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HomeMy Public PortalAbout9723 GARIBALDI AVE_Building__ DEPARTU= OF BUIMING AND SAFETY T APPLICATION. i0R'PE"GT. COMM OF LOS ANGELES (/�_O1 vim. J. FOX, owwr [No1N[[R , BU I L D I N G FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN n DIWTRI13T MIL PLAN CK.N0. P[1WIT NO. AD LOOA-rrY �• R[O[IV[DtY DATE OrAPPL. DAT[IMUED N;AREUT �O L .✓� s� C-ORCM BT. 9—}� �.,/" IN■ �, 6 LLJ OWNER % rzzy MAIL � A/ ./ J� Al -7 LDDALFTY q� KKAJEENT NO.ofti rry TTP! ARO[NOHINITEE[RDT ZONE PLAN■ Z ivv / � NO. � '7 J �V OLD UL •N D G� /�/ v1 �i ,C, ■[TllADKLIN[ ZO ,tom /' APPROt VD CON7RADT3M i !�h/�NQ �ZZ7 BY DATE Ui[ APPROVED ADD nIM vl�7,e ZONE my DATE LEGAL rCORREC a IOM DKEDRIPTION I LOT MO. ■LLOK &7EL Or OLDNIL0 TRADT �/.y �- 013E OF LOT D/t L�� O NOW ON LOT ue[OF i+ /i C I/ No.of I ma.of FAMILIFN ROPMf DESCRIPTION OF WORK NEW ALTERATION ADDITION R[PAIR MOVINC D[MOLIflH O Neq.IZ!T O,OF ownelNs..S CSO ooviRl �i'��� lfc� uaK OF NEW 9uILDINo C/ O 1 H[R[QY AOKNCWLEDD[ THAT I HAVE READ TH12 APPROVAIJ APPLICATION AND CTAT[ THAT THE AIDV[ Io CDRR[QT IN WTOR DATE 1 AND AR[I WITH ALL COMPLY WITALL COUNTY ORDINANDEX F'OUNDATIONK LOCATION �, , FORM1.MATERIAIJ AND KTAWS�w_7�j9ULAT�O ■UILDINO OONTMUCTION. C/ir/5/hprly �f7d�C� F=INDKwraps, , ■IONATURK of F 1 's 13LTS P[RMITT[ LATH, INT. 61 AUTHORIZID ADT LATH, [XT. ' 7a.a+a._3 2.4p P.0.• rr PL-Am7nm INT. VALUATION • -� FINAL FE[ / J GLT� APPLI4:,ATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILU 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. PATe ISSUED USE APPROVED G ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY a: BUILDING /// 0 � / --/ir"L p DAME ADDRESS _ rte. U W f U Z ADDRESS LOCALITY NEARE .�C""j'�-• `" .`. -'�""�"1' �•• U Z CITY '0r CROSS Ss 7'. ...4-....yr,.�� •,.'" `y�L� V,- r C < STATE TEL. LICENSE NO. NO. E NAME W MAIL K NAME 3 ADDRESS 7 0 TEL. U U ADDRESS CITY NO. !Y F z 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS O CITY U APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. V 1 AND STATE LAWS REG LATING BUILDING CONSTRUCTION. ZO LQT NO. I SIZE OF LOT I ^/ SIGNATUREOF'`,, ff--" OWNER NO. OF BLDGS. C AUTHORIZED AGT. U _ BLOCK NOW ON LOT W TRACT s CORRECTIONS USE OF SLOGS. " NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING War Production Bo-ard orders. You are _ o Cautonect to consLilt wlfh your local War �7 inq tha work joehorized in to sr armit. Z —__ D - r NEW TYPE _ I GROUP NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES ` tJ MOVING WALL COVERING DEMOLISH ROOF COVERING T s % FEE s FINAL APPROVAL s INSPECTOR'S .� VALUATION FEE DATE I NAME TEMPLE CITY 76A648A'L 8, 32-E3 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 9723 GARIBALDI BUILDING AND SAFETY DIVISION LOCALITY TEMPLE CITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. AR I BALD 8, GOLDEN WEST DISTRICT NO. TYPE PROCESSED BY FOR APPLICANT TO FILL IN _ 8- CONST. 4 r¢ c BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 972-3 GA R I BA LD I L BK 77 PG CLASS. NO. DWELL. UNITS LOT NO. H BLOCK N WATER NOT REQUIRED IS7 RECEIVED CERTIFICATE: TRACT SANTA AN 1 TA MAP HIGHWAY STATE MAJOR SECOND LOCAL NO.OF BLOGS. NO. .L O 3 (CIRCLE) SIZE OF LOT 240X252 NOW ON LOT 5 USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. CHURCH �-/ O-NERTEMPLE CITY CHR 1ST. NO AT6-0581 BUILDING EXIST. SETBACK YARD HW Y STREET NAME /� WIDTH ADDRESS FP. L. A o �g✓ L6'i C-� (p ® ` ARCHITECT OR TEL. ENGINEER NO. SIDE a P. L. D / PLf C eS ADDRESS 0 CONTRACTOR C NO / ({�(l,.f ne ADDRESS -,/L.r1�L - O V DESCRIPTION OF WORK N Z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SJR BLOCK WALL SIGNATURE OF APPLICANT --7 VALUATION 5 / ./ APPROVALS DATE INSPECTOR'S SIGNATURE `J FOUNDATION: LOCATION FEE $ �- 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. 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 INSURANC /�"� / LATH. EXT. SIGNATURE OF �Cy', �yy-ytU.(� HOUSE NUMBER COR- PERMITTEE X/// 7- RECT AND POSTED ADDRESS ./(L,Z / _�C�y- FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH L,,L;03 1 6 a� AUG 216 1 D 7.00- Z) � dc/ i 7"838A DBS-9 12.54 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING rf �� L lel - Department of County Engineer County of Los Angeles LOCALITY T WM.J. FOX, COUNTY ENGINEER NEAREST r CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. /.D. I—' / FOR APPLICANT TO FILL N DISTRICT NO. I GROUP I TYPE SEWBK MAP CONST. BUILDING y f _ � ADDRESS �+ +d"d '' - MAP �" ✓� STATE YES .l.Y q �^ NUMBER -1 � HWY LOT NO. (� S01�O S�'Gr�S U BLOCK USE ZONE SPECIAL CONDITIONS TRACT � 4 d`��/ C SIZE OF LOT z r. �(.� I NOW ON LOTOF S B O BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USE OF EXISTING BLDG. 0//L)/?a4y-SocALO6 YN FRONT / P. L. OWNE J V(dt&& ,>¢t 'S.t . `^�.".:., .` SIDE MAIL ADDRESS TEL. 1 DWELL. I UNIT 5 INDUSTRIAL CITY , : (� NO. 2 DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 AODN.,ALT., ETTC-.//�� ADDRESS ,� 4 COMMERCIAL 8 MISCEL:S!l..,�L�4 CONTRACTOR `.; } "' --TA.O. INSPECTION RECORD ADDRESS _ DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH O. FT. o NO. OF NO. OF SIZE V STORIES FA ILIES USE OF STRUCT SIGNATURE OF APPLICAAPPROVALS NT _ADDRESS l� J(/ DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION EVALUATION C. $ FORMS, MATERIALSFEE FRAME: FIRE STOPS. BRACING, BOLTS FEE FURNACE: LOCATION. GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS 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 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED d ADDRESS FINAL WM. J. FOX. CcuxTy ENGtHEm t � VALIDATION BY ...TOTY4 8 8S !BAR 14 1 1 .0 O DEPUTY - DEPUTY BY BY MDEPUTY � C w_ L��� DEPUTY 7GA638A DBS-3 12.54 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY ADDBUILDIRESS NG 9'/7 Department of County Engineer - County of Los Angeles LOCALITY T, C WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DIsrR NO. bGRO I TYPE&W f , SEWER MAP G� BUILDING I A Cy O CONST ADDRESS %est: [.N _ -.'E'._ MAP STATE or) HWY YES /-/ NUMBER LOT NO., � ` n :} � BLOCK USE ZONE SPECIAL "c CONDITIONS 71 TRACT NO. OF BLDGS. SIZE OF LOT NOW ON LOT BUILDINGEXIST. USE OF SETBACK YARD HWY STREET NAME WIDTH EXISTING BLDG. FRONT q�' �j/� P. L. fel/ OWN MAIL s- !', P. L. ADDRESS .f TEL. 1 DWELL. I UNIT 5 INDUSTRIAL CITY NO. 2 DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. _ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC. ADDRESS 4 COMMERCIAL 8 MISCELZMZQV'i TEL. CONTRACTOR NO. INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE / — SIGNATURE OF APPLICANT APPROVALS _ADDRESS ..,.° ,/ '✓ .' - L DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION $ P. C, S FORMS, MATERIALS { FEE FRAME: FIRE STOPS. . BRACING, BOLTS""" Z C VALUATION }r-•7 w' YO/ � FEE �" FURNACE: LOCATION, GAS VENT, DUCTS i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 HOUSE NUMBER CDR - PERM ITTEET - " RECT AND POSTED ADDRESS -� FINAL - W16L J. FOX, CouNTY t NGINuxn VALIDATION BY _COV4871S MAR14 1 2.00 DEPUTY DEPUTY BY BY ® DEPUTY t4' A, DEPUTY APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS 9723 Garibaldi Ave. DEPARTMENT OF COUNTY ENGINEER CITY Temple City Z,P 91780 BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING 94 SIZE OF LOT � o,%'-5 LNOW ON LOT ADDRESS QZ TR TBLOCK �f L T Nn. LOCA LIT em e - y r1S lanTEL. NEAREST ¢—� OWNER NO. CROSS ST ✓-/� 9723 Garibaldi ASSESSOR ADDRESS MAP BOOK PAGE CEL City GROUP TYPE FIRE ROC PED BY CITY Temple City ZIP 91780 L� CONST ZE ARCHITECT OR TEL. /, U O C. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NO. G- L—D/WELL,UNITS BK PG CONTRACTORG•L.Kaplan Const•NOL-286-0855 USE ZONE NOP C/ ADDRESS 9170 E.Las Tunas DrNo•2723 �l S PETIAL LIC. CONDITIONS CITY Temple City CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG,SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF / NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES 'ONE _ Cl- DESCRIPTION OF WORK NEW ❑ + U El BLDG.SETBACK FROM Roof alteration ADD SIDE PROP. LINE OF (STREET) ® ALTER HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING H REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTHUSE a EXISOT NG BLDG. Church DEMOL [I + Z APPLICAN TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) Gary M. Bronson NO. 286-0855 BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES E] NO ❑ VALUATION$ 2,200.00 . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- ,��s 4 � 1A�•`" STR UC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED •/7 HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS 9170 E.f Xiiis Tunas Drive Temple Cit 286-085 FINAL BY P y TEL. DATE CITY NO. 11;1tiE CHECKS P;l}"ABIJ /O: FEE / FEE HARVEY T. BRANDT, COUNT ENGINEER �p 3S PLAN'CHECK VALIDATION CKM.O. CASH PERMIT VALIDATION CK. M.O. CASH 7 5 1 AFP 1 y 2 " �<; 1 y.� U 9 7 8rtCT 3 1 D _ .� 3.0 v •=E 76A638A CE#903 5/7*---- '' J I APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELS ADDRESS 917,U DEPARTMENT OF COUNTY ENGINEER CITY I P Bf�UELDINfG AND SAFETY DMSION NO.OF BLD , BUI LDINGSIZE OF LOT X NOW ON LOTS ADDRESS 1"7.2,7 4� �IA-fI-W CT BLO //'� CK 41 1 LOT NO. LOCALITYNEAREST OWNER L,/ TOL CROSS ST. �J ASSESSOR ADDRESS MAP BOOK PAGE PARCEL ,� /^�Q,,.� DISTRICT 1GROUPITYPE FIRE ESSED BY CITY `s L��� ZIP //Q✓ CONST, B ARCHITECT OR TEL 1- 109 �^ ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.�(..(LDWELL.UNITS BK PG CONTRACTOR TEL. USE ZONE MAP LIC. NO. ADDRESS NO, SPECIAL LIC, CON DITION3 CITY CONSTRUCTIONDER CLAS ROAD DEPARTMENT APPROVAL REQUIRED Y S❑ NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FjbNT PROP.LINE OF 1 (STREET) 8 ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK H AY } YARD — FFANTPROP. SNE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ DD ❑ BLDG,SETBACK FROM dcv!/P MDE PROP.LINE OF TREET) yyr LTER HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE 0 KXIEITING SIDE PROP. LINE HIGHWAY IDTH EPAI USE OF t = EXISTING BLDG, EMOL ❑ APPLICANT /�1 L CORNER CUTOFF YES ❑ NO ❑ (PRINT) /I� NO. IN OPEN SPACE YES NO E]BY (SIGNATURE IN COASTAL ZONE YES ❑ NO ❑ VALUATION s CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION I•NVIR6N MENTAL AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING SUILDIN7 CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - / LABOR CODE OF THE STAT[ OF CALIFORNIA IN RELATING TO WORKMEN'S COMP MlAT10 SURA NC[. DL SIGNATURE OF / PERMITTEE �;•— ,,� ADDRES5 /l TEL FINAL e��7//�� DY C I TY ^/�//'I NO. / DATE L', t MAKE CHECKS PAYABLE TO: F E s FEE i HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 779C`17JUN 2 1 6.00 7BA530A CE0803 7/73 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDINGCOUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY Ch ZIP BUaDING AND SAFETY DIVISION OF BLDGS. BUILDING I d SIZE OF LOT JI6 Y1 ON LOT ADDRESS TRACT Wr A BLOCK LOT NO. LOCALITY TEL. NEAREST OWNER 6r ; NO: 1 -O ROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL ^�'+ DISTRICT GROUP TYPE FIRE EO BY CITY I A 4 ZIP ,1 CONS ZONE t ARCHITECT OR TEL- ENGINEER ELENGINEER NO. _ STATISTICAL CLASSIFIC TION SEWER MAP ADDRESS CLASS NO -26DWELL.UNITS BK PCt CONTRACTOR :5;F USE USE ZONE MAP LIC. NO' ADDRESS O( �'✓'�� IN C Zl,'f3*. �I SPECIAL LIC. / CONDITIONS CITY C,�,�'J�/�' CLASS / ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH B G.SETBACK FROM F ONT PROP.LINE OF (STREET) R ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK HI AY + YARD - FRONT PROP. LINE HIGHWAY WIDTH pC SIZE STORIES FAMILIES ONE p + w DESCRIPTION OF WORK /+ NEW co DD [:] BLDG. CK FROM (STREET) Z SIDE PROP. — LTER ❑ HIGHWAY + YARD = TOTAL SETBAC OM TYPE OF EXISTING EPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF EMOL ❑ + EXISTING BLDG, APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) (f 1 N NO. IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) t � IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ 00,00 CATEGORICAL GX[MPTION YE9❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND ITATE THAT THE ADOV[ IS CORRECT AND AGR[[ TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PRXXQ66[D (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STAT[ OF CALIFORNIA IN RELATING TO WORK ME N'S COMPENIAT INSURANCE. SIGNATURE OF , PERMITTEE ADDRESS FINAL 1BY TEL. CITY NO. DATE 1IAK>` CHL(.-KS PAYABLE TO: FEE $ FEE LHARVE.YT. BRANDT, COUNTY ENGINEER r U L PLAN CHECK VALIDATION CK. N.O. CMH _ PERMIT VALIDATION<f� M.O. CASH 3 0 1 673 AUG 31 2 D 9.0 0 4 7 • 1 ,kr,, 3 0 8 173 SEP 5 1 D 1 5 ,004 76A696A CEMSO! 12/72 - `// Yr37> 76A638A DBS-3i2-54 APPLICATION FOR BUILDING PERMIT ]. DIVISION OF BUILDING AND SAFETY BUILDING G 4 7 Department of County Engineer ADDRESS ? f- / County of LOS Angeles LOCALITY WM. J. FOX, COUNTY ENGINEER NEAREST A CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP SEWER MAP �� � TYPEice^ BK BUILDING 1 CONST:-`� X Py MAP ADDRESS�,.� ��i- �! NUMBER 2-Oy3 HWY YES } LOT NO. V O �T ��� BLOCK USE ZONE SPECIAL STATE i_' CONDITIONS TRACT ' a NO. OF BLDGS. ? SIZE OF LOT pCT�^ ✓y NOW ON LOT �/ BUILDING YARD HWY STREET NAME EXIST. USEOF n SETBACK WIDTH EXISTING BLDG. (J/C a Li L .'�� _ FRONT ,p �L. P. L. I il��'7G.G7� 60 OWNER-.1-/10-4 (,_t 4�,La SIDE MAILP. L. ADDRESS �-• - TEL. 1 DWELL. 1 UNIT 5 INDUSTRIAL CITY NO. 2 DUPLEX UNIT- 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC ADDRESS q COMMERCIAL 8 MISCEL._�! CONTRACTORNO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH O. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT APPROVALS ADDRESS ;,�' b' DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION $ U' FFEE ' $ FORMS, MATERIALS FRAME: FIRE STOPS. BRACING, BOLTS VALUATION FURNACE: LOCATION. GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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. may/ /c LATH. EXT. SIGNATURE OF �a( " / �r? � HOUSE NUMBER COR- PERMITTEE � Q 1.= 000 / f" RECT AND POSTED ADDRESS ` 11.0*e FINAL. M& J. FOX, Coumrr ENa masx VALIDATION i BYr1,0 I 4 8 9 MAR 1 1 1 .� 0 DEPUTY DEPUTY BY BY C DEPUTY \ DEPUTY U9-3 1.41 23M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND ,°rAFETY �������� COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE SQ .mow.. S %.77 FIRE APPROVED r -rQ ZONE BY LCjs T�j� i _ RECEIVED BY DATE OF APPL. DATE ISSUED USE r APPROVED -1 7,,.