HomeMy Public PortalAbout9658-9660 LAS TUNAS DR_Building__ APPLICATION FOR BUILDING PERMIT G�
FOR APPLICANT TO FILL IN (Print or type only)
7ADDRESS COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
0Oy ON LOT ADDRESS
TRACT/• BLOCK LOT NO, K LOCALITY ~
TEL. NEAREST
OWNER ) NO. CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICTGROUP.,TYPE ?!+ ,f FIRE -PROCESSED By
CITY - ZIP i' CONSTC "''' ZON E� 3
_ j
ARCHITECT OR
TEL. < f :,,„,,.�,+: -. �' - - `fit r
ENGINEER NO.
STATISTICAL CL�AS�SIFICATION SEWER MAP
ADDRESS CLASS NO. OWELL•UNITS 61E-^� PG
0. USE ZONE MAP
CONTRACTOR N
LIC. NO.
ADDRESS x NO, SPECIAL
LIC. CONDITIONS
CITY CLASS 'e
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS ''"' CITY
HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT.-• NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH a
SIZE ,2 STORIES FAMILIES ONE C
DESCRIPTION OF WORK NEW ❑ 4
ADD BLDG.SETBACK FROM (STREET) LL
{ SIDE PROP.LINEOF
ALTER ❑ TOTAL SETBAC ROM TYPE OF EXISTING >
HIGHWAY } YARD =
REPAIR❑ SIDE PROP. LINE"--., HIGHWAY WIDTH
USE OF } = a
EXISTING BLDG. - DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ ND ❑ H
IPRI NT). NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ &==*-
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. 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 COMPENSATION INSURANCE.
ti
SIGNATURE OF 1 i
PERMITTEE
ADDRESS
FINAL BY
T E L.
CITY NO. 6 DATE
SIA KE C11ECKS PAYA13LE 70: FEE _-
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M o CASH _ PERMIT VALIDATION CK. M O. CASH
76A638A CE#803 5/74
APPLICATION FOR BUILDING PERMIT 9FOR APPLICANT TO FILL IN (Print or type only)
BUILDING ._.,. COUNTY OF LOS ANGELES
dIDDRE$S /!f DEPARTMENT OF COUNTY ENGINEER
CITY - '�- ZIP
BUILDING AND SAFETY DIVISION
O.OF BLDGS. BUILDING,--
SIZE
UILDING� -. ;
SIZE OF LOT NOW ON LOT ADDRESS < f
TRACT:;-'1 L J BLOCK LOT NO. j ice ' LOCALITY
TEL. NEAREST
OWNER% f V ! re,-:i r NO ;r CROSS ST.
ASSESSOR
ADDRESS '{ MAP BOOK PAGE ..]PARCEL
DISTRICT GROUP TYPE FIRE PRO SSED BY
CITY ��' - ZIP CONST ZONE,'
2, i
ARCHITECT OR r TEL. L. �'^�"st •'. -
ENGINEER �. NO. ..T✓_' I
STATISTICAL CLASSIFICATION _SEWER MAP
ADDRESS J., r„
CLASS NO. -2- 7` DWELL,UNITS � BMQ,•j PG
CONTRACTOR TEL.
USE ZONE MAP J
LIC. NO. ,.
ADDRESS NO , •Gr .-> ! SPECIAL
LIC. l� CONDITIONS
CITY I..< .. CLASS .
ROAD DEPARTMENT APPROVAL REQUIRED YES� NO
CONSTRUCTION LENDER 13
NAME AND BRANCH BLDG.SETBACK FROM
FRONTPROP•LINEOF �"-�" � 'f`�+""•cy (STREET)
ADDRESS CITY HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
W. FT, NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH }
SIZE STORIES FAMILIES ONE _ a
DESCRIPTION OF WORK NEW 1:1
ADD ❑ BLDG.SETBACK FROM LLJ�
SIDE PROP. LINE OF (STREET) L�
ALTER HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING >-
REPAIR❑
SIDE PROP. LINE HIGHWAY WIDTH qCC
USE OF } - O
EXISTING BLDG. ;+ ry' DEMOL ❑
APPLCANT? ;1 ff� TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) �' P, ry NO.. .�.. j ,
BY (SIGNATURE) = / IN OPEN SPACE YES ❑ NO
IN COASTAL PERMIT ZONE YES NO
VALUATION$ ^'
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 CON—
STRUCTION. I CERTIFY THAT IN DOING THE' WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSONAN VIOLATION OF THE
LABOR CODE OF THE STATE OFCALIFORNIA IN RELATING TO
WORKMEN'S COMPENSojTION INSPRANCE.
