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HomeMy Public PortalAbout9953 LAS TUNAS DR_Building__ Itlalbld'OF' BUILDING AND SAf'F.TY `✓ Depcatrmeat of County Engineer \�)U " Conntp of Los Angeles ~ M. J. FOX, COUNTY ENGINEER ���j� APPLICATION MEN BUILDING FOR APPLICANT TO FILL-IN- ADDRESS �% '�'r � � U✓U�' BUILDING• 9gs'9 Ky LOCALITY ADDRESS y ,,S / r ♦ ' _ M NEAREST Imo,} Q / LOCALITY 9m � t (� CROSS ST.f`C/ J j tV!� DISTRICT NO. PLAN CK. oRR RREc/. No. PERMIT-NO`•l, N o S STST tlpcs 't �+� OWNER /l��U��ww�� (!y fes' �Lr .1 /q ,�. {Q •V RECEIVED BY, DATE OF AAPP'PL. DATEISSUED, .MAIL ADDRESS X1'.73 ZA'.�S /-111IEtR'N bb000 /•6d y I�l P ''� v}�' `` TEL. USE ZONE NO. OF� GROU FIRE ZONE CITY /4--mb(& e t , NO. #7_1414 PLANS D .A .r ARCHITECT OR�/® /�,,.��,,��,�w TEL. ZONING ENGINEER �J�� NO. APPROVED BY �e••.,� BUILDING ADDRESS 1 A /V, � !-� � SETBACK LIN//////JJEJ����``: TEL. APPROVED /� D R CONTACTOR NO. - BY �j yam' xHOUSE NUMBERING ADDRESS LEGAL MAP NUMBER •Co ( NO ASSIGNED BY_� y DESCRIPTION /LOT N01 BLOCK DATE I Q `'ORR •TIONS I INSpECTOR / TRACT �m rtfCiyNO I OF S � SIZE OF LOT NOW ON LOTI I t USE OF NO, OF EXISTING BLDG. FAMILa58 D DESCRIPTION OF WORK NEW ALTERATION ADDITION X �,6/laL7�'�ydea/,a�r_ :�r�r_ r.rd t 1 a�,�, . .> ` REPAIR G DEMOLITION ,�,} - /2��'I ✓'/tf�p f�Tn•f�r^ iX ,I 't, 0. S ZEA G/ 3 ROOMS Je STORIES Cp �f$'�/ y- p 1/3l d,d• sT�� L3/hf 6 "' EXT. 'WALL 9ICOVERING COVERING 7 r L /tel USE OFSTRUCTURE S A n //tl1/�1 /iJ AiWC-dJAti9.`'FY`c1/1 '7//(-/, y� 'o v� � ST,01 t3►8 ,�/e�aJ.ti..�...� dX IS��f� G Ic'Q. .� e�--flAl APPROVALS INSPECTO S SIGNATURE ATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, J,1 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF� � LATH, INT. PERMITTEE 11 f�I p/�+ /�}q, A., - EXT. -DRESS V 9 _`S del • L r '�'- """' L. PLASTER, INT. C•/ \ AUTHORIZED AGT. $ ` J � PLASTER, EXT. FEE � HOUSE NUMBER COR- _ .} jV/?a� RECT AND POSTED l VALUATION FEE ���""'�""' FINAL_ �,.LV w�13aa.� Wv �7 76AS38A DBS,Skl4 53!­ ©S 76A63BFy��y~ . - C"�',1803 `REV 6/78) APPLI-CATIO ORB• LDING PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDINGBUIDING - FOy,R+�APPILI/CAANT'yTTO F�IIL'�LL INN/ ADDRESS ADIDRESS /'� r�1—J ( ���`/ ' LOCALITY -NEAREST CITY ZIP CROSSST NO OF BLDGS, ASSESSOR - - SIZE OF LOT NOW ON LOT. MAP'BOOK PAGE PARCEL .� zz DISTRICT GROUP TYPE• FIRE PROCESSED BY TRACT BLOCK LOTNl" _ 7- � CONST ZONE a/ TEL ✓. DO 4 LL OWNER /y NOSe STATISTICAL CLASSIFICATION SEW7MAADDRESS J /NO CLASS NO- LZ�DWELL UNITS BK CITY ZIP / T ARCHITECT OR �• r VALUATION ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR t 444g4 e NO HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC - FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD TOTALSETBACK•FROM I TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH G SQ FT TNO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE O DESCRIPTION OF WORK ^ NEW ❑ P C Fee$ 42G� Permit Fee x ; :a g �� ADD ❑ Issuance Fee 7us ALTER ❑ ' REPAIR ❑ Total Fee / USE OFDEMOL EXISTING BLDG ❑ /-_ --74 ZO APPLICANT TEL C� (PRINT( / NO Y�/Mr, '177 3.7 A BY(SIGNATURE( ; #f o o 0 o 2 3 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE uY 2,0 - 2.1.6 0 - THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCESq -17- 7 `/ - AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE x WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V )o o o 2 1,b 0 U THE LABOR CODE OF.THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- Z , PENSATION INSURANCE 1, 14-79 SIGNATURE OFj PERMITTEE f ADDRESS Z 2 7 7 a 8 A TEL C CITY' p Q # 0 0 0 0 0 p USE ZONENAOP Q 2 o o 7 9,Q Q I/JSPRIAL - --24 CONDITIONS oo ° 7 9.0 0 L lz FINAL BYZ-7 DATE 7 APPLICATION FOR COUNTY OF LOS ANGELES '. BUILDING PERMIT DEPARTMENT LING AND SAFETY DIVISION BUILDING FOR,APPLICANT ,/TSO FILL IN ADDRESS ADDRESBUILDINGS L.►4S Ti UlU LOCALITY CITY P�i `1 �T zip I'�$� NEAREST- • CROSS ST NO.OF SLOGS ASSESSOR - SIZE OF LOT - NOW ON LOT MAP BOOK PAGE PARCEL ` DISTRICT GROUP TYBE FIRE SSED BY TRACT BLOCK I LOT NO aD� ST' ZOy� /���� r O I—1. OWNERL�Vf.6�/ d,C_ •NOL •4j STATISTICAL CLASSIFICATION EWER MAP .ADDRESS s_"��[J CLASS NO,-?O DWELL,UNITS BK _ PG CITY �� CIL ZIP osQ USE ZONE NAOP D ARCHITECT OR , ` TEL CPECIAL ENGINEER 'I�O�,1c� NO ONO TIONS ADDRESS IROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR µ(„+ NOL' - BLDG S TRACK FROM LIC. FRONT PROP LI NE OF (STREET) ADDRESS NO. HIGHW Y + YARD - TOTAL SETBACK FROM HIGHWAY OF E I DTTHG CITY LIC FRONT PROP LINE CLASS _ CONSTRUCTION LENDER NAME AND BRANCH 40A.L(6 BLOG.SETBACK FROM - p ADDRESS CITY SIDE PROP LINE OF (STREET) G� SO FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FRO YPE,OF EXISTING 6 SIZE STORIES / FAMILIES ONE - SIDE PROP LINE WAV WIDTH DESCRIPTION OF WORK ( )ez& NEW + ADD ❑ CORNER CUTOFF YES ❑ NO ❑ c AD C� � _ LTER ❑ - O EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLD/G.. A� /1���t FDEM / J AP PRINT)NVat "�C ��KV TEL �'9t-113 /VST74•l��G�.,��"/' 4 U� Q BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION ON-STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED F�/I HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPE NSA 10 A E SIGNATURE OF FINAL a PERMITTEE DATE ADDRESS 9?0r TE L. 3 P.C.Fee$ Permlt Fee /_ CITY Com/ NO �'� Issuance Fee VALUATION .QQ CCC�V/// Total Fee PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M oCASH 1- 7 1'C:Z SAN 17 1 D 1 5.5 OA,­ 76A638A CE*8038 12/73 V -�M APPLICATION FOR BUILDING PERMIT FOR"APPLICANT TO FILL IN (Print or type only) BUILDING �j S �S �UNAS TY, OF LOS- ANGELES ADDRESS `rl _ DEPARTMENT OF COUNTY ENGINEER C,T-�e f LE CI-A7 P _11� BUILDING AND SAFETY DIVISION UILDING SIZE OF LOT71� 'Q�,NOW ON LOTS —J,OF ADDRESS TRACT lSJfIV BLO_1tCsKy,� � LOT NICO( LOCALITY NEAREST OWNER � O JHP_ ��(.