The URL can be used to link to this page

Home My Public Portal About6330 PRIMROSE AVE_Building__ !bAB381 2-E 0803 1/71 . APPLICATION FOR BUILD G PERMIT � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING r� /� ADDRESS -=J 3 D - �'( R COLEMAN W. JENKINS, SUPT DF BUILDING "LOCALITY T FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. FADDRESS DISTRICT NO. GROUP TYPE / PEROCESSED BY CONST. STATISTICAL CLASSIFICATION SEWER MAP BLOCK CLASS NO.,lt/—DWELL.UNITS BK PG TRACT NO.OF BLDGS. NUSE ZONE MAP 7 O. Q SIZE: OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNERr NOL, ��6.prdTE . / BLDG.SETBACK FROM ADDRESS .P7- FRONT PROP.LINE OF (STREET) TYPE OF E%tSTING1 SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WI FROM C.L. ARCHITECT O. TEL + ENGINEER NO BLDG.SETBACK FROM a ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF 1EXISTING SETBACK I HIGHWAY YARD = TOTAL ' CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. c l �J ADDRESS /�/" NO' + — 0 C LIC. F CITY CLASS CORNER CUTOFF YES ❑ NO v CONSTRUCTION LENDER 0 Co NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE TORIES FAMILIES USE OF ADD ❑ STRUCTU ALTER ❑ SIGNATU E OF REPAIR APPLICANT DEMOL ❑ VALUATION 5 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE S 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 ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATIM INSURANCE. LATH, EXT. SIGNATURE OFG HOUSE NUMBER-COR- PERMITTEE. -e— %� � RECT AND POSTED , /! ADDRESS '370 r l',/� FINAL //// ?l77 i(,�A JOHN F. LEWIS. PRINCIPAL STRUCTO'RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. .O. CASH l.E i�JtJ 7 () 9 1 ttiSEP 14 1 D 3.0 OF, Ckl v ®5 7GA638i4 ' •`_` CE/80319iEv.6/76) APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING' ADDRESS BUILDING ADDRESS. � LOCALITY rl NEAREST CITY. c T ZIP !qzn6l CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT / NOW ON LOT MAP BOOK PAGE PARCEL TRACT O `� DISTRICT GROUP TYPE FIRE lt�-4 OCf ED BY BLOCK LOT NO. ) CONST. I // TEL. �S 8 .,�� V -1.� .8 OWNER '_NO. STATISTICAL CLASSIFICATION &WER MAP ADDRESS CLASS NO. �/ DWELL.UNITS---j BK PG CITY ` ZIP 41 ARCHITECT OR TEL. VALUATION `P �� ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR J&&4g /"Q NO.-7 HI.GHWAY• + YARD = TOTAL SETBACK FROM TYPEOF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + _ CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM . NAME AND BRAAH Lf SIDE PROP.LINE OF (STREET) s L B 6CITY -CDl'� TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY t YARD ADDRESS/0 5 = SIDE PROP.LINE HIGHWAY WIDTH 0 SQ.FT. NO.OF NO.OF CHECK t = SIZE STORIES FAMILIES ONE `` DESCRIPTIONOFWORK d Q % NEW ClP.C.Fee$ Permit Fee ' / �VG4D�'.y �S`�/✓�� ADD �J Issuance Fee �� ALTER • REPAIR ❑ I Total Fee USE OF DEMOL EXISTING BLDG. El Z APPLICANT TEL G (PRINT) NO.' Q ' D BY(SIGNATURE) Q ? a091,6A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE tYL� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _ # 0 0 0 0 0 1 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF L.7 THE ELABOR CODE O THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- ' QPENS `Z o 6 6 1,00 . d 0 0 061.00x SIGNATURE PERMITTEE I G23-78 23_78 ADDRESS Z TEL. O CITY NO. C USE ZONE MAP -1 NO. oO 03 Q SPECIAL CONDITIONS. FINAL DATE 15/ 7, , ,3 BY bs 76A638A CE#1803(REV.117 78) APPLICATION FOR-BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY _ FOR APPLI NT TO FILL IN BUILDING ADDRESS G( BUILDING p� ADDRESS 330 LOCALITY i �' NEAREST CITY IP ZIP CROSS ST. ' *O.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT . MAP BOOK PAGE PARCEL el DISTRICT GROUP TYPE FIRE P ED BY TRACT BLOC LOT NO.. .