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Home My Public Portal About6361-6363-6365 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' COUNTY OF LOS ANGELES WM .J FOX, CHIEF ENGINEER RV TY1T1 NO OP BLDG ORD NO DISTRICT NO PLAN CK NO IT NO PLANE �� BLDG LING TRI IT FIRM APPROVED ZONE — BY DATE RECEIVED BY DAT[ OF APPL DAT[ ISSUED Z"Usma / APPROVED M�� by DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY C BUILDING O It NAME ADDRESS / J Uw n •� W Z ADDRESS LOCALITY " -✓ti l..r�i+l = Z CROSS OSSy < z CITU NBT OL //ff It STATE TEL 4 Ai LICENSE NO [ NAME ll�i M ov MAIL [O NAME ; ADDRESS H U O Till.- 4 ADDRESS CITY NO F ZO CITY 1 NATION A D STATIC DGMTHAT T HIC 1 HAV[ READ THIS U APPLICATION AND BTAT6 THAT TH[ ABOVE IB CORRECT STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO NO AND STATE LAWS REGULATING UILDING CONSTRUCTION 1 1 I =O LOT N "rs G 9 SIZE OF Lor 30 SIGNATURRE OF J f NO OF SLOGS a BLOCK NOW ON LOT AUTHORIZED AG 'u c 1 CORRECTIONS D USE OF NOW ON BLOTS �dQ 1 I t�A\�IY Il\�1t DESCRIPTION OF WORK UBH OF V. BUILDING / I�,tl ann. If l� l iz D a 0 r [REPAIR W TYPE GROUP NO OF NO OF ERATION ROOMS FAMILIES ITION SIZE BTORIIB VING WALL COVERING DEMOLISH I ROOF COVERING o� �Eg rte- FINAL APPROVAL INSPECTOR'S VALUATION PICK ` OAT[ y "p� NAM[ 'APPLICATION FOR X A BUILDING PERMIT E36 / l BUILDING FOR APPLICANT TO FILL IN ADDRESS 3 E BUILDING ADDRESS L _✓ l VO, LOCALITY �y NEAREST CITV G ZIP / 65 CROSS ST NO OF BIDGsASSESSOR SIZE OF LOT NOW ON LOT -7 MAP BOOK PAGE PARCEL TRACT Lb 3 BLOCK LOT NO DISTRICT GROUP TYPE FIRE P ESSED Y ��v8 CONST�f ZO E OWNELA R 6. L NO ZSS STATLSTICAL CLASSIFICATION -- / SEWER ADDRESS G C✓J • CLASS NO �L.�_DWELL UNITS 2j PG CITY N! L CI,-O ZIP O U ONE MAP ENGINEER No4Igb7aoa -Z CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL CONTRACTOR NO4(e 7 0,40 BLDG SETBACK FROM LIC LIC FRONT PROP LINE OF ISTREETI ADDRESS TOTAL SETBACK FROM TYPE OF E%ISTING HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH CITY CLASS$- NSTRIICTION LENDER + a NAME AND BRANCH — BLDG SETBACK FROM OU ADDRESS CITY SIDE PROP LINE OF ISTREETI O SO FT NO OF NO OF CHECK HIGHWAY + YARD - TOTAL SETBACK FROM TYPEOF EXISTING I- SIZE Z/ STORIES Z FAMRIES ONE SIDE PROP LINE HIGHWAY WIDTH n N + Z DESCRIPTION OF WORK NEW _ ADD CORNER CUTOFF YES ❑ NO C] ALTER IN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR EI IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG AS C,6a J70IL DEMOL APPLICANT TEL NO 44 -rmc) PRINTgA4ll�r NO r/, - �K m /Nsu�A� vs BY ISIGNATUR I HEREBY EDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THEA 6 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAMS TING Al LDWG C1X15TRLKMON I CERTIFY THAT IN DOING THE V/ORI(AUTHO ED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR NDE OF THE STATE OF CALIFORNIA IN RELATING WORXMENSCOM PENSATKIN INSU RANCE 9 SIGNATURE OF FINAL �(/ BY PERMITTEE DATE ADDRESS 3 CITY TEL 6['QQ P C Fee$ �J' U Permit Fee 1 VALUATION$ 3 -( Total Fee PLAN CHECK VALIDATION K1 r o CASH PERMIT VALIDATION .K91-1 M o -- 546�-OCT 17 185.40 53�rEB 17 -1 D 3 5.00A'1' i-2 nFEB 1 / 1 D 5 0.4 0 s-� (N 7BAaaee Ce iaoae ana -" DEPARTMENT OF BUILDING AND SAFETY ✓ APPLICATION FOR PERAUT COUNTY OF LOS ANGELES - B V I L D , RG VNM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT No PLAN CK.No 3 loS!3 Au1LDING 6 ADDRESp LOCALITY