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HomeMy Public PortalAbout9644 LAS TUNAS DR_Building__ 76AS38A CE 4803 4/722 ® g ® '`�' APPLICATION FOR BUILDING PERMIT ' ' � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING // 61AKE CHECKS PAYABLE TO: ADDRESS 16 HARVEY T. BRANDT, COUNTY ENGINEERLOCA LITl— ` C FOR APPLICANT TO FILL IN NEAREST Print or tvoe onl CROSS ST. BUILDING '� DISTRICT NO. RO PRO ESS D BY ADDRESS 'JCI/PI �'* e�� NST' v STATISTICAL CLASSIFICATI SEWER P LOT NO. BLOCK CLASS NO..b, �)DWELL•UNITS BK PG TRACT USE ZONE MAP NO.OF BLDGS. NO. d O SIZE OF LOT NOW ON LOT ell > SPECIAL USE OF —2, CONDITIONS EXISTING BLDG. _ Vj @Ze S�/J s/ Aj OWNE TEL. ��r ®Ire NO. BLDG.SETBACK FROM ADDRES S a lo"F-re' ob,. o/ FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TELA/S_.> _ E N G I N E E jay NO. ETBACK FROM ADORES . `S>� SIDE PROP.LINE OF (STREET) a T L. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL v CONTRACT Y WIDTH FROM C.L. C ADDRES4 f1i6.L�j�f� ►LIp - W LIC. a CITY Ll�fTr-t} CLASS G/Cj CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER — NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ, FT NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE ALTER ❑ SIGNATU REPAIR❑ APPLI DEMOL ❑ VALUATION Qd APPROVALS DATE INSPECTOR'S SIGNATURE P,C. PMT. FOUNDATION: LOCATION FEE S U FEE 5 406 FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FUR RNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOVEMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE�ff, E OF CALIFORNIA IN RELATING TO WORKMEN'SSyJRANC E. LATH. EXT. SIGNATU HOUSE NUMBER COR- PERM) RECT AND POSTED r ADDR S [FINAL / PLAN CHECK VALIDATIONq)M.O. GASH _ PERMIT VALIDAT ON CK. M.O. GASH ' n 4 7 V J.`Ii' 3 D a L&O W .CON c J L,il,o ? �.J'r'1 1 D 3 J.CO N c DEPARTMENT OF' BUILDING AND SAFETY AYt'L1UA1 IUN r Utt e=MIT COUNTY OF LOS ANGELES ® S WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING Z / �/ � � /u,l�.� DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS J b 1-A N 7 9 _LOCALITY /�/Vj///,^^�/at `n�T�`� n l-� �(T !! RECEIVED BY DATE OFAPPL. DATE ISSUED NEAR EST S "v ooN �f2 ro 1r 1`Q tTf`I,'1•V�/►) CROSS ST. - y',,l 1, BUILDING _OWNER M�(,4CI. VO.^ 1W 14y GL kh A VJ ADDRESS MAIL wV Q LOCALITY ADDRESS ---- NEAREST CITY �� 1i L + TEL �` CROSS ST. FIRE NO.OF TYPE GROUP ARCHITECT OR L ZONE PLANS ENGINEER BLDG. ORD.NO. ADDRESS SETBACK LINE -- APPROVED TELBY DATE CONTRACTOR A6 NO. e. t USE APPROVED ADDRESS 22 Z-'S f L ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT 6 ,54 / NO.OF SLOGS. SIZE OF LOT I NOW ON LOT USE TI Sf '� T►�y I F� Es ROOMS MS NO.OF EXISTING SLOG. t DESCRIPTION OF WORK _NEW ALTERATION ADDITION p A REPAIR MOVING DEMOLISH p SQ.FT. NO.OF Z SIZE ROOMS STORIES r WALL ROOF COVERING COVERING USE OF NEW BUILDING — ,-X41 S rlE s.4. 2 - o v s,F«a.v I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS_ APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING ILDING CONSTRUCTION. - — FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH,INT.: C AUTHORIZED AGT LATH,EXT.: DBS-3 SOM SETS 1-46 $R000 p.C.0 PLASTER, INT. {7,_.V FEE PLASTER,EXT. VALUATION FINAL FEE APPLICATION FOR r BUILDING PERMIT ffF(OfRfAPPLICANT TO FILL IN ADDRESSBULDING ADIDRESS �w<�/ �� �N/a WCC LOCALITY NEAREST CITY ZIP CROSS ST. 7ov _D10.OF BLDGS. ASSESSOR SIZE OF LOT Yl NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY TRACT BLOCK LOT NO. q �n CONST._ OWNER � J� NO 0 33} d' �4� � • y _ STATISTICAL CLASSIFICATION SEWER MA ADDRESS '� K /c'l r Ali` 1— u CLASS NO.