HomeMy Public PortalAbout9414 CAMINO REAL AVE_Building__ T
DEPAHTMENNT OF BIIII.OING AND SAFETY APPMCATION FOR
ICOUNTY OF LOS ANGELES{KM. J. FOX, CHiEF ENG1Nam
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RJFDISTRICT NO. PLAN C.K. NO. P RMIT NO.
BUILDING A AJ/ Z
AODRI.M ('6M
M
LOCALITY -TV^ I BY DATE OF APPyL� DATIE ISSUm
N[ARXIIT / �Z-
CROSS - L' '— BUILDING /
ADDRESS
OWNKR t
PAIL _ L-cALlTM
ADDR 88 NEAREST
CROSS S<. C�
CITY HO.22 FIRE NO. OF TYPE GROUP
ARCHITQCT OR Td ZONE '� PLANS
KNGINKKR NO. Ole BLDG, ORD. O.
SCI'BAC.K LIN[ I
ADDRXSS APPROV M
/7 BY DAT'[
CONTRACTO 4C• O. USE APPROVXD
ZONE BY DAT[
ADDREBS HOUSE NUMB[R.ING
L¢GAL
DESCRIPTION LOT NO. BLOCK YAP NUMBOR ���; FIELD CHICK BY
TRACT 5TI9 nplmqL ',/ NO. ASSIGNKD BY oA
BIZQ OF LOT COHHIIONS
NOW ON LOT
US[OF NO. OF
]DUSTING BLDG, FAMILUW 3-11 ,51
W 11 C J 1
IPTI
DESCRON OF WORK �J
.10 I r e
NEW ALTERATION I ADDITION
- o
RXPAIR DEMOLITION Z
SQ. FT. NO. OF lo R - O
•la ROOMS STORIES MORE W11AWRKE-0 _
®CT. WALL ROOF ~
COVERIN COVXRING`�?n (�
USQ OF U RE
4' CIvetoje
. .4F_ N-
F_ ,G - ; FS d - " O "JO W IT S T!L L- R E5M X1 )�,!S -r HP T'
''+ INSIPECTOR 8 SIGNATURE DAT[
I HKR[BY ACKNOWLli>GX THAT 1 HAVE READ THi6 AP- FOUNDATION, LOCATION
PLICATION AND STATS THAT TH[ INFORMATION GIVEN 18 FORMS, MATERIALS
CORRECT.
I AGR[X TO COMPLY WITH T1-�[ CORIR[CTIOHS LISTED FRAMES FIRE STOP ,
H�i[ON AND WITH ALL COUNTY ORDIi1AHCE6 AND STAT[ BRACING, BOLTS
LAWS REGULATING UILDING CONSTRUCTION. FURNAC[i LOCATION,
SIGNATURE OF GAS VQtT, DUCTS
F[R Y I
LATH, INT.
ADD
LATH, txr.
AUTHORIZXD AOT.
PLASTER, I NT.
7ewe7eA- DGMS 10.90 a �-� P. C. S
T / FXX PLASTER, KXT.
vALuwnoN F[a SQ FINALSZ-
i
DEPARTMENT OF BIIII.DING AND SAFELY APPLICATION
BUILDING FOR PERMT
COONTY OF LOS ANGELES '
". J. FOX, CHIEF xNcilNum
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESSD11TF2 NO. PLAN CK. NO. TERM/O.
cm
LOCALITYBUILDING
44 CAAA 44,0-AIA 14
I BY DATE OF APPL DAT[ISSUKD
7
NEAREST
CROSS ST. BUILDING
ADDRESS /
OWNER
MAI L LOCA I I Y •
ADDRESS - - NEAREST
T13- CROSS ST.
CITYT13-NO. Q FIRE NO. OF GIROARCHITECT TEL ZONE PLANS
ENGINAl LYA4 NO. BLDG, /
29-MACKLINE or ADDRISS APPROVED
TIKL- BY DATE
CONTRACTOR NO. USE APPROVED
ZONE � BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. O BLACK MAT NUMBS FIELD CHECK BY
-RASLS;LU TA AN; ^ NO. ASSIGNED SY ATJj nATE_
NO. OF]SLOGS. COBR=ONB
SIZE OF LOT HOW ON LOT
USE OF NO. OF
OCISTING BLDG, FAMI UXS
DEBCBUMON OF WORK
NEW I ALTERATION ADDITION
O
REPAIR DEMOLTTION •3 ,/` n Q
Bq. FT. NO. OF
SIZE (1 ROOMS' STORIES ��f .� �'� _ Z
EXT. WALL ROOF
I
covrnlNG _ COVERING
USE OF STRUCTURE
r K
ab �F7-':INSPECTOR R'f SIGNATURE DATE
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING ■UILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF GVIXT, DUCTS
PERMI AS
LATH, INT. _
ADDRESS- rlz
LATH, DCT.
