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HomeMy Public PortalAbout9416, 9418, 9418 1/2 LAS TUNAS DR_Building__ ©s 76A638A CE#805(REV.11778)r t't APPL'fCAT°TON FOR �B,QZDING. PERMT 1.., COUNTYOF:LOS ANGiLES . r BUILDING,AND SAFETY FOR APPLICANT TO FF.1LLL IN ADDRESS LDING ADDRESS yIC� �' ~� 1_'(//v!�" ✓ LOCALITYNEAREST CITY Cv(� 77)/ .: /ZIP Ci.� i� CROSS ST. OF BLDGS ASSESSOR SIZE OF LOTS Pk OW ON LOT (`/ MAP BOOK PAGE- PARCEL �� / 7 _N45-7 3 `DISTRICT GROUP TYPE 1.FIRE PRO ESSED BY TRACT 6 l I BLOC�K7 LOT /SCI. CONST -ZONE El_OWNER A1)l"iA�'"/ (f0a ��N0.7 yJ'CJ viDO '^ �L 3 �A JJ,, STATISTICAL CL'ASSIFICATION',. '" - .SEWER MAP ' ADDRESS PA-4,0A703 CLASS NO.. � DWELL UNITS ' BK ­PG_ ., CITY -'ZIP` y ARCHITECT OR TEL { ENGINEER �/�/� IL- NO.-4 ADDRESS,. / VALUATION $ . f � .BLDG.SETBACK FRO✓✓✓✓M V V TEL FRONT PROP.LINE OF (STREET) - CONTRACTOR / NO. TOTAL SETBACK FROM .TYPE OF EXISTING. LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. U LIC. + _ CITY _QLASS- BLDG.SETBACK FROM 1 CONSTRUCTION LENDERSIDE PROP.LINE OF (STREET) NAME AND BRANCH iY HIGHWAY_­+ YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING IL ADDRESS w CITY' SIDE PROP.LINE HIGHWAYI WIDTH 0, $O.FT. - NO.OF NO.OF CHECK + _ 99 51 ! STORIES FAMILIES ONE ✓7-- USE ZONE­ MAP NO. / W DESCRIPTIO ORK• NEW•-• SPECIAL ADD` ❑ CONDITIONS—- y' ALTERBY z ' FINAL x � REPAIR" DATE USE OF / L DEMOL El 3 i �r EXISTING BLDG.©L`f � _ Ll '� 2 APPLICANTTEL O (PRINT) ' L... O La. O. BYa51GNATUREI'- > t `z 8 9 u G R I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION AND TATE ' ,.y THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY„WITH AND LAWS REGULATING BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE V #.o O o O o 1 .WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF � ' THE LABOR CODE OF THE STATE OF.CALIFORNIA,IN RELATING TO WORKMEN"S COM-. , ,_. - .,., ., y,.. Z 2.0 6 43.0�• - PENSATION INSURANCE.' 0043 - SIGNATURE OF .0 0 PERMITTEE ADDRESS Z �. TEL.� r.� O CIT /lT"D NO. � � P.C. Fee$ d ja Permit Fee ' ° > Issuance Fee G Total Fee _ DEPARTMENT OF BUILDING AND SA Y 25,l _ -COUNTY OF LOS ANGELES �P-52 "D OUR.1'L Or' 4 'm . t WM. J. FOX, CHIEF ENGINEER APPLICATION- " FOR APPLICANT TO FILL' IN FOR OFFICE USE ONLY DISTRI T NO. PLAN CK.. OR REC.No. JPERMIT NOBUILDr ADD EISS l•�� /�!�S /✓IV/ S �Wd(. !-" IE C RECEIVED BY DATE OF APPL. DA72- I ISSUE LOCALITY C Z 2 '' NEAREST �S CROSS ST. BUILDING � _ADDRESS �Ir � L a �N--4 .;7d ��X_ ear . ,OWNER CL/ Q LOCALITY MAIL /� ADDRESS 0 -Ar CI-RWiVAC ` NEAREST• /� JJ �f CROSS ST. CITY NO.,�y3'".��• %"--" .FIRE NO.OF _ GROUP' _ ZONE I PLANS' ARCHITECTOR TEL ENGINEER NO- ------------- _* BLDG. /(- S-C,(.,2 SETBACK LINE �J C7 ""'% OIc ADDRESS - `T4'ry^�" USEAY �PPROVED TEL �.�y ZONE DATE Z.7" a ' CONTRACTOR• , _ NO.�.�' '/ i .. -HOUSE NUMBERING ' ^j` ADDRESSJjAf bC &1C�PA.,. MAP NUMBER 1 -NO. ASS113NED BY LEGAL DESCRIPTIO+Nr LOT NO. -I BLOCK - a CORRECTIONS TRACT �O v r 1 S� N O. O F B L D G B. +•'f SIZE OF LOT r �-,7 NOW ONLLOTUSE �G ' EXIST N BLDG. RE.s, y /\ G P I FO lO E9. / / O� DESCRIPTION OF WORK v'2) Z NEW^' 1� ALTERATION ADDITION - /f�r� REPAIR DEMOLITION SO.FT.-- /-�YS__3 NO.OF V _/ SIZE ` ROOMS y STORIESI EXT.WALf ROOF COVERING 'NV cc O COVERING&1 OC f( USE OF STRUC RE. ' J' vo�- Alte�c), '/'9 7 -2 ' -r;np'toI S 3 o,6m) f=d R A11 i✓OT' S3 Rex oxo 50^ Am.,71.CVJft/ INSPECTION FOR. j ! APPRO Y ALS OCCUPANCYAS _ INSPECTOR'S SIGNATURE DATE .FOUNDATION: LOCATION I FORMS, MATERIALS _'i 3 �d��Z„_• HEREBY.ACKNOWLEDGE THAT 1 HAVE READ THIS AP- . Q PLICATION AND STATE THAT THE INFORMATION GIVEN IS i FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS t I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, v / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS � L/ SIGNATURE OF _ j LATH, INT. l �� AA PERMITTEE �./ yI v LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED AOT. - PLASTER, EXT. ®g. F-EE- HOUSE NUMBER COR- RECT AND POSTED L ION LA® �' ;•ri// FEE 2 Z �+r FINAL 76AG38A DBS 3 7-51. ' - A 78A639A Dd5.3 8-5APPLICATION PPLICATION •F'O R BUILDING *PERMIT 1 DIVISION OF BUILDING AND'SAFET,Y BUILDING 0, �I� A v�hJ, Department of County Engineer ADDRESS County of Los Angeles LOCALITY TQM ,p/- I- Cf ' WM.J. FOX, COUNTY ENGINEER NEAREST A CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT.NO. r•GROUP TYPE SEWER MAP, FOR APPLICANT) TO 'FILL IN -e I CONST Y I ,9—/Z2-0 UILDADDRESS � M�� h �lJ�h�° NUM ER ./"J 0 MAP STATE YES LOT NO. � s( .BLOCK - USE ZONE SPECIAL L CONDITIONS TRACT J X I NO. OF BLDGS.Z BUILDING EXIST. SIZE OF LOT NOW ON:--.LOT SETBACK YARD HWY STREET NAME WIDTH USE OF EXISTING BLDG. 1VLY-`^'' FRONT 1'-a P. /� L `7 OWNER SIDE (y - P.L. MAIL ADDRESS 1ya 0 rUAe �,f O ,TRACT DWELL. I UNIT _ ts ' 5 INDUSTRIAL TE ,,,,��7 1 DWELL. I UNIT - CITY ` N 6 PUBLIC BLDG. 2 DUPLEX I UNIT 000 ARCHITECT OR ` TEL. 7ADDN.,ALT.. ETC. ENGINEER \ NO. 3 -APT. UNIT - - _ - 8 MISCEL. ADDRESS 4 COMMERCIAL L TEL. INSPECTION RECORD CONTRACTOR F o NO. ADDRESS DESCRIPTION OF WORK NEW - ADD ALTEk REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF SvPjCTUREn /64ze-. _ •fit/ ,Yu -. - SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSP CTOR'S SIGNATURE FOUNDATION: LOCATION $ J -d P.C. $ I FORMS, MATERIALS 1' _sj s c. 14 rA �q,J,a� „S FEE FRAME: FIRE STOPS, VALUATION - $ BRACING, BOLTS Z�.