HomeMy Public PortalAbout9663-9665 LAS TUNAS DR_Building__ DEPARTMENT OF BUILDING AND SAFETY k APPI ATION FOR PERMIT
COUNTY OF LOS ANGELES ' N G 1
WM. J. FOX, CHIEF ENGINEER � � ' � D
FOR APPLICANT TO FILL IN FOR OFFICE U e.,Z
DISTRICT NO. ALAN CK.NO. PERMIT NO. r
BUILDING
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ADDRESS �✓ <,* / "� `
LOCALITY "aril/QL WEDEIVED BY DATE OF APPL. DATE ISSUED
NEAREST J�I7'1 (.l i�IbtfF } "�✓� `/
CROSS ST.
BUILD NG
ADDRESS ,a,2J 'r,
OWNER -1 f� /�C1" �`/;� Ta 1'1
1.15 De
MAIL 11 /-� - LOCALITY
ADDRESS Z L/` ��y.�" �r i/7. ~"
NEAREST
TEL. CROSSST.
CITY _ NO. FIRE NO.OF TYPE .`
L / OROUp
ARCHITECT OR TEZONE r PLANS
ENGINEER ND.
-- BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
y� TEL. x BY DATE
CONTRACTOR !�'�{�, ���i�77 NO• J » USE APPROVED
ADDRESS r''./.0 ZONE-_ BY DATE
LEGAL
DESCRIPTION LOT NO. J BLOCK -7 CORRECTIONS
TRACT
NO.OF BLOOM.
SIZE OF LOT _ I NOW ON LOT
USE OF \ NO.OF NO.OF
EXISTING BLDG.) ?7, ! FAMIU[f I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
- O
A
REPAIR MOVING DEMOLISH
Bq.FT. NO.CF Z
SIZE ROOMS STORIES r
WALL � ROOF
COVERING COVERING
USE OF NEW _
BUIILD�IN�G��
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS -
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
ate; FRAME: FIRE STOPS, ./
SIGNATURE OF _BRACING,BOLTS
PERMITTEE, -' �' - LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DBS-3 SOM SETS 1-48 $ P C.S PLASTER,INT.
FEE PLASTER,EXT.
VALUATION FEE p--G FINAL
DEPARTMENT OF BUILDING AND SAFETY tirri.i i iviv r vic rrtuvii i
COUNTY OF LOS ANGELES R T ' �T 1
+ WM.J. FOX, CHIEF ENGINEER / L BUILDN�/
NO. OF �) BLDG. �\ ORD.NO. DISTRICT NO. PLAN CK. NO. _PERMIT NO.
PLANS L� SETBACK LINE 1\ 1., C,� } •' t, -y
FIRE \ APPROVED `., '� / Z / 1 }5 J' ✓ G
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE - APPROVED
ZONE�.` BY DATE"'"-
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Z BUILDING -' - �
0 It NAME ADDRESS
WZ ADDRESS - LOCALITY
F — '
S NEAREST
Z `
U ZCITY CROSS ST.
0: /�
Q STATE TEL.
LICENSE NO. NO. NAME
W
E Z MAIL
0 NAME "`/C .�.� ^': 3 ADDRESSti-1.{
U I `� O / TEL.
Q ADDRESS y �..� -''%r - CITY NO.
E
F /
Z CITY _ !/ I HEREBY ACKNOWLEDGE THAT 1 HAVE•READ THIS
O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. 2 NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
OZ LOT NO. C SIZE OF LOT .:..+ X/t�= SIGNATURE OF /e f. ,
OWNER r::jf/t I It J,f t
,� 2 � NO. OF BLDGS. d �e i.-+t•t- F'
Q 0. BLOCK NOW ON LOT ANN}• AUTHORIZED AGT.
D �
W
TRACT L j CORRECTIONS
J W
USE OF BLDGS. y
NOW ON LOT _
DESCRIPTION OF WORK
USE OF
BUILDING
O
O
Z
D
r
NEW TYPE �� GROUP r
NO. OF NO. OF
ALTERATION I ROOMS li► FAMILIES
ADDITION SIZE
I j
REPAIRI STORIES /
MOVING WALL COVERING .
i
DEMOLISH ROOF COVERING _t
il
d
P.C.S Li`
Loo
FSE FINAL APPROV
S INSPECTOR'SVALUATION FEE DATE NAME
76A638A CE#803 ,67 APPLICATION FOR BUIL�NG PER■M� I T
!�•
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
f,
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. l y _CSIBS .�
DIST CT NO. ROUPT PE T PRQ Sg"D q
FOR APPLICANT TO FILL IN �'cj , ONST. �', z�
BUILDING �� 5 �� +g STATISTICAL(LASSI KATION 5 EWMAP
ADDRESS Tom' CLASS NO. DWELL UNITS
S --
LOT NO. / BLOCK USE ZONE I M P
NO.
