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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 7L
JOHN JOHN A. LAMSIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. I✓G
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CONST. PROCESSED BY
(PRINT OR TYPE ONLY)
BUILDING /''� . STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS G CLASS NO. 3DWELL.UNITS BK PGfj
LOT NO. BLOCK USE ZONE MOP
TRACT � E 7Y� SPECIAL
NO. OF BLDGS. COND TIONS
SIZE OF LOT S dX �� NOW ON LOT
USE OF }
EXISTING BLDG. S/ BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNER �, N0. TYPE OF 1EXISTING SETBACK I HIGHWAY + YARD = TOTAL
��-+-.� AY WIDTH HIGHWFROM C.L.
ADDRESS l / //6 11/1��,A.J I
+ -
CITY _r4
ARCHITECT OR TEL. BLDG. FROM
SILI
DE PROP. L (STREET)
ENGINEER N0. SNE OF (
TYPE OF EXLTTli SETBACK HIGHWAY + YARD = 'f OTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR ir 141tie—- NO. - - O
[ADDRESS
RESS NO CORNER CUTOFF YES ❑ NOLIL; ❑ V
oc
Y CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
STRUCTION LENDER IGL
ME AND BRANCH
L0
FT. NO. OF NO. OF
E STORIES FAMILIES NEW
OF L ADDUCTURE ALTEA
J_ REPAIRNATURE OF DEMOL ❑
APPLICANT
VALUATION S
r APPROVALS PATE IM1P[ 'S •I R[
P.C. 7� PMT. FOUNDATION: LOCATION A
FEES FEES I LS aL-
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BOLTS
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I CjA.S VENT, DUCTS
WILL NOT EMPLOY ANY PERSOM IN VIOLATION OF THE LABOR CODE LAA H, INT.
OF THE STATE OF CALIFORM IA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
A D D R FINAL { Q
JOHN F. LEWIS, PRINCIPAL STRU TURAL ENG R
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CAlH
[AP, 4 1 9 9t2 HhR23 1D 9.00^' Q
APPLICATION FORT iUUILDING PERMIT
FOR APPLICANT TO FILL IN (Prrnt or'typ• only) U
FENGINEER
G COUNTY OF 'tO5 ANGELES
r ' DEPARTMENT OF COUNTY ENGINEER ,
ZIP o - BUILDING AND SAFETY DIVISION
do
O.OF BLDGS. BUILDING
LOT 'S OW ON LOT -- ADDRESS -
BLOCK LOT NO. LOCALITY -
L. NEAREST
CROSS ST,
AS$ES30R
�/ MA BOOK PAGE PARCEL,
D STRICT- GROUP TYPE FIREll BY
ZIp ' / - CONST. NECT O TEL Lyes ,I 2 _R NO. STf�,TISTICAI CLASSIFICATION SEWER PS
'CLASS NO, DWLL•UNITSBK�
CONTRACTO TE USE ZONE MAP 7 -
ADDR O.6 _ NO CJ 7'�6 I SPECIAL
LIC. ` CONDITIONS
CITY CLA / _
014bROAD DEPARTMENT APPROVAL REQUIRED YE3❑ NO
CONSTRUCTrbN LENDE
NAME AND BRANCH - BLD4.SETBACK FROM
-' - - -
ADDRESS CITY FR T PROP.LI E OF (STREET)
SQ. FT.- NO. OF NO. OF -CHECK HI AY '+ YARD = TOTAL SETBACK FROM TYPE OF EXISTING
FRON"t PROP,-LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DEJ'C RIPTION OF WORK NEW
❑ + _
BLDG, BACK FROM
DD__ ❑ SIDE PROP -- (STREET)
LTER ❑ .QTAL SETBACK PE OF F,(19T1 NG
Qti� O GHWAY + - YARD =
