HomeMy Public PortalAbout9440 GIDLEY ST_Building__ �PP,� LICATION FOR .UNTYOFLOS ANGELES
MENT OF CUNTY ENGINEER
;BUILDING PERMIT DEPABu DIN AND SAFETY DIVISION
((��
FOR APPLICANT TO FILL IN smRNG
BUILDING
ADDRESS q 0 C, 6ivuex LOCALTTY ,
N EA REST OF
CITY 7 EAA p L t L"I z I P 8 CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF L T NOW ON LOT MAP BOOK PA PARCEL
DISTRICT GROUP TYPE IRE ED BY
TRACT OCK LOT NO. O R C
OYVNER [ M Ea NO.447' ) STATTSTICALUCLASS[FFI'ICATT^I��ON SEWER MAP
ADDRESS J I D L-E CLASS NO. ^ DWELL UNITS BK7
CITY TaAA f- E G) I : z I P 8 Q USE ZONE NO S D I .
ENGN OR 17
1-1 DAM -P,b1yTZ NCO. T4 - 5 /Y( - SPECIAL
CONDMONS
ADDRESS 10 L S I C7 L_LA Q G M d N ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CNTRACTOR /i rL C Go TL T p
O . 564BLDG.SETBACK'FROM
LIG FRONT PROP.LINE OF STR
LEETI
ADDRESS ~E , L� V NO. HIGHWAY + YARD FRONT
5 CK FROM TYPE OF EXISTING
LIC FRONT PROP.LINE HIGHWAY WIDTH
CITY 131,1 1'L� I /k aA5s 7z, )
NAMMETAND
CONSTRUCTION
0 w>`► �tz �I }��iJENDERf r�l BLDG.SETBACK FROM O o
ADDRESS CITY SIDE PROP.UNiz OF (STREET)
SQ"FTNO.OF NIG
O.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE 3DDD STORIES FAMILIES ONE SIDE PROP.UNE HIGHWAY WIDTH . as
" + � Z
DESCRIPTION OF WORK NEW -
1`� n� E ADD CORNER CUTOFF YES ❑ NO ❑
�� p ALTERElIN OPEN SPACE YES ❑ NO ❑
USZ TIFLREPAIR IN COASTAL nRMTT ZONE YES NO ❑
EXISTING BLDG. 11 A u V P C;-,-I G DEMALAPP ❑
AP ((IPIa�NT1 'DI) M fi r C_ G D r'-� o.
BY CSI TURD
HEREBY AOQJOWL.EDGE THAT I HAVE READ THIS APPL}U,TK7fI AND STATE
THAT THE ABOVE 6 CDR%{-T AND AGiiff TO COMPLY WITH ALL ORDWMKS
AND LAMS REGtAATIN6 BURDiNG C.OrSTRIICTlp1 I CERTIFY THAT IN IKWdG THE
WORK AUTFYORI ZED HEREBY 1141LL NOT EMPLOY ANY PE31SOtJ IN VIOLAT7bN OF
THE LABOR OODE OF THE STATE OF GUJFORNIA IN RE3AflNG TO WORKMEN'S ODM,
N SAT}ON INSU
GNATUIZE Of
PIERMITTEF FINAL 5 Q_�/ BY Ir
DATE / 1 V
ADDRESS 1 5 .E V✓ L u
CITY
Ati 0 N rLy f - S _� Pt Fee$ �—/ 1 pe"if Fee . $�
p Issuance Fee
VALUATION l7
Total Fee `--�v
PLAN CHECK VALIDATION" A.1 PERMIT VALIDATION Cx Y.O. CASH
7 6 2 9s
FOLIC)' HOLDER:
r c1 7 8 AUG. 7 � D 2 7 8.5 0
�er �A3ER:
1
T`� D F �s=M PLS Cir
7GAE3/A C[FEOD ,e,, APPLICATION FOR BUILDING PERMIT -
COUNTY OF IOS ANGELES SU1LDINa 4d
DEPARTMENT OF COUNTY tNC2MM ADDREns
-BUMMING AND SAFETY. DIVISION LOCALITY
JOHN A.LAMBIE. CouNTY EINGINE[R NEARERT
COLEMAN r_ JENKINSAUF'T.OF ■UILDINO CR6EDJT. O - -
DISTRICT NO. 'OROU TYr _ .R F#/¢D DY
FOR, APPLICANT TO FILL IN 5,o ir ._ .coNbr
.ADDRE�! -57—. STATISTICAL CLASSIFICATION, DEWIllR MAI+
CLASS NO.__q___QWE'LL UNI TA' ElK , P
L'pT NO. ■LOCK U/E ZON[ MAF
.�.
TFtACT F /P[CIAL
ONDITIONS
NO, OF,■LD//. -
/rZ[ OF LOT MOW ON 40T ' '
U/R OF -
BIDS. ■ET ACE FROM
TIKL„ - FRONT PRO'. LINE OF
O TYPE OP EXISTING.. /EI/A;K- HI WAY -YARD TOTAL
ADDR[
c - I
CITYzdwg” A
dL.
BLDG; SET/ACK FROM - -
[[R NO. IDE MRO L OF _
TYP]EOF IKI/TINS /IT/ACK HI/AWAY YARD TOTAL
HIIHWAY W 6TH FROM C.L.
COKTRACTORSeV7 r JV04 _ +.
ADbJ![/■
LIC s CORNIER CUTOFF Y[7 NO 0
LIC 'S££ REVERSE SIDE FOR SPECIAL APPROV' S ,
D SCRIPTION OF WORK` r z
[W ADD AL
DEMOLISH
FT., NO. OF NO. OF
/FZ[ STQFttgO FAMILI[/ "
USE OF
/TRUtTURZ
L Q� b 2
" OF
NT
ON$ ,dQ - APPROVAL/ DAT[ ANSPECTbFI'//1/NATURE
P.C. PMI, FOUNDATION, LOCATION
$ FO MATERIA
FR E, FIR¢STOPS,
I HKR"Y ACKNOWLiDO[ THAT 1 HAVE FMAq THIS APPLICATION E[ACINO E '
AND tTATK THAT THK ABOVQ IS
COR QCT AND AaRLL TO 40MPLY FURNACISt LOCATION
WITH ALL-:CPUKTY ORDINANCKS AND /TASL L.AW■ R]EOULATINO aA
7UILDINO CONSTRUCTION. I CLITIFY THAT. IN. DOING THK WORK
ALTFIORIZKD H[IQIBY I WILL NOT ]EMPLOY A" PtASON IN VibLA' -LATH. INTi
TION OF 7-Hi.IAFOR COOK OF THK *TA OF CALIFORNIA RKLAT-
1NO TO Yf ORKW"'• MTI6N JN KC[. MATH. EXT,
SIGNATURE OP HOUSE NUM R COR-. . .
PERMITTEEICTFRSTIED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL ST L NGINEER
A �
'PLAN11 CHECK � PLLMil VA�ATIO CCASH �.
6 - 18.00-
LOW'
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r'
Te#aeAr:Aeoa a-ee
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGMEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPNEAREST
CROSST OF BUILDING NEAR ST
FOR APPLICANT T FILL IN DISTRICT No. ORO P TYPE Y
Print or B only) /I CONS
BUILDING STATISTICAL C IFICATION SEWER MAP
ADDRESS / � CLASS NO DWELL,UNITS Q BK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACTSPECIAL
NO,OF SLOGS. CONDITIONS
SIZE OF LOT NOW N L T
Ugy Or
EXISTING BLDG, BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STREET)
OWNER NO. _
TYPE OF EXISTING BETHAGK HI6tIWAY + YARD — TOTAL
A D DR E59
/ HIGHWAY WIDTH FROM C.L.
CITY Ty
ARCHITECT OR TEL. SIDE PROP.
LINEOACK FROM
SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L
TEL. . _
CONTRACTOR lI / i NO. f +
ADDRESS 7� NO CORNER CUTOFF YES ❑ NO ❑ S
LIC.
CITY - CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK Lu
z
NEW X ADD ALTER PA 1,Ft, DEMOLISH
SQ. FT. ,tiOF NO. OF
SIZE FAMILIES
USE OF �J y p
STRUCTURE J
SIGNATURE e
APPLICANT -
AO-
VALUATION i
APP ROV LS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION; LOCATION
FEE S �( FEE 3 FORMS MATERIAL
FRAME: FIRE STOPS,
I HERESY ACK"LEDOE THAT I HAVE ROAD THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
W rTH ALL COUNTY ORDINANCES AND STATE LAWS RKOUL.ATINO GAS VENT DUCTS
BUILDI No CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PER94DN IN VIOLA-
' TOM OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT.
]No TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT,
81G MITT TL_plr? HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS ) FINAL
JOHN F. LEWIS, PRINC AL STRUCTURAL EN �
PLAN CHECK VALIDATION C'K. M.O. _ PERMIT VALIDATION cx- M.O. cAiH
LA�o7 7 9'15 IS DEC 34-2 3\ D :5Aoi
7827 DEC 31 1 D Q � ev
78A ,9:. � R9�fi�APPLICATION FOR BUILDI-NG PIERNr1T
l 'C*OUNTY OF LOS ANGELES BUILDING Q ry
DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 (J `}-�cl
BUILDING AND SAFETY DIVISION LOCALITY �. _ �'j�
JOHN A. LAMSIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKI NS, SUPT OF BUILDING CROSS ST. 0'
FOR APPLICANT TO FILL IN
DISTRICT NO. OUP T E P CESSED BY
CONS fL j
(Print or type only) ) � ,f. /CL
BUILDING �A® �rD��� ` STATISTICAL CLASSIFICATION SEWER M 4
ADDRESS CLASS NO.___41__DWELL,UNITS BK PG
USE ZONE MAP
LOT NO. BLOCK �, L`
NO. l
TRACT �,�,V SPECIAL
°°��
NO.OF-BLE GS {{ CONDITIONS
SIZE OF LOT ,L X 2� NOW ON LOT 1
USE O
EXISTING BLDG. WL `
-/-TA
T/�1 � �-y�y� BLDG.SETBACK FROM /� (STREET)
OWNER RE 1 !tt�V WRl'
No o'y6'` FRONT PROP.LINE OF -
Qb W TYPE OF EXISTING SETBA9 -40
HIGHWAY + YARD - TOTAL
4/�o HIGHWAY WIDTH FROM ADDRESS •' / Lfl�aJl�� �J �,CITY C �' c-,c 3� + Cs =
BLDG.SETBACK FROM
ARCHITECT OR r, TEL. Q SIDE PROP.LINE OF (ST,REET)
ENGINEER M �, NO. 8� TYPE OF EXISTING SETBACK HIGHWAY = TOTAL
ADDRESS Z Z-- HIGHWAY WIDTH FROM C.L.
CONTRACTOR ' / "V.AI �
NOL 3¢J1" 7/ +
✓ V• l d
O
3 q �" CORNER CUTOFF YES ❑ NO ❑ U
ADDRESS,56rr /C�l'iC.NO. :.9�(�,rL�Ee'Z �
44,' LIC. CD
CITY
CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
,. z
NEW ADD ALTER REPAIR DEMOLISH AND PA1RK_WA__Y_5ttRE 'IRED
SQ. FT, �• NO. OF ij NO. OF
SIZE `p STORIES 1 FAMILIES i
USE OFOte• Permits for
STRUCTURE M-Z falla+ions should be A. e-1 , -:11
,. pt., Altaden
LLt-r�-u��
. L., ,. s ..� _,.oar to avol
SIGNATURE OF r lengthy delay. 5urvey & Desicnju' r:; -; ir:a ;;Id is not start
APPLICANInO Permit has been issued. Apply for parkway tree permit at T. ..
VALUATION $
_3 VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. }� -' FOUNDATION: LOCATION
F E $ C �. '�' 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. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. -
ING TO WORKMEN'S COMPENSATION INSURANC .
"� LATH, EXT.
SIGNATURE OF �� � HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN_C,HECK VALIDATION cK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
'"�'� L 06979 OCj23 I D . 183.0Q fir-
I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U I L D I N G 1
WM. J. FOX, CHIEF ENGINEER
k
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. RMIT NO. -
UILDING
ADDRE88
LOCALITY S'�J �a-�Y .�I Lt- RECEIVED BY -ATE OF APPL. DATE ISSUED
NEAREST 11 _ /�• / .r -,,, ` ` may.
