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HomeMy Public PortalAbout9160 LAS TUNAS DR_Building__ 7 013•8 29M SETS a :ICATION FOR.PERMIT DEPARTMENT OF BUILDING-AND SAFETY �C� J... .,.�'�; -�• -._ . BOUNTY OF LOS ANGELES { - WM. J.FOX, CHIEF ENGINEER ����� G NO. OF BLDG., ORD.NO. DISTRICT NO. PLANCK. NO. -y PERMIT NO. PLANS SETBACK LINE _ w OX7 r" 4 7 FIRE) APPROVED . �"" jI ZONE -� BY DATE RECEIVED BY DATE OF APPL. DATE ISSU D USE — ��re11 APPROVED ZONE(fol BY DATE. _ t' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY, <C BUILDING O E NAME ' _ - ADDRESS / �••v" +'�+ � s WL-LICENSE ADDRESS .LOCALITY 11 NEARET CITY ,.,.It,..® CROSSSST.STATE �'�'/� TEL.NO. e! a. NAME / MAIL EO NAME 3 ADDRESS V O TEL. .�`/bb p ' Q ADDRESS CITY. NO. ~ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z O CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS.REGULATING BUILDING CONSTRUCTION. Z LOT NO. 46 SIZE OF LOT oX) '�" SIGNATURE OF p JF, NO.'OF BLDG S. OWNER Q IL BLOCK — NOW ON LOT AUTHORIZED AGT. _ -* W 1 "�'' I CORRECVCENS J N TRACT .'S y D USE OF BLDGS. �'T$a dENt'Z.Ok l YJ �' 1 Gd,�1�n� NOW ON LOT Ps�.1.�A .�* t I t�(/! DESCR I►YON(OF WORK USE OF BUILDING ' �.� :17 L�Vv✓'"J� �. tr' . z a r NEW TYPE .;�r� GROUP v") NO. OF NO:OF ALTERATION ROOMS' .•r"""'�-y' 'F/A`MILIES ''"`"`•� - ADDITION y/ SIZE REPAIR STORIES ' MOVING WALL COVERING DEMOLISH ROOF COVERING t®'p�✓ $ P. C.S ®o FINAL APPROVAL FEE INSPECTOR' VALUATION FEE DATE �� �yd 9 NAME =' DEPARTMENT OF BUILDING AND SAFETY ;APPIJCATION:FOR PERMIT "--= -COUNTY OF LOS ANGELES B U ' C ® I N G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDADDRESNG S 1"ff��11 Lai Tunas I3r = / .m.�" 3 b 2--0 LOCALITY Temple City, Calif. RECEIVF4D,B'yDATE OF APPL. DATE ISSUED NEAREST CROSS�ST. EncinitA Ave /� v� 7 OWNER 490ffman BUILDING 18].!} Las Tunas Dr. Corp. ADDRESS 1 'MAIL 3761 so. Hell St. LOCALITY Temple City ADDRESS NEAREST Encinita Ave. TEL CROSS ST. CITY L.A. —7 NO. FIRE PLANS TY ,J��{' GROUP PLANS ARCHITECT OR TEL. ZONE ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LINE 1-1 nA APPROVED CONTRACTOREl@C.PrOC1.COrpO No` CA,1-511�1. BY DATE , 1 USE ^� APPROVED 11 ADDRESS 00 N.Main St., L.A. —1Z ZONEC- G��'BY DATE LEGAL DESCRIPTION LOT NO. / BLOCK ©� CORRECTIONS TRACT ` Q NO.OF SLDGS. SIZE OF LOT Z�at' •SJR I NOW DN LOT USE OF NO.OFNO.OF. G BLD EXISTING. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O m REPAIR• - MOVING DEMOLISH SQ.FT. NO.OF 2 SIZE ROOMS STORIES D WALL ROOF r COVERING I COVERING USE OF NEW BUILDING INSTALLATION OF SINGLE FACE SIGN ON BLDG. SEE DARWING ATTACHED 1 HEREBY ACKNOWLEDGE THAT 1 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, SIGNATU F BRACING,BOLTS PER H LATH,INT.: AUTHORIZED AOT Electrical Aeoductb COLO LATH,EXT.: SBS-3 50M SETS 7-47 $ P O.III PLASTER,INT. - 150,00 FEE $ PLASTER,EXT. 7 VALUATION FEE 2.00 FINAL ry "':I�,: ..�.:.. y�,,._.,. --_.. .,-_.:.'+...-- .:a. v.v•�- .>..�...�.,.. mv,'.r.-• .�..,r, -�::?a-'Fs9i.n;�ew7g;.r '"k''�r{��� 78A638A CE#803.•,•10.58 A P P L.I CAT ION FOR BUILDING PERMIT rJ BUILDING AND SAFETY DIVISION: BUILDING • SS ADDRE - Department of County Engineer County of Los Angeles LOCALITY 'JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT,NO. GROUP. TYPE SEWER MAP FOR APPLICANT TO FILL IN �`�, ��^ "BK/ ICONST^ I BUILDING /% i"? fj '-7 f ry ADDRESS /!G• (.� 7 / t,t n n, -�' •fr, ?, STATISTICAL CLASSIFICATION I '� 'SLOT NO. C/ / • BLOCK CLASS NO. Yx ,MAP . �DrW/ELL. UNITS F NUM ER r(✓'//l/r STATE YES NO). rTRAG�Tw ! e USE ZONE SPECIAL t •"'/: / / •,,,f,`' NO. OF BLDGS. CONDITIONS - .,SIZE OF LOT rf f,,. I NOW ON LOT EXISTING BLDG. r'' C - .•:C.t �.. �. -�. BUILDING - ' '� ••EXIST. ' YARD 'H,WY STREET NAME r V G� M - SETBACK �y- .,- WIDTH OWNER' �i/�f' i TA/V V FRONT MAIL ,slr ) �J f f ] yI^ P. L. r^,;..G•f /ti ../'.;, t'`.. . ADORESs GI• ,..,1 ;,,.� / r`"1/. ., .,�`'If /I`f� A !r�°"- SIDE - t _ rf...�., TEL �•••'q P. L. CITYY w',(ri,,L .�..Jj�•f' NO✓'I T C'•.J��.7 / INSPECTION RECORD . _ARCHITECT OR - TEL. . ENGINEER NO. - ADDRESS n f .,. 1" f`: �,frr>_,i TEL. CONTRACTORS � NO. • .'ADDRESS - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH ME FT: NO. OF NO. OF SILE,„:-r�:;1_�..y.�,.,.,.,-.< `"`• STORIES FAMILIES - USE OF-STRUCT.URErr APPROVALS SIGLNATURE OF. APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS.- FOUNDATION: LOCATION , FORMS, MATERIALS _P. C. $ FRAME: FIRE STOPS, - L'✓ FEE BRACING. BOLTS ~ FURNACE: LOCATION. ' VALUATION $ / r GAS VENT, DUCTS FEE f I HEREBY'ACKNOWL DGE THAT 1 HAVE READ THIS AP- LATH:INT. PLICATION`i4ND STATE T AT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH L COUNTY'ORDINANCES AND-,'' LATH. EXT. STATE LAWS REGULAT1IING BUILDING CONSTRUCTION.