Loading...
HomeMy Public PortalAbout6248 AVON AVE_Building__ " COUNTY OF LOS ANGELES TEMPLE CITY # 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 1006140055 PHONE (626) 285 0488 EXT (LEGAL ID 1 NO OF CONST NEW J BUILDING ADDRESS 1 ITR 5903 LT 39 UN 002 I SQ FT STORIES TYPE OCCUP GROUP( 6248 AVON AV 1 I (STRUCTURE 1077 1 V B R 3 1 SGAB CA 917752608 1 (ASSESSOR INFORMATION NUMBER 1 GARAGE 640 1 V B U J NEAREST CROSS STREET LONGDEN J 15386 009 009 J OTHER 80 1 V B U I THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY Cl ITENANT JE}IST BLDG USE USE ZONE (ISSUED ON PROCESSED BY J (EXIST OCC GRP 103/09/11 SR J (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF AL DATE, FI Y CODE J 1GOH MICHAEL 1 174 200 1 / � 6248 AVON AV ISGAB 917752608 I FEES PAID ID SCRIPTIO OF WORK v1 I (ADDITION OF (2) BEDROOMS (2) BATHROOMS DEMO (E) GARAGE J J IFEE DESCRIPTION QUANTITY UOM AMOUNT IBUILD ATTACHED 3 CAR GARAGE NEW ENTRY PORCH AND REMODEL (E) J (APPLICANT TEL NO I 1BEDROOM AUDITING NEW CLOSET 1 (MARK HOUSTON ASSOCIATES INC (626) 357 7858 JB1 PLANCHECK W/ENERGY 174200 00 VAL 1 667 85 I I 1135 W FOOTHILL BLVD JAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS _ J (MONROVIA CA 91016 JAB STATE GREEN BLDG FEE 174200 00 VAL 7 00 I JAC STRONG MOTION RESID 174200 00 VAL 17 40 I I JB2 PERMIT W/ENERGY 174200 00 VAL 1 959 40 I (CONTRACTOR TEL NO I TOTAL FEES 3 679 45 (APPROVALS DATE INSPECTOR SIGNATURE I (CHRIS WILLIAMS (818) 903 7053- 1121 S MOUNTAIN TR AVE LIC NO 1 (LOCATION AND SETBACKS J (SIERRA MADRE CA 91024 711380 B I I J (SOILS ENGINEER APPROVAL I I JARCHITECT OR ENGINEER TEL NO J (FOUNDATION/TRENCH FORMS �I (MARK HOUSTON ASSOCIATES INC (626) 357 7858 1 1 I �I I (CARL WILSON LIC NO I JSLAB/UNDER FLOOR I I 1135 W FOOTHILL BLVD STE 5 32340 1 1 I (MONROVIA CA 91016 1 IRAISED FLOOR FRAMING J IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 IUNDEPv-0OR INSULATION I 3 0)1 I - J I _1 11ST LEVEL FLOOR SHEATH INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I NO 21 1 uAey 12ND LEVEL FLOOR SHEATH I I I SCHOOL WITHIN HAZARDOUS �� ,.. � (ROOF SHhATHING JAIR QUALITY 1000 FEET MATERIALS I I J NO NO NO e l IFIRE DEPT FRAME INSPECTI I yet `1( JBLDG DEPT FRAME INSPECT) I I I I I I (SHEAR PANELS J I I I +I I I J JINSULATION/WEATHER STRIPI I I I ~ JINTERIOR LATH/DRYWALL 1 I 1 1EXTERIOR LATH I ILOT DRAINAGE J J ISMOKE DETECTION DEVICES I I I I IFIRE DEPARTMENT APPROVALI I1 11 I I I 11 I (REPORT ID DPR261 ROUTE TO BS0508 A uI I I I I i COUNTY 110F LOS ANGELES TEMPLE CITY # 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 0011090047 PHONE (626) 285 0488 EXT GAL ID NO OF CONST D NG ADDRESS TR 5903 LT 39 UN 002 SQ FT STORIES TYPE OCCUP GROUP 6248 AVON AV STRUCTURE 300 1 VN R3 SGAB CA 917752608 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET LONGDEN 5386 009 009 OTHER THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY TE -ERT-ST BLDG USE USE ZONEISSUED ON PROCESSED BY UPI MTN EXIST OCC GRP 01/04/01 UT 07/03/01 OWNER TEL NO BLDGS NOW ON LOT VALUATION FIN DATE A CODE GHO RENE (626) 286 2291 1 21 000 6246 AVON