HomeMy Public PortalAbout5835 TEMPLE CITY BLVD_Building__ 76A638A pE,Cg03 4/72
_ APPLICATI FOR WILDING PERMIT )
COUNTY OF tOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAF BOOK PAGE ARCS
BUILDING AND SAFETY DIVISION BUILDING� , �
61AKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onl CROSS ST.
BUILDING Q DISTRICT NO. GRO TYPE PROC SSE Y
ADDRESS � 8 CON
� r
STATISTICAL CLASSIFICATION SEWER MA
LOT NO. BLOCK CLASS NO.2�F—DWELL.UNITS BK� PG`
TRACT USE ZONEMAP
NO.OF BLDGSIZE OF LOT NOW ON LOTS. 7/ NO.
USE OF `' CONDITIONS
EXISTING BLDG.
TEL.
OWNER
,�, NO. G.SETBACK FROM
ADDRESS �7 - RONT PROP.LINE OF (STREET)
YPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HWAY WIDTH FROM C.L.
ARCHITECT OW v TEL. +
ENGINEER NO. BLDG.SETBACK FROM a
ADDRESS f / SIDE PROP.LINE OF (STREET) C
TEL. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL CC
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L.
_ C
ADDRESS NO. t - C
LIC, Z
CITY CLASS CORNER CUTOFF YES ❑ NO.•❑
CONSTRUCTMN LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR S,f CIAL PPR OVALS
ADDRESS /
L
SQ. FT. NO. OF NO. OF NEW /
USE OFSIZE STORIES FAMILIES ADD I I l/7 r . .rti :-L•`4(.
STRUCTURE
ALTER ❑
SIGNATURE OF -V REPAIR❑ f
APPLICANT DEMOL ❑
VALUATION S �Q a APPROVALS DATE INSPECTOR'S 7rrNATURE
P.C. PMT. FOUNDATION: LOCATION Z
FEES FEES / 416 FORMS. MATERIALS 7 7 ,C,•
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN TION I i URAN JI LATH, EXT.
SIGNATURE OF ,�j(1dL HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS at :-'c— t
FINAL 30ri 7"� .�Lt�3t--.t__
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
�C.0942013 WA 6 13 12.00 �'
WORKERS'COMPENSATION DECLARATION
hereby o certificate
that I have certificate of consent to self APPLICATION F®R BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance,
or a certified COPY thereof(Sec. 3800, Lab. C.)
/ � COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. 3l�V c'ffitpony , V�� BUILDINGy�
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 'M P�l7 C17Y bLVO
❑ Certified copy is filed with the county building inspec- BUILDING _JP
,/ �LF ����
L
tion department. ADDRESS -34 C Y
Date '_ -_$ Ap ,,r)plicant CITY /'tV r G ZIP LOCALITY �L` �l
CERTIFICATE OF EXEMPTION FRO WORKERS' NO.OF BLDGS. NEAREST ��
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. S
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LO7 NO. MAP BOOK PAGE PARCEL
TEL' USE ZONE FN
I certify that in the performance of the work for which this OWNER yC/� T NO. ��permit is issued, I shall not employ any person in any manner �gm �(� LY�� L IALso as to become subject to the Workers'Compensation Laws. ADDRESS QQ DITIONS V
CITY /-Zf- az ZIP 0
Date Applicant ARCHITECT OR �-�f TEL. DISTRICT GROU NST. ZONE PROCESSED BY OO
It
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER � G��L�c� NO.
Exemption, you should become subject to the Workers' Ar� ��` �rr ^� V
Compensation provisions of the Labor Code, you must forth- ADDRESS /I G�Y ��� C4 ��U L• a
with comply with such provisions or this permit shall be
deemed revoked. �7Od
STATISTICAL N APT. CONDO. fn
CONTRACTOR GES e`GQ..r � Z
LICENSED CONTRACTORS DECLARATION /J LIC. CLASS NO. 'ZZ— DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ' T�� �L•NO. /`r� '
(commencing with Section 7000)of Division 3 of the Business and r� �f/ LIC, SEWER MAP
Professions Code, and my license is in full force and effect. CITY /� (3,96 L CLASS �^ BK. PG. VALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Number /H�/�/ Lic.Class /� �J� SIZE STORIES FAMILIES ONE
VALUATION
Contractor G " t G% °'/ _JV DESCRIPTION OF WORK NEW
r_1I � � Jf'/ ADD ❑ 9
am exempt under Sec. ALTER ❑
B.BP.C, for this reason AWE 7704 SAW REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature 'e APPLICANT ��j + 4��L FINAL
OWNER-BUI PRINT //*��ER DECLARATION DATE
I hereby affirm that I am a empt from the Contractor's License C(f, do oL r
Law for the following reason (Section 7031.5, Business and ADDRESS AFINAL
Professions Code): PRE5ENT By
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. 00, 0
❑ 1, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). �7 3 a 5 A
REQUIRED TOTAL SETBA
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH # 0 0 0 0+0 1
1 hereby affirm that there is a construction lending agency for FRONT ) 0 o49,88
the performance of the work for which this permit is Issued P.L.
