HomeMy Public PortalAbout5561 SULTANA AVE_Building__ H DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
-*COUNTY OF LOS ANGELES = S � ' ® '
WMI J. FOX, DHIEr ENBIN[ER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BU7LDIN0C DISTRICT NO PLANCK NO PERMITNO
ADDRESS //� . SU/L TA N A &y7
LOCALITY 7->/ [C[IV fBYY DATE OF APPL. DAT[ISSUED
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1 1 UILDINO n
OWNER �I�DR[BS 237 S� ULTANAMAIL NSE
ADDRESS tLOCALITY TL-All PLREST
g G I T y
TEL: CROSS SIT OACWA�
CI NO
TIRE NO OF `^ TYPE:= GROUP
ARCHITECT OR//�� yy�� / TCL ZONE - PLANS �IY/"�
[ND,NE[K FCOLLINJ 1c_�y�0, r 1.3r3
BLOOORD NO
AODR B . DA k PI. / SETBACK LINE Q / )=,a 4L
TEL f APPROVED
CONTRACTOR BY DATE
USEA APPROVED
ADDRESS ZONE A / SY DATE/ /O
LEGALO
DESCRIPTION LTNO/ •Q BLOCK CORRECTIONS
0 / xcBPT N. 6 ooX 1 2,
TRADTSuv,YV V19W 7 AAcr -/9B J3 -JX4,
/&1011J69 NO OFBLDBB.
BIZ[Or LOT AAS 40 X/SS I NOW ON LOT Z O 7
—RUB[OF e nn I NO Or NO OF /�' V t
IEWIND BLDGyLTRY RL OL FAM,4V ROOMB
I
DESCRIPTION OF WORE
NEW ALTERATION ADDITION
D
REPAIRS MOVINO DEMOLISH L
Sq FTAA0 x INO Or C
BIZ[ ROOMS STORIES
WALLROODF r
COVERING J/D/N O+ OVERINO LaM /4
ue .Q SSE'MBL•z A44 .L
BUILDING LDINO
��a SB4r/iYa G.g.a.ec/rY � '
ALT,BR F1rls >..Ha. Gn+/aJeBN
� N O LNt/.QGAJ UAL Ai.v
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME TIRE BTOPS,
SIGNATURE Or BRACING.BOLTS i Af/4
OWNER - LATH.INT
AUTHORIZED AG7 LATH.EXT
f'] E7,p
LASTER INT
VLASTER, EXT.VALUATIGN INAL r ✓ a 7J /$ 'Idp�
1 p
^'` "`ON OF Bum,DI iG AND SAFETY ,'�% BUILDING I
Deparhnent of County Engfneer V�
\ County of lm Angels[ V
A.6wM J FOX COUNTY ENGINEER APPLICATION
f�f
BUILDING -
FOR APPLIC T IN ADDREBS - C// /
% -O'NQ h LOCALITY
/ ♦ r
ADDRQSB
NEAREST
LOCALITY / CROIIB BT
DISTRICT NO Pun CK OR
RKC No P MIT NO
CROSSIrtrNEAREST /2- //��
OWNER RECQIV DAT CF DA [BBV
MAIL �-�/ / � / S
ADDR�Io Ula ZONILPAO OF PS GROUP R[ZONE
ARcHrrKC /7 // �3 PLAN 3 ,
ENG
,.r 14
OR �D 61 G[$ NO 7 ���7 ),/TEL ZONING _ Z 12,5
_ AFFROV[D BY-
.� BUILDING F o
.APDR � SETS#CK LINA
TEL AFPROV[O •T[
CONTRACTOR
TEL
BY, Z
BE NUMBERING
w B / '
LEGAL G MAP NUMBER ��d NO ASSIGNED BY
DEBCR IPTION L NO K
DAT! CORRECTIONS I INBPICTO
TRACT
NO OF SLDGS /
SIZE OF LOT ZG NOW ON LOT
USE OF /" NO OF—
EAL I FAMILIES
DATION OF WORK n
s
NEW ALTERATION AD ON I a >
r
REPAIR DEMOLITION _
80 FT112y NO O
SIZE ROOMP ..I. / ti
OVtQtING .7ROOF
I COVERIN
USE OF STRUCTURE
G
&_Z'� / U
L c4- G'.e >o eTYF
APPROVArS
INSPECTOR S SIGNATURE DATE
FOUNDATION LOCATION
FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AR FRAME FIRE STOPS
PLICATION AND STATE THAT THIS INFORMATION GIVEN IB
CORRECT BRACING BOLTS e
I AGR QE TO COMPLY WITH ALL COUNTY ORO ANCle FURNACE LOCATION
AND STATE LAWS REGULATIN BUILDING CON UCTION
,.,y/ GAB VENT DUCTS n�
SIGNATURE OP's`^" LATH INT O� ✓ ���
PERMITTE
EXT
Ano ^ ti�
AUTHORIZED A PLASTER, INT L.
�I—/1 y.� O PLASTER EXT /
LL
SFEg ' HOUSE NUMBER COR-
RECT AND POSTED
JJw oN
FEE FINAL
7eAG36A"*003 TSS APPLICATION FOR BUI ?bING PERMIT
BUMDING AND SAFETY DIVISION BUILDING r
ADDRESS o/S� ]l
D!]t@IIa�IIt 01 CountyERgInYa
County of"AnBale LOCALITY U
W
JOHN A LAMBIE COUNTY BUII IHR ST
cweewTT D GRIFFIN i11F T of BUILOIHo CROSS r a
DISTRICT Ofjf�OUP. .TYPE K MAPS J
FOR APPLICANT FILL IN yj[ ✓Q
_ � CONST ¢�¢
ADDR ESH STATISTICAL CLASSIFICATION y
7
'' TT
CLASS NO_DWELL UNITS-1
LOT NO (6'1/ BLOCK MAP STATE YBS N 2
NU BER HWY
TRACT U ZONE SPECIAL
NO OF SL GS tYARD
iS f0
S L WON LOT N
USE OFAuk
EXISTING BLDG , BUILDINGWY STREHT NAMH EXISTSETBACK WIDTHOWNE FRONTMAILPLADDR S SIDE
CI T TENO
ARCHITECT oill TEL INSP ON RECORD
ENGINEER NO
ADDRESS
TEL
CONTRACTOR I NO
ADDRESS
DESCRIPTION OF WORK
NEW ADD I/ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE 0 STORIES FAMILIES
USE OF CT RH
APPROVALS
SIGNATURE NT O
APPLIWDATE INSPECTOR SSIGNATURE
ADDRESSFOUNDATION LOCATION
FORMS MATERIALS
$ FEE ' wQ FRAME FIREBOLTS
STOPS
r BRACING BOLTS
VALUATION' FURNACE LOCATION
PRE GAB VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS REGULATING BUILDING CONSTRUCTION
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINE CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER
PLAN CHBC[ VALIDATION CK Y O CA➢H PERMIT VALIDATION CK M O CASH
a
p906e � n�a10 t6 1600ALT m
76AS38A CC&"1 IDs^ APPLICATION FOR BUILDING PERMIT 1
BUMDING AND SAFETY DIVISION BU LDINQ
1 DeParhranI CI CoHIIty Engln� ADDRESS
Couatp of I.oe AagHlwLOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN, SUP T of BUILDING Ogg
FOR APPLICANT TO FILL IN DISTRICT NO Q[iOUP Type B MAP�Q
5 LR 3 CONST L
BUILDING
BUILD 8 STATISTICAL�G�/L''11AHSIRIGTION
CLASS NO./A_DWEL UNITR
LOT NOV. BLOCK MAP '
8TAT8
NUMBER 0 0 NWY YEB NO
TRACT USE ZONE SPECIAL
L / I I NO OF BLD08 / CON 1 H
NOW ON LOT R' 3 Z
Ug F
EXIm G Bl BUR DIEXIST
BEiBACKNG YARD HWY STREET NAME WIDTH
OWNER FRONT 5�
MAIL P L 7
P IL
ADDRESS 61DE
TEL / P L i
Cln NO V INSPECTION RECORD
ARCHITECT 6R TEL
ENGINEER NO
DDRESS TEL �3 /,IA/V II_ T//1 Al(
CONTRACTOR NO
/7,qoelr T///I .ITrn -/I7-
ADDRESS
DESCRIPTION OF WORK dFF Aro
NEW ADD t0000'ALTER REPAIR DEMOLISN 1 �� 1411 r/
JT F OSf
80 FT NO OP NO OF
SIZE 10 STORIES FAMILIES (9 ?pF TF
USE OF
D aZ%. A PROVALS
SIGNATURE OF
APPLICANT DATE NSPUTOR S SIGNATURE
ADDRESS I FOUNDATION LOCATION
PORMS MATERIALS nn
S P C H FRIME FIRE STOPS p _
FEE s BRACING BOLTS —I—
Q� C� FUPNACB LOCATION
VALUATION FEE H go�� GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _'G
AGREE TO COMPL ITH A C ORDINANCES AND LATH EXT O" //.(���
STATE LAWS R TIN 1 O CONSTRUCTION
SIGNATURE OR HOUSE NUMBER COR-
R[CT AND POSTED
ADDREB 3 FINAL
JOHN A LAMBIE. COUNTY ENGINEER CLYDE N DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAB C== VALIDATOR . ro GSH P�[ISvu m.T10A DX ro CASH
X,69652 M26 16 1 0 0 0 A
r� m
�Oul� 7cv0 L,C9653� IN 26 1 2000
ci— D � �
