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HomeMy Public PortalAbout9679 LAS TUNAS DR_Building__ OASSBA CE#803 l-!! APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES Bu1LDING =i .; ,' <'� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST r L, CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. I GROUP" TYPE P ESSED BY FOR APPLICANT TO FILL IN '�, CONST. Z L JLL BUILDING 'J C� I BK PG SEWER MAP ADDRESS / / G ee ���� STATISTICAL CLASS FICATION CLASS. NO. DWELL. UNITS � LOT NO. I/7 BLOCK MAP STATE YES NUMBER HWY. TRACT USFZONE SPECIAL NO.OF SLOGS. ^ CONDITIONS SIZE OF LOT NOW ON LOT G USE OF EXISTING BLD BUILDINGEXIST. YARD HWY S REET NAME SETBACK WIDTH OWNER 49t:& FRONT MAILP.L. ADDRESS SIDE / TEL P.L. 1 "o' INSPECTION CORD ARCHITECT 99 TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO D ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OFAPPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ �Q P,C, s ��� FRAME: FIRE STOPS. ��_-- / FEE BRACING, BOLTS VALUATION S _,,,.c+ FURNACE: LOCATION. FEE GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT. STATE LAWS REGULATING B LDING CONSTRUCTION. SIGNATURE OF ! . f HOUSE NUMBER COR- PERMITTE RECT AND POSTED J FINAL ADDRESS CLYDE N.DIRLAM, PRINCIPAL STR TU AL EW INEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAW ;2928% r`AR 2 1 A 5.00 t .r X v.oaAce eoa•s-so APPLICATION FOR B' !t6ING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCAL!--- JOHN OCALITYJOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. / G/ DISTRICT O. I gOUP TYPE R CESSED BY FOR APPLICANT TO FILL IN j C CONST. BUILDING STATISTICAL C SS (CATION EW ER MAP BUILDING "��5 Q I �K PG ADDRESS qq CLASS.NO. DWELL. UNITS LOT NO. /oL BLOCK MAP NUMBER Q HWYE YES. NO TRACT USE ZONE SPECIAL NO.OF S CONDITIONS SIZE OF LOT �( O I NOW ON LOT � USE OF EXISTING BLDG. S / ��[ L BUILDINGEXIST. YARD HWY STREET NAME SETBACK WIDTH OWNEf �-3JL �� /C.G C/I� Sa'J FRONT ADDRESS / /X SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD (L ADDRESS /.! '/�- d CON SIV/• )e/Vi TO Sv - ADDRESS 6 C) N,FA/�P C>4*S , Pique S 7. o DESCRIPTION OF WOK W CL NEWADD ALTER REPAIR DEMOLISH N SO.FT. C NO.OF NO.OF SIZE STORIES FAMILIES USE STRUOCTURE 5/Cf�F SIGNATURE O Y APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT arta FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WIT HALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. EMPLOY ER A ANY PERSON I NY MANNS TO BECOME SUBUECT TO THE WORKMEN'S _ENSATIO W OF CALIFORNIA. LATH, EXT. SIGNATUREO HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION PERMIT VALIDATION CK.1 M.O. CASH L}" 9374 :0 .U4 44D to �0 9 3 7 5 JE A ?9 1 D 3 .0 UC i6A638A CE0803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS (p BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DIST T Ne'[ GROUP PE PR CE .BB FOR APPLICANT TO FILL IN �j CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS SS K 6 n V NAc CLASS. NO. DWELL. UNITS J3 � LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE: TRACT MAP HIGHWAY STAT MAJO SECOND, LOCAL NO.OF BLDGS. ' NO. ICIRCLE) SIZE OF LOT �. NOW ON LOT USE O E S ECIAL USE TI Cc►r-�eer Soo p CONDITIONS EXISTING/BLDG. L /' r OWNERG�Ne L-a0ie. NO NI bSISa BUILDING YARD HWY REET NAME EXIST. ./ AIL (,j>,N C.. SETBACK WIDTH ADDRESS 'p 2L �EC2-IZ'1 � FRONT ARCHITECT TEL P. L. NGINEERCJ�RAd'1f-I�t.E�N�L V sIAUAW.AT(.zG( b SIDE ADDRESS 8go e3 LNS -TU NAS va- P L �J TEL. CONTRACTOR NO. ,,,,. ADDRESS s a Ac DESCRIPTION OF WORE d NEW A/D-Dr ALTER REPAIR DEMOLISH !; {A SIZE T Z I`',J v STORIES I FAMILIES !� USE OF STRUCTURE 4fOFFEE SL4� SIGNATUOF APPLIC T ,F .>'a . •�, t�,� �,,,: ..�._, �' VALUATION -- APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. ✓ FOUNDATION: LOCATION FEE $ FEE $ ✓O FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS Jf AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. ► ZV WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 7*9 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 QF THE STATE OF CALIFORNIA REL.AT- - ING TO WORKMEN'S COMP E SATIO INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED i ADDRESS C41:� ' FINAL "`( (� JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN EF PLAN CHECK VALIDATION CK. M. CASH PERMIT VALIDATION CK. M.O. CASH D 5754 �, 5u47I - NOV 5 1 D 11.50 eAeeeAcr#eoa•s so APPLICATION FOR BUIL tNG PERMIT COUNTY OF LOS ANGELES BUILDING / ,/�i 45 L /� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C/7- JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTROIGT{�10. �GIROUP •rypE P OCESSED Y- FOR APPLICANT TO FILL IN `7/� OS/ CONST. BUILDING e-'/�7C� STATISTICAL CLAS (CATION ' � I SEWER MAP ADDRESS /(C' / / J / /` CLASS. NO. DWELL.UNITS._1/L- e rP I LOT NO. f>� BLOCK MAP �y STATE YES NO NUMBER V HWY. TRACT n USEZONE SPECIAL NO.OF BLDGS. C CONDITIONS SIZE OF LOT I NOW ON LOT USE OF T p EXISTING BLDG. S/ L�/\ BUILDING EXIST. ,1 SETBACK YARD HWY STREET NAME WIDTH OWNEFj�C1�S�"L[QV,�I�j•�/���f �•�C/■-/A�1JK�• FRONT 7 / F--r7 S ��/Y/`yS P. L. v .