�-DWELL.UNITS BK PG CITY/1"4 n 4��� ZIP C of`" U ZONE MAP ARCENGHITECT NEER OR /C /RiA�4Q03�/ %JO �� SPECIAL CONDITIONS ADDRESS 4-4L 4- ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ rJ a/MIj�_ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS / /Z NO. TOTAL SETBACK FROM TYPE OF ISTIN CLIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHW DT CITY S��%/1 A-3 53 5 "lf ��ZCLASS _ CONSTRUCTION LENDER "J _ f + O NAME AND BRANCH /e/ /V BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF ­104TREETI O SQ.FT. NO,OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK F M PE EXISTING L) SIZE STORIES FAMILIES ONE SIDE PROP. E IGH WIDTH a ❑ + = r. Z MF DESCRIPTION OF WORK NEW ADD ❑ CORNER CUTOFF YES N ❑ qM 70-77 ALTER ElIN OPEN SPACE N ❑ USE //����� DEMOL ❑REPAIR IN COASTAL PERMIT ZON YES ❑, EXISTITI NG BLDG. v APPLICANTTEL OJ.� S�41'c / NO. (PRINT) 6 /f� -$,V/ BY(SIGNATURE( 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 REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- ^ PENSATION INSURANCE. / \ SIGNATURE OF FINAL BY PERMITTEE _ DATE ADDRESS .,/a�� CITY /''` -O�/20d//� NO P.C. Fee$ 7 d Permit Fee 9 Issuance Fee VALUATION Total Fe PLAN CHECK VALIDATION CK. M.O. PERMIT VALIDATION C . M.O. CASH 7 6 5t--JUL 22 2 3 97.6 u�`' ®S 76A638B CE N803B 6/76 �Q�/�� O tlJL7 G 9 6.V U A„. / Y/ /�. ®S 76A630A CE 9803(REV.6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APP I NTT FILL IN BUILDING ADDRESS BUILDING ADDRE ;40" , LOCALIT' _ NEAREST CITY ZIP,, N ..OF BLDGS. ASSESSOR SIZE OF LOT WW ON LOT. MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIREPRO CESSED BY TRACT BLOCK LOT NO. CONST. ZONE OW T Po i1h b(,( STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.' DWELL.UNITS BK PG CITY ZIP .ARCHITECT OR TEL. I VALUATION ENGINEER NO. ADDRESS ° BLDG.SETBACK FROM FRONT PROP.LINE OF �C2't�l� /6 (STREET) C O efwTOTAL SETBACK FROMTYPE OF EXISTING 0- opLIC. HIGHWAY + YARD.. = FRONT PROP.LINE HIGHWAY WIDTH �. NO. _ { _ 7 LIC. Vc Uo C CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + _ SIZE STORIES FAMILIES ONE lid DESCRIPTION OF WORK AA if A NEW ❑ P.C.Fee$ Permit Fee DD ❑ Issuance Fee 9, In ALTER ❑ REPAIR ✓ ❑ Total Fee USE OF r DEMOL �. EXIST Z APPLIW / TEL C Av / NO. r D .. J 01 BY IS Q I HERBY ACKNOWLEDGE THAT I HAVE D THIS APPL TION AND STATE u� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CER'I THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE N IN VIOLATION OF V :2 5 3 a 4 A THE LABOR CODE OF THE STATE RNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE. g - # o o'o•o'o 1 SIGNATURE OF 2.- e 4300 PERMITTEE ADDRESS • Z o is o LG 3j,O O c=.) CTE ; CIT NL a 0711 '-79 O USE ZONE OP z-oa Q . ..� SPECIAL CONDITIONS g FINAL �, d DATE ���d BY / W -zcL r? / <t 76A638A CE ++B D3 °" APPLICATION FOR BUILDIN PERMI� COUN'T'Y OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS G COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print ort a onl BUILDING DISTR CT N ROU CONST.YPE B ADDRESS 4'- STATISTICAL CLASSIFICATION SE ER MAP LOT NO. BLOCK CLASS NO. 4 Q DWELL,UNITS BK TRACT USE ZONE AP NO.OF BLOGS. ///��� N O. SIZE OF LOT NOW ON LOT SPECIAL USE ?OCONDITIONS EXISTING !7 .�G BLDG, /� S'/�/ a ov TEL. OWNER L"/y� NO. BLDG.SETBACK FROM ADDRESS Q g fflk1D 490, FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY_13L/� �/ CJ / HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. t = ENGINEER NO. BLDG.SETBACK ADDRESS SIDE PROP. LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK }HIG YARD = TOTAL CONTRACTOR / y�N0. js HIGHWAY WIDTH FROM G.L. } ADDRESS , -I LIC. _ We /CnW NO. + - O LU CITY /L �.