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HomeMy Public PortalAbout10601 LOWER AZUSA RD_Building__ '•76A638Aq.g i4803 4/72 APPLICATIO -FORC'JILDING PERMIT yV,COUNTY OF LOS..ANGELES A c�� DEPARTMENT'OF COUNTY ENGINEER °K L�' P CEL BUILDING AND SAFETY DIVISION BUILDING - MAKE CHECKS PAYABLE TO:, ADDRESS'17__ HARVEY T. BRANDT•, COUNTY: ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST17 Print or typ6 only) CROSS ST. G7rC DISTRICT NO. GROUP TYPE' iPf30CESSED B fADDRE55_7� ING d �. CONST. J 4va' v STATISTICAL CLASSIFICATION SEWER-M P O ` _ BLOCK CLASS•NO.��DWELL UNITSBK3.PG6� T USE ZONE MAP - r. NO.OF SLOGS. - _ NO. SIZE OF LOT f NOW ON,LOT. � •.v SPECIAL -- - USE OF • CONDITIONS 's EXISTING BLDG. - - - 0 W N E Rhl NO•/" �!/��"1 -BLDG.SETBACK FROM ADDRESS a �c�>fl�iY /I - - FRONT PROP.LINE OF - ""` "'�•(STREET) TYPE OF EXISTING SETBACK- .HIGHWAY + _YARD. TOTAL CITY -HIGHWAY WIDTH- FROM C:L - - EN INEER OR - I2S�/} NOL + BLDG,SETBACK FROM '0_ ADDRESS ,� (f//(/� SIDE PROP.LINE OF - ISTREET) V. TEL f� �I TYPE OF EXISTING SETBACK. HIGHWAY +- YARD TOTAL CONTRACTOR Am-096,04le NO. +O►�V HIGHWAY WIDTH FROM C.L.LIC ADDRESS1� .a ,'f/Ou�\ NO.t7.2711 too +. a LIC. Z CITY "/ CLASS CORNER CUTOFF YES_❑ NOCONSRUCTON LE ❑ NAMET TAND BIRANCHNDER _ SEE REVERSE SIDE FOR�S•PECI'AL APPROVALS '.ADDRESS - 31r71 A<SQ. FT NO. OF NO. OF NEW , I - SIZE STORIES I FAMILIES , USE OF L ADD ❑ ' -- STRUCTURE /t" //N`/ [' ALTER❑ REPAIR❑ SIGNATURE O APPCICANT i.. - e )!'S 3f� X43-.Atl �i✓���i ? �3.Lt )til. I Y�� } ... •.r ` EVALUATION $ �•/ 0 _ _ - _ - -'.E APPROVALS - _ DATE .'INSPECTOR'S SIGNATURE - 'FOUNDATION: LOCATION FEE $ {_� I FEE-$• FORMS,•MATERIALS r .� - FRAME: FIRE STOPS, - , �� vJ- THEREBY ACKNOWLEDGE THAT I HAVE READ:T:H18-APPLICATION. BRACING 'BOLTS AND STATE THAT THE ABOVE.IS"CORRECT AND AGREE TO COMPLY - - _ a•�( .7F,URN�ACE: LOCATION, WITH. ALL ORDINANCES]AND LAWS REGULATING_BUIL"DING,CON-F4+ -1$ "GA_S VENT,.,DUCTS ' -STRUC TION. I C ERTI FY S THAT'•IN DOING•-THE WORK AU THORI ZED, •HEREBY I WILL NOT. EMPLOY ANY PERSON IN VIOLATION OF,THE/i LATH�,�.INT. � � j. ,LABOR CODE OF THE STATE- OF`CALIFORNIA IN 'RELATING TO ,I -WORKMEN'S COMP _S TION INSURANCE _ )C'•2�+• ! LATH), EXT. SIGNATURE OF - HOUSE.NUMBER CSOR PERMITTEE ADDRES .. .. .. r ) .