HomeMy Public PortalAbout9751 VAL ST_Building__ ^A"8A CTE .803 4/72
APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
UILDING
BUILDING AND SAFETY DIVISION 'AD
51A hE CHEChS PAIABLE 70
HARVEY T BRANDT, COUNTY ENGINEER LOCALITYer�X'Allfl 47 e7-V
F T F NEAREST A/
(Print or type mly) CRO55 ST z
BUILDING DISTRICT NO GROUP TYPE P OCESSED BY
ADDRESS / CONST ('
STATISTICAL CLASSIFICATION SEWER MAP
OT NO � BLOCK T CLASS NO„`L—DWE LL UNIT$_ BK PG
TRACT �'G USE ZONE MAP
NO OF BLOGS NO
SIZE OF LOT NOW ON LOT SPECIAL
USE OF " CONDITIONS
EXISTING BLDG
TEL
OWNER NO BLDG SETBACK FROM
ADDRESS SQ /'jL.Q FRONTPROP LINED F ISTREETI
w , TYPE OF g*1NG SETIA" HIGHWAY } YARD = TOTAL
CITY , `• HIGHWA TH FROM
C4
ARCHITECT OR TEL + _ yy
ENGINEER NO BLDG SETBACK FR O..
ADDRESS SIDE PROP LINEOF (STREET)
TEL TYPE OF EXISTING BE HIOHWA } YARD = TOTAL LC
CONTRACTOR NO HIGHWAY WIDTH FROM C L p
LIC
ADDRESS NO } = CFw
LIC y
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE EVERSE E FOR SPECIAL APPROVALS
ADDRESS �} 3
SO FT NO OF NO OF NEW El STORIES FAMILIES ❑
USE OADD V
STRUCTFUREift- eAll? ALTER ❑
SIGNA URE OF REPAIR®
APPLICANT DEMOL Q / L( A17-C.7- .
VALUATIONS DO JV/
APPROVALS DATE INSPECTOR [ SIGNATURE
P C PMT p FOUNDATION LOCATION
FEE S FEE S FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF T STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMP ION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER PERMITTE I " COR-
RECT AND POSTED
ADDRESS 2'- FINAL �p��}�
PLAN CHECK VALIDATION CN M O CASH _ PERMIT VALIDATION CK M O CABN
CLIccQ l
01-78 �+/4 'l
p ��eR 1 Y�t1QL� 3�fj� Y1 ,� ?e "
Temple City
79A636.-CERS03 a,� APPLICATION FOR BUILDING -PERMIT
COUNTY OF LOS ANGELES auILDINo
DEPARTMENT OF COUNTY ENGINEER AODREss 9751=
061 �eID le Cit
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DISTRICT NO O TYPE PR
FOR APPLICANT TO FILL IN/� CONST ,
ADDRESS 9751 Val —Temple Vit' STATISTICAL C/y/fjd9I FICATION SEWER MAP
CLASS NO _DWELL UNITS S
LOT NO BLOCK USE 20NE �MAP /S
(�
TRACT
SIZE OF LOT NO OF BLOBS el
NOW ON LOT
USE OFres
■LOSSETBACK FROM
_ _ TEL FRONT PROP LINE OF (STREET)
OWNE NO - TYPE OF EIISTI MS SETBACK HIGHWAY YARD = TOTAL
ADORES IEX Y F M C L
CITY A lhambra + _
ARCHITECT OR TEL S .,
ISETBACK FROM
ENGINEER NO SO[ PROP LIME OF (STREET)
TYPE OF EIIBTINS SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH SE? C L
EL593-3353
-
CONTRACTORJ & J Ht NTO LS - +
ADDRESS 2379 First ND imrw CORNER CUTOFF YES 11 NO 0
CITY LA Varng
K175-0CLIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
6
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OP
SIZE STORIES FAMILIFS
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ /,/593.00
APPROVALS GATE INSPECTOR SSISNATURE
P C PMT FOUNDATION LOCATION
