HomeMy Public PortalAbout9642 LIVE OAK AVE_Building__ 76At-38A CE 11803 4/72
- = APPLICATION FOR, BUILDING PERMIT f�
COUNTY OF LOS ANGELES ASSESSOR .
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING ( • cr
BUILDING AND SAFETY 'DIVISION ADOREss �� . '. �l �
MAKE CHECKS PATABLE "l0
HARVEY T. BRANDT, COUNTY ENGINEER ��?1 ~
LOCALITY /je /7y 0
FOR APPLICANT TO FILL IN NEAREST I Z
Prrnt ort a onl CROSS ST. {,�j /� �;i� / rj-vn. w
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BUILDADDRESS
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STATISTICAL, CLASSIFICATION SEWER MAP'- Q
LOT NO BLOCK w
CLASS NO. � � DWELL UNITS BK, IJ
TRACT ,i5ho, l UI PC&esr USE ZONE MAP
NO.
'OF BLDGS / NO. r-
SIZE OF LOT "� / /i}( NOW ON LOT / SPECIAL Q
USE OF ,I u� „ CONDITIONS �y
EXISTING BLDG, f[
• J
` �>7t�� TEL. _' Q
OWNER b NO 'p' BLDG.SETBACK FROM
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_ TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL 0
CITY L -4 I° CR HIGHWAY WIDTH FROM C L Z
ARCHITECT ORTEL._ A&� 56
s(' t (`
ENGINEER .FAASk_FC ,SejV_ L 3 "" NO. 3$ � 2 BLDG,SETBACK FROM , >-
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TEL. " TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL U
HIGHWAY WIDTH FROM C.L.
CONTRACTOR NO O
LIC
ADDRESSNO + W
LIC = N
CITY CLASS CORNER CUTOFF YES -E NO ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SID_ E FOR SP IAL APPROVALS
ADDRESS
SQ FT NO OF NO. OF NEW
SIZE STORIES FAMILIES �J
USE OF '�... .�/ J ADD ❑ I 73
STRUCTURE
REPAIR❑
SIGNATURE OF'
APPLICANT DEMOL ❑
VALUATIONAPPROVALS - - DTE INSPFj TOR'S 5 GNATU RE
P.0 - PMT FOUNDATION: LOCATION
FEE $ FEE $ a� 00 FORMS, MATERIALS-
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ION' 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
STR UC TION I CERTIFY!, T IN DOING THE WORK HORIZED
HEREBY 1 WILL NO PL ANY PERSON IN VIO 10 OF THE
LABOR CODE OF THE QST TE OF CALIFORNI N R ATING!TO LATH, INT
WORKMEN'S C PENS N IN ANCE
LATH, EXT,
SIGNATUR OF - HOUSE NUMBER COR-
PERMITTE _ RECT AND POSTED
ADDRESS '-r " — �Cf
FINAL - v'G, •' � ` •
PLAN CHECK VALIDATION QK 1A O CASH PERMIT VALIDATION�.M O CASH,
046 � � APR10`� 3 D 138.600
'- J JUL D 2. 3 1 .0 U
DIVISION OF BUILDING AND SAFETY
Department of County Engineer ! IJ I L ® I N
County of Los Angeles
-'� ;WM. J. FOX, COUNTY ENGINEER .. APPLICATION ,
POR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/ DISTRICT NO.'., PLAN�jCK. DR REcc..Na. J� PERMIT NO.
BUILDIN
ADDRESS 9G 42, F.L 1✓E Q -K A-VaL �� � - / / � J "�'4 cz,5 ie
RECEIVED BY DATE OFAPPL. DATEEIISSUED
LOCALITY -J-ac "13!_pr C'r � ('�LLI rs• //– a.f�-53
NEAREST
CROSS ST. SUILDIN
ADDREBB . . p a
owNER ( Y 101 I S'I'R�2
MAIL LOCALITY u\ :
ADDRESS ��G����L �/�r -)Air &V P—. NEAREST
TEL CROSS S . 1/� I
CITY NO. FIRE �J TYPE J I QB.C�P
ARCHITECT OR TEL
ZONE PLANS
!/
ENGINEER V � �PNO. QU-7-32-)/ BLDG. 20 OR N
SETBACK LINE i 1
ADDRESS cl L L D. UBE �J /� 'APPROVED
TEL ZONE/1 'I7 BY
CONTRACTOR NO. 'r
SO 14• Iil�a�j vHIMBERIND
ODD
ADD 8 � MAP NUMBER NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. 2.Q-Z.S BLOCK
TRACT AR.ISSIOPI mw kcP-ES '
I NO. OF BLDGIL j
SIZE OF LOT /'�SiC 'Y r I NOW ON LOTUBE OF NO. 4—/
EXISTING BLDG. Gt-i Ct?. I F MIL E• I `r �' e,e�i ,�„e q �(v
DESCRIPTION OF WORK ��J �f�'J rJ
NEW X I ALTERATION ADDITION '
REPAIR —rrDEMOLITION /
FT. NO.Or
SIZE ,- —ROOMS 4:�, STORIES
EXT.WALLROOF
COVERING A M COVERING O
USE OF STRUCTURE
C p ► s�5
. i
INSPECTION FOR APPROVALS `
OCCUPANCYAS INBPECTOrtSSIGNATURE, DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATIQN AND STATE THAT THE INFORMATION GIVEN IS,' FRAME: FIRE STOPS •rY-JLr
CORRECT. BRACING,BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 5�
AND STATE LAWS REGULATING BUILDING CONBTRUCTIDN.' FULOCATION,
GAS VENT,
CE: DUCTS
319NATURE OF �/�Jj� �/fr_ Q (J�.+ LATH, INT.
