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HomeMy Public PortalAbout9503 LAS TUNAS DR_Building__ r'7eA. X03 ;_57 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAM BI E,COUNTY ENGINEER NEAREST �G ilt2 � CASSATT D.GRIFFIN,Sup+T OF BUILDING CROSS ST. DISTRICT NO. GROUPSEWER MAP FOR APPLICANT TO FILL IN �WPN BK PG BUILDING STATISTICAL CLASSIFICATION ..I ADDRESS � C! ^ / � � � CLASS.NO2�3 DWELL.UNITS LOT NO. BLOCK _ .MAP STATE - NUMBER Z O v � HWY. YES TRACT _ USE ZONE SPECIAL _ NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT a USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER /�0 (A", C�Y MAIL { l� SP / C FRONT �4 / -1 �J -� P.L: ADDRESS SIDE TEL. P.L. 61T'Y t�'� ' l NO. I ARCHITECT OR TEL. NSPECTION RECORD ENGINEER NO. ADDRESS (�{/ CONTRACTOR yO.� e tlV -PTEOL• �V1 ADDRESS t � N P )VI 70' DESCRIPTION OF WORK NEW L""-ADD ALTER REPAIR DEMOLISH - SO.FT. NO.OF NO.OF SIZE STORIES FAMI IES USE OF STRUCTURE - c � C� SIGNATURE OF Y L.Yitiwat�� APPROVALS APPLICANT - l �Q.(„' r DATE INSPECTOR'S SIGNATURE ADDRESS _ FOUNDATION: LOCATION FORMS,MATERIALS P.C. $�`. FRAME: FIRE STOPS. - FEE BRACING.BOLTS VALUATION $� FURNACE: LOCATION. [-FEE GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT-I HAVE READ THIS•AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGUIATING BYILDING CONSTRUCTION. LATH,EXT. _ SIGNATURE OF HOUSE NUMBER COR- - PERMITTE (' "' v 'v� RECT AND POSTED r � ADDRESS - - ` ` `` " FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CSECE VALIDATION: CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH jUL ..( "®r . TEMPLE CITY 7GA633A CE#908. 1-61 _.APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING. DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION , LocALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT O. G OUP TYPE PRO ESSED BY FOR APPLICANT TO FILL IN ��! � BUILDING Q( '7 / '7'' �7 STATISTICAL�C7LA�SSI TION I SEWER MAP ADDRESS %�J DeJ 46% L 6tS + 4✓ /14S CLASS.NOc�DWELL. UNITS © -BK �PG_/ LOT NO. f BLOCK WATER NOT REQUIRED RECEIVED -•- CERTIFICATE: TRACT / 1 MAP HIGHWAY STAT MAJOR ECOND, LOCAL SIZE OF LOT.J o LI }L J/'o I NOW ON LOTS NO. NE CIRCLE) USE ZONE 13PECIAL USE OF - CONDITIONS EXISTING BLDG.J.J / V/Ci � S 7 I U w OWNER / �� � .0 Sle4 BUILDING EXIST. /� pp t y.A -ETBACK YARD HWY STREET NAME WIDTH ADDRESS' - Q { R JT����C /'�4 -C FRONT ARCHITECT OR TEL. /•T' P. L. ENGINEER NO. SIDE yy�� ADDRESS >_ t�� ,14111V N A 6 33s INSPECTION RECO Q CONTRACTOR Jj / r� �• ADDRESS p� Y'���7 `�YI O �✓ & w DESCRIPTION OF WORK 0 V W d NEW V ADD ALTER REPAIR DEMOLISH N �Ii FT. rl 'a STORIES FAMILIES OF ? IZE cry g. f USE OF STRUCTURE f,C,4_ L /3 1- L—A L—A c. A � SiGAH TRADF SIGNATUREOF j�j� �I�. APPLICANT /G/P�6 VALUATION$ SQA ✓✓✓✓✓✓��'��' 'APPROVALS DATE INSPECTQ 'S SIGNATURE =FEE $ PMT. �,� FOUNDATION: LOCATION 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 " BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I 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 INSURANC LATH, EXT. i SIGNATURE OF HOUSE NUMBER COR- PERMITTEE_ `I• ' RECT AND POSTED ADDRESS— _�� FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION PERMIT VALIDATION cK. M.o cgBH rr I AUi-3 164 4 L APPLICATI N FOR BkDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING BUILDING ADDRESS _ LLLIII ' ADDRESS .S V ADDRESS 1 '" CITY j,/ ZIP LOCALITY' _,j�' Nd.OF BLOGS.- SIZE OF LOT NOW ON LOT NEAREST CROSS ST. ASSESSOR .TRACT LOCK LOT NO. MAP BOOK PAGE "' ARCEL _ TEL. DISTRICT GROUP -PE FIRE PRO SEED BY OW NE C JZ I /� lNO. '� NST. ZON ADDRESS Q I� UM STATISTICAL d�LAS_-IF4tATION _ SEWER MAP CITY .lr ZIP CLASS NO. !Z4WELL.UNITS __jBK PG„ „ ARCHITECT OR TEL. ENGINEER NO. - USE ZONE MAP NO. ADDRESS - / / SPECIAL TEL. L•,�� CONDITIONS CONTRACTOR r /Q NO (� ROAD DEPARTMENT APPROVAL REQUIRED ADDRESS YES❑ NO❑ a� d 3�� NO BLDG.SETBACK FROM " LIC. FRONT PROP.LINE OF (STREET( CITY d AI� CLASS _ TOTAL SETBACK FROM TYPE OF EXISTING CONSTRUCTION LENDER HIGHWAY } YARD - NAME AND BRANCH - FRONT PROP. LINE HIGHWAY WIDTH ADDRESS CITY + d. SQ. FT. NO. OF N0-0 F CHECK BLDG,SETBACK FROM -'� SIZE STORIES FAMILIES ONE SIDE PROP.LINE OF (STREET) _ TOTAL SETBACK FROM TYPE OF EXISTING O DESCRIPTION OF WORK Ab S/ A-11- NEW HIGHWAY } YARD - H ❑ SIDE PROP. LINE HIGHWAY WIDTH. ..0 ��V��// ADD u.I 's ol' �� } / _ cl) Q B 13LU ALTER CORNER CUTOFF" YES ❑ NO ❑ z REPAIR❑ USE OF DEMOL ❑ ❑, ❑ EXISTING BLDG. IN OPEN SPACE Y•ES NO APPLICANT - TEL IN COASTAL ZONE YES C] NO ❑ (PRINT) NO. CATEGORICAL EXEMPTION Y.ES❑ NO ❑ BY (SIGNATURE) ENVIRONMENTAL a IMPACT EXEMPTION DECLARATION SIGNED - (DATE) VALUATION$ ��®D Q v IMPACT REPORT PROCESSED (DATE) 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- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON INVIOLATIONOF THE LAB ORCODE OF THE STATE OF CALIFORNIA IN RELA=I NG TO -' WORKMEN'S COMPENSATION INSURANCE. - OJ SIGNATURE FINAL �j BY "/$ I efi. AtrA . PERMITTEE Fy,VT-Cy' C! E L1/'K^Q Y7 ADDRESS D D ►' av p C $ PMT. TEL. CIT /�� 14 P-* NO. �✓WAFEE FEE sQ � V PLAN CHECK ALIDATIM rK.' M.pCASH ERMIT VALIDATIO CK M.. CASH 7 8 t7�: " 132' 3 y 1 0 2 4:0 UV .76A638B CE#803A 5/.73 r APPLICATION FOR bU-ILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING 9 COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CI-f- ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING �y SIZE OF LOT t- NOW ON LOT - ADDRESS D TRACT B OCK LOT NO LOCALITY TEL. NEAREST -OWNER �[ O. - CROSS,ST. ASSESSOR, ADDRESS a ��I MAP BOOK GE - PARCEL DISTRICT GROUPATYPE FIRE ESS D BY CITY 4 �• ZIP COST. _ ZONE ARCHITECT OR TEL. - 1 c6, 01 ENGINEER NO. - STATISTICAL CLASS ICA TION 4/EWER MAP ADDRESS CLASS NO. Z Z -DWELL.UNITS _ BFf/s/PG tlll�CONTRACTOR e TEL`. USE ZONE MAP N0.�7 LIC. NO., AD_ DRESSSP NO. SPECIAL LIC. - CONDITIONS CITY / 44,1CLASS.e ROAD DEPARTMENT•APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER } NAME AND BRANCH BLDG.SETBACK FROM a FRONT PROP.LINE'OF (STREET) V ADDRESS CITY HIGHWAY + YA'RPTOTAL SETBACK FROM TYPE OF EXISTING C -SQ. FT. NO. OF NO, OF .. CHECK - FRONT PROP. LINE HIGHWAY WIDTH H SIZE STORIES FAMILIES ONE-, - + = 4 DESCRIPTION OF WORK - NEW a v Q ❑ BLDG.SETBACK FROM Z / - l ADD SIDE PROP. LINE OF (STREET) Jej - - ALTER ❑ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING - - REPAIR❑ HIGHWAY WIDTH SIDE PROP. LINE ' USE OF EXISTING BLDG. DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. , BY (SIGNA TUR IN OPEN SPACE YES ❑ NO ❑ QP fool IN COASTAL ZONE YES ❑ NO ❑ .VALUAT.IONY 0(s CATEGORICAL EXEMPTION YES❑ - NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND.A.GREE TO COMPLY 'IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. ` SIGNATURE 0 - PERMITTEE ADDRESS 311044 S.7 • 1411eh - - - - /+ FINAL ° BY CITY �� NOL DATED ... MAKF_ CHECKS PAYABLE TO: P. PMT.Q FEE $ FEE �I' HARVEY T. BRANOT, COUNTY ENGINEER 6 � PLAN CHECK VALIDATION oK 11.0. CASH _ PERMIT VALIDATION.