CROSS ST. V q I / -
I/ L- ADDRES ' - +` �
S• f
OWNER
AMAILDDRESS J (� LOCALITY T�Q�^�j/s��j,,�7 7-,
W ti. L J NEAREST f
CROSS ST.
CITY )..,,_ Cj'a NO. ZFIRE ONE I PNO. OF LANS -I TYPE- I GROUP
ARCHITECT OR rrIf; TEL. tt
ENGINEER Sh a�. aC_. !l NO. � L ,sd F9 BLDG. / � - /' ORD. NO.
) SETBACK LINE L'
ADDRESS . APPROVED
n
TEL _BY DATE
CONTRACTOR NO. USE _ APPROVED
ZONE 13Y DATE
ADDRESS - HOUSE NLMSERING
LEGAL
DESCRIPTION LOTNO.'j e*C- {�Op 1 MAP NUMBER v-� �� _FIELD CHECK BY
TRACT t'- '2 9 U'f' NO. ASSIGNED BY----------DA gr
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT X L �o Y I NOW ON LOT
USE OF I NO. OF - -
EXISTING BLDG. ---r^" FAMILIES
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION I I.O
REPAIR I I DEMOLITION �� 7 2 A
SQ. FT. NO. OF -
SIZE f �I C2 ROOMS STORIES Z
D
EXT. WALL ROOF r
.-�- .Y14— COVERING
COVERING ; /Y
USE OF STRUCTURE r
wr
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS '; /
CORRECT. -
1 AGREETO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. -
FURNACE: LOCATION,
SIGNATURE OFGAS VENT, DUCTS
-i�l, - -
PERMITTEE -
LATH, INT.
ADDRESS
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
74wcsaw, cosa fo-ao � P. C. $ _S /�
FEE / — PLASTER, EXT. /1 LU �/I Nc.
VALUATION `>
FEE jJ FINAL
I
COUNTY OF LOS ANGELES
,APPLICATION FOR DEPARTMENT OF COUNTY ENGINEER Il
13 U I LD I N G PERMIT BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS �Q C LOCALITY
NEAREST
CITY ZIP CROSS ST.
NO,OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPEFIRE ROC SED BY
TRACT O� OCK LOT NO. v A� CDNST. ZO� A a {
TEL.
OWNER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Q L r C i CLASS NO. DWELL.UNITS BK/ PG
CITYt3ma—e— C ZIP USE ZONE MAP
/
ARCHITECT OR TEL. NO.SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS �+ ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONTRACTOd /0 NO �� 117 BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS r NO. 6J _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD - FRONT PROP.LINE HIGHWAY WIDTH
LIC.
CITY CLASS
ONST'RUC7rION LENDER
NAME AND BRANCH BLDG.SETBACK FROM U
ADDRESS CITY SIDE PROP.LINE OF (STREET) O
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING V
SIZE STORIES FAMILIES ONE DE PROP.LINE HIGHWAY WIDTH a
t = Z
DESCRIPTION OF WORK t NEW E]
r r ADD CORNER CUT YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USEOF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑
APPLICANT TEL
(PRINT) J NO =may ry 7
BY(SIGNATUR !/
I HEREBY ACKNOWLEDGErr+WI HA ,REAQ-d N AND STATE
THAT THE ABOVE IS CORRE D AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OFFINAL BY
PERMITTEE DATE C!
ADDRESS
TEL � P.C. Fee$ 8 Q Permit Fee
CITY L/ /� NO. � 7
�y
Issuance Fee
VALUATION$ 3/�- '( t Total Fee
PLAN CHECK VALIDATION CK. O. CASH _ PERMIT VALIDATION CASH
` �.cy✓1 e—ni
®S 76A638A GE Ir8O3A 8/77 3 3 3>;W6 1-b U
76A638A CE#8035-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING cA 4-4C> GiPLL�' ST�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY _rEMIP(.E Ci7'G
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST err^ �s
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. CLOYGR�I
-.4111110-
DISTRICT NO. G P TYPE PROCESSED BY.
FOR APPLICANT TO FILL IN '5,1a, 2 CONST 2!!
ADDRDEI SG 44c, �iDL�7 GT. STATISTICAL CLASSIFICATION SEWER MAG
CLASS NO. • r - DWELL UNITS
LOT NO. 5 eg- ATY D BLOCK � r USE ZONE NOP O�
TRACT �'kNcjAc? UN FeAliG IS cm ITNO 2 SPECIAL '
n n^ 'F NO. OF SLDGS. CONDITIONS
SIZE OF LOT ` UX �3 NOW ON LOT
USE OF
EXISTING BLDG. '",��'
�y.�y��� Q BLDG. SETBACK FROM 0-¢
OWNER REt�idrN .coRQ+ NO. -A g t.7 d!P FRONT PROP. LINE OF �.-1 nL_E- _ (STREET)
!� i2�/�yy r_( �`{ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS _{4-JV &(DL •� r-T HIGHWAY WIDTH FROM C.L.
CITY TeMPLB Cr riC CALAF tocA � zo 34 +
ARCHITECT OR TEL. BLDG. SETBACK FROM
E ji','! K ISS NO. 478 DgSS SIDE PROP. LINE OF (STREET)
�n Qj /'.I TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ZL.0 q (am.M* Co_ )j, 4+&+2Zj`Ts�IF HIGHWAY WIDTH FROM C.L.
TEL. + - d
CONTRACTOR (J-�'aed NO
LIC CORNER CUTOFF YES El NO E] OV
ADDRESS NO
LIC
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O
N
/ DESCRIPTION OF WORK d � a
NEW V ADD ALTER REPAIR DEMOLISH ,+� N
SQ.FT. QQ !, NO. OF NO. OF `&
Ao SIZE -2 v im+ �S]TORIES ' FAMI LI FSU _
USE
STRUCTURE `(- "Vc.-C�1'�IJC-�
G a / A-e-le-w 06
SIGNATURE OF or % 2 -
APPLICANT r; _
VALUATIONQ50
APPROVALS DATE INSPECTOR'S SIGNATURE
S
FEE$ 1S S FEE$� � FOUNDATION,
O FORMS, MATERIALS
FRAME,
�� Y
FRAME, FIRE STOPS,
1 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 Y
9UILDI NG CONSTRU CTION. I CERTIFY THAT. IN DOING THE WORK "
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
LATH. INT. _
TION OF THE LABOR CODE O E STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMP AT N IN ANC
L ATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEEAl
y RECT AND
ADDRESS Y�a FINAL4 7-
JOHN F. LEWIS. P INCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
71 SEF 1223 6 158.508
6 7 8 6"n JAN 19 1 D J 1 7.0 0~ V
76A838A CE#803 8.63 APPLICATIONWOR BUIIL
G PERMIT
COUNTY OF LOS ANGELES BUILDING �ID
+ `�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 1
WILLIAM A. JENSEN, Sup'r of BUILDING CROSS ST. �
DISTRICT O. G VP TOP ST. P ES BY
FOR APPLICANT TO FILL IN 4;Q
BUILDING d 41 U I 1�,�� STATISTICAL CLAS I CATION SEWER MAP
ADDRESS l C
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRACT MAP --iTI GHWAY ST TE MAJOR SECON , LOCA
NO.OF BLOGS. NO. (CIRCLE)
SIZE OF LOT NOW.ON LO USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING BLDG..
OWNER � UILDING EXIST. '
S�(trn 1 SETBACK YARD HWY STREET NAME WIDTH
ADDRESS `l! FRONT
ARCHITECT ORTEL. a P. L. O �
ENGINEER Yl1wt U V NO. / SIDE
P L
ADDRESS 2, t WC,- a � � i
CONTRACTOR r ' .JI NO. �P'" V
ADDRESS �'G �1 OC
O
DESCRIPTION OF WORK u ;
W
CL
NE ADD ALTER REPAIR DEMOLISH N
SQ. FT' NO. OF NO. OF Z
SIZE STORIEESy r FAMILIES
USE O
STRUCTURE
SIGNAT E OF
APPLI ANT
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. C� 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 RS,L
cAT-
ING TO WORKMEN'S COMP NSATION INSURANCE. ^}. 4 LATH. EXT.
SIGNATURE OF U...1��1 P 1 Ck ` HOUSE NUMBER COR-
PERMITTEE 000 MMM LWWWyRECT AND POSTED
LA
ADDRESS ,J u
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
J 7 m s 14 9.v' ;
P LiCAT 1O N FO R<-;`�j iCOUNTY OF LOS ANGELES
I L D I N G PERMIT C-c�� DEPARTMENT COUNTY ENGINEER
IWUP
BUILDING AND
SAFETY DIVISION
FOR APPLICANT TO FILL IN ADDRESS 0
BUILDING '
ADDRESS LOCALITY
NEAREST
CITY C( ZIP a CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PA PARCEL
DISTRICT GROUP TYPE E P ESSED BY
^ C NAT. O E
TRACT l LOT NO. ^/� / y" �( 9p -
/ TEL �J `-,}C� Y
OWNER C O. NO. -OLJG STATISTICAL CLASSIFICATION
1 SEWER M
ADDRESS �i j�L CLASS NO. 22-DWELL•UNITS �BK �1yG
CITY B/y L.G (�/ ZIP 7�
USE NAOP /
ARCHITECT OR TEL. W' — SPECIAL
ENGINEER OvAl NO• CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONTRACTOR _ TEL. BLDG.SETBACK FROM
Oa✓(V� NO FRONT PROP.LINE OF (STREET)
LIC.
ADDRESS NO. HIGH AY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
LIC.
FRONT PROP. LINE HIGHWAY WIDTH
CITY CLASS _
CONSTRUCTION LENDER +
NAME AND BRANCH /1!O A/4BLD .SETBACK FROM C:)
ADDRESS CITY SIDE ROP.LINEOF (STREET) C.1
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING O
SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH U
DESCRIPTION OF WORK ADD /� ,� EW ❑ + ^--,... �,.'.,,_.__.." y
ADD ❑ CORNER CUTOFF YES ❑ NO •❑"--_ Z
70
Z d
ALTER ❑
IEMOLEPAIRIN OPEN SPACE YES ❑ NO E]USE OF IN COASTAL PERMIT ZONE YES NOEXISTING BLDG. ❑
APPLICANT TEL
(PRINT) NO.
E
BY (SIGNATURE) �fY.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- Y�; �,, p T.J.r' `
ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED C/j"L;,. -v ���y�r �VPVt �7 /r((/c_
HEREBY I WILL NOT MPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF T STATE OF C OR IA IN RELATING TO
WORKMEN'S COMPE TION INSURAN
SIGNATURE OF FINAL _�D -r BY
PERMITTEE DATE VVVV
ADDRESS r
CITY NOL -c�JZp P.C. Fee$ >7 �p(� Permit Fee
Issuance Fee
VALUATION$
f Total Fee
PLAN CHECK VALIDATION � CAeH PERMIT VALI A ION K. M.o. CASH
6 823 57.60 ' �f
76A636A CE 7t 803B 1275 0 ^ �{ci•L;�;ti0Y I t .�.1 �•,� ! } �_:'
__ 7 U i
A ROAD DEPT. PERMIT IS
FOR f;,"JY JMATcRIAL ST'- OR V,
DONE IN THE ROAD RiGn f OF WAY.
�eweaewce#..seas APPLICATION FOR BUILDING PLE41WIT I
COUNTY OF LOS ANGELES BUILDING C r
DEPARTMENT OF COUNTY ENGINEER ?DDR ESS
BUILDING AND SAFETY DIVISION LOCALITY LII
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE P ESSED BY
FOR APPLICANT TO FILL IN /' I CONST., e -�
BUILDING STATISTICAL CL SSIFICATION SEWER MAP
ADDRESS .QI BK Q
CLASS.NO.pq DWELL. UNITS �
LOT NO. -
,I BLOCK NUMBER �yC / STATE
YES ��o�l
TRACTAh USE ZONE SPECIAL
SIZE OF LOT �.! V .S^ NOW ON LOTS 3
USE OF N2-
CONDITIONS
USE OF ' •%
EXISTING BLDG. .QQ,r e, • BUILDINGEXIST.
