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Home My Public Portal About9425 LAS TUNAS DR_Building__ • _APPLICATION FOR BU.ILD1NG -PERMIT � . FO,R'APPLICANT TO FILL IN (Print or type only) f-�, LI LbING �q .. -, COUNTY OF..LOS ANGELES abR ESS-• 4ZS LA S T u AS DEPARTMENT OF COUNTY ENGINEER TV TE L:' �'.i - zIPBUILDING ANDSAFETY DIVISION_ NO.OF BLDGS. BUILDINGZE OF.LOTI /,O NOW ON.LOT ADDRESS ' •- ,�. TRACT• ]BLOCK.BLOCK SLOT N0.7 9C� LOCALITY c' /+ .TEL. •- . NEAREST cA OWNER- Q OIL6Q.. NO. S. L CROSS ST. OL ASSESSOR 'ADDRESS - -.19 _BLUDMAP BOOK PAGE PARCEL - OISTRICT GROUP TYPE FIRE IPR176ASSEDBY - - ONST.. ONE- Z CITY Ld �- a ZIP � _ - - - .ARCHITECT _ TELg�! ENGINEER NO: b - . p,�}.,��y� _/j Q��i��" STATISTICAL CL SI'F ATION - SEWER MAP ADDRESS4660.6'-�� JC- F&R- /T,'��+SRvi'��'1, OLA SS NO. �• _DWELL,UNITS SK PG fTECONTRACTOR6aL) -h1jQ1fjT i .. NOL• 5- USE.ZONE MAP LIC.. /( NO. - ADDRESS �2 .10.2- / 'Z SPECIAL _ - LIC.' CONDITIONS . CITY - -CLASSb - ROAD DEPARTMENT APPROVAL REQ-UIRED • .Y-E.S❑. N'O ❑' CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM - - FRONT PROP.LINE OF - (STREET) d ADDRESS --- CITY. �- - _ HIGHWAY' .} YARD TOTAL SETBACK FROM TYPE OF EXISTING �V SQ, FT n - NO. OF, NO. OF _ CHECK - FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE �DESCRIPTION•OF WORK - - NEW U BLDG.SETBACK FROM - d _ li �� ADD 1:1 C/) PROP..LINEOF _ (STREET) Z c _ 7 ALTER ❑ HIGHWAY' } YARD _ _TOT'A.L SETBACK FROM TYPE OF 1EXISTING -q -`�' �, ' REPAIR❑ - - SIDE PROP..LINE HIGHWAY WIDTH USE OF. - }. _ .. I - EXISTING. BLDG. DEMOL ❑ 'APPL.I CANT) _ TEL ['' CORNER-CUTOFF YES ❑ NO El(PRINT) ..�- + .�- BY (SIGNA:TU )0 - IN OPEN SPACE YES El -NO QQ,, - IN COASTAL ZONE - YES ❑. - NO ❑ VALUA'TI N.W CATEGORICAL EXEM-P.T10 - N YES❑ •NO ❑ 1 HEREBY CKNO LEDGE.THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL - AND STATE T T T E ABOVE IS CORRECT AND.AGR£E TO COMPLY IMPACT EXEMPTION DECLARATIONSIGNED (DATE) WITH ALL ORD A CES AND LAWS REGULATING BUILDING CON- i STRUC TI ON. !-CE IFY THAT IN DOING T.HE._WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I -WILL NOT E PLOY-.ANY PERSON IN VIOLATION OF THE LABOR -CODE OF THE STA E .OF C IFORNIA IN RELATING TO ��dR WORKME.N;S, CO MPE NS TION NSU NC {.�YY SIGNATURE O y - 4 - .: - - - 3--Z/'-73 PFrPMiTTPF7 ADDRESS - J�JLVa �flt/' - t,h FINAL JBY r - 1� }� TESL. �1 �y `{ /{�� C I TYILON 6e N6. , S-(�'L D A T.E . //,1 ) P.C.• `VI - N / PMT. 11;1 f E' C H< CFS P.� �l 13L'E ZO: FEE � w / FEE HARVEY T. BRANDY COUNTY ENGINEER PLANCHECK•. VALIDATION 'CK. Mo. CASH PERMIT IDATION CK.�.•-M:O. CASH '•76A6218A.-CE#803 12/72 „~_ -APPLICATION FOR BUILDING PERMIT FGFLAPPLICANT TO FILL IN (Print or type only) BUILDING �� --• COUNTY._ OF LOS ANGELES ;ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY TQC C ,.ziP "- BUILDING AND SAFETY°DIVISION _ No.OF,,BLDGS. BUILDING ''�L t SIZE OF-LOT �6 NOW ON LOT ADDRESS- TRACT TRACT BLOCK�(� LOT NO. y� LOCALITY `S NEAREST OWNER,r" � (J/L �.. NOL .�L CROSS ST.- ( '', ASSESSOR ADDRESS �` �w t MAP BOOK PAGE - ARCEL DISTRICT GROUP T�PE FIRE RO SSED BY // Ua � ST. - ZONE i CITYLQ ZIP ARCHITECT OR TEL. •V� �- ENGINEER NO. - STATISTICAL CLASSIFI .TION SEWE AP ._ ADDRESS CLASS NO. DWELL,UN ITS �- BK PG CONTRACTOR HEEL ,j•, USE ZONE MAP l , /] NO. OGl ADORESS11 1 eF- NO V II / 'iL SPECIAL LIC. l.� CONDITIONS CITY �. CLASS _ ROAD DEPARTM ENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH - BLDG. ETBACK FROM - - >_ FRON PROP.LINEOF - (STREET). ADDRESS CITY G I TOTAL SETBACK FROM TYPE OF EXISTING HfGHWA } YARD U SO.'FT. NO. OF NO. OF" ✓ .CHECK FRONT PROP.. LINE HIGHWAY WIDTH � SIZE STORIES .�� FAMILIES - ONE�f� O DESCRIPTION OF WORK NEW } LLJ S/6-" - ' - ADD -- ElSIDE PROP. L NE OP M - (STREET) Z 47 "ALTER ❑ TOTAL SETBACK FROM PE OF EXISTING REPAIRHIGHWAY } YARD = SIDE PROP. LINE HI AY WIDTH ❑ USE OF _ DEMOL ❑ } EXISTING BLDG. -- APPLICANT - TEL CORNER CUTOFF YES ❑ -.NOEl L (PRIN"T) • G NO S' Z - BY (SIGNATUR , IN OPEN SPACE - YES �. -- NO ❑ IN COASTAL ZONE ,.YES E] NO ❑ VALUATIO - CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBYACKNO LEDGE THAT I HAVE READ THIS APPLICATION. ENVIRONMENTAL AND STATE AT TH ABOVE IS CORRECT AND.AGREE TO COMPLY' IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL 0 NAN ES AND LAWS REGULATING BUILDING CON= - STRUCTION. I C FY THAT -IN DOING THE WORK-AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL'NOT EMPLOY ANY PERSON IN. VIOLATION OF THE LABOR CODE OF TME-. ATE/�OF CA FORNIA IN RELATING TO �a 010,6 WORKMEN'S CO MPE NSA N I 1 RA CE _ SIGNATURE OF �V!/y"�/ �.3 PERMITTEE �j J� /� _ ADDRESS + � J r--"`�. OG 48 C U IJ n\i V I/b// CITY .�• .. NO. �.gBY L . FINAL Y ' /.�,-�/ 1- //A � DATE P.C. V JPMT; - .11,1KF_ f HEChS PA YA13LE ZO: FEE HARVEY T. EIRANDT, COUNTY ENGINEER PLAN CHECKVALIDATION cK. M.O. CASH PERMI VALIDATION cH. M o. CASH 76A6384 CE#803.12/7.2 APPLICATION FOR- BUILDING PERMIT FCS APPLICANT TO FILL,IN (Print or type only)' VI,I,LDING COUNTY OF LOS-ANGELES ADDRESS Q �S � Ls ; ,. DEPARTMENT OF COUNTY ENGINEER CITY�' Lam. G zla J BUILDINiG� AND SAFETY DIVISION UILDING SIZE OFLOT1 6 18D + NOW OON LOTS/ ` - ADDRESS ITRACTe,56 BLOCK //�� T NO. NEAREST. LOCALITY OWNER VT (J NOL S^'..2 CROSS ST. - / ASSESSOR -- ADDRESS 14I/� 04 BLVD MAP BOOK I PAGE PARCEL // /�� DISTRICT GROUP TYPE FIRE _ SED BY CITY(—(FN6 BEF=e. ZIP � 1y-+ - CONST. - ZONE ARCHITECT O•o�y� ��,��I� TE �/� ,0c5 ENGINEER /X ,- 51tFry NO. / _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS a CD S CLASS NO. CONTRACTOR //�� TE USE ZONE MAP - - TJ /' 7�1 N O �� NO, ADDRESS'9kO-E 4g � ST NO LIC :_2_ SPECIAL ' _ LIC. �'` CONDITIONS CITY v CLASS - ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER Al NAME AND'BRANCH BLD .SETBACK FROM FRO T PROP.LINE OF (STREET) >- �A.DDRESS - s. CITY _ TOTAL SETBACK FROM TYPE OF EXISTING O U FRONT PROP. LINE SQ: F � � 'NO. OF NO. OF CHECK HIG AY YAR - HIGHWAY WIDTH SIZ �71) STORIES FAMILLES �' ONE - + _ O DESCRIPTION OF WORK. NEW ❑ U _ ADD - ❑ BLDG.SETBACK FROM (STREET) � SIDE PROP,LINE OF Z • ALTER ❑ _ TOTALSETBACK FROM EOF EXISTING X0Aw ��GG" REPAIRHIGHWAY } - YARD - SIDE PROP. LINE HIG AY WIDTH 7 � ❑ USE OF �� - t - _ ' EXISTING .BLDG. - - DEMOL ❑ - APPLICANTEL -CORNER CUTOFF YES NO (PRINT) T r+ �, NO. BY (SIGNATU IN OPEN,SPACE .YES - ,NO -� Q IN COASTAL ZONE YES NO ❑ VAi UA Til+ JEEA - CATEGORICAL EXEMPTION YES NO I,HEREBY