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HomeMy Public PortalAbout6056 OAK AVE_Building__ (155 76Q688Ei w"p.. GE#808 1R&W.6/78) • it APPLICATION FOR BUILDING PERMIT .COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JA ILDING DRESS BUILDING . ADDRESS :L CALITY AREST / CITY � '�— ZIP OSS ST. �7 NO.OF BLDGS, fSESSOR SIZE OF LOT S :: �v. NOW ON LOT / P BOOK PAGE PARCEL 6" ISTRICT GROUP TYPE FIRE ROC DBY TRACT LOC LOT NO. p� S: O l CONSTV Z�ETEL . OWNER C�/G ,Crf�.✓�. ATISTICAL CLASSIFICATION EWER P ADDRESS ' CLASS NO. DWELL.UNITS BPG CITY ' - I P'P� 7 ARCHITECT OR TEL. 'VALUATION $ ENGINEER NO.: CJS ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARD. TOTAL SETBACK FROM TYPE OF EXISTING LIC. — FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.F " NO.OF NO.OF CHECK + _ fj SIZE STORIES FAMILIES- l - ONE ccJ DESCRIPTION OF WOR ❑ P.C.Fee"$ Permit Fee / ADD. ❑ ❑ Issuance Fee us ALTER REPAIR ❑ Toto Fee USE OF � ' EXISTING BLDG. / ` Z/` DEMOL ❑ Z APPLICANT C (PRINT) NO. Q BY(SIGNATURE) Q IHEREBY AC E T VE READ THIS APPLICATION AND STATE w THAT THE A ECT AND AGREE TO COMPLY WITH ALL ORDINANCES Si AND LAWS ULATING BUILDING ONS RUCTION.I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE ST FORNIA IN RE TO WORKMEN'S COM- Z PENSATION INSURANCE. d -2641.3A SIGNATURE OF PERMITTEE - 'a o 0 o a 1 ADD / c 2'o o8800 TEL. , �Gl CITY , ` —� NO C �0 0 0 8 e,C'1 0 1= USE ZONE NOP d r^ < 08,29-79 EIAL /J > CONDITIONS01 I �� / QC��1 FINAL BY DATE ' �f • APPLICATION MR BUI`C.,DING PERMIT F.OR•A`PPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES ADDRESS oD,S^G dG` DEPARTMENT OF COUNTY ENGINEER CITY �) i z 1 P / -7 BUILDING AND SAFETY DIVISION SO;</�U NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS ��- TRACT BLOCK LOT NO. LOCALITY •� �_ TEL.. �j/'. NEARES OWNER .f O NO. �J b� CROSS STT . ASSESSOR ADDRESS ✓7 iF MAP BOOK PAGE PARCEL DISTRICT GROUP ITYPE I FIRE I PROCESSED BY CITY Zip [ .'- CONST ZONE ARCHITECT OR 'TEL. 6 1 01? ENGINEER NO. STATISTICAL CLASSIFICATION f SEWER MAP G ADDRESS CLASS NO.-,%-I- SK C- PG21 CONTRACTOR ��/,j �. TEL, USE ZONE MAP LIC. NO. O ADDRESS NO, SPECIAL Y ' LIC. I CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH 0 A" BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY SQ. FT. HIGHWAY + YARD :TOTAL SETBACK FROM TYPE OF EXISTING SIZE G /i FRONT PROP. LINE HIGHWAY WIDTH ZO V STORIES STj FAMILIES •ONE NO. OF CHECK DESCRIPTION OF WORK NEW 1:1 . BLDG.SETBACKFROM ADD �•r SIDE PROP.LINE OF (STREET) C 2 _ ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C~„•, J x REPAIR SIDE PROP. LINE HIGHWAY WIDTH a USE OF /¢ILS�� + -- ❑ t = cr z EXISTING BLDG. 6 DEMOL F1 APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) �/� 1 0. BY (SIGNATURE)'. 06:[_- ( IN OPEN SPACE YES ❑ NO ❑ �t IN COASTAL PERMIT ZONE YES F] NO ❑ Q�1 VALUATION, ' I HEREBY ACKNOWLEDGE T AT 1 HAVE READ THIS APPLICATION -i/ ? /'t / -�!'G/ �.A7S - ,r'` f a (�`ff"•!•..,,L AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING Q THE WORK AUTHORIZED. HEREBY 1 WILL NOT EMPgA 'AOR CEAL•FO NIA110 VI NLATION OF RELATIINGTHE TO •��t, �� � �/�IG /VD% LABOR CODE OF TH ff WORKMEN'S COMPE 10 INSURANEE y� SIGNATURE O XL__ v PERMITTEEA ADDRESS �' / ►, II/' 1 P BY 7 TEL y.aC/ FINiAL,,_`f" .! ��• ' •, I" 9.►' _f mfr •(�'� - CITY � f � NO, y�.� DAi.E I MAKE CHECKS PA YA BLETO: P.C.•$ v s ;PMET HARVEY T. BRANDT, COUNTY ENGINEER PLAN•CHECH VALIDATION CK. M.O. CASH PERMIT ALIDATIONY c M.o.