SETBACK YARD HWY STI7 ET Nf.ME WIDTH
OWNER FRONT J[l j
MAIL P.L.
AX
ADDRESS SIDE
TEL. 2•�e K —P.L.
CITY tr -�„ _,a C- NO. INSPECTION RECO
ARCHITECT OR (� L TEL.
ENGINEER J ?�Y�R� NO.
ADDRESS t .
TEL.
CONTRACTOR NO. _
ADDRESS C
DESCRIPTION OF WORK \
NEW DD ALTER REPAIR DEMOLISH
SQ. FT. ''11 NO. OF `
SIZE V STORIES
S FAMILIES \\
USE OF
STRUCTURE
SIGNATURE OF v
APPLICANT r
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS 'O q FOUNDATION: LOCATION
FORMS,MATERIALS
VALUATION S FRAME: FIRE STOPS,
BRACING,BOLTS
FURNACE: LOCATION,
P.C. PMT.
FEE S I FEE I 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 LATH,EXT.
STATE LAWS REGUL TIN UILDING O STR CTION.
SIGNATURE OF' `1 HOUSE NUMBER COR-
SIGNATURE OF& (^
PERMITTEE RECT AND POSTED v
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMT VALIDATION M.O. CASH
,ty7 1 2 2 , ;:;.i, 2 3 A 4.50 -
1
.J0- 1 4 5 SIA
L.
7
,. APPLICATIO FOR BU DING PERMIT
FOR APPLICANT UILDINGTO FILL IN (Print or type only)
ADDRESS 9440 E. &VIS IV ST. BUILDING _
ADDRESS
CITY "CEIMPI.E ciry ZIP /r
O.OF SLOGS. LOCALITY (�
SIZE OF LOT OW ON LOT NEAREST
CROSS ST.
ASSESSOR
TRACT B CK LOT NO MAP BOOK PAG PARCEL
TEL DISTRICT GaLi�
FIRE SSED BY
OWNER NArrER ANOFACrvgsjio. T. Z0- E
eeww
ADDRESS _I�'!� E. bIQl.�V �✓�'
t STATISTICAL CSI FICA TION SEWER_MAP
CITY 'ARCHITECT OR CITU ZIP TEL CLASS NO - �' DWELL.UNITS z_ BKA,
ENGINEERT OR SALEK NO. �4'lsj USE ZONE MAP . 1---
'w vt �rC �1w NO.
ADDRESS *I'(5 6� $Srh sr, VWAWA) I"I �,? SPECIAL
a CONDITIONS
CONTRACTOR MOTE "ARDL NOL t4?�8 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
ADDRESS ,25�,7 'E.57� 7f NO.LI Ug9Z4
BLDG,SETBACK FROM
CITY V8040A) CIL SS G-16 FRONT PROP.LINE OF )STREET(
HIGHWAY YARD TOTAL SETBACK FROM TYPE OF EXISTING
CONSTRUCTION LENDER
NAME AND BRANCH FRONT PROP. LINE HIGHWAY WIDTH
ADDRESS CITY + >"
SQ. FT. NO. OF NO. OF CHECK BLDG.SETBACK FROM C:)
SIZE STORIES FAMILIES ONE SIDE PROP.LINE OF (STREET) U
❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EX
NEW ISTING CD
DESCRIPTION OF WORK A� 01-90A) OF SIDE PROP. LINE HIGHWAY WIDTH
TWO PRiNK6ER 1�lEADS ADD ❑ + _
ALTER ❑ Z
CORNER CUTOFF YES ❑ NO ❑
REPAIR❑
USE OF DEMOL ❑
EXISTING BLD/G��.CG ''nn tt www IN OPEN SPACE YES ❑ NO ❑
AP PRI N T)NT�I^G �AAQ (�� NOL7AV9f0 IN COASTAL ZONE YES ❑ NO ❑
BY (SIGNATURE) 00, ENVIRONMENTAL CATEGORICAL EXEMPTION YES❑ NO ❑
/� IMPACT EXEMPTION DECLARATION SIGNED (DATE)
VALUATION (�00e �" IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
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 FINAL BY
PERMITTEE �� DATE
ADDRESS ffri` • P.C. $ PM:f.
"' TEL
FEE 'P FEE
�
� i�A�v Iy . Idtr .�" /;
CITY NO. A 7 ..JJ (�� I N 7
PLAN CHECK VALIDATION / CK. ) M O. CASH PERMIT VALIDATION{ CK. s M O. CASH
7 1 5 ,.lUL 6-9 2 3 5.4 U
76A638B CE9803A 5/73 ')
� 1
7DwI3.A C:.DDDB-aa APPLICATION FOR. BUILDIN PERMIT lul
COUNTY OF LOS ANGELES 'B U I La I N o
DEPARTMENT OF COUNTY ENGINEER ADDREDf
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE-. COUNTY ENGINEER llfAR EDT
-COLEMAN W. JENKIND.tUF•T OF ■UILDINa ICRbdD ST.
OIDTRICT�HO• OR TYPE D
FOR APPLICANT TO FILL IN CONST.
BUILDINGD STATISTICAL CL DIFICATION _ SE*E MAP
ADDRESS CLADS NO. DI/ELL UNI T� 6K - PO
LOT NO ■LOCK USE ZONE MAP'
[J r
TRACT PECIAL
B0. OF SLDGS.
41ZR OF LOT NOW ON LO
USE OFOz1'/�
SLOW. SETBACK FROM - -
TKL. FIIONT PROP. LINE OF (STREET)
OWN 7 OL AIX NO. PE OF [KIBTINGSETBACI( HIGHWAY' YARD = TOTAL,
�� CIL
A0DRKD!
CITY. -
C E TEL. SLOG. SETBACEYRQM
NOINEER NO. SIDE PROP. LINE OF - STREET
Tylb E b F EIISTING H
SETBACK. HIGWAY + .YARD = TOTAL
ADDRESS AIf HWAY WIDTH FROM C.L.
OONTRACTOR All,Cl NEL. Z LIC
ADDRESS NO ` e COR{dH!11 CUTO F.Ir ! YEt NO
CITY 1C� 1Llc C L SEE,REVERSE SIDE; FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
NEW ADO ALTER IRIKI-AIRDEMO LIS - -
SQ.FT. NO. OF
SIZE STORIES FAMILIESUSE OF
-
lTRUCTURE -
SNATURE OF
PPLICANT
VALUATION$ ••00 APPROVALS bATS INBr ECTOR'S BIGIATUR
P C. PMT FOUNDATION, LOCATION'
FQ S FEES W �/ FORME MATERIALS
Tl�AMB, FIRE STOPS,'
1 HlDtOY ACKNOWLEDGE THAT I HAVE RRAD THIS AllLIUTION BRACING OL
AND STAT[ THAT•T}IE ABOVE-10 CORREC,' AND AGREE TO COMF•I�r FUJINACEI LOCATION
'WfrK ALL COUNTY ORDINANCES ANO STATE L.
LAWS JWGUATING GAO
.U,L.
NO CONSTRUCTION. I CKkTIFY THAT. IN DOC DOING THWANK
AUTHORIZED HEREBY I WILL NOT EFR•LOY ANY RQOON IN VIOL^- LATH. INT,
T1oN OF THE LA*on CDD[ Of THE STATE Of C,Aj-IFOIINIA RELAT-
ENO TO WORKYfEN•S G7i409?MAT16N fURANC>t. LATH. EXT.
<ION TURK OF �u/ FI U E NUMBI C R-
rtE�1M�TTEKAN D
ADDREG AL
JOHN F.LEWIS. PRINCI1-AL ST URAL ENGINEER
PLAN CTS VALIDATION cK: M.O._ CASH _ PERMIT VALIDATION M.O CASH
I - rLAW,
--
r
°4"A'PP•LICATION FOR BUILDING PERM11"~=Y- --t
UVl'l bF BUII.riIIQG,_MW $�Cn ;no�ls'rir° 1 ��� S
ri.��t, ' c� s-abl..` Q S fr 1. .
Co11I d q UAlngelm Lorl
JOHN A.CC�1..tt��ilBYll.-COUNTY K?4QtNxxR
CA *Art M C RIFFIN.fUT'T OF■uu-nuns C
-Ross ST.
= T�+� DISTI�f NO. GROUP M6 - alKWRR.. MAP
Far
..
FOR, PUCIMT TO M IN CO NBT.
B U I LD JJ NO MAP STAT[
ADD (?4) NUMB"' I3WY YE#
LOT N0. ■LOCK USK.ZONE ePE�IAL T
CONDITIONS
TRACT.' (I �. _
NO.OF ELb01. 1f1
SPLB OF LOT NOW ON LOT BUILDINGYARD -�yY # � �E' xxIST
USE OF AWMACK WI
]EXINTINGIBLDO. 12 I V-16FRONT
P. L
OVI INIKR ljLjwltb± SIDE '
IL
DRnw .0 42 TRACE'DWELL A UNIT` � INDUSTRIAL
T /itL C DWKLL I UNJT
C O. Q PpBLIC BL6a. . ,
ARCHITECT OR - - TM_ - 2 DUPLE:C 9 . ["IT* 7 ADDN. ALT.,Vfr—
ENOIN[ER O. 8 Ar-.' UNRQ
8 1115�ltL
ADDRESS 4 CQMMVtCIALrttnr�r r
CONTkACTOP=
R -NO.- - M ON BgCOBD .
AD RHES
DESCRIMON W VQOBK.=.
NEWAD ALIM REPAIR ptrmOLISH
SQ.P?. NO. OP Npp.�OF
.SIZE btti[o H1{MILIE� -USE OF STRUCTUI;E - - .. .
SIGNATURlt OF .. T
APPL.I APPROVAL*
ADDRESS DATE I ECtOR'S•ro[Aroltq
UNDATIQN:LOCATIQN
. - �` �^ p•C: s _ f0 MS.MAT$1tlAL6 l I b �fm -
VALUATION 11Y1 �a s ) Q BRAC NO.DOLTS
Ftr1AClR: LOCA ION.-
.
1 Hmi[SY ACKNOVVt1SD0[ THAT 1'HAV[ Rk[AD TIiIA OAA VENT• DUCT6
APPLICATION AND jrrATE TRAT THE'ABOVE IS COIf�RECT
AND AOR[LTb COMPLY WIT F# COUNTY OItD1NANC[G LATH. INT.
AND STATE ATE 7 AWS REGULATING BUILDING.-CONSTRUC-
T
ION.. .
LATH.EXT,
.81 - 'YURs OF. HOUSE NUMBER COR-
t
iIiRMITTBE RIKCT AND POSTED
ADDR Y FINAL
tjoHN a►.usig. couNT,r•$NmINk=. ATiON CLYDE N. DIRLA ."CHIIQF�LDm. iN"ILCTbIt
- CX
MQ CASH -
U/44"jd
o
l�eABaeA C19.803 a-0e� APPLICATION FOR BUILDING PERMIT
�
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Gidlgiv
BUILDING AND SAFETY DIVISION LOCAL 1 TY Tegwle City
JOHN A. L.AMBIE. COUNTY ENaIN[[R NEAREST _
COLEMAN W. JENKINS.WUP•T OF BUILDING CROSS ST.
DIST ICT
D. I GROUP I TYPE P OC SSj1D BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL LAISIFICATIC14 SEWER MAP
ADDRESS 11 CLASS NO. DWELL UNhTS D PO
LOT NO. /j BLOCK USE ZONE -MAP --
d N
TRACT y SPEC: L -
NO. OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF
■LD/. SETBACK FROM .
