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78A838A CE#8032-63 APPLICATION FOR BUILDING PEWIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICTr.. . GROU PE ESSED BY
rS
OR APPLICANT .TO-FILL IN �, oNST.
ING 4y+/ ./y-� / STATISTICAL CpLA'SSSSIFICATION S WER MAP
SS .V i /. ,A A- • CLASS. NOCL- DWELL.UNITS ` T' �K .5—
CLASS.
G
: , . BLOCK WATERCERTIFICATE: NOT REQUIRED RECEIVEDEl
MAP HIGHWAY STATE MAJOR SECOND,LOCALNO.OF BLDGS. •NO. (CIRCLE)F LOT NOW ON••LOT USEZONE SPECIALF• CONDITIONSNG BLDG.R C D' O �jl / BUIL'DING EXIST.
� SET6ACKYARD HWY. S NAME WIDTH
SS ,✓ /�!rC Jar/�/�I/ FRONT MARiig
TECT•OR z TEL. P• L:•
EER NO. pP. L. >
SS 7 O
TEL. V
CONTRACTOR NO. 0 /
ADDRESS-• -
F-
. bESCRIPTION'-OF WORK
a
NEW - ADD- 'ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE-
SIGNATURE OF
APPLICANT
VALUATION $
�l APPROVAL'S _ DATE INSPECTOR'S SIGNATURE
P.C. PM ` 0 • FOUNDATION: LOCATION
-FEE $ - FEE $ o FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBN
Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING:BOLTS
AND STATE`THAT THE ABOVE IS:CORRECT AND AGREE TO COMPLY FURNACE:' L-O(;ATION. y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS -
BUILDING CONSTRUCTION. I CERTIFY THAT -IN'DOING THE WORK ,
AUTHORIZED HEREBY I WIL•L NOT EMPLOY-ANY PERSON IN VIOLA- LATH; INT.
TION OF,THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORK;MEN',S COMPENSATION INSURANCE. LATH,EXT.',
SIGNATURE OFHOUSE NUMBER COR-
PERMITTE, RECT AND POSTED '
ADDRESS FINAL Qiza
JOHN F. LEWIS. PRINCIPAL ST TtiRAL ENGINEER'
PLAN CHECK VALIDATION' CK. M.O. CASH' _ PERMIT VALIDATION CK M.O. CASH 1
" :8' 9;o.T-.6,w ., 6 - I 'D.
EMPLE CITY
dop
79AGS IA ;el�4_6#4kWION FOR
BUILDING PERMIT
COUNTY OF LOS ANGELES su11.DING
DEPARTMENT OF COUNTY ENGIIVEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
D. _AT NOOK/ GROUP E P OCES Y
FOR APPLICANT TO FILL IN UV NST.
I
BU DING J /� A STATISTICAL CLASSIFICATION SEWER MAP
AD ESS d� //cS�LyL-'I lf,l1A ST PG
CLASS.NO.yLDWELL.UNITS /
LOT NN d /V %-d /
BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: 29 11
TRACT _::sl �y Q HIGHWAY STATE MAJOR SECOND, OCAL
NO.OF BLDGS. r NO. d
SIZE OF LOT. � 72 NOW ON LOT O�'J USE ZONE SPECIAL T
USE OF CONDITIONS V
EXISTING BLDG.
LLpp q �.
OWNER J � NOIYI a- BUILDING EXIST.
^ SETBACK YARD HWY STREET NAME WIDTH
ADDRESS f/C (o Ye72110;lf .4/M AN7&
FRONS 1 ,
ARCHITECT OR TEL. P.L. ZD
ENGINEER NO. SIDE
P.L. }
ADDRESS CL
TEL. INSPECTION.RECORD O
CONTRACTOR NO. U
ADDRESS
O
DESCRIPTION OF WORK
' W
IL
NEW 1 ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO.OF —
IZE 7Z STORIES FAMILIES
USE OF
STRUCTURE na algrw e F
-2iQxA0eh -
SIGNATURE
APPLICAN
VALUATION$ 6
i
�y ,/ APPROVALS j 6
1ATE� INSPECTOR'S SIGNATURE
P.C. I FEE $ r' S� FOFORMS,MATERIALS ��'{ I �(�f.� I 1"'. �;!ur
FEE $�O'�
FRAME:FIRE STOPS, p a Y
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION "BRACING,BOLTS '/�63 .!
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE:LOCATION, .. - - E
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK //
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. �®®� �L:x.I .�`.;;1"
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-- 0
ING TO WORKMEN'S COMPENSATION INSURA LATH,EXT. Vi f !v 7
BIGPERMITTE G V I/U HOUSE NUMBER COR-
RECT AND POSTED f }t�,std t� ' �F�,.��,'/
TU
ADDRESS FINAL /n aD 14
CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER
LID
PLAN CHECK VAATION cK. I.O. CASH PERMIT VALIDATION C I.O.' CASH
i ;ll.0523. 0'%2' 1,01 ! 2723 D 32,fesOA
ii' 6278'0 jul,11 . 7 1 D 54:00:,
"I�uo ..
