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HomeMy Public PortalAbout5676 ROSEMEAD BLVD_Building__ 5A6$BA CE X803 3-69 APPLICATION FOR BUILDI G P COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. ROUP TYPE CONST. PR C /E�[Y��Y (PRINT OR TYPE ONLY) �7 a �7 /y L, BUILDING _' STATISTICAL CL��ASS//I^'F��IC ON SE ER MAP ADDRESS , 7 1 I- CLASS NO. DWELL.UNITS BK PGa/ LOT NO. V-3 BLOCK USF..ZONE MAP NO. (/�)O (� %ice TRACTf �j PECIAL 1 r NO. OF BLDGS. _ CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM 4�d� f L (STREET) OWNER �/C6�I/f FRONT PROP. LINE OF a Fj"7 6 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS C) ` HIGHWAY WIDTH FROM C.L. } + CITY L \ L".+ BLDG.SE BACK FROM ARCHITECT OR e �� TEL SIDE PROP. LINE OF � (STREET) ENGINEER j, �7, a AJ�� N0� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS L � HIGHWAY WIDTH FROM C.L. CONTRACTOR- G�/ �G NOLO + ADDRESSJ,82--133 �ss �lrY NO. 1!71X CORNER CUTOFF YES ❑ NO ❑ CITY ©(�S' CL SS� -� ® SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER I NAME AND BRANCH 'Li of = ADDRESS SQ. F r N0. OF NO. OF SIZE yg,y STORIES FAMILIE EW USE OF STRUCTURE 5g6WV1d6 S / ADD I J , / LTERa Alow . REPAIR SIGNATURE OF DEMOL APPLICANT y�� VALUATION$ - C/ APPROVALS DATE INs URE FEE $ FEE $ 33,00 FO UNDATION FORMS, M LOCAT SN U .._1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCES AND WS REGULATING BUILDIN RUL- FURNACE: LOCATION, TION. I CERTIFY T DO G THE WORK AUTHORIZ HERE I GAS VENT DUCTS WILL NOT EMPLO ANY P R 0 IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE 0 CAL IA IN RELATING TO WOR MEN'S COM- PENSATION I U LATH, EXT. SIGNATURE HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRES �5; L 0 0FINAL �-v (/46�i .1 /__� K•C JOHN F. LEWIS, PRINCIPAL ST GJURAL ENGINEER 'LAN CHECK VALIDATION cK. M.0. CASH - PERMIT VALIDATION CK. M.O. CASH 3 4 9 w�Z 4".'l27 _ 3 D 3 '! D ZRMI;�-r'."""'j I$A6it 38CE•nBd3 3-69APPLICATION FOR BUILDIN COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS / BUILDING AND SAFETY DIVISION LOCALITY 1, JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO G OUP TYPE c�xs1. Ro (PRINTCU TYPE ONLY) n [`I BUILDING STATISTICAL CLASSIFI T N SEWER MAP q ADDRESS r CLASS NO. Z ODWEL .UNITS BK PG �C( LOT NO. q(i3 BLOCK US�ZO�E MAP /t �� L N0. 0 TRACT J SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM OWNER (� OppNOL �� FRONT PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS. � V/aa ` N� CITY E L "V HIGHWAY WIDTH FROM FROM C.L. + ARCHITECT ORTEL. BLDG.SETBACK FROM C ENGINEER p N0. � SIDE PROP. LINE OF (STREET) a ^,r� j TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �� L✓4/ptl� HIGHWAY WIDTH FROM C.L. CONTRACTOR rr�� � �+�lyr t7�I'NO.LICy rr + - n ADDRESS.0 Altaic- c® NO z/ 7lp CORNER CUTOFF YES ❑ NO ❑ L CITY /i(/!�U %sCLAS f SEE REVERSE SIDE FOR SPECIAL APPROVALS C CONSTRUCTION LENDER e J ! L NAME AND BRANCH u n ADDRESS v L SQ. FT N0. OF No, of — SIZE ZS' STORII�ES FAMILIE$��NEW USE OF 'N STRUCTURE 4 Q L3 a C—JS �ibTJO R.ADD ❑ A ALTER ❑ REPAIR ❑ SIGNATURE of DEMOL ❑ APPLICANT VALUATION S a S'00 V APPROVALS DATE INSPECTOR'S SIGNATURE P.C.S /s�v /J PMT. FOUNDATION: LOCATION FEE G� FEE S ,6-0 FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCE AN REGULATING BUILDING CONSTR FURNACE: LOCATION, TION. I CERTIFY T T N ODIN E WORK AUTHORIZED HERE I GAS VENT DUCTS WILL NOT EZEORNI RSO IN CATION OF THE LABOR ODE LATH, INT. OF THE STAIN R ATING TO WORKMEN'S OM- PENSATION ISIGNATURE LATH, EXT. PERMITTEE HOUSE NUMBER CORRECT -41 AND POSTEDADDRES o FINAL JOHN F. LEWIS, PRINCIPAL ST TURAL ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH - PERMIT VALIDATION CK. M.O. CASH V J 'C— .�a 0 .L D.5V I Am_ 3 % G� FEB 3 D G .5:�' t '6A638A CE #803 3-69 -- APPLICATION FOR BUILDING PERMIT �I COUNTY OF LOS ANGELES BUILDING rte/ DEPARTMENT OF COUNTY ENGINEER ADDRESS ✓ BUILDING AND SAFETY DIVISION LOCALITY -� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN Dl5IL�K>r/NO. G OUP % TYPE C PR c Y (PRINT OR TYPE ONLY) 15 1 ♦,/ BUILDING r STATISTICAL CSSIF CA ION SEWER MAP ADDRESS �J 6I CLASS NO. �O DWELL.UNITS BK PG LOT NO. �/ BLOCK USE ZONE MAP NO. TRACT SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. 576 1- I.0 BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER ��� (� ��, N0. TYPE OF;KF SETBA K HIGHWAY + YARD = TOTAL HIGHWAYFROM G.L. ADDRESS ��r1/L.� My CITY��6\/lf BLDG.SROM + ARCHITECT OR �U •aeTEL SIDE PROF (STREET) ENGINEE -�- N0. TYPE OFSETBACK HIGHWAY + YARD = TOTAL ADDRESS � G�//�� �t� -� HIGHWAYFROM C.L. CONTRACTO c��x/ m�% NO. -0 TELe 7 + - cADDRESS .� J` NO � ��� CUTOFF YES NO ❑ LLIC.CITY (�=`J� �� CLASS G'. SEE SE S DE FOR SPE IAL APPROVALSC CONSTRUCTION LENDERNAME AND BRANCH �� O l LL e ADDRESS v L S0. FT. NO. OF NO. OF - SIZE STORIES FAMILIES NEW USE OF Z;V // ADD ❑ STRUCTURE C��/ ❑ ALTER ✓T /�C✓ - REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT VALUATION S APPROVALS DATE R.1-50141'r sI ATURE P.C. PMT. i FOFORMSOMATERAALSN O +� FEE $ O FEE'$ /�i QQ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCES AND LAWS REGULATING BUILDINGCONSTRUC- FURNACE: LOCATION, TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS WILL NO OY ANY PER N IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE S E 0 to IN RELATING TO WORKMEN'S COM- PENSATION I NC LATH, EXT. SIGNAPERMIT EE U OF ��� HOUSE NUMBER CORRECT PERMIAND POSTED ADDRESS FINAL O JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER 'LAN CHECK VALIDATION C.K. ' M.O. cnsH - PERMIT VALIDATION CK. M.O. CASH c.- r to 4 D 7 I ,A,r�_ .7 V x� �� FEs13 1 D 12.1%-; /V r 1 ell"1`i;� '6A638A CE #B03 3-69 APPLICATION FOR BU ILDI G PERMI r COUNTY OF LOS ANGELES BUILDING `/ (p DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEARESSCROSS T. FOR APPLICANT TO FILL IN o1sTE—T 1�0. ROUP TYPE�QyST. P (PRINT OR TYPE ONLY) � U / J BUILDING STATISTICAL CLASSIFI ATION StWER MAP ADDRESS CLASS NO. -C;1-2—C)ANELL.UNITS SK PG LOT NO. BLOCK USE ZONE MAP D 0 N0. TRACT x:aSPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT S` NOW aO�N-yLOT USE OF EXISTING BLDG.� Ef9e 7�pGi/�U BLDG. SETBACK FROM r � � �% TEL. FRONT PROP. LINE OF (STREET) OWNER N0. TYPE OF EXISTING SETBA&K HIGHWAY + YARD = TOTAL � HIGHWAY WIDTH FROM G.L. ADDRESS�eWG� CITY 70tiw AD ARCHITECT 0 , SIDE PROP. LINE OF TEL. BLDG.SETBACK FROM STREET) ENGINEER N0. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 1 HIGHWAY WIDTH FROM C.L. TEL CONTRACTOR -//�� ` N0. �C-� Lic - � ADDRESS � NO � COR ER CUTOFF YES NO CITY ,�� CLASS` J SEE REVERSE SIDE FOR SPECIAL APPROVALS i CONSTRUCTION LENDER NAME AND BRANCH - /f/ L ADDRESS SQ. FT. NO. OF NO. OF SIZE �� STORIES FAMILIES NEW USE OF ADD STRUCTUR � ALTER ❑ REPAIR SIGNATURE OF DEMOL APPLICANT VALUATION S' APPROVALS DATE INSPECTOR'S SIGNATURE PMT FEE $ /j� FEE$ ��® FO FORMS, MATERAIA SN IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION,GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF T F CA IINIA IN RELATING TO WORKMEN'S COM- PENSA LATH, EXT. SIGNA RE OF PERM HOUSE NUMBER CORRECT AND POSTED ADDRES FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER 'LAN CHECK VALIDATION CK� M.O. CASH - PERMIT VALIDATION i ml M.O. CASH I5r'---' Fta 423 D 5.4�d I AP._ 3 6 7 o= FLO13 1 D 9.00 - ,• 76A638A CE N803 1/71 `-� -- ,'F• APPLICATION FOR EUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY a FOR APPLICANT TO FILL IN NEAREST Print or tvDe onl CROSS ST.' BUILDING DISTRICT NO. GROUP„ TYPE PVStSSED BY ADDRESS �Jj , ���' w CONST. LOT NO. BLOCK STATISTICAL CLASSIFI TI N SEWER MAP CLASS NO. 02"0 DWELL.UNITS BK PG TRACT USE ZONE MAP NO,OF BLDGS. NO. SIZE OF LOT NOW ON LOT n SPECIAL USE OF 6 CONDITIONS EXISTING BLDGJ / L. OWNERli �! C;Q� NO BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM G.L. ARCHENGINEER ORS 'rA& NOL + •r_ (/ BLDG,SETBACK FROM ADDRESS�� "' SIDE PROP.LINE OF (STREET) /� TE TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C CON TRA CTORG945i_ Al f I Np, )•�„ HIGHWAY WIDTH FROM C.L. ADDRESS �r 1i A N0 1/ + = C ���� LIC. H CITY c� CLASS "��� CORNER CUTOFF YES ❑ NO LL CONSTRUCTION LENDER v NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE JD STORIES FAMILIES USE OF r�^�, ,moi- ADD STRUCTURE /- / _ /� ALTER ❑ rSIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ VALUATIONS� F APPROVALS PATEINSPECTOR'S SIGN;TU RE P.C. PMT, FOUNDATION: LOCATION CfMAT FEE S - v FEE S O FORMS, ERIALS FRAME: FISTOPS, i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. ICERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR COTHE STIE OF 'CALIFORNIA IN RELATING TO WORKMEN'S C INSURANCE. LATH, EXT, SIGNATURE HOUSE NUMBER COR- PERMIT'I'. . AND POSTED ADDRESS FINAL Z JOHN F. LEWIS. PRIN -IPAL STR T RAL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH i tlr, 1 4 359 JUL14 2 3 D '5.40- K I Ar- 14 3 6c JUL14 1 D 0.0 0� 4 f 7- ►6A6•d8ACE X803 3-69 APPLICATION FOR BUILDING P COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS <-6 74 y-- BUILDING AND SAFETY DIVISION LOCALITY t JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. ` DISTRICT NO. RO TYPE GIST. PR C BY FOR APPLICANT TO FILL INR. / �/ (PTOR TYPE ONLY) BUILDING / STATISTICAL CLASSIFICATION SE ER MAP ADDRESS` CLASS NO. •--HOWELL.UNITS SK PG LOT NO. BLOCK U�&- C E NOP �q TRACT C 7 SPECIAL NO. OF BLDGS. CONDITIONS • SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM OWNER, //'�� TEL. a FRONT PROP. LINE OF (STREET) �7j ` ©r, Com• NO 3 C� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ®�� , Jr/�L� HIGHWAY WIDTH FROM L.L. ADDRESS l / 4/bd CITY (�L /�/ b.�/�'� d, / I le�1 ARCHITECT 0 TEL BLDG.SETBACK FROM ENGINEER • s�.j�/� NO. / SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �/�, .L QA•� � HIGHWAY WIDTH FROM C.L. TEL a !3 + CONTRACTOR —�jTL��� NO. � ,� ADDRESS meq„ .4!(rA'GC)/Q-� NO. �y� CORNER CUTOFF YES ❑ NO ❑ i.CITY ��u �S CLASS �-�I SEE REVERSE SIDE FOR SPEC L APPROVALS ° CONSTRUCTION LENDER J NAME AND BRANCH a ADDRESS z may. 3 4 SqOOF NOF IZE 7 TORIES FAMIILIES-S NEWUSE OF L 3 L STRUCTURE_G��-(�/e-- T'�7`/o•L,�ADD ❑ ALTER ❑ t� _ ,[ G� t� - REPAIR ❑ �- 'SIGNATURE OF DEMOL ❑ �� --�� I� APPLICANT bf G r' VALUATION S y- O G APPROVALS DATE INSPEC R'S SIGNATURE P.C. /' PMT. FOUNDATION: LOCATION -�/. FEES " e_.7 O •J O FEE $ ��p$; '9C, C7 FORMS MATERIALS 0 _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE A() CT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCE ATING BUILDV iJtUC- GAS VENT DUCTS TION. 1 CERTIFY TH RK AUTHORIZEBY I WILL NOT EMPLOY NYATION OF THCODE LATH, INT. OF THE STATE TING TO WOCOM- PENSATION INSU LATH, EXT. SIGNATUREd� HOUSE NUMBER CORRECT PERMITTEE J AND POSTED �7 ADDRESS9! �� G� O f FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION C-j- M.O. CASH - PERMIT VALIDATION ( / M.O. CASH i r,r 3 9 6 C- �;,�.27 3 D 7 6.50A w r rr+ 3 i 3,z FEB 3 '-: 3D 22.50, 3 65. Ian 3 :: 7 ��� ft D .,_ � '.1 76A638A CE 0803 3-69 l APPLICATION FOR BUIL® S-/WPEMITO-Z� COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS CJ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP'T OF BUILDING CROSSSS FOR APPLICANT TO FILL IN DISTRICT N0. GROUP TYPE CONST. P Es 9Y ci (PRINT OR TYPE ONLY) �• � rz BUILDING �^ STATISTICAL C ASS ICATION SEWER AP ADDRESS �1 CLASS NO. DWELL.UNITS / BK PG LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECIAL N0. OF BLDG S' CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM OWNER LC TELT/./ ` FRONT PROP. LINE OF -(STREET) r LL�� TYPE OF EX INC SETBACK HIGHWAY + YARD - TOTAL ADDRESS//o o ���• e, HIGHWAY WIDTWj FROM C.L. CITY + _ ARCHITECT ORTEL. BLDG.SETBACK SDE PROP. LINE OF M (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWA + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. fp'' CONTRACTOR alb/ e� NO. V + - ADDRESS �67 N0.6 CORNER CUTOFF YES ❑ NO t CITY p le C AS i S SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION E ER t NAME AND BRANCH c t ADDRESS SQ. N0. OF NO. OF SIZE S OR IES FAMILIES NEWUSE OF ❑ STR CTURE l ' ADD ❑ ALTER ❑ R SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE S q� V �J FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATIN G FRU R L- GAS VENT DUCTS WILL NOT EMPLOY ANYCAL p IN [a 0 FTION. I CERTIFY THAT IN DOING THE A RIZ H E Y I TH A R ODE LATH INT. OF THE STATE OFN' COM- PENSATION INS SIGNATURE OF H, EXT. PERMITTEE SBER CORRECT E POSTED , ADDRES INAL JOHN F. LEWIS, PRI IPAK STRUCTURAL ENGI EER PLAN CHECK VALID ION CK. M.o. CASH - PERMIT VALIDATION CK. M.O. CASH) ......10 1 D 9.00 76A638A CE #803 3-69 APPLICATION FOR BUIL ISG PE MIT 6�V � COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS CJ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP'T OF BUILDING CEASES T. FOR APPLICANT TO FILL IN DI WCT N 0 TYP-,�eNST. PROC D BY (PRINT O TYPE ONLY) Q �� s� BUILDING 0 ��� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �J aS 'YOB CLASS NO. !