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I 76A638A CE #803 4/72 ����
A PLICATION F® UIL®ING PERMIT f]
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 LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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rLDI /� /r DISTRICT NO. GROUP TYPE PR CESSE BY
/ �/ !/` I� r � Ly CONSTs�•v6 BLOCK STATISTICAL CLASSIFICATION SEWER MCLASS NO.�DWELL,UNITS BK PG7j6
2 U ZONE MAP 2�JNO.OF BLDGS. NO. CX-T NOW ON LOT SPECIAL
CDNS
LDG,
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OWNER - / �� NO. AZA/ BLDG.SETBACK FRO O
ADDRESS Z1 ,`ftND FRONT PROP.LINE O (STREET)
_ TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY rrgYJ -' _,.� HI WAY WIDTH FROM C.L.
ARCHITECT OR TEL. } C-120
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
V
/�ge� TEL. 'TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL �
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CONTRACTOR fS_.+'��-' Gv." Vp}O, �ga/2 3 HWAY WIDTH FROM C.L. `'
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LIC.
CITY f 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 STORIES f FAMILIES
USE STRUOCTURE �`�LtA6 J` ALTER ❑
1
REPAI
SIGNATURE OF
APPLICANT rnad DEMOL ❑
VALUATION S �� APPROVALS DATE INSPECTOR'S SIGNATURE
/� FOUNDATION: LOCATION
FEE $ FEES V 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 MPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF HE STATE OF LIFORNI N REL TING TO -
WORKMEN'S COMP S TION I URAN
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED On
ADDRESS FINAL
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONc ' M.O.L CASH
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1i ( � t LU' 2 6 1 G
,a. A APPLICATION FOR BUILDING PERMIT
FOR.,PPLICANT TO FILL IN (Print Or type only)
BUILDING `—O IL LOS ANGELES
ADDRESS `� O0 L DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISIO
NO.OF BLDGS. J BUILDINGC •� /
SIZE OF LOT _ NOW ON LOT / ADDRESS ZZ 7,4
TRACT J f -3 BLOCK I LOT NO LOCALITY
.� TEL. NEAREST
OWNER SSL �� NO. CROSS ST.
' ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
y DISTRICTGROUP TYPE FIRE CONST. ZONE SSED BY
CITY%!5HIV (�//�n�� ZIP /`
ARCHITECT OR TEL. J
ENGINEER NO.
STATISTICAL CLAJJS��SIFICATION � S ER P
ADDRESS CLASS NO�// DWELL.UNITS K P
TEL. - USE ZONE MAP
CONTRACTOR C, - NO.� •�7
NO. �`—
ADDRESS" SrJ," 64ENd6/NO i�L
& SPECIALLIC. CONDITIONS
CITY �6A .,5L CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM _
FRONT PROP.LI NE O (STREET)
ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING U
SQ .FT/ NO. OF NO. OF y CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE Z STORIES FAMILIES / ONE ,��/�J '�a O
DES'C RIPTION OF WORK NEW ❑ }`���— - �`� U
BLDG.SETBACK FROM Ow.
ADD SIDE PROP.LINE OF (STREET) C/3
-I J� ALTER HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
❑ = SIDE PROP. LINE
REPAIR HIG WAY /WIDTH
USE OF DEMOL 11 } r f
EXISTING BLDG. ,v ,,_�
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) ) N0.
BY (SIGNATURE4 / ` ' IN OPEN SPACE YES ❑ NO ❑
�L IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ y CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- (DATE)
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPOT PROCESSED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE "
- -
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ��i
WORKMEN'S COMPENSATION INSURANCE. ((% I�// / • Uy9
SIGNATURE OF
PERMITTEE I /r
ADDRESS �� T Z4.v i -� R
FINA BY /'
TEL. DATE
CITY NO.
PMT.
%IAKE' CI"IE(.((S PAYABLE 'l'0: FEE I FEE
HARVEY T. BRANDY, COUNTY ENGINEER
762,
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION (--K M.O. CASH
I�(1 3 D 4 8.7 5'
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76A638A CEM803 12/72
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7GA638A CE#803-8_57 APPLICATION FOR BUILDING PERMIT 5
COUNTY OF LOS ANGELES BUILD' SN 3 f ;
DEPARTMENT OF COUNTY ENGINEER ADDRES
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP ITYPEEWER ISMAP
FOR APPLICANT TO FILL INBK PG .
BUILDING - CONST.
ADDRESS -. 1 t„:' ..� . .N,- f.,�..,z - y_;; STATISTICAL CLASSIFICATION
CLASS.NO. ` DWELL.UNITS
LOT NO. BLOCK MAP STATE
NUMBER HWY. YES NO
TRACT `�I �> USE ZONE SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT I NOW ON LOT -'
USE OF
EXISTING BLDG. BUILDING EXIST.
YARD HWY STREET NAME
SETBACK WIDTH
OWNER r r ��,: ' ` ... FRONT
MAILP.L.
.
ADDRESS., 1. SIDE
/4 i
TEL p.- P. L.
