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HomeMy Public PortalAbout9565 LAS TUNAS DR_Building__ '�.. fr.. -68 Bn/"*��®- I• G-,P, rRa1 i. T76A888A CE#80870 APPLICATION LCAT1 N FO ., - �.. .• COUNTY' OF LOS ANGELES BUILDING -DEPARTMENT.OF COUNTY-ENGINEER' ADDRESS BUILDING AND SAFETYDIVISION LOCALITY'"' JOHN A. LAMBIE,COUNTY ENGINEER NEAREST 'CASSA-TT'DE.GRIFFIN,SUP'.T.OF BUILDING CROSS ST.' Mamma omruDISTRICT NO " �lCiAT 'TPR SSED BY•+CONST.FOR APPLICANT TO.FILL IN 611,BgILDING A .,CASSION I SE ER MAP ADDRESS. ��:. :t P + . CLASS.NO. •DWELL.IJFIITS�' LOT NO: BLOCK`, NUMBER SL WY.:.' YES,:: .TRACT ` " < USE ZONE SPECIAL CONDITIONS NO.OF.BLDGS'-- 2'f - SIZE OF LOT °rI"NOW ON LOT. _ C,.' -USE OF , .. BUILDING . . - EXIST. EXISTING BLDG. ° YARD' HWY TREET ME - .. SETBACK - - WIDTH 'OWNER= - ..';FRONT _ ,. - _ Fl L. .. _ MAIL y ADDRESS'.: ^ •_ ._.... ."SIDE -' TEL - P.L. ,CITY Q - NO _ _ ARCHITECT O TEL INSPEC' TION'-RECORD,. ':'ENGINEER ` .._,: _ ". NO. ADDRESS .'x. _. TEL: - CONTRACTOR vL :NO. - DESCRIPTION-OF WORK _.NEW ADD. - ALTER :REPAIR DEMOLISH'-s.v - >' SQ.FT. - - - NO.OF '.NO.OF -- SIZE STORIES - FAMILIES. - x 'USE OF ,.'STRUCTURE 7. SIGNATURE OF.1 " -. r-.APPROVALS DATE .INSPECTOR'S SIGNATURE ADDRESS ��(� LS FOUNDATION LOCATION i",VALUATION$ .D® - FORMS,MATERIALS IFRAME:rFIRE STOPS, , BRACING,BOLTS- FURNACE:.FURNACE:.LOCATION. P.C. ,-S .PMT. $ - .GAS VENT;DUCTS FEE , FEE 'I -' '1 HEREBY ACKNOWLEDGE-THAT CHAVE-READ THIS AP- PLICATION AND STATE"THAT.THE ABOVE IS CORRECT'AND LATH...INT: AGREE TO.COMPLY WITH-ALL'COU,NTY:ORDINANCES AND - STATE- LAWS"REGULATINGBUILDINVG .CONSTRUCT.ION. LATH,-EXT:., } SIGNATURE OF HOUSE NUMBER�COR- ..PERMITTEE- (,�-� �' _�'K-� " 'RECT AND POSTED• _ - - Q t .ADDRESS * AJ FINAL' •"+` 6.��.Q' CLYDE"N: DIRLAM,:PRINCIPAL STRUCTURAL C.A ' PLAN CHECK VALIDATION CK.: M O CAS" _ PERMIT VALIDATION CK. M.O. H Lf10 2 8 -b'°; v � 7 — i 'A .0 s, ©S'76A638A f • .. - CEX6a3(REv 6/76) I:?- Tem p1•e City Ai40L.fC* A. 1. 0N F011 OU IL_D SNG PE�R'M LT COUNTY OF LOS ANGELES BUILDING AND SAFETY :: t FOR APPLICANT TO FILL,IN. ADIDRESSESS :AD BUILDING ADDRESS '9565 .T aS, TuriaS, LOCALITY - NEAREST CITY -ZIP 91780• '„ CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 7 NOW ON LOT MAP.BOOK e PAGE . PARCEL $ DISTRICT GROUP TYPE' "' 'FIRE ' PRO ESSED BY TRACT J fO BLOCK`.. l T'Kf0 CONS ZONE TEL. -O A OWNER ',IVlr P* o STl STATISTICAL CLASSIFICATIONSEWER ADDRESS 1260 Shenandoah., Rd... CLASS NO. ��DWELL.UNITS WE ' G- CITY San Marino : 'ZIP : 91108. ARCHITECT OR TEL.- VALUATION $ 5 000•00 ENGINEER NO: ADDRESS BLDG SETBACK FROM _ .. TEL 'FRONT PROP LINE OF (STREET) CONTRACTOR Lytle ROOF iri NO. 79-2-5171 HIGHWAY + YARD = TOTAL_SETBACK'FROM TYPE OF EXISTING LIC. :..FRONT PROP..LINE HIGHWAY WIDTH ADDRES5'2948 E. .Walnut N& 32.73,' CITY .Pasadena CLASS E39 BLDG.:SETBACKFROM . CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET), NAME AND BRANCH TOTAL SETBACK FROM "TYPE OF EXISTING HIGHWAY + •YAR D - ADDRESS. CITY SIDE PROP:LINE HIGHWAY WIDTH u SQ.FT. NO:OF NO,OF CHECK + _ SIZE STORIES'• 2.' FAMILIES ONE DESCRIPTION OF WORK Ti y 1' NEW . 0 P.C. Fee$ Permit Fee, '-.-,54,,QO 1- &1/90 &1 90 45# Asb 4. ADD .''❑ Issuance Fee T.OO ' ALTER,. ❑ z REPAIR Notal Fee ,1.....6 ..00 USEOF.: DEMOL'❑ Z a ' EXISTING BLDG. COmrfterl@ial ✓ O APPLICANT,-. Jj�. TEL -� PRINTIM S, LV O. 6 . 611.