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Home My Public Portal About5450 ROSEMEAD BLVD_Building__ POST IN CONSPICUOUS PLACE CITY OF TEMPLE CITY CERTIFICATE OF OCCUPANCY Building Address 5450 N. RosemeadBlvd. Permit No 642-648 Yom, 1977 Owner USA Petroleum Corporation hRad Address 1633 26th St . , Santa Monica Perm,". Robert Pllalorf Mail Address 1633 26th 3t. , Santa Monica This certifies that the building or stricture or portion thereof,as described herein•located at the above address,complies with provisions of the Building and Planning Codes for the followinguse(s) and occupancy group(s) Use of Building (or Porton) Ocapancy Group Gasoline Service Station B-1 (cashier booth, canopies, storage/vending bldg. ) No change shall be made in the character of occupancy or use of the building without approval of the Budding Official and Planning Director Ce qs Dreptxvich Pbnning Dire" Hervey T itv Enip a 4p inldin ffiml • L ev Br Date Issued T �Aa.,}•APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY AN'DRESSG rO A003C .x r Devairtnent of County En{IneeT County of Los Angeles LOCALITY WM J FOX COUNTY ENGINEER NEAREST CASSAW D GRIFFIN SIR T OI BUILDINe CROSS AT DISTRICT NCL EWER MAP FOR APPLICANT TO FILL IN TYPE Si ■ BUILDING S C�/1 MAP BY ADAT[ DRESe J `� O NUMBER NWY d LOT NO BLOCK US[ZON[ SPECIAL CONDITION TRACT NO OF BLOTt. L BUILDING EXIST SIZE OF LOT O �3 Z NOW ON LOT SETBACK YA D HWY STR[[T AM[ WIDTH G L S'.f6 y` FRONT UeE OF • I L f P L OWNER /J ]�J G� SIDE MAIL ADDRESS J 9rM S-0 41, (C O 1 TRACT DWELL I UNIT 8 INDUSTRIAL CITY NO `J f DW-I• 1 UNIT 8 PUBLIC BLDG ENGIRNEiRTO Nlt O S-LfQ 2 DUPLEX I UNIT ADDN ALT ST C_8 APT _UNITS MISCEL DO EBB 4 COMMERCIAL CONTRACTOR 4cmo 00 NO / 3I 2 VW 'FCTION RECORD ADDRESS / 4 Of 3 DESCRIPTION OF WORK NEW DD ALTER REPAIR DEMOLISH SO F'T NO OF NO OF BIZ[ STORIES FAMILIES USE O►`e TRUCTURE C IL O F t sl .tAMR SIGNATURE O APPLICANT APPROVALS ADDRESS 2AnDATE IRE/ TOR SSIGNATURE �FORMSYATEAI TION 1� 6 o]�1J FEE FRAME FIRM BTOPB VALUATION { ■RACING BOLTS FURNACE LOCATION. 1 HEREBY ACKNO 6 I HAVE READ THIS GAS VERT DUCTS APPLICATION AND GWXTZ HAT H ABOVE I CORRECT AND AGREE TO PLY LINTY INANCES LATH INT. AND STAT[ LA R TING ILDIN NSTRUC- TION. LATH En SIGNATURE NOUBE NUMBER COR- PERMITTEHR[cT AND POSTE) ADORHSB FINAL V; J.FOX.Cou GIN t - VALIDATION C M 171RLAM.CHIEF tlLDG IHSF[CTOR LAGO-3 8 } 9 ZR MAR 8 1 300 n I 1q. (�� 0 0 k APPLICATION FOR BUILDING PERMIT 1 DIVISION OF WELDING AND SAFETY ADUILDING OREBS O Dp= Of � al CNRR LOCALITY WM J FOX COUNTY ENGINEER NEARESTdr CASSATTO GRIMM BYFTOFBYILDIND FOR APPLICANT TO FILL IN D1Brglcr o ARou� Tn e S/,74 B B MAP BUILDING /Z O/ STA ADDRESS MAP no LOT NOvoLBLOCK USE ZONE SPECIAL / CONDITIONS TRACT I / SIZE OF LOT 6o X NOW ON Lmme. BUILDING YARD KWY RReef NAM[ EXIST SETBACK WIDTH USE Or CHr O FRONT 1 / / �^ P L OWNER (j QX. Lrp 8108 MAIL ADDRESS O TRACT DWELL 1 UNIT D INDUSTRIAL 4' TEL 1 DWELL 1 UNIT 8 PUBLIC BLDG CITYNO t ARCNRECT ORTEL 2 DUPLEX 1 UNIT 7 ADON ALT ETC. ENGINEER N 9 APT -UNITt 3p MIBesL s,�h ADDRESS a, d//1"2g6�a ZA 4 COMMERCIAL Ta CONTRACTOR TE INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH 80 FT No or NO OF 81ZH STORIES FAMILIES USE OF YCTY d� SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE IN[FECTOS S SIGNATIIS[ P C. S F FORMSTION MATERIALSTION BVV XX FEH FRAME FIRE STOPS VALUATION S Oi BRACING BOLTS 19 FURNACE LOCATION. 1 HER®Y ACKNOWLEDGE THAT 1 HAVE READ THIS GAB VENT DUCTS APPLICATION AND ATE T T THE ABOVE IS CORRECT AND AGREE TO V W ALL COUNTY ORDINANCES LATH INT AND STATE LAW R GU TI 10 BUILDING CONSTRUC- TION LATH EXT SIGNATURE OF HOUSE NUMBER COR- PEAYITTBE REBE AND MYTED ADDRESS FINAL WM J.FOX.COUNTY ENGINEER VALIDATION C. N DIRLAM CHIEF BLDG INSPECTOR A(o8 3 5 SEP 26 1 _ �d - 6-00 m ✓m ,APPLICATION k?477- -` /6 UNTYOF:LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTY ENGINEER Il BUILDING AND SAFETY DIVISION JADDRESWe(!� OR APPLI A TO FILL IN ADDDDRESS G S LOCALITY NEAREST ZIP 6 CROSS ST NO OF BL ASSESSOR LOT E6xl NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY BLOCK LOTNO <�O lj CONST NO DSTATISTICAL CLASSIFI TION SEWER MAP SY( QASS Np "2DWELL UNITS BK PG Zip LAE ZONE MAP TELllNO Eo NO �"J SPECIAL CONDITIONS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOCTOR NO BLDG SETBACK FROM LIC FRONT PROP LINE OF ISTREETI ADDRESS NO HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LEDER + a NAME AND BRANCH O BLDG SETBACK FROM V ADDRESS CITY SIDE PROP LINE OF ISTREET7 50 FT NO OF NO OF CHECK HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES v ONE SIDE PROP LINE HIGHWAY WIDTH N + Z D NEW I — I ADD CORNER CUTOFF YES ❑ NO ❑ In ALTER IN OPE SPACE YES ❑ ,NO ❑ REPAIR IUSEOF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG L APPLICANT AJT—nT S' NO TEL I NTI l�/L BY(SIGNATURE, I HEREBY ACKNOWLEDGE THAT I HAVE READ P14s APPLICATION AND STATE ' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ' AND LAWS REGUTAVNG BNLDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATKNJ OF THE LABOR CODE Of THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF FINAL BY PERMITTEE DATE ADDRESS T? t EL PC Fee$ ,j d Permit Fee [V'A±LUATIGN NO OIssuance Fee 3or Total Fee PLAN CHECK VALIDATION GS. m o GASH PERMIT VALIDATION CK M o CASH �7 FEB c2 2 3 D 5.4 0 A b � 7AI5"A CC JWe/9e APPLICATION FOR COUNTY OF LOS ANGELESNT OF CUNTY �1 EER BUILDING PERMIT DEPART BUI DING AND SAFETYDIVISSIONN !! FOR APPLICANT TO FILL IN BUILDINGADDRESS BUILDING ADDRESS ,/,L� LOCALITY CITY �1 C ZIP NEARESTZIPST �L Sf F40 OF BLDGS ASSESSOR SIZEOFLOT L NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P D BY TRACT BLOCK �,{aLOT NO .. � CONST Z01/E OWNER _ �qj� C(!t'`f NCO :1, O� 2 STATISTICAL CLASSIFICATION EWER MAP A ADDRESS T CLASS NO DWELL UNITS /--BK F)PG CITYR,/Yr /l// 21P Cl,/s/OE USE ZONE INO ARCHIT MAP ENGINEE�O`L ,C TK rv CONDITIONS ADDRESS O�+ �{ �E ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR ( T 03 0p-6BLDG SETBACK FROM / FRONT PROP LINEOF ISTREETI ADDRESS /7�'AEIIG NO �/ TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD FRONT PROP UNE HIGH WAV WIDTH CITY CLASS CONSTRUCTION LENDER L + NAME AND BRANCH O C BLDG SETBACK FROM ADDRESS dTv SIDE PROP LINE OF ISTREETI SO FT .y t NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING Y: SIZE d-J�� STORIES FAMIL16 ONE SIDE PROP LINE HIGHWAY WIDTH �f + Z DESCRIPTION OF WORK NEW _ C IC ADD CORNERCUTOFF YES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF /1 T ®� IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG !9DEMOL APPLICANT TEL IPRINTI NO BY ISIGNATUREI 1 HEREBY ACKNOWLEDGE THAT I HAVE READ IRIS AMICATKIN AND STATE fWlt THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE AND LAMS REGULATING BUILDING CONSTRUCTION I CEADIFY THAT IN DOING THE WORK AUTHORIZED HEREBYI WILL I EMPLOY M y IN VIOLATION OF iNE ueoR CODE OF THE T IfORHUiEZO�Mn4l (�K /�_��Dom PDSABOR INSURAN10 SIGNATURE OF FINAL / C BY - PERMIITEE DATE ADDRESS T CITY y�� TEL _ PC Fee 3 Permit Fee NO Issuance Fee VALUATION$ / p O U TOtDI Fee PLAN CHECK VALIDATION GlcM 0 GAIN PERMIT VALIDATION c c M o 549 Y 2225 D 1 4. 