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Home My Public Portal About10144, 10128 BOGUE ST_Building__ '' -76AE�RBA CE #803 1/71 ' - a "�• APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES ' ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION �'"UILDING -ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tyDe only) CROSS ST. BUILDINGDISTRICT NO. GROUP TYPE F5ROCEbb D BY ADDRESS- L�O re 'Q CONST. LOT NO BLOCK ST_ - •STATISTIC CLASSI ICA TI ON • SEWER AP CLASS NO.�DWELL.UNITS BK PG TRACT •` / NO.OF BLDGS. - USE ZONE NOP SIZE OF LOT NOW ON LOT - SPE IAL- - USE OF CONDITIONS EXISTING BLDG, " _ T L. OWNER _ BLDG.SETBACK FROM ('J ADDRESS FRONT PROP.LINE OF G `•' �� (STREET) _ - TYPE OF EXISTING SETBACK HIGHWAY + YARD• = TOTAL ,CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. ' Gila + r = ENGINEER NO. V BLDG.SETBACK FROM ADDRESS ' ^� SIDE PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CL- CONTRACTO ELf' HIGHWAY WIDTH. FROM C.L. U ADDRESS y C. NIC. + O LIC. CITY CLASS CORNER CUTOFF YES NO W d CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECI APPROVALS Z ADDRESS - SQ. FT �. NO. OF - NO. OF NEW SIZE A STORIES FAMILIES USE OF ADD' ❑ STRUCTURE ALTER ❑ SIGNATURE OF REPAIR❑ - , APPLICANT �_ DEMOL ❑ VALUATIONS APPROVALS PATE INs TOR'S SI ATURE FOUNDATION: LOCATION * FEE S FEE $ l FORMS,•MATERIA'LS J 73 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 ORDINANCES AND LAWS REGULATING BUILDING CON= GAS VENT, DUCTS ' STRUCTION.• I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. ' LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, - SIGNATURE OFi HOUSE NUMBER COR- PERMITTEE K��-�- —�� RECT AND POSTED ADDRESS - FINAL- PLAN CHECK VALIDATION CK MO CASH JOHN F. LEWIS. PRI CIPAL STRUC RAL ENGINEER PERMIT VALIDATION CK M O CASH t10 0 AN 3 1 D 5.G-0� - .176A630A�E:aBo32a3 APPLICATION 'FOR„•BU�,I:Lb.I,NG" P,ERMIT ' gOUNTY OF LOS.-ANGELES r BUILDING, DtPARTMENT OF`CO.UNTY ENGINEER ADDRESS,r�/ % �.. BUILDING AND SAFETY-DIVISION LOCALITY ` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ` ' WILLIAM A•JENSEN; SUP°T.'OF BUILDING. • - _ CROSS ST _ •DIST T O GROUP TYPE` �P ESS D B,Y FOR.•APPLICANT TO FILL,IN JL' CONST-. BUILDINGx _ STATISTICAUCLASSIFICATION - _ SEWER MAFI, ADDRESS; CLASS NO DWELL UNITS LOT NO• BLOCK WATER,ICATE:`•�- ,NOT REQUIRED a,. •' •RECEIVED El. ' CERTI-F _ TRACT MAP H•iGAwgv;Y STATE MAJOR SECOND, OCA _ - NO.OF BLDGS NO, (CIRCLE) SIZE OF LOT ' NOW ON'LOT USE ZONE j SPECIAL - USE OF - I -CONDITIONS' - - EXISTING /-�BLDG j,�- - �_/. -/jy �g OWNER l✓(,JL �--. , - e� NOUIL XG EXIST. SETBACK YARD. HWY• STREET NAME WIDTH '- , ADDRESS„ 'CSL-L( f-A t1 k\ FRONT ARCHITECT OR - TEL P ENGINEER NO. SIDE ADDRESSCC O TEL CONTRACTOR.,.7_(�_ - - NO - - O •ADDRESS - (-- DESCRIPTION OF WORK n ADD LTER REPAIR DEMOLISH - Z S-0-FT. ,NO'OF NO OF SIZE 'STORIES FAMILIES- USE OF STRUCTURE r - SIGNATURE OF APPLICANT' - VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P C-” PMT FgMNDATION LOCATION FEE �$ - - FEE $ FORMS MATERIALS - - •FRAME FIRE STOPS. I HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS PLICATION BRACING'BOLTS _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE- LOCATION ' WITH ALLCOUNTY 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 CALIFORNIA RELAT- ING TO WORKMEN S COMPEN�SA/Ty�N,INSURANCE /'1'• LATH, EXT SIGNATURE OF i(- / `�`�1 h HOUSE NUMBER COR- - - PERMITTEE _T_ ��//CCj�--�� RECT AND POSTED A - ADDRESS FINAL %-31-6 4- �• JOHN F LEWIS.-PRINCIPAL STRU TURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION • CK p O CASH L3j1:0 3 1 6 3 1 AUG-26 '4'0 'D &0— 76A638A CE #803 1/71 i APPLICATION FOR.:BU ILDI NG, PER iT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP eooK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST l CROSS ST. Print ort a onl DISTRICT NO. GROUP TYPE ESSED BY BUILDINGffBNSG LOI /")rU ',r 'Z7 e,� � CONST STATISTICAL CLASSIFICA_TION SEWER MAP BLOCKCLASS NO. 2ZDWELL,UNITS BKQ PGS USE ZONE MAP NO.OF BLDGS. s� NO. SIZE OF LOT NOW ON LOT ,1/� SPECIAL USE OF / T� CONDITIONS EXISTING BLDG.G, 4 4 RocwL -t"G IiI L. �i T NOL J ^a OWNER / ` BLDG.SETBACKOP.LI N FROM ADDRESS yj �: FRONT PROP,LINE OF -� (STREET) _ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. LG /,K- ��' + Z[J = oO ENGINEER . NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) G` L TYPE OF EXISTING' SETBACK HIGHWAY + YARD = TOTAL d CONTRACTOR j�(f (, NOL ()O`0 HIGHWAY WIDTH FROM C.L. O U LIC S + - O ADDRESS `/j/� ST NO '-v LIC. / H- CITY �`.� CLASS '/ CORNER CUTOFF YES ❑ NO W CONSTRUCTION LEND p N NAME AND BRANCH / - 6 SEE,REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS q,._ _ SQ. FT. NO OF NO. OFLAIR ❑ o `71 ��A�j=' IA O -v Gpwl�-• SIZE STORIES ' FAMILIE USE OF f� _ ❑ �• STRUCTURE %I?'L` D../-4m A"�o GRER ❑ G -7/ Q�C�� 41,L I1jG �t��.'SIGNATUREfiAPPLICANT /� OL ❑ VALUATION $ �- APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ �z p LU FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �iIll d1KTY AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION I' CERTIFY THAT IN DOING -THE WORK AUTHORIZED HEREBY I WILE NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. ' LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT INSURANCE. . LATH, EXT. _ •"fr r-7� � �: SIGNATUREOF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL 7—_7J N F LEWIS PRINCIPAL AL PLAN CHECK VALIDATION CK MO CASH _ JOH TRREN PERMIT VALIDATION cK ^' M O CASH ER V�J JU4;,12 2.00- FORAP{A;CANTATO PLIICATIOIU, ,,�+Print or typeYN FO•RIBUILDING PERMIT COUNTY OF LOS ANGELES' RE ADSSU t/�I (_ il. c e_- . '- DEPARTMENT OF COUNTY,ENGINEER 7 BUILDING AND SAFETY DIVISION CITY � jQ'f�,`� 1 T , Z I P // f U NO OF BUILDING SIZE OF LOT NOW ONN LOT LOT ADDRESS TRACT BLO /LOT NO LOCALITY OWNER (, TNEAREST d I.x'.rr/��'�J CROSS ST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL' DISTRICT GROUP TYPE FIRE PR CESSED BY -CITY ZIP L - CONST. ZONE ARCHITECT'OR ��Z r ENGINEER7. n STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Q�o� O!L" /¢�. / CLASS NO DWELL UNITS BK PG, TEL CONTRACTOR •NO aE ZONE MAP LIC NO ADDRESS NO -, SPECIAL LIC CONDITIONS CITY CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG SETBACK FROM FRONTPROP LINEOF (STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING _. SQ FT/;f NO OF NO.,OF CHECK - FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES -- ONE r DESCRIPTION OF WORK' NEW, + O ADD ❑ BLDG SETBACK FROM cl� QA'.,eg Z-- /dSIDE PROP LINE OF ' (STREET) O pis �C70/Y /�� r ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING USE OF REPAIR N ❑ SIDE PROP LINE HIGHWAY WIDTH Z EXISTING BLDG DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION-$ � O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE LL - THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES v - 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 ��L - L:t�j"' �(��/yy��j,1G,,. /1✓f/J O�{ �r4 ,SIGNATURE OF PERMITTEE— ADD ERMITTEE p� ADDRESS 7 G`cS_� G- /j 4 "/1�e'1'-E3 ` '�1",e4I �I7�•' L � FINAL' BY CITY NOS f—;ZQ DATE MAKE CHECKS PAYABLE TO. < PC $ I PMT ,s FEE FEE D HARVEY T.BRANDT,COUNTY ENGINEER ' PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH © WE 1 6:O�,SAR 1'5 4.8'AD .0 l) ©�{ G� ®f 76A638A CEr633S �' - i�. DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®� WM. J. FOX, CHIEF ENGINEER FI-mm G FOR OFFICE USE ONLY BUILFOR APPLICANT TO,FILL IN DISTRICT NO. PLAN CK. NO. PERMIT NO. ADD E'SS Live Oak Park ' S-- � d" -/,F -7 s-e LOCALITY. 10130 Bogue St. ,Temple City RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST• Baldwin CROSSST iCldw n 1 Ave. • BUILDING - ^ T ADDRESS D p zt OWNER L.A.C ount -D6 t.of 'Parks & A 1 w MAIL LOCALITY ADDRESS 405 S.Santa Anita Ave. NEAREST , TEL. CROSS ST. ' CITY Arcadia No. DO-7-2183 FIRE NO. OFTYPE GROUP ARCHITECT OR TEL. ZONE PLANS '�I •y ENGINEER NO. BLDG. ORD. NO. _ SETBACK LINE ADDRESS APPROVED - - TEL. BY DATE ' CONTRACTOR NO. USE APPROVED " . ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS" SIZE OF LOT NOW ON LOT USE OF I NO. OF _ EXISTING BLDG. FAMILIES r DESCRIPTION OF WORK 7 �� NEW I x I ALTERATION I I ADDITION I ,, REPAIR I I DEMOLITIONSQ. FTNO. OF D SIZE Y�48O ROOMS 4 STORIES 2 Z _ s EXT. WALLROOF COVERING Stucc© r' I COVERING Comp. USE OF'STRUCTURE Service Bar APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS 'AP- FOUNDATION: LOCATION /-_/19 / PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS //t/,F/1Jl11 CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,• � ' HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING Bt,JILDING CONSTRUCTION. FURNACE: LOCATION, 'J SIGNATURE O PTTE Pi. GAS VENT, DUCTS /vJ//�7//>�L/ L� LATH,,INT. Ja✓+�1i1�'r ��/ '�rL ADDRES LATH, EXT. AUTHORIZED AGT. PLASTER, INT. .� �b► �. 76A888A• 01388 10-80 P. C. !$ V , �4 �► © FEE **TT�"'� PLASTER, EXT. VALUATION sNo Fee FEE FINAL A ow A •� 76A638A CE x$803 6.62 APPLICATION. FOR-BUILDING .PERMIT COUNTY OF LOS ANGELES I BUILDING DR DEPARTMENT OF COUNTY ENGINEER ADEss BUILDING AND SAFETY DIVISION LOCALITY O JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENS. SUPT OF BUILDING CROSS ST DISTRICT NO G O P TYPE P SSED BY FOR APPLICANT TO FILL IN !� CONSI. t�� BUILDING STATISTICAL CLASSIFICATION SE4 ER MAP ADDRESS K _ �E CLASS NO DWELL UNITSo LOT N BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT _ ,MAP HIGHWAY NO.OF BLDGS NO , ! (CIRCLE) �STATE'MAJOR SECOND, LOCAL SIZE OF LOT- NOW ON LOT USE'ZONE 9PECIAL •• - USE OFCONDITIONS EXISTING BLDG:;PAi lak J3 L=26GS5 'OWNu<j /� O: - BUILDING - EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ' TEL P L ENGINEER NOSPIDE / ADDRESS � -0 TEL L' r C l CFS '(!' • u/ •//•e �V CONTRACTOR NO ,. W N r eon a.o' o ADDRES •' / -D CRIPTION OF WORKo a 6' � CL h NEW ADD ALTER REPAIR DEMOLISH ' Z SOFT. NO OF NO OF SIZE STORIES FAMILIES USE OF. 'SIGNATURE OF APPLICANT �y ' VALUATION S X d-��p v OVALS DATE IN'-+SPfiEtC. Os;RCr"'SaPSIGNAlT�yU" 1RE P.0 PMT. FOUNDATION. ON FEE FEE $— FORMS,r - -FRAME- FIRE STOPS, �'"- � ��•�y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE, LOCATION, 4 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING "� GAS VENT, DUCTS BUILDING CONSTRUCTION -1 CERTIFY THAT IN DOING THE WOR ;y \ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOL LATH, INT. TION OF THE,LABOR CODE OF THE STATE O�FiE CALIFORNIA RELA - fit' ING TO WgA'R11.tEN'S COMpEN INSU�I� ' _ �'•` Y LATH, EXT. SIGNATURE 0 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED O A .,.-� •_... ' ADDRESS _ FINAL JOHN F. LEWIS. PRINCi PAL:STRUCTURAL ENG R PLAN CHECK VALIDATION' "�� _ 'PERMIT VALIDATION CK. M O. CASH U1i o, 3 0 5'.0 -JAN 9 4, 4 D .C,`04 v fl 0 2 0 '7`•:n-, jAU 2 5 1 D �.5 &.0 0 v .. �.. -. •75AS38A CE#80911-57 APPLICATION FOR BUILDING. PERMIT - 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION. LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT N . GROU TYPE SEWER MAP FOR APPLICANT TO FILL-IN .Ps :!!:r P C9-U TS CONST. �� BUILDING - STATISTICAL,CI_.ASSIFICATION ADDRESS � 1 Q r CLASS.NO. DWELL. UNITS - LOT NO. BLOCK MAP STATE NUMBER © � HWY. YES COD TRACT _ USE ZONE- SPECIAL NO.OF BLDGS. —f CONDITIONS SIZE OF LOT - NOW ON LOTUSE OF EXISTING BLDG.SQZe. AJ4 2BUILDING YARD HWY STREET NAME EXIST. SETBACK _ WIDTH OWNER_ FRONT MAIL • P.L. - ADDRESS SIDE TEL. P.L. CITY I NO. p a ARCHITECT OR - - TEL. !l r .G F'. INSPECTION RECORD �f•/ r�� ENGINEER NO. i ADDRESS - TEL. CONTRACTOR ADDRESS ,7©/ Sm./,[o i4IL DESCRIPTION OF WORK yl�l I �I�I � NEW ADD ALTER REPAIR DEMOLIS SQ: FT. NO.OF OF SIZE �D STORIES FA iti- USE OF STRUCTUR / �, �r✓//J � Ll SIGNATURE OF APPROVALS - APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION a �/ FORMS.MATERIALS $ P•C• $ FRAME: FIRE STOPS, FEE BRACING.BOLTS VALUATION $ URNACE: LOCATION, FEE GAS VENT.DUCTS / 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. / PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG61 TIN�3 BUILDING CONSTRUCT N. LATH,EXT. SIGNATURE , HOUSE NUMBER COR- PERMITT iz'N.*ia'� �• 'RECT AND POSTED ADDRES — FINAL _ - CLYDE'N. DIRLAM, PRINCIPAL STRUCTURAL ENG • PLAN CHECK VALIDATION CK.' M.O.' CASH PERMIT VALIDATION CK. 