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HomeMy Public PortalAbout5935 TEMPLE CITY BLVD_Building__ 76A686A CE#8032/60 APPLICATION FOR BUILDING PERMIT ) COUNTY OF LOS ANGELES BUILDING - DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ,JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ,I WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. - -� DIST.R4CT NO.. GROUP -HYPE PROCESSED 9Y FOR APPLICANT TO FILL IN ✓ coNsr: BUILDING -- _ STATISTICAL CLASSIFICATION _I SEWER MAP ADDRESS '.r J / %Y B. DWELL.UNITS ! P� CLASS NO4- LOT NO. ,� � / _ BLOCK NUMBER - HMAP WYE YES TIO i TRACT f /;_e / USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. - BUILDING YARD HWY STREET NAME EXIST. TEL. SETBACK WIDTH OWNER 'i NO. FRONT P. L. -�'� '-YAC `)`-- i r "✓' ADDRESS SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS TEL. E3. CONTRACTOR - NO. O U ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH a SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF /-' STRUCTURE /— iC i✓ iJ(J/-- O _ W SIGNATURE OF H APPLICANT VALUATION$ = I APPROVALS DATE INSPECTOR'S SIGNATURE P C �...... PMT ,,,1 �i"'"� FOUNDATION: LOCATION FEE'76— FEE FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS , FINAL CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH OF a #803 � 1 76A888A CE 1:/80 APPLICATION. FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING-ANI) SAFETY'DIVISION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY 'FOR APPLICANT TO FILL IN ; CONST. r U--l""I BUILDING / r i STATISTICAL•CLASSIFICATION SEWER MAP f ADDRESS G -. �!? Tr;r rf r. , i r.fi _�.+ a� BK PG _.•r'. CLASS.NO." r DWELL,UNITS I'; LOT NO. BLOCK MAPNUMBER. ; ) `1 STATE YES ' HWY. 1V0� TRACT USE ZONE SPECIAL NO.OF BLDGS: CONDITIONS SIZE OF LOT NOW ON LOT USE OF t EXISTING BLDG. /Ire 1< BUILDING EXISTH. . TEL. SETBACK YARD HWY STREET NAME WIDT OWNER I P I•r. i` NO. ';!I) FRONT / Y {' P.L. ' t ADDRESS ff/� {., J ,•'l;;Ji' 'J!..• �/� 1f/•!ik/-L SIDE ARCHITECTOR // TEL P.L. ENGINEER 1�,.,,? _ `%!', Yt�v N0.7i./r�Z_?r`. INSPECTION RECORD ADDRESS .�y' ft/.r.^�./, R':/ rl a...si✓i f �y e. TEL. py CONTRACTOR / i �� s.r.: CH��.� NO.4//92P4 O ADDRESS f a�%/ �:% �. r `fJ'. I/✓. Jl: ' V DESCRIPTIONF WORK NEW Peo ADD ALTER REPAIR DEMOLISH - , ;eye1 SQ.FT. NO.OF NO.OF 7 SIZE 411 STORIES FAMILIES USE OF STRUCTURE. SIGNATURE OF APPLICANT i " r J•/ :[:.•' !' ! i VALUATION$ sommummm APPROVALS DATE INSPECTOR'S SIGNATURE J PMT FOUNDATION: FOUNDATION:LOCATION FEE $ J 4 I. FEE r Q FORMS,MATERIALS .J j --�—_ FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF F , .^~ HOUSE NUMBER COR- PERMITTE f '' _ �% - f RECT AND POSTED ADDRES P / :. '�• �,/ fr I FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION ( CK. , M.O. CASH PERMIT VALIDATION ., cK M.O. CASH 0.1 .1-1. 49 r; T. [ .til. wf,r�R I_r • 6R , �T,�•�1;;y�tp�' _ El8r,7y[,-N - 7B GM,=#808 2/80 APPLICATION FOR BUILDING PERMIT COUNTY. OF LOS ANGELES BUILDING ✓ .