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HomeMy Public PortalAbout9470 LAS TUNAS DR_Building__ 76A 63 BA CEP 803.9-67 APPLICATION FOR BU I LDI N PERMIT COUNTY OF LOS ANGELES BUILDING -n DEPARTMENT OF COUNTY ENGINEER ADDRESS52217 0 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRICT NO. GROU TYPE SS Y FDN OR APPLICANT TO FILL IN ONST. (Print or type only) G '"+ STATISTICAL CLASSIFICATION SEWER MAP S V �,� /V +�/fir CLASS NO. OWELL,UNITS PG BLOCK USE ZONE MA NO. CONDITIONS - CI L NO.OF SLOGS.LO NOW ON LOT BLDGBLDG.SETBACK FROM TEL. . FRONT PROP.LINE OF (STREET). d NO• YPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL S :3 ` HWAYWIDTH FROM C.L. -P�� /-//l�L.riG�� BLDG.SE KFROM } ARCHITECT OR TEL. SIDE PROP. LI (STREET) ENGINEER NO. TYPE OF 1EXISTING SETBAC WAY } YARD = TOTAL- ADDRESS HIGHWAY1 WIDTH FROM C.L. TEL q = a CONTRACTOR }NO. 7_ - C. /�,/ (�r,�' O .ADORES / ,� O. /�(3 CORNER CUTOFF YES ❑ NO V CITY 'S c(ASs �j . SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a IC-1c smor 11 l- 27 z_ NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES US;E OF S'1RUCTURE 4. SIGNATURE OF APPLICANT " VALUATION $ cr .r APPROVALS DATE IN5PECTOR'S SIGNATURE P.C. PMT. y� FOUNDATION: LOCATION FEES �/� FEE $ ><X FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR COD OF THE STATE OF CALIFORNIA RELAT. LATH,.INT. ING TO WORKMEN'S C OF IN INCE. JJLATH, EXT. RE SIGNATUOF HOUSE NUMBER COR- PERMITTEE e RECT AND POSTED ADDRESS F I N AL Gy' JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O." CASH PERMIT VALIDATION M.O. CASH : 5 9' 4 S- i'AY c 3 D 1 3.881 U LO: 8 U'Lo 4.7 9 2� PAY 2.3 1 D 2 7.75- .t 764638A CE#803 I-67 APPLICATION FOR BUILDING (PERMIT COUNTY OF LOS ANGELES Bu1LDING DEPARTMENT OF COUNTY ENGINEER ADDRESS — r BUILDING .AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. J-ENKINS,SUP'T OF BUILDING CROSS ST. f DISTRICT NO GROUP TYPE PR CESS D. BY FOR APPLICANT TO FILL IN d CONST. BUILDING STATISTICAL C SSIFICATION SEWER MAP ADDRESS 7�LOT hl!�L. CLASS NO. DWELL UNITS —� BK�� PG! LOT NO. LAs S;& BLOCK USE ZONE MAP - �� (/ TRACT No. �> N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE.OF � BLDG. SETBACK FROM TELFRONT PROP. LINE OR '✓ --e - (STREET) NO. LI• �3. TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS "/ / HIGHWAY W , FROM C.L. CITY ARCHIT OR TE BLDG. SETBACK FROM . ENGINEE NO !/S� SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK. HIGHWAY + YARD = TOTAL ADDRESS ''��//�5 HIGHWAY WIDTH FROM C.L. CONTRACTOR �L/\�CiG~ NOL Zz3� + ADDRESS ?jS NO/ CL /1 CORNER CUTOFF YES - NO CL c CITYLIC �."�'!� SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK LL CL NEW ADD ALTER REPAIR DEMOLISH SQ. T. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE 3 S1 /-'! /A/7', IL4 40/ SIGNATU APPLI VALUATION$ „�. C3:O,OO I• APPROVALS DAyyTE INS CTOR'S SIGNATURE P.C. PMT. FOI ' ON 4 (Q FEE$ FEE$ a FORMSMATERIALS FRAME, FIRE STOPS, -• - ' is 'I HEREBY ACKNOWLEOGE,THAT I HAVE READ THIS APPLICATION .BRACING BOLTS ;WAND STATE THAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES,AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR C�,Qy� THE STATE OF CALIFORNIA RELAT. ' ING TO WORKMEN'S C 10N ILLSLF� / i L � o –e-y LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED .. ADDRESS t FINAL JOHN F. LEWIS. P INCIPkc ST R TURAL ENGINEER 'PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. M.o CASH JO r3 8 h. kit -1,,23 ,01,,` 8,63A v - 3.� '9 �• - Lko' 1V5 l: 0 1 72 �'lZ�r�-epi/ - • �' `"���I��' 76A638d CE#803 1-67PKU-7 TA COUNTY OF LOS ANGELES BUILDING 6DEPARTMENT OF COUNTY ENGINEER ADDRESS / BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP•T OF BUILDING CROSS ST.. / DIST. ICT .) GR UP TPE PR SS �Y FOR APPLICANT TO FILL IN ST. BUILDING ✓}'1 / �/�' �+ STATISTICAL CLASSIF ATION SEWER MAP ADDRESS /'lJ /-"AS / N M J DWELL UNITS '� BK PG C L ASS-NO. �� LOT NO. Com. BLOCK USE ZONE MAP NO. G TRACT (/`') SPECIAL N0. OF BL003. o CONDITIONS - SIZE OF'LOT /NjOWW ON LOT �/�'' ' USEOF C'�'/�'/ ��• EXISTING ` /� }� BLDG. SETBACK FROM y h `-"* NOL: Il�� 2J FRONT PROP. LINE OF - _ (STREET) OWNER ,,, ^ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSf O vy HIGHWAY WIDTH FROM C.L. CITY !.) ' � - 'L.di ARCH I R TEL. BLDG. SETBACK FROM j GINEER SIDE PROP. LINE OF (STREET) 3 TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS ,�rJ HIGHWAY WIDTH FROM C.L. - Q NTE + CONTRACTOR ,A (, O ,Z3 - / ADDRESS Np14Yf7 CORNER CUTOFF YES NO G C CITY ti Llc SEE REVERSE.SIDEFORSPECIAL APPROVALS ' DESCRIPTION OF WORKfw F n NE *ADD' ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF 0k SIZE 3. , STORIES FAMILIES _ j USE OF n/' �G / STRUCTURE/ `� s �� GI�U�XJY , (f kattl SIGNA.TU�RE>O'F�7 ) fl-lo APPL VALUATION$ / r'4 .00 APPROVALS ATE INSPECTOR'S SIGNATURE _P.C. PMT. �5..� FO FORMS!MATERIALSON F E E$ FEE$ r I/rA' V 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORK ME 'S P LATH. EXT. SIAT lo rol, HOUSE NUMBER CR- GNOPER TTE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL' ST URAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION CK. M.O CASH 3=3.8 9;2 MR 1 2 3 D 1 6,5 0A to. 359_6�s ..M1.5 1 D 33;00M a 76A6.3•A CE#803 3-66 I APPLICATION FOR BU I•LDI NG. PERMIT` COUNTY OF LOS ANGELES BUILDING r vAl DEPARTMENT OF COUNTY ENGINEER ADDRESS `7 BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. 1 DISTRICT NO. GROUP TYPE, PROCESSED BY, FOR APPLICANT TO FILL IN 'F pI CONST. � BUILDING , A ` STATISTICAL CLASSIFICATION SEWER MAP _ ADDRESS '3470 LAS "TV -J A5 DRI- _• CLASS NO. .((J�DWELL UNITS -644— - ar LOT NO. BLOCK USE ZONE MAP .. - NO. U07 TRACT ou I r�/ SPECIACONDITL /��/y NO. OF BLDGS. SIZE OF LIT/ F_ CllI NOW ON LOT USE OF EX' N6 BLDG. BLDG. SETBACK FROM (� M (� TEL. FRO LINE OF (STREET) OWNER LPti-kS `• (kV, -tNO. (� TYPE OF EXI 0 SETBACK HIGHWAY .+ YARD = TOTAL ADDRESS 4'10 `I S Tu QAt. O„ HIGHWAY WIDTH ROM C.L. CITY 'TZ WA P t-L � �— 7 ABLDG. SETBACK FROM RCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OR (STREET) TYPE OP EXISTING SETBACK I HIGHWAY YARD = TOTAL ADDRESS - HIO HWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR L oN O ADDRESS sc L a 0AOw YNO 014 CORNER CUTOFF YES NO V CITY G A OL VJA 6'?02-'-/?)C'LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK LLJ NEW ADD ALTER REPAIR DEMOLISH SQ.FT. 99 �/ NO. OF / NO. OF SIZE h J O STORIES FAMILIES USE OF STRUCTURE F&0 AO MA g. lR1S e OF V4RE . P• tWKX-Fa SYS. SIGNATURE OF APP.LtCANT VALUATION$ �.