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HomeMy Public PortalAbout9087 LAS TUNAS DR_Building__ 2SM'SETS -9.44 D 4 'TMENT OF-BUILDING AND SAFETY -APPLICATION FOR PERMIT' COUNTY OF LOS ANGELES WM.J. FOX, CHIEF'ENGINEER BUILDING '• DISTRICT NO. ` LN .• � NO. OF: -BLDG. ORD DPACKNOPERMIT NO; NO.. �.�I ,,,rrr��� PLANS'. LANS SETBACK LINE .) - �/- / 9' •.FIRE APPROVED /{ (J O'er v ZONE �BY DATE RECEIVED BY DATE-OF APPL. DATE ISSUED USE yJ " APPROVED ZONE /l/ 'BY' DATE APPLICANT FILL, IN HEAVILY OUTLINED PORTION ONLY• ¢ ..BUILDING O NAME ._ /` ADDRESS / !"-'/, %IlL-'1� //t•�'A:..�I�'- W.Z - ADDRESS•• - .LOCALITY {///•hy�i•�1 ./`F / ✓_.,',,/,/ .,. - s f.. _ _ - I.Z NEAREST / / `U W CITY •�'• CROSS ST.' Q STATE r . TEL. _ LICENSE NOZ NO. , Ir NAME _• ,. Z MAIC' "� O NAME' ��///�//A �f/h.•✓i r,�/ 3 ADDRESS '/�(//7 a�/ll of+i� .�Lr/ Rl�//• U I �i� .tel.•- - TEL Q,. ADDRESS,-/lp//��J \/P!/ �(>/1�,�'L�i�..��n 'J [w�/Cx�, CITY,'2..� iJ N.?i v /•� NO. 'Z CITY � ,,, �/ GL'/l ,(ijV I`HEREBY ACKNOWLEDGE THAT* I HAVE READ THIS c0' _ /'/' /y', - APPLICATION AND STATE THAT THE ABOVE 19 CORRECT U ' LSTATE ICENSE NO.(7 M D� N L ,,&5g 3.o AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. / Z LOT NO. / SIZE OF LOT TZ G SIGNATURE OF O - - OWNER=:: - NO: OF Q a BLOCK. NOW ON LOT •• AUTHORIZED�.4J�• O..IE ... - , N5�� GORREC/TIONS W TRACT O USE OF BLDGS. C/ 'NOW ON LOT �jDESCRIPTIO�N—OF WORK Rll "r l:BUSE OF �'!� 1►� _ � i // BUILDING/` • / A n r., NEW TYPE ! GROUP - _ NO._OF - NO. OF ALTERATION ROOMS �^�� F�AyMILIES ' ADDITION SIZE P2 -5 Y � V . REPAIR STORIES'. / "MOVING. WALL.COVERING. DEMOLISH I ROOF COVERING:•• /"•� , •� . FEES ;. ..w FINALAPPROVAL . $ 1 -INSPECT,OR'3� -.VALUATION - ',FEE �J� �`�� 'DASE � .Y/ NAME ..�rti''�i�.--^� '. DEPARTMENT OF BUILDING AND,SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B U ' L ' ON 0 G 1 WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO-FILL IN ,FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PE IT No. ADDRESS 6' / 6�.r". +, s....ww.�. 0 o z LOCALITY �� let REC IVED BY DATE OF APPL. DATEISSUED i NEAREST C O B ST. o ,tt, / BUILDING OWNER � � ADDRESS U ff i1 �/YYYIIIFFF"'C7��i 4 MAIL A f ate/', 1� I LOCALITY, G ADDRESS .� q NEAREST CITY !/...J T�' CROSS ST. FIRE NO.OF TYP GROUP f� ARCHITECT OR ` TEL ZONE + PLANS �� r ENGINEER ! NO. BLDG. ORD.NO. ADD EBS BETBACK'LINE APPROVED CONTRACTOR NO. DATE BY USE APPROVED ' ADDRESS ZONE C a BY DATE LEGALCORRECTIONS DESCRIPTION LOT NI.,?/ BLOCK ' TRACT - ��-- NO.OF BLDGS. / SIZE OFLOT I,yX /�[,�USEOFp ,���- NOW ON LOT NO.OF EXISTING BLDG. STv P,�- F M NO.O E9 ROOMS DES RIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH G_ SO.FT. NO.OF Z SIZE d Q ROOMS ` STORIES - D r WALL ROOF COVERING I COVERING 1196 6R/A- - USE OF NEW SUILDIN r• v 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 BTATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH, INT. AUTHORIZED AOT LATH, EXT. 76A638A-3 7-49 $ P.r. PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE l FINAL i .. .l c DEPAJRTMW OF ENGIIMR BUILDING DIVISION OF BUILDINGDING AND SAFETY _ COUNTY OF LOS ANGELM -. WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL-IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO. ADDLDNG ESS /N 1' f R EIVED BY DATE OF APPL. DATE ISSUED LOCALITY - NEAREST 11 $. C� CROSS ST. SUILDIN p, OWNER ADDRESS �p AMAIL DDRESS I LOCALITY NEAREST TELCITY d�02- No, CRO88 ST. _ ARCHITECT OR TEL. !I NO. OF TYPE