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HomeMy Public PortalAbout10520 KEY WEST ST_Building__ 7GA638A CE*803-105G APPLICATION FOR BUILDING PERMIT 1, BUILDING AND SAFETY DIVISION BUILDING - Department of County Engineer ADDRESS County of Los Angeles LOCALITY r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST j f DISTR N GROUP -.TYPE -SEWER MAP, FOR APPLICANT TO FILL IN BK P CONST BUILDING STATISTICAL CLASSIFICATION I ADDRESS f`15 ,0 F V WEST ST LOT NO CNST 35'�LOTS / + BLOCK CLASS NO _ _ DWELL UNITS MAP STATE YES N NUMBER 16 HWY TRACT 2.!10 US ZONE SPECIAL NO OF SIZE OF LOT $D' x/65-,36 I NOW ON LOTS '" *6 CONDITIONS USE OF D /� EXISTING BLDG WELLIN6 + GARA4E BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH OWNER BFNJAMId +MAUDE R- :1�bYD FRONT ADDRESS )0 5 2.O I<MAIL EY WN --ST ST. P L � SIDE TFM�1—� CITY TEL CSI g�727 P L CITY INSPECTION RECORD ARCHITECT OR _ TEL. ENGINEER NNO ADDRESS TEL. CONTRACTOR NO ADDRESS - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT. /7O NO OF NO OF - SIZE STORIES FAMILIES USE OF STR V ERE E D 7 ' APPROVALS �- SIGNATURE OF ` / ` APPLICANT r / /DATE ' INSPECTORS SIGNATURE ADDRESS/OV D., C FST FOUNDATION CAT16N y FORMS. MATERIALS / °9Q - P C ; _ FRAME FIRE STOPS: 1-7 11 FEE BRACING. BOLTS j' S FURNACE LOCATION. VALUATION �1 GAS VENT. DUCTS FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND J AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT STATE LAWS REGU TING BUILDING O ST ION. SIGNATURE OF HOUSE NUMBER COR- - PERMITTEEh- RECT AND POSTED ADDRESS '0`cc� 2 E S Z t FINAL /- ) JOHN A. LAMBIE, COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL,STRUCTURAL ENGI PLAN CHECK VALIDATION CK. M O CASH PERMIT VALIDATION CK MO Y s.' 01 0-8 2r AUG 1-. _ 2.0"0 n APPLICATION FOR BUILDING PERMIT -FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES ADIDRESS / 2D f) WEA DEPARTMENT OF COUNTY ENGINEER CITY FE/)7M C -)ZIP a BUILDING AND SAFETY DIVISION . 1 NO OF'BLDGS "ING SIZE OF LOT X 6.!;- NOW ON LOT ADDRESS lo,5 -Q TRACT 9Q BLOCK F LOT NO LOCALITY /� TEL' NEAREST OWNER /'/ N �-� - CROSS ST c ASSESSOR ADDRESSI� Q 4J ST MAP BOOK PAGE PARCEL �� n DISTRICT GROUP TYPE FIRE PR SED BY -CITY fjE ZIP 86 ':5-.'0'6 yL CONST ZOpIF ARCHITECT OR TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO / DWELL UNITS BK 3 7G TEL ,,,,,,ZZZZZZ CONTRACTOR LIC NO D Q LIC ADDRESS NO SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ -CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW F-1 + p L OO/rT N Qv5E 4 ADD ❑ BLDG SETBACK FROM 0 SIDE PROP LINE OF (STREET) O r- ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w E R 5 S HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTHUSE N 'REPAI EXISTTIING BLDG N t'Lj1V4 DEMOL El + _ Z APPPLICANT �r 1 A A,'� 0�0 TELNO !-� L CORNER CUTOFF YES ❑ NO ❑ C JH�j b IN OPEN SPACE YES ❑ NO a BY)SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ Q Q / IHEREBY 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 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 Te WORKMEN M PENSATION INSURAN •� - - SIGNATUREOF �JL( }►� �L /'Y1 �Fy�� PERMITTEE Q'�'� ADDRESS �'(! 6y S V`.—_ CITY -/L APM 19 I 'Y' NO �-�rL DAT % �S a t BY MAKE CHECKS PAYABLE TO PC FEE $ FEET $ HARVEY T BRANDT,COUNTY ENGINEER ^ / -7,S- PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M O CASH _._.. 