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HomeMy Public PortalAbout9831 LAS TUNAS DR_Building__ 70A638A CE#803 8 83 APPLICATIOI4 FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 9 DEPARTMENT OF',COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST .� DISTRICT N GROUP TYPE 'P OCES ED BY FOR APPLICANT TO FILL IN 5 7 coNsr f BUILDING / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 9 ! �• ,L 41AI/¢'S /6 BK CLASS NO DWELL UNITS LOT NO Q BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVEDEl TRACT MAP HIGHWAY LLLLLLITT• NO OF BLDGS NO Q� (CIRCLE) STATE MAJO SECOND LOCAL SIZE OF LOT O NOW ON LOT - USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG OU /V TEL C` OWNERrn.�Aticy NO e BUILDING XIST YARD HWY STREET NAME WIDTH ADDRESS6 //t72 5^ SETBACK UN g FRONT ,ARCHITECT O TEL P L ) 19 ENGINEER NO SIDE / P L ADDRESS TEL G� CONTRACTOR NO -A? i1 rAOESS f�DESCRIPTION OF WORELu O ADD ALTER REPAIR DEMOLISH tST d ' IF NO ES FMIOLIES F 'TURETURE O F f l� '+ rc^,r �+3',pdr� is u.^iLICANTTION $ 5,2 /1►7r—f1 �`® '4' �" rM ,2 APPROVALS ATE INSPEECTOR'S•SI NAT/RE PC FOUNDATION LOCATION !• FEE $^—r--�� PM `j 1p FORMS, MATERI_ S` FRAME FIRE STOP .. I HEREBY ACKNOWLEDGE TH L I HAVE READ THIS APPLICATION BRACING BOTS 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 1 WILL NOT EMPLOY ANY PERSON^IN VIOLA. LATH, INT I TION OF THE LABOR CODE OF THE STATE OF ALIFO IA RELAT- ING TO WORKMEN S COMPE TION INSUR N LATH EXT SIGNATURE OF HOUSE NUMBER COR- pit PERMITTEE RECT AND POSTED ADDRESSFINAL �' (_ � ' JOHN F LEWIS PRINCIPAL STV RAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION M O CASH (� PLA�/c.d �,t Vbo 6 LAIU-0 7 2 9 9:2 JAN 6 1 D 5 6.5 0 datrx 0<t. Z. ; )9 d y ' �- rl -G—PERM 7 A83 A CE/1803 3.63APPLICATION FOR 13UILJ . 6 8 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST DIST ICT NO dRQUP TYPE R SE BY F(4 R.APPLICANT TO FILL IN ' � Z CONS . ci 1 3 1 - P L A _S STATISTICAL CLA S FICATION SEBK R%A��/ CLASS NO DWELL UNITS - �" BLOCK WATER. ❑ CERTIFICATE ,NOT REQUIRED RECEIVED TRACT - t MAP HIGHWAY NO OF BLDGS NO a (CIRCLE) STATE MAJO SECOND LOCAL _ SIZE OF LOT $0 NOW ON LOT USE ZONE SPECIAUSE OF L EXISTING BLDG PM-t ll 5�.RA6I� OWCONDITIONS �oCS3a1 NER j/C �� No BUILD EXIST SETBACK YARD HWY TRE ET NAM WIDTH GA�-g- RMso1 ADDRESS 1 FRONT �Q ARCHITECT OR TEL j_���O l P L ENGINEER - LO '�. D� NO 4JSIDE I' ADDRESS' d TEL 0 CONTRACT6R NO OL ADDRESS 0 DESCRIPTION OF WORK r, W NEWADD ALTER P IR DEMOLISH Z SQ FT7 NO OF �+' �• �' SIZE �j STORIES FAMILIES / USE OF n STRUCTURE SIGNATURE , /� Ole APPLICAN I VALUATION $ ` APPROVA S JfDATE INSPECTOR'S SIGNATURE PMT �4 OUNDATION LOCATIO FE FORMS MATERIALS FEE $ �J� �� FEE $ � '—' 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 WITHALL COUNTY ORDINANCES AND STATE LA EGULATING, GAS VENT DUCTS BUILDING CONSTRUCTION 1 FY THAT IN DING THE WORK - AUTHORIZED HEREBY I NOT MPLO A PERS IN VIOLA- LATH INT TION OF THE LABOR DE OF E ST E CAL RNIA RELAT- ING TO WORKMEN CO E ON UR CE LATH EXT SIGNATURE . HOUSE NUMBER COR- PERMITTEE RECT AND POSTED" ADDRESS L109 FINAL �f JOHN F LEWIS PRINCIPAL ST76E119RAL ENGINEER PLAN CHECK VALIDATIO CK M 0, CASH ; PERMIT VALIDATION cK M D CASH Uil,o,4 6 0 6 OCT 6 2 3 D 5 6.5 0 e 1 ' ' 5 6 4 '6 NOV 5' 1 D 11 3.0 0— d 76A638A CE#803 3-68 - APPLICATION F'OR• BUILDING P RMIT_ COUNTY OF LOS,+ANGELES BUILDING Q G DEPARTMENT OF COUNTY ENGINEER ADDRESS" ! 6 BUILDING AND SAFETY'DIVISION -LOCALITY, " E L,/-v Z JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP T OF BUILDING 1 CROSS ST. /� ' - ui U DISTRICT NO. GROUP TYPE PR SSED-BY L FAbORESS OR APPLICANT TO FILL IN �.� G /' CONST. Q Print or t` e only) U (J �-_ - � J STATISTICAL CLASSIFICATION �•: 5 W R MAP. W J. �. CLASS,NO•_�DWELL•UNITS - BK�PG�� j / BLOCK 'USE ZONE MAPNo w T RACT _ SPECIALDD J _ J NO.OF BLDGS. CONDITIONS ZE OF LOT !�.S / NOW ON LOT i -j E OF ISTINGBLDG! - -T BLDG.SETBACK FROM - NEL. FRONT PROP:•LI NE OF- - (STREET)WNER �� O. _ r TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL ADDRESS / 1 HIGHWAY WIDTH FROM C.L. z 12 CITY �} I��,�� 0 BLDG.SETBACK FROM- ARCHITECT OR t / TEL. SIDE PROP.LINE OF (STREET) ENGINEER f ! NO. TYPE OF EXISTING SETBACK HIGHWAY -} YARD = TOTAL ADDRESS I !t A HIGHWAY WIDTH FROM C.L ( TEL } CONTRACTOR ` OCC.�[''py• _ . ADDRESS m NO.L J ! CORNER CUTOFF YES ❑ NO ❑• V CITY crass SEE REVERSE SIDE FOR-SPECIAL APPROVALS DESCRIPTION OF WORK CL. NEW II ADD);,/ ALTER ' REPAIR DEMOLISH ,! SIZE. FT.t O NO OF NO. OF Q�c E STORIES FAMILIES y� USE OF „_. /tl/V ✓�P STRUCTURE A} 1 SIGNATURE .-. rl.. rl 1 APPLIURE VAL11 1 UATION$ l�fY �ridl a,©� APPROVALS DATE-,i•y INSPECTOR's SIGNATUR t — , 1• P.0PMT. FOUNDATION:LOCATION � y FEE $ ��7;•J Q FEE*S `2 Z. Q FORMS, MATERIALS FRAME: FIRE STOPS, [/J� 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 y GAS'VENT, DUCTS_ •• BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE,WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA •I f�� I} '�”' A" •% r]� �/,• �J.'C LLQ` TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. L„ ING TO WORKMEN S COMPENSATION INSURANCE rJ�' /SIGNATURE OF[//�j �(/� (� LATH, EXT, V f PERMITTEE r1• r\• e�A�16��/V�(1y�� HORECT ANDUSE EPOSOTED p �4 B ADDRESS FINAL 6 V 't (/- 1 Uwv PLAN/CHECK VALIDATION CK M o CASH _ JOHN F LEWIS PRINCIPAL STRU RAL ENGINEER PERMIT VALIDATION CK MO CASH 0 u 7 .2U Aly2-G 2 3 Q 1 3.50A '-Ar' a2 78 X 2 - ,� p 22.5,0 h -lbw a"4'l- F •� 78A838ACE#8038-84 T7- ' APPLICATION FO BUILDING PERMI COUNTY OF LOS ANGELES BUILDING 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_ DISTRI T NO GROUPTYPE PR-O SSED BY FOR APPLICANT TO FILL IN y CONST r BUILDING} o ) STATISTICAL CLASSIFICATION SEW R MAP .S9 yip ..