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Home My Public Portal About9906-9910 LAS TUNAS DR_Building__ WORKERS,COMPENSATION DECLARATION b insureoa ra certifi atte of Worke s' Compensationnt t Insuranceelf, ', � AP'P-L�ICATION FOR- BUILDING PERMIT ora Certified-copy,thereof (Sec 3800;Lab C ) COUNTY OF LC�S,ANGELES BUILDING AND SAFETY Policy No Company+ i BUILDING _ ' '❑ Certified,copy,is here'by.furnishecl f FOR APPLICANT TO FILL IN ADDRESS ❑- Certified copy is filed with the county building mspec- ADDRESS" tion department. ' Date Applodnt' CITY `e�lYl ZIP LOCALITY e0 fClt, „ O OF BLDGS, _ NEAREST CERTIFICATE OF EXEMPTION'FROM WORKERS" SIZE OF LOT OW ON LOT CROSS ST COMPENSATION INSURANCE" �'' , ` ASSESSOR (This section need not be,completed-if the permit is for'one TRACT BLOCK LOT NO^ MAP BOOK PAGE . PARCEL hundred dollars ($100)or less ) TEL ' OWNER _ .. NO' '- USE ZONE� NO .�D --I certify that in the performance of the work fog which'this - r >_' - permit is issued,•I shall not employ any person-inany 'ti any manner-� ADDRESS _ _ -� � CONDITIONS . O ' so as to become sublectFto the Workers' Compensation Laws _ U CITY 'ZIP Date Applicant ' ' ARCHITECT OR TEL DISTRICT G OUP TYPE FIRFt', o_1PROCESSED BY O NOTICE TO APPLICANT If, lifter making this.Certificate of ENGINEER NO , " CONST ZINE" ; FExemption, you should become subject.to the Workers' �¢� G i IL;+ Cluj Compensation"provisions of the Labor Code, you.must forth- ADDRESS 5--o. o? = .-a with comply with such 'provisions or this permit shall be CONTRACTOR TEL STATISTICAL CLASSIFICATION AJT I;'TL38t7D0 Z deemed revoked — — LICENSED CONTRACTORS DECLARATION IC CLASS NO .'22- DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSrr� 4e ` SEWER MAP of-. (Commencing with Section 7000)of`Division 3 of the Business LIC ' i'' t ) ,s E_ and Professions Code,and my license is in full force and effect CITY CLASS BK Ge- PG� /a IDATION SQ FT NO OF NO OF CHECK License Number Lic'bass SIZE o-� STORIES FAMILIES ONE s ` ' VALUATION DESCRIPTION OF WORK (J��y� + �� NEW 0'. Contfactor Date $ ('0 j,0 i f l�—i i it j -.1 L,•' J ADD 10L_ '- ❑1 am exempt under Sec. , ► q • Iw { I I ALTER. ,B&P G,for this reason $ .t REPAIR ❑, -3137 USE OF i •FF Date EXISTIING,BLDG DEMOL ❑ f tr 1�'F•1� APPLICANT 9 TEL7/v- i 1 =TEC r - Signature (PRINT) ' /14 1C JdA/ NO '-69� FINAL OWNER-BUILDER DECLARATION DATE Z' �, �iiTr�L dig- m 16 I hereby affirm,that I am exemptfrom the Contractor's License, .2 )?7,./ey-I p . �y-dss/�` f/I Law for the following reason (Section 7031 5, Business and ADDRESS FINAL' i CHECK Professions,Code) : PRESENT = By ' ❑ 1, as owner of the ro ert or m employees with BUILDING P P, Y. YADDRESS _ 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 - II•i ;j—( j j! CONTRACTOR NO' +: AL ff?' I, as owner of the property, 6m exclusively contracting :, {}�� ii ,{{MM tt i, i with licensed contractors to construct the project (Sec- ADDRESS-' :u� �• 1 111,l11�lF1 tion 7044, Business and Professions Code ) t'• IST CONSTRUCTION LENDING AGENCY SETQRE BACKD• YARD HWY :TOTAPROPLINEFROM ' 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 37, Civ C ) SI 09DE P L •� '_ Lender's Name ff �J/ ri LDMA Ref # i P C 'Fee$ Y �� Permit Fee Lender's Address I certify that I have 'read this application and-state that the Issuance Fee LDMA P/C# 8 above information,is correct_-I agree to,comply with all County fnti vestigaon Fee. ordinances and State laws relating to'butlding construction," Total Fee p• LDMA Perm'# a and hereby authorize representatives of this,County.to enter _ upon the above-mentioned property,for inspection purposes S a AL SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant o gent' Date { ��.`?aN6� !✓fit-itl. - - ., - ". � , WORKER S' COMPENSATION DECLARATION t 1� reaffirm that I have certificate of tconsen•to•self �¢ ..A P P L I CATION FGA d B U 1'L-DING:P E RMI T insusu re;,,b ora certificate of Worr kers' Compensation Inssurance,- - • 1-, +�•. or a certified copy'thereof (Sec ,3800,�rlabi ,C ),.y ;z,,; . COUNTY„OF'LOS ANGEfES` BUILDING AND SAFETY Policy'No x Company` d.: r "1 h BUILDING, g Certified copy,is hereby-furmsFied Y i.: ;-_ -!".,FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed'with;the county building'inspec- ' BUILDING '47 - ,- s / i tion depariment" , t_=• a I ,� ADDRESS & y-� Date` Applicant ''t :"' '}_ CIN ZIP LOCALITY ti ,ya NO'OF_BLDGS NEAREST n_ CERTIFICATE OF5EXEMPTION FROM WORKERS' SIZE,OF LOT NOW ON COT'- CROSS ST COMPENSATION)INISO RANCE-` „ ASSESSOR (This section need not be'completed"if_the permit`is-for one -;r TRACT BLOCK ' COT NO- 1 hundred.dollars($100) or.less~); jj" MAP BOOK_ PAGE PARCEL TEL ,,'w ,.• 4 s.f• 7 r +', y ' OWNER" USE ZONE MAP I certLYy that im+the'performdnce,of 4he-work for-which'tliis SPOECIAL' permit,is•issued !,shall not employ any„person irfan” manner n ADDRESS so as to become sub ect•t the W rk CONDITIONS w 0 o ers',Compensation Laws ;. �gi':'t' CITY, ZIP Date' ''` - Applicants a ARCHITEC-T,'OR TEL DISTRICT GROUPy'TYPE "FIRE PROCESSED,BY- 3r NOTICE TO'APPLICANT If, after, makin 'ihisr Certificdte of = ENGINEER• NO= - 9 CONST ZONE 0 Exemption, you should .become,sublect to `the Workers' v +•� .' ,/ s V Compensation provisions of the. LU Labor,Code;,'you'must•forth-, ADDRESS ! ��C Y 3 p with _comply'vviih suck•provisions>or this permit,shall be, iEL _ STATISTICAL CLASSIFICATION, �';A_PT";. CONDO Z deemed revoked, �_ CONTRACTOR 0� _ — LIC CLASS NO - a� f DWELL,'UNITS LICENSED,CONTRACTORS=DECLARATIONgDDRESS NO I hereby affirm•that I am licensed under provisions of Chapter 9 : _ SEWER MAP (commencing with;Section 7000)of Divisioni3 of, TI the Business LIC r Y and*ProfessionssCode,and,my license is in'fulilforce,and;effect ,_ CITY CLASS s BK VALIDAON s SQ FT a`; NO OF' NO OF CHECK License Number- u Lic`.Class SIZE STORIES FAMILIES ONE `+_ VALUATION : J DESCRIPTION OF r ORK NEW ❑ Contractor Dare El t„t,.., ADD. '❑ $ �b r ► c I dm exempT`un'd -Sec'' i•' i - • .� ALTER a B&P C forE.this reason' S y� R USE•OE REPAI r _ a c.. _ „ 4Date r ' EXISTING BLDG'• DEMOL^EJ Signature• 4' APPLICANT i` TEL FINAL 'OWNER-BUILDER,DECLARATION ” (PRINT) NO I hereki affirm that I am �µ 4µ ,,,,,"DATE y exempt from the Contractors•License Law for the follov_ving reason (Sectioni7031'5,'Busin'ess and< ADDRESS = .,FINAL Professions Code) s JY. } PRESENT 7• _ - By I, as owner of-'th,eproperty-, or,:m e-m to ees-with BUILDING _ Y P Y, ADDRESS wages as their.sole compensation',will do the'work ".` - +" LOCALITY'- ". The structure is not-intended or•offered forsale(Section �- - - 7044, Businesvond-Professions Code•f - ; MOVING f '� r TEL ' ' �`'',,l i ❑+ CONTRACTOR NO r' j> _ ' I;as owner of the property„,a.m,exclusively'contracting f - `T_r• ,: f with Iicensed;contractors to construct th"e.prolect._(Sec- ' ADDRESS -1 I� _ tion 7044,-'Business and Professions'Code a - ' CONSTRUCTION LENDING AGENCY REQUIRED 'YARD' _HWY- TOTAL SETBACK FROM EXIST"'? r- i i SET BACK._' PROP LINE WIDTH. �• _ *I hereby,affirm'that'gthere is o{construction lending agency-for - FRONT ^ ” - _ 4 i_4.• "` -fta •;', , the performance of,.ihe.work for which this perriut`is'`issued Se' 309.7, Ci i,^CC) , y SIDE, _� ., t _ •� {t i� '7� L r., _' P LI L'ender"'s`Name $ w `• c, r_ r,, • -•LDMA Ref #-Lender's Address PC Fee$ Permit Fee'. �. ('.' tj(1�l h'► : y t r ='T ° •t. _ 7 -I'certify that IP have read this•applicat on'and state that-the `I Issuance'Fee' �� LDMA P/C Alj __- •g above information,ts correct I agree•to comply with all County Investigation`Fee ordinance and State Taws relating to-buildmg construction, Total Fee' H• LDMA Perm # a and h y uthonze r presentalryes:of,this,County to enter upo the vet ent erty.'for inspection)pur`p'oses SEEhREVERSE FOR EXPLANATORY LANGUAGE nature at Applicant or'Agent ;` ,'`✓Date ° _ "`,! - " - , _ - WORKERS' COMPENSATION DECLARATION I hereby affirm That I-have a certificate of consent to self insure„or`a cert ficate'of.Workers' Compensation Insurance; APPPI'C.AT 0 N -F O R. R'U�I'L D�I N I ',"P E RMI T_ or a certified'c"opy`thereof (Sec 3800' Lab.,C _ p COUNTY OF'LOS ANGELES 11BUIL'DING AND-.SAFET.Y••' Policy No Company 41 iiub , ❑. Ce'rtifted copy•is'heieb`y,furnished r FOR APPLICANT TO FILL.IN ADORING' ESS i J GfZ' ❑, -Certified,copy is'filed with the county"builcJmg irispec- " BUILDING - tIan,department ADDRESS CIN ZIP I .tA LOCALITY. Date' Applicant y +. NO OF BLD +• CERTIFICATE OF EXEMPTION FROM-WORKERS'` SIZE OF, NOW ON LOT'y. NEAREST r r CROSS ST r COMPENSATION INSURANCE'""' _ (This•seASSESSOR ctioh need not•be completed if'The jie�mttis:for one TRACT' BOCK LOT.` MAP BOOK PAGE PARCELY s. ' hundred dollafs'($100) or'less'')'," '•"- Jn `TEO �• OWNER USE ZONE MAP I cerTifyth'at'm the performance of,lhe=work.for which this' • NO /� �r SPECIAL permit is issued,'I`shall not employ any person,in any manner ADDRESS' /, 1. Q� G• ✓ �j i. r. 'p CONDITIONS. so as to become sublect;t_o the Workers Cor4ensattdn-Laws -O ' a CITY' - k' ( c U, , Date ^Applicant` • ARCHITECT OR TEL a' "DISTRICT GROUP' TYPE FIRE' PROCESSED BY O„ NOTICE,TO;APPLICANT:If;,'after,nhaking,,thislCertificate-of ENGINEER:` ;NO "" ' CONST ONE �' Exemption, ,you' should'become ,subject to the.Workers" 1• �7 f� _ - t "U` Compensation"p"roJisions-of then Labor Code,•you;must forth-, •... ADDRESS ' t' G%0 L�. ` '• LGC��t�� ,N with comply with,such.pro,Yisions or this •permit,F'shall-be J• ' TEL STATISTICAL CLASSIFICATION APT CONDO Z, deemed revoked..,b+ .� s CONTRACTOR — ~ LICENSED CONTRACTORS DECLARATION " " LIC CLASS'NO DWELL:UN S I hereby offirm that l am licensed under provisions`of Chapter 9 r ADDRESS,, . - NO" .- u (commenting:with",Section 7000),6f Division 3'of-the Business LIC SEWER MAP - and Professions Code,and my,license is in'full force and effect *;,_• CITY CLASS BK,_ PG VALIDATION = = SQ FT NO OF. NO OF CHECK 1 License Number ' k' �L c•Class t SIZE. STORIES' FAMILIES ONE' LUA Contractor Date + DESC PTION OF WORK NEW ❑ / - ADD ❑ y; I am exempt under'Sec 7• �} �L-��• 21 ►. r _. ALTER.. B&P C for this reasont r �" - ❑ ; .- - • REPAIR d1z_Date USE,OF"EXISTING B G � ❑ Si nature APPLICANT.OWNER-BUILDER•-DECLARATION (PRINT) NO �= DA EFINAL"I hereby affirm th6t.I am:exempt from the Contractor's LicenseLaw for'the following 'reason (Section 7031 'S,`Buiinessand, f ADORE �/ FINAL` , 'Professions Code)" PRESENT. - y- T t• BUILDING t-�w _ y B =t3.•. z ,f :❑ I, as.owner of the property, or my,employees wtifi ADDRESS k, ` , _ 4: t;j :^-✓, F wages as thetr'sole'compensation,will do the work and n�•»t r , the structure is not intended or,offered for sale(Section LOCALITY 7044, Business'nd Professions Code ) + MOVING, mow' TEL , ` �'. ' ,;- '`- '�• I, as owner of the property, am exclusively contrdcting CONTRACTOR NO, with licensed contractors'to construct the'project (Sec- tion 7044, Business ADDRESS ess and Professions Code_) i•REQUIRED TOTAL SETBACK•FROM. " EXIST - 'CONSTROCTION LENDING AGENCY SETBACK, ~YARD HWY' PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the perfdrmance of the_work'for-which this permit is issued 'P C'' Y. ia.`s - r,hEI• �_ '4,> .. (Sec 3097, Civ C')' ;, SIDE' �. = . s'Lender's-Name ,< w. R.' LDMA Ref- PC ef' Lender's Address P C"Fee$ Permrt Fee oI certifythdt I have read this app ication and state that the ' ' Issuance Fee ° -�5 • - 8 above mformaTiori is correct I ag a to comply'with all County Investigation Fee ,,,,, ' - �l -.' br ,!nan n Stdte rel` mg to building construction, Total Fee LDMA•Perm #_ ,an by authonze,r res' tatrves of tRis.Count to enter f 1= _ "- = 'up• .the b for inspe-cttori purpose F ��1 ;'= E : a �� SEE REVERSE FOR EXPLANATORY LANGUAGE] ign o Applicant or Agent' Date Y+' , APPLICATION, FOR SUIL®ING PERMIT COUNTY'OF LOS ANGELES _ BUILDING AND.SAFETY _. WORKER'S"COMPENSATION'DECLARATION'" FOR APPLICANT TO FILL'IN BUILDING DD K SS I Hereby affirm that I have a certificate of consent to self_insure,., BUILDING ADDRE S r; or`a�certiflcate of Workers' Compensation Insurance,or•a certified „ - - � - •- -- - .ic w _ - - - " copy thereof(Sec•3 00,Lab-C) s -CITY ZIP LOCALI Policy No Company .ti a SIZE OF LOT . .i NO OF BLDGS NOW ON-LOT_ -•• 'i 'NEAREST CROS ST ❑ Certified copy'Is'hereby urnislSed .. -, _ ,TRACT BLOCK LOT NO-- ` ❑ Certfied=copy is fled wdti the'cou 'budding'mspection depart ent _ USE ZONE MAP NO 4 - ASSESSOR MAP-BOOK. -. PAGE - PARCEL •'� - _ �} -� Date' plica • 9 SPECIAL CONDITIONS - r° OWNER - TEL NO C IF A OF,•EXE TI N'FROM` RKERS' .- CO PENSATIO NSU Pi. WITHIN•1000 FT OF SCHOOL, . YES - NO ?. ADDRESS , __ .. (This section need riot be completed If the permit Is for one Hundred . / 'DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollar`s($•100j or less) `* '` ' a'tr.Vs ' CIT - - - - ZIP s_ 1 Certify'that*in the performance of'the work`for which thiS permit Is Issued, I'shalt n ot employ any,person In ani, so as s to s`become°subject t0 the,Workeis'Compensation Laws ARCHITECT R ENGINEER -TEL NO _i STATISTICAL CLASSIFICATION. APT CONDO ;+4� Date Applicant" ADDRESS: CLASS NO ��- DWELL'UNITS ,NOTICE TO APPLICANT If, ,after making tKis Certificate .of REQUIRED TOTAL SETBACK FROM EXIST '•Exemption, , you should beCOme Subject' to the• Workers' •CONTRICTO _ -` -STEL NO - _- :SET BACK ,YARD ,HWY PROP LINE - WIDTH Compensation provisions of the;Labor Code,.you must forthwith �l FRONT comply with such provisions or,this permit shall be.deemed revoked,T -ADDRESS' -1 _ LIC N0 LICENSED CONTRACTORS DECL'A'RATION SIDE' • � C Y - .•- - �.- UC•CLASS -- - -, PL ' Thereby affirm that I'am licensed underpiowsions"of`Chapter 9 6q aieTg!�2! (commencing Ith Section"7000)of Division 3 of`the'Business'and SQ FT SIZE - NO F-STO I S NO OF FAMILIES, SEWER MAP Professions C ,and'my II ense I I Lill force and'effect NEW- ❑ BK PG' -• - O DESCRIPTION OF WORK - VALU T10N• , License Numb r Ic Class ADD .•❑- — p' ,,.Contra tor. to ALTER ❑ f•- LLJ ❑ I am t under Se f REPAIR ❑ i B&PC for this reason .1 DEMOL" ❑ $ _ z_ LDMA P,/C#� ' Date •USE OF-EXISTING BLDG URM - .❑ - " y Signature ri APPLICANT(PRINT) TEL NO -LDMA Perm# ❑;I,as owner of the 'Property,-or-my employees with wages as Z yV' ,e. their,sole,compensation, will do the work and,the structure Is :�I�I-+1 A 3 not Intended oc offered for sale:(Section 7044,'Business and FINAL DATE Q -- •� c i '. Professions Code) ' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL' 3.• „� _ _ _ ❑ I,•as owner of the property, am xexclusroely contracting_ -with ORA MIXTURE-CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES licensed contractors-to-construct the project (Section*7044, ;..YE§❑ No El �r Business and Professions Code) " - WILL,THE'INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING . c t� ti '.OCCUPANT REQUIR&A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - =h��' ,'1i�� n 41 CONSTRUCTION LENDING AGENCYCOAST AIR QUAUTY MANAGEMENTDISTRICT(SCAQMDI SEE PERM(TTING'CHECKLIST FOR • `GUIDELINES _ I hereby affirm that there Is,a.construction lending agency for I E_r-• - ' YES❑`' •NO❑. N the performance of the work for which this permit IS Issued(Sec r t ,c 3 O 3097,CIV C) a I HAVE READ THE HAZARDOUS MATERIALS INFORMATIONGUIDE AND THE SCAOMD PERMITTING {f�H� ® _d,'� Nf CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE - _ ,.