�� CLAS 'T CORNER CUTOFF YES ❑ NO ❑ Ce O CONSTRUCTION LENDER G NAME AND BRANCH - SEE REVERSE SIDE FOR SPECIAL APPROVALS a cn ADDRESS - Z SQ. FT. NO. OF NO. OF SUSEIZE STORIES FAMILIES ADD NEW El QR4a c� ALTER ❑ -pvb REPAIR❑ SIGNATURE O / APPLICANT DEMOL ❑ VALUATIONu` m"n '� APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEES FEE P.C. PMT,$ 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 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 STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S CO ENSA ION INSURANCE. LATH, EXT, SIGNATURE F ._ J HOUSE NUMBER COR- PERMITTEE r�� _ RECT AND POSTED / ADDRESS 146VFINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH �r_ 7 s 9 2ti X10 1 D 12.0 0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES �, ©' NC WM. J. FOX, CHIEF ENGINEER PLANS / BLDG. a FIRE :� DISTRICT No. PLAN CHK. FEE PERMIT No. FILED r' SETS I ZONE ZONE t - f ECEIPT NO. TYPE OF ...�c. I �,-1 L. ,4/ .. BLDG. I It 111 "fV �V X_ GROUP �'- DATE OF APPL. CEIVED •BY DATE ISSUED BLDG. SETBACK LINE ORD. NO. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Y „ ONG a: NAME " i' ADDRESS W Z ADDRESS LOCALITY �i'�LL— % 7L C Z D ( /` NEAREST �; U CITY .i Y"� rJ P ./ CROSS ST (',7 A m STATE r < LICENSE NO. TEL. No. f NAM /�,. , �,a Q NA;AE c�e17`/Ci s�T P" E L... MAIL 3 ADDRESS.... _I/'►r _ OF19 < ADDRESS '� /~� ,�+ �Le7 ' L._ J O � ' 0 CITY �„� / � TEL NO. UCITY__....,. 7_] .4J f") " ./l.'.' Z _� .la LOTw ✓�.ry �i'.C!Iti SIZE OF LOT STATEs'. LICENSE NO. ,.. ) t7 TEL. NO. U,U NO. OF BLDGS.,�j' 7��• JW BLOCK NOW ON LOT D ,!��/ USE OF BLDG. CLASS OF WORK TRACT NOW ON LOT F: DESCRIPTION OF WORK 1+ NEWi ✓I ADDITION I_) DEMOLISH ALTERATION j REPAIR _ IMOVING m T USE OF — NO. OF U to BLDG. - '—+ROOMS S17.E OFu -{ I STORIES / No. OF O IFAMILIES BLDG. I CORRECTIONS y SPECIFICATIONScd -- FOUNDATION E TERIOR PIERS MATERIAL to THICKNESS--TOP 4-a THICKNESS—BOTTOM DEPTH IN GROUND _w f Z U RS RUCTURE — SIZE SPACING SPAN O R. W. LAT ( LL) -- -- — ----- — GIRDE S JOISTS—FLOOR I --- A \ JOISTS--CEILIpIG _ BEARING NMfLLS PARTITIONS ROOF RAFTERS — — —— ---- — -_-- FINAL APPROVAL SILL BOLTS COVERING T— DATE INSPECTOR'S NAME I ROOF Qct I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS C APPLICATION AND STATE THAT THE ABOVE IS CORRECT G AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES P.C. FEE $ , , AND ST tJ?WS REGULATING BUILDING CONSTRUCTION. SIGN 'i -- VALUATION $ FEE $ _ " [ OWNER OR AUTHORIZED AGENT ORKERS'COMPENSATION DECLARATION yr certificate that'l have certificate of consent to self I ® L I T I FOR" 4UIL 'DING' PERM- IT ' iMa rsure, or a certificate of Workers'Compensation Insurance, -• F33 &a certified copy thereof(Sec. 3800��,, Lob. C.) / Policy Ndo �7Company l� ^• �uC� COUNTY OF LOS ANGELES BUILDING AND SA ETY ❑ Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BUILDING ❑ Certified copy is filed with the county building inspec-' BUILDING /�/ / P p r T ti n d partment. ADDRESS �6� (_f t J �K'�LJqf LOCALITY —J Date ApplicantUCITY !r rNEAREST t-C 1� ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM W • KERS' OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT OW ON LOT MAPBOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT �+ BLOCK /J /p LOT NO. NO. I certify that in the performance of the work for which this ,+ IAL OWNER �l.L� &AIL — / CONDITIONS 0. permit is issued, I shall not employ any person in any manner STRICT GROUP TYPE FIRE P O ESSED BY so as to become subject to the Workers'Compensation Laws. ADDRESS �-j /8 CONST. \ ZONE V Date Applicant CITY , ZIP STATISTICAL CLASSIFICATION NGINEARCHITAPT. JTNDO. tj NOTICE TO APPLICANT: If, after-making this Certificate of EER TEL. ENGINEER NO. CLASS NO. DWELL. UNITS LU Exemption, you should become subject