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HomeMy Public PortalAbout9534-9536 LAS TUNAS DR_Building__ TEMPLE CHT 79A666A CE606- 1-61 � APPLICATION FOR BUILDING PE IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A DRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP I TYPE �R,J� SED BY FOR APPLICANT TO FILL IN Z_ I CONST U BUILDING ` 9/� / d` -� STATISTICAL CLASSIFICATION S WKRMAP PG ADDRESS J/T f—iTJ / �I✓/g'.g CLASS.NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT MAP ,g.. HIGHWAY NO.OF BLDGS. NO.. -C/ (CIRCLE) STATE A_O5,SECOND, LOCAL SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL USE OF EXISTING OFE ITING BLDG. �IC ,J— CONDITIONS - � TEL. � OWNEMe04E/<oLO --/NA At CE e1I 2' "A-W BUILDING YARD HWY STREET N ME EXIST. ADDRESS Agge I"10 SETBACK •1 i WIDTH FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P.L. ADDRESS INSPECTION RECORD O CONTRACTO//�/ c/�f,�(.�fR //�lCJ�CyCl�.T133 ADDRESSf/� c5tE6 O DESCRIPTION OF WORK u W a NEW A D ALTER REPAIR DEMOLISH N Z SQ. FT. NO.OF NO.OF SIZE '' SSJTORIES FAMILIES USE STRUOCTURE/A"dr, 40— 3 TO/V /gQ. GC®Al0/770W l A/,6: S YS rg—_,14 SIGNATURE O_� APPLICANT` VALUATION$ V APPROVALS DATE INSPECTOR'S SIGNATURE P. �v FOUNDATION: LOCATION F E $ —f FEE $ FORMS,MATERIALS 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, 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. 9 ING'TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. // ff " f§ SIGNATU P RM ITT RE �• • OUSE NUMBER CO.RECT AND POSDR- A ' G"1 ADDRESS .�.� U D JOE �5'T�.L I l� - FINAL 1 � 1Yli CLYDE N. DIRLAM, PRINCIPAL STR URAL EYGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDTIO cK M.O. CASH [, 3 2 1 G�3 iiaR 1 1 D 1. " L.I.too DOF COUNTY ENQrIIQEI ®I I� DIVISION SION OFF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY q� S DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO. BUILDINGADDRESS J <�0 V R+ RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY !�� 4=-%1i�4 ;./� 4 � �C C�� '1 NEAREST �! GbDD�� 4�,�a� �J , ✓ $ �� 'Z' 1� --s3 CR098 T / 1 BUILDI G OWNER P +�0 47"t 6o "!;p /�; ADDRESS '���. E7,MAIL S .S ADDRESS / ® O YG7i���/ 1 r�� • I LOCALITY_ ��✓ p�� _ NEAREST CITY S" °r T O !,C/ 7-7— : CROSS ST I—' ARCHITECT OR��� O /f�J/t;Jr`NO ZONE I PLANS I FIRE NO.OF TYPE GROUP ENGINEER// 'CIO BLDG. ! ORD. NO: ADDRESSJ/ SETBAC/USE K^LINE CONTRACTOR ISs `U .( f��-lGl� TO.�`� /^�+� /' ZONE t.,�-Z BYPROVED c ATE p �,/ ' ADDRESS 0 C`��'�.- Ohe LEGAL MAP NUMBER_ ;ZC2;; � NO. ASSIGNED BY I- -- DESCRIPTION I LOT NO. �G I BLOCK �. [`CORRECTIONS TRACT NO. OF BLDGS. Q y z SIZE OF LOT K i' I NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORE /z—/G S 3 /'r fin? .r\q"' /'!/c Ik— 0 _ NEW ALTERATIONADDITION �S _ -^n ` 'i �' f e E`7'J-) O REPAIR � tH DEMOLITION I r SO. FT. NO. OF SIZE ROOMS STORIES EXT. WALL ROOF COVERING I COVERING USE OF STRUCTURE Tn t o e)i-"A, r7 fn/J L L 'r'dv •' !L 'ttl APPROVALSINSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION /�J FORMS, MATERIALS ( %/iG -17/ I A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. - I AGREE TO COMP,L�S W,ITH,ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS U TING BUILDING CONSTRUCTION. GAS VENT, DUCTS LATH, INT, SIGNATURE OF � PERMITTED" LATH. EXT. ADDRESS PLASTER, INT, AUTHORIZED AGT. PLASTER, EXT. $ Qui $ �- HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION ____i FEE FINAL A.� nA ZtdC` A 76AS30A 082 3 S-SIi I v A ROAD DEPT. PERMIT IS REQUIRED i� r,iv r MATERIAL STORAGE OR WORK DONE IN.:THE ROAD RIGHT OF WAY. 7GA698ACE#8098.69 APPLICATION FOR BUILDING PERMIT 1. COUNTY OF LOS ANGELES BUILDINS.��O r ' DEPARTMENT OF_COUNTY.ENGINEER ADDRES BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. - I'ptDISTRICT O. GROUP TYPE. - OCESSED B FOR APPLICANT TO FILL IN IZ- ,11511 CONST. I . _A a+ /,, /�/ STATISTICAL CLASSIFICATION SEWER A - ADDREBUILr'ISS '.JGY IW/(/'� 5 - - BK PG " CLASS.NO.�DWELL. UNITSI - LOT NO. BLOCK M'O`I' r HWYE "YES NO- NUMBER TRACT J - USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT o I NOW ON-LOT - USE OF n /� EXISTING BLDG. fit- "i �G O/Gs� BUILDING - EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER 7-IC-4L /(,(f)l./� FRONT CJCJ MAIL /---)/� .:i j /' . ADDRESS ..