`_ + _ 'TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS {� L z'r - •�L0' 5•.' Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD {_S i�t-12 1J•f e'�= o. Lender' Address"' - i I� - 'OWNER OR AGENT J• „ . •iitJL _ R)S' o I certify t at I have read•this appl catlo an tate,under penalty 0 of peau y at the above information cor 'c 'I agree to comply PC FEE. =J� �� PERMIT FEE �f - N with al c my ordinances and to laws. elating-toy building U•( i V -w COnstru io and hereby author¢ repr senta •of th County - •ISSUANCE FEE to ente u the above men ne p erty for spe I purposes ;tL�[ 'i 6., i p i INVESTIGATION FEE - -TOTAL FEE -.-� - ° - -•• ; - • N cr Apem D e - • • SEE REVERSE FOR EXPLANATORY LANGUAGE ' WORKERS'-COMPENSATION DECLARATION I h1ereby affirm that•1 have a certificate of consent to self -insure, or a certificate of Workers. Compensation Insurance, A P P L I CAT I O Ni TO R_ BUILDING PERMIT or a certified copy thereof;(Sec. 3800; Lab' C ) COUNTY OF4L05 ANGELES �' BUILDING AND SAFETY Policy No Company " FOR APPLICANT TO FILL' IN BUILDING ST s ❑ Certified copy Is Hereby furrilshed ADDRESS E .S �• ,E] Certified copy,is filed-with the county building mspec- BUILDING;' tion depament ADDRESS r CJ ` Date D APPlicant CITY - ZIP LOCALITY O OF BLDGS_. NEAREST - » CERTIFICAT OF EXEMPTI1 FROM WOK SIZE OF LOT, NOW ON LOT,. CROSS ST COMPENSATION INSURANCELL r ASSESSOR (This'section need not'be completed if the-permit is'for one ' TRACT ' K x LOT NO MAP BOOK, PAGE PARCEL hundred dollars ($100)or less )• a411UTJ94EL C �Qp - OWNER NO / .VO!O7 USE ZONE• MAP certifyi•that,in the performance of the work•for which this SPEECIAL - } -*permit is issued, Fshall not employ any,person,in any-manner ADDRESS ! CONDITIONS so as to,become ublect to the Workers'-Compensation'Lawche .i p8 CITY• r ZIP . ^ o Date, Applicant• ^� ARCH ECT OR - - TEL DISTRICT GROUP' TYPE _ + " FIRE' �qCESS Q NOTI E TO APPLICANT If;='after-makmg•this Ce ificate of ENGINEER -' NO N CONST' ' ZONE Exemption, you should •become.sublect to the Workers' J�� 2 `�I35 w Compensation provisions of the Labor_Code,.you must forth- ADDRESS - /lll/// ✓ �a , with comply with such provisions or this•permit shall be TEL STATISTICAL CLASWICATION APT' CONDO Z deemed revoked. ..- CONTRACTOR NO 7 00 , — LICENSED CONTRACTORS DECLARATION, LIC QQ CLASS NO DWELL UNITS - I herebyaffirm that I am licensed under provisions of Cha"ter 9 ADDRESS /2 NO SSIlJ/ P P LIC a SEWER MAP ,(commencing with Sect,on 7000)of Drvisiori_3 of the Business CITY T �� CLASS C l� ~ and'Professions Code,and m (license is in full force and effect i BK' PG _ VALIDATION t SQ FT NO OF NO OF CHECK _ License Number �J'��'' Lic Class G'"�O SIZE STORIES FAMILIES ONE r" VALUATION' DESCRIPTION OF WORK NEW ® '� r'f �' t Contractor Date - ❑ S Q 0 - ADD ► rn. _ ; I am exempt under Sec e ALTER ❑ B&P C for this reason `REPAIR ❑ $ USE OF-' ` Date; EXISTING BLDG DEMOL ❑ Signatur APPLICANT. _ . No FINAL' ` OWNER- LD ECLARATION DATE r _Qlt ;� 1 ` I hereby affirm that I am exempt from the Contractor's License 4 , - Law for the'following.reason (Section 7031 5, Business and ADDRESS FIN4 i ,Professions Code). PRESENT, ,�ti BY C ( - j' BUILDING a ( ',`;T a? ❑ 'I, as owner of,the property,.or my employees with _ ADDRESS' tr"F ' wages as their'sole compensation;will do,the work and LOCALITY Y .,3307 »:•,40 5&_l the structure is not intended or offered for sale Section , ''"' 7044, Business and Professions Code ) MOVING TEL - i TTCId� ? ° CONTRACTOR, NO 1 ITEMS GI S ❑ I, as owner of,the property, am exclusively contracting TI�TAL -40.50 ' with licensed contractors tocconstruct,the protect (Sec- 'ADDRESS tion 7044, Business and Professions Code )= ;' :, -'• rrL�'rL� r REQUIRED ' TOTAL SETBACK FROM" EXIST `" - l•�7L1•f� 40.50 CONSTRUCTION LENDING AGENCY SET BACK YARD: Hwy PROP LINE -WIDTH I hereby affirm that there-isconstructioni lending agency for FRONTeQ[I the performance of the work for-which this permit is issued P'L- (Sec 3097, Civ C ) SIDE " P L'-P r. , Lender's Name F' 0000001 9/`p/0.g 'Perm v LDMA 30 Ref # PC'Fee$ Permit'Fee I 5942 _ 1 9;47 Lender's Address //'�� o I certify-that"I have read this 'apVplication and state that the Issuance Fee i LDMA P/C# ► '' _ 8 above information is correct^I agree to comply with all County - Investigation Fee - ordinances and State laws relatirig,to building construction, Total Fee �� LDMA Perm # < and hereby outhorize'representatrves of-this County to enter t on �hbe-' ntioned pioperty for mspechon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE e Applicant or Agent ^ Date fir M i.f WORKERS' CQMPENSATION DECLARATION hereby'affirm that I havecertificate of consent to self A PP L I CAT I O lel FOR BUILDING PERMIT , r of a certifiFaie of Workers' Compensdhon Insurance, , + J _ pr!ti cert tied copyTthereof (Sec 3800, Lab C ) - - :COUNTY OF.'LOS ANGELES BUILDING;AND SAFETY t Policy No Company': Certified copy is hereby furnished' FOR APPLICANT TO FILL IN BUILDING r ADDRESS . Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS / t/ -Date Applicant CITY L ZIP "' LOCALITY - „ CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF-LOT NOW ON LOT CROSS ST (This section need not,be completed rf'the permit is for one a r ASSESSOR TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100)or less ) - '•TEL'. USE ONE MAP. I certify that in.the" formance of the work for.which this OWNER �� NO NO permit is issued; I shall not employ any person m any mariner r� �j CIAL' so as-10 becorne��ssuuJbject-to the Workers'Compensation Laws ADDRESS 3 y� �Y` CONDITIONS, �Z—z!'dd. //rte , CITY. ^,/n1 Irl GA�✓� ZIP �C�, �'• , Date r Applicant ARCHITECT OR TEL NOTICE TO APPLICANT If, after making 1his ,Certificate•of DISTRICT ROUP TYPE ;• FIRE V PROCESSED BY ENGINEER NO CONST ZONE ' Exemp{ion; you should become subject to the Workers' Compensation provisions of the Labor Code;you must forth- ADDRESS ',E with-'coin I with such,provisions or this permit 'shall be - P Y EL STATISTICAL CLASSIFICATION APT C deemed revoked > '` CONTRACTOR NO LICENSED CONTRACTORS'DECLARATION LIC CLASS NO �'�_DWELL UNITS — LICENSED hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO ' (commencing with Section 7000)of Division 3 of the Business andLIC '` SEWER MAP Professions Code, and my license is in full force'ond effect CITY CLASS BK 0 PG/ b t VALIDATION a SQ FT NO OF NO OF • CHECK ^ License,Number Lic Class ` SIZE STORIES ; FAMILIES ONE ., VALUATION DESCRIPTION OF WORK (r�o EW" ❑ ` Contractor Date ADD ❑ _" .O FTI am'exempt under,Sec ��n a' "I;Y ❑ ALTER W B&P C for this reason REPAIR ❑ $ N' USE OF ❑ ° Z Date EXISTING BLDG• DEMOL Signature - n APPLICANT } ,• „TEL F FINAL OWNER-BUILDER DECLARATION PRINT) 1 (�-�YPiII u� L,L I NO �"d 7�' DATE s -1 hereby affirm that I am exempt from the Contractor's+license ADDRESS [ / G�� 4zS ��^ 7 j Law,for the'following reason (Section 7031 5, Business and FINAL�� Professions Code)'• PRESENTBy BUILDING 1, , j, as'ownbr of the property, or my employees with ADDRESS 1 3 9, A - wages as their sole compensation,will do the work and +F •1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL ' t • •'e o 0 I, as'Aowner of the property, am exclusively contracting CONTRACTOR ' NO 6 6 3` ,,with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code ADDRESS ?', _ CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY, TOTAL SETBACK 6 6 3 SET BACK PROP LINE WIDTH .I hereby affirm that there is a construction lending agency for hinvestigotionFee ° + 1 2'21 :`8 8 the performance of the work for which this permit is issued (Sec 3097, Civ C ) ` a - Lender's•Nome m' LDMA Ref # Permit Fee + Lender's Address , I certify that I'have read this application and state that the Issuance Fee L' kLD P/C# 'above information is correct I agree to comply'with all County 0 ordinances and State laws relating to building construction, Total Fee LDMA Perm ,# $' and hereby authorize representatives of this County to enter upon thea ve-mentioned property for inspection purposes ; a �•� • - - , SEE REVERSE FR OEXPLANATORY LANGUAGE - Signature of Applicant or Agent Date �V(ORKERS.COMPENSATION DECLARATION h hereby ffir'm;that,I have a certificate, of consent to self A P P L hCAT I O N �F O R t;B,U,�I WING I�N G• PERMIT.;: mstire', or a certificate of'Workers''Compensation-Insurance, or a ab certified copy thereof (Secy 3800, L ' ._ .• _ _ Y ` �•• tiL,�i� E COUNTY OF,LOS ANGELES BUILDINGAND'SAFETY } w r Policy No Company, - - 3 Certified'copy''`s`hereby,furnishecl c., r.,v- FG?,AP_P•,LICA�VT,T,O'F�ILL_IN_ ADDRESS Q ❑ Certified'copy is�filed with the county"'building'mspec- BUILDING �J tion'depariment air f° ADDRESS Date`� Apphcant CITY `_�\ ` "ZIP ti LOCALITY - `'' CERTIFICATE OF EXEMPTION FROM'WORKERS'•% �'' IZE OF LOT NOW ON LOT CROSS- �, - NO OF BLDGS- - — - NEAREST...a.�_ Sj$O ST ' ` '-' •' -�COMPENSATION'INSURANCE .�'••' �" �_ T (This•s'ection need'not be completed•ifithe permit is for+one - - "_ ¢' (.- ASSESSOR -•+„ _ '! 1,_ hundred-dollars ($100)or,less,) �> TRACT BLOCK LOT NO MAP BOOK PAGE` PARCEL t' TEL ]g�_A?" � USE ZONE, MAP . . ; I cer,•� c+ .c • y r. •t'� OWNER- - "NO•� .''�C+J .TTJJ , _ s•h. .1. rtify that)in the performance of the work•for which,this m� - > permit is.issued: I shall"n11 ot employ any person in any,manner w_4 + SPECIAL` j - r ADDRESS O' +y GS N71" " �/'j/ CONDITIONS a O so as to'become subiecYto th'e Worke�s'•Compensatron Laws ;V CITY- _,� r «-W^ _ -zip-, Dafe "' ., '' Applicaht+' r L l ARCHITECT OR//•{{�� y ( �-//� TE n o . NOTICE'TO APPLICANT If; after,making,this-Certificafe of ENGINEER [�r�sla /yf1 I�U{a.NO P �, -DISTRICT__'-GROUP TYPE-,- FIRE ��SSE D BY, -.V l CONST ZONE Exemption, you 'should '•become" 's'ubject to"-the''Workers' ~�y -y�r � ,/ t' � Compensation provisions of qhe Labor'Code, you must forth- ADDRESS 1107,' Sof %ts' 1' -- ' with-comply,with such provisions or,this ypermit shall be. -,-^- - -- TEL STATISTICAL CLASSIFICATION APT CONDO •deemed•revoked + .,Y u CONTRACTOR I-OAO CO /�G.NO - _ _ _ _ - 6CENSED CONTRACTORS,DECLARATION ^t }j�j LIC CLASS NO » DWELL UNITS I hereby affirm that Ir am licensed under provisions of Chapter 9 ADDRESS2�' _.tY^'RV6 �� /� NO O (commenting with Se of Drvisiori 3'of the'Business and -„- _ _ _, :,- _ LIC MAP Professroris Code,"and my license`is iii full'force and effect CITY O CLASS .' ,� n �l SQ•FT _ NO OF._ NO'OF CHECK , BK PG j I n '''• A°� License Number'✓ -�� Ltc CI6ss• y - SIZE STORIES �I FAMILIES '� ONE 4-P t* yr -VALUATIONo:0 0 2 3 /�n� �,�"�-�• DESCRIPTION OF WORK- NEW Contractor �/ C:,r!•Y�/" Date $ r -y.._ ..,-...-._,��_C,../(�,,. -....._ _ ❑ s ,t ❑ I am exempt under Sec t v'•” S NSI-Sly-V✓-'.1r1.. _ ADD L,�,/'�`/�L/� 1/� ALTER /c 7 y�8 5 U' 1B&P C for this reason :,a ,- •^ �`st�`'� REPAIR- o o- - USE OF - Date EXISTING BLDG DEMOL 0 2-4-$.7 ; Signature + APPLICANT �,+i6fL TEL �pL�IZ FINAL _ OWNER-BUILDER DECLARATION PRINT f�7��F�/ NO DATE11, =• �- - hereby affirm-that I am,exempt from the Contractor's License _ ADDRESS �� r � /7� 'j FI Law for the following redson•(Section 7031 5, Business and _ .-Professibns Code) PRE ❑ I, as owner of the property„oM my employees with ADDRESS _ _ __ ;-_ _-,_ ,_ _ _� ��+ t �� ,' li. -' •t 6 �1 _ tet' wages as'their sole compensation,will'do the.work'and r the structure is not intended or offered for sale(Section LOCALITY - -7044;Business and Professions Code) ” MOVING '^ °'° ""- " " 'TEL » 1 CONTRACTOR NO 1 �\ „ \.•,!�� .:;y + r:F . I, os owner of the property,:am exclusively,contracting \ , with licensed contractors'to construct the'prolect (Sec-" ADDRESS FROM- tion 7044, Business and Professions Code) REQUIRED, TOTAL SETBACK r - ` -"CONSTRUCTION LENDING AGENCY"-'-' SET BACK "YARD HWY PROP LINE WIDTH ;y 2,9 6 8-3,A ((hereby affirm that there is a construction lending agency for, FRONT :� s t •= ,; ;v�, `fes th"e-performance of the work for-which this permit-is-issued - µ•P L....,.. •'� '�; : #o e o o 0,l.i :c (Sec 3097, Civ C ) SIDE - +. ' , Lender's Name 3'J 1'.5�� P C-Fee'$`- ' Permit Fee' '+ -� - - ..'__ _ lender's Address e.e Icerhfy thot.l have read.this application and state that-the _ ._. .- ,_ a-� +_ Issuance Fee - -- -LDMA P%G fi\ r n - .. /' = _1 Qj 2j�'L 8$' ¢ above information is correct I agree to comply with all County Invests .hon Fee = ' +1-`` '�'•r ; i 4 9 ?r -�ti + r t +• , "ordinances and State laws_relatmg to building_construchon, _ _•_., ,-_ -•�_ {�. ; _ 1` u and hereby authorize representatives of this County to enter '�- Total . LDMA-Perm It t i upon he ov�enon%e�d�pro`pertyor inspection ufpo es ^3 t O� T i SEE REVERSE FOR EXPLANATORY LANGUAGE Signaturecant -' WORKERS'.COMPENSATIONDECLARATION •- - •• l `~ � '+iy'� '4?':�. -',•_ •-M�. �_ " - r�� •~I• Y ' '_^�_�( L` '�2/� /-1�-- 1-hera'6 ffirm,tKap I have„a,Kcertificate of consent fo,self ,',� A P P_L-1 CAT I.O�IV: f®R, B U�L_D N G PERMIT m ore*;or+a certificate of Workers CompensatioY Insu�ance, 5: + ° .,',�- _ ti - _or-a certrf+ed copy thereof'(Sec V,90;Lab-'C ) 4� :, `' ST.W'E . -COUNTY OF L'OS ANGELES BUILDING AND SAFETY a Policy N%� CompQny Certified copy.is hereby furnished, ,': \� OR APPLICANT TOJILNN�' ” ADDRESS _ L 5 " Cerhfied'copy'is file\;vith'`tKe county building mspec- - ,BUILDING; - tiors.department' ADDRESS " Caw . LOCALITY - tl CITY ,Date APPlicant,/ ; CERTIFICATE OF EXEMPTION'FROM WORKERS",, NOOF•BLDGS - - NEAREST. "•" '�' COMPENSATION'INSURANCE "+ SIZE OF LOT �)(� 0 NOW ON LOT - CROSS ST' (This`section.need,not,be.completed rf the permit is°.for one - M �' A ASSESSOR r; ° - *'" "� •° -hundred dollars ($100)or less ) - TRACT BLOCK LOT NO MAP'BOOK PAGE PARCEL I't _ TEL - USE ZONE MAP i- i; ,r, _ OWNER --NO- �: certify that in the performance of the work for'which this • NO. 1 n ,1. u�. - q SPEGIAL-r - :'• 7 d permit;is issued, l'sHall not employ any person m any manner _ _ ^` k ' ADDRESS O �^ ` �/~VI CONDITIONS O sa, to kiecorrie subject To the Workers`Compen'sahon Laws I V `, r.^ .* : •`r'.,,, :, CITY ZIP. Q I z./.b - .OC Date "'' Applicant ARCHITECT OR TEL. - - _ NOTICE'TO'`APPLICANT` Ij6lica er'makin This Certificate, of /�, y i J / �q��q DISTRICT,_ .GROUPt TYPE _ FIRE PROCESSED BY'. F a g ENGINEER C�►I 1 W �T �f4 /� NO �{>/✓~'(J CONST ZONE ;V Exemption,`,you=should become subject'-to 'the Workers'' ' Compensation provisions of the Labor'Code;cyou must forth- ADDRESS I�Z sc C?' °�^ _•�• -L - v - n' " with,icom I w ' pith, such provisions,or this ermit shall be-- - N deemed revoked ,', ,5 .CONTRAC DO CTOR 1-0 TEl($/8 STATISTICAL CLASSIFICATION I I APT t z ., c. ,W NO O .' LICENSED CONTRACTORS DECLARATION, - - »-- + p - - LIC ,/ J CLASS NO _d DWELL UNITS ' I hereby affirm,that I am licensed under provisions of Chapter 9 _ ADDRESNO 7" ' (commenung;wrth Section 7000)of Division 3 of the Business and _ _ _ __• _ _ _____ _ LIC - SEWER MAP b 9'1.9 A u Professions"Code;`arid m'y'hc - se`is in full'force'and effect CITY CLASS'�� BK �" PG /(�1 •VALIDATION- - SQ FT NO OF �1 _ NO OF CHECK 1 o m o 0 3 UcenseNumbei ✓- A•ip' SIZE STORIES'< - FAMILIES ONE sr Lic cia5s' ,• .:.,-': •.