FEE$ FEES FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEOOE THAT I HAVE READ THIS APPLICATION BRACING BOLT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDING CO NBTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S CO KNIY ION IN SUR CE LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEEdf
RE AN P
ADDRESS__P7 9FI NAL &
PLAN CHECK VALIDATION CR MO CASH JOHN F LEWIS PRIN &PAL STR URAL ENGINEER
PERMIT VALIDATION CK M O CASH
LAL,04 0 4 4—� APR 2 1 0 9,00"' a
11GA0341A.CE4003 POT
APPLICATION FfOR BU DING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 7-1
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, Sul•T Or BUILDING NEAREST
CROSS ST
DIST 7IN GR P TYPE P E BY
FOR APPLICANT T FILL INCONST
Pnnt ort a Gnl r
ADDRESS / AL �/'Itf� STATISTICAL CLASS ICA TION SEWERR�P
P
CLASS5 NO DWELL UNITS= BK
LOT NO T BLOCK USE ZONE MAP
NO
TRACT or SPECT L
/ NO OF SLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG SLOG SETBACK FROM
TEL FRONTPROP LINEOF (STREETI
OWNER / NO TYPEOFISTIRG SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWA WIDTH FROM C L
CIT +
ARCHITECT ORTEL BLDG SETBACK FROM
SIDEPROP LINEOF TREETI
ENGINEER NO
TYPE OF E%ISTING 9ET HIGHWAY + YARD = TOTAL
AODRESS HIGHWAY WIDTH FROM L
TEL = d
CONTRACTOR NO + O
ADDRESS NO CORNER CUTOFF YES ❑ NO LICU
C
CITY LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 1—
DESCRIPTION
DESCRIPTION OF WORK yes ti
t z
NEW D LTE PAIR DEMOLISH AR Y TR
SO FT N NO OF
SIZE STORIES FAMILIES
USE C — Q�
/C erd driveway epproaeh I
STRUCTUR
Balla anf ih.ld be tn'mr oui ai 'hc L A '.n D- Tp I e
rtil
SIGNATURE OF S 11rI Th delay Survey & Design work takes Time and If not ffa
APPLICANT ml+il Perms} has n ItfWd Apply W Par
VALUATION SWlIll
S Guy
APPROVALS DATE INSPECTOR a SIGNATURE
P C PMT }} ••�D ,s FOUNDATION LOCATION
FEE 5 FEE $
hy.[_ FORMS MATERIALS
FRAME FIRE STOPS
HER[RY AC R NOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AN
STATE THAT THE AwVE IS CORRECT AND AGREE TO COMRLv FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
aUILOING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHOR ITID HERESY I WILL NOT EMPLGY ANr PERSOM IN VIOLA
TION OF THE ueOK COOS OF THE STATE OF cALIFORNu RELAT LATH INT
]NO TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE x L /.J -r RECT AND POSTED
ADDRESS,(( /J. Q1-.. -. Aa=se /�`� FINAL
JOHN F LEWIS PRIPICIPAL STRVj=)L RAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH
3 LCO3563:3 WAI3 1 D 22.5O"
7eAG38A FR SM %61
n ,APPLICATION FOR BUILDING PERM
,COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUIT OF BUILDING NEAREST /
CROSS ST
FOR APPLICA T TO F L DIST COT NO GTP CONST �- PR SE� BY
Print or a o01 S
BUILDING STATISTICAL CLASSIFICATION SEWER MAP QQ��
ADDRESS CLASS NO A DWELL UNITS_ BK,L PG<5b
LOT NO / BLOCKUSE ZONE MAP
^ NO DO 3
TRACT Loi LI, SPECIAL /
NO OF BLDGS A CONDITIONS 7 M S13
SIZE OF LOT NOW ON LOT .4
USE OF
EXISTING BLDG BLDG SETBACK FROM �L /���(An-(STREET)
ELjEl
T PROP LINEOF (.