UG - i-
DEPARTMENT OF BUILDING AND SAFETY 1- APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES i
WM. J. FOX. CHIEF [NBIN[[R BUILDING
FOR APPLICANT TO 0EILl, FOR OFFICE USE ONLY
BUDR[ DISTRICT NO PLAN CK.NO PERMIT NO
ILDING
ADSH � � �--
r
LOCALITY } RECEIVED BY /DAT[�OJF APPL DATE ISSUED
CR -
N[AR[BT
O
B
U
I
L
D
I
NG a
OWNER 4140 hC ADOR[SB 3 I
MAIL ESS SO - S Q LOCALITY
ADDR
NEAR[BT
CITY
.a TEL CROSS BT
FIRE NO OF P
ARCHITECT OR TEL 20N[ PLANE TYPE GROU
ENGINEER NO ..//
L.
SLOG ORD NO
ADDREBB S[TRAOK LIN[
TEL. I APPROVED
CONTRACTOR NO BY DAT[
UBEAPPROVED
ADDRE ZONE BY DAT[
LcoAL3v , CORRECTIONS
D[BORIPTION LOT NO B
1
TRACT Y G
NO OF BLDGS
SIZE OF LOT NOW ON LOT
UBE OF S+ ND OF //II NO OF '
IST G BLD MILI[e V99314113
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
0
REPAIR ' MOVING DEMOLISH A_ 0
Bq FT. = NO or
BIZ[ D ROOMS STORIES ' j
WALL /+ ROOF /Q r
QOV[RINB G I COVERING / 1 aP I"'
US[OF NEW
BUILDINS
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION ANO STAT[ THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INBP[CTOR DAT[
ANDAOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORME.MATERIALS
AND STATE LAWS REGULA [NO S LDING CONSTRUCTION
/1 I FRAME fI,BOLTSS,
SIBNATUREE- // BRACING.BOLTS
PERNITTE �
LATH.INTI
AUTHORIZED AOT
LATH,IXT
OW-3 eaM erre 9-49 !B Q� PC • PLASTER,INT.
9a ' RE
PLASTER.EXT.
VALUATION •
� F[[ FINAL
`�� - - -- -
:WORIFR9rCOM Ol,f.l of consent
APPLICATION FOR BUILDING PERMIT
I.hereby offvm that I hale ° Oe�'hcarie of consent to self
Insure-o.`aa certificate of lyorkers Compensation Insurance
`-or a certified copy th_Treo (Sea 3800 Lab c ) COUNTY OF LOS ANGELES BUILDING AND SAFETY -
i
Polity No ompony BUILDING
Certdled copy is f ereby furnished FOR APPLICANT TO FILL IN ADDRESS
Certified copy Is filed with the county building Inspec BUILDING C Il l-rAy LA v ,
bon department ADDRESS // JIAC-V'"nM7
Date Applicant CITY trfZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS 6' z� ( NO OF LOT z NFARFST '
COMPENSATION INSURANCE SIZE Of LOT v NOW ON LOT ST
ASSE
(This section need not be completed d the permit is for one TRACT ( BL
OCK LOT NO MAP BOR PAGE PARCEL
hundred dollars(5100)or less )
OWNER Vh s I/�s-4/T/{., L J - J USENE I _
I certify that In the performance of the work for which this NO }
permit Is Issued, I shall not employ any person in any manner �..(�_ ACL�� e Z SPECIAL
so,as to become subject to the Worke Compensation Laws t /� CONDITIONS
Date �/U Applicant T - CITY IQ U TI' ZIP ( �f
NOTICE TO APPLICANT If after making this Certificate of
ARCHITECT NEE � aro NO (Y2 DISTRICT UP TYPE FIRE PROCESSED O
Exemption you should become subject to the Workers ,e-. //(/ � T/ ZONE CF-7
Compensation provisions of the Labor Code you must forth- ADDRESS
with comply with such provisions w this permit shall b0 o�\\ 1�R�L}}�� LIy-s�ys 7r.��y��LLpp jp� i
deemed revoked CONTRACTOR 5"-V3r1✓ ✓` r& NXS710 STATISTICAL CLASSIFICATION APT CONDO Z
LICENSED CONTRACTORS DECLARATION ��))//�I� {j 6 VA LIC CLASS NO DWELL'UNITS—
I hereby affirm that I am licensed under provisions of Chapter 9 ADORESS�TT"r"C) `^�`'"1 NO SEWER MAP
ss
(commencing with Section 7000)of Division 3 of the Business and - ` LK
Profeions Code, and my license Is In full force and effect CRV 1✓bU/ CLASS BK PG VALIDATION
SO FT NO OF NO OF CHECK
7 License Number.5 32642 Llc Class `- SIZE STORIES FAMILIES ONE
1 6 V a O&J— IVEW $ L,/,,�O s�L
Contractor � Dole �� DESCRIPTION Of WORK 7� ADD s �A O
QI am exempt under Sec Z 6 - FZTvca
' b N� r'! �T4lAJl ALTER :
l B 8P C for this reason REPAIR
!1
Date USE OF I . iw/z
EXISTING BLDG DEA10l
Signature APPLICANT Qi v'2,f?7l1 TEL {j FlNAI
OWNER BUILDER DECLARATION PRINT L7+ 4 S'�/L i NO DATE
I hereby affirm that I am exempt from the Contractor s LicenseL, r 2 0 2 3.2 A
Law for the following reason (Section 7031 5 Business and ADDRESS 1` Fl
Professions Code) B # • •
1, as owner of the o or m employees with BUILDIN
property Y ,I - 8738
wages ct their sole comped oron will f o the work and LOCALITY
�- the structure s not intended or offered for sole(Section , • • • 8'] 3 0 8t,
704.1 Business and Professions Code) MOVING TEL 088
CON
❑ 'I as owner of the property am exclusively contracting TRACTOR NO
with licensed contractors to construct the project (Sec ADDRESS
tion 7014, Business and Professions Code)
' ACK FROM �xibi
CONSTRUCTION LENDING AGENCY SET BACK YARD 'Y TOTAL 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
x" (Sec 3097 Civ C ) SIDE
PL
Lender s Name LDMA Ref N
$ Lender s Address P C Fee i Permit Fee '
I certify that I have read this, application and stale that the Issuance Fee S LDMA P/C 1
a above Information is correct I ogrere to comply with all County Invest igmion Fee ,
8 ordinances and Stole laws relating to budding construction Total Fee LDMA Perm Y -
R and hereby authorize representatives of this County to enter
3 upon the ve menti nod proppg{�[tt)y�for mspecboonn purposes
Y 7/4D/@I UK RI1195F FOR EXPLANATORY LANGUAGE
Signature of Appl,.t w Agent UF Dote
WORKERS COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to If - - APPLICATION FOR BUILDING PERMIT
insure or a cenihcate ofWorkersCCompensation Insurance
or a certified copy thereof (Sec 3800 Lab C )
No ompanY
i7�if>�� �j— COUNTY OF LOS ANGELES BUILDING AND SAFETY
PoII ��
Certified copy in hereby furnished % FOR APPLICANT TO FILL IN BUILDING
� ADDRESS
13 CertlfiecLcopy is filed with the county building In.P. I BUILDING 5561 Su LrAw AVEN/,ie
tion department ADDRESS
Datez�Applicant /e-U" t" ;L�• ciTYTEMPLE CITY ZIP LOCALITY
I CERTIFICATE OF EXEMPTION FROM WORKERS I - . Ny NO OF BLDGS /I NEAREST
COMPENSATION INSURANCE I 51 OF LOT �+� NOW ON L T - 1.- CROSS ST
(This section need not be completed if the permit in for one ASSESSOR -
I hundred dollars ($100)or leu ) &OCK LOT NO AWP BOOK PPARCEL