� '® •00 APPROVALS DATE INSPECTOR'SSIONATURE FOUNDATION, LOCATION FEE$All m FEE$ ® FORMS, MATERIALS If FRAME, FIRE STOPS,' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. Co6C�Gtt?c Q'tZOTL'-G�toy SIGNATURE OF /'a, ,_�.��c�¢_^, HOUSE NUMBER CO R- °• // V� RECT AND POSTED ADDRESS t 6-fS0 b �' - �0�� �•j( F I N A L JOHN F. LEWIS. PRINCI AL STR T''RAI ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION cK. M.0 CASH LAC s JUN 18 2 3 D 4 .2.7;5,_ . L&05 U97-0 JUN18 1 a 8.550 . •tel'--��-/� �' �C 76A'638A-CEi1803 9-67 !_ 9 APPLICATION FO:R= BUILDING PERMIT COUNTY OF LOS ANGELES 'BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS Y47o T BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. rl DISTRICT NO. Gj;rROUP ] TYPE PROCE D BY FOR APPLICANT TO FILL IN CONST -g— (Print or type only) .JL— BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESS ��® � - CLASS NO.�__'.DWELL,UNITS.- B,4 P13 LOT NO, /0-%?V)17 17,71 BLOCK USE ZONE MAP NO. TRACT CONDITIONS T�V NO:OF BLDG!. SIZE OF LOT V NOW ON LOT USE OF EXISTING L GABLDG.SETBACK FROM TEL.,7 FRONT PROP.LINE OF (STREET). OW NE NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS D/3,c.,c. a / HIGHWAY WIDTH FROM C.L. CITY BLDG.SETBACK FROM ARCHITECT. TEL. ® (STREET) ENGINEER NO. SIDE PROP.LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L.' TEL. ry��•%/� } _ � CONTRACT . O. a/�fi//`��f(/ c:), ADDRES - NO ��ry� CORNER CUTOFF YES ❑ NO [j C..') CITY class(�'- SEE REVERSE SIDE FOR SPECIAL APPROVALS F_ DESCRIPTION OF WORK z NEW ADD ALTER REPAIR DEMOLISH - SQ. FT. NO. OF NO. OF SIZE ' STO IES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ � �"-�'���� I� PMTn APPROVALS DATE INSPECTOR'5 SIGNATURE FEE $ t 'y FEE $-7� � FOUNDATION: MATERIIALSION 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK w AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. ' TION OF THE LABOR CO OF TH TATE OF CALtFORN1A RELAT- LATH, INT. ING TO WORKMEN'S CO P NSATI NSU ANCE. LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMIT - RECT AND POSTED .ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL S RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH 06� I�u^tY 8 2.51 • _CITY 0P TEMPLE CITY '•;6At538A EE.7+803-9-67- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 9470 E. Las Tunas Drive DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L6` ALITY Temple City JOHN A. LAMBI E, 'COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.' N• Cloverly Five . DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN CONST. (Print or type only) - .08 -2 V 1,14e �elson BUILDINGT' STATISTICAL CLASSIFICATION SEWER MAP n ADDRESS 9470 .E. La.s Tunas Dr• CLASS NO. 16 DWELL.UNITS BK 6 P,139 LOT NO. wee legal descripL> USE ZONE MAP 2007 0. TRACT a ac e V-2 SPECIAL #67 ° `' �{ CONDITIONS Z.V. i�61 -218 SIZE OF LOT 430 t x 3 NOWOON LOTS 0 USE•OF - - EXISTING BLDG. BLDG.SETBACK FROM - OWNERRalphs Industrie;%L-3 2-732 FRONT PROP.LINE OF (STREET). TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL . N . ra • , ADDRESS HIGHWAY WIDTH FROM C.L. CITY Los Angeles, Calif. BLDG.SETBACK FROM + ARCHITECT OR Jan-1>ie L• TEL SIDEPROP. LINE.OF (STREET) ENGINEERDWorsYL NO. 655-5300 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 1017 Iii• La Ciene a Blvd. , HIGHWAY WIDTH FROM C.L. TEL. + - CONTRACTOR NO. O ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U C CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK N TE: This Permit z NEW X ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF correct error in recording val- SIZE STORIES 1FAMILIES uation, Bldg.- Per. # 3632 of USE OF STRUCTUREld , , D , n A SIGNATURE OF _ _ original permit as $200 000,• APPLICANT should have been $290,000. VALUATION $ . 90,000 O AL 0 U 11210ECTOR'S SIGNATURE l FEE$ �•�O f eels See. I� FI MA, ` R. Mj" t was F A E T I HEREBY ACKNOWLEDGE THAT,I.HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY FURNACES LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS owar -or-rowdale BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. Q TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. - V ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE - - - RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH UAW C�M�� M . ....►dt#. IkaEt =. - tom` �`1�TIII �yypl OBr••re••• � ■ Or 1,y r tbb.lD�i 0• Og00,'��..` '�*� U !76A63EX. CE#8031-67 AP'>�L:*�CAT.ION FOR1-BUILDING PERMIT ' COUNTY OF LOS ANGELES BUILDING DEPARTMENT- OF COUNTY ENGINEER ADDRESS J-O E 4- /v IV,4 s BUILDING AND SAFETY DIVISION LOCALITY ? , JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T OF BUILDING' CROSS ST. C 0 V —IF p-/- L ' DISTRICT NO. ROUP TYPE , PRO E SED BY FOR APPLICANT TO FILL IN ` r d Z ONST. IL BUILDING / - STATISTICAL/CLLASSIFICATION SEWER MAP ADDRESS �G,y,C. hS' (//tI/.�S CLASS NO. DWELL UNITS. BK L PG /7 LOT NO. See legal Cbscrlptl'on BLOCK USE ZONE MAP c� O f/ TRACT attached ' NO. ` _ AL C-� CONDSPECITIONS '� G -SI ZE'OF LOT 430' X 38O'' NOW ONBLOTS O :USEOF _ EXISTING BLOG� BLDG. SETBACK FROM �RalI�hs Industries ' TEL 382-7234 * FRONT PROP. LINE OF (STREET) OWNER L' ANO. TYPE OF EXISTING SETBACK HI0HWAY/,4 YARD = TOTAL ADDRESS :3410 W.- 3rd St. , �- HIGHWAY WI TH FROM C.L. CITY Los.Angeles, Calif. + _ ARCHITECT OR' e TEL BLDG. SETBACK FROM r niL. SIDE PROP. LINE OF (STREET) ENGINEER DwOrS --'.Irieo. 655-5300 TYPE OF EXISTING SETBACK GHWAY + YARD = TOTAL [ADDRE 1017 N. La Ciene a Blvd. L..A. HIGHWAY WIDTH FROM C.L. TEL. + _ CTOR - NO LIC ' a NO - CORNER CU ,.OFF YES NO C LIC SEE REVERSE SIDE F,OR,SPECIAL+APPROVALS DESCRIPTION OF WORK LL ADD ALTER - R PAIR DEMOLISH -,580SOTORES 1 FAMIOLIF_S •RE Commercial store SIGNATURE OEfOle ♦ ! APPLICANT / s VALUATION - 2 O O O/ 0 r00 APPROVALS DATE- IN ECTOR'p SIGNATURE P.C. '7` ` � FEE$ 6 QQaPMT. z FpFORMS I MAUNDATON�TERIALS�N f d FEE$� 5--� FRAME, FIRE STOPS, . 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. + TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C PE NSATION INS NCE. / /J `S�� HOUSE NUMBER' SIGNATURE OF �,lyLv HOUSE'NUMBERCOR- PERMITTEE REC AND POSTED ADDRESS FI NAL JOHN-F. LEWIS.'PRINCIPAL ST URAL ENGINEER. PLAN CHECK VALIDATION cK. M.o. CASH•. PERMIT-VALIDATION . CK. M.O ` CASH X2:6 4. 