HomeMy Public PortalAbout9743 VAL ST_Building__ ms ll w
CE
c[/eof Irby e/)el
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING 2
ADDRESS J
BUILDING
ADDRESSlQdv, LOCALITY
G NEAREST
CITY ZIP p D CROSS STNO OF L �J
SIZEOFLOT ✓ , NOW ONLDGS LOT MAP BOOK 5�� 3 'PAGE 17 PARCEL
rs _ DISTRICT GROUP TYPE FIRE ED BY
TRACT aZ a �S' BLOCK LOT NO CONST ZONE
EL
So
OWNER NO y7-4
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS @ a J60✓C CLASSNO DWELL UNITS PG
CITY ZIP
ARCHITECT OR TEL VALUATION
ENGINEER NO sdg., 000•
ADDRESS IDEMOL
SETBACK FROM
TELT PROP LINE OF ISTREETI
CONTRACTOR NOHWAY + YARD _ TOTAL SETBACK FROM TYPEOF EXISTING
LICFRONT PROP LINE HIGHWAY WIDTH
ADDRESS NO
LIC +
CITY CLASS
CONSTRUCTION LENDER G SETBACK FROM
NAME AND BRANCH PROP LINE OF (STREET)
WAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP LINE IGHWAY WIDTH O
50 FT NO OF NO OF + = V
SIZE STORIES FAMILIES �� O
i
DESCRIPTION OF WORK Fee E Permit Fee '7 0
Issuance Fee /Total Fee
USE Of
EXISTING BLDG
APPLICANT
IPRINiI Y
D
BY ISIG IATUREI
HERESY ACKNOWLEDGE THAT I 49VE READ THIS APPLICATION AND SLATE {Y
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE t r➢
MA LAWS REGULATING BI CONSTRUCTION I CERTIFY THAI IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5COM -422a9A
PENSATION INSURANCE '
SIGNATURE OF
PERMITTEE Z • * 8800
ADDRESS
TEL � • • • 8a006
CITY No 0 o d 18-79
USE ZONE MAP
- I NO SPECIAL
CONDITIONS By
FINA
DATE ! Z7/7 9
BUIL
BUILDING ADDRESS
1q_
APPLICATION LDowurr Cr
N[AR[BT
DMSION OF BDII.DINQI AND SAFETY "=BMT.
of � T DIBTRIOT ND. RECEIPT NO. PERMIT N6
Of LOB Angeles 5
WM. J. PDX, COUNTYO OI IIEER
OABBATT D CROW DAT[RECEIVED DAT[IBSLI
11121"1", WMT Or BUILPINO
FOR APPLI TO FILL IN T.Yr NOT. RECEI VEC BY 1 Eo B
OWNER
MAIL MAP i1Y'1- STAT[ Y[B O
ADDREBe NUMBER V CJ HWY
t18920NE SPECIAL
rj—/ CONDITIONS
ARCHITECT OR 47 u TVI_
ENGINEER NO
BEIRAIOKBUILCYARD HMT STREET NAM[ADDRESS
WIDTH
CONTRACTOR NEL
P.FRC. �O
Bloc
ADDRESS P L
BUILDING -y DATE CORR[OTIONS INSPECTOR
AOCR[Be 9/�
LOT NO BLOCK
TRACT 3
NO Or BLDCS.
Size Or LOT NOW ON LOT
ueE or
DESCRIPTION OF WOFtk
v
NEW ADD ALTER REPAIRNo OF
D[MOLIBN _ rl �11 Qd �V/.P�A/G/Yl�
IBB Z[� O STORIES FAMILIES r
UO OF BTRUQTU /AI-/ AY O!F/CF
G _
NOIMPLOF
rs
1 HEREBY ACKNOWL[ODC THAT 1 MAV[ READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION OIVEN IB APPROVALS INDPEOTOR•80I0NATURE DATE
CORRECT
1 AOR[[ TO COMPLY WITN ALL COUNTY ORDINANCES FOUNDATION( LOCATION C
AND TATIC WO RECULATINC BUILDINO CONSTRUCTION FORMS,MATERIALS
BISNATUR[Or FRANK or BOLT
P[RMITT[ p'yQ� 'y FURNACE LOCATION.
ADDRESW / / /{�/.� w/ OAS V[KT OUOTS
YLATH INT.
AurNaRlz[D ADr
LATH Ver.