E
PRMITTEE CC�AJ!i. V/VJ.r9ilawl�. /! �ra�u•�L :{
1�/ lt/.c.rar�.e+ir �.P_A.(_
ADDRESS. LATH, Mr. '
�� �J i- ( PLASTER, INT. 1��
AUTHORIZED AOT-•--�C,•Ka-! %T�
ip PLASTER. EXT. K u
FCC S ® HOUSE NUMBER COR- 7
RECT AND POSTED
VALUATION FEE s /� -i FINAL
7GA63BA DBS 3 1-51 - L
_-A
76A898A 088.9 9-5
A T' ' A _.-i G *. MIT OP41 Fs
V
DIVISION OF BUILDING AND SAFETY BUILDING
ADDRESS
Department of County Engineer
County 'of Los Angeles LOCALITY
WM.J. FOX. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO GROUP SEWER MAP, '
FOR APPLICANT TO FILL IN 9 I coNsr. I BK Pa 'j,�. a . F E .ve: F z
BUILDING MAP STATE
ADDRESS eR1 �e:; ,lt�"i�Ca "i.fQrnidy}Y? NUMBER HWY YES, O s
� y
LOTNO. `jYc -149' lffi.ff `OIr
IOt$"'FZ���µ "' c23 USE ZONE SPECIAL
jJ//T1
CONDITIONS u
TRACTFw-
SIZE OF LOT 447.09`x446.71 INOW ON LOTS 4 BUILDING YARD HWY STREET NAME "EXIST. Q.
SETBACK WIDTH
USE OF J
ITU C FRONT �� ` Q
C
EXISTING BLDG. P. L. too
OWNER Westminster Presbyterian Church P.L .�
MAIL
ADDRESS 9642 E. Live Oak Avenue
p O TRACT DWELL. 1 UNIT 5 INDUSTRIAL
AT 7-1(gyt DWELL. 1 UNIT
8 ,a
CITY Temple City NO,• 6 PUBLIC BLDG. <
w
ARCHITECT OR TEL 2 DUPLEX 1 UNIT 7 ADDN.. ALT.. ETC. m
ENGINEER C L Senefeld NOD U 73271 3 APT. UNITS S MISCEL-
ADDRE36' 3142 Wilshire Blvd. L.A. 5 4 COMMERCIAL a
CONTRACTOR Pending Trio' '�tt INSPECTION RECO,JRDq- t j
ADDRESS J•'J''r�i�&� '� LNSA. ..�'t, .fid , �� 'f-F n .0
DESCRIPTION OF WORK q
NEW ADDX ALTER 'REPAIR DEMOLISH ��1 �r gyp." -�/ -,j A! �"�J' -• 6'
S ZE 7,488 S 60
NT FAMILIES #�{.
USE OF STRUCTURE r
Religious Educafinn 0 mm/(j
rou
SIGNATURE
APPLICANT _ APPROVAL'S -
,ADDRESS, DATE INSPE,CTOR•SSIGNA RE
�000.00 FOUNDATION: LOCATION
80 _
v P. C. ffi �J FORMS. MATERIALS 1�7 q 'L� r� -
FEE C FRAME: FIRE STOPS.
Pte, . BRACING.BOLTS
VALUATION FEE SIEy FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT,1 HAVE READ THIS
GAS VENT, DUCTS D
APPLICATION AND STATE THAT THE ABOVE IS CORRECT 4 I
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. (9 /.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH, EXT.
t
SIGNATURE OF - HOUSE NUMBER COR- n
PERMITTE RECT AND POSTED U
ADDRESS FINAL
-z�-
WM.J. FOX.COUNTY ENGINEER VALIDA ION c. N. DIRLAM.CHIEF p�p INSPECTOR
,29.06 MAR 25 7 3 92 .75_ AN
LACo D,_1 8 5 .51,") IL,
76A638A CE 4803 4/72
APPLICATION FOR BUILDING -PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL Jjt
BUILDING AND SAFETY DIVISION BUILDING _ v_
MAKE CHECKS PAYABLOTO ADDRESS (!J !� ce
HARVEY T. BRANDT, COUNTY ENGINEER r/
LOCALITY '�/����� U/7/
�
FOR APPLICANT TO FILL IN . NEAREST _ (f ' o
(Print or tvDe only) CROSS ST {f /�� ` Z
��
BUILDING _ OIS�ICT NO. GROUP TYPE r �P_EO..CESSEDIBY W
ADDRESS _. L[ve ` _ I J�`0 .[- - CONST, 1! i"� � a UZ
STATISTICAL CLASSIFICATION SEWER MAP /'
LOT NO BLOCK - CLASS NO. DWELL,UNITS BK/vt PGI;Jt(� w -
TRACT ISS(p/V !/�/ C�LLijUSE ZONE "MAP 7� V
/i/� -` N NO:OF'BLDGS. NO. 7�` w
SIZE OF LOT rL' J( NOW ON LOT �.- _ j
SPECIAL
USE OCONDITIONS
EXISTING BLDG. 2G [
11 g J
OWNER O ! _ BLDG.SETBACK FROM Q
ADDRESS t62 E'er �( �, FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
/ HIGHWAY WIDTH FROM C L. - -
CITY Lss-� Com!! 1� /(J/�f��4114 -��77 > - 0"1
ARCHENG NIEER�RSLGIC SENA E f/�SSIl.NOL3d'/'3�7 :�t�i'f)� + 7 = v(� Z
BLDG SETBACK FROM _ _ _ 0�..-
ADDRESS (`C� /,3[�.1�` ,�r�� �� SIDE PROP. (STREET) CC),
_ TEL .31
TYPE OF EXISTING SETBACK- HIGHWAY } YARD = TOTAL
CONTRACTOR NO, - HIGHWAY WIDTH FROM C.L. CD
ADDRESS NO t = W
LIC. c'
CITY CLASS CORNER CUTOFF YES ❑• NO ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERS_ SDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT, TOO NO OF NO. OF
SIZE STORIES FAMILIES_—r NEW
USE C c ,��JJ ADD ❑ r
STRUCTURE I vL /rJ
ALTER.❑ /
SIGNATURE OF � REPAIR❑
APPLICANT L_ DEMOL ❑
��77 �[n P,RO ALS DATE INSPECTOR'S SIGNATURE
FEE $J^1)6� U PMT. FOUNDATION- LOCATION
FEE S FORMS, MATERIALS
FRAME: FISTOPS,
I 'HERE BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE• LOCATION, -
WITH-•ALL,:OR DINAN C ES AND LAWS REGULATING- BUILDING CON- GAS VENT, DUCTS -
STRUCTION ,I-CERTIFY 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 LATH, EXT, -
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
FINAL-
PLAN
INALPLAN CHECK VALIDA if, /C K' M O CASH PERMIT VALIDATION CK MO CASH
j��1�' O4 �� frs 11 3 0 21 0.60
' d ,
76A636A CE 6032-63 APPLICATION FORBUILD-ING ,PERMIT' .
COUNTY,OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER, ADDRESS
BUILDING 'AND SAFETY DIVISION LOCALITY Q
JOHN A. LAMBIE, COUNTY,ENGINEER NEAREST.