- SIGNATURE OF / ;,Y h � HOUSE NUMBER COR- PERMITTfEE s `I �( ` RECT AND POSTED l �L i t AD ESS FINAL JOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL.STRUCTURAL EN ,Et*” PLAN CHECK VALIDATION CK. -M.O.'', CASH, PERMIT VALIDATION, cK. m.o. CASH,'/ ` ' ., . .: ,°,� ,� � �*�' Inc`• ;� � �� .. f, . . - .. Vii• •` f �� TEMPLE CITY 7SA638A'CIE#808,,-61 APPLICATION FOR B-UILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS I BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP'T'OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE P SED BY S F— Z CONST. BUILDING l%`f� .9 S STATISTICAL CLASSIFICATION SE ER MAP ADDRESS 77 EV L/ CLASS._NO. DWELL.UNITS `+ I LOT NO. BLOCK WATER NOT REQUIRED rw RECEIVED CERTIFICATE: El TRACT �) MAP d HIGIRCLE) STAT MAJOR ECOND, LOCAL c� �/ NO OF BLDGS. / NO. C// SIZE-OF LOT.,9 /( 13r IN ON LOT / USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLD ,�G. © OWNER W NO /f „fBUILDING EXIST. Q°/r SETBACK YARD HWY STREET NA E WIDTH ADDRESS J l CSV FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P.L. ADDRESS TEL. INSPECTION RECORD a CONTRACTOR &74J-X_9.1— - NO. 8 ADDRESS DESCRIPTION OF WORK v W CL NEW AD ALTER REPAIR DEMOLISH to SQ.FT. NO.OF NO.OF Z IZE STORIES FAMILIES USE OF - �s"J O r STRUCTURE fsI'7� SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE FORMS.MATERIALS FRAME: FIRE STOPS, 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. - ING TO WORKMEN'S COMPENSAT�N INS R ICE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE `�\ RECT AND POSTED ADDRESS /&') FINAL l /Lh CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK._ M.o. CASH PERM VALIDATION cK. M.O. cases Lf o v 3 OCT " 1 i U 5 .0 0 DEPARTMENT OF-BUILDING AND SAFETY APPLICATION FOIL PEi3MIT COUNTY OF LOS ANGELES '� ® ' WM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN -� DISTRICT NO. PLAN CK.NO. PERMIT NO. 1 BUILDING ADDRE89 3 4 1 �.J LOCALITY / i�� �- RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. / BUILDING ADDRESS OWNER MAILFi -T LOCALITY ADDRESS �Y ht! .�- /6"- .�9 09� L / CITY °` NO./Y'/ ��7 CJl�� NEAREST TEL .,CROSS ST. >. FIRE NO.OF TYPE ROUP + ARCHITECT OR TEL. ZONE PLANS , -_nom , 174 -ENGINEER NO. BLDG. LL / D.NO. ADDRESS- SETBACK LINE � APPROVED /�✓°� "_-.+ I'' CONTRACTOR��d( ��✓Es)✓ NO. 6. E BY � � Y - �- DATE �. �/� •� y USE APPROVED *-/d �' - 'rY /�\ ADDRESS ZONE��• BY DATE LEGALg` I - _ CORRECTIONS DESCRIPTIO[[,N LOT NO. BLOCK TRACT NO.OF r SLOGS. SIZE OF LOT �--NOW ON LOT USE OF - I NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK ° NEW ALTERATION. ADDITION 0 A REPAIR MOVING DEMOLISH - �7 Sq.FT. NO.OF Z SIZE ROOMS STORIES r WALL ROOF COVERING COVERING �) 1 HEREBY ACKNOWLEDGE THAT 1 _HAVE•READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE I9 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING,BOLTS SIGNATURE OF � .ys� _� .. PERMITTEE F, _ a — LATH,INT.: AUTHORIZED AOT LATH,EXT.: DBS-3 SOM SETS 7-47 $ ®� P.C.III PLASTER,INT. , FEE PLASTER,EXT. VALUATIONFEE �' FINAL ��c...✓1_/7 r Y//`% I ! - 75A698A CE#809 3-66.APPLICATION FOR BU ILDI N PERMI''i'� COUNTY OF LOS ANGELES BUILDING J DEPARTMENT OF COUNTY ENGINEER ADDRESS Q/ 4 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. FADDRE APPLICANT TO FILL IN DISTRICT NO. GROUP CONS PE SSED BY Y STATISTICAL'5, ASSIFICATION SEWER MAP CLASS NO. DWELL UNITS. -. BK PG BLOCK USE ZONE MAP NO. ,r _ SPECIAL N0. OF SLOGS. C✓ CONDITIONS NOW ON LOTV ,� BLDG. SETBACK FROM EXIST, vTEL. i { FRONT PROP. LINE OF (STREET) / NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS •yam BOO L HIGHWAY WIDTH FROM C.L. / lam. I - + CITY _ ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LI F REET) TYPE OF XISTING SiTriMWAY + YARD = TOTAL ADDRESS HIGHWAY D ROM .L. TEL. c� wb + _ CONTRACTOR O / CORNER CUTOFF YES NO ADDRESS S NO / d C CITY cls SEE-REVERSE SIDE FOR SPECIAL. APPROVALS DESCRIPTION OF WORK _ �? "Lr� L� NEW ADD ALTER REPAIR DEMOLISH '� LCX­L )�, p e ,I A� 1 A. i � .^I �-•p-.1 SQ.FT. NO. OF NO. OFC /v J,r4 �YY"L SIZE STORIES FAMILIES /J �? CRL1t USE OF STRUCTURE _ /� SIGNATURE OF APPLICANT VALUATION$ a i •00 APPROVALS DATE INSPECTOR'SSIGNATURE FOUNDATION, LOCATION FEE$ FEE$ dw FORMS, MATERIALS FRAME, FIRE STOPS,- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT GI -[n� ///�'IdJ'rZl7/dL47 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS -WILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSUR NCE. LATH. EXT. SIGNATURE O � HOUSE NUMBER COR- PE,RMITTEE RE AND POSTED ADDRESS FINAL t t i.( '(j -ta JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.O CASH Lko 1 3 0 41�0 OCT 23 1 0 6s-10 Q, 76A638'A*C;E#803 9-68 '"'H ` Y OF 11=9 " " 7�in, Cr T'y APPLICATION FOR BUILDING PERMYT • • C6JUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY. ENGINEER ADDRESS (� BUILDING AND SAFETY DIVISION LOCALITY 9� JOHN A. LAMBIE; COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST, ✓ FOR APPLICANT TO FILL IN DISTSJrCT GR P TYPE R S�BY (Print or type only) j © CONST. l/�,� / BUILDING d ``,, 'I STATISTICAL ASS I ATION (-SEWER MAP ADDRESS 9 A.5 a/V,4S CLASS NO. 0 WELL,UN ITS BK LOT NO. BLOCK USE ZONE, MAP jjo NO. 0 TRACT SPECIAL NNOOCONDITIONS O. ONSIZE OF LOT LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM S /S T u /e, TEL FRONT PROP,LINE OF -(STREET). OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL / ^ HIGHWAY WIDTH FROM C.L. ADDRESS 6 O k,4S u./U.45 01C r CITY E �:�..