P C B HOUSE NUMBER CCR-
FEE SCOT AND POSTED
VALUATION
�- FINAL
TBAauA Peva s-BI
i
IBR ]EAQ38A
CE 63 (REV 11/78) -
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
LDING FOR APPLICANT TO FILL IN ADDIR
ADIDRE55 Val Street LOCALITY .
CITY Temple City, Ca. ZIP 91$80
NEAREST
ROSS I,
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GRRRQ�Ojjj111P TYPE FIRE P ESSE�BY
TRACT BLOCK LOTNO - O� L)� CONST - ZONE
OWNER 8 O NO $iAiISTICALC'/LASS(`/(FICATION l3] $EW ER Ny4P
pI/A
ADDRESS 8 CLA55 N0 DWELL UNITS BIS PG
CITY Te le Cit zip 91780
ARCHITECT OR TEL VALUATION r
ENGINEER NO 710.00 1
ADDRESS BLDG ETBACK FROM
JLL FRONT PROP LINE OF (STREET(
CONTRACTOR S 282-1 8 HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF MISTING
FRONT PROP LINE HIGHWAY WIDTH i�
ADDRESS SO Marengo NO
LIC - +
CITY C1A55 BLDG SETBACK FROM
CONSTRUCTION LENDER - SIDE PROP LINE OF ^ (STREET(
NAME AND BRANCH
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP LINE HIGH WAV WIDTH O
_ V
SOIZE FT NO OF NO OF CH KK + p�
SS7ORIE5 FAMILIES ONE Q
USE ZONE MAP `
DESCRIPTION OF WORK T?R—nonf Tiln cglIGNEW NO Lu6L
SPECIAL
nrcYind rhiyn= W/ 90# re ADD CONDITIONS y�
ALTER FINAL YXALTER FINAL BY
Z
Tile. DATE G/ �S. (/
REPAIR /
USE OF DEMOL El IF
EXISTING BLDG ,E
APPLICANT TEL -
(PRINT) NO
BY(SIGNATURE)
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AMICATION AND STATE O
THAI THE ABOVE IS CORRECTAND AGREE i0 COMPLY VATH ALL ORDINANCES F➢
AND(AWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE f
IWORK AUTHj1RIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF i'049 3A
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOM _
PENSATION INSURANCE M N
. . . . . }
SIGNATURE OF 2 2200,
PERMITf EE '
ADDRESS
• • • 22005
CITYAlhambra.9 Ca. 91803 TEL 282-1958 0 523-80
0
PC Fee$ Permit Fee >
Issuance Fee 7.00 _
Total Fee 22.00 SSS -
�ARTMENT OF BUILDING ANDS TY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES -BUILDING U ® �e N s, �/►
V
WM. J FOX. CHIEF ENGINEER
FOR APPLICA T TO FILL IN FOR OFFICE USE ONLY
BUILDING 33S ,1 AIY I DISTRICT NO PLAN CK. NO PERMIT N6
ADDRESS J -en ! f �� // k�
LOCALITY J RECEIVED BY DAT[ OF APPL. DAT[ IBBU[D
NEAREBr G-->'o—�-/G 6--� e-5/6
C OBB
OWNER -G a�}-I r Q7^/ BUILDING
ADDRESS o� •'�-"K GL �/Y�G
MAIL
ADDREBB LOCALITY
NEAREST
CITY NDO
TCROSS BY
FIRE ND OF TYPE
ENGINEER OR TEL ZONE '�- PLANS
ENGINEER
NO
SLOG ORD. NO.
ADDS SETBACK LINE
T[L APPROVED
CONTRACTOR NO eY DAT[
�,'• USE APPROVED
ADDRESS LEGAL /� �L 144 20N[ BY
DAT[
—DESCRIPTION /I /LOOT NO.•/� Tey I/JBLOCK CORRECTIONS
TRACT /�j'J e — / J /
NO or eLDOB J/
BIZ[ OF LOT eFd X 3 G G NOW ON LOT
MOr No or
OTING BLDG /��/ I►^",LNO MLO / I ROOMS
DESCRIPTION OF •WORK
NEW ALTERATION I� ADDITION O
p
REPAIR MOVING DEMOLISH D
SO rT NO W
SIZE ROOMS STORIES
WALL ROOF
COV[RIND J CCVERINO _
uBE Or NLW/y
eWLDIND
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT FOUNDATION LOCATION. INSPECTOR DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION FRAME FIR[ STOPS,
SIGNATURE Or BRACING, BOLTS V
OWNER LATH, INTI
AUTHORIZED ACT LATH. EKTI
Y
n P C • PIASTER. INT
f
FEE PLASTER. KICT
VALUATION (J�' S r
FEE �' V FINAL �•/� It6'
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKERS COMPENSATION DECLARATION eulLa FOR APPLICANT S� �nLDINQ Ess L DTT.
