HomeMy Public PortalAbout9090-9092 LAS TUNAS DR_Building__ 7EMPLE Cl-TY
78A888A CE#808.1-61 APPLICATION FOR BUILDINGPERMIT
COUNTY OF LOS ANGELESeuILDING c"
DEPARTMENT OF COUNTY ENGINEER ADDREss ��� /,
BUILDING AND SAFETY DIVISION LOCALITY yr�/9!P /.i/�i� �d
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM'A. JENSEN SUPT OF BUILDING CROSS ST. r,
DISTRICT NO. GROUP I TYPEPR S B
FOR APPLICANT T.O_FILL IN ,cjf' CONST.__.I
BUILDING //�� STATISTICAL CLA&SIFICATION SEWER M P
ADDRESS (,/._ C/. ,.s oa S
j� DWELL. UNITS BO
CLASS. NO. _7C!�
LOT NO. BLOCK WATER NOT REQUIRED El 'ED
CERTIFICATE: . '\
TRACT . .i ., �d 7 . ' '. '. MAP HlcHwnr -
.g .�p NO. Q HI: LE
STATE 6MAJCI SECOND, LOGAL,
SIZE OF LOT aC,5 X /0 I NOW ON LOTS
USFZONE SPECIAL
USE OF1 CONDITIONS '
EXISTING BLDG. (/T�"/lnr'. ¢ X 1 C� - \
TEL
�., �ti NO.� - �! BUILDING EXIST.
OWNER YARD HWY STREET NAME
/ SETBACK � � WIDTH
ADDRESS_:V„ A "/�/ FRONT --r /ARCr
ENGINEER OR I I. S- �� NOL• P. L:
�} yASIDE
ADDRESS/ a.x
TEL, INSPECTION RECORD O
CONTRACTOR - NO.
- - GC
ADDRESS - O
-DESCRIPTION OF WORK u
w
a
N
NEW ADD .ALTER _ /REPAIR DEMOLISH Z
SQ.FT: NO.OF NO.OF _
IZE STORIES FAMILIES
USE OF /
STRUCTURE !T
R
SIGNATU E OF
APPLICANT '
VALUATION$ e oo
APPROVALS DATE INSPECTOR'S SIGNATURE
_ FOUNDATION: LOCATION
FEE $ FEE $ FORMS,MATERIALS
_ FRAME: FIRE STOPS,
I HEREBY AC,KNOWLEDGE,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 REGULATING GAS VENT 'DUCTS a
BUILDING C ONSTRUCTION. 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'IOF CALIFORNIA RELAT-
ING TO WORKMEN'S CO PENSM IONN U ; CE. - LATH,EXT.
` SIGNATURE HOUSE NUMBER
R
P RMITTEE OF - "� RECTANDPOSTED1I ~ ���j n 1/
'ADDRESS FINAL.. tiI l 11-I JV// 1AA lkV
CLYDE N. DIRLAM,PRINCIPAL STRUCTURAL EN E
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION "'.K. M.O. CAaH
1.n 1
L{
6 4 t4lli D b.l1v•,
DEPARTIVIDI'T OF COUNTY ENGINEER
DIVISIONoUNTY OFF BUUILDING�AND SAFETY ,GIMIM �s, Bm mILDING
WILLIAM J. FOX, COUNTY ENGINEER `1 APPLICATION• '
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING {.� DISTRI_CT=NO. PLAN CK. REC. o. PERMIT NO.
ADDRESS �' L SLS Pte"
LOCALITY REQ VED D;T OF DATE ISSUED
NEAREST f/ ,r i ,9
CROSS ST, CJ. ' ., -
rT BUILDINGS �
OWNER ADDRESS •� F...
MAIL LOCALITY _77/�•
ADDRESS. Q ® a s
NEAREST'
�l ,/� TEL. CROSS ST..
CITY /I./ [.. 2 A � p e a'
ARCHITECT OR, A TEL. FIRE I NO. OF I _TYPE :� GROUPs.R.a*
ENGINEER G p 4 ZONE t PLANS -n
_.,.. .ORD NO.
ADD ESS P BLDG. ® 4
n SETBACK.LINE e s/�a`�•
TEL. USE APPROVED,:-: DATE
CONTRACTOR O. ZONE BYt yH s►�
ADDRESS HOUSE NUMBING 9'N��_� )
LEGAL MAP NUMBER .�'' ®�+��, NO. ASSIGNED BY 4l
DESCRIPTION T N BLOCK
CORRECTIONS-'
TRACTNO. OF BLOG
SIZE OF LATS i NOW ON LOTS
USEOF OF
EXISTING BLDG. 1!Et Ia ° t� MILIE9
DESCRIPTION OF WORN _� / o —
NEW ALTERATiON I-I DEM_OLITION I-I ADDITION �,,t;� � D
REPAIR rl l�t�GC/
SO. FT. 'a/} NO. OF
SIZE e" ROOMS STORIES t �j
EXT. WALL ROO S�i�„/! /al.(' L&_
- / CJ Slit/!Gf`4!
