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HomeMy Public PortalAbout9148, 9144 LAS TUNAS DR_Building__ APPLICATION FOR RELOCATION BUILDING PERMIT ], DIVISION OF BUILDING AND SAFETY Department of County Engineer ADDRESS ?/ County of.Los Angeles DBS-79 'WM.J. FOX, COUNTY ENGINEER LOCALITY .79 12.54 CASSATT D. GRIFFIN,SUPT OF BUILDING NEAREST CROSS ST. '�� ✓ FOR APPLICANT, TO FILL IN DISTRICNO. I GROUP I TYPE C?bIS•'i- PROPOSED BUILDING ADDRESS MAP ��� STATE C� .� NUMBER HWY. ,LOCALITY USE ZONE SPECIAL a CONDITIONS BUILDING v ? 17 ADDRESS— LOCALITY DDRESS LOCALITY , i BUILDING ' YARD HWY. STREET NAME EXIST. SETBACK" WIDTH FRONT MAIL SIDE ADDRESS 1 n - P. L' .� i CITY NO. SURETY DATE RECD _ MOVING"" A / Go TEL.(��+9J,9�y/,,.•��^�(� BOND$ FILED BY CONTRACTOR ! �.KA +Qt/�C. Y NO. /( oAJ uC"/ CASH ® DATE n EC'D yy�� DEPOSITS a AILED V Y .ADDRESS _ 14 0 e 4, A 5�,.�°�A •BUILDING Jp�w,Q O TE APPROVALS ' CONTRACTOR V6� ADDRESS R . e T� DATE INSP CTOR'S SIGNATURE FOUNDATION:-LOC PRESENTATION - FORMS. MATERIALS I�� `I � iv o.�.•.�.� USE OF -.BUILDING _s �/ 2L FRAME: FIRE STOPS. TT T PROPOSED / BRACING, BOLTS - USE OF / FURNACE:.LOCATION BUILDI -' .GAS VENT, DUCTS LATH, INT.- -SQ. FT.. G NO.OF �J SIZE -ROOMS v� STORIES a LATH, EXT. WALL ROOFS HOUSE NUMBER COR- (� 6` COVERING I' COVER N RECT AND POSTED 3I Ste.1UX' tn.J DESCRIPTION I' LOT NO. 63 I BLOCK ` FINAL "D I'S FtiC ENGINEER TRACT O // 7Qn� p q NO. OF SLOGS' WORK COMPLETED lO- SJ ✓,(!/�/,, SIZE OF LOT�F�%'J-3 OD"'! ll I NOW ON LOT - SURETY BOND ` - USE OF - 7No.OF RELEASED EXISTING BLDG. - •FAMILIES - I HEREBY.ACKNOWLEDGE THAT I HAC/E READ THISOf I HEREBY STATE TH T T INFO A . N 1 GI N IS COR- APPLICATION AND STATE THAT THE ABOVE"IS CORRECT RECT. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES SIGNATURE OF AND STATE LAWS REGULATING BUILDING CONSTRUC- APPLICANT /f TION. ADDRESS'`r SIGNATURE OF _ .VALUATION PERMITTEE $ v _ .irr�� p 6 P.C. $ C19K�� FEE ^/" _ ADDRESS °/ p •� ~` . FEE$ WILLIAM J. FOX,COUNTY ENGINEER VALIDATION DEPUTY' DEPUTY fCo 8 7 3 5 oc6 BY - v BY ® DEPUTY Vd " - - DEPUTY /J•� I 6A638A CE#•803•10.56 APPLICATION FOR BUILDING PERM IT: BUILDING AND SAFETY DIVISION ADOREss BUILDINGAl Department of County Engineer �^ County of LOS Angeles - LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST pp�� CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT.TO FILL IN E I �K P CONST _ BUILDING �. ADDRESS STATISTICAL CLAS FI CATION LOT NO. �+�" BLOCK CLASS. NO. DWELL."UNITS MAP - STATE YES NO NUMBER HWY - TRACT _ - USE ZONE - SPECIAL IAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH R " OWNEFRONT ,; � MAIL P. L. ADDRESS (J SIDE t, TEL. P. L. _ CITY .T- No. INSP N RECORD ARCHITECT OR TEL. , ENGINEER NO. ADDRESS '� /✓f•PA• ,p' ^, TEL. , CONTRACTOR i �n &. LN4t(JYO(/ ADDRESS �$�'O A l^• �/1/ c.-, Ali I" A V.,g- - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE APPROVALS SIGNATURE O APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS r FOUNDATION: LOCATION FORMS. MATERIALS $ �A U P. C. S FRAME: FIRE STOPS. FEE BRACING. BOLTS FURNACE: LOCATION, VALUATION $ GAS VENT, DUCTS ' FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. 'PL ICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. STATE LAWS REGULATING BUILDING CpNSTRUCTION. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE '�� RECT AND POSTED ADDRESS & � - FINAL JOHN A..LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM. PRINC[PAL.STRUCTURAL.ENG EER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS LAL10 6 0 1 OS 'nc'r 2 3 1- A 5.C319 ®. 1 76A638A CE9803 5--65 APPLICATION FOR PUILDI G PFRMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS' BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE-, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT NO. G OUP ITYPE., - -PR BY FOR APPLICANT TO FILL IN CONST. BUILDING ( �/; ^/�� STATISTICAL CLASSIFICATION', SEWAP .. ADDRESS h C/�I CLASS NO.. DWELL UNITS. `BK PG ' LOT NO. ,� 1[. BLOCK USE ZONE AP NO. TRACT D I / SPECIAL- NO. PECIAL NO. OF "S. CONDITIONS SIZE OF LOT NOW ON LOT - U S E OF EXISTING BLDG. `�" C~`' `�-�" SLOG. SETBACK FROM OWNER {7 !'/IOC"`- V NO r•L FRONT PROP. LINE OF — (STREET)PP P ` TYPE OF I EXISTING SETBACK HIGHWAY YARD__ TOTAL ` ADDR ESS: Z41 z� HIGHWAY WIDTH FROM C.L. - CITY c C + — ARCHITECT OR TE'C. BLDG. SETBACK FROM . - ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY }. YARD = TOTAL ADDRESS JJf + / �.E Jy l' HIGHWAY WIDTH FROM C.L. CONTRACTOR-AA /1 _�/''--[7 /MOL _ 0 ADDRESS f-�(p Ge 15AL /3 7 CORNERCUTOFFYES NO 'V CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK w -a N NEW AD ALTER REPAIR DEMOLISH Z SQ.FT. /A� NO. OF NO. OP. - SIZE 4! STORIES FAMILIES . . USE OF - - STRUCTURE - .. SIGNATURE OF - APPLICANT VALUATION APPROVALS - DATE INSPE TOR'S SIGNATURE FOUNDATION, LOCATION Z. FEE$ FEE$ -may� FORMS, MATERIALS-.. FRAME, FIRE STOPS,' �r 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS _ 'E BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. �, ..$,,�yr TION OF THE LABOR COOL OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE'. _ LATH. EXT. SIGNATURE OHOUSE NUMBER COR- PE4tMITTEE 0 // // ✓[� RECT AND POSTED ` ,ADDRESS - FINAL Rol"'y".•'�. - JOHN F. LEWIS. P INCIPAL.ST CT RAL ENGINEER .PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M O CASH^ L 2 0 72 0'7 0-,oMY 17 1 D cis.0' . I76A688A CE#80970-58 APPLICATION FOR BUILDING PERMIT 1� COUNTY OF LOS ANGELES BUILDING /'•l DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ` P pCESSED B - . FOR APPLICANT TO FILL IN z- I CONST. I/ / 4, BUILDING /� T STATISTICALL CLASSIFICATION, SEWER A ADDRESS /��• '�6,�AS TU/t'/'A`f dJ R'/ •c CLASS.NO.-L_DWELL. UNITS�I K i, fG. LOT NO. C!' 3 6 "7 BLOCK MAP L� STATE /�L/�rvvJ �R�j p NUMBER © D HWY. YES 1 TRACT FJ 9.S USE ZONE SPECIAL ,Q `r/3-'�'0,,9 S I NO.OF BLDGS. CONDITIONS SIZE OF LOT P,/i a +�• �.�;.l�i,yr NOW ON LOT. USE OF EXISTING BLDG. �i-,4) Fr,--,yT�' /lci�/ Jt BUILDING YARD 'HWY STREET NAME EXIST. - ' SETBACK WIDTH OWNER FRONT ADDRESSS+ g�.�.�� , r U /� I-CA R,/�G SIDE t/ - . CITY NO.�i r�,.)�cb P.L. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER "1 NO. "�• ADDRESS, CONTRACTOR /7 S' {yy e- NO.;q-/7-:,.31.7.6//6 ` ADDRESS q/yU'..l A, TZ: /V/93' de DESCRIPTION OF WORK NEW)4 ADD X ALTER REPAIR DEMOLISH SO. FT. NO.OF NO.OF - - SIZE „� STORIES FAMILIES USE OF STRUCTURE RL fi:r7�,4 SIGNATURE OF APPROVALS APPLICANT -DATE 'INSPECTOR'S SIGNATURE' ADDRESS Ar U AJA I FOUNDATION: LOCATION CJ FORMS.MATERIALS /, �m $ Q FRAME: FIRE STOPS. /y to oo FEE /f BRACING, BOLTS VALUATIONg FURNACE: LOCATION, FEE GAS VENT,DUCTS a ,n I HEREBY ACKNOWLEDGE THAT I HAVE READ HIS AP- LATH, r `PLICATION AND STATE THAT THE ABOVE IS CORRECT