Loading...
HomeMy Public PortalAbout9578 LAS TUNAS DR_Building__ ,epeeeA CIE#ece.s eo APPLICATION FOR B ILD���ING PERMIT COUNTY OF LOS ANGELES BUILDING Q ���Q DEPARTMENT OF COUNTY ENGINEER ADDRESS _` BUILDING AND SAFETY DIVISION LOCALITY I ' C JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CWILLIAM A JENSEN SUPT OF BUILDING CROSS ST DISTRICT NO. SOUP TYPE P C SED BY FOR APPLICANT TO FILL IN 'j� V coNSr BUILDING -TV- LSTATISTICAL CLAS$ (CATION ER MAP ADDRESS `} J a "'�'� �0.5 CLASS NO DWELL UNITS BK P LOT NO BLOCK MAP STATE YES NO NUMBER HWY TRACT USEZONE SPECIAL NO OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BUILDING EXIST TEL SETBACK E YARD HWY TR T ME WIDTH OWNER �U' ��46iL �I(-v NO FRONT J ` P L ADDRESS Q C.7 O V`'Q. SIDE ARCHITECT OR TEL P L ENGINEER NO INSPECTION RECORD ADDRESS n (4a CONTRACTOR�C�• 7r\\�P JNo 1, OCJ / ADDRESS QK V h0.V-R cv\f7 DESCRIPTION OF WORE 0h) LA' (2, 4 0 S' G rn� W O_ NEW ADD ALTER REPAIR DEMOLISH h SO FT A I gTORIES -FAMOF NO ILIES Z LIES SIZE USE OF STRUCTUR SIGNATURE OF APPLICANT I 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. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND E TO COMPLY FURNACE LOCATION, WITH ALL COUNTY ORDINA ES AND STATE A S REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION ORD ERT(FY THAT I T PER MANCE OF THE WORK FOR WHIC THIS PERMIT IS IS ED I H LL NOT LATH, INT EMPLOY ANY PERSON I Y M NNER 50 RECO SUBJECT TO THE WORKMEN S C M NS I W 4A 1 LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEEI RECT AND POSTED � ADDRESS � FINAL &!�rI v,1 CLYDE PLAN CHECK VALID` ON cK. M o. casH PERMIT PERMIT VALIDATION R cK. M o. CASH H L ,'o3 5 5 8 t:�,R 1 D 3 .00 A ROAD DEPT. PERMIT. IS REQUIRED FOR ANY MAr"1,=L a,L)RAC,c OR WORK DONE IN THE ROAD RIGHT OF WAY. K 7CAIMBA CE:6028.59 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUDRESILDING ADS 5 , DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY -C, JOHN A. LAMBIE, COUNTY ENGINEER NEARESTV•i ` CASSATT D. GRIFFIN, SUPT OF BUILDING - CROSS ST DISTRICT NO. GRPUP TYPE PR ESSED BY FOR APPLICANT TO FILL IN coNs ?J BUILDINGV STATISTICAL CLAS IFICATION SEWER MAP ADDRESS O /_BK /_p¢ - J • CLASS NO DWELL UNITS �{►•� LOT NO. 2 BLOCK MAP STATE NUMBER Zoo HWY YES NO TRACT USE ZONE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT Cr� USE OF EXISTING BLDG. BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER O PAH VM Cy FRONT MAIL P L Q� ADDRESS C, Q SIDE TEL P L. CITY NO INSPECTION RECORD ARCHITECT OR^ TEL. ENGINEER -NO ADDRESS 6 I TEL. CONTRACTOR N • O �) �O ADDRESSM\-- DESCRIPTION V ' DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH / �' r NO OF NO. OF �PAl SIZE STORIES FAMILIES d USE OF Q rf r STRUCTURE - /9/ I Fw(A SISAI d /Y -Ay.7 SIGNATURE OF `y11t APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION' LOCATION FORMS,MATERIALS VALUATION $ �O FRAME. FIRE STOPS, BRACING,BOLTS P C I PMT rl� FURNACE LOCATION, FEE $ FEE GAS VENT,DUCTS I HEREBY ACKNOWL GE THAT I HAV E D HIS AP- LATH,INT. PLICATION AND STAT T THE ABOVE IS C R CT D AGREE TO COMPLY AL CO TY RD CES A D - STATE LAWS RE N B IL U N. LATH,EXT. SIGNATURE OF ' HOUSE NUMBER COR- PERMITTEE. RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL ST CT RAL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH PERNIIT•VALIDATION CK. M.O. CASH L 1UO 0 6 7 1 0 K& 1 A 6.00 v Or DMSION OF BUILDING AND SAFETY Department of County Engineer BUFLDING County of Loa Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION BUILDING FOR APPLICANT TO FEL IN ADDRESS BUILDING �� � tri LOCALITY ADDRESS e NEAREST CROSS ST.LOCALITY 4:5 DISTRICT NO. PLAN CK. OR REC.No. PERMIT NO. NEAREST OWNER RECEIVED,&Y DATE OF APPL. DA ISSUVD I ...s, � _. MAIL ADDRESS S USE ZONE+ OF TYPE GROUPF E ZONE CITY O. '- ARCH I CT OR TEL. - 7 ZONING / DATED ENGINEER Vj 11 HAMS V+IATFRPMr—,'_,-itjr APPROVED BY- CO. � / /PA Nfl ADDRESS cox P T,i i iNG C SETBACK LINE: � '�" � - 3101 FLET,,HER DRIV TEC�I 7-c, .^l APPROVED AT6 CONTRACTOR NO. BY: ' LOS ANGELES CALF. HObW NUMBERING ` ADDRESS "� �./J --T c_ X/_5_ LEGAL / MAP NUMBER �` ^-``�' NO. AS8IGNED BYT_ DESCRIPTION LOT NO.t'2,-' I BLOCK— ��� 1-1 DATE CORRECTIONS INSPECTOR TRACT � / NO. OF BLDGS. SIZE OF LOT D / NOW ON LOT USE Q� FAMOF LIES �• �"/�.. •� DU �'-�� -I EXISTITI NG BLDG. Q DESCRIPTION OF WORK cJ �z s p Z NEW ALTERATION ADDITIONr I' tI+ REPAIR DEMOLITION SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL ROOF COVERING I COVERING USE OF STRUCTURE It q I I APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATUREOF ,e�/'�. LATH, INT. PERMITTEE J ,.....�-�I'-``�` ADDRESS 7�1/01 / � ?� ' "~ LATH. EXT. PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. P. C.$ HOUSE NUMBER COR- FEE RECT AND POSTED VALUATI FEE _ FINAL a l_ 76A888A DBSH 2-IT3 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR,PERMIT COUNTY OF LbS;ANGELES ' WM. J. FOX, C IEF ENGINEER B U I L D I NG FOR APPY IQANT TO FILL IN FOR OFFICE �JSE ONLY DI T NO PLAN CK.NO. PERMIT NO. BUILDING '-- / f1� / - --�—� 10 ADDRESS -�..f �/ t_� .L..,l� ... .�° ._� % i/ - L' LOCALITY T A ." a. /- T '' ' RECEIVED BY DATE OF APPL. DATE 1 SUED NEARESTG✓ CROSS ST. / _ BUILDING OWNER "� — , s ADDRESS MAIL LOCALITY ADDRESS � NEAREST .�c-'-- CITY NO ` ' -.