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HomeMy Public PortalAbout9436 LAS TUNAS DR_Building__ 76A638A+CE#BO 3Qo-s8-A P P L I C A T I O 9 FOR iBUILDING PERMIT 1' BUILDING AND SAFETY DIVISION - BUILDING,, ADDRESS Department of County Engineer County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST , CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. DISTRICT NO: ..'.GROUP.- TYPE. SEWER" MAP..'- BK T P FOR APPLICANT O FILL IN ONST' BUILDING /� �L �+ ADDRESS 5j !V 3' ' S -I Lj N �'S STATISTICAL CLASS' CATION , a CLASS. NO.a2 -' DWELL:UNITS I LOT NO. •/ -BLOCK MAP, STATE SNUMBER HWY YES O TRACT -i U - USE ZONE SPECIAL NO. OF BLDGS. CONDITIONS' - SIZE OF LOTX/j )jV I NOW ON LOT 'S USE OF. - - - - - EXISTING BLDG. BUILDING EXIST. C + A f SETBACK YARD HWY. STREET NAME WIDTH OWNER J i'�Q�A�IJ�� �� ` FRONT MAIL' i P. L. ADDRESS �6� ® - SIDE • '.. � �y CITY ' . /� NO'JV1 / 7_711 INSPECTION RECORD. ARCHITECT OR - TEL. _• . ENGINEER - NO. ' ADDRESS CONTRACTOR 4444 G ''` • ,NO.f ` 1 J 1] ADDRESS y "DESCRIPTION OF WORK - - - - NEW* 1 ADD ALTER REPAIR DEMOLISH ' SQ. FT. // _NO. OF NO. OF SIZE �f0 A� STORIES FAMILIES - USE OF STRUCTURjV - APPROVALS._ - SIGNATURE OF APPLICANT `` DATE INSPECXOR=S- GNATURE ADDRESS- ...rd FOUNDATION: LOCATION ' FORMS, MATERIALS LVALUATION P,C, S • FRAME: FIRE STOPS. vFEE BRACING, BOLTS FATrISN,U�/ FEE GP.S VENT,DU I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - .. AGREE TO COMPLY W LL COUNTY ORDINANCES AND LATH. EXT. ' STATE LAWS REGU G BUTRUCTION. "SIGNATURE OF - HOUSE NUMBER'COR- - - - PERMITTEE ILCO SRECT AND POSTED ,, Zcv FINAL ADDRESS _ JOHN A.L4MBIE, COUNTY ENGINEER, 0CLYDE N. DIRLAM.PRINCIPAL STRUCTURAL� ENlrlNEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ` CK. M.O. 40 3.9 8 4 A!J'1 1 1 2.�}0 49 je_ 76A638A CE#803 9-68 APPLICATION FOR BUILDING ERMI T COUNTY OF LOS ANGELES BUILDING DEPARTMENT'OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY 3�0 JOHN A. LAMBIE' COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DIsrR�� cRou? TYPE PROCESSED BY �� (J �( CONST. .ri nt or type only - / �' Y BUILDING..'L= STATISTICAL CLASSIFICATION SEWER MAP ADDRESS••i - _ CLASS NO.�._�_DWELL,U�fNITS�_ BK PG LOT NO. y 3 ~ LOCKS USE ZONE NOP d / - -- AL TRACT v �. CONDSP SPECIIT ONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG, BLDG.SETBACK FROM - TELFRONT PROP.LINE OF - (STREET)- OWNER S. NO..4yZ TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL L. HIGHWAYI WIDTH FROM C.L. ADDRESS CITY - } _ BLDG.SETBACK FROM - ARCHITECT,ObR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH. FROM C.L. ' i CONTRACTOR. J; T0. y t = L ADDRESS NO CORNER CUTOFF YES E] NO L]NO CITY 1 .., CLASS SEE REVERSE SIDE'FOR SPECIAL APPROVALS LL CONS RUCTION LENDER , CL