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HomeMy Public PortalAbout10667-10669-10671 LOWER AZUSA RD_Building__ 76 A.638A CE„#803 4/70 ^T'O� �oa\ -.��' - cL- .. DIIVG PEFMOT COUNTY OF.LOS ANGELES -ASSESSOR DEPARTMENT'OF`COUNTY' ENGINEER 'MAP,BOOK PAGE eagCEL BUILDING AND .S'AFET-Y DIVISION', BUILDING JOHN 'A..LAMBIE, COUNTY•,ENG(NEER.'-::' _ - ADDRESS �y COLEMAN W, JENKIN$ Su,P T.OF-:BUILDING FOR"APPLICANT TO FILL"IN NEaREsT Print oP•t e onCROSS") ST.t f UILDING -. - DISTRLCTNO GROUP;. TYPE -.. `PROCESSED.BY _ DDRESS 5 + CONST.-w STATISTICAL'+CLASSIFICATION ,: ' SEWER AP OT NO. „ ` BLOCK :. ,. "CLASS NO,_ _DWELL,UNITS - BK -PG - N T / MAP USE-'ZONE. NO OF?BLDGS NO. OF LOT NOW-ON LOT SPECIAL F --` CONDITIONS - �- ING BLD-G. (�-C:....`'� a:'. a' r -. .. TELR � BLDG.SETBACK.FROMyFRONT PROP.LINE,OF' (STREET)ESS .©f0 I b CV'� f� �Z IA.S"A_ 'TYPE,OF EXISTING SETBACK- HIGHWAY } YARD - TOTAL "HIGHWAY WIDTH. FROM.C.L:�''c_/nPLS_ C �. TITECT OR TEL.'. +NEERNO. BLDG.SETBA FROMSIDE�PROP.LIN (STREET)ESS.,. ; _. . ��" "`'.TEL. . - TYPE"OF EXISTING SETBACK. + .'. YARD,, TOTALRACTO'EL /n-0_-_re V!G/1J NO. Y�h.3- /S _ HIGHWAY ,WIDTH� FROM C.L.LIC.ES NO.. O IO . 0 - CD LIC L h'1:vw.TG:f 'CLASS- ..CORNER CUTOFF YES ❑. "Nd ❑'• O CONSTRUCTION LENDER`." v NAME AND BRANCH_ SEE,REVERSE SIDE FOR.SPECIAL.APPROVALS - w v, ADDRESS SQ, FT. - 'NO OF ., NO. OF NEW ❑ SIZE .STORIES` ` FAMILIES - US6OF- / ADD ❑ STRUCTURE ` :. ,ALTER ❑ .- 'REPAIR❑ SIGNATURE:OF APPLICANT '.DEMO.L'❑. ... VALUATION'$ APPROVALS _ ,.DATE_ Ns CTOR' SIG �A TU RE ' P.C, PMT, - >:'+�• FOUNDATION'"LOCATION ��) ' _ _ FEE.$ FEE°$: _ "!'�"` FORMS,.-MATERIALS Q'7.4's fZ_ FIRE STOPS -'. I HEREBY_ACKNOWLEDGE tHAT.:I,'HAVE READ;•.THIS APPLICATION " BRACING, BOLTS --'AND STATE THAT,;THE ABOVE--IS-CORRECT AND AGREE=TO COMPLY '.::- ,FUR NACE:.•LOCA.TION,- WITH -.-ALL` ORDINANCES AND'`'LAWS,,REGUL'A T.I,NGBUYLDING' CON=- 'GAS VEN T,'�D UCTS STRUCTION:'•I LERT,IFY•THAT, IN ,DOINWEW UTHORIZED• „HEREBY' 1•WILL NOT EMPLOY_jAN.Y .PERIN. ON OF.THE LATH'',I�N T., r: -LABOR., CODE' OF THE STATE OF 'CA LLATING.-TO' "W ONK MEN'S'COMPE NSAT "N;I UR • + - "- LATH;,EXT ' SIGNATURE OF - - . PERMLTTEE HOUSE NUMBER,COR ; •_;...- -�--^------- - ...�,:,-� � •:. RECSAND POSTED • ...' -'. -: ,' .... ,,.. 1 ADDRESS �`Q`- , _JOJ-INF. ol �L$WISLi -PRIN IPALSTRU- URAL ENGINEER. PLAN CHECg`VALIDATION CK- M D CASH PERMIT VALIDATION CKa rA o. CASH. 2 7.2 0 d . _ ; T' 0 1 0 ori {i -APPLI,CATION FOR. BU:I'LDING "PE=RMIT FOR APPLICANT TO.,FIL'L IN (F r,i-, .!,type'on IY) ,:, k BUILDING FADn �•-`' "; ff1� ADD,RESS "NO.OF BLOGS. - ,-, . NOW ON LOT �- -NEAREST - . ASSESSOR .. _ TRACT. - I. BLOC KLOT"N O. MAP BOOK ... PAGE f •- PARCEL, _ a ! TEL.. DISTRICT GROUP', TYPE- FIRE JC21CESSED BY OWNER � � NOCOST 20N ADDRESS 2JJa.