HomeMy Public PortalAbout10859 FREER ST_Building__ 76AEI�_E#003.7.56 APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING
859 E, Freer
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GP I TYPE SEWER MAP
FOR APPLICANT TO FILL IN B PG
CONST
BUIL
ADDRESS 10859 F- Freer Temple Cit I
��/ J/1 STATISTICAL C ASSIFICATION
LOT NO. 33 (/�( T�/ BLOCK CLASS. NO. DWELL. UNITS
MAPr— TATE YES ONUMBER _ e
I
TRACT 10260 US ZO E SPECIAL J HVIY
NO. OF BLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOT 1
USE OF
EXISTING BLDG. ACK YARD HWY STR NAME WIDTH
OWNER T'Ya]1a Pruitt FRONT
MAIL P. L.
ADDRESS 1415 W. Gary=�Ave- SIDE
P. L.
Ci
CITY Went ovng. No ED 19-2018 INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. -
ADDRESS /
CONTRACTOR AlConst Co No ED 8..2018
ADDRESS ILL ft-- W-4- r;A— ,/ y
DESCRIPTION OF WORK
NEW x ADD ALTER REPAIR DEMOLISH
SQ. FT,y7�f _ Q�OOSNTOFS , NO. OF
SIZE OORIEFAMILIES
/
USE S CTR
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APPROVALS
SIGNATURE
APPLICA DATE INSPECTOR'S SIGNATURE
G. I
ADDRESS 1115 W. GCovina FOUNDATION: LOCATION C -
FORMS. MATERIALS J -
vh''�^J P. C. S� FRAME: FIRE STOPS, E
FEE BRACING, BOLTS '.' r c
FURNACE: LOCATION, /
VALUATION V GGG!!! C/ FEE GAS VENT. DUCTS 0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT.
STATE LAWS RE LATLNG B LDING Ct RUCTION.
SIGNATOR 7. HOUSE RECT NUMBER COR-
PERMIT TTTTTT���666���666E����yy/� V /� RECT AND POSTED 7"
ADDRESS Y .0 r 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
+L01 9 5 9- SEP 41 6 13.0 0
t., o2 2 5 0',;; SEP1 2 1 26-00
DS-8 9-48 SM SETa APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY BUILDING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NO.OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE APPROVED
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE �� APPROVED
ZONE BV DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING
O NAME ADDRESS \ I
E — yam`
Z ADDRESS LOCALITY 7C—
NEAREST
V—
V 13 CITY C OSS 8T. ?t,! •..t�
Q STATE TEL.
LICENSE NO. NO. 9 NAME
MAIL
NAME 3 ADDRESS
I0 TEL.
Q ADDRESS CITY NO.
C
z I CITY I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
O — APPLICATION AND STATE THAT THE ABOVE IS CORRECT
u STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. _.� AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z SIGNATURE OF
O LOT NO. SIZE OF LOT —�—_—
_ OWNER
^� F NO. OF BLDGS.
4 0. BLOCK -- NOW ON LOT AUTHORIZED AGT.
TRACT - - �' CORRECTIONS
D USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF WORK
USE
----- - - - --
USEOF --------- ----- — -----------
BUILDING
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Q
Z
s � p
NEW TYPE GROUP
NO.OF NO.OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE X
REPAIR STORIES
MOVINGW ALL COVERING
DEMOLISH ROOF COVERING -
P.C.S
FINAL APPROVAL
FEE
� INSPECTOR'S
VALUATION FEE DATE I NAME
T LE CITV'
, F
76A666A CE#601, 1-61 APPLICATION FOR BUILDING PERMIT
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. -ijp
DISTRI NO. GROU TYPE PROCES BY
FOR APPLICANT TO FILL IN � CONST.
