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APPLICAT1O-I 'B'UYIDI NCS' '�E` MFTv ;� ..y rEn ' 'L 1:'.':�'� LAN. -FOR PLIC'�IVT TO FILL IN (Print o t,'pe3�nl [.ti�4k¢13 ;,;ia 4R1'a3: L'" " y+`�j kJ�`:r 'dIy-a� t f�F�*•}airy" $ /`:�� r .;[.�• BUILDING J� `'7 .'�',� ;t:� �!jiW•�tL jfd.('T4T .'.b. ^ V11y ADDRESS O-S1� 'J•/• f •� L FcP.• 4f, ENEUVIYC.O Tit"aY*„ C1 &4410 L T Z I P G $UILDING AND SAF VISION N .OF SLOGS. BUILDING SIZE OF LOT NOW ON LOT - ADDRESS TRACT �,/ BLOCK / yL,OT NO LOCALINEAR TY OWNERCC//�J D141 alVI 1 /S%T-� CRO SEST ST, // C ASSESSOR ADDRESS �/ L y- O .S MAP.BOOK PAGE _ EL CITY !- c-I ! ZIP •� / DISTRICT GROUP CONST TYPE ZONE ZR;OCLSED BY ,ARCHITECT OR TEL. ENGINEER NO' STATISTICAL CLASSIFICATION SEWER M P ADDRESS -CLASS NO_--_2lfQ_DWELL•UNITS BK PG _ .CONTRACTOR TEL.NO USE ZONE NOP / LIC. ADDRESS NO. - SPECIAL LIC. —� CONDITIONS CITY CLASS ROAD €PARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH. BLD .SETBACK FROM FRO T PROP.LINE OF (STREET) d ADDRESS CITY - _ TOTAL SETBACK FROM TYPE'OF EXISTING V SQ. FT. NO OF NO, OF CHECK HIGH AY } YARD - FRONT PROP..LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE CC DESCRIPTION OF WORK,�S 7LCD L NEW ❑ - - U DD ❑ BLDG,SETB Z •1 V SIDE PROP.LINE OF (STREET)•" t/� ` p/ ALTER ❑ TOTAL SET.BACK TYPE OF EXISTING ,D/ ES 'E- A/� C S HIGHWAY } YARD = GHWAY WIDTH REPAIR❑ SIDE PROP. LINE USE OF t EXISTING BLDG. DEMOL ❑ APPLICANT TEL _ CORNER CUTOFF . YES ❑ NO ❑ (PRINT) NO. IN OPEN SPACE - YES ❑ - NO "BY (SIGNATURE) ❑- is IN COASTAL ZONE YES ❑ NO ❑ Q /rf VALUATION$ ®(/� CATEGORICAL EXEMPTION YES❑ NO ❑1 I HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION ENVIRONMENTAL 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED. IMPACT REPORT PROCESSED (DATE) -- HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN REL TING TO - WORKMEN'S COMP 10 INSURANCE � SIGNATURE O PERMITTEE _ j ADDRCCESS _• &__ qp�J_ � ••� •� FINAL C ITY40 ;_Wq 111 2i NO. ! 7 DATE 3 BY PMT. 11,1f�F. CHL-ChS P:1YAHLE 10• FEE $ FEE HARVEY T. BRANDT, COUNTY ENGINEER d PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH j3 9 073 NOV 1 Q 1 d 5 .0 0'A 76A638A CE9803 12/72 - _ 7GA638A DBS-3 8-55 ` == APPLICATION FOR BUIL®'I'N 1 DIVISION OF BUILDING AND SAFETY BUILDING ADDRE Department of County Engineer County of Los Angeles LOCALITY WM.J. FOX. COUNTY ENGINEER NEAREST' CASSATT.D. GRIFFIN, 9UP'T OF BUILDING CROSS ST. ' DISTRICT NO. GROUP SEWER MAPp FOR APPLICAkT TO FILL-IN , ,�=' . I CONST��I /TYPE fw ,BUILDING �j SSTATE ADDRESS , - N MA ER HWY YES NO !� USE ZONE SPECIAL LOT NO. T Gl. � / B CONDITIONS • TRACT NO. OF SLOGS. BUILDING EXIST. SIZE OF L NOW ON LOT SETBACK YARD HWY STREET NAME EXIST. WIDTH USE OF FRO - EXISTING BLDG. T P. L. FRONT OWNER SIDE - P. L. MAIL ADDRESS �iC/ /(/�� /�fYc�/N�7� Y,E. O TRACT DWELL. - I UNIT r 5 INDUSTRIAL CITY /�- ,+ NO.& w- 1 DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN.. ALT., ETC. ENGINEER NO. 3 APT. UNITS - 8 MISCEL. ADDREBB 4 OMMERCIAL TEL' INSPECTION RECORD CONTRACTOR Gy ,�+ L�iy}/�7��JI� NEO.*PO 7p739J ADDRESS Y� h 6/.J'//Tl?'/ ARC-42 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SO. FT. NO. OF NO.OF SIZE �j O STORIES FAMILIES -USE OF STRUCTURb, �'R�j�(-B,�E' F /GT r r SIGNATURE OF ' APPLICANT APPROVALS ADDRESS �/f L�� /'T�l•lj'/1t-��/�TrfiDATE 'INSP4CTOR'SSIGNATURE FOUNDATION: LOCATION sQ�" FEE j FORMS, MATERIALS (� Ge �� ' FRAME: FIRE STOPS. VALUATION - f .� BRACING. BOLTS '...lJn flA.i.�........a 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. - J1 AND STATE LAWS REGULATI GaBL- ING CONSTRUC- ' �j,,qq I�tt TION. i dT ✓A LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE ' RECT AND POSTED ADDRESS FINAL WM.J. FOX.COUNTY ENGINEER VALIDATION, C. N. DIRLAM, CHIEF BLDG. INSPECTOR ACo 4 7 5 9 N APR , 4 1 6 7.0 Q A 1 _' 1 .4.0 0 ►� 4.8 1 APR 6 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES - ,�. ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. . - PERMIT NO. BUILDING ql-,) ADDRESS ff M LOCALITY 7AMOLE RECEIVED BY DATE OF APPL DATE;ISB ED NEAREST �j /,�w.g+ //��'p CROSS ST. f! BUILDING OWNER 0� � ADDRESB.MAIL ' d� M LOCALITY ADDR_EE�pSSSNEAREST ITY -� No.-- _PLA -CROB9 BT. . _ FIRE -NO.OF �TYP6 GROUP-E ARCHITECT OR _ TEL. ZONE NH ENGINEER 42 4D. ` _ BLDG. ..,NO. ADDRESS _ � SETBACK LINE APPROVED 'r CONTRACTOR - TEL. ; r BY DATE - A/ w NO. 94 _(J /- - - USE ` APPROVED I, ADDRESS - ZONE / BY ����t�++ DATE LEGAL. + CO1117trCTION DESCRIPTION I LOT NO. I BLOCK _ TRACT pg r:NO.OF LDGS. SIZE OF LOT `�( „-J�NOW ONBLOT - - USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK A NEW ALTERATION ADDITION - O A ' REPAIR MOVING - DEMOLISH Bq. FT. NO.OF Z SIZE _ ROOMS STORIES D WALL ROOF r COVERING I COVERING dWI I HEREBY ACKNOWLEDGE- THAT I HAVE READ. THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, _ SIGNATURE OF BRACING,BOLTS - OWNER LATH,INT.: AUTHORIZED AOT. - dAl4# EXT.: DBS-3 ZSra SETS 1-47 $ P C 0 , PLASTER.INT. FEE - PLASTER.EXT. VALUATIONFEE ��` FINAL 0 ,2 • ��� u 76A636A CE.