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HomeMy Public PortalAbout6304 TEMPLE CITY BLVD_Building__ iS APPLICATION FOR Lj�, UNTYOFLOSANGELES BUILDING PERMIT DBUILDNGANDSAFETYDIVSIONR EPARTMENT OF COUNTY �.�.. l ll FOR APPLICANT TO FILL IN BUIL DO FI WTYPE BUILDINGADDRESS O LOCALITY CITU - NEARESTT! ZIP CImS55TNO OF BLDGS ASSESSORSIZE OF LOT /,-' NOW ON LOT MAPBOOK pp,gCEL131.44S LOT NO ICTIRE E D BY�' nON OWNER (/��N NL I If STATISTICAL CLASSIF}II(LCATTION SEWS P ADDRESS y2.s— F�R/Y/E CLASS NO (',� LRS DWELL UNITS SK PG CITY we_l4c✓/R ZIP :P�o4p US ZONEMAOP ARCHITECT OR TEL ENGINEER NO -Z SPECIAL -i CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES [:]—NO CONTRACTORapGO yy�d /��y ZBp3 BLDG SETBACK FROM ❑ �) LIC FRONT PROP LINEOF ISTREET) ADDRESS NO HIGHWAY + YARD TOTALSETBACKTiLOM TYPE OF EXISTING LIC /� FRONT PROP LINE NIGH WAY WIDTH CITY CLASS CONSTRUCTION LENDER . + } NAME AND BRANCH I¢G/ G. BLDG SETBACK FROM 0: SIDE PROP LINE OF (STREET) L) ADDRESS CITY 0 SQ FT / OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING SZG STONO RIES FAMILIES l ONE SIDE PROP LINE HIGHWAY WIDTH IZE 0 DESCRIPTION OF WORK NEW + 0 U Ac- ADD CORNER CUTOFF YES ❑ NO ❑ LL ALTER IN OPEN SPACE �I YES ❑ NO ❑ Z USE OF REPAIR IN COASTAL PERMIT ZONE YES ❑ NO ❑ — EXISTING BLDG DEMOL APPLICANT TEL (PRI .6;i"eCe / L/ I BY(SIGNA 1 HEREBY ACKNOW. THAI VE TH LOTION AND ATF THAT THE ABOVE IS AN AGREE i WITH All ORDINANC L AND(AWB REGULATING BOLDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR COOS OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM PENSATION INSURANCE SIGNATURE FINAL /�16 9 BY SIGN T DATE ADDRESS l TEL PC Fee$ Q 6-0 Pemt Ft* �a CITY NO .070 Issuarxe Fee VALUATION s 36 ? Total Fee PLAN CHECK VALIDATIONcM - m o C"H PERMIT VALIDATION �/ w o a m i 2 3 D -7 92 81 2�'OIA°s mJUN D 331.0 0 Aga 8 1T1ewaxw ce Aeoewe/'Ra /�T rp /x \ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD?c AIXIRE I hereby affirm ffIst I have a certificate of consent t0 sell insure or a certificate of Makers Carnpermation Insurance or a Garbled I/ COPY thereof (Sec 380OWb�C) /� I G/4.�+ P , Policy No 1-0115WComPanrl SIZE OF LOT V NO OF BLDG$ NOW ON LOT �❑ Certified copy Is hereby furnished NEAREST CROSS ST '� l.artded Copy Is filed with the County building Inspectm TRACT BLOCK LOT NO departmariL. I USE ZONE MAP NO Date 51II41Gant If ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION F WORKERS' °'"� TEL NO COMPENSATION INSURA CE S WITHIN IopD FT OF SCHOOL? YES NO (This aectwn roetl not be completed If the permit Is for ore hundred V 7n aDISTRICT GROUP TY CONST WE ZONE PROCE ED BY dollars($100)or less 1 /`, Q I certify, that in the performance of the work for which this permit e ZIP^ C 7 8 `D SQ Q L" m Issued I Shall not employ arty person in any manner so as to VV become subject t0 the Workers COnpensation LBWS ARCHITECT 5H ENGWEER TEL NO STATISTICAL CLASSIFICATION APT CORDO Pate ApplicantADDRESS CLAS$NO DWELL UNITS NOTICE TO APPLIC4NT If after making this Cerhlgate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Nbrkers CONTMCfdT TEL N� ^ SET BACK YARD Ff Y PROP UNE WITH Compensation prowlworm of the Labor Cade you must forthwith J comply with Such provisions or this permit Shall be deemed revoked g FRONT /ec L � P L LICENSED CONTRACTORS DECLARATION y` SIDE ClTV 1 LIC PL I hereby affirm that I am licensed undarprevmons d Chapter 9 CUX1I SEWER MAP IL (commencing with Section 7000)of Dm 3 Of the Business and SQ SIZE NO 1 STORIES NO OF FAMUES d Professions Code a? myZ lic�ens�e mopn. IUII force and all NEW BK PG ► 0 Lxense Num/b7er�-bo"—1 1 . Glas =S w K ' \\ ADD ❑ �U"O U ContractGc. 1 bate ALTER ❑ $ 00. 