���� v l�y..•. FEE �D� FURNACE: LOCATION. 1 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. I�t ISb ' AND STATE LAWS REGULATING BUILDING CONSTRUC-. ' TION. �+ LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- ' -PERMITTEE RECT AND POSTED I I a ADDRESS FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N..DIRLAM, CHIEF BLDG. INSPECTOR 1 7,3 9Z .JAN11 1 6..0:D DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT -.. COUNTY OF LOS- ANGELES _ - UILD-=ING VVM. J. -FOX, CHIEF ENGINEER NO. OF SETDG. LINE E e } ORD. NO. DISTRICT NO. PLANCK NO. PERMIT NO. FIRE APPROVED - '.01►✓ ZONE BY DATE RECEIVED BY DATE OF APP.L, DATE-ISSUED USES APPROVED - 1 . _ZONE `213 BY DATE APPLICANT FILL. IN HEAVILY OUTLINED :PORTION ONLY BUILDING '' •. s p W NAME ADDRESS W Z ADDRESS LOCALITY .�NA -,.�.; + . U _ NEAREST . U.W CITY CROSS_ ST. ' a STATE TEL. - _ p LICENS NO. NO. W C _`NAME.- MAIL NAME ADDRESS F. h�_ - t / - - ADDRESS - .i - - - CITY fi - J.; NO. - Z CITY - -' 1 HEREBY ACKNOWLEDGE- THAT"1 .HAVE. READ THIS O - 1[" J APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE . TEL. AND AGREE TO-COMPLY.WITH ALL COUNTYLORDINANCES LICENSE NO. - NO. /, yY y� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ZZ .LOT. NO. SIZE OF LOT�;/`OJF I(J 6. SIGNATUOWNERE OF - A, �� NO. OF SLDGS. AUTHORIZED AGT. U _ BLOCK NOW.ON LOT .� U / CORRECTIONS !- W TRACT USE OF SLOGS. - 9, NOW ON LOT "`. f s• 7`�.,""r' '� p°' . DESCRIPTION OF WORD - USE OF - BUILDING 1°1d..A FaaA1 l 4.:_� •L.4"t. 1..* .rae•`9' M _- ,. • .._.. --,/ a,+ Z7 7 a - z a. NEW -TYPE GROUP CTO NO. OF I NO. OF ALTERATION ROOMS - FAM ILIES - - ADDITION SIZE REPAIR STORIES MOVING 'WALL COVERING ..[ - DEMOLISH ROOF COVERING c6VIA. I - FINAL.APPROVAL 1. FEE f $ - /'v` INSPECTOR'$ 1 VALUATION FEE DATE `ls$ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY w DISTRICT NO. PLAN CK NO. PERMIT NO. BUILDING ADDRESS LOCALITY RE/fC�EIV/ED BY DATE OF APPL. - DATE ISSUED ST CROSS STNEARE . BUILDING / G'(�•�2 // _ V� �` OWNER, ' .ssCs /}�� _ .ADDRESS 6 /! cC.:J/ �-•EQ,� MAIL ADDRESS /J. '.O� (.7 : LOCALITY �Nv-vy-/.i(� —__.T / �//'! N,EAREST;. CITY .s?rir'"�"e. 1."�"'9- NE L �.-/J CROSS ST. C.X�ovL- t , FIRE - NO.OF TYPE _ GROUP. ARCHITECT OR 1 ! /�TEL. - ZONE PLANfi ENGINEER VV�"� / NO. BLDG. \\� ...._. ORD.NO. ADDRESS SETBACK'LINEL- �--� APPROVED ~ CONTRACTOR "- NOL- BY - - - ' DATE I USE,NECPPROVED ADDRESS ZOI� BY; DATE LEGAL �5``� CORRECTIONS O DESCRIPTION LOT N . BLOCK /,, TRACT �r r'� ® _? �/Cv Com, _C�' SIZE OF LOT__ 6 �� I NOW ON LOTS ; "v�s,2 USE OF � J/,/�� NO.OF NO.OF. EXISTING BLD G.I1 ..�.tG.i Qe FAMIUEs ROOMS � f..Q,�_ -•-.. .. �/J7 _. �r�-�2 DESCRIPTION OF WORK t G � NEW ALTERATION ADDITION -^ �- - - - - .REPAIR MOVING. DEMOLISH SIZE T•! RO MS STORIES D WALL ROOF _ ,;t r. r COVERING ( COVERING BUILDING ./'.,s✓ � ..�'1�: ..'f.t�_ s. 1 HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS. APPROVALS APPLICATION AND STATE THAT THE ABOVE IS-CORRECT INSPECTOR FOUNDATION!:LOCATION / /q AT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUING CONSTRUCTION. .wm VVV FRAME: FIRE STOPS, SIGNATURE OF '. BRACING,BOLTS PERMITTF�E " '' - - LATH, LNT. ." AUTHORIZED AGT _ 'LATH, EXT. 76A636A 9-48 • - DBS-3 SOM SETS $ P,C.$ PLASTER,INT. . FEE '•'� ��"� PLASTER,EXT. .V' n VALUATION FEE O lr-. FINAL �'� " ZOA639A D65=9'3-55 - - - APPLICATION FOR BUILDING PERMIT '11 DIVISION OF BUILDING AND 'SAFETY BUILDING 4 P 7 Deportment of County'Engineer ADDRESS o County of Los Angeles LOCALITY WM.J: FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN_, SUPT OF BUILDING - CROSS ST: - DISTRICT.NO. GROUP ' SEWER MAP FOR APPLICANT TO FILL IN JI TYPE C _ CONST I�L�BK/2P6 ,BUILDING STATE "ADDRESS" / II1O O /� '. "f"YT� 1 Vf�I¢x N MA ER GFS � HWY' .� YES O LOT NO. ,.2 BLOCK USE ZONE SPECIAL - �'#" CONDITIONS TRACTNO. OF BLDGS. SIZE OF LO'T*-rdle �� I NOW ON LOT, $ ,BUILDING YARD HWY STREET NAME EXIST' _ - - SETBACK . - WIDTH USE OF / /� EXISTING BLDG. -O �IC� T /BLC. FRONT "g� .l. - P..L. OWNER ��. CAry - SIDE L. MAIL C.-C,�. �.