AV 23 Zoo SGAB 917752608 FEES PAID DESC P ION R ADDITION OF FAMILY M 00 S FT ) FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO AMTECH CONSTRUCTION (626) 398 8242 AA BLDG PERMIT ISSUANCE 27 75 1188 E WOODBURY RD AC STRONG MOTION RESID 21000 00 VAL 2 10 SPECIAL CONDITIONS PASADENA, CA AX BUILDING REVEW9FEE 54 70 B2 PERMIT W/ENERGY"'-X21000,00 VAL 441 54 ZIELE�TOTA-L-FEES 526 09 AMNECHCCONSTRUCTION CO (626) 398 8242 ®TOR TEL NO � ����� APPROVALS DATE INSPECTOR SIGNATURE 1188 E WOODBURY RD LIC NO LOCATION AND SETBACKS PASADENA CA 91101 5475876 G SOILS ENGINEER APPROVAL ) AAz RCHITEC OR E G TEL NO FOUN 0 N 0 / LIC NO d J lllllll SLAB/UND R FLOOR L� TATIMD FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CM01 %U O WC �/n��lry u� UNDERFLOOR INSULATION NO OF FA DWELLING NITS P CLASS u �J U FLOOR SHEATH Nl7a��I NO 21\�\n Dx ND LEVEL FLOOR SHEATH L SCHOOL WITHINHAZARDOUSO12�! ROOF SHEATHING AIR QUALITY 1000 FEET MATERIALS \ zg >tY . su NO NO NO 0 �I FIRE DEPT FRAME INSPECT REQUIRED TOTAL SETBACK EXIST BLDG DEPT FRAME INSPEU SETFROBACK YARD HWY PROP LINE WIDTH �ofe �� V4v�`��® SHEAR PANELS ZSp Oc) SIDE PL 2t) INSULATION/WEATHER STRIPJ IiA1 INTERIOR LA /DRYWAL EXTERIOR oa LOT DRAINAGE OKE DETECTION DEVICES IRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO BS0508 r' 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 0506200009 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 5903 LT 39 UN 002 SQ FT STORIES TYPE 6248 AVON AV STRUCTURE 20 VN SGAB CA 917752608 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 5386-009 009 THOMAS-PAGE 596 GRID G2 LOCALITY TEMPLE CITY C I TENANT EXIST BLDG USE RESID USE ZONE R 1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 06/20/05 JK 06/15/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FIN4AL DATE FINAL BY CODE GOH RENE (626) 255 6998 9 000 6248 AVON AV �j J �` SGAB 917752608 FEES PAID } DESCRIPTION OF WORK REROOF HOUSE GARAGE REMOVE THE EXISTING APPLY 30 YEARS FEE DESCRIPTION QUANTITY UOM AMOUNT COMPOSITION AND FLAT APPLY TORCH DOWN APPLICANT TEL NO DEARDEN (626) 287 0669 AA BLDG PERMIT ISSUANCE 27 75 4251 BLADWIN AC STRONG MOTION RESID 9000 00 VAL 0 90 SPECIAL CONDITIONS EL MONTE CA 91731 D2 PERMIT W/O EN HC 9000 00 VAL 199 80 TOTAL FEES 228 45 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE WEATHERGUARD ROOFING (626) 287 0669 4251 BALDWIN AVE LIC NO LOCATION AND SETBACKS EL MONTE CA 91731 808888 C39 ` �. SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS r LIC NO SLAL/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 153H269 3 01 FLOCR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEPR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRP SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSULATION WEATHER STRIP SIDE PL _ INTIRIOR LATH/DRYWALL EXTERIOR LATH RAT}D FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T BAR CEILINGS LOTI DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 I I 1 r ;1; �111�hmjjm!m Jill DEPARTMENT OF BUILDING AND SAFETI APPI ICATION FOR PERMT � I COUNTY OF LOS ANGELES s t WM J FOX CHIEF ENGINEER BUILDING PLANEpLOG FIRE DISTRICT No PLAN CHK FEE PERMIT NO FILED �CT>2 ZONi ZOr[ RCC PT O TYPEOF1=1lLl• ��� KI-00G 1 11 III IV / X GROVP I !