��1j /� I OL LS`�,�� CROSS ST ADDRESSf��11 SSOR 951 IAS `TUNM' 9 y,E MAPASSBOOKPAGE - PARCEL ( CITY �rl��f��i V) ZIP 1,120 DISTRICT .GROUP TYPE' FIRE CESSED BY ,�.�^ CONST ZONE ARCHITECT //tt��// ��p•� �/ TELQ. 41 �I ENGINEER _ L11� \Jp �1/IIV NO 1�'� STATISTICAL CLASS(FICA,TION SEWER ADDRESS '1i 1[i'V�'t�rY 1�� ��"�� CLASS NO_<!2L-_(9_DWE1_L UNITS::�� e7 BK CONTRACTOR EOL USE ZONE MAP LIC NO 2� ADDRESS - - - . NO SPECIAL - _ LIC CONDITIONS CITY CLASS - - - ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM -- FRONT PROP LINE OF (STREET) Y ADDRESS CITY CL. HIGHWAY } YARD- TOTAL SETBACK FROM TYPE OF EXISTING U SO FT NO OF NO. OF C-HE C'K _ :FRONT PROP LINE HIGHWAY WIDTH SIZE lI STORIES -FAMILIES' ONE 0: CD DESCRIPTION OF WORK Nr NEW '� G� U BLDG.SETBACK {)r-f „�,�` QL��: ,1 ILLI ADD ❑ SIDEPROP L NEOFOM (STREET) - Z SI"ra IMPPtOvEMF�U`t r LU ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF G BLDG. ( {Hvalp jcH DEh10L •EXISN ❑ + AP(PRINT)ANT/�An, /`,^� TEL-797,_5(5_5IC CORNER CUTOFF YES ❑ NO ❑ BY (SIGNATURE) �Jf q -I C• 7 IN OPEN SPACE __ YES ❑ NO ❑ ]g IN COASTAL-ZONE YES ❑ NO � ❑ VALUATION rbs 100(3 - - CATEGORICAL E%E MPTION YES[:]- NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT-THE ABOVE IS-CORRECT AND AGREE TO COMPLY - IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- ` 'STRUC TION I CERTIFY THAT I DING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT MPLOY Y P SON IN VI CATION OF THE .LABOR CODE OF H 5 A E 0 (FOR RELATING TOjtl(�J�G ?o ANNejC,N�"TIeN 4F (ATS WORKMEN'S COMP NS �I NSU C — ©f 13 I �•^ ��� �/ SIGNATURE OF V PERMITTEE ADDRESS ..i..0 7b'� _ FINAL _ BY TEL DATE CITY NO. 11.1RE (.1IL-( I\S- P 1},,1131_L- 10 FEE FEE HARVEY--T. BRANDT. COUNTY ENGINEER 91�1 , 2- 3, 6 k,5—o 1:3 PLAN CHECK VALIDATION CK o CASH _ PERMIT VALIDATION CK M O CASH 4 0w9 r4�'JAN 1-3 2 3, 0 8 4 7.3 5- 76A638A CE#803 12/72 r 7GA638A CE#803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY P� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST I�y � WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST t-/AW ST DIS TONO� GROUP ON P OCES Q BY FOR APPLICANT TO FILL IN CC�sJjj r>s coNsr [ADDRESS ILDING rr STATISTICAL CLASSIFICATION SEWER MAP 1 "AS BK PGCLASS NO �DWELL UNITST NO .. BLOCK WATER '�-p CERTIFICATENOT REQUIRED RECEIVED HWAY ACT K.`7 NOP • ({CIRCLE) STATE AJOR ECOND LOCAL E OF LOT � � NOW ON LOTFBLDGSX O USE ZONE SPECIAL E OF CONDITIONS ISTING BLDG 2 TEL ' OWNER %( BUILDING EXIST SETBACK YARD HWY REET NAME WIDTH ADDRESS ' FRONT / ARCHITECT OR TEL P L ENGINEER NO )SIDE ,P L �r ADDRESS o ! O. TEL 10 CONTRACTOR fl1 )��j„hf NO (/////_,A V ADDRESS //`�+v r 7 O DESCRIPTION OF WORK '— LI-1- i r U W d NEW ADD ALTER REPAIR DEMOLISH Vf SO FT NO OF NO OF z SIZE STORIES FAMILIES ' USE OF 11 STRUCTURE SIGNATURE OF APPLICANT o� VALUATION $ v APPROVALS DATE INSPECTOR S SIGNATURE PMT P C Q� FOUNDATION LOCATION FEE $ FEE $ -4- FORMS, MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT _ SIGNATURE OF _ HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL' JOHN F LEWIS PRINCIPAL STRUCTURAL EN ER' PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH `AW 5 6 5 0 NOV 6 1 D 4.00- CT 78A838A CE#803 B_63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 45 DEPARTMENT OF COUNTY ENGINEER ADDRESS V BUILDING AND SAFETY DIVISION LOCALITY T _C - ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE PROCESSED BY 5 g-2 CONST iIACL BUILDINSTATISTICAL CLASSIFICATION SEWER MAP ADDRES CLASS NO DWELL UNITS BKIZ LOT NO 1S 6- 1-7 - 38 S i+ BLOCK WATER NOT REQUIRED1:1RECEIVED ❑ �^ CERTIFICATE TRACT S`p MAP NO 20 ({C R NO OF BLDGS ( CLE) STATE OR AJCOND LOCAL SIZE OF LOY 6 I O NOW ON LOT USE ZONE SPECIAL USE OF �G y - �Z CONDITIONS EXISTING BLDG r TEL OWNE O BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS s-3 FRONT ARCHITECT c IP L ENGINEER i/ NO �J Q SIDE P L ADDRES (, CL O EL 1 CONTRACTOR i O I () ADDRESS -0 DESCRIPTION OF WORK Ci W a NEW ADD ALTER REPAIR DEMOLISH H SQ FT j O NO OF Z SIZE o/' IV Z)'"� FAMILIES USE OF r STRUCTURE 1 - SIGNATURE APPLI VALUAT N $ , APPROVALS DATE INSPECTOR S SIGNATURE PC PMT oC FOUNDATION LOCATION FEE $ FEE $ '� FORMS. MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION ICERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. _ ING TO WORKMEN S COMPENSATION INSURAolCE LATH EXT �.�.