✓ L! SIDE - - _ LL�� CITY Z' �� ➢ l NEC47 6 - INSPECTION RECORD ARCHITECT OR - TEL.. - ENGINEER NO. . ADDRESS /� L is CONTRACTOR ""/� - }SNE -.3 2Z ADDRESS tDL✓' � - L(6� /�-� DESCRIPTION OF WORK E 3AP7 ADD - ALTER REPAIR DEMOLISH - - SQ. FT. NO. OF. NO. OF SIZE - f STORIES - FAMILIES - - USE OF - STRUCTURE .SIGNATURE APPLICANT ADDRESS ' - `( L� APPROVALS DATE INSPECTOR'S SIGNATURE � � FOUNDATION: LOCATION FORMS, MATERIALS VALUATION $ /'�D �`' - FRAME: FIRE STOPS, - _ v BRACING, BOLTS FURNACE: LOCATION. FEEP. .. $ I FEE MT. $• GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. PLICATION AM- 1 AT THE ABOVE IS CORRECT AND AGREE TO CALL COUNTY ORDINANCES AND STATE LAWNG BUILDING CONSTRUCTION. LATH,EXT. J- s ' SIGNATURE )y---�_� HOUSE NUMBER COR- . PERMITTE RECT.AND POSTED Y �G ADDRESS FINAL .CLYDE N. DIRLAM, PRINCIPAL STR CT RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ICK. I M.O. CASH' F w i 78A888A Cr.#803- 1-81 APPLICATION FOR BUILDING PERMI , COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADOREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP•TOF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PR MC BY •. �� CONST. BUILDING Q �� A Q STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS f�S ��NAS L7 L.UrD BK PG CLASS.NO.fI =DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑ - CERTIFICATE: ���TT JJ��_ TRACT 5- MAP c HIGHWAY' STATE AJOft O•AL NO.OF BLDGS. NO. L (CIRCLE) SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL USE OF ,ay w /p ON.ITIONS EXISTING BLDG.`` .41✓ OWNS OUS4/r>� -.0OC©'0EN.4NCL le BUILDING EXIST. ��++ _ w� ! YARD HWY STREET NAME ADDRESS. J.3 -r �LJN/�}V �CtJ e ��z, SETBACK WIDTH FRONT ARCH ITECT OR �7 y T L �� P. L. ENGINEER,f 45-77 t5±6!A44- NO.���•-1/�(p/�� SIDE ADDRESS' 7O #0 IETTH ��N/KD'j'S T �� :INSdPfa ECTIOSN^ RECORD CONTRA CTORL-CtT P, N /% ADDRESS W!AO Al. MAJ :0om^ L —12--- DESCRIPTION OF WORk d NEW ADD .ALTER REPAIR DEMOLISH N SQ. FT. - NO.OF NO.OF Z IZE STORIES FAMILIES USE OF �)OO(�BC,� ',iMAC,6 /1,4OA4 STRUCTURE SIGNATURE O APPLICANT T. VALUATION$ fZQd, j APPROVALS DATE, INSPECTOR'S SIGNATURE PMT.P // •�''' FOUNDATION: LOCATION FEE $ / FEE $/�/v FORMS,MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �i �9 L•�'f i, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, Y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS A BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK / AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. TION OF THE LASO E OF THE STATE OF LIFORNIA RELAT- ING TO WORKM C NSAJJP.V, INSU ' LATH,EXT. SIGNATURE O- OUSE NUMBER COR- PERMITTEE _ A % RECT AND POSTED /� ADDRESS��d d��`'� FINAiL �Il S/ d � '✓ CLYDE N. DIRLAM,,PR-INCIPAL STRUCTURAL E INE PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION CK. M.O. CASH 3 wr r.1 �p L.tti /6"tip tiFlt r 3 ? D 1 1 ,5 0- 1, r' 76A6313A CE#1303 6-62APPLICATION FOR BUILDING PER IT 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. t DISTRICT 1 O. GROUP TYPE CONST. � ESSED BY FOR APPLICANT TO FILL IN BUILDINGSTATISTICAL CLASSIFICATION WEIR MAP ADDRESS CLASS. NO.�DWELL. UNITS —_ BK PG LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ CEIVED ❑ TRACT MAP HIGHWAY STATE AJOR SECOND, LOCAL NO.OF SLOGS. NO. Q (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. C T OWNER NO. O BUILDING YARD HWY S ftEET N E EXIST. qq SETBACK WIDTH ADDRESS 1p2 �r OtJ FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE >_ P. L. O. ADDRESS O T E LJ CONTRACTOR' O. h ADDRESS .� O O DESCRIPTION OF WORK u all CL NEW ADD ALTER -XREPAIR DEMOLISH N SQ. FT. NO. OF NO. OF z SIZE STORIES FAMILIES L ^' /C/^ F r I APPROVALS DATE INSPECTOR'S SIGNATURE / FOUNDATION: LOCATION A FEE $ FEE $ // FORMS, MATERIALS A � - FRAME: FIRE STOPS. �G / % ��y� I HEREBY ACKNO LEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY FURNACE: LOCATION. �Q WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS [ BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK t AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO TI ENSAN URANCE, LATH. EXT. [ SIGNATURE OF(I HOUSE NUMBER COR- PERMITTEE / RECT AND POSTED f sfr ADDRESS FINAL �Q/ ,V/aMl_ I JOHN F. LEWIS. PRIfNcif-AL STTURAL ENGINEER PLAN CHECK VALIDA ION CK. M.O. CASH PERMIT VALIDATION �___M.O. CASH .F ilko 3 1 3 6 APP, 11. Q 2 ti :D 5.75 J' 11 .50-t'.o 3 3 7 tri r, �. D �'' 76A638A CE# APPLICATION FO BUILDIN PERIT 803 5-65 A COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A D D R E Ss 3 — BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T.OF BUILDING CROSS ST. (Jf - DISTRICTNO. GROUP TYPE .P SSED BY FOR APPLICANT TO FILL IN .