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HomeMy Public PortalAbout9117-9119-9121 LAS TUNAS DR_Building__ DEPARTMENT OF BUILDING AND SAFETY � APPLj.%;_�; 4 7.ERMIT "a COUNTY OF LOS ANGELES C • WM. J. FOX, :CHIEF ENGINEER •r FOR APPLICANT TO,FILL IN FOR OFFICE USE ONLY - DISTRICT NO. PLAN CK.NO. PERMIT NO. BU�I LDINO! /J,,y� ._ Ag ADDRESS LOCALITY �jy�,�G- -e T RECEIVED BY DATE OF AP[�PL�.j D/ATE/ 1�9j8UED NEAREST ^r7 ,V CROSS 9T. 'OZ e9�em �J///' BUILD P �,r�Lr I ADDRESS ( J Y C..r` t �i{.if s/.�Lwsr°t.G'^.; OWNER � Z y �lY�".�GZ I" 9 P , '� ��e l . -MAIL / �y" /J/�� LOCALITY ADDRESS Z2:0'3 �` t�7 r �A' , NEAREST ,. TEL CR0S5 ST. , CITY NO. - .v� --�� _ - FIRE NO.OF ..�.• TYPE GROUP„- - ARCHITECT OR TEL. - ZONE PLANS �•-'" ­'_' ENGINEER NO. - R BLDG. \ OD.NO. SETBACK LINE ADDRE59 pp�� 11: TEL. ¢ APPRO Ci4" VED \\ CONTRA/CTOR y ` NO - / IC- BY _ \ DATE USE APPROVED ro J ��I S1 .l'O t ZONE �• Z BY .,� DATE ADORE S/ - LEGAL I CORRECTIONS DESCRIPTION LOTNO. BLOCK - f_ TRACT NO.OF SLOGS. SIZE OF LOT I NOW ON LOT USE OF NO.OF NO.OF - EXISTING BLDG. I.FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH S4•FT. NO.OF_ Z SIZE - ROOMS STORIES r WALL ROOF - COVERING I COVERING USE OF NEW / Bu+k,D+"y_ i ce'drL! sG&A 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - - APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:.LOCATIONINSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. J FRAME: FIRE STOPS, SIGNATURE OF i BRACING,BOLTS PERMITTEE-- LATH,INT.: I AUTHORIZED AOT LATH,EXT.: yes-s soM sets 7-a7 $ P.C. . PLASTER,INT. / FEE PLASTER,EXT. VALUATION FEE f FINAL �L I 'DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® � 1 WM. J. FOX,.CHIEF ENGINEER- - FOR APPLICANT TO FILLIN FOR OFFICE USE ONLY " 1 TWCT NO. ,PLAN CK.NO. PERMIT NO. BUILDING /Uf� c C/ ADDRESS J�• y� L /� � �.d ] (� LOCALITY �` (/!" CEIVED BY DATE OF APPL.(; D1A'TE ISSU/E/D NEAREST CROSS ST: DWNER ® / j BUILDING ADDRESS { 1 �+to moi ' O `�V A) A-S IIU A �� MAIL LOCALITY )& L ADDRESS - NEARESTTEL. C ITY �.�-�-G..�� NO. "�" � �CROSS 9T. FIRE NO.OF T.YP.E ORO ARCHITECT OR TEL. ZONE PLANS "! - ENGINEER NO. BLDG. ORD.NO. 'ADDRESS BETBACKLINE APPROVED TEL. 'CONTRACTOR NO. BY' DATE USE 1 APPROVED . ADDRESS ZONEc- (..• BY DATE LEGAL LOT NO. I BLOCK CORRECTIONS DESCRIPTION TRACT NO.OF BLDGS. SIZE OF LOT \I. NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. I`FAMILIE9 I ROOMB DESCRIPTION OF WORK NEW ALTERAWON ADDITION ' O A REPAIR � MOVING DEMOLISH "�j Sq.FT. NO.OF e _ Z SIZE - OOMB. STORIES - r WALL ROOF COVERING I COVERING - i USE OF NEW BUILDING " \ AJ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS •..•APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. -• FRAME: FIRE STOPS, SIGNATURE OF-a BRACING,BOLTS - PERMITTEELATH,INT.: AUTHORIZED AJ(/ LATH,EXT.: DBS-3 BOM SETS 1-48 $ P C 6 PLASTER,INT. - FEE _ PLASTER,EXT. K ", •/Il VALUATION FEE v �_' FINAL 78A838A CE#80311.87 APPLICATION FOR BUILDING PERMIT 1 ' COUNTY OF LOS ANGELES BUILDING s ,�� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING-AND SAFETY DIVISION LOCALITY • JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,'SUP•T OF BUILDING CROSS ST. DISTRICTUP. GROUP TYPE SEWER MAP. FOR APPLICANT TO FILL IN ` y BK - _ _ d �4 BUILDING CONST. ADDRESS i.C�S v� �„ STATISTICAL SSIFICATION CLASS.NO. DWELL.UNITS LOT NO. BLOCK MAP „D STATE NUMBER 21V HWY. YES O TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT ( NOW ON LOT / USE OF :C"om m.4FR C ��-�- EXISTING BLDG. BUILDING YARD HWY STREET NAME ' EXIST. ' /! SETBACK WIDTH O.WNERCOL'L e: Q �' C NcrFGI' 7FRONT f .MAIL p P.L: /O®' ADDRESS XOIY1A LI&.pa .. CAL z% SIDE TEL. P.L. CITY NO. 6,0161I ARCHITECT OR TEL. NSPECTION RECORD ENGINEER NO. J I L La'rJ �V G 'fib ADDRESS CONTRACTOR vVr� E7TE /,. TO'LR6'6SY� vV ADDRESS -?J O Al XAl A R � DESCRIPTION OF WORK NEW ADD ALTER REPAIR. DEMOLISH - - SQ.FT. NO.O NO.OF �, SIZE STORIES FAMILIES - ; USE OF.STRUCTURE /l A,to P/✓ t:f- U ,'2`3 cSL�j iL�sjii�j �la'1., �r pCpb SIGNATURE OF APPROVALS `APPLICANT 111VVV DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS - 6_ 0 D P:C. $ FRAME:.FIRE STOPS. • - FEE BRACING.BOLTS VALUATION - - - FURNACE: LOCATION, r , FEE ZMM ✓' GAS VENT.DUCTS s� r 1'.HERE-BY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CChqRECT AND AGREE TO COMPLY WITH ALL,COUNTY OWIUANCES AND STATE LAWS U IT UI ING O STRUCTION. LATH,EXT. 4 SIGNATURE OF HOUSE.NUMBER COR- - t' PERMIT'.E RECT AND POSTED ADDRESS �J W FINAL s� �Ct CLYDE N. DIRLAM,P INCIPAL STRUCTURAL ENGIN PLAN CHECK VALIDATION CK. m:o. cwstt PERMIT VALIDATION•• C •'m.o. sH 2 .93 .�29. � A 38:50 76A638A CE#803 8-64 APPLICATION FOR BU.ILDI G PERMIT,_. COUNTY OF LOS ANGELES BUILDING - 'DEPARTMENT OF COUNTY'ENGINEERADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST.. COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST: FADDISTF3IC�-NO -!TP: .TYP.E. _ POR APPLICANT TO FILL IN ! ►i/� coNsT.. G,..� - STATISTICAL C SSIFICATION " SE R MAP . .$� BPG �' .� ! V �� CLASS NO. DWELL UNI TS'� BLOtK. USE ZONE NOP •- --rCJ �"; CIALN0. OF-BLDOQ. CONDITI NSLOT NOW ON'LOTBLDG. SETBACK FROMTELFRONT PROP. LINE OF EET) i' E" iV � NO. TYPE OP EXISTING SETBACK-- HIOHWAY + YARD — TOTAL - ADDRESS z--''= / ;ti!% r HIGHWAY I 'F•OM C.L CITY i%P S..r»-- �'f - - ARCHITECT -+ TEL. - BLDG. ROP. FROM ENGINEER NO.' SIDE PROP. LINE OF (STREET) TYPE FEXISTING SETBACK HIGHWAY- }. YARD = TOTAL _ } ADDRESS - - HIGHWAY WIDTH,.._ FROM C.L. _ - CL - .. � . TEL - , } CONTRACTOR .1 0,,V* i,yaI0 _: ( I 4..' d� O ADDRESS D J.. ^�-f idf Ll NO ,. I CORNER CUTOFF, YES, `NO"O O CITY,/`447A/Ra V/P* LIC C- SEE REVERSE SIDE FOR SPECIAL APPROVALS w CL DESCRIPTION OF WORK � Z-L _gZ NEW ADD - - ALTER REPAIR DEMOLISH t SO,FT. NO. OF' NO. OF SIZE STORIES, FAMILIES UaL—O P• ST-.U.CaTJlR_E i-Xi—v' f r)L T (.- �E,*f f!w SIGNATURE OF APPLICANT. VALUATION$ APPROVALS DATE INSPECTOR'SSIGNATURE P.C. PMT. UP FOUNDATION, LOCATION ,FEE$ ' FEES$ + FORM_S,.-MATERIALS-__­ 'FRAME, FIRE STOPS, - I HEREBY ACKNOWLEDGE_THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:,LOCATION WITH ,ALL COUNTY ORDINANCES AND STATE,LAWS REGULATING GAS VENT.. DUCTS 93UILDING 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 !NG TO WORKMEN'S COMPENSATION INSURANCE.,,,_, ,�{- LATH. EXT. U .SIGNATRE OF /Jti/ ) 1,z./ HOUSE NUMBER COR- PERMITTEE OR PERMITTEE V&tt"' //!_ , REIT AND POSTED - • 'i .ADDRESS. % �. !'••! fiw'. 6�—S ,'pf�p.4L-i,.C�Jcifnil,+ FINAL PLAN CHECK' VALIDATION CK. M.O. ' ^CASH _ STT uRAL ENG EER JOHN F LEWIS PRINCIPAL PERMIT VALIDATION K. M.O. CASH 76A636A E#9034. APPLICAT N FOR LL®INGPERMIT - C bN OF LOS ANG LES BUILDING DEPARTMENT OF COUNTY ENGINEER . ADDRESS BUILDING AND SAFETY DIVISION L'O C A L I T ` JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. DISTRICT N j.GR U " ,TYPE. PRO ' FOR APPLICANT TO FILL IN ' CONST. BUILDING STATISTICASIFICATION - SEWER-MAP. .,, ADDRESS f - J,. '•S. V=f'\� CLASS NC L /1SDWELL UNITS B. PG LOT NO. Z� BLOCK` USE ZONE _.NOP TRACT D - - C '`� SPECIAL- NO. OF BLDGS. - CONDITIONS SIZE OF LOT NOW'ON'LOT - - - - - USE OF -. IST,NG B BLDG. TBACK FROM' TEL FRONT PR 'LINE OF f (STREET). OWNER � ; ( NO. - - TYPE OF EXI ING SETBACK- HIGHWAY �' YARD - TOTAL ADDRESS - •. Ln—r.SUN /` // HIGHWAY. WIDTH.• 'FROM C.L. - - - CITY �i '{. �•• L. 1 Il\ �.f��i f 'ARCHITECT OR TEL_. BLDG. SETBACK FROM - ENGINEER NO. SIDE PROP.LINE OF ' (STREET) TYPE OF EXISTING 'SETBACK HIGH + YARD = TOTAL ADDRESS • / HIGHWAY WIDTH 'FROM .L. • d CONTRACTOR CI,.�W'V ta ,/TOL �.fi'.1 ✓_Z� I - + Ou •�. LIC - PdRNER CUTOFF YES[:] - ODICADDRESSIC CITY 1%1 1-j ` �U ' C LLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS W" DESCRIPTION OF WORK • h NEW ADD ALTER REPAIRS .DEMOLISH !i LJ O. OF NO. OF ,.tia3�E s•-> n('i( SOfORIES' FAMILIES .USE O 1f Vii_., STRUCTURE effl 9-- Ln/ SIGNATUREO F 61M_ `` - e ®,I'if �.P�d•rt. ,C�' C l..�G+r+»' APPLICANT. / /� v _«�y�. V A LLIA T I O N$ , '�' ' jr,/C7 aj o 0 APPROVALS . �r/DAV INSPECTOR'SSIGNATURE FOUNDATION, LOCATION P.C. PMT. FORMS, MATERIALS FE � FEE$ J S� FRAME, FIRE STOPS, . 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING GAS VENT. DUCTS 9UILOING 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 COMPENSATION1AANC E. - �O LATH. EXT. SIGNATURE OF Gr�Jl _ �St;-,iHOUSE NUMBER COR-" - PERMITTEE 'i/�✓t I RECT AND POSTED ADDRE55��•.