T[L. M'RONT PROP. LIN[ OF (STREET)
O N N • TYPE OF _ EXISTING SETBACK HIGHAY YARD TOTAL
win
ADDRESS 9LLILA Iritilpy
TH "QM C
CITY
C 1 EC OR TEL. SLOG. SETSACR FROM _
NQIN[ER NO. SID[ PROP. LIN[ OF !TREE
T E OF EXISTING SETSACE HIGHWAY _ + YARD r. TOTAL
ADDRESS G HIGHWAY WIDTH FII OM C.L. '
CONTRACTOR TE. 796-7116 +
ADDRESS LIC. 78681 CORNER CUTOFF YES NO
CITY qj-Q" Mjari-nn CLASSLIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK pqy
NHW X ADD ALTER REPAIR DHMOLISH Z
SQ.FT. .. NO. OF NO. OF
SIZE STORIES FAMILIES
eTRUCTU E Run. gas line and install
furnace 50,000 BTU
SIGNATURE OF
APPLICANT
VALUATION$ 2 0 0 .00 APPROVAL! bATE IMSP[CTOR'S/:!MATURE
P.C. PMT. A FOUNDATION, LOCATION
FREEF[H FORMS MATERIALS
AM[, FIRE S:FOIbS,'
1 HKVMBY ACKNOWLIaH
b [ THAT I HAVE ROAD THIS APPLICATION BRACING BOLT
AND STAT[ THAT THE ABOVE I/ COMtKCT ANO AURM TO COMPLY FURNACE: LOCATIONWITH ALL COUNTY ORDINANCES AND /TAT[ LAWS REGULATING GAS V N
WILDING CO►MTIUCTION
R . 1
CERTIFY THATW
IN DOING THE OR:(
AUTHOMID HKMItY I WILL NOT EMPLOY A" PWU ON IN VIOLA- LATH. INT.
TON OF THE LAB01R COD[ OF THE STAT[ OF IF NI RELAY-
ING TO WOIIKM[N'/Cf7 /A INS •LATH. [%T.
SIGNATURE OF HOUSE NUMBER COR
PBAIM ITT[[ RIJCT_AN
ADDRFS dIlk KZ2,71— F I N A L
JOHN F. LEW1S, PRINCIPAL STRUCTURAL
PLAN CHEXX VALIDATION CK.. mo. CASH _ PERMIT VALIDATION cx- wo CAGiF1
lJEllJo 2 1 9 7 t,YEC 5 1 D .0 0
T .
LICATI.ON FOR Il
BUILDING PERMIT
FOR APPLICANT TO FILL IN ADD 65S D
BUILDING '
ADDRSS 4 4o (a 1v r= 5 LOULTTY
NEAREST
CITY~Rt E C I ZIP -90 CRCISS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT ON LOT AMP BOOK I P E PARCH
DISTRICT GROUP TYPE FIRE 29= BY
TRACT t BL LOT NO. CONST.
OWNER — STATISTICAL C,7ASSIFICATIONSEWERJMP
ADDRESS I CLAMNO. ��DWELL UNITS BK PG
CITY Q�� L ZIP 0 USE,ZONE NSD 4
AENGINEERI �/ t 't Q NO 7'' — Sp fel- sPEC�AI �J
C DITIC>{JS
ADDRESS S l.L Q G - RQAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
TEL
CO NTRACTOR't?U C NO. BLDG.SETBACK FROM
LIC
FRONT PROP.L W E OF LST REEK
ADDRESS r I,I U NO. TOTAL SETBACK FROM TYPE OF EXISTING
�^1 HI WAY + .YARD FRONT PROP.LINE HIGHWAY WIDTH
CITY G 'Q,c>v 14 CCIASS
CONSTRUCTION LENDER
NAME AND BRANCH C-KEBLDG.SETBACK NI`_ O
ADDRESS QTY SIDE PROP,LINE OF ISTREED 0
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD 'r TOT EBACK FROM TYPE OF EXISTING-
Sl ZE
GSIZE STORIES FAMILIES ONE SIDEPRO'V.'HNE HIGHWAY :WIDTH vva�
DESCRIPTION OF WORK NEW `
ADD CORNER CUTOFF YES ❑ NO
C
ALTER IN OPEN SPACE YES ❑ NO ❑ A� .
USE OF REPAIR IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. L/\/tZ E d DEMYOL
APIPUCANT bu a Q G CoT�.. TEL. Q�3` �-�i:v� �vnT- a,v d t�
BY ISIGNATUREI
I HEREBY AOQJOWLEDGE THAT I HAVE READ THIS APPUCA -AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH All ORDINANCES
AND LAWS REG"TING BUILDING CONSTR�I CERTIFY THAT W DCING THE
WORK AUTHOR ZED HEREBY.I WILL NOT EMPLOY ANY P65ON IN VIOLATKCN Of
THE LABOR CODE OFJHE STATE OF CALIFORNIA IN RELATW G.TO WOWCMBN'S CD& -
PEN6ATpN I .
S4TU RE OF
PKER�M1TTEEE ANAL. Q��� BY
TE �'T
ADDRESS I Iorc W,& L I.J /
C1Tl 1Z TEl-NO. P.C. Fee$ 6G - Perm It Fee �-
NE 2 rr� �-7 F.
w Issuance Fee
VALUATION p l� T / Q Total F
"PLA -CHK ALIVAWDTION M.O. LM _ PE MRVAUDATION, . OK Wo. CASH
,2 olo-omm
80.0 a Azle
(N 76AMM19 ca feoan e/77
Cr �
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDINGG-� L.F DEPARTMENT
OF LOS ANGELES
ADDRESS OF COUNTY ENGINEER
CITY [.E CizIP p BUILDING AND SAFETY DIVISION
00.OF BLDGS. BUILDING '
SIZE OF LOT NOW ON LOT ADDRESS
TRACT BLOCK LOT NO. LOCALI
/ /� TEL. NEAREST
OWNER 71 G� NO. CROSS ST.
ASSESSOR
ADDRESS iDL(j' s MAP BOOK PA L
/ DISTRICT GROUP TYPE FIRE P OCES ED BY
CITY [ ZIP 117?0 r• CONST. ZONE ✓1
ARCHITECT OR TEL L
ENGINEER NO.
STATISTICAL CLASSIFICATION gEyVER MAP
ADDRESS CLASS NC��DWELL,UNIT3 LB
CONTRACTOR CiO/'{/L/�JQ�� C� TE0.L. Z ,/-r USE ZONE MAP
LIC. O NO.
ADDRESS,kI( L NO. � L Af�'L SPECIAL
/+ LIC. CONDITIONS
CITY _, C L( CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
CONSTRUC-MO LENDER
NAME AND BRANCH DIl/E BLDG,SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY - TOTAL SETBACK FROM TYPE OF EXISTING
30, FT. NO. OF NO. OF CHECK HIGHWAY } YARD - FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE C=
+
DESCRIPTION OF WORK NEW 1:1IU
BLDG•SETBACKFROM d
DD
�S �� ❑ SIDE PROP.LINE OF (STREET) Z
LTER HIGHWAY + YAR _ OTAL SETBACK FROM TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE
+
EXISTING BLDG, v` EMOL ❑
APPLICANTG(JJL-(jll-eCCa T �y) CORNER CUTOFF YES ❑ NO ❑
(PRINT)�� N Z'/
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
� e7
VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY NOWLEDSE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STAT[ TAT THE ABOVE IS CORRECT AND AOREK TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL 0RDIKANCES AND LAWS REGULATING BUILDING 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
LA EOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPS NSATION INSURANCE. W
91GNATURE OF /2 Q dAl -D W/✓
PERMITTEE
ADDRESS C N D r
FINAL BY
TEL. DATE
CITY NO.
IL-IKE (.HE(.KS P- }'ABLE TO: FEE Y FEE
HARVEY T. BRANOT C UNTY ENGINEER
ref
PLAN CHECg VALIDA . CK. M.O CASH PERMIT VALIDATION CN. M.O. CASH
76AO3EA CE#503 I2/72
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPUCANT TO FILL IN
I hereby affirm that I have a certlflcate of Consent to self h& e, MILDMAMlIE88
or a c9rtIfic$te of Vkrkers' CornPonaatbn Insurance,or a certtffed _
copy thereof( 3aQ o c) y rt K(ftrL c(I`'/ ZIP c FF �ocw ry
Pow,No. N S' �,� g191� A-0 '
�,/ _ / S�OF LOT NO.OF B1D08 NOW ON LOT
Ge rtlfled copy is hereby fumbbed 6 NEAREST CA033 ST.
ElCertfM1ed copy is filed with the cou TRACE LOT N0.
amt USE ZONE MAP NO.
Date e Appibant ASSESSOR MAP BOOK PAGE PARCEL// _ SPECIAL CONDrfION3
CERTIFICATE OF EXEMPTION FROM WORKERS' yy TEL No.
I COMPENSATION INSURANCE ;
E[{7Wf- Jif' ( YATM IOoo Fr.of SCHOOL? YES No
0-W section need not be completed If the permit Is for one hundred �iDG�¢,>r �T DWTR1('T GROW CONST. FRE ZONE PROCESSED BY
douaro ($100) or less.) QQ
I certlfy that In the performance d the work for which thin permit C r,�� �r�/ �cq 9r d�/ J`, /�
Is laeued. I shall not employ arty person In ary manner so as to ARCF�TECi OR ENc3Y�lEER TEL Na
becorme aub}ed to the Vk6wra'Compensation Lewe g7romx a.AsSFr-TK)N APT CONDO
Date Applbent ADDRESS CLASS NO. g5:? 2:: DWELL u M
NOTPCE TO APPLKiaNT.• If, after makkV this Certificate of SETBACK EXIST
Exempt n, you should become become sub} ct to the lhtxkers' CONTRACTOR TEL Na ABACK )AM HWY ro� F�
PRO LINEWUUT
Compensation provisions of the Labor Code, you must forthwfth qumrfm FIM PROT (11 Id) '4/3-35c3
Comply with such provWom or this permtt shall be deemed revoked. ADDRESS LIC.NO. pF LRONf(
P693;6t' cuR[r&e R� 66 +4;-7- SIDE 23
LICENSED CONTRACTORS DECLARATION
` I hereby affirm that I am Ircense� underprovbbrrs of Chapter 8 5 R LST l X8°1 LIC a�_Aalsb PSEWER MAP 193.27
(oonyw-ocIrV wtth Seddon 7000)of Dfvtebn 3 of the Biu6hBee and 3a FT.SIZE No.of STC`R S Na of Fm
s
EW ev, Pa
Profeesk" Coda,epd fa In furl force and a/(t N
Ucernse Number G Lb.Clam DESCFWITON of WOW ADD � ��ON
C«ntrador Data /�-�9-9 S t1�o� I li P R 11V kL�r2 ALTER ❑ $ 0�(7 TOTAL 183_27g
' ❑ I am exempt under Seo.
REPAIR ❑ CHECK W.
BAP.C.for this reason DEMOL ❑ LDMA PIC r V1lf7lL ■
k21-1 1. USE OFEXI.STING 131-13G. URM ❑
Sig-tura APPLICANT(Pfeil() TEL 40. LDAIA Perm f !V 1 Q✓ J.r 3
❑ t owner rn the Ian, %10 d my empk yeeeand with wages as Z 3303 1 Ali 91
their ase corripensarion, wfo do the work and the structure Is �� 1
not Intended or offered for sale (Seddon 7044, Elralness and FINAL Doa-E
Profeaslone Code) wu TFE APR"Kr OR RMLFE B■DIQ OCCk"rT HNOLE A FL ►wwK Z— -�,$
❑ I as owner d the property, am exckolvefy contracting with OR A►ocrtr�cari+�ax3 A FMZARDOItn WUE3d1�L Earn m oR DAEKFEA n v!r TFE 1
AM"CM OPECFED ON n-E F MDOUD IL�O'6AKLa W*W.K 10N owe? FINAL BY
Icer sed caTtraotore to construct the proled (section 7044, YEs❑ No❑ AOGT■i
Business and Professions Code.)
„f . of TME aUIDLM ONBTR TI 1}E APPur�vrr OR FUTUFROM Tau OUTH 3303 ?10.57
ocaaP,rrT RFIII an A PeRUT FOR coNerRucrnN OR MoorRcvoN Prnoa rFE souTH
CONSTRUCTION LENDING AGENCY COMT AP O11AUry 1Yl1�OFA NT obTRrCT WJCMM aEE PB:M o Ca�tar FOR 1 ITERS
I hereby affirm that Uwe to a construction lena��s ding agency for YE8❑ No❑
the performance of the work for which thfa permit is issued(Sec. i waw READ THE 1- z;w MEHINe IC-OFOAC KN GLIDE AND THE 8C1ao PEWTTw TOTAL 210 .57
m 3087, Ctv.C.) CrEaaisr.i UNDE491-M WY REOUFVzk r UNDER THE LOS ANGELES courTv cone
TM-E 2,CFVFTEP 220 SECTIONS 220.100 T}fi0"2-0.140 CONcEF rf10 FV.ARDOUB �� �10■
Lenders Name LWUVLs PEPORTM AND FOR OEP!!rG A PUW FF"A TFE BCAQMD.