�5 /. - ADDRESS O TRACT DWELL. i UNIT ' - -" 5 INDUSTRIAL - y$ TEL. - 1 DWELL. i UNIT CITY NO. - • PUBLIC BLDG., ARCHITECT OR' TEL. 2 DUPLEX -I UNI 7 ADDN...ALT., ETC: - - ENGINEER NO. - 3 APT. UNIT �'�----- .,._ '• 8 MISCEL. ADDRESS 4 COMMERCIAL - CONTRACTOR C.4jbt TEL INSPECTION REC t RD , ADDRESS. P '� DESCRIPTION OF WORK f ADD LTER REPAIR DEMOLISH ' S FT. O.OF NO. OF • _ - SIZE o - STORIES FAMILIES OF STRUCIMRE' ly es J � 9 acfv-1— Aft Cr SIGNATURE OF APPLICANT APPROVALS ADDRESS- 9 4F.2-0 -DATE. - .•INSPECTOR'S SIGNATURE FOUNDATION. LOCATION" c -y7• FORMS, MATERIALS FEEE FRAME: FIRE STOPS:--BRACING.BOLTS . - VALUATION FURNACE: LOCATION. 1 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. —jo(. , `4�'�-j" '�^•``*'-"'" AND STATE LAWS REGULATING BUILDING CONSTRUC-- 6- V TION. l LATH. EXT. SIGNATURE O (!•, HOUSE NUMBER COR- - p PERMITTEFE RECT AND POSTED 11 ' ADDRESS f - k6n'!64-� 7 FINAL- d .WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DI LA?kCHI EF$LDG. INSPECTOR r> 1 6 2 5 '.JAN 1 8. �7 DIVISION OF BUILDING AND SAFETY Department of County Engineer f .1 County of Los Angeles WM. J. FOX, COUNTY ENGINEER ', APPLICATION FOR APPLICANT TO FILL IN r FOR OFFICE USE ONLY '1 DISTRICT NO.• PLAN CK.OR-REc.NO.- PERMIT.NO. ADDREI88''� 1 -I.L' . Las''' Tuna s Lt.'--T C.•': �' �153 /'C. f ' LOCALITY Tp,�le C 1't✓� { RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST OGZl '£'St r J -�-� CROSS ST. • BUILDING - ADDRESS OWNER Gladys V. Rhodes MAILA -�+ LOCALITY y P' ADDRESS 9416 EIT. Las Tunas Dr. NEAREST - -1 + At.- 7D6,1 f CROSS 9T. CITY Tezn h City f - NO. At.- 7D 6 f! ZONE I ,PLANS .I..TYPE` I S U ARCHITECT OR TEL a ENGINEER N0. BLDG. ! ,ORD. NO. 1 SETBACK LINE, ADDRESS .y USE p�- APPROVED TEL - - .. ZONE'. BY -'DATE CONTRACTOR NO. j HOUS�EJ NUMBERING ADDRESS _ MAP NUMBED Na. ASSIGNED BY LEGAL = CORRECTIONS DESCRIPTION LOT NO. - ��•tN BLOCK - i 1 . TRACT . SIZE OF LOT �C X �,r}5 I NO. OF BL �. NOW ON LOT, J ��L T�-•✓SEN 'USEOF ctlN.9TrC• �SA�„1: O��1CQ'S ( NO.OF O ) _ EXISTING BLDG. DG 1, ►-10 M'2 FAMILIES .I riESCRIPTION-O,F'WORKA I o NEW X ALTERATION ADDITION - D REPAIR DEMOLITION _ SO.FT. NO.OF SIZE 4 ROOMS STORIES r s EXT.WALL I. ROOF I _ COVERING OOVERING UBE QE4STRT.URE �' rniLr c INSPECTION FOR to APPROVALS. OCCUPANCYAS _ f INSPECTOR'S SIGNATURE DATE _ FOUNDATION: LOCATION • FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'AP- FRAME: FIRE STOPS, PLICATION'AND STATE THAT THE IN GIVE N'IS CORRECT. BRACING, BOLTS ' I AGREE TO,COk4PLY WITH .ALL COUNTY ORDINANCES` AND STATE L��EGULATING BUILDING CON TRUCTION FiURNACE: LOCATION,( GAB VENT,DUCTS SIGNATURE Y� .���J � + LATH, INT. PERMITTE C� '1 ADORES /a C -lt^! ,r LATH. EXT. .. I PLASTER, INT. _ AUTHORIZED AOT. PLASTER, EXT. $ P.C.9 FEE . HOUSE NUMBER COR- RECT AND POSTED VALUATION FINAL 7—/0-b`L FEE p 76A63BA DBS 3- 1-52 Ifs DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES U I L I ' MM.,J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO., PLANCK. NO. PERMIT NO. BUILDING r O I (i'2- ADDRESS - o LOCALITY QE� _ ���I�GED BY -DATE OF APPL. DATE ISSUED NEAREST fIl'I'l �3�- ��' a.a CROSS ST* �. O REjj BU &ILDING /.�� FE L/)�9/. /6J ADDRESS L S OWNER F, � MAIL. - - °• LOCALITY ADDRESS �� .4,fl-AN .Ve NEAREST TEL. r CROSS ST. CITY - NO. FIRE NO. OF TYPE GROUP ,ARCHITECTOR �(,i yv/N TEL ZONEI PLANS I _ ENGINEER - BLDG. E' ,(,t , SETBACK LINE /-/��/�� JR// ADDRESS / APPROVED TELBY!y 6 9 CONTRACTOR F ? NO.6 10-2' J 1 USE ,� APPROVED DATE N/H ZONE Y fi ADDRESS p/ a HOUSE NUMBERING i LEGAL DESCRIPTION .I LOT NO. 1 , BLOCK - MAP NUMBER FIELD CHECK BY TRACT �9 S�' NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS. SIZE OF LOT � ®' /rJ I NOW ON LOT a USE OF NO. OF EXISTING BLDG,..Res - FAMILIES `DESCRIPTION OF WORK ) NEW - I. I ALTERATION ( I ADDITION O REPAIR I, I DEMOLITION SO. FT. A NO. OF D SIZE g ROOMS 2- STORIES Z .EXT. WALL - ROOFy r a -COVERING I COVERING -"o . USE OF STRUCTURE APPROVALS INSPECTOR'SSIGNATURE�e DATE,r• I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION CA PLITION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS- CORRECT. - .�I.'AGREE TO COMPLY WITH THE CORRECTIONS LISTED 4 FRAME: FIRE STOPS,. /r,�r� � HEREON AND WITH ALL COUNTY ORDINANCES AND STATE'.- BRACING, BOLTS !!-�f.. / LAWS RfiGULATING` ILDIN CON RUCT ON. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS ' �PERMITTE . LATH, INT. - ADDRESS" Y Vs' ;d LATH, EXT. AUTHORIZED'AGT. • PLASTER, INT. iGA038A- Deas "10-DO $ P. C. $ b B'O FEE PLASTER, EXT. VALUATION FEE °�J `. FINAL i::r ,-t,�.l " �c��` Z. 763i A CE 303-6-57 APPLICATION FOR -BUILDI-NG F' • RkA.!T, 1. COUNTY OF LOS ANGELES BUILDING ' - DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP .TYPE SEWER -MAP .J FOR APPLICANT TO FILL IN CONST. BKI' ADDRESS BUILDINGr7j� ��'� q`/��X4,6 4AS'�vr�'�S' STATISTICAL CLASSIFICA'T'ION - 'I CLASS.NO. E DWLL-.UNITS = t LOT NO. BLOCK' . MAP STATE .