HomeMy Public PortalAbout9025 CALLITA ST_Building__ J.
APPLICATI R BUIL ING PE IT
COUNTY OF LOS ANGELES I _"DING AND SAFETY
FOR APP
LICANT�QFILLIN oss
BUILDING noe
ADDRESS / V
LOCALITY
NEAREST
CITY ZIP CROSS ST. -P
NO.OF BUDGE, ASSESSOR
SIZE OF LOT /�� NOW ON LOT MAP BOOK PAGE PARCEL `
DISTRICT - GROUP I TYPE FIRE PR ESSED BY'
TRACT 2 z BLOCK LOT NO. S i�=� --) V/CONZONE - /
z
TEL Fps' V 3
OWNER 1 NO
STATIST ICALCLASSINCATION /SEWER MAP
ADDRESS CLASS NO.-,Zl DWELL ^/
UNITS /' Eva0 PG
CITY ZIP
ARCHITECT OR TEL. VALUATION $
ENGINEER NO. l -,
ADDRESS BLDG.SETBACK FROM /
TEL FROM PROP.LINE OF - ISTREETI
CONTRACTOR N6332-672:7 HIGHWAY +YARD TOTAL SETBACK FROM TYPEOF EXISTING .
LIC yy >� FRONT PROP.LINE HIGHWAY 'WIDTH
ADDRESS _ Nb3c..��'
c. LIC '_��YO Q + /� �.. ( o -
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CONSTRUCTION LENDER - BLDG.SETBACK FROM
SIDE PROP.LINE OF ISTREETI
NAME AND BRANCH Y
_ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 6
ADDRESS CITY SIDE PROP.LINE IHIGHWAY WIDTH O
SO.FT.�(' NO.OF NO.OF CHECK + - _ - ' - V
SIZE / STORIES FAMILIES ONE - 0
,,//'')) .USE ZONE MAP 7+��Q�_ Q
DESCRIPTRDNOF WORK- /�V� NEW {/n '/yL/ NO. p20 ITI�Ljj
SPECIAL
ADD ❑ F^' / / CONDITIONS - - IL
•L ALTER LJ FINAL
DATE L BY
REPAIR
USE OF DEMOL •L
EXISTING BLDG. ❑ •� . t ,_ Z - -
APPUCANT- TEL C
(PRINT 7 _ n/ Ngj�z- �72 6 6.2 -C
BY(SIGNATURE)'
>
HEREBY ACKN EDGE THAT I HAVE READ THIS APPLICATION AND STATE uuY
THAT THE ABOVE I ORAKT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGUL ING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HERE B Ill NOT EMPLOY ANY PERSON IN VIOLATION OF V
MELABOR CODEOF iH ATE F CALTFORNIA IN RELATING TO WORKME COM. - Z
PENSATION INSURAN
\ .
SIGNATURE
PERMITTEE _ ri
ADDRESS - - - - Z {] o R'e ,e,e 1•
O
aiv --- NO. " 3 7' • 0 2.e 1 2100
P.C. Fee$ Permit Fee / >
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Issuance Fee
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Total Fee
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Il,s 76A638A _ _ -
CE#803(WV.11/78) :. .w _ _ �• - - , -_
APPLICATION FOR BUILDING PERMIT..
.. COUNTY OF LOS ANGELES _ —BUILDING AND SAFETY
_. FOR APPLICANT TO FILL IN ._ ADDRESS --
BUILDING /'
ADDRESS ` LOCALITY-
NEAREST
CITY ZIP17 CROSS ST.