ENGINEER NO ZOM/Qo PLANS c� BLDG. T ORD. NO. ADDRESS y�,r! SETBACK LINEdo4y CONTRACTOR �11 ��1�' �L 'CI ZONE�� BYAPPROVED ATE ! HOUSE NUMBE G ADDRESS 1/ pov -7 LEGAMAP NUMBER Z L a07 NO. ASSIGNED BY DESCRIPTION T 2\. "LOCK CQRRECTIONS TRACT J �-' > ZJ NO. O . SIZE OF LOT, NOW ONN LOT LOT _ USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORE a EI r® ISO, - E ALTERATION RP IR DEMOLITION -I eDDITION I Z Z D r SQ. FT NO. OF SIZE ROOMS STORIES (� EXT. WALL ROOF COVERING I COVERING L �. USE OF STRUCTURE - 1bly/iiY,//�3o7'"/lamrn' s' 2 90 ,6 PMT APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF �� a �^' LATH. INT. PERMITTE ADDRESS LATH. EXT. v PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. LVALUATION FEE f HOUSENUMBERCOR- RECT AND POSTED FEE S Q FINAL ��� "? ,,AJ :53 7GA630A DM 3 9-52 v �rG 70A08ACE 80910-08 APPLICATION FORBUIPER IT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUPT OF.BUILDING CROSSST. Dijr.R N ROUP I TYPE R E BY FOR APPLICANT TO FILL IN CONST. BUILDING �� STATISTICAL C ICATION ER-MAP ADDRESS !" y CLASS.NO WELLUNITS LOT NO BLOCK NUMBER MAP HV" YES NO TRACT 6USE ZONE SPECIAL NO OF.BLDGS �T CONDITIONS SIZE OF LOT I NOW ON LOT v USE OF /�- �►,I EXISTING BLDG = '�✓ s- ,��V,�' BUILDING EXIST. P _ �r SETBACK YARD HWY STREET NAME WIDTH OWNER J I FRONT MAIL �y P.L. ADDRESS L,+• 7 - SIDE ' P L. cITY ` /7 C'/ T rTvo INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS dd7f CON TRACTLREI.,D O�R g �i y(� I �� NO '(0A-" O S V DESCRIPTION OF WORK D ALTER REPAIR DEMOLISH NO OF NO OF STORIES FAMILIES RE T - 5�0�RE OFNT p / APPROVALS DATE INSPECTOR'S SIGNATURE D /' (��© �� / FOUNDATION: LOCATION �/� FORMS,MATERIALS N$ 03 :J{..�j c FRAME:FIRE STOPS, /}�') BRACING,BOLTS FEE $ PMT IIFEE �..J r v `'I FURNACE: VENT,DUCTS LOCATION, I HERE YAC NOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULA�G B LDIN CONSTRUCTION LATH,EXT SIGNATURE OF ., �ry� HOUSE NUMBER COR PERMITTEE '1L� """" RECT AND POSTED f , ADDRESS A'1 ' INAL CLYDE N. DIRLAM ppRI CIPAL STR6h RAL ENGINEER PLAN CHECK VALIDATION '. PERMIT VALIDATION YM O CASH 9 2 9 0 -0 XN ?74 4 D L, 'Q 2 9 1 Ju;I 2 7 1 D 3 .0 0 n�� rd• 1 t,4c� Job No. Permit No. � ': District No...�. .... - .'Z-� - Date Issue 7 ' .. �" BUILDING SET BACK LINE ................ . .... I agree to lots this building not less than.....:!+ .3k�....feet Job Address _ r.�_. nu3. ......_1... .--4.ffirx.rc"h from the..-...-....�-.. .......... ............................line of Locality........... � -A.S. nor less than -'......... ..ft. t ---- ------••---- �'- from the.. .. _. line of....-- -- NearestCross St.....�`. -•� g•-.•-••---••-•........................ ..-.. ----------• - •-••- •- --• -•----•-•--.. ......... ......................... as provided by Ordinance No.............. ..•-- ...........•--......... dedication in Tract No...................... .............. APPLICATION FOR PERMIT County of Los Angeles BUILDINGrecorded in book- -.-..�page�...l�Mlaps�Records of L. A. Co. f.-............ ... .•---•---- `�� fOW NER OR AUTHORIZED AGENT THE BUILDING BUREAU OF THE REGIONAL PLANNING COMMISSION COUNTY OF LOS ANGELES- sr LOT NO. SPECIFICATIONS BLK NO. FOUNDATION EXTERIOR PIERS TRACT - 6aI _ MATERIAL TOP ; THICKNESS BOTTOM Vim' SIZE OF LOT SIZE OF BUILDING -i ' ` :. HT. ABOVE GRADE £ STORIES NO.OF FAMILIES sS BLDG. ZONE _� �yyr DEPTH IN GROUND t I FIRE DISTRICT SUPERSTRUCTURE TYPE I 11 III IV V: X SIZE O. C. SPAN USE +�- -"t• Fes: `�--iP R W. PLATES C NAME _ci ae,� - ��y j AX _ gi1- Rs O ADDRESS i ''� •,_.. ,ti4`1, 'ri jyNa :& $ —r— - JOISTS-FLOOR CITY > � �' TEL. • JOISTS-CEILING NAME WW ADDRESS ' BEARING WALLS O 0 CITY - TEL PARTITIONS C Z < LICENSE NO ROOF-RAFTERS NAME i ADDRESS_ COVERING F CITY TEL U LICENSE NO. - W811 Roof PLANS FILED .