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HomeMy Public PortalAbout9400 LAS TUNAS DR_Building__ ENt-OF BUILDING DEPART COUNTY OF OS ANGELES AFETY BUILDING' !LI ' WM. J. FOX, CHIEF ENGINEER ® APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ I! /pDISTRI NO. PLAN CK. OR RED.No. p/PERMIT NO. 'BUILDING ADDRESS � Tu � L. L/�SL1f Ai! D,?. �-- '' /� T` R EIVED BY DATE OF APPL DATE ISSUED LOCALITY ,/� C�(�/%� C l.. I Iy -)- f-t-9 NEAREST //' dd !— �® CROSS ST. /� BUILDING /J A v 1 o W. ADDRESS OWNERi MAIL `� 66 LOCALITY ADDRESS `� Ti�� (� L$� `I E"�v� b�iT eNlt' NEAREST +�'` 7_ /� /� F��` ! CROSS ST. CITY Ie-m to Ci 3 y NOI.Y!T IiaP YrIv�L- FIRE NO.OF _Tw GRO ARCHITECT OR '(EL yya - ZONE PLANS ENGINEER ,�YJO. am/ // BLDG. (, �� SETBACK LINE _) i ADDRESS- USE An APPROVED TEL ZONE �� BY DATE CONTRACTOR ;NO. HOUSE NUMBERING ADDRESS O MAP NUMBER NO. ASSIGNED BY LEGAL y CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT / / / ^O �-� t v/0. SIZE Of LOT y/�(j �7�,y� �, NO. OF BLDGS. P9 �EovF R GD C:.-. {1 �• NOW ON LOT / A USE OF � �.D I NO. OF EXISG. � TIN BLD � � FAMILIES e ✓ f /Y DESCRIPTION OF WORK / °� NEW ALTERATION ADDITION IZ REPAIR DEMOLITION I B � O SIZE T� �� ? �� ROOMS__L. STORIES / EXT.WALLC9'�C e, I COVERING COVERING ✓/ USE OF STRUCTURE J G l INSPECTION FOR .Lyyr PPROVALS OCCUPANCYAS 11�� INSPECT OR S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, GRN AND STATE LAWS REGULATING BUILDING CONSTRU\ FU ION. VENT, DUCTS SIGNATURE OF �/�/� LATH, INT. PERMITTEE ADDRESS ^O��••C� ` '�tf- { (3 .a ��tst-ts-C� �(�•� LATH, EXT. '9 bs1 PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT. P. FEEE HOUSE NUMBER COR- / F !+I_ RECT AND POSTED 10 i44 FEE FINAL ` O `S " 76A639A DBS 3 7-51 I 76A633A DBS•3 3.55 - APPLICATIOK F®R BUILDING PERMIT ! ' . 1 DIVISION OF BUILDING AND SAFETY. BUILDING Department of County.Englneer ADDRESS County of Los Angeles LOCALITY i - WM.J. FOX, COUNTY ENGINEER, NEAREST �� CASSATT D...GRIFFIN, SUPT OF BUILDING CROSS ST. DISTR T NO,, GROUP TYPE r SE BEAR MAP FOR APPLICANT TO FILL IN �i�Aj I CONST.S/bd� BUILDING ., MAP �j ,� �� STATE ADDRESS qA cg C �^•� /� NUMBER HWY YES NO P`7 +. USE ZONE SPECIAL _ LOT NO: f / BLOCK CONDITIONS - �,//Q I NO. OF BLDGS. 7gU1LDING EXIST. SIZE OF LOT : 7�� f Q NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OFy-� FRONT EXISTING BLDDG./^ ''U .STS ' -_ _ P. L. - ® ZIA37ruAJA,; 44s OWNER. s OV o 5; r / a 'PiDE _ MAIL. ADDRESSr O TRACT DWELL. I UNIT 5 INDUSTRIAL - TEL.. `1 DWELL. I UNIT - CITY NO. 6 PUBLIC BLDG. - ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN.,ALT., ETC. ENGINEER -NO. 3 APT. UNIT •� ' - 8 MISCEL. // j�/ ADDRES3.�• - 4 COMMERCIAL (G/ ,v �P TEL• INSPECTION RECORD CONTRACTOR iFGy�. a�� �`;-`�(���/N'O/�. �Jr � �p� _ADDRESS .'3 :,7,� '� P/?oq �lNgili`!�'�'• •. C. OCslre - DESCRIPTIO14 OF WORK EW ADD ALTER., REPAIR DEMOLItH - FT.' -NO. OF NO.OF .. ... .- SIZE STORIES FAMILIES USE OF STRUCTURE s . SIGNATURE OF/ APPLiCAN �' - APPROVALS ADDRESS: DATE INSPECTOR'S SIGNATURE 5 P.C. 1$ FOUNDATION-FORMS, M TERIALS ION 3 3 O V Q� FEE FRAME: FIRE STOPS. VALUATION $� 1?