1 4 OEP�QR 5 1 2 1.7 5 eS 76A638A CE 11803 3 75 �1 a ,oCE A?031REV 6/781 APPLICATION OR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS�U BUILDING r ADDRESS �.2 ( LOCAL( Y` { ' NEARE CITY l p ZIP p p CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT © X NOW ON LOT MAP BOOK_ PAGE PARCEL q DISTRICT GROUP TY E FIRE ESSED BY TRACT / Z /O BLOCK LOT NO CONST ZONE TEL UU _ N OWNER B(-,)) m, D NO / STATISTICAL CLASSIFICATION SEWER MA ADDRESSLaA0 � '5-1, i� CLASS NO 2 � DWELL UNITS BK PG CITY^� ZIP ARCHITECT OR V TEL VALUATION $ ENGINEER NO FD V ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR p NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS BLDG SETBACK FROM CONSTRUCTION DER SIDE PROP LINE OF (STREETI NAME AND BRA HIGHWAY + YARD = TOTAL SETBACKFROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH C SOX NO OF NO OF CHECK + = V SIZ STORIES FAMILIES ONE 0 DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee 5 F_ (' 0 ADD ❑ Issuance FeeENZ f ALTER ` Of Ho f k REPAIR Total Fee USE OF D ❑ EXISTING BLDG PW F-�.k rN o APPLICANT TEL �n (PRINT) In NO _ Z �U I W�Iw p BY(SIGNATURE( SmfN<' 01V CrAgIrF�4S> I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N AN STATE Y THAT THE ABOVE IS CORRECT AN AGREE TO-COMPLY-WITH L OR ANCES' Lu AND LAWS REGULATING BUILDIN CONSTRUCTION I CERTIFY TH IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WO EN S COM Z ���jjj C PENSATION INSURANC ' � � ��Jt8 Q 9 A (• '#,o o(oTo',o SIGNATURE OFZMA t , , PERMITTEE ADDRESS OS pwe -2500 1 C. TEL _ a !-jo�� 2S00i CITY 1 NO 71' V U' 1j5�ZONE MAP 0 'r'`3 0f-rl7 9- V cl SPECIAL CONDITIONS_ FINAL,,2—5–�0 B �' d DATE oc 1 `; 76AG38ACE*803-10.56APPLICATION FOR BUILDING PERMIT BUILDING AND SAFETY DIVISIONBUILDING f" ADDRESS Department of County Engineer ` County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST DISTRICT NO GROUP .� E SEWER MAP FOR APPLICANT TO FILL INBK P CONST BUILDINGC I ADDRESS s. - E 'r ST. STATISTICAL CLASSIFICATION , LOT NOEAsT%arV f I-d ' 2- BLOCK CLASS NO DWELL UNITS etc OT-5 24 MAP _ STATE YES NUMBER HWY TRACT USE ZONE SPECIAL ` p �j CONDITIONS SIZE OF LOT sot �C['�'�t5�.7�nD NOW ON LLDTS " USE OF EXISTING BLDGj)m!AmyS,�fl/r►Tlq� X H��.s BUILDING YARD HWY, STREET NAME EXIST OWNER ,�dDi R. do 'ENJAM19 Rd" SETBACK - - WIDTH C c tl�t '� FRONT f �, ADDRESS/Q.52.D E,KEY WEST S7 SIDETE (� CITY TGI.1PC ii�I NO VTp L '•V� �. _ AINSPECTION RECORD ARCHITECT OR TEL. ENGINEER O ADDRESS TEL CONTRACTOR NO ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DE OLISH - SQ FT. NO OF NO OF SIZE /STORIES FAMILIES' S - - U_ E OF. lout- �7� _S Ak^/`fir r1 04 APPROVALS SIGNATURE OF _ APPLICANT 4DlR DATE INSPECTOR'S SIGNATURE ADDRESS IoSbD �, Y WFST aST. FOUNDATION LOCATION - FORMS, MATERIALS a �� FRAME FIRE STOPS, Oma(/ FEE BRACING. BOLTS VALUATION / FURNACE LOCATION. Im 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 ORDINANC AND LATH, EXT. STATE LAWS R LATING BUILDIN ONST TION. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE IV RECT AND POSTED _ / ADDRESS/4-r'" FST 5 • FINAL ' 7-;,j �fi Y� JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK M O. H L'�Co 9 9 7 2t-r) JUL 8 1 1 .0 Q '� es �A'eea.a APPLICATION FOR BUILDING PERMIT ], DIVISION OF BUILDING AND SAFETY BUILDING Deportment of County Engineer ADDRESS G County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS STA�t ZZ FOR_APPLICANT TO FILL IN DISTRICT NO GROUP YPE SEWER MAP r BK _PG �J CONST BUILDING MAP STATE ADDRES,SGc�OC� LY {Ot�Fd/ J/ NUMBER HWY YES NO LOT NO AAJ I ->-r' J-01's , BLOCK fi^ USE ZONE SPECIAL -S= ` CONDITIONS TRACT �T�i - �• NO OF BLDGS SIZE OF LOT&!.1 16J`3e- I NOW ON LOT � BUILDING YARD HWY STREET NAME yyIDT. USE OF ��V.I ��rr �pp4, { /�/lO�l'• EXISTING BLDG�{yFZ��t1�' �M c �l / 1=��e�� FRONT C'�Qga� P L _OWNER 3FXjAM77VSIDE MAIL /6Saa l�f✓ yd�5�' P L ADDRESS O TRACT DWELL. 1 UNIT 5 INDUSTRIAL -METEL I DWELL. 1 UNIT CITYC:JTY NO 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN,ALT., ETC. ENGINEER NO 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR NO' INSPECTION RECORD ADDRESS DESCRIPTION OF WORK N ADD _ ALTER REPAIR DEMOLISH SO FT. NO OF NO OF SIZE STORIES FAMILIES �V USE OF STRUCTURE EDE 51W / SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE FOUNDATION LOCATION P C $ FORMS,MATERIALS 149e FEE FRAME FIRE STOPS. _ VALUATION g _BRACING, BOLTS FEE FURNACE LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ 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 BUILD I CONS UC_ TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE S RECT AND POSTED ADORES `� 0 "� FINAL JOHN A.LAMBIE. COUNTY ENGINEER VALIDATIOA, CLYDE N. DIRLAM, CHIEF BLDG.'INSPECTOR � 2 4 1 5 NOV 1-6 , 1 1 .0 Q sr 76Ae38A 1588-3 APPLICATION FOR BUILDING PERMIT tt•a4 DMSION OF BUILDING.AND SAFETY BUILDING Department of County Engineer — ADDRESS , County of Los Angeles LOCALITY I JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP ,TYPE SEWER- MAP BK PG CONS STATE N MAP T MBER p�l/� H yTy YES O ADDRESS a /� �� LOT NO G 5T / I ►' r BLOCK USE Z NE SPECIAL �1 CONDITIONS TRACT -TMJ �rJ� NO OF BLDGS. SIZE OF LOT gO j X & .-MI NOW ON LOT � BUILDING YARD HWY STREET NAME EXIST n SETBACK WIDTH USE OF n P p OG U � FRONT 7 EXISTINGgBLD�/.ljjV, gj�.�, ' y4n11VF ���, P L OWNER lJ�,l ,4 Al jjy" M Ve� SPIDE MAIL /^,= �p ��C��^ ADDRESS r J .J � O TRACT DWE L. 1 UNIT �p TEL. �j +J.y� 5 INDUSTRIAL CITY �T�E 01TY NO �Q O�j t l l DWELL: 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS yDDN,ALT. ETC. ENGINEER NO 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR TEL ' INSPECTION RECORD ADDRESS / DESCRIPTION OF WORK /y✓" NEW ADD A /� LTE ) REPAIR DEMOLISH 1 V4 7 ,/ SFT. �(/ STORIES FAMILIES SIZE USE OF STRUCTURE k �S I GC l I SIGNATU E OF APPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE FOUNDATION LOCATION P C $ FORMS,MATERIALS FEE FRAME FIRE STOPS, VALUATION $ J BRACING, BOLTS FEE / FURNACE LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT AND STATE LAW REGULATING BUILDIN CONS ' TION. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED ADDRESS _ FINAL JOHN A. LAMBIE. COUNTY ENGINEER VALIDATIQ4 CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK Mo Lt02 4 1 4 HOV 16 1 1 ,O O � R 7eaeaAaDea3 APPLICATION FOR BUILDING PERMIT 1 tt.t;r3 DIVISION OF BUILDING AND SAFETY BUILDING Depar ent of County Engineer ADDRESS County of Los Angeles LOCALITY / JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST FOR APPLICANT •TO FILL IN DISTR7 NO GROUP TYPE,"?I� S�EWER MAP B K P '��((�' CONST BUILDING��S ry O ��.y ,FST 5T NUMBER HWY _ADDRESS ��CC YES O _LOT NO BLOCK CONDITIONS USE ZNE SPECIAL 11_E'ST S" i-V'M 4--ftCONDITIONS TRACT , _ ���x/(?Jq��j I NO OF BLDGS SIZE OF LOT NOW ON LOT /rBUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH EXISTING BLDG E /g �O� FRONT .