The URL can be used to link to this page

Home My Public Portal About9627, 9627 1/2 LAS TUNAS DR_Building__ I6A69BA CE#80311-57 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS /L!! BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING I CROSS ST. �dZ' DISTRICT NO. GROUP E SEWEA MAP FOR APPLICANT TO FILL IN 5 K P BUILDING ADDRESS -1 ' STATISTICAL CLASSIFICATION LOT NO. BLOCK CLASS.NO. DWELL.UNITS MAP -7STATE YES NO NUMBER OHWY. TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT C.� USE OF EXISTING BLDG. BUILDING YARD HWY TREET NAME EXIST. SETBACK WIDTH OWNER r FRONT MAIL P.L. ADDRESS G 'tlt- '•L SIDE TEL. P.L. CITY NO. INSPECTION RECORD ARCHITECT OR V TEL. ENGINEER NO. ADDRESS TE CONTRACTOR J d, C NO L C" ADDRESS- Z C C' << DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPROVALS APPLICANTOut- DATE t¢ f INSPECTOR'S SIGNATURE ADDRESSFOUNDATION: LOCATION FORMS.MATERIALS P.C. S FRAME: FIRE STOPS. _ FEE BRACING• BOLTS Ly VALUATION S d✓ FURNACE: LOCATION. FEE GAS VENT,DUCTS 1 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 STATE LAWS REGULATING BUILDING CO?$.STRUCTION. LATH.EXT. SIGNATURE OF /`� HOUSE NUMBER COR. PERMITTER �O�' Le4l w��.� RECT AND POSTED ADDRESS 3 � G FINAL CLYDE N. DIRLAM, PR NCI AL STRUCTURAL NEER PLAN CHECK VALIDATIONC M.O. CASH PERMIT VALIDATION K- M.O. CASH 06 8 7 0vg 10420 2 3 A 6.00 •� m. LAr 68712; NOV 1 A 12.00 �° FOA1338ACE#809((_57 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST / p CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. y DISTRICT NO.I G UPTYPE SEWER MAP FOR APPLICANT TO FILL IN ---BK PG ONST. BUILDING ADDRESS STATISTICAL CLASS1191CATION LOT NO. (7z, BLOCK CLASS.NO. DWELL.UNITS MAP STATE YES NUMBEO� HWY. TRACT USE ZONE S ECTAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT / USE OF l� EXISTING BLDG. BUILDING YARD HW STREET N ME EXIST. SETBACK OWNER WIDTH FRONT MAIL E(n� P.L. ADDRESS L- �.� 'LL SIDE TEL.. P.L. CITY NO INSPECTION RECORD ARCHITECT OW TEL. ENGINEER NO. ADDRESS ��•t TEL. CONTRACTOR Yc ADDRESS,SZ''T, - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATUR OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESSFOUNDATION: LOCATION FORMS.MATERIALS P.C. s FRAME: FIRE STOPS. FEE BRACING.BOLTS VALUATION S / oO FURNACE: LOCATION. FEE (Q GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING/BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF L� 1 I _ HOUSE NUMBER COR- PERMITTEF - �J--I RECT AND POSTED ADDRESS a FINAL / CLYDE N. DIRLAM, PRINCI AL STRUCTURAL E R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M. CASH 1_Ido 6 6 1 3 SvC`J l 3 l A 6.00 V0 DEPARTMENT OF COUNTY ENGINEER BUILDING DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING C 7 [� DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO. ADDRESS Q LOCALITY TLt MI><<i GITy RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS STBUILD'. ///�� y.� '` ADDRESS `1 OWNER I/VI/ slI / � �i SAQI��5 MAIL f42 7 LAS TyNR S LOCALITY ADDRESS NEAREST ----�—� TEL. CROSS ST. (t CITY NO. ARCHITECT OR TEL. ZONE I PLANS FIRE NO. OF TYPE ` I OUP ENGINEER NO. �"-'ill BLDG. ORD. NO. ADDRESS //�� SETBACK LINE ��.. 1- 1-4 CONTRACTOR�F' {r(/� NplP>�l, -II3Zd^ USE _ APPROVED �I{t ZONE c: BY ��,I �_ DATE ADDRESS �Lf 1—CM?P/v P-3,40HOUSE NUM RING LEGAL MAP NUMBER NO. ASSIGNED BY -� k� DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT NO. OF BLDGS. SIZE OF LOT NOW ON LOT USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK o - NEW --) ALTERATION ADDITION REPAIR DEMOLITION Z r SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL - ROOF -- COVERING I COVERING USE OF STRUCTURE JAM S 16 A(S 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 BRACING, BOLTS CORRECT. FURNACE: LOCATION, I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS RE, ULATING BUILDING CONSTRUCTION. SIGNATURE OF LATH, INT. PERMITTE _ s LATH. EXT. ADDRESS PLASTER. 