+ ADDRESS � SIDE ARCHITECT OR I TEL. P. L. ENGINEER NO. INSPECTION RECORD ADDRESS a CONTRACTORiNYPE, _!n126N �nNLF-,OiYNo.�.7S`y�_401 G� T G i G 5 u AlEAW ADDRESS �LI /-�/�/C ��Y�TS P/Y�` t Q DESCRIPTION OF WORK ^• - W a N NEWZ ADD ALTER REPAIR DEMOLISH ' Z SQ.FT. NO.OF NO.OF SIZE /� SJTORIES/' r FAMILIES USE OF STRUCTURE/N4/� SIGNATURE OF APPLICANT VALUATION 5 �Q APPROVALS DATE . INSPECTOR'S SIGNATURE P.C. PMT. �y FOUNDATION: LOCATION / FEE $ FEE FORMS. MATERIALS FRAME: FIRESTOPS, I HEREBY 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 THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN ANY MANNER S��o BECOME SUBUECT TO THE WORKMEN'S OMPENSATION LAIFORNIA. LATH, EXT. SIGNATURE OF �� - p ' HOUSE NUMBER COR- ( PERMITTEE - 1.S(.['✓( ` Z RECT AND POSTED ADDRESS n J FINAL CLYDE N. DIRLAM, PRINCIPAL STRyCT RAL ENGINEER PLAN CHECK VALIDATION ISK, PERMIT VALIDATION (CK M.O. CASA, t - 76A638A CE 4803 12/69 APPLICATION FOR BUILDING PER T fl COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAG PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Zrz , COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST 011 Print or tvDe onl CROSS ST. DISTRICT NO.. ROUP PE PR S BUILDING Red D v' P zzas & Kauffzt>8n --�- Qt3 � ONsr. — ADDRESSCorner o LOT NO. 7 BLOCK STATISTICAL CLASSIFICATION SEWER MAP � CLASS No. _�DWELL.UNITS �R�PG TRACT USE ZONE MAP n NO.OF BLDGS. NO. V SIZE OF LOT NOW ON LOTZ I SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER Lowell Smith NO. BLDG.SETBACK FROM ADDRESS 122 West Laxford FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY Glendora HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG,SETBACK FR ADDRESS d SIDE PROP.LINE OF (STREET) V�r in Roof Co. NOL 287-0507 H G WAY EW DTIHG FROM CCL HIGHW + YARD = TOTAL CONTRACTOR ADDRESS LIC. NO. t c C LIC c_ CITY San Gabriel 91776 CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ D CONSTRUCTION LENDER C NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS c LA ADDRESS SQ. FT. NO. OF NO. OF ❑ ? SIZE STORIES FAMILIES NEW STRUUSE CTURE TURE Reroof with hot roof ADD ❑ materials ALTER ❑ SIGNATURE OF REPAIR® APPLICANT cc�� DEMOL ❑ VALUATION $ 11' O 00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEES 2 FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENS LION INSURANCE. LATH, EXT. SIGNATURE OF i HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPALS RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH 54 6 1D , 177.25- � ff 76A63AA CE*803 B-64 APPLICATION FOR BUILDING PERMIT u COUNTY OF LOS ANGELES BUILDING ,7 IZ j^ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. DISTT NO. GRO P TYPE PRp FSS 9Y FOR APPLICANT TO FILL IN i, CONST. 1 j./ BUILDING ` STATISTICASSIFICATION SEWER MAP ADDRESS G �� CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP NO. TRACT ��/ SPECIAL N0. OF SLDGS. CONDITIONS SIZE OF LOT- NOW ON LOT USE OF E I ING SLOG, BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF `� ISTREET) OWNER / NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL 6 ADDRESS � HIGHWAY I T 'R OM C.L. _I C CITY BLDG. SETBACKFROM �._ •',�� ARCHITECT qP I TEL. ENGINEER NO. SIDE PROP. LINE OF -fSTREET) TYPE OF EXISTING SETBACK HIGHWAY + � ARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d TEL // / �, '� •i�-1 E '� -_ _ � CONTRACTOR j NO �b IYOd ADDRESSS OGS O NO Z.. CORNER CUTOFF YES NO 0 H CITY �� CL SEE REVERSE SIDE FOR SPECIAL APPROVALS w ESCRIP ION OF WORK 1 z NEW ADD ALTER REPAIR DEMOLISH SQ.FT. ^ NO. OF NO. OF ` SIZE �{-� STORIES FAMILIES USE OF STRUCTURE r Bt6-N*l-0WE F VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS FRAME, FIREBSTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING OLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF I HOUSE NUMBER COR- SIGNATURE OF DLIii'l"3:/4d RECT AND POSTED ADDRESSc,S lS � >C14�•i�. - Q!