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HomeMy Public PortalAbout9165-9167 LAS TUNAS DR_Building__ APPLICATION FOR. BUILDING PERMIT FOR',-APPLICANT'TO'FILL IN (Print or type only) I I , BUILDING lm ��� L� TSN , p ' COUNTY OF LOS ANGELES AouREss DEPARTMENT OF COUNTY ENGINEER CITY :C zip 9176/n�a BUILDINGG AND SAFETY D ISION F SLOGLDING SIZE OF LOT Gv,/I�JtNOW ON LOTS d ADIDRESS / v TRACT d5� BLOCK/ LOT',NO 8 LOCALITY EAREST OWNER �' C7 �N SC"1,f[ NOL $ ROSS ST ` ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CITY ZIP � CONST - ZONE ^ ARCHITECT'OR TEL. . ENGINEER NO 57A'TISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.--2. �?-OWELL UNITS BK PG CONTRACTOR 4-v- `• pL 1f35I� USE ZONE NOP O O ADDRESS ;je,, d,, o R-$e NO'X 7d /1 ^Z COPECIAL NDIT ONS CITY �p LIC /� 7 CLASS 61 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ ,NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SE ACK FROM ' FRONT FfROP.LINE OF -• (STREET) ADDRESS t CITY _ s HIGHWAY } YARD ' TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF ' NO OF CHECK FRONT PROP LINE HIGHWAY ,WIDTH SIZE � STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ' •U vIlt � ^ BLDG SETS ROM T/ SIDE PROP LINE (STREET) CD O ALTER HIGHWAY } YARD = TOTAL SETBACK TYPE OF EXISTING U REPAIR SIDEiPROP LINE AY WIDTH Lu • _ N EXESOT NG�BLDG, S - jtjy DEMOL ❑ } Z APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) ,NO. _ BY (SIGN TURE IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES.❑ NO ❑ VALUATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION L Biu " 'c�fcr�1 Eye 0 7� I ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY , WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED V HEREBY I WILL NOT EMPLOY ANY PE VIOLATION OF THE ' LABOR CODE OF TATE OF ALIFORNI RELAT TO WORKMEN'S C ENSATIO E pq SIGNATUR OF PERMITTE , ✓ /q� ( R"7� kyr i l ADDRESS may` �/ i• Y 1�"�'�/ _ (/ / CdTY �.� s NO / 5371 DIATE � N�YI � �� �/ ♦�•, AIA KE CHECKS PA)'ABLE 70• FEE's FEE HARVEY T. BRAN T, COUNTY ENGINEER 1 r , PLAN CHECK VA N CK M CASH _ PERMIT ATIO CK O . CASH 8 LOSEP 2.2 - baa 76A638A�CE#003 5/74� - r' 8 7.00A,�kl •` 0A,�c -TEMPLE-CIT, ` I V. J 76A636ACE#6032-63 APPLICATION FOR BU1LD/1NG`,PERMIT -� f COUNTY OF -LOS ANGELES BUILDING .r ADDRESS I f-�/7�.,f �VN/Q S �•t •. DEPARTMENT OF COUNTY ENGINEER . BUILDING AND SAFETY DIVISION LOCALITv ^MPL rr' JOHN A..LAMBIE. COUNTY ENGINEER' NEAREST ii WILLIAM A.:JENSEN,-SUP'T OF BUILDING CROSS ST:. DISTRICT N GROUP TYPE PR CESSED B FOR APPLICANT- TO FILL IN. ,5 '��.CONST BUILDING, /� w�AJ' k STATISTICAL CLASSIFICATION WER-MAP ADDRESS b fJ - - I L;7-BK JjCPG .CLASS..N,P. DWELL. UNITS L' i b LOT-NO. - BLOCK WATER �i ❑ . . .