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HomeMy Public PortalAbout9217 LAS TUNAS DR_Building__ 9B.3 25M SETS U." APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WB T TI���TG M. J. FOX, CHIEF ENGINEER �J I �I NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE J1 ,r— X47+ FIRE APPROVED -'fg> ZONE ' BY DATE RECEIVED, BY DATE OF APPL. DATE SSUED USE �. A APPROVED A/ �w���� ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY it BUILDING eAfl Ox NAME ADDRESS WIII Z ADDRESS LOCALITY I- - = NEAREST J U W CITY CROSS ST. ir Q STATE TEL. 1 LICENSE NO. NO. It NAME W MAIL Q , It NAME 3 ADDRESS U I ✓ O ...�� TEL. � Q ADDRESS �E41 ,y.. _ CITY N . Ir F 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 0 CITY1151K` APPLICATION AND STATE THAT THE ABOVE IS CORRECT SrZa ��s 1 STATE TEL. '�� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION. J ®tom SIGNATURE OF Z LOT NO. cam/ ` SIZE OF LOT U�JC �OV n.� /J p .,.,.w. OWNER/�/J !O/I NO. OF BLDGS. Q a BLOCK ��� NOW ON LOT AUTHORIZED AG V) W G ' CORRECTIONS TRACT D USE OF BLDGS. C�f7 !?0_12%, e/ NOW ON LOT-�a �(�f/.J w DESCRIPTION OF WORK USE OF BUILDING z a NEW TYPE GROUP NO. OF NO. OF ALTERATION ROOMS V J FAMILIES ADDITION SIZE REPAIR STORIES1 �� MOVING WALL COVERING DEMOLISH I ROOF COVERING $ P.` $ FINAL PRO/VAL FEE /�/j i7/ $ Z� J�`-/ I INSPEC��H12 VALUATION !! FEE DATE NAME 09-3 8-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO PLANS SETBACK LINE ,r/�.,r/� /W FIRE APPROVED ` ! & 41 { 1(/ �✓ ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED IUSE E PROVED ZONBYDATE APPLICANT FILL IN HEAVIL Y OUTLINED PORTION ONLY Q w NAME NONE ADD EISS 1915 Los Tunas Dr. W I- Z ADDRESS LOCALITY Temple City = D NEAREST ��^. , " U w `��CITY CROSS ST. Q�� lY 4 STATE TEL. LICENSE NO NO m NAME Herman H. Stol man NAME TINGLEY MORTGAGE COMPANY z MAIL O ADDRESS 220 M da Ave . UADDRESS 7839 Long Beach Boulevard CITY le Cit TENO.- AT 2040 ZO CITY Huntington Park I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT U TEL Ki 2115 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. 63665 - AND STATE LAWS_ REGULATING BUILDING CONSTRUCTION. ZZ LOT. NO. 376 SIZE OF LOT 50 X 10 SI NATURE OF -I 1- NO. OF BLDGS. None AUTHORIZED AGT Q ¢ BLOCK NOW ON LOT l7 - J U TRACT 6561USE OF CORRECTIONS O NOW ON NOW .� .r None DESCRIPTION OF WORN USE OF BUILDING Residence J+ Room _r*N 18X 20 /.P 4 ?—:3 J10 6-3-h-9`1 r z 7-U - �"1 z a r� ° NEW Yes TYPEResidencleGROUPI NO. OF NO. OF 1 i ALTERATION •-- ROOMS `J+ / FAMILIES ADDITION -�- SIZE 26 X 34 REPAIR--- STORIES I MOVING WALL COVERING Stucco DEIdOLISH _ i RnnF COVERING Shingle t $ duo P.C. Is FEE 5 .00 - FINAL APPROVAL INSPECTOR'S �� T VALUATION FEE �V DATE �l / I NAME I DEPARTMENT OF BUILDING AND SAFETYL�i I�®�R PERM COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER IAN' G FOR APPLIC TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING L 3 ADDRESS 1 ,,sa y�,/ RECEIVED BY . DATE OF APPL. DATE ISSUED LOCALITY /�`,� 30- Q— C/ NEAREST .7 CROSS ST. BUILDING ADDRESS OWNER / LOCALITY MAIL ADDRESS �Al NEAREST V O TEL. CROSS ST. CITY 776, NO. FIRE NO OF TYPE .GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS _ APPROVED TEL �/► �j s BY DATE CONTRACT • ., ,NO. /. .413+ USE APPROVED D _A ZO BY DATE ADDRESS L!J//�-f '� � HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. ff BLOCK MAP NUMBER�IELD CHECK BY TRACT NO. ASSIGNED BY❑DATP NO OF BLDGS. CORRECTIONS SIZE OF LOT I NOW ON LOT USE OF I NO. OF _ EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I ✓I' TERATION I I ADDITION I ' ` ` REPAIR I I DEMOLITION I SQ. FT. NO. OF SIZE ROOMS STORIES ���_ Z z EXT. WALL ROOF r COVERING COVERING USE OF STRUCTURE n^� 1 APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HA E READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULAT BUI IJG C•NSTRUCTIO FURNACE: LOCATION, SIGNATURE O I GAS VENT, DUCTS PERMITT LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT /l • PLASTER, INT. 78A888A, DB88 f0- $ C. $ EE PLASTER, EXT. VALUATION FEE $v2.CrO� FINAL Z,( sa ar I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � WM. J. FOX, CHIEF ENGINEER ® I N FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY ~ RECEIVED BY DATE OF APPL. ! DATE ISSUED NEARECROSEST BUILDING OWNER Tl ADDRESS/—t���o� � MAIL I LOCALITY ADDRESS NEAREST TEL ,/� CR089 BT. � � „yp•,��n_ CITY NO. 7ti _ FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. -wD , —/ ORD.NO. ADORERS SETBACK LINE j �? , APPROVED J� TEL BY DATE DATE CONTRACTOR NO. USE �O APPROVED ADDRESS ZONED. "; ' BY DATE LEGAL /J CORRECTIONS DESCRIPTION LOTHO., / BLOCK �� 7. TRACT BIZE OF LOT 5O ,! 7 I NO.OF BLOTS. c NOW ON LOT USE OF2 J+02QS— �(��T�'I NO.OF �J I NO.OF EXISTING BLDG. [Inor.M_(r'IQ•1? i FAMILIE® -/ ROOMS f DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH � Bq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING216� I COVERING UBE OF NEW BUILDING DDSr I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDAT]ON: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE BRACING,BOLTS PERMITT + LATH,INT.: AUTHORIZED AOT _ LATH,EXT.: Des-3 SOM SETS 7-47 $ P C.18 —• PLASTER,INT. © FEE PLASTER,EXT. VALUATION FEE >9� �� FINAL COUNTY OF LOS ANGELES WM. 'J. FOX, CHIEF ENGINEER _-� BU ' LD ' N G FOR APPLICANT TO-;'FILL IN FOR OFFICE USE ONLY x BUILDING / / A "p"�b�� - DISTRICTO. PLAN CK. NO. PERMIT NO. ADDRESS _( �/1 P1 T(o ] 1 5 ©' LOCALITY TcA 1 `/,�� Ir1 7 t REC -1VED, BY DATE OF APP.,L. DATE ISSUED NEAREST 3T. 19l J r� p , -Ok 0 CR09S J�JF > /TTU W - - ur y� ,I J��{� }�ry�+ BUILDING /� 1 . OWNER 1 V.G 1yIJ��.1�C� W i Sc,Om,$]f ADDRESSMAIL 'ADDRESS 1 �..' _ . A04 -rV 1�`/l�� " LOCALITY NEARE rCITY• 14 r V\1!.0 C I� NOL'C�(l 1�P/� / CROSS ST ARCHITECT OR p �� C M� TEL. - Q ZONE I FIRE PLAOgs I TYPE I GROUP ENGINEER. #��0�[1(�► �/V/G .�NO. /, ADDRE33 I-1I I r �l��j ��u...,� S BLDG. ORD.,NO. - - . 'SETBACK LINE } e e, �{ �A nip^ r (�ry APPROVED i a W , ��r,gat ID NO.�.�I I~� I /� BY DATE CONTRACTOR�� i A/�Q(� USE (I APPROVED ADDREBB /".