SIGNATURE OF
PERMITTEE
{ l f
ADDRESS' '
FINAL BY
CITY - 1 .-`" .: - NO. 'Ayr, DATE
4IAKE CHECKS PAYABLE '1'0: FEE $ FEE
HARVEY T. BRANDT, COUNTY ENGINEER ,j /ij
X0 G/ /Z
PLAN'CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK. M.O. CASH
76A638A CE#803 5174 � � �V A X
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16A638AACE#8038.63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING / C Com-
DEPARTMENT OF COUNTY ENGINEER ADDRESS (� J IS17
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN 5,c� .6[N ill CONST. 4
BUILDING A / STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �C- L� BK PG
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAPs� HIGHWAY
NO.OF BLDGS. NO. G—`7� 'CIRCLE) STAT MAJOR ECOND, LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF / r' CONDITIONS
EXISTING BLDG. C—G
OWNERBUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
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TEL O
CONTRACTOR (/ !��`7 IN !' /97 V
ADDRESS 1 O
DESCRIPTION OF WORK
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USE OF
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SIGNATURE OF
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VALUATION ( m
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. l�"t 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. 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 INSURANCE. LATH. EXT.
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE % / s RECT AND POSTED
fws-
ADDRESS FINAL JA
JOHN F. LEWIS. PRI CIPAL STRUCTURAL rNGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 6 .,'s jUL 2 1 1 0 6.00—
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76A638A CE#8033-66 APPLICATION FOR BUILDINGA ERMIT
COUNTY OF LOS ANGELES ABUILDING
DDRESS /
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTJR CT N GROUPPE PR S
FOR APPLICANT TO FILL IN Vii/ o � �'� CONST. n�
BUILDING. STATIST IC A L,GLASSI FIC A TION EWER MAP
ADDRESS ,� - i CLASS NO. _DWELL UNITS SK PG
LOT NO. ��""XL BLOCK USE ZONEMAP
TRACT Z— NO. vG
�� SPECIAL
NO. OP BLDOS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
IST NG BLDG. BLDG. SETBACK FROM
TEL./ FRONT PROP, LINE OF (STREET)
OWNER t NN Oma. �+' 'x�,SI TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
A D DR EIS,S HIGHWAY WIDTH FROM C.L.
CITY l,/r{,- ' /
LOG.AETBACK FROM + —
ARCHITECT OR TEL. SIDE qPOP. LINE OF (STREET)
ENGINEER NO.
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CONTRACTOR /VLGfv ws. NO �77�/- 32.6
LIC
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CITY *%_ CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS C
DESCRIPTION OF WORKC.
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NEW DD ALTER REPAIR DEMOLISH
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SIZE STORIES FAMILIES
USE OF
STRUCTURE Qh
SIGNATURE OF
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VALUATION$ � � �',() �Ge .00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
F
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
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE[� RECT AND POSTED
ADDRESS OL' Zc.9pa— ?.d— Fl N A L
JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN ER
PLAN CHECK VALIDATION CK, M O. CASH _ PERMIT VALIDATION CK. M.O CABM
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76A638A C".4803 8-64 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING //
DEPARTMENT OF COUNTY ENGINEER ADDRESS ( C� -7
BUILDING AND SAFETY DIVISION LOCALITY t e
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT NO. I GROUP TYPE PRO ESSED BY
FOR APPLICANT TO FILL IN `; _ CONST. ;1
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS O BK PG
CLASS NO.� DWELL UNITS .
LOT NO. BLOCK USE ZONE MAP
NO. Ci
TRACT - SPECIAL
OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF 7
gXISTINg BLDG, BLDG. SETBACK FROM
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TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS (✓x
CITY BLDG. SETBACK FROM
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ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
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CITY /L' OG/cJ S CL C' S SEE REVERSE SIDE FOR SPECIAL APPROVALS V
W
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FOUNDATION, LOCATION
P.C. PMT. L
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
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILOI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LA OR CODE OF T f CALIFORNI EL
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ING TO WORKM CS SUR C . LATH. EXT.
