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OBS-3 23M SETS 6-48
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' ® � 1
WIM. J. FOX. CHIEF ENGINEER .
FOR APPL,IyICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING , �J O � 1 �� DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDREBB O� I �5' // �F-
LOCALITY gG./► �� RECEIVED BY DATE OF A'PP/L. '�"DAATE ISSUED[
NEAREST �y+�'V�C�• � i �Y /'��� ll
CROSS ST.
✓ BUILDING
ADDRESS�C9 a�O lt�o
OWNER� , I Qty� 7 y
MAIL � �� LOCALITY Gt.ti�
ADDRESS /lL'd+Q/
NEAREST
TEL• CROSS 8T.
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECT"OR TEL. ZONE-I PLANS ��
ENGINEER t NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL. APPROVED _
CONTRACT TE BY DATE
UHEAPPROVED
ADDRESS E�� f��O�-Y. ZONE �BY DATE
LEGAL S� CORRECTIONS
DESCRIPTION LOT NO. BLOCK
r d
TRACT / t J— -7 V Z..�j
SIZE OF LOT �� X ~� I NO. OF BLO _
NW ON_LOT_
USE OF �� �� I NO.Or �.I NO. 09._EXISTING BLDG. FAMILI[B ROOMS
DESCRIPTION OF WORE
NEW ALTERATION I ADDITION O
REPAIR MOVING DEMOLISH O
89. rT. NO.OF
SIZE ROOMS RIES
WALL ROOF I '
COVERING I COVERING
USE Or NEW '
BUILDING
APPROVALS
I HEREBY ACKNOWLEDGE THAjAB
READ THIS
APPLICATION AND STATE THAT T8 CORRECT FOUNDATION: LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALRDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER LATH, INT.:
AUTHORIZED AOTLATH, EXT.:
6 PLASTER, INT.
PLASTER, EXT.
VALUATION u � FINAL
I
-DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING 1
WM. J. FOX. CHIEF ENGINEER
NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE / 145 7i dy4 e ';?,—r—
''� 2,;z
FIRE APPROVED •'It,� /� / /'• 7 G1)
ZONE BY DATE q'�R/'EC EDf Y DATE OF AP.PPL. ATE ISSUED
�/
ZONE
APPROVEDUSE DATE / ' 1 U '/ r'� r
APPLICANT FILL IN HEAVILY OU'T'LINED/ PORTION ONLYBUILDING
�
p NAME ADDRESS 14LJ ISS �� /►�
U W
W Z ADDRESS LOCALITY
= Z NEAREST
U yI CITY CROSS ST
tt
Q STATE TEL.
LICENSE NO NO. W NAME
PAY
qty Z MAIL •gam
p NA ���� � P AY !� � Q •ADDRESS 3 5, /� r
ADDRESS /�J �, CITY /'�j �� NO
ZZ CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. m AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO t� NO. AND STATE LAWS REGULATIN BUILDING CONSTRUCTION.
� 15 � � � SIGNATURE OF
ZLOT. NO. �� SIZE OF LOT
U OWNER
Q
NO. OF BLDGS. AUTHORIZED AGT.
BLOCK NOW ON LOT ® w ✓ w r
U TRACT C RECT16NS
W
D USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF WORK
USE OF �d �
BUILDING �P- -7
n l
Z
a
NEW TYPE �/..R� GROUP
NO. OF NO. OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE `
REPAIR STORIES
MOVING WALL COVERINGfe
DEMOLISH ROOF COVERING
P. C. $
$ FEE � FINAL APPROVAL
$ ® J ���� INSPECTOR'S l
VALUATION FEE DATE NAME
D[6'3 25M SETS 6-46
LIGATION FOR PERMIT
DEPARTMENT OF BUILDING AND ISA T
COUNTY OF LOS ANGELES B U ' D e N G 1'
WM. J. FOX, CHIEF ENGINEER ®®
FOR APPLICANTTO FILL IN' FOR OFFICE USE ONLY
BUILDING
Be t�j,' Q , �„, -•t r T� DISTRIC NO. PLAN CK. NO. PERMIT NO.
