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Home My Public Portal About9073-9075-9077 LYLEDALE ST_Building__ DEPARTMENT 4F COUM ENGIIIMM DIVISION COUONTY OF LOS BUILDING ANDSAFETY JUN . SUN DO ` WILLIAM J. FOX, COUNTY ENGINEER 2 1953 APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR A�LIC TO FQ.L IN FOR OFFICE USE ONLY BUILDING DISTRICT WO. PLAN CK.OR RE�C.NoPERMIT NO. ADDRESSf / 3' 8 "i✓/ "1 Kv dC �� LOCALITY ,�/�� ,/ �� `� RE E Y,ED BY AD T SOF A'/','PL DATE ISSUED CNEARESTROSS ST VVLTgy �a /t��9� 7 �/ y /•��`N' BUILDING -- 2n I G�� / tam/� ADDRESS OWNER C/ S N�G�.�V,/ _ ��`,_zy �'!/ t AMAILDDRESS P�0i"�� ' '��7� LOCALITY ✓ 1 NEAREST CITY Zm o T p CROSS ST. ARCHITECT OR TEL.. FIRE I NO. OF I TYP�E� I GR ENGINEER NO. ZONE PLANS BLDG. ORD. NO. ADDRESS SETBACK LINE ` p��,q� TEL. USE /� APPROVED CONTRACTOR/' i ®f//GRy¢��/pNQO. ZONE `�'�� BY DATE ADDRESS ✓a V X4� �O.4 6, & HOUSE NUMBERING LEGAL r '� MAP NUMBER ®�/ NO. ASSIGNED BY DESCRIPTION /I LOT N/O. ✓ `18 I BLOCK CORRECTIONS TRACT �UJ /1E�d ® I NO. OF SLDGS. SIZE OF LOT NOW ON LOT USE OF NO. OF .m / EXISTING BLDG. "� FAMILIES /</ s"`,, /�/ '� GO NT _ DESCRIPTION OF WORK i 'K 4z 5 9 o e- R-45,OA IA l a0 - NEW I�ALTERATION ADDITION Z REPAIR DEMOLITION L�-scs �' /F�f.•' y r SQ. FT. NO. OF SIZE ��/�EXT. WALL ROOMS STORRIIESS�, COVERING � j, y -I COVERING ( �d � USE OF STRUCTURE " // �J AL/'f /F% I tri.. �l / APPROV S INSPECT 'S SIGNATURE D TE DATION: LOCATIONMS, MATERIALS �� tL._._. 71HEREBY ACKNOWLEDGE THAT I HAVE READ THIE: FIRE STOPS,PLICATION AND STATfi THAT THE INFORMATION GIVCING, BOLTS l�CORRECT.1 AGREE TO COMPLY WITH ALL COUNTY ORDINAACE: LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCVENT, DUCTS SIGNATURE OF , INT.PERMITTE . EXT.ADDRESSER, INT, AUTHORIZED AGT. d. PLASTER, EXT. �J ✓i FEE / �� HOUSE NUMBER COR- � � -- --- RECT AND POSTED VALUATION ® q FEE $�� FINAL 76A998A DBS 3 9-82 v APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING FADORESS R APPLICANT TO FILL IN ADDRESS N. L ledale LOCALITY le City - ZIP - NEAREST CROSS ST. O.OF BLDGS. ASSESSOR SIZE OF LO .6 OW ON LOT MAP BOOK PAGE PARCEL DISTRICT 1GROURITYPE FIRE ESSED BY T A —1''6 BLOCK L p _.�� / CONST. ZO ! T E �pp t 'T OWNER John Waade No�8 -1161 STATISTICAL CLASSIFICATION S1R AP ADDRESS. 9070 Las Tunas CLASS NO.�DWELL,UNITS B G MA CITY Temple City. ZIP USE ZONE NO. C,2( ARCHITECT OR TEL. �.�� SPECIAL _ ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONTRACTO 'g nTEOL. 61-5181 BLDG.SETBACK FROM - ADDRESS 337 S. Wolds Ave LIC. FRONT PROP.LINE OF (STREET) NO. 1594 -- HIGHWAY } YARD T AL SETBACK FROM TYPE OF EXISTING CITY Los Angeles, Calif. L ASSC-39 FRONT PROP. LINE HIGHWAY WIDTH CONSTRUCTION LENDER + - 0.. NAME AND BRANCH BLDG.SETBACK FROM O ADDRESS CITY SIDE PROP. LINE OF (STREET) G) SQ. FT, NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROMi TYPE OF EXISTING LC SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH 0 DESC RI PTION OF WORK NEW ❑ } ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ]Rigid ❑ Class " C ° material. ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR❑ USE OF - IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, DEMOL ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION � � A/a�/ reel %d� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY F..