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HomeMy Public PortalAbout9362 LOWER AZUSA RD_Miscellaneous__ 7GN444 CUD 75...ss PU I S C E L LA N E O M S APPLICATION DIVISION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAILERS Dogortment of County Engineor County of Loi Angeles BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 936? I,o'aer Azusa Road CASSATT D.GRIFFIN,SUPT OF BUILDING z .. LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST OWNER Miller Bros. CROSS Sr. Encinita MAIL ADDRESS 6� p[ DISTRICT NO. GROUP TYPE CONST. TEL e I 'hent CITY NO. CU 3-8074 NUMAP MBER 201TATHWY YES N CONTRACTOR CanVaS Sp2cialtFoLRA 3-8311 USEZONE SPECIAL ADDRESS 7344 13, Bandini Blend, U2, CONDITIONS LEGAL BUILDNG EXIST. DESCRIPTION LOT NO. BLOCK SETBAICK YARD HWY I STREET NAME I WIDTH NO.OF BLDGS. TRACT NOW ON LOT FPROL T 2}O P I I Lo-yer Azusa 701 USE OF SIZE OF LOT I EXISTING BLDG. 81DEP L APPLICATION FOR INSPECTION RECORD OCCUPANCY INSPECTION SAFETY PERMIT i TRAILER USE LIMITED TIME USE DTE DATZ I —I FROM: 11-2�-61' TO: 1-2-6I __._....I.__.. USE OF STRUCTURES OR DEVICES Tents - Rose floats 1 - 100, x 190, ____......_�._..__........................ 1 - 40, x 80, INSPECTION FOR OCCUPANCY A _..I.............._.............. APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS DATE INSPECTOR'S SIGNATURE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL AND STATE LAWS REGULATING BUILDING CONSTRUC- GROUP OCC.LOAD TION. SIGNATURE OF Canvas Specially, T1f o Co. TRAILER USE PERMITTEE rti,�, , �r pf i�J� .�;�'�,r SAFETY PERMIT .9ADDRES TEMPORARY 344 Eo Bandini Blvd 2 STRUCTURE APPROVED TEMPORARY STRUCTURE REMOVED FEES rf— cll• FINAL APPROVAL ~^ JOHN A.LAMBIE.COUNTY ENGINEER VALIDATIQk CLYDE N.DIRLAM.CHIEF BLDG. INSPECTOR CK No sH 7GM444-UBS 75 12.54 MISCELLANEOUS APPLICATION 1 DIVISION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAMERS Deportment of County Engineer County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING ff LOCALITYOZ-PAY ' fJ����J FOR APPL CANT O FILL IN NEAREST OWNER JW/ /`P14 1C /M CROSS ST. MAIL ADDRESS 9 3 L { DISTRICT NO. GROUP TYPE CONST. CITY TELfl.� �.� S I J`�- I R!11 y I MAP STATE YES /NO� /� T L. NUMBER HWY C� CONTRACTOR t��i.Zo�q USE ZONE SPECIAL '+J i1 �, �M / �� p CONDITIONS ADDRESS ( "f �/ LEGAL h i� DESCRIPTION I LOT NO. BLOCK BUILDING YARD HWY STREET NAME EXIST. TRACT �r : -I� I NO.OF BLDGS. SETBACK WIDTH NOW ON LOT FRONT �i UP. L. SE OF SIZE OF LOT I EXISTING BLDG. SIDE APPLICATION FOR 4./g/,;p INSPECTION RECORD f l OCCUPANCY -- INSPECTION SAFETY PERMIT � . .......... ✓........... _....................................................................................................... TRAILER USE LIMITED TIME USEze ." X a 9.0 box S o , ... _....... . ...... �-F'..�. � � '�j•�•...•:...:Y.J~..�.Y....:..��... ..... ........ .JqL/DATj ................ FROM: ' 1�m TO: ... UbE(OF STRUCTURES OA DIMCES b`'' fkRr�rY••• •• ',r'n! ',-a•- •,s'e•••,�- ...................• ..: �+, '4................ Q2�C�4Z/ clip li/ ...................................... d -�... --............. r ................................_..................................................................................I...... ......._............. ............... ..�. ..�'' �................. _. ............ . . ...... APPALS INSPECTION FOR ODATE I INSPECTOR'S SIGNATURE OCCUPANCY AS O U AN Y APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS G UP OCC.LOA APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES RAI USE AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. /J SAF P b� q SIGNATURE OF TE P PERMITTE ST RE Pi ADDRESS- /9411 TE A _ STR� CTU ERE D _ APPROVAL � 1 WILLIAM J.FOX,COUNTY ENGINEER VALIDATION I_Ar' 7032n; `'0~ 262 2 A 5fD0 , �_ BY BY DEPUTY DEPUTY BS ' MISCELLAN OUS A LIGATION 78M444.DBS 7S 11•SS DIVISION OF BUIMING AND SAFETY OCCUPANCY-SAFETY-TRAILERS Deportment of County Engineer County of Los Angeles BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY F APPLIC TO FILL IN NEAREST OWNER / /- v If S /`7 /W- CROSS ST. MAIL g/ DIS�TFtIOCT fj[O. I �SoROU I TYPE CONST. ADDRESS ✓C y Sf "I _.PRO UP_.,_ NO. MAP STATE (� . NUMBER O? O HWY TELYES CONTRACTOR/✓YHS v �G NO. j(/g3�1 a dr, USE ZONE SPECIAL A?W 46: • CONDITIONS ADDRESS `d LEGAL DESCRIPTION I LOT NO. BLOCK BUILDING YARD HWY I STREET NAME WIDTH EXIST.TD SETBACK /J�� / NO.OF BLDGS. TRACT ��/ r I NOW ON LOT FRONT P.L. USE SIDE. SIZE OF LOT EXISTING BLDG. APPLICATION FOR INSPECTION RECORD OCCUPANCY INSPECTION I AFETY PER TRAILER USE I LIMITED TIME USE01 FROM: / TO: aC _ USE OF STRUCTURES OR DEVICES INSPECTION FOR OCCUPANCY A IAPPROVALS �••-------•- - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS DATE INSPECTOR'S SIGNATURE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUbprY ORD NANCES OCCUPANCY APPROVAL AND STATE LAWS RE LATING BUI NQ CONST UC- GROUP CCC.LOAD TION. SIGNATURE OF TRAILER USE P$12M ITTEE r ADDRES SAFETY PERMIT • TEMPORARY v STRUCTURE APPROVED {� • TEMPOBARY �p STRUCTURE REMOVED FEE$ /� r FINAL APPROVAL JOHN A.LAMBIE.COUNTY ENGINEER VALMATjeN--,., CLYDE N.DIRLAM.CFIIEF.BLDG. INSPECTOR CK MO /CASK' UE0 9 1.. 8 5-%-2 NOV 2 8 7 0 5.0 0 76M CE 0875 10-69 A WSC ELLANEOUS APPLICATION COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK._ /^ )PAGE—PARCEL— BUILDING AND SAFETY DIVISION BUIADDLDINGRESS J l a JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUP'T. OF BUILDING ::f:,S,•.': : ;._ �. :." ... ' - : LOCALITY - `/ \ \vJ � tMe FOR APPLICANT TO FILL IN NEAREST a CROSS ST. �qL BUILDING �. f / DISTRICT NO. GR UP TYPE PR SSED BY ADDRESS ] ;�- is,:/�� ✓Yc..�S �� CONST. ` LOCA LITY-�-� -— _ • IMAHIHWAY " r:. NOP (CIRCLE) STATE MAJOR SECOND LOCAL NEAREST CROSS ST. USE ZONE SPECIAL CONDITIONS LEGAL DESCRIPTION LOT NO. BLOCK NO. OF BLDGS SERED YARD HWY STREET NAME EXIST. SETT BACK WIDTH TRACT NOW ON LOT FRONT USE OF P.L. SIZE OF LOT EXISTING BLDG, SIDE P.L. OWNER tA// ,:-.,C i w� y MAIL / _ ADDRESS a ,j�- RG' �1 �7'! a +A, CITY f� ;+ TEL. ���`�s NO. lis 7 J!r C d APPLICATION FOR TRAILER USE SAFETY PERMIT I,yl C) yr O F- U USE OF STRUCTURES OR DEVICES a N g+ id ` lo Z LIMITED TIME USE DATE DATE FROM: TO: INSPECTOR'S APPROVALS DATE SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS TRAILER USE APPLICATION AND STATE THAT THE ABOVE IS COR- RECT AND AGREE TO COMPLY WITH ALL COUNTY SAFETY PERMIT ORDINANCES AND \STATE LAWS REGULATING SUCH TEMPORARY WORK AS INDICA D HEREON F f /r STRUCTURE APPROVED SIGNATURE OF p n _ PERMITTEE 'r%""` �'' .�Y.LG TEMPORARY ry STRUCTURE REMOVED ADDRESS e FEE $ `('1 CrFINA RO9't APPLICATION VALIDATION �1 JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER (NOT A PERMIT) CK. M . CASH PERMIT VALIDATION CK. M.O. CASH 76M444- MISCELLANEOUS IP-54 ISCELLANEOUS APPLICATION r" DIVISION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAILERS Deportment of County Engineer County of Los Angeles BUILD U 1 LD 1 NG ry WM.J. FOX, COUNTY ENGINEER ADDRESS Q we= C q CASSATT D.GRIFFIN,SUPT OF BUILDING yy LOCALITY `PR AP/�pLICAN`T'TQ/,.jFILL , I . / _NEAREST _ OWNER��/�//Fob,/(ed�ita% @f /ZsY//7 [/�f.-�"�, CROSS ST. MAIL 36 2 /a w ems,. A?6 jq W,, ADDRESS DISTRI T NO. I �cRO}I�j I TYPE CONST. CITY D 5 P aZ3f'e NO. '7 GG--/A•/7 �y NUMBMAPER (� STATE T YES. NO CONTRACTOR 6�(IT 1/.GS J G(° o USE ZONE SPECIAL ADDRESS /�' CONDITIONS LEGAL r DESCRIPTION I LOT NO. BLOCK BUILDINGEXIST. YARD HWY STREET NAME �'Q NO.OF BLDGS. SETBACK. WIDTH TRACT Q N F NOW ON LOT FRONTUSEOF Pe Le Q (�Oft A-z Ur/1 '761 r6 SIZE OF LOT EXISTING BLDG. SIDE Jit / P. `• OCCUPANCY APPLICATION FOR � INSPECTION RECORD INSPECTION SAFETY PERM" I TRAILER USE LIMITED TIME USE A6to ]`�� �` .......................1.............