✓�' , SIGNATUREHOUSE NUMBER COR- PERM TE RECT AND POSTED >!f AD Ss FINAL JOHN F LEWIS PRINCIPAL STRUCTURALtlENGNE R PLAN CHECK VALIDATION CK MO CASH I PERMIT VALIDATION CK MO CASH LAAO 5- 5 5 81 NOV 4 1 D 4.0 0- d 76A38ACE #8033-69 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING j y DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP , TYPE-CONST. PROCESSED BY (PRINT OR TYPE ONLY) V t -2 l BUILDING STATISTICAL CLASSIFICATION SEWER MAP .- ADDRESSJ L CLASS NO •DWELL.UNITS -e2- BK PG LOT NO BLOCK USE ZONE MAP - - NO. jf TRACT l ��� �^ SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT gU NOW ON LOT r USE OF .r EXISTING BLDG. �l,/J� 3G Do G. BLDG. SETBACK FROM ' TEL _ FRONT PROP. LINE OF (STREET) OWNER N0. GG,ID TYPE OF EXISTING SETBACK I HIGHWAY + 7 YARD' = `-TOTAL ADDRESS /VI �nFJv� HIGHWAY WIDTH FROM C.L. �•*� // CITY f�' �� �.DBLDG.SETBACK FROM AR:E i 0 ri'�`-A _ �Y4f TE� SIDE_PROP LINE OF (STREET) .ENGINEER 7 Xv 7-• ?• /' ♦ N0. TYPE OF EXISTING SETBACK HIGHWAY '+ - 'YARD = TOTAL' ADDRESS �' GOIY HIGHWAY WIDTH FROM C.L. - TEL. + __ } CONTRACTOR NO. ADDRESS LIC. CORNER CUTOFF YES ❑ NO ❑ fi CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0 CONSTRUCTION LENDER NAME AND BRANCH U G n w C-4; 0- ADDRESS „ k`� L SQ. FT. NO. OF NO OF (e� SIZE STORIES FAMILIES NEW ❑ / - O,�>;� USE OF �/ ADD ❑ I• - . STRUCTURE Cly ���/�L` RrI: ALTER � s • a/�r REPAIR ❑ ' - ti SIGNATURE OF DEMOL ❑ // APPLICANT - A VALUATION $ YC/ j APPROVALS%,,, DATE\ 1 SPECTOR'SNSIGNATURE P C. PMT FOUNDATION LOCATION+, V,� FORMS, FEE $ �fp,�5 FEE $ Z -- MATERIALS FRAME FIRE STOPS, - �•' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS .'k ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. C/ ��� OF THE STATE OF CALIFORNIA IN RELATING*To WORKMEN'S COM- PENSATION INSUARRAnNNCE. � SIGNATURE OF(/yc�t���JG - LATH, EXT. ll- • o �� PERMITTEE TT!! CCCJYY^ '�� HOUSE NUMBER CORRECT /d AND POSTED {Q� ADDRESS Y7 �`3 ✓43"0 Z/« 'K a4 FINAL 3 Q JOHN F LEWIS,, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.o. CASH - PERMIT VALIDATION CK. M.O. CASH I An'.2 '2 4 e- OCT 15 '2 3 0 16.65- - ; _ -!�Ar- 2.2 4 70 OCr1. 5 2 7.75 b 76A638A CEO 8038-64 APPLICATION FOR BU.ILDI.N PERMIT _ COUNTY OF LOS ANGELESBUILDING _ DEPARTMENT OF COUNTY ENGINEER • A o D R Ess 3,' BUILDING'AND SAFETY DIVISION• L(5 C A L I T JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP'T OF BUILDING CROSS ST - 01RICT NO ROUP. TYPE OCE S Y FOR APPLICANT TO FILL IN ,.D CONST,. BUILDLNG STATISTICAL ASSIFICATION', _ SEWER MAP ADDRESS 3 CLASS NO DWELL UNITS BK ,PG LOT NO 1,5 6�7- USE ZONE MAP Imo_ 140. TRACT SPECIAL N0. OF LDOS. CONDITIONS SIZE OF LOTZ� NOW 0 LOT USE OF NO SLOG. 111A BLDG. SETBACK FROM ' EL. _ I D FRONT PROP LINE OF (STREET) OWNE O -6 TYPE OF EXI 0' SETBACK HIGHWAY- ARD = TOTAL• ADDRESS HIGHWAY 'F MCL. I ' CITY ARCHITECT O TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTI.K<SETBACK HIGHWAY YARD = 'TOTAL ADDRESS HIGHWAY. WID FROM C L p, E - + = Ov CONTRALTO NO + - IADDRES NO ` CORNER CUTOFF YES ❑ NO E] 0 H cl LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK ) Z NEW ADD ALTER REPAIR DEMOLISH , SQ,FT. NO. OF NO. OF -SIZE STORIES FAMILIES USE OF STRUCTURE .SIGNATURE F APPLICANT _fY VALUATION$• 1zAPPROVALS DATE INSPECTOR'S SIGNATURE ge -P C - PMT QO FOUNDATION, LOCATION FEE$ `�o'� FEE$ t FORMS,-MA TERI A LS FRAME, FIRE STOPS, I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT TION OF THE LABOR CODE OF THE STATE OF LI RELAT- ING TO WORKMEN'S OMPEN TON INSU NCE LATH EXT SIGNATURE O (HOUSE NUMBER COR- CT RE T AND POSTED -, ADDRESS F I NAL JOHN F LEWIS. PR?NCIPAL STIR LjRAL ENGINEER PLAN CHECK VALIDATION CK M.0 CASH PERM VALIDATION cK m O CASH LACO 8 9 6 0 JAN 2 0 ' 1 D' 4.0 0 ' r ©s 76A638A - " - `CE N8031REV 6/781 APPLICATION,- FOR BU ILDING• PERM IT COUNTY OF LOS ANGELES ° BUILDING AND SAFETY• ' FOR APPLICANT TO FILL IN ADIDRESS � =JLDING ^- ' BUILDING t� ADDRESS S� v:o N, im LOCALITY +�- NEAREST- CITY 1 rz_" C� ZIP. CROSS ST r` NO OF BLDGS ASSESSOR - , SIZE OF LOT NOW ON LOT, MAP_BOOK PAGE. PARCEL /, DISTRICT GROUP TYPE FIRE ESSED BY TRACT 6�/ BLOCK LOT NO^ [CONST ZON� TEL OWNER LF— CI C NO STATISTICAL CLASSIFICATION SEWER M ADDRESS CLASS NO 2-/"DWELL UNITS BK CITY ZIP v ARCHITECT OR TEL VALUATION $; ENGINEER NO ADDRESS BLDG SETBACK FROM_ TEL �7 FRONVPROP LINE OF (STREET) CONTRACTOR pV O TOTAL SETBACK FROM TYPE OF EXISTING ui� rr�LIC HIGHWAY +--YARD_, = FRONT PROP LINE HIGHWAY WIDTH ADDRESS �, ill), i y�NO b LIC CITY L,—.4, .1F.� CLASS + CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SO FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE f DESCRIPTION OF WORK NEW PC Fee$' ) U Permit Fee ADD 1:1 _ -Issuance Fee y� � '�1 1�` ALTER Z ,REPAIR Total Fee USE OF DEMOL EXISTING BLDG Z APPLICANT TEL [ C 7 PRINT( Ppr n `� Z NO 7. K. G �•7 0 3 A J BY(SIGNATURE) ; s- .- 1#10,901 0 2 3 ; - 1 I HEREBY ACKNOWLEDGE THAT I HA EAD THIS APPLICATION All • STATE Yu 2 0'o-8 [� O THAT THE ABOVE IS.CORRECT AND AGREE TO,COMPLY WITH'ALL ORDINANCES. 