- CK. ' M.O. CASH 2 .9flrJt1N 523 30.60 , JUN 19 1 D S 1,Q. 0 ®iti 76A638A CE9803 7/73 DMSION OF BUILDING AND SAFETY M I D I G Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATIONBUILDING . FOR APPLICANT TO FILL IN ADDRESSBUILDING ADDRESS 9503 E. Las Tunas Drive LOCALITY / V NEAREST LOCALITY Temple .City CROSS ST. NEAREST ^Ave DISTRICT NO. PUN CK. OR RE[C: NO. PERMIT NO. CROSS ST. C10Verly lk5,0 3 OWNER Dunkin Tire Co RECEIVED BY DATE OF APPL. DATE ISSUED '/ AMAIL DDRESS 9503 E. Las Tunas Dr 6� `l--nr USE ZONE I NO. OF TYPEI I GROUP FIRE ZONE CITY Temple City, Calif* NO. PLANS ARCHITECT OR TEL. ZONING V DATED ENGINEER NO. APPROVED BY-' ,� BUILDING OR ADDRESS /'+ (. SETBACK LINE: d(� Q_;,l�� �V CONTRACTOJElect*Prod.Corp• TEL -CA 1-.6111 APPROVED DATE NO.ADDRESS 1100 North Main St,, L.A. 12 HOUSE NUMBERING LEGAL ��/ MAP NUMBER NO. ASSIGNED BY BLOCK DESCRIPTION LOT NO. - DATE. I CORRECTIONS I INSPECTOR TRACT NO. OF BLDGS. SIZE OF LOT XI/ /0 I NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES SL6/�• 0lS. _ r' d_h..I ,.-.., DESCRIPTION OF WORE z NEW ALTERATION ADDITION REPAIR DEMOLITION SQ. FT. NO._OF I t SIZE ROOMS STORIES EXT. WALL ROOF COVERING I COVERING ' USE OF STRUCTURE INSTALLATION OF ONE(1) DOUBLE FACE NEON SIGN ON POLES IN YARD, AS PER PRINT,SIGN READS 1IU.6.HQ1A.L TlhBb". APP I� I I O ALS a INS ECTO 'S SIGNATURERATE/ FFORMS,rM TERIALS ION ,,,ppp w �� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, / PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS _ I AGREE TO COMP ITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS U TING BU DIN ST�ION. GAS VENT, DUCTS SIGNATURE OF55; LATH, INT. PERMITTEE LASS 1100 North Main S , L.A. 1 LATH, EXT. RIZED AGT. Electrical Products Corp. PLASTER, INT. PLASTER, EXT. 6T5 00 FEE• HOUSE NUMBER COR-• RECT AND POSTED TION FEE ®00 FINAL 76AS38A DBS 8 2-89 DIVISION OF BUMDING AND SAFETY - " Department of County Engineer County�of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT TO FILL IN ADDRESS 41,5-4 //11 [ADDRESS ILDING c503 E. Las Tunas Dr® LOCALITY DRESSCALITYTemple City CNRAR sT. AREST Temple City BlvdDISTRICTN9. PLAN CK.OR F�Ec. No. PERMIT NO:OSS ST. .G/./WNER Dunkin Tire Co. RECEIVED BY- DATE OF APPL. DATEISSUED I` 9503 E. Las Tunas Dr6 USE ZONE'I NO. OF I TYPE I GROUP I FIRE ZONE Temple City,Cal if* TEL. PLANS 2��w CITY NO. rVX,V ARCHITECT OR TEL. DATED ENGINEER NO. . ZONING• V',,, ' APPROVED BY- BUILDING ORD.No.,. ADDRESS SETBACK.LINE: CONTRACTORElec t.Prod*Corp. TEOL.CA]l-6141 APPROVED - - DATE 1100 N. Main St., L.A. 12 HOUSE NUMBERING ADDRESS- ® , LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO, yy BLOCK I . DATE CORRECTIONS INSPECTOR INSPECTOR TRACTNo. OF _ SIZE OF LOT ��� ( NOW ON LOT BLDG8. USE OF NO. OF EXISTING BLDG. I FAMILIES ,O DESCRIPTION OF WORK z -NEW _ I ALTERATION ADDITION J >A REPAIR DEMOLITION r 1 SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALLI ROOF COVERING" COVERING USE OF STRUCTURE INSTALLATION OF.ONE(1) SINGLE FACE NON– ILLUMINATED SIGN ON WALL OF BLDG., AS P1 t PRINT, APPROVALS _ - INSPECTOR'S SIGNATURE. DATE FOUNDATION: LOCATION FORMS. MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS I AGREE TO CO ITH ALL COUNTY ORDINANCES FURNACE: LOCATION, ' AND STATE LAWEGU IN B DING �TRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERM]TTE ADDRESS 1100 N. Blain St., -L . 12 _LATH. EXT. " AUTHORIZED AGTElectrical Products Corp. PLASTER, INT. _.PLASTER, EXT. $ P. C.$ • OUSE NUMBER COR- 350.00 FEE HOUSE AND POSTED VALUATION FEE $ 2e.00. _FINAL / 76A698A D08 8 2-58 DEPARTMENT OF COUNTY ENGINEER DIVISION OF BO LDIINSG�A ANDES UILDREGSAFETY B COUNTY WILLIAM J. FOX. COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT PLAN CK.OR REc.No. PERMIT NO. ADDRESS 9503 E® Las Tunas Dr LOCALITY Temple City RECEIVED BY DATE OF APPL. DATE ISSUED C"Ross ST. Temple City Blvd OWNER Dunkin MillsADDRESS BUILDING � Co � � -- ADDRESS 9503 E. Las Tunas Dr®MAIL LOCALITY 7711 cl ,� f/ CITY Temple City TEOL` CROSS ST.NEAREST - Q, f'/ ` ARCHITECT OR - TEL. FIRE NO. OF TYPE GROUP, ENGINEER NO. ZONE PLANS ADDRESS BLDG. - - ORD...N L SETBACK LINE i �m�`�" CONTRACTOR Elect®Prod.Corp.TNO.E.L.A.A 1AW1 ONE USE APPROVED DATE f ADDRESS 1100 N. Main St. A. 12 HOUSE NUMBERING LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION I LOT NO. 'I BLOCK - CORRECTIONS TRACT i�f- (� •C_ .�-ti, NO. OF BLDGS. SIZE OF LAT I NOW ON LOT USE OF I NO. OF -- - EXISTING BLDG. FAMILIES DESCRIPTION OF WORK 0 - ALTERATION REPAIR I-I DEMOLITION H__&DDITION Z r SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL ROOF COVERING I COVERING USE OF STRUCTURE INSTALLATION .OF SINGLE FACE NON-ILLUMIN ED SIGN ON WALL OF BLDG, .AS PER PRINT. SIG n- s - APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY'ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. I. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE,LAWS R NG B DING STRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTER LATH. EXT. ADDRESS GT. AUTHORIZED A Electrical Prod®Corps PLASTER, INT. PLASTER, EXT. $ 150.00 FEE $ HOUSE NUMBER COR- - RECT AND POSTED VALUATION FEE $ 2600 FINAL d. y,}` 76AG38A DBS 3 9-52 A TEM, { 7 kA L� 1 CITY r '.76A69BA.CE#609• 1-61 APPLICATION FOR BUILDING PEFZIVi1T :COUNTY OF LOS ANGELES A BUILDING DEPARTMENT OF COUNTY ENGINEER of ADDRESS t�a 67. BUILDING AND SAFETY DIVISION LOCALITY TES t E Gs r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 'WILLIAM A. JENSEN SUP'T.OF BUILDING CROSS ST. CG O �/�/1 G DISTRICT NO GROUP TY E P OCE ED BY FOR APPLICANT TO FILL IN S j colvsr. BUILDINGJ �y STATISTICAL CLASSIFICATION SEWER MAP G - ADDRESS 9a n C. /ri/O.S / V/�/�.S --�� � BK PG /' f CLASS._NO.��J_DWELL.UNITS( LOT NO.2- lJ %�L 7 O-2_4?/-2- 7 Z BLOCK WATER NOT REQUIRED I XI RECEIVED El TRACT /� S �j CERTIFICATE: Lam. MAPHIGHWAY STAT MAJOR SECOND, LOCAL NO.OF BLDGS. j NO. ,Z(q ICIRCLE) SIZE OF LOT I NOW ON LOT J USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. , All �� 5� ,�! TELy�, c! OWNER Allo ,0V1. ',!5' AAI, 4,1::i , NOl1A`yS_C'/ BUILDING EXIST:, r ADDRESS 7aC 7 LLQ e / yH Jf, �,A. /.� SETBACK YARD HWY STREET NAME WIDTH ARCHITECT OR TEL. FPO TON ENGINEER ���• `I-�F NO. SIDE. / ADDRESS /� CF—/OO04:1. F..L. a CONTRACTOR/Y 'T41'�-V/GT S0N NO. '-IIy� INSP ION RECORD O ADDRESS tfo ,- �&.4t Wj9 .f•.•Q•� � O DESCRIPTION OF WORK v W • a. d h NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO.OF NO.OF SIZE T;� STORIES FAMILIES i USE OF --, A `� "6 STRUCTURE 'J` / ,S�` 1 A- �— OcA7,Vf SIGNATURE OF APPLICANT 9 l VALUATION$ j 7", �) I d APPROVALS DATED/., .INSPECTOR,,S-SIGNATURE FOUNDATION: LOCATION ` FEE $ FEE $ FORMS,MATERIALS .���.J /�.