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HomeMy Public PortalAbout6355 OAK AVE_Building__ DE?ARTMEN _ UILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING u ' ® ' NG WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST pC � � /� s � / --e tl / CROSS ST. UILDIN13 OWNE Is MAIL LOCALITY r e�vJ r ADDRESS: NEAREST TEL. CROSS 9T. i�cfi ri " CITY NO. FIRE NO.Or ARCHITECT OR TEL. ZONE _ I PLANS I TYPE I GROUP ENGINEER' NO. BLDG. ORD. NO. ADDRESS SETBACK LINE +r APPROVED CONTRALTO �#141%t +J. �' %��• %i�+'h( •d' ► BY DATE 1+ai35 Efi,,i C0L0t.%;)0 "!''m. r. USE ZONE APPROVED DATE ADDRESSBy LEGAL 1 ' ' '" CORRECTIONS DESCRIPTIO 'N I LOT NO. BLOCK t TRACT - NO. OF SLOGS. SIZE OF LOT NOW ON.LOT USE OF ' NO.OF NO. OF +. EXISTING••BLOG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW v ALTERATION I ADDITION I O REPAIR MOVING DEMOLISH p Sq. FT. NO.OF D SIZE ROOMS STORIES r WALL. I ROOF COVERING COVEPItip I USE OF NEW y BUILDING e APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ` I.,, pp al,:, ..•� FRAME: FIRE STOPS, SIGNATURE OF "'•t- i�i�l4 C� w M1° BRACING, BOLTS OWNER 1335 EAST COLORADO Vnit 1 LATH, INT.: AUTHORIZED AOT- P araw)-RNA• CALIF. LATH, EXT.: P. C. PLASTER, INT. &—of FEE PLASTER, EXT. VALUATION �� FINAL FEE , D-6672 WL p L g: `�" (� � E 73A886A CES 808-1-=32 APPLICA`T'ION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES ADDRESSING N. j DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY Tirol LG:- JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. N66 r->E A DISTRICT NO. GROUP TYPEPROCESSED BY FOR APPLICANT TO FILL IN 6 CON r- 60"vtco. BUILDING 6355 North Oak, Temple City STATISTICAL CLASSIFICATION SEWER MAP ADDRECLASS.NO. WELL.UNITS - P�'L LOT NO. At-- BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT iv tl . 6, T .cu MAP' ,/ «� HIGHWAY NO.OF BLDGS. NO. LSO J (CIRCLE) STATE MAJOR SECOND, OC SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF ' CONDITIONS EXISTING BLDG. Missionary lAlme'i n E BTEL. (� OWNERA* E. anner NO. BUILDING SETBACK YARD HWY STREET NAME EXIST. ADDRESS 6355 North Oak, Temple Citi WIDTH FRONT ARCHITECT OR TEL. P•-L• O �(. ENGINEER NO. SIDE ADDRESS P L CONTRACTOR Mon-arch Rfo CO• NO. S .66191 V ADDRESS 611 Se Fair Oaks Pasadena m O DESCRIPTION OF WORK W NEW ADD ALTER _ REPAIR X DEMOLISH N SQ.FT. NO.OF NO.OF SIZE - STORIES FAMILIES USE OF STRUCTURE Rnsidpmce, roofed with 5 tabs. SIGNATURE OF APPLICANT j VALUATIONS 700*00 ' APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEES 8,,00 FORMS, MATERIALS FRAME: FIRE STOPS, I C HEREBY-AKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS 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 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 INSURANCE. LATH,EXT. SIGNATURE OF �pCompanyHOUSE NUMBER COR. PERMITTEE Monarch Roofln RECT AND POSTED ADDRESS ZT FINAL JOHN F. LEWIS. PRINCIPAL STrU ' RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERVALIDATION M.O. CASH :. iJt�,� u .082G. JL•PJ `� 2 ' i p 8.00- 11 76A638A CE*803 1/71 •rte NtPV APPLICATION FOR BUILDING PERMIT . CO: TY'OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a onl CROSS ST. �� ) BUILDINGDISTRICT NO. I GR UP TYPE PRQCUSED BY ADDRESS Ni (9,4 e d p .Lj ., CONST. LOT NO. �¢. f� Y! �(d BLOCK STATISTICAL CLASSIFICATION SEWER MAP . LJ B CLASS NO. DWELL.UNITS BK C—PGzZ_ TRACT USE ZONE MAP NO.OF BLDGS.-'- ' NO. SIZE OF LOT NOW ON LOT SPECIAL USESOCONDITIONS T NG B DG p}j'(� �/YjQ.p�G .• TEL. f�f I OWNE u' A�4.t�ElVIAA• VD ,BLDG.SETBACK FROM ADDRESS �j�7 J /. FRONT PROP.LI NE OF (STREET) TYPE OF CITY 1,&M Qin •` i �/Q.-�� AHI HWAYEW DTIHG FROMAC.L. HIGHWAY YARD = TOTAL ENGINEERARCHITEC OR 0ey6�er" /•I To. �q_6p3.� _ G // /ALL t t'� LO�'� NO. BLDG.SETBACKFROM ADDRESS ,Z�I,e �QGtM-�y¢�v� t S SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING ETBACK HIGHWAY + YARD = TOTAL C CONTRACTOR o NO. HIGHWAY WIDTtV FROM C.L. C C: ADDRESS NO + — C LIC. F CITY CLASS CORNER CUTOFF YES ❑ NO ❑ LLL CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE F.OR SPECIAL APPROVALS ADDRESS n SQ. FT NO. OF NO.'OF .L� SIZE STORIES FAMILIES NEW _ USE OF a ADD ❑ j�/ G� �L �� STRUCTURE *-; Q (f O ALTER ❑ SIGNATURE REPAIR❑ APPLIC OEMOL ❑ VALUATIONS APPROVALS DATE IN crow' SIGNATURE • FEE$ 1. ✓ FEE$ ��flF FOUNDATION MATERICALSON A �Z a 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONRAME: FIRE STOPS,BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYURNACE: LOCATIONWITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED , HEREBY 1 WILL NOT EMPLOY ANY PERS VIO ON OF THE LATH, INT. LABOR CODE OF T ORN ELATING WORKMEN'S COM N TIO 1NSUR . - ^LATH, EXT, SIGNATUR F HOUSE NUMBER COR- ERMITT RECT AND POSTED Af ADDRESS A" — FINAL JOHN F. LEWIS. PRIN IPAL%STRUCTURAL ENGINEER PLAN CHECK VALIDATIONcK. CASH _ PERMIT VALIDATION CK. M.O. CASH 2 3 0 21,15 A LjL0 3 0 .3 4 3 1 '40 3 5.2 5^' V BA686A DBe.B B.BBAPPLICAT'ION FOR BUILDING. P ERMIT 1 DIVISION OF BUILDING AND SAFETY ADDRESS Deportment of County Engineer County of Los Angeles LOCALITY WM.J.FOX,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP -I." . PE SEWER MAP FOR APPLICANT TO FILL IN ,T H : nyyyy NUMC.N. BUILDING 171 ' /!- 10 `-r AHER �taO 3 HWY %MB C�"J ADDRESS n J LOT, O.qS r� I USVONE SPECIAL /��JQ( Ld !�/1 BLOCK / CONDITIONS TRACT 4//A- A�4 7A A-0 SIZE OF LOT 14/.3 /1 ;30 I NO.OF SLOGS. BUILDING EXIST. NOW ON LOT p SETBACK YARD HWY STREET NAME WIDTH USE OFEX STING BLDG. 5�11/GLr /C��/1 FRONT 0/ /��/�f n [� G 'P.L. SNL OWNERri/7 1JA6* O/` fffr (Y /1�� 1J Gni r SIDE •� MAIL r ADDRESS !.0 q r�� . C`/,�J 1 -# L O "TRACT DWELL. 1 UNIT 5 INDUSTRIAL CITY TFI9�G� j //' -r TELNOMr/G ��/`5`� DWELL. 1 UNIT /� �{` 6 PUBLIC BLDG. /7/ NO. 2 DUPLEX 1 UNIT ARCHITECT OR TEL. 7 ADDN.,ALT.. ETC. ENGINEER 3 APT. UNITS 8 MISCEL. ADDRESS /�A /� /� �r 41 COMMERCIAL CON TRACTOR{t`/166/`4d Af(` NO.'S 7' ��aINSPECTION RFtiGORD ADDRESSZSFZj L Ci®Ld p�SlgpG"':� r ^✓ t DESCRIPTION OF WORK ` ,r NEW ADD ALTER REPAIR DEMOLISH 90. FT. �j /'� NO.OF NO.OF SIZE %/"{/ STORIES FAMILIES 1/ ,-,r //// �{ Ad IV�f. Alii USE OF OTRUCTUREfl P(jl.?b y — a-:� SIGNATURE OF/ APPROVALS APPLICANT ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION �J /•' ' t / f $ d D -P.C. S Q? FORMS,MATERIALS U FEE FRAME: FIRE STOPS. !- {ter !�' 04) BRACING.BOLTS VALUATION O �` FEE FURNACE:LOCATION. :[-.��' ,/ , e,�f �I'HEREBY' ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS J �a/, APPLICATION AND STATE THAT THE ABOVE IS CORRECT' � 1 A� .--_-r�f,� l . AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. -I V✓l r1 I AND STATE LAWS R ULATING BUILDING CONSTRUC- t� d 6.97 ^`'ll kr._v TION. y/f/ 1 LATH.EXT. NN SIGNATURE OF r CSC/ fir r - +.� r HOUSE AND BERPOSCOR- ✓ PERMITTEE, —RECT ED ADDRESSy� �-�, ' '- FINAL WM.J.FOX,COUNTY ENGINEER ✓ i VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR «0 5 3'09,url. JUL 12 1 68.0 G1o� 5 4 0 JUL 12 . 1 1 6.0 0 �k F�:�SCJ I'N►�' -+ r. G R/(.t C l-oR.FaTWA E ' BABSBA CE*803.7-SO APPLICATION FOR ,0BUI'L®ING PERMIT 1• BUILDING-AND SAFETY DIVISION BUILDING—rte Department of County Engineer ADDRESS V County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP. YPE SEWER MAP FOR APPLICANT TO FILL INI PG Z CONST. a BUILDING-.DDRESS. STATISTICAL SSIFICATION A CLASS. NO. DWELL. UNITS LOT NO. BLOCK IAAP e NUMBER STATE YES �Q© FIWY G� TRACT US ZO E SPECIAL X NO.OF BLDGS. J CONDITIONS SIZE OF LOT NOW NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWYSTREET NAME EXIST. _ SETBACK WIDTH OWNER FRONT e) / A P MAIL _ P. L. �� G/ ADDRESSjJ j' �j SIDE CITY TE P. L. ARCHITECT OR TEL. 1 INSPECTION RECORD ENGINEER NO. ADDRESS l TEL'. CONTRACTORIf- NO. c3-2 /, 7-;Y-/,. a] i /n Z Al ADDRESS DESCRIPTION OF RR 6 NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO.OF SIZE STORIES FAMILIES UI- S., CTUTRJJR E g_ 4PQ QA Ala_',LL.IC�j �r - • APPROVALS. SIGNATURE OF APPLICANT DATE INSPECTORS SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS, MATERIALS P.C. S FRAME: FIRE STOPS, FEE BRACING,BOLTS VALUATIONFURNACE: LOCATION. FEE '$� GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,-INT. PLICATION AND STATE THAT THE ABOVE J.4 CORRECT AND AGREE TO COMPLY WITH ALL COUNTS ORD ANCES AND LATH. EXT. STATE LAWS REG TI BU ING C STRUC N. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDREs FINAL 3 7S7 , OHN A.LAMBIE,COUNTY ENGINEER, CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONK. M.O. CASH. ' a .o..9 6,9 n Ai1G J ' BUILDING BUILDING ADDRESS APPLICATION LOCALITY �._ /�� — /�, T:✓ NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST. Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles WM. J. FOX, COUNTY ENGINEER GROUP PATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPIT OF BUILDING FOR APPLICANT TO FFIL(L�' IN TYPE CONST. RECEIVED 13Yy� ISSUED BY OWNER KA O LF J MAPq /1��� MAIL G �/ O f NUMBER h ✓ STATE HwY NO ADDRESS 7 Cg'Al n T USE ZONE SPECIAL CITY / �� NOL. , CONDITIONS ARCHITECT OR TEL. , ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK ♦ WIDTH ADDRESS 6 p Yl / FRONT CONTRACTO [ GME/{ Q NC1 JS ,Z43� SIDE ADDRES92RT Z3 Gr eOed/i A4 / l 0 B P.L. DATE CORRECTIONS INSPECTOR BUILDING ADDRESS LOT NO. J _ BLOCK TRACT / l..T NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. DESCRIPTION OF WORK °a l �• � o NEW •ADD ALTER REPAIR DEMOLISH Z D 94.FT. NO.OF �f F ND.DF I- B12E / D Q STORIES V y-- FAMILIEB USE OF STRUCTURE _ A NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION �l/�/IiNG �9 AND STATE LAWS REGU TING.13. ILDING CONSTRUCTION. FORMS,MATERIALS FRAME: FIRE STOPS, BRACING,BOLTS SIGNATURE OF /V1 Vl'� !' - ,� PERMITTE 7 /� FURNACE: LOCATION, ✓ ADORES 2J . 0.G �1 GSA GAS VENT,DUCTS 13 LATH, INT. /�•7�1�-,fl�fW� - AIJTHaRIZED AGT. LATH, EXT. ✓11r Y11 �` ry P.C./ d f^i'�-� HOUSE NUMBER FEE G C �F� RECT AND PORTEDED " `fI��+AT10N FEE 0L C7 C `- FINAL 1��(/1'L NrIJ(1 `I W.