��I®VE ZONE ` �BY DATE ' ' DESCRIPTI/N I LOT/`N O. I BLOCK .CORRECTIONS O TRACT SIZE OF-LOT 5'O ^(( I �0 1 I NOWOON LOTS. . . - USE air. L0411'`6, ) (� NO.OF ' I NO. OF . EXISTING BLDG.EG AL 6 rE [[[ FAMILIES I -ROOMS DESCRIPTION OF WORK ' NEW x ALTERATION ADDITION D REPAIRA MOVING DEMOLISH so. OF SIZE FT. A I OMS 0 STORIES (/'y - r _ 1Zl� RO WALL `, r COVERING PR'Y W{)0O I COVERINGr_bMV'*S TI Q USE OF NEWRG 1 M I � b0l I N 5 BUILDING APPROVALS ' IHEREBY. ACKNOWLEDGE THAT I HAVE READ, THIS INSPECTOR DATE APPLICXTION' AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, D. _ .AND.AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, AA SIGNATUREO BRACING, BOLTS OWNER ` y,'.,� c LOTH, INT.:. I VY.a a 90 AUTHORIZEDGT LATH, EXT.:. . - v P. C. 6- -PLASTER, INT. FEE - PLASTER, EXT. / y - (j(//y X VALUATION CJ �V FEE p1��1. FINAL D!99-3.25141 SETS8-48 DEPARTMENT OF BUILDING AND 'SAFETY APPLICATION''FOR'`PERMIT COUNTY OF LOS ANGELES s9 ,�- 1 WM. J. FOX, CHIEF ENGINEER U I L FOR APPLICANT TO FILL-IN FOR OFFIGEN E ,ONLY 'BUILDING 1`1115 � / A[b ��� A� DISTRICT O. PLAN.CK. NO.: ER �No•/ ADDRESS ,b , LOCALITY /{/{ F �I � � � RECEIVE By BY DATE OF,APPLr DATEISSUED, / 01NEAREST f CROSS ST. UILDr/�� ��/ j�� r -. /�-• OWNER ING ADDRESS_ I I. V MAILADDRESS I I•S �' �`AS TON!t LOCALITY CITY�c M P �' / NO.�` CR " .:.NEAREST TEL. OSS ST. G �l� FIRE NO.OF TY GROUP ' ARCHITECT OR ' EL. ZONE I. PLANE. Pp T ENGINEER NO..' BLDG. n - ORD. NO. ww ADDRESS ?i.� � SETBACK LINE APPROVED i S 1,A TEL DATE USE-. , CONTRACTOR LE-q VoL NO. BY 1. _ ADORES9 Tk M•1_4 Cr C T"'y - ,. - APPROVED _ ZON BY DATE LEGALI ;l� I. .` '.Z�.--_CORRECTIONS DESCRIPTION LOT NO. BLOCK '.�� TRACT J - e� NO. OF SLOGS. ]� SIZE OF LCT (/ .I NOW-ON LOT'USE OF EXISTING BLDa(k JAM I NO.OF � . I RO. OF FnM:�iEa ROOMS UU'' .-DESCRIPTION OF WORK ' " NEWALTERATION ADDITION O REPAIR MOVING DEMOLISH O 9q. FT. 0.'1 'ROONO.MS ` STORIES ' D SIZE C, - -i- WALL ROOF . COVERINOpLIsS, t.AT 1\ (.COVERING USOF N BUILD NO EW APPROVALS 1 HEREBY ACKNOWLEDGE .THAT I HAVE READ TH18 APPLICATION AND STATE THAT THE ABOVE IS CORREC.T,. FOUNDATION: LOCATION, INSPECTOR ,. DATE AND AGREE TO COMPLYWITH ALL COUNTY. ORDINANCES FORMS, MATERIALS ��.. AND STATE LAWS REGULATING BUILDING CONSTRUCTION., :FRAME: FIRE.'STOPS, �:, ,��I SIGNATURE OF g. BRACING; BOLTS IEG-MAi1Yl OWNER \ • /// LATH, INT.: n• �dI! rI. A'U'THORIZED• I AOT -�"� A d -LATH, EXT.: 4 P. C.18 PLASTER. INT. FEE PLASTER,PLASTER, EXT. VALUATION FEE FINAL DB-3 9-43 aM SETS APPLICATION FOR PERMIT DEPARTMF-NT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD:NO. DISTRACT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE 4 /g� -2 FIRE APPROVED (� ZONE BY DATE RE96VED BY DATE OF APPL. DATE ISSUED USE APPROVED ZONE BY DATE APPLICANT FILL IN HEAVILY'OlJTLINED PORTION ONLY BUILDING p NAME �/ ADDRESS W Ill Z ADDRESS LOCALITY ('�7"✓ /r 0 NEAREST U W CITY CROSS ST. LICENSE NO. NO[ NAME /I!' - ( f� y4irI f// �"I"j MAILIt I NAME J C� ` _ 3 ADDRESS p f0 ADDRESS 3 lU /j��/� Q 1 ,� .. ---- CITY ._ /T'1;i!4w NO F Z CITY 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE S ^ TEL. .�`;�„ C1 t AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. C.A NO. ICG (} AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LQ NO. SIZE OF LOT ( � �' _ SIGNATURE OF O d OWNER a F NO. OF SLOGS. < a WBLOCK NOW ON LOT / AUTHORIZED AGT. '� K D TRACT CORRECTIONS W G USE OF SLOGS. NOW ON LOT d L DESCRIPTION OF WORK USE OF BUILDING T s comtructicn may b� in violation of ar ro uction ilcard orders. You aro Production Board Office before,commer.-: Z Ing Me wor4 au onze ct in trils perms . 