HomeMy Public PortalAbout9745 CRAIGLEE ST_Building__ 76A638A CE#8035-61 APPLICATION FOR BUILDING PF l
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEERAooREs - r
BUILDING AND SAFETY DIVISION LOCALITY C
II JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS
DIST ICT NO. GROUP PE J ESSED BY
FOR APPLICANT TO FILL IN , p Sl CONST. �{
BUILDING ---- -- STATISTICAL CLASSIFICATION WERMAP
ADDRESS -- - "- '50K q.
E _ CLASS. NO.—/-DWELL.UNITS__Z_l
LOT NO. BLOCK WATER NOT REQUIRED R71 RECEIVED
CERTIFICATE: LAW
TRACT MAPHIGHWAY
STATE MAJOR SECOND, LO AL r
NO.OF BLDGS. NO.e-!C+0 ' (CIRCLE) �
SIZE OF LOT !s0 X J l yl- I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS `
EXISTING BLDG.
TEL r
OWNER // 7 `7L NO�. AME 4 BUILDING EXIST.
ADDRESS 6 J ,r� /-�-T✓- /i-- E _/,Y/ FRONT YARD HWY E
SETBACK WIDTH
ARCHITECT OR TEL. P. L. >
ENGINEER NO. SIDE ILO
P. L.
ADDRESS V
/ TEL. INSPECTION RECORD oe
CONTRACTOR 's�%. L(-y.NO. Q
H
ADDRESS W
DESCRIPTION OF WORK N
z
NEW AlIf ADD ALTER REPAIR DEMOLISH
SQ. FT. ` 0, NO.OF NO.OF
�IZE L u' �� STORIES FAMILIES
USE OF
STRUCTURE
Od t
SIGNATURE OF J
APPLICANT
VALUATION$ 47-11
APPROVALS DATE INSPECTOR'S SIGNATURE
, \ FEE $ M�a FOUNDATION: LOCATION
FEE $l
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-
' PERMITTERECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST CTyRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH / PERMIT VALIDATION cK p M.O. CASH
- 7 .ti
TEMPLE CITY
76A636A CE.} 6031.62 APPLICATION FOR BUILDING P
COUNTY OF LOS ANGELES BUILDING_ - _.
DEPARTMENT OF COUNTY ENGINEER ADDRESS"
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DIST CT NO. GR0TYP CESSED BY
FOR APPLICANT TO FILL IN CO r.
BUILDING --- STATISTICAL CLAS KATION EWER MAP
ADDRESS -- -- _ s BK/-, G
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY STATE MAJOR SECON ,LOC L
NO.OF BLDGS. NO. ccIRCLE)
SIZE OF LOT_44F NOW ON LOT USE ZONE SPECIAL
USE OFING BLDG. r. .7
9 9 ,� CONDITIONS
XIS
ET
` TEL.
OWNER .4 a Y 41V- I.ig NO. eltly LDING EXIST.
ETBACK YARD HWY
NAM WIDTH
ADDRESS S ' FRONT
ARCHITECT ORTEL. P. L.
ENGINEER / V,rJ NO. SIDE
�'� P. L.
ADDRESS - t' �JQ L, d
TEL
O�
CONTRACTOR /� / Q7N 0. /
ADDRESS
DESCRIPTION OF WORK w
tn
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO. OF NO. OF
SIZE _ STORIES FAMILIES
USE OF
STRUCTU p'
t
SIGNATURi OF
APPLICANT
VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE
_ PMTFOUNDATION: LOCATION
FEE $ FEE $ � FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- -
PERMITTEE RECT AND POSTED
ADDRESS "'v FINAL
JOHN F. LEWIS. PRINCIPAL STR�UC-TURAL ENGINEER
�.")
