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Home My Public Portal About6326-6328 TEMPLE CITY BLVD_Building__ ®s CIE J ge A cECry 'f'�,lT� ' "/ y1Y l��1* ' APPLICATION FOR BUILDING PERMIT � ' COUNTY OF LOS ANGELES BUILDING AND SAFETY C.(�lE ri1 7 FOR APPLICANT TQ FILL INn8ULDBUILDINGADDRESS EpJK CITY ZIPNO OF BLDGSR NO LOTK PAGE PARCEL T GROUP TYPE FIRE _ SSED BY TRACT-3-3'5C2^1BLOCK LOT NO CON5T Z OWNER Z STATISTICAL CLASSIFICATION , `YEW ER AD CLASS NO2-/ DWELL UNITS IVEK CITY IP NGNER(ITECTO^�yt,YG NLISTATE 831 VALUATION $ ADDRE551J O "T I� C. BLDG SETBACK FROM v J TELFRONT PROP LINE OF (STREET( CONTRACTOR NOTOTAL SETBACK FROM TYPEOF EXISTING LICHIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO S LIC + CITY CLA CONSTRUCTION NDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ISTREETI HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SO NO OF NO OFECK + Y SIZ STORIES FAMILIESNE D RIPTION OF WORK P C Fee$ �� Permit Fee J Issuance Fee }Q p_v R 1.�C1 IR Total Fee USE OF G EXISTING BLDG ` � L = APPLICANT TEL Z 2 6 0 2 2 A (PRINT] BY(SIGNATURE) > 9� 1. 2 3 HEREBY A EDGE THAT HAVE READ iH15 APPLSTATE yYy Z • • 1 2 0 0 THAI THE ABO IS CORRECT AND AGREE TO COMPLY WITANCES W AND LAWS RFGUTATING BUILDING CONSTRUCTION 1 CERTIFYTHAT IN DOING THE S I� OL 0 0 U WORK AIIt11C)RIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN V TION OF V THE TABOR CODE OF THE 5IATE CALIFORNIA IN RELATING TO WORKMEN S COM pp PENSATgN INSDRANC O q 0'8-7 9 SIGNATUREOF R'6 0 2 3 A PERMITTEE ADDRESS4�44j 4 0 0 TEL 2 • • 2200 CITY NO G USEZONE P C� • • • 2 2 0(5 /1 NO 1//Ly SPECIAL 0 8 0 8=7 9 l CONDITIONS t FINAL BY DATE �� APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT °BUILDNGANDSRTMENT OF AFETYOEVISION u DING RADDRESS OR APPLICANT TO FILL IN ADDR ING Z 61 RESS — LOCALITY NEAREST t E ZIP CRossST ASSESSOR 6,11 OF LOT NOW ON LOTOFBLDGS MAP BOOK PAGE PARCEL DISTRICT G P TYPE FIRE ED BY BL t�7 LOT NO 'L)r- Q CONST Z /y TEL v• DO 3 � � STATISTICAL CLASSIFICATION $EWER P R S/Lfi /�Ki .Lys//6 C CLASS NO .DWELL UNITS Z� BK PG CIT / ZIP /00 USE ZONE NO d ITECT OR TEL NEER NO PEDAL CONDITIONS RESS ROAD DEPARTMENT APPROVAL REQUIRED VES Cl NO❑ T RA ; 0. lJ� �C L SETBACK FROM LIC FRONT PROP LINE OF (STREET) RESS :flc NO HIGHWAY + ygRp TOTAL SETBACK FROM TYPE OF E%ISTING LIC FRONT PROP LINE HIGHWAY WIDTH C A55 TRUCTION LEND + } EAND BRA f G d BLDG SETBACK FROM C1 ESS CITY SIDE PROP LINE OF (STREET) U 50 F NO OF NO OF > CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING SIZ STORIES FAMILIES L ONE SIDE PROP LINE HIGHWAY WIDTH O + H DESCRIPTION OF WORK NEW C..1 qpp CORNER CUTOFF YES Cl NO ❑ OW. 77 ALTER N 7-7 IZ 4a IN OPEN SPACE YES ❑ NO ❑ ? REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG DEMOL APPL CfF'1FTEL��1� /E�V O$o/ BY IS 1 HEREBY ACXNS<EDGE Ot I HA qFA5 APPLICATION AND SIAIE I I THAT THE ABOVE IS CORRECT NDA E TO Y WITH All ORDINANCES AND LAWS REGLXATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE L I WORK AUTHORIZED HEMY I WILL NOT EMPLOY ANY PERSON M VIOlATK)N OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF FINAL /�/6i I BY PERMITTEE DATE ADDRESS CITY TEL P C Fee E ' Perm t Fee _ 2--o Issuance Fee VALUATI /�/ 20 0 T C/ / Total Fee '57/ Z SD PLAN CHECK VALIDATION <:61—Kmo cwBH PERMIT VALIDATION 6—k mo wH 279miAR 2723 u 32520 834nJLIN 8 1 0 51250 •so 833L.JLIN) 88,3,0 .