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HomeMy Public PortalAbout9635 LAS TUNAS DR_Building__ DEPARTPIENT OF BUILDING AND SAFET � t� YLIQATlU14 r Ull k=M11 � • COUNTY OF LOS ANGELES Lh. 91MILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN �' FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING / /� ADDRESS / L �7s T1N�S _ I Y LOCALITY ��/�} IC. T RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS$T. L. Y� �/ j _OWNER fNE F C/ NAT. .,Q AI� BUILDING, ADDRESSMAIL ADDRESS � .2.0/ F• L-4,5 T///y/4S �� LOCALITY _l ^ r // -� NEAREST CITY FrM,y.4 G `- TY NO.��i ' CROSS ST. FIRE NO.OF TYPE � GROUP ARCHITECTOR .?�Nlv� T�^ TEL. �'y / QZONE PLANS ENGINEER F� / N O. t- BLDG. ORD.NO. _ e ADDRESS / �. C;e'JX e C4.0 _ 5"7- SETBACK LINE �/ 1 4 (s APPROVED _CONTRACTOR `--- NO. 7 BY DATE lit USE APPROVED ADDRESS -- ZONE BY DATE LEGAL /72,r �o _ 'i CORRECTIONS _ DESCRIPTION LOT NO.O / BLOCK TRACT pop 6,5'6 C 7,..^-7r. � / NOW ON LOTS SIZE ( ko L OF LOT l+� X I�4 f wUSE OF I NO.OF I NO.OF 7 ! 1 - EXISTINO BLDG, FAM' LIES ROOMS ' 6 DESCRIPTION OF WORK ;` 1 r f s NEW ALTERATION I I ADDITION Y ��fC Y i Jorcop'.J A A'V e <EPAIR / Q MOVING DEMOLISH / G7 SI ET 7G ROOMS STORIES Z �Y NO.OFf r WALL yyROOFh COVERING ,p��C� ( COVERINGO D U IELDFN G W i o LL M SC's/ � CU t/LTiCti` i I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS f'Vl1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT -INSPECTOR 0, E FOUNDATION:AT LOCATION i ! AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS / U AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ts. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS PERMITTEE_ I / LATH, INT. AUTHORIZED AGT LATH, EXT. 76A639A-3 7-49 P.C. PLASTER, INT. ©©Q � FEE _ PLASTER, EXT. t _ VALUATIONFEE ry L FINAL i ,.ti 1{ 1 f' 3" 76A638A DBS-3 12.54 1. APPLICATION FOR BUILDING PERMIT I DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS E,:9635 . Las Tunas Department of County Engineer County of Los Angeles LOCALITY Temple City WM.J. FOX. COUNTY ENGINEER NEAREST Camellia 3., AveCASSATT D. GRIFFIN, SUPT of BUILDING CROSS ST. is p FOR APPLICANT TO FILL IN 01sT QCT NO. G UP I TYPE sE BK MA PG NG I �g L CONST. ADD EBUILDISS 9635 E. Las Tunas Dr MAPL'I 'l TAT YES NO NUMBERHWY ZI LOT NO. / BLOCK USE ZONE SPECIAL CONDITIONS TRACT ✓ � � NO. OF SLOGS. SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OFSETBACK WIDTH EXISTING BLDG. Puck FRONT OWNER Capital Co. SIDE MAILP. L. ADDRESS 9635E,. Las Tunas Dr CITY Temple City, Cal if. No' DWELL. t UNIT 5 INDUSTRIAL ARCHITECT OR TEL. 2 DUPLEX_UNIT 6 PUBLIC BLDG. ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC. ADDRESS 4 COMMERCIAL 8 MISCEL. Elect.Prod.Corp. No• CA 1-61 CONTRACTOR 'r e� INSPECTION RECORD ADDRESS 1100 N. Main Street, L.& 12 DESCRIPTION OF WORK — NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE Installation of double "FIRST WESTERN SIGNATURE O APPLICANT ��,,.t A e� APPROVALS ADDRESS 1100 N. Main St♦ L.A. ZZ DATE INSPECTOR'S SIGNATURE P. C. $ FOUNDATION:FORMS, M TERIALSION 750*00 FEE FRAME: FIRE STOPS. VALUATION $ BRACING, BOLTS FEE FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUI ING/CONSTRUC- TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 1100 N Ma St .A FINAL I '�k"_Y .,,;" - WM. J. FOX, COUNTY ENGINEER VALIDATION BY �GOq 5 3 0—U) AUG11 6.0 0 DEPUTY BYD EP�U(T/Y'j BY All I DEPUTY '7"'�°"- ��" DEPUTY -fps r2u c re-r2 4 Z_ w de�4-,o//v c, We ee 76A638A CER8033-66 APPLICATION FORUILDI �PERMIT •-� COUNTY OF LOS ANGELES BUILDING 'J DEPARTMENT OF COUNTY ENGINEER ADDRESS A BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST -Y t COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DIS CT N GROUP JYYPE PR5 ble FOR APPLICANT TO FILL IN ) ONST. 6 , Ll BUILDING —71 9 STAT STICAL ASSIFICAT10N SEWER MAP ADDRESSr9r k`r75 Za:L CLASS NO. DWELL UNITS BK PG LOT NO. Z— 3 BLOCK USE ZONE MAP " TRACT NO. � N0. OF BL SPECIAL -� CON I ION SIZE OF LOT _ Now ON LOT USE OF EXIST ING BLDG. BLDG. SETBACK FROM TE FRONT PROP. LINE OF Zza (STREET) OWNER ft TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRES , HIGHWAY WIDTH FROM C.L. CITY ARCHITECT R TEL. BLDG. SETBACK FROM ENGINEER ` . N / SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK ROM CL. HIGHWAY + YARD = TOTAL HGHWAY WI TM C . ADDRES I �/• // . CON TRA CTO ,�p, NOLO � + T LIC / D ADDRE �/ , NO v CORNER CUTOFF YES NO C C CITY _ CILA SEE REVERSE SIDE FOR SPECIAL APPROVALS F DESCRIPTION OF WORK :s-1_f- 4a 12 'ooS4 %w /rte NEW ADD ALTER REPAIR DEMOLISH SQ.F NO, OF NO. OF Ct A ` Ale ' SIZE 2Z6 STORIES FAMILIES USE OF yy�� ) STRUCTURE 4,J /� /C L/` _/r / //�j/�,// le-r � 51 G N A T U R E L- T�r r�Glj /��L'/r /� K-�bJ/�( OL wHc'/'s/ Ci APPLICANT y VALUATION$ •OO APPROVALS DATE INSPECTOR'S SIGNATURE t-� FOUNDATION, LOCATION FEE$ FEE$ `J FORMS, MATERIALS FRAME, FIRE STOPS, 1 NEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING DOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF TH L OR CO - F THE TE OF IFORNIA RELAT. ING TOW C N' S URAN LATH. EXT. SIGN HOUSE NUMBER COR- PE,R ITTEE RECT AND POSTED ADDRES FINAL / JOHN F. LEWIS, PRINCIPAL S7CK. RAL ENGINEER PLAN CHECK VALIDATION G. .' M.O. CASH _ PERMIT VALIDATIONM.OCASH 5 7 9 14 NOV 14. 2 3 D 7.5 0 o LtivOo 0 0 . 19 1 D 15.00, - APPLICATION FOR BUILDING PERMIT FOR A�''tlCANT TO FILL IN (Print or type only) BUI7E�SSS.S- �.