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HomeMy Public PortalAbout10786 LIVE OAK AVE_Building__ TEMPLE CITY 76A636A CE 0803263EAPPLICATION FOR BUILDING PERMIT COI'NTY OF LOS ANGELES i BUILDING DEPARTNVENT OF COUNTY ENGINEER ADDRESS - - BUILDING AND SAFETY DIVISION l LOCALITY t JOHN A. LAMBIE, COUNTY ENGINEER j NEAREST , , WILLIAM A. JENSEN, SUPT OF BUILDING j CROSS ST. DISTRICT NO. GR P TYPE CESSED BY FOR APPLICANT TO FILL IN �} coNST.� C_ BUILDING J STATISTICAL CLAS IFICATION EWER MAP I, ADDRESS `) I BK CLASS. NO. DWELL. UNITS LOT NO. BLOCK `NATER NOT REQUIRED1-1RECEIVED ❑ � "" CERTIFICATE: TRACT �,}a, �, �, MAP HIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLOGS. NO. (CIRCLE) SIZE OF LOT ,114 x 3 NOW ON LOT USE ZONE SPECIAL �j USE ST NG BLDG. Lj •- -•S�TG�fL%��aa�„' i CONDITIONS Z- TEL- T L. �- 1 1 OWNER A. NO. BUILDING EXIST. p� SETBACK YARD HWY REET NAME,// WIDTH ADDRESS !V &' `fie 0A FRONT ARCHITECT OR ( TEL.p I J ENGINEER {- g $c O./NT6 t SIDE >- 1 ADDRESS - /� Ve�� P L - 0 V LL,,nn CONTRACTOR T C&)NO.(� 6177 J-� _ -.O ADDRESS V DESCRIPTION OF WORK -- IL t a Z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. l NO. OF NO. OF 1�0 _ SIZE Cj STORIES FAMILIES USE OF STRUCTURE j��'-''�_�( _en i;- Ax, c0.0 eqs - -- 7 SIGNATURE OF APPLICANT VALUATION $ ! � APPROVALS DATE INSPECTOR'S SIGNATURE PMT FOUNDATION:-LOCATION - F.C. FORMS, MATERIALS - FEE $ .�! FEE $ FRAME: FIRE STOPS. - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS ::-✓ AND STATE THAT THE ABOVE 15 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 �} EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR C DE OF..TH STATE OF CALIFORNIA RELAT- ING TO WORKME PEN O INSURAN LATH, EXT. SIGNATURE HOUSE NUMBER COR- 1 PERMITTEES RECT AND POSTED ADDRESS .QJ�.� — FINAL JOHN F. LEWIS. P NCIpAL ST F RAL ENGINEER PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION cK, M.D. CASH *9 2 1 803 "22 1 D 2 9 2.00- DBS-3 25M SETS 8-45 DEPARTMENT OF BUILDING AND SAFETY I APPLICATION FOR PERMIT "COUNTY OF LOS ANGELES P�, 4 6 ® ' ~' JAN .-3 WM. J. FDX, CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ii "� DISTRICT NO. PLA}N� CK. NO. PERMIT N/yO. BUILDING ADDRESS 7.i1 4 !4 0�J� le ,1 U 5i� M' �� �p �O ✓ /t� r 1 LOCALITY RE-CEII,V�ED�BY/ DATES OF APP/L.� DATEISSUED NE CRASSEST. t" 1/ 1( ' BUILDING" OWNER.ft144 kO;A/ T RVe Lha)'l ADDRES �/ } O_4 MAIL ♦ ; i� LOCALITY ADDRESS �+�� 7 U• f _ // � p/� /�1 TEL.'A I/�9�� CROSSSST. e/ � • CITY 1`F L K(e- �. NO. ,f-j "/ j FIRE NO.OFPE ARCHITECT OR 1 �a] �+y� TEL. ZONE, PLANS DROOP E ENGINEER H' '�J• '�.7 IA l.hl bt'NO.I O^ �-st�" �1 19 ��yy J /y p BLDG. ORD. NO. ADDRESS [^a ! L. � 1 l' :��L l a �j�1��� ;SETBACK LINE �L�$ p1 /� APPROVED CONTRACTOR, (? I NOBY DATE r USE /? APPROVED ADDRESS 1-d d C-I 3 ��� I.F Ll ZONE(, BY DATE LEGAL d //'^ DESCRIPTIrON I LOT NO. g tBLOCK V �/,�/C CYTONS TRACT - F� Fs;,' � •F-h, r //I�J/'11' �� f �} NO�OF SLOGS. SIZE OF LOT (�n /�(�i�,,l[ , - I NOW ON LOT USE OF i NO.OF NO. OF�// EXISTING BLDG. �I> (��'�' PSS/ I_FAMILIEs n►vlI ROOMS F / r DESCRIPTION OF WORK NEW ALTERATION ADDITION sLSZ C 0 0 `_ O REPAIR MOVING DEMOLISH / J O_ Sq. FT. NO.OF SIZE ROOMS STORIES 1 •f �/ /..c,..