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HomeMy Public PortalAbout5837-5839 TEMPLE CITY BLVD_Building__ SA698A CE •609.10.86 APPLICATION ■-O. -EY BUILDING- PERMIT' — i• BUILDING AND SAFETY DNISION BUILDING �+ Department of County Engineer ADDRESS O County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRIC O., GROUP SPE_ I SEWER FILL MAP FOR APPLICANT TO IN aK PG CONST. _ BUILDIN •- iy ,(� J STATISTICAL CLASSIFICATION- ESS / I ADDRi �f it &44 7/ LOT NO. •` �i BLOCK CLASS:NO. DWELL..UNi S' MAP A� v SIi1A�IT1(E YES N f j NUMBER TRACT USE ZONE SPECIAL NO.OF BLDGS. / CONDITIONS SIZE OF LOT I NOW RN LOT USE OF EXISTING BLDG. c BUILDING YARD HWY STREET NAME. EXIST' SETBACK -WIDTH OWNER •- - FRONT T i f r MAIL Al P. L. ADDRESS-j , /V' SIDE .a TEL. CITY NO. INSPECTION RECORD• . ARCHITECT ON TEL. ENGINEER NO. ADDRESS. TEL - NO. H�h Jr,Oi CONTRACTOR � 7L.fwwA Gw! NO.�r /r" - ADDRESS-5600 DESCRIPTION OF WORK NEW .'ADD ALTER REPAIR DEMOLISH SQ..FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE _ P APPROVALS SIGNATURE O p� APPLICANT ✓ DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION pp {{_ FORMS, MATERIALS l 2 __ p,(--, $ AFRAME: FIRE STOPS. FEE BRACING.BOLTS VALUATION $ FURNACE: LOCATION. FEE GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT I 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 UILDING CONSTRUCTION. SIGNATURE OF i HOUSE NUMBER COR- PERMITTEE ' RECT AND POSTED ADDRES -0--a FINAL �5 OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N..DIRLAM.PRINCIPAL STRU RAL-ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH LAC114 O�► 'MAY -2 1 A 2. ': FDEPARTMENT OF BUILDING AND SAFETY I APPLICATION FOR PERMIT y COUNTY OF LOS ANGELES ® V® ' LD ® ' 1 WM. J. FOX, CHIEF ENGINEER ® NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING !, ylr�� / DISTRICT NO. PLAN CK.NO. C PERMIT NO. ADDRESS ff�7 J� /+.15/1 /frJ !/ 45--- LOCALITY /J� /id/Q "T I� RECEIVED BY fD�ATEE OF APPL. DATEISSUED NEAREST G A g ^'f_Iia� !�N• Ae� - %'f-I _A CROBB ST. f� d/ BUILDI NG OWNER /�• V// L ov'e ADDRESS AMAILCORE. ��.3 �O A W1-H LOCALITY /!f�✓d`� �f�,j / D NEAREST CITY 6.091jole 6�/_I/ NO.��l_o vS90 CROSS ST. FIRE NO.OF TYPE M GROUP ARCHITECTOR TEZONE P L LANE T ENGINEER NO. BLDG. �' n ORD.NO. ADDREBB -5 -'06 SETBACK LINE APPROVED CONTRACTOR NO.� 1-711�' BY DATE USE GaAPPROVED ADDRESS T3 ' F-�S / °� ✓. ZONE BY DATE LEGAL DESCRIPTION LOT NO 6 Y; BLOCK ;g 9 CORRECTIONS s - TRACT SIZE OF LOTs� ��..aJ I NO.OF SLOGS. NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG.f�/rit+'N::C I FAMILIES- I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING I COVERING USE or NfW � v 49 e2 A 1 HEREBY ACKNOWLEDGE THAT I 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. p.0 FRAME: FIRE STOPS, SIGNATURE OF �`�� 5.,/s < �e.6'��j BRACING,BOLTS PERMITTE ///(((fff J �i� 0 LATH,INT.: AUTHORIZED AOT_ •�'� �� LATH,EXT.: DBS-3 SOM BETS 1-48 $ P.C S PLASTER,INT. FEE 4- PLASTER,EXT. v VALUATION y � FEE FINAL SM SETS 0-45 DEPARTMENT OF. BUILDING AND SAFETY APPLICATION FOR PERMIT UNTY OF LOS ANGELES ---MUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOA OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING •�.