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HomeMy Public PortalAbout9508 LAS TUNAS DR_Building__ 76A638A CE#809 9-67 APPLICATION FOR BUILDING PERMIT S COUNTY OF LOS ANGELES BUILDING � DEPARTMENT OF COUNTY ENGINEER' ADDRESS BUILDING AND SAFETY DIVISION LO CALITY 'J ' JOHN A. LAMBIE, COUNTY ENGINEER - COLEMAN W. JENKINS, SUPT OF BUILDING NEARESTJA'Al - CROSS ST. - DISTRICT NO.. GROUP TYPE P D FOR APPLICANT TO FILL IN CONST. (Print or type only) FAD ING r� STATISTICAL CL SSIFICATION SEWER MAP ESS 95082Las unas Drive CLASS NO. DWELL.UNITS BK GO. V 3 BLOCK USE ZONE MA/ , N OT VSPECIAL NO.OF BLDGS. CONDIT ONS ' SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. - BLDG.SETBACK FROM TELFRONT PROP.LINE OF (STREET). e OWNER Dr: John Grson NO. . TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL HIGHWAY WIDTH FROM C.L. - - ADDRESS CITY BLDG.SETBACK FROM ARCHITECT OR _ TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS y HIGHWAY WIDTH FROM C.L. CONTRACTOR Bryant Htg. NO.`.'2861141 + p ADDRESS 1350 E. Las Tuna• 98247 CORNER CUTOFF ^;Y,. YES El NO ElU CITY San .Gabriel c ass C20 SEE REVERSE SIDE FOR SPECIAL APPRO ALS Lu DESCRIPTION OF WORK 0- NEW . ADD ALTER REPAIR DEMOLISH - 'f SQ. FT. NO. OF NO. OF C/ SIZE STORIES FAMILIES - USE OF STRUCTURE 7 SIGNATURE OF - APPLICANT p VALUATION $ .905.00 -. APPROVALS DATE INSPECTOR'S SIGNATURE FEE S FEE $ 1 2•00 FOUNDATION- S MATERIAA TI 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 COUN RDINAN AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONS VCT ON, CE IFY T IN DOING THE WORK AUTHORIZED HE EHV •LL N LOV ANY PERSON IN VIO A. - TION OF THE L BOR C E T ST E OF CALIFORNIA R AT. LATH, INT. ING TO WORKME 'S P SA I S RANCE. LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTE RECT AND POSTED I eta - ADDRE FINAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PL HECK VALIDA CK. M.O. GASH PERMIT, VALIDATION CK. M.O. CASH rul � r_ 9 11-558A DBS- 8. h L I V A,�� FOR ,I V I I_® � G PERMIT �AP � 1 i BUILDING'p 9 �,�r. DIVISION OF BUILDING.AND SAFETY AODREss Q� -/, 5 ;9Z& / Department of County Engineer %1 County of Los Angeles LOCALITY - JOHN'A. LAMBIE: COUNTY ENGINEER NEAREST: CASSATT D.GRIFFIN, SUPT OF BUILDING _ CROSS ST.' " DISTRICT NO. GROUP TYPE " „ SEWER -MAPPG FOR APPLICANT TO FILL IN SI6'd. I CONST. BUILDING ADDRESS STATE "SQD' g-1 ,�-.C.�S U�/�S NUMBER ©MAP - HWY YES O LOT NO. �d Q 12SBLOCK USE ZONE SPECIAL CONDITIONS TRACT . J NO. OF BLDGS. SIZE OF LOT /"�Q I NOW""ON LOT BUILDING EXIST. � +` YARD -HWY STREET NAME USE OF SETBACK WIDTH EXISTING BLDG. J FP. L. D g _g T, OWNER C SIDE MAILyof/ P.L. ADDRESS /ir E O TRACT DWELL. 1 UNIT 5 INDUSTRIAL TEL. I DWELL. 1 UNIT .CITY � � NO. 6 PUBLIC BLDG. ARCHITECT OR TEL 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC. ENGINEER. NO. 3 APT. - UNITS 8- ' ISCEL. y ADDRESS 4 COMMERCIAL CONTRACTOR 6 EL INSPECTION RECORD �� i'd/SD�L NO 17'S/8'�2, ADDRESSf - DESCRIPTION OF WORK NEW ADD &&y/11�AIR DEMOLISH _ SO. FT. _ NO. OF NO. OF SIZE . STORIES FAMILIES USE OF STRUCTU SNATURE 0 VIPPLICANT S APPROVALS ADDRESS DATE INSPECTORS SIGNATURE $ FOUNDATION: LOCATION P. C. $ FORMS, MATERIALS FEE - FRAME: FIRE STOPS, " VALUATI J`� � S BRACING, BOLTS FEE 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 WITH ALL COUNTY ORDINANCES LATH. INT.. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. -LATH, EXT. , SIGNATURE OF HOUSE NUMBER.COR- PERMITTEE RECT AND POSTED ADDRESS • FINAL JOHN A.LAMBIE. COUNTY ENGINEER ALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR /C.E MO -CASH ��,0 6 5 1 5 Maly 2 9 1 1 .00 �' a'44 OF BUILDING AND SAFETY APPLICATION FOR PERMIT 'ARTMENT COUNTY OF LOS ANGELES JUL 2 6. "B /TILDI .