�/�DWELL.UNITS BK PG LOT NO. BLOCK USE ZONE MAP N0. TRACT ��(� �1/ SPECIAL NO. OF BLDGS. (ll�i� G� CONDITIONS SIZE OF LOT OW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM OWNER ���)G �� Q NOL.L43 7/(,G FRONT PROP. LINE OF (STREET) TYPE OF 1EXISTING SETBACK HI WAY + YARD = TOTAL ADDRESS 0/7&01 7&0 LG HIGHWAY WIDTH FROM C.L. CITY � � �s ,, + ARCHITECT OR TEL. SIDE PROP.LINE OF CK M (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM L.L. CONTRALTO V e VeL + TEL i O v + _ ADDRE S e q�( �I NO a CORNER CUTOFF YES E] N CITY GS S CLAS CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS j CONSTRUCTION NDE NAME AND BRANCH ADDRESS SQ. FT �j gory N0. OF N0. OF ❑ SIZE b/ V STORIES FAMILIES NEW USE OF STRUCTURE ADLDTER ❑ R SIGNATURE APPLICANT �-+- i VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. ''^f� FOUNDATION: LOCATION FEE$ FEE$ lv FORMS MATERIALS I HEREBY AC OW E THAT i HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGUL NG BUI ING STRUC- GAS VENT DUCTS TION. 1 CERTIFY THAT IN DOING THE AUTH ZE EREBY I WILL NOT EMPLOY ANY E 1 `AT ON 0 H OR CODE LATH, INT. OF THE STATE OF CAL, NIA N AT G T W EN'S COM- PENSATION INSURAN LATH, EXT. SIGNATURE OF �it1 E NUMBER CORRECT PERMITTAND POSTED oz ADDRESS FINAL a JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALI ION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. \CASH% ( r,r'_ aU1l_ ,.::.t1p 1D 9.00- 1 ../ o— APPLICATION FOR WILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DDRESS I hereby affirm that I have a certificate of consent to self insure, BUI TNG ADDRESS 76 176 r%�i �� L�•�� 0, or a certificate of Workers'Compensation Insurance,ora i copy thereof(Sec.38Lob.C.) ,a�,¢ 6' r'`j7/fr9' CITY zIP Policy No. - COrnp�y�r,C� Em 4� L /T !71780 LOCALITY / ��� SIZE OF LOT NO.OF BLDG$.NOW ON LOT e � NEAREST CRO ��,,�Certified co is r u nls ed. L5'Certified copy is filed with the county building Inspection BLOCK LOT NO. USE ZONE MAP NO. department. Date /-off -90 Applicants ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CO Dq9�1 ITIONS��� CERTIFICATE OF EXEMPTION FROM WORKERS' � OWNER TEL NO. eI� COMPENSATION INSURANCE ADDRESS/j7 0,6/L 0/G C�D�e P. WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred && li rn�/� �-p DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($hat or less.) CITY/� zIP �DO �01. I certify that in the performance of the work for which this permit /VI•/�i9-1V�. 91,3'06 Is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CDIFIC APT CONDO Date Applicant ADDRESS *L CLASS NO. NOTICE TO APPLICANT. If, after making this Certificate of CONTRACTOR T NO. REQUIRED TOTAL S4�fBACK FROM EXIST Exemption, you Should become Subject to the Workers' SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith 741r I/ WQO FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS _ LIC.NO. - PL — Al. � �� '��- _ SIDE tfUt•ieQ LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL I hereby affirm that I am licensed under provisions of Chapter 9 OA NSE C4 14 SEWER MAP _ ' r SO.FT.SIZE NO.OF STORES NO.OF FAMILIES C (commencing with Section 7000)of Division 3 of the Business and { T+ �"` Professions Code,and my license is In full force and effect. NEW ❑ BK L PG y Viii- '`'L`10 p DESCRIPTION OF WORK ADD VALUATION ® I IJ tTrIL 7 ,� '�CiJ License Number 5�6' 9� Li,.Class D ,4 /N if!/r ,4g5c�. v o t C 7 a Contractor Data // g ALTER ❑ �i•t. vs r: e7� ❑ I am exempt under Sec. REPAIR ❑ CHANGE B.BP.C.for this reason DEMOL ❑ LDMA P/C N USE OF EXISTING BLDG. 0111111-0031i 1 11 6/n- Date: S• URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 40-117 P,M 10: y� ❑ I, as owner of the property, or my employees with wages as /u�H/� Ov l.E� - )- Z their sole compensation,will do the work and the structure Is ADDRESS not intended or offered for sale (Section 7044, Business and o? /CMA14 .9111a) ±da &_"&a7AadDATE � Q G Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL J ❑ I, as owner of theproperty, OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) CQF�_ WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ �••. 5_ , .__{ QJ y,. r •. the performance of the work for which this permit Is issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CiV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES �• COUNTY CODE.TITLE2,CHAPTER 220 SECTIONS 220.100THROUGH 220.140 CONCERNING ''I �"'� '�'` �•'( ""'1 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. rr bfa L Lenders Address OWNEnoeaawr 0 1 certify that I have read this application and state that the above r r ` jam' rn information Is correct. I agree to comply with all county RC.FEE PERMIT FEE C1ordinances and State laws relating to building construction,and G .•+ rj hereby authorize representatives of this County to enter upon ISSUANCE FEE t bove-rilelgionedrty pr inspection purposes. .J ws f 7 „ / J -fid INVESTIGATION FEE TOTAL FEE !1 0% *Zr AppOra,naApanl 0aro F:J l:_� :-:' r'.1 SEE REVERSE FOR EXPLANATORY LANGUAGE .` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS L �a I hereby affirm that 1 have a certificate of consent to self insure, 7 BUILDING ADDRESS RO 6MSCA 4.45 7a V� or a certificate of Workers'Compensation Insurance,or a certified CITY zIP copy thereof(Sec.3800,Lab.C.) Policy No. IS6 77� �mpanySOP'rAd 0A- T�A7P e/T /7 LOCALITY � SIZE OF LOT NO. BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. A14ri o#04 do, NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT SLOCK LOT NO. a I S"7 / 3 USE 6 ZONE MAP NO. depertme■rL� PAGE � Date/'�' /T 9-Applicant ASSESSOR MAP BOOK r PARCEL L/ a', SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.*70,61e- 0/4, CO A.P. -%'32-76'04 ��6� WITHIN 7000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit is for one hundred 3 O 19 A 4A MEDA h G iJ dig) DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($ or less.) C TY ZIP e, /I me_ certify thathat /(in the performance of the work for which this permit ,('f /1/Jeq/5(J ✓�f Is issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. M&614- Ae. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS ���� � A��� CLASS NO._r _DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of 3 n� y�C+ REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR ,l TEL O. SETBACK YARD HWY PROBLINEACK WIDTH Compensation provisions of the Labor Code,you must forthwith rA iT Axsoe.. / • 3o•y oo FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS p p U,� LIC.NO. PL /�• GJT O F 0 SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL /1,� 0 I hereby affirm that I am licensed under provisions of Chapter 9 `�" EWER MAP c.2 (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES ix Fx Professions Code,and my license is in full force and effect. I EW BK PG F� License Number DESCRIPTION OF WORK v S�B�LS Lic.Class /YJ N DD ❑ vALunnoN Contractor?AlT Affloe , Date /2 -111-90 10> TER ❑ �� BICCc5'OLCNv P/P/AI(f R/[7 rl,/Q./ REPAIR ❑ P $ 331_07 2225.99 ❑ I am exempt under Sec. /� � g �• �; S /,/ V 044 DEMOL ❑ LDMA P/C# 1 T T EI F_ B.BP.C.for this reason �-_ USE OF EXISTING BLDG. Date: d�we-e T�TArioN uRM ❑ AL 22=e9-9 Signature PLICA PRINT) TEL.NO. LOMA Perm# n t`'''° ❑ I,as owner of the property, or my employees with wages as / a'6 ��"" K 22=.§l Zz their sole compensation,will do the work and the structure is AD [[ CHANGE CIO not Intended or offered for sale (Section 7044, Business and >AML/F./(1v7 Tr 1 9 FINAL DATE �I Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANTHANDLEA HAZARDOUS MATERIAL ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN �. Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY Q�j�iCl-�t.�'� q/ ,•�it licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) 26,827J AN 941 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY FORT IR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST 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. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND-RHE W-WMD 3097,CIV.C.). PERMITTING CHECKLIST.1 UNDERSTAND MY REQUIREMENTS UNOOTHROUGDER TH��(�QD3 AdISELEs > j••� ,, Lender's Name COUNTY HAZARDOUS MATERIALS REPORTING AND OR OBTAINING A PERMTITLE 2.CHAPTER 220 SECTIONS 120. IT FROriI'THE$�AOMD. Lenders Address OMEROR GM 4_; a it 1—i Hlw 0 1 certify that I have read this application and state that the above 6 1-j information Is correct. I agree to comply with all county P.C.FEE 4 x- C��J PERMIT FEE ;_--c ordinances and State laws relating to building construction,and OF d hereby authorize representatives of this County to enter upon ISSUANCE FEE t above- ion rope for inspection purposes. t_i 0 CS;I INVESTIGATION FEE TOTAL FEE F•- a I�C.1 ro rpa .IAppUcnMWA . Dam SEE REVERSE FOR EXPLANATORY LANGUAGEr APPUCATION FOR 13UILDINGST COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDDRESS DDR G DINAESS I hereby affirm that I have a certificate of consent to self insure, BUILDING IN A Q�j�/�'/ 13&u or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.380.Lab.C.) /- �p Policy No.06R �(' —9r? ,,51; 1- /' Ihz) 7-6 [r L//T / o LOCALITY _ Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT NEAREST CROSS ST,—,,.,O' ❑ Certified copy is hereby furnished. / ❑ Certified copy is filed with the countybuilding Inspection TRACT BLOCK IAT NO. 9 p USE ZONE MAP NO. department.u�� ��� Date ZZ-2,4--90 Applicant OR MAP BOOK PAGE PARCEL _ SPECIAL CONDITIONS OWNER CERTIFICATE OF EXEMPTION FROM WORKERS' m0 /L L G O 7 TEL NO. WITHIN 1000 FT OF SCHOOLS YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit Is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP �j � p 1 certify that in the performance of the work for which this permit ,8cr���N�— / 2 Is Issued, I shall not employ any person In any manner so as to ARCHITECT nOR ENGINEER TEL NO. become Subject to the Workers'Compensation Laws. �C e• �7 STATISTICAL CLASSIFICyJIgf4 APT CONDO Date Applicant ADDRESS CLASS NO. �N��nq" s NOTICE TO APPLICANT: If, after making this Certificate Of AL »'!�o � REQUIRED TOTAL SETBACK FROM EXIST Exemption, ) CONTRACTOR TEL NO. p you should become subject to the Workers' SoXs ^ 'a"A0 SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith d e D ,771 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC NO. PL 7AK N cY/�iCEss / SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL I hereby affirm that I am licensed under provisions of Chapter 9 6/ �A�tT e 1d �'y5 if 6 1 SEWER MAP r-2(commencing with Section 7000)of Division 3 of the Business and SO.FT SIZE NO.OF STORES NO. FAMILIESW Professions Code,and my license is in full force and effect. / _ NEW BK L, PG / 61 ® F-- License Nu be Lia Class DESCRIPTION OF WORK ADD ❑ VALUATION r ��6/� ContractorIQ0WL/D Z SONS Date ZZ-49 - 70 4-7OA1411)76W7 5,16W ALTER ❑ ❑ I am exempt under Sec. _ REPAIR ❑ BARC.for this reason 3— X SG.,?A1h LIGHT t?hl DEMOL ❑ LDMA P/C a USE OF EXISTING BLDG. `- Date., 5gA ! -a 5 T,,4T/D nI y URM ❑ Signature APPLICANT(PRINT) TEL.NO. LOMA Perm# ❑ I, as owner of the property, or my employees with wages as liv�T�/ Qv �'�'y n--130 G O'v p T'307 their sole compensation,will do the work and the structure is ADDRESS - T r=rt not Intended or offered for sole (Section 7044, Business and A .Q 7.14e/c'"NDff $LUD. DI -/fM/eM,0 ATE a _ _r Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL G� TOTAL -12-6. 47 ❑ I, as owner Of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY/9 ' {•''•I.E .', 1C',�.°i� licensed contractors to construct the project (Section 7044, YES❑ No❑ K f Business and Professions Code.) CHANGE fi WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING I '•�I- ° CONSTRUCTION LENDING AGENCY OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there Is a construction lending agency for YES❑ No❑ 'SII {�-I,ji:I R ( 1 .; 1; the performance Of the Work for which this permit Is ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD •# r--�' ':-' •`•-ti - $ I:s r Xr t 3097,Civ.C.. ) PERMITTING CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE L03 ANGELES i-- r^' I" �. :.. r�l•.}�?� � E�i!I{.E°:— �' COUNTY CODE,TITLE2,CHAPTER 220 SECTIONS 220.100THROUGH 210.140 CONCERNING -P r--r ?t• I •- C_� Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. ? r'r yr' '•} '�:' 1 ' Lender's AddressowRmoAAao�r rrI 0 1 certify that I have read this application and state that the above h' P-1information IS Correct. I agree to comply With all County P.C.FEE /�� � PERMIT FEE n /�� p� �, 1 , ordinances and State laws relating to building construction,and �( `/ ' hereby authorize representatives of this County to enter upon ISSUANCE FEES , the bove-mentioned p rty for ns ion purposes. D o "�?19-190 INVESTIGATION FEE TOTAL FEE ' 0 t�i g i SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT 1110 " COUNTY OF VOS AWGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS _4%q ADDRESS >;r leio5z�� or a certificate of Workers'Compensation Insurance,or a certified `' n "� y� � A64w copy thereofSec.3800,Lab.C. /f�,�/�,r/p aL CIT ZIP p/� ft EG/% LOCALIT Policy Nolte �V 0/`M,1'Z Company A[E7c .u/.9ny SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. /'1-9 NEAREST CROSS ST. 11 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. .1,4js0"4 USE ZONE MAP NO. Date`0'1." Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUPTY E WZONE PROCESSED BY dollars($100)or less.) CITY ZIP �O� 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 become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. 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' ��R TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /-5 FRONT comply with such provisions or this permit shall be deemed revoked. A DRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION II!-Peo 5'��I~;5r_ 4S,6474V SIDE CI LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 q0kzV4` a C.34- SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and m license is in full force and effect. NEW BK PG a.3�070 "o CA DESCRIPTION OF WORK VALUATION 0_ License Number Lic.Class ADD � ContractorH7"rb9I&A5 Date LO C�A� G /O/-� �/�GGoaJ ALTER ❑ $ A -�• a� V Ir El I am exempt under Sec. 72B/°�i71�� REPAIR ❑ $ 0 BAP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ 0- /q)11CC Cl) Signature APPLICANT(PRINT) TEL NO. LDMA Perm# gI•ILP A z ❑ I, as owner of the property, or my employees with wages as L 1/�/ 3 . /it � z 1.1441 e v their sole compensation, will do the work and the structure is ADDRESS 0 3303 50054 not intended or offered for sale (Section 7044, Business and led-" S. "/;-/A/ � �/fjQ�ba//rt C FINAL DATE I' Professions Code.) WILL THE APPL1CANi OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ACC �, ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 0 ACCT o IL licensed contractors to construct the project (Section 7044, Business and Professions Code.) ves❑ No❑ 3303 12507`"-ti WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ITEMS OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY OAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR + GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ TOTAL x.76��--' a the performance of the work for which this permit is issued(Sec. UIDE AND THE SCAOMD PERMITTING /r+u(J r 176.25 LL cc 1 3097,CIV.C.) CH CHECKLIST.UNDERSTAVE READ THE DNODUMY REQUIREMENTS UNDER S MATERIALS INFORMATION GTHE LAS ANGELES COUNTY ODE, 4I1E4 170 0 2L a� TITLE CHAPTER 2 20 CONCERNING HAZARDOUS Lender's Name MATERIAL REORTING AND FOROBTAIN NG A PERMIT FROM THE CAOD. CHANGE .00 o Lender's Address 0 OWNER OR AGENT c I certify that I have read this application and state under penalty ���-[� 1 in� 5/954 of perjury that the above information is correct.I agree to comply P.C.FEE ��//77 PERMIT FEE $ with all county ordinances and State laws relating to building �/!/- 2646 1 AM10:42 construction, and hereby authorize representatives of this County ISSUANCE FEE m to en uponlli boare-mentioned property for inspection purposes. / m AL �! �.dL-t:. INVESTIGATION FEE TOTAL FEE SoMfUm of App'.v]nf u Awnt ONO SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION I " I'hereby affirm that I have certificate of consent to self L APPLICATION F®R BUILDING FERMI T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof-ISec. 3800 Lab. C.) p y y COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo�__d�Zv�� �Com an ❑ BUILDING Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN ADDRESS �� ❑ Certified copy'is filed with the county building inspec- BUILDING �� tion cjepaCtment. ADDRESS j f . Date "' :Applicant-2�' 401-elkdf CITY' ZIP LOCALITY c--�G•t� NO. OF BLDGS. J NEAREST ; ERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT / CROSS ST. (1 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or.less.) TEL. USE ZONE NOP a OWNER D 1 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 I ADDRESS SPECIAL a CONDITIONS so as to become subject to the Workers'Compensation Laws. OU CITY ZIP Date Applicant. ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE R Exemption, you should become subject to the Workers' p y W Compensation provisions of the Labor Code, you must forth- ADDRESS : - d 0 3 a with comply with such provisions or this permit shall be 1 TEL• ,pt STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked.' CONTRACTOR 2y1 ', NO. !J• z 'LICENSED CONTRACTORS DECLARATION Q LIC, r rCLASS NO. � DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter9 ADDRESS �J �iV 1 NOS �(J SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION .:' SQ. FT. SNO.TORIES OF FA OF CHECK License Number.��V �Lic. Class/ SIZE STORIES FAMILIES ONE VALUATION Contractor ' Date' 7 I DESCRIPTION OF WORK NEW ❑ $ .E]I am exempt under Sec. j�- /�I ADD ❑ (/(� Poo ALTER' ❑ B.BP.C. for this reason I REPAIR $ Date:' USE OF EXISTING BLDG. .�'j �, EMOL ❑ APPLICANT / i TEL, Signature (PRINT). tJ — NO.� ^v FINAL OWNER-BUILDER DECLARATION DATE �i q I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Secti6n'7031.5, Business and ADDRESS Ac /9/ FINAL Professions Code): PRESENT By ;•r - BUILDING w•''-i ❑ I, as owner of th'e property, or'my employees with ADDRESS --: wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY I MOVING TEL. 7044, Business and Professions Code.) ❑ I,as owner of the property, am exclusively contracting z CONTRACTOR NO. :t •_= with licensed contractors to construct the project (Sec- ='r<<_ y r � ,3' r ADDRESS tion 7044, Business and Professions Code.) r•�_i••'_r•l. -� ;'I"; REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONTthe performance of.the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. 1'c;'i^!Y!_.•M;jl I �ri _iii r• Lender's Name ^ .3� $ w j'I - P.C. Fee$ Permit Fee LDMA Ref.# ---• - - -- Lender's Address 1 certify that I have read this application and state that the Issuance Fee e 6 LDMA P/C# 3 above information is correct.-1 agree to comply with all County Investigation Fee �f f /� Q ordinances and State laws relating to building construction, Total Fee / �' v t/ LDMA Perm. # = and hereb authorize representatives of this County to enter ° upon ov entio ed roperty for inspection u/os s. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent D' .'4IVORKERS'•COMPENSATION DECLARATION VE ''inserebor a certifcate of Workes' CompensatonInsuranelfP LIT'1OFOR B ILI51N IT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Compariy ElCertified copy is hereby furnished. FOR//APPLICANT TO FILL IN ADDRING ESS e 6 )r6 ElCertified copy is filed with the county building inspec- IESS ADDRESS 6 tion department. S 76 RvS�'In 6A D ^ F1,260CITY ^E/i/�"L� �/Ty zip LOCALITY Date Applicant 4 NO.OF BLDG5. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT �?ti/9a o NOW ON LOT ! CROSS ST. COMPENSATION INSURANCE r! ASSESSOR //�� r/ (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK ' PAGE 01 , PARCE/13 hundred-dollars ($100)or less.) ae T EL' ZONE MAP OWNER IyIOpIL OIL NO �9 USE s NO. to a6� I certify that'in the performance of the.work for which thisSPECIAL >_ /y+�2/,,[� permit is issued, I shall not employ any person in any manner ADDRESS ' eQQ R1�>✓1�a9 P�� •Qva-v V (/ CONDITIONS CL soas to become subject to the Workers'Compensation Laws. j. A Q O CITY L//Qi,��/�l�'' eA. ZIP 71✓`DS O Date Applicant w,ARCHITECT.OR TEL. DISTRICT GR UP' TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER /1r1 D®/L d /C— NO.y/8 CONST. E Exemption, you should become subject to the Workers' p �/ � i / L w Compensation provisions of the Labor Code, you must forth- ADDRESS �ad !�'L�r!!b'�A' y a- with comply with such provisions or this permit shall be `? TEL. STATISTICAL CLASSIFICATION APT. CONDO. W deemed revoked. Y CONTP_ACTOR. NO. / Z LICENSED CONTRACTORS DECLARATIONri LIC. CLASS NO. r DWELL. UNITS — LICENSED hereby affirm that I am licensed under provisions of Chapter 9 `'ADDRESS NO. M *• '.;SEWER AP (commencing w(th Section 7000)of Division 3 ofthe Business LIC. r, and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG. VALIDATION SQ. r� y/. NO. OF NO.OF CHECK License Number 'Lic. Class SIZETIS STORIES l FAMILIES ONE (.�.j,a VALUATION _ _- DESCRIPTION OF WORK NEW ❑ si i r i L_..`'; Contractor Date _ $. • $ate ❑I am exempt under Sec. :' ,QtINDDc.' of T� ADD ❑ ® j MENS R B.BP.C. for this reason $ ��°/'� $ D EST $ f � �J' `I-I I�''�-} -12= 79 i REPAIR ❑ /. i�Lf} i F USE OF (:��±; Date: :' EXISTING BLDG. 1,01qde 617,477 Dn/ DEMOL ❑ Signature APPLICANT TEL. CH N jE z vl_i (PRINT N 8 FINAL OWNER-BUILDER DECLARATION DATE 0 f I hereby affirm that I am exempt from the Contractor's License ;ADDRESS fi�E/��� �1 ��� %: Law for the following reason (Section 7031.5, Business and FINAL ;ij25`9 ProfessipCode): PRESENT By BUILDING 572-3 1 A1010t s owneof the property, or my employees with t ; ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' 7044, Business and Professions Code.) MOVING TEL. El 1,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) ' CONSTRUCTION LENDING AGENCY SETT EQBACK YARD HWY TOTAL SET ACK FROM 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. (Sec. 3097, Civ. C.).- SIDE, '- �, ' ' `^r: -rte r_"I 3> 119 P.L. Lender's Name, LD RX#f" t•.' i ,RIP S P.C. Fee$ Permit Fee O;wc;?' Lender's Address rriPoo �• 1 certify that I have read this application and state that the O-7 Issuance Fee r-* +� LDMA P/C# �°�' 1 3 above information is correct. I agree to comply with all County [ Investigation Fee ordinances and State laws'relating to building construction, Total Fee 7 LDMA Perm. tfl.l -and hereby authorize representatives of this County to enter TMEL i up the v -menti=property r inspection purposes. '� t.. . ut ';-A V i SEE REVERSE FOR EXPLANATORY LANGUAGE r.i ••. r-, "•ry � ( F,: �.-� Signature of Applicant or Ag en Date WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING n ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS _57 p5, ❑ Certified copy is filed with the county building inspec- $ BUILDING�56 7G p 0 MLS � �1L(�, tion department. ADDRESS f�Date Applicant a CITY IpLt- Cf F r ZIP 9'! $d LOCANO. OF BLDGS. WLITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT f' 000 � NOW ON LOT C OSSSST. .•a'-r�-� COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one `TRACT BLOCK LOT NO. _ MAP BOOK PAGE o7 -V_ PARCEL hundred dollars ($100)or less.) /7 /� y OWNER 0QI6,r, all— (20010 NO. " USE ZONE MAP I certify that in the performance of the work for which this �l �M 11APECIAL >_ NO. permit is issued, I shall not employ any person in any manner ADDRESS 60 4V, ,J /7Cq OZOM C� CONDITIONS a- so as to become subject to the Workers'Compensation Laws. n O CITY guieRili ie- ZIP 'PISS Date Applicant ARCHITECT OR TEL. 0 PP DISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CON ZONE F- Exemption, you should become subject to the Workers' % V Compensation provisions of the Labor Code, you must forth- ADDRESS �,�a / -' CL CONDO. with comply with such provisions or this permit shall be TEL. STATISTICAL C SSIFICATION `AP Z deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL UNITS -;-t-� -- I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business SEWER MAP f T LL- and CITY CLASS L � and Professions Code,and my license is in full force and effect. BK. PG. VALIDATIDIIC , SQ. FT. NO. OF a NO. OF CHECK I O I F:L- 7 e a € License Number Lic. Class SIZE N�� STORIES �tl, FAMILIES ® ONE VALUATION DESCRIPTION OF WORK CGAJ$Tieur_'T/v;V NEW is l%j� Contractor Date p./v $ �� Q ® C' ° 3 I am exempt under Sec. S lel O F QtL� k L b�= ADD ❑ F_11HI��LL ALTER ❑ BAP.C. for this reason e�"'f, $ 000 E,% REPAIR ❑ 1 Ei�!)-f IjJi}1 n: Date: USE EXISTING BLDG. 5 4r- C6 .S rt•—no,J DEMOL 1-1L97 E Atli IL Signature APPLICANT ' TEL. Y1(PS.?0-660 FINAL OWNER-BUILDER DECLARATION (PRINT) g �f-SS�C TEJNO. DATE I hereby affirm that I am exempt from the Contractor's License 2yz(D {" CI�T'Ob� ff4.11Pr Sul7e d Law for the following reason (Section 7031.5, Business and ADDRESS 010 "712 FINAL Professions Code): PRESENT By IsJ' I, as owner of the property, or m employees with BUILDING S d,ft'�t�6AO 4-v0 sly;,4 P P Y, Y 'ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY Al€ Ci ' C/4 ��:;'•r - .'°-. 