�Q ... C BY(SIGNATURE) > I HEREBY ACKNOWLEDGE THAT,I,HAVE READ'TrTrI5APPLICATION AND.STATE THAT THE ABOVE IS CORRECT AND'AGREE.TO COMPLY.WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE S D - " WORK AUTHORIZEHEREBY I.WILL.NOT EMPLOY ANY-PERSON IN VIOLATION OF ;9.7.0:4,_ - V '7.0:G: 1 A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING-TO WORKMEN'S COM Z - PENSATION INSURANCE. - 'g, .#,.O O O ,O O'1- .. SIGNATURE OF l '.' Z:o.,o,6 1 0 PERMITTEE' ADDRESS. Z {o o ?.b 1s 0 V:.. O TEL'.. TO,0 3'-'7 9 CITY NO. USE ZONE MAP NO > SPECIAL F C.. CONDITIONS LU FINAL BY d DATE �� - � F'., A.PPLpd7 ION FOR `E'UILDING PERMIT°.; S'I FOR APPLICANT TO'FILL-IN' (Print or,°rube onIY1 BU'Lo' NG. -.-- - COUNTY-OF LOS .AN.GELES, ' ADDRESS DEPARTMENT ,OF.COUNTY .ENGINEER . } `CITY' z I P A;' �" --BUILAND-SAFETY,-DIVISION f � _ NO.' OF BLDGS -' ,t ` BUILDING' 'SIZE OF LONow-'ON 'LOT"- "ADDRESS'" .TRACT-' BLOCK -� LOTH LOOALITY:- / - :- - -� ` TEL ? NEAREST r .OW.NER.:. �.�E�f� '�. . � .:: .N O; � CROSS,ST - � ASSESSOR _ ADDRESS- ��. �/✓ vip ///li MAP,BOOK ' 2.�PAGE PARCEL„ � DISTRICT .GROUP';TYPE• I FIRE ROC- SE�BY CITYi�'f .,.L . ...ZIP. _ - `' --; Z Q. E CON :. ARCHITECT OR -. _. . .a -: TEL., �-` ENGINEER- NO.- STATIST]CAC.CLASSI'FICA TI, N .` - "•--'t -''" -' yy OS E R M' ADDRESS" rr - CLASS NO.-LZ�DWELL,.UNITS- L r BK�i�p� CONTRACTOR '� 1.LU C'L' - 3� USE ZONE MA'P . NO. ...ADDRESS ..;NO.�.Z3 'O SPECIAL _ �� .- ,- CONDITIONS LI CITY f�`!f - CLA'SS' ROAD DEPARTMENT APPROVAL REQUIRED YES' NO CONSTRUCTION LENDER ' NAME AND BRANCH BLDG-SETBACK FROM G} - _- ` • -- 'FRONT.PROP..LINE OF'� (STREET. V ADDRESS_ - - - ' CITY. -- _ - HIGHWAY. } YARD = T TYPE OF EXISTING TO 5ETBA'CK FROM --SQ,,-FT: NOi-OF" --. NO.•OF - +CHECK _ _ :,FR-ONT PROP.: LINE-. HIGHWAY :WIDTH' L^ SIZE STORIES • .FAMILIES ONE " - R : - ' f.. DES'CPTI'ON OF WORK _.. NEW .O✓ V: BLDG-.SETBACK-FROM.- - - -. -' -- Z ADD S1 DE PROP, LINE OF- (STREET) -, ,ry �•,,/�(` ALTER' - TO-TAL,SETBACK',F-ROM TYPEOF EXISTING HIGHWAY -"+ YARD .. �. . SIDE PROP. LINE' HIGHWAY -- - - -VJbDTH -. REPkiR USE OFrr-__ -r /�" ❑ } EX,IS,TINGD . BLG, -� � DEMOL r J -5e4 CORNER CUTOFF YES,❑ NO. APPLICANT 'TEL - - t - ,,,(PRINT) N0. (L BY (SIGNATURE( .IN OPEN SPACE - YES-❑ .. -,NO- - - IN COASTAL.ZONE YES,, NO ❑ t. - Q /l -VA'LUA.TION i� :f�(`J '� „-- - - CATEGORICAL EXEMPJI-ON - Y.ES NO I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPL'I'CATION ENV IRONME NTAL _ .-AND STATE THAT THE ABOVE--I'S CORRECT AND-AGREE-TO COMPLY.- IMPACT - EXEMPTION DEC'LARATIO,WSIGNED- (DATE)- WITH ALL ORDINANCES AND LAWS REGULATING"BUIL G k0N- - STRUCTION. I CERTIFY THAT IN .DOING TH WORK U HORh2Ep' _ fMPACL.REPORT,PROCESSED..' (DATE-) '- HEREBY' W'ILL'NOT EMPLOY -`PE N" N" VIOL TI N-OF TME- LABOR CODE OF THE ST OF IF NIA I LATING TO WORKMEN'S CO MPE NSAT N URA. - - AZ—Qv 42[,✓""�'�. ��Sr- '/ ✓."�(J � SIGNATURE OF ,.Cs f � f PERMITTEE ADDRESS f _ FIN A L 'C I'TY �_::� //'�- •.�.',..- -NOL.fetS -3 3 DATE '. ... _ ..,_ . .. P:G: - :`•i PMT.: - - MAKF CfiECKS,i'AYABLE T6: FEE FEE HARVEY T. BRANDY. COUNTY'ENGINEER 'PLAN CHECK VALIDATIO# cK M:O., .CASH PERMIT, VALIDATION.. cK. M10. _' CASH - 9' lk 29 2 3 ae� f'76A638A CE#803 7/73 1 - 571" . W')RKERS' COMPENSATION DECLARATION s I•Hereby affirm'that_r _hpve a..certico o .onsent'to:self y` ® P`�C� ''o.� 16:��, �" �E RM I T insure,ior a-certificate;of Workers Compen"sdfion Insurance, P or:a-certified co' thereof' Sec:.:3800; Lab C r ='; f PY v ( )r., •• UNTY-OF'LOS ANGELES - BUILDING'AND-SAFETY. :.' Policy No Company �`..