� WM. J. FOX, CHIEF ENGINEER - v NG NO. OF BLDG. ORD.NO. DIST CT PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE S NO. t n c FIRE APPROVED J G ' ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED ZONE C'3 BY DATE APPLICANT /,w FILLL� IN HEAVILY 'OUTLINED D POR IO(p ONLY BUILDING 0 Ir NAME Q`//'/�{,;. A • ADDRESS- 'Z 106 106 '✓ �Or^°6' W Z ADDRESS �I ro. q1z' /G� // LOCALITY O �j/ // NEAREST V U Z CITY A///q6'w 69r4 i �Q,//• CROSS ST. tr W If 1 Q STATE -- TEL. 4 Z: S ! I�1 . / LICENSE NO. NO. • -,NAME �/L. W Z •MAIL C NAME .ADDRESS / p.-- 1-- O" r TEL -f Q ADDRESS CITY NO. - LGA !Jo' C F 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Z CITY O �= APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO C%P Y WITH ALL CO,UNTjY ORDINANCES LICENSE NO. NO. AND STATE LAWS REG EATING BUILDING -ONSTR�ION. ppII _ Z LOT NO. 183 - SIZE OF LOT •SIGNATURE OF p OWNER NO. OF BLDGS. i= - Q a BLOCK NOW ON LOT P�4tjf' '� AUTHORIZED AGT. J W TRACT 'CORRECTIONS D USE OF BLDGS. n NOW ON LOT ll DESCRIPTION OF WORK USE OF � � BUILDING Z v ` l i AT A/ !d ro z Z a NEW v TYPE i GROUP NO. OF NO. O IES ALTERATION ROOMS p ADDITION SIZE ?,i5 X p REPAIR _ STORIES I MOVING WALL COVERING pp dle-1.r DEMOLISH I ROOF COVERING FEE S �/ FINAL APPROVAL �I VALUATION Po - FEE DATE I INSPECTOR'S 1 DEPARTMENT OF BUILDING AND SAFET L APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER PLANS BLDG. P+ FIRE {DISTRICT NO. PLAN CHK. FEE PERMIT NO. FILED SETS I ZONE ``w ZONE ..r® RECEIPT No. TYPE OF �yJ {Ill BLDG,- 1 11 Ili IV \ - X GROUP - 'DATE OF APPL. RECEIVED BY DATE ISSUED BLDG. SETBACK LINE _21) t:. ORD. NO. APPLICANT FILL IN HEAYIL Y OUTLINED PORTION ONLY - BUILDING C Q, NAME ADDRESS 17 f. i1z_'n W 1 _�k W D ADDRESS LOCALITY iY Z p UNEAREST Z CITY CROSS ST. V ty' STATE _ e Q LICENSE NO. TEL. No. K NAME " SQ bf Z MAIL r LJ p NAME ADDRESS I- O U 6 ADDRESS CITY TEL NO. Ix Z CITY J n' LOT V SIZE OF LOT ��1( 1) U STATE. 2 a . LICENSE NO._ TEL. No. W N NO. OF BLDG$. '^n� - J W BLOCK NOW ON LOTS DUSE OF BLDG. .e.4. CLASS OF WORK I 3� I NOW ON LOT DESCRIPTION OF WORK NEW L1111I ADDITION _ DEMOLISH ' ALTERATION I REPAIR —I MOVING J, USE OF �^ 'AJ NO. OF BLDG. O� XROOMS SIZE OF /. �� I),� I STORIESI J INo. OF , BLDG. J J'" .FAMILIES - '-------- CORRECTIONS r SPECIFICATIONS Q )(�,FOUNDATION —MATERIAL -kOlf , EXTERIOR PIERS THICKNESS---TOP THICKNESS—BOTTOM ,J DEPTH IN GROUND _ _ _ Z_ SUPERSTRUCTURE yy // SIZE SPACING SPAN _ O PLATES (SILC)�"0�4� Y_GIRDERS� �{jT- �--- - JOISTS--FLOOR d _ - —• -- ------ -- ' JOISTS---CEILING btiy(� BEARING WALLS PARTITIONS l-i—om�--- -~ -- ROOF RAFTERS .t� t...y't. .�N APPROVAL't SILL BOLTS - — - COVERING ✓ - - - ~/��� p---`--�1" "-- p,{ DATE /� ~�jl.' INSPECTOR'S NAME WALL � J_IAL I ROOF 11T7 J/ A.a+.n A ,, HEREBY ACKNOWLEDGE TH 1 HAVE FF��,,EAD HIS /• APPLICAT N AND STATE THAT T ABC E I$j CORRECT AND GR E TO COMPLY WIT. At 04J O .DINANCES P.C. FEE ° AND. .LAWS REGULAT Su DIN ( ^s�RUCTION. VALUATION S O .! FEE S�2-ZS sIGN I - OWNER OR AUTHORIZED AGENT -DB-3 4-39 25M 76A638A CE#803 8-63 AP Lg P (CATION FOR BUILDING PERMIT IJ. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST. WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUPTYPE ESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING �J STATISTICAL CLASSIF ATION S WER MAP ADDRESS ;f (/� - v— BK P CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER CERTIFICATE: REQUIRED'❑ RECEIVED ❑ - CERTIFICATE: TRACT Lla MAPHIGHWAY NO.OF BLDGS. NO. (CIRCLEI STATEAJOR ECOND,'LOCAL SIZE OF LOT - NOW ON LOT USE ZONE SPECIAL USE OF - CONDITIONS EXISTING BLDG. �"– TEL. OWNER NO. BUILDING EXIST. SETBACK YARD HWY TREET AME WIDTH ADDRESS FRONT i@ ARCHITECT OR TEL. P. L. CJ CJ ENGINEER NO. SIDE P. L. ADDRESS In. TEL. O CONTRACTO O14( V ADDRESS / 0 0 DESCRIPTION OF V4901K G a NEW ADD ALTER REPAIR DEMOLISH , H SQ. FTSNO. OF NO. OF -576, .