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Home My Public Portal About5939 OAK AVE_Building__ VM638A DBS 6 6 89 APPLICATION FOR BUILDING PERMIT Z DMSION OF SUWMG AND SAFETY ADILDINa:DRESS a Do ft amt ofConal= ulglnew Conntt of Los A 901" LOCALITY T• G • WM J FOX COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILD1140 CROSS ST FOR APPLICANT TO FZ<.I. IN DISTRICT NO GROUP TTY E T� SEWER MAP - BUILDING 6�G ADDRER I NUMA ER ��-� Gs HwY YEs d LOT NO JOCK S USE ZONE SPECIAL ' CONDITIONS TRACT s Il�-/r/I ` NO OF SIZE OF LOT NOW ON LOTS SETB TACK YARD NWY STREET NAME EXIST USE OF PFRONT T DG (STING BL5 OWNER SIDE MAIL ADDRESS AVl P O TRACT DWELL I UNIT INDUSTRIAL Tom- 1 DWELL f UNIT CITY O 6 PUBLIC BLDG ARCHITECT O / TEL 2 DUPLEX I UNIT ENGINEER / NO �� 7 ADDN ALT ETC 3 APT UNITS s M18CEL ADDRESS 4 COMMERCIAL TEL _ �gpF.CTION RECORD CONTRACTOR ADDRESS DESCRIPTION OF WORK NEW d-oLaALTER REPAIR DEMOLISH Li f7` SQ FT NO OF NO OF jpy� SIZE STORIES FAMILIESlie-VAAP 77 /J I/ .+ I4. USE OF STRUQURBI IY Ab $,O M -t-o C?c L-s S�o SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR S SIGNATURE S P C s ` FOUNDATION MATERIALS /�� FEE FRAME FIRE STOPS VALUATION O BRACING BOLTS PE FURNACE LOCATION 1 HEREBY ACKNOWLEDGE THAT i NAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT - AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT AND STATE LAWS REGULATING BUI G CONSTRUC _ TION LATH EXT SIGNATURE OR HOUSE NUMBER COR- PRMITTEE RECT AND POSTED ADDRESS FINAL Z S'S� 1. WM J FOX.COUNTY ENGINEER VMMAT40N - C.N DIRLAM CHIEF BLDG INSPECTOR if 8 6 O E US OCT 4. 1 I/ p p • 76"39A OR t0(01008 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING , DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE CouNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CR0jLST C/ D18T 1 TMpE PROCESSED BY FOR APPLICANT TO FILL IN coNsr BUILDING ATISTI IFICATION SEWER MAP ADDRESS BK PG CLASS N W LL NIT LOT NO ,s BLOCK YES NO NUM ER HWY TRACT USEZONE SPECIAL NO OF BLDGS CONDITION SIZE OF LOT NOW ON LOT USESOF DG. 13 LI THOMAS L.KNITSCHEER SET ACK YARD HWY STREET NAME EXIST OWNER FRONT MAIL P L ADDRESSSIDE TE t 6,34 P L ARCHITECTOR TEL INSPECTION RECORD ENGINEER NOADDRESS F D A �OF CONTRALTO TEL Q(yO � FITU,39 1 � ApoRggs 810 E. Wal n t pasa- DESCBWTION OF WORN As / NEW ADD ALTER REPAIR DEMOLISH LrfiTEY To Y a NO OF NO S ZE 52+0 STORIES 1 FAMIOLIES C L. �¢ USE OF STRUCTURE Body Sind PpintlPr Repw .r t, s SIGNATURE OF APPROVALS � APPLICANT ADDRESS 8 DATE INSPECTOR S SIG ATURE FOUNDATION LOCATION c3 _)-.o FORMS MATERIALS P C S FRAME FIRE STOPS 2 D00 FEE09* BRACING BOLTS VALUATION 1 s FURNACE LOCATION FEE �' GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE REA THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMrrrlrw RECT AND POSTED ADDRESS MIR- Walnut Pasadena FINAL V ' CLYDE N DIRLAM PRINCIPAL ST RAL ENGINEER PLAN CIMCS VALIDATION CK No CASH P8B3BT VALIDATION CK NO CASH L&3 16 6M IM 6 1 A 900 A 4 � ! �y / 78A898A CE #803'4/70 /I/� � �A✓ - � APPLICATI N FOR BUILDING/PERMIT COUNTY OF LOS ANGELES _ASSESSOR DEPARTMENT OF COUNTY ENGINEM MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING --e I JOHN A LAMBIE COUNTY ENGINEER ADDRESS t 1 COLEMAN W JENKINS SUP T OF BUILDING LOCALITY ` FOR APPLICANT T FILL IN NEAREST CROSS ST BUILDING DISTMCT gNO� GR UP TYPE _,f5:1PRO ED BY ADDRESS t67C/ ,Z CONST STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK CLASS NO_J/9 DWELL UNITS BK LPG �y TRACT � is �L USE ZONE MAP NO F SLOGS NO v_o 197 SIZE OF LOT f7i� NOW O LOT ` SPECIAL _ USE OF CONDITIONS EXISTING BLDG -+ , OWNER NOL + D'�V BLDG SETBACK FROM ADDRESS FRONTPROP LINEOF (STREET) TYPE OF EXISTING1 SETBACKHIGHWAY YARD = .TOTAL CITY HIGHWAY WIDTH ROM C L ARCHITECT OR I TEL + _ ENGINEER CZ4,11, NO BLDG SETBACK FROM ADDRESS SIDE PROP LINE OF (STREET) TEL TYPE OF EXISTING S CK HIGHWAY + YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH OM CL ADDRESS Np + = v LIC CITY CLASS CORNER CUTOFF YES ❑ NO ❑ p CONSTRUCTION NDER AND B BRANCH NAME SEE REVERSE SIDE FOR SP IAL PPROVALS `~W' N ADDRESS �/ Z SO SIZE T xtZ INO OF NO STORIES FAMILIES USE NEW USE OF ADD ❑ STRUCTURE ALTER ❑ ❑ SIGNATURE OF REPAIR f APPLICANT / DEMOL ❑ VALUATION S v APPROVALS DATE INSPECTOR 8 SIGNATURE P C PMT FOFORMS UNDATi MATERIALOCATION FEE S FEE S FRAMERFIRE STOPS I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BACING BOLTS AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMP BATION INSURANCE/7LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN TRTUR PLAN CHECK VALIDATION CK M 0 CASH _ VALIDATION CKN E"R O NRIMCASH RI n 9 $ 9ti APR21 1 D 6.0 0� 745AS79A CC#009 1006 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING , DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C . JOHN A LAMBIE COUNTY ENGINEER NEAREST CABGATT D GRIFFIN SUP T OF BUILDING C OSS FOR APPLICANT TO FILl IN DISTRI G gEfAC NST ( PROCESSED BY BUILDING STATISTICA S FICA ION SEWER MAP ADDRESS K BK PG LOT NO LOCK CLASS NO DWELL NIT MAP STATE YES NUMBER HWY TRACTS—toUS ONE SPECIAL NO OF BLDGS mf CONDITIOIrS SIZE OF LOT NOW ON LOT Jr. 1 USE OF EXISTING LD SETBACK YARD HWY STREET NAME EXIST WIDTH OWNEFirHQMAS L. KNITSCHIBIRR FRONT MAILADDRESS7O(7T� NO' OAK 5939 SIDE CITY TEMPLE CITY TE T634 6 P L INSPECTION RECORD ARCH ITECT OR TEL ENGINEER NO ADDRESS CONTRACTOR NEW-VON CONST NO`SY56771 'nne fF DR 0E•WALNUT PASADENA DESCRIPTION OF WORK l �f NEW ADD ALTER REPAIKX DEMOLISH G So FTNO OF NO—SIZE 2 0 STORIES 1 FAMIOF C+ J ! � �AsK USE OF STRUCTURE ROM ANT) FigNnign fi salif r-- Iff-rs'li- v REPAI APPROVALS SIGNATURE OF ��N APPLICANT DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS a P C S FRAME FIRE STOPS 29000 FEE BRACING BOLTS 0 VALUATION i FURNACE LOCATION FEE GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE RE THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ,Af AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT STATE LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE OF HOUSE NUMBER COR _— PERMITTEE RECT AND POSTED Q ADDRES FINAL �! CLYDE N DIRLAM PRINCIPAL ST CT AL ENGINEER PLAN CIMCS VALIDATION C M O CASH P>3 W VALIDATION V M O CASH LAC03 1 6 7$'. 