�cnsH 0 3 9en-A1lG 1.5 1 0 111 4 8.7 5 AEI8 76AS38A C6#803 5/74 ^ APPLICATION FOR BUILDING PERMIT FOR APPLJCANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS &P _ DEPARTMENT OF COUNTY ENGINEER CITY _ �. �c ZIP l C) BUILDIBLDt7S. BUILDINGNG AND SAFETY DIVISION SIZE OF LOT _570 X 7-0U NO. ON LOT ADDRESS O� C� CrJ v� TRACT L'�/ BLqCK LO/T/021' OTNOJ 3 LOCALITY TEL NEAREST OWNER �� O� NQ k_11/17CROSS ST. ADDRESS Llaodz ASSESSOR MAP BOOK �-L�b PAGE PARCEL DISTRIcr_ GROUP YPE FIRE PRO ESSED BY CITY / ZIP QL ON Z�OPi ^ ARCHITECT OR TEL. , ti ENGINEER NO. STATISTICAL CLASSIF CATION s SEWER M ADDRESS CLASS NOX=? DWELL.UNITS BK PG�� L. CONTRACTOR NO. OZONE fFik OO LIC. //,//)ADDRESS NO. � IAL LIC. DITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION E R NAME AND H BLDG.S TBACK FROM FRONT ROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGH Y + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE y a DESCRIPTION OF WORK NEW '❑ + - O BLDG.SETBAZK-AWM n M ADD ❑ SIDE PROP.LINE OF (STREET) O ALTER ❑ TO CK FROM TYPE OF EXISTING w HIGHWAY + YARD = SIDE PRO . HIGHWAY WIDTH N USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPL PRINTN �L / 'r O/✓ NO � CORNER CUTOFF YES ❑ NO ❑ IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE i t O IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.WMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING NSTRUSMON I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WIL T PLAY ANY PERSON IN VIOLATION OF THE LABOR CODE OF TH T OF IF WN jA IN RELATING TO WORKMEN'S COM. ' PENSATION INSURANC. / SIGNATURE OF� ' PERMITTEE ADDRESS 0 4 / FINAL BY /! TEL. DATE CITY NO. MAKE CHECKS PAYABLE TO: FEE FET P C/J HARVEY T.BRANDT,COUNTY ENGINEER / PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 3O ��"?R � � 1 U �.J0 ®S 76A63BA CE#803 3.75 n .im 76A638A CE#803 5-65 APPLICATION FOR BUILDIN PERM1 u COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L O C A L I T Y �, JOHN A. LAMBIE. COUNTY ENGINEER NEAREST t COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. ,� DISTRIQ.S:NOr GRO TYPE. PRO SSED'BY FOR APPLICANT TO FILL- c IN �I., � CONST. "" '/ ABUILDIDDRESS STA TISTICAL�LASSIFICATION SE R M ' - CLASS NO. 'X DWELL UNITS B FiZ G LOT NO. BLOCK USES ON.E MAP r� NO. TRACT (/ SPECIAL NO. OF BLDGS. 111 CONDITIONS SIZE OF LOT NOW ON LOT USE OF q EXISTING BOQWZ& BLDG. SETBACK FROM �ac�/y y11r. T FRONT PROP. LINE OF (STREET) OWNE 6 NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY 1,-c ��i e 5 l LD'G:sS TBACK FROM H: EC ARCT O TEL. Ti/'-e'l. /..7�C� ENGINEER NO. SIDE PROP. LINE OF 6 (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. ( g } CONTRACTOR'pNO J - �. iiJe! �(�t L . _ / v O LIC CORNER CUTOFF YES ❑ ,NO ❑ V ADDRESSNO CITY cls s SEE REVERSE SIDE FOR SPECIAL'APPROVALS O DESCRIPTION OF WORK ri n NEW ADD ALTER REPAIR DEMOLISH co SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES _ USE OF STRUCTURE ' IGNATURE O APPLICANT VALUATION$ DQ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT FOUNDATION,FOUNDATION, LOCATION FEE$ FEE$ .�� FORMS, MATERIALS FRAME, FIRE STOPS, _ 1 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 9UILD ING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 L NOT EMPLOY A PERSON IN VIOLA- LATH. INT. TION OF THE LABOR D OF THE STATE O ALIFORNIA RELAT- ING TO WORKMEN'S MP I ATIO INSU RAN LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- RECT AND POSTED ! ADORES SOT FINAL JOHN F. LEWIS, PRINCIPALS RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH { �' 9 "7 7 5 FEB 17 1 D 6.0 Q'­. 4 76A636A CE #803 4/70 ' fes' =�rJ'ti•;� --a - +f APPLICATION FOR BUILDING PERMIT,f" COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARC BUILDING AND SAFETY DIVISION BUILDING }+ ,< JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ! +' !' COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Jj � �' � r Print ort a onl CROSS ST. DISTRICT NO. GROUP " TYPE ,..� `PROCESSED BY FRESS CONST. l :,<�rJ �J 04 jj,°� /� �'r • w�� I,i "'r. { ..nt %, STATISTICAL CLAS IFICATION SEWER MAP r� BLOCK CLASS NO. -_/DWELL,UNITS w BK PG _)�f TRACT y�' USE ZONE MAP ` �� r SIZE OF LOT NOWOON LOTS. , .L� NO. SPECIAL USE OF CONDITIONS EXISTING BLDG. I TEL. OWNER i/ / , ;.! NO. •f BLDG.SETBACK FROM v FRONT PROP.LINE OF �� �~ (STREET) ADDRESS r:. -• TYPE OF EXISTING SETBACK HIGHWAYr + YARD = TOTAL CITY �.T f �• HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. ENGINEER NO. 0 BLDG.S'ETBACKFROM ADDRESS SIDE PROP.LINEOF �' < '^•-� a r"J � "'�• r (STREET) TEL. TYPE OF EXISTING SETBACK ~HIGHWAY •-F Y YARD _ = TOTAL CONTRACTOR '; �Q„ fr• NO. HIGHWAY WIDTH FROM CIL. C LICADDRESS j NO „s ; i "+ J J) C = Jr� L CITY CLASS CORNER CUTIOFF YES ❑ NO ❑ L NAME AND BIRANCHNDER : SEE REVERSE SIDE FOR-SPECIAL APPROVALS a C ADDRESS o SQ. FT. �, ( NO. OF NO. OF NEW ❑ L SIZE ; STORIES ' FAMILIES USE OF ADD STRUCTURE ski 4..