HomeMy Public PortalAbout5910 TEMPLE CITY BLVD_Building__ 76A648A CE 9803 3-69
• APPLICATION FOR BUILDIN'� PERMIT
CIDUNTY OF LOS ANGELES ADDRESS 'G
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. x 7--m�,7
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP TYPE CONST. PROC SSED BY
(PRINT OR TYPE ONLY) �t B �� �jo
BUILDING `QQ `ec
,[ JFRONT
TISTICAL CLASSIFICATION SEWER P
ADDRESS 5J(O ��/jJ? f (' �(/ ► SS N0. DWELL.UNITS BK PGS®
LOT NO. S BLOCK ZONE MAP OQ-7
NO.
TRACT Sd SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOT COOK ® NOW ON LOT
USE OF
EXISTING BLDG. e fK I-'L�' G. SETBACK FROM
OWNER t �p o L. TEL�3 7 � PROP. LINE OF (STREET)
. TYPE OF XISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
6Z`O HIGHWAY DTH FROM C.L.
`` D pp
CITY L i I ✓ppl 004 CJ + -
ARCHITECT OFA TEL. BLDG.SETBACK FROM
ENGINEER [L, (r �� NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HI?W&<' + YARD = TOTAL
ADDRESS Q �E� �y� .HIGHWAY WIDTH FROM C.L.
CONTRACTOR Z� ` NOL `LIC
_
ADDRESS NO CORNER CUTOFF YES E] NO E]LI .
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS i
CONSTRUCTION LENDER
NAME AND BRANCH
I
ADDRESS �
t
SQ. FT. NO. OF N0. OF ❑
SIZE STORIES FAMILIES NEW
STRUCTURE eSTG` T USE OF ADD ❑
ALTER ❑
le-AlI/ NC p REPAIR ❑ .
SIGNATURE OF D OL' ❑
APPLICANT (�
VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT OV FOUNDATION: LOCATION
FEE$ FEE$ FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA LATING TO WORKMEN'S COM-
PENSATION INSnANC.E� LATH, EXT.SIGNATIURE 0 HOUSE NUMBER CORRECTPERMITTEEAND POSTED la
ADDRESS FINAL G
JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION M.O. ASH
_ [A('-1 5 2 .8 o AUG 21 1 D 9.0 0;, m
76438A CE"#803 3-69 l
APPLICATION FOR BUILDING PERMIT �I
COUNTY OF LOS ANGELES ADDRESS C? e Ij
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
DISTRICT N0. GROUP TYPENST. PROCESSED BY
FOR APPLICANT TO FILL IN o- _C
(PRINT OR TYPE ONLY) �� �J -.2,1 y
BUILDING // J STATISTICAL CLAS IFICATION SEWER MAP
ADDRESS-1116 �E E a tt is-6 od CLASS NO. �DWELL:UNITS BK /— PG �Q
LOT NO. fO s BLOCK USE ZONE NO'P ,'�LC'�
TRACT S SPECIAL
SIZE OF LOT a�D f\ �` 42NOWOON LOTS ! CONDITIONS
USE OF F
EXISTING BLDG. q BLDG. SETBACK FROM
OWNER S a ® � N0 �3-7S�/ FRONT PROP. LINE OF (STREET)
y TYPE OF STING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
0d Wfd IVA-� [J
^I, HIGHWAY W FROM G.L.
CITY 1 "4,`T A� l� LL i
ARCHITECT R TEL S BLDG.SETBACK FROM "'�'
ENGINEER �l� (STREET)
��� �� N0. ,�•6Js SIDE ROP. LINE OF
E OF I EXISTING SETBACK HIGHWAY RD = TOTAL
ADDRESS.3V,3� p-,V j?o a7< RCj, j jLjV_o HIGHWAY WIDTH FROM C.L.
CONTRACTOR NOLLIC c
+ = p
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
L
NAME AND BRANCH U.
a
ADDRESS v
2
SQ. FTN0. OF NO. OF
. ❑
SIZE STORIES FAMILIES NEW
USE Of D
AD
STRUCTURE p C�af ��G - ` ALTER
REPAIR ❑
SIGNATURE DEMOL ❑
APPLICANT
VALUATION$ «% v APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION,
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 GAS VENT DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. /�� /� LATH, EXT.