` -,h , ,ars��-�`. A z^ c i�' .a • ; . _ . VALUATION. =1 :,6 4-2-8,4 DESCRIPTION OF WORK — : NEW--- a EW--- aGntractor te ; - ' �� S ✓lJ `]'V t i- ' TwinSfvr� l7L ((�Q y ADD^ o`1 4.25 4= a I am exempt under Sec ;6 8 - ALTER 0 ° ,,~ ,U Sho i r r - - B 6 C for this reason _ i REPAIR a 5`' "� (l,2,fJ 4 rUSE OF ' Date EXISTING BLDG CN DEMOL ,-'.Signatutet' �� - APPLICANT - - — ''TEL - 2 FI AL y PRINT - �QtS ri�+'� NO J �' C� OWNER-BUILDER DECLARATION •• _ _ _ `_ �+ ./ DATE- - - • --•- ti I.hereby affirm that I a'm exempt from the Contfactor's License ADDRESS !@ G�- (�{ 9-y - ��` a FI ) Law for the following reason (Section 7031 5, Business and _ _� ti i. 3, 'Pr-ofessions'Code) 1 .,..._. - PRE ENT - - - -- i -, B 4 BUILDING i '.`i, •' I, as owrier of the property, or my employees withADDRESS' El •-"wages as their sole compensation,copensatio ,will do the w&k and ___ _ LOCALITY the structure is not intended or offered for sale(Section _ - '--7044, Business and Professions-Code)- 'MOVING' "' _ "' ' ' -TEL " Y NO I, as owner of,the property, am exclusively contracting CONTRACTOR 'z 9 6 8t 2 A with licensed contractors to cohstruct-the project-(SecDDRES +� tion 7044, Business and Professions Code) AREQUSRED__ TOTAL SETBACK ,,�},�L•t`~? +�,\ tt o 0 0 0 0..J `I CONSTRUCTION LENDING,AGENCY- _ SET BACK YARD---HWY • PROP LINE WIDTH' - I hereby affirm that there is a construction lending agency for FRONT M '. " `` .. r.1 '1:9 4't 2,5_•.' the performance of the work for-which this permit is4ssued P L - -r - - - _ �� ?• x a ,'r .' •z• A ,r _ (Sec 3097, Civ c ) SIDEJ11 ' 1, 9'4 3 2 SUELenders Name ` Ls" .J� �� 2 5LDMA Ref #_ P C Fee$ t PermitFee`Lender's>t ,. I.certify.that.I have-read this.applicationand:state that the .-�. �_• -_ - Issuance Fee• -- ,- 1-LDMA-P,/C#--above information is correct I agree to comply with all County Investigation Fee r - -� _, „x -ordinances and State jaws relatin to,buildm construction,� 9 9 - w Total Fee- -LDMA•Perm v and hereby'authonze"representatives f this County.to enter - upon the above-menti oned property f r inspection purposes a SEE,REVERSE FOR EXPLANATORY LANGUAGE j t .--^-•.--Signature of Applicant or Agent Date -• �-•^-.�•___... _-, _ __ ....,._._..._ __ �-_... -.. .•,__ �.._ ,_� -- ._ .-, _- ,_ ,.,... _ .- .� _ - , WORKERS'.COMPENSATION,DECLARATION .,_�.I hereby'-affirm that 1 haver certificate-of consent to self, A P P L I Ch►�I O I�z11.1• �'` V I l D I:IV G PERMIT, ; insure, a certificate of Worke"rs' Compensation Insurance, 5 or a,certified copy.thereof (Sec*3800, Lo _ n r COUNTY OF LOS ANGELES BUILDING AND SAFETY` ^Policy No 61 ornpany' - ' Certifie l co is ^ eb furnished BUILDING El , Pv Y FOR APPLICANT,TO FILL IN ADDRESS „ (� Certified copy is,ffiled with•the;`county,building m3pec- BUILDING' �w/� p , y _ JCJ tion department jt ADDRESS, �J U � / ' 'Do te Z-�,I A'Pphcant W�� K�°•:' CITY (ir p,,.ZIP' LOCALITY__, CERTIFICATE OF:EXEMPTION'FROM WORKERS' a, NO OF BLDGS: f NEAREST`- ``COMPENSATION INSURANCE', ? ,, SIZE OF LOT NOW ON LOT CROSS ST. ';r,':•` ,rt " A (This•section need not b"e completed;if the'permit i's:for one 5"', t ASSESSOR hundr-ed dollars-($106)or less )` -`<" �' A`', y" TRACT e,''' v/,� BLOCK LOT-NO r MAP BOOK t ,. PAGE'r PARCEL .' C�IpiY TELr /�/1'C) USE ZONE MAP . •, r. x: ,OWNERi d iN� �t7 NO [ v v :;,NO I certify that in'the performonce,•of-the work for'which this r permit=is Issued, I•s .011 not employ any person iwany,,manner p /�� / ;� SPECIAL t X a s, :sd as to,become su' ct to iHe Workers'Compensation Laws ADDRESS J CONDITIONS w CITY ZIP S / �' ^J.-" •, a, ". ";� Date Applicant 1_C�I•/I/Yl <.. _ b ARCHITECT OR r TEL t3" DISTRICT GROUP'V,2iyolph,, 'FIRE �' PROCESSED BY " "NOTICE•aT0 APPLICANT If, after making this Certificate of CONST ZONE `ps g ENGINEER _NO .Exemption, :you sRould°;become•'s'ublect to the Workers' Compensation;provi'sions of the Lalior Code, yau-must forth- 1 = :{ y, •s; ADDRESS �� r• �� ' �„ J -with' co'm'ply, with'such'},provision;,oi this permit`shall`be �y��G TEL r deemed revoked y - a r+ V��/ 9 Mo STATISTICAL CLASSIFICATION I APT, CONDO, 4 „ , •s- CONTRACTOR' N0M0 Y" LICENSED CONTRACTORS'.DECLARATION ��ypQ /C� LIC ��y CLASS NO; LL rUNITS 1 - I hereby affirm that I am,licensed'under provisions of,Chopter 9 ADDRESS 0 4- LT_iv ` ',' ' N04� SEWER MAP N ; (commencing with Section,7000)of Division.3 of the Business and - �/J = LIC ".'Professio6s Code,'and my,hcens isln full-force and.effect CITY,la' r �' '4 CLASS - '� = # f `a 7;. RNO-OFBK ''a, VALIDATION~. y: y SQ FT °. NO OF CHECK ' L License'Number y -V 'jUc Class SIZE STORIES. FAMILIES. c _ `ONE - K r Ur„r /� �(,. v I �, VALUATION 1�,,; 'f f/ 'Ol ,� J DESCRIPTION OF WORK 7!�'RJ�� NEW' s �L �� ^� k j ' bz Contractor ' Date p a .' c GeD F ADD• Q = > ' • a, � 1 omtexempt under Sec - � .;, - _ �• , ,, _ ., - -. / �,,��. It �At � ALTER,;, -i B 8P C'for,this reason U �it�` REPAIR 'Q s W ' •Date USE -F EXISTING BLDG" DEMOL; l ;' Z' Signature ;"•'' ' APPLICANT ��j ,•„ •TEL S ''° v' •a` " g PRINT 1/v�' NOI FINAL' �f� OWNER-BUILDER DECLARATION / DAT I hereby.affirm that I am exempt'from the Gontra,ctor's License rn� G };., •,• Ldw'foc'the following reason (Section�7031 5, Business and ADDRESS �'wv FI ;:; 5,. •,• T # o'o�o,o 01 P'rofessions.Code) ,� T. PRESENT �, �,n., I, as } BUILDING. - ",� , ` *'• ', 1, b owner of-the property,, or my employees'with ADDRESS r cadges as their`sole.corripensatiori''will do the work and `A` :. �+ the structure is not`intended'or offe'r`ed for sale(Section,P ,' LOCALITY " r,> 1�,. '�� ;� t 't,7 „1 :,`o o` o.'�j a(j 3 6 7044, Business and Profession Code) MOVING :' .TEL ;, " %) 2,�, (� s 8 8 I,a's.owner of the ro ert am CONTRACTOR " "• s , :•�'; ' P P, y, y contracting NO n'" �. with_Itcensed contractors•to con'struct the prolect`(Sec- ` ' •+ 1 '- s ,tion 7044, Business and Professions Code) ADDRESS ;e }^._ .•L ` s w6_ CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBA K t f• ; .`'t' SET,BACK, YARD HWY`" PROP_ LINE i +>' WIDTH, ,`l �" i N i I hereby affirm that there is a construction lending agency for FRONT r the,performonce of'the work for which;this permit is issued P L (Sec 3097,'Civ C SIDE' _ - ,y� •' F•,.. c"`,ne.a: r; s `i Lenders Name _ *f °S W j ' 1 ,;G 'e iL^ ",_• - %'� _ t'LDMAr Ref'= ,_% r,'�� •,t, �',' � Lender's Address r P C-Fee b v, 4 Permit Fee_ I certrf :thcit I have read this application and state that the r. above nfofmati PP „ , Issuance Fee LD"P/C"11• 'r+ ori'is'correct 'I'agree tosomply'with'alLCounty. -, Y' Investigation Fee ' • ° ',`. +' F M-t '-0, 3' 0 ordinances and State lows relating to,building construction,- : Total Fee'. ' LDMA,Perm•'fl 6' and hereby authorize represent`ative's of this.County,to enter. capon the above-mentioned pr erty for inspection purposes F � ,�yqt44 'e��_ ' 'SEE`REVERSE FOR EXPLANATORY LANGUAC,E Si nature of Applicant or Agent Dote r •A w - ''• 1' b _.t "' '-0'" �.w _ - WORKERS"COMPENSATION DECLARATION " �3t L •'I herekiy',affirms that 1 have a certificate of;consent_to self A I CAT I O N FOR` ' ULD N G PERMIT" ((( - irisuri� or a certificate„of Workers' Compensation Insufance, a •r1 or a certified copy thereof,(Sec 3800,,Lab C.) Folic No07�?32X ST,AT�” i1J� COUNTY OF LOS ANGELES- BUILDING�AND'SAFETY ; y Company F T' ❑ •Certified copy is hereby°•furnished. „�i• " j FOR APPLICANT,TO FILL.IN no�Ress T �TLGdIIQ Certified'copy is flled'with the county building inspec-, a- BUILDING, Q n" i ' .�t/i� kS ojbP (�nl,dLeplart/mpent. �(�{ �j'`�,��s. ADDRESS (� 0 L '-Data)W'w; 1' L C�Applicant ,�`�•'vt`1<�^r'.xiL.IA�s ,CITY LG _ ZIP+'' `Q LOCALITY, ' 'CERTIFICATE OF EXEMPTION FROM WORKERS' ' +` -NO OF BLDGS NEAREST._ , COMPENSATION INSURANCE ��C / SIZE OF l0T 'k' NOW ON LOT CROSS ST ; -(This section need not-be completed'rf the permit is-for one s ! ASSESSOR "' ��;'7; hundred dollars'($100)'or less ), - . TRACT` S� BLOOCtK� LOT NO,� ( MAPZOOK =JS_r PAGE PARCEL,'- OWNER 4�` itw RL S NO 6 UEL SE NE' MAP 'p w 1,certify' in'the performance of the work`for which this, 1 NO Permit is,issued,`I shall not employ any person in"any manner .0 '� SPECIAL, j -"w so.as to,become sublect to`the Worke'�s'-Corripensation'Laws ADDRESS If CONDITIONS' CITY EL ZIP_. L �' ' t Date '� �.,r , APPlicant _ :. 7 t "�, "NOTICE TO,APPLICANT If, after making:this'Certrficate of ARCHITECT'OR TEL DISTRICT GROUP TYPE FIRE ' PROCESSED BY_ O . Exemption, you-should 'become- subject to the Workers' ENGINEER NO /rte CONST' ZONE :U Comperisation'pro`isions of the Labor, ocle,+you'must forth-, 'ADDRESS _ �`�� _ W with comply,,with ,such provisions�cr this,permiksholl be" ,•". TEL " 0 deemed revoked.`_ ,t �� j'NO STATISTICAL CLASSIFI ATION, r APT CONOO " '+ CONTRACTOR' "_a� LICENSED CONTRACTORS DECLARATION • - .LjC CLASS NO �-DWELL UNITS' e �' I hereby affirm that,I am licensed-under provisions of Chapter 9. ADDRESS 4.�t .- > ' Z,NO �j[? (commencing_w`'ith Section 7000)of•Division 3 of the Business and• i' LIC.„ ° SEWER MAP t �Professions,Cbde;•bnd'my license is in full'foice and effect CITY [� �/JG+r� C CLASS BK S G' VALIDATION SO FT• NO OF NO OF " CHECK e License_Number" 4'96 19 p' Lic,Class' �' SIZE, �� STORIES+ FAMILIES ONE ^ L H�1R ��45 61ATCS CoNSM c7 GVT . _ VALUATION Date �' DESCRIPTION OF WORK � EW - ❑ Con{ract`or — y i ❑ $. HADD - y I om"exempt under Sec. ❑ Y ALTER" t' s ;-• B.BP.C. for this reason / = O $ ` .T(1/V� ��FJ7 USE OF REPAIR. ,. _s�'T G O A'E' Date. I/ EXISTING BLDG DEMOL t ' Signdtuie t APPLICANT p � FINAL OWTNIER'BUILDER DECLARATION` PRINT d1 A,. OvAT� NO DATE "•' I hereby offirm�thot I-am exempt from the Coritractor.'s1icense "''^` Law for the following reason'(Section,7031.5', Business and ADDRESS 3 a t-�s (Hl�' s n/�. FIN s• ` _ f= Professions Code) z, 8 / �, f'Fc b Q 5,0,c)- ` a BUILDING r ° blas owner of the property, or my employees with ADDRESS0401 410 m 8 wages as their sole compensdtion,wilkdo,the work-and =` - •+ " the structure is not-intended'or offered for•sale(Section LOCALITY 7044,Business and Professions Code) MOVING TEL 1, as owner of the ro ert am exclusiv I' CONTRACTOR �` NO ' ` ❑ P P y e y contracting, with'-licensed-contractors to construct the;protect (Sec- tion .7044;Business and,.Professions-Code) ADDRESS ~ REQUIRED' TOTAL SETBAC `c'� i,' g( ` CONSTRUCTION LENDING AGENCY SET BACK-, 'YARD_ HWY :PROP LINE. y -WIDTH m/f� hereby offirm That there is a construction lending agency ford; t FRONT the performance of the work-.for•wh+ch this permit ii issued` P-L'. (Sec 3097":Gry 'C ) s SIDE r' _ 's Lender=s Name - _ _. '` - ' '• ', " p ' Di( LDMA Ref # lender's`Address P C Fee'S Permit Fee j I'certify th"at I ha`ve-read,this applicationdnd state+that;the. ,' Issuance Fee /'O s" LDMA P/C# ® �. o above informdtion•+s correct. I agree to,comply'with all County 0 ordinonces`and State laws'relatingp,to building construction,• Investigation-Tee R and hereby authorize-representatives of this'County"to-enter TotaLFee (/f/ / LONA Perm # m upon the abo°ve-mentions 'property'for inspection purposes e _ a \/NNS' Tg7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature_0T Applicant or Agent'- . Dote t4 - . . "r • ''~„ - WORKERS"COMPENSATION DECLARATIONI-here ` • ' b � rfSeself actlfteof Wke ;Compensatnsuran ` : N, FORB U I L D IN PE RM ITInsure Insurance, : r _ o r,a,certified copy thereof Sec•3800, Lab`C ) a. .� ' s t -COUNTTOF LOS'-ANGELES . . BUILDING'AND;SAFETY Polley No�� JCompany = ✓,[ f�� - 0 r='Certified`copy is-Hereby,furnished y, ' FOR APPLICANT•TO`FIL0N" ADDRESSBUILDIN ` •°+e t BUILDING Certified copy Is'flled with th 'cou bulldinganspec- tion-department' + ADDRESS 4� " CITY225 ' (� .�' Q Date Icanf LOCALITY- z` a'PP a i NO OF BLDGS' NEAREST w ` ' r, =':CERTIFICATE OF'EXEMPTION' R M vy RKE SIZE OF'LOT' ;NOW-ON, v CROSS ST - ` = COMPENSATION'INSURANE ASSESSOR• i , :(TFiis section needmof be completedaf`th ermlT is for one TRACT" BLOCK LOT'NO `� MAP BOOK �,` PAGE' PARCEL hundred'dollars($100)or less ) `' �� OWNER [ USE ZONE- MAP t ^t f >I�certify that;'rri-'fhe performance•of the work for:which'this _ r NO /r SPECIAL'- jiermrt is Issued„I shall'n"ot employ a�f/��rson In`any,m_anner ADDRESS %�/U` ,J i. ;-d• so as tokbecome.'sublect.to'the Wcigk rs'Co p aws �* yl x, q CONDITIONS ,t r; O CITY L ZIP - tr U Date� A�PIc�ant. w+ ^ ARCHITECT OR y ,.TEL 0 NOTICE TO A P�LICANT 'If;'after,making:thficate of - DISTRICT GROUP ON, s, FIRE, c PROCESSED,BY ENGINEER.. NO ��• Exemption„yo_u_shoulcl 'become 'subject ft'rye.:Workers' LU Compensation provisions of the, Labor Cod you must forth ADDRESS ' ; -� with comply with such provisions-or, this permltarshall be , i STATISTICAL CLASSIFICATION. APT CONDO N deemed revoked' = _ CONTRACTOR Z 'LICENSED_CONTRACTORS DECLARATION': h. eT LIC CLASS NO DWELL UNITS ' : I hereby affirm thavlI m'llcensed under provisions of•Chapter 9, 'ADDRESS �' / O” (commencing with Section.7000)ofaDlvislon 3 of the'Busiriess ' ^LIC SEWER MAPF„” _ n and Professlons'Code,'and my license is in full force and effect ; CITY Q!/ CLASS" BK - VALIDATION. SQ FT5 n t ” 7' Lic'Class r NO OF O OF CHECK C + License Number SIZE STORIES FAMILIES ONE VALUATION ©� " • Conir'actorl t�� fJ'G7!!'41/Ll��ate '� DESCRIPTION OF WORK NEW ❑ s ,�• + ' ElI-'am exempt underSe �� .ADD - ❑ �"`��`' ALTER ❑ �. -_ r. B 8P C for this �: s n' USE'OF`S M REPAIR ❑ $ ; Dat I^� EXISTING BLDG r DEMOL''❑ Signature '3 - OT APPLICANT TEL', V 'OW E -BUIR D CLARATION' (PRINT) NO" FINAL - r _ DATE I,2'�—G'Z'� e I hereby affirmThaT`I arri ex mpt; om the Contractor's License- ,. y - -- Low for the•following re on"(Section 7031 5, B'uimess,and fi ADDRESS "~ FINAL-_ Professions Code)` i " PRESENT ," By P �" r I,.as owner of'theproperty, or m em to ees`with BUILDING Y P Y r, ADDRESS r At•�• Y wages as their sole compensation,wlll,do'the work and - - r r ,., 'J '�,. , the structure is not'mtended or'offered for sale(Section LOCALITY `,y, a t 5-11.19 -7044, Business and Professions,Code ) MOVING`'._ er', TELE `.• ` '=� 0 I, a own CONTRACTOR NO' V s er of the property,'am exclusively'contracting With;licensed�contractofs to•construct the,protect (Sec- - = - :r•- - • - • s ; t _ hon,7044;Business and Professions Code:) ADDRESS " `. ;- `; `_ n^. - o a ro• , {y r REQUIRED' YARD' HWY ' - TOTAL SETBACK.FROM' EXIST: rV7 a- d�o�J .CONSTRUCTION'LENDING AGENCY SET BACK - PROP'LINE WIDTH' =a" - Lheieby affirm that there is a construction lending agency for FRONT y �t the performance of,the work'for which this;permit Is'Issued "P L '� ' * • i- " '_ �a,s I - (Sec 3097, Civ,C ) e "SIDE, T�I F CLC Lender's Name P-L _ , f}{ ��1 11'4 r s ; s, LDMA Ref�# t L't; 1 e d• 4. P C'Fee$ Per Fee O , AI1�� AF y Lender's Address A = w Y _- a.- .. = X o ('certify that I have read this-application`and state thaT'the a� Issuance Fee' / LDMA,P/,C'# ` g above in rrrTd ions correct I agree to comply with,all County 'Investigation Fees!�!�1 ry�yrti i a nidi ces d,State•laws relating to building construction, Total Fee ' �/-' LDMA'Perm 00000-006i 11/25/9.9. 