HomeMy Public PortalAbout6306-6308 TEMPLE CITY BLVD_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
_BUILDING PERMIT DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT T FILL IN BUILDING tiD
ADDRESS &
BUILDING �
ADDRESS LOCALITY
/ NEAREST
CIN [. ZIP CROSS ST
OF BLDGS ASSESSOR
SIZE OF LOT OW ON LOT MAP BOOK PAGE PARCEL
TRA 3,r2 BLOCK / LOT NO DISTRICT G UP TYPE FIRE ESSED BY
r . D 3 caNs zaNE
BC3 STATISTICAL CLASSIFICATION SEWER
AD Sc'ZS A 4~,W Ae QASSNO Q2-- DWELL UNITS SK PG
CITV AeC.4y/id ZIP /QO G USE ZONE NO MA o
ENGINEEP OR TSPECIAL
qtr CONDITIONS
ADDRESS ROAD
ROAD DEPARTMENT APPROVAL REQUIRED VES❑ NO❑
CONSYI�Y�GE w�` ,O FRlS/�ZBO BLDG SETBACK FROM
LIC FRONT PROP LINE OF ISTREETI
ADDRESS NO HIGHWAY + ypRp TOTAL SETBACKFROM nPEOF EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY CLASS 1 +
CONSTRUCTION LEND }
NAME AND BRANCH / / BLDG SETBACK FROM O
ADDRESS CITY SIDE PROP LINE OF ISTREED U
SONO OFNO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING
SIZY�•..36 STORIES FAMILIES Z ONE SIDE PROP LINE HIGHWAY1 WIDTH O
+ r
DESCRIPTION OF WORK NEW ()
11N/ SI LLB ADD ❑ CORNERCUTOFF YES ❑ NO ❑ d
ALTER N
Z(o IN OPEN SPACE YES ❑ NO ❑ Z
REPAIR
USE OF IN COASTAL PERMIT ZONE VES ❑ NO ❑
EXISTING BLDG DEMOL
AL IT k/ .E'6AN E+4//•cT;z60-5
I RE
HERE CKNOWI E HAT HAV EA APPLICATION AND STATE
THAT THE ABOVE I$CO ANDA TO V WITH ALL ORDINANCES
AAD LAWS REGULATING B ILDING RUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATUREOF FINAL rTc 9
PERMITTE By
DATE / ��/ '
ADDRESS
TEL PC Fee E Perme Fee '60,5, �5v
CITY ND 'l
VALUATION /4 '�D V Issuance Fee OQ
`' '' (% TorDl Fee Z' 570
PLAN CHECK VALIDATION CK o CASH PERMIT VALIDATION CK M o CASH
2 8 1',Wi 27 @.5 D 3-2152 0 ° 9 3 o�JUN 8 1 0 5 1 2 5 d ►ss
829-�JUN 82.5 0 " �„ , 79 0 • - - -
9eAG"A CE#e A e/7e
Cil
�7
IL
APPLI IL
FOR BUILDING PERMIT
COUNTY OF LOS AN BUILDING AND SAFETY
WORKER S COMPENSATION DECLARATION L 'F R APPLICANT TO FILL IN \ BUILDING ADDRESS
I hereby affirm that I hoe a certificate of consent to sell assure •\
,,F ZIF ( ? let
LOCALITYsd6� a (ex, �ri
p a certificate a workers Compensation Insurance p a ce�rrttdled n
cony thered(Sec 38��323c) /!- - % O
F'alcy NO CO Ip SIZEOF OT OF BLDGS NOW ON LOT
❑ CerLf�tl copy q hereby furnished NEAREST CROSS ST `
CeRdied copy Is filed with the county building Inspection TRACT BLOCK LOT NO^
depa t [�-• USE ZONE MAP NO
Date — �pp4ant ASSESSOR MAP BOOK RAGE PARCEL
J SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION M WORKERS OSE T TEL No
COMPENSATION INSURANCE O WITHIN TROD FT OF SCHOOL' YES NO
(Ths section need not be completed d the permit s for One hundred ` h pSTR1CT GROW CONST FIRE ZONE PROCESSED By
dollars 1$t 00)cr Is") — I
I certify that In the performance of the work for which this permit ZIP / O
Is Issued I shall net employ arty person In any manner so as to •d0 3 ,3
2 a
ba0ODIe subtect to the WorkarS Compensation Laws ARCHITECTO GINEER TEL NO
STATISTICAL CLASSWICATION AlAPT CONDO
Date Applicant ADDRESS CLASS NO r:2-/--- DNELL UNns
AgTX;E TO APPLICANT It after rnTBkKTg this Certificate of REOl11RED TOTAL SETBACK FROM EXIST
Exemption you stead become subject t0 the Workere CONTRACTOR TEL NO SET BACK VARD MWY PROP LINE WIDTH
CDmpensatpn P`OV1Spfs Of the Labor Code you must fortMnth J y% ar
RONT
comply with such provsons p this permit shall be deemed revokedV r 1 P L
LICENSED CONTRACTORS DECLARATION [1 S.E
\ PL
I hereby affirm that 1 am Ircemed underpwnions of Chapter 9 NMA
SEWER P >.(commencing with Section 7000)of Division 3 of the Bl ness and NO OF RIES NO OF FWIUES^ d
Professions Coda a my IKrense Is In full force aril effect NEW er W PG , O
License Number LIc Class ' 'S DSc ION OF WORK �\ 1 ADD El V UAn 0
Con �Pltj
tractor_:,i h h - Date /�• �..�` cl ALTER ❑
