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HomeMy Public PortalAbout9654-9656 LAS TUNAS DR_Building__ _76A638A C {8034'7 APPLICATIOWOR B�DING PERMIT I 6OUNTY OF LOS ANGELES ASSESSOR DEPA TMENT OF COUNTY ENGINEER MAP BOOK / PAGE PARCEL BUILDING B UI DING AND SAFETY DIVISION ADDRESS CIC%. _5 LIAKE_ CHECKS PAYABLE 70: HA T. BRANDT, COUNTY ENGINEER LOCALITY ,L _ j 'j FOR APPLICANT TO FILL IN NEAREST /. Print ort a onl CROSS ST. (J F, DISTRICT �0. GROUP TYPE P OCESSED BY BUILDADDREISS S ! L)A) J • G Q Na STATISTICAL CLA�¢rSI ICATION EWER MAP LOT NO. _ BLOCK CLASS NO.�'WE LL.UNITS BK PG TRACT USE ZONE�!SN MAP NO.OF BLDGS.SIZE OF LOT NOW ON LOT PECIAL USE OF CONDITIONS EXISTING BLDG. �9 G TEL. OWNER` 1C I c.,f-NO. BLDG.SETBACK FROM ADDRESS � � FRONT PROP.LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY , HIGHWAYI WIDTH FROM G.L. ARCHITECT OR TEL. ��[C + ENGINEER I f Vf�AS ! NO. 'LJ BLDG.SETBACK FROM >' ADDRESS �tC L•! SIDE PROP.LINE OF (STREET) 0- ADDRESS � EL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL U CONTRACTOR YA'ly� _ O, Z HIGHWAY WIDTH FROM C.L. O ADDRESS 7' + NO. 5� w LIC. CITY Lef c- CLASS CORNER CUTOFF YES ElNO Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL PPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIE USE OF �i ADD ❑ STRUCTURE ALTER ❑ X REPAIR❑ SIGNATURE OF APPLICANT L ob VALUATION S cl APPROVALS DATE INSPECTOR'S SIGNATURE P C tooPMT. FOUNDATION: LOCATION FEES FEES FORMS, MATERIALS FRAME: FIRE STOPS, I MERE WL THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND S E THAT TME ABO E IS CORRECT AND AGREE O COMPLY FURNACE: LOCATION, WI ALL ORDINANCES D LA R ULATING BU OI NG CON- GAS VENT, DUCTS S UC TI ON. I CERTIFY AT 1 01 THE WOR UTHORIZED ME EBY 1 ILL NOT L A P ON IN V4( ION OF THE LATH, INT. LAB C D OF T STAT RNIA I ATING TO WORK EN'S C MPE TION RAN LATH, EXT, SIGNATUR COR- P ERMITTE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION cH. M.O. CASH _ PERMIT VALIDATION CK.� M.O. CASH 7 6 ?. _ Ar-2-52 9.0 0 A3 8:3 My 1 :? D 1 Jc.0 0- N 76A638(1 CE 4803 1/71 �iY/I! � APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE ARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS 44, COLEMAN W. JENKINS, SUPT OF BUILDING LOC4-4 FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print or type only) BUILDING 1 DISTRICT NO. I G UP YPE PROC SS BY ADDRESS 0` 11 Z ONST. STATISTICAL L SIFICATION SEWER MAP LOT NO BLOCK CLASS NC OWELL,UNITS BK PG TRACT USE ZONE MAP /, NO.OF BLDGS. /► NO. � v SIZE OF LOT NOW ON LOT / SPECIAL USE OF l� CONDITIONS EXISTING BL TEL. OWNER i NO. BLDG.SETBACK FROM ADDRE FRONT PROP.LINE OF (STREET) r TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L. ARCHITEC TEL + _ ENGINEE JNO BLDG.SETBACK FRO ADDRES _ SIDE PROP.LINE OF (STREET) E TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL C CONTRACTO NO. HIGHWAY WIDTH FROM C.L.LI C: ADDRESS NO + _ C LIC. CLASS CORNER CUTOFF YES ❑ NO ❑ LL CONSTRUCTION LeN4@PER raj, NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS Z ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OFADD ❑ STRUCTURE G ALTER REPAIR SIGNATURE OF APPLICANT DEMOL ❑ VALUATIONS a, oO APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ ` n 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 WOR THORI ZED HEREBY I WILL NOT E LOY ANY PERSON IN VIO AT N OF THE LATH, INT. LABOR CODE OF H TE OF -CALIF NIA R LATING TO WORKMEN'S COM 0 INSURANCE L ATH, EXT. SIGNATURE OF OUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS INAL2- L— JOHN F. LEWIS. Pq4CIAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK / CASH _ PERMIT VAYATIIONM.O. CASH LAW " 3 r) R� AUG 2 2 3 D �.2 0 A, �� � � 7N X31 1 D DIVIACION OF BUILDING AND SAFET'" BUILDING U ' L ® ' NG Department of County Engineer County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICI�,NT TO FILL IN FOR OFFICE USE ONLY BUILDING !�[ST7� DIBTRI O. PLAN CK.oR REr.No. PERMIT NO. ADDRESS 7�rS t LOCALITY .Se. RE FIVE BY D E OFAPPL. DATE ISSUED m. ..� ( c J�- . .. — � NEAREST V ROSBS I BUILDING ' / AD D R ESSzzws OWNER MAIL LOCALITY T ADDRESS a,-,, QA NEAREST S "(„ado ��]} CROSS ST. CITY CI NO, FIRE I NO.GF O P ✓' ARCHITECT -� ` ZONE PLANS ENGINEER 'I'LL LZ NO. ' BLDG. ORD. NO. SETBACK LINE ADDRESS UBE APPROVED . I- 1 ZON ��BY DATE CONTRACTOR HOUSE NUMBERING ADDRESS �1 MAP NUMBER Lma Z NO. ASSIGNED DEECR PATION LOT NO. S D_ .z BLDCK CORRECTION$ Sr TRACT 1 10 NO. OF BLDGS. SIZE OF LOT Q X NGW ON LOT USE OF 1} [ C 0. EXISTING BLDG. �•'-` FAMILIEN - DESCRIPTION OF WORK y�C o NEW ALTERATION ADDITION D P. F r REPAIR DEMOLITIONNO OF BAIZE � D O ROOMS -�` STORIES EXT.WALL � RDOF 1, COVERING f�l.t.