� TRACT •� NUMBER Q HWY. USE ZONE SPECIAL - x NO.OF BLDGS. e ...7� CONDITIONS j SIZE OF LOT �U Xi'$-.S' NOW ON LOT USE OF J:. .` EXISTING BLDG. v`'t BUIL:DING .EXIST. YARD HWY ' STREET NAME Q .� -"SETBACK WIDTH W OWNER' p[� - FRONT 'MAIL ADDRESS //Iei �,c4-,(� (1 /t./' C _ SIDE �v ' CITY NO. �j"-OI _ P. L. - n INSPECTION RECORD N ARCHITECT OR TEL. - Z ENGINEER NO. _a ADDRESS CONTRACTOR L,- NO. ADDRESS DESCRIPTION OF WORE NEW ADD J( ALTER' ,REPAIR DEMOLISH SQ. FT. i- p. NO.OF NO OF / SIZE � 9 9 STORIES 2 FAMILIESA USE OF STRU URE Lr -� Lam_ l.•y� 1 ' SIGNATURE OFA, APPROVALS .APPLICANT/ - K?tF ADDRESS Tl@/ DATE INSPECTOR'SCSATURE" FOUNDATION- LOCATION _ - - FORMS,MATERIALSk, $ .,• ' yf ®®Q P..C. $ FRAME: FIRE STOPS. FEE BRACING, BOLTS VALUATION $ ��� FURNACE: LOCATION. - FEE .GAS VENT,DUCTS. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP_ LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND �- AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND - - STATE LAWS REG TI BU ING CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT F OR-PERMITTE - RECT'AND POSTED cJ ADDRESS FINAL JOHN A. LAMBIE, COUNTY.ENGINEER: CLYDE N. DIRLAM, PRINCIPAL STRUC U L GI EER PLAN.CHECK VALIDATION K. m.o.. casrl PERMIT VALIDATION cK. m.o.. Casa :JAAi 7 1 .6 A JP,N ?L : 1 A 5 3.5 0 M APPLICATION FOR BUIL®INC PERNIIT DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS , Department of County Engineer County, of Loa Angeles LOCALITY WM.J. FOX,COUNTY ENGINEER, - NEAREST �J CASSATT D. GRIFFIN, SUPT OF BUILDING '. � � CROSS..ST. X11 ' IS7RICT NO. GRO P � .SEWER ,MAP ,- BUILDING AP ,• D TYPE' .-! H PG FOR APPLICANT TO FILL IN ,. �� 67-/ MAP STATE ADDRESS '�'�' - NUMBER �200 HW.Y USE ZONE SPECIAL _L-OT NO. y 'BLOCK CONDITIONS - - TRACT. -4�1 .►. y/ j NO. OF BLDGS. BUILDING EXIST. SIZE OF LOT NOW ON LOT �• '• SETBACK USEYARD HWY - STREET NAME � ,WIDTH EX STOING BLDG. ` FRONT iii .0 - / __ �na!" P. L. V l: P"E7.0 l/ SIDE _OWNER i P. L. MAIL .,,.�r(I� •O TRACT DWELL. f UNIT ADb RESS 7 / Z'�_. / - $ INDUSTRIAL ���gg y� TEL.rj A /'�/ t DWELL. f UNIT CITY �✓�1 NO.y�S �d 6 PUBLIC BLDG. . f"UNIT ARCHITECT OR DUPLEX TEL. 2 7 ADDN., ALT., ETC. ENGINEER - � NO. 3 APT. UNITS.' _ 8 "MISCEL. ADDRESS - 4 'COMMERCIAL - CONTRACTOR .� No / p t tINSPECTION RECORD ADDRESS 2&;-7,0 o' DESCRIPTION OF WORK NEW ADD ALTER - REPAIR DEMOLISH SQ:FT. g- 'NO.ROF- . j NO. OF SIZE '._S`i do - STORIES / 'FAMILIES USE10 TORE SIGNATORE'OF c APPLICANT- "� - i - - - APPROVALS •�f� DATE INSP TOR'S NA7URE ADDRESS `/y.l(� -_rhi�f'lyts ��., _ .' y , ... ` FOUNDATION: LOCATION P.C. $ 00 - FORMS,MATERIALS �! • /}� �(,+ FEE. F.RAME:.FIRE:STOPS, VALUATION ✓ � (J $ J C� .BRACING,BOLTS ' FEE /, FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT •i HAVE READ THIS.: GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT" AND AGREE TO;GOMPLYWITH ALL COUNTYORDINANCESLATH, INT. AND STATE LAWS REGULATING BUILDING- CONSTRUC- TION. e - LATH, EXT. SIGNATURE'OF / 'HOUSE NUMBERCOR- PE_RMITTEE__�__� : RECT•AND POSTED - ADDRESS FINAL - - - - ',. - WM.J. FOX.COUNTY ENGINEER VALIDATION' C. N. DIRLAM. CHIEF BLDG j INSPECTOR Aro8 4 17 O„EP'2 7 1. 6 6.0, 0 A to - 1 POW ?ms'oA CE#808.2/80 .APPLICAT.I.ON[-. `FO-R BUILDING PERMIT COUNTY OF.LOS ANGELES- BUILDING' DEPARTMENT .OF COUNTY ENGINEER ADDRESS_ BUILDING- AND SAFETY•DIVISION LcicaLl' - JOHN A.:LAMBIE, COUNTY ENGINEER NEAREST WILLIAM.A. JENSEN SUP'T OF BUILDING CROSS . DISTRICT-NO. GR UP -HYPE �f PROCESSED BY FOR APPLICANT TO FILL IN; 'T: ' I I CONST; QJ �/ / .,� - -- STATISTICALCLASSIFICATION. I-SEWER:MAP BUILDING �.LfI/ / !`� �s BK PG ADDRESS 7 Cs .�Jl� ��jj CLASS.NO._SLDWELL.UNITS - LOT NO:. . ' "/. � - BLOCK MAP E y , -f— NUMBER aL(� HWYE YES: N .. TRACTUSE ZONE- NO. ONE SPECIAL �� .` CONDITIONS . L NO.OF BLDGS. .. L�j .. ", .. ... SIZE OF LOTs� ko "I NOW ON LOT. -•• USE OF. '. EXISTING BLDG" :� BU,ILDING '"` EXIST. _ - -YARD HWY STREET NAME J TEL. SETBACK - WIDTH OWNER �'G-Y1 - NO. FRONT _ ��- p!` / _. 4 _- - ADDRESS / 7l //�f4.�J � �-Cs.+e2/ SIDE . : a . ARCHITECT OR TEL. iP:L. ENGINEER '� No. INSPECTION: RECORD ADDRESS . - - J TE w CONTRACTOR NOL. 16�'V Ir - - V ADDRESS DESCRIPTION OF WORE z— 7�"�✓' t "/ ��'I/ �. — NEW X ADD ALTE REPAIR DEMOLISH W SQ.FT. y f •�- NO.OF NO.OF a. SIZE 'STORIES ! FAMILIES 7 En USE OF - STRUCTURE SIGNATURE APPLICANT VALUATION$- APPROVALS DATE INSPECTOR'S SIGNATURE P.C: _ PMT.' Q=`0 FOUNDATION:LOCATION /� FEE $ - �I. - I FEE _ FORMS,MATERIALS / /!d �� "ilY,'1."