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HomeMy Public PortalAbout5611-5617-5623-5629-5633 ROSEMEAD BLVD_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL !N (Print or type only) BUILDING — 1 COUNTY OF LOS ANGELES ADDRESS /f r.,:,r P=, F' -> DEPARTMENT OF COUNTY ENGINEER clrY r" -; ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING , SIZE OF LOT NOW ON LOT ADDRESS J ( TRACT ,� ''' BLOCK LOT NO. =- LOCALITY '.w; j r TEL. NEAREST OWNER 61r,. .,1 Xf P NO. CROSS ST. �...- ASSESSOR ADDRESS �s y-. MAP BOOK PAGE PARCEL CfTV ZIP DISTRICT GROUP, PE FIRE PROCESSED BY �Q91Sy - ZONE_ ARCHITECT OR TEL. ✓ �.+ ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BK PG TEL. CONTRACTOR c,;. NO. . .'+' USE ZONE MAP . NO. J ADDRESSJLIC f/ %!. -.. NO._,' !i, ` SPECIAL i LIC. CONDITIONS CITY ly .c: .t- CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE Of (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING 50.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE IHIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW + BLDG.SETBACK FROM...... 4 ADD ❑ SIDE PROP,LINE OF `` (STREET) ALTER ❑ TOTAL SETBACK FROM QTY F EXISTING HIGHWAY + YARD = SIDE PROP.LINE HIGHWA WIDTH USE OF REPAIR ❑ EXISTING BLDG. DEMOL ❑ + APPLICANTr. TEL - CORNER CUTOFF YES E] NO ❑ (PRINT) fi '!'i tF ;p•� ..,:NOJ ' r' IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE)/` -• IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION $ ffl I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE a THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES O AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF W THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. LL } SIGNATURE OF PERMITTEE { O ADDRESS W FINAL BY TEL. DATE CITY_ ` NO MAKE CHECKS PAYABLE TO: FEE FET $ HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH b � - L i 1 �..+ v • ®f 76A638A CE#803 3-75 APPLICATION FOR COUNTY OF LOS ANGELES R BUILDING BUILDING PERMIT DEPARTMENT BUILD NG AND COUNTY TY DIVISION PADDRE R APPLICANT TO FILL IN ADDRESS yy►y 5 �� 1r�Ti LOCALITY NEAREST G y ZIP CROSS ST. NO.OF SLOGS. ASSESSOR NOW ON LOT MAP BOOK PAGE CEL DISTRICT _GROUP T P FIRC;��SSED BY � BLOCK LOT NO. c T. TEL OWNER NO. T✓�" STATISTICAL SSIF ATION SEWER AP ADDRESS CLASS NO.m2�WELL,UNITS BK PG. CITY ZIP USE ZONE MAP / NO. i(7 ARCHITECT OR TEL. L SPECIAL ENGINEER NO.. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR NOL• 74, B DG.SETBACK FROM p F ONT PROP.LINE OF (STREET) ADDRESS,��✓� - _- NO. L� 6 TOTAL SETBACK FROM TYPE OF EXISTING H WAY + YARD CITY' C)& ^16,e+��- CLASS FRONT PROP. LINE HIGHWAY WIDTH CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ. FT NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FR64t TYPE OF 1EXISTING SIZE :30STORIES FAMILIES ONE SIDE PROP. LINE GHWAY WIDTH DESCRIPTION OF WORK NEW + ADD— �M - CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF [:] IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSYTI.ON INSURANCE. SIGNATUREOF FINAL �+'� 7 BY PERMITTEE DATE ADDRESS / TEL. P.C. Fee$ Permit Fee G- CITY NO. Issuance Fee VALUATION$ /,50 0 Total Fee PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT LIDATION CK. .O. CASH 1 5 1.N .AY 6 2- n 1 0 y 1'5 2 tiMAY 6 1 D 2 4.0 0 ,&06 76A638A C6#8038 12/75 ... v- Ao PLIC,ATIOWF� 1L I G PERMIT FOR APPLICANT YP Y COUNTY OF LOS ANGELES FSIZE DING 561 j 5� ► 7�1-* b DEPARTMENT OF COUNTY ENGINEER RESS j�N. LV_ IY'I ZIP BUILDING A FETY DIVISION 1 NO.OF BLDGS. BUILDING l OF LOT II ,, NOW ON LOT ADDRESS �j �/ i TRACT&/ 1 BLOCK LOT NO.or,/ LOCALITY OWNER E?x ' 13 S f NEAREST CROSS ST. ASSESSOR ADDRESS ` MAP BOOK PAGE P4RCEL DISTRICT GROUP TYPE FIRE P CESSED BY -CITY ZIP eI C NST. ZONE ARCHITECTENGINEER ORr OF: TEL.S-3F�t._ NO. �4"`ob �� STATISTICALCLASSIFICATI N J SEWER MAP ADDRESS T.) 0%T CLASS NO. 20 DWELL.UNITS BK��PG CONTRACTOR �S NO. +�"7 '� USE ZONE NO. ADDRESS goo -0 i LIC. �.) _ NO. ale 67 C-0 SPECIAL (� ll..