#8032-63 APPLICATION FOR BUILDING PE IT COUNTY OF LOS ANGELES BUILDING — DEPARTMENT OF COUNTY ENGINEER ADORES BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / o-7 ' ,WILLIAM A. JENSEN, SUPT of BUILDING,G� GROSS ST " Z. ' ISTRICT NO. GROUPTYPE P SSEO BY FOR APPLICANT TO FILL IN 3- 00 ;�:. oNsr. BUILDING 1 STATISTICAL CLASSIFICATION~ SEWER MAP ADDRESS �` �� CLASS NO DWELL UNITS (✓� LOT NO BLOCK WATER 'NOT REQUIRED -' RECEIVED CERTIFICATE. - TRACT. ,3 MAP HIGHWAY STATE MAJOR SECONDLOCAL NO OF BLDGS. NO ��j- '`(CIRCLE) L SIZE OF LOT NOW ON LOT USE ZONE PECIAL USE,OF' - CONDITIONS EXISTING BLDG TEL /✓ / OWNER aLe, NO - BUILDING EXIST ,�^ n SETBACK YARD HWY ,STREET NAME ;WIDTH ADDRESS 2e,5 /► ^�J�C��/T�Z1S' FRONT ARCHITECT OR _TEL .P L `�-! - ENGINEER - NO 'SIDE JP L a ADDRESS1 O TEL V CONTRACTOR NO i 1w' ADDRESS - 0 DESCRIPTION OF WORK W a NEW ADD ALTER REPAIR - DEMOLISH - - i FT. NO OF NO OF ---- SIZE STORIES FAMILIES USE OF STRUCTURE �Q OOO _ I '7 VS-S SIGNATURE OF ' APPLICANT VALUATION $ APPROVALS DATE - INSPECTOR]S,SIGNATURE PC f FOUNDATION LOCATION F E $ `� FEE $ -/7/ FORMS, MATERIALS• / y FRAME* FIRE STOPS, / \ I,•- I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRACING BOLTS ! If t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH 'ALL COUNTY ORDINANCES AND STATE LAWS'-REGULATING GAS VENT; DUCTS .. BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-" - ING TO WORKMEN'S COMPENSATION INSURANCE LATH. EXT. SIGNATURE OF PERMITTEE u�Q HOUSE NUMBER COR- `• \� , ,� )� -RECT AND POSTED ADDRESS FINAL I PLAN CHECK VALIDATION ' CK M O. CASH _ I JOHN F. LEWIS. FF2 I,NCIPAL STRUCTURAL ENGIISEER) -, PERMIT_ VALIDATION CK MO f LCo 3 S. 5- SEP 1-6 1 D• 4.0 0- A a ly , . APPL..ICATION � R VI ING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING OUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY p ZIP ` 7 BUILDING AND SAFETY DIVISION NO OF BLDGS B ILDING �J SIZE OF LOT 'NOW ON LOT ADDRESS TRACT ) LOT N BLOCK O LOCALITYi TEL - NEAREST OWNER / GNO CROSS ST 1� ✓ ASSESSOR, ADDRESS MAP BOOK, PAGE PARCEL DISTRICT GROUP TYPE FIRE PRCESSED BY -CITY-- - ZIP CONST 3 ZO ARCHITECT OR TEL (J�i' L 7'' ��' ENGINEER ��= '/ 7 NO T--? STATISTICAL CLASSIFICATION SEWER MAP - ADDRESS C hi&r %L//V /" CLASS NO /0 'DWELL UNITS BK PG TEL CONTRACTOR , _ �y NO USE ZONE MAF aQ i LIC NO ' ADDRESS -Q" (j NO f SPECIAL LICA I CONDITIONS' CITY v // = CLASS CONSTRUCTION LENDER- ROAD DEPARTMENT APPROVAL REQUIRED YES [3NO E] NAME'AND BRANCH BLDG•SETBACK FROM FRONT PROP-.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OFEXISTING SQ F NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE D00 STORIES FAMILIES ONE CLr DESCRIPTION OF WORK NEW ❑ + O ADD BLDG SETBACK FROM SIDE PROP LINE OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY _+ YARD = SIDE PROP LINE HIGHWAY WIDTH USE OF REPAIR ❑ Z EXISTING BLDG DEMOL ❑ + APPLICANT. TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) i1 C NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( L IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION y-��-» ,vd T -• .z y 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 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 OF / - PERMITTEE d�L 4 ADDRESS ' C �/ FINAL�J � '7 BY!'' �J�• CITY' L• L/I/r�J/L/T NO I /-3Jl / DATE / //� 66 �Q Zr" MAKE CHECKS-PAYABLE TO: FEE E Y$� /�� FT P F7ARVEY.T.BRANDT,COUNTY ENGINEER PLAN CHECKNALIDATION. cK. M.o CASH' a PERMIT VALIDATION CK /,M o. CASH 14' AS EB 7 3. 6'�APR 6 o 6 9.0 ®f 76A63BA CE#803-3-75' - r - APPLICATION FOR UiLDING F'iE' kMi FORAPP'LICANT TO FILL IN (Prl'nt or type"only) ' �fM', u i BUILDING' ( ' COUNTY, OF'LOS ANGELES ADDRESS G ' Y4 leoild. - DEPARTMENT OF 'COUNTY ENGINEER CITY ld C/`rte Z I P 14:7 .BUILDING-AND SAFETY DIVISION 4. If fl I NO.OF BLOGS. BUILDING n SIZE OF L0 7&--i--- NOW ON LA OT' ADDRESS' ,� �. _ ��' w - C) TRACT ! BLOCK; ' LOT NO LOCALITY - TEL. � NEAREST •' - W OWNER, pJ�71(/Ij/iTS O};p� ✓. NO.�fL".VST!Y CROSS ST. tl ASSESSOR U ADDRESS D4 MAP BOOK 's 'PAGE- PARCEL w y y DISTRICT ]GROUPITYPE FIRE PROCESSED BY N CITY mill ld G'`l- " ZIP /O D CONS ZONE /G//w�tiL 'I 'ARCHITECT' R y 'TEL., '•y D9'. jeI� �` _ 3 ~� ENGINEER -G .lAe126WAJb AW N0. -STATISTIC'AL'CLASSIFICA-TION SEWER MAP ADDRESS �� f ji�J Y/L'- 57 CLASS NO, ��DWELL.UNITS JYJ BK/p4PG CONTRACT_OR;• TEL. USE ZONE MAP NO NO. ADDRESS 'LIC. I NO /y) , SPECIAL LIC. CON DIT10NS CITY CLASS ROAD DE PARTMEN•T APPROVAL REQUIRED 'YES� NO CONSTRUCTION LENDER NAME AND BRANCH - BLOG.SETBACK FROM ..:•� - • - - -' - - FRONT PROP.LINE OF (STREET) ' ADDRESS 'CITY ' HIGHWAY } YARD NOTAL SETBACK FROM TYPE OF EXISTING SQ FT, -. NO. OFNo OF - CHECK 1, FRONT PROP...LINE- HIGHWAY WIDTH SIZE Tzl STORIES � FAMILIES ONE _ Y NEW •❑ + O DESC RI P•TION OF WORK - � V •• ADD' BLDG,SETBACK FROM• - • - (STREET) C SIDEPROP,LINEOF L•TER ❑ HIGHWAY-} YARD = TOTAL SETBACK FROM TYPE OF EXISTING U _ EPAIR❑ ^• I SIDE'PROP. LINE HIGHWAY WIDTH W r`N USE'OF EXISTING BLDG,,, - _-_ DEMOL ❑ fz APPLICANT �- EL•,-• - .CORNER CUTOFF YES ❑, , NO Q, (PRINT) A / O NO.��`".�.f-�Z BY (SIGNATURE) IN OPEN'SP+ACE, :,YES El ; NO 1:1• - - y •- �a IN,COASTAL PERMIT ZONE. ,.a• YES NO I HEREBY ACKNOWLEDGE THAT I HAVE READ LHIS APPLICATION. ? f� � '� t`rl(CN.' N ~ LNC•- +,Al AND-STATE THAT THE ABOVE IS-CORRECTAND-AGREE COMPLY - WITH' ALL ORDINANCES AND LAWS REG AT LDIINO'CON �a�,1 y/ •"--��� ,. STRUCTION.- I CERTIFY THAT, �'DOIN T K AUTHORIZED , HEREBY I WILL NOT EMPLOY' HY P SON IN" IOLATION.OF'THE ` "• I - - '' , LABOR- CODE OF THE �T 'OF AL IF R R ATINO TO" �. �'',�'��.'�-Q(>/� ,l,�� (� >af�t �q-• •yrfJ WORKMEN'S,COMPENSA �J— SIGNATURE•OF �i'L7QcF"I6�1?i� PERMITT f/r� Q •ST �, .• ,Iry. - - ,�,.=s ;ADDRESS TE G•' , /-' 7 L.IP/ ' �� ��/�S �,s+. CITY NOL �r 3✓ DATE IIA KE HE hS FA:IABLE 7,0: 'FE FEE JPMT: P HARVEY T. ,BRANDT',, COUNTY ENGINEER 1.t0 i a O ^�� /„/� PLAN'CHECK VALIDA'TIO CK • M O - CASH + ( 'PERMIT VALIDATION CLI- CK M O. �'jCA57 .2 2'.5 n7R 1.8 �' � 3: 5 6. `2 0'2 N aP 7 _'1 9 6.0:0 ©id -2 0 7.2 3 D 76A638A C_E*803 5/74 -. •^ - - _ , �� � f ` EMPLE CITY � -6 7"638A «#ao:,- ,-6, APPLICATION FOR BU.ILDIN�PERMIT- COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUnDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY, ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. FOR-APPLICANT TO FILL IN D_IyS�T}RICT O. GROUP TYPE P SSED BY ��• � CONST. BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS v � +' �-��- /Z0 P CLASS. NO � DWELL. UNITS � LOT NO. - BLOCK WATER CERTIFICATE NOT REQUIRED ,RECEIVED TRACT al NWMAPHIGHWAY STATE MAJOR SECOND, OCA• NO.OF S LEI SIZE OF LOT L 7/�c',Z'��s I NOW ON LOTUSE ZONE SPECIAL USE OF I/ /W v CONDITIONS ' EXISTING BLDG. OWNER C_�ro49 /IiVi`r TEL.a,'���� - .. /S oS/L NO. BUILDING EXIST. r SETBACK YARD HWY STREET�NAME WIDTH- ADDRESS .ZOO L9/�✓�r� - 1/� FRONT ARCHITECT OR .STEL. P L. ENGINEER NO. SIDE P.L. ADDRESS TEL. INSPECTION RECORD O CONTRACTOR NO. - 99 ADDRESS Q DESCRIPTION OF WORK G W CL U) NEW - ADD ALTER REPAIR EMOLISH Z SQ.FT. NO OF - - IZE STORIES FAMILIES USE OF STRUCTURE S b — �f��✓ SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. 