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HomeMy Public PortalAbout9537 LAS TUNAS DR_Building__ 76A 39A DB9.9 APPLICATION FOR BUILDING PE ■ \M.IT DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS ac County of Los Angeles "LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP ONST FOR APPLICANT TO FILL IN BK PG BUILD ��) /� ._.I ,d".4. L✓ I C ADD EISS �J J t,es -rV W as, NUMBER STATE�� -A HWY YES NO` LOT NO. 7 �:�";jj(. '7 BLOCK cUSE ZONE SPECIAL _ CONDITIONS } %r TRACTS CCS lr +h• NO. OF BLDGS. SIZE OF LOT � = I NOW ON LOT BUILDIEXIST. TREET NAME USE OF �,, SETBACKNG YARD HWY I WIDTH EXISTING BLDG. .L,+ FRONT _y,+ OWNER .-- 2LS s SIDE MAIL ADDRESS ��� ��/ J/ /��T/_I O TRACT DWELL. I UNIT 5 INDUSTRIAL _ CITYTEMPkE bTy NO "T ! �J13� 1 - DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR _II'' ��®�// (�TEL� ��5,7e�� INSPECTION RECORD. ADDRESS 4 /V.. C.IG 0, 17 1� 7 7 F=j 0� DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH v� _ SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE A A J - - SIGNATURE OF AA - APPLICANT APPROVALS ADDRESS S If,/I Ge (��� DATE INSPECTOR'S SIGNATURE $ i FOUNDATION: LOCATION .P. C. $ ., FORMS.MATERIALS 3 FEE FRAME: FIRE STOPS. VALUATION $ BRACING. BOLTS FEE FURNACI. 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 LAW$ REGULATING BUILG CONSTRUG- A AND 1�'1`II/KIfI 1/1/1/RRR �' LATH. EXT. ` y SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _ _ RECT AND POSTED ( AA ' ADDRESS 1'T 1 1� 1/1Y17�1A/1 FINAL L�I�dI'�� � l � ���AA_,, JOHN A.LAMBIE. COUNTY ENGINEER V LIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR, K MO CASH 9 0 .3 3 v-, JUM 10 1 2.0 0 In 76A638A CE#803 9-67APPLI'CATION FOR BUILDING PERM1 Il COUNTY OF LOS ANGELES BUILDINGS DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRICT NQ.. G UP TYPE PRO SS BY FOR APPLICANT TO FILL IN 1� X� CONST.- (Print or type only) '._ 1 -:5 f ©CJ BUILDING STATISTICALCL SIFICATION SEWER MAP ADDRESS9537 CLASS NO. DWELL,UNITS PG LOT NO. BLOCK USE ZONE MAP (n' N O. (/ ty TRACT v CONDITIONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT ' USE OF EXISTING BLDG, - BLDG.SETBACK FROM u -TEL. FRONT PROP.LINE OF (STREE,T')� "=4. OWNER Lee IL U- 1 "'" -" NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSADDRESs357 Las Tunas pirite- __._ _ HIGHWAY WIDTH FROM C.L. + _ CITY readi Calif. BLDG.SETBACK ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) .ENGINEER NO. TYPE OF EXISTING SETBACK HIGH + YARD' = TOTAL ADDRESS --' - HIGHWAY WIDTH FROM C.L. CONTRACTORMQ �] f, TOL ,� + O ADDRESS- - VisteqNO 62370 CORNER CUTOFF YES ❑ NO ❑ V LIC. CITY d - CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK a NEW ADD ALTER REPAIR X DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES 1 FAMILIES- - USE OFQuL1,, STRUCTURE eroo w-lth 3_33# sheets Coat with almainimn. coating SIGNATURE OF APPLICANT VALUATION $ 1160 0 • APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, FOUNDATION: LOCATION EES FEE $ 17.25 FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND,STATE LAWS-REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY •THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CODE OF THE STATE OF C//A''►►LIFORNIA RELAT. LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE (J/ LATH, EXT. SIGNATURE