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Home My Public Portal About5011 BALDWIN AVE_Building__ (2) APPLICATION FOR RELO6''kCI11ON BUILDING PERMIT DMSION OF BUILDING AND SAMY BUILDING ` 1 Department of County Engineer ADDRESS _ f LL LIZ County of Los Angeles /i / 7GAG39 JOHN A LAMBIE COUNTY ENGINEER LOCALITY G / _oaS 79 11 55 CASSATT D GRIFFIN SUP T OF BUILDING NEAREST CROSS FOR APPLICANT TO FILL IN DISTRICT NO GROUPTYPE EWER MAP PROPOSED ^ .., BUILDING 6-O/rf A/ lch ij� CONST ADDRESS�{ ,�` �./ MAP STATE NUMBER HWY YES NO LOCALITY USE ZONE SPECIAL PRESENT CONDITIONS BUILDING ADDRESSl LOCALITY BUILDING EXIST J )' SETBACK YARD HWY STREET NAME WIDTH OWNER �)(d� G�C/�[1/w, FRONT MAIL / P LIf ADDRESS SIDE '' TP L CITY L NOEL ACA SURETY DATE REC D GJ MOVING TEL { BOND$ -77��VV r FILEDBY CONTRACTOR NO / CASH DATE REC D ADDRESS [� DEPOSIT$ FILED BY � J BUILDING % TEL APPROVALS CONTRACTO 6/ VIVO DATE INSPECTOR S SIGNATURE e li)a N FOUNDATION LOCATION (`�L PRESENT " FORMS MATERIALS USE FNG , FRAME FIRE STOPS L D �' '� BRACING BOLTS PROPOSED //,,.�, BUE DOF ING `� t,54- q S FURNACE LOCATION GAS VENTS DUCTS LATH INT SQ FT NO OF SIZE ROOMS STORIES LATH EXT WALL ` ROOF COVERING COVERING zz'S ISE NUMBER COR LEGAL ECT AND POSTED DESCRIPTION I LO NO I BLOCK �Q FINAL TRACT LJ +OF BLDGS DISTRICT NGINE R �� ' fj WORK COMPLETED SIZE OF LOT NOW ON LOT .�,. USE OF I NO OF SURETY BOND \ RELEASED EXISTING BLDG FAMILIES I HEREB STATE THAT THE I FO ON GIVEN IS I HEREBY ACKNOWLE THAT VE READ THIS CORREC APPLICATION AND STATE THAT THE �96VE IS CORRECT SIGNATURE OF ANDA OMPLY WITH ALL COUNTY ORDINANCES 1 APPLICANT AND STATE LA REGULA G1� ONSTRUC � TION � ADDRESS SIGNATURE OF PERMITTEE VALUATION P C $ FEE ADDRES \ �ocn �- d FEE$ JOHN A LAMBIE COUNTY ENGINEER AVDATION CLYD N DI LAM CHIEF B SPECTOR CK MO CASH LAC05 JAN 1525 A 15001V-) LOA) L�'0622511-31 FEB 9 6 A 1200 ></ / v .. A AD DEP PEPPS'I' IS F U112�D � ( 1 FOR ANY PIA-S AL STOPHGC tR WORK ' DONE IN THE POAD RIGHT OF WAY 76A638A CE#a08839 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 1,cJ B=ING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OP BUILDING CROSS ST n-cis DISTRIC NO GR TYPE e: CE SED BY 1 FOR APPLICANT TO FILL IN � e� CONST — BUILDING ` STATISTICAL C SSIFICATION SEWER MAP ADDRESS ® v t �{ BK PG + CLASS NO DWELL UNITS V LOT NO ` v BLOCK MAP //JJ' STATE YE; `NO NUMBER pfd HW TRACT USE ZONE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG BUIL DING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER IV- FRONT �'- MAIL P L ADDRESS /i ` SIDE P L CITY -;MerINSPECTION RECORD r ARCHITECT OR TEL ENGINEER NO CL 10A-pV-- IZ-y fi--AtA PZ ADDRESS TEL �" i gn _ 'i L� S/.9,0 CONTRACTOR NO ADDRESS DESCRIPTION OF WORK NEW DD ALTER REPAIR DEMOLISH SO FT leg NO OF NO OF SIZE STORIES FAMILIES _ USE OF vo STRUCTURE SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE ADDRESS 4 FOUNDATION LOCATION FORMS MATERIALS VALUATION $ FRAME FIRESTOPS BRACING BOLTS PC PMT FURNACE LOCATION FEE $ FEE x GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGRE C Y WITH ALL CO Y ORDINA ES AND > STAT S R GULAT B D G N UCTIOt LATH EXTn SIGNATURE O Y HOUSE NUMBER COR 3 PERMITTE RECT AND POSTED ADDRES FINALr7 11 0 �••�.1 CLYDE N DIRLAM PR CIPAL ST VCK RAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION M o CASH 1 5 3 3 It;N 1 D 600 �P r r � r n 76A838A CE#803662 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS , G BUILDING AND SAFETY DIVISION LOCALITY Q� JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST J DIS T NO ROUP TYPE P C S D BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLA I (CATION