-. i ALTER ❑ ' SIGNATUREOF j REPAIR❑ APPLICANTDEMOL ❑ J VALUATION 5 APPROVALS = DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S .2 -2 FEES L4' -7: FORMS, MATERIALS FRAME: FIRSTOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACINGE BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ' WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE—STATE OF -CALIFORNIA IN"RELATING TO WORKMEN'S COMPENSATION I,FS'URANCE. i LATH, EXT, SIGNATURE OF'I J i �. ...C_ HOUSE NUMBER COR- PERMITTEE f /f "t "' RECT AND POSTED: ADDRESS— / 'r' ' FINAL z. JOHN F. LEWIS.:PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATIONK M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH I APPLICATION FO BUILDING PERMIT �l COUNTY OF LOS ANGELES. BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 06 k I hereby affirm that I have a certificate.of consent to self Insure, BUILDIN AD �DRESs or a certificate of Workers'Compensation Insurance,or a certified CI V zlp G copy there 3800, b.C.) I r D LOCALITY Policy No. Company c. ��NQ SIZE OF LOTI NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST Certified.copy is filed with the county b ilding i9spection TRACT BLOCK LOT NO. / depart @nt.' USE ZONE MAP NO. 0 1 ASSESSOR MAP BOOK PAGE PARCEL Date V � �ppllCant ��/ SPECIAL 0ONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' IIf! $1rD WITHIN 1000 Fr.OF SCHOOL? YES NO \therformance SATION INSURANCE i (This Section nompleted if the permit is for one hundred D R S DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100) Zlp ///� I certify that in of the work for which this permit ' �� r�3 V is Issued, I shoy any person in any manner'so as to ARCH OR ENGIN R TEL NO. Abecome subjeckene Compensation Laws. ; STATISTICAL CLASSIF CATION APT CONDO Date ant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you ShOUId become subject t0 the Workers' CONT 08 TFL LSIr SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith , -:1 FRONT comply with such provisions or this permit shall be deemed-revoked. ADDRESS ^ LO. Z PL J O LICENSED CONTRACTORS DECLARATION I I /j _ LIC.CLASS PILL O I hereby affirm that I am licensed under provisions'of Chapter 9 /U (r1� rl SEWER MAP V (Commencing with Section 7000)Of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.OF FAMILIES 9= CD Professions Code,and my license is in full force and effect. NEW ❑ BK PG , O� -3� DESCRIPTION OF K ADD ❑ License Number ' Lic.ClassAD — 1hfff VALUATION ©d Contractor Date ' ALTER ❑ $ ' z W • �� 4- REPAIR ❑ I am exempt u er Sec. B.B�P.C.forthis On DEMOL ❑ LDMAP/C# Date. USE OF EXISTING BLDG. O ( .URM.. ❑ Signature PLICANT'(PRIIJWTEL NO. LOMA Perm# 1 ❑ I,as owner f the property, or my employees with wages es -0P 6 p a their sole co pensation,will do the work and the structure Is AD 0 ACCT°a not Intended or offered for sale (Section 7044, Business and l FINAL DATE 100'3307 14e8 Professions Code.) ML OR BUILDING OCCUPANTHANDLEA HAZARDOUS MATERIAL '*r'Y!^ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ii q ❑ I, as owner of the property, am exclusively contracting wih THEAMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 1 11GI 1'! licensed contractors to construct the project.(Section 7044, NO ,— 3 ❑ Business and Professions Code.) i YES❑ TIS 1 AL 12 WILL � � LL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING i ,/ OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK 124.38 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. Il�� a T•II I hereby affirm that there is a construction lending agency for YES El NO 11C i the performance Of the Work for Which this permit Is iSSUed(Seb. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELESCOUNTY �•yn �y�•y UGH 12D.140 CONCERNING Lender's Nam e HAZARDOUS SMATERIALS REE.PDE,TITLE 2, ORRTTINGAN220 DFOROBTAINNGONS APERMITFROM THE SCAOMD. LIOC 7-0001 5/17/90 Lender's Address owNa oe Haar 0735' 1 AM 9:21 o' I certify that I have read this application and state that the above RC,FEE PERMIT FEE Information is correct. I agree to comply with all county ordinances and State laws relating to building construction,aria hereby authorize representatives of this County to enter upon ISSUANCE FEE L�7 the above- eMi ed pro for Inspection purposes. _ I INVESTIGATION FEE TOTAL FEE j/ r 1 �] el�,aO,redAppks,naAmM DW SEE REVERSE FOR EXPLANATORY LANGUAGE. - + APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING AQDRESS (o I hereby affirm that I have a certificate of consent to self insure, _ IMP U or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP j� �J LOCALITY Policy No. Company SIZE 6F--LO—T—f 6F--LO—T— NO.OF BLDGS.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 WORKERS' OWNER tiTEL NO. YES NO COMPENSATION INSURANCE >- WITHIN 1000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRE ' dollars($100)or less.) kn 1249 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY 'CITY'7'" ZIP I certify that in the performance of the work for which this permit _ Q / rg O �,Q is issued, I shall not employ any person in any manner so as to ARCHITECT ORJ?, GINEER „ TEL NO. J become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date ApplicantADD E CLASS NO. DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of ofiAlkREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONT CTO` ., /� TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith , FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE S LIC.-NO. PL LICENSED CONTRACTORS DECLARATION .44$E Air SIDE CITI 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 SO.FT.SIZE/ NO.OF RIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG , } a License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION O Contractor Date ALTER ❑ $ I oda•' C) ❑ I am exempt under Sec. REPAIR 11 cc!!! �� _ $ BAP.C.for this reason �l ,� -mow tURN .rc� 6C�,I LDMA P/C Date: USE OF EXISTING BLDG. S LJ i IL Signature APPLICANT 0!MNTJ • TEL NO. LDMA Perm# 1 Z SKI, as owner of the property, or my employees with wages as Z ACCT.a their sole compensation, will do the work and the structure is ADDRESS 0 not intended or offered for sale (Section 7044, Business and i'9 AL DATE o 3303 70.80 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HAND A HAZARDOUS ERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERUIL EQUAL TO OR GREATER T AN THE + ITEM ❑ licensed as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ' TOTAL 70.30 licensed contractors to construct the project (Section 7044, YES 11 No 11Business and Professions Code.) WILL 70e LL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH u rr CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR HA GE Ou GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit is issued(Sec. a) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING a 3097,CIV.C.) CHECKLIST.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 iLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. ❑ Lender's Address C OWNER ON AGENT o I certify that I have read this application and state under penalty ❑ of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE J a N with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE m to ant upon the above-me ned property for inspection purposes. ' 0 (D6Qt 2 INVESTIGATION FEE TOTAL FEE -74!:q. /Jig d SEE REVERSE FOR EXPLANATORY LANGUAGE I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN. BUILDING ADOR ssc I hereby affirm that I have a certificate of consent to self insure, BUILDII /jDQ 3 y�/� i� or a certificate of Workers'Compensation Insurance,or a Certified I CITY MOM—L l Y, ZIP copy thereof(Sec.3800,Lab.C.) PA"7LOCALITY / Policy No. Company SIZ L O.OF BLD S.N LOT RAQ ❑ Certified copy is hereby furnished. , NEAREST CROSS ST. ❑ Certified copy is filed with the county building Inspection i TAT BLOCK LOT NO. USE ZONE MAP NO. department. !