EPAIR- SIDE �P RO P. LINE H Y WIDTH
USE OF .�
EXISTING.B1,.DG, _ EMOL +
APPLICANT TEL CORNER CUTOFF YES ❑ NO
p
p ❑ l
_ (PRINT) NO.2
.. IN OPEN,3PA CE YES ❑ NO ❑
BY (SIGNATURE)
IN COASTAL ZONE YES ❑ NO ❑
YJALUAT N
t`
LATE LORI CAL FJ(EMPTION YES❑ NO ❑
I HERB CKNOWL[DGE THAT I HAVE READ THIS APPLLCATION KNYIRONA[NTAL
AND STATE THAT THE ABOVE Il CORRECT ARD ASR[[ TO COMPLY 'IMPAC; EXEMPTION DECLARATION SIONED_�(DA TE)
WITH ALL ORDIKANC[1 AND LAWS REGULATING BUILDING CON-
STRUCTIOM. I CERTIFY THAT IN DOING -THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)-
HERESY I WILL NOT EMPLOY'POY PERSON IN VIOLAT16H OF TH[
LABOR CODE OF THE ST OF CALIFORNIA IN RELATING TO
WORKMEN'S CO MP[MIAT D- } !r
SIGNAT
PERM E
an0 Ss 0 d
FINAL
-- TE♦!}
CIT N .9�� DATE ^ /
l7V [ v -
MPMT
AKE CHECKS PAYABLE TO: FEE + FEE
HARVEY T. BRANOT,-COUNTY ENGINEER S c.7- f�
,PLAN CHECg VALIDATION CK. M.O. CA.H _ PERMIT. VALIDATION CK. M.O. CASH
7eAe3eA cEReoa 7i73
2-'4 5 i JILL' Z:9 1 D .5 5.2 5 e�
Ded-2 "M BITE 911"
DEPARTMZNT OF BU=ING ANIS SAFETY APPL{C"a►TION FOR PERMIT
COUNTY OF'LOS ANGELES B U I L D I N G
WM. J. FOX. CHIEF [NOINEER
FOR APPLIC TO FILL IN FOR OFFICE USE ONLY
DISTRIOT Nm PLAN OK. N[7. PERMIT NO.
■UILDINO
ADDRt1S ��- ;5.5-7'7 17
LOCALITY i Rifb[IV[D ■Y DATE OF APPL DATE IR=M
r
NCARnT
ORORM SAPDRKIMM
T.
' ■UILDINO ...s`'�"_I�
MAI L LO FTY i
ADDRESS
r NO FIR[ NO.OF _ TYI•E Ve. I OIROUP�
AROHIT[UT. OR TEL. _ ZIJN9 r— PLANE
`-- '
[NOIN[CR NO.
■LDO7. ORD. NO.
ADDR ■[TSAOK LIN[
A!<PROV[D .
COHTRADT 'f NO. II SY DATI
USE APPROVID
ADDREQS ZONE -I BY DAT[
LIEGAL
DESORIPTION ILLOT NO: BLE
30K ✓ COAAECTION$
TKA DT
O. OF NOW ON■LDf><SLCT
SIZE OF LT
O
UNK or MM.or NO cir
IXIBTI O BLDG FAMILIES A wobMill
DESCRIPTfON OF WORK
, NEW r ALTERATION ADDITION L�
RRAIR yr MOVING DEMc
OLISH f ■_
f NIL OT
ZE d• O ROOM■ -■TORI
WALL RO F
OOV[RINO COV[
US[ OF NEW. .
EUILDIN9
APPROVALS
1 H[R[SY ADKNOWLEDd[ THAT 1 HAVE RLAD THIS
APPLICATION AND STATE THAT THE ABOVE 10 OORREOT FOUNDATICNI'LOOATION, INEP[OTOR DATE
AND ADR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIAIJ
AND STATE LAWIR REMULATINOI ■UILDINO CONSTRUCTION. FRAMKI FIR[ ■TOPS.
■RAMIN0. BOLTS
■IOHATLRE OF
OWNK LATH, INT 1
AUTHDRIZZD ADT LATH, O(T.1
P O.• PLA!•T[R, INT.
/ �ll FQ PLASTER, EXT.
vALUATI ONFEE FINAL
DM-3 23d.■m M-"
DEPARTMENT OF BUII..DING AND SAFETY APPLICATION FOR PERNIIT
COUNTY OF LOS ANGELES BUILDING UILDING 1
WM. J. FOX, OHI[F ENGINEER
' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
I7 DIMTRJ�TT NO. PLAN 43K. NO. P[RlIIT NCL
■UILDINO
A13DREIM I/
LCI 1'ry R[ I<Y DA OF DAT[ IrUm
�j'—� r
N[AREliT �6
ROHM
BUILDING
OWNER AD D RI Ba -Q'r►'✓
MAIL 6.�G L13DAI-ITY
AMD Mm v
N[AR[YT
OI TOL�'�.m3 CROSS ST.