� BRACING, BOLTS FEE FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING UILDING CONSTRUC- TION. - t LATH, EXT. SIGNATURE OF i HOUSE NUMBER COR- _ PERMITTEE RECT AND''POSTED__ - - ADDRESS FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR 4 OCT 3-11 1 ,: .0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT , COUNTY OF LOS ANGELES ' LDI ��t WM. J. FOX. CHIEF ENGINEER RURW FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ,,} J DISTRICT NO. - PLAN CK.NO-� - PERMIT NO. ADDRESS / � g� ! ji�5/7�7 1 vIVAS -� -- f LOCALITY Bi'/ ,�j��/° c/I p� g� RECEIVEp�BY DATE OF APPL. DATE ISSUED 92 CROSS ST.NEAREST ®Ol/r � �''Ia�� +� sC/ 'YJ "'V' •� G .. + BUILr);d,3 OWNER Fi re7'�le ADDRESS / f � i �q MAIL �6 LOCALITY ADDRESS `,j NEAREST CITY NO. CROSS ST. %..,•„" ',%�; �•`s'�' . FIRE NO.OF P GROUP ARCHITECT OR TEL. ZONE I PLANS `= , ENGINEER NO. BLDG. ORbj. ADDRESS SETBACK LINE F`S G r5R 0 chi l2=4'4-r(S-'f 4'TEL. Qom. APPROVED CONTRACTOR NO. ���� 7'�/ BY DATE /� A USE APPROVED ADORES¢ X 2 1 W. C 0LORAb®s 6)e-AI Ml P ZONE �._.BY DATE LEGAL I —2 � — ,�,�. ,6 ()-=) � CORRECTIONS DESCRIPTION /LOT NO. S I BLOCK TRACTNO.OF I NOW ON LOTS /3 �(/ /?d. dY{9 ofi'f �/ �'`A�® SIZE OF LOT USEFe� n EXISTING BLDG. J /.-O/T E I F� {� Ea ( ROOMS ' DESCRIPTION OF WORK vs 0 / �� v b� e NEW ALTERATION ADDITION Ae REPAIR MOVING DEMOLISH �� Sq.FT. NO.OF Z SIZE ROOMS STORIES D r WALL I ROOF COVERING COVERING USE OF NEW BUILDINGp. A/ r�6�77 oY�Q 05 9- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ,FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. RAME: FIRE SIGNATURE OF '� � ,F C;rfO ������ "® FBRACING,,BOLTSSp PERMITTEE � LATH, INT. AUTHORIZED AGT_ �t1/t`pb-/ A�e� �+ �_ �b'£�-�L*%' LATH, EXT. 7SA63HA-3 7-49 $ P.D,6 PLASTER,INT. 7,74 FEE PLASTER,EXT. d� VALUATION FEE Fl NAL fi - ♦ ,�/ 4. APPLICATION FO�fd �JCOUNTY OF LOS ANGELES 'tt DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ADDRESS ( 0 BUILDING I ADDRESS OO LOCALITY � J/ CITY• ZIP NEAREST CROSS ST. NO.OF SLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL. L/ r DISTRICT GROUP TYPE FIRE P OCES` � BY TRACT Co5—& BLOCK LOT NO. T� (' CONSV ZZJyE // TEL. OWNER NO. STATISTICAL CLASSIFICATION SEWEA ADDRESS Gq/ t O CLASS NO.-;L0--' DWELL.UNITS 4—BK PG CITY �!'f LC ZIP N 0. d`y USE ZONE MAP �1 9 � �` n i� 1/Q ARCHITECT OR TEL. - C.. oCJ SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑ CONTRACTOR V Aa ` NOL. Qf� BLDG.SETBACK.FROM / _ I _LIC.�f _ FRONT PROP.LINE OF (STREET) ADDRESS/ A! OJ6O�� HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF )STING FRONT PROP. LINE HI Y WIDTH CITY' LIC. .' CLASS _ CONSTRUCT) N LENDER } NAME AND BRANCH p� BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) V SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL S19TBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE I SIDE ROP. LINE HIGHWAY WIDTH U 1:1 } W DESCRIPTION OF WORK NEW N ADD ❑ CORNER CUT F YES ❑ NO ❑ Z ALTER IN OPEN SPA Y E 5 ❑ NO ❑ REPAIR❑ USE OFDEMOL ❑ IN COAS L PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. �AT APPLICANT TEL �/ (PRINT) NO. 177 BY (SIGNATURE) ol IF I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE ST CALIFORNIA IN RELATING TO WORKMEN'SCOMP ANCE.Zz � SIGNATURE F FINAL /yy 72�I BY PERMITTEE - DATE / ADDRES 1 TEP.C. Fee$ Permit Fee c�— CITY NO 'l Issuance Fee VALUATION$ ISD�-/ Total Fee PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALID TION CK. M.O. CASH L_f 3 9 2r"--JAN :51 U 2 4.0 C7 76A638A CE#8030 12/75 _ y_„ �`w DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO. ADDRESS 03 LOCALI RECEIVED BY DATE OF APPL. DAT ISS D NEAREST Naege r 2 S CROSS RT BUILDING � S OWNER ADDRESS MAIL �A LOCALITY C 1 ADDRESS YO NEAREST //�� TEL. CROSS 3T. Al f-�S� h N"Q CIT O ARCHITECT Off TEL. FIRE NO. OF TYPE I GROUP ENGINEER NO. ZONE I PLANS I !s7i CA i YI BLDG. C I c O D. N ADDRESS SETBACK LINE 5© - v C� P. USE APPROVED CONTRACTO G. 71d ZONE C'L BY DATE 2 • NUMB ING n� ADDRESS HOUSE LEGAL MAP NUMBER ..t®o� NO. ASSIGNED BY DESCRIPTION// LOT NO. T J I BLOCK CORRECTIONS cie TRACT '_!