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HomeMy Public PortalAbout9669 LAS TUNAS DR_Building__ SQA"69"Os-3 APPLICATION FOR BUILDING PERMIT ], 1.55 DIVISION OF BUILDING AND SAFETY ADDRESBUILDINGS Department of County Engineer County Of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. Jd FOR APPLICANT TO ILL IN DISTRIC GI? TYPE SEWER MAP G F CONST.-VA-4 E BUILDING ' MAP `) O STATE YES NO ADDRESS NUMBER LOT NO. ( BLOCK USE ZONE SPECIAL CONDITIONS TRACT NO.OF BLDGS. SIZE OF LOT I NOW ON LOT I BUILDING YARD HWY STREET NAME EXIST. USE OFSETBACK WIDTH EXISTING BLDG. ' ( FRONT P. L. Q�QJ OWNER 7ii'�l. SIDE MAIL / P. L. ADDRESS l r✓ O TRACT DWELL. t UNIT CITY �(y 7�_ ) O 5 INDUSTRIAL EL. � �` � DWELL. 1 UNIT .�� 6 PUBLIC BLDG. ARCH( CT OR TEL. 2 DUPLEX 2 UNITS7 ADDN.. 1/J ETC. ENGINEER NO. 3 APT. UNITS ADDRESS 41 COMMERCIAL 1 8 MISCEL. CONTRACTOR� ��r�qNO �/ /j) INSPECTION RECORD ADDRESS 7 - DESCRIPTION OF WORE } 7 NEW ADD LTEo REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE ; I' i S NATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE � FOUNDATION: LOCATION P. C. FORMS,MATERIALS FEE FRAME: FIRE STOPS. VALUATION C S f BRACING, BOLTS FEE �j FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 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 REG TING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL OHN A.LAMBIE,COUNTY ENGINEER VA ATT CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK MO CASH n , �., TEMPLE CITY or I76A638A CE+6032-63 APPLICATION FOR BUILDING PERMIT 1/L COUNTY OF LOS ANGELES ADDRESS 1,4q �E. 7 �`�I/IV/+� DEPARTMENT OF COUNTY ENGINEER / r t/ BUILDING AND SAFETY DIVISION LOCALITY T�mrz- :+I r JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. KAUF�ma� FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE C ED BY 5. / o CONST. BUILDING SS (p(oG) ,j,..L�� 7(JNA�+ STATISTICAL CLASSIFICATION BFC MAADDREG CLASS. NO.�DWELL.UNITS '� - - LOT NO. 7 r BLOCK WATER NOT REQUIRED RECEIVED ❑ // CERTIFICATE: TRACT SCOL MAP -/ HIGHWAY NO.OF BLDGS. NO. Q d I (CIRCLE) STAT MAJOSECOND, LOCAL SIZE OF LOT 45X 130NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. - Z OWNER ,+ TEL. vv J440= NO. cBUILDING XIST. ADDRESS a Las YV�.►AS SETBACK YARD HWY STREET NAME WIDTH I�- A FRONT 1 As yuwk loo ENGIARCiNEERT OR }-DmONb fOE�STi- TO AT42- �(p SIDE (- F ( '_N P. L. a ADDRESS 58 08 Lds UiJ4S S• O TEL. u CONTRACTOR NO. K ADDRESS O DESCRIPTION OF WORK uVi a N NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF � STRUCTURE 012F-U04 40'� IN 0"410i"(p WA _— Ac L{ o,N Cf Ae NAL. SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE ' ✓ FOUNDATION: LOCATION � FEE S FEE $ FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS / MATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS LNG CONSTRUCTION. 1 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 COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION _ PERMIT VALIDATION CK. M.U. CASH A CITY '9AG30A CE#80]2/80 APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES BUILDING L' DEPARTMENT OF COUNTY ENGINEER ADDRESS U BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. �- DIST�T 19 P. GROUP PE P SED BY FOR APPLICANT TO FILL IN 3 L) CONST. BUILDING I STATISTICAL CLASSIFICATION I SE ER MAP ADDRESS K P .'7 v CLASS. NO. L DWELL.UNITS LOT NO. _ BLOCK MAP STATE NUMBER HWY. YES O TRACT USEZONE SPECIAL -I r NO.OF BLDGS. _ CONDITIONS SIZE OF LOT - X7/� I NOW ON LOT �" USE OF EXISTING BLDG. BU'LDING EXIST. TEL. YARD HWY TREET ME SETBACK WIDTH OWNER S NO. FRONT ADDRESS C+ �Z SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS TEFL.�O � NO. �l f6 a CONTRACTOR 0 O ADDRESS la_lcx� Cv� U DESCRIPTION OF WORK O NEW ADD ALTER REPAIR DEMOLISH W SQ.FT. NO.OF NO.OF �' �' ` ' WWW SIZE STORIES FAMILIES y USE OF STRUCTURE SIGNATURE OF i APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE PMT.'S FOUNDATION: LOCATION _ FORMS,MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS, BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING LIN K AUTHORIZED I LATH, INT. WILL NOT EMPLO ANY ERSOLATION OF THE WORKMENSCO P NSA ONCALIFORNIA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT T RECT AND POSTED ADDRESS eLfjEFINAL 3 ` CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. LACo 0 1 1 9 e'_c 2 7 0 2.0 0 J ®r DEPARTMENT OF BUILDING AXD SAFETY. APPLICATION FOR PERMIT COUNTY OF LOS ANG ES BUILDING WM. J. FOX, CHIEF EN EER PLANS BLDG. FIRE DISTRICT No. PLAN CHK. FEE PERMIT No. IL FED t - SETS I ZONE �y ZONE RECEIPT NO. TYPE OF "- f BLDG.. I IN4 •dt GROUP — DATE OF APPL. RECEIVED BY DATE ISSUED BLDG. SETBAC o�._lqu.--APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY O BUILDIN E NAME ADDRES _ I- W W W 2 ADDRESS LOCALITY _ t: U' NEAREST U W CITY CROSS ST. C STATE Q LICENSE NO. TEL. No. It NAME y^� / Z MAIL 0 NAME a°V rTi lfQ ` �A ,'•f� (/•/ s� ADDRESS O Q ADDRESS / / Y CITY TEL NO. C —1yA 0 F , Z CITY d { � QJ� LOT /�O SIZE OF LOT - 0 STATE qs �f �f LICENSE NO.. \2 �y TEL. No I,,, I,� NO. OF BLDGS. r t J41 BLOCK NOW ON LOT D _ �. USE OF BLDG. CLASS OF WORK ®ACT t�f Now ON LOT I DESCRIPTION OF WORK NEW ADDITION DEMOLISH —i ALTERATION I REPAIR I—I MOVING I ysi'�{-ss. 0 for ; BLDG -RW 1 JROMS SIZEOOF" � 'I-STORIES NOOOF n BLDG. I EMILIES I CORRIS TIONS SPECIFICATIONS FOUNDATION _ MATERIAL EXTERIOR PIERS +— THICKNESS—TOP THICKNESS—BOTTO _ J DEPTH IN GROUNN _Z SUPE TRU TURE 19 It { SI SPACING SPAN � Q R. W. PLATES (SILL) GIRDERS -- -- --_ JOISTS—FLOOR JOI6T3—CEILING BEARING WALLS I __ PARTITIONS ROOF RAFTERS - FINAI. APPROVAI. SILL BOLTS - ---- COVERING DA 11113PECI.W. NAME WALL I ROOF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT �^ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES P.C. FEE $--`' AND STAT14 R ULATING BU,fI-D G CONSTRUCTION. SIGN VALUATION $ FEE $ NE oR AU RIZ AGENT DB-3 4-39 25M APPLICATION FOR BUILDING PERMIT �'OR *PLICANT TO FILL IN (Print or type only) 7BUILDING - COUNTY OF LOS ANGELES ADDRE DEPARTMENT OF COUNTY ENGINEER cl zip /7 J BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF L ) NOW ON LOT ADDRESS - '� V TRACT BLOCK LOT NO LOCALITY L /� r� TEL /J [ NEAREST OWNER D J1/ (J�J/_'wer,p NO. ` 4 CROSS ST. Al, l n�7r-0Nn J ASSESSOR r ADDRESS p f/ I ,7v �.7 MAP BOOK PAGE PARCEL CITY �F1�1 PG.� / T ZIP / (� DISTRICT GROUP TYPE FIRE PROCESSED BY CONST ZOyE A;, l) ARCHITECT OR y� TEL. U. _ ENGINEER (J NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ` CLASS NO,-2., _DWELL.UNITS BKRG NO CONTRACTOR TEL. USE ZONE MAP NO, LIC. SPE IAL ADDRESS NO. � CONDITIONS CITY LIC. CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES Cj NO C] CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) c ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C- SO. FT.), NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH p SIZE L U STORIES r FAMILIES ONE F + = C DESCRIPTION OF WORK NEW BLDG,SETBAC ROM v 1044 ADD SIDE PROP. LINE (STREET) ? a� ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING w4" HIGHWAY + YARD REPAIR El SIDE PROP. LINE HIGHWAY WIDTH USE EXISOT NG BLDG, L D Lily&fa DEMOL ❑ + APPRICANT�It) TE UDR . ENOL CORNER CUTOFF S ❑ NO BY (SIGNATURE) G �,M.+7 IN OPEN SPACE YES NO IN COASTAL ZONE YES NO Q Ofl bD VALUATION•P CATEGORICAL EXEMPTION YES NO I HEREBY ACKNOW DGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND E STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED ATE) HEREBY I WILL NOT EMPLO ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STA OF CALIF NIA IN RELATING TO WORKMEN'S COMPENSA ION SURANCE. . �— 7 "r v — SIGNATURE OFC? T' IiqF j PERMITTE /n �p ADDRESS71A 14 rA •� /IJ '7 C . FINAL BY CITY NO. DATE 71-11 TEL. C � O �� � y ; 11.1 tiE (.HL:(,Ks P:1 Y.1131J. 7Y): P.FEE E FEE �P C. � PMT.Q HARVEY T. BRANDT. COUNTY ENGINEER pC PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK. M O. ASH ,nr r '>r , C ' 0 76 A638A C E#803 12/72 _ 4 .L _ DECU �,+.. - l i IGA636A CEM 03,0.66 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDIN DEPARTMENT OF COUNTY ENGINEER ADORES BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST. DISTRICT NO. G YPE I P" Y FOR APPLICANT TO FILL IN CONST. [ADDRESS ILDING / S•iATISTICA C SSIFICA ION EWERMAP �{,/f S �/.�/ S BK P CLASS.NO• DWELL.UNITS T NO. BLOCK MAP STATEYESNUMBER OCA HWY.CT USE ZONE SPECIALNO.OF.BLDGSCONDITIONS E OF LOT NOW ON LOT E OF STING BLDG. BUILDING YARD HWY ST R T NAME EXIST. SETBACK WIDTH OWNER FRONT MAIL ADDRESS SIDE TEL P.L. CITY NO. _ INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS EE CONTRACTOR ADDRESS fzv,- G DESCRIPTION OF WORK - NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF _ SIZE STORIES FAMILIESInk USE OF STRUCTURE —' SIGNATURE OF APPLICANT APPROVALS f DA E INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION _FORMS,MATERIALS VALUATION$ OO FRAME: FIRE STOPS, (� _BRACING,BOLTS �- -� t" FURNACE:LOCATION, FEE $ I FEE S 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 COUNTY ORDINANCES AND STATE LAWS REG U TI G BUILD IN CON T UCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR - PERMITTE e& :SECT AND POSTED ADDREss FINAL CLYDE N. DIRLAM, PRINCIPALS RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH DIVISION OF BUILDING AND SAFETY BUILDING� � � ® � Department of County Engineer County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. OR REC.No. PERMIT NO. BUILDING �` "`7 ADDRESS © I 3 3 7 � V --�-+ LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED �� t"`• f. , NEAREBT CROSS ST. BUILDING , ADDRESS OWNER / MAIL LOCALITY ADDRESS7`1�Z"''"- f NEAREST TEL F CROBB ST. _CITY �''.�'Y'1 "� ? '' ° NO. - FIRENPLANSO.OF I TYPE GROUP -� , ARCHITECT O TEL ZONE ENGINEER s+ NO. BLDG. ORD. NO. _ SETBACK LINE ADDRESS ---USE APPROVED TtLk ZONE BY DATE CONTRACTOR ; O. HOUSE NUMBERING ADDRESS MAP NUMBER_ NO. ASSIGNED BY_.__ LEGAL CORRECTIONS _ DESCRIPTION LOT NO. ,,.. `• BLOCK S TRACT r - NO. OF BLDGS. SIZE OF LOT S / O I NOW ON LOT USE OF I NO. OF EXISTING BLDG. F'AMILIE! DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR DEMOLITION SQ. FT. - NO.OF / SIZE ROOMS STORIES EXT.WALL ROOF L COVERING !:G�'+.Pr,,� I COVERING USE OF STRUCTURE t-t'C-- rte• •..�✓'� `� iovT`6�'iae r <.�N& INSPECTION FOR . rte- APPROVALS OCCUPANCYAS r INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PL ICATION P-PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, i CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS f` SIGNATURE OF LATH, INT. PERMITTE�Ei� �( LATH, EXT. ADDRESS_._n r PLABTER, INT. AUTHORIZED AGT. PLASTER, EXT. FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION - $ �� FEE � FINAL 76A630A DBS 3 1-52 Is APPLICATION FOR BUILDING PERMIT FR APPLICANT TO FILL IN (Print or type only) BUILDING P s gS,S COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY -T� ZIP BUILDING AND SAFETY DIVISION NO.SIZE OF LOT /Se X 116 NOWOONBLOTS I ! ADDRESS 7j LOT NOPI-130 LOCALITYTRACT K ` Q TEL.NO. _Lb .- 373( CROSS ST. ASSESSOR ADDRESS k A,'07MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE E§SEO BY CITY �Nj �C ZIP CONS.y;7 ZONE ARCHITECT OR �r TEL l (� ENGINEER C NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NOpi OWELL.UNITS : BK/ZJ�G CONTRACTOR O/�J �/f��I /1 y /�f/S USE ZONE MAP �7 u LIC. NO. ZOO ADDRESS 3 / (((- NO. :L�I9S�' � C � SPECIAL LIC. CONDITIONS CITY t.A. 6-r-C V' CLASS- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO [] CONSTRUCTION LENDER NAME AND BRANCH /v BLDG.SETBACK FROM ' FRONT PROP.LINE OF (STREET) ADDRESS N CITY 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 �xI �ctA,fNEW ❑ G v� BLDG.SETBACK FROM ,e-x,r a,r N ��ifADD ❑ SIDE PROP.LINE OF (STREET) C DI` �r `NOff � ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING /� 1�- /� REPAIR SIDE PROP. LINE HIGHWAY WIDTH a EXISUSE TING BLDG. /V1I Z/ L'.44( � EMOL ❑ + Z APPLICA //�� TEL p-9�9it� CORNER CUTOFF YES ElNO IP RINT) 19 NJO /P �r/43)C:CN� BY (SIGNATOR /lJ //j IN OPEN SPACE YES 1:1 NO E] �•f"� A IN COASTAL PERMIT ZONE YES C] NO VALUATION I HEREBY ACKNOWLE GE THAT I HAVE READ THIS APPLICATION eC lGlN( AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 y� WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- t ,V �" i;*0`� yjti'p"C_ �'/(• 'J;.,�, �,!; ST HERE TION. 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 COMP ATION INS URANCE�� SIGNATURE F PERMITT ADDRESS 12 FINAL - BY �i ,�✓ TEL �j .i C IT Y JirL.^lL"�+� �/-�-- N O. /'/ / DATE r,� JI,1KE CHECKS PAYABLE '1'O: FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN'CHECK VALIDATION CK M O. CASH PERMIT VALIDATION CK. M. . CASH 559 4 1 U 87.00 • 76A638A CE#803 574 IIA638A CE/8032/80 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BLILDI s r DEPARTMENT OF COUNTY ENGINEER ADDRES BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING I CROSS ST. �- s DIST ICT NO. f GIJOUP 4PE P SSED BY FOR APPLICANT TO FILL IN ; LS j CONST., trL BUILDING STATISTICAL CLASSIFICATION SE ER MAP PG , ADDRESS -- r-BK CLASS.NO. � DWELL. UNITS LOT NO. BLOCKMAI' � STATE YES NO / �� NUMBER I HWY. TRACT Z_ 6- USE ZONE SPECIAL - NO.OF BLDGS. J CONDITIONS SIZE OF LOT x O NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. TEL _ p SETBACK YARD HWY TR T IME WIDTH OWNER �• �, �/+� 7/D NO./9r/ e/� FF OL pp P. T Z Cly ADDRESS /�I / S 7% J EIDE ARCHITECT OR TE �. P.L. ENGINEER N INSPECTION RECORD ADDRESS TEL. a CONTRACTOR Ae NO. O ADDRESS L - /V DESCRIPTION OF WORK S a s © UNEW ADDALTER_9 REPAIR DEMOLISH W SQ.FT. NO.OF NO.OF a SIZE STORIES FAMILIES USE OF -STRUCTURE -Q J U d¢ // SIGNATURE OF APPLICANT VALUATION$ - APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. Q FOUNDATION: LOCATION FEE $ �- (O� V�/ FEE $ _FORMS, MATERIALS ;,5,- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATIOW LAWS OF LIF NIA.' LATH,EXT. SIGNATUREHOUSE NUMBER COR- PERMITTEE- OR- PERMITTE Q RECT AND POSTED ADDRESS IZFINAL Zlo ' CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL PERMITE�Sll PLAN CHECK VALIDATION CK. M.O. CASH PERT VALIDATION aK. M.O. L UP 0 ®� DEPARTMENT OF BUILDING AND SAFETY "FLIUATIUN r Uli I-ZnM1 r COUNTY OF LOWANGELES ' ® ' WM. J. FOX, CH'£F ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY UILDING DISTRICT NO. PLAN CK.NO. PERMIT NO. B -- ADDRESS �'{4-i -I ' e. i LOCALITY /�:`'�' RECEIVED BY DATE OFAPPL. DATE ISSUED 1 NEAREST CROSS ST. BUILDING OWNER ADDRESS MAIL LOCALITY ADDRESS NEAREST � ! TEL CROSS ST. CITY NO. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. BLDG. ORD. O. ADDRESS SETBACK LINE { - �— APPROVED CONTRACTOR TNO. + EL BY DATE USE C` APPROVED ADDRESS �'� (' ZONES—' BY DATE LEGAL DESCRIPTION,. LOTNO. BLOCK ��-,':."� r/ CORRECTIONS TRACT lL O.OF BLOBS. N SIZE OF LOT i NOW ON LOT USE OF NO.OF f NO.OF EXISTING SLD3. ��..,-- I FAMILIK ROOMS DESCRIPTION OF WORK NEW ALTERATION Vf ADDITION O REPAIR MOVING DEMOLISH p Bq.FT. NO.CF Z SIZE ROOMS STORIES D WALL ROOF f' COVERING I COVERING USE OF NEW r.. �- BUILDING lA' ; 1 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 STOPB, SIGNATURE OF BRACING,BOLTS _ PERMITTEE LATH,INT.: AUTHORIZED AGT LATH,EXT.: DBS-3 SDM BETS 1-4e $ P C., PLASTER,INT. FEE PLASTER,EXT. r VALUATION FEE FINAL y �' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER BUILDING NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE f� / FIRE APPROVED V ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USEAPPROVED _ ZONE BY DATE '� 1/vt APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Z ' BUILDING O It _NAME ADDRESS--. U w F ADDRESS LOCALITY CjLO— = Z NEAREST J 0U w CITY CROSS ST. rr /(�'''� < STATE TE . 'T. �•Ei EA' LICENSE NO. � Lm NAME 1L w Z MAIL 7�.� O NAME 3 ADDRESS Q fe_ .- ;o•(!I(,; F- O QTEL. ADDRESS CITY al NO. K F Z CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O 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. O OWNER LOT NO. J 3� SIZE OF LOT - SIGNATURE OF / f 40 .j NO. OF BLDGS. ,^ •! <a BLOCK -r NOW ON LOT &j,)Ue_. AUTHORIZED AGT. wu J W TRACT :.r zrI6 I CORRECTIONS D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING 0 — O Z r NEW vo" TYPE I GROUP NO. OF NO. OF _ ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES _ J MOVING _WALL COVERING&,o0'Qj,.1 DEMOLISH Rnr>F COVERING' w..- (3-Q, FEE��'_l FINAL APPROVAL' VVLo V $ 2,; /J_ /_ INSPECTOR'S VALUATION FEE DATE NAME f; _ DEPAPTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT - "COUNTY OF LOS ANGELES r. �i 4� BUILDING 1 WM. J. FOX, CHIEF ENGINEER r FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS T y, / /- y r 1 I LOCALITY RECEIVED BY DATE OF fkPPL. DATE ISSUED NEAREST -p.- CROSS ST. 1/i�,rJ t a3 ?g �; .9w BUILDING OWNER ADDRESS ,� �r A T. MAI ADDRESS� f LOCALITY t -. NEAREST CITY TEL. CROSS ST." '! NO. FIRE NO.OF TYPE �I GROUP ...- ARCHITECT OR TEL. fir^ ZONE I PLANS ..:- ENGINEER "� tldr[} / NO. BLDG. ORD. NO. _ADDRESS l �%i ''`' ` ' � �F� /:'� � �`/ SETBACK LINE APPROVED TEL. CONTRACTOR NO. By DATE � USE APPROVED ADDRESS ZONE BY DATE DE.CRIPTION LOT NO. BLOCK CORRECTIONS TRACT 'r °e ..1 s NO. OF SLOGS. P SIZE OF LOOT ,��J..: I NOW ON LOT J_ USE OF NO.OF NO, OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH 0 Sq. FT. ,�, NO.OF D SIZEROOMS STORIES r WALL L ��, I ROOF COVERING COVERING _ I USE OF NEW BUILDING ; It I i APPROVALS I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE. f AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING, BOLTS SIGNATURE OF x OWNER LATH, INT.: AUTHORIZED AOT — LATH, EXT.: V p. C. PLASTER, INT. FEE PLASTER, EXT. VALUATIONzi ,/ (, FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER PLANS BLDG. FIRE DISTRICT No. PLAN CHK. FEE PERMIT No. _RILED SETS I ZONE L J ZONE RECEIPT No. TYPE OF BLDG.[GROUP DATE OF APPL. RECEIVED BY DATE ISSUED BLDG. SETEACKtME ORD. NO. rb _ 5, -2 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY J IY I BUILDING ° E NAME ADDRESS III U Z ADDRESS LOCALITY 41 _ �+ 1- U' NEAREST --r-�^ ' U Z CITY _ CROSS ST. a�.,+•-• cn STATE ! p r < LICENSE NO..�` 7tivL'.1 NO. 0: NAME O j MAIL NAME S ADDRESS < ADDRESS d/1 Q,„f _ CITY J TEL NO. O CITY -la LOT SIZE OF LOT U STATE / o U _ NO. OF BLDGS. LICENSE NO. "rJ TEL. NO. W N BLOCK NOW ON LOT JW D USE OF BLDG. CLASS OF WORK TRACT } NOW ON LOT a — DESCRIPTION OF WORK NEW I_ ADDITION DEMOLISHg �«y� (, '�"'_� fir► ALTERATION I REPAlR MOVING i !. Z S I VY' 5 1 a, USE OF No. OF R �- , 1 'al cy 1 Yt P•S S (�rte �r la BLDG. Sect u I P _ ROOMS vi SIZE OF r^ STORIES- / INo. OF BL..DG. .. ....• k J I FAMILIES CORREMONS S~ -T 13 -- bb SPECIFICATIONS _ _2 el- I.I FOUNDATION 4-I -- ri EXTERIOR PIERS MATERIAL CQ THICKNESS—TOP `.. +� 4-i G O THICKNESS—BOTTOII .1 44 DEPTH IN GROUND r _ SUPERSTRUCTURE 4t4A- D S- ---- SIZE SPACING SPAN Q R. W. PLATES ISILL) Ot ------'--- GIRDERS JOISTS--FLOOR y JOISTS—CEILING BEARING WALLS �J PARTITIONS ROOF RAFTERS I FINAL APPROVAL SILL BOLTS COVERING ----'—'--'�----_"-" - DATE �� -�� .� INSPF CTO R'S NAME WALL 1?S r 1 c:k ROOF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES !P.C. FEES AND STA WS REG/U�A/TING BIJI DING CONSTRUCTION. �. SIGN. � [/J ly.. VALUATION FEE 5 _ OWNER OR AUTHORIZED AGENT 76AS38A DBS•312-54 APPLICATION FOR BUILDING PERMIT ], DIVISION OF BUILDING AND SAFETY BUILDING - ' Department of County Engineer ADDRESS County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP" SEWER MAP FOR APPLICANT TO FILL IN r TYPE .� BFB PGS BUILDING ` �` `'! •-.� - y`" CONST. ��/ r_ r', ADDRESS b ( L- L pv�"� MAP STATE YES NO ` NUMBER HWY LOT NO. / BLOCK USE ZONE SPECIAL _ // CONDITIONS TRACT A � {t� SIZEr/� ( NO. OF BLDG S. OF LOT �(f NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OF 1 SETBACK WIDTH EXISTING BLDG. FRONT �// T P. L. r'c 1/Z:' f 'i.,.�.,y ✓i'2�%'7 OWNER �_ SIDE MAIL Y� P. L. ADDRESS 7 Or / TEL. �p��� / ` 1 DWELL. I UNIT 5 INDUSTRIAL CITY ,�/ I.'.��G-../?i NO. ��T ^-Q A 2 DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC. ADDRESS 4 COMMERCIAL 8 MISCEL. TEL. CONTRACTOR NO. INSPECTION RECORD ADDRESS S.'S � DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE — SIGNATURE OF L✓t'�"' y fJ APPLICANT O+[?lam?1 ird APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION P. C. $ FORMS, MATERIALS FEE FRAME: FIRE STOPS, VALUATION _ $ BRACING, BOLTS FEE FURNACE: LOCATION, GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS -- APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILD144G CONSTRUC- TION. _LATH, EXT. SIGNATURE OFr ,� HOUSE NUMBER COR- PERMITTEE _RECT AND POSTED ADDRESS �+-�'✓� FINAL S S S 7 17 WM. J. FOX, CouNTY ENGINCCY VALIDATION, BY DEPUTY . :w�Y4 fi 4r. ISR 1 1 _qr UTY t 441 BY BY '- DEPUTY DEPUTY DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER BUILDING NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE• FIRE APPROVED �v ZONE BY DATE RECEIVED BY.„., DATE OF APPL. DATE ISSUED USE APPROVED ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY IC BUILDING 7 A4 0 E NAME _ ADDRESS Lis F W uw W Z ADDRESS LOCALITY F - 2 Z NEAREST U W CITY CROSS ST. 0: Q STATE TEL. LICENSE NO. NO. C NAME W MAIL EO NAME 3 ADDRESS t7 C.fs1 u O ' TEL. c Q ADDRESS CITY NO. F Z CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U 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. ZO LOT NO. / �' SIZE OF LOT SIGNATURE OF�' J F• �r NO. OF BLDGS. Q 619LOCK NOW ON LOT AUTHORIZED AGTw Ir J u TRACT CORRECTIONS D USE OF BLDGS. NOW ON LOT i - --- DESCRIPTION OF WORK USE OF BUILDING 0 D z a r NEW TYPE .Y I GROUP NO. OF NO. OF ALTERATION ROOMS FAMILIES V ADDITION SIZE REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING(��' FES S."�^ FINAL APPROVAL $ INSPECTORl* VALUATION /L/(J� FEE 2 -00 DATE I NAME 1-/ �- II e DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING e e� DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS �[. -`i 4-�-yam+ —+- / 'o & / LOCALITY OJ2r f RECEIVED BY DATE OF APDL. DATE ISSUED NEAREST /ti. CROSS ST. r ,�/ ,y BUILDING OWNERJ >! �� ii �L.i..�� ADDRESS MAIL �/ 9 I- LOCALITY L ADDRESS 4 JQ� ./��/t�('' 4,�/�,r NEAREST TEL. CROSS ST. f r C( CITY ,'!+/. e5�I�,. NO. . FIRE NO.OF TYPE•-�._ GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER odoe4t`, NO. BLDG. ORD.NO. ADDRESS SETBACK LINE ---�r-..,,��. APPROVED CONTRACTOR )•F'J� NO.TEL BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL DESCRIPTION I LOT NO. ���'� BLOCK ,,1_. .,� CORRECTIONS TRACT ..� - NO.OF BLDGS. SIZE OF LOT / _ NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. FAFIILIE6 I ROOMS.. DESCRIPTION OF WORK NEW ALTERATION I ADDITION O A REPAIR MOVING L DEMOLISH S4•FT. NO.OF Z SIZE ROOMS STORIES y WALLY ROOF f' COVERING. 91-71n, 1OVERING USE OF NEW •"vJ� BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONi: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF 1 . BRACING,BOLTS PERMITTEE ` r? w,1 �C.(.-. LATH, INT. AUTHORIZED AGT LATH, EXT. 76A636A 9-48 OSS-3 SOM SETS $ O6 P,C,$ PLASTER, INT. FEE -- -- _ PLASTER,EXT. $ VALUATION FEE FINAL 6A638A D5S-93-5 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer County of Los Angeles LOCALITY e r WM.J. FOX, COUNTY ENGINEER NEAREST /7 / CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. w DIST�RICT-I . GROUP ,I, PE _ SEWER MAPPGFOR APPLICANT TO FILL IN ✓ 1 /i-,n I CONST. L I f BUILDING LT " ' ' MAP / STATE ADDRESS [ NUMBER OC' T HWYc USE ZONE SPECIAL LOT NO. `1 j BLOCK CONDITIONS TRACT NO. OF BLDGS. BUILDINGEXIST. SIZE OF LOT V I NOW ON LOT 0 SETBACK YARD HWY STREET NAME WIDTH USE GEXISTING BLDG. - ' ? FRONTOQ -- ----- _ P. L. /CJ SIDE _OWNER P. L. MAIL ADDRESS O TRACT DWELL. I UNIT rJ INDUSTRIAL TEL. 1 DWELL. I UNIT _CITY _ _ NO. 6 PUBLIC BLDG. ARCHITECT OR TEL„ 2 DUPLEX I UNIT 'ADDN., ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS - __ 4 COMMERCIAL TEL. INSPECTION RECORD CONTRACTOR NO. ADDRESS _ DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE h r r SIGNATURE OF _ {( APPROVALS APPLICANT ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION P. C. $ FORMS, MATERIALS FEE FRAME: FIRE STOPS. VALUATION • ,/ 06 FEE $ /n BRACING, BOLTS ri. �'+ FURNACE: LOCATION, I 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 I HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF ELDG. INSPECTOR CITY OF TEMPLE MY -3aA CE 803 E2 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEEPARTMENT OF COUNTY ENGINEER ADDRESS LSP AND SAFETY DIVISION LOCAL 1TY iN A. LAMBIE, C.ouNr�, ENGINEER '4FARES? Wii-- A..Vp A. Jt. SEN. &UP', OF BUILDING Fl.C)S S ST 0[ 75140T N UPS pv PRO�CESED By 9 ?'�PPi'JCANT TO FILL IN STATISTICAL CeISIFICATION SEWER MAP A 't PG', C-ASS. NO. DWELL, UNITS- PLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE; MAP N STATE 0. E) E ZONE I SPECIAL CONDITIONS OWNER �UILDING EXIST. YARD HWY S FET NAME :.,El BACK /7� WIDTH R_ ADDRESS t t,,OL LA 41 k FRONT 41:' > Tg P s 15f-- c P. L ADD RE 5S EL u > DESCH.IPTION OF WORK cl ST:-'RIES •.IL 5 GNAT�jF?E APPROVALS A I'F PMT0 E E F INdA ON. Cd(�-AT, MATERIAL� F FRAME: FIRE STOPS. .iE.'Jl IO^I !31RA9 t�G. BPL�S� FURNACE: LOCATION. I-. ING _ . -3SVENT._DUCTS_ r. NC f*, y i.14, P�R5;,, I, LA- 'F t FE.!.A" LATH. :NT. T, -;�i OF T,iF- STn1�. 0� :I.(-Tn LATH. EXT. '3)r,-4AT-,Rr- C I-*, HOUSE NUMBER COR- ECT-AND POSTED---- A DC t?ESS F I N A I JOHN F. LEWIS. PRINC-"Al. PERMIT VALIDATION PLL MY I i CcAtivil ,638A Cr�00 03Z APPALiCATION FOR BUILDING PERMIT COUNTY OF DS ANGELES PL I DING DEPARTMENT 017 COUNTY ENGINEER A 'ESS BUILDING AND SAFETY DIVISION L.00AL I T Y JOHN A. LAMBIE. COUNTY ENC-,IN,-F-R WILLIAM A. JENSEN SUP T OF EWI-CING 4; s n "'ftw.r N?rl 6R up ItyFie PROCES D B FOIR APPLICANT TO FILL IN CONST. �7, 1 ;�� :7, Flu ILD[N(G 4STATISTICAL. CL.&ISIFICATION SEWER MAP BK_ ADCRE C-ASS, NO_ DWELL UNITS_.___ LOTrIc BLOCK R ER'IFICATE; NOT REQUIRED F7;a RECEIVED LN T R A C THIGHWAY NO,OF BLE, C E, STATE ECON LOCAL SIZE OF LOI NOW ON LO tl,S- ZONE USE OF CONDITIONS EXI. ING BLDG, e - a TEL. OWNER RL"':- NG YARD HWY , S�:,,REET NAME EXIST. ziE "CK WIDTH ADDRFS5 rr_o,:i 9 Ava FRONT Cr4 g6*.A S 44^W T E L_ P L _10 - NO.A __SIDE I ADDRESS Cd1,*),30, L_A� TEL. u NTRACTOR NO. rA ADDRESS DESCRIPTION OF WORK - ------ NEW ADD-_ ALTER. REPAIR DEMOLISH Ck FT. NO OF NO OF u SIZE STORIES .-FAMILIES USE OF STRUCTURE fy L�91 d, SIGNATURE__0F APPLICAN.- VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE CP $ FEE $ t-47-Loc PMT. // FOUNDATION: ;�N&N FEE � -FORMS.-MATERIALS FRAME: FIRE STOPS. DHEREBYACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS THAT AN STATE AT THE ABOVE IS CORRECT AND AGREE: TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE: LAWS REGULATING CAS VENT, DUCTS Stj ILDING CONSTRUCTION I (,ERTIFY THAT IN DOING THE. WORKit THORIZEOE: LABOR I WILL NOT EMPLOY ANY PERSON IN VIOLA- , 4 OLATH, INT. F LABOR CODE: OF THE STATE OF CALIFORNIA RFLAT ........ ING TO WORKMEN'S CDIAPENSATION INSLRANCE. LATH. EXT. SIGNATURE HOUSE NUMBER COR- PERMfTTEE RECT AND POSTED L4 0J.4 ADDRI SS FINAL JOHN F. LEWIS. PRINCIPAL. STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M 0 CASH 5.75 • r 76A638A CE#8035.6, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADD El's DEPARTMENT OF COUNTY ENGINEER ,11 BUILDING AND SAFETY DMSION LOCALITY v JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. _ DISTRICT NO. UP- TYPE PR9,CYSSED BY FOR APPLICANT TO FILL IN S''i CONST. BUILDING A/ STATISTICALCLASSI I ION I SE ER MAP ADDRESS�/(D J �• 5 !/v/ S _ ,B^K /PG /Y" CLASS. NO. DWELL. UNITS / J LOT NO. z BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT -�ld Z MAP HIGHWAY STAT JO SECOND, LOCAL NO.OF BLDGS. NO. tr`, ccIRCLE� SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. 0 -r ' E L. OWNE,_ :�_. • 14 � - d".'d.. 0• BUILDING EXIST. _ YARD HWY TREET AME SETBACK WIDTH ADDRESS ���� l I�'- /x.15 1,(/_�5 FRONT ARCH ITECT OR TEL. P. L. >_ ENGINEER NO. SIDE n• P. L. O ADDRESS TEL. INSPECTION RECORD w CONTRACTOR NO. ZL Tz 3 O ADDRESS Q 9/-'- V W DESCRIPTION OF WORK tn z NEW ADD I ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF IZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ 9':5 'Q.� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FORMS, MATERIALS FEE $ FEE $ FRAME: FIRE STOP:.:, IHEREBY 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. TION OF THE LABOR CODE OF T TATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPE TION I S RA E. LATH, EXT. SIGNATURE / / HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. M.o. b c.