-:R:-� ;fl I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:FIRE STOPS,, :BRACING,BOLTS - PLICATION�AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, - - - AGREE-TO-COMPLY WITH ALL COUNTY ORDINANCES AND ;GAS-VENT;DUCTS STATE LAWS REGULATING BUILDIfgG CONSTRUCTION. I- CERTIFY 'THAT IN DOING THE WORK AUTHORIZED ILATH.INT. - WILL NOT EMPLOY NY PERSON IN:VIOLATION OF THE - WORKMEN'S COMP AT S OF ALIFORNIA. LATH,EXT. SIGNATURE OF - HOUSE NUMBER COR-, PERMITTEE_ �' RECT AND POSTED ADDRESS- FINAL- CLYDEN. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATIOV OK. M.O. . .CASH PERMIT VALIDATION QK. I4.0. CASH IJP I Ir 4 OF 78A888A'CE#Bog a:6 a APPLICATION FOR BUIL®IIVGPERMIT COUNTY'OF LOS ANGELES. BU LD'NG DEPARTMENT OF COUNTY ENGINEER_. ADDREss BUILDING AND SAFETY DIVISION LOCALITY' . JOHN,A.'LAMBIE, COUNTY ENGINEER NEAREST CROSS ST. CASSATT D. GRIFFIN,.SUF•T OF BUILDING - DISTRI(;.1 NO. GROUP. TYPE - J-1 PR ES ED FOR,,APPLICANT TO FILL IN. 'CONST ' BUILDING - STATISTICAL CLASSIFICATION LASS. DWELL. .I SE R MAP ADDRESS' -��G -�/ - ry/p - UNITS C -NO.—L LOT NO.' - � '" - '-BLOCK MAP ^^ STATE' v/ NUMBER COV HWY. YES- O TRACT (a� - - USE ZONE SPECT L '- E( �j/- NO.-OF BLDGS. -CONDITIONS, SIZE OF LOT J I" I -NOW ON.LOT J G- -USE OF . .EXISTING BLDG. :BUILDINGEXIST. ' - _ - SETBACK .,YARD HWY- 'ST RE T NAME.- WIDTH ' OWNER "` p FRONT• //.,�'7 f-,MAILADDRESS -/ �(.� - l- SIDE P:L. ' CITY No U INSPECTION RECORD` ARCHITECT OR - _ TEL. ENGINEER - NO. ADDRESS - - - /' EL q u` CONTRACTOR J �'"�'' TT .�L C.+ % - ADDRESS• .YI - DESCRIPTION OF WORK NEW n ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF. ' SIZE - STORIES. FAMILIES USE OF STRUCTURE (Y'l 12AA70 �Nuw w��vatlw Iw/!P/8v r rG otgopft SIGNATURE OF • APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS' , FOUNDATION: LOCATION _ - -- .FORMS, MATERIALS - ' - VALUATION $ �(� I FRAME:.FIRE STOPS, p�/n�,a 1 �All BRACING,BOLTS - ,( .(lir, P.C. PMT. FURNACE: LOCATION, FEE $ �`II FEE I GAS VENT,DUCTS. - HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PL P- LATHINT ' .: PLICATION AND STATE THAT THE , ..ABOVE IS CORRECT AND - _ - .AGREE TO.COMPLY.;W TH'ALL COUNTY ORDINANCES-AND' - - -- .. STATE LAWS REGU TfNG UILD G C NSTRUCTION. LATH, EXT.. SIGNATURE OF HOUSE NUMBER COR- IGNA PERMI TRECT AND POSTED. . � r`. 'ADDRESS ' ... `/ L FINAL .. - L/ '/® L�(� CLYDE N. DIRLAM,-PRINCIPAC-ST URALENGINEEF( PLAN.CHECK- VALIDATION �' PERNIIT VALIDATION- �K. "'° CASH P L4".44. 4 - DEC, 17I A 3.00 7_SACi SA DBS-9 12-54 APPLICATION F'OR BUILDING ■ FRMIT 1 IVISION OF BUILDING AND SAFETY ADDRENG Department of County Engineer DDREss County of.Los Angeles LOCALITY WM.J. FOX, COUNTY.ENGINEER /9 CASSATT D.GRIFFIN;SUPNEAREST T OF BUILDING CROSS ST. [J .DISTRICT NO. GROUP . SEWER MAP, . FOR APPLICANT TO FILL IN' I I TYPEBK RG BUILDING �J j ,, /� p� CONST_ ADDRESS �"Jj- /'`/iJ" �yiFs°/ f V"�1 MAP �.�®� STATE ER ;NO _ NUMBHWY LOT NO. /. � BLOCK USE ZONE SPECIAL - - r CONDITIONS - - - TRACT.' - � - eI . - X L1.O I NO,. OF'BLDGS.: '�" SIZE OF LOT 3 4#" `O NOW ON LOT BUILDING YARD HWY 'STREET NAME - Ex IST. USEOF - - - •• 1 SETBACK WIDTH EXISTING BLDG. FRONT T P. L. - OWNER . of.. / SIDE MAIL {� - P. L. - - ADDRESS7o �d.+P- ry A.-a4- CITY , / i'�� �L�✓ t�I Y NpY� DWELL. 1.UNIT �- 5 INDUSTRIAL 2 DUPLEX UNIT 6 PUBLIC BLDG. ARCHITECT OR ` TEL. = - ENGINEER ` NO. 3 APT. ' UNITS - - 7 ADDN., ALT:, ETC: ADDRESS _ �' q COMMERCIAL" - 8 -MISCEL _ CONTRACTOR 4 a C-4y ' TNO.E.,LZ �ru�y� - INSPECTION RECORD 7 `f=zUT� ADDRESS J, DESCRIPTION OF WORK' NEW ADD .ALTER )� REPAIR DEMOLISH - SO. FT. NO. OF i NO. OF - SIZE STORIES FAMILIES USE OF STRUM. SIGNATURE APPLICAt APPROVALS ADDRESS /YZ V Oaf ✓i}J' DATE INSPECTOR'S SIGNATURE $ FOUNDATION: LOCATION• .P.C. S p,A m�,s FORMS, MATERIALS ®® ao FEE FRAME: FIRE STOPS, Q S BRACING, BOLTS -11 VALUATION. - r FEE �• FURNACE: LOCATION, GAS VENT, DUCTS ' I HEREBY. ACKNOWLEDGE THAT I HAVE READ THIS • APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY.ORDINANCES LATH, INT. 3. IEAI��� „�tC,Y� AND STATE;--LAWS REGULATING BUILDING CONSTRUC- TION. LATH, EXT. IM r SIGNATUREOF J/,-7•�n✓ ',�,j��VTL_ HOUSE NUMBER COR- l - PERMITTI ' �^ �J_ RECT AND POSTED ADDREss FINAL- ' �I ZZ.`�3 'C�'.�••F V,/M. J. FOX. Ccuwy -Emamp as VALIDATION BY BY DEPUTY ;O 6^ 1 ttf..`` 1 UTY :2 0 a: ® DEPUTY DEPUTY iowaaaw uw•a a as APPLICATION FOR BUrLDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING / --y•y'' Department of County Eagiaeer ADDRESS 9�� County Of LOS Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING- CROSS ST. FOR APPLICANT TO FILL IN DISTRICTo-No. GROUPsf TYPE SEWEK ER MAP Q�/ / T GI �rtatI CONST. y�7�� ADDRESS 7'7/�.bs' • y/V •f NUMBER 6+cf)D r HWY ""YES' LOT NO. / BLOCK USE ZONE SPECIAL - CONDITIONS TRACT J 1 t ✓. �+ NO.OF BLDGS. SIZE OF LOT V O d ( NOW ON. OT .Z. BUILDING YARD HWY STREET NAME EXIST.USE - V SETBACK WIDTH EX STOING BLDG. &I�"1c0r4c 49- - .k'/I,LO FRONT -661: OWNER • �/ C4i* SIDE - - MAIL - ADDRESS 9 j.cd -s•�A'YO/ O TRACT-DWELL. 