Loading...
HomeMy Public PortalAbout9661 LAS TUNAS DR_Building__ rSLUEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES 1 WM. J. FOX, CHIEF ENGINEER j REAU OF PUBLIC SAFETY APPLICATION FOR PERMIT DISTRICT NO. RECEIVED BY PERMIT NO. BLDG. ZONE F E ZONE DATE -,3 4-- / 7-3Y INo. OF STRUCTURES FEE $ /t JOB ADDRESS 144 r I D V Y�Q,C 4 �7'n P!� LOCALITY TIt� BETWEEN-/-45T?ty AND TI°I►I,W E- STS. NAME OFOh APPLICANT I MAIL ADDRESS_ ' �1- - gyp `�+� — CITY L UNTY LIOCENSE No.._ -TEL. NoT ` . `o Q ✓!}DIESCRIPTION OF STRUCTURES OR DEVICES ^ / USE U &L f CAPACITY O D It 1nS 1 a1t -I L-U- �� - FO r s -ta T-t o-rn 1 u J ?_ -__ _ _ Z C7 Q SIGNATURE O APPLICANT CORRECTIONS FINAL APPROVAL INSPECTOR'S 2 C DATE�.L-�� bIAME- ,W \ DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER BUREAU OF PUBLIC SAFETY APPLICATION FOR PERMIT DISTRICT NO. RECFIVEd MY PERMIT NO. BLDG. ZONE FIRE ZONE DATE •� NO. OF STRUCTURESFEFr_V $ ....ter^.... JOB 7 j ADDRESS T9..--�Y a LOCALITY y� BETWEEAND STS. NAME OF APPLICANT_: MAIL �tp 'ADDRESS CITY- :2�5 COUNTY r LICENSE No. TEL. No.�_ `3 3.'. DESCRIPTION OF STRUCTURES OR DEVICES USE ^ CAPACITY-- e J Q ---- ------Z D K 0 i SIGNATURE OF APPLICANT CORRECTIONS FINAL APPROVAL INSP�StDATE -� NE DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 'Jy /J �y DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS J /�/, _LOCALITY (("'[_,Lt_ RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST A, CROSS ST. BUILDING _OWNER LCA /_rl{ 'l1Y�;� �l ADDRESS t. MAIL "�~ LOCALITY T e ADDRESS NEAREST TEL CROSS ST. CITY NO. FIRE NO.OF TYPE � GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. -- BLDG. ORD.NO. ADDRESS SETBACK LINE — APPROVED r /,.. 1•' '' CONTRACTOR ` 1. � O• BY DATE USE APPROVED ADDRESS / / / 7,- / �Y r e ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. I BLOCK TRACT NO.OF BLDOB. _SIZE OF LOT i NOW ON LOT USE OF I NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION —) DEMOLISH 0 SH REPAIR MOVING 47 Bq.FT. NO.CF Z SIZE ROOMS STORIES D WALL ROOF !' COVERING I COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE. THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. — FRAME: FIRE BTOPS, SIGNATURE OF —-BRACING,BOLTS PERMITTEE '- - LATH,INT.: AUTHORIZED AOT LATH,EXT.: OBS-3 sora SETS 1-46 $ P C B PLASTER, INT. ` FEE PLASTER,EXT. B VALUATION FEE FINAL .vr.rrfnllvlrLllI Vr 13U11.LJlLN%.X LiPILi Q^rLll --- - "'-"------- - --- - -_----- COUNTY OF LOS ANGELES C ® ' t WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING r / DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS /Z�y� / �+AS NAS LOCALITYRECEIVED BY DATE OF APPL. DATE ISSUED NEAREST e CROSS 9T. /T FM AA/ BUILDING OWNER '? ADDRESS -Ij MAIL S A M ADDRESS LOCALITY TEL NEAREST CROSS ST. CITY NO. FIRE NO.OF TYPE GROUP a ARCHITECT OR TEL ZONE PLANS I l'� ENGINEER NO. ,O BLDG. ORD.NO. ADDRESS _SETBACK LINE APPROVED CONTRACTOR 13 w Al NO� tl7& ,, BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT ,1 NO.OF SLOGS. SIZE OF LOT 02, NOW ON LOT i USE OFNO.OF ty I NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW .ALTERATION ADDITION A REPAIR I MOVING I DEMOLISH _ a Sq.FT. \ —No OF Z SIZE ROOMS / STORIES WALL t ROOF COVERING I COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER LATH,INT.: AUTHORIZED A LATH,EXT.: oas-a zsM SETS t-a 7 � � P O 0 PLASTER.INT. FEE PLASTER, EXT. VALUATION - FEE -- FINAL (f- '�• 76A638A :E?803 �68APPLICATION FOR BUILDING PERMIT �� COUf4TY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY Tr:y„ C,T JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. O C An FD OR APPLICANT TO FILL IN DISTRICT NO. GROUP corPisT.T�/ j CESSED BY (Print ort pe only) „1 • J r _., .. LDING STATISTICAL CLASSIFICATION SEWER MAFU �j�l L• LA Pq a CLASS NO. OWELL,UNITS — t BK PG 12 Z BLOCK USE ZONE MAP ^� y NO. <QO6 rG SPECCONDIA ONS �8NO.OF BLDGS.LOT Sia/lQ NOW ON LOT BLDG. R 1 vun.-� BLDG.SETBACK FROM LFRONT PROP.LINE OF a s 1 U Nc2 S (STREET) % – TYPE OF EXISTING SETBACK HIGHWAY + YARD – TOTAL HIGHWAY WIDTH FROM C.L. SDo ,s O +9 = BLD .SETBACKFROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STF�ET) ENGINEER NO. _ TYPE OF EXISTING SETBACK HIGHWAY D – TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ >_ CONTRACTOR NO. o_ O ADDRESS �'� NO CORNER CUTOFF YES ❑ NO ❑ U LIC. CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK LAJ i 4 , /✓ z_ NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF 44, SIZE STORIES Ly FAMILIES USE OF 5P / STRUCTURE SIGNATURE OF APPLICANT VALUATION $ �I L 1. APPROVALS DATE' INSPECTOR'S SIGNATURE pp FOUNDATION: LOCATION FEE$ �.,� FEE $-33,O C% FORMS, MATERIALS S < FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS D �7CJ 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. 1�I.L%F' 5-1c/�� -40- TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA r3ELAT• � ING TO WORKMEN'S COMPENSATION INSURANCE. / LATH, EXT. ' SIGNATURE OF a HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION l `CK. M.D. CASH [Ar,7 9 .9 9 X14 Z3 0 1 9.801 Z jt ' 9074 k « � � 5 76A638A 0138.3 12.54 APPLICATION FOR BUILDING PERMIT Z DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer County of Los Angeles _LOCALITY �-' I WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NQ. c uP TYPE SEWER MAP � BK PG BUILDING t�&26Z Ftz /add/I--5 � ONST. ADDRESS � L/�1��T MAP 17 © © STATE YES NO a _.NUMBER p/ HWY.