4-0. J t17 2 3. D .2 7 5.754 k. 3 b 3 ,03 . ITIR 1.9 .2 .3 -p . . '6' 7.0 O N .:.. 36.3:2:x. hi.�t 1:g 1, D 6,8'•5.510-. ©5 76A638A CE#803(REV.6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS BUILDING ,E ADDRESS S To L.,6 __T J,At/d C LOCALITY NEAREST CITY e H L� �('t ZIP CROSS ST. %NO.OF BLDGS. ASSESSOR. SIZE OF LOT NOW ON LOT . MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE 'FIRE A PROC ED BY TRACT vY) $L CK LOT NO. C, l CONST E �:JR.. U8 „LJ� ._ •- OWNER L I3�S .G.pY�3 �NO.'2 '-. OIL-416 /� STATISTICAL CLASSIFICATION SEW R MAP ADDRESS bo /�YI.-(l_ ( /� . Z � / _ —y DWELL.UNITS CLASS NO. B CITY � l l3 AJ ZIP. - ARCHITECT OR TEL. ENGWEER NO. VALUATION v� ADDRESS BLDG.SETBACK FROM 40% - p .`` FRONT PROP.LINE OF (STREET) CONTRACTOR 40%r-tb tjk, NO <Ae4'1"b4-oC HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF; EXISTING LIC 'ADDRESS k-1 Al)O Le,kf �/fij ,+1'L6NC;l 44�-7 FRONT PROP.LINE HIGHWAY WIDTH LIC. + CITY L-4 H �- n n CLASS BLDG.SETBACK FROM. - CONSTRUCTION LENDER SIDE PROP,LINE OF (STREETI NAME AND BRANCH HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING = � ADDRESS CITY SIDE PROP.LINE• HIGHWAY WIDTH -0 SQ.FT. NO.OF NO.OF CHECK + _ SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK 40 if T ILJ0•IJ NEW ❑ P.C. Fee$ Permit Fee P A riJ-c cz l6 tlI ADD ❑ 96 Cl Fee . ALTER REPAIR ❑ Total Fee USE OF �j _ DEMOL ❑ EXISTING BLDG. l j A LL ` e �C> YLiC 4i( Z C APPLICANT pp � n�J y TEL IPRINTI� H 4i\i fL i NO. D BY(SIGNATURE) - IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y - THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V - •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- Z PENSATION INSURANCE. g SIGNATURE OF �' `�-p.J►�} d PERMITTEE '. 5` 7.2A ADDRESS ?O �.P>� L 1) 1 oo _ Z �#-o o( o.1 TEL O CITY \d- ` , I ll_/J 17.67 L� - NO.v,� '4J 1Q� Q 2 0,0 2200 USE Z7MAP - 0 Q 1°,1°.°.2 2 O>E IAL PECIAL 0,7. 1 91_'�9 LU FINALcc �` �DATE "' ✓ t /6'Fp , APPLICATION FOR 'BUILDING PERMIT . FOR APPLICANT TO FILL IN (Print or type only) BUILDING, .1 b /. COUNTY OF LOS ANGELES ADDRESS g L c3 �� vy-Cd S' rte` •/ PARTMENT OF COUNTY ENGINEER ' CITY r� Ci - ZIP ILDING AND SAFETY DIVISION O.OF'BLDGS.. BUILDING �� � �� SIZE OF LOT ,�-�^' NOW ON LOT ADDRES TRACT � ° BLOCK LOT NO. LOCALITY TEL. NEAREST OWNER &r P 1(j4O. CROSS ST. [�t ASSESSOR ADDRESS G�,_Z O S Ll � MAP BOOK PAGE 11 RC)IL f- /+ TRICT P TYPE IRE PRO SED BY CITY Q'(!/ ` ZIP - _ k P CONS fU ENGINEER r - 's ' STATISTICAL C FICATION SEWE MAP ADDRESS s '©ef "(.>O , QGO CLASS NO.�DWELL.UNITS BK PC . CONTRACTOR 'Co f<"M GL= CJ .TEL.nD eUS,F, ZONE MAP NO. _ ADDRESS �.�O.�fjos?- NO. SPECIAL . LIC. CONDITIONS CITY � U(j[7 I CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ ��// NAME AND BRANCH /old lel BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY t YARD 'TOTAL SETS CK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT P OP, LINE HIGHWAY WIDTH SIZE 20U I STORIES J FAMILIES ONE t - a DESCRIPTION OF WORK NEW E] CD ADD BLDG,SETBACK FRO (STREET) CC Aa f` SIDE PROP.LINE OF ALTER ❑ TAL SETBACK FROM TYPE OF- EXISTING O HIGHWAY t YARD = HIGHWAY WIDTH Cl..., REPAIR NICE PROP. LINE 'W y LL EXISOT NG.BLDG. 4014 y; r m T DEMOL E] t Z AP NT /� - TEL / CORNER CUTOFF YES L] -,No PRINT BY (SIGNA TUIR_E) (�47 IN OPEN SPACE YES ❑ NO ❑ • IN COASTAL PERMIT ZONE YES ❑ NO ❑ 4_�2_ 0 v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �'� AND STATE THAT THE ABOVE IS,CORRECT-AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ST ®�, �� es i%�� �" C 4 RUC TION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED (/ V v .!!! HEREBY I'WILL NOT EMPLOY'ANY PERSON IN VIOLATION OF`THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURAN E. � SIGNATURE OF PERMITTEE - - ADDRESS TELFINAL B,Y .' CITY 2600 NO.6 i'k6 DATE ,HAKE CHECKS..PAYABLE TO: P,C. Q PMT.' FEE'�I+� i4 � FEE �P HARVEY T. BRANDT, COUNTY ENGINEER NO ` PLAN'CHECK VALIDATION M.O. CASH _ PERMIT VALIDATIONM.O. CASH 255 MAR 1523 U 36.00 ,69' VlkR lad 1 U' 60.00e 76A638A CE x#803 5/74 e- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY CER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS 0 L - m that I have a certificate of consent to self insure, 4' —7 -I— e of Workers'Compensatiopp Insurance,or ej certified CITY ZIP(Sec. _ Lab. .) N q-Z n�L. �^ = LOCALITY Z . Compan ��dn / / SIZE OF LOT ` NO.OF BLDGS.NOW ON LOT G copy is hereby furnished. NEAREST CROSS STA I fi-:::z : copy is filed with the county building inspection TRAQT�6 ` BLOCK LOT-7,(!) `ntC� 1 USE ZONE MAP NO. [�A licant ASSESSOR OOK PAG PARCEL PP 3 SPECIAL CONDITIONS FICATE OF EX PTION FROM WORKERS' ow a S TEL.No. YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? . ADDRESS DISTRICT y n need not be completed if the permit is for one hundredP. C9d GROUP TYPE CONST.' FIRE ZONE PROCESSED BY D)or less.) I t in the performance of the work for which this permit CITYZIP ,D p shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO.24 Iject to the Workers'Compensation Laws. _:z / STATISTICAL CLASSIFICATIO APT CONDO Applicant ADDRESS Y CLASS NO. DWELL UN 'O APPLICANT: If, after making this Certificate of � REQUIRED TOTAL SETBACK FROM EXIST i, you should become subject to the Workers' CONTRACTOR -CJ TEL.NO.L( J SET BACK YARD HWY PROP LINE WIDTH ion provisions of the Labor Code, you must forthwith FRONT i such provisions or this permit shall be deemed revoked. AD`DNESSn LIC.NO. 2 PL '•-�.�i2s SIDE :ENSED CONTRACTORS DECLARATION CITY LIC.cLAss P L firm that I am licensed under provisions of Chapter 9 L-e:) < 4 y SEWER MAP Ing with Section 7000)of Division 3 of the Business and SO.Fr.SIZE NO.OF STORES NO.OF FAMILIES NEWj BK PG i Code,and y license is in full force and effect.m Lic.Class DESCRIPTION OF WORK I �1 ADD E3VALUATION pop � � ate PZ°f '�? ALTER ❑ ❑ empt under Sec. REPAIR $ for this reason DEMOL ❑ LOMA P/C# USE OF EXISTING BLDG. URM, ❑ AM Ire APPL=(P INT) ! TEL.NO. LDMA Perm# r _ vner of the roe '�`' �Z Z p y, or my employees with wages as �3 � j 1 O =(-'• F Ile compensation,will do the work and the structurg is" ADDR S )nded or offered for sale (Section 7044, Business and 2 L�-�c FINAL D TE ions Code.) ,r / ,. . . ',` WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL f�Jl M OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATFA THAN Q Nner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL B > I contractors to construct the project.