� PP SIZE OF LOT e E y, Q I NO. OF BL DGS. NOW ON LOT 2 USE OF NO. OF EXISTING BLDG. I FAMILIES _ �? iV*"Z'`. -0/�- , - DESCRIPTION OF WORK NEW ALTERATION ADDITION �fi}}�� f• .:''i: �flt' " < Q C REPAIR �I DEMOLITION (-I I D (� r SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL I ROOF COVERING COVERING USE OF STRUCTURE +` 4 Fl: 2,,1-r P go t'e N LY 2 /� /N)P'9.7r)'aI F 7'c fW>7 /2 /ZFF'i9U3/' V < s.Yez f?. .v i , Acc rn-cIP PROP'rr a'' ' - Tp HNrcF' &O Vf d 07' OF RI'l/1.1 AZ. 11 dR;l)J< f APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING ANSTRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTE `,, LATH. EXT. ADDRESS AaAlPLASTER, INT. AUTHORIZED AC,T. e AO' PLASTER, EXT. P. C. $ HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION �® ® FEE $ FINAL l �; 7GA898A 0135 3 8-88 I , APPLICATION. FOI r BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY 1 FOR APPLICANT TO FILL IN BUILDING ADDRESS WORKER'S COMPENSATION DECLARATION t �pG Z 7f�U'4� Df�- BUDING ADD ESS i I hereby affirm that I have a certificate of consent to self insure, / or a certificate of Workers' Compensation Insurance,or a certified L —.,GPNAS �' copy thereof(Sec.3800,Lab.C.) CITY -ZIP- 7,; ZIP �7 g Q LOCALITY_ Policy No. Company - SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑-Certified copy is hereby furnished. NEARESTCROSS ST. El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. __.,,t��5 A/V.b �0 � department. •MAP NO. ASSESSOR MAP BOOK PAGE PARCEL t •"•� Date Applicant SPECIAL CONDITIONS (/�j�y/y��}n CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. ` " " " " — COMPENSATION INSURANCE ANA `�U ��g L�_331 Z WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESSSd y8 05��P �A DISTRICT GROUP, TYPE CONST. FIRE ZONE PROCES Y dollars ($100)or less.) CITY - �� ) I certify that in the performance of the work for which this permit ZIP� (F �('G R/ 7g D 8 Z_ �/ L is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION 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' CONTRACTOR - TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Cdde; you must forthwith :FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS 6) Y Al _ LIC.NO. P L - SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STOFE7 NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG d ❑ EVALUATION O License Number Lia Class ESCRIPTION OF WORK ADD'Ci s– �•__0Contractor Date ALTER El 2_o,0,� ElI am exempt under Sec. L REPAIR 1:1 $ 0 B.&P.C.for this reason L°�OSS�n vL�3s�u,a�QF, u1;11d1'1V DEMOL ❑ LDMA P/C# - = W Date: USE OF EXISTING BLDG. .URM ❑ - a Signature APPLICANT(PRINT) EL NO. Z LDMA Perm# - 1, as owner of the property, or my'employees with wages as VIA Z ,• _ N F„ ,_.,, _ YYYYYY ADD SS O their sole compensation, will do the work and the structure is / }- i ••_a „ ••�''»_' not intended or offered for sale (Section 7044, Business and FINAL DATE Q rofessions Code. ' �Z�- 0 '1-''"• WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE•-A HAZARDOUS MATERIAL J I I as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _ H P P Y. Y AMOUNTS SPECIF,I_E,D/ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL 8 {.