-Z:I:CXJl,LR3•�Y ' `� _.. STATISTICAL CLASSIF,ICATfON C TT Y lL'�'3N& �L�, ZIP ;:. CLASS,NO: _DWELL,UNITS^ SEWER M PG ARCHITECT PR _ TEL. ` 'ENGtN'EE.R NO_'. -USE-ZONE MAPNO. CV ADDRESS :,,. .. - rf '. i..� S'.PE A•L " . .. TEL: CONDITIONS CONTRACTOR " _ - ;`NO .' ROAD 6EPA•RTMEN'T:APPROVAL REQUIRED-., YES ti D. LIC.- 'ADDRESS NO. - BLDG.SETBACK FROM' - ;'- •:';'� LIC: - FRONT PROP.LINE OF 'j' '(STREET)'_' CITY. CLASS _ TOTAL SETB'A CK FROM .TYPE'OF EXISTING HIGHW Y } YARD - CONSTRUCTIO ENDER FRONT-PR-0P. LINE- HIGHWAY WIDTH NAME AND BRANCH' 'ADDRESS .. - ..•'CITY: _ _ SQ. FT NO. OF NO. OF' ,CHECK BLDG:SETBAC ROM a Su STORIES • 'FAMILIES ONE -SIDE,PROP.LINE " (STREET). .V- NEW ','� HIGHWAY + "YARD - TVPE-OF Xi S•TI NG •O: SETBACK FROM E DESC-RI P;TION OF WORK - HIGHWAY WIDTH `a - DE PROP. LINE A L`TER-'% - Is Cn �.. CORNER CUTOFFS: S' ❑,,...- NO. � Z USE OF .. REPAIR.❑ - EXISTING_BLDG,S��G'�t �` DEMOL,❑ IN OPEN S,PA'CE '_ '; ":. YES* ".ANO -. r„ ,-.-._•,,,�.,>;, A PPLIC :. . TE , .. EN NIN:COA S.T A:L ZONE; .+ , ,YESCATEGORICALEXEMPTION LYESDBY-SIGNATUR() - ENVIRONMENTAL,VALUATION , (IMPACTEXEMPTION DEC4LA RA T;IO N,S I GIN D-- (DATE) •P. �` IMPACT:REPORT, PROCESSED I' HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS.APPL " ,AND STATE THAT:THE;ABOVE IS CORRECT'AND.AGREE TO �/, t" /„ . y ,rJW_ITH -ALL ORDINANCES--AND 'LAWS” REGULATING BUILDINJ 114STRUCTI;ONi"I,-�CERTi FY THATIN:DOING .THE-WORK, AUTHAv ,_HEREBY IWILL NO Y'ANY"PERSON IN VIOLATION' � �Y�do,5''., �0 � fFLl'6�iR� .f � 5tLABOR CODE, . THE ST,A E OFCALIFORNIA.' INRELAT "{' 'c,WORKMENSSC PENSATION; NSURANCE'SIGNATURE ,'V. . ,L.:.. .. BY.FINA;PERMITTEE DATE iRESS P C :Q - ' PMT`,,FEE VFEE,TELCITY NO. ' 3� I PLAN CHECK VALIDATION CK° M O. CASH PERMIT VALIDATIO K M'0CASH '/J3 �-76-A6380.0 E#803A�5 - x. DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY - COUNTY. OF LOS ANGELES " WILLIAM J. FOX, COUNTY ENGINEERAPPLICATION ', k CASSATT D. GRIFFIN, SUPT OF-BUILDING '� } FOR APPLICANT TO FILL IN ! FOR'OFFICE_.USE ..ONLY BUILDING LL� DISTRICT NO 'PLAN CK.'OR REc.No. PERMIT NO' ADDRES8 �8.� 1 RECEIVED BY -'-DATEOFAPPL'.' ATE ISS.UED - LOCALITY -. NEAREST H a elle r - CROSS ST �qt I BUILDING • ` OWNER Y' �' / J' - ADDRESS - - WP + MAIL LOCALITY ADDRESS G. /' -S hTEL. - / / NEARES + CITY "�� .6 ��/�E / - O , ��bCROSST, Y���� cam' _ FRCHITECT'OR TEL. ZONE j PLANS FIRE TYPE GROUPS ENGINEER NO, i I ,• �� • -� - 1 BLDG. 2 d 'I-, �,. 