> ,r __. BUILDING ❑, ;Certified'copy'is;hereby:furmshed.; r'FOR`QPPLICANT TO`FILL IN ADDRESS' > „ . 1�rJ BUILDING =Certifibi copy is filed with'the county building inspec // tion department: ADDRESS b; l/Cn �r• Y / a $ K CITY' l� ZIP CJ LOCALITY- Date ,• Applicant OF BLDG N . ' CERTIF.ICATE OF-EXEMPTION FROM WORKERS SIZE-OF LOT` NOW ON'LO7', CLQ NEAREST '-COMPENSATION-INSURANCE x (This,section,•need not''be:co,mpleted if.The'permif:is'forone TRACT BLOCK '. LOT NO " SO PAGE PARCEL hundred dollars; $100 or lesr " orr. TELT ( ...-) ) ST :. _ USE ZONEMAP.MAP ;.r OWNER _ O•,r L-certify that in the•perform ince:.of the work for-which" his `„ ^ permit.is issued; I shallnot em to an" y' L ,� - / -mss/ Q` p- y yperson in manner ADDRESS a, 'so 6s'to,becorne subject-.to the-Workers; Compensation:Laws_. „ �; O �A /y ,J SPECIAL '` 7 �p�� ����� CITY'_ Q/u/ ZIP ��U / 7 Q CONDITIONS r • U `D6te; .Applicant.ri /K.B17 5 ARCHITECT OR TEL.' 1'.GRO31,TYPE "FIR �$ ENGINEER. ;:NO. NOTICE TO APPLICANT:, If;,after makingthis-Certificate-'of' E DISTRICTROCESSED BY Ot,, CON ZONE t— Exemption, you should become subject to the; Workers " W Compensation'provistons:of the'Labor:Code;?you--mustrforth ADDRESS r a: with comply7:with+such provisions or.,this permit shall be TELA/ ,y- STATISTICAL CLASSIFICATION AP7: CON Z , deemed_`revoked A: L _ CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION_ O LIC. a CLASS N DWELL UNITS 4.:': ADDRESS NO.�� Z.. :Lhereby affirm that I.am'licensed under provisions of Chapter 9 SEWER%MAP commencin -with Section 7000'of Division 3.oft,the Business ,: LIC:' . ( 9.. )-. CITY.- CLASS ` and:Professions Code,and my license is i' full force cind effect ; . BK. PGH ', VALIDATIONJ. - ((; _ SW,,FT NO: OF NO"OF "CHECK ` License:Number' .z7 'a'"� 6a�sLic: Classt SIZE'_ „ STORIES FAMILIES ONEK h : VALUATION '7 ,{ ControaTor f'F^ Q Te .—� Y ��.'; NEW a r DESCRIPTION OF WORK µ. ❑.t am exempt under:'Sec y��� � S 'ADD. x❑ ' ALTER, ❑: B:BP C for this:re'as'on REPAIR 0 S r t Z_X713 - L� USE.OF O Date: EXISTING BLDG. 0. z. Signature FINAL , ". DEMOL' APPLICANT _ / TEL. ( PRINT 'D Q. /J t? t 2 NO: {� , 4 OW = LARATION. " I�Ff' f3t7tt I h'ereb affirm that l gm`exem tfrom the Contractor's b e'nse DATE r ADDRESS « 12 Law for'the following reason (Section 7031 5 Business and FINAL Professions Code). PRESENT By. z / « ❑ J, as owner of:-.th'e property, .or my employees wi.fh ;r t ADDRESS i " -wages as}hejr sole compensation;will do the-work and ._ t �:' ` the structure is not"intended or.offe�e focsple:(Section LOCALITY ,r 7044,:Business'and.Pro.fessions.Code ) "` MOVING y TEL:: Is�, ` ® s _( , #, ❑` I,,as'owner-of the property„ am,ekclusivelyconiracting CONTRACTOR NO. _ - _ --with'licensed,c'oniracTors`torconstruct'Gthe'project'(Sec �- -` � Y=tO •',tion 7044; Business>and`Professiops Code;); ” ADDRESS, - 3 t, , o- - ;t: . ;,REQUIRED.:, TOTALSETBACK.FROM EXIST. i. 1^-. _�+'t�� YARD': HWY CONSTRUCTION='LENDING AGENCY :° SET BACK PROP: UNE:, WIDTH I hereby affirm That there',is a construction:'lendirig.agency for ;,FRONT° , . . _ the performance of-the,w'ork-for hich-this permit is issued P L=t' ft ' r ',r sr -+� , (Sec'. 3097, Civ::C )...'•;. rll3_ SIDE^ } FIs t13 is lief I PLt, rw. r Lender's Name. t .� '. Ref # n Fee$ Permrt Fee i, .. ,. ' LDM,4 Lender'sAddress ^I 11 s ,.. . , .. I certify Thdt'I have read•this application'and state thai the. ., Issuance"Fee 'Y LDMA.PiC# -.. - - - -above,information is correct: l agree to comply,wiik'all-County Investigation;Fee ordinances and•,Stater laws.relating to 6`ui)ding construction, Total Fee LDMA.Perm..