049 ❑ I em exemptREPAIR 1:1 ~ under Sec �A $ U 1• Y- BdPC for this reason DEMOL ❑ w L�P/C 1 y Date USE OF EXISTING elm URM ❑ 1 2 Sgnatuns APPIUCANT(PFBJT) TEL NO LONA Perm A 1 ❑ I as awtr Of the property W my enployees with wages as = ACCT.T that; sale compensation will do the work and the structure Is ADDRESS 0 _J03 179,25 rat Intended or offered for Bale (Section 7044 Business and FINAL DATE c ProlesScns Code) L 7 ; ], IT�` WILL THE AVPLICN(i OR FUilN1E BUILGND OLGUMNI wHq.E A INZNipg19 HATEFUL ❑ 1 as Owner of the property am exclusively contract with OR A MIXTURE CCNTNIG A HAZAnCOUS AWTER4 EO1wL TO OR GREATER TMN THE Q R9 AIAO1His SPECEED CNN NE H RDOUS MATERIALS I W ORIVAPON GUIDE+ FINAL BY > I LI TAL 149 - 35 licensed Contractors to construct the project (Sector 7044 Business and Rotessons Code) rEs 1:1 "o El tI I p OCC ME A'EQUIRE 115E OF TME 9U SPR eY NE APPOCAIIr IXi FUTURE BMLDMO CNECk OCCLFY�An REOIAE A PERMn FOR IST S LC AO OR ME PERIA ITN O CH THE SOUIM C // CONSTRUCTION LENDING AGENCY cowsr An QUALITY MNWGEMFlIr D`L'TWCT IxraMOI ME PERMITTING cHECKusr FOR �J HANUE auDEUNEs I hereby affirm that there is a conatruCton lending agency for �S❑ No❑ a the performance of the work for which INS permit m Issued(Sec 40<01 m IHAVE READTIE HAZMR'%S MATER415IIiORMATpN GUOE AND NESCAOMDPERACTTIND 3097 CN C) CIECKLST I UNDERSTMID Mr REOUI EMENIS L R N E LOS ANGELES COURT CODE t}LtI1 UIYJ T T Lender a Narne ANTERWS PE EPORTWG AND FOR 0611 INp A PEfI.n FROM SCAOW I S 16131 1 AM If Lenders Address 0 M.Fn rn!a[MT p I certify that I have read this app(caton and state under Penalty of penury that the above information Is correct I agree to comply PC FEE PERI TT 2 3 7s with all county ordinances and State laws relabrlg to buildingJ 7 Construction and hereby auftnZe representatroes of this County ISSUANCE FE to upas theannvard oned property for � � NVESTIOATION FEE TOTAL FEE m nmo�a SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF IAS 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 1308190085 PHONE (626) 285-0488 EXT ILRGAL ID I NO OF CONST BUILDING ADDRESS ITR 33529 ON 5 SQ FT STORIES TYPE 6304 TEMPLE CITY BL I (STRUCTURE V-B TEMP CA 917B01453 IASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LONGDEN 15383-015-038 I I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY CA I 1TENANT EXIST BLDG USE RES ID USE ZONE R-2 ISSUED ON PROCESSED BY I EXIST OCC GRP 08/20/13 SR TOWNER TEL NO IBLDGS NOW ON IAT VALUATION FI ATE FIN&L BY CODE I LANGDEN AVE HOA DONALD DAVIS (626) 285-9410- I 6 270 16304 TEMPLE CITY BL ITEMP 917801453 I FEES PAID ID SCRIPT N OF FORK [REMOVE RIDGE INSTALL 30 YR CLASS •A• COMP OVER 1 LAYER OF IFEE DESCRIPTION QUANTITY DOM AMOUNT EXISTING COMPOSITION (APPLICANT TEL NO I IGRATER GUY (626) 926-1091- IAA BLDG PERMIT ISSUANCE 27 80 11407 FOOTHILL BLVD AS STATE GREEN BLDG FEE 6270 00 VAL 1 00 SPEC n*. CONDITIONS IIA VERNE CA 91750 AC STRONG MOTION RESID 6270 00 VAL 0 60 ID2 PERMIT W/O EN-HC 6270 00 VAL 166 20 TOTAL FEES 195 60 ICONTRACTOR TEL NO IAPPROVALS DATE INSPECTOR SIGNATURE 1 ID AND G ROOFING INC (909) 593-4982- 11407 FOOTHILL BLVD #307 LIC NO LOCAi ION AND SETBACKS ILA VERNE CA 91750 534986 I (SOIL' ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I LIC NO ISLAB/UNDER FLOOR (RAISED FLOOR FRAMING I 1 MAP NO SEWER MAP BOJC PAGE FIRE ZONE CMP IUNOEkF LOON INS UTATION 1 1 3 001 I 1 IFLOOR SHEATHING I I I IND OF FAMILIES DWEa LING JNITS APT/COND STAT CLASS I ]-I- I YES 21 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS (SHEAF PANELS I I (AIR QUALITY 1000 FEET MATERIALS 1 I 1 NO NO NO I IFRAME INSPECTION FIRE SPRINKLBR HANGERS I I (INSULATION/WEATHER STRIP I I I INTERIOR LATH/DRYWALL I I EXT©tIOR (.ATH I I IRATED FLOOR/CEIL ASSEM I (RATED WALL A99EMBLIES I (RATED SHAFTS/OPENINGS IT-BAR CEILINGS I LOT DRAINAGE I IREPORT ID DPR261 ROUTE TO M0508 I I I I I I I I