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 EM OY A PERS IN vIOLA- LFINAL INT. TION OF THE LABOR CODE THE TATE AL NIA RELAT- ING TO WORKMEN'S CO SAT N IN C ` EXT. SIGNATURE_ OF NUMBER COR- PERMITTE fl AND POSTED ADDRESS / /� /� l� /�/ CLYDE N. DIRLAM, PRIrNCIPAL STRUCTURAL ENGI PLAN CHECK VALIDATION CK. M.O. CASH PERNIIT VALIDATION cK: M.O. z TEMPLE CITY yy 9•/&1 7- 76AC30A Ce qBO�• 1-81 APPLICATION FOR BUILDING P M . COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRE BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. - �J DISCTNO.. ROUP TYPE P ESSED BY FOR APPLICANT TO FILL IN 14- CONST, BUILDING i -"% STATISTICAL CLASSIFICATION S WER MAP ' ADDRESS / K G r CLASS.NO DWELL.UNITS `� LOT NO. BLOCK WATERrUr CERTIFICATE NOT REQUIRED RECEIVED Z-L TRACT /�NI heW MAP / HIGHCWAY NO.OF BLDGS. NO (CIRLE) STATE MAJOR SECOND, OC L SIZE OF LOT �.G i7���'s ,[NOW ON LOT USE ZONE SPECIAL USE D I�� / CONDITIONS ' EXISTITI NG BLDG. /�' � - • /f EL. T OWNER /� '�- i 6IAL �w NO BUILDING EXIST. I SETBACK YARD HWY STREET NAM -WIDTH ADDRESS .r�o.�fG /N� T/n ����• FRONT ARCHITECT OR ENGINEER SIDE - P.L. } ADDRESSa TEL. INSPECTION RECORD p CONTRACTOR NO. V ADDRESS O REBtRIPTION OF WORK W CL NEW ADD ALTER REPAIR E OLISH h SQ.FT. NO.OF IZE STORIES FAMILIES _ USE OF �+ STRUCTURE NGS aG� J H>�D,s D r/S SIGNATURE OF ' APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ `- FEE $ O 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- TI IOLA- LATH,INT•. . TION OF THE LABOR CODE F TH +STATE OF •IFORN IA RELAT- ING TO WORKMEN'S COMP SA N IN A - LATH,EXT-. i SIGNATURE OF HOUSE NUMBER COR- PERMITTEE ..// !� _ RECT AND POSTED .,-'� ♦ J, ),�q�,/�f�i' ADDRESS �o '/Y.- G/S%!�//S�JT� ���. FINAL CLYDE N. DIRLAM.I5IiINCIPAL STRUCTURAL ENG ER' PLAN CHECK VALIDATION cK. m.o. cABH PERMIT-VALIDATION cK. m.o. Leto58 > 51 XN - 6 1 p �RTMENT OF BUILDING AND $ yTY ���';J APPLICATION _FOR PERMIT COUNTY-OF.LOS ANGELES \ ? V — Bu � �. ® � � 1 WM.J.--'FOX,.CHIEF ENGINEER-.-_ FOR APPLICANT TO FILL IN - FOR OFFICE USE ONLY DISTRICT NO. - PLAN CK.NO. PERMIT'NO. BUILDING, I ire O ' ADDRESS . !7 a' LOCALITY /$ C' RECEIVED BY , DATE OF A`P1PL. DAT EE ISSUED�}¢� NEAREST CROSS.ST. -/ !Oxyi v i/j/,t�� iJL� v PBUILDING •OWNER j, �� p� ADDRESS 1 �► MAIL L ALITY -Q ADDRESS , N EAR EST �C/� TEL. CROSS BT. W ASV S At f 1'` CITY A I NO. FIRE NO.OF TYP GROUP _ Az a ennuuTF -TnR TEL. ZONE PLANS WAi ENGINEER 11 O. B :.3 LDG. - — ORD.NO: ADDRESB. �- ( / SETBACK LINE /�w�� APPROVED •1 TRACTOR 11 N O. (i _ BY DATE / ��J USE APPROVED ADDRESS ZONE BY �= DATE-���`/� LEGAL - CORRECTIONS DESCRIPTION LOT NO. BLOCK s w .r,15 .1 er_-,7 , TRACT NQl 91 E OF LOT X.-� `¢Q..M�+q.. I NOWOON LOTS - u UBE TI ``` _ - D NO.OF NO.OF EXISTING BLDG.VA,01'lXA I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATIONADDITION L O A REPAIR MOVING DEMOLISH - -� Sq.FT. NO.DF s; SIZE ROOMS STORIES WALL •- ROOF / r '-` COVERING I COVERING USE OF NEW BUILDING • Gr 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Q FRAME: FIRE STOPS, SIGNATURE �_ C �) //� BRACING,BOLTS PERMITTjryyt..�p ,QJ/ 1 LATH,INT.: AUTHORIZED AG-1 LATH,EXT.: DBS-3 SOM BETE 1-413 $ P.C.6 Oro PLASTER,INT. FEE f PLASTER,EXT. '.VALUATIDN FEE " FINAL l����_"/ �J oi� 76AG38A CE#B03 8-G3 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ✓ _ DEPARTMENT OF COUNTY ENGINEER ADDREs _ BUILDING AND SAFETY DIVISION LOCALITY " JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST. �^ DISTRICT NO GROUP I TYPE PAeSFSSED BY FOR APPLICANT TO FILL IN CONS r:' L F.WNER STATISTICAL CLASSIFICATION SE ER MAP �� K / G CLASS NO 4aaDWELL UNITS (� - BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: I' /f 3 MAP - HIGHWAY STATE MAJOR SECON LOCAL NO OF BLDGS. NO ICIRCLE) OT NOW ON LOT USE ZONE SPECIAL CONDITIONS BLDG. h 1 TEL. �/ �'�. O B'17'hL(.L?/ %? L' ( NO. BUILDING EXIST SETBACK YARD HWY TREFT NAM WIDTH ADDRESS . - FRONT - ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS _ >cc TEL. _ Q CONTRACTOR C ,(JT NO ' v ADDRESS DESCRIPTION OF WORK 9 NEWV" ADD ALTER REPAIR DEMOLISH = H SQ. FT. NO OF NO OF L r ? SIZE STORIES FAMILIES' o� �p��� ✓ USE OF / )/W(S�'�O'+" r' ./•' t STRUCTURE l 4q I 'SIGNATURE OF 7ZI APPLICANT VALUATION APPROVALS DATE INSPEC OR'S SIGN TAE PC PMT. 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 1 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 CO41PEN ION INSUR CE LATH. EXT SIGNATURE'OF HOUSE NUMBER COR- PERM ITT E E OR-PERMITTEE r RECT AND POSTED \ ADDRESS J E r LF 1 FINAL 9 JOHN F. LEWIS PR NCIP:ALIST RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH LALO 4 3 0 6 SEP 2 8 1 D 1 0.0 0- DEPARTMENT OF BUILDING AI4D SAFETY F APPLICATION FOR -PERMIT' COUNTY OF LOS ANGELES WM. J: FOX, CHIEF ENGINEER B U 1 L `G - FOR RPLICANT TO FILL IN FOR OFFICE USE ONLY;"Y DISTRICT NO. , JPLAN CK.NO. "PERMIT NO. } BUILDING _ ADDRESS �© gg LOCALITY /vf % RECEIVED BsY�`� -; DATE OF APP-L� (DyATE IBBUEDNEARE4 CROSS•BT.' 1 j1'_ 7/- XI lq o 2�_!9 /Y C�/. �" •, lJ � Q l5. ` `, BUILDING OWNER 15A ADDRESS L MAILSa C/ LOCALITY A412 DDRESS " NEAREST I � 1, TG`ND -31/ISC CROHB BT. CITY - FIRE NO.OF TYPE OR ARCHITECT OR /� CEO ZONE ! PLANS / ENGINEER + 1 r OLDS. I _ ORD.NO. ADDRESS BETBACK LINE '.w APPROVED CONTRACTOR y/ rJ,4/"- NO. BY DATE h USE APPROVED ADDRESS ZDNE BY DATE ' r LEGAL CORRECTIONS DESCRIP/T�I'OdN rLLOT NO. —BCOCKM 7�^ TRACT 6,o a , K'3 a I NO.OF BLDGS. U SIZE OF LOTrl . G/ NOW ON LOT USE OF NO.OFNO.OF- EXISTING BLDG. I FAMILIES I ROOMS _ , _1 DESCRIPTION OF WORK ' NEW ALTERATION ADDITION V. �- - O REPAIR MOVING DEMOLISH p Sq.FT. ^� NO.OF Z SIZE / '(}'/� ROOMS STORIES r WALLCOVERING rOCL.A;4: I COVERING ,Sy/J�(641r. NEW BUILDIUSE OFNG ( ,.