TRACT %� �/ SPECIAL
N0. OF BLOBS. l CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
BLDG. SETBACK FROM
R+ ,Lac-� TEL. FRONT PROP. LINE OF (STREET)
OWNER H. NO. TYPE OF EXISTI NO SETBACK HIGHWAY + YARD = TOTAL
ADDRESS L— + LA-c' Q o- HIGHWAY WI TH FROM C.L.
CITY 1. " PLC G 1'T . +
BLDG. SETBACK FROM
ARCHITECT ORjR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER c �CJ NO. TYPEOF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS h Fi AM �2-I�s-- MIOHW AY WIDTH FROM C.L.
EL.
T +
CONTRACTOR �� 4.,. O o
ADDRESS%11i'ii,ce4w(,, a4JENO 'L33`'1 CORNER CUTOFF YES NO
CITY L• A , 4
rl LICASS G— 4 S SEE REVERSE SIDE FOR SPECIAL APPROVALS 1
DESCRIPTION OF WORK '
I
NEW L"/ ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE IS STORIES FAMILIES
USE OF �+
STRUCTURE
SIGNATURE OF
APPLICANT j7;
VALUATION$ + v •00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 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
7UILDI NG 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 CnMNSATION I URANC E. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
44
ADORES IIIIIE FINAL
JOHN F. LEWIS. PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.o CASH
6.0 0
• •
7SA688A CE#809-5-57 APPLICATION FOR BUILDING PERMI r Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY G
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRLC,T NO. GRUP TYPE SEWER MAP
FOR APPLIC T TO FILL IN BK PG CONST.
BUILDING
ADDRESS L/. STATISTICAL CLASSIFICATION I
%' a.�L
CLASS.NO./DWELL.UNITS
LOT NO. BLOCK MAP STATE "—
NUMBER HWY. YES NO
TRACT USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER 64" FRONT
MAIL P.L.
ADDRESS SIDE
TEL. P.L.
CITY -r u. TE INSPECTION RECORD
ARCHITECT R TEL.
ENGINEER NO.
ADDRESS
TEL. �-P� ��A IL
CONTRACTOR 4� Y NO. �4 j
ADDRESS
DESCAIPTION OF WCTPJf
NE ADD ALTER REPAIR DEMOLISH _
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE --°
SIGNATURE P VALE
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
$ FORMS.MATERIALS
a--'�� P• $ FRAME: FIRE STOPS,
FEE _ BRACING.BOLTS
VALUATION ` S FURNACE: LOCATION. ,
FEE GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND —
AGREE TO COMPLY--WITH ALL COUNTY ORDINANCES AND
STATE LAWS G LATING B 1 NG CONSTRUCTION. LATH,EXT.
SIGNATURE Qf HOUSE NUMBER COR-
PERMITTKF �94 RECT AND POSTED
ADDRESS ZA FINAL 1
JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM, PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0236'k,") ,SAN 1 A 2,a 0 OF
cu
76A638A CE-803 3-68
+ APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY •e �/� i`
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY
(Print ort a only) CONST. . ,�
BUILDING �T STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS "! 2L C, w L J h ' CLASS NO DWELL.UNITS �— BK PG
LOT NO. 3 BLOCK USE ZONE AP �7
NO.
J
TRACT fp C-`r AL
COEDIT ONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OFF-
EXISTING SLOG. BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER `� � NO. TYPE OF 1EXISTING SETBA IGHWAY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH F .L.
�G G^S � � �� I �' ��S �
CITY
ARCHITECT OR t 1 TEL. SIDE ACK
M
ENGINEER ` f 1� l �\ NO. °� } / SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ` Z �,'�'� -T HIGHWAY WIDTH FROM C
TEL.
+
CONTRACTOR nn,, q� NO. ' CL.
ADDRESS 1�\ l4 D��L NO. CORNER CUTOFF YES ❑ NO ❑ V
CITY .!4 - t 1..�W.: ,�( LIC. i+ �
CLASS ' SEE REVERSE SIDE FOR SPECIAL APPROVALS
U
DESCRIPTION OF WORK
z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES _ �x
USE OF
STRUCTURE y LO
SIGNATURE OF L..ti V.
APPLICANT
VALUATION $ J
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. T/ PMT. FOUNDATION: LOCATION
FEE FEE $ 9 FORMS. MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF (Wn U
p9ytli4l—�1 LATH, EXT.
HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL S URAL ENGINEER
PLAN CHECK VALIDATION ocK. M.O. CASH _ PERMIT VALIDATIOK K. M.O. CASH
jf' 8 1 2 9NoJ �2L 1D 9.G0~ /
38A DBS-3 12.54
APPLICATION FOR BUILDING PERMIT ].