� G ADDRESSf J/ `�• �- CLASS NO DWELL UNITS B K LOT NO BLOCK USE ZONEMAP - f' NO. TRACT f C••�2 SPECIAL ' F NO OF SLOGS CONDITIONS _ SIZE OFILOT f NOW ON LOT - USE OF./ r EXISTING f�JBLDG SETBACK FROM / ',,A n OWNER[ V + NO ?7.?-2Y L d0 FRONT PROP. LINE OF Vv�� (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADORE ISS HIGHWAY WIDTH ► M C L + CITY , BLDG SETBACK FROM ARCHITECT OR- TEL ENGINEER ) NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK H HWAY + YARD = TOTAL ADDRESS, // �9 g / Q HIGHWAY WIDTH FROM C L d CONTRACTOR e-D--4O NO 6 70'7'Z ��bs�+ + - OV ADDRESS (g -�' •C! NO / 7V CORNER CUTOFF YES NO O CITY CL ,SEE REVERSE SIDE FOR SPECIAL APPROVALS W ;DE CRIPTION OF WORK r °'N � , Z NEW )ADD ALTER REPAIR DEMOLISH �-p_ ^ A A SQ.FT -NO OF NO OF x (- SIZE STORIES FAMILIES )� Jjl-•r��-�-��� �„a U S E OF ! f'y-• �7 ft,31 ��)}/�' CYLT.CI STRUCTURE ° SIGNATURE OF /O nj �7'I R"� V� •/�^" " ��yr�� APPLICANT 'VALUAT,[ON$ APPROVALS 9ATE INSPECTOR'S SIGNAT E ' ,lPMT FOUNDATION, LOCATION FEE$ j FEE$ FORMS, MATERIALS 'FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ' BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE. LOCATION 1 /� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 1 �f 'BUILDING CONSTRUCTION I-CERTIFY THAT IN DOING THE WORK / 1 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT {I TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S C PEN TI N IN URA CE �m r� LATH EXT SIGNATURE OF /7f HOUSE NUMBER COR- RECT v ` PERMITTEE (((AAA WWW"' AND POSTED , 1 ADDRESS / - F I NAL ' f JOHN F LEWIS, PRI CIPA4L STRUCTURAL ENG R PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION CK M O CASH 0-00 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL:JN (Prinf or type only) - COUNTY OF LOS ANGELES BUILDING ADDRESS �.�` . ,PLr DEPARTMENT OF COUNTY ENGINEER CITY 7 ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS SIZE OF LOT ��Q NOW ON LOT ADI LDING _X DRESS TRACT BLOCK LOT NO -' LOCALITY y4 TEL NEAREST OWNER NG /fC /, NO �/lo CROSS ST � q 7� / ASSESSOR ADDRESS �Q��-Lr/c`.f %/Le (,/</ C (e d5� MAP BOOK PAGE• PARCEL I m• // � DISTRICT GROUP TYPE FIRE SED BY -CITY t of s!! �J' ZIP pO 6 Q p CONST ZONE z, ENGARCHNEERECT OR TELLGJe f� NO l�OJ7.9J o `- / - ' �p STATISTICAL CLASSIFICATION SEWER MI ADDRESS f�� !J G�?��� �- Jyu/��� CLASS NO DWELL UNITS �BK LkG TEL CONTRACTOR NO USE ZONE NMDA? ��U LIC ADDRESS NO ��L SPECIAL, LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED - YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH � BLDG SETBACK FROM FRONT PROP LINE OF (STREET) -ADDRESS- - CITY TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD SQ FT ) NO OF / NO OF CHECK - FRONT PROP LINE HIGHWAY WIDTH SIZE- -�� STORIES / FAMILIES- ONECL y DESCRIPTION OF WORK NEW ❑ + O BLDG SETBACK FROM cc ADD SIDE PROP LINE OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING v HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH USE OF '- REPAIR 13Z EXISTING BLDG• /� [DEMOL [3 + APPLICANT _ /,L TEL No 47729G/ CORNER CUTOFF YES ❑ NO ❑ (PRINT) f� C � — IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) _. - -L$3— ((_ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATI $3 OG S1. I HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES r t, AND,LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREB NOT EMPLOY"ANY PERSON IN VIOLATION OF , THE LABOR CODE OF 57ATE CALIFORNIA IN RELATING TO WORKMEN S COM +' PENSATION INSU CE AM • - - L � b/f�� t9 I)'�I I&1 449- dit SIGNATUREO 3� 12 K PERMITTEE' ADDRESS ' eS 0 '�i� / /fie U ? LH�J�D/� / DK 7-6 b�Y�✓ v CITsC iV�F� NOY77L/E�� DA EL 'Z/7�/ BY _;AAKE•CHECKS PAYABLE TO FEE' J L� / r FET $ HARVEY T.BRANDT,COUNTY ENGINEER / ,r�j G U PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK ' •M o O 'CASH 1M9 3 PR� 7 2.3- 0 2'5 1.1 G b , -- 1 3 5 �,�av 8 1 D 4 1 8.5 0 ,&-j6 ®s 76A638A CE#803 3 75 -•-,APPLICATION F94 COUNTY.-OF LOS'ANGELES DEPARTMENT OF COUNTY,ENGINEER BUI L D 1 N G P E R M 1 T BUILDING AND FETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS • BUILDING ADDRESS LOCALIT NEAREST CITY Th" ZIP CROSS ST NO.OF SLOGS I ASSESSOR SIZE OF LOT I NOW ON LOT MAP BOOK PAGE; PARCEL DISTRICT I GRO TYPE FIRE SSED BY TRACT BLOCK LOT NO _kJ`ONST !ObLEY' TEL. OWNER NO STATISTICAL CLAS FICATION _ SEWER AP AbDRESS.qMj116 E, CLASS NO.?�DWELL,UNITS BK PG .CITYT ZIP USE ZONE MAP NO ,:;2 U ARCHITECT OR TEL. - .,.��j SPECIAL ENGINEER NO CONDITIONS ' ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONTRACTOR TEL. 3 BLDG SETBACK FROM ' NO FFfONT PROP.LINE OF - (STREET) ADDRESS IC. Z O ` N HWAY }' YARD - TOTAL SETBACK FROM TYPE OF EXISTING L'IC. _ FRONT PROP LINE, HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER } a NAME AND.BRANCH BLD T6ACK-FROM o ADDRESS CITY SIDE PRO -O (STREET) C> SQ FT NO OF NO. OF CHECK HIGHWAY } YARD = TO TBACK,FROM TYPE OF EXISTING IZE STORIES FAMILIES ONE SIDE PR LINE HIGHWAY WIDTH O ' DESCRIPTION OF WORK NEW } C/) ADD ❑ CORNER CUTOFF' YES ❑ N ALTER ❑ - • .... . ❑ -IN OPEN SPACE YES ❑ NO REPAIR USE OF DEMOL ❑ IN,COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. APPLICANT - TEL05 (PRINT)' ` NO. - BY (SIGNATURE) 1 - I HEREBY ACKNOW EDGE THAT I HAVE READ IS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND GREE TO COMPLY WITH ALL ORDINANCES AND iLAWS REGULATI G BUILDING CON- - STRUCTIONI CERTIFY THAT IN'DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN IOLATION OF THE LABOR CODE OF THE STATE 0 A IF IN RELATING TO WORKMEN'S COMPENSATION SIGNATURE OF- .