HomeMy Public PortalAbout9067 LAS TUNAS DR_Building__ 70MBOACEu00se APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS _
BUILDING AND SAFETY DMSION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE P SSED BY
BUILDI
FOR APPLICANT TO FILL IN CONST.
ADDRENG/�q/�J Qd73 STATISTICAL CLASSIFICATION I S KR MAP
P
ADDRESS 7 v(� / j
CLASS.NO. DWELL. UNITS
LOT NO. BLOCK MAP �9 ,p STATE
NUMBER O2-ZYES
TRACT USE ZONE SPECIAL
NO.OF BLDGS, ry CONDITIONS
SIZE OF LOT NOW ON LOT !V'
USE OF
EXISTING B DG. BUILDINGEXIST•
SETBACK YARD HWY STREET WME WIDTH
OWNER FRONT
MAIL P. L.
ADDRESS SIDE
TEL P.L.
CITY No INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER
8
DDRE
TEL. —�
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORKS ' u
NEW ADDREPAIR DEMOLISH Y
SQ.FT. NO OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE O APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS.MATERIALS
B P.C. g FRAME FIRE STOPS.
FEE BRACING, BOLTS
VALUATION $ FURNACE LOCATION,
FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PL
P- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS EGULATI`NG BLMDING ONSTRUCTION. LATH. EXT.
SIGNATURE O � /� HOUSE NUMBER COR-
'PERMITTEF i�_�.aj�� ( e4 RECT AND POSTED
ADDRESS FINAL
CLYDE N DIRLAM, PRINCIPAL STRUCTURAL EN22LKER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O ASH
t_AC.7 7 2 3 u, JL',J 9 1 A 9.00
76A638A CE #803 3-69
APPLICATION FOR BUILDI G PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 44 dA& -
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. 109 f
FOR APPLICANT TO FILL IN DIST��Tj10. GROUP TYP T._ P C Y
(PRINT OR TYPE ONLY) r VO
(J
BUILDING �+ ,D (� STATISTICAL CLA ICATION SE ER MAP
ADDRESS L •A�^ `' CLASS NO. DWELL.UNITS BK PG
LOT NO. - -- BLOCK USE ZONE MAP 0
N0.
[ENGINEER
T o S C„[ SPECIAL
N0. OF BLDGS. v\ CONDITIONS
OF LOT NOW ON LOT
OF
TING BLDG. O � BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF (STREET)
ER L> No. yY 70/ S• _
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH FROM C.L.
ESS
ITE OR TEL. B G SETBACK FROM
N0. SI E PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. �) + _
CONTRACTOR [;� N0. 7 ./ V - }
EL
ADDRESS �r,s() Mo' 1 7 v COR_NERC FF YES NO ❑ 0
CITY CLASS SEE RE RS IOVEFOR SPE APPROVALS 0
CONSTRUCTION ENDER l~1
NAME AND BRANCH w
n.
ADDRESS Z
SQ. FT. NO. OF NO. OF ❑ _
SIZE STORIES FAMILIES NEW
USE OF ADD ❑
STRUCTURE
_ ALTER
/rlGL1^ Gt�e REPAIR ❑
SIGNATURE'OF DEMOL ❑
APPLICANT ��^^��
VALUATION $ L/ A ROVALS DATE _ INSPECTOR'S SIGNATURE
P C. PMT. FOUNOATI N. LOCATION
FEE $ Os FEE $ FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME. FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- +
PENSATION INSURANCE. LATH, EXT.
SIGNATURE HOUSE NUMBER CORRECT
PERMITTEE szal�� AND POSTED
A D R E SS OL9& FINAL
r
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M O. CASH - PERMIT VALIDATION CK. M.0. CASH
L 1 6 2 7- AUG 2'7 2 3 0 '1 0.3 51
DEPARTMENT OF BUILDING_AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
SWM ' ® I. J. FOX, CHIEF ENGINEER G
F7ADDRESVZO
OR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
/,
/ All
a A
Y+ RECEIy EDBY DATEEOFAPPL. DATEISSUED
` a
OILDING
OWNER ADDRESS /1
MAIL y LOCALITY
ADDRESS
NEAREST
TEL ay�p 1 CROSS ST.
