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
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