� C 1 T y B G.SETBACKFROM ARCHITECT OR TEL. SI E PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. _ C0NTRACT0R�L /27©NrE C"v NO. V3-4/S3 + ADDRES�7'�0 S/4ti 7'/4 /4N J'rA NO 6 37? CORNER CUTOFF YES ❑ NO ❑ LIC. C CITY e L /Y/©A.,7'46r CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 4 CONSTRUCTION LENDER CL NAME AND BRANCH /! Z ADDRESS _ SQ. FT. NO. OF NO. OF NEW F-1c SIZE STORIES ILIES STRUOCTUREroo USE Fr ADD ❑ 1..� I'- sr a ALTER ❑ �Gv� �(, E PA I R❑ SIGNATURE.OF ' APPLICANT ®`A EMOL ❑ � / �j /� VALUATION $ ` - APPROVALS DATE INSPECTOR'S SIGNATURE PMT. FOUNDATION: LOCATION FEE $ O FEE S / �.Z.� FRM FORS, MA ERIALS I HEREBY ACKNOWLEDGE THAT I HAVE RE D THS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 1'S CORRECT D AGR E TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGU ATING ILDIN CON- GAS VENT, DUCTS STRUC TION. I CERTIFY T T N D G HE W AUT 0 IZED HEREBY I WILL NOT E Y PERS IN 0 ATIO F THE LATH, INT. LABOR CODE OF THE S T F -CALIF R I RE ING TO WORKMEN'S COMPEN N 1 RANC E. LATH, EXT, •^ SIGNATURE OF iI _ HOUSE NUMBER COR- ` PERMITTEE - RECT AND POSTED ADDRESS 4 I FINAL JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION' CK. M.O.. cosH _ PERMIT VALIDATION cK. M.O CASH f4 2 v 3c MAR31 0.35.1 t 5 7s� 21 3 0 1 72 5P ,78A598A DSS-3 APPLICATION11'-55 FOR .BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS r County of Los Angeles LOCALITY f� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP BK PG CONST. . BUILDING MAP ADDRESS �/O �/. a17a J NUMBER SHWy YES O' LOT NO. 7 BLOCK USE ZONE SPECIAL / CONDITIONS TRACT O (f 12 NO.OF SL DT BUILDING EXIST. - SIZE OF LOT�.� I NOW ON LOT I SETBACK YARD HWY STREET NAME WIDTH OF EXISTING BLDG. ��{,�/ �J eS:S FRONT - g''� P. L. OWNER //.Y Y �Q ��(�-/ /� SIDE' , MAIL // /'. P. L. ADDRESS (�Q / lL a_5 O TRACT DWELL. 1 UNIT TEL 5 INDUSTRIAL CITY t NO �j DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT Off TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL TEL. INSPECTION RECORD NO. CONTRACTOR ADDRESS DESCRIPTION OF WORK NEW DD ALTER REPAIR DEMOLISH SO. FT. P� NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE , ria/(- lr'e-hCer 7ov77'(j- Lar e SIGNATURE OF APPLICANT APPROVALS ADDRESS - - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION -P. C. S FORMS,MATERIALS / FEE FRAME: FIRE STOPS, VALUATION S - BRACING. BOLTS FEE FURNACE: LOCATION, . 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT,.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES,. LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ,, n ADDRESS FINAL JOHN A.LAMBIE.COUNTY ENGINEER VALIDATI�Is, CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR 1 CK Mo/CC I hP5 2. 2 2—'m FEB 15 1 1 .0 0 In QD pe• :s;4:�ZWS.BTS APPLICATIUN YUK PERDIff IMPeAi'RTMENT OF BUILDING AND SAFETY �,T COUNTY OF LOS ANGELES Ili WM. J. FOX, CHIEF ENGINEER \ BLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. NO.OF ,may �• PLANS SETBACK LINE FIRJ.E APPROVED �`6 / 1 ZONE BY DATE RECEIV E �D/ BY DAT/'E OF AP ,DPL . DATE ISSUEDUSE APPROVED _, DATE cA/ "6 V —2 11-29' 44 ZONE /2 1 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 0 BUILDING Q� / {1 F �f F W NAME q, ADDRESS U I L -�J T./A/17 a.] .F z ADDRESS LOCALITY 7,EMPLIF 0— v = Z NEAREST ty ` � /ate 7 U W CITY. _ CRO88 3 (,F.//!Y ® .A•I" < STATE TEL. AQ r� q A/ LICENSE NO. NO. � NAME �//�/7 ( !d�Y �v� Z MAIL per 0 NAME s t/ ADDRESS �y ,:',, T 1- 1"0' Ail— G K ADDRESS CITY Cl Z g NO. I I A 2. F � ZO CITY I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. OZ LqT NO. % SIZE OF LOT SIGNATURE OF J rr OWNER t7NO. OF SLOGS. V/ ye r a < d � /, AUTHORIZED AGT. Z "' 4s"� BLOCK NOW ON LOT Q TRACT or CORRECTIOMS D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE of BUILDING RE Pr R/ T g R,"rD R JtRillCe �A 'tk j�4, This construction may be in violation of War Production. Board orders. Tou are cau ionea to curibut Vvi�il yom imc�i .-,.: O ,•j fri.� hnf nC- �l in fhe work cuthorized in this permit. 2 D NEW TYPE GROUP OF r NO.OF J NO..CF ALTERATION RO�DMS J FAMILIES ADDITION SIZE �`� � REPAIR 8TORIES MOVING WALL. COVERING �� 'r u c e o A1z DEMOLISH ROOF COVERING FEE $.s-,Q p FINAL�APPR L /� INSPECT�O'R!si'i •� Y�ALUATION 3 / !/®t FEB ID-Dle/ �DATiE^ 1 NAME% /J L APPLICATION FOR .BUILDING. PE.RMIT COUNTY OF'LOS ANGELES BUILDING,AND.SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILLING AADDRESS `�;�r .BUILDING DDRESS - - ��Q' C. �'✓ - `���'l.