•,sH ! - 13960 :','ii19449 I 1397 ArR1 76A638A CE n 8031-62 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST - WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. ,d DISTRJGT N GR UP Y PR ES 'BY FOR APPLICANT TO FILL IN coNs . BUILDING STATISTICAL CL IFICATION SEWER MAP SS j / " ADDREQ� r T L B _ CLASS. NO. DWELL. UNITS - LOT NO. 3 BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT S G MAP HIGHWAY STATE ECON , LOCAL NO.OF SLOGS. NO. (CIRCLE) SIZE OF LOT, ,�J NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. (>Z ? pj,A el i TEL. OWNER },p, - BUILDING EXIST. SETBACK YARD HWY S REET NAME WIDTH ADDRESS o c5 - FRONT AoCJI T.C� Zar. ,S.4.%W TEL. P. L. 41 44 a-d LbLF pp• NO. •Z -I SIDE P. L. C ADDRESS LA S -T1:J -.i / C TEL. �.,.-_ %& �,.. C CONTRACTOR NO. / ADDRESSI. ,/ rL DESCRIPTION OF WORK k u %Y Cf'ePIs,7 P— NEW A ALTE REPAIR DEMOLISH SQ. FT. NO. OF NO. OF - t / 7/A, S r T tf r-k K /7),p SIZE STORIES FAMILIES USE OF I O LO•>'r. / ,! Any STRUCTURE �-'�� QF.L lijZ� � F SIGNATURE OF APPLICAN. VALUATION $ --� � 'APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE FEE $/�� FORMS, MATERIALS FRAME: FIRE STOPS, 7 -' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL 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 L �PP THE STATE OF CALIFORNIA RELAT. ING TO WORK N' TION 75URANCE. LATH, EXT. SIGNATURE O >y./-' HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ?'> ADDRESS Y7ra FINAL JOHN F. LEWIS. PRINCIPAL STURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LI W 6 4 5 7 1�v 22 3 D 5.75 "v LTLC1 6 4 5 6:o KV 2 1 D 1 1.5i BUILDING ADD EISSG 9669 E. Las Tunas _A_PPLICATION LOCALITY Temple City, Calif. , NEAREST Temple City Blvd. , DIVISION OF BUILDING AND SAFETY CROSS-ST. Department of County Engineer DISTRICT NO. RECEIPT NO. 61S-ss PERMIT County of Los Angeles S/ WMJ. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSAW D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY OWNER Harry Leard k141 MAIL MAP STATE YES NO ADDRESS 9669 East Las Tunas NUMBER HV!Y USEZONE SPECIAL CITY Temple City. Calif.NOL. CONDITIONS ARCHITECT OR TEL. ENGINEER N0. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT CONTRACTOR Neon Products TEL.AT 26835 P. L. NO. SIDE ADDRESS 1240 S. Chapel St. Alhambra P. L. BUILDINGc DATE CORRECTIONS INSPECTOR ADDRESS 9569 E. Las Tunas, T. C♦ LOT NO. BLOCK f TRACT NO. OF SLOGS. SIZE OF LOT _ NOW ON LOT _ USE Or EXISTING BLDG. DESCRIPTION OF WORK -NEW ADD ALTER REPAIR DEMOLISH Z SO. FT. NO. OF NO.OF D _SIZE_ STORIES FAMILIES r USE OF STRUCTURE 1- D. F. Neon Sign. , 1-Transformer NO.OF EMPLOYEES 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS RF,,QeULLAiTINQ�OUI_}.p1 %QOl j j�ffgON. FORMS. MATERIALS jj�V Y (U.I IULC(ii ll�i w`3 .L 1.'r 11 FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS PERMITTE (� y, FURNACE: LOCATION, ADDRESS1240 S. Chia e1 . hambra - GAS VENT,DUCTS LATH. INT. AUTHORIZED AGT. ✓�iC� LATH, EXT. P.C.41 HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION 140.00 1.00 FINAL FEE ��� CF'A�ls.C• �1� '' 76A63RA DBS 3 12-53 DEPARTMMT O'" BUILDING AND SAFE'T'Y ' AYYL1UATlUN rUt[ FLUbIll' 6OUN4Y OF LOS ANGELES B U I L D I N G WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 15�- DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS iv ♦- ��- /^y V LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUEd NEARES CROSS ST. S •,, > Q - `•\�: �, �, u� OWNER FAit4 h �!h �' � _`. ADD EIS3 MAILADDR3�P� LOCALITY t.; IIAe _ NEAREST (/�'s ET TEL. CROSS ST. CITY NO. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS Z_ /y 1 G� ENGINEER NO. BLDG. ORD.,NO. ADDRESS SETBACK LINE „! r � 7;a APPROVED �F CONTRACTOR NO. Q BY DATE USE • APPROVED ADDRESS f ZONE `.,r BY DATE LEGAL DESCRIPTION LOT NO. /v BLOCK CORRECTIONS TRACT •S / NO.OF BLDGS. SIZE OF LOT }� _ (� I NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. I FAMILIES I ROOMS W DESCRIPTION OF WORK NEW ALTERATION I ADDITION O A REPAIR MOVING DEMOLISH � SQ.FT. NO.OF Z SIZE ROOMS STORIES y WALL ROOF r COVERING COVERING USE NEW V BUILDING ®� c1adnv 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 BUILDI G CONSTRUCTION. FRAME: FIRE STOPS, SIGNATUREOF BRACING,BOLTS PERMITTEEAL it LATH, INT. 71AAUTHORIZED AST LATH, EXT. 7GA638A 9-48 DSS-3 SOM SETS $ P.C.III PLASTER, INT. 766-�-o FEE _ PLASTER,EXT. VALUATION FEE L ,S Li FINAL ri�.,� �.c �.. •.S`--.�5: f'x, -1 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® � WIVI. J. FOX, CHIEF ENGINEER y FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY r DISTRICT NO. PLAN CK.NO. }PERMIT NO. BUILDNG ADDRESS�17 LOCALITY �i�a>J �{�� C,. `Y' y RECEIVED BY DATE OF APPL. DATE ISSUED NEARESTI CROS ST. C _0 L- X !.t W�S-r J BUILDING - r OWNER '�`P ' �.©nrr w!4 NAT ADDRESS L✓ (�!'�`� f t:.^'i r e-'�' MAIL LOCALITY ADDRESS II?r$-7 L./-S -Lp LINA" NEAREST / TEL. CROSS ST. C ITYI'7,iy}r�.7 NO. . FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD.NO. ADDRESS _SETBACK LINE ;;ah C.RDf 7' N ON S APPROVED CONTRACTOR G ���8��737 HY DATE USE -+ APPROVED ADDRESS `. S ` V 'r.c— ZONE" BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. I BLOCK TRACT NO.OF BLOBS. SIZE OF LOT I NOW ON LOT USE OF - NO.OF NO.OF EXISTING BLDG. I FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION - O A _REPAIR MOVING DEMOLISH SQ.FT. NO.OF Z _SIZE ROOMS STORIES D WALL ROOF r COVERING I COVERING USE OF NEWS H W� 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 LATH,INT.: AUTHORIZED AGT a LATH,EXT.: jou-1-3 soM SETS 7-17 $ P.C III PLASTER, INT. �0�-LFEE PLASTER,EXT. >9 �r VALUATION FEE ' � FINAL WhYARTMENT OF BUILDING AND SAFETY AYYL.IL.A 11V1`I run rZ I"LL L COUNTY OF LOS ANGELES 1 WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS rr, w LOCALITY /�.IIA04 RECEIVED 11Y DATE OFAPPL. D11ATE19BUED NEAREST i 1 1 'QS . L CROB8 ST BUILD / e _ ADDRESS 6 I La S UN,,S OWNER e MAIL 8 7 LOCALITYADDRM PL T r-/�'^ �.,J/ NEAREST CITY J - fL�9VJ" Np• CROSS ST. v FIRE o. ARCHITECT OR TEL. ZONE P ANO Type GROUP16 I Cs ti ENGINEER NO. BLDG. , ORD.NO. ADDRESS SETBACKLINE 1 OP T, I-I9+ rf :� p APPROVED CONTRACTOR NO. ,d j BY DATE L n USE APPROVED ADDRESS ZONE L_ BY �T DATE DESCRIPTION LOT NO. 3 1 BLOCK CORRECTIONS - TRACT (_S 6 ( NO.OF SLOGS. ,�. __SIZE OF LOT Z_�k 1 1 0 NOW ON LOT - ? { �' - QA J',-z- '11 USE OF I NO.OF I NO.OF , EXISTINI3 BLDG. S U IL..-� FAMILIES ROOMS y_ DESCRIPTION OF WORK NEW ALTERATION I ADDITION —_ O _ REPAIR MOVING DEMOLISH Sq.FT.. NO.OF Z SIZE ROOMS STORIES r WALL ROOF COVERING COVERING USE OF NEW BUILDING - `/ e- la l 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AMD AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS. SIGNATURE OF' r BRACING.BOLTS PERMITTE - LATH, INT. AUTHORIZED A LATH, EXT. 76A63BA-3 2-SO $ �j ,;, -. P.C.B — PLASTER,INT.___ FEE PLASTER,EXT. VAL.UATIUK FINAL L FEE _ I � IlEPARMMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CK. NO. PERMIT NO. FRES ' n -.• Y'�-j,, .4!( '(1s�6 RECEIVED•BY DATE OF APPL. DATEISSUED BUILDING ADDRESS OWNER.. , MAIL LOCALITY �,,,.-:'-"BGG d• -4' _ ADDRESS �" Lf(,1,�.k� .Y.. NEAREST d- i TEL. - CROSS ST. 1� CITY __ -ti i -k, NO. FIRE NO. OF TYPE GROUP ARCHITECT OR TEL. ZONE I PLANS ENGINEER �, NO. BLDG. ORD. NO. SETBACK LINE ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE BY DATE ADDRESS' !• - � HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. I BLOCK MAP NUMBER _FIELD CHECK BY TRACT NO. ASSIGNED BY DAT NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OF NO. OF _ EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I I ALTERATION I I ADDITION ' 0 REPAIR I I DEMOLITION F-1 D SQ. FT. NO. OF SIZE ROOMS STORIES Z D EXT. WALL I ROOF r COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREETO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF r�' GAS VENT, DUCTS PERMITTE LATH, INT. ADDRESS b it LATH, EXT. AUTHORIZED AGT. X ' PLASTER, INT. 78A898A• DSS3 10-50 $ _ P. C. Ili ® - _ F. PLASTER, EXT. VALUATION FEE �QFINAL - r � 1 DEPA',TMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B U 1 L ® ' N WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDEI NG ADDSS ,� S 7 ,g L Jas LOCALITY I e1! P L G I ;y RECEIVED BY DATE OF APPL DATE ISSUED NEAREST CROSS ST. � /{� ^ BUILDING OWNER j`l?A PwR L J Al 'J✓ (.Ing 1,5 ADDRESS _ MAIL LOCALITY _ ADDRESS .Z 'Z 3_7 F_•'_ /j c -µ'UQ-.q•'. f„�n' NEAREST TEL. CROSS ST. CITY -.-fit- NO. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. _-- -- BLDG. ORD.NO. ADDRESS SETBACK LINE V / APPROVED TE CONTRACTOR S!4�/ CpNO. 7 6 —1VZ BY DATE 4 �f USE APPROVED ADDRESS A}S 7"6,/V4-f ZONE BY DATE LEGAL I CORRECTIONS DESCRIPTION LOT NO. ' 1 BLOCK TRACT NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O - A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z BIZE ROOMS STORIES D -- r WALL ROOF COVERING COVERING USE OF NEW 4Z > / I 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 OFBRACING,BOLTS PERMITTEE LATH,INT.: AUTHORIZED AGT. LATH,EXT.: DBS-:3 SLIM SE1S 7-47 $ P C $ PLASTER,INT. rt 0 tj Z S FEE PLASTER,EXT. vALuarlaN FINAL FEE WORKERS'COMPENSATION DECLARATION '.: hereby'affirm that I have certificate of consent to self APPLICATION L I C AT I O N F® WILDING PER I T (`•, nsure,° i or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company /y�� COUNTY OF LOS ANGELES BUILDINGAND SAFELY Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING F7F7 41Jq ADDRESS E- 'z�`+� ! / ��. ElCertified copy is filed with the cou building Ins t- BUILDING / J I /�� /ems p tion department. ADDRESS (� a. L UA14 F,• /' Date 4(— Ok Applicant C% CITY C. ZIP LOCALITY - v 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. MAP BOOK PAGE PARCEL r TEL. � USE ZONE FPJOWNERIcertify thatto the performance of the work for which this G p NO' .permit is issued, I shall riot employ any person in any manner ADDRESS d I (Sd i palVL� 1�. � j CALsoas to become subject to the Workers'Compensation Laws. NDITIONS O � U Date Applicant CITY ZIP f NOTICE TO APPLICANT : If, after making'this Certificate of ARCHITECT OR TEL. DISTRICT G UP TYPE FIRE PROCESSED BY O ENGINEER NO. CONST. / ZONE U Exemption, you should become subject to the Workers' h rl!/ Compensation provisions of the Labor Code, you must forth- ADDRESS ✓t`� 111 with comply with such provisions or this permit shall be TEL. STATISTICAL CLA�SIF CA ON APT. DO. deemed revoked. CONTRACTOR NO. T `l: z LICENSED CONTRACTORS DECLARATION >/ LIC• CLASS NO.' // DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ' '> 6 1V J��r= NO. �P (commencing with Section 7000)of Division 3 of the Business and LIC. b SEWER MAP Professions Code,a my license is in full force and effect. CITY CLASS 6 #, BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number 8� Lic.Class SIZE STORIES I FAMILIES ONE �Q VALUATION tractor-_ ate e �7�"`� DESCRIPTION OF WORK (,/�{.E E NEW ❑�_• /Ov� ADD ❑ $ t3rTlJ, I am exempt under Sec. /T �,/� B.BP.C. for this reasonLTER &I- t cKJ7V-AC' � T REPAIR ❑' $ Date: USE OFDEMOL E]`. -2 9 3 315 A EXISTING BLDG. �. r w Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT d _ NO.� DATE �`�(! # 0 0 0 0 0:1 1 hereby affirm that I am exempt from the Contractor's License ADDRESS �/� �L FIN •1 - 124.88 Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT B ❑ o- 0 0 I, as owner of the property, or my employees with ADDRESS BUILDING 1 24,885 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 0 [j,0 7-18 8 f. 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- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBA 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. `r (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name t LDMA Ref:fi P.C.Fee$ Permit Fee Lender's Address I certify tha I have read this application and state that the Issuance Fee .S(J LDMA P/C q above info ation is correct. I agree to comply with all County Investigation Fee Y _ ordinance and State laws relating to building construction, Total Fee LDMA Perm. N and here , authorize re esentatives of this County to enter $ upo�e above-mentio d pr erty for inspection purposes. e SEE REVERSE FOR EXPLANATORY LANGUAGE+ Signature of Applicant or enr Date WORKERS'•COMPENSATION DECLARATION I'he by affirm that I have a''certificate' of consent to,self L I CAT I IV F BUILDING --4,q>r e, or a certificate of Workers' Comiiensatiori Insurance, or a certified copy thereof'(Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy.No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ❑ at Certified copyis filed with'the.county'building inspec- B UILDING G tion department. tr ' ZIP r'LOCALITY Date: Applicant WON BLDGS. W NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS',' OF LOT ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permitis for one CiMAP BOOK PAGE PARCEL hundred dollars.($100)or less.) TEL, NER �iLJ• NO. USE ZONE• MAP I certifythoi in the performance'.of-the' -work for.which this NO, permit isissued, I,shall not employ anyperson'in any mannerRESS SPECIAL CONDITIONS so as to-become subject to the Workers'Compensation,Laws. OO r CITY ZIP �:� Date Applicant ARCHITECT OR TEL. DISTRICT GROUP. TYPE• FIRE, PROCESSED BY. NOTICE-TO APPLICANT: If, after'making-this Certificate of r•ENGINEER NO. CONW ZONE.6-7 :Exemption, you-:'should become, subject..to the Workers' - u Compensation provisions of the-Labor Code,.you must forth- ADDRESS o_ with comply with such provisiohs or.thispermit shall be TEL.' STATISTICAL CLASSIFICATION APT. CONDO. deemed_`revoked: - ' CONTRACTOR. NO. - Z LICENSEDrCONTRACTORS'DECLARATION LIC. . CLASS NO. DWELL. UNITS WV I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with of Division 3 of the Business UC: ­ (commencing Professions Code,and my licehse is in full force-pnd effect. . CITY CLASS BK, PG,. VALIDATION. SQ. ET. ' NO. OF NO.OF CHECK License Number Lic.' Class SIZE STORIES' FAMILIES ONE VALUATION '.Contractor Date DESCRIPTION,OF WORK'. NEW ❑ t $ Jim �® _ ADD ❑ ❑I am exempt under Sec. ALTER ❑-:; B.&P.C. for this reasonUSE OF $ .. REPAIR ❑ Date:'" EXISTING BLDG. DEMOL Signature, APPLICANT• TEL. FINAL OWNER-BUILDER DECLARATION (PRINT). NO. DATE , I hereby affirm that I am exempt from the Contractor's License ADDRESS 1 Law for the following reason.(Section 7031.5, Business'-and FINAL � .� g Professions e): .' PRESENT. By...: A.' BUILDING �� I,•as of t e property, of my employees with ADDRESS 03 wagesps their sole compensation,will do the•work•and v the structure is not intended or offered•for sale(Section- . ` LOCALITY / ITEMS 044, inert and ofessions Code.) MOVING TEL. "L '" ,yrp� p� �-�/� I ;'CONTRACTOR NO. , TOTAL 70 o 80 L°1 I,•as er roperty,am exclusively,con}racting i, with licensed*contractors.to construct the project-.