�AG4-t� A In 1I7 v 1 HER ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE-ABOVE IS CORRECT FOUNDATION: LOCATION NSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS ' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �• FRAME: FIRE STOPS, SIGNATURE OF /,aj BRACINB.BOLTS PERMITTEELP/!/ LATH,INT.: AUTHORIZED AGT - ' f. -1 LATH,EXT.: -L Z 'LSO W DSS-3 SUM SETS 1-48 $ P.C.i PLASTER,INT. X1 FEE PLASTER,EXT. VALUATION / FEE FINAL /-,23-cfl W "�zl V APPLI-CATION FOR BUIL®IN P R M I Tw/ � DMSION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS jj County of Los Angeles LocALtTv /e WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.-GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRI O. GROUP TYPE SEWER MAP R APPLICANT TO FILL IN �r CONST. A A; BUILDING �(ADDRESS / N NUMBER O• STATE YES O LOT NO. BLOCK USE ZONE SPE IAL CONDITIONS TRACT -SIZE OF 0 No. OF NOW ON LOTS BUILDING EXISTSETBACK WIDTH YARD HWY STREET NAME , USE FPROL T �/ /O EXISTING BLDG.T�> C7 AIM IT OWNER I SIDE P. L. MAIL S .� ADDRES � O TRACT DWELL. 1 UNIT / 5 INDUSTRIAL TEL. 1 DWELL. I UNIT CITY w NO. 6 PUBLIC BLDG. ARCHITECT OR - TEL. 2 DUPLEX I UNIT _ 7 ADDN., ALT., ETC. ENGINEER NO. 3 APT. UNITS 8' ISCEL. ADDRESS 4 COMMERCIAL TEL' CONTRACTOR NO. INSPECTION RECOTffi � y ADDRESS �ZI 21 'S`" 4liC - 1•�.�Atdzr't�1� .,.9�kA.�,� „+ DESCRIPTION OF WORK NEW r ADD ALTER REPAIR DEMOLISH �g� SO. FT. NO. OF NO. OF j -SIZE •^T • ;=1 -STORIES FAMILIES �_ USE OF STRUCTURE SIGNATURE OF APPLI APPROVALS ADDRESS DATE INSPECTORS SIGNATURE $ FOUNDATION: LOCATION j n D P. ffi FORMS. MATERIALS FEE FRAME: FIRE STOPS, VALUATION $ BRACING,BOLTS FEE FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOV S CORRECT AND AGREE TO COMPLY ITH ALL COU DINANCES LATH, INT. A AND STATE LAWS R TING BUI CONST C- TION. LATH. T. 24---,S I . SIGNATURE OF _ USE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL WM.J. FOX, COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR �CACsl 1,.0. W. .DEc2r1: _ • ,� ,til=L' � 4 � • 76A638A CE#803 8.63 APPLICATION FOR ,BUILDING PERMIT-v, /s COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS - q BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.- J DISTRICT NO. GROUP, TYPE P OC SSED BY FOR APPLICANT TO,FILL IN CONST. G� F" s / STATISTICAL CLASSIFICATION SE ER MAP _ `/ __._.1 - B PG CLASS NO ' DWELL UNITS 9 BLOCK WATER NOT REQUIRED ❑ RECEIVED �J1 CERTIFICATE. TRACT aZ d J NOP��} ({CI NO-OF BLDGS. RCLE) STATE MAJOR SECON LOCAL) ' IHWAY SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG /1 /ff EL, _ 1• OWNER /.V V/I/ir iS OS•I (y N0• BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT _ ARCHITECT OR TELP L Ciao- ENGINEER 14A A ,fes NO. J'4,91,7 SIDE P. IJL ADDRESS"F=.'`,';'.!~ •'•••.�. TEL , /� (� L�� ' _-xe_ /L" r O CONTRACTOR _ NO ADDRESS DESCRIPTION OF WORK / (yI' - - '"A ui A a NEW . ADD ALTER REPAIR DEMOLISHr' tA T .NO OF NO OF 3 GT SIZE ,�D STORIES FAMILIES �- USE OF 4w� STRUCTURE /11.E�V�O' �,t �it�'L•i sem`�- — e'^Ra0:11J• • r„ Yi I /YP .• ... SIGNATURE OF. .. APPLICANT VALUATION $ �) ✓ Ga L�j APPROVALS ,,qq p,DATE� N5 ECTOR'S SIGNA SURE P C �' �� PMT FOUNDATION. LOCATION FEE $/ '�-,� FEE $ FORMS. MATERIALS •'8V:'.•�.�+✓"!t Lr..3S' • FRAME FIRE STOPS, (/• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ` PP AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION `� Y 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 E T- ING TO SIGNATURE ON•s c PE NSATION INS RAIyCE I �TH USEEXT NUMBER COR- PERMITTEE ,! RECT AND POSTED ADDRESS ✓' FINAL PLAN CHECK VALIDATION QcKMo CASH JOHN F. LEWIS RINCIPAL ST )' URAL ENGINEER PERMIT VALIDATION M O CASH ILA 0 3 8 3 za, JUN 2 3 2 3 D 2 8.5 0 A Ip 0852 J!!L 3 ?`"�1• D 5 7.DONSs _ �:, a 78A833A CE#803 8-63 APPLICATION FOR BUILD NG `�'E i\/II COUNTY OF LOS ANGELES y BUILDING DEPARTMENT OF COUNTY ENGINEER aooREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST DISTRICT NO rGtOUP TYPE /1PRO ESSED BY FLO OR .APPLICANT TO FILL. IN '�D CONST V STATISTICAL CLASSIFICATION WEIR MAP BK PG _ CLASS NO DWELL 'UNITS _ �•- WATERCERTIFICATE. NOT REQUIREDRECEIVED7 / MAP _ HIGHWAYNO OF BLDGS _ NO ` (CIRCLE) STATE MAJORSECOND, LOCAL NOWON LOT NaVIC USEZONE SPECIAL CONDITIONS DG TELv �iHN1v/f. 0/�S NO. BUILDING EXIST. •OWNER YARD HWY STREET NAME SETBACK i WIDTH ADDRESS ,` ,�A t, nay FRONT ENGINEER /'/- /-/'VVf y NO .4T � : P Ll ADDRESS 1//-7O�t Z4< 7U,✓� - !`C., f'J •� ,I �A / Ad' TEL 1 (""T/� ��.f✓l� _.�fu. [ L .•:y� CONTRACTOR �Or �' S'� NO ADDRESS "Kr• DESCRIPTION OF WORKkn r NEW ADD ALTER REPAIR DEMOLISH - •t�� �f �Z . FT NO. OF NO OF -A SIZE 2do� STORIES FAMILIES USE OF STRUCTURE Old/-cGG f J • f SIGNATURE OF ' APPLICANT b VALUATION $ f'60O ` APPROVALS DATE IN.1 ECTORiS SI,GNATU RE' P.c PMT FEE $ ��\ FEE $ � FOUNDATION LOCATION FORMS, MATERIALS FRAME <FIRE STOPS, / •/ t/ ✓ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,. BRACING, BOLTS /J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION. ° WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS -7Z BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK. t AUTHORIZED HEREBY I WILL NOT-EMPLOY ANY PERSON IN VIOLA- LATH. INT f TION OF THE LABOR CODE OF THE STATE•OF ALIFORNIA REL ING TO WORKMEN'S CPENSATION Lu XAN LATH EXT SIGNATURE OF _ HOUSE NUMBER COR- �e•� l PERMITTEE _ RECT AND POSTED ADDRESS j..