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HomeMy Public PortalAbout9650-9652 LAS TUNAS DR_Building__ 4 ANY S DEPT. PERMIT IS REQUIRE F 'MANY FOR MATERIAL :Q2AGE CR WCRK DONE IN THE ROAD Rlvi-IT OF WAY ISA688A CE#8038.69 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 CASSATT D. GRIFFIN, SUPT OF BUILDING CROSSST. DISTRICT NO. GROU Typ�` P.. SED BY FEID OR APPLICANT TO FILL IN CON" ING STATISTICAL CLASSIFICATION 'SE ER MAP SS / `_ K PG CLASS.NO. ` DWELL.UNITS O. Z BLOCK MAP L� H STATE TE YES O ' 6/- NUMBER f USE ZONE SPECIAL NO.OF SLOGS. CONDITIONS F LOT �� I NOW ON LOT FNG BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NA E WIDTH _::�41 FRONTAIL 1� SS SIDE TEL. P.L. � NO. INSPECTION RECORD TECT OR TEL. EER NO. ADDRESS ate+-ter. " TEL. CONTRACTOR NO. ADDRES DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT At iAPPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS, MATERIALS VALUATION $ a Q �� FRAME: FIRE STOPS, BRACING, BOLTS P.C. PMT. r�- FURNACE: LOCATION, FEE S FEE S _'7 � 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 STATE LAWS REGULATIUILDING CONSTRUCTIONkLQ . LATH, EXT. SIGNATURE OF T HOUSE NUMBER COR- PERMITTE /' RECT AND POSTED L ADDRESS FINAL 2 CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E"IN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .. � ' 5 bi 6 JAW 23 3.00 11.5 ADBS•9 APPLICATION FOR BUILDING PERMIT 1 Ii•9S DIVISIti?N/OF BUILDING AND SAFETY BUILD 1 N G ADDRESS Deportment of County Engineer County of Los Angeles LOCALITY r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT FOR APPLICANT TO FILL IN fy�y GROUP TYPE SB K PG EWER MAP NG ]� J� �f'`'' .J CONST. ADDREBUILDSS �1� r— Lb 1 VI�J$S _ NUMBER Q © STATE YES O HAT LOT NO. —3 � BLOCK USE ZONE CONDITCII S SPETI TRACT n ��/ NO.OF BLDGS. SIZE OF LOTi. /� V NOW ON LOT BUILDING EXIST. YARD HWY REET NAME SETBACK WIDTH USE EXISTING BLDG. 'C fC_ FRONT OWNER U F�` V 7Y�� F'►�U-C{ K FIDE MAIL lS O TRACT DWELL. I UNIT ADDRESS 7 h- TEL. 5 INDUSTRIAL CITY TE 1 DWELL. I UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ENGINEER NO. 7 ADDN.,ALT., ETC. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL C RA2CTOR �G� � �,D(�Tr,o �'�'� �t'�aZ� INSPECTION RECORD ADDRESS '7"� ' k�.11C t1 `tel 5^ A. DESCRIPTION OF WORK \1` r EW ADD ALTER REPAIR DEMOLISH SC!. FT. NO. OF NO.OF SIZE STORIES FAMIL112S Lr USE OF STRUCTURE SIGNATURE OF 4 R APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION $ IVP. C. $ FORMS,MATERIALS EE FRAME: FIRE STOPS,VALUATION •' S -n -� BRACING, BOLTS EE FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C MPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAW RE TING BUILDING CONSTRUC- TION. _VI]JI LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED AIDDRESS - FINAL JOHN A. LAMBIE, COUNTY ENGINEER V&LIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK MO CASH 024:- L 76A638A CE7t803 9-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 6901 DEPARTMENT OF COUNTY ENGINEER ADDRESS 9650 East Las Tums BUILDING AND SAFETY DIVISION LOCALITY Temple City JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. C A 1 f DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPrLICnt ANT type T O FILL IN CONST. BUILDING