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Home My Public Portal About5825 TEMPLE CITY BLVD_Building__ 008-3 ZSM SE76 B-48 -� DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING u ' ® � 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING e �o `� D113TRIICCT NO. 1PLLAAfN//OK..JNO. PERMIT NO. ADDRESS I�7 p1�7. [U A/ X1 1 �' } V / / b/ LOCALITY1 {'y+d + �� [ _�Q RECEIVED ,BY DATE OF APPL. /DATE ISSUED / NEAREST /V J f TO A CROSS 8T. S ` e/. OWNER '�1g�4+111 1/1/ /V 0� GVH BUILDING/�� s �y ADDRESS Gc_d 4-11-0 r' MAIL ADDRE88 L �. LOCALITY CITY P' kiig-A/C/LA�1gik- NO. j4�I1Z7Q� NEAREST TEL CROSS 8T. FIRE _ I NO.OF TYPE •i GROUP ARCHITECT OR TEL. ZONE I PLANS �+- ENGINEER NO. BLDG. ORD. NO. ADDRESS SETBACK LINE TEL. APPROVED CONTRACTOR NO. BY DATE USE APPROVED ADDRESS ZOBY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT �js�I SIZE OF LOT .b��J� I NO. OF BLJ1 le / NOW ON LOT /y OCL USE OF NO.OF e NO. or, EXISTING BLDG. ►�/n•f/ /I� I FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR `` MOVING DEMOLISH' p 5 ZE�. ' d3 ROOMS STORIES D WALL _ r COVERINGtR 4 OVERING USE OF NEW BUILDING 'J �', 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT FOUNDATION: LOCATION, IN9P CTOR DATE + AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS t! AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, 1 SIGNATURE OF ,A/- BRACING, BOLTS OWNER v✓ LATH, INT.. AUTHORIZED AOT LATH'i EXT.. Olt $ P. C.6 PLASTER, INT. FEE ![/ p d PLASTER, EXT. VALUATIONS FEE / A D FINAL ,.,DEPAi3TME.NT-OF BUILDING AND SAFETY APPLICATION FOIrPERMIT COZTNTY OF LOS ANGELES WM. J. FI]X; CHIEF ENGINEER = OR APPLICANT TO FILL IN FOR OFFICE USE ONLY im,ADDRE98 �J+ �l DISTRICT NO. PLAN CK. NO. PERMIT NO. 12 7 +d LOCALITY f RECEIVED BY DATE OF APFfL. DATE ISSL'IED NEAREST CROSS ST. �� J4.f'�f/P_.� BUILDING OWNER �' ��(J . /P ADDRESS MAIL r ADDRESS ' LOCALITY NEAREST �r TEL e.�• /J l J CITY NO. NO.. �77'�,� CROSS S7, ti ✓ �_ �' FIRE NO.OF' TYPE GROUP ENGINEER ARCHITECT OR TELZONE'' I PLANS I I NO. f BLDG. ORD. NO. ADDRESS n� SETBACK LINE TEL APPROVED CONTRACTOR /� ,/✓ Id O, BY DATE USE APPROVED. , ADDRESS ZONX 3 BY DATE LEGAL DE CRIPTIO�N. I LOT NO. !A�d I BLOCK CORRECTIONS TRACT Cf! s� NO. OF SLOGS. SIZE OF LOT �/ ,f�a�'/�` � I NOW ON LOTUBE or STING BLDG. �' ��I FAMILIESNO.or I ROOMS'. Ir Y V DESCRIPTION OF WORD ' NEW I ALTERATION I N' ADDITION. O REPAIR MOVING* DEMOLISH G . . NO.OF / / z SIZEFT ^ ROOMS S.QP •STORIES > WALL ��...,// ROOF 'yv, �w COVERING Ze '�C Clr `0 /I COVERING f C= �'c_•� USE OF NEW 1q, 1 HEREBY ACKNOWLEDGE THAT 1 HAVEREAD THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATIONS INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. FORMS, MATERIAL'S �� W AND STATE LAWS REGULATING BUILDING.CONSTRUCTION. FRAME. FIRE STOPS,. / p, BRACING, BOLTS SIGNATURE OF OWNER �J'�r LATH, INT.: V w b AUTHORIZED AOT ��#" /`� 4 LATH, EXT.: P.'C.>$/,�`. PLASTERr INT. FEE %< D� PLASTER, EXT. VALUATION FEE J,.t'6 � FINAL APPLICATION FOR BUILDING PERMIT • � COUNTY OF LOS ANGELES BUILDING AND.SAFETY • FOR APPLICANT TO FILL IN ES,S, WORKER'S COMPENSATION DECLARATION BUILDING f J! ' I hereby affirm that I have a certificate of consent.to self insure, A n or a certificate of Workers'Compensation Insurance,or a certified •JC• ZI Qriu- copy thereof(Sec.3800,Lab.C.) t LocAur Policy No. Company SIZE 07 LOT OF BLDG .NOW ON LOT ❑ Certified Copy is hereby fUrnpe4. NEAREST CROSS ST. ❑ Certified co d a ment.p•Is filed wit a GO building inspection I TRACT BLOCK LOT NO. I USE ZONE MAP NO. Date licant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONSn•_O'I CERTIFICATE OF EXEMPTION FROM WORKERS' R L NO YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred I 'AD RESS DISTRICT GROUP TY P NST- FIRE ZONE PROCESSED BY dollars($100)-or less.) I CRY ZIP i I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. vu become subject to the Workers'Compensation Laws. STATISTICAL CL�iSI�FICA110N APT CONDO Date Applicant I ADDRESS CLASS NO.6 DWELL UNITS NOTICE TO APPLICANT If, after• making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should• become subject to the Workers' TA i r SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith r !