- .---LOT NO. '/ BLOCK USE ZONE SPECIAL TRACT C 1211 CONDITIONS NO. OF BLDGS. SIZE OF LOT NOW ON LOT BUILDING YARD HWY I STREET NAME EXIST. USE O ��/ SETBACK WIDTH EXISTING L ING BL ,*z7 L -5•f ZW�AY FRONT P. L. OWNER OV P1-C 4V Q SIDE MAIL P. L. ADDRESS TEL. 1 DWELL. I UNIT 5 INDUSTRIAL CITY , NO. DUPLEX UNIT- 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC. ADDRESS 4 COMMERCIAL8 MISCEL. TEL. 6-682 CONTRACTOR INSPECTION RECORD CONVT6R�.A - NO. ADDRRES Nom,BliOAISWAI� - I..A.12 - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE - SIGNATURE OF `.�--r-A I ' APPLICANT / ` I APPROVALS ADDRESS (G d I074 DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION 5 /40 p S� P.C. S FORMS, MATERIALS FEE FRAME: FIRE STOPS. VALUATION S / O D . BRACING, BOLTS FEE FURNACE: LOCATION. GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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. SIGNATURE FADVANCE NEON SIGN CO. HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 960 NO. ..Y..,. ADDRESS - FINAL _ - WM. J. FOX, CounTY FLNGINam V ATION BY -Lr308- APR 5 1 1 .00 DEPUTY DEPUTY BY BY ® DEPUTY DEPUTY .APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING ANDS FETY DIVISION BUILDING�'� FOR APPLICANT TO FILL IN ADDRESS Eij [ADDRESS LDING ' _ RESS 1 LOCALITY NEAREST Y T' L ZIP U CROSS ST, NO.OF BLDGS. ASSESSOR OF LOTo2_� / NOW ON LOT MAP BOOK AGE PARCEL DISTRICT GROUP TY E FIRE SSED BY C ?� BLOCK LOT NO • L iv L � CONS ZO�p �TEL. (J -�1-ER '� NOSTATISTICAL CLASSIFICATION77 SEWER MAP CLASS NOx�WELL.UNITS BK PG CITY ZIP USE ZONE MAP �o D NO. ARCHITECT OR TEL. f SPECIAL ENGINEER NO. - L 1CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL. B G.SETBACK LIC. FROM N F ONT PROP.LI NE OF (STREET) ADDRESS A NO. NGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING - LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER } NAME AND BRANCH aBLD ACK F C ADDRESS CITY SIDE PROP,LINE OF (STREET) SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD = TO AL SET ACK FRO PE OF EXISTING SIZE STORIES FAMILIESX/6) ONE SIDE PROP. LINE HI AY WIDTH DESCRIPTION OF WORK NEW 9 } co, ADD ElCORNER CUTOFF YES ❑ NO E] Z C ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. APPLICANT TEL (PRINT) /J NO BY (SIGNATURE) L A I HEREBY ACKNOW(J DGE THAT I HAVE REA THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL 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 COMPE NS TION I ANCE. r SIGNATURE QF,./ FINAL ©� ) �J 1 BY PERMITTEE DATE ADDRESS TE L. P.C. Fee$ Permit Fee CITY NO. Issuance Fee tom"' VALUATION Total Fee /2 0 100 20100 PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M.O. e27r"�'wm_ 76A638A CE#8038 1275 1764638A Com. APPLICATION FOR BUILDING PERM;iT LI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY T- JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. I GR TYPE ROCESSEO BY I-_ CONST. (Print or type only) "S,7 BUILDING STATISTICAL CLASSIFICATION SEWER MA ADDRESS CLASS NO._q__OWELL.UNITS f E BK PG�Z LOT NO. BLOCK USE ZONE MAP NO. •200 TRACT ^� II CONDTIONS NO.OF SLOGS. SIZE OF LOT _x NOW ON LOT r USE OF EXISTING BLDG. BLDG.SETBACK FROM EL. FRONT PROP.LINE OF (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. S S , CITY BLOG.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. } _ CONTRACTOR NO. ADDRESS NO. CORNER CUTOFF YES ❑ NO v CITY LIC.SS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK L4 /Y Cc z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. Q NO. OF NO. OF SIZE STORIES FAMILIES USE OF / STRUCTURE Ottl�°Ot7 �Ga/ lr SIGNATURE OF APPLICANT r VALUATION $ M C �/j� , i Vw APPROVALS DATE INs yCTOR S SI NATURE P.C. PMT. J FOUNDATION: LOCATION FEE $ FEE $ / �� FORMS, MATERIALS A FRAME: FIRE STOPS, i 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 J BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTH OR 12ED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. 1' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE. ,O D LATH, EXT, ' SIGNATURE OF • PERMITTEE V _ HOUSE NUMBER COR- I RECT AND POSTED a ADDRESS. FINAL JOHN F. LEWIS. PRINCIPAL STR TURA NGI R PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION CK. M.O. CASH Ln J `�' 7 �,�U 2 2 0 12.00- 4 -oma . <�M bGlb tl��5tl•�� DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING _ WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO. d - " ADDRESS / LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST ^ CROSS BT. .;1. BUILDING OWNER MAILry q --� ADDRESS pL (y7 A AD DR EBB � ,5 U LOCALITY S NEAREST ' _CITY 10 � NO. CROSS ST. ARCHITECT OR U / �}�g 1 TEL. ZONE PLANS "TYPE i GROUP ENGINEER ;! Q�/���5 d Ut) _YNO. Q `' '1 J/ i +/� BLDG. ORD. NO. _ADDRESS ? N (/J�ry /�I�t /-'m4 Q '_rLl SETBACK LINE TEL. APPROVED CONTRACTOR NO. BY DATE USE APPROVED ADDRESS A\ ZONE BY DATE LEGAL DESCRIPTION I LOT NO.