�2—�C' FI NAL s - A* JOHN F. LEWIS. PRINCIPALIST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH X82862 FEB 5 1 p 8.00N G iA"awi DENT OF COUNTX ENGINEER r BUILDING IYVTSION ION OOF BUILDING AND SAFETY COUNTY OF LOS ANGELES . WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, Sup•T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING / /1! DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO. ADDRESS i�/Td LOCALITY FICEIVED 8Y DA EOF PL. DATE ISSUED NEAREST ��f 2 ^� CROSS ST r BUILDING OWNER g so ADDRESS__ MAIL �/ _ Q S vy LOCALITY_ ADDRESS f� Jf/v✓ NEAREST CITY TEL. CROSS ST. ARCHITECT OR TEL. ZONE FIRE PLANS Z I TYPE^ �� I 'GROUP ENGINEER NO. . Ilbb BLDG. O ADDRESS SETBACK LINE J - 4 CONTRACTO �".��� USE APPROVED t V. ) ZONE..,' • BY � �-°'t- DA ADDRESS 49 HOUSE NUMBERING i $ LEGAL ,ry MAP NUMBER - NO. ASSIGNED BY DESCRIPTION I LOT NO. I BLOCK TRACT O • 6��,� / C / ORRECTIONS l fa NO. OF BLDGS. SIZE OF LOT / / 0 I NOW ON LOT 1 USE OF NO. OF EXISTING BLDG. DESCRIPTION OF WORK oH ALTERATION - REPAIR DEMOLITION I-I ADDITION Z D r SO. FT. NO. OF SIZE ROOMS STORIES EXT. WALL ROOF COVERING COVERING USE OF STRUCTURE �. �'15��� l Y�l• w • APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION _FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, I AGREE TO COMPLY WITH ALL OUNTY ORDINANCES AND STATE LLAAWS REGULATING 1 ING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTEE LAj LATH. EXT, ADDRESS PLASTER, INT. AUTHORIZED AGT. S �+ �/\�^ /� PLASTER, EXT. O v� FEE S HOUSE NUMBER COR- t.. RECT AND POSTED VALUATION mi FEE $ aO FINAL 76A688A DBS 3 8-71 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER - q PLAN5BLDG. FIRE DISTRICT No. PLAN CHK. FEE PERMIT No. I FILED — SETS I ZONEI ZONE RECEIPT NO. TYPE OFp r� BLDG._ I If Ili IV V X GROUP i� 1 DATE OF APPL. RECEIVED BY DATE ISSUED BLDG. SETBACK LINE �._�.�._._.._. ORD. NO. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING 0 K NAME ADDRESS W W ADDRESS LOCALITY _ v/- U' NEAREST fir` = Z CITY CROSS ST. K W STATE < LICENSE NO. TEL.. No. NAME .., ,.. lz I Z MAIL 0 NAME ,�,� Q r�it.t--ice 3 ADDRESS U O ADDRESS �;� '� �.�u�.✓ ��.. CITY TEL NO. F OCITY `i4'9G"e .�"�-^ J�' LOT SIZE OF LOT U STATE _ o U NO. OF BLDGS. I LICENSE NO. v- TEL. No. J W BLOCK NOW ON LOT / D f USE OF BLDG. CLASS OF WORK ®�TRACT �' ( NOW ON LOT NEW I� ADDITION �_ DESCRIPTION OF WORK _ ALTERATION] REPAIR I MOVING USE OF NO. OF BLDG. ea jROOMS SIZE O �:, L I STORIES INo. OF /1 BLDG, - FAMILIES '. CORRECTIONS SPECIFICATIONS FOUNDATION EXTERIOR I PIERS _ MATERIAL THICKNESS—TOP THICKNESS_—BOTTOM __ J -- Q DEPTH IN GROUND z SUPERSTRUCTURE SIZE SPACING SPAN _ Q R. W. PLATES (SILL) GIRDERS JOISTS—FLOOR _ J OI STS_—CEILING BEARING WALLS PARTITIONS ROOF RAFTERS FINAL APPROVAL SILL BOLTS -- COVERING -------- ----- ---- —' -- DATE 3�///� M.PECTOR'3 !!AME WALL +' I ROOF d 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES P.C. FEE $ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGN VALUATION 5 i FEE C OWNER OR AUTHORIZED AGENT i DEPARTMENT OF BUILDING AND SAFE � n APPLICATION FOR PERMIT ,! COUNTY OF LOS ANGELES U I L D I N G � 6 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN M FOR OFFICE USE ONLY UILD // d DISTRICT NO. PLAN CK. NJO. PERMIT NO. ADDRESS b 7? E !• (."d �.I r x 9i / L7—, > RECEIVED BY DAT A OFPPL. ATE ISSUED LOCALITY —, (.✓i ,: t / NEAREST �/ x�� CROSS ST. '��� -'11'C a,.-4 + .�\r~�'Q BUILDING �} ADDRESS „^"-w OWNER MAIL LOCALITY -rte G. ADDRESS G.._. r `�r✓ �t -`=' f NEAREST TEL. •r CROSS ST. CITY •" A rL"'"C NO.V`•° tfl �.` FIRE NO. OF TYPE GRO�Zp" ARCHITECT O �1 F TEL. a , t't., ZONE PLANS I ENGINEER ONO,'. ONO. BLDG. ORD. NO. SETBACK LINES ADDRESS j'G .CiY-y-��fr .� ---a=�rr r� 't APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONEC--' 2 BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. �?.�I BtACK MAP NUMBER Z- G V -7 —FIELD CHECK BY i TRACT NO G 5 `I NO. ASSIGNED DATE NO. OF BLDGS,/ CORRECTIONS SIZE OF LOT �y X 1 ,1 NOW ON LOT /a`�f�' USE OFI NO. OF rZ _ EXISTING BLDG, . '�^�. FAMILIES DESCRIPTION OF WORK p/xzTiV O Al NEW I ALTERATION ( I ADDITION 0 REPAIR I DEMOLITION SO. FT. 0­�'4 dPCINO. OF SIZE y... .v.(r•(��. `,f @OOMS STORIES �� •� Z r EXT..WALL "d f.0 v(c K ROOF �a 3_3 �. � . COVERING 1--:.< s.,+;'./O�tti.�,p�; I COVERING USE OF STRUCTURE APPROVALS +� INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TOCOMPLY 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 / ^�- GAS VENT, DUCTS PERMITTERv z .r,� -"w(. >.. 1 LATH, INT. __ ADDRESS tt e. J # . _ " T , ,�. ��_ LATH, EXT. AUTHORIZED AGT. �PLASTER, INT. 76AG38A, DRSS 10-60 P. C. $ ,J �{��0' FEE PLASTER, EXT. VALUATION FEE FINAL ' c►,�c�" E�5 I x- GA638A DES-3 3.55 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY 1 BUILDING 4/ -7 L Department of County Engineer ADDRESS /Ce ' County of Los Angeles LOCALITY a:L11 - WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. it. D13TRICT NO. GROUP I,TYPE I SE E MA PG FOR APPLICANT TO FILL. IN CONST. BUILDING / 9 r Z ^ r Tj�N e C ADDRESS LQ / .G /�J / !