�--��lL�ir/lfC..rr!/_ l,_L �ih-�"�• r -WALL jROOF COVERING .I ,�'''a �, I COVERING'*—l o ji1 Lo USE OF NEW 1 1q BUILDING ,�.I tl. P IA. 11"1- I I �\V \ ���! �k 4, '9--1 4/s, y\ l! r 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF ♦ r\ 1 BRACING, BOLTS OWNER „ I �, 1 (¢ LATH, INT.: AUTHORIZED AGT LATH, EXT.: P. C.III PLASTER, INT. •FEE PLASTER, EXT. ol 1 1I VALUATION ;" FEE / r Q FINAL 7 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELESW I L I WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ' DISTRICTt10. PLAN CK. NO. / PErR/MW<NNO!-- ADDRESS X G �I,t1> (!/�/� Vr✓- .�. [ V I v � RECEIVED BY DATE.OF APPL. DATE ISSUED LOCALITY NEAREST /�]� iLT— "1�~y�7�� L CROSS ST. � f�// L%2^L� Gc�ir✓iI BUILDING ADDRESS l C OAK OWNER pfd 1'J7/_.�f 1�J I, iT/ ti/Y.Y.I_w1JiI MAIL LOCALITY ADDRESS NEAREST CROSS ST. C lr is L 4 w Mo CITY {,.1;'�`{ice �dl� NO. FIRE NO OF I TYPE --��`'I�GROL[ ARCHITECTOOR -/ TEL. ZONE PLANS a_�s• p ENGINEER '• ! NO. BLDG. D. NO. SETBACK LINE ��C� �'Y CL ,G Ale/ ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK EMAP NUMBER FIELD CHECK BY TRACT + 3• a2 _:I NO. ASSIGNED BY DATE SIZE OF LOT 3 '! v aI SNOW ON DoT S '- CORRECTIONS -- USE OF �� -'+x NO. OF EXISTING BDG;'"'"""'� ��ff��..���� �' � I Fwm�ues L DESCRIPTION OF WORE '� NEW I I ALTERATION I I ADDITION I - fYC`, COT-7Aa Ua - l O U o d� REPAIR I' I DEMOLITION SQ. FT. NO. OF 72,'Y.AV4-, Q SIZE `} 0 ROOMSy STORIES ' Q R'✓1 ' U EXT. WALLROOF l 1 r, COVERING - T C 6.1 COVERING USE OF STRUCTURE /9 7/9 If c..-/-7' Oi9! (� 1tP 'PAf ROgALS I•f INSPECTOR'S SIGNAT R TE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATIO PLICATION AND STATE THAT ,THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. , 1 AGREE TO .COMPLY WITH THE CORRECTIONS LISTED FRAME. FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE ERMI•ITE�'"� ` N �V • GAS VENT, DUCTS t� • LATH, INT. T ; ADDRESS w 0 - AUTHORIZED AGT. n v /J .A \ ���/`, LATH, EXT. gY_____________ q PLASTER, INT. l�wasew DesQf« $ h�/�9��y FEE PLASTER, EXT. VALUATION 9 FEE S 1 0 U FINAL 76A638A CE"803 2-63APPLICATION FOR BUILDING, PERM COUNTY OF LOS ANGELES BUILDING i 'DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN. SUP T OF'BUILDING CROSS ST �( DISTRI T NO GROUP TYPE jPUJOqESSED BY •'FOR APPLICANT TO FILL IN lJ , CONST BUILDING STATISTICAL CLASSIFICATION - S WER MAP ADDRESSBK CLASS NO-,-- UNITS—t=i LOT NO 1BLOCK - WATER CERTIFICATE NOT REQUIRED ® - RECEIVED TRACT ,Q;,..Q.7/ MAP . 