SIGNATURE U/,� %vim HOUSE NUMBER CORRECT
PERMITTEE AND POSTED t/y'
ADDRESSp
F NAL
JOHN F. LEWIS, PRIWCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.G. CASH
.FIE,.2942% DEG 2 1 D 9.0 0'.
ZGAQt SAP COI§09 9-68 �� .5f^
3✓
APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 6 rR041/f = C /911-19
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, suP'T OF BUILDING NEAREST
CROSS ST.
DISTRICT NO GROUP TYPE int or type only) P •C S D BY
FOR APPeLICANT T CONST. / t?
BUILDING f� � d �� /00; -c-
/�, � STATISTICAL CLASSIFICATION SEWER MAP ��
ADDRESS ) CLASS NO. DWELL.UNITS. BK -r PG
LOT NO. �1 BLOCK USE ZONE MAP O
/-� NO.
07
SP CIAL
TRACT 7 Ce ;d, CONDITIONS
SIZE OF LOT
�'0 Ic NOW ON LOTNO.OF S
USE OF
EXISTING BLDG, BLDG.SETBACK FROM
�I TEL. /x� FRONT PROP.LINE OF (STREET)
OWNER S (�L NO. 3 v TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS.1z 49 HIGHWAY WIDTH FROM G.L.
CITY n Qa /I g-
BLDG. + _
ARCH) ECT OR,� /f TEL 7J' ISI E PROP.LINE OF _ (STREET)
ENGINEER C Lr R NO• ' - •�J.7 TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS Q HIGHWAY WIDTH FROM C.L.
CONTRACTOR F_
C C/4 a
LIC. CORNER CUTOFF YES ❑ NO E] V
ADDRESS NO.
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS RD
DESCRIPTION OF WORK
W
O.
X • L l 5,,er- FI C "'N'%t? 1)Ix,-
NEW ADD ALTER REPAIR DEMOLISH —
SQ. FT. NO. OF NO. OF .S%, GJ/'-r. r/L�l�� /�fti�i1,: C /-�.F P C
SIZE STORIES FAMILIES
USE OF tj Ea C / .1//
STRUCTURE
C+R. — Q
SIGNATURE OF 01-1
APPLICANT
VALUATION
•o� � APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE$�Dr"�S FEE$ 7 FORMS, MATERIALS fn /I
FRAME: FIRE STOPS, 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHOR .0 HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA• LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE 05i�� ,� HOUSE NUMBER COR- ,
PERMITTEE RECT ARD`POSTED /
ADDRESS JJ �y�Y '«� Y 7��Gf�f�'��'� FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VAUDATION(::D M.O. CASH _ PERMIT VALIDATION , M.O. CASH
G� 1 r• r
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUfLDINCOUNTY OF LOS 'ANGELES'
ADDRESS
� 1� DEPARTMENT OF COUNTY ENGINEER
ADDRS� � I.
CITYyy ! zIP:0/j d ' BUILDING AND SAFETY DIVISION
NO.SIZE OF LOT�/1//0 NOWOON LOTS ADIDRESS�� a ' �
TRACT/,4!5Z/ BLOCK I LOT NO. LOCALITY
TE� C C.. NOL. NEAREST
-CROSS ST.
OWNER r -
&�O � ASSESSOR
ADDRESS' MAP BOOK PAGE PARCEL
DISTRICT I GROUP TYPEI FIRE SSED BY
CITY T • ZIP TEL. �� .�0 �� CONST ZON
ARCENGINEER NO.
