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76718S8A CE08098-64 APPLICATION FOR, BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
'DISTRIC NO. GROUP TY gEmtDY
FOR AlPPLICANT TO FILL IN - �- • c sT:
ST CLASSIFICATION S ER MAP
BUILDING �,
A
ADDRESS CLASS NO.__r—_DWELL UNITS BK PG
LOT NO. / BLOCK USE ZONE MAP
NO.
TRACT r' SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOT Q/�. NOW ON LOT '
USE OF
EXISTING B D BLDG. SETBACK FRO
L syLFRONT PROP. LINE O (STREET)
OWNER J �j�/ ZVI TYPE OF EXISTINO SETBACK HIGHWAY -F' YARD = TOTAL
ADDRESS / H10 AY Io H 'FROM C.L. '
CITY BLDG. . T ACK FROM
ARCHITECT OR TEL. SIDE PR P. LINE OF (STREET)
ENGINEER NO. —
T�YPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. CL
TEL. 7_ 7� 'I- = OV
CONTRACTO NO f/
LIC
ADDRESS �. NO 1�/ i CORNER CUTOFF YES NO O
CITY LL s B- SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK H
Z
NEW ADD ALTER, REPAIR DEMOLISH
SQ.FT. NO. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURES p
✓ eu L
SIGNATURE OF '/1IV
APPLICANT
VALUATION$ G�� ,
APPROVALS DATES �.INS/4,TOR'S SIGNATURE
P.C. PMTF,OUNDATION, LOCATION �(�/ ( /'s ';,.+• �.
FEEFEE$ i--�++- FORMS., MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY-I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATI INS U NCE. eAFI
ATH. EXT.
SIGNATURE OF ` OUSE NUMBER COR-•
PERMITTEE RECT AND POSTED /e
ADDRESS NAL ITU 3 �• �-.
JOHN F. LEWIS. PRINCIPALST `•� r RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH
LACc)1, 0 0 On NOV 2 1 A 4.0 0-. cu
76ABSBA CE#BQS B-64 APPLICATION FOR BUILDING PERMIT 17
LJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS DDRESS
BUILDING AND SAFETY DIVISION LOCALIT fs
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST I�
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DISTRIC NO. GROUP TYPE. P SSED BY
FOR APPLICANT TO FILL IN CONST. 2.
BUILDING jam- /� ,,� p STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS t, �`�'"'�� CLASS NO. DWELL UNITS BFj.. PG/
LOT N BLOCK UhE ZONE MANo.PC;te 6
+ M` ^ SP
TRACT J/JJ J SPECIAL
Q' NO. OF LDGS. CONDITIONS
SIZE OF LOT // NOW ON LOT
USE OF
EXISTING G. BLDG. SETBACK FROM
EL./,/y-�� �G 7 FRONT PROP. LINE OF (STREET)
OWNER ��JJ ��No.��(/�/l ` D/I TYPE OR EXISTI NO SETBACK HI GHWi1Y + YA D = TOTAL
ADDRESS /O'•' li(j HIGHWAY WIDTH FROM
C.L.
CITY +
ARCHITECT OR TEL.�f+��}�/� BLDG. SETBACK FROM -
ENGINEER NO./'/� , ,(� SIOE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS ,3O HIAHWAY WIDTH FROM C.L. d
CONTRACTOR / NOL /p� J + - O
LIC ADDRESS �7��/ NO CORNER CUTOFF YES NO O
CITY CL SS 'SEE REVERSE SIDE FOR SPECIAL APPROVALS IV
DESCRIPTION OF WORK N
. Z_
NEW ADD ALTER REPAIR AEMOLISH
SQ.FT. NO. OF NO. OF
SIZE STORIES '- F (LIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ Z�rtl APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. =T PMT. FOUNDATION, LOCATION
FEE$ FEE$ • FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _17FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATELAWS REGULATING GAS VENT. DUCTS
GUILD NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSUR NCE.
LATH. EXT.
SIGNATURE OF yyt_ o HOUSE NUMBER COR-
PE,RMITTEE RECT. AND POSTED.