� / � - CERTIFICATE: _ T REQUIRED, � RECEIVED - TRACT .O;J• MAP I/�... NO, HIGHWAY �Y•. /' �/ NO.OF BLOGS. NO. "(J (CIRCLE) STATE AJOR SECOND, LOCAL SIZE OF LOT,.Z, /� �' NOW`ON LOT - • USE ZONE USE OF /� COND ITIONS EXISTING BLDG. TEL OWNER r -O /IP/SO�II NO BUILDING ,(`YARD' 'HVN/Y STREET NAME• EXIST. /� �17� SETBACK �{ - WIDTH. ADDRESS / '�' �fq�`T�Y�t1,��. /4R er[yiOI FRONT ARCH ITECT.OR - TEL. •P, L. 'ENGINEER 'NO. SIDE , t P. L. - 04 ADDRESS TEL CONTRACTOR NO., y ADDRESS Y w. O ESCRIPTION ,OF'WORK " SNEW,.' IZE RIES FAMILIES ADD -,. ALTER, REPAIR. DEMOLISH, Z z Q: FT., �. �. : NO.OF NO. OF. STORIES USE OF STRUCTURE so�55 �..Io r SIGNATURE OF. APPLICANT '4 . ad m VALUATION $ - (+, APPROVALS 1A."A 7T LS f! �AT INSPECTOR'S SIGNATURE' FEE $ _' FOUNDATION: FEE $ FORMS LOCATION` , MATERIALS a -p - - - FRAME FIRE',I STOPS;: I HEREBY.ACKNOWLEDGETHATI HAVE READ THIS APPLICATION BRACING. BOLTS''' '' AND STATE THAT-THE,ABOVE IS CORRECT AND AGREE TO COMPLY -FURNACE: LOCATION. •WITH'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS, _ BUILDING,'CONSTRUCTION. I�CERTIFY THAT IN DOING THE WORK _ AUTHORIZED' HEREBY I WILL NOT EMPLOY'ANY PERSON IN VIOLA- LATH. INT. TION OF THE. LABOR,CODE OF,THE STATE OF CALIFORNIA RELAT- ING.TO'WORKMEN'S COMPENMONRA NC E. : LATH. EXT: ! , SIGNATURE OF _ - HOUSE NUMBER COR-'i., CFINAL .1 PERMITTEE� ! �' .RECT AND POSTED 22 ADDRESS / Z 2 ,, I{ ..J� .r - "JOHN F. LEWIS.�PRINCIPAL:STRUCTURAL-ENGI R PLAN. CHECK VALIDATION CK. M.O. CASH _ ' - PERMIT VALIDATION 'CK. M.O. cnsil •. j 9L�2 k3,;3� lY i�AY,� 1.tD''' � QCQ^' rJ - 76A638A CE 4803 1/71 w�s vl' APPLICATION FOR`.BUILDIN PERMIT ( COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NG Print ort a only) BUILD L! DISTRICT NO RO TYPE P E BY ADDRESS 16,t�xd J"�h//'Q-S�Q 1 C) CONST LOT NO BLOCK STATISTICAL CLASSIFICATION S ER MAP + CLASS NO �DWELL UNITS Bl�� I'v TRACT ,] USE ZONE MAP �,/} NO.OF BLDGS /� NO r✓ Q SIZE OF LOTS, j: Y' NOW ON LOT 1 SPECIAL USE OF //�� `• CONDITIONS EXISTING/ BLDG. TE r�G� OWNER [, P f?G 6 %n15,rJA f NOL j=2C, 'BLDG SETBACK FROM ADDRESS J-AME_ FRONTPROP LINEOF (STREET) ��- /� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL c CITY / M�L� (5 Y HIGHWAY WIDTH FROM C L. ARCHITECT OR TEL. I I + _ ENGINEER ��y{ NO BLOG.SETBACK FROM ADDRESS E/"-'Al c r -SIDE PROP. LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWA + YARD = TOTAL O CONTRACTOR NO HIGHWAY WIDTH FROM C.L. U LIC. ADDRESS �¢M - NO + - O LIC. ~ CITY CLASS CORNER CUTOFF YES ❑ NO W CONSTRUCTION LENDER cin NAME AND BRANCH SEE REVERSE SID FOR SPECIAL APPROVALS z ADDRESS SO FT NO OF NO. OF SIZE STORIES FAMILIES NEW USE OF s13/Qh ADD ❑ e d K.k L L. y ALTER ❑ " GO4/u.