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Home My Public Portal About5322-5326-5328-5330 VILLAGE CIRCLE DR_Building__ "'APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL.IN ADDRESS BUILDING ADDRESS LOCALITY NEAREST CITY ; 'ZIP. 7 D CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL DISTRICT nG TYPE FIRE�1 '.,,SED BY BLOCK LOT NO. J11NST. ZON TEL. OWNER E ' NO. STATISTICALCLA CATION' SEWER ADDRESS Y CLASS NO.,:2/ _DWELL.UNITS BK PG CITY P ZIP 1 Q ZONE NO. 0l6 ARCHITECT OR EL. ` ?DSPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. p CONTRACTOR � / O. /m' O z6 BLDG.SEEg�B8AACK FROM LIC. 1O FRO T PROP.LINE OF ISTREETI ADDRESS NO./ / HI HWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. -q FRONT PROP.LINE HIGHWAY WIDTH CITY (j CLASS 6-97 _ CONSTRUCTION LENDER + a NAME AND BRANCH O BLD .SETBACK FROM V ADDRESS CITY SIDE P.LINE OF (STREET) fO SQ.FT. NO.OF NO.OF CHECK HIGHWA + YARD TOTAL SETBACK FROM TYPE OF EXISTING U SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a DESCRIPTION OF WORK NEW ❑ �� ADD ❑ CORNER CUTOFF YES5-0 ❑ taQ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USEOF BLDG. DE1410L [:] IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑ APPLICANT TEL (PRINT) A O. BY(SIGNATURE) • I HEREBY ACKNOWLEDGE THAT 1 HAVE REA HIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO OMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT 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'S COM... PENSATION INSURANCE. SIGNATURE OF FINAL �� BY PERMITTEE DATE ADDRESS TEL.04/7 P.C.Fee S Permit Fee CITY NO. Issuance Fee VALUATION$ j [ o '7 Total Fee PLAN CHECK VALIDATION ` ` ,CIC•. M.O.. ',CASH _ PERMIT VALIDATION M.O. CASH 39 6NOV SO •1 0 1 2.0 0 Ay0 IDS 76A6888 CE/8088 6/76 rp APPLICATION FOR BUILDING PERMIT -;' n �y FOR APPLICANT TO FILL IN (Print or type only) `• �d BUILDING COUNTY OF LOS ANGELES ADDRESS 5324-26-28-30 Village Ci Dr. DEPARTMENT OF COUNTY ENGINEER CITY Temple Cit zip 91780 BUILDING AND SAFETY DIVISION ' NO.OF BLDGS. BUILDING SIZE OF LOT a Acres NOW ON LOT 1 ADDRESS,5324-26-28-30 Village Cir. Dr. ICL TRACT2 602 I� a LOT NO 1 LOCALITY Temple City OWNERIm erial Savings NO. -880 CROSS STNEAREST. Baldwin ASSESSOR ADDRESS 61 SQ bake St. MAP BOOK PAGE PARCEL p DISTRICT GROUP TYPE FIRE CESSED BY CITYPasadena ZIP 71101 CONST, ZONE _ ARCHITECT Foerstel No1964-001 15. 100 4H �J ENGINEER STATISTICAL CLASSIFICATION SEWE AP _ ADDRESSl 2 ndCSLASS NO.��DWELL,UNITS4 BK , PG TE CONTRACTOR Noel Baldwin N.L448:1390 USE ZONE MAP LIC. NO. D ADDRF-SS10017 Green St NO. �'P,0 SPECIAL /y LIC. CONDITIONS CITY Temple Vit CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDFR NAME AND BRANCH Imp e r i q I qq v i 33 gS BLDG,SETBACK FROM FRONT PROP,LINE OF (STREET) C ADDRESS 61 So. IlakeciTY Pasadena HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C SQ, FT NO OF NO. OF r CHECK FRONT PROP. LINE HIGHWAY WIDTH F SIZE 5818 STORIES 2 FAMILIES ONE i / + L DESCRIPTION OF WORKNEW c ADD [-] BLDG,SETBACK FROM New Development SIDE PROP.LINE OF (STREET) ALTER ❑ HIGHWAY +_ YARD = TOTAL SETBACK FROM TYPE OF EXISTING