- f CROHS ST. FIRE NO.OF TYPE GROUP,— ARCHITECT OR _ TEL ZONE PLANH �- ENGINEER NO. ""' BLDG. ,• 1 qRD.ND. ADDRESS SETBACK LINE 1` fLy APPROVED TEL. By DATE CONTRACTOR( �., ,5 /�"'t!s{ NO. USE APPROVED — ADDRESS % l e� xI vo V i-, ZON BY DATE DESLEG CRI TIONN Lo 0.62 BLOCK yAC� `� CORRECTIONS TRACT <l I NO.OF SLOGS' SIZE OF LOT NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG, STO�'f I FAMILIES I ROOMB DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING . I COVERING UBE OF NEW BUILDING % ^; /-- % 1 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 LAWS REGULATING BUILDING CONSTRUCTION. - FRAME: FIRE STOPS, SIGNATURE OF fes. r /y BRACING,BOLTS PERMITTEE �"'_^.,� °,,,�, '.."") 'c=.-G..1'4"f —"`�+t,.a. � LATH,INT.: � L AUTHORIZED AGT � l LATH,EXT.: DSS-3 SOrM SETS 7-47 $ P C III •"— PLASTER,INT., FEE PLASTER,EXT. h VALUATION FEE J'� FINAL ;zed—;t, �� DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER BUILDING FOR APPLICANT XO FILL IN FOR OFFICE USE ONLY BUILDING �-7 OIBTRICT NO. PLAN CK.NO. PERMrIT,NO. ADDREB• / --- 2-9 LOCALITY ! c < RECEIVED BY DATE OF APPL. DATE IMBUED NEARE CR HB SSTT . OWNER Et BUILDING ADDS13 MAIL Gl LOCALITY ADDRESS �C TEL. KEAREBT c U CROSS ST. c a iTY NO. FIRE NO.O TYPE ARCHITECTOR TEL. ZONE PLAN ENGINEER NO. BLOB. / ORD.NO. A DREG SETBACK LIN G C. t r {1 Ry' T APPROVED CONTRACTOR -L ITC- NO. UN L SY DATE LAK USE APPROVED ADDRESS �� L L V 6 LAK G . ,A ' ZONE BY DATE LEGAL -7 DESCRIPTION LOT NO. 43f BLOCK CORRECTIONS TRACT -15-el l SIZE OF LOTSd,x ' I D I NO.OF BLOBS. NOW ON LOT UBE OF NO.OF NO.OF EXI TING BLDG. d FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O S REPAIR MOVING DEMOLISH p Sq.FT. NO.OF Z SIZE ROOMS STORIES WALL ROOF COVERING COVERING USE OF NEW BUILDING 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 BUIL ING CONST UCT:ON. FRAME: FIREHTOPB, SIGNATURE OF BRACING,BOLTB PERMITTEE LATH, INT. AUTHORIZED AOT TY• LATH, EXT. 76A636A-3 a-so $ P.C./- PLABTER,INT. FEE PLASTER,EXT. VALUAVON FEE �o FI NAL DEPARTMENT OF BUILDING AND SAFETY -T-T APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER ' C D ' N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY +'� t }�� ! DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDADD EISS ` ( �!G j �.r irlf+7 ��/ C. �-- LOCALITY !' / . � RECEIVED BY DATE OFAPPL. ��SSUED/ NEAREST CROSS ST. BUILDING OWNER ADDRESS � Ks ire MAILLOCALITY r 6. ADDRESS / �y�/e� f TEL CROSS ST. CITY ��Ip"¢f 1-e 4v I 1 NO. ARCHITECT OR TEL ZONE/ ce PL- FIRE gN� TYPE / // ©ROy%6 ENGINEER NO. c (/ BLDG. ORD.NQ. ADDRE88 SETBACK LINE /� G �(���a• s� \ APPROVED CONTRACTOR P-1 `f ./E �I�D. M11Ili�,/� BY DATE _ USE APPROVED ADDREBS � ZONE BY DATE LEGAL G CORRECTIONS DESCRIPTION I LOT NO. .�y 'Z..0 BLOCK TRACT e/ "5 G NO.OF BLDGB. SIZE OF LOT .-�T-D / / (7 I NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG..5T0 /Z-'� FAMILI[9 ROOMS i DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH � BD•FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERINGI COVERING ! USE OF NEW ��dAl P .I _ BAIUILDING �e &`' 1 HEREBY ACKNOWLEDGE.. THAT 1 HAVE READ THIS APPROVALS APo� �n-...,+4T.�i"--AN4 ATATC,.TM JF-ANOWI--►$ CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /�"� FRAME: FIRE BTOPS, SIGNATURE OF cF BRACING,BOLTS PERMITTEE �---/ LATH,INT.: AUTHORIZED AOT LATH,EXT.: DBS-3 SOM SETS 7-47 $ P.C.! PLASTER,INT. FEE PLASTER,EXT. !p / VALUATION FEE � c FINAL 78A688A C!#8082/60 APPLICATION FOR BUILDING EI -1. COUNTY OF LOS ANGELES BUILDING DEPARTNIENT OF COUNTY ENG24EER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BULLCF O CROSS ST. DISTRICT N G P -TYPE R D B FOR APPLICANT TO FILL IN coNS 1.A BUILDING STATISTICAL CLASSIFICATION SR MAP ADDRESS K P CLASS.NO. DWELL.UNITS LOT NO. (O BLOCKMAP STATE YES NO NUMBER A6 HWY. TRACT USEZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT l//�, USE OF �" 3 EXISTING BLDG. Pharmacy BUILDING YARD HWY STREET NEXIST. TEL. SETBACK AME WH OWNER P IDT Pharma NO. FRONT IDT P. L. _ ' /0-0 ADDRESS same as above SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS CONTRACTOR M. D. SHAFER C EL NO 421 ip 0 ADDRESS V DESCRIPTION OF WORK NEW ADD Z ALTER REPAIR DEMOLISH W SQ.FT. NO.OF NO.OF (y� SIZE STORIES FAMILIES T/] LVALUATION!F F CTURE U V ) I F TURE OF LICANT 300.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION:LOCATION FEE $ FEE 3,00 FORMS,MATERIALS FRAME: FIRE STOPS, 1 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. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPEN§ATION LAWS OF CALIFORNIA. LATH,EXT. OUSE NUMBER SIGNATURE OF �Lz za �✓ HRECTAND P S EDR PERMITTEE ADDRESS 2915 4Cnox Ave. , FINAL 7 2 `. CLYDE N. DIRLAM, PRINCIPAL STIR T AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION CK. M.O. CASH ']6Ati38A�E uao3,o.6a APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST — CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. DISTRICT NO. GR P SPE PROCESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING I SEWER MAP ADDRESS S STATISTICAL CLASSIFICATION Lam.. BK PG / CLASS.NO. DWELL. UNITS---J -j- -lil 4/2 LOT NO. Z g BLOCK MAP STATE YES NO NUMBER i� QU� HWY. TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT S�Q 1l IVQ NOW ON LOT C USE OF USE F G BL 5 BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER gre FRONT I MAILA (�(�i P. L. V l ADDRESS SIDE TEL P.L. CITYI NO. I ARCHITECT OR TEL. NSPECTION RECORD ENGINEER NO. G ADDRESS TEL. CONTRACTOR NO. ADDRESS - DESCRIPTION OF WORK NEW ADD ALTER EPAIR DEMOLISH SQ.FT. NO.O NO.OF SIZE STORIES FAMILIES USE OF STRUCTUR E (:!)LN(; . SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION $ FORMS,MATERIALS P.C. FRAME: FIRE STOPS. A �- FEE BRACING, BOLTS VALUATION y 4m,4n ; �g� FURNACE: LOCATION, FEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT. STATE LAWS R TING BUILDI NSTRUCTION. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL CLY E N.DIRLAM, PRINCIPAL STRUCTURAL ENG PER PLAN CHECK VALIDATION CK. M.O. CASH PEBNIIT VALIDATION CK. M.O. CASH !i 04924 °; At-R1344 A ti ®■ t. , o 4 9 ? cif 13 1 A 3.00 s r 76A638ACEMMM 6o3,o.g. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS AN ,ELES BUILDING DEPARTMENT OF COUNTY jENGINEER ADDRESS BUII.DING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. I / DISTRI O. I GROUPHYPE I PR Y FOR APPLICANT TO IN l/ a'itf CONST. BUILDDDINSS G 70� SEWER MAP ARESTATIST)CA SSIFICATION BK A P CLASS.NO. -DWELL. UNITS LOT NO. . /� BLOCK MAP STATE YES NO J NUMBER HWY. TRACT USE ZONE SPECIAL NO.OF SLOGS, CONDITIONS SIZE OF LOT 7 NOW ON LOT USE OF EX"G BLDG. BUILDING EXIST. SETBACK YARD HW STREET NAME WIDTH O ERS FRONT MAIL -7, P• L. ADDRESSu SIDE I TE _ P.L. ARCHITECT R ,� STEL.,, INSPECTION RECORD ENGINEER ^ 'NO. ADDRESS 4' r CONTRACTOR D SLi al- V� DESCRIPTION OF WORKtog NEW ADD ALTER y REPAIR DEMOLISH SQ.FT. NO.OF / NO.OF SIZE STORIES / FAMILIES USE OF STRUCTURE �2 Q J A- CS7-1 , r SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS 1 8 FOUNDATION: LOCATION $ FORMS,MATERIALS e P.C. t FRAME: FIRE STOPS,FEE BRACING,BOLTS VALUATION soI i FURNACE: LOCATION, > GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT. - - - PLICATION AND STATE THAT THE IS CORRECT AND AGREE TO COMPL VIN ALL UNTY RDINANCES AND LATH,EXT. { STATE LAWS G UILDI CO TRUCTION, SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED i ADDRESS FINAL CLYD9 N. DIRLAM,16mllIrIPAT STR R (NEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH W3489117N ;. ft16 1 A 2 7.0 0 OF DEPAR OF BUILDING AND 'SAFETY = PLICATION FOR r Ci NTTY OF LOS ANGELES T WM. J. FOX, CHIEF ENGINEER BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ten( ' '� / TVN 7 o S g, 116-79 ADDRESST' / fa LOCALITY j S M CITY RE/CEy�VED BY DATE OF APPL. DATEISSUED NEAREST CROSS ST. V UILDING y ADDRESS 7 � OWNER � y MAIL . ADDRE88 LOCALITY NEAREST '` y CITY NO CROSS ST. FIRENO.OF .I TYPE V I OROU ARCHITECT OR TEL ZONE PLANS ENGINEER N BLDG. r"' ORD.NO. ADDRESS SETBACK LIN o EL APPROVED CONTRACTOR 1 NO. BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGALLoo- CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO.OF SLDOB. j / SIZE OF LOT k I NOW ON LOT �f Z { USE OF r'- NO.OF NO.OF EXISTING BLDG. �/` `"' FAMILIES R13CIMS DESCRIPTION OF WO -� NEW I ALTERATION I VADDITION ./ L1 /1 �� O A REPAIR MOVING a, /DEMOLISH p SFT. mmor SIZE E CI ROOMS r STORIES I' D • WALL ROOF • - r COVERING GCS I COVERING USE OF NEW BUILDING /V4- 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 AOT. LATH,EXT.: DBS-3 25M SETS 1-47 $ P.C.*// PLASTER.INT. FEE PLASTER, EXT. lj o VALUATION FINAL Af It- FEE -.e-S`seM scre Mab DEPART NT OF BUILDING AND SAFETY APPLICATION FOR PERMIT C NTY OF LOS ANGELES B U I L D I N G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BU'LDINI3 t �y DISTRICT NO. PLAN CK. NO. PERMIT NO. -ADDRESS !� (C i. r1 7:0i.�/Ai Irl LOCALITY T P4 F l I 1 �l RltgKIVED BY DATE OF APPL. DATE ISSUED CRO S ( BT. f Y 5 I r �a.tILDINO "" � OWNER { ISN ADDRESS / c�/ MAIL l '�/ LOCALITY Z, ADDRESS �"� � �.�S T L1V�`. S NEA`iR ` . CITY 1NOS CROS9�9 FIRE I NO.OF I TYPE I GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. BLDG. C ORD. NO. J ADDRESS SETBACK LINE / I-v A 1 TO [L. APPROVED CONTRACTOR NO. /Y �� �p lO SY DATE USE ZONE C BYDATE PROVED ADDRES$4 -T� I ! GUS!'rt � �'LEGAL' l/ ( " DESCRIPTION I LOT N 45a L I BLOCK CORRECTIONS TRACT CL' No..or mL"98. SIZE OF LOT �D t I NOW ON LOT USE OF I NO.OF /I NO. OF EXISTING 81-010. FAMILISS C/ ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O >D REPAIR MOVING DEMOLISH 0 H0. FT. NO.OF SIZE ROOMS STORIES WALL CROOF COVERING I OVERING USE OF NEW y BUILDING "e AjPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS INSPECTOR DATE APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS _ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE DF BRACING, BOLTS OWNER 0LATH, INT.: I AUTHORIZED AOT LATH, EXT.: $ P. O.• PLASTER, INT. FE[ PLASTERr EXT. _ I VALUATION FE[ ! DN'3 ,.,, 26M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY $UILDIN� • COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. _ / ORD.NO, DISTRICT NO. PLAN CK. NO. PERMIT NO�.w..� PLANS SETBACK LINE C? �^7� FIRE APPROVED `��L,•-•. V ZONE BYkTE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED ,. ®,` ^ 2., ?<; ZONECZ BY DATE �'""C°•�� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY O C NAME ADORE'LDIBS n_ I / /Y (!