57
Lenders Addreas - .100
0 o.il 61 AONNT
I certify that I have read this appkation and state under pernRy P FEF pp�tT FEE
w
perry Imfomrafdon Is correct-I epee to compry (y? �7
fth all and state laws relaft to buildng leg 0000•-0001 ].2/19/95
to enter ebov� a d this C«nty ""� 3$67 1 A�111:04
o^ / !INVESTIGATION FEF TO
V�L FEE / D .
■-V—■ A„*. a o.. /
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS"COMPENSATION DECLARATION
i I hereby affirm that I have a certificate of consent to self APPLICATION FOR- BUILDING P E RM I T
Insure, or a certificate of Workers'Comperutlon Insurance, or
a certffled copy thereof (Sec. 3800, Lab. C.)
� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. 'Company
Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
!f ADDRESS
❑ Certlfled copy Is filed with the county building Inipec- BUILDING L
tion department. ADDRESS 5 LOCALITY
NEAREST
DateApplicant CITY L ZIP 6d CROSS ST. LCf�
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE Cif LOT NOW ON LOT MAP BOOK P PARCEL
(This section need not be com ]Died If the permit Is for one USE ZONE AMP
hundred dollars ($100)or less. TRACT +1BL.00x L T NO ,{/�j, NO.PECIAL
}
OWNER11 F�l6UU t 0. + " c ITIONS a
I certify that In the performance of the work for which this DISTRICT GROIJ TYPE FIRE PROCESSED BY O
permit is Issued, I shall not employ any person In any manner U
to as to beco/mp�e subject to the Work nsctlon Laws. 'SSS S41- /e K � CONSTC Try ZOANE. O
Date Applic "�' "' ZIP LR 1rL,>v FL STAA.,TOKAL�{ CLASSIFK_ATION ) APT. CCK•DO. rj
NOTICE TO APPLICANT: If, after making this Certificat fr -A.. j TNO.00 CLASS ryD pyy�L UNITS
LU
Exemption, you should become subject to the Wo n'
Compensatlon provisions of the Labor Code, you must rth- ADDRESS V.� R MAP
with comply with such provisions or this permit shall. be '1�A / —
deemed revoked. CONTRACTOR svt, BK.L-- PG, z� VALIDATION
LICENSED CONTRACTORS DECLARATION UC -
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION
(commencing with Section 7000)of DlvWon 3 of the Business and Lr—
Professions Code, and my license Is In full force and effect. CITY $
�DO
SQ. FT nn NO. OF NO. OF CHECK
License Number Llc.Class SIZE L STORIES FAMILIES ONE
Contractor Date DESCRIPTION OF WORK NEW ❑ s �b 0,4 8 A
am exempt from the licensing requirements as I am a 11121VC Fdl ADD TFC 0 FINADATEL # • 0-0 e 23
licensed architect or a registered professional engineer ❑ FINAL
acting In my professional capacity (Section 7051, % REPAIR ❑ 'T 2 ° -49.20
Business and Profeulons Code). USE OF BLMLSGA FINALy�
[STING DG. 4FA EJBy ��' ° 4 9 49.205
Llc.or Reg. No. Date APPUCI+NT TEL. t t
OWNER-BUILDER DECLARATION PRINT NO. 9, Q 3'—8 2
1 hereby affirm that I am exempt from the Contractorsticense
Law for the-following reason (Section 7031.5, Business and ADDRESS
r
Professidns Code):
El 1, as owner of the property, 'employees BUILDING
p p rty, or my em to Des with ADDRESS
wages as their sole compensatlon,pill do the work and
the structure Is not Intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING_ TEL 6 0 a 9 A
FTI, as owner of the property, am exclusively contracting CONTRACTOR NO. ,
with licensed contractors to construct the project (Sec- ADDRESS # • 0 0 0 0
tlon 7044, Busingss and Professlons Code).
CONSTRUCTION LENDING AGENCY REQUIRED YARD Ham, TOTAL OP. LIN FROM IXIST. 2 °r°,7 (�00
q SET BACK PROP. LINE WIDTH I' 7 Q O.Q U
I hereby affirm that there Is a construction lending agency for FRONT o to 0
the performance of the work for which this permit Is Issued P.L '9.'0 3'_8 2
(Sec. 3097, CIV. C.). SIDE
P.L
Lender's Name
$_ Lender's Address P_C Fee S �— Pe rnit Fee. ♦�
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, O
and hereby authorize representatives of this County to enter Total FM
u n the -mentioned property for Inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Slghoture of Appll Agent Dole ms
f APPLICATION FOR- BUILDING PERMIT �
COUNTY Of LOS ANGELES BUILDING AND SAFETY
MIORKE"COMPENSATION DECLARATION f'OR APPuaAW TO FRI M rs�Df
" BIAD NG ADDRIM
I hereby affirm dw I have a certHioam of oorsent to..If ksyre, 30
or•Cantil"of Workers'CompersstlDn Innr.ncs,or a certified 94
4-0 Odley
COPY y flVmNo, -y1 ) ,y Stat FU d Temple Cit
SIM OF LAT Tao-Of FDM NOW ON LAT
❑ Certtfi.d copy I.hereby fu nl.h.d NF T sT-
C.r~ Copy is tied wMh do TRACT BLOM L OT No
UBE zOw YAP Na
ABBEMIeoR YAP Boor( PAGE /T •:
D"'" - 8592 3 SPECIAL COPnfTfoNe
CFRTEFI'. OWNER - TEL NO.
COO[NBATION PURAlA ICE VAS SQ I. Corp. 1378-5882 w+TWN,Coo FT..of SCHOOL? Y% NO
Mile section.need not be Completed If the permit]e for one hundred ,i(J U w. Service R a'd DT RICT cFcx� r�ZONE BY
dDIm (i10oj or lee..) CITY
I a.rtlfy that kr the perforTrsrnoe of the work for wHoh tthta per" C h d n t I I 1Y, V i J•d
Js I.wuidr I ehal not.employ smy person In arty manner.o m b ARCHITECT OR ENONEERart
TEL
NO
beoon VA*@°t 10 the Wwrs!c .tlon Lwhs. Pittman Group u 3 8-2 SUUWr?CAr APT CONDO
N0nQ1- To ,nuc If, after m king th" CertIfloal. of �11320 Flynn Rd 202 CLAW � TOTAL BETBACK FROM EXOT
Ex"mptloh, you should bwome subjeot to ft Wfori, Rtl e1"StcmRdte Bid Mdte� Id TEL No SET MAX 1kFn "w', PROPS M�
C,otnpeff.alon proviilorr of the Labor'Code,you must forthwith - FRONT
oompiy with such provisions or this perrnit sh Il I be deemed Tevo4d. ADDFIM LIC."a P L
19011
� Bay
ucErr�aED DIaaRnT«oN Rp�TT�Yr LX-cLAee PL
I hereby affirm that I am licensed undsr prgvWprs.of Ctopl�r o Mak rsf iel d CA -C- O MAP(Cormwnch wtth Section 7000)of Division 3 of the f3usinese r 7 84 SUMFT.BN0.OF J!TOtt W.Of FAMUM
Proles.iors cod., In tufl fmoe,nd NEW ❑ w T L Pb .
Lk"m f3 Dt�catPrfoN QF wore( ADD Q -VALOATM ,
Conb*C'tDr _ ALTER ❑ $
.xbn der Seo renRE PAJ R ❑ $ _
BAkP a for this reason o EIAOL LDYA ft/
IME
L E QF aSTING Bt Da
Vacant - �"
❑ . . 1
8fQle�rs 6F-
APPLICANT IC,ANT(PRrn7 Na LDMA Perm e
C� 1, *s owner of the property, or fth my mnpkry wwails"s t T448-36 ` CT.T
their sole Cornpersatlon,vM do the work and the n I. 1� .`-`
not klbnded or of l red for"ale (Section 7044, Bu.Yhe.s and l7ML DAT9 330 25
Prot..dors code.)
wuireAPQLgWioraPUTUREeuALDeaocaUPAwr HANDLE AHNZARoareWAnFAAL ' . 1" ITEI's
OR A MMr
,.,,,. ,,, U E OOWDUNDQ A HAZ FEOSA WOIeiAL MXAAL TO OR GFE6VER THAN
D 4lgersed contractors construct prp}e0<.(Smo n TIM. YeeTHE AYExI)fT7��ID ON THE FWAROOIM YU7{ALe M'OR\YQIOM a�ff Irsw.,r. > TOTAL
170
Eu.ineM f�idyProls.eiors Code) THE Mreom US!Or THE B■DOM BY THE APPUGANT OR RJ UFW S•TfPOin �c1; 170.25
i1r1�iT�ON L. NQA Y COW AST Rlrx�A Pelr R OOra<h}iXTnOIN OR Ye'C:Qhf
OOIOM R10*T90LrrH
{Jrf
V ; .
QLWXrY WwA�IT DWrF@CT tt�M P VWMNo OST
FOR ate---
I hereby affkTh OW there k constru tion WW1rQ agency for Ys❑ No
therrde of the work for vrfhich thY penThft r Issued(Seo i HAM&READ THE tw.MOOUG bLVINVALS.eORYIvbHE N OUIDS AND TeoAQMD
0 3087,,Civ.C.).hanI Per\aTTMO O-oCl4Je1: UOQUVID w REOu.afMKM L040M THE LOS ANGLES
P , �— ODDe.TmO;CW1Prl1 LID�T1DN'J LSdh00 T}f MH IM10 C0060�lq
d MgMSALO FIRTSTM AM POR 08 vkJNVQ A POWT RTOY THE""MMX
Lender Addres
4 02 1 011:23
0�41 ASL
I certify OW I have read thi.applioatton and Sims ttst the shore
MTtorma ort la oorreot- I &" to oomply with v county RC.FEE PBt�fT FEE
ordkherabei and State lawn reiEdW to bu6dtnp oonMr wfton,andheres
the byarthortas bore don. r,tfrep y for thils County to a,Imm purpow� upon teaUAr FEE -9,f/
7—f
e LW#Mgn AnON FEE - TOv,L FEE
~ 80r .f Appar r AW" Oar -
--
SM FIIUV i!POR kXPLAI+IATOW r serer AM,
WORKERS'COMPENSATION DECLARATION
affirm that l have
hereby aa certificate of roto sell APPLICATION FOR BUILDING PERMIT
Insure, or a certificate of Workers' Compensation Ins Insurance,
certffled }��p ytheroofs . 3800, Lab.
(� o -01 't�!(o—q� � �� COUNTY OF LOS ANGELES BUILDING AND SAFETY
�cy No. CompanyLit
Certified copy Is hereby furnished. FOR APPLICANT TO.FILL IN BUILDING 0
Certtfled copy Is filed with the county building Inspec- BUILDING /II '' ((�1
tlon department: ADDRTSS �Tv. C' I L 1 LOCALMY
NYA
Date — pllcant QTY / ti. L 1� ZIP CRO55 5T. �M P�- L
CERTIFICATE OF ION FROM WORKERS' NO.OF BLDOS. ASSESSOR
COMPENSATION INSURANCE SRE OF LOT NOW ON L MAP BOOK PAGE PARCEL
(This section need not be corn leted if the permit is for one USE ZONE
AAA
hundred dollars (;100)or less �� BLOCx LOT NO.