PROP. LINE HIGHWAY WIDTH REPAIR SIDE❑ EXISOT NG BLDG. Single Family R 81,,.0E ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ ( R NT) N 0 8- 0 BY (SIGNATU IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$128 S 600.00 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED, IMPACT REPORT PROCESSED (DATE) HEREB WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE, LAB CODE OF THE STATE OF CALIF IN RELA IZiG TO WOR SATION IN URAN SIGNATURE OF PERMITTEE ADDRESS Z BY CITY Temple -City NO4• 8- 0 DNATE BY MAKE_ CHECKS PAYABLE TO: FEE $192. 60 FEE W � HARVEY T. BRANDT, COUNTY ENGINEER [ PLAN CHECK VALIDATION CK. M.O. CASH PE IT VALIDATION CK. CASH I 900F'_'FEa 4021, D - 19 2.6 0 76AGSBA CE48037/73 .O / 1 5Qqu 14 1 D 6 4 2.0 O Ay8 S 7 WORKERS' COMPENSATION DECLARATION hbi eby:affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E "insure, or*coy Workers'Compensation Insurance, or a certifif(Sec. 3800, Lab COUNTY OF LOS ANGELES BUILDING AND SAFETPolicy No. Company❑ Cerereby furnished. i MRAPPLICAf4l TO FILL IN DUILDIN ADDRESS 00 Certified copy is filed with the coup i 'ng inspec- : BUILDING 0 XM 6�k tion department. i ADDR � A Date �IApplicant CITY (Y44ZIP ) LOCALITY NO.OF BLD CERTIFICATE OF EXEMPTION FROM WORK RS' SIZE OF LOT NOW ON LOTT NEARESTCROSS ST. ICOMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BL CK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) I TEL. OWNER kNO• _ USE ZONE MAP I certify that in the performance of: ort r which this �r SPE ! permit is issued, I shall not em ny person i any manner I ADDRESS 1®f• CONDITIONS a so as to become subject to th orkers'Compensation Laws. UA O CITY v `41h ZIP L V Date Applicant i ARCHITECT OR O NOTICE TO APPLICANT:. If, after making this Certificate of I ENGINEER N� DISTRICT -GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject -to the Workers' i CONST. ZONE Compensation provisions of the Labor Code;you must forth- ADDRESS 8�'Q6 ✓ CL .with comply with such provisions or this permit. shall be I TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CO ACTOR NO. it I Z LICENSED CONTRACTORS DECLARATION LIC. •��j CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chap44 ter 9 ADDUS NOS (commencing with Section 7000) Division 3 of the Business LIC. SEWER MAP and Professions Code y lit se is in full fort ect. CITY f CLASS ,i VALIDATION AITI ` CIT FT. NO.OF NO.OF HECK BK. PG. License Number Lic. Class FA SIZE STORIES FA ILI ONE I• VALUATION Contracto v Date ESCRI ION OF WO EW ❑ $ r 1 c p ElElI am exempt under Sec. ADD R El Poo'L B.BP.C. for this reason r �i IR� ; USE F i EXISTING BLDG. DEMO ❑ Signature APPLICANT /� TEL. FINAL OWNER-BUILDER DECLARATION (PRINT v NO FINAL OWNER-' I hereby affirm that I am exempt from the Contractor's License .l �,( Law for the following reason (Section 7031.5, Business and ADDRESS IBJ' �°'t FINAL Professions Code): PRESENT BY �n F A BUILDING ❑ I, as owner of the property, or my employees with I ADDRESS wages as their sole compensation,will do the work and INthe structure is not intended red for sale(Section LOCALITY 7044, Business and Pro Bions C e.) MOVING TEL. �• 4 T�jyN 4 ❑ I,as owner of The pr ert.,am exclusively contracting CONTRACTOR NO. with licensed cont ctors to construct the project (Sec- DOTAL ��±j AL :�_Y�:� `91_:°. ' ADDRESS tion 7044, Busin s and Professions Code.) i _•i._t;V 3M_: CONSTR ION LENDING AGENCY SETT BACK YARD HWY TOTAL PROP LINEFROM WIDTH !