HomeMy Public PortalAbout6408 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U I L D I N G
WM J FOX, CHIEF ENGINEER
FOR APPLICANT•7O PILL IN FOR OFFICE USE ONLY
BUILDIN DISTRICT NO PLAN CK NO PERMIT NO
ADDRESS CO 7 Z
LOCALI
RECEIVED BY DATE OF APPL DA�T.EE ISSUED
NEAREST
CROSS BT BUILDING
ADDRESS
OWNER
MAIL LOCALITY
ADDRESS NEAREST
T CROSS BT L
CITYtcv N qzc PIKE NO OF TYPE G OUP
ARCHITECT OR THL ZONE PLANS L„J
KNOINEER No BLDG T /y ORD NO
SETBACKLINE 2
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR NO USE APPROVED
ZONE BV DATE
ADDRESS HOUGH NUMBERING
LEGAL
DESCRIPTION LOT NO 3 BLOCK MAP NUMBS FIELD CHECK BY
TRACT NO ASSIGNED BY DAT
NO OF BLDGS CORRECTIONS
SIZE OF LOT 3ZO NOW ON LOT
USEOF NO OF
EXISTING BLDG S` FArlu[t
DEBCRWnON OF WORE
HEW I ALTERATION I I ADDITION I ^
p A� Pal Y / rPur- 5 /9oy G
REPAIR I DEMOLITION I p
Q FT Il No OF
SIZE ROOMS STORIES Z
EZT WALL ROOF
COVERING COVERING
Ut PtTR GTSIRE
r
I
APPROVALS
INSPECTOR 8 SIGNATURE DATE
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS All FOUNDATION LOCATION jGl/�S7-�
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FORMS MATERIALS N
CORRECT t•JT-,
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRHSTOPB.
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS 19
LAWS REGULATING BUILDING CONSTRUCT ON FURNACE LOCATION,
SIGNATURE OF fl In GAB VENT, DUCTS
F[RMITT01
LATH, INT
AM-
ADDRESS
LATH EZT
AUTHORRED AOT
PLASTER, INT
TM[aM Du[ lo-tD
® PLASTER, EXT
.1 r 7^
VALUATION - FSE t / 'T FINAL V`1 /Q Z Y 5
DEPARTMENT OF BUILDING AND SAFETY 1 APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 3 2BUILDING
•PIA' J:FOX. OHlcr ENGINEER
FOR APPLICANT TO FILL IIQ FOR OFFICE USE ONLY
DISTRICT NO PLAN CK.NO PERMIT No.
BUILDING /
ADDRESS O • l+ 4
LOCALITY ` / R[O[I.�V/[D BY DAT[OF APPL DAT[IBBU[D
NEAREST _ S`f )4 /`/ //`-/ O- �O
v /^1 BUILDING Al
CWN'a - ` L" 14 ADDREBB ,v
AMAIL
DD Z1 _ / LOCALITY 0r IV,
LV /
1 Q�7 f - To.. fL CNC
J FIRE NO Or TYPE' DR
AROHIT[OTOR TEL ZONE PLANS
ENGINEER NO ORO NO
BLDG
86TBACK VN[
9/ APPROVED
DATE
CONTRADTOR , I^. C k MD �t
URE APPROVED DATE
AD Y ZONE BY
CORRECTIONS
O[BGRIPT"DALION LDTNO 7 BLOCK
TRACT opt ^
SIZE or LOIf� r D l#V HOW am LLOT
USE or NO or N Of
R�� OOM
J
DESCRIPTION OF WORK
NEW ALT'[RATION ADDITION - < D
a
0.EPAIR MOVING DEMOLISH R
8 FT No orp Q Z
ZEZ �AA//11 R❑OMS STORIES \y �lT/7%� S/y�`�J TA� �' (� ,r/
6ALSRING 4 1'�ls' JIRCor ING IC
SISI LDINO �G s F� 9 R/ arf JI-1
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE A70VE IS CORRECTrOINBPECTCR DAT[
QRMGA MA LOCATION
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORME.MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAMC FI RE BTOPB.
BRACING,SOLTB
SIGNATURE OF
P[RMITTZ . LATH, INT.