'moi 6 1 A 9.00 I D�ASFlOF OF CCUi7'tY ffiiGII�B BUILDING OF BUa.DII�iG AND SAFETY COUNTr OF um ANG WILLIAM J FOX COUNTY ENGINEER jU Iq j i J APPLICATION 1 CABBATT D GRIFFIN SUP T OF BUILDING FOR FILL IN FOR OFFICE USE ONLY 'L DIST: PLANCK on R6CyJ10 PERMIT NO BUILDING SQ[ ADDRESS NEARLBBT • RED BY DATA OR ! DATEISSUED CROSS BT t 1 Vi t. iL3 su1LDIN -;E- OWNER 6,A /1 AMAIL DDRESS V f 5 / LOCALITY / (� TEL S4 1 CROS ST CITY Z" FIRE NO OR TY GRO ENGIARCiNEER ITECT OR �j TEL D O O / ' ZONE PLANS71W R7� ADDRESS „ �v e► I ` BLDG ORD NO 'I'I SETBACK LI B CONTRALTO ' TEL USE APPROVED No, ZONE BY DATE ADDRESS u HOUSE NUMBERING 1 DESLEGALCRIPTION / BLOCK MAP NUMBE 0 O ASSIGNED BYT RRECTIONS TRACT 45491 No SIZE OF LOT SO �' I Naw ONaLLOO TwUSE OF NO EXISTING BLDG FAM ILIKII OR DMON WORK O - NEW ALTERATION ADD TIO 7, llsLCr y REPAIR DEMOLITION r" SQ 1700 A. A SIZE ROOMS STORIES � CG• O C � N � EXT WALL I ROOF COVERING COVERING USE OR STRUCTURE / ,; le 720 1 -r s ILJG In"— L/� r � '0 �1,CU^- , p APPROVALS INSPECTOR S SIGNATURE DATE FOUNDATION LOCATION FORMS MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS CORRECT FURNACE LOCATION 1 AGREE TO CON WITH ALL COUNTY ORDINANCES GAS VENT DUCTS AND STATE LAWS L ATING BUILDING CONSTRUCTION SIGNATURE OF � LATH INT PERMI i G O /� LATH EXT ADDRESSP PLASTER INT AUTHORIZED AST /J PLASTER EXT $ /jfo/f 0 0 F� HOUSE NUMBER COR t r/ Q(� RECT AND POSTED VALUATION REE S �� FINAL /A 76A886A DEB 8 MOi COUNTY OF LOS ANGELES 4 WM J FOX CHIEF ENGINEER U 1 1 D 1 N G Bs FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO PLAN CK NO PERMIT NO ADDRESS O 22 &efh Aho �" �, /�i`Y'6 % 3 LOCALITY AA D BY DATE O APPL DATE ISSUED NEAREST Q +S S/ 14,4f CROW ST BUILDING OWNER ADDRESSMAIL ADOREN LOCALITY NEAREST CITY NpL CROSS BT ARCHITECT DR4&.0 TEL `� ZONE I PLA `,,'I TYPE i llip FIRE GROUP ENGINEER NO ./ BLDG ORD NO ADDRESS SETBACK LINE APPROVED CONTRACTOR A NO BY DATE 11��''►► � � UBE APPROVED ADDRE88 J+1�✓'$rNQ,� ZON / BY DATE LEL DESCRIIPPTION LOT ND31 3 ANLOCCK CORRECTIONS TRACT 6, s+� X .5'I NO OF SLOGS SIZE OF LOT NOW ON LOT Use OF I NO OF ( NO OF EXISTING BLOB FAMILItB ROOMS DESCRIPTION OF WORK NEWALTERATION ADDITION O A REPAIR MOVING DEMOLIBN p eq rTNO OF BIZ6 ROOMS STORIES WALLROOF COVERING COVERING _ USE OF NEW A BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH18 APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS SIGNATURE OF BRACING BOLTS OWNER LATH INT AUTHORIZED AOT LATH EXT P D 41 PLASTER INT D 6 FEE PLASTER EXT VALUATION !201 FEE/�� {FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM J FOX CHIEF ENGINEER PLAN6SLOG FIRE DISTRICT No PLAN CHK FEE PERMIT No FILED ' BETS I ZONE I_ ZONE — RECEIPT NO TYPE OF C BLDG 1 If 111 IV V X I GROUP r DATE OF APDL RECEIVED BY DATE ISSUED BLDG SETBACK NE f� _ —1 - ORD NO --lo 7- r� Y APP C T FILL IN HEAVILY OUTLINED PORTION ONLY 01 "T 1BUILDING /1 O ' �,f �!' �� O E NAME a ADDRESS / Y V W � W ADDRESS Ll LOCALITY 1.W 2 CITY NEAREST STATE LICENSE NO TSL NO E NAME W MAIL E NAME 3 ADDRESS y O AC / TEL NO ;U44 r C ADDRESS CITY Z CITY u ,JE LOT t, SIZE OF LOT V STATE TSL No W u NO OF SLDG BLOCK NOW ON LOT S LICENSE NO JW LDG CLASS OF WORK