(Section 7044, YES❑ No El + IS and Professions Code.) .��r•; WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CONSTRUCTION LENDING AGENCY OCCUPANT QUALIREQUITY MANAGEMENT T FOR DISTRICT (SCAOMD) SE KATION FROM THE SOUTH T� COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. �•'•'�`�'•`-'- y affirm that there is a construction lending agency for YES❑ NO❑ ormance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD IV'C'')' PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES j:p?'Iii ;_.-''•{• COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING B Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. _ S Address _ y _ "s OWNER OR AGENT that l have read this application and state that the above P. FEE PERMIT FEE lion is correct. I agree to comply with all county �— ces and State laws relating to building construction,and AOHtiodprpro6ioeaty , senItives of this County to enter upon ISSUANCE FEE /g •_ ve-me for inspection pur oses. 5J 1�'!3 ..� INVESTIGATION FEE TOTAL FEE Icon r Apml O� SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF L09 ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI�� N DD E s ' - DDRES I ere t y affirm that I have a certificate of consent to BUILDIN self insure, �� or certificate of Workers' Compensation Insurance, or a certified co thereof(Sec.3800,Lab.C.) CITY ZIP p �O O LOCALITY Polic No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Ce ified Copy is hereby furnished. NEAREST CROSS ST []'Cert ied copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. depa ment. _ _ Date Applicant ASSESSOR MAP BOOK •' -PAGE - PARCEL SPECIAL CONDITIONS CERTI ICATE OF EXEMPTION FROM WORKERS' OWN TEL NO. �fyl�-aD COMPENSATION INSURANCE WITHIN 1000 FT SCHOOL? YES NO- (This section n ed not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP' TYPE CONST. FIRE ZONE PROCESSED BY dollars (5100) r less.) CITY ZIP I certify that int performance of the work for which this permit � G O r� is issued, I shall t employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. -- O (} sT become Subject t0 he Workers.'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date plicant .ADDRESS - CLASS NO. DWELL UNITS NOTICE TO APPLICA T If,,, after making- this Certificate Of REQUIRED - TOTAL SETBACK FROM EXIST Exemption, you shou become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must.forthwith FRONT comply with such provision or this permit shall be deemed revoked. ADDRESS LIC.NO. P IL LICENSED CONT CTORS DECLARATIONSIDE CITY LIC.CLASS PL I hereby affirm that I am lice sed underprovisions. of Chapter 9 SEWER MAP (commencing with Section 700 of Division 3 of the Business and SQ.FT.SIZE NO.OF Si3!!7 NO.OF FAMILIES Professions Code,and my licens is in full force and effect. NEW El BK PG License Number. Lic.Class DESC .ION OF WORK ADD ❑ -aJa6LlAKdt+L Q Contractor ate ALTER ❑ ❑ I am exempt under Sec. / r��-��Glz REPAIR ❑ B.&P.C.for this reason DEMOL ❑ Date: OF EXISTING BLDG. URM ❑ -- -;t^I(L Signature -APPLICANT(PRINT) TEL NO. LDMA Perm-# - _s-�.••z ❑ I, as owner of the property, or my emplo\4, wages as Z their sole compensation, will do the workructure is ADDRESS FINAL DATE �~'-)`�• �-� •���'"'3 not intended or offered for sale (Section ness and Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /" f �. L.�._e ❑ I, as. owner of the property, am exclusivctin Wlth OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THEg AMOUNTS SPECIFIED ON THE'HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BYlicensed contractors to construct the pron 7044, w,Irt'it•] =sj Business and Professions Code.) vas El No❑ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR IYsI`I€ J—)I?II i S e< t'•s f GUIDELINES. _ I hereby affirm that there is a construction lending agency for. YES❑ NO,[] I "' 7' m 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 - Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address OWNER OR AGENT O o I certify that I have read this application and-state under penalty O of,perjury that the above information is correct.I agree to comply P.C.FEE - PERMIT FEE - o with all county ordinances a State laws relating to building m construction, and hereby out ize representatives of this County ISSUANCE F - - - ro to r upon the ab e-m hed property for inspectio purp ses. a 4W�V INVESTIGATION FEE TOTAL FEE Signature of Applicant o,Agent at, SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A4 ESS I hereby affirm that I have a certificate of,consent to self insure, B ILDING ADDR SS0 or a certificate of Workers'Compensation Insurance,or a certified C T, ZIP copy thereof(Sec.3800,Lab.C. w/ -780 LOCALITY Policy No.�D�b�flo-�Jr� 91 Company �/' SIZE OF LOT NO.OF BLD S.NOW ON LOT ``sG Cwt El Certified copy is hereby furnished. NEAREST CROSS ST. e Certified copy is filed with the cou obd' Inspection TRACT BLOCK LOT NO. d/e/p rt nt. USE ZONE MAP NO. ✓Dater� Ii, ASSESSOR MAP BOOK PAGE q PARCEL /47T '/ A 66 PP '�� �� / D oZ ��/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER /I TEL.NO. COMPENSATION INSURANCE OI WITHIN 1000 FT.OF SCHOOL? res No ADDRESS (This section need not be completed if the permit is for one hundred1191112 0 - AOMMiA DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit COMPP14 0 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER L,TELL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLLASLS.IIFFICATION APT CONDO Date Applicant ADDRESS �� CLASS NO. � DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of• m v REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITYDE LIC.CLASS PIL I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT SIZE NO.OF STORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. O i NEW ❑ BK PG Off. r� t� License NumbeLic.Class DESCRIPTION OF WORK VALUATION polo. r5�� r 'r CZ C ADD ❑ Contractor ZYL _Date 111500,3 ALTER ❑ $ ' �• ❑ — ❑ I am exempt under Sec. REPAI $ B.