�� _ ZONE l^ 3 BY DATE f � APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY//BUILD It ir NAME _A..RE NI 25Z Q 3 j'C/�7 17.5 F W W Z ADDRESS LOCALITY 1- 6 NEAREST j U Z CITY CROSS ST. STATE TEL. 'r - �1 LICENSE NO. NO. K NAME ) 1 W Z MAIL 0 NAME O 3 ADDRESS O e-- U ADDRESS CITY � TEL. NO. C F Z CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 0 - - U STATE TEL. APPLICATION AND STATE THAT THE ABOVE IS CORRECT LICENSE NO. NO. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. UYGS SIZE OF LOT SIGNATURE OF O OWNER J H NO. OF BLDGS. - �J(, d BLOCK NOW ON LOT _ AUTHORIZED AGT. C- (,�J L t 1t r.- J TRACT GSG t CORRECTIONS W D USE OF BLDGS. �------ -•-�---- NOW ON LOT P DESCRIPTION OF WORK USE OF BUILDING _ r A&VC c /r7 _ vy "-"'• 44 a NEW TYPE ,..J� GROUP NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES MOVING r WALL COVERIN DEMOLISH ROOF COVERING P.C. FINAL APPROVAL �Q FEE INSPECTOR'S VALUATION FEE DATE NAME 76AS38A CE#803.8.5, APPLICATION FOR BUILDING PERMIT CJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 C BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRIC,`T,NO. GROUP ITYPE I SEWER MAP FOR APPLICANT TO FILL INSK PG CONST. BUILDING ' •�! ADDRESS •+� � /�' ��f � STATISTICAL CLASSIFICATION I �tv 5 c) CLASS.NO..' - DWELL. UNITS LOT NO. /,/- BLOCK MAP -.. STATE TRACT /r YES NO NUMBER HWY. USEZ NE SPECIAL NO.OF BLDGS. _� CONDITIONS SIZE OF LOT NQW ON LOT USEOF EXISTING BLIDG. lz� , �'r�''�� ` � BUILDING EXIST. < ' '• SETBACK YARD HWY STREET NAME WIDTH OWi. %.NER MAILpf fy7/'/f" �� s f"•j.dJ}; , yj FRONT ADDRESS �''"•� �'f'i.�//j�/�G LJ� k SIDE CITY 1""J Xy'1�.. /// 1,• NEIL P.L. ARCHITECT OR TEL, INSPECTION RECORD ENGINEER NO. ADDRESS CONTRACTOR/ jiF/F . Ji / k!O. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE pp STORIES FAMILIES STR.11yj1REt .J4r /"cif;✓ Y--}/rte d SIGNATURE OF �� � } ��y.l. "L..i APPROVALS APPLICANT ' r� :, ,? '". . DATE INSPECTOR'S SIGNATURE ,d{DDRESS FOUNDATION: LOCATION FORMS,MATERIALS P.C. S FRAME: FIRE STOPS. FEE BRACING,BOLTS VALUATION S FURNACE: LOCATION, FEE GAS VENT.DUCTS 1 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 iRE T{N BUILDING CONSTRUCTION. LATH.EXT. SIGNATURE OF "h,..► "" HOUSE NUMBEF2 COR- PERMITTEV ke RECT AND POSTED ADDRESS `� y��vJr~�IatA�`l/�l FINAL - JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL ST - C URAL ENGINEER PLAN CIJECS VALIDATION CK. M.O. CASH PERMIT VALIDATION Lrwe M.o. CAsH :s �► h i 1 3, OF 76A638A'gE#803-6-57 APPLICATION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES BUILDING'';- DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY-- JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRIF.y-NO. GROUP I TYPE I SEWER MAP BUILDING ,! +'s- 1� CONST. BK PG ` � ADDRESS ''' " "' ` -'+�/ 1�T STATISTICAL CLASSIFICATION ' CLASS.NO." ' —`DWELL.UNITS LOT NO. - •-✓ BLOCK MAP STATE NUMBERHWY. YES NO TRACT / /� : USE ZONE SPECIAL SIZE OF LOT /'"�X � NO.OF BLDGS. /. ,iCONDITiONS j- ,.NOW ON LOT USEOF EXISTING BLDG. '� B. I�NG EXIST. �! SETBACK YARD HWY STREET NAME WIDTH OWNE i '11121t-�!�/���'si' Ftli � /`Y�/�oFRONT MAILADDRESS/ •�-9n'�f � «� SIDE T E L. / yI P.L. CITY'�ii:�rdr �r ,�` NO `/4. ARCHITECTOR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS CONTRACTOO?� •I ; "'`"�'+ ` ? NO 1`,.' s ADDRESS/`! DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE T R STORIES FAMILIES FS_RUU:! WR SIGNATURE O �'a"L� APPROVALS APPLICANT /,�/� Qi y��✓��y41.161M FOUNDATION: LOCATION DATE INSPECTOR'S SIGNATURE ADDRES 6�+' � 1 G . FORMS,MATERIALS $ �/ �.,y;;, P.C. $ FRAME: FIRE STOPS, ==e— FEE FEE BRACING,BOLTS VALUATION $ �' FURNACE: LOCATION, FEE "" GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION-AND STATE THAT THE ABOVE IS CORRECT AND AGREE 7f�f COMPLY V1(��ITH ALL COUNTY ORDINANCES AND STATE LAWS REC3k .NT $UILDING CONSTRUCTION. LATH,EXT. SIGNATURE OFs/`yJ "`f' -' a... HOUSE NUMBER COR. PERMITTE ✓ J RECT AND POSTED ADDRESSi'f FINAL JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPALSTR TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C V M.O. CASH OF 76A638A CE#803-6-57 APPLICATION FOR BUILDING PERMIT 5 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. CgO SEWER MAP �-- TYPE BK PG FOR APPLICANT TO FILL IN �- CONST. BUILDING .{ l ,77 ADDRESS �C+�/ / 1_���' STATISTICAL CLASSIFICATION � I -,�+,i CLASS.NO �-. DWELL.UNITS �•�- � LOT NO. Cfj.q� BLOCK/1"" _ MAP - +STATE YES NO s ✓•/^ NUMBER i'�' '�- HWY. TRACT ! =' USE ZONE SPECIAL :;Y,i ' NO.OF BLDGS. "f ! CONDITIONS SIZE OF LOT�-.'.' �.p r' NOW ON LOT USE OF EXISTING BLDG `' v!'s'+ BUILDING EXIST. YARD HWY STREET NAME SETBACK WIDTH OWNER FRONT MAIL P.L. ' ADDRESS .. P.L. CITY--,. TEL. i f.` % NO ` + INSPECTION RECORD ARCHITECT OR J�^ TEL�,� / •.!( '} ENGINEER !�f L.f,/,/(,r ! NO_ ADDRESS. �' '• .' TEL , CONTRACTOR y' z .�".' yam•..: ,t - - ,''I ;'' ..'Y- ,.:/. ,� ADDRESS DESCRIPTION OF WORK N ADD ALTER.., REPAIR DEMOLISH SO.FT. NO.OF NO.OF SIZE STORIES FAMILIES US„F OF STRUCTURE r nper SIGNATUREOF - f +�"'r" ;j,,,,.�•,y APPROVALS APPLICANT' ' ADDRESS s��. ; 'j- 'y FOUNDATION: LOCATION DATE INSPECTOR'S SIGNATURE FORMS•MATERIALS P.C. $ FRAME: FIRE STOPS. FEE ' 6' BRACING,BOLTS VALUATION1� FURNACE: LOCATION. _GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AO- 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. SIGNATUREOF;x �r�-,�,...; HOUSE NUMBER COR- PERMITTEJ - RECT AND POSTED ADDRESS -x_:: - f�;`•��^ FINAL JOHN A.LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION s`C M.O. CASH PERMIT VALIDATION; M.O. CASH w.. 78A838A CE#803.8_57 APPLICATION FOR BUILDING PERMIT CJ COUNTY OF LOS ANGELES BUILDING''i' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FDDRE R APPLICANT TO FILL IN DISTRICT N�. GROUP I TYPE I SEWER MAP BK PG BUILDING 49/� S j �; CONST. / {- '.� �/ �j N STATISTICAL CLASSIFICATION I 111i f reri"'•• CLASS. NO. DWELL.UNITS+��i BLOCK MAPSTATE YES NO �✓ NUMBER HWY.? USE ZONE SPECIALL�� NOW ON LOTS ` iCONDITIONS G. BUILDING YARD HWY STREET NAME EXIST. /f�r !!� �� Fl jam{ /J�iIJSETBACK WIDTH MAIL1 J ,.1 FRONT ADDRESS/rf7` �' J / SIDE CITY NE ARCHITECT OR TEL, INSPECTION RECORD ENGINEER NO. ADDRESS / r CONTRACTOR/�`�14/e"":J I4/' "iNO. ADDRES 7 I DESCRIPTION OF WORK I NEW ADD ALTER REPAIR DEMOLISH SQ.FT. = NO.OF NO.OF SIZE STORIES FAMILIES USE F$T}ZUGTUR f� fi{/l f^•!�i �.✓C! . I 1Y'LL__ L SIGNATURE OF APPROVALS APPLICANJT ADDRESS) 2A DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FORMS,MATERIALS f _ P.C. $ FRAME: FIRE STOPS. I - FEE BRACING.BOLTS f VALUATION $ !:. FURNACE: LOCATION. FEE GAS VENT.DUCTS i 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWI ALI-COUNTY ORDINANCES AND STATE LAWS RE I U DING CONSTRUCTION. LATH.EXT. SIGNATURE OF "" "`„�,,• HOUSE NUMBER CCR- PERMITTEE RECT AND POSTED -7 4 -" {jar , ADDRESS / / FINAL JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. }RCASH ` PERMIT VALIDATIONK� M.O. CASH ®F 76A638A CF#8036-68 APPLICATION FOR BUILDING PERMIT rJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO.� GROUP I TYPE ." I PROCESSED BY FOR APPLICANT TO FILL IN coNsr. BUILDING / SEWER MAP ADDRESS t'j��' ,�f'�".�, "rtr jll STATISTICAL CLASSIFICATION I BK PG LOT NO. BLOCK/y CLASS. NO. +° DWELL. UNITS MAP STATE YES NO TRACT / !