1 UNIT - _ 5 INDUSTRIAL - - ,,/�' p TEL u 7 DWELL. 1 UNIT _ CITY ti ` NO.k,6�71 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ,ADDN.,ALT.. ETC. ENGINEER ` NO. $ APT. UNITS ' 8 MISCEL. ADDRESS 4* S COMMERCIAL ' CONTRACTOR IP. C4167- TTE. INSPECTION RECORD ADDRESS (�'�LI C3 G.C..tr�• ,C`,-I.Qs�.G.�. /1W. DESCRIPTION OF WORK. A� ' NEWADDALTER REPAIR DEMOLISH l - SIZE T /�� /� STORIES - F MIILIES / ' USE OF STR URE SIGNATURE OFL APPLICANT - APPROVALS ADDRESS 2d DATE INSPECTOR'S SIGNATURE $ _ FOUNDATION: LOCATION P.C. $ `r 4) .FORMS, MATERIALS �, r�� FEE '"� FRAME: FIRE STOPS, Q '•� �,�• 'BRACING,BOLTS VALUATION $ FEE �� ..� FURNACE: LOCATION, - 1 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. 'A' �`� I Jar y '"Q.M' d �✓ AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. A ' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS2O �' •FINAL .°� i i GtJ -C.+...d WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR to:4 0 7' 6` MAR 13 1 6 5.0 0 A.� / �0.4 1 6. CS' CSAR 1 1 O..G 0 " to � WORKERS'COMPENSATION DECLARATION 1 / / I hereby affirm that I have certificate of cion Ins ta.Self A P P�I CAT1 PO N FOR BUILDING • PERMIT, - insure, or a certificate of Workers' Compensation.nurance, or a certified copy thereof (Sec. 3800, Lab. C.) . . . COUNTY OF LOS ANGELES BUILDING AND SAFETY' Policy No Company ❑ Certified'copy.is hereby furnished. ;; , ;FOR•APPLICANT TO FILL IN ADDRESS �r.• zA Certified copy is filed with building mspe.c- BUILDING• tion departm nt. ADDRESS LOCALITY NEAREST Datelicant' CITY ZIP CROSS ST. �C!12�crC E TIFICA OF EXEMPTION O W KERS, NO. OF BLDGS ASSESSOR COMPENSATION I SUR CE SIZE OF LOT. NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be comp. to the pe�mi for one USE ZONE MAP hundred dollars ($100)or.less) : TRACT. BLOCK LOT NO. NO.. TEL. �•!Y 'SPECIAL y I:cerhfy that in the performance'of`the work foc which this OWNER + NO: CONDITIONS CL permit is issued,'1 shall not employ any person in any manner. DISTRICT GROUP - TYPE FIRE PROCESSED BY O so.as to become subjectI'to the Workers'Compensation Laws. ADDRESS"` 12 N- CONST. ZONE V set09 Date' Applicant CITY "ZIP STATISTICAL CLAS IFICAT CO,DO. O ARCHITECT.O TEL. NOTICE TO APPLICANT: 'If, after'making,this'Certificate'of• - V Exemption, .you should become. subject to_ the Workers` ENGINEER O + NO: CLASS NO.� DWELL. UNITS CL Compensation provisions of the Labor Code-, you must forth- ADDRESS SEWER MAP 4A with comply' with such provisions or this permit'shall be l�` TEL. z ' deemed revoked. - CONTRACTOR BK. LPG, VALIDATION C NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS_ `j NO. VALUATION ' (commencing with Section 7000)of Division 3 of the Business and LIC. ---7 Professions Code, and my license is in full'force and'effect. CITY CLAS awl/' SQ. FT. NO. F NO.-OF CHECK , License Lic.Class SIZE STORIES FAMILIES ONE.- Contac or Date DESCRIPTION OF WORK NEW $ R Jr'.b 2 3 A F am'a empT u der c. A o2 DD A ��Q� � ALTER ❑ FINAL B.&P. for is reason f41�t/ ❑ DATE �/�'�� 2+0 0 3 7 rJ'O Date: PAI FINAL t. o`° 3 USE OF RE R /� EXISTING BLD j r'' d.C.�d. o 7 Signature APPLICANT r TEL Y PRINT n 0.9.2.81-.8.3' OWNER-BUILDER DECLARATION- !J NO. O•/ f-� �7 1 hereby affirm that 1 am exempt from the Contractor's License t , j�/. ' Law f& the following reason(Section-7031.5,Business and ADDRESS Professions Code): PRESENT , BUILDING.' I,' as owner of'rihe property;,.or my e'mploye'es 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. •�,5.�7 Q A ' ❑ J, 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 # o 0 0 0 01 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE' WIDTH :2'° ° 4 9$H- 1 hereby:affirm that th'e"re is a construction lending agency for FRONT the performance of the work.for which this permit is issued P.L. ► ° ° ° 4 9,,81.8.10 (Sec.3097, Civ. C:`)i SIDE + 0,04 83 ` P.L. .. Q.. Lender's Name P C.:Fee$. 3/, ,�� Permit Fee - ,. ': .J• .. Lender's.Address C certify that I,have'reaclthis applicationand'state that the.. . Issuance Fee a above information is correct.I.a agree to comply with:all Count rC ea 9 P Y Y' Investigation Fee', g ordinances ws'relating to building;construction, Total Fee,:1 . and,here6y au oriie`re ese ivies of this County to enter upurr4be above-mentione pro for.inspection pur oses.