9 3ZVAl -)1 _ a 5..: A`- 2F APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (PrmT., type GGIv) FT ss y OS COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER � JB BUILDING AND DIVISION LDGF LOT IX3-Y// NOWONBLOTSORESS�� Q B/L/OCK � LOT NO CALITY OWNER ��"� [S-B /�(j O_jIEL CRO55 ST �{� ASSESSOR ADDRESS ✓ Oy.0 OO MAP BOOK PAGE CEL CITY j` ZIP Ul S.T�RICTT GROUP PST FIR PROC ED Y ARCHITECT R TEL V•OO ST ZO E ENGINEER NO STATISTICAL CLASSI ATION S WER ADDRESS CLASS NO�.DWELL UNITS--" BK PG CONTRACTOR / TEL SE ZONE MAP T NO / ADDRESS / ` �V NO SPECIAL LICY CONDITIONS CITY (G, B CLASS`"�'(/ CONSTRUCTION LENDER R O DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ NAME AND BRANCH _ LDG SETBACK FROM C RONTPROP LINEOF ISTREETI C: ADDRESS CITY _ TOTAL SETBACK FROM TYPEOF lXBTING Od SO FT NO OF NO OF CHECK IGHWAY } YARD - HIGHWAY WIOTN SIZE STORIES FAMILIES ONE FRONT PROP LINE ❑ } = W DESCRIPTION OF WORN NEW DD ❑ BLDG S (STREET) Li ` p SIDEPROP LINEOF ---ALTER ❑ _ TOTAL SETBACK FROM T F EXISTING HIGHWAY } YARD - NIGHW WIDTH USf OF �[ EPAIR❑ SIDE PROP LINE EXIST NG BLDG `m/y[ EMOL + I IN APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRIX T) ( NO 2Aiz-�Z7 BY (SIGNATUR IN OPEN SPACE YES ❑ NO ❑ ��Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION ECATEGORICAL EXEMPTION YES❑ No [:I ' HEREBY ACKNOWLEDGE THAT I HAVE READ TMO APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED-(DATE) WIT NALL OR DINANC[S AND LAWS REGULATING BUILDING CON STR VC TION I CERTIFY THATI NO TNL WORK AUTHORIZED IMPACT REPORT PROCEBDEp (DATEI HEREBY I WILL NOT [HPL [RSO. IM VIOLATION OF THE LASOR CODE OI [ OI CALIIDRXIRILATI G WORKMEN B co 13 R MC[ SIGNATURE OF PERMITTEE ADDRESS 0317 ryMR CITY No ��TrC OATE 6 --7-7!r FINAL BY MA Kf CHECKS Pq Yq BLf EN F flE � � FEE PIAT b HARVEY T BRANDT COUNTY ENGINEER V O t PLAN VALIDATION CK Mo c.BH PERb YALIDATIO cK Mo c.GH 6 24 2 3 D 1 4_.4 0 �d L� _ 2 0 3cZ„UL AS./ I n 5 1.j 0 ops c 0 2 cz JL - D 1 6.2 U A- - TBAB]BA CERBO] ]/]3 � ,v, P 'APPLICATION FOR aUILDING PERMIT FOR APPLICANT TO FILL IN ADDRESS BUILDING /Z rr• ADDRESS LOCALITY CITY / ZIP NCROSSST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL IE DISTRICT GROUP TYPE FIRE E55 BY TRACT BLOCK LOT NO I p CONST ZONE El '9 F) l7 OWN EVAS ^1 ,,../� STATISTICAL CLASSIFICATION /SEW P ADDRESS/463-3 �,/L Co J ti_ S CLASS NO -Za_DWELL UNITS 4BKr PG CIT Mo IG4C,4ZIP v USE ZONE NMAOP A RCHITECfpj��,, TEL AL ENGINEER4� 11 N CONDITION$ ADDRE WF�-� 9 EL AL ROAD DEPARTMENT APPROVUIRED YES❑ NO[J CONTRACTOR NO BLDG SETBACK FROM LIC FRONT PROP LINE OF 15TREETI ADDRESS NO TOTAL SETBACK FROM TYPEOF EXISTING LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG SETBACK FROM � ADDRESS CITY SIDE PROP LINE OF ISTREETI 0 $O FT ��Ts NO OF NO OF CHECK HIGHWAY + V RD TOTAL SET BACK M TYPE OF EXISTING SIZE V STORIES FAMILIES ONE SIDE PROP E HIGgWAY WIDTH o. DESCRIPTION OF WOR �� NEW �� /I E M� ADD CORNER CUTOFF YES ❑ NO ❑ W'1 IT Y ALTER IN OPEN SPACE YES ❑ NO ❑ EA�,�,, REPAIR ElUSE OF�I Gpl /F58>e[/C� ¢r�pq/ DEMOL IN COASTAL PERMIT ZONE VES ❑ NO ❑ EXISTING BL APPLICANT TEL IPRINTI pNO BY ISIGNATUREI V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AV, (CATION AND PATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY THE ATL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN V101ATION OF THE LABOR OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATKTN INSU SIGNATURE OF FINAL 6--t/5 —7U BY PERMITTEE DATE ADDRESS I sp CI EEL )O P C Fee$ r V Permit Fee (Cl •/sR Isseome Fee VALUATION$ I D Total fee PLAN CHECK VALIDATION c ro CASH PERMIT VALIDATION c� ro CASH 1 2 61ZA16 11 2 3 0 41.41 ,11,`-J l - - - 48fiDEG 13 1 D 69.00x , es 70"388 ce/ o e/9e V - ' `rte ✓!rte -jPPLICATION FOR Il 8 BUILDING PERMIT a W FOR APPLICANT TO FILL IN ADDRlESS ' � � BUILDING � ADDRESS LOCALITY Z NEAREST V CITYZIP CROSSST Z NO OF BLDG$ ASSESSOR SIZE OF LOi NOW ON LOT MAP BOOK PAG PARCEL DISTRICT GROUP TYPE FIRE ESSED BY U TRACE I BLOCK LOT NO CONST Z J� 'UB ff OWNE O RIS .�.,,//,, STATISTICAL CLASSIFICATION /SEWER P < ADDRESS y -L1 CLASS NO 11—DWELL UNITS LBK PG 3 CITY ITECTQQpJi,,// /LIQ{(�//.P` /�Z�. ZIP USE ZONE t,ARCE 3 D / ENGINE R el- b A T O SPECIAL N CONDITIONS O ADDRESS.2(?-3-A/k/li-SHIRE AY ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ Z TEC CONTRACTOR NO BLDG SETBACK FROM UC FRONT PROP LINE OF (STREET) ADDRESS NO HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + f O 0 a NAME AND BRANCH BLDG SETBACK FROM ADDRESS CITY SIDE PROP LINE OF ISTREETI p SO FT, NO OF NO OF CHECK HIGHWAY } TOTAL SETBAC ROM TYPE OF EXISTING U SIZE STORIES FAMILIES ONE i SIDE PROP LINE HIGHWAY WIDTH d DESCRIPTION OF WORK NEW j j5 ADD CORNER CUTOFF YES ❑ NO ❑ SG ALTER IN OPEN SPACE YES ❑ NO ❑ USE �.(�S ��/ �/�I REPAIR ❑ EXISTOING BCDG �� S' '- ` DEMOL IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT TEL PRINT) pco NO BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APDL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WI ll ORDINANCES AND LAWS REGULATING lN11LO NG CONSTRI 71014 I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMROY ANY PERSON IN VIOLATION OF THE LAEK)R CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORI(MEN 5 COM PENSATION INS.) SIGNATURE OF FINAL /' BY PERMITTEE DATE CCC/// (11/// ADDRESS CIT TEL L P C Fees 2- Permit Fee /010O Issuance Fee VALUATIONS //OQQ LOS Toral Fee PLAN CHECK VALIDATION f%-; w o C"H PERMIT VALIDATION c r o cAs, 127_-MG 1123 D 52.20 ,1 6 4 4'�-DEG --- - —1-0.8 0 A� 6 4 5k DEC 15 -1 D 1 0 5.0 0 � (DI 7eweaes co I1111WI9 ene P y� L9Tf co� APPLICATION FOR Il BUILDING PERMIT BUILDING FOR APPLICANT TO FILL IN ADDRESS W BUILDING ADDRESS LY LOCALITY CITY /e E ZIP NEAREST 7^ �.. CROSS 040 OF BLDGS ASSESSORU SIZE OF LOT NOW ON LOT 2 MAP BOOK PAGE ell PARCEL TRACT BLOCK 4 LOT NO DISTRICT GROUP TYPE CONST ZIONE ESSED BY OWNER P CVIIICDO4EL - l` U T7'+ STATISTICAL CLASSIFICATION SEWE P ADDRESS •+'A+• S i CLASS NO �� DWELL UNITS 'LBK PG Q CI C� ZIPvy USE ZONE MAP 3 ARCHITECT R T� NO d SPECIAL ENGIN �/' 3 CONDITIONS ADDRESS hi j/n ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ EL 7. CONTRACTOR NO BLDG SETBACK FROM LIC FRIXJT PROP LINE OF (STREET( ADDRESS NO TOTAL SETBACK FROM I TY P'O' EXISTING LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRLKTION LENDER + O D a NAME AND BRANCH BLDG SETBACK FROM u ADDRESS CITY SIDE PROP LINE OF (STREET) SO FT NO OF NO OF CHECK HIGHWAY + Y RD TOTAL SETS FROM TYPE OF EXISTING Cj SIZE STORIES FAMILIES ONE S' D' P LINE HI AY WIDTH DESCRIPTION OF WORK /V Y / NEW �s� O S L.//V p�s S ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ,�--..//EE ALTER IN OPEN SPACE YES ❑ NO ❑ LAE OFv/7y3[ //V� IKJ.SiI�'� REPAIR IN COASTAL PERMIT ZONE VES ❑ NO ❑ EXISTING 9L G_ DENOI APPLICANT TEL IPRINTI NO BY ISIGNATUR I HEREBY AaNOWLEDGE THAT I HAVE READ THIS APPLICAT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL RDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMROY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF IA IN RELATING TO WOR%MEN SCOM PENBATURIF6UPA FI6 �$ SIGNATURE NAL / BY PERMITTEE DATE ADDRESS ^^�� ' ,L TEL 1 P C Fee b L Y!! Permit Fee t TIssuance Fee ALUATION ,Q Total Fee PLAN CHECK VALIDATION <2z! r o C"H PERMIT VALIDATION CK r o CASH 1 2 8i;AU6 it 2T3 D 5 22 0 6 4 7'—LDEC 13 1 D 1. 