��'/'� NUMBER HWY. USE ZONE SPECIAL .G.Xy`/ ,i' I NO.OF BLDGS. CONDITIONS , SIZE OF LOT .. NOW ON LOT ' USE OF EXISTING BLDG.^` /� j �'fW: .`ii. ,/'.'P`e !;'-,✓•i.. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER ,.:%j%!"'�%j�" �F�Y�' i''� ;f�- /t'1t✓ /.�, ':/,Z.rJ FRONT MAIL - _ P.L. ADDRESS /yj ,�,,.� �G�'t¢'( ,j/ SIDE clrY - �/t� �%T% TEL'SST / P. L. I ARCHITECT OR TEL. NSPECTION RECORD ENGINEER NO. ADDRESS p TEL. CONTRACTOR :._./l�,/1f`-;%°w NO.:.!-;� '.'/ k/ ADDRESS % �.� `�`.r�,�'c'/f;.. f•'I ,%G,_ DESCRIPTION OF WORK NEW ADD C-ALTER/ REPAIR DEMOLISH SO.FT. ,-� NO.OF _ NO.OF _SIZE !'. �" STORIES FAMILIES USE OF STRUCTURE,/- SIGNATURE TRUCTURE SIGNATURE OF APPROVALS APPLICANT�..: ,-Fri .a:t'`•'� '`re-.:.4`.;:.".,,... tt DATE INSPECTOR'S SIGNATURE ADDRESS)_ 1//-% !ll&:��i' `^�J�'�` c''✓ - FOUNDATION: LOCATION - i FORMS,MATERIALS P.C. $ FRAME: FIRE STOPS, f FEE '�" ""`r _BRACING, BOLTS VALUATION $ fy. r' ," FURNACE: LOCATION, FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ HIS 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 OHOUSE NUMBER COR- PERMITTE F - '•� RECT AND POSTED ADDRESS—Z 'f} f1 --f' "' FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION I CK. M.O. CASH PERMIT VALIDATION; CK. M.O. CASH 4.5 jj 9 4 6 ®F 7GA638A DBS-3 3.55 .. APPLICATION FOR BUILDING PERMIT GJ DIVISION OF BUILDING .AND SAFETY BUILDING y ADDRESS Department of County Engineer — � m County of Los Angeles LOCALITY RI WM.J. FOX. COUNTY ENGINEER NEAREST :0 CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NCO. GROUP TYPE SEWER MAPPG Z O FOR APPLICANT TO FILL IN �- I CONST. y BUILDING -� � MAP STATE ADDRESS "f-G�.._ 'r t- i...{_..s` NUMBER r HWY a6 NO LOT NO. �^ - BLOCK USE ZONE SPECIAL CONDITIONSfi' y to } n TRACT 4 _ m NO. OF BLDC-S. r SIZE OF LOT I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USE OF FRONT EXISTING BLDG. P L y z OWNER y ,. SIDE 0 MAIL ADDRESS O TRACT DWELL. 1 UNIT S INDUSTRIAL TEL. I DWELL. 1 UNIT " CIT1 �� ®� NO. 6 PUBLIC BLDG. ARCHITECT OR_, TEL. 2 DUPLEX I UNI ` ADDN.. ALT.. ETC. ENGINEER ,,��_ _ NO, 3 APT. UNITS 8 MISCEL. ADDRESS r` """' COMMERCIAL TEL. INSPECTION RECORD CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW _ADD��•' ALTER REPAIR DEMOLISH SQ. FT. ,;yr,,ay,c,p N . OF NO. OF SIZE :,.. STORIES i FAMILIES USE OF'§TRUCTURE SIGNATURE OF APPLICANT ,ate-t �_�`ISr f �" 4 i• APPROVALS DATE INSPECTOR'S SIGNATURE $ FOUNDATION: LOCATION P. C. $ FORMS,MATERIALS FEE - FRAME: FIRE STOPS, VALUATION BRACING, BOLTS �^"� $ y FEE :.+-T_ FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE REAb 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. y LATH, EXT. SIGNATURE OF ,% n ,--� "'i""""` HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS__ FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR 7GA638A CE#803_8_57 APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY` ' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ; CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICJ_,110. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN BK PG BUILDING��j/' /(,, •}- CONST. ADDRESS ! / '>' �� " �r /�� STATISTICAL CLASSIFICATION LOT NO. BLOCK/ CLASS.NO:`'' ^'r DWELL.UNITS � � MAP STATE YES NO TRACT NUMBER �.,-' HWY. USE 7yONE SPECIAL NO.OF BLDGS. .. / CONDITIONS SIZE OF LOT y NOW ON LOT USE OF EXISTING BLDG. 'BUILDING YARD HWY STREET NAME EXIST. J�s SETBACK WIDTH ,L11l'r7P OWNER �;1JA f!Ft✓ '��/• FRONT MA IL ADDRESS/,. ''k�f r� �'�/ P.L: SIDE CITY ` `'��� TEL ARCHITECT OR TEL, INSPECTION RECORD ENGINEER NO. ADDRESS CONTRACTO /t;1,-,A,),4,'r- %i/1 Sf r TEFL+ �Z ADDRES� � •f,JlQU/ ✓" �`..Jf L���f DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE R� STORIES FAMILIES _fVFZ,sem /!'�c,N,.��,��;:a�'� / /=`�'f✓- �f��'> _,fit f�'�C.•y SIGNATURE O _ APPROVALS APPROVALS APPLICAN7Tr / . I v '` �`r �"' DATE INSPECTOR'S SIGNATURE ADDRES FOUNDATION: LOCATION FORMS,MATERIALS FRAME: FIRE STOPS. FEE BRACING,BOLTS VALUATION $ ,�� FURNACE: LOCATION. FEE GAS VENT,DUCTS 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 STATE LAWS REGI _ !' F DING CONSTRUCTION. LATH.EXT. SIGNATURE OF !° �;ti...<.�';:N, HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS/j :%%Y'�' FINAL JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL ST CTURAL ENGINEER PLAN CHEck VALIDATION CK. M.O. CASH PERMIT VALIDATION �I_ M.O. CASH R - OF n 3 7GA638A CE#8031"7 APPLICATION FOR BUILDING PERMIT - - 5 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY' 3: JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. Q DISTRICT,NO. FGROUF SEWER MAP Y FOR APPLICANT TO FILL IN ITYPE coNsr._ - I BK PG BUILDING I ADDRESS f t '' � STATISTICAL CLASSIFICATION CLASS.NO DWELL.UNITS M Y LOT NO. f BLOCK MAP STATE n NUMBER • , HWY. YES- NO '1 TRACT v USE ZONE `SPECIAL A �!/ CONDITIONS O SIZE OF LOT ,G-1 ae lp . S z NOW ON LOT / USE OF L EXISTING BLDG. C /. V.!�. �.�'f, ° - BUILDING YARD HWY STREET NAME EXIST. g SETBACK WIDTH 4 OWNER ��fy .s~ L�3T�' FRONT MAILP.L. ADDRESS +� I i SIDE CITY TE ,�)'� P.L., ,. �. ARCHITECTOR ; TEL %- - INSPECTION RECORD ENGINEER ,� i� NO ! � T ADDRESS ' !� G r7 3 TEL. CONTRACTO �l` Jej` r n s r NO�1 ani AA � ADDRESS ! .•tI" f �:': r� Z /T"" C' DESCRIPTION OF WORM ' NEW ADD) ALTER REPAIR DEMOLIS14 SO.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE i SIGNATUREOF'y" h'' ��� r APPROVALS APPLICANT � ��'""�•�""` >' DATE INSPECTOR'S SIGNATURE ADDRESS, y c` -r '! - ' '1 "4'''�9¢ FOUNDATION: LOCATION FORMS,MATERIALS C. $ `.r FRAME: FIRE STOPS. ;;rt 'C�U• FEEBRACING.BOLTS VALUATION $ �..,� .ter FURNACE: LOCATION, FEE '� \ GAS VENT.DUCTS I 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 STATE LAWS REG TING BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF ry* HOUSE NUMBER COR- PERMITTEE •��`` '' "` RECT AND POSTED ADDRESS %y'!"' ""'!" �' � , +�✓ +FINAL CLYDE N.DIRLAM, PRINCIPAL STRUO�URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION i CK.% M.O. CASH OF I 890406', COMPa`4SATION DEC ARAnON, heeby affirm that I certificate of self t toInsure, or a certfcate of Workers' Compenailon lnsuYnca, APPLICATION FOR- BUILDING PERMIT _ or a certtfied copy thereof (Sec 3800, Lab. C.) - COUNTY OF-LOS AN-GELE3 BLAMING AND SAFETY. Policy NoWN--146 Compan eayer Insurance. ❑ CJ rtlfled,copy.ls hereby fvrnls*. ' FOR AP TO FILL l,Nn, am's -(A ,ppm �{ 1 .Certtfled copy is filed with'the county bulldIng Inspec- ( J .: }g Gar biHldl tlon department. Date 7[1/90 ,A,ppilcantVirgin Roof Co: Tele Cit nP LocALITY 1, =111!: `�• QF _ NEAREST - CER11FICr4TE Of-EJCEAAl bN-FROM WOR1072.5' S¢t Of LOT tJOW CXJ LOT ' CRCW,ST. COMPENSATION INSURAWTC _ �i,section need not be com'leted If the Rerthlt is for one. TRACT ALOCIC LOT NO..' MAP DOCK pAGE PARCEL Ci, dollars'($100)-or.less owr� le ".0 't -Christian . urch usn' I certify.that in the-porformante.of the work for which this ' permit Is Issued, I shall.ndY4mplay oily person In aoy rriar?rrer AbDRF55' as above Atn:....'14alt Drown � so os to become sublect to'the Work Comperuatlon Laws _ . 