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Home My Public Portal About6015 TEMPLE CITY BLVD_Building__ TEMPLE C H Y ,UNeACE#609280 APPLICATION FOR BUILPING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALI JOHN A. LAMBIE, COUNTY.ENGINEER NEAREST WILLIAM A.JENSEN 9UP•T OF BumoINa CROSS ST. DI RIOT Nd. GROUP rYp P CESSED 13 FOR.APP,LICANT TO ML IN �' CoNST •- BUILDING- / �L ibSTATISTICAL CLASSIFICATIONSEWER MAP ADDRESS L HK PO r CLASS.NO. a DWELL.UNIT _ LOT NO. 7 O HLO NUMAP MBER STATIC YES N TRACT USEZONE SPECIAL f NO.OF BLDGS. � CONDITIONS SIZE OF LOT .7 x' I NOW.ON LOT- USE OF' EXISTING BLDG. QG BUILDINGEXIST. YARD HWY STREET NAME'. TEL. SETBACK WIDTH OWNER S NO FRONT �r / P.L. �.. ADDRESS _ AIA �/W L L, r B" SIDE ARCHITECT OR TEL. P•I-• ENGINEER fld44kfdM NO: INSPECTION RECORD ADDRESS TEL. a CONTRACTOR NO. O ADDRESSf�2`J/1�L� DESCRIPTION OF WORK WiTf'4%/T 0 PIV TS ( DQW IZW D/b 4417-eND1f/. .. NEW . ADD ALTER A REPAIR DEMOLISH SQ.FT. NO.OF NO.OF �_ EY lw.F-/2/-` SIZE STORIES FAMILIES - USE OF STRUCTURE FI 3-31-6 SIGNATUREO APPLICAN VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ I FEE pec. PMT. FOUNDATION:LOCATION " FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:'LOCATION; AGREE TO COMPLY WITH ALL.COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING. CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATIO SOF CALIFORNIFI. LATH,EXT. - f HOUSE NUMBER COR- SIGNATURE O RECTAND.POSTED PERMITTE ' `ter- ADDR ' �✓ FINAL CLYDE N. DIRLAM„PRINCIPAL STRLfi RAL ENGINEER PLAN CHECK VALIDATION OK, M.O. CASH PERMITVALIDATION ,Cx. M.O. CASH—'. AR Rao _• • . . - . . -' ''ter/ �RKERS'COMPENSATION DECLARATION t t g ,hereby affirm that I have certificate of consent to self P L I CAT I FORBUILDING 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. 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 10 Date Applicant CITYeqE ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT r `..CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. 7 MAP BOOK PAGE PARCEL TEL. USE NE MAP I certify that in the performance of the work for which this OWNER N NO. permit is issued, I shall not employ any person in any manner / SPECIALS so as to be e s bject the Worke ompen t' /Laaws. ADDRESS ��/// CONDITIONS V Dat - Applican �/ c CITY .�//. ZIP NOTI T APPLICANT: If, offer making this Certificate of u ARCHITECT O TEL. DISTRICT G UP TYPE FIRE PROCESSED BY O ENGINEER NO. "'� ' CONST. / ZONE I ' Exemptio you should become subject to the Workers' ` U Compensation provisions of the Labor Code, you must forth- ADDRESS S 3 d with comply with such provisions or this permit shall be TEL. ,STATISTICAL CLASSIFLLLLCCCCATION APT. ENDO. N deemed revoked. CONTRACTOR dJ/e. LICENSED CONTRACTORS DECLARATIONj J� LIC, CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (J // i� 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 (/ Ll L/ CLASS Ci' BK VALIDATION SQ. FT. NO.OFNO.OF CHECK License Number '�` Lic.Class SIZE STORIES Q FAMILIES ONE VAL TION J �� J�� DESCRIPTION OF WORK �/C NEW ❑ j�fj� Contractor e❑ E] $ C/F✓Cf �A�� ADD I am exempt under Sec. `� � ALTER B.&P.C. for this reason % REPAIR ❑ $ USE OF Date: EXISTIN LDG. DEMOL ❑ Signature APPLICANT( �j _ TEL. kldy FINAL /t (PRINT) ®� NO. li� C OWNER-BUILDER DECLARATION DATE ZZ �Sd/i8 I hereby affirm that I am exempt from the Contractor's License `r�C] • ��-+� C -1 �/t� FIN Law for the following reason (Section 7031.5, Business and ADDRESS r' ry'� Professions Code): PRESENT BY ❑ BUILDING I, as owner of the property, or my employees with ADDRESS 17 ;90825A wages as their sole compensation,will do the work and IV the structure is not intended or offered for sale(Section LOCALITY ® # 0 0 0 0 0 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 0 oo 0 o with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I (104 -88 1 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 m P.C. Fee$ Permit Fee -7 LDNIP`Ref. R Lender's Address I certify that I have read this application and state that the Issuance Fee 14 eS LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 00 ordinances and State laws relating to building construction, Total Fee LDMA Perm.p N and her horize representatives of this County to enter upon ove-me - d party for' spection purposes. r 'e 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent D COUNTY OF LOS 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 0710020009 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BIIILDING ADDRESS: I ITR: 6561 IT: 214 ON: .002 I SQ. FT STORIES TYPE 1 6015 TEMPLE CITY BL 1 ISTRUCTURE: VN I TEMP CA 917802013 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WOODRUFF I 15385-013-008 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl I I I I 'TENANT: IEXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: I IEXIST OCC GRP: 110/02/07 SR 03/30/08 1 I L I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DA I� RINAL BY: CODE: I ICOLE ROSEMARY R;RILEY JAMES P (626) 285-0551- 1 350 1 ��BE 1 ]6015 TEMPLE CITY BL u " " TEMP 917802013 1 FEES PAID IDESCRIPTION OF WORK I I IREPLACE 1 BATH WINDOW "WINDOW, STUCCO, DRYWALL ONLY NO 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IFRAMING" I ]APPLICANT: TEL. NO: I I 1 IHARZKE (626) 292-2449- IAA BLDG PERMIT ISSUANCE 27.75 I 16019 TEMPLE CITY IAC STRONG MOTION RESID 350.00 VAL 0.50 ISPECIAL CONDITIONS: 1 ]TEMPLE CITY CA 91780 1D2 PERMIT W/O EN-HC 350.00 VAL 43.65 I 1 TOTAL FEES 71.90 ICONTRACTOR: TEL. N0: I ]APPROVALS DATE INSPECTOR SIGNATURE 1 IKEVEN HARZKE (626) 292-2449- 1 1 1 16019 TEMPLE CITY BLVD. LIC. NO 1 ILOCATION AND SETBACKS 1 ] ] ITEMPLE CITY, CA 91780 NONE 1 I 1 1 1 I ISOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. N0: SLAA/UNDER FLOOR I I I 1 I ]RAISED FLOOR FRAMING I I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I 1150H269 3 011 1 1-1 1 1 IFLOOR SHEATHING I I I 1N0, OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 1 IROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS ] ISHEAR PANELS I I I 1 AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 ]FRAME INSPECTION 1 I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I 1 I I IFRONT PL- 1 11NSULATION/WEATHER STRIP SIDE PL 1 IINT�RIOR LATH/DRYWALL I I I I (EXTERIOR LATH I 1 I 1 1 IRATED FLOOR/CEIL ASSEM. I I 1 1 I IRATED WALL ASSEMBLIES I 1 I I I I 1 ]RATED SHAFTS/OPENINGS 1 I 1 I IT-BAR CEILINGS 1 I I 1 I ILOT DRAINAGE I I 1 I I I ] ]REPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 I I ] I ] I ]