- COUNTY OF LOS ANGELES AD /IVJI -/y �Y DEPARTMENT OF COUNTY ENGINEER CITJ ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING / 'L SIZE OF LOT/ 7;2� f _ �� NOW ON LOT ADDRESS TRACT,/fj / BLOCK LOT NO. LOCALITY- l _y �� TEL NEAREST OWNER LLQ NO. CROSS ST. ��D p ASSESSOR ADDRESS�S�' .�a dP/e/y Sy/L MAP BOOK PAGE PARCEL -CITY`O,S d A./4,e_e_&S ZIP C0 f� DISTRICT GROUP TYPE FIRE ESSED BY ARCHITECT / TEL. 9 ^U�? CONSfi j^ Z9DlF-T �,y ENGINEER/ R '" ON N �I ��L' (J / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS:-fG1�0' Al- CLASS NO. DWELL.UNITS /^ BK/2l PG TEL. CONTRACTOR NO. USE ZONE MAP LIC. NO. - G ADDRESS ;�UT S�c��cT��a NO. — J_ SPECIAL CONDITIONS LIC. CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG,SETBACK FROM FRQNT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.Fy. NO.OF NO.OF CHECK HI HWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SQ DdD STORIES / FAMILIES ONE Y _ a DESCRIPTION OF WORK NEW ❑ + O JADD ❑ BLDG.SETBACK � Aj "Zi SIDE PROP.LINE OF (STREET) O ` 'AV ALTER = TOTALS K FROM TYPE OF EXISTING N U HIGHWAY + YARD SIDE PROP.L HIGHWAY WIDTH USE OF REPAIR ❑ Z EXISTING BLDG. aONJ� DEMOL ❑ + APPLICANT T L CORNER CUTOFF YES ❑ NO ❑ (PRINT) f- C O.'f� ..� �� N OPEN SPACE YES ❑ NO ❑ BY(SIGNATU EI N COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION �G;p c I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE /� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS R TING BUILDING CONSTRUCTION.I TIFY THAT IN DOING THE '�`-' ;.,�.%J91 ..L w7.� ;�" +Lf=r /�j�/O� `;. �•�. WORK AU ED HEREBY 1 WILL NOT EMPLOY PERSON IN VIOLATION OF THE LAB COD F THE STATE OF CALIFC NIA I ATING TO WORKMEN'S COM- ' PENSA N(NSU CE. 't l' :� �;^ /' •a;Y'`' - SIG ATURE OF PER ITTEE [� ADD / I TEL-}�J�� CITY/JLTIJ©!C-iI�I,�J U NO! • -15J_j DATE L BY MAKE CHECKS PAYABLE TO: FEE FET HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CASH 004 u 231.0- U ` ' ®S 76A638A CE#803 375 76A638A CE (#803 1/71 -T'-�-k�L,Z- C—( l `I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ;�6 /_ 11 S ADDRESS f COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY )L FOR APPLICANT TO FILL IN NEAREST G Print ort a only) CROSS ST, DISTRICT NO. GROUP TYPE PROC SSED BY FADDRESS NG ` [ -� :-_ (�� t - CONST. 76�) L STATISTICAL CLASSIFICATION SEWER MAP •� BLOCK �7 CLASS NO.��Zy DWELL,UNITS BK PG TRACT USE ZONE MAP //-.��, NO.OF BLDGS. NO. W SIZE OF LOT NOW ON LOT SPECIAL USE OF COND TIONS EXISTING BLDG. 42, TEL 11 OWNER �?� l L '.(��G >�4 NO. Yl_ BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) t TYPE OF EXISTING SETBACK HI WAY + YARD = TOTAL CITY �- A . HIGHWAY WIDTH FROM C.L. / + ARCHITECT OR TEL. - ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE (STREET) EL, /� �•+ TYPE OF EXISTING T CK HIGHWAY + YARD = TOTAL a CONTRACTOR � A.,-,-./ Y-CTTO. 7!C �S HIGHWAY WIDTH C ADDRESS 3' .y�f` NO. ` +LIC C CITY CLASS` COR R CUTOFF YES ❑ NO ❑ LL CONSTRUCTION LENDER a NAME AND BRANCH SEE REVS SE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES ❑ USE OF ADD STRUCTURE 14 �7 _ ALTER ❑ SIGNATURE•OF 900Y REPAIR APPLICANT ` •4 DEMOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P,C, PMT• �r`(,� FOUNDATION: LOCATION Z FEE $ FEE $ 4 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 STRUCTION. 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'S COMPENSATION INSURA LATH, EXT, SIGNATURE OF f / HOUSE COR- PERMITTEE UUSESE NUMRECT BER POSTED ADDRESS ,-' FINAL JOHN F. LEWIS. PRI CI Al­ STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK, M O. CASH _ PERMIT VALI IONCK. M.O. CASH Lt 0 OCT 17 2 4.0 0- v 76A638A CE98031-67 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGS,. DEPARTMENT OF COUNTY ENGINEER ADDRESS , / '74,yl/ 4-1 BUILDING AND SAFETY DIVISION LOCALITY , �� JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROC 5 BY FOR APPLICANT TO FILL IN ,� S si , ,t, CONST. / BUILDING , STATISTICAL CLASSIFICATION SEWER MAP ADDRESS G 94�5CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP C NO. TRACT J' SPECIAL N0. OF BLOGS./ CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTINBLDG. SETBACK FROM �T 7t7't_-h FRONT PROP. LINE OF �''- (STREET) OWNE vr• Cf -/ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS / HIGHWAY WIDTH FROM C.L. CITY AR C,4 91TECTOR TEL BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL �" __+ _ CONTRACTOR NO ADDRESS Np CORNER CUTOFF YES NO LIC CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK LC NEW ADD ALTER REPAIR DEMOLISH Sq.F 7. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE ^"` -j,am, „ .-I- SIGNA'tLIREf OF APPLICANT VALUATION$ .00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �- FOUNDATION, LOCATION FEE$ FEE$ r G” 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 'JUILOI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE SON IN VIOLA. LATH. INT. TION OF THE L R COD OF TH�� ST E OF C IF RNIA RELAT ING TO WORK 5 �'1 � l URA CE LATH. EXT. SIGNATU L/� a HOUSE NUMBER COR- PERMIT E RECT AND POSTED ADDRESS F I N A L JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION CK. M.0 CASH JiLo01 U 6 4 o 6cf 5 1 6.0 0^ -FiA638A CE::803 I-67 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 COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. t T L- - -'i DISTRICT NO. GROUP TYPE PROCE BY FOR APPLICANT TO FILL IN .fl,II -_-�/0.- CONST. BUILDING STATISTICAL CLASSIFICATION SEW R MAP ADDRESS N CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONEM AP `7 NO, f TRACT � Z SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF / I N BLDG. SETBACK FROM TEL FRONT PROP. LINE OF (STREET) OWNE / NO. TYPE OF EXISTING SETBACK HIGHWAY '+ YARD = TOTAL ADDRESS / HIGHWAY WIDTH FROM C.L. CITY /�' /'/ + ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO, SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR TN J ADDRE / Np -?