HomeMy Public PortalAbout9211 LAS TUNAS DR_Building__ DEPARTMENT-OF-BUILDING AND SAFETY APPLICATION FOR"-HERMIT `
COUNTY OF LOS ANGELESILI
''
WM. J. FOX. CHIEF ENGINEER
FOR 1�PPI�IC O-FILL FOFFICE USE ONLY
BUILDING DIHTRIC PLAN CK.NO. PERMIT NO.
ADDRESS711 �-- /�/J Z
(�'/
LOCALITY tea+ s RECEIVED BY DATE OF APPL. DATE IBBUED`l
NEARESTvs
CROBS ST. Ile—s--e
—}
Ace- 13UILDING
OWNER d
t ADDRESS
MAIL / LOCALITY / `i C/
ADDRESS O
TEL. NEAREST
CROBB ST.
CITY NO. FIRE NO.OFTYPE ` iJtOU
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
j APPROVED
CONTRACT�OP` ,�y�y�f1 ' �NO� BY DATE
USE APPROVED
ADDRES o� LTJ
.Ian-'�` ZONE�� BY DATE
LEGALOTO.� / ' BLOCK CORRECTIONS
DESCRIPTION/ �L^ N/ / tRC �'Q Q
TRACT
NO.OF BLDGS.
SIZE OF LOTJ 6 X / G 6 NOW ON LOT
USE OF NO.OF ANO.
EXISTING BLDG.3 FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A_
REPAIR MOVING DEMOLISH 0
Sq.FT. NO.OF 2
SIZE ROOMS STORIES D
r
WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING
mm4o&
I 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 LL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS EGULATI UILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATUREyCF BRACING,BOLTS
PERM ITTE �7
LATH, INT.
AUTHORIZED AOT LATH, EXT.
76A639A-3 7-4e '✓ p C. .1—PLASTER,INT.
FEE PLASTER,EXT.
VALUATIONFINAL
FEE
DBS-3 25M SETS 10.46 -, ,_, ',,- - N
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® ' 1
WM. J. FOX, CHIEF ENGINEER BU I
FOR APPLICANT TO FILL IN , FOR OFFICE USE ONLY
T DISTRICT NO. PLANCK NO. PERMIT NO.
BUILDIN
ADDRESSG 1911 F. Las Tunas Dr.
LOCALITY Temple/ Cit/y RECEIVED BY DATE OFAPPL. DATE ISSUED
NEARESTCROBB ST.
BUILDING �± c
OWNER Verdie Fleming ADDRESS L,V.MAIL
5
ADDRESS 1911 E. Las Tunas 1)r• __LOCALITY ��
Ci
.{tN� NEAREST � �/j
CITY Temn 1 e C 1 No. CROSS BT. �`sa"� %Y
ROUP
ARCHITECT OR TEL. ZONE//� it/I PLAN.�r E/ 5-/c _ /
ENGINEER NO. !/ J ��/VV!
BLDG. J ORD.NO.
ADDRESS SETBACK LINE _'5701 e
—. Q �
7Ry pp��pp�1 yy+� Q� p r� APPROVED
1CDFITRACTORduct�s Sign NOL AT 2-683, BY DATE T
1240 S. Chapel Ave. , Alhambra USE �j APPROVED
ADDRESS �LEGAL j ZONE GO-BY DATE
DESCRIPTION I LOT NO.�' ` 7 BLOCK "t Q -7 CORRECTIONS
TRACT _�9 GT
1.NO.OF SLOGS. /
SIZE OF LOT�d X / .G d NOW ON LOT
USEOF Store j NO.OF —' NO.OF�'
EXISTING BLDG. FAMILIES R06VS '
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH �
Sq.FT. NO. OF Z
SIZE ROOMS 'STORIES D
WALL ROOF
r
COVERING COVERING
USE OF NEW
BUILDING
One neon --i gn
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 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
OWNER .LATH, INT.:
AUTHORIZED AOT. - r
LATH, EXT.:
150. 00
p,C.m PLASTER. INT.
� -
FEE PLASTER, FXT.