'M.O. . CASH- �tCo 3 6 7 3 AUG -8 1 A 1 .0 0 > ChTll 7GA633A CE#803 1_61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER F UDRESS _ BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTqj�;T Nf GROUP TYPE PR E Y FOR APPLICANT TO FILL IN D CONST. BUILDING STATISTICALCLA SIFICATION WERMAPq� ADDRESS CLASS. NO. j2 IELL. UNITS 5 / LOT NO. L BLOCK WATER NOT REQUIRERECE VED CERTIFICATE: ollia IGHWAY STATE MAJOR SECONDL TRACT MAP �/� H NO.OF BLDGS. NO. C/ (CIRCLE) , OCA SIZE OF LOT I NOW ON T USE ZONE SPECIAL USE OFp CONDITIONS EXISTING.L I ` EL. OWNER i' NO BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRES FRONT Q( / ARCH ITE T R �- P. L. ENGINEER Ci•" :31DE ADDRESS J'�y/' TEL. INSPECTION RECORD Q CONTRACTOR%- ADDRESS Q DESCRIPTION OF WO 1-- Lu a V1 NEW ADD ALTER REPAIR DEMOLISH Z SQ. F I NO.OF NO.OF _ ZE STORIES FAMILIES USE O STRUCTURE SIGNATURE OF APPLICANT `f N'- ca VALUATION$ - APPROVALS DATE INSPECTOR'S SIGNATURE FPMT.EE $ 5 FOUNDATION: LOCATION •. _FORMS, MATERIALS FE rAE: FIRE STOPS, - I HERE ( ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONCING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. , INT. TION OF THE LABOR CODE OF THE SFAOF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION RA CE. ,EXT. SIGNATURE OF -f HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION c� c H - PERMIT VALIDATION CK. M.O. CASH n4 9 0 8".2' MAY4 4 G 76A838P DB!•3 3-s;007 MNpLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY D BDUILDING RESS A (�� Department of County Engineer County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GR P I / BE MAP FOR APPLICANT TO FILL INTYPE CONST. BK Pa c BUILDING 7 � -ADDRESS Gr�� NUMBER STATE YES O LOT NO. �� J BLOCK USE ZONE SPECIAL Y CONDITION A r r TRACT J Q�• NO. OF BLDGS. BUILDING EkSi. rl SIZE OF LOT NOW ON LOT SETBACK YARD HWY STRE T NAME WIDTH n USEOFEX STTING BLDG. FRONT �' 2 f P.L. _ Q, w D N r Oa( ^/' /WAC, SIDE > OWNER 9!::� P. L. MAIL n ADDRESS - /I,,V� O TRACT DWELL. 1 UNIT /J� � p ) 5 INDUSTRIAL CIT1"iJ .�„/,QX_.L� NO./Ly / �I�� DWELL. t UNIT 6 PUBLIC BLDG. ARCHITECT 6R TEL. Z DUPLEX 1 UNIT ENGINEER �Gl�-�^-�� NO, ADDN., ALT., ETC. 3 APT. UNITS $ ISCEL. ADDRESS C COMMERCIAL Sa,,,. NO CONTRACTINSPECTION RECORD �JR `` ADDRESS d �/ DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.SIZE (V �FT./` A A4� STORIES FAMILIES Ci t C, J USE OF STRUCTURES( /k.ry1.(.C/ rJJ SIGNATURE APPLICANT J� ,,/ APPROVALS ADDRESS �L�{/ y�>JLri.(,GBCL(fi, �Rtx��✓ DATE INSPECTORS SIGNATURE FOUNDATION: LOCATION $ A P. $ 771 FORMS. MATERIALS FEE FRAME: FIRE STOPS, $ BRACING. BOLTS VALUATION FEE %1 1;' FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULA G BUILDING CONSTRUC- TION. a LATH. EXT. SIGNATURE OF 1 !" HOUSE NUMBER COR- PERMITTEE / RECT AND POSTED ADDRESS FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR '.00 5 3 2 3 MAR 21 3 0 4 1 ;" APR APPLICATION FO.RIBUILDING PERMIT FOR APPLICANT TO FILL IN -(Pr"In1 or ty e only) BUILDING COUNTY,OF LOS ANGELES ADDRE�S�S ..0 DEPARTMENT OF COUNTY ENGINEER CITY /.� ` ZIP C'!� "j> BUILDING AND SAFETY DIVISION /(jut' Gam- NO.OF BLDGS. BUILDING �� SIZE OF LOT 1 �s NOW ON LOT ADDRESS TRACT BLOCK LOT NO LOCALITY � J •-y- TEL- NEAREST ' -OWNER ��t - ��/J?:bZ /� �i.[ NOCROSS ST ' ASSESSOR ADDRESS •.fj f MAP BOOK PAGE. ' PARCEL _ //�� w / ,c� DISTRICT GROUP TYPE _FIRE RO ESSED BY CITY , C.'-f- ZIP /' -6 CONS ZON( ARCHITECT ARCHITECT R TEL., �i OQ �-2_- ENGINEER NO. _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS _ CLASS NO,_Z --DWELL,UNITS - BK PG _ CONTRACTORNEOL. USE ZONE MAP LIC NO. ADDRESS- - _ NO, S PEtTAL_ -LIC. y CONDITIONS - CITY CLASS . ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH BLD .SETBACK FROM FRO_ T PROP.LINE OF (STREET) �- ADDRESS CITY O HIGH AY }' YARD TOTAL SETBACK FROM TYPE OF EXISTING U SO -FT NO OF NO. OF CHECK FRONT PROP. LINE- HIGHWAY WIDTH SIZE ��?D STORIES / FAMILIES ONE O DESCRIPTION OF.WORK,0e_;,,WF aga NEW ❑ } d BLDG:SETBAC y ADD _ SIDE PROP. LINE OF EET) Z /d ' � ,� ALTER ❑ TOTA.L _ETBACK FROM TYPE OF EX NG -,54 /LC X HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDT ��-CC11 REPAIR USE ' X NG BLDG; /� v :�iCnvt� ) AFF D�MOL ❑ - + APPLICANT //��//`` TEL �7_ '7 �J CORNER CUTOFF YES.❑ NO (PRINT) .C/4 iK3 LSI NO. /� / BY (SIGNATURE) / IN OPEN SPACE_, --, YES ❑ - NO Q; IN COASTAL ZONE YES NO E]VALUATION$ CATEGORICAL EXEMPTION YES NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL - AND STATE THAT THE ABOVE IS-CORRECT ANO.AGREE TO COMPLY ,IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ' WORKMEN'S COMPE NSA IaN INS CE. �e��J' SIGNATURE OF PERMITTEE _ ADDRESS -� �` `' .,/ FINAL 9 BY CITY �'� j[� NOL. Y7/ DATE 1I,11,L CHL ' _RS P. YABLL 70: FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK -VALIDATION CK M O CASH _ PERMIT VALIDATION O CASH 16'A 3 11 A CE#803 / TEMPLE CITY 7eAe3eAeeAe03 + e, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A°DREss BUILDING AND SAFETY DMSION LOCALITY i JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GRIPTYPE P E SED BY F_OR APPLICANT TO FILL IN ,! ONST. 1 ABUILDING DDRESS D 1j�•4! d!j LJ� STATISTICAL CLASSIFICATION K SE ER MAP -�/ CLASS. NO -3 DWELL.UNITS �— LOT NO. �j� ' BLOCK WATER CERTIFICATE- NOT REQUIRED RECEIVED TRACT //.i p NO.OF BLDGS. NC 'MAiP, l'C� _H'GH EI STATE MAJOR SECOND, LOCAL SIZE OF LOT 4� / /� /.�J a I NOW ON LOT USE ZONE SPECIAL _ USE OF L ,f / CONDITIONS EXISTING BLDG. ?Gil�(y/ - - _ OWNER ClCtfl-` !�/Y/��'L ��T/! NO. BUILDING EXIST. SETBACK YARD HWY Sy REET AME WIDTH ADDRESS 1/171z"l- FRONT I ARCHITECT OR ryIA i InI 0.1//NO. C�Z_,V P L. / ENGINEER �J SIDE ADDRESS ''�.} 06 /V • ✓EAMdNT Ay;;L INSPECTION RECORD, CONTRACTOR NO. /J'� [,_ - �Sjn • � ' �f ��•� �1n:t�.i�i'9f2i.�7CJ/�-•A bit✓'.a �"�r;.f,!�'� ADDRESS O DESCRIPTION -OF WORK v CL V) NEW ADD ALTER REPAIR DEMOLISH Z T. NO.OF NO OF IZE STORIES FAMILIES USE OF /� p ,A STRUCTURE /+L �'�� 1 4 IA �f}�/t SIGNATURE OF APPLICANT VALUATION$ - - APPROVALS DATE INSPECTOR'S SIGNATURE P C. /�'' FPMT.EE $ FOUNDATION: LOCATION y�y '--" FORMS, MATERIALS FEE $ FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS J 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 F CERTIY 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- I / ING TO WORKMEN'S COMP,ENSAT ION INSURANCE. • - LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE- OR- PERMITTEE RECT AND POSTED / // 1.l�.a�,� ,, ♦J�I,Q"' ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STr'CKK. RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATION M.O. CASH IiA ' l 71 D 76A638A CE0803 9-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF-.COUNTY ENGINEER ADDRESS o �� 45;:7g09&e" BUILDING AND SAFETY DIVISION LOCALITYL ,,l-e JOHN A. LAMBI E, COUNTY ENGINEER NEAREST " COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. //�C�'G�7��✓ DISTRICT NO. GROUP FC YPE PROCESSED BYA FOR APPLICANT TO FILL IN 6 _Z ONST. (Print or type only) �Qg � BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESS / � CLASS NO.--g—DWELL•UNITS BK PG37 LOT NO. BLOCK USE ZONE MAP NO. TRACT ,¢J pij ,r% / CONDIIT ONS NO.OF BLDGS. SIZE OF LOT /Z. NOW ON LOT ' .USE OF EXISTING BLDG. �'�/e / BLDG.SETBACK FROM EL. FRONT PROP,LINE OF (STREET) OWNER O. TYPE OF 1EXISTING SETBACK HIGHWAY + YARD = TOTAL j ADDRESS HIGHWAY -WIDTH FROM C.L. ' CITY BLDG•SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO, TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. > TEL. + CL CONTRACTOR (,psi 'PP— NO. - L LIC. CORNER CUTOFF. YES El NO ❑ IlkADDRESS NO. C LIC. ~ CITY CLASS SEE REVERSE SID FOR SPECIAL APPROVALS ��, CONSTRUCTION LENDER �/e/ / z NAME AND BRANCH ADDRESS SQ. FT, NO. OF NO. OF NEN, ❑ � SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE e /e'rh/Yt•e� �� ALTER REPAIR❑ SIGNATURE OF -Z4 1pe APPLICANT , DEMOL E]VALUATION S y Oro .�� APPROVALS DATE INSPECTOR'S SIGNATURE D 15 FOUNDATION: LOCATION FEE S FEE S f FORMS, MATERIALS It 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 STR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STA E OF -CALIFORNIA I RELATING TO WORKMEN'S COMPENSATIO NSU NCE_ LATH, EXT. SIGNATURE OF _,� HOUSE NUMBER COR- r PERMITTEE - RECT AND POSTED i ADDRESS �y'ZSa2 IV, - 'Y FINAL PLAN CHECK VALIDATION CK M O. CASH JOHN F. LEWIS P I CI-AL SDRAL ENGINEER PERMIT VALIDATIONM O CASH i A �3 5 ;gin z 5 0rz 76A638A CE 9803 4/72 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING .® MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT FOR APPLICANT TO FILL IN NEAREST Print or tvDe only) CROSS ST.��.�' BUILDING DISTRICT NO. 1,2ROUP TYPE PROCESSED BY CONST, ADDRESS O _ p _ STATISTI L•CLASSIF CATION SEWER MAP LOT NO BLOCK / CLASS NO .3L—OWELL•UNITS BK PG TRACT r! /" � USE ZONE MAP NO.OF'BLDGS. NO. �J SIZE OF NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. EL. OWNER N ,BLDG.SETBACK FROM � - - - .- ADDRESS ' FRONT PROP,LINE OF ; V U g,- (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY ' HIGHWAY WIDTH FROM C.L. - ARCHITECT OR TEL. �Q� + - Qo = R ENGINEER NO., BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF '(STREET) p TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C.7 TEL. CON TRA CTO C=p, HIGHWAY WIDTH FROM C.L. C LIC. ADDRESS �.Np ' © + = W LIC. t N CITY CLASS CORNER CUTOFF YES ❑ NO Z CONSTRUCTION LENDER - NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT, NO. OF NO, OF NEW SIZE - ST RIES FA ILIES ❑ /F) USE OF - ADD (/ STRUCTURE ! ALTER ❑ Ij SIGNAURE OF / REPAIR❑ 444 T APPLICANT DEMOL ❑ VALUATION $ APPROVALS- DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION F E $ �© FEE$- • FORMS, MATERIALS' FRAME: FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS APPLICATION BRACING BOLTS- AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, .WITH 'ALL ORDINANCES- AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. -' - LABOR CODE 'OF THE STATE OF 'CALIFORNIA IN RELATI -TO WORKMEN'S COMPENSATION NSURANC - ,LATH, EXT. - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH ce 76A636A Cr. ry8032/60 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING AI°DREss DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LVCALITY ,� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. [P. STRICT NO. GROUP TYPE ;��' PR SSED BY FOR APPLICANT TO FILL IN I CONST. 1, _ � ) _ ATISTICAL CLASSIFICATION SE ER MAP ADDRESS BUILDING/ Ole _� I K PG CLASS. NO�DWELL.UNITS LOT NO. (///� f'f�'. BLOCK MAPMBER �, HWY. YES O TRACT EZONE SPECIAL 1 NNO.OF OW ON LOTS ' CONDITIONS SIZE OF LOT USE OFEXISTING BLDG. /J �-/C ILDING EXIST. YARD HWY STREET NAMETEL. TBACK WIDTH OWNER EnMP9;-, i rNO. RONT ADDRESS 6 ;j/Gr �.�'�'/��.G ,ll� L SIDE ARCH ITECTORSTEL� 1/�[[ - - P.L. ENGINEER �. �SP,e/r'A INSPECTION RECORD -� ADDRESS TEL CONTRACT,,O /'SG'/ C/? Nom/ ` .CCI O ADDRESS L. DESCRIPTION OF WORK x O H NE FT ADD ALTER NOROFAIR DEMOLISH /x L W / SIZE �C Lj STORIES / FAMILIES USE OF C�v( -E'vw•. '� /�fd..t STRUCTURE � • •1C �s%Y.I SIGNATURE OF I APPLICANT VALUATION$ I _ APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ � I I '1 FOUNDATION: LOCATION FEE'$ - FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, - _ BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH L COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULAT G B DING ONSTRUCTION. -- 1 ly CERTIFY THAT IN GING WO 'AUTHORIZED I LATH, INT. WILL NOT EMPLOY Y PE N I IOLATION OF THE WORKMEN'S COMP S TIO LAW OF CALIFORNIA. LATH, EXT. Com" SIGNATURE OF / HOUSE NUMBER COR- PERMITTrF RECT AND POSTED ADDRESS d i •j .. FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION GIQ II® - - � .;rte � ' 11-117��•�� J'm`f Or 9 ri�J 2 6 4 D !. J DIVISION OF BURRING AND SAFETY Department of County Engineer BUILDING. County of Los Angeles WM. J. FOX; COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT .TO FILL INF-- BUILDING i ADDRESS LOCALITY }C_' - •� G �� Q NEAREST LOCALITY ' 'G'-7yJ •� : - CROSS ST: lC�L N L� "�:v•� DISTRICT NO. ^' PLAN.CK.'OR REC. Na. �t' PERMIT NO." - CROSS ST. t�; ----------- Co .'RECEIVED BY 'DATE OF APPL. DATE IS UED OWNER, MAIL c 2`��5 2 1 � S4_ ADDRESS �. USE ZONENO. OF TYPE GROUP FIRE-ZONE F I PLANS c CITY /�- IJ ✓ NO./'� �i� A� �. - I f]VTS.I ._ I �O. ARCHITECT OR - 'TEL. ` O� ZONING �A7gD� ENGINEER - - �,,± /�N//O. / APPROVED BY- ADDRESS- S �-�` ')t.+,a �= 'y�j'l//� /76 BUILDING -� ORD.No. SETBACK S0 FpL (494 TEL.' APPROVED�1�� - CONTRACTOR NO. By: HOUSE NUMBERING ADDRESS LEGAL .� MAP NUMBER ®p '. NO. ASSIGNED BY DESCRIPTION LOT NO. _ I BLOCK �r," DATE CORRECTIONS I INSPECTOR TRACT :J '_7 NO. OFyy �y +,, SIZE OF LOT. I NOW ON LOTS 7 5 d'-� 1�`' USE OF NO. OF I ;� EXISTING BLDG. FAMILIES p DESCRIPTION OF WORK Z NEW ALTERATION _I ADDITION I r 1 REPAIR 1±::�TDEMOLITION I - SQ. FT.