� ��/'✓r .ter',--'�J' FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS f 'd 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 ANYPERSON IN VIOLA. LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFOR IA RELAT- ING TO WORKMEN'S P SATION NSU RANCE. LATH,EXT. SIGNATURE OF;� � HOUSE NUMBER COR- PERMITTEE /. RECT AND POSTED ADDRESS Arc - FINAL FINAL CLYDE N. DIRLAM, PRINCIPAL ST R RAL ENGINEER PLAN CHECK VALIDATION cK M.D. CASH PERMIT VALIDATION CK. M.D. CASH L PiIaJ ! l r L i.I{l;\ 7 1 'J 1 1 .5 0- I' _ 76A698ACEN0910_g3 APPL_ICA`T'I®N FOR BUIL DING- PERMIT 1 COUNTY'OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION- LOCALITY`' / JOHN A. LAMBIE, COUNTY ENGINEER NEAREST [J+✓G�� t W CASSATT D. GRIFFIN, SUPTOF BUILDING CROSS ST. DISTRICT�O. G,13a p .I TYPE A .,PROCESSED BY FOR APPLICANT TO FILL IN J CON /`L m BUILDING 'L- / STATISTICAL CLASSIFICATION SEWER MAP m ADDRESS '�G / G�f,S /(J � L' I BK PG ��77 CLASS:NO.-<Y—DWELL. / DWEL .UNITS' _ LOT NO. r� J/ j c /` 'BLOCK NUMBER y S•ITyIY. YES TRACT C a / USE'ZONE SPECIAL` a CONDITIONS _ NO.OF.BLDGS SIZE OF LOT ��C?'X�/C� I NOW ON LOT., w, USE OF r `I EXISTING BLDG. BUILDING YARD HWY STR ET NAME -EXIST. `- SETBACK WIDTH /% ,� _ OWNER MAIL7 �Jc/'`/��,/S - FRONT ADDRESS/3 6-; j L-'x l�Yii e. l� P.L. /1 SIDE -. CITY �� / c.7 .�3 �i �e P.L. w NOL INSPECTION RECORD ARCHITECT OR/� /,,/ ENGINEER C, .% .��.'� ��/4� /0,4T1�� . ADDRESS- �< S �� - '' /C/eY, Q L?�`�i✓7, .. CONTRACTOR/f1Y'%�/� +.�T/ NOmija��/ - C Ga�V€1 -ADDRESS �- Ear. .���,E3•''l3 d/� - - - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ..FT.-�(� - 'NO:OF - NO.OF - SIZE' 0 STORIES - FAMILIESUSE OF STRUCTURE ,/I✓G'"; sG 6�i�'� - ;f, SIGNATURE OF /� /✓,`� � APPLICAN -APPROVALS PATEINSPECTOR-5-SIONATURE ADDRESS - FOUNDATIOW LOCATION p C; FORMS,MATERIALS "- VALUATION$ FRAME:FIRE STOPS, _ BRACING,BOLTS P.C. PMT.$ $ ti .°FEE I FEE i -, I - .GAS VENT,DUCTS " I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP= LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ' AGREE TO COMPLY WI HfffNNNyyyA......GGGGLL COUNTY ORDINANCES AND , STATE LAWS RE � W'STRUCTPON. LATH,EXT. - SIGNATURE OF _ �`//�'��.• ��� ,g �� HOUSENUMBER COR- RECT OR- . PERMITTEE � '��` ^"�°""'� RECTAND POSTED ADDRESSr'-'";; . � FINAL �r �": .L7�--�--•�_ - . CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN 'CHECK VALIDATION C.K) M.O. '.CASHt PERMIT VALIDATIOCASH APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BU i670ING --��� � COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY P Gloms''! ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT 1,(>0'At.O NOW ON LOT V ADDRESS i5� .a. TRACT L val �y�Ea E3t6eF( LOT NO. LOCALITY 43.� TEL. NEAREST 61 OWNER _ ��. NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK GE CEL DISTRICT IGROUPITYPE FIRE ROCSBY CITY ZIP Jf NS//TJJ. ZONE % ARCHITECT QQTR p.� TEL. \J� �O QX�Y, tf:(sY�_ ENGINEER i���L'�AK'*��1n►N'E4>•1S NO. �"� ^�m - tt k(.16STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ,b �:. 3 Sj ,CLASS NO_C20DWELL,UNITS BK PG CONTRACTORt:yIT, NOL �-�)�� USE ZONE NOP QCd � V ADDRESS�L� hLCh120f-K> NO. MA \ ! — � SPECIAL .LIC. pp l•� CONDITIONS CITY pP� I�9 CLASS 4^ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDGS TBACK FROM o- FRONT ROP.LINE OF (STREET) C V ADDRESS CIN HIGHWA } YARD TOTAL SETBACK FROM TYPE OF EXISTING G' SO. FT. NO. OF NO, OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE L; t = a DESCRIPTION OF WORK NEW cor ADDF—] SIDE LOGPROP.SETBACK L NE OF (STREET) Z ALTER [1 HIGHWAY } YARD = TOTAL SETBACK FROM TYP F 1EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAN WIDTH USE DEMOL ❑ + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) N0. IN OPEN SPACE YES ❑ NO BY (SIGNATURE) ❑ IN COASTAL ZONE YES.❑ NO ❑ VALUATION Y �O CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING,TO - WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF ,T PERMITTEE S ADDRESS. 1�+�'r'Q�� Cj 4___k° _ FINAL srY BY, CITYf%JNQt M9L - Vl. NOL �W DATE /_,I./ice- I Ir0 F�'� ¢'r_�'T�� MAKE_ CHECKS PAYABLE TO: FEE •+ ` FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION - .cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 0 6.I."rZMAR 114 1 76A638A CE#003 7/73 APPLICATION FOR BUILDING PERMIT 'fl POR APPL4CAN'T . FILL IN (Print or type only) BatLO[NG _UN/Its 1�.2 COUNTY OF LOS ANGELES ADDRESS /J 'd DEPARTMENT OF COUNTY ENGINEER CITY�_�j�flf! v� ITi! •ZIP BUILDING AND SAFETY.DIVISION BLOGUILDING SIZE OF LOT mola!'k/W° OWOON LOTS ADDRESS 2LL-5 �- TRACIf��K'�/ BLOCK LOT NO.-Z-410 LOCALITY _ L C TEL. NEAREST OWNER ✓Lt f�iY J��11) NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT 1GROUPITYPEFIR E ?CESSEQ BY CITY ZIP CONST, ZONE ARCHENGINEER 0 ttL�iQca� qd/� Ili ftp ^OL4,��'y� K; , //� I,' �J STATISTICAL CLASSIFICATION SEWERf�AP ADDRESS lfJ �✓f �,"i �l 1-'A- � CLASS NO.��-DWELL.UNITS BK/ i/PG CONTRACTOR �f3 NEL,LIC. //�/T/r USE ZONE NOP 45)40 ADDRESS NO ,/ CITY LIC. SPECIAL ONSZI CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM -FRONT PROP.LINE OF - (STREET) >- ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING V SQ .FT. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE 40STORIES FAMILIES ONE = CD ~ DESCRIPTION OF WORK uLl C+ NEW C.7 nr ADD BLOG.SETBACK FROM ow.. L►-J6' ,��`� SIDE PROP.LINE OF (STREET) Z ALTER ❑ = TOTAL SETBACK HIGHWAY } YARD .FROM TYPE OF EXISTING '.,!{Cv7 V�,•� (� - REPAIR❑ SIDE PROP. .LINE HIGHWAY WIDTH USE OF } _ EXISTING BLDG DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES El NO ❑ (PRINT) L1�,.LflaN► , NO. �� BY (SIGNATURE) IN OPEN.SPACE YES ❑ NO' ❑ 6G .� IN COASTAL ZONE YES [] NO ❑ VALUATION$ 1000 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWL DGE THAT IHAVE,READ THIS PPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT - EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ST RUC TION. I CERTIFY TH IN DOI G THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY i WILL NOT EMP606Y NY PE SON IN VIOLATION OF THE LABOR CODE OF THE TE OF C FOR IN RELATING TO WORKMEN'S CO MPEN THEE IN URAN N.+^`/7� /�"Y.�'�^= fC, �c� n„� i•."-/+/S ss�'r' SIGNATURE PERMITTEE +�.�/-�,A'Z �/ ft,2•aa�r ;r,C, A/c�iitn_i„t� _ - /�� ADDRESS tuI �' �4 .�.y�n�'»�°'G 4/ r l�p•..,- A FINAL CITY�J/J [ NTE O. DATE "_1'J ter? BY L )LAKE CHFChS F'AY1131-E TO: P.C.Ep FEE HARVEY T. BRANDY, COUNTY ENGINEER 3 L L—,23130 PLAN CHECK VALIDATION CK. M.O. CASH _ 'PERMIT VALIDATION CK. CASH r V-1 , 4 2i�Noll iZ.2 3 0 312.3 -0 ,8A , 4;7iz2`3 0 Z513 ® u _. F,I' 53 'z7 I0 40ca 0v 75A538A E ry803 f0-58 APPLICATION FOR 8U IL.D,I NG-'PERMIT. COUNTY OF LOS ANGELES BUILDING. .o DEPARTMENT OF COUNTY ENGINEER ADDRESS 503 E. Las.,Tunas Drive BUILDING AND SAFETY DIVISION L6CALITY' Temple City Are. JOHN A.LAMBIE,COUNTY ENGINEER NEAREST N C10verl CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. • y A DIST�NO. ROUP YPE PROCESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING pr STATISTICAL CLASSIFICATION SEWERWP ADDRESS 95083 E. Las Tunas Drive BK PG LOT NO. ZBLOCK CLASS.NO - DWELL. UNITS MAP ¢ STATE YES NO NUMBER -Qa._<,1-7 HWY. TRACT J USE ZONE. SPECIAL _ J/�rf NO. BLDGS.' CONDITIONS SIZE OF LOT /(/V �� /j I NOW O11FN LOT USE OF, EXISTING BLDG. BUILDING - - EXIST. _ 1 YARD HWY STREET NAME OWNER ` Tile Goodyear Tire & Rubber Co SFRONTK _ WI-DTH ADDRESS 9503 E.. Las Tunas Drive SIDEMAIL - - _- CITY Temple City NO' P L INSPECTION RECORD ARCHITECT OR - TEL. ENGINEER NO. ADDRESS L - - - CONTRACTOR �C NO. CA 1-61 •. - ADDRESS 1100 N. Main Step L.A. 12 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO.OF NO.OF n 't _ SIZE STORIES FAM ES - USE OF STRUCTURE nS a a ion O e -�e ,S1611 011 VU-Lub -La r print, g - rnads 11, SIGNATURE APPROVALS APPCICA• � � q ' ADDRESS 1100 N. Mal. to L.A. 12 DATE INSPECTOR'&SIGNATURE � FOUNDATION: LOCATION _ _ _FORMS,MATERIALS $ P.C. $ FRAME; FIRE STOPS. 