A uE Z
_
I certify that in performance of the work far which (whh this I �
63
permit is issued I shall not employ any person in any mannerSPECIAL
ADDRESS 14428 E' ,/ / F �f�/ / CRIONS
y� tros to become subject to the Workers'Compensation Laws Q
RY �..Jz
Dote C
Applicant ZIP
NOTICE TO APPLICANT If, after making thin Certificate of ARCHrtEGT TEL DISTRICT P TYPE FIRE D By O
Exemption you should become subject to the Worker' - ,l '�'I n CONST ZONE U
NG R NO [,
Compensation provisions of the Labor Code, you must forth ADDRESS �rtE YG/slU SLVV V
with comply with such provisions or this,permit shall be ) TEL STATISTICAL CIASSIFICATK)N An rNDO N
deemed revoked CONTRACTOR !N NO Z Z
' LICENSED CONTRACTORS DECLARATION CLIC CLASS NO DWELL UNITS—
, I hereby affirm that 1 am licensed under provisions of Chapter 9 7 ADDRESS NO SEWER MAP
with Section 7000)of Division 3 of the Business and r _ LIC '
n Professions Code, and my license is in full force and effect ' CITY CUSS /X- OK PO VALIDATION
t � SO FT NO OF NO OF CHECK -
License Number LIC CI C/2— SIZE ZOO&. STORIES ' FAMILIES ONE ,
I, VALUATION
ContractorT/ �/ Dote DESCRIPTION OF WORK
NEW i
I am exempt under Sec I �` v� AITER , ;29562A
B TLP C fw this reason I « REPAIR S
Date j E IK STIINC BLDG —CHURCH DE^ •I - - 6Q50
' Signature - 1 APPL�K'I1FM NO TEL
R _A e • • 6506
Q
OWNER-BUILDER DECLARATION I
I hereby oftrm that I am exempt from the Contractor s License \
Law for the following reason (Section 7031 5 Business and ADDRESS R 0509-88
Professions Code) - PRESENT
1, as owner of the property or my employees with ADDRESS
wages as their sole compensotron will do the work and '
the structure is not intended or offered for adle(Section LOCALITY '
70" Business and Professions Code) MOVING TEL
1, as owner of the property am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- ADDRESS
non 70", Business and Professions Code)
L 5V8ACK FRCIVI MST
CONSTRUCTION LENDING AGENCY SET BACK YARD HWYREQuED PROP LINE WIDTH
t 1 hereby affirm that there Is a construction lending agency for FRONT
The performance of the work for which thin permit Is Issued P L '
(Sec 3D97, Civ C ) SIDE
Lender'sNomeMkAI BANK OF CwAUFOP 1A PL
IDMA Rd 1
$ Lendei s Address335 4. ALAMEDA L L.A. !?OOIg P C For f - Permit Fel
I certify that I hove read this application and state than the I Iaawnc,For ,S0 1 LDMA P/C
above Information in correct I agree to comply with all County Invealg ilon Fee / , , ; \ • t • 1, ,•.,
$ ordinances and State jaws relating to building construchon, Total Fee l� IDMA Pwm • -1����`l) - \\ -
R and hereby authorize representatives of this County to enter
uponi bove-m ed property for inspection purposes -
Ile Ea R1 VW1 FOR EXPLANATORY LANGUAGE
a S.gnutu Applicant or Agent -Date
r WORKER$'CDMPLNSATION DECLARATION J
hereby affirm That I haver r Compensation certificate of consent to .elf
ma APPLICATION FOR BUILDING PERMIT
insure a certificate of Workers Insurance
or o certified copyL{the er�.offj�,SS+,ac 3800 Lob C ) -T(R,� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Nc THPH " LA Zpanyfts" BUILDING
❑ Certified copy Is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 5561
❑ Certified copy is filed with the county budding rope BUILDING �/ .✓? ��
tion department ADDRESS �/
Dab!] x�Apta CITY /v Q��77� ZIP LOCALITY a r
CERTIFICATE OF EKEMPT FROM t RS �g OF LOT 2/11 NOW NO F B OTS � ASST
COMPENSATION INSURANCE
(This section need not be completed if the permit is for oneo "L' ASSESSORhundred dollars($1100)or less ) TRACT `4,1�' 'aLIO'CK LOT NOG MAP BOCK PAGE PARCEL
TEL
USE
I certify that in the performance of the work fa which this OWNER �r Q N` �p ,LNO J �•�6� /7//1 NE
I employ Y pew Y ADDRESS �COC 0xve;,��.7i Z// K_ 2 SPECIAL
mit is inued I shall not em to an n in an manner SPECIAL NS
so m to become subject to the Workers;'Compensation Laws
App Cm r< L ZIP OS
IX
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR d�TEI 22 _ DISTRICT GROUP TYPE EIRE BY O
Exemption you should became sublect to the Worker ENGWERf NO Q/y CONST ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS sem/ , d 's Jr 0 C L
with complyked h such provisions or this permit shall be TEL�, STATISTICAL ION APT CONDO N
CONTRACTOR 44U'7~ No z
{ LICENSED CONTRACTORS DECLARATION LIC CLASS Ivo DWELL UN-W—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO
(commencing with Section 7000)of Division 3 of the Buunless and UC SEWER MAP
Professions Code, and my license is in full force and effect CITY j1 � �'•�' CUSS VALIDATION
50 FTLT CO NO CLF _ NO OF Cr1EO( BK LPG
License Number Lic Class 5 J l6 STORIES FAMPLIES ONE
4) VAL ATION
Con hoctor Dae A
IPT OF WORK GOn'7 Ni
$
R�5 L5� �8 4 fl 4 AA
❑ 1 am exempt under Sec % ��' / 73 D _ , I it 2 3 3��b
ALTER �r
B Y C for this reason e -X c�qr. REPNR $ . 1233565
Date 115E OF �1{L'D�G ME
EXISTING BLDG 1 202,-87
APPUCSig natureFINAL
OWNER BUILDER DECLARATION PRIM F/d Lei¢ NOt (2/ Are
I hereby affirm that I am exempt from the Contractor s License A00 (�5��s� �L,P i � j �ry'j R
Law fa the following reason (Section 7031 5,-Businm and
Professions Code) BUILDING
I, as owner'of the property, or my employees with ADDRESS
wages as their soli compensation,will do the work and L , - t
the structure is not Intended or offered for sale(Section
70x4, Business and Professions Code) MOVING TEL
I os owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractor to construct the protect (Sec- ADDRESS - = ;1 9 8&4 A
tion 701, Business and Professions Code) D SETBACKFROM "PST -,
CONSTRUCTION LENDING AGENCY SET BACK YARD •HWY PROP UNE WIDTH `� ` +� `� # • • • •,1
I hereby affirm that there m a construction lending agency fa ROM •i 1 `� + 1 121200
the performance of the work fa which this permit is imed P ,
(Sec 3097, Civ C ) SIDE - a
PL • i 2.1 200 5.