0 5.0 0 e=,3 64'6�—pEC •1323D � 0.80es 711"MIS CIE#111,038,6�6 • D APPLICATION FOR r BUILDING PERMIT a a FOR APPLICANT TO FILL IN ADDLRESS SD W BUILDING D LOCALITY H ADDRESS �+ / O CITY I ' c,i� ZIP CRO5551 yzy! OF BLDGS ^ ASSESSOR U SIZE OF LOT NOW ON LOT 2 MAP BOOK PAGE PARCEL TRACT 2 BLOCK LOT NO DISTRICT GROUP CONST ZONETYPE FIRE ESSED OWNER USM i— T 3 -5° (]O 7'(s 5'�" STATISTICAL CLASSIFI TION /SEWER AkAfr ADDRESS Z& CLASS NO =DWELL UNITS 4K O P OT ZIP p USE ZONE MA OP / 3 ARCHITECT TEL Q�%/ SPECIAL S ENGINEE T'LO'AE+ —3 CONDITIONS ADDRESS A ROAD DEPARTMENT APPROVAL IRED YES ❑ NO❑ TEL O CONTRACTOR NO BLDG SETBACK FROM 99 LIC FRONT PROP LINE OF ISTREETI ADDRESS NO HIGHWAY + YARDTOTRAOL SETBACK FROM TYPE OF HIGHWAY EXISTING WIDTH LIC CITY _ CLASS CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM OV ADDRESS CITY SIDE PROP LINE OF ISTREETI 0 SO FT NO OF NO OF CHECK HIGHWAY + — TOTAL SETBACK FROM TYPE OF EXISTING r SIZE STORIES FAMILIES ONE SIDE PROP LINE HI AV WIDTH d DESCRIPTION OF WORK R NEW + S' 7d K .\ ADD ❑ CORNERCUTOFF YES ❑ NO ❑ 0/6- 61- L U ALTER IN OPEN SPACE YES ❑ NO ❑ tr �LjtviF {�� REPAIRININ COASTAL PERMIT ZONE VES ❑ NO ❑ USE OF E EXISTING L APPLICANT TEL ` (PRINT) BY ISIGNATUREI I HEREBY A EDGE THAT I HAVE READ THIS APPUIZAAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ORDINANCES AND LAWS REGIAAIING BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABORCODEOF THESTATEOF UUI NIA IN RELATINGTOWORKMEN 50OM PENA TUR INSURANCE SIG PERMITUREO FINAL /' �h�� 6 BY PERMITTEE DATE ADDRESS CI TK PC Fee$ 0 Permit Fee Issuance Fee VALUATION �ES000. Total Fee PLAN CHECK VALIDATION yR' o u H PERMIT VALIDATION �cEc mo aASH 12`9�Mc 112 A - - 4 3�GEG 13 1 0 141.0 0 .-k; APPLICATION FOR BUILDING PERMIT s a NG T �-y� FOR APPLICANT TO FILL IN BUILDIWADDRESS / J ' w BU'LwNG ~ ADDRESS So LOCAL( z NEAREST (W.1 CITY ZIP CROSS ST Z NO OF BLDGS ASSESSOR q SIZE OF LOT S NOW ON LOT MAP BOOK PAGE PARCEL y'rj DISTRICT TYPE FIRE ED BY J TRACT BLOCK LOT NOp CONST ZON IU OWNER 5 O LtUM T082 YO F 'SIL STATISTICAL CLASS( ICAT IL SEWER�M/Ap ADDRESS 3 +� CLASS NO ICTIDWELL UNITS Z.Q PG ..J CITY 21P QVIV64 USE ZONE O la /7 ARCHITEC70 F El //� SPECIAL EOIN EER ' '40 \ CONDITIONS ADDRESSE ROAD DEPARTMENT APPROV REQUIRED YES C] O❑ a TEL CONTRACTOR NO BLDG SETBACK FROM LIC FRONT PROP LINEOf (STREET) ADDRESS NO HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + /'77 NAME AND BRANCH BLDG SETBACK FROM OV ADDRESS CITY SIDE PROP LINE OF (STREET( Q SOFT NO OF HOOF CHECK HIGHWAY + YARD TOTALSETBACK FROM TYPE OF EXISTING r SIZE STORIES FAMILIES ONE SIDE PROP (INE HIGHWAY WIDTH o_ E1-65-204,6- --� + (] N DESCRIPTION OF WORK rL 04 NEW ADD CORNERCUTOFF YES ❑ NO ❑ ,-�L r C ALTER IN OPEN SPACE YES O ❑ ❑ LAEOF 0!;oLjM6 5lCF r FAIR IN COASTAL PERMIT ZONE YES C] O ❑ EXISTING BLDG DEMOL APPLICANT TEL IPRINTI NO BY(SIGNATURE( If I HEREBY ACKNOWLEDGE MAt I HAVE READ CHIS INA APPLKAL SLATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL HM AND LAWS REGULATING MKLDING CONSTRUCTION I CERTIFY THAT IN DOING THE NOIR AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFW WIA IN RELATING TO WORKALEN S COM PENSATION msutANCE / SIGNATURE OF FINAL 6'�7--78' BY PERMITTEE DATE ADORES$ TEL PC Fees o Permit Fee C, a G ND - e Issuctme Fee VALUATION b 2 Z SD L �1 TDtDI Fee PLAN CHECK VALIDATION crc o CASH PERMIT VAUDATION CC7 M o CASH 1 3 OPAUG 11 ,23 e 1 9.80 •1 6 4 2�QEC 13 1 ID3 3.0 O •-j ms 9eAe]ee Ce/e0le ene APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type onlyl BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS a 512E OF LOT NOW ON LOT TRACT 2� BLOCK LOT NO TELD ^ ,OWNER 3N TI ADDRESS/m, 3 MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ED BIC {TTY ZIP Q ,� CONST �/ ZONE a A OR TEL (/ J ENGINEER NO STATISTICAL CLASSIFICATION $EWE P ADDRESS CLASS NO ? DWELL UNITS BK 2 O TEL CONTRACTOR IC USE ZONE NO ADDRESS LNO ` -3 SPECIAL GCS LIC CONDITIONS CITY CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF ISTREETI ADDRESS CITY ST FA TOTAL SETBACK FROM TYPE of EXISTING SO FT OF OF CHECK HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK ( NEW ❑ + O ❑ BLDG SETBACK FROM V ADD SIDE PROP LINE OF (STREET) 3 ALTER ❑ TOTAL SETBACK FROM TYPEOF 1EXtSTING Y. ❑ HIGHWAY + YARD SIDE PROP LINE HIGHWAY WIDTH USE OF REPAIR EXISTING BLDG S S L) DUAOL + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ IPRINTI NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION gm I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MRTH Mt AND STATE THAT THE ABOVE UL TI ODIB AND AGREE TO COAIRY WITH ALL OD IING THE AND AUT REGULATING BUIIfMNG CONSTRUCTION I CERTIFY THAT I DOING THE WORK AUCKIRIZFD HEREBY I WILL U I MIY PERSON IN VIOLATION OF THE IAEON=RAFTHESf OF CAU AI TING TO SCOM PENSATMXi INSURANC SIGNATURE OF PERMITTEE ADDRESS FINAL BY CITY pl TE )---7 �DATE /(- /�X UUU PPM MAKE CHECKS PAYABLE TO FEE $ (� FET $1, / 0--t) PLAN BRANDT.COUNTY ENGINEER -r. PLAN CHECK VALIDATION cs. n o 'cwsH\ PERMIT VALIDATION crt All o 94 ? JAN 3 1 D 24.0us„3 8R 7M0 CEN803375 77 78A639A CER80356S APPLICATION FOR BUILDING PERMIT / 11 COUNTY OF LOS ANGELES F�TEy� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSAUP T OF BUILDING CROSS ST ❑19 ICT O OR P TYPE PROCESSED BY FOR APPLICANT TO FILL IN �"� CONST -�77-1 B UILDIN01 �t�C� STATISTICAL LASSIPICATION / A SEWER MAP ADDRESS ,IS/�1j W'IF OVD CLASS NO DWELL UNITS 6Klo,*lPG6 LOT BLOCK USE ZONE MAP NO TRACT SPECIAL I CONDITIONS S1ZE OF LOT %,nV,IC I(I NOWOON LOTS USE OF EXISTING BLDG C7�^s ATIO('( - ��..pp �B�C ./q ry�y �^ FRONT BLDG DErepcK FROM OWNER Wf-l� (J'/�� INCI NOLv7d0_//�d TyP[ Of ROE%SITINONK FD[TeACR NI OHWAY YARD = 1tTOTAL) ADDRESS �1�Oemc quit "croN OE' yr XION I M C L CITY 004`1 G a + = ARCHITECT OR TEL BLDG SETSACK FROM DID[ PROP LIN[ Of ([TR[[T) ENGINEER NO CC'' TVP[ Of E[IDTIND DETeACR HIGHWAY } YARD = TOTAL ADDRESS On��-I IQRJ HI[NWAY WIDTK FROMCL CONTRACTOR &V ��yy{RN.,,OL. V-VS } O ADDRESS V k MIC 0p CORNER CUTOFF YES NO V CITY E_ LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK p ,rI CIL N NEW pDD ALTER REPAIR DEMOLISH Z SO FTI,G NO NO O /r SIZE p -STORIES P ES FAMI F_S USE OF /�. (� STRUCTURE `Cj/ /LLp S Q SIONA TORE OF APPLICANT VALUATIONS 2,60Ov APPROVALS ATE INSP OR'DD(SNA'TUR[ I,l PEES T PMT FOUNDATION, LOCATION FE E$ FORMS MATERIALS FRAME, FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION RA NO BOLT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS IUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PENSION IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S CIIMPENIVTION INSURANCE LATH EXT -jr _ SIGNATURE OFA T HOUSE NUMBER COR- PEAMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRAC'IP74 STR RAL ENGINEER PLAN CHECK VALIDATION CK M D CASH _ PERMIT V ATION CK MID CASH Lh;03 6 9 6Z8 JUL252 3 D 7,50- a LAL.0y3 6 9 7:S JUL 25 1 D 1 5.00 "aaA Du a 11 04 APPLICATION FOR BUILDING PERMIT Z swim N OF BUMNG AND SAFETY BUILDING 6 _ S O Dtpaetmaat of County Englnow iAA— Corny of Las Angeles LOCALITY C VVM J FOX COUNTY ENGINam CASBATT D GRIFFIN.SUP T OF BUILDING NEAREST CR0 RST FOR APPLI TO FILL IIQ DIBTRIQNO GROUP n,PE SEWER MAP CJ— SK PO BUILDING CON ADDRESS ' yE8 NO ^' NUMBER CD NWY LOT NO , �1 Z BLOCK use ZONE SPECIAL CONDITIONS TRACT OF BLDGS SIZE OF LOTNN ON LOT BUILDING YARD I HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING BLDG FRONT ^� P L S ILO D Eyr1.