L�
SIGNATU HOUSE NUMBER COR-
PERMITT aJ RECT AND POSTED
ADDRESS� JAS CIYC-//ofFl NAL .c _
JOHN F. LEWIS, PRINCIPAL ST CT AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
- LAL07 3 1 42 N*l 2 1 D 6.00N
76A63811 CE #603 1/71
le APPLICATION FOR BUILDING PERM
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARC
BUILDING AND SAFETY DIVISION BUILDIN EY d L '
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALI %n
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST.
BUILDING DIST�CT NO OUP YPE PR CE D
ADDRESS d CONST.
STATISTICAL CLASSIFICATION SEVER MAP
LOT NO. BLOCK
CLASS NO. DWELL,UNITS BK rPG
TRACT USE ZONE MAP /�
NO.OF BLDGS. NO. (� (!
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING RLDG.
TEL.
OWNER / NO21w . BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH F OM C.L.
ARCHITECT TELA + _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS _ SIDE PROP.LINE OF (STREET)
y
TEL TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL C
CONTRACTO O 3-�• HIGHWAY WIDTH FROM C.L. C:
_
ADDR I LO.IO,t9 12- �� + 0:- C
LIC. y,y
CIT CLASS CORNER CUTOFF YES ❑ NO ❑ LL
CONSTRUCTI N LENDER au,
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS E
ADDRESS
SQ. FT, NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF r ADD ❑
STRUCTUREget,
ALTER
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEES FEE S 0-0 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT LOY ANY PERSON N VIO ION OF THE LATH, INT.
LABOR CODE OF T TATE OF •CALIF NIA ELATING TO
WORKMEN'S COMP N INSURANCE. LATH, EXT.
SIGNATURE OF. • HOUSE NUMBER COR-
PERMIT TE RECT AND POSTED
ADDRESS FINAL L�
JOHN F. LEWIS. PR NCI AL ST URAL ENGINEER
PLAN CHECK VALIDATION CCK.,)'
M.O. CASH _ PERMIT VAL ION M.O. CASH
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7BA638?CE4803 9-68
Y APPLICATION FOR BUIL®IIV PERMI
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �� D n/
BUILDING AND SAFETY DIVISION LOCALITY 72i h 7-
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. C GI
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY
Q (Print or type only) !' �� Gy CONST. _
ABUILDINGDDRESS �y� o ,0,5 ���,✓f1� STATISTICAiCLASSIFICATION SEWER MAP
CLASS NO.,�2_?L DWELL.UNITS SK PG
LOT NO, p2 -� BLOCK USE�Z-.ONE MAP
NO. .x2-0 d
TRACT C SPECIAL
NO.OF BLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
OWNER ,�ST� NOL. FRONT PROP.LINE OF —(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS E HIGHWAY WIDTH FROM C.L.
CITY I +
BLDG.SETBACK
ARCHITECT OR TEL. SIDE PROP.LINE OFFROM
NEOFOM (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. .I.
CONTRACTOR NO.
i
ADDRESS No CORNER CUTOFF YES ❑ NO ❑ `
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDERr
NAME AND BRANCH IUQ -e'
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF G ADD
STRUCTURE
ALTER ❑
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F
EES FEE 5 Ile-: FORMS, MATERIALS
FRAME: FISTOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACIRE NG 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. 1 CERTIFY THAT IN DOING THEWORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA 1 ELATIN 0
WORKMEN'S COMPENSATION URANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
E ,�n.0 �,> 3 D 6.0 0
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7GA698A'CE0803 Y-57APPLICATION FOR BUILDING PERMIT
7
COUNTY OF LOS ANGELES ADDRESS ILDI Q
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY ellY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP•T OF BUILDING CROSS ST.
DIST T NO GROUP YPE P
FOR APPLICANT TO FILL IN �Li ' CONST.
BUILDING Q aS .y� �C STATISTICAL ASSIFICATION .� S BKER MPAG
ADDRESS /� ! 7 CLASS NO. DWELL UNITS
LOT NO. BLOCK i USE ZONE MAP
NO. G�
TRACT SPECIAL
N0. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
I.XISTING BLOC, _ _BLDG. SETBACK FROM
�.� TEL. . FRONT PROP. LINE OF (STREET)
OWNER / / NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ' jpW g gg HIGHWAY FROM C.L.
CITY BLOS. 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.
CONTRACTOR 0NNOL +- -
ADDRESS �/ U/(/Tl7VLNp CORNER CUTOFF YES NO
SS
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CITY IC ;.SEE REVERSE SIDE FOR SPECIAL APPROVALS e
DESCRIPTION OF WORK
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NEW ADDALTER REPAIR DEMOLISH
Sp,FT. O. OF NO. OF
SIZE d STORIES FAMILIES
UNE OF
STRUCTURE OS OTa4o 6
& T/b,(/ G� !� ?17-1,004
SIGNATURE OF .
