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Home My Public Portal About9667 LAS TUNAS DR_Building__ � d - r . ,qq �r 76AS88A CE#8098-69 APPLICATION FOR 13UILDING PERMIT Z COUNTY OF LOS ANGELES Bl1ILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPD T OF BUILDING I''SS ST. DISTRICTNO OU yPE O FOR APPLICANT TO FELL IN '-� - 0 coNSr. n BUILDING / /�� /QN f �Y7 �� STATISTICAL CLA SIFICA ION I iBKR MAP G ADDRESS 6► L / CLASS.NO. DWELL.UNITS LOT NO. /3Ti BLOCK MAP '1 NUMBER STAT HWYE YES '/'NO . TRACT IOC a?O Us-.- ZONE SPECIAL NO.OF BLDGS. y L./ CONDITIONS SIZE OF LOT �� I��/O I NOW ON LOT ! � USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER / ' L:.f FRONT / MAIL ".L. 'h ADDRESS -IDE TEL CITY NO. INSPECTION RECORD ARCHITECT OR TEL. - ENGINEER NO. ADDRESS n TEL.,-. CONTRACTOR V ni/ / Y✓fA/,.�.'�/J•/ NO. 4. ADDRESS-AP si �"/; - ✓t, 'lv" 'l'fr ' y ' DESCRIPTION OF WORK 41E 4011� JA EW ADD ALTER REPAIR DEMOLI H _ btr'FT. NO. OF N F / -2 SIZE 2ewv� STORIES M ES USE OFT STRUCTURE 'c'"d-5- T SIGNATURE OF APPLICANT 1,;, _ APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS ZID - �-�� , FOUNDATION: LOCATION FORMS,MATERIALS VALUATION $�,5 >o FRAME: FIRE STOPS, , _ERACING, BOLTS FURNACE: LOCATION, P.C. PMT. FEE $f/ � p� GAS VENT,DUCTS I HEREBY ACKNOWLEDGE!THAT 1 HAVE READ THIS AP- PL P- LATH, INT. 1 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND �. STATE LAWS REGU TI !�,. 'UILDING CONSTRUCTION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE / RECT AND POSTED ADDRESSZ/ r. , ' , FINAL , , p/ CLYDE N. DIRLAM, ORINCIPAL ST AL ENGINEER CK. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH Ll o 9 0 714-0 DEC (} 2 3 D 2 4.0 U ®, 7 .I:'itI 1 6 1 D 4 8.tC i L lT I '_. 1= APPLICATION FOR-ve j pM : C" s =o€ Los-AiVGEIc3 �SEPARTMENT OF COUNTY EI%EER BUILDING PERMIT BUILDING ANDSAFETY DIVISION BUILDING < FOR APPLICANT TO FILL IN ADDRESS �ceta� BUILDING ADDRESSUWA LOCA LIT L ZINEAREST CITY `V P CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 0 NOW ON LOT MAP BOOK PAGE PARCEL ,�� DISTRICT GROUP TYPE FIRE SSED BY TRACT � Y� BLOCK LOT NO. /�2 Q Q /f CONST. rj�= TEL. L cJ (^ OWNER C, S STATISTICAL .1 A-qlFl(--WT4N SEWER MAP ADDRES C CLASS NO. �Z"6WELL•UNITS BK PG CITY ZIP USE ZONE MAP ^ NO. C, U ARCHITECT O TEL. / �-� SPECIAL ENGINEER V NO • ` CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ TEL. BLDG.SETBACK FROM CONTRACTOR 1 L NO FRONT PROP.LINE OF (STREET) ADDRESS ✓ w N. NQ" _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - HIGHWAY WIDTH CITY L A LIC FRONT FRONT PROP. LINE CLAS _ CONSTRUCTION LENDER + NAME AND BRANCH n} BLDG.SETBACK FROM c ADDRESS CITY SIDE PROP.LINEOF (STREET) G. SQ.,5T, NO. OF NO. OF CHECKHIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ft SIZ STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW 1:1 + - 0. • � ADD ® CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ 1 � REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF / _ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. `Q (� DEMOL ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) If C, 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 PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATOR FINAL �" BY PERMITT DATE ADDRESS 2 / TE L. P.C. Fee$ Permit Fee L LVALUATION No Q (^��{ (� Issuance Fee$ I ` 5 1 I Total Fee / PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATIO CK. M O. CASH OO1C_ 1230 9.00 •` 0 0 21 5.00 •x' 76A638A CE*803B 12/75 w P, 76A638A CE#803 5-65 APPLII.ATION FOR BUILDIPdG PERMIT _ COUNTY *OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A D D R ESS �L✓ - BUILDING AND SAFETY DIVISION LOCALITY l JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DIST�CT NO. GROUP Y P C SSED BY FOR APPLICANT TO FILL IN CONST. BUILDING J STATISTICAL LASSIFICATION SEINER MAP ADDRESS -Tu ti{).'