-�►'►j� OWNER SIDE MAIL ADDRESS CITY TELR1331 D 1 DWELL I UNIT 5 INDUSTRIAL NO A 2 DUPLEX UNIT— 8 PUBLIC BLDG RCHITECT TEL ENGINEER NO 9 APT UNITS 7 ADDN ALT ETC ADDRESSO q COMMERCIAL 8 MISCEL TEL ivn^�wP �e� �� CONTRACTOR NO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK N ADD ALTER REPAIR DEMOLISH PT NO OF NO OF BIZE STORIES, FAMILIES USE OF! RUCTURE SIONATU RE OP APPROVALS APPLICANT ADDRESS DATE IR PECTOR S SIGNATURE f p.G P C. tFOUNDATION LOCATION (L2 FORMS MATERIALS �a S d 'V FE FRAME FIRE STOPS VALUATION t G G BRACING BOLTS FEEFURNACE LOCATION 1 HEREBY ACKNOW iN1 HAVE READ THIS GAS VENT DUCTS APPLICATION AND STA IAT THE ABOVE 18 CORRECT ANDAGREE TO WI ALL OUNTY ORDINANCES LATH INT STAT AND STATE LAWS RH U INO ILDING CONSTRUC- TION LATH, EXT SIGNATURE OFQ\d HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL b �x� WM J FOX. COUNTY IFNGINKM VALIDATION �� By -G3 9 0 5r. FIAT 18 1 6 DEPUTY 6.LyD OY5 5s MU 19 1 2.0 0 DEPUTY BY By 0 DEPUTY DEPUTY 7ag118A aW➢It✓N APPLICATION FOR BUILDING PERMITRAR ,95 / 115MSION OF BUnDING AND SAFETYBUILDINGS SO /20S�Vy/ p2 ent of .aunty Engine= ADDRESS 1� County /tp of L� Angel" LOCALITY Gj� C/ m WM J FOX COUNTY ENGINEER NEAREST' CASSATT D GRIFFIN BOF T of 0U"TNa CROSS ST 4..4 DISTRICT NO GROUP SEWER MAP r2 FOR APPLICANT TO = IN �- U TSE BKL _PO o BUILDING ADDRESS c� C- s-6 pens-c"11, NUMBER < CONST S�TjyAT Y NO LOT NO 2� SLOCK USE ZONE SPECIAL O TRACT I I Z I T 11 1 — CONDITIONS I y NO OF BLDG6 P SIZE OF LOT •Zr NOW ON LOT BUILDING 4yARD STREET NAME EXIST IZUSE OF SETBACK WIDTH EXISTING BLDG �� FRONT P L OWNER c:zSIDE MAILL ADDRESS /S' Cin �� / TE �JJ�D I DWELL 1 UNIT 8 INDUSTRIAL ARCHITECT OR Z DUPLEX UNIT— 6 PUBLIC BLDG ENGI ER IldwQ /- 3 APT UNIT 7 ADDN ALT. ETC ADO 9 GLrL.I `� 6� /E COMMERCIAL 8 MI6CEL /� TEL CONTRACTOR NO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK Se S{q 13LA. /CIV ADDSO FT ALTERALTER REPAIR DEMOLISH PLA fu �p / Qe F NO OF SIZE M 6TOR l9 FAMILIES l�Y� t�,'�\ USE OF UCTUftE v I C 4�I.Af] RF4-�1:�L.0 iT Mj L _ SIGNATURE Oil,' APPROVALS ADDRESS j DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION P G i FORMS MATERIALS 1 S � FEE FRAME FIRE STOPS 1 VALUATION i t��...��-B BRACING BOLTS 11 S r GV- r FEE 1 FURNACE LOCATION GAS VENT DUCTS t7 MRS . IHEREBY ACKNOWLEDG HAT 1 HAVE READ THIS APPLICATION AND STATE T A THE ABOVE IS CORRECT AND AGREE TO COMPLY WI H LL COUNTY ORDINANCES LATH INT 1Ce SSC AND STATS LAWa &" TI O BUI ING CONSTRUG V TION LATH EXT SIGNATURE OF HOUSE NUMBER COR- (� PERMITT E RECT AND POSTED I ol�..�. ✓� ADORES / t4NA1 - u WEL J. FOX Courry 6NDN1mIS1 V ON By1964a X2.516 _ 5.� 0 g718 APR 18 8.00 p — - OCP1rr� - DEPUTY`{Kr s p rAIL BY BY 0 DEPUTY DEPUTY 7M981A W1 i 11 N APPLICATION FOR BUILDING PERMITNAR 25 195, -DIVISION OF BUILDING AND SAFETY 13UILOING S DlpartmW of CDUDtp EDglnNT ADDRE COIDSI7 of Lo! MgllSS p LOCALITY WM J FOX. COUNTY ENGINEER NFJIREST A 4 J CASBATT D ORI FFIN, sup T of Butt ma CROSS BT13 C)L& FOR APPLICANT TO FILL IN D18TRICT NO Oglp TMP[ � S BK APO BUILDING Yy�� F CONST .DDR E85 I�ff MAP /1 STATE 5FY[B NO �1 NUMBER !rV HWY LOT NO f— BLOCK USE ZONE SPECIAL A ' CONDITIONS TRACT L M 1- r NO OF 13LDGS SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING BLDG FRONT VI- 1 10 OWNER SIDE MAIL /.. •'� P ADDRESS KJ TEL /p 1 DWELL I UNIT— No RIAL CITY NO '2 DUPLEX UNIT— 6 BLOO ARCHITECT OR L GINEER .�[�.• 3 APT—UNITS 7 ETC R 1 f I' reS Oh Q COMMERCIAL 8 TEL CONTRACTOR NO INSPECTION RECORD ADDRESS1J DESCRIPTION OF WORN Sem o 'ce I o0 ADD //�� ALTER REPAIR DEMOLISH NO OF NO OF SIZE 6& STORIES FAMILIES �L H14164- I� US F T UCtV R�g• OO it 7' S �u WLP S@ woe SIGNATURE OP APPLICANT L / APPROVALS ADDRESS ,�6�/ DATE IMS CTOR S SIGNATURE F TION ALION P FORMSMATERIALS %I.CE SC FRAME FIRE STOPS VALUATION BRACING BOLTS FEE o 1 FURNACE LOCATION, OAS VENT DUCTS I HEREBYACKNOW GE THAT 1 HAVE READ THIS APPLICATION AND STA H AT THE ABOVE Ig CORRECT ANDAGREE TO COMPL W H ALL COUNTY ORDINANCES LATH INT AND STATE LAWS R[ U TJ NO BUILDING CONSTRUC- TION LATH. EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTES RECT AND POSTED ADORES jj NAk: 1 IDI S4 WbL J. FOX COUKrY QMm V ON 5u11p/t++oezoe ec' FC V', BY ,.�e 2 r7 01 �4a^n APR 1$ 1 6 UWY7 1 9 vr', APR 1$ 8.0 0 n \ � DEPOT' � J DEPUTY BY � BY m DEPUTY DEPUTY ,•A.••.o.F. APPLICATION FOR BUILDING PERMIT 1 DIVISION OF B=DING AND SAFETY • oDIN DE �CODWY Of comtFEawoRESS GI Q LOCALITY WM J FOX COUNTY ENGINSSm NEAREST GBBATT D GRIFFIN SU►T OI BUILDINo 4 exp. FOR APPLI TO FILL ]N DISTRI NO GROUP T,Pts,� SEWER BK MA PO BUILDING MAP S KAT[ ADDRESS O I� NUMBER 111NY ES NO LOT NO ` BLOCK US ZONE SPECIAL d, CONDITIONS TRACT ( Z ;—' 81ZE OF Lor 10 17,1 NOW ON LODTS' SETBACK YARD i(Wl/ STREET NAME EXIST USE OP • FRONT RXIETING P L Posesor OWNER SIDE MAIL ADDRHBS / O TRACT DWELL. I UNIT 6 INDUSTRIAL 'C. TO /O I DWELI-' IUNIT 6CITY PUBLIC BLDG ARCHITECT OR TEL Z DUPLEX 7 OMIT 7 ADON ALT ETC ENGINEER NO 3 APT —UNITS ■ YISCEL S DOREDY 4 COMMERCIAL TEL. CTI CONTRACTOR TE INSPECTION RECORD ADDRESS _ DESCRIPTION OF WORK 4 ADD ALTER REPAIR DEMOLISH FT NO OP NO OF SIZE STORIES FAMILIES USE OF STRUCTURE x r SIGNATURE OF APPLICANT APPROVALS ADDRESS .Z DATE INSPECTOR S SIGNATURE s FOUNDATION LOCATION P C S FORMS MATERIALS 0 • rag FRAME FIRE STOPS. VALUATION /" _ • GRACING BOLTS PIKE FURNACE LOCATION 1 HEREBY ACKNOWLEDGE T I HAVE READ THIS GAH VENT DUCTS ft APPLICATION AND STATE THAT S ABOVE IB CORRECT AND AGREE TO COMPLY WITH COUNTY ORDINANCES LATH INT AND STATE LA REG TIN UILDI CONETRVG- TION LATH MIT 81ONATURE OF HOUSE NUMBER COR- PERMITTER RECT AND POSTED ADDRESS FINAL 1 N WM J FOX.COUNTY ENGINEER V VALIDATION C N I LAM,CHIEF BLDG INSPECTOR L11C04 0 6 IN MAR13 1 100 I m 14 76AS38A CERE03 5,5 APPLICATION FOR BUILDIN PERM COUNTY OF LOS ANGELES Bm LOING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSAUP T OF BUILDING CROSS ST DISTR CT NO O P TYPE ROC EO BY FOR APPLICANT TO FILL IN E coNsr B UILDINO STATISTICAL�C/1�A331 PICA TION SEWER MAP ADDRESS n I CLASS NO DWELL UNITS RK�PG LOT NO 1 & 2 BLOCK A USE ZONE MAP �y F' NO L/ TRACT Z a v 1�O SPECIAL 0 CONDITIONS SIZE OF LOT 14 3 NOW OMBLOo' 2 ' LE OF EXISTING BLDG, s' j.8$e /�- TT`` BLDG SETBACK FROM ER Skypower Gas, Inn TOL 3587.185 fno YT PROP LINE OF (STREET) Ty��y yN T3- TYPE Of EXISTING SETBACK NI SX WAY YARD = TOTAL ADDRESS 2005 ER Hunt yon Drive ION I M C L Duarte + ITECT OR TEL BLDG SETBACK IROM NEER none No $ID[ PROP LINE Of IBTREET TYPE 01 EXISTINI SETBACK HIGHWAY + YARD = TOTAL RESS rTEE NIGKWAY wIOTH IROM C L