--
VALUATION FEE �— FINAL
pwrLSsYai,7.1v1LiV:1,,.. 4Jr aGl'1:1J11V L?:. l"lltl L: JHILL;I,_ _ +-ar r-a.ays•a+,ava�-rvaa a a.aaa�aaa
COUNTY OF LOS ANGELES ® i ' N G
WM. J. FOX, CHIEF- ENGINEER
FOR: APPIr:ICANT TO FILL`IN FOR OFFICE USE.ONLY
I Q!( J' j:� /^J DISTRICT NO. PLAN CK. NO. PERMIT NO.
:A�DDRES.S ,( F l ! 1_. 41f'� r i✓1,�1'. S.. D /'�
By DATE ISSUED
_LOCgLITY REC IVED DATE OF APPL.
NEAREST �'
..'CROSS .ST.. _.L�"�.+ - .• G'� � /. ^446
�n �/�/ / /� q, � �/� �t /^ BUILDING'% �,-
OW,NER V-ERpl F_ �Y� I'`C l�Cl 1 7J ':f `{.�7" .. ._�ADORESSMAIL
/y%� G/ �/� G►ti? �lT` .
AADDRESS' �� { 1 I � L'N5 T ki I ](�S _�/i� LOCALITY -
,
:..: '^/ NEAREST
_�/
.C.ISY. T F.0 L I - ( :HEOL CROSS 9T.
+ - 'FIRE _ _ NO.OF TYPE GROUP,
'-ARCHITECT'OR TEL. ZONE - .`.PLARNVJ I
"ENGINEER � � NO. .
BLDG.` ORD.,NO.
'ADDRESS - - SETBACK LINE -
\'
TEL. APPROVED - -
CONTRACTOR '_ V pA(I.NI,r NO. BY DATE
r I. 1, /t'r I�' r� Q _ FUSE '� APPROVED ,
.` ADDRES951 2a1�1.11.\�TI I\I.LT-I Q 1\ I'./.R ..7 0 ZONE. -8Y DATE
LEGALCORRECTIONS
DESCRIPTION ) LOT NO. 3 7 I BLOCK "'��
•TRACT
e�-,�.t NO. 'OF,SLOGS.
'iSIZE OF-LOTg,7 v .)C 4:5-6 -.i NOW ON LOT• -
„USE OF j' NO.or NO. OF _
EXISTING 8LDG. /pJ . :' I FAMILIES / I ROOMS
DESCRIPTION OF WORK
:•-NEW ALTERATION ADDITION O
I A
0 'REPAIR 'MOVING ,DEMOLISH - O
94. FT. NO.OF Z
SIZE OOMS STORIES - D
r
.WALL RO
-COVERING COVERING
USE OF NEW - -
BUILDING
1 HE
,E�EBY ACKNOWLEDGE THAT 1' HAVE- READ THIS APPROVALS -
APPL''I1CATION AND STATE THAT THE.ABOVE -IS CORRECT FOUNDATION: LOCATION, INSPECTOR _DATE
"AND.AGREE TO COMPLY WITIH ALL COUNTY ORDINANCES ' FORMS, MATERIALS -
AND,STATE.LAWS REGULATING BUILDING. ONSTRUCTION.. -
.,FRAME: FIRE 'STOPS, -
SIGNATURE- OF BRACING,-BOLTS
OWNER LATH, INT.:
,AUTHORIZED_AGT
. .1 �. LATH. EXT.:
-
.��
P. C. 6 PLASTER, INT. -
FEE PLASTER, EXT. .
FINAL
VALUATION - / '�+ V` •FEE r4.)
/ `�-O 4�. ✓may
P61H-3 2SM SETB 10-48 czw_ — 1 �1
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES B U I L ® ' N G
WM. J. FOX, CHIEF ENGINEER
FOR APPL-ICANT-TO-FILL-IN FOR-OFFICE-TJSE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING 1 w, Dm.
�
ADDRESS � rt/4;fy Dm
LOCALITY /CfVJ��,f C t•y RECE V D BY DATE OF APPL. DATE IBSUED
NEARESST. ,l/C ( 'V / , �C.� `� ~
CROSSL-
BUILDING
OWNER 1•/ Y/`� T ADDRESS /��L/y� �� � j�/Vl(y',/
MAIL /71, /�� TUyl,�S DkC _LOCALITY11/l/L 1 r!"-\,,,�
ADDRESS L
LL /' y+ CROSS ST. �-11A_ Q/'
NEAREST
CITYT� ` �+I/ �
No.