1 NT. AUTHORIZED AGT. PLASTER, EXT. /�/10.... P'EC FE . HOUSE NUMBER COR- (� RECT AND POSTED VALUATION f FEE - FINAL 76A638A OBS 3 8-82 _ DEPARTMENT OF COUNTY ENGINEER ,14VISION OF BUILDING AND SAFETY UILDING COUNTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER i APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK,OR REc.No. PERMIT NO. BUILDING LOCALITY RECEIVED BY DATA OFAPPL. DATE ISSUED NEARESTV CROSS ST VVV BUILDING �• OWNER ADDRESS `..+' ✓ -� MAIL 64 _L_OCAL Y ADDRESS NEA ST TEL. CRO)SS ST. CITY NO. ARCHITECT OEL. , � . FIE � INO. OF ITY GROUP ER /', ') PLANS N ADDRESS_.:_:,, !.� `,i�. � - LDG. �r-� .ORD; NO., 2 SETBACK LINE TEL �, _ o USE APPROVED _ CONTRACTOR�� 7 '.p:7� NO T L� J�]�: ZON BY ..r DATE HOUSE NUMBERIPfG i LEGAL / ''77 MAP NUMBER-- _NO. ASSIGNED BY _DESCRIPTION I LOT NO.�'j,(�s 4IJ71LOCK _ CORRECTIONS -TRACT j r // _ yyr� j�� WAS (�*h y SIZE OF LOT.• •_)j( /�? L; NOW ON LOTBLDr'S/1/O+L r?/ #YT � W►iTL +IMIur.il 11 i6.> a:filCV USE OF NO. OF EXISTING BLDG. I FAM ILIE { DESCRIPTION OF WORK I �' S= 7 - 0 NEW ALTERATION I—I ADDITION D REPAIR Z DEMOLITION r SO. FT. �-� NO. OF SIZE „�P J RQOMS STORIES �• _ EXT. WALL ROOF COVERING �l _ i COVERINGi USE OF STRUCTURE / ✓ a�9 p-'G It APPROVALS 1 INSPECTOR'S SIGNATURE DATE r FOUNDATION: LOCATt-gN FORMS, MATERIALS'' 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS _ BRACING, BOLTS - CORRECT. FURNACE: LOCATION, 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF LATH, INT. PERMITTEE qI / ,,F� LATH. EXT. ''e'e,.r,i�:.�,. ADDRESS PLASTER, INT. AUTHORIZED AGT - PLASTER, EXT. awe. s _7 .HOUSE NUMBER COR- RECT AND POSTED VALUATIONFEE .� �/� ' K 1 FINAL f 76AS38A DBS 3 9-82 — 76A638A CE 9803 1/71 7 ; APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING , ADDRESS flet 7—,i COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARCROSSEST. Print ort a onl / 1 '�yy y� DISTRICT NO GROUP TYPE P O £SS D-BY BUILDADDREING SS Z�/ !'vS IVNJ� 13/21 �� ,,,t �.` CONST. J/ LOT NO. BLOCK STATISTICAL CLASS ICATION S WER MAP-`-_ / 7 / - CLASS NO. = WELL.UNITS BfC PG TRACT Z.� USE ZONE MAP NO.OF SLOGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. o C . TEL. OWNER N� CD .7►'wU NO. BLDG.SETBACK FROM ADDRESS lONAl lop_, FRONT PROP.LINE OF (STREET) A-- r TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY "Vv` e�b HIGHWAY WIDTH FROM G.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG,SETBACK M ADDRESS SIDE PROP.I INE OF (STREET) V L TEL _7 TYPE OF EXISTING SETBACK WAY } YARD = TOTAL C CONTRACTOR . NO. S707/ HIGHWAY WIDTH FROM C.LLIC . V ADDRESS3 aN ��-!/� NO. 'q Z[Eil } — C . ^ u CITY �� CLLICASS C--f� CORNER CUTOFF YES ElNO ❑ LL CONSTRUCTION LENDERu. a NAME AND BRANCH f E REVERSE SIDE FOR SPECIAL APPROVALS ? ADDRESS SO. FT, NO. OF NO. OF NEW SIZE STORIES FAMILIES USE 00 /STRUOCTURE C'Cwp� +..� ADDALTERSIGNAT REPAIRAPPLICA DEMOL VALUATION $0 2CAO{ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �.;7 {? FOUNDATION: LOCATION FEE $ FEE$ l r LSC FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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 CDN- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBRY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOCODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPEN INSURANCE. LATH, EXT. SIGNATUHOUSE NUMBER COR- PERMIT TEE RECT AND POSTED ADDRESSFINAL JOHN F. LEWIS, PRINCI L STR UR L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDA I N CK�O. CASH 6226N ►' 24 1 D - / .CQN 0171 Sol 76A638A CE*803 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. DI�RICT N RgUP TYPE CONST. D B FOR APPLICANT TO FILL IN ;� BUILDING STATISTICAL CL SI ICATION EWER MAP ADDRESS ��. BK _ / CLASS. NO. WELL. UNITS LOT NO. G^ BLOCK WATER CERTIFICATE: NOT REQUIRED a RECEIVED ❑ TRACT MAP �} HIGHWAY NO.OF BLDGS. NO. v ICIRCLE) STAT MAJOR ECOND. LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF l CONDITIONS EXISTING BLDG. TEL. OWNER -4u NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS C� - „� FRONT ARCHITECT OR TEL. P. L. >C ENGINEER NO. SIDE P. L. > ADDRESS d TEL. r f /, CONTRACTOR NO.