CNN WLEDGE THAT I HAVE READ THIATION ENVIRONMENTAL ANDSTATE TH HE ABOVE IS CORRECT AND AGRMPLY IMPACT ,* EXEMPTION.DECLARAT.ION SIGNED (DATE) WITH ALL ORDI ANCES AND LAWS REGULATING CON- STRUCTION. I .CERTIFY SHAT. IN DOING THE WORRIZED IMPACT REPORT PROCESSED (DATE) HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOF THE LABOR WORKMEN'SDE OF C:MP E NSE OT INTE OLIFORNIA ING TO Oma ./.. � / �_3 SIGNATURE _ -H- PERMITTEE /N Q ADDRESS p" 64, /y //q��CITY .. NOL7�- DATE /. � BY.TEP,C. , PMT.HAKE CHECKS PAYA131-L 70FEE (/ FEEHARVEY, T. BRANDT, COUNTY ENR of Fn 3ya� PLAN CHECK VALIDATION CK.' M.O. CASH _ - PERMIT V ATION CK' M.O. CASH 76A638A CE#803 12/72 .. .L 'G `.l�1lJr JUN 21 1. D l 3 4.2 5.,+ 4 APPLICATION FOR BUILDING- PERMIzT r APPLICANT -TO FILL IN (Print or type only) i�l_1;4 NG !) d� COUNTY OF LOS ANGELES l+.DaRESS (�• /`a DEPARTMENT OF COUNTY ENGINEER ' CITY TchiAce -rc . ZIP BUILDING AND SAFETY-DIVISION - _ / NO.OF BLOCS. BUILDING 1 SIZE OF LLOT/40k'/ 0 NOW ON LOT �[ ADDRESS 3911-TRACT 6%56f BLOCK LOT O. + J LOCALITY �- \ ST OWNERST4V /7/�Z0 I 1&600 � NEDL /J� I GROSSNEAREST.. ASSSSOR ADDRESS.#4_ -- • OC45 _BLVD MAP BOOK PAGE - ]PARCEL ` ..Aa� DISTRICT GROUP TYPE FIRE O SSED BY CITY YV ZIP ggg ... a CONST .ZONE ENG NARCHIEERT O TE . NO�(1J-44 !✓-` ' STATISTICAL CLASSIFICATION - SEWER MAP ADDRESS/C7,06 C . /,�w, ' �_�� CLASS NO.'- _ ELL.UNITS .BIS/ CONTRACTOR�/QD/.SeV/ ) Q _ NTEL O��J'� USE ZONE MAP '7 y� TY4No. ADDRESS/�Ob ',' '� NOlqf ///�+ _ SPECIAL ^ LIC, v _ CONDITIONS CITY LA CLASS ✓- ROAD-DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER f - NAME AND BRANCH - BLDG,SETBACK*FROM >.. FRONT PROP.LINE OF (STREET) a ADDRESS �' CITY ^^ - O HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING U SQ, F 'NO. OF NO.-OF - .^ CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE I35 STORIES FAWLIES ONE - O } DESCRIPTION OF WORK - NEW _ LLI cn USP s ❑❑ GFROM ADD SIDE LINE (STREET) ALTER Z- HIGHWAY } YARD — TOTAL SETBACK FROM TYPE-OF EXISTING ❑ SIDE PROP. LINE HIGHWAY WIDTH REPAIR USE OF .� � � � } EXISTING BLDG. - _ _ DEMOL ❑ (PRINT) J J. n I � N0. 3,J��` CORNER CUTOFF YES ❑ NO ❑ APP LICANeAZ -TEL IN OPEN SPACE - YES.:❑ .. __ NO ❑ BY (SIGNATI Q IN COASTAL ZONE YES ❑ NO ❑ VALUATI N$ - CATEGORICAL EXEMPTION YES❑ N ❑ ,I HERE BYNCK JOW LEDGE THAT I HAVE READ THIS APPLICATION -ENVIRONMENTAL. - AND STATE THA THE ABOVE'IS CORRECT AND.AGREE-TO COMPLY IMPACT EXEMPTION'DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND, LAWS REGULATING BUILDING CON- r� STRUCTION. .1 CERTIFY THAT, IN DOING THE WORK AUTHORIZED - - IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE ATE OF-CALIFORNIA IN RELATING TO �,�I_ , �� WORKMEN'S CO MPE NSAT N IN RA E. i. ,.N✓`� —(T SIGNATURE PERMITTEE ADDRESS. L 3J �/ FINA 1�/ 11BY T E L. 2L�: �pw CITY (.� NO. DATE _�✓ , 1 PPP T $ 11.1/�F_ CHECKS P:11':1f3L 7'0: FEE � ` �y01'+ � � FEE HARVEY T. BRANDY, COUNTY ENGINEER '.:PLAN CHECK VALIDATION cK. M.O. CASH PERMIT'VALI TION CK. M:O. CASH 1 8 0 273. JU=N21 � 0 3 4.5ON 76A638A CE.P803 12/72 t T6A,638/> CE #8034"APPLICATION FOR. BUILDING , PERMIT f1 c ' COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE. PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS S i HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY-� G FOR APPLICANT TO FILL IN NEAREST Print or tyoe onl - - CROSS ST. DISTRICT.NO: 'GROUP • TYPE. PRO ESSFfp B BUILDING /' S CONST, O�-w//fjr!��. ADDRESS c - STATISTICAL CLASSIFICATION SEWER MAP- LOT NO.3 q _ BLOCK - CLASS N DWELL,U S BK/ P� TRACT - USE ZONE MAP �J NO.OF BLDGS. ^ NO. )o / . SIZE OF LOT1Z,0x1ff0 NOW ON LOT y SPECIAL USE OF CONDITIONS EXISTING BLDG. I TEL. - 6� 0WNER�7 NO. �' ',BLDG.SETBACK FROM - ADDRESS "FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD. = TOTAL CITY - -HIGHWAY WIDTH FROM C.L. AlTC GT ORf� �, -NEE ! } _ ENGINEER /y Pa p� BLDG.SETBACK FROM A_ DDRESS ,� � - SIDE PROP.LINE OF (STREET) C C" • TEL. + TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL C CONTRACTO "/)°S- ( „��. NO._ �•• / HIGHWAY -WIDTH FROM C.L. O LIC. V ADDRESS �S �°� `� NO. - - + LIC. y CITY f CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS- SQ. FT _C NO. OF / NO. OF NEW .[.. - SIZE p� STORIES/ FAMILIES USE OF ADD ❑ STRUCTURE i ALTER ❑ 1� REPAIR❑ _A A) V IV SIGNATURE OF APPLICANT. DEMOL ❑ - VALUATION $_ APPR ALS - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S FEES SSD FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE I_S CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,- - WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS ' _ STRUC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE "LATH, INT. - LABOR CODE OF THE STATE OF •CQ:IFORNIA" IN RELATING TO WORKMEN'S COMENSA 10 INSURAN LATH, EXT. -- - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS Z6o Fl N AL PLANCHECKVALIDATION CK. M.O. CASH _ PERMIT VALIDATIONCK. M.O. CASH /i2n 373 ? stir.9 5 4.• 873 MAR 1 4 1 / 4.5 0 V 761h638A CE 4803 4/72' - APPLICATION FOR BUILDING PERMIT COUNTY-OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL .BUILDING AND SAFETY DIVISION_ BUILDING MAKE CHECKS PAYABLE TO: ADDRESSle HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tVDe only) CROSS ST. DISTRICT NO.- GR_UP TYPE ESS D B BUILDING �!/ �^ Q / CONS T-__ ADDRESS ��_s ZAP STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK - CLASS BK P TRACT USE ZONE I MAP �77 � - NO.OF BLDGS_ NO. OG O 0 ; SIZE OF LOT U NOW ON LOTS SPECIAL USE OF -2, CONDITIONS EXISTING BLDG. - TEL. OWNER � b / NO. O BL G:SETBACK FROM ADDRES FR NT PROP.LINEOF (STREET) / TYP OF EXISTING SETBACK HIGHWAY } . YARD = ��TOTAL CITY L c HIGH Y WIDTH FROM C.L. ' TE ENGINEER T OR BLDG.SETBACK + 17 CA¢ �r- _ SIDE PROP.LINE OF (STREET) ADDRESS as � TYPE OF EXISTING SETBACK H,IGHWA } YARD _ .TOTAL U CONTRACTO - s' �.