- SS[i? licensed contractors to construct the project (Section 7044, YES❑ NO L4Y Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING 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(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. `/ - I hereby affirm that there is a construction lending agency for YES 11NO LST -• - s1t? " w the performance Of the Work for which this permit IS ISSUed(Sea I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING v .4 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FO OBR TAINING A PERMIT FROM THE SCAQMD. 0- Lender's Address }� n It1rx OWNER OR GEITf O o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE e" PERMIT FEE 40 o with all county ordinances and State laws relating to building .� m construction, and hereby authorize representatives of this County ISSUANCE FEE - to nter upon the above-m ntioned property for inspe tion purposes. INVESTIGATION FEE TOTAL FEE © Z a� 3 e7 Slgna�Apol nt or Agent to SEE REVERSE FOR EXPLANATORY LAI��AG.E APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI214 DI4G ADDRESS 1 hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS x h G �J r �� e� or a certificate of Workers' Compensation Insurance,or a certified d� ®,2. I/ copy thereof Sec.3800, Lab.C.) r CITNr---, �� /.t — ZIP � /_. ' LOCALIT Policy No. nYy v v — SIZE OFF LOT (/, NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereb furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the coun y building inspectio TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date +��l 9 Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. YES NO COMPENSATION INSURANCE ADDRESS WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY 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 to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws, STATISTICAL CLLAA5SS�rIIF�ICATION APT CONDO Date Applicant ADDRESSy CLASS NO. �/ DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of A) REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR eML �r SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �g v !�� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS, f'� /. ,�//�LI�jC�-NpO. ry P L I`1 ;A i� �' 'J�d l FOD SIDE LICENSED CONTRACTORS DECLARATION CITY / / c� LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 GRw'N r `i7o e/B SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. fffectNEW ❑ BK PG d License Number v D Lic.Class �Qt7 LTJ�r DESCRIPTION OF CORK ��p ADD ❑ VALUATION �j 0..� , Q Contractor Date ����— �7I,,,,/ ALTER ❑ $ ::41 - A ❑ I am exempt under Sec. cc �01` /`- �46L3 REPAIR ❑ $ 0 B.&P.C.for this reason elA G DEMOL ❑ LDMA P/C# W Date: USE bF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) ♦ // ( NO. DMA Perm# ± Z ❑ I, as owner of the property, or my employees with wages as AP/41 Z H_- their sole compensation, will do the work and the structure is ADDRESS t 1 r • ,/ "''�- .�•. FINAL DATE F' 33�•� .Et F z`i:•„,i not intended or offered for sale (Section 7044, Business and ,`' T� /n�/, 0 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDIN OCCUPANT HANDLE A HAZARDOUS MATERIAL '�i vJ/ i J J. ORA MIXTURE CONTAINING A HAZARDOU MATERIAL EQUAL TO OR GREATER THAN THE I' ❑ 1, as Owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY c licensed contractors to construct the project (Section 7044, Business and Professions Code.) WILL 1:1 No 1:1� WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING yy�� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH •'j"'s "• ''''' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR T GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance Of the