Loading...
HomeMy Public PortalAbout9048 LAS TUNAS DR_Building__ DIVISION OF BUILDING AND SAFETY � ' D ' Department of County Engineer NG County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY A yn r (' /'�/j yrs DISTRICT NO. PLAN CK.OR RED.No. PERMIT NO., ADDRESS 10�V G. LAJ n)NA5 0K. / LOCALITY aMPLE CITY RECEIVED 13Y DATE OFAPPL. DATE ISSUED N�AREBT C RDSSST. J rt� �• BUILDING ADDRESS OWNER MAIL �+ LOCALITY ADDRESS ` ^'S / NIPAREST / `° KL. C��� CROSSBT. CITY Ct N0. 1 /mow FIRE NO.OF TYPE G[R-�OUP "AROHITEOTOR TEL ZONE ( PLANS I A,! I J4G� 'ENGINEER .'�/ - NO. BLDG. S ORD. NO. _. SETBACK LINE C7 L ADDRES9 USEAPPROVED TRL ZON��Z BY DATE ' CONTRACTOR '-''�"- -'�,. NO: • HOUSE NUMBERING 7.1 ,.ACQRESB MAP NUMBER NO. ASSIGNED BY yea We cc, CORRECTIONS DESCRIPTIQN LOTrNO: "`Z s" 'a LOOK TRACT NO. OF BLOM& SIZE OF LOT I "NQW'ON LOT USE OF NO7vOF EXISTING BLDG. _ ( FAMILIES DESCRIPTION OF WORK _ o NEW ALTERATION ADDITION D r .REPAIR DEMOLITION 8 ZE L� ROOMS 9TQRIES 1 EXT.W L• ROOF COVE N0- COVERING FS R� U E INSPECTION FOR APPROVALS OCCUPANCYAS /_ "' 'INSPECTOR'S SIGNATURE DATE FOUNDATION:..LOCATION ' FORMS, MATERIALS I HERE Y ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE5TOP9, ' PLICATION AND STATE-THAT THE INFORMATION GIVEN IS t CORRECT. - BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:,LOCATION, AND--STATE LAWS R GULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OF� IL [t ,: e LATH, INT. .'PERMITTEE - - fy. y) LATH, EXT. �. ADDRE9B�, , _" PLASTER, INT. AUTHORIZED AGTf . PLASTER, OCT. P.C.G FEE HOUSENUMBER COR-.. RECT AND POSTED 4, t VALUATION FEE FINAL. +,Z 76A63BA DBS 3 1-52 pp-DEPARTMENT OF BUILLING AND SAFETY APPLICATIONt�FOR PERMIT COUNTY OF LOS ANGELES D WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING S ADDRESS / A1f4 -� 7 -3� LOCALITY L RECE1. BY DATE OF APPL. DATEISSUED NEAREST �ll i1 VIel CROSS ST. ' a ,.� ^ , �� BUILDING OWNER ( ' ADDRE63 ADDRESS S�'y�MAIL LOCALITY / < 'TEL. NEAREST CITY NO. CROSS ST. FIRE NO.OF TYPEG OUP ARCHITECT OR TEL. ZONE PLANS ���'� ENGINEER NO. "{ BLDG. A• �� RD.NO. ADDRESS SETBACK LINE � Q (� TEL. d/ APPROVED - CONTRACTOR I� (�i�n(J�r /4N/� �NO. BY dr(� `J DATE T USE APPROVED ADDRESS �� y W!� / ZONE BY, DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. 11BLOCK 1 ' TRACT ' 1 NO.OF BLOBS. SIZE OF LOT NOW ON LOT USE OF NO.OF NO.OF , EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION - O REPAIR MOVING DEMOLISH O SQ.FT. NO.OF Z SIZE ROOMS STORIES , D WALL ROOF _ - r COVERING ,, I I COVERRIINQG� USE OF NEW `'NGO/�/ BUILDING I 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 REG�/LATING BUILDING ONSTRUC ION. ^ FRAME: FIRE STOPS, O SIGNATURE F BRACING.BOLTS PERMITTE _ LATH, INT. AUTHORIZED AGT LATH, EXT. 7SA638A 9-48 PLASTER,INT. DBS-3 SUM SETS P.C. FEE PLASTER,EXT. VALUATION FEE FINAL DH3-3 25M 8ET9 6-45 DEPARTMENT OF BUILDING, AND SAFETC" APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � � ' �' ® ' w� � 1 WM. J. FOX,. CHIEF ENGINEER !� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY eui- DISTRICT NO. PLAN CK. NO. PERMIT NO. ADORES G j...� _ _ 70 046 ADORES V1 I: LOCALITY RVtIVED BY DATE OF APPL. DATES ISSUE�+D�. NEAREST let �f' EROS5-:.ST. BUILDING ✓� Q ' OWNER, �° ' ADDRESS / AJ�-� S l /� MAIL > LOCALITY'- / t r` ��� <:: t I ADDRESS r j _/J(/��.Ir/ NEAREST �� �, Y f 36� CROSS 9T. NO.