COVERING � , I COVERING
USE OF STRUCTURE ✓Ts£ /°•. r�.I�t..+,vr�„A-a.,+ i '
I a k
D
t;!I! t fit+ q� G�,. �p APPROVALS
�, INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-// FRAME: FIRE STOPS,
PLICATION AND STATE THAT'THE INFORMATION GIVEN ISS BRACING, BOLTS
CORRECT. - V1 AGREE TO COMPLY WITH,ALL COUNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS'REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATUREOF �.� LATH, INT.
PERMITT ,EE 1 – �� �1 v
ADDRESS—96
Co' ' ggITH.40
EXT.
INT.
AUTHORIZED AGT. 41
PLASTER, EXT.
•.�uao+ P. C. $ [ f HOUSE NUMBER COR-
' FEE !d
/� RECT AND POSTED
VALUATION FEE $ �i FINAL
-.7GA83aA DHS 3 9-82 -
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® �
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING17 a G a u Ig �_ 7 3
ADDRESS �+ �
LOCALITY 'e �� RECEIVED BY , DATE OF APPL. D^TE ISSUED
NEAREST
CROSS ST.
BUILDING
OWNER Wi � Q �� ADDRESS
r -
MAIL
ADDRESS I 7� P TV h` s LOCALITY L -
NET
S
TEL. - CROSSOBBBT. /'�j/pc,.re•7i�W '
CITY a NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER Je, NO.
as C 1 11 ( BLDG. -• - ORD.NO.
ADDRESS dJ, i�+ GT,V �K 1he-N �, A. 4� SETBACK LINE
APPROVED '
TEL.
�� 6 BY DATE
CONTRACTOR NO.
k // USE APPROVED t
ADDRESS tm I LQ I;--- � �'bS TV h,' ZONE BY, DATE
LEGALc.---� CORRECTIONS '
DESCRIPTION LOT NO. BLOCK
_ TRACT /
NO.OF BLDGS,
SIZE OF LOT ih, � IJ NOW ON LOT
USE OF
NO BLDG.
FAMILIES
EXISES I ROOMS r o o,_e-
DESCRIPTION OF WORK
7
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
SQ.FT. NO.OF / Z
SIZE v ROOMS STORIES D
WALL ROOF + r
COVERING I, COVERING a a t
USE OF NEW
BUILDING O I c e r
s V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY I•T.H ALL COUNTY\ORDINANCES FORMS,MATERIALS
AND STATE LA R G\ TIN BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTE AAALATH, INT.
AUTHORIZED AOT LATH, EXT.
76A636A 9-48
[DBS-3 SUM SETS // P.C.
PLASTER, INT.
(/ FEE _ PLASTER,EXT. n
VALUATION FEE /w v FI NAL •�� ti
DEPARTMENT OF BUILDING AND SAFETY ! APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® �
WM. J. FOX. CHIEF ENGINEER t V
ILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
w DISTRICT NO. PLAN Cl(.NO. PERMITNO.
OUILDING
AODREB:i b44
_LOCALITY \ :,OL,P RECE VED BY DATEOFAPP(L. 1DATTEQIBSUI EEDDy'�
NEAREST
CROBS ST.
r
BUILDINGI'+
_OWNER ADORE SS ��c/ Jap
MAIL v '` 'LOCALITY /"/ G`
ADORES Irk
t*
NEAREST
o P/v- d1OA i�
TEL. CROSS BT. Gd (7"/ `fes
CITY NO. ,
FIRE • NO. TYPE GROUP�
ARCHITECT O TEL. � ZONE �` PLANS alc
ENGINEER NO:
I - t BLDG. y� A d ORD.NO.
'ADDRE S BETBACK LINE bT 40 ��/�'1//1S (,� t 4AJ aA/ .f
APPROVED /�?f!L
TEL By DATE //
USE 4 PROVED
-ADDR968 / 1 J �,� ZONE BYDATE
DESCRIPTLEOION LO6TfNO. ¢ �• BLOCK .""�� r `,�. , CORRECTIONS
_TRACTNO.OF BLDG
SIZE OF LOT NOW ON LOTS V
UBE OF n '' NO.OF 1� NO.OF
EXISTING BLDG. ����R 'S I FAMILIES I ROOMS
R�Yk►`�' DESCRIPTION OF WORK
NEW_
ALTERATION 4 ADDITION O
A
REPAIR ` i •MOVING DEMOLISH p
Bp.FT. <-.'NO.OF ` Z
,SIZE , _s 7 .ROOMS STORIES D
WALL, ROOF r
COVERING ` COVERING
USE OF NEW
BUILDING
t I HEREBY'ACKNOWLEDGE?+HAT-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 ®TATE LAWS R_ OULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS. -
SIGNATURE OF
..BRACING,BOLTS
� �'�
PERMITTE LATH, INT.
AUTHORIZED' AMT 1
, LATH, EXT.
76AS38A-3 z a $ .P,C.® .PLABTER,INT.
DFEE PLASTER,EXT. Y'1- 9
ALUATION FINAL
FEE
DBS-3 SE�B B-43
DEPARTMENT OF BUILDING AND SAFETY_ APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING UILDING 1
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING
SS � DISTRI T- NO. PLAN CK. NO. PERMIT NO.