�s��r p� �) # At P L O OWNERMIJAM�I>< jM0,pf it &�i� SIDE MAI LY s� �/ T P L ADDRESS J®J�y 'J ( IVES/ 5T O TRACT DWELL I UNIT �-� C CITY TEL. Q 5 INDUSTRIAL CITY /rn)PILL {SIT/ NO � � DWELL. 1 UNIT 6 PUBLIC BLDG ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN,ALT., ETC. ENGINEER NO 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL ' CONTRACTOR No' INSPECTION RECORD ADDRESS DESCRIPTION OF WORK 1� NEW A ALTER REPAIR DEMOLISH i 1 SQ FT. NO OF NO OF SIZE � STORIES T1 FAMILIES USE OWU S� �L�/ T�I U'I/ SIGNATURE OF APPLICANT APPROVALS ADDRESS =6DATE INSPECTORS SIGNATURE $ FOUNDATION LOCATION P C S FORMS. MATERIALS FEE FRAME FIRE STOPS, VALUATION S 0-10, BRACING. BOLTS FEE `J FURNACE LOCATION. _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ 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 BUILDMG CONSTRUC- TION. q LATH. EXT. 9 SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRES k�vKST FINAL JOHN A. LAMBIE.COUNTY ENGINEER VALIDATI CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR � j n ,{ CK MO�rn H 'I , ._-� I n A 1 347 .ldM 1 6 + 2,0,0 ED 76A698A OBS-4 3-66 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING 10 ,3 - Department of County Engineer County of Los Angeles LOCALITY Z, C WM.J. FOX, COUNTY ENGINEER NEAREST L� CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. I GROUP ,SPE SEWER MAP FOR APPLICANT TO FILL IN ( BK PG CONST. L 3 BUILDING d� 1/�V ���;- NUMAPMBER STATE ADDRESS a!: ! J I�'C�,- Q O _ YES O LOT NO J 1 La— NEST USE ZONE SPECIAL BLOCK CONDITIONS TRACT 0 / QQ SIZE OF LOT ' I NOW NO ON LOTS w BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USEOF EX STTING BLDG �( i-�"'1N �� /�./�� FRONT _ L. OWNER8 �I�JAI►11N a`-l�f �j/� SIDE //��C //1� J/ ! / - P.L. MAI LADDRESS I S'7_0 /1k I• 5/, O TRACT DWELL. 1 UNIT 5INDUSTRIAL CITY 'T'rMP�F_ C 1T No'�O• Z"�/ t DWELL. 1 UNIT 6 ,PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ADDN.,ALT. ETC. ENGINEER NO. 3 APT. UNITS MISCEL. _ ADDRESS 90 t cz4l i 41 COMMERCIAL / EL. CONTRACTOR NO INSPECTION RECORD ADDRESS �1 /{�j``j�•�i v�- DESCRIPTION OF WORK - / NV ADD ALTER REPAIR DEMOLISH �� 2 SO. FT. NO. OF / NO. OF SIZE 110 STORIES / FAMILIES tl Ok.STRUCTUILE �T SIGNATURE OF APPLICANTn.r APPROVALS _AD DRES8 y DATE INSPECTOR'S SIGNATURE $ 17J �- P.C. $ FOUNDATION:FORMS, MATERIIALSION •/ _ J FEE FRAME: FIRE STOPS. %j//L / Y�/ VALUATION $ .�" BRACING. BOLTS �I 5r11 FEE �D FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ 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 BUILD G CON TRUC- TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMA2"; ^ RECT AND POSTED ADDRESS � -�+�'� FINAL �b i�� �►-7sG6LI9�'J WM.J. FOX, COUNTY ENGINEE VALIDATION �� P C. N. DIRLAM, CHIEF BLDG. INSPECTOR- LQ4 6 6 5r, APR 2 1 1 0.0 Q 76A838A CE#80311-8'7 APPLICATION FOR BUILDING PERMIT Z _ COUNTY OF, LOS ANGELES ABU I DD EISS o :zo , Y EST ST DEPARTMENT OF COUNTY ENGINEER /1 BUILDING AND SAFETY DIVISION LOCALITY ,EC{� !p V I-E JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUPT OF BUILDING CROSS ST 14pL-1fAX DISTRICT O I GROU .TYPE SEWER MAP FOR APPLICANT TO FILL IN r, BK G 7L �/ [ CONST ADDRESS , C JAIE� ST STATISTICAL CLASSIFICATION �°A57' .