� /� 17"='I� a/rf��-I_T tVI6Lk FINAL JOHN F. LEWIS,PRINCIPAL ST RAL ENGI ER - PLAN CHECK VALIDATION 'CK. M.O. CASH _' PERMIT VALIDATION CK. CASH JUN 0 7 5 ; Ln •o 2 I,Is 11 o 2 .5.5 0" 'L - CE . FO.R�BULDI.NG..PE M T�6A638A � FLICATI,OIl .. !:-i.. . ':COUNTY OF LOS;ANGELESeulLolNc": DEPARTMENT•:.OF COUNTY,.ENGINEER ADDRESS BUILDING`AND SAFETY .:DI-VISION �ocALlT,v i" - JOHN'A. L-`AMBIE. COUNTY-ENGINEERaNEAREST,. ' ^WIL'L'IAM A.JENSEN,'SUP:T OF BuiLOING' - .CROSS ST. F _ "DISTRI T N'O GROUPTYPE P ESSED BY, FOR APPLICANT TO FILLIN, ONST.DING>•' STATISTICAL.CLASSIFICATION - 5 ER MAP. ESS.: . CLAS LNO:" ", BLOCK'' ... .WATERS NO. W U IL NOT REQ R D IT RECE fV E'' S T_:.- Cl MAP ` R �,,:HicHwny..NO..OF.;BLDGS. '" '` NO. .,.•(CIRCLE) -STATE JOECOND; LOCALOF LOT NOWFON LOT US ZONE- SPECIAL OF r 'CONDITIONS T,ING'BTEL.ER''`.• BUILDING EXIST._ SETBACK ' WIDTH YARD'; HWY TREET AMERESS`. /�` ;- - RON ITECT OR 'r�'TEL' P.'L NEERNO SIDE ':aP. L O RESS -+ ' .. U, _ ';N O. ✓-j I ti „` I rDR - O `` DESCRIPTION OF 'WORK a Z. . .ADD'`•' ALTER'. REPAIR DEMOLISH NO.` - _ NO. OF , '5TORIES.' F FAM 'I:ESRE ,+RE OANTN APPROVALS ,y• °'.. DATE INSPECTOR'S SIGNATURE P.0 's, ' PMT. �' FOUNDATION: LOCATION FEE $ 'i i FEE•$ r O FORMS: MATERIALS ' FRAME FIRE STOPS. :;I.HEREB.Y-ACKNOWLEDGE-THAT I HAVE READ'THIS APPLICATION BRACING. BOLTS AND STATE THAT THE 'ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION -. WITH ALL_'COUNT,Y ORDINANCES AND"STATE LAWS 'REGULATING GAS'.VENT,-DUCTS ;• BUILDING'=4STRUCTION. [,CERTIFY THAT IN:DOING THE WORK AUTHORIZED HEREBY'I WILL NOT.EMPLOY ANY'PERSON•1 - IOLA- ..LATH INT �•' ' TION OF'THE'LABOR CODE OF THE STAT =-OF, LI-FOR A' ELAT _ - ING TO WORKMEN'S COMPE ATI IN AN LATH EXT. ' ` SIGNATURE O HOUSE NUMBER COR-,"'__.l _ - PERNIIT.TEE ,RECT,-AND POSTED` - - , O ,. .. - ADDRESS'39L5 - ,.FINAL ��•.2/.-� .. ., ' JOHN F..LEWIS..PRINCIPAL' STR URAL ENGINE R PLAN HECK°VALIDATION K. M O.. CASH. PERMIT.VALIDATION + cK.. M.O. CASH' . 76A638A-CE #803 3-69 `, APPLICATION FOR BUILDING PERM COUNTY OF LOS ANGELES BUILDING ADDRESlti'Q� DE.¢'ARTMENT OF COUNTY ENGINEER 9,UILDING AND SAFETY DIVISION LOCALITY �C JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST: FOR APPLICANT TO FILL IN DIST R T 0. GROUP „ TYPE CO T.. PR BY (PRINT OR T.YPE ONLY) BUILDING t STATISTICAL CLASS IC SE ER MAP ADDRESS CLASS'NO.". , LL.UNITS BK PG LOT NO. BLOCK USE ZONE MAP / NO. TRACT �` ��� SPECIAL AA's N0. OF BLOGS. CONDITIONS SIZE OF•LOT NOW ON LOT' USE OF EXISTING BLDG. ` BLDG. SETBACK FROM ' I TEL. FRONT PROP. LINE OF. - .(STREET) OWNER ClD .0 i-- NO. TYPE OF EXISTING SETBACK HIGHWAY= +• YARD = TOTAL ADDRESS I S�Q Y'(.c(,� IGHWAY WIDTH FROMC.L. CITY 1� C -�l + _ ARCHITECT'OR TEL. BLDG. ACK FROM (STREET) ENGINEER• NO. SIDE PROP. OF TYPE OF' EXISTING- SETBA AY' + YARD" = TOTAL ADDRESS HIGHWAY I WIDTH FROM C.L. T L. CONTRACT/O�R_I. AQ,. d _ + d ADDRESS t7 J LQ O t^'�J NO �p Lf-k& CORNER CUTOFF YES_'❑ N0 .❑ CITY C�l Ci CLASS SEE R VE SE.SIDE .FOR S,PECIAL:,APPR OVALS-, O NA METANDTBRANCHNDER , uj N ADDRESS Z SQ. FT. N0. OF N0. OF l SIZE STORIES FAMILIES NEW ± USE OF ADD ❑ STRUCTURE IC b CL .21 "1241 IG NATURE,0 DEMOL ❑ APPLICANT i VALUATIO AP OVALS DATE INSPECTOR'S SIGNATU E P.C. PMT. FOUNDATION: LOCATION FEE $ FEE,-$ FORMS MATERIALS' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ.THIS APPLICATION FRAME: FIRE STOPS, - BRACING BOLTS ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I - - WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. ' OF THE STATE OF LIFORNIA IN'RELATI •TO W KMEN'S COM- -7� PENSATION.INSUR NC LATH, EXT. 29 / d SIGNATUREOF HOUSE NUMBER CORRECT PERMITTEE - AND POSTED ADDRESS ..d - FINAL JOHN-F: LEWIS, PRINCIPAL ST CTURAL ENGINEER PLAN CCK VALIDATION CK. m.o. CASH - PERMIT VALIDATION CK. M.O. CASH e 76A638A 1E18033-69 APPLICATION FOR BUILD( G PERMIT COUNTY OF LOS ANGELES BUILDING (' _ DEPARTMENT OF COUNTY ENGINEER ADDRESS 9/ BUILDING AND SAFETY DIVISION LOCALITY el JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT'NQ GROUP TYPE CONST. PRO E E[� (PRINT OR TYPE ONLY) �.. 1 �Jj� / BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �,. E CLASS N0. ��.DWELL.UNITS BK LOT NO. BLOCK USE ZONE MAP `l / NO. Cf TRACTS ��7 ( SPECIAL N0. OF BLDGS. ` CONDITIONS SIZE OF LOT NOW ON LOT USE OF �-�- EXISTING BLDG.-jY 4A-se yve,1 114AIoj AILDG. SETBACK FROM TEL /_. / FRONT PROP. LINE OF (STREET) OW NER / .L �t NO. iG� G TYPE OF EXISTING SETBACK HIGHWAY YARD - TOTAL IGHWAY WIDTH FROM C.L. ADDRESS t c, CITY -1,- C ARCHITECT OR TEL. BLDG.SETBACK (STREET) ENGINEER NO. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGH YARD = TOTAL ADDRESS ( HIGHWAY WIDTH FROM C.L. / TEL.` J�:C + } CONTRACTOR « '�bd/" 0. _-� rNAME SS -'.f ,��,� NO E�L�', CORNER CUTOFF YES ❑ NO E LIC. cl c �,� Lr.• CLASS p - / SEE REVERSE SIDE FOR SPECIAL APPROVALS H RUCTION LENDER V AND BRANCHSS N Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES NEW USE OF STRUCTURE ADDER , -u G r)•�' �trO ; SIGNATURE OF� DEMOL 7 APPLICANTjaflt� ox VALUATION $' DO ^ OVALS DATE SPECRTOLR'S SIGNATURE P.C. PMT. �' Q FO FORMS, MATERIALS N FEE $ FEE $ HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION FRAME: FIRE STOPS, AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION, TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS 'NILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. / '() OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSUR_A IC_EA LATH, EXT. SIGNATURE O � HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADORES FINAL JOHN F. LEWIS, PRINCIPAL STIR TURAL ENGINEER PLAN CHECK VALIDATION CK. M. cnsH - PERMIT VALIDATION cK n.o. CASH ftt'.. 3 3 7 4 AN 16 1 D 1 2.0 O N - `76A696A CE aao31;-57 APPLICA TION FOR BUILDING DI N PERMIT, 1, COUNTY OF,LOS ANGELES BUILDING 1 C� (\ ADDRESS'- 4 4 F +A'. A:I;L 9 . DEPARTMENT OF"COUNTY ENGINEER -BUILDING AND 'SAFETY. DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST ry" ..CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. +4 vy,. DISTRICT NO.. GROUP I TYPE SEWER MAP FOR. APPLICANT TO FILL IN BK FG _ CONST.NX - BUILDING - - ADDRESS �: Q J. �, STATISTICAL CLASSIFICATION CLASS.NO_F)�DWELL.UNITS .LOT NO. .8L OCK 'MAPSTATE NUMBER ' I- -�. / HWY. 'YES NO.' - TRACT USE ZONE SPECIAL ' ♦ NO.OFBLDGS. i CONDITIONS` •'SIZE OF LOT 'J qc- - I NOW ON LOT USE OF EXISTING.BLDG.- •> 1 BUILDINGEXIST. YARD HWY :STREET NAME - UU - r - SETBACK- .�:.+ � � WIDTH . OWNER .M. C1tt n � �°'` GItIfRQ FRP.ONT ADDRESS �� V i1 G +� F SIDE CITY .'.[- NOh OI �� P.L. ARCHITECTori j -/� T L. INSPECTION RECORD ENGINEER f "1 / 1r V'F :I� ADDRESS \ _ Gam.,, V- .• - �. I� per' j� TEL. y CONTRACTOR��` \'f A'. hQ O. ' (� � /� JRA ' � iG:w ADDRESS aO (V f�,►• . DESCRIPTION OF WORK NEW , ADD L ER PAt DEMOLISH + jt SQ.FT. NO.OF NO.OF SIZE' - STORIES FAMILIES t - US OF TRUCTURE � a�. ! )ni dic v re SIGNATURE OF (C� 7,--v__APPROVALS - APPLICANT 10 +W - DATE INSPECTOR'S SIGNATURE ADDRESS . FOUNDATION: LOCATION . FORMS,MATERIALS Al P.C. $( , S FRAME: FIRE STOPS, j. FEE � BRACING.'BOLTS. �.� FURNACE: LOCATION, VALUATION. FEE $. 7G�,.`� GAS VENT.DUCTS - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ' AGREE TO COMPLY WITH ALL COUNTY ORmDfANCES AND / STATE LAWS R U TING BUILDING STRUCTION. LATH,EXT. SIGNATURE OF L/ HOUSE NUMBER COR. PERMITTE - RECT AND POSTED - ADDRESS0 � FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER --PLAN•CHECK VALIDATION . CK. M.O. CASH PERMIT:VALIDATION CK. M.O. CASH' Co3 7 8' 8 up 1'2. 1 ,n 1 :3' :50` I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLANCK. NO. PERMIT NO. ADD BUILDEISS 7 U L/ `4, LOCALITY ��- J� L /r r(, RECEIVED BY DATE OF APPL. DATE ISSUED /" G C� NEAREST I j~✓ ROSS ST. BUILDING _ r ` r� / C/' � / ADDRESS OWNERlG fS �C(J MAILLOCALITY (� ADDRESS ,j j 7_a ,0V 42e, NEAREST NOL CROSS ST. CITY FIRE ZONE I PO NS I TYPE I CROUPARCHITECT OR TEL. ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS 31Z-A' "/Il G� APPROVED c� 1`-Nf� TEL. r,^L BY DATE CO C O NO. /� Y'V/v USE APPROVED � r�� ZONE BY DATE ADDRESS /I_,7 lcv HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. I BLOCK MAP NUMBER -FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OFI NO. OF I� EXISTING BLDG. FAMILIES 1 DESCRIPTION OF WORK ! NEW I I ALTERATION I ( ADDITION REPAIR I I DEMOLITION I I I A SO. FT. NO. OF O SIZE ROOMS STORIES Z D EXT. WALL ROOF r COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH lkj COUNTY RDINANCES AND S TE BRACING, BOLTS LAWS REGU LAT..