�'�_�/ CONST ZONE OWNER CJS EL: STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �� _ �� CLASS NO. a DWELL.UNITS C`s BK fd*G CITY. �lzv ZIP ARCHITECT OIr TEL. VALUATION ENGINEER f N 6�Q ADDRESS BLDG.SETBACK FROM f' l@7�/ FRONT PROP.LINE OF (STREET) NT O �/ KJ. NO& TOTAL SETBACK FROM TYPE OF EXISTING . ADDRESS Z LIC.NO HIGHWAY +.YARD = FRONT PROP.LINE HIGHWAY WIDTH LIC. + - CITY ` � CLASS C CONST CTION LENDER BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET( NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING o ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + - V SIZE STORIES FAMI IES. ONE 19 ❑ USE ZONE MAP riD ` DESCRIPTION OF WORK NEW p NO. 9 o� It7�1 2SPECIAL Qo ADD CONDITIONS I IIA ALTER ❑ FINAL B'Y _ Z ❑ DATE yj J C11 REPAIR �1�,.�'(.rA'•"�i�..-j USE OF DEMOL ❑ EXISTING BLDG. C(� - O ;20� 7�°I.8 A APPLICANT TEL IPRIN NO. 0 0 —.23 BY ISIGNATUR 9 2 ° - 21.60 I HEREBY THAT THE ABOVE" TION AND STATE SCORWLER VHI EE TO COMPLY WITHAALLL ORDINANCESo 0 0 21,6Ov AND LAWS REGULATING BUILDTRUCTION.I CERTIFY THAT IN DOING THEWORK AUTHORIZED HEREBY IEMPLOY ANY PERSON IN VIOLATION OF {J THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Zg O 3-80 PENSATION INSU CE.' PERMITTER F 0 31.9 A ADDRESS Z o 0 0 0 0 l TEL O CITY NO, �61 2 a o 3 Q,0 0 a � � 0 P.C. Fee$ V Permit Fee 7 > -340 u t Issuance Fee :E0 a 1 3-8 0 d Total Fee , SA688A CE 5.61APPLICATION FOR BUILDING PERMIT COUNTY,OF 'LOS ANGELES AooRESN1 d DEPARTMENT OF COUNTY ENGINM Bl=ING AND SAFETY DMSION LOCALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DIS CT N GROUP TYPE p D FOR APPLICANT TO Mi IN .Q conisr.' BUILDING ' ^• STA 1STICALC/LfAASSIFICATION — SEWERIMAP ADDRESS 3 R\Yn S-c. SK PG CLASS.NO. DWELL.UNIT C'J .LOT NO.. 'Y' BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT �O'i• �v MAP HIGHWAY STATE MAJOR SECOND, CA �o NO.OF SLOGS. NO. QZ OD (CIRCLE) SIZE OF LOT NOW ON LOT C`J USE ZONE SPECIAL USE OF CONDITIONS 'EXISTING BLDG. TEL: , OWNER I71I I•Icm 4'�21 l.L= 7:ti C-a?- NO. �I l ga'�ifS(? BUILDING EXIST. SETBACK YARD HWY TREET NAME WIDTH ADDRESS�j3.Z•1 N t Ga:y'a7CI�1�: �tI'a7��t�:;'��C, FRONT / ARCHITECT OR TEL. 'P.L. ENGINEER NO. SIDE- R' P.L. O ADDRESS TEL. INSPECTION RECORD . oe CONTRACTOR St;Y NO. ADDRESS DESCRIPTION OF WORK ul W N ADD ALTER REPAIR DEMOLISH NO.OF y �L_ S .FT. l„ FAMIL[E$ *d`''�•^n �^IZE 1 VG 3 STORIES U5E OF. STRUCTURE _ SIGNATURE OF ~ APPLICANT VALUATION$ / // !.APPROVALS- .,;-DA)IE INSPECTOR'SSI6NATIIRE P.C. PMT. FOUNDATION:LOCATION �/ s� /� �= ,ri'•�'. " ' FEE $ FEE $ O FORMS,MATERIALS FRAME:FIRE STOPS_ , �' THEREBY ACRNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS — �� T /lam 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. Q f!'7 j,�f;/61 TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT— ING TO WORKMEN'S COMPENSATION INSURANCE. � LATH,E � XT.. I SIGNATURE OF "y✓�++Zl� HOUSE NUMBER CQ - PERMITTEE \\11 L° �: RECT AND POSTED ADDRESS- S.Z) 'N : CC'M¢I'll - C-;' It G-, FINAL• r/I CLYDE N. DIALAM•, PRINCIPAL STRUQIURAL ENGINEER PLAN- CMCS VALIDATION cN. M.O. CARR PERNUT VALIDATION aW M.D. CASH LACO 14 8 .7% JUL Z 22 3 'D 3.0-2-51 m G, L&2098-,.p JUL24 i D 60.50— v WORKERS'COMPENSATION DECLARATION I thereby affirm that I have a certificate of consent to self APPLICATION F O U I L D I N G PERMIT insure, or a certificate of Workers'Compensfion Insurance,or ' o�certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES 111,UILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING Certified copy is filed with the county building inspec- BUILDING ADDRESS tion department. ADDRESS 4 3�'Q LOCALITY VP A NEAREST Date Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR ` PAGE PARCEL COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOO hThis section need not be completed if the permit is for one -// USE ZONE MAP undred dollars ($100)or less.) p TRACT.. v-''i�' BLOCK LOT NO. NO. O TEL. J SPECIAL - OWNE NO CONDITIONS I certify that in the performance of the work for which this O DISTRICT GROUP TYPE FIRE PROCES ED BY permit is issued, I shall not employ any person in any manner ADDRESS CONSTNE so as to become subject to the Workers'Compensation Laws. D cg Date Applicant CITY �f'flr ZIP STATISTICAL CLASSIFICATION JCONDO. y ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of + eu Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO: a2 DWELL. UNITS Compensation provisions of the Labor Code, you must forth- h ADDRESS A SEWER MAP � with comply with such provisions or this permit shall be TEL. 16 deemed revoked. } S BK, VALIDATION . CONTRACTOR /L/ NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS0 e NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ SQ. FT. 11NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ADD I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF FINAL DEMOL ' EXISTING BLDG. 9y Lic.or Reg.No, Date APPLICANT_— TEL. V OWNER-BUILDER DECLARATION (PRINT p ,s_ (x, No..3-93 "/t'o! 1 hereby affirm that I am exempt from the Contractor's License ADDRESS tZi✓1 4. Law for the following reason (Section 7031.5, Business and Prof ions Code): PRESENT BUILDING YI, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do-the work and the structure is not intended or offered for sale(Section LOCALITY :t 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 1 7 0 7 A REQUIRED TOTAL SETBACK FROM EXIST. p CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH L I hereby affirm that there is a construction lending agency for FRONT 1 the performance of the work for which this permit is issued P. . 0 0 0 0 0 (Sec. 3097, Civ. C.). SIDE P.L. 2 a a 1 9,00 Lender's Name i P.C. Fee$ Permit Fee 0 a 0 1 9,O 0� • Lender's Address I certifythat I have read this application and state that theAx- 1 4—8 O pp Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. i i , / po SEE REVERSE FOR EXPLANATORY LANGUAGE tut of Applicant or Agent Dote t ®s WORKERS'COMPENSATION DECLARATION I• affirm that I have a certificate of consent to self APPLICATION F u"R BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance,or i a certified copy thereof(Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli -0^r/i� _2 Compan cS A-' BUILDING q ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS /r'�,V7 res2 �ertified copy is filed with the county building inspec- BUILDING 2 / tion dep •finent. ADDRESS J E LOCALITY /rte Q NEAREST f� Dat v Applican - CIT ZIP CROSS ST. —B fX e-" CER FICATE OF EXEMPTION FR6IVfW RS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the rmit is for one USE ZONE EMAhundred dollars($100)or less.) TRACT BLOCK LOT NO.TELG AL I certify that in the performance of the work for which this OWNER 3— ITIONS permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY V so as to become subject td the Workers'Compensation Laws. ADDRES a o !/ ,h CONS ZONE Date Applicant CITY C ZIP STATISTICAL CLASSIFICATION APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of i ARCHITECT OR TELti Exemption, you should become subject to the Workers' ENGINEER N ®a CLASS NO. / DWELL. UNITS � H Compensation provisions of the Labor Code,'you must forth- ADDRESS SEWER MAP i with comply with such provisions or this permit shall be � TEL. ' deemed revoked. O TRAC R Jr NO BK. PG,/0 Iz— VALIDATION LICENSED CONTRACTORS DECLARATION // LIC, I hereby affirm that I am licensed under provisions of Chapter 9. i ADDRES Q — f�i tl,) N 24J VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY �-- CLASSvt — $ SQ. FT. NO.OF NO.OF CHECK License Number 21 A 0 Lic.Closs�� SIZE STORIES FAMILIES ONE pp II � ContrAtig!ID I� $ILdate DESCRIPTION OF WORK NEW ❑ ❑ ADD I am exempt from the licensing requirements as I am a - �/ licensed architect or a registered professional engineer A �O ALTER 11, FINAL acting in my professional capacity (Section 7051, C. 9�� y 90 REPAIR ❑ DATE 4•" � Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL ❑ By t x Lic.or Reg.No. Date APPLICANTTEL. OWNER-BUILDER DECLARATION (PRINT) N ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS - Professions Code): PRESENT r_1 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS '397,4A REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o o 0 0 a 1 I hereby affirm that there is a construction lending agency for FRONT the performance of thb work for which this permit is issued P.L. 2 0 0 3(� (Sec. 3097, Civ. C.). SIDE OO P.L. Lender's Name a o a34,00:05 + ' Lender's Address P.C. Fee$ Permit'Fee 0205-81 o�— I certify that I have read this application and state that the Issuance Fee aboveinformation is correct. I agree to comply with all County Investigation Fee �p ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to inter S upon the bove,-mentioned property for inspection p rp set. I SEE REVERSE FOR EXPLANATORY LANGUAGE Signal re of Applicant gent A� e �!t 7 �� ®s WORKERS'COMPENSATION DECLARATION \ T .r I hereby affirm that I have a certificate of consent to self L I CAT I R -WILDING ��I ■ insure, or a certificate of Workers'Compenstion Insurance,or a certified copy thereof (Sec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ABUILDING DDRESS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN 6 ElCertified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ( / le LOCALITY _� NEAREST Date Applicant CITY zip qrdPo CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDG& 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 TRACT BLOCK LOT NO. NO. hundred dollars ($100)or less.) �� SPECIAL J TEL. CL I certify that in the performance of the work for which this OWNER NO — CONDITIONS permit is issued, I shall not employ any person in any manner DISTRICT / GROUP TYPE FIRE PROC SED BY U so as to become subject to the Workers'Compensation Laws. ADDRESS 09 / .�� p /, ^ �/ � CONST.. / ZaONE Date Applicant *CITY ZI.P STATISTICAL CLASSIFICATION APT. CONDO. U NOTICE TO APPLICANT: ,If, after making this Certificate of ARCHITECT OR TEL. -Al Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS 11. I I I 41A Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP g with comply with such provisions or this permit shall be deemed revoked. TEL' BK. PG, VALIDATION ' CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. y�gL IATION (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 SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE $ t DESCRIPTION OF WORK / NEW Contractor Date ❑ ❑ I am exempt from the•licensing requirements as I am a ADD licensed architect or a registered professional engineer ALTER ❑ FINAL /D� _ Zo acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). ` USE OF ❑ .'EXISTING BLDG. DEMOL ❑ FIFINAL ft� W.e�dkr d Lic.or Reg.No. Date APPLICANT TEL. By OWNER-B.UILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Profosions Code): PRESENT BUILDING IT I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO., 229,5A with licensed contractors to construct the project (Sec- ;ADDRESS tion 7044, Business and Professions Code). # 0 0 0 0 0 1 REQUIRED TOTAL SETBACK FROM EXIST. CO STIR CTION LQPING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2 0 0 1 9.00 I hereby affirm that th re is a c struction lending agency for FRONT the performance of th war or which this permit,is issued P.L. 0 0 0 1 9.0 0 (Sec. 309 Civ. C.). SIDE P.L. • Lender's Name .