�. � NO.GS �`70 HIGHWAY WIDTH 'FROM C.L. w O ,.LIC. + W ADDRESS S% � .NO. ! , CITY4// Li C. a i CLASS - CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APP VALS ADDRESS - SQ. FT. NO. OF NO. OF NEW SIZE �� r STORIES FAMILIES USE OF ADD ❑ - 17 STRUCTUR _ ALTER ❑ - x.41 REPAIR❑ LVALULATION r / OEMOL ❑ - �/ - APPROVALS -- - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION _ FEE S FEE S FORMS, MATERIALS' FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION BRACING, BOLTS - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ' WITH ALLORDINANCES AND LAWS REGULATING BUILDING 'CON- GAS VENT, DUCTS - STRUCTION• I CERTIFY THAT IN DOING THE WORK AUTHORIZED. - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - - - LABOR CODE OF THE STATE OF -C -IFORNIA IN RELATING TO WORKMEN'S CO'PENS 10 NSURA LATH, EXT, _ SIGNATUREOF HOUSE NUMBER COR- PERMITTEEI RECT AND POSTED ADDRESS_/�aP_0 4Z• �sFINAL .. .. - . . PLAN .CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION OCKM.O. CASH I c9 5 4773 MIAR 1 6 p 1 3 4.2 5 , . r 76A638A r1E x+8034/72 PVz G� I APPLICATION FOR BUILDING PERMIT COUNTY OF OF LOS ANGELES ASSESSOR • DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL i , BUILDING AND SAFETY DIVISION ' BUILDINGe+,2G_. -�- eFYY MAKE CHECKS PAYABLE TO: DDRESS. HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Ou C— '( I FOR APPLICANT TO FILL IN NEAREST Print or tVDe only) CROSS ST. DISTRICT GROUP TYPE PROC SSED BY BUILDING uE- ' I L^ p r(_ CONST. ••` �� ADDRESS 471 LAS (vt,RJ� 1 L' � STATISTICAL CLASSIFICATION SEWER�MAP LOT NO. s BLOCK r- rCLASS NO. TRACT USE ZONE[CONDITIONs AP NO.OF BLDGS._ O. ' �J0 LC, SIZE OF LOT/j,0 ♦8o NOW ON LOT G Z PECIAL ((�� - �`��` FLA - EXISTING OF 'C�( QL&J W EXISTING BLDG, ! ` TEL. OWNER '++ No BLDG.SETBACK FROM ADDRESSY&V k1 ' FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY ,/ - HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL� + _ ENGINEER Ste` N0. Q BLDG.SETBACK FROM n' ADDRESS �QD ' 63p'_ SIDE PROP,LINE OF (STREET) V '�- TEL. TYPE OF EXISTING SETBACK -HIGHWAY + YARD = TOTAL C CONTRACTOR - ,� j! ,/� NO Q� HIGHWAY WIDTH FROM C.L. LIC. _ v ADDRESS _ .! �T NO. �s��• + - d CITY C ASS G^" CORNER CUTOFF YES ❑ NO ❑ rCiAMETarUio eIRANCHNDE SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SIQZE T � SS�gORIES FOWOFES NEW 119- •� STRUOCTURE5 ,,v,. ADD ❑ - ��-C-C1ti -`�''"'" / 1 !1 -3:6 -7,5 ALTER ❑ i L2 SIGNATURE O REPAIR❑ �_ APPLICANT ,;. „DEMOL-❑ VALUATION $So �� i.•,J'):.I APPROVALS DATE INSPECTOR'S SIGNATURE P.C. i PMT, FOUNDATION: LOCATION FEE S I FEE S. f FORMS, MATERIALS ' FRAME FIRE STOPS, I H EREBY'.ACKNOWLED•GE,THAT_I,-HAVE READ_THIS APPLICATION - BRACING, BOLTS AND STATE THAT THE ABOVE.IS•COARECT AND„AGREE TO COMPLY. FURNACE: LOCATION, ..WITH ALLORDINANCES AND LAWS REGULATING BUILDING, CON- GAS VENT, DUCTS - STRUCTION. I CERTIFY THAT IN DOING .THE WORK AUTHORIZED. - HEREBY I-WILL NOT EMPLOY ANY PERSON.:y IN.VIOLATION-•OF THE 'LATH, INT. - LABOR CODE OF THE STATE.OFI -CALIF NNIA IN RELATING TO WORKMEN'S COMPE SAT ONil SURANCE. - LATH, EXT. - SIGNATURE OF HOUSE NUMBER COR- PERMITTEEfQ RECT AND POSTED - - ADDRESST�<y � .-.:rEa . .J��• -d/A�'"; FINAL ..PLAN CHECK VALIDAT ON 'OK.' `• M.O: CASH DK .kf_ PERMIT VALIDATION0. CASH 1114 a 3'7 .4:a- QCT 2. � 16-1 .101 ". �/ Li'luol o 7 8 ;- 1 .1 D2 6 8.5 0- 14 76A638A CE 4803 4/72 APPLICATION FOR BUILDING PERMIT f1. COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY' DIVISION BUILDING AIAKE'CHECKS PAYABLE TO: ADDRESS �7irJ+ 1— HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL-IN:.• NEAREST (Print ort onl CROSS ST. L� BUILDING AA , IAA DISTRICT NO. GROU,j. CONTypST. PROC SSED BY ADDRESS �F/� Rf�/� sl'�i^' STATISTICAL CLASSIFICATION SEWERMAP LOT NO.slez 30!u;:% BLOCK- . CLASS NO. Z•® DWELL,UNITS BK PG TRACT (p` j USE ZONE .MAP NO.OF BLDGS. NO. Zirr3C> SIZE OF LOT 1496X(90. NOW ON LOT C�2 SPECIAL USE OF ��+� CONDITIONS LI�� ✓� OICi' EXISTING BLDG-.G9E.,(�_ —.=5— TEL. iE 2 ' NO. BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } . YARD = TOTAL Cl TY - ,. HIGHWAY-.WIDTH .-FROM C.L. - - - - - ARCHITECT EL � t OENGINEER % NG _ BLDG:SETBACK FROM ADDRESS - r� Q SIDE PROP.LINE OF (STREET) CONTRACTOR NO �(� TYPE OF EXISTfNG-SETBACK HIGHWAY .+ _-YARD TOTAL � HIGHWAY WIDTH. FROM C.L, LIC. _ V ADDRESS - N +- W CITY 25=_ /C� CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE �j STORIES FAMILIESUSE r� STRUOCTURE .. ALTER'❑ SIGNATURE OF REPAIR❑ IV t APPLICANT DEMOL ❑ - j /l V VALUATION$ "' APPROVALS - - DATE- -INSPECTOR'S SIGNATURE P,C, h PMT.' FOUNDATION: LOCATION - FEE $ V,y FEE $ FORMS, MATERIALS - - FRAME:.FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT 1-HAVE READTHISAPPLICATION BRACING-, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, .. WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT - - LABOR OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN' FB}leINSURANCE. _ LATH, EXT, - - SIGN � URE OF HOUSENUMBER COR- - - PERM TEE - RECT AND POSTED- ADDRESS FINAL PLAN CHECK VALIDATION CK. CASH _ PERMIT VALIDATION. CK. 76A638A CE 9803 4./72 - •y APPLICATION FOR BUILDING PERMIT COUNTYOF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING BUILDING AND SAFETY DIVISION /� -- MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER . LOCALITY G: FOR APPLICANT TO FILL IN NEAREST . ^ Print ort a only) CROSS'ST. DISTRICT X�110. GROU TYPE PR CESSED BY BUILDING, C s �/ �jJION - ADDRESS ' STATISTICAL CLASSIFICATION SEWER-MAP LOT NO-� 3 BLOCK CLASS NO. DWEL-L.UNITS BK PG - TRACT (fp - USE ZONE. MAP- -NO.OF SLOGS. NO. ZOO SIZE OF LOT l(ovX NOW ONILOT - °_-Z, SPECIAL .. USE OF CONDITIONS GIFT C)� EXISTING BLD TEL. NO. BLDG.SETBACK FROM - ADDRESFRONT PROP.LINE OF (STREET) 94� � _ TYPE OF EXISTING SETBACK HIGHWAY -} .YARD = TOTAL CITY - - - HIGHWAY WIDTH- FROM C.L.. ARCHITECT O TEL '/ f } — ENGINEER NO ,:( ice BLDG.SETBACK FROM ADDRESS - SIDE PROP.LINE OF (STREET) CC:11',� E L.yy�y��y�� TYPE OF,EXISTING, SETBACK HIGHWAY } -YARD = TOTAL CONTRACTO NO.(.!'sG� HIGHWAY WIDTH FROM C.L. C _ ~ ADDRESS - + LIC CITY V��j �- CLASS CORNER CUTOFF - YES ❑ NO ❑ - Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL-APPROVALS ADDRESS - SQ. FT. NO. OF ' NO. OF NEW SIZE _ STORIES FAMILIES v� •0 o . USE OF .'ADD 4 ' STRUCTURE �VA CS / ALTER ❑ �/ / *- n REPAIR❑ SIGNATURE OF APPLICANT - DEMOL ❑ ' VALUATION $� - _ APPROVALS DATE. INSPECTOR'S SIGNATURE P.C. PMT. \ FOUNDATION: LOCATION - FEE $ �.-� FEE $. 1� FORMS, MATERIALS FRAME: FIRE STOPS, - I HEREBYACKNOWLEDGETHAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY ' FURNACE: LOCATION, - WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON THE VIOLATION OF THE LATH, 'INT, - - - -- LABOR C OF �THESTA�TEOFC��lELATING TO WORKMEN'S CLATH, EXT,SIGNATUR OF HOUSE NUMBER COR- - - PERMITT RECT AND POSTED - - - -- ADDRESS - FINAL PLAN CHECK VALIDATION CK.. M.O. OCASH _ PERMIT VALIDATION CK. M. ASH 76A638A CE V803 4/72 APPLICATION FOR BUILDING PERMIT �7 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE 7'0: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tVDe only) CROSS ST. - BUILDING / DISTRICT NO--7 ROU (TYPE "'7ffROCVSSEO BY, ONS T, ADDRESSl� s STATISTICAL C A IFIC TION EWER MA LOT NO. BLOCK CLASS NO- WELL.UNIT9-- BK PG TRACT- - - USE ZONE MAP Il NO.OF BLDGS. NO. O SIZE OF LOT NOW ON LOTSPECIAL - -' USE OF 'A —7 r-- �L CONDITIONS EXISTING BLDG. C�/l•�/Y! !G 4I,Il e`j \ OWNER .'