// CCJJ CONDITIONS CITY I A - `CCi Z CLASS a �� CONSTRUCTION LENDER ROAD DEPARTMENT APP EOUIRED YES ❑ NO Q NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF ISTREETI ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIG AY WIDTH SIZE STORIES FAMILIES ONE 11 DESCRIPTION OF WORK 17�cJ; NEW El + - /Q 3 O BLDG.SETBACK FROM Ix cot _ ADD E] BLDG. PROP.LINE OF !STREET! O �S ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING 0 HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH N USE OFREPAIR ❑ Z G. EXISTING BL DEMOL El + APPUCAN L T L, CORNERCUTOFF YES ❑ NO ❑ IPRINTI Q IN OPEN SPACE YES ❑ NO ❑ BY!SIGNATURE! (� ��y�±-, IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION.p �'V V /� Q-v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �'� ��- THAT THE ABOV IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES n AND LAWS R LATIN G CONST CTION.I CERTIFY THAT IN DOING THE ,� 7 8 ����� WORK AUTH RIZED HEREBY I I OT PLOY ANY ERSON IN VIOLATION OF THE LABOR DE OF THE A O IF IA IN RE LNG TO WORKMEN'S COM• PENSATION INSURANCE. - �j,�S 4 S ' SIGNATURE �'A e PERMITTEE ADDRESS •��� _ �! �'7 FINAL BY TEL. DATE 5.91,7 CITY NO. l MAKE CHECKS PAYABLE TO: F E FFEE T _ HARVEY T.BRANDT,COUNTY INEER �i� Fg2.41 0 / 417. Q--U PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION CK. / M.O ASH 680NAUG 1623 57.60 © 'd 09 74geQkkII393.31 2 3 U 3 2.4 0 A, 0 7 3'62 RUG 3 1 1 U ��1 0.0 0 aid A P P L I CAT I O N FOR COUNTY OF. LOS'ANGELES DEPARTMENT OF-COUNTY ENGINEER BUILDING PERMIT 'BUILDING-AND SAFETY DIVISION FOR APPLI'"CJ/ANT TO FILL IN ADDRESS ADDREBUILDISS �� � ovNG 0. . 3-issH LOCALITY NEAREST 41- CITY 7r/4r - CI—t' ZIP,. 9J'?c�h CROSS ST.- ,c NO.OF-BLDGS. ASSESSOR" SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL ,Ay DISTRICT GROUP TYPE' F(RE.. PR CES D BY STET G T j BLOCK LOT'NO. CONST. Z E ��++ //�� �y TEL. Ocg` OWNERCIA & NO. STATISTICAL CLASSIFICATION' SEWER Ml/AP ` ADDRESS 29 0/, &U.. 11 **rad 91. CLASS NO. ��' DWELL•UNITS �LBK 4(OPG' " MA CITY �, ZIP. �DOt�` USE ZONE NOP Od (e ARCHITECT OR 'TEL. C -EC AL ENGINEERA • � /�jC� NO. �g�-//S I CONDITIONS ' ' ADDRESS J(7� �Q. INAA15"'i 40 'ROAD;DEPARTMENT APPROVAL REQUIRED.. YES[] NO❑ CONTRACTOR�L�./dfy/� Jf�1:/,Il�pL Ey%/�CKy� BLDG.SETBACK FROM / LIC. FRONT PROP.LINE OF '(STREET) ADDRESS' ;60'1 rj p �F A? NO. GS ,2-16 HIGHWAY + 'YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. 1 FRONT PROP'. LINE. HIGHWAY WIDTH CITY 4)„ CLASS" /I- 7 _ CONSTRUCTION LENDER + NAME AND BRANCH 8 LDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) v SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING W SIZE I STORIES FAMILIES. ONE _ SIDE PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORK' NEW ❑ + O. FA ADD - ❑ CORNER CUTOFF. YES ❑ NO ❑ Z J ALTER ❑ REPAIR[] IN OPEN SPACE YES ElNO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG: IDEMOL ❑ APPLICANT/ /� ` ' TEL - - (PRINT) L�L�r///9iL� VR N0. gJ�O�!'r• BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS-APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND-AGREE TO'COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING 'THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON_IN VIOLATION.OF THE LABOR CODE-.OF THE 5T E OF CALIFORNIA IN RELATING TO - WORKMEN'S COMPENSAT NS CE. - - SIGNATURE OF 'FINAL 2��/7 BY PER DATE •7� .AODRESSS TE �! CITY,(/� �'? •. NOL•®p/'Q���' :P.C. Fee$ Permit Fee /S- - Issuance Fee VALUATION / Total Fee =PLAN CHECK"VALIDATION CK. M.o. CASH PERMIT VALIDATIONCK. M.O. CASH 6.:1 4s�FEB •76AG38A CE0803B 1.2/75 N 1_1-1 I%_V-1- v % % 1 - - rf- AP PL I CATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER , BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS J / y oZ c •r C.0 BUILDING ADDRESS OGfALITY CITYS� �t. G`� ZIP NEAREST .c CROSS ST. .d . 0_. l NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT I GROUPTYPE FIRE PROC ED BY TRACT /'� - BLOCK LOT NO. -11 � ��8 CON�T� _ _ ZOO �T O NER TEL STATISTICAL CLASSIFICATION SEWER MAP M ADDRESS. �DTVL• C • CLASS NO. `�' DWELL.UNITS .�. BKI&PG USE ZONE MAP CITY3,MG-%, W0(30 ZIP v NO. a Vo ARCHITECT OR TEL. SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT.APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR p�/4KG1s�. NO Q -OgI BLDG.SETBACK FROM FRONT PROP.LINE OF (STR ET) ADDRESS%4,.wiWrawr LAmzw*0`%S4lCkw&G HIGHWAY + YARD = TOTAL SETBACK FROM TYP F EXISTING FRONT PROP. LINE HI AY WIDTH CITY N C416L CLASS�'+� _ CONSTRUCTION LENDER + - yy,, NAME AND BRANCH B•LDG.SETBACK FROM O ADDRESS CITY SIDE PROP.LINE OF (STREET) v SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD TOTAL SETBAC FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP IN HIGHWAY WIDTH O DESCRIPTION OF WORK �..IMM NEW ❑ + _ y %TnjL%r4 4CLi'EtL S T ADD ❑ CORNER CUTOFF S ❑ NO ❑ Z ALTER ❑ REPAIR IN OPEN SPACE S ❑ NOS❑ USE OF IN COASTAL PERMIT ZONE ES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEL ��pp//��,�,,,, (PRINT) f �� `/WTC BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY- WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I dERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE LIFORM I ELATING TO , WORKMEN'S C TION I RA E. SIGNATURE O FINAL- BY ! PERMITTEE _ 00 DATE ADDRESS /! �6 / /) TEL.