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HomeMy Public PortalAbout9502 LAS TUNAS DR_Building__ 1 11.55 AoBs.a APPLICATION FOR BUILDING PERMIT DIVISION OF BUILDING AND SAFETY ADDLDING RESS /fY'+ b✓'t� Department of County Engineer County of. Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ;f CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST. DISTRICT NJ GROUP TYPE SEWER._MAP PG FOR APPLICANT TO FILL IN 1? I TYPE BUILDING w�`' � ���� MAP " STATE ADDRESS �' ` fit✓/ NUMBER HWY` YES NO LOT NO. - - BLOCK USE ZONE SPECIAL CONDITIONS TRACT t NO.OF SLOGS. BUILDING SIZE OF LOT I NOW ON LOT YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BLDG ;FRONT P. L. OWNER 1-2 .. ;SIDEMAIL - P. L. , ADDRES 0_ _ O TRACT DWELL. I UNIT $ INDUSTRIAL TEL 1; DWELL. ^ I UNIT CITY s �� NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS4 COMMERCIAL TEL' CONTRACTOR NO. INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF. APPLICANT - /` APPROVALS ADDRESS DATE INSPECTORS SIGNATURE J FOUNDATION:LOCATION P. C. $ FORMS,MATERIALS FEE FRAME: FIRE STOPS, VALUATION $ QQ BRACING, BOLTS FEE FURNACE: LOCATION. n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT ABOVE IS CORRECT AND.AGREE TO COMPLY WIT LL COUNTY ORDINANCES LATH, INT. AND STATE LAWS R U ING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN A.LAMBIE, COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK MO CASH 76A699A DBS-3 APPLICATION FOR .E U I L®I lel G PERMIT ]„ 11.55 DIVISION OF BUILDING AND SAFETY Ilp ess .>as Department'of County Engineer r ._yam County of Los Angeles LCCALIT JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 1 CASSATT.D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP T PE S R MAP FOR APPLICANT TO FILL IN �� ONST. BIS Pc BUILDINGO�l .6 / i` MAP LM STATE ADDRESScam `(,vl NUMBER HWY- YES O LOT NO. 4kl� —Gl& ]j 'S BLOCK USE ZONE SPECIAL _ CONDITIONS TRACT .�i/ NOF BLDGS. .5?SIZE OF LOT � X J�[� I NOO.W ON LOT BUILDINGSTREET NAME EXIST. SETBACK YARD HWY WIDTH USE OF EXISTING BLDG. Q"y1•�� FRONT T F /�•, �) OWNER 'SIDE LlG_LL=_ MAIL P. L. .ADDRESS �Q 2— a iJ ki ;S O TRACT DWELL. I UNIT TEL. 5 INDUSTRIAL CIT ," NO. 1 DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECTAR - TEL. 2 DUPLEX 7' 2 UNITS 7 •ADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR e C. TEL � ' INSPECTION RECORD ADDRESS e- •% ' Of V ' DESCRIPTION OF WORK IEV1/ _ ADD ALTER REPAIR DEMOLISH ' . FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT APPROVALS ADDRESS I� CG t.✓ �'✓ DATE INSPECTOR'S SIGNATURE p P FOUNDATION: LOCATION C1�J,,,^�. P. C. $ . FORMS.MATERIALS FEE FRAME: FIRE STOPS. VALUATION BRACING. BOLTS FURNACE: LOCATION. - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS " GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT L COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGU IN BUILDING CONSTRUC- TION. LATH. EXT. 11 SIGNATURE OF HOUSE NUMBER COR- PERMITT r. -� RECT AND POSTED ADDRESS rl Pt' ` FINAL JOHN A. LAMBIE,COUNTY ENGINEER/; /,4 VALID CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR ' (,��/ CK MO CASH 'C04_41 - . ���2 3 4.0 0 76A638P. CE9803 5-65 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING / )� DEPARTMENT OF COUNTY ENGINEER ADDRESS J!1 0 G BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.Mumma 1 031115311 v�,,, DISJRICOT NO. GROUP TYPE P OCESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING /�'�I STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 2, ,TL�L CLASS NO. DWELL UNITS. SK PG LOT NO. ao BLOCK USE ZONE MAP IJ Q© ' A NO. C TRACT cp <�cr C•- /VI SPECIAL S •'" - NO. OF BLDGS. CONDITIONS SIZE OF L 0 T J40W ON LOT USE OF MIA EXISTING LDG. (rc.��. ¢' BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER N�0. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRES Z E_ HIGHWAY WIDTH FROM C.L. .) CITY BLDG. SETBACK FROM - - - ARCHITECT OR 1TEL. - SIDE PROP. LINE OF (STREET) ENGINEER NO. .TYPE OF EXISTING SETBACK HIGHWAY _+ YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRA CTO NOLO^� ADDRESS�j C�gA.&��""�- NO CORNER CUTOFF YES NO S Im CITY `C�Assc-/O— SEE REVERSE SIDE FOR SPECIAL APPROVALS O0 'DESCRIPTION OF WORK W LU NEW t--ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ ��G - APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. 