` 7920 �y - - — - 76AGMA ae#e 6P 6 �s WORKERS COMPENSATION DECLARATION / p4I hereby offirm that I have a certificate of consent to self JJJSSS Q Insure or a certificate of Workers CompenstionInsuance or APPLICATION FOR BUILDING - PERMIT V 'a`certif/ied c thereof (Sec 3800 Lab COUNTY OF LOS ANGELES BUILDING AND SAFETY TOl,cy rya L Com ny I BUILDING Certified copy Is y furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy d e county btIngspec- BUILDING QIV L s tion depo t nt ADDRESS -5� V jaiLOCALITY p NEAREST 4 Date ` Apphcan CITY ZIP CROSS ST TIF) TE OF EXEMPTION FROM NORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURAN E SIZE OF LOT ! NOW ON LOT I MAP BOOK PAGE PARCEL W ITh sect,on need not be completed If the permit is for one TRACT a3 J BLOCK LOT NO USE ZONE O �yOO (/! hundred dollars (5100)or less ) TEL aS SPECIAL cif yL I certify that In the performance of the work wh lch this OWNER—XISOW NO pp CONDITIONS O i permit is issued I shall not emp any person ny manner /_ J DISTRICT GROUP TYPE FIRE SSED BV V� 111!!! ADDRESS Y/ I� v 12 CONS_T ZONE F O so as to become subject to the en Comp n tion Laws / `[J, o Y 3 �LLJ Dote Applicant CITY L ZIP STATISTICAL CLASSIFICATION CONDO G V NOTICI TO AFRUCANT If after makin this Certificate of ARCHITECT OR TEL W ENGINEER NO CLASS NO��DWELL UNITS_ Exemption you should become suble to the Workers tail Compensation provisions of the Labor Code you must forth = with comply with such provisions or this permit shall be ADDRESS SEWER MA deemed revoked CONTRACT ff NO BK PG �� VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P. NO 1 3 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC _ v Professions Code and my licensee Is In full force and effect CITY CLASS S O3 _ SIZE so FT NO STORIES I FAMILIES I CHECK Lens ben Lic Class (� S Contract ' Dote C19 O`^' DESCRIPTION Of WORK NEW , ElI am exam t from the licensing requirements as I am a L � ADD ❑ licensed ar holed or a registered Professional engineerALTER E] acting in my professional capacity (Section 7051 ❑ DATEL I� ^l! O cJ REPAIR Business and Professions Code) USE OF DEMOL ❑ FINAL v EXISTING BLDG J V Br Lic or Reg No Date APPLICANT M —MTEL ,/ _� OWNER BUILDER DECLARATION (PRINT) NO `Y ,13 I hereby affirm that I am exempt from the Contractor s License ADDRESS �� :5 e Q r Law for the following reason (Section 7031 5 Business and Profs dons Code) PRESENT BUILDING I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and :92362A the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING TEL I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS 2 e 2 O 0 tion 7044 Business and Professions Code) REQUIRCK ED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BAYARD HWY PROP LINE