� `R 3K �rAG CLASS NO. DWELL UNITS LOT NO. �� BLOCK USE ZONE MAf{ 4� N MAP (� TRACT ) / C, / SPECIAL J NO. OF BLDGS. CONDITIONS SIZE OF LOT I Jct NOW ON LOT , USE OF �)VL171FJ V / _�, EXISTING B L• BLDG. SETBACK FROM FRONT PROP. LINE OF (dTREET) OWNER -J TYPE OF EXISTING SETBACK . HIGHWAY + YARD = TOTAL ADDRESS �;5✓ HIGHWAY WIDTH FROM L.L I + CITY BLD . SETBACK FROM ARCHITECT OR, TEL. /� / ENGINEER cJ�aA�)Y-(I Ns�IA�h NO. �iZ ��IOI tp SI PROP. LINE OF (STREET) EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS -� 6r�S I�NAy l•�•'+ HIGHWAY WIDTH FROM C.L. CONTRACTOR (��tN�Q NOL. + — Q LIC CORNER CUTOFF YES NO El U ADDRESS NO OC CITY —CLI ILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK v W a NEW ADD ALTER REPAIR DEMOLISH N Z SQ.FT. NO. OF NO. OF SIZE STORIES g. FAMILIFS USE OF STRUCTUREL5!O P- —13nlz SIGNATURE OF APPLICANT VALUATION$ i7V-sf ' ✓✓✓✓✓✓ !!//((// APPROVALS DATE INSP ECTOR'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 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS f' 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. k- 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 UA L '•� �� +r JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG)�LEF� PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH \ L 7 9 1 811.1 DEC 9 1 D 6.0 0- � 1 SA638A CE#808.9-60 APPLICATION FOR BUILDING PERM COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /_LIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO G O TYPE PR BY FOR APPLICANT TO FILL IN _ C! I CONST. Ct BUILDING "STATISTICAL CLASS KATION SEWER MAP ADDRESS CLASS. NO. DWELL. UNITS I BK' LOT NO. 3 1-)— BLOCK NUMAP MBER Q STATE YES NO �f HWY. TRACT _ ,9 /�/' I� USE ZONE SPECIAL SIZE OF LOTS} JC �•" I NOW ON LOTS /d CONDITIONS USE OF /V• EXISTING BLDG. BUILDING YASTREET NAME EXIST. SETB � � RD HWY EL. ACK WIDTH OWNER Givin A Q40. FRONT P. L. ADDRESS SIDE ARCHITECT OR TEL. P. L. ENGINEER NO. INSPECTION RECORD ADDRESS • - a r TE :�� 0 CONTRACTOR/ t NOL , ADDRESt�d r O C .w DESCRIPTION OF WORK ' W a N NEW ADD ALTER REPAIR DEMOLISH Z SQ. F , NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ U APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION P.C. 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 THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBOECT TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEtJ RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, 16R NCIPAL�ST RAL ENGINEER PLAN CHECK VALIDATION o.— - PERMIT VALIDATION CK. M.O. CASH 447 �'Q' J0`41_ ^ 44 0 •-M 4 4 8140Jaid �r� 76AV38A CE#803 5-6T APPLICATION FOR BUILDING. PERMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 916 6 17 BUILDING AND SAFETY DIVISION LOCALITY L JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DIS R T O. RQiJP PE PR S FOR APPLICANT TO FILL IN 0 coNST.� BUILDI I ` T6(5 STATISTICAL ASS KATION SEW AP ADDRES C LAS TU NAS V1� CLASS NO. D ELL UNITS EK PG LOT NO. i 3 Z BLOCK USE ZONE MAP D NO. TRACT •- SPECIAL v NO. OF BLDGS. CONDITIONS SIZE OF LOTLS 1� If I O NOW ON LOT USE OF c EXISTING BLDG. J1+� �- �'0 BLDG. SETBACK FROM OWNER A2CA 1Yc�l'S �I.l42S NOL FRONT PROP. LINE OF - (STREET) TYPE OF EXISTING SETBA K HIGHWAY i- YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY ARCHITECT OR TEL. BLDG. ETBACK FROM ENGINEER NO. SIDE OP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL TEL.. ADDRESS HIGHWAY WIDTH FROM C.L. +. 11 . 1 - CONTRACTO N NO X13 -0%)l O LIC ADDRESS 1 -7( f.0 k/riSHluGl41� NO �Z I()_L_ CORNER CUTOFF YES NO U LIC DC CITY `- A CLAS 'o SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK lyj CL NEW ADD ALTER REPAIR DEMOLISH H Z SQ.FT. �� NO. OF NO. OF ( SIZE JD STORIES FAMILIFS USE OF STRUCTURESr ( LLUM _I1 rJ ate, 654-0 SIGNATURE OF APPLICANT 12S C'- VALUATION$ gOo`fi APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. (�� FOUNDATION, LOCATION FEE$ FEE$ I V V 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'SOF('. 