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HomeMy Public PortalAbout8905 LAS TUNAS DR_Building__ WORKERS'COMPENSATION DECLARATION insure,hereby certif carte of oWorkers' Compensatioa certificate of n ent to self Insurance, APPLICATION FOR BUILDING PERMIT ora c rtified co thereof Sec. 3800, L b,C. 7 COUNTY OF LOS ANGELES BUILDING AND SAFETY Vol �No/� y ompany ) -0 BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Q� v 5 (J �S ��•C��G LOCALITY �� C NEAREST T Date Applicant CITY l 5Pi.v Ct l ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' f�/ r NO OF BLDGS T ASSESSOR COMPENSATION INSURANCE SIZE OF LOA(k,iD'�E��<�lcv NOW ON LOT 1�MdOV MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one TRACT 3��.� ..� fir USE ZONE MAP hundred dollars ($100)or less.) BLOCK LOT NO NO _ TEL.`S C /�_ SPECIAL, >- I certify that in the performance of the work for which this OWNER r Ami t it & NO✓ r'�� v CONDITIONS O permit is issued, I shall not employ any person in any manner a3 2 1 h DISTRICT GROUP TYPE FIRE PR CE s so as to become subject to the Workers'Compensation Laws. ADDRESS ,7-17i � q� so iQe tPLOO/�k� I/ CONST ZO E U CITY L05A&i(oeLES ZIP g0D(V � 0 O Date Applicant STATISTICAL LASSIFICAT'ON PT ONDO NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT f AI44 140*%0L4CA*4 43 .1 CLASS CLASS NO DWELL. UNITS 5 Exemption, you should become subject to the Workers' r �C• Compensation provisions of the Labor Code, you must forth- ADDRESS(2116)(10 G •DC.6AN SuLZe (401 L0PGNAC14 SEWER MAP y with comply with such provisions or this permit shall be TEL %/aY�1, deemed revoked. CONTRACTOR &S A lilt 045 NO. BKS " `PG,� VALIDATION LICENSED CONTRACTORS DECLARATION LIC B^1 .t ^t'!j � `t.i 1 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5615 kV!70VG NO. �� V LUATION (commencing with Section 7000)of Division 3 of the Business and LIC. M1 /�� Professions Code, and my license is in full force and effect. CITY CLASS •'�C)0 SQ. FT INC.OF NO. OF CHECK License Number Lic.Class SIZE 5SSTORIES i FAMILIES ONE Contractor Date DESCRIPTION OF WORK j4 -V./ M A 50 P C Y 4 NEW _ ADD ❑ I am exempt under Sec. r ALTER ❑ FINAL B.&P.C. for this reason S iUps w• O—S.lS(+ CLfo.• REPAIR ❑ DATE Date: USE OF r� FINAL EXISTING BLDG TI M&.9 0-A 0 Y ?/4?.�Y= DEMOL ❑ BY Signature APPLICANT TEL ' OWNER-BUILDER DECLARATION PRINT r= A0V— l°LO.1�%wot.A N .L✓ 3 ; I hereby affirm that I am exempt from the Contractor's License ��L r ;N„� , Law for the following reason (Section 7031.5, Business and ADDRESS(11161)(0E•0(G A0, 'ice Professions Code): PEEN ❑ BUILDING I, 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 [AD LITY 7044, Business and Professions Code). ING TEL. ❑ I, as owner of the property, am exclusively contracting -CONTRACTOR NO with licensed contractors to construct the project (Sec- ESS tion 7044, Business and Professions Code). UIRED TOTAL SETBACK FROM -EXIST CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for ONT the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). E Z-0 oLender's Name Lender's Address Fee$ Permit Fee40 I certify thatI have read this application and state that the Issuance Feeabove information is correct. I agree to comply with all County tigation Fee ordinances and State laws relating to building construction, Total Fee Li3 d and hereby authorize representatives of this County to enter upon the above-mentioned roperty for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date Os f gP� 538` -bra - oag- - APPLICATION FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS B DING ADDR I hereby affirm that I have a certificate of consent to self insure, kw/a D or a certificate of Workers'Compensation Insurance,or a certified CIT OS- AS 5 �'iPC� ' 1/� copy thereof Sec.3800,Lab.C.) /'_ T,EM pGz C!r / $� LOC V Policy No. P�i234o Company E'RGL� SIZE OF LOTt NO.OF BLDGS NOW ON LOT LE ❑ Certified copy is hereby furnished. ,3 Q(p 7,4- s•r, / NEAR ROSS ST. ❑ Certified copy is filed with the county building inspection TRACT( a3 BLOCK LOT NO. r[/ T USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS! r R I/inl(o5 OF /qm�R a�S- ab 3 WITHIN 1000 FT OF SCHOOLS YES NO COMPENSATION INSURANCE ADDRESS/� (This section need not be completed if the permit is for one hundred M/ Comm E R(e BLY.D s 9L DG. E DISTRICT GROUP TYPE CONST FIRE ZONE OCESSED BY dollars($100)or less.) CITY ZIP I certify that In the performance of the work for which this permit .1 Rw ll ` 1 r 0� 5C( 9',3 � �+ is issued, 1 shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. EM N 1.5 "MM ✓;2/ 4/.3.7-/x3 S/ STATISTICAL CLASSIFICATION APT COIqDO Data Applicant ADDRESS CLASS NO. DWELL UNITS BEA NOTICE TO APPLICANT: If, after making this Certificate of (s(o OC AAl &m. Lor4 c%� REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should CONTRACTOR TEL NO.become'subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith E+ F U V R e r 7 6/J Q*-7733 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO, PL SBS VJFRIvoN IW , 93 SIDE LICENSED CONTRACTORS DECLARATION CITY9aoai J LIC.cr PL otil I hereby affirm that I am licensed under provisions of Chapter 9 ,�L CA .iSEWER MAP (commencing with Section 7000)of Division 3 of the Business and FT.SIZE NO. STORES NO.OF FAMILIES 0 Professions Code,and my license is In full force and a ect. NEW ❑ BK PG v License