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HomeMy Public PortalAbout9532 LAS TUNAS DR_Building__ 76A638A CE#803 8-63 APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS Cin BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. - DISTRICT NO. GROUP TYPE PROCESSED Y FOR APPLICANT TO FILL IN corlsT. , BUILDING ^ ' a� STATISTICAL CLASSIFICATION EWER MAP ADDRESS p( _ BK PG CLASS. NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE: TRACT -�4 NO t" IGHWAY I BLDGS. CIIRCLE) STAT MASR SECOND. LOCAL NO.OF SIZE OF LOT NOW )N LOT USE ZONE 9PECIAL USE OF t CONDITIONS EXISTING BLDG. OWNER. NEO/, Z F 47v 7. BUILDING EXIST. SETBACK YARD HWY STREET 'AME WIDTH ADDRESS �j FRONT ARCHITECTO TEL. P. L. L ENGINEER a O. SIDE ADDRESS r i7 rl 6 pew fyo CONTRALTO a O. a[, ADDRESS en. d f' d'�>� 1Y" .�t�'��'•� �� rid+ -, � DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH N SO. FT. NO.OF NO. OF ' r. w'r1. -� "r .x fi..k f z SIZE STORIES FAMILIES USE OF ,#-(8&^ STRUCTURE ' .� ,0_ w SIGNATURE OF A APPLICANT 114h %& VALUATION $ .{ it • • r r -APPROVALS DATE I PECTOR'S SIGNATURE PMT. FOUNDATION: LOCATION FEE $ ! FEE $ nmG ..��y°'FORMS-. MATERIALS P.C. f 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 INSURANCE. LATH. EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE RECT AND POSTED AODRESsA&LO FINAL �`f''' JOHN F. LEWIS. PRINCIPAL ST URAL ENGPEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH L` a;s 3=7 1-. MAY 12 1 D 6.00- 76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMI - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. ' DIST_g,jL T0. G "P TYPE, PR B FOR APPLICANT TO FILL IN L CONST. BUILDING h /S STATISTICAL ASSIFICATION SEWER.MAP /� ADDRESS f. �r CLASS NO. DWELL UNITS ' BK' PG /TL"� _ LOT NO. BLOCK USE ZONE MAP. �/Pi © _ - ,__/!..// `--� NO. v _ TRACT Gjs SPECIAL NO. OF BLDGS. ���•/// CONDITIONS SIZE OF LOT NOW ON LOT - USE OF EXISTING BLDG. BLDG. SETBACK FROM ' TEL. FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS ��� �I HIGHWAY WIDTH FROM C.L. CITY ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER _ NO. SIDE PROP. LINE OF (STREET.) TYPE OF EXISTINGSETBACKHIGHWAY + YARD TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. - a CONTRACT NOL T jAr� + O ADDRESS NO ��/� / CORNER CUTOFF YES NO V CIT - CLAss SEE REVERSE SIDE FOR SPECIAL APPROVALS 0 DESCRIPTION OF WORK i W a N NEW ADD ALTER . REP DAK EMOLISH / Z SQ.FT. NO. OF NO. OF SIZE. STORIES FAMILIF_S USE OF STRUCTURE - SIGNATURE OF APPLICANT n VALUATION$ �� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS _ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT$ ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY AZALFORNIA VIOLA- LATH. INT. ' TION OF THE LABOR CO E OF THE STATE ORELAT. ING TO WORKMEN'S M ENSA 10 INSUR LATH. EXT. SIGNATURE HOUSE NUMBER COR- PEf2MITTEE �j RECT AND POSTED ADDRE v FI NAL ' JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION. CK. M.O CASH ..r 0 4 2':2:� r aR 1 �. 1 D 6-.0 0N 76A638A CE4803 5-65_ APPLICATION FOR -BUILDING PERMIT COUNTY OF .LOS ANGELES BUILDING .� S DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST + COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS-ST.[ADDRESS DISTRICT N G OUP TYPEFOR APPLICANTTO FILL IN 0 CONST. LDING STATISTICAL C SSI CATIONSE ER MAPRESS /y- CLASS NO. DW LL UNITS. BK NO. Cc7 ' BLOCK USE ZONE MAPCT :_.