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HomeMy Public PortalAbout9233-9251 LAS TUNAS DR_Building__ APPLICATION FOR -12 - P'(UILDING PERMIT00 w FOR APPLICANT TO FILL IN ADIDRESS .�� �•J ��N /T BUILDING ADDRESS �l L// /�J LOCALITYNEAREST CITY .—-W /� ZIP CROSS STNO OF BLDGS ASSESSOR SIZE OF LOT ��L+ / 0 NOW ON LOT / MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ROCE ED BY TRACT BLOCK LOT NO v81 ­0 h CONST► / ZONE / OWNER Ito NO s�TEL c 77 0� 1/ / / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS C� � '/' E T CLASS NO `a DWELL UNITS J BvS—P�i CITY i�/t . ZIP E/(! el USE ZONE MAP �f ARCHITECT OR IEL n NO ENGINEER NO l� SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL CONTRACTOR NO BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD - FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + O NAME AND BRANCH / BLDG SETBACK FROM U ADDRESS CITY SIDEPROP LINEOF (STREET) SQ FT NO OF NO OF CHECK HIGHWAY + YARD T L SETBACK FROM TYPE OF EXISTING � SIZE STORIES / OF ONE SIDE PROP LINE HIGH WAV WIDTH N DESCRIPTION OF WORK ,{f l( NEW ❑ + 14 z ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE RVA IR ElEXISTTIING BLDG DEMOL ❑ IN COASTAL PER ONE YES ❑ NO ❑ APPLICANT �� C�/ TEL (PRINT) J22 BY(SIGNATU EI ,W I HEREBY ACKNALEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT 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 IOLAT ION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING T RKMEN'C'm PENSATION INSURANCE SIGNATURE OF FINAL Sj �� BY PERMITTEE DATE ADDRESS CITY TEL P C Fee$ , S-1) PermitFee f Q -,2,,,) ,6-r2 OG} (j j2 NO Issuance Fee / VALUATION $ ! Tonal Fee l�l� • PLAN CHECK VALIDATION cK M CASH PERMIT VALIDATION CK O CASH 3 8 8-?S .3 AY 10 20 8 9'0 MAY '10 ,1 U 1: 6.0 O d56 ©S 76A63813CE/8038 8/77 APPLICATION FOR BUILDING PERMIT ?'c)N'A5'PLICANT TO FILL IN (Print or type only) BUILGIN3 COUNTY OF LOS ANGELES ADDRES DEPARTMENT OF COUNTY ENGINEER CITY ' ZIP BUILDING AND SAFETY IVISION �� NO OF BLDGS / BUILDING SIZE OF L� ,i �� NOW ON LOT / ADDRESS TRACT BLOCK LOT NO LOCALITY TEL NEARE OW NE Ar z NO I� �1 CROSS ST SSOR ADDRESS�p� /'✓ MAPASSBOOKPAGE PARCEL DISTRICT GROUP TYPE FIRE PRO SSED BY CIT ZIP ^ CONST ZON ARCHITEC R TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO _DWELL UNITS Z—B CONTRAO NEOL USE ZONE MAP LIC NO d ADDRE / NO .�C'0J �2/ SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES[:] ' NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG S ,T BACK FROM aC FRONT PR a E- (STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBA FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK FRONT PROP L E HIGHWAY WIDTH SIZE STORIES FAMILIES ONE L: + LL DESCRIPTIO OF WORK NEW 1:1v al c2 ADD ❑ BLDG SETBACK FROM SIDE PROP L NE OF (STREET) Z ALTER ❑ HIGHWAY } YARD TOTAL SETBACK FR TYPE OF EXISTING � = REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF } _ EXISTING BLDG DEMOL APPLICA�I'i TEL CORNER CUTOFF YES ❑ NO ❑ PRIN NO J BY ISIGNATUIN OPEN SPACE YES ❑ NO 4Z-06� ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION L>fo _,/ I CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY NOWLEDG THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE HAT THE ABOV IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH AL ORDINANCES AND LAWS REGULATING BUILDING CON - STRUCTI N I CERTIFY THA IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREB I WILL NOT PLOY ANY ERSON IN VIOLATION OF THE LABOR CODE OF E STA IN ELATING TO EN' /7Q WORK S CO ENSATION SUR E SIGN c E F PERMITTEE ADDRESS v FINAL BYTE n CITY NOL DATE Q ''''fS '"J � jf�III sfl✓."r.'y MAKECHECKS PAYABLE TO FEE $ FEE $ HARVEY T. BRANDT. COUNTY ENGINEER ] PLAN CHECK VALIDATION CK M O CASH _ PER MIT VALIDATION CK - M O CASH 5 .34c"I'IlPR i 1 0 15.00 A96 76A638A CE#803 7/73 APPLICATION FOR COUNTY OF LOS ANGELES " BUILDING PERMITDEPARTMENT OF COUNTY ENGINEER �3 BUILDING AND SAFETY DIVISION DING L FOR APPLICANT TO FILL IN ADIDRESS J BUILDING `' C ADDRESS, v / J LOCALITYNEAREST - CITY -(/JJ� ZIP CROSS ST e�s J�/1/ DI?o tp OF BLDGS ASSESSOR SIZE OF LOT Q / OW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT BLOCK LO LNO ` ` , L CONST ZONE OWNER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO --d!5- 2---5-WELL UNITS B G CITY ZIP USE ZONE MAP ARCHITECT OR TEL NO ENGINEER NO —?_SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL CONTRACTOR 97/ NO'qq' BLDG SETBACK FROM FRO PROP LINEOF (STREET) ADDRESS L NO, HIG WAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING FRONT PROP LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER ^� ,�,� ( 1 + O NAME AND BRANCH j[/U f � BLDG SET GIC FROM U ADDRESS CITY SIDE PROP LINE OF--- — ___4 (STREET) O SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM SPE OF EXISTING U SIZE STORIES FAMILIES ONE SIDE PROP LINE IHIGRWAV WIDTH V) DESCRIPTION OF WORK �/G�(('�� Q NEW NI —+ ADD CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ E USE OF BLDG DEMOL E] IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT f � � TEL 77,7�� (PRINT) w Sell� NT�7c BY ISIGNATUREI /t ' IHEREBY ACKNOW DGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS RRECT 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 RELAiI TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF / FINAL L� j / BY PERMITTEE DATE ADDRESS TEL PC Fee$ z4 Permit Fee CITY NO Issuance Fee VALUATION$ �vV v Total Fee �jd� 5, 00 PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION CK Mo CASH 1 2 s�r-��t3 4•� 1 2 5 Eri�1ri - % � 3 D 1 4.4 0 A 0 1 © 2 ?.o o ©S 76A638A CE N803A 6/76 � n ! JAP P L I C AT I O N FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT ENGINEER BUILDINGlul FOR APPLICAVT TO F IN BUILDING ADDRESS � BUILDING ADDRESS LOCALITY NEAREST CITY ZIP CROSS ST OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL J DISTRICT GROUP T P FIRE SSED B TRACT BLOCK LOT NO� 5D SV ZON _ / i TEL OWN NO 1. STATISTICALSTATISTICAl CLASSIFICATION,5SEWER ADD SS CLASS NO -2-2— DWELL UNITS BK PG CITY ZIP USEZONE MAP ARCHITECTOR J TEL p NO ENGINEER / NO 6p �6 SPECIAL CONDITIONS ADDRESS D ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ 1 TEL �l CONTRACTOR NO O/ BLDG SETBACK FROM LIC FRONT PROP LINE OF - (STREET) ADDRES NO HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS .S CONSTRU TION LENDER + - >- NAME AND BRANCH BLDG SETBACK FROM ADDRESS CITY SIDE PROP LINE OF (STREET) V SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAv WIDTH O DESCRIPTION OF WORK NEW C) � ADD CORNER CUTOFF YES ❑ NO W❑ O. ` "XI ` aL t REPAALTEIR E] IN OPEN SPACE YES ❑ NO ❑ Z EXISTOF BLDG DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT TEL (PRINT) N _ _ / yC Z— ^7.P BY(SIGNATURE) \ P CLi►ti( i�z3 ^v`D y 3•dra LEE PEBOERECT GE THAT I HAVE READ THIS TION AND STATE Z • 11, 3- D, - yo E AAND AGREE TO COMPLY WITH ALL ORDINANCESWSUILDING CONSTRUCTION CERTIFY THAT IN DOING THEUTH OT EMPLOY ANY PERSON IN VIOLATION OF OR CO F TH TATE OF CA RNIA IN RELATING TO WORKMEN 5 COM O SURA TEE DATEL /� p BYS TEL P C Fee$ " • 6 O Permit Fee Z2 3 N` Issuance Fee TION� f/`) Total Fee PLAN CHECK VALIDATION c M O CASH PERMIT VALIDATION c M O CASH 8 9 7 r-MAR "3 3 D 4 8.6 U 8 9 s r"ZIMR © 1 2 : .0 U � � 76A638A CE#803A 6/76 APPLICATION FOO UNTYOFLOS ANGELES RTMENT OF COUNTY BUILDING PERMIT D BUILDING AND SAFETY DIVISION ENGINEER BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING- '7 /^�•T� ADDRESS '92,5' J /_Crj LOCALITY CITY ZIP 9!/ CROSS ST OF BLDGS ASSESSOR SIZE OF LOT WON LOT MAP BOOK PAGE P RC L + DISTRICT GROUP TYPE FIRE PRO SED BY TRACT �!