(Sec. 3097, Civ. C.). SIDE o 0 o 4() 8 8 v
P.L.
Lender's Name 0 7.01 —87
a P.C.Fee$ Permit Fee LDMA Ref. tY
Lender's Address
I certify that I have read this application and state that the Issuance Fee ��• 5� LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
N and hereby authorize representatives of this County to enter
upon th bove Toned property for inspection purposes.
m / �� SEE REVERSE FOR EXPLANATORY LANGUAGE
� Sign re of Applicant or Agent Date ,
WORKERS'COMPENSATION DECLARATION j
I hereby affirm that I have a certificate of consent to self APPLICATION F 'BUILDING P I T
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) i BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Policy No. Company ,-
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the county building inspec- I BUILDING
tion department. I ADDRESS j "� r✓
Date Applicant I CITY �-f� ZIP LOCALITY _�-
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE i SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL.
OWNER NO. r� USE ZONE MAF
I certify that in the performance of the work for which this I
permit is issued, I shall not employ any person in any manner Gf Z SPECIAL
ADDRESS CONDITIONS
�( so as to become subject to the Workers'Compensation Laws.-aRo �O
Date Ap ���plicant I rA f' _M ��� CIN ` ZIP
NOTICE TO APPLICANT: If, after making this Certificate ofX*CITECT OR Sm TEL. 015TRICi GROUP TYPE FIRE PROCESSED BY O
Exemption, you should become subject to the Workers' ENGIIqEf.R NO. �j� CONST. ZONE V
Compensation provisions of the Labor Code, you must forth- ADDRESS I�rd� !/'�� 5 a
with comply with such provisions or this permit shall be TEL. STATISTICAL CLAS$LFI?ATION APT. CONDO.
deemed revoked. CONTRACTOR NO. J
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. •�` I DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and
Professions Code, and my license is in full force and effect. CITY CLAS BK PG VALIDATION
SQ.FT. p� NO.OF NO.OF CHECK
License Number Lic.Class SIZE / Q V. STORIES FAMILIES ONE
' VALUATION
Contractor Date DESCRIPTION OF WORK T.41cy,LE - ex pWbl'w ❑ $ .K�/) dslo
I am exempt under Sec. l�v� /V d L�� oaf!I� ` L,(J
ADD
_ ALTER
B.BP.C. for this reason X- V /N6'r&at N OTI L&1.J / ( R $
DUSE OF
Date: DEMOL
EXISTING BLDG.
Signature APPLICANTDOM L. FINAL
OWNER-BUILDER DECLARATION PRINT NO. DATE
I hereby affirm that I am exempt from the Contractor's License ADDRESS F 7 2 �,$A
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT _ ,/ # 0 0 0 0.0 1
BUILDING
I, as owner of the property, or my employees with ADDRESS I i 'I o 0 2 5 Q
wages as their sale compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY o.0 0 2 a 5 0�
7044, Business and Professions Code). MOVING TEL.
❑ CONTRACTOR NO.
I, as owner of the property, am exclusively contracting Q 6. 10-87
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
ROM
CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAL SETBACK
LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name J C? Q LDMA Ref. #
Lender's Address P.C.Fee$ Permit Fee i I
I certify that I have read this application and state that the Issuance Fee Z—*e) `� U LDMA P/C R
? above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, g Total Fee e S�C LDMA Perm. n
3 and hereby authorize representatives of this County to enter
$
:upq�thhie above-mentioned p oorp�erty for inspection purposes.