CITY NO /�
FIRE NO.OF TYP6-
GROUP
ARCHITECTOR TEL ZONE_ PLANS .J//J-� -�
ENGINEER NO.
BLDG.
ADDRESS SETBACK LINE
APPROVED
t TEL. BY DATE
CONTRACTOR NO.
USE C!2, APPROVED
ADORES �.� ZONE BY DATE
LEGALQ� CORRECTIONS
DESCRIPTION LO1 O. BLOCK
TRACT 5`/n Q
NO.OF SLOGS.
SIZE OF LOT ol� NOW ON LOT $ 0 b C
USE OF NO. NO.O
EXISTING BLDG. _S'� fiFgMILIES
ROOMSS
DESC TION OF WORK v '
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
SIZE ROOMS STORIES - D
WALL ROOF - f'
COVERING I COVERING
USE OF NEW 1
BUILDING 1 AQ,,lr�
14.1001 4e5 ..�
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 REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS, 1 y ,
SIGNATURE OF BRACING,BOLTS
PERMITTEE LATH,INT.:
AUTHORIZED AG!j�� LATH,EXT.:
D95-3 50M sET9 7 a7 $1 ® P.C.>8 PLASTER,INT.
(� FEE PLASTER,EXT. p� if
VALUATION FEE ^ FINAL % ���'1
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES B U I L D ' N G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY RE EIV D BY DATE OF APPL. DATE ISSUED
NEAREST '►•��
CROSS ST.
/^
OWNER DREBB
MAIL LOCALITY
ADDRESS
NEAREST J
TEL.
CITY • NO.
FIRE NO.OF TYPE `ORO
ARCHITECT O ` TEL ZONE PLANS' ""'
ENGINEER NO.
BLDG. \O c- / RD.NOS
ADDRESS SETBACK LINE ����
• APPROVED
CONTRACTO ,� !� BY DATE
USE '� APPROVED
ADDRESS • 0 ZONE BY DATE
LEG L CORRECTIONS
DESCRIPTION LOT NO. Y BLOCK
TRACT f
NO.OF BLDGS.
SIZE OF LOT /` O(/], NOW ON LOT
EXISTING BLDG. Z Q✓Q yC I ND.OF NO.OF
FAMILIES ROOMS
DESCRIPTION OF WO
NEW ALTERATION ADDITION - `
O
REPAIR MOVING DEMOLIBH
Bq.FT. NO.OF Z
SIZE ROOMS STORIES D
WALL ROOF r
COVERING I COVERING
USE OF NEW `
BUILDING
v
xxt
Fa
1
g
6N mw � pv ,� I
I HEREBY ACKNOWLEDGE THAT 1 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.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS y d
,
PERMITTEE LATH,INT.:
AUTHORIZED AG s
LATH,EXT.:
DBS-3 50M SETAS 74 $ w P C PLASTER,INT.
odao!o FEE
PLASTER,EXT s. Q �J
VALUATION ��' t FEE �� FINAL �
DBS-3 2SM SETS B-45 '
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
BUILDING {( yp " DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS � [/J�' a-� ? r 6 — '--'
LOCALITY ✓�Z" RECEIVED BY DATE OF APPL. 'DATE ISSUED
NEAREST
CROSS ST.
OWNER
a
ADDRESSMAIL
ADDREBB LOCALITY
NEAREST r �
CITY °' TE
NOL.
CROSS ST. fl_ , 4 A
p FIRE I NO.OF TYPE i GROUP
ARCHITECT O Y TEL. ZONE PLANScr
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTO O. BY DATE
I� USE APPROVED
ADDRESS Y! 0 0 ZONE CQ_BY DATE
LEGAL ld 7-jil' �„ CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT '5—y D
IV NO. OF BLOBS.
SIZE OF LOT :J NOW ON LOTUSE OF NO.OF
NO. OF
EX STING BLDG. d dam' � /.CJ l FAMILIES "IyROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
D
REPAIR MOVING I DEMOLISH I O
Sq. FT. ocy� NO.OF ,Q Z
SIZE ROOMS --- STORIES r
WALL ' ROOF _
COVERING L : �? I COVERING
USE OF NEW
BUILDING
✓Vk 4'
APPROVALS
I HEREBY ACKNOWLEDGE THAT I 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 BTATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
OWNER LATH, INT.:
AUTHORIZED AGT LATH, EXT.:
$ P C. 6 PLASTER, INT.