work for which this permit IS ISSUed(Sec. (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ! "!I " '""�'"'r 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CASH 'p A:,L a TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS L• H Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address t (= 30 O OWNER OR AGENT o I certify that I have read this application and state under penalty O P.C.FEE PERMIT FEE of perjury that the above informatio�, laws rrect.I agree to comply D �j � 7- with all county ordinances and Srelating to building 1U1000_000 �.i 14/95 a construction, and hereby authorize ntatives of his County ISSUANCE FEE / Ga to enter on the abov tion d for in�pe n purp e (p. O f 4�1 P 1 ,1 o u�{ INVESTIGATION FEE TOTAL FEE w /' `° 6 Signature (Appllpanl or Agent ate SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION 1�,7ereb' affirm that I have a certificate of consent to self 1111 insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR .BUILDING P E RM I T or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING Policy No. Company Pv Y FOR APPLICANT TO FILL IN ADDRESS Certified co is her furnished. Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS - = 7&/L- �S LOCALITY G ^7 NEAREST / Date Applicant CITY G� �� ZIP 7 1` � CROSS ST. -CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the.permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. I �^ TEL. SPECIAL I certify that in the performance of the work for which this OWNER p G NO. ` CONDITIONS D. DISTRICT GROU TYPE FIRE ESSED BY O permit is issued, F shall not employ any person in any manner / / ONST. ZONE V ADDRESS !/ S / uN S so as to become subject to the Workers'Compensation Laws. T / / y �"a� � CITY ! !� �G T� ZIP !l 2�v ~J Date Applicant ARCHITECT OR TEL. STATISTICAL CLASSIFICATION APT. CONDO. II- CLASS NO. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. _2--DWELL. UNITS Exemption, you should become subject to the Workers` . CL Compensation.provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be z deemed revoked. TEL. VALIDATION CONTRACTOR P%Z f /�Ilut O. gy BK. PG, LICENSED CONTRACTORS DECLARATION i• !� / LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS U�fJ d���/ !l/ NO. �f�� VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions.Code, and my license is in full force and effect. CITY ��C�c ��+� CLASS C $ �� C� 3 5els-1 �(I / SQ. FT STO IE FA OF CHECK ► License Nu r Lic.Class SIZE �G STORIES FAMILIES ONE Contractor Gh _YZ Date /l! z`- �6 DESCRIPTION OF WORK e/�- NEW Ice- ADD El I am exempt under Sec. L - ', /^�, / ALTER E FlNAI f/ ✓ ✓ B.BP.C. for this reason REPAIR DATE/� USE OF 1e'1 7 O DEMOL FINAkY� EXISTING BLDG. � �'-C Signature APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) v F/Z NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS S':O Gf� C�jfl� l�ltetll�c Professions Code): PRESENT ❑ 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 �6 0 2 0-A 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. , # 0 0 o a o',� (Sec. 3097, Civ. C.). SIDE P.L. L a - 40.50 Lender's Name maa4Q50v Lender's Address P.C..Fee$ Permit Fee °' I certify that I have read this application and state that.the g Y PP Issuance Fee -1 above information is correct. I agree to comply with.all County Investigation Fee TP2 9 ordina s a State laws relating to building construction, Total Fee 5�-8,6 �i and ereby thorize representative of this County to enter a upon the ov mentioned rop t for