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BA938A CE#9G&9-SO AFPL_RCA°T'I®N FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING sADDc�
DEPARTN IENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIWSION LOCALITY
JOHN A. LAMSIE. COUNTY ENGINEER NEAREST e
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DIST ICT Ng' G UP TYPE I P ESS BY
FOR APPLICANT TO FILL IN (6 coNsr.
BUILDING STATISTICAL CLASSIFICATION I SEWER MAP
ADDRESS HK P
CLASS.NO. DWELL.UNITS01
LOT NO. / BLOCK MAP a STATE YES NO
NUMBER HWY.
TRACT USEZONE SPECIAL
NO.OF BLDGS. ) CONDITIONS
SIZE OF LOT I NOW ON LOT r
USE OF
EXISTING BLDG. BUILDING EXIST.
TEL.• SETBACK YARD HWY STREET NAME WIDTH
OWNER NO.
ADDRESS SIDE r ��
y
ARCHITECT-OR TEL. P.L.
ENGINEER NO, INSPECTION RECORD
ADDRESSA a
TEL. O
CONT NO. U
ADDRES
O
DESCRIPTION f5,t WORK
W
o_
NEW ADD LTER REPAIR DEMOLISH N
Z
. SO.FT. - NO.OF NO.OF —
SIZE STORIES FAMILIES
USE'OF
STRUCTURE
t
SIGNATURE O
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
FEE $ Cr FEE $ FORMS.MATERIALS.
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND' STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE ,
OF T WORK FOR WHICH THIS PE IT IS ISSUED I SHALL NOT LATH,INT.
EMP Y ANY P N 1 Y !SAN 50 AS TO BECOME SUBUECT
H ORKC EOF CALIFORNIA.
LATH,EXT. /7
F HRE T NUMBER
POSTED. I I
PERMITT /
ADDRESS /�/!D-/lf'/. ��
C E N. DIRLAM. PRINCIPAL STR RAL ENGIN ER
PLAN CHECK VALIDATION M.O. CASH PERM VALIDATION CK. M.O. CASH
`` � L tea 7 -7 4 5'. jUL 1 9 1 D 6,00—
1BA638ACE0808844 APPLICATION MR BUIL.DIN PERMIT
COUNTY.OF LOS ANGELES BUILDING
DE_ PARTMENT OF COUNTY ENGINEER AD.DRJESS
BUILDING AND SAFETY DMSION LOCALITY JL
-JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,BUP'T-OF BUILDING CROSS ST.
DISTRICT NO. •dRCUF'-•'• TYPE. P SSEC BY
FOR APPLICANT.,TO-FILL IN 5110--9-- . -1 ; ,- CONST:
BUILDING y���jj STATISTICAL CLASSIFICATION_ SE•ER MAP
ADDRESS �/V(/_ CLASS NO. DWELL UNITS BKnp PG
LOT NO. Z BLOCK USE ZONE MAP ooyy �
NO. -
N0o-�ONS
TRACT' SPECIAL.
$IZE OF LOT BLOBB
WN
vO�
LOT
USE OF e E. (JC / L+ I BLDG. SETBACK PROM'.:
TEL. �/o J 'FRONT PROP. LINE OP p (STREET)
OWNER ®Yr' NO. _
TYPE OR _ EXISTINB SBTBACK HIOH AY -YARD — TOTAL
ADDRESS .f HIGHWAY WIDTH-__I'FROM C .
L.
CITY m -l'al J
E TOR TEL.
BLDG. SETBACK FROM
ENGINEER NO. '
BIDE PROP. LINE OF (STREET)
ENGINEER
TYPE OF EXISTING SETBACK I HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
+ 1 .
CONTRACTOR
,yLLJ NOL — VO
•7 M
ADDRESS NO. CORNER CUTOFF YES NO O
C Llc 'SEE REVERSE SIDE FOI�SPECIAL"APPROVALS W
DESCR PTI.ON OF WORK °
® p Jnr•' err• �.
21
NEW ADD t- ALTER REPAIR DEMOLISH f��,� `1 a s
SQ.FT. NO. OF -NO. OF A ' L "'�
SIZE - STORIES •FAMILIES11
USE OF p
STRUCTURE C .L L7 C�U
vl
SIGNATURE OF (!19/GLS 1y 4`: wil, ,eras.