0� FOUNDATION, LOCATION FEE$ FEE$ 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 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. CIN IN VIOLA- LATH. INT. TION OF THE LABOR ODF OF THE STATE�E�. � AT- ING TO WORKMEN' C�M PENSAT 9N INSURA LATH. EXT. OF HOUSE NUMBER COR- SIGNATURE ,( PERMITTEE RECT AND POSTED 11 ADDRESS / /'� - FINAL /,�-- '-�s 6q ,✓�(/,,s� ..- JOHN F. LEWIS, PRINCIPAL Sr URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.0 CASH UAW 4. 4 8. ��� AUG- -1 � 0 8.00 T.Fm Pz 6 c rry 76A638A CE#8032-63 APPLICATION FOR BUILDING- PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS .p BUILDING AND SAFETY DIVISION LOCALITY s _JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. - DISOTRICtNO., r G UP TYPE P OCES BY FOR APPLICANT TO FILL-IN LL CONSTI BUILDING y STATISTICAL CLASSIFICATION MWER MAP ADDRESS 9�S.D oG ��-g TUN,*: 7-0-- CLASS. NO.'• � DWELL. UNITS BK P—� LOT;NO. BLOCK• WATER ❑ CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAPHIGHWAY STAT MAJOR ECONO, LOCAL NO.OF BLDGS. . NO. ® (CIRCLE) SIZE OF LOT ® NOW ON LOT USE ZONE SPECIAL USE EX STNG BLDDG. OI /".� CONDITIONS EL OWNERR,088IrS AP.P. ,R eA. N (BoUIILDING .ARD HWY STREET NAME EXIST. 9.soa A—AS ?t/,�V f T(' SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L. ENGINEERI• NO. SIDE ADDRESS A� TEL. 0 CONTRACTOR �y�J W NO. � , T��d ADDRESS DESCRIPTION OF WORK w LVALUATION D ALTER REPAIR DEMOLISH - q /,,�/��(�//— Z - NO. OFNO. OF 3YC el �' " V p,, STORIES FAMILIES //t� �"a/% �i✓ {T 9k A OFY� i.�T t$ A _ / U {.•d APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ ''7Z FEE $ 140O(- FORMS, MATERIALS 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 BUILDING 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', PENSATION INS.URANGE LATH. EXT. � a' ...�...ggg,° kl SIGNATURE OF P IKnr ' t � HOUSE NUMBER COR- yrs PERMITTEE ffYYY_ -�+',neRECT AND COR- POSTED ADDRESS r W, '. a'�' „tar FINAL' A ' ^ "JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN INE R PLAN CHECK VALIDATION sIF _s PERMIT VALIDATION CK.. M.G. CASH I.i iaso l 4 •ti, fUL ,' " 4 4• D. DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY:OF LOS ANGELES ` W.M. J.'FOX,.CHIEF ENGINEER U "`$T �-� G NO. OF BLDG. ORD.NO. ! DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK:LINE FIRE APPROVED ZONE BY '� - 'DATE RECEIVED"BY DATE OF APCPL. DATE ISSUED USE f y_ APPROVED '�..�...®..- -.-.•. ��,�.f°f�..' ZONE ` 7 BY DATE 'APPLICANT FILL IN HEAVILY OUTLINED PORT�JION/ONLYBUILDING O a, NAME ADDRESS w U LAI W Z ADDRESS ' �' LOCALITY ,.�-v�...`,...,�r�+�,• S Z 1 NEAREST U W CITY - CROSS ST. �! E 1 Q STATE -- TEL. LICENSE NO. NO. - E NAME W MAIL OE NAME 3 AD.DRE F p ADDRESS CITY /iL�1/t.,R.LtJ J •O' Ir Z CITY VV 1 HEREBY, ACKNOWLEDGE THAT 1 HAVE READ THIS O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE V TEL. AND' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO'. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. V O S SIZE OF LOT a.S f 0SIGNATURE OF O OWNER NO. OF BLDGS. / Q IL BLOCK NOW ON LOT AUTHORIZED AGT. j S� " 'CORRECTIONS •' , '� W TRACT /. D USE OF BLDGS. ��+ NOW ON LOT- c T 0 )5:Is DESCRIPTION OF WORK USE OF �� J BUILDING AAA l A-ps- 1\ t, WAnNING9 This construction may he in violation of War rrouucz on Ebuid oraers. You are ( tt}inn n: 'n rn-t� .�f Z,�+�� •,rn•tr i.-rr� `'Ttrr O ProductionBoard Office before commenc- ing the work authorized in this permit. z a r NEW TYPE GROUP . NO. OF �_. NO. OF ------ ALTERATION ./� ROOMS FAMILIES ADDITION SIZ- ✓'""-"'� nt REPAIR 1� .STORIES MOVING WALL COVERING �.•� QEMOLISH ROOF COVERING / FINAL APRROVAL� FEE VALUATION FEE ....•�'^^-DPyTNAME E I I "d v 1 08_3 Z-- APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� T����1�T� WM.J.FOX, CHIEF ENGINEER '�J NO. OF BLDG. ORD.NO. DIS NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE" FIRM a` APPROVED ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE r � APPROVED . \ J se.._ G.