�r FINAL B(� PERMITTE 05 DATE ADDRESS K. TEL P.C. Fee$ Permit Fee CITY lL NO Issuance Fee VALUATION.$•- Total Fee- PLAN CHECK VALIDATION iEK^ M o CASH PERMIT VALIDATION CK M CASH 114.40 2.4:0.0 A98 76A688A CEN808B 12/75 78A838A CE#803 8.83-APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION ' LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS•ST DIST�.ICT r 1 G UP YPE F ES B FOR APPLICANT TO FILL IN CONST BUILDING C• / C U� STATISTICA CLASSIFICATION SEWER MAP ADDRESS L L / "r•BK G CLASS NO WELL UNITS LOT NO BLOCK WATER // CERTIFICATE NOT REQUIRED RECEIVED ❑ TRACT IQ MAP HIGHWAY NO OF SLOGS NO G O (CIRCLE) STAqjjl:0kZ ECOND• LOCAL SIZE OF LOT //$")( 7>0 NOW ON LOT USE ZONE 9PECIAL USE OF / CONDITIONS EXISTING BLDG C RR 0-v Fs u N "7 _ OWNER - mC741 LT NO �'J'r,� BUILDINGXIST + /� Q SETBACK YARD HWY STRE T NAME IDTH ADDRESS 6 /y 5t)A) 1,11 LA 25 M FRONT ARCHITECT OR TEL P L ENGINEER 5• QFiryp NO SIDE / P ADDRESS TEL CONTRACTOR NO OC ADDRESS O DESCRIPTION OF WORK ila� I W a NEW ADD ALTER REPAIR DEMOLISH //J� ''- N SO FT NO OF NO OF SIZE STORIES '•_FAMILIES USE OF R STUCTURE WaVIN4a S/4N SIGNATURE OF APPLICANT VALUATION I Q d'OO APPROVALS DATE INSPECTOR 5 SIGNA u P C PMT FOUNDATION LOCATION ^ /� FEE FEE J FORMS, MATERIALS pG F/ FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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 f BUILDING CONSTRUCTION I CERTIFY THAT IN,DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT F TION OF THE LABOR CODE OF THE STATE OF CAL FORNIA REL T. [[[ ING TO WORKMEN S C PIN INSU5094CE LATH EXT SIGNATURE OF HOUSE NUMBER COR- E PERMITTEE J RECT AND POSTED _ ADDRESS J FINAL JOHN F LEWIS RITNCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION ' CK M O CASH � PERMT VALIDATION CK MO CASH lr ,o73 9 9 JAN 11 1 D 1 9.75 " y Aj 1 G!aij r� ry✓ 76Abf' CE 4803 FOR BUILDIN PERMIT COUNTY OF LOS ANGELES ASSESSOR il J DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO. ADDRESS HARVEY-T. BRANDT, COUNTY ENGINEER, LOCALITY 9 FOR APPLICANT TO FILL IN NEAREST Print or tyve only) CROSS ST. BUILDING DIST ICT N GROUPJTYPE CONST. ►//� P O SS BY ADDRESS STAT15TICA��FICATION S WER MAP LOT NO O BLOCK _ CLASS NO. WELL,UNITS PG TRACT USE ZO^N�E MAP SIZE OF LOT/ S r`� r bt NOWOON LOTS / SPECIAL USE OF (/)) l_ O� CONDITIONS Ci- EXISTING BLDG, ` nCYO-'(�L �` G' Alt OWNERS •� c,l�, a �C Cl ,raBLDG.SETBACK FROM Y j y ADDRESS FRONT PROP.LINED (STREET) )- _ . ` ! - _ 7 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY �� / - HIGHWAY WIDTH OM C.L ARCHITECT O " v Z TEL + _ ENGINEER GL ; �c L� NO. Cly BLDG.SETBACK FROM ADDRESS/�r -�D t, t C �1(� c SIDE PROP.LINE OF (STREET) p TEL. TYPE OF EXISTING SETBACK HI AY + YARD = TOTAL � HIGHWAY WIDTH FROM C.L. CONTRACTOR [Ce,„ N P. (�•-(Jl,�I FS p 1 " ci ADDRESS LC. NO75-1- c +' - 1.1 LIC. a CITY 1."�Lc: CLASS )/ CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LEN R " NAME AND BRANCHa.SREVERSE SIDE F SP CIAL PPROVALS ADDRESS r`!�)_ lcY t tc �` iI L/ SQ FT ' NO OF NO. OF NEW //A-/- vy��lau STORIES FAMILIES ❑ - •TL,7L �/J ��.� " r✓ USE C f % ADD [/ STRUCTURE /A LTER h /S/7� /l :��CL? �.`z. •— ,� L(/ji•t. REPAIR❑ I SIGNATOR, OF / �' APPLICANT �J�r �� DEMOL ❑ �J�j pg� „Q � Q�v VALUATION $ + APPROVALS DANE INSP TOR'S 51 Ni TU RE / PMT. FOUNDATION: LOCATION FEE $ . C� FEE $ G -� FORMS, MATERIALS 7L 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 r STRUC 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 HE STATE OF CALIFORNIA RELATING TO WORKMEN'S CO E TION INSUR NCE - L LATH, EXT. SIGNATURE OF �� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 6AFINAL - PLAN CHECK VALIDATION cK M o CASH _ PERMIT VALID TON, CK mo CASH, b` -3. SEP 1:4 2 3 D 57.604 _I ', Li iUo 9 2 9,8•N OCT 1:8 1 D 9'6 to ON\ 76AG38A CE#803 8-63 APPLICATION FOR BUILDING RMIT COUNTY OF LOS ANGELES BUILDING Og �- DEPARTMENT OF COUNTY ENGINEER ADDRESS r/$ G( A.1 A'S BUILDING AND SAFETY DIVISION LOCALITY �/�/� /E (2,/ 7-fl JOHN A. LAMBIE:�COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST /✓E-5- DISTR. T NOG OUP TYPE ESSED BY FOR APPLICANT TO FILL IN t CONSIM 11t ADDRESS g 3 1 p � ,t�(�L STATISTICAL CLAS FI CATION S WK R MAP ,ry CLASS NO DWELL UNITS ,` LOT NO , V BLOCK 7 WATER CERTIFICATE NOT REQUIRED ❑ RECEIVED TRACT ' MAP ,ry HIGHWAY SIZE OF LOT 'IS X b NOW ON LOTS , NO . i(�'C� (uRCLE) •-STAT A OR ECOND, LOCAL USE IZONE SPECIAL USE OF /�//s�nniit� r/ CONDITIONS EXISTING BLDGL,KGK OL(T �[ �IwJ C / ' TEL OWNER RRN 1}�5�. CA'LT NO -.530 BUILDING YARD HWY„ TREET AME EXIST �ADDRESSk�s�.S SETBACK WIDTH • NSC 1S Q �� FRONT � ARCHITECT TEL / P L ENGINEER WAlG 12 NO O6�3�1 SIDE P L �I ADDRESS / d TEL V, CONTRACTOR NO ADDRESS / O DESCRIPTION OF WORK CL W ADD ALTER REPAIR DEMOLISH / / •` W FT NO OF NO OF V, `7 SIZE STORIES FAMILIES f / USE G STRUCTURE �E 6T_ p T f SIGNATURE,O APPLICAN VALUATIO Ks /O Dov- APPRO ALS DATE INSPECTOR'S SIGNATURE .PC PMT FOUNDATION LOCATI FEE $ FEE.