�tk 76AS313A 0883 12-53 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ,COUNTY OF LOS ANGELES i WM. J. FOX. CHIEF ENGINEER 4 � FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK..NO. PERMIT NO. ADDRESSILDING n assmsmsumm ?0 o LOCALITY e ' RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST �yy,� �- '7q CRGSS ST. S DING I ADDRESS /V, OWNER MAIL LOCALITY ADDRESS NEAREST TEL rO� CROSS ST. 4.91V/V A CITY d. a NO.dGS'rl!"V l e FIRE NO.OF TYPE � GROUP ARCHITECT OR TEL. ZONE PLANE ENGINEER A NO. BLDG. "1 ,y / /ORD.NO. ADDRESS SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR NO. USE /Q APPROVED ADDRESS ZONE BY DATE LEGAL ,,{{,,,�� +. h CORRECTIONS LO DESCRIPTION T O. !T] il BLOCK TRACT y Fib,k �® NO.OF BLDG9. , �'� 912E OF LOT NOW ON LOT e� � USE OF �y A I NO.OF I NO.OF EX �f ISTING BLDG. �r7/�e• FAMILIEB ROOMS / re— T DESCRIPTION OF WORK 1 NEW ' ALTERATION ADDITION O REPAIR MOWNG DEMOLISH p 91).FT., NO.OF Z _SIZE / ROOMS STORIES / r WALL ROOF COVERING S IC C D I COVERING kV&61Y9 USE OF NEW gaBUILDING o >J PA 0-r litit 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 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 PERMITTEE2a; LATH,INT.: AUTHORIZED AGT LATH,EXT.: A OBS-3 513M SETS 7-47 $ P.D.III O Q PLASTER,INT. �l /_ 4%' O FEE PLASTER,EXT. 1� , VALUATION FEE 47 'FINAL r DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGEL:a`` �p,� 1 X94 j `lWM. J. FOX, CHIEF ENGINEER MILDING FOR APPLICANT TO FILL INFOR OFFICE USE ONLY J/� / ,�j/ /� ,[�DII•STRICT NO. y/ PLAN CK.NO. (jPERMIT NO. -'ADDRESSBUILDING / /' J O371 LOCALITY �0/ �l �RECEIVEDD_�Y ATE OFAPPL. DATE ISSUED NEAREST �✓»!C/ �3� It a�-'� •"r �/ SSST. OWNER 90'01 J ./CJ''JLJ? � �}-:/_,!1.:a � ADDRESS / ! ri vim{ ADDRE55 � 3 Qd C �`Q MAIL LOCALITY 1� TEL. CRO55 5T. CITYJtJ:Sct:t �+�'f% P'/!`}. NO. FIRE NO.OF ` TYPE GROUP ARCHITECT OR dr f 7/EL. ZONE PLANS ENGINEER �!1�� �=j�►9�i���^G iNO� - , ORD.NO. ADDRESS >�© ��fQ ��r� �%C/� ''� SETBACK LINE 01, - APPROVED C f' (� L' BY DATE CONTRACTOR TEL ��,.'•� USE � APPROVED 17.E ADDRESS i`s '%` S;i ZONE BY yDATE LEAL DE5CRGPTION .I LOT NO. / �t BLOCK TRACT 1 CORRECTIONS s T a Pv t 1st; /_ZK.cL 0_,n-v�._ -A I-1. -�} /�h� / SIZE OF LOT( 17 �,5 `�/ I NOW ON LOTS USE OF � � s...J NO.OF ` NO.OF "ry� EXISTING BLDG.17`�i.C?,4& FAMILIES / ROOMS--' DIESSCRIPTION OF WORK 7 NEW /� I ALTERATION ADDITION - 2- REPAIR Z O REPAIR I MOVING DEMOLISH O 5q.FT. r NO.OF �' f/ .�•, - Z SIZE /j WALLROOMS ► STORIEtS COVERINGS-toe-'o-c!) I COVERING `���� V r USE OF NEW BUILDING I / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS, APPROVALS _ APPLICATION AND STATE THAT THE ABOVE 15 CORRECT : INSPECTOR 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- - x LATH,EXT.: `1 DBS-3 25M-SETS 4-47 ^$ P.C.�f\�/� „�• � -PLASTER,INT. � FEE w l PLASTER,EXT. $YI' �VALUATION FEE FINAL ewi _ ~L j LzrKit i ti U LLDLNG AND SAFETY 1 ArrLL%;A l lvly r Ult rzilMl-1 �\ ' COUVINJOLr, AQ4,NGEL39S- •- "SEP 1 711941f -.'WM. J. FOX, CHIEF ENGINEER ® ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING / DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS 7 7/?- $ �� 1 LOCALITY GAY • RECEIIVIED BY DATE OF APlPL. DATE ISSUED NEAREST -J. nyC CR055 9T. BUILDING - f7! � f�' /,_! ;► rr OWNER n� ADDRESS f7'17/// Ln: r j //`` , MAIL LOCALITY CD r7 ADDRESS , a NEAREST CITY �+ �� �� Y TEL. CROBB ST. I F.-ENO.OF TYPE OROU�L� ARCHITECT OR TEL. �f ZONE��, PLANS I� _ P _ ENGINEER AA //�� ��ytd �!► �}�/!/ Q/�' : ADDRESS /061, SETBACK LINE ( D ORD.NO. ri k TEL. APPROVED CONTRACTOR J��T NO. BY DATE USE APPROVED ADDRESS P� �Ai4 ZONE I BY 1� ®�j 7D)A,'E�d DE LE Loa 7 BLOCK CORRECTIONS ! TRACT- j+) v NO. S OF BLDG ,e SIZE OF LOT. ( y,: " I NOW ON LOT,.--/ MAL- USE -U5E OF / I NO.OF NO.OF EXISTING BLDG. T' FAMILIEa ROOMS DESCE&TION OF WORK NEW N�C ALTERATION I I ADDITION O R REPAIR MOVING NO.CFr� DEMOLISH 5 ZE T' ((' E ..� ROOMS ✓ STOR5 / v Z D WALL I ROOF r IN _y, COVERING COVERING dfla+�lfi F�fi �J USE OF NEW BUILDING ! 0 I' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS '+ APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - FRAMEC: FIRE STOPS, 5113NATURE OF BRAING,BOLTS OWNER / Li�fC/�/� AI f]JD LATH,INT.: AUTHORIZED AOT- LATH,EXT.: oas-a zsM sera 4-47 $ P.C.S /orf PLASTER,INT. /J FEE /(Y� PLASTER,EXT. VALUATION FINAL DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY - DISTRICT NO. PLAN CK.oR RED.No. PERMIT NO. BUILDING / 7 L s�s �.1�4 // �5>/ O ADDRESS (p ,,J ,J J o� LOCALITY �Q ECEIVED BY. DATE APPL. DATE ISSUED �- 2.. n / �FvA N-5 — l - S NEAREST / 'ROBS 6T. .r BUILDING /''7�s" /f•/O �A /C C 'b�� ADDRESS OWNER I .Ale, ' •9-e MAIL r LOCALITY /(J/!�/�j� !�/ ADDRESS NEAREST (� r / q CROSS ST. �Q A/ tf CIS ice/ NOI.�/ �O/ �3✓` FIRE I NC.•GFGROUP ZONE ,--1 PLANS, ARCHITECT OR TEL ,+1 / ENGINEER NO. BLDG.SETBACK LINE {/ LJ/� ORD. NO. ADDRESS. �. '7—30 I iG •" i Q / UBE APPROVED NTRACTCR �� .G � NOL. (O 43.1 ZONE BY DATE /Q//A � y HOUSE NUMBERING ADDRESS � .1.�a= Vel_ MAP NUMBER NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. `�-- BLOCK TRACT � / NO. CF GLOSS. f �Q �+ C-t SIZE OF LOT I NOW ON LCT USEOF r NO.OFA/7"-A / �'_ rd tib 4!:�G'_ . _EXISTIN BLDG. FAMILIES DESCRIPTION OF WORK y '�J''�' Q 3 3 /2--/ O NEW ALTERATION ADDITION le REPAIR DEMOLITION • ( h A�JV) I� S ZE '117ROOMS .3 STORIES 'bh tI� 11f S 1" I EXT.WALL ROOF 1�//�� 1 � , ` COVERING GGf� I COVERING #-�(1 II_S / h.lC!f +r USE OF BTR�, RE P C3Ifilf 1) m E ToN W17H ME �6 6360 N FNCINIT11-`- 4JHiCH 31E . INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTORPS SIGNATURE DATE FOUNDATION: LOCATION r� 11 I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALS ��_JJ;,\✓ Imo" l PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, _ CORRECT. BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, v AND STATE LAWS REGULATING BUILDING CONSTRUCTION. R ti GAS VENT.DUCTS o +h SIGNATURE OF ' �z+` PERMITTEEL��` %y{n'' LATH, INT. ADDRESy �' • -�' %t ��afOj LATH, EXT. _. -d AUTHORIZED ABT.-: / PLASTER, INT. PLASTER, EXT. P.C.$ HOUSE NUMBER COR- ' :•�~��O FEE ��. RECT AND POSTED VALUATION FINAL FEE. � 76A638A DB3 3 7-57 DIVISION OF BUILDING AND SAFETY (D -BUILDING® U ' L ® 1 Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDINGr/ " DIET NO. PUN Or-OR Rec.No. PERMITO O. 1� ADDRESS LOCALITY �.P ✓�J` /RECEIVED BY D�AJTE OFAPP/L rDATE ISSUED NEAREST 71=V 'u's / �— / CROSS ST. i� BUILDING ���7�p.� y� r ' ADDREBB J /t/ OWNER. / MAIL � LOCALITY /.n -�go/C./' i ^% L. ADDRESS / NJEAREBT CITY ��i'/jf/fLKP / NO. �f7� ZONES sP� I PLANS/ _ TYPE / I GROUP r ARCHITECT OR TEL B. / �f /(� n� ENGINEER �/ ND.ZN SETBACK LINE G T Ila //�• .7/r l Gam'Ci .V ADDRESS USE �+APPROVED,— #eQ"TR A TOR �1 ,lj yd�Q� NO� -6 ', ZONE / BY HOUSE NUMBERING DATE ADDRESS 2 2'3 MAP NUMBER rr NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION I LOT NO. BLOCK TRACT NO. OF BLDGS. SIZE OF LOT NOW ON LOT USE OF NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK A - o NEW x ALTERATION I I ADDITION I Z D REPAIR DEMOLITION r SQ.FT. `'/_ J1 NO.OF 91 E_ RDOMB STORIES EXT.WALL ROS /,/ _COVERING w�F COVERINB AM f USE OF STRUCTURE INSPECTION FOR APPROVALS OCOUPANCYAE INSPEOTOR'SSIGNATURE DATE FOUNDATION:LOCATION FORME, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME! FIRESTOP8r CORRECT. BRACING,BOLTS I ABREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE' LOCATION, ~ AND ,TATE LAWS REGULATING BUILDING CONSTRUCTION. BAS VENT,DUCTS SIBNATURE DR .� LATH, INT. PERMITTE � , / ADDRESS. ^ LATH. EXT. l�I�� 1 ( PLASTER, INT. AUTHORIZED ABT. PLASTER, EXT. r� FEE ��� HOUSE NUMBER COR- 130RECT AND POSTED � I .! VALUATION Gam , '/! '�/? 8 FEE ,�_ FINAL 76AS38A DBS 3 1-55 DEPARTMENT OF BUILDING AND SAFETY r u.11 rraumi t COUNTY OF LOS ANGELES ® � WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY BUILDING / DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS �'1 •• [� 4i1�l. C/il. `a '- 6c/dP/ LOCALITY nLtd RECEI ED BY DATE OF APPL. DATE ISSUED NEAREST I* Q f / 71�­7/ "m/�' DEARER r/ BUILDING OWNERjj V � jp ADDRESS 'OpylA1,4' AMAIL DDRESS 2.641 �5..� � rte _ LOCALITY NEAREST -moi' f t I' TEL T 1 �i 5 CROSS ST. DITY f Crr3.8 ti- --cc, .�1.t•e NO. F9/�I N FIRE NO.OF TYPE GROUP ARCHITECT OR ppe� r TEL ZONE PLANE ENGINEER PA/t� a -/ . t.� NO. BLDG. ! ORD.NO. ADDRESS SETBACK LINE*0C= i APPROVED CONTRACTOR 144%' -f a4lA BY DATE Q _ USE APPROVED 6 ,a)_1 ,- ZONEJ� BY DATE ADDRESS i� .r. f a :'�` )� 4 LEGAL DESCRIPTION � LOT�N`O. /9 BLOCK � � C��� CORRECTIONSTRACY ( 1f 9 ll-I . A-- SIZE OF LOT I NOW ON LOTS USE CF NO.OF NO. —EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK n �. NEW ALTERATION ADDITION �� � ,�/'.+j�ell o REPAIR �f��// MOVING ` DEMOLISH SIZE SQ.FT, ?4'/S ROOMS0 or P� BTORIE9 ! " �� D WALL Rocir sI r COVERING �i� �4A I COVERING '51i•+:'!T '00f// , USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION:LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALSt� AND STATE LAWS REGULATING BUILDING CONSTRUCTION.- FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE 1 ����IIIIff ''ti LATH,INT.: AUTHORIZED AOT- �• T._.��2�� LATH,EXT.: DBS-3 SOM BETS 1-45 $ P.C.R PLASTER,INT. FEE PLASTER,EXT. _ VALUATION �� � C FEE 12 '_ FINAL yv= x r r a UBYARETMENT of BUILDING AND SAFETY errra.avas a ava� r va>< rr+aza�;s a COUNTY OF LOS ANGELES wm. d. FOX. CHIEF ENGINEER BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �J t y� ! DISTRICT NO. PLAN CK.NO. PERITIT NO. BUILDISS "f � :%� 1J 4 v 'e -7 7 G ( 5.. ADDRESS LOCALITY w/ 1' 1�..r��� � k. �'�(�L RECEIVED BY DATE OF ADPL. DA�6r U � NEAREST r 7 CBUILDING ROSS �^y '/ ESS 7&,/ O, !r OWNER ADD/'�"�� /5"' ./_.,� �_. !�-f/.�1.Ij..l¢si e MAIL /J , r V LOCALITY / ADDRESS J1L�st f NEAREST � �! LU CITY n^ A. NO��n 0— FIRECROET. L3 ARCHITEOT OR TCL. ZONE PLANE TYP$ GROYP ENGINEER NO. BLDG. ORD.N0. ADDRESS Q� ��,��+� SETBACK LINE C� I - ��. 141 C/ if w .A 1-1 �r �+ APPROVED CONTRACTOR .wL=Il t NO. f°/ BY DATE Jpla Y .t/!a f- ` fp y/ ,1 �. G USE APPROVED ADDRESS l �.�'1 JA -��� ZONE BY DATE LEGADESCRIPTION LOTNO.1AUD BLOCK �-. �'7��wZ CORRECTIONS TRACTNO.or�► k9J'��+��-���r •t /� SIZE OF LOT J 7-t''�l}}S��JJ 9 ail �)p I NOW ON LOTS '26 EXISTING BLDG.USE Or ,at- I FAMILIES NO. I No.arROOMS(s9 I -&W- L o f f nl DESCRIPTION OF WORK n (° ` 73 3 - 3 NEW ALTERATION ADDITION Z 7 O REPAIR MOVING , DEMOLISH L NO or SIZE T. lJ�tTc) ROOMS STORIES WALLCOVERINS �`V� rd if a() I Rao �Q Q Q .5�7' 1�(r�LAS !� 7? fi S`� '�!`i:. FIE 0 44 COVERING y BBUILDINol�Y--'�a)-?s�-L ' �'` :.: � �� �1l F�} �'.Ir aef� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT F1 P QTOR DATE FORMS, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. N _ A FRAME"FIRE STOPS. • d r 2 Ste! SIGNATURE OF1p BRACING.SOLTB i PERMITTEES-x: "a, Jlr���J,�t. `i.^ LATH. INT. AUTHORIZED AOT-.CScr X LATH. EXT. 76A5313A-3 2-50 $ P./ C.® PLASTER.INT.