-DIVISION OF BUILDING AND SAFETY BUILDISNG
S -I � /`y Z
Department of County Engineer
County of Los Angeles LOCALITY e vK p t e
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRI T NO. G` UP SEWER MAP
FOR APPLICANT TO FILL IN TYPE BK PG
BUILDING 9�/' 1--�
ADDRESS Y (✓,' MAP STATE ES NO
NUMBER HWY
LOT NO. j BLOCK USE ZONE SPECIAL
TRACT C`6 _Z,_ CO DITICINS
NO. OF BLDGS.
SIZE OF LOT I NOW ON L T BUILDING YARD HWY STREET NAME EXIST.
USE OF /_ d/ SETBACK WIDTH
EXISTING BLDG. LQV� ShD /P(,p FRONT20
OWNER�I/.�LfI +,•,f /J _(T-L...T.C�.-Z SIDE
MAIL P. L.
ADDRESS
CITY TEL. _ f L 1 DWELL. 1 UNIT 5 INDUSTRIAL
NO 2 DUPLEX-UNIT- PUBLIC BLDG.
ARCHITECT OR TEL.
ENGINEER �"'\ NO. 3 APT. UNITS 7 ADDN.,ALT., ETC.
ADDRESS q COMMERCIAL 8 MISCEL.
TEL.
CONTRACTOR 1612NO. INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE TORTE FAMILIES
USE OF STRUCTURE
SIGNATURE OF (,-
APPLICANT APPROVALS
ADDRESS .. (� .T �/.. DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
P. C. $ FORMS. MATERIALS
FEE FRAME: FIRE STOPS,
VALUATION BRACING, BOLTS
FEE / FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 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.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE ` RECT AND POSTED
ADDRESS /� FINAL
WM. J. FOX. COUNTY ENGINEER VALIDATION
BY C1 9 7 5 IUSI M029 1 1 .0 0
DEPUTY - DEPUTY
BY By
DEPUTY /5�DEPUTY
is 76A638A c \ C
CE#803(REV.11/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADIDRES:BUILDING
ADDRESS (t� �Coq LOCALITY c
NEAR EST
CITY" ZIP CROSS ST. --c
,y NO.OF BLDGS. ASSESSOR
SIZE OF LOT J G' ! NOW ON LOT (1 `l MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO. 3 ( CONST. ZONE
TEL.
OWNER ✓ O. V
STATISTICAL CLASSIFICATION SEWEYPG
ADDRESS '� CLASS NO. Z DWELL.UNITS / B
CITY ZIP 44 C-' G
O E
ARCHITECT OR TEL. VALUATION $
ENGINEER l LCQ NO. ���
ADDRESS _� 3 `` 7 L ` L BLDG FROM SETBA LKNEOF L•—�Z� STREETI
TEL.
CONTRACTOR — NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. c�
LIC + ;;� J = c�• �(��.�f
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP.LINE OFISTREETI
NAME AND BRANCH
= TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY t YARD d
ADDRESS CITY SIDE PROP.LINE 1HIGHWAY1 WIDTH C
SQ.FT. NO.OF NO.OF CHECK + _
V
SIZE STORIES FAMILIES ONE
� ❑ USE ZONEMAP 7 ��)
DESCRIPTION OF WORK s NEW NO. \ t
{/+ SPECIAL
ADD ❑ / CONDITIONS yA
ALTER FINAL 3 .3)/] BY Z
REPAIR ❑ DATE (f V
USE OF DEMOLEl
EXISTING BLDG._ C
APPLICANT TEL 2
(PRINT) NO.
O
BY(SIGNATURE) "/ / / ' - Lr~`r > ;F 9 0 1.4 A
IHEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICAT AND STATE {Y{�
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH A ORDINANCES W # • • • • • 1
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WQRKMEN'S COM- z 2 • • 3 4, 00
PENSATION INSURANCE.'
. . . 34.00
SIGNATURE OF
PERMITTEE 0 2 4 — 0
ADDRESS /-
2
O
TEL.
CITY t7 — NO. 4 C
P.C. Fee$ Permit Fee >
Issuance Fee o�c
W
d
Total Fee ��
• WCORKERS'COMPENSATION DECLARATION 7y
sure or
certificate
that I have r certificate of consent to self APPLICATION- F O R lJ I L®INC' PERMIT
Z� 'fl
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._Company \
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �J r 2
ADDRESS G �\
Certified copy is filed with the county building Inspec- BUILDING q Iff--
tion department. ADDRESS G
Date Applicant CITY .QtM Ci ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLD NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT :, CROSS ST. ,
(This section need not be completed if the permit is for oneASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT IVO'. MAP BOOK / PAGE PARCEL
S,
TEL. USE ZONE MAP
I certify that in the performance of the work for which this OWNER VI ! NO, n NO.
permit is issued, I shall not employ any person in any manner Z SPECIAL
ADDRESS CONDITIONS
so as to become sunybj t to the Workers'Compensati Laws. U
Date —� " Applicant t 1 CITY ZIP �
-NOTICE'TO APPLICA T: If, after making this Certificate of ENGARCHNEER ITECT OR TEL. DISTRIy GROUP TYPNST. ZONE PR CESSED BY O
Exemption, you sh uld become subject to the Workers' AND (�JD(/ _
Compensation provisions of the Labor Code, you must forth- ADDRESS —3 W
with comply with such provisions or.this permit shall be O:'
deemed revoked.
TEL. STATISTICAL CLASSIFICATION APT. CONDO. fn
CONTRACTOR NO. Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. L�WELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 1
(commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS BK PG
SQ.FT. NO.OF _ NO.OF CHECK
License Number Lic.Class SIZE a STORIES IFAMILIES ' ONE yAL AT J. o 0 41.4 5
Contractor Date
DESCRIPTION OF WORK NEW ❑
I am exempt under Sec. (VA u ADD ❑ $ ® o a 0 41.455
tA�O ALTER $ 1 2�� 7-87
18.8P.C. for this reason Date: EPMOL ❑
USE F
EXISTING BLDG. `i
Signature APPLICANT TEL. f t FINAL a 8 6 2 9 A
OWNER-BUILDER DECLARATION PRINT NO. DATE
.1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FI #'o,o 0 0 0,�
Prpfessions Code): PEE a' t
7p't BUILDING * I - 59.25
'll��fl I, as owner of the property, or myemployees with ADDRESS
wages as their sole compensation,will do the work ando 0 o 5 9 2 5
the structure is not intended or offered for sale(Section LOCALITY I\
7044, Business and Professions Code). MOVING TEL. "M
I, as owner of the property, am exclusively contracting CONTRACTOR NO. :.I 2 '7 8 7
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIREDTOTAL SETBACK FR
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH '
I hereby affirm that there is a construction lending'agency for FRONT
the performance of the work for which-this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name , LDMA Ref. #
m Lender's Address P.C.Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee770"'W:2-
LDMA P/C#
o above information is correct. I agree to comply with all County : Investigation Fee
0 ordinances and State lows relating to building construction,
$ and he y authorize represe tatives of this County to enter Total Fee 9 LDMA Perm.#
9 on b ve-mentioned operty for inspection purpose
m
Z--{f_g SEE REVERSE FOR EXPLANATORY LANGUAGE
r
Signature of Applicant or Agent Date
e: ,y,,APaORKERS'COMPEN'5ATION DECLARATION
t-I''ierebyaffirm that Ihave a certificate of consent to self
ixs:fe��a certificate of Workers'Compensation Insurance, APPLICATION F®R .BUILDING.- PERMIT'
ora certified copy Thereof(Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Poli'•�No. Company 1 BUILDING
ADDRESS
� '.Certified copy is hereby furnished. FOR APPLICANT TO FILL IN
Certified:copy is filed with the county building inspec- rTRACT
G (�
E' tion department. S �`� Z4 11�
Date Applicant• W` ZIP LOCALITY
CERTIFICATE OF EXEMPTION'FROM WORKERS' OF BLDGS. • NEAREST
COMPENSATION INSURANCE LOT WON LOT CROSS ST. Am
'(This section need not-be completed if the'permit is for one - ASSESSOR
'hundred dollars ($100)or less.) ; BLOCK LOT NO. MAP BOOK PAGErk It C d NO._ USE ZONE, MAP617I certify'that in the performance of the work for which this SPECIALNO* Vpermit.is issued, I'sHall not employ'any person in any manner SS (/ CONDITIONS O
so'as'to become subject to the Workers'Compensation Laws.
U
cc
Dote Applicant CITY ZIP. 0
NOTICE TO APPLICANT: if,•'after Making this,Certificate of ARCHITECT OR TEL. _
ENGINEER NO. DISTRICT GROUP TYPE FIRE PROC SSED BY
Exemptiod, you-should become subject to the;Workers' CONST.
ZONE
Compensation provisions-of the Labor Code, you•musf forth- ADDRESS oti t(� �� V- au
�°
with comply with such provisions or this permit shall be /' 'TEL. q ATISTICAL CLASSIFICATION APT. NDO.
deemed revoked,.,. , .. , CONTRACTOR Ly [r NO.
LICENSED CONTRACTORS DECLARATIONS �p' �/] LIC, : CLASS NO. �L DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , �.�C/ Inc j( NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and I dr-. LIC. • -
P.rdfession_s Code, and my license is in-full-force and effect. CITY 9&,e✓L-m �•f�� CLASS BK VALIDATION
�/VD Q�
SQ.FT. STONO. IE NO..FAMILIES
CHECK
License Nurnber' ic.Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK
NEW � $ ;2335' OA
~ �I V ADD �'::
I am exempt under.Sec. h - W L s �U ALTER # 0 0 0 0 23
a.
B.BP.C. for this reason '� ^ O++^M REPAIR E] • $
Date:" USE OF .� DI MOL ❑ I - 17691
EXISTING BLDG. Azftj Q . o 0.1. J v
Signature APPLICANT TEL. FINAL•6'--�
OWNER-BUILDER DECLARATION PRINT) NO. DATI
I hereby affirm that"I am exempt from the Contractor's License I Q 3 0 8 5
Law for the following reason (Section 7031.5, Business and ADDRESS FI
Professions Code): PRESENT .
BUILDING
F' 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 r
7044, Business and Professions Code). MOVING TEL. y��
1,as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FR M
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 'PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
_ P.L. i
< Lender's Name 'L' " ` LDMA Ref. #
P.C.Fee$ Permit Fee'
Lender's Address
I certify that I have read this application and state that the Issuance Fee LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm.#
and hereby authorize representatives of this County to enter
• upon the above-mentiowedo rty for inspection purposes.
/ SEE REVERSE FOR EXPLANATORY LANGUAGE O'
Sign tura of Applicant or Agent Date
d `WORKERS'COMPENSATION DECLARATION
I sureaffirm that I have certificate of consent to self APPLICATION ® ®R BUILDING PERMIT
insure,, or a certificate of Workers'Compensation Insurance, '
or a certified copy thereof(Sec. 3800, Lob. C. j COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy NoI OL Company��lY`,VYLdI)k)),A's
Certified copy is hereby furnished. 'I FOR APPLICANT TO FILL IN ADDRESS
IffCertified copy is filed with the county building ins ec- BUILDING G /s S' �
tion department. ADDRESS f�
Date I y�- %� Applicant- `- ., �ET1 , CITY' Cd 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 TRACT BLOCK LOT NO. ASSESSOR `
hundred dollars($100)or less.) MAP BOOK PAGE PARCEL
) TEL' USE ZONE MAP
I certify that'in the performance of the work for which this OWNER L ! v% NO. NO.
permit is issued, I shall not employ any person in any manner ADDRESS 6'*-c'� �i CONDITIONS
SPECIAL
so as to become subject to the Workers'Compensation Laws. Q
Date Applicant CIT ZIP I=
ARCHITECT OR TEL. DISTRICT G7�:]
TYPE FIRE PRO §SED BY O
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE (--
Exemption, you should become subject to the Workers' � U
Compensation provisions of the Labor Code, you must forth- ADDRESS •�G / r Q�
with comply with such provisions or this permit shall be -{- TEL.• C STATISTICAL CLASSIFICATION APT, CONDO. Z
deemed revoked. CONTRACTOR�1 ' �)`MRS 1 NO.� ��C)
LICENSED CONTRACTORS DECLARATION // r LIC, .r CLASS NO. 'Z�� DWELL. UNITS
-
ADDRESS hereby affirm that I am licensed under provisiohs of Chapter 9 ADDRESS S�aL't�Ial NO.��?�l�
(commencing with Section 7000)of Division 3 of the Business and ('? f l (� LIC: SEWER MAP
Professions Code,and my license is in full force and effect. CITY r1 UnCLASSCC BK VALIDATION
y G;q SQ.FT. NO.OF NO.OF CHECK
License Number''`_ a"' Lic.Class 1 SIZE STORIES FAMILIES ONE
-yam VALUATION
� , � S L DESCRIPTION OF WORK NEW ❑
Contractor )?!''ll ;.6 Date $ fj Tr a
❑ �_ >?" YOU r 1 ( LADD ❑
I am exempt under Sec.
ALTER ❑
B.BP.C. for this reason 1 REPAIR $
USE OF
t Date: EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
T NO.� JS' I�G
OWNER- UILDER(D CLARATION (PRINT
RIN5 Wok
I hereby affirm that I am exempt from the Contractor's License ` ADDRESst®Q S'5��� ����v^fit:.( V 7
Law for the following reason (Section 7031.5, Business and F AL
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 +i
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- Q
tion 7044, Business and Professions Code). ADDRESS 8 7 •�A
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAPROP. LINE ET R WIDTH
# o o,o o oil
I hereby affirm that there is a construction lending agency for FRONT -.649.88
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). r SIDE o o'o 4 q,8 8 5
P.L. 01.,08`88
Lender's Name :.,... .
LDMA m P.C. Fee$ Permit Fee Ref. #
Lender's Address
I certify that I have read this application and state that the Issuance Fee `� LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances an tate laws relating to building construction, Total Fee LDMA Perm. #
N and hereby`a thorize rep a �'{ntatives of this County to enter
m on the o e-me}ttion d Puoperty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant o,A ent Date
�-``` ORKERS'COMuENSATION DECLARATION
here�ffirm that I have a certificate of consent to self a �°
insure, or a certificate of Workers'Compensation Insurance, P®'•®•LIC �®' I . FOR" BUILDING PERMIT
�
k4or a certified copy thereof (Sec. 3800; Lab. C.)
e
%.3
r� COUNTY OF.LOS ANGELES_' BUILDING AND SAFETY
` PolicyNo. Company BUILDING / �y�
Vi'� �. Certified.copy is hereby furnished, F.OR,APPLICA T TO'`Fj_ L IN
,r Certified copy is.filed with the county building inspec- BUILDING
tion department. ADDRESS
Date 2� Applicant CITY A ZIP LOCALITY
CERTIFICATE OF EXEMPTION OM WORKERS' O.OF BLDGS. NEAREST
" COMPENSATION INSURA E 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 /t
I certify'that in the performance of the work fo"r which this "OWNER NO. NO (f �.
permit is issued, I shall not employ any person in any manner /° '� SPECIAL '
S6 as to become subject to the Workers'Compensation Laws. ADDRESS V CONDITIONS 00
Date ..CITY. ZIP 1%
Applicant
NOTICE -TO•APPLICANT: If, after making'this Certificate of ARCHITECT OR TEL. DISTRICT GROUP. TYPE FIRE PROCE SED,BY :0
Exemption,. you-should become*subject to the Workers'
ENGINEER NO. CONST. ZONE
Compensation provisions-of the Labor.Code, you must forth- ADDRESS. •u t L1 ..- ..�Z y' J
with-comply ,with such provisions or this permit shall be TEL, Adf/�uI(� STATISTICAL CLASSIFICATION APT. DO. U0
deemed revoked. CONTRACTOR NO. ! // %/
LICENSED CONTRACTORS DECLARATION :r LIC, — CLASS NO. ?� DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS f NO. /�J Q'
(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
SQ.FT. NO.OF NO.OF CHECK `
•'L'icc?h '!'I umber d Lic.Class- SIZE STORIES FAMILIES ONE
� �' VALUATION 3 �J oil
Contractor- �
DESCRIPTION OF WORK NEIN 11 $ v D�
ADD ❑;.,•
I am exempt under Sec. ALTER ❑ poll1
B.&P,C. for this reason REPAIR ❑ $ [/7�r
Date: USE OF I
O ❑
EXISTING BLDG. DEMOL 6 /
Signature APPLICANT TEL. FINAL 17
OWNER-BUILDER DECLARATION PRINT) NO. DATE r
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and , ADDRESS FINA
q�'-
•Professions Code): PRESENT BY
I, as owner of the property, or my employees with BUILDING
ADDRESS •.-�7J 69,5 A
wciges'as their sole compensation,will do the work-and
the structure is not intended or offered for sale(Section LOCALITY
0 0 0, o o
•7044, Business and Professions Code). MOVING TEL.
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. I o 2 1 a 63
with licensed contractors-to construct the project (Sec- ADDRESS Tion 7044, Business and Professions Code). r_
REQUIRED TOTAL SETBACK FROM IST. `° - 2 8.6 '
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
hereby affirm that there is a construction lending agency for FRONT 1.2 C.0-8 5
the performance of-the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
a P.L.
..,... ,
Lender's Name j LDMA Ref. #
o P.C. Fee$ L%•�� Permit Fee y�
Lender's Address
x I certify that I have.read this.application and state that the Issuance Fee O LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
3 ordinances and State laws relating to building construction,
and hereby authorize representatives of this County to enter Total Fee LDMA perm.#-
9 upon the above-m ntlooed property for inspection purposes.
/@LLQ/'VW u�
° SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig tura of Applicant or Agent Date ®t
WORKERS'COMPENSATION•DE'-GL'ARATION
I hereby affirm that I have a'c9irtificate,of consent to self win
�1
insure, or a certificate of Workers!Compenstion Insuriince,or APPLICATION F O KWILDING P E RM I T
a certified copy.thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified,copy is hereby furnished. FOR APPLICA Y"TO FILL�AI� JAUDDRESS �v SJ
❑ I '
Certified copy is filed with the county building inspec- BUILDING-
tion department. ADDRESS ! J ^� LITY
EST
Date' Applicant CITY' v.� �,.�. .L ZIP S ST. �
ION FROM WORKERS' I , N -OF BLDGS.COMPENSA SIZE OF LOT " /• WONLOT BOOK PAGE - PARCEL
This section need not be cam leted if the er for orie i. ff ONE MAPrr'' �yhundred'dollars ($100)qr less.) P TRACTo s BLOCK LOT NO. 3� NO. 0'V /- TEL. SPECIAL !erformance of t I�f ich this I OWNERY:� NO. CONDITIONSp p y y p yc �`• TRICT GROUP TYPE FIRE PROCE D BYermit is issued, I'shall not em o an erson in an anner %.- ADDRESS' /. Li_r'� /JZ.�" �. vg CONST.,f ZE
so as to become subject to the Workers'Compensation Laws. V
CITY �. ZIP ;96r)
,%• r F-
Date. ApplicantSTATISTICAL'CLASSIFICATION CONDO. U
NOTICE TO APPLICANT:,If, after making this Certificate of I ARCHITE OR , EL. h _
Exemption, .you should become subject•to the Workers' ENGINEER NO. CLASS NO.=A- UNITS. N
Compensation provisions of the Labor Code, you must forth- I ADDRESS r SEWER MAP
with comply with such provisions or this permit shall be
deemed revoked. TEL' BK, PG VALIDATION
CONTRACTOR l NO.
.LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I.am licensed under provisions of Chapter 9 , ADDRESS NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC F
Professions Code, and my license-is in full force and.effect. I CITY - / CLASS $: v D
SQ. FT. NO.OF NO.OF! CHECK
License Number Lic.Class I SIZE STORIES FAMILIES ONE '
NEW $
Contractor Date DESCRIPTION OF WORK f ❑ „
� 1 am exempt from the'licensing.requirements as I am a i �� � HDD ❑
' licehsed architect ora registered professional engineer ALTER FINA �cnnll "
acting in my professional capacity (Section 7051, I it - �, . —� REPAIR DATE - 3 d )
Business and Professions Code).. USE OF q
❑..
EXISTINGBLD ~L t.. u`�•' i DEMOL FINA
❑ By �7 -��
Lic.or Reg.1N9. Date I AP, NTS_ C_ TEL.
I OWNER-BUILDER DECLARATION' XPPINTI. �— -` NO. '
I hereby affirm that Larn exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business andADDRESS •.
Professions Code): PRESENT
1 BUILDING
I, as.owner of the propePty, or my employees with ADDRESS
wages as their sole compensation,will do the work.a6d
the structure is not intended or offered for sale(Section t LOCALITY
70,44, 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-
tiori 7044, Business.dnd Professions Code). " ADDRESS r z 1 .b U, 1 R
REQUIRED TOTAL SETBACK FROM 'EXIST.
'CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT-- i o e'0 0 0 1
FRONT-
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ:C.). SIDE 2 0 0'0 7, 0
I P.L.
Lender's Name i 0 0 0 0 70-0-1
$ P.C. Fee$ Permit Fee
Lender's Address g 1 1 —80
W I certify that'l have-read this application and state that the I Issuance Fee
cabove information is correct. I agree to comply with all County . ', Investigation Fee
ordinances and State-laws relating to.building construction, Total Fee
and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
.: SEE REVERSE FOR EXPLANATORY LANGUAGE I
o
�
-Signature of Applicant or Agent -• Data - as
l:i r y ';WORKERS'COMPENSATION DECLARATIONW.
Ill! {• �, '
ora certificate
that'l have"a certCo P of consent to self APPLICATION FOR 'SU�I�L®I NG PERMIT-
'• ; Insure;.or a certificate of Workers'Compensation Insurance,'.:;;
,it or o certifigd copy thereof(Sec. 3800, Lob. C.). +� COUNTY OF LOS ANGEL
ESBUILDING AND SAFETY' t
Polity No Company
0 Certified copy is hereby furnished. �• FOR APPLICANT TO FILL IN BUILDING
r - ADDRESS Lao .
0Certified copy is filed with the county building ins
pec- BUILDING
tion department. ADDRESS (IIi;(0 it, (.(°r�
Date Applicant � CITY J&P-101C . ZIP LO'C'ALITY'" s
CERTIFICATE Of EXEMPTION FROM WORKERS' OF BLDGS. NEAREST�
+' COMPENSATION INSURANCE ; SIZE OF LOT NOWON LOT CROSS ST.
(This section.need not be completed if the permit.is for oneASSESSOQ
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE' PARCEL
r TEL.
?. I certify that in'the performance of the work for which this OWNER L NO. USE ZONE d 61 } 1
permit is.iswed,I shall not employ any person in any manner, ADDRESS �?i SPECIAL d '
so as to become subject to the Workers'Compensation Laws. CONDITIONS V
f; CITY ZIP �!
Date Applicant ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUP TYPE FIRE BY
ENGINEER NO. .
Exemption, you should become subject to the Workeral ray/ CONST. ZONE
Compensation provisions of the Labor Code, you must forth ADDRESS I(� V 3
with comply with such provisions or this permit shall be. TEL. &�/
deemed revoked.. CONTRACTOR / !r NO. — ATISTICAL CLASSIFICATION APT. C NDO. i
;= LICENSED CONTRACTORS DECLARATION LIC• CLASS NO. Zt/ DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9',• ADDRESS-5) IV ,�Lt NO.
(commencing with Section 7000)of Division 3 of the Business andt LIC M
' SEWER AP
Professions Code,and my license is ip full force and effect. CITY &Lie VoL" G•r I*G CLASS
+ SQ.FT. NO.OF NO.OF CHECK BK. PG. VALIDATION
License Number ic.Class SIZE STORIES FAMILIES
VALUATION
Contractor Date 1I DESCRIPTION OF WORK Nlw ❑'; N 1, O �� 3 3 5 0 A
a� ®
• ❑1 am exempt under Sec. � •- � W&�Ir � r ADD
.. `; � ALTER ❑. ,,
# 2 3
B.BP.C.for this reason l; ^ o 4- -+ 044 REPAIR III./
USE ( • 17691
'
Date: f EX STING BLDG. DEMOL
Si nature APPLICANT TEL.
• • 176915
g OWNER-BUILDER DECLARATION PRINT DA EL
1 hereby affirm that 1 am exempt from the Contractor's License I . .1 Q30--85
Low for the following reason (Section 7031.5, Business and ADDRESS F0AL
Professions Codd): pffraw By.
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS +
y, wages as their sole compensation,will do the work and
=19MIcture is not-intended or offered for sale(Section LOCALITY ® ;•:}•;
,Business and Professions Code). MOVING TEL.
mea - DEPT.OF COUNTY ENGINEER-FACILITIES '
;,t'. t,as owner of the property,am exclusively contracting CONTRACTOR NO.
COUNTY OF LOS ANGELES
o construct project (
ytt.` with licensed contractors to the prot sec_ CLEARANCE
,y,:. ADDRESS e
tion 7041, Business and Professions Code). I -,T
x REQUIRED YARD HWY TOTAL SETBACK FO(; �(j f:I o,IC WAT&FS ONLY' I
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE wlDTit 4 ,
J,k 1 hereby affirm that there is a construction lending agency for FROM ,
the performance of the work for which this permit is issued P.L. _
a rA (Sec. 3097,Civ. .). DE ,
C P.L. . ........ _.. :;is:e ' 'e- far h ,
lrl;,l c the callectian;Ar disposajB
;= Lender's Name n d1�' pl (1qL[?Y ;;i r sly i::td to Was h zliII,
��• `• ^�- "tor th'�
six r - 777 LDMA Rdfdits ZI t'a^c:;i� a, ser ti;ry Sev�:Ee ftnm—si cR'facilities as
i�. P.C.Fee f Permit Fee
e:,� Lenders Address 1 f�3t'�'.?7,C, chaila Iter, ng coartefs for food or,.drinks;..ar
LDMA" f•
.1-certify thol,J_have read this application and state that the d Issuance F� MA P ash tiaK- r
or4YiRi«Rg,.( .L ins installed in any location within
above infermolion'is correct.I agree to comply with all County Investigation Fee
vordinances arrd'Siate lows relating to building construction,and hereby authorize representatives of this County to enter1' Toial Fe LDMAPern,. ft ' l �• .� {
.. c .
upon the above-mentioAed ry for inspection purposes. I" $t{1 R Of4 QW
: . /�lJ /a • �V�,+� SEE REVERSE FOR EXPLANATORY LANGUAGE
I I
I
� I
-,-,-COUNTY,,OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT I. TEMPLE CITY CA 91780 BL 0508 0508100004
PHONE: (626) 285-0488 EXT: I
i
LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 133 I SQ. FT STORIES TYPE. 9663 9665 LAS TUNAS DR
STRUCTURE: 2300 VN I- TEMP CA 917802103
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: KAUFFMAN
8587-020-016 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
I;
TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/1/05 VG 08/05/06
OWNER: 'TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINM DAT FINAL BY- CODE-
YU ROBERT P;KAREN H;SHIH CHANG 3 - 5,000 -
480 WALNUT AV
ARCD'910078336 FEES PAID DESCRI ION OF WORK
t T/O
,TION/OF
ST ROOF AND INSTALL HOT MOP
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I
APPLICANT: TEL. NO:
KANG (323)-732-2700- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID• 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES
160.89
1
CONTRACTOR: TEL. NO: ! APPROVALS DATE INSPECTOR SIGNATURE
ROOSTER ROOFING INC. (626) 252-1095- I
2418 W. WASHINGTON BLVD. LIC. NO I LOCATION AND SETBACKS
LOS ANGELES, CA 90018 831351 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL: N0: ; FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: + UNDEkFLOOR INSULATION .
XX 3 04
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: I �'
NO 22 ROOFJSHEATHING
p
'SCHOOL WITHIN HAZARDOUS I SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAM' INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIREISPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: I
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
f
EXTERIOR LATH
RATE FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATE SHAFTS OPENINGS ;
T-BAR CEILINGS
f
LOT DRAINAGE
'REPORT ID: DPR261 ROUTE TO: BS0508
� I
I