� S"i,3 �"�- d3: APPLICATION EC'D By —�° »a. - ;...4,,.-__ NATURE OF JOB DATElen t - •"^ NEW°'' REPAIR' DESCRIPTION OF WORK ADDITION I MOVJNGn - s AL-T.ERAtADON QEMOLtB'H' VALUATION $ e FEE $ - I hereby state that the above is correct and all County ordinances and State laws governing building construc- tion will be complied with. , Slgll.. .. ...... ....... .............................. ... . OWNER OR AUTHORIZED AGENT ............. JobNo. Permi District No....1� BUILDING SET BACK LINE ........ D to IssueA!�M__�3 1-41 1 agree to locate this building not less than... ....feet 40L 2h T fr the . ........<�-­ .... .............. ...line of Job Addressms ........ ......... ... ..S..... nor less than ............. ....ft. Locality....... from the. line of .... .. .. . . .................. NearestCross St..... -- ------- --- ---- ........ ... .... ........... .. ... ... ..................... as provided by Ordinance No. dedication in Tract No................. .. . ...... APPLICATION FOR PERMIT County of Los Angeles recorded in book p e Map. .4 Records of L. A. Co. BUILDING a7,,,. 21, ecor s ....... ........ AUTHORIZED ER OR AGENT THE BUILDING BUREAU OF THE REGIONAL PLANNING COMMISSION COUNTY OF LW ANGELES LOT NO SPECIFICATIONS _BLK_ NO FOUNDATION EXTERIOR PIERS TRACT d O MATERIAL TOP THICKNESS BOTTOM SIZE OF LOT IZE OF BUILDING T. ABOVE GRADE 0 STORIES I NO.OF FAMILIES BLDG ZONE C>sDEPTH IN GROUND FIRE DISTRICT SUPERSTRUCTURE TYPE 1 11 111 IV V x SIZE O. C. SPAN USE: R. W.NAMEq-1- . A� PLATES ' Nn ACo, W l PrERS Z —rw ADDRESS a 0 tl JOISTS-FLOOR CITY TEL. t JOISTS-CEILING IL NAME a ADDRESS BEARING WALLS w ' law 10E CITY TEL PARTITIONS Z W LICENSE NO. ROOF-RAFTERS r NAME 0 ADDRESS COVERING CITY TEL. U 0 LICENSE NO. Wall Roof PLANS FILED U r_C__0 C-0 0 APPLICATION RECD BY 5 NATURE OF JOB DATE — 2e.-n — 0 NEWA REBAkR DESCRIPTION OF WORK ADDITION I M-ONANG, • +0 A6TERATHON D544GLASH VALUATION FEE $ I hereby state that the above is correct and all County ordinances and State laws governing building construe- tion will be complied with. Sign.... ... ..................................... ... OWNER OR AUTHORIZED AGENT 76A838A CE9803 B-63APPLICATION FOR BUILDING PERMIT _ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS � C BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST DIS ICT NO ROUP TYPE P ESSED B FOR APPLICANT TO FILL IN / ,CONST BUILDING STATISTICAL CLASS ICATION WER MAP ADDRESS D _ R CLASS NO DWELL UNITS .-'-BK LPG LOT NO BLOCK WATER ❑ CERTIFICATE NOT REQUIRED RECEIVED TRACT _ NO Ir(/ v MAP HIGHWAY E> STAT MAJO SECOND LOCAL NO OF BLDGS SIZE OF LOT NOW ON LOT CE21NE SPECIAL USE OF `G CONDITIONS EXISTING BLDG (/d _ OWNER �RSd1�I/'t'LI ' r_ TEL v F 12 IN NO BUILDING YARD HWY STREET AME EXIST SETBACK WIDTH ADDRESS FRONT , ARCHITECTOR TEL P L ENGINEER NO SIDE \ P L �. ADDRESS d _ (� TEL V CON z2"i`Y� t N O y3•' ADDRESS L9 O DESCRIPTION OF WORK It; a NEW ADD ALTER REPAIR DEMOLISH N SQ FTNO OF NO OF SIZE STORIES FAMILIES USE OF STR T RE SIGNAIf TURE OF SILT $ .01 APPROVALS DATE !INSPECTOR S SIGNATURE P C PMT FOUNDATION LOCATION ' FEE $ FEE $ .