to the Workers' � Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be r �1� �A�{� C� deemed revoked. CONTRACTOR 1 CIA`C Sf( 1L 3 NO. -7*7 I BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. ��{{ " I hereby offirm'that I am licensed under provisions of Chapter 9 - AD l / c NO. 933��0 �VAIL�UATION (commencing with Section 7000)of Division 3 of the Business and LIC. `, / r �yy t�9 Professions Code, and my license is in full force and effect. CITY uz 'A CLAS �V �7" [Jd r fi SQ.FT. +� ] NO.OF NO.OF CHECK License Number Lic.Clas y SIZE (� STORIES FAMILIES ONE pip, ;R 2 7 0.2 A (r- NEW $ Contractor Date I1 DESCRIPTION OF WORK ADD ❑ - r ,..,..: # 0 0 0 0 0 ❑I am exempt unde ec.. ALTER ❑ FINAL I o'0 4 Q 5 0 B.BP.C. for-this reason I REPAIR ❑ DATE Date: USE OF /� /T DEMOL ❑ FINAL o a a 4 Q 5 0 c=i EXISTING BLDG. L f/ ��F I� l By Signature APPLICANT r - TEL. 4— Jr r. PRINT / / i SCfo-/SIN NO. 8, 8 OWNER-BUILDER DECLARATION 0 I hereby affirm that I am exempt from the Contractor's License ADDRE M E Law for the following reason (Section 7031.5, Business and Professions Code): P ESEN El1, 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 TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ® i I hereby affirm that there is a construction lending agency-for FRONT the performance of the work for which this permit is issued P.L.- (Sec. 3097, Civ. C.). SIDE P.L. \ Le v rider's Name .3,0- v'� Lender's Address P.C. Fee$ Permit Fee /.� I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with,all County Investigation Fee ordinances and State laws relating to.building construction, Total Fee i and hereby authorize representatives of this County to enter upon above-mentio ed property for inspection purposes. w;, +' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature.14611cont or Agent 'Date ®s WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self I /� O a insure, or a certificate of Workers'Compensation Insurance, fid P��������� ��� L'�'J��� � PERMIT or a certified copy thereof(Sec. 38 b. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company'r�WG xaqp ❑ BUILDING Certified copy is hereby furnls d.. FOR APPLICANT TO FILL IN. ADDREss Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS .S- S LOCALITY / ° NEAREST Date Applicant 6� CITY 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 USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. / SPECIAL } I certify that in the performance of the work for which this OWNER NO. CONDITIONS ®. permit is issued, I shall not employ any person in any manner DISTRICT GROUP ONST.YPE FIRE E PROCESSED BY so as to become subject to the Workers'Compensation Laws. I ADDRESS - Date Applicant CITY t' ' ZIP STATISTICA C IFI ION APT. CONDO. I NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. ar DWELL. UNITS �f Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTO zA DNL - BK. - PG, VALIDATION LICENSED CONTRACTORS DECLARATION" r _ LIC. I hereby offirm'that I am licensed under provisions of Chapter 9 ADDRESS , v N PVALUATION (commencing with Section 7000)of Division 3 of the Business and ti LIC.Professions Code, and my license is in full force and effect. •CITY 1 e CLASSt f— ��' SQ. T. NO.OF NO.OF CHECK License Number Lic.Class e02 Aot SIZE STORIES FAMILIES ONE Contracto-rA, �( ate DESCRIPTION OF WORK ADD .: I am exempt under Sec. 0 ALTER C] FINAL B.&P.C. for this reason REPAIR DATE JA USE OF Date: EXISTING BLDG. DEMOL By Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License - - . Law for the following reason (Section 7031.5, Business and ADDRESS "" i 23 a D Professions Code): PRESENT BUILDING 2 0 4 1.4 5 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 offeFed for sale(Section LOCALITY - 0 4 1.D.'5-6_, 7044, Business and Professions Code). - MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. 