I hereby affirm Cat I have a certificate of meant to self Incus -
w a certificate of VAnrkene Compensation Insurance or a oeNfied
copy thereof(sec 3800,Lab C) m eI* zIv LOCALITY
Poky Nd Company SIZE OF LAT NO OF Br WAV ON LOT
❑ Crtilled copy Is hereby fomahed NEMiEST CROSS ST
❑ Certified copy Is filed WIN to county building inspection TAT BLOCK LOT NO USE TONE MAP departmentf/D/�5 �
department DateApplkard O ' 6 SPECIAL CONDITIONS
OWFIFR
CERTIFICATE OF EXEMPTION FROM WORKEW MAf?L 1a.NO 5�Q Z /M. YES No
COMPENSATION INSURANCE L vrtnuN talo Fr aF SCHOOL?
(The sectson need not be completed d the Permit a for one hundred7 U� % DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED By
dollars($100)w lase) nP D
I crdly Cat in the peAwmerae of the Work for which N4 Permit elf `I / �DA -3 ✓ G
Is Issued I aheti Trot employ arty person In Try manrar coo sa to AP.CMTECT ENGINEER TEL NO
become subject to the 1Abrkre Compensation Lewd STATISTICAL CLASSF APT
D� Applicrd ADDRESS ClALSTW DWELLUNfT3
NOTICE TO APPLICANT If, after making this Certificate of LFRONT
TOTAL SETBACK FROM fEXISTExemption, you should become subject to the Workers' QGl/N.EQ S?11YARD HVN PROP LINE
Compensation prDWelorre of the Labor(.ode, You must forthlwWr F� a�V comply whh such proWdomwihb pemxldWl be deemed revoked ADORE35 S.r LIC NO 7&r3 aL LKENSED CONTRACTORS DECLARATION c 4 T LIC a� S
I hereby affirm that I aryl licensed under provelwo of Chapter 9 SEWER MAP
(commencing With Secbon 7000)of DMelon 3 of the Business ane SO "SME NO OF STORES OF FAMILIES �
Prolaulons Code and my license is in tug force and effect NEW ❑ BK PG ►
License NumberLic Class DE9CRIPTgN�]F WOR/KV /$� ADD ❑ VALUATION
Contractor Date L ALTER ❑[LDWA
Sw��+m NJ REPAIR ❑
❑ 1.m exempt under sec $
B BPC for this rasaonZg� DEMOL Prov
Date USE OF EXISTING Ism URM ❑ 1
Sigrmtum APPLICANT(PRINT) TEL No Perm 1 = AC I.T.i
X'I sa owner of the property w my employees with wages n O ACr� 561. �I
their sola compensation,will do the work and the structure Is ADDRESS F 7M7 O'
not intended w offered for sale section 7044. Business and 4-
13
y( u TE 1 ITEM
PfOte6si01a Code) ( WILTIl AAlIfAlTpinmA6 enAlD1lgoCCUtNMT11NDlEA1WAf�Ol/e1AVEPMI ,1- ` C
❑ I as rower o1 the property em exGueivery contracting with A co"rA on nE wvvumals uArmwn�"Lssore,a�ioN Guo"'N' By TOTAL u$ . 00
licensed contractors to construct the Profen (Section 70" Yea❑ rte (ASH 28.GO
Business and Proleaslaa Code) wtt111a DRgam Ue[or TIE enAlDlnO er THE APRICANT OR Alnxe euaUKi
CONSTILUCTIONLENDING AGENCY o«auvwrl®unaAFveraweoolaarwrorroNORMoesTcaroNnmMTrEeounr CHANGE .al
CO ST M WALITY••• "^"�'DrBTICT(efA01a SEE PEIWRTNG tl�lO.aT
FOR�
1 hereby affhm that Care is a owotruction lending agency for YLl❑ WAV
the Performance at the work for which this Permit Is issued(See IRAo TIE IUIxAADDIp MATmMIe elwlWTKM GLADE Ain)THE BGOMD
3097 CW C) PEwm'Teno aecalar lurm[nsawwaawomorte Amro THc waAMmes 0060-130,31 12/11/90
DmMry GDDTi TRIM Yat eECnoret�lmnNOlgNxa lOOLA10E1MKl
Landers rverne rwArmolm=3 � +rmroN osuaaao ArmrrtmwTlcerwao ?394 1 Ah O•"
Lender's Address DMaea.mrr v' 1-
1 cartlfy that I neve reed Na aplgjlce and sale Nat Ne above PC FEE PERMIT FEE
Information correct i to comply with all ccunry
Droll Sae laws ng to building construction,and I
S h a aby ejd1tolze of Nb County to Toler upon ISSUANCE FEE /� I
fYjthe for Inspection W0
le nNYES4TIOA710N FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANO1.1A0E
T WORKERS' COMPENSATION DECLARATION
hereby Affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT
nporo or aicertificate of Workers' Compensation Insurance,
or�cers;jlliiid copy thereof (Sec 3900, Lob C )