$ FORMS, MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWL DGE THAT I HAVE READ THIS APPLICATION , BRACING BOLTS AND STATE THAT THE ABOVE I ORRECT-AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDI CES NO STATE LAWS REGULATING ., GAS VENT DUCTS - BUILDING CONSTRUC I CE Y TH IN DOING THE WORK _ AUTHORIZED HERE I ILL EMPLO ANY N IN VIOLA- LATH, INT TION OF THE L OR OF HE ST E AL F RNIA RELAT- ING TO WORK N'S PEN ON IN R LATH EXT SIGNATU HOUSE NUMBER COR- PERM ITT RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK M O CASH JOHN F LEWIS, PRINCIPAL STR RAL ENGINEER PERMIT VALIDATION CK M O CASH' 5-5 .0 3 NOV 2 2 3 D 1 9.7 5 A "° UACO57021 NOV 9 1 D 3 -.50 WORKERS' COMPENSATION DECLARATION •1 ht`f`+by affirm that•I hove otcerfificate of'consent to self tnsurer ora cert•ficate of Workers' Compensdtion Insurance, APPLICATION =F R B U I'L D I N G P.E RM1 T\ . or a cerhfied.co��•+hereofimpany', ec 3800,Lab C') �� �l �� COUNTY OF,LOS ANGELES`' BUILDING-AND SAFETY P�cy N , - - ied copy is hereby'furnished, ' FOR APPLICANT T TO FILL IN BUILDING ADDRESS Certified copy is'filed-with the coUnLylding mspec- \ BUILDING � t LILA tion department ADDRESS DaTa��� ` °} Applicant CI ZIP " LOCALITY NO OF BLDGS _ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS"': SIZE OFLOT'J NOW°ON LOT CROSS,ST COMPENSATION INSURANCEASSESSOR "(This section need not be completed if:the•permit is far,one TRACT'' BLOCK " LOT NO MAP BOOK PAGE PARCEL hundred'dol lars,($100)-or less ) - ; TEL OWNE � NO USE ZONE MAP I certify that in the performance of the work for which this , /�_, NOSPECIAL /7 n permit is issued, I•shall not employ any person in any manner ADDRESS �1 l.(r AVL 6v `t Li , CONDITIONS CL O so as to become subject to the Workers'Compensation Laws t., h�• °a U ' CITY ZIP C a rt. ' Date Applicant TELZI DISTRICT GROUP' TYPE' FIR-_ "rPR CESSED BY\ NOTICE TO APPLICANT If; after-making this Certificate.of N INEER LL �/�j NO CONST NE ' Exemption,r�you-"should' becomes subject to the Workers' nQx, f� L U Compensation provisions of the Labor Code, you must forth- ADDRE �! 7/V � _ o with .comply with'-such- provisions.or,, this permit shall be !!__ TEL 3L17 STATISTICAL CLASSIFICATION_ 11-01ART e CONDOZ deemed revoked ; CONTRACTOR — _ 7.'.NO �/( Q 7� A t LICENSED CONTRACTORS DECLARATION.• f. LIC CLASS NO Z: " v DWELL UNITS" ADDRESS '� IGc3tz�a® UC I hereby affirm that I am licensed under provisions of Chapter 9 y —tic SEWER MAP �: 1{I: i- (commenting with Section 7000)•of Division 3 of the Business CIN r0� �, 1+J.'-\ ,CLASS�1, G-1[t v ''and Professions,Code,and my license is,in full force and elle 1 BK ipG, �E-I?YALIDATl4F 5 j �(� SQ FT NO OF NO OF CHECK License Number Z/� `t�, Lic Class �-"�{a' SIZE STORIES FAMILIES ONE rcc .G VALUATION lig' d ate DESCRIPTION•OF WORK• �s th,NEW 0 _ 6a {{�EE c i.•�i ❑I am exempt under Sec` ✓tlT L l� A-LL Li HADD ❑{ ► F L_ -`ALTER:11 !{�li{i'. �•;'_#!' B&P C for,this reason ® � D $ •/ _ - REPAIR ❑ USE QF,^ _ _ r P * �j o• i fr{ i•r a is•' - Date EXISTING BLDG DEMOL O ature APPLICANT LICANT (PRFINAL 10 Q _ + r ° -r7 TOL OWNER-BUILDER DECLARATION DATE, I hereby affirm that I'om exempt from the Contractor's License �a ( .T j��� Law for the-following reason"(Section 7031 5, Business and ADDRESS f't FINAL ' Professions Code)_ PRESENT _ By _ {^t I �. 115 � 4 BUILDING '❑ I,,as owner of the property,,or my.employees with ADDRESS s 7 i•' r_`• `_ wages as theirs le'compensation,will dwthe work and the structure is rot intended or offered fof sale(Section LOCALITY- , OCALITY - 7044, Busmessaand Professions Code ) MOVING TEL rr , ' CONTRACTOR NO ❑ I, as, owner of the property;am exclusively contrdcting ~ with licensed'controctors•to-construct the project (Sec- ADDRESS' _ ' 7�{Iif{— {({�t� �f'!' '..L'•' hon 7044, Business and'Professions Code ) — REQUIRED YARD HWY ':TOTAL SETBACK FROM EXIST iy 7i, °1,; CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH i 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 L'ender's Name - - /S./ ly? ' ' LDMA Ref # c PC'Fee*$ + Permit Fee, Lender's Address o - 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 Iriveshgahon Fee-' t( /� R ordinances and State'laws relating to'buildmg construction, Total Fee ��J / LDMA Perm # , and hereby authorize representatives of this County to enter upon t oned property-for inspection purposes y � `Z ��t. QL-• SEE REVERSE FOR EXPLANATORY LANGUAGE ; Signature of Applicant or Agent Date ; I' f WORKER4' COMPENSATION DECLARATION �Ts insurer°a cert` ca�te of Worke shave a rificate of consnt to lCompensaf an Insuran elf r AP P L I CA 'I O N1 .-F O R B DING PERMIT or b certified c,py thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.rz 600�p Company j ❑ Certified copy is hereby furnished: FOR APPLICANT-TO FILL IN BUILDING ADDRESS El Certified Certified copy is filed with the county building inspec- ADDRESS � tion department. 11 DaTe�xApplica CITY ZIP M • _ordO LOCALITY OF BLDGS NEAREST CERTIFICATE OF EXE PTIO FROM WORKE SIZE OF LOT WON LOT CROSS ST. COMPENSA ION SURANCE ASSESSOR. ff (This section need not be'c ted if the permit is for one TRACT BLOCK LOT NO MA BOOKS� � PAGEOZ(P PARCEL 40Z hundred dollars ($100) or less.) TEL ZONE MAP OWNER NO NO. I certify that in the performance of the work for which this //,J SPECIAL o} permit is issued, I shall not employ any person in any manner ADDRESS o' 46 IN MA01 CONDITIONS so as to become subject to the Workers' Compensation Laws. 0 CITY ZIP tY Date Applicant ARCHITECT'OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO CONST. Z E F Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS N with.comply with such provisions or this permit shall be /� /+� TEL. STATISTI L SS FIC TIO AP CONDO. Z deemed revoked. CONTRACTOR AV I CON . CG NO. O� ��Z9 — LICENSED CONTRACTORS DECLARATION ,,nn���� LIC. CLA S N DWELL. UNITS — _r hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS SYU'� �i���� NO. 3�8_4-��c _ y (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 (-�' ,C�4r�AD4. CLASS BK mac- PGla --t/ALIDATION F�r 2�Q (2, SQ. F NO. OF NO. OF CHECK ---• r', License Number 3"`�y� Lic. Class'' J SIZE STORIES FAMILIES ONE ' 7t�w_r / El VALUATION [ i E_ I_ Contractor 1Y1�"t7 ;�NS �-O Date sES�7�- ' DRIPTION OF WOK , NEW ' - ADD F-1I am exempt under Sec. • ALTER �p ► i'j sC!