TRACTOR none(owneraL + 0 LIC CORNER CUTOFF YES NO {.1 ESS LNO I IL SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK X d ,nADD ALTER S REPAIR EMOLISH ' SO T 72 2 STTORES FAMILIFSQOF y_CTURE 8 Wr eATUR OFICANTATION$ APPROVALS DATE IM1P[CTOR'3 SIGNATURE PMT FOUNDATION LOCATION FEES FEES FORM9 MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRAC I NO BOLT AND STATE THAT THE ABOVE la CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY OROMANCQ5 AND STATE LAWS REGULATING OAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF TH[ OF THE STAT! 01 CALIFORNIA RELAY IND TO THE OMP[ TION LATH EXT SIGNATURE OFUSE NUMBER COR- PERMTTEE PO ADDREISS .Z �Sy L.J FINAL -�. CTURAL EN PLAN CHECK VALIDATION CK Mo OcABH JOHN F LEWI$ PRINCIPAL STRUR PERMT VALIDATION CK M O cABH L/L,0 2 7 0 3 &N10 1 D 4.0 0- o?f7dl ' c 7OA633A O[RSOS 9-64APPLICATION FOR BUILDI G PERMITS o o � COUNTY OF LOS ANGELES BUILDIN DEPARTMENT OF COUNTY ENGINEER ADDRE9 BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS,YUPT OF BUILDING CROSS ST DIS IC N TYPE P 9 Y FOR APPLICANT TO FILL IN b CONST B UL D' NO STATISTIC C ASS PICATI ON 9EWE MAP ADDRESS - 6,5 �. CLASS NO DWELL UNITS BK PO LOT NO �O QODLOC USfffE ZONE MAP SPCIAL TRACT N SIZSIZE; OP LOT T NOW/O-N\LOTA /// E NQITI USE OF T \LOS SCOP LINE OWNER Ovrj [� TEL J /�p�l n FRONT PROP LIN[01 (►TR[[t) /- vdS O -JJ O O TYPE OF I EXISTING ■ETGACK HIGHWAY YARD = TOTAL ADDRESS FROM CL clrrK� } ARCHITECT OR T L BLDG SETBACK FROM ENGINEER NO SIDE PROP LIME OF (STREET) 11 TYPE OF KEISTING S[T\ACK HI\XWAY } YARD = TOTAL AGYYiiB T9�/1��4 {C yl0/4 NIGNWAY WIDTH FROM C L a ONTh A'C�OR NOL9 "f } = O ADDRESS D/ 6MI ANO CORNER CUTOFF YES NO 0r c r i CL a SEE REVERSE SIDE FOR SPECIAL APPROVALS y DESCRIPTION OF WORK y �� Z E ADD LTE R REPAIR DEMOLISH O - SOFT NO F NO OF SIZE STORIES FAMILIES USE OF r `fbL■�-CJ / STRUCTURE STa t' o SIGNATURE OF 00 , APPLICANT VALUATION$ �P APPROVALS DATE INDPE TOR'S SISIUTUR[ _ OFOUNDATION LOCATION FEES ! V H. PEES L _ FORMS MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTJ �G AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS •UILDINO CONSTRUCTION I CERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT / — A TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN �OMP ATIO�INS�y Ag=Fl / 4aA 'i�A.�+{ ATH EXTSIGNATURE OFOUSE NUMBER COR- PERMITTEE R POSADDRESS NAL !t ■� ..,-. JOHN F LEWIS PRINCIPAL STR AL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION cX M o CASH A0 0 1 6 4' MAR 32 2 5.0 O A y �Oe6012 MAR 29 1 0 50.00 fiats' z/ k^- �-rnPtF' cirr�l! )BABEBA CER9OBE G4 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 7 •)l / DEPARTMENT OF COUNTY ENGINEER ADDRESS 7VV V BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSAUPT OF BUILDING "OSS ST DISTRICT N GROUPTYPE PROC EBBED BY FOR APPLICANT TO FILL IN SO� CONST 7777� BUILDING p o STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 9OlO E Broadway CLASS NO DWELL UNITS BKC PG LOT NO BLOCK USE ZONE MAP g.ol J TRACT " J NO ECIAL x0 OF [LDQS COC 912E O" LOT MOW ON LOT USE OF *XIv,,�STING RLDOSLOG SETBACK FROM OWNER SHO II (} ma.1'ICeti NO FRONT PROP LIN[ Of (STREET) TYPE OF I EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS P.O. Box 758 HIGHWAY WIDTH FROM C L CITY Houston Texas « 7d — I — + ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO [IDE PROP LINE OF (STREET) TYPE 01 6KISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRA CTORT ederal Sign TEE& 1•.6141 + - Ov ADDRESS 1100 NO 21771n CORNER CUTOFF YES El NO Q CITY L.A. 12 LIC C SEE REVERSE SIDE FOR SPECIAL APPROVALSi DESCRIPTION OF WORK h Z_ NEW ADO ALTER REPAIR DEMOLISH SO FT NO OF NO Of SIZE STORIES FAMILIES 1,5E G" "' "I DOUBLE FACE ILL 9 CTUgE a ow SIGNATURE OF APPLICANT it VALUATION$ 900000 APPROVALS DATE INSP[C '•SIGNATURE P C PMTOU FOUNDATION, LOCATION FEE$ F E E$ FORMS MATERIALS t FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COU MY ORDINANCES AND RATE LAWS REGULATING GAS VENT DUCTS 9UILDINO CONSTRUCTION 1 CENTIPY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT ]NO TO WORKMEN 6 COMP N BURANC6 LATH EXT SIGN ATURE OF ) HOUSE NUMBER COR- PERMITTEE RE P 9 ADDRESS FINAL JOHN F LEWIS PRI CIAL STRUCTURAL ENR PLAN CHECK VALIDATION DK NO DASH - PERMIT VALIDATION CK MO CAB 2 Z Q O LAAO 17 1 0 8.00- Q oylij les. E/ 78AE38% CEu8OS585 APPLICATION FOR BUILDING PERMIT cul COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS � y�/JCS mss/ BUILDING AND SAFETY DIVISION LOCALITY / C/y/7'ogC JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS,BUP T OF BUILDING CROSS ST FDRE' OR APPLICANT TO FILL IN D15T ��O GRO P TYPE PROD eY CONST �iJ� 4ai a�� $ '.D tv,} STATISTICAL CLASSIFICATION SEWER MAP CLASS NO DWELL UNITS BKLPG� �� BLOCK USE ZONE MAP !/No �� C(/j7SPECIAL NOOF CLOD! CTI, NSOT N0w ON LOT USE OF CLOG eET."X FROM (' S TEL FRORT PROP LINE OF (STREET) OWNER > NO TYPE OF EXISTING DET\ACK HIGHWAY YARD = TOTAL ADDRESS Tan, CC 0 ({� I M C L CITY LG 70 3� �� } ARCHITECT OR TEL CLOG eETBACR FROM ENGINEER NO 810E PROP LINE OF (STREET) TYPE OF EXISTING SET\ACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRACTOR � S TEL 2/ } _ ADDRESS/7V O NO !LO CW CORNER CUTOFF YES NO O CITY Zc/ A- LIC �2 Y SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK a w NEW O ALTER REPAIR DEMOLISH j SO FT NO OF NO OF SIZE STORI S FAMILIES USE STRUCTURE SIGNATURE OF ' ✓L�4� �/� �i/kd-.-w_.. APPLICANT VALUATION$ T�QG Q APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT t/per FOUNDATION LOCATION )q FEE$ FEE$ __ - FORMS MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILOING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THESTATE O CALIFOflH1A RELAT ING TO WORKMEN 6 C0 P SATION IN6VR C LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE T RECT AND POSTED ADDRESS 7 FINAL JOHN F LEWIS CIP S RUCTURAL ENGINEER PLAN CHECK VALIDATION CK NO DASH _ PERM VALIDATION(Z.�.D NO CASH ei>1p 4�8 JUN23 1 D 4.00- Q vRGiv�,vt� - I �.WORKERS COMPENSATION DECLARATION � 7 7 �L hereby affirm that I have a certificate of consent to ,elf APPLICATION FOR BUILDING PERMIT 71ST insure, or a certificate of Worker'Compensationtion Insurance, or a ce died copy thereof (Sec 3800, Lab ) �fjI—ry —�f�j �o�m Y COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished FOR APPLICANT TO FILL IN no�ss SQ Certified copy is filed with the county building mspec- BUILDING hon deportment ADDRESS /�, LOCAIRY r Date Applicant CRY -� CT ZIP - / -7� CRO55 S7 CERTIFICATE OF EXEMPTION FROM WORKERS' JK SIZE OF LOT NOW 70/ io 5 MAP BOOASSESSOK PAGE PAROL COMPENSATION INSURANCE (This section need not be completed if the permits for one TRACE BLOCK LOT NO USE ZONE ]NO O 7hundred dollars(f100)or len ) TEL SPECIAL I cent that in the ER �+ O NO CONDITIONS d certify performance of the work for which this ADORE55 �� DISTRICT GRO P CONST TIRE ZONE SSED BY V Permit is issued I shall not employ any person m any manner to m to become subject to the Workers Compensation Laws Date-Applicant cTrr qN 6 n f c zip �0�6 �/� p ARCHITECT OR TEL STATISTICAL CLASSIFICATION- APT CONDO NOTICE TO APPLICANT If after