�i:+RB in"? REPAIR❑ / SIGNATURE OF APPLICANT /%� L�✓Yaw _ DEMOL ❑ VALUATION $ et7Ue-G I APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE S /92� / FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STR UC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATI G TO WORKMEN'SCOMPENSATI INSU CE LATH, EXT, SIGNATURE OF ` HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL M O CASH JOHN F LEWISRINCIPAL ST CH RM o EN CASHER PLAN CHECK VALIDATION CK _ PERMITT VALIDATION i 1 2 6 4 3� iljL-,7 11 D 1 G.00" DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER LIP 14 FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN [A.DR STRICT NO. PLAN CK.NO. PERMIT NO. B BUILDING ADDRESS 1 cLOCALITY C IVED BY DATE OF APPL. DATE ISSUED NEAREST f�„ ' I 6 LDING OWNER r EBADDREBBMAIL ALITY RESTCITY �D/IM/1Vl.Y NO.� -- S99T. ARCHITECT OR TEL. ZONE FIRE NO.OF PLANE TYPE GROUP ENGINEER _ E BLDG. I ORD.NO. ADDRES SETBACK LINE APPROVED CONTRACTOR By DATE USEAPPROVED ADDRESS ¢ ZONEl--BY DATE LEGAL DESCRIPTION LOT NO. BLOCK O CORRECTIONS TRACT ^ ' NO.OF BLDG9. SIZE OF LOT ✓`p � � ti NOW ON LOT (.f USE OF NO.CF NO.OF EXISTING BLDG. FAMIL[Egr- P.00M9 DESCRIPTION OF WORK NEW ALTERATION ADDITION D 1 1 A_ _ REPAIR MOVING DEMOLISH O_ Sq.FT. NO.OF Z SIZE ROOMS STORIES D r WALL ROOF COVERING COVERING l USE NEW G� OUILOIDINO/1 IA) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB 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 BRACING,BOLTS PERMITTEE (((/// �••C LATH, INT. AUTHORIZED AOT LATH, EXT. 76A636A-3 7-49 $ p,C,$ PLASTER,I NT. FEE PLASTER,EXT. I VALUATION FINAL FEE 76A638A CE#80810-68.-- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ADDRESS HiQ/ DEPARTMENT OF COUNTY ENGINEER BUILDING AND ,SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, Sup•T of BUILDING - CROSS ST. �3*2!MaEcamsm maDISTRICT NO. GROUP TYPE P OCESSED BY FOR APPLICANT TO FILL IN 1-5 - CONST. FEN� _ STATISTICAL..��CL}�AS FICATION SEWER MAP PG CLASS NO.SL3—DMAPWELL UNITS ' - BLOCK NUMBER .2-6, `(jSwwYYES Q•OE USEZONE SPECIALNO OF BLDGS CONDITIONS OT NOW ON LOT BLDG BUILDING YARD HWY STREET NAME EXIST.' SETBACK WIDTH OWNER FRONT MAIL c ADDRESS � SIDE, T P L CITY If ARCHITECT-OR TEL _ INSPECTION RECORD - ENGINEER NO ADDRESSTEL CONTRACTOR ' NO / IV Cf/-6 6_ - .yid r/,�✓� ADDRESS 15TO " -DESCRIPTION OF WO �P ac7v E a /cr or NEW ADD ' ALTER REPAIR DEMOLISH SQ FT. NO OF NO OF SIZE STORIES FAMILIES USE OF I STRUCTURE SIGNATURE OF AIR ZK/T - APPLICANT i APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS UNDATION:LOCATION FORMS,MATERIALS VALUATION$ - FRAME:FIRE STOPS, BRACING,BOLTS I PMT. PC j -' FURNACE:LOCATION,FEE $ _ GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY WITH ALL CO TY ORDINANCgp AND STATE LAWS REGULATING Ell 1 G CONST ION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR-, P RMITTEE fJ RECT AND POSTED ADDRESS v FINAL 49-M-11/05 CLYDE N. DIRLAM,,PRINCIPAL STRUCTURAL E ER PERMIT CHECK VALIDATION CK. M.0. CASH PERT VALIDATION CK. -M.O. CASH 7 8 0 0 "" t1OV � �. 4 4 A r ; �rl,7 9 8 7 ;dolt 2,3 ' 1 A 6.0 0 t ®� 7GAG38A DB5.3 12.94 , APPLICATION FOR. BUILDING PERKIT 1 DIVISION OF BUILDING AND SAFETY BUILDING g �l�S,-r�,NA$ Department of County Engineer ADDRESS S County of Los Angeles- LOCALITY WM.J. FOX, COUNTY ENGINEER- ; I Y + CASSATT-D. GRIFFIN, SUP'T OF BUILDING NEAREST CROSS STA/1 4_. DISTRICT NO. GROUP �. SEWER MAP FOR APPLICANT TO FILL IN �- s,i�� TYPE'Sj N BK PG BUILDING //'' J -� + CONST. ` ^v ADDRESS�l([J� NUMAPMBER �� - HWY YES NO ` LOT NO <6 - BLOCK- USE ZONE SPECIAL ' CONDITIONS "TRACT ��0.5 - c— NO OF BLDGS. SIZE OF LOT NOW ON LOT BUILDINGEXIST. YARD HWY STREET NAME USE OF SETBACK WIDTH p EXISTING BLDG FRONT - ,y�✓� j) � .�r " / d OWNEW. �Aj SIDE P L MAIL ADDRESS,-7-6 - TEL,,//�� 1 DWELL I UNIT 5 INDUSTRIAL CITY G. A N11ga !fs"1 - 2 DUPLEX UNIT 6 PUBLIC BLDG. ARCTE ENGINEER OR�J���T �7C x NO 4i��J 4.'14,A_ 3 APT UNITS 7 ADDN .ALT., ETC. � ADDRESS.S& � �Lf/L�p/�} A� y-..�G3 4 COMMERCIAL S MISCEL. CONTRACTOR.E�dze?e"7zee- S�Tt `�j/�r ,p 'INSPECTION RECORD ADDRESS?jry „7 F>✓'(r/.ff& DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE -STORIES FAMILIES USE F STRUCTURE _" �/ O� SIGNATURE OF APPLICANT APPROVALS ADDRESSS36 �Lf-/-/�/ �/�Y��,C� r/t�, DATE INSPECTOR'S SIGNATURE FOUNDATION LOCATION - `// P. C. S _FORMS. MATERIALS FEE FRAME FIRE STOPS, VALUATION _ S Q �� BRACING, BOLTS FEE V FURNACE LOCATION, GAS VENT, DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ! APPLICATION AND STATE THAT THE ABOVE IS CORRECT _ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LA S R GULATING BUILDIN CONSTRUC- TION. 1 LATH. EXT. •+ SIGNATURE OFA j HOUSE NUMBER COR- PERM 17 / RECT AND POSTED ADDRESS=" 3 �ZLrC�i��7��� ��'"s- FINAL WM. J. 'FOX. COUNTY ENGINEER VALIDATION DEPUTY DEPUTY BY BY © DEPUTY ' ' DEPUTY ' 76A638A CE 0803 12/69 APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / 11 l LZfJ COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY `, c FOR APPLICANT TO FILL IN NEAREST Pnnt ort a onl CROSS ST � ,q BUILDING 0 DISTRICT NO GROUP TYPE PRO ESSEE ADDRESS ��d� 67 �C,.igS I UN�I,T�R�y,�- tJ , CONST. STATISTICAL CLASSIFICATION SEWER MAP LOT NO g BLOCK CLASS NO._,?