/ CORNER CUTOFF YESIT NO LIC CIT SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE C- IGNAT RE OF ,+ APPLICANT VALUATIONS / oo APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDA FEE$ FEES `� etn FORMS I ON MATERIALS4� 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 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PER N IN VIOLA' LATH. INT. TION OF TH ABOR CODE OF THE E OF C N RELAT" ING TOW EN'S ENS1S,'�O NSL�$A.MC�E. LATH. EXT. G/ SIG HOUSE NUMBER COR- PE MITTEE � .P'UirJ.��'�_�� -,./ REC AND POSTED ADORES ' Fl N A L 1�. JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK, M D. CASH PERMIT VALIDATION CK. M.O CASH L 1U63o ui:T 5 I D 6.�`; 76A638A CE#803 I-67 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDING DDRESS DEPARTMENT OF COUNTY ENGINEER / BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP T OF BUILDING CROSS ST. DISTRICT N . GROUP TYPE PRO Y FOR APPLICANT TO FILL IN _5 `j, ` CONST. 2 BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP TRACT NO. S r✓ C SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT Now ON LOT USE OF NG BLDO.Tee% BLDG. SETBACK FROM ' TEL. FRONT PROP. LINE OF (STREET) OWNE NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 7/' HIGHWAY AIDTH FROM C.L. CITY A R C H I T EoC T AD RTE BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. CONTRACTOR NO LIC ADDRESS NO CORNER CUTOFF YES NO f f LIC f CITY C LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS f DESCRIPTION OF WORK , l NEW ADD ALTER REPAIR DEMOLISH f SQ,FT. NO. OF NO. OF SIZE STORIES FAMIL FS USE OF STRUCTURE Ll SIGNATURE OF APPLICANT VALUATION$ .00 APPROVALS DATE INSP ECTOR'3310 NATURE P.C. PMT. /1� FOUNDATION, LOCATION FEE$ FEE$ �L' O 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 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMP Y ANY P ON IN VIOLA- LATH. INT. TION OF T E ABOR O C OF TH E OF ��f[f�J�N IA RELAT- InG 7o w E N�� / •_ LATH. EXT. SIG y HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADORE _ Fl N A L JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION CK. M.Q CASH t Into I U 6 2 UC;T 51 D � 76A638A CE 4803 3-69 w APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ��-- " DEPARTMENT OF COUNTY ENGINEER ADDRESS S L—�. 7, BUILDING AND SAFETY DIVISION LOCALITY /G,n -if JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. e//�L FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CONST. PROCESSED BY (PRINT OR TYPE ONLY) BUILDINGSTATISTICAL CLASSIF CATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS SK PG LOT NO. 72 _��' BLOCK USE ZONE NO. OO TRACT 6 5 SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT r USE OF EXISTING BLDG. BLDG. SETBACK FROM •� (STREET) TE FRONT PROP. LINE OF L`t-:� /ss-.�-s OW NER 0 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS S HIGHWAY WIDTH FROM C.L. CITY ARCHI ECT R TE BLDG.SETBACK FROM ENGINEER- N SIDE PROP. LINE OF (STREET) TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS G HIGHWAY WIDTH FROM C.L. TEL / + CONTRACTO NO. Lf LIC ADDRESS NO �- CORNER CUTOFF YES ❑ NO ❑ LIOF CITY CLASS SEE REVERSE 4E FOR SPECIAL PROV i CONSTRUCTION LENDER NAME AND BRANCH L ADDRESS a t SQ. F N0. OF NO. OF SIZE STORIES FAMILIES NEW ❑ / ` US EE ADD ❑ 6� A- ST ALTER REPAIR SIGNATURE OF DEMOL ❑ APPLICANT - f, VALUATION $ v APPROVALS DATE INSPECTOR'S SIGNATURE P.C. -;`y— PMT. --� FOUNDATION: LOCATION FEE $ �C� FEE $ i 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 CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERE Y I WILL NOT EMPLOY ANY P R ON IN VI0 ION OFT LABO CODE LATH, INT. OF THE STATE OF CA 0 IA IN A C M- PENSATION INSURANC LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRES FINAL JOHN F. LEWIS, PRINCIPAL ST TURAL ENGINEER PLAN CHECK VALIDATION c CM.O. CASH - PERMIT VALIDATION CK.% M.0. CASH r r^ 4 6:a DZC 1 z 3 D 1 0.351 4 3 4 5 71a u-c12 1 D 1 7,2 5- v D*ARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES j N G WM. J. FOX, CHIEF ENGINEER PLANSBLDG. FIRE DISTRICT NO. PLAN CHK. FEE PERMIT NO. _FILED SETS I ZONE _ ZONE RECEIPT No. 3 �` TYPE OF �y BLDG, 1 11 111 IV V X GROUP - DATE OF APPL. RECEIVED BY DATE iSSUND BLDG. SETBACK LINE ORDS NO. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 0B BUILDING It NAME ADDRESS W 1 Z ADDRESS LOCALITY t7 NEAREST / IZ CITY CROSS ST. Lr S14114-r STATE r .+ LICENSE NO. TIL. No. j E NAME r r ' W MAIL c p NAME QG i 3 ADDRESSS�C• d] J•1-G[j1L_ O < ADDRESS CITY��S e e� �G7• TEL NO. Z CITY n-a, LOTI 7,7 SIZE OF LOT U STATE [�y �j `�'pc - NO. OF BLDGS. p LICENSE NO.4 /' pC-. TEL. NO �r�/j �+ NOW ON LOT �YI V .JW BLOCK D r GW USE OF BLDG. f CLASS OF WORK TRACT r05�' NOW ON LOT ✓ �' EMOLISH DESCRIPTION OF WORK ALTERATION REPAIR ADDITIONNEW MOVING H I USE OF NO. OF BLDG. S. 1 ROOMS SIZE , x l.' ' STORIES No. O ES ~ BLDG. 4 _ CORR.ECTIONS / xl o danb 1--,-7, SPECIFICATIONS _ ot FOUNDATION MATERIAL EXTERIOR 1 PIERS THICKNESS—TOP I / 1 I THICKNESS—BOTTOM C J DEPTH IN GROUND z z_ SUPERSTRUCTURE t7 SIZE SPACING SPAN R. W. PLATES (SILL) -_ GIRDERS __-- JOISTS--FLOOR JOISTS—CEILING BEARING WALLS PARTITIONS ROOF RAFTERS FINAL APPROVAL SILL BOLTS —'- - t COVERING - DATEq ( I f ) I INSPECTOR'S NAME k� WALL ,�1 G/QI � • I ROOF j'��. C Q 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -.I P.C. FEE S AND STA LAWS REGULATING SUILpjN CONSTRUCTION. •ter