-�� ) NOL - - B DG.SETBACK FROM ADDRESS F ONT PROP.LINE OF (STREET) TY E OF EXISTING. SETBACK HIGHWAY + YARD = TOTAL CITY - - HI WAY WIDTH FROM C.L. - ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) p V TEL. _ TYPE OF EXISTING SETBACK HIGHWAY _+ YAR = TOTAL CONTRACTOR �� NO. HIGHWAY WIDTH FROM C.L. CC O LIC ADDRESS 11,372 > NO. ', l + _ V W p � LIC. � CITY -5;W z �j� CLASS � `� CORNER CUTOFF YES ❑ NO _Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO. FT. c /NO. OF NO. OF NEW SIZE tg STORIES FAMILIES USE OF, C �£ ADDI[] STRUCTURE ALTEREPAISIGNATURE OFAPPLICANT DEMOIVALUATION $ APP OVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. OUNDATION: LOCATION FEE $ FEE$ r7( FORMS, MATERIALS' RAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIBRACINGBOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HE: I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE .LATH, INT, - - - LABOR OF THE STATE OF -CALIFORNIA IN RELATING TO ' WORKMEN' C N INSURANCE. - -LATH, EXT, SIGNATOR OF HOUSE NUMBER COR- PERMITRECT AND POSTED ADDRESS FINAL. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 CASH vL0 -13 MAR 21 1 6 D 6.00- r 76A6.38A CE 4803 4/72 - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION ADDRESS SS MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tVDe on 10 - CROSS ST. Q DISTRICT NO. GROUP T E - PRO ESSE BY BUILDING U/VAv ADDRESS Com" �y T , STA TISTI AL CLASSIFICATI N SEWER MA LOT NO. BLOCK C BK PG TRACT USE ZONE MAP NO.OF BLDGS. NO. D SIZE OF LOT NOW ON LOT L_ USE OF //'�� C,�- CONDITIONS EXISTING BLDG{.rO M, �c,) MQ TEL. OWNER yU �f + NO. BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY }' YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. - ARCHITECT 0 r TEL } _ ENGINEER /Ci /�� NO.O�o BLDG.SETBACK FROM ADDRESS /�f� //�� SIDE PROP.LINEOF (STREET) R� .4.1 r TE NOL'?a TYPE 7 TYPE A EXISTING SETBACK ,HIGHWAY } YARD =. TOTAL CONTRA CTO HIGHWAY WIDTH FROM C.L. C) IC ADDRESS//3 7.-P-M255 NO.Z-2-A&V } - W LIC CITY �//Y' � CLASS �� cn CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER,, NAME AND BRANCHSEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. / NO. OF O. OF NEW SIZE STORIES FAMILIES USE STRUOCTURE ALDTER ❑ f REPAIR❑ 2 SI NATURE OF APPLICANT DEMOL ❑ i� VALUATION $Bn AP OVALS DATE-• INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEES `b� FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION BRACING BOLTS- - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING-THE WORK AUTHORIZED, HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - - LABO ODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKM 1S.W"•S�NSURANCE. LATH, EXT, SIGNATU E OF HOUSE NUMBER COR- PERMIT EE RECT AND POSTED -- - ADDRESS FINAL PLAN CHECK VALIDATION CK. M CASH _ PERMIT VALIDATION CK. M.O. CASH L'if't- 0 1.. 0 77.E 11AR 21 1 6 D 7.5 0N tl 76A638 XE #8034/72 1,��IW�(/c �t ` y APPLICATION FOR BUILDING PERMIT !5 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL V BUILDING AND SAFETY DIVISION. AooRess Q -F- . LAS -JU S MAKE CHECKS PAYABLE TO: ro HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print ort a only) �7 _ DISTRICT GROUP.. TYPE PE SED BY BUILDINGCONST. ADDRESS y STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK � CLASS NO. (�DWELL•UNITS L_2K * PG TRACT USE ZONE MAP NO.OF BLDGS. -7 NO. Z SIZE OF LOT [ NOW ON LOT C- C - SPECIAL n A n USE OF CONDITIONS ( (L�",) 1'-u EXISTING BLDG. OWNER � 2> BLDG.SETBACK FROM ADDRES -G' �/ FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + - YARD = TOTAL ' HIGHWAY WIDTH FROM C.L. ARCHITECT OR TE + _ I ENGINEER iV NO • BLDG.SETBACK FROM a ADDRESS . —L •�, SIDE PROP.LINE OF (STREET) C7 �q TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C.J CONTRACTOR .� C, •- l- �,NO.S HIGHWAY WIDTH FROM C.L. CD l� LIC. + _ ccl ADDRESS �f NO, w LIC. -CITY/- CLASSe� - CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ` SIZE' STORIES FAMILIES USE OF ADD ❑ GULL �✓ S STRUCTURE u ISL ALTER ❑ REPAIR E] SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $ O8 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S • i � FORMS, MATERIALS- �. FEE $ FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - LABOR CODE 0 THE STATE OF -ALIFORNIA IN RELATING TO , WORKMEN'S CO PENSATI N INSURA CE. LATH, EXT, - - SIGNATURE O HOUSE NUMBER COR- . PERMITTEE �} / RECT AND POSTED ADDRESS `T•Bfl f'L ,_ - ff FINAL PLAN CHECK VALIDATION CK' M.O.t CASH _ PERMIT VALIDATIO CK. M.O. CASH L ? 3 OST 2 4• - 4 .1 .4 0 76A638A CE *80.3 4/72ZD APPLICATIONF'OR BUIING PERMIT fl COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION ADDRESS 2� �� . r vl S MAKE CHECKS PAYABLE TO: - HARVEY T..BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN ROSS ST p (Print-or t a onl _ CROSS ST. � C(�" _ DISTRICT I�t0._ GROUP TYPE -P.R CESSEDBY. BGILDING�E. , / - .�^1 {y - ,. . CONST. _ ADDRESS ,�... C_ `7 O i STATISTICAL CLASSIFICATION SEWER MAP LOT NO.j � , BLOCK. - C7 �y i .CLASS NO.. 5 OWELL.UNITS BK PG TRACT- �' USE ZONEMAP' NO.OF SLOGS NO. SIZE.OF LOT �' NOW ON LOT _ _� SPECIAL - - USE OF CONDITIONS EXISTING BLDG. e,, 4 TEL.. - .. OWNER ,V� a 1 1a, NO.' - BLDG,SETBACK FROM ADDRESS - FRONT PROP.LINE OF (STREET) • TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY •� �� HIGHWAY WIDTH FROM C:L. ARCHITECT OR TEL. + _ ENGINEER NO. a} BLDG.SETBACKFROM.. - - ADDRESS SIDE PROP. LINE OF (STREET) V _ " TEL. - TYPE OF EXISTING SETBACK -HIGHWAY' + YARD - _ _TOTAL NO. CONTRACTOR /y��"%jam ___ -4> � � HIGHWAY WIDTH FROM C.L. O LICA _ U ADDRESS _ NO... - + - - d LIC. Z CITY CLASS f CORNER CUTOFF - YES ❑ NO ❑ NAME AND BRANCHNDER / SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS. SQ. FT./ NO: OF. NO. OF NEW ❑ SIZE P. STORIES FAMILIES USE OF RUCTURE '"�s'XIVl/.S ADD El - _ T ALTER ❑ _" H' REPAIR❑ _ - SIGNATURE OF APPLICANT ��1�` OEMOL _ VALUATION $ . - APPROVALS - DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE $ �J FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION BRACING, BOLTS - - AND STATE THAT THE ABOVE..IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING T.HE. WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. -- - LABOR CODE OF THE STATE OF •C �IFORNIA IN` RELATING TO WORKMEN'S COv I"�j/qq� hNSURAN LATH, EXT.