7TdIN RAN SS LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE J , _ RECT AND POSTED ADDRESS tZ Li iA1A5 ��AJG7Uu1 L 4 7 FI NAL r• ,'' ",; �`>1 --"" JOHN F. LEWIS, PRINCIPAL STCK. URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION M.O CASH L&.,o 0 7 3 8'o MAR 2 4 1 D 8.0 0 76A638A CE #803 4/70 � `•/ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK ' PAGE C ' C PARCEL 0 BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS e On COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY ! FOR APPLICANT TO FILL IN NEAREST BY CROSS ST. Print ort e only) O DISTRICT NG P PE PRO �D [EXISTING UILDING NST. DDRESS J f t -'� U �' STATISTICAL CLASSIFICATION S ER MAP OT NO. BLOCK CLASS NO.�DWELL,UNITS B PG RACT USE ZONE MAP a NO.OF SLOGS. n NO. LJ IZE OF LOT 5 NOW ON LOT / SPECIAL SE OF CONDITIONS BLDG. a EL. �1 OWNER O BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL CITY HIG AY WIDTH FROM C.L. ARCHITECT O • TEL t = ENGINEER NO, BLDG.SETBACKFROM ADDRESS A SIDE PROP.LINE OF (STREET) TEL _ TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL CONTRACTOR NO. �- - HIGHWAY WIDTH FROM C.L. LIC, n ADDRESS _ O, t L LIC. CITY O 4N'DECLASS CORNER CUTOFF YES ❑ NO C CONSTRUCT R c~..• NAM I SEE REVERSE SIDE FOR SPECIAL APPROVALS c v 6APPLICAl z NO. OF NO. OF NEW ❑ STORIES FAMILIES ADD ❑ E • ALTER Q REPAIR❑ OF( DEMOL$ APPROVALS DATE INSPECTORS SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LI,� t\`71, LATH, EXT. SIGNATURE OFK HOUSE NUMBER COR- PERMITTEE `` r� 0 44 '' RECT AND POSTED ADDRESS , Jil ,",4 ' FINAL IL JOHN F. LEWIS. PRINCJPASTRUCTURAL EN EER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. MO CASH 2 JUN 9 1 D 6.0 0- +T� I '6woss ew De •a a-55 PPLICATI®N F R BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUD EISS Department of County Engineer _. County of Los Angeles LOCALITY n WM.J. FOX. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN G/ �' �Z coNsr.T PE 1 � BUILDING / //�� C 'l //) MAP STATE ADDRESS 7 G- 4% 71611V T _ NUMBE-- " HWY YES NOS LOT NO. f BLOCK USE ZONE SPECIAL /r CONDITIONS TRACT '�" of — 2 NO. OF BLDGS. BUILDINGEXIST. SIZE OF LOT I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT EXISTING BLDG. / P. L. L� ��- M ''- li 6 7� SIDE MAIL OWNER /�1•i l/ '']` /�� /� p. L, ADDRESS 7 /�, 7 �� / y/✓H S C TRACT DWELL. i UNIT 5 INDUSTRIAL /gyp TEL. I DWELL. I UNIT CITY fifyn al-e ! NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN., ALT.. ETC. ENGINEER NO. 3 APT. UNITS ' 8 MISCEL. ADDRESS 4 COMMERCIAL TEL CONTRACTOR I/Y, �/��]AGUIV NO INSPECTION RECORD ADDRESS '71,F-2, ►'✓j L.'VALI T 1�r1' DESCRIPTION OF WORK NEW ADD / ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT APPROVALS DATE INSPECTORS SIGNATURE ADDRESS _ FOUNDATION: LOCATION $ P. C. $ FORMS. MATERIALS v 0 c FEE FRAME: FIRE STOPS. VALUATION $ �O_6 BRACING. BOLTS FEE FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE 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. SIGNATURE OF HOUSE NUMBER VCOR- PERMITTEE ' RECT AND POSTED � ADDRESS - ' FINAL ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR �., _ 2 0 WORKERS' COMPENSATION DECLARATION JIM hereby affirm I have certificate of consent to self insure,jor a certificate of Workers' Compensation Insurance, P L I CAT I T® BUILDINGPERMIT or a certified'copy thereof (Sec. 3800, Lab.C.) COUNTY OF LOS ANGELES BUILDING AND,SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN r ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING gai . I tion department. ADDRESS ,f Iv e Date Applicant CITY 1 ZIP Q LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST SIZE OF LOT NOW ON LOT' CROSS ST: COMPENSATION INSURANCE ASSESSOR �,�J �- (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK V-7C,7 + PAGE PARCEL hundred dollars ($100)or less.) TEL. ) OWNER M� NO, y USE ZONE ENO. AP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS - ECIALaNDITIONS so as to become subject"to the Workers'Compensation Laws. O CITY ' ZIP U Date Applicant, ARCHITECT OR TEL. p NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O ` CONST. ZONE H. Exemption, you should become subject to .the. Workers' r_ �s`�� -� w' ' Compensation provisions of the Labor Code, you must forth- ADDRESS �/ N with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO.• deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION ��v I CLASS NO. �o�'"DWELL. UNITS - I hereby affirm that I am'licensed under provisions of Chapter 9 ADDRESS SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION.. SQ. FT. NO.OF NO. OF CHECK License Number Lic. Class • SIZE I STORIES FAMILIES ONE D ❑ VALUATION DESCRIPTION OF WORK NEW Contractor Date $ Jr'. (� ❑ ADD 1 am exempt under Sec. ❑ . � ALTER ❑ - B.B,P.C. for this reason REPAIR $ Date: USE OF / EXISTING BLDG. f G DEMOL'❑ ;tip Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE "j-+Z 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS :4 FINAL Professions Code): PRESENT x; By rt,' 1L�1 1, as owner of the property, or m employees with BUILDING ='� " P P Y� YADDRESS ;:-�,•;•, i:� 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. PIP .❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- j ADDRESS -••, +- - tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETA-BACK YARD HWY TOTAL ROP LIINEFROM WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued I P.L. (Sec. 3097, Civ. C.). SIDE P.L:. Lender's Name 1 3 LDMA Ref. # P.C. Fee$ 7a' Permit Fee rY`�• -"" Lender's Address I certify that l have read this application and state that the I Issuance Fee 7 LDMA P/C# - - 3 above information is correct. I agree to comply with:all County Inve'sfigation Fee ordinances and State laws relating to building construction, Total Fee / �� / LDMA Perm. R andh by authorize epresentatives of this County to enter upo above-me coned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature'of Applicant or Agent Date 1,• WORKERS'COMPENSATION DECLARATION • r I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, APPLICATION F®R rLSWILDING PERMIT or a certified copy thereof-((Sec. 3800, Lab. C.) ,94 ,OaP-. Yd' �r r ',."' O, COUNTY OF LOS ANGELES I. BUILDING AND SAFETY Policy No. Company V Certified copy is hereby furnished. j FOR APPLICANT TO FILL IN BUILDING ADDRESS �►p Certified copy is filed with the county building irispec- BUILDING 17` / �� b,�c v�� [tion department. �Q ,. ADDRESS y� Y r/ J / y I Date SST f N Applicant sr�l �i�^'� CITY riot PLS C[T� ZIP 1 •) O J LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. 0001 (This section need not be completed if the permit is for onASSESSOR e hundred dollars($100)or less.) I TRACT BLOCK LOT NO. -�/ MAP BOOK PAGE PARCEL I OWNER /L/ fIi D v" Pt USEI ONE MAP I certify that'in the performance of the work for which this /�J NO. permit is issued, I shall not employ any person in any manner i SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS O Date Applicant CITY, ZIP NOTICE TO APPLICANT: If, after making ARCHITECT OR TEL.this Certificate of DISTRICT GROUP I TYPE FIRE CESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. �' Y CONST. ZONE P 83 Compensation provisions of the Labor-Code, you•must forth- ADDRESS 1J•�8 y/ �-1 with comply with such provisions or this permit shall be `� deemed revoked. CONTRACTOR '� ` TEL. STATISTICAL CLASSIFICATION AT. o No.3-3 Z LICENSED CONTRACTORS DECLARATIONL L LIC, CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 17 1!5- 7 rL CIS (r NO. I� (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 C 3 I BK PG VALIDATION C41( y HECK SIZE'1. Ov TORIIES ¢ FAMILOF OIES CONE License Number 4 7 Lic.Clas` VALUATION ,4 Contractor ��_1 j6 L)Date / DESCRIPTION OF WORK vl �D N/� 0'-47 NEW ❑ �) i I am exempt under Sec. �1 S• /C' hJ?sr y a j VIo ADD ❑ J 01111. ALTER ❑ B.