&P.C.for this reason 0 ar/ /// �/ . DEMOL LOMA PIC a Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) NO. LDMA Perm It Z ❑ I, as owner of the property, or my employees with wages as — — O _)„_- n x their sole compensation,will do the work and the structure is ADDRESS H not intended or offered for sale (Section 7044, Business and 11049 ✓ FINAL DATE Professions Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL Y1'�� ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN i _. !•= Y g licensed contractors to construct the project.(Section 7044, NO U I hL THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATEVES❑ RIALS INFORMATION GUIDE? FINAL BY ❑ 3 Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH t.J33=.� CONSTRUCTION LENDING AGENCY COAST OR GU DIEL UA ITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST :�;{. ;.' ':�: a I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance of the work for which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES - .{ 07. COUNTY CODE,TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING 'P I! E"„;"„il1 Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THESCAOMD. „ _ y Lender's Address . 7 _ fi i ; .! ��. OWNER OR AGENT _ o 1 certify that I have read this application and state that the above information is correct. I agree to Comply with all county RC.FEE PERMIT FEE ordinances and State laws relating to building construction,and a_ hereby authoV�' a repTvjAa#ves of this County to enter upon ISSUANCE FEE �s the t� >�Gitio p y for inspection purg se . pc 7 �'/� % �j INVESTIGATION FEE TOTAL FEE of MWlunt or Apert SEE REVERSE FOR EXPLANATORY LANGUAGE, d -WORKERS':COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING- PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy ;;thhereof (Sec. 3800, Lab COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.�� �s4mpany BUILDI� ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ^/ copy y ADDRESS L� Certified copy is filed with the county building inspec- BUILDING G 1 . tion department! ADDRESS / L/19s v ,4_C De, /,/f-y� PP CITY' Lr�' . /7 ZIP G"Vz LOCALITY Date A licant NO. OF BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST CROSS ST.' COMPENSATION INSURANCE ASSESSOR . (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK '�7 PAGE ®O PARCEL 69� hundred-dollars ($100) or less.) TEL. _ OWNER L/�j�s KdGgst NO. USE ZONE MAP . NO. I certify that in the performance of the work for which this SPECIAL a permit is issued, I shall not employ any person in any manner ADDRESS - / CONDITIONS so as to become subject to the Workers' Compensation.Laws. .0 CITY ZIP Date Applicant ARCHITECT OR TEL. / DISTRICT GROUP TYPE FIRE`•.... _PROCESSED BY O NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER /1J F SSOCi4� NO.QQIf—gY62Z F_ CONS . NE. ° Exemption, you should become. subject to U the Workers' W Compensation provisions of-the Labor Code, you must forth- ADDRESS .ADD gGSTi9>fc .J9dB— 4,eP -� L _ A with comply with such provisions or this permit shall beTEL.7/19' S ST L C IFC T APT._ CONDO. ° Z deemed revoked. CONTRACTOR >C, ��� NO. Lb�y _ — LICENSED CONTRACTORS DECLARATION LIC. 7 CL A NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS�f/�G!/ G'iT� NO c 4ol 7� SEWER MAP -(commencing with Section 7000 of Division 3 of the Business LIC. ( 9 ) Upl-v ;keel° •_ and Professions Code,and my license is in full force and effect. CITY CLASS BK PG !- VALIDATION - _ c SQ. FT. NO. OF NO. OF CHECK License Number ����Lic.,Clas �a SIZE STORIES FAMILIES ONE `'1=C ° -- / VALUATION , Contractor Date DESCRIPTION OF WORK �l S'/}rO k-0,,z- NEW �� ADD ❑ S `fSOO•OO - ❑1 am exempt under Sec. 65'e-w 4v--� L> ALTER ❑ - ,B.&P.C. for this reason REPAIR $ USE OF -t 5 Date: EXISTING BLDG. DEMOL ❑ APPLICANT Signature TEL. 7 PRINT 7 _ FINAL y q[� J OWNER-BUILDER DECLARATION I NO' •`� �� � DATE 3 - ; I hereby affirm that I am.exempt from the Contractor's License ADDRESS 6 CC�SC'T/" !, tJtU.yt. E Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT By. n ❑ I, as owner of the property, or BUILDING my employees with ADDRESS :` wages as their sole compensation;will do the work and LOCALITY the structure is not intended or offered for sale(Section ► a l }_l y j 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS .- tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING'AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance.of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's'Name, LDMA Ref. # Lender's Address P.C. Fee$ !J Permit Fee IN 7 r/ [_ 0 1 certify that I have read this application and state that the Issuance Fee .J LDMA P/C# Pool above information is correct.I agree to comply with all County Investigation Fee 0 ordinances and State laws,relating to building construction, Total Fee LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-mentioned property for'inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION F.O R BUILDING PERMIT or a certified copy.thereof (Sec. 3800, Lab. C: �f COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.10o_5*ompany. �(- ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �� ADDRESS �� Q Egg-Certlfled copy is filed with the co4 building inspec- BUILDING I lO . A` 1— AS /l Tion department. ADDRESS /AAp /`fv�-(/ F-/ Date Applicant �- . CITY. C'� yL / ZIP LOCALITY NO. OF BLDGS. NEAREST- -CERTIFICATE OF EXEMP ION F OM ORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURA CE ASSESSOR �y p (This section need not be completed if the permit is for one TRACT BLOCK LOT'NO. MAP BOOK aG PAGE QD y PARCEL Qon�' hundred dollars ($100) or'less.) OWNER /4L.h �S NO. USE ZONE MAP I certify that in the,performance of the .work for which this NO.//"J SPECIAL-" } permit is issued, I shall not employ any person in any mannerADDRESS v CONDITIONSCL so as to become subject to the.Workers'Compensation taws. O CITY ZIP Date - Applicant ARCHITE TEL. J DISTRICT GROUP TYPE FIRE PROCESSED'BY 0 NOTICE TO APPLICANT: If, after making this Certificate of EN ER G . NO. CONST. ZONE Exemption, you should become,sub'ect to The Workers' ,A ,' y� ' / Compensatin provisions of the Labor Code, you must forth- ADDRESS' ! ��/� ^� V a with comply with such provisions or this permit, shall be TISTICAL CLASSIFICATtQ Z deemed revoked. O — LICENSED CONTRACTORS DECLARATION �47LIC. CLASS NO. 4 ELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of•the Business LIC. and Professions Code,and'my license is in full force and effect. BK. PG. VALIDATION &:_�, SQ. F O. OF NO. OF CHECK License NumbeLic. Class SIZE STORIES / FAMILIES ONE VALUATION Contractor � Date DESCRIPTION OF WOR NES/`/ ❑ •$2. .