29OOoOO FEE 6000 BRACING, BOLTS VALUATION $ 12®00 FURNACE: GAS VENT,DUCTS LOCATION. FEE - - _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISAP- LATH, INT. ' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPL •T C ORDINANCES AND - - STATE LAWS G I IL NG CO - TRU ION. < LATH. EXT. - - - SIGNATURE O HOUSE NUMBER COR- _ .. PERMITTEE RECT AND POSTE D 1100 Ne Mairi L.A. 12 ADDRESS FINAL CLYDE N.DIRLAM, PRINCIPAL.STRUCTURAL ENGINEER PLAN CHECK VALIDATION., cK. M.o. cASH PERMIT VALIDATION CK. m:o. cnsH 1 215"• is ®Pt 1 7Q�E99A D99.8 APPLICATION FOR BUILDING PERMIT 1. DIVISION OF BUILDING AND SAFETY ADD EISS 503 /_'4f �1��✓�S Department of County Engineer County -7- of Los Angeles LOCALITY / ( 'f�L C17—,t JOHN A. LAMBIE, COUNTY ENGINEER // CASSATT D.GRIFFIN. SUPT OF BUILDING NEAREST. , ff CROSS ST. C �,, DISTRICT NO],GROUP TYPE SEWER BK MAPG FOR APPLICANT TO FILL IN �� i IC BUILDING -03 ® G � d0,� Aq� YES NO ADDRESS ¢'�" IIJI'1U 4',+�' MAP STATE _ NUMBER �� � HWY LOT NO. / BLOCK - USE ZONE SPECIAL - CONDITIONS TRACT �� �. NO. OF SLOGS. .} (,J SIZE OF LOT. NOW ON LOT L.r BUILDING YARD HWYSETBACK STREET NAME WIDTH EXIST. USE OF {y� �/'�p �/.� FRONT EXISTINGBLDG. IICC cls N V P L ` OWNER U V K)V M '1-kS SIDE MAIL -03 1,A rl .+� P.L. ADDRESS �� I-� / VO TEL TRACT DWELL. I UNIT 5 INDUSTRIAL CITY TF/til P�F_ (�ITT NO. - DWELL. C 1 UNIT / 6 PUBLIC BLDG. ARCHITECT OR TEL 2 DUPLEX 2 UNITS .7 ADDN..ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS A , p ^� �/ /{I �r 4 COMMERCIAL CONTRACTOR �� N��I-J\ A 7�J'/� TN o. AA -.�.7�� INSPECTION RECORD !p� ADDRESS �O�� (H ��/ �G�� ��4 1 DESCRIPTION OF WORK i1c�('0 �. NEW ADD ALTER REPAIR DEMOLISH v R a--d.+.F'�A� A•�+��...! SO. FT. O. OF NO. OF ll SIZE STORIES FAMILIES USE OF STRUCTURE //I V �+Q IL S� IPU ML -ImS77 8//X l-Zoa � SIGNATURE OF APPLICANT ,q ���^« APPROVALS ADDRESS �/ 3 /t�f� DATE INSPECTORS SIGNATURE FOUNDATION: LOCATION o P. C. S -FORMS.MATERIALS FEE FRAME: FIRE STOPS. VALUATION (� $ °� O BRACING. BOLTS FEE �C FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING CONSTRUC- TION.. �. / LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED e FINAL JOHN A.LAMBIE. COUNTY ENGINEER �$LIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR ( CK MO CASH - t O 3 4 2 9 U BEC 17 1 2.0 0 n DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER I S- APPLICATION - -FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY /� DISTRICT NO. P N CK. OR R/EEC.'No. EE'R�MIT NO. BUILDING 9,a 03 1-,qADDRESS Iq S �GI/VAS L/�„ �� �"-Sa Z EAM4C0� RECEII EDBYDATg0yy PPL.�I DATE IIBSU/EEDDI�� NEARE TY �9 r t./A- �1 `•��' �� AoV ,�m Gd 1' CROSS ST. N+�.eoa. Cc vFrzLV �✓N'i s BUtLDINO _ �0® J �jr�' ADDRESS h. 8' ./ �14�'d' OWNER MAIL LOCALITY ADDRESS NEAREST. , CROSS ST. CITY LOS ^N�+�LrNOL FIRE I NO.OF TYPE T�'j` I GROUP. ARCHITECT OR , , ��� TEL ZONE PLANS ENGINEER �►t �'r NN�O.A T b r7/ /,q SETBACK LINES ADDRESS lqZS—® LA'S / VA-lA.S USE '�7J APPROVE OR /,AA•• ��aa TEL ZONE _`BY CONTRACTDATE �•ZU�' NO. Sr. 0 H USE NUMBERING ADDRESS ��0 YYAJ V/ 01A JMAP NUMBER U77 NO. ASSIGNED BY ' DESCRIPTION LO �L� PaA_ BLOCK _ - CORRECTIONS TRACT ' O NO. OF BLDGB. Q KC� SIZE OF LOT �� I NOW ON LOT � � f USE OFEX STIN BLDG. j ejC� r�IO�� I NO. IDE � S" DESC IPTION OF WORK °a NEW ALTERATION ADDITION - Z D r REPAIR DEMOLITION So.FT._ N O.O F SIZE ROOMS STORIE EXT.WALL I ROOF S COVERING COVERING USE OF STRUCTURE ZirLA AJ® /Gut's .4�tldj'/t�S o INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION ' FORMS, MATERIALS _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING NSTRUCTION. GAS VENT, DUCTS SIGNATURE LATH, INT. PERMITTE -- ' N �.Q� �.1.•a LATH, EXT. ADORES /F. — 'Nicc6 PLASTER, INT. AUTHORIZED AOT. (r x PLASTER, EXT. J P C. ® HOUSE NUMBER COR- N SEE RECT AND POSTED VALUATION � FEE . 1:2�O FINAL 7-� O s L_ 76AiS39A DBS 3 7-51 76A636 A.CE #603 4/70 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR . DEPARTMENT OF COUNTY ENGINEER_ MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 'JOHN A. LAMBIE,' COUNTY ENGINEER ADDRESS ��� COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST � Print or type only) CROSS ST. 6 DISTRICT NO. I GROUP TYPE 9RSC-E,SSED B ' BUILDING ) SUg �.Z CONST.�T ADDRESS 603c�— STATISTICAL CLASSIFICATION SEWER MAP LOT NO. �'j Z�j L BLOCK CLASS NO.�DWELL.UNITS s BK.L PG /S/ TRACT �5"� USE ZONE MAP NO.OF SLOGS. NO. SIZE OF LOT NOW ON.LOT _ 7 SPECIAL USE OF CONDITIONS EXISTING PLDG. TEL. OWNER NO. BLDG.SETBACK FROM ADOR ESS �� FRONT PROP.LINE OF (STREET) TYPE OF.1EXISTING SETBACK HIGHWAY + YARD = ,TOTAL CITY - HIGHWAYI WIDTH FROM C.L. ARCHIT CT OR TEL. 1 11 + _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) /� TYPE OF EXISTING SETBACK: HIGHWAY + YARD = TOTAL CONTRACTOR w TEL �•{'�Qz HIGHWAY WIDTH FROM C.L. >- CL. ADDRESS ©QC .�yL�- LIC. O �{` + = O U "LIC. CITY CLASS CORNER CUTOFF YES ❑ NO ❑ C O CONSTRUCTION LENDER c~7 NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS a ' O ADDRESS Z SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT DEMOL VALUATION $ �/ DOS./ APPROVALS DATE INSPECTOR'S SIGNATURE PMT. FOUNDATION: LOCATION FEE $ ° FEE $ /• Z� -FORMS, MATERIALS FRAME:.FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS-VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY i WILL NOT EMPLOY ANY P"SON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STAT ET OF • ALIFORNIA IN RATING TO WORKMEN'S COMPENSATION SURA C. . LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL Q JOHN F. LEWIS.PRINCIPAL STRUCTURAL ENG.IN.EER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION- CK: M.O(CASH .�t' 8 0 1DtC11 1 0 1 725N Q 0.42 APPLICATION FOR BUILDING PERMIT FOR AWLICANT TO FILL I'N (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS LAt 'T-U AIDS DEPARTMENT OF COUNTY ENGINEER CITY C-t.'r-f zip BUILDING.AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS yC, TRACT BLOCK LOT NO. LOCALITY ` U � TEL, NEAREST OWNER ` NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE I PARCEL DISTRICT GROUP TYPE FIRE P OCES BY -CITY ZIP Q CONST- ZON� ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATLON EWER MAP ADDRESS CLASS NO. Z"� DWELL.UNITS ,4—' BI/ �E3 CONTRACTOR CZ L...