4' T - W - AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN.DOING THE WORK AUTHORIZED,HEREBY IW ILL NOT EMPLOY ANY PERSON IN VIOLATION OF "` - tJ O'0 o g 6 4 0 6' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z - 'PENSATION INSURANCE - a TO, 5_ SIGNATURE OF - 7 0 I,4 A ' PERMITTEE • ADDRESS 47. -z #,•99)990.1 CITY //4 s��� NO L G .2:0 1 1 5 0 0 USE ZONEMAP ' 0 _2 n No 2-6 v� r= io•9 1 1 5006 SPECIAC CONDITIONS T 1,-0,0 5':7`9, FINAL BY t ; `r�PPLICAT��N FOR' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER f �` "�'�- B 01ILD I N G P.E R KIT BUILDING AND'SAFETY DiViSION [ADDRESS DING FOR APPLICANT TO FILL--IN BUILDING ADDRESS ALITYRESTCITY / ZIP •• SSST NO OF BLDGS ESSORSIZE OF LOT NOW ON LOT E� BOOK PAGE_ PARCEL I DISTRICT- GROUP TYPE, FIRE PROCESSED BY d TRACT :C(/ BLOCK LOT,NO CONST ZONE, TELT OWNER NO' ;STATISTICALCLASSIFICA ON SEWER P ADDRESS CLASS NO DWELL UNITS" ri BK .; ,, r -y CITY - ZIP USE•ZONE IMAP i ARCHITECT OR' r4SPECIAL NOENGINEER t NO ONDITIONS ADDRESS J ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL CONTRACTO - NO - BLDG,SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO + YARD' - TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER _ + - a NAME AND BRANCH O BLDG SETBACK FROM l.1' ADDRESS CITY SIDE PROP LINEOF (STREET) SQ FT NO OF JNO,OF. CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ' SIZE"` STORIES FAMILIES ONE ,SIDE PROP LINE HIGHWAY WIDTH ,LL DESCRIPTION OF W K NEW ADD ❑ ti CORNER CUTOFF w _ YES ❑� NO '❑ ALTER ❑ IN OPEN SPACE YES' ❑ NO• ❑, REPAIR, ❑ USE OF BLDG DEMOL ❑ IN COASTAL PERMIT ZONE YES O• , NO. E] EXIAPPLICANT EL / (P,RINTI BY(SIGNATURE) s I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP TION AND STATE - THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY TH ALL ORDINANCES" - AND LAWS REGULATING BUILDING CONSTRUCTION I C IFY THAT IN DOING THE - - WORK AUTHORIZED HEREBY I WILL NOT EMPLOY AN ERSON IN VIOLATION OF' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RE TING TO WORKMEN OM PENSATION INSURANCE SIGNATURE OFFINA PERMITTEE DATEL 7r�� BY, ,r=•t -t t ADDRESS l/ TEL P C Fee$ b' Ci Permit Fee `j.M Z' y CITY NO Q � / Issuance Fee b VALUATION / //� ,,,.. - - Total Fee 0 2,` 5- y PLAN CHECK VALIDATION K a AJ l cic "M o` _ms,, - PERMIT VALIDATION - K � 4 3-"0Y. � .5x�'- U� E ', ,J ,2- C� _ _. L 21 7'r2 UN, 27 1 U 1,9 0 22,5 _- I�S 76A638A CE d803A 8/77 ©s j6A63 ftipl�Nena'k-REiC 15/7¢1 AP-PLICATION.-FOR, BUILD;ING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS ~ BUILDING ADDRESS /!) S LOCALITY N EA R EST CITY ` ZIP CROSS,ST N-6 OF BLDGS ASSESSOR SIZE OF LOTocssyy 73 e:Z�s NOW ON LOT MAP BOOK PAGE PARCEL JQ DISTRICT GROUP TYPE FIRE OCESSED BY TRACT BLOCK LOT N.,O{{� CONST LA ZEE OWNER �� O lt.N0'Off y- STATISTICAL CLASSIFICATION SEWER M ADDRESS / S .CLASS NO ZZ�DWELL UNITS BK PG' CITY 7"eoCv 'ZIP 7 U ENGIN ERARCHITECT O / ° NpL VALUATION $ I {� P. ADDRESS GC//' / BLDG SETBACK FROM CJ 0c s TEL ��13 FRONT PROP LINE OF (STREET) CONTRACTO 9 TOTAL SETBACK FROM TYPE OF EXISTING _ _ HIGHWAY + YARD I � LIC = FRONT PROP LINE HIGHWAY WIDTH ADDRESS , O ��+ LIC CITY / r CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH HIGHWAY- + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SO-FT NO OFn/� NO OF CHECK + = V SIZE STORIES 'T FAMILIES ONE rr 09 // /� I 0 DESCRIPTION OF WORK W NEW PC Fee$ & 3V Q Permit Fee / d.� 1a �'v/� ADD El V ! 1I Issuance Fee I 0-0 ALTER . ❑ _ Z REPAIR ❑ Total Fee SI USE OF ❑ "; r EXISTING BLDG LZy' � DEMOL .- ZO APPLICANT TEL 2 IPRINTI ��rr I'd, g(f NO X87 ir36 o BY(SIGNATURE(' fe > f I HEREBY ACKNOWLEDGE T T I HAVE READ THIS AP TION AND,STATE t,w, uuY THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY ALL ORDINANCES t W _ AND LAWS REGULATING BUILDING CONSTRUCTION ICE IFY THAT IN�DOING THE V ^ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY-PERSON IN VIOLATION OF> JJJ t/ IJ1� THE LABOR CODE OF T STATE OF CALIFORNIA IN RELA G TO WORKMEN S COM Rte �j�. :!:/J", 2 PENSATION INS u1 ,9 t SIGNATURE 4 ji � cam` PERMITTEE " 4 ADDRESS Z TEL j �7 O '{D CITY NO ' / 1 - '-Z�'�s 0 r v USE ZONE MAP c / -+ NO ,z Cl r Z, SPECIAL 1 r CONDITIONS ; of FINAL pq „ � BY d DATE r •2 FO R`_E UIL D I N G P E R M036A, PLICATION76A638A CEI6 COUNTY'OF LOS•-ANGELES• BUILDING•,'. DEPARTMENT; OF'COUNTY ,,ENGINEER ADDRESS; BUILDING AND-SAFETY DIVISION` LOCALITY JOHN 'A: LAMBIE, COUNTY ENGINEER tNEAREST nn�7 1 FAD ILLIAM A.JENSE_N, SUP'T,8F BUJLOING,'- CROSS ST .r C. CV K., (,(� y..+� 'DISTRICT NO - G OUP TYPE ^P O FOR APPLICANT TO FILE;IN, °',�-, :L( cbNsr ,r a y] A - - STATISTICAL CLASSIFICATION _ S ER MAP S✓ ,/l;/'i,S � 'v ,4', - K,� G �. - CLASS NODWELL UNITS' .. -?},$"rS�Y. ` •BLOCK WATER;CERTIFICATENOT REQUIRED ,. RECEIVED J t0 1 c' j J " " ` ; �.'� • MAP HIGHWAY NO;OF,BLDGS _` NO ' (CIRCLE) STAT MAJORbECOND, LOCAL'•T, 2:30?� Q;,} NOW ON LOT' USE ZONE' S ECIALl„ aO,• + CONDITIONSBLDG C. �OWNER'G', -,f,a `F `C L.- A NO .�• /`' �' �= ) �t iD n(O'6�Q' BUILDING " EXIST ' '1 p y' `r'r -•SETBACK ' YARD HWY, STREET NAME - WIDTH •ADDRESS L�,�•k-'S '!"1�,� ' ,FRONT , ' c �, TEL- P L J (iENGINEER- �`V :NO SIDE.,, - ' '' nl P L r I'.,'A'DDRESS ,4e1Z" = .� r4.r - '. T, •-1i '�. STEL -t Go.J O' TN'c" EXt -CONTRACTOR '�(�, R NO - •• ,L, " .r• ee ADDRESS �A;,N{.i� �� '�,, S BE -8 FIELD T , 'DESCRIPTION'OF WORE 'F0 6.4D *r1 e Oma'a -NEWT ADD ALTER -,,REPAIR DEMOLISH._ - '..t. , - I. _ ' ,Z'', 'SQ,FT -; NO OF I .'