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HomeMy Public PortalAbout10813 GRAND AVE_Building__ I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES U I L D I IV G WM. J. FOX, CHIEF ENGINEER R ?3pPLICANTPIAIL FOR OFFICE USE ONLY DUILDING �. DISTRICT Np. PLAN CK. NO. PERMIT NO. ADDRESS +, �'— Y J4EGEIVED BY DAT OF APP DATE ISSUED LOCALITY r4 Aj d NEAREST CROSS ST, BUILDING { 3 OWNER MAIL LOCALITY Lt ADDRESS .1 ,r_ NEAREST TEL, v CROSS ST. � CITY NO. FIRE NO. OF I TYPL– - GROUP ARCHITECT OR TEL. ZONE I PLANS ENGINEER NO. BLDG. �, _ORD. NO. SETBACK LINE ' ADDRESS APPROVED ./ TEL. --/ BY DATE CONTRACTOR ?„/�. S`.r NO. b -:�'r'^ '"^� c USE APPROVED j ZONE BY DATE ADDRESS f +{ HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK .•fir MAP NUMBER_ " —FIELD CHECK BY TRACT - _ NO. ASSIGNED BY SATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT I NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION O REPAIR I I DEMOLITION I I I A SQ. FT. NO. OF O SIZE ROOMS STORIES Z D EXT. WALL ROOF r COVERING COVERING ' USE OF STRUCTURE _ APPROVAL r. ' _, INSPECTOR'WIG NATURE QATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION �.- ' PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, / HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF _ - GAS VENT, DUCTS PERMITTER " LATH, INT. IS ADDRESS- 44 '00 LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76A878A DBff 10-50 s P. C. f �"�" J FEE PLASTER, EXT. V AL U AT I ON FEE $ ti (Y FINAL I DEPARTMENT OF BUILDING AND SAFETY API iuN FOR PERMIT COUNTY OF LOS ANGELES LDI WM. J. FOX, CHIEF ENGINEER BUING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY - DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS - LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. - - BUILDING �. OWNER ADDRESS MAIL : ADDRESS ` LOCALITY TEL. NEAREST CROSS ST. CITY No. - - - -- FIRE NO.OF TYPE I� GROUP ARCHITECT OR TEL. ZONEPLANS ENGINEER NO. I BLDG. ORD.NO. ADDRESS SETBACK LINE APPROVED TEL BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE_ BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. I BLOCK -"--"�" - TRACT NO.OF SLOGS. SIZE OF LOT I NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION D A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF IF COVERING COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION / INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS �/� "Y� i'•'✓ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER - LATH,INT.: AUTHORIZED AGT. LATH,EXT.: DBS-3 25M SETS 1-47 $ a UP C PLASTER. INT. 3 d/ FEE PLASTER,EXT. VALUATION FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR. PERMIT ► COUNTY OF LOS ANGELES B U I L D I N G WM. J. FOX, CHIEF ENGINEER FqA,AP,PLdCA FI FOR OFFICE USE ONLY BUILDING Q _rye DIBTIRICT NO. PLAN CK.NO. ` PERMIT NO. ADDRESS LOCALI RECEIVEBY DATE OF APPL. DATE ISSUED NEAREST CROSS BT. BUILDING OWNER ^ ADDRESS — MAIL / LOCALITY ADDRESS iC NEAREST TEL. CROSS BT. CITY NO. FIRENO.OF I TYPE GROUP T_. ARCHITECT OR TEL. ZONE NO. �--- PLANS ENGINEER �.