� FEE ID,� PLASTER.EXT. VALUATION S FEE � .6 FINAL _ 7BA638A CE 0603 4/70 I ' APPLICATION FOR BUILNN13 PERMI COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �� JOHN A. L"AMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO.FILL IN- NEARES (Print-or t e onl CROSS-ST. allILDINGL DISTRICT NO. G-ROOUIi E ESSED BY FDN SS •6355 NO-- Oak Ave a To C• �0 S 1-12 pl STATISTICAL CLASSIFICATION SEWER MAP . BLOCK 'CLASS NO. DWELL.UNITS BK PGZZ— USE ZONE MAP NO:OF BLDGS. NO. Z O� F LOT. NOW ON LOT l SPECIAL CONDITIONS G BLDG, asa Ro es ssaonaDialN886® 4 =BLDGSETBACK FROM S6355 No a Oak Ave• RONT PROP.LINE OF (STREET) eM le Cit f CA, HGHW TY F EWDTIHG FROMACK C.L. HIGHWAY } YARD TOTAL P yECT OR TEL. +ER NO. BLDG.SETBACK FROM ADDRESS ^SIDE PROP.LINE OF (STREET) j e �N� lB � .S4&&tTEL. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL CONTRACTOR r NO. ff AfS SSS 'HIGHWAY WIDTH FROM C.L. } ADDRESS s NO.';l + _ _ / LIC. CITY J. le ' CLASS 3 CORNER CUTOFF YES ❑ NO" C CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS CL ADDRESS Z SQ. FT, NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF STRUCTURE Replace for 'chimne ADD ❑ destroyed- in Earthquake ALTER ❑ gn ❑ SIOGNATURE REPAIR - _ APPLICANT 'dk" DEMOL .❑ VALUATIO /lej66d / r APPROVALS DATE. INSPECTOR'S SIGNATURE P..C. PMT. /� FOUNDATION: LOCATION FEE S FEE$ // FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS, AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. .I CER TIFY_THAT IN DOING THE WORK AUTHORIZED. HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF-THE LATH,-INT. LABOR CODE OF THE STATE OF -CALIFORNIA RELA'T NG T:0 WORKMEN'S CO NS VON INSUR EV�'!�,�, lJr LATH, EXT, _ SIGNATURE OVr !r cHOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS: - FINAL JOHN F. LEWIS. PRINCIPAL STR. 0744 AL ENGINEER PLAN CHECK VALIDA ON CK M.0 CASH. _ PERMIT VALIDATION CK. M.O. CASH ' 'Ar'-.O MAY 17 1 D .1 7.2.5 � ' 7GA635A CE '603 A 72 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGIN1= MAP BOOK PAGE PARCEL BUWING AND SAFETY DIVISION BUILDING ADDRESS IIA KE CHECKS PA YA BLE 70. HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY . . . FOR P L TO FILL IN NEAREST _ (Print was MIA CROSS ST. • -' jl� BUILDING DISTRICT NO. GROUP •TYPE PROCESSED BY ADDRESS `7 ti " ��, / CONST. �� + STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK CLASS NO.. DWELL.UNITS BK PG Y TRACT ' USE ZONE MAP 62 B NO. r' SIZE OF LOT NOW ON LOT ` SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER f VOL. BLDG.SETBACK FROM ADDRESS 629 FRONT PROP.LINE OF (STREET) TYPE OFOUSTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM G.L. ARCHITECT OR TEL. + = SC ENGINEER NO. BLDG.SETBACK FROM C ADDRESS SIDE PROP.LINE OF (STREET) V TEL. TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. IOHWAY WIDTH FROM C.L. ADDRESS /7006* NO. + CITY LIC.CLASS CORNER CUTOFF YES ❑ NO ❑ 7 CONSTRUCTION L NAME AND BRANCHNDER k SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO. FT. NO.OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF + ADD STRUCTURE ALTER SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ O VALUATIONS ++ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE 5 FEES FORMS MATERIALS FRAME: FIRE STOPS, 1 MEREST ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IN CORRECT AND AGREE TO COMPLY FURNACE.- LOCATION, WITH ALL OROINANC90 AND LAWS REGULATING BUILDING CON- GAS VENT. DUCTS ■TRUCTION. 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 BTATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT N ■UNARCE. LATH, EXT, SIGNATURE OF ` HOUSE NUMBER COR- PERMITTEE. RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CM M 0 CASH _ PERMIT VALIDATION CK NO. CASH DEPARTMENT OF BUILDING AN Y APPLICATION FOR PERMIT- .''-.CO�UNTT. OF-LOS ANGEL "ET pl a 11947 �� � ' � ® � � � J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING 'C / c/� -qy _ / ADDRESS ! si�� ✓ ��'� .�// f/ LOCALITY r tt RECEIVED BY QDATE OF APPL. DATE ISSUED NEAREST '�-(7 (/y�-a 4-?"7 CROSS T. BUILDINt317 /'I�f / p`�.' / I..//``c� OWNER ad ADD EBB q^^ {y MAIL LOCALITY y-r` y 1 •~' ADDRESS NEAREST T L. CROSS BT.1 01-LE'f�4 CITY .a+ FIRE NO.OF TYPE GROUP J'_n ARCH TECTTEL. ZONE PLANS OR ENGINEER � .,p BLDG ADDRESS .� . �]If ORD.NO. SETBACV .�/� �-� K LINE � APPROVED TEL. BY . DATE CONTRACTOR NO. USE APPROVED ADDRESS --� o ZONE w BY _f/ DATE LEGAL 1 CORRECTIONS DESCRIPTION I LOT N'0. - I BLOCK I TRACT •BEd" '�s .f� ' Ip q NO.OF BLOBS. SIZE OF LOT A. a NOW ON LOT USE OF / / NO.OF ' I NO.OF EXISTING BLD �M FAMILIES ROOMB (] DESdAIPTION OF WORK Voo'NEW ALTERATION ADDITION •_' ) _ F U O REPAIRI MOVING - I DEMOLISH G7 S4•FT. NO.OF Z SIZE ROOMS STORIES y WALL RO F ° /f r COVERING I COVERING 4 / USE OF NEW BUILDING . . Of I, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS / APPROVALS APPLICATION AND STATE THAT THE ABOVE IS 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 AMT 11 4 I LATH,EXT.:,- DSS-3 25M SETS 4-47 $ P.O. PLASTER,INT. A /^ I FEE - PLASTER,EXT. VALUATION FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICA 1 ivN r vtc r�stmrr COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY L, A DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING Q �. -Z -7 O ADDRESS ./{ f _ S LOCALITY i rn f� r�i�t�� j//� RECEIVED BY DATE OrAPPL. /�1DATESI/BBUED NEAREST CR085 ST. • OWNER 1.'' 11 (/�, 1 \ ADD RE F �. MAIL ADDRESS s A Th •l4 LOCALITY TEL. NEAREST CROSS 9T. _CITY NO. FIRE NO.OFTYPE GROU ARCHITECT OR TEL. ZONE PLANS 7t ENGINEER NO. BLDG. to ORD.NO. � ADDREBS SETBACK LINE /v</�✓� /-i i / �� (^ _ APPROVED CONTRACTOR LY` C V NO,l %,1 7 a �A BY DATE �j �9 �` USE APPROVED ADORES, 7 A �2 /f ZONE BY DATE LEGAL I �Q 3 CORRECTIONS DESCRIPTION LOT NO — 1 2-BLOCK / / TRACT ".�'w 7'R �F,l A/., 7-� ��! c eI,$e D y� d r pca/. ��A SIZE OF LOT �fJ k Ir NOW ON LOTSNO �!c PIC, / ' 1 USE TI �j� NO.OF NO.OF EXISTING BLDG. /GJ�t.� FAM1L16B ROOMS ! G•-- DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION O REPAIR MOVING DEMOLISH "s q e .FT. Ar ro NO or , f SIZE �yWALL -v ROOMS STORIES ` � f� �T�1 ROOF COV RING r7 / `rty'C-Gf> I COVERING /(�Q �] \ 7 �(f��� �r BUSE 13F N UILDING ry Mo p mT- L rd leb. /1--2-,n -S A AX I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS \ APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION INBPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRESTOPB, SIGNATURE OF BRACING,SOLTB PERMITTE ��'`� LATH, INT. !'?. AUTHORIZED AOT- LATH, EXT. 7GA63BA-3 7-49 $ O'a P.D. /IN PLASTER,INT. C [ Q FEE / 0 ' PLASTER,EXT. �J ` 60 n Y VALUATION FEE �`! �� FINAL DIVISEOF BUILDING AND SAFETY De BUIL® I• G Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION ERMIT NO. FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ' BUILDING DSTRIO. PLAN S-.No. `P `/� q.+."'1` ADDRESS Gly k- 6 rREDEIVED BY DATE OF APP DATE ISSUED LOCALITY (/�/ �jpc-� l�3 e, NEAREST �I J�'�L/ rr �J ® ,7 CROSS ST. ADD EBUILDISB s �� J� OWNE //AGH Q f1f/� ` LOALITY MAIL O3s S N OA ADDRESS NEAREST TICCROBB BT. ~ Gam^ CITY i L NOL FIRE NO.OF I TYPE -i3ROUP ARCHITECT OR ®�/ TEL ZONE PLANE .lz ENGINEER ! NO. BLDG. /I ORD. NO. ' SETBACK LINE -U � �� ADDRESS �1� / �/ / UBE APPROVED CONTRACTOR G �r C(/�p� NOLT/ 1 43 I ZONE BY HOUSE NUMBERING DATE ADDRESS 2-0-2-3 ��/� /J V 0 MAP NUMBER_2262'4:2 3 NO. ASSIGNED BY LEGAL CORRECTIONS DESORIPTION LOT NO. BLOCK TRACT / SIZE DF LOT I NNEL OF OW ON LOT SLOGS.uscar No. EXISTING BLDG. I FA�:�E6 • /1� ���� �f O DESCRIPTION OF WORK Iry53 0 NEW ALTERATION ADDITION ; Z s REPAIR FT. ���+++ D/EMOLI ION l I i nen / / / r OF j81ZE �'. (��( OOMB STORIES / �? /`'S 1t ��✓ a_ •(�3-' f' /.t� K v EXT.WALL ROOF COVERING rU G G COVERINGs ovC-1=+ 1 � "rQ 21 ' o A7/7-,9g7_Zj4C7' USE OF STRUCTURE zfixe ` r INSPECTION z, OCCUPAN YASR 1/�•�J�-, '�' rAPPROoAeS' SIGN__1 DATE i FOUNDATION' LOCATION 'fid f I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- . FORMS, MATERIALS PLICAT113N AND STATE THAT THE INFORMATION GIVEN IS FRAME' FIRESTOPS, �- CORRECT. I BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS J �? SPERMITTEEO�//z,+AS,0/vy /j/ ItwO ff�G LATH, INT. /�/lkA {� v 1 W. ADDRESS_ 3 ` �6/is Q LATH, EXT. PLABTER, INT. AUTHORIZED AOT. PLASTER, EXT. P.C.S 11e FEE �, HOUSE NUMBER COR- RECT AND POSTED e + VALUATION ® FEES I ��� FINAL 76AS3eA OBS 3 1-52 DIVISION OF BUILDING AND SAFETY Department � ' ® � Department of County Engineer NG County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY CC //// DISTRICT NQ PLAN CK.OR REO.No. PERMIT NO. ADDRUILD6BS �✓ Jf (ro ��I LOCALITY �rRECCEEIVED Y DATE OrAPPL. DATE IBBUED NEAREST CROSS BT. BUILDING OWNER j/� 16/Cff F G v [i/ ADDRESS AMAIL DDRESS /O .7 LOQALITY NO �/ FIRE �L r v CRO BBT. _ CITY a`� r .�� /'s� No-'16F TYPE � GROUP ARCHITECT OR ZONE /G rgL� c�� r PLANS ' �I ENGINEER �% n �/ /�J �NiO. �J �+ BLDG. / �jORD. NO. ADDRESS !?.37 4 ,!1t • `O/r ��J SETBACK LINE D d I J �B$ TEL 6 2� ZONE � ' BY USE ROVED DATE CONTRACTOR t� �//7 ,(.�- NO. y//��, p HOUSE NUMBERING ADDRESS I 2� , ! 7 MAP NUMBERy d NO. ASSIGNED BY LEMAL CORRECTIONS DESCRIPTION I LO`TT�N'O. BLOCK f TRACT &�ILLZLCIA�w NzL OF SIZE of LT I NOW ON.LOTGS. Oyy r 141, � r/. �CK'(7] �+� USE OF I NO.DF I LI �. `.�la l J r P6, 11 EXISTING BLDG. FAMILIES y"P Z?ZA4- rf r DESCRIPTION OF WORK 7 t NEW ALTERATION ADDITION REPAIR DEMOLITION / BFT. ZE /Q� �/ O ROOMS ( STORIESEXT.WALLr COVEMNG S/' ��J L7 I COVERING lPl+A`fi s9 A k 4 Y FS dd ./-c///If USE OF BT C URE ^k p INSPECTION FOR APPROVALS OCCUPANCYAS I NBPECTCkRvSSIGNATURE DATE FOUNDATION:LOCATION n FORMS, MATERIALS G 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, /►� �^ D CORRECT. BRACING,BOLTSI AGREE TO WITH ALL //N( AND STATE LAWS REGYLATING BUILDIINNTY C NSTRIUCTION. FURNACE: LOCATION,COMPL GAB VENT.DUCTS SIGNATURE O �'� LATH, INT. PERMITTE 3 � LATH, EXT. ADDRE PLASTER, INT. AUTHORIZED ADT. PLASTER, EXT. P. / 7/f FEE S S REE HOUSE NUMBER COR- ON ON / - (f � RECT AND POSTED L FEE •. FINAL 76AS38A D883 1-52 - DEPARTMENT OF BUILDING AND SAFETY �" APPLICATION FOR PERMIT .� COUNTY OF LOS ANGELES B v 1 L D• 1 N G WM. J. FOX, CHIEF ENGINEER 'OR APPLICANT TO FILL IN FOR OFFICE USE ONLY ADDRESS �/�,� /Y i W D19TR0CT NO. PLAN CCK.NO. PERMIT NO. LOCALITY A REOWED BY DATE OF APPL. DATE ISSUED NEAREST ! 0 ar- i CR099 9T. e��o R 'qF/ /}��a ,e fte- BUILDING. OWNER -guC. ADDRESS i - �,..:! `j•-, ova- IPA MAIL LOCALITY- ADDRESS OCALITY_ADDRESS NEAREST TEL. A CROSS 9T. CITYNar ® �r�sa'��'' � O. FIRE NG.GF �TYPEtr'- GROU�� ARCHITEC R r�D `�/,,// L. ZONE PLANS ENGINEER .L.GF�' //. �Nt]: " ✓ BLDG: ! tORD.NO. ADDRESS. SETBACK LINE b.'• APPROVEDTEL - ^` Q• 4 y CONTRACTOR ,*/ '+3�. NO.. BY ;%y ti °•\ DATE, �. (n � USE t ; APAROVED�' ADDRESS MwrC-E�s�.4C✓c., "`__� °_'tib ZONE i 1 Lr 'BY'! °;j=t` ` D_ATE 1 LEGAL � �O�Ek - �_ C.ORRECTIOR-S DESCRIPTION. LOT NO. BLOCK '%,c,• -r.