/ /1 J MAP STATE .�E$ NO NUMBER O HWY LOT NO. / BLOCK U/S4ESPECIAL ZONE COND TONS 7 7 ,0L1G- V T TRACT .,7 .a NO. OF BLDGS. BUILDING EXIST. SIZE OF LOT ��.�/�O NOW ON LOT SETBACK YTRD HWSTREET NAME WIDTH USEOF FRONT EXISTING BLDG. 1 P L GNU (-4 n de SIDE OWNER - P L. MAIL ADDRESS /oG/ !� O TRACT WELL. 1 UNIT rJ INDUSTRIAL TEL. 1 DWELL. i UNIT CITY 7'r-� I G L NO. Z DUPLEX I UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 7 ADON.. ALT.. ETC. ENGINEER NO. 31 APT. UNITS; $ � MISCEL.,' ACDRESS 4 COMMERCIAL TEL:. /' ^ ? INSPECTION RECORD CONTRACT'd UC F S � NO. G �l J -ADDRESS 6-610 /�S�Jrr^'I , 4 A. DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF ST ci�j�.����t. �-wN/ivy SIGNATURE OF APPLICANT APPROVALS _ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION $ 3 r P. C. $ FORMS, MATERIALS FEE FRAME: FIRE STOPS. $ r_ BRACING, BOLTS VALUATION FEE — 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 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL Ze ` WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR :o 4; 7 CCT 24 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS L' DEPARTMENT OF COUNTY ENGINEER CITY t ZIP BUILDING AND SAFETY DIVISION O.OF BLDGS. BUILDING ✓�Iq C__� SIZE OF LOT NOW ON LOT ADDRESS TRACT(S -.9 / BLOCK LOT NO LOCALITY i ^TEL. _ NEAREST OWNER O. 7 CROSS ST. ASSESSOR ADDRESS / ry /y✓�. MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIR P ESSED BY CITY ZIP l/ V - CONST. ZON I ARCHITECT OR EL. � —�li�/-- ENGINEER NO. STATISTICAL CLASSIFICATIONSEWER MAP ADDRESS CLASS NO.2z� E0.L. DWELL.UNITS BK/Z GG T CONTRACTOR N USE ZONE NAOP G LIC. /� ADDRESS NO. _2_ SPECIAL LIC. CONDI TIONS CITY C LASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG. TRACK FROM FRON PROP.LINE OF (STREET) C ADDRESS CITY HIGH W Y } YARD - TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH c SIZE STORIES FAMILIES ONE C } - < F D RI PTION OF WORK NEW c ADD ❑ BLDGS ACK FROM (STREET) c SIDE PROP. E OF LTER nli, _ `- HIGHWAY + YARD _ TYPE OF EXISTING F�EPAI SID ROA. LINE H Y WIDTH EXISUA O NG BLDG. !J „ DEMOL ❑ + APPLICAN �/ TEL CORNER CUTOFF YES El NO E] PRI NT) T 7�/r Q 29 BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ O VALUATION O % CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT ON INSU ANCE. SIGNATURE OF PERMITTEE ADDRESS FINAL BY CITY NOL DATE �� �.�� F /L/ ✓ G'7"' %IARI= (.11l.(.hS l'.1).113/.f. 7U: P.C. / PMT. FEE FEE $ HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK M o CASH _ PERMIT ILIDATION CK. M O. CASH 1 3 9 7'f'-,mw-2, 0 AW 76A638A CE#803 12/72 ,j' 76A638ACE#8038-64 APPLICATION FOR BUILDI G PER 1T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ? �C- BUILDING AND SAFETY DIVISION LOCALITY �� JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. < --"�v�- DISTRS-T NO� GROUP Y E D BY FOR APPLICANT TO FILL IN i ; _ CONST. Li , BUILDING STATISTICAL,," SSI FICA 'ION SEWER MAP ADDRESS Zr( C,iiL�$ BK 'PG CLASS NO. DWELL UNITS LOT NO. BLOCK USE ZONEMAP -- TRACT �� - SPECIAL �NO. L CONDITIONS SIZE OF LOT J �C 'O NOW ONBLOTS USE OF t I N BLDG. SETBACK FROM TEL FRONT PRO LINE OF (STREET) OWNER K NO. TYPE OF EXI ING SETBACK HIGHWAY + YAR - TOTAL ADDRESS HIGHWAY WIDTH - F OM C.L. CITY , ABLDG. SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF _ _ (STREET) TYPE OF I F,ASTING SETBACK HIGHWAY + �YkRD = TOTAL ADDRESS r HIGH W WIDTH FROM C.L. �'� d CONTRACTOR�C �J CC YJr0jo`� yry�r✓ + \ � ADDR ES Z NO 47 / CORNER CUTOFF YES NO E] O t CITY resc C `ILA - SEE REVERSE SIDE FOR SPECIAL APPROVALS u W 6ESCRIPTIOfq OF WORK ,°„ Z NEW ADD V ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIF_S USE OF STRUCTURE i" C SIGNATURE OF APPLICANT VALUATIONS APPROVALS DATE INSPECTOR'SSIGNATURE P.C. PMT. / FOUNDATION, LOCATION F FEE$ FORMS, MATERIALS I• FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 3� 9U ILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMP60Y ANY P SON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF TH STT��TE OF LIF R Y� ING TO WORK1 j OAF Io�-yJy�J�N �( LATH. EXT. SIGNATURE/OFC _ / HOUSE NUMBER COR- PERMITTEE RE T AND POSTE ADDRESS .Z FI N A L JOHN F. LEWIS, PRINCIPAL ST5pCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH LJ iva DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B U I L D I N G 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ti J( / /U DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS .''� `. �S �._V 1'C !7S LOCALITY j �h7 Nft/ (�ah I RECEIVED BY DATE OF APPL. DATES ISSUED NEAREST CROSS ST. kA BUILDING OWNER .�,, ''A'. ADDRESS MAIL _ �ryF LOCALITY ' ^' ^ f1 NEAREST CITY "( NOL^�'� 't�.r� CROSS ST. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD. NO. ADDRESS N SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR _.�_ ,: NO. ' USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. / BLOCK � e^ TRACT // NO. OF SLOGS. SIZE OF LOT I NOW_ ON LOT ` USE OFNO.OF NO. OF— EXISTING F EXISTING BLDG. �Gb / I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p P. FT. NO.OF Z SIZE ROOMS STORIES D r WALL I ROOF COVERING � i (� , COVERING USE OF NEW I BUILDING tt -- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS —- — APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS OWNER LATH, INT.: AUTHORIZED AST. LATH, EXT.: F�EE PLASTER, INT. PLASTER, EXT. VALUATIONFINAL j �r. �, DEPARTMENT OF BUILDING AND SAFETY APPLICATION YOR PERMIT COUNTY OF LOS ANGELES ' ® ' WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING .. C _ ADDRESS --- -�/ + f �t 7" 1 f _LOCALITY / � f�{-.�8 i,_`; �, RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST Q ./ // - '7- CROSS ST. BUILDING f/� s OWNER 0 -14 a ��(L `+L� ADDRESS �- MAIL ADDRESS �� r S� awl ,S LOCALITY r" �-1 TEL. CROSSST CITY L I NO. ' FIRE NO.OF _ TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER _ NO. BLDG. / ORD.NO. ADDRESS SETBACK LIN /''' q� APPROVED _C_ONTRACTORPD(/f/ T jYj O/Y TEL BY ; ti.,�• CATe/p1 y < UFIE APPROVED ADDRESS _J L. , �� ZONE BY DATE LEALFF�� DESCRIPTION LOT NO. f -7BLOCK CORRECTIONS TRACT I NO.OF SLOGS. SIZE OF LOT i X I / V NOW ON LOT USE OFI NO.OF NO.OF EXISTING BLDG. FAMI LIES ROOMS DESCRIPTION OF WORK NEW ALTERATION I ADDITION A REPAIR MOVING DEMOLISH G7 Sq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING COVERING USE OF NEW BUILDING ;o I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, J ..�- BRACING,BOLTS SIGNATURE OF " - Eo—.,1( PERMITTE LATH, INT. AUTHORIZED AGT LATH, EXT. 76AS38A 9-48 DeS-3 SOM SETS $ O o P .C.S PLASTER, INT. zoo PLASTER,EXT. '•6 CJ � VALUATION EE FINAL i DEPARTMENT OF BUILDING AND SAFETY APPLICATION D I N G COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING cad Z ADDRESS 9679 Las Thnas Dr. L� RECEIVED BY DATE OF APPL. DATEISSUED LOCALITY Temple Cit NEAREST CROSS ST. Temple City Blvd. BUILDING ADDRESS OWNER Leo C. Anderson MAIL7� LOCALITY Tom• G ADDRESS 9679 Las Tunas Dry NEAREST TEL. CROSS ST. CITY Sample City NO. _ FIRE NO. OFI TYP GROUP ARCHITECT OR TEL. ZONE PLANS • ENGINEER NO. BLDG. / / r ORD. NO. SETBACK LINE ADDRESS APPROVED TELBY DATE CONTRACTOR Neon Products NO.At.2-6835 USE C 'L,APPROVED ZONE BY DATE ADDRESS 1240 S. Chapel, Alhambra _ HOUSE NUMBERING LEGAL _' ,- ,•_l ( DESCRIPTION LOT NO. BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF SLOGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OF I NO. OF _ EXISTING BLDG, FAMILIES DESCRIPTION OF WORK _ NEW I I ALTERATION I I ADDITION 0 REPAIR I I DEMOLITION I I I A O Sq. FT. NO. OF SIZE ROOMS STORIES Z D EXT. WALL ROOF r COVERING I COVERING USE OF STRUCTURE Neon Sian APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE IN GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATI�IGe�,1.�1i,p1Af6rd',Af11GTiRSyC.i�I .51GNS FURNACE: LOCATION, SIGNATURE OF IVGV(V rItVLJ1J�. F GAS VENT, DUCTS PERMITTEE �Zd�—CJn �:H�PEL — LATH, INT. ADDRESS LATH, EXT. AUTHORIZED ACT _ PLASTER, INT. 7EAGSBA- 0092 t0-so s P. C. $ J FEE PLASTER, EXT. VALUATION 400.00 FEE $ •,•I FINAL �'�"'�' ' �/ •; � �- WORKERS' COMPENSATION DECLARATION I hereto self insure,bor a certif caaffirmrte of Workers' Compensation I have a certificate ofconsent Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applicant CITY Wa ZIP LOCALITY . CERTIFICATE OF EXEMPTION FROM WORKERS' NOW ON LOT CROSS ST. COMPENSATION INSURANCE SIZE OF LOT . OF BLDGSNEAREST ASSESSOR //QC� (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK 5IJ7 PAGE PARCEL Q�n hundred dollars ($100) or less.) BTEL• USE ZONE O? D OWNER N �7 a z`fGIMA I certify that in the performance of the work for which this / SPECIAL a permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS O so as to become subject to the Workers' Compensation Laws. CITY ZIP U Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE Exemption, you should become subject to the Workers' I _ Q � w Compensation provisions of the Labor Code, you must forth- ADDRESS DO pj 5 r STATISTICAL CLASSIFICATI APT. CONDO. N a with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR .��� NO. Z_ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO, Z DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LIC. SEWER MAP NEW (commencing with Section 7000)of Division 3 of the Business _ �" ���C G' and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPT ON OF WORK NEW ❑ $ ❑ ,El ADD I am exempt under Sec. ALTER ❑ B.&P.C. for this reason PAIR ❑ $ Date: USE OF 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 Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By /�.eA BUILDING ElI, asbwner o t e 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, 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 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 P L. Lender's Name g �7 LDMA Ref. # P.C. Fee$ Permit Fee , Lender's Address 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 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby authorize represents ives of this County to enter upon tbs above-mentioned pro y for inspection pu oses. SEE REVERSE FOR EXPLANATORY LANGUAGE atur Applicant or A ant ate APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILD114G ANDSAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING [TBUILINGD RESS I hereby affirm that I have a certificate of consent to self insure, C �' or a certificate of Workers'Compensation Insurance,or a certified CI ZIP copy thereof(Se/c.33800,Lab.C.) LOCALITY Policy No.,& /]o2,�=�� Company J� I/U� k SIZE OF LOT NO.OF BLDGS.NOW ON LOT �ertified Copy is hereby furnished. NEAREST CR // TRACT BLOCK LOT NO. ❑ Certified Copy Is filed with th county building inspection USE ZONE MAP NO. department. Dater/S-90Applicant ( ASSESSOR MAP BOOK PAGE PARCEL , ( SPECIAL CONDITIONS OWNE TEL.NO. \_ CERTIFICATE OF EXEMPTION FROM WORKERS' YES NO COMPENSATION INSURANCE G WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred (" L DISTRIC j GROUP TYPE CONST. FIRE ZONE P ESSED BY dollars($hat or less.) `;IG CITY_ l ZIP � 1-1 -3 / 10 I certify that in the performance of the work for which this permit �C=�'Y! l I t Sr I., is issued, I shall not employ any person in any manner so as to [ARrH'TFr'r()RFNr.INEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICALSSIF CATION �PT 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 t0 the Workers' CO ACTOR / E O. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith f(3_3d71 L FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL 7 or F/y r� SIDE }• LICENSED CONTRACTORS DECLARATION CI LIC. LAS CPL 0 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.Or FAMILIES 0 NEW ❑ BK PG f Professions Code,and my license is in full force and effect. U �j �/� DESCRIPTION OF WORK ADD ❑ License Num r� LiC.Class t VALUATION poll. LLJ Contractor >L f� e �sJ ' ALTER El $ ✓C�L� Z_ ❑ 1 am exempt under Sec. REPAIR ❑ $ BAP.C.for this reason DEMOL ❑ LDMA P/C n Date. USE OF EXISTING BLDG. URM ❑ Signature APPL NT(PRINT) TEL.NO.` LDMA Perm k ? ❑ I, as owner of theproperty, or m em to employees with wages as / ��/rL Z Y P Y 9 ADDRESS _ O ?i s their sole compensation, will do the work and the structure is F I rT not intended or offered for sale (Section 7044, Business and A, FINAL DATE 0 j 3 7I_.34'2-' Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J R ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ; 1 ITEMS Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FIN B licensed contractors to construct the project (Section 7044, YES❑ NO❑ TOTAL ITAL Ila- 3u Business and Professions Code.) WILL THE INTENDED USE MI THE BUILDING BY THE APPLICANT IO FUTURE BUILDING r•LICF•L OCCUPANTREQUIRE MANAGEMENT TFOR CONSTRUCTIONORMODIFICATION FROM THESOUTH I lr7GL•C� 70.3S CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. /O I CHANGE 11L) I hereby affirm that there is a construction lending agency for YES 1-1NO El1 `7 the performance of the work for which this permit Is Issued(Sec. 3097,CIV.C. . I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE ANGELES W ) PERMITTING CHECKLIST I UNDERSTAND TI REQUIREMENTS UNDER THE LOS ANGELES 0 [ tr'! W COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 220.100 THROUGH 220.140 CONCERNING lil I Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 'yy L �{ a IJQ9t i Ati L°24 CL Lender's Address OWNER OR AGENT O o I certify that I have read this application and state that the above information is Correct. I agree to Comply with all County P.C.FEE PERMIT FEE b ordinances and State laws relating to building construction,and _ hereby authorize representatives of this County to enter upon ISSUANCE FEE L.. the above-mentioned property for inspection purposes. a � INVESTIGATION FEE TOTAL FEE r Signat—of APPtiunt w Agent Dete SEE REVERSE FOR EXPLANATORY LANGU GE WORKERS' COMPENSATION DECLARATION insure?or a certif carte of Worke s' Compensation Insuran of APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 'J �i PY Y ADDRESS / L/ owl ❑ Certified copy is filed with the county building inspec- BUILDING �] / /�Q tion department. P ADDRESS »»II / LA3 U/V `7 �!