�� DEPARTMENT"OF COUNTY ENGIIM11 ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN:A. 44MBIE.. COUNTY ENGINEER NEAREST WILLIAMA.JENSENI SUPT OF BUILDING CROSS ST.DISTRICT NO. GjZOUP TYPE PRQCESSED BY FOR APPLICANT TO FILL IN Sr' J-y CONST. BUILDING`'µ t + / STATISTICAL CLASSIFICATION ER MAP O ADDRESS 5 / 3J .fr (..IT�jr / BK a CLASS.NO. DWELL.UNITS _*! I! !��PGr L¢+' LOT NO. -2 !t. y*A1, AQ- 2 Z A BLOCK MAP STATE YES "10� NUMBER * HWY. m TRACT .49.-,!5USE ZONE SPECIAL j !_ SIZE OF.LOT 4 • 1 7S- NO:OF BLDGS. 1r+ CONDITIONS a� �^• NOW ON LOT-USE OF EX STING BLDG. [�'/� Z;r f: BUILDING EXIST. TEL. SETBACK YARD HWY STREET NAME WIDTH OWNER LnPX ~•I•' NO. FRONT ADDRESS fd� . /4L E �4'J r ` D SIDE ARCHITECT OR EL .0 P.L. ENGINEER +!., INSPECTION RECORD ADDRESS 1/ 9 3,/ S. l"Mk11 - , �j +�.+ TEL. (�y C NTRACTOR i >D La ! NO. O ADDRESS V ADD) OF WORK • NEW FADD1 ALT REPAIR DEMOLISH SQ.FT. NO.OF NO.OF I SIZE STORIES FAMILIES v R�ij USE OF �- f �,r STRUCTURE f d�A I�f ' r_ ci:- . . s, _ Q . ,.• r;-r -^may;'..�-, r:��.Q ��z�� SIGNATURE OF� J/. „��j ' APPLICANT 'i'+ VALUATION$ APPROVALS. DATE INSPECTOR'S SIGNATURE PMTFOUNDATION:LOCATION FEE P.C• $ I FEE*$ 47. oz D FORMS,MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS/1P• FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND: BRACING,BOLTS AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE:LOCATION, STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS 1 CERTIFY THAT IN DOING THE-WORK AUTHORIZED I LATH,INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF �� i- HOUSE NUMBER.COR- PERMITTE 3 RECT AND POSTED ADDRESS <>" % r FINAL f' CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGIN F�ER PLAN CHECK VAIATION CK- M.O. CASH PERMIT VALIDATION CK. M.D. cwsti-� . + 3:7 = ZIP 14 ;2-3 0 :1 10.2 5 • � ' TMENT OF.BUILDING AND SAF f� � 16164 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � � ' � ® � WM. J. FOX, CHIEF ENGINEER NG FOR //��APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDI SG ZVl Ni Ivn1e f DISTRICT NO. PLAN CK.NO. PERMIT NO. LOCALITY -� �L, `� jp/,.'± 6 /r, RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST / CROSS ST. 'uhGf in""I BUILDING T r4 OWNER-.,J.�s. '?��<�,�t 7.t I ;•a 1+� 'tADDRESS MAIL LOCALITY ADDRESS Ti v NEAREST J ` J CITY YV/7/ ���M, •+: i �NILG 3� CROSS T. ARCHITECT OR . , ✓ j FIRE NO.DF TYPE _ , GROUP ,,,/ r TEL , r ZONE I PLANS 9 ENGINEER �/biJ� ,� ►/ BLDG. _ JA 7/ ORlD.NO. ADDRESSgym,) j ° ,%J3�/ L 7;� 1 �/ SETBACK LINE ' TEL. APPROVED �' / CONTRACTOR,';;. 4'j t_'j i- `I J f;f,'NO. BY ( DATE s I . , / I• r USE APPROVED / //r / ADDRESS e1 • dp 1pi�Y�)l f�lt"P !l-+,l:/)1 j/�[� ZONk�.' BY /I '� Y 4 DATE ��•��y�9 LEGALv •j 3 CORRECTIONS s DESCRIPTION LOT NO. A F3 BLOCK FaY w S _ ✓ TRACT lC J t[a Q Q V-l>N-r/G+rl Z L��� s�l/ •'� / s i[� NO.%r ILDGS. 