�` i lroa ADDRESS 4--VlV-t �- O DESCRIPTION OF WORK rd CL V) NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE O APPLICANT VALUATION S eg APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION: LOCATION FEE S FEES �� FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- . ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF , �� y� µ��, HOUSE NUMBER COR- PERMITTEEt�-� V RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS RINCIPALnCK. RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH 9 5 0 0 JUL 10 1 D 6.00- Q ` APPLICATION FOR. UILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI G ADDRE I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �7 or a certificate of Workers'Compensation Insurance,or a certified copy thereof(S�SO.3800,Lab.C.) CI*(7 ZIP LO LTTY Policy NO. Company eM I SIO NO.OF BLDGS.NOW ON LOT ❑ Ce fied copy is hereby furnished. I NEAREST SST Certified copy is filed with the county building i on TRACT BLOCK LOT NO. dip tm nt. USE ZON P NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS fIFICATE OF EXEMPTION FROM WORKERS' R TEL NO. COMPENSATION INSURANCE �1 i WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ES / DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) ZIP �1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to A CHI7E OR ENGINES EL NO. 0 �o✓ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant I ADDRESS CLASS NO. o�a� DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of. REQUIRED TOTAL SETBACK FROM EXIST _ Exemption,..you should become subject to the Workers' ZMWES OR TEL NO. SET BACK 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. LIC.NU. PL LICENSED CONTRACTORS DECLARATIONSIDE CI UC.CK PL I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.F .SIE NO. STORIES NO.OF FAMILIES 370' Professions Code,and my license is in full force and effect. NEW ❑ BK PG a License a LID.Class DESCRIPTION OF WORK ADD ElVALIUATIO 1 t i-F t� C Contractor — Date ALTER ❑ $ {I?TAL (r cc ❑ I am exempt under Sec. REPAIR El (.H C .213 C C I_i 'B.&P.C.for this reason DEMOL LDMA P/C# CHANGE `�r LL Date: USF OF EXISTING BLDG. URM ❑ CL Cr Signature I ° ) t r i (CANT(PRINT) 2EL�N LDMA Perm# 001-30-:-C.Ii(_1 17 ,L -} ❑ 1, as owner of the property, or my employees with wages as �f� Z ir,t - rI: their sole compensation, will do the work and the structure is FDE 0 � S°T 1 !FI i s not intended or offered for sale (Section 7044, Business and FINAL DATE Q ,.. 3311.t y i1 y,4 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL � I TT EM A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE '• '•'I •-- 9 i_E�` ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � licensed contractors to construct the project (Section 7044, YES❑ No ac I b j I�;t m �a-_a Business and Professions Code.) ; I WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR'FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 'COCK CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERN4rrTING CHECKLIST FOR EE{{} __ GUIDELINES 1 •1--II'l��43L I hereby affirm that there is a construction lending agency for YES❑ No(� I CHANGE a the performance of the work for which this permit is issued(Sec. m I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE 4nD THE SCAOMD PERMITTING ' N 3087,CIV.C.) CHECKLIST.I UNDERSTAND MY QUIREM TS UNDER THE ANGELES COUNTY CODE, TMTEfIE1 ER 20 SECTI PNQ4150 DUGH 2.20. 4 CONCERNING HAZARDOUS {{yy,,(� �1�'y I Lender's Name 1�1 INC AND F INI G A ERMIT FRO HE SCAQMD. 1100 I` .01,1 air 7J cJr a ,^, I 0 Lender's Address ; 344 i -`M;., ,i3,1 0 0ElMOR AGENT oI certify that I have read this application and state under penalty P.C.FEE PERMIT,FEE 0 of perjury that the above information is correct.I agree to comply . wwith all county ordinances and State laws relating to building A.. .. ',.