�v� NO.1 ' z � USE ZONE NMOAP U LIC. r��f1 ADDRESS t 1y K� NO. Lr i O?r SPECIAL CONDITIONS CITY L �Z.' CLASS C ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ " CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING . SFT. NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES S FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + O ADD ❑ BLDG.SETBACK FROM SIDE PROP.LINE OFF (STREET) O G 14N4ti StG ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w REPAIR ❑ HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH- N USE OF Z EXISTING BLDG. j& L DEMOL El + APPPRINAINT/��N TEL CORNER CUTOFF YES E] NO ❑ {X•(r D N07 IN OPEN SPACE YES ❑ NO ❑ BY ISIGNATUREI IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ I IHEREBY 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 CONSTRUCTION.I CERTIFY THAT IN DOING THE 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- PENSATION INSURAN SIGNATURE OF PERMITTEE ADDRESS , 32' tTEL. �j FINAL BY� CITY NO. <<+i� DATE ,. MAKE CHECKS PAYABLE TO: FEE' $ /// " PMT. HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION' c,K., M.O. CASH PERMIT VALIDATION CIC M.O. CASH 7 4 4 Jt1L 22 3 3.0 0 A�8 ®3 76A63BA CE#803 3.75. WORKE%COMPENSATION DECLARATION { hereby o cer that I have insure, or a certificate of Workers' certificate of consent to self kers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) ��e d COUNTY OF LOS ANGELES BUILDING AND SAFETY PoIic No..(02S#19-17 Company ��e l y is hereby furnished. FOR APPLICANT TO FILL IN BUILDING Certified copy ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS -5O 1 Date B'S`g 7- Applicant •- CITY ZIP LOCALITY CERTIFIC TE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST C PENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need\ne leted.if the permit is for one / ASSESSOR hundred dollars($ TRACT L%.. BLOCK LOT NO. MAP BOOK PAGE PARCEL C V NO. USE ZO E MAP I certify that in thce of the work for which this OWNER L, NO. permit is issued, I loy any person in any manner / SPECIAL so as to become sWorkers'Compensation Laws. ADDRESS 9-503 St Y1S V'N'hS LZ• CONDITIONS CITY��r �@ C\� ZIP G> Date t NOTICE TO APPLICANT: If, afAJ making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP&GONST. FIRE PROCESSED BY Q Exemption, you 'shoul'd become\subject to the Workers' ENGINEER NO. Compensation provisions of the Labor Code, you must forth- ADDRESS %J� with comply with such provisions� this permit shall be TEL. r STATISTIOCA CLASSIFICATION APT. ND0. N deemed revoked. CONTRACTOR Q —�j�\ NO. 00 LICENSED CONTRACTORS DECLARATION CLASS NO. DWELL. UNITS LIC. ' I hereby affirm that I am licensed under provisions of Chopter 9 ADDRESS vj %L NO. 0 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY Av c�o CUC.t%MOrJCLASS LyS BK. PG. VALIDATION �- SQ. FT. NO.OF NO. OF CHECK License Number 4 0 x 3 Lic.Class G q S SIZE STORIES FAMILIES ONE VALUATION � ;2 7 6:1.5 R Contractor�C t1 e '\il:,r✓Y Date�i' 7 DESCRIPTION OF WORK ` N NEW E] ; 47 a� #,o.o o a 2 3 ADD tL .'o. k. ❑ I am exempt uncle ec. ALTER' o B.BP.C. for this reason 3nv,3 XV-13REPAIR ❑ $ Dote: USE OF DEMOL ❑ EXISTING BLDG. W kk APPLICANT TEL. `7 Signature FINAL g PRINT •h Q — `v> NO. 1"1�DO � }.r/ �7 6 1'.6,A� OWNER-BUILDER DECLARATION DAT C/ #.o;o o'o,oi • f' I hereby affirm that I am a mpt from the Contractor's License ADDRESS 3 2val 63L_ o V F 7 Law for the following rens (Section 7031.5, Business and I,�.'o ijl 0.6 J 3 Professions Code): r ❑ BUILDING ° °'1 O ba 3.5 I, as owner of the prop y, or my employees with ADDRESS 1.' wages as their sole compens ion,will-do the work and ' $ O 6 .8 7 ' LOCALITY the structure is not intended or ffered for sale(Section ' s 7044, Business and Professions e). MOVING TEL. ❑ I, as owner of the property, am exc sively contracting CONTRACTOR NO. with licensed contractors to construct the project(Sec- ADDRESS tion 7044, Business and Professions Code). CONSTR TION LENDING AGENCY SETT BACK YARD ED HWY TOTAPROP.SETBACK WIDTH I hereby affirm that there's a construction lending agency for FRONT the performance of thew k for which this permit"is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # • m P.G Fee$ Permit Fee Lender's Address o I certify that.1 have read this application and state that the Issuance Fee 3 V LDMA P/C# ' above information is correct. I agree to comply with all County Investigation Fee S ordinances and State laws relating to building construction, 2Q _ and hereby authorize representatives of this County to enter Total Fee `J LDMA Perm.-#. _ m upon the above-mentioned property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE, ==Signature of A licant or A4JPnt Date WORKERS' COMPENSATION DECLARATION b ` rey affirm that I have insuure,, or a cer+ificate of Workers' certificate of consent to self kers' Compensation Insurance, APPLICATION FOR: BUILDING. PERM or a 4rtified copy thereof (Sec. 3800, Lab. C.) P� 47 � PUt3LlC lt�bMar�' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN. ADDRESS Certified copy is filed with the county building inspec- BUILDING p �S �s tion department. ,. ADDRESS 1�� �'i •L t c4NI / G Date l�` �'�� Applicant C /�8 -� CITY-1-i Lt 1,. Y ZIP 11 LOCALITY 1 1h A A4 A CERTIFICATE OF EXEMPTION FROM WORKERS' NO'. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ( CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) " TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZfiNE MAP OWNER Cf I certify that:in the performance of the work for which this TI CORP S Itt I"'GS., . NO. NO:, permit is issued, I shall not employ any person in any manner 9503 T p� SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS �,,/, 5 1 I�N�S �s� " ,CONDITIONS CITY LE 611-1 I ZIP q 1-7&0 Date • Applicant ARCHITECT OR TEL - NOTICE TO APPLICANT: If, after making this Certificate of �� ` DISTRICT''- GROUP TYPE FIRE PROCESSED BY ENGINEER VA[-I SWC I S NO. - 26 CONST. ZONE Exemption, you 'should become subject to the Workers' ` g y Compensation provisions of the Labor'Code, you must forth- ADDRESS WO 3 F_MCK!FdA) 41VA14EIM 12-190-1 v 8-1 with comply with such provisions or this permit shall be TEL 'jib STATISTICAL CLASSIFICATION CONDO. deemed revoked. _9 0 CONTRACTOR � C.6 G"�f6l�/ NO. +� 2'� LICENSED CONTRACTORS DECLARATION UC. q CLASS NO.