NAME AND BRANCH ADDRESS 8Q. FT. t NO. OF NO. OF NEW ❑ - - SIZE STORIES FAMILIES _ USE OF ADD STRUCTURE ALTER ❑ SIGNATURE OF, - REPAIR APPLICANT DEMOL ❑ VALUATIONS � APPROVALS D TE INSPE OR'S SI N TORE P.C. PMT. FOUNDATION: LOCATION �FZE S FEE .Q FORMS, MATERIALS ,J FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG, 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 OF THE STATE OF, -CAL-IFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS ' FINAL )M7101`67 ffZtAff,4,— JOHN F. LEWIS, PRI CIP STRUCTURAL EN ER PLAN CHECK VALIDA'T'ION CK. M.O. CASH . _ PERMIT VALIDATION CK. M.O. CASH � say.9NO MAY 9 1 o DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENG I� �9 1 PLANS BLDG. FIRE DISTRICT NO.- PLAN CHK. FEE F'ERIVSlT NU. 6 FILED ir'SETS I ZONE ZONE �_ a TYPE of - T /,T"7 BLDG., I 11Iii IV V X GROUP J^-- DATE OF APPL. RECEIVED BY DATE ISSUED BLDG. SETBACK ,(E _ ID — � � �. �"�� Lig ae, ORD. NO. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY O - BUILDING' G6 NAME ADDRESSy7Y � W { W ADDRESS LOCALITY U' NEAREST /11 U U Z CITY CROSS ST.• 0 STATE r Q LICENSE NO. TEL. �. TEL. No. .NAME '�;'._ - Q `J• 0O NAME ��g //�{� �Q i S�. •��' z ADDRESS! QO ADDRESS /T J C CITY \ TEL NO. - � Q Z CITY .3a_-_— [Lf_ r( _Ja LOT 17 19 i\SIZE OF LOT.,. U STATEo V (VO. OF BLDGS. (�' / �f LICENSE NO. 3 7� TEL. N.At q ,W(a BLOCK NOW ON LOT fwojo p 2 �1r' •, 13USE s USE OF BLDG. CLASS OF `YORK � �, TRACT Q®_34, 9 NOW ON LOT � DESCRIPTION OF WORK NEW, _I fe/I^ ADDITION DEMOLISH ` ALTERATION I REPAIR 'I _I MOVING I _ USENO. OF BLDG. ��Y'4Q� ✓^PlOG"C�4STNl/ OOMS. SIZE OF/•y �� STORIES / �•NO. OF �- BLDG. / �/ X . I ` FAh4ILIES C:/ I _ CORRECTIONS q t SPECIFICATIONS FOUNDATION N j EXTERIOR PIERS � MATERIAL _ !' AT THICKNESS.—TOP-(` _ THICKNESS--BOTTOM, DEPTH IN GROUND "l i• 1 Z SUPERSTRUCTURE _ - ~��SfZc SPACING SPAN _ R. Wr. PLATES (SILL) _-- �� --- ----- ^yam GIRDERS \ - - JOISTS__FLOOR �— JOISTS---CEILING _ BEARING WALLS \ _ - PARTITIONS -�- - _-- ROOF- RAFTERS _ FINAL APPROVAL ` L SILL BOLTS COVERING ' Ip DATE � ,INSPECTOR'S NAME WALL/� ROOF 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS �i APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM LY WI:[H ALL C UNTY ORDINANCES 00, P.C. FEES AND STAT WS UL IG BUIL N` ONSTRUCTION. SIGN VALUATION S FEES CL AW 49d d R�UTH IZED AGENT DB-3 4-39 25M 1 v l/ 'APPLICATION FOR BUILDING PERMIT ~FOR APPLICANT TO FILL:IN (P,Inf or type only)' BUILDING - COUNTYOF LOS ANGELES ADDRESS3�i L�?s r,�wt�t: ` .•'1 DEPARTMENT OF COUNTY ENGINEER - CITv" Jf' a/ t Z(Pq� (i BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING'' SIZE,OF.LO.T ` NOW W ON LOT ADDRESS TRACT65 BLOCKS LOT NO.' .V� LOCALITYT l✓- _' ` TENEAREST OWNER 4 !!AAJj /-t14[ 11j). NO. CROSS ST,. / - ASSESSOR "ADDRESS&S2J s/"�/•G[ e4A!