RECEIVED+BY DAT[OF APP" DAT[ISSUED MGR[BT BUILDING 6 ` � � ADDRESS OWNER MAILLOCALITY -'u ADDRESS NEAREST T[ CROOK BT No FIR[ NO Of TYPL , / GROUP AR NITECT OR TEL ZONE`- PLANE V ENGINEER NO BLDG SETBACK LIN[ ADDRESS APPROVED DAT[ TEL SY CONTRACTOR No USEAPPIR D ZONE BY DATE ADDRESS CORRECTIONS LEGAL DESCRIPTION LOT HO BLOCK TRACT NO OF BLDGS SIZE❑F LOT NOW ON LOT USE OF NO OFu Mon%O► E pT p MMIr. DESCRIPTION OF WORK NEW �ALTF"TIO�N ADDITION O q[PAIR DEMOLISH Z Bq FT NSTORIES F O OF � SIZE ROOMS WALL ROOF COVERING COVERING USE DI NEW B UI LDINO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE FOUNDATION LOCATION IB CORRECT INSPECTOR DAT[ AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS AND STATE LAWS TING BUILDING CONSTRUCTION FRAME FIR[STOPS. SRADING.BOLTS SIGNATURE OF PERMITTEATH, INT AUTHORIZED ADT LATH, EXT TeAd'MAa Try $ Q P O O PLASTCR, INT .rte FEC PLASTER.EXT - VALUATIOM �-•FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING T TTT T1T1�T1'1 WK J FOX. CHIEF ENGINEER lJ 1LDI �I G NO OP O BLDG / ORD NO DIST NO PLAN Ce P NO PLANH SETBACK LINE' I 3 8 Y FIRE APPROVED ZONE BY DATE pg IVSD BY DATE OF APPL DATE IBSUED USKt/ APPROVER ZONE 20N BY DANE7 �I APPLICANT FILL IN HEAVILY OU FLINED PORTION ONLY E BUILDING 7// O C NAME ADDRESS / 7 F 2 ADDRESS LOCALITY Z = NEAREST U y CITY CROSS HT m/ CTG E < STATE TEL /D LICENSE NO E NAME (i d MAIL IU NAME ; ADDRESS V O T6L -< ADDRESS CITY N ZCITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O APPLICATION AND STATE THAT THE ABOVE Ip CORRECT U STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION Nc Sa 14W a$0 1 d U X/ SIGNATURE OF 0 LOT NO I SIZE OF LOT Lo OWNER r NO OF BLDG. <" BLOCK �r NOW ON LOT AUTHORIZE] AOT m E ' 0 TRACT d f CORRECTIONS /J D USE OF BLDG. NOW ON DESCRIPTION OF WORK BUILDING � I �n rn,✓--/� �1 II 1� �I O A D 2 D r NEW TYPE GROUP NO OF NO OF ALTERATION ROOMS / FAMILIES ADDITION SRH REPAIR I STORIES MOVING WALL COVERING \` n OHMO S ROOF COVERING \ �I IF /,.�I JI PCs,-� ,FINAL-NAPP*bVAL / '.I O V FEE 1 / k J \� S� O-O r INSPECTOR'S VALUATION FEE DATE NAMK� TEDAPLE-CITY >4.L,E.EE N60,EE, APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BUILDING 3 3 e DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUWING AND SAFETY DIMION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T Or BUILDING CROSS ST DISTRI T NO GROUP TYPE SED BY FOR APPLICANT TO FILL IN coNsr BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS K CLASS NO DWELL UNITS LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP H0 AT NO OF BLDGS NO ICI RCLEI STATE MAJ SEC NO LOCAL 512E OF LO Q Q OW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG j'� may/ y OWNER 7F}LTLItr NO / 7 BUILDING EXIST SETBACK YARD HWY TRE AME WIDTH ADDRESS G FRONT ARCHITECT OR TEL P L ENGINEER NO /AAe SIDE r P L p AGGRESS (� O TEL yi//y V CONTRACTOR NEO 1 A� Lr ADDRESS O F DESCRnnfON OF OVORK Y+ a NEW ADD ALTER REPAIR DEMOLISHSO / 5 NO OF NO OF ZE T Q STORIES___ FAMILIES USE OF '�/ h / ♦ ✓t ORL/ .N 1't` STRUCTURE SIGNATURE OF APPLICANT VALUATION S r APPROVALS DATE INSPECTOR f SIGNATURE PC PMT FOUNDATION LOCATION FEE S' FEE S FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION 1 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS Y BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THEWORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT INO TO WORKMEN S COMPENSATION INSURANCE LATH EXT L) �/• SIGNATURE OF HOUSE NUMBER COR ' PERMITTEE RE CT AND POSTED ADDRESS FINAL JOHN F LE IS PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK MG CASH NIIT _ PERVALIDATION OK No DASH z [k;p 1 8 O 1 zs JM 2 4 1 D 6.00- 4 . . E PEL->t tlr Ern MM � DEPARTMENT OF BUnMING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES g p f N G WM J. FOX. CHIEF ENOINE[R FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �lA DII3TRIOT ND. PLAN OK. NO. PERMIT NIL ADDRESS ,C 41 ,?44g LOCALITY RECEI BY DAT[ or APPL. DAT[ ISSUED 0 oB�. P -coag ` [� OWNER ADDR /f MAIL ADDRESS {/ LOCALITY �O ' NEAREST CITY wLCI TMr �-`fa 0 qo®By ARCHITECT R / TEL ZONE I PLANS I TYP 1 CRO .1 ENGINEER NO I BLDG `Of107 NO. ADDRESS BETSACK LIN[ APPROVED TEL. SY DATE CONTRACTOR NO USE APPROVED ADDRESS ZONEa BY DATE LEGAL DESCRIPTION LOT NO D • I BLOCK C7 CORRECTIONS TRACT /A 1 SE OF LOT 3 I NOW ON LOT �E IZ1 USE or NO Or NO or 'p DI EXISTING BLDG rllltl Room DESCRIPTION OF WORK NEWALTERATION ADDITION I O I I REPAIR Q MOVING D[MOLISN rJ G BI�[� ROOMS STORIES JOE 1 WALLROOF COVERING COWERING USE Or NEW y I BUILDING V Gr � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIN 1 APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT ►OUNDATIONI LOCATION. INYPECTCR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION ►qAM[: S FIRE TOPS. SIGNATURE or BRACING, BOLTS OWNER C �7 e � /V/ LAIN. INT 1 AUTHORISED AOT ` !V/'�'G `n�^V711�-' LATH. EXTI O p P ►EE O 3 ry� reic •S PLASTER. IMT. PLASTER L7R. / VALUATION �sd FINAL WORKERS COMPENSATION DECLARATION fl hereby affirm that I have a certificate ompe of consent to ,elf APPLICATION FOR I ILDING PERMIT J� insure or a certificate of Workers Compensnon Insurance or c� a certified copy thereof (Sec3800lab C ) 1 ' ,f COUNTY OF LOS ANG€LES BUILDING AND SAFETY Policy No U/►�Ab-OLCortipOanyEttrn O h `-ZA dG�►J�►/ ` o Certified co is hereby furnished BUILDING Py FOR APPLICANT TO FILL IN gDDjtE55 Certified copy is filed with the county building Inspec BtJG��4/3 1 / 6/ tion department ADDUILDIRESS 4 6 LOCA TY 17 NEAREST Dote Applicant CITY ZIP CROSS ST Lgr CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one TRACT BLOCK LOT r,10 USE ZONE,S NO hundred dollars (EI00)or less ) TEL /�C/, SPECIAL d I certifythat in the OWNER NO CONDITIONS performance of the work far which manner DISTRICT GROUP TYPE FIRE D BY V permit Is issued, I shall not employ any person in any manner � so as to become subject to the Workers Compensation Laws ADDRESS 1 ��`d Q CONSy�� Date Applicant CITY I / ZIP STATISTICAL C CATIO APT ICONDO 6,1 W NOTICE TO APPLICANT If after making this Certificate of ARCHITECT Olt TEL Exemption you should become subject to the Workers' ENGINEER NO CLASS NO DWELL UNITS_ N Compensation provisions of the Labor Code you must forth ADDRESS SEWER MAP IN = with comply with such provisions or this permit shall beTEL y deemed revoked CONTRACTOR 7 • NO 7.0 BK PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC / I hereby off nm that I am licensed under provisions of Chapter 9 ADDRESS g/0�Ie_ V O NO A VALUATION (commencing with Section 7000)of Division 3 of the Business and Professions CodlgLIC s7 O O Professions Code yJi fr is in lull force and effect CITY d/A 9/00 C. CLASS �� T' Alaa�b SO FT NO OF NO OFs ' CHECK License Nurpbo Lit