�. TRACT CY/ ///����� SIZE OF LOT (x rY� I NOW ON LOTS. -f!q/op, G�,- "/- 3 3 "2 USE OF A (1-t� NO!-OF, ` . 'NO.OF • •:. ,•.�- EXISTING BLD O. ifi o - FAMI�IEB ROOMS } " z DESCRIPTION,OF WORK o• IS NEW ALTERATION ADDITION d�' A I� REPAIR rS1 MOVING':', ', DEMOLISH ♦ _ \�- ,��:; ?�(' SIZE / RNO 13F OOMS• .STORIESd f:J , I., �f I i+ f •;y y WALL Aid 7: ROOF•, r yr� b - !" COVERING �'' S I COVERINGrh !►4�I '�Td. .�j �! ti. �1 ti , USE OF NEW �/I��r ` �� �' •�` BUILDING` (Rev; N� .h�! a �i •I'r �� :it�•'fi�!� •!rte ,T f� • �:�-- _. G i Qn.( �h y♦ yrs I�` ��., .s, ,1� •� r n i1 . ,•••meq . - -, v � .y _. � � ct •�•. ..o . � �• - ,y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FI RE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH,INT.: r . AUTHORIZED AGT- . I LATH,EXT.: DBS-3 SOM SETS 7-47 $ P.C.0 /}, PLASTER,INT. C6 D 4749 FEE PLASTER,EXT. �f VALUATION FEE �� FINAL /( ,f(/ft f -6- y D;.5912 rgAgg"CCh032/.0 _APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING r r DEPARTNIENNT OF COUNTY ENGDIEER ADDRESS. Ik BUILDING AND SAFETY DIVISION LOCALITY JOHN..A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.'JENSEN SUrT OF BUILDING CROSS'ST. DISTRICT NV GRgAle PR ED BY'' FOR APPLICANT TO FILL IN .�'O V cONsr: BUILDING STATISTICAL CLASSIFICATION 'SEW MAP ADDRESS 6355 North Oak, Tek- City K PG v CLASS.NO hWELL.UNITS LOT NO BLO K MAP NUMBER TATE YES NO TRACT j ?- USE ZONE ' SPECIAL' IO.OF BLDGS. CONDITIONS NOW ON LOT 1c. SE OF- / XISTING BLDG. - Residence BUIL ING- EXIST. TEL. SETBACK.. YARD HWY RE AME° WIDTH IZE OF LOT SIZE WNER sS O ea FRONT DDRESS :6355 N. Oak . Tem-ole Citv, SIDE ARCHITECT OR TEL'. P.L. ENGINEER No. INSPECTION RECORD ADDRESS CONTRACTOR Monarch Rf go` CO, No:�SysX�7c O ADDRESS• 611 S. Fair Oaks, Pas. V DESCRIPTION :OF WORK O N NEW ADD ALTER REPAIR. -XDEMOLISH SQ.FT:- NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE Re--roofed Cottage '20 with Sq. butt shingles. SIGNATURE OF APPLICANT VALUATION$ 20,00 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNC DATION:LOCATION FEE S FEE'$ 4000 FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT 1N DOING THE WORK AUTHORIZED I LATH,INT. WILL NOT EMPLOY.ANY PERSON IN VIOLATION OF THE ! WORKMEN'S COMPENSATION LAWS OF IFORNIA. LATH,EXT. - I SIGNATURE OF ,Idl HOUSE NUMBER COR- PERMITTFIr RECT AND POSTED ADDRESSFINAL. 'CLYDE N. DIRLAM, PRINCIPAL ST C_ RAL ENGINEER .PLAN CHEC$ VALIDATION CK. m.o. CASs PERNIIT VALIDATION K. I.O. CASs'• Ao 7 3- 7 4`4 NOV 2 j 1 D 4.0 04, • - WORKERS'COMPENSATION DECLARATION >< I hereby's certificate that I have r certificateoof consent to self A P L1 1 C AT I O N FOR BUILDING PERMIT insure, or o certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company m BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING + tion department. ADDRESS . s Date Applicant CIT f& ZIPE 6-41M LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS. NEAREST / COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ASSESSOR (This section need not be completed if the permit is for one hundred dollars($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL + TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER . c. O. � NO, permit is issued, I shall not employ any person in any manner ADDRESS p V SPECIAL so as to become subject to the Workers'Compensatio Laws. ((��D��� "``` CONDITIONS Date Applicant CITY ZIP p NOTICE TO A LICANT: If, after Orta i t is C tificate of ARCH TELT OR TEE. DISTRICT GROUP TYPE FIRE PRO ED BY Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS 1/ `e 1 0* with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTORh-A NO. LICENSED CONTRACTORS DECLARATION LIC." CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.` 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. CITY CLASS BK PG VALIDATION SQ. FT, NO.OF NO.OF — CHECK License Number 2,494- Lic.Class SIZE STORIES FAMILIES ONE VALL114TION .. V Contractor to �Z—z DESCRIPTION OF WORK NEVA El $ yli O ADD ❑ of I am exempt under Sec. '� ALTER ❑ W B.BP.C. for this reason REPAIR ❑ $ i 4 3,0 A a at USE OF DEMOL ❑ # 0 0 0 0 0 Z EXISTING BLDG. APPLICANT TEL. Signature l FINAL 1 - 153.00 N R- UI E DECLARATIO PRINT G O. DATE _ 1 hereby affirnf that 1 am exempt from the Contractor's License ° ° 15 3 0 0 v Law for the following reason (Section 7031.5, Business and ADDRESS,60 4 A&ATKe FINAL Professions Code): PRE ENT By V 1 229-88 BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ® p the structure is not intenjed or offered for sale(Section 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 a- tion 7044, Business and Professions Code). `JJ CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.L NE WIDTCK FROM H 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 'x LD Ref. # I P.C.Fee$ Permit Fee o Lender's Address I certify that I have read this application and state that the Issuance Fee 4 DMA P/C# > above information is correct. I agree to comply with all County Investigation Fee �ry > ordinances and State laws relating to building construction, Total Fee r� LDMA Perm.# and hereby authorize re resentafives of this County to enter Ell § Vne abo e- enfio 70 for inspection purposes. 3 SEE REVERSE FOR EXPLANATORY LANGUAGE i ature of ppli ant Or/gent Date WORKERS`COMPENSATION DECLARATION I {r I hereby affirm That I have a certificate of cons4nt.to self ti L I /�,T 1 FOR a llI L®I N G PERMIT 111 insure, ora certificate of Workers'Compensation Insurance, ® �"1L or ajcertif'ed-copy thereof(Sec. 3800, Lab. C.) rlGl—�p �Cp Y i. COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli o Com an BUILDING f Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 1U, Certified copy is filed with the county building inspec- BUILDING ! ; do dep 1 ttmment. °�.[///� ADDRESS (� LOCALITYNEAREr92 k Date `'� Applicant Lam' CI7Y !L C.sir ZIP CROSS S T. + 16, ;t C IFICATE OF EXEMPTI N FR RK NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one r USE ZONE MAP +� TRACTS BLOCK LOT NO. NO. D� hundred dollars($.100)or less.) � , TEL. ' i j SPECIAL I certify that in the performance of the work for which this OWNS {Zr3plp• CONDITIONS 2r. permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PR ESSF,p BY O ADDRESS e1 CONST ZONE U so as to become subject to the Workers'Compensation Laws. Q ('/ �� s j 3 c-- Im Date Applicant CITY - ZIP ' I STATISTICAL CLASS)FICATION APT. CONDO. U NOTICE TO APPLICANT:. If, after mQkjng this"Certificate•6f 4RGyi7ECT 61".. t, TEL; ;..,. ENGINEER' L'�' 'O ' �'. O. Z� � CLASS NO. DWELL..UNITS � 'Exemption, "you ,should become subject'to the Workers• _ d Compensation provisions of the Labor Code, you must forth- ADDRESS .�'-' s r :t y'•L '.: SEWER MAP with comply with such provisions of this permit shall be ii deemed revoked. CONTRACTOR 1(.(_�. r �.' NO. o`•'BK. PG,�� VALIDATION LICENSED CONTRACTORS DECLARATION - y�G �� (;�. UC. o�/o I hereby affirm that I am licensed'under provisions of Chapter 9 ADDRESS J . LP—.31 NO:0110 )<UATION (commencing with Section 7000)of Division 3 of the Business and LIC. 'c1 C_ Professions Code,and my license•is in full force and effect. CI IIYQ ` Lt CLASS C) /� �• SQ. O.OF NO. F CHECK 4 `' License Number �` Lic.Class_ SIZE QQ STORIES , FAMILIES ONE Contractor <<- e = Date DES RIP MOOPWORK NEW $ ADD ❑I am exempt under Sec. % r p ALTER ❑ FINALS r ;• +'° B.BP.C. for this reason - G� d;.f.R REPAIR ❑ DATE ' �;`. _6z USE OF DEMOL By Date: EXISTING BLD ❑ FINAL Signature APPLICANT TEL. i • OWNER-BUILDER DECLARATION. PRINT �,L P'�' S, 1 r Mn I hereby affirm that I am exempt from the Contractor's License ADDRESS ��y: (1V �� . 1 Law for the following reason (Section 7031.5, Business and �� �� /�� Professions Code): PRESENT- �/Cr I 40.3A BUILDING (1 J I, as owner of the property, or my employees with ADDRESS i' 0 0 0 0 0 1 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. 2 0 1 0 6 1 3 I,as owner of the property,am exclusively contracting CONTRACTOR NO. 6,0 0 0 1 3� with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 0 A 22-87 2r83 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH D 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 B P.L. a_ Lender's Name - Lender's Address P.C.Fee$ Permit Fee rI certify that I have read this application and state that the Issuance Fee . above information is correct. I agree to comply with.all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee and hereby authorize representatiR�l f this County to enter upo a ve= entionedprops inspection p rpos s. r o SEE REVERSE FOR EXPLANATORY LANGUAGE nature A 11 nt r Agent a ®s WORKERS'COMPENSATION DECLARATION .I hereby'affirm that I have a certificate of consent to self (j D. D insure, or a certificate of Workers'Compensationau L7 0�AU �0 N F G A ® YJ`iJ or a certified copy thereof(S . 31300,1ab. C.) d(/t�t COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company .. BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with building i spec- BUILDING r ' tion department. � ADDRESS !a3S� N ' �' Ute— LOCALITY f� ry NEAREST Date )_ i��Applican CITY 19 te.. ZIP 4?/ p Q CROSS ST. CERTIFICATE OF EXEMPTI FRO O KERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL . (This section need not be'completed if the permit is for one ` USE ZONE MAP hundred dollars($100)or less.) TRACTJ�+v� BLOCK LOT NO. NO. TEL. � ! SPECIAL �- I certify that in the performance of the work for which this OWNE ((S�ff�tt/ . NO. V CONDITIONS O. permit is issued, I shall not employ an arson in an manner 4L- DISTRICT GROUP TYPE FIRE PROCESSED BY O P p y y p i ADDRESS 6� S Ad ii �� CONST ZONE t.7 so as to become subject to the Workers'Compensation Laws. 2 Im i / Date Applicant ARCHITECT OR ZIP TEL.CITY STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CLASS NO. DWELL. UNITS Exemption, you should become subject to the Workers' _._:•.. Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. D deemed revoked. CONTRACTOR NO VALIDATION BK. PG, VAL9DATIO LICENSED CONTRACTORS DECLARATION LIC. ` ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �. NO.