S R MAP ADDRESS Q CLASS NO DWELL UNITS JBK (( LOT NO , /j f'Ce. BLOCK WATER ISI"_-_ ❑ CERTIFICATE NOT REQUIRED RECEIVED TRACT 8 MAP NO OF BLDGS NO HC R I STATE MAJOR SECOND LOCAL SIZE OF LOT 77 NOW ON LOT USE ZONE SP IAL USE OF / CONDITIONS EXISTING BLDG e �, -� -1_ Q TEL OWNER /� NO BUILDING YARD HWY STREET NAME EXIST ADDRESS_:5'0/,7/y/ /Sw/h SETBACK WIDTH FRONT it ARCHITECT OR TEL P L V ENGINEER NO SIDE P L d ADDRESS 0 TEL CONTRACTOR NO V) ADDRESS O DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH H Z SQ FT NO OFNO OF SIZE STORIES FAMILIES USE OF STRUCTURE C SIGNATURE OF APPLICANT �►}� VALUATION _ A o0�"� �f� APPROVALS DATE INSPECTOR 5 SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ r 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 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 COMPENSATION INSURANCE-) /i.X/�Y/ �-'�!/ LATH EXT 'Y'� SIGNATURE OF HOUSE NUMBER COR a PERMITTEE �' R E C T AND POSTED ,a ADDRESS / FINAL /Aoy—, / „6_.om JOHN F LEWIS PRINCIPAL'STRUCTURAL EN PLAN CHECK VALIDATION CK M O CASH C;�I R _ PERMIT VALIDATION CK M oCASH L"Co 9 0 3 2 JAN 1 8 1 D 6,00- 10 p r � i �SR - 78A888ACE#803 10118 'APPLICATION FOR BUILDING PERM T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ' BUILDING AND SAFETY DIVISION LOCALITY e—M JD IC `g JOHN A LAMBIE COUNTY ENGINEER NEAREST CROSS ST d lepn C CASSATT D GRIFFIN SUPT OF BUILDING DISTRICT�1 GROUP TYPE P SED BY FOR APPLICANT TO FILL IN 7r , CONST tuki BUILDING t STATISTICAL CLASS CATION SE VER MAP � B ADDRESS CLASS,NO WELL UNITS K LOT NO / BLOCKNUMBER MAPSTATE HWYES O TRACT USE ZONE SPECIAL { _ CONDITIONS ro I NO OF BLDGS r< r SIZE OF LOT NOW ON LOT r USE OF � .- EXISTING BLDG "_ N - BUILDING YARD HWY STREET NAME EXIST SETBA OWNER CK WIDTH ld FRONT Y MAIL 1 P L d ADDRESS_ SIDE TEL - P L CITY C aNO ARCHITECT t ` INSPECTION RECORD O : I TEL TE ' ENGINEER & NO y "' a + ADDRESS TEL o CONTRACTOR AIM O r ^ ADDRESS r - DESCkhPTI014 OF WORK NEW ADD ALTER EPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTUREI,:- SIGNATURE L i SIGNATURE APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE ADDRESS �t FOUNDATION LOCATION _ FORMS MATERIALS VALUATION$ FRAME FIRE STOPS BRACING BOLTS -+ r P PMTFURNACE LOCATION FEE $ I FEE �j �� I GAS VENT DUCTS - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND * ✓�4 � STATE LAW REGULATING UILD CONSTR TION LATH EXT SIGNATUF :)F - \ HOUSE NUMBER COR ' PERMITTEE n RECT AND POSTED ADDRESS FINAL CLYDE N DIRLAM PRINCIPAL STRSJCTURAL ENGINEER ' PLAN CHECK VALIDATION CK ,p O CASH _ PERMIT VALIDATION cK m O CASH s_ ( 2643 °;� SEP15 1 A 600 _� A — — _ Or r r 4 � r 76A638A CE#803 6 6z APPLICATION FOR BUILDING PERMIT r COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT No ROUPTYPE O SSED BY FOR APPLICANT TO FILL IN coNST BUILDING "'�� r f 7 STATISTICAL CLASSIFICATION SqWER MAP ADDRESS / CLASS NO a DWELL UNITS LOT NO �) -� BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED ❑ TRACT G l MAP (()� HIGHWAY STATE AJO SECOND LOCAL NO OF BLDGS NO J` (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXIST TEL OWNER BUILDING EXIST SETBACK YARD HWY STREET AME WIDTH ADDRESS 0 9(/ FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L (- ADDRESS �y 7- ,,��jj [[ O TEL CONTRACTOR NO / !rHt r.� /fid V l�df-/ AOY✓l h �ld �d!/GG1 Q � ADDRESS DESCRIPTION OF WORK r U JJ a NEW ADD ALTER j REPAIR DEMOLISH SO FT NO OF NO OF f' ? SIZE STORIES FAMILIES / USE OF p STRUCTURE 40=k ttg SIGNATURE O APPLICANT VALUATION $ APPROVALS DATE INSPECTOR 5 SIGNATURE PC PMT FOUNDATION LOCATION FEE $ .