11/�tc✓f7L a an ereb authori' hves-of this County to enter upon th "b ve- e` ed property,for Inspection purposes. " �`= - -' - ! 6717 1 AM 9+42.- _ SEE REVERSE'FOR EXPLANATORY LANGUAGE gnature f Ap,4 ant or Agent. 'Date -' •, ° y_�- :4 r - " _ - - - ' APPLICATION-.FOR RUI ENNG PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION'DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS O s / 1my I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS 90 Or / FJ or a certificate of Workers' Compensation Insurance, or a'certj led copy thereof(Sec 3800,Lab C) CITY �Y j 1 ZIP I !"� O LOCALITY Policy No Company SIZE OF LOT. (� NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished- NEAREST CROSS ST ❑ Certified copy Is filed with the county budding Inspection TRACT BLOCK LOT NO ' department USE ZONEMAP NO Date Applicant ASSESSOR MAP BOOK -7G PARCEL 4 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'. OWNER � �At TEL O' COMPENSATION INSURANCE 4 INp/ WITHIN 1000 FT OF SCHOOL? YES NO (This-section need not be completed If the permit Is for one hundred ADDRE dZs /J I/� N. /1 DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars'($100)or less)' , CITY N. ZIP 'I certify that In the performance of the work for which this permit {, Is'Issued,'I shall not employ any person In any manner so as t0 ARCHITECT OR ENGINEER e TEL NO become subject to the Workers'Compensation Laws'^ STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NODWELL UNITS NOTICE TO APPLIG4NT If,, after making this Certificate.,,of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the 'Workers`' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH ,Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION SIDE - CITY - - LIC CLASS � PL I hereby affirm that I am licensed underprovisions of,Chapter 9 SEWER MAP �- -(commencing with Section 7000)cf Division 3 of the Business and SC?/FT SIZE NO OF STORIES NO OF FAMILIES a Professions Code,and my license Is In'full force and effect - NEW C01 C)PG U DESC PTION OF WORK _ ADD ❑ VALUATION License Number Llc Class Q/ o pop- Contractor DateALTER $ 3S(v � W ❑ I am exempt under Sec REPAIR El $ BBPC for this reason DEMOL ❑ „ 1 LDMA P/C# Date - USE OF EXISTING BLDG .♦ URM ❑ Signature JL -re /� APPLICANT(PRINT) TEL NO LDMA Perm# /�y ( a r I,as-bwnecNof the property, or my employees with wages as1JV , " `V �Z 7 �.' LL their sole compensation, will do the work and the structure,is ADDRESS 7 ef��i not'intended or offered for sale (Section 7044, Business and �/ L �� rS 14t FINAL DATEj t, _ C ,- COR -- Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -7- /_ 1; J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE {G i~� - ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE1FINAL BY { I licensed contractors to construct the-project (Section 7044, Ls_ Business-and Professions Code) Yes❑ No❑ N913 25— WILL s WILL THEdNTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING -OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH- _ jyt.`_.T,., TCp{_� ,. CONSTRUCTION LENDING` AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR : {i_ i i E i1 GUIDELINESwJl'!L -53 I hereby affirm that there Is a construction lending agency for VES❑ No❑ ( ' ' a the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1 +' Ef , W 3097,Civ C) CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE - � t'�'-'�' - ' • TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS !J �,( z Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD I_.H(-j G' Q Lender's Address - OAMER OR AGENT ' o I certify that I have read this application and state under penalty I'1 o of perjury that the above information Is correct I agree to comply PC FEE ..A PERMIT FEE n `0000-0001 '1{ T• .- $ with all county ordinances and State laws relating to building 2,P3 • tel' o�l� 3 < construction, and hereby authorize representatives of this County ISSUANCE FEEco ,/O to enter uporvjhe above-mentioned property for inspect n purposes p((d 7� '� L/-) � � (� INVESTIGATION FEEID - TOTAL FEE �L - - -{ r SEE REVERSE FOR EXPLANATORY LANGUAGE " APPLICATION .FOR BUILDING PERMIT ' . � • COUNTY OFIOS ANGELES BUILDING AND SAFETY: WORKER'S,COMPENSATION DECLARATION FOR APPLr ANT 1`0 FILL IN BUILDIN ADDRESS BUI DI GvADDR `U $ I hereby affirm,that I have a certificate of consent to self Insure, 7 or a certificate of Workers'Compensation Insurance,or a certified ZIP copy thereof(Sec 3800,Lab C) LOCALI Policy No Company SIZE OF LOT NO OF BL GS NOW LOT " El Certified copy is hereby fumished NEAREST CRO ST97 tx ❑ Certified copy Is filed with the county budding Inspection TRACTBLOCK LOT NO department USE ZONE MAP NO _ Date Applicant ASSESSOR MAP BOOKPAGED PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �© hl'o� r �,y J TEL NO 'o& YES NO COMPENSATION INSURANCE J7� fib' ��3 WITHIN 10DO FT OF SCHOOL -. ADDRESS / (This section need not be completed if the permit is for one hundred ,2Q Ava- 4F DISTRICT GROUP TYPE CONST' FIRE ZONEPROCESSED BY• dollars($100)or less) I certify that in the performance of the work for which this permit CITY 1 hart►�7 f/� , ZIP /ep / `r� ' / v? Is Issued, I shall not employ any person-in any manner so a's to ARCHITECT OR ENGINEER f�1� TEL NO, V, LJ become subject to the Workers'Compennssattion Laws. ' �N 0/`r STATISTICAL CLASSIFICATION APT CONDO Date 1-3 Appli' t— ADDRESS In CLASS NO 19 2 DWELL UNITS NOTICE TO APPLICANT- If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject 'to the Workers' CONTRACTOR !$� TEL NO )' SETBACK YARD HWY PROP LINE WIDTH Compensation'provisions of the Labor Code, you must forthwith I/t�o!_ V 1 comply with such provisions or this permit shall be deemed revoked ADDRESS LIC N FRONT PL 27034_N>' Aur a5 2r C.,- �. SIDE LICENSED CONTRACTORS DECLARATION CITY _ LIC CLASS PLp I hereby affirm that I am licensed under provisions of Chapter.9 p ^ SEWER MAP (commencing with Section 7000)of-Division 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMILIES Professions Code,and my license is in full force and effect NEW ❑ BK PG DESCRIPTION OF WO VALUATI License Number Sly J3� Lic.Class ADD ❑ Contractor IAAA/. d1649k Date ALTER ElI am exempt under Sec. REPAIR ❑ ° '- a B&PC for this reason DEMOL ❑ r"/�¢?�ii _ Date.- -T t USE O_ ENISTING BLDG — URM 11LDMA P/C# -- Signature —7�-e2 --�� ANT(PRINT) TEL NO ' ( T) 7' LDMA Perm# _ ❑ I, as owner of the property, or my employees with wages as ©� pr their sole compensation,will do the work and the structure is ADD E not intended or offered for sale (Section 7044, Business and FINAL DATE C Professions Code.) WILL THE APPLICANT ORFUTUREBUILDINGOCCUPANT HANDLE AHAZARDOUSMATERIA L �� '�� - L 7 ❑ I, as owner of ther0 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN _ p party, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i 's2 licensed contractors'to construct the project (Section 7044, YES 11 NO❑ �„ Business and Professions Code) �r Ir WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING � :'S E£--•: '•"'"'v' _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH- CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST % -GE FOR GUIDELINES j, ,, yJ '�•t ;.1L ; I hereby affirm that there is a construction lending agency for YES El - No El = the performance of the work for•whtch this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOI.ID -•.•-» 7 .r 3 ^r rrr•�:y;.z 3097,CIV.C) - PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES �'=i it,}"i i-i•_�, {' -. 3.. Lenders Name COUNTY CODE,TITLE Z CHAPTER2 20SECTIONS2 20 100THROUGH 22014000NCERNING __ Y HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD '0•'•'-+c` t�_ '3 Lender's Address a OWNER OR AGENT 0 1 certify that I have read this application and state that the above Information is correct I agree to comply with all County PC FEE �� PERMIT FEE ordinances and State laws relating to building construction,and / I� g hereby authorize representatives of this County to enter upon ISSUANCE FEE 9}� the above-mentioned property,for inspection purposes a INVESTIGATION FEE TOTAL FEE „edAppYbnlaApsit Deb � O6 / SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT � insure, or a certificate of Workers' Compensation Insurance, j 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 CITY ZIP Date Applicant NO. OF BLDGS. LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST CROSS 5T. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER NO USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL CONDITIONS so as to become subject to the Workers' Compensation Laws. } CITY ZIP d Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO, CONST ZONE ,( J Exemption, you should become subject to the Workers' V' Compensation provisions of the Labor Code, you must forth- ADDRESS ' ---�—•-•�_,J - + with comply with such provisions or this permit shall be TEL. STATISTICAL CLAS$(FICATION APT. CONDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWEu. UNITS Od I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 0 (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP d and Professions Code,and m license is in full force and effect. CITY CLASS VALIDATION Lu Y BK. PG. SQ. FT. NO. OF NO. OF CHECK � License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ ADD ElI am exempt under Sec. ❑ S ► ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL (PRINT) NO. DATE OWNER-BUILDER DECLARATION 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 ❑ 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.) 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 LDMA Ref. # P.C. Fee $ Permit Fee Lender's Address , i' 0 1 certify that I have read this application and state that the Issuance Fee - LDMA P/C# 8 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. # a and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION` I hereby}affirm that I have a`certificate of consent'to'self J rttsure, o ,u certificate-of Worker"s' Compensation Insurance, A P P L I CAT I,O.N F O R..:B U I L:D I N C� ..PERMIT,. or a certifi 'a co (Sec 3800; ab C ) t l rY- COUNTY OF'-LOS ANGELES. '- i B ILDIN Po icy No U G AND>SAFETN y ompany, _ e BUILDING] .� Cerirfled copy;s hereby'#umished y �' FOR APPLI��CAppN�T-ATO, FILL IN ADDRESS �' ,C/u/ PA ,/ r Certified copy is filed with The'county bukil ng inspec- "'" ADDRESS= ;tion, ep t ent .: �D'ate� PPlicanT; CITY ' �r�� LOCALITY O EM ON FR WORKERS' N 'OF BLDGS^ }N i NEAREST _ 4 'CERTIFICATE F EX PTI 'k`•w r c` ` SIZE OF`LOT,. NOW ON_LOT ,t CROSS ST .'COMPENSATION INSURANCE, ASSESSOR.- r q: -L (This-section need not be•completed,if'the•permit'is for,one•= TRACT", BLOCK-'`- * LOT'NO - '^ MAP BOOK - � ^ hundred,dollars�($1'00) or less ); 1 s Y TEL 'PAGERS PARCEL_ ; -'M` OWNER-" e -"NO of r USE'ZONE' MAP I,certif th t,^m � � y- a - the'performance-''Of-the work for which this NO permitfI:issued, I shall not employ 6ny;person m any anner 'f. ADDRESS 1,.(r� �' } " _ SPECIAL _, _ • :�� so as To bec m sublecT,to the Workers c Laws' aw CONDITIONS O _ eH s. • i'• ` �1 CITY 1LC 7 ZIP. " a + A)'`:' :.G r. `Y ;{ U -. . - 'r x Dote Applicant' ARHFiITECT.OR•^ TEL `'y DISTRICT.n GROUP.TYPE FIRE,. PROCESSED-BY, O' NOTICE TO.,APPCICANT If; after• mak ng,this Certificate-of -- ENGINEER ', NO 'r CONST ' • _ ZONE 1— Exemption, you' should become-sublect-to the,Wofkers' y ✓s' U•Uj ~d°o •Compensation-provisions of ihe'LdboryCode, you'must,forth ADDRESS D�' �` a _ with X;0mp1y'-w,tk-such provisions-.or. this permrt,shciVbe ' ', A l�6 TEL pp �( TATISTICAL CLASSIFICATION'' Y APT CONDO', Z deemedrrevoked CONTRACTOR �= �i N ' . LICENSED;CONTRACTORS:DECLARATION •';e ` / y LIC CLASS NO �.- I hereby affirm that Fc�` Iicensed.unde�'provisions of ChdpTer9` . ADDRESS C V?�.� '�r' V NO ,J,�.�.7 L`IC°" SEWER MAP (comrrieriang_vvith:Se�tion 7000)of Division 3 of the Bu'smess �� - and-Professions,C6ai,.and,m�)y,Qlicense is m full force.and.effecT CITY•'s' G `� !� CLASS Y j BK _ VALIDATION E•V / Lam.'•�.:•. c;. s— SQ' FT=,� NO'OF NO OF • License N_umber Lic Class SIZE'. STORIES FAMILIES ;_'ONE" . .l.• VALU� b Cont" D`•7� -iate DESCRIPTION OF WORK, NEW ❑ .t` ADD; $ - e „ I am exempT.under,-sec' }' �' �✓�, a ► u ALTER .❑ •B&P-C: for this reason -REPAIR ❑ s Date �;'�;yz.' USE OF s EXISTINGYBLDG 'DEMOL'� Signature ..•r ^,. i APPLICANT !!, 1� TEL P 3 'FIN > ;q" OWNER-BUILDER DECLARATION ��'� " (PRINT) N AL f, ~DATE I•hereby affirm that ham ezempt,from the Contractor's License Law for the following reason (Section-'7031 5, Business and ADDRESS -FINAL ?3 " Professions Code): t" '• -' ' ;4 PRESENT..~' ; sy, •.r. r. �• $. _ ` ❑j I, as'owner of•the properly; on my employ AD BUILAt At_•5•�e s < i ees with' RE55 wages as their sole compensation,will do The work and ^ s•i ) 66.fig^ the str'ucTure'is"noT'mtended or offered for;sale(Section LOCALITY. } ►~ -��, 4 r 7044',.Business and•Professions Code-) .* -- MOVING ," TEL ❑ I, as'owner of thetproperty,-,am exclusively contracting CONTRACTOR.- NO ° -with•licensed•contractors to construct,the'prolect,(Sec_ �r1r•{-5,°e;•`* z Tion'7044,'Business and Professions Code-) x -REQUIRED. .TOTAL SETBACK-FROM, EXIST, CONSTRUCTION LENDING AGENCY,' SET BACK•. `YARD' "HWY' -PROP-LINE WIDTH I hereby affirm that there is a construction lending agency for+ FRONT r; i 'i TEM,- the perforrnancb of the+oyoik-for which'this permit is;i`ssued P'L Y f•t1 —22 _ r �, r (Sec 309 -Civ' C )_ i _ a SIDE r ''1 i�t HL. • �"S _�®--�6 Lender's Name c.. CHUCK Lender'srAddress '~ „ r el P C Fee$ Permit Fee ` J G� LDMA Ref-# t• 1;NGE- ,r. ;f I(} �. 7 _ • I'certify'that 1',have read this'application and state that the, - '> _ Issuance Fee / ; LDMA P%C# '- above information is correct--I agree to comply with all County Investigation Fee r.s- ordinances and'State,laws relating to building construction, Total Feet/ / �• -�L'DMA Perm # a and here��r f This County to enter 1 cls .� upon the 'inspecTio p po es• :, "` _ "' " :r II i`, 4 SEE REVERSE FOR EXPLANATORY LANGUAGE r •3 pp scant or Agent ate W - - t WORKERS' COMPENSATION DECLARATION Y affirm rsrtconsent LONG" PERMIT " P E RM IT ,sr ne orocerhfcate of Workers' APPLICATION FOR BJI or a certified copy.thereof (Sec'3800,-Lab C,),, z '.000NTY'OF LOS-ANGELES'- BUILDING AND SAFETY;'"�� Policy No Company 1:11 Certified copy is hereby furnished . ` FOR APPLICANT TO FILL IN ADDRESS ElCert,4;ed copy is filed with the county building inspec- BUILDING T tion department ADDRESS •0FL GGGvt�a•. Dote Applicant CITY ZIP ' LOCALITY ;CERTIFICATE OF EXEMPTION FROM WORKERS'•' NO OF BLDGS• NEAREST COMPENSATION INSURANCE SIZE OF LOT 'NOW ON LOT" CROSS ST ? (This section•need,not be completed if the permit'Is for one ASSESSOR b, TRACT BLOCK LOT. - MAP BOOK PAGE, PARCEL „ hundred dollars ($10.0)or less ) t' TEL USE ZONE MAP, I certify that in the performance of the workR V for which this OWNER IN d / NO permit is issued, I shall not employ any person in any manher r p SPECIAL sc as to,become subject to•the Workers'Compensation Laws ADDRESS �O�' CONDITIONS l� Gam` sa„ �yj �I/off CIt �'•Q✓��.. ZIP TY ; Dote Applicant; ARCHITECT OR + TEL DISTRICT GROUP TYPE FIRE 'PROCESSED BY NOTICE,TO APPLICANT -If, after making this Certificate of ENGINEER NO CONST Z NE._ Exemption, you should become subject to,the Workers' 1 //� ',/ �j Compensation provisions of the Labor Code, you must forth- ADDRESS r �` o 0 V f with comply with such provisions or this permit shall be T APTTOINIDO deemed STATISTICAL CLASSIFICATION re0oked i CONTRACTOR LICENSED CONTRACTORS DECLARATION ;.