HomeMy Public PortalAbout5610 WELLAND AVE_Building__ TEMPLE CITY ,
76A639A CE::6032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �.
BUILDING AND SAFETY DIVISION LOCALITYMoot
7
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST C a
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
Dl§_TRICTN U TYPE
FOR APPLICANT TO FILL IN coNsr. ':
BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS S-610 BK
CLASS. NO. DWELL.UNITS
LOT NO. 30 3/ BLOCK WATER NOT REQUIREDRECEIVED
Q' CERTIFICATE: lllJJJ��`
TRACT 16' O MAP HIGHWAY STATE MAJOR SECON LOCAL
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL. C3
OWNER /Yj /Cd NO. BUILDING EXIST.
} SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 6 tl/ se�A- FRONT
ARCHITECT OR TEL. ' P, L. --�
ENGINEER - NO. SIDE
P. L. CL
ADDRESSO
TEL..
CONTRACTO NO.
ADDRESS" q3j S O �, ,_ O
DESCRIPTION OF WORK '� a
lrl I✓ C Gk
00oNE ADD ALTER REPAIR DEMOLISH
-*Q'
FT. NO.OF NO. OF -
SIZE QO STORIES FAMILIES
USE OF
STRUCTURE /'
SIGNATURE OF
APPLICANT
VALUATION i
ATAP 'S SIGNATURE
P.C. PMT. FOUNDATION TIO
FEE $ • FEE $ FORMS. MA LS
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.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S OMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED f
ADDRESS FINAL
JOHN F. I EWIS. Ph, C]PAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
lr��o 5 5 7 %✓ ; Fc.d 14 2 Q .L
TEMPLE C� V +�
076A638A CE k8032-63 APPLICATION FOR BUILDING PERMIT j t A-
COUNTY OF LOS ANGELES ADDRESS I
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION L:JCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST i
WILLIAM A. JENSEN,SUPT OF BUILDING CROSS ST.
CI TRICT NO. GROUP TYPE
FOR APPLICANT TO FILL IN CONST. A
BUILDING / S"ATISTICALCLASSIFICATION WERMAP
ADDRESS / BK PGL. ✓
_CLASS. NO. DWELL. UNITS
LOT NO. 2qT oe BLOCK I WATER
CCRTI F ICATE: NOT REQUIRED RECEIVED ❑
d
TRACT Z' MAP HIGHWAY
NO.OF BLOGS. NO. (CIRCLE) STATE AJOR ECOND, LOCAL
SIZE OF LOT `' �' �JQ NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNE ,NO.- BUILDING EXIST.
___SETBACK YARD HWY STREET NAME WIDTH
ADDRESS rRONT / �J
ARCHITECT OR +
ENGINEER A/ rr N0.+�3 s--l.i(/ `SIDE
ADDRESS P L
O
CONTRACTOR %"� ,NO '''
yr
ADDRESS
DESCRIPTION OF WORK w
a
N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO. OF NO. OF
SIZE _ STORIES FAMILIES,346
.,.
USE OF "
STRUCTURE
S GNATURE OF C t•�t� •`q-� rte' rr,F Y �. - .
APPLICANT _ -J
VALUATION
J � APPROVALS PATE INSPECTOR'S SIGNATURE
P.C. PMT. :=OUNDATION: LOCATION
FEE S FEE FORMS, MATERIALS -
"RAME: FIRE STOPS, 1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ BRACING, BOLTS f! IG7
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I'URNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNA RELAT-
ING TO WORKMEN'S ►►ttPE SAT ON (NSU C
/ _-ATH. EXT.
SIGNATURE OF "'-""-` MOUSE NUMBER COR-
PERMITTEE RECT AND POSTED r
ADDRESS ~ C FINAL
JOHNF. L IS PRINCIPAL S7C..
RAL ENGINEER
ALAN CHECK VALIDATION cK. M.o. CASH _ PERMIT VALIDATIONM.U. CASH
s� 3 2 3 D 17 8.50 /
TEMPLE CITY
7IA638A CE 'F.032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS lN _
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY �>
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT N ,GF71 U TYPE Sf�E�jBY
FOR APPLICANT TO FILL IN Cl CONST. /�-�
FBLDG
S �t! ,O ts/ 0 �e {/Zpnd STATISTICAL CLA��_SS���FFFIIICATION S ERLMAP
IG w ` � BK PG�
CLASS. NO. DWELL. UNITS
Q BLOCK A' WATER NOT REQUIRED� RECEIVED ❑
CERTIFICATE: ttJLLJJI
MAP f1 ��-y'� HIGHWAY STAT MAJOR ECOND, LOCAL
NO.OF BLDGS. NO. � � �/ (CIRCLE)
LOT NOW ON LOT USE ZONE SPECIAL
CONDITIONS
G .