- NO. OF SIZE ROOMS STORIES EXT. WALL -.I COVERING COVERING ' US/E OF ST{tUCT E ' 3 ` S�(� j 0,55� it.. A -. APPROVALS INSPECTOR'S SIGNATURE .DATE FOUNDATION: LOCATION FORMS;'MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS a 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, + AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ' GAS VENT, DUCTS • SIGNATURE OF/ `� C T LATH, INT.- PERMITTE ` - �� y LATH. EXT. ADDRESS - PLASTER, INT. AUTHORIZED AGT -' PLASTER, EXT. ' P. C.$EE RECT AND POSTED HOUSENUMBERCOR- /� F VALUATION FEE .FINAL tr 76A636A DBS 9 2-89 76A638A CE#803 8-64 APPLICATION FOR BUILDING_ PERMIT COUNTY'.OF LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS V `k V u^2 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _. _ COLEMAN W JENKINS,SUP'T OF BUILDING - CROSS ST , Cj V_,I; DIS�IC) O. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL -IN V CONST. " BUILDING UILDI SG {� "r STATISTICAL CLASSIFICATION - 'SEWER MAP ADDRE ,v wQ� CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP, ' NO. TRACT SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT - USE OF IS NG BLDG. SETBACK FROM - /� r/ TEL. FRONT PROP. LINE OF (STREET) OWNER li v NO. TYPE OF EXISTING SETBACK, HIGHWAY �' YARD. ..= 'TOTAL -ADDRESS ��/.�Q{( T�� HIGHWAY WIDTH 'FROM C.L. CITY ! � -+ - BLDG. SETBACK FROM - ARCHITECT OR TEL gg SIDE PROP. LINE OF (STREET) ENGINEER NO. Sy TYPE OF EXISTING SETBACK HIGHWAY -+ YARD TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d TEL. + _ Q CONTRACTOI�f NO ADDRESS LIC ICORNER CUTOFF YES O NO O F- CITY CLIC LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS uui DESCRIPTION OF WORK n . Z W ADD ALTER REPAIR DEMOLISH T. NO. OF NO. OF' SIZE STORIES FAMILIES USE OF A STRUCTURE SIGNATURE OF = I APPLICANT VALUATION$ APPROVALS DATE /INSPECTO 9910 NATURE FEE$ PMTV_ 'FOUNDATION, FEE `.� FRAME, FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING 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 CALIFORNIA RELAT. ING TO WORKMEN'S COMPEN TION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ' ADDRESS - FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M-0 CASH _ PERMIT VALIDATION Lfti o 4. 7 0 SEP 19 .4 0 0 .G C ► T`f TE_ M p L '. ,,: ►. / 76A638A CE#803 8-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING `` `^� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L O C A L I T Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST a, COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST � , e�, G - DISICT. GROUP TYPE • PROCESSED BY FEXISTING APPLICANT TO FILL IN CONST. tt -- ``� (� STATISTICAL CLASSIFICATION SEWER MAP V t �K " CLASS NO DW ELL'UNI TS BK PG - BLOCK USE ZONE MAP NO. SPECIALNO •OF BLDOS CONDITIONS NOW ON LOTD . BLDG. SETBACK FROMTEL. - •FRONT PROP. LINE OF' (STREET) NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD . = TOTAL ADDRES tt %A-4 Ftvw(n- �.l HIGHWAY WIDTH FROM C.L. CITY 1 � r .. BLDG. SETBACK FROM - ECT OR TEL. ARCHITECT - RCHIER NO SIDE PROP. LINE OF (STREET) ENGINETYPE OF EXISTING SETBACK HIGHWAY .+ YARD = TOTAL ADDRESS II...� ) HIGHWAY WIDTH FROM C.L. d TE CONTRACTOR (✓ NO ZfJ -2/ / � + - OV LIC CORNER CUTOFF YES E] NO 0 ix ADDRESS NO O LIC CITY CLASS SEE REVERSE SIDE FOR SPECIAL.APPROVALS DESCRIPTION OF WORK h Z W ADD ALTER REPAIR DEMOLISH SQ. T. NO. OF NO. OF S STORIESS FAMILIES USE OF STRUCTURE - \ M1►' Q1 l� SIGNATURE OF - - APPLICANT - VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT FOUNDATION, LOCATION �� C / { FEE$ FEE 1% FORMS, MATERIALS J�y�!�!-1 , - 'FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT ,,,{ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDINO CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT - TION OF THE LABOR COD[ THE STATE OF CA FORNIA RELAT- •I ING TOW OR K MEN'S Cn PE ATION NSU NCE LATH EXT. ItSIGNATURE OF HOUSE NUMBER COR- PERM ITTEERECT AND POSTED ADDRESS F1 NAL t_.. JOHN F LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION LA1 o"4 7 9 9 EP 19 4 0• D. ,Q 0- "7' •76AjABA CE 003 4/70 � V 0L • APPLICATION FOR BUILDING PERMIT_.G 1. COUNTY OF LOS ANGELES ASSESSOR f DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND' SAFETY DIVISION G BUILDIN / . IG JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /C� COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN n / 7 Print ort a only) CROSS ST. BUILDING DISTR •IC O,� OUP TYPE �� P ES$E BY f, Y 1 -yam O �( jT� 1_$ R CONST. D ADDRESS /® T (� �7 / _ l , V r (.f T" ., /\4i.•` / STATISTICAL CLASSIFICATION SEWER MAPS^ LOT N0.�1�Tto�As�jr-- i¢ t/_ ,e /J CLASS NO. �DWELL.UNITS BKS PG TRACT S-/ .�/, /� USE ZONE MAP "7�) ^ NO.OF BLDGS. NO. r'� „J (�' SIZE OF LOT NOW ON LOT /i"t7 SPECIAL USE TI /��e OAL CONDITIONS EXISTING BLDG. (J�'^ � OWNER L'rj a� /x* 1/c Cil NO..'�r7`7/ - A' BLDG.SETBACK FROM' • ADDRESS 3p /v, ufjC•�fj'j/rI _ FRONT PROP.LINE OF (STREET) ^ TYPE OF EXISTING SETBACK HIGHWAY, + YARD = TOTAL CITY /G/ HIGHWAY WIDTH FROM C.L. - ARCHITECT OR'- TELf'7-�C�� ` + _ ENGINEER, NO` II BLDG.SETBACK-FRO ADDRESS - SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK H_IGHWA + YARD = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. \ - 1 ADDRESS NO.+ O LIC. v CITY CLASS „CORNER CUTOF-F ;YES,, NO '❑ CONSTRUCTION LENDER FCD- NAME AND BRANCH SEE REVERSE,S,IDE FOR SPECIAL APPROVALS w ADDRESS y a � Z SIZE T lvs STORIES NO. OF. NEW ❑ O ' 0 FAMILIES f USE OFADD ❑ CC•4% ul i//✓�/+s K STRUCTURE .�c/ekCielF.4 fOr ALTER �/✓! !7� fF��.�' �`- REPAIR❑ C SIGNATURE APPLICAN DEMOL ❑ G!, VALUATION $ AP ROVALS DATE 'INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE S FORMS, MATERIALS - FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION BRACING BOLTS_ AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT^DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 9 HEREBY I-WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. I /`z LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION IN RANCE. { LATH, EXT, I SIGNATURE OF -HOUSE NUMBER COR- PERMITTEE pr RECT AND POSTED ADDRESS a / FINAL l� JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK /FA o �� 7.� 8 4 45 D . 0 PERMIT VALIDATION N CK M O. CASH ` s�� DCLC � � 0 - -_ I Gr„ 7 8 8.9� DEC 4 4 3 D 0~ _ _. _ I __ .. .. • �' Yom`-' 76A638A CE#803 8.63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS — BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO G OUP TYPE ESSED BY FOR APPLICANT TO FILL IN, 1) CONST.° �r - BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESS =• K. PG• CLASS NO ' DWELL UNITS`�� LOT NO BLOCK WATER CERTIFICATE. NOT REQUIRED79 RECEIVED TRACT 2�7` - MAP 1}- HIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND, OCAL SIZE OF LOT NOW ON LOT UV NE SPECIAL USE OF CONDITIONS EXISTING BLDG e7 TEL OWNER NO.. BUILDING EXIST. SETBACK YARD HWY STREET NAME VyIDTH ADDRESS � f% � FRONT 1 ARCHITECT OR r TEL 1 P L. ENGINEER NO. SIDE G P L ADDRESS, > a TEL O CONTRACTOR O ADDRESS ,u DESCRIPTION OF WORK 4 W d NEW ADD ALTER REPAIR DEMOLISH ( V1 SQ FT. NO OF 'NO OF Z SIZE STORIES j FAMILIES I USE OF STRUCTURE - SIGNATURE OF APPLICANT VALUATION $ 2 APPROVALS DATE INSPECTOR'S SIGNATURE PMT. 7 FOUNDATION LOCATION - 'fp F E $ �_— FEE $ L✓ FORMS, MATERIALS //- 17-64- 6' A FRAME, FIRE STOPS, - /-y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS ,. AND STATE 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- - ING TO WORKMEN'S COMPENSATION INSURANCE LATH. EXT SIGNATURE OF HOUSE NUMBER COR- 1 PERMITTEE RECT AND POSTED 1• ADDRESS d FINAL • JOHN F. LEWIS, PRINCIPAL STRUCJURAL ENCjA�SH GIN€R PLAN CHECK VALIDATION CK M o cnsH • PERMIT VALIDATION • CK M`O L,� o 5 7 U 1.-L NOV �1 1 D 4.0 Q~ �' CITY OF TEMPLE CITY 76A638AE SC #803 8-64 APPLICATION FOR BUILDING PERMIT . COUNTY OF LOS ANGELES BUILDING /•j , DEPARTMENT OF COUNTY ENGINEER ADDRESS L BUILDING AND SAFETY DIVISION LOCALITY JOHN A.•LAMBIE, COUNTY ENGINEER NEAREST / COLEMAN W JENKINS,SUP'T OF BUILDING CROSS ST. DISTRI T NO. :GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN J CDNS Tl 1. BUILDINGSTATISTICApL CLASSIFICATION' SE ER MAP ADDRESS o _ �Q�' CLASS NO_ L -DWELL UNITS PKy PG _ LOT NO. BLOCK USE ZO E MAP /q J�� _ N O. TRACT V �, SPECIAL NO. OF BLDGS. CONDITIONS .SIZE OF LOT NOW ON LOT USE OF (I �- - - - - E"'T,NG G. /�' BLDG. SETBACK FROM' ' //QD �vTEL., FRONT PROP. LINE OP (STREET) OWNERC ,/ 6t- : `� �r NO. TYPE OF EXISTING SETBACK GHWAY + YARD = TOTAL ADDRESS � 3. LI/-� HIGHWAY WIDTH 'F OM C.L. CITY •r_ LQ�� BLDG. SETBACK FROM ' - ARCHITECT OR TEL ENGINEER �'K'�'S (� S' NO. 33 SIDE PROP. LINE OF _ (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - ,TOTAL � ADDRESS CaLIP— HIGHWAY WIDTH FROM C.L. O r' TEL., FIC.7 + uCONTRACTOR O NOL'C 2 ADDRESS NO /i� q ?Z CORNER CUTOFF YES NO 0 0 H CITY L v � LIC " 1 SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK h NEW 41 ADD ALTER REPAIR DEMOLISH �' �O"� �T• SQ,FT. NO. OF NO. OF 'C SIZE U STORIES FAMILIESUSE OF - STRUCTURE ::.1 SIGNATURE OF d K �l� G•IZ-CTT as (9� L( t r ' APPLICANT VALUATION$ /© APPROVALS DATE IN PE�C�TOeR/',SSIONATURE ``�t� o� FOFORMSI-MA�TERIALSATION Z�I8 1 N..r FEE$ r"Err FEE �-J� FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ 7H19 APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION .,. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS - 61 9UILDING CONSTTI RUCTION I CERT 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 F CALIF NIA RELAT- ING TO WORKMEN'S Cn fISAT N INSURA CE. ,LATH. EXT. 1. SIGNATURE OF '' HOUSE NUMBER COR- PERMITTEE Z RECT AND POSTED ADDRESS FI NAL -f'�-ip f� ,��,� ,� ' JOHN F. LEWIS. PRINCIPAL ST O RAL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION cK. M.o CASH ji1uo 7`. 7 6 0 ^o JAN 1_c�_4 4 D ,Q Q A ±. `�, 8' 3 1 0� FEB 5 D 3 G.50N TEMPLE CITY 76Ae38A CE#803- 1-6+ APPLICATION FOR -BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING _ A DEPARTN[ENT OF COUNTY ENGINEER ADDRESS �. BUILDING AND SAFETY DMSION ' LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P ESSED BY FOR APPLICANT TO FILL IN � CONST. - BUILDING / � STATISTICAL CLASSIFICATION SE ER MAP ADDRESSf4Z G/ JIMK PG CLASS. NO. DWELL.UNITS LOT NO. v BLOCK WATER NOT.REQUIRED RECEIVED CERTIFICATE: TRACT MAPHIGHwAv NO.OF BLDGS. NO., .6 (CI RC LEI STATE MAJOR SECOND, OCAL SIZE-OF LOT I NOW ON LOT USE ZONE SPECIAL USE OF � CONDITIONS EXISTING BLDG. C 7\ OFL. s t- • TE OWNER BUILDINGEXIST. YARD HWY STREET NAME SETBACK WIDTH' ADDRESS/ l� a/ -gk FRONT - ARCH /0 ITE T OR - - TEL. P L. , ENGINEER' NO. SIDE j ADDRESS TEL. INSPECTION RECORD 0 CONTRACTOR �j E eC N0. - ADDRESS DESCRIPTION OF WORK coy W h NEW ADD ALTER REPAIR DEMOLISH - Z SQ.FT. NO.OF NO OF IZE STORIES FAMILIES USE STR O TURE SIGNATURE OF APPLICANT _ VALUATION APPROVALS DATE _ INSPEC TOR'S SIGNATURE P C. 9"'^'"" PMT. FO LOCATION FORMS, MATERIIALS .+ � `- �•�` F ' FEE $ FEE- $ G FRAME:FIRE STOPS, ✓ IHEREBY 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 CODE OF TH TATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO NS ON INSURANCE. LATH,EXT. SIGNATURE OFXI HOUSE NUMBER COR-' A ` PERMITTEE RECT AND POSTED AooREss, FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. -M.O. CASH PERMT VALIDATION CK. ei.O. cwsrl Ll4vo � ci 3� i:�nY 1 D 6.0 Q => APPLICATION FOR BUILDING PERMIT POR APPL I CANT TO FILL IN (Print or type only)' COUNTY-OF LOS ANGELES BUILDINGj,ADDRESS CJ DEPARTMENT OF COUNTY ENGINEER CITY .� C, 1 ZIP BUILDING AND SAFET DIVISION T10 OF BLDGS, BUILDING �} i SIZE OF LOT NOW ON LOT ADDRESS �/ a, vc- TRACT © BLOCK LOT NO d LOCALITY NEAREST OWNER (� BF J& t.. ,I �� TO Zg5-7lg C OSSST ADDRESS ASSESSOR (�Q 3 r�I2� MAP BOOK PAGE PARCEL DISTRICT : GROUP TYPE FIRE ESSED B -CITY ZIP CONST ZON �" ARCHITECT � TEL ENGINEER �- /!Ad S �! NO 79- ,6, 5,9STATISTICAL CLASSIFICATION SEWER MAP ADDRESSp�'v J O F .r/�JI u�OJ� ,/iI`b ,T CLASS NO. DWELL UNITSB G TEL K37 CONTRACTOR A,/ W(�A NO. USE ZONE NOP O' ADDRESS 16 7c^�:UI Al J � NO j Q—' CONDITIE IAL ONS CITY / N Ld/! ) CLASS G / ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER 11 NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE OF EXISTING SQ FT �j NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE p TOIFAMILIES ONE DESCRIPTION OF WORK v NEW + O y v BLDG SET NCK'PROM STREET( Cie O r �� ADD ❑ SIDE PROP LINE OF ALTER ❑ TOTAL SETBACK FROM T OF EXISTING w /Y 1:1 HIGHWAY + YARD = SIDE PROP LINE HIGH WIDTH N USE OF REPAIR Z EXISTING BLDG DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑, NO ❑ ti (PRINT) NO IN OPEN SPACE YES ❑'; NO ❑ BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑' NO ❑ VALUATION$ p2 O -z) (. e.I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 304,T- fiecclAb//JG .THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 PERMITTEE• r ^ ADDRESS � C /'l CITY NO�� .L DA f ES L BY - /l am MAKE CHECK PAYABLE TO- „ FEE PC $ ` FET HARVEY T.BRANDT.COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 783 -tis - 1. v . 