FIRE NO.OF I TYPE GROUP-Z
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. l�yL/�
BLDG. �a '
/A�DDRE99 }�f�J� /��y y+c �` /� SETBACK LINE G_
C EON I"r'\(/KJ(/G/V �7� N0.I7��-(pJ3`Y BY DATE DATE
CONTRACTOR
�
^ /� �/� USE /� APPROVED
� r
ADDRESBI2
o "- CO/7 �z "/Ql�/ a ZONE/��_ 2_-,3Y DATE
LEGAL DESCRIPTION LOT NO. BLOCK �-V CORRECTIONS
TRACT U W '
/►� NO.OF SLOGS. ✓�
SIZE OF LOT—I& f D NOW ON LOT ,J
USE OF ''7r NO.OF NO.OF
EXISTING BLDG. LS /'' FAMILI[9 ROOMg
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLIBH
GI
9Q. FT. A NO.OF
SIZE toROOMB STORIES D
WALL ROOF r
COVERING �— I COVERING �^
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
%i FRAME: FIRE BOLTS // ✓ �/
SIGNATURE OF BRACING,BOLTS
OWNER LATH, INT.:
AUTHORIZED AGT?
LATH,EXT.:
P.C.6 PLASTER. INT.
FEE PLASTER, EXT.
VALUATION 1� FEE r FINAL
)'
DEPARTMENT OF BUILDING AND SAFETY ; APPLIC;,ATION FOR PERMIT
COUNTY OF LOS ANGELES ± :SU
1 LD 1 N G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY _.mow t,✓ ,i , RECEIVED BY DATE OF APPL. DATEISSUED
NEAREST // 1 ./,y'4!C/ /� -2
CROSS ST. w / //'}. -
BUILDING
OWNERT O / �iii�l/it/�J�1ADDRESS
MAIL / /_ // � LOCALITY "�"Ei�I�lGE Ci T)/
ADDRESS
n_ /�I /�+(� ,.ff / TEL.• NEAREST
CROSS ST.
TY ,f�/4G .ALP NO.
CI
r FIRE NO.OF TYPE GROUP
ARCHITECT OR / ✓ TEL. ZONE PLANS
ENGINEER NO.
ADDRESS
BLDG. / +� ORD.NO.
SETBACK LINE[� `j4)S ✓1JAJR.4 ��g•��
/' /�//� _
CONTRACTOR lr /7 /If-12 'J/('�F/(A•�NI 47 /��/,� By
` DATE
I r' USE APPROVED
ADDRESS / A I � ZONE �`�..• BY DATE
LEGAL - q CORRECTIONS
DESCRIPTION LOT NO. f I BLOCK
TRACT l=:?-5� A
NO.OF SLOGS. ?
SIZE OF LOTNOW ON LOT -J
USE OF r NO.OFNO.OF `
EXISTING BLDG..-1. J I FAMILIES / I ROOMS J� -
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH
BQ.FT. NO.OF Z
SIZE ROOMS BTORIES D
WALL ROOF r
COVERING I COVERING
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THfS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE -
/�Jj�' LATH,INT.:
AUTHORIZED AOT- _�! yr„���
LATH,EXT.:
t
DBS-3 BOM SETS 7-4f $ P C $ PLASTER,INT.
FEE PLASTER,EXT.