�:��� COVERING ��{�,� _� -vim 4:r-- USE USE OF STRUCTURE �i�eJ. /CSFs .�C 1Fr -�r�.a S .rS#'�••..� INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE -.DATE FOUNDATION: LOCATION FR.RMS, MATERIALS f _ - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 2_ PLICATION AND STATE THAT THE IN GIVEN IB FRAME: FIRE STOPS, J CORRECT. BRACING, BOLTS I AGREE TO QOM LY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT.DUCTS SIGNATURE OFj A • � - - P LATH INT. , PERMITTEE it 75/1 r L LATH, EXT. I/ ADDRESS ` 't'-lw•b'c.. �J PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ P.C.111 _ O FEE S ! �' —H-OUSE NUMBER AND POSTEDR VALUATION © FEE �'" FINAL 76A638A DSS 3 1-52 w TEMPLE CITY FlA886A CE:808- 1-61 APPLICATION FOR BUILDING PE IT COUNTY OF LOS ANGELES B U I LD I NG DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. / FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE Z SSED BY CONST. BUILDING ,[` STATISTICAL CLASSIFICATION S ER MAP ADDRESS �J K p CLASS.NO. - DWELL.UNITS Z! LOT NO. BLOCK WATER NOT REQUIRED RECEIVED / TRACT CERTIFICATE: b MAP HIGHWAY STATE AJOR COND, LOCAL \ NO.OF BLDGS. t NO. 2 O (CIRCLE) SIZE OF LOT I NOW ON LOT i USE ZONE SPECIAL USE OF ^ CONDITIONS EXISTING BLDG, -L- OWNER OWNER NO. BUILDING EXIST. SETBACK YARD I HWY STREET N ME WIDTH ADDRESS FRONT ARCHITECT-OR TEL. P. L. L ENGINEER NO. SIDE P. L. d ADDRESS TEL. INSPECTION RECORD O CONTRACTOR cm NO. CG ADDRESS O DESCRIPTION OF WORK u W CL V) NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO.OF NO.OF IZE STORIES FAMILIES USE OF STRUCTURE r� t ♦�.ns SIGNATURE OF APPLICANT VALUATION$ L1 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHOR'ZE14 HEREBY I WILL N MPLOY NY PERSON IN VIOLA- LATH, INT. TION OF TH CO O TH STA F CALIFORNIA RELAT- ING TO WORKMEN'S P T NI RANCE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS r FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEE PERMIT CHECK VALIDATION CK. M.O. CASH PERT VALIDATION cK. M.o. CASH 2 2 3 9'%'Q-' RhR 1 D ,V 76A638A CE r8°34-'APPLIGATIO FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 5 MAKE CHECKS PAYAt3LE T0: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. DISTRICT NO. GRO PE PR ESS B BUILDING 76<-&/A':5_1�rA_� COt`7ST, ADDRESS - �i('� STATISTICAL CLASSIFICA ION SEWER M LOT NO. BLOCK CLASS NO.��WELL.UNITS BKjF_ P c12_o TRACT USE ZONE MAP -7 NO.OF SLOGS. NO. ��G / SIZE OF LOT O NOW ON LOT i SPECIAL USE OF CONDITIONS EXIST BLDG. I`� TEL. OWNER j FiC 11J C_NO• BLDG.SETBACK FROM ADDRESSLWsy .r. AJ A's FRONT P LI NE OF (STREET) C TYPE OF XISTING SETBACK HIGHWAY + YARD = TOTAL CITY l HIGHWA WIDTH FROM C.L. ARCHITECT OR TEL. + _ D ENGINEER NO. SLOG.SE KFROM G ADDRESS SIDE PROP.LI (STREET) L EL. TYPE OF EXISTING SETBACK H + YARD = TOTAL Q CONTRACTOR NO.IC. HIGHWAY WIDTH FROM C.L. F C. ADDRESS �)aO��c.e� NO. ZUY + — a CIO C. /n� CITY C S CLILASS G D CORNER CUTOFF YES ❑ NO ? CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SP IA APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEN, ❑ / SIZE STORI FAMILIES USE OF ADD ❑ STRUCTURE �l ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT VALUATION $ _ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ Q FEES 7, C)p FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH AL ANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCT N. I C IFY THAT I6NNP NG THE WORK AUTHORIZED HEREB I ILL NOT EMPL Y ASON IN IO CATION OF THE LATH, INT. LABOR COD OF HE S L IFOR IN RELATING TO WORK N'S 0 NSATI U LATH, EXT, SIGNAT USE NUMBER COR- PERMITT RECT AND POSTED ADDRESS FINAL L� n�J PLAN CHECK VALIDATION .O. CASH _ PERMIT VALIDAT CK. OCK. MM.O. CASH 5 1 713 APR - 1. 2 3 D Ar',,, 0 5 1X373 APR 1 ; 1 D 9.0 0- `` 76A638A CE.;<$8031-62 PPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING r DEPARTMENT OF COUNTY ENGINEER ADDRESS " BUILDING AND SAFETY DIVISION LOCALITY ` JOHN A. LAM BI E, COUNTY ENG NEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DISTRICT NO. GR TYPE CESSED B FDRE OR APPLICANT TO FILL IN coNsr. STATISTICAL CLAS ICATION WER MAP `_ �,y--B K/ G CLASS. NO. DWELL. UNITS BLOCK WATER ❑ CERTIFICATE: NOT REQUIRED RECEIVED MAP HIGHWAY STATE AJO SECOND, LOCAL NO.OF BLDGS. N0. (CIRCLE) T NOW ON LOT USEZONE SPECIAL CONDITIONS BLDG. TEL. NO. BUILDING YARD HWY TREE AME EXIST. �� SETBACK WIDTH A,-- FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE } P. L. ADDRESS a C TELKA . (i CONTRACTOR TE OI ADDRESS CA-C e. C DESCRIPTION OF WORK LL CL v NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE O T J "ee F� _ APPLICAN VALUATION $ [ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS I FRAME: FIRE STOPS, j- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. , LATH, EXT. SIGNATURE / 0 OFC HOUSE NUMBER COR- PERMITTEE K 11 ( RECT AND POSTED ADDRESS li"►T.C'LML L� �'t �C FINAL �- JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN tNE-gR PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. AS Af'H LI. I .DIVISION OF BUII.DING AND SAFETY BUILDING Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATIONBUILDING FOR APPLICANT TO FILL IN ADDRESS _e71 15 BUILDING 7C� ADDRESS - LOCALITY Jam... NEAREST /- �ti LOCALITY CRO //C� �J SS ST. L2r tt '?