-I/y/f('Jy/BUILDING CO TRU CTIO FURNACE: LOCATION, SIGNATURE OF // GAS VENT, DUCTS PERMITTE i LATH, INT. ADDRESS 4' LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76A698A D653 10-50 $ Q C. $ FEE PLASTER, EXT. VALUATION FEE FINAL j' ,f pl ArCFy#803 3-69 ` APPLICATION FOR BUILDING PERMIT COUNT-Y OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS S r BUILDING AND SAFETY DIVISION -- JOHN A.' LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUP'T OF BUILDING NEAREST .� CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CONST. PROCESSED BY (PRINT OR TYPE ONLY) BUILDINGj� STATISTICAL CLASSIFICATION SEWER AP ADDRESS / /,��j / 0,VA 5 +��' • CLASS N0. 2 Z DWELL.UNITS BK PG '--7- LOT NO. BLOCK USE ZONE MAP NO. ZOO 7 TRACT SPECIAL N0. OF BLDGS. / t-' �7 COND TIONS SIZE OF LOT NOW ON LOT USE OF ,GJEP��� EXISTING BLDG. ��gR��-/f�r~� t7� t ,BLDG. SETBACK FROM ONT p '7�TEL p Ty PE OFREOXPST'fNGE OF (STREET) HIGHWAY + YARDTOTAL OWNER �j//��E� �CC/d���""_NO.. _,S,?�/$7 ADDRESS 4119 /E �� 5�,9A Oe/,l /9iF/ HIGHWAY WIDTH FROM C.L. -- CITY Rr.4d"A + ARCHITECT OR TEL. BLD .SETBACK FROM (STREET) ENGINEER NO. SID . LINE OF TYPE OF EXISTING S T'8AC-K IGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. ® CONTRACTOR ��JA/� (d n�NO. 2ZOGO,,� a ADDRESS 5 S NO CORNER CUTOFF YES NO u LIC. p� CITY civ`7�/E� p CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O CONSTRUCTION LENDER r NAME AND BRANCH Oc dvI / '� / D ✓/P 1 W a ADDRESS N SQ. FT. N0. OF NO. OF ,. SIZE STORIES FAMILIES NEW USE OF I 'I ADD STRUCTURE a/ ALTER r/ REPAIR SIGNATURE bF(fj DEMOL _ APPLICANT vir 6 VALUATION $ ©Q �— APPRO ALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION• LOCATION FEE $ FEE $ Foc> FORMSMATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURAN E. LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED A D D R E S r l 'E 40157,,,?X, v +Ao/,,A FINAL JOHN F. LEWIS, PRI CIPAL STRI,cruRAL ENGINEER PLAN CHECK VALIDATION CK. M.o. CASH - PERMIT VALIDATION CK. "M.0. CASN FEB 13 2 3 D .4 u ,s fi��; 3 6 3 2 8 FE 813 1 D "-9.00" APPLICATION FOR .BUILDING PERMIT COUNTY.OF,•LOS ANGELES BUILDING AND'SAFETY '. WORKER'S COMPENSAI'ION.DECLARATION FOR APPLICANT JO FILL IN BUILDIN ADDRESS BUIL NG AD RESS .. .`'- I hereby affirm that I'have a certificate of consent to self insure,_ If or a.certificate of Workers' Compensation Insurance,or,a certified copy thereof(Sec 3800;.Lab.C.) CITY ZI G !- LOCALITY Policy No CompanySIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS ST v ❑ Certified copy is filed with the county building,mspect[oh TRACT BLOCK LOT NO, .department. • ,. USEZO• E- MAP O.: .. .. - Date' ASSESSOR MAP BOOK Applicant PAGE - PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL O: COMPENSATION INSURANCE V 6 40 WITHIN 1000'FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS " `�/ , 'jJ�,� � ��_ _ DISTRICT •GROUP TYPE CONST. FIRE ZONE PROCESSED BY - dollars ($100)or less.) ->-t 494& ' . ,. CIT _ ZIP I certify that in the performance of the work for which this permit ( is issued, I shall not'employ`.any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS - - , - CLASS NO.-" DWELL UNITS NOTICE, TO APPLICANT.' If; after making 'this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST , Exemption, you 'should become subject to the WorkersCONTRACTOR��%�. i- ' TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor_Code,:you must forthwith '/�vCi FRONT comply with such provisions or this permit shall be deemed,revoked. ADDRESS ' LIC.NO. P L LICENSED CONTRACTORS DECLARATIONI SIDE CITY - LIC.CLASS P L•' I:hereby affirm that I am licensed under,pro visions of. Chapter,9 SEWER MAP (commencing with Section 7000)Of Division 3 Of the Business and SQ.FT.SIZE NO.OF STORIES. N0.OF FAMILIES . . Professions Code,and,my license�is in full force and effect. NEW ❑ BK' PG (L License Number Lic.Class ' DESCRIPTIO OF WORK - _.. .ADD. ❑ VALUATION - Contractor Date ALTER ❑ j•i.s U t it•t•; ..4 w&Al-'0 REPAIR ❑ _�I ❑ I am exempt under Sec. _$ V BAP.C. for this reason DEMOL ❑ LDMA'P/C# E E I f� I nip � T a- Date: Date:. USE OF EXISTING BLDG. - URM- ❑'' L . • 11 m nfn Signature - APP C NT(PRINT) - TEL' O.• LDMA Perm# - �•h ��': '` _°J'-f Z ❑ I, as owner of the.property, or my employees with wages as �' Z CHANGE o j sly their sole.compensation„will do the work'and the structure is, ADD S O '� f s 3C not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) F - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HAN E A,HAZARDOUS MATERIAL _ /L ❑ I, as owner of theproperty,.am exclusive) contracting WITH OR A MIXTURE CONTAINING A.HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE -• ' ' ; }{%I Il?`"f Ii I j,�, i�f -�ri4 Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? (FINAL BY ' licensed contractors to construct, the project (Section,7044, -r -� VES❑� NOMI i''F.r.._ � I" t�If Business and Professions Code.) . WILL THE INTENDED USE.OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - OCCUPANT REQUIRE A'PERMIT FORCONSTRUCTIONOR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST'FOR - GUIDELINES.I.hereby affirm that there is a construction lending agency for YES❑ NO - a. the performance Of the WOfk for which IhlSpermlt IS ISSUed(.Sec: [HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C.). CHECKLIST:I UNDERSTAND MY REQUIREMENTS UNDER THE LOVANGELES COUNTY CODE, N _ '.' • TITLE 2,CHAPTER 2.20 SECTIO .20.100 HROUGH'2.20.140 CONCERNING HAZARDOUS - - Lender's Name MATERIA OPTING A F TAINT A PERMIT FROM THE SCAQMD: o Lender's Address. OWNER OR NT O .: 0 1 certify that I'have read this application and state under penalty o P.C.FEE PERMIT FEE of perjury that the above information is correct.l agree to comply with all county'ordinances and State laws relating to building 0 construction, and hereby authorize representatives of this County ISSUANCE FEE ch to' er upon the above-menti property for inspection purposes. a /• - - _ (� INVESTIGATION FEE - TOTAL FEE D' X /T �j (o D n s am. nooii� o,neem oa SEE REVERSE FOR EXPLANATORY LANGUAGE APPLI:CATI:ONFOR BUILDING-PERM COUNTY OF LOS ANGELES BUILDING AND=SAFETY WORKER'S COMPENSATION'DECLARATION FOR APPLICANT TO FILL IN eU ING ' 'BUILDI 'ADDR S - I hereby affirm that I'have a certificate of consent to self Insure or.a certificate of Workers;Compensation Insurance;or a certified `rte COpy.there0 S`c.3800,L .`C.) dn LOCAL Policy CITY. ��/V ZIP. IT No. Company.- ` " / SIZE OF LOT NO.OF`BLDGS.NOW ON LOT ❑ Certjfied copy is•hereby f rnished. NEAREST CROS ST ' , ❑ Certif ied'copy,is filed with the county building inspection - TRACT BLO K LOT NO. de artment. �(Y�t� USE ZONE MAP,NO. Date �4pplicant � V�d�Y� ASSESSOR'MAP SPECIAL CONDITIONS:. - ASSESSO AP BOOK PAGE -PARCEL _ { %OWN � TEL NO'., CERTIFICA OF EXEMPTION FROM WORKERS' YES NO. C MPENSATION INSURANCE WITHIN 1ooO.FT.OF SCHOOL? (This section need not be completed if the permit'is for,one,hundred ADDRESS DISTRICT - GROUP TYPECONST.,FIRE ZONE •PROCE D BY dollars ($100)-or less.).,, CITY 1 certify that in the performance of the work for which this permit �• J i O is issued, 1-shall noVemploy any person in any manner so as to ' `become subject to the Workers'Compensation Laws. ARCHITECT - _ OR ENGINEER' TEL NO: _ LA -* -x Date• Applicant` ` .- - ADDRESS '• r - - - ATIDWELL UNITS'. STATISTICAL C IC APT'. CONDO CLASSNO . NOTICE TO APPLICANT. If,-..after making this Certificate' of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should `become subject_ to' the • Workers' CON ACO O. SET BACK YARD.' HWY PROP LINE WIDTH Compensation,provision's of,the Labor-Code,-you must forthwith — FRONT' comply with such provisionsdr this permit shall be deemed revoked. gDDR S LIC.. o. P L LICENSED CONTRACTORS DECLARATION SIDE - CITY-<;,() •� �LIC.CLASS - � P L _ I hereby-affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section•7 00)of Division'3.of the Busi ss and SO:F .SIZE N0.'O STORIES' NO.OF MILIES . Professions Code, nd ce is in full forc a d f NEW BK PG , d License Number Lic.•C ass DES RIPTIO OF WORK.' �` % .ADD ❑ VALUATI - p-�1 .,- O_ C_ontracto ate ALTER `,❑ $ ' U p -11cc $. N. I am.exem t under Seo. — `,� • ' REPAIR ❑ B.