`�1 DATC OF APPY` , RECEIVED 9,0 OATL SUED BLOL. SETBACK LINC ORD xo �f J t/ /�II ...+�� APPLICANT' FII L IN HFAVII I_OUTI INLD PORTION ONI I C eUILOINa- 0 SI NAME ADDR E65 L// r V Q Z ADDRESS LOCALITY = 01 NEAREST V y CITY CR09S 6TSTATE j < ( L CENRE NO TrL No Ir _ NAME r4/r xZ W MAIL L)t) I NEME _ �rI r�^� 3 ADDRESS D C ADDRESS �,/ 3 �r // 1 • �'�,! t CITYy r • r r� fTEL Iq0 - �,/ ! �S 0 1 CITY y`'ry r t /I ! .+ r'tl J d 1 nT �t�l +� I SIZE OF LOT ! r <¢ ..- U LICENSE NO f �I 1 r TEL No >• J,iDU I NO OF YLDGB �- J� BLOCK I Now ON LOT �•�/�"� Ills D .J� Q USE OF eLOG r CLASS OI' NORM TRACT NOW ON LOT DESCRIPTION OF IVORK NEW ADDITION 1 _ DEI�tOtl3M ALTERATION —_ REPAIR i--- MOVI►4G '^ -fL �7`"`G! USE OF NO .rF BLDG _� ROOMs Y 61ZE OF I STORIES No OF BLDG S,�Z F."Pure I (,ORREC.TI NS I I `rI4 r CP CTFTC millNcz '1 FOUNDATION 1 EXTERIOR PIERS ,,,_,{ {•fi MATE-IAL .'�i c 1 \ `�)� y-+r a��' y �''�.`"' +... �iC./ �C'!:.`.+k ^.a 4� ` • `�.. �Y�.,�;r..AYI {1 - i'*A- �t S.'c�'�✓J"-�•.Ryo�.y Ir��r / �� ala CKNr4!_E'�TTnM J DEPTH IN GROUND _Z SUPERSTRUCTURE d 61 / SPACING SPAN 'z R W P3 LATES (SILL) lGlrzorR JOISTS FLOOR JOISTS—CEILING �,t•�' SEARING WALLS PARTITIONS ROOF PAFTERS FINAL APPROVAI. S LL MOLL co EQI('C <'_ / 7 7 t I -� DA IN/RCTOR 0 wAwr de / lo WALL ROOF ��t��E�� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TNtf APPLICAI AND STATE T-AT T"! ABOVE 13 C01t1ttL7r CD AND AGREE TO COMPLY WITH ALL COUNTY ORDINLhCVS `P C FEE-S? ND STATW$AGtrU IN B 1L Na CON eo- VALUATIONS p Q ` ala FEE S orvwcR ow TmoRlEro •or"? 00-7 8-28 I y11. C r A J1915 e DEPARMENT OF BUILDING AND SAFETY Da-3 0-40 211K APPLICATION FORT PERMIT COUNTY OF LOS Al GELES B U i i D i t� � L WM J FOX CHIEF ENGINECR NO OF A / BLDG ORD NO DISTRICTT10." PLAN CK NO ,IPERMIT NO PLANS ✓ SETBACK LINE FIRE APPROVED ZONE BY DATE RECEIVEDtHY DATE OF''APPL DATE ISSUED uCNE 1 BYSE APPROVED DATE 1 1 SLS I/ // j / / /`J- �— APPLICANT III.I, IN HEAVILY OUTLINED YORlION ONLY ¢ BUILDING O y NAME ADDRESS UbA 1/1 w TT Z� ADDRESS LOCALI �. r'�^i .L/�r f'f e_ ~ D NEAREST J� U W CITY CROSS LT !� �1-►'�.T���'�' `-'� < STATE TEL LICENSC NO NO / W NAM ! Y f i'+-�` 7C.r• •i ` � / 3 �/ MAIL t AME O ADDRESS i► f.�. Ai - MOVE s U __ < ADCREGS L, i r— CITY � - V � = 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U CITY _ —� APPLICATION AND STATE THAT THE ABOVE 18 CORRECT STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ILICENSC NO NO AND STATE LAWS REGULATING BU -DING CONSTRJCTION .�. f Ir SIGNATURE OF r/� 7 fI -_ ZZ� LOT NO SIZE OF LOT '! 1 O OWNER i // 1 F NO OF SLOGS AUTHORIZED A ' O 6 -LOCK NOW ON LOT JUl -RA-T �9✓ 7 (,ORRECT ONS WI lr uac LLC--- INOW OA LOT ,�,>_ f I)vSCRIPTION OF WORE cz- 0 `1 N NEW TYPE �+ GROUP 0 AL-Z-A-f Ctt POOMS � FA/M�ILIES ADDITION Y SIZE' / V oEpArR STORIES MOVING I WALL COVERING DEMOLIRH I A^^R COVFgINn s -�- P S `" -FINAL APPROVAL FEE INSPECTORS ./} VALUATION ! >� FFF ✓ 1 nATT I NAME BUILDING ADDR[I.S O APPLICATION LOCALITY S• �- DIVISION OF BUILDING AND SAFETY N[AR[eT 0 O 1 CROS ST )DCpaifT11CRt of County Engineer DISTRICT O. RECEIPT NO. Pca"rr No. County of L 1 I,** A.