�3 I BLOCK CORRECTIONS (p TRACT S ` SIZE OF LOT .J l/\ o I NOWO_ON LOTS USE OF NO.OF NO. OF EXISTING BLDG. I FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O - A REPAIR MOVING DEMOLISH M Sq. FT. ' ' NO.OF Z V\ SIZE r.1 el ROOMS STORIES WALLROOF COVERING �.�-�L-[(,.�'�_G COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - APPROVALS _ APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATEy AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, 10- BRACING, BOLTS SIGNATURE OF - OWNER �� �r� LATH, INT.: AUTHORIZED AGT. w�\{AAA I LATH, EXT.S P . C. PLASTER, INT. PLASTER, EXT. -VALUATIONFINAL APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING L COUNTY OF LOS ANGELES ADDRESS L 2f .o r DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAF TY DIVISION t / /NO.OF BLDGS. / BUILDING SIZE OF LOT 3" /) NOW ON LOT ( ADDRESSV/ TRACT BLOCK LOT NO LOCALITY TEL. LL NEAREST OWNER �° Q NO. 1V� OLS' CROSS ST. ` ASSESSOR ADDRESS L. �. MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY CITY ZIPCONST. ZONE ARCHITECT TEL. ^'Z- ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.�_DWELL.UNITS BK/�PG CONTRACTOR NOL' USE ZONE MA NOP Q LIC. ADDRESS NO, 2- SPECIAL LIC. - CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM C FRON PROP.LINE OF (STREET, c C ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK HIG AY } YARD - FRONT PROP. LINE HIGHWAY WIDTH f SIZE STORIES FAMILIES ONE t + -_ L DES-CRIP ION OF WORK ANEW ❑ ADD E] BLOG.SETBACKFR SIDE PROP. LINE OF (STREET) ALTER ❑ IGHWAY + YARD TOTAL SETBAC OM TYPE OF EXISTING = REPAIRO SIDE PROP. LINE HIGHWAY WIDTH USE OF + _ EXISTING BLDG. DEMOL ❑ APPLICANT TEL �y _ CORNER CUTOFF YES ❑ NO ❑ (PR NT) C NO. L 70Qf IN OPEN SPACE YES ❑ NO ❑ 6Y (SIGNATURE) IN COASTAL ZONE YES ❑ NO ❑ �G VALUATION Z�,v CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE / LABOR CODE OF THE STATE OF CALIFORNIA IN LATING TO WORKMEN'S COMPENSATIO SU NCE. - / C•[�i[ -C SIGNATURE OF PERMITTEE ADDRESS FINAL BY CITY p NO. �d DATE 11:1KF CIIF_CKS f'AYABLF 70: F PMT.Q FEEE FEE +' [HARVEY T. BRANDY. COUNTY ENGINEER PLAN CHECK VALIDATION CK M0 CASH PERMIT VALIDATION CK.,') M-. CASH 6989"JUN �5 1 0 33.0GA�Z 76g638A CE#8037/73 - � � r DEPARTMENT. OF BUILDI14WSAFETY il APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B U I L D I N G WM. J. FOX. CHIEF ENGINEER i FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY r DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY A' x-�.✓" _L,.. -~ REPE`IIVED BY DATE OF APPL. DATE ISSUED NEAREST 4� ..,,1.,.j }.. 2—,3 CROSS ST. A 19t BUILD NG OWNER AJ/ t...,,� i',' �`. —ADDRESS MAIL �.. LOCALITY ADDRESS NEAREST .9Q�// CITY c�a` NOIkl L. CROSSST. , rr ///Y FIRE NO.OFTEL TYP GROUP ARCHITECT OR ZONE PLANS �" ENGINEER NO. BLDG. ' ORD.NO. ADDRESS SETBACK LINE q.s 7 )V .S APPROVED CONTRACTOR/5 �'/y NC E Tp��J,�'7 Z �T BY DATE USE APPROVED ADDRESS,..'.1 .� ii� /G11w(JL' ZONE'. BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT SX// ^ NO OF BL SIZE OF LOT u NOW ON LOT13T USE OF NO.OF NO.OF EXISTING BLDG. r R FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH O SQ.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING COVERING USE OF NEW BUILDING -� l 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH, INT. AUTHORIZED AGT LATH, EXT. 7fiA63BA 9-46 Q S-3�S/OM SETS $ P.C.III PLASTER,INT. FEE $ PLASTER,EXT. VALUATION ! FEE SO FINAL DEPARTPIENT OF BUILDING AND SAFETY ArrL1VA i vm run rc.na as a -•.� COUNTY OF LOS ANGELES u C ® � WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING /'� ADDRESS �j ^1 -------- LOCALITY I6\k)-DL C CIT RECEIV D BY DATE OFAPPL. DATE ISSUED NEAREST -TT 1A Zj�.� ^ XeV CROSS ST. G I O I 1ILD NG OWNER `. ,'�j C ... % DD E1S9 92 1-5^/ 1-c"MAIL ADDRESS y LOCALITY / C NEAREST TEL �1 CROSS 9T. CITY NO. FIRE NO.OF TYP GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. ORD.NO. BLDG. 5.7� r � /} ADDRESS SETBACK LINE l4-r APPROVED CONTRACTOR V BY ( DATE USEADDRESS O Q LI I ZONE l.' , BY PROVED DATE LEGAL CORRECTIONS _DESCRIPTION /LOT NO. I BLOCK ` TRACT S� / NO.OF BLDG9. SIZE OF LOT r D I NOW ON LOT / USE OFt NO.OF NO.OF EXISTINO BLDG. T,f,� r FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH Sq. FT. NO.OF Z SIZE ROOMS STORIES D r WALL ROOF COVERING I COVERING USE OF NEW BUILDING A650N 1510N A0090K 13 lilyAl�T it,1 11 Q I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER LATH,INT.: AUTHORIZED AGT.2m t LATH,EXT.: DBS-3 25M SETS 1-47 $ P C 6 PLASTER.INT. FEE '�- PLASTER, EXT. VALUATION FEE FINAL i� R _ �� a-� Al f'/-"_ co;t-y - 76A638A CE#V35-65 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS bb BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. TYPE FOR APPLICANT TO FILL IN olel cz Nay QIP CONST. P BY BUILDING STATISTICAL CLASSI ICATION SEWER MAP ADDRESS 6 CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE ZONE MAP TRACT '- SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF (J EXISTING B y ,-c - BLDG. SETBACK FROM Xk TEL. FRONT PROP. LINE OF (STREET) OWNER O. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY G1.✓ f: ) + ARCHITECT R TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS // HIGHWAY WIDTH FROM C.L. CONTRACTOR4� '` :yLCJO NOL �6/SOU + 0 ADDRESS LIC CORNER CUTOFF YES NO U .Q ObD N O ,3 L CITY CILAS �� SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRI TION OF WORK W IL NEW ADD ALTER REPAIR DEMOLISH h Z SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIFS ' USE OF STRUCTURE — �� u (o SIGNATURE O APPLICANT 1 L� VALUATION$ APPROVALS DATE INSP ECTOR'S SIGNATURE �p,J� 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 9UILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF�)� .-� K HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS b-� .,... TG FI NAL JOHN F. LEWIS. PRINCIPAL ST URAL ENGIN ER PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION GK. M.O CA H A09 1 7 9% JAN 27 1 D 4.00~ WORKERS' COMPENSATION DECLARATION ereby affirm that I have a certificate of consent to self APPLICATION FO I L D I N G PERMIT ure, or a certificate of Workers'Compenstion Insurance, or ertified copy Cher@of Se 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY icy No. am a copy v c} �, FOR APPLICANT TO FILL IN BUILDING Certified co is hereby furnishe �,�'I} BUILDING S Certified copy is f' co uI Ing inspec- BUILDING LA-- tion department. ADDRESS LOCALITY NEAREST le CIT ZIP CROSS ST. CE TIFICATE OF EXEM(lete FROMC S' NO. OF BLDGS. ASSESSOR COMPENSATIURA SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL is section need not be cod ifis for one USE ZONE MAP ndred dollars ($100)or les TRACT BLOCK LOTNO. NO. TEL. i SPECIAL O ertify that in the performance of the work for which this OWNER NO. CONDITIONS emit is issued, I shall not employ any person in any manner DISTRICT FIRE PROC SED BY V as to becom subject t e Wor mpensation Laws. ADDRES0ak � � JrNST �jj ZONE �+ l to Applicant CIT ZIP STATISTICAL/LA 1 IQN APT. CONDO. U ARCHITECT O TEL. )TICE A PLICANT: If, Lpkrtificate of fes, ' W?mption, you should beWorkers' ENGINEER ►v NO. CLASS NO. DWELL. UNITSmpensation provisions of must forth- ADDRESS SEWER MAP Z Ih comply with such prot shall be — emed revoked. /�\ TEL BK. PG, VALIDATION CONTRACTOR v�" N LICENSED CONTRACTORS.DECLARATTI N LI Q ereby affirm that I am licensed under provisions of Chapter 9 ADDRES NO 9 VALUATION mmencing with Section 7000)of Division 3 of the Business and UC. tfessions Code, and my license is in full force and effect. CITY CLAS $ t�.1T'd �_ SQ. FT. NO. OF NO. OF CHECK ense Number7�T Lic.Class SIZE STORIE FAMILIES ONE ntractor ii5wmI Date NEW $ DESCRIPTION OF WORK ADD I am exempt from the licensing requirements ns I am a �w licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, tJREPAIR DATE Business and Professions Code). USE OF EXISTING BLDG. DEMOL FINAL I or Reg. No. Date APPLICANT TEL. /qty By OWNER-BUILDER DECLARATION (PRINT . N 0 / ereby affirm that I am exempt from the Contractor's License • 3 J .v for the following reason (Section 7031.5, Business and ADDRESS : )fessions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS �� G 8 E5 r 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. — �- J • •I, as owner of the property, am exclusively contracting CONTRACTOR NO. 2 3(, 0 C with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). • • 0 3 �. ;"i r Z CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAPREOP. LINEFROM WIDTH ereby affirm that there is a construction lending agency for FRONT ' / 0 20 5'— C performance of the work for which this permit is issued P.L �c. 3097, Civ. C.). SIDE nder's Name rider's Address P.C. Fee Permit Fe .- �✓" ertify that I have read this application and state that the Issuance Fee v ov atio is correct. I agree to comply with all County Investigation Fee a a inances an t s relating to building construction, L/ y outho 'ze re entatives of this County to enter Total Fee U on the ove-m It p erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si at re of Appl ant or Agent D ms ,•' WORKERS'COMPENSATION DECLARATION ' 'I hereby affirm that I have a certificate of consent to self APPLICATION ®PLIC®T I®N F 01 l BUILDING. pERMIT . insure, or a certificate of Workers'Compensation Insurance,I r\Y d'0 iJ�] or a certified'cdpy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo. Company ❑ .Certified copy is hereby furnished,. FOR APPLICANT TO FILL IN BUILDING / ADDRESS / Certified copy'is filed with the county building inspec- BUILDING / �l �' �g / �y tion department. ADDRESS CY 6 ,61 .4,7 s/ 7 e4AI-4J ` •` Date . Applicant CITY L�Nf 01.x• �i / ZIP / 7R 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 ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL OWNER �/� �' TOa�� USE ZONE MAP I certify:that'in the performance of'the work for whichthis NO. permit is isstied,'I shall not employ any person in any manner .