AUTHORI23M AGT.
PLASTER, INT.
79AC39A, Deo 10-W ; P. C. S
v FEE PLASTER, EXT.
VALUATION ��� FEE �'� FWAL �L;i��..�'.I: � J
7BA838A CE SSOS 1Z/89 CITY OF TEMPLE OI'L'Y .
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMNIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, QUF'T OF BUILDING LOCALITY
FOR
T 11 NEAREST
(Print or tvDe onlv) CROSS ST.
BUILDING �J 1' DISTRICT NO Gr ]TYPE PROC
ADDRESS 7`x14 Camino Real. ��' D CONST.
STATISTICAL IFICATION 3 ER MAP
LOT NO. BLOCK
CLASS NO DWELL,UNITS BK
TRACT USE ZONE MAP
NO.OF DGS. N0. (f U
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG. garage
OWNER RaY WOOdara NO.
DLDG,SETBACK FROM
ADDRESS_, 94.1 _c_amlno Re81 FRONT PROP.LINE OF (STREET)
Temple TYPE Of EXISTING SETEACK H1034WAY + YARD = TOTAL
CTe
ITY mple City HIGHWA WIDTH FROM C.L.
ARCHITECT OR TEL. +
,ENGINEER NO,
BLDG.SETBACK
FM
ADDRESS SIDE PROP,LINE OF (STREET)
,.,,.{{LL C TEL. _ l 1 TYPE OF I8T1 DETBACK OHWAY + YARD = TOTAL
CONTRACTOFXgi g• N0. 3 5 HIGHWAY WIDTH I F%0M C.L.
ADDRESS 337 8- OOds NO. 15 _
CIT
Los les CI
C.
E' LASS C--39 CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS a
SQ. FT. NO. OF NO. OF NEIN ❑ Z
SIZE STORIES FAMILIES
USE OCTURE Reroof garage with ADDSTRU ❑
ALTER
4227-00
SIGNATURREPAIR
ey
APPLICANDEMOL Q
VALUATIOAPPROVALS DATE INSPXCTOR'S SIMMATURE
PMT. 9,00 FOUNDATION: LOCATION
FEE S FORMS MATERIALS
FRAME, FIRE STOPS,
I HERESY ACKNOWLEDGE THAT I HAYE READ THIS APPLICATION BRACING BOLTS
AND II TAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT. DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HERESY I.WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. -
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMFEN TION I u CO� y CE. LATH, EXT.
SIGNATURE OF �� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 3 -I4' 22 FINAL 0
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CAISH _ PERMIT VALIDATION cK. M.O. CAYFr
A � 9 8 7 ]�C---, APR 2 1 D 9 0 0� a
78A"8A C110803 S-84 APPLICATION FO UILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. CouNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OY BUILDING CROSS ST.
DISTRICT NGROUF TYPE PR a BY
FOR APPLICANT TO FILL IN CONST
BUILDING STATISTICAL CL,!7WICATION SEWER MAP
ADDRESS 9414 Camino Real CLASS NO. DWELL UNITS BK PG
LOT NO. LOCK USE ZONEMAP
NO.
TRACT SPECIAL
NO. OF 31-1345.
NDITIONS
SIZE OF LOT Q NOW ON LOT
UBE OF
■LDG. SETBACK FROM
TEL. FROMT PROP. LIN[ OF (STREET)
OWNER RoyA Wo NO. TYPE OF EXISTING SETBAFK HIGHWAY YARD = TOTAL
ADDRESS rdadia C.L.
+
CITY Arcadia BLDG. SETBACK FROM
ARCHITECT OR T E L. SID[ PROF. LIN[ OF STRKKT
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS Mfg,
- HIGHWAY WIDTH FROM C.L.