Lender s Nome _
�
Ferran F..
LDMA Ref IT v " , Q t` 09-8 8
- - - - , -'
8 Lender's Address P C Fee! S _
I certify that I have rood this application and store that the Iauonce Fee Q lDA1P,P/C• L �
a above Information a correct I ogree to comply with all County Inwnigation Fee a '
ordinances ra and State laws relating to budding construction '
and hereby authorize represenahves of this County b enter Taal Fee IDALA Perm •
upon t above-mentions roperty fa irispe/Ion "p0,144,
O U SEE REVERSE FOR EXPLANATORY LANGUAGE
Sipiimure Applicam or Agent Date
✓ -,WORKERS COMPENSATION DECLARATION
insure
o certificate
that I hover cenCome of tionconsentra nee} APPLICATION FOR BUILDING PERMIT
mauve w o carhficete o1 Workers Compensation Insurance, _
or a certified copy they of $e 3900, Lab C )
P( t—lr0 7-91—s•i� COUNTY OF LOS ANGELES BUILDING AND SAF Y
POticyN Compony �
Certified copy is hereby furnished FOR APPLICANTJO FILL IN ADDRESG
ADDRESS
Certified copy is filed with the county budding mspec- ' BUILDING ,✓�fYi z�.
hon department ADDRESS zl
s
Dote ' Appllwnt CITU /-I ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKP S 7 NO BDGS NEST
COMPENSATION INSURANCE SIZE OF LOT Z, ST
(Thu section need not be completed if the permit a for one ' MAP BOOK ASSESSOR
hundred dollars ($IOD)or less ) TRACT BLOCK LOT NO PARCEL
MAP
1 certify that in the performance of the work for which this OWNER tZMA4 011164W RPNQOL L15E NO '7i _
permit is issued, I shall not employ any person in any manner Q�Gf� ��� ?�(,� 5�'1// Z SPECIAL +
so os to become subject to the Workers Compensation Laws ADDRESS CONDITIONS 8
CiTy Cr,I./ ZIP
Date Applicant O
NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR Iee/ _ TEL NO SO/Y'j��,3 DISTRICT GROUP T FIRE SSED
ZOPF y F-
Exemption, you should become subject to the Workers ENGINEER�/ CCS(�./ L A7�� �/ `d, / U
Compensation provisions of the Labor Code you must forth- ADDRESS '/S2/ Y(,D,fC� Si/• S 9/7t� S U (/ 3
with comply with such provisions or this permit shall be
deemed revoked - TEL STATISTICAL C1A551 TION APT ONDO cit
CONTRACTOR rY.�.�/� No ,�{• Z
LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS$_
I hereby affirm that I am licensed under provisions of Chopter 9 ADDRESS NO
(commencing with Section 7ODD)of Dlvls,on 3 of the Business and LIC SEWER MAP
'Professions,Code, and my license is In full force and effect CITY CLASS PG VALIDATION
50 FT NO OF NO IE CHECK
License Number Llc Class - SIZE STORIES FAMILIES ONE
0 VALUATION �� \
contractor para SCR
oEIPfION OF WORK S• HEN' f a 3 8 4 fl 5 A
1 am exempt under Sec &d '2 8Cd G ADD , Al • is e 023
ALTER
B 3P C for this reason oe -X REPAIR : 11 9 7 5 6 1
Date FUXISTING BLDG v5.2 Cfjv DEMa • 1.97 S 611 '
Signature ',PPLIICAh /;j fPRINTg2C oC/04f rC ,TE,TEL �'y21. Flwu 1 202-87
OWNER BUILDER DECLARATION / Q DATE
I hereby affirm that[am exempt from the Controctoi s License ��� ��SA/1 �'�sr� S �fL('fJ R
Low for the following reason (Section 7031 5 Business and
Professions Code) BUDDING - BT
I as owner of the property, or my employees with ADDRESS '
P
wages their sale compensation,will do the work and +`-` ( _ 9 8 Q 6 A
m
the structure Is not Intended w offered for sale(Section LOCALITY , _ `- . I` Il
7044 Business and Professions Code) MOVING TEL _ `- - ; • •
I as owner of the prop", am exclusively contracting CONTRACTOR NO 'I . _ '` C .1 ? 33k75
with licensed contractors to construct the project (Sec-
tion 7044, Business and Professions Code) ADDRESS _ 5 a
I u %01233&756
CONSTRUCTION LENDING AGENCY - SET YARD NWY LINE I WrD -�-
I hereby affirm that there Iso construction lending ogency for FRONT \ 0 609-88
the performance of the work for which this permit is Issued _PL
(Sec 3097 Gv C ) SIDE
Landers Name \-
8 P C F«s 75'` Permit Fee 32LI7MA Ref R
Lender s Address
I certify that I have read this application and state that the Issuance Fee TDMA PkC 0 ' ' °• ,
above Information Is correct I agree to comply with all County Investigation Fee ` ' 11
$ ordinances and State laws relating to building wnstructlon, Total Fee3_3 41 LDMA Perm • t
Q and hereby authorize representatives of thn County to enter
upon Ih above-mentioned property for inspection purposes
69 IIIIIIVIIIIIN FOR OIMANATORY IANDUAtyE
�Appitasm er Agent Agent -
% '/WORKERS COMPENSATION DECLARATION
'• I hereby a cw that I hoWor cernomplicate of tionconsent to self APPLICATION FOR BUILDING PERMIT yiLJtl
insure oro<arhhcate of Workers Compensation Insurance
or a certified copy then of c 3800 Lab C )
`�yf{-llOPf'D� ,gyp COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy NT
„ Company •E�I�ST 1�
Certified copy is hereby furnished FOR APPLICANT TO FILL INd7z/
URRING u
DDRESS
Cerhbed copy is filed with ,he county building inspec BUILDING 5(0 /
tion department ADDRESS / / fA / /�
Date Applicant CITY %k��{w G(� ZlvCALITY (� -
CERT ICATE OF E%E W TION FROM WORKER • 1' 7� ON LOT NEAREST sT
COMPENSATION INSURANCE 5 SIZE OF LOT
(This section need not be completed if the Permit is for one Sdti - SSESSORhundred dollars (5100)or leu ) TRACT BLOCK LOT NAP BOO( AGE PARCELOWNER S�T1f v,J P NOTELSE 77ggNNE MAPI comfy tint m the performance of the work for whmh this '_'^ // Z NOPermit a resume I stroll not employ any person in ono manner ADDRESS A 60000AP Q ZWK CONDIT,so m to become sublecr to,he Worken Compensation Laws C�� CONDITIONS
Dote Applicant °TY 0�� ZIP NOTICE TO APPLICANT If, after making ,hie Certifitn,e of E=NEER /�'TE ' TEL WV NO DISTRICT TYPEFIRE D BV O
ON