�5� LO%s' `�'Z CLASS NO DWELL UNto ITS �� LOT NO BLOCK MAP STATE NUMBER HWY YES TRACT y USEZONE SPECIAL q r NO OF BLDGS CONDITIONS SIZE OF LOT Q S .3 NOW ON LOT- USE TI C`L' v- 4 O /'L EXISTING BLDG L fl/� �E"C BUILDING YARD HWY STREET NAME EXIST �,/� �/ SETBACK WIDTH OWNER lMAIL . /' V [' //�� sr ST FRONT ADDRESS /O,S L� �• C IVE P L �� k SIDE CITY /L m E (2I T NO 199-72-7 72-7 P L �+ ARCHITECT OR TEL n.17,%l` (INSPECTION RECORD ENGINEER NO ADDRESS TEL CONTRACTOR NO ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR //DEMV ISH/ SQ FTNO OF �NO OF SIZE E�Qa STORIES FAMILIF USE OF STRUCTURE C v 7> _ SIGNATURE OF APPROVALS APPLI CANT /� DATE INSPECTOR S SIGNATURE ADDRESS � FOUNDATION LOCATION {! FORMS,MATERIALS P C $ FRAME FIRE STOPS. 5 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 ORDINANCP&IAND STATE LAWS R LATING" BUILDINNST44 ION LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTE r RECT AND POSTED 1 f ADDRESS 10 d G WE FINAL //• 50 f6le�� CLYDE N DIRLAM, PRINCIPAL STRUCTURAL E R PLAN CHECK VALIDATION CK M O. CASH PERMIT VALIDATION CK. mo : Q2 6 7 8 OR JUL 10 1 A 1 .0 0 ®. BUILDING ' ADDREISS APPLICATION LOCALITY -rvvf I DIVISION OF BUILDING AND SAFETY NEAREST CROSS BT. Department of aoaIIty Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. Oounty o: Les Angeles 53�4 O 9 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPT DF BUILDING FOR APPLICANT TO FILL IN TYPE CONBT. RECEIVED BY ISSUED%By OWNER V MAILr1R ^ MAP }�j STATE YES NO X ADDRESS !O 5 tL ,(7n V••? � , NUMBER � � � �/ HWY ��'� t USEZONE SPECIAL ,Jst, TEL, ' ��r c CONDITIONS CITY � NO. �bdP3 i ARCHITECT OR TEL. ENGINEER NO. BUILDINGEXIST. SETBACK YARD HMIY STREET NAME WIDTH ADDRESS opr CONTRACTOR NO. SIDE ADD E85 P. L. (T BUILDING DATE CORRECTIONS INSPECTOR ADORESS LOTNO. yV��J L +Ll 36 L/OCK'2— ' TRACT I (� n 1 NO.OF BLDGEL SIZE OF LOT d U W D NOW ON LOT EBB O N DESCRIPTION OF WORIt -NEW ADD ALTER Q REPAIR DEMOLIBH Z BO.FT. p. q NO. OF NO.OF D SIZE 0 ( STORIES FAMILIES r USE OF STRUCTURE NO.OF M 1 STATE ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND TATE THAT THE IN GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALSJ7'/ WW' FRAME: FIRE STOPS, c1 SIGNATURE Of BRACING,BOLTS PERMITTE ��// J FURNACE: LOCATION, (12 A �� /� GAS VENT,DUCTS ADORES G v L/ U r LATH, INT. AUTHORIZED AMT. / o O LATH, EXT. $ P. C.III HOUSE NUMBER CDR- VALUATION FEE RECT AND POSTED VALUATION >$ 2 b FEE FINAL 7GA63BA DBS 3 4-64 P WORKERS' COMPENSATION DECLARATION��affirm that I have r certCom a of consent to selfAPPLICATION FOR BUILDING PERMIT or a certificate-of Workers' Compensation Insurance,orcertified copy theieof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING'AND SAFETY Policy No Company ❑ Certified copy is hereby4urnishedFOR APPLICANT TO FILL IN BUILDING ADDRESS ` ❑ Certified copy is filed with the county building'inspec- BUILDINGKAY �� Z tion department ADDRESS ST Date Applicant CITY —Tm PILL C i TY ZIP`'31 7`6 0 LOCALITY CERTIFICATE'OF EXEMPTION FROM WORKERS' - /I 