�� ._ NEAREST �y DISTRICT NO. PLAN CK. OR REC. No. PERMIT N�. CROSS ST. �o Hj OWNER / ` ,L r -wf RECEIVED BY DATE OF APPL. DATE ISSUr MAIL GS"� \ ,�_ t. ., t �.� 2 3 J 3 ADDRESS USE ZONE OF I TYPE I GROUP RE ZONE TELA 7 CITY t �-,. �.. NO. 7` /�,' // PLANS ARCHITECT OR TEL. C� —2— ZONINGJ ADDRESS SETBACK LINE: / <�v DATED ENGINEER NO. APPROVED BY- BUILDING –6 /) CONTRACTOR L 0+� NO. BYPROVED /2_ E ADDRESS �..> WA S S ( H E NUMBERING LEGAL 3U– MAP NUMBER �Q 7 NO. ASSIGNED BY _x DESCRIPTION LOT NO. � BLOCK �� / DATE CORRECTIONS I INSPECTOR TRACT ..s NO. OF BLDGS. SIZE OF LOT J //(/ I NOW ON LOT / USE OF NO. OF -+ EXISTING BLDG. I FAMILIES D DESCRIPTION OF WORKX /'? J L.,FC7 ?,Afr 1 z NEW _I ALTERATION ADDITION t 1, I r NF_ � � - :fit REPAIR DEMOLITION SQ. FT. NO. OF SIZE ROOMS STORIES EXT. WALL ROOF �,... COVERING COVERING � USE OF STRUCTURE 'r-0 Al F R p F1_4t 46,41>vST -Ar E of 01' -rr �Ii/t�CDLT�. INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF " LATH, INT. PERMITTEE r ADDRESS .f 9- y :1 LATH, EXT. AUTHORIZED AGT. PLASTER, INT. PLASTER, EXT. P. C.$ FEHOUSE NUMBER COR- E RECT AND POSTED VALUATION FEE FINAL ' 76A638A DBS 8 2-58 76<638A C E>x803 3-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS — L BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. Al, FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY Print or type only) - f— CONST. Li BUILDING %� , STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ` I- - cJ — CLASS NO. / DWELL.UNITS BKS' PG/ �( LOT NO. BLOCK USE ZONE MA NOP c� / TRACT _ SPECIAL r 1 NO.OF BLDGS. L CONDITIONS SIZE OF LOT 0 NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM �© S TEL - r1 FRONT PROP.LINE OF _Ty'ya J (STREET) OWNER (� � , T� NO. 'yI S I �.Tr TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS — HIGHWAY WIDTH FROM C.L. CITY X42 0 + d I= Q � BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. / TEL. + = r CONTRACTOR G-12ZG �G TlJO. �jj - S a LIC. CD ADDRESS 3Z fvzo NO. 2-S 6 z CORNER CUTOFF YES ❑ NO v LIC. � CITY G/�[ LU' CLASS r3n -/ . SEE REVERSE SIDE FOR SPECIAL APPROVALS v DESCRIPTION OF WORK Lu NEW ADD ALTER) REPAIR DEMOLISH SQ. FT. NO. OF NO. OF t a' SIZE STORIES FAMILIES USE OF STRUCTURE J Gt SIGNATURE OF J APPLICANT VALUATION $� � APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. S� FOUNDATION: LOCATION FEE$ FEE $a 7 �� FORMS, MATERIALS FRAME: FIRE STOPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CODE OF,THE STATE 9F CALIFORNIA RELAT. LATH, INT. ING TO WORKMEN'S COMPENS INS NC ` LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDATION CK. . M.O. CASH ('_ 5 APR 2 4 D 2 2-50-- OP 76A638A CE9k803(REX1 1/78) �� APPLICATIO UILDI G PER COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING -- ADDRESS A 5 (JM! % LOCALITY NEAREST CITY E/`-1 Itr- !%% ZIP CROSS ST. NO,OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PA EL DISTRICT 2GRO.IP TYPE FIRE ESSED BY TRACT BLOCK LOT NO. $T. OWNER M.3 "CAOc-�rl NO. STATISTICA CLASS A�T NSEWER MAP Li ADDRESS A1-9E CLASS NO. G//DWELL.UNITS BK PG CITY ZIP o c, ARCHITECT VALUATION OR TEL ENGINEER L c-LL NO, 7O 3(-V ADDRESS /,z() ie-_ ve- L R BLDG.SETBACK FRO TEL. FRONT PROP.LINE (STREET) CONTRACTOR S ✓ NO.77J' 3647 TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = F NT PROP.LINE HIGHWAY WIDTH ADDRESS / (� A Olt NO. � 202- _ LIC. + CITY CLASS C-q,!; BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 0 ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH Q V SQ.FT. 7NO.OF NO.OF CHECK + = aC SIZE I STORIES FAMILIES ONE 0 USE ONE MAP 7 ESCRIPTION OF WORK F RAM NEW ❑ NO. C/ (J _ SPECIAL 0. G Me� amu/$nK,5- ADD ❑ CONDITIONS N ALTER ❑ FINAL BY z 1-:RA C jr L�,/1 CC .l� ❑ DATE REPAIRUSE TIEXISTING BLDG. 1 G DEMO( El a � ZG�L�O z APPLICANT TEL r { • • • • (PRINT) NO. Q 2 (, (y (1 BY(SIGNATURE( Q • • IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ]C • • • 1 (" ". ,_.i THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi q AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V n 3, 2 4 _8 G WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM Z PENSATION INSURANCE.' Q SIGNATURE OF < //�jj L �J 6 9 4 8 6 A PERMITTEE V i V ✓+� ADDRESS Z�+ CJI � • • • • � 2 O CITY NO. 77TEL. C 2 • • 2 a Q r P.C. Fee$ Permit Fee f� ` > 2 4-8 L Issuance Fee W �} d Total Fee 76A638# CE#803 3-68 �+ • "' .APPLICATION FOR BUILDI GPERMI., COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY L / JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRICT NO. ROUP TYPEPROCESSED BY FOR AP PrLI CANP T O FILL IN d r �G/1J CONST. BUILDING v / STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CY CLASS NO. -9& DWELL,UNITS BK PG LOT NO. f1 5G�LOCK USE ZONE NO. [7 D SPECIAL TRACT — 7 '�J CT– 2— CONDIT ONS Vi m NO.OF BLOGS. SIZE.OF LOT NOW ON LOT USE OF F L� '.