�t /4 ARCHITECT OR TEL. ZONE PLANS TYp`rI GROUP ENGINEER NO. BLDG, ORD. NO. ADDRESS, SETBACK LINE N T APPROVED CONT ACTOR N NO.�/ I ���1 ®Y DATE d A n ` ^ USE _ APPROVED ADDRE991.4tD - �.R {..' +7 :n#V� kc . /t�l ZONE BY DATE LEGAL CORRES DESCRIPTION J^I LOT NO. I BLOCK '+"'�- TRAM AA'pitON s NO OF BLOG9. SIZE OF LOT �Gi /�.�. I NOW ON LOT f - USE OF {y Q NO.OF NO. GE__- .EXISTING BLDG.J} l;�T, /d(✓SS� FAMILIESI"ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION ,y/ -r O REPAIR MOVING DEMOLISH p SO. FT., /( NO.OF Z SIZE �(/ ROOMS - STORIES WALL ,.._ RGGP' r COVERING I COVERING USE 13F NEW APPR VALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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 /J BRACING, BOLTS OWNER ///(�///J� LATH, INT.: AUTHORIZED ADT LATH, EXT:: f P. C.a PLASTER, INT. FEE PLASTER, EXT. VALUATION �j. FEE / '� FINAL - 6 �� P,C F PARTs BUIL "G AND SAFE IF p£ I�IE DIN LY APPLICATIQ FOR PERMIT COUNTY OF LOSk ANGELES . �# WM., J. EOX,-CHIEF ENGINEER F B V ' L D. ' NG - FOR APPLICANT TO, FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. .AD'DRES3./V /V/T.7 LOCALITY '/r/Qei /l RECEIVED BY. DATEO ADPL. DATE IB CD 'CROSS'NEAREST. _] Y�L T/A''41 m f � J �'���� BUILD OWNER' ADDRE189/ �'R�" ��/� lT�^�'.�rl/�"�� . MAIL �K6—1 / �� C ��S/1C.I•V LOCALITY ADDRESS U L,�( .. y�y►w/ �Q NEAREST CITY A!1 1•l4('C�II�J t� NOLOCROSS ST. ARCHITECT OR TEL. �ZDNE "`�'—I I TMP ./ r I GROUP PLANS ENGINEER NO. _ J•�+'�'"'� I.BLDG. ORD. NO. ADDRESS ,SETBACK LINE TEL. i APPROVED .,.CONTRACTOR _ NO. "pY DATE USE 000l, /APPROVED ADDRESS. t`ZONE(_ BY DATE LEGAL --- k - DESCRIPTION . I LOT NO.� —/ I BLOCK CORRECTIONS- TRACT,/.�L /,1'—7 No. or SLOG SIZE OF LOT / ,x� I NOW 6N.-LOTS. N LOTS _ USE OF I NO.OF �I NO. OF�! EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O m REPAIR MOVING DEMOLISH _ _ O SQ. FT. NO.OF -:SIZE ROOMS STORIES r v WALL I ROOF COVERING i COVERING_i,_. USE OF NEW - BUILDING APPROVALS. ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THISj INSPECTOR DATE APPLICATION AND STATE THAT THE ABOVE IS CORRECTFOUNDATION: LOCATION, � - AND AGREE TO COMPLY WITH ALL COUNTY OReUA ANCES FORMS, MATERIALS- AND STATE: LAWS REGULATING BUILDING.CONSTRUCTION FRAME: FIRE BTOPB, SIGNATURE OF �.' `�! ��. -{ BR.4CiNG, BOLTS OWNER LATHINT.: AUTHORIZED AGT LATH, EXT.: Y 1 A l .P.: C..>B Y PLASTER, INT. FEE 1 PLASTER, EXT. .rJ VALUATION `� FEE 6.6. FINAL ► �� 7�� i. ,. - TEMPLE EMPLE CIT' 7UG38A Cs#SOS 21910 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT O. GROUP TYPE OCESSED BY FOR APPLICANT TO FILL IN (� CONST. BUILDING �/�j %�e STATISTICAL CLASSIFICATION EWER P ADDRESS �'TO T S t7ry� B CLASS NO DWELL.UNITS LOT NO. A BLOCK MAP NUMBER v D HWY. YES NO TRACT 2 USE ZONE _' SPECIAL NO OF LDGS CONDITIONS SIZE OF LOT 50 S i►1 I NOW ONBLOT / USE OF `' EXISTING BLDG. BUILDING_ - EXIST. ! YARD HWY STREET NAME WIDTH OWNER fU Ii�aa�ly TEL. SETBACK NO. FRONT ADDRESS rl' SIDE _ ARCHITECT OR i TEL. P.L. ENGINEER I �� No. INSPECTION RECORD ADDRESS TEL. I9 CONTRACTOR �(/"� NO. 0 ADDRESS V DESCRIPTION OF WORK 2 4 / �' O NEW ADD • ALTER�/ REPAIR DEMOLISH SQ.FT. NO OF NO OF lit//r SIZE STORIES FAMILIES USE OF d I ill '7 STRUCTURE 1� F7 SIGNATURE OF APPLICANT VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ PMT. FOUNDATION. LOCATION FEE $ FORMS, MATERIALS FRAME' FIRE STOPS, _�D 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE'LOCATION, AGREE