Class C_ 3 SIZE y00 STORIES �Z FAMILIES r ONE DESCRIPTION OF WORK .Z>Yf7 4 CY NEW ❑ $ Contractor ll�ate /Yd0 ❑ am exempt from the c sing regmremenb os l om a i ( ADD bcensed architect or a registered professional engineer , ,o Y ALTER ❑ FINAL ,t ',7 S acting in my professional capacity (Section 7051 4(/ DATE REPAIR Business and Professions Code) USE OF EXISTINGBLDG OEMIX ❑ FINAL By i LIC or Reg No-Date- APPLICANT ��{{ p • TEL OWNER-BUILDER DECLARATION PRINT .CS' PffEbt/N NO3vI �77/� I hereby offvm that I am exempt from the Contractor s License /�/�'1 r Law for the following reason (Section 7031 5 Business and ADDRESS Professions Code) F-1BUILDING I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and the structure is not intended or offered for sole(Section LOCALITY 7044 Business and Professions Code) MOVING TEL 1 as owner of the property am exclusively contracting CONTRACTOR I NO with licensed contractors to construct the project (Sec ADDRESS tion 7044 Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH ;9 1 9 7 1 A I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L # • • • • • 1 (Sec W97 Civ C ) ypE Lender s Name PL 2 • •'6 1 0 0 Lenders Address PC Fee f Permit Fee v • • • 6 1 0 0 chi I certify that 1 have read this application and state that the Issoonce Fee 7 0 9 0 3,_8 0 9 above information is correct I agree to comply with all Count 9 Pi Y Investigation Fee ordinances and State jaws relating budding construction Tmol Fee � and hereby authorize representativess of this County to enter < upon the above mentioned property for inspection purposes RY1 Qe,.,AIL isrsf/w/ /� O SEE REVERSE FOR EXPLANATORY LANGUAGE Cl Sig ore of Applicant or A nt ms COUNTY OF LOS ANGELES TEMPLE CITY 0 D508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0111260054 PHONE. (626) 285-0488 EXT: LEGAL 10: NO OF CONST BUILDING ADDRESS: TR 14263 LT 8 BL. .001 SO FT STORIES TYPE 6361 TEMPLE CITY BL STRUCTURE VN TEMP CA 917801450 ASSESSOR INFORMATION NUMBER 5382-022-036 THE�STPCROSS 59966RE�(RID: J2� LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESID USE ZONE R-e ISSUED ON: PROCESSED BY. EXPIRES ON EXIST OCC GRP 11/26/01 JK 05/8/02 OWNER: TEL. NO BLDGS NOW ON LOT VALUATION TrRAL� FINAL BY: CODE GILES BRAD F,MARY E - 7,900 �t7 6363 TEMPLE CITY BL TEMP 917801450 REPLACE EXISTING ROOF W/8 SOINRE F SHEET AND 2 R SHINGLE FEE DESCRIPTION- QUANTITY UQW AMOUNT 4 SQUARES BUR (3PLY CLASS A FIBERGLASS) APPLICANT TEL NO. ROYAL ROOF CO (800) 400-7692- AA BLDG PERMIT ISSUANCE 27 75 996 E PRICE ST AC STRONG MOTION RESID 7900 00 VAL 0 79 SPECIAL CONDITIONS POMONA D2 PERMIT W/O EN-MC' - -7900.00 VAL 183.00 -TOTAL FEES 211 54 UMC70R TEL NO APPROVALS DATE INSPECTOR SIGNATURE ROYAL ROOF (800) 400-7692- A1 996 PRICE ST LIC NO �POMCNA d1 413067 L39 1 LOCATION AND SETBACKS ARCHITECT OR ENGINEER TEL NO (— SOILS ENGINEER APPROVAL �r �� a A E LIC NO _ ` SLAB/UNDER FLOOR I UNDERFLOUR INSULATION 153H265 3 01 �MAP NO SEWER MAP BOOK PAGE F I � NO OF FAMILIES DWELLING UNITS APT/tMM—TTXr-EDM9-- NO 21 SCHOOL WITHIN KAZARuutj5 Zla AIR QUALITY 1000 FEET MATERIALS NO NO NO �� FRAME iNSFrCrr6W_ REQUIRED FRCH EXI STFIRE SPRINKLER HANGER— SET BACK YARD HWY PROP LINE WIDTH FSRONT PL- So, V CJ ` INSULATIONfWEATHEW INTERIOR LATH/DRYWALUi EXTERIOR LATH RATED SHAFTS/UPENINGS T-HAR CEILINGS LOT DRAINAUE REPORT ID DPR261 ROUTE TO: BS0508