&P.C. for this reason REPAIR ❑ is USE OF DEMOL Date: EXISTING BLDG. ❑ Signature APPLICANT TEL. K 'FINAL OWNER-BUILDER DECLARATION PRINT NO. !DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS ; Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or myemployees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered.for sale(Section ' LOCALITY 7044, Business and Professions Code). MOVING TEL. �, 6 2 A I, as owner of the property,am exclusively contracting CONTRACTOR NO. i ! # 0'a a o,o with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK x ��.o a 6 8 6 3 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o 0 0 6 a 6 3 26 the performance of the work for which this permit is issued P.L. (Sec.'3097, Civ. C.). SIDE 09. 14-88 P.L. Lender's Name IP.C.Fee$ Permit Fee �� LDMA Ref. # Lender's Address g I certify that I have read this application and state that the I Issuance Fee ��' �v LDMA P/C# oil, ? above information is correct. I agree to comply with all County Investigation Fee / ordinances and State laws relating to building construction, Total Fee �✓ 3 and hereby authorize representatives of this County to enter LDMA Perm.# ' I upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date �i WORKERS'COMPENSATION DECLARATION ; I hereby affirm that I have certificate of consent to self j P L I CAT ODN [DU DD ,U I L 1 PERMIT E RIM i T insure, or a certificate of Workers'Compensation Insurance, I�' ora certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES I BUILDING AND SAFETY Policy No. Company BUIL Certified copy is hereby furnished. .FOR APPLICANT TO FILL IN ADDRESS Y� Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 9667 Las Tunas Drive LOCALITY NEAREST Date Applicant cITY Temple City Calif e zip 3= 91780 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE" SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed.if the permit is'for one USE ZONE. MAP. hundred dollars($100)•or less.).. .' TRACT.. BLOCK LOT NO. NO. Hermine- HOVse. tan TEL- :SPECIAL,' I certify-that in the performance of the work-for which this OWNER p NO.`. CONDITIONS' Ba. permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY 0 so as to become subject to the Workers' om tion La ADDRESS 2514 Pearl Street CONST` ZONE CITY Santa Monica Ca. zip 90405 `�i CRv. ��"t 0 Date Ap STATISTICAL CLASSIFICATION APT. CONDO. u NOTICE TO APPLICANT: I, after aking this:Certi icate of ARCHITECT OR TEL. Exemption, you should bec a subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS d RIPRFZ� 4A Compensation provisions of a Labor'Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit-shall be Z TEL. VALIDATION deemed revoked. � CONTRACTOR NO. I BK. PG, 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 .001, LIC. .� Professions Code,and my license is in full force and effect. CITY CLASS $2- b SQ.Ff. NO.OF NO.OF CHECK License Number Lic.Class• SIZE ISTORIES I FAMILIES ONE pop .. • NEW.. $ Contractor Date DESCRIPTION OF WORK ❑ I am exempt under Sec. New sign on store front ADD ❑ .,_J ALTER ❑ .