# N - .. ,. a and hereby authorize representatives of this County.to enter, _ upon the ab menti ned property'for inspection purposes: a �y SEE REVERSE:FOR EXPLANATORY LANGUAGE Si lIcont or Agent bate h , I ^..APPLI ,. i.: ., .:� ,. . : �,.. , :. , CAI"L,ON .FOR BUILDING PE RM • F�COUNTY OF:LOS ANGELES : f FOR APPLICANT•TO,FILL IN ..-„ .. . - BUILDING ADDRESS .4, . • KERS COMPENSATION DECLARATION ;, .�• • " BUILDING,.ADDRESS x - - e ' h'hereby affirm that.a.have,a certificate:of consent,to self,Insure, ° WOR m ja ��'+ r [C' '✓ 5 , or'a.certificate--of Workers' Co InsurancE;, or a certified Sr ,. - = ,h - rCITY - 'ZIP, u copy,tliereof(Sec 3800,Lab C,) r LZ .� C j {����� LOCALITY PolicyNo Company-' ! :- W:ON - SIZE OF--LOT �NO OF,BLDGS NO LOT ❑ Certified,cop Is hereby furnished ` r. NEAC. J J •--.. - .,..r •y.- ;,,.. �.:. TRACT - BLOCK' El -,.., ❑'Certified copy is filedwwith;the,county:'building inspection f. E"department.:;:,.. USE ZONMAP NO Date'' Applicant a ASSESSOR MAP BOOK " , PAGE PARCEL { SPECIAL CONDITIONS CERTIFICATE OF EXEMP.TION,FROM WORKERS;:_ 'OWNER- TEL No. YEs NO :COMPENSATION INSURANCE SCHOOL? • - M dL r•, _ Yf r�`� WITHIN 1000 FT OF !Z•c -y.ADDRESS. - •; (Thissectionneed notbecompleted'rf:the_perrriit iS;for One hUndred7- :;�,- - Y DISTRICT• . ,GROUP.... PE CO F.I ZONE PROCESSED BY dollars,($100)'or less.),".' �� -,. r+ - CITYW, ZIP _ 1 certify thatin;the•performance.of:the work,for which this permit! SiW'rN K 1�2'Tr✓dy a '", •,i5 issued, C`shall not employ.any person-in any manneF.so as,to become subject to the Workers`Compensation Laws.. ,ARCHITECT.OR ENGINEER,:., TEL NO, , • STATISTICAL CLASSIFICATION - APT- 'CONDO Date. - pplicant , "'CLASS'NO.. / ADDRESS 'DWELL UNITS NOTICE TO-APPLICANT.: If' after .making` thi -Certificate.,;°Df. ".. _-- -'' _ 'REQUIRED TOTAL'SETBACK FROM EXIST" Exemption,, °'you 'should° become subject °t0 : the--Warkers CONTRACTOR TEL NO. SET BACK - _: YARD HWY PROP LINEWIDTH Compensation.'provisions of the.,Labor Code, you must forth with' fc FRONT comply with such provisions ortnis permit shall•be deemed re'voked.. ADDRESS LIC:,NO. p LICENSED CONTRACTORS DECLARATION CITY,5' 'L O O`✓•i'7.•.C. SIDE,'. L hereby affirm that I am licensed underprovisions of Chapter.9; R t rt4 o�t -' LIC.- L's SEWER MAP (commencing with Section 7000),6f Division:3 of:the Business and SO_.FT.5gE NO.OF STORIES NO.OF FAMILIES;. Professions,Code,and.my license is in full force and.effect. f'�'' Q BKI1, PG a $'171(e C �2 License Number. - - Cic.Class 3 rJ DESCRIPTION OF WORK '--' NEW ❑' Oz� U ADD. � ❑� `VALUATION Contractor. ia7; �'L 2 ri ° Date .,- ALTER ❑: D40. o .2 a /L /�� $" L�2 ov.� El Lam exempt Unde'r'Sec R A200" 0 -f - M 3• ' REPAIR B.&P.C.'for'this reason, L;1t +l� 2!S ir✓sc G 6�J ' 2 5 y H DEMOL El 'LDMA P/C# : - W USE OF'EXISTING:BLDG: '' - - U`RM• `❑ ,. �'' to .--Signature 4.. I - AJPerm#,. .y Z APPLICANT CANT(PRINT j TEL NO. -'L M ❑ I, as owner'of'the,proper:tY,, or'm "employees:with wages as ,;„ .their sole compensation;.will:do the work and the structure is` ADDRESS '':` .. , rt Z O not.intended or offered-for sale (Section,7044, Business and Q i FINAL'DATE r�.