( P.C.Fee$. Permit Fee C I T YA il?L ./(/'�t•r NO. , QQ Issuance Fee VALUATION P SSD /L Total Fee PLAN CHECK VALIDA ON' CK. PERMIT VALIDATION CK. M.O. CASH 4 '.1 JAN 5 3U' 6.0 i7 Amo I 1 4r_-JAN 12 . 1 D 6 v.0 0 76AS38A CE OB038 12/75' APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING F OR APPLICANT TO FIL�yL IN ADDRESS BUILDI C�� T / dY ".fle_� 7r ZIP CROSS AAS 'EAREST. Y/ AD.OF BLDG ASSESSOR SIZE OF LOT 14WX.SQ NOW ON LOTS MAP BOOK PAGE PARCEL _ DISTRICT GROUP TYPE FIlzi :�=d RE PROCESSED BY TRACT f _j BLOCK LOT N0. CD? �.r� ^ CONST ZON e TEL./,/ OWNER 006Y,eNO.(Off STATISTICAL CLASSIFICATI N SEWER MAP ADDRESS 'dew �} CLASS NO,y)DWELL.UNITS BK PG CITY GO.S /�it/� 44 ZIP 9e400 l USE ZONE NOP DO ARCHITECT Off- TEL.�J r SPECIAL ENGINEER ^Y e OVAI J��/T NO•yoC� O� CONDITIONS ADDRESS , ��yG�/iL��/ ,s F�C� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR NEL ' BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET)V11— ADDRESS d� NO, TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD CITY LIC. /� FRONT PROP. LINE HIGHWAY WIDTH CLASS 'a CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACE K C ADDRESS CITY SIDE PROP.LINE OF T (STREET) SQ. FT N0. OF NO. OF CHECK HIGHWAY + YARD TOTAL SET FROM TYPE OF EXISTING SIZE �jdO STORIES / FAMILIES ONE SIDE PROP. LIN HIGHWAY WIDTH 1C- DESCRIPTION OF WORK NEW + LL ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z �O®d ALTER. Cid Ti REPAIR[] IN OPEN SPACE YES ❑ .NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ AP•(PRINT) PLICANl T JL� //1��� QI, BY (SIGNATURE) a� s�JJ-AOct CA [ADDF HEREBY ACKNOWLEDGE THAT I HAVE READ T APPLICATION Vl� STATE THAT THE ABOVE IS CORRECT AND REE TO COMPLY ALL ORDINANCES AND LAWS REGULATING BUILDING CON- CTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED BY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE R CODE OF THE STATE OF CALIFOR A IN RELATING TO MEN'S COMPEN TION INS A'CE./-'� ATURE OFINALBY ITTEEATE ESS P.C. Fee$ Permit Fee 0©� Z / Issuance Fee UATION� � Total Fee PLAN CHECK VALIDATION cK. ) CASH PERMIT VALIDATION CK. M.O. CASH 10 5NoNGV 3 23 0 5.45 209L20NOV 923 0 12 A�; 7GA638A CH*80313 12/75 \/� '' APPLICATION FOR COUNTY OF LOS ANGELES COUNTY R --BUILDING PERMIT DEPARTMENTBUILD NG OF SAFETY DNIS ON ENGINEER BUILDING FOR APPLICANT TO FILL IN ADDRESS ,:57�4/J BU'LADD EIIG SS (e Ao.l os e' LOCALITY dG CITY G �° �� ZIP NEAREST c CROSS S NO.OF BLDGS. ASSESSOR ^� SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT I GROUP ITY PE FIRE PPRQCqSED BY tp TRA .6J BLOCK LOT NO;. -:W CONST, ZONE ,5 a' L ,� t� c OWNER !7/� GD JC/CTEL J�/�Lo STATISTICAL CLA F TION L SEWER AP ADDRESS CLASS NO. DWELL.UNITS BK PG CITY Zip USE ZONE MAP NO. ARCHITECT OR TEL. PECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR�,/ f�lUt#Zl e,0jyS� NOL S� aej ;LOG.SETBPROCK FROOM (STREET) ADDRESS�,1/�,L�yQ//r/S/1f LO.��` �7� HIGHWAY } YARD - TOTgL SETBACK FROM TYPE OF EXISTING LIC. �p FRONT PROP. LINE HIGHWAY WIDTH CITY C.o1�6/Pslvs /d CLASS ••/ _ CONSTRUCTION LENDER /�� } NAME AND BRANCH /v Vlvl�p BLDG.SETBACK FROM k ADDRESS CITY SIDE PROP.LINE OF (STREET) L SQ. FT• NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING C SIZE ��� STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH 4 DESCRIPTION OF WORK .�j e/j/ NEW } Z �i O ? eS ADD CORNER CUTOFF YES ElNO ❑ w17 �eR� , LTE IN OPEN SPACE YES ❑ NO ❑ „ REPAIR❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO D MOL ❑ EXISTING BLDG. ❑ APPLICANT/ J/R� �C�/ L �ilel (PRINT) �f./li�'� ,��' p BY (SIGNATUREY/�/ �M ? �•G� 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC TION AND STATE THAT THE ABOVE IS RECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND AW REGULATING BUILDING CON- STRUCTION. I CERTIFY T IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EM OY A PERSON IN TION OF THELv LABOR CODEOF THE TATE OF CA IFORN RELATING A WORKMEN'S 1. PENS ION URA �pu• SIGNATURE OF FINAL PERMITTEE ' _ DATE -Jr �j BY y ADDRESS / rEP.C.Fee$ Permit Fee c CITY NO.. . 