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Home My Public Portal About5329 TEMPLE CITY BLVD_Building__ 'DEPXRTMENT OF BYII.DING AND SAFETY APPLICATION FOR PERMIT COUNTY O£ LOS ANGELES BUILDING N WM. J. FOX, Omer CNGIN[CR - , FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ /) DISTRICT O RAN CK.Na ��MI a ADD"= � � �1 �n�Ih i a rr�P �Ji�-r/I �.J LOCALITY /I?L/]/.i ,Q.Y, LG .'./ R[�C/j1yO(p DAT3 O►APPL D lee [D NEAREST /1 •/, �y - ✓ 7 'S/ O BUILDING f� 2 [R N(Il !� / 'Y l�/fiVjl.00 ADDR[BBMAIL �- 3S� IILI'Se�T- ADDRESS 'S ,P �(-tiYL'J U/ /r C U/ LOCALITY CR �BT. FIRE Noor TY��< o/i ITEW LAMBXOa =N[ / l P AD J, r -> �� SETBACK LIN[ 4. - /�// TEL APPROVED CONTRACTOR ✓.-' NO BY DAT[ Ube APPROVED ADDRESS ZONE � BY DAT[ LEGAL DESCRIPTION I LOT NO. �` /� BLOCK (7 / CORRECTIONS oZ0/G TRACT L/ SIZE Or LOT/QY U� NOW ONLOTS ISTIN eLoo f�c 5 FANIULs o J . T titi/n DESCRIPTION OF WORK N[W ALTERATION ADDITION a • RLPAIR MOVING DEMOLISHgo rT Size i .� } ROOMS BTORIEB� - WALL ROOI �.►�� COVER INS �lJ4- COVERING UBL Or NEW BUILDING V 1 [HEREBY A13KNOVILEOMC THAT I 14AVREAD THIS APPROVALS APPLICATION AND BTAT[ THAT THE ABOVE IB CORRECT rOUNDATIONI LOCATION INSPECTOR DAT[ h AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALB 4 HS �p- AND STAT[LAWS R[OULATINO BUILDING CONSTRUCTION FRAM[. rIR[BTOPB. GNATUR[OF BRACING,BOLTS OWNER LATH,INT.f AUTHORIZED e LATH.[%T o -3 2e [[n 1.4T 8 - P.0.B PLABTER.INT. rE[ PLASTER.KKT. o VALUATION — G F[[ DEQ FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES t D ' WM. J. FOX. CHIEF ENGINEER NG FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY DISTRICT NO PLANCK NO PERMIT NO. BUILDING 1 AID�18 5, LOCALITY 77 RECEI DATE OFAPPL DATE ISSUED NEAREST ' �` 2 — •I /n1 /�J/ BUILDING ^� OWNER AMAIL ADDREBB NEAREST TI / NUTI PITY 7-C To CROSS ST � •�f' ' FIRE NO OFTYPE ORQUP, ARCHITECTOR �— TEL. ZONE PLANS Z- _ i ENGINEER NO t / BLDG I �T�-� 1 pD,NO ADDRESS SETBACK LIN[ / APPROVED 7• .•`V` �� -•- a I CONTRACTORQ/J T O d 7 y6 a 9Y I DHT[` r UD6 APPROVED I ADDR ZONE BY• 1 DATE LEGAL { CORRECTIONS DESCRIPTION LOT NO BLOCK TRACT J /� NO OF SLOGS / 1 SIZE OF LOT HOW ON LOT 1 USE OF NO Of , NO OF �� IST B FAWL... O _ .i __ __ _ DESCRIPTION OF WORK NEW ALTERATION O L REPAIR MOVING DEMOLISH G FT HO OF B SIZE ROOMS STORIES F4 WALLA oar COVERING OOVER INO USE OF NEW BU ILDIND I HEREBY ACKNOWLEDGE THAT 1 HAVE ILATH, APPROVALS APPLICATION AND STATE THAT THE ABOVE NDATION. LOCATION NSPEDTOR DAT[ AND AGREE TO COMPLY WITH ALL COUNTY ORMAT MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION ACINO.BNC OLTB0.SIGNATURE Of WIJ HrINT f/AUTHORIZED AOTy ` r 6l(T °se•a arn.l eEIB ��/��v r POS PLASTER.INT FE6 PLABTERT EXT. s /�) VALUATION P[[ �r (/`• FINAL /�-h.•Z� /Q - �// V „HEPARTMENT OF-�BB � `�� 'i COUNTY'G�no G WM. J. FQX, CHIEF [NOIN[[q FOUR APPLICANT_TO FILL IN FOR OFFICE USE ONLY I BUILDADDRESS rJ / /� DISTRICT NO PLAN Cr NO PERMIT NO :3- ZZ 0 99 LOCALITY RE IVKC % DAT[ or ADPL DAT[ ISSUED NEAREST C OBB BT I BUILDING ,( OWNER ADOR[88 iGbl��+-sem ADDRESS / /7' LOCALITY . N EAR[BT CITY NO CROSS BY rIR[ NO Or TYPE GROUP -ARCHITECT O TEL ZONA— I PLANS I I , ENGINEER NO, BLDG ORD. NO. ADDRE® BETBACK LIN[ APPROVED TEL , CONTRACTOR NO BY DAT[ UB[ /f APPROVED ADDRESS Z"SB: BY DAT[ D[SCpGAL Iimom I LOT N0. _ S I BLOCK CORRECTIONS TRACT n /I -I/:midi or ivr/n S SIZE or LOT S / NOW ON Lori �' -! 5 7`0 USE Or No.or RO or a�7 .