► ` ZONE BY DATE ( / APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ,t� BUILDING S� O'� NAME A-,AAADDRESS 21 UW Z ADDRESS 464LOCALITY F - 0 / NEAREST U W CITY . / CROSS ST. , Q STATE .JJ TEL. (/ LICENSE NO. l' J7 NO. I. NAME a0 3 MAIL "U m NAME Z ADDRESS _ U TEL. Q ADDRESS O CITY _GL. NO. tr F Z CITY I HEREBY ACKNOWLEDGE THAT I HAVE READ" THIS O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE 0 TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF Z LOT NO. (Q V SIZE OF LOT S. L14 10 p OWNER J I- NO. OF BLDGS. Q 0. BLOCK NOW ON LOT AUTHORIZED AGT. U CORRECTIONS J W TRACT " c O USE OF BLDGS. — J1J NOW ON LOT /" U DESCRIPTION OF WORK � USE OF BUILDING /1 w O z r D r NEW TYPEI. FAMILIES GROUP NO. OF NO. OF ALTERATION ROMS ADDITION SIZE REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING $ $ FINAL APPROVAL- FEE I� mac.- INSPECTOR'S VALUATION FEE DATE I NAME � .k is 'ARTMENT OF BUILDING AND SAFETY APPLICATION---FOR PERMIT COUNTY OF LOS ANGELES B U I L D I N G WM. J. FOX, CHIEF ENGINEER NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO PERMIT NO. . _ PLANS SETBACK LINE FIRE APPROVED �_ •- ZONE BY DATE RECEIVED BY DA�FE='O4P'A�PPL DATE ISSUED USE APPROVED c .R ZONE BV DATE ( � a'` / a APPLICANT 'FILL IN HEAVILY OUTLINED P/PORT'-ION —ONLY O ix NAME i mow.,... - - - ADDRESS , \n F Z Z ADDRESS LOCALITY V = Z NEAREST U m CITY CROSS ST. 0: NO. STATE TEL. LICENSE NO. � NO. wNAME Z MAIL 0 NAME � ADDR- SE t. F. U 15 24/1fEF� f F� �"`�' TEL. Q� ADDRESS f� CITY NO. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U CITY q���Rf�-'} AppLICATION AND STATE THAT THE ABOVE IS CORRECT STATE A, / EL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES j LICENSE NO. O. AND STATE LAWS REGUL TING B ILDING.CONSTRUCTION. O LOT. NO. - NONATUR SIZE OF LOT 6'dV11 SIGOWNERE OF . OF BLDGS. BLOCK NOW 1 AUTHORIZED AGT. v r " ON LOT J U f� TRACT CORRECTIONS USE OF BLDGS. 1 r D NOW ON LOT / -� DESCRIPTIONyyyy F WORK USE OF f � .. r JLf BUILDING + � a `! J 4! - Q w. Z N NEW ®000' TYPE GROUP O C . NO. OF I NO. OF Q) ALTERATION ROOMS FAMILIES CJ ? ADDITION SIZE So® REPAIR STORIES ''++ MOVING WALL COVERING A-lfa_Q e DEMOLISH ROOF COVERING $ P'C. $ R FINAL APPROVAL FEE yw $ INSPECTOR'S NAMEf�"F'¢' ,r✓U [VALUATION FEE DATE (J R-DEPARTMENT OF BUILDING AND SAFETY APPLICA'T'ION FOR PERMPI' COUNTY OF LOS ANGELES BUILDING fWM. J. FOX, CHIEF ENGINEER PLANSfI B. ,.. FIRE DISTRICT No. PLAN CHK. FEE PERtv11T NO. 'FILED SETS ZONE ZONE �r•�r°� RECEIPT NO. TYPE OF x' r4 ,I� BLDG. 1 If III IV, IJV;"/ X GROUPS/4./I BLDG. SETBACK LINE DATE-OF APPL. RECEIVED BY DATE ISSUED ORD. NO. APPLICANT FILL IN HEAVILY OUTLINEDPORTION�ONL�Y BUILDINGIx / gf .E -O NAME DDRESS W Z ADDRESS LOCALITY tZ / NEAREST U W CITY CROSS ST. / /��o C STATE � y�.s ,, fid'/D�a�./1A..� AK f Q LICENSE QNO//��.''��,, �pj,�� ,^TEL. N`/'o�,.^ �{q�,, �' NAMC- �/�rL1YI-C.HI ,, p MAIL NAME er),n y �� I A14 ` rl+ .3 AD DR ESS�FT and �a �Or //I(�(91Y M a Q ADDRESS��6Q _Z-',aff �y�. �'F .�;�p' ® O CITY\.,Jk- dy*iAAY,k:'- TEL NO.Li!9 H '_CITY % j �r JQ� I LOTM-12 I SIZE OF LOT U STATE NO. OF BLDGS. LICENSE NO. �,/ /e TEL. No;,,�, l�A/0 JU) BLOCK NOW ON LOT USE OF BLDG. ,CLASS OF WORK TRACT W v✓ NOW ON LOT - - DESCRIPTION OF WORK NEW ADDITION _1 DEMOLISH ALTERATION I REPAIR I��.! MOVING - I� -USE OFNo. OF 4 BLDG. ROOMS Ci !r/l• I SIZE OF STORIES NO. OF BLDG. FAMILIES CORRECTIONS SPECIFICATIONS FOUNDATION MATERIAL EXTERIOR PIERS -- - THICKNESS--TOP — THICKNESS--BOTTOM J �{ DEPTH IN GROUND a f - Z { SUPERSTRUCTURE — -- I R. W. PLATES (SILLI p/,F� S IZE SPACING SPAN 0 . .GIRDERS12�° �f 1 JOISTS—FLOOR JOISTS_CE[LING BEARING W,,ALLSY - ^- Pq; PARTITIOI�l�S�1 - --- '—'-- jl ROOF-RAFTERS FINAL APPROVAL SILL BOLTS 7 -` COVERING^ /7 a DAT/®—// L �I INSPE'CTOR'S NAME f WALL ROOF I HEREBY ACKNOWLEDGE THAT 1 HAVE EA, THIS'^ APPLICATION AND STATE pTHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W��T LL `fFtANCES P.C. FEE $ AND STATE LAW,¢F2EGU�L�AA74. RUCTION. SIGN _/6�/fJ /J �/j VALUATION $ FEE S /�, OWNFR.OR AUTHORIzenaGENT /.' DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING PLANS _ 1 BLDG. FIRE DISTRICT No. PLAN CHK. FEE PERMIT No. FILED { ZONEI ZONE RECEIPT NO. ��/y/ TYPE OF v I/ D �K� BLDG. 1 II III IV X GROUP DATE 2: RE EI D 4 DATE IS UED/ BLDG=:lINE LnORD. NO. / 2,11113 Y APPLICANT FILL IN HEAVILY OtJTIINED PORTION ONLY BUILDO a i_NAME ADDRHSIG S D D S�U/Y�] F W U W ADDRESS LOCALITY ��, W Z_ -� ip X11 1_ 1 X Z - NEAREST ( ,'` / {-`�'IZ. L.Y U W CITY CROSS ST. y� STATE I— JO wiv, / Q LICENSE NO." �� TEL. No. cc / V O NAME /G-�� j / w MAIL lY p NAME Xt'Jn __ Z ADDRESS ----- -, Q ADDRESS CITYJ��'/Il((/`�L13 1..,1 7 TEL N,04 Z CITY I� Ja LOT �o�S SIZE OF LOT U STATE G G l/ �V NO. OF BLDGS. Lzrc� wit. LICENSENO._\� TEL. No. W N BLOCK NOW ON LOT CLASS OF WORD 'o �Jcl�� USE OF BLDG. TRACT NOW ON LOT NEWTj�;REPAIR DEMOLISHDESCRIPTION OF WORD ALTERATIONI—I MOVINGUSE E�\/� � BLDG.F / .L�)7 Le�T 1 � ROOMS - , OF No SIZE OF STORIES INo. OF BLDG. / �X �D I FAMILIES Z y p - SPECIFICATIONS FOUNDATION CORRECTIONS MATERIAL EXTERIOR/ PIERS THICKNESS—TOP THICKNESS—BOTTOM DEPTH IN GROUND SUPERSTRUCTURE SIZ SPACING SPAN R. W. PLATES (SILL) GIRDERS JOISTS__FLOOR __ /—b J JOISTS—CEILING �T ei.LL Z BEARING WALLS q \( PARTITIONS ROOF RAFTERS SILL BOLTS 7/A 'mow /COVERING WALL /,`I/(�.� I ROOF ��Y✓ '�'�4f1/VCS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE eAWS RrGULATING BUILDING CONSTRUCTION. - SIGN:;___ - ,�"CWNER OR AUTHORIZED AGENT 6/P.C.-FEE $ FINAL APPROVAL VALUATION S 4T-'75 FEE s 2 DATE 1 (J^ 4- INSPECTOR'S NAME se DS-3 7-37 / F DBS-3 2SM SETS B-45 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES Z. ' C D ' WM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING t0,+/� ADDRESS;,'''0�9, 'D.. � ,. � / . .I.�/1/E .�t.�� W LOCALITY Q /tea Q /�/W� RECEIVED BY DATE OFF APPL. DATE ISSUED CROSSSST. .CJG/t � �. ta 3T !/ Cit. BUILDING T `7!' 1. OWNER V ADDRESS / V 6'� / MAIL LOCALITY / e-ok-��;- -d ADDRESS NEAREST TEL CROSS ST. CITY NO. ARCHITECT OR TEL. Q ZONE L,/� PLANS FIRE ND.OF �,�sT-YPE GROUP ENGINEERy ry R,/�� �/��/����� NO. AT 1`3 /4- ADDRESS /0A S /���ll/V �.I� BLDG. ORD. NO. SETBACK LINE APPROVED �) TEL. BY DATE CONTRACTOR ,4P, ��,�� �`✓dY NO. ¢4•' r USE APPROVED ADDRESS i% J� K��✓ ZONE BY DATE LEGAL �Q t L� CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT Ip 3� NO 'OF BLD SIZE OF LOT�t I !i //1 ` I NDWV ON LOTS USE OF I NO.OF NO. OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW L_ ALTERATION ADDITION O REPAIR I MOVING DEMOLISH I G) 84. FT. cf P,l NO.OF Z SIZE ROOMS STORIES D r WALL ROOF COVERING COVERING USE OF NEW BUILDING ti 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS „ s' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,''~ _ BRACING, BOLTS SIGNATURE OF / OWNER / ' LATH, INT.: ' AUTHORIZED AOT rye;, e� LATH, EXT.: 1 $ p C. $ PLASTER. INT. y� FEE PLASTER, EXT. � \�� � 4 I VALUATION FEE FINAL \ V APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING hADDRESS or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CIT-2;;44 ITY L zip LOCALITY / Policy No. Company - SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. l NEAREST CROSS ST. ElCertified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. ^ USE ZONE MAP NO. Date I Applicant< 1II ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS p CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER LTEL NO. COMPENSATION INSURANCE t 'ZO WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS j 9-f vZ DISTRICT GROUP TYPE CONST. FIRE ZONE' PROCESSED BY dollars ($100)or less.) v CITY ZIP I certify that in the performance of.the work for which this permit ' is issued, I shall not employ any person in any manner so as to G;7 become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT .If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONT CTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwithL'� -�f�� - D. 3 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. IL LICENSED CONTRACTORS DECLARATION SIDE CITY .yam LIC.CLAS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP >_ (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES n NO.OF FAMILIES d Professions Code,and my license is in full force and effect. NEW X BK PG U License Number Lic,Class D DESC TION OF WORK ADD ❑ VALUATI Contractor I Date — ALTER ❑ $ 0r_> uvr REPAIR C3y ❑ I am exempt under Sec. $ z B.