•;•. �J J;of ons coon, and he uthorize presentatives of this County ISSUANCE FEE ato ent r up thea me bone perty for inspec n p rposes. ��•7�� . m INVESTIGATION FEE TOTAL � �m ar amen �7 SEE REVERSE FOR EXPLANATORY LANGUAGE A APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT'T.O FILL BUIL G ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADD SS ' • 0-1 r7 " or a certificate of Workers'Compensation'Insura ce,or a certi• d CITY i46- ZIP copy thereof JSec.3800 Lab.C.) LOCAL Y z95Vo al Policy No. Comp SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Ce ified copy is hereby furnished. NEAREST CR SST Certified copy is filedwith the county buildi i ection TRACT BLOCK LOT NO. d*�A USE ZONE M Datelicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ER TEL NO. ZV I=1 YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred AADESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) • ZIP ^ ✓ n I certify that in the performance of the work for which this permit � f;.J' is issued, I shall not employ any person in any manner so as to ARCHITE R•ENGINEER L N become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. C9.L. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' LIACIOR TEL NO. ffWj SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith I z FRONT comply with such provisions or this permit shall be deemed revoked: ppD SS LIC.NO. P L LICENSED CONTRACTORS DECLARATION. SIDE CITY n n� �j �� UC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 WC64"i( SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO,OF FAMILIES Professions Code, nd my license is in full force and effect. NEW ❑ BK PG IPTION OF WORK ` VALUATION C License Number Lic.Class ADD ❑ C Contractor Date I Z ALTER ❑ �' a ❑ I am exempt under Sec. REPAIR B.BP.C.for this reason DEMOL ❑ LDMA P/C# C Date: 3 . BE OF EXISTING BLDG. URM ❑ tl s. U, Signature NT(PRINT) EL NO. LDMA Perm# 't'I `° G ❑ I, as owner of the property, or my employees with wages as "�. 73031 1=141, their sole compensation, will do-the work and the structure is A15DRESS not intended or offered for sale (Section 7044, Business and O FINAL DATE' Q•,;•, }• EMSF Professions Code.) WILL THE APPLICANT OR FUT RE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ` s3 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE •� TOTAL i AL 154 m 243 ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ��, licensed contractors to construct the project (Section 7044, ./t �y YES❑ NO E CHECK `i•_EF°sL� Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING •I.IAN� S k1 I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I: �1I'.77'r� °�'' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. f • I hereby affirm that there is a construction lending agency for GYESUI ❑ No Lr1 t; ,f I / cm the performance Of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING �I�I0 1—CF131 U. i`if�J 3087,CIV.C.) CHECKLIST.ItUNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE.cli ° CHA T R 2.20 SECTI 100 THRO H 2.20.140 CONCERNING HAZARDOUS �'f 93 1 Art 9°56 Lender's Name d%#Ja;�- MAT R R ORTING AND R O ING A P IT FROM THE SCAOMD. IL Lender's Address �! C aAfgOR AG&T o I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEETj p a with all county ordinances and State laws relating to building fes[ O Q co uction, and hereb thorize re sentatives of this County ISSUANCE FEE / , •/„ to me upo the abo entl ned p ty for inspection urpo as. � INVESTIGATION FEE TOTAL FEE n wre d Ap II or a SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDI G ADDRESS DR.- or a certificate of Workers'Compensation Insurance,or a certified Copy thereof(Sea 3800,Lab. ) ClT a ZIP LOCALITY Policy Nom + Company S EpEL T NO.OF DGS NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. U-6rtified copy is filed with my building�i p tion TRACT BLOCK LOT NO. depar an . USE ZONE MAP NO. zed, ASSESSO MAP 00 PAGE PARCE. DateMICATr Applicants ' SPECIAL CONDITIONS D OF EXEMPTION FROM WORKERS' OWNE IS TEL NO. I COMPENSATION INSURANCE AWITHIN 1000 F7 OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADbAS / DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY IP I certify that in the performance of the work for which this permit 60 Is issued, I shall not employ any person in any manner so as t0 ARCHITECT O ENGINEER TEL NO.become subject to the Workers'Compensation Laws. y�1 �/ STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.