No
I certify that In the performance of the work for which this ON r " �T�T R- \`� Noz4Li Z O "' a
rmlt Is Issued, I shall not employ an n In an manner ( Dt9RfCT GROUP TYPE FI RE PROCESSED BY U
so as to become subject to the Work"'Compensation Laws. ADDRESS Y -4' 1� �" `S-T— Q n/ r Z p�
Date Applicant c1rry ECT OR ` P TEL STATISTICAL F1C'A APT. F-
NOTICE TO APPLICANT: If, after making this Certtflcote of V
Exemption, you should become subject to the Worker rJ�2 NO. CLASS NO. D1M91_ UNITS N
Compensation provisions of the Labor Code, you must forth- ADDRESS_. Stlh�R MAP #A
with comply with such provisions or this petmft shall be I _
deemed revoked. CONTRACTOR 1 1 1 P 2 C7 TEL. BK_ PG, r VALIDATK)N
LICENSED CONTRACTORS DECLARATION
I hereby affirm that i am Ilcensed under provisions of Chapter 9 ADDRESS / / �OR t�►.� NOra<- 3 2- VAWATION
cemmertcing with Section 7000)of Division 3 of the Buslnew and
uc
essbns Code,and my License b In full forte and effect. �'L(-)MOya T' Cal.p,SS� $ B ,
SQ. FT. A I' ONE
NO.of of
STORIES
C
License Num O (�+LI�Clan l0 Si2E STORIES MILES ONE
Contractor W 1 �t t w —2-�— DES621PT10N OF WORK 1 to ❑ S
ADD
I am exempt under Sec.
1J °sr P L O SIP R-R,- ❑
ALTER FINA.I. --�
�N� �v �}� DATE
B.BP.0 for this reason �sIR ❑ v
Date: USE OF R
EMSIING BLDG. xmc>L i❑ M'
Signature APPLICANT L.� Co No
OWNER-BUILDER DECLARATION (PVJNTKC ,
I hereby affirm that I am
exempt from the Contractors Lloonae 1Q; t -N) O<L, 14 X10
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT
o BUILDING
I, as owner of the
property, or my employees with ADDRESS
wages as their sole compensation,will do the work and.
the strucivre is riot Intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING Ta- A 3 6 6 6 A
❑ I, as owner of the property, am exclusively controciing OR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and-Profestions Coded puSr �$ro{0 0 0 • 1'
CONSTRUCTION LENDING AGENCY
REQUIRED
g�c YARD T�PVA rR WIDTH' , 2 4 47.0 0
OM
I hereby affirm that there Is a construction lending agency for FRONT _ -
the performance of the work for which this permit Is Issued P `o'0 4 47. 0 0 ci
iSec. 3097, Civ. C�). SIDE _ 0,8.2'1 —84
o
P.L.
Lender's Name /
C Lenders Address P.0 Fee$ Perm It Fee C� r
I certify that I have read this application and. state that the Ia uartce Foe Q
above Information Is correct. I agree to comply with,all County InvaW on Fee
ordlntances and State laws relating to building construction, Total Fee
and hereby authorize representatives of this County to enter
upon a above-mentioned property for Inspection purpoeea.
6 ,�— $—ZJ•—(�� r h Eta .. . POR t'�(TLAl1ATOi[Y lAHauAw
rwture of Applicant or Agent Date
WORKERS'COMPENSATION DECLARATION - - .
I hereby affirm that I have a certificate of consent to self
Insure, ar acertificate of Workers' Compensation Insurance, APPL CATIQN F R BUILDING PERMIT '
or a certtfled copy thereof (Sec. 3800, Lab. C.)
10 9547 . Com On, COUNTY OF LOS ANGELES BUILDING-AND SAFETY
Pol lcy No. pan
tertlfled gopy Is herebyfurhWW. FOR APPLICANt TO FILL IN BUILDING
- ADDREss
tion deedpa�pt filed with the county ding I BUS 9440 Gidle
Ddte $- 9-$$Applicant CrrY LP 91780 LOCALITY
CERTIFICATE Of F� PT}
MON•F WO NO. OF BLDGS_ rEARfST _
COMPENSATION I SLZE OF LOT NOW ON ST.
(This section need not be cora jtted If the permit is fot one - ' • ASSESSOR
hundred dollars(=100)or less TRACT BLOCK LOT NO. MAP BOOK PAGE PARCB
TEL USE ZONE
I certify that In the-performance of the work for which this — — NO
permit is issued, I shall not employ any perwn In any manner 9440 Gidle
w as to become subjgct to the Workwi .Compensation Laws. Ow 8
Date Applicant crry Temple City 71P
NOTICE TO APPCIE.4NT: If, after makln this Certificate of ARCd DISTRICT GROUP TYPE FM BY,
Exemption, you should become subject to the Workers' 04t�j' ZOP! `j.
Compensation provWons of the Labor Code,you must forth- ADDRESS
rwith comply
such provons or this.permit shall be
deemedrevoked. ETAT13T1G11 C1ASSIryCA, y', AFT. Z
tICENSM CONTRACTORS DECLARATION U(_ aASSS NQ, GME7J_ UNITE
1 hwvby-a firm that I am Ikeneed ubc6r provisions of Chapter 9 ADDRMS NO.
(commendnq with Section 7000)of Dlvlslpn 3 of the Bus.1nees and Ur— bEWER MAF
Profe�]one ,.and my Iran Is In full force'and effect. CITY Los Anizeles 90031 CLAS3 C— po. ?/ VALDAYM
SQ Fr. No.Or NO.or CHECK
LlcehseNumb�rPSq,6,-5 LIG C1. C-39 IE# OPE
VALUATION
lli
Contractor 8-2988 FrloN orwoRx $ 439801 0. 2 0 A
IL iP.C. for thisreason R AIR ..
oo4222 2
Date: 2W BLDG, commi-rciAl DEMOL 1 ,(j 0 4,'.8
81grioture APKIC M M RNAL
OWNER-eUILDER DECLARATION INT _
I hereby affirm that I am exempt from the Contractors Licen D
Law for the-following reason (Sectlon 7031,3, Buslnest and
Iwo
Nofwiorn Code):
I, as owner of the property, or my employees with ADDRESS
wogee as their sole compensation,will do the work and
the structure Is not Intended or offered for tale(Sectlpn
76644, Buslneee and Pro4eeslons.Code� MOVING TEL '
I, as owner of the property, am exclusively contracting NO.
with licensed contractors to construct the project (SecAD.DRESS
-
tlon.7044, Business and Profeselons Code}.
CONSTRUCTION LENDING AGENCY YARD HWY FROMU
I hereby affirm that there isa construction lending ogencyfor FRONT
the performance of the work for which this permit is Issued P
(Sec.'3097, Clv. C.). SIDE
P.L.
Lenders Name
8
LDMA Ref. #
IF.C- Fee Z FLrmtr Fee
Lenders Address ,
I certify that I have rood this-application and state that the � nc �. 10.50 LAMA P/C#
_o above Informatbn is coe larrect. I agree to comply with all County msrtyaMon Fee
ordinances and Statws relating to building construction, Tdal fev
422.2
and hereby authorize n of this County to enter LDMI'Perm.1
upon the *me red fpr Inapecibn purposes
8-29-88 tLa tei#IM roe KXPLAiiA70"LAHOUAaa
of w Dare
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKEWS COYPEN3ATt0N[DECLARATION POR APPLICAWr TO F71 N Eta A IC7
1 hereby afilrm that I here a carttiloaie of ooiSw to self Ineura, B 440GidlADDRESS
or■ of Workers'compervandon Irounvx^or■cerMW �94Y40 6i dl a ZIP a
copy th.reof�s.�3eoo Lab a) T LocurrY
POBOY or
1238139-9,2 ,y State Fund —
s� LOT Na of IN DM ON LOT
❑ C'wMW copy b hereby fur ih. NEAREST MON .
QI cmaw copy In filed VIM ad hapection BLoac LOT
If g /IV
ASSE1*3bR MAP B�K PAGE Na
Divien— � : g
_ 3 CONocnow
cornsCATE ot=omlwrloN RMB'
OWNM If 8592 003 ,�Na P a lit s .
COijPENSATION INSURANCE V S.S.I. Corp, - %KTHN torso Fr.Of ecH OCC? 1,1� NO-
ADOrrss
Chile.cation need not to compiebd tf the perm*Is for ons hundred 300 W. Service Road DST MQUP . naE zow PRccEssm BY
doom($100)or bee.) CfrY Z3P
I cerwy that In the periormence of the work for wh1Ch MU permit Chantilly, VI -
Is issued, I shati nm
riot employ y psrwn bn any mannr so ss to APOCHM CT OR TB..No.
beoome subject to the Workere'Compensation Laws Pittman Girnup kO5 _2724 8'oa78TtCu-roAPT 00KDO
Deb AppliCarvt CLASS NO. Dws-L UKrM
NOTICE TO APPL�. 11, WUr making this Cer*ficate of LE IMMURED TOTAL 8r a&M FROM p18T
Exemption, you should become subtect to the Workers' TEL.Na WT BACK YARD HAY PRDP LAE WIDTH
Compsriearion provfslons of the Labor Code, you must forthwith - FRONT
comply with such provision or this perm*shell be deemedTevoked 19ESS 62824 PL
LICEMSM CONTRACTORS DECLARATION CITY LK-CLASS P 0� a
I hereby WTam that I am Roan.ed under provislone of Chapler 8 sBB Fr.sr� No.Of CASTONo of PAtt11LtC 21HAAZ SB❑ P MAP S
(oommendnp wfth.Sw&xl 7000)of DWlslon 3 of the
Proleeelom Code, In full force and eftsot i /Z- ,
BK' PG
L.lcerwe Num — D®CR1PT10N OF WORK ADD ❑ f/AiUAT10M
CoirlraDtor Date ALTER ❑ $ Z
❑ I em exempt under REPAIR ❑ $ —
B.dP.C.for this reeew DEMOL LDYA PIC r
Deix LBEOF MaSTM BLDG URM ❑Varant
1
80-h— APM-IC'J1NT(PRPP TEL Na LDIM Perm e
❑ I, se owner of the property, or my employees with wages r Interstate Blda Materiali 213 74-8-3000 ACCT.T
their sole oorrrpensatlon,wdll do the work and the structure b ADORJ9e. t �� .i._,07 171.25
not intended or offered for sale (Section 7044, Buskiees and T�7�
RvkwiOn CockL) %WL THE APPLKANT OR FUTU rBULDHO OCQFMNT FFANDLe A FW.AFIDOUS I/IUefaAL l� 1'S'� 1 ,I I D h3
❑ I, an owrwr of the property, am sxo1 Llv*ly oDnbBc&0 with OR IOCTIR£CONTANG ro A FMZAFOOU8 UAUNVAL MQUAL TO OR aR LAUIR THM TOTAL
//1}} -y ( C
AMOUNTS 03UCFM ON THE Fw�FDOUS UAUMALe ee'ORUO ON oH� MAL OY > l 1 iTAL 1 f 1. c `�5
licenced contractors to corxtruot the project.(Section 7044, w❑ too XJ
&=*lace and Profession Code.) 1
w7THE errRiJm DUE-DING LOW or THE elDo THIS APPIJ(Nrr OR r{1lURa sULDHo S_�L�1 170.25
CONSTRUCTION LENDM AAEN& COAST AIR QUAIJTrAUAFuo�rr Denwr Iec.4n"ON PMVK nNQ cFiaaier
FOR a.,., �:} C1; 1.10
I hereby affirm that there Is a corrtruadon WKWV aperxy for Y®❑ No)] { IX
the perlormence of the work for which this psrtn*Is issued(Sec i H^M5 READ THE HAZARDOUS KPOW ALS Rd-0FV aroN aUms AND THIS eonaM
3067,Ctv.C.). - P"NOTTHO OFEEKUBL I UNDNVrMND W ReXXVMWre U►OGi THE LOS A030M .
' COUPM DOOR,TMJK 2.OFVlPM LtO EOTlONe IM=TrHOU H L2110 rs 000606�1+0 4 1— __ f/y, r L
Lendethree FWARDOUS Walft Le FES-OFITIQ AND POR OeV FIFO A FUefT ROH THE W4"9 (coci
Laxler's Address
o�CA A�.