0 Ix NEW TYPE 77 GROUP O ALTERATION ROOMS G- I FAMILIES ADDITION SIZE REPAIR STORIES MOVING WALL COVERING l t f''ll-ld DEMOLISH ROOF COVER[N P. C.; FINAL APPROVAL r' FEE INSPECTOX'S VALUATION FEK AT[ I NAME APPLICATION FOR COUNTY OF LOS ANGELES + DEPARTMENT OF COUNTY ENGINEER . BUILDING PERMIT BUILDING ANDS TY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS / z17 V LOCALITY CITY J(J C iz` l ZIP � 'D v NEARESTCROSS ST �( NO OF BLDGS ASSESSOR SIZE OF LOT S� 1��,' NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP PE FIRE PIll' SSED BY TRACT BLOCK LOT NO ONST, Zp_pL� sGo OWNER (J r )� NOL.2J STATISTICAL CLASSI ATION SEWER MAP ADDRESS .Z L j r— CLASS NO. �ZQWELL UNITS BK PG CITY �Q /� C i ZIP r J USE ZONE NO �Q ARCHITECT TEL L SPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL BL G SETBACK FROM LIC N F NT PROP LI NE OF (STREET) ADDRESS NO HI HWAY + YARD = TOTAL SETBACK FROM TYPE OFEXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH BLD SETBACK FROM ADDRESS CITY SIDE LINE OF (STREET) V SQ FT NO OF NO. OF CHECK HIGHWAY + YARD - L SETBACK FROM TYPE OF EXISTING O SIZE STORIES FAMILIES ONE SIDE P NE HIGHWAY WIDTH DESCRIPTION OF WORK LLJ NEW ❑ + N ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. EMOL ❑ AP PR CANT �fiv ( - ' INTEL �J�^CX, BY (SIGNATURE) ) L( I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN REILATING TO WORKMEN'S COMPENSATION INSURANCE ��� &:5-7-7 PERMFINAL 7 BY I SIGNATURE OF DATE / V�`^77 i ITTEE ADDRESS � ^ TELp CITY No / / P.0 Fee$ Permit Fee Q Issuance Fee VALUATION$ APoo \ Total Fee PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATIO CK' mo CASH 3 1 r hJAN 25 D 1 5.0 0 76AG38A CE#803B 12/75 U ' AP P L I CAT I O O R NTY OF LOS ANGELES ENT OF COUNTY BUILDING PERMIT ' °suFDMINGAND SAFETY DIVISION ENGINEER or BUIFOR APPLICANT TO FILL IN ADDRESS / Ci �•�1��-�/ BUILDING i ADDRESS I-� LOCALITY NEAREST CITY E ZIP d CROSSST NO OF BLDGS ASSESSOR SIZE OF LOOT- NOW ON LOT MAP BOOK PAGE PARCEL TRACT !(/ BLOCK LOT NO DISTRICT GROUP CONST TYPERE ED BY TEL �D f L OWNER 10 U LZ t4A NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS G CLASS NO DWELL UNITS BK PG CITY LC ���L ZIP USE ZONE NMA OP ARCH( ECT OR Tc SPECIAL � ENGINEER NO C� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL CONTRACTOR 4 NO BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO TOTAL SETBACK HtOM TYPE OF EXISTING LIC HIGHWAY + YARD, - FRONT PROP LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + r NAME AND BRANCHO BLDG SETBACK FROM U SIDE PROP LINE OF (STREET) ADDRESS CITY O 50 FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING V SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH N ❑ + Z DESCRIPTION OF WORK NEW ADD ❑ CORNER CUTOFF YES ❑ NOV 444 46 0 14 Id ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO, ❑ REPAIR USE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG iDEMOL APPLICANT _ TEL (PRINT) NO BY(SIGNATURE) F IHEPEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ' THAT THE ABOVE IS 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 LADDRE , DE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM SURANCE OF FINAL /�� (J BY _ DATE j o / TEL PC Fee$ Permit Fee," l NO/� Issuance Fee N s / �JJ) p_9� I Total Fee / PLAN CHECK