making the the Wore of ENGINEER NO CLASS NO �-2- DWELL UNITS_ W Exemption you should become subject to the Workers' d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N wnh comply with such provisions or this permit shall bei� / Z deemed revoked CONTRACTOR 0WA1Lr�9- TEL �ry BK t'(POC 'L VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby off um that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and UC O� Professions Code, and my license is in full force and effect CITY CLASS f ► SO FT NO OF NO OF CHECK License Number Lic Claes SIZE STORIES FAMILIES ONE �pC) Contractor DatendOE PTION aF WORK NEW 1:1s J I am exempt under Sec E /r ADD ❑ Q7 ALTER FINAL B 6P C for this reason / G ❑ REPAIR DATE ❑ Dare USE EMOL ❑ FINAL NAL ' - 'R 9 1 8 2 A EXISTING D BLDG T Signature APPLICANT No OWNER BUILDER NO # • • • • 2 3 00ya j hereby affirm that j exempt from the Contractor i License /'C� U /J 2 • • c,� 175 Law for she followingg r reason (Section 7031 5, Busmen and ADDRESS Professions Code) 5 1.756 I as owner of thewagesn do ADDRESS 1 8-8 3 property, o m y employees with BUILDING ' wogas thesole compensation,will do the work and � G r the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVIN � _S U 3 ID1, as owner of the property am exclusively cormoc Ing AOR / O 19 1 8 3 A with licensed contractors to construct the project (Sec- tion 7014, Business and Professions Code) #i. . . . . 1 IRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET qL YARD Hwy PROP LIN WIDTH I hereby affum IML there s a construction lending agency for FRONT , • 1 1 5 5 0 the performance of the work for which this s permit issued PL tsar 3097 cis c ) SIDE - •'• 1 1 S5 05 G PL Lender's Name 0 1 1 8—8 3 8 Lender's Address PC Fee f Permit Fee r i ' I certify that I have read this application and state that the lauonce Fee L O above Information a correct I agree to comply with all County Inveirtigotion Fee ordinances and Sate lows relating to building construction, Total Fes ' s-6 and hereby authorize esenahves of this County to enter upohe above-me nod prop"for inspection purposes 3 IEEE REVERBR FOR EXPLANATORY LAFIOUAGE Signatunt,of Applicant or Agent Date es WORKERS COMPENSATION DECLARATION . f hereby affum that I have a certificate of calveto self CmpAPPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers ompensnon Insurr ance or ' fi co y thee rof Sec 3800 L b } _APZ �-0 3pp E �� COUNTY OF LOS ANGELES BUILDING AND SAFETY icyBUILDING a Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Dk (Dole Certified copy is filed with the county uilding mspec BUILDING tion deportment ADDRESS 5aMF_At7LCL�-fl- LOCALITY '{ I7�Xo CROSS NEARETT Applicant CITY C-iI et4� ZIP CERT KATE OF EXEMPTI FROM WO NO OF BIDGS - ASSESSOR COMPENSATION INSURANCE SIZE OF LOT (:J IS X 1� NOW ON LOT = MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP If TRACT BLOCK LOT NO NO [� hundred dollars ($100)or less ) rEl /d_ SPECIAL O 1 certify that in the performance of the work for which this OWNE NO� �c-'J lV/ CONDITIONS permit is issued I shall not employ any Penton in any manner �r'T�1 DISTRICT GROUP TYPE FIRE PROCESSED BY V so as to become subject to the Workers Compensation Laws ADDRESS 1� - I �1. CONST Zp[JE O 64ffA KnJQA 0404 /�% Date Applicant CITY ZIP TATISTICAL CLASSIFICATION APT CONDO V NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL d Exemption you should become subject to the Workers ENGINEER NO CLA55 NO DWELL UNIiS N Compensation provisions of the Labor Code you must forth- ADDRESS SEWER MAP = with comply with such provisions or this permit shall be �y,� RM /{ deemed revoked CONTRACTOR W ILL NO TEL BK PG / If— VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC— Professions Code and my license is in full force and effect CITY CLASS S ,-96879A 6879A So FT 1,J� D NO OF NO OF _� CHECK License Number Lic Class SIZE __11 ii..T1-.�/ STORIEESIF-AMILIE�S� y� ONE • • • • 2 3 S ContractorDate DESCRIPTION OF WORK IL"\U"t•�1��'7�7 NEW ❑ / 2'• • 6480 El 1am exempt from the licensing requirements os I am a GLASS ALX1S � � W -'� ADD ❑ .tensed architect or o registered professional engineer ALTER FINAL '�' ' 6 4,8 0 v acting m my professional capacity (Section 7051 REPAIR ❑ DATE �_ 9-JU 10 1 4'-8 2 Business and Professions Code) USE OF _ EXISTING BLDG M�u�, DEMOL �+❑ ey AL Lic or Reg No Date APPLICANT TEL NO ��-�U7 OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor s License 1(n$3 aZ!!>� v TJ Law for the following reason (Section 7031 5 Business and ADDRESS 5 ,7 Professions Code) .yY1J sGr ❑ as owner of the property or my employees with BUILDING _ wages as their sole compensation will do the work and v L3 6 8 7 8 A the structure rs not Intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING TEL i #.. e e e e 1 I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS 2 e 1 '60 00 tion 7044 Business and Professions Code) REWIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP LINE WIDTH e 1 6 0 0 02 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L 10 1 4 -82 (Sec 3097 Civ C I SIDE PL Lender s Name ! ® Lender s Address PC Fee S Perms Foo J r J a I certify that I have read this application and state that the Issuance Fee r �� above mformation is cortect I agree to comply with all County lnvestrgotion Fee / D Q ordinances and State jaws relating to building construction Total Fee EC Q tl and he b a onze re resentatives of thrn County to enter upo a ire mems ed rty for iaspec/t�i/oTn pu�rJposes I SEE FRSE FOR EXPLANATORY LAND j GE Sipnviur I o gem pate ms WORKERS'COMPENSATION DECLARATION thereby affirm cer that I hove r certificateCompensation Insutran e',, APPLICATION FOR BUILDING PERMIT insure or a certificate of Worker Com or a ce{{/nt��i�4ied copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND AFETY Panty IROC3 CcmponyK L B W Certified copy Is hereby furnished I FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy Is filed with the county building inspec- BUILDING tion department //�� ,e� ADDRESS '10 10, & w AY Dote Applicant N�. _ JA,!)• CITY ZIP LOCALITY •C CERTIFICATE OF EXEMPTION FROM WORKERS' I0F ZL �ON LOT ST COMPENSATION INSURANCE SIZE OF IAT (This section need not be completed if the permit is for one TRACT BLOCK l07 NO ASS BOOK PAGE PARCEL hundred dollars(SIOD)or less ) OWNER OIL ND EL USE NE MAP NO I certify that in the performance of the work for which this - } permit is issued, I shall not employ any person in any manner _ PECIALCONDITIONS 8 so as to become subject to the Workers'Compensation Laws ADDRESS Date Applicant CITY ZIP 0: NOTICE TO APPLICANT If after makingthis Certificate of '�HOKT Oa TEL DISTRICT P TYPE FIRE D By O Exemption, you should become subject to the Workers' NST N I R s OM NO , � t3 Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be CONTRACTOR TEL I NO 31 STATISTICAL CLASSIFICATION APT Z deemed revoked -7 LICENSED CONTRACTORS DECLARATION N CUSS NO L DWELL UNITS_ I hereby affirm that I am licensed under Provisions of Chapter 9 ADDRESS {�4L NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LK ��L� Professions Code and my license is in full force and effect CITY R CLASS BK PG y W A (�,�� d ) SO FT NO 140 OF CHECK 3 License Number. .745 _Lic Class SIZE STORIES FAMj IES ONE VALUATION B L 6- _f7 DESCRIPTION OF WORK C' r �T% 3 7 5 0 NEW Contractor Dat. s � D•-� I am exempt under Sec s,0ea �R 0a04-87 B&P C for this reason REPAIR S Date USE OF DFMOI EXISTINGBLDG Signature ` DA ...g8 �7 5 9,3 A OWNER-BUILDER DECLARATION �RjNg L flit-1w FINAL — I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 3, Business and A NN # e e e e e i1 Professions Code) BBUU 8 1, as owner of the property, or my employees with AOID�RESS ( - . 