6 Issuance Fee VALUATION �� ®O o �J Total Fee PLAN CHECf VALIDATION GK. M.O. CASH — PERMIT VALIDATIO cK. M.O. CASH 437t,`t%IDU 24 .23 D 206.10 6 - 2 8 1 JAN 21 -1 D 1 6 5.5 0 �� 7GA638A CE 08038 12/7S APPLICATION FOR COUNTY OF LOS ANGELES COUNTY ENINEE BUILDING PERMIT BUILDING - /DEPARTMENT BUILDING ANF SAFETY DIVISION R / FOR APPLICANT TO FILL IN ADDRESS (J FADDRES UILDING ��. LOCALITYNEAREST TY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT �U x NOW ON LOT MAP BOOK PAGE PARCEL TRACT , BLOCK LOT NO. DISTRICT GROU CONST.YPE FIRE I SSED BY OWNER STATISTICAL CLAS FICATION SEWER MAP ADDRESS CLASS NO.�2�DWELL.UNITS BK PG USE ZONE MAP 0 a CITY • i• ZIP NO. ARCHITE OR TE ��, SPECIAL ENGINE / N CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRALTO T L. BLDG.SETBACK FROM NO FRONT PROP.LINE OF (STREET) IC. ADDRESS / HIGHWAY + YARD TOTAL SETBACK FROM HTYPE OF IGHWAY EXISTING CITY I v1sewr FRONT PROP. LINE CLX CONSTR ION NDE / D NAME AND BRANCH f / BLDG. SETBACK FROM l p ADDRESS CITY SIDE PROP.LINE OF (STREET) C� SQ. FT. NO. OF NO. OF CHECK HIGHWAY { YARD = TOTAL SETBACK FROM TYPE OF EXISTING C SIZ STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH + - LSA DES R PTION OF WORK/- NEW ❑ Z If-Iry 16 ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ • REPAIR IN OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. ^ IDEMOL ❑ APPLICA TE (PRI N BY (SIGNATURE , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WO AUTH RIZED HEREBY I WILL NOT M LOY ANY ERS V LATIO F THE LABOR CODE OF T T FO 1 R TO WORKMEN'S CO SIGNATURE -� FINAL ry A /� BY PERMITTEE DATEr ADDRES / i T . P.C. Fee$ Permit Fee CITY Issuance Fee VALUATION� 2- "Total Fee PLAN CHECg VALIDATION C CK. M.O. CASH PERMIT VALIDATION 6.. M.c, CASH 0. 2 Sic'-,JAN 4 2 3 \ 1 4.4 0 td — 0 2 9r"JAN 4 1 U 2 4.0 0 &-,d 7GA638A CH*80313 12/75 (j vv� . 3� VAPPLICATION FOR COUNTY OF LOS ANGELES U I L D I N G PERMIT DEPARTMENT BUILD NG AND SAFETY IV DIVI- BUILDING SION FRE R APPLICANT TO FILL IN ADDRESS // b oSEi`i£ A u� LOCALITYNEAREST7 L G ZIPCROSS ST.NO.OF BLDGS. ASSESSOR 1 B,Y ro (J NOW ON LOT MAP BOOK PAGEPARCEL DISTRICT GROUPTYPE FIRE ESSED BYBLOCK LOT NO. PCONST. ZONNETEL.� NO. STATISTICAL CLASSIFICATIONS EWER MAP !a ADDRESS 643 r g,£ A,V'f_: CLASS NO.__Z_Z-­DWELL,UNITS BK PG ► USE ZONE MAP CITY V JL, dJu s L" 21P C/-o NO. I U ARCHITECT OR TEL. • SPECIAL ENGINEER NO, CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR r TEL.// BLDG. TRACK FROM t�� L• ..6;N0 So FRON PROP.LINEOF (STREET) LIC `` ADDRES )dr poyN (� NO.. 9(O 6; HIGH AY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY L ��€ f CLASS _ CONSTRUCTION VENDER + NAME AND BRANCH BLD ETBACKFROM a ADDRESS CITY SIDE P LINE OF y (STREET) C� SQ, FT. NO. OF NO. OF CHECK HIGHWAY f YARD - L S OM TYPE OF EXISTING t= SIZE STORIES FAMILIES ONE SIDE. P. LINE GHWAY WIDTH DESCRIPTION OF WORK Ib NEWIS + y ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR❑ USE OF EXISTING BLDG, DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ I � Al l APPLICANT TEL ��_2 -�nA I�`�, � r� °�+�•r, (PRINT) ( �q/4/ l7 N0. 6Y _6��� BY (SIGNATURE) `�r/l^�I1G•�-^►� �L•�•� �f .•7'S (--•�1;�,✓S �/ 4.A2M 1 HEREBY ACKNOWLEDGE THAT I ct�� READ THJHRICZE TION �5 r1 �pp,.�G 9 Af Du G75 AND STATE THAT THE ABOVE 15 CORRECT AND AGPLY WITH ALL ORDINANCES AND LAWS REGULATINGCON- ' STRUCTION. I CERTIFY THAT IN DOING THE WOIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOTHE LABOR CODE OF TN STATE OF CALIFORNIA IG TO WORKMEN'S COMPE NS TION INSU I SIGNATURE OF FINAL ;L q BY PERMITTEE DATE® (/ ADDRESS a e TEL �� .p;C.Fee$ : Permit Fee CITY NO. Issuance Fee VALUATIONO� Total Fee 2ce—M: o o PLAN CHECK VALIDATION K. • M.O. CASH o PERMIT VALIDATION CK. M . CASH 0 5.8 MAR 8 , 7431Z EB 1723 D 13320 C'` ° 222.00.s 76AG30A C9080313 12/73 APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT ENGINEER BUILDING AND SAFETY DNS ON FOR APPLICANT TO FILL IN ZDRESS BUILDING I _ ADDRESS R 60 S C i • IFILMA S LOCALITY NEAREST CITY c:7.j' ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROC SED BY La TRACT LO LOT NO. �� V F CO�Tey J Z.7E -a�(J`T✓4 ' TEL. V� n/ -C3 OWNER t rJ NO. STATISTICAL CLASSIFICATION SEWER MAP Y �f J� +� ADDRESS - p CLASS NO. � �D DWELL,UNITS /` BIfF`(j Pfd 'USE ZONEMAP CITY q ZIP 600 NO. (D ARCHITECTO �TEL.ZQ J3 SPECIAL ENGINEER ( NO.