i�pectio`n/pu�oses. SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant or Agent - Date r• r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS ,/(f� g � I hereby affirm that I have a certificate of consent to self.insure, BUILDING ADDRESS ��V or a certificate of Workers' Compensation Insurance,or a certified copy the (Sec.38 Lab.C. G CITY ZIP Q PoIiCN-N Q (J O LOCALITY SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ElCertifie copy is filed with the county building inspe on/ TRACT BLOCK LOT NO. depart nt. � USE ZONE MAP NO. Gam) W r ASSESSOR MAP BOOK PAGE PARCEL i91121 s �✓`r �� �� - !!Y// � SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE '�`` W I WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS ©� r� � t� � DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) I certifyCITY ZIP e that in the performance of the work for which this permit �� is issued, I shall notemploy any person in any manner so as to m �l� ✓, D become bje t to the Workers'Compensatt Law ARCHITECT OR ENGINE R .TEL NO. C STATISTICAL CLASSIFICATION APT CONDO Date`� Applicant �J ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.• If, after making t is Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR /Z Tin. �I� �b� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith (J(/ S �O FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS b w ` �i A LINO. P L LICENSED CONTRACTORS DECLARATION ` R SIDE CITY I ' O LIC.CLAS � P L } I hereby affirm that I am licensed underprovisions of Chapter 9 •�/ SEWER MAP (commencing with Section 7000)Of Division 3 of the Business and SQ.FT.SIZE NO.OF ST RIES NO.OF FAMILIES r- d Professions Code,and my lic nse is in full force and effect NEW ❑ BK PG U �v 1-, DESCRIPTION OF W RK ADD ❑ VALUATIO , -• �• License Number Lic.ClassR ,j� L _ �^ Contractor date �a �' t bw ALTER ❑ $ �VO -- q cr.O EPAIR ❑ ❑ 1 am exempt under Sec. ( � $ U B.BP.C.for this reason O �1� DEMOL El LU LDMA P/C# int)r.s n y LO . Date: SE OF EXISTIN ~? URM ❑ _ _ Signature APPLICANT T) V TEL O. LDMA Perm# ❑ I, as owner of the property, or,my employees with wages as a&4-4Z TTEMS their sole compensation, will do the work and the structure is ADDRE � jf not intended or offered for sale (Section 7044, Business and L-�171, Nt,& Da FINAL DATE Q .•�IT L 137 5 PfOfeSSIORS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALI IS CASH OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE • ` J =°0 ' __r n. ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, I-(? (?_L n= i VES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLIN6 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(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES- _I�� ia i'w(; ; ,j,�•e �i_� _ I hereby affirm that there is a construction lending agency for VES❑ No❑ -r '- ; ,I,; N the performance of the work for which this permit is issued(Sec. 1 "t s .r n a_ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C. N ) 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 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty 0of perjury t t the above information is correct.I agree to comply P.C.FEE V PERMIT FEE D� N with all '0 ty ordinances and State laws relating to building �!1 constructio and ereby authorize representatives of this County ISSUANCE FEEoo �/ O ro to enter o above-ment' ne property for inspection purposes. (p Q ' INVESTIGATION FEE TOTAL FEE cig-re of AVVnt or Agent Dale SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS AN;Cl-�__: E'S TEMPLE CITY 4 0508 BUI Lul -A,1 DEPARTMENT GF . WORKS 9701 LAS TUNAS BUILDING AND SAFETY 1 LAND IIEVELOPMENT TEMPLE CITY CA 91780 BL 050i 0-40-715U'0041 PHONE: (626) 285-C-2, LEGAL 71)7, NO. OF _ACDRRE33. TR: 6561 LT: 745 SQ. FT STORIES I' P L OCCUP GROUP! 