� FEE $ G FORMS MATERIALS A / FRAME FIRE STOPS OHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS O 7 ANSTATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE 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 CODC OF THE STATE OF CALIFORNIA RELAT INC TO KMEN 5 COMPENSAT ON IN NCE LATH EXT S i� SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL //sAg PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PERMIT VALIDATION CK M O CASH ( L tLo J 2 1 2'112' JAI D 6 00— } TEMPLE CITY' 76A638A CE}#803162 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS A, BUILDING AND SAFETY DIVISION LOCALITY , C. JOHN A LAMBIE COUNTY ENGINEER NEAREST + �' WILLIAM A JENSEN SUP T OF BUILDING CROSS ST L,A- DISTRICT NO GROUP rTYPE PROCESSED BY FOR APPLICANT TO FILL IN 07 CONST ! BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS BK PG qp CLASS NO DWELL UNITS d LOT NO l4e to/ BL WATER NOT REQUIRED RECEIVED CERTIFICATE NO OF BLDGS u -TRACT A A � ` `" E) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG s e� TELL I I \ J OWNER O BUILDING EXIST IA Ll • SETBACK YARD HWY STREET NAME WIDTH ADDRESS 07 114 FONT ARCHITECT OR TEL ENGINEER ' NO SIDE P L d ADDRESS TEL �� U CONTRACTOR ADDRESS i / 0 DESCRIPTION OF WORK W CL rn NEW ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION L r- A A APPROVALS DATE INSPECTOR 5 SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ — 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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF TLL E LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO W`�MPEN SATION IN NCE 7 1 LATH EXT J f�5`�� r,K �� SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED / / ADDRES FINAL �� .%✓�� PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STR_ URAL ENGINEER PERMIT VALIDATION CK MO CASH Ao4 9 6 2- SEP28 1 D 12 00- a r TEMPLE CITV 76A638A CE�}`803162 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY Lo JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST 11161111111111111 DISTRICT Nb GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN - -- CONST Z BUILDINGN STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CJ //''��))_ CLASS NO DWELL UNITS BK PG LOT NO K WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP NO OF BLDGS � NO STATE MAJOR SECOND LOCAL SIZE OF LO NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG S (°Q P/y�_1 TEL OWNER #1NO BUILDING YARD HWY STREET NAME EXIST 1 SETBACK WIDTH ADDRESSAZ ca FRONT ARCHITECT OR P L ENGINEER NO SIDE P L >_ ADDRESS 91' TEL V CONTRACTOR NO Im ADDRESS O DESCRIPTION OF WORK pW, Uf NEW ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF OF SIZE STORIES FAMILIES USE STRUCTURE SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ - 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 I 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 WORKAQ S COMPENSATION INS ICE LATH EXT �1 SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRES FINAL A - gJhl t � JOHN F LEWIS PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK_ MO CASH lAL,04 9 6 1�10 SEP28 1D 400- 14 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL-IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRE S or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP C/14 1 61-7 F0 Policy No. Company LOCALI Y SI OF L T NO.OF BLDGS.NOW ON LOT El Certified copy is hereby furnished. NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS l 11 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER—; /n T L NO. COMPENSATION INSURANCE lr�9 WITHIN 1000 FT.OF SCHOOL? YES No ADDRESS (This section need not be completed if the permit is for one hundred ! ,1�,f-� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) I certify that in the performance of the work for which this permit CIIY , L ZIP 1?