7 ''� TEL.
OWNER Cal� lrnea roL7ek O• BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L. Z
ENGINEER NO. SIDE
ADDRESS O
EL. y 7147f
CONTRACTOR � � �j'O/II O. �
ADDRESS 201 f ✓I�'t C �� O
DESCRIPTION OF WORK a
t�
NEW ADD ALTER REPAIR DEMOLISH ?
SQ. FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE Gar c h War
SIGNATURE O
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEES FORMS, MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION I
LATH, EXT.
SIGNATURE OF t Q// HOUSE NUMBER COR-
PERMITTEE / w NSU AN RECT AND POSTED +�
ADDRESS_. FINAL yr
JOHN F. LEWIS. INCIPAL ST CT RAL ENGINEER
PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION CK. M.O. CASH
,�
6 5 5 8 iii; i 2 1 C .
-� WORKERS'COMPENSATION DECLARATION
APPLICATION FOR B ILDING PERMIT
'I heleby affirm'that I have a certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance,
oPolicy
raa�'e�ified copy thereof(Sec 3800, Lab. C.) �/� COUNTY OF LOS ANGELEI.
S BUILDING AND SAFETY
I O icy - Y1
Noo � �Com �yd^F� 7�•
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADD RBUILDING��/&O 07
❑ Certified copy is filed with the county building inspec-• BUILDING
ion 10_ 28 �����b
ttidepartment. ADDRESS
Date 7-0 ApplicantA�ea �PZ1- CITYTEMJOLA CLT' ZIP LOCAUTY
NO.OF BLD NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
' hundred dollars ($100)or less.) /� - TEL. US ONE MAP /
�7
OWNER C.��L11 �/ RG1 F�[�
NO. Q ' 2?
1 certify.that in the performance of the work for which this NO.a
permit is issued, I shall not employ any person in any manner ADDRESS 3 �.(�. MAI t l ST/ee f_ _40CONDITIONS �
so as to become subject to the Workers'Compensation Laws. U
CITY 4AA QMI ZIP /g0
Date Applicant-'Ater kwe_z ARCHITECT OR TEL. or
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP ITYPE
DNST. FIRE ED BY O
Exemption, you should become.subject to the Workers' �' 0 6 n' '4 ' LU
Compensation provisions of the Labor Code, you must forth- ADDRESS Q l � n.
with comply with such Provisions or this permit shall be TEL. ' STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR OK7�I NO. 7?[r�SGo Z
LICENSED CONTRACTORS DECLARATION tN LIC. G-3T CLASS NO. _DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS h;.B Sol Im• V NO. s25 Z'4 ) SEWER MAP
(commencing with Section 7000)of Division 3,of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY Iwo&Jruzy.pheus CLASS C-- BK PGVALIDATION
SQ. FT. NO. OF NO.OF CHECK
License Number B25?_4-7Uc. Class G 3�' SIZE STORIES FAMILIES ONE
' VALUATION •
Contractor Ay34T.49Pd-'2• Date • -L`t 7 -&1 DESCRIPTION OF WORK M CW64 C_ NEW ❑ LU
El I am exempt under Sec. E371.5"-'I L 1gkio 1AJ,5,r9CL ADD ❑ ; 7 ►
ALTER ❑
B.BP.C. for this reason !U S l�- a/�w4b- jo a7ccREPAIR ❑ $
Date: USE OF S
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL, J
g OWNER-BUILDER DECLARATION (PRINT) NO, FINAL
I hereby affirm that I am exempt from the Contractor's License DATE .
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT B "
El 1, as owner of theproperty, or m employees with BUILDING y ;
YADDRESS ; `
wages as their sole compensation,will do the work and LOCALITYthe structure is not intended or offered for sale(Section , / ,�[�
7044, Business and Professions Code.) MOVING TEL. Y v ^-t :
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. - - - -
`- �='_ i
j with licensed contractors to construct the project (Sec- � -.2 m
s; tion 7044, Business and Professions Code.) ADDRESS r t-
REQUIRED TOTAL SETBACK FROM EXIST. !-" •' 4_._,i I
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
± I hereby affirm that there is a construction lending agency for FRONT ; Ijl:
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L. -
�'_'
Lender's Name
S LDMA Ref.#
r_,'
P.C. Fee$ Permit Fee r III
ILender's Ad
? 49
I certify at I ave read this applic and state that the Issuance Fee �L/ LDMA P/C# , i L
above' forma on is correct.I oJ
ply with all County Inveitigatio'n Fee
l ordi nces a State laws rellding construction, Total Feejr? L LDMA Perm. #
an hereby thorize re is County to enter
t' u on the - ention' spection purposes.