ADDRE
LOCALITYa' - RECEIVED BY DATE OF APPL. I DATE ISSUED
NEAREST ^
CROSS 9T
1 BUILDING
OWNER ADDRESS
MAIL • �,� LOCALITY
ADDRESS
"! 'NEAREST
°EL.
CROSS ST. r
CITY ND. W FIRE Mf OF TY GROU
ARCHITECT OR TEL / ZONE I PLANS I I ��—
ENGINEER NO
� _ L BLDG. ORD. NO.
DRE59 /A6�/ �'9�. SETBACK LINE
AD
APPROVED
CONTRACTOR O, / BY DATE
, USE APPROVED
ADDRE / �i�F� ' ZONEe�� BY DATELEGAL
J
—DESCRIPTION
tt I LOT NO. I BLOC12 CORRECTIONS
TRACT J
NO. OF BLDGS.
SIZE OF LOT�j_� ��.0 NOW ON LOT h �
USE OF NO.OF NO. OF
EXISTING BLDG. �� I FAMILICS I ROOMS_
DESCRIPTION OF WORK
NEW � ALTERATION ADDITION i O
A_
REPAIR MOVING DEMOLISH 13
9q. FT. NO.OF Z
SIZE ROOMS STORIES D
r
WALL ROOF l
COVERING I COVERING
USE OF N W
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, IINSP,ECpTOR DATE.
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
u 7
AND STATE LAWS RE ULATING BUILDI G CONSTRUCTION.
q`'�s FRAME: FIRE STOPS. �/I
SIGNATURE OF '/� C� • BRACING. BOLTS
OWNER LATH, INT.:
AUTHORIZED AGT LATH, EXT.: ��•V
$ P. C. 6 6 PLASTER, INT.
O
FEE �- PLASTER, EXT. �
VALUATION �—^ FEE �! FINAL 1- /
76AG38A CE#803.7•56 APPLICATION FOR BUI LDI NG . PE M 6T
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department of County Engineer I
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. c..
FOR APPLICANT TO FILL N DISTRICT NO. ROUP I TYPE - SEWER MAP
_cyy�' BK PG
CONST
BUILDING
-ADDRESS a �� �� I
J! STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS. NO I&=DWELL UNITS
MAP STATE YES O
V �J NUMBER HWY
TRACT USE ZONE S SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOT i t` C NOW ONX OT
USE OF J -
_
EXISTING BLDG BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL /
ADDRESS (a SIDE
TEL. P L.
CITY NO - INSPECTION RECORD
ARCH I ECT OR L.
ENGINEER
ADDRESS
TEL.
CONTRACTOR
T
ADDRESS
DESCRIPTION OF WORK
NEW ADD 4 ALTER REPAIR DEMOLISH
SQ. FT. NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUC RE
APPROVALS
SIGNATURE O
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS. MATERIALS
p C. g , FRAME FIRE STOPS,
FEE BRACING, BOLTS
VALUATION $ FURNACE��r/ GAS VENT. DUCTSN C-� 2 S"1
FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. _
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WTH ALL„COUNTY ORD'kNANCES AND LATH. EXT. `
STATE LAWS REGU ATIN ILDING C "t`7ST CTI-
SIGNATURE OF, HOUSE NUMBER COR-
PERMITTEE E AND POSTED Yl.
ADDRESS FINAL ,�7
JOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRI CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK. M 0 <C
ASH
8 9 5 7 JUN 1 2.0 0 In
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
1
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLANCK. NO. PERMIT NO.
BUILDING [�)
ADDRESS J-
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED}
NEAREST. _r- !-" /' S�' S 2� I-_ 15-. S "L..
CROSS ST. BUILDING A a !
ADDRESS ! d
OWNER6/1
MAIL D LOCALITY Z., j
ADDRE88 NEAREST
h TEL. CROSS ST.
CITY NO. FIRE NO. OFI TYPE ` GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE �^ APPROVED
ZONfi BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. BLOCK MAP NUMBE _FIELD CHECK BY
TRACT NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT I NOW ON LOT
USE OF I NO. OF ,
EXISTING BLDG, FAMILIES
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
0
REPAIR I I DEMOLITION I I I /' c•_` _A
SQ. FT. NO. OF Q
SIZE ROOMS STORIES E�/ `'
EXT. WALL ROOF
COVERING I COVERING
USE OF STRUIQTJJIRE /
- (/+C 4 - V ,t• r 1 !/;r APPROVALS
INSPECTOR'S SIGNAT DATE
1 HERESY A NOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
CA
PLITION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS J
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTED
LATH, INT.
ADDRESS 0
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
7EAB38A, 0883 1000 P. C. !<
01
FEE PLASTER, EXT.
VALUATION $ ! !
FEE FINAL vtiGS t ,!r4. ,• "`1
7BAF38A CE tJ809 I/APPLICATION FOR BU-ILDIN PERM1;�,,
I .
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS ? .
COLEMAN W. JENKINS, SUP T OF BUILDING t
_ LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
Print or tvoe only)
DISTRICT NQ, G UP TYPE E B
BUILDING /� ONST.