•,_ EXISTING BLDG. I L 6: BLDG.SETBACK FROM TEL.- FRONT PROP.LINE OF (STREET) OWNER .-K.I }�� NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL � ADDRESS HIGHWAY WIDTH FROM C.L. •� � CITY1145 + ARCHITECT O. _ TEL. BLDG.SETBACKFROM (STREET) ENGINEER I LI 1�1 �` NO. SIDE PROP.LINE OF – TYPE OF EXISTING SETBACK HIGHWAY + YARD – TOTAL ADDRWS �:� (� ✓,� f /r HIGHWAY WIDTH FROM C.L. CONTRACTOR , Q Il! `� NOL + a� CD ADDRESS (1 �L1�4 NO �'� S CORNER CUTOFF YES ❑ NO ❑ U CITY . i A,o(, �� �, -'c ass - S SEE REVERSE SIDE,FOR SPECIAL APPROVALS DESCRIPTION OF WORK ) p jam/ CL NEW ✓DD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OFl�y ryT APPLICANT VALUATION $ --- - r! APPROVALS / DATE INSPECTOR'S SIGNATURE P.C. �'Q PMT. FOUNDATION: LOCATION FEE$ — FEE $ 'Z 2-, 5 D FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF TH TATE OF C LIFORNIA RELAT• LATH, INT. INC TO WORKMEN'S C MPEN'4ATI INSURANCE. J/ LATH, EXT. SIGNATURE OF G�/ HOUSE NUMBER COR- PERMITTEE I `,/ RECT AND POSTED ADDRESS ` ' w FINAL JOHN F. LEWIS. PRINCIPAL ST��7 RAL ENGINEER cK. PLAN CHECK VALIDATION M.O. CASH _ PERMIT VALIDATIONM.O. CASH Irr,. 0404" AA 9 � 3 D 13.501 z � � 0 �� 17 1D 2 2.5 0 A WORKERS'COMPENSATION DECLARATION I hereby affirm that I hove a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certifie copy thereof (Sec. 3800, Lab. C.) //���� F.�[C' GL�fyCompany COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy�o. p Y t1�E� �DH ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING a 5— / ADDRESS `� (�J Certified copy is filed with the o my buildin i pec- BUILDING tion department. ADDRESS �ll�Ly !/ / Date pplicant «�' CITY 4 ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' 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 ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL _ TEL `��. USE ZONE MAP I certify that in the performance of the work for which this OWNER [ NO. "rC�6".$:i ) ( NO. permit is issued, I shall not employ any person in any mannerSPECIAL (' As,-WL so as to become subject to the Workers'Compensation Laws. ADDRESS O �XJCONDITIONS U CITY e ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GRQUP TYPE FIRE PR CESSED BY O Exemption, you should become subject to the Workers' CON ZOE U Compensation provisions of the Labor Code, you must forth- ADDR V b /l a with comply. with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. rNDO. N deemed revoked. CONTRACTOR / > NCI :1� n ( �-- Z LICENSED CONTRACTORS DECLARATION (( LIC, CLASS NO. Z --DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Jp /JfIVA) 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 /fL CLASS ls"� BK PGVALIDATION 9 Lf�/ SFT. NO.OF CHECK License Number f7(�'i Lic.Class Ci-G/� SIZE STOE STORIEIE S MILIES ONE as 7 6 7,6 A VALUATION Controcto%,L 'Ie-A Date DESCRIPTION OF WORK NEW ❑ $ / �'j ` - # • • • • 2 3 _ ADD ! ❑1 am exempt under Sec. , • * 57.38 B.BP.C. for this reason ALTER❑Date: REPAIR EMOI ❑ USE OF ❑ � • • • 5 7.3 8 EXISTING BLDG. L Signature APPLICANT TEL. FINAL �� 0 8 1 4-87 OWNER-BUILDER DECLARATION PRINT -*(1 /itI NO. DATE I hereby affirm that I am exempt from the Contractor's License0� J FI Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING 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. ❑ CONTRACTOR NO. I, as owner of the property, am exclusively contracting ��] 8 a 2 A with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). # • • • • • 1 REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I • • 7 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 P.I. • • • 7 8 O 0 v (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name �j LDMA Ref. k o9,09-87 m P.C. Fee$ / Permit Fee Lender's Address ' I certify 1 t I have read this application and state that the Issuance Fee ( LDMA P/C# above' or ation is correct. I agree to comply with all County Investigation Fee 6 rd, and nc and State law; relating to build' construction, Total Fee �V LDMA perm. N N an her y authorize e e ntatives