—P2 DWELL UNITS 244 NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED' TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C R TEL NO. ( SET BACK 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. D ESS u . O. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.C SS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP } (commencing with Section 7000)of Division 3 of the Business and -CF FT SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force d effect. I I NEW ❑ BK PG v CRIPTION OF WORK VALUATION License er Lic.Class ADD ❑ o Contracto - poll- Date / ALTER 11 � w [D � El REPAIR I am exempt under Sec. � Z 01) BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. �r URM ❑ — /4 Signature A LI (PRINT) TEL LDMA Perm# ❑ I,•as owner of the property, or my employees with wages as Z AC*C- °g _ their sole compensation, will do the work and the structure is ADDR S s t FINAL DATE F ,1, 13,3 5i3°-1 i not intended or offered for sale (Section 7044, Business and - Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, a3 owner of the property, OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE , am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BYf + licensed contractors to construct the project (Section 7044, Aid. •I.T Business and Professions Code.) YES 11 NO ii 0;.OSE= WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING JJVL0y3' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ��,� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR _ iTE11` GUIDELINES I hereby affirm that there is a construction lending agency for YEs 11 ;i' No I� I t ` cN the performance of the work for which this permit is issued(Sec. . 'AL - - MD PERMITTING 3097,CIV.C.) CH ZUU.UNDYE READ THE HAZARDOUS STAND MYRTERIALSMENTSMUNDE HE LOS ATION GuDANGELEETHE S COUNTY CODE, {� [��// 211-11 �PTER 2. SECTI 2.20. 0 THROUGH .20.140 CONCERNING HAZARDOUS ri.•f!E •r\ Lender's Name TERI S PO G AND'S I G A PERM ROM THE SCAOM0. fI e i�il o Lender's Address �'�+�`''"�� OWNER Ch AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMFEE N � . Q / + 7/110/94 • with all county ordinances and State laws relating to building cans uction,and h O'ze �presefntatives of*County I�SSUA CE FEE6j �. � A}II 8:4toe eru n the a e oned r inspecti ro INVESTIGATION FEE TOTAL FEE d- SEE REVERSE FOR EXPLANATORY LANGUAGE APPUCATT ON FOR L= WLDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIL`ag ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS a or a certificate of Workers'Compensation insurancecert copy thereof(Sec.3800,Lab.C. CITY ZIP p� I�`V -`'7�� LOCALITY Policy No. Company' SI E O LVT NO.OF BLD S.NOW ON LOT ❑ Certified copy is hereby furnished. "001;4- '�'��: X Per NEAREST CROSS ❑ Certified co y is filed with the county building in n TRACT BLOCK LOT NO. depar ent. USE ZONE MAP N��O ;"Date Applicant ASSESSOR PACE/ PARCEL �� !GJ/ SPECIAL CONDITIONS C RTI ICATE OF EXEMPTION FROM WORKERS' OWNERJVs .r. TEL NO. YES No COMPENSATION INSURANCE �F � 2— WITHIN 1000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS 0,VI, � M0 IrvN/16 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify'that in the performance of the work for which this permit CITY JPZIP � � � CA C1/-M0 �� y is issued, I shall not employ any person in any manner-so as to AR ITECT OR ENGINEER TEL NO. O become subject to the Workers'Compensation Laws. p ,Bu�pN tld(b STATISTICAL CLgSAPT CONDO FICATION Date Applicant ADDRESS ! CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of 244 A# •`�T''� �s �� REQUIRED TOTAL SETBACK FROM EXIST -Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ROM"" PIMP FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL VA 4+ �� UM"Ap SIDE LICENSED CONTRACTORS DECLARATION r a CITY �AMIPr LIC.CLASS � P L it;f:} I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP --, ?