TO COMPLY WITH-ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMMNATI W OF CALIFORNIA. LATH,EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTE .7RECT AND POSTED ADDRESS W11W, FINAL 2-3-6/ CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN E PLAN CHECK VALIDATION cK'. M.O. CASH PERMIT VALIDATION CK. M O.2.00 CASH ®� r � 1 1� #803-9. - 1aAe]ekce#803-9-6o APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING © �V DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE• COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OP BUILDING CROSS ST DISTRICT NO. G_R_0'U P TYPE P WESSED BY FOR APPLICANT TO FILL IN -4 CONST BUILDING �j �^ lKn S � C STATISTICAL CLASSIFICATION S WERMAP ADDRESS _` '�1 �'VIl o.S SK PG / CLASS NO DWELL UNITS LOT NO. BLOCK MAP STATE YES O yy��/ NUMBER �� HWY TRACT Oma/ � USE ZONE SPECIAL NO OF BLOGS. �j CONDITIONS SIZE OF LOT I NOW ON LOT USE EXISTITI NG BLDG BUILDING EXIST /� TEL SETBACK YARD HWY ,STREET I� ME WIDTH OWNER LT VCG NO FRONT • P L ADDRESS C"b n'v'P SIDE ARCHITECT OR TEL P L ENGINEER NO INSPECTION RECORD ADDRESS a TEL �/ (A O CONTRACTOR p� MO 1 fNO. (O �j ADDRESS 4Z p �gy\��Y'HQY`�,\N� 0 O DESCRIPTION OF WORK LL, CL NE ADD ALTER REPAIR DEMOLISH N Z Q FT. NO OF NO OF SIZE � b STORIES FAMILIES USE OF CS , &+ STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR S SIGNATURE PC PMT. L� FOUNDATION LOCATION FEE $ 1 FEE $ FORMS,MATERIALS FRAME FIRESTOPS, 1 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 EGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT I E ERFORMANCE OF THE WORK FOR WHICH PERMIT IS SS I SHALL NOT LATH, INT EMPLOY ANY PERSON IN Y AN SO TO COM UBUECT TO THE WORKMEN S C PE AT LAW OF ALIFO IA LATH, EXT SIGNATURE OF HOUSE NUMBER COR- �f PERMITTEE Y' RECT AND POSTED ADDRESS FINALA CLYDE N. DIRLAM, PRINCIPAL ST R RAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION cK M.O. CASH 09004ZZ4 �u 244 D • to UGC9005 ,-Q' 0-41122 1 D 3.00 M e 3sMr ET17, s ya44+r «' APPLI`"CATION`F®R'=TERMIT u DEPARTMENT OF BUILDING AND SAFETY hj COUNTY OF LOS ANGELES AUC 17 BU � � FNS WK J. FOX; CHIEF ENGINEER � � I DISTR�I.C�*T-�NO. PLAN dK NO. `PERMiT NO ' NOB . OF LDG. ORD.NO. `PLANS s' SETBACK LINE FIRE �"�� APPROVED. _ ti ZONE BY DATE_ RECEIVED BY' DATE OF APPL':- DATE ISSUED .USE APPROVED i. .r^C ZONE C�..•.'�3 BY DATE - ! i >4J. •A' 7r `•'_�... 9 �� APPLICANT FILL•INHEAVILY' OUTLINED PORTION ONLY BUILDING 0 NAME ;ADD'RESS W Z ADDRESS LOCALITY Z NEAREST U W CITY r CRO83 Si. drL/�✓/a✓��rt: Q. STATE f/ C TE S / j (4 '!✓G�"' '! LIGEN'SENO. � f _�`.�:�- mr�"� X. ;NAME � T Z♦ MAIL NAME w "us�. 3 .,ADDRESS V"LJ I ✓! i'�+.w, f, o j �p _ TEC! "' .Q ADDRESS .4 , .: CIT I�", ! NO- Ir O- �•�.' • " L1 +*4, �. F I HEREBY ACKNOWLEDGE THAT I HAVE+ READ THIS p CITY APPLICATION AND STATE THAT THE,:B(,A62 IS CORRECT U STATE TEL. P AND!GREE TO COMPLY WITH ALL COUNTYORDINANCES LICENSE NO. NO. / AND STATE LAWS REGULATING_ BUILDING CONSTRUCTION. 7Q.�j ` SIGNATURE OF Z LOT NO. SIZE OF LOT OWNER J0 NO. OF BLDGS. Q6 BLOCK NOW.ON LOT AUTHORIZED.:¢. , . OC CORRECTIONS` W TRACT D USE OF BLDGS. / i� NOW ON LOT D; !" DESCRIPiWON OF WO8t'K /)4A �II� I ,, k FUSE OF BUIL'DING- ff�� ! .J'Lr'(1, r 0" �> '��// •1�I,/ r'i 1.,. I _ �� `` � t 1 O Z a r NEW TYPE GROUP NO. OF '�j� NO. OF I ALTERATION ROOMS FAMILIES ADDITION �./ SIZE I! looti REPAIR STORIES �Q MOVING WALL COVERING t/ TCjJ C�' C ITEM OLr'I SI9 ROOF COVERINGoll� ,rC fl �l P1/I'id'Jf�! d , $ P' s ' FINAL APPROVAL. r� FEE .9 $ INS.PECTO 'S »�. VALUA710N FEE 1•" - DATE 1 NAME I. ..s"4,.