• FINAL ry 3 -4,��p B.BP.C. for this reason REPAIR ❑ DATE USE OFO e FIWAL Date: EXISTING BLDG. DEMOL ❑ By, Sigrioture AFPLpRINTT Roque Tomarchio TEL 285-0255 ) OWNER-BUILDER-DECLARATIONUcuoLuLiCLO D I hereby affirm that I am exempt from the Contractor's License ADDRESS 667 � 1, 'XiNNNy Temple C] Law for the following reason (Section 7031.5, Business and Professions Code.): PRESENT BUILDING 9667 Las Tunas Dr a, Temple City I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,'will do the work and LOCALITY Temple Cit County of Los An e s �8 9 6 1 p the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. i 'o a e o•0 1 ❑ CONTRACTOR n/a NO. I,as owner of the property,am exclusively contracting I , with licensed contractors to construct the project (Sec- __ 26 a 3'6.7 5 'tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. y �o 0 3 6.7 5_ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I I hereby affirm that there is a construction lending agency for FRONT �. 1, 1 1 -83 the performance-of the work•for which this permit is issued P.L. , iSec. 3097, Civ. C.).' SIDE v Lender's Name '' ',Zs P.C.Fee$ Permit Fee Lender's Address rI certify that I have read this application and state That the Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee 4- ordinances and State laws relating to building construction, Total Fee 75 9 and hereby authorize representatives of this County to enter upon the abo '--menti operty for ins on purposes. ! ! e019 SEE REVERSE FOR EXPLANATORY LANGUAGE ignatureent Date I ®s WORKERS'COMPENSATION DECLARATION p M I hereby affirm that I have r certificate of consent to pelf A P i L I�AT I I� F O , BUILDING PERMIT c insure, or a certificaI of Workers'Com ens tion Insurance, or a certified copy t ereof(Sec. 3800, Lab. ) - -' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company •• BUILDING Certified coy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ' Cedi ied.copy is filed with thocoun building inspec- [ADDR ING 1 ,//)� '/do epartment. ESS4415 41A 'Date Applicant Q e ZIP LOCALITYRTIFICi4TE OF EXEMPTION RKERS' OF BLDGS. NEAREST COMPENSATION INSURANCE F LOT OW ON LOT. CROSS ST. ✓1/�/ (This section need,not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL TE4. USE�ZONE No n /rt/i '^ I certify that'in the performance bf the work for which this R -Q r/ Com(/U ermit is issued, I sha not employ any per n in any manner jam�// G� SPECIAL so as scams su ect to, Worker' m ensation Laws. ESS f9- CONDITIONS CO e. pplicant ZIP O OTICE TO'A NT:'If, after maki g this Certificate of ITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED;BY b Exemption, you 'should become' subject to the Workers' ENGINEER NO. CONST. ZONE Comperisafion provisions of the Labor Code,.you•must forth- :ADDRESS ✓ �'�� V. J with comply with such•provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CO DO. deemed revoked., CONTRACTOR NO. f LICENSED CONTRACTORS DECLARATION LIC: CLASS NO. ZZi DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section`7000) f Division-3 bf the Business and / LIC SEWER MAP Professions Code, and my lic' e'is in full force and effect. CITY ✓ CLASS BK VALIDATION SQ. FT. NO.OF' NO.OF CHECK License Number Lic.Class SIZE STORIES FAMICIES ONE VALUATIO . I DESCRIPTION OF WORK NEW ❑ Contractbr' Dat' 74 F� ADD I am exempt un er Sec. ALTER ❑ $ B.BP.C. for this reason REPAIR ❑USE ' ate: X STOING BLDG. D yV DEMOL Q E] Si nature T APPLICANT t TEL FINAL �J g OWNER-BUILDER EC ION PRINT) e � DATE I hereby affirm that I am.exempt from the Contractor's.License, Law for the following reason (Section 7031.5, Business and' ADDRESS .9 FIN Professions'Code): PRESENTBY 4 BUILDING /� Er 1, as owner of the property, or my employees with' ADDRESS wages ds•their sole compensation,will-do the work and the structure is not intended or offered for sale'(Section, LOCALITY Q "7044, Business and Professions Code). • .. .1' MOVING TEL. 1, as owner of the property, am exclusively contracting I CONTRACTOR NO. with licensed contractors,to construct the project.