9400 LAS TUNAS DR C-,L.p P7 62 1 B TEMP CA 917802135 TS`SESSO`_ TMFORMATION NUMBER- r;EAREST CROSS STREE". SS:A N�DRO 8K7-006- 0 THOMAS PAGE: 596 GILD- _!3 LOCALITY: TEMPLE CITY, 7Z= USE ZONE: 8,� EXPIRES T—EU—NI, USE: COMMS PROCESS DYNASTY STUDIO EXIST Or- GRP: B 0 '04 J, 10/01/05 6—WNER. 'I LL. NO: U*l.n_t.,-S. NG,,J ON LOE T: VALUArION: `AL L CODE: CHEN rti'PWe'� ! ;Ll H 33,000 604 OiD PA,,-,:� RD ARCD 91007,54-10 FEF-'s PATD 0 E S`R, T 1 0.1.1 WO FRONT ST E, TI WORK U!Pl,I T I,,y JO"i- AMOUHT. APPLTTA_,NTl_, TFL. NO. HONG' TNIG RUAIM' -rK 1. 672-6191- W/EN-HC 33000,00 VAL 5,52.89 121P RAMONA BLVD. P,ck,11IT 'ISSUANCE 27.1. 1aPEC;iPl CONDITIONS: E L M 0 N T E CA 91732 !A -TRO' - MOTION OTHER 330001.fUO VAL 6.91 jt� ERMIIU'HA!ND 1 CAP VAL 604. CGn T,- KA-1 Cr: NC, INFPECTOR FTGz'1,,.T;:,PE HONGLIMG RUAN 9626) 672-6191- 12107 RAMONA BLVD. LIC. NO !LDCA,. JON AND- SETBACKS Eil KJNTE. CA �?1790 8, 663 5 B ENGINEER APPRC'!,k- �ARL GIN p L—NC H-TuRl I CHI IECT OR -El"GINEER: R FRAMING i_lq D „�;-`,R IN SUL Al I iD',; i4 E,A P.1 f”G ryi �00N!,. ST'.T CLK�SS- UN—!-I�F_;741 ;7 SCHOOL WITHPA HAZ`RDOUS PANELS 1000 FEET MAT AIR QUA.L'TY: ERllAiS NO ISPRINKILER HANGERS ­N�;°.ATION/WEIATHER STRFfl, _o I zi q D R Y,;,'A L L 100R/CELL ASSEM. WALL ASSEMBLIES §R�AZ-17S,'OPEWINGS -B7rT7_Ef_LINU_'l_ REPORT !D: 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 0105240006 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 2 BUILDING ADDRESS: TR: 6561 LT: 745 SIGN DESCRIPTION: TWO CABINET 3X12X8DEPTH 9400 LAS TUNAS DR TEMP CA 917802135 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO 8587-006-017 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: DANNY KLAN IMPERIAL EXIST OCC GRP: 05/24/01 UT 11/20/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHEN CHIANG H;II H - 1,600 /�`� 604 OLD RANCH RD �//� ARCD 910076410 FEES PAID DESORIPTION OF WORK TWO CABINET (CAN SIGNS) 3X12X8DEP ELEC. BOX. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: 28K SIGNS MFG CORP. (626) 814-8889- AA BLDG PERMIT ISSUANCE 27.75 1406 VIRGINIA AVE#3 AE STRONG MOTION OTHER 1600.00 VAL 0.50 SPECIAL CONDITIONS: BALDWIN PARK 91706 D1 PLANCHECK W/O EN-HC 1600.00 VAL 82.11 D2 PERMIT W/O EN-HC 1600.00 VAL 82.20 TOTAL FEES 192.56 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE 28K SIGNS MFG CO. (626) 814-8889- 1406 VIRGINIA AVE LIC. NO LOCATION AND SETBACKS #3 775215 C45 BALDWIN PARK, CA 91706 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/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 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 0102130047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 745 SQ. FT STORIES TYPE 9400 LAS TUNAS DR STRUCTURE: 0 VN TEMP CA 917802135 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-006-017 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: DYNASTY WEDDING STUDIO EXIST OCC GRP: 02/13/01 UT 08/12/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE- CHEN CHIANG H;LI H 1 1,500j>'�� 604 OLD RANCH RD I ARCD 910076410 FEES PAID DESCRIPTION OF WORK REMOVE WALLS BETWEEN UNITS 9400 9402 LAS TUNAS, UNIT IS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NOW BACK TO ORIGINAL STATE APPLICANT: TEL. N0: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 