OWNER OOF E ISTI SETBACK HIGHWAY + TARO = TOTAL
ADDRESS �, AY WIDTH FROM C L
CITY A1Aj 30t
ARCHITECT OR TEL SETBACK FROM (STREET)
PROP LINE OF
ENGINEER NO
OF ISTINO SETBACK HIGHWAY + YARD = TOTAL
ADDRESS AY WIDTH FROM C L
CONTRACTOR NO + Z O, L
ADDRESS NOCORNER CUTOFF YES ❑ NO ❑
C
CITY CD
CLASS REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
4A I D �t rn J �+cz/ R zNEW REPAIR / a
SO FT NO OF NO OF �� /� .+A r/�lR N ", //I�rt��.ri�. h P
SIZE STORIES FAMILIES �' • II}y,(`�
USE OF lI Ao /til'/ llh l/I
STRUCTURE
SIGNATURE OF /I I�/t) JIRD N� f n
APPLICANT GO '� r� ,�
VALUATION S /LI y� If
d APPROVALS DATE N.P.CTO-'C 17GNATURE
P C PMT p U FOUNDATION MA MATERIALS /
FEE S FEES 2
FRAME FIRE STOPS
I HERESY AC N NOWLCDOE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE AROVE IS CORRECT AND AGREE TO COMrLr FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REOV"TINO GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED NEWBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE L+IOR CODE OF THE STATE OF CALIFORNIA RELAT LATH INT t�L (IND TO WORKMEN p COM NSATION INSURANCELATH EXTSIGNATURE OF HOUSE NUMBER COR-
PERMITTEE w� RECT AND POSTEDADDRESS n �-/- - - - — FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK NO c+pH PERM VALIDATION cK No CASH
L&D302WS FEB 8 1 D 12Q0, Q
WORKERS COMPENSATION DEtLARAT16N - A
hereby affirm that I hove r certificate Come of cement to'self - APPLICATION FOR BUILDING PERMIT CO"
insure, or a certificate of Worker Compensation Insurance
or a certifiell copy thereof c dab C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No ompany BUILDING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS I Ilaf
Certified copy is filed with the county building inSpeC - BUILDING
tion department ADDRESS
Date Applicant CITY C ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF WDGS FEN+FST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST
(This section need not be completed if the permit is for one TRACE BLOCK LOT NO MAP ASSESSOR
` ' pAGE pARCEI
hundred dollars(f10D)or less I
__ _ TEL I ��ppNNE�
I certify'that m the performance of the work for which this OWNER e. NO USE j�tJ� NA }
permit is Issued I shall not employ any person in any manner - ADDRESS I((y[[``/// SPECIAL O
so as to become subject to the Workers'Compensation Laws V
Date T Applicant CRY ZIP K
NOTICE TO APPLICANT If, after making this CertdKate of ARCHITECT
OR T LO DISTRICT GROUP TYPE _ FIRE By
ENQAExemption you should become subject to the Workers' j"� CONST ZONE
Compensation provisions of the Labor Code you must forth- ADDRESS <]LL/D _ d
with comply with such provisions or this permit shall be -
deemed revoked , CONTRACTOR ` _r� STATISTICAL CLASSIFICATION ' APT DO
LICENSED CONTRACTORS DECLARATIONt LIC (/ CS NO �(_DWEu ITS_
I hereby affirm That I am licensed under provisions of Chapter 9 ADDRESS �S USUN
NO l
(commenting with Section 7000)of Division 3 of the Business and _ LIC / SEWER MAP
Professions Code, and my license a in full force and effect Cm d. 'k CLASS BK Fir, VALIDATION
s SO FT NO OF NO OF CHECK
LKense Number O� L)c Class SIZE STORIES FAMILIES OFF r
` � VALUATION _
EW
Contractor Date-lD.d3 - DESCRIPTION N coo '
ElADD f Poll,
am exempt under Sec
ALTER
B dP C for this reason fePAIR f
- Date USE OF 3 3 2 5 4 A
EXISTING BLDG DE's
Signature APPLICANT TEL FINAL e e e e e
OWNER BUILDER DECLARATION Il')cm DATE `' —�
1 hereby affirm that I am exempt from the Contractors license ADDRESS 1'-'1 L""I . #- 26S50,
Low for the following reason (Section 7031 5 Business and l LL J H I 2 6 5 5 0
Professions Code) - BT
NG
I as owner of the property, or my employees with ADDRESS •D e e 0265505