/7-90 �`IDf g is issued, I shall not employ any person in an manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CL''SSI//FICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION PILE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW El BK PG , d License Number Lic.Class DESCRIPTION OF W RKADD ❑ VALUATION UCS O Contractor Date VC UZOQP ALTER $ 6 o 0 El am exempt under Sec. REPAIR 1:1 $ - V9Soft') El O E / CE BAP.C.for this reason L DEMOL LDMA P/C# w Date: USE OF EXISTING BLDG. URM ❑ IL Ignature APPLICANT(P INT) TEL LDMA Perm# ' I je .5 Z / �}a 77 f;Y*�) 1,as owner of the property, or my employees with wages as G �✓ Z 1 I 3 E - their sole compensation, will do the work and the structure is ADDRESS I1=1TAL 66-- 45 not intended or Offered for sale (Section 7044, Business and G . FINAL DATE Professions Code.) WILL THEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL {• t J 'n'r_1 ❑ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE..1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FIN t_{ 'j ( E n!Of licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH / f{ {' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR I Drl�v�Q _ 000Cl•'_ILIf l 6/111/Q,-. GUIDELINES. (T (• (J I hereby affirm that there is a construction lending agency for YES❑ NO❑ 13213 1 HIS -,S:04} a the performance of the work for which this permit is issued(Sec. O� I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING -- 3097, Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, w TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. oLender's Address C) OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct. I agree to Comply P.C.FEE PERMIT FEE �� N with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon the a -mentioned propertnspection purposes. dS a m INVESTIGATION FEE TOTAL FEE '� goam�a of Appflc l of Agent Date e SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1112090009 PHONE (626) 285 0488 EXT ILEGAL ID NO OF CONST BUILDING ADDRESS ITR 9848 LT 25 BL 001 1 SQ FT STORIES TYPE 5011 BALDWIN AV I ISTRUCTURE 1600 V B TEMP CA 917804011 1 (ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET 18589 026-038 1 i THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl ITENANT IEXIST BLDG USE RESID USE ZONE R 1 JISSUED ON PROCESSED BY 1 ;EXIST OCC GRP 112/09/11 SR ; (OWNER TEL NO IBLDGS NOW ON LOT VALUATION ; E F BY CODE ICALDERON JUSTO LUCIA (626) 279 1376 2 000 � 15011 BALDWIN AV q—TK4 ' ITEMP 917804011 FEES PAID ID SC.RIPTION OF WORK I IREROOF OVER EXISTING WITH LMPOSITION SHINGLES HOUSE AND I ;FEE DESCRIPTION QUANTITY DOM AMOUNT (GARAGE 1 (APPLICANT TEL NO ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 1 IAB STATE GREEN BLDG FEE 2000 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 2000 00 VAL 0 50 ID2 PERMIT W/O EN HC 2000 00 VAL 82 20 TOTAL FEES 111 50 1��►e. CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER LIC NO 1 (LOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS 1 I I LIC NO ISLAB/UNDER FLOOR Iw I I 1RADED FLOOR FRAMING I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I I 1144H269 3 001 1 1-1 I 1FLCOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 1 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHE-R PANELS 1AIR QUALITY 1000 FEET MATERIALS ; 1 NO NO NO 1FRAME INSPECTION 1 ;FIRE SPRINKLER HANGERS I � I ;INSULATION/WEATHER STRIPI ' s 1 iINTERIOR LATH/DRYWALL ;EXTERIOR LATH ; (RATED FLOOR/CEIL ASSEM IRATED WALL ASSEMBLIES 1 I 1 IRATED SHAFTS/OPENINGS I IT BAR CEILINGS ILOT DRAINAGE I I I 1 (REPORT ID DPR261 ROUTE TO BS0508 s