ADDRESS FINAL ((
w .w
JOHN F. LEWIS. PRI CIPAL//ST URAL ENGINEER
PLAN CHECK VALIDATION /CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
i
2 9 9 9u"
jUN 2:3 1 A
4.00N
• ' yWORKERS'COMPENSATION DECLARATION
I hereby �$fiim that I hove a certificate of consent to self
~ mG PERMIT
insure, or,a cervificate o?Workers'Compensation Insurance, A P P L I P�� � ��I
or a certified copy thereof (Sec. 3800, Lab. C.) _ COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company >764-!�" W
. ,• x
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS C,
�O
Certified copy is filed with th county uilding inspec- BUILDING
tion department. ADDRESS
Date Z Applicant CITY �� CQ ZIP ;LOCALITY
CERTIFICATE OF EXEMPTION AOM WORKERS' NO.OF SIZE OF LOT NOW ON LO' NEARESST. '
COMPENSATION INSURANCECROSS
(This section need not be completed if the permit is for one ASSESSOR
BLOCK
hundred dollars($100)or less.) TRACT LOT NO. MAP BOOK PAGE PARCEL
I certify that in the performance of the work for which this OWNER `- -"L 4 �� USE Z NE NO
permit is issued, I shall not employ any person in any manner ADDRESS C'D y�-f/2 E b � �I SPEC AL
so as to become subject to the Workers'Compensation Laws. c CONDITIONS U
Date Applicant CIN Sam ZIP
ARCHITECT OR TEL. DISTRICT ®R UP TYPE FIRE PRO S BY O
NOTICE TO APPLICANT: If, after making this Certificate of H' �' _( // CONST. FIRE W
Exemption, you should become subject to the Workers' ENGINEER NO. U K t `
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be TEL.a t STATISTICAL CLASSIFIC TION APT. CO DO. U)
deemed revoked. CONTRACTOR NO �t
LICENSED CONTRACTORS DECLARATION LIC, CLASS Ni DWELL. UNITS �•
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �—, Sq NO.Z— &Z SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITYCLASS 9 BK PGVAD.IDA IN .
�f c SQ.FT f^ OF NO OF CHECK v: A
License Number � Lic.Class a SIZE SIL STORIES FAMILIES ONE
y? +So4s DESCRIPTION OF W RK Nom, ❑ VALUAT ON # 0 0 0 0 0 1
Contractor Date "� `' _\\ $
❑ I am exempt under Sec. r"O6V i ADD ❑ 2 �j /��j ® ( o 2 56. 1 3
eaam 6e E Tu ALTER ❑ $ 1 v� V / x
B.BP.C. for this reason Date: ~ DEMOL ❑
USE OF 2 5 b 1 3 t,
EXISTING BLDG. t° �• 0 0
APPLICANT�1 Ti . 0 2 2—8 8
Signature 9 FINAL
PRINT 1O NO. .5��7 l
OWNER-BUILDER DECLARATION nn '�1 DATE
I hereby affirm that I am exempt from the Contractor's License ADDRESS I 0 0 oV L C
Law for the following reason (Section 7031.5, Business and FIN
Professions Code): PRESENT B
BUILDING
1,
I, as owner of"the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
❑ I,as owner of the property, am exclusively contracting CONTRACTOR NO. p
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions,Code).
REQUIRED TOTAL SETBACK FROM
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH _
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name 2 LLReP.C. Fee$ Permit Fee I RfLender's Address /� _a1 certify that I have read this application and state that the Issuance Fee V, 5Labove information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee ��/ L
3 and hereby authorize representatives of this County to enter
5 upon the above-mentioned perry or ins ection purposes.
0
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
APPLICATION FOR BUILDING PERMIT �1
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION
FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof(Sec.3800.Lab.C.) CI ZIP
Policy No. 1 1 6� Com ITS�_f�I.4 u ' LOCALITY
,L_TPJ( �m SIZE OF LOT NO.OF BLDGS.NOW ON LOT
Certified copy Is hereby furnished. 11 no r—r 1 1- NEAREST CROSS ST.
BLOCK LOT NO. r 10A
❑ Certified copy is filed with a county bulb g inspection a Z USE ZONE MAP No.
department. 4—t
arm 17 ==BOOK BOOK PAGE PARCEL
Date Applicant Z7 Z99 _ SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER L O•_ �_ � WITHIN 1000 FT OF SCHOOL? YES NO
COMPENSATION INSURANCE ADDRESS �
(This section need not be completed if the permit Is for one hundred DISTRICT GROUP TYPE NST.' FIRE ZONE PROCESSED BY
dollars($100)or less.) CI ZIP
I certify that in the performance of the work for which this permit v S. rs 4-3
is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
become subject to the Workers'Compensation Laws. STATISTICALCL��AACATION SSIFIAPT CONDO
Date Applicant ADDRESS CLASS NO. n.9 DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of CONTRACTOR REQUIRED TOTAL SETBACK FROM EXIST
_
Exemption, you should become subject to the Workers' / SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith t TEL.NO.71 3 V FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
r—
LICENSED CONTRACTORS DECLARATION CITY ✓� LIC.CLAss SIDE a
PL p
I hereby affirm that I am licensed under provisions of Chapter 9 S', SEWERv
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STOREES NO. FAMI� C
Njr
Professions Code,and my license is in full force and a act. NEW El BK PG
License Number DESCRI ON OF WORK ADD of LU
LU
�9 Lic.Class /� — vALuanoN
Contracto;!A SErDl�DN nate 5—17-40 ALTER ❑ $ tPQQ
❑ I am exempt under Sec. GQ REPAIR El
B.&RC.for this reason DEMOL ❑ LDMA PIC M
Date: USE OF EXISTING BLDG. URAfl ❑
i?�C i G��CJ�
Signature APPLICANT(PRINT) TEL NO. LDMA Penn p
❑ 1,as owner of the property, or my employees with wages as 7L� s p y b
their sole compensation,will do the work and the structure is ADDRESS 0 ACCT.a
not Intended or offered for sale (Section 7044, Business and FINAL 00- `307 �r0�F.4
Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL L
OR A MIXTURE CONTfl/UNING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 IT
❑ I, as owner Of the property, am exclusively contracting with THE AMOUNTS SP!gWIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B l��
licensed contractors to construct the project (Section 7044, YES❑ No !}( j(, I�I -op-+ -
Business and Professions Code.)