'HIGHWAY STATE AJOR ECOND, LOCAL NO OF BLDGS NO f ''-(CIRCLE) SIZE OF LOT NOW-ON LOT USE ZONE SPECIAL , USE OF r I ,- CONDITIONS. - EXISTING=BLDG - TEL • ' �' OWNER NO BUILDINGYARD HWY REET NAME,„• EXIST SETBACK _ WIDTH ADDRESS FRONT ARCHITECT OR - TEL" P L ENGINEER NO ,SIDE _ - • a - `•P L ADDRESS _ � � O TEL CONTRACTOR S CONTRACTOR � /'n'C fd0l1 r NO Ol ADDRESS a •�La�r� j /^�, ,,, �€•, , . r DESCRIPTION OF WORK ! w ? N r ADD ALTER REPAIR DEMOLISH _ O FT NO OF NO OF s .,,,v'i'a• - -- SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APP•LICA NT - VALUATION S �cS D o .. APPROVALS •' DATE INSPECTOR'S SIGNATURE ' PC PMT FOUNDATION- LOCATION FEE $ FEE $ FORMS MATERIALS FRAMEFIRE 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 I,WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT nr.� TION OF THE LABOR CODE OF THE STATE OF LIFORNIA RELAT- ING TO WORKMEN S COMPENSATION INSU C _ , r LATH EXT SIGNATURE O HOUSE NUMBER COR- p / PERMITTEE RECT-AND POSTED ' A ,'�I ADDRESS FINAL JOHN F LEWIS'PRINC•�PA�L'ST.R•�� IRAL�ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION 'CK• 110 CASH . Lj`s(�O-6 5 1 7:? 12 1 `o' 1 0.00 � Mr. C (•T �;�F y 76A638A CE#8032-63 APPLICATION FOR BUILDING/PERMIT COUNTY OF LOS ANGELES BUILDING '�— DEPARTMENT OF COUNTY ENGINEER ADDRESS �� OC:=, BUILDING AND SAFETY DIVISION LOCALITY 70VM UC t'T JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS STie— DISTRICT eDISTRICT NO. GR P TYPE PRO ESED.-BY FOR APPLICANT TO FILL IN L=am r'Z CONST. BUILDING ( ,.� STATISTICAL CLASSIFICATION SE ER MAP ADDRESS LVF L7�l L �7 CLASS. NO. DWELL. UNITS _ LOT NO. G- BLOCK WATER ^I.�- CERTIFICATE: NOT REQUIRED L— I RECEIVED 0 TRACT a f '—'-''�^�� NO �JL.� cIRMAP C E)WAY STLLLLA.�--TTE MAJOR SECOND, LOCAL NO. OF BLDGS. SIZE OF LOT NOW ON LOT USE ZONE SPECIAL _ USE OF CII N)Tomol vk Ilei ua CONDITIONS EXISTING BLDG. JC- TEL. OWNER AANON l iSTrAO6 NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS 107w �I Vls �''�"«' FRONT - ARCHITECT OR TEL. P. L. lh'E �— ENGINEER �1u5E� NO. SIDE G y. D'/z Las P. L. 1 ADDRESS (� O CONTRACTOR. �M(�`.,Tt:F, TE-NO4 •jd 777D V ADDRESS 2715 JiL_c'/Z O r DESCRIPTION OF WORK u a- a NEW ADD REPAIR DEMOLIS Z SQ. FT. NO. SIZE 16) ' STORIES FAMILIESUSE OF ' STRUCTURE Z��C �7LC IkEo AT SIGNATURE OE APPLICANT VALUATION $ -2—,OO APPROVALS 9P4TE INSPECTOR'S SIGNATURE P.C. PMT. C— FOUNDATION: LOCATION FEE $ FEE $ T 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. I j TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C MPENSATION INSURANCE. f LATH, EXT. r SIGNATURE OF HOUSE NUMBER COR- PERMITTEE�(�'� W,�j"�'� ,�1� T RECT AND POSTED //` AODREss Z71� _T LC� Li�IQ/lrIL. FINAL /! �:'!. ,i JOHN F. LEWIS. PRINCIPAL STRUCTURAL E EER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH 1_I'wo 5 4 9 4 FEB 1 :7 . 