-0 I I CONDITIONS ADDRESS P7d/9 We & 4,1t.,j ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR S C NOL. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS V °� ,7 NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING . LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY h CLASS _ CONSTRUCTION LENDER + a NAME AND BRANCH BLDG.SETBACK FROM C ADDRESS CITY SIDE PROP.LINE OF (STREET) L SQ, FT, NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH c _ V DESCRIPTION OF WORK NEW 11 + y ADD 1:1 CORNER CUTOFF YES ❑ NO ❑ Z f , ALTER 52 EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ // APPLICANT TEL PI .J b�• U24(=-fi(y+•. a•-.:` ._ (/ 2 `•'tSf $� "` BY (SIGNATURE) I HEREBY ACKNOWLE GE TH HAVE REA IS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE O i FINAL BY G PERMITTEE DATE ADDRESS 23 U a Of CITY TEL. S[j P.C.Fee$ / (Ip (� Permit Fee -3 o ro Issuance Fee VALUATION$ OZ7­0 Total Fee _30,6 PLAN CHECK VALIDATION A, ,o; CASH _ PERMIT VALIDATION M.O. CASH 237rf4AR 2.123 i 0 3CK. .60ad ✓� 1 2 5,r--MAY 5 1• D 3 0 6.0 0 •L'(J 7GA638A CE#8030 12/7S +' WORKERS'COMPENSATION DECLARATION ~ nt to sel insurebor a certificate of Workers'Cificate ompensat oof n Insurance, A P P L�CAT I O F 0 'N Rlo'U I L 1 I PERMIT or a certified copy thereof(Sec. 3800, Lob.C.) _ COUNTY OF LOS ANGELES BUILDING ANDFETY Policy Noe tal �7' Company s �� ~�f,�� _> .,. n... El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with theco my building inspec- BUILDING / Z �¢ LOCALITY LT�_J tion department. ADDRESS ,� I NEAREST Datevff/ Applicant — /V CITY �' CROSS S7. CER FI TE OF EXEMPTION FROM WOR ERS' - NO.OF BLD S. 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 .7 A hundred dollars ($100)or less.) TRACT BLOCK LOT NO. SPE (�J TEL. �� SPECIAL � I certify that in the performance of the work for which this OWNER NO. CONDITIONS � ser it is issued, I shall not employ f person in r manner DISTRICT GROUP TYPE FIRE �ZED BY O p p Y y' y ADDRESS , L �^` Vf CONST. ZQ�IE V so as to become subject to the Workers'Compensation Laws. J Vo �� �L `L.JG � Date Applicant ARCHITECT OR ZIP TEL. STATISTICAL CLASSIFICATION APT. J!!JDO. U NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CLASS NO. xZ DWELL. UNITS W Exemption, you should become subject to the Workers' O. Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. `'CONTRACTOR N BK. PG, 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 o CLASS SQ. FT. NO.OF NO.OF CHECK License Numbs /' Lic.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ $ Contractor "mate ADD 13 1 am exempt under S C. A1TER FINAL B.&P.C. for this reason ,� REPAIR C DAT4.3 USE OF FIN Date' EXISTING BLDG. DEMOL By Signature APPLICANT TEL. ' OWNER-BUILDER DECLARATION PRINT NO. ,[, L5-7 1 hereby affirm that I am exempt from the Contractor's License ADDRESS g 2 9 5 4 A Law for the following reason (Section 7031.5, Business and Professions Code): PRE ENT # 0 0 0 0 0 1 E] 1, I, as owner of the property, or myemployees with ADDRESS 0 o49,88 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. 0 0 0 E] (j 9$$ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 07- with licensed contractors to construct the project (Sec- ADDRESS ()9.1 9-85 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HAN PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE a P.L. o Lender's Name Lender's Address P.C.Fee$ Permit Fee / .J rI certify that I have read this application and state that the Issuance Fee ! �� above infor tylion is correct. 19gree to comply with all County Investigation Fee ordinanc 4 and State laws rel ting to building construction, Total Fee and he by authorize repress tatfves of this County to enter upon t above-mention p operty for inspection purposes. / �- 0 SEE REVERSE FOR EXPLANATORY LANGUAGE re o Ap ant or Agent Date ®s APPLCATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS D• or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP LOCALITY Policy No. WL D Company SIZE OF LOT NO.OF BLDG3.NOW ON LOT Ir ❑ Certified copy is hereby furnished. NEAREST CROSS S7. @certified copy is filed with the county building inspection TRACT BLOCK LOT NO. a department. USE ZONE MAP NO. Date Applicant !