/�(%J BLOCK LOT NO OWNER h nsaNO STATISTICAL CLASSIFICyy}ON SEWER MAP ADDRESS CLASS NO _DWELL UNITS BK PG CITY ZIP USE ZONE MAP ARCHITECT OR �� c� SNO PECIAL ENGINEER NO GSL CONDITIONS ADDRESS /pv� '00% ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL p'^ CONTRACTOR 0 NO qO N BLDG SETBACK FROM LICFRONT PROP LINE OF (STREET) ADDRESS NO 2'? _ TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD - FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + a NAME AND BRANCH 0 BLDG SETBACK FROM V ADDRESS CITY SIDE PROP LINE OF (STREET) O SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING v SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAV WIDTH + = Z DESCRIPTION OF WORK NEW Fal ADD ❑ CORNER CUTOFF YES ❑ NO ❑ , 46"X12' l � ALTER El IN OPEN SPACE YES ❑ NOUSE ❑ /.' REPAIR EXISTING BLDG �+� , DEMOL 1:1IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT) PP PR N(T) r TEL NO BY(SIGNATURE) I HEREBY ACK EDGE THAT I HAVE D TH PPLICATION AND STATE THAT THE ABOVE 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 INSURAN SIGNATUR FINAL BY PERMITTEE DATE ADDRESS CITY TEL NO JO] P C Fee$ Permit Fee Q Issuance Fee VALUATION $ Total Fee PLAN CHECK VALIDATION cK M o CASH PERMIT VALIDATION CK M o CASH ,S E t Ed 14 !--=fl 2 5.? v A,.r, �6s- -1 3 D ©5 76A638A CE N803A 6/76 lJs APPLICATION FOA CIISUNTY OF LOS ANGELES r, BUILDING PERMIT DEPARTMENT ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ADDRESS ADIDRESS ��j LDING L S Ui� �' LOCALITY y CITY C 1- ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL TRACT BLOCK LOT N .y DISTRICT GROUP TYPE FIRE PROCE D BY /� 37 p� CONST ZQJ�E T L �r OWNER ( l STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 0�3 e-1 Q �./1 3pI-�'� CLASS NO -9—EL DWELL UNITS �-+ BK CITY aV C G Q ( � ZIP / ) ©0 � USE ZONE NOP �0 0- ARCHITECT OR TEL ENGINEEp NO SPECIAL CONDITIONS ADDRESS (� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONTRACTOR�\Q p ��YJS�►Z�\C►101►JO�L��Z�, � BLDG SETBACK FROM ) �1 ;�A FRONT PROP LINE OF Gc-a/ (STREETI ADDRESS N ` �Q.1fG�, NO U 7 iHIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING L� ,' [[]] LIC FRONT PROP LINE HIGHWAY WIDTH RN CITY� III" CLASS CONSTRUCTION LENDER + �- NAME AND BRANCH O_ BLDG SETBACK FROM O ADDRESS CITY SIDE PROP LINE OF (STREET) V SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH 0 DESCRIPTION OF WORK p�� ��.L NEW19 + W ADD ❑ CORNER CUTOFF YES ❑ NO ❑ a ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ Z REPAIR ElUSE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG DEMOL APPLICANT TEL (PRINT) NO P "'0' BY(SIGNATURE) IHEPEBY 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 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 INSURA E �/ SIGNATURE OF FINAL I- / BY PERMITTEE DATE ADDRESSIt) TELP C Fee$ �, �) Permit Fee J CITY NO Issuance Fee 7 VALUATION7F;:It� I �� j I Total Fee PLAN CHECK VALIDATION cK CASH PERMIT VALIDATIO cK M o CASH 068 }AT, 1423 D 1 22.() 0 J� 0 6 9'rA-",iAR 14 D 76A638A CE 8803A 6/76 APPLICATION FOR BUILDING PERMIT ��// FOR APPLICANT TO--FILL IN ADIDRESS /4-5V VA S BUILDING ADDRESS MZ �S ril A�A!!r _^ LOCALITY to &l pleNEAREST CITY Pj P &T ZIP t CROSS ST SS 0 Y ^^ NO.OF BLDGS. ASSESSOR SIZE OF LOT (J NOW ON LOT MAP BOOK PAGE PARCEL = r� rr DISTRICT GROUP TYPE FIRE ESSED BY TRACT (O BLOCK LOT NO. 1 CONST. Z :i TEL. OWNER �J � !� NO. ATI pp Izzz STATISTICAL CLASSINCN M SEWER AP ADDRESS,':70.23 �7 pa` CLASS INC. DWELL.UNITS BI� G CITY �/� ZIP Q USE ZONE MAP ARCHITECT OR TEL. n NO. ENGINEER S NO. C L SPECIAL CONDITIONS ADDRESS SCIJ A� tl L R' !7 0S A ROAD DEPARTMEENTT APPROVAL REQUIRED YES❑ NO ❑ TEL. CONTRACTOR r NO. BLDG.SETBACK FOM LIC... FRONT PROP.LINE OF ISTREETI ADDRESS o I eNO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIG WAY WIDTH CITY CLASS _ l� CONSTRUCTION LENDER • 164) + - 00 NAME AND BRANCH /V BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) 0 O SQ.FT NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING '- SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a In + = Z DESCRIPTION OF WORK NEW ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ElUSE OF IN COASTAL PERMIT ZONE YES NO EXISTING BLDG. DEMOL APPLICANT ,w.a TEL [/ (PRINT) J �4 t NO. BY(SIGNATURE) LAIL