TRACT (/ V NOWUSEOF ON BLOT DESCRIPTION OF WORK kv NEW I_ ADDITION DEMOLISH ^ �� ALTERATION+ REPAIR I MOVING Jv� USE OF �A — NO OF BLDG —. LD �VYI ROOMS SIZE OF f II STORIES NO OF BLDG FAMILIES .!CORRECTIONS SPECIFICATIONS FOUNDATION we EXTERIOR PIERS MATER IAL THICKNESS—TOP THICKNESS_BOTiOM .J Q DEPTH IN GROUND Z SUPERSTRUCTURE SIZE SPACING SPAN O R W PLATES (BILL) GIRDERS JOISTS_FLOOR JOISTS—CEILING BEARING WALLS PARTITIONS ROOF RAFTERS FINAL APPROVAL SILL BOLTS '— od — COVERING — DATE `" INSPECTOR s NAME WALL ROOF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W17H ALL COUNTY ORDINANCES t P C FEE $ AND STATE L B GU T G BUILDING CONSTRUCTION VALUATION J FEE �O _SIGN ow ER oR wuTr 0 Iz D AGENT 08-8 4-88 aBM DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT _�j COUNTY OF LOS ANGELES BUILDING WM J FOX CHIEF ENGINEER PLANS BLDG � ' FIRE DISTRICT NO PLAN CNK FEB PERMIT NO FILED SETS I ZONB /� ZONE _ RECEIPT NO �p'�$ TYPE OF �jj S ! V BLDG 1 11 111 lY V X GROUP Fence DATE OF APPL RECEIVED BY DATE ISSUED BLDG SETBACK LINE ® ORD APP C T IN HEAVILY OUTLINED PORTIM ONLY Ga BUILDING / O I 'v 0 CL Wz E NAME ADDRESS /`" V W W ADDRESS LOCALITY Z EST V l CITY CROSS ST STATE LICENSE NO TSL No E NAME MAIL NAME NAME 3 ADDRESS 1 < ADDRESS O CITYTEL NO °- CITY u IL LOT 3 4/ � SIZE OR LOT U STATE rc u NO OF NOW ON LOT SLOGS tl LICENSE NO TEL NO BLOCK JW USE OF BLDG CLASS OF WORN TRACT NOW ON LOT DESCRIPTION OF WORK NEW ADDITION DEMOLISH 6Al ALTERATION REPAIR MOVING JVP I/'Y USE OF �" IFAMILIES NO OF BLDG / �V1 ROOMSSIZE ORf11 STORIES NoOF BLDG �. ORRRCTI NS SPECIFICATIONS FOUNDATIONQ EXTERIOR PIERS MATERIAL THICKNESS—TOP THICKNESS_BOTTOM .J Q DEPTH IN GROUND Z D SUPERSTRUCTURE a SIZE SPACING SPAN O R W PLATES (SILL) GIRDERS JOISTS—FLOOR JOISTS—CEILING BEARING WALLS PARTITIONS ROOF RAFTERS FINAL APPROVAL BILL BOLTS COVERING � '' , DATE/ � �4 INBPBCTOR 8 NAME`^� WALL ROOF \_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES PC FEES i+ AND STATE LA}I6 GU TNG BUILDING CONSTRUCTION t I� �/d1�II! VALUATION J v FEE 2.-. -SIGNS ow ER–OR A—UT�ioR1�F GA BNT D8-8 4-89 SSM WQ^ ERS COMPENSATION DECLARATION hereb affirm that I have a certificate of consent r self APPLICATION FOR BUILDING PERMIT certificote of Workers Compensation Insurance or a certified copy thereof(Sec 38W Lab,C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ElCertifiedcopy is hereby furnished FOR APPLICANT TO FILL IN ppp��Of—" Al Ahk /¢'�rz•' ❑ Certified copy is filed with the county building mspec BUpD� OjtJ& Y� tion department .�/ Q. Date Applicant CITY 7�* ZIP / 7 a D LOCALITY TE� CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT dO X /8s' NNOOW ON LOT ST ZAf COMPENSATION INSURANCE Iris section need not be completed of the permit is for one TRACT BLOCK LOT NO MAP BOOK PA PARCEL Iris dollars(x100)or less) s OWNER t7�N� �ry NNO 215 USE ZONE MAP 1 certify that in the performance of the work for which this "r / ,�� SPECIAL permit is issued I shall not employ any person in any manner ADDRESS /✓ �A� /�" - G/ CONDITIONS p so as to become subleo to the Workers Compensation Laws I CITY /G� C/ ZIP �b (7 v Date Applicpnt ARCHITECT OR TEL 0 —�-�.