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HomeMy Public PortalAbout6316 TEMPLE CITY BLVD_Building__ APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT ENGINEER BUILDING ING FOR APPLICANT TO FILL I ADDRSS BU ADIDRIESS (NG O/3/e/- LOCALITY NEAREST CITY ZIP CROSSST NO OF BLDGS A55ES50R SIZE OF LOT NOW ON LOT MAP BOOK PAGE PAL TRA / DISTRICT GROUP TYPE FIRE SS D By SL7 BLOCK LOyTTl�NNO�� L�O� — CONST ZONE OWN T/O�✓ T$y J�� J STATISTICAL CLASSIFICATION SEWER MAP ADD � a-L�i7/Y 6 L b CLASS NO -.LIG—DWELL UNITS BK PG CITU ZIP USE ZONE MAP 2­0ARCHITECT OR TEL NO SPECIAL NO !� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ CONT p.P B W EL BLDG BACK FROM LIC FRONTPROP LINEOF (STREET) ADDRESS NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH CITU CLASS CONSTRUCTION LENDER + } NAMEAN0 BRANCH d BLDG SETBACK FROM 0 ADDRESS CITY SIDE PROP LINE OF (STREET) U SOFT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING SIZ STORIES FAMILIES l ONE SIDE PROP LINE lHIGHWAYI WIDTH O + H DESCRIPTION OF WORK NEW U ADD ❑ CORNER CUTOFF YES ❑ NO ❑ a N ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ Z REPAIR USE IN COASTAL PERMIT ZONE YES ❑ NO EXIST( ❑ EXISTING BLDG DEMOeL APPLI � E %�,yi.vfp TNp I/'Y./Jzp� BYI I HEREBY A FLXiE T I HAV 5 APPLICATION D STATE THAT THE ABOVE 15 CORRECT DAG TO Y WITH ALL ORDINANCES AND LAMS REGUTATING BULDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF I THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKALEN 5 COM PENSAiION INSURANCE SlE ATURE O ` FINAL /i/ '�9 BY PERMITTE DATE ADDRESS TEL P C Fee 5 o, o-� Perma Fee CITY NO ZO Issuance Fee VALUATIONOrJT7 -3G./ Q� Total Fee 331 PLAN CHECK VALIDATION all w O CAgH PERMIT VALIDATION w o CASH 288r-f*K a% 25-M 0.0.0 A" 8 1 7ajm, 8 8 1 BnJIIN 8 1 D 1.0 �7 92 0'" 76"MA Ce/e01A ene m `T APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION -FOR APPLICANT TO FILL IN ELI ss u I hereby affirm that I have a certificate of consent to setl uisure eul a a certificate of Workers; Compensator Insuranc or a certllled copy theraof�(Sec 3f? C) LOCAUTY ��No`��3 C'�P SIZE OF LOT NO OF BLOBS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS ST SJ-O Espy is filed with the county building Inspection TRACT BLOCK LOT NO de �a� /� USE ZONE MAP NO Date'-"icanl ASSESSOR ANP BOOK RAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FR RKERS OWNER TEL NO COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit o for one hundred �AcI J 01 pSTRICT GROUP TV ST FIRE ZONE PROCESSED BY dollars($100)or lase) I certify that In the performance of the work fa which this Permit LP is issued I shall not employ any person in any manner so as to ✓ become subject t0 the Workers Compensation Laws C ECT OR ENGINEER TEL NO STATISTICAL CL/�$SIFlCATION APT CONDO Date Applrant pppRES3 CLASS NO DWELL UNITS NOTICE TO APPUGANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject t0 the Workers CO TOR SET HACK YARD HWV PROP UNE MOTH Contperteahorl prows+ons Of the Labor Code you must forthvath T FRONT comply with such prov sons Or thin permit shall be deemed revokedV P L LICENSED CONTRACTORS DECLARATION TM SIDE I hereby affirm that I am licensed underprowsxe xOf Chapter 9 lJ( u B P L } (COrrmlBrNaing w4h Section 7000)of DNaon 3 0l the Business arid SO FT NO OF STORIES NO OF FAMILIES SEWER AMP y Professore Code a myjico�7000) is In full force Nect NEW BK PG O License Number�� � C= DE OF WOHK ADD ❑ VALUATION rJ Cantrector�yS1)T Date ALTER ❑ $ v _•+ r I• O ❑ 1 am exempt under Sec !001REPAIR ❑ U BAPC for thm reason : EMOL ❑ $ W LDAN P/C. d Date u OF RaSING BLDG URM ❑ _ Sgrature1 APPLICANT(RmYT) TEL NO CDMA Perm �11:iT ❑ I as owner of