NO.OALDGS. ASSESSOR
SIZE OF LOT Q p� NOW ON LOT MAP BOOK '• - r PAGE-- PARCEL
TRACT 5 °a.°o� BLOCK LOT NO. Eil DISTRIC7T/ GROODUP CONST/ ZONE TYPE FIRE PR SSED BYBY
OWNER NO •�L7G �1 '3 V �' ""' ,
STATISTICAL CLAS'S'��IFII/CATION /,bEWER MAP
ADDRESS VQ CLASS NO.�DWELL.UNITS A BK/!'?G
CITY ZIP'" •"' �•�
ARCHITECT ORki� TEL. VALUATION $ 1 PO
ENGINEER ANO. o�utss''
ADDRESS - _ BLDG.SETBACK FROM 1
_ TEL e FRONT PROP.LINE OF ISTREED
CONTRACTOR t".mv,^ NO. 8— HIGHWAY + YARD = TOTAL SETBACKFROM HPEOF EXISTING
LIC. FRONT PROP.LINE HIGTYHWAY WIDTH _
ADDRESS F_ P O. Q
..LIC. � - + -
CITY r•-�S CLASS G� -
CONSTRUCTION LEN R - _ _.. _•.. . BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF ISTREETI
HIGHWAY_'+ YARD = TOTAL SETBACK FROM TYPEOF EXISTING
ADDRESS CITY SIDEPROP.LINE HIGHWAY WIDTH O,
SO.FT. NO.OF NO.OF CHECK +
u
SIZE STORIES ' FAMILIES ONE- - 0
USE ZONE _ MAP
DESCRIPTION OF WORK .. NEW. ❑ _ NO.
SPECIAL W
ADD ® -- CONDITIONSALTELJ -
�7 N
�S REPARR C3DA EFINAL` "', , BY }i/' Z
USE OF DEMOL LJ
EXISTING BLDG. .0" ., _ - - _. _ ' Z --
APPLICANT O TEL G 1 -
IPRINTI ..1.20A. NO. _ Q
BYISIGNATUREI ' £ _ - _ -. Q _ _ 'L ,.
A HEREBY ACKNOWLEDGE THAT I HAVE REATHIS APPLICATION AND STATE LY 2 e o 1 6,2 Oy
THAT D THE ABOVE IS CORRECT AND AGREE TO.COMPLY WITH ALL ORDINANCESEL (
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE, t _ o e O 1 q 2 O U.
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION CF V o
PENSAABOON INSU ANiCHEE$TATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- 0 7.,Q 7—p O -
SIGNATURE OF
1,1 2 1 A,.
PERMITTEE '
ADDRESS
. TEL _` _. ___ - . .. _ .. '.A2 2.e e3IL OO -•.
CITY — NO. Q
� ee • 34��Gw _'
P.C. Fee$ Permit Fee > �.'•�0t7_8 0-
Issuance
-
Issuance Fee r rc
• a 1
Total Fee
VS 76A636A '
CE#803(REV.6/78) e H +
APPLICATION FO BUILDI - PERMIT
COUNTY OF LOS.ANGELES BUILDING AND SAFETY
-
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING
BUILDING R�
ADDRESS OV S Fi LOCALITY
NEAREST
CITY I. UhA, ZIP 7 _ CROSS ST.
_ NO.OF BLDGS. - ASSESSOR -
SIZEOFLOT c /� NOW ON LOT MAPBOOK PAGE I PARCEL
DISTRICT GROUP TYPE FIRE PRO SED BY
TRACT Z--✓".yz BLOCK ! LOT NO. c/�''II CONST.'/ ZONE
OWNER St �Y7NU' .NO. -SV� /e—' �!
STATISTICAL CLASSIFICATION EWERMAP /
ADDRESS {4 Qvp CLASS NO. DWELL.UNITS BK aPG
CITY / ZIP
ARCHITECT OR TEL. VALUATION s �",r.
ENGINEER L NO. (J V
ADDRESS BLDG.SETBACK FROM ..