�/O ./? u' FINAL JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER PLAN. CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH 9 6''9 1,z. JUN 4 2 3 D 2 Jr.0 0 t•a r �- U'>t�s•0 4 8 1-" JUN 2 5 1 D 5 0.0 0 ����3 . ��. z = s ����- ��" r z N T _ 7 r _ B U I L D I N G A N D S A F E T Y " ����' ' A P P L I , , F , , . . , ��. , , ��, C O U N T Y O F L O S - A N G E L E S 1 N M : J . F O X ; C H I E F E N G I N E E R B - U I ` f F O R : A P P L I C A N T ' T O - , F I L L I N F O R O F F I C E , U S E O N L Y ! . �% , D I S T R I C T N O : P L A N ' C K ' . N O t . - , P E R M I T . N O . B U I L D I N I A D D R E S S L L O C A L I T Y ��j ' y ��' ' �� R E C E I V E D B Y . D A T E O F , A P P L . , N E A R E S T C R O S S ' S T . ' B U I L D I N G A D D R E S S M A I L ; ' 7 : ��A ` Y O J / ��y / r y s L O C A L I T Y ^ A D D A D D R E S S - ' ��" ' �� T E L . . N E A R E S T C R O S S S T . C I T Y : ��. ' " ' N O . - ��- - . F I R E N O . O F T Y P E s . t i . G R O U P " " , " : . A R C H I T E C T ' 0 R - , ' , T E L . , - Z O N E , P L A N S - ' v " , l y ` - � ��, " - . I - . , . , , - E N G I N E E R ` - N O . " ' B L D G . t . P ; r O R D , : N O . A D D R E S S S E T B A C K L I N E ' < - - - A P P R O V E D u ' - . T E L . B K - D A T E C O N T R A C T O R N O . " - ' �� _ - - " ' - U S E . A P P R O V E D A D D R E S S Z O N E " 8 Y ' { D A T E ' L E G A L I . ` C O R R E C T I O N S D E S C R I P T I O N L O T O . - B L O C K " T R A C T N O : O F B L D G S : S I Z E , O F L O T P ' [ �� I N O W O N L O T d U s E , O F - N O . O R . ��J N O . , o r , / , o - : - t . - " " _ r - . E X I S T I N G B L D G . _ I F A M I L I E S J / R O O M S C / 1 ����I ` ! ����" r �%' 7 J ��7 / C ��. F - . d / i 6 W 3 �� ' . D E S C R I P T I O " N O F W O R K f ' _ ' I ' � - " a i . > ( i �%Y l l . f . t i f ��t + ��a Y ��t ��r ' d y L s l a f y � i D r ` ' N E 1 N ' ' A L T E R A T I O N ' A D D I T I O N s �� % / �� d p J ` d f 1 p _ R E P A I R M O V I N G . f D E M O L I S H ��r ��A i G �� Y ( . ��/ K . n , e �� W / j / ��. . d � ! �� O " , " . . B Q . F T S I Z E / / . R O O M S " s �� B T O R I E B S I Z E b _ W A L L � ` ��` , ����' ' p p " R O O F - C O V E R I N O ��] / / / ��( ��/ �� - I + C O V E R I N G S } ��/ ����" �� r ' - . . , U S E O F N E W I ��* ���%��/ . ' " ' ' o i i G y ' . ���� ' B U I L D I N G - = r . , . A P P R O V A L S - ' " I H E R E B Y . A C K N Q W L E D G E T H A T I ' . H A V E R E A D T H I S I N S P E C T O R . D A T E - : A P P L I C A T I O N ' A N D S T A T E T H A T T H E ' A B O V E I S C O R R E C T . F O U N D A T I O N : ' - , L O C A T I O N , F O R M S , M A T E R I A L S , " A N D A G R E E T O ' C O M P L Y , W I T H ` A L L C O U N T Y O R D I N A N C E S - - A N D ' S T A T E L A W S R E G U L A T I N G B U I L D f f , i d C O N S T R U C T I O N . F R A M E : F I R E S T O P S , ' " S I G N A T O F 4 B R A C I N G , B O L T S - O W N E R L A T H , I N T . , . ' A U T H O R I Z E D " . A G T ' r L A T H , E X T . . P L A S T E R , I N T . . ��' " " ����/ y % y ���� F E 6 P L A S T E R , E X T . V A L U A T I O N , ~ L F E E . . �� F I N A L WORKERS' COMPENSATION DECLARATION ` hereby affirm that'I haver certificate of consent to self APPLICATION O R ' 6lJ LL D I N G PERM-IT insure, or a certificate•of Workers' Compensation Insurance, • or a certified copy thereof (Sec 3800, Lab C) ICOUNTY'.OF LOS'ANGELES BUILDING AND S"AFEM- Policy No Company Certified copy s,hereby furnished- 'FOR APPLICANT TO.-FILL IN BUILDING �] ADDRESS Certified copy is filed with the county building inspec- ' BUILDING •'tion department - ADDRESS Da_to Applicant. CITYTEY"VLc LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO 01 BLDGS' NEAREST COMPENSATION INSURANCE SIZE OF LOT- ,t4 OO NOW'( TOT CROSS ST _ f•' .N (This section need not be completed of the permit is for oneTRACT+'^ BLOCK _` LOT'NO .,1 ASSESSOR _ hundred dollars ($100)or less ) MAP BOOK " PAGE PARCEL . OWNER �-{. ''NOD10� GC�7 USE ZONE MAP- I certify that in the performance of the-work for which this SNO PE ,permit is issued, I shall not employany person in any manner ADDRESS �b L g' ' (ZNU�. SPECIAL so as to become subject to the'Workers'Compensation Laws cc1 .M �+ /+� CONDITIONS"; CITY Cr' 1\�-C to ZIP, Date Applicant' ARCHITECT.OR. TEL NOTICE TO APPLICANT .If, after making this Certificate of , 7 g �� :NO DISTRICT• GROUP TYPE FIRE PROCESSED BY ENGINEER CONST ZONE Exemption,' you should become subject to the Workers' Compensation provisions of the Labor'Code;.you must forth- gDDRESS, �-1 Fet�S' v' Ni-�� "� T ' J4 with .comply with such provisions or this permit shall be + TEL _ STATISTICAL CLASSIFICATION-• APT NDO. deemed revoked: _ CONTRACTOR NO 5 LICENSED CONTRACTORS DECLARATION LIC' CLASS NO. DWELL. UNITS J hereby affirm ihat.l,am Iicensed'under provisions of Chapter 9 ADDRESS NO(co men ing with Section 7000)of Division 3 of the Business and' TIC SEWER MAP ,•,;• - a Professions Code, and'my,,`license is in full•force and effect. CITY CLASS } BK -L A(.. — ' SQ. FT.7 r NO OF NO OF.; y�► CHECK 1 �•r• License Number Lic.Class SIZE J�� ' STORIES FAMILIESN r1'' ONE g- F ,• Q'` EWCIAgLAR_F, NEW . ❑ VAL TON Contractor Date DESCRIPTION OF'WORK ❑ s 0 `W , , I am exempt under Sec STQ0Cst t-UL`^ `G, ADD ❑ dF GXl , 00007000 if dU� �' Q ALTER _ . •B.BP.C. for this reason REPAIR ❑ $ t�v u� W i,= y Date: USE OF M ! C ' wC DEMOL ❑ Z EXISTING BLDG L e `l Si nature BILL PPLICANT TEL �Q -T1 g PRINT C1 �� �I.g.� 7 NOO�O���' !I FINAL - OWNER-BUILDER DECLARATION �j DATE p , I hereby affirm that I am exempt from the Contractor's License ADDRESS ` �S���J D�• `�'' -�" `/ Law for the following reason (Section 7031.5, Business and FINAL Professions Code) PRESENT BY ❑ BUILDING - 1, as owner of the property,. or_my•employees with. ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section' . LO(fAUTY , y 7044,-13'6sin'ess and Professions Code). = MOVING, TEL ` ❑ yCONTRACTOR NO I „ , as-owner,of'the property, am exclusively contracting, ,•s with licensed contractors'to construct the project (Sec- ADDRESS tion 7044,'Business'and Professions Code), REQUIRED TOTAL SETBACK ROM EXII T. CONSTRUCTION LENDING,AGENCY SET BACK YARD HWY PROP. LINE WIDTH ,I thereby affirm that there iso construction lending agency for FRONT the performance,of the work for which this permit is issued• P L s - (Sec. 3097, Civ C.) SIDE' ' P.L a,J Lender's Name LDMA Ref. M PC Fee$ Permit Fee Lender's Address Ci I certify, that I have read this.-application and state that the Issuance Fee LDMA P/C o ;above information is correct. I agree to comply with all County Investigation Fee o ordinances and State laws relating to building construction, 6 and hereby'authorize representatives-of this County to enter : Total Fee. LDMA Perm:'fl m upon the,above-mentioned property for inspection purposes. M SEE.REVERSE•FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION , I hereby affirm that-I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, ='AP P'L I CATION •F.O R. B U'I L D I N G, PERMIT or a certified copy thereof (Sec. 3800, lab. C.) COUNTY OF LOS ANGELES .-'.BUILDING AND SAFETY " Policy No. 'Company• ❑, Certifiedtcopy BUILDING is hereby furnished. FOR'APPLICANT•TO FILL, ADDRESS ,. } S ❑ Certified copy is•filed.with'the county building inspec- BUILDING tion•department: ADDRESS V//�6 '7 J �, CITY Z/ ZIP q' I LOCALITY LIE- !' Date 'Applicant NO. OF BLDGS. - _ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE.OF LOT NOW ON,LOT' NEAREST- CERTIFICATE ST. ' 'COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the-permit-is for one TRACT 7 BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or less:) s--T TEL _ _ _ OWNER 1 NO. USE ZONE'r MAP ' I certify thaT:in-the performance"of the work for which this j ;i;s,• NO �-q^ �+ SPECIAL } permit is issued, I shall not employ any person'in-any manner - ADDRESS p T-7QL CONDITIONS Q so as to become subject to the Workers' CompensationLaws. �-( _., • . �.. _ - - U - CITI I t - ZIP qI 1 _ Date Applicant' ARC OR TEL iY AR INE NO - 'DISTRICT GROUP TYPE' FIRE ROCES ED BY Q NOTICE TO APPLICANT: If, after making this Certificate-of CONS ZONE 0 Exemption, you should become•'subject -to the Workers' --7 U Compensation provisions of the Labor Code,'you•must forth- ADDRESS 1 r�1'J� st 3 /� a 'with comply with such provisions or.,this permit,shall be TEL"j STATISTI L CLASSIFICATION '.. APT' CO O. N deemed revoked. • CONTRACTO NO. Z LICENSED,CONTRACTORS DECLARATION• LIC. CLASS NO. •- DWELL. UNITS I hereby affirm that I am licensed under provisions�of•Chapter 9 _ _ ADDRESS �� NO. SEWER MAP (commencing with Section.7000)of.Division 3'of the Business 5 (>, LIC. and Professions Code,and my license is in full force and•effect. CI , CLASS BK PGVALIDATION' SQ. FT NO.'OF. NO. OF CHECK er License Number Lic. Class SIZE STORIES FAMILIES ONE - A + VALUATION Contractor Date' DESC ION OF WORK' = NEW ElVA ❑I am exempt under Sec. t ADD I ERE ALTER ❑ B BP.0 for this reason t REPAIR ❑ $ Date: USE OF EXIBLDG I t 1i � D STING: EMOL ❑ Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION (PRINT), DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section'7031:5,-Business'and ADDRESS 'FINAL,.' Professions Code): • 1 PRESENT By BUILDING ❑ , as owner of the property, or.my employees with _ r ADDRESS wages as their sole compensation,will do•the work and OCALIT.I' L ' the structure is not mtended'gr•offered for sale(Section ' r - ' 7044, Business and Professions.Code.) MOVING TEL ❑ I, as owner of the property,-am exclusively contracting' CONTRACTOR NO. with,licensed-contractors to,construct:the project (Sec- tion Sec- ADDRESS tion•7044,•Business and Professions Code.) - REQUIRED TOTAL-SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that thele is a construction lending agency for FRONT the performance.pf the vvork.for,which this permit is issued P:L' (Sec 3097, Civ. C.). - SIDE . P L. Lender's Name /,; < - . LDMA Ref. N P.0 Fee$ Permit Fee- V Lender's Address y , o I certify that I have read this,application and state that the Issuance Fee U LDMA P/C a o 8 above i ation is correct. I agree to comply with all County _ Investigation Fee ya ordi ces rid a laws lating building construction, Total Fee p LDMA Perm. q a an ere ou ize epr sentat' s of this County to enter on h ob e d pro y for inspection purposes. - o J- �6��f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of 'PPI nt or Agent Date'' " WORKERS"COMPENSATION DECLARATION to self insurebor°afcer•tifcafeof°Work&s' Comnpensatonirm that I'hve a certificate of' 5ent insurance, APPLICATION-•.F'OR• BUILDINC• ' PERMIT •or a certified copy thereof-(Sec.3800, Lab 'C ) - COUNTY OF-LOS ANGELES BUILDING AND-SAFETY' , 11 Policy No Company 'f t I. � tr� - Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING -7 - ADDRESS LI ❑ Certified copy is filed-with the county ilding inspec- BUILDING tion department ADDRESS 6 Date /Z-7,2,0-00,0 Applcant �7yca o CITY ZIP LOCALITY ` CERTIFICATE OF EXEMPTION FROM WO ERS: NO OF.BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW-ON LOT CROSS ST� 'ASSESSOR s % (This season need not be completed if the permit is for one TRACT BLOCK LOT NO' MAP BOOK ,. PAGE ,___TCEL hundred dollars ($100)or less.) p TEL O y~.Z�7I USE ZANE, MAP. I certify,.that in the performance-of the work for which this OWNER NO SPECIALf!/( NO permit is issued; I shall not employ any person in any manner ADDRESS �� / u�wue CONDITIONS so as to become subject to the Workers'Compensation Laws. i CITY. ZIP Date Applicant " e NOTICE TO APPLICANT- If, after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO CONST, ZONE.{ - Exemption,,you should become .sublect to the Workers' Q Compensation provisions of the•Laboi Code, you must forth= ADDRESS with-comply' with such provisions,or this-permit shall be p � / tOd L. ��y STATISTICAL CLASSIFICATION ° -. APT. NDO. deemed revoked. CONTRACTOR` / NO Hy �8 LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS C NO z 9-C/ D (commencing with Section 7000)of Division 3'of the Business and SEWER MAP LIC � s' .