�5 SPECIAL NO. OF BLDGS. CONDITIONS OF LOT NOW ON lOTOF TING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) ER L T � NO.. t, TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ���� J J - - HIGHWAY WIDTH FROM C.L + - ABLDG. SETBACK FROM ARCHITECT OR TEL. - NO. SIDE PROP. LINE OF (STREET) ENGINEER TYPE OF EXISTING SETBACK - HIGHWAY + YARD = TOTAL ADDRESS -y� HIGHWAY WIDTH FROM C.L. CONTRACTOR G� NOL /V + - Q ADDRESS-15/3 <NO CORNER CUTOFF YES NO V dL CITY � - ----- CILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK w CL H NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO. OF NO. OF SIZE STORIES FAMI IF_S USE OF `l STRUCTURE SIGNATURE OF APPLICANT VALUATION$ /�pQ ® APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ / FORMS, MATERIALS - FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING GAS VENT. DUCTS 9UILDI NG 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- INGTO WORKMEN'S COMP ATION INSURANCE. LATH. EXT. '401 SIGNATUREOF OSE NUMBR COR PERMITTEE RUE ECT AND POSTED ted. ADDRESS Fl NAL �� � fT� JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.0 CASH L�0.8-3,,6._l.c MAY 4 -1. D 4.€�0� �. 76A638A CEt£'8'03 5-6.9 APPLICATION _FOR BU DING PE IT OCOUNTY OF LOS ANGELES BUILDING �T Al DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE. COUNTY ENGINEER NEAREST Q COLEMAN W. JENKINS,SUP`T OF BUILDING CROSS ST. DISTR T N G OUP TYPE. SSED BY FOR APPLICANT TO FILL IN CONST_ BUILDING STATISTICAL ASSI ICATION SE ER MAP ADDRESS S 3 r CLASS NO. DWELL UNITS. BK PG/ \ LOT NO. BLOCK USE ZONE MAP SPEC AL 1 TRACT + NOOF BLDGS. CONDITIONS 1 SIZE OF LOT NOW ON LOT USE OF ma EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER / NO. TYPE OF EXISTING SETBACK HIGHWAY + - YARD = TOTAL ADDRESS 1 -` HIGHWAY WIDTH FROM C,L. CITY . �� BLD + ARCHITECT OR TEL. SID PSETBACK FROM ROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + - YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. - + CONTRACTOR �j' NO �� - ADDRESS �, O LI CORNER CUTOFF YES NOE] OV LIC CC CITY - CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0 - DESCRIPTION OF WORK 7v! Lau NEW ADD -=ALTE REPAIR DEMOLISH SQ.FT. - NO. OF NO. OF � i� .G� ��✓i%) c .ai ''v'4 d� �� SIZE STORIES FAMILIES USE OF �p,'p� �f STRUCTURE `�1/ .7vr�' '6 SIGNATURE OF APPLICANT VALUATIONS n'f APPROVALS DATE INSPECTOR'SSIGNATURE P.C. ✓ v PMT. 4," FOUNDATION, LOCATION FEE$ FEE$ - FORMS, MATERIALS FRAME, FIRE STOPS, ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT ANDAGREETO COMPLY FURNACE: LOCATION .. WITH ALL COUNTY ORDINANCES-AND STATE LAWS REGULATING GAS VENT. DUCTS ' 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. .TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE Tom- RECT AND POSTED ADDRESS F] NAL r i- JOHN F. LEWIS, PRINCIPAL ST T 'R L"'ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK. M.O CASH s 1 7 1—,. Grc20 1 0 4.00, 7fA999A CE#809:9*fi0: .APPLICATION FOR BUILDING PER T 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. J DISTRICT NO. GROUP TYPE P BY FOR APPLICANT O FILL IN G� I SSED coNsr BUILDING 6� STATISTICAL CLASSIFICATION SEER MAP ADDRESS �/ BK P CLASS. NO _ DWELL. UNITS oL LOT NO. &�d� BLOCK, MAP qq /� STATE YES NO - /j NUMBER a!� (J HWY. TRACT n:&ft/ alc4e� USEZONE SPECIAL NO.OF BLDGS. CONDITIONS- SIZE OF LOT I NOW ON LOT ' USE OF OT A EXISTIN LD BUILDING EXIST. TEL • YARD HWY STREET NAME SETBACK WIDTH OWNER NO. FRONT P. L. ADDRE S - SIDE ARCHITECT OR TEL. P.L. ENGINEER No. INSPECTION RECORD } ADDRESS a TE O CONTRACTC V ADDRESS 0 O DESCRIPTION OF WORK v W CL NEW 410<DD ALTER REPAIR DEMOLISH N SQ. FT. NO.OF NO.OF - Z SIZE STOWS FAMIL ES USE OF STRUCTURE r SIGNATURE O APPLICANT II VALUATION [J tttt APPROVALS DATE INSPECTOR'S SIGNATURE P.C. _ I PMT. d-EJFOUNDATION: LOCATION ,.