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Home My Public Portal About6310 TEMPLE CITY BLVD_Building__ 'APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT ENGINEER BUILDING FOR APPLICANT TO LL IN BUILDING _ ADDRESS 6-311) L IC BUILDING 7 ADDRESS 3�D LOCALITY NEAREST CITY �� ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ED Y TRA�35 Z / OT No 3 CONS I , B T o ✓��—/��__ ADD�SV� o0o �ZP6^V C `�vAV45/e STATICLAASL�SS�DWELI UNITS BEVIER PG CITY G / ZIP Q(� LAE ZONE jr ARCHITECT OR TEL ENGINEER IN 2— SPEQAI CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NOED, ❑ T y� p BLDG SETBACK FROM LIC FRONT PROP LINE OF ISTREETI ADDRESS Nb HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY CLASS A IC FRONT PROP LINE HIGHWAY WIDTH CO11 NSTRUCTION LENDER O + } NAME AND BRANCH G I"/ �i BLDG SETBACK FROM a ADDRESS CITY SIDE PROP LINE OF ISTREETI V SO FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZ Z�O STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH O + 1— DESCRIPTION OF WORK NEW U Yt 2� ADD CORNERCUTOFF YES ❑ NO ❑ d L� N ALTER IN OPEN SPACE VES ❑ NO ❑ Z REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING JB�LW DEMOL APPUf ANJ- � HEREBY WIEOGE i T I IS APPLIUiKIN STATE THAT ME IS CORRECt ND i Y WHH ALL ORNNANCES AND LAWS REGUATING BUl NG i 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 RETArING TO VARKMW S COM PENSATKIN INSURANCE `, SIGNATURE OF FINAL BY L��C PERMITTE DATE 00 ADDRESS Q TEL PC Fee$ O Permit Fee - ,3.2 -/ CITY NO VALUATION$�73G �a Issuance Fee � Total Fee 3'3 / PLAN CHECK VALIDATION > r o CABH PERMIT VALIDATION c 14 2 9 09,1IAR '27'2 3 D; - 18U.00 AtS a 1 3 TUN ' 8 2$ u - - 17920-1 °is 8 1 4 nJUN a 1 D 3 3 1.0 0 7eAexw c2 EeL),1A ane - - - APPLICATION FOR BUILDING PERMIT1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 7, I I hereby affirm that I have a certificate of consent to self insure, BUILDING ADD,ESS .-+ 1 _ ` '� or a certificate of Workers' Compensation Insurance,or a certified J copy thereof(Sec.3800,Lab. C.) TIP ,) / ILOCALITY ' Policy No. - Company 'l SIZE OF LCT NO OF BLDGS.N. ON ❑ Certified copy is hereby furnished. NEAREST CROSS ST aEpfh`fied copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I [DISI ZONE MAP NO. Date Applicant I —V ASSESSOR MAP BOOK PAGE PARCEL _ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION ROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE �` wN [DDD FT.of scl+ooL? YES No ADDRESS (This section need not be Completed if the permit is for one hundred .I ( I .+ -) a jRICT GROUP TYPE CONST FIRE 7ANE PROCESSED BY douars 1$[00)or less.) CITY ZIP 1 certify that in the performance of the work for which this permit ) ,.. ... is issued, I shall not employ any person in any manner so as to _. become subject to the Workers'Compensation Lewis. ARCHITECT OR ENGINEER TEL NO: STATISTICAL CLASSIFICATION APT Y CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE 70 APPLICANTIf, after making this Certificate of v REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith r 'Z r FRIAT comply with such provisions or this permit shall be deemed revoked. ADDRESS lu PC LICENSED CONTRACTORS DECLARATION t `,V , '! y PILE o}. CITY L Lg$ _ PL p I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE V NO.OF'STORIES NO.OF FAMIL Professions Code,and my license is in full force and effe9t. - 5 NEW ❑- BK PG , W OF WORK License Number I Lic. Class -� DESCRIPTION - ADD E] UAT VALION J Contractor._ - T Date tAL ER C3 $ LL t' ❑ I am exempt under Sec. - _. REPAIR ❑ $ BAP.C.for this reason n - I - DEMOL ❑ TDMA PiC s ¢ Date: USE OF EXISTING BLDG. URM ❑ O Signature APPLICANT(PRINT) TEL NO TDMA Perm• d ❑ I, as owner of the property, or my employees with wages as Z LU their sole compensation, will do the work and the structure is ADDRESS O F not intended or offered for sale (Section 7044, Business and FINAL DATE C Professions Code.) WILL THE APRICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL UA M - ❑ I, as Owner Of the proper[ am exclusive) Contract) With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q Y• Y ng AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL SY - .