wages as their sole compensation will do the work and , Q
the structure is not Intended or offered for sale(Section LOCALITY I 2 3 -8 5
7064, Business and Profesuom Code) MOVING TEL
I as owner of the property am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- -AooRE55 - - -
tion 7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY - SET CK YARD HWY TOT PROP LINE WIDTH
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 - \ p `•;�- `�
(Sec 3097,Civ C ) SDE �\
PL
Lender s Name `
gLDMA Ref Y
Lender's Address P C Fee f Permit Fee zs-sr -
_I certify that I hove read this application and state that the Irnance Fee Q IDA1A P/C 1
above information is correct I agree to comply with all County Invepigoiion Fee •1 `�-
_ordinances and State jaws relating to budding construction, _ Total Fee _ IDMA Perm 0
v and hereby authorize representatives of this County to enter
upon the alio e- entioned prop ry for inspection purposes
b�- SM REVIUM FOR EXPLANATORY LANGUAGE
SiIMo re p rtant or A ent Date - -
COUNTY OF IDS ANGEL.FS TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1311200053
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEWI BUILDING ADDRESS
ON FILE I SQ FT STORIES TYPE OCCUP GROUP 9751 VAL ST
ISTRUCTURE 169 1 V-B R-3 TEMP CA 917800000 1
ASSESSORINFORMATION NUMBER I GARAGE NEAREST CROSS STREET
5383-017-028 OTHER THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI
I
TENANT (EEXIST
XIST O�GRPE R-3 11/U0/
11/20/1ON PROCESSED BY
I
SR
OWNERTEL NO BIROS NOW ON LOT VALUATION IFI FINAL CODE
TAING JOHAN (626) 236-2661- 2,280
9751 VAL ST
(TEMP 917800000 FEES PAID DgSCRIPTION OF WORK
IPATIO COVER 13'X 13' 1
IFEE DESCRIPTION QUANTITY DOM AMOUNT I
APPLICANT TEL NO
INBAL MAMA (626) 841-9021- IAA BLDG PERMIT ISSUANCE 27 80
14601 ARMINLE IAB STATE GREEN BLDG FEE 2280 00 VAL 1 00 SPECIAL CONDITIONS
WOODLAND HILLS 91364 IAC STRONG MOTION REBID 2280 00 VAL 0 50
ID1 PLANCHECK W/O EN-HC 2280 00 VAL 84 20
D2 PERMIT W/O EN-HC 2280 00 VAL
1900
CONTRACTOR TEL NO TOTAL FEES 212 50 (APPROVALS DATE INSPECTOR SIGNA=
CREATION BUILDERS INC (885) 590-5590-
122647 VENTURA BLVD LIC NO (LOCATION AND SETBACKS
WOODLAND HILLS CA 91364 971748
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO
I _ I iF0UN0ATION/TRENCH FORMS I I I
LIC NO SLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1UNDERFLOOR INSULATION
3OOI1 IFLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
1 NO 20 I IROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
(AIR QUALITY 1000 FRET MATERIALS
NO NO NO IFRAME INSPECTION
I
FIRE SPRINKLER HANGERS
1 INSULATION/WEATHER STRIP
I I
1 I (INTERIOR LATH/DRYWALL
(EXTERIOR LATH I I
IRATED FLOOR/CHIC AS56M I I
RATED WAIL ASSEMBLIES I I
(RATED SHAFTS/OPENINGS
T-BAR CEILINGS I
` ADDITIONAL DATA ON FILE I I
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO B80508
1 I I I
COUKCY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306240039
PHONE (626) 285-0488 EXT
LEGAL ID I NO OF CONST NEW BUILDING ADDRESS
ON FILE SO FT STORIES TYPE OCCUP GROUPI 9751 VAL ST
(STRUCTURE 0 1 V-B R3 I TEMP CA 917800000
ASBESSOR INFORMATION NUMBERGARAGE NEAREST CROSS STREET
5383-017-028 1 OTHER
I THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI
TENANT
EXIST BLDG USE I
USE ZONE ISSUED ON PROCESSED BY
EXIST OCC GRP 106/24/13 SR I
(OWNER
TEL NO I SLUGS NOW ON LOT VALUATION 1FI FIl1lLAAA4� E CODE
1TAING L' , (626) 236-2661- 1 40,000
19751 VAT` ST
(TEMP 917800000 FEES PAID 1
I DSrSCRIPTION OF WORK 1
(INTERIOR REMODEL DRYWALL IN
TEL NO LATION, LIVING RM DINING RM
(APPLICANT IFEE DESCRIPTION QUANTITY DOM AMOUNT 12 BEDRMS KITCHEN AND BATHROOM REMODEL TEAR OFF REROOF W/