�j :' FEE $ 7FEE $ FORMS. MATERIALS _fiI FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS .REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN ANY M ER SO AS TO BECOME SUBUECT TO THE WORKMEN'S COMPEN LAWS F LIFO RNIA. LATH,EXT. SIGNATURE OF&I HOUSE NUMBER RECT AND POSTED COR- PERMITTEE- ' ADDRESS FINALl CLYDE N. DIRLAtvf. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT`VALIDATION CK. M.O. CASH Lyl!,c,5 82 7 1 D 3 .0 1) la 'I APPUCATON FOR BULLING PE . T COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR'APPLICANT TO FILL IN BUILDIN DRESS I hereby affirm that I have a certificate of consent to self insure, B TNG ADDRESS or a certificate of Workers' Compensation Insurance,or a certified Z copy thereof(Sec.3800,Lab.C.) CylY ZIP LOCALITY Policy No. Company SIZ OF LOT NO.OF BLDGS.NOW ON LOT El Copy is hereby furnished. NEAREST CROSS ST. ElCertified copy is filed with the ybuilding inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date (cant ASSESSOR MAP OOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'J OWNER TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO '(This section need not be completed if the permit is for one hundADDR dollars($100) or less.) DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CITY ZIP I certify that in the performance of the work for which this per is issued, I shall not employ any person in any manner '0 as 6 (� become subject to the Workers'CQ enSatiOn aw ARCHITECT ORE GINEER T � ,,subject STATISTICAL CLASSIFICATION APT CONDO Dated w i 1�4pplicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO �' APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith S — I FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS V kLIC.N6. P L � SA LICENSED CONTRACTORS DECLARATION ` IfZ SIDE CITY \ LIC.C P L I hereby affirm that I.am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP Professions Code,qnd my license.A in full force and effect. NEW ❑ BK PG ® 0 License Number Lic.CRSS DES IPTION OF WORK ` l D ❑ VALUATION O Contractcc or Date ALTER ❑ $ U ❑ I am exempt under Sec. - " (r �� REPAIR ❑ $ 0 BAP.C.for this reason DEMOL LDMA P/C# W D USE OF EXISTING BLDG. URM ❑ fl Signaturei_ z APPLICAN RINT TEL NO. LDMA Perm-#. ElI, as owner Of property, or my employees with wages as Zt'tCC i ADDRESS s "• y o 1 their sole compensation, will do the work and the structure is Q_ not intended or offered for sale (Section 7044, Business and FINAL DATE C 3307 50.50 Professions 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 J �• ❑ 1, as owner Of the property, am exclusively contracting'with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY Q licensed contractors to construct the project (Section 7044, YES❑ NO $ Business and Professions Code.) H�'t•T•a WILL THE INTENDED SE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 3307 66.45 CONSTRUCTION LENDING AGE COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDEUNES. , T" I hereby affirm that there is a constru VES❑ NO lending agency for ITEMS EMS - ................... � " the performance of the work for this permit is issued(Sea 1 I.I iL 1 - HAVE READ THE HAZA DOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING m 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, t� TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS �,•[7 •[+, 116.95 Lender's Name MATERIALS REPO G AND FOR TAINfTf A�PERMIT FROM THE S A48�� ❑ Lender's A ss 4 — !