ADDRESS 0 s -a r • (/
STATISTICAL CL SIFICATION SEWER MAP
LOT NO BLOCK `O
CLASS NO,� WELL UNITS BK PG /
TRACT USE ZONE MAP
NO.OF BLDGS // NO.
SIZE OF LOT NOW ON LOT /• �' SPECIAL
USE OF C-3f CONDITIONS
EXISTING BLDG, d/•
TEL
OWNER N
BLDG.SETBACK FROM
ADDRESS y� dt�! GY' FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK [HIGHWAY + YARD = TOTAL
CITYAf/14 d`V, '/�
HIGHWAY WIDTH FROM C.L
ARCHITECT OR es TEL. + _
ENGINEER dQ NO.
BLDG.SETBACKFROM ,
ADDRESS SIDE PROP LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY + D = TOTAL �-
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L V
LIC _ It=
ADDRESS NO. + - O
LIC ~
CITY CLASS CORNER CUTOFF YES ❑ NOCONSTRUCTION
❑
NAME AND BRANCHNDER SEE REVERSE SIDE FOR SPECIAL APPROVALS Z
ADDRESS -
SO FT NO OF NO. OF NEW ❑ �' a r
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE 1 !
ALTER
'REPAIR E
SIGNATURE F
APPLICAN EMOL ❑
VALUATION $ r APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ O PI"IT• B Q FOUNDATION: LOCATION
FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, .. _
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT
LABOR CODE OF THE STATE OF CALIFO NIA N RELATING TO
WORKMEN'S CO ATI INS URA LATH, EXT,
SIGNATURE OF ' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL'STRUCTURAL ENGINEER
PLAN CHECK VALIDATION M o CASH _ PERMIT VALIDATION M o CASH
0 5 6 3- VAY 8 2 3 D r til y'� �1'uN 4 i D 9.d Q0419
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer
County of Los Angeles
WM. J. Fox, COUNTY ENGINEERIBLA O 1%2 APPLICATION VVV
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT N0. PLAN CK.ort REC.No. PERMIT NO.
BUILDING E�
ADDRESS V
LOCALITY _� r
RECEIVED
EE�°CEt E�jD},�BY 'DDATE�orAPPL DATE ISSUED
NEAREST A/ +�/� ' ' W + / / TS
CRO ST. ,�/✓CI Aft ! !�l' BUILDING ' „ ��j /tL
OWNER R F' I I ADDRESS D 7 [/ L�./y.'r ()/yA_r
MAIL / tf o p�/� LOCALITY ��� "` C/ / 7`
ADDRESS D _ Lq- �(),4/AS NEAREST �� ! '�
/ rJ CROSS ST.
CITY NOL (O FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. SLOG, ORD. NO.
S[TBACK LINE O FT C.L. 9' IA-( 1C4 to
ADDRESS USE A 21 APPROVED
CONTRACTOR / No. ZONE td 6► BY DATE
HOUSE NUMBERING
ADDRESS MAP NUM13ER 0b to I NO. ASSIGNED SLEGALY
DESCRIPTION LOT N0. BLOCK '�� CORRECTIONS
TRACTMEL Or BLDGIIIL
SIZE OF LOTUSEOF LIf� (?(9 I NOW ON LOT
01
EX STING BLDG. !� 5T S TMJ R E- F MILICS /NCL Or1W1
DESCRIPTION OF WORK -
t/ Z
NEW ALTptAT10N =
ADDITION
' D
REPAIR DEMOLITION - r
S0.FT.= 71/6-Q j NO.OF
SIZE ROOMS STORIES
EXT.WALLt^�J ec o RODF �f
COVERING J COVERING Cad
USE OF STRUCTURE _�
A \
INSPECTION FOR r APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRESTCIPS,
CORRECT.EE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING,BOLTS
AND STATE LAWS Re ULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
Ah GAB VENT, DUCTS
SIGNATURE OF, LAT}I, INT.
P[RMITT
v LATH. EXT.
ADDRESS D �t!"" G-n iLt.✓L6-o i1 +
PLASTER, INT.
AUTHORIZED AST.
PLASTER, EXT.
B C7 P C.>D l� 65 HOUSE NUMBER COR-
_04 5a p9?ID 2 � 6����' FEE
R E CT AND PORTED
VALUATI ONG ¢
FEE FINAL
76A63BA DBS 3 1-52
DEPARTMENT OF BUILDING AND SAFETY f APPLICATION FOR PERMIT
,,,_,--QQUNTY OF LOS ANGELES B U I L D 1 N G
WI.4. J. FOX, CHIEF ENGINEER
QR APPLICANT TO FILL IN FOR OFFICE USE ONLY
9 r�flas `/, '�j3 DISTRIC O. P/L//ASN CK.NO. RMIT NO.
J/J
ADD EISS r 7
LOCALITY RECE O
DA F PPL. D'T D
NEAREST 7
CROSS ST.
Q� ��� BUILDING
OWNER ((u€t'/�1�P7/+� n ADDRESS
MAIL r n� �NaRea I LOCALITY
ADDRESS bs'YlJ 4l IF _
NEAREST
TEL CROSS ST.
CITY NO.