CONTRAC id L Cm $ TE` 263-5181 + _ O
ADDRESS 337 S. Woods Ave.NO 1-59496 CORNER CUTOFF YES NO O
CITY Los AneeleB LL SEE REVERSE SIDE FOR SPECIAL APP. VAT S
DESCRIPTION OF WORK
Z_
NEW ADD ALTER EPaI DEMOLISH
Q.FT. NO. OF NO. OF
SIZE STORIES FAMILIES ��
USE OF -1
STRUCTURE reroof art ■.� hous
SIONATURE OF
APPLICANT
VALUATION$ 350.00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. 0 PMT. FOUNDATION, LOCATION
FEE$ ..-� FEE$ FORM, MATERIALS
FRAME, FIRE STOPS,
I HERmREP
Y ACKNOWLEDGE THAT I HAVE AD THIS APPLICATION BRACING BOLT
AND STAT[ THAT THE ADOVE I• CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT. DUCTS
'UILDINO CONSTRUC"(ION. I CEIITIFY THAT. IN DOING TH[ WORK
AUTHORIZED H EY 1 WILL NOT EMPLOY ANY P! N IN VIOLA- LATH. INT.
TON OF TH R CO F THE STA OF V *RET,I TO
'•CON XT.
SIGNOU E NUMBER COR-
S E PO
ADDRES 1 N A L
JOHN F. LEWIS. PRINc ALS RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. MO. CASH
a- _
LAC.,,9 ;712 Q; ul 21 1 D 9 .0 0 f'
• LPPLICATION FOR COUNTY OF LOS ANGELES
t3UILDING PERMIT
DEPARTMENT NDSAFE COUNTYOF ENGINE
E9
APPLICANT TO FIL�C IN ADDRRESS /+ /�
BUILDING L �/vy /2 V LOCALffY (�LZ c'- o.
ADDRESS Q
NEAREST
aTY C .9 P. ZIP
16(56 1CF40SSST.
SIZE OF LOT Z7C) �O S/ NOW ONO O N6 MAP BOORK PAGE PARCEL
DISTRICT 7P TYPE FIRE PROZESSEP BY
TRACT B-LOCK LOT NO. CC1fJST. Z
OWN rO NO. 0i�
Q u STAT15T1CAL CLASSIRCCAr SEWER MA Ff
ADDRESS 7 t �� /� �r/ CLASS NO.�-' —DWELL LM FTS BK PG
CITY !�p rD ZIP
E
ARCHITECT OR TEL
ENGINEEP NOkl- . — �°`L
CON D R KENS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONTRTEL.ACTOR NO. BL CK FROM
LIC
FRONT PROP.LINE OF (STREET)
ADDRESS NO. TOTAL SFTBACY FROM TYPE OF EXISTING
LlC HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH
CITY C1AS5
CON ST RUC? LENDER +
NAME AND BRANCH O
BLDG.SETBACK FROM
ADDRESS CITY. SIDE PROP.UNL OF (STREET) O
SO.FT. ; NO,OF NO.OF t r CHECK HIGHWAY + YARD TOTAL SETBAC7C FROM TYPE OF EX15T1N
SIZE J STOMI
RIES FALIES�l" ONE SIDE PROP.LINE HIGHWAY WIDTH L
DFiCAIPTKXJ OF WORK {yam NEW
ADD CORNER CUTOFF YES ❑ NO ❑
/ ALTER IN OPEN SPACE YES ❑ NO ❑
REPAIR
USE OF IN COASTAL PERMJT ZONE I YES ❑ NO ❑
EXISTING BLDG. DEMa
APPLICANT TEL
(PRINT) NO.
BY)SIGNATURE).
I HERIEBY AOQ*OWLEDGE THAT I HAVE READ THIS APMJCATKJfl AND STATE
THAT THE ABOVE FS M4,97 AND-AGREE A( TO COMPLY WITH IN
H ALL ORDANCE
AND LAWS REGLLATI NG ASU LDA NGCDNSTZKT10N.1 OT MFY THAT IN DOING THE may,, rte'
WORK AUT}OWED FF{{ BY I WILL NOT EMPLOY ANY PB;ON IN VK)LATKJN OF 6'�'IS Nd f'✓/�'�(� 7a Z C/�1 `•'W
THE LABOR COBE OF THE STATE OF CALJFORNLA IN RBA TI NG TO WORKMEN COM-
PE SATKW
SIGNATURE OF FINAL BY
Pf_RMI T LEE DATE
ADDRESSC?Zlef
QQ 6Ta. '! � P:C Fee$ Perm Ft Fee �S
---777
LVUATION, /3 7 /,
of Fee �
•PLAN CHECK VALIDATION_-'. -CJL bo. CASH y PEI MIT VALI�ATIGNv o cLc� LILo. j
r] CD CD o
r- _
co CD O a
TL
�+ 7ewe3eA c[/eoaA"7
�I
DEPARTMENT OF�BUILMING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1 N G
WM. J. FOX, OHI[F ENOINE[R
FADDREW
R APPLICANT TO FILL Rr FOR OFFICE USE ONLY
DISTRICT NO. PLAN DV-NO, py�PERMIT NO.