APPLICANT
VALUATION$ •00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION
FORMS. MATERIALS, LOCATI
FEE$ REE$ r 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 ALL COUNTY ORDINANCES AND STATE "LAWS REGULATING GAS VENT. DUCTS
OUILDIITL' CONSTRUCTION. 1 CERTIFY THAT IN DOING T E WORK IN
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON VIOLA- LATH. INT.
TION OF THE LABOR..CODE OF THE STATE OF C ORNIA LAT-
ING TO-WORKMEN'S COMPENSATION INSU E LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTE
ADDRESS 2ftFg,4 %l FINAL
JOHN
��F..�LiWIS.. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH Ps+iY�i88 VALIDATION CK. M.O CASH
Lko16 0 2 NOV 8 -1 D 6.00-
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DEPARTMENT OF BUILDING AND SA&W Z j 14 APPLICATION FOR PERMIT
COUNTY OFLOS ANGELES `^ ' B U I I N G
WM. J. FOX. CHIEF ENGINEER �
FOR APPLICANT TO FILL IN FOR CE qf ONLY
BUILDING( �+ DISTR�T NO. P 4��jCK. NO. PERMIT NO. }nn•R
ADDRESS ��� -• �( ��� �
LOCALITY �t RECEIVED BYDATEOF APPL. DATE ISSUED
f
NEAREST
CROSS ST. yr 1. _, -L rc BUILDING
e f j ADDRESS
MAIL LOCALITY 7 e4 %
Af d -' /�7Z,J "� ' ( t _i,i NEAREST
DDRESf _ I
r.r CROSS ST. -�"( �' LL
CITY _ _ FIRE NO. OF I TY117- I GROle
ARCHITECT�gIIR T ZONE PLANS Y
ENGINEER-._: BLDG. U ORD. NO.
SETBACK LINE
ADDRESS - APPROVED
TEL. L..'"I. / G� BY DATE
CONTRACTOR NO. t' I 7 USE P APPROVED
ZONE (--"Y BY DATE
ADDRESS _ HOUSE NUMBERING
LEGAL
DESCRIPTION I �'� � .C�cid'. f +' l, .k MAP NUMBER �'-1 f FIELD CHECK BY1 - �I
TRACT /�� NO. ASSIGNED BY � 1- ATE
NO. OF BLDGS. ^ _ CORRECTIONS
SIZE OF LOT 0 X i nI NOW ON LOT <.- V
USE OF I NO. OF
EXISTING BLDG, FAMILIES DESCRIPTION OF WORK
NEW ALTERATION I I ADDITION
REPAIR I I DEMOLITION
SQ. FT. NO. OF
SIZE ROOMS STORIES >
EXT. WAL ' ROOF P
COVERING I COVERIN kJ4 ;(� L (,��. _ �`s
�.
ra
USE ,.� I�` Rl< •o t`fs
APPR VALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STARE BRACING, BOLTS
LAWS REGULATI G BUILDING CON TRUCTION
n FURNACE: LOCATION,
SIGNATURE OF • �/ nn GAS V T, DUCTS
PERMITTER VIf
`) LATH, NT.
ADDRESS � '� ��""''
c</Es
{ LATH, EXT.71 *A G 04'
AUTHORIZED AGT. • �' �-'-"�' �.•�
PLASTER, INT.
76A628A• D13831 . op P. C. $
FEE �" PLASTER, EXT. �a �c lw7wF d E
VALUATION 6 d FEE Y` FINAL
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16A838A.D08-3 3.88 3. \
APPLo CATION FOR BUILDING PERMIT
MSION OF BUILDING AND SAFETY ADDRESS �.
Dep�tmen!-of Cof 11 E ,Inow ,
County of LOS An$0168 LOCALITY
WM.J.FOX.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT O. G O_UP SEWER MAP
FOR APPLICANT TO FILL IN I CONST I TYPE BK PG
BUILDING MAP -- STATE YES NO
ADDRESSb G� y fAs7fiiXf) NUMBER D HWY
LOT NO. v /! BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT (C�
qq NO.OF SLOGS. BUILDING EXIST.
SIZE OF LOT /`-✓F 0 NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG. f FP.L.r_ !G .�Cre/✓•/ � A A �b�`•
OWNER SIDE
P.L.