STATISTICAL C SIFICATION SEWER MAP ADDRESS 9650 EasIt TagCLASS NO. DWELL,UNITS BK PG LOT NO. �3 Z, BLOCK USE ZONE MA NOP 2cc -7 TRACT S G _ SPEC AL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM TEL. RONT PROP.LINE OF (STREET) OWNER NO. TYPE OF TING SETBACK HIGHWAY + YARD = TOTAL A DDR ESS aronHIGHWAY WID FROM C.L. Cr + _ CITY Sari Marino BLOG.SETBACKFROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK I HIGHWAY + - TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + CONTRA CTORVirg in Roof Co. NO. c ADDRESS No.LI, CORNER CUTOFF YES El NO ❑ . F CITY CLLICAss SEE REVERSE SIDE FOR SPECIAL APPROVALS L CONSTRUCTION LENDER t NAME AND BRANCH ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE ALTER ❑ SIGNATURE OF REPAIR APPLICANT DEMOL ❑ VALUATION 5 600.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE$ 6 00 FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE TATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSA ON INSURANCE. LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL ST5LIJ�TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASHPERMIT VALIDATION CK. M.O. CASH !-A4`. 3 1 1 4 uci.2 2 1 D 6.0 0 Z�t 76A638ACEN8033-66 APPLICATION FOR BUILDING PERMI 'fl COUNTY OF LOS ANGELES BUILDING ` DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUPT OF BUILDING CROSS ST. DI STRI� NO. GR TYPE P=CE D BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION SEW R MAP ADDRESS -e fY CLASS NO. _DWELL UNITS EK PG 77 LOT NO. BLOCK USE ZONE MAP TRACT Cw 7 .� SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF E I TIN BLDG. SETBACK FROM J TEL, FRONT PROP. LINE OF (STREET) OWNER C NO. TYPE OF EXISTING SETBACEK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH F M C.L. + CITY ARCHITECT OR TEL. BLDG. SETBACK OM ENGINEER NO. SIDE PROP. L E Of ( REET) TYPE OF ISTINO SETBACK HIGHWAY + YARD = TO L ADDRESS HIGHWAY WIDTH FROM C_L. CO �� t I J A � CORNER CUTOFF YES NO IC r CITY C A _ -3 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK f L L NEW ADD 4 ALTER REPAIR DEMOLISH C SQ.FT. NO. OF NO, OF SIZE STORIES /.� FAMILIES USE F STRUOCTURE .Dd C) C ej� SIGNA RE OF APPLICANT/ -�/l�l- VALUATION •00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. cli— FOUNDATION, LOCATION FEE FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION IySUjtANCE. LATH. EXT. SIGNATU ���y,,,y��J� /'/�/ �% ZA HOUSE NUMBER COR- PERMITT� �' RECT AND POSTED A D D R E S F1 NALr'r� .� JOHN F. LEWIS. PRINCIPAL STIR URAL ENGINEER PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION CK. M.0 CASH 7 z f030 D 4.00N DIVISION OF BUILDING AND SAFETY i Department of County Engineer BUILDING --m*r*2ty of Los Angeles a APPLICATION WM. J. FOX, COUNTY ENGINEER AU 6 '-r- FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY J / ,I _ .y DIBTRI T NO. PLAN CK. OR RLc.No. PERMIT NO. ADDRESS �l �S RECEIVED BY DA L. DATE ISSUED LOCALITY NSARtBT _ 1/ ROBBS BUILDING •Z, ADDRESS �' isyy � �J; i"J� �✓ /�•s I OWNER , T MAIL ^` LOCALITY L C-t T ADDRESS/V� Ute, - NEAREST L 7 CROSS ST. r+ITY N 6✓1 FIRE No.