-!rr]P 1 j7y_�� :z vl#M J FOX. COUNTY ENOtweeR OROuP D♦ re RECEIVED OAT!ISS&I CASSATT O ORIrrIN RUPT Or ■UILO1108 I)^ L I FOR APPLICANT TO FILL IN TYPc RECEIVED BY 1 rD!Y OWNER ' _� MAIL L 1 NUMBER 7 00 Ll STAT �� N ADDReaO 4) UBe ZONE BPLCIAL TEL. CONDITIONS CITY Nn, :Loco ARCHITECT OR TEL ENOINeew N0. •UILDIND YARD RWY STREET NAM[ GIRT ADDR[R� BCTBACK MOT" rRONT + CCN•RACTOR t DATE I CORRECTIONS I INSPt�rOR --ADDRUILDIxii Ise LOT MCL /�' `�,Q �j f- -3? BLOCK BLOCK I i TRACT L/ N0.or BLOOS. RIZ[ Or LOT N D OW ON LOT use or "1817ING BLng DESCRIPTION OF WORK 1 _ o NEW ADO ALTER RCPAIR OCMDLISN rT YQfE STORIES r_AMIOLIEt__ r 1 use or S'TRUCTt1Rc -f I I 1 MERERr ACKNOWL IEDOi THAT 1 MAVC WOAD 7NM A/r PLICATION ANO STATE TMAT Td' INrOAMATI" Urd" Sq APPROVALS iliY[GTOWS SIOMATURIE ?AT= CORRECT 1ACWCC TO CCMPLV MITIi ALL CIINTV QRDINANCA rOLMDAT1ONI LOCATION AMD STATE NS 11190M.A •UILDIND Caam MICTIM rORMS.MAT90"ALS rRAM91 rI*9 STCW16 • SIOMA'rU*T Of sat / RRAQINR.9M- 11V F[sM -Lws^ Air qp YRMACEt LOQATION. I VZXT.:) Ao01n'w_, AifPMOS1I�D AIT_ 4 1 LAY& m >s is s MONS[wwwtf Dow VatiMTM1M � �M� �� AAM10b S." D 1pAa?7AM Of COUNTY IIrGIIQL F � BUILDING DIVISION OF BUILDING DING AHS SAFETY Comm or un "GEM f WILUAM J FOX Coumw ENatmem APPLICATION CAGOATT D GRIMM SUPT OF BVILMNS FOR APPLICANT TO Fnl IN FOR OFFICE USE OWLY 018"=NO Pa*w 110 PERMIT NO RUIL r l I /^ RECEIVED BY DA/TE O r APPL. A+, -Ms@ ICn LCA. Y4 EA PEZWT AO CRO"WT. eu1LDIMU ADORE" �o A,/ OEWt MAIL - , L ► j i - LvCALfT Y /✓ C A NEAREST rAnc:MFTZCT - / TELCROs"r T O +OR14 ^ TEL �_T PE QRaOV� lL7t ZONE >E BLDG ORD No SETBACK LINE TEL U"E !— APPROVED AcTOR �_ F e mg. ZONE ire PATIF HOusc HUMSERING B LZMAL , � ;� I MAP NUMB O ASSIONE0 BY_ =Z..=..."T 014 LOT Ham. �`.� 8t,7CX -. , r � CORAF.CTIONS !L srz= GF L.:. 4ow 9weim N USE or no Dc NO eLDa 1 wrt -- — r DESCHMnO1t OF WORK cw ALTERATION I AD ` C 2 -- r �p R No OF ROOM" STOW 911 94:T MALL I ROOF EZ /1 ' 4,MG COVERINa r —.ted fes —•= use OF INTRUCTURC --- — X�4 A o v M s e ' APPROVALS - � 1*ONNOAT10Kt LOCAT7QM� rr MWINW HAWRIAL6 Y f '/ S' rrLi PLICAT�IC)" AMD (TATs VWAT T"fmy T IrM/ORAtATICI l OIY=N 14 I'RAMR, /IRE sTOPe. Mom cxxutscr FURtucsf LOCATTO01 MOL ee TO COM>:L7 WIT" L CdIlNT1 O>mAOAMCEf ARIL STAT! LAws nVOULATl946MOPP TRlICTIOItV%PtT --t ffOMAlrults or �� LATK IMT LATK am �- � � � wI�It4s+IL esT 1 t1•IWisT�l ns • '� 'r I*1J1�. / .. �6,( - t/•♦� c Es.w"s Ames s•ss _ 1 w w Dl?1L8TMZlR Or CQQN't! ERCIIfLM ' j DIVA N OF BUMDING AND SAFETY COSJ m cr LOQ ARc;= BUILDING -5c WIL UAM .! FOX. COUNTY 6Ma1NRiR AMCATION r"A^rr D GRIMM ou"or Bvtt.a ils FOR APPLICANT TO FlU IN FOR OFFICE USE ONLY ' 8UILDINa -X . / A Dis"ICT NO �PaAX CK on Pur-No P[RMoT MO. R _ AGOR[s3 + �"� fd "/J 1 ISI 2 3 9 •e I..00ALfTY 1A1, ,` r t-- R 1 ti'. D -[OP APDL DATE tfl<iJ>9 k� c os c7 1� i'�. '�L!' Coy a�. `3 2-7- 5 �1 sullAtna ^ � n OWNER ARc1 GH A[1DR[ff ,Q MAIL LOG. -ITY ADDRIC04 �M NiAREST CITY GRA!Sr ♦ ( f�/ i ARt:HtrYGT OR / TEL FIRE NO OP TYP[ e GROUP y� ENOIN[[R J .Ip ZONE PLANS y� i � tsLDcl � off D,ao _ ADDREW f[TLACK LIN[ COlK1R1RCT�0!t t' t J1i'C��,iJ i NO - -%s:. Ust ` APPROv[Ot DATE �y J c) f?