I HEREBY ACKNO EDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE "/EDGE 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 RELATIN91 WORKMEN'S COM. PENSATION INSURANCE. SIGNATURE OF FINAL PERMITTEE DATE BY ADDRESS 74.1 TEL. P.C. Fee$ 2—3 _ 0 Permit Fee 5 CITY NO. �J C Issuance Fee VALUATION // ` ✓ Total Fee PLAN CHECK VALIDATIONCK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 0 9 U iZk r� 40 c 3 r -;),'10 Lig 9 & 1 N:.IGV 4 -- 3 U ®. ... e1 76AG388 CE#8038 6/76 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY' WORKER'S COMPENSATION DECLARATION a«. FOR:APPLICANT TO FILL IN' '^&JILDIN �S (O 1 hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �i or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,L b C) CITY `� �' ZIP LOCALITY Policy Ny/� fir-- Company SIZE OF LOT I NO OF BLDGS NOW ON LOT X4.1 Certified copy Is hereby furnished - NEAREST CROSS ST !! ❑_ Certified copy is filed with the c do budding Ins 'tion TRACT BLOCK LOT NO department USE ZONE MAP NO Date/! I—�6 Applicant (��� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ,/ TEL NO COMPENSATION INSURANCE • ��t u3 dZ WITHIN 1000 FT OF SCHOOL'S YES NO ADDRE �1 (This section need not be completed if the permit is for one hundred :^ /ham,/ �7�� DISTRICT GROUP TYP CONST FIRE ZONE PROCESSED BY dollars($100)or less) a 1 certify that In the performance of the work for which this permit CITY ZIP �pj(/ c1 G vDO �S � Is issued, I shall not employ any person In any manner so as to A601 become subject to the Workers'Compensation Laws ARCHITECT OR NGINEER TEL NO STATISTICAL CSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO TRACTOR y� TEL NO '/ SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ,I�pc G �• f3 .3.1 Y FRONT comply with such provisions or this permit shall be deemed revoked ADD S ,-I )� LIC NO PL > f G!/ !�v Z SIDE a LICENSED CONTRACTORS DECLARATIONclry ,��D LIC CLASS P L O V I hereby affirm that I am licensed underprovlslons of Chapter 9 T SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE I NO OF ST RIES NO OF FAMILIES Professions Code,,and my license Is In full force and effect NEW El BK BK PG 0 DE CRIPTION OF WORK VALUATION , V License N 2Z L,c Clas G� ADD ❑ Contr rS� o ALTER ❑ $ /� 6 D�'!-fes N ElI am exempt under Sec ` v REPAIR ❑ z BBPC for this reason ' 7 w tj DEMOL ❑ DMA P/C Date USE OF EXI NG L URM ❑ Signature AP LICANT(PRINT NO LDMA Perm# (' ❑ I, as owner of the property, or,my employees with wages as �L .G� '�• u l Y Z n ' their sole compensation, will do the work and the structure Is ADD ESS / F 3303 61— not Intended or offered for sale (Section 7044, Business and -<'2 3 fi(1• ¢ c*a FINAL DATE � ? ITEMS Professions Code) WILL THEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURECONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FINAL BY TOTAL 26 - 47 licensed contractors to construct the project (Section 7044, YES❑ NO❑ CHECK 26 1,47 Business and Professions Code) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING tJI�I,{ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH t•Ill'tl'I 5 .00 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NO El (( (� i the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING GCio l-0001 1!12,'9t' 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODETITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM HE SCAOMD CONCERNING HAZARDOUS 4'1250 j Am 11.1 i a 1 J m Lender's Address Q O—ER OR AGENT 3 1 certify that I have read this application and state under penalty a PC FEE PERMIT FEE p of perjury that the above Information is correct I agree to comply / — rn with all coynty idlnances and State laws relating to building m constructi 1 d hereby authors 'epresentat ves of this County ISSUANCE FEE to enter 8 p e above-me property for inspection p poses Z INVESTIGATION FEE TOTAL FEE e a cam oma• IT �• "�' SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUIL43ING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9805270065 PHONE: (818) 285-0488 EXT: LEGAL D: NUMBER OF SIGNS: 1 BUILDING TR: 6561 LT: 372 BL: .001 SIGN DESCRIPTION: PLASTIC INSERT FOR SIGN 9237 LAS TUNAS DR TEMP CA 917801908 ASSESSOR INFORMATION N MBER: NEAREST CROSS STREET: ALESSANDRO 8587-001-009 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: LES HAIR SALON EXIST OCC GRP: 05/27/98 UT 05/27/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE INAL BYE K'�CODE: LAI VALIANT K 00 300 +2�-0 1 MTPK 917540333 EES PAID C PTI N OF W NEW PLASTIC INSERT FOR SIGN PPLICANT: EL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 300.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 300.00 VAL 43.50 TOTAL FEES 71.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO -LOEAUTOR AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TE O: FOUNDATION/TRENCH FORMS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS i` NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806010011 PHONE: (818) 285-0488 EXT: LEGAL D: NO. OF CO ST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9239 9241 LAS TUNAS DR E STRUCTURE: 0 1 VN B TEMP CA 91780 ASSESSOR I RMAT N NUMBER: GARAGE: NEAREST CROSS STREET: OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TE SE ZON ISSUED ON: PROCESSED BY: EXPIRES ON 06/10/98 UT 06/10 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: LAI, VALINAT (213) 888-6028- 16,500 j 9239-9241 LAS TUNAS // TEMPLE CITY 91780 FEES PAID DESCR�1JN OF WORK TENANT IMPROVEMENT ADD PARTI I WALLS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 0: LAI 91765 - B1 PLANCHECK W/ENERGY 16500.00 VAL 202.15 931 RENO RIDGE LN AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: DIAMOND BAR AE STRONG MOTION OTHER 16500.00 VAL 3.47 B2 PERMIT W/ENERGY 16500.00 VAL 370.10 TOTAL FEES 603.47 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE EBENEZER CONSTRUCTION (909) 949-1282- 1002 DEBORAH ST. LIC. NO LOCATION AND SETBACKS UPLAND, CA 91784 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 04 IST LEVEL FLOOR SHEATH 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT LA S: NO 01 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT i REQUIRED TOTAL SETBACK FROM EXIST LDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INS ATION EATHER STRIP INTERIOR LATH=LL 7 !/ r EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION DEVIC S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806020084 PHONE: (818) 285-0488 EXT: LEGA D: NO. 0 —ToOT NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9239 9241 LAS TUNAS DR E STRUCTURE: 0 1 VN B TEMP CA 91780 ASSESSOR INFORMATIO NUMBER: GARAGE: NEAREST CROSS STREET: OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TE A T USE ZONT.--7-2 ISSU ON: PROCESSED BY: EXPIRES ON: o _ 06/02/98 UT 06/02/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CO E:' LAI, VALINAT (213) 888-6028- 600 9239-9241 LAS TUNAS TEMPLE CITY 91780 S PAID D SCRIP ON OF WOR NEW PLASTIC INSERTS FOR EXISTING WALL SIGNS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. O: SIGN ART (626) 287-2512- AA BLDG PERMIT ISSUANCE 27.75 425 S. CALIF. #F AE STRONG MOTION OTHER 600.00 VAL 0.50 SPECIAL CONDITIONS: SAN GABRIEL, CA D2 PERMIT W/O EN-HC 600.00 VAL 43.50 TOTAL FEES 71.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIGN ART CO. (818) 287-2512- 425 S CALIFORNIA #F & G LIC. NO LOCATION AND SETBACKS SAN GABRIEL CA 91776 491427 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATIMMENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 04 1ST LEVEL FL00 E NO. OF FAMILIES: DWELLING UNI S: T/COND: STAT CLASS: NO 00 2ND LEVEL FLOOR SHEATH SCHOOL WITHINHAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME SPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- IN ULAT 0 WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DE ICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508