AS f 43 .47 / 3f5' f8
LOCALITY tom . C ( T'�^ RE I lifY DATE OF APPL. DATE ISSUED
NEAREST /�d / 06 /moo
CROSS ST. Q S m i`-AD � / .p �\/!2
��9� BUILDING /� o /� n VA S
OWNER }/�� H Ll b.t'L.� ADDRESS 1 � fS J�,/'
MAIL LOCALITY J / G
ADDRESS A r' :4 I`:.,
NEAREST
TEL. CROSS ST.
CITY NO.
FIRE NO.or
ARCHITECT OR j 4 f� �[ ZONE ` PLANB I1 I TYPE GROUP
ENGINEER d L..L_
BLDG. ORD. NO.
ADDRESS [ 2, =1 SETBACK LINE
APPROVED
TEL.
CONTRACTOR - NO. SY DATE
USE APPROVED
ADDRESS ZONE G..,3 BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. I BLOCK
TRACT
SIZE OF LOT ; D .L"J NO. OF SLOGS.
I NOW ON LOT
USE OF NO.O/ 1L NO. OR
_
EXISTING BLDG. }-1 p W/a QUI FAMILIES r ROOMS,
DESCRIPTION OF WORK
NEW ALTERATION _ADDITION O
REPAIR MOVING DEMOLISH O
SO. FT. ,s >s !� fJO.OF
SIZE V V �RS
WALL
ROOMS STORIEk [
COVERING C vC2t ..i I COVOERINGUSOF ,
BUILD NG NEW41n `
i/ L/
I HEREBY .ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE,
AND AGREE TO COMPLY WITH ALL COUNTYORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER a LATH, INT.:
AUTHORIZED AOT_ LATH, EXT.:
$ P C , b PLASTER, INT.
FEE -~ PLASTER, EXT.
VALUATION FEE FINAL
t TEMOLE—CIT!
�? 4 t A
moi✓ IGi¢ArC
)bA638A CE•#i8032-63 APPLICATION FOR BU'ILD1N-G' PERM T
COUNTY OF LOS ANGELES BUILDING
g E
DEPARTMENT OF COUNTY ENGINEER A°DREss
BUILDING AND SAFETY'DIVISION LOCALITY �jT
JOHN'A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP'T'OF BUILDING CROSS ST
DISTRICT GF�YUd T � PR ED BY
FOR APPLICANT;TO FILL IN N
BUILDING �.�}► STATISTICAL CLASSIFICATIONE E MAP
CLASS NO
ADDRESS -+-/�/ '� K PG
c DWELL UNITS-'
LOT NO _ ".--BLOCK'- W,ATER
- CERTIFICATE NOT REQUIRED ❑ RECEIVED ❑
TRACT MAP HIGHWAY STATE MAJOR SECOND, LOCAL
NO OF BLOGS"" NO (CIRCLE)
SIZE OF LOT NOW,ON LOT USE ZONE SPECIAL
USE OF % - CONDITIONS
EXISTING BLDG
r yE L
OWNEI�,�Z er O BUILDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
ADORES - FRONT r
ARCHITECT OR _ TEL P L"
ENGINEER NO SIDE I d
P L
ADDRESS - _ - 0
TEL
CONTRACTO NO ,
O
ADDRESS ll - F•�
DESCRIPTION OF WORK LCL
u
• � Z
NEW ADD ALTER REPAIR DEMOLISH'
SQ FT NO OF NO OF
SIZE ' STORIES FAMILIES
USE OF
STRUCTURE -
C/
SIGNATURE OF '
APPLICANT ,
VALUATION $
APPROVALS DATE INSPE TOR'S SIGNATURE
FOUNDATION LOCATION
P C T PMT to
FEE'S FEE FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N BRACING BOLTS V YGJ �'�' '+�•
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPL 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 5 COMPENSATION INSURANCE ATH, EXT
i
SIGNATURE OF/ � _ H USE NUMBER COR-
'PERMITTEE V� 6 eI , CT AND POSTED
S �'Tc
ADDRES �Q,rt 4a y 1 f FIN - �O•�-Ca.Zj -!-LJt-�---
HN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN
CHECK VALIDATION CK MO CASH PERMIT VALIDATION _
1 5 6 2 l+�D'1 OCT 17 4 0 D .(DO-
DEPARTMENT OF BUILDING AND SAFETY T APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES i1
WM. J. FOX, CHIEF ENGINEER i BU ' ® ' G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS 9026 E.d Las Tunas Drive
LOCALITNTe le C1 t CaliforniaRECEIVED BY DATE
DATE OF[ �[
A/PPL. DATE ISSUED
NEAREST /3�& 7_ /
CR089 ST. Rosamend
Ic
BUILDING 160 !sem t,
"'s"`Yl
OWNER S y�T a ADDRESS
MAIL LOCALITY 20 w�M
ADDRESS Tunas
NEAREST
C JOEL. CROSS ST.