•' �_-'°-:`� - " . 0 4 2 5—$0 '3 P.C. Fee$ Permit Fee Lender's Address y ae I 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 ordinances and State laws relating to building construction, 9 I Mimiand hereby authorize representatives of this County to enter Total Fee JZj;i� on the above-mentioned property for inspection purposes. i �� SEE REVERSE FOR EXPLANATORY LANGUAGE 0 i natur of Applicant or Agent. Dote ®s 1 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 1202160028 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ITR: 20748 LT: 4 I SQ. FT STORIES TYPE I 633U PRIMROSE 1STRUCTURE: 20 V-B TEMP CA 917801345 (ASSESSOR INFORMATION NUMBER: J 15382-022-043 � I NEAREST CROSS STREET: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 102/16/12 SR J (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: IKNIEP GREGORY L;PAMELA J (626) 286-6773- 1 8,000 16330 PRIMROSE AV I1 TEMP 917801345 I FEES PAID IDESCRIPTION OF WORK I I I IREMOVE EXIST SHINGLES INSTALL NEW 30 YR FIBERGLASS DIM 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES OVER HOUSE ONLY I (APPLICANT: TEL. NO: I (IDA JENEY (949) 726-8439- IAA BLDG PERMIT ISSUANCE 27.80 1 I 121552 MONTBURY DR JAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ILAKE FOREST JAC STRONG MOTION RESID 8000.00 VAL 0.80 1 ID2 PERMIT W/O EN-HC 8000.00 VAL 183.40 1 I 1 TOTAL FEES 213.00 ( (CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE JEURO-ROOFING CO. (949) 726-8439- 1 121552 MONTBURY DR LIC. NO I ILAKE FOREST, CA 92630 674624 C39 1 (LOCATION AND SETBACKS II ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. NO: - i IFOIINDATION/TRENCH FORMS I I LIC. NO: I ISLAB/UNDER FLOOR I 1 I I (RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSUL 1153H265 3 001 ATION I I � IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: i I I I I0 NO 21 IROOF SHEATHING I I I I SCHOOL WITHIN HAZARDOUS i ISHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO I (FRAME INSPECTION I I I [FIRE SPRINKLER HANGERS I I I I JINSULATION/WEATHER STRIP I I -/6 •/ V JINTERIOR LATH/DRYWALL 1 J 1 I 1 1EXTERIOR LATH 1 [ 1 I IRATED FLOOR/CEIL ASSEM. 1 I I (RATED WALL ASSEMBLIES 1 IiI RATED SHAFTS/OPENINGS I I 1T-BAR CEILINGS [ I I (LOT DRAINAGE I I I I REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0601300040 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 20748 IT: 4 SQ. FT STORIES TYPE 6330 PRIMROSE AV STRUCTURE: 600 VN TEMP CA 917801345 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-022-043 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/30/06 JK 01/25/07 OWNER: TEL. NO: SLUGS. NOW ON LOT: VALUATION: FIN D F BY: CODE: KNIEP GREGORY L;PAMELA J (626) 286-6773- 1,500 6330 PRIMROSE AV TEMP 917801345 FEES PAID DOSCIAPTION OF WO ERO F GARAGE ONLY REMOVE ROLL ROOFING, HOT MOP ROCK ROOFING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (3 PLY SYSTEM) APPLICANT: TEL. NO: STEPHENS (562) 698-7628- AA BLDG PERMIT ISSUANCE 27.75 10503 DEVERON AVE AC STRONG MOTION REBID 1500.00 VAL 0.50 SPECIAL CONDITIONS: WHITTIER, CA 90601 D2 PERMIT W/O EN-HC 1500.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SPECIALTY ROOF CO. (562) 698-7628- 10503 DEVERON DR LIC. NO LOCATION AND SETBACKS WHITTIER, CA 90601 C39/329764 SOILS ENGIN88R APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 153H265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CON-D: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER RANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RA ED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 1