BUILDING STATISTICALSIFICATION SEWER MAP
ADDRESS f QS9, BK �
-- rr CLASS.NO. DWELL.UNITS x
LOT NO. T BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:Za MAP /)
TRACT ��jj NO.OF B -_G/' NO. Qw HIGHWAY
ISTATE MAJOR SECOND LOCA
SIZE OF LOT ryC pL D I NOW ON LOTLDGS. Com. USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING BLDG. _1
//
� TE / ,
OWNER - N �� ?!� - BUILDING EXIST.
YARD 2tlK€- STREET NAME
SETBACK WIDTH
ADDRESS < j` FRONT ,y� -
ARCHITECT TEL.OR TEL. P. L. [1
ENGINEER NO. SIDE
P.L. �-
ADDRESS TEL INSPECTION RECORD q
CONTRACTOR C�'��*-fi_F-/��• NO,.�:'if's ,._;'
V
ADDRESS O
DESCRIPTION OF WORK u
W
a
y
NEW DD ALTER REPAIR DEMOLISH - Z
SQ.FT. NO.OF NO.OF -
IZE STORIES FAMILIES
USE OF
STRUCTURE c/-t_f.- G
SIGNATURE OF
APPLICANT " .
VALUATION$ oCJ
APPROVALS DATE INSPECTOR' SI' r
P.C. PMT. `�/ FOUNDATION: LOCATION
FE FEE $ - 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,
WITHALL 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- tATFT:INT..- 1 t
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATIO NSU RANCE.
LATH,EXT.
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED }2a�63
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUC AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION M.O. CASH
(�:�7 2 4 2 D JAN 9 1 0 3 .0 �r
'P L- <� Cry
76AG30A CE809.9.6 BUILDING PERMIT
o APPLICATION FOR BUIL I G
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRE
BUILDING AND SAFETY DIVISION LOCALITY !r"'
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J /�
WILLIAM A. JENSEN SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GR UP TYPE PRO ESSED BY
FOR APPLICANT TO FILL IN S7 o3 I CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �� G; BK PG
1
CLASS. NO. DWELL.UNITS I dr.
LOT NO. ? ( BLOCK NUMBER , CI,,�/ &MAPSTATE yES
HWY.
US ZONE
TRACT SPECIAL
NO.OF BLDGS. �`�- CONDITIONS
SIZE OF LOT �'C goy I NOW ON LOT � 0
USE OF
EXISTING BLDG. rUILDING YARD HWY STREET NAME EXIST.
�.�f� � ) TEL. / SETBACK WIDTH
OWNER 1.{ifiG1Z� Ji NNOO.a-Z FRONT
ADDRESS �VV^ &4-el (::!- SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
}
ADDRESS �.�.r- C
0
CONTRACTOR �.�,� L (� TNO.EL. (_
ljoh
ADDRESS - O
DESCRIPTION OF WORK w
CL
NEW ADD ALTER EPAI DEMOLISH Z
SQ. FT. NO. NO.OF
SIZE STORIES FAMILIES
USE OF Lv�
STRUCTURE J �' ILI
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE S FEE $ 0 FORMS, MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCT ION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMErCOMPENSATION LAWS CALIFORNIA. LATH, EXT.
SIGNATURE OF f HOUSE NUMBER COR-
SIGNTU RECT AND POSTED
PERMADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENqnqrlER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o.
U4 1 7 1 JUS! ?6 1 p 2.0 0 M
76A638A CE#8031-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDREISS Q g
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
D I S;jjJ CT GROUP TYPE -11"R�E.V B
FDRESS
R APPLICANT TO FILL IN CONST.
STATISTICAL C SIFICATION SEWER MAP
BK - P,G�
CLASS. NO. DWELL. UNITS
GYI�IOK WATER NOTREQUIRED ® RECEIVED ❑
CERTIFICATE:
TRACT D MAP HIGHWAY
NO. OF BLDGS. NO. Q,�0 (CIRCLE) STATE MAJOR SECOND
SIZE OF LOT r NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. - /
TEL./►
OWNER NO.(► BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT 1
ARCHITECT OR TEL. P. L.