'NO OF BLDGS NEAREST COMPENSATION'INSURANCE SIZE OF LOT O X+ �► r 3G NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT �© BLOCK LOT NO TEL ��T) y Mgp'BOOK PAGE PARCEL OWNERBENJAMINpY NO 7'79- 7x USE Z E 9 P 'R I certify that in the performance of the work for which this C-p f/ NO permit is'issued, I shall not employ any person Inany onner ADDRESS •r o! .ap j�E WE"s T J h SPECIAL so as to become subject to the W rs'Compensat Law p Y CONDITIONS O r n CITY E M { t„f -C l.i Y' ZIP l� U Date Applicant OC NOTICE`TO APPLICANT If, after make this Certificat of ARCHITECT OR TEL DISTRICT G P TYPE FIRE PROCESSED BY O ENGINEER ,} CONST ) ZONE U Exemption,' you should become subl ct to the Wor ars' U V Compensation provisions-of the Labor Code„you must forth- ADDRESS Ltl with comply with, such provisions or this permit shall be TEj STATISTICAL CLASSIFIC ION APTJJQbND0 a. deemed revoked CONTRACTOR NO /� Z LICENSED CONTRACTORS DECLARATION, LIC CLASS NO DWELL UNITS — I hereby affirm that I am licensed under,provisions of Chapter 9 ADDRESS NO (commencing with Sectiarn7000)of Division 3,of the Business and LIC SEWER MAP _ Professions Code, and my license is in full for,,ce and effect CITY CLASS �{ VALIDATION SQ FTNO OF NO OF CHECK BK LPG ✓ License Number Lic Class SIZE _3,7 STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW Contractor Date ADD ® $ s ❑ I am exempt under Sec ❑ ALTER B&P C for this reason r REPAIR ❑ $ $ �,8 A USE OF �C �I/y Date EXISTING BLDG ���JW l.� DEMOL ❑ #;a+• e • e il• Signature APPLICANT ^^ }� TEL (f r g PRINT BoYD NO a ' /. FINAL OWNER-BUILDER DECLARATION DAT 1 hereby affirm that 1 am exempt from the Contractor's License h J,,• • 4 Q 5,0 Law for the followingreasori Section 7031 5, Business and ADDRESS O�ZG K�Y tvE�-f�sT' 1 CmpLt CITY' FINA / x ( e,e o'�1,QJr,Q,v Professions Code) iPRESENT By r 1 ® BUILDING 1, as owner of the property, or my employees with ADDRESS f„al 5 1-8 7, wagesas their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING' TEL LVy ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO ,with licensed contractors to construct the project-(Sec- ` ADDRESS I ''' with 7044, Business and Professions Code) REQUIRED TOTAL SETBACKFROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY , PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L r ' (Sec 3097, Civ C ) � SIDE. PL Lender's Name j� LDMA Ref N C/ Lender's Address PC fee$ Permit Fee �) I certify that I have read this application and state that the Issuance Fee LDMA P/C# ® - gabove information is correct I agree to comply with all County Investigation Fee q ordinances and State jaws relating to building construction, .. Total Fee CDMA perm N and hereby authorize r9 r ntatives of this County to enter upo t e above-mention ropert or inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sign tura of Applicant or Ag nt Date APPLICATION FOR BUILDING PERMIT ] COUNTY OF LOS'ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION— FOR APPLICANT TO FILL IN BUILDING ADDRESS Y I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS/,, _.