✓ &cI "Ve- - MAP BOOK `'PAGE DISTRICT GROUPTYPE FIRE SSED BY` CITY�fLj? CONS -ZONE ARCHITECT OR - - ^-TEL.' ENGINEER NO. . STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS N.O. � DWELL,UNITS 'BK PG - -: - ' - - CONTRACTOR TEL.-NO - USE ZONE NOP LIC. /� ADDRESS in.111 - NO, - •.�-� SPECIAL - : LIC! - .• CONDITIONS CITY r. CLASS - ROAD DE PARTM EN T'APP ROVAL REQUIRED 'YES[].. : NO ❑ - - CONSTRUCTION LENDER NAME AND BRANCH - BLDG.SET ACK FROM FRONT P P.-LI NE OF (STREET) ADDRESS CITY HIGHWAY } YARD, 'TOTAL.SETBAC-K FROM TYPE OF. EXISTING SQ. FT. NO, OF NO. OF- CHECK - FRONT PROP. .LINE- HIGHWAY WIDTH SIZE STORIES FAMILIES ONE - + DES-C RI PTION OF WORK - NEW ❑ _.. CD ADD ❑ BLDG.SETB FROM - - V ts _�.�:.• SIDE PROP.LIN (STREET) O ALTER HIGHWAY `{'' YARD _ TO Xt ACK FROM TYPE OF. EXISTING 6~.T REPAIR[:] SIDE PROP. L HIGHWAY WIDTH d USE N OF NG BLDG/t/p � .(S� `+ DEMOL El + EXISTING - Z APPLLCANT / / 'T L, CORNER�CUTOF.F. .YES; NO-.❑., (PRINT) {ji'ir .rCGi ,.�r�• L /11',N O.� IN OPEN SPACE YES ❑ NO.0 B'Y (SIGNA TURE)r� - '��,. �C� � y-y, - •' .-.. QQ IN'COASTAL,PERMIT'ZONE._ YES:❑ •NP .❑ VALUATJON� HE ACKNOWLEDGE THAT 1'HAVE READ THIS APPLICATION and DwJ 7e -AND- STATE THAT THE ABOVE IS•CORRECT,AND AGREE TO-COMP LY _ WITH ALL ORDINANCES AND'.LAWS REGULATING, BUILDING CON- STRUCTION. I CERTIFY .THAT IN DOING THE WORK AUTHORIZED HEREBY-1 WILL NOT EMPLOY ANY PERSON IN VIOLATION Or THE LABORC ODE. OF THE STATE OF CALIFORNIA IN RELATING-TO WORKMEN'S COMPENSATION INSURANCE. - .SIGNATURE OF�,�{�^7 .� PERMITTEE , - ADDRESS "•• FINAL _ 'BV CITY NO. r ��- DATE Y/ - MIAKE CHECKS PAYABLE T-O. P;C. $ 'PMT:,C. FEE' FEE PP HARVEY'T.- BRANDT. COUNTY ENGINEER PLAN:CHECK .VALIDATION CK. M'O. - CASH 'PERMIT VALIDATION .;CK. M.O. CASH .90 76A638A CE#803 Si74� ' v DB-3 B-40 25M APPLICATION FOR PERMIT DE TMENT` OF BUILDING-AND SAFETY �C_OUNTY OF. LOS ANGELES _ ��•i� /� WM. J. FOX, CHIEF ENGINEER C✓ 1_(/ BUIL.D.ING NO. OFA BLDG, ��� ORD NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. SETBACK LINE FIRE APPROVED - ZONE BY ' DATE RECEIVED BY DATE OF APPL. :DATE ISSUED . USE yy APPROVED DATE. ZONE Ce..iT APPLICANT FILL IN. HEAVILY' OUTLINED PORTION ONLY .- - BUILDING E{;"� Wwf°'9 ��I# Dry DDRESS ' NAME A W1- W �.� ® LOCALITY Z ADDRESS - F l7 - _x _. - NEAREST UW CITY - _ _ CROSS ST. � a ' STATE h�� e P LICENS/E�NO. NO. y�j .NAME 5fRN 6�rT-f\/.� .o (�' COLON' 0MAIL O NAME<sB`!"�-I�� ..`�O/RiY.I�}L` �1 eeli Q-f�M d��J ADDRESS zol0 .l9e�P. TEL `y��Y F. ADDRESS L` ®fM� (/ �bU�.