•a+. = _° - B.&P.C. for this reason REPAIR ❑ D e: USI OF °- EXISTING BL DEMOL ❑ NT TEL. SigLaffirm APP(PRIANT). . NO. FINAL WNER-BUILDER DEC RATION DATE •�� fy..,. I hereb hat I am exempt fro the Contractor's LicenseDR :'r ~r•-' Law fof lowing reason (Section 7031.5, Business and ADDRESS � FINALProfessde): PRESENT By BUILDINGEl I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ?t"•?•:°" the structure.is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ► W•: ir - -- ❑ 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 �.•• _ �" �,„,j 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. f.v LDMA Ref. # .•Z(•, e rrc:-f: : m ii =: P.C. Fee$ ' Permit Fee /1;24 1p. _ _" ___ "•' "' Lender's AddressPill. :"z -•- 0 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 Investigation.Fee /�( 8 ordinances and State laws relating to building construction, Total Feed`'� / i "/ LDMA Perm. # a and hereby authorize repre tativea of this County to enter on Th b ve- ion petty for inspection purposes. a J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appli i or Agent Date i /I rIYWORKERS'COMPENSATION DECLARATION -- „ , F •a i �� �� ' T,"offum that I have"a ci,rtt care of consent,,to•self �� ielsure, or a certificate of Workejs _ompensat,,on Insurance, c AP ,LIC ®'� ® _ or a certifie cop thereof.(Se 3800, L°a$ C ) �� ~� t COUNT u• OF LOS`'ANGELES' BUILDING AND SAFETY Policy N2 D 3 �Mpan'y�/���i�. S. UG k z VC:rtrtfied'copy is'shereby furnished FO,R APPLICANT'TO FILL IN- . ADDRESS V ✓' �J ified`capy is_frl�'e with the-county building inspecBUILDING -yon dgpartmerif. ADDRESS /�✓P �'!c}S /ulVT3"S DIZ ' ,rr _ : iY 4, Dot Appliote CITY /� �r ZIP VIM) LOCALITY CERTIFICATE OF EXE MOM WORKERS e {: NO OF BLDGS ' NEAREST '' ? ; COMPENSATIRANCESIZE OF LOT NOW ON LOT• ra CROSS'STThisrsecTion need'not be corf the errnit is for one • ]' :-� ASSESSOR " .�hundred dollaeed'00)or.lep TRAGI^ BLOCK LOT NO _ f`o�7 MAP BOOK- PAGE PARCEL, ^ v 4 r TEL -? OWNER G ��7G 'S NO USE ZONE NO P ;',. •: I ce,tify•thai',n;the performance of the work for,which.this . T,�"/ ADDRESS d /SSD O/,i/�/�L L.' SPECIAL }}.. permit,is issued, I shall"not employ any person-in any manner ' Ili so as'to become sublect fo the Workers'Compensation' Laws /�� /� /� / ) CONDITIONS 0 CITY N! �L/ ��_ 'ZIP' V I / , Vd Date Applicdn �t NOTICE, TO APPLICANT ,If, er•' aking this Certificate 6f-- ARCHITECT OR a�//� TEL ;DISTRICT "•vGROUP• TYPE FIRE PROCESSED,BY - ,� Exemption, you should b come, sub to`,the Workers; ENGINEER , CONST j ZONE 0; " Compensation provisions o the bor:�Gode;:you'must forth- DDRESS with-comply, with such-p v ns or thisC.'permit shall be - > TEL / STATISTICAL CLASSIFICATION APT'. CONDO cf)j ' deemed revoked CONTRACTOR 1/ NO - aZ LICENSED CONTRACTORS DECLARATION' / uC 7 CLASS NO DWELL'UNITS Z I hereby affirm that I am licensed.under provisions of Chapter,9 ADDRESS'` - NO j ' '• SEWER MAP - -� (comrnencuig with Section 7000)of Divisior;�3 of the Business and /� --^^ -- �, ��UC s Professions Code, and my license is.in full force'and effect CITY !/rb'- �� '. s= CLASS / VALIDATION, ` SQ FT NO OF NO OF•^i CHECK. BK �PG FD SIZE STORIES FAMILIES' 'ONE License Number Lic Class , ALUATION tyy /,lye DESCRIPTION OF WORK LLILP/I`fL :�Qlv NEW ❑ ,Vt1 ✓ Contractor tD Date `w ADD $ v 000 I am exempt under Sec '4 gC�` a E i�N ALTER ',❑ B 8P C. for this reason f i_O 1'r REPAIR ❑ $ , USE OF cin .Y Date' ^, SSV � ✓T+ (AI(bS— DEMOL 4- f EXISTING BLDG r f 9 6 A' Signature �• APPLICANT_, Q /� TEL �'• g PRINT -ice T� MiAIT NO�d-S'fc}3 FINAL OWNER-BUILDER DECLARATION DATE - I hereby affirm that I am_'exempt from the Contractors License " !at I Law for the following,reason (Section 7031 5, Business and' ADDRESS' I'I•So' Foo-rt} tog,-�(✓�. GAG FIN /; '/g Professioris•Code).' 'o QQ �. BY' a� �, BUILDING, e6,2 6'T''l • I as owner of„the.property, or my employees with ADDRESS I wages os theu•sw ole compensation, ill do the work and d} ( rhes tructure is not intended or offered for sale Section, LOCALITY f 7044, Business andC ,Professions' ode)' ( ' ` MOVING -TEL V ' CONTRACTOR NO., •' Hy I I;as owner of the property, am exclusively contracting, T _ with licensed contractors'to construct Ike prolecT (Sec ADDRESS -tion-7044, Business and Professions Code) TOTAL SETBACK REQUIRED` _ ” CONSTRUCTION LENDING•AGENCY SET BACK YARD, HWY PROP LINE WIDTH,, . F .•I'hereby affirm that there,is a construction lending agency for. FRONT I"- the performance of the work for which this permit is issued.3 P-L}- - }- =i y �+ , (Sec'3097, Gv•C') SIDE ' # s o,ii •c Lender's Name' ,. > CDMA Ref # 417 2 P C"Fee-E Permit Fee' °3 t' L1 - ,' 'o ,c� 7 'Lender's Address •� ��,-S ®� O a, I certify-1FiaT l Have read this application and state that the s• Issuance Fee (S LDMA<<P/G#i, i� {t �i 1 I( Q 6 8,V above information is correct I agree to comply with all County Invests anon Fee ' -11, � 4 a ordi_nances'and'State laws"relating to building construction, - g - - T'` `�•- '" •7+„ .t ` 9 - - Total'Fee LDMA Perm # R and hereby authorize representatives of-this County to enter p the above-m ntion'edd property for inspection purposes SEE REVERSE FOR EXP LANATORYtLANGUAGE ° k a 9nature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION " I hereby affirm