- NO OF - %Q Ca r _ a 't1.9Ai SIZE STORIES FAMILIES; 2 - 'OSE OF. A y 17, ^~6. 1 i a i ' STRUCTURE G,� ) 26A- `/•�C+L�O IT G. t•VK ,. SIGNATUF2E`OF. ,APPLICANT - � / ....�� - � � },���• VALUATION - _ - APPROVALS 01.le DATE INSPECTO SIGNATURE PCS I a - - 'PM,Tl•r�fFOUNDATION LOCATION `,•/L1 FEE $.�'- .,'.�� T ,FEE�7Y /"� •FORMS, MATERIALS fo 'r. FRAME FIRE STOPS f( THEREBY,ACKNOWLEDGE THAT of HAVE READ THIS.APP,LICATION BRACING BOLTS AND STATE THAT•'THE"ABOVE IS CORRECT AND AGREE TO,COMPLY ' Y� r '�,y���/•�^� �• FURNACE LOCATION ':.', -W ITF1_ALL COUNTY ORDINA NC ES-AND STATE LAWS•REGU EATING" GAS VENT, DUCTS BUILDINGCONSTRUCTIONI CERTIFY THAT''IN DOING THE'WORKi l y'72.,•( p , ,L��� !"Q! 1 ' AUTHORIZED'�HEEBY=1„WI NLL NOT EMPLOY,'ANV PERSOIN VIOLA-. .LATH, INT yVSIE IF'"''(f`/��(• , ' R TIO LABOR'COOC OF THE-STATE-OF CALIFORNIA,RELAT=-, ING'TO'WORKMENS COMPENSATION INS;RP U tp. E ' ft Q ,t , G PF. ZNE LATH EXT �F- ,/t fZP �� 'SIGNATURI- 0 •` •r HOUSE NUMBER COR-• ' PERMITTEE `1 ° •. ,RECT AND POSTED .'°"' 1' ' ADDRESS. •3' L.dlr' .CS AJ ^l 'FINAL ,`� °%"• 11�Of6' , JOHN F LEWIS. PRINCIPAL ST RAL ENGINEER f PLAN CHECg t VALIDATION' M o 'CASH _ PERMIT VALIDATION cK ) MO :'' CASH, ,,, ,t• h'' -n,• ?�'•.,.L, h i , ... ' ,S.: �'4. ' r 19 . ' ,/J r.. ;•s :. .T i l7 ETS 9- s TMENT OF SJAI"ETY APPLICATION I1 ERMI1' COUNTY OF LOI ES BUILDING 1 WM. J. FOX, CHIENGII. R NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE I• ,9, v ._, G S I FIRE APPROVED I ` ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE • APPROVED ) /, ZONE BY DATE a �!- APPLICANT FILL IN HEAVILY OUTLINEll PORTION ONLY13 DING UL O E NAME ADDRESS F W ! FUW- Z ADDRESS LOCALITYLL .111 lc�W f' = Z NEAREST UW CITY CROSS ST. d < STATE TEL. LICENSE NO. NO. K NAME W KZ MAIL / ! p NAME 3 ADDRESS /•fin 44 U TE < ADDRESS CITY NO. K H IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z p CITY --- APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. i♦ i a R r,t !' 'SIGNATURE OF O LOT NO. w SIZE OF LOT ��la /��C OWNER `�/}/�- JF NO. OFON BLDGS. <M BLOCK NOLOT AUTHORIZED AGT.S lr, le?' "I W wm CORRECTIONS W TRACT O USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF =4 BUILDING O A - 4I Z D r NEW - TYPE � I GROUPS NO. OF I`� NO. OF ALTERATION ROOMS / FAMILIES ADDITION SIZE _ REPAIR STORIES f MOVING WALL COVERING _ +lr-- DEMOLISH ROOF COVERING ! .° FINAL APPROVAL FEE I $ I INSPECTOR'S VALUATION FEE N DATE NAME -ITDEPARTMENT O BLTit�DING A�ND`SAFETY APPLICATION FORtPERMIT T � COUNTY OF LOS ANGELES -11 ® ® IN !�® WM. J. FOX, CHIEF ENGINEER V t®� Mud T FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILD - {, s ^ DISTRICT NO. PLAN CK.NO. PERM IT NO. ADDREING 89 � � G� � .aI f 7, V LOCALITY �" - RECEIVED BY DATE-OFAPPL. DATE ISSUED (^� - NEARESTNG Jr- ST. '- GROSS ST.//`� 1}/��/'•1.• •� // �e �© „'� OWNER C✓ k V V C en /�' ��P J�6!'f'/tlo ��DOREISB MAIL t LOCALITY c!•D / /� ,�G. / ,}if c..wcx..a. �� ADDRESS d �� (�7 S-T1/I, - NEAREST CITY /p i�1 /• Z NO. " �e©� /� CROSS ST.. :_ _ /.( FIRE NO.OF' TYPE GROU-'P.�(/ �/� ARCHITECTOR TEL. ZONE PLANS - 'i�-• ENGINEER NO. BLD©. CORD.NO. ADDRESS - _SETBACK LINE APPROVED CONTRACTOR /f//J/SS SP-Well NO. �_GI �-�Q Z-f7 BY DATE �J I USE APPROVED.' ADDRESS J�6 j"'• �Vi l 6 Y A�a — 'PdS4�e�';} ZONE-X' ' BY' - DATE , LEGAL /� CORRECTIONS ' DESCRIPTION ti LOT/NO.Ar-/4s_/7' BLOCK - TRACT B•I SIZE OF LOT �//��J /��Q�Qy�, I NOW ON LOTUSE EX ST NO BLD O.U�y/C C rI I FAM NO a EBI ROOMS - - DESCRIPTION OF WORK Y NEW ALTERATION ADDITION' - __ — O _ REPAIR - MOVING DEMOLISH+�_ ✓ - p SQ.FT. NO.OF c - Z SIZE ROOMS STORIES WALL—- COVERING ALL___COVERING Y I COVERINGR USEN BUILDF G W IP Q9A. I HEREBY ACKNOWLEDGE�.THAT I HAVE READ THIS F -:' - APPROVAL'S ' ;- ,+'-,. .2l,• ti APPLICATION AND"STATE'THAT-THE ABOVE 1W CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES- FORMS,MATERIALS - AND STATE LAWS RFSULATING-SUI_L_DING CONSTRUCTION. _ FRAME:-FIRE STOPS_, SIGNATURE OF ERACING,BOLTS PERMITTEERAhCA1/ '�+V�. ' LATH,I,NT.: ..,.AUTHORIZED AGT LATH,EXT.: - - oas-3 SOM SETS 7-47P.C. LASTER,,INT. FEELj LASTER,EXT.VALUATION -�i FEE INAL B DEP#ATMENT O"U LDING AND SAFET AP CATION FOR PERMIT -- COUNTY OF IAS ANGELES O 2- ID WM. J. FOX. CHIEF ENGINEER - FORjj APPLICANT TO FILL IN FOR OFFICE USE ONLY ADD RISS r-�( /J _/ DISTRICT NO. PLAN CK.NO PERMIT NO. - LOCALITY }' �1' yff rr .�� RECEIVED By DATE OF APPL. DATE ISSbEO NEAREST CROBB ST.• r7C r�CiJ ..�l�.Lrrlsctr� /}.�'.!/-_✓L�.i1.�ILwC.�� "s�I .�✓ a ADDREISS O W N EMAIL /��' ALITY LOC ADDRESBrb� aTO CNEAREST ROSS ST._ � J///'o ITY�✓ NFIRE NCLOF TYsP� G RO ITORZONE PLANE ENGINEER cj-. �'�-- VBLDG. ORD.NO!1 ADDRESS - SETBACK LINE r 1, APPROVED CONTRAOTOR �"!l e, /l NO. BY DATE ,y/ / USE APPROVED I ' �- 3 ADDRESS ll E N /}�� /l ►` _I I ONE BY DATE (v. LE DESCRIPTION LOT J BLOCK CORRECTIONS t9,. TRACT /is � / �� k / ���" � ' � "Xiycg-V#wk 06-NO.6F SLOG A SIZE OF LOT %1 I I NOW ON LOTSUSE �y NO EXISTING,BLDG. FA IOUs- ROOM�B� A/ 7'� 's—o-, DESCRIPTION OF WORK NEW f\ ALTERATION ADDITION ,/I 2.;-V-6-6 ALL O REPAIR �Q�� MOVING DEMOLISH / Kw. .df'o J' YCa7Y4 YT"!..:.