�� BLDG. ORD.NO. ADDRESS SETBACK LINE 2� APPROVED TEL. BY DATE CONTRACTOR rj, �' _) NO. USE APPROVED ADDRESS ZONE BY DATE LEGALDESCRIPTION LOT NO. I BLOCK CORRECTION/S TRACT NO.OF BLDGS. SIZE OF LOT I NOW ON LOT USE OF O.OF NO.OF EXISTING BLDG. M�L�EY i ROOM DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH Bq.FT. NO.OF SIZE ROOMS STORIES / _ y WALL ROOF r COVERING I COVERING otg USE OF NEW ` BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVKLIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR D T,E_ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS Z*'- / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ////� r FRAME: FIRE STOPS, SIGNATURE OF/ / i " BRACING,BOLTS PERMITTE _ LATH,INT.: AUTHORIZED AOT -- LATH,EXT.: DBS-3 SOM SETS 1-413 $ P C ! PLASTER,INT. 0 '�0 FEE PLASTER,EXT. V W s� ��-t::. VALUATION 0 FEE 2 1 ,e,.� FINAL r' 76A638A CE#803 8.63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGf,� DEPARTMENT OF COUNTY ENGINEER ADDRESS v BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT-N G P TYPE P E BY FOR APPLICANT TO FILL IN I coNsr. BUILDING STATISTICAL CLASSIFICATION S��:WER MAP ADDRESS /D jf 3 �` NITS C_ sK CLASS. NO.lza DWELL. U .� LOT NO. BLOCK WATER ¢ CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT u NOP /S c (CIRCLE) STATE MAJOR SECOND LOCAL NO.OF BLDGS. �(�J SIZE OF LOT (� NOW ON LOT / SPECIAL USE OF 3 3 CONDITIONS EXISTING BLDG. O TEL. OWNER VI ,^ NO.//!PelBUI DINGEXIST. / SETBACK YARD HWY STREET NAME' WIDTH ADDRESS , , (i© / lqQ FRONT ARCHITECT OR TEL. P. L. J ENGINEER "-----" NO. SIDE IL P. L. ADDRESS •- d TEL. 0 CONTRACTOR 041 I✓ NO V ADDRESS S gC 0 DESCRIPTION OF WORK G Lu a NEW ADD ALTER REPAIR DEMOLI SQ. FT. NO. OF . OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF ` APPLICANT /���) VALUATION $ � v - APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ (J ✓ FORMS. MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED A r)D R E S SW3 I FINAL JOHN F. LEWIS. PRINCIPALS7.0 URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH U�Lc>1 5 6 2,73 AL 18 1 D 0 N 76A638A CE4803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELEC EISS D DEPARTMENT OF COUNTY ENeIINEER" ADD BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DIS`TRRICT NO GR TYPE P C6r5'�ED B FOR APPLICANT TO FILL IN D CONST. BUILDING C' STATISTICAL CLASSIFICATION SEWER MAP ADDRESS d K� P CLASS. NO. DWELL. UNITS LOT NO. 4i ' BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ p' CERTIFICATE: MAP TRACT D NO. (CIRCLE) STATE MAJOR SECOND LOCAL NO. OF BLDGS. SIZE OF LOT NOW ON LOT C♦f ONE S CIAL �J - USE OF CONDITIONS EXISTING BLDG. I � r e OWNER e1- NO .�(� BUILDING Q D` EXIST. YARD HWY STREET NAME r SETBACK WIDTH ADDRESS ° .G/ 0 M FRONT ARCHITECT OR TEL. _ P. L. J ENGINEER NO. SIDE P. L. ADDRESS r , CONTRACTOR jt/ m B// TELa NO / ) f' V ADDRESS -Q79Im Q DESCRIPTION OF WORK - u l� 1 CL NEW ADD ALTER REPAIR DEMOLISH ^ Z . FT. NO. OF NO. OF k-r"r� ....Q "T I + �' SIZE STORIES FAMILIES USE O '��"'-02� aMT STRUCTURE / f- VIfN P�`fQ"eJ J 6 SIGNATURE OF Ira APPLICANT VALUATION Q�� L APPROVALS DATE INSPECTOR'S d.IGNATURE P.C. PMT.