/� t Date Applicant ASSESSOR G OK PA10 6 RC© A / 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' i OWN 3 •, � v TEL NO. WITHIN 1000FT.OF SCHOOL? YES NO COMPENSATION INSURANCE A DRESS (This section need not be completed if the permit is for one hundred I � DISTRICT P TYPE CONST' FIRE ZONE gMQESSED BY dollars($100)or less.) CITY ZIP �X UUUUUU I certify that in the performance of the work for which this permit ` u 2) 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. WrATISTICAL C IFIOMON APT NDO 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 FRONT comply with such provisions or this permit shall be deemed-revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS SIDE } PL p I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP CA (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES o Professions Code,and my license is in full force and effect. NEW ❑ BK PG R D IPTION OF RK VALUATION .�A , 0 License Number Lic.Class � ADD ❑ �i r/ Contractor Date ALTER ❑ � V v '' _Z ❑ I am exempt under Sec. REPAIR ❑ B.&RC.for this reason 01 DEMOL ❑ LDMA P/C# Data: USE OF EXISTING BLDG. 'URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Penn# s ❑ I,as owne�of the property, or my employees with wages as! Zp s their sole,bompensation,will do the work and the structure is, ADDRESS H ACC I a not intagded or offered for sale (Section 7044, Business and FINAL MATE J 3307 105.25 Professions Code.) I /i WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANTHANDLEA HAZARDOUS MATERIAL ❑ I, as owner of the ro e y g I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a 1 :TEAS p p rty, am exclusively contracting With THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FIIIAL B licensed contractors to construct the project.(Section 7044, YES❑ NO❑ 4 TO-1 F ,5 Business and Professions Code.) WILLE IDED USE OF THE BUILD_ BY THE APPLI_ _ Ci - -- RE BU OCCUPANT REQUIREAPERMITFOR CO SIM TRUCTIONO ODIFICATION FROM THEISOIUTH CHECK {H L'�' i '' �3 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST �' '1°-2c FOR GUIDELINES. CHANGE 1ANGE n 00 I hereby affirm that there is a construction lending agency for, YES ❑ NO❑ 3! E the performance of the work forwhich this permit is issued(Sec.' 'PERMITTING READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ.C.). I PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 0000-0001 / _ ' Lender's Name , COUNTY HAZARDOUSDMATERITITLALS REPORTICHAPTER NG AND FOR OBONS TAINING A PERMIT FROM CONCERNING THHE SCAOMD. f{'I LI Lender's Address OMERORAGT s ail EN o• 1 certify that I have read this application and state that the above' information is correct. I agree to comply with SII county RC FEE PERMIT FEE 2 ordinances and State laws relating to building construction,and hereby authorize representatives Of thiCounty to enter upon ISSUANCE FEE / thea mentioned prop rty for In"I n purposes. m ^, INVESTIGATION FEE TOTAL FEE � rya r Bi wMoommano.n �. �{ . (/ SEE REVERSE FOR EXPLANATORY LANGUAGE. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SALFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING A RF¢6Sr, I hereby affirm that I have a Certificate of consent to self Insure, [B1UILDINj(G3fDR n (JJ �por a certificate of Workers'Compensation Insurance,or a certifiedI zIP �lcopy thereof( .380.`L�'b.C.) /( � UPolicy No. " Compan ���`'. 