CITY - r - G! NO. I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER C./ NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALlleER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
$ P.C
. $ FRAME: FIRE STOPS,
,FEE BRACING.BOLTS
VALUATION $ FURNACE: LOCATION,
FEE � GAS VENT,DUCTS
I 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 REGULATING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF - �-"." HOUSE NUMBER COR-
PERMITTEE �.:� " `C.r RECT AND POSTED
ADORES S ' FINAL
JOHN A. LAMBIE.COUNTY ENGINEER. - CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
®F
,'78A696A Dass APPLICATION FOR BUILDING PERMIT
11.55
DIVISION OF BUILDING AND SAFETY BUILDING U I LD ISS / / 7e' <+
Department of County Engineer
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. -'�• ---
DISTRICT_LLG. I GROUP TYPESEWE�R/ MA�Pp j�(J�
FOR APPLICANT TO FILL IN .�.� 'j— I CONST. B/ / (�.J
BUILDING MAP ry STATE
ADDRESS NUMBER •<" - HWY YES
LOT NO. BLOCK USE�ZC}NE SPECIAL
// CONDITIONS
' TRACT
NO. OF BLDGS.
SIZE OF LOT I NOW ON LOT ! BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT
OWNER SIDE Az dv
MAIL / P. L. '}
ADDRESS O TRACT DWELL. 7 UNIT
TEL 5 INDUSTRIAL
CITY _ NO. } DWELL. I UNIT
6 PUBLIC BLDG.
ARCHITECT OR _ — TEL. 2, DUPLEX 2 UNITS
ENGINEER - y' �� NO.
3 APT. UNITS 7 ADON.,ALT., ETC.
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR ` /`` NO INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK �!
ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES f FAMILIES
USE OF STRUCTURE +
SIGNATURE OF -
APPLICANT - APPROVALS
1
ADDRESS - DATE INSPECTOR'S SIGNATURE
$ FOUNDATION: LOCATION P. C. $ FORMS,MATERIALS
FEE
FRAME: FIRE STOPS.
VALUATION BRACING. BOLTS
FEE FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT I 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 REGULATING BUILDING CONSTRUC-
TION.
- LATH, EXT.
SIGNATURE OF ;off,:'�%.' HOUSE NUMBER COR-
PERMITT,6 RECT AND POSTED
ADDRESS ' / FINAL,
JOHN A. LAMBIE, COUNTY ENGINEER VALIDAJI® CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR
CK MO
1 7 ..,.�:
T
76ASSBA CE#809.7.56 APPLICATION FOR BUILDING PERMIT Z
' BUILDING AND SAFETY DIVISION BUILDING s. 1
p-.paztment of County Engineer ADOREss
County of Loa Angeles LOCALITY
A JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. GR UP.
L
FOR APPLICANT TO FILL IN TYPE SEWER MAP
I I •; BK P
CONST.
BUILDING /,y. �`� /� ry,0 4AI
ADDRESS STATISTICALCLASSIFICATION
LOT NO. BLOCK
CLASS. NO.�tc—/JJ_DWELL. UNITS
AP� -
NUM ER Z � STATE
YES NO >
TRACT f� USE70NE SPECIAL
NO. OF BLDGS. //��-3 CONDITIONS
SIZE OF LOT NOW ON LOT 2 "' ,,ttrr 7.-
U S E OF �p i L/9 �J � r 3�C_
EXISTING BLDG. L.S • :�"�\ lk' BUILDING EXIST.
YARD HWY STREET NAME WIDTH
Xd -�— ! SETBACK i, 'ER �._ 7 - f . '--LF 44 FPOL T
MAIL _ F
ADDRESSI-/j -
SIDE ,
TEL. P. L.
ARCHITECT i
CITY %z iii%Z-
Cir NO. INSPECTION RECORD
OR.-—.-� �LL.jNOL
ENGINEER 1
ADDRESS
TEL
CONTRACTOR OG(., NO.
ADDRESS -S'6-
C s
DESCRIPTION OF WORK
NEW '>C-ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF 7-1
SIZE STORIES FAMILIES
USEOF - - .
SIGNATURE OF APOVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATIO
FORMS. MATERIALS "
P. C. S �L't FRAME: FIRE STOPS.
FEES BRACING. BOLTS
VALUATION S fFURNACE: LOCATION.
FEE -�-' GAS VENT. DUCTS
I 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�R 1 CES AND LATH. EXT.
STATE LAWS REGULA I IL _ iQSTRUCTION. _
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 7 17S
JOHN A. LAMBIE.COUNTY ENGINEER.f, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK" M.O. CASH PERMIT VALIDATION ckt M.O. CASH
i4 � '-_ ,..,,
14
1 6 1-5 0 •�
�:', 3 1 4 6 L 'MW 14 1 10.0 D in
1 COUNTY OFA LOS ANGELES �MPLE tltY f 0 0508 " r y( ''BUTCDING PERMIT
DEPAf(_TMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9905180065
PHONE: (626) 285-0488 EXT:
LEGAL ID: W. OF CONST B U I LD I ESS
TR: 11993 LT; 1 Sq. FT STORIES TYPE OCCIP ZROlP 9170 CAMIW REAL`.
