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Home My Public Portal About6204 OAK AVE_Building__ DIVISION OF BUILDING AND SAFETY BUILDING ; Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY s, DISTRICCT NO. PLAN Cr_OR REO.No. PERMIT NO. UILDING ADDREEH t� / ��AV r F�. •� ✓ CJI / J LOCALITY / Gq.)�• j� j � RE�OE�/_ EQ�Y DATE OF APPL DATE IBHUED ? / C7 . — T 2 NEAREST CROSS ST. ��J G BUILDING ADDRESS OWNERMAIL ,�% InsLei �v. LOCALITY �' c^° ADDRESS 6(] �� f� ,1 Li/4 � � NEAREST / dD �D�`� ��? �� p q`J / �( CR09B ET. G� CITY 2.ee.•Yi" R' ' ik-9 NOL�i7 / y 14 JJ FIRE NO.OF TYPE GROUP ARCHITECTOe TEL ZONE PLANS ENGINEER NO. BLDG. ® ORD. NO. SETBACK LINE ADDRESS UBEAPPROVED TEL ZONE 0' BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER NO. ABBIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT No. OF BLOGB. SIZE OF LOT NOW ON LOT USE OF I NO.Of EXISTING BLDG. FAMILIEE DESCRIPTION OF WORK- g • 9 r NEW ALTERATIONADDITION O a REPAIR /,DEMOLITION srT.o. 0 V R 9 OMB STORIES , EXT.WALLRoar A 4,,64 I COVERING•lam-r%�l �}._g1%�.. COVERING I USE OF STRUCTURE e INSPECTION FOR APPROVALS OCCUPANCYA13 INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION FORME, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIN AP- PLICATION AND STATE THAT THE INFORMATION RIVEN IS FRAMEI FIRE BTOPB, CORRECT. BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE, LOCATION, AND STATE LAWS REGU! O B .ILDINCONSTRUCTION. BAB VENT,DUCTS 812HATURE OF �� LATH, INT. PERMITTE LATH, EXT. PLASTER, INT. AUTHORIZED ANT. PLASTER, EXT. C P.C.S . FEE HOUSE NUMBER CDR" i C7 RECT AND POSTED VALUATION FEE FINAL 9GA63-A OBS a I-52 DIVISION OF BUILDING AND SAFETY ® � Department of County Engineer NG ' County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY =DISTRICT NQ PLAN CK.OR REO.No: PERMIT NO. BUILD" ADDREBBNG 6 6 L/ LOCALITY RECEIVE DATE DF ADPL. DATE ISSUED NEAREST CROSS ST. BUILDING ADDRESS �o __® e OWNER /(�� MAIL 'ter LOCALITY c_- ADDREBB A NEAREST OIT � 9 CROSS BT. . .v CS FIRNOOF oTYPE . No. GROUP ARCHITECT O TEL ZONE PLANE ENGINEER NO. BLDG. ® ORD. NO. SETBACK LINE ADDREBB use APPROVED TEL' ZONE e�_BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDREBB MAP NUMBER NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. - BLOCK TRACT MD. Or EL SIZE OF LOT I NOW ON LOT 8. USE OF I NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK °a a NEW ALTERATION ADDITION Z a REPAIR DEMOLITION r Sq.FT. NO.OF r. SIZE ROOMH 4 STORIES , EXT.WALL ROOF 4 / COVERING ACZ I COVERING lY -_ USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTORPBSIGNATURE DATE. FOUNDATION:LOCATION FORME, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIJA PLIOATION AND STATE THAT THE INFORMATION GIVFRAMEI FIRESTOPS, CORRECT. BRACING,BOLTS 1 AGREE TOCOMPLY WITH ALL COUNTY flRDINFURNACE: LOCATION, AND STATE LAWS REGULAT O B ILDIN OONBTRUCGAB VENT,DUCTS SIGNATURE OF LATH, INT. PERMITTE/ ADDRESS. LATH, EXT PLASTER, INT. AUTHORIZED AOT. ERECTA STER, EXT. e N USE NUMBER COR- VALUATION NDPOSTED VALUATION FEE N/ �� FINAL 75A63eA OBS 3 1-52 - PSA638A 099.3 8.98 APPLICATION FOR BUIL.