�iJ I:hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800,Lab.G) CITY1 _ ZIP w LOCALIT y` Policy No. Company SIZE OF LOT NO.OF BLDGS..NOW ON LOT ,,,, ❑ Certified copy is hereby,furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO., department. - USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK - PAGE PARCEL - , • - - .SPECIAL CONDITIONS - CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �` 1 T L NO, pr a COMPENSATION INSURANCE O �/" 2 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRES dollars($100)or less.) - L�S DISTRICT GROUP - TYPE CONST. FIRE ZONE PROCESSED BY CIT - ZIP '` �7 - I certify that in the performance of the work for which this permit �� �I�� 0(17716. C is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER - •' TEL NO. - Cd become subject t0 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 Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,-you must forthwith 19 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL 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.AP STORIES NO.OF FAMILIES Professions Code,and my license is In full force and effect. NEW ❑ BK PG a DESCRIPTION OF WORK VALUATION License Number Lic.:Class ADD ❑ ► _ _ 0 Contractor Date l C ALTER (] $ a L_-)^ -13 V L REPAIR El s= — O ❑,I am exempt under Sec. BAP.C.for this reason �(Q 7F�� CE DEMOL ❑ LLMA Pic# =° t 1. t„'LU Date: USE OF EXISTING BLDG. URM ❑ ' a ._.3 Signature - APPLICANT(PRINT) - TEL,NO.. LDMA Perm# N� y z. - Z i it El 1,I, as owner of the property, or my employees with wages as :..: their sole compensation, will do the work and the structure is ADDRESS O _ Ii not intended or offered for sale (Section 7044, Business and FINAL DATE Q ,_.",, .- Professions Code.) .– � � 1 -. WILL THE.APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J v—”'x 'v�e I, as owner of..the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY _ Ik o 11'= "A=5 '� = 6(_. licensed contractors to construct the project (Section 7044, YES 1:1 No ElT r r t Business and Professions Code.) :�";. �.�f 7�6 UZ -' WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING . OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �y;•{s.S�)- o 13 j CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR " - GUIDELINES. - - I hereby affirm that there is a construction lending agency for .YES❑ NO 1:1 - - - - w the performance of the work for which this permit is issued(Sea )" -:••-E s m I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING :„:I„I __if_ 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ” 'TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS D t 1 a$?} Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD.IL _ '»`i.= •�. 3 r o. Lender's,Address' O OWNER OR AGENT _ - o I 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.I agree to comply �j CJfi -y o with all.county ordinances and State laws relating to building �e < construction, and hereby authorize representatives of this County ISSUANCE FEE to enter pon the above-mentioned property for inspection purposes. - INVESTIGATION FEE TOTAL FEE //J� / Sy r PPI,ant gent Date A 0 SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION,DECLARATION I hereby affirm I have a'certificate of"consent r self APPLICATION FOR B U I L D I N G �.P E RMII T .insure, or a certificate of-Workers' Compensation Insurance,.or a certified copy thereof (Sec. 3800; Lab.,C Fund :) 1046140 'State COUNTY OF LOS ANGELES 'BUILDING AND SAFETY ' Policy No. Company BUILDING l CeSrtified.copy is hereby furmahed: FOR APPLICANT TO FILL IN ADDRESS BUILDING Certified copy-is filed.with the county building'inspec- gppRESS tion department. Tunq- Dr 1171-89Rando1 Roofing CITY- Temple City, Ca. zip 91780- - . LOCALITY Date , ! ,ApplicantN FBLDGS. O. O :.' -.. ,NEAREST .., CERTIFICATE OF EXEMPTION FROM:WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be'completed if,the permit is for one TRACT r BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less:.) TEL.28 MA OWNER Al BaIlulos NO. 6-9306 USE ZONE P' I certify-that in the performance of the, work for which this NO w 113 E... Las Tunas Dr, i SPECIAL permit is issued,;)shall not employ any person in any manner ADDRESS - a ' CONDITIONS • so as to become subject To The Workers Compensation Laws. ., ... _ O ' 7-17-89 Randol Roofing San Gabriel, Ca. , 917.76 v g CIN ZIP •Date Applicant ARCHITECT OR TEL. NOTICE TO,AP?LIGANT:.If,. after.makin This .Certificate of ` ISTRICT GROUP TYPE _ FIRE , PROCESSE/DQBY g ENGINEER NO: CONST. ZONP `J O .Exemption, you: should` become •'subject to. the Workers'. '' � �. ` / 3 - Compersation provisions of.the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL STATISTICAL CLAS IFICATION APT. CONDO. N .deemed revoked.: CONTRACTOR NO Roofing NO. 288-4040 z_ LICENSED CONTRACTORS DECLARATION ' "- LIC. CLASS NO. DWELL.-'UNITS I hereby affirm that I am licensed under provisions,of Chapter 9, - ADDRESS 529. E. Valle Blvd _ NO.451937 SEWER MAP (commencing with Section 7000)of Division 3 of the Business San. Gabriel, Ca. LIC' C-39 and Professions Code,and my-license'is in full force and effect. CIN. CLASS BK VALIDATION 451937 C=39, SQ. FT. NO: OF NO. OF CHECK License Number "Lic.,Class SIZE STORIES FAMILIES ONE VALUATION Randol ROof•in 1=3,0 •90 DESCRIPTION OF WORK Re=roof .bldg. Wit NEW ❑- y� Contractor gDate fir.