�. DISTRICT GROUP TYPE FIRE PROCESSED BY + NOTICE TO APPLICANT If after making this,Certificate of ENGINEER NO CONST ` 7gNE ; Exemption you should become subject tQ the Workers Compensation provisions of the Labor Code you must forth ADDRESS Tom` r 0 with comply with such provisions or this permit shall be CONTRACTOR r� NO STATISTICAL C ON PT CONDO Z deemed revoked LICENSED CONTRACTORS DECLARATION w UC CLASS N ADDRESS O D ITS 1 hereby affirm that I am licensed under provisions of Chapter 9 LIC SEWER MAP (commencing with Section 7000)of Division 3 of the Business and Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT -TW OF NO OF CHECK License Number Lic Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK -co ANDD f 9� � � j ❑1 am exempt under Sec t'� O� ► ALTER B&P C for this reason REPAIR Date USE OF EXISTING BLDG DEMOL ❑ Signature APP(PRINT) WN T/� NO FINAL OWNER BUILDER DECLARATION _ ppm .- I hereby affirm that I am exempt from the Contractor s License AlO�j �.V� Law for the following reason (Section 7031 5 Business and ADDRESS FINAL Pr tans Code) FRMNT By Z L'J I as owner of the property or m employees with BUILDING P Pe„Y YADDRESS ACCT e&a * i wages as their sole compensation will do the work and ~ the structure is not intended or offered for sale(Section LOCALITY , 7 ` 70 7044 Business and Professions Code) MOVING TEL •`R ❑ 1 as owner of the property am exclusively contracting" CONTRACTOR NO i ITEM with licensed contractors to construct the project(Sec ' MAL 70 ?, � tion 7044 Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM EXISTCHECK 70 CONSTRUCTION LENDING AGENCY SET BA YARD HWY p LIN t 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L CHMGE (Sec 3097 Civ C) SIDE PL DOW nn Lender's Name Q WMA Ref ff DOW- 01 8r/ 8/91 Lender s Address P C Fee$ Per Fee / a , 84� I AM �'" c I certify that i have read this application and state that the Issuance Fee / r LAMA P/C 9 �`r above m rmation is correct I agree to comps with all County Investigation Fee ordinane and State laws relating to building construction Total Fee WMA Perm M and he authorize representatives of this County to enter t h upon t e mentioned property for inspection s ✓ �_�j�'/J�� 1 SEE REVERSE FOR EXPLANATORY LANGUAGE S. Applicant or Agent to APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION F§APPUCANT TO ILLI1. BUILDING ADDRESS_ /J I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS Jt,•J f >1 or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) n ZI Policy No Company LOCALITY SI OF LOT NO OF SLOGS NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERSR - / COMPENSATION INSURANCE 1 O� I WITHIN 1000 FT OF SCHOOLS ves No (This section need not be completed if the permit is for one hundred ADDRESS �L • DISTRICT GROUP TYP coNsr FIRE ZONE PROCESSED BY dollars($100)or less) S C 7� I certify that in the performance of the work for which this permit Is Issued I shall not employ any person In any manner so as to 00 J ARC become subject to the Workers Compensation Laws ARCHITECT OR ENGINEER TEL NO