1 o D: O. ADDRESS /{- / SEiBACK;LINE , I CONTRA OR �. /VIC N L. / 7L/�� USE - _ APPROVED ZONE By ! ,Gt.t , DATE �Q 'HOUSE NUMBERING F .ADDRESS � ��P"" �-�� �A' AG/ . LEGAL MAP NUMBER NO.'ASSIGNED BY " W�' ' DESCRIPTION LOTNQ. BLOCK r 1. CORRECTIONS TRACT SIZE OF LAT IUD I NO. OF BLDGS., NOW ON LOT N C� USE OF -. I NO. OF ..... _ _ EXISTING BLDG. FAmiu ; DESCRIPTION OF WORE :.,,<, o: REP IR ( DEMOLITION TION �I, ADDITION I u Z r SQ. FT: NO:OF ! SIZE 10`Vr? /3 ROOMS (� STORIESROOF r1� COVERNG EXT. WALL �J'�`G(CI �. I COVERING USE OF STRUCTURE i Qi efi. /1 APPROVALS ©f INSPEC R'S SIGNATUREDATE. FOUNDATION: LOCATIOL4 - d{ FORMS, MATERIALS- 1 HEREBY ACKNOWLEDGE THAT'l HAVE READ THIS AP- FRAME: FIRE STOPS, ''PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS sf A /l CORRECT. FURNACE: LOCATION. �'�' 1. AGREE TO 'COMPLY ,WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS" LSADR SATE LAWS REGULATING ,BUILDING "CONSTRUCTION. RE OF �f 4. ��_ // _ LATH, INT. PERMITTER f�. !/ ~/ LATH. EXT. S PLASTER; INT: IZEDAGT. PLASTER:=EXT. - Ai. C. $ `� HOUSE NUMBER COR= IFEE "�� RECT AND POSTEDcac ION - FEE ffi .Z. '��' FINAL , 76AG98A 0689 8-88 1. - 76A638A FE.#803 3-69 APPLICATION FOR BUILDIN PERMI COUNTY OF* LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITYJOHN,A. LAMBIE, COUNTY.ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. 5AODRtSs R APPLICANT TO FILL IN DISTRICT yQ� GROUP TYPE CONST: PROCESSED 8Y (PRINT OR'TYPE ONLY) L STATISTICAL CLASSIFICATION SEWER MAP - �- CLASSNO. �DWELL.UN.ITS BK PG BLOCK USE ZONE MAP " NO. TRACT /.I?/ �i �. SPECIAL - - / NO. OF BLDGS. CONDITIONS SIZE OF LOT • OW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM - - - TEL FRONT PROP. LINE.OF - (STREET) OWNER - NO. 'Fy/-3GOa __ TYPE,OF EXISTING SETBACK HIGHWAY +'- YARD NOTAL // HIGHWAY WIDTH FROM C.L. ADDRESS f 0 2• DO .tel 1,U HIGHWAY A, - CITY BLDG.SETBACK FROM ARCHITECT? - �^ TEL.�/ SIDE PROP. LINE OF (STREET) ENGINEER N0. �Y7`S`!6� - p ,, f TYPE OF EXISTING -SETBACK "HIGHWAY "'+ -"YARD = LOTAV ADDRESS HIGHWAY WIDTH FROM C.L. ' TEL. + _ CONTRACTOR a;Qlill NO. 34"f-Zy,S%/ ), ADDRESS Z�' '�"-_ NO. Z� �J/S CORNER CUTOFF YES ❑ NO ❑ SLC.o IIiLBTTlZs�_ LIC. ,��•�i CITY CLASS ./ _/ SEE REVERSE SIDE-FOR SPECIALLIAPPROVALS CONSTRUCTION LENDER ,�A _ �� 70 i L NAME AND BRANCH � "�'�-�-- � r- � C 3�?D .9 d� a ADDRESS CL SQ. FT OOF NO ORIES FA SIZE STMElLIES NEW � � USE OF•, :)(-,-G�►�•-,-[�_ .ADD '❑ ,,.