SIGN ` �j VALUATIONS `500 I FEE $ ` OWNER OR AUTHORlXED A6 1 " DB-3 12-3R PDS 76A638A �� C. CE#803(REV.11/78) C APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS BUILDING DDRESS BUILDING / ADDRESS rC)yd6 %.1-'ir e vv<'�� LOCALITY /C NEAREST CITY ) + CITY /)) t.G C T ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT x �_3 NOW ON LOT MAP BOOK PAGE I PARCEL DISTRICT GROUP TTYPE FIRE PROCESSP BY TRACT BLOCK LOT NO. CONST. ZONE TEL. o F� OWNER L NO. ADDRESS S 7 Q STATISTICAL CLASSIFICATION SEWER MAP CLASS NO.ySI� P, DWELL.UNITS BK/..C6 PG CITY Q ZIP e Cj113 ARCHITECrOR TEL. VALUATION $ ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. / FRONT PROP.LINE OF (STREET) CONTRACTOR NO. �`/ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. /� LIC O. + _ CITY �j P; CLASS CONSTRUCTION LENDER SI DG.SSETBACK FROM NAME AND BRANCH DE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH Q V SO.FT. NO.OF NO.OF CHECK + _ SIZE O� STORIES FAMILIES ONE USE ZONE NO DESCRIPTION DESCRIPTION OF WORK /�f} OF 4_xSeSl% &EW ❑ SPECIAL eceoorQ4 ADD ❑ _ CONDITIONS /,/DT ALTER FINAL BY S S REPAIR ❑ DATE USE OF DEMOL ❑ EXISTING BLDG. 146-1 ZO APPLICANT `�// TEL [� Q (PRINT) Z `j 64L e0in NO. b- o�� 7 3 /�� -79 Q J BY ISIGNATU mr I HEREBY DGE THAT I HAVE READ THIS APPLICATION AND STATE tY{� 9T59.9A THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V # • • • • • WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF TH CALIFORNIA IN RELATING TO WORKMEN'S COM- z q • O O PENSATION INSUR C C SIGNAT OF • • S 0 0 hJ PERMITTE 1 1.05-79 ADDRESS Z �1�p� nG TEL C CITY�l�V�"�VII�i NO. P.C. Fee$ Permit Fee Issuance Fee "mu C/ d Total Fee 'GA838A CE#8038-58 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUPrypE P ESSED BY FOR APPLICANT TO FILL IN I TYPE BUILDING f S WER MAP ADDRESS STATISTICAL C ASSIFICATION y(o 3 . LAS TcrAi45 f BK PG �7 Z CLASS. NO. DWELL. UNITS " LOT NO. 173/ BLOCK MAP STATE YES NUMBERTRACT CO 7�0 USE ZONE ,SPECIAL ' HWy• O (� NO.OF BLDGS. CONDITIONS SIZE OF LOT -1 5 1C + I O NOW ON LOT USE OF EXISTING BLDG. ��>N r-, BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER G4pl"rAL. Go. FRONTMAIL (` ADDRESS ( 1--AS -rVf4AS. Pg SIDE I -.TEL. P. L. CITY I-En1 Pia C COLI i:Z NO. INSPECTION RECORD ENGINEER OR� ARCHITECT NAf E7'Tt g9NNF-r7rN0 i2Y 174-Ss- ADDRESS SS I v"1 es 1.L., rt)&--fz'5 .pASACEN TEL. _ CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO OF NO.OF SIZE (6000 STORIES FAMILIES USE OF STRUCTURE SIGNATUREOF �(�� APPROVALS APPLICANT C' -„""'+ DATE INSPECTOR'S SIGNATURE ADDRESS log5 LOS ii0�( L`SP4sAvjFivA FOUNDATION: LOCATION FORMS,MATERIALS P. C. S C=moi FRAME: FIRE STOPS. > FEE BRACING, BOLTS � G VALUATION 7 j� U U O g S- D FURNACE: LOCATION, -- . FEE GAS VENT,DUCTS I 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 LATH,EXT. STATE LAWS REGULATING BUILDING .CONSTRUCTION. SIGNATURE OF HOUSE NUMBER COR. PERMITTEE. Q^"� _ RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, P IN PAL STRUCTUR (NEER PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.O. CASH o1 4 2 1 c DEC 30 2'3 A 4 9.00E t' 1 4 2 2 DEC 3 0 1 A 9 8.0 0 'TF WORKERS'COMPENSATION DECLARATION hereby affirm that I haver certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certifie copy thereof (Sec. 3800, Lob. C.) J�o�0 6 Company Z�iN�r� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No� BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 4'? 3 ® Certified copy is filed with the county building inspec- BUILDING 2 / ,/ tion department. ADDRESS !� G.+. �4J 6-A/ ,S Date Applicant '^' " CITY <</ G ZIP / 760 LOCALITY eERT1111TICATE OF EXEMPTION FROM W KERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL /OWNER 0 an.S 15J�L /X1—NO .TEL. USE ZONE MAP L 4 I certify that in the performance of the work for which this NO OU permit is issued, I shall not employ any person in any manner ury,q ECTAL "' LU so as to become subject to the Workers'Compensation Laws. ADDRESS t {{ ��7 f� CONDITIONS a CITY L-Y"r �" + ZIP / /V f� LL. Date Applicant >- NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O TE�r. DISTRICT GROUP TYPE FIRE PROCESSED BY Im ENGINEER ��/" L/t C rN�-�J4Q0. !CJ CONST. ZONE Exemption, you should become subject to the Workers' m Compensation provisions of the Labor Code, you must forth- ADDRESSiw/fa+�� fi�if�� ¢� d with comply with such provisions or this permit shall be d TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR��CT� '7�. O. ?o W LICENSED CONTRACTORS DECLARATION IC �/ CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS li!"1' /��Z_) NO. 5/10 `3 (commencing with Section 7000)of Division 3 of the Business and �( //��// LIC. SEWER MAP Professions Code, and my license is in full force and effect. CIT �ST� /�� !�/t /t.�ii CLASS BK. PG. VALIDATION �/c ' SQ. FT. NO. OF NO. OF CHECK License Number eb 9/ 7 5 Lic.Class `/ SIZE STORIES ./ FAMILIES ONE VALUATION � /1 .4 {,, 6 g DESCRIPTION OF WORK �j— �� 4 L NEW 1:1 / Contractor //� Date S 1:1 U U I am exempt under Sec. c. ,_ ADD oil, [_] B.&P.C. for this reason REPAIR ❑ $ Date: USE OF �/ DEMOL ❑ EXISTING BLDG. Signature APPLICANT O FINAL (PRINT) NO. [O "A `7 L .)A / �+ f� y� ♦ .♦,♦.