EL. FRONT PROP.LINEOF ISTREETI
CONTRACTOR NO. HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
LIC - FRONT PROP,LINE HIGHWAY WIDTH
ADDRESS NO. _
LIC. +
CITY CLASS BLDG.SETBACK FROM
CONSTRUCT'ON L DER SIDE PROP.LINE OF ISTREETI
NAME AND BRA CH
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY_+ YARD = SIDE PROP.LINE HIGHWAY WIDTH d
ADDRESS CITY _ O
SO.FT O OF J NO.OF - CHECK + V
SIZE C P STORIES (( FAMILIES ONE J L M
DESCRIPTION OF WORK Tp°L NEW_ ❑ F,C.Fee$ Permii Fee / S^
ADD ❑ Issuance Fee ' '.11A
ALTER �� a
REPAIR ❑ Total Fee
USE OF n.. ..' t��J DEMOL ❑
EXISTING BLDG. NF1 I1 Z
APPLICANT L� EjA e TEL qv/ - 0 '
(PRINT) �T1 U'1 SI �(]I�DT NO.I2863I 4 Q
O
Q
BY ISIGNATUREI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE UYY
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE U _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF `
THE
LABOR
COODE OF THE
CE.STATE OF CALIFORNIA IN RELATING TO WORKMEN'SDOM ZPENS4�/� ,
� 7p
O A
SIGNATURE OF
PERMITTEE - -
' a ea'e 1:
ADDRESSca v2AW, _ + 'q�f -
TELT Q[� 02 0 e G,G 0
CITY ' NO.Od�%ad Q
USEZONE - Nu1PC/ ' ieee 'z 200V
NO.
11/.. SPECIAU' f F- 0'6 7 9
JJ�\ CONDITIONS. f _
FINAL /� a BY
DATE d
TeAe,°ADB889eAPPLICATION FOR BUILDING PERMIT �.
DIVISION OF BUILDING AND SAFETY BUILDING !�a
ADDRESS
Deportment of County Engineer
County of Los Angeles LOCALITY
WM.J. FOX. COUNTY ENGINEER NEAREST
CA66ATT D. GRIFFIN. 6UP•T OF BUILDING CROSS By
O18TRICT.�N O. GRO� I TYPE S BK EWER MA PG
FOR APPLICANT TO FILL IN C P� V/ =T.
BUILDING 0 ADDRESS S CAL �. i rA ✓ / • N MABER HWY -P STATE YES NO
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT
NO. OF SLOGS. BUILDING EXIST.
91ZE OF LOT �e NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
UBEOFSID OW CE FRONT
UB STING ,BLDG.
OWNER J. SID
Q P. LE
.
MAIL / Q� � CALL /?'/4 O TRACT DWELL. , UNIT
ADDRESS 5 INDUSTRIAL
6HCR/EL NO.� �3f 1 WELL. 1 UNIT 6 PUBLIC BLDG.
crcv SAN �
ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 AODN.. ALT...ETC.
ENGINEER' NO. 3 APT. _UNITS
6 MISCEL.
ADDRESS � 4 COMMERCIAL
CONTRA o H� yrG r iL.'/¢(�r 7SD3 INSPECTION RECORD
ADDRESSO L'L` +'
DESCRIPTION OF WORK - w_A /J ,{fin P fEie9B
NEW ADO ALTER REPAIR DEMOLISH f—
SO. FT. NO. OF NO. OF n
SIZE STORIES FAMILIES U ` F• C
10
USE OF STRUCTURE
DLA,TYLE �fI P•
SIGNATURE OF APPROVALS
APPLICANT
ADDRESS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
$
SO _— P. C. 6 FORMS. MATERIALS
FEE FRAME: FIRE STOPS.
SA 00 .BRACING.BOLTS
VALUATION FEE 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 LATING BUIL?I CONSTRUC-
TION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE-' RECT AND POSTED
ADDRESS L O12� FINAL AD I3/-d%
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR
tq 027.3NR. SEP 17 1 2.00 m
- �l-
,DEPARTMENT OF BUILDING AND SAFETY1 APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 6 11 Il 9 Il H® O 9
WM. J. FOX, CHIEF ENGINEER l� �o uv
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
rADRE
NG J f7 (] /' ' 1 f L D19TRICSNO. PLAN CK, NO. �/P/HERMIT NO.
S / / % L. A r LL11 / / < i.......m..e.,�:::.".''- /
1 g
ITY S a H �a bi /I r, I LA �UHfL R EIVED BY DATE/OF APP.�L. DATE ISSUED
TZ�Z�6T. /'� Q /Vt4 �+1A /tM l.A.ry/1 [ BUILDING / / / / /•ADDRE99 / UAIL9 / P+I I // PJ / _Locnun/yNEAREST
/. I"Y (�n b Y tT./ NOLH rLI 1,�Jl"I CPO39 ST.