3300 wages as their sole compensation,will do the work and ' • • • 33005 the structure Is not intended or offered for sale(Section 7011, Business and Professions Code) MOVING TEL - I, as owner of the Property, am exclusively contracting C kCTOR NO O a 0 4 t 8 7 with licensed contractors to construct the Project (Sec- tion 7011, Business and Professions Code) CONSTRUCTION LENDING AGENCY YARD WIVY LII I TH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P (Sec 3097, Civ C ) SIDE PL Lender s Nome- LDMA Rel R A PC Fee f 3 2 S Permit Fee .S0 Lenders Address I certify that I hove read this application and state that the Issuance Fee SQ P. P/C e 9 above Information Is correct I agree to comply with all County Iri~.gaeon Fee ordinances and Stale laws relating to building construction Total Fee 0 LDMA Pam e , R and hereby au lir e representatives of this County to enter upon the nti ed property for Inspection purposes SU WMW FOR EXPLANATORY LANGUAGR S, of Applicant or Dort, WORKERS COMPENSATION DECLARATION Cl L t / u u `" /�� Thereby affirm that 1 have a certificate of consent self APPLICATION FOR BUILDING PERMIT insure or a certificate of WorWorkersCCompensation Insurance Of adied c"opy thereof (Sec 3800 Lab C ) 36 W4 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoCompany /� CL /�}C411� M Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BUILDING Certified copy a fled with the county buildingmnpec BUILDING ADDRESS tion {department ADDRESS f,016 BOAD"y Date.Applicant 101IS971IML- Cm TrWfulr G ZIP LOCALITY RTIFIUTE OF EXEMPTION FROM WORKERS' / 1 NO OF SLOGS NEAREST COMPENSATION INSURANCE SIZE OF LOT �GO X L NOW ON LOT T ST / (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASS BOOK PAGE PARCEL hundred dollars ($100)or less ) _r / OWNER s.slL Co. RL USE/ZQNE NO V } I certify That m the performance of the work f« which this fI�(',/�J SNCIAt GJ permit is Issued I shall not employ any person in any manner D.. so os to become subject to the Workers Compensation Laws ADDRESS CONDITIONS UI Dote Appbcont CITY ZIP X NOTICE TO APPLICANT If, after making this Certificate of ARCNIIEC7 OR tOE� ptSTRICT P TYPE FIRE SSED By O Exemption you should become subject to the Workers ENGINEER y .7 CONST ZONE h- 3 � Compensation provisions of the Labor Code you moat forth- ADDRESS � R with comply with wch provisions « this permit shall be TEL STATISTICAL CLASSIFICATION APT NDO N deemed revoked CONTRACTOR NO -1 Z LICENSED CONTRACTORS DECLARATION •, LIC CIASS NO �!DWELL UNITS_ I hereby off um that I am licensed under provisions of Chapter 9 ADDRESS �.L"atilY NO (commencing with Section 70DO)of Division 3 of the Business«dlh,A�.rr LIC SEWER MAP Professions Code and my license a /MW in full force and effect CITY STOLClASl OK (� VALIDATION License Number �7 L{$5' Lm Clow SQ F7 NO OF P 7 5 9.4 A B SIZE STORIES FAMILIES ONE t�v VALUATION # e e e a '2 3 Coneact« R ECTL�L.. /ArA. Date?-31-87 DESCRIPTION of WORK C/� � $ /(s 6 O. -- ADD ' I e - 37.50 ❑ l am exempt under Sec L ALTER B dP C for this reason NEW ,f J G'OL. REPAIR $ e e e 3 7.5 0 6 UZEDF oao4.87 Date EXISTING BLDG DEMON Signature APPLICAM » FINAL OWNER BUILDER DECLARATION PRIM DATE (J7 5 9 5 A I hereby affirm that I am exempt from the Contractor License Low for the following reason (Section 7031 S Business and ADDRESS FIN I • - 4988 Professions Code) BUILGNG BY I as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ITY poll.the structure is not intended or offered for sale(Section LOCAL 704, Business and Professions Cade) MOVING TEL I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- tion Seo ADDRESS tion 704.1 Business and Professions Code) CONSTRUCTION LENDING AGENCY I YARD ENVY PROP LINE WT L SETBACK FRcim 1 hereby affirm that there is a construction lending agency f« FROM the performance of the work f« which this permit is issued P L (Sec 3097, Civ C ) SIDE WP L Lender's Name ELDMA Ref 1 PC Fee f Fermis Fee 37, 36 1K Lender's Address 1 certify that 1 have read this application and state that the Issuance Fee 50 LDMA P/C• above information is contact I agree to comply with all County Investigation Fee $ ordinances and Sate Iowa relating to building construction Total F« i LDMA Palm • R and he a thorize r esentaevaa of this County to enter upon t nh props for inspection purposm . 2:3 y M REVERSE FOR EXPLANATORY LANGUAGE Sl,gnotWof Applicant or Agent pale WORKERS COMPENSATION DECLARATION u insure affirm that hover certificate tarsen, toself APPLICATION FOR BUILDING PERMIT r insure or o cendicate of Worker Compensation Insurance ,► or a certified copy thereof (Sec 3800� Lab C ) COUNTY OF LOS ANGELES BUILDING AND.SAFETY Policwm! dfA Com pan yR s G �l� r�/EEn Certified copy is hereby furnished FOR APPLICANT TO FILL IN Butw1w, ADDRESS Certifieddeg copy m fled with the county building imj>ec ADDRESS p l Lb non deportment nn��. IA /^� ADDRESS 9'010 �6DW ' Data Applicant g %a5L DAX) CITY 4�6 ZIP �/ LOCALITY CERTIFICATE COMANSA IT ONOF EXEMPTINSURANCE S ZE OF LOTXI 2 NO OF FROM WORKERS' �W 7 Z NOES ON&LO 7 CROSSS57 Q (This Genion need not be completed if the permit is for one ASSESSOR hundred dollan ($100)or less ) TRACT oC BLOCK LOT NO MAP BOOK PAGE PARCEL TEL115E ONE -2 I certify that in the performance of the work for which this OWEL R �� NO NO permit is Issued I shall not employ any person in any manner '5 SPECIF�D L w as to become subject to the Workers Compensation Laws 0 Date Applicant AITY RCMIIECT ZIP TEL L) NOTICE TO APPLICANT If char making this Certificate of DISTRICT CgpUP TYPE FIRE SSFD BY O Exemption you should become subject to the Workers' ENGII.