` a o SEE REVERSE FOR EXPLANATORY LANGUAGE �,, igna re of Applicant or,Agen.. to ..es �. WORKERS''COMPENSATION,DECLARATION r I hereby affirm that,l 'have rk certificateomp bf.consent to.self APP �'CAT I O insure, or,a certificate of Workers Compensation Insurance, ora certified copy thereof-(Se6:43800; Lab. C.) , ® COUNTY.OF LOS=ANGELES BUILDING-'AND SAFETY''' Policy No a `/ CompanyJ12 ' BUILDING a UG .'Certifie'd,co' is hereby''furhished. FOR'APPCICANT TO.FILL:IN ADDRESS'. ❑ Certified-copyisfiled with ihe,countybuilding inspec t , BUILDING tion department: 'w ADDRESS ' F CIT, C. ZIP Date" a Applicant LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF-LOT '. NOW ON LO75'"' - ' COMPENSATION INSURANCE e NEAREST Y �` CROSS, Q _ (This section need.not be completed if..fhe permit is:for one TRACT`� `p "BLOCK LOT NO.` MAP.BOOK hundred'dollars"($100)tor less)'.' - TEL. -r / _ OWNER �i�� NO USE ZONE MAP:: rtif e PAGE •'PARCEL C�v�la ce y that of_,ihe work which this 'r. SPOECIAL ...permit is issued, I_shall'•not employ any.person in'any manner - ADDRESS _ ~' , sa'as to become subject to the,:Workers'-,Compensation,'•Laws, 0 - CONDITIONS CITY _ ZIP. Date LAPPlicant. :ARCHITECT OR TEL.. X3/3 U NO DISTRICT GROUP TYPE, FIRE PROCESSED '0' "'NOTICE TO,APPLICANT:'It after=making this"Certificate;of ENGINEER �G[ �$ CONST ZONE.' Exemption, you ,should. become, subject to; the.Workers _ U Compensation provisions of•.the.LaborCode,.you:mustforih ADDRESS`' ,S �� �iL' 0- `- with comply with such,,.provisions ;or This permit shall. be p T y f�f Z deemed revoked. ;ti,.. CONTRACTOR" .w/ f.� _ a r STATISTICAL CLASSIFICATION APL CONDO LIC .LICENSED CONTRACTORS'.DECLARATION ADORES ''� NO. / v6 CLASS NO- DWELL; UNITS I hereby-affirm tkavl-am licensed under provisionsbf Chapter9 a (commencing with Section_7000);of Division 3:'of the Business CITY$` - LI ASS SEWER MAP effect D .� VALIDATION and Professions Code-;and.mylicense is in full force and` License Number STORIES' VALUATION FAMILLIIES „� ONEK i- License Lic.'Class. SQ FT.' .� SIZE ` BK. PG. ` RPT VA # . Cohtracto r �_ lI�'� Date ATION DESC I ION°OI-WORK=S NEW �. ADD ❑ m r ° . ❑I,am exempt under Sec E. :ALTER ► � , B.&P C. for this re E �� � REPAIR'❑ USE OF: s EXISTING BLDG DEMOL ❑, Signature" APPLICANT: 7E 'FINAL � ` Y L. / IJ t OWNER-BUILDE ECLARATION. ... (PRINT) NOs DATE vi st�2i_F,' °=! Lhereby affirm that I am exempt from the Contractors License Law'for the following reason.(Section 7031.5,Business and' ADDRESS (piJ - �'� FINAL' - rProfessions.Code) ,...- _ PRESENT - By - - _. �. BUILDING t F � e. ❑ I, as owner of the property,.,or my employees.with ADDRESS t wage'sas,their sole compensatton,will do-the work and r} tit the structure ii not intended or offered forsale(Section ? LOCALITY ' ii 7044; BusineN and;Professions Code.j; „ - MOVING -,. TEL.; . :I, as owner<of the property, am exclusively contracting CONTRACTOR with,-h contractors tci construct the projech(Sec ADDRESS TO R NO R tion 7044, Business and Piofesstons:Code,) REQUIRED.' TOTAL SETBACK-FROM EXIST-, } CONSTRUCTION LENDING AGENCY, SET BACK PROP. LINE. WIDTH' YARD'. HWY t I hereby affirm that there is a construction.lending agency.for FRONT the performance of:'the-.work;for which".this permit is:issued (Sec. 3097,'Civ. C.,).: SIDE w Lender's Nor-he LDMA Ref. # - Lender's Address P C'Fee$ •Permu-Fee _ _ .., ' o I certify that i. have:.read this'application and state,that the - ssuance Fee LDMA 02 -c# g above,mformation is correct. I agree To comply witn:all,County Investigation Fee x r. ... o ordinances and State''laws relating to.-building construction; Total Fee. LDMA Permt # a and he au ri ' ' ntatNes of this County to enter upon e b entjon ro erty.for inspection u01/ _ PVP. SEE'REVERSE FOR EXPLANATORY LANGUAGEgnature Applicant or Agent Dat .• t .APPLICATION FOR BUILDING PERMIT a;OUNTY OF"LOSAN :ES BUILDING AND SAFETY . WORKER'S COMPENSATION DECLARATION FORAPPLICANT TO FILL IN BUILgISt�/D ESS �o •/Lr/d ' ' BUILDINGADDRESS. � Op 1':hereby affirm that I have.,a certificate of consent to self insure, ora certificate of Workers' Compensation Insurance,or a certified - TUNAS- copy thereof(Sec.3800, Lab C.) CITaY ." ZIP.,1780 ; 1:046140 . STATE FUND', LocaurY �. . Policy,No: Company - SIZE OF LOT NO,OF BLDGS:NOW ON LOT" s.,._ '. ❑ Certified copy is hereby furnished. ', � - NEAREST CROSSST. - Certified co Is filed with the count building inspection TRACT -BLOCK LOT.NO. tFYI copy Y 9 ction .- SEIZO • 11-department. • :. U NE .MAP NO:` Date - Applicant ASSESSOR MAP BOOK - PAGE PARCEL • ` • ., - r L SPECIAL CONDITIONS - - - _ OWNER -7'TEL TEL NO. - � 0 ® CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ' 45-1321 - .WITHIN 1000 FT.OF-SCHOOL? YES NO ',(This section need not be completed if the permit is for'one hundred ADDRESS - dollars($100)or less:) 9418 EAST LAS TUNAS DISTRICT GROUP TY E CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which'this permit CITY YTEMPLE CITY ZIP 91780 is,issued, I.shall not employ_any person, any:manner-so.as,to, ARCHITECT OR ENGINEER - - --y'-TEL--NO: --- - -- - - _ - - .become subject to the Workers'Compensation Laws. - _ STATISTICAL CLASSIFICATION APT CONDO Date. Applicant, - • ADDRESS' - , . .CLASSNO. tea.