Number MAR 93• Lia Class D SCAIPTION OF WORK ADD ❑ VALUATION , y 'KEm E ADD,�eumfl1,6 5 00 Contractor'F,F &Lty Date 31,77/14, ALTER F z S-AIIb AAIJ i SiPLL- Meld REPAIR ❑ El 1 am exempt under Sec. y� BARC.for this reason PUMAr" e.! �.i q j pe--u,6 uAl it DEMOL ❑ LOMA P/C# Date: USE OF EXISTING BLDG. LIRM ❑ IIIl KI Al& 1 Signature APPLICANT(PRINT) TEELLL NO. LOMA Perm# ❑ I, as owner of the ro F J V e- l/ s88 -773.3 Z ACCT.v p party, or my employees with wages as O their sole compensation,will do the work and the structure is ADDRESS �• A p-, FlNAL r Q �3J � it 1� not Intended or offered for sale (Section 7044, Business and S ER GL 6ATopi L'A• 9ao,2lf Professions Code.) 4 / 1 ITEMS WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, 83 owner Of the r0 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OWGREATER THAN ° p pert), am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FI Be TOTAL 105 ® 25 licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) CHEC` 105.25 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING C-1-1--OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CO CONSTRUCTION LENDING AGENCY COAST R QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST d� I�l� CHANGECHANGEFOR GUIDELINES 0 }hereby affirm that there is a construction lending agency for YES 1:1No El the performance Of the Work for Which this permit Is Issued(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 0000 yy,�'�}-}��((yy ���-� c` 4/90 p�} 3097,CIV.C.). PERMITTING CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES' e�0000-1]I.IL 1 •i/ 4/ 0 RNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINIING A PERMIT FROM THROUGH 2 20.140 THE SSCEAOMD. Lender's Address �� CIT 1 �� 7:50 0 AGENT 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE () information is correct. I agree to comply with all county Or I ordinances and State laws relating to building construction,and her9ky authorize representatives of this County to enter uponISSUANCE FEE t e-m n oned property or inspectio �ulrposes. �O ` 90 INVESTIGATION FEE TOTAL FEE na1Mp ,«Ay.nt one SEE REVERSE FOR EXPLANATORY LANGUAGE, WORKERS'COMPENSATION DECLARATION T" insure,hereby certificate of Workers' Compensatioa certificate of n eInsuran ent to lf APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800,. C.)g00rQ jejJ,yg �,�r� COUNTY OF LOS ANGELES BUILDING AND SAFETY alit .No. Company 17 BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the co my buil ing sec- BUILDING *� tion department. ADDRESS V//�� ae- LOCALITY NEAREST Dote Date D� Applicant G / CITY, rt ZIP CROSS ST CER IFICATE OF EXEMPT IO FROM WORKERS' NO.OF BLDGS j ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if.the permit is for one USE ZONE47—P7ECIAL P a hundred dollars ($100)or less.) TRACT BLOCK LOT NO 0 n TEL / I certify that in the performance of the work for which this OWNER f� J� NO. toNDITIONS 9L permit is issued, I shall not employ any person in any manner �/��/ /i�� �� /,p. DISTRICT GROUP TYPE FIRE PR ESSED Y O so as to become subject to the Workers'Compensation Laws. ADDRESS (�/ G(/ CONST ZONE V �j /} S;ak, I3-► 1/ 1 -3 Im Date Applicant CITY ZIP /���✓ STATISTICAL CLASSIFICATION . APT: CONDO 0 NOTICE TO APPLICANT: If, after makingthis Certificate of - ARCHITECT OR TEL Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO DWELL. UNITS LU- a Compensation provisions of the Labor Code, you must forth- ADDRESSSEWER MAP N with comply with such provisions or this permit shall be 7 /�f /yam✓(� deemed revoked. CONTRACTOR �7n TEL .952-3J (0.�'T BK � PG, [ VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 .�, ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS If $ D .% �7/ SQ. FT NO.OF NO OF CHECK ► (L,.cense Number 4f 'V/ Lic.Clas + SIZE STORIES FFAMILIES ONE ntractor OPV ��GyI�1OLfTldDate if DESCRIPTION OF WORK aYI.T0 NEW $ ADD I am exempt under Sec. ALTER FINAL r ZZ �3 B.BP.C. for this rea n REPAIR E] DATE Date: USE OF DEMOL FINAL s 5 1 7,6 A EXISTING BLDG By c Signature APPLICANT TEL iibWNER-BUILDER DECLARATION PRINT NO. # 0 0 0 0 0 1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 7d 230 2'- o'6 0,5 Q Professions Code): PRESENT _ aBUILDING o 0 o 6 Q 5 Q•c3 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do,the work and 0'9, 1 3—8 3 the structure is not intended or offered for sale(Section LOCALITY 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- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN 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. (Sec. 3097, Civ. C.). SIDE m PA Q Lender's Name Lender's Address P.0 Fee$ Permit Fee �Vf I certify that I have read this application and state that the Issuance Fee 0 ) S D above information is correct. I agree to comply with all County Investigation Fee- / ordina/sanState law sting to building construction, Total Fee ' (� 19 and hehorize press Livesof this County to enter u/pan t -menti ned p rty for inspection pur ses. a l f�' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applcan or Agent 7 e6ate ®_ WORKERS' COMPENSATION DECLARATION ! _ to sf insuree,,`bor a ertif cane of Work s' CompensaT oo ent Insuran e, A P P L I AI N FOR BUILDING. PERMIT ....or a certified copy Thereof (Sec. 3800, .Labs. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING �ertified copy is.hereby furnished: FOR APPLICANT TO FILL IN ADDRESS o Certified copy is filed with tWcollTy buBUILDING {�' / tion dep riment. ADDRESS ©V/ —/kspec- CITY'.' "f ole ZIPLOCA Date �� Applicant LOCALITY 1 NO.,OF BLDGS. NEAREST CER FICATE OF EXEMPTION FROM WORKERS'. SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT-` BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or.less.) • `. . ` TEL. USE ZONE MAP '1 OWNER t p tfQC _ /CI No..3 Z® NO. 0 OC I certify that in The performance of the-work for which this permit is issued,-I shall not employ any person in any manner ADDRESS' Q �.,{ ��'�S ���/ SPECIAL d _so as to become subject to the�Workers'Compensation Laws. �/ O CONDITIONS CITY ZIP ZIP - Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT:'.. after makingthis Certificate of ENGINEER DISTRICT GROUP TYPE FIRE PROCESSED BY /LSO L�/"� - N0... / � Q CONST. ZONE � Exemption, you should become subject, to the Workers' O U Compensation provisions of the tabor Code, you must forth-..,. ADDRESS GE !!f> I "' with.comply with such provisions.or this,permit shall be TEL Z/ STATISTICAL CLASSIFICATION APT. CONDO.. Z deemed revoked. CONTRACTOR NO. p LICENSED,CONTRACTORS DECLARATIONUC.. '/p/ Z ip CLASS NO. DWELL. UNITS — hereby I hereby affirm that I am licensed under provisions ADDRESS �� NO of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of The Business — LIC and Professions Code,and my license is in full force and-effect. CITY• do!_ C-E CLASS BK PG VALIDATION SQ. FT. NO. OF., , NO. OF CHECK License Number O Lic. Class / SIZE STORIES FAMILIES ONE n VALUATION Ir III C1 Contractor d/�[��?�+47LaTe 61 .' DESCRIPTION OF WORK /Z E� NEW t ❑1 am exempt under Sec. -/7 Pt �'t7P'L _ v �'� ,ADD' S , � � ,ALTER - B.BP.C. for this reason 5��'�'¢ REPAIR $ Date:. USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL: FINAL OWNER-BUILDER DECLARATION (PRIN (/�j�s� NO DATE 7 I hereby affirm that I am exempt from the Contractor's License Law for the following•reason (Section 7031.5, Business and ADDRESS �'3 // r/ - FINAL Professions Code): PRESENT.. By. 23 BUILDING' . ❑ I, as owner"of the property, or my employees with ADDRESS ACCT°i ' wages as their sole compensation;will do the work and . the structure is not intended or offered for sale(Section LOCALITY - , 3307 77 7;� 7044, Business and Professions'Code.) MOVING TEL. � 2 El I, as owner of the property, amexclusive).Y contracting CONTRACTOR NO. 1 ITEMS .. . with licensed contractors to construct-the project (Sec- OTA` _ ADDRESS TOTAL l IL e.. tion 7044, Business and Professions Code.).. � � � REQUIRED TOTAL SETBACK FROM EXIST. r CONSTRUCTION.LENDING AGENCY - <SET BACK YARD HWY PROP. LINE WIDTH CHECK73°32 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. - CHANGE QU (Sec. 3097, Civ. C.), SIDE, ic ° 'Lender's Name. � �-+ Ce LDMA Ref. #. 0000.0001 6/1, 89 P C. Fee$ Permit Feet Lenders Address r38'97 M 8°27 o I certify that I have read this application and estate that the Issuance ) O LDMA P/C# 8 above information is correct. I agree to comply with all County Investig'ation-Fee // e ordinances and State laws relating To.buildi 11 construction, Tot ee !� 7 LDMA Perm. #i a and hereb author rase tives of this ounty to enter aupo bov Tia roperty for ins tion urpos Q R` '. -43 a _- !Z' - SEE�REtSE FOIXfI NkpIORY LA,�GUAGE. Signalure.of Applicant or Agent Dot f-�.]J O Ir't r:R _WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATIONnFOR BUILDING PERMIT sure, or a certificate of Workers'Compenstion Insurance, or , 3 certified copy thereof (Sec 3800, Lab. C. COUNTY-OF LOS ANGELES BUILDING AND SAFETY 'olicy No. Company 71 Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING 1 ADDRESS - �1 Certified copy is filed with the county building inspec- BUILDING ` ' 'I`n J tion department ADDRESS rW.e LOCALITY J NEAREST )ate Applicant CIT ZIP CROSS STS CERTIFICATE OF EXEMPTION FROM WORKERS' I - /60 NOW ON LOTS I MAP BOOK PAGENIO OF ASSESSOR PARCEL COMPENSATION INSURANCE SIZE OF LOT This section need not be completed if the permit is for one USE ZONE MAP iundred dollars ($100)or less ) TRACT BLOC LOT NO NO" L��O(— >- TEL SPECIAL d ER certify that in the performance of the work for which this OWNiE0r7✓ NO CONDITIONS O )ermit is issued, I shall not employ any person in any mannerDISTRICT GROUP TYPE FIRE PROCES D BY U ;o as to become subject to the Workers'Compensation Laws ADDRESS —!Y. OC4 �� � CONSrg/v+A ZONE ` rg sept, zIP —� Llu.-,11 t 1 0 )ate Applicant CITY CT OR J " S STATISTICAL CLASSIFICATION APT CONDO V ARCHITECT OR TEL gOTICE TO APPLICANT- If, after making this Certificate of ENGINEER '� NO LU --xemption, you should become subject to The Workers' CLASS NO �� DWELL 'UNITS 10. 1/f -ompensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Kith comply with such provisions or this permit shall be — feemed revoked CONTRACTOR, TEL NO BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION commencing with Section 7000)of Division 3 of the Business and LIC 'rofessions Code, and my license is in full force and effect CITY CLASS S 2—, SQ FT NO OF NO OF CHECK icense Number Lic.Class SIZE STORIES FAMILIES ONE ;? 1 -656A . :ontractor Dare DESCRIPTION OF WORK , NEW ❑ $ # o o 0 0 23 3 / ADD ❑ I am exempt from the licensing requirements as I am a2,-.