�Ro �� - {n' SPECIAL IL so as to beco a subject to the Worker's Comp e s 'Laws. ADDRESS y v v� CONDITIONS 0O I I� ®' . CITY 1 P �i J7 ICI%� ZIP ®6 Date i4pplicart ARCHITECT OR TEL. NOTICE-;Td APPLICANT: If, er making this•Certificate of DISTRICT GR UP TYPE FIRE P O SED BY . p M I ENGINEER NO. f(/ CONST. ZONE Exemption, 'you should co a subject to, the Workers' (>UX Compensation proVisions o e Labor Code, you,must forth- ADDRESS with comply with.such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. IM-NDO. deemed revoked•; CONTRACTORky NO. LICENSED CONTRACTORS DECLARATION -- LIC. CLAS$NO. Z DWELL. UNITS I hereby affirm that I am licensed under proyisions of Chapter 9 I ADDRESS � NO. (commencing with Section 7000)of Division 3'of the Business and I LIC. SEWER MAP P.rofessioris Code,'arid my license is in full force and effect. CITY CLASSBK VALIDATION SQ.FT. NO.OF NO.OF CHECK z 3 8(�3 A License.Number Lic:Class SIZE STORIES FAMILIES ONE -.. _ .. _ � VALUATION _ DESCRIPTION OF-WORK ��PIS�FA6 4'- 5�4�'.s NEW ❑ , C� /j # 0 0 0 0 2 3 Contractor Date ADD ❑ .' $ a L ❑ •• I Q'� �� ���� ' 'I a x37,50 I am exempt under Sec. 13 je ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ o o - 37,5016- Date: USE OF EXISTING BLDG. DEMOL ❑• 1 17_8-6 Signature APPLICANT TEL. ® ; FINAL � OWNER-BUILDER DECLARATION PRINT '�l/®/� -- I hereby affirm that I-am exempt from the Contractor's.License 7a/ �D��d��� DATE ' Law for the following reason ADDRESS(Section 7031.5, Business and Professions Code): PRESENT / ,F' 2 3 8 6,4A � BUILDING - I, as owner of the property, or my employees with ADDRESS wags as their sole compensation;~will do the work and # 0 0 0 m 1 the structure is not intended or offered for sale(Section LOCALITY 70.44, Business-and Professions-Code).-- - - MOVING TEL. �' ' o o 4 9."88- 0 .8 8- ❑ CONTRACTOR NO. I,as owner of the property,am exclusively contracting '� _ with licensed contractors to construct the-project (Sec- { I o 0 0•4 9 8 ADDRESS tion 7044, Business and Professions Code). , REQUIRED TOTAL.SETBACK FROM T. CONSTRUCTION LENDING AGENCY " I SET BACK YARD HWY PROP. LINE WIDTH () ' 1 7'—8 6 I hereby affirm that there is a construction lending agency forI{ FRONT .-the performance of the•work=for which this.permitw•is issued P.L. (Sec. 3097,'Civ. C.). I SIDE P.L. Lender's Name (/ LDMA Ref. # Lender's Address I P.C.Fee$ j,576 Permit Fee /a�� I certify that I have read this application and state that the I Issuance Fee v LDMA P/C# above information is correct. I agree to comply with all County n Investigation Fee $ ordinances and State-laws relating to building construction, I Total Fee LDMA Perm. # u and hereby authorize representatives of this County to enter n tea ove-me ned pr pe y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE n - Signature of Applicant or-Agent Date APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION -FOR APPLICANT..TO FILL IN BUILD ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS ..., or a certificate of Workers'Compensation Insurance,or a certified /vb copy thereof(Sec.3800,Lab.C.) - as Y G ZIP ,/`�D Policy No. Company Nb 7 LOCALITY SIZE OF LOT NO.OF GS,NOW ON LOT ❑ Certified Copy is hereby furnished. NEAREST CROSS T. I CeCtifled copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applican ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ER TEL NO. COMPENSATION INSURANCE ? / 'S�!� .1 WITHIN 1000 FT.OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred DDRESS y DISTRICT GROUP T CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CITY ZIP _ is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER 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 I REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TE O. q SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith / "9 / RON7 comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. FF L LICENSED CONTRACTORS DECLARATION B3 �' -S-83 73 SIDE /'- uc.c PL ' I hereby affirm that I am licensed underprovisions of Chapter 9 z v �—,�) SEWER MAP ?- (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE 1 140.OF S70AIES NO.OF FAMILIESIL Professions Code,and my license is in full force and effect. -Zq S n NEW 13 BK PG O License Number S93 23- LIC.Class DESCRIPTION OF WORK „ ADD ❑ VALUATION 9P 110 pop- V Contracto A&e 7 64 Date t/ L 3 OF ��L /IJ (o ALTER ❑ $25ClC? • Oe O ❑ I am exempt under Sec. REPAIR ❑ $ V B.BP.C.for this reason d DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ Signature r z APPLICANT(PRINT) TEL NO. LDMA Perm# "�y INC.�rF sF ❑ I, as owner of the property, or my employees with wages as Z Cc their sole compensation, will do the work and the structure is ADDRESS O _; �V '! i, not intended or offered for sale (Section 7044, Business and FINAL DATE a Professions Code.) CPoo. : !ENS WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL +� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE "'I licensed contractors to construct the project (Section 70444, +-" ❑ I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY IOTA 12 1 a—D�R , Business and Professions Code.) VES❑ N4( — CHECK -1221.55, WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDINGOCCUPANT REQUIRE A PERMIT �i IFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENTRDIISTRICTR SCGMD)EEUCTION OR OPE MATTING CHE KLIST FOR �-4'�I:�NGE '�j f3 CONSTRUCTION LENDING AGENCY GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ CY the performance of the Work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING )'-tf_ f 4 d 1`� h° CQ 3097,Civ.C.) (,)013 0010� �._1 22 - CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 220 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS p Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCGMD. ''1•,.`-2 i y't-, 10--131.3 o Lender's Addiess p 01NNER OR AGENT o I certify that I have read this application and state under.penalty c P.C.FEE PERMIT FEE c of perjury that the above information is correct.I agree to comply a with all county ordinances nd State laws relating to building 9 construction,and hereby au orize representatives of this County ISSUANCE FEE V3 enter up the above- ed property for in specticp purposes. p((® m / �� Z INVESTIGATION FEE TOTAL FEE aiyuluma ARTOW.Apert Dun o SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATIOMC * ' ^ I hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES �C� BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING +e ADDRESS /C- ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS �J L A S Tu A144 D je/AJC LOCALITYNEAREST Date Applicant > CITY E /OZC T ZIP 41/70 d CROSS ST. � CERTIFICATE OF EXEMPTION FROM WORKERS' / ! NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT as NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP TRAT1101, hundred dollars ($100)or less.) CS BLOCK / LOT NO. NO. `JTEL. /3 C? SPECIAL / / 0 I certify that in the performance of the work for which this OWNER /7r A/ O. -1 i7 CONDITIONS (/ (p Q permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE P OCES BY V so as to becom subject to the Workers Co sation Laws. ADDRESS E .B4 04 D wil CONST. ZONE o (/ CITY 7T MOD LE C 1 7� ZIP 7'�� lb—A Date Applicant \ STATISTICAL CLAS FICATION APT. CONDO. NOTICE TO APPLICANT: If, of making this Certificate of ARCHITECT OR TEL. w Exemption, you should b a e subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS H Compensation provisions o e Labor Code, you must forth- ADDRESS SEWER MAP 7 with comply with such provisions or this permit shall be TEL '%-! �/ _ deemed revoked. CONTRACTOR Q (J,✓ A. NO.A _ BK. P VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSgy,7'7 f.,B OW,4! NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY LE CLASS S (p��Ui d n SQ. FT. NO, OF NO. OF CHECK License Number Lic.Class SIZE STORIE y1�F FAMILIES ONE S Contractor Date DESCRIPTION OF WORK TEQ s I!0 NEW I am exempt from the licensing requirements as I am a ADD P 9 4 AQI t �Io.� �RES`Ro FINAL ALTER licensed architect or a registered professional engineer ® . acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF EXISTING BLDG. C' ^--J 'T' DEMOL FINAL Byf--�-*--a- Lic.or Reg. No. Date APPLICANT TEL. 7!3^� (PRINT) S�9� OWNER-BUILDER DECLARATION 1 ERLL`S NO. I—) 1 hereby affirm that I am exempt from the Contractor's License ADDRESS a E. /i�vgo E F • /� Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT i �Q ' ! r BUILDING of I, as owner of the property, or my employees with ADDRESS LAS wages as their sole compensation,will do the work and i LOCALITY the structure is not intended or offered for sale(Section L I �Zf �� 7044, Business and Professions Code). MOVING TEL. 2/ /� ❑ CONTRACTOR NO.Z - 2 r r I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS TEM [E / C R r /v tion 7044, Business and Professions Code). n c REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. UNE 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 / Lender's Address P.C. Fee 4L=/ TZ1 Permit - I certify that 1 have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee s G i and herelpy authorize representatives of this County to enter o the o e- e i ed pro rt for inspection p rpo es. 3- e SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote U 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 0209240039 PHONE: (626) 285-0488 EXT: LEGAL • O. 0 COS G ADDRESS: TR: 6561LT: 134 SQ. FT STORIES TYPE OCCUP GROUP 9661 LAS TUNAS DR STRUCTURE: 0 2 VN B TEMP CA 917802103 ASSESSOR 0 I NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-017 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BDG S : COMM5 USEZONE: ISSUED PROCESSED IRES EXIST OCC GRP: B 09/24/02 JK 03/23/03 OWNER: TEL. NO: i' LDGS." OW ON LOT: VALUATION: IL TE FIA BY: CODE: PEEBLES JOHN;PATRICIA TRS (818) 286-0716- 1,300 z- 9427 BROADWAY TEMP 917802446 FEES P DESCRIPTION 0 R NEW TBAR CEILING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: J & M CARPET (626) 444-7273- AA BLDG PERMIT ISSUANCE 27.75 9931 GIDLEY AC STRONG MOTION RESID 1300.00 VAL 0.50 SPECIAL-CONDITIONS: EL MONTE :A2 PERMIT W/ENERGY;=HC=------1300.00 VAL 94.53 TOTAL 122.78 122.78 CONTRACTOR: TEL. N0: -'"F �' '`' "� ��C `�.;• �, APPROVALS DATE INSPECTOR SIGNATURE J AND M CARPET AND FURNITURE (626) 444-7273- ' f ►1 �r�`�•'. 9931 GIDLEY ST LIC. NO LOCATION AND SETBACKS EL MONTE, CA 91731 281219 ?r%f r '•';'p. fL 11 iR F�' ,\ \� SOILS ENGINEER APPROVAL ARCHITECT OR R: TEL. NO: ,r / - - i`.! ��: 0 0 S LIC. NO':, SLAB/UNDER FLOOR RAISED FLOOR FRAMING NAP O: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP,:. =� �� +' �r ., �-= , r UNDERFLOOR INSULATION 3 04• i ' =� I '', >> ' iii = ' 'I.,: U �_ ✓-!� R SHEATHING 0. OF FAMILIES: DWELLING UNITS: /C ATCLASS-.'-I--- NO S - - -- - ---- - ---- - - -_-- 4 NO 22'',•,� ROOF SHEATHING � r SCHOOL WITHIN HAZARDOUS '' �_' ; ''.'j'T�` /� j SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS �,ti•• f• !+ -I nr;:�1i l `%� NO NO NO /r 1- ,�`!lal r ,/ FRAME INSPECTION `L FIRE S N A 'ICP _1 "--- ,�'`. `-': ' INSULATION/WEATHER STRIP � •.a\ ��.. �- - INTERIOR LATH/517WIr— EXTERIOR LATH E C E . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS -BAR CEILINGS LOT DRAINAGE--- REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES' TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS t 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENTI., TEMPLE CITY CA 91780 BL 0508 0210220025 PHONE: (626) 285-0488 EXT: LEGAL I • No.•OF I BUILDING ADDRESS: TR: 6561LT: 134 �. SQ. FT STORIES TYPE OCCUP GROUP 9661 LAS TUNAS DR 5 STRUCTURE: 1 0 2 VN B TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-017 I THOMAS PAGE:'597 GRID: A3 LOCALITY: TEMPLE CITY EXISTSE: COMME USE Z 0 : PROCESSED BY: EXPIRES SCRAPBOOK BUDDIES +EXIST OCC GRP: B 10/2/02 JK 04/20/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FNA' E FIA .B CODE: DONNA MILLER - 1,500 FEES PAID Ire DEMO FISTING STAIRS 8 PARTITION WALLS; REPAIR T-BAR CEILING N OF WORK G FEE DESCRIPTION: QUANTITY: UOM: AMOUNT APPLICANT: EL. N0: JOE DELEON (626) 573-4212- AA.BLDG PERMIT ISSUANCE 27.75 3319 ROSEMEAD PL AC-STRONG MOTION RESI.D 1500.00 VAL 0.50 SPECIAL CONDITIONS: ROSEMEAD 91770 A2 PERMIT W/ENERGY=HC -1.5OO.00 VAL 94.53 1 r—r� c+TOTAL--F_EES 122.78 CONTRACTOR: TEL. N0: /,'/DC7 'J\1+�� �, APP OVA S DATE I SPECTOR SIGNATURE JOE DE LEON (626) 572-9214-. �'i'4 �t 3319 ROSEMEAD PL LIC. NO '; ��,� tOCA�' SETBACKS ROSEMEAD CA 91776 599123 B " SOILS E GINEER APPROVA ARCHITECT OR NG 0: o/ i= 1 0 ON TR LIC. No —�__ I. I� i' -,T,.111111 y. SLAB/UNDER FLOOR 1% MAP 0: SEWER MIR BOOK: PAGE: FIRE ZONE: r L1 pil �('% �.t Ir'/r=� _'��(�, ���'•,� UNDER FLOOR SOLATION 0. O FAMILIES: DWELLING OND: STAT C LOORJS ING NO 22°a, .\ `� �• , . I� / ROOF SHEATHING SCHOOL WITHIN HAZARDOUS J •.tt t S RI!P AIR QUALITY: 1000 FEET MATERIALS \ r '� �� _= ' _ NO NO NO 1I " RAW,,INSPECTIO 46 ti d��f. R S,. R q,aa I SLA I.ON/WEATHERS RIP ;'�LrICC / INTER�V EXTERIOR LATH RATED L0 C S M. RATED-WALL ASSEMBLIES AT I F EN S 1 T-BARS EILI G 0 E_ i' REPORT ID: DPR261 ROUTE TO: BSO5O8 i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDINGiAND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0211120021 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST NEW B, I D G DR SS: TR: 6561 LT: 134 SQ. FT STORIES TYPE OCCUP GROUP 9661 LAS TUNAS DR STRUCTURE; 0 2 VN B TEMP CA 917802103 ASSESSOR F R 0 B : NEAREST CROSS STREET: KAUFFMAN 8587-020-017 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: IS L : COMME ON - TS—SUED -PROCESSED EXPIRES ON: EXIST OCC GRP: B 11/12/02 ' JK 05/11/03 OWNER: TEL. NO: 8 DGS. NOW ON LOT: VALUATION: VINAL DATE FINAL BY: CODE: TANDEM INC (626) 641-3931- 3,000 (,� ( �3 6049 KAUFFMAN CJ L( TEMPLE CITY 91780 ES PAID DE��FTTON OF WORK REPLACE 2 WINDOWS;INSTALL 2 POSTS TO SUPPORT CORNERS OF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: UPPER STORY PLI L. 0• SAME AS OWNER (626) 641-3931- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID3000.00 VAL 0.50 SPECIAL CONDITIONS: DAWN MANWARING D2 PERMIT W/0<ENIHC:'=-_---Z---3000.00 VAL 99.00 i�- :-F;eTOTACIF.EES 127.25 CONTRACTOR: TEL. NO: �,* ' t%lr��� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - ,+f%. "� .`.'• LIC. NO LOCATION SETBACKS SOILS ENGINEE APPRO AL RC T C G EER: FOUNDATION/TRENCH FORMS SLAB/UNDER FLOOR LIC. N0 RAISED FLOOR FRAMING APXNO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM04 .!1 i I ; �� ,r �',�iL!,(+ l I UNDERFLOOR I S LA ON L _ _ L li t, ka ING NO. OF FAMILIES: DWELLING UNITS: /CO D: STA CLASS,:-- — --- ---- ---------- NO 22 J -- ---l- ROOF SHEATHING SCHOOL WITHA RD S 1 '' / SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ��• � NO NO NO �� - �� f'-irk 'r`:r ` ' FRAME INSPECTION � \ �� /! 11 11` 1 ` 5'`, j �' PR RE Si E HANGERS `��-�jj'`` l LJ • �t1i r' y INSULATIO /WEAT ER STRIP bice� r's •��' _ .- INTERIOR AT DR L EXTERIOR LAT RATED FL-01OR/CETITITEM7 RATED WALL ASSEMBLIES RATED S F O E G T-BAR CEILINGS OT RA A REPORT ID: DPR261 ROUTE TO: 'BS'0508 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 0303040052 PHONE: (626) 285-0488 EXT: LEGAL S G S: TR: 6561- LT: 134 SIGN DESCRIPTION: "SCRAPBOOK BUDDIES° 9661 LAS TUNAS DR TEMP CA 917802103 ASSESSOR 8587-020-017 INFORMATION - NEAREST CROSS STREET: KAUFFMAN THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST D E: ISSUED -- PROCESSED - - EXIST OCC GRP: 03/04/03 JK 02/27/04 OWNER: - TE 0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: PMBhE9-MlN,P%tTRIQWo=fR9 (848) 286-07w 2,300 7-ZS -03 _••• -••---••— - FEESP DESCRIPTION NEW NON—ILLUMINATED WALL SIGN IN FRONT 8 NON—ILLUMINATED PP TE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: HANGING BRACKET SIGN IN REAR JOHN ADAMS (626) 568-3357- AA BLDG PERMIT ISSUANCE 27.75 3772 OAKDALE AVENUE AC STRONG MOTION RESID 2300.00 VAL 0.50 SPECIAL CO DITIONS: PASADENA 91107 01 PLANCHECK W/0 EN-HC 2300.00 VAL 84.15 D2 PERMIT W/O EN-HC 2300.00 VAL 99.00 TOTAL FEES 211.40 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE JOHN ADAMS AND ASSOCIATES (626) 568-3357- 3772 OAKDALE AVENUE LIC. NO j '. %: L LOCATIONSE PASADENA, CA 91107 NONE SOILS ENGINEER APPROVA ARCHITECT OR ENGINEER: TEL. ter 0 LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: ,CMP: 00 ' 0. OF ES: DWELLING S: AP CO 5: ` NO 20 _ SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS .. , NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 i 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 1110310024 PHONE:. (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW 1 BUILDING ADDRESS: I ITR: 6561 LT: 134 I SQ. FT STORIES TYPE OCCUP-GROUPI 9661 C LAS TUNAS DR 1, I ISTRUCTURE: 750 1 V-B B I TEMP CA 917802103 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: KAUFFMAN I 1.8587-020-017 I 1 �� THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl 1 TENANT: (EXIST BLDG USE: COMME USE ZONE: (ISSUED ON: PROCESSED BY:' I IEXIST OCC GRP: B 105/03/12 SR I 10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I 'TE FI i$Y: CODE: ILUKE, NANCY - I I 34,380 J 19661 C LAS TUNAS DR ITEMP 917802446 I FEES PAID JIMSCRIPTION OF WORK I I ITENANT IMPROVEMENT FOR AC UNTING OFFICE ON THE SECOND FLOORI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I 1APPLICANT: TEL. NO: :I I ILIM, CAMILLA (626) 378-7162- 1A1 PLANCHECK W/EN-HC 34380.00 VAL 587.7011 1 12223 LENTA LANE IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I 1ARCADIA, CA 91006 AB STATE GREEN BLDG FEE 34380.00 VAL 2.00 1 I 1AE STRONG MOTION OTHER 34380.00 VAL 7.20 1 I I IA2 PERMIT W/ENERGY-HC 34380.00 VAL 692.90 1 I ICONTRACTOR: TEL. NO: 08 CERTIF OF OCCUPANCY 101.40 1APPROVALS DATE INSPECTOR SIGNATURE I ISUNWAY BUILDER INC. (626) 280-1234-: 1 TOTALFEES 1,419.00 1 12223 LENTA LANE LIC. NO ' I 1LOCATION AND SETBACKS 1 1 1 1ARCADIA, CA 91006 850050B 1 I 1 1 1 1 • ISOILS ENGINEER APPROVAL I I 1 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIM, CAMILLA (626) 378-7162, 1 1 1 I 1 2223 LENTA LANE LIC. NO: . 1S5iB/UNDER FLOOR I I ARCADIA, CA 91006 12958C 1 1RAISED,FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I 1UNDERFLOOR INSULATION I I I 1 3 041 - IFLOOR SHEATHING I 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:) I I I- 1 1 0 NO 22 1 IROOF SHEATHING 1 1 1 I SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS 1 1 1 1AIR QUALITY: 1000 FEET MATERIALS I 1 1 1 I NO NO NO IIPRAME INSPECTION 1 1 1 J 1FIRE 'SPRINKLER HANGERS 1 1 1 IIINSULATION/WEATHER STRIPI I 1 1 IINTERIOR LATH/DRYWALL I/ q q 1 I 1 1 EXTERIOR LATH 1 I 1RATED FLOOR/CELL ASSEM. I 1 I ( I IRATED'WALL ASSEMBLIES I 1 1 RATED'SHAFTS/OPENINGS 1 I IT-BAR CEILINGS I I 1 1 I 1LOT DRAINAGE 1 1 I 1 I I I 1 I IREPORT ID: DPR261 ROUTE.TO: BS0508 I I I I I I I 1 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 1309090097 PHONE: (626) 285-0488 EXT: ILEGAL ID: INUMBER OF SIGNS: 1 I BUILDING ADDRESS: 1 ITR: 6561 IT: 134 ISIGN DESCRIPTION: ONE SET ILLU LED WALL SIGN I 9661 A LAS TUNAS DR 1 I I I TEMP CA 917802103 I IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-020-017 I I i THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I (TENANT: EXIST BLDG USE: (ISSUED ON: PROCESSED BY: 1 IEE MORE EXIST OCC GRP: 109/09/13 SR (OWNER: TEL. NO: 'IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI Y: CODE: 1 (WANG, ANY (626) 254-8985- 1 2,000I-r-0 19661 A LAS TUNAS DR I_ I ITEMP 917802446 I FEES PAID I SCR.IPTION'OF WORK 1 I 1 [ONE SET ILLU LED WALL SIGN 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: I I I ITO, TERRY (626) 443-3333- IAA BLDG PERMIT ISSUANCE 27.80 1 [ 11438 SANTA ANITA AVE IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IS. EL MONTE CA 91733 IAX BUILDING REVIEW FEE 54.70 1 [ I ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 I I I 1 TOTAL FEES 165.70 1 I ICONTRACTOR: TEL. NO: I 1APPR,OVALS DATE INSPECTOR SIGNATURE ISIGNS EXPRESS MANUFACTURING COMPANY (626) 443-3333- 1 1 I 11438 SANTA ANITA AVE LIC. NO 1 [LOCATION AND SETBACKS I I I ISOUTH EL MONTE CA 91733 552097 * 1 1 ' I I I I I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: - s1 1FOUNDATION/TRENCH FORMS I I I LIC. NO: (SUPPORT STRUCTURE I I. I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I I I I I I 001 I I I I 1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 20 1 SCHOOL WITHIN HAZARDOUS (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO I I [ I I I 1 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 - * ADDITIONAL DATA ON FILE I I I I I I I IMPORT ID: DPR261 ROUTE TO: BS0508 I I I 1 1 I I I 1 I