( _ //— �� C EXISTING BLDG ►AMICIROOMS ` ( D SCRIPTION OF WORK I NEW ALTERATION ADDITION 1 a REPAIR MOVING .I l D[MOLIBH O W No ER• Z 'Z ROOMS Y STORIES . WALL I ROOF COVERING COVERING USE Or NEW BUI -- arL , APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS INSPECTOR DAT[ APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT r UNDAroRmsTIMAT(p LOCATION, [ / AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS R[GU NO BUILDING CONSTRUCTION rRAM[t rIRE STOPS. SIGNATOR[ Or BRACING. BOLTS ✓ O'IIN[p INT 1 - AUTHORIZED 60or �..r� TH. EXT' P IL• PLASTER. INT L _ r[[ PLABT[R. EXT VALUATION l D rR j F NAL ^tl i�t��•! ~ ,Ir I APPLICATION FOR-BUILDING .PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ADORESS h&mfyy affsm that I have a certificateofconsent to sell enure t� BUILDING ADDRESS 1 i 1 r a s coMfcate a m Workers Coperuetcn Insurance or a certified 2 C 1 i e Lie G _ copy Policy No aI1Corrcary�. CIiV`� / 0 V 91ZEIOF LQi NO OF BLDGS NOW ON LOT ❑ Certified copy a hereby furnished NEAREST CROSS ❑ Corteled Copy is filed With the county blinding msDectcA n TT BLOCK LOT NO - t h 012�7 UBE NNE MAP NO �tes Applicant 1MASSESSOR MAP BOOK PAGE PARCEL ' SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWER TEL NO V�/ COMPENSATION INSURANCE ADDRESSWITHINW1000 FT of SCHOOL' VES Motion No (The ction need not be conpleted d it the perma for orle hundred DISTRICT CifgI1P TV CONST FIRE NNE PROCESSED BY dollars IS 100)or lase) MY � I cerbty that In the performance a the work for which this permit e Issued I "I not employ any perepn In any manner ati to p� � �uvci becomes tact to the Workers t Layve ARC/ETECT OR ENGINEER TEL NO STATISTICAL CCCLLL�pppJSSS$$$/IFICATgN APT CONDO Da� Appy // ADDRESS - - CLASS NO � DWELL urdl5 MOT)CE TO APPLA55H ff atter makmg the .Cer}nhCete of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should beCOme subject to the Workers CONTRACTOR TEL 1 / SET BACK YARD HWY PROP LINE WIDTH Campaneation Provsstons a the Labor Code you must forthwith �.�lL 7 7S(C;-1 y OOT comply wdh such Drewsiona or this er permit"I be deemed revoked ADDRESS LIC NO PP L )•• LICENSED CONTRACTORS DECLARATIONCJTy / Ix cuss L v U I hereby affirm that I am Icensed urltlarprovsxxs of Chapter 8 5-/TL ?Krh ! G SEWER MAP FT SIZE NO OF STORIES NO OF FAM0.JES (wmmerlarg with Section 7000)a DNeion 3 d the Business,arid , Professions Codeand as-nd my licenses In full force and effect NEW PG Lcenee Numt�M�w7 Lx Class z- ZU DESCRIPTION OF K ADD C] MUMATION � Contracts Lh Date _< v 7� 146 •l W ALTER ❑ $ A-0 ❑ 1 am ex / ,Ula 1 REPAIR ❑ 1 eons( under Sec $ BAPC for the res3(n2 9 DEMOL ❑ LONIA P/C F _ Date 119AE,1 nEXISTIN BLDG URM ❑ SgS ameMr APPLICANT IPRN7) TEL NO UMA Perm• 1 ❑ I es swear m the property d My h work and with wapee le = ACCT.: , indlr sols comPensatlon will do the work and the etNCNre s ADDRESS net Intended or offered for sale (Section 7044 Business and Ft1LAL DATE Q 3303 15.55 ` professional Code) Wier THE APRIaJR on FUTURE alapec oawNT HANaE A IMLNioIXe IAQDIUL lD` C M+ ❑ I as owner a the Property am excluaney, contranng with °AxArois�Irs SPPEECFIECO o ON THE"HA uAT ROCS 0AvJ 0NouGUIDE' ,Hui T.e F�BY 1 ITEMS licensed contractors to construct the project (Seam 7044 ( B mess and Professions Code) YES❑ No❑ TOTAL 12 1.....rJ -rJI-r'r APERaw ^E „� CHECK 125.55 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MVMOENENT 0STRCT ISGx )ME PEHI.NTNG CHEC UST FOR GUI EU ES CHANGE, .00 I hereby afflrm that there Is a construction lending Marcy for YES❑ `No❑ ' the perfornui of the work for whch