ENGINEER j/ NO. SIDE }
P. L.
ADDRESS d
0
E L. u
CONTRACTOR O.
OC
ADDRESS L 3 ta.3 - 0
H
DESCRIPTION OF WORK W
d
NEW ALTER REPAIR DEMOLISH Z
SQ. FT. NO. OF NO. OF
SIZE • STORIES FAMILIES
USE OF
STRUCTU E �
SIGNATURE OF
APPLICANT
' VALUATION
APPROVALS fDATF I NSPECTOR'5 SIGN,,,t E
AT
FOUNDATION: LOCATION
P.C. PMT. ��
FEE � FEE $ S "� 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. [ '
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN' COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE ECT AND POSTED '
ADDR S lJ a AL
JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH
I
Ll"6 6 5 4:ol NOV 7 1 D 1 5.0 0, C
DrvISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer
Count!r of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
BUILDING ` I— y
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS \ - LOCALITY �-
NEAREST •, - .
LOCALITY CROSS ST.
NEAREST
DISTRICT NO. PUN CK.OR REG. No. PERMIT NO.
��''-�
CROSS ST.
°
OWNER RECEIVED BY DATE OF APPL. DAT 1623U D
MAIL
ADDRESS USE ZONE NO. OF TYPE GROOP IRE ZONE
I I •
TEL. PLANS � j
CITY NO. ++ .:.,�.-•--'-
ARCHITECTOR TEL. r'�� / ZONING ,,,
ENGINEER NO. APPROVED BY-
BUILDING
Y-
ADDRESS BUILDING L� / OR
SETBACK LINE:
CONTRACTOR NO.. APPROVED DATB
HOUSE. NUMBERING
ADDRESS
LEGAL 1•r MAP NUMBER �' "�� `"'•°•` NO. ASSIGNED BY !.
DESCRIPTION LOT NO. BLOCK
`�}J DATE CORRECTIONS I INSPECTOR
TRACT A0NO. OF
SIZE OF LOT 41-5 X 2-/Z I NOW ON LOTS
USE OF - - NO. OF
EXISTING BLDG. - I FAMILIESf 0
DESCRIPTION OF WORK
NEW ALTERATION�I DEMOLITION ADDITION � � � �
REPAIR
SQ. FTNO. OF p
SIZE ROOMS ! STORIES
EXT. WALL ROOF
COVERING -��'' COVERING '
USE OF STRUCTURE
F
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS
CORRECT. BRACING, BOLTS
1AGREE TO COMPLY WITH AL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF, / /
F / LATH, INT.
PERMITTEE t�
LATH, EXT.
ADDRESS
AUTHORIZED AGT. PLASTER, INT.
PLASTER, EXT.