WILLIAM A JENSEN, SUP T OF BUILDING - CROSS ST
--DISTRI ,N GR UP TYPE' P ESSED,BY
FOR APPLICANT TO FILL IN r coNsr L,G;j Y
BUILDING '('t 1 �.; STATISTICAL CLASSI .CATION •,— SEBKR MAP
ADDRESS "� Y (�•�-
/f,✓/ CLASS NO ` DWELL UNITS h
LOT NOyyry i • �L3 WATER
:CERTIFICATE NOT REQUIRED 'RECEIVED
TRACT ( i 'f' 1'2�: �•C I 'MAP HIGHWAY r
_ NO OF BLDGS NO i' �� (CIRC LEI STATE MAJOR SECOND, OCA J\
A
'SIZE OF LOT NOW ON LOT USE ZONE SPECIAL}
.USE OF, QONDITION '
_ EXISTING BLDG -
` TE '-
OWNER, \ _ ` V, EU'.
- - BUILDING: IEX113T
_ SETBACK YARD WY EET r I E �, WIDTH `
' •-ADDRESS Cx.�b\/ e - FRONT 1
ARCHITECT OR TEL _ P L- _
ENGINEER • NO L SIDE
. - - P L -
ADDRESS' TEL
• - Q
• CONTRACTOR �LO V� ,i NO '3-'(o�S
�j{ADDRESS
DESCRIPTION OF:WORK a
EW ADD ` ALTER REPAIR. , DEMOLISH , - - - Z
Y
SQ FT -NO OF NO ,OF
At
'
SIZE Al - STORIES, FAMILIES _
USE OF-
STRUCTURE
SIGNATURE OF ,
APPLICANT - r
r Op „
-VALUATION
�j -�.y FOUNAPPROVALS - DATE I NSPECTOR'SrSIGNATURE _
'FEE $ �'�;•' _'
,FEE $ �` DATION LOCATION-
y 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 I DOING THE WORK _ -
-AUTHORIZED HEREBY 1 WILL NOT EMPLOY A Y PERSON IN VIOLA- LATH INT
TION OF THE LABOR CODC F THE°STATE LIF NIA RELAT-
INGTO WORKMEN'S-COMPS ATI N INSURA - UATH,EXT
m SIGNATURE OF, HOUSE NUMBER COR-
PE R TTE ct RECT AND POSTED
ADDRESS FINAL
_
-` JOHN F LEWIS PRL INCIPAST 'URAL ENGYNEER
_ PLAN CHECK VALIDATION �r / PERMIT VALIDATION CK M G CASH
7 5-0.1-0 19 4 4 D .JU
76A 6'i8A CE #8 03 1/7.1,
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS .ANGELES ASSESSOR
- DEPARTMENT OF .COUNTY ENGINEER MAP^BOOK PAGE PARCEL
BUILDING AND 'SAFETY DIVISION BUILDING
ADDRESS
COLEMAN'W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or a only) CROSS ST /y /.�• � L r
DISTRICT'NO. GROUP TYPE PROCESSED BY-
:BUILDING /� - - f CONST, t
ADDRESS r
STATISTICAL,CLASSIFICATION SEWER MAP
LOT NOBLOCK - - I
CLASS NO DWELL•UNITS MBK PG
TRACT = USE ZONE MAP "
NO.OF BLDGS NO d
'SIZE OFjiL�tfT- NOW O• LOT - •SPECIAL -
USE OF CONDITIONS-
EXISTING BLDG
OWN NO.-' Od -- BLDG.SE•TBACK'FROM
FRONT PROP.-LINE OF (STREET)
ADDRESS
_ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C L.
ARCHITECT OR" TEL + _
ENGINEER NO... BLDG SETBAC
ADDRESS _ - SIDE PROP LINE OF. (STREET)
TEL TYPE OF EXISTING SETBACK `HIGHWAY YARD = TOTAL O�
CONTRACTOR _ NO HIGHWAY WIDTH FROM-C.L V
LIC:• '
ADDRESS NO _ • + - O
-.F-
CITY - CLASS _ '.CORNER CUTOFF YES El CLASS ❑ d
CONS TRUCTI ON'LENDER Z
NAME AND BRANCH r SEE E ERSE S E FOR SPECIAL APPROVALS
ADDRESS '
SQ FT NO OF NO. OF _ NEW ❑ .�
SIZE STORIES _ FAMILIES -
USE OF '• ADD ❑
STRUCTURE
ALTER
REPAIR❑
SIGNATURE OF
APPLICANT ® DEMOL ❑ ,
VALUATION $ APP,ROVALS • ATE dNSP, oa's SIGNATURE
P,C PMT m p FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS -
FRAME: FIRE STOPS; /Z
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING'BOLTS 6
AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY- FURNACE' LOCATION, ,
WITH ALL ORDINANC)ES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION 'THE LATH; INT -
LABOR CODE-OF THE STATE•OF CALIFORNIA IN REL
ATI G TO ,
WORKMEN'S COMP SATION INSURANC
• ` LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT A'ND POSTED i
ADDRESS - FINAL
�T
• JOHN F LEWIS PRINCIPALS CTURAL ENnrA.H
R
PLAN CHECK VALIDATION cK M O CASH _ ; PERMIT VALIDATION K M O
M
DIVISI OF BUILDING AND SAFETY
l�pdAment of County Engineer im-U I L ® I G
County of Los Angeles .2
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN ; FOR OFFICE USE ONLY
DISTRI�, 'NO. PLAN CK. OR Rec.No. � R IT Nlx
BUILDING z - 'f/
ADDRESH
.,.'.-cM •BY DATE OF APPL _ DAVE IBSU
LOCALITY 4 G1 (�\r �✓' j+''-
CROSS BT.. '�NEAREST ���"� ' ` tV�. - - BUILDING Aq ��+
ADDRESS
OWNER v�J ST 1NSrER Tt•�58 7�R/AN C.�� —� � .
C� �/ /� /� LOCALITY
MAIL /!
ADDRE.. /6 7 2_ L I VI- -4) AR R /`1 j� NL°AREST C,.Cr"f/
CITY TEMPLE I TEL
CROSS BT.
NO. FIRE I NO.OF - TY GROUP
ARCHITECT Rye, ft IN
EL ' ZONE; PLANS -
ENGINEER l�iGn1BI��s DO. BLD O. r ORD. NO.