�f,/.6d' WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- ' STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. JD ElL�/'�. C SIGNATURE OF J.1� 11CV li FINAL 29 BY PERMITTEE DATE ADDRESS S- W ods Ave CITY Lose:Angeles, Calif. NOL. 263-518 P.C. Fee$ Permit Fee 12.00 - QQ Issuance Fee VALUATION�V _ "' �Q _ Total Fee 12.00 -PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.o. CASH 76A638A CE#8038 12/75 p � APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION - FOR APPLICANT TO FILL INBUI4BUILDIN ADDRESS L SS G ADDRESS �� I hereby affirm that I have a certificate of consent to self insure, G ADD E or a certificate of Workers' Compensation Insurance,or a certified t copy thereof(Sec.3800,Lab.C.) CITY ZIP - �p 'TEmplX, i Ck'L LOCALITY Policy No. `� Company �TpC � SIZE OF LOT NO,OF BLDGS.NOW ON LOT �G ❑ C rtified copy is hereby furnished. NEAREST CROSS ST. rtified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. � USE ZONE MAP NO. Date 12 Z8-Aps ant �'�'�-C CA.I�'\ l�-r.l�l- ASSESSOR MAP BOOK PAGE PARCEL ETSPECIAL CONDITIONS OWNER TELIYES NO NO. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE v`��,�� a `�N-k-1 yZ-4 WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDS •�® y �Q DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CIS ITY �- ZIP C� X�w �� O� /J is issued, 1 shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE• TO APPLICANT.- If, after making this Certificate -of REQUIRED TOTAL SETBACK FROM EXIST . Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith P d_k LjDM 1 1 Za.J---dt 1 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION . 61Z--L- YJ �� 33 8 SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9P Ct Cfi,,, �'_�� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORI.E9 NO.OF FAMILIES Professions Codeand my license is in full force and effectq NEW 11 BK PG , a d' sy License Number "'��25��a Lic.Class � 1 DESCRIPTION OF WORK „ Or-F GAS ❑ VALUATION 0 Contractor \A-ALk __0S- ate 12= 5 CV_)C__ --*t'SII.YQ' A� ❑ $. i - +,o� U (_ Pik-'V,- a 2�t'bHlIQ' INvcc Elam exempt under Sec. =61JWFAL"L Z>cA —Pact--4- Z REPAIR El $ 0 F1 �S �' Ce7r�t 'DEMOL ❑ B.&P.C.for this reason - 1 LDMA P/C# W �,�/�/ Dj��> USE OF EXISTING BLDG. URM. ❑ fe � Signat � APPLICANT(PRINT) TEL NO. LDMA Perm# 1 Z I, as owner of the property, or my employees with wages as �� Z�->" o1 El � ZC a AD ESS ACo s O their sole compensation, will do the work and the structure is r. not intended or offered for sale (Section 7044, Business and ri Z`Z_ 0.�VNlZ_ k06 'T,C� FINAL DATE 3303 108.90 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL I ITEMS 4[y L OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ii - 1 1!E S ❑ I, as owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY d-��► licensed contractors to construct the project (Section 7044, YES❑ NO❑ TL iTAL 108 0 90 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 108.90 C1w Q 90 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �r 11 741 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR t'jj'' GUIDELINES. _ CHANGE .00 I hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance Of the Work for which this permit Is Issued(Sec. IHAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING N3097, Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ _ ('y(}(}r'y�j�(yn -i L�i�� TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS OWO-0001 41400 1� Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. IL Lender's Address 3972 1 PM 12°41 OWNER OR AGENT O - o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE o with all county ordinances and State laws relating to building 0 m construe bN-and ht reby authgrize representatives of this County ISSUANCE FEE cove � -27 t er n the me ® - INVESTIGATION FEE TOTAL FEE BT /j t` Signature of Applicant or Agent gate [} i SEE REVERSE FOR EXPLANATORY LANGUAGE