$
VALUATION • FEE 2 I FINAL
.".APPLICATION FOR
BUILDING PERMIT
LDING
FOR JR APPLICANT'TOFILLIN ADDRESS
LDING
ADDRESS / / jJ t LOCALITY
'�''pp�� I r
NEAREST
CITY—J-C- h C ZIP CROSS ST
NO OF BLDGS ASSESSOR
SIZE OF LOT sO-X r90 NOW ON LOT MAP BOOK PAGE PARCEL
TRACT BLOCK LOT NO 3 DISTRICT GROUP TYPE FIRE PR ESSED BY
CONST �. ZON
57
OWNER
O IV W 1 L NO TEL ��
STATISTICAL CLASSIFICATION-- SEWER P
ADDRESS CLASS NO ��DWELL UNITS BK PG
CITY ZIP USE ZONE MAP
ARCHITECT OR y� j `, TEL ? 7 NO
ENGINEER I• "/"%pL 1�/ NO2-ft "J I J _ SPECIAL
r� �^` I A��[� CONDITIONS
ADDRESS 1 /Q G I LI)V �J ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
TEL
CONTRACTOR NQ 3 BLDG SETBACK FROM
LIC FRONT PROP LINE OF (STREET)
ADDRESS Q NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY CLASS
CONSTRUCTION ENDER + _ }
CL
NAME AND BRANCH 0
BLDG SETBACK FROM
U
SIDE PROP LINE OF (STREET)
ADDRESS CITY O
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING V
SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH
1:1 + = Z_
DESCRIPTION OF WORK NEW
r-00' O if 8L1) ADD El CORNER CUTOFF YES ❑ NO ❑
ALTER IN OPEN SPACE YES ❑ NO ❑
ITJ REPAIR ❑
USE OF LA V
DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG
APPLICANT
P ''L NO"334-031F
BY(SIGNATURE'
I HEREBY ACKN EDGE THAT HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AN AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZEDHWILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF E STA OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSUR CE
SIGNATURE OF FINAL 1215-27 BY
PERMITTEE DATE
ADDRESS
TEL P C Fee$ Permit Fee
CITY NO
Q Issuance Fee
VALUATION$ /mom_ ' 0
Total Fee
PLAN CHECK VALIDATION CK M o CASH, PERMIT VALIDATIONcK JM o CASH
9 2 6 APR 14 X1 0 7 0,.0 0
.ts,.,PO8B qY.RQpER:
POLICY NUMRFR• ,>�j 3Y7-063f �L
1313m3-25M SETS Q;44 * _ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY _
COUNTY OF LOS ANGELES �p, 5 1945 NG
WM. J. FOX, CHIEF ENGINEER SLT. Dula"�`
DISTRICT NO. PLAN CK: NO. PERMIT NO.'
NO. OF BLDG. ��y^I ORD.NO. ,....� .sc�� ry- �j /J
PLANS APPROVED
SETBACK INE .y�fl� , O J /\ � X # /
FIRE \ Ly V V !
ZONE BY 4a- ,k Tln-n -pS DATE RECEIVED BY DATE OF APPLE. DATE PSUED
USE APPROVEDV5
Z O N EL/ BY. DATE JJJJJJ'''"'
APPLICANT FILL IN HEAVILY OUTLINED PORTION„ONLY
BUILDING //
0 E NAME //• ADDRESS / `- �.
W Z ADDRESS / LOCALITY c '
_ NEAREST
U W CITY bf CROSS ST. VU�/1✓`�y�/"!
Q STATE TEL.
+ ,
LICENSE NO: N IrJ NAME � '
Z MAIL �
O NAME g 3 ADDRESS A/Z.
O
F - /V�1s �
TEL. ....
U ADDRESS -11 J r"• CITY NO.
Q
01 HERE ACKNOWL'E'DGE THAT 1 HAVE READ THIS
0 CITY _ APPLICATION AND STATE'THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY.WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. �yy J� AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
0 LOT-NO. -777 SIZE OF LOTJV V X 1 *0I' SIGNATURE OF
OWNER * -�
JF NO.:OF BLDGS. AUTHORIZED AGT.
Q6 BLOCK NOW ON LOT ..
D�
wu
JW TRACT 6 J (,, / CORRECTIONS
D USE OF BLDGS.
NOW ON LOT .. ' ,n
DESCRIPTION.'OF WORK � 1 j p i, rdn�o ,{�1�l 3�a..4
B
USE OF
"U 1 L D I H G (���VL.Q,�i •i '4G M.. ""V"�a:. ,' �" I-'-I�l� /�WlYX/Wl^tit
O
z
a
NEW TYPE GROUP •,�”
NO. OF NO. OF
ALTERATION ROOMS FAMILIES
/
�-S
ADDITION SIZE U o I
REPAIR STORIES ppppf/J • .
MOVING WALL COVERING
DEMOLISH f ROOF COVERING A4 •
$ 601, P.C.i =� FINAL APPRO ,jAI.
s. FEE /A!r
INS:PECTOR'S
VALUATION FEE '-+ DATE 0 NAME D
t _
C6-> t,-4n 2SM SET_ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND .SAFETY
COUNTY OF LOS ANGELES B V ILD1
WM. J. FOX, CHIEF ENGINEER
NO.OF D BLDG. ORD.NO. DISrNO. PLAN CK. NO. PE MITNO
PLANS SETBACK LIN �--��
FIRE APPROVED
ZONE ///��- BY DATE CEIV Y D E F PL. DA ISi�
USE APPROVED �� ,� ��
ZONE BY DATE
APPLICANT FILL IN HEAVILY OUTLINEED PORTION ONLY
BU p NAME
ADDREIB 9// I /A. alY
w Z ADDRESS LOCALITY
I- a % '�� NEAREST �� /
p W CITY CROSS ST.