�i,; -:. (commencing with Section 7000)of Division 3 of the Business and SQ.F1 I� NO.OF STORIES.. NO.OF FAMILIES 303 :_310 f } Professions Code,and my license is in-full force and effect. NEW ❑ BK14� PG r' �Fj DESCRIPTION OF WORK TOW"rADD ❑ VALUATION ? I s E3 5 0- License Number Lic.Class _ - Ci Contractor Date t~ �Vi � ALTER $ ' " TOTAL a�I' i REPAIR ❑ $ �-•H►C-��K 1 }t1 1 ❑ I am exempt under Sec. B.BP.C.for this reason � T - - `*TTOPs DEMOL ❑ CHANGE LDMA P/C# Date: USE OF EXISTING BLDG. -AfAlvpdGfURM ❑ U Signature s12/13/9" Z g APPLICA ;(PR! ) TEL NO. LDMA Perm# L'�)J}�}�-( �II,� ❑ I, as owner of the property, or my employees with wages as AN�SV IA/mN $' Q$ Z q a }� a¢ their sole compensation, will do the work and the structure is ADDRES O mitrl o 9 3 �5M 11:$�T not intended or offered for sale Section 7044, Business and N' FINAL DATE Q>3303 130.1L� X. Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL AV j ; ❑ I, as owner of theproperty, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q T f t S Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY7 licensed contractors to construct the project (Section 7044, ves El 11 t I I�i1 i-_F� Business and Professions Code.) WILL THE &L'14zl . . INTENDED USE OF THE BUIDUNG BY THE APPUCANT OR REQUIIRE A PERMIT OR CONSTRUCTION OR MODIFICATION �-{ i ti OCCUPANT _=tS o�C CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES ,, }� ' c GO hereby affirm that there is a construction lending agency for YES 11 NO❑ Nthe performance Of the Work for which this permit IS ISSUed(SBC. � I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ' TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUSj��I,tLI•-�iIE_� 7,! 4 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address �I 5 6 = �,111111 t s'1 C OWNER OR AGENT , o I certify that I have read this application and state under penalty o of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE D /_/ 7/ /� 7 N � with all county ordinances' and State laws relating to building lr/ struction,and authoriz representatives of is County ISSUANCE FEE // co to ter pon the ove- ntioned roperty for inspe i n pur se Y. O�lO. W INVESTIGATION FEE TOTAL FE A g�� ao om � SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ti, BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 BL 0508 0911160004 PHONE: (626) 285-0488 EXT: li I,I ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 174 BL: .001 UN: .002 I SQ. FT STORIES TYPE I 9627 1/2 LAS TUNAS DR 1 ISTRUCTURE: V-B TEMP CA 917802109 (ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET: CAMELLIA 18587-019-036 .1 1 i THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, CI ITENANT: ((EXIST BLDG USE: COMME USE ZONE: C-1 ISSUED ON: PROCESSED BY: I 1EMBELLISH SALON ,1EXIST OCC GRP: 111/16/09 SR 1 (OWNER: TEL. N0: 11BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: IPAYNE, LINDA (909) 241-4037- ;I 2,650 I I 9839 HOWLAND DR. TEMP 917801443 1 FEES PAID (DESCRIPTION OF WORK I I (INSTALL AWNINGS (3) TWO OVER WINDOWS ONE OVER DOOR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: - .I I I 1SAME AS OWNER - ,IAA BLDG PERMIT ISSUANCE 27.75 I IAB STATE GREEN BLDG FEE 2650.00 VAL 1.00 ISPECIAL CONDITIONS: I IIAE STRONG MOTION OTHER 2650.00 VAL 0.56 I 'ID2 PERMIT W/O EN-HC 2650.00 VAL 99.00 I I I TOTAL FEES 128.31 I ICONTRACTOR: TEL. NO: iI APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER LIC. NO I ILOCATION AND SETBACKS I I I III ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: - �1 (FOUNDATION/TRENCH FORMS 1 1 I LIC. NO: II 1SLAB/UNDER FLOOR I I r I I 11 1RAISED FLOOR FRAMING I 1 I 1 (MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I150H269 3 001 I 1- I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:' ( I I I I 1 NO 22 1 1ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I II NO NO NO I1 1FRAME INSPECTION 1 I 1 1REQUIRED TOTAL SETBACK FROM EXIST1 E ��® �l 1FIRE SPRINKLER HANGERS I I I SET BACK YARD: HWY: PROP LINE: WIDTH: li IFRONT PL- jI (INSULATION/WEATHER STRIP( SIDE PL- I I I I I I ({7I (INTERIOR LATH/DRYWALL I I I I II (EXTERIOR LATH 1 I I I I IRATED FLOOR/CEIL ASSEM. I I I I ' I IRATED WALL ASSEMBLIES I I I I I I II (RATED SHAFTS/OPENINGS I II IT-BAR CEILINGS I 1 I 1 � I (IAT DRAINAGE I I i' IREPORT ID: DPR261 ROUTE TO: BS0508 I I 'I I