FIRE NO.OF TYPEECT GR TEL. ZONE PLANS l/R NO.
BLDD. D.NO;SS SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR NO.
USE //II APPROVED
ADDRESS ZONE 77 / BY DATE
LEGAL ...... ffffff CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT / LDG�1B
SIZE OF LOT IAS x 1 NS1 NOW ON LOT
USE OFf NO. F III
I NO.OF
EXISTING BLDG. 490twP FA D . ROOMS
DESCRIPTION OF WORK
NEW X� ALTERATION ADDITION
O
REPAIR ' MOVING DEMOLISH A
O
BO: FT. NO.OF Z
SIZE �b lROOMS t STORIES r
COVERING CO PI[F-dy ] J I� COVERINGUSE OF NEW / V
BUILDING �J. I �V -TYmnn A P,
L
r p l to v tI 'nip I fir. �n �h /,-V L54 ):6 a p.., .
1 v
.v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT 16PECTOR DATE
FOUNDATION:AT ION: LOCATION
AND AGREE A COMPLY WITH ALL COUNTY ORDINANCES FARMS, MATERIALS
AND STATE LAWS'`REGULATING IBLIILDING,CON9TRlICTION.
1 1 ll�L-M 7�^J/xy✓-�U,i•/IIIy/
FRAME: G,E STOPS,
SIGNATURE OF �\�,/// BRACING, BOLTS
OWNER LATH, INT.:
AUTHORIZED AST. LATH, EXT.:
r
$ P.C.® PLASTER. INT.
FEE PLASTEFINAL R, EXT.
o
VALUATION
FEE FINAL
930067 SB
APPUCAMON FOR BULDNIG PC ENT ,
COUNTY OF LOS ANGELES -- BUILDING AND SAFETY
WORKER'S COMPENSATIONMECLARATION FOR APPLICANT To FILL IN BUILDING ADDRESS -
I hereby affirm that I have a certificateof consent to self insure, BUILDING ADDRESS
9025 Callita
or a certificate of Workers' Compensation Insurance, of a certified
copy thereof (Sec 3800,Lab.C.) CITYZIP
Gabriel ZP 91775 LOCALITY'
Policy No. W2710598 Company Cal Comp - - -
SIZE OF LOT NO.OF BLDGS.INOW ON LOT K�
❑ Certified copy is hereby furnished. INEAREST CROSS ST
KI Certified copy is filed with the county ouilding.inspection TRACT BLOCK LOT N0.
department. - _ USE ZONE MAP NO.
Date 7/1/93 Applicam Virgin ROOf'Co. - ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER Khiem Si Don 286 7194 WITHIN 1000 FT.OF SCHOOL' YES NO
COMPENSATION INSURANCE - g _
(This section need not be completed if the permit is for one hundred ADDRESS -
P P DISTRICT "Nl��
PE CONST. FIRE ZONE PROCESSED BY
dollars (s1ooJ orders.) � - - 9025 Callita � - ,
CITY - - - ZIP -
I certify that in the performance of.the work for which this permit San Gabriel 91775 is issued, I shall not employ any person in any manner 50 aSt0 ARCHITECT OR ENGINEER TEL NO.become'subject to the Workers'Compensation Laws. STATISTICALPT CONDODate Applicant- ADDRESS - - CLASS NO
NOTICE TO__ APP_ _ __L/CANAPPLICANT. If,_aftermaking this Certificate of _ _ REQUIRED _ TOTAL SETBACK FROM _ EXIST
Exemption, you' should' I3eCOm2 Subject t0 the Workers' CONTRACTOR" - - TEL'NO. - BET BACK" ygRD HWV PROP LINE WIDTH
Compensation provisions of the Labor Code you must forthwith Virgin Roof Co. 287-0507 FRONT
comply with such provisions or this permit Shall be deemed revoked. ADDRESS LIC.NO. p L
PO Box 5010 160650 sloe
LICENSED CONTRACTORS DECLARATION cITl� Ic.CLASS - P L
I hereby affirm that 1 am licensed underprovisions of Chapter 9 Jan Gabriel, CA 91778-50 C39 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and -SO FT.SIZE NO.OF STORIES NO.OF FAMILIES -
Professions Code,and my license is in full force and effect. 2400 1 NEW ❑ BK PG 0"
License Number 160650 Lic.Class C39 DESCRIPTION OF WORK - ADD ❑ VALUATION D d
Contractor VirginRe-roof with Class A Com- Roof (`cote h/40/99 p. ALTER ❑ $ 3000.00 - V
Shingles. ' 24 sqs.
