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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 - aT 7W CLA — 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 / > f OS02—RO Issuance Fee 1 G Total Fee r 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