STATISTICAL CLASSIFlCATIO APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TD 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 �v FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATIONSIDE CRY LIC CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code and my license Is In full force and effect NEW ❑ BK PG IL License Number Llc Cless DESCR TION OF WOR ADD ❑ VALUATION , V Contractor Date ALTREPAIR ❑ER 13 $ ❑ I am exempt under Sec $ 2-W B&P C for this reasonCT-r a DEMOL ❑ LDMA P/C• At GT 0 W Date I USE OF EXIS71140 BLDG URM ❑ 'i31Jti r_n r_n N Signature APPLICANT(PRINT) TEL NO LDMA Perm I 1 V` nJ nJ z ❑ 1 as owner of the property or my employees with wages as Z their sole compensation will do the work and the structure Is ADDRESS O HC t T s not Intended or offered for sale (Section 7044 Business and FINAL D A 19011. �yq Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ✓ Vq 7 J�U 7 68 �� ❑ I as owner of the property am exclusively contracting with AMOUNTS SPECIFIED MIXTURE clCONTAINING D +e HAZARDOUS MATERIALS INFORMATION GUIDHAZARDOUS MATERIAL EOUAL TO OR ER THAN THE FINAL z I BY Y A ITEMS licensed contractors to construct the project (Section 7044 Business and Professions Code) YES❑ NO❑ WILL THE INTENDED USE OF THE SUIDUNG BY THE APPLICANT OR FUTURE BUILDING TI OIL � 1 ® �.� . OCCUP CONSTRUCTION LENDING AGENCY COAST IR REQUIRE A PERMIT FOR CONSTRUCTION TRACTAOD) EE PERMITTING FROM THE SOUTH CASH 119 10 COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMRTING CHECKLIST FOR GUIDELINES CHANGE I hereby affirm that there Is a construction lending agency for YES 13NO❑ CHANGE .00 C4 the performance of the work for which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING W 3097 CIV C) CHECKUST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS OOOO�tJ1J01 9/17/99,F�1�Ip7 Lender s Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 9,r o Lenders Address 0 OWNER OR AGENT 0447 1 AM 9 19 F, I certify that I have read this application and state under penalty Cof perjury that the above Information is correct I agree to comply PC FEE �D 5� PERMIT FEE �o 7, $ with all county ordinances and State laws relating to building m const uctlon and hereby authorize presentatives of this County ISSUANCE FEE D to ent upon a above do p for Inspection purposes a A INVESTIGATION FEE TOTAL FEE s"n I fto.0 a on �O SEE REVERSE FOR EXPLANATORY LANGUAGE r• • , APPLICATION FOR BUILDING PERMIT ] COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN AD SS I hereby affirm that I have a certificate of consent to self Insure BUILDI DDR S �^ or a certificate of Workers Compensation Insurance or a certified K 1115— copy thereof(Sec 3800 Lab C) CI � /i Z�/�pO /'_I�� a 0 LOCALITY Policy No (Amps ,r SIZE OF LOIr NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished J NEAREST CROSS IL-ABSFI Tied copy is filed with they building Inspection TRACT BLOCK LOT NO department / USE ZONE MAP NO Dateg3ADDllcant _ ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS Ov1l TEL NO COMPENSATION INSURANCE �✓ WITHIN 1000 FT OF SCHOOLS ves No (This section need not