� CONST. BUILDINGSTATISTICAL CLASSIFICATION - SE ER MAP ADDRESS �j�/� v i!/i CLASS NO. DWELL UNITS BK PG/ LOT NO. *� BLOCK USE ZONEMAP �y NO. TRACT '/ SPECIAL N0. OF BLDGS. lJ CONDITIONS SIZE OF LOT e( J�C3 ' NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACKFROM TEL. FRONT PROP. LINE OF • (STREET) r OWNER /OU 1; TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL / ADDRESS ��✓pyGi1� �n[� HIGHWAY WIDTH FROM C.L. CITY �-C + _ ARCHITECT OR T SI SETBACK FROM SI PROP. LINE OF (STREET) ENGINEER TYPE OF EXISTING SETBACK HIGHWAY- + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. + a CONTRACTOR. C_ ///1�( ('�G- O j / ADDRESS J ('rrr-y Q,l1 LO / �� CORNER CUTOFF YES NO E � U ne CITY p C , c Ass SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK u W a NEW ADD ALTER REPAIR DEMOLISH h Z SQ.FT. NO. OF NO. OF SIZE ' _ STORIES FAMILIES USEt� �ywOp� STRUCTURE cv�Pj[ pp n'1 IN �-_ i AIS Ia i y N10 0J�cAQ.1 m L SIGNATURE OF APPLICANT VALUATION$' APPROVALS DATE INSPECTOR'SSIGNATURE FEE$ FEE$ `,S/ -4:,,e FOUNDATION, LOCATION FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION a V WITHALL 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' nMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS r-` FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL E ' EE-E42 PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.OCA".H l ctt o7 9 6 1.G DEC 1.0 . 1. D 1 5.00 y�. TEMPLE CITY 76A689A C9#0103260' APPLICATION FOR BUILDING PERMIT - 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS . BUILDING''AND SAFETY DIVISION LOCALITY L JOHN A. AMBIE, COUNTY ENGINEER NEAREST WILLIAM A.'JENSEN SuP•T OF BUILDING CROSS ST. DISTRICT NO. ROUP TYPE P SSED BY FOR APPLICANT TO FILL IN ��'U � CONST. BUILDINGS/7 s S CLASS.NO.TATISTICAL CLASSIFICATION SE ER MAP ADDRESS � a 0 BK �` . DWELL.UNITS- LO NITS .� LOT NO. � p�. BLOCK. . MAP STATE YES , NUMBER HWY. TRACT Q- USE ZONE SPECIAL NO. BLDGS. CONDITIONS SIZE OF LOT �f I NOW OF ON LOT USE OF EXISTING BLDG._ _ Cs BUILDING EXIST. Z TEL./j SETBACK YARD HWY TREET AME WIDTH OWNER' /C+ /(,. /�y -�I/ �!' NO.(JI•J rj`] FRONT ✓ ol I7�Y6J N- L//JL 1 L'_ P. L. ADDRESS SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS 'y 61�s TEL. a . CONTRACTOR NO. O ADDRESS V DESCRIPTION OF WORK a O NEW ADD ALTER. REPAIR DEMOLISH SQ.FT. NO.OF NO.OF - a SIZE STORIES. FAMILIES USEOF .5 STRUCTURE 7G+C Cp •y�ju - �x�^�j(�L (GNAT E OF o ` APPLICANT - VALUATION$ 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 AP- BRACING BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN -DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY PE N IN VIOLATION OF THE - WORKMEN'S COMP 10 W OF CALIFORNIA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT TE RECT AND POSTED ADDRESS j�^ � FINAL r CLYDE N. DIRLAM, PRINCIPAL.STRUCTURAL E PLM-CHECK VALIDATION CK. M.O. CASH PERMIT-VALIDATION CK. M.O. cash LUo I� 1 9 c SEP G 1 . ,, ,.0 , Temple City," APPLICATION FOR BUILDING. PERMIT FOR APPLICANT'TO_FILL IN -(Print or type only) BUILDING, - -1, - 6 IL'+. has Tunas . . COUNTY OF LOS ANGELES ADDRESS 953 -953 DEPARTMENT OF COUNTY ENGINEER CITY Tem' le City ZIP glygo . BUILDING AND SAFETY D ISION NO.OF BLOGUILDING SIZE OF LO - �X �J' NOW ON LOTS / ADDRESS �3 3,6 TRACT 6S(,/ BLOCK - 4N ? -73 LOCALITY OWNER R• Iia OaKley- TEL. NEAREST ' NO. CROSS ST. 104b Oak Glen Drive ASSESSOR ADDRESS - MAP BOOK - PAGE _ PARCEL CITY Santa Ynez, Calif.zIP93460 DISTRICT GROUP CONST TYPE F� P ESSED BY U � Zpi I ARCHITECT OR TEL. ENGINEER NO. _ - STATISTICAL CLASSIFICATION SEWERMAP ADDRESS CLASS NO. 2Z. DW.ELLLL.UNITS SK IC',ll CONTRACTORAlhambra ROofl NO 282-lOrg USE ZONE NO c 2007 LIC Z ADDRESS 12 So. Marengo Aveallo.25316 ���j SPECIAL LIC. CONDITIONS CITY Alhambra Calif CLASS - o of in^ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.' ETBACK FROM .