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HomeMy Public PortalAbout6317 TEMPLE CITY BLVD_Building__ .e--APPLICATIONFc� QbUNTYOFLOSANGELES DEPARTMENT BUILDING PERMIT ULDINGANDSAFETYDIIVSIONK FOR APPLICANT TO FILL IN AUDDRESS 1 BUILDING �1 T O(gLITY ADDRESS 1 f� NEAREST CITY \(� ZIPla) CROSSST NO OF BLDG5 ASSESSOR SIZE QF LOT NOW ON LOT MAP BOOK PAGE PARCEL n //'' DISTRICT GROUP TYPE FIRE BY TRACT .0 LO LOT NO �— tSy Q CON5T V/ jE OWNER Y CLASSIFICATION-�• STATISTICALCLASSIFICATIONSEWER^MAP/ ADDRESS 1 CLASS NO • DWELL UNITS BK d`-PBS r ((T�-� pTV `75 ZIP , USE ZONE O O3 ARCHITECT OR _ TEL ENGINEER NO SPECIAL ONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL CONTRACTOR NO BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO HIGHWAY + YARD TOTAL SETBACK FROM TYPE Of EXISTING LIC EF FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG SETBACK FROM V ADDRESS CITY SIDE PROP LINE OF (STREET) Q $O FTNO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING r SIZE {�j-STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH 9 DESCRI ION OF 1d04L S NEW + Z AE3 CORNER CUTOFF VES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG DEMOL APPLICANT (PRINT) NO -2-S BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BULDING CCNSTRUCTKIN I CERTIFY PMT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WoftwA I S COM PENSADON INSURANCE SIGNATURE OF J-kjFINAL �� BY PERMITTEE DATE ADDRESS Qxq TEL P C Fee$ PermH Fee CITY NO Issu me Fee VALUATION$ h O V Total F PLAN CHECK VALIDATION c1c r o CASH PERMIT VALIDATION CK o CASH 6 1 9�MAY 24 1 0 3 4.0 O_A`-a (at 76"MACBI=1^8 77 ^ 78A635A CERB09 SDS APPLICATION FOR BUILDING PEF3MIT, LJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUR T OR BUILDING CROSS ST DISTRI T Gfi011e SSED BY FOR APPLICANT TO FILL IN CY ST BUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS ��' 631 7AnqelesFRONT CLASS NO DWELL UNITS_ BK P LOT NOS• /' Q ATER NOT REQUIRED to RECEIVED ERTIFICATE TRACT AP HIGHw6r NO ONO O ICIRCLEI STATE MAJOR SECOND OC L SIZE OF LOT NOW SE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG OWNER ILDING EXIST ETBACK YARDHWYWIDT ADDRESS Valle Blvd. E. LFRONTARCHITECT OR P LENGINEER SIDEP LADDRESS0 U CONTRACTOR KADDRESS 600 SO. San Gabrie287-09 ab p DESCRIPTION OF WORK d N NEW ADD ALTER EPAIR DEMOLISH z SO FT NO NO OF SIZE STORIES FAMILIES USE Reroof rear res. only, with STRUCTURE 9 s ate. o K 5 SIGNATURE OF APPLICANT VALUATION E APPROVALS DAT INpRECTOR 881GNATlIRE PC PMT FOUNDATION LOCATION J 1 FEE $��- FEES FORMS MATERIALS I FRAME FIRE STOPS I HER Ker ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS / AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS / f SUILOING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR OE OF THE STATE OF CALIFORNIA RELAT IMG TO WORKMEN S CO NSATION INSIIFANC ` I LATH EXT SIGNATURE OF HOUSE NUMBER COR V PERMITTEE RECT AND POSTED Marcia en, ect y. 3 ADDRESS F NALAAj JOHN F LEWI$ PRINCIPAL $T RAL ENGIN PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION :CKD NO CASH I .0 8T1 6 O—� DEC20 1 D 4.00'" 7GA538A C9re033-54APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING /�/ �JO CY/ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY T G - JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKIN99UP T OF BUILDING CROSS ST DISTRICT NOOR TYPE PROCESSED BY - FOR APPLICANT TO FILL IN S10ITCH T� p UILDING STATISTICAL SSI PI CATION SEWER MAP ' ADO R ESS 3/ CLASS NO �y_ UNI T9 9K EPG 2C LOT NO A-0 A'- BLOCK USE ZONE MAP �f�0� C NO f�V TRACT ;� v ?