®ING PERMIT 1 DIVISION OF BU :DING AND-SAFETY ABUILDING DDRESS Deportment of County Engineer County of Los Angeles LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT of BUILDING CROSS ST. DISTRICTNO. R t�8 I E �/I SEWER 9 A FOR �JAPPLICANT TnO FML IN J CONST. ADDRESS p�v °� ' G �1 Jew ' MBER HWY LOT NO. � �� ✓ � `. �&gi.0 K 8E ZONE SPECIAL y/- CONDITIONS /� 1 -714 � TRACT J /v / NO.OF BLDGS. n• EXIST. SIZE OF LOT '7'n V'� NOW ON LOT /V SETBACK YARD HWY STREET NAME WIDTH USE OF �j FRONT ws / w Q EXISTING BLDG. °F /Q Y ='P.L. „rcd V svril OWNER. I r— P— v� SIDE ` ..►• L. MAIL ADDRESS e O 4. O TRACT DWELL. I UNIT 5 INDUSTRIAL / TEL 9 DWELL. I UNIT CITY L L NO. 2 DUPLEX I UNIT 6 PUBLIC BLDG. /� ARCHITECT OR �Ji�L� TEL. 7 ADDN.,ALT.. ETC. ENGINEER CJ NO. 3. APT.. UNITS MISCEL. _ADDRESS 4 COMMERCIAL CONTRACTOR TEL. INSPECTION RECORD. ADDRESS _ '�� ! '�(��✓i C�� . ��N.r ;cT ja�1l DESCRIPTION OF WORK 0eV.f—ge -t) PR T/0 w4R NEW ADD ALTER REPAIR DEMOLISH �� /�� SQ.FT. j D NO.OF NO.OF SIZE STORIES FAMILIES- J� ✓/ / �/� ,�y.r� USE ��_13 CI�E 7 ) (I r >r SIGNATURE OF / APPLICANT ] r L/ .olv D ry/�f�. ' ADDRESS C Y < < � ..',?:+• DATE INSPECTORS SIGNATURE FOUNDATION:LOCATION r O P.Co S FORMS,MATERIALS' r)(cr)PV L'\ O FEE _ FRAM-:'FIRE STOPS. VALUATION IS vir BRACING,BOLTS v FURNACE LOCATION. FEE _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 6A8 VENT.DUCTS ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP Y WITH ALL CO NTY RDINANCES LATH, INT. AND 8TATE LAW EGULATING U DIN CONSTRUC- TION. �p L TH.EXT. SIGNATURE OF o HOUSE NUMBER COR- PERMIT TE �J,/j RECT AND POSTED ,d ADDRESS v''' ~ FINAL WM..J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRL-AM.CHIEF BLDG. INSPECTOR .1.1C0 3' 4 4 5 FES 24. 1 4.0 0 to e 16A688A cE#608 8 68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 42 DEPARTMENT OF COUNTY ENGINEER ADDRESS' BUILDING AND SAFETY DIVISION LOCALIT . r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO I GSR? p vupll PRO S Y FOR APPLICANT TO FILL IN ONST. ' BUILDING STATISTICAL CLAS IFICATION SEWER MAP ADDRES20 k ve.Tem le Cit G CLASS. NO. 'DWELL.UNITS LOT NO. 0 1 LOt BLOCK M WATER NOT REQUIRED ®' RECEIVED ❑ CERTIFICATE: TRACT Santa- Anita Land Co. MAP HIGHWAY STATE MAJOR SECOND OCAL NO.OF BLDGS. NO. �� (CIRCLE) q SIZE OF LOT 42 X 200 NOW ON LOT 3 USE ZONE SPECIAL USE OFCONDLTIONS EXISTING BLDG. dwelling, garage, dr.rms / a„u C r OWNERHARGRAVES D. H. No'286-1988 BUILDING . + EXI T. SETBACK YARD HWY STRE NAME WIDTH ADDRESS 6204 N. Oak Ave. jemple. City FRONT D/ ARCHITECT OR TEL. P. L. Ad ENGINEER -- NO. SIDE P. I ADDRESS -- TEL. / �vr1 "ty+ - t^a:.k..w rp( C CONTRACTOFro W NO. f,j 19 r U ADDRESS -- � IN DESCRIPTION OF WORK '` ;..` �`��• �� NEW ADD ALTER REPAIR DEMOLISH 6' F/ in SQ.FT. NO.OF 1 NO.OF A8' A. SIZE STORIES FAMIL SI �" .,.• f ._!