� 'PI'OfeSSIOnS Code.). . ` ''3- r `. WILL 7HE APPLICANT OR-FUTURE BUILDING OCCUPANT HANDLE A HAZARooU 1 MATERIAL ' ". "" '' 't: �', til, OR. L'EQ UAL?O OR.GREATER THAN THE I ❑ I, as owner"ofthe. property;-am eXcI6SIVe1y Contracting With , -OR A MIXTURE'CONTAINING A HAZARDOUS MATERIAAMOUNTS SPECIFIED:ON-THE HAZARDOUS MATERIALS INFORMATION GUIDE? _ TINA, I licensed contractors to construct'tte project'"(Section 7044 114 45 i, `Business and Professions Code.), vE c„ . ES❑ NQ.❑ • ” .�. ,," THE INTENDED'USE OFITHE BUIDLING,BY THE APPLICANT OR'FUTURE,BUILDING - _ ?°E-I ! WILL. l• OCCUPANT REQUIRCA PERMIT FOR,CONSTRUCTION.OR MODIFICATION FROM.THE SOUTH "•= ,CONSTRUCTION LENDING AGENCY COAST DELI NIR QUALITY MANAGEMENT.DISTRICT:(SCAQMD)SEE PERMITTING,CHECKLIST FORGU -,HA Tz3l I.hereby affirm that there is,a'construction lending agency for° ,' ves❑ No❑ the performance of the work,for'which this permit is:issued(Sec s ` 3U9.7,`CIV.C. HAVE READ THE HAZARDOUS'MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 'N•' ) , CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THELOSANGELES COUNTY CODE% a ✓14 - 1DOS / -• 31 TITLE 2,CHAPTER It1 rRT2.20:140 SG•HAZAR Le3 na . TINGAFOBTAININGAPEERMF • M . 1 _ oLender's Address. OWNER OR AGENT Y oI certify that I have read this application and state under penalty' ,i ? - of'perjury that the above Information•is correct.;)agree'to comply P.C. .. PERMIT FEE. ` with all county, ordinances and` State`laws relating to'building' `70 .construction, and tie'reby authorize representatives of this County. SSUANCE,FEE o nbove=mentione.d�.p.roperty-for ins/pection purposes.:Qt . A INVE$TIG TION FEE ' TOTAL FEE r`�s.eoan I ADO-t,r.Agem - - Date- n. J SEE REVERSE FOR EXPLANATORY LANGUAGE 1. WORS:=RS COMPENSATION DECLARATION 'sl ; r•lkl r . •.I hereby,-affir that I ive c carti*rl.o �nsent to self - insure, or a certiticate,of,Workers CompensaTtan:lnsura�lce - '� t l.CAI ®,,N ��R,,-,�u'L���G .P E R�I�.,, or a certified cony;thereof (Sec: 3800„L'a6 iC). F = .-COUNTX`OF LOS ANGELES: BUILDING AND SAFETY Policy No-:` o b Company� � iG�tiC _ a BUILDING .-Certified`co`py is hereby furnished ; ; -,FOR•..APPLICANT TO PILL'IN' ADDRESS, ` BUILDING _ ❑ Certified copy is filed vvith:th'e county buildjng inspec r: tion de aitim w ADDRESS- p ,. CA CIN' ZIP Date -y Applicant`y rYoGaN�tu ' a LOCALITY DGS$ NEAREST /} ' e, EE OF EXEMPTION.FROM WORKERS SIZE'-OF.LOT-.. NOW ON COT "' . ':COMPENSATION INSURANCE,-' et • CROSS ST. ASSESSOR (This section need•noT be completed if the permit.;is for."one TRACT .' BLOCK COT`NO ._ MAP'BOOK GO�r� I PAGE p PARCEL.p- 0 hundred dollars`($100)'or less) "i + TEL. 3' OWNER 0 N N USE-ZONE -,I cerfify•that in_the,performance:oC: h work•.for 'which'this ,permit, issued;'I shall•not em" 10, an erson in;'an 'mdnner ADDRESS.• - f SPECIAL p . P-.y Y P - y , . - TIONS so'asrto;•become,subjeetaothe:Workers'- ompensation�Laws. =•^ - O CONDI l% CITY_`' •. ZIP pP „ :, DISTRICT G UP, TYPE FIRE .. PROCESU Date A Iicani: ARCHITECT R.°, TEL NOTICE TO APPLICANT:-'l after:.making this,Certificate,"'of -. ENGINEER: . N .. N CON Z NE Exemption, •you, should become subject to 'the:,Workers U u,'rn` orth t ADDRESS ��a V(J 3 / - iNIT ' ., wiith.Pcom tlonwithvlsuchs.oroy s on, ori.,hs eormit shall::"be ® TE:.: :` .` P y p p ��Q c GA . STATISTICAL CLASSIFICATION APT.• CON O w CL .deemed.cevoked CONTRACTOR NO: - :4' Z _ - Ilk LICENSED CONTRACTORS DECLARATION-%, : CLASS.NO. "' DWELL'.UNITS -1 hereby'affirmthat l am)icensed under p[ovisions;of Chapi6r 9 ., ADDRESS , 03- IC (commencing'-with Section,7000)'of`Division 3;of the Business„ pp NO CITY: X.P� C ASS - SEWER MAP, and Professions Code and my;license is ini#ull force and effect BK:, PG: `AL;/ VALIDATION Q FT N . O NO. OF CHEC License Number` 'ryly' .a Lic .Class ri SIZE io STORIES .