�7 ` )c - (,;,� - b ADDRESS �j 7 36 $', ,- LOCALITY RECEIVED BY DATE Or APPL. DATE ISSUED - ,, / �' j.,;' ./�-',/ -, cl NEAREST .71 0- CROSS ST. A s 7-m i/ ,ws e)l- BUILDING OWNER A -t!- grs, kv I v C2. ADDRESB;f MAILLOCALITY ADDRESS/.?l og, NEAREST TEL. CRO85-ir 3T CITY1 Ad' Pj_L%P .0. NO. A 1 64, FIRE NO.Or -kyPE_)e-P'74' GROUP ARCI-ilTECT 13! M/A/C TEL ZONE PLANS may/ ENGINEER NO.' I - BLDG. ORD. NO. ADDiqEssL A M SETBACK LINE ;rELIs. . CONTRACTOR By DATE EAPPROVED// ADDRESSM 8r It. A- ript A/A ZONEBY DATE -LEGA CORRECTIONS DESCRIPTION TRACT NO. OF SLDGIIL SIZE or LOT NOW ON LOT USE or NO.or NO. or Civ EXISTING BLDG. FAMILICS ROOMS DESCRIPTION OF WORIC NEW 7 ALTERATION ]ADDITION cl REPAIR -MOVING DEMOLISH Shyf ;,u Q. FT.-• NO.ar C z ROOMS 'STORIES ME > WALL Rcior COVERING 13 elivil,14 A G 7 e-,1- COVERING USE OF NEW 1^ti A BUILDING, &PRO / tSr' 142 P I ti APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION, INSPE R AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE or BRACING, BOLTS OWNER LATH, INT., n fill AUTHORIZED AOT-LI., _e "-V— .17 1-0 Ir W. LATH, EXT.: QP IIIPLASTER, INT. FEE - PLASTER, EXT. ML 41 SW VALUAT113H FEE FINAL - TEMPLE CITY FUNGACl#sue•I-BI APPLICATION FOR BUILDING PE MIT > COUNTY OF LOS ANGELES' BUILDING ' . DEPARTMENT OF COUNTY ENGINM ADDRESS BUBMING'AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN •SUP•T OF BUILDING CROSS ST. DISTRICT NC. GROUP TYPE' PR ED BY FOR APPLICANT TO FILL 114 7-1 CONST. BUILDING ADDRESS �' STATISTICAL CLASSIFICATION SEW R MAP 3: T B '• 1 CLASS.NO. WELL.UNIT LOT NO. 'BLOCK 1 WATER �v CERTIFICATE: NOT REQUIRED 4:5-CEIVED TRACT C-7 '• MAP /p HIGHWAY' �� 17<1 NO.OF BLDGS. NO. (/ (CIRCLE) STAT AJv SECOND, LOCAL SIZE-OF LOT. NOW ON LOT USE ZONE'- SPECIAL USE OF CONDITIONS XISTING BLDG. �oTEL. SONO. BUILDING EXIST. y�//(/�� // � SETBACK YARD HWY STREET NAME WIDTH. ADDRESS�6�{�Q- td-(�e.,(.i�L1LJGC. , FRONT ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE P.L. ADDRESS .: TEL. SPECTIQI�T RECORD' f/', 00 CONTRACTOR NO. /// 09 .if ADDRESS O DESCRIPTION OF WORKNEW� Q.FT. ADD ALTE NO.OFREPAIR DEMOLISH IZE STORIES FAMILIES i u USE OF y STRUCTURE r / SIGNATURE OF 4U1 6�1/a •� ��%�ri.['F APPLICAN' PXAa ' VALUATION /% APPROVALS DATE• , ONSPECTOR'SilIGNATURE P.C. PMT. f JFOUNDATION:LOCATIOI !a/J /` I•`,�,yr,1 FEE $�� FEE $ ��{ FORMS,MATERIALS l ,�`/ ��� �I tl• / e. FRAME:FIRE STOPS, t .I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .FURNACE:LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA• LATH,INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA;RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. , LATH.EXT.. SIGNATURE OF-- HOUSE NUMBER'COR- PERMITTE.— ECT AND POSTED /'A n�• ./�W ADDRESS - FINAL 'CLYDE N. DIRLAM, PR NCI AL STRLYCfORAL EN• PLAN C=X VALIDATION' m .11.0. CASH PERMIT VAMATION cK. M.O. 5 8-0-7 AEC 6- 1 D• 18.0 . . xti 7"63 cchas.1-6I APPLICA'Y'ION 'FOR BUILDING PERM STI 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. t DISTRICT NO. GROUP TYPENr C ED BY FOR APPLICANT TO FILL IN �U CO T. BUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS K PG CLASS.NO. DWELL.UNITS LOT NO. el— �e OF BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: 5z_ Ll TRACT MAP IGHWAY STAT AJOR ! COND, LOCAL NO.OF BLDGS. NO. - (CIRCLE) SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNENO. BUILDING YARD HWY STREET NAME EXIST. � / SETBACK WIDTH' ADDRESS• ( 1 '�— FRONT01. + !