628-84 with licensed contractors to construct the project (Sec- z-'.232 v p "tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. t.` 0 0 0 0 0 CONSTRUCTION LENDING AGENCY. SET BACK YARD HWY PROP. LIN WIDTH 1 I hereby affirm that there is a construction lending agency for "FRONT 2 o o 5 9.2'5 the performance of the.work for which this permit is issued P.L.. tSec. 3097,.Civ. C.). SIDE Cr) w 'P.L.,. 2,_,r-,= U 'o Lender's.Name :�• 0-628-84 Permil Fee Lender's Address I certify that I have read this application and state that the Issuance Fee a�� , above information is correct. I agree to comply with.all County Investigation Fee / ordinances and State laws relating to building construction,k::, Total Fee and hereby authorize represen of this County to enter ::.• . on the ove-mentioned pr pe for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of'Ap�N ant or Agent Date ®s I jWORKERS'COMPENSATION D'cCLARATION,� - ,,, ,. ,. y a •�� hereby affirm that I have Certificate of consent to self P P L E CAT I F®� U I L®I N PERMIT I insure, or a certificate of Workers' 6kers'Compensation Insurance, i or a certified copy thereof(Sec. 3800, Lab. C.) ) Policy NovT Company��' � COUNTY OF LOS ANGELES BUILDING AND SAFETY 3f0 • ;ADDRESS DING Certified copy is hereby furnished. FOR APPLICANT% FILL IN Certified copy is filed with the county building inspec- BUILDINGtion department. ADDRESS di ALITY RESPP � lpate A licant / l�� CITY ZIP SS S . ERTIFI ATE OF EXEMPTION FROM WORKERS' NCVOF 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 USE ZONE MAP U hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL } I certify that in the performance of the work.for which this OWNER ,L G) H 3 NO. S-7 CONDITIONS permit is issued, I shall not employ any-person in any manner gDDRE55 r DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. _ CONST. / ZO E +� Date Applicant CITY ZIP STATISTICAL LASSIFICA710N V APf. CONDO. NOTICE TO•APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. LU 'Exemption, you should become subject to the 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 / d deemed revoked.. CONTRACTOR �/ 0 BK. �G,�� VALIDATION LICENSED CONTRACTORS DECLARATION LIC. , I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS o / s A'1/ NO fr V LUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY CLASS $ �y�+— SQ. NO.OF NO.OF CHECK Q License Number �r 4� s:� Lic.Class_ SIZ �0 r STORIES FAMILIES ONE - DESCRIPTION OF WORK liL NEW $ � �/ U ' .(,License ontracto s a7 —/Oate u o I am exempt under Sec. ADD -ALTER FINAL B.BP.C. for this reason REPAIR DATE ! Date: US OF FIN ' EXISTING BLDG. DEMOL E] B G••tb.•R�e.�j�— Signature APPLICANT,_ r ,� L• i /G '+! o n 0 0 OWNER-BUILDER DECLARATION PRINT �J © L L JAL? O. �/ J I hereby affirm that I am exempt from the Contractor's License / �'�� `3 r o 0 2 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT a u'u 5 0 2 E. ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 0 5 3J 0-194 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 � c Q with licensed contractors to construct the project(Sec- =.� .6 0, A tion 7044, Business and Professions Code). ADDRESS tic o o a o REQUIRED TOTAL SETBACK FROM EXIST. ' CONSTRUCTION LENDING AGENCY SE7 BACK YARD HWY PROP. LIN WIDTH I hereby affirm that there is a construction lending agency for FRONT 2 - 8 1 $,2 5 the performance of the work for which this permit is issued P.L. 14 Sec. 3097, Civ. C.). SIDE o .