�.''9 Business contractors to construct the protect (Section 7044, BUBIrleSa antl PTOfeSSlOn9 Code.) VES❑ NO❑ WILL THE INTENDED OUUSE MI THE BBY THE APPLICANT OR FUTURE BUILDING " OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION TRICTQA OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST NR QUALITY MANAGEMENT DISTRICT ISCAOMpI SEE PERMITTING CHEGNLIET FOR QUIDEuuas I hereby affirm that there is a construction lending agency for YES❑ No❑ w the performance of the work for which this permit is issued(Sec. q HAVE READ THE HAZARDOUSMATERIALS INFCRMATIONGUIDE AND THE SCAOMDPERMITTING N 3097,CIV.C.) CHECJIUST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. - TRUE 2.CHAPTER 220 SECTIONS 220 100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name WITERIALS REPORTING MID FOR OBTAINING A PERMIT FROM THE SCAOMD o Lender's Address o awNea CY..T S I certify that 1 have read this application and state under penalty PC FEE PERMIT FEE d of perjury that the above information is correct.I agree to comply a with all county ordinances and State laws relating to building construction, and hereby authorize representatives of the County ISSUANCE FEE ato enter upon the above-mentioned property for inspection purposes. n _ INVESTIGATION FEE TOTAL FEE - Cp,¢uiedlpp4Y i SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF S}1 ELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION fore APPLICANT TO FI IN auI-a Ess I hereby affirm that I have a certificate of corisOrTt to sell Insure ILgNG ADIXiESS �� Or a certificate of Workers Compensation Insurance or a certified '"`'D copy thereof (Sec 3800 Lab C) LocAu C V LP IT R. 'T 810 ry Pricy NO Comparry ZE 0F11-01` NO OF BLDGS NOW ON LOT ❑ Certified copy s hereby, furnished NEAREST CROSS ST ❑ Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department I USE ZONE MAP NO Dale Applicant ASSESSO7"6 ANP PAGE PARC / '� DIS- SPECIAL CONDfTIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWER TEL No COMPENSATION INSURANCE J-S 1 (Z WITHIN 1000 FT OF SCNOOL1 YES NO (The section need not be completed If the permit Is for ane hundred EBS dollars ($100)Or IESS) TAI .L[ vm, DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY ZIP I certify that In the performance of the work for which this permit ,�, r!f Q 1 188 �O� 3 3 Is Issued I Shall not employ any person In any manner w as to ARCHITE OR ENGINEER TEL NO become Subject to the Workers Compensation Laws STATISTICAL IFICATION APT CONDO Dale Applicant ADDRESS CLASS NODWELL UNITS NOTICE TO APPL/C4NT If after making rho Certificate Of REOUIRED TOTAL SETBACK FROM E%ISi Exemption you should became subject to the Workers CONTRACTOR TEL F4 SET BACK YARD hWY PROP UNE WIQIH Compensation provisions Of the Labor Code you most forthwith FRONT comply with such prWISIOns or this permit shall be deemed revoked ADDRESS LIC NO P L SIDE LICENSED CONTRACTORS DECLARATION CfTY LIC CLASS P L I hereby affirm that I am licensed underprons Orm of Chapter 9 SEWER MAP (commErlprg with Section 7000)of Divopn 3 of the Business andSO FT NO OF STORIES NO OF FAMILIES Professions Code and my license Is In full force and effect NEW ❑ W PG , d L.cense Number Lc Clara DESCwFnOfl OF V ADD ❑ VALUATION Q Contractor Date %a1 ALTER ❑ $ .00 U ir ❑ I em Exempt under Sec REPAIR El BBPC for this reason DEMOL ❑ -DMA PIC• W Date USE OF EXISTING BLDG URM ❑ yJ S�an ature APPLICANT(PRIVT) TEL NO -DMA Perm♦ ACCT..