Loading...
HomeMy Public PortalAbout9109 LAS TUNAS DR_Building__ fiA698ADB8-99.BAPPLICATION FOR BUILDING PERMIT 1. DIVISION OF BUILDING AND SAFETY BUILDING `ADDRESS .-5 Department of County Engineer County of Los Angeles LOCALITY WM.J. FOX.COUNTY ENGINEER NEAREST - CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DIST��62 NO. GROUP_ TYPE coNsr..9SEWER BK �' A PG FOR APPLICANT TO FILL IN J r 'I1 I C -4-� BUILDINGQ !„^ .4ST`JI/�s' j�� MAP STATE. ADDRESS NUMBER HWY YES NO d A LOT NO. - 2 -7 BLOCK USE ZONE SPECIAL ' e 3 CONDITIONS TRACT NO. OF BLDGS: BUILDING EXIST. SIZE OF LOT 4� Q I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USEOF EXIST, XISTT NG,B\,IrVLDG. G /4 A /*A - FPROL T OWNER L. �-- /� (e► �G- SIDE �L MAIL ADDRESS 11499 /—A+ I•"A'f .YN O TRACT DWELL. 1 UNIT ''f�J: �/ [� 5 INDUSTRIAL CITY / 4>IV ®� 7/ TEL/TT I DWELL. 1 UNIT 6 PUBLIC BLDG. - '2 DUPLEx I UNIT 0000 ARCHITECT OR TEL. 7 DDN., ALT., ETC. ENGINEER NO. 3 APT. UNIT4. 1� ADDRESS 4 COMMERCIAL CONTRAQ oR T`' rTio' �"' 0 ? INSPECTION RECORD A&I* Oa ,/¢e DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. - NO.OF NO. OF - SIZE STORIES FAMILIES USE OF STRUCTURE N / 7— SIGNATURE OF w' APPLICANT �fii APPROVALS ADDRESS DATE, INSPECTORS SIGNATURE $ FOUNDATION: LOCATION J .B P. C. $ FORMS, MATERIALS ✓q e.,,.®. FEE FRAME: FIRE STOPS, A VALUATION $ ..•'0 BRACING, BOLTS '1 FEE , FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ .THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT• AND. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BU DINS, .CONSTR C- TION. ATH, EXT. SIGNATURE OF �" MOUSE NUMBER COR- PERMITTEE RECT AND POSTED A ADDRESS - FINAL (se, -, WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG..INSPECTOR - To 9 6 6 2 `;. )Klv 3' 1 2.0 0- � BU DII�7GAI •� AF �...A �..� - OR P] canaw� OUTY OF LOS ANGELES g U ! L D I 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 ��7 �/� LOCALITY/1A FAA A (�./ IV _ I ED�& DATE OF APPL. _rD-ATE ISSUED 4 NEAREST /� t /� /� _f [bIC./j( � �'� � CROSS ST. /I.D 7& �'/1. 1T D OWNER AAL T s�G" BUILDING ADDRESS V MAIL / ?1_/ v LOCALITY L ADDRESS [o TT NEAREST CITY - / NOL Z CROSS ST. a S-_ IJT FIRE NO.OF TYPE GROUP F tkRBT L ZONE I PLANS Z I I ENGINEER • tt0. A G C�1� & r BLDG. ORD. NO, ADDRESS SETBACK LINE APPROVED EVrw CONTRACTOR /� 1/(// : OL, 7- /719 BY DATE UBEC.3 APPROVEQ Z ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. I BLOCK ' ' TRACT - ,� 9�.5 9/�I� - ���.,.,,,�.F` ,-�.-. �-.,�..�.<,s 4 i':.� �a'•) v-, \' NO. BLDG SIZE OF L0Tc24 /S I NOWDON LOTS UBE OF I NO.OF I NO. OF "- EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK / 14 r7 , -e n 7`Q{/' �/7Jv7 NEW _ALTERATION ADDITION L - ✓�' 3/-' ' [�f/.f�t/J O '0 REPAIR, MOVING DEMOLISH _ SIZE /r ROOMS STORIES WALLROOF COVERING I COVERING76k L..CJ � USE OF NEW BUILDING I' APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS . APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, NBPE OR DAT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS .3 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, 4' q'c BRACING, BOLTS mo (1- SIGNATURE •OF ✓///// OWNER =r1G� 7iJ , LATH. INT.: AUTHORIZED A6 LATH, EXT.: � P. C.8 d-'C) PLASTER, INT. 0'0 FEE PLASTER, EXT. •��/ //� VALUATION ,/ FEE O FINAL _ �- '� /�C�.6& I TEMPLE CITY pp 78AMA CE g9G82/410 .APPLICATION FOR - BUILDING- PERMIT 1 COUNTY OF LOS ANGELES' BUILDING ADDRESS .•� , DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY :�y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEW SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ESSED BY, ' FOR APPLICANT TO FILL IN )CONST. - G- ?^L BUILDING !; STATISTICAL CLASSIFICATION I S ER MAP ADDR ESS T "y---- y1 I�1 I!iF-� ,,++ PG;, . t� CLASS.NO. DWELL.UNITS G.. LOT NO. BLOCK MAP Gy ,� pL STATE YES NO a NUMBER HWY. TRACT �J USE:ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOTI NOW ON LOT : USE OF EXISTING BLDG. n Ir Le - _ 'BUILDING EXIST. TEL. SETBACK _ v YARD HWY STREET NAME _ :UAV � WIDTH OWNER - O. FPROL Tl 94 ADDRESS SIDE L-�/ ARCHITECT OR TEL - R*L. _ ENGINEER NO. INSPECTION RECORD ADDRESS 'y TEL. _ , O CONTRACTOR, NO. - 3 ADDRESS ,3- Z V DESCRIPTION OF WORK I.P l'!.'<+Ht O NEW ADD ALTER, REPAIR DEMOLISH SQ.FT. NO.OF NO.OF f - •/(I ..S^ C-J.� .9 ie'!rlO'rx a SIZE - STORIES FAMILIES 1n SUSE TRUCTURE r4 . SIGNATURE OF APPLICANT VALUATION$ fl _ APPROVALS DATE INSPECTOR'S SIGNATURE FO UNDATION: LOCATION F E -:$ I FEES•$ /2,�0 FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS, _ -BRACING, BOLTS' - PLICATION AND-STATE THAT THE ABOVE IS•CORRECT,AND• FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VE STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY, THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S CO ENSATlO LAWS F CAL, ORNIA. LATH,EXT. Iv SIGNATURE OF HOUSE NUMBER COR- PERMITTE '\'L � .RECT AND POSTED* ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ER PLAN CHECK VALIDATION CK: M.O. CASH PERNIIT VALIDATION CK. M.0. =-H P 76A838A DBS-3 8.55 Y `S ` APPLICATION FOR B!ILDING PERMIT 1 `DIVISION OF BUILDING AND SAFETY BUILDING Q •r i/� I-1� S ✓ iv'( Department of County Engineer. ADDRESS County of LOB Angeles LOCALITY A WM.J. FOX, COUNTY ENGINEER NEAREST • a gL�l 'CASSATT D.-GRIFFIN, SUPT OF BUILDING CROSS ST. Y DIST ICT NO. GROUP BK PG POS R APPLICANT TO FILL IN �QN�J� I c ���I S MA E BUILDING •e�S /I� �3 NUMBER ER / STATE ADDRESS . YES NO _LOT NO. � BLOCK USE ZONE SPECIAL a CONDITIONS TRACT Qr 7 _ / 7 0 NO. BUILDING OF BLDGS. EXIST. SIZE OF LOT -2t0 I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF ���+. FRONT / / EXISTING BLDG. pp((jj JJ /-"�-'-' P.L. qS OWNER M`fig L`IK �Q���V SIDE P. L. MAIL ADDRESS O TRACT DWELL. I UNIT 5 INDUSTRIAL TE 1 DWELL. 