-"�.b � O SO.IZ FT. v V R OMB STORIES / J� �j�'�t�, , „ 6S�rr No or SIZE WALL Rodr /J �� � y''''�, COVERING �1,.:.K✓fs' I COVERING(-7 '�T` 14,A��iz; � ,�+ �P})� aJ��,.{/� USE OF NEW - - -- /�!yry BUILDING _..� k'-:� /Y.�C...n,,.lst�-� ...'- /'d� f �s d C,(.�I�.11 ©fid 3'"J'�/��' ��►t�/�P,�"� e )P-F-IgR sWhJr,* rddA'do -?'opX-jery zyA16r �56)/1) 12291-I Pe0 Ae tiAI-f 140J7 0" --�O I y HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 �� / ; iVAPPROVALS &RA?4r(' APPLICATION AND STATE THAT THE ABOVEAS CORRECT -FOUNDATION;: LOCATION ), /�INSPitOTO DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS I / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS. /SV I"/ `Z`�r�`/ SIGNATURE OF BRACING,BOLTS /��,{ PERMITTEE ^ n n LATH, d NT. ���1iB7 tf v i AUTHQRIZED AOT' "'� ` � -'"' � LATH. EXT. - r 76A638A-3 2-5t1 $ P.C.S PLASTER,INT. � M I FEE ` wvv :PLASTER.EXT. /y{� B m VALUATION V FEE "WORKERS',COMPENSATION DECLARATION, hereby affirm Thar I have a certificate of consent to`self �p P L I CATION FOR' BUILDING. PERMIT i insure,.or,a certificate of Workers',Compens6tion Insurance, - r f - - o Yamcertified copy,thereof (Sec 380_0„Cab",C') _ ^ ._` Y' __ _y ,- -u -� x == COUNTY-OFaLOS•ANGELES -BUILDINGYANI SAFETY:' ,PolicyiNo LZ9'e14.SL 9'hPany, ❑, Certified copy',s,herebv.furnished ^'/? �` FOR APPLICANT-TO FILL IN -' ADDRESS ❑ Certified copy is filed'vvith,the, my buil n eC- BUILDING do depgrTrrnt i ADDRESS t 2 �. r _ CITY °, f ZIP O; LOCALITY i'. Date' pphcanT NO OF BLDGS 1 CERTIFICATE OF EXEMPTION FROM W RKERS'`•. SIZE OF LOT, "NOW'ON'LOT" " f; j .-` NEAREST x. CROSS ST t r" 'COMPENSATION INSURANCE- / /'/ r ASSESSOR .' i (This section need•nor be completed if the peFmit is fon one TRACT yo�L!/ ;BLOCK• - LOT NO �� MAp•gOOK 660 PAGE � - PARCEL h_undred-dollars ($100).or less") TEL i _ ,',w• ::, u : Y•> 1 OWNER' C NO _ USE ZONE' MAP I certify-that,in-the'performance--6f toe work foe'which this, } NO -= SPECIAL',-�:t^ •- - - . - . - � permit.is issued;I shalknot employ any person in any manner , ADDRESS aj r CONDITIONS a ,so as'to become sub_jecT to•the Workers'-Compensation-Laws O r ry "•�" s •4' d f�„r - CITY -� _..�' ..ZIP U '•Dote-.`1:' ' -Applicaht,a' ARCHITECT OR., .t •TEL DISTRICT GROUP ,TYPE FIRE PROCESSED BY � NOTICE`.TO APPLICANT.If�lafter makih tFiis Certificate of - ENGINEER_, _ !' „NO I 9 "" CONST ZONE' ��• ,Exemption, you should=become'subject to the Workers' U Conipen"sation provis,oI of^the-Labor'Code, you',must forth- _ ADDRESS a ^ with<comply with such provisions or this;permit Is TELE STATISTICAL CLASSIFICATION APT= CONDO N deemed revoked , , CONTRACTOR y O Z ;,q LICENSED'CONTRACTORS DECLARATION} 2'15V � C CLASS NO BWELLNITS ,I hereb''affirm that I,am licensed under rovisioni c'Cha Ter,9. ADDRESS• � '• o Y. P_ P. _ _ -- SEWER MAP '(commencing with-Section 7000),of'Di,yision 3 of,the:Business LIC"`" �, and rofess ns Code;and'my license ism full force and effect' CITY G( e ¢g O CLASS �� .'BK,' VALIDATION '` SQ-FT,• NO OF, NO,OF CHECK, License Number ��/S 6.y3li: Class~�!�� SIZE STORIES {' FAMILIES ONE ,,.. t - .VALUATION ` 'r'i' %1 1 r iPix� �' �j 1, DESCRIPTION OF WORK - NEW ❑ / a Contractor',�� � ate 2 - ❑ ." r ADD ❑' ► am,gxempt under Sec •' i 4,,- i a y ALTER ❑ ; B &P,C for this reason - 1 e' d" REPAIR❑ $ USE OF. ' y _ Date r`" < , EXISTING>BLDG p� od �� DEMOL"❑ s' SlgnatUre L APPLICANT-- '> 4 fl TEL ­FINAL r. m OWNER-BUILDER DECLARATION (PRINT) -+ NO l _ _ ' —I-hereby affirm ihat'ham exempt from the Coniractor's L,cense'' ��' 'z ,� _ _ n . r _ � 2 Ldw for the'following;reason (Sectioh 7031 5, Business and AD6 ESS FINXL•,�$ tt , Professions VCode) a -au ".; : PRESENT ll yy i.� •�_ a J * BUILDING ❑" I, as owrier,of the'property, or my employees with ADDRESSACCT.a .•' Wages as•their sole,compensatio"n;will do•the work-and - w• T - Y ihe-structure isnot intended'or offered for sale(Section LOCALITY:' JQ� .29 6 * 7044, Business and,Professions-Code ) MOVING', ,,, TEL _ - ', ' ��'[` - ❑ I,as owner of the property, am exclusively,contracting, CONTRACTOR d NO n�• :j 1 TENS - �with,licensed conteactors-to'construct the project (Sec- ," _• " ADDRESS - r • tion 7044,,Busines's Arid Professions Code) J. H ,, TOTAL29 ® 60 ° r•: REQUIRED,. 'TOTAL,SETBACK FROM, .'EXIST r .:-'.,, a SET BACK PROP LINE- WIDTH i i '[aLLI CONSTRUCTION LENDINGAGENCY., E YARD� •HWY' "-"' (,:J-(��:�! r-+ I hereby affirm that there is a.construction,lending agency-for FRONT the perfo6once'of the-work for-which this pefmit is issued` P'L` ` ` t' CHANGE' �' „ ,0�1 (Sec 3097, Gv C") s• -SIDE ; L'ender's1. Name' �. >' = rk' LDMA,Ref # _ v{,f� y•, f .' P C Fee:$w Permit Fee ; T A!t Lender's Address' .. y, Z x , a I certify'that 1.have read this a lication and state that'the », ^. Issuance Fee 1.S' LDN1A"P/C# ` above formation-is correct-I agree to comply with all'County Invest gar on Fee 8 ordinances and.State laws relating to building construction, y Total Fee �C �.