• OWNER-BUILDER DECLARATION ',{ DATE /f 1 hereby affirm that I am exempt from the Contractor's License ADORES o37L���o�� �``�T 1� Law for the followingreason Section 7031.5, Business and FINAL q T ( • • fj"�F,t Professions Code): PRESENT BUILDING BY ♦ * '06 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.LINESETBCKFR M WIDTH I hereby affirm that there is a construction lending agency for real..n the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 3 Lender's Name LDMA Ref. # Permit Fee ' - Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# C above information is correct. I agree to comply with all County ordinances and State laws relating to building construction, Total Fee fir. LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Gi G SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur6 of Applicant or Agent OO i - " APPLICATION F BUILDING'PERMIT COUNTY OF LOS ANGELES BUILDINyG,AND SAFETY • WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN Bugogv ggs ✓SS �7 LZ '�— I hereby affirm that I have a certificate of consent to self insure, QUILDI DDRE�� • op or a certificate of Workers'Compensation Insurance,or a certified 122v copy the 380 ,Lab C.) ��11__ Q CeM�ITY ZIP PoIIC Z 318% I CompanyG'K�gk SIZE OF LOT � NO.OF BLDGS.NOW ON LOT LOCALITY ` Certified copy is hereby furnished. NEAREST CROSS S ❑ Certified copy is filed with the C yJwildiR ' spection TRACT BLOCK LOT NO. department. • USE ZONE MAP NO. _+��' ASSESSOR MAP BOOK PAGE PARCEL Date '- plica SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER' YES NO COMPENSATION INSURANCE UYA �'` WITHIN 1000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRIq J �c �V ^� { �/ DISTRICT GROUPTYP CONST. FIRE ZONE PROCESSED 8Y dollars($100)or less.) CITE + 6l ZIP I certify that in the performance-of the work for which this permit __ll �� ( --i ' is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER O,, �� become subject to the Workers'Compensation Laws. STATISTICAL CLAS5ICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE 710 APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become• subject to the Workers' CONTRACTO TEL NO. -• , SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith t' t '�l w"Le­ —­ -G� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESSf _ LIC. 0 `L� PL }� LICENSED CONTRACTORS DECLARATION �f�3/" ( � �_ ` SIDE (' CITY LIC.CLASS G.� 5 P IL U I hereby affirm that 1 am licensed underprovisions of Chapter 9 G ll� (commencing with Section'7000)of Division 3 of the Business and SEWER MAP SQ.FT.SIZE O.OF STORIES NO.OF FAMILIES i• 13� Professions Code,and my license is in full force and effect. NEW ❑ BK PG O i License Number LiC.CIas3 d:::� D SCRIPTION WORK _ /� ADD ❑ VALUATION cto --- — aafa' l LJ G"tA4 9?7 ��rZ�LIC ( . ���✓�a,Cr'l $ _� Il Con `C Ai ALTER ❑ � a ISL �L `� 131 am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this reason UAA.algj��/ EMOL ❑ LDMA P/C# Date: USE OF EXISTING B r, / URM ❑ '} Sigpature AP PLI T T) (�••( TEL NO. 1 LDMA Perm# 23s v 1:1I, as owner of the.property, or my employees with wages as Z S��J'V Z their sole compensation, will do the work and the structure is AD SS n O_ 330} 50.50 not intended or offered for sale (Section 7044, Business and ' � �. ��� =BY . I' Professions Code.) D HALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALr.T ❑ 1, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN THEa A41 E AMOUNTS SPECIFIED ON HAZARDOUS MATERIALS INFORMATION GUIDE? {-11.4 e'-licensed contractors to construct the project (Section 7044, Business and Professions Code.) VES❑ NO 3303 193e61 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ���OCCUPANT REOUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORGUIDELINES I hereby affirm that there is a construction lending agency for YES❑ No TOTAL. 244-m I JL the performance of the work for which this permit IS Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECK 244-11 3097,CIV.C.) CHECKLIST.1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.Lender's Name MATERIAL CHAPTER 2 G AND FOR OBTAINING A PER EQUQH 2.20.14TIiE SCAQMD.CONCERNING HAZARDOUS CHANGE .00 �� ►�l�n tttl'i1�L iZ Lender's Address OWNER OR WENT a¢ ..11 q i t I certify that I have read this application and state under penalty P.C.FEE PERMIT FEE QC�OI-"L)G�3 i SI t y� C� e o of perjury that the above information is correct.I agree to comply • . D �O J/ with all county ordinances and State laws relating to building /(`� 4222 1 A1110:3I0 m construction, and hereby authorize representatives of this County. ISSUANCE FEE 1P2 to en a Ove-me d property for inspection purposes. 1 J� L w^!C - INVESTIGATION FEE TOTAL FEE T19Ntluro d Appimnl a Agent SEE REVERSE FOR EXPLANATORY LANGUAGE "ATION FOR BUILDING PERMIT COU14TY QF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI DDRESS I hereby affirm that I.have a certificate of consent to self insure, BUILptyC..ADDREBaSSt as '1'UIlaS fa or a certificate of-Workers'Compensation Insurance,or a certified ��ft7733�� �!i Copy thereof(Sec.3800,Lab.C.) - CITY Temple City ZIP 91780 LOCALITY Policy No. mpany .S -at-P .F Aid SIZE OF LOT NO.OF BLDGS NOW ON LOT Certified copy is hereby furnished. qqon NEAREST CROSS ST. Certified copy is filed with the county building iryt�action TRACT BLOCK LOT NO. 1818 department. A,/®® USE ZONE MAP NO. Date 7-7--94 Applicant��( ASSESSOR MAP BOOK PAGE PARCEL /qA POO SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. YES NO COMPENSATION INSURANCE — WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS 'SAME. DISTRICT GROUP T E C ST. FIRE ZONE dollars($100)or less.) PROC BY CITY ZIP I certify that in the performance of the work for which this permit GAME 0� is issued, I shall not employ any person in any manner so as to ENGINEER O. ARCHITECT OR become subject to the Workers'Compensation Laws. N/A TEL NN/A STATISTICAL CLASSIFICATION APT Date Applicant ADDRESS CLASS NO.. DWELL UNITS NOTICE TO APPLICANT.