�R D NO � ` / QST FIRE W Compensation provisions of the Labor Code you must forth ADDRESS J,� with comply with such provisions or this permit shall be TEL S7A715TIC/LL IF TION APT y deemed revoked CONTRACTOR N✓ NO 9l Z LICENSED CONTRACTORS DKLARATtON /� LK CLASS NO DWELL UNITS— LICENSED hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �� S vGLE /W NO (commencing with Section 7000)of Dwiuon 3 of the Business and ,f SEWER Professions Code, and my license is in full force and affect CITY 1�L/b-1Q o+. CLASS B. (, VALmAT10N .27973 SO FT ST OF FA UE GONE License Number Uc CI 8/ SIZE STORIES FAMI 15 ONE A � VALUATION :f�� L-fS� DESCRIPTION OF WORK NEW CNI7 ,QO&f. NEW $ Contractor Date ADD — , I am exempt under Si ALTER $7 2 51 A B&P C for this reason atdU71 Al G L 6 3.Sl'71X PAJR s / 7 # • • • • 2 3 Date USE OF EXISTING BLDG It • • 5 7 3 8 Signature flP1AL �Q OWNER-BUILDER DECLARATION PRINTDAT[ _ Cl • • • 5 7.3 8 5 I hereby affirm that I am exempt from the Contractor's License ADDRESS Law for the following reason (Section 7031 5 Business and N 0 6615-87 Professions Code) ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and pool structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING TEL I w owner of the property, am exclusively contracting CONTRACTOR NO with licensed contracton to construct the proton (Sec- ADORE tion 704 Business and Professions Code) CONSTRUCTION LENDING AGENCY BACII YARD t1sVY PROP LINE WIDTH - I L SETBACK ROM [_1XIST hereby affirm that there is a construction lending agency for FROM 3 7 5 9 6 A the performance of the work for which this permit a issued P L (Sec 3097 Civ C I SIDE # • • • • •,1 A/ PL lender s Nomei I - - 2(162 S —r O TDMA Ref N Lender s Address P C Fee S 1 Permit Fee • • • 2 Q 6 2 L5 I comfy that I have read this application and state that the issuance Fee �0� IDMA P/C N PoolU a O 4-8 7 above information Is correct I agree to comply with all County Investigation Fee 8 ordinances and State laws relating to building construction Total FES LDMA Perm N - R and hereby authorizer, esentatives of this County to enter upon t ent d pro rty for inspection pu rposes SH 22V9SE FOR KXPLAFLATORY LAMWAGE i StgnaNn of Applicant or Agent Dote 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 0008160051 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 11218 LT 2 BL A SO FT STORIES TYPE 9010 BROADWAY STRUCTURE 0 VN TEMP CA 917802310 ASSESSOR INFORMATION NLR40ER NEAREST CROSS STREET ROSE14EAD 5388-003-003 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY TENANT EXIST SLOG USE COME USE ZONE C-3 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 01/30/01 UT 07/29/01 OWNER -Tn--W— BLDGS NOW ON LOT VALUATIN--- FINAL DATEXPIBEDBY CODE SITEMAN ROBERT,BARBARA TRS - 3,000 1647 WICKLOW CT UtSUKIFILON OF WORK MODIFICATIONS TO BUILDING, CANOPY AND NEW PLASTIC INSERTS TO FEE DESCRIPTION QUANTITY LION AMOUNT EXISTING MONOLITH SIGN APPLICANT NO WESTERN STATES ENG (714) 577-2010- D1 PLANCHECK W/O EN-HC 3000 00 VAL 84 15 1150 N. RICHFIELD AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS ANAHEIM, CA 92807 AC STRONG MOTIOM-RESID�3000 00 VAL 0 50 01 PLANCHECK,W/O'EN-H613000 00 VAL 84 15 L�STOTAL?FEES 19655 CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIGMATLRF— ARGOS SIGN AND MAINTENANCE CO (714) 773-9095- 0 v�Ty 1010 E ORANGEFAIR LANE LIC NO LOCATION AND SETBACKS ANAHEIM, CA 92801 725795-CIO SOILS ENGINEER APP96VA7 ARCHIIECT OR ENGINYW- TEL NO FUUNDATION/TRENCH raw WESTERN STATES ENGINEERING (714) 572-2010 1150 N RICHFIELD RD ,2ND FL LIC NOSLAB/UNDER FLOOR ANAHEIM, CA 92807 NONEMAP NO SEWER FIRE ZONE Cw n n n L� 147H265 3 1 04 ' I \1n�O K� NO OF FAMILIES D9nTniU-MITS APT/EMff-TlXr-C[X9r-- NO 22W � g J U�1 NJ `v O 0 > � , SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS 61p NO NO NO F 1 REQUIRED 10 TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERT-- �yFRAME INSPECTION SET BACK YARD HWY PROP LINE WIDTH Gb/�C O �Ot FRONT PL- SE'f VICO That SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOUR/CEIL AMC- RATED WALL ASSEMBLIE§-- RATED SHAFTS/OPENINGS • INSULATION/WEATHER STRIP T-BAR CEILINGS ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 I COUNTY 01 LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENY'OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0002100018 PHONE (626) 285-0488 EXT LEGAL ID NO OF CDNST -BUTUITNG ADDRESS TR 11218 LT 2 BL A SQ FT STORIES TYPE 9010 BROADWAY STRUCTURE 0 VN TEMP CA 917802310 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD BLVD 5388-003-003 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE COMME USE ZONE L-3 ISSUED GN PRaTSTTT-97-- EXPIRES ON SHELL GAS STATION EXIST OCC GRP 02/10/00 UT 08/08/00 OWNER TEL NO BLDGS NOW ON LOT VALUATION FTAAL DATE FINAL B�� CODE SITERAN ROBERT,BARBARA TRS - 1 5,900 �_n_AO 1647 WICKLOW CT f'n FEES PAID 6ESCHIPTIaw TEAR OFF TO WOOD SHEATHING APPLY ILT ROOFING MATERIAL FEE DESCRIPTION QUANTITY LION AMOUNT APPLICANT TEL NO J J ROOFING (9D9) 784-7663- AA BLDG PERMIT ISSUANCE 27 75 2466 MAIN ST AC STRONG MOTION RESID 5900 00 VAL 0 59 PMAL CONDITIONS RIVERSIDE, CA D2 PERMIT W/O,EN-HC:::�5900 00 VAL 149 40 / PNGELESTOTALI FEES to 74 CONTRACTORJ J ROOFING (9D9) 784-7663 U C N 2466 MAIN ST LIC NoLOCA,ION AND SETBACKS RIVERSIDE CA 92501 409528 C39 , L FOUNDATION/TRENCH LIC NO X111111 MAP NO SEWER MAP BOOK PAGE I �7 �� /' RAI V'D FC�FQA{TQT- 147H265 3 1004 �Q I! p II �� \1/!1\//O��I(( S FLOUR SHEATHING NO OF FAMILIES DWELLING UNITS APT7--.,- S.... CLASS -1 NO 22 h1 llv R, V V 11 V SCHOOL WITHIN KA `\ lJ :1a IrlROOF SHEATHING . 5MLAP FANLLb AIR QUALITY 1000 FEETMATERIALS NO NO NOFRAML�9 SP REQUIRED TOTAL SETBACK FROM EXIST SET BACK YARD HWY PROP LINE WIDTHFRONT Vb/'C Set-Vice ThatINSULATION/WEATHER STVM moi l SIDE PL- EXTERIOR LATH i RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY g 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORM 9701 IAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY /-LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0807140023 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 11218 LT 2 BL A SQ FT STORIES TYPE OCCUP GROUP( 9010 BROADWAY , ] STRUCTURE 0 1 V-B U TEMP CA 917802310 TOSSES SOR INFORMATION NUMBER NEAREST CROSS STREET 15388-003-003 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C TENANT' IXIST BLDG USE GAS 9 USE ZONE ISSVED ON PROCESSED BY IEXIST OCC GRP C 111/17/08 SR i TOWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DW FI Y CODE ISHELL OIL - 18 000 120945 WIL NGTON AVE I ICARSON CA 90810 - FEES PAID EJESCRIPTMN OF WORK I INSTALL ABOVE GROUND CLEAR AIR SEPARATOR HEALY TANK 1 IFEE DESCRIPTION QUANTITY DOM AMOUNT 1 APPLICANT TEL NO WZLMAR VALLECIOS (818) 842-3644- IA1 PIANCHECR W/EN-HC 18000 00 VAL 343 10 1_ 1 1207 W ALAMEDA AVE IAA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS 1 18URBANK, CA 91502 AE STRONG MOTION OTHER 18000 00 VAL 3 78 , IA2 PERMIT W/ENERGY-HC 18000 00 VAL 403 65 TOTAL FEES 778 28 (CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATOR& (FUELING AND SERVICE TECHNOLOGIES (714) 523-4235- 1 17050 VILLAGE DR STE I LIC NO 1 LOCATION AND SETBACKS ] BUENA PARR CA 90621 794519 A I I ] SOILS ENGINEER APPROVAL ] ]ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS ]A AND S ENGINEERING (818) 842-3644- 1 1NADER GRADERI LIC NO1 (SLAB/UNDER FLOOR 207 W ALAMEDA AVE C36475 ]BURBANK CA 91502 1 ]RAISED F FRAMING I ]MAP NO SEWeA MAP HOOK PAGE FIRE ZONE CMOP0 (UNDERFLOOR INSULATION I FLOOR SHEATHING ]NO OF FAMILIES DWELLING pNITS APT/COND STAT CLASS ] NO 22 ]ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS SHEAR PANELS ]AIR QUALITY 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION FIRE SPRINKLER HANGERS 1 I (INSULATION/WEATHER STRIP( I 1 11NTERIOR IATH/DRYWALL ] i I 1 EXTERIOR LATH 1 1 RATED FLOOR/CEIL ASSEM I I ]RATED WALL ASSEMBLIES 1 I (RATED SHAFTS/OPENINGS 1 1T-BAR CBILINpS ] 1 I _ - ILOT DRAINAGE IREPORT ID DPR261 ROUTE TO BS050B ] I