� LDMA Peim '# ~ and he authorize rep resentatives,of,this'County to enter - • upon ik bve=mentione property for inspection purposes SEE'RE VERSE FOR EXPLANATORY LANGUAGE f T 'fy :_Signature Applicant Agent Date ��, ' WORKERS'COMPENSATION DECLARATION APPLICATI OR �UILDIIV-G PERMIT eby affirm that I have a certificate of consent to self,- or cl,certificate of Workers;Compenstion,lnsurance, or `fled copyahereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES__ BUILDING AND SAFETY - No " ' Company Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building irispec- BUILDING tion department's ADDRESS 9953 Las Tunas Drive - LOCALITY TerrplE Ci CA 91780 NEAREST 'Applicant CITY Tempile. City, CA ZIP 91780 CROSS ST Rowland ' CERTIFICATE OF'EXEMPTION FROM WORKERS" NO OF BLDGS 1 ASSESSOR COMPENSATION INSURANCE _ SIZE OF LOT NOW ON LOT MAP BOOK „ PAGE 032, PARCEL OZO section need not be,com completed if the "ermrt is for one .!i USE ZONE _ MAP t p p TRACT #6561 BLOCK 9900 LOT NO ,l7 NO ZT Eed dollars'($100)or less ) - y., TEL G,� SPECIAL d OWNER Nazarene ChuYlGh NO 287-1136 CONDITIONS - O ify that in.the performance,of the work for w ch this DISTRICT _ GROUP TYPE FIRE PROCESSED BY V It is issued, I`shall not employ any person in a manner ADDRESS 9953 Las Tunas Drive I CONST ZONE to-bec`om'e subject•to.the Workers'Compen n Laws fd. / O IM '� za i CITY Tele 'City, CA zIP 91780 . ` V Applicant 7 STATISTICAL'CLASSIFICATION - APT CONDO V ARCHITECT OR - .TEL E`TO, APPLICANT If, after'making th s";Certificq of `" iW C ENGINEER NO _ CLASS NO �'`"' DWELL UNITS IL Poon, ydu 'should. become subject to the War ers' An f ensation provisions of the Labor Code, you'must forth- ADDRESS 1021 E,. Walnut, Pasadena, CA SEWER'MAPId - Z comply .with such provisicns or this permit shall be- TEL- led revoked' Paul Freed 794-5400 BK �'PG, /'12 VALIDATION It CONTRACTOR NO LICENSED CONTRACTORS DECLARATION _ LIC by affirm that I am licensed under provisions:of Chapter 9 ADDRESS 1656 ASb .Drive NO ' 5636 VALUATION - �enung with Section 7000)of Division 3 of the Busmess and Pasadena CA LIC l cions Code, and mylicense is in full force and effect CITY , CLASS _$ ©SQ F,7 NO OF • NO OF CHECK �fe Number Lit Class SIZE STORIES FAMILIES ONEDESCRIPTION OF WORK Tnstallin • store NEW4 2;9,5 A ctor ` '- '' ' Date � ADD I am exempt from the licensing requirements as I am a front 800rS at main AL ETR ® FINALo.0licensed architect or a registered professional engineer acting in my professional capacity. (Section 7051, entrance. REPAIRDATE � 2;A a,3 6,00 Businessand Professions Code) USE OF JJ}} LEXISTING BLDG Yes DEMOL B,,"AL ' o • 07JqQOyReg No Date APPLICANT TEL r , OWNER=BUILDER DECLARATION (PRINT), Nazarene Church NO 287-1136 v u 0'4=8-1 ly affirm that I am exempt from the Contractor's License ADDRESS 9953 Las Tunas Drive, Temple Ci Eor-the following reason (Section 7031 5, Business and, ssions Code)'.•,• PRESENT BUILDING 9 5 as owner of-the property, or my employees,with ADDRESS wages as their sole compensation,will do the work and Temple City, CA 91780 4 2 9.4A the structure is not intended-or offered for sale(Section OCAL TYP ty 7044, Bustness and Professions Code) , MOVING TEL ' I, ds owner of the property, am exclusively contracting CONTRACTOR NO , with licensed contractors to construct the project (Sec- ADDRESS 2 0 -,520,0 tion 7044, Business and Professions Code) '' ,REQUIRED TOTAL SETBACK FROM EXIST 2 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH o o"0.5-2 0'0 5 iby-affirm that there is a construction lending agency for FRONT erformance of the work for which this pe"rmrt is issued P L, 3, 0.4'-81 3097,;-CGv C ),- -SIDE ' PL is Name Lr's Address P C Fee$ Permit Fee lify that I have read this application and state that the Issuance Fee information is correct I agree,to,-comply with all:County nvestigation Fee antes and Stot'e laws relating to building construction, n e{{eby`authorize repr sentatives of this County to enter Tonal Fee �a i ^ ItYe above tion d property for i pection'purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or A_,.4 Date - µ1 � • 1, � ' -WORKERS COMPENSATION DECLARATION r ° _'x I herebycff rmfthat 1 hovea,certificate of,consent to,self r i �I�msur�,iir'a certificate of,Worker"s' Compensation Insurance, A P P L I CAT I O N � F O Rµ.B U_I L D I N G= P E RI1l1I-T orl6'certified•copythe�eof (Sec'3800, Cob C') - _ , _`s•._ _ COUNTY OF•LOS ANGELES BUILDING ANDSAFETY �. Policy No,t. :tCompany . _ o• r :• _ - 1 - h 0., Certified_copy is'herebyfurnished FOR APPL-ICANT,TO FILL IN BUILDING ADDRESS ❑ Certified-copy is filedwith-the'county'building In- BUILDING '`tion`departinent .r ° `;� ADDRESS �. ," t i,•+_`5.:,; :c ^�` `''_' Vit` - __ _ �_ _- _r Date, ".r'' ti.t -"App hcant••�3. a. CITY S ZIP LOCALITY 'CERTIFICATE OF EXEMPTION FROM')WORKERS' 1 NEAREST_: :1�: -->.•-�' --NO OF BLDG • ; SIZE OF LOT NOW ON LOT' t CROSS ST "COMP,ENSATION{INSURANCE" ' _(TRis secttontineed snot•be completed rf the'permit is for one - • - ASSESSOR"t, t ,'" , hundred dollars ($100)or less ): TRTELACT BLOCK LOT NO Mqp gpOK +- PAGE PARCEL n_• _ OWNS NO USE ZONE MAP s I'cerhfy that-in the performance of the work for-wFiich this lermit is issued, 1 Shall not em to am Bison m an manner �-�••�� ,, SPECIAL P ,ue a P Y Y P Y ADDRESS �� -V V ! .