� SIZEFY_ STORIES FAMILIES USE OF STRUCTURE " SIGNATURE APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION: LOCATION . FEE $ FEE'S FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRAC'ING. 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 AY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN'S COMPENSATION INSURANCE. .- LATH. EXT. " SIGNATURE O HOUSE NUMBER COR- PERMITTEE RE AND POSTED ., ADDRESS JOHN F. LEWIS. P 1NCIPAL STRUCTURAL- EN E R PLAN CHECK VALIDATION CK. M.O.' CASH PERMIT VALIDATION CK. M.o. CASH DS-3 2 1v�^5cr•5 l3-4c . .ter �. `Y-".A _.... ,_•_ '^- ..r... ... _ DEPA. TMENT OF BUILDING AND`SAFETY 41 APPLICATION f COUNTY OF LOS ANGELES SEP 18 19 T WM. J. FOX. CHIEF ENG114EER v �� �� NO:.OF BLDG. ORD.NO. DISTRICT NO. PLANCK. NO. PERMIT NO. v PLANS SETBACK LINE )' S—y G/�✓j j G� FIRE ,m APPROVED J_ J J / ZONE BY DATE - RECEIVED BY DATE OF APPL. DATE ISSUED USE -•� APPROVED — ZONE 21 BY DATE �6j �6 ��� �� APPLICANT FILL IN HEAVILY_ OUTLINED PORTIO'+N.., ONLY q BUILDING 0 OItNAME ADDRESS U w f F Z ADDRESS LOCALITY 2 NEAREST UW m CITY CROSS ST. '_ Q�4 Q STATE TEL ,er1-lltn�tal ��4 ` LICENSE NO. �7 O. K NAME ' W A ,`�7 O K NAME 3 ADDRESS � JG O Q ADDRESS f CITY c NOLA /5-60 I F 1 HEREBY ACKNOWLEDGE. THAT I HAVE READ THIS U CITY aaaSST APPLICATION AND STATE THAT THE ABOVE IS' CORRECT V. STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ZLOT NO. u-.0 SIZE OF LOT O 11U SIGNATURE OF r NO. OF BLDGS. <M BLOCK NOW ON LOT �lU6i , AUTHORIZED AGT. CORRECTIONS W TRACT oT6 �� .o' / D USE OF SLOGS. NOW ON LOT ...� �� �i//irni,�t!✓� d/f•y`- - --�•..•-. DESCRIPTION OF WORK USE OF BUILDING t1 0 z z a NEW TYPE GROUP !' NO. OF NO. OF ALTERATION ROOMS FAMILIES ADDITION SIZE ,mss-1 p REPAIR STORIES MOVING WALL COVERING H DEMOLISH ROOF COVERING Q FEE $ 7 � FINAL APPROVAL f �. ^ $ � Q INSPECTOR VALUATION fjj VVV VVV' FEE Q( DATE (� NAME r�d APPLICATION FOR BUILDING PERMIT _ I COUNTY OF LOS ANGELES BUILDING AND SAFETY `WORKER'S COMPENSATION DECLARATION YOR APPLICANT TO FILL IN BUILDING DDRESS BUILDING DRESS $/ S 1;' I hereby affirm that I have a certificate of consent to self insure, w T is c^ � , or a certificate of Workers'Compensation Insurance,or a certified CITY 1 �v - copy thereof(Sec.3800,Lab.C.) ZIP LOCALITY Policy No. Company SIZE OF L T NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. ( ( NEAREST CROSS ST TR T BLOCK LOT O V V► A ve• ❑ Certified copy is filed with the county building inspection �QN USE ZONE M NO. department. S�1 1 LTJ � 6$ ��� !J ASSESSOR MAP BOOK PAG C PARCEL Date Applicant Za J x5 C r SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER L.NO. YES NO COMPENSATION INSURANCE I ��� Sd^C�'� WITHIN 1000 FT.OF SCHOOL? ADDRESS ���(� (This section need not be completed if the permit is for one hundred O19 7�/MS DISTRICT GROUP TYPE CONST,' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY �p . ZIP g I certify that in the performance of the work for which this permit ' ^ � ,0 Q 15— ,1— V 3 is issued, I shall not employ any person in any manner so as to ARCHITECTW E GINEER� TEL.NO. become subject to the Workers'Compensation Laws. � L� 2 STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS /&, CLASS NO. /�DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of 2550 0 . HAW AW L y �a` REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS _:L _ a 0 hereby affirm that I am licensed under provisions of Chapter.9 SEWER MAP , V (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.OF FAMILIES " r O, Professions Code,and my license is in full force and effect. NEW BK PG DESCRIPTION OF WORK VALUATIO License Number Lic.Class 2/ ' / ADD ❑ 1}�, ^- �—l�, 7NC Contractor Data ALTER Ik OO' L i TW" EE._ _ 131 am exempt under Sec.' REPAIR LJ $ €_ � ',�3_• , m B.