40
y [ O FEE �' PLASTER, EXT.
VALUATION 9 4� /# ® FINAL
FEE '
i
3 25M SETS B-43
DEPARTMENT OF BUILDING AND SAFETY APPLICATION�•FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS ` ( S'
f 19 9r;76
LOCALITY r4ltn) ✓O rte` RECC{EI7�VED BY DATE or APPL. DATE ISSUED
NEAREST
ST. _S �J / R n Cl ' e,4 _Li7 lct =• ��'0�! a' •-` LFA
CROSS
(� I BUILDING A� d
OWNER 1 MAIL
ADDRESS F
ADDRESS Q 4 as /)a s LOCALITY c .! e / <lfd
NEAREST
CITY I C O NOL. CROSS ST.
FIRE No.or- TYPE GROUP
ARCHITECT OR TEL. ZONE I PLANS I i
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
1 �EL. APPROVED
CONTRACTOR ' / PlXli:-./ �NO. BY DATE
�
/ � USE APPROVED
ADDREB9 f-,Ct�'i..-t �,-s/-�TLF'�2-�� ZONE BY _ DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. t33- IFI BLOCK
TRACT 6,
NO. OF BLDGB.
SIZE OF LOT I NOW ON LOTUSE OFNo.or NO. Or
"
EXISTING BLDG e /fit -t 4-�I FAMILIES ROOMS.
.4
DESCRIPTION OF WORK a
NEW I ALTERATION ADDITION O
_ A
ix
REPAIR I MOVING I DEMOLISH O
S ZEA ROOMS STORIES / D
r
WALL �A /I I ROOF
COVERING COVERING
USE OF NEW
BUILDING
v
APPROVALS
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 REGULATINGBUILDI O CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OFA _ BRACING, BOLTS /
OWNER �' ,�+� d � LATH, INT.: f
AUTHORIZED AOT- LATH, EXT.: ,
$ A f P. C.S PLASTER, INT.
!/ F9 FEE PLASTER, EXT.
VALUATION FINAL
FEE A
D19-8 8-46 ssM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX. CHIEF ENGINEER
NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. yyyPERMIT NO.
yPLANS SETBACK LINE l �
FIRE APPROVED SSS e f
ZONE BY p 'D � RECEIVED BY DATE OF APPL. DATE ISSUED
USE aAPPROVED �� /D����(LO
ZONE C d BY DATE
APPLICANT FILL IN HE VILY OUTLINED PORTION ONLY
19 LDIN
O 9 NAME •�
m
W Z ADDRESS - LOCALITY A , _
= D NEAREST
U pj CITY \ CROSS ST. '
Q STATE TEL.
W NAME
LICENSE NO NO.
= MAIL
� NAME - 30 ADDRESS §"tf
7 �
8 1 TEL.
Q ADDRESS CITY CA I NO.
(Y
F 1 HEREBY ACKNO LEDGE THAT 1 HAVE READ THIS
Z CITY
O APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
U STATE - TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS RE ULATINGG BUI N CONS�UC„TION.
ZO LOT. NO. [-%NOF
O T SIGNATURE OF ����!
C F BLDGS. AUTHORIZED AGT.BLOCK ON LOT
Ld
U ® CORRECTIONS
D TRACT
W
D USE OF BLDGS.
NOW ON OT
DESCRIPTION OF WORN
USE OF /
BUILDING
ylo
a
z
a
o
NEW TYPE I GROUP �}
NO. OF NO. OF
ALTERATION ROOMS FAMILJES
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH Poor COVERING
$ C. o
FEE
FINAL APPROVAL
A� $ /� INSPECTOR'S
VALUATION H FEE DATE/� V —�� I NAME
08.3 25M 5ET5 v-a APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING.AND SAFETY
.COUNTY OF LOS ANGELES T TT���AT�
o.l WM. J. FOX, CHIEF ENGINEER BUILDING V 1 I �I
NO. OFZ- BLDG. ORD.NO. DISTRICT O--- PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE 7(Jy 93 3 Y
FIRE APPROVED JJ
ZONE BY - TE RECEIVED BY DATE OF APPL. DATE ISSUED
USE APPROVED �/
ZONE BY DATE !