- If, after making this Certificate of 'N/A 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 -Coastline .Engineer• 714-974-4588 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESSLIC.NO. PL 2034 E. Zinmin. Ave 4294 : 690834 SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS 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 SO.FT.SIZE NO.OF STORIES I NO.OF FAMILIES NEW BK PG V Professions Code,and in license is in full force and effect.. License Number 6908.14 Uc.Class A,B, .0 39 DESCRIPTION OF WORK ADD ❑ VALUATION C 7r7-94 f - *F- Contractor Date ALTER ❑ $ I Lvu Coastline Engineering �- ❑ 1 am exempt under Sec. rooClassf and ❑ $ z B.BP.C.for this reason A .BUilt-up 'Rloof (Cap ,Sheet) DEMOL ❑ LDMA P/C r Date: 4 USE OF EXISTING BLDG. URM - ❑ Signature `i APPLICANT(PRINT) Bank TEL NO. LDMA Perm# ❑.I„as owner of the property, or my employees with wages as Coastline Engineering 714-974-4588 z ACC.T s -their sole compensation, will do the work and the structure is ADDRESS 0 ry:; { FIN DATE �' �� e y k not intended or offered for sale (Section 7044, Business and 203.4 E. •L• N Q �=`'L`� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANE A HAZARDOUS MATERIAL �� g / 1 IT E1 G with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQTO OR GREATER THAN THE ❑ licensed contractors to 1, as owner of the pconstruct the erty, am l project (Section contracting UAL 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TOTAL 10 23 _ YES 11 NO IDI 1 t5 Business and Professions Code.) I• 236.10 WILL THE INTENDED USE'OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING C(�E�•�\ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY GUIDELINES. AIR UAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ' r;..{ it=L Cru I hereby affirm that there is a construction lending agency for I 'YES❑ NO CM W the performance Of the Work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING a 3097,CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS.UNDER THE LOS ANGELES COUNTY CODE, (�f•P TITLE 2,CHAPTER 2:20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS _ Lender's Name N/A MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. l 1 tLV o Lender's Address 7 C OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE $ with all county ordinances and State laws relating to building �� 7 ;5 construction,and hereby autArize representatives of this County I14SUANCE FEE •� "' to enter- bov�-merty for inspection purposes. L Kr. CD _ INVESTIGATION INVESTIGATION FEE TOTAL FEE �J.+� � S4�um,e.m App9Cam m Apem Gale--F--� �C J SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION'DECLARATION " hereby affirm,that I have a certificate of consent,to self A P P L I C ATI®N FOR ,.R U I L D I N C•'P E RM I T insure, ora certificate of Workers'Compensation Insurance, ora "tif' 'd co reof'Sec'.•3800; Lab. C.) � � _ •�"� -' ' x � •• COUNTY OF LOS A PNGELES BUILDING AND SAFETY man " Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS ertifi d'co y'is fi(ed with'the county'build'ing-irispec- + BUILDING tion part ent. ADDRESS Date Applicant- CITY fl ZIP LOCALITY RTIFt TE OF EXEMPTION FROM WORKERS' 'NoSIZE OF LOT NOW F-OT. NEAREST. COMPENSATION INSURANCE (Thi's section need not be completed.if the permit is for one - - ASSESSOR. -hundred dollars($100)or less-) TRACT BLOCK- LOT NO. MAP BOOK. PAGE' PARCEL TEL. n� USE ZONE MAP �/ I certify that in the performance of the.'work for which this , OWNER NO. NO. � —/7 X.OZ y permit.is issued, I as employ any'person in any manner �i /' 6_I SPECIAL - . • • • -I IL. so as to become subject to the Workers'Compensation'Lows. it ADDRESS �e1L; l� / CONDITIONS Date Applicant CITY_ ZIP, -. .,. - - er. NOTICE TO APPLICANT:-If,-"aft6r making this Certificate of , ARCHITECT OR TEL. ;DISTRICT_ ,,GROUP - PE FIRE.. - SSED BY.. Exemption,' you -should become subject -to the Workers' ENGINEER NO. 15 Compensation'provisions of the Labor Code,you must forth- ADDRESS •0� - == with comply with'such provisions or this permit shall be deemed revoked.. . TELSTATISTICAL CLASSIFICATI 1.!CONDO, IinCONTRACTORdot '� APio LICENSED CONTRACTORS DECLARATION - - LIC, 0 CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 f ADDRESS NO. 4 SEWER MAP (commencing with Section 7000)of,Divi31oh 3,of the Business and'.." :.- LIC ; Professions Code,and my license is in.full force ancr.effect. CITY �` .CLASS /' VALIDATION SQ.FT. _.: .. NO.OF NO.OF CHECK BK. ; 'License Numb - Lic.Class SIZE STORIES FAMILIES ONE •• // VALUATION Contractor Date ' �p • DESCRIPTION OF WORK - a NEW O $ 5 3 3 3 A �,® ADD ❑ # 0:6 0.0 2-3 ❑ I am exempt under Sec. AWA ' ® - - ❑ pillALTER ®. G.��d� ` ❑ - $ _ °.° 3:7.5,0 , B.BP.C. for this rERAIR ea ss p1 ate: EXISTING BLDG. �I�l.� DEMOL ❑ . o a o 3 7 5 0.�.: "Signatur APPLICANT TEL. FINAL O a 2 9"'86 .,OWN R-BUILDER DECLARATION PRINT)' NO DATE 72 .4 hereby affirm that I am exempt from the Contractor's License, '• F1' `" ' ''' Law for-the following'reasbn ADDRESS(Section 7031.5, Business and _ ,.._ - - ProfessTon's Code): R EN ' BUILDING ❑ I, as owner of-the property, or my employee's with- ADDRESS wages as their sole compensation,will do the work and " the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code): ` MOVING•• '_ `" 'TEL. ❑ 'I,as owner of the property,am exclusively contracting CONTRACTOR - NO. with licensed'contractors to'construct the project•+(Sec- ADDRESS 5 4 2(�A tion 7044, Business and Professions Code). l ... REQUIRED. YARD" HWY ' ,•TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK PROP.LINE WIDTH # o,0 0 0 0 I hereby affirm that there is a construction lending agency for • ' FRONT the performance of the work for which this permit is issued •I, '-••• P.L. ( o o 4'Q,OO (Sec. 3097, Civ. C.). SIDE 'o P.L. - - .o.o..:o Lender's Nome 4 Q O O,cr ry LDMA Ref. #1 .