STATISTICAL CLASSIFICATION EWER MAP
ADDRESS i .�. CLASS NO.�DWELL.UNITS 12156'J�G
CONTRA CTORe . ' • &5 NO
� USE ZONE NOP IMAC�,
ADDRESS, P)0 ��gzcg //�' Z SPECIAL
LIC. `�' CONDITIONS
CIT CLASS
_ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM C
FRONT PROP.LINE OF (STREET) c
C
ADDRESS CITY
HIGHWAY + YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING t
SQ. FT. N0. OF NO. OF //'' CHECK - FRONT PROP. LINE HIGHWAY WIDTH C
SIZE i 10 STORIES FAMILIEONE
DESCRIPTION OF WORK 'r NEW
BLDG. ETBACKC
ADD ❑ SIDE PROP.LINE OF FROM (STREET)
ALTERj
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
V SIDE PROP. LINE HIGHWAY WIDTH
USE OF
r/ REPAIR
EXISTING BLDG. t! � � / DEMOL ❑ +
APPLICANT TEL
CORNER CUTOFF YES E] NO ❑
(PRINT) �I f N0� �P G
IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATURE)
�J IN COASTAL ZONE YES ❑ NO ❑
VALUATION$fZ;50a i(/' 0 CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)'
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT E Y N PERSON IN VIOLATION OF THE
LABOR CODE OF T ST F CALIFORNIA IN RELATING TO
WORKMEN'S
CO
TI IN R CE.
SIGNATURE O
PERMITTEE
ADDRESS /�/J +�
CITY D t, //t N0.TE �. DIATE "��] O r / [� B
MAKE CIIECKS -AYABLE TO: FEE $ FEE
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN CHECK ALIBATION CK. M.O. CASH PERMI VTC,LID' TION CK. O. CASH
2.S."FEB `?�.�`�U 9.8 0. ,& '
76ABBBA CE4603 7/73 6 1L`�IFEB c6 1 D• 3 3.0 Q A;o
i
. WORKERS'COMPENSATION DECLARATION
rm that I have certificate of consent to self
insure, drra certificate of Workers'Compensation Insurance, APPLICATION F OR BUILDING PERMIT
or a ce;rtified Ebpy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
r
Policy No. Company BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS LOCALITY
NEAREST
Date Applicant CITY Zip CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
4 USE ZONE MAP
This section need not be completed if the permit is for one / / ` ��� �7( 7
hundred dollars($100)or less.) P , TRACT �rp// BLOCK T - /�� NO.
TEL. /r' SPECIAL
I certify that in the performance of the work for which this OWNER 140e,44 Wa 4AA1 NO 3 i CONDITIONS CL
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE O SSED BY O
so as to become subject to the Workers'Compensa ion Laws. ADDRESS �O, 5 , CONS ZONE vc� I U
{/ e, ,�
Date Applicant -" t ;. ARCHITECT OR TEL p0 STATISTICAL CLASSIFII:ATION APT. IcONDO.
NOTIC TO A P ICANT. If, after making Certificate of ENGINEER NO. {�
Exemption, you should become subject to the Workers' CLASS NO. DWELL. UNITS IL
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP to
with comply with such provisions or this permit shall be TEL. Z
deemed revoked. CONTRACTOR NO. El
BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC,
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC. 4r"Professions Code, and my license is in full force and effect. CITY CLASS $ ,
SQ.FT,
NO.OF NO.OF CHECK ,
License Number Lic.Class SIZE STORIES FAMILIES ONE
$
Contractor Date DESCRIPTION OF WORK NEW
ADD ❑ .
I am exempt under Sec. A10t
ALTER FINAL
B.BP.C. for this reason
❑
REPAIR DAT
Date:
USE OFDEMOL EXISTING BLDG. !]f ❑ FI
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT NO.
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS t
Prgfessions Code): PRESENT
r�y'Ji I, as owner of the property,ro erty, yemployBUILDING
o: m ees 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.
I, 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).
REQUIRED TOTAL SETBACK FROM EXIST. 5 7 5 b R
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT #f o o a o o
the performance of the work for which this permit is issued P.L.
iSec. 3097, Civ. C.). SIDE ( o - 40,50
0
P.L.
i Lender's Name a 0 0 (i 0. 5 0 H
3 P.C.Fee$ Permit Fee f Q d
Lender's Address 1 0,24-86
c I certify that I have read this application and state that the Issuance Fee ✓�
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee
1 and hereby authorize representatives of this County to enter---'"-
( up thove-mentioned property for inspection purposes.