&P.C.for this reason DEMOL ❑. LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ - Signature AP ANT(PRINT) TEL NO. l LDMA Perm# - .1,as owner of the property, or my employees with wages as k ���' 7r r Z their sole compensation, will do the work and the structure is ADD SS CSR O _ not intended or offered for sale (Section 7044, Business and 4 CPP A rte,��—m-,o♦ -6\11 ?FINAL DATE Q Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER ❑ 1, as owner of the property, am exclusively contracting With licensed contractors to construct the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY El No El Business and Professions Code.) YES _ ="-'=`:4", WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH /� "�4. .Y CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR L I' GUIDELINES. - V /, ,fib�; 1 hereby affirm that there is a construction lending agency for YES El NO❑ G�� ''k'"— -_' w the performance Of the Work for which this permit IS Issued(Sec, IHAVEREADTHE HAZARDOUS MATERIALS INFORMATI GUIDE AND THE SCAQMD PERMITTING 1x��•" 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENT ER THE LOS ANGELES COUNTY CODE, TITLE 2 TER SECTIONS 2.20.1 HROUGH 2.20.140 CONCERNING HAZARDOUS •r�rr- Lender's Name MATE L T G AND FOR OBT NG A PERMIT FROM THE SCAQMD. it -j= 3 o Lender's Address OWN OR AGENT o I certify that I have read this application and state under penalty i o P.C.FEE - PERMIT FEE of perjury that the above information is correct.I agree to comply 1 with all county ordinances and State laws relating to building yr ` 7- m construction, and hereby authorize representatives of this County ISSUANCE FEE to en on th above-mentioned property for inspection purposes. a ��-1 INVESTIGATION FEE TOTAL FEE Sgnaru Applicant Or nl Date SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES t BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION, FOR APPLICANT TO FILL IN BUILDING ADDRESS 1 hereby affirm that I have a certificate of.consent to self insure, BUILDING ADDRESS D or"a certificate of Workers' Compensation Insurance,or a certified 5 Dr. copy thereof(Sec.3800,Lab.C.) CITY ZIP/^ 7eln 80 C(7" �7$O LOCALITY Policy No. Company SIZE OF LCT NO.OF BLDGS.NOW ON LOT ,( ❑ Certified Copy is hereby furnished. u NEAREST CROSS ST.�LOU` � ❑ Certified copy is filed with the county building inspection TRACT / / BLOCK LOT NO. department. 6 Az USE ZONE MAP NO. ASSESSOR MAP POOK I PAGE PARCEL Date Applicant 2 , 3S_. SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERSOWNER f NQ. �I� COMPENSATION INSURANCE N- _ J K�yT Ltl5 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completedif the permit is for one hundred ADDRESS dollars ($100)-or less.) 29 E (Jd DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CITY. L ZIP I certify that in the performance of the work for which this permit` I hamU q1 Q►"I I is issued, I shall not employ any person in any manner SO as t0' ARCHITECT OR ENGINEER TEL NO. w �•!/r7 become subject to the Workers'Co ,pensation Laws. _ STATISTICAL CLASSIFI ATION APT CONDO Date —2/—411 Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLIGIiNT.' If, aftering this ertificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTOR _ �� TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith i�V/ FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL } SIDE a LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL 0 1 hereby affirm.that I am licensed underprovisions of Chapter 9 SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and �SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES d' Professions Code,and my license is in full force and effect. _� NEW ❑ SK PG O License Number Lic.Class DESCRIPTION OF WORK % / p/ ADD EJ VALUATION , - (,•� LLJ Contractor Date S CS W ` b ALTER El $ ���� 1 ExisriLL. Z ❑ I am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. / URM ❑ ' 3 Signature APPLICANT(PRINTO C 0) �+ TEL NO. / � LDMA Perm# �')(�•I c F GO I, as owner of the property, or my employees,with wages as 4/ O'Z12—f� Z .3303 50e50 their sole compensation, will do the work and the structure is ADDRESS Lj O not intended or offered for sale (Section 7044, Business and 7'Z S7 hC rr Gi /0 FINAL DATE' Q Professions Code.) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL < ,6 /� J£' .fl. ❑ 1, as owner Of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE - At_L•I , property, am exclusively contracting with AMOUNTS SPEC IFI ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q licensed contractors to construct the project (Section 7044, YEs El `'rl No FINAL BY > � 15-9.68 ' n J Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING '7 i T EMS OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR TOTAL 1(I�AL 2��_0 = 1 I.hereby affirm that there is a construction lending agency for YES C1NO the performance of the work for which this permit is issued(Sec. CASH 210,118 3097,Civ.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, [,P ��NGE('' N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS CH .00 Q Lenders Name MATERIALS REPORTING AND FOR OBTAINING PERMIT FROM THE SCAOM m _ • Lender's Address IM GNNER OR AGENT I'certify that I have read this application and state under penalty {000;3--0001 2/26/96 p of perjury that the above information is correct.I agree to omply P.C.FEE y�y �() PERMIT FEE A a U with-all county ordinances and State laws relating to building //. p► ✓ r9 5026 1 PM 6:i t' IM construction, and hereby authorize representatives of this County ISSUANCE FEE - tont upon the abo g- entioned �p ty for inspection purposes. J g —� INVESTIGATION FEE TOTAL FEE . / - N wta,re of A.P ,A,,a Date / (O SEE REVERSE FOR EXPLANATORY.LANGUAGE .�:CORK-ERS' COMPENSATION DECLARAT ION atI have a certificate of e insureor ccertpyate of Workers' Compensation I nsuran e, APPLICATION, FOR, BU I L D I N.G PERMIT ca _ coorbtiecthereof (Sec. 3800;Lab. C.) COUNTY OF.LOS ANGELES BUILDING AND SAFETY 4Policy No. Company BUILDING ❑ Certified copy is hereby furnished: FOR APPLICANT TO FILL'IN ADDRESS J� ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 9502 LAWS TUNAS DR,. CITY' TEMPLEZIP ' Dare Applicant 1 780_ LOCALITY MDJ NO. OF BLDGS. NEAREST CERTIFICATE.-OF EXEMPTION FROM WORKERS"" ORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION'INSURANCE ASSESSOR (This section need not be.'conipleted if the permit is for One TRACT BLOCK LOT NO. MAP_BOOK PAGE PARCEL hundred dollars ($100) or less.) . TEL. ,./ OWNER NO. U 7� E rNO.h certify that in the performance,of the work for which this 365 .W. S HA R 0 N R D. IAL permit is issued,.I shall not employ any'person in any manner AD ESS DITIONS so as to become subject to the Workers'Come tion Laws. O CITY. ARCADIA zip 91006 Date rL Applicant �' ARCHITECT OR TEL. DISTRICT GJZOUP I TYPE FIRE PROCESSED BY O , NOTICE TO APPLICANT: If,. after maki this Ce r' ate of ENGINEER NO. J CONST, ZONE �- Exemption, you should become•.subject to the• Workers' w Compensation,provisions of the Labor Code,,you must forth- ADDRESS .r �J Q N with comply with such provisions. or this permit shall be TEL. STATISTICAL CCA SIF.ICATION APT. CONDO. Z deemed revoked. CONTRACTOR NO _ LICENSED CONTRACTORS DECLARATIONL CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions.of Chapter 9 ADDRESS O. (commencing with Section.7000)of Division 3.of the Business LIC. SEWER MAP .and Professions Code,and my license is in full,force and effect. CITY CLASS 6K PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class'' SIZE ��:' STORIES FAMILIES ONE VAL TION , Contractor Dare. DESCRIPTION OF.WORK NEW ❑ $ � INTERRIOR REMODEL ADo ❑ `J ❑I am exempt under Sec: ALTER B.&P.C.,,for this.reason REPAIR E! $ Dare. USE OF EXISTING BLDG. Kadwv DEMOL Signature APPLICANT TEL: OWNER-BUILDER DECLARATION (PRINT) '� �Y K A N G NO.4 4 7-3 8 5.2 FINAL :PATE -� I hereby affirm that I'am exempt from the Contractor's License 3 6 5 W, SHARON R D A R C A D.I A Law for the following reason:(Section.7031.5,Business and ADDRESS e. FINAL Professions Code): PRESENT By: 1 BUILDING © -1, as owner of the property, or my employees with ADDRESS' a A. wages as their sole compensation,will do theworkand L OCALITY LAS TUNAS & CLOVERLYT the structure is not intended or offered for sale(Section [ e_ 7044; Business and Professions Code:) NG ' TEL. `�I�•+r RACTOR NO. ❑ I, as owner of the property, am exclusively contracting ITIM with licensed contractors to construct the project(Sec' ESS TOTAL. !T. tion 7044, Business and Professions Code. _H� UIRED TOTAL SETBACK FROM EXIST. t.LIC .V �fl CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP. LINE WIDTH ftG K 1 hereby affirm that there is a construction lending agency for NT '" the performance of the work fo-r which th'is'permit is issued ��� (Sec. 3097, Civ.,C.). P.L. '. _..... Lender's Name. i L t / m LDMA Ref:# Q/1Vf L�'t ee$ Permit Fee fCLender's Address -AK 8;`1I cerfif that I have read this a lication and state that the ssuance Fee V LDMA p/C°#Y PP i above information is correct. I a* ee'to trply with allCounty igation Fee d ordinances and'State laws relatin o building construction, Total Fee LDMA Perm. #: a and hereby auth ize represen Ives of this County to enter upon ih aboa oned operty for inspection purposes. 