ANDAGREE TO INT. p STATE LAWSMPRLY WITT GL ILD NG ORDINANCES ON 0' ���� I! �` ��Ayf LATH, EXT. I r SIGNATURE( HOUSE NUMBER COR- / PERMITTE RECT AND POSTED ADDRESS - FINAL CLYDE N. DIRLAM, PRINCIPAL ST (NEER PLAN CHECK VALIDATION cK. ,o. CASH PERMIT VALIDATION CK. M.O. .CASH' •^6 1 4 6`n- PLAY �=2 3 A 4.5,E ,t M' LACo 6 3 3.3 " 1.3 1 A' 9.0.J R I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES - BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUIL4rlG ADDRES L I hereby affirm that 1 have a certificate of consent to self insure, IVIr�� ora certificate of Workers'Compensation Insurance,or a certified14+ . copy thereof(Sec.3800,Lab.C.) cITy, ` ZIP 1/ 996 LOCALITY Policy No. Company SIZE OF LOT NO.OF BLD S.NOW ON LOT ❑ Certified copy is hereby furnished. $/r Ek.92X a 6 �I U 3 NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. Q `� USE ZONE MAP NO.D department.' S 6 3 � 1' ASSESSOR MAP BOOK PAGE PARCEL Date Applicant OWNER L 3.g- 0 /7 ® Q 1 l �l SPECIAL CONDITIONS � J TEL.NO. I ✓ aC. . CERTIFICATE OF EXEMPTION FROM WORKERS' YES NO COMPENSATION INSURANCE WE /f/— A1 OY /8 0 66S— WITHIN 1000 FT.OF SCHOOL?' ADDRESS,, pF6 (This section need not be completed if the permit is for one hundred G DISTRICW GR UP TYPE CO T.� FIRE ZONE CESSED BY dollars($100)or less.) . . p 2)1 certify that in the performance of the work for which this permit CITY T� &L ZIP g/7� olyr—t ✓✓ is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. 1/$`�/I/ become subject to the Workers'Compensation Laws. _ TISTICAL�t��T TION T 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 Workers' CONTRACTOR TEL.NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply such provisions or this permit shall be deemed'revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL CL I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP U (commencingwith Section 7000 of Division 3 of the Business and SQ. NO.OF STORES NO. FAMILIES s Professions Code,and my license is in full force and effect. NEW ❑. BK PG Lf �. DESCRIPTION OF WORK ADD VALUATION w License Number Lic.Class a GO Contractor Date ALTER' ❑ z ❑ I am exempt under Sec. REPAIR .❑ B.BP.C.for this reason DEMOL ❑ LOMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z ❑ I, as owner of the property, or my employees with wages as IV1^rn ®I t 6 G$r p . their sole compensation,will do the work and the structure is ADDRESS ( w: n �cot4.•8 gel A 9i yc FINAL DATE Q T e` not intended or offered for sale (Section 7044,.Business and aSam. � �� `,�/ " t rofessions Code. J C �;�(.�: :i n WILL OR FUTURE BUILDING OCCUPANT HANDLER HAZARDOUS MATERIAL as owner of theproperty, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y g THE AMOUNTS SP,_EC}PED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL,BY ] 1 E 01, licensed contractors to construct the project (Section 7044, YES El -NO N, 1 Business and Professions Code.) tT €_jT ;. 0 n=38 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH . CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES 11 NO HIAN`k `'"_`} the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIAL INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND E EATION UNDER THE LOS ANGELES �. COUNTY CODE,TITLE 2,CHAPTER 2.20 SE ION A HROUGH 2.20.140 CONCERNING a Lender's Name HAZARDOUS MATERIALS REPORTING A O PE MIT FROM THE SCAQMD. i Sj 7S_ j Lender's Address OWNER OR AGENT " o' I certify that I have read this application and state that the above _ information Is correct. agree to comply with all county P.C.FEE PERMIT FEE /7 ordinances and State s r ti o building construction,and i a. hereby authorize r r Be this County to enter upon ISSUANCE FEE . th above-menti pr` Ion purposes. 