0 . CrTY Z1P ` DateApplicant y ARCH I-CECTOR RL DI P TYPE, FIRE' �Y Q NOT}CE TO APPUCANT: If, after making-this Certtficdto of ENGINEER- NO. - � Exemption, you should become. sub{x1 to the Workels' Compensation proylslons of the Labor Code, you moat forth- _ ADDS ' ' D� r✓ wltb comply.with.&. ;1..p1-ovlsi6ns or this_permlt.shbll be Ta deemed rovokod. .. . CONTRACTOR Vir in Roof -Co. �. 2$7-0507 $TATI5TIG41 AFT. - oot�o. LICENSH3,OO1IT12ACf6RS DEaARP,non. UG CLASS NO. UNrTs I hereby affrm that I arra licensed under provistors of Chapter 9 ADDRESS PO B J NO• 1606,50 SEMR (commencing with Sectlon 7000)of Dlvlslorl 3 of the Busine" _ and Profeslorm.Code,and my License is In full force and effect. CI NO OF No OF CFIECK 2 PG. VAmAT}ON c. s. Number 16©6�b >i� Clas . Cr 39_ saw 2700 srtiRlEs 1 " .FAMILIESo►� VAWATION - Virgin Roof' Co. `.6/30191. ipTk)N OF worn Tear off 2 c r Gonirastor Date ❑ _ -3915.00 - ' ADD D ► I am exempt under Sec - - _ - .ALTER ❑ B.&P.C. for thIs regson, finer lass s'h � les. 27 s s. �A1R Q _ .. Date: USE OF,':. _ EXISTING DEY0 ❑ SlgnwuTq BUIL 2 gEC14RPn01J PAPPL�- Virgin Rob -Co r o.' 2870547— -Fl DA I hereby affirm that I,am exbmpt from the Contractors Ucense = r t Law for the'followlnd,Frrason kSection 7031.5, Buslneas artd ADDS a ri CA 1 f4NAL 1 Professions Code): $1r - ACCT BUILDING __ I'CC .T ❑ J, as owner of iB ,property, or my.employees with 7 as their sole corn notion,will do the work and l -- - 5$■ wages pe — 307 , LOCALITY ' the structure It riot Intended or offered for sale(Section. ITEMS 7044, Busireas and Professions Code ) MovING _ 1 ❑ 1,as owner of-the property,'am exclusively cbntroci ng CONTRACTOR NO. _ r��� � ��� �� with licensed contrgctbrs to construct the project(Sec- _ ADDRESS - - tion 7044, "mess and*.ofeeelops Code.). ��t _ �.6 YARD HWY FRAM . O0 CONSTRUCnON LENDING ADEN(1' ;'.' .LR I hereby affirm that there Is a tomd, ction lending agency for FRONT the performance of the work fpr which this perrhlt Is Issued P.L (Sec. 3097, Clv. G.}. SIPS - -R:L oaoaool 11114rs� Ler4ers-Name R 4 ,C P.G F.. Permit 58.'13 LDWA Ref. ! b7�3 1 PM12:.�7, . Lenders Address , ADDRESS- 1 certify that I have recd this 6ppllcation and state that the -+ LDOAA P/C! above Infbrmation is correct, I agree to comply with all County Irryestlpafton Fee ordlnanoes and Slate 1-6Ws elating to building construction„ Total Fee FIR All Lbtm Prm ! < and authorize repr ves of this County to enter - tYR u e�bove-rnentloned oil purpotes. 11110/89 M 0111WI se role KXPLANATorn LwNCMIAC t _ q of t Ape Dat. 77� , C_ WORKERS'COMPENSATION DECLARATION _ hereby affirm that I have a certlflcate of consent to self. APPLICATION FOR- -BUILDING P E RM I T nsure, or a certificate of Workers'Compenstlon Insurance, or certified copy thereof Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY IWollcyNo. IT-9 Company. Certlfled co Is here furnished. BUILDING copy �' FOR APPLICANT TO FILL IN Certified copy Is.flled with the county building Inspec- BUILDING ��-� •� tlon department. ADDRESS ✓ LOCALITY T NEAREST ted Z g—APPllcant CRY ! 7J CRO55 ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCH Is section need not be completed If the permit Is for one USE Z undred dollars ($100)or lejs.) TRACT BLOCK LOT NO. NO. O TEL SPECIAL CLCL certify that In the performance of. the work for which this O�h!tERIf CONDRFONS CI ermit Is Issued, I shall not employ any person In any manner DISTRICT GROUP TYPE FIRE PRC SSED BY V as to become aONE rx ublQct to the Worker'Compensation Laws. _ Sod -�DDRESS CONST. 3 O i Date Applicant CLTY ZIP S}ATIST+CAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ��R t,OR O. �NO�� DWELL UNITS IL Exemptlon,..ydu should becpme ;ublect to the Workers' N Compehsatlon provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such. provisions or this permit shall be deemed revoked. CONTRACTOR pR I{ (rte r Z18 BK' L PG=f� VALIDATION LICENSED CONTRACTORS DECLARATION ` I��}}preby.afftrm that I am licensed under provlslom of Chapter9 ADDRESS "/06 I NO.)s b0 VALUATION (fommen ng with Sectlon 7000)of DlvWon 3 of-the Buslnen and UC O P� �ofeulo_m Code, and my license Is In full force and effect. CRY CLA f p p SQ. FT. NO.OF NO.OF CHECk LlcenseNumber ^z �d Z Llc.Class STORIES FAMILIES ONE Z $ ❑ _ , Contractor , Date 7� DESCRIPTION OF WORK NEW ❑ Ion exempt from the license requirements as I am a App' licensed architect or a registered professional engineer _ - ALT13t ❑ FINAL acting In my professional capacity (Section 7051, AIR DATE —� _Business.and Professions Code). USE OF /� vf� FINAL EXISTING BLDG. vMJ� ❑ By Llc.or Req. No. Date APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT he'L I"11 14,C s; NO. 5_-2-'1 J. 1 hereby affirm that I am exempt from the Contr'actor's LIcerue - �[ Law for the following reason (Section 7031.5, Busineu,and ADDRESS ofessions Code): BUILDING I,,m owner of the property, or my employees with ADDRESS wages as thelr sole compensation,will do the work and thq structure Is not Intended or offered for sale(Section LOCALITY 7044, Business and professions Code). MOVING TEL I, as owner of the property,,am excluslvely contractlnq ONTRACTOR'k NO. -2.28.4,0 A with Ilcormocl,contractors to construct the project (Sec- tlon 7044, Business and Profpssiom Code). #ro o • • o CONSTRUCTION LENDING AGENCY REQUIREDYARD I.WY TOTAL FROM WIDTH 2 0 •,9,7. 0 0 hereby affirm that there Is a construction lending agency for he performance of the work for which this permit Is Issued o 0 0 ], 0 0�, Sec. 3097, Civ. C.). 020282 enders Name (� ender's Address Poem it Fye / J certify that I have read this application and state that the lasuanc•Fee &P/S bove Information Is correct I agree to comply with all County _ In -qatlon Fee rdlnances and State laws relating to building construction, Total F•• '� Q nd hereby authorize representatives of this County to enter pon the above-m ntloned rope for I,rispAgn purposes.. ^YJ� SH REVERSE FOR FXPLANATORY-LANGUA(3E Slgnatur•of Applicant t Date ms r WORKERSCOMPENSATI&4 DECLARATION Insure, or acertlfroby affirm that te off VJorakertlCompensatloficate nInsurance, A P�.I CAT I O N FOR B U I L D I N PERMIT or d'certtfled'copy thereof (Sec:3800, Lab. C) - . . . . I ' . . I COUNTY OF LOS ANGELES BUILDING AND SAFETY PgIlr:y No. Company _ - Certtfied_copy Is hereby,furnished. FOR APPLICANT TO FILL IN BUILDING ADTMESS t�'-1 Certified c6r�y.ls filed with the county b`ullding.Inispec- BUILDING L1. ` tion'd,epa tim e n t. ADDRESS14 42C. Date' t Appllcant, CTTY - ` ZIP a LOCALITY t ' tERTIRCATE OF EXEMPTION NROM WORKER$' OF� - 1'. COMPENSAThN INSURANCE,- SIZE OF LOT NOW ON LOT ST. - (rhli sec}lon heed•not be cornleted If the permivis•for•one A5 y hUndred.dollars(;100)or less. SACT BLOCK LOTNO. MAP gOOiC PkGE PARCH USE ZONE MAP ��t6fythat,lrr the peifgrmanc8 of thew9rk for'which this. NO.tlzTssued, I shallnot employ dry peri6n In'ahy md1nner SPEA1-becomb'sJblpct to'•the W6A"''Corripensatton Laws. ADDRESS' �� CONDMONS - ) Dare ACITY , RCH oR ZIP NOTICF'TCS`APPLICANT"Jf, aftbr'makln'� thli'Cerllflcafe of TEL [AvRiCT GRQV.- TYPE _..._..