I car"that I have reed this appltoadon and state that the above
information Is oorrecL I ppree to oompiy with ail oourrty P.a FEE PERMrr FEE
ordmices end State few,rend rQ to twlld ft oondnx rim and
A ��ply for
�on purp�
hereby ofupon teeuArrce FM 7S
WVEffrK n0N FEE T0r1L FEE
R �.r.rMrrrApr D� / D�
tiil2 REVMW POR M LAVATORY r a"AW,
WORKERS'COMPENSATION DECLARATION / ?�
here Irm that I have a certificate of consent to self APPLICATION F R BUILDING PERMIT
Insu a certlflcate of Workers'Compenstlon Insurance, or C►
a+"cvl Icopy thereof (Sec. 3800, La .)p -
r�, COUNTY OF LOS ANGELES BUILDING AND SAFETY
Poll No. Company BUILDING
Certified copy Is hereby furnished. FOR AF`F`LI.CANTJq FILL IN ADDRESS d
❑ Certified copy Is flied with the county bullding Inspec- BUILDING
tion department. ADDRES5 �+ LOCALITY
NEAREST
Date Applicant CITY ZIP Q CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK P PARCEL
(This s6ctlon need not be completed If the permit Is for one USE ZONE MAP ✓
hundred dollars ($100)ar less.) TRACT BLOCK LOT NO. y NO. Oz) O J �
TEL
I certify that In the performonce'of the work for which this 01Mt�R I+I CONDfT10N5 O
permit Is Issued, I shall not employ any person In any manner !� ` DISTRICT GROU TYPE FIRE PROCESSED BY U
so as to become subject to the Workers'Compensation Laws. s� d� Q CONST' Z1 O
2�{r �/7� _ c TY Ys�� {7' 1034,41DO0
Dale J `1 ✓/ppllcnnt ARCH
OR ZIP Q STATISTICAL CLASSIFK:4TION AFT. .
NOTICE TO APPLICANT: ff, after making this certlflcateof ENGINEER NO. CLASS td0. LU
-2 DWELL UNITS CL
Exemption, you should become subject to the Workers y�
Compensation provisions of the Labor Code, you must forth- ADDRESS t Y+ S- " SEWER MAP Z
with comply with such provisions or 4hls permit shall be
deemed revoked. CONTRACTOR „O gK. L PG VALIDATION
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chaple0 ADDR -/AJ• ,kfVA AT10N QQ
(commendng with Section 7000)of Division 3 of the Buslness and L C. Jl
Professions Code, and my license Is In full force and ffect. CITY CLASS L �a
SQ. Ff. NO. OF NO. OF CHECX
License Numb Ic.CI SIZE STORIES FAMILIES ONE
Contractor Date
DESCRFTK>N Of WORK NEw ❑
am exempt from the licensing requirements as I am a ADD �,4 ]
licensed architect or a reglstered professional engineer y ALTER FINAL
acting In my professional capacity (Section 7051, r� DATE 4- g # o� 0 1
REPAIR LJ ,
Business and Professions Code). USE Of FINAL �^ (((
EXISTING BLDG. �' ❑ ISy �S 0 0 4.3
Llc:or Req. No. Date APPLICANT TEL
OWNER-BUILDER DECLARATION PRINT P n o 0,Q 4 3.6
I hereby trfflrm that I am exempt from the Contractors Llcanse (• 7 7 4 1 7-8 1
Low for the following reason-(Section 7031.5, Business and ADDRESS
Professions Code):
I, as owner of the property, or my employes with DIAD REST
eS
wages as their sole compensation,will do the work andQ
the structure Is not Intended or offered for sale (Section LOCALITY -2 -A,ri�
704., Business and Professlons Code). MOVING TEL.
I, as owner of the property, am excluslvely contracting CONTRACTOR NO. 4 8 4 5 A
with licensed contractors to construct the project (Sec-
tion 70.4, Business and Professions Code). ADDRESS # 0 0 0 0 0 1
CONSTRUCTION LENDING AGENCY �BACK YARD H Y TOTAL PS�AC1cEFROM EXIST.
I hereby affirm that there Is a construction lending agency for FRONT 2 -10 [( 0 0
the performance of the work for which this permit Is Issued P.L.
(Sec. 3D97, Cly. C.). SIDE 0 a a 4�5 0 0.6
Lender's Name 0 4 1 "7-8 1
Lender's Address
P.0 yr�f`� rm
Fee S iu " Peit Fee
I certify that I have read iflls application and state that the issuance Fee
above Information 1s correct. I agree to comply with all County InvestlQrnlon Fee �O
ordlnances and State laws relating to bullclMg construction,
and hereby authorize representatives of this County to enter Total Fee
upon t bove-menti ed property for Inspection purposes.
n
ME REVERSE FOR EXPLANATORY LANGUAGE
^ S 9notur•ofcant or AQent Dote
ms
�. . iF' _
i COUNTY 0,r LOS ANGELES TEMPLE CITY f 0508r ^ 4- , LDING PERMIT
DEFARTME]NT OF PUBLIC WORKS 9701 LAS TUNAS ALTER.TION/RE5AIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0005260017
/ PHONE: (626) 285-0488 EXT:
NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9440 GIDLEY ST
STRUCTURE: 0 VN TEMP CA 917804211
ASSESSOR INFORMATION NMIN' NEAREST CROSS STREET: TEMPLE CITY BLVD
8592-003-049 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TE)MT. EXIST BLDG USE: MANUF USE Z59E--W--Z-- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/15/?0 UT 03/15/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI FINAL BY:
BARDAN LLC (213) 488-0760- 1 38,000 /
1150 E. PICO BLVD
LA, CA 90021
T/0 IST G ROOF AND ALL BUILT ROOFING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
LUIS F. AGUILAR (818) 982-7904- AA BLDG PERMIT ISSUANCE 27.75
13141 HARTLAND AE STRONG MOTION 0HER 70000.00 VAL 14.70 SPECIAL CONDITIONS:
NORTH HOLLYWOOD, CA D2 PERMIT W/ 0 .00 VAL 641.10
Pt4GELE Co 683.55
CONTRACTOR: TEL. NO: APPROVALS DATE INSPE
LUIS F AGUILAR (818) 982-7904-
13141 HARTLAND STREET LIC. NO LOCATION AND SETBACKS
WORTH HOLLYWOOOD, CA 91605 - 505379 B
.
LIC. O(� RAISED FLOOR FRAMINGSLABANDER FLOOR
111111
MAP NO: S PAGE: FIRE ZONE: DI
U
n
144H269 3 I' I I � U C WOR S
FLOOR SHEATHING
NO. OF F NG UNITS: APT/COND: STAT C
NO 22 zf ROOF SHEATHIWT—
SCHOOLZ
AIR QUALITY: 1000 FEET MATERIALS
NO No No 3PECTION
g („y
SET BACK YARD: HWY: PROP LINE: WIDTH: b
FRONT PL- INSULATION/WEATHER_I @
SIDE PL-
INTERIOR LATH/DRYWALL
!!1100 -73-1)(j cc,� dl— pVw, SEXTERIOR LATH
�Ve 5
L",ll-� - C ��r -
'o LA-/ k &C RATED WALL W990ES
G —vRATED SH.AFTS/DPENINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: RS0508
COURT`( OF LOS ANGELES TEMPLE CI-TY 0508 BUILDING PERMIT
+DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RETAINING WALL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL _0508 0010030076
PHONE: (626) 285,0488 EXT:
LEGAL H) TOTAL HEIGHT: 8 FT BUILDII
ON FILE RETAINING HEIGHT: 0 FT 9440 GIDLEY ST
WALL LENGTH: 290 FT TEMP CA 917804211
ASSESSOR INFORMATION NUPGR: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8592-003-049 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: ENIST BLDG USE: USE ZONE: 3 T999mTw-. NWESSED BY: EXPIRES ON:
EXIST OCC GRP: - 10/03(00 UT 04/02/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATIONFIRN DAT F I WE-97-F CODE:
B.F.H. TRADING (213) .488-0760- 20,000 b
1150 E. PICO BLVD. l
LOS ANGELES, CA FEES PAID
8 F BL WALL .FEN COMMER BUILDING
FEE DESCRIPTION: QUANTITY: UOI: AMOUNT:
APPLICANT: TE-L. WF-
LUIS F AGUILAR (818) 982-7904- AA BLDG PERMIT ISSUANCE 27.75
13141 HARTLAND STREE AE STRONG MOTION 20000.00 VAL 4.20 SRECIAL CONDITIONS:
NORTH HOLLYWOOD D2 PERMIT Y/ DO VAL 384.60
PAGE LE 416.55
CONTRACTOR: TEL. NO: APPROVALS -UTE- IRS E
LUIS F AGUILAR (818) 982-7904- S ��Ty
13141 RUTLAND STREET LIC. NO LOCAT10N AND SETBACKS
NORTH HOLLYWOOOD, CA 91605 505379 B
ENGINEER: SOILS ENGINEER APPENAL
ARCHITECT OR TEL. NO: FOUNDITRENIH FORMS
CiFATI, ALI (562). 986-431
5199 E. PACIFIC COAST HWY.#320 LIC. NO 1 1FORMS/GROUT LIFT
LONG BEACH, CA 90804 C22217 ���"`--���
ZND GROUT LIFT
MAP NO: SEWER MAP BOOK: PAGE: ME ZONE: 3RD W:DUT L I FT
144H269 ToRwaut-� wcmors
. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS�-
If0 20
SCHOOL WITHIN SURFACE DRAIWZE-
AIR QUALITY: 1000 FEET MATERIALS Q
NO NO NO
w
46it,
t ot�,
- ervice Tt►a
REPORT ID: DPR261 ROUTE TO: RS0508
'- COLUTY OF LOS ANGELES TEMPLE CITY . � 0508 BUILDING PERMIT
DEOARTMENT OF PUBLIC WORKS 9701 LAS TUBAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0009140051
PHONE: (626) 285-0488 EXT:
LEGAL ID: -07"OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9440 GIDLEY ST
STRUCTURE: 0 TEMP CA 917804211
ASSESSOR INFORMATION NUMIBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8592-003-049 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: E)(IST BLDG USE: COME USE ZONE: ISSM ON: PROCESSED BY: E)( IRES ON:
EXIST OCC GRP: 09/15/ UT 03/15/01
06NER: TEL. NO: LOT: VAL LIAT I ON FINAL FINAL-UT-- CODE:
MATTER MANUFACTURING CORP - 1 0 (`f
9440 GIDLEY ST
TEMP 917804211 FEES PTID ON w WORK
UADEMOLI H INTERIOR OFFIC BATH
APPLICANT: TEL. NO:
FEE DESCRIPTION: QNTITY: UOM: AMOUNT:
LUIS F. AGUILAR (818) 982-7904- AA BLDG PERMIT ISSUANCE 27.75
13141 HARTLAND ST 02 DEMOLITION IMSP 163.50 SPECIAL CONDITIONS:
NORTH HOLLYWOOD, CA ES - 191.25
CONTRACTOR: TEL. Pt4GELES CO APPROVALS DATE I WSPECTOR SIGNATURE
LUIS F AGUILAR (818) 982-7904-
13141 HARTLAND STREET LIC. NO PEDESTRIAN PROTECTION
NORTH HOLLYWOOOD, CA 91605 505379 B
SEWER DISCONNECTION
ARCHITECT OR ENGINEN: ABANDON PRIVATE-MWRZ5kU
LIC. NO 111111
/�J AND SOIL RECOMPACTIOM
144H267MAP NO: S �40 i` 'J Lo c w1�q RK
��
NO 24
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO MO NO
N: Service met
REPORT ID: DPR261 ROUTE TO: BS0508
• • G
• COUNTY Or LOS ANGELES TEMPLE CITY, f 0508 BUILDING PERMIT
DEliARTMENT OF PUBLIC WORKS 9701 LAS TUUS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 6L 0508 0007110058
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 944() GIDLEY ST
STRUCTURE: 0 VM iiW G 917804211
_ NEAREST CROSS STREET: TEMPLE CITY BLVD-
a592_003_0.49 THOMAS PAGE: 596 GRID: J5 LOCALITY! TEMPLE CITY
TENANT: EXIST BLDG 99E---FM U F USE ZONE: PROCESSED BY: EKPIRES ON:
EXIST OCC GRP:• - 09*SEIC'R
15UT 03/15/01
FIK)VAT FINAL BY: CODE:
B.F.H. TRADING (2 3) 488-0760- 1 28.000 �y.�
FEES PAID OF JORK
1150 E. PICO BLVD. LX `�6
LOS ANGELES, G
RO OF EXISTIN ON TORYILT CONCRETE BUILD.