� s.ars.i�...an,•�_ � .. �...;.�.,:+ru.-".r . ','.:�r�•he•� t,�ua_W,..•: _" •: -. . .. _ ... _" _ WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to Self APPLICATION FOR BUILDING PERMIT � insure, or a certificate of Workers' Compensation Compensation Insurance, or a 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 filed with a my building inspec- '$UILDING dode rtment ADDRESS LOCALITY NEAREST J Date Applicant CITY—MW ZIP CROSS ST RTIFI ATE OF EXEMPTION RO R RS' I NO OF BLDGS ASSESSOR COMPENSATION SU N SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL USE ZONE MAP (This section need not be com et if the permit is for one ' � TRACT BLOCK LOT NO NO hundred dollars ($100)or less ) ,.�— TEL SPECIAL n that in the performance of the work for which this OWNER NO CONDITIONS G. I certify p DISTRICT GROUP TYPE FIRE PR ESSED BY O permit is issued, I shall not employ any person in any manner G> � ONST ZONE U so as to become subject to the Workers'Compensation Laws ADDRESS `j d� +3 " Date Applicant CAL ARCHITECT O ZIP TEL STATISTICLASSIFI�tCfATIO CONDO O NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CLASS NO ADWELL UNITS a Exemption, ,you should become, subject to the Workers' � ` Compensation,provisions of the Labor Code, you must forth- ADDRESS `L ' SEWER MAP with compty'with such provisions or this permit shall be TEL - z deemed revoked CONTRACTOR S N BK PG,� VALIDATION LICENSED CONTRACTORS DECLARATION LIC 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �j NO-2VALUATION. �---- (commencing with Section 7000)of Division 3 of the Business and LIC 2 5 6 2,2 A Professions Code, and my license is in full force and effect. CITY CLASS C-4-5 — 0 SQ FT NO OF NO OF CHECK , # 0 0 0 o'23 iTcense Number Lic Class` SIZE STORIES FAMILIES ONE f,nn_ �•-� tel` $ °E' 2'° 3 7.;5 0 lJiI)13 lA C"I Date DESCRIPTI N OF WORK NEW Coniractor� ` , ADD o'0 0 El am exempt under Sec W 3 7 5 Q c� ALTER FINAL —��.� B.BP C for this reason REPAIR 0 DATE 0 9.2 8 8.3 - USE OF E] FINAL Date EXISTING BLDmc" DEMOL By Signature APPLICANT TEL r1i z OWNER-BUILDER DECLARATION PRINT N / we I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031 5, Business and ADDRESS j Professions Code)- PRESENT ` ( �� -9,57 Q 9 A BUILDING ' 1, as owner of,the property, or my employees with ADDRESS wages as their sole compensation,will do the work and # 0 °' o 0 o the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL 2'0 0 4 9 8 8 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ° a ° ADDRESS 4988 44c=� tion 70 , Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST �� Q 04-8. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH ► 3 I hereby affirm that there is a construction fending agency for FRONT the performance of the work for which this permit is issued P L (Sec 3097, Civ C SIDE m PL Lender's Name PC Fee$ Permit Fe I Lender's Address 1 certify that I have read this application and state that the Issuance Fee above inform is correct I agree to comply with all County Investigation Fee; ordinanc and Stat aws relating to building construction, Total Fee ty and here nze present f this County to enter on above-menhoM7� spection p rposes. ; SEE REVERSE FOR EXPLANATORY