3EE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of cont or Agent Date °os�ELES APPLICATION FOR BUILDING PERMIT s •TM°�•� COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS, _ or a certificate of Workers' Compensation Insurance,or a certified copy thereof (Sec.3800, Lab.C.) CITY i , �. ZIP Policy No. Company ` t ` LOCALITY SIZE Or LCT NO OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. / NEAREST CROSS ST ❑ Certified Copy is filed With the county building inspection TRACT BLOCK LOT NO, USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? Y No (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY ZIP 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should became subject to the Workers' CONTRACTOR TEL NO. Compensation SET BACK YARD HWY PROP LINE WIDTH } provisions of the Labor Code, you must forthwith FRONT CL comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L Q LICENSED CONTRACTORS DECLARATION SIDE U CITY LIC.CLASS PL W I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP J (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES LL Professions Code,and my license is in full force and effect. NEW ❑ BK PG , >- License Number LiC.Class DESCRIPTION OF WORK- ADD ❑ VALUATION Q 0-1 Contractor Date ALTER ❑ Q IL ❑ I am exempt under Sec. REPAIR 11 $ 2 W B.&P.C. for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and =- "7 ? f' j{ t FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ 1, as owner of the property, am exclusively contracting WIYh OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, YES El No El and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. 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 SCAOMD PERMITTING 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODETITLE 2.CHAPTER 2 20 SECTIONS 2 20 100 2.20 , m Lender's Name MATERIALS REPORTING AND FOR OBTAININGTHROUGH A PERMIT FROMQTHEQSCACMD GHAZARDOUS m Lender's Address OWNER OR AGENT 3 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 PERMIT FEE with all county ordinances and State laws relating to building M construction, and hereby authorize representatives of this County ISSUANCE FEE o0 to enter upon the above-mentioned property for inspection purposes. o INVESTIGATION FEE TOTAL FEE N signature of APPI—nt or Agent Date SEE REVERSE FOR EXPLANATORY LANGUAGE t,. '` WORKERS' COMPENSATION DECLARATION I hereby affirm Phot I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION ..FOR. BUILDING' PERMIT or a certified copy thereof (Sec. 3800, Lab:,C.) '.I ­ ".-'-. ' a COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company, ��`_=— BUILDING" ElCertified copy is hereby furnished. • FOR APPLICANT TO FILL•IN ADDRESS (1 Lr Er ..,Certified copy is filed with the county building inspec- : BU'MING n tion department. ADDRESS J� Lg CITY' ZIP LOCALITY L� Date Applicant NO. OF BLDGS. CERTIFIC TE-OF EXEMPTION O ORKERS', 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 PAGE PARCEL hundred dollars ($100) or less.) - TEL. USE ZONE MAR OWNER'✓p ! NO. I certify thatY in the performance of the work for which this SPECIAL–,• SPECIAL } permit is issued, 6shall not employ any person;in any manner ADDRESS — o CONDITIONS O so as to become subject to:the Workers' Compensation Laws. - ... .. U CITY ZIP' Date Applicant ARCHITECT OR' TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making' this Certificate of ENGINEER - NO. CONST. ZONE . O Exemption, you should .become subject to the Workers' " w Compensation provisions of the Labor Code, you must forth- ADDRESS �� a with-comply with such. provisions or this permit shall be TEL STATISTICAL CLASSIFICATION_ APT. CONDO. �,� p 6 v7 deemed revoked. CONTRACTOR (tea _ NO..y� i5 / .