&P.C.for this reason ,'v` IV DEMOL ❑ -. LDMA P/C#. W ,.,... .' Date: .' USE OF,EXISTING LDG.. .. URM ❑ - .. a. Signature APPLIC I T) LDMA Perm# '. Z /!, ❑ I, as owner of�the property, or my employees with wages,as 2 � ZO 11 ` 1 =a a, ADDR SS - �� 51' their sole compensation, will do'the work and the structure is i _,l I_ not intended or offered for sale (Section 7044, Business.and ' FINAL DATE` Q ��PfOfeSSIODS Code:)' WILL THE APPLICANT OR FUTURE BUILDING OCCUPAN HANDLE A HAZARDOUS MATERIAL,' EI I, as owner of the property, am'exclusive) contracting with OR A MIXTURE'CONTAINING A HAZARDOUS MATERIAL. QUAL.TO OR GREATER THAN THE.. Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY+r & licensed contractors to.construct the project.(Section.7044,. Ye"s❑ n o❑ ) Ir Business and Professions Code.)" h _ WILL-THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING: - '- OCCUPANT:REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION'FROM THE;SOUTH - CONSTRUCTION LENDING AGENCY - COAST AIR',QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKpST.FOR r 'y i TEME -•a, - -,� - GUIDELINES. _ F I hereby affirm that there is a•construction lending agency for YESE1' •No❑ r " 155 w the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING fL -1 r ..3097,CIV.C:). - - - CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - w - TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20:140 CONCERNING HAZARDOUS '= . 3 .Lender's Name -.MATERIALS REPORTING ANDFOR OBTAINING.A'PERMIT FROM THE SCAOMD. _ -- .. 1� EL Lender's Address - OWNER ON AGENT [[ _ �.. a E"• 'n I�I I I"t.7C o .• h certify that I have read 4his application sand state under:penalty, , O of perjury that the above infor ation iS correct.I'agree to comply. P.C..FEE PERMIT FEE QQ , with all ounty' ordinances State laws laws relating to building " �I.TJ, f 1Ll Irl °I_r! m con cf n, and.hereby a rize-representatives of this Cou ISSUANCE FEE 0 - ,1 co to ent p n the abov 'me ti d.pr erty for in ec n purpo 7 ''fir t s,l a - �' '�. INVESTIGATION FEE -r TOTAL FEE I (O CJ �,_ Signature of PPlic or Agent - ale - , SEE REVERSE FOR EXPLANATORY LANGUAGE „ WORKERS'-COMPENSATION DECLARATION ff' that'I-hav d'certifi T f consent to.se I' .ereb irm a ca e o se f ph y -: �►PPLICAT.ION R' BUILDING PERMIT insure, or-a certificate of Workers' Compensation Insurance, or a cer:ified'co Thereof Sec:';'3800%Cab: C ' "'' : . Pv COUNTY OF Wit,ANGELES. # BUILDING 'AND SAFETX Policy No :ACompany - BUILDING. :Certified'cop"y is`tiereby-#u�nished: = FQR APPLICANT-TO'FILL'ft" - 5 - ;. :. y �. v� �:• 'Certified co is filed with fhe:count builditi ins ec- BUILDwG .- Py Y . 9:. P- , -tion'de artmenT:: ADDRESS ADDRESS ' ,j i ZIP Date A, licant. -- CITY'` ' . CERTIFICATE OF EXEMPTION FRAM WORKERS SIZE :7 LOT NOW ON LOT`" LOCALITY _ NEAREST rs. CR08S ST. y' s.`.CO/VIPENSATIQN INSURANCE ASSESSOR <. This;section need not=-be:completed if;the permit-is for one. TRACT" BLOCK LOT'NO MPP BOOK z PAGE,' PARCEL - hundred dollars ($100),or less ) <?r r" TEL:' t,. OWNER NO:Zb�J`�1 I certify that in.the performance]'f�the;work for which.this t•= SPOECIAL �* " ermit is issued;,I shall-noT em to an "erson in on manner ADDRESS p* , P..Y Y P Y CONDITIONS d' USE ZONE o;as to become sublect.to the Workers Compensation Laws 0 -ISr a.'f"•' CITY ,: ZIP'- 'S IP V..... Date ,� Applicant 5C - '�Q L�� ARCHITECT OR ,' TEL. DISTRICT GROUP.- TY P r FIRE, 'PROCESSED-BY; ENGIN_EER NO. i- NOTICE:TO APPLICANT: If after, mak ing''.this:'Certrficdte.of >, CO ST N6 f , Exemption -you.; should_.beco'me'.°subject' to..tbe,•Worke�s' _ AUL' . ADDRESS U . Compensation provisions of the Labor Code you,-must forth a with:comply with,such provisions,-or,ikis'per 'it"shall',.be TEL STATISTICAL CLASSIFICATION APT. CONDO deemed revoked CONTRAGTOR::�� Sa.r NO. Z `> CLASS NO. - DWELL.:UNIT' LICENSED CONTRACTORS'DECLARATION i ADDRESSZ S I Hereby affirm that 1.a'milicensed`underprovisions of Chapter 9 SEWER MAP•::; LIC (comm'encing with Section 7000):of Division 3 of the Business, CITY CLASS ' and.Professions;Code,and my license is m;fulfforce and ffect BK. PG: VALIDATION S NOr,OF NO.OF CHECK id.icense Number;_ � _Lic `Class CZE FT; FAMILIES ONE Alt- T r -.. �.� �r DESCRIPTION OF.WORORIES S • Contractor Date��7 1� e ❑ Y A.L... Q 1'am exem t.under Sec. £1.� ; 5\lP�S. - NEW P ` ADD � B.&P.C. for this,reason $ " :ALTER ❑' ,. REPAIR. , Date: . USE OF' .., EXISTING BLDG..��i` DEM APPLICANT TEL: . 4 Signature .' FINAL .' Y :OWNER=BUILDER DECLARATION (PRINT). `,f"'. : Q` ' NO. A f "DATE I hereby'affirm;That fam exempt from-the Contractor s License A-- �_ ADDRESS 2:1 ©.:" OC w :�- !� Law for•the followmg'.reason (Section 7031 S.Business and i a a Professions Code). > -.e PRESENT BY A � " F BUILDING ` y^{ ' ., El I,, as owner,of•the.property, or my employees with ADDRESS wages as,their sole compensation;;will do:the work and - i the structure,is not intended,or,offered for sale(Section LOCALITY 1 -7044, Business and Professions,Code ) a t MOVING TEL CONTRACTOR: NO. •t s T as owner of the,property, am exclusively contracting - l A T-' 44 with aicensed`contractors'to,construct the-prolect'(Sec ADDRESS 1 1 tion.7044,.Business and;Rrofessions Code:) r r -;REQUIRED -TOTAL SETBACK FROM EXIST: - �. CONSTRUCTION LENDING AGENCY YARD` '_.HWY•' ITEM SET BACK 'PROP. LINE WIDTH Gt`` I hereby affirm that there,is a;construction.lending agency for, FRONT .+ e ., c the performance of the-work:for which-this permit is.issued - " " P:1.: ' + �QT��- i��'® ^°- (Sec.-3097 Civ.C ) SIDE= - - -1-HECK,; Lender's Namef' ;tlCl LDMA:Ref # ` P C Fee$ � Perm,r Fee Lender's Address ;?'• CDMA P/C _ I certify that.F have read this,applicatlon,and,state that the " ' IIssuance•Fee ''2 '�S o - -.-.. above information is'correct:.I"a tee to:com I 'withalLCounty ,, Investigation Fee ` „- . 3.`,.O CDMA' L) V R ordinances.and"S at Idws•' lating to building construction ! Total F,ee rt Perm. #'" { ►.0-' ��; 'rt. a Q and her a h r' e: epr tatives of-this Countyto.eriter , M- upon nti rSed r erfy or inspecTionpurposes SEE REVERSE FOR EXPLANATORY LANGUAGE A gnature of A lira I'llr Agent Date WORKERS' COMPENSATION-DECLARATION APPLICATION - FOR. BUILDING PERMIT . I heire y affirm-that I have a certificate, of consent to'self ' insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof (5ec"3800, Lab C.)-' / i -COUNTY'OFLOS ANGELES. BUILDING AND SAFETY Policy No. Conpany ❑ ','-Certified'copy is hereby--furnished. D-'��/a'." F R APPLICANT T FILL-IN AooRess Certified copyris filed with the,county building inspec- BUILDING a� tion department. ADDRESS ( Yv CITY' ' ZIP LOCALITY Date pl+cant+ O. OF BLDGS' CER FICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT' '" OW ON LOT NEAREST .- CROSS ST._ COMPENSATION INSURANCE" ASSESSOR (This'section need not 150. completed'if'the permit is for one TRACT BLOCK LOT NO. MAP BOOK > PAGE" PARCEL ` hundred dollars ($100) or,less.),,' '.• l• TEL. OWNER• /. -NO: Pi'O USE.ZONE MAP / NO. c I certify that in the performance of the.work for which•this SPECIAL,f } permit is issued; I shall not employ any person in,any manner ADDRESS CONDITIONS somas to become,sublect.to the•Workers'Compensation Laws. > O: CITY ZIP U, Date Applicant ENGINEERRT TEL. DISTRICT. . GROUP. TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT:-.If, after,making ,this Certificate of _NO. CONST ZONE �.. Exemption, you should become subject to.the .Workers' - U Compensation provisions of thUi e Labor Code, you must'.forth. ADDRESS '' �� =�' �ijt�c� N with comply,wiih such provisions or this permit shall'be TEL. .— STATISTICAL CLASSIFICATION APT: CONDO deemed revoked CONTRACTOR . ('/' NO. Z . LICENSED.CONTRACTORS DECLARATION, LIC: �jZ 'CLASS NO. p Tll �� I herebyaffirm thatI am licensed under rovisioris of Cha ter 9 ADDRESS NO. `1� Now P. P LIC -SEWER MAP (commencing with Section 7000)of Division 3 of.the Business CITY' CLASS and Professions Code,a my'li se is infull force and•effect BK., PG. VALIDATION T'• SQ. FT O. F NO. OF GH CK' License Number Lic Class � SIZE STORIES FAMILIES ONE 'T" VALUAT N Contractor Date DESCRIPTION OF WORK NEWJ J r , _s - ADD ❑Tam exempt under Sec. C ALTER ❑ pool B.BP.C. for this reason > REPAIR ❑ $ USE OF Date EXISTING BLDG DEMOL`. Signature' , :. APPLICANT 1 NO.