1 UNIT CITY /%� L ' NO 6 PUBLIC BLDG. ARCHITECT O TEL. 2 DUPLEX I UN�t7 AD A,�,__LT.. ETC.ENGINEER NO. 3 APT. UNI '-^ -- -'-'"`--�MISCEL. ADDRESS 4 COMMERCIAL k , 0ylr-0e 1 TEL. INSPECTION RECORD CONTRACTKIRF��f� s1 NO. ADDRESS ' �2 DESCRIPTION OF WORE NEW DD ALTER REPAIR DEMOLISH - 3 T'I12�' SFT. NO.OF /'p[ � SIZE E � STORIES FAMILIES }7�7� � � IF USEF STRUCTU ter• ` j5 d U9 do ' �N ds SIGNATURE OF APPLICANT APPROVALS LL ADDRESSL3 D - DATE , INSPECTOR`S SIGNATURE FOUNDATION: LOCATION ^ S� 5 �.' �� p0 P.C. ffi FORMS. MATERIALS "I J �� FEE FRAME: FIRE STOPS, VALUATION ffi00,1 Gr- BRACING.BOLTS FEE "� FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING B ILD1N��7TRUC-T ION. H. EXT. SIGNATUREOF USE NUMBER COR- I} PERMITTEE c RECT AND POSTED ADDRESS FINAL WM.J. FOX.COUNTY ENGINEER VALIDATION C. N. D RLAM,CHIEFVBLDG. INSPECTOR ��C03320- FEB 21 1 a.00 �' . 76A638A CE 4803 1/71 APPLICATION FOR BUILDING PERMIT`: II COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. BUILDING DISTRICT NO. G [1P"- TYPE PROCESSED BY ADDRESS �a$ Templs City �. CONST, z nuc-M.�.,, STATISTICAL C�A SSIFICATION SEWER MAP LOT NO �x BLOCKS-^ CLASS NO. DWELL,UNITS BK—''PG TRACT USE ZONE MAP NO.OF BLOGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG.. �I OWNER Csorge Shasta NOL. BLDG.SETBACK FROM ADDRESS 9109 E. Las Tunas Temple City FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + ENGINEER NO. BLDG.SETBACK FROM-. >- ADDRESS SIDE PROP. LINE OF (STREET) a CD TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL V CONTRACTOR VirginR NO. HIGHWAY WIDTH FROM C.L. LIC ADDRESS 600 S. San toabriol NO 160650 + CITY SanCsibriei� Calif. C?,j76 C-39 CORNER CUTOFF YES ❑ NO ❑ � CONSTRUCTION LENDER CD NAME AND BRANCHSEE REVERSE SIDE FOR SPECIAL APPROVALS n ADDRESS W� SO, FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES ❑ USE OF ADD STRUCTURE ALTER ❑ Residence - Reroof REPAIR SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE $ 21.75 FOUNDATION: MATERIAA TI 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 TME STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED- ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL' STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M o CASH _ PERMIT VALIDATION CK, M.O. CASH I • ' .al' s APPLICATION FOR BUILDfN. -PERMIT FOR.A�PLICANT TO FILL I'N '(Print Or type only) �. Bu�_'DIN�1`09 La.s Tunas COUNTY OF L05 ANGELES A DREss DEPARTMENT OF COUNTY ENGINEER' CrTv`T+~TIl 1e Cit ZIP BUILDING AND SAFETY DIVISION NO.OF BLOGS,. BUILDING SIZE OF LOT 2�-X 130 NOW ON LOT' ADDRESS fJ � �✓ rt , TRACT ( BLOCK .'LOT-NO '7 LOCALITY '. _�C-C ccs`v�•'- ` TT aa �+ -TEL. NEAREST .•.-�` - - OWNER�Leonard Clark. :NO. CROSS ST., ADDRESS' 9109 'Las Tunas. , _ ASSESSOR. .L+ . r�+ �7 MAP-BOOK � PAGE -'PARCEL CITY - Temple Cit.l DISTRICT C' Ui TYPE FIRESSED BY , ZIP'. � �^ �� CONST ZONE'�21 ARCHITECT OR � � � - TEL � f / + l ENGINEER NO: STATISTICAL CLASSIFICATION .. SEWER MAP ADDRESS. - - / . CLASS N'O. LL,UNITS - SK, PG, CONTRACTOR Pref : `Dev. CONo`'•44.5-356 USE ZONE MAP .. ADDRESS ,•- �_Santa. - n�-'�,a LI NO. NO 279406 SPECIAL. - LIC. —� CONDITIONS ' CITY Arcadia B1 - CLASS ROAD DEPARTMENT_APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER TT NAME AND BRANCH None BLDG:SETBACK FROM _ - '^• d FRONT PROP.LI NE OF —(STREET) . ADDRESS CITY I _ TOTAL SETBACK FROM TYPE OF EXISTING SQ, FT. -- NO: OF' NO, OF CHECK HIGHWAY } YARD- - FRONT PROP.-LINE HIGHWAY WIDTH SIZE STORIES. FAMILIES - 'ONE , D'ESC RI PTION OF WORK - NEW ❑ _ CD BLDG..SETBACK FROM Remove 3 cdlumns-remove ADD ❑ IDE PROP.LINE OF (STREET) a ALTER windows HIGHWAY YARD ® TO T,A L.SETBACK FROM TYPE OF EXISTING brick - Frame 1 }. REPAIR[I - SIDE PROP. LINE, HIGHWAY WIDTH LLI a USE OF DEMOL ❑ + Z EXISTING BLDG. ' APPLICANT TEL CORNER CUTOFF YES ❑ NO. ❑ `'` (PRINT) N0. BY (SIGNATUR E) - IN OPEN SPACE YES ❑ NO ❑ .. - IN COASTAL PERMIT ZONE -'` YES.❑ NO ❑ VALUATION$ 1600.90.. .. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �- d> / e,'�^ Nr • '� AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY WITH .ALL ORDINANCES-AND LAWS REGULATING BUILDING CON STRUCTION. I CERTIFY THAT 1W DOING THE WORK AUTHORIZED' HEREBY I WILL NOT EMPLOY THAT. PERSON IN'VIOLATION.OF THE - LABOR CODE OF T OFCALIFORNIA YIRETING TO WORKMEN'S COMP SATION I URANCE. SIGNATURE ' F PERMITTEE ADDRESS TEL FI NAL BY• ` ��.. CITY. NO.. DATE, I MAKE CHECKS PAYABLE 70: F e.$., � FEE �. HARVEY T. BRANDY, COUNTY ENGINEER PLAN'CHECK VALIDATION cH. M.O. • CASH. PERMIT VALIDATIONcK. ',W- CASH 6.6.9�:1 : j' 4.�? ®-u .� 76A638A._CE#803 5/74 - . i _ t _. ,, _ o APPLICAIION�"FORPERMIITY, �,. DEP T�MENT OF"BUILDING AND SAFETY COUNTY OF LOS ANGELES FUXs;CHIEF ENGINEER g FOR AP,IPLICANT TO FILL IN FOR OFFICE USE ONLY SH / �{ �,,:-� „�a DISTRICT NO. P==Ci.'NO. PERMIT NO. BUILD BUILDINGAD R � LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED _ NEAREST CROSS BT. DING • 1 OWNER [+ /� ,1 y/ A � S DRES9 7 ✓� f� -,s 7 V lo / ' MAIL ��y �at�►f�4f/ ADDRESS . -f L�. �l J"sf • LOCALITY Tr l C i v NEAREST .CITYiIlL /Il NO� / 7•►'i !/ CR0689T. FIRE NO.OF TYPE GROUP ARCFIITECT'OR �� TEL. ZONE �_ PLANS �- ENGINEER NO. BLDG. �_� � e� ORD.NO. - ADDRESS SETBACK LINE APPROVED TEL BY DATE CONTRACTOR � NO. USE APPROVED. ADDRESS.: ZONE C... ^+ BY DATE LEGAL �. CORRECTIONS DESCRIPTION LOT ]NO. j�� 7 BLOCK J Q TRACT /( %A`V ++���� NO.OF SLOSS. SIZE OF LOT!/. �!\j �3�© I NOW ON LOT USE OF L�.Kl,AYl/ I NO.OF �I NO.OF -.EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O ,U REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES y WALL CA 0 { I(►/T a+& I ROOF r `COVERING \ V COVERING USE OF NEW BUILDING - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT- INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION �,�• FORMS,MATERIALS � r AND STATE LAWS REGULATING BUILDING ONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE Of /J BRACING,BOLTS F PERMITTEE , + '!' 1 LATH,INT.: AUTHORIZED AGT p i LATH,EXT.: DBS-3 SOM SETS 7-47 $ P.C.III `PLASTER,INT. / Q Q D FEE �^ !/ / PLASTER,EXT. VALUATION FEE � �FL ©0 t. _, � NAL Ge�Gl�r/ 76A638A DB5.3 3-6 \7APPLICATION PPL_ICATI®N FOR BUIL. I® N G PERMIT DIVISION OF BUILDING AND SAFETY ADIR6IN 17/40 9 11140 7r'h 1*y Department of County Engineer County of Loa Angeles LOCALITY (i WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROU TYPE SEWER MAP FOR APPLICANT TO FILL IN ,fir—' 1/ P6I CONST: BUILDINGGp O� i1q/ STATE ADDRESS T7L d_t* (1 Al J � NUMBER �/L.