/1 FRONT comply with such provisions or this permit shall be deemed revoked. P L IVE.LICENSED CONTRACTORS DECLARATION SIDE ITY c. P L 1•hereby affirm that I am licensed underprovlslons of Chapter 9 i �- SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ. .SI NO.OF RIES NO.OF FAMILIES NEW ❑ BK PG } Professions Code213d my license is in full forc t. ) 0. CRIPTION OF WORK ❑ VALIlUN ON Lic. QLicense Nu er ( �� ADD Contractor ALTER sL4Date IDA / U ❑ 1 am exempt under Sec. REPAIR [I $' O BAP.C.for this reason �,@/• UIJ� L DEMOL ❑ LDMA P/C# U Date: USE OF E ING BLDG. - URM '❑ UJ I• 1 ca Signature ) TEL NO. LDMA Perm# 8 Z El 1, as owner of the property, or,my ACCTA employees with wages as Z ACC A their sole compensation, will do the work and the structure is A R S 0 3303 158.65 not Intended or offered for sale (Section 7044, Business and FI�AL DATE G , Professions COde.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ` �6 J 1 ITEt18 ❑ 1, as.owner of theproperty, am exclusive1 contracting With OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > TOTAL o licensed contractors to construct the project (Section 7044, YES 11 No 11 � �✓ Business and Professions Code.) CHECK 15$.65 ' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH //'�. CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 4HANGE .00 GUIDEUNES I hereby affirm that there is a construction lending agency for YES 11 NO❑ /��y (� /� �y a the performance Of the work for which this permit IS ISSUed(Seo. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 0000-UQ01 10I3U�95 N3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, � MATERIALS CONCERNING HAZARDOUS pM i 34Lender's Name REPORTING AND OBTAINING A PERMIT FROM THSCAOMM 305$ 1 I o Lender's Address OWNER GH AGEW o e e read this application and state under penalty ' c P.C.FEE PERMIT FEE j above information is correct.I agree to comply , N '%Iherdby rdinances and State laws relati to building 'authorize representatives this unty ISSUANCE FEEmbove-mentioned property for 1 t' i < , I INVESTIGATION FEE 'TOTAL FEE jl nW. Rftw /� O f j SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0910190073 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BIIILDING ADDRESS: TR: 6561 IT: 619 1 SQ. FT STORIES TYPE 5825 TEMPLE CITY BL STRUCTURE: 295 V-B TEMP CA 917802113 ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 18587-015-007 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: COMMS USE ZONE: C-1 IISSUED ON: PROCESSED BY: ]EXIST OCC GRP: 112/07/09 SR OWNER: TEL. NO: IBLDGS• NOW ON LOT: VALUATION: ]FINAL DATE FINAL BY: CODE: IMISCHENKO PHILIP (951) 205-0100- I 20,530 I 15825 TEMPLE CITY BL I TEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK I IROOF MOUNTED SOLAR P.V. INSTALLATION IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ 1 APPLICANT: TEL. NO: I I BURNS (800) 324-1978- IAX BUILDING REVIEW FEE 54.70 I 11511 E. ORANGETHORPE IAA BLDG PERMIT ISSIIANCE 27.75 ISPECIAL CONDITIONS: IFULLERTON, CA 92831 1D2 PERMIT W/O EN-HC 20530.00 VAL 401.40 D7 ADDNL PLANCHECK FEE 1.00 HOU 109.35 1 TOTAL FEES 593.20 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CALIFORNIA SOLAR SYSTEMS, INC. (800) 324-1978- 1 11511 E. ORANGETHORPE AVE LIC. NO LOCATION AND SETBACKS STE D 920108 B IFULLERTON, CA 92831SOILS ENGINEER APPROVAL [ARCHITECT OR ENGINEER: TEL. NO: 1 FOUNDATION/TRENCH FORMS I I LIC. NO: 1SLAB/UNDER FLOOR 1 1 1RAISED FLOOR FRAMING I 1 ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION I I I15OH269 3 001 FLOOR SHEATHING ]N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I NO 22 IROOF SHEATHING I I ] SCHOOL WITHIN HAZARDOUSI ISHEAR PANELS I I ] (AIR QUALITY: 1000 FEET MATERIALS 1 I I 1 I NO NO NOI (FRAME INSPECTION I I I 1REQUIRED TOTAL SETBACK FROM EXIST 1 ]FIRE SPRINKLER HANGERS 1 I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I 1 IFRONT PL- ] IINSULATION/WEATHER STRIPI 1 I SIDE PL- I I I I 11NTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. ] I I IRATED WALL ASSEMBLIES ] I ] (RATED SHAFTS/OPENINGS 1 1 ] IT-BAR CEILINGS I ] ILOT DRAINAGE I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I ] I