_ USE OF ( , -,;/g ' v�lf a1. ,fL�iY� ,�y�•�7"S 7r STRUCTURE fami l room SIGNATURE O ^ r I.. �'e APPLICANT h +`r rp _ r N T" VALUATION $ 7' APPROVALS /6 �y^ ��DATE+ INSPECTOR Sys G yAR�LREr"� PC J/✓ � FOUNDATION: LOOAT.IO a ) �+/�� ;; 3�•; FEE $ / FEE �'� FORMS.MATERIALS ✓�J 'ISpv "c.F...+ t"r^ FRAME: FIRE STOPS, �hy?.I�,$�. ,., 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS ln,� `4 d' 4?.,#�,tr.T..• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. .,$ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK . r AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- ,LATH. INT. TION OF THE LABOR CODE OF THE STATE OF LIF RNIA RELAT- _ ING TO WORKMEN'S CO ENSATION INSURANCE. LATH.EXT. SIGNATURE OF ;' HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRES I.;0" FINAL " �✓'!/yiZ„/�/t,� �. JOHN F. LEWIS.'PRIfVCIPAL STR TU RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. cnsH PERMIT VALIDATION cK. M.O. CASH L1'CO2 7 3 5% AUG 17 -2 3 D 1 1.0 OA Q LACo.3 7 9._9 SEP 1.5 -'I D . 2 2.0 0'". 1 ///'-z'V(ilY///// r IVISION OF BUILDING,AND SAFETY U 1 L D I G Department of County Engineer County of Los Angeles 1Q�i _ APPLICATION _ L WM. J. FOX, COUNTY ENGINEER p�(�\I FOR APPL;CAlJT TO FILL IN FOR OFFICE USE ONLY DISTRIC NO. PLAN CK,OR REo.No. PERMIT NO. BUILDING PI ® �cl Jf*3� ADDRESS (f 1 ,8 '-75 /� f ` R IV Y DAT OF PL DATE ISSUED LOCALITYNt� C L� L I I L /I NEAREST Z CRI388 ST. &// e ° BUILDING L A ADDRESS OWNER, A LOCALITY E O'I/�P L-` MAIL D n ADDRE89/� K, s�ry CROSS T �� CITY Ii [i� �r TEL ��/�� CROSS 6T. NO. FIRE NO.OF TYPE GROUP ZONE � I PLANS �� T ARCHITECT OR TEL 9 ENGINEER GQ � 0<14NO. BLDG. er ORD. NO. ADDRESS / (J� " ' SETBACK LINE 0 USE APPROVED 19 5 ) &ELbQ O� ZONE BY DATE CONTRAOTOR (,J O o / HOUSE NUMBERING 1/! ADDREBB cq a p L- MA!? NUMBERy NO. ASSIGNED BY LEGALINAe� ,?/,',o-,,.� // CORRECTIONS DESCRIPTION LOT D. _ BLOOK TRACT J( //�� NO. dR BLDG9. �)�j�, O F �D U t ( "5� SIZE OF LOT �� /� (/I NOW ON LOT (//V" r G E.2l_Y Z ac) I USE OF NO.OF EXISTING BLDG. FAMILI6B 1- L v T I N 1.V �- DESCRIPTION OF WORK SAlNIT/a 1111 'p NEW ALTERATION ADDITION L A" o Co .5 C.. Is REPAIR r DEMOLITION1 , G Sq.FT. NO.OF SIZE O ToTAIRODMS STORIES '� r C 1 5 n U I T G ,.V,R,Na$Y(JCOd t wa� ORSEW G Idey E� f P c o�_��c'la I yv USE OF BTRUCTUREFes/,P eA iT/i9 � � � � a � C�9 JJ /�/ '�A.Cr C 13 1 INSPECTION FOR t-,�d�,/7$hey;APPROVALS d-vc',,--may OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION FORMS# MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOPS, n CORRECT. BRACING,BOLTS / .�I l.2I Tz 6 1 ABREE TO COMP Y WITH ALL COU TY ORDINANCES FURNACE: LOCATION, .. gam, AND STATE LAWS R ULATING SUILDI CO STRUCTION. GA8 VENT.DUCTS SIGNATURE OF LATH, INT. ) �1 1 !� ' PERMITTER ADDRESS f LATH. EXT. 1 PLASTER] INT. AUTHORIZED AMT. $ 38oc"UPSTAIRS 13550 PLASTER° 0(T. Ipg0 G u6wwSTA1iR17 f 'S O D FEE�• Ib HOUSE NUMBER COR- 18 ® RECT AND POSTED ' Q. VALUATION : E3$Q IJ_ /Ml FEE 3 S FINAL 76AS38A DBS 3 1-59 BA888A DB9.89.8�PPLICp►TION FOR BUILDING PERMIT FEB . ASSI DIVISION OF BUILDING AND SAFETY BUILDING / qq ��// �/ 'S ADDRESS Q O� T /+►� Of� y+� Department of County Engineer ' County of Los Angeles LOCALITY WM.J..FOX,COUNTY ENGINEER NEAREST .