� t'., G 55 60 o P.L. Lender's Name 8 P.C.Fee$ �' Permit Fee a Lender's Address Z 75- I certifythat I have read this application and state that the O PP .Si� ."L Issuance Fee -• • above information is correct. I agree to comply with.all Count 9 P Y Y Investigation Fee i ordinances'and State laws relating to building construction, Total Fee , and hereby a thorize representatives of this County to enter ° upon the qJ e- entioned property for insmolon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appicant Wir Agent Date ®a .i f -WORKERS'COMPENSATION DECLARATION Am"® �� � •I ..41Tsure,, oraa certificate of Workers'Com mpffirm that I have a certificate eof nsat on Insuranceent to , EI L I CAT I �®U�U I�/�I I L A PERMITNwG or a certified copy thereof(Sec. 3800;Lab. C.) COUNTY OF LAS ANGELES ' BUILDING AND SAFETY Policy No. Company y �,. r.,. :....:.. ADILDING DRESS Certified copy is hereby furnished: FOR'APPLICANT TO FILL IN Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS `I L LOCALITY NEAREST Date Applicant CITY � 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 I USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL.�/ C— SPECIAL >. I certify that in the performance of the work for which this OWNER LN CONDITIONS O. permit is issued, I shall not employ any person in any manner I 9 DISTRICT .GROUP TYPE FIRE PROCESSED BY so as to become subject to the Worke Com nsati Laws. ADDRESS i 0 9 t `}{f CONST. ZONE r' 5 � 3 0 Date Applican q CITY /eC_ ZIP . �J STATISTICAL CLASSI TION APT. CONDO. NOTICE TO APPLICANT: If,'of er aking this Certificate of ARCHITECT OR TEL. 'Exemption, you should be a subject to the Workers' ENGINEER 71A-Ctm NO. CLASS NO. DWELL. UNITS 0. Compensation provisions of t e Labor Code, you must forth- ADDRESS SEWER MAP wo with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC, I hereby affirm that I-am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Divisiort 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ D� SQ.F� NO.OF NO.OF CHECK License Number Lic.Class I SIl ��' STORIES FAMILIES ONE i NtW ❑ $ Contractor Date DESCRIPTION OF WORK ADD 'I I am exempt under Sec. ALTER FINAL i c. B.&P.C. for this reason REPAIR ❑ DATE � �r USE OF FINAL Date: EXISTING BLDG. DEMOL 9 Signature APPLICANT �pTEL.g y g OWNER-BUILDER DECLARATION PRINT J® ��"� "TEL. R�7C I hereby affirm that I am exempt from the Contractor's License' Law for the following reason (Section 7031.5, Business and ADDRESS :. Professions Code): PRESE T tai BUILDING �2 5 a b A IyY°'I 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 # 0 0 0 0 0 1 7044, Business and Professions Code). - MOVING TEL. CONTRACTOR NO. I,as owner of,the property,am exclusively'contracting � ,( ­ 33,00 with licensed contractors to construct the project (Sec- ADDRESS 'tion 7044, Business and Professions Code). - I 3 0 O X REQUIRED TOTAL SETBACK FROM EXIST. 0 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HW1' PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for + FRONT j 2=$5 the performance of the work for which this permit is issued I P.L. I tSec. 3097, Civ. C,.). SIDE 'P.L. `o Lender's Name P.C.Fee$ Permit Fee a� Lender's Address xI certify that I have read this application and state that the i Issuance Fee 9 0 above information is correct. I agree to comply with.all County I Investigation Fee /� h ordinances nd State laws relating to building construction, Total Fee V V and heFwv- tho'ze representatives of this Cou ty to enterTX1 upo eniio pod p rt or inspect% n purposes. I II c SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent `e ` ®s � r 