jr _ � RECEIVED MY DAT[OF APDL. DAT[Ilmuxb
l Y "� ,
■UILDINO 4
�}+?. �:; Q�,L .,F+ �- a � ADDREBC' A / LDOALTY I /fi 2.'. ,
NEAREST
GROW REARM.
CITY
1 if FIRE NO.of TYPE GROUP
ARCHITECT OR TBI,... ZONE PLANB
[NOIN[ER NO. /
SLIMS. !� /` ORD.NO.
ET
SBAQ K L1N E /31
APPROVED
TEL
`''• By DATE
OONTRAIITOR f1NL /
Q ,�f �,!-• ZONE /4 USE PROVED DAT[
ADOMM
LEGAL CORRECTIONS
DESDRIFr10N LOT
TRACT ✓. /tit-f. / C/ �Q/'J l�/(/ '�t'��f .
AL
■IZE OF LOT 0 d NOW ON OT
USE OF NO.OF .OF
Ropme
DESCRIPTION OF WORK t
NEW ALTERATION ADDITION • J
O
REPAIR MOVING'' D[MOLIRH, -{ � / •fJf
NO or
MM= ROOM■ STlO1 RISA
WALL I
COVERING. _ .-�.> COVERING
USE OF NEW (+ L
BUILDING : CJ
�ZNil
I KO
HEREBY .ADNOWLAD [ THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ASDVE ID CORRECT FOUNDATIOW IN tATAR DA
D
AND AR[[ TO COMPLY WITH ALL COUNTY ORDINANCE■ FORM9.M TERI LTION �I, /
AND STAT[ LAWS R[OULATINO ■UILDINO CONSTRUCTION.
r. FRAME% FIRE STOPf,
�} ■RAOINO MOLTS
rRMITTtr G c.P A I •,.+ ...�-'.:Tr.- ✓ LATH, INT.
�y^ ,
AUTHQRIZED AGT�����• LATH, EXT.
7&•&ME•i 71M P•C,S _ PLAIT IR.INT. --�
PLASTER.[XT.
VALUATION `J F[[ J_ D FINAL Z'ZG '„52
APPLICATION FOS BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ADDRESS
I hereby affirm that I have a cerW$cate of coneent to esti inw e, r Eas
or a ate of Vkf*.am' Comp(xmQon Insurance,or a Certified C �� ��
copy thereof(Sec.380Q,Lab.C.) ary � 1 ZP9V 07
LOCALITY
Policy No. ry SLZE OF NO.OF BLD38.NOW ON LOT
❑ Ceriffled copy In hereby fumished. (J 'k' 10v NEAREST CROSS ST.
l ❑ Certff{ed copy is filed with the county buldhng tnspecfion TRACT BLOCK LOT 40.
- USE ZONE MAP N0.
Date gpp8pgnt ASSESSOR AMP BOOP( PAGE RkRCEL
S SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' owrER M TEL No.
40
COMPENSATION INSURANCE ���� � t000�. sirlooL� YES
(`rrlb Section need not be CORp{HYed H permit ba peto tOr one Hundred ADORE ' E d' t71STFtlCT GROUP CONST. MEZONE PROCESSED BY
donam (Stbo)or leas.)
t owtt y that In the performance d the work for whlcfi this pemnft CITY 412�!,I+4- ZIP
le gr,ry6
leeued, I Shall not ernpby anon y peraIn arty manner So as to
become mi ad to the.VAxiu3-e'Compensa on Lewy. AACHrFECT OR ENGINEER .TEL 40.