OF iJ .. �, J HOUSE NUMBER COR- y PERMITTEE' [/LLG RECT AND.POSTED ADDRESS FINAL �V4 7/ JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. ,.SASH _ PERMIT VALIDATION „cK. M.O. CASH 8 2 0 5�. oEc3 0 1 D 1 7.2 5- ak "all . PARTMENT OF BUILDING=SND SAFET ApPPi'-IC- -k- FOR IIIIRMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLIC fiTT TO FULL. IN FOR OFFICE USE ONLY BUILDING y,, DISTRICT NO. PLAN CK. NO. PERMIT NO. LOCALITY rS.dnCi�Si�� � RE�CEIV�E✓D I ! DATE OF APPL. DATE ISSUED NEAREST UED NEAREST CROSS ST. ''�-�C�(' �/ "✓v N BUILDING � OWNER F„z r. � , j •,y; ADDRESS MAIL* �: ' ADDRES LOCALITY NEAREST TEL. _CROSS ST. CITY �..R�s✓� .%ii ,- ✓ { NO. v FIRE ' NO.OF T-YP � GROUP ARCHITECT OR - TEL. ZONE r.►�-I PLANS I ENGINEER - NO. BLDG. ORD. NO. ADD ESS , SETBACK LINE CQNyT j'%F2 "'x� .dJ."�'': NO •rmL� 9 t- ry! :6:s1 By DATE DATE Pl',wlf t? USE �a APPROVED ADDR 9 U �[,` 'le ,.l�Fl r + ZONE(.,�.”IJBY DATE LEGAL CORRECTIONS DESCRIPTION, I LOT ��-}yG�.�. BLOCK r..�-� TRACT - �+ NO. OF SLOGS. - SIZE OF LOT 1 .,j' I NOW ON LOT USE OF E 2 NO.OF .�-- NO. OF EXISTING BLDG. I FAMILIEH I ROOMS DESCRIPTION OF WORI{ NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH L7 SQ. FT. NO.OF Z SIZE ROOMS STORIES D r WALL - ROOF - COVERING ( COVERING UBE OF NEW BUILDING A .- 1 HEREBY ACKNOWLEDGE THAT I HAVE. READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS _ AND.STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS OWNER LATH, INT.: AUTHORIZED AG 6J LATH, EXT.: P. C. S _PLASTER, INT. FEE PLASTER, EXT. _ -2 5 111 (� VALUATION FEE """' FINAL �� �--d � � ✓ 7GA530A DHS-3 3-55 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUMDING AND SAFETY BUILDING '�}-- Department of County Engineer ADDRESS County of Los Angeles LOCALITY WM.J. FOX.COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. (M I t---X Y GROUP DISTRICT.NO. , UP ,I,YPE SEWER MAP FOR APPLICANT TO FILL IN °S �'-Z I CONST.. BUILDNG ADD EISS .7 •_r4! VN✓ .B NUMBER ER•Z O HWY STATE YES NO LOT NO. BLOCK 'USE ZONE ECIAL CONDITIONS TRACT - Z- NO.OF BLDGS. BUILDING EXIST. SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF EXISTING BLDG. FRONT P. L. 1 OWNER /,�L SIDE _ P. L. MAILCC / ADDRESS J• �`� � Y J O TRACT DWELL. 1 UNIT 5 INDUSTRIAL DWELL. 1 UNIT CITY 7r' ��-P- t/��L I NO.Y/G.(w I� 6 PUBLIC BLDG. ® ARCHITECT OR TEL. 2 DUPLEX 1.UNIT 7 ADDN.,ALT., ETC. ENGINEER NO 3 APT. UNITS 8 MISCEL. ADDRESS •4 COMMERCIAL �- TEL' NO. INSPECTION RECORD CONTRACTOR / ADDRESS 11 c1. •= !I;:.r Ici.'S' Ul!_ i o 1 I.10 01„1 Omp L&g£1'j DESCRIPTION OF WORK NEW ADD LTER REPAIR DEMOLISH Qlc ` t S'TL�LItjc."%.•. Shlt/c�1..v ;'FS SQ. FT. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE APPLICANT 999 YYYpq APPROVALS _ ADDRESS •' / ls^ ^'��+.�G/V �j .`d DATE INSPECTOR'S SIGNATURE $ FOUNDATION: LOCATION P. C. $ FORMS, MATERIALS FEE � FRAME: FIRE STOPS, VALUATION $ �v 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. yam- LATH. EXT. SIGNATURE OF / HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED ADDRESS \ FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR . r��o 9 2 4 9 OCT 21 1 4.0 0 W/ a-.