• - - :. `PLAN CHECK VALIDATION- M CASH PERMIT VAL ATION CK M.O.' CASH � Af, :G 4 9 '4 'APR 11 2 -3 D 6 5.4A. Q t/ u E.. • APPLICATION FOR B'IJ I YING P:ER T FOR APPLICANT°T0 FILL1N ", �f o�',Ype OnI�a _ " NGEL S Bs UI�oINc' COUNT OF OS. A "ADDR ESS. ,�, T DEPARTMENT. OF COUNTY-ENGINEER -- r, ;BUILDING 'AND SAFETY-DIVISION>,. CITY �l�f �i[`•�(�/G - Z lip _- .,. BUILDING C p t ; SFZ'E'OF-LOT NOW ON LOT` ADDRESS y s , TRACT BLOCK T'-^ LOT.NO , ^ LOCALITY _�^..TE NEAREST - -NO: � [+(,+� ACROSS ST. _ ADDRESS -MAP.d t�- , K ASSESSOR ' a , µ _. .. -MAP•BOOK . . . . .' .'.PAGE..'"_- -- +D.IST;RTC.TGROUP.-TYPE `,-FIR.E .- SSED.BY-CITY ^`] f✓YYd _ �ZfP ,. ONSTt : ZONE.','. '...'; - 'ARCHITECT OR- - -TEL. ENGINEER' ii _ NO' --STATISTICAL,^CLASSI,,.FICATION -.•' - - ^�� SEWER MAP "ADDRESS - - CLASS N.O.Q4 -_'DWELL,UNITS CON(RA,CTO � •- NO,: M7, 7 ' `USE,IZONE MAP z NO. �. " ADDRESSig •NOS ''��� SPECIAL -, - LIC... - CONDITIONS C'.LASS. �I ...� .. ,. ,. - _ / ROAD DEPARTMENT APP ROVAL REQUIRED ..YES❑ NO,i❑ ;,k 'CONSTRUCTION LENDER ` NAME'.AND��BRANCH4- '�,<:• '". r "''` ' BLDG.SETBACK FROM - ADDRESS ,- _, CITY OTA'L SETBACK FRO TYPETOFE XISTIN _ •- FRONT PROP.LINE OF E ) .SQ. F T: :-.. _ HIGHWAY } -YARD _ T M E G .0 NOa-OF , 'NO.-OF_- ;. '_C.HE Co K '_ , FR:ON T,PR-0P. LINE_. HIGHWAY, WIDTH SIZE STORIES. '- - FAMILIES ONE Ric) �(�w1 DE,SC RI PIT ION OF W0RK 6, 46k - NEW - - - `• ,� BLDG.SETBACK-FROM - ADD '-❑ SIDE PROP.`.LINE.O.F. -.'(STREET):.- .CID Z ALTER'-.[] TOT.-AL SETBA';GK FROM .TYPE.OFA EXISTING YARD - > � -. '� � SIDE'P RO;P. HIGHWAY WIDTH :.. .. .. REPAIR.❑ - .. EXI.STING.BLDG DEMOL ❑ ,� - AP'P,LICAN.T - TEj CORNER CUTOFF Y,ES ❑ NO ❑ ' :.(PRINK T' r - NO' J _ IN OPEN SP_A CE �- YES ❑ Ng- IN ❑. :- -/ IN COAS TAL ZONE YES,❑ -NO ❑ VALUATIONP :GC.��®• .. NO ❑ •� - CATEGORICAL EXEMPTION -YES❑ x HEREBY ACKNOWLEDGE THAT AVE-REA D'THIS•`APPLICATION; ENVIRONMENTAL' 3 WITH ALL ORDINANCES' AND''LAWS:`R EGU EATING" BUILDING COM PACT EXEM P.TION DECLARATION SIGNED DATE), ANO STATE THAYTHE`ABOVE-IS CORRECT AND-AGREE-`TO COMPLY-' IM .