S-17018TI(.AL CLA4.9fF(CA7}ON APT CONDO
Data AppiIcant ADDRESS CLASS NO. el,2 1 DWELL UNfTS
NOTICE TO APPLICANT.' H, after TTnaking thle Certtficate of REQUIRED TOVL SETBACK FROM MST
Emmphon. you Should becorne subject to the VYbrkwa' TEL 40. SET BACK yARD H Y PROP LINE WDTH
Compenaatbn provtelone of the Labor Code, you must lortfnvkh
�ortply wm
with Such provisions or thle permit shell be deemed revoked. ADDRESS LIC.Na PL
ST
LICENSED CONTRACTORS DECLARATIONsrnE
I hereby affirm that I em Ilceed enunderprovbbrb of Chapter 0 CITY LIC CLASS PL
}
(COrtYrlOnCirlg with Section on 7000)of Division 3 of the Badness and sa Ff.s= NO.OF STORES NO.OF FAMILIES. SEWER MAP CL
BK PO O
Profeaeions Code,and my license IS In full force and effect
V
Lk:enee Number Lk:.Claes� DE8QRPTj0N OF vrOFec ADD ❑ MLUACfIOH
f-0 �
Contractor Date ALTER ❑ $ ;,V/ � --
O
A REPAIR ElH
#
El em exenpt under sec. $ _ -- i�l,�:T.`r fJ
B.BP.C. for U*reason DEMOL ElLLJ
paw USE OF EXISTTq BLDG URM 11LDMA P/C• 1 103.x.0-
1 1TEM Z
APPUCANT(PWT) TEL 40. LDMA Perm r r r-r
❑ 1, as owrw of the property, or mee y errplayewtth wag" as 2 TOTAL IL JL03 -05
thet Bole corrpeneatknn, will do the work and the structure Is ADDRESS _-C*CK
FINAL ;�,e lU,�,.
not Intended or offered for Sale'(Section 7044, BuelrieeS and � .�I
RDOmaions Code_) NLL rl-E AaPLIGwT oprqi FITTLIFE a■rrav OCCLFVNF-ulnLC A FN�AADOUp►wSyAL -
❑ I, as owner of the property, am wr mdvety contracting wkh OR A MO T FE carp=A HAZAFDOLJa r,vvwti EOuAL To 0R ar�rn=q n-wH trE
lcensed oort w om to oorist t theAMalfTS BPEC� A
ON TFE FIAZARDOUB MEZALS IFroOBO
FAAKncH ES FNAL BT ._ ..
pro}eot (section 7044, YEB❑ No❑ ! Yw7�Y:�i p/151193 Ip
Business and Pro(eealons Code.) VAU- TFE WENDED L18E OF TFE BLOXM BY THE APPLX".NT OR FUTLIFE euLofJo I]OOiO-OQO1 7J 1 1 7,S
OCCUF WT EEQLX E A PERNT FOR Ci7QTR1CTON OR 11OOMW CN FFgY THE SOUTH
CONSTRUCTION LENDING AGENCY �T A RouWrY WNAGE" T°�T(8C.Ac m SBE PEFOATTM CFEaaraT FOR — 1717 1 AI'I 9:27
1 hereby affirm that there Is a wnstr-ucion k-dlag ager-y for YES❑ No❑ -
athe pwfprrnenee of the work for wt kite this permit Is leased(Sec-
CD I FL1£FEAD THE FV2ADOUS uQaaALS WO�OLOE AND THE eC.AOAD PEF04TT►03,
3087,CN.C.) a-EaafBT.I LOCERSWO WY xoU EMWM LHOER THE L0e AnoaeS CCkNrY eogE.
TmP 2,CIi�220 SECrONB 220-100 TWO01 di 22a 140 CCWET04M FMZAFCCOS
LarxWe Name IHQERL"FEPCRTNO AND FOR COWANG A PEF14T FROM TFE SC.AC D.
Lenders Address
O cr�
I Certify that I hove read this appllcation and state under penaky PG FEE PERtvrT FEE
of perJury that the above Irrfomwt n Is correct I agree to comply
with all county ordVancee and State laws reiaft to bxildng l/
Const ucf i, and hereby authorize represerttetivee of thb Courcy rSSUANCF FEE ��♦ a
L{;pn tYie mert50ned property for In9pDctlqn purposes
41 1�3
PNESROATION FEE TOTAL FEE n
aTafr a Aw ♦ C/
SEE REVERSE FOR EXPLANATORY LANGUAGE