ADDRESS 1 T'4
e. U Gt t,H: SETBACK LINE
-
USE 01APPROVED '
((]]M TEL ZON / BY DATE
CONTRACTOR 5 Am JE
NO. HOUSE NUMBERING .-
ADDRESS MAP NUMBER - NO. ASSIGNED BY
LEGAL
DESCRIPTION LOT NO.21%f'2`5 BLOCK CORRECTIONS
TRACTussivyq UjEw RcIZEs '—RALt - .
NO. OF BLOMB.
SIZE OF LOT.* _ NOW ON LOT _
USE OFO[l S F NO. OF 4 1
.EXISTING BLDG. FAMILIES
DESCRIPTION OF,WORK 9
_ r
NEW ALTERATION ADDITION _ n
REPAIR - DEMOLITION m-
BQ•FT. NO.OF
SIZE` ROOMS STORIES
EXT.WALL I ROOF
COVERING _ - COVERING
USE OF STRUCTU
HOUSE 4 66E TO 6E canlvtkTED
TO o E Ab T
t INSPECTION FOR _ APPROVALS,
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS. MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIG AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. - BRACING,BOLTS
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' FURNACE: LOCATION,
AND STATE LAWS REGULATING-BUILDINO,CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF �/�rj1�jj �/sT1I; PI1DD-c cN1)j?f-4 LATH, INT.
PERMITT
LATH, EXT.
ADDRES
?s�
AUTHORIZED AOT. - � PLASTER, INT.
PLASTER. EXT.
- ,� P.C:$ ' I -
fj-0 FEE' HNUMBER COR-
RECT /
Q( RECT AND POSTED
VALUATION FEE �j� FINAL '
b4^' ,
76AS38A DBS 3�_I-84
DEPARTMENT OF BUILDING AND SAFETY T APPLICATION FOR PERMIT
A COUNTY OF LOS ANGELES ® �
WM. J. FOX. CHIEF ENGINEER
!� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO:�
BUILDING . g � //////
ADDRESS ' '!�' rr. �
LOCALITY �.� RECE VE BY DATE OFAPPL. DATE ISSUED
NEAREST 10 � •_"' m
CROSS ST.
NG
.OWNER J
ADD EISS J L
MAIL //�� I LOCALITY
ADDRESS A�- ,�', i, t V P� 014 Im At 1-0
w
NEAREST / 4
TEL. CROSS ST. !
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE �••"�" PLANS ,
ENGINEER NO.'
BLDG. _ _.. ORD.NO.
ADDRESS SETBACK'LINE
��11//��..//� p/nO��� ��[ T • TEL APPROVED
CONTRAwg'4- e 4I -re). NO.� s e s'�a "BY ""'� � Y DATE '
q- USE _ APPROVED
ADDRESS aa7 'AZ A I As& , ZONE BY. DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. 2 BLOCK /s
TRACT G�� 4-.0e6 S
AC �►
NO.OF BLDGS. _ AA6e
SIZE OF LOT I NOW ON LOTA076-i- B RTI 7/Oev a1
USE OF NO.OFNO.OF I_
EXISTING BLDG. _ FAMILIES ROOMS h _off d
DESCRIPTION OF WORK c4�4a T-rs s e�Q -s I A-,L-
NEW ALTERATION V ADDITION I3.T Ogi @
REPAIR MOVING DEMOLISH U, „Q � /,(�,.n�q //•P/7d�J" �e�.S�' /� A�
S4•FT. NO.OF Z
SIZE ROOMS STORIES -S IQ two,e 4. D
WALL ROOF _ . r
q
COVERING @ I COVERING CQUSOF
'y+.� � p
r
BUIL I N G W T D 0 P,
� 6E � /Qp IA► I•/Vp�OtOi � .
ej T; s {
�( e to e o ArS r12
Pa A,Ir PvJQ p d
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE
,rte FORMS,MATERIALS
AND STATE LAWS I;EG T5pGBUILDING CONSTRUCTION. FRAME: '
STOPS,
SIGNATURE OF
Il(/ BRACING,,BOLTS
PERMITTEE CAJ 'LATH, INT. 7
� U
AUTHORIZED AGT-
I LATH, EXT.
76A63BA 9-413DBS-3 50M SETS P.C. PLASTER,INT.
FEE J / PLASTER,,EXT. _
VALUATION , - FEE �� `'' `� 'FINAL [.�u l� �
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® U I `, I N
WM. J. FOX. CHIEF ENGINEER )
FOR APPLICANT TO FILL, IN- FOR OFFICE USE ONLY
r y _ DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING �� b -�
ADDRESS
� 7
1
LOCALITY RECEIVED BY DATE OFAPPL. DATE ISSUED
�
NEAREST - QV +
CROSS ST.
BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRESS NEAREST�
V EL. CROSS ST. d /�, -.41Q
CI Y O.
FIRE } NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONES- - PLANS r
ENGINEER NO.
BLDG. - - ORD.NW
ADDRESS SETBACK LINE
APPROVED
TEL. BY DATE
CONTRACTOR NO. '
USE APPROVED �
ADDRESS ZONE -�' BY DATE
LEGAL - Z r CORRECTIONS '
DESCRIPTION I LOT NO. BLOCK '
TRACT
NO.OF BLDGS. • _
SIZE OF LOT I NOW ON LOT -
USE OF NO.OF NO.OF '
EXISTING BLDG. FAMILIES I ROOMS - - - - -• - --- - -
DESCRIPTION OF WORK, l s
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISH
Sq.FT. NO.OF - - Z
SIZE ROOMS STORIES D
WALL ROOF - _ i•' s r P
COVERING I COVERING
USE OF NEW �s y� - - t.
BUILDING
13 Ao o e JQ J /e 14-6 IJ_S E
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 STOPB,
SIGNATURE OF / BRACING,BOLTS
PERMITTE 1 LATH, INT.
AUTHORIZED A LATH, EXT.
76A638A 9-48
DBS-3 SOM SETS $ P.C.$ PLASTER, INT.
FEE PLASTER,EXT. ,
IS
VALUATION FEE O�'Cj - t FINAL ����
1 1-1119
r DYYISION'OF•BUILDING'AND,`SAFETY l�' �' }
.�' Department of County Engineer cL "'` - `
County of Los Angeles r'1 " .-? I
-WM.•J.•FOX,-00WNTY•ENGINEER+ —'v��' APPLICATION•- r
•FOR•APPL'ICANT-TO'FILL••IN- :FOR-OFFICE-USE-ONLY-
y
01BTRICT D. PLAN CK.OR R¢D.No. PERMIT.ND.