�® /. � HWY YES NO LOT No. BLOCK USE ZONE SPECIAL - . � CONDITIONS TRACT 1NO,OF BLDG OF LOT - t7 /^ �oNOW ON LOTS[SIZE rBUILDING YARD HWY S REET NAME EXIST' ' SETBACK WIDTH USE OF FRONT EXISTING BLDG.,.. Q P.L. D OWNER rf 1 •Qs•'v" 'SIDE - P.L. MAIL O TRACT DWELL. I UNIT ADDRESS 0 r�] �'/'r,oe9,�9 5 INDUSTRIAL TEL. 1 DWELL. 1 UNIT CITY NO. 6 PUBLIC BLDG. _ ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ADDN..ALT.. ETC. ENGINEER _NO. 3 APT. UNITS - - _ - 8 MISCEL. _ ADDRESS w� 4. COMMERCIAL - CONTRACTOR (0e W,e_ A.e.Xc No CL 9 J 0.0! INSPECTION RECORD ADDRESS DESCRIPTIO T1 OF WORE ° " c:,o r--P_M hA v- �)°r,a? -- L-A FA .tj NEW ADD k ALTER,2 REPAIR DEMOLISH SQ. FT. NO.OF NO. OF ✓?' `^c-tG u �.L Cl G,. @ SIZE .STORIES FAMILIES USE OF,&TRUCTURE - '^^'1 "'''O `r J.4 . cost C w,iT SIGNATURE O ^ �vz ., •_ � APPLICANT ? APPROVALS ADDRESS .DATE INSPECTOR'S SIGNATURE LOCAT $ P. C. $ FOUNDATION:FORMS, MATERIALS . � - �C? FEE FRAME: FIRE STOPS, VALUATION - C21BRACING, BOLTS /�'r�� FEE "`"""" '� FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 'I'HAVE READ THIS GASVENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND. STATE LAWS REGULATING BUILDING CONSTRUC- TION. ,.. LATH. EXT. . SIGNATURE OFHOUSE NUMBER COR- " PERMITTE ,RECT AND POSTED A ADDRESS FINAL 2 SG " WM.J. FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM.,CHIEF-BLDG. INSPECTOR 0 5. : DEC ' 2 1_ 2.0 0 �, 76A63BA CE#803.10.56 APPLICATION FO0 • BUILDING PER,V. IT BUILDING AND SAFETY DIVISION BUiLDING Department of County Engineer ADDRESS D' s County of Los Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST. DISTRICTNO.- . GROUP' TYPE :SEWER MAP FOR APPLICANT TO- FILL IN CONST. BK PG BUILDING I ADDRESS - STATISTICAL CLASSIFICATION ' CLASS. NO. DWELL. UNITS LOT NO. 1_77 - BLOCK' -MAP STATE YES NO TRACT_ NUMBER HWY USE ZONE SPECIAL NO. OF BLDGS. CONDITIONS - SIZE OF LOT -&-6p a `rI NOW ON LOT •� _ _ .USE OF rag.. . EXISTING BLDG a BUILDINGEXIST. SETBACK YARD - HWY TREET NAME '. WIDTH OWNER f FRONT MAIL � _ .P, L. ADDRESS SIDE L. P. L. clTv ° INSPECTION RECORD.. ARCHITECT OR FrEL. _ ENGINEER NO. ADDRESS SA-t Gam-ft /.�/...e�L. A CONTRALTBO j AyP�. y� ADDRESS.(/6 I AR-3- & 1 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - - SQ. FT.- NO. OF. NO.OF _ SIZE STORIES FAMILIES - - USE OFSTRUCTURE A< APPROVALS SIGNATURE OF �/� APPLICANT C.�1�^�_ DATE INSPECTOR'S SIGNATURE ADDRESS - FOUNDATION:.LOCATION, FORMS, MATERIALS P.C. S ,�� FRAME: FIRE STOPS. FEE BRACING, BOLTS $ - FURNACE: LOCATION,, VALUATION FEE 2, &ell GAS VENT, DUCTS r 1-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDIttt���AAA NCES AND ) STATE. LAWS REGULATING B ILDI �` TRUCTION. LATH. EXT. SIGNATURE O HOUSE NUMBER COR- - PERMITTEE .e,/BBA RECT AND POSTED'.- 1 ADDRESS V FINAL- JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG PLAN. CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION `CK., M'.o: CASH Tom©-9 4 114- 'UG5 1. 2.0 0: APPLICATION FOR BUILDING PERMIT .7 FOR APPLICANT TO FILL IN (Print'0, type only) BULLDIy�-�� COUNTY OF LOS ANGELES NG " Au,L-I S 1 5 bl- DEPARTMENT OF -COUNTY ENGINEER clrv. j7 .I P BUILDING AND SAFETY DIVISION NO:OF SLOGS. _ BUILDING SIZE OF LOT - NOW ON LOT ADDRESS C6 TRACT BLOCK - LOT NO. �,y LOCALITY NEAREST OWNER IM �rtS. TENOL- ?I / 0 � CROSS ST, - ADDRESS i�ai 6 �� �'� , .V�V� ASSESSOR 'MAP BOOK PAGE DISTRICT GROUP TYPE FIRE d \ SE CITY Pt ZIP n CONST -ZONE ARCHITECT OR TEL. " ENGINEER NO, STATISTICAL CLASSIFICATION _ �j� SEWER P ADDRESS CLASS NO.22 .DWELL,UNITS SK G CONTRACTOR TEL. USE ZONE MAP NO NO. O LIC, SPECIAL ADDRESS NO. 2— CONDITIONS LIC, CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES.[] NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM " FRONT'PROP,.LINE OF (STREET.) >_ ADDRESSCITY TOTAL SETBACK FROM TYPE OF EXISTING CD U SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD FRONT PROP', LINE 'HIGHWAY WIDTH SIZE STORIES FAMILIES ONE C= + c:) 6 E— DES' IPTION OF WO K ` ; .,, SW ❑ - U ADD BLDG.SETBACK FROM a ❑ SIDEPROP. LINEOF (STREET) Z ALTER HIGHWAY- •I- YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ - SIDE PROP. LINE HIGHWAY WIDTH. USE OF + _ �= EXISTING BLDG.. �'I� •. DEMOL ❑ APPL.I`CANT. ) -TEL CORNER CUTOFF YES ❑, NO. ❑ (PRINT) vi _ 'NO.�gV03 BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑. i;, QQ i IN COASTAL ZONE YES C] NO' ❑ VALUATION Lc 00 CATE GORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE �TMAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY IMP AC7- EXEMPTION DECLARATION SIGNED _ (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON ST RUCTI O._N. I CERTIFY THAT IN DOING THE WORK-AUTHORIZED - IMPACT REPORT PROCESSED -(DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE ,.y LABOR CODE OF HE STATE CALIFORNIA IN RELATING TO - yQ WORKMEN'S.COMP TION IN U ANCE. �' C/ SIGNATURE OF PERMITTEE ADDRESS 77 y� ` FINAL BY/ CITY V �T uJ l C'T NO. %QJ fr fjL` DATE Lq `rG�Pl �I NAhF_ ClitzKS PA)'A131 70: FEE � �_ � I/�i, FEE $��y��, [HARVEY T. BRANDT, COUNTY ENGINEER �•^� /W/' PLAN CHECK VALIDATION K. M... A. _ PERMI ALIDATIO CK. M.O. CASH 3 7 76 g638A CE#803 12/72 .DIET 2 1 3 3. ?g 11.5599A DBS-9+ ,..0 \P P L I C A T L O IV FOR R ,BUILDING PERMIT . DIVISION OF BUILDING AND SAFETY BUILDING ." p Department of County Engineer ADDRESS 9109 1 A& TUNAS_L7��_ County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST' CASSAT.T D. GRIFFIN, SUPT OF BUILDING 'CROSS ST. DISTRICT-NO. I ROUP TYPE SEWBER MAP PG FOR APPLICANT TO FILL :IN S ' ! U CONST. •BUILDING ;91 09 1 ASS TLINAL7 YES O ADDRESS ZZ 7 6. MAP ,i STATE NUMBER `YV � HWY LOT NO. BLOCK :USE ZONE SPECIAL _ �JSE CONDITIONS TRACTNO.OF J�'y'' �'�� I NOW ON LOTS BUILDING EXIST., SIZE F YARD HWY STREET NAME WIDTH LOT SETBACK USE OF. �p ��(( '/ EXISTING BLDG. FRONT �C;AF P. L. �U, W +� Q OWNER COFFEE .SIDE MAIL `P. L. ` ADDRESS O TRACT DWELL.. I UNIT 5 INDUSTRIAL TEL. ' ► DWELL. 1:UNIT, CITY TF IAP r�.