•...-• P.C.Fee$ 3 /'Z� Permit Fee �t U t7 — - Lender's Address - Q 9"� •� "--8 6 r ' I certifythat I have read this a0plication and.state that the ' J PP - � Issuance Fee t��•-'�v � LDMA P/C� \ above information is correct. I agree to comply with all County Investigation Fee \ :� ; " `:.�, '• ordinan s and St aws.relatipg to building construction, _ .. -• • Total Fee- Os O LDMA-perm.H -_ and h y au rize presentatives of this Coun to ter u h e- nt' ned property for in action urp sea. SEE REVERSE FOR EXPLANATORY LANGUAGE Si u ant to -• - 0 WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of cans 't to ,elf APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) ����r� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS :3 5— (� Certified copy is filed with the county building inspec- BUILDING /ey ,/ C tion department. ADDRESS 6 f5� . � !,A14,5 Date Applicant CITY <</ r ZIP 717 © LOCALITY eERTIPTICATS OF EXEMPTION FROM W KERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL L OWNER �I'�//C_NO. USE ZONE MAP O I certify that in the performance of the work for which this / NO. >- permit is issued, I shall not employ any person in any manner ADDRESS 1 6 (/� G�I SPECIAL d so as to become subject to the Workers'Compensation Laws. / / CONDITIONS V CITY 1'� `if/ ZIP / 7�� Date Applicant 99 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O ��/� w c_7Ey Q Q DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER L-is '�1.1�5166 �7 CONST. ZONE Exemption, you should become subject to the Workers' �/ Compensation provisions of the Labor Code, you must forth- ADDRESS A LV-411> A 6` with comply with such provisions or this permit shall be N deemed revoked. 7r, T l'J. STATISTICAL CLASSIFICATION T. CONDO. Z CONTRACTOR .J�-N LICENSED CONTRACTORS DECLARATIONC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES� Z- //ems ENO. �/v (commencing with Section 7000)of Division 3 of the Business and / � LIC SEWER MAP Professions Code, and my license is in full force and effect. CIT !//d T(.-15— CLASS 4 BK PGVALIDATION -� SQ. FT. NO. OF NO. OF CHECK License Number / C/ Lic.Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION Contractor Y� � Date DESCRIPTION OF WORK S�Q�L NEW ❑7rO $ �v74 LLQ-�' ADD ❑ is , El I am exempt under Sec. e ALTER El B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ APPLICANT =r 1 7 6.5 A Signature (PRINT) 3`t3�/s T /� NO. FINAL n� OWNER-BUILDER DECLARATION DATE / �' t} w • • • • 1 1 herebyaffirm that 1 am exempt from the Contractor's License 5qq� ��s1 ? //ff Law fothe following reason (Section 7031.5, Business and ADDRES d3/—D4&a � �vr 7� FINAL �� 2 • • Professions Code): PRESENT BY 68.63 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS • • • 6,0, 6 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' 0 6 0.6-8 4 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting rADDR NO. with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). YARD HWY TOTAL SETBACK FR CONSTRUCTION LENDING AGENCY 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.).Lender's Name LDMA Ref. # Permit Fee , Lender's Address ' p I certify that I have read this application and state that the Issuance Fee 40 , LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee p' p 3 ordinances and State laws relating to building construction, Total Fee a i '•-3 LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY IANGUAgE Signatur of Applicant or Agent D45te Je /ey n 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 0209100010 PHONE: (626) 285-0488 EXT: f EGA D: NUMBER OF SGS: 4 BU I 15MG-73DRESS: TR: 6561 LT: 174 BL: .001 ' SIGN DESCRIPTION: "WELLS FARGO BANK" 9635 LAS TUNAS DR TEMP CA 917802109 ASSESSOR INFORMATION NU BER: NEAREST CROSS STREET: CAMELLIA 8587-019-035 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY I TE EXIST BSE: ISSUED ON: .--PROCESSED EXPIRES ON, EXIST OCC GRP: 09/24/02 JK 03/23/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: WELLS FARGO - 3,600 9635 LAS TUNAS DR Z, TEMPLE CITY ESP DESCRIPTION IPT 0WORK 3• ILLUMINATED WALL SIGNS & 1 DIRECTIONAL SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (2:3'X1816";1:41X618") (21X31) APPLICANT, O: LAURI BURKE (949) 975-8367- AA BLDG PERMIT ISSUANCE 27.75 3128 E CHAPMAN AC STRONG MOTION RESID 3600.00 VAL 0.50 SPECIAL CONDITIONS: ORANGE 92869 D1 PLANCHECK._W/U=EN=HC-" -3600.00 VAL 98.43 D2 PERMIT,W/O-EN='HC- . X3600:..00 VAL 115.80 `- TOTAL�FEES•, 242.48 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE (209) 941-2921- trMSI 1233 E RONALD ST LIC. NOLOCATION AND SETBACKS STOCKTON CA 95205 299756 C10 * ' � \ `•� SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: E O: f (� �'r+ j-�. .` - 1 ;' FOUNDP.TION C RMS LIC. N0:' '+ I !