BUILDING _ �,,,�•d� �rroq s
ADD EBB _ 7 6a•� �_,
LOCALITY T�,M TLL'�' Ty Y DATE OF APPL' AT9UED
1'('EAREST p m fF 4 1 I: •.
RQSHBT.`• i..rl p/T-.- y /� n, /� �+ BUILDING q �i �+
OWNER ' EA'r i i NS reg WL.SBYmjAN \�UR�• .ADDRE88 =� ~"�° �v -L� °�+/lb
MAIL1 V�� LOCALITY
ADDRESS 7 L l Up- �� 11REST'
_ CRCSB ST.
cITY T&i�11��f CIT __NQ.Lr \ FIRE I NO OF TYPE. GROUP
ZONE PLANS
ARCHITECT Q � , TEL
—ENGINEER f 'J/��JnBK O� N0. Jgp 0,Lre(.4-ir� BLDG. ORD. NO.
Usry� 0)(.3 e.
SETBACK LINE'
ADDRESS /(L�� h USE APPROVED
'CONTRACTOR F fit' T• �' / ZQNE� -/ BY ' - DATE
NO, /`/. HOUSE NUMBERING
ADDRESS �T � 967 ,/' MAP NUMBER � NO. ASSIGNED BY
LEGAL
DEBQa1PTIDN LOT NO. f _SLOCK-__'� CORRECTIONS
y�, n Ap i/ S L
TRAQT/i/ 1) Ar— C Ss11�W Ar— � .
NO. OP BLDrae. q/ Cc�o ��fJui®.a.y ALL 7-L71
SIZE OF LOT NON I W OLOT "� _�FF �yg "'" Z � ,, STe�G /�� •G
USE OF n DU SE 'we C;ARAGENO. OF 1 1 ,
EXISTING BLDG.DESCRIPTION OF WORN FAMILIHB � Z �, G �J 14x26'' G7✓a��-� .rt�'o Q
' A
NEW ALTERATION ADDITION D
r
REPAIR DEMOLITION ® ^x �'op •� �,
SQ•PT•. NO.OF �7
SIZE ROOMB STORIES �'� LT �,Lr7
EXT.WALL ROOF
COVERING
USE OF STRUCTUR '
RP►6F Ttl Bc_
TO USir AS -TP-TQ?09ARY 99NDfa"ti/
Com�--- ✓-
INSPECTION FOR. PPROVALS
OCCUPANCYAS -f/L•o ell, INSPECTOR1B810NATURE DATE
' FOUNDATION: 66CATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS=1
PLICATION AND STATE THAT THE INFORMATION GIVENIS{ FRAME: FIRE STOPS,
CORRECT. I BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING tCONSSTRUCTTION.t GAS VENT, DUCTS
SIGNATURE OF/WESTI�IIJFS L �•�° n.�FLDC}if LATH, INT.
PERMITTE
e- LATH: EXT.
ADDRE54B Ziba OA- TFamP)_E G
`' ^ PLASTER,,INT.
AUTHORIZED AOT A S'
PLASTER, EXT.
0 /,ej ' FEEE — HOUSE NUMBER COR-
RECT AND POl3TED t'
VALUATIO
- PEE � �..�+.:.;., FINAL
7SAA638A DSS 3 1-52 rl. r
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT '
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER - BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY.
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY ♦ w / RECEIVED BY DAJTE OF APPL. DATE ISSUED
NEAREST ��P✓G� �+ ' �f �� ! ,
CROSS ST.
4
BUILDING
OWNER t-fI ADDRESS t6.�'12
ADDRESS ,2 L / 'Z LOCALITYNEAREST
//' • ` I
TEL. CROSS ST. C d♦N? S► f
CITY NO.
FIRE NEI.OW TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS �-
ENGINEER O.
BLDG. �...�•' ORD.NO.
ADDRESS a SETBACK LINE
APPROVED
p ��f•(� TEL. BY DATE
CONTRACTOR _d`o NO.
USE _/ APPROVED
ADDRESS ZONE BY _ - DATE
LEGAL ' �' CORRECTIONS '
DESCRIPTION LOT NO. .� BLOCK
TRACT / �0� C 41, A. 46 Pe s
NO.OF BLOBS.
SIZE OF LOT Ac f-4-1 I NOW ON LOT S
USE OF ��g I m'4frCNO.OF / NO.OF ,
EXISTING BLDG. ♦ FAMILIES ROOMS
DESCRIPTION OF-WORK
NEW ALTERATION - I ADDITION ,.r O
REPAIR MOVING DEMOLISH 7 A
O_
Sq.FT. NO.OF +I - Z
SIZE .�OD� ROOMS - STORIES I-D
r
WALL �` ROOF --
COVERING Scc1I QA GQ I COVERING
USE OF NEW b f
BUILDING {, I • 1-14 5b
—�,
l.t
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT INSPECTOR DATE
FOUNDATIONc LOCATION
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING'BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTE ) LATH, INT.
AUTHORIZED A '� �, ! 1 d;r�
LATH, EXT.
7GA638A 9-48 PLASTER, INT.
DBS-3 50M SETS $ P.C.
FEE PLAHTE R,EXT.
1069, 4)-d -
VALUATION FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELESmoU ' ® ®®
WM. J. FOX. CHIEF ENGINEER LI ® ' N
FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
SS /J
BUILDING 5--1 JI � '5' 3�
ADDRE
1
LOCALITY RECEIV9D"BY DATE OFAPPL. DATE ISSUED
NEARESTI
CROSS STiIf
® '
BUILDING
OWNER ADDRESS G -
MAIL -{' ` •LOCALITY
ADDRESS cL
t
NEAREST.
TEL. �,•�, CROSS ST. f /J
CITY . NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR V TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD.NO
ADDRESS SETBACK LINE r
APPROVED
TEL.
CONTRACTOR NO. BY DATE •
USE APPROVED
ADDRESS ZONE BY DATE
JA
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. ru ! BLOCK
TRACT F' , �
NO.OF SLOGS.