��O 6/ VALUATION �y (commencing with Section 7000)of Division 3 of the Business and /C CLASS $ d�G Professions Code,and my license is in full force and effect. CITY [ SQ.FT. O.OF NO.OF CHECK Y� License Number Lic.Class SIZE �7 STORIES FAMILIES ONE • � DE RIPiION OF WORK NEW $ Contractor, f Date �" ADD am exempt under Sec. K :....w ALTERFINAL.CMJv �- „ B.BP.C. for this reason /� �,i REPAIR [_] DATE ; "� USE OF Date: EXISTING BLDG. P�Lt�c•CSL . DEMOL [3 By y Signature APPLICANT [[++ TEL. OWNER-BUILDER DECLARATION PRINT �r /LLQ NO. ��� I hereby affirm that I am exempt from the Contractor's License - Law for the following reason (Section 7031:5, Business and ADDRESS jyy Professions Code): PRESENT I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am exclusively contracting t CONTRACTOR NO. with licensed contractors to construct the project (Sec- FADDRE tion 7044, Business and Professions Code). D TOTAL SETBACKFROM EXIST. CONSTRUCTION LENDING AGENCY K YARD HWY PROP. LIN WIDTH I hereby affirm that there is a construction lending agency for the performance of the ork for which this permit is issued b 0 2 l_ A tSec. 3097, Civ. C.) #l. O o 0 0 0 4 Lender's Name o0Lender's Address Permit Fee 2 .5 2 0 0 I certify that I had read this application and state that the Issuance Fee o 0 o 5 2 0above information is correct. I agree to comply with.all County ion Fee d� C/.0 2— ? ordinances and State laws relating to building construction, Total Fee 9 and hereby out orize representatives of this purity to enter upon o ment ed pr erty for i ion purposes.. o {/ SEE REVERSE FOR EXPLANATORY LANGUAGE Sign of App• nt r t Date ®s APPLICATION FOR BUILDING PERMIT 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 62155S' k At/r-- U Se copy thereof(Sec.3800,Lab.C.) CITT m G17 ZIP //7130 LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. /9.3 &B 211-3 NEAREST CROSS 9T 4V ❑ Certified copy is filed with the county building inspection TRACT BLOCK -7 LOT NO. department. / :g7-30 USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL 53 8 2- 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER VAMC- C)P 7/ 11g2-CE14'TEL NO. COMPENSATION INSURANCE CSN 6'm WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS {.' DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) S yG E• �/l/ #I�f77 ALV I certify that in the performance of the work for which this permit CITY PAr6AnG:,,JA Zip 47/Jb is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO3 . become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of \ REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY 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. /30. 01"6- CyJ 16 NEW ❑ BK PG ® } License Number Lic.Class DESC NOF RK ADD VALUATION op a Contractor Date > ALTER ❑ $ �a U �r ❑ 1 am exempt under Sec. ?/ REPAIR ❑ $ Q BAP.C.for this reason DEMOL ❑ W LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ 137 W Signature Z-31 tit APPLICANT(PRINT) 2�2 TEFL NO. -r1 LDMA Perm# Z yly I, as owner of the property, or my employees with wages as / ' / ^gj CJ Z their sole compensation, will do the work and the structure is ADDRESS pO not intended or offered for sale (Section 7044, Business and �� y15 C� ��I FINAL -DATE 5I,5-- Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of theproperty, am exclusively contracting Wlttl OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > r•- licensed contractors to construct the project (Section 7044, NGS_i a YES❑ NO❑ Business and Professions Code.) WILL _� ; LL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING C '1'- e' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 5''�')U,: 10. CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR T r t GUIDELINES. C I hereby affirm that there is a construction lending agency forAi L L_ IJ YES❑ NO❑ the performance of the work for which this permit is issued(Sec. T I 1 L 165 - 55 3097,CIV.C.) MANE READ I UNDERSTANDHE MY REQUIRES MATERIALS INFORMATION GUIDE AND THE SCAOMDSCOUNTY CODE,CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTV CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS CHEr,K J-165.55 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 0 o "Ilit9'-�Lender's Address t L�'LL,,��r'-i ,1,-13 p� OWNER OR AGENT oI certify that I have read this application and state under penalty N of perjury that the above information is correct.I agree to comply P.C.FEE �'�� PERMIT FEE (i� with all cc ty Ord' ances and Stat relating to building d COCons nd by a thorize r re tatives of this County ISSUANCE FEE a n the ve-m do d p p r pection purpo 4aJ8571? y �y; +.7 CD / ✓ INVESTIGATION FEE TOTAL FEE O SEE REVERSE FOR EXPLANATORY LANGUAGE ' s APPLIC�►TION FOR BUILDING PERMIT 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 consent to self insure, h Cp7 or a certificate of Workers'Compensationn S's BUILDING ADDRESS X Insurance,or a certified �'TvE AA 9- copy thereof(Sec.3800,Lab.C.) CITY G7 V(v� ZIP CY/ 7$ r11, LOCALITY Policy No. Company SIZE/OF OT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. /Al/ qv!pNEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection 1�ul BLOCK LOT NO. USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGEPARCEL //// 7 � �/�/1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OF 7 TEL NO. / (� YES NO COMPENSATION INSURANCE V; EN &400 E ^911rT WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred �1 ADDRESS dollars($100)or less.) /A16.70^/ ABLVO DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY Q I certify that in the performance of the work for which this permit CITY ZIP� is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. a� ✓ become subject to the Workers'Compensation Laws. p\a STATISTICAL CLASSI ICATION APT CONDO Date Applicant \ ADDRESS CLASS NO. 7 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of V 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, OWJr— FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION `� SIDE w CITY LIC CLASS P L I hereby affirm that 1 am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP d � Professions Code,and my license is in full force and effect. f.:52 • 0�J9 40AJ " NEW 11 BK PG U License Number Lic.Classy DESCRIPTION OF WORK ADD TX VALUATION ContractorDate 7/a OF / I AIe� ALTER ❑ $ �-o �. 70 45�TVJS7A FW-1- REPAIR ❑ ❑ I am exempt under Sec.. � z BAP.C.for this reason ,VJPM 0.4= s7 DEMOL 11 — Date: USE OF EXISTING BLDG. LDMA P/C# - S//V LEti iL ,��5/Q6i/71 RM ❑ Signature AP LICANfT(PRINT) TELNQ LDMA Perm# ' Jy� I as owner of the property, or my employees with wage s as �v AgI�L J 1 7 -J�� Z i•I_i as / their sole compensation, will do the work and the structure is \ ADDRESS O �r�a}- not intended or offered for sale (Section 7044, Business and 5J� • U/v/Od✓ S S C '9111!ZFINAL DATE a �+�+-� Professions Code.) _ La 00. 1 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL \\ OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �•f•T 6 licensed contractors to construct the project (Section 7044, _ AC %a- Business and Professions Code.) YES❑ NO❑ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDINGOCCUPANT REQUIRE REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMD1 SEE PERMITTING CHECKLIST FOR �A J GUIDELINES G`�•TJ'�t,�i •S L1 /C L 1TErii I hereby affirm that there is a construction lending agency for V �` �r 5 YES❑ NO❑ ;I-1 S I':� 46-3 a sa LO C4 the performance of the work for which this permit is issued(Sec. a 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 4 a 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CHECKLt.jr�'a 3F TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 14_S IN rat �CC o Lender's Address __ OWNER OR AGENT ' o I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE of perjury that the above information is rrect.I agree to comply ` rr r r� j2/i6/94P N with all un rdinances and Stat laws relating to building �•J �� ,�>_ILE.f-t !1 constru n, a hereby authorize re sentatives of this C my ISSUANCE FEE / i�Q7 ; ato ent u n t above-menti�ned p for inspect' n pur ses m / INVESTIGATION FEE TOTAL FEE '2 Jr Sig-t=a Applci,l Ax*1 Dn 9 SEE REVERSE FOR EXPLANATORY LANGUAGE A APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING' U DI I hereby affirm that I have a certificate of consent to self insure, BNG ADDRESS J *—/or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP s '7 9086 LOCAL Y '�1 Policy No. Company SIZE LO O.OF BLDGS WON LOT NEAREST CROSS ST ❑ Certified copy is hereby furnished. �� . ❑ Certified copy is filed with the county building inspection BLOCKLOT N 'department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL !TA 62— RPI-) SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER IP_G ev- 7 TEL NO. COMPENSATION INSURANCE J WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS � dollars($100)or less.) JGII!Q yJ J7�/� /3Lrr/ DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY Y I certify that in the performance of the work for which this permit Cl ZIP Is Issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLAS IFI TION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRAR gO, SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith CAIJAi &4- 6 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP 0 (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES N0.OF FAMILIES NEW I BK PG C Professions Code,and my license is in full force and effect. / License Number LIC.Class DESCRIPTION OF WORK voev Opp ❑ VALUATION N C Contractor Date ) ALTER ❑ n ❑ I am exempt under Sec. REPAIR ❑ $ z B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PFUNT) TEL-L4Q. LDMA Perm# - I as owner of the property, or my employees with wages as L•�L.— alv —6444 ZY their sole compensation, will do the work and the structure is ADD E S O t= l� not intended or offered for sale (Section 7044, Business and 26 • ,°t��Li FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MA ERIAL 1 J 1 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, a3 owner of the property, am exclusively contracting with OR SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ' licensed contractors to construct the project (Section 7044, YES❑ NO❑ A L%,1 Business and Professions Code.) KAI, a WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING •.Jsliv.. OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �• CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES +• I hereby affirm that there is a construction lending agency for YES❑ No❑ I�j � - N the performance Of the Work for which this permit IS ISSUed(Sec. -95 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. [.)