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Home My Public Portal About6322-6324 TEMPLE CITY BLVD_Building__ APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DBUILDINGANDSNT OF AFETY UNTY IVISIONR FOR APPLICANT TO FILL IN ADDRFss BUILDING ADDRESS z-Z_ LOCALItt OT 4/ NEAREST ZIP CROSS ST NO OF&DGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE FIRE ESSE BY TRA OCK LOT NO /� Q CONST Z OWN AA'/.e ✓EN NO7 .� \J- STATISTICAL CLASSIFICATION SEW504AAP ADDR �lJ,I /b �'/� CLASS NO _DWELL UNITS f Z BKG P ayES G !� ZIP USE ZONE NOP QG O c. 3 ARCHITECT OR TEL .Y SPECIAL ENGINEER NOCONDITIONS ADDRESS �� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ CONT Q� /Q`at yY IC 6 ;kms :7 BLDG SETBACK FROM LIC FRONT PROP LINE (STREET) ADDRESS NO Ll TOTALS CK FROM7V PE OF EXISTING HIGHWAY + YARD FRON P LINE HIGH AY WIDTH LICASS CITY CL CONSTRUCTION LENDER + y NAME AND BRANCH .dG/ [C 4. BLDG SETBACK FROM � ADDRESS CITY SIDE PROP LINE OF ISTREETI U $Q NO OF NO OF CHECK HIGHWAY + YARD —TOTAL SETBACK FROM TYPE OF EXISTING SIZE 4'l' 6 STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH O + f DESCRIPi4pN OF WORK NEW LLI ADD CORNER CUTOFF YES ❑ NO ❑ N ALTER IN OPEN SPACE YES ❑ NO ❑ Z REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG DEMOL AIXTEL BY 151 /�Y �'S//i'o✓1•vw �L i HEREBY ACKNOWI i I HAV EAD CATION AND STATE TO T THE AREGULATING BUDING ILCONSTRUMf I CERTIFY THATIN DONG ANDLAWS WORK AI/rHDOZED HEREBY I WILL NOT EMPLOY ANY PERSON IN V10LATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM PENSAMN INSURANCE SIGNATURE FINAL 1 q BY PERMITTE DATE ADDRESS CITY TEL P C Fee S Permit Fee lmD rxe Fee VALUATION 70 __ - T IILL�� Totol Fee /2, �V PLAN CHECK VALIDATION <E—ro cAsH PERMIT VALIDATION —zc -o cABH I a 2 8 3—rMAR 27 f- g_ D 3 2 5.2 U 831Lm.JUN 8g$' 0 17920A i 83 '��JUN 8 .10 51 � 5p •3a 76AG A CO 1w e/ne APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN m , . m BUI �ffRESS �/p 1 I hereby affirm that I have a certficate of consent to self Insure % ADDRESS 2 y_ t��/� ` or a cerhflcate of Nbrkers ComPensat,on Insurance Or a certllletl I'� 1 V copy timed (Sec 38010 C) y ` 1 \1 ZIP PoI � d Co rlpai T LOCAUT SIZEOF LO NO OF BLDGS NOW ON LOT Certified copy 6 hereby fumghetl NEAREST CROSS ST ❑ Certified copy a filed with the county building inspection TRACT BLOCK LOT NO de t \ USE ZONE IAAP NO Date S�pplrant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CANDRION$ CERTIFICATE OF EXEMPTION M WORKERS OWNER I TEL NO COMPENSATION INSURANCE / WITHIN 1000 FT OF SCHOOL' YES NO ADDRESS(Thea Section reed not be comoleted d the Permit a for one hundred 2 �G 1'1 \i— pSTRICT GROUP T�ez FIRE ZONE RtOCE55 BY tldlaTa(3 100)or least I tartly that In the performance of the work for which this perms G ` l ZIP / 290 9 0 9. Oe O a IssuedI shall not employ any person In arty manner- So as to 2 IT become subect to the Workers, Compensation Laws CH TE ENGINEER TEL NO STATISTICAL CL FICATON AFT CO NbO Date Applicant ADDRESS - CLASS NO X DWEI UNRS NOTICE TO APPLICANT