�g1o47 $ TR-C� �uMn COUNTY OF LOS ANGELES BUILDING AND SAFETY
policy Company ��
BUI DING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS XAL
❑ Certified copy is filed with the county building inspec- BUILDING s
tion department J �� ADDRESSTT ) �'''
Date $°1 Applicant bCITY L ZIP tIJ LOCALITY 04PC+G
CERTIFICATE OF D(EMPTION FROM WORKESIZE aF Loi NOW ON O NEAREST
RS'
GROSS ST
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOR PAGE I PARCEL
hundred dollars ($100)or less ) TEL ONE MAP
OWNER tvo 10
I certify that in the performance of the work for which this IND
permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL Ya
CONDITIONS
so as to become subject to the Workers'Compensation Lows O
CITU ZIP
Date Applicant ARCHITECT R TEL 0Y
NOTICE TO APPLICANT If, after making this Certificate of ENGINEER,9"/A,,31? NO DISTRICT GROUP TY FIRE E PROCESSED BY O
Exemption, you should become subject to the Workers' ���� r G
Compensation provisions of the Labor Code, you must forth- A6DRESS
with comply with such provisions or this permit shall be TEL STATISTICAL CFICP.TION APT CONDO
1111 Z
deemed revoked CONTRACTOR LIC CLASS
CLASS NO DWELL UNITS-
1
CONTRACTORS DECLARATION ADDRESS
I hereby Gingff that jam licensed 70DD)under pion Sof h Chapter 9 LIC NO SEWER MAP
(commencing with Section 7000)of Division 3 of the Business23
and Professtons Code,and my license is in full force and effect CITY CLASS BK PG VAUDATION
CHECK
License Number 13'31 boa' Lic Clan Sl STORINO IEES FAMOUEES / ONE A `CrT—.
��77 n 0 d � ❑ VALUATION M'7 Q9v28
Conhactor QuSSt l� G PC10LI1S Dara j1_/q— 8y 6RK �Ql
❑1 am exempt under Sec AAO r—.4 6, eoli
ADO ► 1 ITEMS
B 8P C for this reason ALTERLf $ �� D 4Me4M.28V CTOTAL 409_28
REPAIR E:1 $ '-
Date USE OF I L.F1GM
EXISTING BLDG DEMOL ❑
SiSignaturel// dA6� APPLICANT FINAL
OWNER-BUILDER DECLARATION (PRINT) L
DATE
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031 5, Business and R� FTNAL 0000-001 9/ 7/89
Professions Code) PRESENTey '}�•,, 1 AM 9:1'
El as owner of the o BUILDING -
property, or my employees with ADDRESS \' T A(.GT sa
woges as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY 126.��
❑
7044, Business and Professions Code ) MOVING TEL - at" 'SJV7
I, m CONTRACTOR NO owner of the property,am exclusively contracting � 1 ITEMS
with licensed contractors to construct the project (Sec- i ADDRESS
tion 7041, Business and Professions Code ) _ TOTAL 126. 22
CONSTRUCTION LENDING AGENCY SET jsA D YARD HWY EIBALINE WIDTHO(FROM I . 126.4-
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
(Sec 3097, Civ C ) SIDE
3 Lende(s Name F—Rerl llflfll 1 oJc
^ PC Fee & Permit Fee s90
MA —yyyy 1yC 14� I�
Lenders Address 10, 67EE 1 AM11�31
a I certify that I have read this application and state that the Issuance Fee
above information is correct I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee m 0
and hereby authorize representatives of this County to enter
upon t a abov✓e-mentioned property for inspection purposeesP4_ V
9 y�� f e
,q E a SEE RINE KM T�IANGUA_6J C ��1 OI is i 1 w
Slgrwtve of Applicant w Agent Dae . `0 O
COMPENSATION DECLARATION
aha vecertificate oftintro ,elf
mAPPLICATION FOR BUILDING PERMIT
suri}or a cem ..a l7cof Workers Compensation Insurance
or a certified copy thereof (Sec 3800 Lo A COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Noi! Company J� -/ BUILDING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ' 7
Certified copy is filed with the county budding mspec BUILDING
hon department /? ��] /� ADDRESS it S-r
Dote Appbcanr L7�L-1 1 •(i+^-iLL CITY iY LC- Ci ziP Locul7vCO r
CER IFICATE OF EXEMPTION FROM WORKERS' NO OF 9LDG5 NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW CMI LOT OSS ST .