1 SIZE OF LOT f��p� f`*'��/ \ I NOW ON LOT i)a;as,. a,. USE orEXISTING BLDG. A`p i; (.� I FAMILIES I ROOMS ��M a DESCRIPTION OF WORK NEW l� ALTERATION ADDITION O REPAIR MOVING DEMOLISH 9q.FT. ) � -) N SIZE (z-VROOMP Z J STORIES D COVL Roar RING •%/e I COVERIN13 USE OF NEW ' ��a J BUILDING � E.:✓_•7 w CPA `°� -f- Y C? k f1_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION 3P UTdR DATE4 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS . 7 4f AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME. FIRE STOPS, SIGNATURE OF BRACING,BOLTS _ OWNER LATH,INTO AUTHORIZED AOr S T. �l. v1i LATH,EXT.: �•`,��1�- �l '='I PLASTER.INT. FEE PLASTER,EXT. I VALUATION FEE �� FINAL DEPARTMEIIT_-TSF BUILDING'ANDnSAFETY -��ti� APPLICATION FOR PEHMiT IF COUNTY OF LOS ANGELES ® ' WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. .BUILDING ADDRESS 201 North Sunset Blvd. '— `J / LOCALITY Temple + City RECEIVED BY DATE OF APDL. DATE IBSUED NEAREST CROSS BT. koodruff Ave. OWNER Danish Maid Bakery ADD EISS 201 North Simset Blvd. AMAIL DDRESS 2409 Southwest Drive LOCALITY Te le City. NEAREST Woodruff Ave. TNO.EL. CROSS BT. CITY L.Ae ®'•3� • FIRE NO.OF / TYPE ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. (9RD.NO. ADDRESS SETBACK LINE vV ElectcProd.Corpe TEL CA 1=6 APPROVED DATE CONTRACTOR NO. � USE �o APPROVED ADDRESS 1100 N.Main Ste$ LGA® —12 ZONE l ^�BY DATE LEGALI CORRECTION'S DESCRIPTION LOT NO. Z p BLOCK TRACT (� 6 C/ NO.OF BLDGS. SIZE OF LOT /Iy 1/y J NOW ON LOT EX ST NE OrG BLDG. NO.OF No.or A P'KET FAM E8 RCOMB� DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH B4•FT. NO.OF Z SIZE ROOMS STORIES y WALL ROOF r COVERING COVERING USE OF NEW BUILDING SIGN A) INSTALLATION OF SINGLE FACE S ON FACE OF BLDG. SEE ATTACHED DRAWINGS. I 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 FOIRMS,MATERIALS AND STAT WS REGULATING BUILDING CONSTRUCTION. FRAME. FIRE STOPS, SIGNATOR BRACING,BOLTS PERMI E LAS INT. .AUT14dRI–ED AGTELECTRICAL UCTS CORP. • LATH, EXT. 76AS38A 9-48 DSS-3 SUM SETS $ P.C,S PLASTER,INT. -9PLASTEREXT / 150,00 FEE , . / VALUATION' . v FEE 2®00FINAL Q DEPARTMENT OF BUILDING AND SAFETY riYJrL Lp*L 11V1tl r va rr na-L& COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS /r�1 "y7. �� V ✓ i LOCALITY /: r! j' �"�j`'- "�sJV�1 RECEIVED BY DATE OF APPL DATE IBB EO r NEAREST CRO9S 9T. �' i` �f BUILDING OWNER 1/ m P �/� b." ADDRESS159-95 MAIL LOCALITY ADDRESS NEAREST CITY NO. CROSS BT. ARCHITECT OR TEL ZONES PLANS ��FINE a.or TMP /�� GROUP ENGINEER NO. r BLDG. ORD.NO. ADDRESS SETBACK LINE CONTRACTOR � � ^� �d� / NO., l.