� ✓l Dare Applicant CITY /'/.E e ZIP /ev LOCALITY i / �- NO. OF BLD NEAREST t' � CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOTT /Z CROSS ST. Y " COMPENSATION INSURANCE ASSESSOR /�^� /p (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK 9� PAGE DIV PARCEL hundred dollars ($100)or less.) ^ TEL. OWNER Q �� f✓ L. USE ZONE MAP �� 026 I certify that in the performance of the work for which this n ss NO. permit is issued, I shall not employ any person in any manner ADDRESS /• 16 OP- C� / ISPECIAL >_ CONDITIONS a so as to become subject to the Workers' Compensation Laws. D O CITY ZIP Date Applicant ARCHITECT OR TEL. cy DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE 0 Exemption, you should become subject to the Workers' � a Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION " .APT. - CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 129ADWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION;-.. SO. FT. NO. OF / NO. OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION -••-•- Contractor Date DESCRIPTION OF WORK NEW El n _ or K ADD El $ 15f c poolF-11 am exempt under Sec. // WALTER _ B.&P.C. for this reason REPAIR ❑ $ "` -- Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT p� TEL. 1 �(1 J FINAL OWNER-BUILDER DECLARATION (PRINT) /w- Q l NO. / , a/ DATE I hereby affirm that I am exempt from the Contractor's License JJ CC Law for the following reason (Section 7031.5, Business and ADDRESS? !.• &2VhPZ#Y -G a 7l/ FINAL Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS ' wages as their sole compensation,will do the work and Poo.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. F.. with licensed contractors to construct the project (Sec- FADDE tion 7044, Business and Professions Code.) D TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY K YARD HW PROP. LINE WIDTH 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.). Lender's Name. Permit FeeLDMA Rf. # Lender's Address ,1 certify that I have read this application and state that the Issuance Fee LDMA P'C#above information is correct. I agree to comply with all County on Fee 9 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # 4 and hereby authorize representatives of this County to enter upo eabove-mentioned pr p ty fir inspection purposes. ,f/ay 91 SEE REVERSE FOR EXPLANATORY LANGUAGE SignotUp f Applicant of Agent Date 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 0510280001 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: TR: 6561 LT: 127 SQ. FT STORIES TYPE 9679 LAS TUNAS DR STRUCTURE: VN TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-010 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/28/05 JK 10/23/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL TF,, FI&kL BY: CODE: HAWAIL PROPERTY INC. (626) 307-0062- 800 D Q 1200 VALELY BLVD. / v SAN GABRIEL, CA FEES PAID DES RIP ION OF WORKL ADD A NON-BEARING INTERIOR WALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 800.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 800.00 VAL 65.40 FS INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 350.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610250006 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 127 SQ. FT STORIES TYPE 9679 LAS TUNAS DR STRUCTURE: 6 VN TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-010 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: EXPIRES ON: HANABI JAPANESE HOUSE EXIST OCC GRP: 10/25/06 JK 10/20/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DE FINAL BY: CODE: LEE, CATHY (626) 286-6850- 400 fes^ 708 SIERRA VISTA / V i FEES PAID DES IPTION OF WORK ADD A NON-BEARING INTERIOR WALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 400.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 400.00 VAL 43.65 TOTAL FEES 71.