Q STATE TEL' NAME
LICENSE NO. NO.
MAIL
NAME
�O
ADDRESS
V O TEL.
t ADDRESS CITY NO.
Ir
I- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
Z
V CITY — APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO.
^� NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
U L T NO. -- / SIZE OF LOT, _JI eO SIGNATURE OF
< pBLOCK NOW ON LOT
~ AUTHORIZED AGT.��
NO. OF BLDGS. OWNER
yGj TRACT
�.�-(o CORRECTIONS
D USE OF BLDGS. AA pJ
NOW ON LOT • • i f! G A i {L
DESCRIPTION OF WORK .�3--Y Lt, ` 44- 4/ ,vim'
USE OF
BUILDING
f��P i�Pc
WARN
INGI
may b& t7l V1QtdftQr1
War Production Board orders. You are
cautioned to consult with your local War
ing the work thorized in thio rmit. Z
D
NEW TYPEjoe�olr
GROUP f
NO.OF NO.OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE
REPAIR
STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING
S w P.C.so"
�^CJ FINAL APPROVAL
REB
�1S� NSPECTOR'S
VALUATION FEE DATE v� Cdl NAME
DS-3 8-40 28M APPLICATION FOR' PERMIT
DEPARTMENNT716F BUILDING AND SAFETY
COUNTY OF LOS ANGELES - isUILDING
WM. J. FOX. CHIEF ENGINEER
NO. OF BLDG, ORD. NODISTRICT NO. PLAN CK. NO. PERMIT NO.,'
PLANS �� SET.BACK�LINE h:/S T!!M?-t
FIRE APPROVED o /
ZONE �i BY DATE RECEIVP,p-BY DDATE OF APPL. DATE ISSUED
ZONE `-� BUSE YPROVED DATE O�
APPLICANT FILL IN HEAVILY OUTLINED- PORTION ONLY
BUILDING /
Q K NAME ADDRESS
U- Z
FWADDRESS LOCALITY
O= f NEAREST
U W CITY A CROSS ST.
KSTATE TEL.
v
Q LICENSE NO �/ NO W NAME ( _
J 2 MAIL
0_ NAME V ADDRESS
(~j TEL.
Q ADDRESS CITY NO.
Ir
Z I HEREBY AC NOWLEDGE TAT 1 HAVE READ THIS
Z CITY
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. y�}� AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z 377 //{��� je/�+/}� SIGNATURE OF
U LOT. NO. SIZE OF LOT /S OWNER16
J NO. OF BLDGS.�./� AUTHORIZED AG
Q BLOCK NOW ON LOT SGV (J
j U � CORRECTIONS
W TRACT
D
USE OF BLDGS.
NOW ON LOT �' �. [� ry-"- 6" r &-, S
^DESCR`IP� 'TIONOF WORK V •/�IZS� /8 x SoUSE OF _,;•,-� `} '
8UIL_OING/ %Ajd '� V'C.J _ /a' Q,
,f d O P
f v
J
Q
• Z
NEW TYPE _ GROUP
NO. OF I NO. -OF J
ALTERATION ROOMS /fir FIAM1LfrES
ADDITION SIZE
REPAIR STORIES ''_v
WALL COVERING .�L� �
MOVING � - A tu_J
v f1 JJ
DEMOLISH I ROOF COVERING ( I T/�A/ rn
$ $ FWA ,nPPR v-[•t�
l�FEE
='7 , f.,/ /O I INSPECTOR'S
VALUATION FEE pCDAi/'E i' NAME
APPLICATION FOR BUILDING PERMIT i1
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI G ADDRESS
BUILDING 4DDRESS T11105 04-
I hereby affirm that I-have a certificate of consent to self Insure, Li 1 ,
or a certificate of Workers'Compensation Insurance,or a certified ((( Cid( C��
copy thereof(Sec 3800.Lab.C) ; ` CI f, F LOCALITY
Ty
Policy No d Company 11^f v SIZE OF L NO OF B`LDhGTS N( ON LOT
❑ Certified CO NEAREST CROSS ST
copy Is hereby furnished.
K Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO
USE ZONj; MAP NO
department 'Jv/
ASSESSOR MAP BOOK PAGE PARCEL
Date Applicant SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL o
COMPENSATION INSURANCE �� WITHIN 11FT OF SCHOOL? YES No
ADDRESS
(This section need not be completed If the permit is for one hundredDISTRICT GROUP TYPE ST' FIRE ZONE CE ED BY
dollars($100)or less) CITY ] ZIP
n
I certify that In the performance of the work for which this permit � K% l I (t � L�
IS issued, I shall not employ any person In any manner so as to ARCHITECT O ENGINEER TEL NO
become subject to the Workers'Compensation Laws ATIS�TICAL FICATION CONDO
Date Applicant ADDRESS CLASS NO DWELL UNITS
NOTICE TO APPLICANT- If, after making this Certificate of CO CToq,� TEL NO REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' yli/• ( ��, �L� / Q SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith Uv�6/ �/C�J o FRONT
comply with such provisions or this permit shall be deemed revoked A R j�s _ L LIC NO P L
77 L
LICENSED CONTRACTORS DECLARATION Ci LIC CLASS SIDE
O�
I hereby affirm that I am licensed under provisions of Chapter 9 1— C a SEWER MAP U
(commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMILIES
Professions Code and m license is In full force and effect NEW ❑ BK PG Poo.
D
r LIC Class DESCRI 10 OF WORK A I ADD ❑ D0 LU
License Num r i VALUATION
016311
Contractor Data I ALTER ❑ $ 0 b o Z
N
W"xJ
C3 am exam t under Sec
°1'" J OR REPAIR ❑ $
B&P C for this reason DEMOL ❑ LDMA P/C#
Data USE OF EXISTING BLDG URM ❑ i
Signature APPLICANT(PRINT) TEL NO LDMA Perm# 1
❑ I, as owner of the property, or my employees with wages as C t�L�t_T o s
their sole compensation,will do the work and the structure Is ADDRESS
not Intended or offered for sale (Section 7044, Business and FINAL D TE Q111- ?LIQ a I
Professions Code) G
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ; �����
❑ I, as owner of the property, am exclusive] contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN
Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B
I contractors to construct the project (Section 7044, YES 1:1No❑ #�TAL 82 ® 00
Business and Professions Code)
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CHECK
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHEC't °2.130
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST
9
FOR GUIDELINES CHAI, ori
o
I hereby affirm that there Is a construction lending agency for YES❑ NO El !l!tl7G ori
performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
p� 3097,Civ C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELE0000-000
J — ( I t!F, /
COUNTY CODE,TITLEZ CHAPTER 220 SECTIONS 2 20 100 THROUGH 22014000NCERNING I
�d Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD
90
Lenders Address 9 c? 1 AM 7-46
�C o.ER M'.ENT
0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE
information Is correct I agree to comply with all county
ordinances and State laws relating to building construction,and
hereby authorize representatives of this County to enter upon ISSUANCE FEE
the apo eIfitioned cpperty for inspection purposes
INVESTIGATION FEE TOTAL FEE
n «AD- pd,
SEE REVERSE FOR EXPLANATORY LANGUAG
a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 040528004.7
PHONE: (626) 285-0488 EXT:
L 0. OF CONST NEW BU LD G'A ES :
TR: 6561 LT: 377 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9211 LAS TUNAS DR