�Ty NO. 6 PUBLIC BLDG. ARCHITECT OR - TEL. 2 DUPLEX 2 UNITS .7 ADDN.,ALT., ETC. ENGINEER NO. - APT: UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CGVTiEL�'r '- INSPECTION RECORDCONTRACTOR AvVANGED D ADDRESS 959 S 1 A ERFA OR.R1 APA - - DESCRIPTION OF WORK NEW ADD ALTER REPAIR. DEMOLISH SQ. FT. NO. OF NO. OF - SIZE STORIES FAMILIES USE OF STRUCTURE ERECT.2 SIGNS ON STEEL POSE SIGNATURE OF - APPLICANT APPROVALS i. ADDRESS DATE INSPECTOR'S SIGNATURE \ $ FOUNDATION: LOCATION -1 ^ =FEE FORMS,MATERIALS 5 l ell, 975000 FRAME: FIRE STOPS, VALUATION BRACING, BOLTS FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT. I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE.ABO E IS CORRECT - AND AGREE TO COMPLY WITH AL UNITY ORDINANCES LATH, INT. AND STATE LAWS 'REGULATIN¢ BU LD'ING CONSTRUC- TION. •� -LATH. EXT. SIGNATURE HOUSE NUMBER COR- •PERMITTEE RECT AND POSTED ' ADDRESS FINAL 3 7 JOHN A,: A� ,i COII TY ENGINEER VALIDATION CLYDE N.DI LAM, CHIEF BLDG. INSPECTOR ((�//' CK MO CASH 3 7 9 3 6 7 jij 1 6•.0 (D - dq: _ I BUILDING'._ �. A BUILDING ADDRESS DI`iTISION OF RUILDIi Deportment of Coil _ APPLICATION LDc nu J.FO .of Los DIVISION OF BUILDING AND SAFETY CCROSS ST. WM. J. FOX, Coui CASSATT D..GRIFFIN, Department of County Engineer DISTRICT ND. RECEIPT NO. PERMIT NO. County of Los Angeles ps p2 FOR As�PPLICANT WM. J. FOX, COUNTY ENGINEER CA fi t . GROUP DATE RECEIVED DATE ISSUED BUILDIADDRESS , / •,,,_) CASSATT D. GRIFFIN, SUPT OF BUILDING -36=a FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY �,,I/S//S��UE,,D^BY� LOT NO. .(.,[ . `C'Li4"0' / OWNER ^ TRACT _f�. MAP J/q-J� STATE YES NN I.. MAIL NUMBER (, t6 7 HWY SIZE OF LOT ADDRESSy Q USE ZONE 'SPECIAL �� TEL nn CONDITIONS EXISTING BLDG ` USE OF. h����y� NO. C.r ' ���G� �lry CIT ARCHITECT OR TEL J� r 3 .4 0' 644 NO �'�a 3%n� OWNER +-� _ `'. i ENGINEER u g�-1-�I BUILDING EXIST. YARD HWY STREET NAME MAIL ,' jy� j Y SETBACK WIDTH ADDRESS hh�/'o ho�y `,��-�•�,,?I FRONT ,Jg ADDRESS FRONT f1 / _- CITY ! _ II.J,y,T'�-4.-" �,y p P•�@ f CONTRACTOR NO. SIDE P. L. ARCHITECT OR �- 14 ADDRESS DATE. CORRECTIONS INSPECTOR ENGINEER BUILDING - - ADDRESS ADDRESS o �r G��aJ 'd - �rV�u en L-4-4Y-s1 L 1.9 LOT N CONTRACTOR .'- O. ;2 Co BLOCK C4 Rf3 ADDRESS ,� TRACT 7 - / ) NO. OF SLOGS. DESCRIPTION. - 91ZE OF LOT NOW ON LOT X USE OF `�..•�C NEW -ADD ALTER I EXISTING BLDG. SO: Fr. : e NO. OFl DES CRIPT ON OF WORK SIZE .r-,f STORI E' Q USE OF Sy UCTURE1r QQQ'''*s'CCC Z t:_ NEW ADD �[ ALTER/X REPAIR DEMOLISH .® �( Q.FT. l A-� .NO. DF NO.OF Z �e M N,iL. r-n 4-I.�L��. C.3 •` "''e Y !,_ r �f I SIZE (�(,i/ STORIES FAMILIES �ROL ell,JI OF TRLICTU E SIGNATURE O - - APPLICANT ... .4 'j- - C,�_= --r, >�•.. . ADDRESS 4"t VALUATION 1 HEREBY ACKNOWLEDGE i NO.OF APPLICATION AND STATE.THAT EMPLOYEES ` AND-AGREE TO COMPLY WITH AND STATE.•LAWS REGUL&TI� I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- TION. PLICATION AND STATE THAT TH_E. INFORMATION GIVEN 19 APPROVALS INSPECTOR'S SIGNATURE DATE (} CORRECT. SIGNATURE OF I.. - 6 I AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION PERMITTEE - 'r 1 AND-STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS I. ADDRESS �%^ I FBRACING,,BD TBAME: FIRE S, _ SIGNATURE OF ,r WM. J. .FOX, .COUNTY ENGINEI PERMITTE FURNACE: LOCATION, GAS VENT,DUCTS ADDRESS Rp LATH, INT. - BY .JC _29 S,2_',,e. •IYr�R 1 - AUTHORIZED AOT. I ; 4 LATH, EXT. $ HOUSE NUMBER COR- . FEE RECT AND POSTED BY VALUATION -- f� FINAL © .r cEE 76A638A DBS 3(cab 5-54 P, "DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR COUNTY OF LOS ANGELES T WM. J. FOX, CHIEF ENGINEER � � � L v ' V FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT N BUILDING LOCALITY LL AFSAy$.� f RECEIVED BY DATE OF APPL. /ATE ISS ED CRE A O SS SST. OWNER#j27H40A jARL 1dAig'S ' / ytgAstl� DRESS ( l ✓ MAIL t~ � ,/� LOCALITY ( G ADDRESS r L45 -r-U'lVA9 S X?R- NEAREST TELCROSS 5T. CITY=M JOLO A=y NO. FIRE NO.OFTYPE!,.� GROUP ARCHITECT OR TEL. ZONE- PLANS L ENGINEER NO. BLDG. - l-,\ ORD. SETBACK LINE ADDRESS �s - v�29 TEL. ` APPROVED By CONTRACTOR `JF& 161,�NO. � 3 USE DATE USE APPROVED ADDRESS � ZONE BY DATE LEGAL �� I CORRECTIONS DESCRIPTION t LOQT NO. BLOCK TRACT J (Q �� � NO.OF BLDGS. Oss SIZE OF L T n(p 130 I NOW ON LOT UXE NO.OF ND.DF , ROOM9ETINKT� yAy 13F DESCRIPTION OF WORK NEW ALTERATION ADDITION - ' A REPAIR MOVING DEMOLISH Cl Sq.FT. NO.OF - Z SIZE ROOMS STORIES _ r WALL ROOF COVERING I COVERING USE OF NEW BUILDING WED& A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIF; APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF ,///�j BRACING,BOLTS PERMITTEES e LATH,INT.: AUTHORIZED LATH,EXT.: DBS-3 SOM SETS 7-47 $ P.C.IS PLASTER,INT. FEE PLASTER,EXT. -/ .� $ 1 VALUATION S FEE FINAL ,. P DEPARTMENT.OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®® U I LD I N G WM. J. FOX, CHIEF. ENGINEER .� i� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY c S+ S DISTRICTNO. PLANCK.NO. PERMIT NO. BUILDING ADDRESS t, a-r ----------'�' - ! LOCALITY Te L_"" n ( P G!l 4 RECEIVED BY /DATE OOF.APPL. --DAtTE"ISS,UUE/D NEAREST ' �/ °�""`� f8 of �/ �`TeT " CROSS ST. BUILDING OWNER = V �l.k4 ,;-e,.. c`'�'e. - .ADDRESS MAIL / �y ♦ 'LOCALITY ADDRESS /-7 / �..[�� TV-i!G+.J NEAREST _ CITYze,-t,-h TEL ST. FIRE NO-.OF - TYPE L_ ARCHITECT OR TEL. ZONE PLANS ��- ENGINEER NO. _ BLDG. y -' ` ORD.NO. ADDRESS SETBACKL,INE �d (a, APPROVED Y4L /� Nl�►'j 0 7 1' O 2fa BY DATE CONTRACTOR / / USE APPROVED • ADDRESS /��. �O Ot�G}60 _ ( S Ad'L."') ZONE �.^-,�'BY - DATE LEGAL lJ I r CORRECTIONS DESCRIPTION LOTNO. �CdD BLOCK ®� / r TRACT SIZE OF LOT 1 NO.OF SLOGS. NOW ON LOT USE OF NO.OF NO.OF sh - EXISTING BLDG. ulL .FAMILIES , ROOM9 DESCRIPTION OF. WORK : NEW ALTERATION ADDITION O A REPAIR \[ MOVING I DEMOLISH . Sq.FT. NO.OF Z SIZE ROOMS STORIES > WALL - ROOF r COVERING I COVERING . - USE OF W NEI - - - - BUILDING _ U it. 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. •0(/jFRAME: FIRE STOPS, SIGNATURE OF //`!L^4X�n BRACING,BOLTS PERMITTEE _ LATH,INT.: AUTHORIZED AOT a ` ( - LATH,EXT.: v.. DBS-3 SUM SETS 7-47 $.�Q P.C..