11 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) - BUILDING COUNTY OF LOS ANGELES ADDRESS / DEPARTMENT OF COUNTY ENGINEER CITY - rla iIP BUILDING AND SAFETY DIV I ION - NCJOF BLDGS BUILDING D _ SIZE OF LOT NOW ON LOT ADDRESS TRACT LOCK LOT'NO - LOCALITY - _/ TEL NEAREST OWNER Lr NO CROSS ST ^ ASSESSOR ADDRESS MAP BOOK PAGE RCEL -(r DISTRICT GROUP TYPE FIR PRO ESSED BY CITY/r/�/I ZIP .r-O n Z CONST. ZO A ARCHITECT O TEL . (Jn --i•�/� ENGINEER NO STATISTICAL CLASSIFICATION SEWER MA ADDRESS CLASS NO 2-2—DWELL UNITS BK ` G CONTRACTOR NEOL'.3j �C USE ZO810 NE MAP ND, ADDRESS ' f * j - 4 /j•NO c1'G�C3,3i SPECIAL LIC, CONDITIONS CITY �'� CLASS C- ROA,D EPARTM ENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCT ON LENDER NAME AND BRANCH j> BL G.SETBACK FROM FFJONT PROP LINE OF (STREET) } ADDRESS - CITY _ TOTAL SETBACK FROM TYPE OF EXISTING CD SQ FT NO OF - NO OF- CHECK HI HWAY } YARD - FRONT PROP LINE HIGHWAY WIDTH U _ SIZE STORIES FAMILIES ONE } - c=) DESCRIPTION OF WORK y NEW El U ADD BLDG SETBACK FROM a -- PR I N _ ❑ IDE PROP.LINE OF (STREET) Z ALTER HIGHWAY }` YARD _ TOTAL SETBACK FROM TYP EXISTING SIDE PROP LINE HIGHWA WIDTH REPAIR❑ USE EXISOT NG BLDG, lei01-11 DEMOL ❑ } APPLICANT TEL CORNER CUTOFF YES C] NO ❑ (PRINT) BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ - f� IN COASTAL ZONE YES ❑ NO ❑ VALUATION W �-�f�V�� ✓ - CATEGORICAL EXEMPTION- YES❑ NO ❑ I HEREBY ACKN LEDGE 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- STIR UCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFOR IA IN RELATING TO WORKMEN'S COMP ATION INSURANCE SIGNATURE O PERMITTEE ADDRESSFINAL V j� pF CITY NOL33 dd(� DATE `� s S� BY 11,11\E (JIL( Rs PM-1131-L-1131-L- I U FEE $\J FEE 9 HARVEY T. BRANDT, COUNTY ENGINEER ' 9 0 r� PLAN CHECK VAIJ/bfiLTION CK ' M o CASH o PERMIT VALIDATION CK M O CASH 8,6, FEB 27 1 ® 1"0 5.0 76A638A CE 9803 12/72 ' � COUNTY OF LOS ANGELES BUR�SPP L Q CAS'8 O N• FOR DEPARTMENT OF COUNTY ENGINEER ' --�;0`� �� BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS /, OBU' '7 ADDRESS LDING C! LOCALITY NEAREST CITY�,t ( -� / G ZIP - - CROSS ST L O OF BLDGS ASSESSOR SIZE OF LOOT NOW ON LOT ^ , MAP BOOK PAGE PARCEL TRACT" �19 5-a-3 BLOCK LO O DISTRICT O GROIjP TYPE ST ZIRQN� OC SED BY -409t OWNER w� N NO ✓ STATISTICAL CLASSIFICATION '. SEWER MAP -ADDRESS GAcle - 'CLASS NO DWELL UNITS BK CITY 'J�* "/Y'/ ZIP a USE ZONE MAP NO ARCHITECT OR TEL /�i/1/`// -� 9Q SPECIAL CONDITIONS ENGINEEp NO 2iC� F7 ADDRESS 32-7-3 , ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ T CONTRACTOR [, I EL NO 6 BLDG,SETBACK FROM Ald� /- FRONT PROP LINE OF O (STREET) C ADDRESS LINO_ 7 TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP_ LINE HIGHWAY' WIDTH CITY /11V,0 ! CLASS &' $� CONSTRUCTION LENDER + = f&7-) } NAME AND BRANCH a _ BLDG SETBACK FROMU ADDRESS CITY ; SIDE PROP LINE OF (STREET) 0, SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWA WIDTH Lo Lo DESCRIPTION OF WORK NEW ❑ + = Z ADD —. ❑ CORNER CUTOFF YES '❑.'' NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ - NO ❑ REPAIR ❑ USEOFEXISTINBLDG DEMOL El IN COASTAL PERMIT ZONE• YES "❑ - NO "❑ APPLICANT TEL (PRINT)e"?, O 3 BY(SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES- AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE - WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE Q FINAL/�� }� BY PERMITTEE DATE !J ADDRESSTEL d CITY me U NO W� P IZ Fee$ l ,,�jL Permit' Fee Zk Issuance Fee VALUATION$ ///�pJ�� Total Fee PLAN CHECK VALIDATION CK M'o CASH - PERMIT VALIDATION CK M o CASH 0 6 4 fc-"7 AUIS 2 1 U 2 5.0 0 ®S8 OS 76A638A CE 1803A 8/77 D13.9 25M SETS 9-" APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES T T����T� WM.WI. FOX. CHIEF ENGINEER BUILDING�J I �I NO. OF BLDG. ORD.NO. j DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE �..-+� �"� FIRM -� APPROVED C•:� ZONE BY DATE RECEIVED..BY DAjTErOF APPL. DATE ISSUED USE APPROVED APPROVED ZONE I BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTIONN ONLY E BUILDING O C NAME -.ADDRESS W Z ADDRESS LOCALITY = Z w . NEARESTT. U CITY I CROSS S E C STATE /' TEL. LICENSE •=% W'+�C"�^�'1 LICENSE NO. O. NAME Z MAIL 0 NAME ADDRESS � a�jG�e�-•-Q U O TEL. Q ADDRESS CITY NO. E F- 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O 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. yy e -v - SIGNATURE OF \\ Z LOT NO./V� W'� SIZE OF LOT � �1 - p OWNER J 2 NO. OF BLDGS. Q �• BLOCK ) >NOW ON LOT AUTHORIZEQ AGT. TRACT / J _ y.] 17, r� CORRECTIONS , \ ,! 01 USE OF BLDGS. '/ A //��`7'.AM I.1���•�`� _ir'/"� .•�',r NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING f "SCA ,p,, � 1 _ �]�j-� •�_ 1 �i /i �„d( 'I �3�-crti--�•� � � � �/�♦ X_tll%Iw�tl (A�f '�%•,1_�Y� �y�r/� f r , NEW / TYPE 7 GROUP -Z � '.20-PA"1NO OF NO. OF /tI�Y/�M�d' /'TIc/ii'�.,.r•"F.�i. �-.i �� ALTERATION ROOMS I FAMILIES ' Fmu-rN U/M/? 7�"/A 71 RA W), I ADDITION SIZE _• n/A d.a•.0 //"l 1'Q ii /yam �/{ /', J �I�♦ y/ REPAIR 9TORIE3 � MOVING WALL COVERING \ \ 1.�'{/A DEMOLISH ROOF COVERING , FEE \ \ FINAL,APPROVALINSPE .... Ob /�/`7 AME CTOR'S VALUATION � O® FEE DATJ C ©s 71-,6 CE,£803(REI?'11/78) 1 u APPLOCATOON FOR._BUlLD0kG.-P'EI-MIS' COUNTY OF LOS ANGELES BUILDIING AND SAFETYBUILDING _ 1 FOR APPLICANT TO FILL IN ,. ADDRESS -d- /Jy� Gr-✓e• - r ADIDRE55 OIDING 'l lD LOCALITC__ ,[ `�{jG7-7 NEAREST CITY• ZIP CROSS ST , NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK"-T PAGE r PARCEL /C� B 3.Z� DISTRICT GROUP TYPE FIRE CESSED BY TRACT` ^ BLOCK LOT NaZ� CONST%' `SONE OWNER G 1^ EL c-e Q NO / _ STATISTICAL CLASSIFICATION SEWER/MAP ADDRESS ✓�/•V C' � - CLASS NO � DWELL UNITS* BK/d' Pp } CITY ZIP ARCHITECT O L VALUATION $ ENGINEER ADDRESS 6 SO' S CI vcrNV- BLDG SETBACK FROM El FRONT PROP LINE OF '(STREET) CONTRACTOR NO �j$ S TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP LINE' HIGHWAY WIDTH' ADDRESS hl NO „3? _ t LIC CITY ' CLASS �- BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 0. ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH Q SO FT NO OF NO OF CHECK +-" ' _ " U 0 SIZE STORIES FAMILIES ONE USEQONE NO --it DESCRIPTION OF WORK a A��.c-rC� NEW ❑ G� SPECIAL �Kxjc ADD ❑ CONDITIONS" IA Zrp/ / ALTER ❑ FINALa BY 7 El DATE ^O V REPAIR USE OF DEMOL ElEXISTING BLDG -.