AUTHORIZED AGT A21 LATH, EXT
7{Ae]BI.-3 71s CPO P D B ; PLASTER,INT.
I FEE v PLASTER.[%T
7 9 2 0
VALUATION FEE 1, � FINAL
DEPARTMENT OF BUILDING AND SAFETY ( APPLICATION FOR PERMIT
,.OUR, •COUNTY OF LOS ANGELES BUILDING S i L ® 1 �1N !�
G
-WM. J. FOX. CHIEF ENGINEER V
FO; APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN OK NO P[RMITNO
BUILDING
AooRsea I--
2 -')-
LOCALITY RECEIv Y DAT[0/APPL. DATE ISSUED
NEAREST —/O -SU
O
BUILD /j
OWNER � ADDRESS
MAILLCOAA-ITY
^DORI=
NGR[ST
CITY 22;2a a 4- T[L. CROSSBT
ARQNR[OT ORFIRE No or
TEL ZONE PLANS GROLR /
ENGINEER NO
BLDG / ORO NO
OD B[TRACK LINE
APPROVED
OONTRAOTOR 'AlL –91F L SY
Ho
U9[ AAi PPROVED
ADVISIM �]]� . �'/Q ZONE Br DATE
DESCRIPTION L�'FNO. BLOCK n CORRECTIONS
TRACT J �I
NO OFLCOS. 7 �+
BIZ6 OF LOT L NOW ON ON LOT
URE OF NO OF NO or
fAMI I 'oomm
DESCRIPTION OF WORK / '� (V .
NEW _ ALTERATION ADDITION "? .- r� != F I=P m v
REPAIR MOVING DEMOLISHAl ' – /''/ p
e ZE wODOMSor S
RIE
ROOF
COVERING ed L44t,2 _ S An P I f /aI Al/n / E OF
USE OF NEW
BUILDINGatffe'104A !]
CSS P CY SBW�Q
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLIOATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AGREE TC COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION [C)�TCR DATL r
FORMS.MATERIALS A/� - /{�,,2
AND STAT[ LAWS REG LATIND ■UILDIN ONBTRUOTI N
�p SRAM[ fIR[STOPS, f�G_
SIGNATURE O/ / /r/ �41 BRME FI E "D 7
P[RMTR[ I I�
LATH, IML
AUTHORIZED LATH. EKT.
"�-] i-M !$ UO P O S PLASTER.OUT.
y FEE PLASTER.O(T. y
VALUATION O F[[ S�,l FINAL
�tt ,;WORKERS CObk"SATION DECLARATION
.
insure,
o a cer that I haver certificate of careen, to self APPLICATION FOR BUILDING PERMIT
imure, or o certificate of Workers Compensation Insurance,
. or a certified copy thereofSec 3800, Lab C )
�L !i— COUNTY OF LOS ANGELES BUILDING AND SAFETY
P❑ C
ollcy No Company ' BIHLDING - -
xtl led copy is hereby furnished FOR APPLICANT TO FILL IN ADOI7ES5
Certified copy Is filed with the county budding irspec- BUILDING / Q e !,/
tion department - - ADDRESS /�GNT_ /V
Date�Applicant CITY �./7'J �e ` !T ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORK RS NO OF BLDGS - NEAREST-
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST
(This section need no, be completed if the permit is for oneTRAASSESSOR
BLOCK LOT NO BOOK PAGE PARCEL
hundred dollop($100)or leu ) _
E USE ZONE MAP
I certify that In the performonce of the work for which ,his OWNER S � Z NO
permit is issued, I shall not employ any person in any manner _ ADDRESS O _ I SPECIAL Ll
so as to become subject to the Workers'Compensation Lows CONDITIONS LO.1
f Try
Dote Applicant CITY A" L r tIP - ' K
NOTICE TO APPLICANT If, after making this Certificate of ARCNITECT OR TEL DISTRICT GROUP TYPE FIRE- D BY 'F�
Exemption you should become subject to the Workers INFER / NO ' ,`.(/ CONST Z I W
Compensation provisions of the Labor Code, you must forth- ADDRESS L.IP r1 Pf .�, tL K ✓
with comply with such Provisions or this permit shall be
deemed revoked I CONTRACTOR Ft- NO
TEL qO STATISTICAL CLASSIFICATION APT CONDO Z
LICENSED CONTRACTORS DECLARATION - 1 UC CLASS NO DWELL UNITS_
I hereby off um that I am licensed under provisions of Chapter 9 ADDRESS J (2/ " UNO
C , SEWER�
(commencing with Section 7000)of Division 3 of the Business and _ _ //'','r� LIC Q / '
Professions Code and my flic�en�se�is in full force and effect CITY 77 1 A1hrf lA- CLASS 8 / � C � VALIDATION
IND
License Number ! �"`� Ic Class ^� / �E� �'C STORIES IFAMrUES ONE
D TL , VALUATION
Coniracto a DESCRIPTION OF WORK ADD
I am exempt under Sec - 6r
oil.