-- 0, SIGNATURE OF -- HOUSE NUMBER CDR PERMITTEE- RECT AND POSTED ADDREss ` - /• �� - FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO OK. M.O. CASH 1 ULA-/ APPLICATION FOR BUILDING PERMIT ' `COUNTY'OF LOS ANGELES. BUILDING AND SAFETY , ' WFOR APPLICANT TO FILLIN BUILDING ADDRESS G WORKER'S COMPENSATION DECLARATION --� -' � ' BUILDING •:• ,} :,. ; .. .�..+.w:: ,. � .• I hereby.'affirm.that I have a certificate of consent to self Insure, `DRES ora certificate of Workers' Compensation Insurance, or a certified copy thereof Sec. 800,- ab.C.) CITY ZIP (� u T lu� G"T'Y .LOCALITY Policy No. " � O� Compal ��V '� fir, SIZE OF LO NO.OF BLDGS.NOW ON LOT ❑ Certified copy�is hereby furnished. e4k- `�I �$� 2 NEAREST CROS ST 01 ❑ Certified copy,is filed with the county building inspection CT_ BLOCK L T O.,-2't. de r e t:' (p�j/l/, -1 ^f Y% USE ZONE MAP NO. 1� ASSESS fCP BOOK PAGE PARCEL Date Applicant J•L SPECIAL CONDITIONS- CERTIFICATE OF EXEMPTION FROM WORKERS' IOWNEVt�O N `apt 3T1oN�o 94 13 COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if'the permit is for one hundred ADDRESS �� 0 p DISTRICT 'GROUP 4COINIT FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit a.O! ��— �h� -•� is issued, I shall not employ any person in any manner so as to ARCHITECT OR NGINEE T L NO. L' ` become subject to the Workers'Compensation Laws. 12_0.". E ".� N t7f;,1 (�(�` $�$ilC570C) I STATISTICALCLA �IFICATION APT CONDO Date Applicant ADDRESS ' ` 1�"I`v v— �`Q�Jvpp—� 1 pp CLASS NO. �ZQ DWELL UNITS --_'_; e NOTICE TO APPLICANT.' If,'•after making this Certificate of- 253 � 9A0 .60130el- EF Vl P6APENA REQUIRED TOTALSETB�Cr--JFROM. EXIST' I Exemption, you should become. subject .t0 the. Workers' �o`NTRA TOR � TEL NO./L SET BACK YARD HWY PROP LINE WIDTH''''' Compensation provisions of the Labor Code, you must forthwith iV� 3�D-1'TZ� FRONT comply with such provisions or this permit shall be deemed revoked. ADQRES L1?�f NO.. j Q P IL _ �o�o r "1"'l SIDE TO-111 A 236 1=1 LICENSED CONTRACTORS DECLARATIONcrTYr- ,� LIC�.l�LASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 A IBJ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES NEW —/ f ^ Professions Code,and y Iig e e is in full force effect. ' N �i N BK PG 11 License Num er � Lic Class 1 DESCRIPTION OF W•RK ADD ❑. VALUATION , " Q 00 Contractor ate I� ALTER, ❑ $ 0 40 i•. zoi`rcc El am exempt under.Sec. REPAIR ❑ $ $.�:_: _ i;E •_ aU B.&P.C.for this reason 51(s(� (�. 4,'CANOf I 1 PlljU DEMOL ❑ LDMA P/C# W SE OF %lNG LDG. - - - - - a. Date: URM' ❑ ��ti��vIGE STI Signature - '�PLI !{N, ( Tj. �N CO �TEL NQI � � .LDMA Perm# Z _.MUT. (� N ::.:. . ❑ 1, as owner of the property,.or my employees with wages as a -� . their sole compensation, will do the work and the structure is _ G,n 1 (/ yy�� '•, j not intended Or offered for sale (Section 7044, Business and ` - /Tl1v V 1""Ieu FINAL DATE Q Professions Code.) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALS �,�� > J - +• 1 LE S-=' ❑ I, as owner.of the.property, am exclusive) contracting with OR A MIXTURE CON AINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE " P P Y, Y 9 AMOUNTS SPECIFIE ON THE HAZARDOUS MATERIALS,INFORMATION GUIDE? FINAL BY R-)) Ej _9,m_77 licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES❑ No I; c i WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH :s •: CONSTRUCTION LENDING AGENCY COAST AIR QUAUTYANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR �HANGE GUIDELINES. - I hereby affirm that there is a construction lending agency for YES El NO the performance of the work for which this permit is issued(Sec. I I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCA6MD PERMITTING •; - 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - i_! I'<:S E-jtl_I l + 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. v�YE i j v} o Lender's Address O OWNER OR AGENT 0 1 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 PERMIT FE with ,all county ordinances and State laws relating to building ► Q�� • m construction, and hereby authorize representatives of this County ISSUANCE FEE. t ter upo a above me�bo�ne/d pro erty for inspecti nn pure ses. !�! V `b7g4 INVESTIGATION FEE TOTAL FEg Sgna ure of Ap lic t Age Dale SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION �✓ 1 hereby affirm that I have a certificate:of consent to self PERMIT insure, or a certificate of Workers' Compensation Insurance, A P P L I CATION FOR, BUILDING or a'certified copy thereof (Sec. 3800, Lab. C:)' COUNTY OF LOS ANGELES. BUILDING AND SAFETY Policy N^` ��t 'mpany DU Certified copy is hereby furnished.: .FOR APPLICANT TO FILL.IN • -- ADDRES ❑ Certified copy is file with the cou ty building inspec- BUILDING Y� do department.,,d�'s 47��5 ADDRESS74- De LOCALITY �' NEAREST Date Applican CITY ZIP CROSS ST. �. CERTIFICATE OF.EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT E.m X L >0 NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE E MAP —2 e� hundred dollars ($100)or less.) TRACT BLOCK LOT NO. TEL. SPECIAL I certify that in the performance.of the work for which this OWNE ' NC� (� CONDITIONS GC- permit is issued, I shall not employ any person.in any manner ¢ -DISTRICT GROUP ITYPE FIRE PRO SSEDBY o so as to become subject to the Workers'Compensation Laws. ADDRESS 'fj�/ CONST. ZON 09 CITY . ZIP 0(G / ° .. O Date Applicant TEL. STATISTICAL CLASSIFICATION PT. JCONDO. U NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the`Workers' ENGINEER N CLASS NO.:_`s- DWELL. UNITS C Compensation provisions of.the Labor Code, you must forth- ADDRESS/?L-,7SEWER MAP H with comply with such provisions or this permit shall be TEI. VALIDATION — deemed revoked. CONTRACTO S N BK.� PG,-� LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 4 51 VALUATION CIO (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license.is in full force and effect. r CITY CLASS s. 26000-17 SQ. FT. NO.OF NO. OF CHECK Li nse Number Lic.Class SIZE 2 STORIES FAMILIES �Y ONE o �i r�.lo, ia 1 / Date !