33.0 Os 7 6A638 CE#803 3.75' - APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING f ,, COUNTY OF LOS ANGELES ADDRESS ',1014W=i- a DEPARTMENT OF COUNTY ENGINEER ti , .. '7 `/ l h BUILDING AND SAFETY DIVISION CITY !Ad J f✓40M f 7�a NO OF BLDGS BUILDING _ SIZE OF LOT NOW ON LOT �� ADDRESS L'- TRACT BLOCK LOT NO 293++71 9 5 LOCALITY OWNER (� �� Z TENEAREST,Q r w No��=�l7 CROSSST ��/ ASSESSOR" " ADDRESS /[fj �%��/Q/V'. MAP BOOK PAGE PARCEL CITY �tj�l/g DISTRICT G UP PE FIRE P CESSED BY ZIP 17o ONS ZONE + ARCH ITECTO / TEL p �(� ENGINEER L(f �. SS©C NO 88O ,, STATISTICAL CLASSIFICATION SEWER MAP ADDRESS.Z 2 / CLASS NO �DWELCUNITS BK PG TEL CONTRACTOR 4.t (y NO �0 USE ZONE 'NOAP G`�" d_ ADDRESS /v(ZSFG0I2* 15+4 S`f NO l9g'(&6 ^� SPECIAL CONDITLIC IONS CITY I�3�LF—z��cly CLASSY-13 ROA DEPARTMENT APPROVAL, YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BOG SETBACK FROM F ONTPROP LINEOF (STREET) ADDRESS CITY - TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK IGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES ` FAMILIES ONE } DESCRIPTION OF WORK f/l N el4aL k ©� NEW ❑ + O 1 /� BLDG SETBACK 0 3l?/ ,W DD ❑ SIDE PROP LINE OF STREET) ' O ALTER ❑ TOTAL SETBACK FRO TYPE OF. EXISTING w 4*W /VC fah ON -�1 If4D/NS, HIGHWAY +. YARD = a REPAIR ,SIDE PROP LINE HWAY WIDTH N USE'OF ❑ _ Z EXISTING BLDG DEMOL ❑ + APPLICANT . TEL,;?gr CORNER CUTOFF YES ❑ NO', (PRINT) L/ mfr'/�j,��/ (5/ NOD, _.:2,7' CUD IN OPEN SPACE YES ❑ NO-[]. BY(SIGNATURE) IN COASTAL PERMIT ZONE. YES ❑ NO ❑ VALUATION 6 IHEREBY ACKNOWLEDGE THAT-) HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - t THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO_WORKMEN SCOW PENSATION INSURANCE COM- PENSATIONINSURANCE - -- - SIGNATURE OF PERMITTEE ADDRESS TELFINA- DATE BY��:e�%' . CITY NO MAKE CHECKS PAYABLE TO FEE'$ FEET $ HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. •M.o. CASH PERMIT VALIDATION CK. M.O.` CASH 7 16 5 D .v VA 68 a ®::; 0 ®S 76A63BA CE,#803 3-76 " ` CE N803(REV 6/78) • APPLICATION FOR•. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL-IN ADDRESS /C/ C Cf'l' Lam. BUILDING a ADDRESS LOCALITY NEAREST IJ CITY - ZIP CROSSST k NO OF BLDGS- ASSESSOR SIZE OF LOT NOW ON LOT= MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SED BY 'TRACT BLOCK- %:` - LOT NO :� ONST ZONE r TEL �y OWNER'4�,t `1. NO.Z 8S-7j5S � �/r L SW STICAALCLASSIFICATION SEWER MAP ADDRESS A*-I:?R.ICLASS NO DWELL UNITS r' BK PG CITY' G/yt ,F C� ZIP / ARCHITECT OR TEL 'VALUATION $ ENGINEER NO / ADDRESS BLDG SETBACK FROM TEL' f r FRONT PROP LINE OF (STREET) CONTRACTOR C/Eloc[i/li .CN u' NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY .+ YARD = FRONT-PROP LINE HIGHWAY WIDTH ADDRESS a �C% 5 -I� NO / ^ LIC + CITY s�'.Q CLASS 4a 1-3 CONSTRUCTION LENDER BLDG SETBACK FROM SIDE PROP LINE OF (STREET( NAME AND BRANCH 0A.1Z- TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD. = SIDE PROP LINE HIGHWAY WIDTH d' ADDRESS _CITY • Q SO FT NO OF NO OF CHECK + _ v SIZE STORIES ,FAMILIES ONE ad DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee _ cv • ADD ❑ Issuance Fee, to. c �/ ALTER ❑ -'y/Ll REPAIR ❑ Total Fee- USE OF DEMOL EXISTING BLDG ❑ Z . APPLICANT TEL C� G (PRINT( �. v �y«= NO BY(SIGNATURE) - Q .'I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION AND STATE - THAT.THE ABOVE IS,CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ( W 2AO.A AND'LAWS REGULATING•BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE Z WORK,AUTHORIZED HEREBY'('WILL NOT EMPLOY ANY PERSON IN VIOLATION-OF U #l0 0•O O.4 8 THE LABOR CODE OF THE STATE OF CALIFORNIA IN-RELATING TO WORKMEN S COM- - Z • - PENSATION INSURANCE' g ' .�. d t0.O O.,O O'O�O, ' SIGNATURE OF ; PERMITTEE - 1T,3'0-,'/ 9 ADDRESS h �/ G Z CITY TEL D USE ZONE MAP GNO SPECIAL r - i CONDITIONS 01 s 4 s,. FINAL /// 1,13 d DATE If 76AB38ACE#803_6-57 APPLICATION FOR BUILDING FERMI` ]. COUNTY OF LOS- ANGELES BUILDING J ADDRESS IS DEPARTMENT OF COUNTY ENGINEER © � ' W BUILDING AND SAFETY DIVISION LOCALITY ;a JOHN A.LAMBIE,.COUNTY ENGINEER NEAREST 01 %. - CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. .J D 5 ICT NO. GROUP SEWER MAP ~ FOR APPLICANT TO FILL IN .57 , I TYPE - B PGBUILDING / / /} L CONST. ADDRESS l T Bogue Street STATISTICAL CLASSIFICATION .Z ZDWELL.UNITS LOT NO. See legal description BCLASS.NO.2 -LOCK MAP STATE `2 TRACT attached NUMBER -10 0 - I.WY. YES USEZONE SPECIAL SIZE OF LOT 72L' - 5861 !, NOW ON LOTS 1 /T'-� CONDITIONS EXIST NUSE OF G BLDGRecreation activity & toile V o BUILDING YARD HWY _t!TR9 ET NAME EXIST. SETBACK OWNER LA rA•Dept of-Parks & Recreatio FRONTMA IL WI ADDRESS 83k West Olympic Blvd SIDE CITY Los Angeles 15 TNEL.R1 511- P L.ARCHITECT INSPECTION RECORD ENGINEER Friend TE NoL I 2— - - ADDRESS 08 Kress Bldg2 Long Beach 12 TEL. CONTRACTOR NO. ' ADDRESS ' DESCRIPTION OF WORK NEW X -ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF ' SIZE 375- - STORIES 1 FAMILIES USE OF STR CTi RE wOD add tool storagre SIGNATURE '� ! APPROVALS APPLICANT / J. ••, - '' � / DATE INSPECTOR'S SIGNATURE ADDRESS , •' _ FOUNDATION: LOCATION q / / J' ,,GG�� FORMS,MATERIALS �J •� S f71f�(� $ 22 0>'VO ArCt�hcah.r=a iir�r'•C.' $ FRAME: FIRE STOPS, � / �j FEE BRACING.BOLTS II- � �+ ,�•A /i� ,,` VALUATION FURNACE: LOCATION, FEE GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE REXD TH •AP- LATH, INT. /I PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LTH ALL COUNTY OFj�y{�II JCU(f,-,,AN0 STATE LAWS R U TIN BUILDIN T �'��N;. LATH,EXT. -fie-l" 114.1-- DR OF U HOUSE NUMBER COR- PERMIT EF RECT AND POSTED Stanl erm 1 ADDRESS rh Lprchitect FINAL JOHN A. LAMBIE,COUNTY ENGINEER. A7-h-Itect-01 Dlvnan - CLYDE N. DIRLAM, P INCIPAL ST UR CTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH- 005 5.0 5 °° APR 15 8 0 0'3 4`O 8 w 'JUL 3`�; 40 :A �. 78A898A t%#809-B-57 APPLICATION FOR BUILDING PERMIT •1, COUNTY OF LOS ANGELES App Els, 10-144 ,TE • T�) DEPARTMENT OF COUNTY ENGINEER T BUILDING AND` SAFETY DIVISION LOCALITY 17= -4 JOHN A.LAMBIE,COUNTY ENGINEER NEAREST /�� CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. mmmm RICT NO [GROUP TYPE �y SEWER MAP FOR APPLICANT TO FILL IN -- j I CONST. 1 BK PG z ADDRESS / Bogue Street STATISTICAL CLASSIFICATION I CLF;SS:NO7--ZDWELL.UNITS uj LOT NO. See legal degCj!ipti0ja BLOCKMAP � H . 5 O m ClV - YE NUMER W � TRACT on attached sheet USE ZONE SPECIAL NO.OF BLDGS. _/ CONDITIONS SIZE OF LOT 1 X 861. 1 NOW ON LOT pIJ?J zz USE EXISTING NG BLDG. Recreation activities & TO ��DING YARD HWY TREET NAME - - EXIST. . a.-' SETBACK WIDT OWNER L:A. _ eD . of Parks & Recreati FRONT � ! - (-•/ �3C> f MAIL p P.,L. Js1 ADDRESS 8311 wP.Rt•, filer i c Rl ZTd TEL. P.L. .eVJ CITY Los Angeles 15 NO.RI7-5511 .` ARCHITECT OR TE 3r INSPECTION RECORD E . �`� - _ ✓ ENGINEER James R. Fri end NORF2-LI19LI P,h�/,� �j• ADDRESS T TEL. /�/✓�+ / `S 7 ¢ CONTRACTOR NO. v 0 ADDRESS DESCRIPTION OF WORK ='j,o/" _ F NEW X ADD ALTER REPAIR DEMOLISH SCI.FT. NO.OF NO.OF /'-w;/�" /V•r G G O 4� f.1�1J.L,►.,•�•--• SIZE 1681 STORIES 1 FAMILIES - - ' US OFST CTUem Ya d community r-pInrention RE activities SIGNATURE OF - r -� I,-V��APPROVALS •�� APPLICANT r3i'L✓ ` d-:✓itt::'3 ;.:°::a;,^•,_ R /+�� __ DATE INSPECTOR'S SIGNATURE ADDRESS / FOUNDATI(gN: LOCATION �•�r fL'L' I, r - F - FORMS,MATERIALS `ll� �}. 1. 'Vy,4s.Otai';Y _ P. ./$ FRAME: FIRE STOPS, �'•7{'•..'! �+ <cr E/ _BRACING, BOLTS VALUA ION1'•:{t:";s^�:' r. FURNACE: LOCATION. - - GAS VENT,DUCTS , I HEREBY ACKNOWLEDGE THAT I HAVE READ T IS AP- L4TH,INT. /�-�= i� 'JSG a.�C cr�.r�• PLICATION AND STATE THAT THE ABOVE IS CORRECT AND —.- r _ _ AGREE TO COMPLY -COUNTY O�ppINANCES AND STATE LAWS GU TING ILDI J=N6-TAL*=I0N. LATH,EXT. SIGNATURE OF TY ENGINES', HOUSE NUMBER COR- y PERMITTE RECT AND POSTED J. W. StanIforC ADDRESS FINAL a 3ltb C JOHN A.LAMBI OUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL S RUCTURAL ENGINEER PLAXACHECK VALIDATION CK. M.O. CASH PERMIT.VALIDATION CK. M.O. CASH SYr: CYJG_ ��3'8 { .'o6- 5 0 5°° APR1 5j -3 0,�': � LACo 3 4 a 7 " JUL 31, 4 O A � . LJ( Z ` , - 76A888A CE#8038.59 APPLICATION FOR BUILDING- PERMIT-.- , BUILDING/,o ERMIT �. COUNTY OF LOS ANGELES' ' BUIADDeINs � .CJ DEPARTMENT OF COUNTY.ENGINEER - 1. BUILDING- AND SAFETY DIVISION LOCALITY . /LJ'�L JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CROSS ST-F CASSATT D. GRIFFI N,.S UP•T OF BUILDING DISTRICT NO GROUP TYPE- PZSD.0 ESSED BY, 4 FOR APPLICANT 'TO FILL-IN % -$' CONST.:•' 1.�� C� BUILDING p3 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS' • 0&4V f�. CLASS.NO. 'DWELL.UNITS LOT NO. ,®��w/ BLOCK MAP ,STATEr NUMBERHWY. 'YES IN . � Q- - TRACT- _ USE.Z_ONE SPECIAL -� �G• „ NO.OFBLDGS•. ,•-500 CONDITIONS�Y`-.Ln. ".[j,�' _ SIZE OF LOT �/T[,a� 6►,,� I NOW ON LOT'' 'USE'OF - -- EXISTING BLDG. �- '�� BUILDING EXIST pySETBACK Y S R E"fN E / _ WIDTH , OWNER ` '✓AI Gi I o. _IS` . "FRONT ADDRESS iS/ �.�C..J,'e(5/ �'/�� GUIDE .7u& - L. CITY G. �` . NO. ,�1-7. /1 INSPECTION RECORD - ARCHITECT OR TEL. ENGINEER ., NO.. ADDRESS • TEL. , ✓ CONTRACTOR. NO. ADDRESS DESCRIPTION OF ,WORK _ NEW ADD ALTER REPAIR DEMOLISH SQ FTNO. OF - 'NO OF ,SIZE' STORIES- FAMILIES _ - '�-- USE OF' STRUCTURE SIGNATURE OF APPLICANT - �q. Q� APPROVALS '-DATE INSPECTOILS SIGNATURE ADDRESS �d� (/� �POL.9Zvi' _ FOUNDATION: LOCATION VO _FORMS,MATERIALS , �— .VALUATION $' 5aa,� FRAME: FIRE STOPS, I BRACING, BOLTSOMT. ' 3 ��.0 �_ ``t`_ ^•-�.�_ I - FURNACE' LOCATION,' FEEI,FEE $ ® ,Ar - •' - - _GAS VENT DUCTS, ].HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS AP- r J - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT..�- 2 ;7 AGREE-TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE ,LAWS REGULATI G uILDING CONSTRUCTION. LATH;EXT. (�I HOUSE NUMBER COR- -SIGNATURE O ��fff///YYY••• RECT AND POSTED ' PERMITTEE - ' 'ADDRESS V atYlvIrlu Vt Y,D �) FINAL - - 3 •, CLYDE N. DIRLAM:PRI CIPAf STRI Al ENGINEER PLAN CHECK VALIDATION CK. M.O. CASHPERMIT VALIDATION �K. M.O. _ CASH•• 160 ` WORKERS' COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self, APPLICATION FOR BUILDING PERMIT insure,,_or a certificate of Workers' Compensation Insurance, or certified c 3800, Lab ), COUNTY.OF LOS ANGELES BUILDING AND SAFETY Policy NIA—Company BUILDING 0 Certified copy is herebyfurnished. r FOR APPLICANT TO FILL IN. ADDRESS Gn v Certified copy is filed with the BUILDING ` ' iron-depvrTmtnt. ADDRESSwe LOCALITY NEAREST .Date Applicant CITY ZIP 91260 CROSS ST Go CERTIFICATE OFEXEMPTIONFROM WORKERS' NO OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need-not be completed if the permit is for one USE ZONE MAP �O hundred dollars'($100)'or less.) TRACT BLOCK LOT NO' NO TEL SPECIAL �• . I certify that in the performance of the work for which this OWNER j NO 2 CONDITIONS 0' ' 'permit is issued, I shall not employ any,person in any manner ADDRESS DISTRICT GROUP TYPE FIRE PROCESSED BY OCONST ZONE V. so as to become subject to the Workers',Compensation Laws. , a / ON Date Applicant CITY —• ZIP STATISTICAL CLASSIFICATION �6 / APT. CONDO O ARCHITECT OR - TEL 11 NOTICE TO APPLICANT: If, after making this Certificate of ENGINE u m ER ' NO �/ CLASS NO DWELL. UNITS W Exemption,,yo ••should becoe subject to the Workers' 9116 Compensation provisions of the Labor Code, you must forth- ADDRESS ! 2SEWER MAP with comply,.with such'provisions or.,this,permit shalb be Z deemed revoked. CONTRACTOR �, TEL 71BK PG; VALIDATION LICENSED CONTRACTORS DECLARATIONLIC 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 Professions Code, and my license is in full force and effect CITY POWtOo - CLASS C C $ SQ. FT NO. OF NO OF HE -License Number ?