��/�,z►]/i • !01 '"� ADD C� ` lJ�/ , ❑I am exempt under Sec. a ALTER ❑ B.BP.C. for this reas k. 94A REPAIR ❑ $ Date US OF D EXISTING BLDG. S !r/'L &..? DEMOL ❑ Signature APPLICANT EL. FINAL O R-B ILD DECLARATION (PRINT). DATE t hereby affirm that I am exe pt from the Contractor's License 0 C f L Law for the following rens n.(Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By BUILDING r ❑ I, as owner of the property, or my employees with ADDRESS. .7 'wages as their sole compensation;will do the work and, the structure is not intended or offered for sale(Section LOCALITY , /.O_Gam% " ••%0 °`•• �'-/ 7044, Business and Professions Code.), MOVING TEL w 77 CONTRACTOR❑ NO. �Q - A.•,':f'-1, as owner of the property, am exclusively contracting with licensed contractors to construct the'pcoject (Sec- I_= tion 7044, Business and Professions Code.) ADDRESS -s REQUIRED TOTAL SETBACK FROM EXIST. w CONSTRUCTION LENDING AGENCY SET BACK YARD HWY. PROP. LINE .WIDTH O I hereby affirm that there is.a construction lending agency.for FRONT t. the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ.,C.). SIDE P.L. Lender's Name =;ts(.i71..,t,=:. / X^ LDMA Ref. # P:C. Fe Permit Fee !/ /� 'j•• (�' _• fO�;_. Lender's Address o I certify that I have read this application and state that the Issuance Fee / LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building,construction, Total Fee 0 -7 / LDMA Perm. # a and hereby authorize representatives of this Countyto enter upon the above-mentioned property for inspection purposes. a n SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BU l NG ADDRESS N D SSS I hereby affirm that I have a certificate of consent to self insure, BUIL IV/ 719 or a certificate of Workers'Compensation Insurance,or a certified /7 ZIP 7b� copy thereof(Sec. ab. / ! �v `7Qn 7 C./� /C,��• LOCALITY Policy No. Company SI E OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. - NEAREST CROSS ST. ❑ Certified co is filed with the Cabot buil in inspection TRACT BLOCK LOT NO. PY 9 USE ZONE MAP NO. �/ �yf Datedepart en ASSESSOR MAP BOOK PAGE PARCEL ��2* ' / c� Applicant ` - /Z SPECIAL CONDITIONS NER TEL.NO. / CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE � _ - 1 io WITHIN 1000 FT.OF SCHOOL? Yes No DDRESS , (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) v �� Zlp. �!` p I certify that in the performance of the work for which this permit ��(J �0 -� 3 is issued, I shall not employ any person in any manner so as to HI E T OR E INEERt�. TEL.NQ - �� become subject to the Workers'Compensation Laws. jam, STATISTICAL CLASSIFICAT APT CONDO Date Applicant ES CLASS NO.�_D LL UNITS NOTICE TO APPLICANT: If, after,making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' O T OR TEL.NO. r, SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,.you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE LIC.NO. PL ZXC TY , LIC.CLASS SIDE d. LICENSED CONTRACTORS.DEeL'ARATION PL hereby affirm that I am licensed under provisions of Chapter 9 OFT SIZE NO.OF ST RE NO.OF FAMILIES SEWER MAP (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG CD Professions Code,and my license is in full force and effect. v C]License Nu Ar Lia DESCRIPTION OF WORK ADD Class ` VALUATION y Contractor Date . ALTER � ❑ I am exempt under Sec. REPAIR ❑ B.&P.C.for this reason DEMOL ❑ LDMA P/C# USE OF EXISTING BLDG. Date: URM. ❑ ;t, Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# ❑ 1, as owner of the property, or my employees with wages as ADDRESS i their sole compensation,will do the work and the structure is F not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code. S. 7 •I' ) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Qr•1,. F j dam:•''^ � ' ❑ 1, as owner of the property, am exclusively contracting With THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY r licensed contractors to construct the project.(Section 7044, yes❑ NO❑ IJ Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMITFOR CONSTRUCTION ORMODIFICATION FROMTHESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST »'I'e,'•} "" FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YEs❑ NO❑ _ the performance Of the WOfI(for Which this permit IS Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMDt I ,• ` »` 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES "?`•�` m. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNINGI r t ' � Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE S_CAQMD. ',r i- .» �•=I � » Lender's Address OWNM OR AG ENT o 1 certify that I have read this application and state that the above g information is correct. I agree to comply-with all county P.C.FEE PERMIT FEE w ordinances and State laws relating to building construction,and ' ¢. hereby authorize representatives of this County to enter upon ISSUANCE FEE /� the above-mentioned property for inspection purposes. �f ¢ INVESTIGATION FEE TOTAL FEE slpMmre a MWlcem a apmi oero /i SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT i1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I BUILDING ADDRESS have a certificate of consent to self insure, or.a certificate of Workers'Compensation Insurance,or a certified C ZIP Q� / copy thereof(Sec.` `38800,Lab.C.) LOCALITY Policy No.!DZD%4 4� Company v'�� SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. ya NEAREST CRO ❑ Certified copy is filed with thecojoty b •ldi qJnspection TRACT, BLOCK LOT NO. depa e0t. � •: •, USE ZONE MAP NO. ASSESSOR 46P BOOK PAGE Q PARCEL �/ �� a Date Applicant OD/ G J SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o E l3 TEL.N I®� C• / YES No COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred I 100 . A al 61IQ A DISTRICT G OUP TYPE FIR E CESS dollars($100)or less.) CITY/�1, ZIP /{v I certify that in the performance of the work for which this permit W� f i,-i Z +r/� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER EL.NO. `� —� become subject to the Workers'Compensation Laws. l STATISTICAL CLASSIFICATION APT CO Data Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of 1 Li IA rREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR L.