� FAMILIES ONEK - a Na- VALUATION s y0 G �.�:�: Date y p 1 ContractorW El w 1. ADD ❑ �1.(.•3 n 8f DESCRIPTION OF:WORK: p z ❑I am exem t.under Sec • C � '--�� ,. .. ,..... -....-.:.: - fit• _.�_..t .L�6 �. - ALTER-CJ7. BAP C for this reason - $ - R, REPAIR 'Date:: ;< USE OF _;C 77 r EXISTING BLDG. s(O Ms4 Q DEMOL El APPLICANT TE Signature :FINAL.. !i t PRINT) "'Nr 0.% `€ c �'�z;s OWNER-BUILDER DECLARATION -. r _ DATE CHECK K t' I hereb ,affirm that 1:6rh exem t from.the Contractor's License Y ,,. P. ADDRESS' y/y.. y (ti. • �':ery�' O� l, dEvC t Law'fo`r the followin reason Section,7031:5,=Business,and, FINAL• g .,; Professions Code) PRESENT By . ; , ❑ ,,I; as, owner 7of,the'-property 'or-my employees with ADDRESS D� O.R . wages as Their sole compensation„will'do the work and .• - ;tlah t:I_s_j. . 'the structure is not intended or offered,for'sale(Section . LOCALITY <: MOVING ll} 7044, Business and Professions•Code ) C ti cry ❑ I;as owner of the.property;am.exclusively contracting CONTRACTOR 4'with`licensed"`contractors,to construct,the'project.(S'ec r tion'7044, Business 6nd',R�ofessions Code.)`, ADDRESS ;t 'REQUIRED..-- kYARD HVJY' •TOTAIL SETBACK'FROM . EXIST. " CONSTRUCTION LENDING AGEY SET.BACK PROP. LINE WIDTH I hereb"affirm that•theie-is;a construction'lendin a enc for: FRONT Y 9,.9 Y - ' the'performance`of the work for which;this permit is:issued "� `" P.L.' .. ' (Sec: 3097,±Civ:C.): SIDE; P. Lenders Name y P C Fee$ Y Permit Fee { : 3 Lender's Address ' `', o I ce�tif. that t'Have read this a` licatiom and state that_the Issuance fee LDn4A PiC# o -Y application above information is correct I.agree o'comply wifh all County Investigation Fee 8 .:1:ordinances`and`'State.;laws relating'to building construction Total Fee 'r CDMA Perm. # " and hereby;authorize,repre'sentatives-of..this.County to enter .. -. - - upon`the above'mentioned,pro rty'for.iinspect on purgo-ses - - _ /. o Q SEE REVERSE FOR EXPLANATORY LANGUAGE Sign r of Ap ant or•Ageht - - ` , ate • , WORK ' KERS, COMPENSATION DECLARATION , _ t ,.. �. �. I he by affirm.,That I f ave a tcertifiCatg�of-consent to�self ,+ oinsure; or o.,certificate of Workers Compensation.lnsur'iince APPLICATI:OIVFC)RnBIJILDIN;C� ::PERNI�IT or'a=certified co "Thereof Sec:-3800,,•Ld C. '" ' ;_`. pY ( ;.: ) T . - Y OF LOS,APIGELES BUILDING„AWD-SAFETY COUNT Policy,N Company " S BUILDING ':Certified co s hereby furnished; 4r FOR APPLICANT`TO'FILL INi a. U��S " PY _ 5 r' Ew Certified copy is filed with-The county,building inspec BUILDING ;tion departmenf: " ., ADDRESS ° 14" . CITY CJ .ZIP t .Q LOCALITY r- , ;.Date J ' Apphcanf:-, J,. ;; o O -OF,BLDGS 1' hA _ -. , N CE IFI ATE OF EXEMPTION°FRO 'WORKERS SiZE.of L67 NOW ON LOT NEAREST;.. " COMPENSATION-INSURANCE .. :.. .. •, _ - .c _ ASSOESSOR (This section need noT'be completed"if•ahe permit is•for,'one ,`" TRACT .- "'c ^ BLOCK LOT'NO. MAP:BOOK, .d : PAGE O PARCEL hundred dollars.($100).'' less.) _ TEL:. OWNER '-p - os '- USE ZONE a i I,certif :that in the • erformonce of thework for,`v hich,"this h _Y P. - } MAP permit is issued,,)shall not employ any:person m any manner* ADDRESS,. Q � a No u. so;as to become subject to,the;Workers Compensation,Laws. 0 NO SPECIAL CONDITIONS -i CITY: - 'ZIP _ } 'U Date` Applicant +' ARCHITECT OR TEL : // DISTRICT ROUP TYPE 1 FIRE, PROLE '1D BY Cie _. NOTICE JO-,APPLICANT:-If;-after,:making_.this`,Certificate`.of -, ENGINEER �Q/►'�'` Vl�. i NOr jR f63� fl CON E Exemption, .you should' beco`me'.;subject to,'the:':Workers '-,,-• ADDRESS'�. V Compensation provisions of The Labor.Code you'must forth > �' U . a �' ;,with com P; with;such rovisions or;chis` ermit shall be. TELT. 4 " P y p p STATISTICAL CLASSIFICATION e AP .; CO O ._:;leemed,'revoked CONTRACTOR-- NO:' v _ .w . c • LIC. � CLASS NO. `DWELL,UNITS ` LICENSED CONTRACTORS DECLARATION :, AA I hereby affirm+that I am`licensed under rowsions.of-Chb'tec'9 ADDRESS .�- o-N �. X. NO. sSf Y- Y. p p ".s SEWER MAP . (commericing with"Section 7000)of Division4 of The,Business LIC:' CITY-: - land-Professions:Code;and my.license is in-full force and effect: s: �S CLASS BK PG * VALIDATION a ' SQ: FT N OF NO OF CHECK . �. -.License Number �' �= L�c,`Class �3 SIZE STORIES FAMILIES' ONE' VALUATION a Vma d DESCRIPTIONOFWORK NEW .,0 Contractor �O r0 Date' 3 +' am exempt under,Sec ;w '- •� ADD �•0 i. :ALTER r B.BP C for this reason -,REPAIRr❑' $ r � USE-OF + ( J .e• Date .. 1{0" 4., V m EXISTING BLDG' �!e DEMOL _, o APPLICANT _ TEL ; Signature ;.. ,. a� FINAL " OWNER-BUILDER DECIQRATION (PRINT) O N F hereby affirm hat I am exempt from The Contractor s License, _ 0, i 3 /I DATE Law".for th'e followin `reason:(Section;.7031.5,+'B'usiness'and -ADDRESS e. ^ ,. i.',.; .. t '... -3D a ':• g. ions Code) - .'..,`,Profess PRESENT " ` �.. By � s. BUILDING G'`a AL "❑ I, as owner of the property, `or:,my- employees with ADDRESS Nh r .- is wa es as-lheirsolecom ensation;.Will�do-thework�and a= 1 I! s.4;nz 9 P : LOCALITY the structure is not-intended or-offered for sale(Section `i - 1 r.t�ir.` 7044, Business-and'P,rofessions,'Code ;. , MOVING TEL. WT ES ;. .. CONTRACTOR NO. h � : •9, as owner of the property;am:exclusively:,contracting, — > with;lieensed.contractors:to construct'the':prolect(Sec-`; ADDRESS ` $ ,=,tion 7044, Business-and'Professions•Code.), tL#1 ' {L m g ; 24.,1- REQ ,A' * � - ' r UIRED '"YARD HWY "` ^TOTAL SETBACK FROM .EXIST;;' } CONSTRUCTION LENDING AGENCY. -`. SET,:BACK PROP. LINE WIDTH S ^ - lC,i I hereby-affirm that there•is atonstruction lendjng agency for FRONT = _ _ F ;,+ the;performance'.of he•.work'for`which-.this pe'r'mit is',issued 'C G a (Sec. 3097;Gv. C) SIDE CU P:L. rl • .xLender,s Name. c m eft# :tTAM rloe , P:C:Fee$ Permi{Fee _ - Lender's Address o I,certify that l have:read this>application and,Istate that the Issuance Fee- LDMn' C ®, above information is Correct I agree to comply with all County Investigation Fee 3 8 ii p, C, 0 ordinances and State, laws relating To building construction, Total Fee atl LDMArm: #. eniatCto'enterand`hereby•authorize.represQ .� upon the 'bove-men ' ned:propery;for inspectioZn"urposes - r.J''g' G•J " " . ao I 17 SEE REVERSE-FOR EXPLANATORN ICs -i 1�• ,�° >,firt ;ta gngture` PRIi. or Agent Da i Q C.<, `C� y. i .. ,... b. .. .. _ - c 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 0805270011 PHONE: (626) 285-0488 EXT: ILEGAL ID: .I NO. OF CONST BUILDING ADDRESS: 1 ITR: 6561 LT: 238 BL: .001 SQ. FT STORIES TYPE 9565 LAS TUNAS DR 1 STRUCTURE: V-B I - JEMP CA 917802107 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: - 1 18587-014-013 - THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: yEXIST BLDG USE: COMME USE ZONE: C-1 IISSUED ON: PROCESSED BY: EXPIRES ON: 1' 199 STORE (EXIST OCC GRP: _ 105/27/08 SR 11/23/08 .I. (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FIAAL DATE FIN CODE: IDENNIS NICOLET - 1. 