►. /L "OJs[ NUMBERING ADDREMS LEGALMAP MUM8 010_ NO ASSIGNED BY_ _ 7" DESCRIPTION LOT"­347BLOCK C�'l88EC.TIC'fiR TICAL'T h l cl V lNO OP ouxw SIZE OF LAT S U ��� I NOW ON LOT USE OP �� ( NO OF 1 OCI Na BLOa •�� � DEN.AWLION OF WORK O NEW IALTERATION 1 ApOt � .� � . ►"� � � � C _ � ' -ti R � REPAIR DEMOLITION � t,O/1~ ti • �'•��:� ' L/ � i so PTNo QP ftz[ ,✓ mooms III IIt ,! EXT WALL Ro'W INaCoy USK OP GTR uCTURB All r 1�PP..OYAL3 'S SIGNATURE P'OUNDATIOMs LOCATION r L�.. •sn a y J I 14 VMT I NAt/s ft"D T/IIG Aft P7tAnts rMt@TWW vLICATNM WWSTATt TVMT -W nCPOOtUATIOM *r#m »eT I oow�v w/TIl ALL CovNTv I1PRl1ACs+LOGtTitfll. _ AMO ATt LATYO Rte..t.ATgIN e- I LAT". toff - t HAVP OMATURS OI471 moult LAT".M.Am •.� -_� j/" RJ1GTAIL Off � •�� A4ffl1 A17 A. �— AA,T=L 91 11 MI oI CM. 1 F BUILDING 76A638A (:E#603 6-63 APPLICATI N O OR BU LD NG PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ; p BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT ND: G OUP TYPE P CESS D BY FOR APPLICANT TO FILL �` G coNsr. ,�/ t BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESS / l GP p CLASS. NO. DWELL. UNITS 'J LOT NO. / 3 BLOCK WATER NOT REQUIRED RECEIVED ❑ L CERTIFICATE: TRACT J� p,.� MHIGHWAY NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USE ZONE PECIAL USE OFCONDITIONS EXISTING BLDG. (j� ,44G?-E + r TE OWNER / NO BUILDING YARD HWY STREET NAME EXIST. �r l� (!'V SETBACK WIDTH ADDRESS . /V 7 ARCHITECT OR TEIL. P. L. a•Z tI .S C,� ENGINEER NO. SIDE P. L. ADORES S CURB, GUTi , s ! To I EE REQUIRED CONTR rCl N ADDRESS S j� L rC _ roacto OAC curb, gutter, si.cvrY: �. .,`,,"d Dopt., Alt3dcilla 0 DESCRIPTION OF WORK ote: Permits for L- A allations should ;n. {;airy In C V Co. Engineers and is not startaj LU NEW (<DD ALTER REPAIR DEMOLISH Survey D^slop +ol. ormit at T. H 54. FT. 4�/L NO. OF NO. OF / lengthy delay' Apply for parkway treo p Z SIZE .— S ORIES FAMILIES ntil Perml as i. USE OF STRUCTURE •C/� '.�_ �r '�' I�� ��'///iC�_. d SIGNATURE OFAPPLICANT VALUATION ' VALUATION $ �i?---rr-s� �G J / 115 APPROVALS DATE INSPWT,913S.S_IGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ LC FORMS, MATERIALS FRAME: FIRE STOPS, y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1✓ �/'--� 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 CONSTRUC ION. I CERTIFY THAT IN DOING THE WORK ti yv AUTHORIZED HE BY I WILL N E O ANY PERSON IN VIOLA- y TION OF THE BO CO C OF A •CALIFORNIA RELAT- LATH. INT. ING TO WORK 1 ONSA ERE SIGNATOR OF UMBER COR-PERMITTEE _ ND POSTEDADDRESS JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK/ M.O. CASH �Abo 0 6 5 2 f-018 1 D 4 8.75- /7 .75~AL ' 77 �� � �r cUjl �F i�✓ r ;i�..p r�t� ce t°�� c✓- WORKERS COMPENSATION DECLARATION h hereby affirm that I have certificate of cto self APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compensation In insurance or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished BUILDING 11FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec BUILDING / L tion department z ADDRESS Z r O L.7 LOCALITY NEAREST Date Applicant CITY �LC ZIP 75' CROSS Si do CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT D ZOO NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO !� I � TEL _/ V Jy' SPECIAL I certify that in the performance of the work for which this OWNER AL NO 7-�v CONDITIONS DISTRICT GROUP TYPE FIRE PROCESSED BY O permit is issued I shall not employ any person in any manner '= CONST ZONE U so a/s,,t beco a subject to the orkers Compensat L ws ADDRESS �O CITY �T ZIP �� v �� 0 Date Applicant STATISTICAL C SSIFICATION APT CONDO F- ARCHITECT OR TEL NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO CLASS NO DWELL UNITS W Exemption you should become subject to the Workers d Compensation provisions of the Labor Code you must forth4A ADDRESS SEWER MQP with comply with such provisions or this permit shall be VALIDATION Z r TEL deemed revoked CONTRACTOR © �� NO BK PG LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC 0r Professions Code and my license is in full force and effect CITY CLASS pop.SQ FT r NO OF NO OF CHECK License Number Lic Class SIZE / STORIE+SI, FAMILIES ONE 1cn Contractor Date DESCRIPTION OF WORK WQ�Y NEW Imo{ $e; ®O m ❑ I am exempt under Sec ,� y^rf ADD E3-�� ALTER ❑ FINAL B 8P C for this reason ❑ -DATE REPAIR USE OF Date EXISTING BLDG DE OL ❑ By Signature APPLICANT TEL Y OWNER BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS 00. Professions Code) R r 9 BUILDING / I as owner of the property or my employees with ADDRESS / wages as their sole compensation will clothe work and A the structure is not intended or offered for sale(Section LOCALITY A G 7044 Business and Professions Code) MOVING TEL I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS 7j LG 9 8 p tion 7044 Business and Professions Code) REQUIRED TOTAL YARD L SETBACK FROM EXIST HWY F* CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH # o 0 0 0 0 j hereby affirm that there is a construction lending agency for FRONTpoll- the performance of the work for which this permit is issued P L o a 8 7 3'8 (Sec 3097 Civ C ) SIDE ' 0087385 P L 0 Lender s Name 0'7 0 8-8 3 Lender s Address PC Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee a above information is correct I agree to comply with all County Investigation Fee q. ordinances and State jaws relating to building construction Total Fee .�---U—� Y1 and hereby authorize representatives of this County to enter pan he above entioned pr rty or inspects n p- a i,,, SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s i _ a WORKERS COMPENSATION DECLARATION hereby affirm that I have a certificate of consent self �� = APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compensation Insurance r or a certified copy thereof (Sec 3800 Lab C ) r COUNTY OF LOS ANGELES BUILDING AND SAFETY ' Policy No Company ' Certified copy is hereby furnished FOR APPLICANT TO FILL IN - BUILDINGA - ' Certified