+a- FORMS, MATERIALS ' FRAME FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK 1 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 COMP NSATION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED II n ADDRESS 4J27 94'7& FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION PERMIT VALIDATION CK' MO CASH Do LjCo 9 7 6'9 o JUN 54 4 Wo,9 9'90 �m 9 1 D 6.00- 9 C/ _ 76A638A CE 7803 6-62APPLICATION. FORBUILDING PEYZM1T . COUNTY OF LOS ANGELES ; BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND ,SAFETY DIVISION LOCALITY JOHN,A. LAMBIE, COUNTY ENGINEER NEAREST ' / WILLIAM.A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT O. GROUP TYPE P. CESSED BY FOR APPLICANT TO FILL IN CONST. BUILDINGSTATISTICAL CLASSIFICATION 4EVVER MAP .'ADDRESS .'.® S !� Z G ` - CLASS. NO. DWELL. UNITS .LOT NO. / qt -S .f` BLOCK WATER - CERTIFICATE: NOT REQUIRED RECEIVED TRACT -U - MAP // HIGHWAY ••�� NO.OF BLDGS.. f NO- G� (CIRCLE) STATE JOR SECOND, LOCAL ~SIZE OF LOT Qom, NOW ON LOT / USE ZONE SPECIAL - USE OF ECONDITIONS XISTING BLDG. p 6� // 77 OWNER _•Y)'�-yt, NO P• �JJJJL BUILDING EXIST. - - SETBACK YARD_ HWY ..STREET AME WIDTH ADDRESS FRONT 1 .ARCHITECT TEL. P. L. r ENGINEER Q NO. SIDE ADDRESSoC. �C94,, ` I ��t.� CONTRACTOR .a.nb'�'nvA._ Y` 'i .,... ,��dy• �kJJI ADDRESS DESCRIPTION OF,WORK r; amu Lu r ' a W, NE - <55DD ALTER REPAIR DEMOLISH 1 N SQ. FT.,' ,,.NO. OF NO. OF Z SIZE `w "STORIES FAMILIES _ 1 USE-OF" C q p•.�.-.. . . . .. STRUCTURE .17 SIG NAT,U.REOF'... APPLICANT VALUATION, APPROVALS DATE INSPECTOR;,S SIGNATURE 'P.0 f PMT. ` j FOUNDATION: LOCATION- .•'. �4/) 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 AGREETO COMPLY' FURNACE: 'LOCATION. WITH, ALL COUNTY=ORDINANCES AND 'STATE LAWS REGULATING,%� GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL.NOT EMPLOY ANY'PERSON IN VIOLA LATH,i INT. TION OF THE'LABOR CODE OF THE STATE.I C 'LIFORNIA RELAT,-,1 yq 1! ING TO WORKMEN'S CO PEN ATION INS URAN - ''A LATH. EXT. 7 SIGNATURE OFHOUSE NUMBER COR- //� / l PERMITTEE s- RECT AND POSTED (Q 'ADDRESS! FINAL • - JOHN F. LEWIS..PR,IrICIPtL.ST .'RAL ENGINEER 1` PLAN HECK VALIDATION CKi M.O. CASH',' PERMIT VALIDATII/ON CK. M.O. .. CASH LAuC1 ;• l 4 cI 11'23�- Jf fi'1 ,:f••2 a D 2, v J:10 0'6 S. 2""D FEB 5 1 D -57.00- % 57.00 ��/ t APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS/� + BUIEADS I hereby affirm that I have a certificate of consent to self insure, T or a certificate of Workers'Compensation Insurance,or a certified CITL� lu/+GA ZIP Copy thereof(Sec 3800,Lab C) G, LOCALITY// ,, Policy No. Company SIZE OF LOT NO OF BLDGS NOW ON LOT r• a- A ,- ❑ Certified Copy Is hereby furnished. I NEAREST CROSS ST ❑ Certified copy Is filed with the county building inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL C-Z SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER rr�c (TEL NO �/ WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE S ES (This section need not be completed if the permit is for one hundred ADDRESS tf DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY dollars( 100)or less.) Q �1 I certify that in the performance of the work for which this permit CITY a ZIP Is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Compensation Laws )J7/–PSs6/ STATISTICAL CLASSIFICATI N APT CONDO Date Applicant ADDRESS CLASS NO UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONT CTOR .TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 1.A Q '1 n 4 pay7l_Xx b comply with such provisions or this permit shall be deemed revoked. ADDRESS L O FRONT PY P Pe pL SIDE >" LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL a I hereby affirm that I am licensed under provisions of Chapter 9 SQ FT SIZE NO OF STORES NO OF FAMILIES SEWER MAP (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect o NEW JEIBK PG , U License Number Llc Class DESCRIPTION OF WORK f AD ❑ VALUATION W _ CL Contractor Date I ER ❑ �_ ❑ I am exempt under Sec urREPAIR ❑ B.&P C for this reason DEMOL ElLOMA P/C R Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRINT) TEL 70 � r LDMA Perm k = ❑ 1, as owner of the property, or my employees with wages as V t�l� L 1/J Ob O their sole compensation, will do the work and the structure Is ADDRESS not Intended or offered for sale (Section 7044, Business and s �u�l"'d ,. 04 1i �� !7 A Q 0, t-31_ Professions Code.) G +.,{'1� C j WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLEAHAZARDOUS MATERIAL � :!�.�Ut �!'1c�F 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y fI THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL ITEMS licensed contractors to construct the protect (Section 7044, - YES E:1 No 11Business and Professions Code) TOTAL WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING !Imo'�)•L 43 - 75 OCCUPANT REQUIRE PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ( �-5 FOR GUIDELINES �• I-�'. T a a - 1 hereby affirm that there Is a construction lending agency for YES❑ NO❑ _H Nr a !:1 the performance of the work for which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD L. 3097,Civ.C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLE 2,CHAPTER 2 20 SECTIONS 2 20100 THROUGH 2 20140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD ��� ` -i �� Lender's Address I IL 3-0031 0 1?r/QI1 0 1 certify that I have read this application and state that the above owFER 7531 i AM �a 3) R Information is Correct I agree to comply with all county PC FEE PERMIT FEE /j� 2zG ordinances and State laws relating to building construction,and / hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-7 100 ed propert or Inspection purposes L^— I E INVESTIGATION FEE TOTAL FEE �• sq,amae a save � Data SEE REVERSE FOR EXPLANATORY LANGUAGE ` APPLICATION FOR BUILDING PERMIT i1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS _ BUILDING AgDRESS d �t.L.na- I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec 3800,Lab.C) 1 LOCALITY Policy NO. Company SIZE OF LOT r NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished Q ' NEAREST CROSS ST ❑ Certified Copy Is filed with the county budding inspection TRACT BLOCK✓ LOT NO department I J USE ZONE MAP NO ASSE O MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER L TEL � 63 WITHIN 1000 FT OF SCHOOLS YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed If the permit Is for one hundred :5, DISTRICT G OUP TYP ST' FIRE ZONE f�ZEDBY(2 dollars($100)or less) clrY p zIP I certify that In the performance of the work for which this permit �,yit.Q 1 7 7 / Is issued, I Shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Compensation Laws W �S .