MAIL
1. ADDRESSO TRACT DWELL. I UNIT
5 INDUSTRIAL
TEL. Z DWELL. I UNIT
CITY NO.ED 6 PUBLIC BLDG.
ARCHITECT OR' TEL 2 DUPLEX I UNIT 7 ADON..ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
ADDRESS 4 1 COMMERCIAL
TELV INSPECTION-RECORD
CONTRACTOR NO..
ADDRESSameg e `T-"1 Ul.
DESCRIPTION OF WORK _ A%V %J, (N
NEW6/ ADD ALTER rREPAIR DEMOLISH s" , ' %
8Q.FT. NO.OF NO.OF
SIZE - ISTORIES FAMILIES
USE OF STRUCTURE
Ln
SIGNATURE OF
APPLICANTS APPROVALS '-
ADDRESS DATE INSPECTOR'S SIGNATURE
LOC$ TION
P.C. 8 FOUNDATION:FORMS.MATERIALS
FEE FRAME: FIRE STOPS.:
L.� BRACING,BOLTS
VALUATION
FEE �� FURNACE:LOCATION.
1 HEREBY ACKRYOMEDGE THAT I HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH,EXT.
s .
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL }w�
WM.J.FOX,COUNTY ENG ER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR
1,f,00 7 3 312 DEC 9 1 4.0 0 �
dl*�
4
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have certificate of consent to self P P L I TIO FOR
BUILDING
U I`®I P E I T
insur,P, or.a,l�ertificate of Workers'Compensation Insurance, 4r9
or a certified copy thereof (Sec. 3800, Lab. C.) '
If 1. COUNTY OF LOS ANGELES BUILDING AND'SAFETY
Policy No. Company
❑ Certified'copy is hereby furnished. BUILDING
FOR APPLICANT TO FILL IN ADDRESS SO Q
❑ Certified copy is filed with the county building inspec- BUILDING Q7 � F(
tion department. ADDRESS er5 f 'j Q,r1
Date Applicant CITY ZI ` I 1/v LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This secASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO.� ^MAP BOOK PAGE PARCEL
tion need not be completed if the permit is for one
L �•� FI✓
TEL. USE NE MAP /
I certifyOWNER that'in the performance of the work for which this NO, NO• (O
permit is issued, I shall not employ any person in any manner /� SPECIAL
so as o be orae ubject to the Wor ers'Compensation Laws. ADDRESS, ` - CONDITIONS U
U� t�J �q riL.tf)1/�Q/� CITY S 1X F7 ZIP l 1�� vIX
Date pplicanf ARCHITECT OR TEL. O
NOTICE TO APPLICANT: if, after making ENGINEER NO.this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY17-
Exemption, you should become subject to the Workers' ''-� /( CONST. ZONE
_ (�
Compensation provisions of the Labor Code, you must forth- ADDRESS sv V a
with comply with such provisions or this permit shall be NL.O.
STATISTICAL CLASSIFICATION APT. CONDO.
deemed revoked. CONTRACTOR NN
Z� Z
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.. SEWER
(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 BK � VALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE STORIES I FAMILIES ONE
VALUATION z 0 4 3,5 A
Contractor Date DESCRIPTION OF WORK r /p�t q NEW ❑. $
❑ iV r pf",v `) ood V'FRI,) ADD ❑ loop, # 0 0 0 0 AL 3
I am exempt under Sec. ALTER
❑ 5
I ® ° 3
B.BP.C. for this reason REPAIR ❑ $
Date: USE OF DEMOL ❑ 0 0 0 3 .5 8)
EXISTING BLDG. -
Signature APPLICANT
tJ a 1 TEL. �f(�2 FINAL 0 0 8 1 6 8 8
OWNER-BUILDER DECLARATION / (fi1Qt' NO. DATE �6
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS S /�P�' if FINAL
:Pro essions Code): FRE5ENT
By. 0 4 3 b A
BUILDING z
10 I, as owner•bf the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and # o o•o 0 0 1
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. I o - 40.50
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ° ° ° 4 0.5 0 5,
tion 7044, Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY SETT BACK
YARD rHWY TOTAPROP.LNECK FROM'
WIDTH 8 1 b::
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.
.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
LDMA Ref. N "
a P.C.Fee$ 3 . Permit Fee �O
Lender's Address
I certifythat I have read this application and state that the
PP' Issuance Fee O��'v LDMA P/C R
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm.H
$ and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspectionnppu poses .'