- .. - O , APPLICANT TEL 2 c 8 3 6 4 A (PRINT) NO Q a a # O o o, o23 BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 O o 4 320 ' THAT THE ABOVE 15 CORRECT,AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE U O O p 3,20 r~ WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING,TO WORKMEN S COM - z ,- PENSATION INSURANCE 1 2 216-79 SIGNATURE OF °,C,"3`� J�•A PERMITTEE ADDRESS # 0 0 0 1 - 2 / TEL NO Q 2 o 06 t 00 0 0.0CITY NO/ LL .. ate- Q PC Fee$ O t 0 ' Permit Fee > 2 2 6,—7'^3� _. r Issuance Fee W J d Total Fee ,/ 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 9804030022 PHONE: (818) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: BUILDING ADDRESS- ON FILE SIGN DESCRIPTION: NEW FACE FOR EXISTING SIGN 10786 LIVE OAK AV TEMP CA 917802944 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8573-011-028 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: 1EXIST OCC GRP: 04/03/98 UT 04/03/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: REGENCY HEALTH SERVICES INC (714) 544-4443- 1,600n/h�� 2742 DOW AV ( IL FEES PAID DESC I TION OF WORK NEW FACE FOR EXISTING SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: BRADLEY SIGN ADVERTISING (909) 948-7232 �AA BLDG PERMIT ISSUANCE 27.75 9804 CRESCENT CENTER !AE STRONG MOTION OTHER 1600.00 VAL 0.50 SPECIAL CONDITIONS: RANCHO CUCAMONGA, CA ,D2 PERMIT W/0-EN-HC- -1600.00 VAL 82.20 i. TOTAL, FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROMAINE JOSEPH MACHAN JR (909) 948-7232- DBA: BRADLEY SIGN ADVERTISING LIC. NO LOCA'.ION AND SETBACKS 9084 CRESCENT CTR DR 616.633 C45 RANCHO CUCAMONGA, CA 91730 ! SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ( FOUNDATION/TRENCH FORMS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STA CLASS: NO 20 SC OOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO i r H REPORT ID: DPR261 ROUTE TO: BS0508 (WORKERS'COMPENSATION DECLARATION iz .r' - R' r 'i-hereby affirm that I have•a certificate of consent�to self .10 insure, or a certificdte of Workeis' Compenso'tion Insurance, �,,O mM or 6•cei'trfie8•copy thereof (Sec 3800,'Cab"C-)' •- �~ - N- COUi11TY OF-LOS AWGELESy r �BUILDING,AWD'SAFETY= .•i Policy No Company _ _ ''`": ' " •� - - • - ` BUILDING ,) Certified-copy is hereby furnished ,, . FOR APPLI ANT TO F IN ADDRESS (/ OCertifie'copy-is filed with fhe'county'building'inspec- mj[bING� j r tion.de artnient,,F. sna ;*ti t ADDRESS -i.. 't . ! DateF 'g t"Applic6nl .