be completed If the permit Is for one hundred ADDR3ESS D ✓r dollars($100)or Less) 7 DISTRICT GROUP TYPE CONST I ZONE PROCESSED BY I certify that in the performance of the work for which this permit C1,r— is Issued I shall not employ any person in any manner so as to ARCHITECT OFT ENGINEER TEL NO become subject to the Workers Compensation Laws STATISTICAL CLA2SELCATION APT CONDO Date Applicant ADDRESS CLASS NO �0(( DWELL UNITS NOTICE TO APPLICANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers C ACTOR /J TEL NO SET BACK YARD HWY PROP LINE WIDTH PL Compensation provisions of the Labor Code you must forthwith 0, �I.JI/A - L FRONT comply with such provisions Or this permit shall be deemed revoked ADDRESS LIC No 9 P L LICENSED CONTRACTORS DECLARATION d9DLO fL?r✓C�� SIDE I hereby affirm that I am licensed underprovisions of Chapter 9 v VL ��✓ �� UL4 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES Professions Code my Ilcen a Is in full force an effect NEW ❑ BK PG d License Nu berJAgLIC CIasS DESCRIPTION OF WORK ��✓� � ^�ST � f7�✓N�� VALUATION � ADD V Date Contrac ❑ I am exempt under Sec REPAIR ❑ $ BBPC for this reason DEMOL ❑ LDMA PSC# lJ.l Date Zo. USE OF EXISTIN BLI�G O URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Perm# i_ Z ❑ I as owner of the perty or my employees with wages as Z their sole compensation will do the work and the structure Is ADDRESS O til C T a t not Intended or offered for sale (Section 7044 Business and FINAL DA CJ 50.90 Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 'A J ❑ I as owner of thero rt am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY > 1 p y y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUID licensed contractors to construct the project (Section 7044 a Business and Professions Code) yes E3 No El AC G'� 4 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH "303 102.30 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAGMD)SEE PERMITTING CHECKLIST FOR I hereby affirm that there is a construction lending agency for YES 11 NO❑GUIDELINES 2 ITEMS N the performance of the work for which this permit Is issued(Sec Ti ITAL 1r� ®$O W 3097 CIV C) CHECKLIST UNDEVE READ THE RSTADNOUS MATERIALS D MY REQUIREMENTS UNDERTION GUIDE THE LAS ANGELESQMD PERMITTING COUNTY CODE r� �r Lenders Name MATERIALS REPORTING AND FOR OBTAININGTHROUGH A PERMIT FROM THE TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 2 20 140 CONCERNING G HAZARDOUS CHECK 152 sOLI 0 Lender s Address t � C OWNER OR AGENT cI certify that I have read this application and state under penalty C of perjury that the above information Is correct I agree to comply PC FEE �D V O PERMIT FEE cm with all county ordinances and State laws relating to building �11 /2Ci�q^ g construction and hereby authorize representatives of this County ISSUANCE FEE wpen mentioned prop rty for Inspection purposes d �+ 9848 1 IM 8:4,4 A INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE i s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9609110034 PHONE (818) 285 0488 EXT LEGAL u 1 NO OF CONST NEW BUILDING ADDRESS TR 6561 LT 342 SQ FT STORIES TYPE OCCUP GROUP 5939 OAK AV STRUCTURE 0 1 V S3 TEMP CA 917802028 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 8587 007 005 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE COMME USE ZONE BY EXPIRES ON JOE'S AUTO BODY EXIST OCC GRP S3 11/04/96 TC 09/11/97 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINALFINAL BY BAGHDADLIAN JOSEPH H HOURIG (818) 286 2852 7 800 5142 BARELA AV /1-18``j h � TEMP 917803846 FEES PAID bE$"TION Ul- WORK If FEE DESCRIPTION QUANTSJYaUOM- / AMOUNT NEW SPRAY BOOTH AT AUTO BODY SHOP APPLICANT TEL NO SIMICH CONSTRUCTION (310) 519 8203 D1 PLANCHECK W/O EN'�J��7800'OO-VAL ?k127%75 56 32 1400 S HARBOR BLVD AA BLDG PERMIT ISSUANCE SPECIAL CONDITIONS SAN PEDRO, CA AE STRONG MOTION�OTHER 780000 VAL "10'64 D1. K iW/0,EN`HC 780000 VAL 156-32) JTOTAL FEES 342 0300 9L CONTRACTOR OVALS DATE INSPECTOR SIGNATURE SIMICH CONSTRUCTION (310) 519 8203 '` ' 1400 S HARBOR BLVD LIC NO (o \� LOCATION AND SETBACKS SAN PEDRO CA 90731 410855 1 V m i®m ori a n LS AP ROV L ARCHITECT OR ENGINEER TEL NOLIC NO { U LAB F OOR RAISED FLOOR FRAMING � till 0 SEWER 14AP BOOK PAGE FIRE ZO 3 C 04 �A E�RF� LAT NO OF FAMILIES DWELLING UNIT9-7AMCOND STAT CLX99- FLOOR SHEATHING NO 22 ROOF SHEATHING OOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 10900 FEET MATEERIALSNO FRAME I INSULATION/WEATHERNSPECTION FIRE SPRINKLER HANGERS INTERIP F LATH t RATED WALL ASSEMBLIES RATED SHAFTS/OPENnrdV— T BAR CEILINGS LOT DRAINAGE r00 1 _ REPORT 1D DPR261 ROUTE TO BS0508 ef, R !0 70-1:7 Ah. J 1 i • 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 9612030001 PHONE (818) 285 0488 EXT LWL ID NO OF CONST NEW BUILDING ADDRESS TR 6561 LT 342 SG FT STORIES TYPE OCCUP GROUP 5939 OAK AV STRUCTURE 0 1 V B TEMP CA 917802028 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8587 007 005 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENA- EXIST BLDG USE COMME USE ZONE T99umy7u— PROCESSED BY EXPIRES ON EXIST OCC GRP B 12/03/96 TC 12/03/97 OWNERDG NOW ON LOT VALUATION ALi ALY DE BAGHDADLIAN JOSEPH H HOURIG 2,500 p_/a 5142 BARELA AV b"l TEMP 917803846 FEES FATF UESCRIP11UN OF WORK INSTALL OF ANSIL INDUSTRIAL DRY CHEMICAL FIRE SUPPRESSION FEE DESCRIPTION QUANTITY UOM AMOUNT SYSTEM TO PROTECT AUTO PAINT SPRAY BOOTH APPLICANT TEL NO C 0 TWO FIRE EQUIP CO (818) 914 1997 D1 PLANCHECK W/O EN HC 2500 00 VAL 84 27) AA BLDG PERMIT ISSUANCE 275 SPECIAL CONDITIONS AE STRONG MOTION. t0 HER (2500 00 VAL 0 53 D1 Ok%NSNM W/O EN-HC-L—%.2500'00 VAL 84 27 � TOTAL FEESr 196 82 CONTRACTOR TEL NT INSPECTOR SIGNATURE C 0 TWO FIRE EQUIPMENT CO (818) 914 1997 117 S VERMONT AVENUE LIC NO '`//' LOCATION AND SETBACKS GLENDORA, CA 91740 130661 O SOILS ENGINEEW-XPVR-MXE- ARCHITECT OR ENGINEER TEL NO FOUNDATION/TOMW7RMW LIC NO SLAB/UNDER FLOOR SEWERRAISED F[0MrTMW1lff-- 3 D4 PUBLIC WORKS A FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS co NO 22 TOWITEffH G SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 10000 FEET MAYTER ESIALS rvtce INTERIOR LATH/DRYgAr[--LATH WALL ASSEMBLffr— RATED T BAR i CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 � Afp( .