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1312100071 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: i ITR: 6561 LT: 127 I SQ. FT STORIES TYPE OCCUP GROUPI 9679 LAS TUNAS DR 1 I (STRUCTURE: 0 1 V-B B I TEMP CA 917802103 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: I 18587 -020-010 1 OTHER: I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: COMME 11SSUED ON: PROCESSED BY: I (EXIST OCC GRP: B 112/10/13 SR I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE / FI BY: CODE: 1 IHOA YOU LAI RESTAURANT - I 12,000 _SIJ 19679 LAS TUNAS DRIVE I I ]TEMPLE CITY CA 91780 I FEES PAID I •SCRIPTION OF WORK ] I ( IBUILD 1000 SF. PAVERS ON THE GORUND BUILD 86 SF. 28" HEIGHT I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:]CONCRETE BLOCK WALL ] (APPLICANT: TEL. NO: I I ] IWANG, STEVE (626) 307-9188- IAA BLDG PERMIT ISSUANCE 27.80 ] ] 1525 S SAN GABRIEL BL IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 ISPECIAL CONDITIONS: ] ISAN GABRIEL CA 91776 1AE STRONG MOTION OTHER 12000.00 VAL 2.50 ] I 1 ID2 PERMIT W/O EN-HC 12000.00 VAL 250.20 I [ 1 _1 TOTAL FEES 281.50 I i ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [ ISOARING PALACE CONSTRUCTION (626) 307-2688- 1 1 1 1525 SAN GABRIEL BL LIC. NO I ILOCATION AND SETBACKS 1 ! I I ISAN GABRIEL, CA 91226 383572 I 1 ���I I I ISOILS ENGINEER APPROVAL I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: - i (FOUNDATION/TRENCH FORMS I I I LIC. NO: ] ISLAB/UNDER FLOOR I I I 1 I IRATSED FLOOR FRAMING 1 I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I I I I 3 001 1 I I [FLOOR SHEATHING I I ] INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I 0 NO 20 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS ] I I (AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO I ]FRAME INSPECTION I I I I (FIRE SPRINKLER HANGERS I I I I 11NSULATION/WEATHER STRIP( I I (INTERIOR LATH/DRYWALL I I I 1 ]EXTERIOR LATH I 1 I I I I I I IRATED FLOOR/CEIL ASSEM. 1 I 1 I I IRATED WALL ASSEMBLIES I I 1 I I I I IRATED SHAFTS/OPENINGS I 1 IT-BAR CEILINGS I 1 ILOT DRAINAGE I ] I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 ] 1 I -,. ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 1=96 PHONE: (818) 285-0488 EXT: LEGAL INUMER OF SIGNS: UI TR: 65611 BLT: 127 SIGN DESCRIPTION: NEW PLASTIC INSERTS FOR EXISTING SIGN ASSESSOR NEAREST CROSS STREET: 8587-020-010 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXTIS-T BLDG USE: IS�6 ON: PROCESSED ON: ROMEINA PIZZA EXIST OCC GRP: 04/09/97 TC O4/"/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT FINAL BY: CODE: AMBROSIO ANTONIO;ROSA - 500 - -41 FEES PAID DES RI TION OF WOR NEW PLASTIC INSERTS FOR SIGN FEE DESCRIPTION: ` `QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: VS SAME AS OWNER - AA BLDG PERMIT ISSUANC?j 27,75 AE STRONG MOTION OTHER /r 500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE �00 54.70 D2 PERMIT W/O EN-HC 500.00 VAL 43.50 TOTAL FEES 126.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER -1_ LIC. NO CO LOCATION AND SETBACKS P.c ! n SOILS ENGINEER APPROVAL A L. sm o n n o rY , l e 1� -Fm-NYTION/TRENCH FORMS LIC. NO: ' SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 7 00 NO. OF FAMILIES: DWELLING UN TS: A / ND: STAT CLASS: 2 NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO 33-1 REPORT ID: DPR261 ROUTE TO: BS0508 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 9907230037 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 127 SQ. FT STORIES TYPE 9679 LAS TUNAS DR STRUCTURE: VN TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-010 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: COMME USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: ROMENIA PIZZA EXIST OCC GRP: 07/23/99 VG 01/19/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: AMBROSIO ANTONIO;ROSA (915) 695-2242- 800 1 P. 0. BOX 6024 (/ ABILENE, TX 79608 FEES PAID D R PT ON OF WORK BOLTING MANSARD TO STEEL PLATE BEHIND PARAPET WALL THRU FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LEDGER APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 800.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 800.00 VAL 65.40 TOTAL FEES 93.65 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC.-NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT ORENGINEER: TEL. NO: FOUNDATION/TRENCH FORM LIC. N SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP XNO: SEWER MAP BOOK: PAGE: FIRE ZONE: M� �B��C WORKS-) UNDERFLOOR INSULATION FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: PT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS j'�dir*. HEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION A © ®5 REQUIRED TOTAL SETBACK FROM EXIST 460FIRE SPRINKLER HANGERS SET FRONTTACK PL- YARD: HWY: PROP LINE: WIDTH: �C Se r Vic @ That V" INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH TED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS T DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508