—_ WORKERS'COMPENSATION DECLARATION
I herebyaffirm that I have a certificate bf consent to self
APPLICATION FOR (BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance, .
or a certified copy thereof(Sec. 3800, Lab. C.) 1
Policy No. Company
P COUNTY OF LOS ANGELES BUILDING AND SAFETY
57"-Tc-do M
Certified copy is hereby furnished. BUILDING
FOR APPLICANT TO FILL IN ADDRESS 2 Ll 7 �LL G T�'� P
Certified copy is filed with the county building inspec- BUILDING g c
�-+ tion department. ,�,/ ADDRESS+ 7
Date Z-IZ'� D � Applicant t!i 41 `/�O'er 5�7 CITY TCT�r to('C_ C! T ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE i SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one i ASSESSOR
hundred dollars($100)or less.) I TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
OWNER T L L 13
/�I GC TEL NOUSE NE MAP
I certify that in the performance of the work for which this ' NO.
permit is issued, 1 shall not employ any person in any manner ADDRESZ?-L/7 A SPECIAL a
so as to become subject to the Workers'Compensation Laws. CONDITIONS V
CITY Tf M P L E C1 ZIP
Date Applicant ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after making'this Certificate of ENGINEER NO. DISTRICT GgQUP TYPE FIRE PROCESSED BY O
\ Exemption, you should become subject to the Workers' r� CONST,)
ZONE1�5
V
Compensation provisions of the Labor Code, you must forth- ADDRESS .�` I[�" v "� a
1 with comply with such provisions or this permit shall be TEL. ' STATISTICAL CLASSIFI ATION APT. J&6NDO. fA
deemed revoked. CONTRACTOR ,�/Ie Co N T NOJ�Q6q 3b �J
LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 I ADDRESS (f 12O3 )c (� � NO.3ICe 27
(commencing with Section 7000)of Division 3 of the Business and LIC. 2 SEWER MAP
Professions Code,and my license is in full force and effect. CITY b S&1-4 c- A CLASS (31 BK &6PG S6 VALIDATION
�. SQ.FT. NO.OF NO.OF ` CHECK
License Number 3 6 a-0 Z 7Lic.Class SIZE STORIES FAMILIES / ONE
(+' VALUATION
Contractor6_0'A�reGNS1 Date 2 —g DESCRIPTION OF WORK RU ��t9F ADD ❑ $ q6 dr co
❑ Wi TN C$O R!I' ADD ❑ pill.I am exempt under Sec. ALTER ❑
B.BP.C. for this reason REPAIR ❑ $
DUSE OF
Date: D�s 70��,��, DEMOL ❑
EXISTING BLDG. /\
Signature 1 APPLICANT TEL. FINAL
PRINT /Ki CG N S T - NO. �Z
OWNER-BUILDER DECLARATION p /� /j DATE
1 hereby affirm that I am exempt from the Contractor's License I ADDRESS / O r fs d c a�{� /�d3 L&_A'L&PAZ FIN 9 8 9 6 1 A
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT
❑ BUILDING `Z rJ Ql 4 mAAik- # 0 0 0 0 0 1
I, as owner of the property, or my employees with ADDRESS p
wages as their sole compensation,will do the work and �1 e- 46 C E T y ' I a - 87.38
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I,as owner of the property, am exclusively contracting CONTRACTOR NO. 0 0 0 87.380
with licensed contractors to construct the project (Sec- ADDRESS 212-88
tion 7044, Business and Professions Code). IS
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP. LINEBACK 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 LDMA Ref. N
m Lender's Address P.C.Fee$ Permit Fee
I certify that I have read this application and state that the Issuance Fee LDMA P/C N
F above information is correct. I agree to comply with all County Investigation Fee
9 ordinances and State laws relating to building construction, Total Pee .
R and hereby authorize representatives of this County to enter LDMA Perm. p
9 upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
'C
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0307180032
PHONE: (626) 285-0488 EXT:
LE L
No. OF CONST BUILDING ADDRESS:
TR: 5904- UN: .002 SQ. FT STORIES TYPE 6247 SULTANA AV
STRUCTURE: VN TEMP CA 917801554
R: NEAREST CROSS STREET: LONGDEN
5384-005-023 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TENANT: MIST DG • RESID : R- EXPIRES ON:
EXIST OCC GRP: 07/18/03 JK 07/12/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION:--- FINAL DA CODE:
BLAKE PATRICK - 5,600
6247 SULTANA AV p�RED
TEMP 917801554 FEES PAID DESCRIPrIONOF WORK
VEHICLE DAMAGE TO BEDROOM -REPAIR CORNER OF HOUSE; (FRAMING
PC FEE DESCRIPTION: QUANTITY: LION: AMOUNT: DAMAGE,STUCCO,& PLASTER INTERIOR APPROX 150SF, WINDOW 4101)
EDWARD CARRASCO (323) 888-6995-34 AA BLDG PERMIT ISSUANCE 27.75
7250 BANDINI BLVD AC STRONG MOTION RESID 5600.00 VAL 0.56 SPECIAL CONDITIONS:
COMMERCE D2 PERMIT W/O EN-HC 5600.00 VAL 149.40
TOTAL FEES 177.71
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE
PYROTECH RESTORATION, INC. (213) 888-6995-
7250 BANDINI BLVD., STE 207 LIC. NO LOCATION AND SETBACKS
CITY OF COMMERCE, CA 90040 694171 B
SOILS ENGINEER APPROVAL
ARCHITECTOR ENGINEER: --rk'F NO: FOUNDATION/TR5NCHFORMS
LIC. NO: SLABIUNDER FLOOR
I
RAISEDR FR
14AP NO:
153H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 UNDERFLOOR INSULATIO
FLOORSH G
0. O FAMILIES: G S: P CO S CUES:
NO 21 ROOF SHEATHI G
SCHOOL WITHIN DO SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECT ON
REQUIREDSETBACK ROM EXIST FIRE SPRINKLERg
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP �-
SIDE PL- Z O 3
R 0R LATH/DRYWALLZ U3 yI`
EXTERIOR LATH /I
LOOR/CEIL XIVER7.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
DRAINAGELOT
REPORT ID: DPR261 ROUTE TO: SS0508