SIZE OF LOT I NOW ON LOT
USE OF I NO.OF I NO.OF "
EXISTING BLDG. FAM iLIES
ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION ^
O
p
REPAIR MOVING DEMOLISH \4� �
S4•FT. NO.OF Z
SIZE �� D ROOMS STORIES D
' WALL ROOF � '
r
COVERING COVERING
USE OF NEW
BUILD] 4 A A p
I 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.
r FRAME: FIRE BTOP
B,
SIGNATURE OF BRACING,BOLTS
PERMITTEVOy1 I /,
LATH, INT.
AUTHORIZED AGT LATH, EXT.
76A639A s-aa PLASTER,INT.
D85-3 SOM SETS $ / P.C.$/ J{\ FEE PLASTER,EXT.
VALUATION VV FEE FINAL
i
TEMPLE CITY
7/Ae3eAca#e03 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 13UI EIN c
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY = i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
DISTRI T NO. G TYPE SSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING '�` /' //)✓F �E�fiL� STATISTICAL CLA SIFICATION S ER MAP
ADDRESS PG
CLASS NO DWELL UNITS
LOT NO��� .�/� TS �� EiLSBLOCK WATER
CERTIFICATE NOT.REQUIRED RECEIVED
TRACT M!�'F O ,E FS :646T MAP �� HIGHWAY
�/ NO OF BLDGS �j NO ICIRCLEl STATE MAJOR SECON OCAL
SIZE"OF LOT y/ Q Y(p 7 NOW ON LOT �7 USE ZONE SPECIAL
USE OF EL � CONDITIONS n
EXISTING BLDG., C/1����
OWNER E�f "vs- "B /Cw/ TO. 9 ,
BUILDING EXIST
SETBACK YARD HWY 431TET NA WIDTH
ADDRES b Yi� F,�IVE�fI!( E F.IJP,Ct(./T SII' FRONT
ARCHITECT OR TELP L
ENGINEER NO SIDE
P L
ADDRESS
CL
TEL. INSPECTION RECORD �' 0
CONTRACTOR NO. I
GC
ADDRESS O
DESCRIPTION OF WORK W
a'
N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ FT. NO OF i
IZE STORIES FAMILIES
USE OF
STRUCTURE ®/F;cIdE
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
PC 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
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE
/ LATH, EXT E /
SIGNATURE OF Lotti C mus. HOUSE NUMBER COR- //�
PERMITTE RECT AND POSTED / "I ��w
�ll//ADDRESS ""` FINAL �(/ ,
CLYDE N. DIRLAM,'PPRINCIPAL STRUCTURAL E R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.. M.o. cAaH
Ufo7 5,3 '0. JAN 29 1 D 2.00
?" APPLICATION FOR BUILDING PERMIT-
FOR APPLICANT TO FILL IN (P,iar or rvpe'onlY)
BUILDING - COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
/' BUILDING AND SAFETY DIVISION
CITYf'L (� 7 ZIP
{� QQf, NO OF BLOGS, BUILDING
SIZE OF LO 7t? �7 I NOW ON LOT ADDRESS
SS/LfM/ NGG
TRAC LOCK LOT NO LOCALITY -
TEL `9 NEAREST
OWNEP�j�J JiA�/,�%/Jff -�� .�. _ ! CROSS STASSSSOR
-
ADDRESS ,(r LIo�C�9-� , MAP BOOK PAGE RCEL
/7-[- DISTRICT JGROUP,,JTYPE FIREIE �I/ T ZIP �� CON!I ZONE
-CITY —y�-
ARCHITECT OR TEL,/ ,(� M
ENGINEER r /.f/A/FPTS' NO '/�C/" ��7-/ STATISTICAL CLASSIFICATION
-AS I - JA7B
WER MAP
ADDRESS Z a,`' �/�/K CLASS NO. �_DWELL UNITS IZ PG _
L.
CONTRACTOR OetiNF` - N0. USE ZONE MAP
LICNO pOH
ADDRESS - NO - SPECIAL
LIC, CONDI TIONS
CITY CLASS
- RO DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BG SETBACK FROM �.
F ONT PROP LI NE OF (STREET), n-
ADDRESS CITY
_ TOTAL SETBACK FROM TYPE OF EXISTING V
SQ FT NO OF / NO OF CHECK HI WAY } YARD - FRONT PROP LINE HIGHWAY WIDTH
SIZE Q� STORIES FAMILIES ONE O
+
DESCRIPTION OF WORK NEW W
r- ,X ��/ BIL D_
1-1 ADD11SIDEPROP LINEOF; - (STREET) Z
ALTER ❑ •1- TOTAL SETBACK FROM E OF EXISTING
HIGHWAY } ,YA RD;,�;-A�� PAIR❑ SIDE PROP LINE HIG Y WIDTH
v RE
EXISUSEOT NG BLOG�lO /ld qY S(�f)/Q�L MOL ❑ + - -
APPLICAN TEL�`,/� h� CORNR CUTOFF YES ❑ NO ❑
(PRI NT) j� ���r(/JE N 0.Y"�/ 4G 2 E
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ -
� IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ �-" CATEGORICAL EXEMPTION YES❑ NO ❑
HEREBY ACKNOWLEDGE '4HlrT I H E READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE A OVEN S COR ECT AND AGREE TO IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL 0RDINA NC AN LAWS REGULATING BUILDING CON-
STRUCTION I CER Y "AT IH OING THE'WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL N E OY ANY PERSO N VIOLATION A'UTHO'RIZED
LABOR CODE OF TATE OF C FORNIA IN RELATIN TO .� _ D M,A
WORKMEN'S COMP S ION INSUR NCB" .7 �VVISR �rV
SIGNATURE F r--An V. ,0-7
PERMITTE
ADDRESS
FINALBY
CITY NOL DATE 3-..2O '?6/
t1,11\E ( IIL-C&S P 1)ABLL- 10 FE,,$ FEE
HARVEY T. BRANDT, COUNTY ENGINEER Aj I
PLAN CHECK V DATION f K M O CASH PERMIT VALIDATIONCK M O CASH
273713 n l 2 3 D 25.20Acv
`�. - r, 3 7 2 711 r5 1 p 42�T
i >�,, �0 42.004
76A638A CE 9803 12/72
'APPLICATION'FOR' BUILDING, PERMIT"
FOR APPLICANT TO FILL IN (Print or type only) I
BUILDING ��� COUNTY, OF LOS ANGELESt
ADDRESS DEPARTMENT, OF COUNTY ENGINEER
clrY7— zlP ff � BUILDING AND SAFETY DIVISION