FIRENO.OF TYPE ? - GROUP
ARCHITECTOR TEL ZONE PLANE
ENGINEER NO.
BLDG. ! ORD.NO.
ADDRESS SETBACK LINE J
APPROVED
„T£C- BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE Y BY DATE
LEGAL p p(� CORRECTIONS
DESCRIPTION LOTNO. �,� BLOCK
TRACT t4745
SIZE OF LOT I NO.DF BLTS.
NOW ON LOOT
USE OFNO.OF NO.OF
EXISTING BLDG FAM1II[B ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR L.MOVING DEMOLISH p
SO FT. NO.OF Z
SIZE �yROOM8 02 STORIES
COVERING .S WALL '��L�0 I COVERING V4Z!
6U LDFNOEW�� I� I! �3 !el
1 HEREBY ACKNOWLEDGE THAT I 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 R GULATINDBUI DING CONSTRUCTION / t
b FRAME: FIRE STOPS,
l
SIGNATURE OF BRACING,BOLTS U.J4
PERMITTEE � LATH,INT.:
AUTHORIZED AGT LATH,EXT.:
DBS-3 50M SETS 7-47 $ P.C. �OD PLASTER,INT., n FEE �^
PLASTER,EXT.
VALUATION FEE FINAL F -����,� N�--
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
Cfi_:JNTY OF LOS ANGELES ' ® �
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
f DIBUILD
BTRI NO. _ PLAN CK.NO. PERMIT NO.
ADDRESSING
.� .:37SB [� Y�� A� • 1 7j,6�;�"G�'�
S
LOCALITY ,a RE IVSDBY T` FAPPL. DA JIE38LPD
NEAREST I
CROSS ST.
BUILDING
OWNER ADDREBB
MAIL 0, V , LOCALITY
ADDRESS (p m NEAREST
TEL. CROB9 8T.
CITY _ NO. FIRE NO.OF TYPE GROUP 7—
ZONE PLANS
ARCHIT CT OR / TEL.
ENGINEER (�(,,,/ NO.
BLDG. � � ORD.NO.
ADDRESS SETBACK LINE
APPROVED
1� TEL. BY DATE
CONTRACTOR o. �..'►_61 NO.
USE Q APPROVED
ADDREBB ZONE 4 BY DATE
LEGAL 7� �.� -� CORRECTIONS
DESCRIPTION LOT NO. `J BLOCK !
i
TRACT f V 3
SIZE OF LOT �i���lea I NOW ON LOTS y.,Q
USE I NO.OF NO. M
—EXISTING BLDG. FAMiuee ROOMS `F='��fI/��"I• /!7°�`�"R�J��P 'SCI
DESCRIPTION OF WORK
NEW ALTERATION I I ADDITION
REPAIR MOVING DEMOLISH �4i'/j! �� , .54M?�'. ,.� m
SQ.FT. NO.OF Z
SIZE V ROOMS 1 STORIES D
WALL ROOF r
COVERING I CO ERING
USE OF NEW 1
BUILDING
��l19�f1�G'l ���ir�sstiZi�YfJ.��'•�C�N I
_,Uj�Y i Y- PC 7
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
` APPLICATION AND STATE THAT THE ABOVE IS CORRECT NSPEC OR DATE,
/1t FOUNDATION: LOCATION
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
�r AND STATE LAW8 EGULATINrG BBU�ILDING CONSTRUCTION. `11
FRAME:FIRE STOPS, �/ l ;
SIGNATURE OFM
�`/Y/,� BRACING,BOLTS Vll/1/�C.�� V `�
PERMITTE ��
� J ��� ��� LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
D09-3 5oM SETS 7-47 $ P C.S PLASTER, INT.
p �'JVCf�� FEE PLASTER,EXT.
!/
$ f
VALUATION FEE �"G FINAL a I '�
r
=- r APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIL G RES
I hereby affirm that I have a certificate of consent to self Insure, BUI G DRESS
or a certificate of Workers' Compensation Insu nce,or a cer ified CITY Z
copy thereof 3 0 JW
C) � �j LOCAL Y '
Policy No Company16d �J SiZE O LOT v\[/ NO OF BLD(IS 0 ON LOT
❑.j Certified copy Is hereby fu nished It
NEAREST CROS ST
LCL Certified copy Is fie wdh h, county budding Inspection TRACT BLOCK LOT NO
I d rtment ( / / USE ZONE MAP NO
Date l �ppllcant F �4A ASSESSOR MAP BOOK PAGE PARCEL _
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' o Nfly
COMPENSATION INSURANCE i WITHIN 1000 FT OF SCHOOLS YES No
(This section need not be completed If the permit Is for one hundred AD DISTRICT GROUP TYP CONST FIRE ZONE PROCESSED BY
dollars ($100)or less)
Cl ZIP
I certify that In the performance of the work for which this permit
Is Issued, I shall not employ any person In any manner so as to O
become subject to the Workers'Compensation Laws A I E OR ENGINEER TEL NO
STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS - CLASS NO 1:5V12 DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you Should become Subject t0 the Workers' C CT,OR NO SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith C �j �XA
FRONT
comply with such provisions or this permit shall be deemed revoked A LI O P L
LICENSED CONTRACTORS DECLARATION �j SIDE
CIT LIC,61- SS P L ,
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7P0)of Division 3 of the Bus t BK PG
SS and SQ FT SIZE NO OF STORIES NO F FAMILIES
NEW
yI
Professions Code, nd e e Is In full force a Act
License Nu ber LIC Cia DESCRIPTION OF WORK ADD ❑ VALUATION
LUATION )/� loll-
Contractor ALTER ❑
❑ I am exempt under Sec REPAIR ❑ $ 0
B&PC for this reason DEMOL ❑ LDMA P/C W
Date USE OF EXISTING BLDG URM ❑ CO
--'� 0-
Signature APPLICA ) L LDMA Perm# i z
❑ 1, as owner of the property, or my employees with wages as Z
their sole compensation, will do the work and the structureIs ADDRE O ?, f e s
not intended or offered for sale (Section 7044, Business and / FINAL DATE Q `'EE s 7!