/ DESCRIPTION OF WORK' �V z NEW 0 0 0 0 2 3 ADD ❑ I am a empt un er ec. ALTER ❑ FINAL �O •„�,_�� 2•o o(i 1,2,5 . B.BP.C. for this reason - REPAIR ❑ DATE 050 Date: USE OF DEMOL ❑ FINALQ>J EXISTING BLD B ✓ � Signature• APPLICANT TEL. Y 019 0.9 8.3 OWNER-BUILDER DECLARATION PRINT N I hereby affirm that I am exempt from the Contr'actor's License Low for the following reason (Section.7031.5, Business and ADDRESS' Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my'employees with ADDRESS ;25 1-02A wages as their sole compensation,will do the work and " the structure.is not intended or offered forsale..(Section LOCALITY # o 00 0�0 1 7044, Business and Professions Code): MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. .2 o o 5 9.2-5 with licensed contractors to construct the project (Sec= ADDRESS io�o o Y tion 7044, Business and Professions Code). 5 9,215 cv :,REQUIRED TOTAL SETBACK FROM EXIST.' CONSTRUCTION LENDING AGENCY SET BACK YARD HWy PROP. LINE WIDTH 9,0 9-8 3 I hereby affirm that there is a construction lending agency for FRONT the performance of the.work'forwhich.this permit is issued P.L. (Sec:.3097,.Civ. C.). SIDE. �P l... Lender's Name 5 .. P.C.-Fee$ - 7 1 -�� PerM*'it F Lender's Address ~�-" certify that J have read this application and state that'the Issuance Fee above information is correct. I agree to comply with,all County Investigation Fee g ordinances and State laws relating to building construction, Total Fee T u and hereby authorize.representatives of this County to enter upon t abo a-ment' n property for inspection purp ses. y �. ��/1SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature of A plicant or gent Date • _ '®s APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY - BUILDI G ADDRESS WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm that I.have a Certificate Pf consent to self insure, BUILDING ADDRESS �yt�' or a certificate'of Workers' CompennsationInsurance,or a certified �K`S �� copy ther of (Sec. 800, ab.C.) I`6170Rk� (OMMO CITY � 01� zip o43to, LOCALITY. Policy No. Company co SIZE F LOT NO.OF BLDGS.NOW ON LOT El Certified copy is hereby furnished. or- Z- 900 .Z NEAREST CROSS ST ❑ Certified copy'is filed with the county building inspection'..' TRACT 1 BLOCK .- LOT�O.w • ,I �� 3_`� T USE ZONE MAP NO. �� A`O� department. �(/ ASSESSOR MAP BOOK - PAGE L PARC Datepplicant t,35i SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS �n�,y,C� �j (jJ� `�y[ YES, NO COMPENSATION INSURANCE WNERV' `�� , 1�,/r /TJo"'0��' WITHIN 1000 FT.OF SCHOOL?, (This section need not be completed if the permit is for one hundred ADDRESS iVl' 1K J� � D. DISTRICT GROUP TYPE ONST. FIRE ZONE PROCESSED BY dollars ($100)or less,) 1 ddd ' I certify that in the performance of the work for which this permit CITY LAPCV2 - ZIP �� is issued, I shall not employ any person•in any,manner so as to CHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. (J- Y_'-A A f_w►/�1 t,�j� .f�'� • O � ' STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CiwC71� v� ��7OCLASS NO. __46426 DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of cAO GPtOLI- F � REQUIRED TOTAL S&6K` "Filom EXIST Exemption, you .should become subject to the Workers' C NTRA TO TEL NO'.Lr SET BACK YARD .HWY PROPT+1 WIDTk.L a _ Compensation provisions of the Labor Code, you must forthwith d �� 'T/. 3� FRONT t comply,withsuch provisions or this permit shall be deemed revoked. p/�p REg/g� i i LIC.NO. L�. Q P L !I t1 IS iU b • o L• l�L•') SIDE _.. - LICENSED CONTRACTORS DECLARATION TY. p� LI LASS PL f;`IAL ' mm �6 I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP I:_j _!_. t•_i itb- (commencing with Section 7000)of Division 3 of the Business and S� .FT_SIZE 1 NO.OF STORIES NO.OF,FAMILIES _ Professions Code,andel my�licjense is in full force d effect. L 3� I ./Vx NEW ❑ BK PG CHANGE a j_+a License Number ✓ r �� Lia CIaSS DESCRIPTION OF WORK ADD ❑ VALUATION ® O !NqN CO r ['P ' t� ��LA T 5 v►C,E CjTPr'�D►� RE- $ .2� aC� _ _ 0 Contracto ALTER G?� - -M00 OML- W7 _ REPAIR ❑ _ i a=3 }El I am exempt under Sea ls 1 .i BAP.C.for this reason Flow �NQ �q� DEMOL ElLDMAP/C# W Date :s F EXIIVG� B"'eCL WIC URM ❑ - SignaturePL*ICpANT PIT) � j� _ T L NO. LDMA Perm# y _Z El 1, as owner of the property, or my"employees with wages as; OG_ iii.•'-•; =� their sole compensation, will do the work and the structure is DDRESSS,I '51A not intended or offered for sale (Section 7044, Business and N`'51A GF`I"r YXAM FINAL DATE PfOfeSSIOnS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL M Ty a ' (Cit'» OR A MIXTURE CON 'IN ING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE - - [_: ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFI ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > I f s! licensed contractors to construct the project (Section 7044, `t tf f HL :32 .1 YES❑ NO '- - - Business and Professions Cade.). - WILL THE INTENDED USE OF.THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING !.,�•{F-i �' - - ' - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR » •!;»r -; 'GUIDELI!jFE S. ,!._�"�[•is•i:.t_' r _:E3 I I hereby affirm that there is a.'construction lending agency for ves No❑ - a the performance of the work for,which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIA LS INFORMATION GUIDE AND THE SCAOMD PERMITTING _ 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, jj ! 7i p'i j N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS •€.•J..! ._ 1 •'»i' Lender's Name MATERIALS REPORTING AND,FOR OBTAINING A PERMIT FROM THE SCAOMD. _ o Lender's Address1 DRi.• i YI i 1 t O OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to Comply P.C.FEE !G, PERMIT FEE with all county ordinances and State laws relating to building < construction, and,hereby authorize representatives of this County ISSUANCE FEECO - 'J - � enter upo e above-mentioned erty f -inspp t n purp S. 26 T ¢ V INVESTIGATION FEE TOTAL'FEE � ure of Appl ant r Agent Oa "]'•6 "SEE-REVERSE FOR EXPLANATORY LANGUAGE WORKERS,COMPENSATION DECLARATION ' > _ t , . r hereby affirm that.l have i ;r's''C cm ens consent Yo^self A P P L I GST I IV I• I� ,.�IJ,I'L®INC P ER11II LT . insure or a certificate',of Workers' Compensation Insurance ora certified copy thereof (Sec 3800 1 c GELES r, x,t c-{ COUNTY OF LOS AN BUILDING AND SAFETY Poliey.No.�1 'Xompa,ny. d�eE - ��: - -- .L__: _ _ __. 