APPLICANT _ w / ,r/ N
VALUATION$ APPROVALS DATE INSPECTOR'8•SIGNA7RE
P.C.. PMT. FOUNDATION, LOC
ATI
ON
FEE'$ FEE$ :FORMS,,-MATERIAI.._S,__
FRAME, FIRE STOPS, ° i-
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY FURNACE: LOCATION '•
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS f
9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY•I WILL NOT EMPLOY ANY PERSON IN,VIOLA- LATH. INT.
,TION OF THE LABOR COPE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPE N SURANCE. LATH. EXT. 1(ifl
SIGNATURE HOUSE NUMBER COR-• r�ye,d•= l
PE4tMITTEE RE.0 AND POSTED a ei
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Ao 1 9-0.6- MAY 12 1 D 1 1.5 0
�.
76AB36A CE#8031-62 APPLICATION FOR, 15,UI'LDING -PERMIT
COUNTY*OF LOS ANGELES 6UILDING
'DEPARTMENT, OF COUNTY ENGINEER ADDRESS
BUILDING-AND`SAFETY DIVISION ' LOCALITY .
,, s 0-
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 1 /
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISTRICT Nge GRO P TYPE P�O�CE !Y'
FOR APPLICANT TO FILL IN. CONST.BUILDING /• svi. STATISTICAL CLAS IFICATION
ADDRESS ((�'J J �. - K
CLASS. NO, DWELL,UNITS
LOT NO. + BLOCK r WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT "' MAP HIGHWAY
NO.OF BLDGS,
NO,' (CIRCLE) 'STATE MAJOR SECLOCAL
SIZE OF LOT-6-0 NOW ON OT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. rW
T =
OWNER N M 77-!;70 YI BUILDING .ARD HWY STREET NAME EXIST:
Q SETBACK WIDTH
ADDRESS O CJ FRONT`.'
ARCHITECT OR T P. L:
ENGINEER NO. SIDE
P. 7 �
/
ADDRESS all TEL (°o SIO . , '8 1, 1 L
CONTRACTOR TN
_ - O
ADDRESS412 7W&
DESCRIPTIO OF WORK :•J s' y YG� .G�,=F-L> �,��I-. . "
�'-
NEW ADD ALTER REPAIR DEMOLISH'
SQ.FT. NO,OF NO. OF
SIZE
S. STORIES- FAMiLi.Fal
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ D
&10 flu
APPROVALS. _ DATE TE INS EC�TOR S SIGNATURE
P.C. � .�•— PMT.' FOUNDATION:=LOCATION
FEE $ FORMS, MATERIALS
FRAMEi FIRE STOPS, `
'+I HEREBY ACKNOWLEDGE`THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS / !7-. Y' flJ.•.-Y-'- '•- ✓L.-.' � ¢ -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT,'DUCTS
BUILDING CONSTRUCTION. I 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 CALIF RNIA RE_LAT-
.ING TO WORKMEN' COMPENSAT11ON INSURANCE. ••LATH,EXT: 7"Z7 ��2.J O �•,�,.+'
SIGNATURE OF / HOUSE NUMBER'COR-
PERMITTEE RECT AND POSTED'
ADDRESS ::i�' FINAL �-
- JOHN F. LEWIS, PRINCIPAL ST URAL EN/bINEER
PLAN CHECK VALIDATION CK. M.q. 'CnsH ._ PERMIT,VALIDATIO CK., M.O.• CASH
LI IVc ': 1 D 1 5.00—
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self APPLICATION R BUILDING PERMIT
insure,or a certificate of Workers'Compensfion Insurance,or
a certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified co is hereby furnished. BUILDING
PY Y FOR APPLICANT TO FILL IN ADDREss D�d
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 'C J ,a".0 LOCALITY
Date Applicant CITY NEAREST
� _ Tt ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' 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 oneUSE ZONE MAP
hundred dollars ($100)or less.) TRACT SJr BLOCK LOT NO. NO. 00
NO.TEL. 1 /�� SPECIAL fl,
I certify that in the performance of the work for which this OWNER -24W-6 -7 r?2 /� CONDITIONS O
permit is issued, I shall not employ any person in any manner s DISTRICT GROUP TYPE FIRE PRO ESED BY
ADDRESS -Q ' ��/L D E. _r/ CONST, ZONE P
so as to become subject to the Worker 'C pensation Laws. '� (� �-3 ,/ 3 9*� O
Dafe��� Applican CITY ZIP STATISTICAL CLASSIFICATION V PT. CONDO. (�j
NOTICE TO APPLICANT: If, afte ' ng this Ce tificate of F ARCHITECT OR TEL.