- .L _. •a IMPACT RE PORTcP PROCESSED (DA TE) ST.RUCTI ON:' I CERTIFY THAT�.IN. DOLNG THE:.WORK AUTHORIZED= - - `H.EREBY 'P WILL NOT EMPLOY ANY PERSON IN'-VIOLATION<OF'TH E-; - - - • LABOR., CODE OF':-T' 'STATE OF ,CALIFORNIA.'IN�-RELATING TO _,WORKM E N'S'"CO MPEN A ION NS: RA NC.E. SIG�NATURE•OF, - P.E R M I TT EE - ADDRESS FINAL' T E., 9�X117 DATE CITY `.Nb J v - K QR P Cl^ PMT%L1hE" C NECKS H.a}":113LE 70:. FEE ' FEEHARVEYT'. BRAND.T .COUNTY'EN;GINE .PLAN.'CHECK VALIDATION cK M o - ..cnsH PERMIT. ,VALIDATION cK.' McASH s r 7A'.63BA CE#803.12%7 6' 2 .e'•. - :�..... :r APPLICATION_ FOR 'BUILDING: PERMIT _ wFQ,R APPLICANT TO FILL IN (P,int�o, type only) BUrLD' NG- - - COUNTY OF LOS ANGELES .ADDRESS - DEPARTMENT OF COUNTY ENGINEER _ BUILDING'AND SAFETY DIVISION -CITYid o f • ZI - N .OF BLDGS _ _ BUILDING SIZE OE__LOT -)C j i .NOW ON LOT TRACT y BLOCK LOT NO. v LOCALITY' - �' TEL. - NEAREST - -OWNER -:Q O. CROSS ST. - - .; -ASSESSOR _A D,DRES _ MAP BOOK: PAGE ' '- - - CEL,.. /� // /` DISTRICT GROUP PE _ - FIRE' ROC SSED BY CLTY� -. +� �1 ZIPS. /.OBn(. /� _ q. N&Ti. - '-ZONE- �. .ARCHIT.ECT,O ,�� ;•__ ,_TEL - --' jCJ0 - - - ENGINEE'R-- NO. STATISTICAL CLASSIFI ATION' - - - - . _.. _ SEWER MA -ADDRESS - CLASS.NO. _OWELL,UNITS - BK�G., • ..G d1�.' .. TEL - ' .CONTRACTOR-.". -- USE:ZONE - I /) . . _ p� LIC - - ADDRESS- 2-s !v �' NO. SPECIAL - - -LIC - - CONDITIONS - CITY '--.CLASS `- ' ROAD DEPARTMENT APPROVAL REQUIRED NO -F,Y.ES-❑ ❑�. CONSTRUCTION LENDER ::NAME.AND BRANCH BLDG:SETBACK FROM xADORI ESS '.,` - , "CITY - _ -FRONT OP INEO PR -.L F• TSTREET) ., d I. HIGHWAY +. YARD TOTAL-SETBACK*RCM TYPE OF EXISTING V -SO.�FT'' -yy NO. OF - NOt OF - - :CHECK�• FRONT PROP LINE ` HIGHWAY WIDTH ' ' STORIES FAMILIES ONE - + p F_ NEW ` -. - - - Z- I- DESCRL.PTION OF,WORK ._ - r ADD:- .-`❑ BLDG..SETBACK FROM - -- `a SIDE.PROP.LINE OF _ (STREET) .v> ALTER El _ TOTAL SETBACK FROM TYPE OF EXISTING .. _ HIGHWAY + 'YARD REPAIR❑ _ - SIDE PROP. LINE HIGHWAY WIDTH -USOF' El + BLDG. - .L DEMOL EXISTING A PP.LIC'ANT ,TEL - CORNER CUTOFF YES. .❑ NO ❑ - :('PRINT) _ •�.. ND.'33w:6 _ - ��o , ' IN OPEN SPACE YES.❑ `NO ❑ , BY (SIGNATURE) a S1f. ,$' COASTAL ZONE• ,' E] YES ❑.- - NO _ -VACUA=T1',ON�;cr (� -i _.: . ' , __ ... - Y CATE GORI CAL_EX EM PTI ON .:YES❑ NO• ❑ . I.HEREBY-ACKNOWLEDGE THAT I '.HAVE READ THIS APPLICATION- ENVIRONMENTAL '_AND'S-TATE-THAT THE ABOVE-IS CORRECT ANO.;AGREE`:TO,COMPLY IMPACT - EXEMPTION DECLARATION SIGNED (DATE) ;WITH .AL L'ORDINANCES AND LAWS REGULATING BUILDING CON- S T RUCTI ON...