• �. FINAL _ OWNER-BUILDER DECLARATION DATE ®—Z q`74-L. .. I hereby affirm that am.exernpt from.the Contractors License % 1. � Law•for the following reason'(Section.7031.5, Business'and ADDRESS ANAL.,: Professions Cod'e). PRESENT By ;. :•�•T.4 BUILDINGt -f4:6.75 l ❑ I; as.owner.of the property or. my employees-with ADDRESS 330E 46./5 w6gesas their sole compensation;will do the work and the structure isnot.intended or offered for sale(Section LOCALITY I _ 7044, Business'-and Professions Code.) MOVING. TEL. , ¢ CONTRACTOR NO. A4G 1 a ❑ I; as owner of the.property, am'exclusively.contracting •T with licensed contractors••-to construct the project,(Sec_ ADDRESS 9L.�+� tion 7044,Business and Professions Code.) 7 CONSTRUCTION 1ENDING'AGENCY SETQBACK OTA pREOTP SETBACK WIDTH .2L,ITEMS YARD' HWY :.T M I hereby affirm that.there is a construction lending agency,for, :FRONT -. the'-performance'of'the work fo'r:w.hich this permit is issued.`"' P.L: `. TOTAL :L"� 7 m,.�82 (Sec. 3097, Civ.'C.): ' .S P.DE CHECK I� Lender's Name - m r Fee$ Permit Fee Q �/ LDMA Ref. # CHANGE Lender's Address O PC I certify that I have read this:application and.state that the Issuance Fee of LDMA P%C# above information is correct. l agree.to comply•with all County, tnJestigation Fee ��,�//pp — R ordinances and State laws relati to building construction Total Fee- O� (� LDMA Perm. # rOy6 �� f,q I p� `eIJ .� � U7 VL�>,J1 t' 19 :Q and hereb uthor ze represent' ryes of.ihis County.to enter upon th a ove-mentioned pr erty fol inspection:purposes .o. _ - - A 7• " SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Applican of A t D e .APPLICATI FOR 8UILDI-N PERMIT `. OUNTY.'OF,LQS_'ANGELES BUILDING;AND:SAFETY_ . VIIORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI GAD ES BUIL`DIN -ADDR SS-.. •",,>; r- - i.herebyaffirm'that,I have a,certificate;'of,consent#o:self jnsure; L 0. or a certificate,of Workers' Compensation lnsurance,,'or`a certified, copy thereof,(Sec 3800;Lab.C.). LOCALITY' Policy;-No- company,- " SIZE OF LOT -, NO.OF BLDGS.NOW ON LOT. j El Certified copy Is hereby furnished NEAREST CROSS' T."•' ' ,.,, .. ❑ Cer'tifled Copy,is'filed with the county,build Ing inspection' TRACT BLOCK. LOT NO: z .. r;' ..-_ - USE ZONE- MAP NO - - d apartment.: . ; - •- • ASSESSOR MAP BOOK - -PAGE 'PARCEL - - Date Applicant - _ SPECIAL CONDITIONS:''- ^^' - CERTIFICATE OF EXEMPTION FROM WORKERS' ,d A� OWNE. TEL-NO; z Y O� i Vl S�'�V " "Q/D,.D WITHIN 1 000FT OF'SCHOOL.. ' ES N COMPENSATION INSURANCE i ADDRESS (This_-Se' `not be completed`,if tne'permit:is for one hunched n f� % ? ' ,"dollars($100)or less;) ICiv� Ic+ •.n :r = CITY: ZIP DISTRICT GRO P'. TYPE CONST FIRE'ZONE,. PROCESSED BY' certify that-in the performance.of-the work for which this permit 1 _ t OT Is Issued I shall,not employ .any.,person rrn any manner.so;as to" P �fSTATISTICAU,CLASSIS�TI _ ARCHI ECT OR ENGINEER'- TEL NO;- to the Workers'Com ensation Laws._ ON ' 'APT; CONDO ' Dateme`subjept` 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* 'to',the Workersl CONTRACTOR TEL-NO. SET_BACK __ YARD,, .HWY, , Conipensaticn-provisions,of-..the Labor. Code; you'must fortFiwith U` FRONT comply.with such provisions orthis,permd„shall be deemed revoked, <ADDRESS LIC:NO.. PL • _ PROP LINE• WIDTH SIDE LICENSED CONTRACTORS DECLARATION CITYLIC.CLASS. P L ------ -1 he affirm"that I'am licensed underprovision§ of Chapter.9 SEWER MAP a _ (commencing with Section 7000)of Division 3 of.the,Buslness.and SQ.-FT.SIZE J.'NO.OF STORIES -.' NO.OFTAMILIES Profession§Code,and'Fny:llcense;is in fUll force and effect r7 DESCRIPTION OF.WORK, - - 'VALUATIO, ANEW `' .❑ ` PG License Numbera Lic.Class .v . , ADD ❑ Contractor Date.' CC ALTER ❑ I am;exempt-under.'Sec. $ ;0, ,exempt- Ct for this reason ' " L REPAIR ❑” ., , . . DEMO ❑ Date - USE OF EXIST BLDG + ° URM . ❑ Signature ' APPLICA T'(PRINT T L o.LDMA Perm# "' < z ❑ 1,-d owner of'the property;or my employees with wages as' ArItAr 76• ltu "^s•, a} — theirsole compensation, will do the work and:the Structure;is, ADDRESS _ ;i not intended:,or offered'for,sale (Section 7044;•Business'and :a FINAL D`AT (j\ `: Q Y = PfOfessi6ns Code.) 1.-t11 . -WILL THE APPLICANT,OR FUTUREBUILDINGOCCUPANT-HANDLE,A HAZARDOUS MATERIAL �'`/•� _ ,-7 • J�g I -' ORA MIXTURE CONTAINING A HAZARDOUS'MATERIAL EQUALTO,OR GREATER.THAN THE, : - t3,.. -1s,f 4 3. ='t.1 r`f'�, as, owner='.of the-property,'•am excusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION,GUIDE? FINAL BY licensed-contractors':to construct the' j YES El-ect,(Section=7044, Business and Professions Code.) . NO❑ -, .. :. _..-.' .WILL THE INTENDED�USE OF.THE,.BUIDLING BY THE APPLICANT OR`FUTURE;BUILDING. , j',•'_. - OCCUPANT REQUIRE PERMIT°FOR CONSTRUCTION'OR MODIFICATION FROM THE SOUTH ` — - _•• A. CONSTRUCTION LENDING AGENCY - COAST AIR QUALITY"MANAGEMENT.DISTRICT'(SCAQMD)SEE PERMITTING CHECKLIST FOR +`k ._' f �. ,, 1 GUIDELINES a' ,'�-:, (1y t.��t.. i`I'Zt'�e—L I hereby affirm that`there`is a-construction lending agency,.for.' vEs❑ No❑ N the pe of the work for which this permitiis issued(Sec. CHlAp.G r,} .�•.. p _ „ --_ (HAVE READ THBHAZARDOUS MATERIALS INFORMATION GUIDEAND THESCAQMD PERMITTING 3Og'7 CIv:,C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELESfGOUNTY CODE, TITLE 2;CHAPTER"2:20SECTIONS 2:20:100 THROUGH 2.20.140'OONCERNING,HAZARDOUS ;. L"ender'SName EPORTING AND FOR OBTAINING A,PERMIT FROM THE SCAQMD t•.' CL riu it€=•(`o f j 0� o. . Lender's Address OWNER OR AGENT I'certify, that I have;read.this,application and state under penalty lr k I =a f p P.C.FEE , PERMIT-F.EE"of perjury that the above information Is correct.I agree to comply �V o with;all county ordinances and State laws relating to building " • • m `"construction, and hereby authorise representatives`Of this�'COunty - - "' ISSUANCE FEE " to enter:upon'the a ova-mentio d property for inspection purp es. 3v 'a _ INV FEE,' ._ ESTIGATION FEE'.. . TOTAL Sid reo PPlicai+l or Agent 'Dat , - /� �• / 4 - SEE REVERSE FOR EXPLANATORY-IEANGUAGE " A. APPLICATION:: FOR BUILDING ",FERMI . COUNTY,OF LOS-ANGELES,. ;,.BUILDING:-AND $AFE TY WORKER'S COMPENSATION DECLARATION FOR,APPUCANT TO-FILL IN BUILDING ADDRESS' ' BUILDING-ADD ESS I hereby affirm that I have a certificate,of'cpnsent to`self insure, or a certificate..of.Workers' Cornpensation.lnsurance, or a,certified copy,thereof CITY(Sec.3800,Lab.CJ Y ' ZIP- ( *LOCALITY • Policy;No.AL R�, G L2�- �d?Company :. -SIZE F LOT - - NO.•OF BLDGS.NOW ON LOT "; `` • r ❑'Certified'copy is here'by'fiarnished. ` ; r. m NEAREST CROSS ST. ❑ Certified copy is filed with the county buildingJnspection TRACT � • BLOCK:; LOT NO; ' department. ` USE ZONE. MAP NO ASSESSOR MAP BOOK PAGE= PARCEL T ' Date Appliicant .. - SPECIAL.CONDITIONS CERTIFICATE.OF EXEMPTIONIF OM WORKERS OWNER: TEL NO: ' COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES NO . - - ,ADDRESS .. (This section'need not,be completed if the'penrnit Is for one hundred r.(J. E dollars ($100) or less!.) s �Q F6 DISTRICT ',- GROUP TYPE CONST. FIR 'ZONE 'PROCESSED BY CITY, ZIP l.certify thai)n the performance of the,work for,which this permit, _ Is issued,1 shall.Hot'employ any person In any manner so as to ARCHITECT'OR ENGINEER TEL NO. _. . -0 become subject-to the Workers'Compensation Laws. k. .- STATISTICAL CLASSnIFICATION'- APT' `CONDO .. Date r.. ,Applicant.;. ADDRESS CLASS NO. -:DWELL-UNITS ,T , NOTICE- TO`.APPLICANT• If; `after ma Ing this Certificate of - - < REQUIRED TOTAL SETBACK FROM -EXIST, _ Exemption, you should become._Subject to.' the' .Workers" CONTRACTOR' " TELNO.. SET BACK _HWY PROP LINE WIDTH ' YARD, ;Compensation provisions.of the'Labor.Code you:must.forthwith C�^ % 'b FRONT- comply With such provisions or this permit shall be deemed revoked ADDRESS LIC.NO. P L- ` LICENSED CONTRACTORS DECLARATION SIDE _ .-.._ ,. CITY. , ., LIC.CLASS '- -P L I hereby affirm,Ghat I am licensed underprovisions of Chapter,9 ,. ►`f d e SEWER MAP - - - '`' IZE S _ - (CommenCing withS2CtiOn 7000)Of,DIVISIOn 3 Of;the BUSIneSS:and - O;OF:3 TORIES. NO OF FAMILIES _, SQ.FT.S N - Professions'Gode',and my:llcen'_ is in iull'force and effect.; �. NEW ❑ BK t DESCRIPTION OF WORK : ,VALUATION 6 � ". - ADD,.,. ❑ - G.