of this ounty to enter Iu m e ob -mevifiozfeX property for in ection purposes. m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS'COMPENSATION DECLARATION "F-•hereby affirm that I have certificate of consent to self - APPLICATION * FOE BUILDING PERM 1 T insure, or a certificate of Workers' kers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING•AND SAFETY Policy No. Company ❑ BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN U IM ElCertified copy is filed with the county building inspec- BUILDING fle tion department. ADDRESS J '�j�Af/s+r e�s / / Date Applicant CITYnwo— `S I I O 0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. A Q NEAREST. COMPENSATION INSURANCE ' SIZE OF LOT - NOW ON LOT (jTyaU 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 /� �J TEL. OWNER .�a 6+f! NO. USE ZONE MAP i certify that in the performance of the work for which this � �NO. ermit is issued,I shall not employ an arson in an manner �p T �r �+�, ^� � / SPECIAL P. P Y Y P Y ADDRESS U'/ Ste'•Rk�/ A E; uG/p/ .�l?/• - CONDITIONS so as to become subject t he Workerls'Compensation Laws. & A V CITY IIA zip licant � ARCHITECT OR 33EL. NOTICE APPLICANT: If, after making this Certificate of ENGINEER /NO. DISTRICT GROUP TYPE FIRE PROC SSED BY Exemption; .you should become subject to the Workers' S CONST. ZONE Compensation provisions of the Labor Code;you must forth- ADDRESS ` . �`Q'J _ with comply.with such provisions or this permit shall be- deemed e - TEL. STATISTICAL CLASSIFICATION APi. CO DO. deemed revoked. CONTRACTOR NO. g LICENSED CONTRACTORS DECLARATION LIC., CLASS NO._fir/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 VALIDATION I SQ. F7; NO.OF _ NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW - ❑"; ; ✓ ; /.- D ADD ❑ . ❑ I am exempt under Sec: � - ® ' •. ALTER B.&P.C. for this reason D r �,, - //V� ""�' REPAIR-.❑ $ USE OF r- , 'Date' EXISTING BLDG. -� D OL ❑.. Signature APPLICANT L. FINAL OWNER-BUILDER DECLARATION PRINT ) �/V O• - I hereby affirm-that I am exempt from the Contractor's License ADDRESS t �n ���o�, /"/, / .'S 1 z b.9 rJ.2,A Law for the following reason (Section 7031.5, Business and FI B Pfessions Code): PRESENT. : ' „ BUILDING / #,o.o .0 0 0•� I, as owner of the property, or my employees with ADDRESS wages as their sole compensation will do the work and : LOCALITY ( ° 0 3� r the structure is not intended or o4ered for sale(Section o 0 0.3�.Q 0�• 7044, Business and Professions Code). MOVING TEL. r ❑ 1, as owner of the property,am exclusively contracting CONTRACTOR NO. c5 o2-87 ' with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM 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.). i SIDE e• 'o P.L. - Q Lender's Name S LDMA Ref. # P.C.Fee$ Permit Fee �fv Lender's Address r I certify that I have read this application and state that the - Issuance Fee �i10 LDMA P/C# ' above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 146 LDMA Perm. #•- and hereby authorize representatives of this County to enter 3 upon the above-mentioned property for inspection purposes. C �ti/L� �� Y _ SEE REVERSE FOR EXPLANATORY LANGUAGE o r"Signature of Applicant or Agent Datef7 APPLICATION FOR BUILDING PERMIT . L COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN SS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS .'Jr J�o bCG'-��z✓�� y�• or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY zIP LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDG&NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS / /� �y `, • CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER &TELNO. r !J COMPENSATION INSURANCE L' WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADD SS p p d DISTRICT GROUP TYPE CON . FIRE ZONE PROCESSED BY dollars($100)or less.) r / Z I certify that in the performance of the work for which this permit CIT is issued, I shall not employ any person in any manner so as to ARCHITECT G EER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRA TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith i FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION I SIDE 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 SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. I NEW E3 BK PG D_ License Number LIC.Class DESCRI ION OF WORK ADD ❑ VALUATION ® Q Contractor Date � � ° ALTER $ A �' U cc ElI am exempt under Sec. REPAIR ❑ $ B.BP.C.for this reasonV DEMOL ❑ LDMA P/C# W Date: �% USE OF EXISTING G. S URM ❑ 23 C0 J$Igna ?