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HomeMy Public PortalAbout5708 TEMPLE CITY BLVD_Building__ S� F A �n-z 2 19 'tNl, 96 o F 1. L.DT� �o�- SAN ss,[.CEna. EST APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGS DEPARTMENT OF COUNTY ENGINEER AODRES BUILDING AND SAFETY DIVISION LOCA IT JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO GROU TYPE Pft Y RAIIIESS APPLICANT TO FILL. IN co NST STATISTICAL GLASSIFICATION SEWER MAP CLASS NO DBLOCKWATER NOT REQUIRED RECEIVED CERTIFICATE NA OOHGAY NO OF BLOCS ICIRCL[1 STATE MAJOR ECOND L CAL NOW ON LOT USE ZONE PECIAL USE OF CONDITIONS EXISTING BLDG _ a 3 TEL LADDRESS NO BU LDING EXIST SETBACK YARD HWY STREET NAME WIDTH FRONT O T OR TEL P L NO SIDE 1, ...r P L B L V ORd 4 NO DESCRIPTION OF WORK A ^ NEW ADD ALTER REPAIR DEMOLISH f • { y �f Z so FT NO OF NO OF SIZE STORIES FAMILIES � USE OF A // / STRUCTURE SIGNATURE OF �J l APPLICANT— ol— / APPROVALS PATINSPEGTC- Lived pIIONA PC PMT FOUNDATION LOCATION t FEE $ FEE $ FORMS 'MATERIALS 6 FRAME FIRE STOPS 1 HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ACOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WIT HALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDINGCONRTNUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZE. HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSUR E LATH E%T SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL L JOHN F LEWIS Pf(INCIPAL $T URALF ENGINEER PLAN CHECK VALIDATION cx NO CASH _ PERMIT VALIDATION CK M D CASH LI,Lo6 9 7 i 25 1 D 1 1.50~ v 4. � o to Lo /'"5JAN 2 1964 Te�eeee ce keoaasa APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BU ILDIN DEPARTMENT OF COUNTY ENGINEER ADDREs BUIMING AND SAFETY DMSION LOCALIT ' JOHN A LAMEIE COUNTY ENGINEER NEAREST I 1 WILLIAM A JENSEN SUP T OF BUILDING CROSS ST Q DISTRICT 47 1GROUP TYPE P CE FOR APPLICANT TO FILL IN CON BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS K P LOTNO% BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP HIGHWAY AT JOR ECOND LOCAL' IND OF SLOGS NO (cIRCIEI SIZE OF LOT NOW ON LOT USEIZONE tPECIAL USE OF N TI NS EXISTING BLDG I TEL OWNER NO BUILDING YAR H Y STR ET NAME EXI T _ SETBACK WIDTH ADDRESS N FRONT P ARCHITECTO TEL L ENGINEER C NO SIDE d P L ADDRESS OLv O TEL / CONTRACTOR NO � OC ADDRESS 1 4�--v 0 _ 9 E DESCRIPTION OF WORK NEW(" ADp ALTER REPAIR DEMOLISH gFEE NO OF NO OF I IQ, STORIES FAMILIES{ ♦ -'fss' , URE TURE OF /� t -i PlA ICANT TION E ' 0. APPROVALS 1 AT INW[CT R[sw E PC PMT (T FOUNDATION LO TION FEE E ` FORMS MATERIALSFIRE STOPSEBYACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS If TE THATHE I�BOV[ li CORRECT AND AGREE TO COMPLY FURNACE LOCATIONeH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BV ILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RSLAT ING TO WORKMEN S COMPENI TIO INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPALS RAL ENGINEER 1. PLAN CHECK VALIDATION cK M o cASH _ PERMIT VALIDATION G� M o DAnH L,iCo 3 9 0 8 DEC 2 7 2 3 D 13 2.5 01 �� D wo 6 9 7 O�- [SIC 2 5 1 D 2 6 5-00- 'BAa9E, :ER803 "'IF APPLICATION Q�eUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PA CEL BUILDING AND SAFETY DIVISION BUILDING S O ADDRESS COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY F APPLICANT TO F IN NEAREST CROSS ST ot BUILDING DIST NO GR T E ES Y ADDRESS O � CI tSL.V CON STATISTICAL C A IFICATION TJ� SEWER MAP LOT NO BLOCK CLASS NO DWELL UNITS--LLL BK PG TRACT USE ZONE MAP NO OF BLDGS NO SIZE OF LOT ,s NOW ON LOT ' _ SPE IAL USE OF CONDITIONS EXISTING BLDG - OWNER14 DF-b . NOL BLDG SETBACK FROM ADDRESS r��C) U•I PCC- G L)D FRONT PROP LINE OF (STREET) q��-E� TYPE OF EXISTING SETBACK HIGHWAY i YARD = TOTAL CITY �-�1 1 HIGHWAY WIDTH FROM C L ARCHITECT OR TEL } _ ENGINEER NO BLDG SETBACK FROM ADDRESS p ey ( ESIDEPROP LINEOF ISTREETI Il, NOL lDJ7� H 6HWAY W DTIHG FROM C L HIGHWAY } YARD = TOTAL CONTRACTOR O ADORE 1 } _ [C oCD CITY V- CILASS B CORNER CUTOFF YES ❑ NO ❑ t3 CONSTRUCTION LENDER �- NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO FT NO OF NO OF NEW ❑ / -If A`/'j SIZE STORIES FAMILIES USE OFCADD ❑ STRUTURE Q ALTER 0 / REPAIR❑ (/ SIGNATURE OR APPLICANT �,{(( DEMOL ❑ VALUATIONS APPROVALS DATE INSPt CTOR'R RIYNATURK P C ' PMT �`1 FOUNDATION LOCATION FEES FEES ✓ ^ FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ TX APPLICATION BRACING BO TS AND !TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINA NCIE AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR COOK OF THE STATE CALIFORNIA IN RELATING TO WORKMEN'S COMPENSI N II RA IC! LATH EXT (- SIGNATURE OF HOUSE NUMBER COR- PERMITTE p RECT AND POSTED ADDRESs2' OdS *f" Q� FINAL JOHN �Fp�LEWIS PPR}I�N IP L RLI& AL ENGINEER PERM PLAN CHECK VALIDATION CK M O CASH — ( VALIDA IO CK M O CAIN 9.00 L&p2596► X29 1 0 7eA63eA CE •8031"APPLICAT,KDN FOR UILDING PERMIT • COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS , COLEMAN W JENKINS. SUP T Dr IWLGIHG LOCALITY FO R APPLICANTFILL IN NEAREST nOf .1 CROSS ST Live Q �G'yr dL(/ DISTF OT NO +ROUP CONST TYPE PROCESSED rBY STATISTICAL SEWER MAP BLOCK CLASS NO DWELL UNITS= SK PG USE ONEMAP NO OF BLDGSNONOW ON LOT rSPECIAL USE OF I CONDITIONS EXISTING BLDG OWNER © /e OLq4 BLDG SETBACK FROM ADDRESS 7 q G Y /+�L/ FRONTPROP LINEOF (STREET) TYPE OF EXISTING SETBACK AY + YARD = TOTAL CITY TE L G t y HIGHWAYWIDTH FROM C L ARCHITECT OR TEL + ENGINEER NO BLDG SETBACK F ADDRESS SIDE PROP LIN F IS TREETI '/ TEL TYPE OF EXIS G SETBACK HIGHWAY + YARD = TOTAL CONTRA CTOR� a/ 1S CO OF 3�aU HIGHWAY TH FROM C L U ADDRESSS2_/A;- TES C` NO /,311 0,57r-) + = oO CITY 10(. /D11 CILASS G Gf CORNER CUTOFF YES 1:1NO ❑ MVj CONSTRUCTION LENDER SEE REVS SIDE FOR SPECIAL APPROVALS NAME AND BRANCH ADDRESS SO FT NO OF NO OF NEM, ❑ O S1ZE STORIES FAMILIES USE OF ADD STRUCTURE ^ ALTER Pewt SIGNATURE REPAIR❑ APPLICANT VALUATION S2-,;;`j Q, o APPROVALS DATE INBPECTOR'E SIGNATURE P Co ' PMT OR FOUNDATION LOCATION FEE 5 FEES s FORMS MA TERIAIS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ra w I I '\ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS ST RUC TION IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPS • N ISU A CE LATH EXT SIGNATURE O � �� ��� UMBER COR- PERMITTEE � P RECT AND POSTED ADDRESS 7`/6rrI 6>�5 .f LiQ 9e6L2 FINAL '1 / PLAN CHECK VALIDATION � Il lASH _ JOHN F LEWIS I$ PRINCIPAL STRUCTURAL ENGINEER UUU PERMIT VALIDATION CASH 2 7 6 5,2 Q-1 8 2 3 D 11.40- Q Lr�o 2 7 6 6 u1.7 8 1 D 1 9.0 0- WORKERS COMPENSATION DECLARATION - -" - _ . ;_ _ ._ .. - .._ .,.__ , ._ ✓; _ - __ _ -, hereby affirm that I have a certificate of consent,to self - -- AP_ PLICATION FOR BUILDING- PERMIT _ - C insure or a certificate of Workers Compensation Insurance i w o certified copy thereof (Sec 3800 lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY f ry 1 pay SZ#I'T ( i - Poh No�C3 �L� Company - - - - - r_1'. Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BUILDING (� I lion ded copy n filed with the county buildingmADDRESS spec- BUILDING -T t hon deportment ' ' � ADDRESS 970 3 I Fi!`+LP(,E C E p L L' IIF � t Dote lO ! BS'Apphcont CITY- Vs' _- - ZIP LOCALITY-- �- - ' CERTIFICATE OF EXEMPTION FROM WORKERS - -- -- NO OF BLDGS NEAREST- - _ ' COMPENSATION INSURANCE '_ SIZE OF L07 NOW ON LOT ST (This section need not be'completed if the�permB is for one - - - - - - ASSESSOR _ -- ,T---'Q/ i hundred dollars($100)or less ) . TRACT BLOCK LOT NO MAP BOO( PAGE PARCEL ' _ TEL USE ONE MAP 1 certify that in the performance of the'�vork for which'th,s OWNER ORTh - NO /j .S tip eZ-6 r ; permit Is issued I shall not employ anyperson in any m`onner IC_-(� SPECIAL solos to become subject to the Workers'Compensation Laws -- ADDRESS •Os 6 - - '- - Y� CONDITIONS V ` ` CITY _ ZIP -471 00 ` Date Apph8ant L' i - _ -__ _ ; NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL t DISTRICT GROUP TYPE FIRE SSED BY O Exemption you should become subject to the Workers ADDRESS ENGINEER 10 00157 / ZONEMf , Y Compensation provisions of the Labor Code, you must forth- S✓!/ P!- ✓ tvLAI deewith comply wited such provisions or,this permit aholl be CONTRACTOR /Q - - - TEL - 7�0 STATISTICAL CLASSIFICATION / APT deemed revoked I , LICENSED CONTRACTORS DECLARATION - - - -- ___ LIC _ _ CLASS NO DWELL UNITS— ASS hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS a - LA- NO _7 ' SEWER MAP (commencing with Section 700D)of Division 3 of the Bisiness and _ _ - - ' Professions Code, and my license is in full face and effect CITY Fi/V!/---v C.tY" LIC G - F VALIDATION - • _ _ _ 50 FT NO OF _ NO OF _CHECK 11KPGZ License Number Y7G o 0 9 'L,c Class C-31 SIZE .ZOD STORIES FAMILIES OPE VALUATION Contractor Date Jolt-7-2.5 - - DEsanvnaN aF WoRK - 6 C 6 o ' - NEW f - ADD ,' ❑ I am exempt under Sec O sr LTJ &-r* Cl1�s.7 05 F T ALTER _ - - - ` r B&P C for this reason _ /A/ REPAIR -f- - - - - - - Date - USE OF DEMOL __ - EXISTING BLDGTEL Signature - -'-• _ - _ - _ - APPLICANT NO _ DAT �Ti 3 2 Q 6 A' , OWNER-BUILDER DECLARATION -1 hereby affirm that I am exempt from the Contractors