----)—DWELL UNITS -BKPG TRACT S/o_:r- USE ZONE MAP • "� "+ NO.OF BLDGS, o•� NO SIZE OF LOT .26'�F �C`8p-0 NOON LOT Zi ��-,! SPECIAL O W USE OF � v\ CONDITIONS OF,�rc EXISTING BLDG, ES tTE OWNER L .FRIoBiNScN -),V- - NOLZ$,j,wo BLDG.SETBACK FROM ADDRESS �AH FRONT PROP LINE OF (STREET) /� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY _TEMPLE CIT HIGHWAY WIDTH FROM C L ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACOM ADDRESS SIDE PROP.LINE OF--- (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C.L. LIC. _ ADDRESS NO, + - d LIC. O CITE' CLASS CORNER CUTOFF YES ❑ NO-[] U CONSTRUCTION AND CD NAMELENDER BRANCHSEE REVS SIDE FOR SPECIAL APPROVALS �G LLJ ADDRESS I fcn SQ FT, NO OF NO. OF NEW ❑ Z SIZE STORIES FAMILIES USE OFADD ❑ STRUCTURE a,9471lJ � l ALTER A J R PAIR❑ SIGNATURES F APPLICAN_ 1}�,,/ DEMOL ❑ i VALUATION S APPROVAL DATE INSPECTOR'S SIGNATURE PMT. FOUNDATION: LOCATION F E S (J FEE $ FORMS, MATERIALS FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT - fSURANCE LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION (::.K:)' M o CASH _ PERMIT VALIDATION CK M O- CASH LAW ` r7.= DEC 62 3 D yy3l 4,10 A -APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING �`d� �S /Un/AS �R _ COUNTY OF.LOS ANGELES ADDRESS «7 DEPARTMENT OF COUNTY ENGINEER CITY /ENj/� �T'✓ z I P !F1 7�D BUILDING/AND SAFETY DIVISION SIZE OF LOT.Z4 IX I.3 ' NOWpOONBLOTS ADIDRESSLDING! / TRACT U BLOCK Ji / I LOT NO LOCA LIT TEL p NEAREST I OWNER �i/� O(����J/✓✓ NO �O�I7� CROSS ST ��.. ASSESSOR ADDRESS MAP BOOK. PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CITY �� ZIP �.—� O CONST�J ZONE ARCHITECT OR TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO 2' DWELL UNITS BK PG CONTRACTOR OG� TE EOL ZUSE ZONE MAP --•t C 0 -7 j LIC NO �L / ADDRESS NO - /7 — 2_ SPECIAL CITY LIC (� CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM y, FRONT PROP LINE OF (STREET) c- c:) ADDRESS CITY HIGH AY } YARD TOTAL SETBACK FROM TYPE OF EXISTING U SQ FT�/ ,/ NO OF _ "NO. OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE 7lT STORIES / FAMILIES ONE O U //,�� } = DESCRIPTION OF WORK Ca v, . TAAW6p, r4EW d ppADD ❑ BLDG SETBACK FROM N �JTG!_to 06 /Yf� SIDEPROP LINEOF (STREET) Z_ ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROHIWAY WIDTHM PE OF EXISTING REPAIR❑ SIDE PROP LINE USE OF } - _ - EXISTING BLDG, DEMOL ❑ APPLICANT / /.