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith v k• N OT comply with such provisions or this permit shall be deemed revoked. ADDRESS, I NO j� P L JSW J AC —, (- .: SIDE J LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L o J I hereby affirm that I am licensed under provisions of Chapter 9 �W G(� 1 SEWER MAP - v .FT SIZE ;F i (commencing with Section 7000)of Division 3 of the Business and S NO.OF S ORES 'NO.OF FAMILIES 33d oS F NEW BK PG == I` Professions Code and I' en is in full force and effect. i Cit® L'39 D RIPTION OF WOR ADD VAL License Number Lic.Classilm Dad p�(- O _! G' cCL ti Contractor K.C•Rn"n DateTOTAL ` �1 ALTER S'n4 .�:4=tea=f•.� ❑ I am exempt under Sec. DEMOL M REPAIR El CHECK <`F 48 a 7 6.8P.C.for this reasonCHAhal L -- LDMA P/C# _ USE OF EXISTING BLDG. El d�O X10 Date: URM. ❑ !��D� ,;, i Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# E li_I'I s-I jj;( 1 a:f t;"+1 •_ ❑ I, as owner of the property, or my employees with wages as .1 _ I their sole compensation, will do the work and the structure is ADDRESS F s!'! i t !;LI s-Y not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a / Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > licensed contractors to construct the project.(Section 7044, J / _r/r�1' •� 'VES❑ NO❑ ( 4! U �.y F/ Business and Professions Code.) i�' WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING 7 OCCUPANT REQUIRE A PERMITFOR CONSTRUCTION ORMODIFICATION FROMTHESOUTH � CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST � � 1 FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ _ ;T,_ t . the performance of the work for which this permit is issued(Sec. I HAVE'READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD i:. "�1 ;"{•": '^j,„ e 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES'F -"', :7:% I'r1 ^^^I '•~? - " m. COUNTY CODE,TITLE 2,CHAPTER 2.20SECTIONS 220.100 THROUGH 2.20.140 CONCERNING •• i'";;� -..1 ^^-1 "J Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. I C:,`! i"" I•..': II 0. Lender's Address 1 r1' _ �I I OOWNER OR AGENT o I certify that I have read this application and state that the above 3-a� r'+'1 g information is correct. I agree to comply With all county P.C.FEEA� PERMIT FEE 3 ordinances and State laws relating to building construction,and -49*115 7 ¢. hereby a thorize representatives of this County to ent r up ISSUANCE FEE . the entio y for inspection purposes /�• 45 INVESTIGATION FEE TOTAL FEE '1` 4., ! s':..1 f.:,1 Y•.� �',.,� SEE REVERSE FOR EXPLANATORY LANGUAGE r. 'APPLICATION. FOR, BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN . BUILD R s BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, O S �� d or a certificate of Workers'Compensation Insurance,or a certified CITY G / ZIP c' copy there``o6.f�,(�1Sec.3800,Lab.CJ �q�� L r3 LOCALITY PolicyNOW I � Com an ""��� d—�p P SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CRO ST. Certified copy is filed with the courit building inspection TRACT BLOCK LOT NO. Y 9 USE ZONE MAP NO. department. pjL4 C�? 6�— 16 ASSESSOR MAP BOOK PAGE PARCEL Date S�—�Appplican �ti� SPECIAL CONDITIONS OWNER ' TEL.NO. CERTIFICATE OF EXEMPTION FROM WORKERS' L S 6iftecepY WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE AD KESS g �1 (This section need not be completed if the permit is for one hundred s o `J36 x ,j q ,� % _3 DISTRICT TYPE CONST.' FIRE ZONE CE SED BY dollars($100)or less.) CITY l ZIP q I certify that in the performance of the work for which this permit �^ " A• �� /Q os C L/ is issued, I shall not employ any person in any manner so as to ARCHITECT OR EN I EER TEL.NO. become subject to the Workers'Compensation Laws. -� , Z, Z/3• ® STATISTICAL c Ste/ACTION APT CONDO Date Applicant ADDRESS _ CLASS NO._4 �S DWELL UNITS PP 3zzs /�G !s7-- t--a 'C1GQ NOTICE TO APPLICANT., If, after making this Certificate of REQUIREDCONTRACT013 TEL.NO. TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' .._ SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith0-7' ^ Z>3-Zz3� • FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS G LIi I %Ll 3s PL SIDE 1 LICENSED CONTRACTORS DECLARATION CI GOG �� 0 P L I hereby affirm that i am licensed under provisions of Chapter 9 ` SEWER MAP S)FTA NO.OF STORES NO.OF FAMILIES -,- - (commencing with Section 7000)of Division 3 of the Business and ;p Professions Code,a d y license is in full force and effect. NEW BK PG 1•:Li i 2 °i,=•� DESCRIPTION OF WORK _ V License Nu b r � LiC.Class l S� ADD ❑ V u oN J O o0 1 1 Ems. t w✓ l&y CAPS N'ty - Cont Dates�0^�G ALTER ❑ TOTAL TAL 127 - 1S_z oNk Sr/N6c GTv� REPAIR ❑ $ CHECK% 127°16 ❑ I am exempt.under Sec. 8.8P.C.for this reason DEMOL ❑ LDMA P/C Ii CHANGE °CIA'Date: U F STING BLDG. URM ❑ L S =S Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z !� T ❑ I, as owner of the property, or my employees with wages as aD­ O f , their sole compensation, will do the work and the structure is A D ESS�yS L �6 3 FI DATE < 116r 3 AN °�tti, not intended or offered for sale (Section 7044, Business and qq /h yy Professions Code.) WILL THE APPLICANT OR FUTU BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL O }•'Ii.LI°S OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q -e� L 4 J ; ❑ I, as owner of the property, am exclusively contracting with THE AMOUNT P CIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B :313 i 6 a Li38 licensed contractors to construct the project.(Section 7044, YES❑ N Business and Professions Code.) i[tM 1 WILL THE IOCCUPATNTENDED SE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING -g COAST AIR QUALMANAGEMENT ENT D IITY IISTRICT(SCAOMD)SEEPERMITTING CHECKLIST STRUCTIONOR C • ;I�YI'li.. 364 0 8, CONSTRUCTION LENDING AGENCY FOR GUIDELI I hereby affirm that there is a construction lending agency for YES❑ N CHECK ��It°��� the performance of the work for which this permit is issued(Sec. I HAVE REAdTHE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD (,HA I, °Iru 3097,CIV.C.). / PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES (/l// COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING ;s Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. i a L@ndel'SAddress OWNER OR AGENT ?