❑.I am exempt under Sec. -- REPAIR ❑ -$ 0
B.&PC. for this reason - DEMOL-❑ V
yF:rLDMA F/O# _ W
Date: - USE O EX S G BLDG. URM :❑ k - D'
FDwe��ing 1 CO
Signature. APPLICANT(PRINT) TEL NO. - - *LDMA Perm#- - -Virgin Roof Co. 818 287-0507 - _ - - — z A ,JL
'❑ I, as owner of the property, or my employees with wages as " O W I .
their sole compensation, will do the work and the structure is ADDRESS
not intended or Offered for sale,(Section 7044, Business and 'P.0. Box 5010, San Gabriel 91778-5010 FINAL DATEI " 117.
ProfessionCode.) WILL THE APPLICANT OR FUTURE BUILDING.OCCUPANT HANDLE AHAZARDOUS MATERIAL ;� _`' _ 3 - 1_'(TCS{j-ITEM
LJ._
El 1, as Owner Of the OR A MIXTURE CONTAINING A HAZARDOUS'MATERIAL EQUAL TO OR GREATER THAN THE-
pfOperty, am exclusively y ContraCting with AMOUNTS SPEGIFIE N THE HAZARDOUS MATERIALS INFORMATION GUIDE' FINAL,BY— -> -TOTAL -7
licensed contractors to,construct the project (Section 7044, s El No - 1 1 f - 90
Business and Professions Code. - _ ,�yy((p •.
WILL THE INTENDED WE MI THE BUGLINGCONSTRUCTION
BY THE APPLICANT OR FUTURE BUILDING ITfIE .�/ 117.9U
OCCUPANT REQUIRE A PERMIT FOR G STRICT CRON OR EE PEILA➢QN FROM THE SOUTH _
CONSTRUCTION LENDING AGENCY cons'AIR QunuTY.Ml2NAGEMENT DISTRICT ISCAQMO)SEE PERMITTING CHECKLIST FOR '— —'-` "-' CHANGE.
cwoauNEs:
I.hereby affirm that there is a construction lending agency for JEs❑ No - - - -'
the performance of the work for which this permit is issued(Sec, ww
HAVE HAZARDOUS MATERIALS INFORMATION AND THE scnomo PERMITTINGp`( p
3097,Civ.G.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
_ _ _ 'TITLE 2, HAPTER 2.20 SECTIONS 2.20.100' ROUGH 2.20.ta0 CONCERNING HAZARDOUS
Lendef a Name ` MATERIA 5 REPORTING AND FOROBTAINI a%
THE SCAQMD: ""- —'^"" —' - ""'�'—" -"'J
� 17.16 1 11
o Lender's-Address -
o - ar on Aye .. -_. - _ _.. _ r_:.
o I certify that (have read this application and state under penalty ,
of perjury that the above information is Correct I agree to comply PC.FEE,- PERMIT FEE 4702 ,
$ with all county ordinances and State laws relating to building
m constru tion, and hereby authorize representatives of this County ISSUANCE FEE
toe upon the above-menti pro ecgtion pu/fGyose F� !O
Ar
i.�7-"J� INVESTIGAT NFEE TOTAL FEE G129.10 / O
SEE REVERSE FOR EXPLANATORY LANGUAGE