- v ADD ❑ ► ❑I am exempt under Sec. roof' CLass A. Roof.. ' ALTER. II❑--tt BAP.C. for this reason REPAIR L� $ Date USE OF ' EXISTING BLDG:' Business DEMOL ❑ Signature APPLICANT INT) Randol Roofing TEL. 288-4040 --FINAL OWNER-BUILDER DECLARATION : DAT��' I hereby affirm that I am exempt from the Contractor's License' 529 E. Valley Blvd.S.G. "91776 Law for the following reason (Section 7031.5, Business and ADDRESS FIN i Professions Code):. PRESENT g fT ❑ I, as owner of theproperty,.or rim em to ees with BUILDING to .t,v , . Y. P Y ADDRESS- .' wages as their sole compensation,will do the work and _ s 68.63. the structure is not intended or.offered for safe(Section LOCALITY PS 7044, Business and Professions Code:) MOVING . . . . TEL. 1- ITE CONTRACTOR NO. � "O I, as owner.of the property, am'exclusively contracting TOTAL' 648®u+3 with licensed"contractors to construct:the project (Sec- ADDRESS C�Et�f #��r 6 , tion 7044,,Business and Professions Code.) C 8. _ REQUIRED - TOTAL SETBACK FROM EXIST. _ r.{�A�,'r ��yyft CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CWGE ■01 I hereby affirm that there is a construction lending agency for FRONT the performance of the work.fot which this permit is issued P.L.' (Sec. 3097 Civ,C )• P.L. 7/'26:!89 .Lender's Name 6 { M f e C� „. LDMA Ref. # 90 ` 1 Pt 11i■ 81 . P.C..Fee,$ Permit Fee $58.13' - 3 Lender's Address" $10.50 o I certify that'l have read this'a lication and state that the Issuan LDMA P./C# o Y PP ;� 8 above information is correct:l agree to comply with aII CountyInvestigation Fee R ordinances and State'laws relating to building construction,, Total Fee 68.63 LDMA Perm. # a' and b autho ' e r r sentativ of this County to enter' - u n t o ent' prop' for sped' p rpose . ;� - SEE REVERSE FOR EXPLANAT GE " Signature of Applicant or Agent Date ' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES f BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIIUIG ADD ESS I hereby affirm that I have a certificate of consent to self insure, BUIJ-DIN ADDRE�S p� G or a certificate of Workers' Compensation Insurance, or a certified r-ATS L��$ �I v F.— copy thereof (Sec.3800,Lab.C.) CITY L C ZIP I TY ( D d LOCALIx� G Policy No. Company SIZE OF LOT NO.OF BLDGS,NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS,9T. ❑ Certified copy is filed with the county building inspection TRACT BLOCK - LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ` �C Y/ TEL NO.g f� COMPENSATION INSURANCE U SIJlV > f r _ —i(�(r7A1 -[R-�, �t�- �(�al 4THIN 1000 FT.OF SCHOOL? ves No This section need not be.completed leted if the permit is for one hundred ADDRESS ( p p / -' DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) �t7�/✓ ZIP �j I certify that in the pe.rformanCITce of the work for which this permit 'r _ (�$U ��l/ .0' �4 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINES TEL NO.' becom1e u le t to the Workers'CO pensati'onnt STATISTICAL CLASSIFICATION APT CONDO Applicant A `' - X ADDRESS CLASS NO. DWELL UNITS, NOTICE TO APPLICANT.• If, after' making this Certificate of REQUIRED TOTAL SETBAeK FROM EXIST Exemption, you .should become subject• to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP_•LINE- 6 WIDTH Compensation•provisions of the Labor Code, you must forthwith FRONT c comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS - PL _ I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP a (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NQ..OF STORIES NO.OF FAMILIES NEW ❑ BK PG } Professions Code,and my license is in full force and effect. , -j(i 6.�,^0. License Number Lia Class DESC o F WORK. ADD ❑ VALUATIONS ,• O Date Contractor DatALTER El �� REPAIR ❑ fli ;y_ y` ? �U5 ❑ I am exempt under Sec. $ B.&P.C. for this reason �, DEMOL ❑ CHET -4.!y 1t) LDMA P/C#' f„_. W Date: USE of EXISTING DG. URM ❑ - '' 'I�`31� n'E=a \ / p s t;r. Signature - APPLICANT(PRINT) TEL NO. LDMA.Perm# wn- ❑ I, as owner of the property, or my employees with wages as Z ! sty€��, � �'�"•”=� their sole compensation, will.do the,work and the structure is ADDRESS O `: not intended or offered for sale (Section 7044,-Business and FINAL DAT i� PfOfeSS10nS Code. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE,A HAZARDOUS MATERIAL i q5 _ 1 tjl: 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, YES❑ NO❑ 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 QUAUTY MANAGEMENT DISTRICT(SOAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for VES❑ No❑ N the performance Of the Work for,which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING - 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 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. EL Lender's Address OWNER OR AGENT O o I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE d of perjury that the above information is correct.I agree to comply —jf N with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County - ISSUANCE FEE m o to a on the abov - entioned property for ins a tion urposes. `° ►b INVESTIGATION FEE TOTAL FEE / O 'D _l ?