- Z LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS ' I hereby affirm that)am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division.3 of the Business LIC. SEWER MAP e SS CLA and Professions Code,aCITY (and my license is in full force and effect. ! BK. PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class �'_✓ SIZE STORIES FAMILIES ONE VALUATION Contractor Date LL3 DESCRIP--TION OF WORK NEW. 11S 06f, o p r ADD ❑ ► ❑I am exempt under Sect / ❑ ALTER , B.&P.C. for this reason- REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL O Signature APPLICANT TEL. FINAL OWN -BUIL DECLARATION (PRINT) NO. DAT I hereby.affirm that Ham et mpt from.the Contractor's License f Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code)`. PRESENT BUILDING ❑ 1, -as owner of the property, or'my.employees with ADDRESS ACCT.g wages as their sole compensation,will do the-work and the structure is not intended or offered for sale(Section 7 LOCALITY � �7 2 L 7044, Business and Professions Code.) MOVING TEL. sr,1Or OileClzt ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. ,with licehsed•contracto s to.construct the project (Sec- ADDRESS I ITEM, tion 7044, Business and Professions Code.) . _ TOTAL �y B 4i,�`,',–� REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHECK (,Q L� I hereby affirm that there,is•a construction lending agency for FRONT 68.63 the performance of the work for.which this permit is issued P:L.' 4, CHANGE e�t`I (Sec. 3097, Civ: C.). SIDE. T R L. 1f Lender's Name / VU�V–FfUy� v/ �/$ LDMA Ref. # G P.C.'Fee$ Permit Fee Lender's Address 5242 � �8 o.l 0 1 certify'that I have read this application and state that the Issuance Fee Got - LDMA P/C# , 't 8 above information is correct. I agree to comply with all County Investigation Fee - w o ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby authorize representatives of this.County to enter upon the above-mentio d property for inspection purposes a f� SEE.REVERSE FOR EXPLANATORY LANGUAGE T Signature ppli nt 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 1106280009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 6561 LT: 685 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9502 LAS TUNAS DR I !STRUCTURE: 2936 1 V-B B I TEMP CA 917802129 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 18587-012-020 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: COMME USE ZONE: (ISSUED ON: PROCESSED BY: OSCAR WEDDING GROUP IEXIST OCC GRP: B 106/29/11 - SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIINAL BY: CODE: OSCAR WEDDING GROUP (626) 537-5629- 1 6,000 19502 LAS TUNAS DR. Uy TEMPLE CITY CA 91780 FEES PAID ESCRIPTION OF WORK TENANT IMPROVEMENT DIVIDING EXISTING SHOWROOM AREA IN AN I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IEXISTING ONE-STORY BUILDING OF APPROXIMATELY 2936 SQFT. APPLICANT: TEL. NO: IFUNG, ALISON (626) 320-2815- IA1 PLANCHECK W/EN-HC 6000.00 VAL 146.30 I 1207 N. STONEMAN AVE. 1AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1ALHAMBRA CA 91801 IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 1 1AE STRONG MOTION OTHER 6000.00 VAL 1.30 1A2 PERMIT W/ENERGY-HC 6000.00 VAL 172.10 CONTRACTOR: TEL. NO: IFS INV WORK W/O PERMIT 257.00 DOL 257.00 JAPPROVALS DATE INSPECTOR SIGNATURE IT C PAINTING INC. (626) 272-0399- TOTAL FEES 605.50 1 _ I 1514 S HIDALGO AVE LIC. NO ILOCATION AND SETBACKS 1ALHAMBRA CA 91801 803169 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS IT AND W CONSULTING ENGINEER (626) 288-0708- 1 11168 N. SAN GABRIEL BLVD. LIC. NO: I (SLAB/UNDER FLOOR I I I ISUITE N - NONE i I ISAN GABRIEL, CA 91776 IRAISED FLOOR FRAMING .I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION 1 3 041 1 I I I _ IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 22 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1 I 1AIR QUALITY: 1000 FEET MATERIALS 1 I 'I 1 NO NO NO I IFRAME INSPECTION ( IFIRE SPRINKLER HANGERS I I 1 11NSULATION/WEATHER STRIPI I 1 (INTERIOR LATH/DRYWALL j• (EXTERIOR LATH 1 I (RATED FLOOR/CEIL ASSEM. I I I I I I IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I* ADDITIONAL DATA ON FILE I I I ILOT DRAINAGE (REPORT ID: DPR261 ROUTE TO: BS0508 1 I