•-I CE:R TI FY THAT--:IN•D01-NG THE--WORK;A U T HO R I Z E 6' IMPACT REPORT•.PR_OCESSED (DATE) - HEREBY [,WILL NOT EMPLOY ANY PERSON IN-V,IO LATION••OF-THE - LABOR - CODE OF THE STATE OF CALIFORNIA IN -RELATING TO - WORKMEN'S ,COMPENSAT ION 'NS URANC E. _ - - - - •. - _ ' SI'GNA'TURE OF. 'PERMITTEE - - "• ADDRESS f - - - - ; _.�. - TEL .'` DAT i CITY :,NO. .: ' , .. . _ - P.C`.: � ._. -- PMT- _. F. 11 IK£ (.NECKS PA.YA131-E TO: FEE � FEE HARVEY T.., BRANDY COUNTY ENGINEER _.;PLAN. CHECK.VALIDATION cK. M O . CASH PERMIT VALIDATION cK M.O. CASH v 76.A638A,C E#803 12/72 76'A 638 A..C.E #80.3 4/•72 _ - APPLICAT101 • FOFZ BIJ,IL.D6NG PIERMIT COUNTY OF LOS ANGELES'.' _ASS ESS ORk DEPARTMENT-.OF .COUNTY ENGINEER. MAP BOOK- PAGE PARCEL BUILDING AND SAFETY DIVISION AiDbR SS " ,MAKE CHECKS.PAPABL'E TO: .' ADDRESS: ' , 'HARV.EY T.'BR'ANDT,'COUNTY ENGINEER. L0C' LJTY " -- FOR' APPLICANT TO:FILL-;IN_' NEAREST71 r: (Print or'type on[ CROSS ST. BULLDING_,: DISTRICT NO -.GROUP:.,.TYPE . PRO ES$ D BF. Q�jQf - d CONST"- ADDRES " sG C1-.- {na STATISTICAL�SIFICATION SEWER°.MAPj_ / LOT NO �,-' � '" BLOCK. � � - 't.CLASS�.NO, DWELL^• UNITS TRACT. �. . .�� - - - USE-ZONE MAP- - .. NO:OF SLOGS `NO. SIZ:EbF.LOT ( NOW ON••L^OT SPECIAL USE OF., . ...,. °.,. - - �� .CON.DITIONS•= - �EXIST,ING BLDG. > `,,.��e- TEC.=pod '' .. _ ,•. -�. OWNER - ��I� K/ATL'` _NOM/ f�(� BLDG SETBACK FROM - = ADORESS ,�� `CJ ..v-`Iyj� �/ .F -FRONT,PROP.LINE-OF ��PSTREET), - �.- ." _ _. - - - TYPE OF,EXISTING ,SETBACK -_HIGHWAY_ -"-YARD =_ TOTAL- '0014/ _ CITY " �(' � I '=�'`- = HIG WAY -WIDTH FROM C L -• 'ARCHITECT OR ENGINEER X- AA4z NO 04014 _ BLDG SETBACK FROM r ' IN . (STREET)ADDRESS SIOEPROP:;-LLNEOF C _ TE -- TYPE OF EXISTING SETBACK. HIGHWAY.. } ,- YARD = .TOTAL.. CONTRACTOR `i NO, �f � � HIG WAY_WIDTH FROM C.L. CC O ADDRESS 4 '�t7vy aRyv+ i;w rA: NO 717 w CITY CLASS '' ' = ' ,CORNER-CUTOFF ' � Z` YES G NO .CONSTRUCTION LENDER : t " NAME ANo BRnNCH ". SEE REVERSE-SIDE=FOR'SPECIAL APPROVALS. ADDRESS ..' SQ.::FT �y� NO'. OF NO: OF SFZE 'l/"'" STORIES FAMILIES NEW - USE OF ADD STRUCTURE= / / Y ' ALTER Q SIGNATURE OF REPAIR❑ _ APPLICANT„ - y - ,. VALUATION-'$ APPROVALS - DATE -I, s ECTOR' 5IGNATURE P. C. PMT..` FOUNDATION:.LOCATION FEE $ i. FEE$ / FORMS;'MATERIALS •- -_ - - - 'FRAME: FIRE STOPS - =1 HEREBY;ACKNOWLEDGE THAT I-HAVE READ THIS APPLICATION ' - BRACING, BOLTS FURNACEi.'LOCATION,: AND STATE THAT-,THE ABOVE. 