� re of Appli-a r Apenl 1e SEE REVERSE FOR EXPLANATORY LANGUAGE v WORKERS' COMPENSATION DECLARATION I hereby affirm that. I .have a^certificate of consent APPLICATION to-self insure,­or certificate of Workers' Compensation Insuran"e, - O I D.' �..' ��I ,- or a ce3PFied copy thereof (Sec: 3800, Lab. C.): COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company. - ❑ Certifiedreo is hereb #urnished. FOR APPLICANT, TO FILL IN BUILDING �v copy y.. : ADDRESS C ❑ Certified copy is.filed with the county building inspec- BUILDING, d - _ tion department:, - ADDRESS Date. .. Applicant -rem CITY'% ` IP Q' LOCALITY NO. OF BLDGS. EARESTT , CERTIFICATE OF EXEMPTION FRONT'WORKERS' " SIZE OF LOT NOW ON LOT N - COMPENSATION INSURANCE' ' CROSS S . - ASSESSOR ;(This section need not be completed:if the permit"is`for one TRACT BLOCK LOT NO: /�pP BOOK PAGE PARCEL hundred.dollars, or less:) p( ,p TEL. a�j� 2 OWNER- ' t V 'NO. �2 J USE ZONE MAP r certify that in the performance•;of the work for which'this O. . res permit is issued, I shall not employ any,person'in any manner ADDRESS192-6 Z2 Q 31 0_ 2% SPECIAL CONDITIONS ,so as to.become subject to the Workers'Compensation'Laws. O CITY. IP ' Date �� 'O Applicant ARCHITECT-OR TEL } . • NOTICE ,TO. APPLICANT: if, after,,making this.Certificate of ENGINEER NO. . DISTRICT GROUP TYP FIRE P $SED BY 9 - C T. ZONE 0. Exemption, you should become, subject to the Workers' �, ' a U Compensation provisions of the,Labor Code, you must forth- ADDRESS ✓' ° a with comply with such.provisions-or this_'permit shall be TEL. STATISTICAL CLASSIFICATION APT: CONDO. to deemed revoked. CONTRACTOR NO. , '� —1 - _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 6WELL.•UNITS Z I hereby affirm that'I am licensed under provisions of Chapter 9 ADDRESS NO. ER MAP (c.ommencing'with Section 7000)of Division 3.6f the Business LIC. SEW ' 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 Lic. Class SIZE STORIES- FAMILIES ONE -'.. VALUATION Contractor: _ Date c EW •' �{ . DESCRIPTION OF WORK N 6 ADD - ❑ ❑I am exempt under Sec. ALTER D B.&P.C..for this reasonREPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMO' ❑ SignatureFINAL APPLICANT TEL. OWNER-BUILDER DECLARATION. (PRINT), NO. I hereby affirm that I am exempt from the Contractor's License DATE Ldw for the following reason (Section'7031'.5, Business and ADDRESS FINAL Pr essions Code). PRESENTBy- BUILDING p ._A I, as owner of the.-property; ormyemployees with ADDRESS 'a 7 - -wages as their sole compensation,will-do the work.and 7 �7,�.`r� I the structure is not intended or offered for sale(Section LOCALITY 7044,-Businessx and Professions Code.) MOVING TEL: 1 ITEMS ❑ I,.asLOW ner of the property, am exclusively contracting CONTRACTOR NO. with-licen'sed contractors to construct the' project,(Sec- Tit[ - ►. ADDRESS . tion 7044,,,Busiriess and Professions Code.,) CHECK �� �'t(} REQUIRED TOTAL SETBACK FROM EXIST. CHECK 33.00 CONSTRUCTION LENDING AGENCY SET BACK YARD- HWY PROP. LINE WIDTH I hereby affifm,that there is a construction lending agency for FRONT CHANGE the performance'of the work for which this permit'is issued PA. " (Sec..'3097, Civ. C.). .SIDE P.L: Lender's Name' �-0LDMA Ref. # V13 Name, .'8- 7 171 �,y� P.C. Fee$ Permit Fee � ,�.-r'J t9i# tai��V Lender's Address ► 0 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# ` above information is correct. I agree'to comply with all,County Indesti regatiori.Fee 0 ordinances and-State laws relating to building construction, Total Fee Z �'r�d LDMA Perm. 4 ' a , and hereby authorize representatives of.this County to enter up the v�e-mentio " property for inspection purposes. - L .-SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of'Applicant or Agent Date WORKERS' COMPENSATION DECLARATION I he'=.by affirm that I have a certificate of consent to self inscf, w:a certificate of Workers' Compensation Insurance, APPLICATION-FOR B U I L D I NG.' PERMIT or a.certified copy thereof (Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES' BUILDING AND SAFETY Policy No. CompanyBUILDING /- ❑ Certified copy is hereby.furnished.' FOR APPLICANT TO FILL IN ADDRESS ❑• Certified copy is filed with the county building inspec- BUILDING - tion department. ADDRESS 0IV Am Date—Applicant' CITY ZIP LOCALITY NO. OF BLDGS. NEAREST 'CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT. p 0 NOW ON LOT C OSS ST. COMPENSATION INSURANCE .i ASSESSOR (This section need not be'completed if the permit is for one TRACT Q .; (d BLOCK LOT NO. D MAp BOO .Z PAGE PARCEL VA6 . hundred dollars ($100) or less:') \,TEL dV.7-�3� OWNER R-11 #gAPP ! USE ZONE OP _,X171 �y '- . I certify that in the performance of the work for which this �^ permit is issued, I shall.not employ any person in any manner V ADDRESS WPLLS � SPECIAL ,_".(_, CONDITIONS so as to become subject to the Workers:Compensation Laws. - :.s t� . • CITY SAN a ha It i L ZIP - Date Applicant ARCHITECT OR TEL, �^ DISTRICT GROUP TYPE FIRE -L -.PROCESSED BY O ENGINEER NO NOTICE TO APPLICANT: If, after,making this Certificate of CONST. ZB." s a Exemption, you should become subject to the Workers' �r s l's,c�?