` LIC CLASS NO DWELL'UNITS t I hereby affirm that,I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing viith Section 7000)of Division 3 of the Business and LIC t Professions Code, and my license is in full force and effect CITY CLASSBK i - VALIDATION a • PG SQ FT NO OF NO OF CHECK License Number Lic1 Class t• -SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK 1 W D Contractor" Date❑ ADD Li I am exempt under Sec- "" (/ r-"r! ❑ ALTER B 80 C for this reason REPAIR ❑ s �' USE OF Z Date EXISTING BLDG DEMO' ❑ Signature r APPLICANT TEL,' FINAL OWNER-BUILDER DECLARATION PRINT NO Q• / DATE � rl+ereby affirm that I am exempt from the Contractor's Licenset :•r ' 18w for the following reason (Section 7031 5, Business and ADDRESS l l7r *",Wi/.i'��/-'��+t► `'"T FIN Professions'Code) - PRESENT. ❑ I, as owner of the property, or my employees with, ADDR SS 4' { 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 ,j, as owner of the property, am exclusively contracting CONTRACTOR _ NO ° ' T with licensed contractors to construct the project (Sec-,. ADDRESS x' tion 7044, Business and Professions Code) -y��7 p REQUIRED TOTAL SETBACK 3- -a}! -' 49.88- TOTAL LENDING AGENCY. SET BACK YARD HWY PROP LINE- -WIDTH ,l hereby affirm that there is a construction lending agency for FRONT �I'TEf the performance of.the work,for whicA this permit'is issued P L gay ,(Sec 3097, Civ C ) SIDE ,TOTAL, 49 � 2,S Lender-'s Name P L •HEC f� , e' 2 LDMA Ref ii } Lender's Address P C Fee$ Permit Fee' J ✓ CHANGE 3 I certify that I have read this application'and state that the _ ®' + o• Y PP Issuance kLDAP/C q R above information is correct'I agree to'comply;with all County Invests orlon Fee ( (_ 1� 5/°rl o ordinances and State jaws relating to building construction, g " ` U —qOn d c Total Fee LDMA Perm ff and hereby authorize representatives of this County to enter, • C} 1 AM 9's57 ;upon the ob ve-mentioned property for in purposes e. 6- SEE REVERSE FOR EXPLANATORY LANGUAGE , Signature of Applicant or Agent Date - - ` WORKERS' COMPENSATION DECLARATION hereby affirm that have a certificate of consent to self, APPLICATION- F'®R BUILDING -PERMIT. "',' , n�ure, or a certificate of Workers' Compensation Insurance, .or a certified ro y there f (Sec 3800, La p �� COUNTY OF LOS ANGELES BUILDING AND SAFETY '• Policy Nd� Gompany� Certified copy hereby furnished FOR APPLICANT.TO FILL IN BUILDING R , ADDRESS DU Certified copy is filed with the county building inspec- BUILDING Q T �+ r� tion department' I ADDRESS ,0Q S / ��K-o+ ' � �. Date Appl cant L CITU /� ZIP LOCALITY ' CERTIFICATE, F EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST r, COlvtPENSATION'INSURANCE SIZE OF LOT Now ON LOT CROSS ST (This section need not be completed of the pe'rmrt is for oneASSESSOR, " hundred dollars ($1,00)or less ) - TRACT BLOCK LOT NO MAP BOOK• PAGE PARCEL tOWNER / TEL U ONE MAP I certify that in the performance of the work for which this ( „'t NO permit is issued, 1 shall not employ any person in ony,manner J SPECIAL so as to become subject to the Workers'Compensation Laws ADDRESS D D L CONDITIONS Date O. APPlicant f CITY . ZIP NOTICE TO APPLIC T If''after making this,Certifi to of ARCHITECT OR ?EL' DISTRICT -GROUP TYPE -.. FIRE PROCESSED BY ENGINEER, ;NO / �� CONST, ZAQIE Exemption, you.s ou'Id become subject,to the Workers' YO Compensation prop, of the Labor Code`,,you must forth- ADDRESS with comply with such provisions or this permit shall be TEL• TATISTICAL ClA iFl TION APT CONDO deemed revoked CONTRACTOR NO LICENSED'CONTRACTORS DECLARATION LIC CLASS NO DWELL' UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 4ae Aylj (commencing with Section 7000 of Division 3 of the Business and SEWER MAP ' ( 9 ): LIC - : , Professions Code,,and my license'is in full force and effect CITY CC S Z CLASS BK PG w VALIDATION SQ FT NO OF NO OF CHECK "- License Number Lic Class Z�. _A_ SIZE STORIES FAMILIES ONE O +�� VALUATION �+� ? U Contractor Date OC DESCRIPTION OF WORK A D ❑❑ $ //}7�`/ ` a 11 ❑ I am exempt under Sec / {,/ V , ALTER ❑ W B 8P C for this reason I REPAIR ,❑ $ A USE SE OFEXISTING BLDG DEMOL- ❑ Z Si nature APPLICANT -� TEL FINAL g PRINT Pn'Q�I NO, OWNER-BUILDER DECLARATION ' '9f00__ DATE I hereby affirm that I am exempt from the Contractor's License Y�( t� FI Law for the�followrng reason (Section-703145, Business and ADDRESS Professions Code) a R N .., i r j 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 ACCT, 7044, Business and Professions Code) MOVING TEL ❑ .,I; as owner of the property, am exclusively contracting CONTRACTOR NO °J•_L-r •_9.2`5 with licensed contractors to construct the project (Sec- ADDRESS ' `tion 7044, Business and Professions Code) > ' REQUIRED TOTAL SETBACK RO CONSTRUCTION LENDING AGENCY - YARD HWY 1t; t(�i ff ' Q SET BACK i PROP LINE WIDTH I hereby affirm that there,isa construction lending,agency for FRONT i CHECK, c` °' t'7r. the performance of the work.for which this permit is issued P L < t ` (Sec'3097,"Civ C ) '4 SIDE CHANGE P L , Lender's Name t r -LDMA Ref # m PC Fee$ Permit Fee0000-0001 _ 2f 1 5/i 9, Lender's Address1. I certify that I have read this application and state that the ` Issuance Fee ' CDMA P/C# 1-2117 }, 0-9:34 above,information is correct I agree tw.comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee%, Perm # " and heieby.outhonze'represent'trves of this County to enter m ;upon t o erty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o A scant Date :, ~ D fir' v k9FWS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to' self r BUILDING PERMIT' i;Sue, or a certificate•of Workers' Com :' A P P L LCAT I O N': F O Rkers' Compensation Insurance; � - - , or a+certified copy thereof (Sec 3800, Lab C ) r •COUNTY OF LOS ANGELES BUILDING AND SAFETY- ,. Pol icy.No Company•' i BUILDINGOno Certified copy is hereby fur FOR APPLICANT TO FILL IN J BUILD � _ (1u � ❑ Certified copy_is filed the county building rnspec- BUILDING tion department ADDRESS v 6 / Date' APPlicant CITY -` ZIP LOCALITY 1-1 " OF BLDGS L NEAREST' CERTIFICATE•OF EXEMPTION FROM WORKERS' SIZE-OF'COT, N ON LOT. CROSS ST •COMPENSATION•INSURANCE _ ASSESSOR - (This•section•need'not be coriipleted if tFie permit is for one TRACT' i. BLOCK" LOT NO' MAP BOOK PAGE, PARCEL hundred dollars ($100) or less ) ', , - '- , • TEL ' _ OWNER NO ` US ONE'- MAP NO It certify that m.the performance of the work,for which'ihis' r ! ± s SPECIAL a. permit is issued, I shall not,employ any person in any manner ADDRESS, 10 CONDITIONS A so as to become'sublect to t�Wqrkers' mpensation La OU,. 2J f�f 'CITY :_ ZIPDate=C� ApplicARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY-. ••NOTICE ` O PPLICANT ' after making this Certificate of ENGINEER` NO CONST ZO Exemption, you"should .become subject, to- the Workers' r w Compensation provisions of the Labor Code, you must forth- ADDRESS ✓� "3 �N ra -with comply-witli such provisions or this permit shall be TE .�� J�1 STATISTICAL CLASSIFICATION A, CONDO Z deemed revoked, 5 CONTRACTOR M ` - N - — ` LICENSED CONTRACTORS DECLARATION '_ f[ UC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9+•'„ ADDRESS T=' NO _ L SEWER MAP LIC (commencing with'•Section 7000)of Division 3 of the Business VALIDATION and Professions Code,Grid my license is m full,force and effect CITY' CLASS �-- BK PG ; SQ FT NO OF NO OF CHECK.; .License Number ,1 ( CY`+ Lic Class ` SIZE STORIES FAMILIES ONE VALUATION 1 DESCRIPTION OF WORK NEW Contractor Date !� rl ' - - ADD ❑ $ 3ci x" ALTER❑I am exempt under Sec v ALTER ❑ � B&P C for,this reasons l rr v a ` I REPAIR ❑ ate USE OF MDEMOL ❑ - EXISTING BLDG . ,- APPLICANT TEL ' ! r Signature _ ,^ti-af _ FINAL - (PRINT) ,� " -''NO �r�J� OWNER-BUILDER DECLARATION , ' ' rr . {� DATE Z��-�IL I hereby affirm that:l"am exempt from the Contractor's License ADDRESS �� w' �V`^ ",` Law for the following,reason•(Section 7031 5, Business and FINAL, Professions Code) PRESENT r_. .. BY pr/� BUILDING 17147•*, _ ❑ 1, as owner'of the property, or my employees with ADDRESS t ADDRESS— wages as their sole compensation,will do the work and the structure is not intended'or offered for sale(Section LOCALITY. �?v• +3 7044, Business and Professions Code ) - - MOVING TEL, CONTRACTOR NO ❑ 1, as owner of the property, am exclusively contracting with'licensed contractors to-construct the project (Sec- ADDRESS TOTAL 68e .=p tion 7044, Business and Professions Code ) , /�� _ REQUIRED TOTAL SETBACK FROM__ EXIST. c 4 ECK G5.6 CONSTRUCTION LENDING AGENCY' SETBACK . YARD;, 'HWY PROP LINE^ WIDTH, hereby affirm that there is a construction lending agency for FRONT , CWGE .' .131 the performance of the work'for,which this'permit'is issued P L' �' LLo (Sec 3097„ Civ C,). SIDE Lender's Name P L 0000-000 --9/20/89, LDMA Ref # p,� 1 w�{ 9: - PC Fee$ Permit Fee Q � V7 1 1111 7v1�1 Lender's Address r I 0 1 certify that I Nave"read this application and state that the Issuance Fee �'. LDMA'P/C# 0 8 above mformdtion is correct -1 agree to comply with all County Investigation Fee rX3 ordinances and State Idws relating to building construction, r Total Fee - ! LDMA Perm # a and hereby authorize representatives of this County to enter upon a above-mentioned prope or inspection p rpose c SEE REVERSE FOR EXPLANATORYyLANGUAGE v Signature of Applicant or Agent Cate APPLICATION, FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND'SAFETY WORKER'S COMPENSATION DECLARATION' FOR APPLICANT TO FILL IN BUILDINGDDRE S , BUILDING ADDRES - I hereby affirm that I have a certificate of consent to self Insure, . %�,i7>f TyN D or a certificate of Workers' Compensation Insurance,or a,certified 206 C� / le ; copy thereof(Sec 3800,Lab C) CITY• ZIP O LOCALITY POIICy NO Company - SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy Is filed with the county bu1lding Inspectlo TRACT BLOCK LOT NO d a ment - 1 USE ZONE MAP NO fit ASSESSOR MAP BOOK- PAGE PARCEL 'SPECIAL CONDITIONS (-:7- CERTIFICATE CERTIFICATE OF EXEMPTION FROM WORKERS- OWNER ( TEL No L YES No COMPENSATION INSURANCE' ! WITHIN 1000 FT OF SCHOOL? This section need not be com feted If the permit Is for one hundred- ADD ESS ( P P v 6 DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100) or less) t • CITY - - -ZIP I`ertify that In the performance of the work for which this permit12� ( � �i Is Issued,-I shall not employ any person In any manner so as to become ubject to the Workers'Compensation Laws - - ARC TELT OR ENGINEER TEL NO f�P STATISTICAL CLLS�CATION APT CONDO Date Applicant a �Id�l ADDRESS CLASS NO �� DWELL UNITS NOTICE TO APPLICANT- If, -after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST• Exemptidn, you should become ,subject t0 the Workers' CONTRA TOR J / TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must,forthwith � %(,/ �� 1'2 c S FRONT comply with such provisions Or this permit shall be deemed revoked ADDRESS '' A LIC NO P L ` 'SIDE LICENSED ' LICENSED CONTRACTORS DECLARATION ILIC CIL PL T, I hereby affirm that I am licensed underprovisions of Chapter 9 1 � G SEWER MAP (commencing with Section 7000)of Division 3 of the Business Arid SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code, nd my lice e I n full force and effect NEW BK PG ® a f ej LJ DES RIPTION OF oR ADD ❑ VALUATION - f 0 License Number Llc Clas U i Contractor u1�0 'ate — ALTER ❑ cc = LLsov`. El �-I am exempt under Sec REPAIR ElO0 B&PC for this reason DEMOL ❑ LDMA P/C# s L1J Date U OF E (STING BLDG URM Elt`Teg - a- Signature APPLICANT(PRINT) TEL NO LDMA Perm# - - Z ❑ I, as owner of the,property,'or,my employees with'wages as Z M0.50 their sole compensation, will do the work and the structure is ADDRESS not Intended or offered for sale (Section 70442 Business and FINAL T 0 1 s Professions Code) , WILL THE APPLICANT-OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL HE • J ACCT i OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN T 8 ElB 1, aS owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINA 5 licensed contractors to construct the project (Section 7044, YES❑- NO 1:13303 108.% Business and Professions Code) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 2 ITEMS - - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR TOTAL- �. GUIDELINES I 1 hereby affirm that there Is a construction lending agency for YES El NO El i Lr� a the performance of the work for which this permit Is Issued(Sec �j CFiECM� 159.40 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ j{�/��/' - TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS CHAI+�E u 00 3 Lender's Name MATERIALS REPORTING•AND FOR OBTAINING A PERMIT FROM THE SCAQMD o Lender's Address 0 , OWNER OR AGENT ' o I certify that I have read this application and state under penalty 00-01 8/30/95 0 of perjury that the above Information IS correct I agree to comply PC FEE - O PERMIT FEE - " o with all county ordinances and State laws relating to building 0' ' 2108 1 AM 10.01.57. m construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon the above-mentioned property for Insp�ect�or�purposes 3 y INVESTIGATION FEE TOTAL FEE , - SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 17p D L-zo BUILDI D6 — C _ —H hereby affirm that I have a certificate of consent to self Insure, v YV I a certificate of Workers'Compensation Insurance,or a certified CI zIP �jlcy y thereof(Sec 3800,Lab.C) LOCALITY No Company SIZE O LOT NO OF BLDGS NOW ON LOT v Certified copy is hereby furnished NEAREST CROSS ST /t S n 13 Certified copy Is filed with the county building,Inspection TRACT BLOCK LOT NO C� department USE ZONE MAP NO ASSESSOR MAP BOOK PAGE PARCEL ^ 18te Applicant (N/p_ SPECIAL CONDITIONS ' CERTIFICATE OF EXEMPTION FROM WORKERS' ONE S nC Y I1 O o� YES NO AESS COMPENSATION INSURANCE WITHIN 10DO FT OF SCHOOL? / This section need not be Completed If the permit Is for one hundred -1c76 Co L Q DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY lollars(xh t or less) C zip 00 �_ certify th t in the performance o e o for which this pe It I Issued, I shTo er"q all of a joy any int y manner so ,to AR Q T R GIlYE 'A ' T c� Pecom u rs' m Ion D b (v V d 7�j/ STATISTICAL CLASSIFICATI iJ APT CONDO late II AD �s f- CLASS NO DWELL UNITS��`� JOTICE TO PPLICANT: If, iter making t C@ to of REQUIRED TOTAL SETBACK FROM EXIST :xemption, you should be me subject t0 the Workers' RACTT•�ORCC AE NIO ^-� SETBACK YARD HWY PROP LINE WIDTH . mpensatlon provisions of the Labor Code, you must forthwith 0 i D G'� ' f er Vic e- a / FRONT empty with such provisions or this permit shall be deemed revoked ADDRESS !! fl ' ma I 3 3�f PL IDE LICENSED CONTRACTORS DECLARATION oITY[L/ `j 'v uc P L CD hereby affirm that I'am licensed under provisions of Chapter 9 CC SEWER MAP C> commencing with Section 7000)of Division 3 of the Business an SQ FT SIZE NO OF STORES NO OF FAMILIES C professions a VI I is m full force and effect Lf�.3D19 NEW ❑ BK PG U �Icen Lic Class C _ 111 DES RIPTION F W �- `_ �� ADD ❑ VALUATION \ a N Eontrs ate ` ALTER ❑ Z GU tit•{•I s Z I am ex pt under Sec REPAIR ❑ -307 14 1. B&P C for this reason DEMOL ❑ LDMA P/C# _ X f E MS U B uRM ❑ TOTAL AL 14 1 ® � Signature APPLI A (PRI TEL N +� SS -� LDMA Perm N Z t;�I_Ci �y'i o�.