$ PLASTER,INT. FEE PLASTER,EXT. III VALUATION FEE �` �_ "SINAL �.d �' ✓ I f 6AB36A•CE#603-z 63 APPLICATION FOR BU�I�LDI NG -�PERM.IT -� COUNTY OF LOS ANGELES BooR Iss ALAJ / DEPARTMENT AF COUNTY ENGINEER .a;',✓,ql BUILDING AND SAFETY DIVISION LOCALITY 1'� -yP ,JOHN-A. LAMBIE. COUNTY ENGINEER - NEAREST WILLIAM A-JENSEN, SUPF T OBUILDING' I CROSS ST. _ DIST CT N CROUP ,TYPE F CE D BY FOR APPLICANT TO FILL .IN ® coNsr. J „ BUILDING ST ATISTICAL'CLASSI CATION ' SEWER.MAP ADDRESS '9�QCf C, G� /L(A/q-. . . - BK PG - CLASS. NO. � - DWELL. UNiTS- OT•NO. p� BLOCK WATER - • CERTIFICATE: NOT REQUIRED RECEIVED' L' ❑ TRACT •Q: _ MAP.7 HIGHWAv, ST.4TEMAJOR D CON �OCi4L -- __[2N0 OOF BLDGS. NO. 4-QQ (CIRCLE) .SIZE OF LOT NOW ON LOT USEZONE "SPECIAL , ':.USE OF - - CONDITIONS - - EXISTING BLDG:• C �4 . '`' - a TEL. OWNER /C OA/' 7K-/ NO.' BUILDING EXIST. • Gj[ SETBACK YARD HWY STREET NAME WIDTH ADDRESS //� E, Gol 7-4AI q r- _ . FRONT / ARCHITECT OR _ TEL. P. L. ENGINEER NO. SIDE P. L. Oc ADDRESS. - - - O TEL CONTRACTOR KyA,-L� J/ AJ Coy NO.ED PlYY - •• V cd ADDRESS �S 312 Nr I w /-/iv DESCRIPTION OF WORK. a NEW ADD ALTER REPAIR DEMOLISH, I• .. ? SQ. FT. I / -NO:OF NO. OF ' SIZE �P�LY( .O•q. STORIES FAMILIES - USE OF - ` STRUCTURE SIGNATURE OF U 2- ;In a, •,: ',:::. APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION ;•, P.0 ,PMT. FORMS, MATERIALS F - FEE $• _ FRAME: FIRE STOPS, '. I HE EBY 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 REGULATING GAS VENT, DUCTS BUILDING.CONSTRUCTION. I CERTIFY THAT IN 'DOING THE 'WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE-LABOR CODE OF THE STATE OF CALIFORNIA RELAT--. _ ING TO WORKMEN'S COMPENSATIONINSURANCE. LATH, EXT. - ;r SIGNATURE OF HOUSE NUMBER COR- PERM ITTEE OR-PERMITTEE art ~ ''RECT AND POSTED / ADDRESS S"I FINAL l�dvl JOHN F. LEWIS. PRINCIPAL "Sr RAL ENGINEE, PLAN CHECK VALIDATION _ PERMIT' VALIDATION CKM.G. CASH, L'jL 1 ;0 6.4N ..a.' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICA TO FILL IN B ING A RESS JL I hereby affirm that I have a certificate of consent to self insure, BUILDI DDRE i/(� or a certificate of Workers' Compensation Insurance,or a certified v Copy thereof e .3 L .C.) CITY /J 1�( ZIP LOCALITY Policy No. Company `r SIZE LOT NO.OF'BLDGS.NOW ON LOT El Certified copy is hereby f rnished. NEAREST CROSS ST. " 1}cyd(Certified copy is filed with th county building inspection TRACT BLOCK LOT NO. d artment / /., USE ZONE MAP N0. Dae applicant ASSESSOR MAP BOOK PAGE PARCEL II SPECIAL CONDITIONS CERTIFIC TE OF EXEMPTION FROM WORKERS' OWNER L YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADORES � DISTRICT GROUP TYPE CONST, FIRE ZONEPROCESSED BY dollars($100)or less.) /j/ CITY ZIP e.� D f I certify that in the.performance of the work for which this permit oy is issued, I shall not employ any person in any manner so as to v V� become subject to the Workers'Compensation Laws. ARCH ECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date _ Applicant ADDRESS k CLASS NO.. 4Ra DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED" TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRA OR TEL Ifl SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith WV FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE C.NO. PL / '� SIDE LICENSED CONTRACTORS DECLARATION Clss PL I hereby affirm that I am licensed underprovisions of Chap r 9 SEWER MAP >- (commencing with Section 7000 f Division 3 of the Busi S and S . .SIDE NO.OF S ORIE NO.OF FAMILIES - NEW ❑ Professions Code, nd is in full force�jeyf BK PG � License Nu er Lic.Class S�RIP�TI F {� (� ADD ElVVALUATI O Contractor ate ALTER ❑ Cj REPAIR ❑ W O 0 I am exempt under Sec. i, a. N B.&P.C.for this reason It f, `J DEMOL ❑ z LDMA_P/C# Date: u OFfcXISTIN BLD URM ❑ 2f3 Signature APPLIC P I ) T O LOMA Perm# ❑.I,.•as owner of the property, or my employees with wages as Z-0 _ their sole compensation; will do the work and the structure is ADDRESS >wl i s0, -13 not intended or offered for sale (Section 7044, Business and RJFINAL DATE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 0 „l! M •L OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL licensed contractors to construct the project (Section 704444, TO OR GREATER THAN THE 1, as owner of the property, am exclusively contracting , AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B Z ''� I.- VES El NO El �'G —r;;— ^' t Business and Professions Code.) •! , " WILL THE INTENDED USE.OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING alez T,j OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR i T»()S GUIDELINES. I hereby affirm that there is a construction lending agency forves❑ No❑ .I 1 rs �°=e=E N the performance Of the Work for which this permit IS ISSUed(Sec. (HAVE READ THEN AR OUSMATERIALS INFORM(,NGUIDE AND THE SCAQMD PERMITTING ^�-3097,CIV.C.) CHECKLIST. UND RS ND MY REQUIRE NTS THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER .2 ECTIONS 2.20. 0 THR2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTND FOR OBTAI I G A PFROM ±hli-Z EL Lender's Address � OWNER OR AGENT o I certify that I have read this application and state under penalty Df perjury that the above infor ation is correct.I agree to comply P.C.FEE n, J!"�. PERMIT FEE ; _— N with county ordinances nd State laws relating to building C� , con r ction, and heJmeil)�y a onze representatives of this C ty hSSUANCE FEE y� _co Q toe er icon the abod pr i e n purp es. m V INVESTIGATION FEE TOTAL FEE �y sro"awre.ol ro .cam or Agem a a lT // 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 BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec.3800,Lab.C.) CITY ZIP LOCALITY Policy No. Company SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST El 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 SPECIAL CONDITIONS { .I� CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS - DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) _ CITY ZIP I certify that in the performance of the work for which this permit s is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. _ r STATISTICAL CLASSIFICATION APT CbNDO Date ApplicantADDRESS 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. ADDRESS i LIC.NO, FRONT ILP L 0 LICENSED CONTRACTORS DECLARATION i! SIDE CITY LIC.CLASS P L W I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP IJ (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES LL Professions Code,and my license is in full force and effect. NEW ❑ BK PG poll-License Number Lic. Class DESCRIPTION OF WORK ADD ❑ VALUATION Q Contractor DateALTER ❑ $ O 11 ❑ I am exempt under Sec. REPAIR ❑ $ 2 w B.