�.,/tl Fes- I. �. CITY !i•G/a VP f3:[f -S - NO v/ ! F _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ- THIS CITY k14 U APPLICATION AND STATE THAT THE ABOVE IS. CORRECT a STATE" J4 `� TEL '•I(,�i AND AGREE,TO COMPLY WITH ALL COUNTY.:ORDINANCES LICENSE NO. [ NO.'OW1 y 1(y� HND STATE LAWS REGULATING BUILDING CONSTRUCTION. p` ZZ -LOT.,-.NO. 3 7. SIZE Fx,LOT: AV` SI NATU RE. OF OWNf Ci- ' -•. - NO. OF-BLDGS: .,AUTHORIZED AGT. (7 _ BLOCK NOW ON LOT -x� /�6✓t/ v~f _I. CORRECTIONS j 1 . W TRACT D NOW ON USE OF. BLOT S.. ���•V (C - DESCRIPTION OF WORD USE_O F BUILDING r+ c)irk l e/Fq At o - 5;e-P, u t G tit iON u I td lm o At . o S Z q NEW - TYPE - ..GROUP i _ _ O OF ALTERATION y._ ROOM'' �yF�AMiL1�Ej8 'ADDITION /`. SIZE ..f9 REPAIR STORIES MOVING WALL COVERING DEMOLISH _ 'ROOF COVERING $ Q�) P. c. FI-N*h APPR;O-V-AL FEE /V "'S�• Gt�O�fC INSPECTOR'S / • VALUATION - 'I FEE DATE * / - I NAME .OB-3 8-40 23M - - '-APPLICATION FOR PERMIT DEPARTMENT OF .BUILDING AND SAFETYDTT . COUNTY OF LOS ANGELES I L 1 WM. J. FOX, CHIEF ENGINEER NO_OF �/ SETD ACK LINE �V t (/414-5NO. DISTRICT PLANS D FIRE - APPROVED ZONE BY DATE RECEIVED BY DATE,OF`APPL. DATE ISSUED USE APPROVED - ' - ZONE �� BY DATE ! !`de /.lam/ � "' •U �/��a APPLICANT FILL IN__.HEAVIL Y OUTLINED PORTION ONLY c ' ' BUILDING tr ry Lab Tunas p � NAME e /', ..- ADDRESS._ � .1��.!4 E. .t - ILI Fz ADDRESS LOCALITY: Tem le city d strlCt- - t7 NEAREST r U m CITY -CR OSSST. , 'a STATE • TEL.- LICENSE NO. EL...LICENSENO. NO. , w NAME Standard.' St-ationslnc. Z `MAIL -_ o IJAME Electrical .Pro.ducts. Corp.-- , o _ADDRESS . 2-00 . B ush St . ' L- < 'ADDRESS 112R Ve, ice Blvd . CITY SanFr"anc-sco,Calwo n . I HEREBY ACKNOWLEDGE THAT 1 HAVE ,READ THIS Z CITY Los 'tin elesCalifornia. U _ APPLICATION AND STATE-THAT THE ABOVE IS CORRECT STATE - TEL. G3!ry AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' L.1-CENSE.NO.' 12588 NO. PR- AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z © SIGNATURE OF ,� LOT. NO. / S_IZE OF-LOT _ OWNER Q a - T J :,NO' OF BLDG$. AUTHORIZED AGT. BLOCK NOW ON'LOT - j / CORRECTIONS W -TRACT D USE OF BLDGS. s NOW ON .LOT DESCRIPTION OF WORK. USE OF BUILDING FrPcti ra one AD 6h evr6n., 'l Q ` E. 0 NEWTYPE GROUP ..'..- - NO. OF NO. OF 91 ALTERATION. ROOMS" - FAMILIES' V ADDITION SIZE REPAIR STORIES MOVING - WALL COVERING DEMOLISH I ROOF COVERING $ P.C.$ FINAL APPROVAL . - FEE � C $ G II _ �(J' Ii INSPECTOR'S VALUATION $95•GG . FEE 1.5G DATE 2 � � I NAME 7 A� - �"oes-a•^25M SETS 8-45 DEPARTMENT OF BUILDING- AND SAFETY APPLICATION FOR .PERMIT COUNTY OF LOS ANGELES S � ' C � ' 1 WM. J. FOX, CHIEF ENGINEER NG FOR APPLICANT" TO FILL IN FOR OFFICE USE ONLY BUILDING /f I- NEAREST DISTRICT NO. rPLAN CK�.',NO/. PERMIT NO. ADDRESS ``� IY / 0 �k�LOCALITY All /0/4.. � / // RECEIVED BY f�DATE OF APPL.. DATE ISSUED NEAREST "e .�CROSS:-ST. lzBUILDINGOWNER `ter ti fC�` " .{ 7, ADDRESS /� I �MAIL .A` ® / AlLOCALITYADORERS d/ uwJJ Q�y��qq y��q . CITY IL 11T A�I� NO. " CROSS ST. ARCHITECT•L� [s Jggq��'��ppTL. 