15 CORRECT AND:AGR EE,TO COMPLY WITH .ALL` ORDINANCES AND LAWS REGULATING 'BUILDING-'CON- `GAS VENT,,DUCTS't%" ^" ST.RUCTI`ON':- I ,CERTI'FY ^THAT-IN `.DOING-•THE WORK''AUTHORIZED _HEREBY I WILL-'NOT EMPLOY-ANY•PERSON IN VIOLATION.OF THE - •L•ABOR. CODE,' F' E STA T,E' OF.••CAL.IFORNIA IN RELATING TO. LATH,, :. '•:W.ORKMEN:'S COM EN AT:ION-I�NCLATH,'EXT _uSIGNATURE,OF, -• HOUSE'NUMBERLCOR- `PERMITTEE ' RECT°AND POSTED - , .. /M. - _... L amu. _ ADDRESS - FI.NAL PLAN CHECK VALIDATION - M O. �CAS�H�� PERMIT VRLIDATIQN CK. M O: CASH ! t. 0. + 1 r _ . .. .. " J PPLICATION-FOR .BIJILDIN.G PERMIT FOF APF4-!CANT TO'FILL IN (Print or type only) BUILDING _ - . -_ COUNTY-OF LOS ANGELES. ADDRESS 'DEPARTMENT-OF COUNTY ENGINEER cl'Tv �� /O ,P - ;_. BUI DIN -AND.S' FETY IVISION -_ O.OF BLD3 - BUILDING - SIZE-OF LOT`J'V X ( b NOW ON LOT .:. �' ADDRESS - ITRACT - BLOCK LOT E . ,� . NEAREST / ' TEL. NEAREST - -OW.NE.R.. •h. -•NO.- - - CROSS'ST. ASSESSOR ADDRESS Ll _o.. _ MAP BOOK - - PAGE - PARCEL ' - --� -, .DISTRICT. I GROUP PEFIRE ROC SSED BY CITY ZIP - - � Q - PON . _ ZONE- - `ARCHITECT-O TEL. ENGINEER .•-..' NO" STAT.ISTICAL_CLASSIFCAT.fON' - - . 'ADDRESS 7� E. •(J r. COI//r W AP { �.• --.CLASS NO. f� DWELL,UNITS� SEB�M PG . .CONTRACTOR ;-S > TEL. USE ZONE MAP D _ NO 3 �� O� f 'ADDRESS. ._ yrs NO •2-SZff7k- SPECIAL 1 LIC. p k �- - CONDITIONS -` CI T. '.GQV,.P:.HA. CLASS_G 4'J _ ROA':D DEP_ARTMENT.APPROVA_L REQUIRED ..YES❑.' NO._❑ CONSTRUCTION LENDER 'NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF - (STREET) >- ADDRESS 1 CITY - �- - HIGHWAY + YARD' TOTAL SETBA FROM TYPE'OF EXISTING O SO.'FT 'NO:�OF - NO:;OF - CHECK FRONT=PROP:LINE HIGHWAY - WIDTH U �!/r:6 -SIZE b -STORLES- FAMILIES ONE - - DE'S"CRIPT.I'ON OF WORK NEW - U BLDG.SETBACKFROM - _ Lu ADD _� SIDE_ PROP.LINE OF (STREET)- v) - [-. - ALTER O -- F_ TOTAL SETBACK-F_ROM TYPE OF EXISTING HIGHWAY ' YARD'' - Z "- - REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USEf OFB �1� DEtv10L EXISTING BLDG. "v7 ❑ CORNER CUTOFF _ YES ❑ '- NO ❑- A.PPLIC.AN,T,, //tR.