-� FRON PROP.LINEOF (STREET). ADDRESS CITY _ NOTAL SETBACK FROM TYPE OF EXISTING NIGHWA + YARD SQ. FT. NO. OF - NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES 'ONE DESCRIPTION OF WORK ^. moo ❑ + -- - O 1 Eld Com NEW BLDG.SETBA V W 30 ase ee ADD ❑ SIDE PROP.LINE OF (STREET) • LTER ❑ TOTAL SETBAC OM TYPE OF EXISTING F- HIGHWAY + YARD = CD REPAIR SIDE PROP. LINE HIGHWAY WIDTH LV _ a USE OF TEL DEMOL ❑ + Z EXISTING BLDG. - CORNER CUTOFF' YES ❑ NO APPLICANT ❑ (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑IN COASTAL PERMIT-ZONE 'YES ❑ NO ❑ VALUATION,$ 1.7,56-00 - 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- /7, STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED /fir/11 yy HERE BY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA INRELATINGRELATING TO WORKMEN'S COMPENSATION INSLIPpaC� F1oulk /r }i� SIGNATURE OF ;i/E - 'a/1 y PERMITTEE - r J ADDRESS - --1:C SO. -Marengo Ave. ` /� I'/�/� f��`- . - FINAL BYE. CITYAlhambra , Calif. ITE L. 282-1958 DATE 0. N P.C. /� PMT.. 2 a00 SNAKE CHECKS PAYABLE 10: FEE' �7� FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN'CHECK VALIDATION CK'. M.O. CASH PERMIT VALI ION CK. •M.O. CASH 2 4.0 0 .,8 76A638A CE#803 5/74 , I � - DCOUNTY ENGINEER BUILDING DIVISIONSION OFF BUILDING LDING AND SAFETY COUNTY OF LOS ANGELES + WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OP BUILDING FOR APPLICANT TO FILL INFOR OFFICE USE ONLY T DISTRICT NO. ' PLAN CK.OR REc.No. PERMIT N0.4 BUILDING ADDRESS / 310 L�S 1 (J Y4- 9, 3lT_ LOCALITY L ' C RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST � P~' CROSS ST. BUILDING Q OWNER L ADDRESS -1 MAIL � � a LOCALITY=ADDRESS NEAREST 1 CITY •~�`V1+�.T� Cal TO CROSS ST. r-1m c�')S P NFIRE NO. OF EL. ZONE I P ANS I --TYPEIL I OUP ENGINEER x`-11 BLDG. - ORD.•N ADDRESS SETBACK LINE AA 11 TEL. USE APPROVED II II CONTRACTOR V®W C`'O' Klm N NO. p�� ZONE a BY t7 r�ri P(— ! DATE — I'-Sl ADDRESS �i� N i 1 e�p•�ti c ` HOIU--SSE NUMBS ING , LEGAL MAP NUMBER '2(Z)C) 4 NO. ASSIGNED BY Ex(s. DESCRIPTION I LOT NO. CG.1 BLOCK //�� _ CORRECTIONS ' TRACT Cl J NO. OF BLDGS. SIZE OF LOT -I-Cl X Cl I NOW ON LOT I USE EXISTOI G BLDG. `--� � FAMINO. LIES ...- DESCRIPTION OF WORE �- ' a,>;C�s _ i Ct �N©p It U,P f p - NEW ALTERATION ADDITION ` A v�i v'� 6) REPAIR K-1 DEMOLITION I-I I Z r SO. FT. NO. OF ' SIZE ROOMS STORIES EXT. WALL I ROOF COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I 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 REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF `�' LATH, INT. PERMITTEE LATH. EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. o -� PLASTER,.EXT. P. C. $ �� FEE HOUSE NUMBER COR- 7 RECT AND POSTED _ VALUATION 02 .2 O FEE $ 2 O FINALr I- 76A898A 008 3 9-82 I v 1 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING / e� JAJ ��a/h_� DISTRICT NO.L PLAN CK. NO. PERMIT NO. ADDRESS �(j� rro� /Y�T �� L�L�Cf.�a _ ��� LOCALITY LOS�� rvS �P ��' c/ RE I SY DATE OF AP,,CCPL. DATEISSUED NEAREST �,q �y 2-2-7-62 Z -Z-Z7`-`v Z ICROSS,ST., JA �'�!r f✓ g C_.. BUILDING 7/� I (D ADDRESS � —� / OWNER . �t..�r®���� � [� G7 gtC MAIL LOCA /4 LITY ADDRESS ?2111-40 /V, lroo/ ��� + NEAREST TEL. CITY NO. FIRE I PLANS Z I TYPE___L I GROUP ARCHITECT OR '{EL. ZONE ENGINEER NO. / BLDG. //NO. ADDRESS / ? SETBACK LINE /Y/js ADDRESS APPROVEDTEL. �® �j BY " ' DATE CONTRACTOR /Yir' � NO. �/o USE APPROVED ._ ZONE BY DATE ADDRESS' HOUSE. NUMBERING LEGAL DESCRIPTION I LOT NO. Z72_ I BLOCK MAP NUMBER- -FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT +r' 'LO jC �Q I NW ON LOT USE OF Ai^"P I NO. OF EXISTING SLDGALlw FAMI LIES DES -RIPTION OF WORE _ NEW ,• ALTERATION I ADDITION O vloo REPAIR I EMOLITION SQ. FT. NO. OF SIZE ��® ROOMS STORIES t DOM EXT. WALL F ROO �'�� �/ _ d � r COVERING �f/mbr'`„r�',.,}.I COVERING Ian" � .- � USE OF STRUCTURE APPROCa/ ry�- - PA-AG Tf� ol INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND. STATE THAT THE INFORMATION GIVEN IS t FORMS, MATERIALS CORRECT. 1 AGREE TO :COMP ITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH C UK ORDINANCES AND STATE', BRACING, BOLTS L:.-`L�.Z, 3 �_24 LAWS REGULATING 'G CO S,TRUCTION. - FURNACE: LOCATION, SIGNATURE OF 19 GAS VENT,DUCTS PERMITTE q"" 7A I \ _ /+'.® f/11ovTiQ 6a�sr+� � LATH, INT. ADDRESS _ ' - LATH, EXT. 3/ AUTHORIZED AGT. - PLASTER, INT. 7GA08BA- D383 -10-S0 $ P. C. $ }..+ ?�' /� O"� FEE -1.