- .DWELL UNITS .. NOTICE TO APPLICANT If, after making. this Certificate of REQUIRED TOTAL SETBACK FROM EXIST. Exemption, you should •becomer•subject, to, the Workers' CONTRACTOR I TEL NO. - SET BACK _ YARD HWY. PROPLINE WIDTH Compensation provisions of the. Labor Code,-you must forthwith RANDOL ROOFING 288-4040, FRONT comply with such.provisions Or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION . VALLEY BLVD: sD '451y3T' SIDE. �IAYN GABRIEL �_WS P L y that I am;licensed underprovisions' of Chapter 9 SEWER MAP Professions Co With SIection 7000)of Division 3 oVthe Business and O.FT.SIZE NO..OF STORIES NO,OF FAMILIES - - NEW v❑ BK PG, } I hereby affirm License Number e451931�ense Is In full force an ffect. DESCRIPTION OF WORK ApD:: . �. ❑.. . VALUATION -• � a RANDOL ROOFIN� 1-31-98 REROOF FLAT TWO STORY Contractor ate ALTER ❑ $ _4& contractor V BUILDING'. 0`1 am exempt under Sec. .' REPAIR" ❑ $ �. . . B.&P.C.for this reason HOT B10 UILT :UP 'ROOFING DEMOL' ❑ LU .USE OF EXISTING BLDG. Date:. URM'. ❑. Signature 'APPLICANT(PRINT), - TEL NO. ,<. . LDMA"Perm# _ _ _ _ 1, as owner of the;property, or my employees with wages'as' a j. their sole,compensation, will do the work-,and the structure is, ADDRESS O Aji�'`T rl not intended or offered for sale (Section 7044, Business and FINAL DATE Q33 n ie j� ` PfOfeSSIORS Code) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _ .. I , L ' `OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL.EQUAL TO OR GREATER THAN THE. - - i ITEMS _ FINAL BY .,, j " 3' d!E!t r ❑ I, as owner of the property, am exclusively contracting Wlth AMOUNTS SPECIFIED ON THE HAZARDOUS,MATERIALS INFORMATION GUIDE? licensed contractors,to construct the project (Section 7044, VES❑ No❑ TOTAL 15' ' Business and Professions Code.) rf- — e WILL THE INTENDED USE OF'THE BUIDLING r BY THE APPLICANT OR FUTURE BUILDING - ('.(S�r:�.- 'C`i°' OCCUPANT REQUIRE A,PERMIT-FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK K 1_9 o 68 C.`ONS'TRUCTION.LENDING AGENCY - COAST AIR QUALITY MANAGEMENT.DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. CHANGE- � _ ,.o LjL1 I;hereby affirm that there is:a construction lending agency for YES❑ NO❑ flf7t1111YY1i77C �� ' the performance Of the Work for which this permit IS ISSUed(SeC.• I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND.THE SCAQMD PERMITTING' 3097,civ.c.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS,ANGELES COUNTY CODE, TITLE 2,'CHAPTER 2.20,SECTIONS 2.20 100 THROUGH.2.20.140 CONCERNING HAZARDOUS " '0000— C`I(}'! - Lender's Name. _ - MATERIALS REPORTIN_G'AND FOR OBTAINING A PERMIT FROM THE SCAQMD, Iry 1 o Lender's Address OWNER 5262 O OR AGENT - - - - - o I certify that 1:have read this,application and state.under penalty ' P.C.FEE O of*perjury that the above information is correct.I agree to comply ' `PERMIT FEE - I county ordinances and State laws relating to building • construe ion, and hereby-aut i e repr tatives'of'this-County ISSUANCE-FEE - - - . �• to ente upon the above-m� prop ty or inspection purpose //� ' / _ rE". INVESTIGATION FEE TOTAL FEE Sig ur ofAPPlican[or A9e1t Date ' - SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0109060054 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: U BUILDING ADDRESS: TR: 6561 LT: 738 BL: .001 SIGN DESCRIPTION: UN TECH (RED) COPIER FAX PRINTER (BLU 9418 LAS TUNAS DR TEMP CA 917802144 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK 8587-006-026 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: UN TECH EXIST OCC GRP: 09/06/01 UT 03/05/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA DAT FINAL BY: CODE: COLBY WILLIAM W 500 901 PALOMA DR ARCD 910076123 FEES PAID DESCPIPTIUN OF WORK SLIDE IN NEW PLASTIC AND ATTACH 2INCH FOAM W/SILICON FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GLUE APPLICANT: TEL. NO: DJIN SHU (UN TECH) (626) 286-2222- AA BLDG PERMIT ISSUANCE 27.75 9418 LAS TUNAS DR AE STRONG MOTION_OTHER 500.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY AX BUILDING-REVI'EW-FEE ''L 54.70 D2 PERMIT W/0 EN=HC --500.00 VAL 43.65 TOTALaFEES 126.60 CONTRACTOR: TEL. N0: �/�p'. � APPROVALS DATE INSPECTOR SIGNATURE UN TECH (626) 286-2222- LIC. 86-2222 LIC. NO !' \ LOCATION AND SETBACKS 9529 1/2 LAS TUNAS NONE TEMPLE CITY, CA 91780 //'�' �` �,,- ,,; zi��-'- \, SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ";`, ;I r -'.�' -� FOUNDATION/TRENCH FORMS r _ - LIC. NO i c {—� i r-�I I I • j - SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP0,0 J,.i NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS %r NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508