CITY Temgle
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
v APPROVED
CONTRACTOR Bryant Htg. NO. AT 6-11111
BY DATE
T USE APPROVED
ADDREH La 1 I�1 a SG ZONE BY DATE
LEGALCORRECTIONS
DESCRIPTION I LOT NO. BLOCK
TRACT
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION -
O
A
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
SIZE ROOMS STORIES r
WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING `
Install suspended furnace
r
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
Lor
DSS-3 SOM SETS 7-4 $ 280.00
0•00 P.C.III PLASTER,INT.
V I
FEE PLASTER,EXT.
A
VALUATION FEE 2.& FINAL 1 ��i
APPLICATION FOR BUILDING PERMIT �]
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDINy CyyDDR�s� C
BUI NG AD RESS
I hereby affirm that I have a certificate of consent to self Insure, �{
or a certificate of Workers'Compensation Insurance,or a certified
Copy thereof(Sec 3800,Lab C) CIT w, ZIP O
�3Mcis/ LOCALITY
Policy No Company SIZE OF LOT NO I BL SNOW ON LOT
❑ Certified copy Is hereby furnished NEAREST CROSS ST
❑ Certified copy is filed with the county budding Inspection TRACT BLOCK LOT NO
department USE ZONE MAP NO
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' o= _ TELgNO
COMPENSATION INSURANCE �U L WITHIN 1000 FT OF SCHOOLS ves No
(This section need not be completed If the permit IS for one hundred ADDRESS -.� DISTRICT GROUP ' TYPE CONST FIRE ZONE PROCESSED BY
dollars($100)or less) awza
ZI _
I certify that In the performance of the work for which this permit CITY ` O �D
/17
is Issued, I shall not employ any person In any manner so as to
become subject t0 the Worker m ensation Laws -ARCHITECTOR ENGIN R L O
STATISTICAL CLASSIFICATION APT CONDO
Date�� Appllcant ADDRESS CLASS NO DWELL UNITS
NOTICE TO A (CANT If, after
P his Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP r
(commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES a
Professions Code,and my license Is in full force and effect NEW 1:1 BK PG v0
License Number LIC Class DESCRIPTION OF WORK ADD ❑ VALUATION �� O
Contractor Date G /�u� ALTER 1:1 $ �o v
W
El am exempt under Sec REPAIR 11 $ z
B&P C for this reason 2 DEMOL ❑ LDMA Pic
Date I, E CfF EX STING BLDG URM ❑
23 Y
Signature
CANTT N LDMA Perm#
I,as owner of the property, or my employees with wages as ZO AUT.F
their sole compensation, will do the work and the structure is DR S ,�oo, _ _
not Intended or offered for sale (Section 7044, Business and Z V FINAL DATE is ti-,03 ..ISI,_C
Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
El I, as owner Of the r0 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
p perty, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE1 FINAL BY
licensed contractors to construct the project (Section 7044, ACCT.s
Business and Professions Code) VES 1:1 No❑ r
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING -m
-
WILL
REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �'{°i•�
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR i i� T T EM12
GUIDELINES
I hereby affirm that there Is a construction lending agency for YES❑ NO❑
a the performance of the work for which this permit Is Issued(Sec TOTAL 139 - 75