�, '� m Compensation•provisions of the Labor Code, you must forth- ADDRESS �J '/- Y 'LGlE�a°•t u' y,. with comply with such, provisions.or this permit shall be TEL. STATISTICAL CLAS IFICATION pT. CONDO. - Z deemed revoked. CONTRACTOR (�/ NO. -.' a) i, 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 m license is in full force and effect: CIN CLASS `s r``3 y BK. PG. DATION SQ. FT. NO. OF NO. OF CHECK. ii License Number Lic. Class SIZE STORIES FAMILIES ONE ,'�•? 1 ns VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ El ❑I am exempt under Sec. 'yov ADD' ALTER Ld[y1I 'B' .&P.C. for this reason $ �� REPAIR ❑ , Date:- USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT /� TE- /t Jt `r FINAL OWNER-BUILDER DECLARATION (PRINT) /�( T`�' 9 li DATE r_I. I hereby affirm that I am exempt from the.Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENTBy BUILDING ❑ I, as owner of the property, or my'employees"with ADDRESS 1 pCIA 71ak:&nA =- wages as their sole compensation,will do the work and ' the structure ison LOCALITY not intended or offered for sale(Sectipolo 7044, Business and Professions Code.) MOVING TEL. TOT I, as owner of the property, am exclusively contracting CONTRACTOR NO. +}.I;HL@ c r = _"s• with licensed'contractors to construct the project Sec - P I ( ADDRESS r_4 e. �•�, •� tion 7044; Business and Professions Code.): q .REQUIRED TOTAL SETBACK FROM'' EXIST.- t:1lt# trA CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that-there is a construction lending agency for FRONT the performance of the work for which.This permit is issued P.L. t { (Sec. 3097, Civ. C.). SIDE ` ` rra `. W iii#3!_I_ 3tii12 . ;ir. P.L. t I r I Wa r Lender's Name. ` ' -L,.,. m r'n J Ref'.'N'. r d fir, .f F_ts, P.C. Fee$ Permit Fee Lender's Address ot�i I certify that I have read this application and,state that'the 7 d� Issuance Fee 46 �, s LDMA P/C N 8 above information is correct. I agree to comply with all County Investigation Fee /I /� R ordinances and State laws relating to building construction, Total Fee / LDMA Perm. # � 6 e and hereby authorize representatives of this County.to enter upon th above- entioned property for inspection pVrposes. a C i ,lr.. ryw — �9/ SEE REVERSE FOR EXPLANATORY LANGUAGE t r igno Fu of Applicant or Agent Date r••+• WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a.certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING P E RM I T 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 IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion.department. ADDRESS CITY ZIP LOCALITY Date Applicant' O. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS'., SIZE OF LOT a to OW ON LOT CROSS ST. COMPENSATION'INSURANCE Q ASSESSORi3 (This section need not be completed if the permit is for one ' TRACT BLOCK LOT NO. O MAP BOOK PAGE PARCEL b hundred'dollars ($100) or.less.) TEL. E ZONE MAP OWNER NO. — o NO. I certify that in the performance of the work for which this ' dura �71AR SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS3 CONDITIONS O so as to become subject to the Workers'Compensation Laws. / U CITY ' - an \ ZIP' Pate Applicant, ARCHITECT R TEL. DISTRICT GROUP TYPE FIRE PR CESSED BY 0 NOTICE TO APPLICANT: ,If, after makingthis .Certificate of ENGINEER. NO. CONST. •,V. Z E _ � Exemption, you should become subject to the Workers' ADDRESS v a Compensation provisions of the Labor Code, you must forth- N with comply with such provisions or this permit.shall be +. 8A / TEL STATISTIL" SSJI T1 APT. CONDO. Z deemed revoked. CONTRACTOR I/�'~ NO. CEJ - - LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWE UNITS I'hereby affirm that Lam licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP .(commencing with Section 7000)of Division 3 of the Business LIC. 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 Lic.'Class SIZE I STORIES FAMILIES ONE M Contractor Date DESCRIPTION OF WORK NEW El .VALUATION ADD ❑ S O ► ❑1 am exempt under Sec. " .. ALTER ❑' B.BP.C. for This reason' REPAIR ❑ $ Date: USE OF, EXISTING BLDG. DE MOL ❑ APPLICANT TEL.; , Signature (PRINT) P S ( FINAL �� `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 ADDRESS MOL FINAL Professions Code): PRESENT BY i�� ►/ L ice!-}_i°a BUILDING • El I, as owner of the property, or my employees with ADDRESS10 wages as their sole compensation,will do the work and , the structure is not intended or offered•for sale(Section LOCALITY y 7044, Business and Professions Code.) MOVING TEL. ____ _ El 1, as-owner of the property, am exclusively contracting CONTRACTOR NO. (fy „ ° with licensed contractors to construct the project (Sec- gDDRESS ti=LI, T tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. ;W('s'4; CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for HRN rv€•- ) � — the performance of the work for which this permit.is issued t -T' � 0 °' (Sec. 3097, Civ. C:). i r0°ii_ELender's Name7 (!