12,000 I.. I I (3 i FEES PAID LDESCRIPTION OF WORK I. _ (STRIP/E�XJISTING BUILT UP ROOF INS_TALLL NEW BUILT UP (1) BASE 1 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ra /�/ S N /lrwdJT 1APPLICANT: TEL. NO: IJERRY MCKINISH (714) 960-7052- IAA BLDG. PERMIT ISSUANCE 27.75 "�n 1915 LAKE STREET ;AE STRONG MOTION OTHER 12000.00 VAL' 2.521SP�E`QA CONDITIONS: I 1HUNTINGTON BEACH ID2 PERMIT W/0 EN-HC 12000.001 .•VAL'. 250.20 I 1 TOTAL FEES `, 280.47 I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE i IJK CONSTRUCTION (714) 960-7052- 1915 LAKE STREET LIC. NO 1 I.LOCATION AND SETBACKS I I 1 1HUNTINGTON BEACH' CA 450297 I .1 ISOILS, ENGINEER APPROVAL I I f (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 ISLAR/UNDER FLOOR 11 I I I I _ ,,I IRAISED FLOOR FRAMING 1 I 1 !I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I 1150H269 3 01,1 1 - 1 I I - IFLOOR SHEATHING. I I IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I NO 22 I IROOF, SHEATHING ,i I enj I 1 I I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I 1 I NO NO NO I.FRANIE INSPECTION I I 1 IREQUIRED TOTAL SETBACK FROM EXIST 1 -IFIRE SPRINKLER HANGERS I I - I ISET BACK YARD: HWY: PROP LINE: WIDTH: - I - I I 1. IFRONT PL- 11NSULATION/WEATHER STRIPI I I SIDE PL- II Ih 1 1 (INTERIOR LATH/DRYWALL 1 I IEXTERIOR LATH I I I I 1RATED FLOOR/CEIL ASSEM. I 1 1 IRATED WALL ASSEMBLIES 1 I (RATED SHAFTS/OPENINGS I f I I I I ii! I IT-BAR CEILINGS I I i -I LOT DRAINAGE i -.. l I T - IREPORT ID: DPR261 ROUTE TO: BS0508 y^ i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9810230022 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 LT: 238 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9565 LAS TUNAS DR STRUCTURE: 0 1 VN B TEMP CA 917802107 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.. 8587-014-013 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-7-- ISSUED ON: PROCESSED BY: EXPIRES ON: 99 CENT STORE EXIST OCC GRP: B 10/23/98 UT 10/23/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: ROYSTON EVELYN C TR (818) 792-2416 1 2,800 / 1260 SHENANDOAH RD " 1),-e L-- SMAR 911081045 FEES PAID DESC IPTION OF WORK INSTALLATION OF AWNING IN FRONT OF STORE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SUPERIOR AWNING (818) 881-5585- AA BLDG PERMIT ISSUANCE 27.75 184555 TITUS ST. AE STRONG MOTION OTHER 2800.00 VAL 0.59 SPECIAL CONDITIONS: VAN NUYS, CA 91356 D1 PLANCHECK ,W/O;EN=HC2800:00 VAL 84.15 D2 PERMIT W/0%EN7Hp4E7 E q 2800 &'VAL 99.00 TOTAL- EES 211.49 CONTRICTOAWNING, INC. TEL. N426-8797- @®� `��� APPROVALS DATE INSPECTOR SIGNATURE SUPE14555 TITUS ST LIC. NO LOCATION AND SETBACKS VNA NUYS, CA 91401 589431 C61 SOPLS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOLINDATION/TRENCH FORMS LIC. NO: 1111111 SLFB/UNDER FLOOR K RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,150H269 3 04C' ���O uJUNCERFLOOR INSULATION Ow FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ` NO 22 0 Qi ROOF SHEATHING L a. SCHOOL WITHIN HAZARDOUS 190 `r' + SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO 0 a FRAME INSPECTION Q4�®p �Q)d� FIRE SPRINKLER HANGERS c SebrvpC a"T INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RA1ED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RAZED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508