�'/► �y� '-•MM- •TEL - - _ - _ :(PRINT) Vi 446 l -S/ `v�. _^ - BY.ISIGNA TURES` - - IN:OPEN SPACE ' YES ❑ NO ❑ n� 'COASTAL..ZONE - YES ❑ NO ❑' '- VALUA'TION�. �G-CCI r'• .:e`:- - - . ... ,- ._ - CATEGORICAL,EXEMP,TION, YES•❑- 'NO ❑•� ".I.HEREBY ACKNOWLEDGE THAT I HAVE READ T;1ILN CATION ENVIRONMENTAL - - .AND'STATE"THAT: THE'-ABOVE '15 tORRECT+ANDYAGCOM PL-Y 'IMP:ACT - 'EXEMPTION DEC LA RATIO _SIGNED "(DATE) - WITH ALL ORDINANCES' AND LAWS REGULATINGG CON- - ' - A STRUCTION. I CERTIFY .THAT IN DOING'THE.WORIZED LMP T.REPO RT.p RO SED (DATE) ;HEREBY I.WILL NOT 'EMPLOY ANY PERSON IN 'VIOF THE LABOR CODE OF THE"•STATE'OF-CALIFORNIA_,;«IING TO • - - -` W0RNM E N'S YOMPENSA T IONJ NSURA N C E. SIGNATURE OF ' PERMITTEE ADDRESSTEFINLBYDATE CITY �I/ + �.� . .NO ALIKE (JIFCKS PAYA131-E "CO: P.C. PMT`.QQ' FEE � FEE HARVEY T. BRAN IDT, COUNTY ENGINEER Vo GG 'PLAN CHECK-'VALIDATION cK: M:O. PERMIT,VA ID TION cK - CASH -.M.O. .CASH 771; JLIN2Q-,2 3 -D -14-4 76 A638A CE N603 1 rte. _ �j J�,�ld 2 LJ� i 2 1 D. 2 4 , ._.' ? _. -APPLICAT.ION.mFOR, BUILD]NG PERMIT F.QRAPPLICANTTO-FILL-IN (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS /CSGa! cvC vim— ,DEPARTMENT OF'COUNTY ENGINEER CITY ( •. ZIP' :- BUILDING AND SAFETY DIVISION � NOW ON LOT NO.OF BLDGS BUILDING /q SIZE OF LOT Q.6+g' DRESS TRACT J: BLOCK LOT NO. (/. LOCALITY f •�-� ell TEL. p NEAREST OWNER ��j NO. p SJTS7 CROSS ST. r ASSESSOR ADDRESS U��i .0/ fY//� MAP BOOK PAGE' CEL ' 'DISTRICT -GROUP TYPE ~' FIRE. PRO ESSED BY- -CITY " ZIP" / Fy^ CONST--, ZONE ARCHITECT O .CEL. .Q�` /' 2— ENGINEER - ENGINEER t `'��"� .TJ' STATISTICAL CLASSIFICATION. SEWER- AP ADDRESS. q �/?��/ ' CLASS NO. ZZ�DWELL.UNITS BK PG TEL'. CONTRACTOR NO. USE ZONE AP �) ' _ v .. 'LIC:" _ ADDRESS NO. (n,,_ SPECI ^ _ LIC:, `-2, CONDITIONS . CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES`❑ NO ❑ CONSTRUCTION LENDER _ NAME AND BRANCH BLD(j.SETBACK FROM FROIT PROP.LINE OF _:. - .:__ STREET). ADDRESS- CITY 0 TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF. NO.OF CHECK HIG WAY + YARD = FRONT PROP`LINE HIGHWAY 'WIDTH SIZE r` STORIES FAMILIES ONE } . DESCRIPTION OF WORK. NEW ❑ + - CL O. ADD ❑ BLDG. ACK FROM = . j rrps� . �- / ,f i SIDE PROP. --(STREET) O ALTER UTO AL SETBACK FROM E OF EXISTING w HIGHWAY + , YARD = REPAIR SIDE PROP.LINE• HIG Y WIDTH N -❑. USE OF. _v + Z_ EXISTING BLDG: �c,rr�T� DEMOL ❑ - - APPLICANT TEL CORNER CUTOFF YES NO T (PRINT) 6I NO�O NV OPEN SPACE. YES NO BY(SIGNATURE) » IN COASTAL PERMIT ZONE