Exampnon you should become wblect to the Workers' . �( CONST ZUCompenaatnn provisions of the Labor Code, you must forth ADDRESS JrZI . N/CJ TY , S((/Q —1 I�with comply with such provisions or this permit sholl bedeemed revoked CONTRACTOR TZ7/(J/ti�� TELATISTICAL F ON AIR DO cn
LICENSED CONTRACTORS DECLARATION NOLICCu NO DWELL UNITSI hereby off rm that I am licensed under provisions of Chapter 9 ADDRESS NO(commencing with Section 7000)of Division 3 of the Business andip UCSEWER MAPProfauions Code, and my license is m full force and effect CrtY CLASSBIK L VALIDATION
SO FT NO OF /J NO OF CHECK PGI
License Number Lic Can ' - SIZE STORIES C/ FAMILIES ONE i 8 4 fl 6 A
VALU TION
� 3 9 �6(� # 0 . . 023
Contractor DON DESCRIPTION OF WOR[K.� L �u I s
❑1 am exempt under Sec 7 2 1 ` / "�' � 000, 1 ,1 3 8 2 9 3
ALTER /
B 8P C for this reason SE 'Z sicic, REPAIR , - 138293
Date EXISTING BLDG //' / �"'.'^^/'ly" DEMO 1202,t-87
Signature - A vRPR NTT F/DL�,� f ANAL
OWNER-BUILDER DECLARATION ) DAT! 3
1 hereby,affirm that I am exempt from the Contractors License /A•Q�liJlZ�Sh,�� sem/ ,Q�y
Law for the following reason (Section 7031 5, Business and ADDRESS 77 /O !e p
Professions Code)- - I - - By
OBUILDING ,
I owner of the property, or my employees with ADDRESS
wagges as than sole compensobon will do the work and
the structure is not intended or offered for sole(Section LOCALITY Poo
7041 Bss Profession Code)and ProfessioCode) MOVI CONT�� TEL
� _ - R q g Q,5 A
® I, as owner of the property, am exclusively contracting
with licensed contracron to comnuct the prolect (Sec- ADDRESS - -"--"`'-' ` '`• 12334,75
hon 7044 Busneu and Professions Code) `
CONSTRUCTION LENDING AGENCY - BACK YID HfY TERM"LINE IDTH L\����', �- ^n 1~ 1 " �• 2 3 3 4,7 5 5 '
I hereby affirm that there is a construction lending agency forFRONT
the performance of the work for which this permit is issued P 1, '0609-88
(Sec 3097, Civ C ) SIDE j
P L .i
Lender s Name '
1;' �.
2 Lender f Address P C FN f Permit fee 2 s LDh1A Mf •
1 certify that 1 have read this application and state that the hsuance Fee
above information a correct I ogres to comply with all County rnvestigahon Fee
$ ordinances and State laws relating to building construction, _ Total Fee IDMA Perm Y , 1
R and hereby outhorize representatives of this County to enter
upon the'above mentioned roperty for inspsshon purpoaea /
�- SH tlV@fY FOR Y%PlA/1AT0[Y l/1WDUA0i
SiginNn dimes or Agent Date -
5 �✓�T r'WORKER5 COMPENSATION DECLARATION �I
APPLICATION F,OR BUILDING PERMIT
ylull
I hereby offam thgt-I ho" a cembcore of con"-ht to self
insure or e certificate df W«ken Compensation Insurance �-
or a certified copy thereof 3800 Lab C ) _ �-_,., - - . '� ` ^l
Tf�PH- � S - - ,t COUNTY OF LOS ANGELES BUILDING AND SAF
Policy N6 ` mpany T��� � �- -
❑ Certified copy Is hereby furnished , � - J FOR APPLICANT TO FILL IN BUILDING
ADDRESS
❑
Certified copy o fled with the county budding mspec - gUIIpIN(9
hon department ADDRESS 6 ! lILT/'�"fi
Dara Appllcont CITY .M�L2 C/ ZIP LOCALITY 1
CER IFICATE OF EXEMPTION FROM SIZE LOT n'/ �BIOGS / T
INSURANCE L :7--
COMPENSATION ST
(This section need not be completed if the permit is for one Jr.r'�a'-Y / C, ASSESSOR
hundred dollars($100)or leu ) TRAC7 U/Q UaII &OCK// ,{fid LOT NO MAP BOOL! P PARCEL
I cern that in the OWNER C/�-y7.V� (/�U+/rf..f' ' TEL U� _
codify performance of the work for which this ' ` I NO
permit is Issued 1 shall not employ any person In any manner ADDRESS GO�bi�ifDD �• Jr ?�( SPECLAL
w as to become subject to the Workers'Compensation Laws �t�Ae CONDITIONS
Date Applicant ��y�
CITY �"^'�'"N� C�. ZIP
NOTICE TO APPLICANT If after making this Certificate of ARC7IX OR?!:"��'E� TELJ?Ef
O/Y lX�n DISTRlC� P TYPE NILE BY O
Exemption you should become subject to the Wwken MT ZONE I--
Compensation provisions of the Labor Code, you must forth- ADDRESS 2� s(,0,� 5��'eS 97 ya �v �' V 2 W
with comply with such provisions or this permit shall be Ur�ti�I�6� NO J D„
deemed revoked STATISTICAL FI ION APT COMDO Z
CONTRACTOR Ts'� 4 a�7 A
LICENSED CONTRACTORS DECLARATION UC CLAM NO DWELL UNI
TSI*_hereby affnm that I am licensed under provisions of Chapter 9 ADDRESS NO
(commencing with Section 7000)of Division 3 of the Business and UC SEWER MAP
Profeasom Code, and my license Is In full force and effect CITY CLASS BK /—14 3
SO NO OF NO OF CHECK (
./Llcenw Number LIc ClassSIZE STORIES FAMILIES ONE
Contractor Date DESCRIPTION OF WORKiyivr,f NEWv TION • 1,382936
AM11P If If 6 , 1
❑1 am exempt under Sec 2m • I 202-87
B&P C for this reason 2006 Cr*
ALTER
$ 'f
Der &
n EXISTING DG c.-Jv(.�i�f'/ DFMOL
Signature 'AST �i��l�Gr�.� FINAL
OWNER BUILDER DECLARATION PRINT DATE� — •� 298 L7 A
I hereby affirm that I am exempt from the Contractor s Licemn - lil�d. �,d ^t� t,
Law for
the following reason (Section 7031 5 Business and ADDRESS i /'r r-"•"i sA' 7 FLNAL
Professions Code) BY
❑ I as owner of the W m employees TND d 2 3 34.7 5
property Y t yens with ADDRESS
wagerrbthea sale
ntencompensation f wdl do the work and 1^, l
the structure Is nor intended ar offered for axle(Section LOCALITY -
JA7D", Business and Professions Code) MOVING TEL 00,
I as owner of the property am exclusively contracting CTOR NO s t _ • ,Q 609-88
with licensed contractors to construct the project (Set:-
ADDRESS -
hon 704 Business and Professions Code) ,
CONSTRUCTION LENDING AGENCY SFT I YARD Hwr TOTAL LINE WIDTH ,
I hereby affirm that the is a construction Isndlrp agency for FRONT
the performance of the work for which this permit is Issued Pl.