(Sec- ADDRESS. CHECK 76■ � ' tion 7044,-Bu siness,and.Professions Code.) i - �y I. REQUIRED YARD 'HWY 'TOTAL SETBACK FROM. EXIST. CHANGE ,.00 'CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirrn.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 • 6000-6001 . 7/ 2/96 P.L. Lender's Name7247. 1 PM 5:44 $ P.C. Fee$ ' Permit Fee 0 LDMA Ref. # Lender's Address i• a 1 ceitify that I.have read this application and state that the Issuance'.Fee J W. LUMA•P?Cti above information is.correct. I agree to.comply with all County Investigatron.Fee ordinances and State laws relating.to building construction, . Totol Fee 49 ..or �' LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-m. tione property:for inspection purposes. ie j SEE REVERSE FOR EXPLANATORY LANGUAGE. , �ature of ,can or:Agent0 icon or:Agent . • Date WORKERS'COMPENSATION DECLARATION „ I hereby affirm that I have a certificate of consent to self APPLICATION F®� U I L®I G P E RSA I T insure, or a certificate of Workers'Compensation Insurance, r� E or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.—Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS U Date Applicant S\ CITY `yVt C: C ZIP (� "' LOCALITY NO.OF BLDGS. 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 BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL OWNER NO.Z" - "t USE ZONE O. I certify that in the performance of the work for which this i SPECIAL - permit is issued, I.shal I not employ any person in any manner ADDRESS ? CONDITIONS �"0 n. so as to become subject to,the Workers'Compensation Laws. O r'CITY ZIP Date Applicant ARCHITECT'OR TEL. � NOTICE TO APPLICANT:.If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PR Y O Exemption, youshould become subject to the Workers' Z Compensation provisions of the Labor Code, you must forth- ADDRESS `PCJ �{I►LN (/1 "- with comply with such provisions or.this permit shall be , TEL STATISTICAL CLASSIFICATION APT. C N deemed revoked.. CONTRACTOR�h .� u,� wt..NO.��e���`� Z LICENSED.CONTRACTORS DECLARATION LIC. (.�+ 1 . CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS n t NO.(>6 i 3 LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY '— y �t CLASS (� s� and Professions Code,and my license is in full.force and effect. BK. PG. VALIDATION SQ. FT." NO. OF- NO. OF CHECK License Number a�j`t3� Lie. Class SIZE STORIES FAMILIES ONE ' VALUATION /y ADD • . Contractor �Dafe _ DESCRIPTION OF WORK NEW LCI $ 00 �y1j .❑ OLY J 6l V v ❑I am exempt under Sec. i= * un ic ALTER B.&P.C. for this reason - REPAIR ❑ $ Date: USE OF 'EXISTING BLDG. DEMOL ❑ , Signature APPLICANT' TEL• FINAL OWNER-BUILDER DECLARATION (PRINT) ' NO. t ,3 I hereby affirm that I am exempt from the Contractor's License T �/ DATE / A ��4 Law for the following reason (Section.7.031.5, Business and ADDRESS ue� q, bh l+Bc 1.lam- pINAL "� 8" 90 Professions Code): PRESENT B EMSiDGUI ❑ 1, as owner of the property, or my employees with ADDRESS 1/ �� wages as their solecompensation,will do the work and ® - CHARGE -00 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) ' MOVING TEL. t ❑ I, as owner of the property,.am exclusively contracting rADDRE NO. with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code.')• - � 1 � :t.y3 CONSTRUCTION LENDING AGENCY YARD HWY TOTA PROPEL NE ROM yyIDTFI I hereby affirm-that there is a construction lending agency for the performance.of the'work for which this permit is issued(Sec. 3097, Civ. C.). MEN= Lender's Name moi /D LDMA Ref. # Permit Fee old, L�' Lender's Address 1 certify that I have read this application and state that the Issuance Fee a /' LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee /D de � LDMA Perm:# and hereby authorize representatives of this County to enter upon the above-mentioned property for i ection purposes. -�-� SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date r r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD I hereby affirm that I have a certificate of consent to self Insure, BUI D RES 1 �✓� or a certificate of Workers'Compensation Insurance,or a certified r copy thele�j("Sgc 0 ¢C. �� . �I /,e o 1 ZIP �u/(� LocauTv IF Policy Company SIZE OF LOT 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. depparttment. �� USE ZONE MAP NO. Date$ pplicent _ + ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS Ir CERTIFICATE OF EXEMPTION FROM WORKERS' OWE TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO AD (This section need not be completed if the permit is for one hundred E3PS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED(iY dollars($100)or less.) Z921 4.oLi I certify that in the performance of the work for which this permit TY ZIP is p� _ is issued, I shall not employ any person in anner so as It a become subject to the Workers COmpe Oan Laws. ARC ITECi O ENGINEER TEL NO. STATISTICAL C48PTICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS MOTICE 70 APPLICA . If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you uld become subject to the Workers' CONTRACTO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith %D NT comply with such provisions or this permit shall be deemed revoked. AD RES , LIC.NO. PL } LICENSED CONTRACTORS DECLARATION SIDE C CITY LIC.C�pSS PL I hereby affirm that I am licensed underprovisions of Chapter 9 C L' (commencing with Section 7000)of Division 3 of the Business and SEWER MAP SO.FT.SIZE N .OF STORIES NO.OF FAMILIES � Professions Code,and m �licensejain full force andel fact NEW JPr BK PG C License Numb Class v DESCRIPTION OF WORK ADD ❑ VALUATIONAL , U Contractor Dae ILLJ ALTER ❑ � ���' a ❑ I am exempt under Sec. •� REPAIR ❑ Z BAP.C..for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature ' APPLICANT NT J TEL NO. LDMA Perm# 23 s ❑ I, as owner of the property, Or my employees with wages as Z ACCT.T their sole compensation, will do the work and the structure is ADDRESS 0 not intended or offered for sale (Section 7044, Business andFINAL D _ Q 3i'x'13 3 50.50 Professions Code.) Pool WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL d ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL > a licensed contractors to construct the project (Section 7044, ACCT.a Business and Professions Code.) YES❑ NO� ry� 5..75 WILL THE INTEND USE OF THE BUIDLWG BY THE APPLICANT OR FUTURE BUILDING 3303 OCCUPANT REOUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH r. CONSTRUCTION LENDING AGENCY COAST AIR DUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR IYi E()O GUIDELINES. I hereby affirm that there is a constr ion lending agency for YES 11 NO • q49 T13TAL a25 the performance Of the work fOr W this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECK i/ C 3097,Civ.C.) CHECKLIST,I UNDERSTAND MY REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, C t 176.2' TITLE 2.CHAPTER 2.20 ECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS r Lender's Name MATERIALS REPO RTIN AND FOR BTA G A PERMIT FROM THE SCAOMD. CHANGE .00 p Lender's Address. OWNER OR AGENT I certify that I have read this application and state under penalty IL P,C,FEE PERMIT FEE , c w perjury that the above information is correct.I agree to comply D. p' ,/ 01300-00131 4/ _ �3 with all co ty ordinances and'State laws relating to building o �" ,I� .! ,�,7 W constructs and hereauthorize representatives of this County ISSUANCE FEE �b 1rf}1,5 ��! ' �- 0 to enter a -me ioned rt�[Dr inspection purposes. , ����//�/9I�LJ INVESTIGATION FEE TOTAL FEE C-JGlpretum M AVdmM v � is ,� SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR. BUILDING T COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, XIZEOFL or a certificate of Workers'Compensation Insurance,or a certified. IP /� e copy thereof( c 0,L ) Policy No. Compan RAdW O.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby fumished. NEAREST 1311OSS ST Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. dep Dates n ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF MPTION FROM WORKERS' R ' TEL No. COMPENSATION INSURANCE D WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundredOhm DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) O ZIP V�, I certify that in the performance of the work for which this permit17W3 is issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEE TEL.NCT. become subject to 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' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith L comply with such provisions or this permit shall be deemed-revoked. © LI .N� FRONT U PL SIDE 'LICENSED CONTRACTORS DECLARATIONLIC. PL CD I hereby affirm that I am licensed under provisions of Chapter 9SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and MS1F4w.OFT'GPES_T NO.OF FAMILIES a Professions Code, s is in full force and affect. NEW ❑ BK PG 23 License Numh­ Ic ADD ❑ -f¢ Contractor � VALUATION �O k/�' DESCRIPTION OF WORK ALTER ® $ ❑ — ❑ I REPAIR am exempt under Sec. y $ 1 ITEMS �y BARC.for this reason / DEMOL ❑ LDMA P/C# TOTAL 35 1 m --y 7 Date: SE OF EXISTING L G. URM ❑ HECK 351°77 Signature ► p f� LDMA Perm# LHANGE .00 ❑ I, as owner-of the property, or my employees with wages as their sole compensation,will do the work and the structure is O AT°g not intended or offered for sale (Section 7044, Business and FINAL C u .T 1 � Professions Code.) WILLTHEAPPLICANT OR FUTU UILDING OCCUPANT HANDLER HAZAR USMATER-AL ❑ 1, as owner of the roe OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ° p p rty, am exclusively contracting with THE AMOUNTS IFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Fl B ; 55971 ITEMS AM P.r°31 licensed contractors to construct the project.(Section 7044, YES❑ No Business and Professions Code.) TOTAL 511® 16 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CHECK q°1 q[ OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH LrHE4C1 511 CONSTRUCTION LENDING AGENCY FOO ST DIEL QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST 1 , I hereby affirm that there is a construction lending agency for YES ElNO/(1J�� HAHGE °00 the performance of the work for which this permit is Issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.J. PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES HAUNTYS CHAPTER 2.20 SECTIONS BICONCERNING Name HAZARDOUS MATERIADF,TITLE LS REPORTING AND FOR OBTAINING A PERMIT FROM THE CAQMD. 0000-0001 4/30/9S/ 0/pS LendersAddre3s O,ERORAGENT L132 1 FM 5041 o I certify that I have read this application and state that the above p C,FEE information is correct. I agree to comply'with all county 77 PERMIT FEE ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE 3 Q the above-mentioned property for inspection a. m s ' INVESTIGATION FEE TOTAL FEE n APYliuntwnp°,t •/ / SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION hereby affirm that I have insure, or a certificate of Workers' certificate of consent to self kers'Compensation Insurance, APPLICATION F®R r U I L D I N G PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES ' BUILDING AND SAFETY PolicyNo.�Company- c�lf<<L �� BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS w (� ❑ Certified copy is filed with the county building inspec- BUILDING el) ' tion epartment. ADDRESS /�j �' LOCALITY iNEAREST Dote / AppJz licant CITY f ziP CROSS ST. ERTI KATE OF EXEMPTION FROM WORKERS' r NO.OF BLDGS. / -ASSESSOR COMPENSATION INSURANCE -SIZE OF LOT b� )C (U NOW ON LOT / MAP'BOOK PAGE 1PARCEL (This section need not be completed if the permit is for one USE Z E MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. TEL.!!�� SPECIAL I certify that in the performance of the work for which this OWNER �� _ �p NO:rG�S�6(Z ,- CONDITIONS E3. permit is issued, I shall not employ,any person in any manner _— CONST. ZONE u DISTRI GROUP TYPE FIRE PROCESSED BY O ADDRESS so as to become subject-to the Workers'Compensation Laws. ,. Date Applicant CITY ZIP STATI L SIFI�TION CO V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become'subject to the Workers' im ENGINEER `���U NOC7 6�Z� ' CLASS NO. WELL.UNITS UA Compensation provisions of the Labor Code, you must forth- ADDRESS t SEWER MAP with comply with such provisions or this permit shall be e z deemed revoked. CONTRACTOR TEL NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION ; LIC,.�S ; I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (Jf}!i NO ��_�� V LUATION (commencing with Section 7000)of Division 3 of the Business and LIC. �h Professions Code, and my license is in full force and effect. a CITY VA ROU%1* CLASS + it SQ. FT. NO. NO.OF CHECK t.. License Number Lic.Class//''�����_ SIZE ES ® F ONE Contractor��U�c�:l�-� Date jr 6 &2 ' DESCRIPTION OF WORD 5T' NEW ❑f 1 ADD I am exempt under Sec. S!X_y 1 S ALTER FINAL / B.&P.C. for this reason- �z-LILT 2 REPAIR DATE G/ Com"' 7 9 i� ';-A Date: I' USE OF FINAL 0 0 0 EXISTING BLDG. UAl DEMOL ❑: SY -�.r•a e�.t V Signature ~� APPLICANT TEL,3" 0 g O NER-BUILDER DECLARATION i PRINT O N ��I I 2 Q O L" I hereby-affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS {Nl fGY��'� O I Professions Code): PRESET 12(] —82 ❑ ADDRESS 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 7044, Business and Professions Code). MOVING TEL. $:• I / I,as owner of the property,am exclusively contracting CONTRACTOR NO. ben with licensed contractors to construct the project (Sec- : gDDRESS tion'7044, Business and Professions Code). I. REQUIRED TOTAL SETBACK FROM EXIST. f/ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. �. tSec. 3097, Civ. C.). SIDE P.L. S► 4 ? Tb 6e PIC-vvwI kso oz v Lender's Name OT !PJ6? _L) e8 PpT� %fr� P.C.Fee$ o Permit Fee t Lender's Address x 1 certify that I have read this application and state that the Issuance Fee tJ �-�s 1�? 1 h f 9 O ILA,\V--,LS 5 Q above information is correct. I agree to comply with all County Investigation Fee (� 0 ordinances and State laws relating to building construction, I Total Fee 8 y and hereby authorize representatives of this County to enter $ u on t above- a ned property for inspection purposes. 