�(�DWELL.'UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2 J0 �' ���� NO. 3u72 1 (commencing with Section 7000)of Division 3 of the Business and A LIC SEWER MAP 3 Professions Code, and my license is in full force and effect. CITY NAH15I M 7 CLASS BK. PG VALIDATION- dy�7 2 Q tQ SQ. FT. NO. OF NO. OF f CHECK' o _- 8772 5 License Number t t 1 Lic.Class SIZE STORIES FAMILIES 0 A ONE COQtR 14 C__r1 Q a NEW VALUATION '00689,25U DESCRIPTION OF WORK Contractors - Date ,1C / ADD $ �� I 1.0 7 8 8 O ElI am exempt under Sec. N J� LL -rw �V o 'fl,G ALTER B.BP.C. for this reason ��_ � MA CI4Il IVES REPAIR $ C'' Date: USE OF �p� DEMOL ❑ Z EXISTING BLDG. U N13� APPLICANT , i2 / TE 1! `/p FINAL Signature PRINT) B COf�s�szu�Tl ff NO.. 2-6�$� OWNER-BUILDER DECLARATION DAT I hereby affirm that I am exempt from the Contractor's License P214J,J M500 APAVC-)0164 -7:290'7 Law for the following,reason (Section 7`031.5, Business and ADDRESS FINAL Professions Code): PRESENT By ❑ BUILDING I; as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for saleSection LOCALITY c � � 1322A. 7044, Business and Professions Code). MOVING TEL.. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 0 1 1 5 50 REOUIREDTOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 5 5 0 csi :I hereby affirm that.there is a construction lending agency for FRONT the performance of the work for which this permit is issued . P.L.. 21 4-8 8 (Sec. 3097, Civ. c.). SIDE 1 P.L. Lender's Name _ m P.C. Fee$ 1�S Permit Fee (d LDMA Ref. # Lender's Address ` 3 - $ I certify that I have read this application and state that the Issuance Fee LDMA PTC# o 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. # and hereby authorize representatives of this County to enter upon the above-mentioned property or inspection purposes. 'QNB GotJ��fZuCT r9i SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent 'Date., , WORKERS'COMPENSATION,DECLARATION I hereby affirm that I haver certificate of consent to self APPLICATION' FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, , or a certified copy thereof(Sec. 3800,,Lab. C.) COUNTY OF LOS ANGELES BUILDING AND'SAFETY Policy No. Company BUILDING / p ❑ Certified copy is hereby furnished. . FOR APPLICANT TO FILL IN - ADDRESS ❑ Certified copy is filed with the unty building inspec- BUILDING tion department., ADDRESS �V LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION M;WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION IN RANGE. SIZE OF LOT NOW ON LOT MAP-BOOK PAGE PARCEL This section need not be', er ,carnal if.the mit is for one .' USE ZONE. MAP. hundred dollars ($100)or less.) F- TRACT BLOCK LOT NO. p NO. r TEL. _� /r / SPECIAL - certify that in the performance of the work for which.this OWNER NO: !/ 6 CONDITIONS C permit is issued, I shall not employ any person in any manner 7 Z� n eDISRtCT GROUP TYPE FIRE PROCESSED_BY so as to become subject to the Workers'Compensation Laws. ADDRESS J !ti �' CONST. ZONE Date Applicant AIRCHITTY ECT OR ZIP TEL. STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. Exemption, you should become subject to the Workers` CLASS NO. DWELL. UNITS' 0. Compensation provisions'of.the Labor Code, you.must forth- ADDRESS SEWER MAP with comply with such provisions or. this permit shall be deemed revoked. . TEL' VALIDATION CONTRACTOR / NO. 2Zv J BK. PG, LICENSED CONTRACTORS DECLARATION LIC. q I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. �1 7 /O -Z— VALUATION (commencing with Section 7000)of Division 3'of the Business and / LIC. Professions Code, and my license.is in'full'force`and effect. ' CITY L CLASS`—(�'r C/ , $ �7 7 / SQ. FT. NO. OF NO. OF CHECK License Number �1/ `� Lic:Class `-� Y SIZE STORIES FAM LIES ONE 5 9 1,8 A Contractor t�i7 (0'r Date. d _ V DESCRIPTION OtF/WORK f I�, `pt y t (art w l -z $ + a a o u 2 3 ❑1 am exempt under Sec.:` J / o rr 6U U 511 r` DD ❑ 2'- o 3 7.5 Q t j /I l i ALTER ❑" FINAL 3 Xr'1DATE '" lo'o 0 3�,.(C. v B.&P.C: for this reason rt p ❑ t , ate: USE OF 2i DEMOL ❑ FINAL ( �, 1 2-8 3 - EXISTING BLDG Signature APPLICANT TEL. r��+/ OWNS I DRA E L TION (PRINT) N07 d LZ�3 I hereby affirm that I exempt from the Contractor's License - ►, Law for the followi g reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section kADDRE 7044, Business and Professions Code). TEL. ❑ 1, as owner_of the property, am exclusivel coniractin CTOR NO. p P Y, Y 9 P591,9A with licensed contractors to construct the project (Sec- . tion 7044, Business'and Professions Code). # 0 0 0 0 0 1 ED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY CK YARD HWY PROP. LINE WIDTH 2 0 0 [j 9 �j hereby affirm that there is a construction lending agency for rhe erformance of'the work for which this ermit is issued _ p P a'a a49,88C (Sec.,'3097, Civ. C.).m 1'0 1 2._ 3 Lender's Name Lender's Address $ Permit•Fee certify that l have read this application and state that.the Issuance Fee above information is correct.I agree to comply,with all County Investigat,omFee S ordinances and State,laws relating to building;construction, u and hereb authorize representatives of.this County to_enter Total.Pee_. m upon a ab e-mentio ed pro erty for;inspection purposes: a f SEE REVERSE FOR EXPLANATORY LANGUAGE '^ Si tureof.Applicant or Agent Date ®s �- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'SCOMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI ING,,rrA��D�RES C B DING ADDR SS L✓ S \ V Vv I hereby affirm that I have a certificate of consent to self insure, S©� WN P or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec. c.3800,Lab.C.) �% q��, NA �,� �� �`�� LOCA\l Policy NO.t,L 'M R Company SIZE OF LOT` NO.OF BLDGS.NOW ON LOT ` ��❑l,/CCertified copy is hereby furnished. NEAREST CROSS ST. tldCertified copy is filed with the County building inspection TRACT BLOCK LOT NO. de department. I USE ZONE" MAP NO. Date^� `()A IiCant v` �7� �IQP ASSESSOR MAP BOOK PAGE PARCEL pp SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL.NO. YES NO COMPENSATION INSURANCE. WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred Nto DISTRICT GROUP TYPE CO $T.' FIRE ZONE ROCESSE BY dollars($100)or less.) CITY 'ZIP /y�� J/��' j 1 certify that in the performance of the work for which this permit � OL"i �% 1 I� Ie. 3 � I�1{ is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO, l/ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of TEL.NO.NTRACTOR REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the WOfkBfS' (iRt 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. A DRESS _` LIC.NO. � PL V-6rzV s SIDE �. LICENSED CONTRACTORS DECLARATION !� `` LIC.,CLASS P L C`n� C V C, v 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 SNO.OF FAMILIES TORES CD Professions Code,and my license is in full force and effect. NEW ❑ BK PG U License Number�Qaa LiC.Class DESCRIPTION OF WORK ADD E] VALUATION Contractor �`c°� Date '� —� ALTER ► y � +Rce- ❑ I am exempt under Sec. REPAIR ❑ B.&P.C.for this reason V \ l`1 DEMO ❑ Date: USE OF EXISTING BLDG. URM ❑ LDMA P/C# 4r� 133307 • L s n Y i� �tt�s Signature A LICANT(P T) TEL.NO. LDMA Perm# ,Gt i'S ❑ I, as owner of the property,,or my employees with wages as Z O >22 4O p T- � L 53 -75 their sole compensation,will do the work and the structure is A D SS F Ift �'�C)� FINAL DATE not intended or offered for sale (Section 7044, Business and s� 0. 