�9 ARCHITECT O • . TEL.. P.L. i ENGINEER NO. SIDE ADDRESS TEL. IN PEC,sTI,O RECORD CONTRACTOR :NO.. r'''J�/ ! 1 yf'` ADDRESS ` DES RIPTION OF WORE NEW' ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF ! ( �/ / / ASS IZE " STORIES FAMILIES USE OF. est If. f�I�f .IC �11:F� "� /�.R �;.s ��:f/✓ STRUCTURE '" j SIGNATURE OF +� APPLICANT VALUATION Il' APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ e FEE $ FOUNDATION:LOCATION �,e FORMS,MATERIALS FRAME:FIRE STOPS. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION„ BRACING BOLTS ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE'LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. GAS VENT DUCTS ' BUILDING CONSTRUCTION..1 CERTIFY THAT'IN DOING THE WORK AUTHORIZED'HEREBY I WILL-NOT EMPLOY ANY PERSON IN VIOLA= LATH,INT. TION OF THE LABOR CODE OF THE STATE F CALIFORNIA RELAT' /f ING TO WORKMEN'S COMPENSATION INS ANCE. �' LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- D OR- PERMITTEE- RECTANDPOSTED ADDRES FINAL CLYDE N. DIRLAM, PRINOIPAL STURAL ENGINEER PLAN CE= VALIDATION cr. M.o. cAsx PERMIT VALIDATION cw M.o. CASH .19 • J f AL FAnlolo_ d,ly 76A838A CE#8035.61•APPLICATIOI�T FOR-BUILDING PERMIT COUNTY OF 'LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDNG AND SAFETY DMSION LOCALITY JOHNA. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUP.'T OF BUILDING CROSS ST. DISTRICT N GROUPPROCESSED BY/ FOR APPLICANT TO FILL IN rY�E c` �/ �+ ',*' A STATISTICAL CLASS (CATION MWER MAP/., ADDRESS SO 7. /I�M'/'iCt� ` CLASS.NO:-9—fDWELL.UNITS 'et- BK /*pp LOT NO. Li^ BLOCK WATER NOT REQUIRED Ell Lj/ CERTIFICATE: TRACT (c+ MAP ^J HIGHWAY r�� NO.OF BLDGS. NO. d / (CIRCLE) STAT AJO ECOND, LOCAL SIZE OF LOT S� 7J' I NOW ON.LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLQG.. TEL. OWNER NO. BUILDING YARD HWYSTREET NAME EXIST.., SETBACK WIDTH ADDRESS c3IP FRONT ARCHITECT OR TEL. P.L. - O ENGINEER •NO. SIDE ADDRESS TEL INSPECTION RECORD m CONTRACTOR NO O ADDRESS �/8 5,�,✓� U DESCRIPTION OF WORK H s� ? NEW ALTER REPAIR DEMOLISH SQ.FT. v NO.OF NO.OF IZE STORIES FAMILIES USE OF- / STRUCTURE �a SIGNATURE OF APPLICANT VALUATION E .S APPROVALS DATE INSPECTOR'S.SIGNATURE FOUNDATION:LOCATION F E -S FEE-5 FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING'THE WORK - AUTHOR IZED,H EREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION.OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. + LATH.EXT. ' li �. �/ �/ SIGNATURE OFse HOUSE.NUMBER COR- /�1 - �(r� PERMITTEE N REGT AND POSTED n 1 �( 1144 FINAL _ ADDRESS '�1/,( may J V CLYDE N. DIRLAM, PRINCIF1,AL STRU URAL ENGINEER FLAN CIU+CK VALIDATION cr. m.o. cABx PERMIT VALIDATION cK. Ia.o. cAse � t� 9476 }tR1 1 0 2.00 '. COUNTY LOS ANGELES U I L 114 1® G wm' J. FOX, CHIEF ENGINEER FOR APPLICANT TOFFILLN FOR OFFICE USE ONLY BUILDING ` DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS I! S s — / LOCALITY n �( RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST y�_CROBBOWNER �/ BUILDING 7 X /( ADDRESS ! /-/ ADDRMAIL EB9 ��� LOCALITY , C7' EL' NEAREST O. CITY CROSS ST. FIRE NO.or.-- - TYPE 1 SROUP ARCHITECT OR (/ Q TEL. ZONE rPLANB I I ENGINEER NO. BLDG. ORD. NO. ADDRESS . SETBACK L INE APPROVED _7 ( DATECONTRACTOR TNEOL.GpS Q USE APPROVED ADDRESS 512 6f413 N7+xr Q-rCS'N 0 ZONE �. BY DATE LEGAL DESCRIPTION I LOT NO. F.y I BLOCK CORRECTIONS TRACT NO. OF BLDGS. / SIZE OF LOT --5'6x/ % I NOW ON LOT USE OF EX � I NO.OF �O. OF _MISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW L-iALTERATION ADDITION O A REPAIR MOVING DEMOLISH q Sq. FT. NO.OF t SIZE ROOMS STORIES r WALL I ROOF JCOVERING•, COVERING USE OF NEW BUILDING U- - APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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: FIRE STOPS, SIGNATURE OF �) BRACING, BOLTS OWNER / LATH, INT.: AUTHORIZED AGT Y /� / .r/� X LATH, EXT.: $ P. C. PLASTERr INT. FEE PLASTER, EXT. VALUATION FEE �� FINAL �r o v'&WORKrRS'COMPENSATION DECLARATION ��li�ffirm that I have a certificate of;,consenf�to self tee, ar.a certificate of Workers'Compensation Insurance, _ APPLICATION ,FOR .B.0 I L D I NG '. G PERMIT or a certified copy thereof(Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company r -- E Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUIIDING _3 �- ADDRESS t Cehified'copy is filed with the county building inspec- ' BUILDING r\— _�- S p L, ` tiori apartment. ADDRESS �J �,. v ` 4K Azl Date''� Applicant• CITY t- C: f/ ZIP ���' LOCALITY "CERTIFICATE.OF'EXEMPTION FROM WORKERS',"' NO:OF BLDGS. NEAREST - • COMPENSATION INSURANCE + SIZE OF LOT NOW ON LOT I CRSS ST, (This sectiori'iteed••riot be completed if the permit is for+one ASSESSOR hundred dollars,($100)or less.) , TRACT L BLOCK LOT NO, MAP BOOK PAGETEL PARCEL F OWNER ! Yh `L � NO. - USE ZONE MAP .1 certify that in the performance of the work for ;Wich.this NO. "' permit is issued, I shall-not employ any person in`any'manner �,�2/ SPECIAL' IX, - ADDRESS rte' sd as to becdme'subject to the Workers'Compensation Laws. - __ CONDITIONS •t Date' Applicant , .. , CITY IMo .. ZIP - - ' .. . . ... �,� NOTICE'TO,�APPLICANT: If, after'making this Certificate of ARCHITECT OR TEL. :DISTRICT GROUP.• TYPE __ _ FIRE P.ROCES D By .. Exemption, you• should become subject to'-the Workers' ENGINEER. NO.. N -'� CO ST.. ZONE Compensation.prcivisions of'the Labor,Code, you'must-forth-. gDDRESS ^ - '_ -with comply with;•such provisions or. this.-permit shall be -- - -- _ deemed revoked.;, ,. CONTRACTOR o�tn cL.b�Np• y O /77 STATISTICAL,CLAS.S�IF.I�CA�T,ION t APT. CO DO. LICENSED CONTRACTORS DECLARATION- ., " ' -LIC;: e, CLASS I DWELL. UNITS — I hereby affirm that I am licensed under proKisions of Chapter 9 ADDRESS (commericing with Section 7000)of Division 3,of the Business`and . ._. LIC. - SEWER MAP P_rofessioris Code,•and my license Win full force and effect. CITY t .� CLASS C.- - BK. " -" VALIDATION'" S `7 0 � SQ. FT._ NO.OF. NQ-.OF CHECK License Number / Lir.Clare �-� �� SIZE STORIES FAILIES ONE ^ +' = > ,.VALUATION ' Contractor ate` pate DESCRIPTION•OF WORK 1 i r _ N `` ^ ADD Q $ ElI am exempt under Sec. mar 4 E7�e CS •• 1�C - rb , ,_{_ ••�� ALTER .IBJ ' B.&P.C. for this reason l J• �a�O C . ��• u•6 EPAIR a• Date:'. USE OF ' EXISTING BLDG.APPLICANT TEL. DEMOL l Signature -.. - - -- - --- • ... .•_ ,. .. FINAL _ OWNER-BUILDER'•DECLARATION PRINT NO. - -'DATE -1 hereby affirm that I am exempt from the Contractor's License ; Law for the following reason (Section 7031.5, Business and ADDRESS ° ` FINAL 'Professions Code): = PRESENT BY ❑ BUILDING __. - - _ I, as owner of the property, or my employees with ADDRESS 3 -X 4 7,6' p z. wages"as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY - #,o,e o_o' o•:'l, 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR - NO. - I, as owner of the property,am exclusively contracting .11 o a 59.25 ' with'licensed controctdrs to construct the project (Sec- ADDRESS a „ ! i _ tion 7044, Business and Professions Code). `• o tP',a`J 9 2'S cv, . REQUIRED... TOTAL.SETBACK F CONSTRUCTION LENDING AGENCY SE7 BACK YARD HWY PROP. LINE WIDTH - - hereby affirm that there is a construction lending agency for FRONT + O 3 8.6- I ! the performance of the work for which this permit is issued P,L. . - - (Sec. 3097, Civ. C.). SIDE. `� ^ g - •- , P.L. _. .. ._' . Q Lender's Name LDMA Ref: # aP.C.-Fee$ Permit Fee' - Lender's Address , I certify that-J.have read-this application'and state that the '• : -.Issuance Fee S LDti1A P✓C,#, `t -=; •` �'•` `'� `• rte= above information is correct. I agree to comply with all County Investigation Fee _ - - + - ;ti '•�j` „•' ordinances an S ate laws rel ti t building construction, - Total Fee Perm.# - J and hereby rize re re ti v of this County to enter , S upon the mentions r p for' spection purposes. C✓ SEE REVERSE FOR EXPLANATORY LANGUAGE gnat a of Applicant o gent• Date - '" ^ - _ __ _ .. ._ 0 i f WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent•to self APPLICATION FOR BUILDING PERMIT inis�re, or q certificate of Workers'Compensation Insurance, or a certifi*copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company E] Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS E (B ❑ Certified copy is filed with the county building inspec- BUILDING �• tion department. ADDRESS JJ 1 e Date Applicant CITYJEM t ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLD NEAREST COMPENSATION INSURANCE ' SIZE OF LOT NOW ON LOT CROSS ST. QZS (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE. PARCEL TEL• �� USE ZONE MAP I certify that In the performance of the work for which this OWNER' NO. NO. permit is issued,.l shall not employ any arson in any manner /� E/C e f SPECIAL so as to beco a subled to the Work '4't'tpe tion-L ADDRESS ti CONDITIONS Date Applicant CITY ZIP71733 NOTICE TO APPLICANT: If, after making'this Ttificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR SSED BY O Exemption, you should become subject to a Workers' ENGINEER NO. CONS ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS /Og 3 W. with comply with such provisions or this permit shall be ILI deemed revoked. TED STATISTICAL CLASSIFICATION APT. DO. C0 CONTRACTOR LICENSED CONTRACTORS DECLARATION LIC, ('1 CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS A� NO, ICY (commencing with Section 7000)of Division 3 of the Business and' '/ LIC. SEWER MAP. Professions Code,and my license is in full force and effect. CITY /r�©f�/� CLASS BK PGVALIDATION - SQ.SQ. NO.OF NO.OF CHECK License Number Lic.Class SIZE AWISTORIES I FAMILIES ONE r NEW ❑ VALUATION p Contractor Date DESCRIPTION OF WORK ❑ $ �� ' , ' ADD ❑I am exempt under Sec. ALTER ❑ B.BP.C. for this reason O�7 REPAIR ❑ $ Date: USE OFr DEMOL EXISTING BLDG. ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO, DATE8.2 7.8.A I hereby affirm that I am exempt from the Contractor's License 0 0 0 o•o. Law for the following reason (Section 7031.5, Business and ADDRESS FINAL t # 1 tl ,a a,3 3.0.0 Professions Code):❑ 0.0 czi BUILDING o 0 0 3 a I, as owner of the property, orm.y 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 1. 0 4-87 7044, Business and Professions Code). " MOVING TEL. ® �' I, as owner of the property,am exclusively contracting CONTRACTOR NO. LZJwith licensed contractors to construct the project (Sec- ADDRESS tion 70,44, Business and Professions Code). EQWIRED TOTAL SETBACK 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 MA Ref. P.C.Fee$ Permit Fee N Lender's Address /} § I certify toot I have read this application and state that the Issuance Fee (! s SD LDMA P/C# above information is correct. I agree to comply with all'County Investigation Fee ordinances and State laws relating to building construction, Total Pee ?J� LDMA Perm.# d and here u rize Sepres tatives of this County to enter upon -meritio r perty r inApection purposes. D• ' o SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of App t or Agent Date ' 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 0503070006 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 624 BL: .001 SQ. FT STORIES TYPE 5837 TEMPLE CITY BL STRUCTURE: 215 VN TEMP CA 917802113 ASSESSOR INFOR14ATION NUMBER: NEAREST CROSS STREET: WORKMAN 8587-015-010 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: IEXIST BLDG USE: COMME USE ZONE: R-2UED 0 CES EXPIRES 0 : EXIST OCC GRP: 03/07/05 JK 03/02/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: ALUATION: �� NAL BY: CODE: BRUNE, RALPH ( 5,500 5839 TEMPLE CITY BL TEMP 917802113 FEES PAIDS RIPTIO OF WORK TEAR OFF EXISTING BUILT UP ROOFS, INSTALL MODIFIED TORCH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DOWN APPLICANT: E 0: VASQUEZ (909) 948-5795- AA BLDG PERMIT ISSUANCE 27.75 9545 ALTA LOMA DR. AC STRONG NOTION RESID 5500.00 VAL 0.55 SPECIAL CONDITIONS: ALTA LOMA, CA 91737 D2 PERMIT W/0 EN-HC 5500.00 VAL 149.40 TOTAL FEES 177.70 CONTRACTOR: TE N0: APPROVALS DATE INSPECTOR SIGNATURE ARCADE CURVES ROOFING (909) 948-5795- 9545 ALTA LOMA DR. LIC. NO LOCA IOND SETBACKS ALTA LOMA, CA 91737 797664C39 SOILS ENGINEER APPROVAL ARCHITECT OR NG EER: TEL. NO: ND T 0 C OR LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 NO. OF FAMILIES: EL I G NTS: PT CO : STAT CLASS: - FLOOR SG NO 22 ROOF SHEATHING SCHOOL WITHIN HAWRDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS i NO NO NO FRAME INSPECTION REQUIRED TOTA S T C FR ST FIRE SPR L AN ERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM.FLOOR/C TEp WALL ASSEM LIES T5 N GS T-BAR CEILINGS I DRAINAGELUT REPORT ID: DPR261 ROUTE TO: BS0508 i - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0612010051 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 1 BUILDING ADDRESS: TR: 6561 IT: 624 BL: .001 SIGN DESCRIPTION: WALL SIGN INDIVIDUAL INTERNALLY ILLUM 5837 TEMPLE CITY SL TEMP CA 917802113 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-015-010 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: LI'S BALLET STUDIO EXIST OCC GRP: 12/01/06 JK 11/26/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA nl BY: CODE: BRUNO, RALPH ( 2,500 8941 ALTADENA AVE n HUNTINGTON BEACH FEES PAID DESCRIPTION OF WORK WALL SIGN-INDIVIDUAL INTERNALLY ILLUMINATED CHANNEL LETTERS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: CHEN (626) 442-8690- AA BLDG PERMIT ISSUANCE 27.75 2213 SASTRE AVE AX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: S.EL MONTE CA 91733 D2 PERMIT W/O EN-HC 2500.00 VAL 99.00 TOTAL FEES 181.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE FARGO ADVERTISING INC. (626) 441-8690- 2213 SASTRE AVE. LIC. NO LOCATION AND SETBACKS SO. EL MONTE, CA 791903 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: 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 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 HL 0508 1205030072 PHONE: (626) 285-0488 EXT: ILEGAL ID: INOMBER OF SIGNS: 2 I BUILDING ADDRESS: ITR: 6561 IT: 624 BL: .001 ISIGN DESCRIPTION: 2 SETS OF WALL SIGNS 1 5839 TEMPLE CITY BL ] I TEMP CA 917802113 1 IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 18587-015-010 1 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl ITENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: ] (EXIST OCC GRP: 105/03/12 SR 1 ]OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IF N AT F BY: CODE: 1 IBUSTAMANTE, OSCAR ( 1 6,000 ] I 15839 TEMPLE CITY BL ] ] I ITEMP 917802113 I FEES PAID IDESCRI TION OF WORK 1 12 SETS OF WALL SIGNS 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( [ (APPLICANT: TEL. NO: I I I ISIGNS EXPRESS (626) 443-3333- IAA BLDG PERMIT ISSUANCE 27.80 I I 11438 SANTA ANITA IAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: ] SOUTH EL MONTE 91733 AX BUILDING REVIEW FEE 54.70 1 I ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40 1 I I 1 TOTAL FEES 232.90 I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE ] [SIGNS EXPRESS (626) 443-3333- 1 1 1438 SANTA ANITA AVE. LIC. NO I ILOCATION AND SETBACKS I I IS. EL MONTE, CA 91733 C45552097' I ] [ [ I [ SOILS ENGINEER APPROVAL I ] I (ARCHITECT OR ENGINEER: TEL. NO: - 1 (FOUNDATION/TRENCH FORMS [ I I 1 LIC. NO: ISUPPORT STRUCTURE I I I I I I i I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I ] ] I 001 I I I I IND. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 1 I ] 1 I NO 20 1 I I ] 1 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS ] I I NO NO NO ] ] I I I I I � ] I I I I I I I I 1 I I I I I I I ] IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES .9p WM.J.FOX,CHIEF ENGINEER L . BUILDING NO. OF BLDG. ORD.NO. DISTRICT NO, PLAN CK. NO, PERMIT NO. PLANS Q SETBACK LINE FIRM ,v APPROVED ti^ ZONE BY \ DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED 'j r ZONE BY DATE * • ` �I 1� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY pr BUILDING o O E NAME ADDRESS i US7T� ,;.��{L:�^�G•� n W Z ADDRESS LOCALITY ,.XIII-L•YU- trtq �t•r��, IZ NEAREST U W CITY CROSS ST. Q STATE TEL. LICENSE NO. NO. E NAME W `\ v 1!t' ^a ( Z MAIL �O NAME V ,A.Ca A+(-x ``l 1 3 ADDRESS C ADDRESS �_ CI l.1 1 v .` c� S s O CITY (. 1� 0.: TEL. Z CIT, n r A`, �� A �� a_��a r� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS �A - 4 , APPLICATION AND STATE THAT THE ABOVE IS CORRECT �rjSTATEd/• NEOL. /. L���/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. .] f�' .7 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z i° SIGNATURE OF QW O LOT NO. V SIZE OF LOT�.S X 17 S OWNERF NO. OF BLDGS. % �,,Av%.CQ IL BLOCK NOW ON LOT V U1AUTHORIZED AGT `yJ J W TRACT / s-61 / -RREGTIONS i D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF �+ BUILDING 77 r 1/ 6 f10,'Wl i f S f3 ,= i%t to lI _a I n' I.-A it .fes �_�a3�cJ Gy ,et♦Y / 3�/ v''3 � f\ U O Z a NEW TYPE L I GROUP NO. OF NO. OF ALTERATION ROOMS a. FAMILIES ADDITION SIZE I r , 6 0 REPAIR STORIES MOVING WALL COVERING OC t� - -n'W_ DEMOLISH ROOF COVERING W vwjo t $ P. C.V i FINAL APPROVAL FEE $ O0 INSPECTOR'S NAME p� VALUATION ``.�Sv FEE �� DATE /yl/� 013-8'8-40'23M APPLICATION FOR PERMIT 4DEPARTMENT OF BUILDING AND SAFETY •• COUNTY OF LOS ANGELES J. FOX, CHIEF ENGINEER �r NO. OFTBACK LINE ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. SE PLANS C-� �� FIRE APPROVED ZONE BY DATE DECEIVED BY DATE OF APPL. DATE IBS ED USEy �* APPROVED I p ZONEC 3 BY DATE 4••t APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY E BUILDING /r�__ [' C` O K NAME ADDRESS �l •� n� W4 ..��••' WZ ADDRESS LOCALITY F- I U j NEAREST U w CITY M CROSS ST. ✓ f1 _ �!%•� ,Y. . /' :S9 s a \ - _ STATE •�/ TEL. Q. t LICENSE NO. NO. W NAME (` `f'} /,�J�� J• / (;� E NAME A ,1 30 ADDRESS.tea /v�t��1 rJ� .'>• (�� ., rte' V1 f�)) /l r TEL. �} ,/ �* a ADDRESS CITY /�,�a;',+ /r,. 1'/� NO., t=/ / "11`5/", Z 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 7 O CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT JJ U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. n=fl AND STATE LAWS REGULATING BUILDING CONSTRUCTION. U � OWNER �c/S �F Y "' SIZE OF LOT ZO LOT. NO. + Ir SIGNATURE OF _ �Tly� J-7.1 `a �� ,(1 AUTHORIZED AGT. 'a e C l i r l/• r"�?�� E • �_ NO. OF BLDGS. G BLOCK NOW ON LOT Jill, m TRACT CORRECTIONS J D USE OF SLOGS. NOW ON LOT t. DESCRIPTION OF WORK � lip � USE OF BUILDING �fi/1/�.. !J � _ Z — O / � ,%✓•r�..�_ .+TJ,r� ✓.1('O a z M N EW ��-�_`I i TYPEGROUP NO. OF y/�' NO. OF Jq ALTERATION ROOMS // FAMILIES / ADDITION SIZE,2,4-Y /y REPAIR STORIES ilee / MOVING WALL COVERING p0 A DEMOLISH ROOF COVERING $ P. C' S FINAL APPROVAL FEE INSPECTOR'S VALUATION FEE DATE NAME_