�// n w♦/� J CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. A DISTRICT NO. GROUPSEWER MAP FOR APPLICANT TO FILL j' S'yt/jPpDG BK PG _ BUILDING MAP yq� STATE YES NO n ADDRESS O NUMBER O`Oay NWY 1p • USE Z`E SPECIAL ~3 LOT NO. a BLOCK CONDITIONS TRACT rn P7 NO.OF BLDGS. ' BUILDINGEXIST. SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH C3 USE OF FRONTegg)EXISTING BLDG. P. L. Q rYI OWNER SIDE ,•,tiJ- P. L.MAIL C ADDRESS 2- ' O TRACT DWELL. 7 UNIT 5 INDUSTRIAL ; TEL 1 DWELL. I UNIT CITY NO. 6 PUBLIC BLDG. 2 DUPLEX I UNIT ATEL. 7 ADDN..ALT.. ETC. ENGINEER NO. 77�� $ APT. UNITS MISCEL. ADDRESS 4 COMMERCIAL 'All O CONTRACTOR (/,f-2d INSPECTION RECORD ADDRESS j` DESCRIPTION Ot WORK NEW L'<DD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES LG-S-- USE USE OF STRUCTURE SIGNATURE OF + L APPLICANT APPROVALS . ADDRES f• r DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION -7 f��- •� S 9 O D 0 O P.C. $ FORMS,MATERIALS /' J FEE FRAME: FIRE STOPS. ' VALUATION $ J BRACING,BOLTS REE FURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULA NG BUILDING CONSTRUC- TION. • LATH.EXT. SIGNATUREOF � HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL 9-r Ir6. f WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR '.AC03 1 2 3*t-"0 FEB 17 i6 5.0 fl n.m 1 1 1 0.0 0 ►.� 'x, 03 6 1 2 u� t1AR DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®� WM. J. FOX, CHIEF ENGINEER E FOR PLICANT TO FILL•IN ` FOR OFFICE USE ONLY BUILDING �f / DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS d!J // C/%.i 1 CS 4 -^`"�• / `� RECEIVED BY DATE OF AP.PL. DATE ISSUED LOCALITY CROSS STt BUILDIN ADDR �c - OWNER P/!/�� [� Lf' C� ?f/{_ � f�•GC!` l"� i ESS MAIL J r LOCALITY s 1 ADDRESS j� /L j •/•, G�/ NEAREST dT TES. CITY NO. �J� �A/�/ a FIRE ZONE IPLANS NO. OF I TYPE I GRO�P .ARCHITECT OF • TEL. ENGINEER V.. NO. BLDG. i SETBACK LINE 4e3 ADDRESS } APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE BY DATE ADDRESS HOUSE NUM13EFMG LEGAL DESCRIPTION LOT NO. * 3 I BLOCK MAP NUMBER Z�d� IELD CHECK BY TRACT �•.� a d NO. ASSIGNED BY sATG ��;, I NO. OF BLDGS. CORRECTIONS SIZE OF LOT o" NOW ON LOT USE OF "' I NO. OF EXISTING BLDG,' FAMILIES ! DESCRIPTION OF WORK NEW' I I ALTERATION I I ADDITIONy• .5 REPAIR I" I DEMOLITION I I I / - „•��' `1t1:'l/ �J�iFI r� o SQ. FT. NO. OFQ SIZE ROOMS STORIES Z a EXT. WALL ROOF t COVERING I COVERING N}'e}� r �►.''.• r USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION. LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS., MATERIALS 0 \ U1 CORRECT. 