Professions Code) }HILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HALE
A HAZARDO MATERIAL (S O J=
❑ I, a5 owner Of the property, am exclusively contracting withOR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQU L TO OR GREATER THAN THE , (
AMOUNTS SPECIFIED ON THE HAZARDOUS MATERWLS INFO MATION GUIDES FINAL BY �J (S 5•Nom.
licensed contractors to construct the project (Section 7044, YES❑ No ocl J
Business and Professions Code) A/ •----,<I 157 - 60
WILL THE INTE DED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING S�.i I!Y_
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH y,
CONSTRUCTION LENDING AGENCY COASTUAIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDENES �. (.r. I;hail
I hereby affirm that there Is a construction lending agency for YES❑ No
CHANGE: a001
N the performance of the work for which this permit Is Issued(Sec HAVE READ THEMA US MATERIALS INF OR TION GUIDE AND THE SCAQMD PERMITTING
3097, Civ C
N ) CHECKLIST 1 UNDE TA D MV REQUIR EN DER THE LOS ANGELES COUNTY CODE,
TITLE 2,CHAPTER ECTIONS 2 20 00 UGH 2 20 40 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORT FOR OBTA INC A T FR MD
CL Lender's Address -
0 ON ER OR AGENT 1•' !e� ;J p C
0 1 certify that I have read this application and state under penalty
o P C FEE PERMIT FEE
of perjury that the above Informatl n Is correct agree to comply a p�
with all unty ordinances atate
laws relating to building O
m constru i , and hereby autho z, representatives of this Co ty / ISSUANCE FEE
to enter the above ntio proper o n rp e /tc
(0 e
• / INVESTIGATION FEE TOTAL FEE
� sgnew,a of Ano m Agem oe�e
SEE REVERSE FOR EXPLANATORY LANGUAGE
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS'ANGELES BUILDING-AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD ADDR SS
I hereby affirm that I have a certificate of consent to self Insure, BUI
IODRESS , _
or a certificate of Workers' Compensation Insurance,or a certified
copy thereof (Sec 3800, Lab C) CITY ZIP
'l o LOCALITY
Policy No Company SIE OF LOT NO OF BLDGS NOWN,.�VLOT
❑ Certified copy is hereby furnished X .i
J qA NEAREST CROSS ST
ElCertified copy IS filed with the county building Inspection TRACT BLOCK LOT No
department l „ 1F) 4 USE ZONE MAP NO
Date Applicant ASS �O N1AP BOOK PAGE PAR r O�
(CJ �7i � SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER T L
COMPENSATION INSURANCE a� �tT�Q�J WITHIN 1000 FT OF SCHOOLS YES No
This section need not be completed If the permit Is for one hundred �A*DSS ,� I
( P P aN /`..qV`t - DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED 8Y
dollars ($100)or less) 1 v C.f>
I certify that In the performance of the work for which this permit CITY _ �p /
Is Issued, I shall not employ any person In any manner so as,,- JA (Ah
ZIP
ARCHITECT OR ENGINEER TEL NO
become subject to the Workers'Compensation Laws j STATISTICAL CLASSIFICATION APT CONDO
DateApplicant,�(/!V Cal_ t1.QEV ADDRESS CLASS NO 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
comply with such provisions or this permit shall be deemed revoked FRONT
P Y P P ADDRESS LIC NO P L
LICENSED CONTRACTORS DECLARATION PILE
CITY LIC CLASS P L
I hereby affirm that I am licensed'underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES
Professions Code,and my license Is In full force and effect NEW BK PG ,
License Number Lic Class DESCRIPTION O WORK ADD E] VALUATION 0
Contractor Date InI4ALTER ❑ $ cc
J
❑ I am exempt under Sec REPAIR ❑ $ 0
BBPC for this reason DEMOL ❑ LDMA P/C# W
Date SE OF EXISTI G BLDG URM 11Signature APPLICANT(PRINT) T LDMA Perm#
❑ I, as owner of the property, or my employees with wages as VJ N - ZO AL.I,T a
their sole compensation, will do the work and the structures DD SS 9 0
not Intended or offered for sale (Section 7044, Business and t7 C FINAL DAA Q ;j;jE3- r7=�V
PfOfeSSIOrIS Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL O, T i
❑ 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
E
licensed contractors to construct the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDy� TATA I - 69 -60
YES❑ NO
Business and Professions Code) //'� !. [p 60('
WILL THE INTE DED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING f. 4.1'` O7 e rJLI
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH r
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLST FOR CHANGE
{}A I i
GUIDELINES / t HAN�E °
I hereby affirm that there Is a construction lending agency for YES❑ NO qQ
a• the performance of the work for which this permit Is Issued(Sec IHAVE READ THE�/HA�ZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
° 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 0000-0001i f5
aLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD r �L Li 1 -1:Oct
o Lender's Address '� V 1
O OWNER OR AGENT
o I certify that I have read this application and state under penalty
O of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE /.A
with all county ordinances and State laws relating to building /J
m construction, and hereby authorize representatives of this County ISSUANCE FEE �/
I o ter upon the ab -mentioned dperty fo spection purp ses �O. O
a
10
�� lir INVESTIGATION FEE TOTAL FEE / D
S�,wa 'AW-ot a Ap t ' D.I.