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. _Sec-project j ro _� with licensed contractors to construct the P ( 105 =-P ADDRESS 1��,rt_ ® :•-F tion 7044, Business and Professions Code.) .. REQUIRED TOTAL SETBACK FROM EXIST. L:t"Ie•t:s� j i-�-' =L CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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:.._ (Sec. 3097, Civ. C.). SIDE ' P.L. Lender's Name ( fjlilj a ij' g ? LDMA Ref. # P.C. Fee$ ? Permit FeePit,�J ` L Lender's Address L -- I certify that I have read this application and state that the Issuance Fee LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee /� / ? ordinances and State laws relating to building construction, Total Fee e� aro✓ LDMA Perm. # = and hereby authorize representatives of this County to enter up the above-menti d pro rty for inspection purposes. o A O�� 91 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent l7 Date 'T COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BALDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS S.GN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0405260053 PHONE: (626) 285-0488 EXT: LEGAL ID: UMB R OF SIGN B ILD IG ADDRESS: TR: 12157 SIGN DESCRIPTION: 1 ILUUMINATED WALL SIGN 13.35 S.F. 5676 ROSEMEAD BL N TEMP CA 91780 ASSESSOR INFORMATION NUBE : NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/27/04 VG 05/22/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F ' BY: CODE: MOB I L OIL - 4,000 3700 W. 190TH STREET TORRANCE, CA 90509 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: /:MOUNT: INSTALL NEW ILLUMINATED WALL SIGN APPLICANT: TEL. NO: CERVANTES (909) 240-2955- D1 PLANCHECK W/O EN-HC 4000.00 VAL 98.43 10115 BEDFORD DR. 'AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: RNCHO CUCAMONGA91730 AE STRONG MOTION OTHER 4000.00 VAL 0.84 02 PERMIT W/O EN-HC 4000.00 VAL 115.80 TOTAL FEES 242.82 CONTRACTOR: TEL. NO: APPROVALS -- DATE INSPECTOR SIGNATURE JEFF HORTICK CONSTRUCTION CO. (909) 593-9539- 2700 N. GAREY AVE. LIC. NO LOCATION AND SETBACKS POMONA, CA 91767 586164 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: EL. NO: - JNDATION/TRE C 70RMS LIC. NO: STRUCTURE STRUCTURE MAP NO: SEVER MAP BOOK: PAGE: � FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT LASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT f DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS TENANT IMPROVEMEIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807?�0022 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST -N-ET- BlII_LDINS-"RESS- TR: 12157 SQ. FT STORIES TYPE OCCUP GROUP 56.76RONtEAD-8L_IJ STRUCTURE: 0 1 VN B TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: . LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES 0 : EXIST OCC GRP: B 07/20/98 UT 07/20/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MOBILE OIL - 5,000 3700 W. 190TH STREET TORRANCE, CA 90509 FEES PAID DE RPT ON OF W JN6T*tr-NEW TUBE VALVES, INSTALL VEEDER-ROOT SENSORS AND- APPLICAN TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: KISC.._w. BRINDERSON CONSTRUCTORS, INC. - AA BLDG PERMIT ISSUANCE 27.75 3501 JAMBOREE ROAD AE STRONG MOTION OTHER 5000.00 VAL 1.05 SPECIAL CONDITIONS: NEWPORT BEACH, CA D2 PERMIT W/0 EN-HC 5000.00 VAL 132.60 TOTAL FEES 161.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BRINDERSON CONSTRUCTORS, INC. (310) 538-3251- 1210 W. 190TH ST LIC. NO LOCATION AND SETBACKS TORRANCE, CA 90502 697741/A SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FO NDATION/TRE C FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 04 FLOOR SHEATHING NO. OF FAMILIES" DWELLING UNITS: APT/GOND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZAR OUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP NTERIOR LATH/DRYWAL EXTERIOR LATH RATED LOOR/CEIL ASSEM. RATED WALL ASSEMBLIES TED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 ,� 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 9611140090 PHONE: (818) 285-0488 EXT: LEGAL 0. OF CONST NEW DIN D SS: TR: 12157 SQ. FT STORIES TYPE OCCUP GROUP 5676 ROSEMEAD BL N STRUCTURE: 0 1 V B TEMP CA 91780 ASSESSOR nFFOWT R: NEAREST CROSS STREET: LAS TUNAS DR. THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY - TENANT: EXISTD � E ET90-0-69--t - PROCESSED Y: . EXIST OCC GRP: B 01/10/97 TC 11/14/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MOBILE OIL (310) 212-1780- 42,000 3700 W. 190TH STREET 15--y/J��v��`/ TORRANCE, CA 90509 FEES PAID DESCRIPTIONOF WORK APPLICANT: 0: FEE DESCRIPTION: QQANT8Mo: m(Ml. B AMOUNT: REMODEL TWO GAS STATION CANOPIES o �U DK ERECTORS (717) 994-6599- D1 PLANCHECK W/0 ENeHOW, 42000:00=VAL 587.27 AA BLDG PERMIT ISSUANCE 277,5 SPECIAL CONDITIONS: AE STRONG MOTION��QTHER 42000..-,00-VAL 8:82 D1 PLANCHECK 5NEN?IIC 42000.00 V L� ,587,e27� ® "TOTAL FEES 1;2,11.1 �. CONTRACTOR: TEL. N0: L� % `y,�•1 D �, s APPROVALS DATE INSPECTOR SIGNATURE DK ERECTORS (714) 994-6599- c� �-�. r, ;k P.O. BOX 5956 LIC. NO i. 9.�:j ; 0 iETBACKS BUENA PARK, CA 90622 648082 --— — - — SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: e�.r'U�lJ�Lim i��U 0 it=I Ell l'J FOUNDAT I 0 /TR EUTTORW LIC. NO: I r - SLAB/UNDER FLOOR X•^` � RAISED FLOOR FRAMING 14AP NO: SEWER MAP BOOK: PAGE: FIRE � G ZONE: -UNDERFLOOR I SOLATION 3 04 � :FLOOR SH T G NO. OF FAMILIES: DWELLING S: APT CO O: STAT CLASS: NO 22 ! / ��.1ROOF SHEATHING SCHOOLI HAZARDOUS f R PANELS AIR QUALITY: 1000 FEET MATERIALS - NO NO NO � FRAME INSPECTION RE SPRINKLER HANGERS INS LATION/WEAT ER STRIP INTERIOR DR W LL i EXTERIOR LATH RATED 00 C SSE . RATED WALL ASSEMBLIES RATEDA /OPE G T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS05O8 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT •�DEPARMMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUIN�ENG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1203020039 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ] ITR: 12157 I SQ. FT STORIES TYPE 1 5676 ROSEMEAD BL N I I (STRUCTURE: 2800 V-B I TEMP CA 91780 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15387-029-012 [ [ THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: COMME USE ZONE: R-3 (ISSUED ON: PROCESSED BY: [ (EXIST OCC GRP: 103/02/12 SR T OWNER: TEL. NO: - [BLDGS. NOW ON LOT: VALUATION: 000 IF F BY: CODE: 1 MOBILE OIL I I 13700 W. 190TH STREET I I ITORRANCE, CA 90509 1 FEES PAID D CRIPTION OF WORK I I IRE ROOF OVER ONE 20 YEAR ROOF WITH A LIFE LASTING CLASS 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IA SkINGLES - SLATE GRAY. APPLY FRONT BASE, NEW METAL 1 (APPLICANT: TEL. NO: ]VALLEYS [ IMK PRESIGE BUILDERS INC (949) 916-3182- IAA BLDG PERMIT ISSUANCE 27.80 1 122661 LAMBERT ST 206 IAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 ISPECTAL CONDITIONS: 1 ILAKE FOREST CA 92630 IDC STRONG W/OIEN-HCS D 7000.00 VAL 0.70 