- . .F� _ - _BY - Exemption, .y6u,'should, becoltid' subject to the,Worker' - _ ° � 4 rNO. ZONE Compensatfon*ovislons of.the Labor.Code,.you must f¢rth- ADDRESSJ.b� — DRESS .t. 06cwith comply with, such-provlslo" or,,thls-.,PeTEL STATISTIC-AL AFT rmlt.shall be - -- - -- - - dqemgd reyoked., : ., ' r CONTRACTOR sC NO. �T10N LICENSED CONTRACTORS DECLARATIONLrC CLa55 NO. DWI[LI UNITS - I hereby af{irrn I am llcerisedd uder provisions of Chapter 9 - NO SEWER (4ornmendng wtrft Section ).of Dlvblon 3 of the Businew and MAP i Ptofesslor6 Code, 6rtd Mj[ rise 7s In full forco and effe60. CITY CLASS BK Y — - - VALIIATIOW _ } SQ.FT. NO.OF NQ.'OF CHECK Lrcense Number n °LfC.Class Sam STbRfES' - FAMlUES ONE VAL I DESCRIPItON OF WORK �yy UI+T� _ ._0 G Contractor .. Date ' ADD ; mQ.rte c, t��t - - - I1 I am exempt under Sec - ' -- r ALTER J B.BP.0 for ihb __ reason - _ RiPA1R. -- - T- - USE OF Date: EXISTING DEh1bi Slandtiire _ PRI NO FQiAI _ iJ/J_Q�' Jr �PPuoaNr G(J (f 1 9 A OWNER-BUILDER DECLARATION _ _.. DA - I.hereby.afflrm that lam exempt from the.Coninactoes Licensea. # o s o 0 0..j Law for the'follrn4lrig reason (Sbcilon 7031.5, Business and ADDRESS ffisidhs Cad.): -.. _ . .. PRESENT J 0_0.31:M, BUILDING I as owner of the or m employees with ADDRESS Pr°P°rt)', -y P yeas wages as ffielr idle compensation,will do the work and LOULtfY the structure Is not Interdq or offered for sale(Section 70"; Bwlnewand Ptofesslons Code] - MOVING TEL. __ _ ' 0-6w2'6-i 8.5- 1,as owner of the property, am exclusively contracting CQNTRACTOR NO. with licensed contractors to construct the prolectISec- ADDRESS - - - - - tlon 704", Business and Professions Code). . TOTAL SETBACK F "CONSTRUCTION LENDING-AGENCY SET a YARD HWY PROP. LINE WIDTH I hereby affirm that there Is a construction lending agency for FRONT the-performance of The-work for whlclrthis permit-Is-Issued P.L. (Sec. 3097,.Ov. G). SIDE P.L. .. Lender's.Name SO LDMA Ref.i ` Lenders Address P.0 Frye i - Psrmtt FM I certify that_[ have read this application and state that the bsuarws Fie - LDMA P/C! M1' above Information Is correct. I ogree to comply wFth all County Inves4ga on Fee V ordinances and sk" laws relating to building,construction, Total Fee LDN{A Perm.! a7tabove- authorize representatives of this County to enter utloned prope..rty for Inspection L c so IIIIEV"M FM DCrLANATOWY LANGUAGE r. -- SLprwture of AppKmnt;or Agent - - .Date- - •-- - - -- ." - _- - - -- - .. _ - - WORKERS'C:OAAPENSATION DECLARATION ` Q� ' ' ' hereby affirm- a '� ' '° r `°'" °f �n~en'.rsell APPLICATION FOR BUILDING PERAAIT fl Insu , certificate of Worker Compensation Insurance, �� or a certified copy thereof(Sec 3800, Lab. C-) Policy No.W84� 7h�mpany Fremont Tadeaaity COUNTY OF LOS ANGELES BUILDING AND SAFETY Cl Certrfled copy Is hereby fumlahed. FOR APPLICANT TO FILL IN suI DNG R&537-13 E Ceriffied copy Is filed with the county.bulldino.inapet. . . BUILDING tion department. ADDRESS 9723 Garibaldi LOCALITY NEAREST Date A/16183' Applicant V 3rBin Rnof'[3n_ cm lamplp rity ZIP moss ST. CERTIR�AW-OF DMYPTION FROM WC�RIO RS' NO.OF BLDGC ASSESSOR COMPATION INSURANCE.: . S�OF LOT NOW ON MAP BOOK PAGe Ef�ISPARCEL (ThIs section need not be}cornTRAC1 feted ff.the p*rmit is for one. LOT USE ZCM a d' O'O huned.d4nari ($100)or lea.g . I certify that in th+ performance-of,tho'work for which this C� ole City Christian &ureh -CONDMONS d permit Is Issued,I shall not employ any h In any.manner. PQ1'O ADDRESS 9723 Garibaldi DISTRICT .GROVP �T. F1RE PROS By so.as to become subject to the Workers CompensatIon Laws. Date Applicant 4' ARCHITECT QR Crry 1 ZIP TESTATtM CAL C1ASSIFIG4TlON NOTICE .To APPLICANT:.ff;.after making this Ceelficate'of ARCH iVO.. CLASS NO DWE1L UNITS 4i Exemption, -you should become-.sbblect. 'iothe Worker►: - d Compensation provisions of the Labor Code,you.must forth- _ ADDRESS SEWER MAP H with comply .with such provisions or this-permit shall be 1Ti G Z debmgd revoked. _ r ooNrRAc roWir f BK: L-L PG, 0 VALDATK M LICENSED CW1{ RF,CTof2S DECL,0XTJCN LIG I hereby affirm that I am licensed under provisions of Chuptdr.4 ADDRESS 'P.O. BOX J No. 16065'0 VALUATION ((comrnencdng with Section 7000)of DMs1o6 3 of the Bushes and Profs .,Id Code, and my license Is In full force and effect. CITY San Gabriel :9177$ . � C39 s 16 493.00. 160654 sc, FT. . . _ - No.of No.of o-Eac 1]cense Number LJc Cksss C39 SIZE STMES LIES CNE Contractor, Virgin .Roof $` 16/83 DES�lvrloN OF wokK Re-roof 31 aga .vi s. �trte• ❑ I am exempt under Sec #p 151and rock and .102 ADD El s- ALTER E] ATS_ BAP.C. for this r6mu>n 04 with 3 #. Fibe as ls COMP, REPAIR ❑ Dat*: use Or`: DEMOL {] FINAL �4 5-16:'6.A' oGSTe4a BLDG. BY Signature APPLICANT ': TE1 OWNER-BUILDER DECLARATToN ; No. Q o u n c e I her4by affirm that I am exempt frorri'.tfis Contractors L"rise 2 u 1 9 Q 5 0 Law for the following reason (Section 7031.5, Buuineo and' , Prbfesslons CodePRM sunDw� .o o � 9'Q 5.0� . f I; as owner of the properly; or my employees wlttf�� ADDRESS wages as their solm'campensc I.'will da the wprkartid O'S 1 T—'8� the structure.ls not Intended or offered Tor sale(Section 7044, Business and Professionscodex' MOVING TEL I, as owner of the property;am exclL*ver'y controctIng QQNTPwCTOR NO. with licensed contractors to construct the project:(Sec- ADDRESS. tion 7044, Business and Profeeslonsrodo}' I RED TOTAL SETBACK FRM 0DINS RUCTION LENDING AGENCY SEAT BACK YARD HW� PROP. UNt w il:i I hereby affirm that diene Is a construciiory lending vgenc-y for FRONT �. the performance of:tha work for which this permit Is.Issued (Sec. 3097,CIV.C._).' SIDE 'P.L . Lenders Narr,e gLenders Address L; P.C. Fee i PWnh Fee $180.00. . I certtfy than+ have read thus app iloQrion a00 avt�'ifwt:tf�e '. hriian'ce FN 10.50 t above lnformpT{gn Is borrod. I®$ pgred 1p'comply vi tKgll Coun.ty.' Inv«t atlon Few r _ .ordinero6ea and',SThti:larva relating to'bdilding.cobalrocttorl and autfigrixi ro rgsehjative. thh county to enter TO'r. 'f941�4 abovii ntior»d I on purposes. 4 :,' . " Ic�rt bat. 45.CCf1A1L�TORY LAM AO WORKERS',�(7MPEt�37al�rv' RAfiION _ _ :1.. � {•,�• �5'':?irl� _ '. . _� r ,.. . . . - I heFe�y affirm t at I have a certfifcatp of.consent.to,self 'r. 'Insure, or a ceritflcate.4f Werk" Com pq ort Inwrance;. _ _ - __ �_ _. o<a ceiiff ld2f . , Lab: ' _ ► ��L� i4'1C1 f O UTA MING G P E RMI T : . --- _ — ` COUNTY OF.LOS ANdELES BUILDING�f►ND SET1/ A,._ .. , c., , Pollcy.No. Company . - CertFNe .'ropy is,bereby fumished:' i ` '''. FOR APPLICANT TO FILL IN. appy 23 _ ISI CirtffiedSy ls�{{,'ed'Wlih'tfie county buildiFiq'Inapec, gU ING IrJ ` tion depdf#m'ent' �' 1'"' Dater .'z 4licbAb ='- ' dly ZIP LOCAIJTY t CERTtFItATE OF EKF�N FROM WORKERS,;`,'` _._ _ - --- - - -- - - �. . ---• - - - - NCt'OF NEARS F- tL. 1r .. C01V1P NSAT1013-INSURANCE^; > SIZE OF LOT'- _N0W'Of•1 LOT (Thlk'sectlon need 6t-be'cbm leted`tf the pef}thlt Is fcT)pn,q r - � �y- - __...-.- �, I PARCEL do4iq.ri'(�l00)gTRACT rleis �'_ i r;, OtA oerttfy t�sgt jn r�e person of the wprk for w�116 this -- ' USE Z NO. - -- p'prrrlM.lafs ied,'Ta dIC-not e by�o�ny.pers�n f�Ra�ny' IMpn.&r_•_- _- ADDRESS �• ' SPECIAL 9 sora>t-10 bdcome I Iect tq;!t*i W6FkeFti Compensatfoh'Laws. tuy 71P �a}e icahT � . NQT d`' `ff"ofief rnakin9"this Certtficate.of 'Ralrltc'r:da _ No. asTRlcr.. c,�o� s TYPe --.