-.o ALTER FINAL 2 1.6 licensed architect or a registered professional engineer _ ❑ acting in my professional capacity (Section 7051, 'L REPAIR ❑ DATE 0 0 0 2 1.6 _ U Business and Professions Code). USE OF FINAL / DEMOL ❑ FI S ����� 1, 0.23-81 EXISTING BLDG }}�� 4, IIf.I. !!7 � is or Reg No. Date APPLICANT �e idC�If' LJ 4 {Z /�f0 �/ / OWNER-BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License C� .aw for the following reason (Section 7Q31 5, Business and ADDRES J ' essions Code): Py RESEN BUILDING I, 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' LOCALITY x,1 .6.5,7 A 7044, Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO o:b:o 0 0 1 with licensed contractors to construct the project (Sec- ADDRESS 2 0 0 3[) 0 Q tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM do' o 0 a CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE 3 4 O O U hereby affirm that there is a construction lending agency for FRONT he performance of the work for which this permit is issued P L. 0,2 3-81 ;Sec 3097, Civ C ). SIDE PL .ender's Name .�_ender's Address PC Fee$ ��VG Permit Fee certif that I have read this a lication and state that the `Y PP Issuance Feeibove information is correct I agree to comply with all County Investigation Fee )rdinances and State laws relating to building construction, Total Fee ind hereby authorize representatives of this County to enter n the above-me ned property for inspection p rpos s. �� 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signoture of hcant or Agent Date I WORKERS'COMPENSATION DECLARATION C ' hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) S. CO�� COUNTY OF LOS ANGELES BUILDING AND SAFETY olicy No. Company ❑ Certified co is hereby furnished. BUILDING copy v FOR APPLICANT TO FILL IN ADDRESS 3 Cy OS ❑ Certified copy is filed with the county building inspec- ^ BUILDING c+ tion department. ADDRESS QJ L LOCALITY dp NEAREST •,Date _ Applicant zC A CITY ZIP CROSS ST. O S e CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO _-.766-.4 TEL G y SPECIAL >_ I certify that in the performance of the work for which this OWNER NO. CONDITIONS t. permit is issued, I shall not employ an person in an manner DISTRICT GROUP TYPE FIRE PR SSED BY O p p Y y p y ADS �• S r CONST ZONE so as to become subject to the Workers'Compensation Laws. Date _9 Applicant S&S `-^ `�� CITY I ZIP FON APT. CONDO NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. -�•�,' J Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. _DWELL. UNITS LOU. Compensation provisions of the Labor Code, you must forth- ADDRESS SEW R MAP !L 'A with comply with such provisions or this permit shall be TEL I VALIDADOT N deemed revoked. CONTRACTOR S L NO BK PG,�' LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Q -f— NO VALUATION 7) (commencing with Section 7000)of Division 3 of the Business and LIC. �f Professions Code, and my license is in full force and effect. CITY LOS A) tPS CLASS C 7 $ ��� , " n [I SQ. FT NO. F NO OF CHECK License Number 90;? 90 Lic.Class C!q-5 / SIZE STORIES FAMILIES ONE !' Y Contractor J Date ` DESCRIPTION OF WORK / NEW ❑ I am exempt under Sec. P XP ADD ❑ } ALTER ❑ FINAL B.BP.C. for this reasonREPAIR ❑ DATE �••r 6" ,G VSE Date OF DEMOL FINAL l7 EXISTING BLDG ❑ K Signature APPLICANT TEL OWNED R-BUILDER'DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS ('r 1, -. n Professions Code): PRESENT -, E] 1, u o o L I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and n [j the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). .{MOVING TEL. CJ 1, NO. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS C 2 u Y tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. �'` f ;i CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH poll. 1 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 o c o 1 (Sec. 3097, Civ. C.). SIDE m P L I 1 [I, I Lender's Name •i 1 - r- �_ Lender's Address P.C. Fee$ Permit 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 jaws relating to building construction, Total Fee b and hereby authorize representatives of this County to enter upon the above-mentionedprop rty for inspection purposes. c �x� y — SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®: &4. 6 10A)L 111MA 7 WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self A P P L I CATION FOR BUILDING PERMIT' c Insure, or a certificate of Workers' Compensation Insurance, or a erW ed copy thqn? ereof (Sec 3800, Lob. C.) 1 n�C� �� COUNTY OF LOS ANGELES BUILDING AND SAFETY l P icy �+ Company�Frt BUILDING E,I�e��h,fied ert d.copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESScopy is filed with the county building inspec- BUILDING tionp tment. f ) ,r- ADDRESS itDate / Applicant ICITY:���A�6 ZIP LOCALITY RTI KATE OF EXEMPTION FROM WORKERS' O OF RDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT 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 MAP BOOK PAGE PARCEL TEL USE ZONE MAP I certify that In the performance of the work•for which this OWN ER' u NO- NO >_ permit is issued, I shall not employ any person in any manner ADDRESS d�� iYt/J�Ei�f7 ll/� -� SPECIAL' 4. so as to become subject to the Workers'Compensation Laws. �f CONDITIONS Q --- Date Applicant ZIP W. NOTICE TO APPLICANT- If, after making this Certificate of ARCHITECT OR TEL DISTRICT- GROUP TYPE FIRE PROCESSED BY V ENGINEER NO CONST ZONE Exemption, you should become subject to the Workers' �" /t� Compensation provisions of'the Labor Code, you must forth- ADDRESS J U - � with comply with such provisions or this permit shall be" - Z deemed revoked STATISTICAL CLASSIFICAT N APT C DO CONT CTOR t� NO. 3 LICENSED CONTRACTORS DECLARATION - LIC `/ CLASS NO.�DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Baas NO. , 4/9V SEWER MAP ' (commencing with Section 7000)of Division 3 of the Business and _ �/// Q / _ UC. n ' t Professions Code, and my license is in full force and effect. CITY -X-T L W 3( CLASS LI BK - PGVALIDATION SQ FT NO OF NO OF CHECK Licen a Number S Lic.Class SIZE STORIES FAMILIES J ONE " i/ )• �/e ❑ VALUATION 1 Contractor Date OF WORK NEW.- DESCRIPTIONs /ASO # b ,� ❑ . , �a � . ADD ❑ (// , ) ao37,50 I am exempt under Sec. 6�,- ��ii..1, ALTER B.&P.C. for this reason ��/`XG2/�`/ p�L�BCE��� J�aN -REPAIR ❑ $ o 0 0 3 7 5 0 5, Date: USE OF- t DEMOL ❑ 1 216-86 EXISTING BLDG Signature =' APPLICAN {� C-Q / FINAL d OWNER-BUILDER DECLARATION - DATE/2 —Z� #R-6.11,3 I hereby affirm that I am,exempt from the Contractor's License �� �QQ�?� Law for the following reason (Section 7031.5, Business and ADDRESS+7�lV FINA 0',0 4 9 8 8 Professions Code): PRESENT B - ❑ BUILDING o,o,o 4 9.8 8 C I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' 2 1 6-86 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO Y with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY STPF'R BACKK YARD HWY TOTAL 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 NameLDMA Ref # ee$ a�� Permit Fee c Lender's Address w I certify that 1 have re is application and state that the Issuance Fee S� LDMA P/C# a above inform 'on is orrect. agree to comply with all County Investigation Fee ordinances n e I ws elating to building construction, Total Fee LDMA Perm # u and here z r r entatives of this County to enter upon th a t ne property for inspection purposes. _ - 1 a SEE REVERSE FOR EXPLANATORY LANGUAGE a WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company 5 COUNTY OF LOS ANGELES B LDING D SAFETY BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS- Certified copy is ftl a county building ins ec- BUILDING ++ ,, _M, `! tion department. ADDRESS ►-��� 1�1N � Q LOCALITY Z NEAREST Date r63 Applicant CITY ZIP �C7Q CROSS ST CERTIFICATE OF EXEMPTION FROM WORK �^ NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT pv � NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for o e USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO NO. 2� TEL. SPECIAL >_ I certify that in the performance-of the work for which this OWNER E NO. �" CONDITIONS tZ permit is issued, I shall not employ any person in any manner D i DISTRICT GROUP TYPE FIRE PR ESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS S. U CONST. ZONE = j� 0 Date Applicant CITY ZIP STATISTICAL CLASSIFICATION _i I APT CONDO NOTICE TO APPLICANT- If, after making this Certificate of ARCHITECT OR p�� TEL qq ENGINEER NOQ �� CLASS NO DWELL. UNITS' W Exemption, you should become subject to the Workers' �s rr sP L� IQ. Compensation provisions of the Labor Code, you must forth- ADDRESS 2�bl f;L_VVSEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. X21 BK PG, VALIDATION CONTRACTOR O. �[� LICENSED CONTRACTORS DECLARATIONLIC. i G I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE .I NO l VALUATION (commencing with Section 7000)of Division 3 of the Business and q 1 LIC2 2 2 3.3 A Professions Code, and my license is in full force and effect. CITY 4r CLASS $ SJ 000 , Y SQ FTS NO OF NO.OF CHECK #'o 0 0 0 23 (contract cense Number 1 Lic.Class SIZE IGL�� STORIES FAMILIES ONE //r�� DESCRIPTION OF WORK NEW $ 2o 39207 or Date'- �� ADDEl o o -z 9 2 0 7 I am exempt under Sec. ALTER E] FINAL B.&P.C. forthisreason REPAIR DATE 0525-83 Date: USE OF DEMOL FINAL By EXISTING BLDG Y Signature APPLICANT !r'/ ` ► TEL. .29 _j OWNER-BUILDER DECLARATION PRINT ` NOac, �—] I hereby affirm that I am exempt from the Contractor's License e � id Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): RESENT ' QBUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation-will do the work and ( LOCALITY f � 4 '8.7'A the structure is not intended or offered for sale Section mer q Com,- i- C<t: 7044, Business and Professions Code). MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO #f o 0 0.0 0 with licensed contractors to construct the project (Sec- ADDRESS 2'- 4 7't 7'5 tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM EXIST, o n (I 1 7 `L CONSTRUCTION LENDING AGENCY SET BACK 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. 0 �,03-813 (Sec. 3097, Civ. C ). SIDE m P.L e Lender's Name T� Lender's Address P C. Fee$ U V Permit 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 jaws relating to building construction, Total Fee471 P L d hereby authorize r tatives of this County to enter Upon ove-menti. d prope for inspection urposes. �o SEE REVERSE FOR EXPLANATORY LANGUAGE V Signature of App scantor n to es WORKERS'COMPENSATION DECLARATION �l I hereby affirm that I have a certificate of con41k to sdif insure, or a certificate of Workers' Compensation Insurance, APP I CATION FOR .BUILDING PERMIT or a certified copy thereof (Sec 380/0, LLa'b. C.,) COUNTY/� COUNTY OF LOS ANGELES BUILDING AND SAFETY P❑olic`y�J '- ' (4ompany du( L�1��� BUILDIN w— d Certifiecopy is hereby furnished. FOR APPLICANT TO FILL IN ADDRE Certified