STRUCTURE: L1 1 VN B TEMP C4 917801908
ASSESSOR INFORMATION NUMBER: NEAREST 'CROSS.STREET: ENCINITA
8587-001-013 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EX ST BLDG USE: COMME USE ZON ISSUED ON: PROCESSED BY: EXPIRES ON:
E-Z PRINTING EXIST OCC GRP: B 06/01!04 VG 05/27/05
OWNER: TEL. NO: BLDGS. NOU ON LOT: VALUATION: FINAL DATE Y: CODE:
L0, CHENG YI (750) 396-2299- 2,500
9209 LAS TUNAS EXPIRED
TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK
REMOVE EXIST AWNING AND INSTALL NEW iN FRONT OF BUILDING
AP TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
E-Z PRINTING (626) 286-3008- D1 PLANCHECK W/O EN-HC 2500.00 VAL 84.15
AA BLDG PERMIT ISSUANCE 27.75 STECIAL CONDITIONS:
AE STRONG MOTION OTHER 2500.00 VAL 0.53
D2 PERMIT W/O EN-HC 2500.00 VAL 99.00
TOTAL FEES 211.43 _
CONTRACTOR: TEL.. NO: APPROVALS DATE INSPECTOR SIGNATURE
RAINBOW AWNING CO., INC. (626) 448-9287-
2335 1/2 DURFEE AVE LIC. NO LOCAT ON kD SETBACKS
SOUTH EL MONTE, CA 91732 5925346
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINE TEL. 410: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
AIS`=D FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 04
�LUCR SHEATHING
NO. OF FAMILIES: DWELLING TS: AP /COND: STAT CLASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN YAZARDOUS SHEAR PANEL
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE fP—RiW—LR HANGERS
INSULATION/WEATHER STRIP
NTTEkiN LATH/DRYWALL
EXTERIOR LATH
RAZED LOON/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAM/OPENINGS
T-BAP: CEILINGS
OT 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 0709100027
PHONE (626) 285-0488 EXT
LEGAL ID: INUMBER OF SIGNS 1 BUILDING ADDRESS 1
ITR- 6561 LT 377 BL: 001 ISIGN DESCRIPTION ILLUMINTED LED CHANNEL LETTER SIGNS 9211 LAS TUNAS DR
I 1 I TEMP CA 917801908
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET R6SEMEAD
18587-001-013 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
TENANT JEXIST BLDG USE JISSUED ON. PROCESSED BY EXPIRES ON 1
1 (EXIST OCC GRP: 109/10/07 SR 03/08/08 1
(OWNER TEL NO. IBLDGS NOW ON LOT VALUATION I FINAL DAT BY CODE
HUI, SUGI (626) 230-2207- 1 1,000 1 A I 1
366 N ALLEN AVE
PASADENA, CA 91106 1 FEES PAID (DESCRIPTION OF WORK 1
1 (ILLUMINATED LED CHANNEL LETTER SIGNS "G8 WIRELESS" & "FLOOR I
1 1FEE DESCRIPTION QUANTITY UOM AMOUNT: ISTORE"
(APPLICANT TEL NO 1 1 I
(ARTIST SIGNS (626) 286-6686- JAA BLDG PERMIT ISSUANCE 27 75 1 I
1126 N. SAN GABRIEL IAX BUILDING REVIEW FEE 54 70 1SPECIAL CONDITIONS
1SAN GABRIEL CA 91776 1D2 PERMIT W/O EN-HC 1000.00 VAL 65 40 1
1 1 TOTAL FEES 147 85 1 1
ICONTRACTOR- TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE
1
(ARTIST SIGN AND ART SERVICE CORP (626) 625-2888- I 1
18919 E GRAVEY AVE #C3 LIC NO 1 1LOCATION AND SETBACKS 1 1 1
1ROSEMEAD CA 91770 811413 C45 1 1 1 1 1
1 (SOILS ENGINEER APPROVAL 1 1 1
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I I
LIC NO i ISUPPORT STRUCTURE 1
I I I
1MAP NO: SEWER MAP BOOK PAGE FIRE ZONE CMP I I I
I 001 I I
1NO OF FAMILIES DWELLING UNITS: APT/COND. STAT CLASS 1 1 I
NO 20
1 SCHOOL WITHIN HAZARDOUS 1 1 1
(AIR QUALITY 1000 FEET MATERIALS 1 1 1 1
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
1 1REPORT ID DPR261 ROUTE TO BS0508
I I I I I I
• 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 0906160036
PHONE (626) 285-0488 EXT