-`J PLASTER, EXT. VALUATION $ V FEE /O FINAL • DEPARTMENT. OF BUILDING AND SAFETY APPLICATION.FOR PERMIT ,ti COUNTY OF LOS ANGELES r;I El(�, � J 9 WM. J. FOX, CHIEF ENGINEER -I-�D I `®i� - ,.FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY2 _ /� ,�.ryry /-�^a L /� DISTRICT NO. PLAN CK. NO. "PERMIT IVO.1 BUILDINADDRESS ".fi_" el"�(�, cam✓Jt*� /W I�CIC!� �^ yS 7 O •-T', ,-e.,t LOCALITY /Cp '� RECEIVED BY DATE OF APPL. DATEISSUEDTGa M �i �� <'C;,7 NEAREST / I ��"'`✓ -�/ �� ��"� / CROSS ST. Fa,� ✓7.��� BUILDING /, �,,/�J - ADDRESS 9J �.7 3 6 .e. x Q j OWNER L'�'� ( JG;,^� Cgf V`' l MAIL t 4 r'� �' ' LOCALITY ADDRESS ! Z `� Al , �� � 5�o;/2'7 /FW c NEAREST I,{� ,�j _9 TEL.h / CROSS ST.�t.. lm CITY /T r+::� cA loll NO.;O*V�` 7-63 _ FIRE I NO. OF I TYPE '`/° I GROUP ARCHITECT ORf�^ /� T/ MTEL. j ey ENGINEER [���5 v• �• C�n••/NO.Y�'f LT �JF"g 3' I( BLDG. PLANS /'� ,¢� O D. NO. C4� ��� �1r� /u�� � �• SETBACK LINE �O (dam G �( 1C ADDRESS `r APPROVED TEL. /�Ap��!ry� BY DATE CONTRACTOR W� �� No-PO aOn`�'7 _ /' USE APPROVED �� /� ZONE ,�• BY DATE ADDRESS /.o':,OAI, .�G't$l'a-VVde•''d�' 476! 1011�;fl!'r ,P`r _ HOUSE NUMBERING LEGAL _ •� DESCRIPTION I LLOTd Q �'NO. I BLOCK MAP NUMBER_ FIELD CHECK BY' TRACT6.r4/, Ao loe J7�-412`x" j. . NO. ASSIGNED BY DATE ,1 NO. OF BLDGS. CORRECTIONS SIZE OF LOT 37' f�Q I NOW ON LOT USE OF NO. OF , EXISTING BLDG. I FAMILIES _ '�t�I /} /�7 .••' ., Jam+ - DE$CRIPTION OF WORK NEW I .ALTERATION I I ADDITION ' REPAIR .I I.DEMOLITION SQ. FT. NO. OF SIZE V d ✓ ""' ROOMS STORIES ° C'- _,1 d Y• �f�r/aQ I/ D EXT. WALL a ROOF ° ;� + r COVERING �,` tl�'� Ln I.COVERING 664°),�j�0�Fr�°n•/' USE OF STRUCTURE i f�sr� �Gw� �a "- =a, �. ,i dry✓ APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP.: FOUNDATION: LOCATION i PLICATION, AND STATE THAT THE IN GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY—WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, pI HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS EA LAWS REGULATINGiBUILDINGj')CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF 1 i ,,.� GAS VENT, DUCTS � ,., 1�,��>���;;-f' PERMITTEE �' f lfl jf jLATH, INT. Aim . '� e. n ADDRESS �� LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76A638A•'DBS3 10-50 P. C. $ `, 1 0 FEE v /� ��� rJ / PLASTER, EXT. VALUATION $ ®FEE FINAL kv, Q cv ew1 ,WORKERS' COMPENSATION DECLARATION hereby affirm that 1 have certificate of can nt to self APPLICATION P FOR BUILDING PERMIT insure, or a certificate of Workers' Compensatio Insura e, or a certified copy thereof (Sec. 38 b . C.) COUNTY OF LOS,ANGELES BUILDING AND SAFETY Policy No."• Compa, BUILDING �. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS CY J Certified copy is filed with the count building inspec- BUILDING 9 G �� / _L_ t'on department ADDRESS �- � LOCALITY C� / NEAREST Date / pi ntCITY J ZIP CROSS STCERTIFICATE OF EXTION M WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONEMAP 2 hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL T- I certify that in the performance of the work for which this OWNER ja Cl O. CONDITIONS DISTRICT .GROUP ITYPE FIRE P O ESSED BY O permit is issued, I shall not employ any'Compensation any manner —� CONST. / E so as to become subject to the Workers'Com ensation Laws. ADDRESS 'V/ Ix FzJ 23 0 Date Applicant AIRCHITECT OR TY ZIP TEL. STATISTICAL CLASSIFICATION APT. JCOND� NOTICE TO APPLICANT: If, after'making this Certificate of ENGINEER NO. CLASS NO. DWELL. UNITS LU Exemption, you should become subject to :the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS mi SEWER MAP with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTOR BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION �> n LIC.�7 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS/ /� /Q� NO./ Z+ VALUATION (commencing with Section 7000)of Division 3 of the Business andLIC. J 6 Professions Code, and my license is in full force and effect. CITY V' (0 t CLAS / $ , 14r SQ. FT: NO. NO. OF CHECK License Numbel3 R1!2 •Class C SIZE STORIES FAMILIES ONE Contractor // ��„'� Date �V 3 /DESCRIPTION OF WORK LLA—) I NEW E] ;1097.3A / ADD ❑ I I am exempt under Sec. J / #,o'o 0 0 2 3 _ ALTER ❑ FINAL B.&P.C. for this reason REPAIR ❑ DATE I o.0 37.50 • Date: USE OF DEMOL FINAL - EXISTING BLDG. ❑ 0 0 0 37.5 9 By Q 2 9 8 r+ Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. 