copy is filed with the county building inspec- BUILDING AS r— tion department. ADDRESS �j� ( Uxls LOCALITY Date Applicant -"'1�(J CITY G/� NEAREST C-L ZIP CROSS ST . CERTI LATE OF EXEMPTION FROM ORKERS' ® NC). OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF-LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO C� TEL SPECIAL �- I certify that in the performance of the work for which this OWNER 0HIF _SAID NO. CONDITIONS tb permit is issued, I shall not employ any person in any manner ��LL DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS ..5A/-'/ r lb�CONS ZONE U G CA @G Date Applicant CITY I ZIP STATISTICAL CLASSIFICATION APT. CONDO O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR v TEL. V Exemption, you should become subject to the Workers' ENGINEER / L KG�J NO. 2��111CLASS NO *QDWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS r _0 Z-A SEWER MAP with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTOR ., NO. ],2 BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS QL-31L,K NO. 6 Z VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC ro� Professions Code, and my license is in full force and effect. CITY CLASS C 7 - $ 1-ill O0CS C SQ FT NO. OF NO OF CHECK pop.License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor l` Date DESCRIPTION OF WORK $T� <_ NEW ADD I am exempt under Sec. r�/`4>/ g [ A-1 S ALTER E] FINAL B.&P.C. for this reason .- 5/ REPAIR DATE if /519, Date: USE OF EXISTING BLDG DEMOL FINAL / Signature APPLICANT TEL. By 4-�• OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor's License 0.0 Law for the following reason (Section 7031.5, Business and ADDRESS , Professions Code): PRESENT BUILDING -83Q 9. 1 4 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 5 2 a 0 R the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO 0 0 0;o o with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 21- 0 61,75 REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH , c o o tt 1,7 5 c=j I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L 09, 14-83 (Sec. 3097, Civ. C ). SIDE m P.L. Lender's Name o o N o o Nb Lender's Address P.C. Fee$ 3, Permit Fee J - o o C7T I certify that I have read this application and state that the /0Issuance Fee J 0 o N g above information is correct. I agree to comply with all County EInvestigation Fee --- 1 U1 w0 f' ordinances,and State laws relating to building construction, Total Fee Co <-n CJT NY CA >� and hereby authorize repr ntatives of this County to enter CA n. 01 W upo a bove-mentione party for insp cion purposes. CH C�� ! SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Applicant or Agent Date ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0906110030 PHONE: (626) 285-0488 EXT: (LEGAL ID: INUMBER OF SIGNS: 0 I BUILDING ADDRESS: 1 ITR: 362 LT: 01 ISIGN DESCRIPTION: INSTALL ONE NEW POLE SING, THREE ILLUI 8905 LAS TUNAS DR I I I TEMP CA 91780 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 15387-012-028 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: IEXIST BLDG USE: (ISSUED ON- PROCESSED BY: I I IEXIST OCC GRP: 106/11/09 SR 1 I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE. 1 ICANOIS IPSWITCH (626) 792-1156- 1 20,000 1 iI 1301 E. COLORADO BLVD I I 1PA.SADENA, CA 91106 FEES PAID ID SCRIPTIO14 OF WORK I 11NSTALL ONE NEW POLE SIGN, THREE ILLUM WALL SINGS, ONE METALI I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IAWNING ONE ATM SURROUND,TWO DRIVE-UP ATM TOPPERS, TWO ILLUM (APPLICANT: TEL. NO: I I I (STEVE THERRIAULT (619) 527-6100- IAA BLDG PERMIT ISSUANCE 27.75 1 14444 FEDERAL BLVD. IAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 (SPECIAL CONDITIONS: 1 ISAN DIEGO, CA 92102 IAX BUILDING REVIEW FEE 54.70 1 I I ID2 PERMIT W/O EN-HC 20000.00 VAL 384.60 I TOTAL FEES 468.05 I I (CONTRACTOR: TEL NO: (APPROVALS DATE INSPECTOR SIGNATURE I ISIGNTECH ELECTRICAL ADVERTISING, IN (619) 527-6100- 1 I 14444 FEDERAL BLVD LIC. NO I ILOCATION AND SETBACKS I I ISAN DIEGO, CA 92102-2505 457406 C45 I I (SOILS ENGINEER APPROVAL I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO. IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ISUPPORT ST4UCTURE 1 I I I i I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I I I 001 I I I I I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND. STAT CLASS. 1 I I NO 20 I I I I I I I I I I SCHOOL WITHIN HAZARDOUS 1 I I I (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO I 1 1 I I I I I I I I I I I I I I I I I I i I I I I I I - I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 _ BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0907280043 PHONE: (626) 285-0488 EXT: (LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 362 LT: 01 I SQ FT STORIES TYPE OCCUP GROUPI 8905 LAS TUNAS DR 1 I (STRUCTURE: 5251 1 V-B M I TEMP CA 91780 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 15387-012-028 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: BANK USE ZONE: (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: B 112/15/09 SR I I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL D TE I FI CODE: 1 (CHASE BANK 65,000 I 18905 LAS TUNAS DR. I (TEMPLE CITY CA 91780 I FEES PAID IDESCRIPT ON OF WORK 1 I 1 (TENANT IMPROVEMENT REBRAND HE (E) INTERIOR SPACE FOR NEW 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IBANK I (APPLICANT: TEL. NO: I I