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH CHECK 304.44
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST
FOR GUIDELINES CHANGE .1'}i k
1 hereby affirm that there is a construction lending agency for YES❑ No CHANGE 3ij
the performance Of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATE IALS INFORMATION GUIDE AND THE SCAOMD
SIM,CIV.C.). pERMI G CHECKLIST.1 UNDERSTA MY REQUIREMENTS UNDER THE LOS ANGELES �ytt(yr �^� (7 q )j
Lenders Name THOU �TITLALS APTERI2 E OROBTAINNGAPERMIT FRO TH SCAQMD. 00011-0001 cJ 17/01L1
Lenders Address -37" 9:36
0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE
information is correct. I agree to comply with all county 9 / y
ordinances and State laws relating to building construction,and i
hereby authorize r entatives of this County to enter upon ISSUANCE FEE
the b ve-mentio property for inspection purposes. .�
�7U INVESTIGATION FEE TOTAL FEE
a aApou M+ - -
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES ;i_h1PLE CITY # 0508 BUILDING '-• --
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATIl.,...;AIR
BUILDING AND SAFETY / LA;;D DEVELOPMENT TLMPLE CITY CA 91780 BL 0508 U4.,..;7n073
NONE: (626) 285-0488 5X7:
LEGAL ID: -- - NO. OF CONST BUILDING ADDRESS:
TR: 29922 LT: 1 SQ. FT STORIES TYPE 6025 MUSCATEL AV N
STRUCTtJKF: '#400 VN SGAB CA 917752656
ASSESSOR .NFORMATIO NUMBER: NEAREST CROSS STREET:
5386-008-051 THOMAS PAGE: 596 GRID: H3 IOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG U:E: RESID USE ONE: R-31SS��D ON- PROCESSED - EXPIRES ON:
EXIST OCC GRP: 10/09/04 JK 10/03/05 '
OWNER: 7EL. NO: BLDGS. H04 ON LOT: VALUA7IUN: F1NkL UAI.E FINAL HI: _ CODE:
DALY PATRICK R;CANDACE (818) 286-5872- 2,400
6025 MUSCATEL AV ,• _
SGAB 917752656 EES PAID DESCk}'Is OF WORK
TEAR OFF 4 SF OF 2 LAYERS 90LS APPLY 14 SF WHITE GTA
FEE DESCRIPTION: QUANTITY: UOA: AMOUNT: CERTAINlEED OVER EXISTING SHEETING ROLLED ROOFING
APPLICANT: TEL. NO:
HENRY - AA BLDG PERMIT ISSUANCE 27.75 _
AC STRONG MUTTON RESID 2400.00 VAL 0.50 SNkl.1AL CUNDITIONS: 'I
D2 PERMIT W/0 EN-HC 2400.00 VAL 99.00
TOTAL FEGS 127.25I
CONTRACTDR. THE YOo pPPROiJALS D!!7t INSPECTOR SIGNATURc�-
WEATHERGUARD ROOFING (626) 287-0669-
4251 BALDWIN AVE. LIC. NO AND SETBACK9
EL H(jm T E, CA 91731 608888 C39 I
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: 1EL. F:D: T'62H FORMS
LIC. NO: L-09/1,I)JUER FLOUR _
RA::10 Fl0i+n F1ZAi".ING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP u4-bif.FLOUR INSULATION _
150H260 3 01 '
f LC�N�Si SHEATHING
10 F FAMILIES: DI EL I G UNITS: AP7/CO:1D•. S A CLASS:
NO 21 ROOD 91EATIIING
SCHOOL WITHIN HAZARDOUS THUR. PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAPk INSPECTION
REQUIRED TOTAL BE, CK FROM E IST FIFE'Sf!:f!JCT-LER HANGERS '--
SET BACK YARD: HWY: PROP LINE: WIDTH: _ _ •_
FRONT PL- 1NS;LATiON/WEATHER_ STRIP _
SIDE PL-
T01%. 0.4 LAfH/ R.WA L
-NRI NZ LATH
RNAs 5 fTVWCEIL ASSEM. -
RA71DJ kALL ASSEMBLIES
D S A TS/OPE INGS --
T=0-iR CEILINGS —�
LOi f 6RA I NAGD —
REPORT ID: DPR261 ROUTE TO: BS0508