°F GR P ZONE I PLANS EN INEECT r�...y ? / ENGINEER NO. BLDG. ORO. NO. ADDRE69�I V. SETBACK LINE USE .. APPROVEDL TE'L ZONE BY 'DATE CONTRACTOR S NO. _ HOUSE NUMBERING ADDRESS ` MAP NUMBER �JLJ NO. ASSIGNED BY D[BCRIPTIIONr LOT NO. BLOCK �'''*��••`-� �; CORRECTIONS TRACT /_G �! NO. DF SLDa6. �'DCJT/Nca»I 7�y 15� f11SC' SIZE OF LOT /�/ X I I Q I NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMIL:[s n/� C DESCRIPTION OF WORK /'—L Q ° t> ,4 A /� p NEW ALTERATION ADDITION , D REPAIR DEMOLITION , �-� f' so-FTNO.OF SIZE {eJ VU RODMB STORIES o EXT.WALL RDDF COVERING COVERING U 9TRUCT r INSPECTION FOR APPROVA S OCCUPANCY AS I NSPECTORM SIGNATURE DATE FO'UNDATIQN: LOCATION FIRMS, MATERIALS I HEREBY ACKNO LEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, f PLICATION AND BT E THAT THE INFORMATION GIVEN IB CORRECT. BRACING,BOLTS • 'L-�'���'� 13 1 AGREE TO O LY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAW EGULATIN BUI NO NSTRUCTION. GAS VENT, DUCTS SIGNATURE OF �, L�� LATH. INT. PERMITTE ADDREBELgIli LATH, EXT. PLASTER, INT. AUTHORIZED AOT. P.C. PLASTER, EXT. $ !/ FEE � HOUSE NUMBER COR- RECT AND POSTED VALUATION FINAL F[E 76A638A DSS 3 1-52 '6ASSBA CE#SOS_e_s, 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 CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. G !� c v ,.4-�r -.aa:s. DISTRICT NO. GROUP ��� SEWER MAP FOR APPLICANT TO FILL IN�. �/�•YL'oNsr. BK PG BUILDING r ADDRESS STATISTICAL CLASSIFICATION CLASS.NO DWELL:UNIT LOT NO. 3 Z BLOCK MAP YES • / NUMBER HWY. TRACT �� ° r USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT r I NOW ON LOT C' USE OF sT�o�C EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNE84f FRONT AMAILDDRESS ��• • P.L: SIDE TEL. P.L. C NO. INSPECTION RECORD AR HIT OR TEL ENGINE NO. ADDRESS TEL. CONTRALTO r+- N . f " ADDRESS ) DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH NO.OF NO.OF SIZE STORMS FAM IES USE OF STRUCTURE SIGNATURE O / APPROVALS APPLICANTFe DATE INSPECTOR'S SIGNATURE ADDRES � t 4J / FOUNDATION: LOCATION �y rFORMS,MATERIALS ��� yP•C• $ FRAME: FIRE STOPS. tJ✓ FEE BRACING.BOLTS VALUATION f $� d C-- FURNACE: LOCATION, i,.,: FEE GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT ROVE IS CORRECT AND AGREE TO COMPLY WITH A CO TY ORDINANCES AND STATE LAWS REGULA SUI ING TRUCTION. LATH.EXT. SIGNATURE HOUSE NUMBER COR. PERMITTEE4 RECT AND POSTED ADDRESS— • -eZ ltd .' FJNAL 6 V2 'OHN A.LAMBIE,COUNTY ENGINEER. CLYDE N.DIRLA , P NCIPAL S+'RUCTIU4L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PEBMIT VALIDATION C-/' M.O. CASH - -"q9E-�8-4a 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETYr COUNTY OF LOS ANGELES I Lr I WM. J. FOX, CHIEF ENGINEER NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS __ SETBACK LINE ' - s� •j f, FIRE _ APPROVED [„6s 7 / ` ZONE BY DATE R EIVED BY DATE OF APPL. DATE ISSUED USE _ APPROVED - ZONE BY DATE _ ... APPLICANT b ILL IN HEAVILY OUTLINED PORTION ONLY BUILDING O K NAME ADDRESS n W Z ADDRESS � LOCALITY F () = NEAREST U W CITY _ CROSS ST. Q STATE TEL. - - LICENSE NO. NO. W NAMEMAIL 0 NAME 0 ADDRESS` Q ADDRESS I CIT NO. 1/�iS I K z 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 'Z CITY O iAPPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 7I O OLOT. NO. SIZE F LOT 4C1I6 SIGNATURE OF .... — OWNER Q NO. OF BLDG$. AUTY.ORIZED AGT. 17 _IBLOCK NOW ON LOT U s�� CORRECTIONS w� TRACT USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING i Z O NEW TYPE I GROUP NO. OF / NO. OF ALTERATION ROOMS ! FFAMILIES ADDITION SIZE REPAIR STORIES i i I MOVING WALL COVERING i DEMOLISH � ROOF COVERING P.C. $ �. FINAL APPROVAL FEE --- V $ 1 ,^ INSPECTOR'S VALUATION FEE 1 DATE " NAME e s WORKERS'COMPENSATION DECLARATION 1 hereby that I• to self insure, oraffirm a certificate of Worke s' Compensat on a certificate of coent Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING . ADDRESS F-1Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' t NO. OF BLDGS. NEAREST A' COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. W (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK MAP PAGE PARCEL < TEL USE ZON OWNER E I certify that in the performance of the work for which this 0 � NO � �7 NO. � permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensa ion Laws., ADDRESS /1 h CONDITIONS U r CITY 060—ZIP G'���V O Date I'r Applicant ARCHLY CT OR TEL. NOTIC TO APPLICANT: If, after making this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO. CONS J ZONE V Exemption, you should become subject to the Workers' W Compensation provisions of the Labor Code, you must forth- ADDRESS �j' d with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATIO APT, I C NDO. Z deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. ZZ DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (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. CITY CLASS BK PG VALIDATION SQ. FT. NO.OF NO. OF CHECK License Number Lic.Class SIZE ISTORIES FAMILIES ONE � VALUATION DESCRIPTION OF WORK NEW Contractor Date ADD 1:1 $ ❑ pool, am exempt under Sec. [:]ALTER B.BP.C. for this reason REPAIR ❑ $. Date: USE OF DEMOL ❑ EXISTING BLDG. FINAL Signature APPLICANT TEL. -2 3 9 4.8 A L 9 OWNER-BUILDER DECLARATION PRINT) NO. DATE d I hereby affirm that I am exempt from the Contractor's License # • • • • 23 Law for the following reason (Section 7031.5, Business and ADDRESS FIN I • • 37. 50 PfOfe5510n5 Code): PRESENT By / ❑ BUILDING I, as owner of the property, or my employees with ADDRESS • • • 3 7.5 0 5 wages as their sole compensation,will do the work and , the structure is not intended or offered for sale(Section LOCALITY 0 1,30-86 7044, Business and Professions Code). MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK F 3 y[k q A SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. # • • • • • (Sec. 3097, Civ. C.). SIDE P.L. I • • 2 &5 0 Lender's Name SLDMA Ref. # • • • 2 R 5 Q 5P. C. Fee$ Permit Fee t Lender's Address ' 0 1.30-86 I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee Q { $ ordinances and State laws relating to building construction, Total Fee U 'v V LDMA Perm. # u and hereby authorize representat'ves of this County to enter n the above-mentioned prop y for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature#r Applicant or Agent Date -7--- k r► WORKERS' COMPENSATION DECLARATION `� I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compe ion Insur e APPLICATION , I L D 1466 PERMIT er opy�tl}gre f Secf38,00, Lab. COUNTY OF LOS ANGELES BUILDING AND SAFETY olicy N Companj ll'� C rlified copy is hereby furnished.