VALIDATION Ck M o CASH PERMIT VALIDATION cK M O CASH 4 7 6,FEB 3 1 n 9.0*0 A"6 tS•76A638A CE 9803A 6/76 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES C ® � WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS 1 f+ 3 3 3 4-1--- LOCALITY RECEIVEDY DATE OF APP/L. DATE ISSUED NEAREST GL / CROSS ST. _ t BUILDING Il `� L� ( 2'S UGrc?S OWNER ADDRESS � � AMAIL DDRESS f R 'J -� LOCALITY NEAREST A TEL CR088 ST./V �L FIRE NO.OF TYPE- GROUP � ARCHITECT OR TEL ZONE/ PLANE 5--L o ENGINEER NO. BLDG. �'` / O (� .NO. ADDRESS SETBACK LINE APPROVED NO. y �l TEL. jl P�!! BY DATE F 1 USE �p APPROVED ADDRESS .�A,/J + ZONEG.. -2-ay DATE LEGAL �2 p- CORRECTIONS DESCRIPTION LOTNO. � BLOCK TRACT (I S;_6//1 /.� Y LT-7 ,`+� NO.OF SLOGS. L� SIZE OF LOT '� V /� ! NW ON LOT 5 ' USE OTING BLDG. S TM n r- I FIDL ce NO.OF EXISTING 4 ROOMS � DESCRIPTION OF WORK NEW ALTERATION ADDITION ' - A REPAIR MOVING DEMOLISH p Bq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING I COVERING USE OF NEW 1 BUILDING e6 n Sr/ 4 h I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ' 4;tti; � v �mp�"" FRAME: FIREOLTS_ SIGNATURE OF BRACING,BOLTS PERMITTE LATH,INT.: AUTHORIZED AGT LATH,EXT.: n DBS-3 BOM BETS 1-48 $ P.C 0 PLASTER,INT. ' rt/ FEE PLASTER,EXT. VALUATION "' FEE 111 121 FINAL -'�'7��(� DEPARTMENT OF BUILDING AND SAFETY 1 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B ® I WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING , ADDRESS � � � � P LOCALITY RECEIVED BY DATE OFAPPL. DATEISSUED NEARESTS /3 NEAREST -1a CROSS ST ..y.� BUILDING OWNER ADD EBS MAIL DDRELOCALITY ASS ( JJJ 0 �„�y NEAREST ♦ TEL. CROSS BT. CITY • NO. - FIRE NO.OF TYPE G O P ARCHITECT OR TEL. ZONE -I-PLANS .z ENGINEER NO. Illy BLDG. ORD.NO. ADDRESS SETBACK LINE /� APPROVED ('„�^ TEL C'a���4 �' BY DATE CONTRACTOR �.GVfF' NO. jr( //� USE �` SAPPROVED DATE ADDRESS („�,C�- ��,q, ZONE LEGAL 3BLOCK CORRECTIONS DESCRIPTION LOT NO. TRACT le I _ SIZE OF LOTC.Sv /A/ �s� I NO.OF BLDGS. ��- NOW ON LOT USE OF `� ND.OF NO.OF EXISTING BLDG. FY 11..G/ FAM I LIES-1-Rooms DESCRIPTION OF WORK NEW ALTERATION ADDITION O _ ' A REPAIR MOVING DEMOLISH O 34.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING COVERING USE NEW -BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF ^ BRACING,BOLTS PERMITTEE D ( j F/J LATH, INT. AUTHORIZED AGT fl 11 LATH, EXT. n 76A63SA 9-48 V DeS-3 SOM SETS $ P.C.Ili PLASTER, INT. / FEE PLAS ER,EXT. VALUATION FEE FINAL I I VV V 'vt Q ' OF ]3UILDING AND SAFETY APPLICATION FOM IT OF LOS ANGELES 1 v94BU ' L D I N G WM. J. FOX, CHIEF ENGINEER sFp q FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDINGDISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS r LOCALITY - r Ri IV BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. /L.d►L)j�/y D 0 y�RDEU �, S'C-NAA BUILDING �^ t ADDRESS / . r '�° OWNER MAIL �'� ,,y, � (�,� ADDRESS-I I S � �., i 1 �`-, D \ LOCALITY .,.._, �� 1F F 111--��+�=�`r NEAREST TEL. CROSS ST. _ [_ CITY GI Y l {;, ?, NO. Ar I-,;z FIRE NO.O� a TYPE ENGINEER tT OR, Mgl '�•',A'�C _29 q ZONE ...,. I PLANS f I / BLDG. / /ORD. NO. ADDRESS SETBACK LINE APPROVED CONTRACTOR a W C- Nod' ,� BY DATE USEf' _ APPROV e ADDRESS J�••, ZON By DAT E LEGAL �. CORRECTIONS DESCRIPTION I LOT NO. � I BLOCK -- TRACT fpat I NO. OF BL SIZE OF LOT �! ` NOW ON LOT USE OF f ti e► CI NO.OF I NO. Cr L EXISTING BLDG. I FAMILIES ROOMS .