LANGUAGE , ' Os ature of Applicant or Agent ate WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to Self APPLICATION FOR BUILDING PERMIT insure, or a ce�tlflcate df Workers' Compensation Insurance, or a 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 filed with the county building inspec- BUILDING KOAA tion department ADDRESS % - LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST 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 TEL Com ) SPECIAL } I certify that in the perfor of the work for which this OWNER N CONDITIONS d permit is issued, I shall not emp person In any manner DISTRICT GROUP TYPE FIRE PROLE ED BY O so as to become suble r Compensation Laws ADDRESS040 V t4 CONST ZONE V Date App Ica _ CITY ZIP STATISTICAL CLASSIFICATION APT DO V NOTICE TO APPLICANT- If, a er ma cI thI rtlflcate of ARCHITECT OR TEL ENGINEER � NO CLASS NO ZZ DWELL UNITS W Exemption, you should become subl ct to ��Workers' H Compensation provisions of/the Labor de, you mist forth- ADDRESS SEWER MAP with comply with such p ovlsions or this permit shall be z deemed revoked CONTRACTOR N L BK PG, VALIDATION LICENSED CONTRA ECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION QD (commencing with Section 7000)of Division 3 of the Business and LIC 12 6 0 9.4 A Professions Code, and my license Is In full force and effect CITY b CLA $ r , $� 0 0 �} , _ SQ FT NO OF " NO OF CHECK 1 0 0 S License Number LIc Class SIZE STORIES FAMILIES ONE ° ° ° 0 7 8 v $ ;12�10j86 Con Date' DESCRIPTION OF ORK NEW ADD I am e t u der Sec $ ALTER ❑ DATEL o B C for I reason REPAIR ❑ /1 Date. USE OF DEMOL ❑ B N/ 4 / 12 1 }#9,$g EXISTING BL Y U 8�j Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT N I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and ADDRE Professions Code) "WENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure Is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH I hereby affirm that there Is a construction lending agency for FRONT , the performance of the work for which this permit Is Issued P L (Sec 3097, Civ C PIL Lender's Name Lender's Address PC Fee$ V� Permit Fee r3 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 a la ting to building construction, Total Fee ereb repr nt Ives of this County to enter upon t above-men ed pr a for.Inspection purposes ^ rp SEE REVERSE FOR EXPLANATORY LANGUAGE Sig tur of Ap cant or gent Date j ®s APPLICATION FOR- BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND'SAFETY WORKER'S'COMPENSATION DECLARATION FOR APPLICANT TO FILL IN sulL G DRESS „w,� I hereby affirm that I have a certificate of consent to self Insure, BUILDING AD SS/ Q or, L a certificate of Workers' Compensation Insurance,or a'certifsed "' copy thereof(Sec.3800,Lab C) CITY ZIPIC T G LOCALITY Policy NO Company SIZE OF LOT NO OF BLDGS N W ON LOT ❑ Certified copy Is hereby furnishedNEAREST CROSS ST 11 Certified copy Is filed with the county budding inspection• TRACT BLOCK LO NO 'department USE ZONE- MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL ' SPECIAL CONDITIONS OWNER ��j / /f / EL NO r YES NO CERTIFICATE OF EXEMPTION FROM WORKERS' /faJ (�rT J COMPENSATION INSURANCE - WITHIN l000 FT of scliooL� (This section need not be completed if the permit Is for one hundred ADDRESS � �' ^ v (�J DISTRICT- GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100)or less) - , I certify that In