Exemption, you should become subject to the WorkersENGINEER NO. CLAS NO. DWELL. UNITS
Compensation provisions of the Labor Code, you must forth- a ADDRESS SEWER MAP
with comply with such provisions or this permit shall be 7
deemed revoked. CONTRACTOR , ) TEL. '17 V.2_ BK.In PG, VALIDATION
LICENSED CONTRACTORS DECLARATIONLIC...,
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS, C1 ��! NO.25.3 LJVALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC ? S i C1 Gtu
Professions Code, and my license is in full force and effect. CIT �� r• 7 o CLASS L '� $
SQ. FT. NO. OF NO.OF CHECK
License Numebeerr 3-6,3g) I I Lic.Class TORIES SIZE SFAMILIES ONE $ �rOOO
Contract llsL o '7 /►Qd��Date DESCRIPTION OF WORK c -Al2 G L•-(lj NEW
I am exempt from the licensing requirements as I am a •t _ g✓ ADD
licensed architect or a registered professional engineer ALTER FINAL
acting in my professional capacity (Section 7051, 1W/A: L' 1-144F REPAIR DATE
Business and Professions Code). USE OF
EXISTING BLDG. DEMOL FINAL
Lic.or Reg.No. Date { APPLICANT— TEL. BY
OWNER-BUILDER DECLARATION (PRINT)_ �/' i NO� =}— 04-
I hereby affirm that I am exempt from the Contractor's License /� '
Law for the following reason (Section 7031.5, Business and ADDRESS sb- 6, ' G; L' eg �5��
Professions Code): PRESENT
❑ 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 1 9 5.5 A
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO. {i o a o 0 0 1
with licensed contractors to construct the project (Sec- ADDRESS 2 0 0 [) U
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 0 0 /�7 r
I hereby affirm that there is a construction lending agency for rN
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.).
Lender's Name
3 Permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Feeabove information is correct. I agree to comply with all County
ordinances and State laws relating to building construction, Total Fee
CA—
and hereby authorize representatives of this County to enter
upon the ab ve.m ntioned propert for inspection purposes.
i
SEE REVERSE FOR EXPLANATORY LANGUAGE
>
� 'L
' 6nature of ApplicagO or Agent Dote ®s
�*ORKERS'COMPENSATION DECLARATION
I herevecertificate of conent to self
insure, or a certificateirm that,-1 of Wore s' CompensationsInsurance, APPLICATION. FOR BUILDING P E RM I T
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES -may BUILDING AND SAFETY
Policy No. Company
BUILDING
❑ Certified copy is hereby furnished. PAMNT TO FILL IN ADDRESS Qgj, X
❑ Certified copy is filed with the"county building inspec- [ARCHITECT
INGtion department. ESS r'SDate Applicant ZIP / LOCALITYV of NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' OF LOTNOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR(This section need not be completed if the permit is for one T LOT NO. MAPBOOK (� PAGE PARCEL
hundred dollars ($100)or less.) TEL USE ZONE MAPERNO. �' NOI certify that in the performance of the work for which thispermit is issued, I shall not employ any person in any manner ' ESS /l CONDITIONSso as to become subject to the Workers'Compensation Laws. O
ZIPDate Applicant ORTEL.