�O� FEE E HOUSE NUMBER COR-
RECT AND POSTED
VALUATION s
FEE FINAL 4 p'
76A888A DB8 8 2-88
COUNTY OF LOS ANGE!L&S TEMYLE CITY 0 0508
BUILDING PERMIT
DRPARZCMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1208150019
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 10260 LT: 33 SQ. FT STORIES TYPE
10859 PILFER 9T
STRUCTURE: 1100 V-B t TEMP CA 917803538
ASSESSOR INFORMATION NUMBER: NEARE8T CROSS SI'REE•P: EL M7NTE
8573-016-020 i _ THOMAS PAGE: 59.7 GRID: D4 L(CALITY: TEMPLE CITY, C
T 20iNT ST BLDG USE: RESID USE-ZONE: R-4 I99 ON: PROCE9SED BY:
EXIST OCC GRP: _ 08/15/12 SR
OWNER: TEL. NO: BLAGS. NOW ON LOT: VALUATION: F F Y: CODE:
CHUONG (626) 442-1944- 3,000
10861 FREER ST
TEMP 917803538
FEES PAID 6Rf3(�RIATION OF WORK
REMV.E EXISTING ROOF, REPAIR FACIA F DAMAGE FACIAL BOARD
FEE DESCRIPTION: QUANTITY: COM: AMOUNT: EAV BOARD IN=JL NEW ROOF COMPOSITION SHINGLE
APPLICANT: TEL. NO:
DATL?,M CONSTRUCTION INC. (626) 675-7052- AA BLDG PERMIT ISSUANCE 27.80
1798 CIGAR TERR AB STATE GREEN BLDG FEE 3000.00 VAL 1.00 SPECIAL CONDITIONS:
W. COVINA, CA 91792 AC STRONG MOTION RE9ID 3000.00 VAL 0.50
D2 PERMIT W/O EN-HC 3000.00 VAL - 99.00
TOTAL FEES 128.30
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DATtAAM CONSTRUCTION, INC. (626) 675-7052-
1798 CIGAR TER LIC. NO LOCATION AND SETHAL'E9
WEST COVINA, CA 91792 859760
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER_ TEL. NO: FOUNI]ATION/T'RENCFI FORMS
LIC. NO: SLAB ,UNDEIR FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: '. UNDERFLOOR INSULATION
147H277 3 00
190. OF FAMIIA; iA7Iii.LZNG UNITS: APT COND: S= CLASS: - FLOOR 9HEATEIING
,TR.
0 NO 21 ROOF SREATHINdG
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME tNSPE0 TION
FIRE SPRINKLER HANGERS
INSULA ON/WEATHER STRIP
iNTEiLtoR LATH DRYWALL
EZTER-TOR LATH
RATED FLOOR CEIL ASSE1.
RATED WALL ASSfi-(BT 9
RATE? SHAFTS OPENINGS
T- CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
�y WORKERS'CO PEz SAT1Of4 DECLARATION ...� - - ;
�tereby affirm that I have 9 �tfi�.of ronIse�t ta,self jt�p PLL_A� tON� AOR B ��►DI Nom. _PERMIT !
rn4re, or a ceftificate of WorkersCompensation Insurance,
or a cert,ifled copy thergaf(Sec. 3BO0, Lab.-C_)', - -., --7 --. _ - - -_. - -l -- ._•. .- :
COUNTY OF LOS ANGELES WLDIIIIa AND S Y
I-J :i->,
Polln'No. .CompaOy- . . _ -. _ ' . . - '_ - - - -
EJ ,•Certified copy is hereby furmished. :•.,1- • FORAPPLICANTTO FILL IN ADDRESS
BDDRESS
Cbrttflid copy is flled_wlth'the cqunty b4jI1dlrifl''Ihspec- BU NG
tion deportment. ADDRESS 10VS-i FRAC
I'
Date —_.--:Appllcant•` �1'n CAY TOM ZIP Y� LOCALFTY � '. F
i 'C33MFIC Ti OF EXEMPTION-FROM WORXEF S''. - ` ' - NO:OF$LDGS. NEAP[_
COMPENSATIOPI INSURANCE OF LOT NOW ON IAT ST.
(This wi;ttor) need not be torr. letdd tf tfie.permirfs for one
hundreql dollars (=TOO)or lea} ,,; _ , : TRACT BLOCK LOT NO. AMp I300K PAGE' P
I cwttfy That Jn tlhe.performan�e �f the work fqr wf11c this _ _ _ ZO►E td0 }
OWW
permit is tsi2led, l shall hot dmpldy arty�_]c.��n In any manner
to as to become iublect to the W&kirrz:'CID loii'Laws. ADDRESS
��� �
-- .b". . ,i$. 7 r Appllcanf - -- -
ttQTICE TO APPt1CIANT: ff, pf}er' rflb Thh Ifictite o QR :• ' _. 84'�F - aSTRIGT. GRa1>', T1 PF...! PRE. - - 9y-
No.(OP
ExOmptlon, ,you•1hoUld Ibec�rfie iub�btt�to- e�ANorkers' �T.' ZONE
ADDRESS
Compensatlon.provlslons-ofi'thb InborkCodp,�ou7nusi fortfi- _ _'
wtih.compty,with Yuth-.prgylilons o,-•thl4..perm)t shall be --_ _.. -`-"
,
TL STATISTICAL CL453JFKi4 AFT. TIDO.•'"
deemed!eyQk�•1..,. ... . �... ..r: .ti .,:L ,: CONTRACTOO NO. _
I
LICENSED.CCX�TRACTORS-DECIA n CSS 1IO. DWH1_ UNITS -- - - _
I hbreby affirm thpt I am Iloerded under provlslons 6-pter 9 ADDRESS NO.