�=1 ❑ I, as owner of the operty, or my employees with wages as AD .�' �7EI�' ` their sole com sation,will do the work and the structure is Dn / not Intend or offered for sale (Section 7044, Business and s l ' FINAL DATE Q _ Professi Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MA IAL ❑ 1, owner of the property, am exclusively contracting with ORE AMOUNTS �leo oN TA HAZARDOUS HAZARDOUS MATERIAL EQUAL INFORMATION GUIDER THAN FINAL BY > nsed contractors to construct the project (Section 7044, Business and Professions Code) WILYESL ❑ NO / '!p 11 P +f WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMO)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NoAHAZARDOUS the performance of the work for which this permit Is Issued(Sec. I HAVE R TMATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ C) _ PERMITTI CHE IST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES I-TI 2. PTER 220 SECTIONS 2 20 100 THROUGH 220140 CONCERNING Lender's Name MAT ` ING AND FOR OBTAINING A PERMIT FROM THE SCAGMD Lenders Address — I certify that I have read this application 'Ind state that the above PC FEE PERMIT FEE Information Is correct I agree to comply with all county ordinances d S to I relating to budding construction,and O ( d hereby aut ze ntatives of this County toe er upfn ISSUANCE FEE ab tion o rty for inspection purpo i INVESTIGATION FEE TOTAL FEE sy.n.. a oero l 6 - SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION : I hePeby:bffirm that I have a certificate of consent to self ' insure, ora certificate of Workers' Compensation Insurance, AP T L I'CAT I.O.N .,FOR_ BUILDING ,PERMIT ' or a certified copy thereof (Sec Lab C 3800; ) • . " COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No' Coriipony k,t • - ` Certified copy.is hereby furnished t . -FOR APPLICANT TO FILL IN Ao�REss fo ❑ Certified copy'is filed with the county building inspec- BUILDING // // -'� k„tion department ADDRESS aIQ f. l- —��?.,; Q. Date Applicant ZIP v LOCALITY NO.OF BLDGS NEAREST CERTIF,ICATE,OF EXEMPTION FROM•WORKERS' CROSS ST r' SIZE OF LOi NOW ON LOT r j COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the perrnit'is for one - TRACT BLOCK LOT NO MAP BOOK '_ PAGE PARCEL hundred dollars ($100) or,less ) �? 1 k OWN TEL NO R�/ - t USE ZONE MAP a - _ NO /J O I certify that in the performance••of work,for which this ' . • • SPECIAL } permit is issued, I shall not employ' y erson i ny manner ADDRESS �� CONDITIONS a so as to,become subject to the Wo ers 'Co en It, Laws i Or :1 CITY ”- � ZIP Date�C �—Applicant ARCHITECT OR TEL TRICT:- GROUWYPE FIRE " PROCESSED-BY O NOTICE-TO APPLICANT-,If, after-making this Certificate of ENGINEER NO _ ONSj ZONE t Exemption, you should;,become- subject to the Workers' U Compensation provisions of the,Labor Code, you must forth ADDRESS O� a with comply with such provisions or this-permit shall be TEL �J 0 STATISTICAL CLASSIFICATION APT - CONDO Z deemed revoked CONTRACTOR NO —: LICENSED CONTRACTO_RS'.DECLARATION" LIC �7Q CLASS NO DWELL UNITS----..;— a00ADDRESS i N / 7 Z ; I hereby.affirm that I am licensed under provisions of Chapter 9 "."SEWER MAP, (cornmenng'with,Section 70)of Division 3 of the Business S—,. LIC -^ / _, and Professions Code,and'my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK:9,9 ` License Nu er Lic Closs—T SIZE STORIES FAMILIES` ONE id- - i " VALUATION Contractor � Date V� DESCRIP O OF WORK 7 6 Nom`/ a ❑ - ; a n - ADD ❑ s 30 tI am exempt under Sec a�O y /G2 ( — ALTER B 8P C for-this`r son_ '° REPAIR- $ 4 Date �� c' �' EXISTING BLDG r DEMOL ❑ — Signature APPLICANT - , g (PRINT), NO t' FINAL OWNER-BUIL ER DECLARATION DATE t D I hereby affirm that I am exempt from the Contractor's License Yk _ �., Law for the following reason (Section 7031 5, Business and ADDRESS FINAL' ' Professions Code). PRESENT- By;_; s T_1• r ❑, BUILDING I, 'as owner of the property, or my employees-with ADDRESS ACCT.f wages as their sole compensation,-will do the work and - the structure is not intended or offered for sale(Section LOCALITY ' 7- + = 59.25". 7044, Business and Professions Code) MOVING' TEL rITEi ❑ " I, as owner of The property, am exclusively contracting CONTRACTOR NO -,with licensed contractors to construct'the project (Sec- ADDRESS,`' �r +�-- - °e,r�:, TOTAL 59 2'$I tion 7044, Business and Professions Code L,a, ' REQUIRED ; TOTAL SETBACK FROM EXIST "< " "•';' h "3 'w', +}, _ !' ��pQ CONSTRUCTION LENDING AGENCY-- SET BACK YARD HWY PROP LINE WIDTH is '• J7� • I hereby affirm that there is a construction lending agency for FRONT t_ "- GW" the performance of the ,work for which this"permit-is)ssuecl PL �' � .00 , (Sec 3097, Civ C ) SIDE- PL - 1. a � ' Lender's'Name A 7/21/89- � ' P C Fee$ Permit Fee - LDMA Ref H'• - �:tr' ' Lender's Address �50 • o 71 certify that I hove read this application and state that the Issuance Fee � ''d LD AA P/C#i � ,above information is correct I agree to comply.with all County Investigation Fee,; , , ordinadeatate jaws relating to building construction, Total Fee J LDMA Perm # a and heonL sentatives of this County to enterupon tmproperty for inspection purposes r o }. SEE REVERSE_FOR EXPLANATORY LANGUAGE , • p r� ature of Applicant'or'Agent Date _ i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802090004 PHONE: (818) 285-0488 EXT: LEGAL BUILDING D TR: 6561 LT: 411 BL: .001 SIGN DESCRIPTION: TWO NEW SIGNS - LABOR ONLY SIGNS FURN 9906 LAS TUNAS DR TEMP CA 917802200 ASSESSOR -INFORMATION R: NEAREST CROSS STREET: 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY NA ST B G SSU N: PROCESSED BY: E R 0 FARMERS INSURANCE EXIST OCC GRP: 02/09/98 UT 02 9/99 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATIO • FINAL DA E FINAL Y: CODE: LUI WAI YU ALBERT;LUK WAN YUN 400C!, 00 _�J'� 1709 PALM AV _"� ALHM 918032925 FEES PAID MUMMONOF WORK 2 NEW BOX SIGNS 9 SQ FT AND 15 SQ F FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: T SUCCESS SIGN (626) 280-8932- AA BLDG PERMIT ISSUANCE 27.75 820 E. VALLEY BLVD. AE STRONG MOTION OTHER 400.00 VAL 0.50 SPECIAL CONDITIONS: SAN GABRIEL, CA AX BUILDING REVIEW-FEES - -� 54.70 D2 PERMIT W/OMEN H�C�- 400 00 ELB=SOTALF,EES VAL 143.50 26.45 CONTRACTOR: TEL. NO: ®tea �f�iAPPRO\'ALS DATE I N S P 5 CTO SIGNATU E SUCCESS SIGN (626) 280-8932- 820 E VALLEY BLVD LIC. NO UaVION AND SETBACKS SAN GABRIEL CA 91776 739177 C45 SOILS'ENGINEER APPRO AL ARCHITECT OR ENGINEER: EL. FOUNDATION/TRENCH FORMS - Ir LIC. NO: 1111111 SUPPORT STRUCTURE ,1 MAP NO: SEWER WP—BOOK: PAGE: FIRE ZONE: CMP00 �2) lJ i i D j '+ N0. OF FAMIME97- 59ELLING UNITS: A OND: STAT CLASF--- NO 20 C'- - �klit. / AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 e `4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9612260011 PHONE: (818) 285-0488 EXT: LE D: NUMBER OF SI BUILDING S:• TR: 6561 LT: 411 BL: .001 SIGN DESCRIPTION: NEW SIGN WITH CHANNEL LETTERS AND ILL 9908 H LAS TUNAS DR TEMP CA 927802200 ASSESSOR INFO BER: NEAREST CROSS STREET: 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: EXIST ' ISSUED ON: PROCESSED BY: EX SATELLITE & SURVEILLANCE EXIST OCC GRP: 12/26/96 TC 12/26/97 OWNER: TEL. NO: BLDGS. OW ON LOT: VALUATION: FINAL DATE FINA B CODE: LUI WAI YU ALBERT;LUK WAN YUN 2,800 dalai 1709 PALM AV i ALHM 918032925 FEES PAID DESCRIPTION OF WORK NEW SIGN WITH CHANNEL LETTE WITH ILLUMINATION FEE DESCRIPTION: QGANTIfu -le. p AMOUNT: ICA L. �3 0 1TAL CUSTOM SIGN CO. (818) 444-6027- AA BLDG PERMIT ISSUANCES 27.75 AE STRONG MOTION OTHER 280000-VAL6059 SPECIAL CONDITIONS: AX BUILDING REVBMFEE 5'4x:70 B2 PERMIT W/ENERGYi' 2800.00 VAL�109:07^, U "TOTAL FEES 0 192.11%s CONTRACTOR: TEL. NO: •. L-) PROVALS DATE INSPECTOR SIGNATURE ITAL SIGNSoj LOC "�J �1 2651 N. LEE AVE. #3 LIC. NO �' o ATION AND S SO. EL MONTE, CA 91733 C45 * _ ''II } n SOILS',ENGINEER APPROVAL ARCHITECT 0ENGINEER: . NO: sNa,o �u IJ � �1 �1 FO FORMS LIC. NO: . SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ONE: CM00 )i OF NG : AP : STAT CLASS: NO 20 HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO �3 1� * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804160007 PHONE: (818) 285-0488 EXT: LEGAL--ID: NUMBER OF S I GN BU I LD I NG__AUffn-9T_.- TR: 6561 LT: 411 BL: .001 SIGN DESCRIPTION: 3 S.F. WALL SIGN 9908 LAS TUNAS DR -TEMP CA 917802200 ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET: 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: IST BL USE: ISSUED N: PROCESSED BY: EXPIRES ON: BKN WEDDING GROUP EXIST OCC GRP: 104/16/98 VG ?O4/16/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LUI WAI YU ALBERT;LUK WAN YUN 300 1709 PALM AV 3"Zq -� ALHM 918032925 FEES PAID UnTEPTION OF WORK ONE WALL SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: EL. NO: SHAR (626) 444-6057- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID�300.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN'Fld_ 00t00 VAL 43.50 APPROVED BY CITY PLANNING 4-16-98 �GE LE2TI FEES 71.75 CONTRACTOR: TEL. NO: ®� 19� APPROVALS ATE INSPECTOR SIGNATURE SHAR, KYI CHOW (626) 444-6027- �. 2651 N LEE AVE #3 LIC. NO LOCATION AND SETBACKS SO. EL MONTE, CA 91733 652665 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH FORMS LIC. N0: SU PORT S RUCT RE AP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ��n j�i �� 1�1� 1 ooki' �JL��_'�� c ;J NO. OF FAMILIES: L N . 1 --- r _ - ---- ------ ---- f NO 20SCHWE _9M IN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO - NO 7 REPORT ID: DPR261 -ROUTE TO: BS0508 z COUNTY OF LOS ANGELES TEMPLE CITY # - BU3•L`DI-NGMRM.T� DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS R` COMMERCIAL ADD/ALT/REP BUILDING•AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608130018 PHONE: (818) 285-0488 EXT: LEGAL ID: _ CONST NEW BUI D RES : TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP ,990LAS TUNAS.DR STRUCTURE: 3011 1 V M TEMP'CA"91`7802Z00 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: . 8587-030-028 THOMAS PAGE: 597 GRID: �A2 LOCALITY: TEMPLE CITY T EX S D SE: RETAI USE ZONE: C- SSUED ON: PROCESSED EXPIRES ON: BKN WEDDING GROUP EXIST OCC GRP: M 08/14/96 TC 08/13/97 OWNER: TEL. NO:X1 BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE- LUI tD- 1709WPALMUAVLBERT;LUK WAN YUN � y/' 02 yOv 1 2,000 -R6 ALHM 918032925 FEES PAID DESCRIPTION OF WORK - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD DARK ROOM TO WEDDING SHOP _ APPLICANT: L. NO: SAME AS OWNER -` AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 2000.00 VAL 0.50- SPECIAL CONDITIONS: D2 PERMIT W/O E� p E 2000,.00 VAL 82.20 L TOTAL FEES -110.45 ti CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - - LIC. NO ��y� ` TION AND SErgAUT ® SOILS ENGINEER APPROVA AR R TEL. NO: FOUND T / RENCH FOR S LIC. NO: SLAB/UNDER FLOOR RAISED FLOORFRAMING MAP.NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: U B9L8 U V YI � KS UNDERFLOOR INSULATION 150H269 3 04 ., FL00� G NO. F FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: g �,.'oco NO 22 � O -Q ROOF SHEATHING - - SCHOOL THIN HAZARDOUS SHETR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO — �� FRAME INSPECTION (�1 FIRE S RINKL HANGERS �E?rvi` INSULATION/WEATHER STRIP INTERIOR H/DR EXTERIOR LATH . RATED F OOR CEIL ASS ` RATED WALL ASSEMBLIES RATED S AFT /OPEN S 1 T-BAR,CEILINGS ` LOT -DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 r ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR ' -BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA SL 0508--9712090015 PHONE: (818) 285-0488 EXT: LEGAL ID: NO.. OF- CONST ,BUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE' 9908 D LAS TUNAS OR STRUCTURE: 0 VN rTEMP CA 917802200 A IN FORMAT ION NUMBER: NEAREST CROSS STREET: 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: EXIST G USE: E NE: C-2 ISSUEDP ON: EXIST OCC GRP: 12/09/97 UT •12/09/98 " t r OWNER: TEL. NO: BLDGS. NOW ON LOT: . VALUATION: FINAL DATE FINAL CODE: LUI WAI YU ALBERT;LUK WAN YUN 1 400 1709 PALM AV ALHM 918032925 PAID C WOR I OPEN,A DOOR -TO ENTER ADDITIONA UNIT (_UNIT C TO D) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:- PL T: k - SAME"AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 400.00 VAL 0.50 SPECIAL NDITIONS: AX BUILDING REVIEWFEE 54.70 t D2 PERMIT W/O sEN-HC. L Q400-00 VAL 43.50 � _ � TOTAL FEES 126.45 CONTRACTOR: TE 0: j APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATJON,AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECTGINE I ® 0 /TRE r LIC. NO: b'w SL /UNDER• FLOOR RAISED- ttt�tt FLOOR TURTW MAP ,NO: SEWER MAP BOOK: PAGE: FI ZONE: M'': UNDERFLOOR INSULA IO 150H269 3 04 P U D U u K S EATHING NO. OF FAMILIES: DW LL : AP D: STAT CLASS: NO 22 , O o, t coROOF SHEATHINGSCHOOL a HAZARDOUS 0 AIR QUALITY: 1000 FEET WITHIN MATERIALS 0 PANELS NO NO NO ®� 'FRAM_ INSPECTION REQUIRED TOTALA OM FT1fE H SET BACK YARD: HWY: PROP LINE: WIDTH: ��' FRONT PL- 1 -INSULATION/WEATHER STRIP SIDE PL- �r is " �' ANTER OR LAT AL tt EXTER-MR LATH rRATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES i RATED / N I T- A4 CEILINGS tLOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 -- 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 0003160013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9908 C LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802200 ASSESSOR INFORMATION U B R: NEAREST CROSS STREET: AGNES 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT- EXI T BLDG USE: B IDA USE-2-OW-E- IUE ON: PROCESSED B : EXPIRESON: BNK WEDDING GROUP EXIST OCC GRP: B 03/1'6/00 VG 09/12 00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B ODE: LUI WAI YU ALBERT;LUK WAN YUN (626) 291-2900- 2,000 1709 PALM AV eL L�i ALHM 918032925 FEES PAID DESCRIPTION OF WOR TENANT IMPROVEMENT ADD 2 PART WALLS TO CREATE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DISPLAY AREA APPLICANT: TEL. N0: LIEN (626) 674-2277- AA BLDG PERMIT ISSUANCE 27.75 7826 GRAVES AVE. AE STRONG MOTION OTHER 2000.00 VAL 0.50 SPECIAL CONDITIONS: ROSEMEAD, CA 91770 AX BUILDING REVPEG_FEE—� = 54.70 D2 PERMIT W%0'EN-�C�L E 2000-,00 VAL 82.20 T07AL FEES 165.15 CONTRACTOR: TEL. NO: 4 Cj /� APPROVALS DATE INSPECTOR SIGNATURE LIEN, BINH (626) 674-2277- �® A� 11 - LIC. NO LOCATION AND SETBACKS 7826 GRAVES AVE,- 5025118 r ROSEMEAD CA 91770 / SOILS ENGINEER APPROVAL ARCHITECT ENGINEER: TEL. NO: / FOUND ION/TR H FOR S P[ LIC. NO: 1111111 SLAB i/UNDER FLOOR RAIS ED FLOOR-FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Cmp':; fJ U�ERFSHER INSULATION '� qL�C �JvO�Q�� N0. OF FAMILIES: DWELLING TS: APT OND: STAT CLASS:— NO 2216 � � ROOF SHEATHING SCHOOL WITHI HAZARDOUS \\\ 0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS Q 0. NO NO NO D ®� , FRAME INSPECTION FIRE sPRTNIKLER HANGERS f C Ser vice lbo INSULATION/WEATHER STRIP INTERIOR LATH4!!!!A4 3 �4 EXTERIOR -LATH uo- RATED FL00 CEIL SSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOTDRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I , .