�� P } License,Number. - Lic.Class Q. Contractor 91 Ga Date ,, _J ALTER ❑ 0 U ❑fI am exempt under'Sec, $ F_ 41. -REPAIR ❑ tcc BAP.C.for this reason' C:# •- � � DEAAOL ❑ -- .. .. LDMA-P/ :. . USE OF EXISTING -'�• „.CO _ Date. .. URM _ . ❑ , ' Signature' .* `,' : -APPLICANT MA Perm 73 'Z ❑'I,`as Owner Of the'property; or;my•-employees with.wages as AP CANT;.(P T ' ,. uF n RIN TEL NOr LD their,sole:Compensatio6-' ill do the work.and,the.structure is ADDRESS F— 5Vd j0 ZO .. : D ;FINAL DATE •Q ',. not.intended or offered for sale (Section 7044„Business and r ,- PrOteSSIooS'COde.) WILL THE APPLICANT.,OR FUTURE BUILDING OCCUPANTHANDLE A"HAZARDOUS MATERIAL. O i ' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL-EQUAL TO OR-GREATER THAN THE ����` 1 ' ❑,1, as "owner of,the'property, am-exclusively contracting with AMOUNTS SPECIFIED ON.THE HAZARDOUS MATERIALS INFORMATION GUIDE?. FINAL BY; �s 1 q. licensed contractors:to construct the project (Section'7044, AC CL and Professions Code.) . ' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING.. , g2o2 _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATIONFROM THE SOUTH '� -' .. CONSTRUCTION LENDING.AGENCY GUIDELINES. RICT:{SCAQMD)SEE PERMITTING.CHECKLIST F.OR- - - ' 3303, COAST AIR QUALITY,MANAGEMENT'DIST I:'hereb affirm that there'is.a.construction lendin a enc :,for 7 ITEMS N the Y 9 9 Y „' YE ❑ No I HAVEREAD THE HAZARDOUS MATERIALS INF - performance of the work for which this permit•_is issued(SecTOTAL INFORMATION GUIDE AND THE SCAQMD PERMITTING _7 N 3097, CIV..C.)•- , _ -. ': '� :CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODET TIT ' LE 2,CHAPTER 220;SECTIONS 2.20.'1007HROUGH.2.20.140 CONCERNING HAZARDOUS ' 1427.75, t. •. Lender's Name - MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD la: .. ., ... - ..., 00%- CHANGE o. ,i Lender'S.AddreSS" MNER6RAGENT °v �. - ' CHANGE 0 ' , o ('certify that.I have read-'this application and,state under penalty. _-� - of perjury,that the above information is correct. I agree"to com I ' PC.FEE". - - PERMIT FEE - - ' - p 1 Y' p YD �d 1,to �y. .., 6 with all county ordinances and State laws•relating to.building, 1, L 0000-0001 7/20/9 • construction,:and:'hereby authorize representatives of this County ISSUANCE'FEE c to enter upon'the above-m tinned property for inspection purposes. C.x /� � 777 1 �M11;1( 1 „{ Sig-ture of Applicant o e , 71> / _TIGATIOFEE TOTAL FEE I VES ' GX a SEE REVERSE FOR EXPLANATORY LANGUAGE, MJPe.?Y OF LOS ANGELES TEMPLE CITY # 0508. BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS . 9701 LAS TUNAS` SIGN BUILDING AND _SAFETY /LAND DEVELOPMENT` S _ TEMPLE CITY CA 91780 BL 0508 0904160021 PHONE: - (626) 285-0488 EXT: - - ILEGAL IDr INUMBER OF SIGNS: - 1 BUILDING ADDRESS: - ITR:, 5905 : LTi 23 BL: .001 - ISIGN DESCRIPTION: ILLUMINATED CHANNEL-LETTER (2 WALL SII 9119 LAS TUNAS DR - I . - _ _ I TEMP'CA -91,7801904 ASSESSOR INFORMATION NUMBER:- - ,.1 'NEARESTCROSS STREET: ''IS387-016-020 - I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl ITENANT: IEXIST`'BLDG USE: (ISSUED ON: PROCESSED BY: 1 - :1EXIST OCC GRP: - 104/16/09 SR. 10WNER: _ .TEL.. NO: ' IBLDGS.' NOW ON LOT: VALUATION: IF ' T FIIJAL BY: CODE: (ANCA-REALTY - 5,500 19119 LAS TUNAS DR. ITEMPLE CITY CA 91780 FEES. PAID DE CRIP IO OF WORK I 11LLUMINATED CHANNEL LETTERS (2 WALL SIGNS) - IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1 APPLICANT: TEL. -NO: I _ 1AD ELECTRICAL ADVERTISING INC. (626) 448-1166- IAA BLDG, PERMIT ISSUANCE 27.75 1-9437 VALLEY BLVD. IAB STATE GREEN BLDG FEE 5500.00 VAL 1.•00 (SPECIAL CONDITIONS: 1 IROSEMEAD, CA 91770 - - 1AX BUILDING REVIEW FEE - 54.70 I I ID2 PERMIT W/O"EN-HC 5500.00 VAL _ 149.40 .1 1 - TOTAL FEES 232.85 1 1 1CONTRACTOR: - TEL,- NO: - (APPROVALS DATE INSPECTOR SIGNATURE 1 IAD ELECTRICAL ADVERTISING, INC. (626). 448-1161- 1 1 1 19437 VALLEY BLVD. LIC. NO i. ILOCATION AND SETBACKS IROSEMEAD, CA 91770 - 927951C45 .I S .-• 1 I I . I _I IS03LS-ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL: NO.: I - ,JFOUNLDATION/TRENCH FORMS' I y� LIC. NO: I q ISUPPORT STRUCTUREI i I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:' CMP:1 1 I 1 1 001 I I- INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: -NO. 20 I I I I 1 SCHOOL WITHIN HAZARDOUS I 1 1 1AIR QUALITY: 1000 FEET MATERIALS - I NO NO NO 1 1 1 1 1 _ IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I I I WORKERS COMPENSATION DECLARATION :. Y • • , APPLICATION TOR- BU `G` PERMIT rt hprebyraffirm that'I'have a certificate of consent to self insure,ora certificate of Workers Compensation Insurance; r. or.a certified'copy thereof'(Sec. 3800,`Lab C.) _ � p• COIINfY,OF—LOS ANGELES BUILDING�AND"•SAFETY Policy No1� "I Company :. BUILDING . Certified copy,is hereby furnished. .. . -_..FOR _APPLICANT TO'FILU IN ADDRESS BUILDING... ❑ .Certified copy.is filed with the county building inspec- q - ,� ED e tion department. ADDRESS —1 GL,. 5. CITY' Y ��1� IP ' _\ ' Date Applicant �^ O:O •BLDGS. LOCALITY v CERTIFICATE OF EXE N'FROM WORKERS., SIZE OF LOT L SLJ ��� NOW ON LOT l NEAREST COMPENSA N INSURANCE' CROSS ST. ' ASSESSOR q�.�J (This section need'not be'completed if the permit'is for one TRACT BLOCK. LOT MAP BOOK p,! PAGE .� `0 PARCEL �'d " Hundred dolla`rs`($100).or less.) . EL,00 Ila USE ZONEMAPOWNER L5 /S6o�lvS NO. 1 certify that in-the performance of the.work for,which this SPECIAL > permit is issued, I shrill not employ any'.person in,any manner ADDRESS �� _ CONDITIONS` a so as.to become subject to the,Workers;Compensation'Laws. O CITY IP ,.. _.. • - Date' Applicant ARCHITECT OR TEL.' w,DISTRICT. GROUP TYPE FIRE PROCESSED_BY NOTICE TO APPLICANT If;, after making this.Certificate of ENGINEER '� .�tv NO. �a CONST ZONE Exemption you should become subject to the'Workers ip�y� mow-` '/ w Compensat�omprovisions of fhe'Labor Code, you'must forth ADDRESS Y3 J`J -+ ` !/ .0- ,with comply with sucH:provisions or this permit- shall be '.• TEL: - STATISTICAL CLASSIFICATION. APT. CONDO. �'..' deemed revoked :: CONTRACTOR NO. - Z LICENSED CONTRACTORS DECLARATION LIC.. CLASS NO. as DWELL. UNITS _ I here by affirm that I am licensed under rovisions of Cha ter 9 ADDRESS NO. Y P P LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business = and Professions Code,and my,license is in and effect. full force CITY: CLASS BK �/PG:T VALIDATION ' p SQ.,FT NO.,OF { NO:OF CHECK License Number 6.27./ �Lic: Class SIZE STORIES: ` ' FAMILIES `� ONE VALUATION. . �o 1 u .• q Contractor �J1� �t/1�� Date �/ p�/ • DESCRIPTION OF WORK ,,/�� " NEW ❑ E ®, o� `� res s. a2 ADD ❑ ❑I am exempt under•Sec. pool ALTER.- for this reason T REPAIR $ . . 1 , I ' M V2 Date USE OF .r• ., � `�/d✓ APPLICANDEMOL EXISTING T n�pTEL. et I 1, t_ Signature G�� r FINAL =s L I (PRINT). .�� Se J ,NO. l t t a-q WNER-BUILDER DECLARATION DATE I hereby affirm that I am exem t from the Contractor's License Lavr for the following redson(Section`7031.5; Business"and ADDRESS �N� (fir FINAL p Professions Code) PRESENT $y k :.. -❑ BUILDING I, as owner,of the property, or my employees with ADDRESS E wages as their sole compensation,wlll'do-the work and - - t I the structure'is not intended or offered,for sale(Section LOCALITY 7044: Business,-and-Professions Code,)- - -w MOVING .• _ TEL =• _._ x=__=. ❑ CONTRACTOR -NO. I, as owner of-the`p�operty,,am,exclusively contracting• ( iso Ial-; e ce w - ith linsd contractors.to:constru&the,pjc project (Se - . .,. ADDRESS- •.: __.. - .._ .- _ tion 7044, Business and Professions Code.) ' REQUIRED':- TOTAL-SETBACK FROM -: .EXIST. CONSTRUCTION LENDING AGENCY SET BACK YAP,D HWY' PROP. LINE WIDTH ai - the perforfmlrm that ance oft here is a strution e work forwhi'c' th snperm. gs issued cy for FRONT y t •(Sec.-3097, Civ::C.). SIDE. z 1 - PA.` Lender's Name. t� , LDMA Ref`# Lender's Address P.C;Fee$ Y4111 . Per Fee '? I certify'that I have -read this application and'stcte that the Issuance Fee - LDMA.P/C# t ,. above information is correct:-I agree 4o,comply with all County Investigation.Fee // 0 ordinances'and an laws•relating to'building"consfruction, Total Fee ' i (� ✓ LDMA:Perm. # an4herely dutho -e.,;re sentatives of this,County to enterupabove-m do a propriLty fo�yTion purposes:' " SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Age Date Y WORKERS' COMPENSATION DECLARATION • I.hereby-affirm that I hale a certificate of consent to self insure; or a certificate of Workers' Compensation Insurance,. APPLICATION: FOR =BUILDING: ;PERMIT or,a certified'copy thereof (Sec.' 3800,lab C.). . . ` �1 , COUNTY-OF LOS ANGELES BUILDING AND SAFETY. . Policy':No.