•.�_ Fug. -. Exemption,,yorY' uId 'blcome'iubjpctIfo'-the- Workeis `" - C'f0� CONST, ZOtE Cj +.-C°nmpensatlan'pravlslom of'fihe.:t'aboF Code; you must forth- w*-cohrpty•.wlth1'.'wth- provlslorn;or thls;rpefmlt shall - _- - - STATISTFCA 1 T}ON AFT.. deemed revoked_; s,l' : :.. xy•. .� bONTRACrOR - NO. -I-- -- - LIC COPI�RACTCKt$DECiL4R4fiCXJ �:. _ - ._ _.._ --T.-- ..-_ L� — - -- - - C NO. DwE L U}•l rTS I hergby.a£flf�t tha11 am Jlce provblotu of Chapter-9' ADDRIM• NO• �p Se�Von'7Ow of {vision�_pf the knew and SEWER AAM 1 c' bfif�loh4 Coo}e, artidmy ffceitie`Is lrf filil fgrce arJ --. GAY - - -- - - - - ^j QASS' -- - --- - �- -f- -- �j►�pATFON I 1 : x BK PG. - �Q SFT• �f0 4F ►� _ .4k SIZE STO�tIE�- F L1E. - -- ONE ;a _ VALl1ATF0f1 i Yr1,1i 5:: L :r1 DESCRIPTK IOF WORK cT NEW- All �nlraCtar _ . 1A_•, _ r ADD lam exempt under Sec - - - - ,L� l B_8P.C. for fhb-teaso n REPAY 2 3 A _ EjQS1ltJG BLDG. ` DEAAOL - _ _ L. NOF CO ! FQIAL OWNER-BUILDER DecLARAnoN - -- - �..._. w► .. - - --r�--o-0-4 EV5-0 I-hetgby�rrnihef Iam,dxemptfrom the-Contractor's License - - law for the followfc4if oh_..(S�tlon'7b31.5, Business Pnd - _- - P?dfeislti 'CQd�) ` r.._.�_... 1, 'as owner of the property .or my irnploybes with .' BUILDINGA 0'4 �' i$b_- �--vvogeeaa,thelcaole compensation,will cio ihi work and --' - - -- - _ the structure Is not lntended br offered for sale'(Stactlon OGLQY .- 17044, "in*=and'Profew(oru_Code] _ � --TEL J', as owner of the property, am exclusively conirodlnp �- - -wlth'llrermed contractors to-construct-tfie-proled-(Sec- - tion 7¢44, Buslndss and Profemlom -C0�15TRUCTfbN 1fiNDING AG$JCY - YARD FM/YSETBACK FROM. PROP. LINE_ - I hereby affirm that them b a construction lending agency for FRONT the perform6nce_of the work for which this-permft-ir Issued (Sec 300, Cly.c� SIDE . -Lender's Name . . _ P L p.G F«-s Parmft Fee LenBers Addresal l 1 I certify_tha I_have read this applkation_and Vab_that the __ ._ .- r__- y��ryr_ -EBNA Pf{•1- above Informgtt n b correct. I ogtee to comply with all County - - Investtpatton Fee - T _ - - - ordtriances . $tgtq laws relclUn9 tq kildlnq aorutruction, Few- ata l Fs r t! Ll .I _LD7 A/r Psrrrc f - and h rltcrtives of this County to enter I upon'th v ed property for Irnpbdlon p �. 4i MNWR POS 9MANATORY LA14G'W►W +` -SZrrKTu re of AF pAFcorrt or Apert - - Dab - - -- - m + WORI�ERS'COMPENSATION DECLARATION hereby�dffirm tlwt I have a certificate of consent to .elf APPLICATION FOR BUILDING . P E RM I T Insure, or a certificate of Wtmrkers' Compensation Insurance, or a certlfled copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polley No. Company BUILDING ❑ Certlfled copy Is hereby fumished. " FOR APPLICANT TO FILL IN- AWMS ElCertified copy Is filed with the county building Inspec- BUILDING 9723 Garibaldi Ave. tlon department. ADDRESS MCAIf ate Applicant Temple ity ZIP 91780 NEAREST DCITY Temple ASSESSOR CERTIFICATE OF EXEMPTION FROM WORKERS' S4jZ6FLOT 240f X 2$21, NO rON p 5 MAP BOOK PACS PARm COMPENSATION INSURANCE (This sgctlon need not be com leted if the permit Is for one ONE f hundred dollars ($100)or len. �'� BLOCK LOT�' TEL 1 SPECLAL �- I certify that In the performance df the wa or whican tkis O � Christian C CONDITIONS a permit is Issued, I shall not gmploy any In mner ADDRESS X23 (#�rlhFt7di Ave. GROUP T ZW BY so as to become subject to the Workers tl n ws. C,J,�Q (�7 r Date X0-9— Applicant ARCH ZIP STAT1STKAL CLASSIFK:4TION AFT. DO. O NOTICE TO APPLICANT: If, ma Ing this Cedlficate of �/y NffR -NO. CLASS NO.G�1G—DWELL UNITS_ W Exemption, •you should become subject to the Wdrkers' I L Compersaiion.provlsiors of the Labor Code, you must forth- SEWER M P with comply with such provisions or this permit shall be Z deemed revoked. CTO N BK PG, VALAATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions df Chapter 9 ADDRESS NO. VALUATION (cbmmendrrg with Section 7000)of Division 3 of the Business and LIC. Profenions Code, and my license Is In full force and effect. CTTY $ SQ. F7 NO. OF NO.of a Cil , 2 5 6 Q 5 A License Number Llc Clan SIZE STORIES F UES ONE DESCRIPTION OF WORK ' r EW ❑ ; '#.o 0 0.0 2 3 ,Contractor Date ( 0 0 3 7,5,0 ❑ I am exempt under Sec tice to be mamted cn 4 4x4 posts & �� ❑ ALTER ❑ FINAL B.3P.C- for this reason r Or REPAIR ❑ DATE - o 0 0 3 7.5,0 Z5 Date; nN lot for dren play. DEMoL ❑ R I Q 1 0 i 8 6 Signature 'SAW Playfactory Proal 818 ',OWNER-BUILDER DECLARATION 1 hereby dffirm•that I am exempt from the Contractor's License 23 C��ld! Ave., e City Law for the following reason (Section 7031.5, Buslnen acrd , Professlorn Cbde): BUILDING I, as gwner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure b not Intended or offered for sale(Section LOCAUTY 7044, Business and Professions Code)_ MOVING TEL I, as owner of the property, am'exclusively contracting QQNTRACTOR NO. with licensed contractors to construct the project(Sec- tlon 7044, Busrnmw and Professions Code). CONSTRUCTION LENDING AGENCY RE Lg� YXRD H Y TOT FRoti, Exisr 1.5 9 5�5!A: I herePROP. UK by affirm that thdro is'a corstructlon lending agency for FRONT , # o s '0 0 o jl the performance of the work for which this permit Is Issued P.L. Sec 3097,.Civ. C.). SIDE J -.o49,8-8 pp P.L 3 Lender's Name 0 0 0 4 9.8 8E Lender's Address P.C. Fee$ Perm"Fee 1 8'. ,8 6 I certtfy that I have read this appllcatlorl and state that the iswrortcs Fee (J . &V above Informatlon Is correct. I agree to comply with all County Investigation Fes ''ordinances and Stag laws relating to building construction, Total Fes r and hereby authorize representatives of this County to enter upon a above-mention property for Inspection purposes. 4�� '.9-g6M ltJQ1/IIIIM111 ro+e DtT1 ANATORy L AriaiiAoa Slgrxrwrs of Applicant or Agent Date .es „ FPLICATION FOR BUILDING PERMIT / COUNTY OF LOS ANGELES -BUILDING AND SAFETY WORKER'S CO#APENSAITON DECLARATION FOR APPLICANT TO FILL IN I hereby at run ttiaf I hove a catiflcate of ccrowd to soft lim”. AOORE98 (t+Clgo or a certtfcale of VVOrksra'Compensation Insurance,or a-certtfled COPY 3800, Lab.C.) r LOCALITY �Z2 96 Park, �T'i SE21E OF LOT y Na of BiL nrL-; K"%Fc*i LOT CeFtlfled Gopy.is hereby f miWW. NEAREST CFa33 8T. ❑ tenoned copy is fled.vft TAT BLOCK LOT Na. depertrnenL USE ZONE AMP Na =FEXE ASSE83OR MAP'BOOK PAGE PARCELSPECIAL CONDITIONS NI M WORKERS` Ta _ COMPEN I RANCE YATFI 11000 Ff.OF SCHOOL? YES NO (This am&xl roved not be the permit Is for one hundred /fe'f/ DISTRICT GROUP FFiE SNE PPK)CE $Y dollars($100)or less) ffCC// p /� I certify that h the performance d.the work for which thio permit CrIK �p[� /� Is iew►ed I shall not ertpby any Perm In arty mrarvler so ee.to CT OR Ta �!