� SPECIAL NO OF BLDG$ Rr SIZE Of LOT NOW ON LOT USE Of l� j 'J /' OWNER F NO L siI FROIF NT PROfA CLIME 01 �� — -'LE `� (!TR[[T) TYPE Of EXISTING SETBACK HIONWAY t YARD = TOTAL ADDRESS WIDTH FROM C L T Z� CITY ARCHITECT OR EL SLD SSTSACK FROM EN GINGER NO CID PROP LIN[ OF STREET TYPE 0f [IISTINO l[TBACK HISHWAY + YARD = TOTAL r ADDRESS HIGHWAY WIDTK FROM C L D_ 0 CONTRACTOR LIC CORNER CUTOFF YES NO K ADOR ESB NO O LID SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK Z NEW ALTER RE DEMOLISH BO FT NO OF NO Of SIZE STORIES FAMILIES Val of L STRUCTURE SIGNATURE OF APPLICANT VALUATION. OD ` APPROVALS GATE INlF[C TORT lI0 NAT0R[ FOUNDATION, LOCATION HHS FBHO a �.� FORMS MATERIALS FIRAMH, FIR. .7 'V. D, I HEREBY ACKNOWLEDGE THAT I HAVE R[AD THIS APPLICATION BRACING BOLTII AND STAT[ THAT THE ABOVE IS CORRECT AND ACRE& TO COMPLY FURNACE LOCATION WITH L AL COUNTY OROINANC[G AND STATS LAWS REGULATING OAS VENT DUCTS %UILOINa CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY ""ON IN VIOLA LATH INT TION OF THE LABOR COO[ OF THE STATE OF CALIFORNIA R[LAT ING TO WORKMEN S CnMPENSATION INSURANCE LATH EXT 61GNATURE OFHOUSE NUMBER COR- PEIIMITTE! p ADDRESS FINAL L+pfftT 11 1T� ,�r� — PLAN CHECK VALIDATION CK MO CASH _ JOHN PERMIT VALIDATION STRUCTURAL MLO EN LAAO 4 8 9 6 SEP 2 2 1 D 4.0 0 _6� TSABSSACR$BOS "ZAPPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING UI EIN 3 / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN BUR T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DIST OCT yO GROUP TYO t P ESSED BY BUILDING STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS G El TRJO CLASS NO DWELL UNITS S.L, BLOCK WATER O �/O CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP HIGHWAY NO F BLDGS NO ICINCL[I STATE MAJOR E D SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG n TEL IN OWNER NO 6- BUIL NG EXIST SETBACK YARD HWY TREET NAM WIDTH ADDRESS G FRONT ARCHITECT OR P L ENGINEER — O SIDE P L ) ADDRESSTEL d CONTRACTOR NO O ADDRESS N C D CAIIr1TON OF WORK O NEW ADD ALTER REPAIR DEMOLISH D- D) 60 FTNO OF NO OF Z SIZE STORIES FAM ILI E6 U5E OF STRUCTURE A SIGNATURE OF APPLICANT VALUATION SV G Cl APPROVALS DATE INSPECTOR t SIGNATURE PC PMT FPUNOATION LOCATION FEE S FEE S FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 1E CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IGAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA L TH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN B COMPENSATION INSURANCE (' p TH EXT SIGNATURE OF Lf./ LJ^�/^�"L/.li�f H USE NUMBER COR PERMITTEE gECT AND POSTED ADDRESS F NAL 1 JOHN F LEWI5 PRINCIPAL STRUCTURAL EN ft PLAN CHECK VALIDATION Co M-O/ CASH L I PERMIT VALIDATION CK NO CASH ,, - LALQ 5 5 9 1 n 19 1 0 4.0 0 " FrAPPLICATION FOR BUILDING PERMIT ' % COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS rOF "L LOCALITY NEAREST vZ(P CROSSST MNO OF BLDGS ASSESSOR O NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE BY BLOCK \ LO`NO � n y� CONST � Z CF"C 2. NO G, •\ V ( STAiISTICALCLA�SSIFIICATION