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION M.O. CASH
0 () 0 3C%.50,
TEMPLE CITY
79AS38A CE#909. 1-8, APPLICATION FOR BUILDING PER
COUNTY OF LOS ANGELES BUILDING -
DEPARTMENT OF COUNTY ENGINEER ADDRESS _ a
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. "
FOR APPLICANT TO FILL IN DIST® G OU TY `P C SS ED BY
CONST
BUILDING _ _ - STATISTICAL CLAS 1FICATION SE ER MAP
ADDRESS IK �G"
CLASS.NO. DWELL.UNITS_—
_j_
NO. B70 -"'� r BLOCK WATER NOT REQUIRED RECEIVED
�Q� CERTIFICATE:
TRACT •�Y `C `'"N�`rG�fJl++m°` - i�fC MAP _ - HIGHWAY
NO.OF BLDGS. NO; (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT. I NOW ON LOT USF ZONE SPECIAL
USE OF ,,,��� ` CONDITIONS
EXISTING BLDG. /; p / '-
` TEL. i� v l
OWNER NO. - BUILDING EXIST.
♦ SETBACK YARD HWY NAME WIDTH'
ADDRESS /`nn //Ic�'�'�+-e-/l�G�w�'t�G-. FRONT
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
P.L.
ADDRESS TEL. INSPECTION RECORD O
CONTRACTOR. NO. - V
ADDRESS -
DESCRIPTION OF WORK
_ W
CL
NEW ADD ALTER REPAIR DE OLISH ' 1 W
SQ.FT. NO.OF .//' L Z
IZE STO IES FAMILIES
USE OF
STRUCTURE �f�z 7
SIGNATURE OF f S /1' - , !1 I ("Al
APPLICANT I ' I I-
VALUATION
VALUATION$ ���I w
nr
APPROVALS DATEil�r INSPECTOR'S SIGNATURE
_ PMT. FOUNDATION: LOCATION
FEE $ �`-' FEE $ FORMS,MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY.THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
n LATH,EXT. / /
SIGNATURE OF / _v £ / HOUSE NUMBER COR-
PERMITTEE 'RECT AND POSTED
ADDRESSFINAL (lIq
CLYDE N. DIRLAM, PR14C'IPAL`STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAII.IDATION cK M.O. CASH
UEc 0 0 8 0 JJ>_ 7 1 U 2.0 0 t
.V
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS UILDING
1
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
UILDING
DISTRICT NO. PLAN CK.NO. t PERMIT NO`_
B �
ADDRESS - _
Z31 'S
LOCALITY // �q h� ¢� y /y RECEIVED BY DATE OFAPPL. AATE{IBBUED
CNEAREST
ROSS ST, _//�r�O
BUILDING
OWNER 4 1 W ADDRESS
MAIL r��a A/ �� LOCALITY L
ADDRESS .31 ��/ SST
CROSQ Al
/ �.o TEL. � CROSS 9T. (�'
CITY �IQ At >� /C. � �A d L. NO.
FIRE PLANS � Type-::17-41
YPE GROUP-•r
ARCHITECT OR / TEL. ZONE -�— PLANS `7�
ENGINEER y ND.
BLDG. ORD.NO. '
ADDRESS 9ETBACKLINE D /C r�
APPROVED
TEL P,�p� BY DATE
CONTRACTOR �9 NO• FF
USE /' APPROVED
ADDRESS Q ��� !Se& ZONE /7- BY DATE
LEGAL `gym d CORRECTIONS
DESCRIIP��TION,,yy,,, LOTNO.��Cl
TRACT 4�/C!n7rA. A !•C�1 4,0'A
SIZE OF LOT NOW ON LOTTs. J
EX STOING BLDG. ll��r�.L�.I��PJ I FM OIE I ROM13-OOF
MS :3 ! L7 [1'�7/- .--u� d"'-
DESCRIPTIO OF WORK
NEW ALTERATION AD7/PAolf / �y
REPAIR MOVING DEMOLISH �� �7/ � 6../1AI
® �4 ,PI`. p.
Sq.FT. NO.OF // _
SIZE ROOMS STORIESWALL
g n r
COVERING 1 �641i'd� I ROOF
COVERING �Q�99 �� % '�/��Cl mA1
B U i LD I NNGEW Aul e GS. & A 9,% r9 �:�j ve� ��.•-*�t,�' .d�Ys'�fr"
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOM: LOCATIONSPECTOR DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALSi
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS.
SIGNATURE OF l/�' ,/� BRACING.BOLTS
PERMITTEE tCy A -
- LATH, INT.
AUT RIZED AOT
LATH, EXT.
7'GA63BA-3 2-50 $ � �� P.C.10 PLASTER.INT.
FEE _ PLASTER.EXT.
28
VALUATION FEE �r� FINAL 1.)
DIVISION OF BUILDING AND SAFETY
Department of County Engineer B
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER PLICATION
FOR APPLICANT TO FILL IN F OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR RES.No. PERMIT NO.
BUILDING 4 4 O�
ADDRESS
�fUqEIVED BY DATE OF APPL. D E ISSUED
LOCALITY
NEAREST Gs�
CRDSB ST. BUILDING`/}�t/�f�J ,✓�L�YL-`�n.l ADOREB
OWNERMAIL LOCALITY 1 �`YV�-L�l� 1 T V
ADDRESS n; 7 L! $ , NEAREBT 1 Q 4 1
�� TEL ! CROWS BT.
CITY f�-��✓1+i.�L.sCA. NO. (� ��� FIRE NO.OF TYPE GROUP
ARCHITECT DRV TEL ZONE '�I PLANS
ENGINEER V NO. BLDG. Q ORD. NO.
SETBACK LINEUSE Z
ADDRESS
TEL ZONE 1�'�, By DATE DATE
CONTRACTOR NO. HOUBE NUMBERING
ADDRESS MAP NUMBER `00 NO. ASSIGNEDLEGAL "CP
BY
DESCRIPTION LOT NO. 1.e� S�, .� CORRECTIONS
TRACT N T 4 A, (I T A _Ah A;'0 C,
1—X sl ,�,�- m. OF BLDG&
SIZE OF LOT J U(�v►JOWONLOT
USE OF NO. DF
EXISTING BLDG. FAMIL16e
DESCRIPTION OF YWORK
0
NEW ALTERATION ADDITION Z
D
r
REPAIR f p DEMOLITION
FT.
H
SIZE -J G .3�.{✓,[,�,�-R OMB STORIES
EXT.WALL SOI ROOF
COVERING OOVERING
USE OF STRUCTURE t
a v T
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR"'8 SIGNATURE DATE
F I LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, n
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LQCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTI1
GA8 VENT, DUC
ON. TS ,
SIGNATURE OFLATH, INT. J�
PERMITTE
�] LATH, EXT. Z—
ADDRESS (4 A t4
PLASTER, 1 NT.
AUTHORIZED AOT.
PLASTER, EXT.
FEE HOUSE NUMBER COR-
'600
QR-
S® O RECT AND POSTED
VALUATION FEE # � J; • FINAL
76A636A DBS 3 1-52
DB•3 25M SETS 9-44 APPLICATION FOR PERMIT
✓ DEPARTMENT OF BUILDING AND SAFETY
4'.' COUNTY OF LOS ANGELES �JILDING
�J 1 11 �I
wgk.J. FOX, CHIEF ENGINEER
N Sk OFA) BLDG. ORD.NO. DISTRINO. PLAN CK. NO. PERMIT NO.
PLANS f9iz^ SETBACK LINE
FIRE APPROVED .J
ZONE BY �. DATE RECEIVED BY DATE OF APPL. DATE ISSUED
ZUSEONE APPROVED �^
BY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �
O a, NAME ADDRESS �, `y
W Z ADDRESS LOCALITY f 1--1 rFP"
I O NEAREST f �
U W CITY . CROSS ST../� 6s+sem F� � �r� 5'R Vis.
E 3 f P f
Q LlrCE E Ni NEL. NAME c%.m✓�`:1 t
11
1 � � z MAIL 11E
NAME 3 ADDRESS G+".
0 �. p /�j
Q ADDRESS CITY Z/ P s NOy�' - Ir
E (�
IZ
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS \``
0 CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. ®e AND STATE LAWS.REGULATING BUILDING CONSTRUCTION.
O LOT n0 e�sSIZE OF LOT �� SI OWNERS OF f -'
�?
NO. OF BLDGS. ,�v��w, �.{i�
AUTHORIZED AGT.� L:lt 'r til l
QC BLOCK NOW ON LOT � 4'�Gs�.:
O� � d r
"10 TRACT 1 V/ CORRECTIONS
0 USE OF BLDGS. !f .....-- '�- v
NOW ON LOT \"`•"'w. .'7�.a., r_�¢i`-t%?
DESCRIPTION OF WORK 1 ._. �•- }� J �;
USE OF
BUILDING a/sl�-✓�' �T".e'',6/..r_e^
J
0
X
Z
D
r
NEW TYPE GROUP
NO. OF n0. OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH I ROOF COVERING
P.C.$'
FEE FINAL APPROVAL
/�- I INSPECTOR'S
- VALUATION FEE DATE 7 NAME (�V
WORKERS'COMPENSATION DECLARATION ``
hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers' Compensation Insura
or a certified copy thereof (Sec. 3800, Lab. )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company L 1. . '
' r`
Cer' ' d-copy.is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified 'copy is filed with•th my buil ' ins ec- BUILDING fC
tion departmen . ADDRESS [' 0 ( LOCALITY-
4 NEAREST
Date G� o pplicanf CITY t " ZIP CROSS ST.
RTIFI ATE OF EXEMPTION FROM WORKERS' 1i., NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one US NE MAP r c�
'hundred.dollars ($100)or less.) TRACT BLOCK LOT NO. NO.
L TEL.`�,� '7� � SPECIAL ;►
I certify that'in the performance of the work for which this OWNER Q.�/. NO.,?; /c CONDITIONS
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPNSTE FIRE PROCESSED BY O
CO
so as to become subject to the Workers'Compensation Laws. ADDRESS vZ__ Say :. ZONE
Date Applicant CITYARCHITECT OR t ZIP TEL. STATISTICAL C SSIFICA710N APT. CONDO.
ENGINEER NO.
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption, you should become .subject. to the Workers' CLASS NO.T/ UNITS
Compensation provisions of the labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be c Z
deemed revoked. div �TEL. S Z BK PG VALIDATION
CONTRACTOR � NO.
LICENSED CONTRACTORS DECLARATION / a LIC. 7 J
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS, ! �< �C�/ ee � 4y C,-� S4L VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and eff CITY �Ll U r"�y CLASS
(,o SQ. FT. NO.OF NO. OF CHECK
Lic.Class` SIZE STORIES FAMILIES ONE
Cont
U Z 1 Q DESCRIPTION OF WORK C )��� l NEW o $
l( ADD ❑
I am exempt under Sec.
ALTER E] NAL
B.BP.C. for this reason ' N c �_.__ REPAIR DATE
Date: USE OF DEMOL FIN
EXISTING BLDG. • By
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINTNO.
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason,(Section 7031.5, Business and ADDRESS
Professions Code): PRESENT 4,
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO. ;25723A
with licensed contractors to construct the project (Sec- ADDRESS #.0 o o •.0 11
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o o 7 a Q 0
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. o 0 0 7 a 0,01
(Sec. 3097, Civ. C.). SIDE
m
P.L. 1 0.21 :86
o Lender's Name
P.C. Fee$ Permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Fee
above information is correct. I agree to comply with.all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee 6
u and by authorize representatives of this County to enter
m u on tabov me tinned property r inspection purposes.
I
a - l U -` �(� SEE REVERSE FOR EXPLANATORY LANGUAGE .
Signature of Applicant or Agent Date - •®S