-/ L `• FOUNDATION: LOCATION ,7 y FEE $ FEE $� FORMS. MATERIALS - -�/ Aft FRAME: FIRE STOPS, •� / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS f`f! (J 4/� (Y AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. J ✓ I SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STR r RAL ENGINEER PLAN CHECK VALIDATION 0-- M.O. CASH PERMIT VALIDATION cK.4 M.O. CASH U ,o 1 5 6 1:o JUL 18 2 3 D 30.25 cc 1n — 247Uw AUG 11 1 D 60.50 WORKERS'COMPENSATION DECLARATION Isure affirm f certificate consent onenor cificcato of WorkenCompensanInsuran , APPLICATION FOR BUILDING PERMIT. or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING-AND SAFEtI( PollcyNo. z_n7711 Company RtRt e CnMp El Certlfled copy is-hereby furnished. FOR APPLICANT T FILL, IN �� 13 aCertified copy Is filed with the county building Jnap•c-. BUILDING tion department. ADDREss 10813 E Grand Date Applicant es Cm Temple CitX ZIP LOCALITY EER�FhCATE OF EkEMPTION F NO. Of BLDGS. NEAREST COMPENSATION INSURANCE ..' SIZE OF LOT NOW ON LOT ST. (This section.need not be completed if the permit Ira for one ASSESSOR hundred dollars (=100)or less.) TRACT BLOCK LOT NO. AMP BOOK PAGE PARca TEL L15E MAP 401 0 NO. I certtfy that In the pQrformance of the'work for which this �' permit Is Issued, I'shall ndt employ any person In any manner ADDRESS / �� to as to become subject,to the Worker Compensation Laws. COKJD[TIONS Date Applicant CITY Temple City LP 91710 ARCHITECT OR TEL. DISTRICT GROW TYPE FIRE B � NOTICE TO APPUCANT:, If, after making thin, Certificate of ENQttqEER NO Y Q Exemption, you should become subject to the Workers ZONE tU- Compensation provisions of the Labor Code, yoyr must forth- ADDRESS vGI with comply with such provisions or this permit shall be - TEL STATISTICAL CLPSSJFICATION APT. s+- deemed revoked. ppNrRAc70R No.72 2-6q 75 LICENSED CONTRACTORS DECL.ARATFON LIC CLASS NO. DWELL UNfTs I hereby affirm that I am licensed under provision of Chapter 9 ADDlp6p jiny NO. (commencing with Section 7000)of DN-Won 3 of the Buslne.and LIC SEW6J AARP Professions Code, and my license Is in full fot'ce and effect. CITY Montebello CLASS x-39 eK PG l VALDATIOw SQ. FT. NO. OF NO,OF CEECX Liceumber.248�52 Llc.Class C-39 SIZE STORIES F OKE • _ VALUATION Pn ' cannse 8/31_/89 - DEsa�IoN of woaK A $ 3679.00 I am.exe Sec Reroof yl 27 sq Class 'rAMALTER , 8.3P.C, for this reaso fiberglass shingles,, EPAJ $ &tgpe 3/12 n RREPAIR - Date: EXISTING BLDG. ;,19DFfihOL Signature OWNER-BUILDER DECLARATION AnPL��T Montebello Rf NO. TEL 7 DA� I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADS 868 Truck Wav Professions Code): ' E] 1, I LDi NG I, as owner of the property, or my employees with ADDRESS woges as their sole compensation,will do the work and the structure Is not Intended or offered for sale(Section LOCALITY 7044, Busingss and Professions Code). MOI ING TEL 6 a 6 3 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- 6 a 6.3 E tion 7044, Business 9MProfessions Code). 420 4-87 CONSTRUCTION LENDING AGENCY ZYKM YARD HWY PROP. LIKE I hereby affirm that there Is a construction lending agency for FRONT the performance of the.work for which this permit Is Issued P (Sec. 3D97,-Civ. C.). SJ DE P.L. Lenders Name $ Lenders Address P.0 i Pa..It f•• 58,13 LDAAA Ref. • I cenitfy that I have read this application and state that the w..F.. 10,50 kA PSC 4 oil above Information Is correct. I agree to comply with all County Investigation F.• $ ordtnances and State kiwi-relating to budding construction, Taal F.. 68. 63 -LDMA Perm. I Q and hereby authorize representatives of this County to enter U pon the bove-nentloned property for Inspecilon purposes P res 11/11/87 m ttrfvaa Ie DraiAmTm LANOUAW, of or Agent Dal.