SEE-REVERSE FOR EXPLANATORY LANGUAGE
Sig-nature liMppitErat or A nt Date
WORKERS' COMPENSATION DECLARATION
•I hereby affirm'fI have certificate of consent to self APPLICATION FOR BUILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab%C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
ElBUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �,eLQ Gv
❑ Certified copy is filed with the county building inspec- BUILDING /Y0 C I r , _,Q �V�
tion department. ADDRESS Lh / o C-L9�
Date Applicant CITY &4 L ZIP fo' LOCALITY
NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ` r
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. �/ MAP BOOK �� 3
hundred dollars ($100)or less.) �4VAI ���� /p ,` TEL.NO.
OWNER ��/ f ,� ASSESSOR PAGE-'0/� PARCEL d�.s
USE ZONE MAP
firT(i—(V al r
I certify that in the performance of the work for which this NO. >_/�/� ,q/� SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS L C'r L/4 U—r? /3 VP ' ` �� CONDITIONS O
so as to become subject to the Workers'Compensation Laws.
CITY C ZIP U
Ix
Date Applicant ARCHITECT OR TEL. DISTRICT �GROUPY
TPE FIRE PROCESSED BY Q
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE U
Exemption, you should become subject to the Workers' ,� p
Compensation provisions of the Labor Code, you must forth- ADDRESS d•Da -3 CL
w
with comply with such provisions or this permit shall be �/1 TEL. STATISTICAL CLASSIFICATION APT. I CONDO. Z
deemed revoked. CONTRACTOR 19LJ Ir NO. oo��
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.�DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG VALIDATION
SQ. FT NO.OF NO.OF CHECK
License Number Lic. Class SIZE 12 0 1 STORIES FAMILIES ONE
• VALUATION
Contractor Date DESCRIPTION OF WORK IPA Fig 1Z. NEW app
El am exempt under Sec. NAC R_t & tv
ADD $
ALTER ❑
B.&P.C. for this reason ���� REPAIR ❑ $
Date' USE OF'
EXISTIING BLDG. A 4t1TAi&n J, DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO.
I hereby affirm that I am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT ,./ By nr•� a
BUILDING c-p ao W&cl/0 �.(/6 0k� C/I7rP`W1 n_'-'�
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and / Y(_ 1-J-471
the structure is not intended or offered for sale Section LOCALITY I
7044, Business and Professions Code.) ( MOVING TELL����,, , G �O L ] i iE{',
CONTRACTOR NdO�� TOTAL
❑ I,as owner of the property,am exclusively contracting -��� a
with licensed contractors to construct the project (Sec- (O AL
tion 7044, Business and Professions Code.) ADDRESS - i
REQUIRED TOTAL SETBACK FROM EXIST. r r.
CONSTRUCTION LENDING AGENCY YARD HWYEij; -•t
SET BACK PROP. LINE WIDTH r- •t"s
I hereby affirm that there is o construction lending agency for FRONT t hANG7E '
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name WIDE 51075
i J L 9/Lti.'y'
$ �� LDMA Ref. q
t /
s Address P.C. Fee$ Permit Fee €(-'r
Lender' X11 '='y
I certify that I have read this application and state that the Issuance Fee AI LDMA P/C# ,
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
and hereby authorize representatives of this County to enter
upon the above-m ntioned property for inspection pu`rrposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Appilcoh or Agent Date
Iw
T,5 WORKERS'COMPENSATION DECLARATION
*,thereby affirm that I have certificate of consent self APPLICATION FOR BUILDING PERMIT
insure, or a certificate.of-Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab-C.) ' COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
ElBUILDING
Certified copy is hereby furnished. // FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING k.6 l O ��LC,d„�p 1/t•
tion department.