_}r-1•f 4U.a:� CM TITLE 2.CHAPTER 2 20 SECTIONS 2.20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS I D, Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. i•,�-1r t•f?AN E •0 Lender's Address OWNER OR AGENT 0 o I certify that I have read this application and state under penalty 0 of perjury that the above information i correct.I agree to comply P.C.FEE Q PERMIT FEE �OJI IBJ_}I �i:� _� 0 wiAru nty rdinances and S Is relating to building N coan hereby authorize resentatives of this Co my ISSUANCE FEE /. ato an t above-mention erty for inspectio pu !v ro INVESTIGATION FEE TOTAL FEE sgna,ec a ApplitdM ,AWeM oe" 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 BUILDI G 7E_S,$ i BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, .- _ or a certificate of Workers'Compensation Insurance,or a certified � copy thereof(Sec.3800,Lab.C.) CITY �-7 ZIP���5 Policy No. CompanyrPV LOCAL SIZE OF O L� NO. BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. � s � � NEAREST CROSG 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 1.15 zap G7 S OWNER TEL NO. PECIAL CONDITIONS '•Jf�$Lti l'�J CERTIFICATE OF EXEMPTION FROM WORKERS' u-, YES No COMPENSATION INSURANCE �/.&�.D ICl OF 142425 fG WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)Or less.) ) Q JS � DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY 43 I certify that in the performance of the work for which this permit � �CITY ZIP1/6 is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLA�ICATION APT CONDO Date Applicant ADDRESS CLASS N0. �� DWELL UNITS NOTICE 70 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. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovislons 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 PG BK NEW , ,4'U Professions Code,and my license is in full force and effect. n1-J46: G L License Number LIC.Class DESCRIPTN OF WORK e A' e ADD ❑ VALUATION ® C Contractor Date L+�f/lvl W �I ALTER ❑ $ �/ C L-�C�J.i�11 C,-7CPJF^4 O REPAIR ❑ $ .f:i .i E El am exempt under Sec. BAP.C.for this reason DEMOL ❑ LDMA P/C# :5I' L Date: USE OF EXISTING BLDG. URM ❑ s Signature A LICANT(PRINT TEL NO. LDMA Perm# �• Z I, as owner of the property, or my employees with wages as I :+ . TIC their sole compensation, will do the work and the structure is ADDRESS �s� not intended or offered for sale (Section 7044, Business and 51 eC" &V-q CT- TJII FINAL DATE Q _-{ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL q-9 a G 1 I I E, ❑ I, as owner of the property, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I HL. -_A p Y� y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 1 U-N —� 7' �.. licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) 1.f IECK ::3!otic WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING !t fr� COAST AIR QUALITY MANAGEMENTOCCUPANT REQUIRE A PERMIT RDISTRICT CIAOMDRON OMODIFICATION CHECKLIST FOR CHANGE e f l}I CONSTRUCTION LENDING AGENCY GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ CM the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING {,j ij 51_j i'1�1 :fy-4•Ol. 3097,Civ.C.) i CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 3961 Mi i 1 IL Lender's Address OWNER OR AGENT 0 c 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 N with all county ordinances and tate laws relating to building �•J �/0 CO construction, an hereby authoriz representatives of this County ISSUANCE FEE 03 to enter n the bove-mentione operty for inspectlo puri dsje . / INVESTIGATION FEE TOTAL FEE 34mWm a mom m m SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR,BUILDING PERMIT IT COUNTY OF LOS ANGELES BUILDING AND SAFETY M(IORKER-S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING S BU DING ADDRESS I hereby affirm that I have a certificate of consent to self insure, ���! or a certificate of Workers'Compensation Insurance,or a certified CITY E ZIPW//�' C copy thereof(Sec.3800,Lab.C.) 178f� JL OCALI Policy No. Company SIZE O NO.OF BLDG .NOW ON LVOT .Z [:1j /�Certified copy is hereby furnished. S NEAREST CRS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. , USE ZONE MAP NO. Date Applicant ASSESSOR MA BOOK PAGE PARCEL 3 2 j raj p�I�D SPECIAL CONDITIONS } CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER VF CEL NO. �I~ COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO C ` (This section need not be completed if the permit is for one hundred AD KESS dollars($100)or less.) DISTRICT GROUP ONST. FIRE ZONE PROCESSED BY CITY LA ��I� ZIP 1� I certify that in the performance of the work for which this permit Q - � -:1r is issued, I shall not employ any person in any manner so as CHITECT OR ENGINEER TEL NO. jr, become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFI ATION APT CONDO Date Applicant DRESS 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' TRACTOR TEL NO. SET BACK YARD HWY PROP UNE 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 PILE CITY LIC,CLASS PL 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 STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG DESCRIPTION OF WORK ` ADD ❑ VALUATIO C License Number Lic.Class $ � Contractor Date e7 ALTER ❑ '04�osfjP')I(J7 REPAIR ❑ F El am exempt under Sec. BAP.C.for this reason. DEMOL LDMA PIC# C u Date: USE OF EXISTING IM _TING BLDG. e URM ❑ U Signature APP ICANT(PRINT) T L NO. V LDMA Perm# e AC' 1 ❑ 1, as owner of the property, or my employees with wages as ` 7 S ZO AC'C:� o� their sole compensation, will do the work and the structure is ADDRESS pp not intended or offered for sale (Section 7044, Business and Wj •D l—, �`�/ FINAL DA E Q Q 001��I!ti 1L 1. 71 Professions Code.) WILL THE.APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J 1 !TEM, ❑ I, a3 owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE �r Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j�k iLF o licensed contractors to construct the project (Section 7044, YES❑ NO❑ ! 8 Business and Professions Code.) rr u�j�r•(/ .r 1 r WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHEM is 1.Aj OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORGUIDELINOR o j11 I hereby affirm that there is a construction lending agency for YES C3NOD J a the performance of the work for which this permit is issued(Sec. a 3097,CIV.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, [irf[Itl—[II t !�, 2/15/9,t TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS _ Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. `p t (�M ;`t^` c Lender's Address 77 1� o ?WKER OR AGENT c 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 N with all co 9 g y o finances and to taws relating to building constructs , and reby authoriz I' presentatives of this Coun ISSUANCE FEE / 0 co to enter on he ove-mentioned y perty for inspection r� ` INVESTIGATION FEE TOTAL FEE , y U� 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 ADDrRESs BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified cjoNf­ copy thereof(Sec.3800,Lab.C.) CR D�M41z--- CJ7 ZIP ' 00 LOCALITY Policy No. Company SIZE OF LOT. z NO.OF BLDG&NOW ON LOT ❑ Certified copy is hereby furnished. � , _ --!!:p NEAREST CROSS ST. EI Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. b N(A department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL /� 1 .- � / r8CHOOL? fnfl S OWNER ��+. OP 7 TEL NO. � �� /1 [j r CERTIFICATE OF EXEMPTION FROM WORKERS' �/`� L�' YES No COMPENSATION INSURANCE WITHIN 1000 FT. (This section need not be completed if the permit is for one hundred ADDRESS ''rrye dollars($100)or less.) t� /---. . ]� Yii.,r DISTRICT TYPE CONST. FIREZONE PROCESSED BY CITY ZIPI certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to CHITECT OR E GI E T L NO. �f become subject to the Workers'Compensation Laws. �e v 167 -$ ~ CLASSS NO.L CLASSIFICATION DWELL UNITS f APT CONDO Date Applicant ADDRESS m� �cl_,,� m C�� —_LfG��—. ' NOTICE TO APPLICANT. If, after making this Certificate of 3WO I-j 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 SIDE _ CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP t��- I °a (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SI Z NO.OF STORIES NO.OF FAMILIES _ '" 1 NEW BK PG p� !,.', 3-7 L_:I°a C Professions Code,and my license is in full force and effect. _ c License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION /� ��y.,� ® 1 O Contractor Date .4 1A ' s� ALTER ❑ U } j_ r` F y7 r1 j0,, :ls _°�°: 17 Q 3 e— M REPAIR ❑ rc��c� ` _ •,: ;i `�_ , 1 c ❑ I am exempt under Sec. ,,/ f7 v� $ I{ t•rad.=' - e B.BP.C.for this reason XM-e, A /��/sV `v/ 0- r � DEMOL ❑ LDMA P/C# I�vy►� PiA0.GE- Dater USE OF EXISTING BLDG. URM ❑ Signature APPLICANT 43(PRINTE N LDMA Perm# I�1.as owner of the property, or my employees with wages as T) O nrr • =r~�: their sole compensation, will do the work and the structure is ADDRESS fh ?: Fj° ? F I, 'i ••V not intended or offered for sale (Section 7044, Business and X5-4 iml 7 FINAL DATE Q ., VQ d" L'! Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MA ERIAL " -�✓ -J L}� __ ❑ 1, as owner of the property, am exclusive) contracting with ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE e'� Y Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i L(""! licensed contractors to construct the project (Section 7044, YES❑ No U,— Business Business and Professions Code.) I `)�'L ='='-�'°=�' WILL THE INTENDED USE'OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH C'. f`9 1-'.':° rI= i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI 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 AjJC copy thereof(Sec.3800,Lab.C.) CITYG,' LOCA ZIP TY / Policy No. Company SIZE FLg NO OF BLDG&NOW ON LOT ❑ Certified copy is hereby furnished. z-M. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL 7'_36 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER A0 TEL NO. WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE. ADDRESS DISTRICT GROUP TY CONST. OCESSED BY (This section need not be completed if the permit is for one hundred D �� ,p, / dollars($100)or less.) �"v 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 C Y ZIP /16 become subject to the Workers'Compensation Laws. ARCHITECT O ENGINE T L NO. � 7 _ STATISTICAL CLASSIFICATION VAPT CONDO Date ApplicantAD EeSS t CLASS NO. DWELL UNITS NOTICE 70 APPLICANT.' If, after making this Certificate of ro h • [_ REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR p� TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith BV' FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 > (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIESry� SEWER MAP C Professions Code,and my license is in full force and effect. P` BK PG ® tC.',DESCRIPTION OF WORK CLicense Number Lic.Class /O ' VALUAT1oNContractor Date ❑ $ (/ ���' °P' c~"' OAJw ❑ 1 am exempt under Sec. L REPAIR ❑ $ z BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# " qK1,as owner of the property, or my employees with wages as 7 J� Z �I / `their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE a i:__ _7 , Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY _ licensed contractors to construct the project (Section 7044, ❑ � _�;r.