0 � J� � Q 58."75 Professions Code. CHECK WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /' 30 4-t, OR A"MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q CHANGE m 3¢I I El 1, as owner Of the property, am exclusively.,Contracting With THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? " FINAL BY > licensed contractors to construct the project.(Section 7044, YES❑ NO❑ BUSIRBSS and PfOfeSS10RS Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING pg iI r OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH - � �n`�(—I�LT'Li�S Lel+ , CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST ' FOR GUIDELINES. {'. {;e n''�i 1 hereby affirm that there is a construction lending agency for YES❑ No❑ 9264 1 Arl ILL.I� 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 .. - m. 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 SCAQMD. dLender's Address OWNER OR AGENT 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 3 ordinances and State laws relating to building construction,and ¢. hereby authorize representatives of this County to enter upon ISSUANCE FEE ^o the ove men' ned pro rty for inspection purposes. INVESTIGATION FEE TOTAL FEE q , (� m SigoaWm of Apps t of Ag*d are •. SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' MPENSAT10N DECLARATION I s Pre- a firm Thar I have a certificate.,'of consent to self APPLICATION FOR ' BUILD' 'I t�1 G"PERMIT nage, or a certificate of Workers' Compensation Insurance, or a certified cdpy thereof (Sec 3800-Lab. C:) COUNTY OF LOS ANGELES BUILDING-AND SAFETY Policy No. Company Certified.co furnished. FOR APPLICANT TO FILL-IN BUILDING pYis hereb y APPADDRESS S(f�J i Certified'copy is filed with the county building inspec- BUILDING a tion department. ADDRESS �D� (��✓ ���+(.[S ' Date 66Applicdnt AW CITY �i� G� ZIP 8Q LOCALITY t` CE TIFICA E OF EXEMPTION FROM ORKERS' NO.OF BLDGS.' NEAREST. COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. . (This section need'.not,be-completed if the-permit is for one - - - - ASSESSOR hundred dollars ($100)or less.,) TRACT p�M �'1BL'OCK LOT NO. MAP BOOK PAGE PARCEL I certify that in the performance of,th'e work for which this OWNER/v �Vl q' NO:: USE ZONE OP Perm is.issued,tshall not employ any person in any manner /� ,�j p� SPECIAL � ADDRESS' (/ lJDGU�I CONDITIONS O so as to become subject to the Workers'Compensation Laws. c CITY 16V1AarJ ZIP 0 Date ''• ' ' Applicant' ARCHITECT OR NOTICE TO APPLICANT: If; after•making' this Certificate of �S ��' NO d DISTRICT GROUP_ TYPE FIRE PR CESSED BY I ENGINEER CONST. ZONE 1J Exemption, you should become subject to'the'Workers'. l�, g� Compensation.provisions of the Labor Code you must forth- ADDRESS �� �[_("�.(7T�G� " ' - 9111. With.comply=,with such provisions or this permit shall be TEL. :e7V STATISTICAL CLASSJFICATION = APT. C DO z deemed,revoked. CONTRACTOR NO. '/�3. LICENSED CONTRACTORS DECLARATION - - CLASS NO: DWELL. UNITS I hereby affirm that.)am licensed under provisions of Chapter 9 ADDRESS 0 f}/ O. �77Da� (comr',encing with Section'7000)of Division 3 of the Business and D / LIC. . SEWER MAP T Professions Code, and my license is in full force'and effect.. CITY z,4g �l`�� CLASS. BK VALIDATION :,. SQ. FT. NO. OF NO.OF. •__ CHECK License beLic:Class SIZE STORIES FAMILIES ONE r, ❑ VALUATION ALUATIONt DESCRIPTION PTION OF WORK /� $ /OywDCntractoLUae 00 ADD ❑ I am exemp under Sec lwg?, ellal C-64r_ alp w. �Tf , .�. ALTER Xal en%n S' 0,�7 n�u t 7 B.&P.C. for-this reason REPAIR ❑ $ " USE OF �Q /, �42a8A Dater' EXISTING BLDG. �84�.E DEMOL ❑ APPLICANT � � /,, TEL: # o o a o 2 3 Signature PRINT�?�:/�WrQC/fe+� NO. �4��'rTl� FINAL ��✓ OWNER-BUILDER DECLARATION DATE `lf I hereby-affirm that I am exempt from the Contractor's License A2�Aen �yi I o 0 9 7,2'2 Law for the following.reason'(Secti'on 7031.5, Business and ADDRESS. ! .JY0 y�i i F- . Professions'Code):.. PRESENT - - - o 6-9 7,2-2- Professions S.. O ❑ BUILDING I, as owner of'the property,_ or my employees with ADDRESS Wages as their sole compensation, _will do the work and , -o: -25-86 The structure is not intended or offered for sale(Section LOCALITY 7044,'Business and Professions.Code).-' MOVING TEL. CONTRACTOR NO. c(� 7 3 A 1, as owner of the property,am exclusively contracting ?. with,licensed-contractors to construct the project (Sec- o 0 ADDRESS tion 7044, Business and Professions Code)._ - 1 2 4 REQUIRED SOTAL SETBACK.FROM.. EXIST. -CONSTRUCTION LENDING-AGENCY SET BACK YARD ' 'HWY PROP. LINE WIDTHS } I hereby affirm that there is a construction lending agency for FRONT o °•.1 .2 q;.8 8 r,.. ,the performance'.of the-work for which this permit is-issued P.L. - — (Sec. 3097, Civ. C.). SIDE Q 2 9 . 8 6 Lender's Name 0 7 LDMA_ Ref. # .. P.C:Fee$._. �-' Permit Fee Lender's Address > I certify.that I,have.read this application,and slate That the Issuance Fee • ��/- kLDA_P/C# r - '< ', above information is correct. I agree To comply with all County Investigation Fee 53 ordinances and State laws_•relating to building_construction, Total Fee l! LDMA'Perm. # v and hereby thorize represen ivies of this County to enter n e e-mention ertyJ4r inspection purpas / • �� SEE REVERSE FOR EXPLANATORY LANGUAGE ., Signat a of Applicant-or Agent- - - D e' - - - .. __ ., •- --._ _ .. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS. 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0108200028 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 8 BUILDING ADDRESS: TR: 6561 LT: 289 BL: .001 SIGN DESCRIPTION: ALL SIGNS ARE ACRYLIC, FLEX FACE 9503 LAS TUNAS DR TEMP CA 917802105 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-013-018 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/20/01 JK 02/16/02 OWNER: TEL. NO: BLDGSr NOW ON LOT: , VALUATION: FINAL DATE FINAL BY: CODE: CITICORP SAVINGS 11,000 Z 4675 MACARTHUR CT 3 Zr FEES P DESCRIPTION OF WORK 7 NEW SIGNS ONE NEW WALL SIGN - 6 EXISTING SIGNS WILL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BE REFACED - WILL USE EXISTING ELECTRICAL (NEW WALL SIGN NON APPLICANT: TEL. NO: COLLINS SIGNS (310) 522-5959- AA BLDG PERMIT ISSUANCE 27.75 23601 S. WILMINGTON AE STRONG MOTION OTHER 11000.00 VAL 2.31 SPECIAL CONDITIONS: AVE., CARSON, CA AX BUILDING REVIEW FEE 54.70 D2 PERMIT:WZO-ENrHC .7 11000.00 VAL 233.40 _ TOTAL'.FEES 318.16 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTdR SIGNATURE COLLINS SIGNS (310) 522-5959- 23601 22-5959 23601 S. WILMINGTON LIC. NO LOCATION AND SETBACKS CARSON,CA 90745 768837 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIONjTR NCH FORMS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307310067 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST { BUILDING ADDRESS: ITR: 6561 LT: 289 BL: .001 SQ. FT STORIES TYPE { 9503 LAS TUNAS DR 1 1 iSTRUCTURE: V-B { TEMP CA 917802105 1 (ASSESSOR INFORMATION