�r .Company �,7. ✓�TP' /l.�/ o ❑..-,•Certified copy,is hereb furnished: FOR-APPLICANT TO FILL IN BuIL�wG Y ADDRESS ❑. Certified copy is filed with the county butldmg ins ec-' BUILDING / tion department. ADDRESS CITY' r ZIP LOCALITY C/ Dat Applicant NO. OF,BLDGS. _ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' . . SIZE OF LOT NOW ON LOT CROSS ST, } COMPENSATION INSORANCE r - (This=section need not be completed if the permit is for one TRAC7. t BLOCK LOT NO. MAP BOOK PAGE PARCEL ' .hundred d6llars'($100)or less.)" TEL. - OWNER NO: I certify that in The performance of the work'for which this NOP - SPECIAL USE ZONE permit-is issued,.I shall not employanyperson to any'manner ADDRESS ' (A ^' a so as to become subject to the Workers GomperisaTion Laws t CONDITIONS O `r ,. CITY /. ,.. ZIP ... Date A hcant ARCHITECT OR TEL. - NOTICE'TO APPLICANT: If, after makin this•Certificate of UP TYPE FIRE P OCESSED BY CONS ew ZONE PPDISTRICT g, ENGINEER NO. _ Exemption,. you should .become subject -to the Workers' w (/0 : GROUP Compensation provisions of-the,-Labor Code, you must forth- ADDRESS r w� L "' with.comply with such provisions or this permit shall be j , TEL. STATISTICAL CLASSIFICATION :APT. CONDO: N deemed revoked CONTRACTOR N .Z Z -LICENSED CONTRACTORS DECLARATION I `�y^ nny CLASS NO.' DWELL. UNITS I hereby affirm that I'am licensed under provisions of Chapter 9 ADDRES � NO.v�73 LIC SEWER MAP '. (cnr,r,encing with Section 7000)•of Division 3.of the Business CITY and Professions Code;'arid m license istin full force and effect CLASS G VALIDATION SQ:F NO. OF NO. OF CHECK Q BK. PG. License Number_S [ Lc. Class SIZE STORIES a FAMILIES ONE. : iJ... VALUATION ' /` M Contractoc � �/�/ �'�laare �- © V v DESCRIPTION OF'WORK. NEW _ ❑l am exempt under Sec ZCU e ` ADD' ❑ a _. ALTER BAP.C. for this reason h REPAIR El. s Dater SE.Of, EXISTING BLDG. DEMOL Signature' - - FINAL r , APPLICANT TEL. ' (PRINT] NOi q OWNER-BUILDER DECLARATION DATE_ I'hereby'affirm that I am exempt from the Contractor's License' / - \ Law for-the following reason•(Section 7031.5, Business and ADDRES `: /'(�' ! [a FINAL Professions Code): - PRESENT gY,`; x At.C:T 4L ' ❑ I, as owner of the, property, or m employees with BUILDING y' P P y, YADDRESS Od ?10a7 wages as their sole ompensation,will do the work and the structure is not intended or offered for sale(Section MOVING —TEL. .ITEMS LOCALITY 7044 Business and Professions Code) ;•, w r CONTRACTOR NO. TEITri� � c , I, as owner of.the property, am.exclusively contracting'; �.a—' with licensed contractors to construct the project'(Sec - V e TionJ044,.Business and Professions:Co'de:) ADDRESS CCSECI�' ' ?11 t{ .REQUIRED:i ''Y .R TOTAL SETBACK-FROM; EXIST. CONSTRUCTION iENDING:AGENCY ': SET-BACK. 'YARD HWY PROP. UNE - WIDTH. ' ,CHANGE I hereby affirm that there is a construction lending agency.for FRONT% the performance.of the work for_-which this'permit is issued P.. (Sec. 3097, Civ: C.). SIDE_. ;P.L. 0000-0001 -6/10/96.`. Lender's Name. p 0 a P C .Fee$ Permit Fee Lender's Address L-7a :3 LDMA Ref #: Of 7J' 1 At O� I certify that 1 have read this application'and state that the IssuancelFee ' LDMA P/C ti 8 • above information is correct. l.agree.to,comply with 611County! Investigation Fee R ordinances and State laws relating to'.building,construction, Total F.ee f� l/ i; ' LDMA Perm. # < and hereby authorize representatives of his County upon`t ove-me d pro y nspecti �piir oses: O�- SEE REVERSE FOR•EXPLANATORY LANGUAGE` ignature of App icon.or-Agent'. Date APPLICATION FOR BUILDING- PERMIT COUNTY OF LOS ANGELES, _ BUILDING AND SAFETY WORKER'SCOMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADD Ss ' _ - BUI ING A RESS - t ,. .-� . I hereby affirm that I have a certificate of consent'to,self insure,- ` Vh or a certificate of Workers' Compensation Insurance,or a certified ,copy,thereof(Sec.3800,Lab.C.) CITY LOCALITY, �u �. .. ' Policy No._ - Company - SIZE OF Lc1r NO.OF,BLDGS.NOW ON LOT - - ❑ Certified copy is,hereby furnished '. - r .NEAREST CROSS ST - ❑ Ce'rtified copy is filed with the county building inspection; TRACT , - - BLOCK• .-:• LOT NO. ,• G . 'department. - '- USE ZONE MAP NO. Date Applicant MAP BOPARCELpE CONDITIONS ASSESSOR OK PAGE• _ \/ SPECIAL CERTIFICATE OF EXEMPTION FROM WORKERS' .' T COMPENSATION INSURANCE 1 O WITHIN 1000 FT.OF SCHOOL? YES NO', (This section need not belcompleted 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 7. is issued, I shall not'employ any.person in any manner'so as to gRCH1T CT R'ENGINEER - r - TE NO. ' (' beco".bject7e Workers'Co - ens3tion Laws.' - STATISTICAL CL9SSI�ICATION .APT CONDO' DateApplicant - ADDRESS ��CC11JJ CLASS NO. o{� DWELL UNITS / `NOTICE TO APPLICANT.• 1f, aft r making this Certificate - REQUIRED TOTAL SETBACK FROM EXIST Exemption, .you, Should be'0 Subject :to the. Work CONTRACTOR - TEL NO. SET BACK YARD - HWY PROP LINE WIDTH Compensation provisions of,the Labor Code, you must forth 'th FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION PILE CITY LIC:GLASS P L . I hereby affirm that I'am licensed underprovlsions 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 a DESCRIPTION OF'WQRK ADD ❑ VALUATION. License Number Lic.Class 12 Ltl S Contractor " Date ALTER ❑ ElI am exempt under Sec. REPAIR El B.&P.C.for this reason DEMOL ❑ LDMA P/C# W Date:` USE OF EXISTJNQ.BLOG. URM' ❑- CD - d Signature' - APPLICANT(PRI T JA LDMA Perm# .4 S _ Z ❑ I,"a''s owner of'the property, or-my employees with wages as. LHA- Z their,sole compensation, will do the work and.the structure is A RESS O EL, I€ ,`I•; not intended.or offered for sale (Section 7044, Business and 0—_ FINAL DATE Q Professions Code.)., • ,WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT NDLE A HAZARDOUS MATERIAL, -OR A MIXTURE CONTAINING A HAZARDOUS'MATERIAL EQUAL TO OR GREATER THAN r ' J .E ❑ I,- as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION,GUIDE? FINAL BY A0. licensed contractors to'construct the project (Section 7044, YES El No:❑ Business and Professions Code.) _.�i"• 7.G! . .WILL THE INTENDED,USE OF THE BUIDLING BY THE APPLICANT OR;FUTURE BUILDING - j OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH "t" 'rt-.i€ MIS CONSTRUCTION LENDING AGENCY COAST AIR QUAUTV MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR * 4 GUIDELINES. F - - :_ s"sS -?37 5 .1 hereby affirm that.there is a construction lending agency.for, YES❑ No❑ '` a`' °° ^ w the performance of the work for which this permit is issued(Sec. E O1 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING i"�9r:�?� d,`a N r .3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.1 THROUGH 2.20.140 CONCERNING HAZARDOUS {i. 3 Lender's Name MATERI REPORTING AND FOR AI A PERMIT FRO THE SCAQMD. - --:_•i"i?'€.EE t - o Lender's Address' O. OWNER AG NT I .. . o ' I,certify that I have read this application and state under penalty sit}�€4Y =' of perjury that Ahe above information is correct.I agree to comply P.C.F D, �� PER FEE O / o with all county ordinances and State laws relating to building � ' construction;and hereby authorize representatives-of this County S ANCE FEE / `t�^ co to enter on the above-menti property for inspection purpo e (v T[J INVESTIGATION FEE - TOTAL-FEE />f / Signature of li t Agent, Date / - v - - - SEE REVERSE FOR EXPLANATORY'LANGUAGE COUNTY OF LOS ANGELES _ TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION . .BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA 91780 - _ BL 0508 1203130038 , PHONE: (626),.285-0488 EXT: DUPLICATE ILEGAL ID: 1 - NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 5905 LT: 23 -.BL': .001 I ,SQ. FT STORIES TYPE - OCCUP GROUPI 9119 LASTUNAS DRQ 1 I (STRUCTURE: 516 1 V-B B. I "TEMP'CA 917801904 1 (ASSESSOR INFORMATION NUMBA ER: I I NEREST CROSS STREET: HART I 15387-016-020 I 1 - THOMAS PAGE: .596 -GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: - (EXIST BLDG USE: COMME - USE ZONE: C-1 (ISSUED ON: -PROCESSED BY: - 1 1LI'S BALLET STUDIO (EXIST OCC GRP: B 103/22/12 - SR 1 10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FINAL DATE FINAL BY: CODE: IZHANG, LI. (626) 285-5258- 1 - 42,998 1 15948 N. DEL LOMA AVE ISAN GABRIEL CA 91775 1 FEES PAID 1DE _RIPT .ON OF WORK 1 1 ISUBbIVIDE EXISTING STORAGE ROOM INTO TWO STORAGE ROOM AND I IFEE DESCRIPTION: QUANTITY: UQM: AMOUNT:IUTILITY ROOM. INSTALL T-BAR CEILING ON STORAGE ROOM ONLY 1APPLICANT: TEL. NO: I I .. * I SAME AS OWNER - IA1 PLANCHECK W/EN-HC 42998.00 VAL 691.'40 I .... I 1AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: IAB STATE GREEN BLDG FEE 42998.00 VAL 2.00 I IAE STRONG MOTION OTHER 42998.00 VAL 9.00'1 I 1 1A2 PERMIT W/ENERGY-HC 42998.00 VAL 813.40 (CONTRACTOR: - - TEL. NO: IFS INV WORK W/O PERMIT - 257.00 DOL 329.70 (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER _ - I TOTAL FEES 1,873.30 1 - I LIC. NO j - ILOCATION AND SETBACKS -1 I I I I I I I I I (SOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS ILAU, KEI (626) 456-2318- 1._ .l:!