����r �✓ FOR APPLICANT TO FILL IN BUILDING &fK ADDRESS b'' Certified copy is filed with the county building inspec- BUILDING q/ [' tion department. ADDRESS �� ¢ %(� �7 0 4ASjTic 10 LOCALITY NEAREST Date Applicant CITYZIP 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 ($100)or less.) TRACT BLOCK LOT NO. (/� I certify that in the performance of the work for which this OWNER k Q e N NO.a�L �� � SON TIONS Q permit is issued, I shall not employ any person in any manner DISTRIC�*�O FIRE P CE D BY U ADDRESS / /T p [f►C L� ZONso as to become subject to the Workers'Compensation Laws. Q og OCITY /wA/ /r✓1.4a 1✓O ZIP t (�{ O Date Applicant STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL, ENGINEER NO. CLASS NO. �� W Exemption, you should become subject to the Workers' `DWELL. UNITS a Compensation provisions of the Labor Code, you must forth- 4A Z with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revoked. _ TEL VALIDATION CONTRACTOR Et L NO, Q�� BK. PG, LICENSED CONTRACTORS DECLARATION D LIC. O0_Jr I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS L q$jLI ir<J/ -NO. VALUAT ON (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY 4j ;,F L CLASS .3 SQ. FT. NO. OSTO IE FA OF CHECK License Number-?049-r.7 Lic.Class SIZE STORIES FAMILIES ONE /YIS/!/ tf1 nn 7 , � _Contractor /COo/�/' to DESCRIPTION OF WORK NEW ❑ 1 am exempt from the licensing requirements as I am a � Lj/d /44/ /;1 ADD licensed architect or a registered professional engineer ALTER FINAL -� actin in my capacity 9 y P (Section 7051, Q411� Ss- eWe DATE Business and Professions Code). USE OF �/ REPAIR EXISTING BLDG. L LASS A- DEMOL FINAL Lic.or Reg. No. Date APPLICANTTEL.aCC-- By r OWNER-BUILDER DECLARATION (PRINT) �J Q Lc�r2NOJ7�56-91 l0 z Q 7 2 2 A I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 0 0 0 0 1 Professions Code): PRESENT aBUILDING 2 3 4 0 0 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 • • • 34,00H 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 g 1 2^8 1 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 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L, (Sec. 3097, Civ. C.). SIDE P L. Lender's Name P P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee 7 above information is correct. I agree to comply with all County Investigation Fee ordin esane4tate laws relating to building construction, ereby auth a representatives of this County to enter Total Feed upon the entioned operty for inspection purposes. d� -9-/ SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Applicant or Agent Date 00 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1009200017 PHONE: (626) 285-0488 EXT: LEGAL ID: I ' 140. OF CONST NEW I BUILDING ADDRESS: I TR: 6561 LT: 532 SQ. FT STORIES TYPE OCCUP GROUPI 9650 LAS TUNAS DR ] STRUCTURE: 633 1 V-B B I TEMP CA 917802139 ] (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18587-021-017 1 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: 1EXIST BLDG USE: COMME USE ZONE: TISSUED ON: PROCESSED BY: ] 1EXIST OCC GRP: B 111/15/10 SR 1 TOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI BY: CODE: ]CHEN, TIFFANY (626) 283-8515- 1 29,000 1 � I I 19650 LAS TUNAS DR. _ Y TEMPLE CITY CA 91780 ] FEES PAID IDESCRIPTION OF WORK I1 I I ITENANT IMPROVEMENT NEW PARTITION WALLS & CEILING, NEW ADA I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IRESTROOM - FACIAL SALON 1 ]APPLICANT: TEL. NO: I I I ]CHEN, TIFFANY (626) 283-8515- IA1 PLANCHECK W/EN-HC 10500.00 VAL 228.70 1 ] 1 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: T AB STATE GREEN BLDG FEE 29000.00 VAL 2.00 T AE STRONG MOTION OTHER 29000.00 VAL 6.10 ] ] I IA1 PLANCHECK W/EN-HC 29000.00 VAL 282.90 ] ] ICONTRACTOR: TEL. NO: IA2 PERMIT W/ENERGY-HC 29000.00 VAL 601.90 (APPROVALS DATE INSPECTOR SIGNATURE- IBRIAN YAWCHING KAO (626) 347-3434- I TOTAL FEES 1,149.40 T 12128 S. 7TH AVENUE LIC. NO i LOCATION AND SETBACKS ] I I ARCADIA, CA 91006 897876 1 ] 1SOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: T IFOUNDATION/TRENCH FORMS I I ] IYANG, FRANK (714) 608-2688- I 1 I 1 I 1319 OHIO STREET UNIT #5 LIC. NO: (SLAB/UNDER FLOOR I I I 1PASADENA, CA 91106 NONE I ] I 1RAISED FLOOR FRAMING IMAP N0: SEWER MAP BOOK: PAIGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I ] 3 04I 1FLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I NO 22 1 1ROOF SHEATHING 1 1 ] T SCHOOL WITHIN HAZARDOUS ISHEAR PANELS ] I ]AIR QUALITY: 1000 FEET MATERIALS 1 I I I I T NO NO NO T IFRAME INSPECTION �I I FIRE SPRINKLER HANGERS I I I 1 (INSULATION/WEATHER STRIP( I I 1 I (INTERIOR LATH/DRYWALL I 1 I I I I 11EXTERIOR LATH I 1 1 I I I T 1RATED FLOOR/CEIL ASSEM. 1 1 IRATED WALL ASSEMBLIES 1 1 1I T i RATED SHAFTS/OPENINGS 1 I 1 1 IT-BAR CEILINGS I ILOT DRAINAGE 1 1 I! REPORT ID: DPR261 ROUTE TO: BS0508 1 T 1 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 HL 0508 1108030078 PHONE: (626) 285-0488 EXT: ILEGAL ID: (NUMBER OF SIGNS: 1 I BUILDING ADDRESS: 1 TR: 6561 LT: 532 (SIGN DESCRIPTION: WALL SIGN ONE SET OF ILLUMINATED CRANI 9652 LAS TUNAS DR I TEMP CA 917802139 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587.-021-017 I I 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl ITT= EXIST BLDG USE: (ISSUED ON: PROCESSED BY: ' 1 ' EXIST OCC GRP: 108/04/11 SR 1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F AL DATE FI 8 CODE: 1777 WIRELESS - I 2,000 t 1 19652 LAS TUNAS DR. 1 i �( I ITEMPLE CITY CA 91780 1 FEES PAID 1D SCRIPTION OF WORK I I I IWALL SIGN ONE SST OF TTJUMIYATRn CHANNEL LETTERS 1 I IFES DESCRIPTION: QUANTITY: OOM: AMOUNT:1 I (APPLICANT: TEL. NO: 1FARGO ADVERTISING INC. (626) 442-8690- IAA BLDG PERMIT ISSUANCE 27.80 1 I 12213 SASTRE AVE IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IS. EL MONTE CA 91733 1AX BUILDING REVIEW FEE 54.70 ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 165.70 1 I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IFARGO ADVENTISING, INC. (626) 442-8690- 1 I 1 12213 SASTRS AVE LIC. NO 1 ILOCATION AND SETBACKS I I I ISOUTH EL MONTE CA 91733 932785 1 I I ISOILS ENGINEER APPROVAL I I I 1ARCHITSCT OR ENGINEER: TSL. N0: IFOUNDATION/TRE NCH FORMS I I I LIC. NO: i ISUPPORT STRUCTURE I I I 1 I I I I I I I �- 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I 00 1 I I I 1N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I NO 20 1 I 1 SCHOOL WITHIN HAZARDOUS (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 I I I � � I I I I I I I I I 1 I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 ------------------ I I I