STRUCTURE: 58 1 VN R3 SGAB CA-917752010'
ASSESSOR INFORMATION NUMIBER: GARAGE: NEAREST CROSS STREET: OAK
5382-012-038 OTHER: THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY
T EXAAT EXIST BLDG
USE ZONE: I SSUEP 13N PROCESSED BY: EXPIRES Lim:
EXIST OCC GRP:• 05/18799v UT 11/14/99
uwpitx: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F I NAL DA BY:
CHEN CHIE]N MIN•DONG LIAN Y (818),ZB7-1086- 1 4,290
9170 CAM I NO R EJl
SGAB 917752010 FEES PAID WCIRK_
;ADDITIOTNFULL BATH AND REMCIVVISITING BATHROOM ,
FEE DESCRIPTION: OUAINTITY: LION: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESI 4290.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING R 5+4.70
B2 PERMIT E L E VAL 145.86
cJ P 228.81
CONTRACTOR- TEL. NO: APPROVALS DATE I OR SIGXATURE
SAME AS OWER
LIC. NO .JLOCATION All) SETBACKS
LIC. NO•
_
Kkp NO: SEWER MAP BOOK: ME: FIRE ZONUNDERFLOOR INKUTIOA
�Va FLOOR SHEATH
����(/\(//\�
0 USK c �J l7 ®�LJ U _ L
No 21 2ND L
ALR QUALITY: 1000 FEET MATERIALS ..
NO NO FIRE PEPT. FR E INSPECT
REQUIRED TOTAL SETBACK rKum
BOG �
FvFrTffwnT
FT
EBACK- YARD: HWY: PROP LINE: WIDTH: 4b S@t Tha�v-O `i .
SIDE PL- f NCE)
/71cqRYWAL
i
EXTERIQR LATH
LOT OWN,
FIRE DEPARTMENT ANWVAL
REPORT ID: DPR261 ROUTE TO: SS0508
COUNTY OF LOS ANGET.F'A TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND BA= / LAND DEVELOPN= TEXPLR CITY CA 91780 BL 0508 1305060037
PHONE: (626) 285-0488 FST:
LEGAL ID: NO. OF CONST NEW BUILDING >• DRESS:
TR: 11993 LT: 1 SQ. FT STORSFiS TYPE OCCUP GROUP 9170 CAM NO REAL
STRUCTURES 0 1 V-B R-3 SGAB CA 917752010
ASSESSOR INFORMATION NUM03ER: GARAGE: NEAR-EST CROSS STREET:
5382-012-038 OTHER: TH0349 PAGE: 596 GRID: J1 LOCALITY: TE PLE CITY CA
TENANT: EM= BLDG USE: RESID ISSUED ON: PROCESSED BY:
EZ19T OCC GRP: R-3 05/06/13 SR
OWNER: TEL. NO: BLD28. NOTE ON LOT: VALUATION: F���L�TE FINAL BY: CODE:
CHT CHIEN MIZN�DONG LIAN W (626) 590-4465- 21,000
FM
j�a j�
9170 CAMI NO REAL y►�L/�1`—'-I��— r
SCAB 917752010 FRE.9 PAID DESCRIPTION OF WORE
ROOF MOUNTED 6.9 KW DC SOLAR INSTALL OF 21 PV PANELS W
FEE DESCRIPTION: QUANTITY 00t4: AMOUNT: 1 INVERTER
APPLICANT: TEL. NO:
JACQUES, HAMPAH (951) 300-0768- AA BLDG PERMIT ISSUANCE 27.80
3080 12TH STREET AB 9TATR GREEN BLDG FEE 21000.00 VAL 1.00 SPECIAL CONDITIONS:
RIVERSIDE CA 92507 P1 RFS PV PC<101W 153.90
E12 INSPCT RES PV <10KW 138.00
TOTAL FEES 320.70
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
90LARNTS RENEWABLE ENERGY PROVIDER, (626) 965-4286- '
3080 12TH ST LSC. NO LOCATION AND SETRACMS
RIVERSIDE CA 92507 972048
SOILS ENGINEER APPROVAL,
ARCHITECT OR ENGIN]=R: TEL. NO: EDUF ATION TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAS ID FLOOR FRAM NG
FAP NO: SEWER MAP BOOK: PALE: FIRE ZONE: CMP: I IIINDERFIOOR INSULATION
3 00
FLOOR SHEATHING
190. OF FAMIL.IRS: DFRLL.ING UNITS: APT GOND: STAT CLASS:
1 NO 20 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEST MATERIALS
NO No NO FRAME INSPECTION
sPRI2i1= HANGERS
OF/NEA.THEit STRIP
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR/CESL ASSE14.
RATED FALL ASSEZAR. EAS
RATED SHAF`T9 OPE ING9
T-BAR CEI19GS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508