• Itt•:. :!L n;- I hereby affirm that t re is a construction lending agency for FRONT CP-LII— the perf mance of a work for which this permit is issued I P•L• --- (Sec. 309 Civ. C. SIDE P.L. J. Lender's Name / LDMA Ref.# P.C. Fee S Permit Fee / 116' Lender's Address I certify that I have read this application and state that the Issuance Fee �7 /� LDMA P/C# 01111. 3 � above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ,J. ./ LDMA Perm. # and her ut rize re seffntirves of this County to enter on the a nt'on dety for inspection purposes. 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Signal of Applicant or Agent Date ` n COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1104280022 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 29602 IT: 3 UN: 68 I SQ. FT STORIES TYPE I 5330 VILLAGE CIRCLE DR 68 I I ISTRUCTURE: 11 V-B I TEMP CA 917803359 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN I 18585-001-138 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl ITENANT: 1EXIST BLDG USE: RESID USE ZONE: R-3 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 104/28/11 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: SHUM ALLEN PUI-LUNG;VIRGINIA YU-WAN I 3,800 5330 VILLAGE CIRCLE ITEMP 917803359 I FEES PAID IDESCRIPTION OF WORK 1 I I [REMOVE TILE & PUT NEW UNDERLAYMENT & RE APPLY TILE I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ I 1APPLICANT: TEL. NO: I I 1 IWEATHERGUARD (909) 982-7000- 17�A BLDG PERMIT ISSUANCE 27.80 I 1 1153 EXCIELSIOR WAY IAB STATE GREEN BLDG FEE 3800.00 VAL 1.00 ISPECIAL CONDITIONS: I (UPLAND CA 91786 IAC STRONG MOTION RESID 3800.00 VAL 0.50 I 1 ID2 PERMIT W/O EN-HC 3800.00 VAL 116.00 I 1 IFR°INV WORK W/O PERMIT 257.00 DOL 257.00 I 1 (CONTRACTOR: TEL. NO: I TOTAL FEES 402.30 (APPROVALS DATE INSPECTOR SIGNATURE 1 IWEATHERGUARD COMPANY (909) 982-7000- 1 1 1 1153 EXCIELSIOR WAY LIC. NO I ILOCATION AND SETBACKS I 1 1 1UPLAND, CA 91786 921927 1 1 I I 1 I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I 1SLAB/UNDER FLOOR I I I I [RAISED FLOOR FRAMING [ I [ IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I I147H273 3 001 I 1-1 I I I IFLOOR SHEATHING I I I [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 I IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ,� ^n�'i mil ISHEAR PANELS I I I [AIR QUALITY: 1000 FEET MATERIALS `�,� II=,L� 1 I 1 [ NO NO NO 1 L— 1FRAME INSPECTION I II Q I I I �•. `� U �'1 1 FIRE SPRINKLER HANGERS 1 I I I I 11Ns TION/WEATHER STRIP( I [ II (INTERIOR LATH/DRYWALL I I I I II [EXTERIOR LATH I I I I I I I I I I1 IRATED FLOOR/CEIL ASSEM. I I I I I I I I I II (RATED WALL ASSEMBLIES I I i IRATED SHAFTS/OPENINGS I I I I I I I IT-BAR CEILINGS I I I I I I 1 I LOT DJZAINAGE I I I *PORT ID: DPR261 ROUTE TO: BS0508 I I I I I