� STRUCTURE ALTER REPAIR � SIGNATURE OF DEMOL ' ❑' . APPLICANT VALUATION $ p APPROVALS DATE INSPECTOR'S. SIGNATURE P.C. PMT. D a FOUNDATION: LOCATION FEE $, FEE $ FORMS, ORS MATERIALS I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE -IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- - GAS VENT DUCTS ' TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I _ WILL NOT .EMPLOY ANY PERSON IN VIOLATION OF THE LABOR ,CODE LATH, INT. OF THE STATE. OF CALIFOR IA- IN-RELATING TO WORKMEN'S COM- PENSATION INSURANC LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT •:?`"� PERMITTEE AND POSTED ADDRESS FINAL s JOHN F. LEWIS, PRINCIPAL ST TURAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH - PERMIT VALIDATION CK. ti•O: ((CASH 7f A638A CES".803 5 65.,,A9 ..�! L'CATI®.N F®R'B.0 l,L®l. GepjER 'J COUNTY OF LCIS ANGELES BUILDING F4' ADDRESS �� / 'Lr�L/ 71 DEPARTMENT OF COUNTY:,ENGINEER �,. = BUILDING AND SAFETY DIVISION LOC A LI:T Y - _ JOHN A. LAMBLE. COUNTY ENGINEER NEARES';T. - COLEMAN W. JENKfNS;SuPr.oF BUi�DING " '" CROSS S?. - --FNER F N ,_. "`GOU,P.,,.. TYPE '.OR APPLICANT'TO'FILL•,I ' '. < . , coNs.?GSTATISTICAL L SSIFICATION SEWE MAP/�// •^y���li71 .10lvwQ lJ,f/f �v�, CL"ASS NO 'DWELL UNITS'i' BLOCK . USE ZONE 'MAPSPECIALCONDITIONS .NO: OFL DGLOT �Q�C. /� NOW ON.`LOT G'BLDG. BLDG. SETBACK FROM'TEL FRONTPROP. LINE OF - (STREET,).•¢/qA(�.. > NO'. OI:�6o TYPE',OF EXISTING SETBACK' HIGHWAY. 'F,.> YARD - TOTAL. A DD t?� 1.�` ` �. s _. .• HI HWAY ' WIDTH' FROM C.L. - „ "/- r' 23P �.•?�:: O'rr. - BLDG.SETBACK.FROM•= � + - ITECT�O�R/ - •fi'L. ••� - - ` EER �. e. : /' SIDE PROP. tINE OF _ (STREET)GGTYP.E:OF ,EXISTING SETBACK HIGHWAY } . YARD - TOTAL ESS Jv Fi ! . • , . HIGHWAY •WIDTH FROM C.LRACTOORESS �7 ' IL� � NO CORNER CUTOFF " YESNOCLASS SEE REVERSE SIDE FOR SPECIAL-APPROVALSDESC-RIPTI NOF WORK . + ! Lu -. ADD`, ` At-TER" REPAIR - DEMOLIT. O. OFNO. OF.'Zoo 10 5 ,.�_ STORIES' FAMILIF_S fFCTURE 7 �X� "s' b://?� .i- �•..1 ��"v./ -^�y�,-��• ,t ,��.y+ ✓'•� C£-C�f;="!"". vim'/tr�•rr^✓'`1Ri ,7i '�.6Y'. 'li..�-•� C�� S I G N A T'U R E.O F APPLICANT .. /�•,.�J. ..VALUATION$ ., �%' iW E, .. _ :.:� APPROVALS A P'PROVALS D'A TE INSP ClrDR'S SI G NATURE P.C. - - P.MT. FOUNDATION, LOCATION //.F' � ',. ' FEE$ ',. -FEE$ t� FORMS,.MATER,IALS-.., f Ifl�`(`.'a`- - -- - FRAME, FIRE,SmTO'PS, - 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•V-E'NT. DUCTS 9UILDING CONSTRUCTION:'I..CERTIFY THAT. .IN`DOING THE •WORK AUTHORIZED HEREBY I WILL"NOT EMPLOY,,ANY PERSON'IN VIOLA- L:A';T'H INT.•' - TION OF THE LABOR.CODE OF THE.STATE OF CALIFORNIA RELAT- - 'ING TO WORKMEN'S COMPENS TION-INS URAN �' LATH EXT.. ' cyan �- SIGNATURE.OF •` - HOUSE:NUMBER COR--- PERM OR PERMITTE E' 'REC T'AND POSTED ADDRESS FI.NA.L •'. V, �. �.. JO.FiN F. LEWES. PR1NC•�IOPPAA'L ST RAL ENGINEER - PLAN CHECK VALIDATION cK.• 'M.O. CASH. PERMIT. VALIDATIO cK:,�M:d CASH" to0' Li bill '7{'6 7 ' 3- D ,-9.7 5 ' L uJ0 J 1 D a�'9 �` N2 13 945 .-, -'•' %. \ '" a ,- •_. WORKERS' COMPENSATION'DECLARATION " fi I',hereby affirm that I 'have'a:;certificate of"consent to`self "' ^� AUIL insure;.or a certificafe:of Workers';Compen`safion Insurance \ or a testified copy thereof (Sec.:,3800,'L ab C ) '.. z ;, COUNTY•DF.LOS:•ANGELES - BUILDING AND SAFETY 3039547. Policy-.No Company t S,tate':Compe.nsatl'on nSurance',t 1C1 - BUILDING; ❑° ;'Certified copy js'herebyfurnished:, .• `FO_R`APPLICANT.TO"FILL IN ADDRESS' BUILDING 'n -Certified copy is led with the ounty b dhg !ns c 10667 Lowerw'Aztiza -'tion department,4 :,• z• ADDRESS Temple cit' zIP 91780'°. — , CITY " Date Applicant` NO. OF'BLDGS., F ' _, c. - CERTIFICATE.OF rfXEMPTION.F M'WORK S ,< .` :SIZE OF LOTµ"i; NOw'ON.LO7,. "5- LOCALITY " NEAREST. ON,INSURANCE COMPENSATI : : "- ASSG SSOR (This section need not.-be completed if ihe'•permit•is for.one TRACT: BLOCK LOT_'NO MAP:BO PAGE PARCEL hundred dollars"($100) or,less ) :{ TELx' WNER - Ge"rtru`de--Cohen No. 475=1'165— '0 USE ZONE: MAP I certify that_in'the.:pe[formance:of,the,work for which=this ,. . �: SPOECIAL } perm it as issued, I shall"not emplo,,y any;:person'mianymanner. ADDRESS- .--10787 W11Shlre_ Blud.. AfJl 04_.. CONDITION S.• so as to:become;subject`ib the W'brkers.Compensation Laws O '- a CITY;; LOS,:An r P' - eles: .90,024 _ Date ' 'Applicant r F.:' ARCHITECT OR TEL.: 4 FIR 0 NOTICE TO`'APPLIGANT:'If:afte'r•.makin This Certificate of ENGINEER.. None NO', .. ,"_, DISTRICT:.- IGROUP. TYPE , E- PROCESSED BY _.-. 9, ;' CONS ZONE 0 Exemption,•. you„ 96uld< becomes subject,to the Workers ''• V - If' itio_n.pr`ovisions.of,the Labor;Code,.you�must,forth ADDRESS a ' w Wit'h'`; comply with such.provisions or.ihis 'permit shalt,be = TEL;. STATISTICAL CLASSIFICATION AP7.-, DO deemed revokecJ` L _ CONTRACTOR, UrLlted R6ofln ,"CO NO '223-4081 y,.. Z LICENSED`CONTRACTORS DEGL'ARATION LIC ; ELLsUNITS AD Nod 3765,0 ss NO. DREss 1$21_Dal ,'SC. - I hereby aff rm that;I am licensed under provisions of.Chapter 9 - ;,, ER MAP GLA DW (commenting with'Section 7000)''.otbivisioi 3'of.the Business UC: SEWER clrY; Los .An eles aAss C.=.39 and Professions Code"and my icense-is full force and effect gK pG� VALIDATION - � 5 137 6 �"'' :':;. •v.C .3 9 SQ.'FT NO,."OF NO. OF .- CHECK License Number ic."Class '• SIZE: STORIES FAMILIES. ONE - F,' `Remove eXlStlnVALUATION- - ' for D t� 1 O 4 89 . DESCRIPTION OF_WORK. NEW :.0 . Contrac,. a: - nstall" 3-ply `built tip`' fiber ❑I am exem under S c. ADD $ 362T 00 B.aP C:.for,this season Pass. Ca sheet 'roof s stern :` S , ALTER USE OF, Date ClaSIS B." /�LttO PaY•t'S REPAIR EXISTING BLDG.' DEMOL ❑. Signature a., , 1 APPLICANT, TEL. (PRINT) :'United`" Roof'in 'C6-.NO.'223=4081 OWNER-BUILDER DECLARATION DATED _ Ihereby affirrn that I am'ezempt from_the"Contractor s.L'icenser :; . ADDRESS :18;21 Dal St. ,='Los` An el`es', . 900V .. }' Law for the`following:reason (Section.7031;5;Business and FINAL/� t{j 3 �f FF y Bcofessions'Code) PRESENT _ >. ey: -ITEMS BUILDING q i 1t i ❑ ' I, as owner;of`the property or:'rny employees"with ADDRESS -� `wages as,thejr sole•compensation-;,will do thework•and - " `,. l am :d : LOCALITY l 'TC TTL ahe structiire.is not infended or offered for sale(Section C-J '' ,._ , 4 MOVING {, TEL,_ t:�1Gi.•K 6tfft fJti, 7044; Business;ancl Professions Code ).' JyJ CONTRACTOR;, NO: - - • s. `: ,. ❑. I 'as own r'of the-pr erT' am exclusive) .contractin (� e P .P.„, Y, Y g y,, with 1icensed�<oniractors to.construct•,the protect (Sec ADDRESS tion 7044;:Business and Professions Code:,) - C� ” REQUIRED TOTAL SETBACK FROM EXIST �3 f 7 CONSTRUCTION.LENDING AGENCY, :-°, SETBACK" PROP., WIDTH QI (lI- Is il� YARD HWY �f y} I hereby affirm':That there is=a construction tending''agericy#or,.., FRONTa: the,performance.of the work,for which;this,permrt•is issued r '6j.••-"' (Sec..30.97,'Civ: C:-). SIDE Lender's Name. 58`. 1 LDMP,Ref # Y, Lender's Address P C 'Fee$ Permit Fee 3 ' I certify that I`have read this;-application;and'state that the : Issuance Fee '10"•5O' LDMA-P/C# ® : ' above`informgticn is'correcT I agree tacomply"with all'County. ` ' . InvestigarionrFee a ,- . ordinances"and:State la relating t )ding construction, Total Fee 68:.63. LDMA-Perm # 'Q and hereby.,au'tho'rize` esentati" s f this County to.enter Jpon'ihe ove-m netl pro r for inspectio_n purposes a ' 10-.4-89 SEE REVERSE FOR EXPLANATORY LANGUAGE .; Signa -of-Appli- nt`or Agenr Dpte le. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING-PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807280041 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 19189 LT: 6 SQ. FT STORIES TYPE 10667 LOWER AZUSA RD STRUCTURE: 0 VN TEMP CA 917804128 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-027-001 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY: EX RES ON: MURSULI CIGARS EXIST OCC GRP: 07/28/98 UT /28/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: CHUNG JEY J;KATHY C - 1 4,500 �] 481 WORKMAN AV 6 ARCD 910078454 FEES PAID DESCRIPTION OF WORK REROOF OVER EXISTING - HOT MOP SS A BUR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: BELVEDERE ROOFING (213) 263-9666- AA BLDG PERMIT ISSUANCE 27.75 3619 E. OLYMPIC BL. AE STRONG MOTION OTHER--__4500.00 VAL 0.95 SPECIAL CONDITIONS: LOS ANGELES, CA D2 PERMIT W/O EN='HC--450000 VAL 132.60 TOTA�i�EES 161.30 CONTRACTOR: TEL. INC. (EL. N263 9666 ®•�� Qe��� APPROVALS DATE INSPECTOR SIGNATURE BELVEDERE 3619 E. OLYMPIC BL LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90023 340362C-39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH ORMS LIC. NO: I , 1111111 SLAB/LNDER FLOOR L � RAISED, FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CM04 L�(C V V© UNDERFLOOR INSULATION 04 144H273 3 11. P-81 K 3 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 NO 22 16 0 ROOF SHEATHING El 8� SCHOOL WITHIN HAZARDOUS T: SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 �� NO NO NO �� FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST epee E 0A FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: 0 FRONT PL- °��rvic a Th2l 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 9071 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA :' BL 0508 9701290006 PHONE: (818) 285-0488 EXT: ^ LEGAL ID: NO. OF - CONST NEW BUILDING ADDRESS: TR: 19189 LT: 6 SQ. FT STORIES TYPE OCCUP GROUP 10667 LOWER AZUSA RD STRUCTURE: 1938 1 V B TEMP CA 917804128 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: EL MONTE 8585-027-001 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY TENANT: EXIST BLD USE: COMME USE ZONE: ISSUE ON: PROCE SED BY: EXPIRES ON: MURSULI CIGARS EXIST OCC GRP: B 01/29/97 TC 01/29/98 OWNER: TEL. NO: BLDGS. NOW ON. LOT: VALUATION: FINAL DALE FINAL ' : CODE: CHUNG JEY J;KATHY C 20,000 .r I j- 481 WORKMAN AV ARCD 910078454 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: `ANTTYUOM AMOUNT: T.I.-REMODEL INTERIOR AND ONE HROOM FOR ADA COMPLICANCE I �QU� JJ� APPLICANT: TEL. N0: SAME AS OWNER AA BLDG PERMIT ISSUANCES 27.75 AE STRONG MOTION 'OTHER 20000:00-VAL 4*20 SPECIAL CONDITIONS: AX BUILDING REVIEW�,FEE 54x:70 82 PERMIT W/ENERGY 20000.I00 VAL�42603-, CONTRACTOR TEL. NO: TOTAL FEES if 512.68 Q �. \ `G APPROVALS DATE INSPECTORSIGNATURE SAME AS OWNER LIC. NO -"f'?its p 0. LOCATION AND SETBACKS ' ,��� �� ^l � � SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: S�l /� VVV ��Jll a ((fr I� FOUNDATI N/TREN H FORMS . LIC. NO: �ifft SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 04 . SSG N0. 