►��J TEL / CORNER CUTOFF- YES ❑ NO ❑ (PRI NT) L+/" (7 �t/�f'.5+t�J NO. J- •j_ BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION �.1 iJ� O ' CATEGORICAL EXEMPTION YES❑ NO ❑ ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- / STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REP T PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE IF LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE SIGNATURE OF PERMITTEE / ADDRESS TEL. FINAL BY CITY NO. DATE N1hE C.IILC,hS P,1} 113LE 10 F E FEE W HARVEY T. SRANDT, COUNTY ENGINEER / PLAN CHECK VALIDATION CK M oCASH a PE MIT VALIDATION CK M O CASH 8 8 4',NOV 21 2 3 � !} d 76A638A CEN803 12/72/ J� 'N� _- APPLICATION FOR BUILDING PERMIT ` Fi APPLICANT TO FILL IN (Print or type only) BUTLIDING / /w COUNTY OF LOS ANGELES ADDRESS /b /� ._`4S T'V'4S DEPARTMENT OF COUNTY ENGINEER CITY z�MP1-� C7"� zip 9/7Fo BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDINGc��6RS /�i✓A 5 .lJ� . SIZE OF LOT ,x 6 x ��,� NOW ON LOT �Y ADDRESS 7 TRACT O BLOCK / LOT NO O LOCALITYTEL CE/✓f OWNER, �CQiN'-r�/� �/iq NO NEAREST�� '�'� CROSSST LA_1c ASSESSOR ADDRESS MAPBOOK PAGE PAR EL DISTRICT GROUP TYPE FIRE PROCES D BY -CITY ZIP ry CONST ^� ZONE ARCHITECT ORS� TEL ", v 0 Y y \ ENGINEER L.�JuG/� �A�✓N6/(� NO STATISTICAL CLASSIFICATION SEWER M ADDRESS / CLASS NO DWELL UNITS BK PG TE CONTRACTOR ,G; OB//✓so.✓� NO USE ZONE NO �� ADDRESS I!S-67 f �s LIC NO C' y SPECIAL LIC CONDITIONS CITY CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY STOTAL SETBACK FROM , TYPE OF EXISTING i = FRONT PROP LINE HIGHWAY WIDTH SIZE FT '� `�` STORIES OF ORIES / FAMILIES ONE OF CHECK HIGHWAY + YARD r DESCRIPTION OF WORK NEW ❑ + O vCC ADD BLDG SETBACK FROM ce T a aD ML. SIDE PROP LINE OF (STREET( O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + YARD = SIDE PROP LINE HIGHWAYI WIDTH N USE OF // REPAIR ❑ Z EXISTING BLDG ��SPLA !�� 1?M _ DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION +. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - 1--/ AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- PENSATION INSURANCE SIGNATURE OFa�J 2�.�$ ��v fffi [� •s•�� PERMITTEE 2 2 ADDRESS 6/ FINA CITY s TELNO ���7'Z DATE BY DATE MAKE CHECK AYABLE TO PC Q PMT FEE V FEE HARVEY T.BRAN DT,COUNTY ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VAS,' ION CKM o CASH 65 7�._1AN L3 1 6 9.0 0 d!:� ®f 76A638A CE#803 3-75 DEPARTMENTCMUNTY OF LOS ANG LES S py � �APPLICATIGN FOR PERMIT WK. J. FOX, CHIEF NOINEER y FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY � / DISTRICT NO. PL/AN CK.NO. PERMIT NO' BUILDING �\ A DSM/7 uf�/Y,� I—�s/V.gy _ x LOCALITY ,/�,/�/f��.C' EC,E/IVE_D�B/Y® DATE OFA'P/PL. � DATE ISSjUED, NEAREST /_ �l'�S► 3 -1- �A CROSS 6T./iJ�'/�C l/S/n/TA� BUILDING / /—_3- ' O�C OWNERI d..