Ol I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
3097, CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE Ej
TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - CHECK _ 135. _I
22 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD
O Lender's Address �. t]G 14 i
0 OWNER OR AGENT
o I certify that I have read this application and state under penalty
0 of perjury that the above Information is correct I agree to comply PC FEE PERMIT FEE 7:
cm with all county ordinances and State laws relating to building d" �• � 'I�— I �' L f 1/ 94
00
cgaet tion, and hereby authorize representatives of this County ISSUANCE FEE ��^�/_ ) c a i
� ((o ente upm"44a above-mentioned property for Inspection purposes �"(J �"r `
ro� INVESTIGATION FEE TOTAL FEE
r` GNe
SEE REVERSE FOR EXPLANATORY LANGUAGE
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 0904150026
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST I BUILDING ADDRESS 1
ITR 12157 LT- 5 SQ FT STORIES TYPE 1 9026 LAS TUNAS DR J
STRUCTURE V-B I TEMP CA 917801834 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: SULTANA I
15387-029-004 1 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE COMME USE ZONE C-3 (ISSUED ON: PROCESSED BY
IEXIST OCC GRP. 104/15/09 SR
I I I I
JOWNER TEL NO IBLDGS NOW ON LOT- VALUATION IFI AL DATE FINAL BY CODE I
IROZAK FAMILY PROP (949) 474-4906- 1 500 1I
12192 MARTIN ST. I I J
11RVINE I FEES PAID 15ESCR PTIONOF WORK J
I I IFRAMING IN DOOR OPENINGS J
I IFEE DESCRIPTION. QUANTITY UOM AMOUNT
(APPLICANT TEL NO I
IPOWER SOURCE CONSTRUCTION (626) 233-2861- JAA BLDG PERMIT ISSUANCE 27 75 I
18305 DUARTE ROAD JAB STATE GREEN BLDG FEE 500 00 VAL 1 00 ISPECIAL CONDITIONS I
ISAN GABRIEL CA 91778 JAE STRONG MOTION OTHER 500 00 VAL 0 50 I I
IA2 PERMIT W/ENERGY-HC 500 00 VAL 50 20 I J
I 1 TOTAL FEES 79 45 1 J
ICONTRACTOR. TEL. NO I JAPPROVALS DATE INSPECTOR SIGNATURE J
1POWER SOURCE CONSTRUCTION (626) 233-2861- 1 1
IP 0 BOX 52 LIC NO I ILOCATION AND SETBACKS
ISAN GABRIEL, CA 91778 833729 1 1 J I
J I ISOILS ENGINEER APPROVAL I J I
I I I I I I
JARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
1 LIC NO I ISLAB/UNDER FLOOR I I I
J I 11 1
I IRAISED FLOOR FRAMING I I I
I i I I I I
IMAP NO SEWER MAP BOOK: PAGE FIRE ZONE CMP.J JUNDERFLOOR INSULATION I I I
115OH265 3 001 1 1
I I IFLOOR SHEATHING I I I
INO OF FAMILIES. DWELLING UNITS APT/GOND- STAT CLASS I I J I
J NO 22 1 IROOF SHEATHING I I I
J I I J I I
J SCHOOL WITHIN HAZARDOUS I JSHEA.R PANELS I I I
JAIR QUALITY 1000 FEET MATERIALS I I I I
1 NO NO NO 1 IFRAME INSPECTION I I
REQUIRED TOTAL SETBACK FROM EXIST ` ( f FIRE SPRINKLER HANGERS /
I�et�\;:_ o� �o5�c` ole, � - `ems ��f� . 1
ISET BACK YARD- HWY PROP LINE WIDTH. I t I I I
(FRONT PL- 1 t���;£Y '�4.j{� (.�(��T W��I�tkl?Q,A SQIo k %•'E• (INSULATION/WEATHER STRIP) J
SIDE PL- I � \ I J I I
I I �Gw `� �•�� J INTERIOR LATH/DRYWALL I I I
I I I I I I
J I 1EXTERIOR LATH I I I
I I I I I I
I I (RATED FLOOR/CEIL ASSEM J I I
I J I I I I
J IRATED WALL ASSEMBLIES I J
I I J I I I
IRATED SHAFTS/OPENINGS I I I
I I I I I I
IT-BAR CEILINGS I
I I I I I I
ILOT DRAINAGE I I
I I I I I I
J IREPORT ID DPR261 ROUTE TO: BS0508 I I I
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