SEE REVERSE FOR EXPLANATORY LANGUAGE
'ORKERS' COMPENSATION'DECLARATION
into sf
sure, or a certrf carte of Workers' Compensation I have a certificate ofconsent Insuran e, APPLICATION FOR BUILDING PERMIT
or a certified copy theregi4ec 3800, Lab C )
V 15CKa0 6b3y COUNTY OF LOS ANGELES BUILDING AND SAFETY
PCN' V No Company���- �
i� BUILDING
ElCertifiedcopy is hereby,furnished FOR APPLICANT TO FILL IN ADDRESS�� G G Z cj v1 lfl-
❑ Certified copy is filed with the county building inspec- BUDDING ILDINGf�G7 G+ U�
tion department
i* �/ CITY'
ni 1' `e / ZIP LOCALITY
Date 2 L Applicant' N OF BLDGS
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST
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 ) I • TEL �+ Q r
- _ OWNER r U� �LsC/I,NO ` �� USE ZONE OP -
I certify that m The performance of the work for which this � �� SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS O
so as to become sublect to'the Workers' Compensation Laws U
` CITY ZIP
at
Applcant ARCHITECT OR TEL
OTICE TO APPLICANT If, after, making-this Certificate of ENGINEER NO DI TRICT GROUP TYPE FIRE, PROCESSED BY O
Exemption, you should become subject to,the .Workers' ` CONSTV ZONE w
Compensation provisions of the Labor Code,,you must forth-- ADDRESS J .O' ��3 a
with comply with such provisions or this permit shall be ' //i _ TEL STATISTICAL CLASS (CATION APT CONDO Z
deemed revoked CONTRACTOR N l.G� NO �� // _
LICENSED CONTRACTORS DECLARATION f / `(SLIC CLASS NO _DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS/c.Jv`,. A-`0{ { NQ ,/
(commencing with Section 7000)of Division 3 of the Business LIC -� SEWER MAP
and Professions Code,and my license is in full force d e ect CITY � �/{� �' CLASS BK PG VALIDATION
SQ FT NO OF NO OF CHECK
License Number a 916 L,c. Class ' �� SIZE STORIES FAMILIES ONE
VALUATION
�- i /� DESCRIPTION OF WORK aq { NEW ❑
Contractor 4�e n ie.n Date CL•�� ADD ❑ $
El ►
I am exempt under Sec
» A TER E:1
B&P'C for this reason r AIR $ •
Date USE OF
EXISTING BLDG DEMOL ❑
Signature i� _.�_J'/� APPLICANT TEL
(PRINT) NO ,.' —FINAL j2
OWNER-BUILDER DECLARATION DATE o
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031 5, Business and ADDRESS FINAL ��/]
Professions Code) PRESENT. By \
BUILDING ACCT.