1 hereby affirm that I am exempt from the Contractor's License Law for the following 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 . o 0 4 a 5 0 the structure is not intended or offered for sale(Section LOCALITY _ 7044, Business and Professions Code). MOVING TEL. o o o 4 Q 5 0 v 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 0,29-84 . tion 7044, Business and Professions Code). REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH hereby affirm that there'is a construction lending agency for. FRONT. the performance of the work for which this.permit is issued ' . P.L. (Sec. 3097, Civ. C.).. SIDE '.. . P:L. Lender's Name' Lender's Address P.C:.Fee$ Permit Fee 4 I certify that I have read this application and state that the Is Fee above information 's correct. I agree to comply with,all County Investigation Fee ordinances and t to laws relating to building construction, Total Fee Ua and he ize re esentatives of this County to enter . u 0 property for inspection purposes. /(J M-/ SEE REVERSE FOR EXPLANATORY_LANGUAGE S' o Appli t or Agent Date �' ®s APPLICATION FOR BUILDING PERMIT �l COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS [1UILOFGA D 1 hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800, b.C.) I ZIP IOCALI Policy No. Q Company r�" 'w Z LOT O.OF BLDG5F NOW ON LOT LCC - ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. ASSESSO P OOK PAGE PARCEL Date " &pplicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER " TEL.NO. YES NO COMPENSATION INSURANCE WITHIN t000 FT.of scHooL� ADD �� w (This Section need not be Completed If the permit i3 for One hundred J//J DISTRICT GROUP TYPE CONST.' FIRE ZONE PRJJjESSEI dollars($100)or less.) CITY ZIP 2 P 1 certify that in the performance of the work for which this permit �jUO 3 J ,f� is issued, I shall not employ any person in any m o as to OR N IN �' T L.to. I become subject to the Workers'Compensatio s. R — — STATISTICAL CLASSIFICATION APT C o Date Applicant CLASS NO. DWELL UNITS NOTICE TO APPLICA , after"making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you uld become subject to the Workers' TO TEL.Na _ SET BACK YARD HWY PROP LINE WIDTH Compensatio ovisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. [A4DDRESS �p LIC.N PL T. `�" / /?H� SIDE LICENSED CONTRACTORS DECLARATION LIC.CLAMS PL hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP SO.FT.SIZE O.OF STORES NO.OF FAMILIES (commencing with Section 7000)of Division 3 of the Business and NBAf BK. PG CD Professions Code,and my license is in full force and effec. v y DESCRIPTION OF WORK D ❑ VALUATION /_ 71 ui License Number Lir.Class / ,�^�� CJ 0 y Contractor at '� TER ❑ v z REPAIR ❑ ❑ I am exempt undo Sec. IL I BARC.for this reason / / X DEMOL ❑ LDMA P/C# USE OF STING LDG. Date: UR-M, ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# L Zs EI1, as owner of th operty, or my employees with wages as / O AC 'j as their sole compensation,will do the work and the structure is ADDRES not intended or offered for sale (Section 7044, Business and FINAL C � ;; =i:i 9 r•.` Professions Code.) WILL THE APPLICANT OR FUTURE BUILDIN CCUPANT HANDLE A HAZARDOUS MATERIAL• J1- '''�° OR A MIXTURE CONTAINING A HAZARD S MATERIAL EQUAL TO OR GREATER THAN + +)LE'_S ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � j [ 3 licensed contractors to construct the project.(Section 7044, YES El NO 11 TOTAL 75 Business and Professions Code.) -ac WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING. CHECK :�V o! OCCUPANT REQUIREA PERMITFOR CONSTRUCTIONOR MODIFICATION FROMTHESOUTH - '• CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST j I FOR GUIDELINES. CHANGE oII- I hereby affirm that there is a construction le ing agency for YES ElNO 11the performance of the work for whi permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES - ' •�'}{ y r•�(�/;,� �. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING `,j1 410-00 I 1 VI+-J! )3 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. _ 10. Lender's A OWNER �� `e 45 o 1 certify that I have read this application and state that the above information is correct. I agree to comply with all county P.C.FEE PERMIT FEE ordinances a State laws relating to building construction,and hereby au rize representatives of this County to enter upon ISSUANCE FEE 2Y O the abo tioned prop y i pectin rp�ses 9 J � (6� ` � INVESTIGATION FEE TOTAL FEE Sq,umn of a r . D1 • SEE REVERSE FOR EXPLANATORY LANGUAGE, WORKERS' COMPENSATION DECLARATION insure, or afcertif.cane of Workers,Compensatioafirm thaI have a-certificate of n eInsuran nt to of APPLICATION FOR' BUIL®I N G PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES "" BUILDING AND SAFETY Policy No: Company BUILDING ❑ Certified copy is he�eb ished. .. FOR APPLICANT TO.FLLL IN ADDRESS � ❑ Certified copy is d with the county building inspec-' BUILDING r� Tion depart nt. ADDRESS Date Applicant' CITY ZIP O C/ LOCALITY . N . OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT WON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This sectiori need not be completed if the permit'is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or.less.) ' OWNER NO. --D� USE ZONE MAP I certify:that in'I the performance of the.work for which this NO. permit is issued,I shall not employ any person in any manner ADDRESS SPECIAL so as to become subject to the Work e s'Compens tion La CONDITIONS Q ��'►►► CITY IP Date —4(r, Applicant ARCHITECT OR tl TEL. NOTICE TO APP I ANT: .If, after making t is ertificote of ENGINEER DISTRICT GROUP TYPE FIRE PROCESSED BY Q CONST. ZONE Exemption, you should become subject to the Workers' U Compensation.provisions of the Labor Code, you must forth- ADDRESS �� �t a .with comply with such provisions.or this-permit shall be /^ TEL. STATISTICAL CLASSIFICATION Z APT. CONDO. rn deemed revoked. CONTRACTOR C� NO. LICENSED.CONTRACTORS DECLARATION IC. CLASS NO. DWELL: ITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS o O. 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 �/ y,1 SQ. FT. NO. OF Nd. OF CHECK License Number `E'Y Lic. Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW $ �' ADD ❑I am exempt under Sec. ALTER ❑ B.&P.C. for this reason X�41 � REPAIR ❑ $ Dater USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT L, OWNER-BUIL DECLARATION . (PRINT). NO FINAL I hereby affirm that I a empt from the Contractor's License ~ DATE Law for the fo11 vvi reason (Section 7031.5, Business and ADDRESS J FINAL i Professions Cod PRESENT By - r..-•A•^ BUILDING ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and , "e the structure is not intended or.offered for sole(Section LOCALITY - - - �- 7044, Business and Professions Code.) MOVING TEL. t_ CONTRACTOR NO. 1`>�.;'`' ❑ I, as owner of the property, am exclusively contracting . s 4 with licensed contractors to construct.the project (Sec- `isF ;3 ADDRESS _ -- tion 7044, Business and Professions Code.) ,-:H REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH s I hereby affirm that there is a construction.lending agency for FRONT s'`)'f•F3-> the performance ofthe work,for which this permit is issued P.L. (Sec. 3097, Civ:C.). SIDE.. r Lender's Name. 'JI i: _.—'_1?i. i m LDMA Ref. -#. - 3. P.C. Fee$ Peirmi ss t Fee 3 Lender's Ad 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# 0 8 above information is'correct. I agree to comply with all County Investigation Fee d ordinances an State 'a arews relating to building construction, Total Fee !� LDMA Perm. # Q' and hereby uthorize representatives of this County to enter upon the ove-ment' :Merty for inspection purposes. ' a SEE REVERSE FOR EXPLANATORY LANGUAGE Signo-turdVof ApVicant r kgent Da' tef - - . •__*ORKERS' COMPENSATION DECLARATION I hereby affirm.that I have a'certificate of consent to self insure, or a certificate of Workers Compensation Insurance, APPLICATION F O.R R U la®I N C9, P E RMI T or a certifiedcopy thereof (Seca 3800, Lab. . ) C S,. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ©® Company 1/ '..f _ 42 BUILDING y ❑" Certified copy is hereby furnished.. FOR-APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county buil(Jag inspec- BUILDING tion department. ADDRESS Owe ,( Dater Applicant CITY' ' , �C ZIP LOCALITY NO. 