NUMBER: ' { NEAREST CROSS STREET: { 18587-013-018 { THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: COMME USE ZONE: C-1 {ISSUED ON: PROCESSED BY: {CITIBANK !EXIST OCC GRP: 107/31/13 SR 1 {OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (F DATE FINALL BY: CODE: { {CITIBANK BRANCH 131 - 43,470 19503 LAS TUNAS DR { K {TEMPLE CITY CA 91780 FEES PAID { SCIS%.I PTIO"N OF WORK { { {ADA UPGRADE RAMP REMOVE & REPLACE TO ADA REPLACE PARKING { I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: {LOT PND RESTRIPE { (APPLICANT: TEL. NO: I { { ICATILLO, JOSEPH (800) 278-0572- 'AA BLDG PERMIT ISSUANCE 27.80 { { 11442 E LINCOLN AVE 1AB STATE GREEN BLDG FEE 43470.00 VAL 2.00 {SPECIAL CONDITIONS: { 1ORANGE CA 92865 _ 1D7 ADDNL PLANCHECK FEE 2.00 HOU 218.80 { { !E2 ADD INSPECT HRLY RTE 2.00000 HOU 289.80 { { 1 TOTAL FEES 538.40 { { (CONTRACTOR: TEL. NO: {APPROVALS DATE INSPECTOR SIGNATURE { IPRO WEST ENGINEERING INC (800) 278-0572- 11442 E LINCOLN AVENUE #360 LIC. NO { {LOCATION AND SETBACKS I { 1 {ORANGE CA 92865 927337 { { { { {SOILS ENGINEER APPROVAL { {ARCHITECT OR ENGINEER: TEL. NO: { {FOUNOiTION/TRENCH FORMS { { LIC.. NO: ,{ {SLAB;UNDER FLOOR { { {RATS-D FLOOR FRAMING - IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:{ {UNDERFLOOR INSULATION 1150H265 3 OOj _ I-- 1 _{ {FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 NO 22 IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS I ISHENZ PANELS 1 1 { 1AIR QUALITY: 1000 FEET MATERIALS i 1-- 1 1 NO NO NO1FRW-:m INSPECTION 1 1 { 1 I IFIRE SPRINKLER HANGERS { { { INSULATION/WEATHER STRIP{ { ANTERIOR LATH/DRYWALL { {EXTERIOR LATH {RATED FLOOR/CELL ASSEM. {RATEiD WALL ASSEMBLIES { { 1 { {RATED SHAFTS/OPENINGS { { - {T-BAR CEILINGS { { { ILOT DRAINAGE { { 1 (REPORT ID: DPR261 ROUTE TO: BS0508 1 { 1 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9912150051 PHONE: (626) 285-0488 EXT: LEGAL-'ID: NUMBER OF SIGNS: 8 BUILDING ADDRESS: TR: 6561 LT: 289 BL: .001 SIGN DESCRIPTION: ALL SIGNS ARE ACRYLIC, FLEX FACE 9503 LAS TUNAS DR TEMP CA 917802105 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-013-018 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/15/99 UT 06/12/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIINML DATE NAL Y: CODE: CITICORP SAVINGS 11,000 1 4675 MACARTHUR CT �2� (:�-a FEES PAID DESCRIPTION OF WORK ' 8 NEW SIGNS TWO NEW WALL SIGNS 6 EXISTING SIGNS WILL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BE REFACED WILL USE EXISTING ELECTRICAL APPLICANT: TEL. NO: COLLINS SIGNS (310) 522-5959- AA BLDG PERMIT ISSUANCE 27.75 23601 S. WILMINGTON AE STRONG MOTION OTHER___11000.00 VAL 2.31 SPECIAL CONDITIONS: AVE., CARSON, CA D2 PERMIT W/O ENHC-- 1;1,000.00 VAL 233.40 NO�'E ,STOATA FEES 263.46 CONTRACTOR: TEL. NO: ®� ��(��. APPROVALS DATE INSPECTOR SIGNATURE COLLINS SIGNS (310) 522-5959- @, 23601 S. WILMINGTON LIC. NO LOCATION AND SETBACKS CARSON,CA 90745 768837 C45 � SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS LIC. N01: / 1111111 SUPPORT STRUCTURE MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: "PrIn 2 (� C VY /�On(���I 00: I I��JI I f� \1U�/� IUr=,U` ILII NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS-- No zo \C� O D SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS ❑ � NO NO NO \ ❑ E) vice�6e� REPORT ID: DPR261 ROUTE TO: BS0508 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1011040088 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 289 BL: .001 I SQ. FT STORIES TYPE 9503 LAS TUNAS DR I -STRUCTURE: 4400 V-B TEMP CA 917802105 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18587-013-018 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: COMME USE ZONE: C-1 JISSUED ON: PROCESSED BY: CITIBANK IEXIST OCC GRP: 11/09/10 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1FJNAL4AT FINA CODE: CORPORATE PROJECT SERVICES, JONES L (661) 212-3479- 1 36,000 118000 W. MINE MILE 1SOUTHFIELD MI 48075 FEES PAID IDESCRIPTION OF WORK ITEA2OFF EXISTING BUR ROOF SYSTEM AND INSTALL NEW TITLE 24 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICLASS A BUR ROOF SYSTEM (APPLICANT: TEL. NO: ANTHONY SEIBEZ (909) 973-7583- IAA BLDG PERMIT ISSUANCE 27.80 1 1139 E. COMMERCIAL ST IAB STATE GREEN BLDG FEE 36000.00 VAL 2.00 ISPECIAL CONDITIONS: IPOMONA, CA 91767 IAE STRONG MOTION OTHER 36000.00 VAL 7.60 I ID2 PERMIT W/O EN-HC 36000.00 VAL 614.30 I TOTAL FEES 651.70 1 (CONTRACTOR: TEL. NO: 1APPROVALS - - DATE INSPECTOR SIGNATURE IHOWARD ROOFING CO., INC. (909) 622-5598- 1__ 1139 E. COMMERCIAL ST LIC. NO - (LOCATION AND SETBACKS IPOMONA,CA 91767 475568 C39 I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I 1150H265 3 001 I I (FLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I NO 22 I (ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS ISHEARSHEAR PANELS 1 1 1AIR QUALITY: 1000 FEET MATERIALS I NO NO NO I IFRAME INSPECTION IFIR.E SPRINKLER HANGERS IINS.ULATION/WEATHER STRIPI IINTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I I , IRATED FLOOR/CEIL ASSEM. - IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS IT-BAR CEILINGS ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803060005 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 289 BL: .001 SQ. FT STORIES TYPE 9503 LAS TUNAS DR STRUCTURE: 0 VN TEMP CA 917802105 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-013-018 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C ISSUED ON: PROCESSED BY: EXPIR ON: EXIST OCC GRP: 03/06/98 UT 03/ /99 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CITICORP SAVINGS (415) 627-6185- 1 45,300 ,./ ONE SUNSOME ST. SAN FRANCISCO, CA FEES PAID DESCRIPTION OF OR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RELOCATE EXISTING ATMIS TO NEW IN RIOR LOCATION APPLICANT: TEL. NO: RAY FRANCO & ASSOCIATES (818) 754-2030- AA BLDG PERMIT ISSUANCE 27.75 12345 VENTURA BLVD. AE STRONG MOTION OTHER— ==45300.00 VAL 9.51 SPECIAL CONDITIONS: STUDIO CITY, CA AX BUILDING REV FEW-FEE-- - \ 54.70 D2 PERMIT W/0 EN.HC /' .. 045300 00.VAL 742.50 TOTAL:-FEES 834.46 CONTRACTOR: TEL. N0: i���� -" APPROVALS DATE INSPECTOR SIGNATURE RAY FRANCO & ASSOCIATES (818) 754-2030- 12345 VENTURA BLVD. #H LIC. NO ��� d-•� ;:�� ���� LOCATION AND SETBACKS STUDIO CITY, CA 91604 10279 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: —i " FOUNDATION/TRENCH FORMS RAY FRANCO & ASSOCIATES (818) 754-2030- _ 12345 VENTURA BLVD. #H LIC. NO: - — i i'iii: SLAB/UNDER FLOOR STUDIO CITY, CA 91604 10279 ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP.: UNDERFLOOR INSULATION 150H265 3 04 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO - FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGE - SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL r/ EXTERIOR LATH RATED OOR C IL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS a .. LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508