�? ( VD-Jte �
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o pplicant or Agent ®s
1
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self APPLICATION F O R BUILDING -P E RM I T
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. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Q
❑ Certified copy is filed with the county building inspec- BUILDING ` —�-
tion department. ADDRESS /Q GI LOCALITY
v -'t ' NEAREST
Date Applicant CITY ZIP / 8o CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section'need not be completed if the permit is for one ) USE ZONE MAP
hundred dollars($100)or less.) TRACT BLOCK L O. ` NO.
SPECIAL }
I certify that in the performance of the work for which this OWNER 0L N J14J -/111 CONDITIONS t�
permit is issued, I shall not employ-anye n in an manna DISTRICT G OUP TYPE FIRE PROCESSED BY O
p p Y ADDRESSIq 67 •I I C. CON ZONE �!
so as to bac me subject to the Worke mpen on
Date / Applican Y ZIP �� STATISTICAL CLASSIF TION APT. CONDO. U
NOTICE/TO A LI T: If, afte making this Cer icate of ARCHITECT OR TEL.
ENGINEER NO. CLASS NO. DWELL. UNITS—
Exemption,
you s uld become subject to the Workers' 0.
Compensation pr 'Sion.of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be g
deemed revoked. I CONTRACTOR A NO. BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter ADDRESS NO. VALVA ION
(commencing with Section 7000)of Division 3 of the Business and LIC. �{
Professions Code, and my license is in full force and effect. CITY6 CLASS $ Ur— ,
SQ.FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE 0
$
Contractor Date ' DESCRIPTION OF WORK NEW ❑
❑I am exempt under Sec. ADD ❑
ALTER ❑ FINAL
DATI`j l v
B.BP.C. for this reason REPAIR C1
USE OF ,J pl
Date: EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT NO.
I hereby affirm that I am exempt from the Contractor's License ►
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PEEN
970318A
BUILDING # 0 0 0 0 0'1
I, owner of the property, or my employees with ADDRESS 0 0
wages as their sole compensation,will do the work and LOCALITY i 0 0 5
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). MOVING TEL. O S 1 4-87
I,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).
REQUIRED TOTAL SETBACK FROM EXIST. '
CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. 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.
tSec. 3097, Civ. C.). SIDE
m
P.L.
`o Lender's Name
Lender's Address P.C.Fee$ Permit Fee
sI certify that I have read this application and state that the Issuance Fee l� % _
above information is correct. I agree to comply with all County Investigation Fee /'�
ordinances a ate laws relating to building construction, Total Fee �i �L/
9 and here authorize re sentative this County to enter
upon,Ke above-menti prop r inspectionnt o gent Date uu ase
c / y SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applica ®s
i
1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
-DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS p( n COMMERCIAL ADDITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806250015
PHONE: (818) 285-0488 EXT:
LEGAL D: NO. OF CONST NEW BUR-DING ADDRESS:
TR: 6561 LT: 185 SQ. FT STORIES TYPE OCCUP GROUP 5910 TEMPLE CITY BL
STRUCTURE: 0 1 VN B TEMP CA 917802109
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-019-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: COMME USE ZONE: C- ISSUED ON: PROCESSED BY: EXPIRES ON:
BO BO CHINA EXIST OCC GRP: B 06/25/98 UT 0 25/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY' CODE:
SOKOL ARTHUR;FRANCES (310) 396-8464- 1 2,000
13126 NIMROD PL
LOSA 900493633 FEES PAID DESCRTP—TION OF WORK
EXTERIOR WOOD PATIO FOR RESTAURANT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AE STRONG MOTION OTHER 2000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
D2 PERMIT W/0 EN-HC 2000.00 VAL 82.20