this permil is slued(Sec �- 3087 Cw C) IoECx IACEMr RExEN19Rt ,V10ElE�s'OCOINi�r OpTTNpoE Lender Name w'1�iETix(s TE'EPoamoSEF�2DiWA'2201nEGON1!u H"�A`�015 0�0-0001 5/28/96 Lender Address 6612 1 API11:57 awx.w Navr 1 certify that I have read this application and state under penalty of perjury that the above Information is correct I agree to Comply PC FEE PERMIT FEE ' with all Canty ordlnercas and State laws resting to building f5 , Calshuctcn and hereby authonxe repesentatrves of the Canty tSSUANGE FEE .7 pp� upon the a pr/ns� for 'pa/e�p/�.1 perrpp/ps/a,e S 1 (jo / 7 5 /1_u (E BNESTIGATION FEE TOTAL FEE ' �+ ��---'I— SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION �L hereby affirm that I have certificate of tint to self APPLICATION FOR BUILDING PERMIT LI1S insure or a certificate of Workers'Compensation on Insurance or a certified copy thereof (Sec 3800, Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnishedBUIIDINIG FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the co budding ins BUILDING non department _ -,�,Dmss LOCALITY Dors ��1'�.�.g. pltc NEAREST Cm' ZIP CROSS ST ' CERTIFICATE OF EICEMPT N FROM WO S' OP BIDGS ASSESSOR - COMPENSATI INSURANCE SIZE OF LOT M& NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE hundred dollars($100)or len ) TRACT BLOCK LOT NONO TEL SPECIAL I certify that in the performance of the work for which this OWNER NO CONDITIONS d it is issued I shall not employ DISTRICT GROUP TYPE FIRE PROCESSED BY 0 permit P Y an Y Perron in any manner so as to become subject to the Workers'Compensation Lowe AOORESSCONST ZgJE V 5. 0 3S ae 0 Date Applicant ARCHITECT OR �' ZIP STATIST CIASSIFI TION APT DO 10F NOTICE TO APPLICANT If after making this Certificate o4 - i� � V Exemption, you should become subject to the Workers ENGINEER N1O CLASS NO�/ _DWBL UNITS - d Compensation provisions of the Labor Code, you must forth ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be _ deemed revoked CONTRACTOR TEL SK PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS tsAdA6 NO UATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code and my licerse is in full force and effect CITU CLASS SO FT Nq OF NO aF CHECK _ Licen»Number Lic ClassSIZE O� STCKtIES =LIES ONE 3 Contractor Dote DESCRIPTION OF WORK 1 NEWLJ ❑ ,C] I am exempt under Sec 2D AOD B 8P C for this reason ALTER tEDATEFINA REPAIR ❑ DATE USE SE OFEXISTING BLDG D6NOL_❑ FINAL Signature APPLICANT TEL 1''�'��•• OWNER-BUILDER DECLARATION PRIM NIO pop I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and 1L Professions Code) - - PRESENT ?Q S 1 4 A 13 BUILDING owner of the property, or my employees with wages as thea sole compensation,wdl do the work and � # • • • • • 1 ' the structure is not intended or offered for sale(Section LOCALITY 7O", Business and Professions Code) MOVING TEL 2'- - 4988 ' C1I as owner of the property, am exclusively contracting CONTRACTOR NO r with licensed contractors to construct the project (Sec- • • • 49885 tion 70", Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCY P11j IRN YARD ELWY TGT P atac FRaM Ay 0 3 1 6 —8 3 I hereby off irm that there s a construction lending agency for FRONT 0111,t IDTH he performance of the work for which this permit s issued P L tSec _3097, Civ C ) SIDE r o PL Lender s Name — Lender's Address Fee f Permit Fee I-certify that I have rood this application and state that the Inwnce Fee above Information is correct I agree to comply with oil County Invenganon Fee