APPLICANT: TEL.--NU- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
LUIS F AGUILAR (818) 982-7904- D1 PLANCHECK W/0 EN-HC 28000.00 VAL 434.00
13141 HARTLAND STREE AA BLDG PERMIT I 27.75 SPECIAL CM ITIONS:
NORTH HOLLYWOOD AE STRONG 00 VAL 5.88
D2 PERMI E$ VAL 510.60
D7 546.75
CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE
LUIS F AGUILAR (818) 982-7904- VNO: � TOT 1,524.98
13141 HARTLAND STREET LIC. NO - LOCATION AND SETBACKS
NORTH HOLLYNOOOD, G 91605 505379 B
SOILS ENGINEMF-APPANK[-
MONTERREY, MAX
LLC• llllllSLAB/UNDER FLUZ
NONE RAISED FLOOR FROING
MAP NO: SEWER MkP BOX: PAGE: FIRE ZONE:144H269 3 1RULBUC W®luD----RK8
MO
SCHCOL WITHIN HAZARDOiU9 El SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS Q ❑
NO N0 NO FRAME INSPECTION
REQUIRED
SET BAC YARD: HWY: PROP LINE: WIDTH: S,erVUe TMa���t
SIDE PL-
REPORT ID: DPR261 ROUTE TO: RS0508
• COUNTY OF LOS ANGELES TEMPLE CITY 0508 AUILDING PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUTAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 - BL 0508 0007110056 f
PHONE: (626) 285-0488 EXT:
LEGAL ID: 40. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUIQ GROUP 9440 GIDLEY ST
STRUCTURE: 0 2 VN B TEMP G 917804211
ASS ESSOR I ER: NEAREST CROSS STREET: TEMPLE CITY BLVD
8592-003-049 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
EXIST DCC GRP: B 10/11/ UT 04/10/01
OWNER: TEL. NO: NE59979W ON LOT: VALUATION: F I NAT J)ATE FINAL BY: CODE:
B.F.H. TRADING (213) 488-0760- 99,000 xitf b
1150 E. PICO BLVD. l
LOS ANGELES, G FEES PAID MMM I ON OF WORK
T IMP ENT AT NG 2 STORY ERAL OFFICE AREA
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
B.F. H. TRADING (213) 488-0760- Cl PLANCHECK W/HC 65000.00 VAL 847.29
1150 E. PICO BLVD. AA BLDG PERMIT I 27.75 .
LOS ANGELES, G AE STRONG .00 VAL 20.79
A2 PERMI ES VAL 1,478.84
Cl P 300.41
CONTRACTOR: -Tru-. O: TO 2,675.08 APPROVALS DATE INSP
LUIS F AGUILAR (818) 982-7904-
13141 HARTLAND STREET LIC. NO LOCATION AND SETBACKS
NORTH HOLLYWOOOD, G 91605 505379 B
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
OLFATI, ALI (562) 986-431
5199 E. PACIFIC COAST H`WY.#320 LIC. N 111111SLIkB/IADER FLOOR
LONG BEACH, G 90804 022217 RAISED FLOOR FRAMING
UNDERFLOOR IN9097W-
MAP NO: SE`WR MAP BOW: PAGE: FIRE ZONE:
3 kR4--IUKK� WOLIRRS FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS:` ND 22 ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS O 13NO NO NO
,p D �g
FRAME INSPECTION
46��c
vFIRE SPRINKIEFTUMER'9--
Sere That�ot
REPORT ID: DPR261 ROUTE TO: BSD508
COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0010300017
PHONE: (626) 285-0488 EXT:
LEGAL ID: NUMBER OF ADDED/RELOCATED BUILDING
ON FILE SG. FT SPRINKLER HEADS 9440 GIDLEY ST ADDRESS:
STRUCTURE: TEP CA 917804211
ASSESSOR INF NEAREST CROSS STREET: TEMPLE CITY BL
8592-003-049 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
V.I.P. APPAREL GROUP EXIST OCC GRP: 11/27/ UT 05/27/01
OWNER: TEL. NO:
FI FIN.KL BY:
V.I.P. APPAREL GROUP - 7,800 La .
9440 GIDLEY ST 1
TES 917804211 FEES PAID WORK
INSTAL TION OF 88 FIRE IML S ON I FLOOR AND REWORK
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: EXISTING SPRINKLERSAPPLICANT: TEL. NO:
ON LOOR
ACTION FIRE PROTECTION (714) 894-1365- DO FIRE SPRINKLER PC 7800.00 VAL 155.55
11120 WESTERN AVE. AA BLDG PERMIT I S 1 27.75 SPECIAL CONDITIONS:
STANTION,CA D1 Q�fR�T 7800.00 VAL 155.55
/� PNG LEE S O�\�S 338.85
CONTRACTOR: TEL. NO: APIPROVAIS DATE INSPECTOR SIGNATURE
ACTION FIRE PROTECTION (714) 894-1365- tiT1�
11120 WESTERN AVE LIC. NO FIRE DEPARTMENT INSPECT
`\
STANTON, CA 90680 368459 C16ARCHITECT OR ENGINEER: TEL. NO:
FIRE DEPARTMENr
�� \
LIC. NSCH-OOL WITHIN HAZARDOUS
� I y'N�•f �L
MAP NO: SEWER MAP BOOK- PAGE: FIRr2w :5
U ILES-1 L j
NO. OF FAMILIES: DWELLINff-0ffTT9--.-0T/C0ND: STAT CLASS-
NO
AIR QUALITY: 1000 FEET MATERIALS LI / [� 1 � � %•
NO Ito No
�\ Sat
e`ce -vii�,
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY PF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION
` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0011020021
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9440 GIDLEY ST
STRUCTURE: 0 1 VN B TEMP CA 917804211
ASSESSOR I NEAREST CROSS STREET: TEMPLE CITY
8592-003-049 THOMUIS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: MIT-n=TE: MANUF USE ZONE: M-1 ISSUED ON: PROCESSED BY: EYPIRES ON:
VIP APPAREL GROUP EXIST OCC GRP: B 01/29 01 UT 07/28/01
VAL UAT I ON: TWAI FINAL BY: CODE:
PTIO
NATTER MANUFACTURING CORP � - � 1 � 150,000
9440 GIDLEY ST Q b r
TEMP 917804211
CONS UCTI OF NEW EMPL LOUNGE D ESTROOM
FEES PAID DE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
LUIS AGUTLAR (818) 982-4432- Al PLANCHECK W/EN-HC 150000.00 VAL 1,582.38
13141 HARTLAND ST AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
N.HOLLYWOOD, CA AE STRONG 0N--OTHE9--. -` 60000.00 VAL 31.50
A2 PERMIj.Y 13GYV-;H _. 450000.00 VAL 769.87
p,wk,:, i TD"[A>-- ES,` 2,411.50
CONTPACTOR: TEL. NO: '�` c, 1(�17VAAPPROVALS DATE INSPE
LUIS F AGUILAR (818) 982-7904- =' " :� \•
13141 HARTLAND STREET LIC. NOLOCATION AND SETBACKS
NORTH HOLLYWOOOD, CA 91605 505379 Bgun
ARCHI.TECT OR ENGINEER: TEL. NO:
r ,
iI
FOX' JAMES G (562) 806-133L' I
80Fib TELEGRAPH ROAD LIC. NQr ! 4I 1SLAB/UNDER FLOOR
DOWNEY, CA 90240 NONE 11� RAISED FLOOR FRAMING
MAP NO. S PAGE: FIRE Fl
144HZ69 3' Q /�fl �I I �4�'11 `l'�- Ii % 1
UNDERFLOOR INSULATION
i J ,,IFLOOR SHEATHINU—
NO. 6FFA ILIESDWELLIAff-DWTT9----)9T77-rTlCT-� ---- ------ --- ---------- -----
NO
SCHOOL WITHIN RAMMM— i � , 1 sLSSHEAR PANE
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ��. - 1� lF� FRAME INSPECTION
FIRE SPRINKLER HANGERSINTERIOR LATff7M7WTF—
EXTERIOR LATH
RATED FLwR7n7U-AMM—.
LOT DRAINAGE
L
REPORT ID: DP9261 ROUTE TO: &S0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104250012
PHONE: (626) 285-0488 EXT:
LEGAL I D: -- NUMBER OF ADDED/RELOCATED ---MILDING ADDRESS:
ON FILE S0. FT SPRINKLER HEADS 9440 GIDLEY ST
STRUCTURE: 3300 TEMP CA 917804211
NEAREST CROSS STREET: TEMPLt CITY BLVD
8592-003-049 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TEXANT: EXIST BLDG E: ISM ON: PROMSED BY: EXPIRES ON:
V I P APPARELL EXIST OCC GRP: 04/25/01 UT 10/22/01
OWNER: TEL. W: BLDGS. NOW ON LOT: VALUATION: F I KAL DAT 93:�%1 P IFMBY: CODE:
BARDAN LLC (213) 488-0760- 8,500
1150 E. PICO BLVD
LA, CA 90021 FEES PAID DESCRIPTION ur wuKK
INSTALL 54 HEADS FIRE SPRINKLERS IN LOUNGE AND RESTROOM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
ACTION FIRE PROTECTIOIN (714) 894-1365- AA BLDG PERMIT ISSUANCE 27.75
11120 WESTERN AVENUE FIRE SPRINKLER PC 8500.00 VAL 169.83 SPECIAL CONDITIONS:
STARTON CA 90680 D2 PERMIT W -H .00 VAL 199.80
5 G� O \ 397.38
CONTRACTOR: TEL. NO: U
ACTION FIRE PROTECTION (714) 894-1365-
11120 WESTERN AVE LIC. NO � FIRE�DEPARTKENT INSPECT
STANTON, CA 90680 364459 C16ARCHITECT OR ENGINEER: TEL. NO: /
/ �-
LIC. NO.
MAP NO: SEWER MAP BOOK: PACE: FIRE ZONE:
U ILI RI)L FR�l K
110. OF FAMILIES: DWELLING UNITS: APT/COND: STAT
NO n2O \ /Ji
SCHOOL WITHIN HAZARDOUSC LI
AIR QUALITY: 10000 FEET MATERIALS NO
NO N
b �o
secl
rvice That
REPORT ID: DPR261 ROUTE TO: BS0508
COMITY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARgXENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0103140035
PHONE: (626) 285-0488 EXT:
LEGAL ID: NUMlBER OF ADDED/RELOCATED BUILDING ADDRESS:
ON FILE SQ. FT SPRINKLER HEADS 9440 GIDLEY ST
STRUCTURE: 3300 TEMP CA 917804211
NEAREST CROSS STREET: TEMPLE CITY
8592-003-049 THOFMS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON:
VIP APPAREL GROUP EXIST OCC GRP: 03/1 01 UT 09/10/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VgUATION: FI E FINAL BY: CODE:
NATTER MANUFACTURING CORP - 7,590d
9440 GIDLEY ST
TEMP 917804211 FEES PAID F WORK
FIRE &tNKSRSFOR MIST OF 38kIMIS FOR LOUNGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND RESTROOMS
APPLICANT: TEL. NO:
LUIS AGUILAR (818) %2-4432- AA BLDG PERMIT ISSUANCE 27.75
13141 HARTLAND ST DO FIRE SPRINKL 7590.00 VAL 155.55 SPECIAL CONDITIONS:.
N.HOLLYNOOO, CA D2 PERMIT C=--�_ _ RQ.-00 VAL 183.00
L'jELLST9? f-EEf 366.30
aNTRACT : T %��� TyAPPROVALS DATE INSPECTOR SICKATURE
AGUILAR GENERAL CONSTRUCTION (818) 982-7904- �• .'',�
13141 HARTLAND STREET LIC. NOFIRE D PART14ENT INSPECT
NORTH HOLLYNOOOD, CA 91605 ARCHITECT OR ENGINEER: . 505379 B �'� �f �� � �\ '•`
• FIRE DEPARTMEWr-AMMUE
- _
FUD( JAMES G (562) 8D6-13377' '
806b TELEGRAPH ROAD LIC. NO"/
DOWNEY, CA 90240 NONE
,
u
NO. 6F FAMILIES: DWELLING UNITS: APT7COND: STAT - -------- ----- — —
No 201,` — -,;SCHOOL WITHIN
AIR QUALITY: 1000 FEET MATERIALS \,•" �. � iJ '�' z, ;� � I
�,,,�;,`r��,-�' HT1 `:f��:• Js;
vice
REPORT ID: DPRZ61 ROUTE TO: RS0508