FIR[ NO.OF TYPK,-r OROLI 2ARONIT TEL ZONE PLANO
[NOIR[ H �
1 / SETBACK
ORD. H0.
ADDREI>i .7b B[TBACK LINE
�� APPRbV ED
L
TESY DAT[
COHTRADTOR HO.
USE APPROVED
ADDREiS sY DAT[
LI DAL (�
DEAORIPTION LOT HO. J ELOOK CORRECTIONS
TRADT
/ NO. of oLDMlL_/
SIZE OF /LOT 3o NOW ON LOT ry f� Ov
USE OF HO,of HO. OF
IXISTINO SLOG F ILI ROOMIJ
DESCRIPTION OF WORK
NEW I kZj ALTERATION ADDITION O
R
REPAIR MOVING I DEMOLISH 1 O_
SQ. FT. HO.OF
SIZE ROOM■ RIES
WALL ROOF L
COVERING DOVKRIM13
USE OF NEW
■UILDINO •(iN
I HEREBY AOKNDLEDGE THAT I HAVE READ THIS APPROVALS
W
APPLIDATION AND STAT[ THAT THE ABOVE IN CORRIDT FOUNDATIONi LOCATION, f NCr[ R DATE /
AND AGR[[ Tfl DOMPLY WITH ALL DOUNTY ORDINANCED FORMg MATERIALS 1 0
AND QTAT[ LAWS REGULATING BUILDING OONSTRUOTION. FRAM¢I FIR[ ETOPSy /_
■IDNATURK OF ■RAGING ■OLT1
OWNER LATH, INT.I
AUTHORIZED AST
LATH, KCT.J
P. D.IN p PLASTER. INT.
FI[ �j ! PLJffTER. KKT. .
VALUATION �L/ V rKE FINAL 0 t"
r
COUNTY OF LOS ANGELES ',1pB ,E CITY f 0608 _ _ BUILDIlMG PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATIQMi/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G - I BLA508 9707170037
- PHONE: (818) 285.0488` EXT:
LEGAL ID:
go. OF CONST RLJ I LE)I NO ADDRESS:
TR: 6561. LT: 546:._ =-SQ. FT STORIES TYPE T44 CAMELLIA AT }
STRUCTURE: -0 VN _ TEMP G 917802501
ASRESSOR.INFORMATION NUMBER: NEAREST CROSS.STREET:' LAS TUNA9 .
8587-022-019 THOMAS PAGE: 597 - GRID:: Ili LOCALITY::TEMPLE CITY
TENANT: EXIST BLDG USE: RESID LtSt ZONE: R-1 I sstma? ON: PROC.E9M UTEXPIRES EN:
_ f](IST OCC GRP: 07/17 . - -TC - 07/17/98 .. _
OWNER: TEL'. BY- BLDGS.- NOW ON VALUATION: FIW DATE FINAL OWE:
PONCEMARIE-D. - (626) 292-2307- 1 - -2,500.
5744 CAMELLIA AV
TEMP-917802501 . �htb PAID DESLX�PTLUN OF WORK
T/O..Ap RECOVER;WITH 1/2' CDX AND 30 YR ATLAS,COMP: SHINGLE
FEE`DESCRIPTION: GUANT I TY: LEY: - _r AMOUNT
SAME AS OWNER - AA BLDG PERMIT•ISsukmCE 27.75 '
AC STRONG MOTION-REBID 2500.00 VAL 0.50
D2'PE3tM1IT Y/0 EN-HSL
Eo00. VAL 99.15'. ..
I FC 127.40. :
CONTRACTOR: TB-. NO: _ O 7 VAL3 T TGM[tUF
SAME AS OWER
_LIC. N4 =� � i � /q _ � LOCATION AND SETBACKS _
SOILSIENGIN
FUMI),ATIM/TRENCH FORMS
.: - -
LIC. NO:
15DH269 .3: 01 PUBLICWORKS ORKS
FLUOR SHEATHIN
(,�z
MO � 21.STAT .
0 �
SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALSNO No No . ry` -
MIRED — TOTAL SErBACK FROM. EXIST
Cv.
SET BACK-'YARD-. HWY:. o PROP LINE: WIDTH: E
FRONT•PLINS
.SIDE Pt-
IceI"IC� LATH
EMBLIES
RAT WALL
RAT SHAFTS/OPENINGS
IMAGE
REPORT ID: DPR261 ROUTE yTO: 880508