3 42 Q ertified copy is',,hereby#urnished:":' FOR APPLICANT TO ILL IN A�ILREu• T01 ( 25 # _._. Certified'copy is filed with'the co ty b ding in'spec BUILDING 'p` it: xtx A J� 5 Q tion de artment r ? ° ADDRESS (/ 5 A i .: •/;_'� qtr @ "✓ .. ^ Ddte'lfrJ �' •A_plicant:' CITY, ZIP (J� LOCALITY ) p t CERTIFICATE OFEXENiPTlO FROM'WORKERS NO.-OF`BLDG -+.: NEAREST.. COMPENSATION`INSURANCE SIZE OF LOT ' NOW ON LOTS` CROSS ST. ' u (This+sechon'rieed'not`be completed,if the permit is for one - -••-- -- ASSESSOR ;.a_ hundred'dollars,($100)or;.less:) r TRACT SS'S BLOCK .._UD ;' LOT NO. .OZ3 MAP'BOOK + PAGE PARCEL y. USE ZONE MAP. 1 ,. _ ._ . TEL(1.l �: I certify,that,in the_performance.of the.work for.which'•.this OWNER NOr NO" , permN'is vssued,'.I shall not employ any'person,in any'manner „_ ' yn/''�J SPECIAL- s ti _ i!'� . F ADDRESS, _. f .. V _, .. _ CONDITIONS 'so as To,bec rme,sublect to the Workers Compensation Laws. CITY {�H. �/] W ZIP 63: _ Date.. a a'PPltcanf >. 1,063J.- Dot a,4. •. ARCHITECT OR. - :TEL. NOTICE TO APPLICANT: If afier•`making this Certificate of DISTRICT_ ::GROUP. TYPE FIRE ;_, P CESSED_.BY fzemption `you should become' subject to the •Wor,ke s' F, `G ENGINEER_._ DCS. NO: Compensation provisions of the Labor:Cocle you must forth- R ADDRESS SAS 4S A(3U d with,complyr4wrth,.such provisions.,or4this,.permit.shall be --•---- - _ .-_ _.. _.__ H. (/ CONST --Z04- NO ZONE }V1 i / cleemed•revoked .ga. 'a t ...r,.a- a, %, TEL. IS T z STATISTICAL CLASSIFICATION APT NDO CONTRACTOR •NO, _• _ LICENSED CONTRACTORS DEGLARATION - - - •- LIC: CLASS NO. 2 L DWELL. UNITS r I Hereby affirm that I,am;licensed under p�oyisions of Chapter.9 ADDRESS NO.. SEWER MAP en with Section 7000)ofiDivision3,of�ihe Business and:.: _ _ LIG ' - - Professi ;ns,Cocl , and my license is.m'full force and effect. CITY CLASS - Egpg��p{f2 3 , e f an c SQ. FT NO ,OF NO. OF ,_CHECK I j"4 S SIZE STORIES FAMILIES :. ONE ;.. ( o..° J�:A.•/ ,9 _ BK. PG. License Number Lvc .Class '`,� VALUATION _ t uw c L(I UV Qp DESCRIPTION OF.WORK'. _ NEW. p0 `o`.o o rj S'7 9 C n/� ( t1 v ALUATI Contractor lw�a�l/' Date i ADD a 560 Ir I am exempt under Sec - 4' . • SL ��15 /�LLd d ~l ER B:BP G. for-this re' on M:.,_ .. _ u __ _ :. REPAIR-,'D .. r - , D£ o -Date. EXISTUSE ING BLDG.. n+ r (CPQ DEAAOL y Si nature APPLICANT.- TEL. t g SACS. DATE` 4NER-6UILDER DECLARATION. PRINT) NO. �', _ . _.< ,I.hereby affirm that-I am exempt-from.the Contractor's License , »z 4 6 4 A 'Law for the following reason (Section 7031:.5,'Business and„ ADDRESS' 7i0� Sr $� Bt,YD FINt 4' r —Professions Code) ;.. PRESENT`. 0'2 BUILDING y 3 Q I, as owner of the property, 'or my:employees with ADDRESS wages as heir sole compensation,'will do the work and' 'the structure is not intended'or offered for sale(Section ".7044; Business'anclProfessions:Code) ` ' :` MOVING" TEL - CONTRACTOR A NO.: a t -• I, as owner of the property', am exclusively contracting with"licensed contractors4o'construct the project(Sec- ADDRESS tion 7044, Business and Professions Code), Fln�es�ig.li.nF . . TOTAL SETBACK.FROM', I T.,.. ;CONSTRUCTION LENDING AGENCY YARD 'HWY:` » - - PROP. LINE WIDTH' I hereby affirrii that there is a construcfioh lending agency for " -the-performance of the work for which,this-permit is issued - - - T ; (Sec. 3097, Civ. C;)•. '(j 8:;5;4 A: ._ Lender's Name o " LDMA Ref. #. 5 ;. m _.... -1- c�Permit fee'.:..... Z Lender's Address 3 ,2 _certify-that.1•have-read this,application'-a*d.sfate_that.the �r:7. -- Issuance Fee - LDMA P/C# - ` t °�° `7�•4 5�' Y Q.` above'information is correct."I agree to comply.with'all County Fee �{ t '� `� +; ordinances and State laws relating to building construction, V' .. 3 ; \: Q 2 Q 8 6 -^•Total-Fee- "' i CDMA Perm. # �`•"-_ --` - - - d-._ and hereb thor' a representatives of this'County to enter ' a upon the ove ntion property for inspe ion purposes'. _- a SEE REVERSE FOR EXPLANATORY LANGUAGE _..Signature'of'Applicant°orAgent ..... -. Dote. .. �`7 - D Via+ WORKERS'COMPENSATION DECLARATION / hereb off rm thou] have c� certificate of consent to self APPLICATION FORBUILDING PERMIT ��•• r K nsuretr"a celificate of Workers' Compensation Insurance, or acertified copy thereof (Sec. 3800, La ) r COUNTY.OF.LOS ANGELES BUILDING AND SAFETY Policy No.64114Y3 Company 1 Certified copy is hereby furnished: . . FO.R'APPLICANT TO FILL-IN BUILDINGADESS ❑ Certified copy is filed with'the county'building'inspec- BUILDING A tion department. ADDRESS T a9klkf I ' Dote of ..Applicant' CITY N Q. GfS{1 q ZIP LOCALITY / - CERTIFICATE OF EXEMPTION FROM WORKERS' ' NO. OF BLDGS. NEAREST OF LOT 0 Z:)o NOW ON LOT COMPENSATION INSURANCE CROSS ST. (This section..need not be completed if,the permit isfor one /� I 57 'a v.,34 ASSESSOR - hundred dollars($100)or less.) - TRACT r�/Orl BLOCK LOT Nd✓, MAP BOOKTEL PAGE PARCEL �� N0.2A USE ZONE MAP I certify that in the performance of the work for which this OWNER — NO, - I SQ' "j, permit is issued, I shall not employ any person.in any manner SPECIAL so.as to become subject to the Workers'Compensation CON n Laws. ADDRESS {�� ✓� DITIONS 0, CITY '401,0ZIP C) Date Applicant' NOTICE TO APPLICANT: If, after making this Certificate.of ARCHITECT QQR� TEL 6$$ DISTRICT GROUP TYPE FIRE PR ESSED BY O Exemption, you should become subject to the Workers' EN bB�. NO. -Zd �`. CONST. ZONE Compensation provisions of.the Labor Code,you must forth- ADDRESS p'�jlw EIS Ai �. J'U0 �� 3' W. .with comply with such provisions, or ,this permit shall be D. deemed revoked. TEL.yIb STATISTICAL CLASSIFICATION APT. NDO. U) CONTRACTOR L►f►t> O. 17 05/ LICENSED CONTRACTORS DECLARATION- copQ R 11C. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under,provisions of Chapt 9 ADDRESS T, LIC 33� 3 (commencing with Section 7000)of Division 3 of the B��d LIC Q R SEWER MAP Professions Code, and my license is in full force an ffe CITY. (9 LASS C44 Z— J VALIDATION SQ..FT NO.OF NO. OF CHECK BK. PG./ X47 License Number 7 73 Lic.Cla SIZE �� STORIES FAMILIES ONE VALUATION #•�'�' .� �' pAM`/1r19 a �/ 9 f ,A. DESCRIPTION OF WORK NEW. .