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT ( TEMPLE CITY CA 91780 BL 0508 0912080040 PHONE: (626) 285-0488 EXT: 1 ILEGAL ID: I NUMBER OF ADDED/RELOCATED I i BUILDING ADDRESS: I ITR: 6561 LT: 533 BL: .001 I SQ. FT SPRINKLER HEADS 1 9644 LAS TUNAS DR I I STRUCTURE: 1 , TEMP CA 917802139 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: CAMELLIA I 18587-021-018 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl (TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXIST OCC GRP: 112/08/09 SR 1 (OWNER: TEL. NO: I'BLDGS. NOW ON LOT: VALUATION: (FINAL D E FIN CODE: (APOLLO SUPER BURGER - I 1,600 II 19644 LAS TUNAS DR. I I �0 I ITEMPLE CITY CA 91780 l FEES PAID (DESCRIPTION 0 WORK Ll1 I I (INSTALL NEW FIRE SYSTEM I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: '1 1 I IMICHAEL (818) 885-0100- AA BLDG PERMIT ISSUANCE 27.75 1 I 19820 OWENSMOUTH AVE AB STATE GREEN BLDG FEE 1600.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ICHATSWORTH CA 91311- D2 PERMIT W/O EN-HC 1600.00 VAL 82.20 (INSTALL NEW FIRE SYSTEM 1 TOTAL FEES 110.95 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I IM & E BEST FIRE PROTECTION (818) 885-0101- I 1 I 19820 OWENSMOUTH AVENUE STE 7 T,IC. NO I IFIRE DEPARTMENT INSPECT I I 1 ICHATSWORTH, CA 91311 I 1 41I I I I I IFIRE SPRINKLER HANGERS I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFIRE,DEPARTMENT APPROVALI I I I LIC. NO: I I I I I I 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C o01 r.... [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1 1 NO 20 i SCHOOL WITHIN HAZARDOUS I I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO I I I I I I I II I 1 I I 1 �I I I I I I 'IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1206180069 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I JTR: 6561 IT: 533 BL: .001 I SQ. FT STORIES TYPE 9644 LAS TUNAS DR I ISTRUCTURE: 25 V-B TEMP CA 917802139 (ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 18587-021-018 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I I (- TENANT: EXIST-BLDG USE: COMME USE ZONE: C-1 IISSL'ED ON: PROCESSED BY: (EXIST OCC-GRP: 106/18/12 SR I I OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 IKAO LEE - I 2,300 I 19644 LAS TUNAS DR. 1 ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF-WORK I 1 1 IRE-ROOF WITH TORCHDOWN 25 SQ 1 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( 1 APPLICANT: TEL. NO: WONG, DAN (626) 922-3189- IAA BLDG PERMIT ISSUANCE 27.80 1 1 15444 ALHAMBRA AVE IAB STATE GREEN BLDG FEE 2300.00 VAL 1.00 ISPECIAL CONDITIONS: I ILOS ANGELES CA 90032 IAE STRONG MOTION OTHER 2300.00 VAL 0.50 ID2 PERMIT W/O EN-HC 2300.00 VAL 99.00 TOTAL FEES 128.30 1� I (CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE 1 IJCKW, INC. (323) 223-0886- 'I 1 1 15444 ALHAMBRA AVE LIC. NO I ILOCATION AND SETBACKS I 1 ILOS ANGELES CA 90032 891044 1 1 I I I 1 ISOIL•S ENGINEER APPROVAL I 1 1 (ARCHITECT OR ENGINEER: TEL. NO: i IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I (SLAB/UNDER FLOOR 1 1 I IRAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP1 EXPIRED 1IINDERFLooR INSULATIONI150H269 3 001 I [ I I 1 I 7ry�` IFLOOR SHEATHING 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1� / U ! V I [ 1 0 NO 22 I IROOF SHEATHING I 1 1 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I 1 1 AIR QUALITY: 1000 FEET MATERIALS _ 1 NO NO NO (FRAME INSPECTION 1 IFIRfi•.SPRINKLER HANGERS I I I (INSULATION/WEATHER STRIP( 1 1 I INTERIOR LATH/DRYWALL I I I I 1EXTERIOR LATH I 1 I I I I I I I 1RATED FLOOR/CEIL ASSEM. 1 1 IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS I I I ILOT DRAINAGE I I 1 (REPORT ID: DPR261 ROUTE TO: BS0508