W00
❑ I am exempt under Sec F-� REPAIR ❑ $ H
BBPC for this reason ® DEMOL ❑ w
_DW P/C
Date USE E ISnNG URM ❑ i Z
Signature APPLICANT lFSSTTj TEL NO LDMA Perm• 1
111 as OWner of the pmerty p my employees with wages as z ACCT.:
their sale compensation will do the work and the structure is ADDRESS F =j1�j
not Intended or offered for sale (Section 7044 Business and FINAL DATE Q
Prolessiorts Code) WILL THE AFRx'JJfI OR FUTURE BUILDING CGGLFMHr YWCIE A WSMCCVS Y.QEH^L O y ITEMS
❑ 1 as owner a the Malty am exduamly contracting with ,wIOU OR A WX URESPEAHAZMpWS WMAIL9 EQUALNFORTO O GREPinUMIll TINN THE
Ircersed contractors to construct the project (Section 7044 YFs El No❑ FINAL BY TOTAL 228 - 60 Lr
meseid aProfe88lors Code) WILL THE MTENDEO USE OF THE 6IlIXRG BY TFE AP0.1GNT aA FUTLRE BUx1
AO CHECf. 2,j.Dll
DUxiFMn MQUiRE A n£R ATr Flo cGNSTRiUCTKIN OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY 0OA5T AYi OCAUTY MANAD WW rxsTRCT ISCAcuDI ME%RW1010 CHECKUST Fon
OU40 IAEs
1 thereby affirm that there Is a construction lending agency for vEs❑ No❑
the performance of the work for which this permit is Issued(Sec
m 3097 Cry C) IHN�EIEAD T1E Iu,Lwppvs wTETplLsrsaRMATONaLOE u.0 THE scraoaEsrtrTrq
G J L
CKLIST I UAERS7A W WQUIRI 1ENIS LW ER THE LOS ANGELES COUNTY CODE
Lender s Name hRIuFEForrreio u�iD FoR oeu ar�io^P FRTOw'I° `sc"EAuo""�"` 015 DDOCI-JOQ 1 4I 7/9
Lender s Address 1602 1 Ali 8:41)
p WR101.YLN1
I cersly that I have read this applicator, and state under penalty
8
of perury that the above Information is correct I agree to ODIrk* PC FEE PERk4T FEE
R with all county Ordinances and State laws relating to bulling
S
construction and hereby auUpnue representetives DI tM County ISSUANCE FEE
ro to eMar tponthe abortenbored property Ip Irepecypn plapoeg;
�/Ll • �r�g 5INVESTIGATION FEE TOTAL FEE v /
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF UOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAN() DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1308200018
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 33529 UN 15 I SQ FT STORIES TYPE 6306 6308 TEMPLE CITY BL 1
I ]STRUCTURE V-H TEMP CA 917801453
ASSFSSOR INFORMATION NUMBER NEAREST CROSS STREET L.ONGDEN 1
5383-015-048 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY CAI
ITENANT IEXIST BLDG USE RESID USE ZONE R-2 TISSUED ON PROCESSED BY
]EXIST OCC GRP IOB/20/13 SR
T6306 TEMPLE CITY BL !(_//�.��IR]y`'OWNER TEL NO SLOGS NOW ON LOT VALUATION FLdP.L_D FINAL 13Y CODE
LONGDIN AVE HOA DONALD DAMS (626) 285-9410- 6 270 wll////VVV(ff
ITEMP 917801453 FEES PAID IDEXCRTPTION OF WORK 41
]
REMOVE RIDGE INSTALL 30 YR CLASS •A• CORP OVER 1 LAYER OF
IFEE DESCRIPTION QUANTITY UOM AMOUNT EXISTING COMPOSITION 1
APPLICANT TEL NO
(GRATER GUY (626) 355-2755- �AA BLDG PERMIT ISSUANCE 27 80
11407 FOOTHILL BLVD AR STATE GREEN BLDG PEE 6270 00 VAL 1 00 ISPECIAL CONDITIONS 1
ILA VERNE CA 91750 AC STRONG MOTION REBID 6270 00 VAL 0 60
D2 PERMIT W/O EN-HC 6270 00 VAL 166 20
TOTAL FEES 195 60
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
D AND G ROOFING INC (909) 593-4982-
11407 FOOTHILL BLVD #307 LIC NO LOCITION AND SETBACKS
LA VERNE CA 91750 534986
ISOIIS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUn,)ATION/TRENCH FORMS
] I_
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
(MAP NO SEWER MAP HOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
3 00
1140 OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ISR SHEATHING
I
YES 21 IROOF SHEATHING
SCHOOL WITHIS! HAZARDOUS HHEA9 PANELS
1AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I
INTERIOR LATH/DRYWALL
IEXTE ZIOR LATH
RATED FLOOR/CEIL ASSEM
]RATED WALL ASSEMBLIES
] RATED SHAFTS/OPENINGS
IT-BAF CEILINGS
LOT DRAINAGE
IREPORT ID DPR261 ROUTE TO DS0508