� u Wld Z ADDRESS LOCALITY C7 NEAREST UC w CITY CROSS ST. t} �9i) IL y� 3 STATE TEL. NAME LICENSE NO. ] NO. W O NAME /H' a it Z MAIL O��e� 3 ADDRESS U ! TEL. / ADDRESS U V CITY NO. E O CITY „' � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U STATEp TEL. APPLICATION AND STATE THAT THE ABOVE IS CORRECT LICENSE NO. NO. ^' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. C SIZE OF LOT SIGNATURE OF O OWNER aNO. OF SLOGS. W BLOCK ( NOW ON LOT AUTHORIZED AGT. J w TRACT g. `+Q ' CORRECTIONS D r USE OF BLDGS. � (,,." NOW ON LOT 9 i.� DESCRIPTION OF (WORK \ry' USE OF BUILDING V f� 7 �J 1 V 70 a z NEW TYPE [_[� GROUP /� O NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES MOVING WALL COVERINGWALL COVERING f� DEMOLISH ROOF COVERIN �i'"1 P'C. FINAL APPRQJ►�AZ. FEE INSPECTOR' .• VALUATION FEE �s� DATE ! NAME { oe um j APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF 1W V4GELES WM. J. FOX, CHIEF ENGINEER NO.OF ✓ SLOG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE o-- FIRE APPROVED 15 [7 ZONE BY DATE RECEIVED BY DATE OF ADPL. DATE ISSUED USEAPPROVED ZONE C Z BY DATE APPLICANT FILL IN HEAVILY OtTLINED PORTION ONLY BUILDING /f J O E NAME ADDRESS L / S fGffiy S � I- III OW W ADDRESS LOCALITY 7113 = Z CRO88EST ST. ll i U Z CITY <Ir STATE TEL. LICENSE NO. NO. NAME MAIL / / E NAME • � ADDRESS f/ '.O,S !�(/ F O 4 TEL. ADDRESS CITY NO. K I- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z CITY O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. a� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z OF D LOT NO. if Z SIZE OF LOT SIGNATURE OWNER t J F NO. OF BLDGB. ORIZED d AUTH W � BLOCK NOW ON LOT AGT i J U TRACT y �. ,u•e 6 CORRECTIONS D USE OF BLDGB. �Y / NOW ON LOT Agse6l '; D IPTION OF WORK USE OF BUILDING 00 J Z_ 0 0 NEW TYPE I GROUP NO.OF NO.OF ALTERATION ROOMS FAMILIES / ADDITION SIZE REPAIR STORIES MOVING WALL COVERING Ie:/W>i1G DEMOLISH ROOF COVERING s P.C. FINAL APPROVAL FEE 09 D_ S - INSPECTOR'S E- VALUATION FEE DATE AME f-41 UM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY BUILDING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANSSETBACK LINE 3 S ??— Z. FIRE APPROVED ZONE =1 BY � -ir= � ¢ Q.� RECEIVED BY DATE OF ADPL. DATE ISSUED USE /�--^ APPROVED ��� _ -7 -3 /�Q 7 ZONE`�' BY DATE ✓ r J APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY UILOING p E NAME ADDRESS 8 1 7 '7 L tq S / A/N 4 �rt ` Z ADDRESS LOCALITY e e" 04 ( y = 0 NEAREST S ET U W CITY CROSS ST.STATE TEL. V4 LICENSE NO. NO. N NAME ti N QS' R L �' `S .�" ` C'1 F i �Iqjqy EO NAME ! / / x MAIL �( V. , t� Ory EP-6 W 3 ADDRESS I T L A S u N A S DR, O ADDRESS 2 OJ � ; ^a 4 R.JE''{ 1�''�'o 14-j CITY •. � i � Y.NO.TEL K Z CITY N\p,rq "i' E Y -PER 11K 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U APPLICATION AND FTATIR TkA9f'THE ABOVE IS CORRECT STATE TEL. n�'•! ,Q�S AND AGREE TO COMPLY WITH A COUNTY ORDINANCES LICE SE NO: O. IR `i'�+ AND STATE LAWS R LING CONSTRUCTION. ZO LOT NO. CQ SIZE OF LOT SIGNATURE OFA � s�j J F OWNER t d NO. OF SLOGS. AUTHORIZED A n _ BLOCK NOW ONJU f1.OT y� TRACT CORRECTIONS D USE OF SLOGS. NOW ON LOT DESCRIP NOF WORK USE OF BUILDING % 4 ,J i Z � 0 NEW 4e z TYPE � GROUP- NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES MOVING WALL COVERING DEMOLISH'' ROOF COVERING FEE $ FINAL APPROVAL INSPECTOR•.. VALUATION FEE ��� DATE � I NAME I l APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES r2K BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS WORKER'S COMPENSATION DECLARATION , I hereby affirm that i have a certificate of consent to self Insure, BUI ING ADDRESS �� or a certificate of Workers'Compensation Insurance,or a certifiedS 74— g ��S �U LIS — U cePY thereof(Sec.3800,La C �j / J ,i cITYTr �t ZIP -7 810 i r:. 1 r , Poi y No W��L/�^ _ �d wT e LOC I L C:. ompany NEAREST CROSS ST n�� SIZE OF LOT NO OF BLDGS NOW ON LOT LYJ Certified copy Is hereby furnished TRACT BLOCK LOT NO ❑ Certified copy is filed with hem unty building Inspeciign USEZONE MAP NO deparunen � ��fr .]_� ,7 ASSESSOR MAP BOOK PAGE PARCEL f=g Date4 �6 Applicant �+�,} SPECIAL CONDITIONS 3?°rJ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO YES N p -7 LO COMPENSATION INSURANCE A8,r_1 zL— ZOCC.OI►I 8t$•2$5 056 WITHIN 1000FTOFSCHOOL? (This section need not be completed If the permit Is for one hundred ADDRESSj'�N pt r,{ /S / -7g �� .4 S / ( S DISTRICT GROUP TYPE CONST' FIRE ZONE ROCESSI D BY dollars($100)or less) �� Q 2 /p zip-,/ O j� J 1/ k� I certify that In the performance of the work for which this permit �/t-{PE'� (--.( ,J Lf is Issued, I shall not employ any person In any manner so as to rAA,11DRESS HITECT OR ENGINEER p� TEL NO become subject to the Workers'COmpensatlon Laws VC�ej l AfJFE'F4N J445,-,!;-60--7771 STATISTICAL CLASSIFICATION APT CONDO Date Applicant 2a�, / CLASSNO DWELLUNITSNOTICE TO APPLICANT If, after making this Certificate of �I ( REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' NTRACTOR TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revOKed ADDRESS LIC NO PL SIDE LICENSED CONTRACTORS DECLARATION CITE' LIC CLASS p L y�__ � a I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP _ _ Ck SO FT SIZE NO OF STORES NO OF FAMILIES -- - (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG _�-• f=''''-- C Professions Code,and my license Is In full force and effect _ H D CRIFTION O WORK ADD CD VALUATION +-'may': 4 License Number Lic.Class - Contractor f Date471 I' A ALTER ❑ L �— z ❑ I am exempt under Sec REPAIR _.f'_:r* B 8P C for this r so t,r -- ,Ba .' DEMOL ❑ LDMAP/Cq / / ' G l G� U E OF EX STING BLD - Df$te l &T4 r AST*u,�,4N�" DX:Fle eRM ❑ Signature C G'Gu l--y moi' ?X` APPLI ANT(PRINT) TEL NO {4 •�' -� c.( T7 LDMA Perm q Z !Itf f-�I� ❑ I, as owner of the property tJE ry N �O'7�7.1 p perty, or my employees with wages as O their sole compensation,will do the work and the structure is ADDRESS �.�j //�� + -- not intended or offered for sale (Section 7044, Business and �&/ �'G1 ff—, BC11 Ci gogx r FINAL DA Q Professions Code) WILL THEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL t { J y` OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR❑ GREATER THAry Q I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY P r/V) > AC••-r licensed contractors to construct the project (Section 7044, YES❑ NO❑ /`)/'Y/' h•-- i ■I' Business and Professions Code) ;— I WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING - +�=1- 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 I hereby affirm that there is a construction lending agency for YES❑ NO❑ —;(��� �- 9 the performance of the work for which this 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 t irL }, COUNTY CODE TITLE 2,CHAPTER 220 SECTIONS 2 20 100 THROUGH 2 20140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lender's Address AGENT0 o I certify that I have read this application and state that the above PC FEE PERMIT FEE Information is correct I agree to comply with all county ordinances and State laws relating to building construction,and a hereby uthonze rep esentatives of thl County to enter uoon ISSUANCE FEE 7 �) �1 f_,i i_7 m - e ove-mention pro `�tjr for s i n purposes oses ✓'1 J Z• G`4r 1 4/t INVESTIGATION FEE TOTAL + fin a ApplkaN a Ash Om SEE REVERSE FOR EXPLANATO LANGUAGE WORKERS'COMPENSATION DECLARATIONI hereairm that I hve a certificate of consent to sf �z f insure, or afcertificate of Worke s' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof Sec 3800, Lab C ) PolicC ' p 3 dr T � No ( � � COUNTY OF LOS ANGELES ' BUILDING AND SAFETY o om an BUILDING ❑ Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS y Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS LOCALITY NEAREST ff Date App CiTfVC ZIP CROSS ST .L11— Com , 1ARTI'IFICATE OF EXEMPT N F OM WORKERS' NO OF BLDGS ASSESSOR COMPENSATIO IN RANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE V PARCEL (This section need not be com( I d 1f the permit is for one r USE ZONE, MAP hundred dollars ($100)or less ) TRACT I BLOCK LOT NO i„T NO TEL SPECIAL I certify that in the performance of the work for which this OWNE NO CONDITIONS CL permit 1s issued, I shall not employ any person in any manner L\\77 DISTRICT ))J GROUP TYPE FIRE PR ESSED BY so as to become subject to the Workers'Compensation Laws ADDRESS vN CONST ZONE V o Date Applicant CITY ZIP STATISTICAL CLASSIFICATIO APT CONDO NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL V Exemption, you should become subject to the Workers' ENGINEER Cr NO CLASS NO DWELL UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS pc SEWER MAP with comply with such provisions or this permit shall be deemed revokedCONTRACTOR ! TNEL 0 11 BK L PG z VALIDATION LICENSED CONTRACTORS DECLARATIONLIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES �jNO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC 7 Professions Code, and my (cense is in full force and effect CITYCLASS TJ , / �+ SQ OF _ OF CHECK License Number Lc Class ST FA SIZE STORIES FAMILIES ONE / NEW $ / yo Contractor >� Date DESCRIPTION OF WORK J F-1I am exempt under Sec ALDTDER FINAL DATE B&P C for this reason — REPAIR ❑ �v a U OF Date EXISTING BLDG DEMOL ❑ B NAL L l r; - Signature APPLICANT TEL Y OWNER-BUILDER DECLARATION PRINT N 077 /r I hereby affirm that I am exempt from the Contractor's License �J Law for the following reason (Section 7031 5, Business and ADDRESSrAyu"t�� 01111. 2 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 n ��the structure 1s not intended or offered for sale(Section LOCALITY �s/ d 7044, Business and Professions Code) MOVING TEL ❑ j, as owner of the property, am exclusively contracting NTRACTOR NO �d f C with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS (6� REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH y T I 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 � 93 Lender's Address P C Fee$ _}�//, Permit Fee I certify that I have read this application and state that the � � (p(/ Issuance Fee S a above information is correct I agree to comply with all County Investigation Fee ordinances and State jaws relating to building construction, Total Fee and hereby thorize representatives of this County to enter U pon a above entionety for inspecifo pur ores a SEE REVERSE FOR EXPLANATORY LANGUAGE f Signaf re of Applicant or Agent I Da ®s I WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS 5 LOCALITY P46 NEAREST Date Applicant CITY 4 C. ZIP CROSS ST Z 2 t CERTIFICATE OF EXEMPTION FROM WORKERS' '"— NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 5V NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed rf the permit is for one — �jlf...3r © USE ZONE ESPEIAL hundred dollars (b100)or less.) TRACT 1 BL - LOT NO nTEL /�-2 OWNER Z ZdClaa'L NO JCIONS I certify that in the performance of the work for which this G DISTRICT GROUP TYPE FIRE PROCESSED BY O permit is issued, I shlall not employ any personp in any manner ADDRESS IS fir'�S CONST ZONE so as to become subject to the Workers'Compensation Laws Im J / r CITY L ZIP STATISTICAL CLASSIFICATION APT CONDO ate' Iic ARCHITECT OR / TEL U (r((( NOT E TO APPLICANT If, after making this Certificate of ENGINEER /V NO CLASS NO DWELL UNITS W Exemption, you should become subject to the Workers' H ADD I CL Compensation provisions of the Labor Code, you must forth- -ADDRESS SEWER MAP 46 with comply with such provisions or this permit shall be TEL VALIDATION deemed revoked CONTRACTOR Af NO BK PG, LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect CITY CLASS $ a < , SQ FT NO OF NO OF CHECK license Number Lic Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK l NEW $ �S � ADD © 1 am exempt under Sec. ` L ALTER FINAL 01J1e)_111 O � B BP.0 for this reason � REPAIR DATE i Date: USE OF DEMOL EXISTING BLDG FINAL Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031 5, Business and ADDRESS Prof ssions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and thestructure is not intended or offered for sale(Section' LOCALITY 8 8 3.4 A 7044, Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO # 0 0 o e 0 with licensed contractors to construct the project (Sec- ADDRESS 2 o - 49.8 8 tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM EXIST Poo ,0 0 o 4 Q 8 8 U CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PL t 0'6—8 3 ,Sec 3097, Civ C.) SIDE m PL Lender's Name Lender's Address P C Fee$ Permit Fee - 19-31 I certify that I have read this application and state that the Issuance Fee g above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee Y/ and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant Agent Date WORKERS'COMPENSATION DECLARATION 77 If d hereby affirm that I have certificate of consent to Self APPLICATION. FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, �l or a qqcerti ed copy Thereof (Sec 3800, lab C )��( r COUNTY OF LOS ANGELES BUILDING AND SAFETY �� fio c Nil, Company Wes-pA~400CG4ijBUILDING 0 Certified copy is hereby furnished FOR APPLICANT TO LL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING '7- hon department ADDRESS 44e 4--r LOCALITY CC 1 Qa�� Date 1-�,7-j � Applicant CITY" Ci ZIP /1/ kQ NEAREST CROSS ST Gam- C CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PA PARCEL (This section need not be completed if the permit is for one USE ZONE MAP O �� hundred dollars($100)or less ) TRACT BLOCK LOT NO NO � TEL ��/ SPECIAL I certify that in the performance of the work for which this OWNER 1C-T\ NO���{� CONDITIONS d permit is issued, I shall not employ any person in any manner /� v-r� DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws -ADDRESS L v 7 ' '!G "� 5 7— CONST - ZONE V Date Applicant CITY lrlct ZIP STATISTICAL CLASSIFICATION APT CONDO O NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL ENGINEER NO CLASS NO��DWELL UNITS— Exempt ion, you should become subject to the Workers' =NECL Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be /� ^ c t Z deemed revoked CONTRACTOR A Q AtW,*v ,,T O d �5Oid BK L. PG, Z VALIDATION LICENSED CONTRACTORS DECLARATIONLIC r hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �.� NO/q/2121_,` ALUATION (commencing with Section 7000)of Division 3 of the Business and / LIC Professions Code, and my license is in full force and effect. CITY 46 luG+fs ole CLASSC $ % G� 4e— / SI FT ST OF / FA OF CHECK ► License Number j /�/J Lic Class (V SIZE STORIES FAMILIES ONE Contractor Ald UQU -fr MVI Date �~�' �A DESCRIPTION OF WORK C oZ �� NEW ADD El I am exempt under Sec &�'t /J(.� �►�- Ua `�- ALTER E] FINAL ^'] 8&P C for this reason /L�7v141.,vREPAIR ✓(/�- DATE 3 - ( '33 Date. USE OF DEMOL FINAL ` EXISTING BLDG. vh By 9 3 9, 1 A Signature APPLICANT //� TEL S OWNER-BUILDER DECLARATION PRINT a(FJ e/z NO .t-fGC �,p # o aye a 23 j hereby affirm that I am exempt from the Contractor's License S- /�� , rQC , Law for the following reason (Section 7031.5, Business and ADDRESS ` S BUILDING 0 f VU 2`e - 37, 50 Professions Code)• � � ` `-� C7 G,� I, as owner of the property, or my employees with ADDRESS e o o 7 5 wages as their sole compensation,will do the work and lt� �- the structure is not intended or offered for sole(Section LocAUTY 0 1,27-83 7044, Business and Professions Code) MOVING L j, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS �939,2 A tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST #'o CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH , I hereby affirm that there is a construction lending agency for FRONT 2°a e 4 9,8 8 the performance of the work for which this permit is issued P L ,Sec 3097, Civ. C ) SIDE LL 9,8 8 0 0 o F- 0 Lender's Name 3 c 01,27-83 Lender's Address PC Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee O above information is correct. I agree to comply with all County Investigation Fee r/ v ordinances and State jaws relating to building construction, Total Fee d and hereby authorize representatives of this County to enter up , t a ove-mentions property for inspection purposes 1--2-/ `P3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®j 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 1008230042 PHONE (626) 285-0488 EXT. (LEGAL ID. I NO OF CONST I BUILDING ADDRESS I ITR 6561 LT 628 1 SQ. FT STORIES TYPE I 9578 LAS TUNAS DR 1 I (STRUCTURE- V-B I TEMP CA 917802106 1 (ASSESSOR INFORMATION NUMBER. 1 I NEAREST CROSS STREET: TEMPLE CITY BLVD I 18587-015-012 I I THOMAS PAGE: 596 GRID- J3 LOCALITY• TEMPLE CITY, Cl (TENANT 1EXIST BLDG USE: COMME USE ZONE: C-2 (ISSUED ON PROCESSED BY: I ITEA STATION 1EXIST OCC GRP 108/23/10 SR I I I I I (OWNER. TEL NO: IBLDGS NOW ON LOT VALUATION IFI14AL DATE FI BY• CODE I IPAN, TERESA (626) 288-3785- 1 7,000 1 �� I 1158 W VALLEY BLVD I 1 1 ISAN GABRIEL CA 91776 I FEES PAID 1bgstRIPTION OF WORK I I I ITRANSFORMER PAD & DECORATIVE BLOCK WALL/LANDSCAPING I I _IFEE DESCRIPTION: QUANTITY: UOM AMOUNT:( I (APPLICANT- TEL. NO. I I I IBOOMERANG ENGINEERING INC (626) 780-6694- IAA BLDG PERMIT ISSUANCE 27 80 1 1 11227 W VALLEY BLVD. IAB STATE GREEN BLDG FEE 7000.00 VAL 1 00 (SPECIAL CONDITIONS I JALHAM13RA CA 91803 LAE STRONG MOTION OTHER 7000.00 VAL 1.50 I I 1 ID2 PERMIT W/O EN-HC 7000.00 VAL 166.60 1 I 1 1 TOTAL FEES 196 90 J_ I ICONTRACTOR: TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I IBOOMERANG ENGINEERING INC. (626) 780-6694- 1 1 1 11227 W VALLEY BLVD , #115 LIC NO I (LOCATION AND SETBACKS I 1 I 1ALHAMBRA, CA 91803 861501 C36 *1 1 11 1 I I ISOILS ENGINEER APPROVAL I I I I I 1 11 I 1ARCHITECT OR ENGINEER. TEL. NO. I (FOUNDATION/TRENCH FORMS I I - I I f:br(A)&.0 1 4 I I LIC NO I (SLAB/UNDER FLOOR 11 1 1 I I I— I I I I I (RAISED FLOOR FRAMING I 1 I I I I I I I IMAP NO. SEWER MAP BOOK: PAGE FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 115OH269 3 001 I 11 1 I I (FLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS- I 1 11 1 I NO 22 1 (ROOF SHEATHING I I I I I I 1-1 1 I SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I 1 1 I NO NO NO I IFRPME INSPECTION I I 1 I I I I I I I (FIRE SPRINKLER HANGERS I 1 I I I I I I I I '• (INSULATION/WEATHER STRIPI I 1 I I I I I I I I (INTERIOR LATH/DRYWALL I 1 I I I I I I I I I (EXTERIOR LATH I I I I I I I I I I I (RATED FLOOR/CEIL ASSEM. I 1 I I I I I I I I I (RATED WALL ASSEMBLIES I 1 1 I I I I I I I IRATED SHAFTS/OPENINGS I I I I I I I I I I IT-BAR CEILINGS I I 1 I I* ADDITIONAL, DATA ON FILE I 1 1 1 I I ILOT DRAINAGE I I I I I I I I _ IMEPORT ID. DPR261 ROUTE TO- BS0508 I1 1 I I I I I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1004200046 PHONE (626) 285-0488 EXT- LEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 6561 LT 628 SQ. FT STORIES TYPE OCCUP GROUP 9578 LAS TUNAS DR I ISTRUCTURE 225 1 V-B A-2 I TEMP CA 917802106 (ASSESSOR INFORMATION NUMBER- 1 1 NEAREST CROSS STREET TEMPLE CITY BLVD 1 18587-015-012 1 I THOMAS PAGE 596 GRID- J3 LOCALITY TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: COMMS USE ZONE. C-2 (ISSUED ON PROCESSED BY 1 ITEA STATION (EXIST OCC GRP B 104/20/10 SR I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IPTNA3_tDATE FINAL BY CODE- 1HWANG, JIMMY - (626) 288-1663- 1 2,900 11 1158 W. VALLEY BLVD I 1 4 1 ISAN GABRIEL CA 91776 1 FEES PAID (DESCRIPTION OF WORK 1 I I (REMOVE INTERIOR WAIL, CARPE , WINDOW, T-BAR CEILING AND TILEI I IFEE DESCRIPTION: QUANTITY- UOM- AMOUNT:1 1 (APPLICANT: TEL. NO- I I I IATECK CONSTRUCTION INC (909) 393-9798- IAA BLDG PERMIT ISSUANCE 27 75 1 i 115800 EL PRADO RD #C IAB STATE GREEN BLDG FEE 2900.00 VAL 1 00 (SPECIAL CONDITIONS 1 (CHINO, CA 91708 IAS STRONG MOTION OTHER 2900.00 VAL 0.61 1 1 I ID2 PERMIT W/O EN-HC 2900.00 VAL 99.00 I I I I TOTAL FEES 128.36 1 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IATECK CONSTRUCTION INC (909) 393-9798- 1 1 I 115800 EL PRADO ROAD UNIT C LIC. NO I (LOCATION AND SETBACKS I I 1 (CHINO CA 91708 845160 B I I I 1 I (SOILS ENGINEER APPROVAL 1 I 1 (ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I I I 1 LIC. NO I ISLAB/UNDER FLOOR I I I I I I I I I I (RAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK. PAGE: FIRE ZONE: CMP I - - 1UNDERFLOOR INSULATION I I I 1150H269 3 001 I -1-1 1 I I (FLOOR SHEATHING I I I INO OF FAMILIES: DWELLING UNITS. APT/GOND STAT CLASS I I I I I I NO 22 1 (ROOF SHEATHING I I 1 I I I I I I 1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS I I I I I 1 NO NO NO I IFRAME INSPECTION I I I I I I I I I I I (FIRE SPRINKLER HANGERS I I I I I I I I I I (INSULATION/WEATHER STRIPI I I I I I I I I I I (INTERIOR LATH/DRYWALL I I I I I I I I I I 1EXTERIOR LATH I I I I I I I I I 1 I (RATED FLOOR/CEIL ASSEM I I I I I I I I 1 1 (RATED WALL ASSEMBLIES I I I I I I I I I (RATED SHAFTS/OPENINGS I I I I I I I I IT-BAR CEILINGS I I 1 I I I I I I I I ILOT DRAINAGE I I 1 I (REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I COUNTY OF LOS ANGELES t TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1001280008 3 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR- 6561 LT 628 SQ FT STORIES TYPE OCCUP GROUP 9578 LAS TUNAS DR ISTRUCTURE 3200 1 V-B A-2 I TEMP CA 917802106 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET TEMPLE CITY BLVD. 18587-015-012 1 1 THOMAS PAGE: 596 GRID• J3 LOCALITY- TEMPLE CITY, Cl I I I TENANT JEXIST BLDG USE. COMME USE ZONE: JISSUED ON. PROCESSED BY I ITEA STATION JEXIST OCC GRP- B JOS/11/10 SR I I I (OWNER- TEL. NO: JBLDGS NOW ON LOT VALUATION IF NAL DATE FINAL Y. CODE: IPAN, TERESA (626) 288-3785- 1 200,000 1 -(� 1 1158 W. VALLEY BLVD. I I SAN GABRIEL CA 91776 1 FEES PAID JDtSCRIPTION OF WORK 1 I ITENANT IMPROVEMENT RESTAURANT 1 IFEE DESCRIPTION: QUANTITY: UOM AMOUNT- 1 J JAPPLICANT- TEL NO: I I I ITAI, DANIEL (626) 359-3568- JA1 PLANCHECK W/EN-HC 200000 00 VAL 1,904 95 1 I 1322 E FOREST AVE. JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS. 1 JARCADIA, CA 91006 JAB STATE GREEN BLDG FEE 200000.00 VAL 8.00 I J JAE STRONG MOTION OTHER 200000 00 VAL 42.00 I 1 JA2 PERMIT W/ENERGY-HC 200000 00 VAL 2,241.12 I I ICONTRACTOR TEL. NO- I TOTAL FEES 4,223.82 JAPPROVALS DATE INSPECTOR SIGNATURE I IATECK CONSTRUCTION INC (909) 393-9798- 1 1 I 115800 EL PRADO ROAD UNIT C LIC. NO I ILOCATION AND SETBACKS I J I ICHINO CA 91708 845160 B I I J I I I I ISOILS ENGINEER APPROVAL I I I I I I I I I JARCHITECT OR ENGINEER TEL. NO I IFOUNDATION/TRENCH FORMS I I I I LIC NO: I JSLAB/UNDER FLOOR I I I I I I I I I I I IRAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE: CMP I .JUNDERFLOOR INSULATION I I I 1 3 041 1 11 1 I I IFLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS: APT/GOND. STAT CLASS. I I J I I J NO 22 1 IROOF SHEATHING 1 I I I I I I J SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS I I L I NO NO NO i (FRAME INSPECTION y I I I IFIRE SPRINKLER HANGERS I I I I I I I I I I JINSULATION/WEATHER STRIPI I I I I I 1-1 I I I JINTERIOR LATH/DRYWALL 6440I I I I 1EXTERIOR LATH I I I I I I I I I IRATED FLOOR/CEIL ASSEM I I I I I I I I I I 1 IRATED WALL ASSEMBLIES I I I I I I I I J IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I ILOT DRAINAGE 11 J I I I I I I 1 IREPORT ID DPR261 ROUTE TO- BS0508 1 I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT QF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1003030014 PHONE (626) 285-0488 EXT LEGAL ID (NUMBER OF SIGNS- 2 I BUILDING ADDRESS- ITR 6561 LT- 628 ISIGN DESCRIPTION. TWO SET OF ILLUMINATED CHANNEL LETTER 9578 LAS TUNAS DR I I I TEMP CA 917802106 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET. TEMPLE CITY 18587-015-012 I I THOMAS PAGE- 596 GRID J3 LOCALITY: TEMPLE CITY, Cl I I I I ITENANT 1EXIST BLDG USE (ISSUED ON PROCESSED BY ITEA STATION (EXIST OCC GRP- 103/03/10 SR I (OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IFINAL nDATE FINAL BY: CODE: I HUANG, JIMMY ' (626) 286-3785- 1 4,600 t M 1 19578 LAS TUNAS DR I I ITEMP 917802106 I FEES PAID I SCRIPTION OF WORK I I I ITWO SET OF ILLUMINATED CHANNEL LETTERS WALL SIGN I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I I JAPPLItANT TEL NO: I I I ISIGN ART CO (626) 287-2512- IAA BLDG PERMIT ISSUANCE 27 75 1 1 1423 S. CALIFORNIA ST JAB STATE GREEN BLDG FEE 4600.00 VAL 1 00 ISPECIAL CONDITIONS- I ISAN GABRIEL CA 91776 IAX BUILDING REVIEW FEE 54 70 I I ID2 PERMIT W/O EN-HC 4600.00 VAL 132.60 I I 1 1 TOTAL FEES 216.05 1 I (CONTRACTOR TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE ISIGN ART CO (626) 287-2512- I 1 1 1423 S CALIFORNIA ST LIC NO 1 ILOCATION AND SETBACKS I I I ISAN GABRIEL CA 91776 757903 C45 I I I 1 I 1 ISOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER. TEL. NO I IFOUNDATION/TRENCH FORMS I I I I LIC NO: I ISUPPORT STRUCTURE I I I I I I I I I I I I IMAP NO- SEWER MAP BOOK PAGE FIRE ZONE CMP I I I I I 1 001 I I I INO OF FAMILIES- DWELLING UNITS APT/GOND STAT CLASS I 1 I ( I I NO 20 I I I SCHOOL WITHIN HAZARDOUS I I I I 1 1AIR QUALITY 1000 FEET MATERIALS I I I I 1 NO NO NO 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ID DPR261 ROUTE TO BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY,/ LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1007070042 < PHONE: (626) 285-0488 EXT: ILEGAL ID NUMBER OF ADDED/RELOCATED BUILDING ADDRESS ITR: 6561 LT: 628 SQ FT SPRINKLER HEADS 9578 LAS TUNAS DR ISTRUCTURE: I TEMP CA 917802106 I (ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET, TEMPLE CITY BLVD I 18587-015-012 I I THOMAS PAGE 596 GRID J3 LOCALITY. TEMPLE CITY, Cl I I I I ITENANT ,EXIST BLDG USE- (ISSUED ON PROCESSED BY: (TEA STATION (EXIST OCC GRP 107/12/10 SR I I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT VALUATION: IFINAL DATE FIN BY. CODE I IHWANG, JIMMY (626) 288-1663- 1 2,500 I O 1 1158 W VALLEY BLVD. 1 ISAN GABRIEL CA 91776 FEES PAID 1 NSCRIPTION OF WORK I IUP-GRADE VL-300 SUPPRESSION SYSTEMS IFEE DESCRIPTION. QUANTITY- UOM- AMOUNT (APPLICANT TEL. NO I I 1 IPIUNIK, JASON (800) 540-7605- IDO FIRE SPRINKLER PC 2500.00 VAL 84 20 1 IPO BOX 331027 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS. I IPACOIMA CA 91333 IAB STATE GREEN BLDG FEE 2500 00 VAL 1.00 ID2 PERMIT W/O EN-HC 2500 00 VAL 99.10 I TOTAL FEES 212 10 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE (ALPHA SYSTEMS FIRE PROTECTION, INC (800) 540-7605- 1 1 1 IP 0 BOX 331027 LIC. NO I IFIRE DEPARTMENT INSPECT I IPACOIMA CA 91333 C16 687305 1I 1 IFIRE SPRINKLER HANGERS I I I I I I ,ARCHITECT OR ENGINEER TEL. NO. I IFIRE DEPARTMENT APPROVAL( I I LIC- NO- I 1 1 I I I I I I I I I I I I IMAP NO. SEWER MAP BOOK PAGE. FIRE ZONE- CMP: ( I I I I 001 I I I I INO OF FAMILIES- DWELLING UNITS- APT/COND- STAT CLASS I I 1 NO 20 I I I I I I I I SCHOOL WITHIN HAZARDOUS (AIR QUALITY 1000 FEET MATERIALS NO NO NO I 1 I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 11 II I I I I I I I I I I I I I IREPORT ID: DPR261 ROUTE TO BS0508 I I I 1 I I I I I I