3,v INVESTIGATION FEE TOTAL FEE m D .? sl . -Applk74'1K--11 o Dem SEE REVERSE FOR EXPLANATORY LA GUAGE WORKERS' COMPENSATION DECLARATION s APPLICATION FOR.., BUILDING PERMIT I hereby affirm that 1-'have a-certificate of consent•to self. insure,-or a certificate of Workers' Compensation Insurance,•.. or a certified copy thereof (Sec. 3800, Lab:C.)- COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO•FILL•I N, ADDRESS ❑ Certified.copy is filed with the.county building inspec BUILDING tion department., ; ADDRESS / ►ivr�CYS (y Date Applicant ' CITY - � ZIP ( Q D LOCALITY OF BLDGS., NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT X b NOW ON LOT ] CROSS ST. ' COMPENSATIONINSURANCE X (0W3 [ 6 ASSESSOR (This g section need not be completed if the permit is for one TRACT 0� BLOCK LOT NO.v I MAP BOOK PAGE PARCEL " hundred dollars ($100)or.less.) ��` TEL• \�-r� USE ZONE MAP OWNER' N..l� i6(A NO.�IS�J�/I 66� NO. d certify that in the.performance of the work for which this SPECIAL permit is issued; I shall not employ anypersoh in any manner ADDRESS-2403 CONDITIONS n so'.as to become subject to the Workers'Compensation Laws. V O CITY ZIP 'q 1-770 U Date - AppliccinT ARCHITECT OR' TEL. W NOTICE TO,APPLICANT: If, after making this.Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY. g CONST: ZONE O Exemption, .you .should become subject to 'the Workers' `�p _ U Compensation provisions of the Labor Code, you must forth- ADDRESS 14 with comply with such provisions.;or'this permit shall be TEL. STATISTICAL CLASSIFICATION. APT. CONDO. v7 deemed revoked. CONTRACTOR NO. Z LICENSED.CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO: (commencing with,Section 7000)of,Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. _ CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lica Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ �>J E ❑I aADD m exempt under Sec �i� ALTER. B.&P.C. for this reason REPAIR ❑, Date: OF EXISTING BLDG. DEMOL Signature APPLICANT TEL 1 ;J g OWNER-BUILDER DECLARATION (PRINT) £ hJ �LI N "/ U31 FINAL l/ I hereby affirm that I am exempt from the Contractor's License r ,�. DATE ! ii� ]� .�"Lf.`.. r•.-: Law for the following reason (Section 7031.5, Business and ADDRESS 63 �i$n P B�ricaB�r C FINAL Professions Code): PRESENT a B ln.a 3 y . BUILDING ❑ I, as owner of the property,. or my employees with ADDRESS _, ;;`. tt wages as their sole compensation,will do the work and F __ the structure is not intended oroffered for sale(Section LOCALITY t , 7044, Business and•Professions Code.) MOVING ,TEL. L _ 1, as owner of the property, am exclusively contracting CONTRACTOR- NO. with licensed contractors to,construct the project (Sec ADDRESS �L, a ti„c tion 7044, Business and Professions.Code.) REQUIRED TOTAL SETBACK FROM.' EXIST: CONSTRUCTION LENDING-AGENCY SET BACK YARD HWY PROP. LINE WIDTH ,` T I hereby affirm that there is a construction lending agency for FRONT" the performance of the'work for which this ermit is issued t i": " ? s P P. i `L -- .(Sec. 3097, Civ. C.). . .. SIDE P:L: rjI` ssr; Lender's Name, �} LDMA Ref. # s.,itF!`?t )_.. tl 3i'f P:C. Fee$ 021,d v Permit.Fee iJ Lender's Address o I certify"that I have read This application and state that the Issuance Fee /✓`' LDMA P/C# ,'. 8 above information is recti I agree to comply with,all County nve'stigation Fee Q _ 4tt I ;_I`i ,?;' R ordinances and'St A lating To building construction, Total Fee ✓ . y LDMA Perm.# s f ,- j 1;3 a and her outh iz tatives of this County to enter ti:�•1 1 i=, 12- :1 upon the abov t` erty for.inspection urposes SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature App icant or gent Date ' a. T APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS �i �y� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESSLP `,='7 44Kor a certificate of Workers' Compensation Insurance,or a certified 1�� TSN�S copy thereof(Sec.3800,Lab.C.) CITY-VeMptc CI T� ZIP qt-180 LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ NEAREST CROSS ST copy is hereby furnished. _ ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I USE ZONE MAP NO. Date Applicant - ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE *A-DI FINGSOR1 �3 j.— YES No t-622 WITHIN 1000 FT.OF SCHOOL? "�+A14!; �D R�ADDRESS (This section need not be completed if the YE ,Permit is for one hundred C�ti�y. �� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100) or less.) I certify that in the performance of the work for which this permit CITY -rcomPL& ZIP qI 1 so is issued, I shall not employ any person in any manner so as to -I become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. 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 TE O. ��y'22 SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith GotCFS ? FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION PILE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.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 WORK ADD ❑ VALUATION License Number Lic.Class 1706,r I�IL sekkT � A7� $ . Contractor Date ALTER ❑ Si iC-iA/ REPAIR ❑ $ Q El am exempt under Sec. BAP.C.for this reason �NITS-D mac-+h (ham }Ti?�t�5, INC DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ' ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# Y.�' Z I, as owner of the property, or my employees with wages as ZO _.•_.} =a their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 3�✓- 4 - OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, VES 1:1 No❑ =r Business and Professions Code.) _ 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 QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. i T .`•,.�..j•a I hereby affirm that there is a construction lending agency for YES❑ No❑ y N the performance of the work for which this permit is issued(Sec. 'i [p 1 �'O g CJ IHAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING _ ^f-fL. 5--�4•••- '°' -°'a•^'' 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ' N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ?-; j'Lr F-;•ti '}�Jf f=Y.1 i 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. —" ,•' o Lender's Address __ y's O OWNER OR AGENT o I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE /� •�f� of perjury that the above information is correct.I agree to comply j© o.