DISTRICT GROUP TYPE FIRE PROCSSED BY O
NOTICE TO APPLICANT: If, after making this Certificate of NEER NO. CONST. ZO E F-
Exemption, you should become subject to the Workers' D ff' 3 p f U
Compensation provisions of the Labor Code, you must forth- ESS l! 9/ LU
with comply with such. provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I CONDO. to
deemed revoked. CONTRACTOR NO. Z
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 LIC.
and 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 Lic. Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK �j NEW ❑ $
❑I am exempt under Sec. ADD ❑
if ALTER ❑
B.BP.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO.
I hereby affirm that I am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Profe ions Code): PRESENT By s
97 as owner of the property, or m employees with BUILDING
P P Y� YADDRESSr '
wages as their sole compensation,will do the work and i■a
the structure is not intended or offered for sale(Section LOCALITY '-`_�__ _
I
7044, Business and Professions Code.) MOVING TEL. 11•" =+•t■•=.J
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. i r..
with licensed contractors to construct the project (Sec- !TBI;
ADDRESS
tion 7044, Business and Professions Code.) !S i i L y�2® 00
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WID H - i --� -
I hereby affirm that there is a construction lending agency for FRONT �''�''SH �, ■=1l)
the performance of the work for which this permit is issued P.L. t i
(Sec. 3097, Civ. C.). SIDE CHANCE ■10!J,
P.L.
Lender's Name
R C, LDMA Ref. # j ILS I- I , 4/ti,:
P.C. Fee$ Permit Fee i � ( t' ( =3 ell i•?: r.i.
Lender's Address Is
I certifythat I have read this application and state that the Issuance Fee ��• � LDMA P/C# r j' 1 i eft i '3Z
' above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
and hereby authorize representatives of this County to enter
aup he 4ove-mentioned property for inspe 'on urposes.
D SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agento
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 0203080042
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING SS:
TR: 5904 LT: 142 SQ. FT STORIES TYPE 6038 RENO AV
STRUCTURE: VN TEMP CA 917801530
ASSESSOR-INFORMATION B : NEAREST CROSS STREET: GARIBALDI
5384-017-004 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDGE:
5 5 0 - E 0 PROCESSED R 0 :
EXIST OCC GRP: 03/08/02 JK 09/04/02
OWNER: TEL. 0: 6LDGS. NOW ON LOT: VALUATION: FINAL DAJE FINAL BY: CODE:
MACY ELAINE (626) 286-4722- 3 4,700
6038 RENO AV D 1—
TEMP 917801530 FEES PAID DESCRIPTVONK
T/O FRONT SECTIONS&2 REAR SECTIONS OF HOUSE;REROOF WAVY B
APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TREATTED WOODSHgAKES & W/4PLY BUR ON FLAT AREA; REPLACE RIDGES
JNDAVIS ROOFING CO (626) 8214665- AA BLDG PERMIT ISSUANCE 27.75 C--
2 E LA PORTE ST AC STRONG MOTION RES�D0.00 VAL 0.50 SPECIAL CONDITIONS:
ARCADIA D2 PERMIT W/O EN,-H. 0x00 VAL 132.60
JN�S9�. A�SES 160.85
CONTRACTORROOFING TEL. N821-4665- APPROVALS DATE INSPECTOR SIGNATURE
2 EAST LA PORTE LIC. NO LOCATION AND SETBACKS
STE A 572125C39
ARCADIA, CA 91006 SOILS ENGINEER APPROVAL
ARCHITECT-OR ENGINEER: TEL. 0: FOUNDATION/TRENCHORMS
LIC. NO: 1111111 SLAB/UNDER FLOOR
RAISED OOR R NG
1MAP NO:50H265 SEWER MAP BOOK: PAGE: IRE ZONE:CMO n pDUNDERFLOOR INSULATION
v �I w FLOOR SHEATHING
NO. OF FAMIMMOVEILING S: P CO D: STAT CLASS;
NO 21 O 0 ROOF SHEATHING
SC COI R S y���. i t*� R J
AIR QUALITY: 1000 FEET MATERIALS ❑ `}+
NO NO NO ❑ ( 7 FRAME INSPECTION
REQUIRED O L SETBACK RO X FIRE SPRINKLER HANGERS
SET 13ACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- `service lTha�vV INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED 0 CIL ASSE .
RATED WALL SSE BLIES
RATED FSOPN G
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508