WIDTH • • • 25005 I hereby affirm that there is a construction lending agency for FRONT the performance of the ork for which this permit is issued P L (Sec 3097 Civ c I ^ SIDE 0930—, 80 O Mw I PL Lender s Name �u Lender s Address PC Fee S Permit Fee I certify that I have read this application and state ?hot the Wuonce Fee above information is correct I agree to comply with all Count 9 PY Y Invesegaoon Fee dlnances and to laws relating to budding construction Total Fee O eby out or a representalives of this County to soler n t above nnoned property for ,nspechon ppurposes 1 SEE REVERES FOR EXPLANATORY LANGUAGE Sign lure of App1¢on,or Agent Do ms APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING SS I hereby affirm that I have a certificate of consent to self insureBUILDI DfiESS — r 1 \ or a certificate of Workers Compensation Insurance or a carriedPkv v copy thereof Sec' V P !! O Pol No K Loceurr Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Ceftrhed copy a hereby furnished NEAREST CROSS ST 3.erdhed copy ra filed with the county,building wepoction TRACT BLOCK LOT NO 1---� USE ZONE MAP NO depG��me/ns�� Date JJ/��/ Applicant �J ASSESSOR MAP BOO( RAGE PARCEL SPECIAL coNgnoNs CERTIFICATE OF EXEMPTION F WORKERS OWNER y t TEL NO COMPENSATION INSU CE LO l WTFIIN 1000 FT OF SCHWLo YES NO (G� ,�V (The section deed riot be completed d the permit a for one hundred E DISTRICT GROUP TY ('ANST FIRE ZONE PROCESSED BY dollars($100)or less) I certify that In the performance Of the work for which the1 LP r/� / D e issued I shall not employ arty person In any manner so aa to 42 1 (Z 1 V / " O DO �l"3 3 t�•J become subject to the Nbrters Compensation Laws GHRECT OR NGINEER TEL NO STAnSTICAI CL�A/SS�IF/CATION APT CONDO Date Applmant ADDRESS CLASS NO DWELL UMTS WTICE TO APPL1G11,/7 If after making the Certificate of REWIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR \ TEL NO I&SV_�� SET BACK YARD AYY PROP UNE WIDTH Compensator prowions of the Labor Code you must fortimvth r comply with such provoKlns or the permit shall be deemed revoked �e /' FRONT DRES�O J_ 1 PL LICENSED CONTRACTORS DECLARATION CITY / LICPDE I hereby affirm that I am licensed undarprovsons of Chapter 9 SEWER MAP } (commencing with Section 7000)of DNeon 3 of the Business and SO E NO OF STORIES NO OF FAMWES IL Profeaeons Code I m foul force end eff NEW BK PG , p LCeree Num LC Claes �J DE OF ef VAORK I ! ADD ❑ \�LIIATN7N V CorNrac Date L ? ALTER ❑ $ lO OD O Cr REPAIR ❑ $ OF ❑ I em exempt uMer Sec /) BBPC for this reason 0 ,ES / r EMOL ❑ W DMA P/C r Date USE OF EXWlING,BLDG URM El fA -*MaturepppL1ENJT(PRINT) TEL NO LOMA Perm♦ ? ❑ 1 as owner of the property or my employees with wages as Z MLI.T. thew sale compeneetlon will do the work and the structure a ADDRESS O not Intended or offered for sale (SectKn 7044 Buslmesa and FINAL DATE Q 7307-' --ia.i'l Professions Gods) wLL THE A CANT CR FlTUI ELLdN3 OGCLiNNT W A IW.Ald1pU$WTEHL _.iI 1 ITEC lS ElI as owner Of the property am exCkleNey MIX contracting with OR A TURE CDNiNNP.