> Professions'Code, and my Icense is in full force and effect. CITY.•- CLASS G: 9 ' VALIDATION BK` PG } o p SQ FT NO OF NO. OF CHECK CL License Num er' Jr7 il?� Lsc. ss �'/ SIZE' STORIES FAMILIES ONE Q VALUATION NEW G �' 'E" �•jf 12� 1-d DESCRIPTION OF WORK /� , ❑ .�� - � Contractor to e N ,/T ADD ❑ $ I am exempt under Sec dh•C ❑ . _ ALTER B.BP.0 for this reason REPAIR, ❑ $ d- USE OF ❑ Z EXISTING BLDG. DEMOL Signature APPLICANT-� TEL _y t 3� FINAL O ER UILDER DECL ION PRINT / NO l(q.5 DATE . 144 21'37.5A -I-hereby affirrri that I am exempt fro t e Contractor's License �'. Law for the following,reason• (Sect n 7031.5, Business and ADDRESS 0$a' /• Q �G o�' FIN Professions Code); PRESENTBy� ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as thewsole compensation,will do the work and''. o,81.3 8 the structure'is not intended or-offered for sale(Section'; [ADDR LITY - 7044,!Business�'and Professions Code). NG TEL ' - o,o ii 8 7.3,8� - DI, as•owner'of the property, am exclusively contracting RACTOR NO. with licensed contractors to construct the piolect (Sec- ESS 1 2 2.O-8.8 tion 7044, Business-and Professions Code). UIRED TOTAL SETBACK a CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for NT the performance of the work for which this permit is issued ' - '(Sec. 3097, Civ C.) E Lender's Name " m ee S Permit FeeLDMA Ref. qLender's AddressaI certify that I have read this application and state that the IssuanceFee V LDMA P/C`,above information is correctA agree to comply with all County igaton Fee 0 ordinances and State lows relating to building construction, Total Feer .� O LDMA Perm. M and hereby authorize representatives of'this County to enter upon thl ab Je-mentioned pro ert pr inspection purposes. >' •� - Gam_ X-2-(}—X SEE REVERSE FOR EXPLANATORY LANGUAGE „• Signature of cant or Agent Date WORKERS' COMPENSATION DECLARATION hereby affirm-that I have certificate of consent•to self APP _I_O N F O R'yB U I L D I N G �P E RM I T in-sure, or a certificate of Workers' Compensation Insurance, -. ' or 6 certified copy thereof (Sec. 3800;.Lab. C.), COUNTY OF LOS.ANGELES-. BUILDING.AND.SAFETY Policy No. Company' BUILDING ❑' Certified copy is-hereby furnished.. , . :. FOR APPLICANT TO FILL IN, ADDRESS ❑ Certified copy is filedwith the county,building inspec- BUILDING _ tion department: r ADDRESS ' 9167 LA9X7WM9 ROSA CITY- TEMPLE CITY zip 91780' LOCALITY _ Date Applicant''' ' - NO. OF BLDGS. NEAREST cc__ y.�` CERTIFICATE OF'EXEMPTION FROM WORKERS' SIZE OF LOT i-rre Ular' NOW ON LOT, 1, CROSS ST &. C%V11 &s COMPENSATION INSURANCE ASSESSOR Q (This section need not.be completed if the•permit is'forone " TRACT' 28' BLOCK LOT NO" MAP BOOK. S�SBS PAGE 0q PARCEL—t((]] hundred dollars ($100) or less.), - i i • • •• •- TEL. sP OWNER- CITY OF• TEMPLE LCITY No 285-21~ 1 USE ZONE,' - - - I certify that in the.performance of,the work for A;ki& this . - - M NO. permit•is.issued, I,shall.not employ-any-person--iri any-manner ADDRESS 9701 LAS TUNAS +.•`~ CONDITIONS r d so asSPECIAL become-subject to the Workers' Compensation Laws O CITY TEMPLE CITY• zIP-( !&*) 91780 U Date 4-14 92 Applicant •DADON/SCHRAGER ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE, PROCESSED BY NOTICE TO APPLICANT: If, after-making This Certificate of ENGINEER NO - CONST. E �_• Exemption, you should become -subject to the,Workers' - I DD -7 +/ U Compensation provisions of the Labor Code, you must forth- ADDRESS 'QO' o V "� »� with comply with -such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT J_CONDO.�,deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS-DECLARATION ' LIC.' CLASS NO DWELL UNITS I hereby affirm that I am'licensed undei provisions of Chapter 9 ADDRESS NO (commencing with•Section 7000)-of Division 3 of the'Busmess LIC. SEWER MAP and Professions Code,and my license is in full force and effect CITY". - CLASS BK 'PG. VALIDATION SQ FT. ' NO OF NO OF CHECK License Number :Lic. Class SIZE STORIES ! FAMILIES 0 ONE VALUATION �� Contractor Date DESCRIPTION OF WORK' add a NEW ❑ $ 0-0 ADD ' ❑ Poo. ALTER idin I am exempt under Sec, -wall '• ALTER BAP.C..for this reason - $ REPAIR • _ r ❑ Date: USE OF ' EXISTING BLDG,.' OFFICE DEMOL El Signature APPLICANT • TEL FINAL - OWNER-BUILDER DECLARATION -., y(PRINT)SHAUL DADON 'JOEL No 445-1616- La" affirm That I am exempt from the Contractor's License : SCHRAGER, DATE. Z Z;��/ La'w for the following.reason'(Section 70.31.5, Busi6ess and ADDRESS FINAL. Professions Code): PRESENT.. _ By ® - y I, as owner of`The property- - BUILDING 9167 LA ROSA, or my employees with ADDRESS �- wages as theirs ole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY r TEMPLE CITY ' 7044, Business and Professions Code.) - MOVING ` TEL.' _ , rt; - ?,-r;i?• ' ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. L i I`ilC' with licensed contractors to construct the project (Sec- `•'•< - - - -• - - •-- - - . - • ADDRESS - s. tion 7044; Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDINGAGENCY SET BACK- YARD HWYv PROP. LINE WIDTHt I hereby affirm that there is a construction lending agency-for'' FRONT L•,iG` >y n;-'= the performance of the work for which this permit is'issued , 'P L.- -(Sec. : ;•••t _ -(Sec. 3097, Civ: C.). 'SIDE CHANGE _E P.L Lenders Name 7!,` g /aJ LDMA Ref N I_ll=li-R{! 