0 FA ILIES: DWELLING UNITS: APT/GOND: STAT CLASS: FLOOR SHEATHING NO 22 ✓ ROOF SHEATHING CHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO �� FRAME INSPECTION i30,�7 4� ✓' RS �� 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 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 0706220021 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 19189 LT: 6 _ I SQ. FT STORIES TYPE I 10667 LOWER AZUSA RD (STRUCTURE: VN - I -TEMP,CA 917804128 (ASSESSOR INFORMATION NUMBER: 1 I •` NEAREST.CROSS 'STREET: EL MONTE 18585-027-001 I 1 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, CI I I I (TENANT: 1EXIST BLDG USE: COMME USE ZONE: C-3 11SSUEDON: PROCESSED BY: EXPIRES ON: I IRUVALCABA JOSE IEXIST OCC GRP: 106/22/07 SR 06/16/08 I i I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1F NAL T FI CODE: 1 IWESLINE LLC C/O, SHL MANAGEMENT (310) 392-1757 1 450 I I 12665 30TH ST. #212 ISANTA MONICA 90405 1 FEES PAID 1 SCRIPTION OF WORK I I (ADD A PARTITION WALL I I,FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO; I I I I ID MALIBU CONSTRUCTION (323) 314-2728- :AA BLDG PERMIT ISSUANCE 27.75 1 11514 SAN GABRIEL 1AE STRONG MOTION OTHER 450.00 VAL 0.50 ISPECIAL CONDITIONS: 1 IROSEMEAD CA 91770 ID2 PERMIT W/O' EN-HC 450.00 VAL 43.65 I I TOTAL FEES 71.90 I 1 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ID MALIBU CONSTRUCTION (323) 314-2728- 1 11514 S SAN GABRIEL BLVD LIC. NO I ILOCATION AND SETBACKS I I ISO SAN GABRIEL, CA 91770 506820 B I 1 I I ISOILS ENGINEER APPROVAL I I 4 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH.FORMS I I I 1 LIC. NO: I ISLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I 1UNDERFLOOR INSULATION I I I 1144H273 3 O11 II I I I I IFLOOR SHEATHING 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I �•. NO 22 I IROOFj.SHEATHING I I I I I I I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR'PANELS I (AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO IFRAMF INSPECTION I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRESPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- I IINSULATION/WEATHER STRIPI I SIDE PL- I 1 ( 1 1 op I IINTERIOR LATH/DRYWALL I I I 1IVO U//' � I iEXTERIOR LATH 1 I 6 I 1RATED FLOOR/CEIL ASSEM. I 1 1 1RATED WALL ASSEMBLIES I I I I I I I I I' IRATED SHAFTS/OPENINGS I I I I I I I I I I IT-BAR CEILINGS I I I I I I I I I ILOT DRAINAGE II I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I i