//L✓ ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. YES NO COMPENSATION INSURANCE H WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CITY ZIP is issued, I shall not employ any person in any manner so as to ARCHITECT ORENGINEER I TEL NO. p become subject to the Workers'Compensation Laws. STATISTICAL Cr/LAS�SI.�IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. �J� DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith rdurGo• 44.0 • 4 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION $ SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 % ON 0 4 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT. ZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. t� NEW 1:1BK PG 0 License Number Lic.Class C --`K•► DESCRIPTION OF WORK ADD ElVALUATION ,o Contractor Date u ALTER ❑ $ ❑ I am exempt under Sec. REPAIR ❑11 $ F B.&P.C.for this reason DEMOL LDMA P/C# LCL Date: USE OF EXISTING BLDG. URM ❑ n 23 U, Signature APPLICANT(PRINT) TEL NO. LDMA Perm# tir• ❑ I, as owner of the property, or my employees with wages as Z 'CCT.v their sole compensation, will do the work and the structure is ADDRESS FI (�• I� not intended or offered for sale (Section 7044, Business and FINAL DATE G Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL l , J ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE a _ Y Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GU7DE9 licensed contractors to construct the project (Section 7044, YES❑ NO❑ FINAL BY > wX I.-W Business and Professions Code.) 30(y3 r WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ti7JiJr[ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR +' jS GUIDELINES X- +I MC , I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance of the work for which this permit is issued(Sec. TOTAL��- a'� I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CHECK TITLE 2 CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address GRANGE o_:r1 , OWNER OR AGENT I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEEr-� �� 0000-013131 1j 1 �� with all county ordinances and State laws relating to building c construction, and hereby authorize representatives of this County ISSUANCE FEE r to enter upon t-�h777�PP�71111����aaaa----trove-mentioned property for inspection purposes. C],/ 0152 1 AM 9:2.3 INVESTIGATION FEE TOTAL FEE O e a S.yuturo of Aa K, r !;'AI 0.:ta ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE N APPLICATION FOR BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADORES or a certificate of Workers'Compensation Insurance,or a certified ( � G S L lm 4 copy thereof(Sec.3800,Lab.C.) CITY �r- ZIP Policy No.�3d�a3�`f�� Company �lN� t �`Q' LOCAL] Y ` SIZE OF LOT NO.OF BLDGS NOW ON LOT ❑,../Certified copy is hereby furnished. NEAREST CROSS ST. 9 S' T V N,6-d L7 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. (7 departm nt. ' USE ZONE MAP NO. �^f- k ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS Date ( Applicant W� I�cGC�N� CERTIFICATE OF EXEMPTION FROM WORKERS' L 1,10. COMPENSATION INSURANCE yO WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS S—wlDISTRICT GROUP Y b4AE ZONE PROCESSED BY dollars($100)or less.) S'p -, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to CITY cM C`, ZIP co: become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. co: STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO,.? DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' G§ITRACTOR 10. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith v Vo2 lei C Z E L c ICS A e10 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO PL LICENSED CONTRACTORS DECLARATION OU w �N�I'` A ?I SIDE CIT LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 >1 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIQ NO.OF STORIES NO.OF FAMILIES Professions Code,and m�y+lliicense is in full force and effect. NEW El BK PG a License Number 1xr)I J '4 Lic.Class Q' D CRIPTION OF WORK�� , �4� ADD ❑ VALUATION W i ® C ContractorSurL"�� Date Z v A TER ❑ REPAIR11 $ F ❑ I am exempt under Sec. B.BP.C.for this reason DEMOL ❑ LDMA P/C# V Date: USE OF EXISTING BLDG. URM ❑ -+ `�.. U Signature �� APPLICANT(PRINy J NO. LDMA Perm# G ❑ 1, as owner of the property, or my employees with wages as LAJ /'`cas J,, -7 Jf3f:r— Z their sole compensation, will do the work and the structure is ADDRESS 2 56 J n}y: not intended or offered for sale (Section 7044, Business and 7c;e) WA INA FINAL DATE C Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7 � J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ACV. ❑ 1, en owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY ACV n 4 licensed contractors to construct the project (Section 7044, ves❑ NODI _ Business and Professions Code.) / ^, t= WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING -x'021' 10C °'-13 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR i E�*iL_ GUIDELINES I hereby affirm that there is a construction lending agency fo80 r a the performance of the work for which this permit is issued(Sec. ves❑ No HA 7�TOTAL �._a_55 a o I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THESCAQMD PERMITTING ( i a 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, 4� yrt n i`JC( TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS r Lender's Name M R� ]ALS REP NG AND F OBTAINING A PERMIT FROM THE scAOMD. o Lender's Address ���s^� CHANGE °SIE OWNER OR AGENT oI certify that I have read this application and state under penalty' O of perjury that the above information is correct.I agree to comp) P.C.FEE ,�j PERMIT FEE �/ +._ CY with all county ordinances and State laws relating to building D v D a s-��.I t—I'D construction, and hereby authorize representatives of this County ISSUANCE FEE �O LI��` Ail o`L GO to enter upon the above-mentioned property for inspection pu poses. a A INVESTIGATION FEE TOTAL FEE � 3 Q SynUurq of App--t or Ag=1 Dp p /G' SEE RE ERSE FOR EXPLANATORY LANGUAGE ' I 41, - ,- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS TENANT IMPROVEMENT • BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611070032 PHONE: (818) 285-0488 EXT: !M LEGAL NO. OF CONST NEW BUILDINGADDRESS: BK: 62 PG: 2 PC: SQ. FT STORIES TYPE OCCUP GROUP 5611 ROSEMEAD BL STRUCTURE: 1140 1 V B TEMP CA 917801804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-031-059 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: n EXIST BLDG USE: COMME USE 0 E: S-MET ON: PROCESSED B EXPIRES ON: ORANGE CH`CKEN EXPRESS EXIST OCC GRP: B 02/04197 TC 02/04/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL���� FINAL BY• CODE: ELTINGE GRAZIADIO;SAMPSON DEV CO - 25,000 FEES PAID D SCR'P ION OF WORK aa��� TENANT IMPROVEMENT FOR FAST FOOD RESTAURANT FEE DESCRIPTION: QUANTGTY:�UOrM° p AMOUNT: APPLICANT: L. 0: kx IL o �!I GARY WANG & ASSO. (818) 288-6898- Al PLANCHECK W/EN-HC%p/�25000100=VAL 461.43 573 MONTEREY PASS RD AA BLDG PERMIT ISSUANCE/ �� 2775 SPECIAL CONDITIONS: . MONTEREY PARK, CA AE STRONG MOTION3N HER, 25,000.-00-VAL`\ 5'•25• A2 PERMIT W/ENERGXZRC�� X25000.00 VAL' `542'86—, OTA' FEES CONTRACTOR: TEL. N0: a �� ��"_''` APPROVALS DATE INSPECTOR SIGNATURE EVERSTRONG CONSTRUCTION INC. (800) 933-8913- - 418 BAMBOO LANE LIC. NO �� ��JJ \ TION A D SE C LOS ANGELES, CA 90012 721681 -- ' SOILS(ENGINEER APPROVAL t�., `�����r(-� ARCHITECT OR ENGINEER: E N0: .gJ �� �11 �I� .�J II 4�'� ' FOUND TION RENO ORMS GARY WANG AND ASSOCIATES (818) 288-6898- I�_—----- 573 MONTEREY PASS RD. #C LIC. N0: J��SLAB/ NDER FLOOR MONTEREY PARK, CA 91754 NONE J —RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP04 � V "� � ARaDER LOOR INSULATION . 'FLOORS ff OURI N G 0. OF FAMILIES: DWELLING UNITS: 0 D: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ` � SHEAR LS AIR QUALITY: 1000 FEET MATERIALS �=-, NO NO NO �J-� FRAME INSPECTION 2_ zy 9r R SP I ER H GERS INSULATION/WEATHER STRIP INTERIOR AT RYW L EXTERIOR LATH dh ii7ni/ RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED S AFTS/OPENI G- T-BAR CEILINGS OT DRAINAGE � REPORT ID: DPR261 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9703130083 PHONE: (818) 285-0488 EXT: LEG ID: NUMBER OF S NS: I BUILDING ADDR SS: BK: 62 PG: 2 PC: SIGN DESCRIPTION: NEW ILLUMINATED CHANNEL LETTER SIGN 5611 ROSEMEAD BL TEMP CA 917801804 ASSESSOR INFORMATON NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-031-059 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST LD SE: ISSUED ON: PROCESSED EXPIRES ON: ORANGE CHICKEN EXIST OCC GRP: 03/13/97 TC 03/13/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY' CODE: ELTINGE GRAZIADIO;SAMPSON DEV CO - 1,500 �_t Q-4 FEES PAI DESCRIPTION OF WORK NEW ILLUMINATED CHANNEL LETTER SIG APPLICANT: TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ' 88 SIGN 0818) 442-8033- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER _ 1500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 1500.00 VAL 90.42 