1 AGREE TO COMPLY” WITH THE CORRECTIONS LISTEDFRAME: FIRE STOPS, �) , HEREON AND WIT ALL COUNTY ORDINA CES AND STATE BRACING, BOLTS LAWS REGULATI BUILDING CONS RUC' ON. f FURNACE: LOCATION, SIGNATURE OR. 7,� GAS VENT, DUCTS PERMITTE LATH, INT. ADDRESS LATH, EXT.' AUTHORIZED AGT. PLASTER, INT. 76AGSBA•De93 1046 $ P. C. S _ ® •i oG FEE' PLASTER,'EXT. VALUATIO FEE $ `"' FINAL �� WORKERS'COMPENSATION DECLARATION sure:`,affirm that I have r certificate of consent to self APPLICATION F OR B U I L®I N G PERMIT ' *.insure,�,pr a certificate of Workers'Compensation Insurance, + or a'certified copy thereof(Sec. 3600, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company B DING B DING �) / �j1 Certified copy is hereby furnished. t' FOR APPLICANT TO FILL IN ADDRESS 2Z (/44`'&I ElCertified copy is filed with the county building inspec- BUILDING /. tion department. ADDRESS ✓E LOCALITY NEAREST Date Applicant CITY L•r'-qL a TI' e'4i ZIP / 7�b CROSS ST. F �� CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 2 2-0 NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE�,E MAPhundred dollars($100)or less.) TRACT BLOCK LOT NO. NO.' TEL. , SPECIAL y+ I certify that in the performance of the work for which this OWNER W 9.L.TtR t4.4w N No. 8%8-2 I CONDITIONS G. permit is issued, I shall not employ an person in an manner DISTRICT GR UP TYPE FIRE PR ESSED BY O p p y y y ADDRESS 20 _ �'� CONST. ZONE U so as to become subject to the Workers'Com ensation L s. `, /� `/ / CITY k^ - C►T`( eco ZIP 11 7f b V ��'111 3 Date ApplicantARCHITECT OR .TEL. STATISTICAL CLASSIFICATION APT. CONDO. V NOTICE TO APPLICANT: If, after making this esti icate of !J Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. tX. DWELL.UNITS tCL L Compensation provisions of the Labor Code, you must forth- ADDRESS il' ' SEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. 4:PG, Ze/ VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALU ION (commencing with Section 7000)of Division 3 of the Business and LIC, / Professions Code, and m license is in full force and effect. CITY t CLASS $ (J CJ SQ.FT. NO.OF NO.OF CHECK License Number L' .Class SIZE STORIES Z FAMILIES $ Contractor Date DESCRIPTION OF WORK WCJ _ASE knc"&jq NEW ❑ 7. A ADD I am exempt under Sec. A Awb DlXJ1-Jf- 'Ro P% Wt DT--4 _ ALTER ❑: FINAL # 0 0 o a a B.BP.C. for this reason I3 ( IPI REPAIR ❑ DATE Date: USE OFDEMOL Il's L i/ ) 0 0 6 8 6 3 EXISTING BLDG. 1( S ❑ g APPLICANT TEL. BY a 006&6330: Signature OWNER-BUILDER DECLARATION PRINT �.AL-1�� , WA bkS&W NO. Ur.- I hereby affirm that I am exempt from the Contractor's License 6.0 4—8 7 Law for the following reason (Section 7031.5, Business and ADDRESS 0 q J<, 16MPLE MY Professions Code): PRESENT G BUILDING 0/'I, as owner of the property, or my employees with ADDRESS wages as their solecompensation,will do the work and the structure is not intended or offered for sale(Section 1 LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property,am exclusively contracting .CONTRACTOR NO. with licensed contractors to construct the project (Sec- ,ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. 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. tSec. 3097, Civ. C.). SIDE 0 P.L. : Lender's Name . . 