&P.C.for this reason DEMOL ❑ LDMA PIC# i Date: USE OF EXISTING BLDG. URM ❑ ANGE » 640916- s a Signatur APPLIC T(PRINT) TEL.NO. LDMA Perm# 1 ®-I, as own r f the property, or my employees with wages as T's I s�—G k O their sole ompensation,will do the work and the structure is ADDRESS =E not intended or offered for sale (Section 7044, Business and FINAL DATE Q i •-- i Professions Code.) Y—v .2.y��� E l i '' "``' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ I, as owner of theproperty, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BYJ Q 1 licensed contractors to construct the project.(Section 7044, VES❑ No ElG)/ Business and Professions Code.)- _ WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPAFROM THE UTH CONSTRUCTION LENDING AGENCY COAST AIIR QUALIITY MANAGEMENT RE ON (SCAQMDOSEECP ATION RMIITING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ themanC@ Of the WOfk for Which this permit IS ISSUed(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,,Civ.CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES E^ •-.i f.^4 COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100THROUGH 2.20.140 CONCERNING '""•� e [ ,"'" ':° b"'• m Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. a Lenders AddressOWNER OR AGENT jz "=:r t =• o I certify that I have read this application and state that the above ��•i +-••a information is correct. I agree to comply with all county RC.FEE PERMIT FEE ordi ances and'State laws relating to building construction,and a h by authorize representatives of this County to enter upon ISSUANCE FEE bove-mentioned property for inspec ion purposes. �,• Y A } �'.� .O INVESTIGATION FEE TOTAL FEE 5— nature n Appltr o,Aow4 One ! i t t1 wl I 1 SEE REVERSE FOR EXPLANATORY LANGUAGE ".1 _ - APPLICATION FOR BUILDING PERMIT .,nom COUNTY OF LOS ANGELES BUILDING AND SAFETY ADD SS WORKER'S COMPENSATION DECLARATION '. . �. _,FOR APPLICANT TO FILL IN BUILDING 1 hereby affirm that I have a certificate of consent to self insure; BUILDING ADDRES k JA / c�Q LFtS UM or a certificate of Workers Compensation Insurance,or a certified �� S 1 s copy thereo (;Sec., 800,Lab.�C.) /1.. ZIP �' Q a LOCALITY C - Policy No.AIR/ O pany It. SIZE O LCT NO.OF BLDG .NOW ON LOT ❑ Certified copy is hereby fur fished. "�j - NEAREST CROSS ST. ,_• ❑ Certified copy,is.filed with the county building.inspectioTRACT BLOCK; LOT NO. depart ent, 'n;Iaw USE ZONE MAP NO.Date �pplicant _ �� e�"` ASSESSOR MAP BOOK PAGE PARCEL SPECIAL'CONDITIONS CE TIFICATE OF.EXEMPTION FROM WORKERS' owNER /// TEL No. COMPENSATION INSURANCE `- WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars ($100)or less.) •: G S 12 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCE D BY 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 AR HITEC RENGINEERLean � - LNC.' - "' become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION •/ APT CO 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 t0 the Workers' C TRACTOTEL NO. SET BACK YARD HWY PROP LINE Compensation provisions'of the Labor Code, you must forthwith �il /3Y FRONT comply with such provisions or.this permit shall be deemed revoked. ADDRESS LIC.NO. P L }� LICENSED CONTRACTORS DECLARATION 3 SIDE O C Y n G -IC.CLASS P L - - 1 hereby affirm„that I am licensed underprovisions of Chapter.9 1/ EWER MAP (commencing with Section7000)Of Division 3 of the Business and SO.FT.SIZE - NO.OF STORIES hO..gt'FAMILIES A ILIES _ - Professions Code,and my.license is in.full.force.and effect. NEW BK -PG O License Number Lic.Class DESCRIPTION OF WORK _ ADD ❑ VALUATIONLIJ r ► V Contractor Date _ ALTER ❑ $- n- ❑ Lam exempt under Sec. �(Yl 1tiG 7 ( s REPAIR ❑ Z B.BP.C.for this reason DEMOL. ❑ - LDMA P/C'# - Date: - - USE OF EXISTING-BLDG. - - URM ❑ - Signature - APPLICANT(PRINT) - TEL NO. LDMA Perm#' •}._ _ ❑ 1, as owner of the property, or my'employees with wages as Z p! # s n their sole compensation, will do.the work'-and the structure is ADDRESS O . -rl:L ~ not intended or offered for-sale (Section 7044, Business and FINAL DATE Q misc. 'Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL I r J - ••e ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY, TTt 1#i Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, �T-At Business and Professions Code.) YES 11 NO❑ I#I F HL5-13 - 50 WILL --- WILL THE INTENDED USE OF THE BUIDLING BY THE.APPLICANT OR FUTURE BUILDING CHECK Cf•€n= f OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - t-.)-{E CK - CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. t i nt•,#ti I hereby affirm that there is a construction lending agency for YES El No El i•HAA. the performance Of the work for which this permit Is Issued(Sec. IHAVEREADTHE HAZARDOUS MATERIALS INFORMATION GUIDE ANDSHESCAOMDPERMITTING 3097,CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2„CHAPTER•2.20SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS j. 0-0111-000 �,# ;f i.'•! ;r: rn Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. n m Lender's Address ,cl S s MUM OWNER OR AGENT 3 I certify that I have read this application and state under penalty 1 a - P.C.FEE PERMIT FEE p of that above is correct.I.agree to comply. rn JL with all county ordinances and State laws, relating to building �® Vit(-:#:1 M construction„and hereby But orize representatives of this County ISSUANCE FEE,, ?, :_:) gt on the abovq-Te oned pro rty for inspection pu poses: . [� 3U')+ ' ' oVESTIGATION FEE TOTAL FEE ' ! F = N e o App iwnt or Agent Date - - 27 B - SEE.REVERSE FOR EXPLANATORY LANGUAGE ji#(N .:7 a._s: WORKERS' COMPENSATION DECLARATION _ 1,hereby affirm that I have a certificate of consent to self . APPLICATION T .FOR. BUILDING, PERMIT: ` 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 a � �. y:_6f ❑ Certified copy is hereby.furnished.. . FOR APPLICANT TO FILL IN ao�Rl=ss r ,.. finLm� Lk. BUILDING - Certified copy is filed with the,county building inspec- ADDRESS tion.department. . Date' (� pplicant //,' CITY'. 4 ` ZIPLOCALITY .. O. OF BLDGS. NEAREST CERTIFICATE F EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT CROSS ST: COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is'for one TRACT BLOCK LOT NO. MAP BOOK _ (::q:I PAGE PARCEL hundred dollars ($100)or less;) ' jA Q 'yh,TEL" USE ZONE MAP OWNER' V�+ G YV6d I certif. that in the NO. y performance of.the work for which this permit is issued, I shall not employ any person in 'any manner ADDRESS ' a ' 1 SPECIAL CONDITIONS so as to,become subject to the Workers:Compen aLaws. q 1 O CITY ZIP Date Applic ARCHITECT OR DISTRICT GROUP TYPE FIRE PROCESS D BY Q NOTICE TO APPLICA after making.this Certificate'of ENGINEER NO.' �j CONST Z E 0 Exemption, y ould become subject to The .Workers' ADDRESS ✓��� • a LU Compensation provisions of the-Labor Code; you must forth- N 31 with comply with' such provisions or this permit shall be TEL. TATISTICAL CLASSIFICATION _ Ap . CONDO.. Z deemed revoked. CONTRACTOR. Z C10`NO. LIC. CLASS NO. DWELL UNITS s LICENSED CONTRACTORS DECLARATION / �, I hereby affirm that I am licensed under provisions-of Chapter 9 ADDRESS (,e 1 6. O. • .i (commencing with Section 7000)of Division 3 of the Business �\ LIC SEWER MAP CITY �vj�` c CLASS and Professions Code,and my license is in full force and effect BK, PG." VALIDATION �, SQ. F NO. OF O. OF CHECK License Number t v Lic.'Class SIZE STORIES FAMILIES ONE ry -1 VALUATION Contractor• ate DESCRIPTION OF WORK' (� �•1r1/✓vr� NEW q rl• A ADD ❑ $ �� ❑I am exempt under Sec. r V. ALTER D' B.P.C. for this reason $ REPAIR ate.