11--1 0 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ' I WORKERS'.COMPENSATION DECLARATION I'hereby affirm that I have certificate of consent to self P L I CAT I®N F®R ' S U I L p I N GPERMIT * insure, or a certificate of Workers' Compensation Insuran or a certified copy?thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nol 7_57 ?7d�ampany ' S!�7%L '1/ BUILDING�J Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �o svo ❑ Certified copy is filed with the count 'di g inspec- !- BUILDING ,tion department. ADDRESS .7 (� at ,��• Applican w i CITY, . ZIP I LOCALITYUzlu NO. OF BLDGS. 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 BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER ,NO, USE ZONE MAP INC. I certify that in the performance of the work for which this SPECIAL � permit is issued, I shall not employ'any.person in any manner ADDRESS �o�p G• �G.t o CONDITIONS so as to become subject to the Workers'Compensation Laws. _ O CITY ZIP ;/ Date Applicant ARCHITECT OR TEL. W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT �GROUP F RE PROCESSED BY O Exemption, you'should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS ,0� � [�-<'-�� a with comply with such•provisioris.or this permit shall be TEL. g to N NO. - Ofd 22 STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR ` d?,4 X�O Z LICENSED CONTRACTORS DECLARATION I• . e've � U LIC. CLASS NO. DWELL. UNITS •li r: I hereby affirm that I am licensed under*provisions.of Chapter 9 ADDRESS NO.S77-C SEWER MAP ' (commencing with Section 7000.)'of Division 3 of the'Business /h ,J /� LIC. /ni and Professions Code,and my license is in full force and effect. .•CITY v CLASS W" VALIDATION SQ. FT. , NO.OF NO.OF CHECK ' BK. PG. 23 License Number��� Lic. Class C•_ / SIZE STORIES FAMILIES 'ONE _ ContractoiC-� e Li`) ?TIS to N 12. Z r/�� Z- A DESCRIPTION OF WORK VALUATION ACU i a$ � 5 $ ..®v. -3 •7 'o EJI am exempt under Sec. G/ice ! > ' ADD ❑. ® i ti°r�r C B.BP.C. for this're6son ALTER 1 I t CIS REPAIR 11 $ TOTAL a� m 66 Date: USE OF DEMOL ❑ /�-- -� 1 EXISTING BLDG. [� j_tv+j�� 87.66Signature r _ APPLICANT � TEL, OWNER-BUILDER DECLARATION (PRINT) NO FINAL CHANGE .DO I hereby affirm that I am exempt from the Contractor's License DATE. Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT y BUILDING 00130 1130 7rt! i ❑ I, as owner of the property, or'my employees with ADDRESS u°S wages as their sole compensation,will do the work andivl 1 PES 2 iv the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. .a ACCT ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. -, with licensed contractors to'construct-the project (Sec- M07 129-14' tion 7044, Business and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. 1 ITEMS CONSTRUCTION LENDING AGENCY• SET BACK YARD' HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT TOTAL 129 9'a 14 the performance of the work for which this permit is issued P.L. r (Sec. 3097, Civ. C.). SIDE • HECK. 12 -.� ' P.L. Lender's Name � .� •. CHANGE LDMA Ref. # P.C. .C. Fee$ ► Permit Fee Lender's Address U I certify that I have read this application and state that the Issuance Fee vf� • LDMA Pic# 3 above information is correct. I agree to comply with all County Investigation Fee ` �ti�6 A1141:53 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # d hereLb ho ' e sentatives of this County to enter JJ upon a - enti n progerty'for inspection p rposes. SEE REVERSE FOR,EXPLANATORY LANGUAGE Si nature of AppliccinY<AEe7nT D to WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have r certificate of consent to self' . APPLICATION FORBUILDING. P E RM I T iaieure, or a certificate of Workers'Compensation Insurance, or o certified copy thereof(Sec; 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poliq No. Company•' BUILDING ❑ Certified copy is h'ereby'furnished.. FOR APPLICANT TO FILL IN ADDRESS QZlf G UA *& Y ❑' Certified ccpyris filed with the county building inspec- BUILDING . tion department. ADDRESS 9 / n Date Applicant CITY ZIP C7 LOCALITY NO.OF BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST ` C •/c{ q 7 COMPENSATIONCROSS ST.' `INSURANCE ASSESSOR ' (This section need not be completed if the permit is for one TRACT BLOCK LOT NO.. ASS BOOK PAGE PARCEL hundred dollars ($1'00)or.less.) " t ! ASS�L• OWNER ' (� NO. USE'ZONE' . .NOF 15 I certify,that in the performance of'the work for which this �.- SPECIAL >-' -permit is issued, I shall not employ any persorl in anymanner ' , ADDRESS �t1 CONDITIONS a0 so as to become subject t0 the Workers'Compensation'Laws. U j CITY ZIP Date Applicant ARCHITECT OR TEL. ' a &� DISTRICT GROUP TYPE FIRE OCESS D BY O NOTICE TO APPLICANT:'If,"after making this.Certificate of ENGINEER NO.' as — CONST. ZO Exemption, you should become subject to the Workers' S( �j Compensation provisions of the Labor Code, you must forth- ADDRESS 7.0/. CeN o a (J ✓ —�f� a with com.l 'with•such rovisions or this•permit. be N P Y P P TEL. STATISTICAL CLAS IFI TION APT. J CONDO. Z deemed revoked. ! CONTRACTOR; NO. 6 _ 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 is LIC j SEWER MAP • - and Professions Code,,and my license.is in full force and effect. i CIN CLASS' BK 'TPG � VALIDATION SQ. FT: NO.OF NO.OF' CHECK License Number' Uc:Class• I SIZE I STORIES FAMILIES ONE i VALUATION Contractor; Date DESCRIPTION OF WORK NEW .• � ❑I am exempt'under Sec. d ADD ❑ ALTER ❑ I , B:BP.C.-for this.reason REPAIR ❑ Date: -USE OF r ; EXISTING BLDG. " DEMOL ❑ �J%,� Signature APPLICANT TEC (PRINT FINA NO OWNER-BUILDER DECLARATION I • DAT I hereby affirm that I am exempt from the Contractor's License IFOoS[I Law for'the following'reason-(Section 7031.5, Business'and i ADDRESS FINAL 3307 Professions Code):. l PRESENTITEMS....' ❑ I, as owner of the ro erf•, or m o ees BUILDING P P Y , Y em tP Y with j ADDRESS . I 5j1) - wages.as their sole compensation; do the work and , � � TOAL� '�'0.m • the structure is not intended or offered for idle'(Section LOCALITY • R 7044,.Business and Professions Code.) I MOVING TEL•. CHECK 40650, El1, NO.I,as owner of the property,am exclusively contracting � CHANGE ,[I[i with licensed contractors to construct the project-(Sec- ADDRESS tion 7044, Business and.Professions Code.') ' . . REQUIRED TOTAL SETBACKFROM EXIST.14 9/22/89 CYARD HWY'CONSTRUCTION LENDING AGENCY SET BACK PROP. LININ E W DTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this ermit Is issued P.L. n P P 5849 1 phi $05'. (Sec. 3097, Civ.C.). SIDE . P.L. Lender's'Name a i d LD NIA Ref. # P.C. Fee$ Permit Fee ED,1 Lender's Address I certify that I have read this application and state that the i Issuance Fee E LDMA OC# ®- '- above information is correct. I agree to comply with all County . Investigation Fee l ordinances and State laws relating,to building construction, I Total Fee' f LDMA Perm. # and heeeby'authorize represen tives of this County to enter ' %Z the -rnentione o ►tY for inspe on purpose a".7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a App or Date WORKERS' COMPENSATION DECLARATION insurer a bor afcertif certificate of Worke s'tCompensationve a cerificate of Insuranceent to , APPLICATION FOR BUHMING PERMIT or a certified 'copy thereof(Sec. 3800, Lab. C.) I.- COUNTY OF LOS ANGELES BUILDING AND.SAFETY Policy No. Company— C> Certified copy is hereby furnished. FOR APPLICANT TO FILL IN y��j %�ADDRIESS NG C1IVAIM Certified copy is filed with the county building inspec- BU DIINNS tion department. Tv+`�sJ oI`, '5 Date �W' Applicant CITY �- l� fu( ZIP LOCALITY e1i �, NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTIO4FR KER ' SIZE.OF LOT SV�C ko'c NOW ON LOT �. CROSS ST. COMPENSATION ICE ASSESSOR � (This section need not be•completed if the permit is for one 'TRACT BLOCK LOT NO. MAP BOOK d PAGE 1:;;� PARCEL hundred dollars ($100)or less.) �` � TEL, OWNER (�rr�v C,1{/ C� NO. USE ZONE NO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS / SPECIAL CONDITIONS so as to become subject to the Workers'Compensation Laws. O CIN ZIP Date Applicant- f ARCHITECT OR I TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making'this Certificate of ENGINEER - NO. CONST. ZONE cd Exemption, you should .become subject to-the Workers' ! / J ` Compensation provisions of the Labor Code, you must forth- ADDRESS �� �/ a with comply with such•provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. ' �:CONTRACTOR �. � NO. �`•0 �._� Z LICENSED CONTRACTORS DECLARATION � LIC. CLASS NO. C9 �' DWELL. UNITS ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Z + NO. LIC. SEWER MAP . (commencing with Section 7000)of Division 3 of the-Business A s r � C�� and Professions Code,and my license is in full force and effect. CIN til A� BK PG VALIDATION SQ. FT. NO. O NO. OF CHECK .• . License Number Lic. Class SIZE STORIES FAMILIES ONE ' Q/(�a VALUATION Contractor C_ �- r�"`Y�" Date - Z-• ti' DESCRIPTION OF WORK ��qq NEW ❑ ❑I am exempt under Sec. O MSIN�O. ADD ❑ ®, ALTER ❑ B.&P.C. for this reason "4 - REPAIR ❑ $ Date: USE OF EXISTING BLDG. r DEMOL ❑ Signature APPLICANT. p� EL FINAL ����'�� g (PRINT) v 0"La NO. 573--0,31 3 FINAL OWNER-B LARATION DATE I hereby affirm that I am empt om the Contractor's License + _... Law for the following r son ( ection•7031.5, Business and ADDRESS �- 6APFINAL =�; Professions Code): PRESENT- BY ❑ I, as owner of the roe or m employees with BUILDING ` 1a=•'--u property,rtY: YADDRESS _ -,c•.. wages as their-sole compensation,will do the work and 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- ADDRESS tion 7044; Business and Professions Code.) - c REQUIREDTOTAL SETBACK FROM EXIST:' 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. (Sec. 3097, Civ. C.). SIDE .,J._� Lender's Name .: 8 P.C. Fee$ Permit Fee C LDMA Ref. # L :•:•. Lende'r's Address 1 certify-that I have read this application and state that the Issuance Fee r LDMA P/C# 2 above information is correct. I agree to comply with all-County Investigation Fee .•- - •, - ordinances and State laws relating to building construction, Total Fee r � LDMA Perm. # C and hereby authorize representatives of this County to enter 1 upon the above-me Toned prop rty for inspection purposes. •- o '. SEE-REVERSE FOR EXPLANATORY LANGUAGE ; Signa can o Agent • Date f , WORKERS' COMPENSATION DECLARATION � jiure, j a cei that I have r certificate of consent to self APPLICATION . FOR BUILDING P E RM I T in;ure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800,lab. C.) , ' COUNTY OF LOS ANGELES BUILDING AND SAFETY ' a Policy No.OUllolo 0 Company IJ0 BUILDING ❑ Certified copy-is hereby furnished. "�/��- FOR APPLICANT TO FILL IN ADDRESS LA4 TV N11.5 . Mz Certified copy is filed with the county building inspec- BUILDING `o 0 LAS IiWUS m tion department. ADDRESS [ b �'v� Gizu Date q?-Applicant CITY. SIH G[ ZIP �• LOCALITY U - NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FR WOR S' SIZE OF LOT D NOW ON LOT CROSS ST. COMPENSATION INSU CE ASSESSOR (This section need not be completed if the,permit is for one TRACT BLOCK' LOT NO. MAP BOOK 1 / PAGE / PARCEL • hundred dollars ($100)or,less.) ii'' ,/�i TEL. USE ZONE ff OWNER IV CIA z--[J NO. L192-I certify that in the performance of the work for which this "•: , ` IAL permit is issued, I shall not employ any Person in any manger ADDRESS 30� � awo �- yDITIONS so as to become subject to the Workers'Compensation Law's. O CITY ALHAMISRAV ZIP C1461 1001 V Date ApplicantARCHITECT OR TEL. tY NOTICE TO APPLICANT:,If, after making this Certificate of t. ENGINEER e. S( lJ NO. DISTRICT GROUP TYPE FIRE PROCESSED BY Q Exemption, you should become subject to the -Workers' CONST. ZONE w Compensation provisions of the Labor.Code, you must forth- ADDRESS 3 a with comply with such provisions or this permit-.shall be TEL. STATISTICAL CLASSIFICATION i APT. CONDO. N deemed revoked. CONTRACTOR - �Si ,.1 NO. 5 3—D3 i 3 _ z LICENSED CONTRACTORS DECLARATION. " ��» LIC. CLASS NO. DWELL. UNITS A c s I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G. �`U HV ENO. -90% �T� LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business ; CITY �•l��-/ p���, ,_:._�_,• ,_._, , __„ and Professions Code,and my license is in full force•and effect. l��/ l CSS B VALIDATION b SQ. FT. NO. OFNO.OF CHECK s i License Number 0 91 Lic. Class �. SIZE STORIES FAMILIES ONE - '- 5_3 _ ALUATION 's -"� _�;t � Contractor Ci• 9� Date — ` '1 DESCRIPTION OF WORK NEW ❑ '` 'I `' " - I N{ [old O VZ (/II ADD ❑ !�Do ,_;j r'f; _ ..� ❑I am exempt under Sec. � � ALTER B.BP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. 1 >•-I;r _. ! ^ Signature APPLICANT PRINT) C. NO $ U. ,3-c73 3 FINAL o "'` f OWNER- LD CLA TIO ( DATE I hereby affirm that I ariffixern from the Contractor's License Law for the following Mason (Section 7031.5; Business and ADDRESS FINAL `a Professions Code): PRESENT By. /V (fZ/ BUILDING LAS ,r El 1, as owner of the property, or my-employees with ADDRESS DOC C M. �� wages as their sole compensation,will do the work and , __ _ the structure is not intended or offered for sale(Section LOCALITY - G v Ni - �, f�- L 7044, Business and Professions Code.) MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 4/x'/4:5 27 ! ! �'±.i with licensed contractors to construct the project (Sec-. ADDRESS ,G✓ i l_€ ( 2 !�9 tion 7044, Business and Professions Code.) y CHP-CK LENDING AGENCY SETQBACK YARD HWY TOTAL SETBACK WIDTFI HP- K �_-°- 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. ::.�i''•'3 �=' (Sec. 3097, Civ. C.). SIDE ' P.L.. i•... .•.