(mmrt»n�lrq with 7.006)gfDfvh4o�3 of the new and ,_ .. _.__ .. - - - LIC. -- .- SEWER AAAP
Profbwions Code; y Iicenie'Is h ful(force 6 e{#e CRY aAss - -. - VALDATiON -
FT. NQ:OFr L30.OF
Llcense`Nymbir 1 LTG C i Y11 �� 3r S� - <IE�' _Of
_yamlT� I ' --
Dais
r t .>t1r{. - DESC&T10N- F WORK _ _ _. _ PEWy
ADD
am exempt under$ec:3. - - r��/Q d�� _ _ , I ., E•
:B. P:C. for thIsTbasorr _ - - REPAIR-
USE OF.:
I t
EXMNG BLDG. p +i r DEMOI
Sl9nafuro + -IN- 0 V(A 2 6 FINAL i
OWNER-BUIODER DECLAI ATION NO i t _ DAT!
.a hereby-affirm thot.1 am exempt from the Contractce"cerge ADD( 55 O p - K
Low for the followll49 xedsoh.(Settlors 7031.5, Qvsiness and A - -- - FI ° j• [•. ,i r
1, as owner of tf,e o BUILDING 2-6323�
-�. _. prop", or my employees with, _ ADDRE,SS _ -- ..- - - -- _- __. _ -_ - ._ - _ - -. _._- .- -- - _ .• -. ,
wages as their sore compensafJon,'wlfl do the work and -o I s.c:e•.e`-1_ -f
the structure ts.pof Intended or offired for sale{Svctlon.. LOCALITY '
_ - - 7t}44, Business and'�rofeaslorn-Code}. -- - - ,� - AAO'N1NG_.. . ..._ ... - ._,. -. ...-- TEL -•. ._ .Y_.-,_^..�' - .- - - -- �.. I ----,5%2,5 - .
I, as own6r of the property, am exclusively contracting QQNTRACTCQ
No.
' '�
with-licensed contractors to construct-the-project-(Sec 9'
o v'5 2 5
ADDR
tion 7044, Buslnees and Professions Codb�' j'' Q 0 9+-8 71
y
CONSTRUCTION-LENDING AGENCY YARD TOTAL SETBACK FRom__i:
FIW1 PROP. LINE
1 hereby affirm that there is a constriction lending abenc�forT
the performance of the work for which this pgrmlt.Is issued P -�-- _.-. . _ _ - . - _
Q (Sec 3097, CIV. C). SIDE - ..._. ;
+
P.L
Lenders Nome '
$ P.E Fn i LDAAA Rif:III
- benders Address
,,11
J certify that I have rood this appllcatlon_and state-that the ._-.. _ _ -- Iwuance•Fee �() ' LDAM P/C f.
above Information is correct: I agree to comply with-all County Irtwarl Fee
Ordinances ar4_ tr
State
-_Eaws relating to bullding conatrpolon,
�J and hereby aufhore representatives of this County to enter TOs°kF" LBMAfsr'r'. ! -
u n this above-mentioned property for Inappctlon purposes
p - M MMM POR DCIPLAMATOiY L/UKWACkl
- -
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