El I, as owner of the property, or my employees with ADDRESS8
wages as their sole compensation,will do the work andc
the structure is not intended or offered for sale(Section LOCALITY , :+:�A7 [Py 0
7044, Business and Professions Code ) CmbvING TEL
ONTRACTOR - NO JJV/i ITEMS TVe,aV
1, as owner of the property, am exclusively contracting 1
with licensed contractors to construct the project (Sec- ADDRESS
- TOTAL ,
tion 7044, Business and Professions Code ) 413.50
REQUIRED TOTAL SETBACK FROM EXIST �/ Lry
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH CHECK 40.50
I hereby affirm that there is a construction lending agency for FRONT L .00the performance of the work for which this permit'is issued P L -' c 5
(Sec 3097, Civ C ) SIDE
PL +
Lender's Name a b
PC Fee$ Permit Fee O LDMA Ref # [MCO- 1 ��17�V7
Lender's Address J� 455° 1 AM10:09
a I certify that I have read this application and state that the Issuance Fee CJ LDMA P/C#
8 above information is correct I agree to comply with all County Investigation Fee
ordinances and State jaws relating to building construction, Total Fee LDMA Perm #
a - and hereby authorize representatives of this County to enter
u e o e=mend ned property for inspection purposes
a C
SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature of Applicant or Agent Date
\ 1 -
COUNTY OF LOS ANGELES r TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1402100026
PHONE (626) 285-0488 EXT
(LEGAL ID I` 1 NO OF CONST NEW 1 BUILDING ADDRESS-
ITR 590547 SQ FT STORIES TYPE OCCUP GROUPI 9092 1/2 LAS TUNAS DR E
STRUCTURE. 0 2 V-B R-3 I TEMP CA 91780 1
(ASSESSOR INFORMATION NUMBER GARAGE J NEAREST CROSS STREET
15387-023-013 OTHER 1 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY CAI
I _I _ I
TENANT: IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY
(EXIST OCC GRP 102/10/14 SR 1
OWNER TEL NO IBLDGS NOW ON LOT VALUATION. IF N AT FI CODE
IWONG, AMY (626) 215-6522- 1 7,000 1
11541 WALNUT STREET `
ISAN GABRIEL CA 91776 FEES PAID 1 SCRI TION F WORK
I (ADD A PARTITION TO CREATE 2 BEDROOMS, ADD NEW 6'X 4' WINDOW I
J -IFEE DESCRIPTION QUANTITY DOM AMOUNT (REMOVE UNPERMITTED KITCHEN FIXTURE IN NEW BEDROOM & ADD PLUGI
JAPPLICANT TEL NO I IS IN WALL CLOSED EXISTING DOOR, REPAIR DRYWALL & REMOVE
ITRAN, BAC (626) 409-8820- JAA BLDG PERMIT ISSUANCE 27 80 I 1
14213 ROSEMEAD BLVD JAB STATE GREEN BLDG FEE 7000 00 VAL 1 00 ISPEC-AL CONDITIONS
IROSEMEAD CA 91770 JAC STRONG MOTION RESID 7000 00 VAL 0 70 I 1
J 131 PLANCHECK W/ENERGY 7000 00 VAL 155 40 1
I 132 PERMIT W/ENERGY 7000 00 VAL 182 80
(CONTRACTOR TEL NO I TOTAL FEES 367 70 1APPROVALS DATE INSPECTOR SIGNATURE
IBAC TRAN (626) 409-8820- 1 1
14213 ROSEMEAD BLVD #G1 LIC NO (LOCATION AND SETBACKS I I 1
IROSEMEAD CA 91770 884875 1 1 1 I
I I ISOILS ENGINEER APPROVAL I
I I 11
JARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I
JWU, JOHN (626) 293-1001- 1 1-1 I
1412 S STONEMAN AVENUE LIC NO I (SLAB/'7NDER FLOOR I 1 I
JALAHMBRA, CA 91801 11469 1 I _ 11 I
I I (RAISED FLOOR FRAMING I I
I I I 11 I
IMAP NO. SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDEFFLOOR INSULATION I I I
1 3 0"; I_ 11 I
I I IIST LEVEL FLOOR SHEATH I 1 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I--
1 0 NO 21 1 12ND LLVEL FLOOR SHEATH 1 J
I I 1 1 I
I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING
JAIR QUALITY 1000 FEET MATERIALS I I 1 1
I NO NO NO 1 IFIRE DEPT FRAME INSPECTI I 1
1 I IBLDG 7EPT FRAME INSPECT( 1 I
I I I
1 � - (SHEAR PANELS 1 1 1
1 1 (INSULATION/WEATHER STRIP) I
I I I
I (INTERIOR LATH/DRYWALL I
1 1 JEXTERIOR LATH I - 1
I I I
1 I ILOT ERAINAGE I 1
I I I
I ISMOKE DETECTION DEVICES I 1
i I 1-1
I I IFIRE DEPARTMENT APPROVALI I
ADDITIONAL DATA ON FILE
I I I I I I
1 (REPORT ID DPR261 ROUTE TO BS0508 1 1 I 1
I I
• TEMPLE CITY # 0508 BUILDING PERMIT
907t-LAS TUNAS SIGN
TEMPLE" CITY CA 91780 BL 0508 9810230066
PHONE:. (818) 285-0488 EXT:
R OF S UILDING ADDRESS:
DESCRIPTION: PLEXIGLASS SIGN 9090 LAS TUNAS DR
TEMP CA 917801902
NEAREST CROSS STREET:
THOMAS PAGE: 596 GRID: H3 LOCALITY. TEMPLE CITY
BLDG r ISSUED PROCESSED EXPIRES 0 :
OCC GRP. 1Q/23/98 UT 10/23/99
NOW _LD : VALUATION: FI AL ATE FINAL BY: CODE:
400
ES E F WORK
LE -FACED PLEX GLASS SIGN
ESCRIPTtON: QUANTITY: UOM;: = AMOUNT:
DG PERMIT-ISSUANCE 27.75
RMIT W/OPEN=HC --- 400.00 VALE 44.25 SPECIAL CONDITIONS:
_TO FEES 72.00
_ LGI-
� �
APPROVALS DATE INSPECTOR SIGNATURE
LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
/ FOUNDATION/TRENCH FORMS
SUPPORT STRUCTURE
iRT ID: DPR2&1 ROUTE TO:_BS0508