1 LOCALITY ZE F LNO.OF BLDGS.NOW ON LOT ❑ Certified copy Is hereby furnished. ' NEAREST CROSS ST. gCortifled copy is filed with the county buil ' g in action I TRA CT BLOCK LOT NO. de rt t. USE ZONE MAP NO. Data M ASSESSOR MAP BOOK PAGE PARCEL ppliCan vim•+ p �/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'. OWNE �+ r ,,� LX--)P4-7— YES NO COMPENSATION INSURANCEWITHIN 100D FT.OF SCHOOL? ADDRESS (This section ktporformance e completed If the permit is for one hundred S DISTRICT GROUP J.TYPECONST.' FIRE ZONE PROCESSED BY dollars($100) CITY (' ZIP 1 certify that tof the work for which this permit _ v is issued, I smploy any person in any manner so as tD ARCHITE OR ENGINEER TEL NO. become subjeWorkers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date plicant ADDRESS CLASS NO. —P-1 DWELL UNITS NOTICE TO APPLI NT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you sho d become subject to the Workers' ca •^ EL O� d SETBACK YARD HWY PROP LINE WIDTH Compensation provisions the Labor Code,you must forthwith i ` �j FRONT comply with such provision or this permit shall be deemed revoked. i DRr�ESS ham\ /� n LI O. P L J Lam! SIDE LICENSED CONTRACTORS DECLARATION LIC c PL CL 1 hereby affirm that I am licensed under provisions of Chapter 9 � SEWER MAP C.3 (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.OF FAMILIES Q: Professions Code,a d m I' 6 se is in full force and effect. NEW ❑ BK PG , CD DESCRIPTION OF WOR ADD ❑ VALUATION W License Number LID.Class Contractor• Date I �© ALTER ❑ ©o Z ❑ I am exempt u or REPAIR $ B.&P.C.for this ason DEMOL ❑ LOMA P/C# Date: USE OF EXISTIV BLDG. URM. ❑ Signature APPLI (PRj N1 TEL NO. 6 `' LDMA Perm# Z ACCT.-®r} ❑ I, as owner of the ropert% or my employees with wages as v 0 nt.C!sv their sole compenso n,will do the work and the structure is R _ F 70 :'' •�7 FINAL DATE a. 3730. -' not intended or offs for sale (Section 7044, Business and 1 Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL J i ITEMS ❑ I, 8S owner of the prop OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN p p y, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y AL 70 a licensed contractors to c RstnlCt the project.(Section 7044, YEs❑ No❑ �' a�'l9�� �- `-�_ Business and Professions de.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING NECK l e 0.3%IS OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTIO LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. CHANGE 3)1I ,t7;' a L 1 hereby affirm that there is a construction lending agency for YES El NO❑ the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). - PERMITTING CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES I —0130 1 10/2 /913COUNTY CODE,TITLEZ CHAPTER 220 SECTIONS 220.100THROUGH 220.140 CONCERNING !_V V Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 3356 1 AM i 1 n 10 ' Lenders Address owNER OR,Geff o' I certify that I have read this application and state that the above p C.FEE PERMIT FEE Information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and hereby su horize presen vas of this County to enter upon ISSUANCE FEE th above esti props for inspection purposes. —I ow I INVESTIGATION FEE TOTAL FEE d�ppna,u« I wu SEE REVERSE FOR EXPLANATORY LANGUAGE, WORKERS'COMPENSATION DECLARATION, r irThereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT sureor a certificate of Workers'Compenstion Insurance,or_ a certified copy thereof(Sec. 3800, Lab, C.) 1. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is,hereby�furn!shed. FOR APPLICANT TO FILL IN BUILDING ��++ �- ADDRESS SCJ G J 4 rontk Certified copy is filed with the county building inspec- BUILDING j� tion department. ADDRESS QcJ � 1��� LOCALITYNEARE (rte •r`. — (� /7 CROSSST.S Date Applicant CITY � ` ZIP � �/ CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR . COMPENSATION INSURANCE SIZE OF LOT 'J" NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit.is for one USE ZONE MAP 1 S O J hundred dollars($100)or less.)' - TRACT BLOCK LOT NO. NO. D TEL. SPECIAL CL. OWNER �• /—A+ ✓/ i Tiir1 CONDITIONS I certify that in the performance of the work for which this O permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY V so os to become subject to the Wofkers'Compensation Laws. ADDRESS S' CO 4f ZONE ' p CITY ZIP 6V 'jR �+ r 8 Date Applicant STATISTICAL CLASSIFICATION APT. ' CONDO. NOTICE-TO.APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. LLI Exemption,.,you should become subject to the Workers' ENGINEER NO. CLASS NO. ALI DWELL. UNITS— Compensation NITS Compensation provisions of the Labor Code, you must forth-' ADDRESS, SEWER MAP -with comply with such provisions or this permit shall be deemed revoked. TEL' VALIDATION CONTRACTOR ' Z NO, BK. PG, LICENSED CONTRACTORS DECLARATION LIC.' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS' NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ � Do r SQ. FTNO.OF NO.OF / CHECK License.Number Lic.Class SIZE d STORIES FAMILIES / ONE Contractor' Date DESCRIPTION OF WORK .NEW ElI am exempt from the licensing requirements as I am a r 1 ADD licensed architect or a registered professional engineer ] ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF • ' EXISTING BLDG. LtJG A-11DEMOL � FINAL Lic.or Reg:No. _Date APPLICANT TEL. By z 5 1 ,8 8 A OWNER-BUILDER DECLARATION PRINT) NO.. , I hereby affirm,that I am exempt from the Contractor's License. f 0 0 0 0 0 Law for the following reason (Section 7031.5, Business and ADDRE �_ Prof ssions Code): PRESENT 2 ° ° 2 8.0 0 BUILDING ° ° ° 2 O Q v x I, as owner of the property, or. with. ADDRESS — _ � - _ wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY i +, 7044, Businesl and Professions Code). '. MOVING TEL. 0 7 2'I-;—8 2 I, as owner of the property, am exclusively contracting CONTRACTOR 'NO:' with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code).. I EADDRE TOTAL SETBACK FROM EXIST. 'CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lendirig agency for the performance of the work for which this permit.is issued P.L. (Sec. 3097, Civ. C.). � � p t Lenders Name ��y ' Lender's Address Permit Fee j ` 5I certify that I have read this application and'state that the Issuance Feeabove information is correct. I agree to comply with all.County n Fee 3ordinances and State laws relating to building construction, ' Total Fee -and hereby authorize representatjves of this County to enter. upon,the'above-mentioned property for inspection purposes. I SEE REVERSE'FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202220056 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 334 I SQ. FT STORIES TYPE ] 6056 OAK AV (STRUCTURE: 34 V-B I TEMP CA 917802029 ] ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 15385-006-028 1 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ]ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 102/22/12 SR 1 IOWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: IFINAL D FI BY: CODE: 1 160056 OAK AVJOHN ;3UEI M (240) 383-8177- I 17 ,000 1 '7A,-,(V 1 (TEMP 917802029 I FEES PAID IDESCRIPTION OF WORK I IT/O COMP OVER WOOD SHINGLE 7/16" 30 LB FELT 30 YR COMPOSITIOI I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IN I (APPLICANT: TEL. NO: I I I IKOZITSKY, TOM (888) 525-5867- IAA BLDG PERMIT ISSUANCE 27.80 1 1 11511 BAYLESS ]AS STATE GREEN BLDG FEE 17000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 (ANAHEIM, CA 92802 AC STRONG MOTION RESID 17000.00 VAL 1.70 I 1 ID2 PERMIT W/O EN-HC 17000.00 VAL 335.20 1 I I 1 TOTAL FEES 365.70 I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ]ALLTOPS, INC. (888) 525-5867- I 1 I 11511 S BAYLESS STREET LIC. NO I ILOCATION AND SETBACKS I I I (ANAHEIM CA 92802 722766C-39 *1 I ] ] ]SOILS ENGINEER APPROVAL ]ARCHITECT OR ENGINEER: TEL. NO: - ] ]FOUMATION/TRENCH FORMS I I I LIC. NO: i ISLAB/UNDER FLOOR I I 1 1 1 (RAISED FLOOR FRAMING I I I ]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I 115OH265 3 001 1 1 I I I IFLOOR SHEATHING I 1 I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I ] 0 NO 21 1 ROOF SHEATHING11 Z] 1 1 SCHOOL WITHIN HAZARDOUS I SHEAR PANELS 1 AIR QUALITY: 1000 FEET MATERIALS 1 I 1 NO NO NO I IFRAME INSPECTION I I 1 I I I ] ]FIRE SPRINKLER HANGERS I I I I I IINSULATION/WEATHER