� I -- -""-'' t �+ SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPLJ .:-. NO. OF FAMILIES: G NI PT OND: STAT C SS:- NO 20 SCHOOL WITHIN HA RDO S AIR QUALITY: 1000 FEET MATERIALSNO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 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 SL 0508 0209260007 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF COS S: TR: 6561 LT: 174 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9635 LAS TUNAS DR STRUCTURE: 5908 2 VN B TEMP CA 917802109 ASSESSOR 0 NEAREST CROSS STREET: CAMELLIA 8587-019-035 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: S LG S : COMME USE ZONE: ISSUED 0 -PROCESSED PR ON: WELLS FARGO BANK EXIST OCC GRP: B 11/01/02 JK 04/30/03 OWNER: TEL. 0: BLDGS. NOW ON LOT: ALION; FINAL DATE FINAL BY: CODE: WELLS FARGO BANK - 225,000 /CSL 1350 FASHION VALLEY s SAN DIEGO FEES PAID DESCRIPTION F WORK TENANT IMPROVEMENT FOR BANK; INCL 2HC'ATM EXTERIOR THRU WALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW PARKING LIGHTS, MECH SCREEN WALL AT ROOF APPLICANT: O: RON TRAVILLION (909) 303-8008- Al PLANCHECK W/EN-HC 225000.00 VAL 2,066.24 32836 WOLF STORE RD AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMECULA 92592 AC STRONG MOTION-RESID='="-225000.00 VAL 22.50 A2 PERM-IT .W/ENERGY-HC- - ,-225000.00 VAL 2,430.87 �``F .%%R:1���E��T03AL""FEES• 4 547.36 CONTRACTOR: TEL. NO: C'' APPROVALS DATE INSPECTOR SIGNATURE ' �`—~_1 ''� ° ''• K C CONSTRUCTION SERVICES INC (909) 303-8008- r��'••' . .,, 32836 WOLF STORE ROAD LIC. NO ,;' . ✓ \� �y: OCA 0 AND S ETBAS TEMECULA, CA 92592 700592 B s� � \ a SOILS E GINEER APPROVAL 6 `J. ARCHITECT OR ENGINEER: TE N0: I� I '�� _`G { I + p OU DA I /TR C ORMS URSON ARCHITECTURE (619) 523-9686' _ _ _ ' 4353 OSPREY ST LIC. NO:rr -" ij X1111111 1 , SLAB/ ND R FLOOR SAN DIEGO, CA NONE ;l� __—_ I 1 i _.—I RAISEDFLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- �� ji�f,- ,,Ir �'r- i M1 UNDERFLOOR rNSULATION L `i1 FLOORSH H G 0. OF FAMILIES: DWELLING NIT CO T S:---,-- ------. --- — -- - ---- NO 221 -� - - — ROOF SHEATHING SCHOOL W RDO S ,:i_.;:'t I '' S PA LS AIR QUALITY: 1000 FEET MATERIALS '•�' �• ' NO NO NO -IN FRAMESPECTION �ti„-. '/ j-i � � / FIRE SPRINKLER HANGERS V9f;C' "t;� _�= r• INSULATION/WEATHER STRIP INTERIOR LA EXTERIOR LATH //rs t rn CCe1a . — TED L ASSEMBL ES RATED S P GS CEILINGS LO REPORT ID: DPR261 ROUTE TO: BS0508 - woo'", COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT e_�- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0607240022 PHONE: (626) 285-0488 ERT: LEGAL ID: NUMBER OF SIGNS: 1 BUILDING ADDRESS: TR: 6561 LT: 174 BL: .001 SIGN DESCRIPTION: INSTALL (1) INTERNALLY ILLUM. PROJECT 9635 LAS TUNAS DR TEMP CA 917802109 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CAMELLIA 8587-019-035 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: WELLS FARGO BANK EXIST OCC GRP: 07/24/06 JK 07/19/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI�' WELLS FARGO BANK - 2,300 1350 FASHION VALLEY SAN DIEGO FEES PAID DESCRIPTION OF WORK INSTALL (1) INTERNALLY ILLUM. PROJECTING WALL SIGN ­FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: DENNIS STOUT (714) 744-2845- AA BLDG PERMIT ISSUANCE 27.75 504 E. PALMYRA AVE AX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: ORANGE, CA 92866 D2 PERMIT W/O EN-HC 2300.00 VAL 99.00 TOTAL FEES 181.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MINA TREE SIGNS, INC. (MSI) (209) 941-2921- 1233 E. RONALD STREET LIC. NO LOCATION AND SETBACKS STOCKTON, CA 95205 299756 C45 SOILS ENGINEER APPROVAL ' ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS URBON ARCHITECTURE J (619) 523-9686- 4353 OSPREY ST LIC. NO: SUPPORT STRUCTURE SAN DIEGO, CA NONE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILI83: DWELLING UNITS: APT COND: STAT CLASS: ' NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I ' I i REPORT ID: DPR261 ROUTE TO: BS0508 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 d BL 0508 1206140053 PHONE: (626) 285-0488 EXT: ILEGAL ID: (NUMBER OF SIGNS: 3 I BUILDING ADDRESS: I ITR: 6561 LT: 174 BL: .001 (SIGN DESCRIPTION: ILLUMINATED WALL SIGNS 1 9635 LAS TUNAS DR I rI I TEMP CA 917802109 1 ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: CAMELLIA I 18587-019-035 1 1 ) THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: 11SSIfED ON: PROCESSED BY: 1 1WELLS FARGO 11EXIST OCC GRP: 06/14/12 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: I ILI-KUNG CHANG - 1 9,400 19520 E. LAS TUNAS DR ITEMPLE CITY CA 91780 ] FEES PAID ID SCRIPTION OF WORK 1 I I 1 (2) ,�LLUMINTAED WALL SIGNS (45.6 SF) (1) ILLUM PROJECTING SII IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IGN (7.4 SF) (1) NON-ILLUM DIRECTIONAL (2.7 SF) (1) NON-ILLUMI ]APPLICANT: TEL. NO: ]] 11NF6,SIGN (1.5 SF.) RE-SKIN (1) EXISTING AWNING ] ]STOUT, DENNIS (714) 744-2845- IDI PLANCHECK W/O EN-HC 9400.00 VAL 184.10 1504 E. PALMYRA AVE ]AA BLDG PERMIT ISSUANCE 27.80 ]SPECIAL CONDITIONS: ] (ORANGE, CA 92866 JAB STATE GREEN BLDG FEE 9400.00 VAL 1.00 ] ] ] •]D2 PERMIT W/O EN-HC 9400.00 VAL 216.60 ] ] I TOTAL FEES 429.50 I ] (CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1 ICOAST SIGN INC. (714) 520-9144-,l 1 11500 W EMBASSY ST. LIC. NO ]LOCATION AND SETBACKS (ANAHEIM, CA 92802 65423SC45 1 1. . 1 I I ISOILS ENGINEER APPROVAL 1 1 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS I ] I IMICHAEL SULLAWAY (858) 312-5150- I I I IPO BOX 28789 LIC. NO: 1 1SUPPORT STRUCTURE I ] I ISAN DIEGO, CA 92198 C48588 1 1 1 I I 1 i• I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMEjI I 001 I I I I 1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 1 SCHOOL WITHIN HAZARDOUS ] ] I ] I 1AIR QUALITY: 1000 FEET MATERIALS ] ] I I 1 NO NO NO ] ] I 1 ] I I 1 I ] I I , r 1 !]REPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I Ij ,