-___...................................................................1....................--.......... ......_ ..I..............................................................................--......I........................... DATE °� DATE ry ..I......................................................................................._.......I....... FROM: -cE D/'*�.6 TO- T 4 f/ / l 9J 5 / ...... USEOF 6TRUCTURES OR DEVICES ........_..............I..._..........._........._..:_..............._...._.........................................I.................................. iI._....................................._....____........_.....................1................................. ou ilah !�'7 �>( /f d S S _.................I......._........._........ ................................._...........................d...................___...... ............_ .I.............................................:..,.........................._.........I.................._.... . _....._....1..................-...._........................................................... ,.I............................ ........................I........................... . ..................I.................................. APPROVALS INSPECTION FOR I DATE 1 INSPECTOR'S SIGNATURE OCCUPANCY A5 OCCUPANCY APPROVAL 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC.LOAD APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES TRAILER USE AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. SIGNATURE OF ` SAFETY PERMIT PERMITTEE ��+A - TEMPORARY STRUCTURE APPROVED i ADDRESS— /1�� , TEMPORARY STRUCTURE REMOVED ! 1t.SI .• t�W '/'C FINAL APPROVAL WILLIAM J.FOX,COUNTY ENGINEER VALIDATION 2 6 1 3 mov 21 -3 5_Q Q CIn BY .��4 ty B]C 2 C1 vRttl 1 cCS 0 PUTY,� , DEPUTY • ate- /��p (pp�e• ®{p}qr pqo�' •® ���Qn� 76M444•DB6769.55 MiSmELL�"�' a®®Up 4 u■ • .LIC^TION DIVISION,OF BUILDING.AND SAFETYOCCUPANCY-SAFETY-TRAILERS' Deportment of .County.-Engineer County Of Los Angeles BUILDING // q WM.J.FOX,COUNTY ENGINEER ADDRESS (� A �o dNt°it, /Q 7 y g q CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY 01 at �q� F/OR APPLICANT TO'`FILL y-II-N r NEAREST OWNERd _2/ _2 •1 R83•. 9-Le �I ne CROSS ST. MAIL p . /► /�� I DI TR O. ROUP TYPE CONST.. ADDRESS 6 l 4OW•�°4 /`yysee , d.. �"�t A l /� TEL 7 15 /V '- CITY (A D S'P P�7-P� NO. MAP STATE YES N T NUMBER - HWY. CONTRACTOR USEZONE SPECIAL //�� / CONDITIONS . ADDRESS 7 3�1y 'A4,0l�/o7I Ib'%O- t LEGAL V� DESCRIPTION LOT NC BLOCK � BUILDING EXIST. NO:OF BLDGS. I SETBACK YARD HWY STREET NAME WIDTH TRACT o�1;tet NO.W ON LOT " FRONT . ce 'USE OF P.L. SIZE OF LOT I EXISTING BLDG. SIDE APPLICATION FOR �` P• INSPECTION RECORD OCCUPANCY- , INSPECTION ••:•• SAFETY•PERMIT .' ........_........I........................................................................................._I........_....................... TRAILER USE LIMITED TIME USE ® m _..._.�... .I.., ...._......................._.........................................................I............:..................... rio d = ...............:I::............. . ..... . ........................................................L..............._ ,_ ... areD �O ........i....... ............... . . ................................... ......I........................_ o ......... .....,... FROM: I.2 TO USEFOFF STRUCTURES Olt 9FEV110E6 .....................I..............................................................................................I.................................. �d O ® ..................i.:.......................................................... .......................I.........., .......... pU�'f1 a_S p F .. ......................I................................................_...._........................................I.................._.:........... ................d:..... ......................................._.............. . ... . I............................... .......... .:I......................................... . .. ............. . ..........__.I.. ............._. ................I......_.._ ..........;. ............. ._...........................I.................................. ,. — APPROVALS INSPECTION FOR - DATE INSPECTOR'S SIGNATURE OCCUPANCY AS _ OCCUPANCY•APPROVAC A HEREBY ACKNOWLEDGE THAT I HAVE READ THIS. GROUP OCC.LOAD APPLICATIONAND=SLATE THAT THE ABOVE IS CORRECT'- AND-AGREE TO COMPLY.WITH ALL COUNTY-ORDINANCES' TRAILER USE ' AND STATE .LAWS REGULATING BUILDING CONSTRUC- TION. . ' SAFETY PERMIT SIGNATURE OF ' - PERMITTEE TEMPORARY .• � STRUCTUREAPPRONED ADDRES .9 d a W/ z/ (K TEMPORARY STRUCTURE REMOVED ----- . Z Y FINAL APPROVAL !/7 WILLIAM J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSP R- ov 21_' s �s 7OM444 DBS 78 1158 nO C L �A,oma E�O U�-S-�`A�Y®PL I pAT I O N. . DMSION OF BUMDING AND SAFETY_ OCCUPANC%-SAFETY-TRAILERS , Deportment of County Engineer County of Los Angeles BUILDING 3 /v( JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS b CASSATT D.GRIFFIN,SUPT OF BUILDING _ LOCALITY FORLICANT 0 FILL IN NEAREST OWNER Qui O S CROSS. , . MAIL �y� ` ADDRESS �p p2 oC d(OJ�rA DI TR g1�rI0., I GROU E CONST: TEL. a r CITY NO. MAP "NUMBER p� A 8jTjyAyTYE TELYES N CONTRACTOR .NO.. �. II USE ZONE SPECIAL w ® CONDITIONS ADDRESS LEGAL ESCRIPTION LOTNO. BLOCK BUILDING. EXIST.. D SETBACK MARDI HWYI STREETNAME WIDTH NO:OF BLDGS. TRACT I NOW ON LOT 'FRONT ® I I USE OF O w l us Q /0 SIZE OF LOT' I EXISTING BLDG. SIDE APPLICATION.FOR INSPECTION RECORD. OCCUPANCY - INSPECTION I AFETY P TRAILER USE I LIMITED•TIME USE — /Q O 'OC / too O ATE ATC FROM•• 141 TO, _ USt OF STRUCTURES Olt D ICES %-7&-f7 s 1� tv 5 7--fee 6 LA �' �• _. Imo__.._.._.__:._._ j INSPECTION FOR _ OCCUPANCY A I APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - DATE INSPECTOR'S SIGNATURE APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES,.' OCCUPANCY APPROVAL AND STATE LAWS REGULATING BUILD NG CONSTRUC-. GROUP ccc.LOAD TION: ' SIGNATURE OF TRAILER USE PERMITTEE7 3P �8 SAFETY PERMIT v c ADDRESSTEMPORARY A / STRUCTURE AP TEMPGBARY � - �. m STRUCTURE IROVA�L '/ MOs FEE S. '� Q cw! FINAL APP (f JOHN A.LAMBIE.COUNTY ENGINEER VADAT CLYDE Ni DIR M. HIEF BLDG. INSPECTOR 'CK MO CAS 7GM444-DBS 79 TI-SS R V l]I S L E LLA ll V E O U SA R P L'C TIO R Y DMSION OF BUILDING AND SAFETY OCCUPANCY-.SAFETY-TRAILERS Deportment of County Engineer } County of LOS AngelesBUILDING [ vs JOHN A.LAMBIE..COUNTY ENGINEER ADDRESS 36.)