YES �• NO VALUATION$ I HEREBY ACKNOWLEDGE THAT I'HAVE-READ THIS.APPLICATION AND STATE - -THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY WITH ALL ORDINANCES -AND LAWS REGULATING BUILDINGCONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZEDHEREBYI WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - .. THE LABOR CODE OF THE STATEOF CALIFORNIA:IN RELATING TO WORKMEN'S COM- - - ' PENSATION,INSURAN -. •,.. ,..,, _. .,, ->...: - SIGNATURE.OP'_ _ 7 PERMITTEE ADDRESS sj FINA71 CITY .il ..Yr12 TEL. DATEL BY MAKE CHECKS.PAYABLE•TO: FEE $: FET $ HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION K M.O. CASH PERMIT VALIDATION C cK` M.o. CASH 3 0 .O SEP'; 23 _ ,.1 35' ®S 76A63BA CE#803 3-76' - - •'- '" - 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 0611070056 PHONE: (626) 285-0488 EXT: :LEGAL ID: - - �� _, - NO. OF- CONST. .BUILDING 7gDDRESS n p bw TR: 13645 - LT: X70 ; SQ. FT STORIES TYPE 10601 LOW ° ER STRUCTURE': 1300 VN - - TEMP CA 917804127 - ASSESSOR INFORMATION NUMBER: + _ •iISEF1RES4I' CY20S�5`STREET.Z,; ." , "�ry 1���. i 4!'•,� 8585-026-039 - �" _.yTHOMAS,PAGE: 597 GRIDq"`.C5,y sLO.@AL`I7`Y3•tTMLE'CITY, C TENANT:.- - EXIST BLDG USE: COMME. USE ZONE: C-3 ISSUED ON: -- PROCESSED BY: EXPIRES ON: IN-N-OUT RESTAURANT _ TXIST OCC GRP: . n 11/07/06 JK 11/02/07' OWNER: TEL. NO: BLDGS. NOW ON LOT: �+ ,r%• �—VALUATION: FINAL DATE FINAL BY: '- --- - .-CODE: IN-N-OUT BURGERS INC (626) 905-1077- i J ,i27.,-000 ^��.•� 13502 VIRGINIA AV - - - _ - / BAPK 917065885 " a ^t�. ,` .� ,4 ; - FEESPAID DESCRIPTION OF WORK ~ - - -- TEARjOFF INSTALL 3 PLY MODIFIED CLASS A ROOF ENERGY STAR- ' - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COOL' ROOF 1.300 S.F. . APPLICANT: TEL. NO:, - _ - SADLER ROOFING CO. (949) 675-5095- AA BLDG PERMIT ISSUANCE 27-75 125 .GRAND CANAL AE STRONG MOTION OTHER 27000.00 VAL' 5.67 SPECIAL CONDITIONS: BALBOA ISLAND 92662 D2 PERMIT W/O EN-H6 27000.-00 VAL 497.55 - TOTAL FEES 53,0.97' CONTRACTOR.: - TEL. NO: I APPROVALS -DATE .INSPECTOR SIGNATURE SADLER ROOFING CO. - (949) 675-5095 125GRAND CANAL LIC. N0 Ear'• t � t: " *4,.;`y �Z,�"r:1 .