CONTRACTOR: TEL. N0: TOTAL FEES 165.15APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE 0: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
AISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 04
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN ffAZARD009--____ SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRINKLEW SPRINKLERHANGERS
INSULATION/—WEATHER—STRIP
NTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS r , ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA r .. BL 0508 9611130113
PHONE: (818) 285-0488 ' EXT:
LEGAL ID: 0. OF CONST B U ILDING ADDR ESS:
TR: 6561 LT: 185 SQ. FT STORIES TYPE 5910 TEMPLE CITY BL
STRUCTURE: 0 V TEMP CA 917802109
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-019-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: E IST B DG USE: COMME USE ZONE: C- ISSUED 0 T. PROCESSED BY: PIRES ON:
EXIST OCC GRP: 11/13/96 TC 1 /13/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
SOKOL ARTHUR;FRANCES - 1 1,500
13126 NIMROD PL 3��
LOSA 900493633 FEES PAID DESCRIPTION OF WQRK
INSTALLING DOORS IN EXISTING AN DOOR OPENING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AE STRONG MOTION OJHER 1500.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING R�VvMS��FEE 54.70
D2 PERMIT W/0 EN a,C� S,150O 00 MAL 82.20
TOTAL FEE$��j 165.15
CONTRACTOR: TEL. N0: ``�� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO , OCATION AND SETBACKS
t
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE ,d' / \\ FOUNDATION/TRENCH-FORMS
LIC. N0: — — i - I � -`` SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
N � �'�' 1 'nom , � u
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP04 -G I�� r:.F '
_J !' UNDERFLOOR INSULATION
7- FLOOR SHEA G
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: _� �1`�\ i�f G �,: t�`�
NO Ll
22 ;; y �—; ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS �/ J SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO I_ -`i FRAME INSP TI
r ,� .� `.'a�
ye,.�
tea,
REQUIRED OTA SETBACKT FROM EXIST — , FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: �t,��� �'�
FRONT PL- ° I�� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CE1L ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9701160038
PHONE: (818) 285-0488 EXT:
LEGALD: NO. OF C NSTD G R S:
TR: 6561 LT: 185 SQ. FT STORIES TYPE 5910 TEMPLE CITY BL
STRUCTURE: 0 V TEMP CA 917802109
ASSESSOR INFORMATION NUMBE : NEAREST CROSS STREET: LAS TUNAS
8587-019-019 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: ST B DG USE: COMME USE ONE: C- 101/16/97
S ED . PROCESSED Y: R ON:
EXIST OCC GRP: TC 01/16/98
OWNER:SOKOL TEL.
TEL. NO: - BLDGS. NOW ON LOT: VALUATION:
FINAL DATE FINAL BY: ODE:
13126 NIMROD PL 3-51-q.7
LOSA 900493633 FF�EE,,S�� PAID ESCR TON OWORK
FEE DESCRIPTION- QUANT��1f lP0�Nti f AMOUNT: SANDBLAST AND RESTUCCO EXISTING COMMERCIAL BUILDING
APPLICANT: E NO: d� ®9
MUNOZ PLASTERING (310) 638-4691- AA BLDG PERMIT ISSUARC vo 27.75
AC STRONG MOTION RESID) 35U0:00-VAL �0�50 SPECIAL CONDITIONS:
D2 PERMIT W/0®a=tG� 3500:,0.0-VAC` 11'6;+1;0
TOTAL FEES / \144:3
CONTRACTOR: TEL. NO: j�� D'jAPPROVALS DATE INSPECTOR SIGNATURE
MUNOZ PLASTERING CORP. (310) 638-4691- D a
12247 RICHEON AVE. LIC. NO �•""i�_ ! �
DOWNEY, CA 90242 662044 C35 IOCATION SETBACKS
�L- - n u
SOILS ENGINEER APPROVAL
TEL. NO:OR ENGINEER: m
FOUNDATIONARENCH FORMS
LIC. NO: �I SLAB/UNDER FLOOR
RW+ �5 D FLOOR FRAM NG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 �� S UNDERFLOOR INS CATION
15OH269 3 04 y ®�\�
SHEATHING
0. OF FAMILIES: DWELLING UNIPT/CO D: STAT CLASS:
NO 22 � ROOF SHEATHING
SCHOOL I HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED --TOTAL SETBACK FROM EXIST FIRE SPRINKEEIRFRATMERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR
L-
INT R OR LATH/DRYWALL
EXTERIOR LATH
RATED F OOR/C IL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508