(Sec 3097, Cir C 1 SIDE -
PL
Lender s Name }� �T r� r tDAIA Ref
8 Lersdm s Address P C Fea f (J I P.rmit f�ex �.0 r•(,,,)
Vol-
I certify thin I have rood this gnea to
and cote that this laawnce Fee , TDMA Pic• r
above and S a correct j opine to comply with all County Investigation Fee •t i '
$ aordinanceshereby
and Soto laws relating to f this building construction,enter Toi it Fee 3 75
¢ and hmeby authonse representatives of this County b enter �'�P•a^ �
S3q upon Ike above-mentloned property for Inspection purposes
m nvene FOR UIPLANAT'ORY LANOUA6e
Signature Icom or Agent Dino
''WORKERS COMPENSATION DECLARATION
hereby a cd that I have certificate Comte of consent to nee, APPLICATION FOR BUILDING PERMIT
insure or a cemficote of Workers Compensation Insurance,
or o certified copy Ih eoff�fSec 3800 Lab C ) i
-�Yo�{o� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Norn PH compony BUILDING <
❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN J
ADDRESS
❑
Certified copy is filed with the county building inapec BUILINtvG U�?,[� A
tion deportment ADDRESS /�! yl
DWe6 -�'�Applimnr CIT' // Le �� ZIP LOCALITY
CERTIFICATECOMPENSATION TSA ION IINSUROAMNCE ICER f� ��I NOW ON 4*0 NO OF OTS Z NEAREST
ST
SIZE OF L�,O�TYCJ,�7'
(This section need not be completed if the permit is for one TRACT el 1.C2 BLOCK LOT Fq ASSESSOR
hundred dollars ($100)or leu ) MAP BOOK PAGE PARCEL
TEL
I certify that in the performance of the work for which this OWNER L<TA<� Y L�rtND 5772,60 NO
permit is issued, I shall not employ any person in any manner 7�� CoGOQifflo�.� Z�� SPECIAL
w as to become subject to the Workers Compensation Laws ADDRESS CONDITIONS
ZIP 1110� I
Dare - Applicant ENmK.INEER G+4�.5 NO "Z 1 / a'
NOTICE TO APPLICANT If after making this Certificate of DISTRICT G+��RQQQLUU���� TYPE H By
Exemption, you should become subject to the Workers O /!y CONST V ZONE
Campenwtion provisions of the Labor Code, you must forth- S2l . �5 S o4n; /� UU U LRaJ.
with comply with such provisions or this permit shall be ��� lEl� STATISTICAL FICA APT cn
deemed revoked CONTRACTOR s Z
LICENSED CONTRACTORS DECLARATION UC CLASS NO DWELL. U
I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS NO
(commencing with Section 7000)of Division 3 of the Busineaf and " LIC SEWER MAP
Professions Code, and my license is in full forte and effect CmBK VALIDATION
50 FT NO OF �J NO OF CHECK L�'
License Number tic Clan SIZE STORIES �/ FAMILIESONE 28 4 a 8 A
6Jrr 7r.4n-,E, VALUA
Contractor Dote DESCRIPTION OF VIORK NEW
e It 23
❑I am exempt under SecR (/i�'1 7'T� Poll, 1 1 47G7,1
B&P C for this reason Z 0� REPAIR $ �" '�N • 1,4'J Q17r1 5
Dote USE OF C #-Z.. _ Dema
EXISTING OF BLDG "-� / 1202-87
Signature APPLITEL
OWNER BUILDER DECLARATION (PRINT) M/fi�G f-/�l Ge,,G NO5�! 121- FINAL,
I hereby affum that I am exempt from the Contractor s license 721 % �� p�,r� �/
Low for the following reason (Section 7031 5, Business and N r RN
Professions Code) - by
❑ I, as Owner of theBUILDING `
property, or my employees with ADDRESS ~ 9 8 4.8 A
wages as their sale compensation,will do the work and r IAUIttv
the structure is not intended or offered for sale(Section - # • • • • 1
701, Business and Professions Code) MOVING TEL - P i t _
1, as owner of the property, am exclusively contracting QDNTRACTOR NO -�1 1,7 4 Q 7 5
with licensed contractors to construct the project (Sec-
tion 701, Business and Professions Code) ADDRESS
CONSTRUCTION LENDING AGENCY BA YARD HWY PROP UNE T„ ��\J �� \ a i �, �� i•LV 7 4 Q 7 5
I hereby affirm that there is a construction tending agency for FROM r �� 0 609-88
the performance of the work for which this permit is issued P L t r.
(Sec 3097, Civ C ) SIDE
PL -
Lender s Nome y - r• ' 1
8 '],D• .IDMA Ref 6
Lender's Address
PC Feet Psmn Fee ✓ �4
1 certify that I have read this application and state that the Imran.Fee / r�0 LDMA P/C/ L `�
above information is correct I agree to comply with all County Invengotion Fee ( - • `
$ ordinances and State laws renting to building construction, Total Fes IDM,Form • .I I
$ and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes i
SU tlVBf!FOR WLAMATORY LANGUAGE
^
Signature of nt or Agent Dov, +
,l
•' WORKERS COMPENSATION DECLARATION ' • - -
s�• I insure
a cer that I boyo r aern ome of consent to ,elf - APPLICATION FOR BUILDING PERMIT
mwre or o cerfifiMte of Workers Compensation Insurance, ,
or a certified c rher Sec 3800, lob 1C )L�Ai COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No+P� 1�♦Compony TRL-5_Dh%r,
.RESS
BUIWING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN A
ADDRESS
Cernfted copy is filed with the county building nspec BULDING vCf/fN
non department ADDRESS 6l
Date 1<1— _ Applicant CITY /Ce c ZIP LOCALITY
CER IFK'ATE OF EXEMPTION FROM WORKERS' /� NO OF BL
DGS !� NEAREST
COMPENSATION INSURANCE SiiE OF LO7 L NOW ON LOT �� ST
(This section need not be completed if the permit is for one ✓•ll ASSESSOR
hundred dollars ($100)or leu I TRACT U/'e BLOCK LOT MAP BOOK P PARCEL
OWNER UC T,f c4! GItR NOTELZWZ> USE ZQNE NMAP
O
I certify that In the performance of the work for which this ��/ Uf(/`/
permit is Issued, I shall not employ any person in any manner
ADDRESS �, C �� � 2ll L CONDITIONS 0
so as to become subject to the Workers'Compensation Laws O
CITY
/lsfD � c ZIP
Date Applicant /,�
NOTICE TO APPLICANT If, offer making this Certificate of ARnER OR / jV<_ TEL WIF
a/ DISTRICT GROUP �7 Z� BY O
Exemption, you should become subject to the Worker p �t
Compensation provisions of the Labor Code, you must forth- ADDRESS `f ,� / C3 �il V T"T
with comply with such provisions or this permit shall M
deemed revoked CONTRACTOR ����GIi t,p STATISTICAL CLASSIE APT
NDO VJ
LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS_ g 9A_ Z
1 hereby affirm that I am licensed under provisions of Chopter it ADDRESS NO
(commencing with Section 7000)of Division 3 of the Busmess and LIC SEWER MAP I 1 049-96
Professions Code and my license is in full force and effect i CITY LIC �yA��D_
SO FT hq dF NO Of CHECK �' •-1,4 Y Y 6 5
License Number Lic Clan SIZE STORIES FAMNES ONE
Contractor Date DESCRIPTION OF WORK'
ft P NEW VIAL 1 2 0 2-8 7
I am exempt under Sec '3`'i�0 e5 ADD $ pill.