License - _ V Law for the following reason (Section 7031 5 Business and ADDRESS F1 '"" ' # is • • •I• -Profeuiom Code) --'_ -_ - _ ___ _ _ _ _ - - ❑ BUILDING , I_as owner of the property, or my employees with ADDRESS It p I • •4 9.8 8 wages as their sale compensation will do the work and - - _ .jS / the a ucture is not intended or offered for sole(Section _ LOCALITY , e • • 49 8 8 6 ; 7044, Business ions and ProfessCode) - MOVING TEL - - - - 1 as owner of the property, am exclusively contracting CONTRACTOR NO I _ f 1 Q 1 7-85- with licensed contractors to construct the project (Sec ADDRESS hon 7044 Business and Professions Code) '- - - CONSTRUCTION LENDING-AGENCY -- _ ' BACK - YARD ITWY- TOT PROP LINE WIDTH + M I hereby affirm that there is a construction lending agency for FRO - -the performance of the work for which this permit is issued - - -PL-- -- - - - - - - — - - - (Sec 3097 Civ C ) SIDE PL ' *Lender s Name - ) ® _ L)MA Ref 4 i ' - 1 Lender sAddress - - - 4 - - - P C Fee f - Permit Fee I certify that I have read this application and state that the __ _ - - Ivucnce Fee -- 6 �-- -LDMA P/C! $ _ above information is correct I agree to comply with all County Inveanpotion Fee `..-. _ '�} $ ordinances and State jaws relating to,buildirg construction _ _ _ _ _ Tool Fee - - - d and hereby authorize representatives of this County to enter IDAW Perm +1 upon the above- enhon property for inspection purposes __- - . - -` _•- - - - _ 112�� SU fEVEIfE FOR IXPIAMATOtY LA116UAW �.-' _ ! p ^ - S,gmslan of Applicant or Agen - -__ Date T •i • '' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 .,,r - BL 0508 0012200001 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 6561 LT 6 BL 001 SO FT STORIES TYPE 5708 TEMPLE CITY BL STRUCTURE 0 TEMP CA 917802537 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAK 8587-017-021 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT EXIST 13LDG USE RESID USE 70TF- ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 12/20/00 - UT- 06/19/01 OWNER TEL NO BLDGS NOW ON LOT VALUMN- FINAL DATE FIT BY. - CODE LIN SYR YAUMG,OOROTKY Y TRS LIN TRU - 1 0 ARCD 910660534 FEES PAIDbE5'L F QuRK DEMOLISH RESIDENTIAL SW16 ING POOL FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO ARCADIA CONCRETE MASONRY (626) 939-4110- AA BLDG PERMIT ISSUANCE 27 75 15938 MCGILL ST 02 DEMOLITION INSPECTN 163 50LCONDITIONS � COVINA, CA TOTAL FEES 191 25 PVJGELES CO APPROVAL I S DATE INSPECTOR SIGNATURE ARCADIA CONCRETE MASONRY (626) 939-4110-CONTRACTOR TEL NO S 15938 MC GILL LIC NOS./• PEDESTk- COVAINA, CA 91722 412827 * 7 ARCHITECT OR ENGINEER TEL NO ABANDON PRIVATE DISFUW LIC NO/// 11171 � �7 �7 � � � (-�� A,GND SOI` RECOMPgCTION MAP NO 150X269 SEWER 101 II I ' I 11 151/ O f'�; K U �����'61 NO OF FAMILIES DWELLING UNITS APT/COND SIAT CLASS - YES 23h ���dl//Ill vvv LLLbbb �1JV U l) 66LLJ 1 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO NO Service Thac f ` t � I ADDITIONAL DATA ON FILE � I REPORT ID DPR261 ROUTE TO BS0508