The URL can be used to link to this page

Home My Public Portal About6327 TEMPLE CITY BLVD_Building__ APPLICATION FOR BUILDING PERMIT �] COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN rE I hereby affirm that I have a cerldoate of consent o Sell insure • ,2 a a certificate of Wormrs Compensation Insurance or a cerhfed B�M7 e-w-i le C' V4, .17 cop„ thereof (Sec 3900 Lab C) CRY 1e w e CW, ,/ LP '47/7.0$IV & LOCALITY PatNo CotCompanympany SIZE OF LOT 708 REST CROSS NO OF BLDOS NOW ON LOT ❑ Certified copy a hereby ehed6T IV ❑ Certified copy is filed With the County building InspectionA ) BLOCK LOT fit department , n h/ J 1 8 USE ZONE AMP NO Date Applicant ASSESSOR MAP BOOK PAGE /37 1 iwRCEL SPECIAL CONDMONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERG01-�N COMPENSATION INSURANCE -�/� WITHIN 1000 FT OF SCHOOL' YES NO (The sechor,reed not be completed d the permit is for one hundred ADDRESS tlpaas 13100)a Is") �-32 -7 I e✓�1 IIJ dSTRICT GROUP TV CONST FIREZONE PROCESSED BY I certify that in the performance of the Work for which this permit CIiY a Mn 1e C' ZP 9i ado .�� - 3 3 is issued I Mall not employ arty, person in any manneras to ARCHITECT ORE W E TEL NO beCOrnIB BU tp 11 Vyprkere CO meet Lam/' // ADDRESS SWTISfIC+LL CVuSIFICfTCN APT CONDO u CLASS NO _/ DWELL UNITS ' NOTICE TO AP'PLMANT a after makRg the Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you Should become subI&D1 to the N�r�ke��rn CONTRACTOR TEL NO SET BACK YARD Hwy PROP LIE WIDTH COfllpensaon pronacre of the Labor Coda You musLaMWbt Iilh �� FRONT comply With such prwegnS a the permit Mall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATIONSIDE I hereby affirm m that I aloensed underproveiore of Chapter 9 CITY III LID LASS PL (cornRerxVig with.Scotian 7D00)of DiisiOln 3 of the&mness and SO FT 91 OF STORIES NO OF FAMILIES NEW EWER MAP U Professore Code and my license is in full faand force aeffect PG Ixeree Number Lo Class DESCRPTtON OF WORKADD ❑ VAILATON ¢ pop- Contrecla Date ALTER 17,1 $ 2 x.00 v 1Ra-.'.Ove 51`a6 sit raaFREPAIR a ❑ 1 am eXempt under Sec / / ,/ I $ Z BBPC for the reason 2 �DJr 3 Tit Fli LQ DEMOL ❑ IM LDP/C Date USE OF EXIST2,5 V r- URM ❑ nature PRW ❑ las owner of the property or my employees with wages as APPLICANT 'T 7 '� C` I ! ` 2f5-49i LDMIA Pim A 0 ACiT.4 _ their sole compeneatorl will do the work and the structure a ADDRESS/�(. / Q C 'V . FINAL DIRE Q .'1.i1��+, not intended or offered fa sale (Section 7044 Business and C r F 121.25 Professions Code) wan TIE APPM on FiTnJRE au accwwr A RAiAaocNrs wTeflui Q� ❑ 1 as owner of the Property am excWsney, eontraetiwith Ore A A.an1iE CONWFIIA A FIAZAnp0119 MATERNL EQUAL TO pn aEAiER TIVN THE �- • 1 I I EMS Ycenses cmhactors a construct the protect (Section 7044 AMouns SMOPEn ON THE I ARDOUS IMTFlCAL41141` pN owET FINAL BY Caisse and actonaProfesto Code) YES❑ N jz TI 121 -35 Oil THE.r1Eli EED USE OF THE aiioL.ia B! TIE AFPl1GN1I OR FLrrUE BITTING TTL,GT, OLCWwI!lEaIRE A PERMT FOR LONSTRIx:fiON dA AeDDif.RIDN FfoM THE SWIH / la 1•�: CONSTRUCTIONLENDING AGENCY COAs wR ouA MwAo WNT nswcr OCA 13)SEE PEWITTNG clECxusr FOR CC��.