&9 9R� Lic.Class cit SIZE STORIES FAMILIES ONE �:'ti '• � NEW � $ Contractor Date DESCRIPTION OF WORK I am exempt under Sec. Co U j ADD ALTER E] FINAL B&P.0 for this reason REPAIR DATE � ' USE OF DEMOL FINAL Date: , EXISTING BLDG � BY Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. �� l I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 2, Professions Code): PRESENT /7` y / ❑ BUILDING A: j, as owner of the property, or my employees with ADDRESS wages'as their sole compensation,will do the work and the structure is not intended or offered for sale(Section [ADDR LITY F_J7044, Business and Profess ians,Code) MOVING, TEL. / RACTOR NO.. • I, as'owner of the property, am exclusively contracting With licensed contractors to construct the project (Sec- ESS 2'6.9 0,,cJ A tion_ 70.44, Business and Professions Code). UIRED TOTAL SETBACK FROM EXIST :#,0.0.0 0 0'1 CONSTRUCTION LENDING AGENCY YARD HWY BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for NT 2 0 1 .6 0, the performance of the work for which this permit is issued(Sec. 3097, Civ.'C.). . Eo e 16 0,�J Lenders Namer 0, 15-82 ee$ �/�'� PermitFee Lender's Address I certify that I"have read this,application and state that the Issuance-Fee ' above information is correct. I agree to comply with all County Investigation Fee ma g d ordinances and State laws relating to building construction, Total Fee u and hereby authorize representatives of this County to enter m upon the above-mentioned property for inspection purposes. af S5-87 _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant—or Agent- Date ®t 4WIL WORKERS' COMPENSATION DECLARATION f hereby affirm that I have a certificate of consent to self g P P 1 CATION FOR BUILDING PERMIT • insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C ) COUNTY OF LOS,ANGELS e-. ' BUILDING AND SAFETY Policy No - Company 0 r Certified copy is hereby furnishedBUIL FOR APPLICANT TO FILL IN D AD SS Certified department, filed with the county buildirig inspec- tion speo BUILDING ` f / �-^ �--- �� `� J-Fill tion department• ADDRESS' �! I `L F� LOCALITY / \ -� `/ �J NEAREST Date Applicant CITY I� �ry/Z& ZIP �'� CROSS ST CERTIFICATE OF EXEMPTION FROM-WORKERS' O OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW-ON LOT MAP BOOK PAGE PARCEL /y (This section rise$ not be completed if the permit is,for one 'USE ZONE MAPTRACT BLOCK LOT NO NO ©(/ hundred dollars ($100)or,less )• ti TEL �. �/ SPECIAL 1 certify that in the performance of the work for which this OWNER % /�� NO,2g_ CONDITIONS Q permit is issued, I shall not employ any person in any manner �//, �� ;r/�,1 DISTRICT GROUP TYPE FIRE PROCESSED-BY ADDRESS It (�rY+L /!'("� !I CONST / ZONE so as to become subject to the Workers'Compensation Laws. —r&—,A ^ /y�y ` � - pC CITY / A AZA �C ~ ZIP C` ® OO ; 1 0 Date ' - "Applicant STATISTICAL CLASSIFICATION APT CONDO U NOTICE TO APPLICANT: If, after making this Cerfificate of ARCHITECT OR // / Exemption, you 'should become subject to the' Workers' ENGINEER /r 1. .��C NCIa ��f` ! CLASS NO DWELL UNITS Compensation provisions of the-Labor Code, you,must forth- / / Ny with comply with ;such provisions or this permit shall be ADDRESS G S` SEWER MAP deemed revoked,- CONTRACTOR. TEL NO BK •PG,( VALIDATION 'LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of CRapter 9 ADDRESS NO 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 CLASS $ \ /�� ' SQ FT NO OF NO OF CHECK License�Number Lic Class SIZE RIES FAMILIES ONE „^/j �'DwC $ X99 DESCRIPTION OF WORK NEW Contractor Date ADD_ \ 0 I'am-exempt from the licensing requirements as I am a BLb�-!� ,y,vb licensed architect or a registered professional engineer. ALTER p FINAL acting in my professional capacity (Section 7051, C-0&4 ..DATE d'si G� REPAIR Business and Professions Code) USE OF FINAL gvy EXISTING BLDG DEMOL By Lic or Reg No. Date 'APPLICANT TEL 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 Professions Code)- PRESENT BUILDING 1, cis owner of,the property, or, my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not'intended•or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL I, as owner of the property, am exclusively contracting kADDRE ACTOR NO !� with licensed contractors to construct the project (Sec- SS tion 7044,-Business and Professions Code) . IRED TOTAL SETBACK.FROM EXIST CONSTRUCTION LENDING AGENCY ACK YARD HWY ' PROP LINE WIDTH I hereby affirm that there is a construction lending agency for T the performance of the work for which this permit is issued (Sec 3097, Civ C.) Lender's-Namee$ Permit,F e Lender's Address > I certify that I have read this-application and state that the scan Fee above information is correct I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to bu�e( g construction, w and hereby authorize representatives of tounty to enter Total e U upon e ab ve- 'endo e pr erty forWpurosesSEE REVERSE FOR EXPLANATORY LANGUAGE Si nature p nt or Agent - WORKERS'COMPENSATION DECLARATION APPLICATION I hereby affirm that I have a 'certificate of consent to self insure, or a certificate of Workers' Com ensation Insurancein a certified copy thereof (Sece s' C Lab:C.) FOR B�I�®I S G PERMIT , ��ii t I COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo. 10&10�,Company!" Certified co is hereby furnished. . I BUILDING /t) �e [� copy , . Y FOR APPLICANT TO.FILL-IN ADDRESS v Certified copy•is.filed with the county building inspec- BUILDING tion department.; ADDRESS' /0 LOCALITY - ' �`}� T �} ` �/ NEAREST Date Applicant� ,ls.� �� ir-� CITY / L� ; IP. ! / 7p- CROSS ST L RTIF. ATE OF EXEMPTION.FROM WORKERS' NO. OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT'• NOW ON LOT' MAP BOOK PAGE PARCEL (This section need not'be,completed.if the permit is,for one USE_ ZONE MAP 8 hundred dollars ($100)or less.).,- TRACT.• - BLOCK LOT NO., NO • .- TEL )Q Y•• f� SPECIAL'' e P certify that in the performance of'the work for which this 1 OWNER Qr. � )• NO/�pil D CONDITIONS permit,is issued,,l shall not employ any person in any manner ¢ _ DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to,become subject to the Workers'Compensation Laws: ADDRESS —� (J' `'• /��t`��9�� CONST. ZONE V 09 CITY / � �� L ��-ZIP /(�� o� l✓ Q Date' Applicont r � � _ STATISTICAL CLASSIFICATION APT CONDO. 1- NOTTO APPLICANT: If, after,makrri this Certificate of ARCHITECT OR TEL. / t V Exemption, you should become subject-to the Workers" ENGINEER fir!, � ,1 �71IS, Nt'NO. r�/�� (CLASS NO _DWELL UNITS LU Compensation provisions•of the-Labor..Code, you must forth- - vf' ADDRESS oZ� J�, %� � P /4/ - SEWER MAP llll with comply with such•,provisions or this permit shall be - - '� � - z •' TEL deemed revoked. CONTRACTOR L1,p /, NO 67 BK. QJ PG, 7 -VALIDATION LICENSED CONTRACTORS DECLARATION • ,LIC I hereby affirm that I am licensed under provisions of Chapter 9- ADDRESS - V NO IV VALUATION (commencing with Section-7000)of Division 3 of the Business and LIC Professions Code, and my-license is,in full force and effect CLASS SQ. FT NO. OF NO, OF CHECK `3.7 a License Nunmb[e1r �j� �3 Sof 5��,�Lic.Class SIZE• STORIE®S FAMILIES ONE Contractors{ , AXyjPi'�vote - DESCRIPTION OF WORK /1 � NEW $ �V tip n o 0 o a (:,o 0 - I am exempt under Sec. X/5 /fqJ � Ajyb DD._- ALTER FINAL j f~ 1 9-33 9 r-IG -�IrAOB S f�G I+F .� DATE- B.BP.C. for this reason REPAIR / USE OF �s DEMOL Date: T /� 0 FINAL • EXISTING BLDG. 17t. C- /��{i �f By Signature APPLICANT NO. O v i1 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 'Law for the following reason (Section 7031.5, Business and ADDRESS cT/ r/� ` ®• j� 1- , Professions Code): PRESENT � �v' � � F-8 h 0,5 A ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole-compensation,will do the work and )`+ ° ° °- C p the structure is not intended or offered for sale(Section- LOCALITY l� ' 704 Business and Professions Code)., MOVING TEL ReCC�y 2 ° 8 n 2 J 01- �' I, as owner of the,property, dm exclusively contracting• CONTRACTOR NO' ,.� i e � r. Y with licensed contractors to construct the•projecT (Sec- ADDRESS �•/�� ' tion 7044, Business and Professions Code). 01,31 -84 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING'AGENCY i SET BACK YARD HWY 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 (Sec. 3097, Civ. C.,). SIDE c PL. v Lender's Name Lender's Address PC Fee'$ _ Permit Fee I certify''that I have'read this application and state that the Issuance Fee 1/0, S above information is correct. I agree to comply with all County Investigation Fee g ordinances and State laws relating to building*construction, 2 d- and hereby'authorize representatives of this'County to enter iotaPFee 47 C/ uptabove-mentioned property or inspection purposes. ---- a — r Q_y �.� �"_ - SEE REVERSE FOR EXPLANATORY LANGUAGE ^ Signature of Applicant or Agent es Date - WORKERS' COMPENSATION DECLARATION ent to self in5u a boraffirm certif'athat te of Workers' Compensat on Insurance, - APPLICATION F®R'. BUILDING PERMIT dor p c'*r3ifiedcopy thereof (Sec. 3800, Lab.•C.) : COUNTY OFACIS ANGELES' ' BUILDING AND SAFETY" " Policy No. Company BUILDING " ❑ Certified copy is hereby furnished; FOR APPLICANT TO,FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING - tion department.• ADDRESS Date Applicant CITY / J ZIP LOCALITY -NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE:OF.LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR (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 USE ZONE MAP OWNER NO I.certify that in the performance'of the work fo,which thisSPECIAL - �� / �� '� permit is issued, I shall not employ any person in any manner ADDRESS- CONDITIONS '• CL - so as to become subject to the Workers' Compensation Laws. _,� _ ��•ff O CITY G ZIP fc Date Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE - FIRE PROCESSED BY 0 NOTICE,TO APPLICANT: If, after-making this Certificate of ENGINEER — NO CONST. ZONE Exemption, you should ,become, subject-to the, Workeis' 447_3Z_TL G - Compensation provisions of the Labor Code, you must forth-, ADDRESS i�0 .5 N with comply with such provisions. or This permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed•revoked. CONTRA OR' — LICENSED CONTRACTORS DECLARATION r"� LIC. CLASS NO. o9:22 -DWELL UNITS I hereby affirm that I am licensed under Provisions of Chapter 9 ADDRESS N (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professi ns Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATIONS• 443 1�,Lyt�• SQ FT " ' NO OF NO OF CHECK Licen `Num� Lic. Class SIZE STORIES FAMILIES ONE , dl O VA ATION ConiracloF _ Date' _ "� DESCRIPTION OF WORK NEW $ D�© ! / ADD ❑ ► ❑I am exempt under Sec. .. - -- ALTER,- ❑ � B.BP.C. for this reason �--2 REPAIR ❑ $ Date'°/ USE OF EXISTING BLDG. DEMOL ❑ Signa'tuAPPLICANT• TEL FINAL (J qb&WNER-BUILDER DECLARATION (PRINT) NO. DATE Z Z'`Z/ I hereby affirm that I am exempt from the Contractor's License Law fon the following reason (Section,7031.5; Business and ADDRESS — FINAL 3 Professions Code): PRESENT BY BUILDING r s ❑ - j, as owner of The property, or my employees with ADDRESS wages as their sole compensation,-will do the work and. LOCALITY the structure is not intended or offered for sale(Section - 7044, Business and Professions Code. MOVING TEL _ ❑' ) CONTRACTOR NO �i J � j, as owner of the property, am exclusively'contracting (j with licensed.contractors toconstruct the project (Sec- ADDRESS O G +)i h -� tion 7044, Business and Professions Code.) REQUIRED YARD HWY TOTAL SETBACK FROM EXIST 'L liG s;yij__}; �7 CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH `#F � R. 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 A'� (Sec. 3097, Civ. C.). SIDE . P.L. Lender's Name -I- LDMA Ref It _�,._—_),_st Il_- � PC. Fee$ � � O Permit Fee !J �� -•t� r; `•- Lender's Address , i I.certify that I have read this application and state that the Issuance Fee �' LDMA P/C It above information'is correct. I agree to comply with all County Investigation Fee :. -J 8 ordinances and State laws relating to building construction, Total Fee �'/d9 LDMA Perm # a and hereby authorize representatives of this County to enter upon the above-mentioned prope for•inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of App i n r gent i D to :i t _ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, A P P L I CAT I O N 'F O R:_B U I L D I.N C9 PERMIT ora certified copy thereof (Sec. 3800, Lab. C.) „•_ COUNTY•OF LOS ANGELES, BUILDING AND SAFETY, , .