Ef EW M.9P ADDRESS !l5 O C CLASS NO DWELL UNITS G B (�G CITY ( ZIP nS ARCHITECT OR TEL VALUATION $ �rf ENGINEER NO ADDRESS BLOG SET BACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR NO HIGHWAY + YARD TOTAL SETBACK FROM7 TYPE OF E%(STING LICI FRONT PROP LINE IHIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREETI NAME AND BRANCH y HIGHWAY + YARD TOTAL SETBACK FROM TYPE Eo6 ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SO FT NO CI NO OF CHECK + - Y SIZE b STORIES FAMILIES ONE DESCRIPTION OF WORK 0 K NEW PC Fee$ Perm11 Fee ADD ❑ Issuance Fee O U( 1 Li O O J F+ REPAIR Total Fee USE OF 'C EXISTINGBLDGy £ APPLICANT TEL _ FV (PRINT) rt NO BY(SIGNATURE( 6; HEREBY ACKNO E T I IS APPLQ TON AND STATE yY THAT THE ABOVE IS RME NO A REE MPL W ALL OgpINANCFi LSI AND LAWS REGULATI G WI I 1 RT Y THAT IN DOING THE WORK AUTHORIZED HEREBY I LL V A P IN VIOLATION OF THE AfOR STA OF UAIN N iO WORKMEN SCOM PFNSATgN INWRANCE ;23812P Z O 1 2 n SIGNATURE OF �� p • e • • . I PERMITTEE AESS Zp 2 e - 7 0 0 0 DDR TEL p 1' . ' 70003 rFINAL NO G USEZONE MAP 3 O Q` 1 7 -7 9 NO �- SPECIAL CONDITIONS BY WORKERS'COMPENSATION DECLARATION ri hereby affirm that I have r certificate Comte of tionconsent to ,elf APPLICATIOA FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, v ora certified ropy thereof (Sec 3800, Lab C ) COUNTY ilF LO*NGELES BUILDING AND SAFETY Policy No Company Pr y ADDDRJss ❑ Certified co is hereby furnished FOR APPLICANT TO FILL IN v ❑ Certified copy Is filed with the county budding mspec- BUILDING E AaZ f7 IC G t P�/ 7omP/t �A 9/�� tion department A�ItE55 Date Applicant c•� zip 9!7 O - LOCALITY CERTIFICATE OF E7(EMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NO OF BLDGS NEAREST CROSS ST A/ COMPENSATION INSURANCE AISESSCRr (This section need not be completed if the permit n for one TRACE BLOCK LOT NO MAP d3 PAGE 0z PARCEL Q 0 hundred dollars ($I00) or leu ) owrf:R H,9559/'7— FAKHRo J 309 USE zoNErowP I certify that in the performance of the work for which this r` permit is issued, I shall not employ any person in any manner ADDRESS 63I 17 4yPlc G`-` L LY AL CONDITIONS d so as to become subject to the Workers'Compensation Lows / o q O zip /r 7 _ U Date Applicant ARCHITECT OR TELK DISTRICT GROUP TYPE FIRE PROaW BY NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO - CONST ZON O Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS r _L ^490111�7 with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT I CONDO 2 deemed revoked CONTRACTOR NO _ LICENSED CONTRACTORS DECLARATION �� LCLASS NO DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 70D0)of Division 3 of the Business LIC SEWER MAP and Professions Code,and my license Is in full farce and effect CITY CLASS BK PG VALIDATION SO FT INC) OF NO OF CHECK License Number Lic Class SIZE ^� STORIES FAMILIES ONE VALUATION � Contractor Dote DESCRIPTION OF WORK L,yry(0NEW ElS / t) D� 611- - ❑1 am exempt under Sec ADD ❑ ► �ITER El B BP C for this reason REPAIR $ Date USE OF EXISTING BLDG [ DEAAOL ❑ Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION (PRINT) ND I hereby affirm that I am exempt from the Contractor's actor's License - - Law for the following reason (Section 7031 5, Busmen and ADDRESS FINAL 3307 .01 Ptcjessions Code) NT By ING