�•��/ Permit Fee tOe• LDMA Ref. # ` 3 Lender's Address I certify That I have read This application and state that the Issuance Fee LDMA P/C# , I E 1 r "i o Y PP 41 It. I:i ) above'information is correct. I agree to comply with all County Investigation Fee 22 {_ dordinances and State laws relating to building construction, Total Fee d' LDMA Perm:# __'_,' E i I•{ 8 < and hereby authorize representatives of this County to enter p n tfZe above- entioned ropeity for inspect: n purposes. .a % ,% f\ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of-Applicant or Agent Date 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 0104130004 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 1 BUILDING ADDRESS'. TR: 5905 LT: 69 SIGN DESCRIPTION: CAL STATE ACADEMY 9160 LAS TUNAS DR TEMP CA 917801905 ASSESSOR INFORMATION NUMBER: NEAREST"'CROSS STREET: LOMA/ENCINTIA ' 5387-017-006 THOMAS PAGE: 596 GRID: H3 LOCAL-ITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: CAL STATE ACADEMY EXIST OCC GRP: 04/13/01 JK 10/10/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI ki. DAT FINAL BY: CODE: WEI BOR JI;HUANG H (818) 307-7321- 2,477 - p( 146 WELLS ST SGAB 917763226 FEES PAID DES RIPTI N OF WORK 32"X10'X8" ELECTRIC CA IGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: 28K SIGN MFG (626) 814-8889- AA BLDG PERMIT ISSUANCE 27.75 1406 VIRGINIA AVE #3 AX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: BALDWIN PARK D2 PERMIT W/0-EN-HC—.- -2477.00 VAL 99.00 .TOTAL-FEES 181.45 CONTRACTOR: TEL. N0: � APPROVALS DATE INSPECTOR SIGNATURE 28K SIGNS MFG CO. (626) 814-8889- 1406 VIRGINIA AVE LIC. NO _ LOCATION AND SETBACKS #3 775215 C45 BALDWIN PARK, CA 91706 ; f SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: 'I�dj \. FOUNDATION/TRENCH FORMS LIC. NO II — - SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. ' . 00 : NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL' DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY QF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT bF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104180038 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5905 LT: 69 SQ. FT STORIES TYPE OCCUP GROUP 9160 LAS TUNAS DR STRUCTURE: 0 1 VN E2 TEMP CA 917801905 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA/ENCINITA 5387-017-006 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST LDG USE: TUTOR USE ZONE: C- ISSUED ON: PROCESSED BY: EXPIRES ON: CAL STATE ACADEMY EXIST OCC GRP: E2 04/18/01 JK 10/15/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI L DAT FINAL BY: CODE: WEI BOR JI;HUANG H (818) 307-7321- 1 1,000 D 146 WELLS ST SGAB 917763226 FEES PAID D-EjCRIPTJION OF WOR IN ALL TWO EXTERIOR kdRS AND T NTERIOR DOORS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: WESTERN PACIFIC DIVERSIFIED (626) 233-1229- AA BLDG PERMIT ISSUANCE 27.75 14824 WAL BROOK DR AE STRONG MOTION OTHER 1000.00 VAL 0.50 SPECIAL CONDITIONS: HACIENDA HTS, CA 62 PERMIT W/ENERGY:` - 1000.00 VAL 71.94 TOTAL .F"EES 100.19 CONTRACTOR: TEL. NO: ;' i APPROVALS DATE INSPECTOR SIGNATURE WESTERN PACIFIC DIVERSIFIED (626) 233-1229- 14824 33-1229 14824 WALBROOK DR LIC. NO r LOCATION AND SETBACKS HACIENDA HTS, CA 91745 759658 B SOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: "/, I! - \ FOUNDATION/TRENCH FORMS LIC.-NO:"'' t� 1 SLAB/UNDER FLOOR 1 ( I I ! RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- UNDERFLOOR INSULATION X 3 01: FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 22;.x , - ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ��`'� t� SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS \ " INSULATION/WEATHER STRIP NTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE' REPORT ID: DPR261 ROUTE TO: BS0508 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 1310310067 PHONE: (626) 285-0488 EXT: ILEGAL ID: (NUMBER OF SIGNS: 4 1 BUILDING ADDRESS: ITR: 5905 LT: 69 - ISIGN DESCRIPTION: WALL SIGN INSTALLATION 9160 LAS TUNAS DR I I - _ TEMP CA 917801905 ' (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15387-017-006 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI (TENANT: '(EXIST BLDG USE: (ISSUED ON: PROCESSED BY: I FALL STATE POMES (EXIST OCC GRP: 110/31/13 SR I OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: IPOMES ALLSTATE, LETICIA (626) 286-7734- 1 1,800 �-{' 19160 LAS TUNAS DRIVE I�q / I ITEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK IWALL SIGN INSTALLATION 1 _(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( (APPLICANT: TEL. NO: I I IHOWARD, TED (714) 262-4702- IAA BLDG PERMIT ISSUANCE 27.80 I 1600 W FREEDOM AVE IAB STATE GREEN BLDG FEE 1800.00 VAL 1.00 ISPECIAL CONDITIONS: (ORANGE CA 92865 ID1 PLANCHECK W/O EN-HC 1800.00 VAL 82.10 1 ID2 PERMIT W/O EN-HC 1800.00 VAL 82.20 1 I I TOTAL FEES 193.10 1 ICONTRACTOR: TEL. NO: i 1APPROVALS DATE INSPECTOR SIGNATURE 11NSIGNIA (714) 237-1600- I I 1600 W FREEDOM AVE LIC. NO 1 ILOCATION AND SETBACKS I - 10RANGE CA 92865 872790 I 1 ISOLLS ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. NO: ( IFOUNDATION/TRENCH FORMS I I I - I LSC. NO: 1 ISUPPORT STRUCTURE I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I 001 I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 20 I I SCHOOL WITHIN HAZARDOUS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO I I I I I I � • I I I I I ! I I I I I I I I I I I I I I I I I I I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I• I