STRIPI I I 1 ] ]INTERIOR LATH/DRYWALL ] I 1 I I 1EXTERIOR LATH I I 1 IRATED FLOOR/CEIL ASSEM. I I I I IRATED WALL ASSEMBLIES I I 1 ]RATED SHAFTS/OPENINGS i 1 ] IT-BAR CEILINGS I I I 1* ADDITIONAL DATA ON FILE ILOT DRAINAGE I I I I I I 1 ]REPORT ID: DPR261 ROUTE TO: BS0508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202220058 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BIIILDING ADDRESS: ITR: 6561 IT: 334 I SQ. FT STORIES TYPE 1 6056 OAK AV ISTRUCTURE: 6 V-B I TEMP CA 917802029 1 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15385-006-028 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: DECHA USE ZONE: R-1 11SSUED ON: PROCESSED BY: [ [ [EXIST OCC GRP: 102/22/12 SR (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL CODE: ICHAN JOHN G;SUEI M (240) 383-8177- 1 2,000 aeAl [ 16056 OAK AV 1 [ [ (TEMP 917802029 [ FEES PAID ID98CRIPTION OF WORK V1 IT/0 COMP OVER WOOD SHINGLE 7/16" 30 LB FELT 30 YR COMPOSITIO] I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IN DETACHED GARAGE 1 APPLICANT: TEL. NO: KOZITSKY, TOM (888) 525-5867- IAA BLDG PERMIT ISSUANCE 27.80 1 I 11511 BAYLESS IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: ANAHEIM, CA 92802 IAC STRONG MOTION RESID 2000.00 VAL 0.50 ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 , I 1 TOTAL FEES 111.50 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE IALLTOPS, INC. (888) 525-5867- 1 I I 11511 S BAYLESS STREET LIC. NO 1 ILOCATION AND SETBACKS I I I (ANAHEIM CA 92802 722766C-39 *1 I I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS 1 LIC. NO: I (SLAB/UNDER FLOOR I I I (RAISED FLOOR FRAMING I I I [MAP NO. SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ (UNDERFLOOR INSULATION I I I 1150H265 3 001 I I I I I I FLOOR SHEATHING I I I IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 1 0 NO 21 I IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS [AIR QUALITY: 1000 FEET MATERIALS I NO NO NO 1 IFRAME INSPECTION I I I [FIRE SPRINKLER HANGERS 1 I 1 (INSULATION/WEATHER STRIP[ I 1 1 I (INTERIOR LATH/DRYWALL I I 1 1 I [EXTERIOR LATH IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I (RATED SHAFTS/OPENINGS I 1 I IT-BAR CEILINGS 1 I I I* ADDITIONAL DATA ON FILE I I I I ILOT DRAINAGE I I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I . , . . I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9609300064 PHONE: (818) 285-0488 EXT: LEGA D: NO. OF CONST ' O STDING ADD ESS: TR: 6561 LT: 334 SQ. FT STORIES TYPE 6056 OAK AV STRUCTURE: 0 V TEMP CA 917802029 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-006-028 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: IS BLDG USE: RESID ISSUED ON: PROCESSED BY: EXPIRES OW. EXIST OCC GRP: 09/30/96 TC 09/30/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINALIDATE FINALC% v j CODE: CHAN JOHN G;SUEI M (818) 287-7857- 1 500 6056 OAK AV TEMP 917802029 FEES PAID DESCR TIO OF WOR RE-ROOF PORTION OF GARAGE 400 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: HCS, D2 PERMIT W/O EN; I` C,500..00 VAL 43.50 �� =TOTAL F�,EE�S [„ 71.75 /O ' CONTRACTOR: TEL. NO: g ��'`� J APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNERLIC. NO ' �e ? LOCATION AND SETBACKS W� SOILSI ENGINEER APPROVAL OR GIN ER: TEL. 0: F-OONUXT- 0 /TR NCH FO MS ARC EC LIC. N0: �IJ E � 1 �� �••", �1 SLAB IUNDER FLOOR I qD FLOOR FRAMING _ �I(`-_.' rg MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ii-� JI '�!' �I ^' '� I. it I G UNDERFLOOR INSULATION 150H265 3 01 i - --- - ---- -- - D: STAT CLASS: FL00I SHEATHING 0. OF FAMILIES: DWELLING TS: APT/CC NO 21 �'=� ���` F' j /f ��j�gd ROOF SHEATHING SHEAR PANELS SCH00 IT I AZARDO S � �, AIR QUALITY: 1000 FEET MATERIALS �•,y.°� :;. ' ' �' NO NO NO _'__ �� l�;> ��r FRAME INSPECTION EQUIRED TOTAL SETBACK FROM E IST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- " 'j1 co. ® INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-B R CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I I