� {/,]�,'y� . JI) SEE REVERSE FOR EXPLANATORY LANGUAGE
gnature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER
BUILDING AND SAFETY j LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1110310063
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS:
}TR: 6561 IT: 623 SO. FT SPRINKLER HEADS 5835 TEMPLE CITY BL
I STRUCTURE- I TEMP CA 917802113
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-015_032 THOMAS PAGE- 596 GRID: J3 LOCALITY: TEMPLE CITY, C
!TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY:
BANANA LEAF EXIST OCC GRP- 111/02/11 SR
OWNER: TEL. NO:' BLDGS. NOW ON LOT: VALUATION: Pi A.L Ts
FI Y: CODE:
Dt
IMOELVJONO, YOUDY (626) 588-7108- 1,500
15835 TEMPLE CITY BL. I qiptTON WORK
TEMPLE CITY CA 91780 FEES PAID }RESTAURANT FIRE SUPPRESSION SYSTEM, UL-300 UPGRADE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[
(APPLICANT: TEL. NO: I
iZOHAR, AVIGAD (818) 562-0065- DO FIRE SPRINKLER PC 1500.00 VAL 82.10 1
6724 JUMILLA AVE. AA BLDG PERMIT ISSUANCE 27.80 [SPECIAL CONDITIONS:
WINNEKA, CA 91306 AB STATE GREEN BLDG FEE 1500.00 VAL 1.00
Dl PLANCHECK W/O EN-HC 1500.00 VAL 82.10
TOTAL FEES 193.00
!CONTRACTOR: TEL. NO: }APDATE INSPECTOR SIGNATURE
S.O.S. FIRE SERVICES (83.8) 562-0065- i1
16724 JUMXLLA AVNEUE LIC. NO 1 %
O JFIDEPARTMENT INSPECT
JWINNETKA, CA 91306 NONE I ,.+- lobb
IFIRS SPRINKLER HANGERS
ARCHITECT OR ENGINEER: TEL. NO: JFIRg DEPARTMENT APPROVAL
LIC. NO:
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
00,
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
No NO NO i 1 1
IREORT ID: DPR261 ROTE TO, Bs05O8
,x
�+ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMFVT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1110310004
PHONE: (626) 285-0488 EXT:
[LEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS:
TR: 6561 LT: 623 I SQ. FT STORIES TYPE OCCUP GROUP 5835 TEMPLE CITY BL
CA
ASSESSOR INFORMATION NUMBER: [STRUCTURE: 1110 1 V-B B i NEEAREST MP CROSS2113 STTREET: LAS TUNAS 1
18587-015-032 I 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C�
[TENANT: 1EXIST BLDG USE: COMMS USE ZONE: JISSUED ON: PROCESSED BY:
BANANA LEAF JEXIST OCC GRP: B 112/12/11 SR
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN Y: CODE:
IMOELVJONO, YOUDY (909) 521-1458- 1 2,000
12710 CALLA VISTA I 1 L �I 1
ICHINO HILLS I FEES PAID IDESCRIPTION OF WORK 141
I ITENANT IMPROVEMENT RESTROOM AND LIGHT FIXTURES
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ I
[APPLICANT: TEL. NO: I I 1
IMOELVJONO, YOUDY (909) 521-1458- 1A1 PLANCHECK W/EN-HC 2000.00 VAL 94.40 I 1
12710 CALLE VISTA IAA BLDG PERMIT ISSUANCE 27.80 ]SPECIAL CONDITIONS: ' 1
[CHINO HILLS [AB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ] 1
IAE STRONG MOTION OTHER 2000.00 VAL 0.50 ]
1 1A2 PERMIT W/ENERGY-HC 2000.00 VAL 94.60
ICONTRACTOR: TEL. NO: IFS INV WORK W/O PERMIT 257.00 DOL 257.00 ]APPROVALS DATE INSPECTOR SIGNATURE
IPRIMENET DATA SYSTEMS INC. (213) 268-0959- 1 TOTAL FEES 475.30 1 1
1740 MORADA PLACE LIC. NO 1 ILOCATION AND SETBACKS [ [ ]
1ALTADENA, CA 91001 961103 B + [ i 1 1 ]
ISOILS ENGINEER APPROVAL 1 1 1
[ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 [SLAB/UNDER FLOOR [ [ I
I
] ] [RAISED FLOOR FRAMING 1 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] (UNDERFLOOR INSULATION I I [