1500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 1500.00 VAL 82.20 TOTAL FEES 165.15 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT W 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 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANEL AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULPTION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY !;r LOS ANGELES TEMPLE CITY ## 0508 DEPARTME*11`7 OF. Pt,;MLIC WORKS 9701 LAS BUILDING AND SA-FiLL-l'i i-A.Nom DEVELOPMENT TEMPLE CITY BL120034 PHONE: (62,6) 2-1�`-,*4��-, EXT. I IN U M!"RER OF SIGNS: 2 BUILDING ADDff;--... TR- 6561, LT: 745 ;sln-N DESCRIPTION: 2 SET �-'A;-;� ILLUMINATED CHANNEL S`,GN 9400 LAS TUNAS DR TEMP CA 9178021*--5 A—S,-,E-S E-,a—INFORMATION NEAREST CROSS STRFF-11. ALESSANDRO 37 `-C)17 THOMAS PAGE: 593 GS is J3 LOCALITY: C T EN!A N"! ict`!ST BLDG USE: D ON: PROIUFsi:D br': E X FI IR E­S-- DYNAS;Y' ',,;EDDING STUDIO EXIST OCC GRP: �0 2.10 4 10/07/05 TEL. NO: is 5. NOiJ ON LOT. VALUA—TION. �TE 1 N'A L 11Y CODE, ICHEN '�'HIANG H;LI H 1626) 359-9958- 2,500 -D RANCH RD ARrD 910176410 rEES PAID IPT. 7o—r<vl ---" 2 S ET OF t WALL iLLUMIN-TED SIGN JPEC- DESLRIPTION: V: UOM: A M N IT: CA-1- TEL. NO: x,'u (626) 444-8181- JAX RUILDING REVIEW FEE 11El1401115ECA 91731 28" PECK ROAD 'AA BLDG PERMIT ISSUANCE 2`�fl, CONDITIONS: i !Dl F�� W/C EN-HC '25 0 0 0 0 4:4L . NO: A T E INSPECTOR 1SUCCESS SIGN (626) 444--81,3; - ��'!2 P;zCK ROAD LIC. NO S E T C I(--- ':SUITE?� A il-L MONTE 1-4 91--r-31 C T ON ITR&iCH F- C,% i RU,"TURE I 1111 !MA; Ni'D: MAIP BOOK- E Z-:;N,L i, 'i-fju.—o -�TR-L ilm--: DW�1—:LLiN-G-,-jr-;-,!-T�--.*—.,�-P-l-',.,CC-I;i).- STAT CLASS, 20 —SCHO(IL HAZARDOUS IATR QUALITY: 1000 FEET MATERIALS NO NO IREPORT ID: DPR261 F',O*UTE TO: BS0508 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 0110090046 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 745 SQ. FT STORIES TYPE 9400 LAS TUNAS DR STRUCTURE: VN TEMP CA 917802135 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO 8587-006-017 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: EXPIRES ON: DYNASTY WEDDING EXIST OCC GRP: 10/09/01 JK 04/07/02 OWNER: r ic;,: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FIN LIDFI BY: CODE: CHEN CHIANG H;LI Hl' - 8,000 O � 604 OLD RANCH RD ARCD 910076410 FEES PAID ESCRI TION OF WORK T/O AND REROOF WIT4t4ORCH APPLIED CLASS A ROOFLINE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: WILLIAM T. NELSON ROOFING (626) 303-0529- AA BLDG PERMIT ISSUANCE_ 27.75 1325 E. RUDDOCK ST AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: COVINA, CA 91729 D2 PERMIT W/O-EN-HC 8000.00 VAL 183.00 TOTAL FEES 211.55 CONTRACTOR: TEL. NO: -. APPROVALS DATE INSPECTOR SIGNATURE WM T NELSON ROOF CONTRACTOR (626) 675-38121- 1325 E. RUDDOCK ST. LIC. NO LOCATION AND SETBACKS COVINA, CA 91724 648085 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS I LIC. NO: _ _ _ _ -,; SLAB/UNDER FLOOR I " RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Cider UNDERFLOOR INSULATION X 3 01 H FLOORSHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CUz_-S: NO 22, ROOF L-C(4TlN q4 SCHOOL WITHIN HAZARDOUSSHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS I NO NO NO i%� FRAMEjINSPECTION REQUIRED TOTAL SETBACK FROM EXISTFIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH-, FRONT PL—INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED'WALL ASSEMBLIES . .... . RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: SS0508