—D 3 I, STA TICAL ATION CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS I NOTICE TO APPLICANT- If, after making this Certificate of CONTRACTOR 6r X77 REQUIRED TOTAL SETBACK FROM EXIST TEL NO Exemption, you should become subject to the Workers' SETBACK 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 SIDE >' LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL 0- I hereby affirm that 1 am licensed under provisions of Chapter 9 SEWER MAP S (commencing with Section 7000)of Division 3 of the Business and �,rFaT.SIZE NO OF STORES NO OF FAMILIES O Professions Code,and my license is In full force and effect. " NEW ❑ BK PG , DESC PTION O"2-.,-1F WOR�,+�,K ADD M U License Number Lic Class �� ATtON CTa a G r/J Contractor Date ALTER ❑ Z_ ❑ I am exempt under Sec. REPAIR ❑ $ BAP C for this reason DEMOL El P/C# Date. USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Penn N ❑ I, as owner of the property, y employees g L'' h S 1^66 O p perty, or m em to ees with wages as their sole compensation,will do the work and the structure is ADDRESS C�++ � � nn P j .a not intended or offered for a (Section 7044, Business and S• Slet� __Il�r'1 1776 flt+� a ? ;.,.JIB ofessl =Al =� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN •1 "'C'Er3- I, as o e props exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY cWI > J G'i censed contractors to construct the project (Section 7044, YES❑ No❑ ) Business end Professions Code) / I.(iL 0 0 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH t CAH O•� Of'- i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST =1- v- FOR GUIDELINES ` I hereby affirm that there is a construction lending agency for YES 11No El 0,w _i I i_14ANG-E ,ill' the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,CIV C). PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES �•y Lender's Name HAZARDOUS MATUNTY CODE, TTLE Z ER LS REPORETING AND FOR OBTAINING A PERMIT FROM THE SCAQMD KIM I�—E y i 1 i Lender's Address .4 �0 OwM OR AQB 0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE Information Is correct I agree to comply with all county f I ordinances and State laws relating to building construction,and C� hereby authorize representatives of this County toesntte�r upon ISSUANCE FEE e above-me coned property r inspection purR�"f "r INVESTIGATION FEE TOTAL FEE llra,n a Aav «A� a 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 0308270032 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5905 LT: 31 BL: .001 S0. FT STORIES TYPE 9087 LAS TUNAS DR STRUCTURE: VN TEMP CA 917801901 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA 5387-015-002 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/27/03 JK 08/21/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: POMES;PABLO F (626) 824-5679- 6,900 9087 LAS TUNAS DR q -U 3 f V TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMOVE OLD ROOF; APPLY BASE SHEET $ PLYSHEET 80# CAP SHEET APPLICANT: . PIONEER ROOFING - AA BLDG PERMIT ISSUANCE 27.75 1125 3RD AVE #B AC STRONG MOTION RESID 6900.00 VAL 0.69 SPECIAL OND . LOS ANGELES CA D2 PERMIT W/0 EN-HC 6900.00 VAL 166.20 TOTAL FEES 194.64 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE PIONEER CONSTRUCTION (323) 856-8767- 1125 3RD AVE #B LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90019 502053/B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: F N CH FORMS LIC. NO: SLAB/UNDER FLOOR FLOORRAISED MAP NO: SEWER MAP PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 04 FLOOR SHEATHING NO. OF L S: CO D: STAT CLATT'-.-- NO 21 ROOF SHEATHING Z SCHOOL W P -� AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM ST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATIONNEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAIWRE'- REPORT ID: DPR261 ROUTE TO: BS0508