the `performance of the work for which this permit ClT r ZIP P �/� aid /�' Is Issued, I shall not employ any person in any manner so as to a become subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO STATISTICAL ClkWICATION APT CONDO Date Applicant ADDRESS CLASS NO 49 iiit DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith' comp) with-such provisions or,this permit shall be,deemed revoked FRONT Y P P ADDRESS LIC NO P L _ } SIDE a" LICENSED CONTRACTORS DECLARATION CITY - LIC CLASS PL OU 1 hereby affirm that I am licensed underprovissons of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license Is In full force and effect NEW ❑ BK PG DESC PTIO OF RK VALUATION , IU License Number Llc Class e /� 4e, ADD ❑ a Contractor Date /v f c� ALTER $ O• ❑ I am exempt under Sec REPAIR ❑ $ Z B&PC for this reason DEMOL ❑ LOMA P/C# Date USE QL�EXISTIN BLD URM ❑ 23 ` Signature APPLI ANT(PRNT) I f/� , ��/LSO LDMA Perm#' r r ❑ 1, as owner of the property, or my employees'with wages as N v'" """ 2 At•CT°� their sole compensation, will do the work and the structure Is ADDRESS / _ M cY ,,I )• F S,a a c� e not Intended or offered I& sale (Section 7044, Business and W iv! �J ON W FINAL DATE Q �, - `' Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANTMANDLE A HAZARDOUS MATERIAL { ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDEI licensed contractors to construct the project (Section 7044, YES 't'T°-I Business and Professions Code) WILL ❑ No E3 3303 ` -• i0v°40 WILL THE INTENDED USE OF THE BUIDLMG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ? ITEMS GUIDELINES _ I hereby affirm that there Is a construction lending agency for YES❑ NO❑ TOTAL -0 59— 40 the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTING CHECK 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - _ CHECK .7-1 iC 57°`0 TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS j'c (} Lender's Name' MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD C-HAl�!GE ° + Lender's Address OWNER OR AGENT 3 I certify that I have read this applK anon state under penalty EL of perjury that the above Information correct I agree to comply PC FEE L' PERMIT FEE / D 0000-00 1 1/- 9l9{� U) with all county ordinan ate laws relating to building ✓ • v /t t kli °+a M constructs o e representatives of this County ISSUANCE FEE w O °I l��- i At t 1 ° }7 to en Enti property for Inspe�tl�prygyLlrpo� , t.7 �— INVESTIGATION FEE TOTAL FEE of Appi�t SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION - - hereby affirm that 1 have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified'copy'is filed with the county building inspec- BUILDING (� �' tion department ADDRESS 7O J v .s LOCALITY NEAREST Date Applicant CITY 4E ZIP / CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' p NO OF.BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT- Lf X� 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 El TEL SPECIAL 0. I certify that in the performance of the work for whi iS OWNER O U No CONDITIONS O permit 1s issued, I shall not employ any person in any nner �{ DISTRICT GROUP TYPE FIRE PROCESSED BY V so as to become subject 0 the W s'Com ati L s ADDRESS V // CONST ZONE09 /^ O Date - - plica CITY ZIP STAT STICAL CLASSIFICATION AP1(foNfbo V NOTICE Td APPLI ANT If, after making this Certificate,of ARCHITECT OR TE LN Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO DWELL UNITS 1 911.y> Compensation provisions of the Labor Code you must forth- ADDRESS SEWER MAP A. with comply with such provisions or this permit shall be /y deemed revoked CONTRACTORTEL !' u+^rN0 Q BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION ) IC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VAL TION (commencing with Section 7000)of'Divtsion 3 of the Business and LIC Professions Code, and my license is in full force and effect CITY k/ C- CLASS $ a©O LS ZEFT STORIINO OF INO ES AMILOIES CHECK cense Number 2/2 ��Lic Class_ ONE ��/ CJ{ / NEW $ Contractor24 fill/-- v Ll�.-� Date ! L DESCRIPTION OF WORK ✓� _ I am exempt from the licensing requirements as I am a77,77 r�Q ADD � licensed architect or a registered professional engineer ALTER ❑ FINAL /y(� acting in my professional capacity (Section 7051, REPAIR a DATE, Business and Professions Code) USE OF EXISTING BLDG ��%�� DEMOL FINAL Lic or Reg No _Date By APPLICANT TEL OWNER-BUILDER DECLARATION PRINT ` — 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS Z22 VIrl' Professions Code) OPROMENT EJ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and x'4,8 9,b A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL #'0'0'0 0 0 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS 2 0 0 34,00 tion 7044, Business and Professions Code) ' ' REQUIRED TOTAL SETBACK FROM EXIST o 10 1 o = CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 3 4;O O v I hereby affirm that there is a construction lending agency for FRONT O 7• 2'—8 2' the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE PL Lender's Name —� Lepder's Address P C Fee$ Permit Fee ^ > I certify that I have read thts application and state that the Issuance Fee above information is correct I agr to mply with all County Investigation Fee ordinances and State laws rel i g tocobuilding construction, Total Fee and h reby authorize repres fives f this County to enter au t above- a ned pert orinspection,purposes / C� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of-AppliAnt or Agent Dqilre b - Os _ 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 9906290028 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER F IGNS: 1 BUILDING ADDRESS: TR: 12157 LT: 9 SIGN DESCRIPTION: INSERTS ONLY 9048 LAS TUNAS DR TEMP CA 917801834 A§§E§'SOR INFORMATIONNUMBER: NEAREST CROSS STREET: SULTANA 5387-029-008 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: S USE: ISSUED OCESSE EXPIRES ON: MODERN BRIDE AND PROM EXIST OCC GRP: 06/29/99 UT 12/26/99 OWNER: TEL. O: BL GS. NOW ON LO VALUATION: FI-NAL--D-ATE--- FIN COD : LAI CHIA-CHI;FEN-HONG;CHIA HUNG;LYD - 700 �/ 1458 HAMPTON RD l SMAR 911081919 FEES PAID DESCRIPTION 2 NEW PLASTIC WALL SIGNS (I SERTS ONLY) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: O: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 700.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-;:HC7.00.00 VAL 43.50 LEST0��0 FEES 71.75 CONTRACTOR: , NO: ®� �/� APPROVALS DATE INSPECTOR SIGNATU SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGIN APPR-OVAI- ARCHITECT ENGINEER: 0: A ONREF-FOURg- LTC. N0t� SUPPORT TRUCT MAP N0: SEWER MAP B E: RE ZO �0 1R O Mc n /1 /70NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:. - ��/J NO 20 D SCHOOLA AIR QUALITY: 1000 FEET MATERIALS NO NO NO i 4 45 n o �c 8ervice��►��� REPORT ID: DPR261 ROUTE T0: BS0508