$ � /� _—(/—J�-���4 J SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BIIILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306100011
PHONE: (626) 285-0488 EXT:
(LEGAL ID: INUMBER OF SIGNS: 1 I BUILDING ADDRESS: I
ITR: 6561 LT: 526 BL: .001 ISIGN DESCRIPTION: ONE SET INTERNAL ILLUMINATED CHANNEL 1 9658 LAS TUNAS DR I
TEMP CA 917802139 I
ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: 1
18587-021-015" I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
I
(TENANT: EKIST BLDG USE: ISSUED ON: PROCESSED BY: J
COLOR NAILS (EXIST OCC GRP: 106/10/13 SR 1
JOWNER: TEL. NO:- IBLDGS. NOW ON LOT: VALUATION: JFINAL DATE FINAL BY: CODE: 1
ICOLOR NAILS (626) 309-0397- 1 1,500 1 I
19658 LAS TUNAS DR I
(TEMPLE CITY CA 91780 1 FEES PAID DESCRIPTION OF WORK 1
I I IONS SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
JAPPLICANT: TEL. NO: I I I
IYU, ALLISON (626) 336-1616- IAA BLDG PERMIT ISSUANCE 27.80 1 I
116354 VALLEY BLVD JAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS: J
1 LA PUENTE CA 91744 JAX BUILDING REVIEW FEE 54.70 1 I
ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 I
TOTAL FEES 165.70 J I
ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE
IFIRST SIGN CO. (626) 336-1616- 1 1 I
16354 VALLEY BLVD LIC. NO ILOCATION AND SETBACKS I I I
ILA PUENTE, CA 91744 605688 * I 1 I I
XPIRE
SOILS ENGINEER APPROVALJARCHITECT OR ENGINEER: TEL. NO: 1 � 1FOUNDATION/TRENCH FORMS J I I
1 LIC. NO: 1 E
/ �/
co
ISUPPORT STRUCTURE J 1 J
��0 Y I I I I
1 MA BOOK: PAGE: FIRE ZONE: CMP:J I I I
(MAP N0: SEWER P 00 OOI I I J I
J I I I I
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1
O20 1 I I
I 1 I I
1 SCHOOL WITHIN HAZARDOUS I J I I I
(AIR QUALITY: 10N0 FEET MATERIALS
N0NO
1 I I I I
I i
I I I 1 I I
I 1 I 1
I J 1 I 1 I
I
1 1* ADDITIONAL DATA ON FILE I 1 I I
i
I 1 I J I
REPORT ID: DPR261 ROUTE TO: BS0508
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fj
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 1104110017
PHONE: (626) 285-0488 EXT:
ILEGAL ID: INUMBER OF SIGNS: 1 BUILDING ADDRESS: [
1TR: 6561 LT: 526 BL: .001 ISIGN DESCRIPTION: CHANNEL LETTER ILLUMINATED 9660 LAS TUNAS DR
I I TEMP CA 917802139 1
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18587-021-015 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANT: [EXIST BLDG USE: IISSUED ON: PROCESSED BY: 1
[TAIWAN ANGEL HAIR 1EXIST OCC GRP: 104/11/11 SR
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
TAIWAN ANGEL HAIR - 1,500
19660 LAS TUNAS DR.
[TEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK
CHANNEL LETTER ILLUMINATED
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1
(APPLICANT: TEL. NO: I I
188 SIGN CORP. (626) 442-8033- 1AA BLDG PERMIT ISSUANCE 27.80 1 1
11906 DOREEN AVE JAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS:
ISO. EL MONTE 91733 1AX BUILDING REVIEW FEE 54.70 [
ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20
TOTAL FEES 165.70 I 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
188 SIGN CORP. (626) 442-8033- I I
1I I I
1906 DOREEN AVE LIC. NO I
1 LOCATION AND SETBACKS
S. EL MONTE, CA 91733 702474 C10
1 ISOILS ENGINEER APPROVAL 1 I 1
[ARCHITECT OR ENGINEER: TEL. NO: - [ [FOUNDATION/TRENCH FORMS I I
1 LIC. NO: I ISUPPORT STRUCTURE
I I I [ [ [
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I I I I
I 001 I I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I
NO 20
I I I I• I I
1 SCHOOL WITHIN HAZARDOUS 1 I 1 I I
[AIR QUALITY: 1000 FEET MATERIALS I I 1 I 1
NO NO NO I' EXPIRE® 1 I 1 I
I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I 1