(ra. - !C/ CONDITIONS V r Q so as to become subject to the Workers Co p so on L" s V ZIP_ w �` Ddte `` i Applicant' '' K CITY__ - - Q NOTICE'TO`'APPLICANT 'If, after''makm `tKis ertif cdte of ARCHITECT /� / T DISTRICT:, GROUP TYPE, _t t - _ FIRE- PROCE ED BY g ENGINEER �%,C NO _ CONST} I'ZONE . • t Exemption, „you"tshbulcl become;sublect to•sthe 'Workers' i+ N W Compensationrpiovtsions,of the Labor Code,'you must forth- ADDRES t ✓-c`'U t -. -� - 3 - 3'y with'rcomply:withusuch;provisions or. thispermit_ shall be TEL" J STATISTICAL CLASSIFICATION` APT` CON Z deemed reyoked;s r; '�' a 'I a a+ CONTRACTOR NO C" LICENSED CONTRACTORS DECLARATION; - - LIC - CLASS NO ' DWELL UNITS I hereby affirm that,I am Gce_nsed under provisions of,Chapter 9 ADDRE NO (commenting,with Section 7000)of Division 3 ofthe Business and - -LIC--, SEWER MAP Profes`sions,Code, and_my license is m'full force"arid'effect CITY CLASS BK i VALIDATION ' - , •.> ,a+•s ,�h ..-•rte' r. F Z � f' PG UFTN-, ST OF F�40A OF CHECKense Number b Lic Cldss t STORIES FAMILIES ONE i VALUATION ' R 'a, •r- _ _ ° - N OF WORK--` - - - _-.-, _ .NEW--,a� Z✓ �%1�Contractor Date S❑ i> �� ADD- 'I am exempt under Sec ZE ALTER S1 74-•0 AB 8P C for this reasonREPAIR- Qat •'• • oBLDG' DEMOL _ , ,_ _ _- _SignatureTEL FINALtI • o (I. a-50 NER` IJ E D CLARATIO /G NODATE- .l herebyaffirm°thaf,l-am exemptJrom.the,tractors License _Law for the fol lowing.'reosoh t(Section 7031 5, Business and Q le r FIN Z Piofesstons Code) r. �- x .... �t PRESENT - r By _ O t 2J-8 5 4i - BUILDING i 1„as'Owner'of the property, or my employees-with ADDRESS w"ages as then sole compensation,will'do tfSe work and ..the structure is not intended o�offered for,sale(Section LOCALITY -7044, Busnesss and Professions'Code) - MOVING ' -TEL CONTRACTOR NO ❑Y I, as.owner of the property, am exclusively contracting Y ,with-licensecl contractors-to construct the'prolect-(Sec- -? •`"i ' tion 7044, Business and Professions Code) ADDRESS -REQUIRED :YARD HWY . ..TOTAL.SETBACK. - CONSTRUCTIOWLENDING AGENCY 'SET BACK PROP LINE' WIDTH, 4 ,I hereby,affirm that there is a construction lending agency for; FRONT , the performance of,the-work for-which-this permit-is-issued -PC (Sec.3097, Civ C )" SIDEv'- P,L Lender's Name • _ _. - ,- - - __- -•_`, P C Fee$. ..._ - Permit:Fee. LDMA`Ref # Lender's Address' _.I-certify,that-I have read.,This_applicatiom /)and state that the _ �Issuance•Fee - VN -LDMA•P/C#. - - a above information is correct I agree to comply with all County Investigation Fee. 14 o ordinances and State laws relatingto'building-construction, { _ -_. Total Fee - - .✓ LDMA Perm # - - d an4h; auth izere resentatNes of this County to enter m , o - enti property foi`inspection purposes ,VSEE REVERSE FOR EXPLANATORY LANGUAGE,gntoeo A pbcont9(-Agent' - - -4,-Date -• -- ._;F. - - - - ,- -.. - ' ._..._ .. .....Z. '. . `-. - __ - - �QQ i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 `J =`' BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0005030003 PHONE: (626) 285-0488 EXT: EG ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 13 BL: .001 SQ. FT STORIES TYPE 9953 LAS TUNAS DR STRUCTURE: 0 VN TEMP CA 917802201 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8587-032-021 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: E ST BLDG USE: ASSEM USE 0 : C-2 ISSU 0 PROCESSED EXPIRES ON: EXIST OCC GRP: 05/03/00 UT 10/30/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE FINAL Y. CODE: TEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136- 3 31,000 I� 9953 LAS TUNAS DR TEMP 917802201 FEES I DESCRIPTION F WORK v CLEAN OFF LOOSE ROCK, USE A INVERTE CAP SHEET, BASE SHEET APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TORCHED MEMBRANE— ✓1 U� rt." - 6 U EAGLE ROOFING (626) 291-5700- AA BLDG PERMIT ISSUANCE 27.75 6327 LIVIA AVE AE STRONG MOTION OTHER 31000.00 VAL 6.51 SPECIAL CONDITIONS: TEMPLE CITY D2 PERMIT W/O,EN C 31000.00 VAL 549.75 ELESTOfAL FEES 584.01 CONTRACTOFING TEL. N291 5700- APPROVALS DATE INSPECTOR SIGNATURE EAGLE RO6327 W LIVIA AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 698529 C39� SOILS ENGINEER APPROVAL / ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH LIC. N0� 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING i MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM ,:- ER� UN LOOR INSULATION 150H269 3 l 04,U ,Q �n�L C l�J V O lJ LlK S L00 SHEATHING 0. OF ILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 22V( ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 0 =t SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO a ® 5 FRAME INSPECTION REQUIRED TOTAL SETBACK ROM EXISTFHANGERSIREcl SPRINKLER SET L APYARD: HWY: PROP LINE: WIDTH: ,ZC aSer VIC @ Thi �. INSULATION/WEATHER STRIP SIDE PL- INT ILATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. ' RATED WALL ASSEMBLIES RAE SHAFTS/OP GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508