CITY u( ZIP ��,�0 LOCALITY
Date Applicant NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR 7
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK RO6 PAGE d�lf PARCEL�o�
hundred dollars ($100)or less.) iii E CO- NO'�RV'47-i iP USE ZONE MAP
OWNER � (f�,�� NO. ��O o2
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner ADDRESS (4d L �ALL�Y ���� '� SPECIAL
��/�c pe� Q CONDITIONS O
so as to become subject to the Workers'Compensation Laws. CITY �rlr-`Qr`"T f� ZIP (17#T U
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ty
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE
Exemption, you should become subject to the Workers' U
Compensation provisions of the Labor Code, you must forth- ADDRESS a
with comply with such provisions or this permit shall be S NO. STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR ��� _
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 2 (_DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ. FT. NO.OF NO.OF CHECK
License Number Lic. Class SIZE 1 S 2 STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK APO 0� R NEW I❑ $ 4-S-010 ,
�� �cv
❑I am exempt under Sec. Ad��,/1�A, A,'S Df=�1 LZ' ADD Y� ►
ALTER ❑
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. A A4 S DEMO' ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. DATE
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT T ByI.,i; q.
I, as owner of the property, or m employees with BUILDING�� 0 wND A `�CITY
P P Y� YADDRESS353107
S'.•.!e..
wages as their sole compensation,will do the work and � CV l�
LOCALITY
the structure is not intended or offered for sale(Section •�- � ��L
7044, Business and Professions Code.) MOVING TEL !/lryrv1�10 UlQ
CONTRACTOR NOW(� 7_OW7 c
❑ I,as owner of the property,am exclusively contracting �„�(�.-� � j=1T•t�L �;„Y,�.-„s m,2. e
with licensed contractors to construct the project (Sec- ADDRESS -
tion 7044, Business and Professions Code. C C`•3 '3C
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH s}��; 1;3._ oLL_
I hereby affirm that there is a construction lending agency for FRONT
CHAP.—
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L. { 't, •�,►
Lender's Name
3 P.C. Fee$ Permit Fee LDMA Ref.# 937/•, y A;,t ;i
Z.
Lender's Address
I certify that I have read this application and state that the Issuance Fee LDMA p/C#
above information is correct. I agree to comply with all County Investigation Fee / n
ordinances and State laws relating to building construction, Total Fee a �, Os 5 LDMA perm. #
i and hereby authorize representatives of this County to enter
upo1)the above-m nuoned property for inspection purposes.
/�?f�... e�--fJ C,46�•+r-I') r�� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicbht or Agent Date
COUNTY bF LOS ANGELES TEMPLE CITY # 0508 -BUIL"DING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPA-IR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9909080028
PHONE: (626) 285-0488 EXT:
GAL D: NO. OF CONST BUILDING ADDRESS:
TR: 10898 LT: 29 BL: .001 SQ. FT STORIES TYPE 5620 WELLAND AV-
STRUCTURE: 0 VN TEMP CA 917802951
ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET:
8573-019-025 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TE S G SE: RESID USE ZONE: -5 TS-S-90—Off T. PROCESSED BY: EXPLRES ON:
EXIST OCC GRP: 09/08/99 UT 03 6/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA BY: CODE:
SANDHU HARGURPAL;HARMINDER (626) 287-9218- 1 12,500
4814 KAUFFMAN AV '
TEMP 917804244 FEES P D SCR PTIO OF WOR
APPLY NEW CAP SHEET APPLICATION OV EXISTING LAYER
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
MARCEL DES ROCHERS (626) 674-2414- AA BLDG PERMIT ISSUANCE 27.75
894 SANTA MARIA CIR AC STRONG MOTION RESID 12500.00 VAL 1.25 SPECIAL CONDITIONS:
DUARTE, CA D2 PERMIT W/0 N- 1:2K0.00 VAL 267.00
CONTGELE�Tco F S 296.00
MARCELCDES �ES ROCHERS (818)N303-5187- �0� V��y APPROVALS DATE INSPECTOR SIGNATURE
894 SANTA MARIA CIRCLE LIC. NO LOCATION D SETBACKS
DUARTE, CA 91010 383366/8
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: L. NO: - �� 0 NDAT ON C 0 S
LIC. NI 1111111 SLAB/UNDER FLOOR