• Policy No. = Company ❑ Certified co is hereby,furnished., FOR APPLICANT TO FILL IN BUILDING' copy y• ADDRESS D/ i — ❑ Certified copy is filed with the county building inspec- BUaDING tion department. ADDRESS Date Applicant CITY /w , ZIP / �;/ LOCALITY NO. OF BLDGS. NEAREST - 01 , 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 e� G OWNER - USE;ZONE MAP ' I certify that in the performance of the work for which this .61 Ingo permit is issued, I shall not employ any person in:any manner ADDRESS ` l TLGfC�/t PE A CONDITIONS a so as to become subject to the Workers' Compensation Laws, A O / CITY ZIP �� V Date Applicant ARCHITECT TEL *� /� DISTRICT GR UP• TYPE FIRE - P SSED BY O NOTICE TO APPLICANT: -If,- after making this Certificate of ENGINEER NO. L 1C- CONST. ZONE V Exemption, ,you .should become subject to the,. Workers' 1� �+ C� �/ ,�f �' Q Compensation provisions of-the Labor Code, you must-forth- :. ADDRESS/�✓G/ .dC¢'L\ vim/ 4.' a with comply with .such provisioris or this permit shall be TEL. STATISTICAL CLASSIFICATION A T: CONDO N deemed revoked - CONTRACTOR NO. - Z 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 STORIES FAMILIES ONE VALUATION Contractor• Date DESCRIPTION OF WORK NEW ❑ $ L�C� L ADD ❑I am eicempt under Sec. IV ALTER ❑ B&P.C. for this reason REPAIR ❑ ;• Date: USE OF. EXISTING BLDG. DEMOL ❑ APPLICANT TEL gyp•S- - Signature OWNER-BUILDER DECLARATION (PRINT) L Oen �� NpOCO �?t� FINAL - ` DATE O FEE I hereby affirm that I am exempt from the Contractor's License Law for the following;reason-(Section 7031.5, Business.and ADDRESS t FINAL Professions Code): PRESENT By ❑ I, as owner of the property, or my em to ees'with BUILDING I000 - LD }! 3/9"- ADDRESS I wages as their sole compensation,'will do the work and'' - 0, the structure is not intended or offered for sole'(Section LOCALITY poll r'�7� H �4� 7044, Business and Professions Code:) - MOVING- TEL.. - [ADDR RACTOR NO. ❑` I, as own'er'of the property, am exclusively contracting •• with licensed contractors to construct the project (Sec-. ESS ' tion 7044, Business and Professions Code.) UIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION (ENDING AGENCY BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for NT the performance of the work'for which this permit is issued ///►� '(Sec. 3097, Civ. C.). / Lender's Name ee$ Pe rt FeeLender's Addressj certify that I haveread thisapplication and state that the Iss n A r1.1 above information is correct. I agree to comply with all County igation Fee N -ordinances and State laws relating To building construction, T t Fee LDMA Perm # Q' and hereby authorize representatives of this County to enter upon the above-mentioned-property for inspection.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date _ , ' t WORKERS'COMPENSATION DECLARATION I herpi6y affirm that I have 6 certificate of consent to self insure, tK certificate of.Workers'Coriripensation Insurance, APPLICATION FOR. BUILDING PERMIT ,Or cer.1 ed copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company-<q7/-Z,9— Certified copy is hereby furnished. FOR APPLICANT TO-FILL IN BUILDING ADDRESS 9Certified copy isrfiled with the cou buil ' ins BUILDING //,/7q Ron de✓partment.) ADDRESS 140112 j: JA Date - pplica CITY ZIP / �� LOCALITY CERTI KATE OF E TION FROM WORKERS' �-^ NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 1,! .5 NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one i ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL N L „� ��/�v USE ZONE MAP S� I certify that in the performance of the work for which this OWNER l of NO. permit is issued, I shall not employ any person in any manner ; '\l SPECIAL SO as to become subject to the Workers'Compensation Laws. ADDRESS O/14S/JTWWS 4 013 CONDITIONS CITY X 4*0/0 '(S J' ZIP•• ,'�/7��: C,� Date Applicant Y ARCHITECT OR TEL g NOTICE TO APPLICANT: If, after making this Certificate ofENGINEER � DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' NO CONST. ZONE (- Compensation provisions of the Labor Code, you must forth- �Q1�, R� �ley �D� + V ADDRESS r W with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR STATISTICAL CLASSIFICATION APT. A tONDO. N LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (commencing with Section 7000)of Division 3 of the Business and LIC SEWER P Professions Code, and my license is in full force and effect. CIT CLASS VALIDATION SQ. FT. NO.OF NO.OF CHECK BK. PG. License Number `f Lic.Class SIZE ISTORIES Ja NEW # 0 0 0 0 3 FAMILIES 0 ONE z 8 1 A �a DESCRIPTION OF WORK ofe"GD&'/ G'� .$. ❑ VALUATION Contract $ o o o a o o o z I am exempt under Sec. ,per NS• lffC7 R&S ALTER A0 ADD �❑ , I 0 1 6-8.7 ❑ B.BP.C. for this reasonzzz ,i'l9 s T/O ` REPAIR $ D e' USE OF JJ EMOL EXISTING BLDG. � 4C RG I/P//D S ❑ Signatu / APPLICANT �/ TELQ A FINAL OWNER-BUI DER ECLARATION PRINT !//C O N�l� �SS/f DATE 11r I hereby affirm that I am exempt from the Contractor's LicenseQ� �f� ��r 7-� Law for the following reason (Section 7031.5, Business and ADDRESS IN Professions Code): PRESENT BUILDING /,*/OB I, as owner of the property, or my employees with ADDRESS / �•'_ wages as their sole compensation,will do the work and LOCALITY t Y O� �i�! gW,;1 4�!. /1.//jl� - 9 5 2 A the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING � g TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR IV NO. # 0 0 0 0 0 1 with licensed contractors to construct the project (Sec- "o o o o o o o z tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK5. 04 -88 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH O 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. N Lender's Address P.C. Fee$ Permitfee 1 certify that I have read this application and state that the Iss ce Fee LDMA P/C# ° above info t, correct. I a to comply with all County Investi anon Fee 9 ordinances a State aws�r ati t building construction, g f(} LDMA Perm. fi R and her' 2E au or' a prese s of this County to enter cal e upon the ve- e io r rt for inspection pur ss se :5.t_ -, a� SEE REVERSE F EX 4iNATO III Y UAG LANG Signature of Applicant or Agent Date - I Y�JRKERS'COMPENSATION DECLARATION r-.- heraffirm that, I have d certificate of consent to self APPLICATION FOR BUILDING PERMIT insure4,, ori certificate of Workers' Compensation Insurance, Rr a certified copy thereof (Sec. 3800, Lab. C.) . _ COUNTYOF LOS ANGELES BUILDING AND SAFETY Policy No. Company, Certified copy is hereby furnished. FOR APPLICANT TO FILL,IN ADDRESS Certified copy is filed with the cou ildi p BUILDING 4 tion debartment.; ADDRESS /a°f .z✓� Date, Anal' CITY: /7 �i ZIP 91'7 O LOCALITY CERTIFICATE OF'. TION FROM.WORKE ' NO. OF BLDGS. NEAREST CO SATION INSURANCE SIZE OF LOTS 3 ��[[NO/W ON LOT CROSS ST. ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK /7- f LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) ^^ �p TEL.!�. �y�^ / -y p" USE Z NE NO.MAP OWNER NO % ®� / /F IO.� 'OC I certify that in the performance of the work for which this �7 �";' `, ,yc��) permit is issued, I shall not employ any person in any manner ADDRESS t,7�S / c g (/ y CONDITIONS SPECIAL so as to become subject to the Workers'Compensation Laws. U CITY /2r44 v/� ZIP W-o IX Date Applicant ARCHITECT OR �y TEL. NOTICE TO APPLICANT: If, after making this Certificate of ��/ y% ' i /v� NO +ry DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER ♦ fid- '�4' CONST. NE h" LLJ Exemption, you should become subject to the Workers' ��y �� (� Compensation provisions of the Labor Code, you must forth- ADDRESS �w*4!r with comply with such provisions or this permit shall be L. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. 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 and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION `-7 �j SQ. FT. / NO. OF NO. OF CHECK LicenseNumberC—> '72 SIZE / SIZE 7� STORIES FAMILIES ONE � AU%) S i® NEW ❑ VALUATION /v DESCRIPTION OF WORK ❑ ; /]� K;46— Contractor ADD ✓(f V I am exempt under Sec. ALTER B.BP.C. for this reason REPAIR ❑ $ 29 0 5.3 A USE OF ,yam q�. 0 - 0 0 at EXISTING BLDG. /C/a�+%��©�� DEMOL ❑ 0 0 o a o 0 `�0 z Signature APPLICANT TEL. FINAL 0 2,26-88 g PRINT •t ® �/ G;� NO �� BUILDER DE LARATION DATE v I hereby affirm that I am exempt from tFie Contractor's License c7� /,,� Nll�fils��': ��C Law for the following reason (Section 7031.5, Business and ADDRESS ;4 FIN Professions Code): PRESENT BY El 1, I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY '' " '953, 1 A 7044, Business and Professions Code). MOVING TEL. ❑ 1 I, as oCONTRACTOR NO. 'owner of the property, am exclusively contracting �a0 0 0 0 0 with licensed contractors to construct the project (Sec- ADDRESS 0 0 0 o m o o m tion 7044, Business and Professions Code). --FROM EXIST. z CONSTRUCTION LENDING AGENCY REQUIRED SET BACK YARD HWY TOTAL SETBACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT U5.0 4 — $8 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # � P.C. Fee$ Permit fee 3 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 agreet y with all County Investigation Fee 0 ordinances and St aw relating ding construction, Total fee LDMA Perm. # and hereby out rize pr� a' this County to enter < upon the ob a-me io ed r inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent - Date WORKERS'.COMPENSATION DECLARATION I hereby-affirm that I have a certificate of consent to self APPLICATION F O �J I L D I N G PERMIT nsure, or a certificate of.Workers'CompensTion Insurance, or a certified copy. thereof,(Sec. 3800, Lab C.) P.olicyNo,,M-h-1111kI Company ,A)" 14COUNTY OF LOS ANG LES BUILDING AND SAFETY- BUILDING a' �) Certified copy is hereby furnished - -- FOR APPLICANT TO FILL IN ADDRESS , G(�G//� Certified copy is filed-with the county building inspec- BUILDING tion department b! ADDRESS /y+ 0 1 C E �J�• LOCALITYNEARET Date _ Applicant Fl- A• J¢IS/I /i4/C CITY le-mele r, L C/,4• ZIP, 917*-D CROSSSST - CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 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 NO TEL SPECIAL 4. I certify that in the performance of the work for which this OWNER Cj` R teAJ e C NO CONDITION5_ permit is issued, I shall not employ any person in any manner DISTRICT GROUP YFIRE P OCE SED BY U so as to become subject to the'Workers'Compensation Laws ADDRESS C N Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT CONDO U NOTICE%TO APPLICANT- If,- after making this Certificate of ARCHITECT OR TEL LU Exemption, you should become subject to the Workers' i ENGINEER NO CLASS NO DWELL UNITS N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z e with comply with such provisions or.this permit shall be A TEL BK PG VALIDATION deemed revoked' - CONTRACTOR -e� A. A!C NO �/Y3 ,2 LICENSED CONTRACTORS DECLARATION / ^ LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ZO Cy/CO 4L-e NO Z Q/ 7 / VALUATION (commencing with Section 7000)of Division'3 of the Business and n, LIC Professions Code, and'my license is in full force and effect CITY So- V /Yl0 r41'•e`.