'ZONE •r I PFIRE NLANS I TYPE ?- I OROYP ENGINEER , �LL,ItI��'. � ...119 BLDG. ORO. NO. ADDRESS SETBACK LINE •- - APPROVED TEL. CONTRACTOR NO. BY DATE . (�/p/y1/�/ USEr►.MPPROVED ADDRESS 'VV ZONE BY DATE LEGAL —DESCRIPTION I LOT NO. �I BLOCK - CORRECTIONS " TRACT BLDG SIZE OF LOT v I NOWDON LOTS . USE OF /_f s� �• pI NO.OF I NO. OF - EXISTING BLDG. • FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION I ADDITION f REPAIR MOVING DEMOLISH O Sq. FT. NO.OF SIZE 3�® � ROOMS '/ STORIES D WALL /' �f J r C OVERT NGC /�/"�',6�� 4 6����rg. �7�. I GUSE OF BUILDING NEW i�'� /fix� APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, WSPECTOR DATE G' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, l" SIGNATURE OF BRACING, BOLTS � V - t OWNER .' � • 9 -. LATH, INT.: - AUTHORIZED AGT aaa®®®//'".,"f�r$ LATH, EXT.: $ FFEE * a PLASTER, INT. PLASTER, EXT.VALUATION �� .0�� FINAL r .'• � G RK-PARTMENT OF BUILDING AND SAFETY, APPLICATION FOR PERMIT { COUNTY OF LOS ANGELES. _ BU I LD!PSG WM. J. FOX, CHIEF ENGINEER SO-0 73 E PLANS 'BLDG. FIRE DISTRICT NO. PLAN CHK. FEE .-PERMIT No. FILED SETS ZONE ZONE /� RECEIPT No. .-TYPE OF I S l6��r'. BLDG. 1 II' 111 IV_ V X GROUP• BLDG. SETBACK LINE. DATE OF APPL. RECEIVED BY DATE ISSUED ORD. NO. '�e/ 7 (J (, e&:•a en APPLICANT FILL IN HEAVILYOUTLINED PORTION ONLY O NAME - BUILDNG ADDRESS 1974 E. Las Tunas Drive, .1., W - W Z ADDRESS - LOCALITY Temple City.- !: ity.!: O .. , - U Z CITY - NEAREST ^ - CROSS ST. /A K STATE Q LICENSE NO. TEL. No. W NAME Standard Stations Inc. MAIL NAMEELECTRICAL PRODUCTS, CORP., _ 3 ADDRESS Standard Oil Bldg.,. . a ADDRESS 1128 Venice Blvd, O= CITY.' LOS Angeles. -TEL NO. �A Z CITY LOSeleS a LOT 3 SIZE OF LOT J1 U STATE - PR_0371-.F. •ou NO. OF.BLDGS.– LICENSE NO,'12588 `y� TEL`. NO. •T �m '.BLOCK NOW ON LOTUSE OF �� CLASS.OF WORK D: TRACT �.. I NOW ON BLOT ..� D1ySCRIPTION�OF WORN' NEW _ I ADDITION DEMOLISH ' ALTERATION I. REPAIR MOVING •- ': d' USE OF /+ q O OF 1 cevron,. h BLDG. s I to/ti •IIIROOMS Valle $75.00 Fee $1.50 SIZE OF ' ( I -STORIES INo. OF BLDG FAMILIES CORRECTIONS 1 , SPECIFICATIONS . . FOUNDATION �. EXTERIOR PIERS MATERIAL THICKNESS—TOP b, THICKNESS-BOTTOM ® ! , Q DEPTH IN.GROUND Z cd U2 SUPERSTRUCTURE U' 'dU SIZE SPACING SPAN O 0 R. W. PLATES (SILL) b.0 GIRDERS O � JOISTS—CEILING ' r! � BEARING WALLS I. W PARTITIONS ` - S~ 'O- ROOF RAFTERS . ca �, -FINAL APPROVAL ) SILL BOLTS COVERING DATE //�. I INSP@CTOR'3 NAME '�• ' __i4q Cd WALL ROOF i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS C)4APPLICATION AND STATE THAT THE ABOVE IS CORRECT Na�'C'g AND AGREE TO COMPLY - AL COUNTY ORDINANCES �, ,, P,C. FEE $ AND STATE AWS L'G Tt DINGi CONSTRUCTION. VALUATION s 75.00 FEE 1e 50 slGtd_. $ OWN OR'AUTHORIZEll