that I have'ik certificate of consent to self - A P P'L I C AT I O U FOR. BUIL®I N G �P E RM I T � •' nsure, cTa certificate of Workers' Compensation Insurance, - or a certified copy thereof (Sec 3800, Lab C ) - /� ;ZwS. [�, hi-� COUNTY OF LOS ANGELES- BUILDING AND SAFETY Policy N2�2��J_l� Compony - ; ElCeitified copy is hereby furnished FOR APPLICANT-TO FILL IN BUILDING ADDRESSirk 31 S 721 41A S ❑ CePfcopy is filed with the courity building inspec- BUILDING ya• rt oADDRESSDate Applicant ( C� �� i CITY, `iZIP LOCALITY 1CA OF•EXEMPTION FROM WORKERS; a NO OF BLDGS NEAREST" ',COMPENSATION INSURANCE - SIZE OF LOT NOW ON LOT CROSS .jf,� (This section need not be completed-if the permit is for one ASSESSOR hundred dollars(E100)or less ) TRACT BLOCK LOT NO I MAO BOOK� PAGE PARCEL TEL r •,� USE:ZONE I certify that,in the performance of the work for-which this OWNER. G NO NO '•' permit-is issued, I shall not,employ any person in any manner /a. SPECIAL so as to become subject to the Workers'•Compensotion Laws ADDRESS �� CONDITIONS t CITY ZIP F Date Applicant ARCHITECT OR `TEL DISTRICT GROUP TYPE FIRE ROCESSED'BY NOTICE TO APPLICANT If, after'making-this,Certificate of ENGINEER,+,' NO Exemption, you should become subject, to ,the Workers' i '1 Q COt�&�j� NE Compensation provision`s of the'L6bor Code, you must'forth_ ADDRESS •�% Ll ��� V"�` with comply`with such provisions or this permit -shall be TEL _ STATISTICAL,CLASSIFICATION APT• CONDO' deemed revoked , CONTRACTOR NO • LICENSED CONTRACTORS DECLARATION,, uC CLASS NO DWELL 'UNITS . I hereby,affirm that I am'licensed'under provisions of Chapter 9 ADDRESS_-E-_/0 'NO �Z ' SEWER MAP - r (commencing with Section 7000)of Divisiort 3 of the Business and , LIC ' Professions Code, and my license is in full force and effect CITY w' s CLASS•f�i �•l7. BK VALIDATION SQ FT NO OF NO OF. "CHECK ^ License Number Lic Class C _j V SIZE STORIES FAMILIES :ONE S8 VALUATION ,/�h)aDESCRIPTION OF WORK NEW /•i - Contractor a t Dr � ADD ❑ S � O ❑ I am exempt under Sec t h ALTER ❑ B&P C` for this reason a71 REPAIR ❑ _ x•- N USE OF ❑ Z Date EXISTING BLDG DEMOL' Signature APP(PRAT) NO FINAL ' = s ; OWNER-BUILDER DECLARATION DATE AC C1 ,g hereby affirm that I am exempt from the Contractor's License " R' Law for the following reason (Section 7031 5, Business and ADDRESS FINAL _,07 _ Professions Code) RE By, ❑ t BUILDING j, ,as owner of the property, or my employees with, ADDRESS ty --r•- wages as their sole compensation,will do the work and F A f AL - 31- _00 LOCALITY the structure is not intended'or.offered for sale(Section 7044, Business'and Professions Code) MOVING _ TEL Y �. �i.;t �%;�il�' ❑ j, asowner of theproperty,'a"m,exclusivel contracting CONTRACTOR NO _ Y, 9. 4 CHANGE .I 0 .rte with licensed contractors to construct the pioject'(Sec- ADDRESS � � ° - � - tion 7044,-Business and Professions Code) 'REQUIRED TOTAL SETBACK , CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH i { I hereby affirm that there iso construction lending agency for ' FRONT 2 ,_9 the performance of,the work_for which this permit is issued P L •i+t_t�, �'' rlI�l (Sec ,3097,,Civ C ) SIDE _ PL ' Lender's Name m LDMA Ref q P C Fee$ Permit Fee ;Lender's Address I certify that I have read this-application and state that the Issuance Fee U LDMA P/C N above information is correct I agree to comply with all County Investigation Fee } 0 ordinances and State laws relating to'building construction, Total Fee`,Jv,' LDA &A Perm 11 - and hereby authorize representatives of this County to enter upo the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date-- , WORKERS',K_ BATON DECLARATION affirm that I have a certificate of consent to self yCertificate of�W-2rkers+Compensation Insurance, APPLICATION'. "FOR BUILDING PERMIT � of eified copy ereof (Sec. 3800, Lab. C.) _. q ''COUNTY OF.LOS ANGELES BUILDING AND SAFETY Policy No. g /-" Company Certified co is hereby furnished. BUILDING copy Y FOR APPLICANT T.O FILL IN . ADDRESS Certified copy is filed with the county building inspec- BUILDING I / ,/ /� dC D tion department. ADDRESS 1931 /`Lll� [ VN'v ^ Date ` Applicant CITY �/ G// ZIP LOCALITY CERTIFICATE OF EXEMPTI FROM WORK RS' NO. OF-BLDGS. NEAREST COMPENSATIO I SURANCE SIZE OF LOT NOW ON LOTIF 7_ CROSS.ST. (This'section need not be com ted if the permit is for.one ASSESSOR, -hundred dollars ($100)or less..) TRACT BLOCK LOTNO.' MAP BOOK PAGE PARCEL �• / LL TEL. USE ZONE MAP OWNER` l�'�` ( 7S//i NO. 1 certify that in the performance of the work for which this ' NO. 'permit is issued, I shall'not employ any person in any manner 5 /' i� SPECIAL so as to became subject to the Workers'Compensation Laws. ADDRESS lll��� CONDITIONS U Date Applicant CITY _ _ZIP IM . NOTICE TO APPLICANT: If, after Makin ARCHITECT OR this Certificate of ��yy Exemption, you should become subject to the Workers' - -- ENGINEER /V !.t TELN® DISTRICT GROUP TYPE FIRE PR CESSED BY� �'(�� J( CONST.: ZQNE Ln Compensation provisions of the Labor'Code, you must forth- ADDRESS with comply with such provisions or this permit shall be- - av9 CONTRACTOR ���-0 �Op/ TEC71 STATISTICAL CLASSIFICATION APT. �ONDO. deemed revoked. / NO. b3�IN q LICENSED CONTRACTORS DECLARATION p �O�p ` LIC -:Ke -I# CLASS NO. L 1/1�DWELL. UNITS — I herebyaffirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC - - SEWER MAP Professions Code, and my license is in full force and effect. CITY �h��K- CLASS BKPG! VALIDATION SQ. FT. NO,OF NO.. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION_ DESCRIPTION OF WORK 4r4oR NEW ❑ z8 O Contractor Date _ ADD ❑ $ _01 g b ❑ I am exempt under Sec. L ' 5 [:] 1 o, c = ALTER (/s'J O 0 ` "Q 0B.&P.C. for this reason � �--U/� ,� ❑ - $ �d ,7 - REPAIR Date: USE OF L_ EXISTING BLDG. DEMOL Signature _ APPLICANT TEL.7FINA g OWNER-BUILDER DECLARATION PRINT) NO. I hereby affirmthat I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS M �` FINA 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 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). :2 b 72 1 A CONSTRUCTION LENDING AGENCY REQUIRED.SET BACK YARD HWY TOTAL SETBACK FROM PROP. LINE WIDTH EXIST. � '# 0 0 0 0 2 3 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. - -1 3.7. 0 7 (Sec. 3097, Civ. C.). SIDE P.L. a a 1 3707 Lender's Name KY.�) o �vy iV LDMA Ref. # '03,24-87 m P.C. Fee$ i Permit Fee ' Lender's Address I certify that 1 have read this application and state.that the Issuance Fee - LDMA P/C# Q above information is correct. I agree to comply with all County Investigation Fee m ordinances and State laws relating to building construction, •S'(� u and h b authorize representatives of this County to enter or Cal Fee LDMA Perm. # upon ov entioned property for inspection purposes. a �- 4(_�a.B SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of A plicant or Agent Date - - - - - - 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 9912070004 PHONE: (626) 285-0488 EXT: LEGAL--ID NO. OF CONST NEW 5 '! 71dL A DRESS: TR: 6561 LT: 69 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9831 LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802209 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES 8587-026-025 TH&A4S PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: MC DONALD'S EXIST OCC GRP: B 12/07/99 UT 06/04/00 0W,,,E;z TP, , NO; BLDGS. NOW ON LOT: VALUATION• (FINAL DAIE FINAL BY: CODE' MORRISON E2,000 NDENBR00KRD 205 I FEES PAID DESCRIPTION OF WORK ' ANSUL SYSTEM FOR REMODELING AT FAST FOOD RESTAURANT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: MARX BPOThERS FIRE EXT. (323) 263-6954-- 63-6954 AA BLDG PERMIT ISSUANCE 27.75 1150 S. SOTO ST. AE STRONG MOTION OTHER 2000.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES, CA ID2 PERMIT W/0 EN,H ®2000.00 VAL 82.20 ��E�®EKES 110.45 CONTMARXRBROTTHERS FIRE (323)N263-6954 �O J �Ay APPROVALS DATE INSPECTOR SIGNATURE 1159 SO. SOTO ST. LIC. NO LOCATION D SETBACKS LOS ANGELES, CA 298221 C16 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOU ON/TRENCH ORMS LIC. N0: I llillll SLAB/UNDER FLOOR {I RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,. UNDERFLOOR INSU LATION 3 0' O tuU � C WO� v 3 FLOOR SHEATHING NO. OF FAMILIES: DWELLING : APT/COND: STAT CLASS,:— NO 22 F� O 5� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \\ D _5rl/ SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO Q ®� FRAME INSPECTION 4 Q� FIRE' SPRIN LER HANGERS D= C Service����� INSULATION/WEATHER STRIP INTERIORL TH/DR L EXTER OR LATH r RATED FLOOR/CEIL . RATED WALL ASSEMBLIES RATED A E I GS T-BAR CEILINGS LOT DRAIRTUE REPORT ID: DPR261 ROUTE TO: BS0508 t 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 9910190042 PHONE: (626) 285-0488 EXT: GA ID: NO. OF CONST EW BUILDING ADDRESS: TR: 6561 LT: 69 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9831 LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802209 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-026-025 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESS BY: EXPIRES ON: MC DONALD'S EXIST OCC GRP: B 12/01/99 UT 05/29/00 OWNER TEL. NO: YL—DGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: MORRISON TERALEE N 50,000 + I 205 LINDENBROOK RD FEES PAID DESCRIPTION OF WORK KITCHEN REMODEL - TENANT IMPROVE ENT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT; APPLICANT: TEL. NO: PERNECKY Al PLANCHECK W/EN-HC 50000.00 VAL 779.73 2877 E. FOOTHILL BL AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: PASADENA, CA AE STRONG MOTI0N!!!-'OTHER:7�50000.00 VAL 10.50 A2 PERMIT WEN T.00doOIAEES VAL 1,735.34 I_ CTR ONA,TOR: TEL. NO: ®6J AP_PROVALS DATE INSPECTOR SIGNATURE CRABB CONSTRUCTION (909) 305-2088- 5135 VALLEY CENTER AVE LIC. NO LOCATION AND SETBACKS COVINA CA 91724 67799L B SnTLS ENGINEER APPROVAL ARCHITECT OR CNGINEER: TEL. N0: / FOUNDATION/TRENCH FORMS LIC. N0: 111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION @!0. OF FAMILIES: DWELLING UNITS: AP COND: STAT CLA 16 DU4 �U O L C W O��3 FLOOR S EATHING NO 22�` Zf 0 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS Q o . SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 ❑ � �` NO NO NO ❑ ®y FRAME INSPECTION 48� El I0Q� FIRE SPRINKLER ANGERS 'C service Yh�� INSULATION/WEATHER STRIP INTERIOLATH/DRYWALL EXTERIOR LATH RATED,FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATCD-SHAFTS/OPENINGS T- AR CEILINGS T DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1211210033- PHONE 211210033PHONE (626) 285-0488 EXT LEGAL ID. INUMBER OF SIGNS 14 BUILDING ADDRESS ITR 6561 LT 69 BL- 001 ISIGN DESCRIPTION: 10 WALL SIGNS 2 MONUMENT (MENU BD) 2 9831 LAS TUNAS DR I I TEMP CA 917802209 (ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS STREET 1 18587-026-025 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY CAI 1TENANT (EXIST BLDG USE 11SSUED ON PROCESSED BY 1 IMACDONALD'S CORP JEXIST OCC GRP 111/21/12 SR 1 I I I I 10WNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL PATE FI Y CODE IMCDONALD'S CORP - _ 18,000 19831 LAS TUNAS DRIVE 1 1 1 TEMPLE CITY CA 91780 FEES PAID 1DL-S I�PTI OF WORK 1 110 WALL SIGNS (3 @ 36 SF, 4 @ 13 3SF, 1 @ 3SF, & 2@2.5SF) 1 1 IFEE DESCRIPTION QUANTITY- DOM AMOUNT 12 MONUMENT (MENU BOARDS) @ 43 31 SF, 2 CANOPY (DRIVE 1 (APPLICANT TEL. NO I (THROUGH) SIGNS, 1 DRIVE THROUGH SIGN, THREE DIRECTIONAL * 1 IIADIPADO, STEVE (310) 427-5705- IAA BLDG PERMIT ISSUANCE 27 80 1 I 11700 W ANAHEIM ST IAB STATE GREEN BLDG FEE 18000 00 VAL 1 00 ISPECIAL CONDITIONS I (LONG BEACH CA 90813 ID1 PLANCHECK W/0 EN-HC 18000 00 VAL 298 40 1 ID2 PERMIT W/O EN-HC 18000 00 VAL 351 00 1 1 1 1 TOTAL FEES 678 20 1 1 ICONTRACTOR TEL. NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE ISUPERIOR ELECTRICAL ADVERTISING (562) 495-3808- I . 