�-; .Lender's Name ��..ti�:.t. - - •.1t=.:��t-I��i I' : : '; 3 P.C. Fee$ ..0 Permit Fee ���• LDMA Ref. # _ Lender's Address , J.1 I 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 Investigation Fee r /J ordinances and State laws relating to building construction, Total Fee &camQ LDMA Perm. # and hereby authorize r presentatives of this County to enter upon th/e�abov ment' ned pro erfy for inspection purposes.. c'- SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur fAboli t or Agent Date r rPLICATION FOR- BUILDING PERMIT �1 _ COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING—ADDRESS /f r BUIL I!OADDRESS ` A S �� �� 09 a I hereby affirm that I have a certificate of consent to self Insure, t7rA l�r� Kn or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP �'� I'L •ji copy thereof(Sec.3800,Lab.C.) a,"I P�r' E LOCALITY 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 TAT BLOCK LO_TN o. USE ZONE MAP NO. _ department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL / 6 / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN V-PEL N YES NO COMPENSATION INSURANCE i WITHIN 1000 FT OF SCHOOL?DDR (This section need not be completed if the permit is for one hundred eyDISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CI ZIP//� I certify that in the performance of the work for which this permit L- //yP0 Is Issued, I shall not employ any person in any manner so as to ARCHITECT,OR ENGINEERAr TEL NO. become subjectt to the Workare'Co nSa9 Laws. STATISTICAL CL/�ASS FICATION APT CONDO Date-7-2-3��ppllCant ADDRESS CLASS NO. 6 � DWELL NIT / NOTICE TO APPLICANT: If, after maki this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. 9-0.3 SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith r�T � Q d.3 3 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L SS/gcj rs SIDE LICENSED CONTRACTORS DECLARATION CITYXL/i'l ft/trT9 Cl/ 7 33 LIC.CLASS P L I hereby affirm that I am licensed under provisions of Chapter 9 C/0 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and 80•FT SIZE NO.OF STORES I NO.OF FAMILIES 9= Professions Code,and my license is to full force and effect. NEW BK PG ® v 5'577 S 9d • C V DESCRIPTION OF WORK ADD ❑ License Number Lia Class VALUATION 00 � Contractor OAAJ H/=( N -Date 7 Z3-9a _WAQ_ �,FOJV S/&1� ALTER ❑ $ z OD z REPAIR ❑ ❑ I am exempt under Sec. $ BARC.for this reason DEMOL ❑ USE OF EXISTING BLDG. � LDMA P/C q Date: _7^ 3 '`j�- URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm k ❑ I, as owner of the props r my employees with wages as g S Lv IgLq 2—kO�j 3 their sole compensation,will do the work and the structure is ADDRE nn �e not intended or offered for sale (Section 7044, Business and 4 DOIlk&AJyU& OA17E FINAL DATE a r,'1:)r = =`T Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL A_ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY a licensed contractors to construct the project.(Section 7044, YES 11 ND❑ r•,;,•': ,:r Business and Professions Code.) r WILL THE INTENDED USE OF THEBUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ "' "' the performance of the work for which this permit is Issued(Sea ,(1-- 3097,CIV.C.. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING CHECKLIST.1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES "•�IF''^j '!-' %"."• •' COUNTY CODE,TITLEZ CHAPTER 22D SECTIONS 220.100THROUGH 220.140 CONCERNING =•?I�-'= '+ •••'•^`"•" Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. . Lenders Address owmmORAWNT o' I certify that I have read this application and state that the above PC FEE PERMIT FEE �J Q information is correct. I agree to comply with all county d o _ -• ._w;;:,:; ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE �� _ the mentioned property for inspection purposes. '�` `5?7 - INVESTIGATION FEE TOTAL FEE SWr&WmcdAp01c"wAgV Dft !P J SEE REVERSE FOR EXPLANATORY LANGUAGE . . APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING I-hereby affirm that I have a certificate of consent to self insure, BUILDING AD KESS or a certificate of Workers'Compensation Insurance,or a certified Ge�'�'� L►� �I L j�— �7�� copy thereof(Sec.3800,Lab.C.) CITY ZIP / D LOCALITY Policy No. Company SIZE OF LO NO.OF BLDGS 14OW ON LOT ❑,Certified copy is hereby furnished. 61 ' NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection t 6 TRACT �_r BLOCK LOT NJJ ` a I� department. iZ USE ZONE MAP NO. Date Applicant ASSESSOR MA10q, PAGE PAR iLr' ATL SPECIAL CONDITIONS AMP– CERTIFICATE Q OF EXEMPTION FROM WORKERS' OWNER—�rpm S !` ���� �6p YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRES// dollars($100)or less.) CJ b [ DISTRICT io TYPE COJIRE ZONE PROCE BY I certify that in the performance of the work for which this permit CITY P — �J ZIP / x^ 5.0(3 0(3 `Zis issued, I shall not employ any person in any manner s as to (� v ' ( ' become subject to the Workers' SBtIOn La ARCHITECT ENGINEER L NO. ,om�� P � STATISTICAL CLASSIFICATION APT CO O Date J Applicant ADDRESS CLASS NO. DWELL UNITS AWI SCE TO (APP'LICANT.• If, after making this Certificate Of REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C TRACTO TEL NO ( SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith KqJnJ FRONT comply with such provisions or this permit shall be deemed revoked. D R/4 s NO P L LICENSED CONTRACTORS DECLARATION SIDE �IIY_� LIC. LASs P L I hereby affirm that I am licensed underprovisions of Chapter 9 �(J >_SEWER MAP a (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW L BK PG v License Number Lic.Class DESCRIPTION OF WORK Emmeh�s1✓ J � ADD ❑ VALUATION �p Contractor Date ALTER �'0 00 `^ w sAk fSyl��-1� fFP� a.E 00 ❑ I am exempt under Sec. \\ REPAIR ❑ $ iC_,r„. z Z BAP.C.for this reason A��L�L aN +/�y�� d + DEMOL. ❑ -Iti•4l as � — LDMA P/C# ;-;•;,? =yLj a•J_; Date: USE EX STING BLDG. URM 1133ID Signature APPLICANT(PPoNT) TEL NO. LDMA Perm# 1 ❑ I,:as owner of the property, or my employees with wages as Z HL.-L.I , their sole compensation, will do the work and the structure is ADDRESS O 4 not intended or offered for sale (Section 7044, Business and FINAL DA Q , . E I IM-f '30 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ✓ J END OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, 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❑ i OT AL -1455 - 301 Business and Professions Code.) _ WILL THE INTENDED USE OF THE BUIOLING BY THE APPLICANT OR FUTURE BUILDING U.l c`„ �� 1 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '�,r!ICCK �•y,�a 80 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMRTING CHECKLIST FORI:( ,yS10 I hereby affirm that there is a construction lending agency for GUIDELINES. C,YANG,¢YES❑ NO❑ N the performance of the work for which this permit is issued(Sec. O1 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, r r� TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS i lLILi„'0i�'I••I;• I irr'i`'h Lender's Name MATERIALS REPORTING AND'FOR OBTAINING A PERMIT FROM THE SCAOMD. C3 t[.R Lender's Address x`95 j C OWNER OR AGENT f .tL !•€[ •„I�+.7�F cI certify that I have'read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE J D PERMIT FEE N with all county ordinances and State laws relating to building construction, and hereby auth III repres tatives of this County ISSUANCE FEE ato s�rtl a a nt' ed proper r inspection purposes. CD „`YJ La_ INVESTIGATION FEE TOTAL FEEZ�+j n T�.d AppllTynl a q0.,p D T V SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'.COMPENSATION DECLARATIO APPLICATION ' FOP BUILDING PERMIT I hereby affirm that I have a,certificate of consent to s insure, or a certificate of Workers'Compenstion Insurance,o a cern ' dura the of(S 800, La ) ., COUNTY OF LOS ANGELES BUILDING AND SAFETY. le r Poli y/ ompany r ❑ Certified copy is-hereby furnished. i BUILDING `jp ;�''7i FOR APPLICANT TO FILL IN ADDRESS es ❑ Certified copy is filed with the county, uildt g inspe BUILDING �/"�/��, ff tion department. ADDRESS �O`� �^A S 70 NA S LOCALITY Date Applicant CITY i:i�i PAF CITY 10 1 -700 NEAREST pp � ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WQR ERS' t O t dIXSd_Cn NOW ON OT ASSESSOR MAP BOOK PAG PARCEL COMPENSATION INSURANCE• ,,'` , SIZE OF LOT (This section need not be completed if the permit is for oneu USE ZONE , [MAPOhundred dollars ($100)or less.) i TRACT BLOCK LOT NO. b 7 �7 EL. C-1 IAL d1 certify that in the performance of the work for which this' 11OWNER K�i OR- AVAr-'IAN �c�NO�� y DITIONS ` O permit is issued, I shall not employ any person in any manner f /� /• DISTRICT GROUP TYPE FIRE P ED BY e7 so as to become subject to the Workers'Compensation Laws. ADDRESS c���10C9 J 1-A5 TV NI�f S (�(Z CONST'./� . ZONE 1 CITY lr�� PL-E- CiTYzip C51-7�P �� V Date Applicant i STATISTICAL CLASSIFICATION APT. CONDO. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECENGINEERT OR DONAU> LI NGar" . 3.59Z432 2�- � Exemption, you should become subject to the Workers' G G CLASS NO. DWELL. UNITS H Compensation provisions of the Labor Code, you must forth- ADDRESS 6 15; E DGE I F VV Si FWA 174 SEWER MAP �/ Z with comply with such provisions or this permit shall be .-- �� t~T �{� EL.®t �- 3 r �-D - deemed revoked. CONTRACTO - BKPG,/ VALIDATION LICENSED CONTRACTORS DECLARATION 57 /� J LIC. �►3 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION (commencing'with Section 7000)of Division 3 of the Business and /!7 C E C i T LIC Professions Code and my license is in full force and effect. -CITY ♦ CLASS p .9/ 3 .o?J X _ /� SQ. FT. r. NO.OF NO.OF CHECK rLicense Num 4 ic. ass u SIZE ZS STORIES 0 IN i- FAMILIES ONE 4. erw / Contractor DESCRIPTION OF WORK NEW MI am exempt from the a requirements as I am a J � G � , ADD A licensed architect or a registered professional engineer ALTER ❑ FINAL 2.6 8.4 A R acting in my professional capacity (Section 7051, ❑ DATE Y'� r Business and Professions Code). I USE OF REPAIR f# o o•o 0 23 j EXISTING BLDG. DE ❑ FINAL �� Lic.d5`Reg.No. -- —Date APPLICANT TEL. Y 2 ° 1 4 8 8 0 ,J •PRINT) NO. / OWNER-BUILDER DECLARATION ( ,� 1 4 F�8 0 I hereby affirm that I am exempt from the Contractor's License o LOW for the following reason (Section 7031.5,'Business and ADDRESS ; Professions Code): PRESENT `'� 0 '1,20-82 1 BUILDING r6, Y O .❑ , 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 I"r 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-. ADDRESS tion 7044, Business and Professions Code).- CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. /!!?� SET BACK.. PROP. LINE WIDTH /o+C7 2,6` 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 t + P.L. 2 3 0); t Lender's Name P.C. Fee$ g Q Permit Fee / - Lender's Address ' I certify that I have read this application and state that the ® Issuance Fee J C 1,2 0 ' above information is correct. I agree to comply with all County Investigation Fee a ordinances and State laws relating to building construction, Total Fee u IS- and hereby authorize representatives of this County to enter i upon the above-mentioned property for inspection pur��poses.. I SEE REVERSE'FOR EXPLANATORY LANGUAGE ���E/ Sig re of Applican of Agent Date - ®s WORKERS'COMPENSATION DECLARATION, } ' Ins AP'LICATI®N FOR BUILDING' PERMIT I hereby affirm that I have a certificate of consent to self /insure, or a certificate of Workers'Compenstion Insurance,or 1a certified copy thereof(Sec. 3800, Lab. C:) II �t, // ) /� I COUNTY OF LOS ANGELES BUILDING AND SAFETY IPolicyV0. Company �!6-L ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ADDRESS Certified copy is filed with the count building in BUILDING �~ i tion department. ADDRESS L L�.s V t0 4.s LOCALITY / 'Date App I i ca nt ` NEAREST �vbd \ ZIP CROSS ST. CERTIFICATE OF EXEMPTION FRO W ERS' OF BLDGS. .o ASSESSOR COMPENSATION INSUR CE SIZE OF LOT ® NOW ON LOT O 1+ MAP BOOK PAGE PARCEL (This section need not be completed i the permit is for one USE ZONE MAP ' hundred dollars ($100)or less.) TRACT BLOCK LOT NO.130 NO. z-0 >. TEL. /) SPECIAL a, OWNER X90 �pJIP ; NO. c• CONDITIONS I certify that in the performance of the work for which this O - permit is issued, I shall not employ any person in any manner ADDRESS' s DISTRICT GROUP TYPENST. ZONE FIRE PROCESSED BY CO � so as to become subject to the Workers'Compensation Laws. � Date Applicant CITY 1��,. a" ZIP STATISTICAL CLASSIFICATION CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.• 0. • Exemption, you should become subject to the Workers' ,• ENGINEER ♦ NO. CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER•MAP z ' �� with comply 'with such provisions or this permit shall be `7E1 deemed revoked. q' gK / VALIDATION CONTRACTOR . NO. (.7 Z �"/ LICENSED CONTRACTORS DECLARATION �-(f LIC. \ �l hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /!�• NO. `� VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. g Professions Code, and my license is'in full force and effect. 's CITY `e �7L' C..s` CLASS $ S��i SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class` SIZE STORIES FAMILIES ONE NEW $ Contractor �' dGDate 4!"7— DESCRIPTION OF WORK ❑ I am exempt rom the licensing requirements as I am a .��,� ADD licensed architect or a registered professional engineer ALTER ❑ FINAL } acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF ❑ FINAL EXISTING BLDG. DEMOL ❑ B Lic.or Reg.No. Date APPLICANT TEL. 1! OWNER-BUILDER DECLARATION (PRINT) NO. _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason.(Section 7031.5, Business and ADDRESS 7 Professions Code): sis PRESENT P 3 5 5 kA BUILDING ❑ I, as owner of the property, or my employees with ADDRESS 4 o a a a 2 3 wages as'their sole compensation,will do the work and the structure is not intended or offered for sale(Section +FADDRESS LITY l a 1 21,2 d 7044, Business and Professions Code). ING TEL. RACTOR i NO. ❑ I, as owner of the property, am exclusively contracting 1 a 1 �' 1,,_: r 6 with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). O Q 07-8 2 UIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for I FRONT 1 3 5 E 5 R the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). + SIDE ° 1 ib C+ P.L. Q Q Lender's Name / Lender's Address P.C. Fee$ �.1..L V Permit Fee 5-6 0 a,•0 7—5 G a certif that I have read this application and state that the J G' Y PP Issuance Fee i above information.is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee �� n and hereequorize representatives of this County to enter.mentioned erty or inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE ' ®s S' naturee Applicant or Agent Date 5 - • APPLICATION FOR BUILDING PERMIT } COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRS or a certificate of Workers'Compensation Insurance,or a certified LV4 12 LA­e3 7- copy thereof(Sec.3800,Lab.C.) ��/� CITY ZIP Policy NO.