NO OF BLDGS ' BUILDING
SIZE OF LOT NOW ON LOT ADDRESS
1 -
TRACT JVLOCK " " LOT NO LOCALITY'
/ TEL NEAREST
OWNER 4a!� NO CROSS ST
ASSESSOR
ADDRESS �j � d9 MAP BOOK - PAGE CEL
�} DISTRICT GROUP TYPE' FIRE PROC SSED BY
CITY � ZIP • 117rb - ZONE t ,
ARCHITEC R NEOL6j �+ 8Ayr. '
ENGINEER Q 1115
J '/� STATISTICAL CLASSIFICATION SEWER M6
ADDRESS 6SZ ,6 ST r _ � CLASS NOt=2 DWELL UNITS BK RG _
TEL -
CONTRACTO NO ZONE MA
NOP Q
ADDRESS LIC
_ NO SPECIAL
LIC CONDITIONS' '
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDGrSETBACK FROM C
FRO T PROP LINE OF (STREET)
ADDRESS 64ove CITY
HIGHWAY + YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING d'
SO FT rJ NO OF _ / NO. OF CHECK FRONT PROP LINE HIGHWAY WIDTH F
SIZE J SQ- STORIES fv FAMILIES ONE L;
DESCRIPTION OF WORK JNEW d
Z
ADD ❑ BLDG SETS OM (STREET)
SIDE PROP LINE OF
415prl-10e- 1717 J:e
ALTER ❑ TOTAL SETBA OM TYPE OF EXISTING
HIGHWAY } YARD = IG E OF WIDTH
REPAIR❑ SIDE PROP LINE
USE I
EXISOT NG BLDG �Q/•S'�! NLr DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF ` YES ❑ NO ❑
(PRINT) NO
BY (SIGNATU IN OPEN SPACE YES ❑ NO ❑
QQ IN COASTAL ZONE YES ❑, .NO ElVALUATION,D _ _ ,
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE-IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL 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 ST E OF CALIFORNIA IN RELATING TO
WORM MEN'S COM E TI INSURANCE '
SIGNATURE ' -
PERMITTEE
ADDRESS ,
TEL FINAL BY �A1
CITY �/ (... NO2JZ::flgDATE1f f/,/
it9'KI /`�•
PC PIVIT
MAKF_ CHECKS PAYABLE TO FEE $ FEE
HARVEY T. BRANDT. COUNTY,ENGINEER D
PLAN CHECK V DATION CK M CASH PERMIT VALIDATION CK M o `ASH '
6.0 4 APR o 5.4 0
R .29 1 D 9.0 0 ®mit
76A638A CE9803 7/73
WORKERS' COMPENSATION DECLARATION F
hereby affirm that I have certificate' of consent,to Self A P P L I CATI'O N F O R -B U I•L D I N G P E RM I T
insure, of a certificate of Workers,Compensation Insurance, - ,
or acertified copy thereof.(Sec 3800, Lab G ` COUNTY OF LOS',ANGELES 'BUILDING-AND SAFETY
Poly corfipGy-3
BUILDIN
Certified"copy is hereby'furnishecl _ FOR'APPLICANT TO FILWN- ADDRESS QIo�Z /dam k
• Certified copy is filed with the county building inspec- BUILDING
tion department ADDRESS LOCALITY,
p NEAREST E
Date Applicant-.' CITY ��1= C� C/,- ZIP /� Q CROSS ST J Com'
CERTIFICATE OF EXEMPTION FROM WORKERS' P' NO OF BLDGS ASSESSOR -
COMPENSATION INSURANCE• SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
USE ZONE MAP
(This section.need not be completed,rf the permit is for one TRACT BLOCK LOT NO NODa
hundred dollars ($100)or less') ' = ,-;y � r _
• - - ,• r - - TEL / ' SPECIAL' T ;- ,
1`certif that m the OWNER ji�`j /.t/S 5 NO CONDITIONS a ,
y performance'of the`'work for which this G�///� ` -DISTRICT GROUP TYPE FIRE PR SSED.BY O
permit is issued; I t em lo'y anyperso any manner-, ADDRESS /�/7`G Li Q C ST ZONE V
so as to beco b 't % f ensatton Laws
- / S„0 -- 09
Dat Applican CITY - ZIP / �� STATISTICAL CLASSIFICATION P CONDO; O
ARCHITECT O TEL
NOTICE A LICA T If, after,making'this-Certificate of ENGINEER :-NO CLASS NODWELL'UNITS W
Exemption, you should become subject to the Workers' IL
Cornpensatton provisions of the Labor Code, you must forth- ADDRESS_ of
.+ � - ^-- ----- - - SEWER _
with.comply with such provisions or this permit shall.be p �fpC- J��rJ _z
deemed revoked. ' CONT'ACTOR✓ � _ _ S N IO v�d7 BK PG,J / :VALIDATION
LICENSED CONTRACTORS DECLARATION LIC '
�(hereby affirm that I am licensed"under provisions of Chapter 9 .A ; ADDRESS�A �• � ¢3L� NO -Al `�VALUATION
'(commencing with Section 7000)of Division 3 of the Business and ` ^^��� LIC 4�
Professions Code, and•my license is in full force and effect CITY .4(/✓ (�/� AEZ CLASS C-6/ $
SQ FT NO OF' NO'OF CHECK ►
wIcense Number-�oC9`G'U�K'�/ r�Lic Closs� SIZE STORIES FAMILIES - ONE ,
Contractor ���/� �� Date d j DESCRIPTION OF WORK �s✓s W NEW $
ADD O Y
I am exempt under,Sec - ��✓
ALTERFINAL
B&P.0 for this reason DATE
REPAIR
l/
��ate USE OF EXISTIING BLDG tisC /Uj DEMOL BY
INA
Signature APPLICANT TEL_
' OWNgR-BUILDER D CC ' O)N- (PRINT) NO
I hereby'aafl am exempt from the Co
ffirnt%ctor's Lima , (o
Law forS-6 following reason (Section 7031 5, Business and ADDRESS -
M1 ,b2A
Professions Code)
PRESENT - .
QBUILDING '
-I, as owner of the"property, of my employees with,, ADDRESS #t o o e`o o
wages,as their sole compensation,will do the work and
the structure isnot intended or offered for sale(Section LOCALITY ', 2;0 0 3 67 5
7044; Business and Professions Code) MOVING TEL .