` 3 r 1 1`,t• - ' LOCATION AND SETBACKS BALBOA-ISLAND CA 92662 2B4857/C39, - SOILS ENGINEER APPROVAL - ARCHITECT OR ENGINEER: - TEL. NO: II - FOUNDATION/TRENCH FORMS - LIC. NO: i SLAB/UNDER FLOOR _ • RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:! UNDERFLOOR INSULATSON 144H273 - 3 Oil - - - FLOOR SHEATHING -NO'. OF FAMILIES: DWELLING UNITS: APT/COND: -STAT CLASS: NO 22 I ROOF SHEATHING tl /L.•.-h - SCHOOL WITHIN HAZARDOUS ! _. SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FRAME INSPECTION- - - REQUIRED TOTAL SETBACK FROM EXISTI FIREf_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 `a14ro5•` k�_ ' .:``�"te,�4 S\q�� 7�i ...�9'�.-�w��,ro y,.���d a•., ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RETAINING WALL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9805210035 PHONE: (818) 285-0488 EXT: LEGAL ID: TOTAL HEIGHT: 8 FT BUILDING ADDRESS: TR: 13645 LT: 70 RETAINING HEIGHT: 8 FT 10601 LOWER AZUSA RD WALL LENGTH: 172 FT TEMP CA 917804127 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: DOREEN 8585-026-039 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: C ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/14/98 UT 08/14/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: IN-N-OUT BURGERS INC (626) 338-5587- 10,000 13502 VIRGINIA AV ZJ BAPK 917065885 FEES PAID DES RI TION OF WORK REMOVE EXIST VARIABLE HT WALL ON NO. & EAST OF PROPERTY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND REPLACE W/31,6' & 81 FREESTANDING BLOCK WALL. APPLICANT: TEL. NO: VILLANUEVA/IN-N-OUT (626) 813-8263- D1 PLANCHECK W/O EN-HC 10000.00 VAL 185.13 13502 HAMBURGER LN AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: BALDWIN PARK 91706 D2 PERMIT W/O EN=HC�--10000 OO VAL 216.60 29.48 1&4GELET01T, FEES 4 CONTRACTOR: IN N OUT TEL. NO: 8263- APPROVALS DATE INSPECTOR SIGNATURE ILLANUEVA,13502 HAMBURGER LN LIC. NO LOCATION AND SETBACKS BALDWIN PARK, CA 91706 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUND/TRENCH FORMS LAMOUREUX, MSL ENGINEERING, INC. (909) 305-2395- _ 402 W. ARROW HWY, SUITE 4 LIC. NO: 1111111 FORMS/GROUT LIFT SAN DIMAS, CA 91740 NONE , ND IGROUT LIFT MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: GMPi: RD GROUT LIFT 144-273 OOp� D MC " WALL DRAIN NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: j NO 20 O S �i BACKFILL COMPACTION SCHOOL WITHIN HAZARDOUS T*+ SURFACE DRAINAGE AIR QUALITY: 1000 FEET MATERIALS 0 Al 0 ®� NO NO NO O� Q Service REPORT ID: DPR261 ROUTE TO: BS0508 f.