( / o with all county ordinances and State laws relating to building ®' _fill _?i -; f3`� L• _• _ construction, and hereby authorize representatives of this County ISSUANCE FEE ` 00 to enter up the above-mentioned property for inspection _I 4 f:_-r INVESTIGATION FEE TOTAL FEE O � sg.m+e ar m- oai SEE REVERSE FOR EXPLANATORY LANGUAGE • COUNTY OF LOS ANGELES TEMPLE CITY # 05*08; BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS AL•TERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA BL 0508 9609240076 PHONE:.(818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5905 LT: 63 BL: .001 SQ. FT STORIES TYPE 9144 LAS TUNAS DR STRUCTURE: 1200 V TEMP CA 917801905 . ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-017-001 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/24/96 TC 09/24/97 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: CHOU WEI-HAN TRUSTEE (818) 307-9686- 1 1,560 �p• 9- ?pj 9144 LAS TUNAS DR TEMP 917801905 FEES PAID DESCRIPTION OF WORK REROOF WITH HOT MOP COMMERCIAL BUILDING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: K C CHOI CONSTRUCTION (800) 526-7972- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER' 1560.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC C1:560.Q0 VAL 82.20 (( �n_ L TOTAL FEES 110.45 CONTRACTOR: TEL. NO: . (� O�J APPROVALS DATE INSPECTOR'SIGNATURE K C CHOI CONSTRUCTION, INC. (818) 810-8044- v 19661 E VALLEY BLVD LIC. NO ( LOCATION AND SETBACKS WALNUT, CA 91789 C33/B/C39 • SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC.' NO: SLABiUNDER FLOOR RAISED FLOOR FRAMING M50H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP0: V 0 UNDERFLOOR INSULATION , � FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: O ,gt°.. NO 22 O 0 _(�� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �/2 ❑ �,,,o„ \� SHEAR PANELS AIR QUALITY: 1000 FEET - MATERIALS �(� NO NO NO D' C`\N FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- arvnc INSULATION/WEATHER STRIP SIDE PL P INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0001040038 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5905 LT: .002 SQ. FT STORIES TYPE 9144 LAS TUNAS DR STRUCTURE: 950 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD 5387-017-001 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/04/00 UT 07/02/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY- CODE: CHANG, WEILI (626) 450-4050- 1 2,000 /- /0-00 2771 S. RIO LEMPA DR ~ HACIENDA HTS, CA FEES PAID DESCRIPTION OF WORK DEMOLISH COMMERCIAL BUILDING - 950 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: CAMARENA CONTRACTORS, INC. (909) 594-5431- AA BLDG PERMIT ISSUANCE 27.75 329 S. AV. ESPLENDOR 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: WALNUT, CA TOTAL-FEES 191.25 CONTRACTOR: TEL. N0: � �,� ' �� ���� APPROVALS DATE INSPECTOR SIGNATURE CAMARENA CONTRACTORS, INC. (909) 594-5431- 329 S AVE ESPLENDOR LIC. NO � PEDESTRIAN PROTECTION \\ WALNUT, CA 91789 765907021 * � % * \ SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: I ABANDON PRIVATE DISPOSAL LIC. NO UNDERGRND STRUCT REMOVAL �- � _ � '�'i . ' � AND SOIL RECOMPACT ION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP..=1 150H265 �� O4 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- - - - - - NO 24 �V U SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS �; i NO NO NO \\ �' �� %" i iF * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 f ` COUNTY OF LOS ANGELES :TEMPLE CITY # 0508 BUILr)ING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS .j NEW'COMi+PERcIAL o. BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 !BL 0508 9911180073 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5905 LT: 63 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9148 LAS TUNAS DR STRUCTURE: 1200 1 VN B TEMP CA 917801905 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA AVE. 5387-017-001 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: DAI HO RESTAURANT EXIST OCC GRP: 03/02/00 UT 08/29/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KU;JIM C. (626) 309-5051- 1 85,000 6032 N. PRIMROSE AVE ?-�-&t TEMPLE CITY, CA FEES PAID - DESCRIPTION OF WORK NEW COMMERCIAL BUILDING (RESTAURANT) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: HOLLYEVER CONSTRUCTION (626) 968-1056- Al PLANCHECK W/EN-HC 85000.00 VAL 1,121.53 1771 S. RIO LEMPA AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: HACIENDA HTS. CA AE STRONG MOTION-OTHER-X85000.00 VAL 17.85 A2 PERMIT,W%ENERGY:HC--X85000:00 VAL 1,319.45 �����TOTAFEES-,, 2,486.58 CONTRACTOR: TEL. NO: APPROVALS���� APPR ALS DATE IN R S ATURE HOLLYEVER CONSTRUCTION (818) 968-1056- - 2771 S. RIO LEMPA DR. LIC. NO LOCATION AN SETBACKS HACIENDA HEIGHTS, CA 91745 6379526 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: / FOUNDATION/TRENCH FORMS LIC. N 1111111 SLAB/UNDER FLOOR ^/ �O LRAISED FLOOR FRAMING L MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP n (� UNDERFLOOR INSULATION 150H265 E 47 3 II �04'�U 0 II �� '. YV Q K a� FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- III��� ��J NO 18 6 0 ROOF SHEATHING 7 SCHOOL WITHIN HAZARDOUS44-1 SHEAR PANELS AIR QUALITY: . 1000 FEET MATERIALS NO NO NO FRAME INSPECTION 4q��6 Ej ®✓dam FIRE SPRINKLER HANGERS -v� INSULATION/WEATHER STRIP `',` _o INTERIOR LATH/DRYWALL U EXTERIOR'LATH RATED FLOOR/CEIL ASSEM. ` RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 3-/ 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 0004030058 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 2 BUILDING ADDRESS: TR: 5905 LT: 63 BL: .001 SIGN DESCRIPTION: WALL SIGNS (ILLUMINATED) 9148 LAS TUNAS DR TEMP CA 917801905 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA 5387-017-001 THOMAS PAGE:"596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: DAI HO EXIST OCC GRP: 04/03/00 UT 09/30/00 OWNER: TEL. NO: BLDGS. NOW ON .LOT: VALUATION: FINAL DATE FINAL BY: C CHOU WEI-HAN TRUSTEE 1,600 9144 LAS TUNAS DR 2/z TEMP 917801905 FEES PAID DESCRIPTION OF WORK TWO NEW WALL SIGNS FOR CHINESSE FAST FOOD RESTAURANT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SIGN ART CO. (626) 287-2512- AA BLDG PERMIT ISSUANCE 27.75 423 CALIFORNIA ST. AX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: SAN GABRIEL, CA D2 PERMIT W/O_EN=HC=—��1600.00 VAL 82.20 �,sELl `�TOTALZFES 164.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIGN ART CO. (626) 287-2512- 423 S CALIFORNIA LIC. NO LOCATION AND SETBACKS SAN GABRIEL CA 91776 491427 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: / 1111111 SUPPORT STRUCTURE I , r-- MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- ' 00:1 n n O V�0(�n/J 1 : J U ALJ^U<�LJ1((� / N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:– NO 20\W O 6 SCHOOL WITHIN HAZARDOUS ' AIR QUAALITY: 10N00 FEET MATEERIALSNO REPORT ID: DPR261 ROUTE TO: BS0508