- /� GUPN CASSATT D.GRIFFIN,'SUP•T OF BUILDING LOCALITY F PPLI NT TO FILL IN NEAREST OWNER L �pcA PLO CROSS ST.. ZJ . MAIL -DISTRICT NO. ROUP TYPE CONST. ADDRESS �• in L(9' p� r D p � •� CITY / NO. �+U '�8 d H MMAP BER O O I ! "STATE YES NO TEL. CONTRACTOR NO. 1?, USE ZONE SPECIAL /, CONDITIONS • ADDRESS, 7 ' �� a LEGAL DESCRIPTION I LOT NO. I BLOCK . BUILDING EXIST. MARDM I HWSTREET.NAIVI6 I WIDTH NO.OF BLDGS. TRACT I NOW ON LOT FRONT 1� a a toot70 USE OF SIDE SIZE OF LOT ' I EXISTING BLDG. �P APPLICATION FOR INSPECTION RECORD OCCUPANCY INSPECTION AFETY PERMIT + _ _.. TRAILER USE PLIMITED TIME USE —G. 7 .60://V t,r'— Il!for e3o✓ _GRO[JAAOS- od a , 0,14 DATE DATA I�J""�'�'••^�"5 FROM TO O�✓ L a e�e-' •�/ IJI9E OF 9TRUCTURES Oft DitVICEs o a ------------- INSPECTION FOR OCCUPANCY A I APPROVALS �rrw I HEREBY ACKNOWLEDGE. THAT I HAVE READ THIS DATE IRSPEcroR s RICRAruRe pAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OOCUPANCYAPPROVAL AND STATE,LAWS EGULATING BUILDING¢ CONSTRUC-•. GRouP Odd.LOAD TION. 6 -SIGNATURE OF / TRAILER USE PERMITTEE SAFETY PERMIT ADDRES TEMPORARY STRUCTURE APPROVED a.,..i TEMPO$ARY /. STRUCTURE REMOVED. . FEES `�— FINAL APPROVAL JOHN A.LAMBIE.COUNTY ENGINEER VAIMA CLYDE N.DIRLAM.CHIEF BLDG. INSPECTOR CK MO CASH tt LFi�►o 2 `8 2 1G NOV 2 2 7 D. 1 5.0 0 , • ' 16M444-CE 0875 9-68 �p(� [[�� ��� `7 ((�� �( 5 I MISCELL ®CJS !J P ' UC 11 MN ILJI -1COUNTY OF LOS ANGELES BUILDING sDEPARTMENT OF COUNTY ENGINEER Azusa BUILDING AND SAFETY DIVISION LOCALITY Temple City JOHN A. LAMB.IE..COUNTY ENGINEER P COLEMAN W..J.ENKINS SUPT. OF BUILDING NEAREST Clover Cy CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP I TYP 5 .08 Tent •CONST BUILDING• MAP HIGHWAY ADDRESS 2 Lower Azusa Rd. NO. (CIRCLE) STATE MAJOR. SECOND LOCAL LOCALITYROsemead USE ZONE SPECIAL CONDITIONS NEAREST M-2 CROSS ST. LEGAL REQUIRED YARD HWY STREET NAME EXIST. BLOCK SETBACK WIDTH DESCRIPTION LOT NO. FRONT NO. OF BLDGS. P.L. TRACT NOW ON LOT SIDE USE OF P.L. SIZE OF LOT EXISTING BLDG. OWNER Floatmaste.rs C� MAIL 9362 Lower Azusa Rd . , 1-0& ADDRESSRosemead TE . �.iT A CITY NOL CU38074 - _ C APPLICATION FOR CD OCOUPANCY XCd I•NSPE.CTI:ON SAFETY PERMIT 0 U TRAILER USE LU CL ' to USE OF STRUCTURES OR DEVICES Z 1-100' x 190' tent v . LIMITED TIME USE,11-10/72 - 1/2/73 DATE DATE FROM: TO: APPROVALS DATE INSPECTOR'S SIGNATURE OCCUPANCY APPROVAL IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC. LOAD APPLICATION AND STATE THAT THE ABOVE 1'S COR- RECT AND AGREE TO COMPLY WITH ALL COUNTY x ORDINANCES AND STATE LAWS REGUL TING SUCH TRAILdR USE WORK AS INDICAT 'E SAFETY PERMIT SIGNATURE OF _a - PERMITTEE TEMPORARY 7344 E. Bandlni STRUCTURE APPRO.VE.D ADDRESS - TEMPORARY Las Angeles ,. CA 90040 STRUCTURE REMOVED FEES • 12.00 FINAL.APPROVAL APPLICATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRUC AI, ENGINEER (NOT A PERMIT) CK. M.O. CASH PERMIT VALIDAT ON M.O. cnsN . ."7° 0 24"-t 7 ® 1..2.00 78M444-CE98754-67 MISCE LLAN ECUS. APPLICTOON COUNTY OF LOS ANGELES r tl� F� DEPARTMENT OF COUNTY ENGMEER B Ui L DING a • 'ADDRESS dvyc-.-L Az(As BUILDING_ AND SAFETY DMSION LOCALITY , JOHN A.' M COUNTY ENGINEER COLEMAN W.JENKINS,SUPT. OF BUILDING -NEAREST. ' CROSS ST. 6A FOR APPLICANT TO FILL IN DISTRICT N U F BY BUILDING V, ,W CONST,_i1 J ADDRESS42 AP HIGHWAY - I. au 0. (CIRCLE) STATE MAJOR SECOND LOCAL LOCALITY. - USE ZONE; SPECIAL CONDITIONS > NEAREST + CROSS ST. LEGAL RE UIR'ED YARD HWY STREET NAME EXIST. DESCRIPTION LOT No BLOCK BLOCK SETBACK WIDTH 1L FRONT 7�Cd1.® NO. OF BLDGS. P',L. TRACT- NOW ON LOT 21 SIDE USE OF is o P.L. w-F SIZE OF LOT EXISTING BLDG. / ' OWNER. 71 � MAIL ADDRESS sa TEL. - r CITY NO. p„ a V APPLICATION FOR OCCUPANCY CD INSPECTION SAFETY PER v TRAILER USE pW. F. Z USE OF STRUCTURES OR DEVICES 0 LIMITED TIME USE DATE' DATE ' FROM: TO: APPROVALS DATE INSPECTOR'S SIGNATURE . OCCUPANCY'APPROVAL _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC.. LOAD APPLICATION' AND STATE THAT THE ABOVE IS COR- - `• RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE ORDINANCES AND STATE LAWS REGULATING SUCH G WORK.AS INDICATED HEREON. ,� SAFE.TY�P'ER.MIT SIGNATURE OF - PERMITTEE TEMPORARY • STRUCTU:RE.APPROVED •ADDRESS Is I TEMPORARY STRUCTURE. REMOVED L FEE FINAL APPROVAL .- APPLI.CATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRU,pWJQ,AL.ENGINE (NOT A PERMIT) CK. M.O. CASH PERMIT VALIDATION CK. M.O. 15CASH'� Lko 1 5 6 1 NOV 6 7 D- 1 .0.0 0 N Q 7GM444-CE#878 4-67 p iSCE p N OUS PP fICAT9® - COUNTY OF LOS ANGELES DEPARTMff OF COUNTY ENGINM a UI ADDRER NG SS 2_ Alz4sQ BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGJNEER LOCALITY COLEMAN W.JENK'INS,SUPT. OF BUILDING NEAREST 'CROSS ST. / FOR APPLICANT TO .FILL IN o(s T NO r OU ' TYPE PR DFLY BUILDING "7 CONST; ADDRESS MAP HIGHWAY N0, J (CIRCLE)' STATE MAJOR SECOND LOCAL LOCALITY USE ZONE SPECIAL CONDITIONS NEAREST - x CROSS S T. LEGAL / " REQUIRED YARD HWY STREET NAME EXIST. DESCRIPTION LOT NO.)% LOCK SETBACK WIDTH. FRONT /atsYL.� p NO. OF BLD S. P.L. TRACT ' NOW ON LOT SIDE _ ,,//�� USE OF Ar4ot4T P.L. SIZE OF LOTAlede�- EXISTING BLDG. 40 � 4J 0. - OWNER JLL OS - - MAIL �J ADDRESS TEL CITY -* NO. O APPLICATION FOR OCCUPANCY CD Y INSPECTION SAFETY PERMIT TRAILER USE OW. h USE OF STRUCTURES OR DEVICES i t ' , LIMITED TIME USE DATE - DATE r. FROM: - TO: ` APPROVALS DATE INSPECTOR'S SIGNATURE OCCUPANCY APPROVAL 1 HEREBY ACKNOWLEDG-E THAT I HAVE READ THIS GROUP OCC. LOAD APPLICATION AND STATE THAT THE ABOVE IS COR- RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER U.SE ORDINANCES AND STATE LAWS REGULATING' UCH ? -WORK AS INDICATEDLIER N. 0 SIGNATURE OF _ SAFETY PERMIT PERMITTEE EMPORAR'Y STRUCTURE APPROVED ADDRESS G TEMPORARY' _ STRUCTURE REMOVED Ls' FEES FINAL APPROVAL —!I'�" APPLICATION VALIDATION JOHN F..LEWIS, PRINCIPAL STRYCIIJL ENGINEER. (NOT A PERMIT) CK. M.O. CASH PERMIT VALIDATION CR. M.O. CASH i.�ll;0 2 6 01 caau . 6 7 0 1 0.00- i6M444 C-CE #875B 12-75 MISCELLANEOUS APPLICATION 1. BUILDING AND-SAFETY DIVISION _ BUILDING FOR APPLICANT TO FILL IN ADDRESS L BUILDING OCALITY ADDRESS 0.t AQ(�TOA v NEAREST V. CROSS ST. LOCALITY DISTRICT NO. I GROUP I TYPE P CE SOD BY n CON T. NEAREST (l � CROSS ST. MAP' ' HIGHWAY LEGAL NO. (CIRCLE) STATE MAJ R ECOND LOCAL DESCRIPTION LOT N BLOCK USE ZONE SPEC.IAL CONDITIONS NO. OF BLDGS. TRACT ��� NOW ON LOT •. USE OF REQUIRED EXIST. SIZE OF LOT EXISTING BLDG. S.GT BACK YARD HWY STREET NAME. WIDTH OWNER (�'�� i ���s FRONT , MAI L ADDRESS Q •�� a.., SIDE P.L. TEL. of CI TV� �� NO. -3 BID U APPLICATION FOR a}. 0 v TRAILER USE ❑ GEOLOGY INSPECTION ❑ SAFETY PERMITLV(LIST ITEMS BELOW).' V W a loo b LIMIT:,gD TIME USE • z DATE •� DATE ' m FROM: '•� j• 70: I / el 17 ' - • INSPECTOR'S F APPROVALS DATE SIGNATURE TRAILER USE SAFETY PERMIT TEMPORARY STRUCTURE APPROVED ' TEMPORARY STRUCTURE REMOVED I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS COR- RECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. SUCH FINAL-APPROVAL WORK AS INDICAT REO SIGNATURE OF PERMITTEE Permit Fee ADDRESS Issuance Fee" - �- L v® Tgtal e APPLICATION VALIDATION - D PEOIPVALIDATION. K. - M.D. CASH - O D (NOT A PERMIT) CK. M.O. CASH 07 W W o m. 1- S rJ Sr1 0 —� -1 O O o 01 Co O O __7 TC TL 'BMaaaC-CE *8788 1.2-75 MI •` :SCE:LLANEOUS APPLICATION BUILDING ND: SAFETY SI BUILDING ADDRESS r APPLICANT TO'FI LL;1N' LOCALITY //f BUILDING - :/ �j ADDRESS ,Q�J�� V��Yi• +� NEAREST CROSS ST. LOCA LITH' - r t- ' .. eery IQ iv, DISTRICT NO. GROUP �TYP PC ESSED,BY NEAREST CROSS ST:' L _ MAP ,q. HIGHWAY LEGAL' + NO. (CIRCLE) STATE MAJOR SECO LPCAL DESCRIPTION LOT NO, 1 BLOCK USE ONE SPECIAL CONDITIONS NO. OF BL'DGS. - - TRACT NOW ON*LOT USE OF, REQUIRED EXIST. SIZE OF•LOT EXISTING B,LD G. SET BACK YARD lHWY STREET NAME WIDTH OWNER `t ® / FRONT P.L. MAI L ADDRESS o w ptk- Q (�0A SIDE �y.� TE v �j P.L. CITY TPn7 �p �. NOL $' -( APPLICATION FOR TRAILER USE ❑ GEOLOGY INSPECTION ❑ V SAFETY PERMIT (LIST ITEMS BELOW) C l ov 5( J-8-C) Pevy • LIMITED TIME USE CL v DATE DATE +v Z 'FROM: TO: 75 Qy� INSPECTOR'S ff-I 6 V APPROVALS DATE SIGNATURE TRAILER USE SAFETY PERMIT z (r/ •6 4,5 A ' TEMPO,RARY # o.o O O 1 :6 STRUCTURE APPROVED TEMPORARY r� STRUCTURE REMOVED 2,0 0 3 Z3 0 0 .0 0 o 3300-.j I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE AS COR- 1.n '—7 q RECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG LAT NG SUCH FINAL APPROVAL WORK AS INDIC ERE N h ' SIGNATURED F PERMITTEE _ � lk Permit Fee ADDRESS �y Q f3ty wt tzi Issuance Fee' APPLICATION VALIDATION PERMIT VALIDATION CK. M.O. CASH (NOT A PERMIT,) CK. M . CASH . - _baa.,�j� ' �. . �� (,.. •. 76M4.44-CE 9875 9-68 MlSCEL NE0U nS APPU 90N COUNTY OF LOS ANGELES BUILDING ` DEPARTMENT OF COUNTY ENGlNEER ADDRESS Z°� (� BUII ING AND SAFETY DMSION LOCAL 1 T Y JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W.JENKINS SUPT. OF BUI.LMING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. 1 G O.UP• PE PRO BY CONST BUILDING ­MA/' QQ A - HIHWAY ADDRESS (,A ewA4 L1S/Q nNO.P odZ.� (CIRCLE) STATE MAJOR SECOND LOCAL LOCA.L.ITY USE'ZONE SPECIAL CONDITIONS NEAREST CROSS ST. LEGAL REQUIRED YARD HWY STREET NAME EXIST. DESCRIPTION LOT NO. BLOCK SETBACK WIDTH FRONT NO. OF BLDGS. P.L. TRACT NOW ON LOT SIDE USE OF P.L. SIZE OF LOT EXISTING BLDG. D OWNER PA m MAIL / ADDRESS. it Khq _ y(�• CITY NO. o /7 - L" S'If7(sQ.K. y 4 APPLICATION FOR c OCOUPANCY Ct INSPE.CTION SAFETY PERMIT C r c TRAILER USE C USE OF STRUCTURES OR DEVICES s to el Y (9 4 o T LIMITED TIME USE DATE DATE FROM: TO. APPROVALS DATE INSPECTOR'S SIGNATURE OCCUPANCY APPROVAL - IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC. LOAD APPLICA'T'ION AND STATE THAT THE. ABOVE IS COR- RECT .AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE v ORDINANCES AND STATE LAWS REGULATING SUCH WORK AS IND' C' E SIGNATURE O SAFETY PERMIT PERMITTEE �- TEMPORARY • STRUCTURE APPROVED - ADDRESS 71� TEMPORARY STRUCTURE REMOVED FEE'S LY FINAL APPROVAL APPLICATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER (NOT A PERMIT) CK. M..O.. CASH PERMIT VALIDATION. CK. M.O. CASH. 17 3 .7 49. OCT'28 .;: 7 D 1 0.0 0- V r 79 VOT- x1444 c� 16 ..�g;�.�e$_�, e�C E L LA NEO�J APPLICATION� COUNTY OF LOS ANGELES OCCUPANCY-SAFETY-TRAILERS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSI6N BUILDING C©w� w ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT.OF BUILDING LOCALITY G/ F Iq.APPLICANT - FILL 1 NEAREST OWNS CROSS ST. -6X14f1/G// MAIL '' CLISTRICTNO. GROUP IXYPE PROC ADDRESS. a/ ��/{f .CONST.. TEL. CITY NO• NUSI MBER YES NO . CONTRACT TEL t NO.. USE ZONE SPECIAL CONDITIONS ADDRESS Q ' i' LEGAL DESCRIPTION I LOT NO. I BLOCK BUILDING SETBACK YARD HWY STREET NAME WIDTH s, NO.OF BLDGS. TRACT NOW ON LOT FRONT USE OF P.L. SIZEOF LOT EXISTING BLDG. :-SIDE. OCCUPANCY APPLICATION FOR P.L. . - w ;• INSPECTION RECORD INSPECTION SAFETY PERMIT r TRAILS USE LIMITED TIME USE I 0 O DE- FROM: �(�'-vCia[ ®/n�, TO: �i—. _��� I I U USE,OF STRUCTURES OR DEVICES I' I � INSPECTION FOR I I OCCUPANCYNQ I HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS APPROVALS DATE INSPECTOR'S sI6xATuxe APPLICATION AND STATE THAT THE ABOVE IS CORRECT . AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL AND STATE LAWS RHOULATING BUILDING PONSTRUC, GROUP OCC,LOAD TION. SIGNATURE O TRAILER USE PERMITT .Y AFETY PERMIT ADDRES TEMPORARY STRUCTURE APPROVED TEMPORARY ' ''' •'• STRUCTURE REMOVED FEE$ /���lJ® FINAL APPROVAL r CIC NI A� CLYDE N.DIR CTU CK Nlo CASH ,PRINCIPAL STRUCTURAL ENGINEER :E .5•.9, 4 9V •NOV2.1 7 fl. 1 5.004 74SM444tr DBS 78 11.55 11 V U I S C E L LA N E O U A PN - DIVISION OF .BUILDING AND 'SAFETY OCC ANCY-SAFETY- 1: Deportment'of County Engineer. County of LOS Angeles BUILDING g JOHN A.LAMBIE.COUNTY ENGINEER ADDRESS °^- CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY _ OR PLICANT. O FILL IN NEAREST OWNER CROSS ST. - MAIL : DIST ICT N I GROUP I TYPE CONST. ADDRESS. TEL. y CITY NO. :7 !NUMBER 9 AsiSTATE YES NO TEL HUMBER HWY CONTRACTO o NO. �I USE ZONE SPECIAL ' CONDITIONS ADDRESSLEGAL Q , DESCRIPTION I LOT NO. 'BLOCK BUILDING K I I I EXIST. YARD HWY STREET NAME WIDTH NO.OF BLDGS. O I TRACT NOW ON LOT iFRONT P.L. USE OF SIDE " SIZE OF LOT I EXISTING BLDG. P APPLICATION FOR INSPECTgION RECORD OCCUPACY INSPECTION SAFETY PERMIT TRAILER USE LIMITED TIME USE FROM' If 7- TO: U&/OF RUCT.URES OR EV ES' ©¢ r9 X $Or�._........._........ INSPECTION FOR OCCUPANCY Am APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS DATE- INSPECTOR'S SIGNATURE APPLICATION AND STATE THAT THE ABOVE IS CORRECT ° AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL AND STATE LAWS REGULATING- BU1 ING CONSTR GROUP OCC.LOAD TION. SIGNATURE OF TRAILER USE u PERMITTEE " ADDRES W SAFETY PERMIT ; `a r TEMPORARY , STRUCTURE APPROVED TEMPORARY STRUCTURE REMOVED FEE$ ' FINAL APPROVAL JOHN A. LAMBIE.COUNTY ENGINEER VALIDA7I0N1 CLYDE N.D.IRLAM,CHIEF BLDG. INSPECTOR ' CK No, CAe - Ld& ? 0 5 7— NOV� � 7 D 1 x.00 Q �q6M444.D67$11-55 M93'10EL{SQAd`aEOUS}• APPLICATION LIVSATI'ON DMSION OF BUILDING ARID SAFETY OCCUPANCY-SAFETY-TRAILERS Department of County Engineer County of Lose Angeles BUILDING JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 7 /J S CASSATT D.GRIFFIN,SUPT OF BUILDING y.:„. . LOCALITY BA,sP A P d R A LICA T O F IN NEAREST. , OWNER �A 0 12&Z-0y f CROSS.ST: x _ MAIL ` y DISTRICT NO. I GROUP I - TYPE CONST.. ADDRESS }% CITY a NO. i. 0'/043 MAP STATE NUMBER I{WY YES -WO• CONTRACTORI![ t5; PC T USE'ZONE SPECIAL. � CONDITIONS ADDRESS I17ILEGAL SPI DESCRIPTION' LOT NO. 1 .BLOCK BUILDING EXIST: s SETBACK YARD HWYI STREET NAME I WIDTH NO.OF BLDGS. FRONT I /' TRACT NOW ON LOT- p•L• ./I' USE OF SIDE SIZE OF LOT I EXISTING BLDG. P APPLICATION FOR INSPECTION.RECORD OCCUPANCY INSPECTION I SAFETY'PERMIT 6/Yc yl ftlh/� 7�N� �8f"a i.s�_ LLS ,••_•_ TRAILER USE I IMITED TIME USE. 4%t r r�c pub _ Q ® a.?z .tpzj " -- v O ® ;"`- - 9 FROM: TO:. I E OF TRUCTURES OW DE ICES — § v&(70 Ib d osz oVV07 M P o C INSPECTION FOR I OCCUPANCY A �----APPROVAW I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS DNspE oR s1oN u APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL- COUNTY ORDINANCES OCCUPANCY APPROVAL Pj AND STATE LAWS REG LATING UILDIN¢ NSTRUC= GROUP OCC.LOAD TION. ( / s SIGNATURE OF PQRM ITTEE ' TRAILER USE ADDRESS' r t/ SAFETY PERMIT Ism TEMPORARY i STRUCTURE APPROVED TEMPORARY ' ='w STRUCTURE REMOVED FEE s O—D• - "� FINAL APPROVAL JOHN A.Ir4MBIE.COUNTY ENGINEER VALIDAI CLYDE N.DIRLAM.CHL4B d' CK MO WH% - ao x 1 7 0 ;acv 7 7, A 5.00 M -f �� L 7 2—4> JAL 6 4 8 R i . 78M444-CE#875'12.70 I�IIFSCEL .L S' A'PP'LICATION ' COUNTY OF .LOS ANGELES DEPARTMENT OF COUNTY"ENGINEER BUILDING. AND SAFETY DIVISION ' BU 1 L D I N G j(jHN A. LAMBIE. COUNTY ENGINEER ADDRESS � v COLEMAN W.JENKI'NS;SUP'T•. OF"BUIL'D•I.N.G LOCALITY ' FOR APPLICANT TO FILL IN NEAREST ' CROSS ST. _ BUILDING DISTRICT NO. :GROUP TY PROC ,�SE BY ADDRESS 167, O g C•O ST,. ' 1 121 LOCALITY MAP (J 'NIGNWAY 'NO. o- o i (CIRCLE) •STATE MAJOR SECON LOCAL NEAREST CROSS ST, USE ZONE• SPECIAL CONDITIONS LEGAL CRIPTI ON LOT.NO IL 2�' BLOCK S ET UIRED - EXIST' NO. OF BLD GS. YARD � HWY � �!STREET NOW ON LOT •7— SET BACK - SENAME WIDTH FRONT' USE OF P.L. SIZE OF LO XISTING LDG. SIDE , P.L. OWNER , MAIL ' J •.. ADDRESS. TEL. CITY NO. _ APPLICATION FOR ' TRAILER USE ❑ GEOLOGY INSPECYIO.N❑ — � SAFETY PERMIT (LIST ITEMS BELOW). p C.2 O ts a LfMfTED TIME. USE � ' bA'TE DATE• • FROM: TO: 'INSPECTOR'S' ' APPROVALS. DATE SIGNATURE. I HEREBYACKNOWLEDGE THAT 1 HAVE READ THIS TRAILER USE APPLICATION AND STATE THAT THE ABOVE IS COR_ , RECT• AND AGREE TO COMPLY JWITH ALL COUNTY SAFETY PERMIT _ ORDINANCES STA E LAWS RzG A I.NG" SUCHWORK AS TEMPORARY S IGNATUIO HE STRUCTURE APPROVED /� y PERMIT TEMPORARY 1I • r�o S,TRUCTURE REMOVED ADDRESS. �- s� � FEE $ - =FINALAPPRON)AL, . APPLICATION VALIDATION JOHN -F.,. LEWIS, PRINCIPAL STRUCTURAL EN EER (NOT A PERMI-T). CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASN •7 3�S.til�V "12 '7 D 1 8:a 0 A98 _.. . . . .78M44 -CE 4875?9''87 MISCE LP1NEOUS AP LICATO Orm �v COUNTY OF LOS ANGELES NG DEPARTMENT.OF COUNTY ENGINEER ADDRESS 9362 Lower Azusa Road BUILDING AND SAFETY DIVISION 'LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER Temple Cit __- COLEMAN W..JENKINS,SUPT. OF BUILDING NEAREST ;.c.vw: r CROSS ST. Clover FOR APPLI�ANT TO FILL IN DISTRICT NO. GROUP TYPE. PR 'R BUILDING J .O8 Tent .CONs.T. V ry ADDRESS 62 er Azusa Road ` NOP 201 HIGHWAY C 5. (CIRCLE) STATE MAJOR SECOND LOCAL LOCALITY _Temple' City USE ZONE SPEGLAL COND:ITI:ONS NEAREST 2 CROSS ST. CloV rl n LEGAL •REQUIRED YARD HWY STREET NAME EXIST. DESCRIPTION LOT NO. BLOCK SETBACK WIDTH FRONT Rancho FrancisquitO NO. OF BLDGS. P.L. i. TRACT NOW ON LOT 2 SIDE / USE OFFloat t Ons o P.L. .SIZE OF LOT Acreage EXISTING BLDG. OWNERMiller Aros. MAIL - ADDRESS 311 goo Main St. • i� CITY Alhambra No.L' �7 'Pzz APPLICATION FOR OCCUPANCY J INSPECTION SAFETY PERMIT c:) TRAILER USE Tent ' y USE OF STRUCTURES.OR DEVICES i Ldfid Ad- 4f),y 4o I rrpnt .� 1 - 100' x 220' Tent LIMITED TIME USE Rose a ade Floats construction - DATE DATE FROM: TO: INSPECTOR'S APPROVALS DATE SIGNATURE OCCUPANCY APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ROUP OCC. LOAD APPLICATION AND STATE THAT THE :ABOVE 15 COR- - RECT AND AGREE TO COMPLY WITH ALL. COUNTY TRAILER USE ORDINANCES AND TATE LAWS R U L TING SUCH ,i WORK AS INDICA, EREON SIGNATURE O SAFETY PERMIT a PERMITTEE L TEMPORARY 4 Fie Bandlni STRUCTURE APPROVED ADDRESS TEMP'ORA'RY Los Angeles 229 Calif. STRUCTURE REMOVED A Not nef TA,,r FEI FINAL APPROVAL '0.00 APPLICATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER (NOT A PERMIT) CK. M.O. CASH PERMIT VALIDATION CK. M.O. C'ASN LACa7 .3 5 6G NOV 21 7 D 2 0,00& 1 7BM444-CE#87512-70 '" .MISCELLANEOUS APPL:IGATION .COUNTY OF LOS ANGELES DEPARTMENT OF,•COUNTY;ENGINEER BUILDING 'AND SAFETY DIVISION _BU I�D.IIJ JOHN A. LAMBIE. COUNTY ENGINEER 1 ADDRESS. COLEMAN W.JENKINS.SUP'T•. O.F'BUILDIN•G LOCALIT.K ! ' FOR APPLICANT TO FILL IN NEAREST91-01 u CROSS ST. BUILDING " fJ 1 DISTR,IJCT,NO.' GRO TNP'E ROC f.E• BY . 'ADDRESS W .kaLL�L�yl��� USA 7,-- LOCALITY ,.• MAP HiaHwaY STATE MAJOR SECON LOCAL. NEAREST NO-:p��1 (CIRCLE) CROSS S.T. USE ZONE SPECIAL CONDITIONS LEGAL. DESCRIPTION LOT _ BLOCK.- RE,QUIRD, EXIS T. NO. OF BLDGS. •'YA Rb HWY ¢TREET IJ.AME TRACT 'NOW ON LOT ' STET BACK WIDTH _ _ fRON7 • ' USE'OF SIZE OF LOT EXISTING BLDG. OWNER ADDRESS R duJeat �• (� fr - TEL CITYra f NO. ® - APPLICATION FOR TRAILER USE GEOLOGY INSPECTION 0 SAFETY PERMIT (LIST ITEMS BE CCD to O '`fQeYT o a LIMITED TIME :USE t` DATE DATE .. - FROM: TO: 'INSPEC'TOR'S APP�ROVA1 .S DATE _ SIGNATURE , I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS'. TRAILER USE' APPLICATION AND STATE THAT, THE .ABOVE IS COR- - RECT^ AND AGREE TO COMPLY WITH ALL COUNTY SAFETY PERMIT ' ORDINANCES AND STATE LAWS. REGU, T'I. G SUCH TEMPORARY ' WORK AS INDICAT REcON.' S-TRUCTURE APPROVED SIGNATURE OF PERMITTEE T'EMPORA'RY ' wS'(' RUCTURE REMOVED ADDRESS. - op &p - .. 4,9" 0 =FiNALPPROVAL i/���Z,e,7� ' APPLICATION60- VALIDATION JOHN F. LEWIS, PRINCIPA-LL STRUCTURAL ENGINEER (N.O T.A PERMIT) 'CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH 8.0 0 A98 y. ' 'o VCS ,76M444-CE#87512-70 MI'SCEI..I.. .. NEI�S .APICATION, w"COUNTY OF Lb$ ANG'ELES 'DEPARTMENT OF •COUNTY ENGIINEER BUILDING. AND SAFETY DMSION ' AooREss' . O W JOHN A. LAMBIE. COUNTY ENGINEER co:LkMAN W.JENKINS. SUP-T--.O.F"BUILDINGLOCALITY ' FOR APPLICANT TO FILL IN- caAREST. BUILDING - ,DISTRICT NO. GRO'U'P TYPE - OC SSE BY `ADDRESS b� k0.01114A • CON S' LOCALIT t010 a a MAV �+'' HIGHWAY ;$TATE MAJOR SECONDI•LOCAL NEAREST .Z. "NO. Fa/.,@•��7 (Clnc�e9 CROSS ST. - USE ZONE SPECIAL CONDITIONS .. .. •• LEGAL �• - ' DESCRIPTION LOT BLOCK ' RE .Q U.RED •.EXIST. .r NO. O,F BL"DGS. SET BACK YARD HWY 'STREET NAME WIDTH\ TRACT NOW ON LOT FRONT' USE OF P.L. SIZE OF LOT EXISTING BLDG.. SIDE - 6 r. .. 0.L. - _OWNER . O, _ . MAI L- ADDRESS )?f!( �i( �j r'j 4- - TEL .qq a ,g 1 ' APPLICATION FOR _ TRAILER USE ❑ GEOLOGY INSPECTION❑ _ } a SAFETY PERMITLIST ITEMS BELOW) CD 1 � �d �• '� w ' z_ ��. LIMITED TIME USE 1411 76 DATE. DATE FROM: TO: - 'INSPECTOR'S APPROV•A•LS DATE SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS' TRAILER USE , _APPLICATION AND STATE•TH,AT THE ABOVE.IS COR- RECT, AND AGREE TO ;COMPLY WITH ALL COUNTY SAFETY PER ORDINANCES AND STATE 'LAWS REGULATIbIG SUCH T REO'. 'fEMPORA•RY W.ORKASIND'ICA SIGNATURE OF ' STRUCTURE APPROVED PERMITTEE TEMPORARY -- + • �j 1 �}••, �• STRUCTURE REMOVED - L� .��� v ADDRESS _ 7 pmm FEE $ Q FINAL APPROVAL ', - , APPLICATION• VALIDATION JOHN F. LEWIS,-PRINCIPAL STRUCTURAL ENGINEER (NOT A PERMIT) CK. M.D.° CASH• PERMIT VALIDATION• CK. M.O. <ZZH 0695 UV'`10 7 0 T 8.00Asd 7GM444-CE1*8754-67 MISCELLANEOUS APPLICATION COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING e� J. ADDRESS /G� BUILDING AND SAFETY DIVISION ' JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W.JENKINS.SUPT. OF BUILDING NEAREST CROSS ST. J FOR APPLICANT TO FILL IN DISIXCT NO. GROUP PE �— P ocesseD BY BUILDING 7dr CONST. 4 ADDRESS `� ®W�Ql� A �'� MAP HIGH WAY N0. 0 (CIRCLE) STATE MAJOR SECOND OCAL f LOCALITY USE ZONE SPECIAL CONDITIONS NEARESTr w„ CROSS ST. D V,- LEGAL R QUIRED YARD HWY STREET NAME EXIST. DESCRIPTION I LOT NO.. BLOCK SETBACK WIDTH FRONT NO. OF BLDGS. P.L. TRACT NOW. ON LOT SIDE USE OF P.L. SIZE OF LOT EXISTING BLDG. OWNER 4 MAIL ADDRESS lowtpst TEL CITY NO. O APPLICATION FOR OCCUPANCY ce INSPECTION SAFETY PERMIT TRAILER USE OW.. COO USE OF STRUCTURES OR DEVICES FS 'R1, .1 0'�4v ae d r7LIMITED TIME USE DATE DATE FROM.: TO: i INSPECTOR'S APPROVALS DATE SIGNATURE OCCUPANCY APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC. LOAD APPLICATION AND STATE THAT THE ABOVE IS COR- - RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE ORDINANCES AND STATE LAWS REGULATjNG SUCH WORK AS INDICAT REO I v,y SIGNATURE OF SAFETY PERMIT PERMITTEE ? TEMPORARY %7a Cfa STRUCTURE APPROVED ADDRESS y ��yy f STRUCTURE REMOVED ®® V FEES FINAL APPROVAL APPLICATION VALIDATION JOHN F. LEWIS, PRI NCIPAL'STRUCTURAL ENGINEER (NOT A PERMi T) CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ' t 7 2 8 ti ldou 13 7 0 12.0 0 ,&yc 78M444-CE#8754-67 MISCELLANEOUS APPOCAT101y, -COUNTY OF LOS ANGELES DEPARTB ENT OF COUNTY ENGINEER BUILDINGADDRESS9362 Lower Azusa Road BUILDING AND -SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY em le C It COLEMAN W.JENKINS.SUPT. OF BUILDING NEAREST CROSS ST. . lover' FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PR S BUILDING 8 Tent CONST. V ADDRESS t MAP HIGHWAY N0. 2 1 (CIRCLE) STATE MAJOR SECOND LOCAL LOCALITY em le C ity USE ZONE SPECIAL CONDITIONS NEAREST ft CROSS ST. Clover M2 LEGAL REQUIRED YARD HWY STREET NAME EXIST. DESCRIPTION I LOT NO. Pr 2 IBLOCK SETBACK WIDTH FRONT $a �l��lo Francisquito NO. OF BLDGS. 2 P.L. NOW ON LOT SIDE USE OF F.LoamonS • P.L. ? SIZE OF LOTAcrea EXISTING BLDG. OWNER Miller Bftthers ADDRESS All SO, Main St 71 TEL. CITY Alhambra NO. APPLICATION FOR QD OCCUPANCY �!t/� ` c o INSPECTION SAFETY PERMIT (� t TRAILER USE Tent USE OF STRUCTURES OR DEVICES �+ eE•a 4F� � Z i �€ , n 1 - 100' x 1901 Tent LIMITED TIME USE Rose Parade Floats construction f DATE DATE FROM: TO: APPROVALS DATE INSPECTOR'S SIGNATURE . OCCUPANCY APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC. LOAD APPLICATION AND STATE THAT THE ABOVE IS COR- RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE ORDINANCES AND TATE LAWS REGULATING SUCH WORK ASINDIC HER ON SIGNATUREO • SAFETY PERMIT PERMITTEE TEMPORARY STRUCTURE APPROVED ADDRESS - � TEMPORARY Los Angeles, Calif. 90022 STRUCTURE MOVED" FEE S0e FINAL A APPLICATION VALIDATION JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER ' (NOT A PERMIT) CK. M.O; CASH PERMIT VALIDATION CK. M.O. CASH EAr,2- 654 140V12 7 0 20.0.0N WORKEP.S'COMPENSATION DECLARATION I,7SM444 CE 875(2-80) MISCELLANEOUS APPLICATION 1 hereby affirm that I have certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure,or a certificate of Workers' rs'Compensation Insurance,or �J a cerified co�y thr pf ft 38r0hLab.C.) r, PolicyNo; gbQe_la om an t crL - -►'1415Ul4KC rNEAREST FOR APPLICANT TO FILL IN Certified copy is hereby furnished. BUILDING V z� —�ADDRESS r '`Certified copy is filed with the county building inspection departure �-^� �A..,• LOCALITY Fe im �� C Date Applicant U Dl.C+ 4 NEAREST DISTRICT NO. GROUP TYPE P SSED BY CROSS ST. � pisj•� ^ CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL livv 'J COMPENSATION INSURANCE DESCRIPTION I LOT NO. BLOCK MAP. HIGHWAY SE STATE MAJOR COND LOCAL CL NO. OF BLD GS. NO. 'U (CIRCLE) CL (This section need not be completed if the work involved TRACT O I NOW ON LOT USE ZONE SPECIAL CONDITIONS o by the permit is for one hundred dollars (S100) or less.) USE OF 0 SIZE OF LOT EXISTING BLDG. tY I certify that in the performance of the work for which this ti O permit is issued, I shall not employ any person in any manner OWNER so as to become subject to the Workers' Compensation Laws. MAIL A' G�/�[ / �S �//� OCCUPANCY GROUP it g--g3 ALU ADDRESS `3 T Lower zueei, /` Date Applicant CCt AyKy �Pv1 RAtJI"a trI NOTICE TO APPLICANT: If, after maki this Certificate of CITY 'Le Tic` 2T3JG?�I OCCUPANT LOAD 7- Exemption, Exemption, you should become subject to the Workers' APPLICATION FOR '"I EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be TRAILER USE GEOLOGY INSPECTION deemed revoked. ❑ ❑ No Spec. Knowl. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION❑ Panic Devices ❑ I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT:R (LIST ITEMS BELOW) NO. OF EXITS ❑ 9 (commencing with Section 7000)of Division 3 of the Busi- ness and Professions Code,and m license is in full force and /M/ p2$ 4 r PARKING effect. y r VD ♦% • REQ'D � PROVIDED i /� SPACES License Number9_ Lic.Class �42 ln.?tea.( r 3OX14(� `fig^�,3 LIMITED TIME USE Contractor Date DATE DATE ❑ _ ` FRbM: TO: I am exempt from the licensing requirements as 1 am a L/./� 20 ^ licensed architect or a registered professional engineer SIZE OF NO. OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES SIGNATURE iness and Professions Code). PRESENT USE OF BUILDING FINAL APPROVAL Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO.OF EXISTING BUILDINGS ON LOT AND USE = 6 6 8,0 A I hereby affirm that, I am exempt from the Contractor's " 0 a D a 30 License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING , SPACES PROVIDED ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). PROPOSED USE OF BUILDING 2 o - 60.50 CONSTRUCTION LENDING AGENCY Flo r o (j 0 5 O v 1 hereby affirm that there is a construction lending agency r G d ^u o fdr the performance of the work for which this permit is issued(Sec.3097,Civ.C.). Lender's Name PROPOSED MAX. OCG. Lender's Address PERMIT FEE V I certify that I have read this application and state that the above information is correct.I agree to comply with all County ISSUANCE FEE so ordinances and State laws relating to building construction, TOTAL FEE S'D and hereby authorize representatives of this County to enter oev =th e-mentioled property for inspection purposes. SEL' REVERSE' FO -J LANATORY LANGUAGE a tm //$-n Signature of Permittee Date WORKERS',CO NSATION RATION 76M444 MISCELLANEOUS APPLICATION CE 875(2-80) �.. [ eby affirm th iaYe a certifi e o consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure,or a certificate f Workers'Compensation Insurance,o a cd� 3> J /- PO O. a y I BUILDING FOR APPLICANT TO FILL IN ADDRESS Q[%l 0 Certified copy is hereby furnished./ —��� 'BUILDING LOCALITY ❑ ADDRESS 61 Certified copy is filed with the county building inspection department. iLOCALITY NEAREST � p ` CROSS ST. Date Applicant NEAREST DI��CT NO. G P TYPE �SSE CROSS ST. (J� ST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL J COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP HIGHWAY NO (CIRCLE) STATE MAJOR SECOND CAL } NO. OF BLDGS. 0- (This Section need not be completed if the work involved TRACT ©R [ NOW ON LOT USE ZONE SPECIAL CONDITIONS O by the permit is for one hundred dollars (SI00) or less.) U USE OF 'SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which thisEt permit is issued, I shall not employ any person in any manner OWNER A'�e5� A)erk O so as to become subject to the Workers'Compensation Laws. MAIL { OCCUPANCY GROUP U SAD DRESSownA V,9/t� T EL LLJ Date Applicant rb NOTICE TO APPLICANT: If, after making this Certificate of CITY , NO. g g Q 7l� OCCUPANT LOAD 2 Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- with comply with Such provisions Or this permit shall be TRAILER USE❑ GEOLOGY INSPECTION NO Spec. KnOwl. ❑ , deemed revoked. I LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTIONEl Panic Devices ❑ I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT K (LIST ITEMS BELOW) NO. OF EXITS 9 (commencing with Section 7000)of Division 3 of the Busi- EJ ness and Professions Code, and my license is in full force and effect. �0 X �P{I� PARKING. /C SPACES REO'D PR--.-ED License Ndmber `i I ( Lit:.Class/o '� '7�V �Q �p ' 'II/� LIMITED TIME USE Contractor Od17�: _94.."Date �/' / J DATE DATE I am exempt from the licensing requirements as I am a To '2- FRa�M TO: licensed architect or a registered professional engineer SIZE OF NO. OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES SIGNATURE iness and Professions Code). PRESENT USE OF BUILDING FINAL APPROVAL ,�� : G Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO.OF EXISTING BUILDINGS ON LOT AND USE I hereby affirm that, I am exemptfrom the Contractor's License Law for the following reason (Section 7031.5, Busi- 208. 1 P. ness and Professions Code): NO.PARKING I, as owner of the property, will do the work and the SPACES PROVIDED #'O 0 0 0 1 6 structure is not intended or offered for sale (Section 2 D - 33.00 7044,Business and Professions Code). PROPOSED USE OF BUILDING CONSTRUCTION LENDING AGENCY agency rIA-(9 07'v� �+®In 0003300 I hereby affirm that there is a construction lendingv enc / ( 11,24-81 for the performance of the work for which this permit is ! issued(SeC. 3097,Civ.C.). ! Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FE I certify that I have read this application and state that the j above information is correct.I agree to comply with all County �IssuAN ordinances and State laws relating to building construction, N by authorize re resent rives of this County to enter TOTAL FEE abo -m io d pr, r t y for inspectio purpos s. SEE REVERSE FOR EXPLANATORY LANGUAGE �� s1- , Si natu e of'-permittee bate WORKERS'COMPENSATION nFCLARATION CE 875(2.80) MISCELLANEOUS APPLICATION r � I hereby affirm that I have certificate of Inset to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure,or a certificate of Workers'Compensationn Insurance,or ; a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is hereby furnished. 6BUILDING a � k0CA.3eV' Zu LOCALITY ADDRCSS 1 ❑ Certified copy is filed with the county building intpectlon e NEAREST ` department. 