B&P C for this reasonREPAIR f
Dote USE OF - DEMiOI
EXISTING BLDG ,
Signatwe APPLICANT TEL FINAL q
OWNER-BUILDER DECLARATION PRINT NO DATE --
I hereby offom that I am exempt from the Conuactoi s License ;2 5 011 A
Low for the following reason (Section 7031 5, Business and ADDRESS
❑
Professam Code) - —- __ PRESENT _ . _ # e e e e 1-
- - -
1 as owner of the property or my employees anBUILDING
ADDRESS
wages as their sole compensation well do the work andd 1 * 28200
the structure Is not Intended or offered for sole(Section LOCALITY
7044, Business and Professions Code) - MOVING - TEL e - 282005
I, as owrxr of the property am exclusively contracting CONTRACTOR - NO - -
with licensed contractors to construct the Project (Sec- ADDRESS-" 07 1 1 -86
hon 7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY NMRCEXD
YARD I trA'Y I TOTAL
O BACK LINE WIDTH
I hereby affirm that there n o construction lending ogency for FRONT r '
the performance of the work for which this permit Is mued - Pl.
-- - - - - i-•-
(Sec 3047, Civ C ) SIDE '
2 PL
Lender's Name ,
8 C 0 jDMA Ref ! ._
PC We S P
Lender s Address - - - Perms Fee
I certify that 1 have read this application greetcaand stab that the - - - Ineoace Fee-- - LDMA.P/C III
-
above information is correct I agree to comply with all County Investigation Fee
ordinances and State jaws relating to building construction, Total I" o I, TDMA Perm 1
D and hereby authorize representatives of this County to enter
u above me H ed arty for Inspection purposes
SEE REVERSE FOR RILPIANATORY LANWAGR
Signuiu•of Applicant or Agent - - pais
„WORKERS COMPENSATION DECLARATION
�I hereby *rm that I haver certificate of consent to self APPLICATION FOR BUILDING PERMIT
insui,*Lr o certificate of Worken Compenwhon Insurance
or d cer, ad copy thereof (Sec 38DO, Lab C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY _
Policy No Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN BULLRING 8 A!
ADDRESS /I/
1/_
Certified copy is filed with the county building In,pecBUILDING �—
hon deportment ADDRESS (�
Dote Applicont GTY ZIP LOCALITY s
CERTIFICATE OF EXEMPTION FROM WORKERS' -if NO OF SLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON OSS ST
hundred (an doll need
3100) or less not be completed If the permit Is for one ASSESSOR
TRACT BLOO( LOT NO MAP BOOK PAGE PARCEL
TEL S ndo USE ONE
I certify that In the performance of the work for which this OLVtBR �t7d� v bqA OiAagv, ELO
permit is Issued, I shall not employ any person In any mannerADDRESS �-- _/ IAL
so as to become wblect to the Worken'Compensation Lows CONDITIONS
O
Date CITY' ZIP U
NOTICETO APPLICANT TIf,licafter moking IN CM Cate of ARCHITECT OR TELDISTRICT GROUP I TYPE "RE BY O
Exemption, you should become wblect to the Workers' ENGINEER NO �^+lT ZONE ,t U
Compensation provisions of the tabor Code, you must forth. ADDR55 ��QB Iya1
with comply with such provislorts w this permit ,hall be TEL STATISTICAL CIASSIFICA APT CONDO N
deemed revoked Z
LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS_
I hereby affirm that I am licensed under provl,lons of Chapter V ADDRESS NO
(commencing with Section NOD)of Division 3 of the Business and _ LIC SEWER AARP
Profmions Code, end my license Is In full force and effect CITY LASS SK PG VALIDATION