� DE§-CR-I-P-TIC& OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH D_ Sq. FT. 1` NO.OF Z SIZE ROOM• STORIESWALLRtioF ' COVERING , A - I COVERING < 10 , USE OF NEW BUILDING f" APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 -�= OWNER ( ,. ( LATH, INT.: AUTHORIZED ADT LATH, EXT.: - P. C. • - n PLASTER, INT. FEE •"� PLASTER. EXT. VALUATION FEE FINAL WORKERS' COMPENSATION DECLARATION i nsure,boraa certificate of Worke srlCompennsation ificate of eInsurancef - - APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800, Lab C ) a a 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 / q E P Date Applicant CITY ` Zip LOCALITY v+ OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT WON LOT CROSS ST • COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT" BLOCK LOT NO MAS BOOK PAGE PARCEL hundred-dollars ($100) or less ) TEL ONE' MAP OWNER NC� NO USE Z I certify that in the performance of the work for which this permit is issued, I shall not employ a erson in y manner ADDRESS a1 _ D ry SPECIAL CONDITIONS O so as to eco a subject tot nal - Laws `,' U CIN WQ ZIP Datev/azy A Ic� ARC ITECT OR TEL � NOTIC TO APPLICANT a r making this 'ertif cat ENGINEER NO DISTRICT GROUP bE ZONE ESSED BY ,O Exemption, you should become•subject to the War ers' L^UU w Compensation provisions of the Labor Code, you must forth- ADDRESS �l a with comply with such provisions or, this permit shall be TEL STATISTICAL CLASSI A APT CONDO N deemed revoked CONTRACTOR NO z LICENSED CONTRACTORS DECLARATION LIC CLASS NO ELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professions Code,and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FTI' NO OF j NO OF CHECK License Number Lc Class SIZE 7©D STORIES ( FAMILIES ' ONE _ - VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ OL/ ❑I am exempt under Sec ADD ❑ pop.ALTER ❑ B 8P C for this reason V REPAIR ❑ $ Date USE OF EXISTING BLDG DEMOL ❑ Signature, APPLICANT TEL � / OWNER-BUILDER DECLARATION (PRINT) NO d'0 0jp— �/ FINAL I hereby affirm that I am exempt from the Contractor's License DATE Law for the following reason (Section 7031 5, Business and ADDRE 'FINAL Pro ssions Code) PRESENT - B 1, as owner of The property, or m employees with BUILDING Y P P Y� YADDRESS wages as their sole compensation,will do the work and :YI 7 2" �1 F The structure is not intended or offered for sale(Section LOCALITY - 7044, Business and Professions Code ) MOVING TEL ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to,construct the project (Sec- t t_f i lL 2 `50 tion 7044, Business and Professions Code ) ADDRESS Y REQUIRED TOTAL SETBACK FROM EXIST 4,;HE',IK ,c{.€ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY' PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT ?_); li€�`3 ,a-1 the performance of the work'for which this permit is issued P L (Sec 3097, Civ C ) rin�'vesfigation Lender's Name LDMA RefLender's Address Permit Feed'€ -{tiEi[II certify that I have read this application and state that theIssuance Fee d ' J LDMA P/C#above information is correct I agree to comply with all County ordinance State laws 'ating to building construction, Total Fee J C� LDMA Perm # a an�ebt r r sen sof this County to or t ne pr for inspects rpos d a . o I e �' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature,6f APPlcant orSignatare f or A nt• Dat o WORKERS'COMPENSATION DECLARATION g t I hereby affirm that have a certificate of consent to, self 'A P P L I CATION 'F O R ,BUILDING PERMIT -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) - -1. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified eopy is filed with the county building inspec- BUILDING �� �gS tion department ADDRESS CC Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' " NO OF BLDGS NEAREST 'COMPENSATION INSURANCE-' SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less_ ) TRACT BLOCK LOT NO o y MAP BOOK PAGE PARCEL OWNER yv�m NO oc06�oZ J y USED MAP ,,certify that in the performance of the workr�for which this NO permit is issued, 1 shall not employ any person in any manner / ,, T- c SPECIAL - d so as to become subject to the Work Compensation Laws ADDRESS j -/��Y`,// LJ��J CONDITIONS Date ' Applicant' CITY Lmp C lTr ZIP O NOTICE TO APPLICANT If, after making`t is Certificate of ARCHITECT OR TEL DISTRICT - GROUP TYPE FIRE PROCE SED BY Ekem tion, ou should become sub ect to the Workers' ENGINEER NO NST ZONE P Y I -LL /, /�� / W Compensation provisions of the Labor Code,,you must forth- �J L(/ ADDRESS with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT NDO Z deemed,revoked CONTRACTOR NO 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 andLIC SEWER MAP Pro_fessiori_s Code, and my license is'in full force and effect CITY CLASS BK VALIDATION SQ FT NO OF NO OF CHECK PG License Number Lic Class SIZE STORIES FAMILIES ONE ❑ VALUATION o t° DESCRIPTION OF WORK NEW Contractor � Date j , ADD _ ❑ I am exempt under Sec W/V /1/ ❑ ALTER B 8P C for this reason Ir)�e/A',m REPAIR .❑ $ USE OF Dote DEMOL ❑ 3 2 2 y� EXISTING BLDG TJj • Signature APPLICANT TEL �QQ�� • • 3 g (PRINT) �� N0-196'oZa3��ca. FINAL 7. OWNER-BUILDER DECLARATION DATE .I-hereby.offifm.that I am exempt from the Contractor's License a ) :+ • • - 3750'0 Law for the followirig reason (Section 7031 5, Business and ADDRESS 7 A� / L �cS ✓N�f FINAL Professions Code) PRE FEN - By I'Q 2 1 i 8 5 BUILDING` _ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ;2 3 228 A ' 7044, Business and Professions Code) MOVING - TEL #•• • • • 0,1 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO • • 3 3 Q Q with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH • • • 3 3 0 O 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 - (Sec 3097, Civ C ) SIDE Q 2 1 +8 5 m - PL Lender's Name CDMA Ref # P C Fee S Permit Fee 9 Lender's Address .I-certify that I have read this application-and state that the - �� �� Issuance Fee S CDMA P/C# - above information is correct I agree to comply with all County Investigation Fee 2 g ordinances and State laws relating to building construction, Total Fee �J O LDMA Perm # and hereby authorize representatives of thi County to enter upon ilae abov ention property for in ection purposes a 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Wcont or Agent •- Date - - - - Oo