AGENT DB-3 12-38 - - WORKERS"COMPENSATION DECLARATION ro t :Y r K wa a dtr MI ... r. Y t ' I i reby,'fcer that_I have rk e' icate•of consent,to•self e PP"��T��,� Fo is�uiLDINC�:TPER11111T insure, or'a certificate of Workeis Compensation lnsurdnce; O""� or a certified'copy thereof (Sec 3800 Lab. C ) _w.. st COUNTY OE•LOS ANGELES BUILDING;AND SAFETY t Policy No Company Certified copy,is,hereby, furnished. _ s' BUILDING`^ b ❑. FOR APPLICANT TO`FILL IN i, AD[ COW ` ❑ Certified'copy is filed,with"the county pildmg inspec-,"` ' BUILDING tion department. ADDRESS,t A R - - ` Date 5 •Applicant a CITY �w Lil/� ZIP ! ��� 1 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' f- NOW ON LOT NO�OF-BLDGS-:-r NEAREST.CROSS ST.,:. SIZE OF LOT6r%.X [ �/ a i,4-,, COMPENSATION INSURANCE •` '.'` (This'sddiomneed not be-completeid•if-.the permiY'isJor:'.one - - - - - - ASSESSOR TRACT BLOCK LOT NO.^ `MAP BOOK PAGE' PARCEL Y. hundred dollars,($100)'or less ) ;r TEL. �y A ` 4 OWNER: �'NO:2 'L-'!Y� I certify that in the performance of the work'for wFijch,this permit is issued,'I shell not employ any person m any manner SOCIAL - -•- - - USE ZONE n j�l (/.� so as to:become subject to the Workers Compensation Laws. ADDRESS _ 7 (fes . ' Y1ZG `//� CONDITIONS I y, ,- ,+,-rt O 22 (/Sri Zi'G� j CITY ZIP:.... L:l./_��_ = {�° Dare Applicant ARCHITECT OR TEL. DISTR U TYPE E O NOTICE"TO'APPLICANT:'`If-, 'after making'this Certificate of ENGINEER NO `,r V _ O P ST<� FZgNE Eicemption ':you should become subject to'the:•Workers' t _ ICT <GR PROCE SED BY Compensation"provisions of the-Labor'.Code, you.must•forth- ADDRESS Q CO + N with 'comply,with.;such• provisions or•this permit shall be ` - - .. - deemed revoked TEL STATISTICAL C SIFICATION. APT CO CONTRACTOR NO f LICENSED`CONTRACTORS,DECLARATION, --- -- _. ,___ LIC: __ CLASS NO: DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (commencing with Section_7000)of Division 3:of the Business;and _ _._ LIC.. - W SE ER MAP �7 z"�i Professions Code, and my license is in full force and effect., CITY „ CLASS "BK. L VAL�DAQON� A - SQ. FT_. ry NO. OF NO:OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE (/ #^°:°'1° • 2 3-1-., VALUATIONGt -.i .. .�„- NEW..- 1..:8 7, _ i DESCRIPTION OF'WORK ConTrgcfor Date Nom/ ADD $ n ❑ I am exempt under Sec LTER ❑ vD o thi B.&P.C. for s reason �l J �✓ b9e, - REPAIR.