�O EWEST / C _ �/ or a certificate of Workers' Compensation Insurance,or a certified :Y E J + 5 T copy thereof (Sec 3800, Lab C) CITY---. ZIP LOCALITY` �J Policy NO Company SIZE OF LOL�; NO OF BLDG NOW ON LOT El Certified copy Is hereby furnished b0 -,46 x,36! NEAREST CROSS ST ❑ Certified copy Is filed with the county building Inspection TRACT BLOCKLOT NO >/_ department 1 Z 4a "T USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE - PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �pN TEL NO COMPENSATION INSURANCE V I N O l 4 ZS' 7i WITHIN 1000 FT OF SCHOOLS YES No (This section need not be completed if the permit Is for one hundred ADDRE �S Z� �r n 1 � ,dollars($100)or less) L, I V 5-TDISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY I certify that In the performance of the work for,which this permit CITY L ? zIP 9 ' C! n Is Issued, I shall not employ any person In any manner so as to im I 1 become subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO •.s STATISTICAL CLA SIF11 ATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL - LICENSED CONTRACTORS DECLARATION - SIDE CITY LIC CLASS P L , I hereby affirm that I am licensed underprovisions,of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license Is In full force and effect 3 7 NEW ❑ BK PG , DESCRIPTION OF WORK � VALUATION License Number Llc Class � c � ADD - U Contractor DatefMT G ALTER ❑ $ �— ❑ I am exempt under Sec d rE �1��7iyEPAIR ❑ $ F— B B&PC for this reason Q/,�EQpDEMOL ❑ - W LDMA P/C# ' Date USE OF EXISTING BLDG n URM ❑ - Signature APPLICA PRINT) T N '7 LDMA Perm# Z I, as owner of the property, or my employees'with wages as E f� 1 l V ! �— O their sole compensation, will do the work and the structure 1s ADBEZS O la I�� C` �I C CLTY FINAL DATE _ not intended or offered for sale (Section 7044, Business and Y1J S L� Professions Code) WILL CII_ - LL THE APPLICANT FUTURE BUILDING OCCUPANT HANDLE,A HAZARDOUS MATERIAL J ITEMS El 1, as Owner of the property, am exclusively contracting with ORA MIXTURE CONTAININ ING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL B ' AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES ' licensed contractors to construct the project (Section 7044, YES❑ No❑ TiaTHL 33- 90 Business and Professions Code) n WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECF, ZJ.'�_f OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1 C ` CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING OHECKUST FOR dd _ GUIDELINES p/j // CHANGE 01,`I_ I hereby affirm that there is a construction lending agency for e ves❑ No❑' `' �I/7 (i// ti►'1 - , 'N the performance of the work for which this permit Is Issued(Sec rn I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING � I 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE _ TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS �j!'j�j[j-JLI1.! - �1f J MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD Lender's Name CL Lender's Address ' � 113 1 1�� . — O OWNER OR AGENT v o I certify that I have read this application and state under penalty of perjury that the above Information is correct I agree to comply PC FEE PERMIT FEE with all ounty ordinances and State laws relating to building 00 constr n, and hereby autho%esentp4sof this County ISSUANCE F a to ent r n the abo0e-mention r I spection purpo es �( n bi1Q�(�.t� = 3 INVESTIGATION FEE TOTAL FEE a 2, + m S/ J Sgmt—of Ao f I, + --- SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0111020033 PHONE: (626) 285-0488 EXT: G L 0. OF CONST NEW BUILDING ADDRESS: TR: 11290 LT: 1 BL: .001 UN. .002 SQ. FT STORIES TYPE OCCUP GROUP 10520 KEY WEST ST STRUCTURE. 