�:.I/ �. L l�I�- t ..�— ADDRESS ' /;z00, IF MAIL ADDRESS NEAREST Z4 _ TEL CROSS ST. CITY NO. FIRE I NO.OF I TY GROUP ARCHITECT OR /� �� y�C`NO ZONE PLANE ENGINEER /Y ,(-7 /J BLDG. Q �4� ®J[/� SETBACK LINE ADDRESS , !Q Ss AC f� APPROVED CONTRACTOR A -/� % J�/4iCS6TEL. �UV772 BY DATE USE APPROVED DDRESS vtJ ZONE By �•Gi DATE • LEGAL -- CORRECTIONS DESCRIPTION LOT NO. 43 BLOCK • TRACT ,ti.Zp NO.OF BLDG9. / SIZE OF LOT Z.b X fJ� I NOW ON LOT �UJLC_ G oia s '04 X" �y / USE OF NO.OF —NO.OF—I EXISTING BLDG. FAMILIES ROOMS DESCR PTION OF WORK c'-r,7'1"P , � �y/B S /w y,! 1 n NEW ALTERATION ADDITION IA-1e416 /'09 'r�_ /J1oz-e_.Q_,q _ O i / ,/J � REPAIR MOVING ,/� DEMOLISH /J �.{e�fp' /1 ,.d9of'�i7/� I� P_/L G�` �G/I"fe'ZM/,1// a S ZET fd�® ROOMS i'J STORIES L/' df,FJ �.jt9 �[�S" //�(� df�/�j'�GK��//� / r WALL / ROOF d COVERINC»j VGLC COVERING (/�l/Y ,00' - USE OF NEWN BUILDIG IF 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS I APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT I FOUNDATION: LOCATIONINSPECTOR D TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - FORMS, MATERIALS 3 a AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ' ,,FRAME: FIRE STOPS, SIGNATURE OF r _ BRACING,BOLTS PERMITTEE '_ LATH,INT.: i AUTHORIZED AOT - LATH,EXT.: DSS-3 SOM SETS 1-48 $ P.C PLASTER, INT. FEE PLASTER,EXT. d' VALUATION /D vO FEE /�/� �� FINAL- FOR'APPLICANAO PLICATIO FOR B LDING PERMIT typeILL IN (Print or only) COUNTY OF LOS ANGELES BUILDINGf / ADDRESS fb L/s Tu���' /2 _ DEPARTMENT OF COUNTY ENGINEER CITYZIP f p BUILDING AND SAFETY DIVISION SIZE OF LOT �� `1 NOW ON LOT ,ADDRESS NO OF BLDGS MING TRACT j�L�.i� BLOCK LOT NO LOCALITY TEL NEAREST OWNER L,-, �SPO�/�Y f'a/��V NO Z� {Z L CROSS ST Q- ASSESSOR � ADDRESS C3: 3* �EL L vA.L /Q✓E MAP BOOK PAGE PARCEL � DISTRICT GROUP TYPE FIRE ROC ED BY -CITY,*., * /j�' fjR ZIP f'7 F 01 CONSV ZQ3 ARCHITECT TEL ' ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO2– DWELL UNITS BK PG p TEL4= J2�� CONTRACTOR �•/.CJI[r b'%ry'jiD,nJ �f NO { USE ZONE MAP INO c %�J.•►7 LIC SPECIALv�OU� ADDRESS NO LIC CONDITIONS CITY CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH "��� BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF - 7 NO OF CHECK HIGHWAY + YARD = FRONT PROP LINEHIGHWAY WIDTH SIZE STORIES FAMILIES ONE r DESCRIPTION OF WORK!1✓�E}T�D -rS-.e.C_ NEW ❑ + O C'OG c:M L✓�r�✓ f J` r, l^CE AS P6� ADD ❑ BLDG SETBACK FROM � SIDE PROP LINE OF - (STREET) O cta cANca°Y I4NP RJG_ 64AC'a &VX71 +' ALTER ® TOTAL SETBACK FRTYPE OF EXISTING U w *v✓ ❑ HIGHWAY + YARD = SIDE PROP LINEOM HIGHWAY WIDTH N USE OF j lTER $ REPAIR Z EXISTING BLDG