&P.C.for this reason DEMOL ❑ LDMA P/C Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as ZO their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J �, El I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, e r Business and Professions Code.) WILL 11 No El "} tf ' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING a757S.ltir f0a�f� i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH .•` CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR IMS GUIDELINES I hereby affirm that there is a construction lending agency foryy -B y' S...� VES❑ NO El �li}��� 70.�uw !:..M the performance Of the Work for which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (�} t 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. € l:(� 71J't '80 s TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. NOW . 10 Lender's Address L Ir OWNER OR AGENT 3 I certify that I have read this application and state under penalty CL PC.FEE PERMIT FEE Co p of perjury that the above information is correct.I agree to comply U) with all county ordinances and State laws relating to building « t! m construction, and hereby authorize representatives of this County ISSUANCE FE� 1 PM 6:26 to enter upon The above-mentioned property for inspection purposes. o 0 d o INVESTIGATION FEE TOTAL FEE�.//�/�V� N lunalure of A-1—nt or Agent Dade SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION thereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION , FOR BUILDING PERMIT or a �f cer• cop�,`/�t fr (Sec. 3800, Lab. C.') f _ COUNTY',OF LOS ANGELES .-- BUILDING AND SAFETY Policy N Company BUILDING9 Certified copy is hereby furnished. FOR APPLICANT TO.FILL IN ADDRESS- oS. Certified copy is filed with the county building inspec- BUILDING tion depa tment: ADDRESS 9l�9 !%Cl'✓/v �^V�' LOCALITY A� 0 F J �lP �i[ ei�.1 NEAREST Date r Applicant !r CITY ZIP CROSS ST. ERTIF -ATE OF EXEMPTION FROM WORKERS' -NO. OF BLDGS. ASSESSOR` COMPENSATION INSURANCE SIZE OF LOT 7D, 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: /T (yj }�F� �}�� TEL. (/� SPECIAL } OWNER 7CJ'//Y�rC. nrai-, lC ry `� �. I certifythat in the.performance of the work for which this O. CONDITIONS P .�'-' DISTRICT GROUP TYP FIRE PROCES D BY permit is issued, I shall not employ any person in any manner ADDRESS CO ZONE u so as to become subject to the Workers'Compensation Laws. O - . - Date 'Applicant CITY.ARCHITECT OR ZIP TEL. STATISTICAL CLASSIFICA ION . APT.- CONDO. NOTICE TO,APPLICANT: If, after making this Certificate of ENGINEER NO. . LU Exemption,'_you should become subject to the Workers'' CLASS NO. �-�/ DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall'. be z TEL. 1 VALIDATION CONTRACTOR �"�.F��1 N J BK. PG, deemed revoked- ." LICENSED CONTRACTORS DECLARATION' ITA LIC. I hereby affirm that I.am licensed under provisions of Chapter 9 ADDREO _1 A /+� NOJVb07 VALUATION - (commencing with Section 7000)of Division 3 of the Business andy� LIC. ��1t ` �OO ®o Professions Code, and effect.m license is in full force and eect. CIT 0 717T, CLASS Lam^ $ 1 ► "' SQ. FT. NO.OF FA LIE CHECK License Number ` Lic.Class SIZE ' STORIjESp FAMILIES ONE Con}ractor r•aLnee,,��-" ' - /� t L�v DESCRIPTION OF WORK//�� / NEW Q $ r Date t� CO]I am exempt under Sec. � Q / ADD ALTER FINAL 8.&P.C. for this reason t� REPAIR DATE E -USE OF = INA Date: DEMOL-- �J f EXISTING BLDG. � F y • I/ -Signature - APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and . ADDRESS Professions Code): PRESENT 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 :2.5 7 5 4.A tion•7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST.' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY:' PROP. LINE WIDTH #.° • • • ° I hereby affirm that there is a.construction lending agency for FRONT the,performance of the work for which this permit is issued PA. 1 °' °y4 9 8 8 .(Sec. 3097, Civ. C.). SIDE ° o ° 4 9`8 8' m "• 'P.L. Lender's Name M 10.24 -86 $ P.C. Fee$ Permit Fee' 3O Lenders Address l certifythat I.have read this application and state that'the n PP Issuance Fee t1 JZ above information is correct. I agree to comply with.all County Investigation Fee Q $ ordinances'and State lows relating to building construction, Total Fee 0.0 u and-hereby authorize representatives of this County,to enter m upon the bove-mentions pro rtyfor inspection purposes. `a [0h� ; SEE REVERSE FOR EXPLANATORY LANGUAGE n _ - Sign re -A li ant nt ate ®s'; APPLICATION FOR BUILDING PERMIT m COUNTY OF LOS ANGEL_ES. ,.. BUILDING AND SAFETY B FOR APPLICANT TO FILL IN UILDING ADDRES WORKER'S COMPENSATION DECLARATION J hereby;affirm that I have a certificate of consent to"self insure, 'BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified L 4 ZIP copy thereof (Sec.3800,Lab.C.) Clef n�u ' ' t i11 C LOCALITY Policy No. Company SIZE OF LOT NO.OF BL GS.NOW ON LOT ' ❑ Certified copy is hereby furnished. NEAREST CROSS ST ' f� ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. JCL7L department. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Oate Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN R TEL NOk I I YES (- NO COMPENSATION INSURANCE vCL( k WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be-completed if the permit is for one hundred. , VIA 1 DISTRICT GROUP TYPE CONST. FIRE ZONE PROC dollars($-100)or less.) v 1. ,// o EER - 'CITY ZIP ` - I certify that in the performance of the work for which this permit I is issued, I shall OR EN (Nnot employ any person in.any manner so as t become subject to the Workers'Compensation Laws. ARCHI CT - TEL NO. D - STATISTICAL CLASSIFICATION APT C NDO Date Applicant ADDRESS - CLASS NO. 94e-Q 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 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL �- LICENSED CONTRACTORS DECLARATIONSIDE a0 CITY LIC.CLASS PL U SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES'• 1 hereby affirm that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division.3 of the Business and SEWER MAP Q� Professions Code,and my license,is in full force and effect. NEW ❑ BK PG O License Number Lic.Class DESCRIPTION OF WORK ADD ❑ - VALUATION , 0 ALTER $ IC ' Contractor Date. UJ A -IJ I [ — CL ❑ Lam exempt under Sec. �' REPAIR ❑ $ Z BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXIS 'BLDG. URM ❑ 23 . Signature Ir APPLICANT(PRINT) TEL NO. LDMA Perm# ACCT.JL ® I, as owner of the property, or my employees with wages as Z their'sole compensation, will do,the work and the structure is ADDRESS 0 3303 50-50 not intended Or offered for sale (Section 7044, Business and FINAL DAT ).. Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL TRE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE �4� J t S ❑ I, as owner of the property, am exclusively contracting with AMOUNOR A MIXTURE SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > ACCT T.F licensed contractors to construct the project (Section 7044, YES El No Eli` i ~1? Business and Professions Code.) L • WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ITEMS LI1 OCCUPANT REQUIRE A PERMIT.FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ' y} CONSTRUCTION LENDING AGENCY COAST AIR'OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. - I hereby affirm that there is a construction lending agency for I IAL 1-76 -25 VES❑ NO❑ the performance of the work for which this permit is issued(Sec. Lac( (( 1��s-)j; I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING - CHECK • 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 CHANGE e nn rn Lender's Name: MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. C TI�"l1�r991GE m Lender's Address cc OWNER OR AGENT 3 I certify that I have read this application and state under penalty -1� -OL�I�1 ?,!14/96 p of perjury that the above information is correct.I agree t0 comply RC.FEE �V PERMIT FEE ` U) with all county ordinances and State laws relating to building �� QGt6 1 AM 1(I°1t m _construction, and hereby authorize representatives of this County - - ISSUANCE FEE 3D o to enter onthe ve-me oned property for inspection purposes. ilY L/ INVESTIGATION FEE - TOTAL FEE - �( NV\ oaio � 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 BUILDING AD ESUS BUILDING ADD S- I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified , copy thereof(Sec.,3800,Lab.C.) CITE 1 , ZIP 7� ' 1011141, �, � f � �,J LOCALITY Policy No. Company SIZE OF LOT T NO.OF BLD S.NOW ON LOT ❑ Certified Copy is hereby furnished. r ��Yt 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' SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL N COMPENSATION INSURANCE 2A4&A/Ko v��o��C; r-� t . g7 Sys WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be.completed if the permit is for one hundred ADDRESS' dollars($100)orders.) CA S \K� \ t.0, DIST CT GROUP TYPE CONST. FIRE ZOyE PROCES /I.certify that in the performance of,the work for which this peCITY rmit III, ZIP is issued, I shall not employ.any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR NGINE-R �TELNO. STATISTICAL CLASSIFICATION APT CONDO r' Date Applicant ADDRESS - CLASS NO. DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption,' you should become subject t0 the Workers CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you•must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL } SIDE C' LICENSED CONTRACTORS-DECLARATION CITY LIC.CLASS PL 0 1 hereby affirm that.l am licensed underprovisions of Chapter 9 SEWER MAP 0 (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF;,STORIES NO.OF FAMILIES O: Professions Code,and my license is in full force and effect. NEW ❑ BK PG 0 DESCRIPTION OF WORK - ADD ❑ VALUATION License Number Lic.Class n, W Contractor Date �Ss ALTER ❑' $ O_ • (n ❑ 1 am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this reason DEMOL ❑ LDMA P/C#. Date: USE OF EXISTING BLDG. - URM' ❑ . Signature APPLICANT(PRINT) - TEL NO. LD MA Perm# _ ❑ 1, as owner of the property,-'or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.), WILL THE APPLICANT 08FUTUREBUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of the property, am exclusively contracting with O d OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY -4 f31,�,T a g licensed contractors to construct the project (Section 7044, YES 11NO ElBusiness and Professions Code.) j0.80 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH -{ •I ITEM` CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORl'�'�b ,I, y i Lt til GUIDELINES. I hereby affirm that there is a.construction.lending agency for VES❑ No❑ TOTAL fTAL 70—1-30 the performance Of the WOfk for WI11Ch this permit IS ISSUed(.SBC. WAVE READTHE HAZARDOUS MATERIALS INFORMATION GUIDE AND THESCAQMDPERMITTING f'f,f ('If 7 3097,CIV.C.) CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ i•i ;•'+ti °�� Lender's Name TITLE 2,CHAPTER 2.20 SECTIONS'2.20.100 MATERIALS REPORTING AND FOR OBTAININGTA PERM T FROMUGH THE HE CONCERNCHANING G HAZARDOUS _K ° 0 Lender's Address ' OWNER OR AGENT ' 3 I certify that I have read this application and state under penalty tt,,11 p of perjury that the above information is correct.I agree to comply P.C.FEE - PERMIT FEE ? �f ;� ;��—I� i��. 