130 YR COMPOSITION SHINGLES 6 RETROFIT 14 WINDOWS
IMOSHE MAMAN (818) 61B-6531- AA BLDG PERMIT ISSUANCE 27 80 1
12413 S 3RD AVE IAB STATE GREEN BLDG FEE 40000 00 VAL 2 00 ISPECIAL CONDITIONS 1
ARCADIA CA 91006 AC STRONG MOTION RPSID 40000 00 VAL 4 00 1
IB2 PERMIT W/ENERGY 40000 00 VAL 734 80
ID7 ADDNL PLANCHECK FEE 1 00 HOU 109 40
[CONTRACTOR TEL NO I TOTAL FEES 878 00 1APPROVALS DATE INSPECTOR SIGNATURE
IM F CONSTRUCTION AND DESIGN (818) 618-6531- 1
12413 S 3RD AVE LIC NO
1ARCADIA CA 91006 762001 11
VOCATION AND SETBACKS 1
I 1 (SOILS ENGINEER APPROVAL I
I
(ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I 1
I
1 LIC NO I 1SLAB/UNDER FLOOR
I I IRAISED FLOOR FRAMING
I
MAP NO SEWER MAP BOOR PAGE FIRS ZONE CMP 1 IUNDERFLOOR INSULATION
3 001
1 11ST LEVEL FLOOR SHEATH
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS II
1 0 NO 21
2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I
LAIR QUALITY 1000 FEET MATERIALS 1 I I 1
1 NO NO NO FIRE DEPT FRAME INSPECTI
1 BLDG DEPT FRAME INS PECT 1
1
1
I SNEAK PANELS I
I 1
1 INSULATION/WEATF[ER STRIP 1
I
INTERIOR LATH/DRYWALL
(EXTERIOR LATH
I I
1 i (LOT DRAINAGE 1
1 SMOKE DETECTION DEVICES 1 1
1 I (FIRE DEPARTMENT APPROVAL(
I
I I I I
REPORT ID DPR261 ROUTE TO BS0508
I I I I I
C0bNry OF LBS ANGELES TEMPLE C.TY K 0508 BUILDING PERMIl
DEPARTMENT OF PUBLIC WORKS 1 9701 LAS TIBIAS RESIDENTIAL ADD
BUI.DING AND SAFETY / LAND DEVELOPMENT TEMPLE CTTY CA 81780 BL 0508 1307030002
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS —II
ON FILE SQ FT STORIES TYPE OCCUP GROJPI 9751 VAL ST
(ASSESSOR INFORMATION NUMBER (STRUCTURE 420 1 V B R-3 I TEMP CA 917800000
5383-017-020 GARAGE NEAREST CROSS STREET 1
OTHER THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI
ITENANT EXIST BLDG USE USE ZONE TISSUED ON PROCESSED BY
]EXIST OCC GRP 109/16/13 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI AL TE F BY CODE _
TAING JOHAN (626) 236-2661- 129,040 ///
19751 VAL ST I 4/
ITEMP 917800000 FEES PAID
I
IDES CRTPT N F W0�
1 1ADD 427 SQ FT TO (E) BEDROOM BATHROOM 6 REMODEL TO CREATE ]
]APPLICANT TTL NO ]FEE DESCRIPTION QUANTITY UOM AMOUNT INEW MASTER SUITE & ADDITIONAL BATH/CLOSET FOR ADJACENT BEDROI
] IOM REDESIGN 6 REROOF ENTIRE HOOSE, SKIM COAT 6 STUCCO EXISTII
I FONSECA, RICARDO (323) 495-8787 IBI PLANCHECK W/ENERGY 62257 00 VAL 869 20
14637 1/2 E FIRST ST IAA BLDG PERMIT ISSUANCE 27 80 )SPECIAL CON=IONS
ILOS ANGELES CA 90022 IAB STATE GREEN BLDG FEE 129040 00 VAL 6 00 ]
AC STRONG MOTION RESID 129040 00 VAL 12 90 ]
1B1 P6ANCHECh W/ENFRGY 129040 00 VAL 521 00 1
CONTRACTOR TEL NO 192 PERMIT W/EN2RUY 129040 00 SAL 1 635 50 1An,nCVALS DATE INSPECTOR SIGNATJRS 1
]M F CONSTRUCTION AND DESIGN (818) 618-6531- 108 CERTIF OF OCCUPANCY 101 4C _
12413 S 3RD AVE LIC 10 ] TOTAL FEES 3 173 80 ILLATION AND SETBACKS
ARCADIA, CA 91006 762001 ] 1 1Y1
I 1SO LS ENGINEER APPROVAL 1
ARCHITECT OR ENGINEER TEL NO �— _-
IN W E GINEERING (702) 202-0(f♦ FC JNCAT ION/TRENCH FORMS
]
110530 HOP E MILLS DR LIC NO
(LAS VEGAS NV 69136 C72679 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING ] ] ]
MAP NO SEWER MAP BOOK PAGE FIRE ZONE OMP + ` f
3 UGI IJNBJRFLOOR INSULATION Tj
I
] - -' -
]NO OF FAMILIES DWELLING UNITS APT/('OND STAT C'J.SS ]1ST LEVEL FLOOR SHEATH
I -
0 NO 21 (2N6 LEVEL FLOOR SHEATH
I SCHOOL WITHIN F5+ZAR0OUS 1 1' , 1 ( 1___ 1 _I
IAIR QUALITY1000 FEET MATERIALS - IROOF SHEATHING 1
] NO h0 NO
I ---— ("IRE DEPT FRAME INSPECT
IIBL)G DEPT FRAME INSPECT
(SHEAR PANELS
- INSOLACION/WEATHER STRIP]
]INTERIOR LATH/DRYWALL ]
]
EXTERIOR LATH
ILOT DRAINAGE 1 ]
I
(SMOKE DEfECTION DEVICES
FIR'_ pEPARfMENT APPROVAL]
• ADDITIONAL DATA 7N FILE
I I ]
I ]REPORT ID DPR261 ROOT£ TO 050508