Vj��/G� DEMOL ❑ + APPLICANT / TEL p r' of CORNER CUTOFF YES ❑ NO ❑ (PRINT) L-/01 �g�%Jl��a�� IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( • IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION db " I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS-- FINAL BY TEL CITY NOPC DATE MAKE CHECKS PAYABLE TO FEE $ QJ �1 O FET $ �� LHARVEYT.6RANDT,COUNTY ENGINEER / V PLAN CHECK VALIDATION CK M o GASH PERMIT VALIDATION cK 'T m. CASH 4 2 U r npR 20 2 3 D 9.0 0 AA 4 7,4 -18 18 - 1 1 5.0 U.♦it8 ®f 76A638A CE#803 3-75 L COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1002080026 PHONE (626) 285-0488 EXT (LEGAL ID I N0. OF CONST NEW BUILDING ADDRESS ITR- 5905 LT 8 1 SQ. FT STORIES TYPE OCCUP GROUPI 9165 LAS TUNAS DR 1 I (STRUCTURE 445 1 V-B B I TEMP CA 917801906 I ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ROSEMEAD I 15387-016-005 1 1 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl (TENANT (EXIST BLDG USE COMME USE ZONE C-1 TISSUED ON PROCESSED BY I 1EXIST OCC GRP- B 102/09/10 SR 1 (OWNER. TEL. NO IBLDGS NOW ON LOT VALUATION (CD�dFINAL DATE FINAL BY- BYY- CODE 1 91 - 1 2,500 I I-( (� " Ir 19165 LAS TUNAS DR. 0 ITEMP 917801906 I FEES PAID IDESCRIPTTON OF WORK 1 I TTI- CREATE STORE ROOM IN GIFT SHOP I I IFEE DESCRIPTION QUANTITY UOM- AMOUNT- ( (APPLICANT TEL. NO 1 IAMPB CONSTRUCTION INC (626) 284-3260- JAI PLANCHECK W/EN-HC 2500 00 VAL 96 77 I I 12618 W MAIN ST #C IAA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS- 1ALHAMBRA, CA 91801 IAB STATE GREEN BLDG FEE 2500 00 VAL 1.00 1 I TAE STRONG MOTION OTHER 2500 00 VAL 0 53 I 1 I 1A2 PERMIT W/ENERGY-HC 2500 00 VAL 113 85 I (CONTRACTOR TEL NO I TOTAL FEES 239 90 (APPROVALS DATE INSPECTOR SIGNATURE I 1AMPB CONSTRUCTION INC (626) 284-3260- I 12618 W MAIN STREET #C LIC NO I (LOCATION AND SETBACKS I IALHAMBRA, CA 91801 B863573 I I 1 (SOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 1SLAB/UNDER FLOOR I I I 1 1 1RAISED FLOOR FRAMING I I IMAP NO. SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDE:?FLOOR INSULATION I I I 1150H265 3 OOT I I 1FLOCR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 NO 22 1 (ROOF SHEATHING I I I T SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I 1 I I I (AIR QUALITY 1000 FEET MATERIALS I 1 NO NO NO 1 IFRAME INSPECTION 1 I I I (FIRE SPRINKLER HANGERS I I I 1 I I (INSULATION/WEATHER STRIPI I I I I 1 11NTERIOR LATH/DRYWALL I I I I I 1EXTERIOR LATH I I I I 1 1 (RATED FLOOR/CEIL ASSEM. I I I (RATED WALL ASSEMBLIES 1 I 1 1 IRATED SHAFTS/OPENINGS I I T I I IT-BAR CEILINGS I I I I I I I 1 ILOT DRAINAGE I I 1 1REPORT ID. DPR261 ROUTE TO BS0508 I I I I I I I