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 0307170042 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9906 LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802200 ASSESSOR M NEAREST CROSS STREET: AGNES 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY EXISTUSE: COMME USE ZONE: ISSUED 0 EXPIRES ON: HANG-TE WU EXIST OCC GRP: B 08/29/03 JK 08/23/04 OWNER: TEL. N0: BLDGS. NOW ON LOT: V LUATION: FINAL BY: CODE: LUI WAI YU ALBERT;LUK WAN YUN - 4,000 nn 1709 PALM AVE ALHM 918032925 A SFP'T'l0N_0F WORK ADD NON-BEARING PARTITION & TRASH ENCLOSURE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICAWL. NO: JEFF WANG (626) 821-0572- Al PLANCHECK W/EN-HC 4000.00 VAL 113.19 735 W DUARTE RD #203 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ARCADIA 91007 AC STRONG MOTION RESID 4000.00 VAL 0.50 A2 PERMIT W/ENERGY-HC 4000.00 VAL 133.17 TOTAL FEES 274.61 CONTRACTOR: TEL. NO: APPROVALS DATE _rWSTE_CTbR SIGNATURE MIKE KHO (626) 572-0262- 2510 STRATHMORE AVE LIC. NO LOCATION S ROSEMEAD, CA 91770 674370 B SOILS ENGINEER A PROVAL R HI INEER- TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR FLOORRAISED FRAMING MAP NO: SEOR MAP B55K: PAGE: FIRE CMP: UNDERFLOOR INSULATION 3 04 FAMILIES:NO. OF D S: FLOOR SH I EATHING NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION3 d3 FIRE SPRINKLER HANGERS N LATION/WEAT R STRIP INTERIOR G�r�tX EXTERIOR LATH RA . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES CIff 41 0508 BUILDING PEKMIT OEP4RTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPNIENT TEHhE CITY CA 91780 BL 0508 0410067035 PiiONE_ (626) 285-0488 LEGAL ID: NO. OF �'C':STP71lLb_:GADDRESS- TR: DDRE S:TR: 6561 LT: 411 EL: .001 SQ. rT STORIES TYPE 9908 C LAS TUNAS DR STRUCTURE- 7CjLl V T�NP C1 917802200 I ASSESSOR IN FORMAT J tffij WRIER: !!EARFST CROSS STREET: 8587-030-028 1','OhAS PAGE: 597 GRID: tuif�LITY: TEMPLE CITI, C TENANT: EXIST BL'JG-4SE: COMMS U!S 70NE�— Ts _' :5: PROCESSED BY: EXPIRES ON: REGENCY REALTY EXIST OCC GRP; 10/06!0 JK 10/01105 OWNER: iEl. kG: BLDGS. NO1,+ UIY LTA: - +/AL�:/tfSON: FIN;, LUI WAI YU AL07RT,_CK WAN YUN - 4,500 1709 PALM AV ALHM 918032925 RI T'O°I 0-t WORK RE-ROOFTNG ,; rTEAR-OFF COMMERCIPt. UIk"I:dG WITH BUILT-UP _ FEE DE£CRIP710N: QUANTIT?: is AMOUNT: UNITS K. L, !, i APPLICANT: ; L. NO: OH (323) 261-6500- AA BLDG PERi',I7 ISSUANCE 27.75 3408 E. OLIMP9 C B.. AC STRONG M0110N RESID 450(j_0j 4PL 0.50 SPECTu _ 'S+F"'`"IONS: LOS ANGELES r-A 90023 D2 PERMIT W/O EN-HC 4500.0^ 132.60 I TOTAL FEES 160.85 CONTRACTOP: TEL. `X,-. - APPR(-'4;S — i)A7 --S;L7JR SIGNaTllRE A & J MASIER RCOF:NG CO (323) 261-6600- 3408 E. OLYMeIC BLVD- LIC. NO OC r!O4 AN[t SEf6 5 j LOS ANGELEF, CA 90023 72627503- I SOLI capPRnVaL ARCHITECT OR ENGINEER- �: FSt:fff10NTfRtE ', FFCiTl L +I I - L IC, k0: SLAB/Til.DSR I i i r1APXX0: SEWER MAP BOOK: PFGE: FIRE ZONE: 014p1 UNGtni�G'SR t JrUi.A1:04 ! y -j FLOOR cF•EATPING ! —I ANO. OF FT9+1_TES: 5WECLIN6 UNITS: APTiCOND: STAT CLASS. NO 22 — --I ROSF 7HE:,TH.I NG SCHOOL WITHIN HAZARDOUS SHFAR PANELS + i AIR QUALITY: 1000 FEET MATERIALS I NO NO NO FRAMESA_:: + REQUIRED _ TOTAL SETBACK_NUF EXIST FISE Ih L'R HAN -�GER'�_ SET BACK YARD: HWY: PROP LINE: WTDTH: I FRONT PL- INSUL T SNiVEATHER STRIP SIDE PL- ININ ER:OR-L;TPII)R WALL _I EXTER107 LAST:I RATED FLOOR/LL-L ASSEM. RATED FALL ASSEMBLIES RATED bHA�lS/ 'PENINGS —��— T-BAR CEILINGS -I LOT DRRRAItAffr_ (—"-- REPORT TD: DPR261 ROUTE TO: ES0508 a• -• COUNTY-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 9911230072 PHONE: (626) 285-0488 EXT: LEGALNO. OF UI ADDRESS: TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9908 C LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802200 ASSESSOR I NEAREST CROSS STREET: AGNES 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED PROCESSED EXPIRES ON: BNK WEDDING GROUP EXIST OCC GRP: B 11/23/99 UT 05/21/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LUI WAI YU ALBERT;LUK WAN YUN 1 2,000 1709 PALM AV -ALHM 918032925 D D IPN OF WORK TENANT IMPROVEMENT - STORAGE AREA AND NEW PARTION WALL 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN=HC-f-�-1-.2000.00 VAL 82.20 �OGELESTOT`A�LOFEES 110.45 CONTRACTOR: TEL. �OCj APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION SETBACKS SOILS ENGINEER APPROVAL d AR ECT OR - / FO / RE C LIC. N0: 1111111 SLAB/UNDER FLOOR -RATISEET FLOOR FRAMING 150H269 SEWER MAP BOOK: AGE: FIRE ZONE: C %ul n O �j c w �I� q (moi UNDERFLOOR INSULATION - � U ILIA Il1�lC1 1L11CC��",J FLOOR SHEATHING NO. OF ES: DWELLING UNITS: APT 0 NO 22 �' ROOF SHEATHING SCHOOL WITHIN HAZARDOUS i '' r** SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0; NO NO NO FRAME INSPECTION FIRE S R I S �ervicce TAat INSULATION/WEATHER STRIP INTERIOR AL EXTERIOR LATH RATED ASSEM. RATED WALL ASSEMBLIES RATEDA • -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 • 2, 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 0412020009 PHONE: (626) 285-0488 EXT: GAL D: N0._OF CON - --NEW' BUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9906 LAS TUNAS DR ASSESSOR STRUCTURE: 0 1 V B TEMP CA 917802200 FOR 1 NEAREST CROSS STREET: 8587-030 028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C S LD USE: CO S ON: _PROCESSED BEXPIRES MING S. WONG EXIST OCC GRP: B 12/02/04 JK 11/27/05 OWNER: TEL. NO: -BID—GS-7-NON ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LOUIE ALBERT W (626) 287-8100- 1,000 9119 LAS TUNAS DR. TEMPLE CITY CA 91780 FEES PAID b S PT-ION OF WORK REMOVE- NONBEARING WALL, ADD WINDOW, CLOSE DOOR. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 1000.00 VAL 0.50SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 •PERMIT W/O EN-HC 1000.00 VAL 65.40 TOTAL FEES ,148.35 CONTRACTOR: TEL. N0: _ - - _ APPROVALS- DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL FOUNDATION/TRENCHARCHITECT OR ENGINEER: TEL. NO: FORMS LIC. NO: SLAB/UNDER FLOOR R FRAMING P 0: SEWER MAP BOOK: PAGE: FIRE ZONE: MP: UNDERFLOOR INSULATION 3 04 FLOORSHEATHING NO. OF FA GUNITS: NO 22 ROOF SHEATHING WITHINSCHOOL SHEAR AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP NTERIORLATH/DRYWALL EXTERIOR LATH RATED R . RATED WALL ASSEMBLIES RATEDSHAFTS/OPENINGS `. T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 E t 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 0411150054 PHONE: (626) 285-0488 EXT: LEGALBUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 SQ. FT STORIES TYPE 9908 H LAS TUNAS DR STRUCTURE: 15, VN TEMP CA 917802200 ASSESSOR-INFORMATIONBER: NEAREST CROSS STREET: eT,? 8587-030-028 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C TENANT- E DG M USE E: C-1 ISSUEDN: PROCESSED BY: EXPIRES . REGENCY REALTY EXIST OCC GRP: 11/15/04 JK 11/10/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FI7LL B': CO LUI WAI YU ALBERT;LUK WAN YUN (626) 287-8100- 3,000 1709 PALM AV ALHM 918032925 FEES PAID DESCRIPTION OFWRK REROOF AND TEAR OFF BUILT-UP ROOFING ABOUT 15 SF.- FEE F.FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: KYUNG (323) 261-6600- AA BLDG PERMIT ISSUANCE 27.75 3408 E. OLYMPIC BLVD AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES CA 90023 D2 PERMIT W/O EN-HC 3000.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE A J MASTER ROOFING (323) 261-6600- 3408 E OLYMPIC BLVD LIC. NO LOCATION AND SETBACKS LOS ANGELES CA 90023 726275 C30 SOILS ENGINEER APPROVAL ARCHITECT R ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOORFRAMING MAP 0: SEWER 14AP BOOK: PAGE: FIRE E: CMP: UNDERFLOOR INSULATION 150H269 3 01 FLOOR OF u . APT/COND. STAT . NO 22 ROOF SHEATHING SCHOOL WITHINHAZARDOUS A >� AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACR7ROM FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRI SIDE PL- ' INTERIORLATH/DRYWALL EXTERIOR LA RATED-FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES x RATED SHAFTS/OPENINGS T-BAR CEILINGS . LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 F 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 1309250007 PHONE- (626) 285-0488 EXT. ILEGAL ID NUMBER OF SIGNS 3 BUILDING ADDRESS ITR 6561 IT 411 BL 001 ISIGN DESCRIPTION INTERNALLY ILLUMINATED CHANNEL LETTERI 9906 LAS TUNAS DR 1 I I SIGN FACE CHANGE I TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1 16587-030-028 I I THOMAS PAGE- 597 GRID A2 LOCALITY TEMPLE CITY CAI I i I- 1 ITENANT IEXIST BLDG USE (ISSUED ON PROCESSED BY I ZION INSURANCE IEXIST OCC GRP 109/25/13' SR (OWNER TEL NO- IBLDGS NOW ON LOT VALUATION 1FINAL, DATE FINAL BY CODE IRHR MANAGEMENT (626) 571-1832- 1 2,500 19040 TELSTAR AVE IEL MONTE CA 91731 I FEES PAID IDESCRIPTION OF WORK 1 I 1 (INTERNALLY ILLUMINATED CHANNEL LETTER FRONT & SIDE AND POLE I _IFEE DESCRIPTION QUANTITY UOM AMOUNT ISIGN FACE CHANGE I (APPLICANT TEL NO I I I ICHU, MICHAEL (626) 636-6355- IAA BLDG PERMIT ISSUANCE 27.80 1 1 1424 S SAN GABRIEL BL IAB STATE GREEN BLDG FEE 2500 00 VAL 1 00 ISPECIAL CONDITIONS I ISAN GABRIEL CA 91776 IDI PLANCHECK W/O EN-HC 2500 00 VAL 84 20 1 1 ID2 PERMIT W/O EN-HC 2500 00 VAI, 99 00 1 1 1 TOTAL FEES 212 00 1 ICONTRACTOR TEL NO. 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISUCCESS SIGN GROUP (626) 444-8181- I 12812 PECK RD LIC NO 1 (LOCATION AND SETBACKS 1 1EL MONTE CA 91776 896068 * 1 1 ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS LIC NO i EXPiSUPPORT STRUCTURE 1 1 IRE® I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 0C1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 1 NO 20 1 SCHOOL WITHIN HAZARDOUS I I I I 1AIR QUALITY 1000 FEET MATERIALS 1 1 NO NO NO I I I I I I I I I I I I I I I I i I 1 I I I I I I I I I I I 1* ADDITIONAL DATA ON FILE I 1 1 1 IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1206260042 PHONE. (626) 285-0488 EXT ILEGAL ID INUMBER OF SIGNS 1 I BUILDING ADDRESS ITR 6561 LT 411 BL 001 (SIGN DESCRIPTION ADD ON LETTERS TO EXISTING ILLUMINATE( 9906 LAS TUNAS DR 1 I I I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER I 1 - NEAREST CROSS STREET 18587-030-028 I THOMAS PAGE 597 GRID. A2 LOCALITY TEMPLE CITY, Cl 1 I I I ITENANT IEXIST BLDG USE (ISSUED ON PROCESSED BY 1 (JIMMY LOH & SU LIU CPAS 1EXIST OCC GRP 106/26/12 SR I I I I I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE I ILOH, JIMMY (626) 607-0234- 1 1,000 1 I 19906 LAS TUNAS DR ITEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK I 1 (ADD ON LETTERS TO EXISTING ILLUMINATED CHANNEL LETTER 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT I (APPLICANT TEL NO I I ICHU, MICHAEL (626) 636-6355- IAA BLDG PERMIT ISSUANCE 27 80 I 1 1424 S SAN GABRIEL IAB STATE GREEN BLDG FEE 1000 00 VAL 1 00 ISPECIAL CONDITIONS- 1 ISAN GABRIEL CA 91776 1AX BUILDING REVIEW FEE 54 70 I 1 i ID2 PERMIT W/O EN-HC 1000 00 VAL 65 40 I I I I TOTAL FEES 148 90 1 1 ICONTRACTOR. TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE ISUCCESS SIGN GROUP (626) 444-8181- I 1 1 12812 PECK RD LIC NO 1LOCATION.AND SETBACKS I I 1EL MONTE CA 91776 896068 C45 1 I -1-1 1 ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS 1 1 LIC NO 1 ISUPPORTSTRUCTURE I _ 1 I I I I I I I (MAP NO. SEWER MAP BOOK PAGE: FIRE ZONE CMP I EXPIREU I I I I oat I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS i - a6-�3 I I I I 1 NO 20 I I I I I I SCHOOL WITHIN HAZARDOUS I I I I I (AIR QUALITY: 1000 FEET MATERIALS 1 I I 1 NO NO NO I I 1 I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID- DPR261 ROUTE TO BS0508 I I I I I I 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 1309260021 PHONE (626) 285-0488 EXT- ILEGAL ID- INUMBER OF SIGNS 1 BUILDING ADDRESS ITR. 6561 LT. 411 BL 001 ISIGN DESCRIPTION INDIVIDUAL INTERNALLY ILLUMINATED CHAI 9908 D LAS TUNAS DR I TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER 1 - NEAREST CROSS STREET 1 18587-030-028 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI I I (TENANT: IEXIST BLDG USE JISSUED ON PROCESSED BY 1 STAR ZONE IEXIST OCC GRP 09/26/13 SR I - JOWNER TEL NO: IBLDGS. NOW ON LOT VALUATION (FINAL ATE FINAL BY CODE ILUI, ALBERT (626) 571-1852- 1,500 19040 TELSTAR AVE 137 IEL MONTE CA 91731 FEES PAID IDESCRYPTION OF WORK Q1 IWALL SIGN INDIVIDUAL INTERNALLY ILLUMINATED CHANNEL LETTERS 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT (AND MONUMENT SIGN CHANGE VINYL LETTERS 1 (APPLICANT: TEL NO: I I - ILI, VINCENT (626) 315-4885- IAA BLDG PERMIT ISSUANCE 27 80 1 12812 PECK ROAD IAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 (SPECIAL CONDITIONS. IEL MONTE CA 91731 ID1 PLANCHECK W/0 EN-HC 1500 00 VAL 82 10 1 I ID2 PERMIT W/O EN-HC 1500 00 VAL 82 20 _ 1 _1 TOTAL FEES 193 10 (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE ISUCCESS SIGN GROUP (626) 444-8181- 12812 PECK RD LIC NO LOCATION AND SETBACKS IEL MONTE CA 91731 896068 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO. 1 (FOUNDATION/TRENCH FORMS 1 LIC NO 1 ISUPPORT STRUCTURE I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I bol I f I INO OF FAMILIES . DWELLING UNITS APT/GOND STAT CLASS I NO 20 I SCHOOL WITHIN HAZARDOUS 1AIR QUALITY. 1000 FEET MATERIALS I NO _ NO NO I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I IREPORT ID- DPR261 ROUTE TO BS0508 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 1307180036 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST NEW I BUILDING ADDRESS J ITR 6561 LT 411 -BL 001 1 SQ F,'T rSTORIES TYPE OCCUP GROUPI 9908 D LAS TUNAS DR I I (STRUCTURE- .