SO FT ST OF FA IL CHECK
License Number LIc ClassSIZE STORIES FAAh ONE
NEW VALUATION
Contractor Data DESCRIPTION OF WORK ADD + /5/ a
Elam exempt under Sec ✓( '
ALTER
B&P C for this reason REPAIR f
Dote USE
EXI BLDG �A101
Signature APPLICANT TEL FINAL
OWNER-BUILDER DECLARATION PRINT NO DATE
I hereby off um that I am exempt from the Contractor's License
Law for the following reason (Section 7031 S Business and ADDRESS FIN
f mons Code) BT
I, as owner of the property or my employee, withBUILDING
ADDRESS
wages ct there sole compensation o the work andd LOCALITY ,
the structure is not intended or offered red for sole(Section
70” Business and Professions Code) MMNG TEL
I as owner of the property am exclusively contracting CONTRACTOR _ NO
with licensed contractors to construct the project (Sec ADDRESS
# . . • • . 1
hon 70" Business and Professions Code)
CONSTRUCTION LENDING AGENCY SET BREQUIRED TOTAL SETBACK rx�xvi M51
ACK YARD HWY PROP LINE WIDTH I • - 49.88
1 hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P L e e e 4 9,8 8 5
(Sac 3D97 Civ C > PDE 1231 -87
Lander'3 Name
S P C Fee S Permit I" — -3� IDAAA Ref .
Lender's Address �7
I certify that I hove rood this application and state that the Issuance Fee - 5V OEM P/C R
above information is correct I agree to comply with all County Investigation w
$ ordinances and State lows relating to building construction, Tool Fee e Ol
Q and hereby authorize represantotives of this County to enter wt's'P. F
upon the abov -mentioned property for inspection purposes
3D R1VEE58 FOIL F7PlANA7011Y LANOUAGe
Sigrnoture f i plc t or Agent Data
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0303100032
PHONE (626) 285-0488 EXT
LEGAL 10 NO. OF CONST BUILDINg ADDRESS
ON FILE SQ FT STORIES TYPE 6408 TEMPLE CITY SL
STRUCTURE VN TEMP CA 917801434
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET. LONGDEN
5383-014-001 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY
TENANT: EXIST BLDG LOSE RESID USE ISSUED ON PROCESSED BY E3(PTWFrN-
EXIST OCC GRP 03/10/03 JK 03/04/04
OMER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
HMS KEN - 2.000
CDl
6408 TEMPLE CITY BL -
TBR 917801434 FEES PAID
RCRTPTION OF WORK
EL'OCATK
RDOOR TO DINING RM AND C/O FRONT DOOR 8 WINDOW
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT: TEL NO
GENERAL TRADE CONSTRUCTION (626) 798-8950- M BLDG PERMIT ISSUANCE 27 75
686 S ARROYO PKWYNIS AC STRONG MOTION RESID 2000 00 VAL 0 50 SPECIAL CONDITIONS
PASADENA 91105 D2 PERMIT W/O EN-HC 2000 00 VAL 82 20
TOTAL FEES 110 45
\/ II 1
GENERAL TRADE CONSTRUCTION (626) 798-8950- .�� r' /�`
DATE INSP
686 S ARROYO PKWY 015 LIC NO LOCATION AND SETBACKS
PASADENA CA 91105 539968 B
t SOILS ENGINEER APPRNAr
i
FOUNDATION/TRENCH FORMS
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE. FIRE ZONE CMp UNDERFLOCIR INSULATION
153H265 3 01 FLOOR SHEATHING
NO. OF FAMILIES- DWELLING UNITS APT7COND STAY CLASS
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUSSHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS \ ,
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBAER FROM EXIST FIRE SPRINKLER KUEiMff--
SET BACK YARD HWY. PROP LINE WIDTH ,
FRONT PLINSULATIOWNEATHER
-
SIDE PL-
REPORT ID DPR261 ROUTE TO SS0508