��J .../I.d/� I/( GAMUNES CII'Y`�� I l yJ CMNGE I hereby affirm that there e a construction kmding agency for yEy❑ Noe( 1 w the performance of the work fa which the permits a&Tait lSec li. RFAO rHEiwzAaoousr.MTERw.silEaaAATgNOInos Ann THE sc,pMO PEnviTTw /�/l m 3097 CN C) �QUST I UNOERSTMO W REOUI WNTS IACER THE LOS ANGELES cplNTv CODE V le IMEa LINPTEfl 4009ECTIONe a20 t00 TYHOWH'140 t.a cCNOERN NO FIAZ.VpIX19 iJL{tfL1 UVLIi ( �i��k Lader a FIarT1a VATERIIl9 REPamNO AND FOH oe/ryNN6 A PERNm/mow Larder a Address aR.An rA o..rFK�+�1 - .27 6206 1 AcI1� 411 .^, 1 ceftiy, that I hoe read the application and aflle under penalty PC FEE PERMIT FEE �+ R¢ Of perjury that the above information a correct I agree to comply / with all county odilnacea ws and State lam relating to budding construction and hemby autlonze representatives of the Canty S?SUANCE FEE to ems igprn th0 bo„o-i9aftl pop�ly for inspech7�5 � G- v m ��(/ L INVESTXjATION FEE TOTAL FEE /"T /. j ears a was. 2Pre.. o... O� SEE REVERSE FOR EXPLANATORY LANGUAGE i COUNTY OF LOS ANGELES TEMPLE CITY NI A508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G BL 0508 9610210007 PHONE (818) 285-0488 EXT LEGAL ID NO. OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUP 6327 TEMPLE CITY 8L STRUCTURE 0 0 V R3 TEMP CA 917801431 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET LONGDEN 5382-022-059 OTHER 245 1 THOMAS PAGE 596 GRID: J2 LOCALITY TEMPLE CITY i TENANT EXIST BLDG USE USE ZONE TMD M FK"BSED BY EXPIRES-W— EXIST OCC GRP 10/21/96 TC 10/21/97 OWNER TEL NO. BLDGS NOW ON LOT VALUATION FINAL DATE FiNA E HALL CORDON CBFRLY R (816) 285-4913- 2 2,500 6327 TEMPLE CITY BL TEMP 917801431 FEES PAIDSTEEL FRAMED STEEL FRAMED ALUMINUM ROOFED GRP iRT 1418" X 1616-- FEE 6'6"FEE DESCRIPTION QUANTITY-UOM- / ^AMOUNT APPLICANT-SAME AS OWNER - AA BLDG PERMIT ISSUANCEJ�y ,-I�.\,27 75 AC STRONG MOTION RESIDY 25D0:00'VAL VVV 0'50 SPECIAL CONDITIONS AX BUILDING REVIE0FEE 54.70. D2 PERMIT W/O EM-HC' 2500 00 VAL 99 ,15- U TOTAL FEES 182 10J PROVALS CONTRACTOR TEL. NO , v DATE IN0rErffi-9rQ9faff-- SAME AS OWNER - JjJj ( �I ip LIC NO Lr� LOCATION AND SETBACKS s��onn �s�end I SOILS ,ENGINEER APPROVAL LIC NO ' � 777 RAISED FLOOR FRAMING MAP NO. SEWER RAP BOOK PAGE: n RE ZONE UNDERFLODR INSULATION 3 O7 ✓ 1 NO OF FAMILIES: DWELLING LIMITS. APT/CUND. STAT CLASS NO 21 ' 6� 0SCHOOL WITHIN ROOF SHEATHING 2ND LEVEL FLOOR SHEATH AIR QUALITY 1000 FEET MATERIALS STI I NO NO NO JFIRE DEPT. FUME INUM REQUIRED TOTAL SETBACK-FffaF--FWrST— BLDG DEPT FRAME INSPECT SET BACK YARD' HWY: PROP LINE WIDTH FRONT PLSHEAR PANELS - SIDE PL- INSULATION/WFATHER STRIP INTERIOR LATK/DRTWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEV FIRE DEPARTMENT APPWOW REPORT ID DPR261 ROUTE TO BS0508