- USE OF.. EXISTING BLDG. fDEMOL ❑ Signature APPLICANT TEL. " FINAL i f� O ER-BUILDER DECLARATION,_, (PRINT). NO. f DATE./ gI /. I hereby affirm that I am exempt from.the, ADDRESS 9Contractor's License 'J r'' taw for-the,following reason-(Section 7031.5, Business and FINAL " t ..Professions Code): . PRESENT B �• •– s , o ❑- I, as owner BUILDING of the pFoperty,. or my employees with ADDRESS _ PCCI =g__ wages as'their sole compensation„will do the work and [Investigation LITY -3137 �'' the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) - MOVING TEL. Fy ❑ I, as owner of the property, am exclusively contracting RACTOR NO. , 1 ITEMS EMS - with licensed contractors to'construcT the project (Sec- ESS 4 a TOTAL '49-'83 tion'7 44, Business CONSTRUCTIOProfessions Code.)' _ UIRED TOTAL SETBACK FROM ' EXIST. . t{:!:` : Ste_; ; LENDING AGENCY BACK YARD' HWY PROP..LINE WIDTH I hereby affirm that there is a construction lending agency for NT. CHANGE �aE e I iI the performance.of the-work for which this permit is issued (Sec. 3097, Civ. C.). SIDE, Lend'er's Name loo-oo-o 1 11/1,ivo .r v; ee$ Permit Fee LDN1A Ref, # v �b i AM j�I3.r 3 Lender's Address ) C� 1 1 certify that I have read.this application and state that the Issuance Fee l v LDMA P/C# 8 above information is correct. I agree to-comply with all County Fee o 'ordinances and State laws relating to building construction, Total Fee O LDMA Perm. # _ a and hereby uthorize representatives of.This County to enter upon the ove-mentioned property for inspection pur'p'oses. SEE REVERSE_FOR EXPLANATORY LANGUAGE Signature of pplicant or Agent— ' Dare 7 - WORKERS' COMPENSATION DECLARATION ' + + APPLICATION. FOR BUILDING PERMIT e•I�herel5f-affirnr tffat I have a certificate of consent to self �+ 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 ❑" Certified copy.is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy-is filed with the county building inspec- BUILDING 1, 11 department: ADDRESS oU A 6�`- tion d _ Date Applicant CITY .ZIP LOCALITY' NV. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF'LOT NOW ON LOT 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.}}��pp3j,,►a OWNER ,�'. % 'No. USE q �WN, ! .1 Al, USE ZONE MAP I certify that in The per#ormance;of the work for which this i _ SPE permit is issued, I shall not employ any.person in any manner ADDRESS ` !�a'ta �, SPECIAL a CONDITIONS .soas to become subject to th'e Workers' Compensation Laws. ` �9 O CITY f ZIP Grp . U Date Applicant. ARCHITECT ORTE. DI TR CT OU TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: 1f, after making.•this Certificate of ENGINEER I rt L. ( L NO. Z�1 Exemption, you .should become subject. to'the'Workers' / y ` h� y CON W Compensation provisions of the Labor Code, you must forth- ADDRESS / i t•es S Q with comply with such provisions or This permit shall be TEL. STATISTICAL CLASSIFICATION AP/ CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL: UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LIC. SEWER MAP (commencing'with Section.7000)of,Division 3 of the Business ' and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG VALIDATION SQ. FT. NO. OF NO. OF- CHECK License Number Lic. Class SIZE- I STORIES- FAMILIES ONE VALUATION� Contractor Dare DESCRIPTION OF WORK NEW ❑ E ) /�7(_�•; ❑ y ❑I am exempt under Sec. ADD / • ALTER 1:1Poo. B.