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Ir BUILDING 1 9 d
O a, NAME - ADDRESS I;F6 - f/Q_ .49
W III
Z ADDRESS LOCALITY
= 2 NEAREST 'd . IA
Ux III
CITY CRO83 ST. /!�/` / «�P 1�+ p�vi
STATE
Q LICENSE NO. �4 TEL. E NAME/ /a I o�J,.,e�,+d 5.1h ,4l /�. ,�a!
0 NAME 3 MAIL
ADDRESS less se 4 ' ,4 ,4drPA 4tr
TEL
+v Q
p ADDRESS CITY NO. I o v16
F I HEREBY ACKNOWLEDGE THAT 1 HAVE READ. THIS
Z CITY
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z LOT NO. -47 SIZE OF LOT SIGNATURE OF
p OW
NER �
J 2 _ NO. OF BLDGS. � +
Q IL BLOCK NOW ON LOT AUTHORIZED AGT.
C7 �
J m TRACT T9�� �j CORRECTIONS -
D USE OF BLDGS. C)
NOW ON LOT A y 1
DESCRIPTION OF WORK ,� t� t A J 4 I►
r v��
USE OF
BUILDING et 1/I 11���(� 17 B_/�h.✓✓11M/N/✓✓pppe,� 41. �9U d+.w11
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hgff
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r
NEW TYPE Ig v GROUP
NO. 07 N O. O F
ALTERATION ROOMS 13 1 FAMILIES `
ADDITION SIZE -/!®
REPAIR STORIES- •
MOVING WALL COVERING
DEMOLISH RO'OF COVERING I\
00� FELE oo FINAL APPROVAL\
$ -�00� �BI INSPECTOR-S
/"j�/`f
VALUATION FEE DATE NAME
76A638A CE#803 9-68 ` 7
APPLICATION F I
OR BU LDI PERMIT
#6611 COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GR YPE P Es
(Pant or type only)
0 CONST
BUILDING STATISTICAL CL I I ATION SEWER MAP
ADDRESS 9067 Las Tunas CLASS NO. DWELL,UNITS BKS PG
LOT NO BLOCK USE ZONE MAP'NO
jl
TRACT SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF _ I
EXISTING BLDG. Commercial BLDG SETBACK FROM
TEL FRONT PROP.LINE OF (STREET)
OWNERRpidnnr NO. 285-7133 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS Tungs
HIGHWAY WIDTH FROM C L.
CITY Temple Cit + _
BLDG SETBA ROM -
ARCHITECT OR TEL SIDE PROP. LINEO (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK AY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L
CCONTRACTOR NO.TEL +
- L
ADDRESS Np CORNER CUTOFF YES ❑ _ NO C
CITY San Gabriel 91776
LIC
SS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS u
CONSTRUCTION LENDER a
NAME AND BRANCH a
ADDRESS
SO FT NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
STRUUSE
OCTURE Commercial ADD ❑
ALTER ❑
SIGNATURE OF REPAIR®
APPLICANT DEMOL ❑
VALUATION S 820,00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.0 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION.OF THE LATH, INT"
LABOR CODE OF THE ST TE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATI INSURANCE LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL / 70
JOHN F LEWIS PRINCIPAL STIR RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION cK M O CASH
'Ar1 S,Y9.e-0 sE?18 . 1 o 1 2.0.&'
WORKERS'COMPENSATION DECLARATIONI hereaffirm
nt to sf
insurebor a certificate of Worke s' Compensat oa certificate of n euInsurance, APPLICATION F O BUILDING PERMIT
oi.a certified copy thereof(Sec 3800, Lab C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No`'6`665-" Company SMqe:pU0g>
BUILDING r�
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS o6/
Certified copy is filed with the county building inspec- FADDRESS
tion department r� 6-1 L,- LOCALITY
DateZ.-�-�� Applcant -Sc� i l�� G 'V- ZIP CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS' t Y Y�tNO OF BLDG5 ASSESSOR
COMPENSATION INSURANCE y 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 c� (/l SPECIAL }