�az-YARTMENTKF BUILND SAE-2j,%"�r � .6OUN'7 ,.P OF LO ANGELES .w__ -a- WM. J. FOX, CHIEF ENGINEER 1' } FOR APPLICANT TO FILL.,,IN ,� FOR OFFICE USE ONLY BUILDING - DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRES9 LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST 10K- CRO CRO S9 ST. J...'f`GI NG OWNER ADDESLS /�O /)r/ 'ly�j T�y I! !K . _7�^ MAILA):-2-9 7 I�j - LOCALITY ADDRESS /l :i NEAREST TEL. ' CITY NO. CR089ST.FIRE .ARCHITECT OR' ^ q i TEL ZONE I p qNS I TYPE ` GROUP ^ ENGINEER L \ y J „4NO. `/U BLDG. �' ` ORD.NO. :ADDRESS �� SETBACK LINE r o APPROVED CONTRACTOR TELA NO. BY DATE `' USE APPROVED ' ADDRESS' i, ZONE 3 BY DATE / DESCRIPTION. I LOT NO. / �7�I BLOCK -� -�,�� -7 CORRECTIONS ! 1 TRACT NO.OF SLOGS. I - BIZE OF LOT 74, _Iy /( O I NOW ON LOT / USE OF /,�57u ,r1 ,,,.� NO.OF 'II NO.OF EXISTING BLDG. eJ FAMILIES C-y ROOMS DESCRIPTION OF WORK 00, NEW I ALTERATION V ADDITION O ' A REPAIR MOVING DEMOLISH - GI BQ.FT. - NO.OF - Z SIZE ROOMS STORIES D r WALL ROOF COVERING I COVERING USE OF NEW dp BUILDING I - I HEREBY ACKNOWLEDGE 'THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECTFOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER I' LATH,INT.: AUTHORIZED AGT LATH,EXT.: DEM-3 2SM SETS 1-47/$ P.C.$ PLASTER. INT. - L+" 0 FEE, PLASTER,EXT. VALUATION - !..-/ � /-I b - FEE - - _ FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' mm COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER I L 1 "�' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY '',,,,����,� DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS 8�,� � � �'SB LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST _2ROSS ST. ��A� D�y� ,�.,./��/J1 _ i(J(�L/f o ems'Y"`a vis/t "�`i'` BUILD 1 N Q OWNER +� ADDRESS MAIL / J LOCALITY ADDRESS �f/ �� (t.c !- '1'4 c _ TEL.a- p( +'�9�°a3 CROSS ST. �/js3�a-.A .i8 } CITY A NO. // FIRE NO.OF TYPE GROUP ARCHITECT OR / TEL. ZONE PLANS ENGINEER V NO. y�a� ^o e> p��J -- BLDG. Q"�f �, . "5T ORD•N ADDRESS O. SETBACK LINE '� o� APPROVED - z TEL. BY DATE _CONTRACTOR NO. USE APPROVED ADDRESS ZONE -bey DATE LEGAL �Z$-��� I CORRECTIONS DESCRIPTION+ Q LOT NO. BLOCK _TRACT � J QQ v g ,moo NO.OF SLOGS. SIZE OF LOT��3( I I NOW ON LOTUSE 2 EX STRING BLDG. p I F MIOL E9 ® I CON C' or DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH t, SQ.FT' NOOMSTORIES Z SIZE R y WALL ROOF r COVERING I COVERING USE OF NEW BUILQ4NI3 w . r i i I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LA WREGULATING BUILDING CONSTRUCTION. - eg •lJ'�p/J� FRAME: FIRE STOPS, _ SIGNATURE OF _ �� `n BRACING,BOLTS PERMITTEE v „sP�y - LATH,INT.: AUTHORIZED AOT s LATH,EXT.: NMI DSS-3 50M SETS 1-4e $ P.C.5 PLASTER,INT. FEE PLASTER,EXT. /) VALUATION F n FINAL a //d/,Q�' Z APPLICATION FOR PERMIT D T�VIENT OF BUILDING AND SAFETY,' LINTY OF LOS ANGELES '< JTT WM. J. FOX, CHIEF ENGINEER v i � �• NO. OF BLDG. t'� ORD-.NO. DISTRICT NO. PLAN CK.-NO. PERMIT NO. PLANS _ SETBACK LINE.�© ^��°"'- /y . FIRE APPROVED 0--•° ,J (,,.�,J ..,J4i,- '�' ZONE BY DATE RECEIV$DY .DATE OF APPI DATIrlS&UED USE. �r/� - APPROVE ZONE .3 BY DATE/ / Af/ T`►� J.., �� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY P K BUILDING - O NAMirADDRESS fir,., "` �. '•" U W -� W Z ADDRESS I- 2 Z .