LEGAL ID (NUMBER OF SIGNS 2 I BUILDING ADDRESS
ITR 6561 LT 377 BL. 001 ISIGN DESCRIPTION INSTALL 2 WALL SIGNS 9211 LAS TUNAS DR
I I TEMP CA 917801908
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET. ENCINITA
18587-001-013 THOMAS PAGE 596 GRID- J3 LOCALITY TEMPLE CITY, Cl
TENANT IEXIST BLDG USE (ISSUED ON PROCESSED BY
IGENNIES MATERNITY IEXIST OCC GRP 106/16/09 SR
I I I I
(OWNER- TEL NO IBLDGS NOW ON LOT VALUATION. IFINAL DATE FINAL BY: CODE 1
ICHIEN, JOYCE (626) 807-1007- 1 1,500 1 I
19211 LAS TUNAS DR I I I
ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF WORK I
I I (INSTALL 2 WALL SIGNS 1
IEEE DESCRIPTION QUANTITY: UOM AMOUNT I 1
1APPLICANT TEL NO I 1 I
ISUCCESS SIGN GROUP (626) 444-8181- IAA BLDG PERMIT ISSUANCE 27 75 I 1
12812 PECK ROAD IAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 ISPECIAL CONDITIONS 1
1EL MONTE, CA 9 IAX BUILDING REVIEW FEE 54 70 1 I
ID2 PERMIT W/O EN-HC 1500 00 VAL 82 20 I
I 1 TOTAL FEES 165 65 1 I
ICONTR.ACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
ISUCCESS SIGN (626) 444-8181- 1 1
12812 PECK RD LIC NO 1 ILOCATION AND SETBACKS I I 1
JEL MONTE CA 91776 896068 C45 I I I I 1
ISOILS ENGINEER APPROVAL 1 1 1
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I I
1 LIC- NO: 1 ISUPPORT STRUCTURE I I I
I I I I I I
I I I I I I
IMAP NO- SEWER MAP BOOK. PAGE FIRE ZONE CMP I I
co1 I I
I I I I I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I
1 NO 20 I I I I
I I I I I I
SCHOOL WITHIN HAZARDOUS I 1 1 1 1
(AIR QUALITY 1000 FEET MATERIALS
NO NO NO I I I 1
I I I I I I
EXPII I QED I I I I
CQ-o/ d
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
IREPORT ID DPR261 ROUTE TO BS0508
I I I I I I
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 1208300028
PHONE (626) 285-0488 EXT
ILEGAL ID: INUMBER OF SIGNS 1 I BUILDING ADDRESS 1
ITR 6561 LT 377 BL .001 ISIGN DESCRIPTION OMAJU
1 9211 LAS TUNAS DR 1
TEMP CA 917801908
ASSESSOR INFORMATION NUMBER- I 1
I NEAREST CROSS STREET- ENCINITAS 1
18587-001-013 i THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 1
ITENANT (EXIST BLDG USE (ISSUED ON PROCESSED BY, 1
I (EXIST OCC GRP 108/30/12 SR
10WNER TEL NO 1BLDGS NOW ON LOT VALUATION IFI AL DA EF Y CODE.
ILO, ROGER (626) 321-2848- 1 1,000 1 1
14827 N PECK ROAD I I
EL MONTE, CA,91732 I FEES PAID ID _ IPTION OF WORK 1
1 1 11NDIVIDUAL CHANNEL LETTER WALL SIGN, ILLUMINATED 1
1 1FEE DESCRIPTION QUANTITY UOM AMOUNT 1 1
1APPLICANT TEL NO I 1 I
(PARK, CHRIS (626) 444-8181- 1AA BLDG PERMIT ISSUANCE 27.80 1 I
12812 PECK ROAD IAB STATE GREEN BLDG FEE 1000.00 VAL 1 00 1SPECIAL CONDITIONS 1
IEL MONTE, CA 91731 1AE STRONG MOTION OTHER 1000.00 VAL 0.50 1
I IA2 PERMIT W/ENERGY-HC 1000 00 VAL 75 20 1 1
I 1 TOTAL FEES 104 50 1 1
ICONTRACTOR TEL NO IAPPROVALS DATE INSPECTOR SIGNATURE
1SUCCESS SIGN GROUP (626) 444-8181- 1 1 1
12812 PECK RD LIC NO i ILOCATION AND SETBACKS
1EL MONTE CA 91776 896068 C45 I
I i ISOILS ENGINEER APPROVAL 1 I 1
I
ARCHITECT OR ENGINEER TEL NO 1FOUNDATION/TRENCH FORMS I
LIC NO i ISUPPORT STRUCTURE I
1 I I I I I
1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1
1 001 I I I I
1NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1
NO 20
1 SCHOOL WITHIN HAZARDOUS 1 1 I 1 1
1AIR QUALITY 1000 FEET MATERIALS 1 1 I 1 1
1 NO NO NO 1 I I I 1
1 I I I I I
1 I I I I I
I I I I I I
1 I I I I I
1 1 I I I I
1 I I I I I
REPORT ID DPR261 ROUTE TO BS0508 1 1
I I I I