+' + �- CITY IP �- LOCALITY i. CERTIFICATE OF EXEMPTION'FROM WORKERS' °�J �+ - OF BLDGS -i NEAREST,,._., 'COMPENSATION INSURANCE • ',s SIZE OF,LOT. NOW ON LOT CROSS ST (This section need not be completed;if the'permit is for one - - �• - -�-- ASSESSOR -' TRACT BLOCK LOT NO MAp'BOOK' u� PAGE• PARCEL' hundred dollars ($100) or.less,)s a_ .,. r 4 Oil� _ ' i�V TEL J OWNER ♦ N USE ZON MAP I certify that in the performance of the'work for'which this �''� ` NO _ . "a ; y errnit is issued, I sholl'not'em to 'an ' erson in an manner yt S SPECIAL-- - -- ••- - + d P P y Y P y ADDRESS C� '�Y �i<�oc�r r"�G� CONDITIONS :r,i O so as-to become sublect to'th'e Workers'Compensation Laws {U CITY - ZIP. C P �," " - — -= QL Date Applicant' �r t NOTICE'TO`APPL'ICANT' If,"after'm&king this'Certificate of ENGARCINEER OR TEL DISTRICTT UP ONST FIRE ZONE ' PROC SSED BY.__ 'O Ezemptiori, 'you" should become sublect to the--Workers'Compensation provisions of.the Labor Code;you must forth- ADDRESS — ✓ H wjth,comply:_with''such provisions or this permit-shall be - - - - - `TEL STATISTICAL CLASSIFICATION APT CON DJ deemed revoked„ "',+ CONTRACTOR NO- LICENSED CONTRACTORS DECLARATION t -- - LIC CLASS NO a 3. DWELLi UNITS^ ' I hereby affirm that I am licensed under-provisions of Chapter 9 ADDRESS NO (commenting with Section 7000)of Division 3 of-the Business and ._ y _ _ _�LIC — - SEWER MAP r . Profession's Code, and my license is in full force and effect CITY~— CLASS - VALIDATION SO FT NO OF _ NO OF_,. CHECK 2. BK PG License Number Lic Class SIZE STORIES - FAMILIES: ONE • • �; VALUATION ` DESCRIPTION OF WORK _ NEW Contractor':_ = ' Date 2,1 4 1.5 A I am exempt under Sec ^ b �� T'!eZe ADDR Q s r # e o 0 0 0,l ! B 8P C for.this reason -REPAIR Q $ i_ o-0 60.50 _l USE OF /�� DEMOL _ ' Date• EXISTING BLDG � -^�M� -•-- z i APPLICANT — - TEL t o e o 6 Q 5 0 t=i Signature FINAL OWNER-BUILDER DECLARATION (PRINT) NO DATE —d I hereby affirm that I am exempt from-the Contractors License 0 �,2 5-85'- r Law for the'followmg reason';(Sectibn 7031 5, Business and ADDRESS FINA �.4' dt vt cc, Profes"sions'Code) "` PRESENT BUILDING I, as owner of the property_ or my employees with ADDRESS wages ds their sole compensation,will do the work and LOCALITY ' the structure is not intended or offered for sale(Section _ • , 7044,Business and Professions Code)-- MOVING - TEL - i-- - - I, as owner of the property, am exclusively contracting CONTRACTOR NO with-licensed contractors to construct the project (Sec- tion 7044 Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM CONSTRUCTION'LENDING'AGENCY ` SET BACK YARD HWY PROP LINE FRONT WIDTH I hereby affirm that there is a construction lending agency for i -the•performance of the work for which this permit is issued PL - - - - - - - - - - (Sec 3097, Civ' C ) SIDE PL o lender's-Name-- LDMA Ref # y - Lender's Address-- PG Fee$- Permit Fee^ a > -0 certify that 1_have.read this application and state that the Issuance Fee- - Sf� LDMA P/C#� ---- above formation is correc l agree to comply with all County Investigation Fee or es Stat re tin to buildin construction, s: d re 9 this County to enter, To i�-� LDMA Perm 4 1 -: �. - - u rt inspection purposes t a , J SEE REVERSE FOR EXPLANATORY LANGUAGE }' - - ig atur,e if Apph ant or A Date - •.. -.`— ..___ :. _ _ _ _