�J WAS—ED FLOOR FRAMING
150H277 SEWER MAP BOOK: PAGE: FIRE ZONE: ��ir,�n n � n R��O n n`/(7 � UNDERFLOOR INSULATION
NO. OF I S: D ELLING UNITS: CO D: ST CLASS--;-
NO
L SSr U ILIA \J ILl�llALJ; FLOOR S THI G
NO 21V� —_ ROOF SHEATHING
SCHOOL WITHI HAZARDOUS \ 6? 0 %1��1i SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS 0 �jrp'r
NO NO NO --�����K f/y FRAME INSPECTION
REQUIRED TOTAL S RO EXIST [� II//t� FIRE SP I N ER G RS
SET FRONTSere
ACK PL- YARD: NWY: PROP LINE: WIDTH: ❑� �� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR / A
EXTERIOR LATH
RATED FLOOR/CEIL ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508
1 c
COUNTY S 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 9909080026
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 10898 LT: 29 BL: .001 SQ. FT STORIES TYPE 5610 WELLAND AV
STRUCTURE: 0 VN TEMP CA 917802951
ASSESSORINFORMATION NUMBER: NEAREST CROSS STREET:
8573-019-025 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT: IST BLDG SE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: E 0
EXIST OCC GRP: 09/08/99 UT /06/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
SANDHU HARGURPAL;HARMINDER (626) 287-9218- 1 12,500
4814 KAUFFMAN AV
TEMP 917804244 FEES PAID �SWCRIAPIONOF OR
APPLY NEW CAP SHEET APPLICATION R EXISTING LAYER
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0•
MARCEL DES ROCHERS (626) 674-2414- AA BLDG PERMIT ISSUANCE 27.75
894 SANTA MARIA CIR. AC STRONG MOTION RESID 12500.00 VAL 1.25 SPECIAL CONDITIONS:
DUARTE, CA D2 PERMIT W/O EN- C==MM!!Z�42500.00 VAL 267.00
CsELESTacr® s 296.00
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
Gj
MARCEL DES ROCHERS (818) 303-5187-
894 SANTA MARIA CIRCLE LIC. NO LOCATION AND SETBACKS
DUARTE, CA 91010 383366/8
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: 0: - / / OUNDATION/TRENCH FORMS
LIC. N .lr 1111111 SLAB/UNDER FLOOR
L'- RAISED FLOOR FRAM NG
150H277 SEWER MAP BOOK: PAGE: FIRE ZONE: c,'
Mp �n n n n ���O UNDERFLOOR INSULATION
c L U D ILIA IU�UC LLLJJJ FLOOR SHEATHING
0. OF FAMILIES: DWELLING NTS: CO S A CLASSti—
YES 21�� O ROOF SHEATHING
.r•�� n��
SCHOOL WITHIN HA R 0 S e+,� O ;�.fi t� *,, SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS ! ❑
NO NO NO }���;:I FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST TIRE—SPRINKLER HANGERS
SET BACK YARD: O
HWY: PROP LINE: WIDTH. 6/j ❑_ SI
FRONT PL- C Service � INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR
L-
I T IOR LATH/DRYWAL
EXTERIOR LATH
RATED 00 C I SS M.
RATED WALL ASSEMBLIES
RATED S A S/OP N GS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS05O8
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 0202120024
PHONE: (626) 285-0488 EXT:
LEGAL ID: 0. OF CONST— D S :
TR: 10898 LT: 29 BL: .001 SQ. FT STORIES TYPE 5610 WELLAND AV
STRUCTURE: VN TEMP CA 917802951
ASSESSOR NEAREST CROSS STREET: LIVE OAK
8573-019-025 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
TENANT.- E IST S SI E: R-2 ISSUED0 PROCESSED BY: EXPIRES ON:
UNIT 16 EXIST OCC GRP: 02/12/02 JK 08/11/02
OWNER: TEL. NO: BLDGS. NOW ON OT: VALUATION: FINA DATE FINAL BY: CODE:
SANDHU HARGURPAL;HARMINDER (626) 287-9218- 200 9_-4814 KAUFFMAN AV W� 0--2_
TEMP 917804244 FEES b ORIPTIOIN OF WORK
REPLACE WINDOW (721IX4811)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
PLICA 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION RESID 200.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC 200.00 VAL 43.65
TOTAL FEES 71.90
i
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVA
ARCHITECT OR ENGINEER: TE 0: F-OUNDA ON/TR CN FORMS
LIC. NO: SLAB,UNDER FLOOR
ISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ONE: CMP: UNDERFLOOR INSULATION
X 3 01
FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: AP CLASS:
YES 21 WOOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION y ��
REQUIRED TOTAL-SETHACK FROM EXISTSPR L H G S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR
L-
I T OR LATH/DRYWALL
EXTERIOR LATH
WED-70"O / L ASSEM.
RATED WALL ASSEMBLIES
A ED S AFTS 0 N GS
T-BAR CE LINGS
LOT DRANAGE
REPORT ID: DPR261 ROUTE TO: BS0508