(Sec- ADDRESS Tion 7044, Business and Professions Code): REQUIREDYARD HWY TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH 1 hereby affirm that there is a construction lending-agency for FRONT 8 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE / P.L. h o' Lender's Name / LDMA Ref. # a der `Fee t Lender's Address P.C. Fee$ > i J certify that I have read this application and state that the uance Fee r ; LDMA P/C#• ' # .-.4 above information is correct. I agree to comply with all County I Investigation Fee ; ordinances and State jaws relating to building construction,. I.. Total Fee :� LDMA Perm.# I o-0 2 8,5 0 u and hereby authorize repress tatives of this County to enter $ upon abentione roperty for inspection purposes. 0 0 0 2 5 0 U $ r ��_ 'I SEE REVERSE FOR EXPLANATORY UAGE ignatur - je' nt or Agent Date G/ f!f - ZZ Gf O I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508180046 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 132 SQ. FT STORIES TYPE 9667 LAS TUNAS DR STRUCTURE: 1700 VN TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-020-015 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: COMMS USE ZONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/18/05 JK 08/13/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL _A E FINAL BY: CODE: FANG YU HUAN;MEI CHU T (626) 215-3397- 5,000 2432 BALDWIN AV ARCD 910078305 FEES PAID DESCRI IO OF WORK T/0 & IN ALL WITH BUILT UP ROOF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: KWANG (323) 732-2700- AA BLDG PERMIT ISSUANCE 27.75 2418 WASHINGTON AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES 90018 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROOSTER ROOFING (323) 732-2700- 2418 W. WASHINGTON LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90018 831351C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109080001 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 132 I SQ. FT STORIES TYPE I 9667 LAS TUNAS DR ] I (STRUCTURE: 2800 V-B I TEMP CA 917802103 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-020-015 1 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: EXIST BLDG USE: COMME USE ZONE: C-1 (ISSUED ON: PROCESSED BY: 1 ] 1EXIST OCC GRP: 109/08/11 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: [FI NAL DATE FINAI, CODE: [ IMEI CHU FANE (626) 757-3229- 1 4,500 19667 LAS TUNAS DR. I ] `O�'1rY-1 1 ITEMPLE CITY CA 91780 I FEES PAID IDESCRIPTION OF WORK 1 I I (INSTALL TORCH-DOWN OVER EXISTING ROOFING 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: I I 1 ISU, CARMEN (626) 709-7866- IAA BLDG PERMIT ISSUANCE 27.80 I I 11428 AMELUXEN AVE. IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 1HACIENDA HTS 91745 ID2 PERMIT W/O EN-HC 4500.00 VAL 131.80 I 1 TOTAL FEES 160.60 1 [ ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 [SWIFT-MEND ROOFING INC. (626) 759-4289- I, 1 I 11428 AMELUXEN AVE. LIC. NO 1 ILOCATION AND SETBACKS I 1 I (HACIENDA HEIGHTS, CA 91745 918419039 1 1 I I I ISOILS ENGINEER APPROVAL 1 I ] (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ]SLAB/UNDER FLOOR [ I 1 ] I [RAISED FLOOR FRAMING I [ 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( [UNDERFLOOR INSULATION I I I 1150H269 3 001 1 ] ] I I I IFLOOR. SHEATHING ] I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: i I I I I [ 0 NO 22 i IROOF SHEATHING I I ] 1 SCHOOL WITHIN HAZARDOUS I I.SHEAR PANELS I I [ (AIR QUALITY: 1000 FEET MATERIALS [ ] I I NO NO NO I [FRAME INSPECTION 1 I I 1 [ [FIRE SPRINKLER HANGERS I I ] I I, (INSULATION/WEATHER STRIP] I I [INTERIOR LATH/DRYWALL I [ I 1 I I 1. 1EXTER�OR LATH ] I 1 IRATED FLOOR/CEIL ASSEM. 1 I ] 1 1 (RATED WALL ASSEMBLIES I I 1 I I 1RATED SHAFTS/OPENINGS-1 I I I ] IT-BARICEILINGS I 1 1 I I I I ] [LOT DRAINAGE 1 ] ] ] I ] 1 [REPORT ID: DPR261 ROUTE TO: BS0508 I 1 1 1