`p A M DOUS WTERA-EOULL TO ee GREATER TH TIE V 31 Ec G ON TIE HA DOUS uAreF NFOF WT ON DUDE+ G IKereed contractors to construct the project (Sector, 7044 unoorrs Ws El �❑ FINAL ay, > TOTAL 22LF � !SQ Bnoreess and Professors Code) �J�/'I/ WILL THE MENDED UaE OF TIE eupJNO er THE APPUCANT OF FInuRE BULIOW '_EIEC( r+v•`I� IX;CUFIWT REOU RE A PERArT FOR OCWSTHIICtIOV OR M FICATION FR TE SOUTH _ CONSTRUCTION LENDING AGENCY ` C� souUTY WMGEI.ENT DZTRCT IscAouol s E%Rlniiwo C CNUST FOR D,//_ eR,S t ]E I I hereby affirm that there e a construction lending agency for vEs❑ No❑ (11C the performance of the work for which the permit a Issued(Sec m 3087 CN C) IHAVEFEAp TIE HAZAF✓OCIIS WTEFeALswFaaNATaN ouoE AFIO THE SFw DM waTflW IxCERSTANp QI�Q[I-Ill]Q1 9� 7/q'-2 CHECKLIST I W REGUARELENn9 lP R THE Los AWEUFS COUNTY LODE 1 Lender B Name WTER LReroR 143 MD FOZOB M A PER&TT FRO4 TIIE 9(:IGMp HfJAnOIXIs Lenders Address 1605 1 rill J:41 � IMYF tF A(x M! I certify that 1 have read the application and state under Penalty g of perjury that the above information is Correct I agree to comply PC FEE PERMIT FEE � /� $ Ynth all county ordinances and State laws relating to budding Za 24 Construction and hereby autM¢e representatives of the County ISSUANCE FEE m to o I � Z L VINVESTIGATION FEE TOTAL FEE Owmnyn m. SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1308200026 PHONE (626) 285-0488 EXT (LEGAL IO NO OF CONST ITR 33529 UN 7 SQ FT STORIES TYPE 6326 ADDRESS 632 STRUCTURE V-B 6326 6328 TEMPLE CITY BL TEMP CA 917801432 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 15383-015-040 I 1 THORNS PAGE 596 GAID J2 IgCALZTY TEMPLE CITY CAI TENANT EXIST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCESSED BY (EXIST OCC GRP 108/20/13 SR 0WNEA TEL NO BLDGS NOW ON LAT VALUATION I FINATJDATE FINAL AY CODE LANGDEN AVE HOA, DONALD DAVIS (626) 285-9410- I I 6,270 n 16326 TEMPLE CITY BL TEMP 917801432 FEES PAID ID CRIPTION OF WORK (REMOVE RIDGE INSTALL 30 YR CLASS •A• COMP OVER 1 LAYER OF FEE DESCRIPTION QUANTITY DOM AMOUNT 1£KI S'^ING COMPOSITION (APPLICANT TEL NO 1 GRATER, GUY (626) 355-2755- 1AA BLDG PERMIT ISSUANCE 27 80 1407 FOOTHILL BLVD AS STATE GREEN BLDG FEE 6270 00 VAL 1 00 SPECIAL CONDITIONS 1 LA VERNE CA 91750 AC 102 STRONG NG MOTION RESID 6270 00 VAL 0 60 6270 00 VAL 166 20 -I TOTAL FEES 195 60 CONTRACTOR TEL NO (APPROVALS LATE INSPECTOR SIGNA= 1 ID AND G ROOFING INC (909) 593-4982- 11407 FOOTHILL BLVD #307 LIC NO 1 (LOCATION AND SETBACKS LA VERNE CA 91750 534986 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS 1 1 LIC NO 1 SLAB/UNDER FLOOR 1RAISlD FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UfiDE1lI.00R INSULATION 3 I FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COM STAT CLASS YES 21- ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I 1 (FIRE SPRINKLER HANGERS I lINSULATIGN/WEATHER BTRIY (INTERIOR LATH/DRYWALL 1 I EXTEPIOR LATH IRATEC FLOOR/CEIL ASSEM I I RATED WALL ASSEMBLIES 1 IRATEC SHAFTS/OPENINGS 1 IT-BAF CEILINGS I I 11/JT DRAINAGE i 1 REPORT ID DPR261 ROUTE TO BS0508