3 041 1
1 1 IFLOOR SHEATHING 1 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ] I. I
[ 0 NO 22 ] IROOF SHEATHING
] I I
1 SCHOOL WITHIN HAZARDOUS 1 [SHEAR PANELS [ I I
[AIR QUALITY: 1000 FEET MATERIALS 1 1 1 1
1 NO NO NO 1 IFRAME INSPECTION % [
1 1 [FIRS SPRINKLER HANGERS I I
1 1 11NSULATION/WEATHER STRIPI
I 1 [INTERIOR LATH/DRYWALL
1 1 [EXTERIOR LATH 1 1 1
1 1 [RATED FLOOR/CEIL ASSEM. I I 1
1 1 [RATED WALL ASSEMBLIES 1 [ 1
I IRATED SHAFTS/OPENINGS �I
I 1 I
1T-BAR CEILINGS I 1 I
I 1* ADDITIONAL DATA ON FILE II
[ 1 I LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I ] I
_• COUNTY OF LOS ANGELES TEMPLE CITY
■
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS # 0508 BUILDING PERMIT
DEPAR
.. SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112080035
PHONE: (626) 285-0488 EXT:
LEGAL ID: NUMBER OF SIGNS: 1 BUILDING ADDRESS:
ITR: 6561 LT: 623 ISIGN DESCRIPTION: ONE SET INTERNAL ILLUMINATED CHANNEL 5835 TEMPLE CITY BL
I TEMP CA 917802113
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS
8587-015-032
I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
ITENANT: (EXIST BLDG USE: JISSUED ON: PROCESSED BY:
(BANANA LEAF (EXIST OCC GRP: 112/08/11 SR
OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IBANANA LEAF (929) 247-5688- I 1,400 I
15835 TEMPLE CITY BL. t
TEMPLE CITY CA 91780 FEES PAID IDESCRIPT IN OF WORK
I LONE SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: [
[APPLICANT: TEL. NO:
IYU, ALLISON (626) 336-1616- IAA BLDG PERMIT ISSUANCE 27.80 [ I
116354 VALLEY BLVD. [AB STATE GREEN BLDG FEE 1400.00 VAL 1.00 [SPECIAL CONDITIONS:
ILA PUENTE, CA 91744 AX BUILDING REVIEW FEE 54.70
ID2 PERMIT W/0 EN-HC 1400.00 VAL 82.20
I [ TOTAL FEES 165.70 [ I
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE
IFIRST SIGN CO. (626) 336-1616- [
[16354 VALLEY BLVD LIC. NO [ [LOCATION AND SETBACKS [ [ I
ILA PUENTE CA 91744 60568SC45 * [
I I ISOILS ENGINEER APPROVAL [ I [
(ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I
LIC. NO: I (SUPPORT STRUCTURE I I
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[
I I I I
I 001
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [ I I I I
NO 20 I I I I I
[ SCHOOL WITHIN HAZARDOUS I I I I I
LAIR QUALITY: 1000 FEET MATERIALS [
NO NO NO [ I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
]* ADDITIONAL DATA ON FILE I I I I
I
]REPORT ID: DPR261 ROUTE TO: BS0508
[ ] I I I I
COUNTY OF LQS 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 1111220069
PHONE: (626) 285-0488 EXT:
LEGAL ID.- I NO. OF CONST BIIILDING ADDRESS:
1TR: 6561 IT: 623 SQ. FT STORIES TYPE 5835 TEMPLE CITY BL
STRUCTURE: V-B TEMP CA 917802113
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS
18587-015-032 i I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I
TAT: EXIST BLDG USE: COMME USE ZONE: C-2 11SSUED ON: PROCESSED BY: 1
BANANA LEAF (EXIST OCC GRP: 111/22/11 SR
I
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALIIATION: IF NAL DATE FINAL BY: CODE:
IMOELVJONO, YOUDY (909) 521-1458- /� ]
12710 CALLA VISTA ] I �- // A I
ICHINO HILLS 1 FEES PAID JDRSCRIPTION OF WORK
I I ISTORE FRONT WINDOW & DOOR CHANGE SAME OPENINGS SAME SIZE
IFES DESCRIPTION: QIIANTITY: UOM: AMOUNT:(COSMETIC FACELIFT TO BRONZE FRAMING AND CLEAR GLASS 4" BRONZI