� —1.�=P� o _ '� Business and Professions Code.) ves 11 No _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR _ GUIDELINES I hereby affirm that there is a construction lending agency for ves❑ No❑ yJ/� '" /d '`_��'�i`- "j_ athe performance of the work for which this permit is issued(Sec. 0) 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 13097,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 _i_; I_^:j'( Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. C33 Lender's Address - CI OWNER OR AGENT c I certify that I have read this application and state under penalty 4 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State a relating to building (da constru n, he authorize rep sent ives of this un ISSUANCE FEE o e e ab menti a pro ert ection o 8, a !f/ m INVESTIGATION FEE TOTAL FEE a / p oyo SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0101230039 PHONE: (626) 285-0488 EXT: LEGAL I : NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6355 #E7 OAK AV STRUCTURE: 0 VN TEMP CA 917801336 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-017-030 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG SE: RESID USE 0 : R--T— ISSUED ON- PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/23%01 UT 07/22/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT. FINAL BY: CODE: CASA ROBLES NAZARENE MISSIONARY (626) 286-9455- 1 2,250 (L1r 6355 OAK AV i TEMP 917801336 FEES PAID DESCRIPTION OF WORK t TEAR OFF EXISTING ROOF OF SHOP, RECOVER WITH TIMBERLINE 25 APPLICANT: TEL. N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: YEAR COMP. SHINGLES SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID_ 2250.00 VAL 0.50 SPECI L CONDITIONS: D2 PERMIT W/O,,EN'HC-=-`=2250.00 VAL 99.00 ` h -�§TQTAL-ZFEES 127.25 CONTRACTOR: TE 17. N0: APPR 'ALS DATE INSPECTOR SIGNATURE SAME AS OWNER �,,. .s LIC. NO �, n ✓✓`rte *; LOCATION AND SETBACKS If X� (� t� /_� + SOILSiENGINEER APPROVAL ARCHIT C OR ENGINEER: EL. 0: ,; / ' ii �_ •!I!-� j ;\ . FOUNDF, ION/TRE CH 0 S LIC. NO /,, _ 1. I i I , ,`) SLAB/UNDER FLOOR -- - RIE FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPi� UNDERFLOOR INSULATION 153H265 3 01:• �i X11,' 'i. ` ' J' Ji FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: P /CO D: STAT CLASS:------ -- - --- --------- -- --- f NO 21�\�- •�- - .�' % =i _ ;�,�I ROOF SHEATHING SCHOOL WI -HAMAR-DO-US �' '+ �\ �� ' 1 �4` / AR, A E S AIR QUALITY: 1000 FEET MATERIALS NO NO NO - FRAME INSPECTION / 1 REQUIREDTOTAL SETBACK--F-R--ONM------EERIS IRE SPRINKLER HANGERS l SET BACK YARD: HWY: PROP LINE: WIDTH: %".- FRONT PL- ULA ��st'!CE y,a�; � INSTION/WEATHER STRIP SIDE PL- '�=�_r-:�i_Y��• INTERIOR ATH/DRY A EXTERIOR LATH RATED LOOR/CEI ASSE . RATED'WALL ASSEMBLIES A ED S A TS/OP N GS T-BAR' CEILINGS LOT D AI GE REPORT ID: DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 r r BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ALTERATION/REPAIRI BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 00040500091 PHONE: (626) 285-0488 EXT: --______j LEGALID: , OF CONST .B I J NG_.ADDRESS: ON FILE SQ. FT STORIES TYPE -6355 #8 OAK AV -- ASSESSOR INFORMATION NUMB R: STRUCTURE: 140 VN TEMP CA 91780133/ NEAREST CROSS STREET,:, LONGDEN 5382-017-030 THOMAS PAGE: 596�-GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZO E: R- ISSUED ON: PROCESSED BY: EXPIRES OW-- EXIST :EXIST OCC GRP: 04/05/00 UT 10/02/00 OWNER: TEL. NO: FLOGS .NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: 6CASA 355 ROBLES NAZARENE MISSIONARY (818) 286-9455- 1 2,800 ��Z.' ��t OAK AVTEMP 917801336 FEES PAID FE-SCRIPTION OF WORK PATIO ENCLOSURE - 140 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. O: ti SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2800.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVI•E.w--F� 54.70 D2 PERMIT 'A' �CE�.E 80 COQ VAL 99.00 CONTRACTOR: TEL. N0: - �OCJ �T� 181.95 APPROVALS DATE INSPECTOR SIGNATURSAMEE - LIC. NO LOCATION AND SETBACKS 1 SOILS ENGINEER APPROVAL r ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCHFOUNDATIONPRENCH FORMS 's LIC. NO SLAB/UNDER FLOOR 1111111 r 1i RAISED FLOOR FRAMING r— I MAP 53H265 SEWER MAP BOOK: PAGE: FIRE ZON3: MP,�\ - D UNDEf{FLOOR INSULATION L01 JI/Ir11/// FLOOR SHEATHING 0. 0 FAMILIES: DWELLING UNITS: P COND: STAT CLAS�Sga- / NO 21y�( f+ (tau �� - ROOF SHEATHING SCHOOL WITHIN HAZARDO S ``\\\ Li5 c �S ;�IR� SHEA PANELS AIR QUALITY: 1000 FEET MATERIALS ! U irtr;• NO NO NO I/1 FRAME INSPECTION �• I� El EQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET A 11 FRONTPL- YARD: HWY: PROP LINE: WIDTH: b��C Servic - lyhl o INSULATION/WEATHER STRIP SIDE PL- �-� INTERIOR LATHPIEYWAL ,?oZ EXTERIOR LATH RATED FLOOR/C IL ASSE . I RATED WALL ASSEMBLIES I RATED S AFTS/OP NINGS T-BAR CEILINGS O DR I AGE REPORT ID: DPR261 ROUTE TO: BS0508 •' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS '- RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA . BL 0508 9702250047 PHONE: (818) 285-0488 EXT: EGA 0. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6355 #6 OAK AV STRUCTURE: 254 1 V R3 TEMP CA 917801336 ASSESSOR INFORMATION UMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5382-017-029 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: 0 ri-STFL—DG USE: USE 0 ISSUED ON: PROCESSED EXPIRES ON: EXIST OCC GRP: 02/25 i 2/2/97 TC 0 /98 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- �! 22 7,000 6355 OAK AV ' TEMP 917801336 FEES � PAID ESCR PTION OF WORK FEE DESCRIPTION: ^�� .Q-NTr 06mfQ& ENCLOSE EXISTING PORCH FOR HABI ABLE�SPACE `�� AMOUNT: APPLICANT: T ° SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES.IDw 7000..00-VALE SPECIAL CONDITIONS: AX BUILDING REVIEY,.FEE 54�70s B2 PERMIT W/ENERGYa / 7000.00 VALE 83 6. �� iTO1"AL FEES 266:80; CONTRACTOR: TEL. NO: �%mil DAPPROVALS DATE INSPECTOR SIGNATURE 10 SAME AS OWNER - s ,, P% _ LIC. NO [� ' _ 0 �G ` '-0 IO N SETBACKS ������ SOILS ENGINEER APPROVAL C CT OR ENGINEER: E O: d�lll FOUNDATION/ RENCH FO S 1 i LIC. NO: ` L I SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 g� '�\ , -UNDERFLOOR INSULATION -IST LEVEL FLOOR 0. OF FAM S: DWELLING TS: APT/COND: STAT CLASS—., NO 21 2ND LEVEL FLOOR SHEATH SCHOOL I HAZARDOUS " ROOF SHEATHINU AIR QUALITY: 1000 FEET MATERIALS W NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANE S SIDE PL- INS L ION/WEAT ER STR P INTEkIOR LATH/DRYWALL b EXTERIOR LOT DRAINAGE- E EC 0 DE C FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 •. -�' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702250049 PHONE: (818) 285-0488 EXT: LEGALO. 0 CO ST- NEW BUILDING ADDR S : ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6355 #11 OAK AV STRUCTURE: 121 1 V R3 TEMP CA 917801336 ASSESSOR FO 0 NUMBER: GARAGE: .NEAREST CROSS STREET: LONGDEN 5382-017-029 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: IS G USE: -- USE ZONE: SS ED 0 PROCESSED BY. EXPIRES O : EXIST OCC GRP: 02/25/97 TC 02/25/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA BY• CODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- 22 7,000 -n_ /J_ /j D 6355 OAK AV d -7i I/ TEMP 917801336 FEES , PAID DESCRIPTION IO OF WORK FEE DESCRIPTION: �g G91�It'UY:� 01oue AMOUNT: ENCLOSE EXISTING PORCH FOR HABITABLE USE TEL. 0: �i SAME AS OWNER - AA BLDG PERMIT ISSUANCE . 27,_.75 AC STRONG MOTION_RISID`d 7000:00-VALE Q0 SPECIAL CONDITIONS: AX BUILDING REVIEWlFEE� ,-i 5x,70'. B2 PERMIT W/ENERG% 7000.00 vv 183.15 TOTAL FEES 266:80 A CONTRACTOR: TEL. N0: �� / APPRO ALS DATE INSPECTOR SIGNATURE SAME AS OWNER - 1_ ��"k=�; LIC. NO p p ff U 0 AND SETBACKS � n SOILS ENGINEER APPROVAL L ARCHITECT Olt—ENGINEER: L. 0: i�u� b �1 iul _ c�J'II i 0 N 0 /TRE S LIC. N0: �1 = - SLAB/UNDER FLOOR D FLOOR F P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 \� / UNDERFLOOR INSULATION �: //// 'I'ST LEVEL FLOOR SHEATH 0. OF FAMILIES: DWELLING S: APT/COND.--STAT CLAS97 NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ®� ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR P NELS SIDE PL- INSULATION/WEATHER L- S LA ON/W R STRI INTERIOR ATH/DRYWALL Jz1 EXTERIOR T LOT DRAI NAGE SMOKE-DETECTION DEVICES IRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS05O8 •- . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD -BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702250048 • PHONE: (818) 285-0488 EXT: EGA D: . OF CONST NEW BUILDING-ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6355 #7 OAK AV STRUCTURE: 124 1 V R3 TEMP CA 917801336 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5382-017-029 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: SS D : PROCESSED— XP RES ON: EXIST OCC GRP: 02/25/97 TC 02/25/98 OWNER: TEL. NO: BLDGS. NON ON LOT: VALUATION: FINAL DATE F A BY: C , ,CODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- 22 7,000 �1_4e ../�_4 e �(/ T355 OAK AV EMP 917801336 FEES , PAID DES( 14 0 WOR �n �1' FEE DESCRIPTION: ®'QI�TIeTY):6M Q AMOUNT- ECLOSE EXISTING PORCH FOR HABITABLE SPACE APPLICANT: E 0: Vi a SAME AS OWNER - AA BLDG PERMIT ISSUAICE 627.75 AC STRONG MOTION RES,ID"' �7000.-00-VALE 0.4/0 SPECIAL CONDITIONS: AX BUILDING REVIEWaE'EE `, 54�70� B2 PERMIT W/ENERGY4 i• 7000.0 VAL`' ��183:65�y °# TOTAL, FEES ( '��266:80 CONTRACTOR: TEL. N0: gg�� i�{-�i�� G \� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO C� �.:� �� r; �. WCATION AND SETBACKS T, 6�� „�li.-�. � SOILS ENGINEER APPROVAL F U DA IO ARCHITECTOR ENGINEER: E 0: I a ?UI��� '�-'� '_ ITREWC ORWS LIC. N0: 1�1` `' �i �r — I SLAB/UNDER FLOOR i PAIISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 °UNDERFLOOR INSULATION 0. OF FAMILIES: DWELLING UNITS: A T CO IST EL OOR ST: STAT CLASS: � NO 21 e2 ND LEVEL FLOOR SHEATH AIR QUALITY: 10000 FEETTHIN MATERIALS ROOF S HIN NO NO NO e � FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT.—FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INS LATIO / EA HER S P INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE S 0 E C O E IC FIRE DEPARTMENT APPROVAL 0 MCI REPORT ID: OPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508• _BULLDI:NG=PERNI.TL1 • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS jtESI.DEN-L-IAL_ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 B '0508-9W7l'000l9 PHONE: (626) 285-0488 EXT: LEGA D: NO. OF CONST NEW EkU-I-LDJNG_ADDR ESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP - 6355_ 19 OAK-Aq=.: STRUCTURE: 0 1 VN R3 '=TEMP_-CA91:7861336 ASSESSOR INFORMATION UMBER: i GARAGE: NEAREST CROSS STREET: LONGDEN 5382-017-030 OTHER: 139 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: UrST BLDG USE: USE ZONE: ISSUED 0N: PROCESSED BY: EXP FRYS0 . EXIST OCC GRP: 02/10/99 UT 02/10/ 0 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- 8,000 6355 OAK AV TEMP 917801336 FEES PAID DESCRIPTION OF OR -ADDITION OF SMALL RECREATION ROOM-= -39"SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -- APP CANT: TEL. 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION Ag�9SlDD,, 8000.00 VAL 0.80 SPECIAL CONDITIONS: B2 PERMIT W ���800�00 VAL 201.30 Mt�1GEQ.ESTQ�T.A® F E 229.85 CONTRACTOR: TEL. NO: - ®� ��/,.� APPROVALS ATE INSPECTOR SIGNATURE SAMELIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: T L. NO: - / FOUNDATIONPREW OR S LIC. NO- L 1111111 SLAB/UNDER FLOOR FLOORFRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: Ms, n pD `1 n�]� UNDERFLOOR INSULATION vUC u v K S IST LEVELFLOOR SHEATH 0. OF FAM LIES: DWELLING UNITS: AP CO D: S T CLAS. . NO 211� p 2ND LEVEL FLOOR SHEATH 19 0 SCHOOL T I A R-50 S ! rrt , ROOF S HIN AIR QUALITY: 1000 FEET MATERIALS Z9 ❑NO NO NO �y IRE DEPT. FRAME INSPECT EQUIRED TOTAL SETBACK TROM EXIST 4Pj� 10�� BLDG DEPT. FRAME INSPECTSET _'fw FRONTACK PL- YARD: HWY: PROP LINE: WIDTH: �C Service That SHEAR PANELS ` SIDE PL- INSULATION/WEATHER L- INSU ION/W AT ER S RI INTERIOR LATH/DRYWALL 3 EXTERIOR LATH LOT DRAINAGE SMOKE-D C 0 E C S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 y COUNTY OF LOS ANGELES r TEMPLE CITY # 0508 SUF�fNG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS �,,,.RESIDENXIAL-_WDD- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 050$-99021'00018 PHONE: (626) 285-0488 EXT: LEGAL ID: 0 CONS -B LLD•• _A._ : ON FILE SQ. FT STORIES TYPE OCCUP GROUP X6355-* &K. AW STRUCTURE: 0 1 VN R3 TEMP-;M-917801336 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGOEN 5382-017-030 OTHER: 111 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: E BLDG USE: USE ZONE: ISSUED ON: PRO Y: E . EXIST OCC GRP: 02/10/99 UT 02/10/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F11B CODE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- 6,400 5r-7--00 6355 OAK AV TEMP 917801336 FEES PAID DES R PT ON OF WORK ADO,L71DN=gF-SMAL'L_RECREATION-ROOM-1.11-SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT A TEL.-NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION Lp==--6400.00 VAL 0.64 SPECIAL CONDITIONS: B2 PERMIT W VAL 182.82 GELESTI�L� 211.21 CONTACTOR: TEL. NO: - �o� ��A� APPROVALS ATE INSPECTOR SIGNATURE SAMELIC. NO LOCATION AND SETBACKS / SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: FOUNDATION/TRENCH FO S LIC. N 1111111 SLAB/UNDER FLOOR _ RAISED FLOOR FRAMING 14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: M �� DD--WC �n n O�K UNDERFLOOR INSULATION s11 v v ST LEVEL FLOOR SHEAT 0. OF F IL D G NITS: APT/CO : STAT C A5 NO 21 167 0 ND LEVEL FLOOR SHEATH SC H DO WITHIN ARS *. OOF S I G AIR QUALITY: 1000 FEET MATERIALS J .F NO NO NO A EJ ' ®y IRE DEPT. FRAME INSPECT REQUIREDTOTAL SETBACK FROM EXIST 4b�• 11 _q1 Odd BLDG DEPT. FRAME INSPECT SET FRONBACK YARD: HWY: PROP LINE: WIDTH: �C sT PL- @/VIC That Vtl SHEAR PANELS Z Z,S SIDE PL- S L IO STRIP y r INTERIOR LATH/DRYWALLS EXTERIOR AT -7 LOT DRAINAGE -- SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVA REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES I TEMPLE CITY r # 0308 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 BL 0508 0001100064 PHONE: (626) 285-0488 EXT: GAL ID: NO. OF CONSTNEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6355 #E6 OAK AV STRUCTURE: 0 1 VN R3 TEMP CA 917801336 ASSESSOR INFORMATION NUMB : GARAGE: NEAREST CROSS STREET: LONGDEN 5382-017-030 OTHER: 184 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY I TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/10/00 UT 07/08/00 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINALB CODE: CASA ROBLES NAZARENE MISSIONARY (626) 286-9455- 1 2,500 6355 OAK AV op TEMP 917801336 FEES PAID UESCRIPTIONOF WORK PATIO ENCLOSURE 184 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 7-El. NO: r SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING 54.70 D2 PERMIT W/0-EN -UC--_-_ -22500:00 VAL 99.00 TO.T.AS-FEESa,� 181.95 CONTRACTOR: TEL. NO: - Cj �� � APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO �•Ff%' ti �,/✓� �.`.;� LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: - ` DUN DAT I O /TRE C FO S LIC. N0: I SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: + + I„ 6 UNDERFLOOR INSULATION 3 : f 11 � \��1��r ,� -_IJ -L: IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:- --------- ---- -- --------—� NO 21 / ;-- ---;� ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \ f% 1 1-1 „ ' ROOF SHEATHING `00 AIR QUALITY: 1000 FEET MATERIALS �1 NO NO NO , J + '�_� �r r :.��,� FIRE DEPT. FRAME INSPECT :r REQUIRED TOTAL SETBACK FROM EXIST t ( / I ` LLQ �'�;J: `� BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: � FRONT PL- ,, i fii� SHEAR PANELS SIDE PL- t..e �' NS L'A IO WEAT ER S R INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES ,l TEMPLE CITY # 0508f BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS I 9071 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702040068 PHONE: (818) 285-0488 EXT: ! EG 0T_ CONST DING ESS: ON FILE SQ. FT STORIES TYPE 6355 #12 OAK AV STRUCTURE: 1600 TEMP CA 917801336 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5382-017-029 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: IS BLDG USE: RESID USE ZONE: ISSUED 0 OC B PIRES ON: EXIST OCC GRP: 02/04/97 TC 02/04/98 ,OWNER: TEL. NO: BLDGS. NOW ON LOT: ALUATION: FINAL DATE FINAL BY: CODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- 23 0 ! 3 6355 OAK AV 1 i TEMP 917801336 i FEES�PAID�, DESC P ON 0 R FEE DESCRIPTION: a ®Ql 1NT -T e AMOUNT- DEMOLISH EXISTING RESIDENCE - 1600 SQ FT SAME AS OWNER APPLICANT: EL. N0: - I AA BLDG PERMIT ISSUAFIC4��j _ /I 27.75• 02 DEMOLITION INSRECCTTN� 163�Q SPECIAL CONDITIONS: TOTAL-FEES 191 r25, I u •��', 4. CONTRACTOR: TEL. NO: s A PROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO � 1_y 0 0 coPEDESTRIAN PROTECTION SEWER DISCONNECTION ARCHITECT 0 0911 L. NO: SN 0 o� lteund ABA -ON PR I VATDIS OS L LIC. NO: UNDERURND STRUCT REMOVAL Mill ,AND SOIL RECOMPACTION MAP NO:153H265 SEWER MM AP BOOK: PAGE: FIRE ZONE: C01 ®� 0. OF FAMILIES: DUELLING S: APT/CO : STAT CLASS: ! NO 23 SCHOL WITHIN HAZARDOUS ®� AIR QUALITY: 1000 FEET MATERIALS NO NO NO . r dttffiE7T S NO11ftCAItON ofiftcaf,lia letter sent to 1.QMD or EPA box 01 dacLaro Leat notitrce!x:a of asbestos 1 mmoeal es a "°to add,e I �0� ! Sigatabr �� i I ! REPORT ID: DPR261 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT _ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0206100004 PHONE: (626) 285-0488 EXT: DUPLICATE SGA D S: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6355 #E4 OAK AV STRUCTURE: 136 1 VN R3 TEMP CA 917801336 ASSESSOR OR 0 U B GARAGE: NEAREST CROSS STREET: LONGDEN 5382-017-030 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: UriST 8 m U USE ZONE: ISSUED 0 C B EXPIRES EXIST OCC GRP: 06/10/02 JK 12/07/02 OWNER: TEL. 0: BLDGS. N ON LOT: VALUA 0 FINAL DTE --n NAL B CODE: CASA ROBLES NAZARENE MISSIONARY (626) 286-9455- 5,000 _7-0b.-.�y 3 6355 OAK AV TEMP 917801336 FEES PAID UR—SMMMN OF WORK ADD 81X171 BREAKFAST RM TO KITCHEN & DINING ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDIT ONS: DIR: DAVID B MOYER D2 PERMIT W/O-EN-MHC 5000.00 VAL 132.60 : TOTAL-FEES 160.85 CONTRACTOR: TEL. N0: - t �sl 'r APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO LOCATION AND SETBACKS SOILS ENGI EER APPROVAL ARCHITECT OR ENGINEER: L. : - OUNDA IO C FORMS Z LIC. NO * SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK. PGE: FIRE ZONE: CMP: ' UNDERFLOOR INSULATION 3 01 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING TS: APT/CON : STAT C S - - NO 21 2ND LEVEL FLOOR SHEATH SCHOOL I I HAZARDOUS +.` r ' SHEATHING -2 AIR QUALITY: 1000 FEET MATERIALS NO NO NO ;.', `r �� FIRE DEPT. FRAME INSPECT REQUIRED 0 SETBACK FROM E)(I S „�^ter: - %'' r < P F SP C •�L SET BACK YARD: HWY: PROP LINE: WIDTH: `--`.;'G� FRONT PL- `a _ cs�;�� �. y SH R PANELS- SIDE NE SSIDE PL- - Y _ NSUL 0 R STRIP -------- INTERIOR-LATH/DRYWALL ----INTERIOR A /DRYWA L MW ATH LOT DRAINAGE o C SMOKE DETECTION DEVIC �1 RE DEPUTMENT REPORT ID: DPR261 ROUTE TO: BS0508 i • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0012130004 PHONE: (626) 285-0488 EXT: GAL ID: NO. OF CONST E 8 I D NG ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6355 #24 OAK AV STRUCTURE: 88 1 VN R3 TEMP CA 917801336 ASSESSOR INFORMATION N MB R: GARAGE: NEAREST CROSS STREET: LONGDEN 5382-017-030 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S SE ONE: ISSUED ON: PROCESSED—BY: EXPIRES 0 :EXIST OCC GRP: 12/13/00 UT 06/12/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: 6CASA 355 ROBLESOAK AV NAZARENE MISSIONARY (626) 286-9455- 30 4,500 --7— l TEMP 917801336 FEES PAID DESCRIPTION OF WORK EXTEND EXISTING BATHROOM 88 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW-FEE- 54.70 B2 PERMIT:W/ENERGY: ,-_-- 4500.00 VAL 145.86 -':TOTAL FEES. 228.81 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO %;;o LOCATION AND SETBACKS SOILS ENGINEER APPROVAL pi ARCHITECT OR ENGINEER: TEL. 0: _ FO NDATIO /TRE C FORMS LIC. NO: �_ i i_ - p `LAB/�NDER FLOOR �( RAISED TLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE 20N3: CMP01 i ;j �;�c f, UNDERFLOOR INSULATION r, ' ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING NTS: AP COND: STAT CLASS: - ---- - --NO 21 ,�, -- r, - - ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT RE Q RED A SETBACK FROM EXIST _ BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- `. �� c ;i SHEAR PANELS SIDE PL- — - - , I SU ATION/WEATHER STRIP rw INTERIOR LATH/DRYWALL EXTERIOR LATH LOT 4RAINAGE SMOKE-DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508