copy is filed with the county building inspec BUILDING tion department _ ADDRESS O LOCALITY y^� t / y / NEAREST � 't Date Applicant ? CITY P;5 L ZIP / , _ CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR 1 COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT d Y` * MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO # TEL o SPECIAL } I certify that in the performance of the work for which this OWNER /4j Lei NO F ' CONDITIONS (. DISTRICT GROUP TYPE FIRE PROCESSED BY O permit is issued I shall not employ any person in any manner ADDRESS CONST ZONE so as to become subject to the Workers Compensation Laws Date Applicant l CITY ZIP ' STATISTICAL CLASSI TION APT CONDO 0 NOTICE TO APPLICANT _If after making this Certificate of ARCHITECT OR n TEL r Exemption you should become subject to the Workers ENGINEER ' NO CLASS NO DWELL UNITS Compensation provisions of the Labor Code you must forth N ADDRESS SEWER MAP r e with comply with such provisions or ,this permit shall be n -r TEL _ deemed revoked CONTRACTOR//� dm ACV$ l.f✓ NO 6BK PG VALIDATION I LICENSED CONTRACTORS DECLARATION LIC i Q 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS —457U1V*SNO �D 13 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code and my license is in full force and effect CITY j� ��/ CLASS $ SQ PT NO OF NO OF CHECK ® _ License NumE�b�err 'a 1�,', . �,Lic Class Cr SIZE STORIES FAMILIES ONE ` Contractor//TfY//ly� A'V 'DcT/-5ea .3 ✓V y DESCRIPTION OF WORK ��� F NEW $ El0 1 am exempt under Sec f ADD- � � ALTER FINAL _ B&P C for this reason G.- DATE REPAIR /� �1/���,,,.� �^► e EXISTING BLDG4 L J �7r r V� Com. DEMOL O FIN - p Signature APPLICANT �/ TEL By � f BUILDER DECLARATION„ (PRINT) lyUm/�S /�Q/iN0 — I herebyaffirm that I am exempt from the Contractor s License rADDRESS Law fothe following reason(Section 7031 5 Business and Professions Code) PRESENT - ❑ ' BUILDING _ I as owner of the property or my employees with ADDRESS ^ r�,8 2 9 A wages as their sole compensation will do the work and _ - the structure is not intended or offered for sale(Section LOCALITY " __ a t o 0 0 o 0 1 7044 Business and Professions Code) MOVING TEL r r , I as owner of the property am exclusively contractingC NTRACTOR NO g � Y "s 2)0 - 5S50 with licensed contractors to construct the project (Sec v tion 7044 Business and Professions Code) ADDRESS o oJo 5 Jr1 5 0= REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH+ c+ _ 0 2 0 1 —84 I hereby affirm that there is a construction lending agency for FRONT f+the performance of the work for which this permit is issued P L ' (Sec 3097 Civ C ) SIDE t P L d < Lender s Name Lender s Address I PC Fee$ Permit Fee I cern that I have read this application and state that the ' certify PP Issuance Fee above information is correct I agree to comply with all County Investigation Fee s ordm Stat laws relating o building construction Total Fee CS ereby aut a representat es of this County to enter i `ti ti upon t oned pro rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE t r w n Si tura of Appl+cant or gent Date