❑ �q �yy� L r7 _ ,Gontracto JPPIIIIQ�R�(�iAL'1 -/��*'ate w � $ �,,� /�tQ4/itF/CJ ,o °�2 1 U./ 5 U ADD ❑ ❑ 1 am exempt under Sec. ALTER 9,-87 B.BP.C. for this reason. Acump ID O VAREPAIR $ Date: USE OF ' qac' DEMOL ❑ EXISTING'BLDG.. �7Qfj6 �• p lG Signature APPLICANT TEL. 6 FINAL OWNER-BUILDER DECLARATION PRINT I � O. DATE I hereby affirm that.I am exempt from the Contractor's License Law for the following reason'(Section-7031.5, Business and ADDRESS'R' k )�l r FINA Professions Code): PRESENT BY' El1; I; as owner of the property, or my employees with ADDRESS 8.0 1�4 A wages as their sole compensation,will do the work and ? the structure is not intended or offered for sale(Section LOCALITY ® # 0"o,o o,m 7044, Business and Professions Code).' MOVING TEL.' ❑ I, as owner of the Pro property, am exclusively contracting CONTRACTOR NO. -.265,50 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). . o,e:2 6 5.5,0� REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY, SET BACK YARD HWY. PROP. LINE WIDTH ]'hereby affirm that there isaconstruction lending agency for FRONT ;,� 0,021-8 ]. the performance of the work for which this permit is issued P.L. (Seca 3097, Civ. C.). SIDE. P.L.. Lender's Name _ LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee i Od 3 , ]'certify that I have read this application and'state that the Issuance Fee V J V LDMA P/C#. . above information is correct. I agree to comply with all County Investigation Fee ' o -ordinances and State laws relating to building construction, o a d hereby outhori representatives of this County to enter Total fee lJ LDMA Perm..# m on the above- a ioned roperty for inspection purposes. '� ��- !0p� 8 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 0504070007 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS:- .5 BUILDING ADDR SS: - TR: 6561 LT: 345 BL: .001 SIGN DESCRIPTION: ILLUMINATED 9425 LAS TUNAS DR TEMP CA 917802136 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OA 8587-007-023 :THOMAS PAGE: 596 GRID: J . LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRE ON: SHELL STATION EXIST OCC GRP: 04/07/05 JK 04/02/06 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DAT I�BY: CODE: FRYDOUN, SHEIKHPOOR (310) 430-1603- 15,000 ®d 1 B 9425 LAS TUNAS DR. & d L6 TEMPLE CITY CA 91780 FEES PAID DESCRIPTION' R SIGNAGE 81MONUMENT SIGN 40 SF. 91 FOOD MART LED SIGN (2) 19' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHELL CANOPY SIGNS WITH ILLUMINATED RED BAND (1) 18 SOFT. APPLICANT: TE O: VIDALES (714) 254-0099- AX BUILDING REVIEW FEE 54.70 1410 N. DALY ST. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ANAHEIM, CA 92306 D1 PLANCHECK W/O EN-HC 15000.00 VAL 255.51 TOTAL FEES 337.96 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DONCO & SONS, INC. (714) 254-0099 1410 N. DALY STREET LIC. NO LOCATION AND SETBACKS ANAHEIM, CA 92806 435616C45 SOIL5 ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: - FOUNDATION/TRENCH FORMS /�--- LIC. NO: SUPPORT STRUCTURE (/ MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/CO D: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO t a * ADDITIONAL DATA ON FILE -i REPORT ID: DPR261 ROUTE TO: BS0508 ii• i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1303060030 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING P.DDRESS: ITR: 6561 LT: 345 BL: .001 SQ_ FT STORIES TYPE OCCUP GROUP 9425 LAS TUNAS DR jSTRUCTURE: 0 1 V-B M I TEMP CA 917802136 (ASSESSOR INFORMATION NUMBER: '� NEAREST CROSS STREET: OAK 18587-007-023 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI 1 1 TENANT: JEXIST BLDG USE: COMME USE ZONE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: M 104/24/13 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAI, DATE FINAL BY: CODE: IRABADI, AHED (626) 641-4444- 25,000 19425 LAS TUNAS DRIVE ITEMPLE CITY CA 91780 - FEES PAID IDESCRIPTION OF WORK 1 ITENA*NT IMPROVEMENT CONVERT 4 BAY GARARAGE INTO RETAIL STORE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IINTERIOR NON-BEARING PARTITION & CEILING I (APPLICANT: TEL. NO: I I I IRABADI, AHED (626) 641-4444- IA1 PLANCHECK W/EN-HC 25000.00 VAL 458.00 1 1 19425 LAS TUNAS DRIVE IAA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: 1 ITEMPLEC CITY 91780 IAB STATE GREEN BLDG FEE 25000.00 VAL 1.00 I 1 I IAE STRONG MOTION OTHER 25000.00 VAL 5.30 1 1 I IA2 PERMIT W/ENERGY-HC 25000.00 VAL 538.90 I 1 (CONTRACTOR: TEL. NO: IFS INV WORK W/O PERMIT 339.60 DOL 339.60 (APPROVALS DATE INSPECTOR SIGNATURE I IHIGH DESERT CONSTRUCTION & ELECTRIC (661) 998-9277- TOTAL FEES 1,370.60 1 142251 42ND STREET WEST LIC. NO I (LOCATION AND SETBACKS 1 1 1 IQUARTZ HILL CA 93536 601387 I 1 1 1 1 1 ISOILS ENGINEER APPROVAL 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I LIC. NO: ISLAB/UNDER FLOOR 1 1 I I I E I XPURNED IRAISED FLOOR FRAMING(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUNDERYLOOR INSULATION 1 3 I _ //�� i FLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I `� - 0 NO 22 1 IROOF SHEATHING 1 1 I SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I 1 I 1AIR QUALITY: 1000 FEET MATERIALS I 11 1 1 NO NO NO 1 (FRAME INSPECTION I I IFIRE'SPRINKLER HANGERS 1 I (INSULATION/WEATHER STRIPI I 1 (INTERIOR LATH/DRYWALL 1 I I EXTER70R LATH RATED�FLOOR/CEIL ASSEM. 1 1 IRATEDWALL ASSEMBLIES 1 I I 1 (RATED SHAFTS/OPENINGS I I I 1 I IT-BAR.CEILINGS 1 1 1 ILOT DRAINAGE 1 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709160095 PHONE: (818) 285-0488 EXT: i LEGAL ID: NO. OF CONST NEW BUILDINGADDRESS: TR: 6561 LT: 345 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9425 LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802136 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK 8587-007-023 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: B 09/30/97 . UT 09/30/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHEVRON USA INC (000) 000-0000- 1 130,000 Qq 1300 S. BEACH BLVD. LA HABRA, CA FEES PAID DESCRIPTION OF WOR UPGRADE OF USR, PIPING, DISPENSERS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: RHL DESIGN GROUP, INC (562) 902-8023- Al PLANCHECK W/EN-HC 130000.00 VAL 1,453.49 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AE STRONG MOTION OTHER -130000.00 VAL 27.30 02 PERMIT W/0 EN-HC, II !'--130'000-00 VAL 1,486.95 FEESi 2,995.49 CONTRACTOR: TEL. N0: =;_-_��C� APPROVALS DATE INSPECTOR SIGNATURE DST BUILDERS (714) 893-6428- LIC. 93-6428 J/� 6411 MAPLE STREET LIC. NO � �_ �� LOCATION AND SETBACKS WESTMINSTER CA 92683 310237 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: \ / !r E _�\ \ \ v' _. FOUNDATION/TRENCH FORMS RHL DESIGN GROUP, INC (562) 902-8020- 1201 02-802$1201 S. BEACH BLVD. LIC. N0: SLAB/UNDER FLOOR LA HABRA, CA 90631-6366 NONE RAISED FLOOR FRAMING MAP N0: 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 !-I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508