(This section need not be completed ifthe permit a for one ASSESSOR
hundred dollars d not or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL
TE
I comfy that in the performance of the work for which this OWNER oS6 A 5459ZL47U NO I USE ZONE
NO ✓ }}
permit is issued I shall not employ any person in any manner t� S'T SP, D..'
so m to become subject to the Workers'Compensation Laws ADDRESS 1 �/ CONDITIONS' U
Dots licant CITY L C/ zip /
NOTICE TO APPLICANTTIF after making this Certificate of ARCHITECTOR TEL DISTRICT GROUP TYPE FIRE By O
Exemption you should become subject to the Workers' INFER NO 0ON57 ZONE . U
Compensation provisions of the Labor Code you must forth- ADDRESS -6"9p 3 V {aaJ
with comply with such provisions or this permit shall be TELSTATISTICAL CLASSIFICATION APT CONDO t�
deemed revoked
LICENSED CONTRACTORS DECLARATION CONTRACTOR NO CLASS NO DWELL UNITS_ ?
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r NO (ri 0027 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Code, and my license is in full force and effect CRY CLASS -� BK PG VALIDATION
QQ// 1R SO FT NO OF NO OF CHECK
License Number.Se O G 'L�Lic Class •_ SIZE STORIES I FAMILIES ONE
,C/ ` c VALUATION
Contractor G•4. 1 .C o-✓s r Date /- 2- a 9' DESCRIPTION OF WORK Q D o � $ D O
0 1 am exempt under Sec ALTER
B 8P C for this reason REPAIR $
USE OF
Da/te�_� EKISTING BLDG ii V
Sign_,..._ APPLICANT TEt FINAL
OWNER-BUILDER DECLARATION PRrNT N C 'r r7 DATE
I hereby off um that I am exempt from the Contractor s License
Law far the following reason (Section 7031 5 Business and ADDRESS RN
Professions Code) BUILDINGB'
1, m owner of the o Y employees ADIWESS v � ;
prop", or m em o cies with AppRE$S
wages as their sale compensation will do the work andT '
the structure is not intended or offered for sale(Section LOCALITYLOCALITY t
70" Business and Professions Code) MOVING TEL
0 1, as owner of the property, am exclusively contracting CONTRACTOR NO 3
with licensed contractors to construct the project (Sec- ADDRESS
'�on 7041, Business and Professions Code) #
CONSTRUCTION LENDING AGENCY RECAiEDSET BAD( YAC 171V1' TOTPROP LME WIDTH ( • 199.88
I hereby off um that there is a construction lending agency far FRONT
the performance of the work for which this permit n issued P L _ • • 1 9 9 886
(Sec 3097, Civ C ) SIDE O 1,0 7,—8 7
PL
Lender's No" LDMA Ref 1
PC FM{ Permit Fee ,
Lender's Address --0
I certify that I have read this application and state that the issuance Fee Q• IDMA P/C R
above information Is carrect I agree to comply with all County Investigation Fee
Q ordinances and State jaws relating to building construction, Total Fee rsn-1LDMA Perm Y
R and hereby authorize representatives of this County to enter
upon th ova-mentioned pro y for mspecoon purposes ,
^ 1- 7- UN EEVEW FOR EXPLANATORY LANGUAGE
`\ Signature of AtioTicent or Agent Dan
L
. V COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9708260005 `
PHONE (818) 285-0488 EXT. DUPLICATE
LEGAL ID NO. OF ---Effligr BUILDING ADDRESS
BK 16867 PG: PC SO FT STORIES TYPE 9743 VAL ST