` 0• _ 1 V-B B I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER: 1 -� I NEAREST CROSS STREET 18587-030-028 J - s ✓ `c'.:' _ I THOMAS PAGE 597 GRID- A2 LOCALITY TEMPLE CITY CAI I I I I (TENANT: _ (EXIST BLDG USE COMME USE ZONE JISSUED ON PROCESSED BY 1 1 (EXIST OCC GRP B 107/24/13 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT. VALUATION iF �1 DATE FI Y CODE JRMR MANAGEMENT (626) 274-0522- 1 4,000 19040 TELSTAR AVE 137 1 IEL MONTE CA 91731 I FEES PAID D11SCRIPTIO1,rOF WORK I I - ITENANT IMPROVEMENT FOR OFA, USE INSTALL NON PARTITION WALLI I IFEE DESCRIPTION QUANTITY UOM AMOUNT'IREMOVE 4 PARTITION WALLS I (APPLICANT TEL NO I I I JKWAN, JOHN, (626) 274-0522- 1A1 PLANCHECK W/EN-HC 4000 00 VAL 113 20 1 1 19040 TELSTAR AVE 137 !AA BLDG PERMIT ISSUANCE 27 80 ISPEC'-IAL.CONDITIONS. I IEL MONTE CA 91731 JAB STATE GREEN BLDG FEE 4000 00 VAL 1 00 1 ,I 1 IAE STRONG MOTION OTHER 4000 00 VAL 0 80 I I JA2 PERMIT W/ENERGY-HC 4000 00 VAL 133 20 CONTRACTOR TEL NO J TOTAL FEES 276 00 JAPPROVALS DATE INSPECTOR SIGNATURE I IJOHN KWAN (626) 274-0522- I 1 19040 TELSTAR AVE #137 LIC NO I 14OC2\TION AND SETBACKS IEL MONTE CA 91731 901425 1 1 I I I I (SOILS ENGINEER APPROVAL I I 1 JARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I I LIC NO (SLAP/UNDER FLOOR I I - I I I IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE: CMP I 1UNDERFLOOR INSULATIONI . I I I 3 OOI (FLOOR SHEATHING INO OF FAMILIES: DWELLING UNITS. APT/GOND STAT CLASS I I- I I J 0 NO 22 1 (ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I I JAIR QUALITY 1000 FEET MATERIALS I I I 1 NO NO NO 1 1FRAME INSPECTION I _ IFIRF SPRINKLER HANGERS - _ I I I „IINSULATION/WEATHER STRIPI I I I I IINTERIOR LATH/DRYWALL I _I 1 I JEXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM. I I I I (RATED WALL ASSEMBLIES I I I I I I I I IRATED SHAFTS/OPENINGS I I I I IT-BAR-CEILINGS I I 1 ILOT DRAINAGE I I I (REPORT ID DPR261 ROUTE TO- BS0508 - - - 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 1308070013 PHONE (626) 285-0488 EXT ILEGAL ID INUMBER OF SIGNS 1 I BUILDING ADDRESS 1 ITR 6561 LT 411 BL 001 ISIGN DESCRIPTION RELOCATE EXTERIOR TENANT SIGN FROM UNI 9908 A LAS TUNAS DR I I I I TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET. AGNES 18587-030-028 I THOMAS PAGE 597 GRID A2, LOCALITY TEMPLE CITY CAI ITENANT IEXIST BLDG USE (ISSUED ON PROCESSED BY I 1MIN W FINE ART & SCHOOL IEXIST OCC GRP 108/07/13 SR 1 (OWNER. TEL NO IBLDGS NOW ON LOT VALUATION: IFINaL DAT FIN BY CODE 1 IRHR MANAGEMENT INC, ALBERT LIU (626) 571-1832- 1 400 1 i 19040 TELSTAR SUITE I IEL MONTE CA 91731 1 - FEES PAID IDE CRIPTION OF WORK u1 I IRELOCATE EXTERIOR TENANT SIGN FROM UNIT F TO UNIT A 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO II ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 80 1 IAB STATE GREEN BLDG FEE 400 00 VAL 1 00 ISPECTAL CONDITIONS 1 1 IAX BUILDING REVIEW FEE 54 70 ID2 PERMIT W/O EN-HC 400 00 VAL 43 70 I TOTAL FEES 127 20 ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE ! ISAME AS OWNER - I I ! I LIC NO - ILOCATION AND SETBACKS ! . I (SOIL"ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I - I LIC NO I _ ISUPPOPT STRUCTURE I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I oc I INO OF FAMILIES: DWELLING UNITS. APT/GOND STAT CLASS NO 20 I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 I 1 1 1AIR QUALITY 1000 FEET MATERIALS - 1 NO NO NO i I I I I I I 1 ! I I I I I ! I I I I IHEPORT ID DPR261 ROUTE TO BS0508 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 1306260032 PHONE (626) ,285-0488 EXT (LEGAL ID I NO OF CONST NEW BUILDING ADDRESS ITR 6561 LT 411 BL 001 I SQ FT STORIES TYPE OCCUP GROUPI 9908 A LAS TUNAS DR I= I ISTRUCTURE 1074 1 V-B B I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET AGNES _ 1 18587-030-028 1 1 ,THOMAS-PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI I I I ` ITENANT (EXIST BLDG USE COMME USE ZONE 11SSUED ON PROCESSED BY I IMIN W FINE ART & SCHOOL IEXIST OCC GRP B 101/08/13 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI DA E FINAL BY CODE ILUI WAI YU ALBERT,LUK WAN YUN (626) 571-1832- 1 4,500 19040 TELSTAR SUITE - I IEL MONTE CA 91731 I FEES PAID IDESCRIPTION OF WORK 1 I ITENANI IMPROVEMENT INSTALL PARTITION/NON LOAD BEARING DIVIDE( I IFEE DESCRIPTION QUANTITY UOM- AMOUNT IR WALLS, DRYWALL - APPROX 70 L F AS SHOWN ON DRAWNINGS 1 1APPLICANT TEL NO ISAME AS OWNER - 1A1 PLANCHECK W/EN-HC 4500 00 VAL 129 60 I IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS 1 IAB STATE GREEN BLDG FEE 4500 00 VAL 1 00 '1 I IAE STRONG MOTION OTHER 4500 00 VAL 1 00 IA2 PERMIT W/ENERGY-HC 4500 00 VAI. 152 50 ICONTRACTOR TEL NO TOTAL FEES 311 90 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I -I I LIC NO I ILOCATION AND SETBACKS I - I I I I I I (SOILS ENGINEER APPROVAL 1 I I I I I I (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS 1 LIC NO 1 (SLAB/TJNDER FLOOR I i I I I I I 1 (RAISED FLOOR FRAMING 1 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP.-I ��. 1UNDERFLOOR INSULATION 3 001 1 I i -I IFLOOR SHEATHING INO. OF FAMILIES DWELLING UNITS- APT/GOND STAT CLASS I I I 0 NO 22 1 1ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAF PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I n I - (FIRE SPRINKLER HANGERS IINSUL.ATION/WEATHER STRIPI I I I (INTERIOR LATH/DRYWALL I I I I I I iEXTERrOR LATH I I I I IRATED'FLOOR/CEIL ASSEM 1 I I I I I IRATED`WALL ASSEMBLIES I I I ! I I I I - IRATED SHAFTS/OPENINGS I I i I I I I 1 IT-BAR CEILINGS I 1 1 I I I I I I I ILOT DRAINAGE I I r I I I I I I 1REPORT ID DPR261 ROUTE TO BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 _ BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1003230006 PHONE. (626) 285-0488 EXT LEGAL ID NO OF CONST ` BUILDING ADDRESS - ITR 6561 LT. 411 BL 001 SQ. FT STORIES TYPE 9908 LAS TUNAS DR �ISTRUCTURE . 50 V-B TEMP CA 917802200 - ASSESSOR INFORMATION NUMBER ( NEAREST CROSS STREET 18587-030-028 _ _THOMAS PAGE: 597 GRID A2 LOCALITY TEMPLE CITY, Cl TENANT `EXIST BLDG USE COMM USE ZONE C-2 JISSUED ON. PROCESSED BY ]EXIST OCC GRP 103/23/10 SR OWNER TEL NO- IBLDGS NOW ON LOT- VALUATION: I FIjJAUDATE FINAk BY _ CODE ILUI, ALBERT (626) 462-5601- 1 15,000 1 1660 W HUNTINGTON DR 1 IARCADIA, CA 91007 . I FEES PAID IDE CRIPTION OF WORK I I IRE-ROOFING WITH BUILT UP ROOF IFEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO: I I - IA J MASTER ROOFING (323) 261-6600- IAA BLDG PERMIT ISSUANCE 27.75 t 12426 W 8TH ST #222 IAB STATE GREEN BLDG FEE 15000 00 VAL 1 00 ISPECIAL CONDITIONS I ILOS ANGELES CA 90057 JAE STRONG MOTION OTHER 15000 00 VAL 315 I I` I ID2 PERMIT W/O EN-HC 15000 00 VAL 300.60 I 1 I CONTRACTOR• TEL . I TOTAL FEES 332 50 1,CP�r�o� ��`X w� . NO: (APPROVALS I DATEI INSPECTOR SIGNATURE I IA J MASTER ROOFING (323) 261-6600- I I 12426 W 8TH ST #222 LIC NO LOCATION AND SETBACKS ILOS ANGELES, CA 90057 726275 C39 I i I I r ISOILS°ENGINEER APPROVAL I ARCHITECT OR ENGINEER TEL NO. - i (FOUNDATION/TRENCH FORMS I I I LIC NO: ISLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING _ I I 1 IMAP NO SEWER MAP BOOK PAGE- FIRE ZONE CMP:( (UNDERFLOOR INSULATION Ii 1150H269 3 001 I 't -1-1 I I (FLOOR SHEATHING I I 1 INO OF FAMILIES DWELLING UNITS: APT/GOND. STAT CLASS I I NO 22 i IROOF'SHEATHING SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS (AIR QUALITY. 1000 FEET MATERIALS . NO NO NO IO � FRAM INSPECTION I I I (REQUIRED TOTAL SETBACK FROM EXIST I - IFIRE�SPRINKLER HANGERS I I I ISET BACK YARD: HWY- PROP LINE WIDTH: I \. '- I -1-1 I IFRONT PL- - �, _ - (INSULATION/WEATHER STRIPI I I SIDE PL- I 11NTERIOR LATH/DRYWALL hlfG_SIEXTERIOR LATH I� IRATEI,FLOOR/CEIL ASSEM I I I Ii (RATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS ILOT DRAINAGE I I I IREPORT 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 1010060046 PHONE (626) 285-0488 EXT (LEGAL ID INUMBER OF SIGNS. 2 I BUILDING ADDRESS I ITR. 6561 LT 411 BL 001 ' ISIGN DESCRIPTION WALL SIGNS ILLUMINATED CHANNEL LETTERI 9906 LAS TUNAS DR "1 I ' I _ I TEMP CA 917802200 I (ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS STREET I 18587-030-028 I THOMAS PAGE: 597 GRID A2 LOCALITY TEMPLE CITY, Cl I I I I ITENANT IEXIST BLDG USE- (ISSUED ON PROCESSED BY I IJIMMY LOH CPA (EXIST OCC GRP 110/06/10 SR I (OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY: CODE I THAN, RICHARD (626) 571-1832- 1 6,000 I 1 19040 TELSTAR AVE I I 1 IEL MONTE, CA I FEES PAID IDESCRIPTION OF WORK I I I 1 (2) WALL SIGNS ILLUMINATED CHANNEL LETTERS I IFEE DESCRIPTION QUANTITY UOM AMOUNT: ( I (APPLICANT TEL NO: I I 1 IFARGO ADVERTISING INC. (626) 733-2960- IAA BLDG PERMIT ISSUANCE 27 80 1 12213 SASTRE AVE IAB STATE GREEN BLDG FEE 6000 00 VAL 1 00 ISPECIAL CONDITIONS 1 IS. EL MONTE CA 91733 IAX BUILDING REVIEW FEE 54 70 1, ID2 PERMIT W/O EN-HC 6000 00 VAL 149 70 I I 1 I TOTAL FEES 233 20 I CONTRACTOR TEL NO: I 1APPROVALS DATE INSPECTOR SIGNATURE IFARGO ADVERTISING, INC (626) 733-2960- I 1 I 12213 SASTRE AVE. LIC. NO I ILOCATION AND SETBACKS I I I IS. EL MONTE, CA 91733 932785 C45 I I I I I ISOILS ENGINEER APPROVAL I I I I I I I I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I LIC NO: I ISUPPORT STRUCTURE I I I I I I I I I I I I I I I IMAP NO SEWER MAP BOOK PAGE- FIRE ZONE CMP:I I _ I 001 1 11 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS- NO 20 SCHOOL WITHIN HAZARDOUS s AIR QUALITY 1000 FEET MATERIALS EXPIRE NO NO NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ID DPR261 ROUTE TO BS0508 I I I I • - f 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 1110250047 PHONE (626) 285-0488 EXT. ILEGAL ID INUMBER OF SIGNS 1 _ BUILDING ADDRESS. ITR 6561 LT 411 BL- 001 ISIGN DESCRIPTION ONE WALL SIGN I 9go8 E LAS TUNAS DR _1: TEMP CA 917802200 I (ASSESSOR INFORMATION NUMBER '• - 'NEAREST CROSS STREET- 18587 -030-028 TREET-18587-030-028 I THOMAS PAGE 597 GRID A2 LOCALITY. TEMPLE CITY, Cl (TENANT IEXIST BLDG USE IISSUFD ON PROCESSED BY 1 (BRICK KIDS IEXIST OCC GRP - 110/25/11 SR I (OWNER. TEL. NO IBLDGS NOW ON LOT VALUATION (FINAL DATE FINAL BY CODE- I ITAM, CHRIS - I' 1,500 I I 19908 E LAS TUNASDR I I ITEMPLE CITY CA 91780 - I FEES PAID [DESCRIPTION OF WORK I ZONE-WALL SIGN I IFEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT- TEL NO I _ ISIGNS EXPRESS (626) 443-3333- IAA BLDG PERMIT ISSUANCE 27 80 11438 SANTA ANITA AVE IAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 ISPECIAL CONDITIONS IS EL MONTE CA SAX BUILDING REVIEW FEE 54 70 I ID2 PERMIT W/O EN-HC 1500 00 VAL 82 20 I TOTAL FEES 165 70 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE (SIGNS EXPRESS (626) 443-3333- I I 11438 SANTA ANITA AVE LIC NO I ILOCATION AND SETBACKS I IS EL MONTE, CA 91733 C45552097 _ I I ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I I I I I 6 I LIC NO I (SUPPORT STRUCTURE I I I I I I I I I I I I I I I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I I 001 I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 20• I SCHOOL WITHIN HAZARDOUS (AIR QUALITY 1000 FEET MATERIALS I NO NO NO I I I I -- I I I I I I EXPIn I I I D I I I I I I I I I I I � • I . . I I I , IREPORT ID DPR261 ROUTE TO 2SO508 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 1202010051 PHONE (626) 285-0488 EXT. - ILEGAL ID - (NUMBER OF SIGNS 11 I BUILDING ADDRESS - I ITR 6561 LT- 411 BL. 001 ISIGN DESCRIPTION INSTALL ONE SET, CHANNEL LETTER 1 9908 C LAS TUNAS DR - I I •I I TEMP CA 917802200. I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1 18587-030-028 THOMAS PAGE: 597 GRID A2 LOCALITY TEMPLE CITY, Cl I I I I ITENANT 1EXIST BLDG USE: ' (ISSUED ON PROCESSED BY •I IZION INSURANCE AGENCY (EXIST OCC GRP: 102/01/12 SR T• TOWNER. TEL NO 1BLDGS NOW ON LOT VALUATION. IFINAL DATE FINAL BY- CODE T ZION INSURANCE AGENCY - - - 2,400 19808 C LAS TUNAS DR TEMPLE,CITY CA 91780 I FEES PAID IDESCRIPTION OF WORK 1 I (INSTALL ONE SET CHANNEL LETTER ' _(FEE DESCRIPTION - QUANTITY UOM AMOUNT (APPLICANT - TEL NO _ I ISUCCESS SIGN (626) 315-4885- 1AP. BLDG PERMIT ISSUANCE 27,.80 1_i• I I JAB STATE GREEN BLDG FEE 2400 00 VAL 1 00 1SPECIAL CONDITIONS I 1 1AX BUILDING REVIEW FEE 54 70 I " 1 I ID2 PERMIT-W/O EWHC 2400 00 VAL 99 10 I 1 TOTAL FEES 182 60 T ICONTRACTOR - TEL. NO I TAPPROVALS DATE INSPECTOR SIGNATURE •1 ISUCCESS SIGN (626) 315.488S- _ 12812 PECK ROAD LIC NO I 1LOCAPION AND SETBACKS 1EL MONTE CA 91731 896068-C45 *1 I 1 I I I I ISOILS ENGINEER APPROVAL I I I I I I' 1ARCHITECT-OR ENGINEER TEL NO- I IFOLTNDATION/TRENCH FORMS I - I I_ I I I - LIC NO: I 1SUPPORT STRUCTURE 1 I 1 IMAP NO SEWER MAP BOOK 'PAGE FIRE ZONE CMP I I GOI I I I - I I I I 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I NO 20 I I SCHOOL WITHIN HAZARDOUS 1AIR QUALITY 1000 FEET MATERIALS I NO NO NO I I I I I I I I I- I I I I I I I I t I I I I I* ADDITIONAL DATA ON FILE 1 1 I I IREPORT ID DPR261 ROUTE TO BS0508 I 1- 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT 'iDEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN Y BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109280021 PHONE (626) 285-0488 EXT (LEGAL ID (NUMBER OF SIGNS 1 BUILDING ADDRESS 1 ITR 6561 LT 411 BL. 001 (SIGN DESCRIPTION ONE SET INTERNAL ILIMINTED CHANNEL LEI 9908 F LAS TUNAS DR 1 I TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET AGNES - 18587-030-028 - 1 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl I I I I (TENANT IEXIST BLDG USE (ISSUED ON PROCESSED BY: 1 IMIN W FINE ART & SCHOOL (EXIST OCC GRP 109/28/11 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT- VALUATION (FINAL DATE FIN CODE IMIN W FINE ART & SCHOOL (626) 642-5783- 1 2,000 19908 LAS TUNAS DR ITEMPLE CITY CA 91780 1 - FEES PAID I CRIPTION OF WORK - I I ZONE SET INTERNAL ILIUMINATEAIMEL LETTER WALL SIGN I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I I (APPLICANT TEL NO I I IYU, ALLISON (626) 336-1616- IAA BLDG PERMIT ISSUANCE 27.80 I I 116354 VALLEY BLVD. IAB STATE GREEN BLDG FEE 2000 00 VAL 1 00 ISPECIAL CONDITIONS I ILA PUENTE, CA 91744 1AX BUILDING REVIEW FEE 54 70 _ I ID2 PERMIT W/O EN-HC 2000 00 VAL 82 20 I I I TOTAL FEES 165 70 I I ICONTRACTOR TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 IFIRST SIGN CO (626) 336-1616- I 1 116354 VALLEY BLVD LIC NO 1 (LOCATION AND SETBACKS I I 1 ILA PUENTE CA 91744 605688045 I I 1 I I I ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER TEL. NO 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC NO- 1 (SUPPORT STRUCTURE I I I I I I I 1 I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 001 I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 I I I 1 NO 20 I I I I I I SCHOOL WITHIN HAZARDOUS 1 I I I 1AIR QUALITY 1000 FEET MATERIALS 1 I I NO NO NO I 1 I I I I I I I ) I I I I I I I I I I i 1 I I I I I i* ADDITIONAL DATA ON FILE - 1 IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT i- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1107250044 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW BUILDING ADDRESS ITR- 6561 IT 411 BL 001 I ' SQ FT STORIES TYPE OCCUP GROUP 9908 F LAS TUNAS DR I (STRUCTURE- 32 1 V-B B I TEMP CA 917802200 I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET AGNES 18587-030-028 I THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl I I I I ITENANT IEXIST BLDG USE COMME USE ZONE (ISS"DED ON- PROCESSED BY 1 IMIN W FINE ART & SCHOOL IEXIST OCC GRP B 107/27/11 SR 1 (OWNER TEL NO IBLDGS. NOW ON LOT VALUATION IFINAL DATE FINAL BY. CODE. (ALBERT LUI C/O RHR MANAGEMENT, (RIC (626) 571-1832- I 500 19040 TELSTAR AVE I I I - IEL MONTE, CA 91731 FEES PAID JDESCR'IPTIdN OF WORK 1 ICLOSE OFF OPENING IN WALL B TWEEN UNIT E & F (4' X 7') IFEE DESCRIPTION QUANTITY UOM. AMOUNT I (APPLICANT TEL NO. II ISAME AS OWNER - - IA1 PLANCHECK W/EN-HC 500 00 VAL 94 40 I IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS I IAB STATE GREEN BLDG FEE 500 00 VAL 1 00 I - I I IAE STRONG MOTION OTHER 500.00 VAL 0 50 1 I 1A2 PERMIT W/ENERGY-HC 500 00 VAL 50 10 1---L (CONTRACTOR TEL NO I TOTAL FEES 173 80 IAPPPOVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I_ I I LIC NO I ILOCATION AND SETBACKS I ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER TEL NO I IFOUIJDATION/TRENCH FORMS I I LIC NO ISLA6/UNDER FLOOR I I •• I I I_ 11 I I 1RAILI_?D FLOOR FRAMING I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE 'CMP I 1UNDERFLOOR INSULATION I I I 3 041 1_ 11 - IFLOOR SHEATHING I INO OF FAMILIES DWELLING UNITS APT/GOND. STAT CLASS 1 0 NO 22 1 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS ( ISHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS I NO NO NO FRAME INSPECTION IFIRL SPRINKLER HANGERS I I I- I I I IINSULATION/WEATHER STRIPI I I I ANTERIOR LATH/DRYWALL I ' I (EXTERIOR LATH I I I I I I I 1 IRATED FLOOR/CEIL ASSEM I I I - IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I 1 IT-BAR CEILINGS ILOT DRAINAGE I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I