- -- USE OF. ,o ° 0 0.2 7J Date:' : DEMOL ElEXISTING BLDG. Signature OWNER-BUILDER DECLARATION PRINT TEL NO � � DATE L `f ✓• j ° - 4,1.45- 4 ,45 APPLICANT- /� I,hereby affirm-that fora exempt-from.the.Contractor.s License ca 5v Low for the'folloing.r'eoson`(Section 7031.5; Business and ADDRESS 7 A� INA wb P(ofessions'Code) :: -. .. - W....:- w: PRESENT -- - _.1 gY f r� BUILDING t as owner of the property, or my-employees with ADDRESS K]I .:-. wages asaheir sole compensation,.will a the work and n the structure is not intended or offered for sale(Section LOCALITY 7044;.Business and Professions Code)`: MOVING-#Fe. --'TEL'- I, as owner of the p�operTy, am exdusively contracting CONTRACNa with licensed'contractorsto'construct'theaprolect (Sec-•” ' Tion 7044; Business,and Professions Code): ADDRESS REQUIRETOTAL;SETBACK-FROM I 1 CONSTRUCTION LENDING AGENCY'-� SETBACKWY '' PROP. LINE WIDTH j I hereby offirm'that therer is a construction lending.agencyfor FRONT ) "' - . . . .-a ••-•th'e•performance-ofthe•work for-which this<permit-is-issued -- - -• P.L. ••(Sec 3097 Civ. C.).. SIDP.LE .Lender's Name 7P C--Fee$ _, Permit Fee. _ LDMA Ref # lenders Address1 certify-,that l.have-.read...this-a lication_and_state_that the ._ .. ,....Y PP - Issuance•Fee - - - - LDMA-P/C#-.._above,information is'correct: ['agree to comply with all County In'vesrigariordinances'and State laws relating To building_consiruction, _ TIN4 LDMA Perm. # -- - - °-;o ° 9 6.7 5 c= i. Jr T u and hereby outhorize representatives of this County to enter up a bove-mentioned pro y for inspection purposes, -_ i T r SEE REVERSE FOR EXPLANATORY,L'ANGUAGE f ignature of° pp cont-or Agent , .`. --• -Date- 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 0108240047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF —CONST NEW BUILDING ADDRESS: TR: 6561 LT: 739 SQ. FT STORIES TYPE OCCUP GROUP 9436 LAS TUNAS DR STRUCTURE: 300 1 VN B TEMP CA 917802135 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK STREET 8587-006-011 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: _E9 IS T BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: FOREIGN MOTOR SERVICE EXIST OCC GRP: B 08/24/01 UT 02/20/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN BY: CODE: HERRMANN MANFRED;HELGA W - 3,000 9436 LAS TUNAS DR 2 TEMP 917802135 FEES PAID DESCRIPTION OF WORK COVERTING STORAGE ROOM AND WAITING ROOM AND REINSTALLING TWO APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: WINDOWS ANTHONY POURAZES (626) 287-1944- AA BLDG PERMIT ISSUANCE 27.75 9436 LAS TUNAS DR. AE STRONG MOTION OTHER 3000.00 VAL 0.63 SPECIAL CONDITIONS: TEMPLE CITY 91780 A2 PERMIT W/ENERGY=HC ___ �- 3000.00 VAL 113.85 !' 'TOUCHES 142.23 CONTRACTOR: TEL. N0: - APPROVALS DATE INSPECTOR SIGNATURE NONE LIC. NO LOCATION AND SETBACKS NONE F SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. N0:' SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPd '• UNDERFLOOR INSULATION 3 04 'j FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: S AT CLASS:- NO 22 '•, \ 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 LOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508