/� ?r become eub}ect to the vlbrkero'Compensation Laws, �[! c7fJ6 bT APT CONDO Date tt CU.43 Na DWELL uHTS NOIICE TU APPLIC'.WT. ff. after making thio Certtfoafe of IEoLFlM TO'W-SETBACK FROM EXIST Exorriptbn. You *"Ad becorne eubod to the Mrkers' TEL � SET BACK `a,RD HWY PROP LINE WIDTH tw Compson provisions of the Labor Code, you moot kwtt-wfth �'! � FFgNT corrpfy with ax-h provW"Or this permit ahelI be deemed revoked ADDRESS PL r LICENSED CONTRACTORS DECLARATION LIC. P L P L O" O -1 hereby aHtm ftud I am Ikwr underprwblons d Chapter 8 ' s U (conrrlendl>Q trrtttl Sectton 7000)d Dlvfabn 3 of the Bueineee end NO. S IVO OF 8 SEWER AMP Prolessbrn h fu Code,and'my lkeneels ll force and effect. NEW d BK PG O Lberse itmlber LIC.Cieas DE OF WORK ADD ❑ N1LLM N , U Contractor bete 4VK? 0 LLI ALTER ❑ �/ IL ❑ I am exempt under Sec. REPAIR j2da Z 13SPC for ttb DEMOL ❑ L1)1M Pic r URM 4 /1� APPU.ANT(PANT) TEL Na �►ta,Perm.. AI:IT,r ❑ L es owner of the or my empbyeea wtth wages as their sole Oompersa I do.the-worts and the sinxiure le ADDRESS not Intended or' for'aala (Section 704'4, B utalnees end FWL DATE ?hI._47 Prolssek"Coda) *&I T e APRXANr 0A RrrUM BUII-D l O=lW r KWX.E A wAzAADOua uMM:LAL I ITEMS ❑ I, as owner of the property, am exdriehbfy contracting wRhOR "Atocn� A.HnzAFoolla u��+ti m OR aFr-A fiR TKkN 7-C leerued Oonttadors to OXMVUct the prood (Seddon 7044, A"O1 yrs aPCOrr�ON T HAZMooua uaExvS DFOraw,OH clove? MAL ITY TOTAL 261- 47 Rnlnaas and Profesalons Code.) awe❑ No❑ YM.L T1f Paas®USE OF THE BUK INO BY THE APPLK'NrT RmIRE KK CHECK 261.47 CONSTRUCTION LENDING AGENCY� A r�T FOR you 1}e OR Cl IDE NE-Ol1ALfTY►41µAOEtJ81T 4erai'T feoAaAol e�PBif7T1lo a-eaarar r-0R I hereby edffrm that there Is a construction kwx tN agency'for nee❑ No❑ the pwbmwnoe of the work for whish this permit is baued(Sec. 3097,cJ,.C.) i HALE READ THE HAZARDOUS ri4aV,La INFOR MION csnE AM THE aC.A.01M PEFRsTTsle r}J �y/p a-EaatST I uo� � aIAMD WY REOLBne UNDER TW LOS ANGEI eS COu �y}� O(�yrrr COO- I if Iii 76 pp Tm3 2,CFNPTER 420 SECTKV M 2-Q 100 T1fi UOX 2MVo 2a 140 CONO & FMZ&RDOM t9rldere Nannie. WaEFLOLB FORTING AND FOR OQT? "A PE3�fT FROM 71-E9:55.E eCACLC - I 'AM• Lendees Address aww a rarr i I cer-* that I hese reed this epp8catim and State Under penalty Of perjury that rho above hlformobw is correct I'ti*ea to 0=* P.C.FEE PERMT FEE 3i wfth and Stade laws rekthng to biding r/I i• 3f and a of tt1b Courtly ISSUANCE FEE �S 0 fthe ,per/pip/gyp/� / CIp�/ NVE817GAATYON LSE TOIAL FEF / ' �- SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT DEPARTMp T OF PUBLIC WORN(S 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0105150020 PHONE: (626) 285-0488 EXT: LEGAL 10: MO. OF COINST __9MLDING ADDRM: ON FILE SQ. FT STORIES TYPE 9723 GARIBALDI AV v STRUCTURE: 3000 VN TEMP CA 917801740 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:. GOPEN WEST 5385-020-019 THOMAS PAGE: 597 GRID: A2 'LOCAL4TY: TEMPLE'tITY TENANT: MUST-90Yff-ME: CHURC USE ZONE: )0( ISSUED ON: LIT: EXPIRES ON: EXIST OCC GRP: D5/15/01 UT 11/11/01 OWNER: TEL. NO: LOT: FIM� FI MDE: TEMPLE CITY CHRISTIAN CHURCH (626) 286-0581- 6,500 9723 GARIBALDI AV TEMP 917801740 FEES PAID DESCRIPTICIN OF RE-ROOF COMPLETE F AR ON CHQS HOOL ROOMS APPLY CERT FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: APPLICANT: TEL. NO.f DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 4251 BALDWIN AVENUE AE STRONG MOTION OT 6500.00 VAL 1.37 SPECIAL COWITIONS" D2 PERMIT W l X9.00 VAL 166.20 0GELE C) 195.3z WEATHERITECMTRACTOR�ROOFING (626) 287-0669- APPROVALS,TEL. NO: :0 4251 BALDWIN AVE LIC. NO LOCATION AND SET'BACKS ELMONTE CA 91731 HICENGINEBZ:�lk' TEL. NO: - `I ` `\ FOUNDATION/TRENCH FUM LIC. NO' RAISED FLOOR FRAMING -111111 KkP NO: SEUIER MAP BOOK: PAGE: FIRE ZONE: C UNDERFLOOR INSULATION ULF; LI C VA�/ U[N) pi NO. OF FAMILIES: DWELLING UNITS: APT/CMD: STAT No 21 iNG SCHOOL WITHINi ; \` G [I AIR QUALITY: 1000 FEET MATERIALS [J �� 1( FRAME' No MCI Ito REWIRED TOTAL SETBACK FROM FIRE �PRINICLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: \ bl' Oi/ FRONT PL- ServiC SIDE PL- INTERIOR LATH/MYWkLL EXTERIOR EATF- RATED! SHAFTS/OPENINGS T-90 CEILIWff- * ADDITIONAL DATA ON FILE LOT DRAINAGF_ REPORT ID: DPRZ61 ROUTE T0: RSD508 CATION DECLARATION a ce' Comte of.5on Int .elf APPLICAS�ON- FOR BUILDING PERMIT 51 Insure, or a tonin,:.:.: . 04 Worker' Com�rsatlon Insurance, or a certtfled copy thereof (Sec. 3800, • C.) tu1 COUNTY OF LOS ANGELES BUILDING AND SAFETY ftPo❑Iicy No "7C�mpan.y Certified copy Is hereby furnished. FOR APPLICANT TO ILL IN ADDRESS D-->rertifted copy Is filed with the county bulldfRq Inspec BUILDING �` ?[ tion department. ADDRESS Y LOCALfTY -7 / 772 ' t�EARESf Dat Applicant S CITY ZIP CROSS ST. Pi11 P CFRTSf IFl OF FDZMP110N WORKERS' t L NO.OF BLDG& ASSESSOR COMPENSATION INSURANCE S�OF LOT _ NOW ON LOT MAP BOOK PAGE PARCH (This section need not be com leted tf the permit is for one ° bT 115E ZONE hundred dollars (;100)or less. �' No. O TEL. 7 . I certify that In the performance of the work for which this per/ FIRE PROCESSED BY t permit Is issued, I shall not employ any�erson In any manner ADDRESS z ��� Ay/p r COtJST. ZOO so as to become subject to the Workers Compensation Laws. ! J? Date Ft Ilmnt CffY e�'ih / l— ZIP 7 1_a App STA C]ASSIRG\T1CMl NOTICE TO APPLICANT: If, aftbr making this Certificate ofi� I i 'Exemption, you should become subject to the 'Workeri l. �( CLASS Ut�15 Compensation visions of the Labor Code, u must forth- // Pe Pro you ADDRESS � S les r Pi SEWER MAP with comply with such provisions or this permit shall.be TEL. deemed revoked. CONTRACTOR NO. BK- PG, VALIDATION LICENSED CONTRACTORS DECLARATION UG I hereby affirm that I am IIcersed under provisions of Chapter 9 ZDRESS NO. DATION ((�commendng with Sectton 7000)of Dtvlsiort 3 of the Business and LK_ Profeeloru Code, and my license is In full force and effect. CITY CLASS S4 FT. NO.-OF- NO. OF CHECK License Numbbr Uc.Cid. STORIES FAMUES ONE EW MS� Contractor Date J Dr � OF WORK U�— J J ADD ❑ Jai 1 am exempt under Sec ATTER ❑, FINAL B.BP.C. for this reason -s REPAIR ❑ DATE _ Dote: IXOF FI IS_NG BLDG. 4 CL MMOL d EL By Slgrwture : (PRT NT)N7 al iJO.2 TY� 13' OWNER$UIUDER DECLARATION. / I hereby affirm that I am exempt from the Contactors License S C X1106 Law for the following reason (Sectlon 7031.5, Business and Professions Code): y em p� with BUILDING Ti r 1 0'a 5 I, as owner of the A property, or m I ADORES W0908 as their sole compensatlon,will do the work and # e . o • the structure Is not Intended or offered for sale(Section LQCALITY ;. 7044, Business and Professions Code). '. MOVING TEL I, as owner of the property, am exclusively contracting QQNTRACTORNO. - j • 27 a q a with licensed contractors to construct t-ke project (Sec- ADDRESS f 2 l q tion 7014, Business and Professions Code) • CONSTRUCTION LENDING AGENCY ? tl� YARD FMrY TOTAL�S�OC R20M DXIST�IDTH. _ B 4 1 hereby affirm that there Is a construction leriding agency for FROW he performance of the work-for which this permit Is Issued P.L. Sec 3097, Cly. C.). SIDE 'c p P.L. ?_ Lenders Name �J �) P.C. Fee; Perm R Fee OS -7 I hJ[/ Ler4ers Address I certffy that I have read this application and state that the tea Fee B above Infortratlon is correct. I agree to comply wtTftall County Invedigotlon Fee nandatl nonow and Mate laws relating to building construction, Total Fee l hereby authorize ntves of this County to enter upon tl1pa ve-mention perty for Inspection purposes. ef e`1�(� SM WV�FOR KXPLAKATORY LANGUAGE ®s of Applk=f or Agent Dale - .