+ Z ' -}} ��rI�� cc�� I ss owner of " crawly Or my employees with wages as ADDRESS O 3303JV. 0 then sole compensation w11 do the work and the structure o F net intended or Offered for sale (Section 7044 Business and FINAL DATE Q Preleascns Cade) WILL THE APPIx.WT OR Foli FULON0 occuPAHr HANDLE A HXZXROC s MATERLLL1 is Avner of the property em excluewery contracting OR A MI%TmME "G A HA2AAWGa IMTERML EQUAL TO OR OPEATER THAN THE El - Q y Tip with MAGIIMe 9PEQRED ON THE HAZARWMAnaN IIa MATERIALS WOR3L10E9 FINAL BY > AI.GT•i licensed contractors to construct the project (Section 7044 YES❑ No❑ � Busmess and Professions Code) ..I"303 1031 055 W11 THE wTEIDEo OMaF THE auia.vD er TIE APPucANr OR FUu> TE BUILBUILDINGLoG OCCwMR PEALRE A PERMIT FOR DISTRICT (CT%MJ On ME PEP qN FROM THE J FRi 2. TTC'Mr' CONSTRUCTION LENDING AGENCY GUIDE AF ou,wTY MANAGEMENT asrRucr IscAnMw ME PeRl.arn"o cHECKusr FOR G 1 I LI h� cuoELeEs I hereby affirm that them is a construction lending agency for YES❑ ID❑ TOTAL i53—55 the performance of the work for which this permit is owed(Sec Ii,wEREAD THENAZARDOUSI ATEw SiNFORMATgNOLIDE Acro THE s PER i4G CHECK m 3097 CN C) ,EC U rr I L.DEBSWD MY REOIAIEAENTS H.DER THE LOS ANGELES agINTY CODE CHECK 153.55 ^I TIRE 2 CHAPTER 210 SECTDNS 2 N IW R6i011Gli 220 MO c ERNNG INUTDOUS Lenders Name WTERLLLS%PORTIIq AM]FOR Oa NG A FERMR FROM THE SCApMD CHAWI .0I Larders Address PHLN w ur 1 certify that I have read this applcalion and state wrier Penalty 1��(r�l(I�1 T of perjury that the above Information Is correct I agree to comply PC FEE O.� PERMIT FEE VVW�1 7/23/93 with all county ordmarces and State laws relating to buidtng construddr, and hereby authome representatives Of (his County ISSUANCE FEE �/, /� tpJ]J 1 AM 8:12 to enter Wm the albove-nleytoredl property for Inspection purposes (O Y� m X .�.s �►�-�- g3 INVESTIGATION FEE TOTAL FEE 1 SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0506 1308200019 PHONE (626) 285-0488 HX'T LEGAL ID NO OF CONST BUILDING ADDRESS ITR 33529 UN 13 I SQ FT STORIES TYPE 6310 6312 TEMPLE CITY BL ETRDCTORE V-B TEMP CA 917801453 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 5383-015-046 THOMAS PAGE 596 GRI➢ S2 LOCALITY TEMPLE CITY CAI TENANT IEXIST BLDG USE RESID USE ZONE R-2 ISSUFD ON PROCESSED BY (EXIST OCC GRP 08/20/13 SR I IOWNER TEL NO iBLOGS NOW ON LOT VALUATION FINAL DATE FINAL 9Y CODE 1LONGDEN AVE HOA DONALD DAMS (626) 285-9410- 6 270 1/IJ�_yL/'/(w/ATE^]/1 ry/w`I(I 1/ 16310 TEMPLE CITY BL TEMP 917801453 FEES PAID DFLSCPIPTION OF WORK JREMOVE RIDGE INSTALL 30 YR CLASS •A• COMP OVER 1 LAYER OF 1 FEE DESCRIPTION QUANTITY DOM AMOUNT 1EKISTING COMPOSITION 1 (APPLICANT TEL NO (GRATER GUY (626) 355-2753- 1AA BLDG PERMIT ISSUANCE 27 80 I 11407 FOOTHILL BLVD JAB STATE GREEN BLDG FEE 6270 00 VAL 1 00 ISPECLAL CONDITIONS 1 LA VERNE CA 91750 AC STRONG MOTION RESID 6270 00 VAL 0 60 D2 PERMIT W/O EN-HC 6270 00 VAL 166 20 TOTAL FEES 195 60 CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ID AND G ROOFING INC (909) 593-4962- 11407 FOOTHILL BLVD #307 LIC NO 1 ILOCAYION AND SETBACKS 1 1 LA VERNE CA 91750 534986 ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO I (SLAB/UNDER FLOOR RAISED FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP1 UNDERFLOOR INSULATIO 0N I FL00^ SHEATHING 1 NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS YES 21 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO IFRAM! INSPECTION I FIRE SPRINKLER HANGERS 1 INSUTATION/WEATF{ER STRIP I I INTERIOR LATH/DRYWALL ) I I EKTERIOR LATH 1 I I I IIRATec FLOOR/csn Assets I I I RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS LOT DRAINAGE REPORT I➢ DPR261 ROUTE TO BSOSOB