` CLASS - $ 21 5,D SQ FT 6c/ NO OF NO OF CHECK License Number *-2'71 /7 9'� Lic Class `/� SIZE 170 d STORIES � FAMILIES ONE Q W. LdAl L � ��1� _ 1 NEW $ Contractor /`8 S" /lYCDate DESCRIPTION OF WORK _ S�fadt S'XC leis ❑ ADD ❑ I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity, (Section 7051, DATE Business and Professions Code). USE OF REPAIR ❑ FINAL AL EXISTING BLDG /GNIC DEMOL ❑ , / -Lic. or Reg No. _Date APPLICANT / A^ &,'+1TEL BY t^ OWNER-BUILDER DECLARATION (PRINT) red . ,I IYC.' NO 3 _/ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 2O// Professions Code): PRESENT FTBUILDING I, as owner of The property, or my employees with ADDRESS - - wages as their sole compensation, will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code)., MOVING TEL ❑ j, as owner of the property, am exclusively contracting CONTRACTOR NO - with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). z 3.68.7 A' REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH # o 0.0 0 0 1 I hereby affirm that there is•a construction lending agency for FRONT the performance of the work,for.which this permit is issued PL o o'e o 0 0'0• , (Sec 3097, Civ C ) - SIDE PL 0 .1, 0.9-8,1 Lender's Name � - m P C Fee$ - Permit Fee ' Lender's Address w I certify that I have 'read this application and state that the Issuance Fee aabove information is correct. I agree to comply with all County Investigation Fee 0 ordinances and,State laws relating to building construction, Total Fee' T, and-hereby authorize representatives of this County to enter Qupon the-obov -mentioned property for inspection purpo es a 1I /�� f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote - - es hl WORKERS' COMPENSATION DECLARATION d, hereby affirm„that L have a certificate of consent to self - APPLICATION FOR BUILDING P E RM I T ' insure, or a certificate of Workers'Compenstion 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 • FOR'APPL•ICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING /'/ - / tion department ADDRESS /�fTg 1^- 0 /'~ y/ 7�( LOCALITY '��//G %- /' /V NEAREST Date` Applicant - CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT N.QkV ON L MAP BOOK PAGE PARCEL (This sectionneed not:be completed if the permit is for one �- USE ZONE MAP �9 hundred dollars ($100)or less ) TRACT BLO K LOT NO NO �•-�- TEL . O�5 SPECIAL 1 certify that in the performance of the work for which this OWNER Q/—// �/� f NO �7�v C 0 permit is issued, I shall nat employ any person in any,manner A DISTRICT GRO FIRE POC SED BY V ADDRESS a�� O so as�to become subject to the Workers'Compensation Laws c� o �J/ �j� �,/ •� CITY /L�� ZIP �(J O - Date •' Applicant - .. STATISTICAL CLAS FICATION A CONDO NOTICE TO APPLICANT- If, after making this Certific6te of ARCHITECT OR TEL r w CL .Exemption, you should-become -subject to the`Workers' ENGINEER NO - CLASS NO DWELL. UNITS - Compensation provisions of the Labor Code, you must forth-- ADDRESS SEWER MAP with comply with such provisions°or this permit shall be JEL deemed revoked. CONTRACTOR NO BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC ` I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION 02833 A (commencing with Section 7000)of Division 3 of the Business and LIC Professions'Code, and my license is in full force and effect CITY CLASS " $ # 0 0 0 0 2 3 SQ FT NO OF NO OF CHECK License Number Ltc Class SIZE STORIES FAMILIES ONE o 0 0 0 0'0 o 2 DESCRIPTION OF WORK NEW Contractor Date- DD ❑ 1028—'60 P 9 � �ll�1`D� c�/ I am exem t from the licensing requirements as I.am a iA -licensed architect or a registered professional engineer ALTER ,❑ FINAL acting in my professional capacity (Section 7051, REPAIR ❑ DATE Business and.Professions Code). USE OF REP FINAL ` EXISTING BLDG Tic q(7 yN❑ Lic. or Reg No.- Date APPLICANT r/G /c�� -TNOf>�'7�p BY OWNER-BUILDER DECLARATION' PRINT (/� I hereby affirm that I am exempt from the Contractor's License ADDRESS ��'"•' [�/f'� � �� Law for the following reason (Section 7031 5, Business and if Professions Code). PRESENT S' y4� ❑ BUILDING / ••11, as owner of the property, or my employees with ADDRESS 8 3 4 A wages as their,sole compensation,will do the work and a LOCALITY the structure is not mtended'or offered for sale(Section U 4 7044, Business and Professions Code) MOVING TEL a� /1 /) - # 0,0,0'-p 0 CONTRACTOR NO ) �; } ❑ I; as owner-of-the property, am exclusively contracting / > < • 1 with licensed contractors,to construct the project (Sec- o 0 0 0 0'' 10 hon 7044, Business.and Professions Code) ADDRESS \\N CONSTRUCTION LENDING AGENCY REQUIRED YARD' HWY `TOTAL SETBACK FROM EXIST 10,28-8 0 SET BACK 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 PL (Sec 3097, Civ.,C ) SIDE- PL cb Lender's Name ; m P C Fee S Permit Fee Lender's Address w I certify that I have read this application and state that theIssuance Fee aabove information is correct I agree to comply-with all County Invest'go.on Fee a g ordinances and State jaws relating to building construction, Total Fee 2 and hereby authorize representatives of.this•County to enter a upon the above-mentioned property for inspection pu poses SEE REVERSE FOR EXPLANATORY LANGUAGE o Signature of Applicant or Agent Dot - �s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW COMMERCIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0202070002 PHONE: (626) 285-0488 EXT: LEGAL ID: NO' OF CONST NEW BUILDING ADDRESS: TR: 16957 SQ. FT STORIES TYPE OCCUP GROUP 10144 BOGUE STRUCTURE: 3161 1 VN B TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST ,CROSS STREET: BALDWIN THOMAS PAGE: - GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZO E: OS ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/12/02 JK 05/11/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE � -FINAL By:�J CODE: CITY OF TEMPLE CITY (626) 285-2171- 809,660 (((( p"3 9701 LAS TUNAS DR. L ATTN CATHY BURROUGHS FEES PAID DESCRIPT ON OF WORK NEW RESTRM & STORAGE BLDG W/STAFF RM (3183SF); 2NEW PICNIC FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHELTERS (31'X35' & 361X801) APPLICANT: TEL. NO: TIES BUKKY (626) 960-3694- AA BLDG PERMIT ISSUANCE 0.00 14530 JOANBRIDGE AC STRONG MOTION RESID 809660.00 VAL 0.00 SPECIAL. CONDITIONS: BALDWIN PARK 91706 Al PLANCHECK—W/EN=HC- - -809660.00 VAL 0.00 A2 PERMIT W/ENERGY.-,HC- 809660-.00 VAL 0.00 '--..'TOTALFEES,_ 0.00 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TERRA-CAL CONSTRUCTION, INC. (626) 960-3694- 14530 JOANBRIDGE ST LIC. NO LOCATION AND SETBACKS BALDWIN PARK CA 91706 428093 A B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATI N/TRENCH FORMS LIC. NO: � f r----IL-� _' — SLAB/UND R FLOOR "{ {• 1' I i 1' L G G RAISED 'rCOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPr 1 i _. i UNDERFLOOR INSULATION 147H273 N17/Q37 X 3 '04 < " _ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: - - - -- -- _ NO 07 \,• - — �! /0 0• (� SCHOOL WITH NHAZARDOUS �� SHEAR PANELS c4o s= AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION(loo FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP -- - INTERIOR—LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. f SLWGf+—• A4 C_ RATED WALL ASSEMBLIES f �+� -b,.111,1Vi7,A, A2—� �� RATED SHAFTS/OPENINGS ptt fTr.u� �'vf'� �R2f T�•A p-(� -BAR CEILINGS OT DRAIN GE REPORT ID: DPR261 ROUTE TO: BS0508 1 i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS "p 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109220071 PHONE: (626) 285-0488 EXT. ILEGAL ID: NO. OF CONST BUILDING ADDRESS: I ITR: 16957 I SQ FT STORIES TYPE 4BOGUE I (STRUCTURE: V-B 1 TEMP CA91780 I (ASSESSOR INFORMATION NUMBER: -NEAREST I I + CROSS STREET: 1 18586-017-900 ITHOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C I (TENANT: (EXIST BLDG USE: LIVE USE ZONE: C-1 TISSUED ON: PROCESSED BY: I 1 1EXIST OCC GRP: 109/22/11 SR I (OWNER: TEL. NO IBLDGS. NOW ON LOT: VALUATION IFINAL DATE FIN Y: CODE: 1 ICITY OF TEMPLE CITY (626) 285-2171- 1 20,000 19701 LAS TUNAS DR. ITEMPLE CITY CA 91780 1 - FEES PAID IDE CRIPTION OF WORK 1 I IMONUMENT SIGN I I IFEE DESCRIPTION: QUANTITY UOM: AMOUNT: ( I (APPLICANT: TEL. NO: 1 IARAMEXX CONSTRUCTION (909) 746-8066- 1AA BLDG PERMIT ISSUANCE 0.00 1 16251 SCHAEFER AVE IAB STATE GREEN BLDG FEE 20000 00 VAL 0.00 ISPECIAL CONDITIONS: I CHINO, CA 91710 ID2 PERMIT W/O EN-HC 20000 00 VAL 0.00 I TOTAL, FEES 0.00 I I I 1 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1ARAMEXX CONSTRUCTION (909) 746-8066- I I 16251 SHCAEFER AVENUE SUITE K LIC. NO I ILOCATION AND SETBACKS I I 1CHINO, CA 91710 939815 C27 1 ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO I IFOUNDATION/TRENCH FORMS I I IHIRSCH & ASSOCIATES, INC (909) 746-8066- 12221 E. WINSTON RD. SUITE A LIC. NO ISLAB/UNDER FLOOR I (ANAHEIM, CA 92806 NONE 1 1 IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK PAGE: FIRE ZONE: CMP. ( 1UNDERFLOOR INSULATION I I 1150H273 3 00 I i IFLOOR SHEATHING I I INO. OF FAMILIES- DWELLING UNITS: APT/COND: STAT CLASS: 1 1 0 NO 22 1 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I I I (AIR QUALITY: 1000 FEET MATERIALS I 1 i NO NO NO 1 FRAME INSPECTION jIFIRE SPRINKLER HANGERS I I 11NSULATION/WEATHER STRIPI I I (INTERIOR LATH/DRYWALL I I I 1 IEXTE2IOR LATH 1 i IRATED FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES I I I I I I IRATED SHAFTS/OPENINGS 1 I IT-BAR CEILINGS I I I ILOT DRAINAGE I 1 IREPORT ID: DPR261 ROUTE TO: RS0508 I I 1 I I I I COUNTY OF LOS ANGELES ,TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC•WORKS 9071"LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA BL 0508 9707140004 PHONE: (818) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS:- TR: 16957 _ SQ. FT STORIES TYPE 10144 BOGUE STRUCTURE: TEMP. CA 91780 ASSESSOR INFORMATION NUMBER: -NEAREST CROSS STREET: BALDWIN THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RECRE USE ZONE: ISSUED:ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: - 07/14/97. TC -07/14/98 OWNER: TEL. NO:, BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: E: CITY OF TEMPLE CITY (818) 285-2171- 1 9701 LAS TUNAS DR. d f FEES PAID DESCRIPTION OF WORK DEMOLISH LIVE OAK PARK COMMUNITY BUILDING FEE•DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: OLD HICKORY CONSTRUCTION INC. (909) 948-9550= AA BLDG PERMIT ISSUANCE 0.00 02 DEMOLITION INSPECTN 0.00 SPECIAL CONDITIONS: TOTAL _ OTAL FEES � 0.00 •. _. - _ - A CONTRACTOR: TEL. NO: �--- �/I APPROVALS DATE INSPECTOR SIGNATURE OLD HICKORY-CONSTRUCTION,'INC. (909) 948-9550- ((�//j 9390 7TH STREET SUITE D LIC.-NO �j PEDESTRIAN PROTECTION RANCHO CUCAMONGA, CA 91730 712181 B �\ � SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: ABANDON PRIVATE DISPOSAL LIC. NO: g �� ( UNDERGItND STRUCT REMOVAL AND SOIL RECOMPACTION . MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: PI} 7 (� �C. �% V rn FR 11 150H273 25 v (� � l O OF 7 VMILIES: DWELLIN UNITS: APT/GOND: STAT CLASS:. 0 All NO 24 p l * SCHOOL WITHIN HAZARDOUS AIR QUALITY: •1000 FEET MATERIALS NO NO NO fprVP REPORT ID: DPR261 ROUTE TO: BS0508 � r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0008070072 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 16957 SQ. FT STORIES TYPE OCCUP GROUP 10144 BOGUE STRUCTURE: 848 1 VN B TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: 0-S ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: B 08/07/00 UT 02/04/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CITY OF TEMPLE CITY (818) 285-2171- 8,000 +�✓`_� / ----� 9701 LAS TUNAS DR. FEES PAID DESCRIPTION OF WORK ERECT 161 X 53' STEEL PICNIC SH ER AND 2 X 6 TONGUE AND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GROOVE DECKING APPLICANT: TEL. NO: HANSON ASSOCIATES (714) 538-5876- AA BLDG PERMIT ISSUANCE 0.00 P.O. BOX 2096 TOTAL FEES 0.00 SPECIAL CONDITIONS: ORANGE, CA 92868 CONTRACTOR: TEL. NO: ES Co APPROVALS DATE INSPECTOR SIGNATURE HANSON ASSOCIATES INC. (714) 538-5876- P.O. BOX 2095 LIC. NO LOCATIOW AND SETBACKS ORANGE, CA 92859 440640 SOILS ENGINEER APPROVAL /r ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0:/ SLAB/UNDER FLOOR � RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: UNDERFLOOR INSULATION 150H273 3 IIOJJ O �0�� FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:_ NO 22 O 0 I{`" ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \ D 0 -�� ,.'t. SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS D D` NO NO NO FRAME INSPECTION !� FIRE SPRINKLER HANGERS \ltl INSULATION/WEATHER STRIP Service'T'h6 INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW COMMERCIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0501310046 PHONE: (626) 285-0488 EXT: LEGA ID: N0. OF CONST NEW BUILDING ADDRESS: TR: 16957 SQ. FT STORIES TYPE OCCUP GROUP 10144 BOGUE STRUCTURE: 25 - 1 VN B TEMP CA 91780 ASSESSOR INFORMATION NUMBE : NEAREST CROSS STREET: ' THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: --USE ZONE: C-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP': 01/31/05 JK 01/26/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: CITY OF TEMPLE CITY (626) 285-2171- 3,700 � 5� 9701 LAS TUNAS DR. TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK INSTALL 25' FLAGPOLE & REMOVE EXISTING PPLICANT: EL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: /' �A R SO CALIF FLAG POLE AA BLDG PERMIT ISSUANCE 0.00 D2 PERMIT W/O EN-HC 3700.00 VAL 0.00 SPECIAL CONDITIONS: TOTALFEES0.00 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SO CALIF FLAGPOLE (323) 257-8201- 4551 YORK BLVD. LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90041 12/31/05 SOILS EVGINEER APPROVAL ARCHITECT OR ENGINEER: TEL-7-NO: - FOUNDATION/TRENCH FORMS G� LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX XX X 3 01 FL00 SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/700M STAT CLASS: NO 19 ROOF SHEATHING SCHOOL WITHIN ZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIO LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 ; r COUNTY 'OF LOS ANGELES • TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0001060057 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 16957 SQ. FT STORIES. TYPE OCCUP GROUP 10144 BOGUE STRUCTURE: 0 1 VN B TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN THOMAS PAGE:"-I GRID: .