I certify that in the performance of the work for which this OWNE t t l NO ;Z��70 7 1 CONDITIONS d
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROC ED BY O
so as to become subject to the Workers'Compensation Laws ADDRESS 4CNS.T -, ZONEDate Applicant CITY ZIP STATISTICAL CLASSIPI TPT CONDO O
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL f
CL
Exemption, you should become subject to the Workers' ENGINEER CJ NO 3DT14Fr CLASS NO �v DWELL UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP to
with comply with such provisions or this permit shall be TEL
L�
deemed revokedCONTRACTOR G ,c� AJ NO'�4 b'( L BK L PG. VALIDATION
LICENSED CONTRACTORS DECLARATIONp LIC 36 y�S
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS�2r(40 LaJ ()t.f'J27f` (L NO V/, ATION
(commencing with Section 7000)of Division 3 of the Business and LIC / _ Q-a a /r/
Professions Code, and my license is in full force and effect CITY R-JVl Ley- CLASS �� p��f
, 3
L�--vy SQ FT NO OF NO OF CHECK
License Number S!CJ56q Lc ClossCyS SIZE STORIES FAMILIES ONE
Contractor ( 9 U/!�//!TS Date — DESCRIPTION OF WORK A� -T N ❑ b � `
( � ADD KI
I am exempt under Sec ALTER ❑ FINAL �_ �/i�
( ' 0
B.BP C for this reason REPAIR ❑ DATE
Date: USE OF [-]g FINAL f
EXISTING BLDG - DEMOL 1.
Signature APPLICANT TE y
B
OWNER-BUILDER DECLARATION PRINT N�_l K
I hereby affirm that I am exempt from the Contractor's License �� L 3 7 0 A
Law for the following reason (Section 7031 5, Business and ADDRESS "L 0 � �
Professions Code)-
BUILDING # o 0,0 0'2 3
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and 2 0,0 1 9 1
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL o 0 o 1 1_9 1
j, as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- 0 3.0 2-8 4
tion 7044, Business and Professions Code) ADDRESS
REQUIRED TOTAL SETBACK FROM dj4-*-
d
9 3 7, 1 A
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE
I hereby affirm that there is a construction lending agency for FRONT tt o'o 0 0 0
the performance of the work for which this permit is issued P L ,
(sec 3097, Civ C.) SIDE 2'a 5 9 2 5
Z0 PL
Lender's Name 10 a a 5 9,2 5� ULender's Address P C Fee E � Perms Fee 0 3 0 2-8 4
I certify that I have read this application and state that theIssuance Feeabove information is correct I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fae ��It$ and hereby authorize representatives of this County to enter` property for inspection purposes
T Z SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o Applicant or Agent Date ®•
I
\ 1
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP
BUILDING SND SAFL.TY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106290025
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CO B DD
TR: 5905 LT: 37 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9067 LAS TUNAS DR
STRUCTURE: 1313 1 VN B TEMP CA 917801901
ASSESSOR INFORMA0 'NEAREST CROSS STREET: SULTANA
5387-015-006 iTHOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: G S PROCESSED B ON:
EXIST OCC GRP: B 07/26/01 UT 01/22/02
OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINAL PATE I FINAL BY: CODE:
WILLIAM DARLENE I (626) 451-1696- 2,000 p
9067 LAS TUNAS DR 08lw� (
TEMP 917801901FEES PAIDPTI10N OF WORK
REMOVE NO-BEARING WALLS. D ONE NONE-BEARING WALL AND ONE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: L.