I ITERRELL LANGSTON (PERMIT PLACE INC. (818) 786-8960- IA1 PLANCHECK W/EN-HC 65000.00 VAL 927.98 1 1 113400 RIVERSIDE DR. IAA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS: 1 ISHERMAN OAKS 91423 IAB STATE GREEN BLDG FEE 65000.00 VAL 3.00 I I IAE STRONG MOTION OTHER 65000.00 VAL 13.65 I I IA2 PERMIT W/ENERGY-HC 65000.00 VAL 1,091.75 I I (CONTRACTOR: TEL. NO: I TOTAL FEES 2,064.13 (APPROVALS DATE INSPECTOR SIGNATURE 1 IDBSI INC (602) 264-7263- 1 1 I 16950 W MORELOS PLACE LIC. NO 1 (LOCATION AND SETBACKS (SUITE 1 931142 B I 1 I I ICHANDLER, AZ 85226 (SOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I INUDELL ARCHITECTS (714) 979-8100- 1 1 1 1 1 1950 SOUTH COAST DRIVE LIC. NO: 1 (SLAB/UNDER FLOOR I I I (SUITE 150 C-30699 I i I (COAST MESA, CA 92626 1 IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I I I 3 041 (FLOOR SHEATHING I I I INC. OF FAMILIES• DWELLING UNITS: APT/GOND: STAT CLASS. I I I I I 1 NO 22 1 (ROOF SHEATHING I 1 I SCHOOL WITHIN HAZARDOUS1 t I I I 1 (AIR QUALITY: 1000 FEET MATERIALS I l�1ci�ty ("A �(��+ E;���,�� (_10- i����}q�'`�-�,,,` Z_Z-}CISHEAR PANELS 1 ` 1 1 NO NO NO I IFRAME INSPECTION I 141 (FIRE SPRINKLER HANGERS 1 1 I I I I I (INSULATION/WEATHER STRIPI I I I I (INTERIOR LATH/DRYWALL 1 (EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I 1RATED WALL ASSEMBLIES I I I I I I I (RATED SHAFTS/OPENINGS I I I I I 1 I 1T-BAR CEILINGS �I I' ILOT DRAINAGE1 1 I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1007140041 PHONE: (626) 285-0488 EXT: ILEGAL ID NO. OF CONST NEW BUILDING ADDRESS: 1 ITR. 362 LT: 01 1 SQ FT STORIES TYPE OCCUP GROUPI 8905 LAS TUNAS DR 1 I (STRUCTURE. 1000 1 II-B B TEMP CA 91780 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 15387-012-028 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I I ITENANT IEXIST BLDG USE: COMME USE ZONE: (ISSUED ON: PROCESSED BY: IJP MORGAN CHASE BANK IEXIST OCC GRP: B 109/22/10 SR I I I I- I (OWNER: TEL. NO. JELDGS. NOW ON LOT: VALUATION (FINAL DATE FI AL BY. CODE 1 JP MORGAN CHASE BANK - 75,000 I 1 1 FEES PAID 'r'6ESCRI!PTI0N OF WORK u1 (MINOR INTERIOR AND ATM REMODEL SCOPE OF WORK INCLUDES IFEE DESCRIPTION: QUANTITY. UOM: AMOUNT: IREPLACEMENT OF (E) ATM WALK-UP MACHINE TO UPDATE/REFRESH THEI (APPLICANT. TEL. NO: I I I IBURNHAM NATIONWIDE, TASIA KALLIES (213) 840-8292- 1A1 PLANCHECK W/EN-HC 75000.00 VAL 1,023.50 1 1 1111 W WASHINGTON ST IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I (CHICAGO, IL 60602 JAB STATE GREEN BLDG FEE 75000.00 VAL 3.00 1 1 1 JAE STRONG MOTION OTHER 75000.00 VAL 15.80 I i IA2 PERMIT W/ENERGY-HC 75000.00 VAL 1,204 10 J_ I ICONTRACTOR: TEL NO: I TOTAL FEES 2,274 20 (APPROVALS DATE INSPECTOR SIGNATURE 1 ICE FRY CONSTRUCTION CO INC. (909) 920-5015- 1 1 4A1 1286 CORPORATE WAY LIC. NO i (LOCATION AND SETBACKS , �I (UPLAND, CA 91786 299051 B I 1 ISOILS ENGINEER APPROVAL I 1 I I I I I I 1ARCHITECT OR ENGINEER. TEL. NO- IFOUNDATION/TRENCH FORMS I I I (DESIGN FORUM ARCHITECTS - I 1 1 17575 PARAGON ROAD LIC. NO: I (SLAB/UNDER FLOOR I 1DAYTON, OH, 45459 C-28464 1 1 1 IRAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK PAGE: FIRE ZONE. CMP-1 1UNDERFLOOR INSULATIONI I I I f 3 04 I I (FLOOR SHEATHING I I 1 INO. OF FAMILIES- DWELLING UNITS APT/GOND- STAT CLASS. I I I I NO 22 1 1ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I JAIR QUALITY 1000 FEET MATERIALS I I I I NO NO NO IFRAME INSPECTION (FIRE SPRINKLER HANGERS I I I I 1 I 12NSULATION/WEATHER STRIPI I I 1 1 11NTERIOR LATH/DRYWALL 1 1 I I I 1 IEXTERIOR LATH 1 I I I I 1 1 (RATED FLOOR/CEIL ASSEM. 1 1 I I (RATED WALL ASSEMBLIES I I I I 1 1 1RATED SHAFTS/OPENINGS 1 I 1 I I I 1 I IT-BAR CEILINGS 1 I 1 I 1* ADDITIONAL DATA ON FILE I 1 1 ILOT DRAINAGE I I I 1 IREPORT ID: DPR261 ROUTE TO BSO508 I I 1 I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN .,,'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9902010003 �. PHONE: (626) 285-0488 EXT: , UEGALTD--- S BUILDING SS: TR: 362 LT: 01 SIGN DESCRIPTION: NON ILLUMINATED WALL SIGNS 8905 LAS TUNAS DR TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY EN E IS LD E: IS ED ON: PROCESSED EXPIRES ON: EXIST OCC GRP: 02/01/99 UT 02/01/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: WASHINGTON MUTUAL 5,000 1201 3RD AVE. GG SEATTLE, WA FEES PAID DESCRIPTIONF WORK SIX NEW WALL SIGNS FOR WASHI GTON MUTUAL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APP TEL. NO: AD IMPACT (949) 723-0187- AA BLDG PERMIT ISSUANCE 27.75 2721 E. COAST HWY AE STRONG MOTION_OT:HER� 5000.00 VAL 1.05 SPECIAL CONDITIONS: CORONA DEL MAR, CA AX BUILDING-REYIEW-FEE \\ 54.70 D2 PERM IT�-WM-E�N�rHc L(�T5000A0 VAL 216 .60 AD (714)N 723-0187- d®� �� � APPROVALS DATE INSPECTOR SIGNATURE 2721 E. COAST HWY LIC. NO LOCATION AND SETBACKS SUITE 205 490124/C45 CORONA DEL MAR, CA 92625 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: /TRE LIC. N0: / 1111111 SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 7"D C �� F C❑❑ NO. OF FAMILIES: DWELLING CO S:- NO 20 SCHOOL WITHIN HAZARDOUS9 AIR QUALITY: 10000 FEET MATERIALS 0 NO NO NO � � ❑ ^a®Q REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF 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 0110240023 PHONE: (626) 285-0488 EXT: _CONST_ BUILDING ADDRESS: TR: 362 LT: 01 SQ. FT STORIES TYPE 8905 LAS TUNAS DR STRUCTURE: VN TEMP CA 91780 ASSESSOR INFORMATION NEAREST