=TAIU_M APPLICANT(PRINT) TEL NO. LDMA Perm# ACCT°s Z as Sivrfe�ofrthe property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESSO 3303° � not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL / OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ACCT.s licensed contractors to construct the project (Section 7044, YES❑ No❑ I 33Q3 70° Q Business and Professions Code.) WILL THE INTENDED USE THE RUIBy THE APPLICANT OR FUTURE BUILDING ,. ITEMS , OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION UCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 7 I hereby affirm that there is a construction lending agency for YES 11 GUIDELINES.NO❑ I TOTAL 3-2 o.30 athe performance of the work for which this permit is issued(Sec. ��, `+� 12 °3Q 0 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CHANGE ° LM TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 00 In Lender's Address Q OWNER OR AGENT c I certify that I have read this application and state under penalty WOO-0001 10n/ 4/95 of perjury that the above information is correct.I agree to comply P.C.FEE �} PERMIT FEE WJL)U'"LfVtii iV/ a with all county ordinances and State laws relating to building 'r-0. 5v / 2633 1 PM 5:33 construction-and hereby autto ze represent 'yes of this County ISSUANCE FEE r� CO to en e?u n7the above- en'6Ped property for spection purp es. i✓q CD ( D a/91 INVESTIGATION FEE TOTAL FEE n Sipmt or/pmt _VL"_,_. Ome / , C, SEE REVERSE FOR EXPLANATORY LANGUAGE ro s WORKERS'COMPENSATION DECLARATION - I Hereby afg'rm that I have a certificate of consent to self A p P L I CATION 'FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800; Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No yip/tl 22 company kl;sr Aqwsa'Ar ❑ Certified copy is hereby furnished. /p—/–g?7 FOR APPLICANT TO FILL IN ADDREBUILDISS t^/_ ADDRESS Certified copy is filed with the u ty building 1 pec- BUILDING /_ �f ��� . tion department. 77 A ADDRESS 00 ` /-,4,S Date- 2—Z.3�,Kpplicant / CITY = C_ ZIP t�v ;>LOCALITYQU CIA CERTIFICATE OF EXEMPTION FROM WORKERS' 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 BLOCKn LOT NO. MAP BOOK PAGE PARCEL TEL.OWNER . ` Lf� NO. �D ] ::USE ZONE MAP 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 Y "y - �� SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS V CITY ZIP Date Applicant �t NOTICE TO APPLICANT: If, after making•this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR E SED BY O Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZE U Compensation provisions of the Labor Code, you must forth- ADDRESS At with comply with such provisions or this permit shall be 0-' TEL• �/ STATISTICAL CLAS FI TION APT. DO: Cl)deemed revoked. CONTRACTO d�iE/�✓• 4/��✓� NO 2� // . LICENSED CONTRACTORS DECLARATION [[ LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE Q �yj / Off/ /�NO. 1 (commencing with Section 7000)of Division 3 of the Business andLIC SEWER MAP Professions Code,and my license is in full force and effect. -CITY CLASS BK PG VALIDATION T � r f/ SQ.FT. NO.OF NO.OF CHECK License Number �'l Lic.Class �cr� SIZE STORIES FAMILIES ONE • Q VALUATION ,,.. Contracto L /��� Date � �j��s' DESCRIPTION OF WORK /� �� �y NEW ADD $ v I am exempt under Sec. G v . AV,-A ALTER ❑ BAP.C. for this reason I REPAIR ❑ $ USE OF Date' EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL ;2.7 ,g 4 OWNER-BUILDER DECLARATION PRINT / y/il! NO '3 . DATE J I hereby affirm that I am exempt from the Contractor's License � /�//���/ o 0 o a. Law for the following reason (Section 7031.5, Business and ADDRESS �— / Oit/ �fi`►r �1f� FIN () 7, 13 . 87 Professions Code): F By ❑ BUILDING 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). CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAL SETBACK LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT �,�]4 9'.1 A the performance of the work for which this permit is issued P.L. 0 0 0 0 0 (Sec. 3097, Civ. C.). SIDE o 'o $'],3 Lender's Name P L �•. o;o o 8 7,3 8 5 o P.C.Fee$ S Permit Fee LDMA Ref. # O'� '�m g'� Lender's Address �y I certify that I have read this application and state that the Issuance Fee (/ Q •"LDMA P/C# above i ation is correct. I agree to comply with all County Investigation Fee dl ces nd State laws rel ing to building ns n; Total Fee LDMA Perm.