10�LOCALITY 1 e \ CROSS ST. Date Applicant EAR EST ` DISTRICT N0.6 G P TYPE PR SSED BY CROSS ST. S' CONST. CERTIFICATE OF EXEA]PTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP ICNWAY STATE MAJOR SECOND LOCAL >' NO. (CIRCLL) 0. (This section need not be completed if the work involved NO. OF BLDG USE ZONE SPECIAL CONDITIONS P TRACT NOW ON LOT 0 by the permit is for one hundred dollars ($100) or less.) USE OF U SIZE OF LOT EXISTING BLDG. f� tC I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner OWNERt S so as to become subject to the Workers' Compensation Laws. 00 AIL OCCUPANCY GROUP Date Applicant AD RESS NOTICF TO APPLICANT: If, after making this Certificate of CITY e Q t NoL. OCCUPANT LOAD Exemption, you should become subject to the Workers' APPLIICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be TRAILER USE❑ GEOLOGY INSPECTION NO Spec. Knowl. ❑ deemed revoked. Panic DBVIC@S ❑ LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION I hereby affirm that 1 am licensed under provisions of Chapter SAFETY PERMIT'U (LIST ITEMS BELOW) NO. OF EXITS 9 (commencing with Section 7000)of Division 3 of the Busi- El ness and Professions Code, and my license is in full force and PqR KING. effect. REO'D PROVIDED 11SP.AC ES License Number Lic.Class LIMITED TIME USE kontractor Date DATE DAT C F OM: TO: 1 am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer SIZE OF NO. OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES SIGNATURE iness and Professions Code). LRESENT USE OF BUILDING FINAL APPROVAL �- Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO.OF EXISTING BUILDIN s ON LOT AND USE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- n NO. PARKING o O D O ness and Professions Code): - N�(, SPACES PROVIDED ❑ 1, as owner of the property, will do the work and the 0 U o D D f structure is not intended or offered for sale (Section 7044, Business and Professions Code). ROPOSED USE OF BUILDING ,• r CONSTRUCTION LENDING AGENCY l _ I hereby affirm that there is a construction lending agency 1 C V �7►3�1Y v $ i for the performance of the work for which this permit is � issued(Sec.3097,Civ.C.). � Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FEE I certify that I have read this application and state that the ISSUANCE FEE above information is correct.I agree to comply with all County ordinances and State laws relating to building construction, TOTAL FEE and hereby authorize representatives of this County to enter _ upon the, bove-mentioned property for inspection purposes. SEF. REVERSE FOR EXPLANATORY LANGUAGE -t S_3 Signature o Permittee Date ce I WORKERS'COMPENSATION DECLARATION E 875(2-80) CMISCELLANEOUS APPLICATION CE 875 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN BUILDING ADDRESS IV -Af Ad ❑ Certified copy is hereby furnished. won Bess ?j Z Q LOCALITY ❑ Certified copy is filed with the county building inspection `� a NEAREST department. LOCALITY ! I CROSS ST. Date Applicant NEAREST �J DISTRICT NO. UP PE PROC S D BY CROSS ST. Cr /1� S CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL J t/ COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP ^ j) / NIGM WAV no. , (CIRCLE STATE MAJOR SECO• D LOCAL 0 (This section need not be completed if the work involved NO. OF SLOGS. USE ZONE SPECIAL CONDITIONS V by the permit is for one hundred dollars ($100) or less.) TRACT NOW ON LOT USE OF SIZE OF LOT EXISTING BLDG. cc I certify that in the performance of the work for which this O OWNER permit is issued, I shall not employ any person in any manner e Q 5 Q� U so as to become subject to the Workers'Compensation Laws. MAIL ^ OCCUPANCY GROUP W ADDRESS L-.p1�> q„ tl Date Applicant Z r� NOTICE TO APPLICANT: If, after making this Certificate of CITY NOL -�� OCCUPANT LOAD Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be TRAILER USE❑ GEOLOGY INSPECTION N ❑ deemed revoked. O Spec. Know(. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION❑ ; Panic Devices ❑ I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT Q (LIST ITEMS BELOW) NO. OF EXITS 9 (commencing with Section 7000) of Division 3 of the Busi- ness and Professions Code, and my license is in full force and \� PARKING. effect. _ SPACES REQ'D E= PROVIDED License Number Lic.Class LIMITED TIME USE Contractor Date DATE DATE FROM: TO: F1I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer SIZE OF NO. OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BLDG. STORIES ISIOATURE iness and Professions Code). FINAL APPROVAL, PRESENT USE OF BUILDING Lic.or Reg.No. Date NO.OF EXISTING BUILDINGS a HOME OWNER-BUILDER DECLARATION ON LOT AND USE I hereby affirm that- I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO.PARKING SPACES PROVIDED F-1 1, as owner of the property, will do the work and the # o o • @30 structure is not intended or offered for sale (Section I • • 80.50 7044, Business and Professions Code). PROPOSED USE OF BUILDING 80,5035 /� e • • CONSTRUCTION LENDING AGENCY -�r �n (J S I hereby affirm that there is a construction lending agency OtC1' 209-85 for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FEE I certify that I have read this application and state that the above information is correct.I agree to comply with all County ISSUANCE FEE t ordinances and State laws relating to building construction, TOTAL FEE �1 and hereby authorize representatives of this County to enter U p the above-mentioned property for inspecti n purpose SEE REVERSE FOR EXPLANATORY LANGUAGE Sig re of Permittee Dat WORKERS'COMPENSATION DECLARATION CE 875 X-C C. 0 1-84) MISCELLANEOUS APPLICATION I herebyo certificate a rthat I have a certificate of consent tself insure, or a certt ificate of Workers'Compensation Insurance' e,or COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION a certified,co,� t�here�of(yC 3 0 b. ). PoliCyNocb pan FOR APPLICANT TO FILL IN BUILDING �� ADDRESS Certified copy is hereby furnished. wuceess 3(2 ab LOCALITY CertifiedartII py is filed with the county building inspection LOCALITY l�l NEAREST J/,/ CROSS ST. Date TZI-o Applicant TY OC SED BY,,./ DISTRICT NO. GR Ytp CROSS ST. C CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION LOT No. BLOCK P HIGHWAY NO,I y (CIRCLE) STATE MAJOR SECON LOC L NO. OF BLDGS. (This section need not be completed if the work involved TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) use OF SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which this Ci permit is issued,I shall not employ any person in any manner OWNER es Ln y so as to become subject to the Workers' Compensation Laws. MAIL OCCUPANCY GROUP o ADUR ESS I••-' Date Applicant . TEL. L'I NOTICE TO APPLICANT: If, after making this Certificate of CITY �).� No. Z _ p�L( OCCUPANT LOAD Exemption, you should become subject to the Workers' gppLICATION FOR EXIT HARDWARE: _ Compensation provisions of the Labor Code,you must forth- with comply with such provisions or this permit shall be TRAILER USEGEOLOGY INSPECTION ❑ ❑ E] No Spec. Knowl. deemed revoked. LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION E] Panic Devices El I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT E] (LIST ITEMS BELOW) 9 (commencing with Section 7000) of Division 3 of the Busi No. OF EXITS ness and Professions Code,and my license is in full force and '/ 00 ` effect. JC /�1 PARKING SPACES REQ'D PROVIDED J License Number $10n3 Lic. Class i_6e ln- 3 O X 4t O "T' Acs r=rL Tr', / LIMITED TIME USE Contractor Date W.0( L! �P ro. FROM. DATE DATE I am exempt from the licensing requirements as I am a �� L 7 / 6 S licensed architect or a registered professional engineer SIZE OF NO. OF INSPECTOR'S acting in my professional capacity (Section 7051, BBs- EXISTING BLDG. STORIES SI NATURE iness and Professions Code). n PRESENT USE OF BUILDING FINAL APPROVAL Lic.or Reg.No. Date (� HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ON LOT ANI I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING I, as owner of the property, will do the work and the SPACES PROVIDED structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING 2 6 0 6.Z A I hereby affirm that there is a construction lending agency �-S for the performance of the work for which this permit is U issued(Sec.3097,Civ.Q. Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FEE I certify that I have read this application and state that the above information is correct.I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter TOTAL FEE rJ� up the above-mentioned property for inspe;:;�p&,rpses, j7i'J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date I WORKERS'COMPENSATION DECLARATION ; CE 875 MISCELLANEOUS APPLICATION r 1 CE 875(2-80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BU AND SAFETY DIVISION insure,or a certificate of Workers-'Compensation Insurance,or i i a cer 'fied copy thereof(Sec.3800,Lab.C.) Pol' y No. Company FOR APPLICANTTO FILL IN BU LDIN6 ` ADDRESS 6tTQ7 VWSIRZ IR y Certified copy is hereby furnished. Bu1LDISS ` q Q ' a ADOR5 (QOc JC LOCALITY ❑ Certified copy is filed with the county building inspection S.T. NE' //�� REdepartment. LOCALITY /'� CRoss T Date Applicant NEAREST ` D RIOT O. GR E SED CROSS ST. D NST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK MAP HIGHWAY NO. OF BLDGS NOF (CIRCLE) STATE AJOR SECOND LOCAL . Q (This SBCtIOn need not be completed if the Work involved TRACT ® NOW ON LOT USE ZONE SPECIAL CONDITIONS 0 by the permit is for one hundred dollars ($100) or less.) USE OF I V SIZE OF LOT EXISTING BLDG. I certify that'in the performance of the work for which this permit is issued, I shall not employ any person in any manner OWNER O so as to become subject to the Workers' Compensation Laws. MAILOCCUPANCY GROUP U ADDRESS �JL, Q U LU Date Applicant t' TEL. rn NOTICE TO APPLICANT: If, after making this Certificate of CITY ro '� N Z3 a ©W i OCCUPANT LOAD Exemption, you should become subject to the Workers' APPLICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code, you must forth- with comply With such provisions or this permit shall be TRAILER USE❑ GEOLOGY INSPECTION No Spec. Knowl. ❑ deemed revoked. Panic Devices ❑ LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT (LIST ITEMS BELOW) NO. OF EXITS ❑ 9 (commencing with Section 7000)of Division 3 of the Busi- ness and Professions Code, and my license is in full force and /QQ`i'( a OSa r PARKING. effect. SPACES ' REQ'D PROVIDED License Number Lic.Class O �v� li LIMITED TIME USE I Contractor Date DATE. DATE ❑ I I O / V I FROM: TO I am exempt from the licensing requirements as I am a, , licensed architect or a registered professional engineer ISIZE OF NO. OF INsPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING BIL STORIES SIGNATURE iness and Professions Code.). 'PRESENT USE OF BUILDING FINAL APPROVAL Lic.or Reg.No. Date 1 STING HOME OWNER-BUILDER DECLARATION WO.O ON LOTT ExI AND USE USE BUILDINGS I hereby affirm that- I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING (SPACES PROVIDED ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044,Business and Professions Code). I z 2 8 5 8 A PROPOSED USE OF BUILDING CONSTRUCTION LENDING AGENCY �F- J ..j-o 0 ¢ # 0 0 0 0 1 6 I hereby affirm that there is a construction lending agency f f for the performance of the work for which this permit is 2 0 - 3300 issued(Sec. 3097,Civ.C.). Lender's Name I PROPOSED MAX. OCC. 'o 0 0 3 3.0 0 H Lender's Address. �ERMIT FEE 10.3.0—. 80 I certify that I have read this application and state that the above information is correct.1 agree to comply with all County ISSUANCE FEE-- ordinances and State laws relating to building construction, TOTAL FEE and r by authorize re.presentat'ves of this County to enter U e abo - ti ed rop t for inspect' n pu ptoses. hE REVERSE FOR EXPLANATORY LANGUAGE I Q �� p 0 ig atu of Permittee Date I i MPENSATION DECLARATION CE 875(a-80) MISCELLANEOUS APPLICATION I hers•�, at I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure,or a c Ificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.380 yy��+"ab. ) Fc I Policy No. Company��•d 4�tadt n Y���d � FOR APPLICANT TO FILL IN Bu'.LD:NG + 1 p Dl7RES5pZ Certified copy is hereby furnished. I ABUILDING 6 DORES 3 �J LU PK /� iJ SJQ LOCALITY Iw 01 IR Certified copy is filed with the county building inspection LOCALITY �� A NE'REST dep rt ant. //��� `_ /+ / q �p L116 ceoss ST. Date , ApplicaniJy4� � ��t/t� NEAREST DIS RIOT NO. GROUP TYPE PROCES D BY �I CROSS ST. n CONS CE'RI FICATE OF EXEMPTION FROM WORKERS' LEGAL DESCRIPTION LOT NO. BLOCK MA.P ` HI HWAY '. COMPENSATION INSURANCE HD. �/J (CIRCLE) STATE MAJOR SECOND LOCAL tL NO. OF BLDGS. (This section need not be completed if the work involved , TRACT � NOW ON LOT USE ZONE SPECIAL CONDITIONS V by the permit is for one hundred dollars ($100) or less.) usfi of ` SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which this • + Q permit is issued, I shall not employ any person in any manner OWNER `S S /V so as to become subject to the Workers'VAS: aws. IL OCCUPANCY GROUP W Date pplicant C ON VAS' ��rGl1a Rfiss �� 1p,I.pcq � � a W TEL. IOCCUPANT LOAD z NOTICE TO APPLICANT': If, after making this Certificate of CITY M f p No. $'(orf y Exemption, you should become subject to the Workers' APPLICA ON FOR EXIT HARDWARE: Compensation provisions of the Labor Code., you must forth- 1 With comply with Such provisions or this permit shall be TRAILER USE❑ GEOLOGY INSPECTION C I No Spec. Knowl. ❑ deemed revoked. i El CONTRACTORS DECLARATION OCCUPANCY INSPECTION Panic Devices I hereby affirm that 1 am licensed under provisions of Chapter SAFETY PERMIT (LIST ITEMS BELOW) 9 (commencing with Section 7000)of Division 3 of the Busi- j . NO. OF EXITS ness and Professions Code, and my license is in full force. and _ f 0 ��� `7"ydLl Pq KING• effect. I REQ'O O PROVIDED (� SP CES License NumbA-4 a Lic.Class ` � � — n X �U � LIMITED TIME USE Contractor Date I DATE DATE I �/ .` ,t � FROM: TO: I am exempt from the licensing requirements as I am a rrl-TTTI ` i licensed architect or a registered professional engineer SIZE of O. OF INSPECTOR'S acting in my professional capacity (Section 7051, Bus- EXISTING IfLDG. STORIES I SIGNATURE N ' iness and Professions Code). 1 PRESENT USE OF BUILDING FINAL APPROVAL 7 Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO.OF EXISTING BUILDINGS ON LOT AND USE I hereby Affirm that-I am exempt from the Contractor's ' License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): NO. PARKING ) $ 1 2 A SPACES PROVIDED I, as owner of the property, will do the work and the otructure is not intended or offered for sale (Section #`0 0 0 030 7044,Business and Professions Code). PROPOSED USE OF BUILDING + CONSTRUCTION LENDING AGENCY �— I hereby affirm that there is a construction lending agency atA e I f 0"" 0 0 0 4 8 5 0 for the performance of the work for which this permit is • issued(Sec. 3097,Civ.C.). 120.7-82 Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FEE 01— I I certify that 1 have read this application and state that the 1 ISSUANCE FEE above information is correct.I agree to comply with all County ordinances and State laws relating to building construction, TOTAL FEE and ereby authorize r presentatives of this County to enter o the Of -menti ned ro rty for inspectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE t ign toermittee Pate i 't '