STRUCTURE: 0 VN TEMP CA 91780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
THOMAS PAGE: GRID: LOCALITY TEMPLE
TENANT EKIST BLDG USE RESID USE ZONE- R-1 ISSUED ON PROCESSED BY EXPIRES ON:
EXIST OCC GRP 08/26/97 UT 08/26/98
OWNER: TEL NO: BLDGS. NOW ON LOT VALOXrrOW'— FINAL DAT Y. CODE
SERUTO NANCY L (626) 447-5910• 1 3,000 Explmv
9743 VAL ST
TEMPLE CITY, CA FEES PAID DESCRIPTION Of WORK
REPAIR GARAGE FOR TERMITE DAMAGE-RE-STACK (ALL ROOF RAFTERS)
FEE DESCRIPTION. QUANTITY LAM AMOUNT: ROOF AND REPLACE DAMAGE STUDS
APPLICANT. TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AE STRONG IgTION OTHER 3000.00 VAL 0 63 SPECIAL CONDITIONS
D2 PERMIT WIO 15
�HC. ��T vl FEES 100 00 VAL 27 53
CONTRACTOR TEL NOSAME AS OWNER - 1!'� APPROVALS DATE INSPECTOR SIGNATURE
LIC NO ®� LOCATION/j�
(✓.L
ARCHITECT OR ENGINEER TEL NO
LIC NO SLAB/UNDER FLOOR
MAP W.
R-1 3 01 PUBLIC W®SKS
NO OF FAMILIES DWELLING UNITS APT/CUND STAT CLASS
No 21 c. o �(i nil
co
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
/�
Y�
LA
AIR QUALITY 1000 FEET MATERIALS 0 Q
NO NO MO
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERT
le�
SET BACK YARD HWY. PROP LINE• WIDTH
FRONT PL-
SIDE PL- ISO�I^,p INTERIOR LATH/DRYUALE�
EXTERIOR LATH
RATED WALL ASSEKBLIE9—
T-HAR CEILINGS
LOT DRAINAGE
` REPORT ID: DPR261 ROUTE TO. 850508
COUNTY OF LOS ANGELES TEMPLE CITY t 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS ALTERATIOH/RHPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0608290001
PROBE (626) 285-0498 ETT
LEGAL ID BO OF COMET BUILDING ADDRESS
BE 16867 PG PC SO PT STORIES TYPE 9743 VAL ST
STRUCTURE 16 VN TEMP CA 91780
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST
5383-017-016 THOMAS PAGE GRID LOCALITY TEMPLE CITY C
TENANT HEIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EAST OCC ORP 09/29/06 JK 08/24/07
OWNER TEL NO BLDGS NOW ON LOT VALUATIONFINAL BY CODE
LETTERMAN, DAIS L (626) 532-0027- 4 500 P
9763 VAL STREET O
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORE
REPAIR RB-HOOP
FEE DESCRIPTION QUANTITY DOM AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 4500 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 4500 00 VAL 132 60
PR INV WORE W/O PERMIT 128 50 DOL 129 50 1
TOTAL FEES ` 289 35 Q
CONTRACTOR TEL NO AP JALB DA INSPECTOR SIGNATURE
SAME AS OWNER - -
LIC HO LOCA1 ION AND SETBACKS
J `
- SOILS BBGIBSBx APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUEDATION TRSNCH FORMS
- 1
LIC NO SLAB/JNDER FLOOR
RAISED FLOOR 7RAMItlG
MAP NO SENER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
153H269 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASH
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SBSAP PANELS
AIR QUALITY 1000 FEET MATBRI11L8
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM SHIRT FIRE SPRINKLER HANGERS
SET BACK YARD ENT PROP LINE WIDTH
FRONT PL- INSULATION WEATffi STRIP
SIDE PL-
Ca
` INTERIOR LATH DRYWALL
I /IV14 a EETESIOB LATE
c\ �6� I RATED FLOOR CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SRAFTB OPENINGS
T-BAR CEILINGS
IAT DRAINAGE
REPORT ID DPR261 ROUTE TO BSOSOB