# 3 In ere authorize rep s/ryives of this C my to enter € thabo nti d tfor inspe ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signature of Applicant or Agent Date ' bOUNTY 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 1310100053 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST NEW ] BUILDING ADDRESS: ITR: 6561 LT: 53 BL: .001 I SQ. FT STORIES TYPE OCCUP GROIIP 9656 LAS TUNAS DR I ISTRUCTURE: 330 1 V-B B I TEMP CA 917802139 ] (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMELLIA 18587-021-016 ] ] THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI ITENANT: 1EXIST BLDG USE: COMME USE ZONE: IISSUED ON: PROCESSED BY: I IYOUNG'S OPTOMETRY (EXIST OCC GRP: B 10/10/13 SR I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FI DATE FI BY: CODE: 1 IT C VICTORIA STORES LLC (626) 403-6868- 1 3,500 1 19656 LAS TUNAS DR 1 I I [TEMPLE CITY CA 91780 1 FEES PAID [DESCRIPTION OF WORK 1 ] ITENANT IMPROVEMENT TO REMOVE EXISTING NON-BEARING PARTITIONSI FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:JFORI NEW OPTOMETRIST 1 APPLICANT: TEL. NO: I I ) ]YOUNG, MINDY (626) 274-7089- IAA BLDG PERMIT ISSUANCE 27.80 1 1 19656 LAS TUNAS DR IAB STATE GREEN BLDG FEE 3500.00 VAL 1.00 ISPECIAL CONDITIONS: I TEMPLE CITY CA 91780 IAE STRONG MOTION OTHER 3500.00 VAL 0.70 I I IA1 PLANCHECK W/EN-HC 3500.00 VAL 113.20 I I I 1A2 PERMIT W/ENERGY-HC 3500.00 VAL 133.20 I I ICONTRACTOR: TEL. NO: I TOTAL FEES 275.90 1APFROVALS DATE INSPECTOR SIGNATURE 1 IAHONGDA CONSTRUCTION INC (626) 643-2189- 1 1 I 16108 CAMELLIA AVENUE LIC. NO I JLOWION AND SETBACKS I I I ITEMPLE CITY CA 91780 983344 1 1 1-1 I I ]SOILS ENGINEER APPROVAL I 1-1 I (ARCHITECT OR ENGINEER: TEL. NO: ] IFOUNDATION/TRENCH FORMS I I I I - I ILIC. NO: I ]SLAB/UNDER FLOOR ] ] 1 -_� ]RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION ] I I ] 3 00] IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1-1 1 ] 0 NO 22 ] IROOF SHEATHING I ] I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I_ I I I ] NO NO NO ] ]FRAME INSPECTION I I I I ] IFIRE SPRINKLER HANGERS I I I ] ] ]INSULATION/WEATHER STRIPI I [ ] (INTERIOR LATH/DRYWALL I I I ] ]EXTERIOR LATH I I I 1 ] ]RATED FLOOR/CEIL ASSEM. ] I I ] IRATED WALL ASSEMBLIES I I I I ]RATED SHAFTS/OPENINGS ] I ] I I ]T-BAR CEILINGS 1 I I I I ILOT -DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] I I I I I I 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 1310160010 PHONE: (626) 285-0488 EXT: LEGAL ID: INUMBER OF SIGNS- 1 BUILDING ADDRESS: ITR: 6561 LT: 53 BL: .001 ISIGN DESCRIPTION: ONE SET INTERNAL ILLUMINATED CHANNEL 9656 LAS TUNAS DR ATTACHED TO RACEWAY I TEMP CA 917802139 ASSESSORINFORMATION NUMBER: NEAREST CROSS STREET: CAMELLIA 8587-021-016 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: YOUNG'S OPTOMETRY (EXIST OCC GRP: 10/16/13 SR (OWNER: TEL. NO: EMS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: YOUNG'S OPTOMETRY (626) 226-6128- 2,200 9656 LAS TUNAS DR I I TEMPLE CITY CA 91780 FEES PAID IMSC!RIPTIOlt OF WORK IONE;SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IAZTA' HED TO RACEWAY APPLICANT: TEL. NO: I I I IYU, ALLISON (626) 336-1616- JAA BLDG PERMIT ISSUANCE 27.80 16354 VALLEY BLVD. JAB STATE GREEN BLDG FEE 2200.00 VAL 1.00 ISPECIAL CONDITIONS: ILA PUNETE CA 91744 IDI PLANCHECK W/O EN-HC 2200.00 VAL 84.20 ID2 PERMIT W/O EN-HC 2200.00 VAL 99.00 TOTAL FEES 212.00 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE FIRST SIGN CO. (626) 336-1616- 1_, 116354 VALLEY BLVD LIC. NOLOCATION AND SETBACKS ILA PUENTE CA 91744 605688 * 1-11 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: I � IFOUNUATION/TRENCH FORMS LIC. NO: ISUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 001 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: , NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO !' I 1 I* ADDITIONAL DATA ON FILE 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 BL 0508 1305290013 PHONE: (626) 285-0488 EXT: LEGAL ID: INUMBER OF SIGNS: 1 I BUILDING ADDRESS: ITR: 6561 LT: 53 BL: .001 (SIGN DESCRIPTION: ONE-SET INTERNAL ILLUMINATED CHANNEL I 9654 LAS TUNAS DR TEMP CA 917802 (ASSESSOR INFORMATION NUMBER: ST I I NEAREST CROSS STREET: 1 18587-021-016 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI TENANT: (EXIST BLDG USE: (ISSUED ON: PROCESSED BY: CAL BUSINESS EQUIPMENT EXIST OCC GRP: 05/29/13 SR I I I I IOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 ICAL BUSINESS EQUIPMENT (626) 286-1042- 1 1,000 1 I 19654 LAS TUNAS DR I I I ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF WORK I I I IONE SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN 1 (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IAPPLICANT: TEL. NO: IYU, ALLISON (626) 336-1616- IAA BLDG PERMIT ISSUANCE 27.80 1 1 116354 VALLEY BLVD IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ILA PUENTE CA 91744 Dl PLANCHECK W/O EN-HC 1000.00 VAL 82.10 1 1 ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 I 1 I I TOTAL FEES 176.30 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IFIRST SIGN CO. (626) 336-1616- 11 1 116354 VALLEY BLVD LIC. NO 'I ILOCATION AND SETBACKS I I I ILA PUENTE, CA 91744 605688 * I I I I I