�000-000 1 5/17;`f_I o 1 certify that I have read this application and state that the above - P.C.FEE PERMIT FEE A724 information is correct. I agree to Comply with all County iyl i 7:41 ordinances and State Is s rata' g to building construction,and ¢. the l thorize rep I sof thi County enter upon ISSUANCE FE /he a he bo one p opert ins tion purposes. G a — L /) INVESTIGATION FEE TOTAL FEE r ((�� pn of ApgkaM or Agent, Daro SEE REVERSE FOR EXPLANATORY LANGUAGE �.::. . COUNTY OF-LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT _< DEPARTMENT OF'PUBCIC WORKS " -- 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9908230021 PHONE (626) 285-0488 EXT p t-- 5,::. . -S-s-i , -0F. ZUNST NEW BU NO RE TR:'$52b:: LT: 713 ..__ SO:,'1T -' STORIES .TYPE ''OCCUP GROUP , 9470 LAS TUNAS DR *' STRUCTURE: 0 ay, ASSESSOR ;INFORMAT 0 NUMBER: NEAREST CROSCy$ STREET CLOVERLY01 GRID LOCALITY .TEMPLE 'CT TI` .. .,.n3ac. , ..,_.. _-._.. _�. Gt. •..,- -.r,.- .: 'S-^ice._, t. '•t4',:. :a5-�t:e ',�4-.. ��s a 4 :��b ,ilii.-s..:- �,, �. .. s;�+,s z.>.v ,.� �.:c.-.<' ,:�-+�..�..,�. ti.,,fi'.. "V Y��:•.:fam a'.. .�.,Sti�:a• k a :` RQ T ,,' RCE EX I S,'O j BLDG .�, �;r? � MMMY �! - f *,� `ate.-d::">*�•- yy s.RK i - _ + a +g ..EX•1S` ,..� °G.::- ;£> '?•.c c'1. ..- ,?{�:-., ♦.e t3. n2`ar •, .=` FINAL-DA Fa NAL BY.' ODE OWNER. ..,r: TEL.-NO ,.,: :BLDGS. NOW'ON-LO VAt A7ION'� .. RALPH'S MARKET 1 1.5;000 FEES PAID DESCRIPTION OF WORK SOUND BARRIER WALL FOR CONDENSOR NI S FEE,:DESCRIPT.iON..?: QUANTITY ;UOM•rri.�raAMOUNT ��a a � ; PPLI'CAN' v TE 0 D i ' i r t 3 ORAD Co N�LCO�;' .;t.•--+sir .(;562) .699-1147 .: ,AABLDG PERMIT ISSUANG AESTRONG',i�OTiON -� '1f 1' y _ � t ai: `lam`✓ ...n "� ,«i �c#. •VIH I^TT.4 ER. ':OA^ �' �• si•:r:; }- AX�_BUI'LD,I,NG.;REV;I(EW�•5�� < ., - ".a :-r, :1..$�`h ,i.± tib.' . D2�PERMI:T`.�W/,O_.EN: - � /`•'�'� T.OTA� F S 216:9 0 CONTRACTOR. TEL. NO: APPROVALS�l�D� APPROVALS DATE a INSPECTOR SIGNATURE DORADO CONSTRUCTION CO. (562) 699-1147- 11110 GODOY ST. LIC. NO LOCATION AND SETBACKS WHITTIER, CA 723567 B ,. �..>.e�-,.,;. _:.,_ :- ,is.:..�r�,.-.<,,_:,•c`=a�. ....: _ .:__� . ;.� -:�� �;. >:�_t.I��^:�,�" SOILS ENGINEER GI� L:x;.� R AP PRO VA kk: n. r, y t s t D s e 1 " ::. r< i'.t''i'•. fit 1�i' _ 3s Y+: FOUNDATcIO .TRENCH t FORMS:+:�1 i o z'.,? ? ,_I � !••^ L .ARCH TECT_..OR ENGINEER... E '.% r;.:,-,i. :,3 ., .. �Pr`r :-�...,...L.n .-_,;<.;. ..:.,..irk � - 9.•�3*-t:��t<'�_ r... f::., 4 �?'-,-��`ri3C:w.3,`^.' -. .. ... CIC. SLAB/UNDER FLOOR l "1:131111 RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Tpl:� U UNDERFLOOR INSULATION 150H265 3 0u4� LC W)g0���� FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 22\� is, ROOF SHEATHING SCHOOL WITHIN HAZARDOUS _ ' 1 t+, SHEAR PANELS AIR Q�AOLITY: 1000 FEET MATERIALS O 0l�P, L— FRAME INSPECTION El FIRE SPRINKLER HANGERS @Pyice Th5t INSULATION/WEATHER STRIP - INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CE1L ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0009290005 PHONE: (626) 285-0488 EXT: LEGAL ID•_ NO. OF CONST NEW BUILDING ADDRESS: TR: 8526 LT: 713 SQ. FT STORIES TYPE OCCUP GROUP 9470 LAS TUNAS DR STRUCTURE: 144 1 VN R3 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: ° NEAREST CROSS STREET: CLOVERLY THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: TOMRA PACIFIC INC } EXIST OCC GRP: R3 09/29/00 UT 03/29/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN'L D E FINAL BY: CODE: RALPHS MARKET (310) 884-4015'- 30,000 PO BOX 54143 LOS ANGELES, CA FEES PAID D S PTI OF ORK SMALL COL ECTIONS RECYCLING FACILITY; 144SF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: RICHARD KERNS (888) 663-1766-X109 AA BLDG PERMIT ISSUANCE 27.75 t AE STRONG MOTION OTHER 30000.00 VAL 6.30 SPECIAL CONDITIONS: D2 PERMIT W/O EN=HC=30000.00 VAL 536.70 GELESTO�T�A®FEES 570.75 CONTRACTOR: TEL. NO: ®� �� APPROVALS DATE INSPECTOR SIGNATURE TOMRA PACIFIC, INC (909) 941-0507- 9716 6TH ST LIC. NO LOCATION AND SETBACKS RANCHO CUCAMONGA, CA 91730 NONE / SOILS ENGINEER APPROVAL a � ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS y LIC. NO SLA /UNDER FLOOR I , RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CIM01: (� (� OD n �� ��O(�{�lJ UNDERFLOOR INSULATION 150H265 3 01=I U II I� ILEI^<UU ILI�`u 2 Ll FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:— NO 22 \� o ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \ 0 0iIR��9{ SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS Z9 ❑ {rr NO NO NO El 4'r)�� FRAME INSPECTION 1s�B 1 0 FIRE SPRINKLER HANGERS 26pv8c -T�As 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 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 C4_ _ BL 0508 9806260019 PHONE: (81885=04$8 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 8526 LT: 713 SQ. FT STORIES TYPE OCCUP GROUP 9470 LAS TUNAS DR STRUCTURE: 0 1 V B TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: GROCE USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: RALPHS GROCERY EXIST OCC GRP: M 08/19/98 UT 08/19/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: RALPHS GROCERY (818) 506-5447- 1 50,000 o 9470 LAS TUNAS 7 TEMPLE CITY FEES PAID DESCRIPTION OF WORK TENANT IMPROVEMENTS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: LESTER PALEY ASSOCIATE (818) 506-5447- D1 PLANCHECK W/O EN-HC 50000.00 VAL 674.99 AA BLDG PERMIT ISSUANCE-- 27.75 SPECIAL CONDITIONS: AE STRONG MOTION--f�OTHER�50000a00 VAL 10.50 A2 PERMIT W/ENERGr,Y� C,[ �TOTAL CFEES000W`VAL 1,626.28 CONTRACTOR: TEL. NO: U�U, APPROVALS DATE INSPECTOR SIGNATURE RSL CONSTRUCTION (626) 447-5113- d d 126 E. ST. JOSEPH STREET LIC. NO LOCATION AND SETBACKS SUITE A 582714/B ARCADIA, CA 91006 r SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: �� 1111111 � SLAB/UNDER FLOOR RAISED FLOOR FRAMING i �U! MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,': UNDERFLOOR INSULATION 150H265 3 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ` NO 22I ROOF SHEATHING 17 O / ' ll', SCHOOL WITHIN HAZARDOUS � 5�(.r*. SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ) NO NO NO FRAME INSPECTION [Ell FIRE SPRINKLER HANGERS �e?v5c e Th5 INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508