130/70'. rn. with all county ordina a`nd State laws relating. to building �J'-�v qq } W construction, and ere y uttrize representatives of this County - ISSUANCE FE� •3� - 4606 - � i � PM 6- t °�� to ent nth alio - 'enti ned property for inspect)grip/Qjys�Je�$. INVESTIGATION FEE -TOTAL FEE !N e re o or n°en - Dere v SEE REVERSE FOR EXPLANATORY LANGUAGE. COUNTY QF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1403260060 PHONE: (626) 285-0488 EXT: _ ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 5905 LT: 27 SQ. FT STORIES TYPE OCCUP GROUPI 9109 LAS TUNAS DR 1 I ISTRUCTURE: 2100 1 V-B B I TEMP CA 917801904 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HART 1 15387-016-023 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI (TENANT: IEXIST BLDG USE: COMME USE ZONE: , (ISSUED ON: PROCESSED BY: - 1 1 (EXIST OCC GRP: B 103/26/14 SR (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: JFIjqALDATE FINAL W CODE: IRUIZ, IVAN A (909) 743,9004- 1 3,000 1 1 115805 BUCK POINT LN 1 1 1 1 FEES PAID I'5ESCRIPTIOlq OF WORK 1 ITENANT IMPROVEMENT - REVISE FLOOR PLAN APPROVED ON 02/26/14 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IBL 1402260058 TO PROVIDE AN ACCESSIBLE RESTROOM (APPLICANT: TEL. NO: I I - IRUIZ, IVAN A (909) 743-9004- IAA BLDG PERMIT ISSUANCE - 27.80 1 I 115805 BUCK POINT LN IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: I I IAE STRONG MOTION OTHER 3000.00 VAL 0.60 1 1 1 IA1 PLANCHECK W/EN=HC 3000.00 VAL 96.80 1 1 1 _IA2 PERMIT W/ENERGY-HC 3000.00 VAL 113.90 ICONTRACTOR: TEL. NO: I TOTAL FEES 240.10 1APPROVALS DATE INSPECTOR SIGNATURE 1 IA Q CONSTRUCTION INC. (951) 545-4607- 1 1' I 115218 SUMMIT AVENUE 300-537 LIC. NO ILOCATION AND SETBACKS I I IFONTANA CA 92336 886028 1 I I 1 I I ISOILS ENGINEER APPROVAL I I 1 1ARCHITECT OR ENGINEER: 'TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I 1 1 IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1 3 001 1-_ I I IFLOOR SHEATHING I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1 0 NO 22 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS 1 I.SHEAR PANELS I II (AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO 1 IFRAME INSPECTION I I I I I I I IFIRE SPRINKLER HANGERS 1 1 1 I I (INSULATION/WEATHER STRIP( I I I I I I I 1 I (INTERIOR LATH/DRYWALL 1 1 1 I I I I I I 1EXTERIOR LATH 1 I I I I I I I I (RATED FLOOR/CEIL ASSEM. 1 I I I I I I I I I IRATED WALL ASSEMBLIES I I I I I I I IRATED SHAFTS/OPENINGS I 1 I I I I I IT-BAR CEILINGS 1 1 I I I I I I 1 I ILOT DRAINAGE I ' IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I i I I I COUNTY OFLOSANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT'OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1402260058 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 NO. OF CONST NEW I BUILDING ADDRESS: 1 ITR: 5905 LT: 27 1 SQ. FT STORIES TYPE OCCUP GROUPI 9109 LAS TUNAS DR 1 I _ISTRUCTURE: 21001 V-B B I TEMP CA 917801904 1 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: HART 15387-016-023 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I I I (TENANT: JEXIST BLDG USE: COME USE ZONE: JISSUED ON: PROCESSED BY: 1 1 JEXIST OCC GRP: B 102/26/14 SR 1 I 1 I I DOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: JFI L �APE FI AL BY: CODE: IRUIZ, IVAN A (909) 743-9004- 1 3,800 1 115805 BUCK POINT LN I I�I 1 1 FEES PAID IDESCRIPTION OF WORK 1 1 ITENPNT IMPROVEMENT - DEMOLITION OF INTERIOR WALK IN COOLER 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: J& SUSPENDED CEILING AT REAR DRYWALL TO PATCH WALL & CEILING 1 1APPLICANT: TEL. NO: I JIN OFFICE & WORKSHOP J IRUIZ, IVAN A (909) 743-9004- JAA BLDG PERMIT ISSUANCE 27.80 1 1 115805 BUCK POINT LN JAB STATE GREEN BLDG FEE 3800.00 VAL 1.00 (SPECIAL CONDITIONS: 1 JAE STRONG MOTION OTHER 3800.00 VAL 0.80 1 I JA1 PLANCHECK W/EN-HC 3800.00 VAL 113.20 1 1 I _IA2 PERMIT W/ENERGY-HC 3800.00 VAL 133.20 1 I (CONTRACTOR: - TEL. NO: IFS INV WORK W/O PERMIT 344.00 DOL 344.00 JAPPROVALS DATE INSPECTOR SIGNATURE 1 JA Q CONSTRUCTION INC. (951) 545-4607- 1 TOTAL FEES 620.00 1 'I 115218 SUMIT AVENUE 300-537 LIC. NO 1 ILOCATION AND SETBACKS 1 1 IFONTANA CA 92336 886028 J 1-- I _I I ISOILS ENGINEER APPROVAL 1 1 1 JARCHITECT OR ENGINEER: TEL. NO: 1, IFOUI;TATION/TRENCH FORMS I I I 1 LIC. NO: 1 JSLAD/UNDER FLOOR J 1 I I I I 1 1 A1JRSPD FLOOR FRAMING 1 I 1 � I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDEIZ LOOK INSULATION I I 3 00 I I - I__.,- I I I 1-1 I IFLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I 1 0 NO 22 1 IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS 1 1 I JAIR QUALITY: 1000 FEET MATERIALS I I_ I I I 1 NO NO NO i (FRAME INSPECTION 1 1 1 I (FIRE SPRINKLER HANGERS I i I I I I (INSULATION/WEATHER STRIPI I I I I JINTERIOR LATH/DRYWALL 1 1 I 1 1 I EXTERIOR LATH 1 r1 I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I JRATFD WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS 1 I I I IT-BAR CEILINGS 1 J 1 I I I I I I 1 1 ILOT DRAINAGE 1 I I (REPORT ID: DPR261 ROUTE TO: BS0508 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 05080501260008 PHONE: (626) 285-0488 EXT: LEGAL ID- NO. OF CONST BUIL ING ADDRESS: TR: 5905 LT: 27 SQ. FT STORIES TYPE 9109 LAS TUNAS DR STRUCTURE: 1900 VN TEMP CA 917801904 ` ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-016-023 - THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EX ST BLDG USE: COM_ME. USE- ONE: C- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/26/05 JK 01/21/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE• LEE, DAVID (213) 268-1655- 3,800 tv- � 9103 LAS TUNAD DR TEMP 917801904 FEES PAID DESCRIMON OF WORK TEAR OFF ROOF REPAIR ROTTED WOOD INSTALL MODIFIED TORCH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DOWN BITUMEN. APPLICANT: TEL. 0• LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75 4533 SHIRLEY AVE AC STRONG MOTION RESID 3800.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE CA 91731 D2 PERMIT W/O EN-HC 3800.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GOLDEN KEY INC., 6262859016 (626) 285-9016- 4533 SHIRLEY AVE LIC. NO LOCATION AND SETBACKS EL MONTE, CA 91731 775115C39 OILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS ` LIC. NO: LAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/ D7 STAT L SS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST SIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH 1 RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508