I,'as•owner of the property, am'exclusively coCONTRACTOR NO
with
. . -
with licensed contractors to construct the project (Sec- ADDRESS-
tio6 7044, Business ond•Professions Code) .0 9, J 3-
REQUIREDTOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY' SETBACK YARD HWY PROP LINE WIDTH "
I hereby affirm that there is a construction lend ing,agency for _ FRONT_
the performance of the work-for which this permit is-'issued P L
(Sec 3097;Civ C ). SIDE 4
v'
P L
Lender's Name
ce 3
-Lender's Address P C'Fee$ Permit Fee .._ ..�
I certrf that I have read this a licahon arid.state that the -'
Y PP Issuance Fee r
above informatton'is correct I agree to comply'with all County Investigation Fee _ t
ordinances and State laws'relating to building construction, - Totul Fee �� 7,T-
YS ' a reby author representatives of this County to enter
pan he above- ned property for inspection purposes 1 - h -i ✓- � �P- -
- - SEE,REVERSE FOR EXPLANATORY LANGUAGE
Si u �Ab�tor ent 't' ate - - •®s
69-0141,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I r r BUIL1It�6--Q6RA1#T
DEPARTMENT OF PUBLIC WORKS 9704-LAS TUNAS COMMERCIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9905100023
PHONE: (626) 285-0488 EXT:
LEGAL 0. OF CONST NEW BUILDINGADDRESS: r`
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9642 LIVE OAK AV
STRUCTURE: 384 1 VN B TEMP CA 917802522
ASSESSOR INFORMATION N NEAREST CROSS STREET: CAMELLIA
8588-008-007 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: ExTTFIFLDG USE: ERR ZONE: R-r- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: B 05/10/99 UT 11/06/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA CODE:
WESTMINSTER PRESBYTERIAN CHURCH (818) 287-1987- 4 14,000 /a/Y.�y\
9642 LIVE OAK AV ( "b
TEMP 917802522 S PAID SCR OF WORK
DEMO OLD SHED, BUILD NEW MAINTENCE SHED-384 SQ. FT. AND
FEE DESCRIPTION: QUANTITY:- UOM: AMOUNT: REMODEL ROOM 5 TO YOUTH ROOM (EXISTING SQ. FT.)
AP I 0:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AE STRONG MOTION OTHER 14000.00 VAL 2.94 SPECIAL CONDITIONS:
AX BUILDING REV•IEW_FEE` 54.70
D2 PERMIT W/0'-EN-H�� 14000.00 VAL 283.80
TOTALjFEES 369.19
CONTRACTOR: TEL. NO: ®� v/�},� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS 171
L
d
ARCHITECT R: TEL. NO: TON-DWATTI-OWMENCH FORMS LA
a LIC. N0: J - 111T111 SLAB/UNDER FLOOR lZ
LRAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C P: , UNDERFLOOR INSULATION
150H269 3 r0 X11 II f L
� W0�E y FLOOR SHEATHING
NO. OF ELLI : APT/CO A CLASSt-
NO 22 ROOF SHEATHING
SCHOOL AIR QUALITY: 10000 FEETT IN HAZARDOUS
, 0 11 ' r HEAR ELS
AA
NO NO NO a ®y FRAME INSPECTION
'C Ell FIR ER HANGE S
e Tice"Th I ULATIO FATHER STR
I O LAT /
C � l
EXTERIOR LATH
^ /
RATED OOR I L A SE . `GG
RATED WALL ASSEMBLIES
^/ S A /OPENINGS
��-r3-0 5'. I age �� �Qj T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 'COMMERCIAL ADDITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9905270007
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. Of CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9642 LIVE OAK AV
STRUCTURE: 427 1 VN U1 TEMP CA 917802522
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8588-008-007 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
I
NANT:- 115 k,,�0i,ki:= Rc'- :•:-�: s ;t:5'SL•r_il :..,:; �R JGESSE'EX-IST BLDG US( :_.tCOMMfi =:'�': _USE.-: ONfi:;iR :�L u5b,ISSUED ON s• =k�i'<PROCESSED.+.BY:.. E R6RESWN:i-:---_._--: !• i{ _::
<<. EXIST OCC GRP:''U1 08/10/99 UT = 0 /06/00"
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATK FINA Y: CODE:
WESTMINSTER PRESBYTERIAN CHURCH (818) 287-1987- 3 10,800
9642 LIVE OAK AV r
TEMP 917862522 FEFS PAID '; DESCRIPTION OF WORK
STORAGE UNIT (MASONRY) F „BOY SCOUT TROOP
'>';:•yl:"';' (l7;,`i=- r9a?£'Y'.' : r. FEE DESCRIPTION: QUANTITY: U INtI 'E.-AMOUN7:.: .y:" _
�rv'xr.;y; Mx.p.,. _ :'fy3,J..'s. 4,=--- �:: =ri„�•ti.F �,�:;,,:: _ ;'F;awfi';.. ,.fy.
APPLICANT': x;.�.s:� ;.i,:,. ..jp TEL. 0: _. �. ,,... �:• _ ;�,.. �S;_.
SAME•:AS`OWNER" ;'.b"�2''ti i - _ -
=xt`"ii•- D1 PLANCHECK W/O EN-HC 108001.00=VA[''`b Y'`T;?798139
rs, i�i:f+ J,ai^ .. AA BLDG PERMIT .ISSUANCE p") > .,27e75+'SPECIAL CONDITIONS:
_ .,_—.. ._...... �...2.:2? AE STRONG MOTION OTHER 10800:00 VAL-I '
S 233. D2 PERMIT W/0 EN-HC 10800.00 VAL . "233!40
;a).r,�k._E ! �., �f #• �.. . 'TA7AL .FES. '461°4.81 =•'
--Win.*:...•-. rt^7s-t-=.•• "''` - •�+: S' _ t e�; - - 3-'e:'ic::;a.`Sf
SON RAETOR:ac* ', :t•r x'r:: .;e' TEL.'N0: i .�8r's::;.s?SZ"'s ;i;'�rl :?r'T : ;:'t= •APPROVALS DATE INSREC OR iS�FGIdATUt.E
'- SAME AS OWNER'" . ;. � _ �^ -
LIC. NO LOCATION_ SETBACKIL
ARCHITECT OR ENGINEER: TEL. N0: EOUND T 0 tICH FORMS fTZ I.
LIC. NO: '§—LAB/UNDER VLOPR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 04
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 INSPECTIONS
FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIP
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