2500 1 VN R3 TEMP CA 917803462 ASSESSOR INFORMATION NUMBER: GARAGE: 420 1 VN U1 NEAREST CROSS STREET: HALIFAX 8585-024-004 OTHER: 311 1 VN U1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: - USE ZONE: Rte- ISSUED ON: PROCESSED B : EXPIRES . 05/23/02 JK 11/19/02 OWNER: _ TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: HENSL10520YKEYOHN WEST ST 210,054 //// _ ' _OL . TEMP 917803462 FEES PKI-T- -DE-SrRIPTION OF WORK NEW 1STORY SFR (4BD,3BA,DEN,WETBAR,LIVING RM,DINING RM, APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: KITCHEN W/NOOK,LAUNDRY) AND DETACHED 2CAR GARAGE TEL. 0: SIEMPRE CONSTRUCTION INC (626) 792-3727- B1 PIANCHECK W/ENERGY 210054.00 VAL 1,890.01 1827 SAN PASQUAL ST AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS: PASADENA 91107 AC STRONG MOTION RESID 210054.00 VAL 21.01 B2 PERMIT W/ENERGY 210054.00 VAL 2,223.54 TOTAL FEES 4,162.31 CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE SIEMPRE CONSTRUCTION INC (626) 792-3727- 1827 SAN PASQUAL STREET LIC. NO LOCATION AND SETBACKS / O PASADENA, CA 91107 805704 B - L'> SOILS ENGINEER APPROVAL ARCHITECTNGIN N • FOUN N H FORMS SUNSHINE DESIGN ASSO (626) 289-6300- 301 N. ROSEMONT BLVD. LIC. N0: - _ � , - SLAQ/UNDER FLOOR SAN GABRIEL, CA 91775 NONE L RAISED FLFRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 L 37 3 01 Ts-T LEVEL FLO0 OF FAMILIES: D TS: : ST S: NO 00 - TND LEVEL FLOOR SHEAT TPIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT TOTALREQUIRED SETBACK FROM EXIST = BLDG DEPT. FRAME INSPECTpro SET BACK YARD: HWY: PROP LINE: WIDTH: - FRONT PL- SAAR PANELS SIDE PL- ` INSULATION/WEATHER STR INTERIOR LATH/DRYWALL EXTERIOR LATH2 OT DR INAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508 ,y r. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0205140032 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CbRST BUILDINGS: TR: 11290 LT: 1 BL: .001 UN: .002 SO. FT STORIES TYPE 10520 KEY WEST ST STRUCTURE: 800 TEMP CA 917803462 ASSESSOR0 NEAREST CROSS STREET: ARDEN 8585-024-004 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY ST B ON ISSUED N: PROCESSED BY: EXPIRES . EXIST OCC GRP: 05/14/02 JK 11/10/02 OWNER: TEL. B DGS. OW ON LOT: VALUATION: INA DAT FIN CODE: HENSLEY;JOHN (626) 401-3062- 3,500 10520 KEY WEST ST TEMP 917803462 FEES PAID DESCRIPTION 1 DEMO HOUSE & GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 0: HARTFIELD CONSTRUCTION CORP (626) 401-3062- AA BLDG PERMIT ISSUANCE 27.75 10128 1/2 RUSH ST 02 DEMOLITION INSP_ECTN 163.50 SPEC AL CONDITIONS: S EL MONTE 91733 TOTAL FEES 191.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HARTFIELD CONSTRUCTION (626) 401-3062- 10128 1/2 RUSH STREET LIC. NO PEDE3TRIAN PROTECTION SO. EL MONTE, CA ,C21 - SEWER DISCONNECTION i /G ARCHITECT OR ENGINEER: L. y _ 0ON PRIVATE DISPOSAL LIC. NO: U DERGRND S RUT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: X 01 0. OF FAMILIES: DW I / 0 D: STAT C . NO 23 SCHOOL WITHIN HAZARDOUS i AIR QUALITY: 1000 FEET MATERIALS NO NO NO j * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508