I I (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I LIC. NO: I ISUPPORT STRUCTURE I 1 I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 I I I 00 I I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I NO 20 1 EXPRED I I I 1 SCHOOL WITHIN HAZARDOUS (AIR QUALITY: 1000 FEET MATERIALS I ( I I I NO NO NO I I I I I I I I I ! I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1,* ADDITIONAL DATA ON FILE I I I I REPORT ID: DPR261 ROUTE TO: BS0508 ` r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0910080046 PHONE: (626) 285-0488 EXT: LEGAL ID: ] NO. OF CONST NEW 1 BUILDING ADDRESS: 1 JTR: 6561 LT: 53 BL: .001 ''1 SQ. FT STORIES TYPE OCCUP GROUP 9656 LAS TUNAS DR 1 I ISTRUCTURE: 0 1 V-B B I TEMP CA 917802139 ] (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-021-016 (.I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: hIEXIST BLDG USE: COMME USE ZONE: C-1 TISSUED ON: PROCESSED BY: 1 ; 1EXIST OCC GRP: B 105/24/10 SR 1OWNER: TEL. NO: ) IBLDGS. NOW ON LOT: VALUATION: IFlAu DATE N BY: CODE: I 1CHIAO, STEVE C (626) 403-6868- 11 40,000 1005 E. LAS TUNAS DR I I ISAN GABRIEL CA 91776 1 FEES PAID IDE CRIPTION OF WORK 1 IFACADE IMPROVEMENT ONLY 1 I 11FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( (APPLICANT: TEL., NO: . I I I ITAN, WILSON (626) 570-9989- 'IAl PLANCHECK W/EN-HC 40000.00 VAL 652.18 1235 E. MAIN STREET ;1AA BLDG PERMIT ISSUANCE 27.75 ]SPECIAL CONDITIONS: I 1ALHAMBRA, CA 91801 .,IAB STATE GREEN BLDG FEE 40000.00 VAI, 2.00 1 I ] .,]AE STRONG MOTION OTHER 40000.00 VAL 8.40 I I IJA2 PERMIT W/ENERGY-HC 40000.00 VAL 767.28 I I I CONTRACTOR: TEL. NO: .I TOTAL FEES 1,457.61 (APPROVALS DATE INSPECTOR SIGNATURE I D T K CONSTRUCTION (323) 261-1388-,I I 1 1855 MONTEREY PASS RD LIC. NOILOCATION AND SETBACKS IF-103 A C36 * I i, 1 IMONTEREY PARK, CA 91754 11 ISOILS ENGINEER APPROVAL ] ] 1ARCHITECT OR ENGIN88R: TEL. NO: - 1 IFO%PATION/TRENCH FORMS I I I 1 LIC. NO: 1 SLAB%UNDER FLOOR I I I I 1 iRAISED FLOOR FRAMING 1 I 1 ]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSIILATION ] I I I150H269 3 00'1 I I I I I 1FLOOR SHEATHING I I I NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS-71 I I I NO 22 1 IROOF�SHEATHING 1 SCHOOL WITHIN HAZARDOUSI 1SHEAR1PANELS ] 1AIR QUALITY: 1000 FEET MATERIALS I 1 .1 m NO NO NO I 1FRAME• INSPECTION I I I IFIRE"SPRINKLER HANGERS 1 I (INS TION/WEATHER STRIP I IINTERSOR LATH/DRYWALL I I I I I I 1 (EXTERIOR LATH I T I I 1 1RATED.FLOOR/CEIL ASSEM. vol I I I I 1 IRATED WALL ASSEMBLIES I I 1 1RATED.ISHAFTS/OPENINGS 1 I I 1 IT-BAR CEILINGS I I I ] 1* ADDITIONAL DATA ON FILE I I I I I LOT DRAINAGE 1 ] 1�REPORT ID: DPR261 ROUTE TO: BS0508 1 T 11 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 0303250026 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONSTS: TR: 6561 LT: 53 BL: .001 S9. FT STORIES TYPE OCCUP GROUP 9656 LAS TUNAS DR STRUCTURE: 2059 1 VN B TEMP CA 917802139 ASSESS M NEAREST CROSS STREET: KAUFFMAN 8587-021-016 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY COMMES SS TENANT: On-ST-1W � OC S EXPIRES EMAX ESCROW EXIST OCC GRP: B 04/25/03 JK 04/19/04 OWNER: TEL. NO: B DGS. NOW ON—LOT: VALUATION: FINAL DATE FINAL BY: CODE: PO AO CHIEN CHIAO (626) 574-1226- 20,000 �� if SAN GABRIEL 91778 ES P DEESCRIPI C(3�0� 0� � T.I.-INSTALL PARTITIONS TO CREATE 2CONF.RMS, 50FFICES, 18ATH APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LUNCH RM, &1DOCUMENT STORAGE RM;NEW TBAR CEILING & LIGHTS ALEX CHANG (626) 287-1859- Al PLANCHECK W/EN-HC 20000.00 VAL 375.95 8730 HUNTINGTON DR AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: SAN GABRIEL AC STRONG MOTION-RESID-- --- 20000.00 VAL 2.00 A2 PERMIT .W/EWERGY=HC' -20000.00 VAL 442.29 •' ��'__�v TOTAL-FEES. 847.99 CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE HUNTINGTON DEVELOPMENT INC. (626) 705-6588- 17585 E. ROWLAND ST., k206 LIC. NO �� °/` t OC D S C INDUSTRY, CA 91748 809304 B r ff• SOILS ENGINEER APPROVAL ARCHITECT0 G 0 FORMS 81-5726 TSAI, WILLY (626) 2 '. 236 S ATLANTIC BL LIC. NO': + Li I I I ` r SLAB/UNDER FLOOR ALHAMBRA , CA 91801 NONE ! I illilll I_ I I I, , I , :1•_ RAISED 0 G MAP N0: SEWER MAP BOOK: PAGE: FIRE0 3: CMP: UNDERFLOOR INSULATION 104 i :r FLOOR SHEATHING I I' c 0. OF FAMILIES: DWELLING S: CO D: STAT C S:- NO 22.- a ROOF SHEATHING SCHOOL R S t' / ' , ::' SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO \ ' ` •,l '•- �- FRAME INSPECTIONr FIRE SPRI R AGE 5 c,y'`��sCQ ��7 ���,• INSULATION/WEATHER STRIP "`- - r- INTERIOR LATH7D_k7Wi= s-q•6 EXTERIOR LATH RATED FLOOMEIL S TED WALL ASSEMBLIES RATED SHAFTS/OPENINGS C I i GS cr— LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: 880508