&P.C. for this reason it REPAIR ❑ $ Date: USE OF EXISTING BLDG. U 9E ❑ SignatureAPPLICANT _ ,{✓[, TEL. (PRINT)' l Al2J10. ,� 'i / FINAL OWNER-BUILDER DECLARATION s u3 I hereb affirm That I am exempt from'the Contractor's License DATE Law r the following reason (Section 7031.5, Business and ADDRESS �.tr E j/(I Aye, G�+�4�� FINAL i Pro ssions Code): PRESENT BUILDINGJL I, as owner of.the property; or my employees with ADDRESS ACCT.g W ages as their sole compensation;,will do the work and ? v? the structure is not intended or offered for sale(Section LOCALITY -1307 , . „307 124.8 8 7044, Business and Professions Code.) - MOVING TEL 4 TTcifa ❑ I, as owner of the ro ert CONTRACTOR NO. .l ITEMS Ci i p p y,.am exclusively can with licensed contractors to construct the project (Sec- TOTAL . 124��� ADDRESS tion 7044, Business.and Professions Code:.)-: . �" .. LIeeJ••U ii REQUIRED TOTAL SETBACK FROM" EXIST.. CHECK 124. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT, CHANGE.. .00 the perforrt5ance of the work for which this permit is issued P.L (Sec. 3092, Civ.,C.). SIDE P.L.. Lender's Name .01000-0001'. 10/24/89 a LDMA Ref. # t.,'-7 i tai , ,-, - _ P:C. Fee$ Permit Fee i7�77 tII1 �E1 3 Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee �cJ LDMA P/C# above information is correct. I agree to comply'with all County Investigation'Fee 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.for,inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ;!l Signature of Applicant or Agent Date s �_°, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY• WORKER'S COMPENSATION DECLARATION FOR APPLICANT.TO FILL IN BUDDING ADGDRESS I herebyaffirm that L'have a certificate'of consent to self insure, B /DIN ADD SS" `���� �O or a certificate of Workers' Compensation Insurance,'or a certified sus �� TWvnS D� ° 7 copy thereof(Sec.3800,Lab.Cl ZIP_ . j 78 LOCALITY Policy No. . Company SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑.Certified,copy is. he furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county,building inspection. TRACT- BLOCK LOT.NO. department. USE ZONE MAP NO. D -Applicant- - - ASSESSOR MAP BOOK PAGE - -.PARCEL ' - � � .SPECIAL CONDITIONS ate CERTIFICATE OF EXEMPTION FROM WORKERS' 0 NER TEL NO. COMPENSATION INSURANCEWITHIN 1000 FT:OF SCHOOL? YES NO s section neenot completed if the permit is for one hundred A D ESS (Thitineed bt P CAOVL- DISTRICT GROUP TYPE CONST. FIRE ZONE I PROCESSED BY dollars-($100)or less.) I certify that in the performance of the work for which this permit C ZIP T �. / /D p 1 , '/ _ - ✓ ° is issued,J shall,not employ any person in any manner so as to ARCHITECT OR ENGINEER. - TEL NO.. O� Jr 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 REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should be Come, subject to the Workers' CONTRACTOR.- - TEL NO. SET BACK YARD HWY `PROP•LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemedrevoked. ADDRESS LIC.NO. PL >- ` SIDE LICENSED CONTRACTORS DECLARATION CITY LIC..CLASS PL OU 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 NO.OF FAMILIES. .Section Code,and my"license;is in full force and effect. NEW ❑1 BK PG Professions DESC I TION OF WORK_ ADD L✓� VALUATION , U License Number Lic.Class # rJ� _ Ad- W Contractor. Date r ALTER El $ ��� ' C� a N ❑ I am exempt under Sec. REPAIR El $ Z BAP.C.for this reason. DEMOL ❑ LDMA P/C Date: USE,OF EXISTING BLDG.'_. .URM ❑ gnature _ -APPLICANT(PRINT) TEL NO. LDMA PermT XL !