ER-COR 1, as owner of the property, or my employees with �RE5SS wages as their sole compensation,will do the work and LOCALITY ► 3307 —.01 so the structure is not intended or offered for le(Section 7044, Business and Professions Code ) MOVING TEL 1 ❑ 1, as owner of the property,am exclusively contracting CONTRACTOR NO A with licensed contractors to construct the project (Sec- ACCT.r tion 7044, Business and Profeuions Code ) ADDRESS - 3307 10'3.94 CONSTRUCTION LENDING AGENCY RED YARD HWY TOTAL O(EF I hereby affirm that there is a construction lending agency for FRONT 1 ITEMS the performance of the work for which this permit Is Issued P IL - TOTAL 10 r. (Sec 3D97, Civ C ) SIDE c. 94 Lenders Name P` CFECK 105.94 DMA ief N . Lenders Address PC Fee f Permit 0[1 pop. I certify that I have read this application and state that the - Issuance Fee LDA4A.P/C N mit O above Information is correct I agree to comply with all County Investigation Fee r 0000-MOI 12I 9I9� R4 ordinances and State laws relating to building construction, Total Fee LDMA Perm 07� and hereby a thorize representatives of this County to enter 45 1 AM q:,ry upo ve-mentione pr for inspectionqurpcossas n IZ ( _S Z EEE REVll FOR EXPLANATORY LANGUAGE Signature of API011 or Agent Date r COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/RSP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0701180035 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ON FILE SO FT STORIES TYPE OCCUP GROUP 6317 TEMPLE CITY SL 19 STRUCTURE 584 1 VN R3 TEMP CA 917801431 (ASSESSOR INFORMATION NUMBER - GARAGE NEAREST CROSS STREET 5382-022-060 OTHER 156 1 VN R3 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 02/28/07 JK JK 02/23/08 FAKHRO GHASSAN Y RATA G,KHALED (626L3099---0680- BIlX:S NOW ON IAT VALUATION 70,580 / ,' FI�yjy�Y CODE 16317 TEMPLE CITY BL I ITFMP 917801431 I FEES PAID ESSCRIPTIOS OF FORK ACID 2BR/1BA (E) DEN/DINING ROHM TO BE NEW DEN (E) KITCHEN CR IEE DESIPTION QUANTITY UOM AMOUNT ITO BE REMODEL (E) BEDRM 6 COMPUTER RM TO BE REMOVED NEW IBR/ APPLICANT TEL NO I KANDJIAN (816) 242-1431- IB1 PLANCHECK W/ENERGY 70580 00 VAL 943 17 811 PELANCONI AVE IAA BLDG PERNT ISSUANCE 27 75 SPECIAL CONDITIONS IGLFNDALE CA 91202 IAC STRONG MOTION REBID 70580 00 VAL 7 06 JB2 PERMIT W/ENERGY 70580 00 VAL 1 109 63 I TOTAL FEES 2 087 61 ICONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE I IFAKHRO GHASSAN (626) 309-0680- I I6317 TEMPLE CITY BLVD LIC NO I UJCATION AND SETBACKS TEMPL,E CITY, CA 91780 NONE I I I (SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO I FOUNDATION TRENCH FORMS LIC NO I SLAB/UNDER FLOOR RAISED FLOOR FRAMING I MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION , I 3 01 (1ST LEVEL FLOOR SHEATH I INO OF FAMILIES DWELLING UNITS APT COND STAT CLASS ( I NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING I I (AIR QUALITY 1000 FEET MATERIALS NO NO NO IFIRE DEPT FRAME INSPECf I REQUIRED TOTAL SETBACK FROM EXIST IBLLO DEPT FRAME INSPECT SET BACK YARD HWY PROP LINE WIDTH I FRONT PL- I SHEAR PANELS / SIDE PL- I (INSULATION/WEATHER STRIP !-CA- �S ANTERIOR LATH/DRYWALL I ^�ry QCt•� I EXTERIOR LATH / LOT DRAINAGE ISMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL( • ADDITIONAL DATA ON FILE I I I I (REPORT ID DPR261 ROUTE TO BS0508