1 11700 W ANAHEIM STREET LIC NO 1 (LOCATION AND SETBACKS 1 (LONG BEACH CA 90813 271598 I 1 1 I 1 I 1 (SOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I ' I 1 LIC NO 1 (SUPPORT STRUCTURE I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 I I I 001 I I NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 20 1 SCHOOL WITHIN HAZARDOUS 1 1 1 1 (AIR QUALITY 1000 FEET MATERIALS 1 I I 1 NO NO NO I I I I I I I I I I I I I I I I I I I I I I I I 1* ADDITIONAL DATA ON FILE I I I I 1 (REPORT ID• DPR261 ROUTE TO BS0508 1 1 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112140061 PHONE (626) 285-0488 EXT LEGAL ID INUM13ER OF SIGNS 14 ' I BUILDING ADDRESS ITR 6561 LT 69 BL- 001 ISIGN DESCRIPTION 10 WALL SIGNS 2 MONUMENT (MENU BD) 2 9831 LAS TUNAS DR TEMP CA 917802209 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET. 18587-026-025 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY CAI TENANT IEXIST BLDG .USE JISSUED ON PROCESSED BY 1EXIST OCC GRP 112/14/11 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL ATE FI Y CODE IMORRISON TERALEE N - - 12,500 1 1205 LINDENBROOK RD / FEES PAID I�IPTION OF WORK 1 110 WALL SIGNS (3 @ 36 SF; 4 @ 13 3SF, 1 @ 3SF, & 2@2 SSF) I I IFEE DESCRIPTION: QUANTITY UOM AMOUNT 12 MONUMENT (MENU BOARDS) @ 43 31 SF, 2 CANOPY (DRIVE 1 (APPLICANT TEL NO I (THROUGH) SIGNS, 1 DRIVE THROUGH SIGN, THREE DIRECTIONAL * I ILE MENAGER, WARNER (323) 244-0251- IAA BLDG PERMIT ISSUANCE 27 80 1 1 151-A NO BONNIE AVE JAB STATE GREEN BLDG FEE 12500 00 VAL 1 00 (SPECIAL CONDITIONS. I IPASADENA CA 91106 - JAC STRONG MOTION RESID 12500.00 VAL 1.30 I I 1 ID2 PERMIT W/O EN-HC 12500 00 VAL 267.70 1 I 1 1 TOTAL FEES 297 80 1 I ICONTRACTOR: TEL NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ISUPERIOR,ELECTRICAL ADVERTISING (562) 495-3808- 1 11700 W ANAHEIM STREET LIC NO 1 LOCATION AND SETBACKS 1 _ ILONG BEACH CA 90813 271598045 I1 I 1 ISOILS ENGINEER APPROVAL I I 1 I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I I LIC NO 1 ISUPPORT STRUCTURE I 1 1 I I I I I I MAP NO SEWER MAP•BOOK PAGE FIRE ZONE CMP 1 I I I 001 INO OF FAMILIES DWELLING UNITS APT/COND. STAT CLASS 1 I I I I NO 20 1 SCHOOL WITHIN HAZARDOUS 1 1 1 1 1 1AIR QUALITY 1000 FEET MATERIALS 1 1 NO NO NO i 1 I I I I I I I I I I I I 1 1* ADDITIONAL DATA ON FILE I 1 I 1 1 IREPORT ID DPR261 ROUTE TO 9S0508 1 1 1 1 I I I I I I O�UN`iY OF LOS ANGELES TEMPLE CITY # 0508 - BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ,91780 BL 0508 12020600,04 PHONE (626) 285-0488 EXT -(LEGAL ID NO OF CONST NEW I BUILDING ADDRESS ITR 6561 LT 69 BL- 001 1 SQ • FT STORIES TYPE OCCUP GROUPI 9831 LAS TUNAS DR 1 '{ ISTRUCTURE 5502 1 V-B _ A-2 TEMP CA 917802209 (ASSESSOR INFORMATION NUMBER �• - NEAREST CROSS STREET AGNES 18587-026-025 ' - THOMAS PAGE 597 • GRID A3 LOCALITY TEMPLE CITY, Cl (TENANT (EXIST BLDG USE. COMMS USE ZONE C­ TISSUED ON PROCESSED BY 1 IMCDONALD'S USA, LLC 1EXIST OCC GRP A-2 107/18/12 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL aY CODE ' (STAMPS, CHRIS (562) 753-2001- 238,267 I • - 1 13800 KILROY AIRPORT _ - I - I• (LONG BEACH CA 90806 ' - FEES PAID n5CRIPTIO& OF WORK - I I IREMODEL & ADDITION OF 1285 SF TO EXISTING RESTAURANT IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 ' •- (APPLICANT- TEL NO I IBICKEL UNDERWOOD- ELAHI, MASOOD (949) 757-0411-28 'A1 PLANCHECK W/EN-HC 90000 00 VAL 1,167 90 ' MIT ISSUANCE 27 80 ISPECIAL CONDITIONS 13600 BIRCH ST #120 IAA BLDG PER - INEWPORT BEACH 92660 IAB STATE GREEN BLDG FEE 238267 00 VAL 10 00 1 I - TAE STRONG MOTION OTHER 238267 00 VAL 50 00 - I _ IA2 PERMIT W/ENERGY-HC 238267 00 VPL 2,537 10 ' . (CONTRACTOR _ - TEL NO 108 CERTLF OF OCCUPANCY 101.40 (APPROVALS DATE INSPECTOR'SIGNATURE 1 ICRABB CONSTRUCTION CO (909) 305-2088- I TOTAL FEES 3,894 20. 1 1 15135 VALLEY CENTER AVE LIC NO I ILOCATION AND SETBACKS 1COVINA CA 91724 677894-B * - _ SOILS ENGINEER APPROVAL - ` ( .w I 'ARCHITECT OR ENGINEER TEL NO U\0�� �� V..(iN �5 t,L� lJ�^ 1F0'JN7DATION/TRENCH FORMS 1 I 1 IBICKEL UNDERWOOD, A CALIFORNIA CORP (949) 757-0411- 13600 BIRCH STREET, SUITE 120 LIC NO ' ISLA-p/UNDER FLOOR /,Ifs Jr INEWPORT BEACH, CA 92660 NONE 1 I RAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK_ PAGE FIRE ZONE CMP 'UNDERFLOOR INSULATION I15OH269 _ - 3 00 Al ��'J' . 1"` •(1 �.r c Jot Q ��� FLOOR SHEATHING I _ INTO_ OF FAMILIES DWELLING UNITS. APT/COND STAT CLASS I Y"4 t� V` ' - 0 NO 22 i t h �' 1 ROOF'SHEATHING ' 1 SCHOOL WITHIN HAZARDOUS r 'SHEPP PANELS (AIR QUALITY.t 1000 FEET MATERIALS I NO NO NO (FRAME INSPECTION ' 1 . - —1 a F' ,pn (FIRE SPRINKLER HANGERS ' INSULATION/WEATHER STRIP I tIINTEP.IOR LATH/DRYWALL � rI-;?' I EXTERIOR LATH I ,• - _ 1 V _ — 'RATED FLOOR/CEIL ASSEM- 1 ' I i cc)vore c���y RATED WALL ASSEMBLIES I I • I f!`��, (RATED SHAFTS/OPENINGS I IT-'BAR CEILINGS ' i* ADDI ]�AL�, * FIL ,�tY � �� 1.1• � ��� I LOT,DRAINAGE 'REPORT ID Da 26� (ROUTE'TO 1p 0508 '