_HAA x . .013 o OWNER OR AGENT o I certify that I have read this application and state under penalty P.C.FEE ® � PERMIT FEE �J© of perjury that the above information is correct.I agree to comply dYJn N with all county ordinances and State laws relating to building CI001XI00 y 5/14/9`36 m construe n, and hereby authorize representatives of this County ISSUANCE FE ato Ent pon the a -m ioned proper "inspection purposes. .Vd f i Ail 8:49 (0 '\ � INVESTIGATION FEE TOTAL F - - .... Sig­,. or AgerV ife SEE REVERSE FOR EXPLANATORY LANG AGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUi N ADDRESS / I hereby affirm that I have a certificate of consent self insure, BUIL ING ADDRESS �� Lot , or a certificate of Workers' Compensation I ce,or a certified 5,^4q—r Copy thereof(Sec.3800,Lab.C.) CITf ZIP C/ /P f^ LOCALITY ev- Policy No. Company SIZE OP LOT O.OF BLDGS.NOW ON LOT ❑ Certified cop ereby furnished. NEAREST CROSS ST. ❑ Certified opy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS ` CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE GD WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS j2 • � �,� ���, DISTRICT GROUP TY E CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) I certify that in the performance of the work f CITY ZIP which this permit G is issued, I shall not employ any person in any manner so as to 0 becom `uthe Workers'Compens tion Law ARCHITECT OR GINEER L NO. STATISTICAL CLASSIFICATION APT CONDO Dateplicant ADDRESS CLASS NO.. DWELL UNITS NOTICE TO APPLICANT If, after making this %Certificate of REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith / -2� —FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION ¢ '� SIDE CITY��` LIC.CSL S �� PL I hereby affirm that I am licensed underprovisions of Chapter 9 J ' C' >' (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP a Professions Code,and my license is in full force and effect. I NEW BK PG cam.) DES IPTION OF W RK ADD ❑ VALUATION License Number� Lia Class Q �O Contractor rf(� ALTER ❑ $ d� / a ❑ I am exempt under Sec. ` 'REPAIR ❑ $ z BAP.C.for this reason �/(� �j7/, DEMOL ❑ LDMA P/C# Date. - USE OF EXISTING BLDG. URM ❑ ' Signature APPLICANT PRINT) TE -DMA Perm# y - ❑.1,:as owner of roperty, or my employees with wages as p Z their sole correnation, will do the work and the structure is ADDRESS _ _not intended or offered for sale (Section 7044, Business and FINAL DATE Q = - Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL i OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL.TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY '• licensed contractors to construct the project (Section 7044, ���III `:I, 1=7. YES E] N-A - .Business and Professions Code.) \ - of WILL THE INTENDED USE'OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _"•'�i1 5.• _..a .. OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. t •+•• •-•— I hereby affirm that there is a construction le 'ng agency for YES❑ No IHL' t ' N the performance Of the Work for Wt11Ch t efmlt IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE ANDTHE SCAQMD PERMITTING 3097,Civ.C. r%' - i".1 N ) CHECKLIST. UNDERSTAND MV REQUIREMENTS THE LOS ANGELES COUNTY CODE. 5,k" Li _ii: TITLE 2,CHAPTER 0 SECTIONS 20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPO ING AND F INIPMA PERMIT FROM THE O SCAQMD. EL Lender's Addr "1Ai OWNER OR AGENT E o I certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE D PERMIT FEE / • sjh; N with all county ordinances and State laws relating to building ' /� = ^''~I'1' -`� -' construction, nd hereby authorize representatives of this County hSSUANCE FEE 525 i 'j to enter up, the above- ntio roperty for inspe ion purposes. s i 'yQ INVESTIGATION FEE TOTAL FEE g• La �` SgnaWra,ol ApRli nl Date —• ' SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIL GAD ESS BUILD G ADDRESS eA_ I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified CIT ZIP copy thereof JSec.3800,Lab. .) LOCALITY Policy No.A- Company--&J A :I- t W, SIZELOF LOT I NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified co is filed with the count building inspection TRACT BLOCK LOT NO. copy Y 9 P USE ZONE MAP NO. rIdepartmt. ASSESSOR MAP BOOK PAGE PARCEL Date �pplicantTaK ZSPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FRO WORKERS' OWNERO TEL.NO. I YES NO ADDRES COMPENSATION INSURANCEVDNr WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE C NST. FIRE ZONE 0,RACESS BY dollars($100)or less.) CITY � zIP ��/ I certify that in the performance of the work for w ' this permit P C-,f 1 51 of i3 issued, I shall not employ.any person in manner so as to ARCHITECT OFfENGINEER TE become subject to the Workers'Com On Laws. STATISTICAL CLASSIFICATION APTNOO Date Applicant ADDRESS CLASS NO. DWELL UNITS Ce NOTICE TO APPL�CAafter making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you some subject to the Workers' CONTRACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH Compensation pro sions of the Labor Code, you must forthwith t FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS ' LIC.NO. PL LICENSED CONTRACTORS DECLARATION CIT�'nLIC.c S}S FIDE a I hereby affirm that I am licensed under provisions of Chapter 9 SQ.FT SIZE NO. STO ES NO.OF FAMILIES Section 7000f Division 3 of the Business and SEWER MAP O (commencing with )oNEW BK PG Professions Code,an my license' full force and effect. ~ License Numbe y ic.C11 SS DES RIPTION OF VYORY, I ADD ❑ VALUATION Contractor ate — r ALTER ❑ "" Z ❑ I am exempt under Sec. REPAIR ❑ B.BP.C.for this reason DEMOL ❑ LOMA PIC# DUSE OF EXISTING BLDG. LIR ❑ ate: Signature APPLICANT(PRINT) TEL.NO. W zl ii C';_�_: .r- LDMA Perm# Z ❑ I, as owner of the pr y, or my employees with wages as '� O i i tai their sole compe Ion,will do the work and the structure is ADDRESS r not intended SS r offered for sale (Section 7044, Business and FINALID CE TUAL m Professions Code.) WILL THEAPPLICANTORFUTUR UILDINGOCCUPAN ANDLEAHAZARDOUSMATERIAL rj� j OR A MIXTURE CONTAINING A AZARDOUS MATERIAL EQUAL TO OR GREATER THAN CHER ❑.I, as owner Of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i licensed contractors to construct the project.(Section 7044, YES❑ NO❑ IL (_Hji-{(_E Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLISTrl l I'`�rl l3 /i 'f 0r I FOR GUIDELINES. J I hereby affirm that there is a constructs ending agency for YES❑ NO❑ the performance Of the work for whic Is permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD '792 - S�t V S 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES m. COUNTY CODE,TITLE Z CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address OWNER aaAGENT o I certify that I have read this application and state that the above RC.FEE PERMIT FEE / information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and hereby author a representatives of this Count enter upon ISSUANCE FEE' /�r /� IN above m tinned property r' spectio rposes. 