FUTURE NET GROUP (626) 285-1221- AA BLDG PERMIT ISSUANCE 27.75
9067 LAS TUNAS DRIVE AE STRONG MOTION OTHER_ 2000.00 VAL 0.50 SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 Al PLAN CHECK_,--W/EN-HC_—=X2000.00 VAL 82.10
A2 PERM IT�W%EN�ER�GY``HCi��R'TAOOOEES VAL 2094.53
4.88
CONTRACTOR: TEL. NO: APPROVALS�\ APPROVALS DATE INSPECTOR SIGNATURF—
S N W DEVELOPMENT, INC. (626) 286-5178-
319 N. SAN GABRIEL BLVD LIC. NO � LOCATION KS
G
SAN GABRIEL CA 91776 487758, B
SOILS ENGINEE ROVAL
ARCHITECT OR ENGINEER: L. // r \ 0 DATIO / S
S N W DEVELOPMENT, INC. (626) 286-5178r-/ �_~_
319 N. SAN GABRIEL BLVD LIC. N0: �_
SAN GABRIEL CA 91776 487758, g'!1 SLAB/UNDER FLOOR
� RAISED FLOOR F
MAPSEWER MAPBOOK: PGE: FIRE ZONE: CMR:-
' rlJl r-n I jn L� UNDERFLOOR INSULATION
150-265 3 09
�1FLOOR SHEATHIWC—
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:--
NO
---------- ---- -- - - --- -- 7r�
7n ROOF SHEATHING
SCHOOLI DO
AIR QUALITY: 1000 FEET MATERIALS �J ` � �' SHEAR PANELS
-�/,
NO NO NO � `= �
� � ;� �I���;� FRAME INSPECTION
n ` G3��� FIRE A ERS
k G6
INS LA ON/WEATH IP
R OR Z
EXT RIOR LATH
RATED L .
{
RATED WALL ASSEMBLIES
RATED SHAFTWOPENINGS
i
T- AR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LAS 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 1001040004
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS.
ITR 5905 LT 37 BL 001 1 SQ FT STORIES TYPE 9067 LAS TUNAS DR
I (STRUCTURE- 4000 V-B TEMP CA 917801901
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET SULTANA
15387-015-006 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY, Cl
TENANT JEXIST BLDG USE COMME USE ZONE- C-1 JISSUED ON PROCESSED BY I
" IEXIST OCC GRP 101/04/10 SR
OWNER TEL NO- IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
IIRISH, BILL - 8,800
19067 LAS TUNAS DR 1 1 1
TEMP 917801901 FEES PAID IDESCRIPTION OF WORK I
ITEAF. OFF 1 - 28 # TORCH APPLICATION
IFEE DESCRIPTION QUANTITY UOM: AMOUNT I I
(APPLICANT. TEL NO I I
IMCGRAIL ROOFING (909) 229-6130- IAA BLDG PERMIT ISSUANCE 27 75 _ I
18729 BEECHWOOD DR IAB STATE GREEN BLDG FEE 8800 00 VAL 1 00 ISPECIAL CONDITIONS I
(ALTA LOMA, CA 91701 IAE STRONG MOTION OTHER 8800 00 VAL 1 85 1
ID2 PERMIT W/O EN-HC 8800.00 VAL 199 80 I I
TOTAL FEES 230 40
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
ITOM MCGRAIL ROOFING (909) 980-3329- I 1 I
18729 BEECHWOOD DR LIC NO I -ILACATION AND SETBACKS
(ALTA LAMA, CA 91701 673647 C39 I I I I I
ISOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER TEL. NO I IFOUNDATION/TRENCH FORMS I I I
1 LIC NO 1 1SLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING
I I I
IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I
1150H265 3 001 1 11 I
I I IFLAOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I
NO 22 (ROOF SHEATHING I
SCHOOL WITHIN HAZARDOUS I ISHEPR PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS I I I I I
NO NO NO 1FRAME INSPECTION
I I I
(REQUIRED TOTAL SETBACK FROM EXIST EXmr
IFIRE SPRINKLER HANGERS
ISET BACK YARD HWY PROP LINE WIDTH- I ® I_IFRONT PL- I ��/� (INSOLATION/WEATHER STRIPI I
1 SIDE PL-
1 IINTERIOR LATH/DRYWALL
1 I 1EXTERIOR LATH I
1 I IRATED FLOOR/CEIL ASSEM
I I I
I I IRATED WALL ASSEMBLIES I I I
I I I
I IRATED SHAFTS/OPENINGS I I I
I I I
1 I IT-BAR CEILINGS I I 1
ILOT DRAINAGE
I I I
(REPORT ID DPR261 ROUTE TO BS0508 1 I I
I I I I I I