- I I 1672 BARNUM WAY LIC.. NO: ISLAB/UNDER FLOOR I (MONTEREY PARK, CA 91754 _NONE _ 1 I - _ 1RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: ',,.. CMP: ( (UNDERFLOOR INSULATION 1-- 1150H265 3 001 1 , ' - I - I IFLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 0 NO 22 1 1RO0P SHEATHING SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I (AIR QUALITY: 1000 FEET MATERIALS I 1 NO NO NO I (FRAME INSPECTION I 1 IFIRE SPRINKLER HANGERS I 1 1 (INSULATION/WEATHER STRIP( 1 I' I I (INTERIOR;-LATH/DRYWALL I 1 I 1 IEXTERIOR•LATH 1 1 I I I IRATED FLOOR/CEIL ASSEM., 1 1 I I 1RATED WALL ASSEMBLIES 1 I I I I IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I LOT DRAINAGE I (REPORT ID: DPR261 ROUTE TO: BS0508 1 1 I I I I I i I r. COUNTY OF 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 1112210019 PHONE: (626) 285-0488' EXT: LLEGAL ID: - I NO. OF CONST NEW I BUILDING ADDRESS: ITR: 5905 LT: 23 BL: .001 I SQ. FT STORIES TYPE OCCUP GROUPI 91,19. LASTUNAS DR 1 I ISTRUCTURE: 0 2 V-B A-3 I TEMP CA 917801904 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: HART ' 15387-016-020 I I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE 'CITY, Cl (TENANT: (EXIST BLDG USE: COMME USE -ZONE: • TISSUED ON: PROCESSED BY: SR ILI'S BALLET STUDIO (EXIST OCC GRP: B . (12/21/11 I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINALIDATE FINAL BY: CODE: I. { 1ZHANG, LI - . (626) 285-5258- 1 12,000 . .1.5948 N. DEL LOMA AVE ISAN GABRIEL CA 91775 I FEES PAID IDESC IPTION OF WORK I I I (1)-REVISE WALL LOCATION ON APPROVED PLAN FRONT LOBBY (2) IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IRELOCATE STAIR TO MEZANNINE DIRECTION (3) REMOVE THIRD OFFICI (APPLICANT: TEL. NO: I IE (STUDIO) WALL TO ALLIGN WITH DOOR AND ENTRY CONCRETE RAMP I IZHAO, ZHI QUAN (626)'285-5258- IAA BLDG PERMIT ISSUANCE 29.80 I IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 ISPECIAL CONDITIONS: I TAE STRONG MOTION OTHER 12000.00 VAL 2.50 I I I IA2 PERMIT W/ENERGY-HC 12000.00 VAL 288.50 I _ID7 ADDNL PLANCHECK FEE 1.00 HOU 115.00 1 ICONTRACTOR: TEL. NO: I TOTAL FEES 434.80 (APPROVALS DATE INSPECTOR SIGNATURE I IB AND K HOMES, INC. (626) 712-4841-- I I I I 1,208 W SAXON AVENUE LIC. NO I ILOCATION AND SETBACKS ISAN GABRIEL CA 91776 753595 B I I I I (SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: I_ IFOUNDATION/TRENCH FORMS I I. ILAU, KEI (626) 456-2318- I I 1672 BARNUM WAY '.LIC-.: NO: I (SLAB/UNDER FLOOR I (,MONTEREY PARK, CA 91754 NONE I I I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM2: ( (UNDERFLOOR INSULATION I I I I 3. 041 I I I I I —1 FLOF;4. SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND:"STAT CLASS: I I 0 NO 22 I (ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS I jISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I .S I I I NO NO NO I - (FRAME INSPECTION • _I IFIRE SPRINKLER HANGERS +II( I (INSULATION/WEATHER STRIPI II I (INTERIOR LATH/DRYWALL I I I I I IEXTEkIOR LATH I I I _ I IRATED FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I I I I I I I I I I I IT-BPR CEILINGS I 1 I I I I I I ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: 9SO508 1 I I I I I I a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112120063 PHONE: (626) 285-0488 EXT: (LEGAL ID: (NUMBER OF SIGNS: 1 1 BUILDING ADDRESS: 1- ITR: 5905 LT: 23 '- BL: .001 (SIGN DESCRIPTION: ILLUMINATED CHANNEL LETTER WALL SIGN1 ' 9119 LAS TUNAS DR 1 I I I TEMP CA 917801904 1 . (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: HART 1' 15387-016-020 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: 1EXIST BLDG USE: (ISSUED ON:, PROCESSED BY: 1 ILI'S BALLET STUDIO (EXIST OCC GRP: 112/12/11 SR 1 I I I I 10WNER: TEL. NO: 1 1BLDGS. NOW ON LOT: VALUATION: 1FINAL DATE FINAL BY: CODE: 1 ZHANG, LI . (626) 285-5258-. 1 3,000 15948 N. DEL LOMA AVE ISAN GABRIEL CA 91775 1 FEES PAID ID SCRIPTION OF WORK v1 I I 11LLUMINATED CHANNEL LETTER WALL SIGN 1 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1APPLICANT: TEL. NO: I I 1CHEN, TONY (626) 733-2960- 1AA BLDG PERMIT ISSUANCE 27.80 1 1 1 JAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 1SPECIAL'CONDITIONS: 1 I IAX BUILDING REVIEW FEE 54.70 I I 1 ID2 PERMIT'W/O EN-HC 3000.00 VAL 99.10 1. I 1 1 TOTAL FEES 182.60 1 1, (CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IFARGO ADVENTISING, INC. (626) 442-8690- 1' 1 1 12213, SASTRE AVE LIC. NO 1 ILOCATION AND SETBACKS 1SOUTH EL MONTE CA 91733 932785 I 1 1 I I I I (SOILS ENGINEER APPROVAL 1 I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I L I� 1 LIC. NO: 1 (SUPPORT STRUCTURE I I. I I I I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPO:I. I I I 1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I ( I 1 NO 20 1 I I I I I I I I I I 1 SCHOOL WITHIN HAZARDOUS P 1 I I I 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO I I I I 1 I l t I I I I I I I I I I I I I 1REPORT ID: DPR261 ROUTE TO: BS0508 I• I I I I I I o-_ COUNTY OF 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 1110250008 PHONE: (626) 285-0488 EXT: - (LEGAL ID: NO. OF CONSTNEW I" BUILDING ADDRESS: ITR: 5905 LT: 23 BL: .001 ., I - SQ. FT STORIES TYPE' OCCUP GROUPI 9119• LAS TUNAS'',DR • :. 1 I I ISTRUCTURE: 3120 2 V-B A-3 I TEMP CA 917801904 " " 1 (ASSESSOR INFORMATION'NUMBER: - I NEAREST CROSS STREET: HART - I' 15387.-016-020 I THOMAS. PAGE: 596GRID: H3 LOCALITY: TEMPLE CITY, CI 1 (TENANT: ."" (EXIST BLDG USE: COMME USE ZONE: (ISSUED ON: PROCESSED BY: ILI'S BALLET STUDIO ('EXIST OCC GRP: B 111/21/11 - SR' 1 I I I I JOWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: I.FINAL DATE FINAL BY: CODE: ZHANG, LI (626)- 285-5258- 143,020 15948 N. DEL LOMA AVE I I v ISAN GABRIEL CA 91775 I FEES PAID (DESCRIPTION OF WORK I _ ITENANT IMPROVEMENT FOR PARTITION WALLS TO CREATE STUDIOS 1 &I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I2 (APPLICANT: TEL. NO: I - I I IZHAO, ZHI QUAN (626) 285-5258- 1A1 PLANCHECK W/EN-HC 143020.00 VAL 1,542.20 1 I IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I 1 JAB STATE GREEN BLDG FEE 143020.00 VAL 6.00 I I 1 IAE STRONG MOTION OTHER 143020.00 VAL 30.00 I I IA2 PERMIT W/ENERGY-HC 143020.00 VAL 1,814.40 (CONTRACTOR: - TEL. NO: I TOTAL FEES 3,420.40 (APPROVALS DATE INSPECTOR SIGNATURE 1 IB AND K-HOMES, INC. (626) 712-4841- 1 1 I 1208 W SAXON AVENUE LIC. NO 1 ILOCATION.AND-SETBACKS 1 I I ISAN GABRIEL CA 91776 753595 B I I (SOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER: TEL. NO: ' IFOUNDATION/TRENCH FORMS I ILAU, KEI (626) 456-2318- 1672 BARNUM WAY LIC. NO: 1 . 1SLAB/UNDER FLOOR - I I_ I IMONTEREY PARK, CA 91754 NONE I I 1 1 I I I RAISED'FLOOR FRAMING I 1 1 I I I I I I IMAP NO: SEWER MAP BOOK:- PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I 3 041 11 -1FLOOR SHEATHING I I' INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 1. 0 NO 22 1 (ROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I I I LAIR QUALITY: 1000 FEET MATERIALS 1 1 11 I NO NO NO" - -i I:FRAME INSPECTION (FIRE SPRINKLER HANGERS I I I I I I ' _ (INSULATION/WEATHER STRIPI I I . (INTERIOR LATH/DRYWALLII lki f I I I I 1EXTERIOR LATH (RATED FLOOR/CEIL ASSEM. I 1 (RATED WALL ASSEMBLIES ' (RATED SHAFTS/OPENINGS - IT-BAR CEILINGS I I ILOT DRAINAGE I, 1 IREPORT ID: DPR261. " ROUTE TO: BS0508 I - ` 1