3-J v a INVESTIGATION FEE TOTAL FEE sq�m of AoW� ^ SEE REVERSE FOR EXPLANATORY LANGUAGE, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY-/ LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9710290091 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 672 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9532 LAS TUNAS DR STRUCTURE: 0 1 V B TEMP CA 917802104 ASSESSOR I FOR ATION NUMBER: GARAGE: NEAREST CROSS STREET: 8587-012-011 OTHER: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/29/97 UT 10/29/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: WONG OTTO;BETTY TRS 1 800 20 SANTA FELICIA CT FEES PAID DESCRIPTI N OF WORK ONE NEW PROJECTING SIGN AND ONE FOA LETTER SING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: SUCCESS SIGN (626) 280-8932- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 800.00 VAL 0.50 .SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0 EN-HC- Q800-00 VAL 65.25 _ �� TOTAL FEES 148.20 CONTRACTOR: TEL. N0: (`(Y/)) APPROVALS DATE INSPECTOR SIGNATURE SUCCESS SIGN (626) 280-8932- �j 820 E VALLEY BLVD LIC. NO LOCATION AND SETBACKS SAN GABRIEL CA 91776 739177 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: / SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( r, pp �J< UNDERFLOOR INSULATION 3 04 �-D 0 j_� IL, ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: - --- NO 21 \ Si it ND LEVEL FLOOR SHEATH - SCHOOL WITHIN HAZARDOUS � O !� � ROOF SHEATHING � � r, �,�:,�«.���,s�'� � � AIR QUALITY: 1000 FEET MATERIALS �a NO NO NO FIRE DEPT. FRAME INSPECT 19 N REQUIRED TOTAL SETBACK FROM EXIST ---- \ BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH:_ FRONT PL- 2 ��~ SHEAR PANELS � SIDE PL INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 } COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807150010 PHONE: (818) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 2 BUILDING ADDRESS: TR: 6561 LT: 672 BL: .001 SIGN DESCRIPTION: 1 SET FOAM LETTERS AND 1 PLASTIC INSE 9532 LAS TUNAS DR TEMP CA 917802104 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE 8587-012-011 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: LILY NAILS EXIST OCC GRP: 07/15/98 UT 07/15/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY: CODE: WONG OTTO;BETTY TRS 300 20 SANTA FELICIA CT I"Z1_4 FEES PAID DESCRIPTION OF WORK NEW SIGNS - 1 SET FOAM LETTERS AND 1 PLASTIC LETTERS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 300.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 300.00 VAL 43.50 TOTAL FEES 71.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ' FOUNDATION/TRENCH FORMS LIC. N0: -- SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:_ CMP: 00 N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: , NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 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 0210020024 PHONE: (626) 285-0488 EXT: LEGAL ID• NUMBER OF SIGNS: 1 BUILDING ADDRESS: TR: 6561 LT: 672 BL: .001 SIGN DESCRIPTION: NON-ILLUMINATED WALL SIGN 9532 LAS TUNAS DR TEMP CA 917802104 ASSESSOR NFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE 8587-012-011 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: HOLLY NAILS EXIST OCC GRP: 10/02/02 VG 03/31/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE Y: CODE: WONG, OTTO (626) 282-7135- 650 9532 E. LAS TUNAS DR r.APIR TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK NON-ILLUMINATED WALL SIGN - 15 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SUCCESS SIGN PRINTING INC. (626) 444-8181- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 650.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0 EN-HC 650.00 VAL 43.65 TOTAL FEES 126.60 CONTRACTOR: TEL. NO• APPROVALS DATE INSPECTOR SIGNATURE SUCCESS SIGN PRINTING INC. (626) 444-8181- 9363 VALLEY BLVD, #A LIC. NO LOCATION AND SETBACKS EL MONTE CA 91731 739177C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: OUNDATION/TRENCH 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 REPORT ID: DPR261 ROUTE TO: BS0508