ordinances and Store lows relating to building construction Total Fee and here author¢e representatives of the County to enter gyS' upon above-mentioned rty for mspMion purposes ^ Ifs B(lQ A[ SIR REVEEf[FOR EXPLANATORY LANGUAGE - Sgman imnt w Date ms _ 1 WORKERS COMPENSATION DECLARAT`104� j M� hereby affirm that I have a certificate of tioncongent to eel! APPLICATION -FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance or a certified copy thereof(Sec 3800, Lob C ) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy Is hereby furnishedFOR APPLICANT TO FILL IN BADDRESS S Eldied copy is filed with the county but ng mspec- BUILDING do porrment ADDRESS LOCALITY v NEAREST y Date Applicant CITY ZIP tZ,60 CROSS ST i CERTIFICATE EXEMPTIO WORKERS' NO OF BLDGS, ASSESSOR COMPE TI SURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be plated if the permit is for one - USE ZONE I MA hundred dollars ($100 ess _ TRACT BLOCK LOT NO �/� SRCVLL NQ I cert) that in 1 e performance of work for which this TEL CONDITIONS d OWNER NO DISTRICT GROUP TYPE FIRE D BY_ O permit is as , I shall not employ any n In any manner ADDRESS - CONST ZONE U W as to ome subject to the Work Co Wtion awe S,& e-3 i/ 3 Da Appllc CITY ZIP STATISTICAL CLASSIFICATION APT DO O NOTICE TO PLICANF If, r makin th Cerr ate ARCHITECT - TEL -�1 U 9 INESR NO — CIAS NO DWELL ITS W Exemption, you should become subject to the r l my 1>�V aZ H Compensation provisions of the Labor Code, you must rrh- CRESS SEWER MAP TEL with comply with such provisions or this permit shall be O/ _ deemed revoked CONTRACTOR NO BK PG �/ VALIDATION ---iC`CENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r NO VA UATIO44 (commencing with Section 7000)of Division 3 of the Business and LIC 5 Professions Code, and my license a in full force and effect CITY CLASS f 00 , SO NO OF_ NO OF CHECK L rise Number LIC Cla SIZE STORKS FAMILIES ONE S ❑ 1 Contractor DESCRIPTION OF WORK NEW ADD jam exempt un ALTER ❑ FINAL B ESP C for reason REPAIR ❑ DATE FINAL �. . . Date EXISTING BLDG DFMOL By _ Signature AFRICAN TEL 1\ OWNER BUILDER DECLARATION _ PRIM WO Y I hereby affirm that I am exempt from the Contractor s License E55 ► -tib �vJr � AN Law for the following reason (Section 7031 5, Business and Professions Code) _ PRESENTBUILDING '9 5 9 1 A I, as owner of the property, or my employees with ADDRESS wages as their sale compensation,will do the work and .. • • • • 11 the structuro is not intended or offered for sale(Section 7041, Business and Professions Code) MOVING TEL 2'• 2 6 5 5 0 I,as owner of the property, am exclusively contracting CONTRACTOR NO - • with licensed contractors to construct the project (Sec- ADDRESS I• • 2'O 5 5 OE tion 7041, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST 0 2 0 4 — Z CONSTRUCTION LENDING AGENCY SET BACK YARD IfwY PROP LIN WIDTH , I hereby affirm that there Is a construction lending agency fw FRONT the performance of the work for which this permit Is issued P L Rec 3097, Civ C ) � Lender s Noma _ P C Fee f Permit Fee Lender's Address �T I certify that I have read this application and sate that the Issuance Fee above mformartion is correct I ogres to complywith all Counh Inveftigueon Fee r - ordinances and State jaws relating to building construction Total Fee �1/�T r `T O and hereby authorize representatives of this County to enter upon t e above-me tioned pr perry for Inspection purposes ^ T f9 nvasE FOR utuNATfNY LANGUAGE Signature of Icant or!gent D Ie