It after making this Certrl"te of REQUIRED TOTAL SETBACK FROM EXIST EXBriptemn you eholyd bacons, eubecl t0 the NbdcBm CON NO SET BACK YARD HNY PROP LINE WIDTH COmperaallm provision Of the labor Code you must forthwth FRONT conpty with such Provisions or Ma permit shall be deemed revoked T LIC P L V SIDE LICENSED CONTRACTORS DECLARATION crtY I f{,�s P L } I hereby affirm that I am licensed underprwaloa d Chapter B u h C--r SEWER MAP IL (commencing with Seoten 7000)of DNlsen 3 d the Business and SOe/X NO STORES NO OF FAMIUES NEW BK PG , Professions Code my litems,Ism full force eft ��II L V LDeRse Num Clas� c 1^ F WORK'� ®,Q S71 SrYC. ADD ❑ $UATlprl �D. DII Con Date cc ALTER ❑ !p p C1 em exempt under Sec � 6 REPAIR ❑ $ C.1 BEPC far this reason h biDEMOL ❑ W LlA4A P/C• a Dare USE OF EX5 BLDG URM ❑ ca Z Signature APR.C,ANT(PRYT) TEL NO LOW Pwm♦ I _ ❑ I as owner of the property or my employees with wages as p Iheir sole oorrpensabon well do the work and the structure a ADDRESS not Intended or offered far Sale (SeClron 7044 Busmess and FINAL DATE Q Q 3.370-5 fjl l Professrme Cade) wu TIE APPLr vn of FUTURE RE Bua.Dw xruFr++*HA+aE A HAZAfDQ)S wTEwAL �!^'0M ❑ I at owner d the property am exclusnely COntWhIg with OR A MxTLFE OOHPYOe A HISATDOUB MATERIAL Eg1LL TO OF D TER THNI THE Q I ITEM 1� licensed contractors to ConStruot the proeCl (Sedan 7044 A SPEGRED ON THE W3MDOUS MATERMLS IfORIU GUIDE'+ FINAL EN > Bussnens and Professions Code) YES❑ No❑ TOTAL 228 . 60 wu THE INTENDED USE OF THE euwNa SY TIE AwLlcwNi OR FUTURE BUILDING CONSTRUCTION LENDING AGENCY °a`"y''^REQUIRE A PERW Fon coNs ToN on MPgFI TIDN FRa.TE souTN '/ �y/ -3 r„ CHECK Zi. tl] COIRT AN OWltTY MANAGEI,ENi pSTRICi 19fACM01 SEE FERMLnNp CHECKLIST FON 1K G U O A 1� GN- WD AR V 1�- I hereby aHam that there IS a construction lending agency for �S❑ W E] /I/ ��{A� • T I n the performance of of the work V which this permit asi aed(Sec `(,// m 3087 Cry C) I14{VEriEAa TIE 1NZArIXXIB MATER1ALe RiOFAMTIONauCEAWl T1ESCACMp PERWTYe LIECKLaT 11DERSWID MY REDMTIEMENTS UNDER TE Los AWELES(AUNTY CODE N Lender a Name rAriERrLa REPOnrNO ANp FOF ORIANM ATEA FROM SLA0r.0 HA7MDIXa V 0011-13 I'I 9/ l Larders Address, 1608 I Ar uorin 8:1—' I certify that I has read the appl"bDri and state under permly QZ of penury that the above reform b n a COrroct I agree to comply PC FEE PERMIT ! �I X. with ell county ondlnsnnes and State laws relating to bulkffig `� W coatructlon and hereby authorize representatnes of this County ISSUANCE FEE.r 6 //O g to en (tpon the above-mentDred property for inspectgp r /r `� m �l INVESTIGATION FEE TOTAL FE 'Cvo. b w SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC FORKS 9701 IAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1308200022 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 33529 ON 9 SO PT STORIES TYPE 6322 6324 TEMPLE CITY BL (STRUCTURE V-B TEMP CA 917801432 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 5383-015-042 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY CAI (TENANT EXIST BLDG USE RESID USE ZONE R-2 10ISSD 8/20/1ON PROCESSED BY EXIST OCC GRP TEL NO BLDGS NOW ON LOT VALUATION F DATE FINAL Y CODE _ I I UJPGDEN AVE HOA, DONALD DAVIS (626) 285-9410- 6 270 6322 TEMPLE CITY SL TEMP 917801432 FEES PAID REMOVE RIDGE INSTALL 30 YR CLASS •A• COMP OVER 1 LAYER OF 'IFEE DESCRIPTION QUANTITY DOM AMOUNT EXISTING COMPOSITION APPLICANT TEL NO GRATER GUY (626) 926-1091- IAA BLDG PERMIT ISSUANCE 27 80 I 1407 FOOTHILL BLVD IAB STATE GREEN BLDG FEE 6270 00 VAI, 1 00 SPECIAL CONDITIONS LA VERNE CA 91750 iAC STRONG MOTION RESID 6270 00 VAL 010 ID2 PERMIT W/O EN-HC 6270 00 VAL 166 20 TOTAL FEES 195 60 TEL NO (CONTRACTOR ID AND G ROOFING INC i IAPPRCVALS DATE INSPECTOR SIGNATURE (909) 593-4922- 1 1 11407 FOOTHILL BLVD #307 LIC NO ILOCATION AND SETBACKS ILA VERNE CA 91750 534986 I I (SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO I IFOUNCATION/TRENCH FORMS I LIC NO ISI4B/UNDER FLOOR RAISEL FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE I FIRE ZONE CMP (UNDERFLOOR INSULATION 3 001 IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS (FLOOR SHEATHING I YES 21 (ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS INO NO NO (FRAME INSPECTION FIRE SPRINKLER HANGERS INSULAT IUM/WBATHER STRIP INTER70R LATH/DRYWALL I EXTERIOR LATH RAT® FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS T-BAR CEILINGS I LOT DRAINAGE IREPORT IO DPR261 ROUTE TO BS0508 I I 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 0508 1008180017 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 33529 UN 9 SQ PT STORIES TYPE 6322 TEMPLE CITY BL I STRUCTURE V-B TEMP CA 917801432 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5383-015-042 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, CI TENT EXIST BLDG USE REBID USE ZONE R-2 ISSUED ON PROCESSED BY EXIST OCC GRP 09/19/10 SR I OWNER TEL NO BIDES NOW ON LOT VALUATION F �.�A1'g FIIJAH�Y CODE ILAN, LILLY (626) 451-0145- I 2 000 [/ 11�I�Jr(-D �nl 16322 TEMPLE CITY BL ,* (TEMP 917801432 FEES PAID ("-SCRIPT ON OF WORK PEfi DESCRIPTION QUANTITY DOM AMOUNT (REPLACE 1 WINDOW IN KITCHEN AND 1 DOOR IN DINNING ROOM ADPL ICANT TEL NO I IRANDY COLE (619) 402-0628- AA BLDG PERMIT ISSUANCE 27 80 IPO BOX 711564 AB STATE GREEN BLDG FEE 2000 00 VAL 1 00 (SPECIAL CONDITIONS ISANTE E, CA 92072 AC STRONG MOTION REBID 2000 00 VAL 0 50 D2 PERMIT W/O EN-HC 2000 00 VAL 82 20 TOTAL FEES 111 50 (CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SOUTHLANO HOPE IMPROVEMENTS (562) 857-4675- 111906 BLUEFIELD AVE LIC NO (LOCATION AND SETBACKS ILA MIRADA CA 90638 9412708 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOGNMTION/TRENCH FORMS LIC NO I SLAB/UNDER FLOOR RAISED FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 1153H269 3 00 FLOOR SHHATHINO IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS i NO NO NO MME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI I IINTERIOR LATH/DRYWALL I EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE I REPORT ID DPR261 ROUTE TO BS0508 I I I I I I