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.rr�� OWNER E ' NO. USE ZOPOND1TIONS I certify that in the performance of the work for which-this PECIpermit is issued, I shall not.employ any-person in any manner ADDRESS / / PECIALd so as to become subject to the,Workers'Compensation'Laws. • CF 0 CITY ZIP G Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, afte[ makingthis Certificate of ENGINEER ,. . NO. DISTRICT GROUP TYPE. FIRE. OCESSED BY _ CONST. ZONE �. Exemption, you should become. subject to the Workers' Q w Compensation.provisions of the Lobar Code, you must forth- ADDRESS with comply with,such provisions or this permit shall be 5;16A S TEL. p STAA CAL CLASSIFICATION APT.' CONDO rn 'deemed,revoked. CONTRACTOR N0. _ /^ _ - 5� Z ' LICENSED CONTRACTORS DECLARATION ADDRESS '� No.. `' Vj j�D O. DWELL. UNITS 1-hereby affirm that I am licensed under provisions of Chapter SEWER MAP.' '.T (commencing with Section 7000)of Divisi=on 3 of,the Business LIC. /� and Professions Code,and my license is in full force and effect:. CITY CLASSY BK. PG VALIDATION SQ. FT. . OF NO. OF CHECK License Number Lic.-'Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW ❑ $ / Q _ C Contractor Date / (- P� ❑f am exempt under Sec. . ADD ❑ ► - ALTER B.&P.C. for this reasonREPAIR El $ Date: USE OF EXISTING BLDG. DEMOL ❑ APPLICANT TEL. Signature FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE &— hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5; Business and ADDRESS' FIN Professions Code): PRESENT B frr ❑ 1; as owner of theproperty, or m em to employees with BUILDING Y' P Y ADDRESS wages as their sole compensation;will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions'Code,) MOVING TEL.. ► Q ❑ I, as owner of the property, am exclusively.controcting CONTRACTOR NO. with licensed contractors to..construct the project (Seo- TOTAL �t� m 8�" ADDRESS tion 7044,'Business,and Professions Code.) (CHECK r•;.K REQUIRED TOTAL'SETBACK FROM EXIST. a:EC CONSTRUCTION.LENDING AGENCY SET BACK YARD HWY, PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT. icthit,r= E p;"j the performance.of the work for which.this-permit'is issued P.L., (Sec. 3097, Civ. C.). SIDE, P.L. Lender's Name. LDMA Ref..,# k m „ P.C. Fee$ Permit Fee Lender's Address o . 1 certify that I have read this application and"state that the Issuance Fee '` " LDMA PiC# 8 above information is I agree to comply with all.County Investigation Fee R ordinances and State lows.relating to building construction, Total Fee ADMA Perm. # a and 4herebyorize r resentatives of this County to enter upon ed rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE pPlicani or Agent Date r 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 0801100022 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 6561 LT: 672 BL: .001 I SQ. FT STORIES TYPE 1 9534 9536 LAS TUNAS DR 1 I (STRUCTURE: 30 VN I TEMP CA 917802104 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-012-011 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: COMME USE ZONE: C-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I I 1EXIST OCC GRP: 101/10/08 SR 07/08/08 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FINA AT FIN BY: CODE: 1 IWONG OTTO;BETTY TRS (626) 282-7135- I 12,500 1 1 120 SANTA FELICIA CT I I 1HILLSBOROUGH, 94010 1 FEES PAID DESCRI TI OF WORK 1 IREMOVE EXISTING ROOF DOWN TO SOLID DECK & APPLY A NEW BUILT 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IUP HOT MOPPED ROCK ROOF 1 1APPLICANT: TEL. NO: I ILOPEZ ALBERT (818) 400-7743- IAA BLDG PERMIT ISSUANCE 27.75 1 1P.O. BOX 596 1AE STRONG MOTION OTHER 12500.00 VAL 2.63 ISPECIAL CONDITIONS: 1 IMONTEREY PARK 91754 (D2 PERMIT W/O EN-HC 12500.00 VAL 267.00 1 1 1 1 TOTAL FEES 297.38 1 1 I I I (CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IMONTEREY PARK ROOFING CO. (323) 726-8560- I I 1 IP 0 BOX 596 LIC. NO 1 ILOCATION AND SETBACKS 1 1 IMONTEREY PARK CA 91754 314663 C39 I I I I -•I I (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I 1' LIC. NO: 1 (SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1150H265 3 011 I I I I I IFLOOR SHEATHING 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I NO 22 I. - (ROOF SHEATHING ( AIT I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 (AIR QUALITY: 1000 FEET MATERIALS 1 I I I 1 NO NO NO IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I IFRONT PL- I 11NSULATION/WEATHER STRIPI I 1 I SIDE PL- 1 11 I 1 1 11NTERIOR LATH/DRYWALL I I 1 1EXTERIOR LATH I 1 I 1 (RATED FLOOR/CEIL ASSEM. I I I I I I I I I IRATED WALL ASSEMBLIES I I 1 IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS I I LOT•DRAINAGE IREPORT ID: DPR261 ROUTE TO: BSO508 I I - I I I I I I