✓ I, as'owner of the.property, or my employees with wages as their sole compensation, will do the work and the structure is ADDRESS O FINAL DATE s0300�� ` -S uz F= not intended or offered for sale (Section 7044, Business and e✓� PfOfeSSIOr1S Code.) - - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _I, as, owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? =FINAL BY �, Or licensed contractors to construct the project (Section 7044, i!t '1 YES El No E]Business and Professions Code.) y }c. WILL THE INTENDED USE OF THE BUIDLING BY'THE APPLICANT OR FUTURE BUILDING - 3303 J•9#J•} - 2 2251 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY - COAST AIR QUALITY MANAGEMENT,DISTRICT ISCAQMDI SEE PERMITTING CHECKLIST FOR y' .TTEMS GUIDELINES. I'hereby affirm that there is a construction lending agency for' YES❑ NO❑ / #_#j AL ' 42 2 „75 the performance Of Elle Work for which this permit is issued(SOC. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING t...4. Zi P1nN_ ^ '3097,Civ!C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, (/�'0 �"-M� CASH 3 d1."�Q R� TITLE 2,CHAPTER 2.20 SECTIONS 2.20:100 THROUGH 2,20.140 CONCERNING HAZARDOUS - Lender's Name - MATERIALS REPORTING.AND FOR OBTAINING A PERMIT FROM THE SCAQMD. �'1/"" ''•`�N{A.W.fj�-a p CFSFif'ia.jtl PGE _0•'# Lender's Address"cr OWNER OR AGENT 3: 1 certify that I have read this application and state under penalty (Lofperjury that the above informationis correct.i agree to comP y P.C.FEE PERMIT FEE 0000-000 5/31�`9�` with all county ordinances and State laws relating to building HAM 9.'10- M construction, and hereby authorize representatives of this County ISSUANCE FEE 1 j�� 8•1 tnter upon the above-meedprope rty f r inspection purposes. g �, ���'-' —S�.a.•rc/Q j_.S INVESTIGATION FEE TOTAL FEE N gnalure of gpplicanl w Agent - !JX Dale, - OI SEE REVERSE FOR EXPLANATORY LANGUAGE 'COUNTY .OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1308280031 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS: jTR: 6561 LT: 683 I SQ. FT STORIES TYPE OCCUP GROUP 9508 LAS TUNAS DR (STRUCTURE: 25 1 V-B B TEMP CA 917802104 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVELRY 18587-012-018 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI L I (TENANT: IEXIST BLDG USE: COMME USE ZONE: C-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: B 101/08/14 SR I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFIN DATEFINAL BY: CODE: ITSOU SU CHIN HUANG (626) 451-0789- 20,000 I 1 19508 LAS TUNAS DRIVE 1 ITEMPLE CITY CA 91780 i FEES PAID IDESCIPTION F WORK IFRONT FACADE IMPROVEMENT I .. jFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I IFAN, DAPHNE (626) 928-7746- ID1 PLANCHECK W/O EN-HC 20000.00 VAL 326.90 1 12550 W MAIN ST #211 IAA BLDG PERMIT ISSUANCE 27.80 ISPEOIAL CONDITIONS: IALHAMBRA CA 91801 IAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 I 1 jAE STRONG MOTION OTHER 20000.00 VAL 4.20 j ID2 PERMIT W/O EN-HC 20000.00 VAL 384.60 I ICONTRACTOR: TEL. N0: i TOTAL FEES 744.50 (APPROVALS DATE INSPECTOR SIGNATURE IPETRA CONSTRUCTION MANAGEMENT INC. (626) 233-8148- 1 I 12550 W. MAIN STREET STE 211 LIC. NO 1 ILOCLTION AND SETBACKS 1 IALHAMBRA CA 91801 761300 * j 1 ISOILS ENGINEER APPROVAL-I (ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS, ILAM, GARY (213) 928-7746- ; 12550 W MAIN STREET #211 LIC. NO: _ J ISLAB/UNDER FLOOR 1 IALHAMBRA CA 91801 71544 I IRAIS-ED FLOOR FRAMING 1 I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: : IUNDER,FLOOR INSULATION i 3 001 1 11 I 1 (FLOOR SHEATHING 1 INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 22 (ROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS I ISHEAi,� PANELS I 1 (AIR QUALITY: 1000 FEET MATERIALS j I 1 1 NO NO NO I IFRAME' INSPECTION fo I I IFIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI I ' INTEIOR LATH/DRYWALL 1 (EXTERIOR LATH I 1 IRATEb FLOOR/CESL ASSEM. I I 1 IRATED WALL ASSEMBLIES 1 1 � IRATED SHAFTS/OPENINGS ( I I T-BAR CEILINGS * ADDITIONAL DATA ON FILE 1 ILOT DRAINAGE I1�1�]LJ1�1 XPORT ID: DPR261 ROUTE TO: BS0508 i- o ^ v 1