(APPLICANT: TEL. NO: I IE FRAME AND 1/4" CLEAR GLASS
IWONG, STEVEN (626) 823-0663- IAA BLDG PERMIT ISSUANCE 27.80 1
IAB STATE GREEN BLDG FEE 1800.00 VAL 1.00 ISPECIAL CONDITIONS: ]
IAE STRONG MOTION OTHER 1800.00 VAL 0.50
ID2 PERMIT W/O EN-HC 1800.00 VAL 82.20
TOTAL FEES 111.50
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
ICALIFORNIA GARVEY WINDOWS AND DOORS (626) 823-0663- 1
17752 E. GARVEY AVENUE LIC. NO 1 (LOCATION AND SETBACKS
ROSEMEAD, CA 91770 958528 C17 I
I I I
I i ISOILS ENGINEER APPROVAL I I I
ARCHITECT OR ENGINEER: TEL. N0: -
[FOIINDATION/TRENCH FORMS I I I
LIC. NO: I 1SLAB/UNDER FLOOR I I I
RAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I
1150H269 3 001
I I (FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1
0 NO 22 i [ROOF SHEATHING I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 I I
(AIR QUALITY: 1000 FEET MATERIALS [
I I I
NO NO NO [ IFRAME INSPECTION I I [
FIRE SPRINKLER HANGERS I I
I I
]INSULATION/WEATHER STRIPI I I
(INTERIOR LATH/DRYWALL 1 [ I
I (EXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I I
I
IRATED WALL ASSEMBLIES i I
I I
(RATED SHAFTS/OPENINGS [ I [
IT-BAR CEILINGS [ I [
LOT DRAINAGE I I I
I I I
1 (REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I
COUNTY OF LOS,ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BLT0508 111112150075
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
1TR: 6561 IT: 623 SQ. FT STORIES TYPE 1 5835 TEMPLE CITY BL 1
STRUCTURE: V-B I TEMP CA 917802113
ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET: LAS TUNAS
18587-015-032 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY:
(BANANA LEAF JEXIST OCC GRP: 112/15/11 SR
OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: [F NAL DATE FIN BY: CODE:
BANANA LEAF (929) 247-5688-
15835 TEMPLE CITY BL. I 900 [ [
[TEMPLE CITY CA 91780 [ FEES PAID [ N OF WORK
NEW AWNING [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:(
(APPLICANT: TEL. NO: 1
IRAINBOW AWNING CO. (626) 388-5483- IAA BLDG PERMIT ISSUANCE 27.80 I I
12505 DURFEE AVE. IAB STATE GREEN BLDG FEE 900.00 VAL 1.00 (SPECIAL CONDITIONS:
EL MONTE, CA 91732 AX BUILDING REVIEW FEE 54.70
ID2 PERMIT W/O EN-HC 900.00 VAL 65.40
I 1 TOTAL FEES 148.90 I [
(CONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE
IRAINBOW AWNING CO., INC. (626) 448-9287- 1 I [
12505 DURFEE AVENUEE LIC. NO 1 VACATION AND SETBACKS
I I I
[SL MONTE, CA 91732 592534045 [
[ [ ISOILS ENGINEER APPROVAL [ I I
[ARCHITECT OR ENGINEER: TEL. NO: - [ (FOUNDATION/TRENCH FORMS [ [ 1
LIC. NO: i (SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING I
I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( [UNDERFLOOR INSULATION [ I I
1150H269 3 001 1 [ I I
I I IFLOOR SHEATHING I I [
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [
[ 0 NO 22 [ [ROOF SHEATHING [ [ [
1 SCHOOL WITHIN HAZARDOUS 1 [SHEAR PANELS I [ I
(AIR QUALITY: 1000 FEET MATERIALS 1 I [ I [
_ NO N1 - - NO FRAME INSPECTION - _
FIRE SPRINKLER HANGERS'
[ [ (INSULATION/WEATHER STRIP(. I I
[ [ [INTERIOR LATH/DRYWALL I I [
I 1EXTERIOR LATH [
[ [ IRATED FLOOR/CEIL ASSEM. [
IRATEDWALL ASSEMBLIES I [ I
I [ I I I
IRATED SHAFTS/OPENINGS [ [ [
� I
I I IT-BAR CEILINGS 1 [
I [ I I
I [ (IAT DRAINAGE
I I I
[ [REPORT ID: DPR261 ROUTE TO: BS0508
I I I I