175 3 P.C. Fee$ Permit Fee = Lender's Address I certify that I have read this application and state that the Issuance Fee I above information is correct. I agree to comply with all County ?Investigation Fee / ordinances and State laws relating to building construction, Total Fee (+ and hereby authorize representatives of thisCounty to enter €s upon the above-mentioned property for inspection purposes. a wi 9--17 -9 -7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of pplicant or Agent Date ®s 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 91780 BL 0508 9809230005 PHONE: (818) 285-0488 EXT: GAL ID: NOF CONST BUILDING ADD SS: ON FILE SQ. FT STORIES TYPE 6204 OAK AV _ STRUCTURE: 0 VN TEMP CA 917801655 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5385-010-034 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: RUFT BLDG USE: RESID USE ONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/23/98 UT 09/23/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY• HANSEN WALTER J;CAROL A (818) 286-4381- 1 2,500 ) 6204 OAK AV TEMP 917801655 FEES PAID -DESCRIPTION OF WORK INSTALL BEAN 8"X8" (3) 2"X12" IN KITCHEN CEILING _ APPLICANEL. 0• FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TOM OILEARY CONS. (626) 287-0927- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID__2500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 N�C-== 2500-r0,0 VAL 99.00 L�O,TI% E 127.25 �N�jEL CONTRACTOR:OILEARY CONSTRUCTION (EL. N287-092'i- APPROVALS DATE INSPECTOR SIGNATURE 4856 ARDSLEY DRIVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 489354 B-1 S1LS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION TR NCH FORMS LIC. N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING 153H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CM01 F � �� J��O n K �UN�DF�RFLOOR INSULATION w u FLOOR S THI G 3 211 NO. OF FAMILIES: DWELLING NI S: APT/GOND: STAT CL NO 21' p p r,i ROOF SHEATHING ❑ A }�h SCHOOL WITHIN TiAZARDOUS -lj�� t•. SHEAR PANELS-- AIR A LSAIR QUALITY: 1000 FEET MATERIALS ❑ �' r; NO NO NO , I�5 FRAME INSPECTION REQUIRED TOTAL SE BAC ROM EXIST � E p'(� IRE SPRIN ER ANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: �C - FRONT PL- Service��a INSULATION/WEATHER STRIP SIDE PL- INTIRIOR LAT /DRYWALL EXTERIOR LATH i RATED F 00 /CEIL ASSEM. RATED WALL ASSEMBLIES RSD S A TS OPENI GS T-BAR CEILINGS LO :DRAI A E REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507220003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6204 OAK AV STRUCTURE: VN TEMP CA 917801655 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-010-034 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/22/05 JK 07/17/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: DIAZ, EUFEMIA (626) 292-1365- 1,500 /y 6204 OAK AV �/�14- 6 TEMP 917801655 FEES PAID DESCRIPTION OF WORK ` REPLACE 3 WINDOWS (SAME SIZE), 2 SLIDING DOORS, REPLACE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DRYWALL ON LIVING ROOM. APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 1500.00 VAL 82.20 FR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 367.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508