the Property or my employees with wages as = 'T their sole compensation will do the work and the structure Is ADDRESS not intended or offered fa sale (Sechon 7044 Busmesa and FINAL DATE F x,03 149.85 professions Code) I WILL LTE APPLICANT OR FUTURE BUILDING CCCWANi HANDLE A HWIUWa M/REI M Q -`g. -� 3 M 1 ITEM ❑ I as Wrier Of true Property em exclusively contract) with OR A IAIxTUfE CONTNANG A IMZMDOUa MATERYL EDUAL TO OR GREATER THAN TLE Q C contracting A UMTS SEEMED ON THE H•ZMDOUS ANTERMLS INFCRvWnON GUIXI 8+ licensed contractors to construct the Project (Sector 7044 YES FINAL B'' Q._ > TOTAL 1$9 _ +� Easiness and Profession Cade) WILL NG❑ d" CHECK 149.E` TALL THE REOU Ea USE 6 THE BULYIA BY 11E AVON OP FUTURE E SOLI G oCCUPAM RE0.WE A PERMIT FOR LONSTPUCTgN OR MODIFICATION FROM RLE SIXRH y-�( CONSTRUCTION LENDING AGENCY �Ba TY^MANAGEMENT DtSIRICT(sc^ouD)SEE PER WTTNG CHECnL14T FOR li,W{wA&645' CHANGE •C0 I hereby eHem that there Is e wnslh this p rmitlis agency for vEs❑ w❑ I O ��� ,N the performance of the work for which this genre a issued(Sec m IHIECfEJ➢REWSAf✓Opll9IMTEPLL9INFORMUNDN MEANS TFE LES PEFMCODE 3097 CN G 1 cuEcucusr u R 2 MND Arc REouR l W UNDER THE Ice�waEL co cooE l l /9? Lender a Name TE PORTNGµ��Gam MING A� F HEC "A� �0 e n GQ 30—I.OL 1 9! 7 Lenders Address 1502 1 AM v:4'! Q MMCF fN YEHT I cerhty that I have read Mo application and state under penally $z� of penury that the above Information a correct I agree to Comply PC FEE PERMIT FEE ry wrth all county ordinances and Stale Tawe relah g to building construction and hereby authorize representatives of the Canty ISSUPtaCE FEE / D to r upon the above-mentioned Property forInspec pu as �(� m INVESTIGATION FEE TOTAL FEE dAW a jJ ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE COO= OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVEL/JPMENI TEMPLE CITY CA 91780 BL 0508 1308200020 PHONE (626) 2B5-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 33529 ON 11 I SQ FT STORIES TYPE 6316 CAM CITY STRUCTURE V-B I TEMP A917BL 901432 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 15383-015-044 THOMAS PAGE 596 GRID J2 WcALITY TEMPLE CITY CAI TENANT EEIST BLDG USE REBID USE ZONE R-2 ISSUED ON PROCESSED BY EXIST OCC GRP 08/20/13 SR TOWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL BY CODE ILONODEN AVE HOA, DONALD DAVIS (626) 285-9410- 6,270 6316 TEMPLE CITY BL TEMP 917801432 FEES PAID DESCRIPTION OF YORK REM(3VE RIDGE INSTALL 30 YR CLASS -A• COMP OVER 1 LAYER OF APPLICANT TEL NO IFEE DESCRIPTION QUANTITY DOM AMOUNT EXISTING COMPOSITION IGRATER GUY (626) 355-2755- IAA BLDG PERMIT ISSUANCE 27 80 11407 FOOTHILL BLVD AB STATE GREEN BLDG FEE 6270 00 VAL 1 00 SPELIAL CONDITIONS LA VERNE CA 91750 AC STRONG MOTION REBID 6270 00 VAL 0 60 ID2 PERMIT W/O EN-HC 6270 00 VAL 166 20 _ TOTAL FEES 195 60 _ CONTRACTOR TEL NO 1APFROVALS DATE INSPECTOR SIGNATURE D AND G ROOFING INC (909) 593-4982 1 11407 FOOTHILL BLVD #307 LIC NO LOCATION AND SETBACKS LA VERNE CA 91750 534986 j ISOI..S ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I F jJO�-DATION/TRENCH FORMS LIC NO (SLAB/UNDER FLOOR _I RAI-,ED FLOOR FRAMING I MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP OND,-RFLOOR INSOLATION 3 0, (FLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS Yes 21 IROO• SHEATHING I SCHOOL WITHIN HAZARDOUS SHEAR PANELS 1AIR QUALITY 1000 FEET MATERIALS 1I I NO NO NO FRAME INSPECTION FIRD SPRINKLER HANGERS INSULATION/WEATHER STRIP I I-d INTMIOR LATH/DRYWALL E%TLRIOR (.ATH I_ (RATED FLOOR/CEIL AS SEM (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS 1 I IT-BPR CEILINGS ( LOT DRAINAGE j IREPORT ID DPR261 ROUTE TO BS0508 I I