B 6 C for this reason ZOO 'ft'r7L REPAIR $
Date E%57 tJG BLDG Sp �i1'V�Ll� JDEMOL
Signature APPLICANT �r�/f 'fes TELNO (�L FINAL
OWNER BUILDER DECLARATION ` (�j DATE
1 hereby affirm that I am exempt from the Contractor's License ADDRESS 5� �s sry �� /r_
Law for the following reason (Section 7031 5, Business and A
Professions Code) BT
1, as owner of the BUILDING
property or my employees with ADDRESS ,
wages as their sole compensation will do the work and ' L • I'{
the structure is not intended w offered for sale(Section LOCALITY
701 Business and Professions Code) MOVING - TEL
1,m owner of the properly, am exclusively contracting CONmACTOR NO , - `?• ;9 9 94.3A
with licensed contractan ns
to construct the project (Sec- `
non 7041, Busmen and Professions Code) ADDRESS
CONSTRUCTION LENDING AGENCY BI -YALE HWYTOTAL PROP LINE WIDTH i\ �\�i �•` #,• • • • • 1
I hereby off Irm shot there is a construction lending agency for FRONT ., \ •�,, \� % 1 .1.2 4 5 7 5
the performance of the work for which this permit is issued P t
(Sec 3097, Civ C ) SIDE _ _ • 1.245756
Lender s Name
\ 0 6 0 9;8 8
$ P C F«f Permit
F.. LD"R.f/ 3Ss
• Lender's Address "
I certify that I have read this application and ante that the Issuance Fee /0(150 LMIA P/C•
above cos an S Is correct j oyes to comply building co ail County Inveaigolion Fee n C
$ ardino reb nut Stara laws relating to fthis unty trocn to Total Fee oL J LDMA Perm ♦ "
Q and hereby authorize representatives of this County to enter
upon th obovs-mentioned roperty for inspsctlon �J
\ 6 —v Sn"FOE UDLANATOEY LANGUAGE
Siganwe atiIIIIIphoarn or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY C 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9101 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91180 BL 0508 0508030067
PROBE (626) 285-0488 ERT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ PT STORIES TYPE 5561 SULTANA AV
STRUCTURE 5000 VN TEMP CA 911802300
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5381-021-034 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C
TENANT GRIST BLDG USE RESID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
BUILDING 6 EXIST OCC GNP OB/C3/05 JR 01/29/06
OWNIZR TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
CEDNET MANAGEMENT COMPARY (626) 281-9338- 6,000
438 S GARFIELD AVE
ALHAMBRA CA FEES PAID DESCRIPTION OF WORK
INSTALL CLASS A 30 YR COMPOSTION ON TOP OF MISTING ROOF
PEE DESCRIPTION QUANTITY UOM AMOUNT 1
APPLICANT TEL NO ,
LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 21 95
4533 SHIRLEY AVE AC STRONG MOTION REBID 6000 00 VAL 0 60 SPECIAL CONDITIONS
EL MONTE, CA 91131 D2 PERMIT W/O EN-HC 6000 00 VAL 149 40
TOTAL FEES 111 95
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY INC (626) 285-9016-
4533 SHIRLEY AVE LIC NO LOCATION AND SETBACKS
RL MONTH CA 91931 19511SC39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO _ FOUNDATION TRENCH FORMS
LIC' HO SLAB UMDER FLUOR
RAISRD FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP LODERFLOOR INSULATION
147H265 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT GOND STAT CLASS C '
NO 21 - ROOF SHEATHING
_ SCHOOL WITHIN HAZARNVNUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FUME INSPECTION.
REQUIRED TOTAL SETBACK FROM EXIST PIPE SPRINKLER RANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INFULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
_ 3XIMIOR LATH
RATED FLOOR CEIL ASSEM
RATED WALL ASSEMBLIES
FATED SHAFTS OPENINGS -
- - T,EAR CEILINGS
' LO. DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY R 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9101 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAPETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508030066
PHONE (636) 785-0408 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT - STORIES TYPE 5561 SULTANA AV
STRUCTORE 5000 VN TEMP CA 917803300
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5387-077-034 MOMS PAGE 596 GRID 94 LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE REBID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
BUILDING 5 EXIST OCC GRP 08/03/05 JX 07/79/06
OWNER TEL NO BLOGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
CEDYNT KANAGEMENT COMPANY (636) 781-9338- 6 000 / VJ --
43B B GARFIELD AVE 1,21-
ALHAKBRA CA PEES PAID DrS RIPTION OF KOM
INSTALL CLASS A 30 TR COMPOSTION ON TOP OF EXISTING ROOF
FEE DESCRIPTION QUANTITY DDM AMOUNT
APPLICANT TEL NO
LAU (676) 385-9016- AA BLDG PERMIT ISSUANCE 37 75
4533 SHIRLEY AVE AC STRONG MOTION REBID 6000 00 VAL 0 60 SPECIAL CONDITIONS
EL MONTE, CA 91731 D3 PERMIT W/O EN-HC 6000 00 VAL 149 40
TOTAL FEES 177 75
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN MY INC ` (636) 385-9016-
4533 SHIRLEY AVE LIC NO , LOCATION AND SETBACRE -
EL MONTE CA 91731 775115C39 -
" 60IL5 ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO POU NDATION TRENCH FORMS
• LIC NO SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER NAP BOOK PAGE FINE ZONE CMP UNDERFLOOR INSULATION
147H365 3 01
_ FLOOR SCATHING
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS
MO 31 - ROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO HO FRAME INSPECTION -
REQUIRED TOTAL SETBACK FROM EXIST - FIRE SPRINKLER HANGERS
SET BACX YARD flWY PROP LINE WIDTH
FRONT PL- INSULATION MEA'RER STRIP
SIDS PL-
INTERIOR LATH DRYMAL.L
EXTERIOR LATH
RATTED FLOOA CHIL ASSEM
RATED MALL ASSEMBLIES-
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
( REPORT ID DPR261 ROUTE TO BS0508
COUNTY OF LOS ANGRI.RS TEMPLE CITY 4 0500 BUILDING PERMIT
DEPARTMENT OF PUBLIC MORNS 9101 LAS TUNAS ALTERATION/REPAIR _
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508030063
PHONE (636) 785-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5561 SULTANA AV
STRUCTURE 5000 VN 'TENT CA 911802300
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5367-079-034 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
BUILDING 4 MIST OCC GRP 00/03/05 JK 07/29/06
OWNER TEL NO SLUGS NOW ON IAT VALUATION FINAL TR FINAL BY CODE
CEDNRT MANAGEMENT CONPARY (626) 281-9338- 6 000 (v(f ---
438 B GARFIELD AVE
ALHAMBRA CA ' FEES PAID DESCRIPTVDN OF WORK
INSTALL CLASS A 30 YR COMPOSTION ON TOP OF MISTING ROOF
PRE DESCRIPTION QUANTITY DUN AMOUNT
APPLICANT -� TEL NO ,
LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27 75
4533 SHIPLEY AVE AC STRONG MOTION RSSID 6000 00 VAL 0 60 SPECIAL CONDITIONS
EL MONTH, CA 91731 D2 PERMIT W/O EN-EC 6000 00 VAL 149 40
TOTAL FEES 177 75
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN Km INC (626) 285-9016-
4533 SHIRLEY AVE LIC NO LOCATION AND SETBACKS
EL MONTE CA 91731 775115039
SOILS ENOINSER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS
LIC NO SLAB UNDER FLOOR - -
RAISE FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE ➢IRB ZONE CMP UNDERFLOOR INSULATION
147H265 3 O1
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
No No NO FRAME INSPECTION
REQUIRED TOTAL SETBACK PROM MIST ➢IRE SPRINKLE! RANGERS
SSI RACK YARD SMY PROP LINE WIDTH
FRONT PL- INSULATION WEATHER STRIP "
SIDS PL-
INTEtIOR LATH DRYWALL
EXTERIOR LATE
RATED FLOOR CEIL ASSEM
RATED MALL ASSEMBLIES
RATED SHAFTS OPENINGS
1 T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY A 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508030062
PHONE (626) 265-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON PILE SQ PT STORIES TYPE 5561 SULTANA AV
STRUCTURE 5000 VN 0 T®IP CA 917802300
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5387-027-034 - ' THOMAS PAGE 596 GRID R4 LOCALITY TEMPLE CITY C
TRUANT MIST BLDG USE REBID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
BUILDING 3 MIST OCC GRP 08/03/05 JX 07/29/06
OWNER TEL NO SLUGS NOW ON LOT VALUATION FINAL AT FINAL BY CODE
CEDNET MANAGEMENT COMPARY (626) 281-9338-
438 S GARPIBI,D AVE 1
ALHAMBRA, CA FESS PAID S RIP Otl OF MOM
INSTALL CLASS A 30 YR COMPOSTION ON TOP OF MISTING ROOF
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27 75
4533 SHIRLEY AVE AC STRONG MOTION REBID 6000 00 VAL 0 60 SPECIAL CONDITIONS
EL MONTE CA 91731 ' D2 PSIMIT M/0 EN-RC 6000 00 VAL 149 40
TOTAL FEES 177 75 -
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY INC (626) 285-9016-
4533 SHIRLEY AVE LIC NO LOCATION AND SETBACKS
RL MONTE, CA 91731 77511SC39 - -
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOR PAGE FIRS ZONE CMP UNDERFLOOR INSULATION
1473265 3 01 '
_ PLOD SHEATHING
NO OF FAMILIES DNSLLIMG UNITS APT COtlD STAT CLANS
' NO 21 - - ROOF SREATRING
_ I
SCHOOL WITHIN HAEARDOUS t SHEAR PANELS
AIR QUALIYY 1000 MET MATERIALS
NO NO NO FRAME INSPECTION__
REQUIRED TOTAL SETBACK FROM MIST _ - - � FIRS SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL,
I
EKTERIOR LATH
RATED PL.008 CEIL ASSEM
RATED WALL ASSEMBLIES
_ RATZD SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ._ ROUTE TO BS0508
COUNTY OR LOS ANGELES TEMPLE CITY P 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTRRATION/REPAIR
BUILDING AND SAFETY / LARD DHVELOPMSWT TEMPLE CITY CA 91780 BL 0508 0508030061
PHONE (626) 385-0488 BST
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5561 SULTANA AV
STRUCTURE 5000 VN TEMP CA 917603300
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5387-027-034 THOMAS PAGE 596 GRID H{ LOCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE RESID USE LONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
BUILDING 2 EXIST OCC ORP 08/03/05 JR 07/29/06
OWNER TEL NO SLUGS NOW ON LAT VALUATION DA FINAL BY CODE
CEDNET MANAGEMENT COMPARY (626) 281-9338- 6,000 ----
438 S GARFIELD AVE
ALHAMBRA, CA FEES PAID DESCRIPTION OF MORA
INSTALL CLASS A 30 YR COMPOSTION ON TOP OF EXISTING ROOF
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27 75
1533 SHIRLEY AVE AC STRONG MOTION RBSID 6000 00 VAL 0 60 SPECIAL CONDITIONS ,
EL MONTE CA 91731 D2 PERMIT W/0 EN-HC 6000 00 VAL 149 40 -
MTAL FEES 177 75 +
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY INC (626) 285-9016-
4533 SHIRLEY AVE LIC HO LOCATION AND SETBACKS_ _
SL MONTH, CA 91731 77511SC39 _
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO , FOUNDATION TRENCH FORME
LIC NO SLAB QUER FLOOR
RAISED FLOOR PEAKING
MAP NO SEWER MAP BOOK PAGE FIRE TANS CMP U DERPIOOR INSULATION
1478265 3 01
FLOOR SHEATHING
EO OF FAMILIES DWELLING UNITS APT COED STAT CLASS
NO 21 - - ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST - - FIRE SPRINKLER RANGERS
SET BACK YARD SKY PROP LINR WIDTH
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTSRIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CSIL ASSEM
- - RATED WALL ASSEMBLIES
RATED SHAPTe OPENINGS' -, -
• T-BAR CEILINGS
TOT DRAINAGE ,
N REPORT ID DPR261 ROUTE TO BSOSOS
COUNTY OF LOS ANGELES TEMPLE CITY Q 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS AI,MRATIOM/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508030059
PHONE (636) 385-0488 EXT
LEGAL ID NO OP CONST BUILDING ADDRESS
ON PILE SQ FT STORIES TYPE 5561 SULTANA AV
STRUCTURE 5000 VN TEMP CA 917803300
ASSESSOR INFORMATION NUMBER NEAREST,CROSS STREET
5387-037-034 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE "SID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
BUILDING 1 EXIST OCC GRP 08/03/05 JX 07/29/06
OWNER I" NO SLOGS NOW ON LOT VALUATION PI DATE PIN BY CODE
CEDNET MANAGEMENT CONPARY (616) 181-9338- 6,000 - r
438 S GARFIELD AVE
ALHAMBRA, CA - - PEES PAID DESCRIPTION OF WORK
- INSTALL CLASS A 30 YR COMPOSTION ON TOP OF EXISTING ROOF
PB8 DESCRIPTION QUANTITY DOM AMOUNT
APPLICANT TEL NO
LAU (636) 785-9016- AA BLDG PERMIT ISSUANCE 17 75
4533 SHIRLEY AVE AC STRONG NOTION RESID 6000 00 VAL 0 60 SPECIAL CONDITIONS
SL MONTE, CA 91731 D3 PERMIT W/O EN-HC 6000 00 VAL 149 40
TOTAL PEES 177 75
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN HEY INC (616) ]85-9016- -
4533 SHIRLEY AVE LIC MO LOCATION AND SETBACKS _
BL MONTB CA 91731 77SlISC39
SOILS ENGINEER APPROVAL
M1
ARCHITECT OR ENGINEER TEL NO - - - POVIDATION MENCH FORMS
LIC EO SLAB UNDER FLOOR
RAISED FLOOR FRAMING
NAP NO SEWOX MAP BOOK PAGE FIRE ZONE CMD UNDERFLOOR INSULATION
1478365 3 01
PLDOR SHEATHING
NO OF FAMILIES DMELLIB(3 WITS APT COND &TAT CLASS
NO 21 ROO] SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS -
AIR QUALITY 1000 FEET MATERIALS
NO NO NO PRAMS INSPECTION--
REQUIRED
NSPECTION —REQUIRED TOTAL SETBACK FROM EXIST PISS SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATIOM WEATHER STRIP
SIDE PL- INTERIOR LATH DRYWALL
t
EXTERIOR LATE
RATED PLOOA CBIL ASSEM
RATED WALL ASSEBLIES
RATaD SHAFT& OPENINGS- •�
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTS TO BS0508