�we-21-3�� ompanrQLLR�����1 LOCALITY /� J SIZE OF LOT NO.OF BLDGS.NOW ON LOT C'I � ` ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. t� Date _-L-_I b� Tf►nplicant Y I ASSESSOR MAP BOOK PAGE PARCEL ��-'" SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER C TEL NO. COMPENSATION INSURANCE Sz WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) 41K u/l.f / DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CITY G� ZIP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to s become subject to the Workers'Compensation Laws. ARCHITE OR EN INFER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 2 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate OfREQUIRED' 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 S 10W�� �� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESSOJLIC.NO PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL .1 hereby affirm that I am licensed underprovislons of Chapter 9 t7_tir— SEWER MAP (commencing with Section 7000)Of Division 3 of the Business and SO.FT.SIZE NO.OF STO ES NO.OF FAMILIES CL CL Professions Code,a d my license is in full force and effect. NEW ❑ BK PG License Number Li..Class DESCRIPTION OF WORK ADD ❑ VALUATION a� C Contractor , Date `� t S ,. ALTER 11 $ L lo toa REPAIR 11a- ` ❑ i am exempt under Sec. $ On On B.BP.C.for this reason �' DEMOL ❑ LDMA P/C# z Date: USE OF EXISTING BLDG. 77LURM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# -1-' 46 ❑ 1,-as owner of the property, or my employees with wages as o —� Z their sole compensation, will do the work.and the structure is ADDRESS F A CI.01F not intended or offered for sale (Section 7044, Business and [. FINAL D r. — Professions Code. A3303 52'.CI i ) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -� J ❑ I, as owner of theproperty, am exclusively contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) T,1'I AL 52 . 00 WILL THE INTENDED USE'OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CONSTRUCTION LENDING AGENCY OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH i•HEE-`: _E .GO COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR .!i GUI.EUNES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ CH l{''E .0i W the performance Of the work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. cm TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS jj Lender's Name MATERIALS REPORTING AND'FOR OBTAINING A PERMIT FROM THE SCAOMD. Ili}(w-il:l_+ 11 {�f IJi/'i''f l G OWER OR AWNT0Lender's L_ _; 1 8:5.3 c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County 7 I14SUANCE FEE 1�u t ='_ ro to enter upon the above-mentioned property for irisp !on purposes. G o 0 u s �—/ �,. L too i i W V I INVESTIGATION FEE TOTAL FEE 11,�� a T` saMIM.a ronin 6 `� _ I,_NED SEE REVERSE FOR EXPLANATORY LANGUAGE TOTAL 1 .�7- 9 1 P.,t:-r_,a .. , . —_. WORKERS'COMPENSATION DECLARATION I hereve a certificate of conent to sel insurebor a certificateirm that I of Workers'CompensationsInsurance, APPLICATION FR WILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES -BUILDING AND SAFETY Ij PoIic No. qJ0mpctny_ BUILDING h e Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS / c Certified copy is filed with the county building inspec- V BUILDING J ,,�� tion department. ADDRESS ( T_U*'/ j�Z LOCALITY (+ 1 , NEAREST Date Applicant J CITY 1 1 IP CROSS ST. y� CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT / I NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP �7 hundred dollars($100)or less:) TRACT BLOCK LOT NO. NO. �y L. �G`�t jf SPECIALI certify that in the performance of the work for which this OWNER Q 45 4 Q �� _CONDITIONS CL DI GROUP TYPE FIRE PROCESSED BY O permit is issued, I shall not employ any person in any manner u so as to become subject to the Workers'Compensation Laws. ADDRESS f�/1 ��i� CONST. ZONE iTO�51 loaTEa?f Date Applicant CITY 6� ZIP �� S7ATISTICALCLASSIFICP)710N APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARC tlE OR TEL. W 'Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO.�DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be J deemed revoked. CONTRACTOR EL. /�'`-t BK. PG, VALIDATION 'LICENSED CONTRACTORS DECLARATION LI I hereby affirm that I am licensed under.provisions of Chapter 9 ADDRES ? r O. VAL TION (commencing with Section 7000)of Division 3 of the Business and �� Professions Code, and my license is in full•force and effect. I CITY l r / SS y_ $ �// ,--�-[t //�1 i SQ. FT. NO.OF NO.OF CHECK License NumbeP �Lic.Class l I IZE STORIES I FAMILIES ONE Gail I to/ / NEW $ Contracto it �' �� DESCRIPTION OF WORK / ❑ T�- ADD ❑ • I am exempt under Sec. Is �ALTER ❑ FINAL t B.&P.C. for this reason I �I� t�� g'(�WiS t6IEPAIR DATE Date' USE EXISTING BLDG/"' /� � DEMOL FINAL AY �-r APPLICANT TEL. Signature � OWNER-BUILDER DECLARATION PRINT NO. T I hereby affirm that I am exempt from the Contractor's License ADDRESS t ° 1 J.2 C CE Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ��`� I _) ,•_ n BUILDING 1, 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 7044, Business and Professions Code).. MOVING TEL. ❑ CONTRACTOR NO. I, as owner of the property,am exclusively contracting with licensed coritractors•to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY' SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for I FRONT the performance of the work-for which this permit is issued P.L. tSec. 3097, Civ. C.). SIPE 'P.L. Lender's Name � 7a' a Lender's Address P.C.Fee$ Permit Fee I certify that I'have read this application and state that the Issylot Fee / O t S� above information is correct. I agree to comply with.all County Investigation Fee f ^� ordinances and State laws relating to building construction, Total Fee ` G- /7 and by authorize represent Ives of t ' County to enter upo above-mentione pro ty for 1, ection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Fippli nt o gent' � Date ®s APOMPUCAMON FOR GULDING PE COUNTY OF LOS ANGELES BUILDING AID SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI!!?M Q2 zlisI hereby affirm that I have a certificate of consent to self Insure, BUIL N ESS '414-5 P V or a certificate of Workers'Compensation Insurance,or a certified zIP copy thereof(Sec.3800,Lab.C.) ?/7 LOCALITY Policy.No. Company CITY _g c(--ff . e SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEARESTCROMISILV ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USEZONE MAP department. ASSESSOR MAP BOOK PAGE PARCEL Date-Applicant SPECIAL CONDITIONS OWNER 0 CERTIFICATE OF EXEMPTION FROM WORKERS' W - ! COMPENSATION INSURANCE /75/,U 69!!1z 4,v _X 6 WITHIN 1000 FT. OF SCHOOL? YES ADDRESS ' 1 NO (This section need not be completed if the permit Is for one hundred 9 6; / 4zC DISTRICT GROUP GROUP E ST.- FIRE ZONE dollars($100)or less.) CITY ZIP �ftlq. I certify that In the performance of the work for which thii permit $"NJ Ile. Is Issued, I shall not employ any'person in any manner so as to ARCHITECT OR ENGINEER TEL NO. ?JS! become subject to the Workers'Compensation Laws. I STATISTICAL nICATION AT CONDO Date Applicant ADDRESS CLASS NO._,O!E_�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: SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shall be doemed,revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY Ul W- LIC,CLASS SIDEPL CD I hereby affirm that I am licensed under provisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.S129--70.OF STORES NO.OFWM-ILIES . W Professions Code,and my license is in full force and effect. NEW BK PG DESCRIPTION OF WORK ADD ❑ VALUATION LU License Number Lic.Class n Contractor _,L%49��e 14e4f.;E ALTER I ❑ I am exempt under Sec. REPAIR B.&P.C.for this reason I OX73 e7- 'P_0A,�LJ/0#VW EMOL El LDK_P/C# Date: USE OF EXISTING BLDG. )RM ❑ U�ignature APPLICANT(PRINT) TEL NO. LDM A Perm# J. 1. as owner of the property, or my employees with wages as iI - - . . 0 ACC71 their sole compensation,will do the work and the structure Is I ADDRESS 31E - not Intended or offered for sale (Section 7044, Business and FINAL DA > 3 3 7 82.00- Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL L J I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Ifl I TTEMtS ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPEP1FIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FIM > by 4 licensed contractors to construct the project.(Section 7044, 1 YES 11 NO El (le-&-1 TOTAL ® � Business and Professions Code.) WILL THE INTENDED USE OFTHE BUILDING 13Y THE APPLICANT OR FUTURE BUILDING U.00 OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH L/ CHECK CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. CHANGE .00 I hereby affirm that there is a construction lending agency for YES El NO W the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS.MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELO 8/2490LK - COUNTYCODE ZP_CHA72-20SECTIONS22MIDOTHROUGH2211140 CONCERNING 3 / Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lenders Address 2756 1 AM 7:58 OWNER OR AGENT I certify that I have read this application and state that the above information Is correct. I agree to comply with all county RC.FEEPERMIT FEE ordinances and State laws relating to building construction,and hereby h I Is County to enter upon ISSUANCE FEE jO� onze representatives of Ze the b entioned-prperty for i ctionpu 4:5i 0 _ A 0 INVESTIGATION FEE TOTAL FEE PEE REVERSE FOR EXPLANATORY LANGUAGE i P,PLICATI N FOR MIL®ING PERMIT � ` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS ® .3 y� Pt— B DING ADDRESS (" �/ I hereby affirm that I have a certificate of consent to self insure, I �� N� ��L �. C or a certificate of Workers'Compensation Insurance,or a certified L Copy thereof(Sec.3800,Lab.C.) C _ �! ZIPS ,y Q LOCAL I r Policy No!LJ p LLY&J^�Ompany���O �� SIZE OF LOT NO.OF BLDG3.NOW ON LOT Certified copy is hereby furnished. ^4 e I NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. r USE ZONE MAP NO. Det Applicant , /��4^A OR MAP BOOK PAGE PARCEL i SPECIAL CONDITIONS CERTIFICATE OF EXEAAPTION FROAA WORKERS' C. �' �, (�O�, "�,�31 o WITHIN 1000 r f OF SCHOOL? YES NO COMPENSATION INSURANCE DREs3 (This section need not be completed if the permit is for one hundred & A dnL DISTRICT ROUP I.TYPE CONST.' FIRE ZONE ROCESS BY dollars($ or less.) C /1 I certify thathat in the performance of the work for which this permit 741�M ` .E . is issued, I shall not employ any person in any manner so as to ARCHITECTOR ENGINEER TEL NO. 3 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CO O Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT., If, after making this Certificate of I REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the Workers' iCONTRACTOR .,L,_ NO. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the'Labor Code,you must forthwith `®N 'y� 7 '3� FRONT comply with such provisions or this permit shall be deemed,revoked. ADDRESS LIC.NO. PIL L 1- �. Guy 4w a e-rt SIDE LICENSED CONTRACTORS DECLARATION CI LIC.CLASS P L C I hereby affirm that I am licensed under provisions of Chapter 9 ,/Z e-AOL C/.1;X — SEWER MAP (commencing with Section 7000)of Division 3 of the Business and 8 0.FT.SIZE NO.OF STORES I NO.OF FAMILIES CC Professions Code,and my license is in full force and effect. I NEW BK ; PG_ 0; License Number_.�2/ �i ��LTC.Class' 49 DESCRIPTION OF WORK ADD ❑ VaLilnTl ContractoJKJ3 C®A+/- Date 9ALTER ❑ REPAIR ❑ ❑ I am exempt under Sec. BAP.C.for this reason DEMOL ❑ LOMA P/C 9 Date: USE OF EXISTING BLDG. .URM ❑. Signature APPLICANT(PRINT) TEL NO. LDMA Perm 0 11I,as owner of the property, or my employees with wages as I p ACCT n F their sole compensation,will do the work and the structure is ADDRESS not Intended or offered for sale (Section 7044, Business and I I FINAL DATE a 3307 58.755. Professions Code.) I WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL 1 t TEMS ❑ I, as owner of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �y 1='4, licensed contractors to construct the project.(Section 7044, YO❑ •NQ❑ t�b TOTAL -�18 m 75 Business and Professions Code.) ! WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CHECK� 58.75 OCCUPANT REDUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY COAST AIR DUALITY MANAGEMENT DISTRICT(sCAQMD)SEE PERMITTING CHECKLIST :Jp,Lif_ U FOR GUIDELINES. CHANGE I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the Work for which this permit is issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELESt'I (}(7��j f t'j 3/21/90 COUNTY CODE,TITLEZ CHAPTER 2.20 SECTIONS 2.20.100THROUGH 220.140 CONCERNING t. vtr t2 :Js Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address owrmaRAeerr I 9618 1 AM 9al32 o' I certify that I have read this application and state that the above information is Correct. I agree to comply with all county RC.FEE PERMIT FEE ordinances and State laws relating to building construction,and hereby authorize reprjpentatives of this County to enter upon ISSUANCE FE 13.190 t ab e-mentloneoroperWor Inspection puyrposes, E J , -INVESTIGATION FEE TOTAL FEE nm.e ram n® Mba. ' I SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self P A L I ATI N FOP. B U I L D I N G PERMIT ILIA insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3600, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company r_1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS to G.cE r_ E] Certified copy is filed with the county building inspec- BUILDING / tion department. ADDRESS Ct 1 j LOCALITY v NEAREST Date Applicant CITY �Vlyloalke ZIP ? CROSS ST. L��r CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. -ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP �y '7 hundred dollars($100)or less.) I TRACT BLOCK LOT NO, / NO. t�� G / TEL. SPECIAL } I certify that in the performance of the work for which this I OWNER S NO. ` J � �j- CONDITIONS permit is issued,I shall not employ any person in any manner r DISTRICT .GROUPTYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS �j .i / A CONST. ZONE u Date Applicant CITY ' ZIP 5;STATISTICAL CLASSIFICATION APs. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of I ARCHITECT OR TEL. V Exemption, .you should become subject to the Workers.' " ENGINEER /Uig NO. CLASS NO., DWELL. UNITS fix Compensation provisions of the Labor Code, you must forth- ADDRESS � ,SEWER MAP with comply-with such provisions-or this permit shall be `�� deemed revoked. N� I BK. PG, VALIDATION . CONTRACTOR Al ' LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and Professions Code, and my license is in full force and effect. I r CITY CLLA�SS $I `Z I I GCtiu SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE ISTORIES FAMILIES ONE $ Contractor Date . DESCRIPTION OF WORK NEW ❑.