�A FlNAL Low for the following reas6n (Section 7031 5 Business and Professions Code) , _ P5MMMI BY I, as owner of the property or my employees with BUILDING 1 ACCT A wages as their sole compensation will do the work and the structure n not intended or offered for sale(Section LOCALITYt 70" Business and Professions Code) MOVING TEL 00, 707 1106.13 1 as owner of the property am exclusively contracting CONTRACTOR NO 1 ITEMS ' with licensed contractors to construct the project (Sec- _ _ non 7044 Business and Professions Code) ADDRESS TOTAL SETBACK FROM EXIST TOTAL 106 . 13 CONSTRUCTION LENDING AGENCY WIN YARDHWY PROP LINE WIDTH , I hweby affirm that there is a construction lending agency for FRONT - (HECK 106.1- the performance of the work for which this permit is issued P Lr �HAN� GO 3097 Cry C ) SIDE PL Lender s Name $ P c Fees Per. Fee DMA Ref • 0000-0 31 1/13/29 Lender's Address 91147 1 AN10:1: I cendy that I have rood this application and state that the Issuance Fes Or (/ TDMA P/C 1 t 9 above nfomah s correct I agree to comply with all County Invemigaoon Fee 7� '77 ordinances a ate jaws luting to building construction, Total Fee T Z r 1 _3 LDMA Perm Y - arid hweby ori re entatives of this County to enter upon the e h cl property for inspection purposes SEE K11W!FOR EXPLANATORY IANDUAM •of Applicant or Agent Date COUNTY OF IAS 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 1205030026 PHONE (626) 285-0488 EXT - LEGAL IO NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 5616 5622 TEMPEL CITY BL STRUCTURE 65 V-B TEMP CA 917802531 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET IB588-008-005 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl TENANT _ � IQI9T BLDG 09E RESZD USE ZONE R-3 11SSUED ON PROCESSED BY IEXIST OCC GRP _ - 105/03/12 SR ^ OWNER TEL NO BLDGS NOW ON LOT VALUATION ICORNESTONE PROPERTIES (626) 577-3060- IF DATE FINAL BY CODE 1 1540 EL DORADO ST 24 000 1 PASADENA CAFEES PAID DESCRIPTION OF YORK REMOVE E%ISTING ROOFING M ERIAL INSTALL 30 YR FIBERGLASS FEE DESCRIPTION QUANTITY DOM AMOUNT DIMF NSIONAL SHINGLES 1APPLICANT TEL NO I - IIDA TENET (949) 726-8439- AN BLDG PERMIT ISSUANCE _ '27 80 121552 MONTBURY DR AB STATE GREEN BLDG FEE 24000 00 VAT - 1 00 SPECIAL CONDITIONS ILAKE FOREST CA 92630 IAC STRONG MOTION REBID 24000 00 VAL 2 40 D2 PERMIT W/O EN-HC 24000 00 VAI, 451 80 TOTAL FEES 483-00 ICONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE 1EURO ROOFING CO (949) 726-8439- 121552 MONTSURY DR LIC NO LOCATION AND SETBACKS LAKE FOREST, CA 92630 674624 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNNDATION/TRENCH FORMS I I I 1 ` LIC NO SLAB/UNDER FLOOR (RAISED FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 147H269 3 00 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS II I I 0 NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 1AIR QUALITY 1000 FEET MATERIALS _ NO NO NO FRAM INSPECTION IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRI51 11 _ INTERIOR LATH/DRYWALL ` EKTERIOR LATH (RATED FIAOR/CEIL ASSEM (RATED WALK. ASSEMBLIES I IRATED SHAFTS OPENINGS T-BAR CEILINGS IAT DRAINAGE I (REPORT IO DPR261 - ROUTE TO BS0508 _ _ I I I I I