-NEAREST ��`!7 4►f Y U W CITY _ _ -CROSS ST. STATE EL. Q LICENSE NO. �iajJ NAMElz " W r MAIL EO NAME 3 ADDRESS U O TEL. Q ADDRESS - CITY NO. E F Z CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O - APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - LICENSE NO.. s! NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ZO LOT NO. •> 7 _ _ tom! _ SI OWNER E OF SIZE OF LOT ��3✓i ,r,� � NO. OF BL DGS. Q 0. BLOCK "" - NOW ON LOT AUTHORIZED AGT.. '1 W 11 ✓ J W TRACT .��(�1 CORRECTIONS O USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING' r: O C " 9 r . o a .� m NEW TYPE f GROUP NO. OF" NO. OF - ALTERATION ROOMSFAMILIES ADDITION SIZE � l� Z - REPAIR STORIES l� - MOVING WALL COVERING L.aLMOLISH ROOF COVERING P.C.$ . °' FINAL APPROVAL' FEE £NSPECTOR'S `}VAM� VALUATION FEE PATE, I, APPLICATION FOR BUILDING PERMIT . COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI ADDRESS 1 hereby affirm that I have a certificate of consent to self insure, BUILDI ADDRES - or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,L'ab.C.) CITY ZIP /I LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby,furnished. NEAREST CROSS ST.. El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP.NO. department. Date Applicant - .ASSESSOR MAP BOOK - PAGE PARCEL - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS 'OVIIE R EL NO. (j COMPENSATION INSURANCE I'L8� .�G� !'' WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESs�1, GG-- � DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) v _ CITY/ ZIP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as,to ARCHITECT R ENGINEER TEL NO. O .J become subject to the Worker tion Laws.. STATISTICAL CLASSIFICATION APT CONDO Date :Z 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 4 Compensation provisions of the Labor Code, you must forthwith kb -Q 33 i FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION P.�tE PILE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 — SEWER MAP (commencing with Section 7000)of Division 3 of the Business and -SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG , a License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION 0 y� U Contractor.VVXOki- SY�pate ',x50-95 ALTER ❑ $ �' cc ❑ 1 am exempt under Sec. REPAIR ❑ $ B.&P.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ IL Signature APPLICANT(PRINT) TEL NO. LDMA Perm# m Z ❑ I, as owner of the property, or my employees with wages as ZO their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL Sy� O N'' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J S i '-t ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 -- licensed contractors to construct the project (Section 7044, '1 F 1'•' ti'� 'tee p s f_=:171 .� r Business and Professions Code.) VES❑ No❑ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING V A'-_H OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING` AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDEUNES. •.-.�+�k�_7_ _ I hereby affirm that,there is a construction lending agency for YES❑ No❑ N the performance Of the work for which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C.) CHECKLIST.I'UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.740 CONCERNING HAZARDOUS ._ 110 -••,S,:f E Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. _ o Lender's Address OWNER OR AGENT O oI certify that I have read this application and state under penalty _� F IL E:_ O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEES �r with all county ordinances and State laws relating to building a constructiVne- d here authorize representatives of this County ISSUANCE FEE _ o en ab -m ntioned property for inspection purposes. _ r_EF s _/ -_•f •: y INVESTIGATION FEE TOTAL FEE 6o r gnamre of ApPiiwm o, rsr ate •__ SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0203290029 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 0 BUILDING ADDRESS: TR: 6561 LT: 278 BL: .001 SIGN DESCRIPTION: WRAP AROUND AWNING 9537 LAS TUNAS DR TEMP CA 917802105 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE 8587-013-011 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIS BLDG USE: SS ED ON: PROCESSED BY: EXPIRES ON: CRUMBS & COFFEE EXIST OCC GRP: 03/29/02 JK 09/25/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: HONG TSING SU - 3,000 111—IL-9.. v Z— EES PAID DESCRIPTION OF WORK AWNING WRAPPING AROUND BUILDING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: SHAR KYI CHOW (ITAL CUSTOM SIGN) (626) 444-6027- AA BLDG PERMIT ISSUANCE 27.75 2651 N LEE AVENU #3 AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: S EL MONTE 91773 D2 PERMIT W/O EN-HC=�-3000500 VAL 99.00 ,' GGF TAG;;F�EES 127.25 IONTRACTOR: SIGNS CO. TEL. N444-6027 APPROVALS DATE INSPECTOR SIGNATURE TAL CUSTOM2651 N LEE AVE #3 LIC. NO LOCATION AND SETBACKS SO EL MONTE, CA 91733 652665 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNCATION/TRENCH FORMS LIC. NO: ( 1111111 SUPPORT STRUCTURE z (._ L , MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMOOI n D� vIV O NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: v NO 20 O 0 SCHOOL WITHIN HAZARDOUS O ** AIR QUALITY: 1000 FEET MATERIALS 0 �_ NO NO NO Li �;"t � ec IZ ��PQIa� REPORT ID: DPR261 ROUTE TO: SS0508 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 0203290023 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER-OF-SIGNS: 2 BUILDING ADDRESS: TR:'6561 " LT: 278 BL': .001"`"' SIGN DESCRIPTION: ILLUMINATED LOGO SIGNS 9537 LAS TUNAS DR TEMP CA 917802105_ ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE 8587-013-011 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: E S BLDG USE: ISSUED 0 : PROCESSED BY: EXPIRES ON: CRUMBS & COFFEE EXIST OCC GRP: 03/29/02 JK09/25/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL D T FINAL BY: CODE: MAC;CANDICE (323) 823-3688- 1,100 3112 ISABEL AVENUE ! L ROSEMEAD 91770_ FEES PAID DESCRIPTION OF WORK TWO NEW SIGNS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SHAR KYI CHOW (ITAL CUSTOM SIGN) (626) 444-6027- AA BLDG PERMIT ISSUANCE 27.75 2651 N LEE AVENU #3 AC STRONG MOTION RESID 1100.00 VAL 0.50 SPECIAL CONDITIONS: S_EL MONTE 91773 D2 PERMIT W/O EN-HC----7---1.100:00 VAL 82.20 ��� LL F�EES 110.45 CONTRACTOR: TEL. N0: ��� APPROVALS DATE INSPECTOR SIGNATURE ITAL CUSTOM SIGNS CO. (626) 444-6027- 2651 N LEE AVE #3 LIC. NO LOCATION AND SETBACKS SO EL MONTE, CA 91733 652665 SOILS ENGINEER APPROVAL RCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: 1111111 SUPPORT STRUCTURE MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPO0� L V C W 0�K 3 NO. OF FAMILIES: DWEL ING UNITS: APT/CO D: STAT CLASS: _ NO 2019 0 ; SCHOOL WITHIN HAZARDOUS 1 0 f�*, AIR QUALITY: 1000 FEET MATERIALS fJ 9C '"L- _ NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508