CROSS STREET: ROSEMEAD THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY A SE: COMME USE ZONE: C-2 T990ETNT PROCESSEDB . EXIST OCC GRP: 10/24/01 JK 04/22/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: V A D NAL BY: . WASHINGTON MUTUAL 1 17,000 D J FEES PAID DESCRjAPTION OF WOR T/O;INSTALL CANT STRIP FASTEN 28# FIBERGLASS BASE SHEET FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MOP 2PLY 11# FIBERGLASS PLY SHEET EMBED 75# GRANULATED CAP APPLICANT: TEL. NO: HAPCON DBA BONDED ROOFING (562) 423-4706- AA BLDG PERMIT ISSUANCE 27.75 200 NIETO #200 AC STRONG MOTION RESID_._-__ 17000.00 VAL 1.70 SP CONDITIONS: LONG BEACH 90803 D2 PERMIT W/O-EN%HC- 17000.00 VAL 334.20 TOTAL---FEES 363.65 CONTRACT ��%, -� Gy�� APPROVALSATE INSP SIGNATURE HAPCON, INC. DBA BONDED ROOFING (562) 427-1604- -''� 200 NIETO AVE #200 LIC. NO �/ �r'da �"� � L ETBACKS LONG BEACH, CA 90803 758776 C39 SOILS ENGINEER APPROVAL AR R: 0: 0 /TR 1 LIC. NO'-:' — SLAB/UNDER— - `��111111� �` FLOOR RAISED FLOOR F RAMING - - - - - - - P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: UNUENFLOCIR INSULATION 150H265 3 01-1FLOOR SHEATHING NO. OF FAM G UNITS: S:- ---- NO --NO 22'y` -- — �j -- i-� - - - - " ROOF SHEATHING � d SCHOOL SHEAR AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL OM RIP T R G SET BACK YARD: HWY: PROP LINE: WIDTH: \0�, FRONT PL- Se INSULATION/WEATHERio � � STRIP SIDE PL- INTERIOR LATH7WWRT EXTERIOR LATH RATED CFT AnTW.— RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1207110035 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 0 BUILDING ADDRESS: ITR: 362 LT: 01 (SIGN DESCRIPTION: ATM AWNING 8905 LAS TUNAS DR I I TEMP CA 91780 I ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15387-012-028 THOMAS PAGE: 596 GRID: H3 LOCALITY. TEMPLE CITY, Cl I J TENANT JEXIST BLDG USE: JISSUED ON: PROCESSED BY: J CHASE BANK (EXIST OCC GRP: 107/11/12 SR I OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FjNAL DATE FINAL BY: CODE: JJP MORGAN CHASE NA (312) 732-4756- 1 2,320 � _ J 1270 PARK AVE 48 JNEW YORK, NY 10017 1 FEES PAID JEMSCRIPTION OF WORK I I 1 IATM AWNING I I 1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( APPLICANT: TEL. N0- IN W SIGN INDUSTRIES, INC. (626) 675-9882- SAA BLDG PERMIT ISSUANCE 27.80 1 I 1360 CRIDER AVENUE JAB STATE GREEN BLDG FEE 2320.00 VAL 1.00 ISPECIAL CONDITIONS: 1MOORESTOWN, NJ 08057 JAX BUILDING REVIEW FEE 54.70 J 1D2 PERMIT W/O EN-HC 2320.00 VAL 99.00 TOTAL FEES 182.50 J CONTRACTOR: TEL. NO- JAPPROVALS DATE INSPECTOR SIGNATURE IN W SIGN INDUSTRIES, INC. (856) 802-1677- I 1360 CRIDER AVENUE LIC. NO J (LOCATION AND SETBACKS �f 1MOORESTOWN NJ 08057 907683-C45 *J SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: i 1FOUNDATION/TRENCH FORMS J LIC. NO: i ISUPPORT STRUCTURE I I I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I I I I 1 0)1 I I I I NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:_-I I I I 1 I NO 20 I SCHOOL WITHIN HAZARDOUS I I (AIR QUALITY- 1000 FEET MATERIALS NO NO NO I I I I 1 _I I I I I I I I I I I I I I I J I I I I I I I I I I I I I I I I I I I I I I I i* ADDITIONAL DATA ON FILE I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1204230068 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 362 LT: 01 1 SQ. FT STORIES TYPE OCCUP GROUP 8905 LAS TUNAS DR I ISTRUCTURE: 900 1 II-B B TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15387-012-028 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: COMME USE ZONE: TISSUED ON: PROCESSED BY: 1CHASE BANK IEXIST OCC GRP. B 108/02/12 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT. VALUATION: .I5-el AT, DATE. FINAL BY: CODE: ICHASE BANK (714) 308-6982- 1 20,000 � 11107 S. HARBOR BLVD. �IFULLERTON, CA 92832 FEES PAID IDESCIRIPTI N`00 F WORK ITENANT IMPROVEMENT MINOR NON-STRUCTURAL INTERIOR RENOVATION IFEE DESCRIPTION QUANTITY: UOM: AMOUNT: 1 (APPLICANT: TEL. NO: I IYARN, JUDY (626) 675-9882- IA1 PLANCHECK W/EN-HC 30000.00 VAL 525.00 I 1392 N. LE MAY COURT IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 (ORANGE, CA 92867 IAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 I I 1AE STRONG MOTION OTHER 20000.00 VAL 4.20 _IA2 PERMIT W/ENERGY-HC 20000.00 VAL 442.30 1 (CONTRACTOR TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 (APPROVALS DATE INSPECTOR SIGNATURE 1 IDBSI, INC. (602) 264-7263- 1 TOTAL FEES 1,101.70 1 16950 W. MORELOS PLACE LIC. NO I ILOCATION AND SETBACKS I 1 I 1 CHANDER, AZ 85226 931142 B • I I 1 ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I IMORFORD, PAUL (949) 863-9434- I _ 1-1 14675 MACARTHUR CT, STE 350 LIC. NO: 1 ISLAE/UNDER FLOOR I 1 INEWPORT BEACH, CA 92660 931142 B I 1 IRAISED FLOOR FRAMING I I I IMAP NO. SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. ( (UNDERFLOOR INSULATION I I I I I I I 3 04I 1FLOOR SHEATHING I INO. OF FAMILIES- DWELLING UNITS: APT/GOND: STAT CLASS: 1 1 0 NO 22 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I I I 1AIR QUALITY: 1000 FEET MATERIALS I 1 NO NO NO FRAME INSPECTION 1 I I IFIRE SPRINKLER HANGERS 1 I I 1 1 11NSULATION/WEATHER STRIPI I 1 1 (INTERIOR LATH/DRYWALL 1 I I 1EXTERIOR LATH I 1 _ I 1 IRATED FLOOR/CEIL ASSEM. 1 1 I IRATED WALL ASSEMBLIES 1 I I I I 1 1 IRATED SHAFTS/OPENINGS 1 1 1 1 1 IT-BAR CEILINGS 1* ADDITIONAL DATA ON FILE I (1 ILOT DRAINAGE {I• 1 1 1 1REPORT ID: DPR261 ROUTE TO: BS0508 I I I I