` ❑ ADD El am exempt under Sec. ` 7,0 .. .. I I ALTER J07 FINAL lam_ %-,_ B.BP.C. for this reason REPAIR DATE U� O USE OF DEMOL FINAL Date: EXISTING BLDG. �! -�• T ❑� By �C_t Signature APPLICANT L. ttJJ OWNER-BUILDER DECLARATION I (PRINT) yJ-J✓�►.✓NO. L!/L �j I hereby affirm that I am exempt from the Contractor's License ADDRESS is / ilJ/.1� Law for the following reason (Section 7031.5, Business and 1 Professions Code): PRESENT �,cy ❑ BUILDING I, as, owner of the property, or my employees ees with IBJ ADDRESS f' ,c wages as their sole compensation,will do the work and I� \ _ 7 6 G. 6 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. j ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. � with licensed contractors to construct theroject (Sec- 'I� tion 7044, Business and Professions Code).p ADDRESS "V5 s� 6Q ° 43.00 REQUIRED TOTAL SETBACK FROM EXIST. _ CONSTRUCTION LENDING AGENCY I SET BACK YARD HWY PROP. LINE WIDTH c.° ° 4 3 0 0 c? 1 hereby affirm that there is a construction lending agency for FRONT wH the performance of the work for which this permit is issued I P.L. i )'1. 1 .7-82 tSec. 3097, Civ. C.). SIDE I , i P.L. Lender's Name 0�$ .'T E��-7! 0-4 _C76 a ° Sd = ' Lender's Address P.C. Fee$ CA 415� permit Fee Ub I certify that I have read this application and state that the I Issuance Fee D S Q above information is correct. I agree to building I with all County 9 comply Investigation Fee 1\ `��--+ �1� j} ordinances and State laws relatin to buildin construction, Total Fee and hereby authors epresent Ives of this County to enter upon the above-rr� coned pr rty for inspection purposes. .� SEE REVERSE FOR EXPLANATORY LANGUAGE S qt of Applica t or Agent Dfe I es i WORKII&'COMPENSATION DECLARATION L �l�3V r (,C/j°� 0�l g u I hereby affirm that I`havecertificate of consent to self 9UILDI4 insure, or a certificate of Workers'Compensation Insurance, APPLICATION FOR � R T or a certified cgpy Ther of'(Sec. 3800, Lab. C.) 6 6 C;w' <7?rrL FVA� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING f ADDRESS / Certified copy is filed with the county building inspec- BUILDING G Z_14, Tj1�/ 1)/e � ��/� _ ticin�department. � ADDRESS Date / ,I—' - Applicant AdrIMA1 �r� CITY �, "�y 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 LOT NO hundred dollars ($100)or less.) TRACT BLOCK . MAP BOOK PAGE PARCEL . �- npAj) TEL. USE ZONE MAP 1 certify that in the performance of the work for which this OWNER L// ,,,�� NO. NO. permit is issued, I shall not employ any person in any manner r� ��c i� USC v� �d� i SPECIALi so as to become subject to the Workers' ,Compensation Laws. ADDRESS W CONDITIONS rpQ GL1r/t/ytm [f9'1 UL �. / U Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after'making this Certificate of ARCHITECT OR TEL. DISTRICT G UP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers'• ENGINEER NO. CONS`T./ ZONE V Compensation provisions of the Labor Code,•you must forth- ADDRESS V W with comply with such provisions or this permit shall be �` 0=' deemed revoked. UIR�6�N+F �(�ja+�/ L' ,� �(c STATISTICAL CLASSIFICATION APT. DO. CO CONTRACTOR NO. ��1f'5W . UNITS LICENSED CONTRACTORS DECLARATION '`` 1 6LIC. -1 '�� 6 , CLA55 NO. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �Y'J,�j NO. ° (commencingwith Section 7000 of Division 3 of the Business and SEWER MAP ) �,r';L ly 0-772;_ LIC. Professions Code, and my license is in full force and effect. CITY � CLASS r� BK PG VALIDATION P SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE ISTORIES FAMILIES ONE �'1✓� Ilr` cuJtP NEW a VALUATION Contractor 'Date DESCRIPTION OF WORK C( Sl ADD $ P I am exempt under Sec. Y T, ❑ ALTER -2 0 2 9 5 A B.&P.C. for this reason REPAIR $ Date: USE OF DEMOL # 0 0 to 0 2 3 EXISTING BLDG. Signature APPLICANT 'A` r / N�A TE4.�rQ / II, a 37.50 PRINT . vX 1[ /+M ZJ AA Nds W 1 h FINAL r� ' OWNER-BUILDER DECLARATION � DATE U o o•o = I hereby affirm that I am exempt from the Contractor's License (� � ,, � � �'t C;2.Afte7T � 3 7 5 0 v Law for the following reason (Section 7031.5, Business and ADDRESS pl Professions Code): PRE ENT B E3BUILDING I, as owner of the property, or my employees with ADDRESS 0 7.2$—8 8 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL.. ❑ CONTRACTOR NO. 0,2 9.6A I,as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS #•o o.o o•o y tion 704'4, Business and Professions Code). • REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY kFrR ACK YARD HWY PROP. LINE WIDTH I 0 0 4,Q 5,0 1 hereby affirm that there is a construction lending agency for NT the performance of the work for which this permit is issued 0 0 0 4Q50' (Sec. 3097, Civ. C.). 07,28-88 Lender's Name it`i(MLDMA Ref. #1e$ L� Permit Fee (/ 60 Lender's Address / L I certify that I have read this application and state that the Issuance Fee ` LDA P/C N above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, lotol Fee k LDMA Perm. H 3 and hereby authorize representatives of this County to enter S upon the /above-mentioned �property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE e Signature of Applicant or Agent Date , 4. COUNTY OF LOS ANGELES TEMPLE CITY # 050f3* c, ` :BUILDIN PG ERM T I DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS r7TENANT IMPROVEMENT BUILDING AND SAFETY / LAND„DEVELOPMENT TEMPLE CITY CA 91780 Y BL 0508*00051-06069 PHONE: (626) 285-0488'- EXT: ” - LEGAL D: N0. OF CONST NEW LDI.NG- TR: 6561 LT: 131 SQ. FT STORIES TYPE OCCUP GROUP f-9669 LAS TUNAS DR STRUCTURE: 0 1 VN B '\_T•EMP 'CA-91780f103 ASSESSOR OR AT 0 NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-014 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG SE: COMME USE ZONE: ISSUED ON: PROCESSED BY-.-- EXPIRES ON: MAIN CITY RESTAURANT EXIST OCC GRP: B 08/28/00 UT 02/25/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F 27 BY: CODE: LIANG;DANNY (626) 575-8763- 85,000 3501 WHISTLER AVE. ;2& O EL MONTE, CA 91732 FEES PAID CRIPTION OF WORK TENANT IMPROVEMENT (R STAURANT) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: HOLLYEVER (626) 968-1056- Al PLANCHECK W/EN-HC 65000.00 VAL 927.98 2771 S. RIO LEMPA DR AA BLDG PERMIT ISSUAN 27.75 SPECIAL CONDITIONS- HACIENDA HGTS, CA AE STRONG MOT N� ER 50Q0.00 VAL 17.85 Al PERRL. �ILe L S Q00�00 VAL 193.55 A2 PERRI i ,((ENE G• !{ 8 0 0•.00 11 L 1 319.45 CONTRACTOR: TEL. NO: �O�j TO ( 62,486.58 APPROVALS DATE INSPECTOR SIGNATURE EVERGREEN DESIGNS ENTERPRISE (626) 350-9181- 4414 ELLIS LANE LIC. NO LOCAT ON AND SETBACKS EL MONTE, CA 91731 747408 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: --0 DATION/ E C RMS LIC. NOt� 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE 3: � ggs-' UNDERFLOOR INSULATION JFLOOR SHEATHING 0. OFAF MITIES: DWELLING UNITS: APT/CO T CLASS-- NO 22U ROOF SHEATHING SCHOOL WITHIN HAZARDOUSSWEAR PANELS AIR QUALITY: 1000 FEET MATERIAL'S NO NO NO I� ® FRAME INSPECTION -laeV 46�• _ g �y 2-e OZ o FIRE SPRINKLER HANGERS INS LAT WEATHER STRrP _ 6D INTERIORLATH/ Q( I�40 EXTERIOR LATH LLQ RATED F OOR/C I ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I BL 0508 0412070025 PHONE: (626) 285-0488 EXT: I LEGA ID: NO. OF CONST I BUILDING--ADDRESS: TR: 6561 LT: 131 SQ. FT STORIES TYPE OCCUP GROUP 9669 LAS TUNAS DR STRUCTURE: 236 1 VN C I TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-014 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG-.USE: CO SE ZONE: C-1 ISSU ED ON: PROCESSED 8 : EXPIRES ON: SEAFOOD VILLAGE RESTAURANT EXIST OCC GRP: C 03/08/05 JK 03/03/06 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: F�� AL B CODE: MA DANNY - 4,720 ,t 9669 LAS TUNAS DR - TEMPLE CITY CA 91780 FEES PAID DESCRIPTIONOF WOR ADD PATIO 236 SF. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: i A PLICANT: TE O: T T L CONSTRUCTION (626) 284-1097- D1 PLANCHECK W/O EN-HC 4720.00 VAL 112.71 405 N. CAMPBELL AVE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ALHAMBRA CA 91801 AE STRONG MOTION OTHER 4720.00 VAL 0.99 D2 PERMIT W/O EN-HC 4720.00 VAL 132.60 TOTAL FEES 274.05 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE T T L CONSTRUCTION (626) 284-1097- 405 N. CAMPBELL AVENUE LIC. NO LOCATION AND SETBACKS ALHAMBRA, CA 91801 6261578 i SOIUS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIM71TIR-ENCH FORMS CHEN, CHARLES (626) 454-9555-1 1517 S. 8TH ST. LIC. NO: SLAB/UNDER FLOOR /0/ i ALHAMBRA, CA 91803 C 019359 ' 1 RAISED FLOOR FRAMING-- MAP IPGMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 02 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CO D: STAT CLASS: NO 22 ` ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SH EAR A S AIR QUALITY: 1000 FEET MATERIALS / NO NO NO FRAME INSPECTIO / h I S R KLERHANGERS G6) INSULATION/WEATHER STRIP ` I wINTERIOR LATH/DRYWALL v ' v XTERIOR LATH RATEDTLOOR/CEIL A SE . RATED WALL ASSEMBLIES RATED S A S/OPE GS T-BAR CEILINGS 0 DRA G REPORT ID: DPR261 ROUTE TO: BS0508 I I 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 0408130036 PHONE: (626) 285-0488 EXT: LEGAL ....OF CONST ..'NEW { BUILDING ADD - TR: 6561 LT: 131 SO. FT STORIES TYPE OCCUP GROUP I• 9669-LAS TUNAS DR STRUCTURE: 800 1 V B TEMP CA 917802103 ASSESSOR FORMA'fI0 N MB R: -NEAREST CROSS STREET: KAUFFMANi — . 8587-020-014 •THf3MAS PAGE:':.597 GRID:'A3 'LOCALITY: TEMPLE CITY TENANT: ERIST BLDG USE: COMME USEZ ON E ISSUED ON: PROCESSED B EXPIRES ON: MAIN CITY RESTAURANT EXIST OCC GRP: B 08/13/04 JK 08/08/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: ALUATION: • FINAL ATE FINAL BY: CODE: LIANG;DANNY (626) 575-8763- 15,000 3501 WHISTLER AVE. EL MONTE, CA 91732 FEES PAID OF JW WORK FEE DESCRIPTION: QUANTITY:-JOM: AMOUNT: T.I•. INTERIOR REMODEL APPLICANT: TEL. NO: LI (626) 284-109T- AA BLDG PERMIT ISSUANCE 27.75, 405 N. CAMPBELL. AE STRONG MOTION OTHER 15000.00 VAL 3.15 SPECIAL CONDITIONS: ALAHAMBRA C2 PERMIT W/HANDICAP 15000.00 VAL 315.63 TOTAL FEES 346.53 CONTRACTOR: TF!. N0:— APPROVALS DATE INSPECTOR SIGNATURE T T L CONSTRUCTION (626) 284-1097- 405 N. CAMPBELL AVENUE LIC. NO LOCATIOF A SEAS ALHAMBRA, CA 91801 6261578 SOILS ENGINEER APPROVAL ARCHITECT—O ENG ER: TEL. NO: F60 L:;7; ;,TRE!C. ORMS LIr. N0:'[ SLAB/UNDER FLOOR AISSED FL On FRAMING �- - --- I AP NO: SEWER MAP BOOK: PAGE: FT_RE 20W'e: UNDERFLOOR INSULATION 3 04 FLOOR SHEATHING U. OF FAMILIES: DWELLING UNI P /'unto: STaT ASS: NO 22 RD—OF SHEATHING G--� ----YCHOOL WITHINHAZARDOUS S EAR PANELS AIR GUAL.ITY: 1000 FEET MATERIALS _ NO NO NO FRAMEINSPL-GTION 14 FIRE SPRIMYR HANGERS INSULATIGN/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RA ED FLOOR CE-L ASSEM. RATED WALL ASSEMBLIES TREE SRAF'f�OPE GS T-BAR CEILINGS I LOT DRAI GE REPORT ID: DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND.DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0012130035 PHONE: (626) 285-0488 EXT: LEGALID: NO. 0 Lumbi BUILDING DDRE TR: 6561LT: 131 SQ. FT STORIES TYPE 9669 LAS TUNAS DR STRUCTURE: 0 VN TEMP CA 917802103 ASSESSOR RMAT 0 NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-014 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY IST BLDG S ZONE: C-2 ISSUED 0 PROCESSED B R 0 : MAIN CITY RESTAURANT EXIST OCC GRP: 12/13/00 UT 06/12/01 OWNER: EL. NO: BLDGS.. NOW ON0 VALUATION: F NAL DATE FIN Y: CODE: LIANG;DANNY, (626) 575-8763- 3,500 3501 WHISTLER AVE. 3-go-o EL MONTE, CA 91732 PAID -DE-S-CTI-P-TION OF WORK REROOF EXISTING BUILD NG (TENANT IMPROVEMENT) • FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: HOLLYEVER (626) 968-1056- AA BLDG PERMIT ISSUANCE 27.75 2771 S. RIO LEMPA DR AE STRONG MOTION OTHER 3500.00 VAL 0.74 SPECIAL CONDITIONS: HACIENDA HGTS, CA D2 PERMIT�W/O-E._`HG ��3500.00 VAL 115.80 EVERGREEN DESIGNS E - % ra P GE L E S GHQ `FEES 144.29 CONTRACTOR: TEL. N0:' APPROVALS DATE INSPECTOR SIGNATURE LS ENTERPRISE (626) 350 9181- / 4414 ELLIS LANE LIC. NO /� v 0 ION A SETBACKS EL MONTE, CA 91731 747408 B j SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER-- TEL. 0: /tiFOUNDATIONPRENCH FORMS LIC. N0://! "` 1111111 SLAB/UNDER FLOOR �'-�- RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:, CMP: ^ UNDERFLOOR INSULATION 150H269 3 �04. u L� n �,\1f r-� I� ( FLOOR SHEATHIN 0. OF FAMILIES: DW L G NITS: AP CO D: STAT CLASS. `=�� NO ROOF SHEATHING ml. � / 4 L..(_. SCH00 WITHIN HAZARDOUS 0 Y• SHEAR PA S AIR QUALITY: 1000 FEET MATERIALS NO NO NO �\ ,s ' , FRAME INSPECTION RE R D TO SET C FR XIST �`�4 FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- C S er `�—a�/ INS LATION/WEATHER STRIP SIDE PL- vice Th INTERIOR LATH/URYWALL EXTERIOR LATH RATED FLOOR/C SSEM. RATED WALL 'ASSEMBLIES RATED SHAFTS/OPENING T-BAR CEILI GS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 . a� COUNTY OF LOS ANGELES TEMPLE CITY # 0508BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS " 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DEEM 0002140007 PHONE: (626) 285-0488, EXT: 13' LEGAL D: NO. OF CONST BUI• G— R SS:�—� TR: 6561 LT: 131 SQ. FT STORIES TYPE X9669 LAS TUNAS DR J STRUCTURE: 0 11�TEMP CA 917802103 ASSESSOR INFORMATION BER: NEAREST CROSS STREET: KAUFFMAN 8587-020-014 THOMAS PAGE: 597 +GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME S ONE: ISSUED ON: PROCESS D BY: EXPIRES ON: EXIST OCC GRP: 02/14/00 UT 08/12/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI Y: CODE: WANG CHIN SHEN;WU HSIU YEN — 1 0 8 380 LAS FLORES AV J ARCD 910078227 FEES PAID CRIPTION,OF WORK MISCELLANEOUS DEMO 0 CEILINGS AND WALLS IN EXISTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RESTAURANT APPLICANT: TEL. 0:' EVERGREEN DESIGN AND ENTERPRISE (626) 350-9181— AA BLDG PERMIT ISSUANCE 27.75 4414 ELLIS LANE 02 DEMOLITION INSPEC 1 163.50 SPECIAL CONDITIONS: EL MONTE, CA OTA FEES 191.25 ELES Cp CONTRACTOR: TEL. NO: �O�j �/�T� APPROVALS DATE INSPECTOR SIGNATURE EVERGREEN DESIGN ENTERPRISE, INC. (626) 350-9181- 4414 ELLIS LANE LIC. NO PEDESTRIAN RO ECTION EL MONTE, CA 91731 747408 B SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: / ABANDON PRIVATE DISPOSAL LIC. N 1111111 UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP N0: SEWER MAP 800K: PAGE: FIRE ZONE: CI�p: