HomeMy Public PortalAbout9619 LAS TUNAS DR_Building__ 765a38AD®s.3
11-55 APPLICATION FOR BUILDING PERMIT ],
TO
i A I
DIVISION OF BUILDING AND SAFETY ADD EISS .S O A &`
Department of County Engineer
County of Los Angeles LO_-ALITY Tl G l
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST / (v� {�
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. C( 1+ t
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP TYPE SEWER MAP
BK P6
CONST.
BUILDING / MAP STATE YES NO
ADDRESS , .` NUMBER HWY
LOT NO. / / f BLOCK USE ZONE SPECIAL
CONDITIONS
y
TRACT
NO. OF BLOGS.
SIZE OF LOT NOW ON LOT / BUILDING.
YARD HWY STREET NAME
SETBACK .tt WIDTH
USE OF FP. L. �
EXISTING BLDG. P L
OWNER q Al SIDE
P. L.
MAIL
ADDRESS O TRACT DWELL. 1 UNIT 5 INDUSTRIAL
TEL. I DWELL. 1 UNIT
CITY NO. 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 7 ADDN.,ALT., ETC.
3 APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR
S�A!//S rTio j�e.�3 � INSPECTION RECORD
ADDRESS el
DESCRIPTION OF WORK l
NEW ADD A- ASTER `REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
IL
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS �S .Z. j� V�Q,�_ 1 DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
P.C. S FORMS-MATERIALS
(p �7 FEE FRAME: FIRE STOPS,
VALUATION S BRACING. BOLTS
FEE 1 O 0 FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO CO LY WITH ALL C TY ORDINANCES LATH, INT.
AND STATE LA:lC
S EGU TING B 1 ING CONSTRUC-
TION.
LATH. EXT.
SIGNATURE E HOUSE NUMBER COR-
PERMITTEE _RECT AND POSTED 1
ADDRESS FINAL
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATIP4 CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR
CK MO N
LAC92053A my 5 2.00 in
CE #803
76A838A 1/71 "-�
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APPLICATION FOR BUILDING PERMI�
COUNTY & LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS (2 -
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST r
Print ort a only) CROSS ST.
DISTRIC)" NQY Fj0 P TYPE B
BUILDING // Y 1 CONST. _
ADDRESS 'C C
�. STATISTICAL CL SS FICA TION SEWER MAP
LOT NO. l �" L BLOCK
_ CLASS NOC WELL,UNITS B PG
TRACT '
USE ZONE MAP .�{C)OF BLDGS. 1 OSIZE OF LOT NOW ON LOT \� IPECALUSE OF ` ONDTIONS
EXISTING BLDG.
TEL.
OWNER l` �pNO. BLDG.SETBACK FROM
ADDRESS /t;r �U�/ �/Z FRONT PROP.LINE OF (STREET)
t TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
G'
ARCHITECT OFT TEL, R + =
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINEOF (STREET)
I ' TEL. TYPE OF EXISTING SETBACK HIGHWAY RD = TOTAL d
CONTRACTOR ,��I�/ CVU, NO.LC'If1 D¢ HIGHWAY WIDTH FROM C.L. CD
3 /�f N N O 4�(> + O
ADDRESS ,3
LIC. ,�pp F—
CITY CLASS C�� CORNER CUTOFF YES ❑ NO ❑ ILL!
CONSTRUCTION LENDER CL.
NAMEAND BRANCH SEE REVERSE SIDE FOR SPECIAL APPR VALS z
ADDRESS 5z 4z
SQ. FT. NO. OF NO. OF 7� -
SIZE 3 STORIES T FAMILIES NEW
USE
ADD
STRUOCTURE S/ ALTER ❑
REPAIR❑
SIGNATURE
APPLICANT L DEMOL ❑
DVALUATION i�Z 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 AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN' C ENSA SURANCE. LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS3) FINAL
Z /
JOHN F. LEWIS. PRIN IP L STRU L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALID CK. M. CASH
(;p 6 2 2 5 24 1 0 9.00- 14
TEMPLE CI TY
79ASISA CX#803-1-61 APPLICATION FOR BUILDING P IT
COUNTY OF LOS ANGELES BUILDING / 7/
DEPARTMENT OF COUNTY ENGINEER ADDRESSL r� 'we
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /A r
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. I lCL
DISTRI T GR P TYPE SSED BY
FOR APPLICANT TO FILL IN z CONST.
71 Foz
(2
BUILDING DRESS STATISTICALC SIFICATION S WERMAP
AD9619 • Las Tunas BK PG
CLASS.NO. DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
J' �I CERTIFICATE: poftl 11
TRACT MAP HIGHWAY STAT M JO RI SECOND, LOCAL
NO.OF BLDGS. NO (CIRCLE)
SIZE OF LOTi I NOW ON LOT US ZO E SPECIAL
EX STUSE O NG BLDG. Pet Store CONDITIONS
TEL.
OWNERWalter Kearnoy NO. BUILDINGEXIST.
YARD HWY TRE T ME
SETBACK SWIDTH
ADDRESS 806 Arcadia Ave. .Arcadia FRONT
ARCHITECTOR TEL. P. L.
ENGINEER NO. SIDE
ADDRESS >_
CONTRACTORVirgin Root V o.trio AT7050 INSPECTION RECORD CL0
V
ADDRESS 600 S.San Gabriel Blvd. o
DESCRIPTION OF WORKSan Gab u
W
a
NEW ADD ALTER REPAIR X DEMOLISH Z
SQ. FT. NO.OF NO.OF _
$IZE STORIES FAMILIES
USE OF
STRUCTURE
Re-roof
SIGNATURE OF
APPLICANT
VALUATION$ 342
000
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PIAT FOUNDATION: LOCATION
FEE $ FEE',s 6,00 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 HE BY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LA R CODE OF THE STATE OF CAL ORNIA RELAT-
ING TO WORKMEN' COMPENSA ON INSURANCE. -�
LATH, EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED /
ADDRESS 600 S. San Gabr el Blvd. FINAL
Ban Ciabrlel CLYDE N. DIRLA . PRINCIPAL ST T RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PFJMW VALIDATION CK,,/ M.O. CASH
L_I,Lo 3 6 0 2 DEC 2 3 1- D 610 0-
76A638A CE9803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. /c
DISTRICT NO. GRO P TYPE PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING �"" STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS BKKK�P�
CLASS. NO—1-6 DWELL. UNITS
LOT NO. 1 BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
TRACT (�J _ MAP:�?J�� HIGHWAY STAT O SECOND, LOCAL
NO.OF BLDGS. NO. .040 (CIRCLE)
SIZE OF LOT NOW ON LOT _ USE ZONE SPECIAL
USE OF w CONDITIONS
EXISTING BLDG. C`
TE OWNE N �O BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT /
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L
ADDRESS G6
� NE 0V
ADDRESS
DESCRIPTION OF WORK
a
Vf
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO. OF /
SIZE �jy� STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF or
APPLICANT
VALUATION $ f
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE S �— 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.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO PE NSATION INSURANCE.
LATH, EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS dittFINAL
JOHN F. LEVVIS RINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT ALIDATION CK. M.O. CASH
A09 9 5 4 to Alli 4 1 D 6.0 0
I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTYOF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
NO. OF 17 BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS •+�• SETBACK LINE �l
FIRE APPROVED t � to Ij
ZONE //p", BY DATE (/R�'ECEIVED BY DATE OF AyPPL,.. DATE ISSPED
USE
ZONE �/ 3 BYPROV ED DATE '—`..t 7•f F"f tr 4✓ 1; ts�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDINGrm 1
p K NAME ADDRESSk h•Cj� 7�4 j-I
W Z ADDRESS LOCALITY ,L �'�•,�1�
�-�
= NEAREST
U Z CITY CROSS ST. -
Q STATE TEL.
LICENSE NO.{. (/"� NO. W NAME ; /
p l `.� x c O MAIL
NAME (� C.L3 Y1 ADDRESS
F
U �'? -q ( t ! TEL.
Q ADDRESS f --1 �'`- �j U ! (�+ ly „P�,�."�' CITY NO.
Z CITY ''` t'� (� \ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U :t - ,"' Q� -- APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE ENO. S'� L.J TE /4 �- �3 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENAND STATE LAWS REGULATING BUILDING CONSTRUCTION.
\ 7 �X .C.-''.
LOT. NO. L 11 SIZE OF LOT SIGNATURE OF v „
OWNER _i .
NO. OF BLDGS. }\/ '� AUTHORIZED AGT.4-4
BLOCK NOW ON LOT ! `(,
W
-T C RRECTIONS
TRACT
yy USE OF BLDGS.
1 NOW ON LOT
D�E—SCRIPTION OF WORK
750'BUILDING ;"` ®j~ 1 -
L sf
c
J
w �
_ 3
en NEW !! TYPE GFIOUP
i
to NO. OF N OF
tet' ALTERATION ROOMS FA
ADDITION SIZE
J
REPAIR STORIES l
MOVING WALL COVERING
UDEMOLISH ROOF COVERING
P'C' $ Q Q FINAL APPROVAL
FEE
.. � �,�/qq/ //"°'�� $ ( INSPECTOR'S
[VALUATION FEE DATE J 1�1 NAME +
RTMENT OF BUILDING AND SAFETY BU
I IL D I N G
COUNTY OF LOS ANGELES `J
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
TY �T-,P la DATE OF PL. DATE ISSUED
EST
SS ST.
UILDING
ADDRESS f� I�V/G_S ,."1��..�,•<?s�
OWNER �r-'-
�•
MAIL LOCALITY �/ • �_•
'o �0 -
ADDRESS �( NEAREST
TEL /'' CROSS ST.
CITY NO. / O/
FIRE •N O. OF TYPE-, J'- GBouP
A TEL. ZONE I PLANS
ENGINEER T, -ea'"h'r NO. BLDG.
ORD. NO.
SETBACK LINE
ADDRESS /� 7� S t.�J APPROVED
TEL. BY DATE
CONTRACTOR NO. USE ...,�' APPROVED
ZONE"' BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. /7 I BLOCK MAP NUMBER 2_a2e7 ,7 FIELD CHECK BY
TRACT NO. ASSIGNED BY nATM
r NO. of etDcs. / CORRECTIONS
SIZE OF LOT "J x I NOW ON LOTUSEOF
EXISTING BLDG. P�PGI S/-O/~'e� FAMILIES `
DESCRIPTION OF WORK
NEW I I ALTERATION ADDITION
O
REPAIR I I DEMOLITION I I A
SQ. FT. NO. OF /
SIZE ROOMS STORIES Z
EXT. WALL <L? I ROOF 4.115�1't _ -A.w4--1 r
COVERING COVERING
USE
O TRUCTURE
'vT'/ i4 3$.nG.s�.e.o_ '�C��✓ APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS /
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, _
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF —�- j��•� GAS VENT, DUCTS
PERMITTEE./^fCy� �C� •/y. �e k /�_
ADDRESS��•�^s'y L��dz�--�� ("UUT-_ LATH, INT.
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76A688A I DBSS IO-SO SAT", Q-O P. C. $
® FEE PLASTER, EXT.
VALUATION FEE "� FINAL c=lf�L � Z S -
I _
Ar,Comm EmcmanDINOF BU1LG
. � Comm 1
WILU" J. FOX. COUNTY 19NOINEM APPLICATION
CA>^'ff.D. GIOMMIN. SUPT of tt of t,..:
FOR Aff'LTO FILL IN FOR OFFICE USE ONLY
FLOCALITY
D19TRICT NO. PLAN CK.on Rec.No. PERMIT NO.
�'EIVED BY DATE OF APPL. DATEISSUED
r
NEAREST 3`I C
CRO988T. Wr
NO
ADDRESS
OWNER i
MAIL LOCALITY
ADDRW NEAREST / /
TEL. CROSS ST. ��/4"I.GG�t✓/T 24.11.4;
CITY
TMPE UP
ARCHITECTOR ZONE PLANS 6. 3 :h4
ADDRESS 0�6r..�A BLDG. ORD. NO.
SETBACK LINE
TEL. US6 APPROVED
CONTRACT NO. ZON HY DATE
HOUSE NUMBERING
ADDRESS ��-
LEGALOT N BLOCK
L MAPNUMB6R_�" 07 NO. ASSIGNED
BY-
DESCRIPTION
CORRECTIONS
TRACT
NO. OF BLDGS.
SIZE OF LOT 'C`' l NOW ON LOT
USE OFNO. OF
EXISTING BLDG. dexaz SYa Q FAMILIt ; ��l G y i GQ,,�'
DFljCRII�'liON OF WORK ,l r tl K - �" t�_ A _
NEW ALTERATION ADDITION
2
REPAIR DEMOLITIONI I F_ D
SQ. FT. NO. OF 6 t L I C R 0 r
SIZE ROOMS STORIES
EXT. WALL ROOF r., /'� : .�/ dam,•
COVERING I COVE RIN
USE OF STRUCTURE 1 f
T -
r
i
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION,
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS
AND STATE LAWS ULATING BUILDING C NBTRUCTION.
SIGNATURE OF ATH, INT.
PKRmmw
00, LATH. EXT.
ADDRES
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
P. C. s
FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION a�
FEE FINAL
I76ASO&A ou S S-SS -
76-4638A CE 9803 1/71
APPLICATION FOR BUILDI G PERMtf-
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY e
FOR APPLICANT TO FILL IN NEAREST
Print ort a onl CROSS ST.
BUILDING/'p/
DISTRICT NO. GRO TYPE PRO S Y
ADDRESS �, V CONST. Ci
STATISTICAL C�FICATION SEWER MAP
LOT NO BLOCK
CLASS NO. WELL.UNITS
TRACT USE ZONE MAP
,l
NO.OF BLDGS. NO. ��
SIZE OF LOT NOVt ON LOT SPECIAL
USE OF ll�V//"���`•" CONDITIONS
EXISTING BLDG,
L.
OWNER BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C,L.
ARCHITECT O E= } _
ENGINEER
BLDG.SETBACK FR
ADDRESS SIDE PROP. LINE OF (STREET)
TE TYPE OF EXISTING1 SETBACK HIG Y t YARD = TOTAL
CONTRACTOR N HIGHWAY WIDTH FROM C.L. U
ADDRESS NO. } _
O
LIC, F'
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ W
CONSTRUCTION LENDER N
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑ `' L
SIZE STORIES r FA LIES
USE OF ADD
STRUCTURE c QA fi'l 10
ALTER ❑
REPAIR❑
SIGNATURE
APPLICANT MA ijkl"'ll- DEMOL ❑
VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE
P,C. PMT. FOUNDATION: LOCATION
FEE S • O FEE $ 4 (4� FORMS, MATERIALS
FRAME: FIRE STOPS, l �/
I HEREBY ACKNOWLEDGE THATC1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DDIN THE ORK AUTHORIZED
H ER-E BY 1 WILL NOT EMPLOY ANY PE NOLATION OF THE LATH, INT.
LABOR CODE OF THE STAT OF •C L FO I IN RELATING TO
WORKMEN'S COMP -TION I AN LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND PVSTED
ADDRESS FINAL
JOHN F. LEWIS. PRI CIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK, M O<=CASH _ PERMIT VALIDATION CK� M O. CASH
Ltit,o d 2 O -�jl FES. 1 2 1 D 7.2 01
LriLo4. '> 77 � FES10 1D 12.ON
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P L A N C H E C K V A L I D A T I O N C K . M . O . _ P E R M I T V A L I D A T I O C K . A S H
v a h a 3 i 3 E F 2 9 2 3 7 2 0 A
L & o A 7 b 3 6 1 D 1 4 . 0 0 N
GPERMIT
i
76Ai38A CE #803 1/71
FOR IN
,• APPLICATION OD
I U L
COUNTY Or LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS J(Q
COLEMAN W. JENKINS, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST Q n
CROSS ST.
Print or t e onl ,y t-
DISTRICT NO. GROUPI TYPEO SED BY
BUILDING C i CONS
ADDRESS �� T'.
STATISTICAL CLASSIFICATION SEW MAP
LOT NO. BLOCK
CLASS NO. /,? DWELL,UNITS I BKt PGe
TRACT USE ZONE MAP �J
NO.OF BLOGS. NO.
SIZE OFtOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
VU
TE
OWNNO BLDG.SETBACK FROM
ADDRESS v FRONT PROP,LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL
+
HIGHWAY WIDTH FROM C.L.
CITY
ARCHITECT OR V TEL. /�+� t C-15 =f`7
ENGINEER NO. BLU G.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
�-
TEL. TYPE OF EXISTING .SETBACK HIGHWAY t YARD = TOTAL Cl_
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. U
ADDRESS LIC.
NO. - C3
O
LIC. F
CITY CLASS CORNER CUTOFF YES ❑ NO W
NAME AND BIRANCHNDER K%,K _ SEE REVERSE SIDE FOR SPECIAL APPROVALS Z
ADDRESS /�
SIQZE T W� NO. OF NO. OF NEW
STORIES FAMILIES --7
USE OF ADD ❑
STRUCTURE
ALTER ❑
REPAIR❑ - t-, .
SIGNATURE ti l D 0 rev A i [ -
APPLICANT DEMOL ❑
VALUATION $ V C/ APPROVALS - DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE S-- 701
OFEE$ FORMS, MATERIALS �.� I
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,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION. f CERTIFY THAT IN DOING THE WORK AUTHORIZED `
HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALI 4RNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE %� •Tr1 j
LATH, EXT,
SIGNATURE OF 1Y / HOUSE NUMBER COR- yc
PERMITTEE �Vu RECT AND POSTED
ADDRESS - FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION
CK. M _ PERMIT VALIDATION CK. M.O. CASH
NOVIT
-LQ 7 'Q 2 JAI 5 3 D 3 0.60
WORKERS'COMPENSATION DECLARATION
to self
insurebor afirm certif care of Workers' Compensat on that I have a certificate of coent Insurance, APPLICATION FOR BUILDING PERMIT
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 Z t1 _ — k -v\
Certified copy is filed with the county building inspec- BUILDINGEl �t y
tion department. ADDRESS 1 (.
\ (, LOCALITY
NEAREST 1
Dote Applicant CITY 9—VI 1 \V '���'r: ZIP CROSS ST. �-
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one — s� USE ZONE MAP G�
hundred dollars ($100)or less.) TRACT _, BLOCK LOT NO. t NO.
Sq'� TEL. Z ti Itr 1 SPECIAL
I certify that in the performance of the work for which this OWNER ��f 1 a �� F tom, 1'h Z*�'� NO. �i ?;i /yt. CONDITIONS B,
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PR ESSED�Y O
so as to became subject To the Workers' p nsation L s. ADDRESS CONST. ZONE 99
tk 0 40 �ln� I/ a 99
XDate
L �� CITY 'e 1U a"J ZIP `( "' �^ v O
Applica • v STATISTICAL CLASSIFICATION APT. CONDO.
OTICE TO APPLICANT: If, a mg is a ificate'of ARCHITECT OR T Z
Exemption, you should become subject to t Workers ENGINEER. NO. CLASS NO. DWELL..UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be
deemed revoked. s I BK. PG, VALIDATION
CONTRACTOR i� -�i �Pc�=:?r��'e i ANO. .. !,`t 1'3'�+C7 '
LICENSED CONTRACTORS DECLARATION LIC. C
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS t-((j�,P: L,"vy t?tf ok k X A NOVALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY AVVte\b'e.k-�k1et1 CLASS t $
_ _ . SQ. FT. NO.OF NO. OF CHECK
License Number ,� i aft Lic.Class r SIZE STORIE/S FAMILIES ONE
Contractor ice;r k'�-, (J tV4 \"r Dare r !( DESCRIPTION OF WORK V }�{?�y "i.v, NEW ❑ $
Elam exempt under Sec. ` ADD
`` ALTER FINAL
B.&P.C. for this reason >>l ive. 'J in: t' 'ki't1e ❑ DATE J Lf
n�` REPAIR
D e: USE OF �1N,
DEMOL FINAL (/
EXISTING BLDG. =)( C] B
Signature -� APPLICANT TEL. Y
OWNER-BU ER DLA PRINT :'n1' '�ivst;�NO�`
I hereby affirm that I am en from the Contractor's License '
Law for the following reason (Section 7031.5, Business and ADDRESS` 1� > —\\�1�(' .� v poll. 1 6 9,7 A
Professions Code): PRESENT
Q BUILDINGdl
1, as owner of the property, or my employees with ADDRESS L' 0 0 0 0 0 1
» 4 %�t 1\.`1 f,
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY o -.14
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO. a,o 0.4 9,8 Pi v
with licensed contractors to construct the project (Sec- LInvestigotion
O Jr:O�) -83
tion 7044, Business and Professions Code).
TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.).
o Lender's Name Lender's Address Permit Fee 773P
� I certify that I have read this application and state that the Issuance Fee S
(�
a above information is correct. I agree to comply with.all County Fee r'
g ordinances and State laws relating to building construction, Total Fee f d
u and hereb authorize represe atives of this County to enter
upon t ov -mention, pe for inspection purpos
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig re of pli or Agent Date ®s
COUNTY OF LOS ANGELES 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 0010120009
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 6561 LT: 178 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9619 9621 LAS TUNAS DR
STRUCTURE: 0 1 VN B TEMP CA 917802109
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-019-037 THOMAS PAGE: 596 GRID: J3 LOCALITY: YONG CHANG HON
TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: B 11/20/00 UT 05/20/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE:
9615-9621 LAS TUNAS PROPERTY 12,000
9615 LAS TUNAS DR
TEMP 917802109 FEES PAID DESCRIPTION OF WORK
ESTABLISH STORAGE, UTILITY AREA FOR FOOD,MILK,RETAIL;
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ACCUPUNCTURE (ESTABLISH 3 EXAM ROOMS, RECEPTION AREA)
APPLICANT: TEL. NO:
SAME AS OWNER Al PLANCHECK W/EN-HC 12000.00 VAL 244.57
AA BLDG PERMIT ISSUANCE. 27.75 SPECIAL CONDITIONS:
AE STRONG MOTIONATHER 1'2000.00 VAL 2.52
A2 PERMIT W/ENERGY HC = 12000:00 VAL 287.73
��, V �TOLA' FEES
� 562.57
CONTRACTOR: TEL. NO: �� �yGJ�� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO ` r% \ LOCATION AND SETBACKS
v � � SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NOS ����1 l i 1111, ��� SLAB/UNDER FLOOR
f - -- -- - /' - '
- - RAISED FL0OR FRAMING
MAP NO: SEWER MAP BOOK: PAGE:. FIRE ZONE: CMP 3 04'• , ` / \ ` // ` UNDERFLOOR INSULATION
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS,:-
NO
LASS:NO 22 ��� ��' w !i" ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS \ ��
NO NO NO '� � FRAME INSPECTION
FIRE SPRINKLER HANGERS
v
INSULATION/WEATHER STRIP
-=- INTERIOR LAT RYW
yd
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
- F t
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 1206110062
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS:
ITR: 6561 LT: 178 BL: .001 1 SQ. FT STORIES TYPE OCCUP GROUPI 9619 LAS TUNAS DR
I (STRUCTURE: 3642 1 V-B A-2 I TEMP CA 917802109
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: TEMPLE CITY
18587-019-037 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: CONIINE USE ZONE: C-1 (ISSUED ON: PROCESSED BY: I
1UR'SPACE IEXIST OCC GRP: A-2 110/08/12 SR
I I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DATE FIN L Y: CODE: J
IHSIANG CHUN CHEN (626) 821-9525- 1 180,000 1 i
1357 WALNUT AVE. I - 1
JARCADIA, CA 91007 I FEES PAID IDE C PTION OF WORK 1>t
I I I (E) RETAIL STORE CHANGE TO RESTAURANT CHANGE THE STORE FRONTI
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IINSTALL KITCHEN HOOD EQUIPMENT NEW HC RESTAURANT 1
(APPLICANT: TEL. NO: I I -
JDRP, INC. (626) 570-9978- JAI PLANCHECK W/EN-HC 180000.00 VAL 1,775.90 1
1119 S. ATLANTIC BLVD IAA BLDG'PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: l
(MONTEREY PARK 91754 JAB STATE GREEN BLDG FEE 180000.00 VAL 8.00 1
J JAE STRONG MOTION OTHER 180000.00 VAL 37.80
JA2 PERMIT W/ENERGY-HC 180000.00 VAL 2,089.30 I /
(CONTRACTOR: TEL. NO: ID7 ADDNL PLANCHECK FEE 1.00 HOU 109.40 (APPROVALS DATE INSPECTOR SIGNATURE I
(RELIABLE DESIGN AND CONSTRUCTION (626) 905-5345- 108 CERTIF OF OCCUPANCY 101.40 1
110904 GRAND AVE LIC. NO ITOTAL FEES 4,149.60 (LOCATION AND SETBACKS 1 1
(TEMPLE CITY, CA 91780 618747-B * I 1
I I (SOILS ENGINEER APPROVAL I 1
JARCHITECT OR ENGINEER: TEL. NO: I IFO ENCH FORMS
(DRP, INC. (626) 570-9978- I 1
1119 S ATLANTIC BL #228 LIC. NO: I JSLAB/UNDER FLOOR //t
(MONTEREY PARK, CA 91754 C40169
I J JRAISFD FLOOR FRAMING I I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: \�.`ey J r /► JUNDERFLOOR INSULATION I
1150H269 3 001l/ > C \'� 11
I �jZ ' I _13 — I Z v/C 1
0 NO 22 1 IROOF SHEATHING FLOOR SHEATHING I J
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
J ` 1`1�
i I `r s1�� �,, `J f I
I SCHOOL WITHIN HAZARDOUS r [�,6/'¢� {SHEAR PANELS
AIR Q1 1
UALITY: 1000 FEET MATERIALS 4��� � °il I
1 NO NO NO �� ` 1FRAME INSPECTION r
®�C � � I.IRE SPRINKLER HANGERS 14
I INSULATION/WEATHER STRIP 1
I R +r 4 I fi.Cn�1
INTERIOR LATH/D YWALL I• t 1
QOo 1 EXTERIOR LATH 1
1RATED FLOOR/CEIL ASSEM. 1 1— u 1
IRATED WALL ASSEMBLIES J J 1
w1RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
I* ADDITIONAL DATA ON FILE G I I I
I I C ILOT DRAINAGE
I I I
I - IREPORT ID: DPR261 ROUTE TO: BSO508 I jL(14
---T—
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 1308290003
PHONE: (626) 285-0488 EXT:
ILEGAL ID: INUMBER OF SIGNS: 1 BUILDING ADDRESS:
ITR: 6561 LT: 178 BL: .001 ISIGN DESCRIPTION: LED SIGN INSTALLATION 9619 9621 LAS TUNAS DR
I I TEMP CA 917802109
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: TEMPLE CITY I
18587-019-037 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (EXIST BLDG USE: (ISSUED ON: PROCESSED BY: 1
UR'SPACE (EXIST OCC GRP: 108/29/13 SR
10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
1H5IAWA CHUN CHEN (626) 821-9525- 2,200 i ( G
1357 WALNUT AVE.
1ARCADIA, CA 91007 1 FEES PAID IDESCRIPTION OF WORK 1
ILED SIGN INSTALLATION 1
I _(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
1APPLICANT: TEL. NO: I I
IJOHN WU (626) 333-8008- ID1 PLANCHECK W/O EN-HC 2200.00 VAL 84.20 1 I
11927 SANTA ANITA AVE IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS:
ISOUTH EL MONTE CA 91 AB STATE GREEN BLDG FEE 2200.00 VAL 1.00 1
I ID2 PERMIT W/O EN-HC 2200.00 VAL 99.00 I I
I _I TOTAL FEES 212.00 1
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISUCCESS SIGN GROUP (626) 444-8181- 1 1
12812 PECK RD LIC. NO (LOCATION AND SETBACKS
IEL MONTE CA 91776 896068
- ISOILS ENGINEER APPROVAL I !
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I
LIC. NO: I ISUPPORT STRUCTURE
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( I
001 1
I I I I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: i
1 NO 20 I I
1 SCHOOL WITHIN HAZARDOUS 1
1AIR QUALITY: 1000 FEET MATERIALS ( I I I
1 NO NO NO
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 I I I
I I I I I I
I I I I I I
I I I I I I
I* ADDITIONAL DATA ON FILE
I I I I I I
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I