7000.00 VAL 166.20 IFR INV WORK W/0 PERMIT 257.00 DOL 257.00 1 (CONTRACTOR: TEL. NO: I TOTAL FEES 452.70 (APPROVALS DATE INSPECTOR SIGNATURE 1 INK PRESTIGE BUILDERS INC (949) 916-3182- 1 1 [ 122661 LAMBERT ST STE 206 LIC. NO ] ]LOCATION AND SETBACKS I I ILAKE FOREST CA 92630 961826 ] I I I I [ 1 [SOILS ENGINEER APPROVAL I I I [ARCHITECT OR ENGINEER: TEL. NO: - [ (FOUNDATION/TRENCH FORMS I 1 LIC. NO: I ISLAB/UNDER FLOOR I I [ I (RAISED FLOOR FRAMING I I ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1150H265 3 001 1 I I ] I I [FLOOR SHEATHING I ] INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I [ 0 NO 22 [ [ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS ter] 1 (AIR QUALITY: 1000 FEET MATERIALS [ NO NO NO 1 FRAME INSPECTION I I I IFIRP SPRINKLER HANGERS I I 4 I I (INSULATION/WEATHER STRIP( I I 1 [INTERIOR LATH/DRYWALL 1 I I I I I I ]EXTERIOR LATH I I [ IRATED FLOOR/CEIL ASSEM. I [ I I [ IRATED WALL ASSEMBLIES [ I I IRATED SHAFTS/OPENINGS I [ [ [ I IT-BAR CEILINGS I ] I I I I I (LOT DRAINAGE I I I I [REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I 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 9701130042 • PHONE: (818) 285-0488 EXT: LEGALD: ER OF S GNS: 4 B G A D ESS: TR: 12157 SIGN DESCRIPTION: INSTALL NEW (4) SETS OF 27" LEGENDS S 5676 ROSEMEAD BL N TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: P OC B XP ON: EXIST OCC GRP: 01/13/97 TC 01/13/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MOBILE OIL (818) 953-2608- 1,500 � n12�� 3700 W. 190TH STREET —/' i TORRANCE, CA 90509 FEES PAID DESCRIPTION OF WOR INSTALL NEW (4) SETS OF 27" CANOPY LEGENDS SIGNS FEE DESCRIPTION: MANT", qaM': 9 AMOUNT: APPLICANT: TEL. NO• � DONCO & SONS, INC. (714) 771-5730- AA BLDG PERMIT ISSUANC 27.75 AC STRONG MOTION RESW -15`OO:OO-VAL10:50 SPECIAL CONDITIONS: AX BUILDING REVIEW PEE! 00 VA� 54:F O 82 PERMIT W/EN,.EMY"�'-.' 1500. � +,•90:42-1 �� "TOTAL FEES // �,�\1.7-3 37� CONTRACTOR: TEL. NO: j/; �,�1 I� / ;, \ APPROVALS DATE INSPECTOR SIGNATURE DONCO & SONS, INC. (909) 771-5730- 6, I �., (� 725 N. CYPRESS ST. LIC. NO `,LOCA IO D SETBAC S ORANGE, CA. 92686 434616C-10 -- -- SOILS ENGINEER APPROVAL RC CT 0 NG NE L. NO: - G�:? I'-% .,J_1 -`_ u(�!�II L l_,; FOUNDATION/TRENCH FOR14S ,�. - — — _—:—.—tib LIC. N0: 4' � i� �I � i � � ,� SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:00 '.� va�.E 47,�✓� ✓ .zo O. 0 ES: DWELLING S: AP CO D: STAT CLASS: NO 20 � SCHOOL I DO AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: Bs05O8 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0804030005 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: ITR: 12157 I SQ. FT STORIES TYPE OCCUP GROUP[ 5676 ROSEMEAD BL N 1 I ISTRUCTURE: 0 1 V-B B I TEMP CA 91780 [ (ASSESSOR INFORMATION NUMBER: I [ NEAREST CROSS STREET: LAS TUNAS 15387-029~012 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl ITENANT: EXIST B USE: COMME USE ZONE: IISSUED ON: PROCESSED BY: EXPIRES ON: I [ [EXIST OCC GRP: B 107/01/08 SR 12/28/08 1 (OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFIN DATE FI Y: CODE: [ IMOBILE OIL, MARIO SISTOS (562) 493-4708- 1 12,500 13700 W. 190TH STREET 1 [ ITORRANCE, CA 90509 I FEES PAID IDE DRIP ION OF WORK 1 I [ IINSTALL CARB REQUIRED CLEAl AIR SEPARATOR ON CONCRETE SLAB [ I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 [ [APPLICANT: TEL. NO: I I [ IBOB HARRINGTON/FIEDLER GROUP (626) 450-5577- IA1 PLANCHECK W/EN-HC 12500.00 VAL 260.99 1 I 12322 W. 3RD ST. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: [ IAS ANGELES CA 90057 AE STRONG MOTION OTHER 12500.00 VAL 2.63 1 1A2 PERMIT W/ENERGY-HC 12500.00 VAL 307.05 1 I I I TOTAL FEES 598.42 [ I ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 11DECO INC. (714) 279-2690- i 431 W BLUERIDGE AVE LIC. NO ILOCATION AND SETBACKS I [ [ IORANGE CA 92865 744619 C10 * I I [ [ ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: [ 1FOUNDATION/TRENCH FORMS I 1 I ITHOMAS REY MICHEL (213) 381-7891- 1 I I I IFIELDER GROUP LIC. NO: ISLAB/UNDER FLOOR I I I 12322 W. 3RD STREET C14436 I I ILOS ANGELES, CA 90057 RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I UNDERFLOOR INSULATION [ I I 1 3 041 1I [ [ I 1FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: `, rI I I I I 1 NO 22 1 N�,/ ` Z 1ROOF SHEATHING I I I [ SCHOOL WITHIN HAZARDOUS [SHEAR PANELS 1 1AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO NO NO 1 IFRAME INSPECTION I 1 I 1FIRD SPRINKLER QGERS IIS I [ I 11NSU�ATION/WEATHER STRIPI I I 1 1INTERIOR LATH/DRYWALL I I I I 1 1EXTERIOR LATH [ I [ I j IRATEP FLOOR/CELL ASSEM. I [ I I 1 IRATED WALL ASSEMBLIES 1 1 1 1 1RATED SHAFTS/OPENINGS 1 1 1 IT-BAR CEILINGS I 1+ ADDITIONAL DATA ON FILE II I I ILOT pRAINAGE I I I 1 1REPORT ID: DPR261 ROUTE TO: BS0508 I [ I r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN r� BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0110020015 / PHONE: (626) 285-0488 EXT: LEGALR 0 S GNS: I B D G ADDR S: TR: 12157 SIGN DESCRIPTION: "MOBIL" WITH PRICES BELOW 5676 ROSEMEAD BL N TEMP CA 91780 SS SSOR_-I NFUIRMW NUMBER: NEAREST CROSS STREET: LAS TUNAS THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: WS-T-91- S S ED 0 ; PR005SSED B EXPIRES MOBIL EXIST OCC GRP: 10/16/01 JK 04/14/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI AL CODE: MOBILE OIL - 15,000 3700 W. 190TH STREET TORRANCE, CA 90509 F SM 0 SESC I TIIO OF WORK APPLICANT: TEL. Np- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMOVE 2 MONUMENT SIGNS, INSTALL NEW 20, SINGLE POLE SIGN DONCO 8 SONS INC (714) 771-5730- D1 PLANCHECK W/O EN-HC 6000.00 VAL 126.99 725 N. CYPRESS ST AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ORANGE, CA 92687 AC STRONG MOT .ON-R9SD�-45000.00 VAL 1.50 D1 PLANCH CK�W 0--E wtlC- 1500'0 00 VAL 128.52 D2 PER til%0' y. __ _rj 5'000,O��VAL 300.60 CONTRACTOR: EL. NO: TfLfEES 585.36 APPROVALS DATE INSPECTOR SIGNATURE DONCO AND SONS (714) 771-5730- 725 N. CYPRESS STREET LIC. NO LOCATION AND SETBACKS ORANGE, CA 92667 435616/C61 SOILS ENGINEER APPROVA ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH F- 0 S LIC. N0: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: u C WAV0 IM SM % 0. OF FAMILIES: DWELLING UNITS: AP CO : STAT CLASS:- NO 20\\( O 0 SCHOOL RS ❑ �j•t AIR QUALITY: 7000 FEET MATERIALS \ /� El NO NO NOCl ��,�•� /� 4 11''� service Thou x ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508