TOTAL FEES 173.37 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE 88 SIGN CORP (818) 442-8033- 1904 DOREEN AVE #A LIC. NO LOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 702474 C10 SOILS ENGINEER APPROVAL ARCHITECT OR G E TEL. NO: FOUNDATIONPRENCH FORMS LIC. NO: SUPPORT STRUCTURE P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 OF S: DWELLING NITS: AP CO D: STAT CSS: NO 20 OOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA SL 0508 9703180029 • PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDR SS: BK: 62 PG: 2 PC: SQ. FT STORIES TYPE OCCUP GROUP 5611 ROSEMEAD BL STRUCTURE: 900 1 V B TEMP CA 917801804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-031-059 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: E S B D SE: COM E ZONE". ISS ED O -PROCESSED B : EXPIRES O : ORANGE CHICKEN EXPRESS EXIST OCC GRP: B 04/21/97 TC 04/21/98 OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. CODE: ELTINGE GRAZIADIO;SAMPSON DEV CO - 1,250 ._2l -47 14 FEES PAD DEbURIPTION OF WORKf INSTALL FIRE SUPPRESSION SYSTEM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TE 0: BEST FIRE PROTECTION CO. (213) 731-2277- D1 PLANCHECK W/0 EN-HC 1250.00 VAL 82.11 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AE STRONG MOTION .,OTHER --'�;--1.250 00 VAL 0,50 D2 PERMIT W/.O;(ENiHC' x-•1250:00 VAL 82.20 -TOTAL'FEES=* 192.56 CONTRACTOR: TEL. N0: = +` `` �_ � �---_ � .� APPROVALS DATE INSPECTOR SIGNATURE BEST FIRE PROTECTION (213) 731-2277- 1814 W. WASHINGTON BLVD. LIC. NO s=�_ '+ "✓— "'_• ,,�Y•�,'�c-�f LOCATION D SETBACKS LOS ANGELES CA 90007 578809/C16 =�,`' `r- r'��1 ��• * SOILS ENGINEER APPROVAL ARCHITECT 0 G EER: TEL. N0: `J�" _ 1 v.} �` '�� , O D O T E C - �• 1--� N H 1.OTRT LIC. N0: R� ' li �� ' ---_--- SLAB/UNDER FLOOR ---_ -----_ ! '��� ISD FLOOR F AM I G 04 2 P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: L ' , UNDERFLOOR INSULATION FLOOR 0 FAMILIES: DWELLING TS: C D: S C ASS: _+ .`� +- —�, __`;-_ — ,� S G NO 22 �` `'�\ r f .l_+ , Z� ROOF SHEATHING 0SSC L WITHINf .� , SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ; NO NO NO �J''i;•.` �f_ I_ -''l;,;� ;r;��. FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/ FATHER STRIP INTERIOR A DRYW EXTERIOR LATH RATED FL0 ASS . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT RAI AGE REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOR JUILL)ING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS �G' / >L i i _J .�'/ E"L/� � �i..�r r DEPARTMENT OF COUNTY ENGINEER CITY I_., Iy[ %s _� ZIP BUILDING AND SAFETY DIVISION SIZE OF LOT .OF BLDGS. / �,L NOW ON LOT ADDRESS .5c/ TRACT /�/S BLOCK LOT NO. L. LOCALITY. TEL. NEAREST OWNER AA, C ( , / NO.'Z�j"C •1/�4 CRC SS ST. ADDRESSASSESSOR L Lt C I rI / t C-{,,.( '4 L I MAP BOOK PAGE PARCEL -CITY 4 ."6 ZIP DISTRICT GROUP TYPE FIRE ESSED BY . /,ii•.rl.j l r i �\ ARCHITECT OR TEL _J LJ r z CONST ZONE NE 7,A-Y,ENGINEER / /I ki C 1-1$' NO.2 S- / / STATISTICAL CLASSIFICATION ADDRESS Z�y SEWER MAP _ 31 ��� CLASS NO. /J7' DWELL.UNITS TEL. BK PG CONTRACTOR s' /_` NO. USt ZONE MAP LIC. ) NO. ADDRESS ( C, NO. - SPECIAL j LIC. CONDITIONS CITY lT W C CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLD3.SETBACK FROM ADDRESS CITY FROVT PROP.LINE OF (STREET) SO.FT NO.OF NO.OF CHECK HIG-IWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE r STORIES FAMILIES ONE --- FRONT PROP.LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW ❑ + - Q BLD.i.SETBACK FROM U ADD u j y L 6 �G� 'J SID[:PROP.LINE OF (STREET( O / ALTER [01 ~ HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF I EXISTING REPAIR ❑ SIDE PROP.LINE HIGHWAY USE OF WIDTH N EXISTING BLDG. = Z DEMOL [Ell + APPLICANII TEL CORNER CUTOFF YES C] NO ❑ (PRINT) NO. IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ 1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ! AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF "'/ • THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM PENSATION INSURANCE. - > sAsik c--` SIGNATURE OF /� / +'�C PERMITTEE f�L�✓ �*4A. -� .; .xf ( ADDRESS TEL. FINAL �j B CITY �ti/ NO.2 DATE / 'J<9 / MAKE CHECKS PAYABLE TO: F E $ PMT. $ HARVEY T.BRANDT,COUNTY ENGINEER . FEE .3-'11' � PLAN CHECK VALIDATIOpv CK. Mfo. CASH _ PERMIT VALIDA ION CK. M.O. CASH OCU ..ap �u � 3 0J41. � � '70o�nr,T 15 1 U 658.5uv .� OS�nCT 15 3I54.0U • j - 6A638A CE 4803 3-75 - 1 r