1: /[%f �fr�'i P.C. Fee$ Permit Fee , - , � ,Lender's Address o I certify that I have read'th s application and state that'the Issuance Fee cJ LDMA P/C q- above information is correct I agree'to comply with all County Investigation Fee f ' ordinances anq ate law relating to building construction, Total Fee [�J "/ LDMA Perm. ti < and hereby autho ize rep esentatives of this Couhty to enter upon the above' entiorr d property for inspecti n purposes. ' •7z. - SEE REVERSE FOR EXPLANATORY LANGUAGE - Signa of• pphcant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALT !ON/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 140039 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ON FILE SQ. FT STORIES TYPE 9167 LA ROSA DR ASSESSOR017 INFORMATION STRUCTURE: 0 VN NEAREST CROSSTEMP CA STREET: ENCINITA `1� Gv,i/ V c 5388-009-902 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY L : C N - 17" D P C X 0 : EXIST OCC GRP: 06/07/01 UT 12/04/01 L. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. CODE: TEMPLE CITY (818) 285-0489- 1 200,000 9701 LAS TUNAS DR TEMP 917802249 RES PAID DESCRIPTION OF WORK RENOVATION OF EXISTING FACADE (NEW DOORS);UPDATE ALL REST- APPLICANT: TEL. DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOMS; 4 NEW STORAGE BUNKERS; 6 FOOT HIGH CONCRETE BLOCK 0: BARTLETT AND ASSOCIATES (626) 355-1700- D1 PLANCHECK W/O EN-HC 200000.00 VAL 0.00 P.O. BOX 660-186 AA BLDG PERMIT ISSUANCE___ 0.00 SPECIAL CONDITIONS: ARCADIA, CA AE STRONG MOTIONsOTHER 200000.00 VAL 0.00 D2 PERMIT W%0'EN-HCS--E L,,0 200000:00 VAL 0.00 �1� ---TOTALDEES 0.00 CONTRACTOR: T NO: ®s APPROVALS DATE INSPECTOR SIGNATURE SBS CORPORATION (626) 794-4838- 1260 LINCOLN AVE LIC. NO LOCATION AND SETBACKS PASADENA, CA 91103 742782 B SOILS ENGINEER APPROVAL ARCHITECT OR L. I "l �� \\ FOUNDA LIC. NOIl: ! I L_ 1 111111 �`1, SLAB/UNDER FLOOR RAISED FLOOR FRAMING MP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H265 3 1'04 AP NO: SEWER FLOOR NO. OF FAMILIES: UNITS: : STAT CLAZ -----—_ NO 22 -- -- /���� � ROOF SHEATHING SCHOOLW 0 Ti 4c SHEAR AIR QUALITY: 1000 FEET MATERIALS \ NO NO NO FRAME INSPECTION TOTALREQUIRED ��® ❑ C",, R S K SET BACK YARD: HWY: PROP LINE: WIDTH: 0�. {L� FRONT PL- IN TION/W STR P SIDE PL- --G.r� LATH/DRYWALL EXTERIOR LATH FLOOR/CEIL ASSEM. ff RATED WALL ASSEMBLIES RATED SHAFTS/6FEWfl9F_ l( ( T- ARCEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALT RATIO AIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0008 4 039 PHONE: (626) 285-0488 EXT: DUPLICATE/' -IEGAL ID: NO. OF CONST BUILDING ADDRESS!----- ON FILE J SQ. FT STORIES TYPE 9167 LA ROSA DR STRUCTURE: 0 VN TEMP CA 917803017 ASSESSOR 0 A NEAREST CROSS STREET: ENCINITA 5388-009-902 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY X L EZONE: M- S PROCESSED RES 0 : EXIST OCC GRP: 06/07/01 UT 12/04/01 OWNER: TEL. NO: BLDGS. N N LO VALUATION: FINAL DATE FINAL BY: CODE: TEMPLE CITY (818) 285-0489- 1 200,000 9701 LAS TUNAS DR - TEMP 917802249 FEES PAID DESCRIPTION OF WORF RENOVATION OF EXISTING FACADE (NEW DOORS);UPDATE ALL REST- FEE DESCRIPTION:- QUANTITY: UOM: AMOUNT: ROOMS; 4 NEW STORAGE BUNKERS; 6 FOOT HIGH CONCRETE BLOCK APPLICANT: TEL. NO: BARTLETT AND ASSOCIATES (626) 355-1700- D1 PLANCHECK W/O EN-HC 200000.00 VAL 0.00 P.O. BOX 660-186 AA BLDG PERMIT ISSUANCE_ 0.00 SPECIAL CD TIONS: ARCADIA, CA AE STRONG MOT.IONIOTHER----200000.00 VAL 0.00 D2 PERMIT W/O-EN-,HC,E L E T.O AL� j OFEES VAL 0.00 0.00 CONTRACTOR: L. NO: APPROVALS�� PPROVALS D T NSPECTO SIGNATURE SBS CORPORATION (626) 794-4838- 1260 LINCOLN AVE LIC. NO LOCATION AND SETBACKS PASADENA, CA 91103 742782 B s SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. 0: /, v lI / \ A T C ORMS LIC.-NO:/// _ f 1111111 ` II SLAB/UNDER FLOOR Im j RAISED FLOOR FRAMING MAP EWER MAP BOOK: PGE: FIRE ZONE: CMP: �� i r� �` \���'�� (c� NDERF OOR INSULATION 144H265 3 ��04 L(�� ,�� FLOOR SHEATHING . NO. OF ES: W LLI GA C SS•- C — 1� -- - NO 22 �\\ T r -"-i� .. --:=fin- I ROOF SHEATHING C \ a' EAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO �'` = bo��J FRAME INSPECTIO REQUIRED RE SPRINKLER HANGERS SETFROBACK YARD : HWY: PROP LINE: WIDTH: �Bo� U ��� I SOLATION/WE STRIP SIDE PL- TNTUMIF 01 L H/DRY RIOR LATH �Tµ CtZ ' 1-1 FT RATED FASSEF— RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS lJ T-BAR CEILINGS r * ADDITIONAL DATA ON FILE " L REPORT ID: DPR261 ROUTE TO: BS0508 _ 1� COUNTY bF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0008140039 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CON ADDRESS: ON FILE SQ. FT STORIES TYPE 9167 LA ROSA DR STRUCTURE: 0 VN TEMP CA 917803017 ASSESSOR NUMBER: NEAREST CROSS STREET: ENCINITA 5388-009-902 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: L SE: COMME USE ZONE: M-1 PROCESDB S0 : EXIST OCC GRP: 06/07/01 UT 12/04/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TEMPLE CITY (818) 285-0489- 1 200,000 9701 LAS TUNAS DR TEMP 917802249 FEES PAID DESCRIPTION OF WORK RENOVATION OF EXISTING FACADE (NEW DOORS);UPDATE ALL REST- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOMS; 4 NEW STORAGE BUNKERS; 6 FOOT HIGH CONCRETE BLOCK APPLICANT: TEL. NO- BARTLETT AND ASSOCIATES (626) 355-1700- D1 PLANCHECK W/0 EN-HC 200000.00 VAL 0.00 P.O. BOX 660-186 AA BLDG PERMIT ISSUANCE 0.00 SPECIAL CONDITIONS: ARCADIA, CA AE STRONG MOT,ION:-fOTHER 200000.00 VAL 0.00 D2 PERMIT,-,W/0-EN HC--200000: 00 VAL 0.00 OTAL—EES . 0.00 CONTRACTOR: TEL. NO: APPROVALS� APPROV LS D TE INSPECTOR SIGNATURE SBS CORPORATION (626) 794-4838- 1260 LINCOLN AVE LIC. NO LOCATION SETBACKS PASADENA, CA 91103 742782 B SOILS ENGINEER APPROVAL ARC ER: /TR NC LIC. N0: ` - 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,:- 1,1 I �� UNDERFLOOR INSULATION 144H265 3 �h 04 IL C-1- J�\ C� �/ FLOOR NG 0. OF FAMILIES: SS:- - -- NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS O tr J �bSHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO1 q��G�J� FRAME INSPECTION .j REQUIRED TOTAL S TBAC FROM EXIST Q� lJ ✓�� SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: �5.Ll a $�� FRONT PL- a�°e rvi -Tb INSULATION/WEATHER STRIP SIDE PL- INTERIOR LAWWWAUC— EXTERIOR LATH RATED IL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE DRAINAGELOT REPORT 1D: DPR261 ROUTE TO: SS0508