-7 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: FIELD USE ZONE: 0-S ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: B 01/28/00 UT 07/26/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. CODE: `' CITY OF TEMPLE CITY (626) 285-2171- 1 200,000 �-m 9701 LAS TUNAS DR. ,40 TEMPLE CITY, CA FEES PAID DESCRIPTION 0 WORK ELEVEN NEW POLES AND BASES FOR THLETIC FIELD LIGHTING APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CITY OF TEMPLE CITY (626) 285-2171- D1 PLANCHECK W/0 EN-HC 200000.00 VAL 0.00 9701 LAS TUNAS DR. AA BLDG PERMIT ISSUANCE 0.00 SPECIAL CONDITIONS: TEMPLE CITY, CA D2 PERMIT'W/O,EN=HC=—200000.00 VAL 0.00 .1 y� T&®FEES 0.00 EOLECTROTCCONSTRUCTION CORP (213)N660-4141 ®� ��9�� APPRO DATE INSPECTOR SIGNATURE 3021 ROWENA AVE LIC. NO LOCATION NO SETBACKS LOS ANGELES CA 90039 95881BC10 SOILS ENGINEER APPROVAL 6 ARCHITECT OR ENGINEER: TEL. N0: OUNDATIOW/TRENCH FORMS R. L. FOLEY & ASSOCIATES 25652 ASHBY WAY LIC. NO: 1 SLABhJNDER FLOOR LAKE FOREST, CA 92630 2406 -�— ) _ th�l},J , RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-: UNDERFLOOR INSULATION 147H273 3 08L �� ti \\\ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- --- --- -------- -- NO ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \ �� nI,t SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS / J NO NO NO // FRAME INSPECTION LJ FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 �= - �- G 21-7-0 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611140077 PHONE: (818) 285-0488 FXT: LEGAL ID: NO. OF CONST NEW BU LDING ADDRESS: TR: 16957 SQ.. FT STORIES TYPE OCCUP GROUP 10144 BOGUE STRUCTURE: 12000 1 V A2.1 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST B DG USE: COMMU ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP-`,A2.1 09/15/97 UT 09/15/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CITY OF TEMPLE CITY (818) 285-2171- 4 1,700,000 9701 LAS TUNAS DR. - FEES PAID DESCRI TION OF WORK CONSTRUCT NEW 12,000' SINGLE STO COMMUNITY CENTER WITH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: " WLC ARCHITECTS (909) 987-0909- Al PLANCHECK W/EN',HC 1700000.00 VAL 0.00 AA BLDG PERMIT ISSUANCE 0.00 SPECIAL CONDITIONS: AE STRONG MOTION BOTHER [17,00000.00 VAL 0.00 A2 PERMIT W/ENERGY-HHGL c1700000:00 VAL 0.00 TOTAL IFEE�� 0.00. CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE OLD HICKORY CONSTRUCTION INC. (909) 948-9550- /y 9390 7TH STREET SUITE D LIC. NO 7 �g, mi�7 `�BU2�c°6NG�dt �n► �CS7fi�E LOCATION AND SETBACKS RANCHO CUCAMONGA, CA 91730 712181 B �f6�-REBA�� p��,q,��gCeiezw U SOILS ENGINEER"APPROVAL ARCHITECT OR ENGINEER: TEL. N0: I ��N �I FOUNDATION/TRENCH FORMS `M � WLC ARCHITECTS (909) 987-0909- �� IA 10470 FOOTHILL BLVD. LIC. NO: �Z�/� SLAB/UNDER FLOOR RANCHO CUCAMONGA, CA 91730 NONE =�lU 6 AL L P l 1 _ 011 RAISED FLOOR FRAMING N0: ER MAP BOOK: PAGE: FIRE ZONE: CMP: pp Q �• UNDERFLOOR INSULATION MAP SEW jl t� 0 1� �i 150H273 J 7 3 13 "^I-�—B/-- � FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: �d 3-,R/7 �n \Qjry�q,C9, 0 NO 08 // , ROOF SHEATHING SCHOOL WITHIN HAZARDOUS GI �Y \ A Ji e}`1'� SHEAR PANELS l2`Z4 AIR QUALITY: 1000 FEET MATERIALS � -�'�1 [ d 12.2 NO NO NOIe \�_ FRAME INSPECTION Ia_� � � �._ 4 FIRE PRINKLER HANGERS 28 �\ G' yB� INSUL8T N WEATHER tn�6it}�,AwNq�oNiw�.�� '94 INTER 0 LATH/DRYWALL Ole EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL' ASSEMBLIES' • i r�L? RATED SHAFTS/OPENINGS • 1 T-BAR CEILINGS LOT DRAINAGE 0 Y REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT " DEPARTMENT OF PUBLIC WORKS 9071. LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA BL 0508 9709030041 PHONE: (818) 285-0488 EXT: - LEGAL D: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS: TR: 16957 SQ. FT SPRINKLER HEADS 10144 BOGUE STRUCTURE: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/02/97 UT 12/02/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CITY OF TEMPLE CITY (818) 285-2171- 9,000 21- 9701 LAS TUNAS DR. FEES PAID DESCRIPTION OF ORK FIRE ALARM SYSTEM FOR LIVE OAK COMMUNITY CENTER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: PROTECTION SERVICE INDUSTRIES, L.P. (909) 889-1161- B1 PLANCHECK 'W/ENERGY 9000.00 VAL 0.00 AA BLDG PERMIT ISSUANCE 0.00 SPECIAL CONDITIONS: 62 PERMIT W/ENERGY '79000 00 VAL 0.00 �T O�T•A�L FJ �S - 0.00 1 CONTRACTOR: TEL. NO: n APPROVALS DATE INSPECTOR SIGNATURE PROTECTION SERVICE INDUSTRIES (909) 889-1161- www //p P.O. BOX 6830 LIC. NO FIRE DEPARTMENT INSPECT SAN BERNARDINO, CA 92412 701582 FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER: TEL. NO: FIRE DEPARTMENT APPROVAL r LIC. NO: MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (� (� O (� nn�f F(I/�S 00 U I� v�f jj NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:NO 2 All SCHOOL WITHIN HAZARDOUS r AIR QUALITY: 1000 FEET MATERIALS NO "NO NO ZZ�� Oar REPORT ID: DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS FIRE SPRINKLER 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9706100050 PHONE: (818) 285-0488 EXT: LEGAL ID: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS: TR: 16957 SQ. FT SPRINKLER HEADS 10144 BOGUE STRUCTURE: 12090 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/22/98 UT 09/22/99, OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: CITY OF TEMPLE CITY (818) 285-2171- 18,090 (9'�11� 9701 LAS TUNAS DR. FEES PAID DESCRIPTION OF WORK FIRE SUPRESSION SYSTEM FOR NEW RECREATION CENTER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: ROYAL FIRE PROTECTION (909) 360-4771- DO FIRE SPRINKLER PC 18090.00 VAL 0.00 AA BLDG PERMIT ISSUANCE===�—_ 0.00 SPECIAL CONDITIONS: �O AE STRONG MOT IONTHER�1809.0:00 VAL 0.00 D2 PERMIT W/O ENp,,Q–ELE9T809O'EES\VAL 00.00 .00 CONTRACTORT-FIRE PROTECTION TEL. NO: ®� ��Lim APPROVALS DATE INSPECTOR SIGNATURE LIC. NO FIRE DEPARTMENT INSPECT NONE FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER: TEL. NO: FIRE D PARTMENT APPROVAL LIC. NO: 1111111 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMO` IP v n OO L C �n nQ��J u�0 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 v v NO 20 p 0 � a, SCHOOL WITHIN HAZARDOUS *+ AIR QUALITY: 1000 FEET MATERIALS 0El NO NO NO El 11 0d REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9708110026 PHONE: (818) 285-0488 EXT: LEGAL ID: NUMBER OF ADDED/ LOCATED BUILDING ADDRESS: TR: 16957 SQ—FT SPRINKLER HEADS 10144 BOGUE STRUCTURE: 12090 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/06/97 UT 11/ /98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CITY OF TEMPLE CITY (818) 285-2171- 18,090 9701 LAS TUNAS DR. FEES PAID DESCRIPTION OF WORK CENT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FIRE SPRINKLERS FOR COMMUNITY APPLICANT: TEL. NO: ROYAL FIRE PROTECTION (909) 360-4771- AA BLDG PERMIT ISSUANCE 0.00 AE STRONG MOTION OTHER 18090.00 VAL 0.00 SPECIAL CONDITIONS: DO FIRE SPRINKLER—FPC 18090.00 VAL 0.00 AA BLDG PERMIT 'ISSUANCE �� n 0.00 D2 PERMIT W%OMEN'-HC 18090.00=VAL 0.00 CONTRACTOR: TEL. NO: ��v TOTAL FEES�� 0.00 APPROVALS DATE INSPECTOR SIGNATURE . ROYAL AUTOMATCI FIRE PROTECTION (909) 360-4771- 9521 ORCO PARKWAY #H LIC. NO FIRE DEPARTMENT I SPECT RIVERSIDE, CA 91504 453077 C16 FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER: TEL. NO: . FIRE DEPARTMENT APPROVAL LIC. N0: 1110 1 MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 U O U O WORKS NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS la� ' AIR QUALITY: 1000 FEET MATERIALS NO NO NO bzl REPORT-ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0805090009 PHONE: (626) 285-0488 EXT. ILEGAL ID- N0. OF CONST NEW ITR: 16957 SQ. FT STORIES TYPE OCCUP GROUPI 110144 BGOGADDRESS: •.` I (STRUCTURE. 990 2 V-B B _ I TEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET:' 18586-017-900 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE. PARK USE ZONE: OS (ISSUED ON PROCESSED BY, I (EXIST OCC GRP: B 110/02/08 SR 1 I I I I (OWNER: ` • TEL. NO: IBLDGS. NOW ON LOT: i VALUATION- IFINAL DAT MY: CODE: 1 ICITY OF TEMPLE CITY (626) 285-2171- 1 _ _ 183,000 I' 19701 LAS TUNAS DR. ITEMPLE CITY CA 91780 I FEES PAID 1 ES I TIO OF WORK I 1 (ADD 990 S.F. OF RESTROOMS & STORAGE. ADD 988 S.F. OF ATTACHEI IFEE DESCRIPTION: QUANTITY- UOM: AMOUNT: ID PATIO & TENANT IMPROVEMENT 1388 S.F� FOR STORAGE & KITCHENI (APPLICANT: TEL. NO: I I I ICATHY BURROUGHS (626) 285-2171- 1A1 PLANCHECK W/EN-HC •50000.00 VAL 0.00 1 1 19701 LAS TUNAS DR. IAA BLDG PERMIT ISSUANCE 0.00 ISPECIAL CONDITIONS: I 1TEMPLE CITY CA 91780 IAE STRONG MOTION OTHER 183000 00-VAL 0.00 I I I 1A2 PERMIT W/ENERGY-HC 183000.00 VAL 0.00 1 I TOTAL FEES 0.00 I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I IPARRAGUE CONSTRUCTION INC. (626) 358-2360- 1 1 I 1400 PROSPECT AVENUE LIC. NO 1 ILOCATION AND SETBACKS 1 I IMONROVIA, CA 91016 870442 B 1 1 1 1 1 I ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS �,X7 1 IKROH ARCHITECTS (951) 788-5940- 1 1- �" I 1 16216 BROCKTON AVENUE LIC. NO: 1 1SLAB/UNDER FLOOR11 ISUITE 111 NONE 1 1 IRIVERSIDE, CA 92506 1 IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I I I 1147H273 3 041 1 1, 1 I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS. APT/COND: STAT CLASS: I I 1 NO 22 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS I I 1 1 I 1 NO NO NO I IFRAME INSPECTION 1 1 1 IFIRE SPRINKLER HANGERS I 1 1 I I I I 11NSULATION/WEATHER STRIPI I 1 I (INTERIOR LATH/DRYWALL 1 1 1 II k�l EXTERIOR LATH � 1 1 1 1 IRATED FLOOR/CEIL ASSEM. 11 I 1 1 I IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS 1 I I I I 1 IT-BAR CEILINGS I 1 1 I ILOT DRAINAGE I 1 I 1 I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 \ COUNTY OF LOS• ANGELE$ TEMPLE CITY # 0508 BUILDING PERMIT A DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0902170001 PHONE: (626) 285-0488 EXT: ' (LEGAL ID: 1 NO. OF CONST NEW 1 ' BUILDING ADDRESS _ I ITR: 16957 I SQ. FT STORIES TYPE OCCUP GROUP( 10144 BOGUE I I ISTRUCTURE: 4076 1 V-B B I TEMP,-CA 917807 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST-CROSS' STREET: - , '-•_ 1 18586-017-900 •'- THOMAS PAGE: GRID: LOCALITY: TEMPLE"CITY, Cl (TENANT: IEXIST BLDG USE: PARK USE ZONE: OS 11SSUED ON: PROCESSED BY: 1• IEXIST OCC GRP: A-3 102/17/09 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE ;FINAL BY: CODE: 1 ICITY OF TEMPLE CITY (626) 285-2171- 1 - 1,198,504 1 I 19701 LAS TUNAS DR. 1 '�' • / /�/ ITEMPLE CITY CA 91780 I FEES PAID 13EE,CRTPTION F WORK INEW COMMUNITY TEEN CENTER AND ADMINISTRATION OFFICES .1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I- 1 ICATHY BURROUGHS (626) 285-2171- IAA BLDG PERMIT ISSUANCE 0.00 1 19701 LAS TUNAS DR. IAB STATE GREEN BLDG FEE 1198504.00 VAL 0.00 ISPECIAL CONDITIONS. - •• ' ITEMPLE CITY CA 91780 1AE STRONG MOTION OTHER - 1198504 00 VAL 0.00 1 ` 1 1A2 PERMIT W/ENERGY-HC 1198504.00 VAL 0.00 1 I I 1 TOTAL FEES 0.00 1 I ICONTRACTOR. TEL. NO: 1 b-'' . = _ ;.-;1 APPROVALS DATE INSPECTOR SIGNATURE 1 ICHAP INC. (818) 295-3950- 1 1 I '- 1105 W. ALAMEDA AVE. #200 LIC. NO 1 ILOCATION AND SETBACKS IBURBANK, CA 91502 863575 B I ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS 1 I L (�/ IKROH ARCHITECTS (951) 788-5940- 16216 BROCKTON AVENUE LIC. NO: 1 (SLAB/UNDER FLOOR '0 I SUITE 111 NONE f (RIVERSIDE, CA 92506 1 (RAISED FLOOR FRAMING I I I t G6 I I i IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( �' (UNDERFLOOR INSULATION I I I 1147H273 3 001 1 1 1 IFLOOR SHEATHING •I I I INO OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I _ I / NO 22 1 _ r IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS 1 v i/ ISHEAR PANELS 1 (AIR QUALITY: 1000 FEET MATERIALS I `, 1 NO NO NO 1 1FRAME INSPECTION 1 I FIRE SPRINKLER HANGERS- INSULATION/WEATHER STR 1 I (INTERIOR LATH/DRYWALL 1 I I I (EXTERIOR LATH I I 1 •;t +0. IRATED FLOOR/CEIL ASSEM. r I 1 1RATED WALL ASSEMBLIES 1 1 I RATED SHAFTS/OPENINGS 1 IT-BAR CEILINGS 1 1 ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I I I