( By APPROVED DATE '1y APPROVED ADDRESS /Cj /V�d �n P `. J � ZON�_1 BY DATE USE LEGAL DESCRIPTION I LbAU �I�! I BLOCK CORRECTIONS NO. ' d TRACT on O.OF SLOGS. ON SIZE OF L T NOW ON LOT USE OF NO.OF -+ NO.OF EXISTING BLDG.. FAMILIES ROOMS DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION 1 O N " REPAIR MOVING DEMOLISH p 914.FT. NO.OF Z SIZE ROOMS STORIES r WALL ROOF COVERING COVERING USE OF NEW BUILDING S? :- 1HERB K LfVDW EDGE T AT I HAVE READ THIS APPROVALS APPLICATIQN AND STATE THAT THE ABOVE IB 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 �f> a>/ BRACING,BOLTS OWNER ��� A` LATHS INT.: e�j )".2 v 2- AUTHORIZED AOT. �'/� ' e'21'k} 1 LATH,EXT.: /' AIS DBS-3 2SM SETS 1-47 $ PLASTER.INT. P.C.t8 FEE PLAaTERP EXT. l �11 VALUATION FEE FINAL �� r -• 'T DIVISION OF BUILDING AND SAFETY DepmI ent of County.Engineer I L i N : 'County of Los Angeles 1 -WM. J. FOX, COUNTY .ENGINEERAPPLICATION- BUILDING 9' -FOR APPLICANT TO-FILL IN' ' ADDRESS .S`. `B-S • BUILDING4rf / /LOCiALITY_r7- ADDRESS J 1 " ,NEAREST ,. .. LOCALITY. _;-� >sj CRO 88'ST. VN NEAREST y r - ° DISTRICT NO., PUH/CK.6WRBC.•No. PERMIT NO.•=' CROSS ST. 1 `2. t.I r7 1 I � Q -4,AofI RECEIVED BY DATE:OMAPPL. 'DATE ISSUED. OWNER e r• y i •� AMAIL DDRESS 5 USE ZONEO.:OF TYPE GROUP.• •FIRE ZONE.- TEL a' PLANS CITY Ldl/jol C,3 ARCHITECT OR a TEL:.; v ZONING DATED ENGINEER —� NOr ,�•'� � APPROVED BY ­06— BUILDING i ARD.NO. ADDRESS SETBACK LINE: ` ��rr TEL APPROVED DATE CONTRACTOR J ci�/�%Udq; 0.r/x,vmv .' BY, HOWSE_NUMBERING C. f ADDRESS • ! o� LEGAL MAP NUMBE NO: ASSIGNED BY DESCRIPTION LOT NO.AZ�'p BLOCK / DATE' ~CORRECTIONS I °INSPECTOR TRACTap� ± ' y NO. OF BLDG8. �. SIZE OF LOT {USE OFyid I K I. NOW ON LOT / y' .j m6. OF EXISTING BLDG. 1-1 �I`�C� T I''FAMILIEB �,.�r��3 ��y��yr ' _ fe�f `d-A! o DESCREMON OF'WORK - - :/I,1.7'0 J✓,�EEL ./ R NEW ALTERATION ADDITION i �^ (ti�lq �� ,+c7 Cit—s' a Y . _ ref REPAIR DEMOLITION . I"�. :�'I .v� � f� T/ 7,j ' �If SQ. FT. ....... NIO:. OF .f . ..: OO -STORIES /d&G;Vtl�JY5pSIZE R . ma/ y EXT. WALL ROOF COVERING COVERING d j� USE OF STRUCTURE t • /��.�o.����a� ��� /--n-��i �;r f.�t° as x�dx�s �,r�� `�. UNC R APPROVALS e-tit�y INSPECTOR'S SIGNATURE DATE _ FOUNDATION:;LOCATION FORMS, MATERIALS 1,HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAMBOLTS CORRECT. BRAE: F•FIRE.STOPB., 1 AGREE TO COMPLY WITH LL OUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATI 6 CONSTRUCTION.. 'GAS VENT, DUCTS t . SIGNATURE OF r H. 1N7:•SC'• �+V���` �lt.l.. . 1 ' PERMITTE, - LATH, ADDRES PLASTER, INT: AUTHORIZED,AG PLASTER, EXT: :FEE' HOUSE.NUMBER COR - fl' RECT AND POSTED / VALUATION S ✓r/! .3_ ;-{,:F !, FEB,; "�'� FINAL i 1rf j- 78A888A DHS 3-8-53 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ®f•�® � WM. J. FOX. CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY . �1, DISTRICT NO. PLAN CK.NO. PERMIT NO., BUILDING 201 North Sunset Blvd, ADDRESS LOCALITY Temple City RECEIVED BY DATE OFAPPL. DATE IS/SUED NEAREST CROSS Woodruff Ave® �'� ' - •l ;�2-/c% �! 9T. OWNER Danish Maid Bakery ADDRBUILESS MAIL 201 North SunsetBlrvdo MAIL E2409 LOCALITY Temple City' ADDRPI ive N'EARE5T DiTY L.A. -43 TEL. CROSS ST. Woodruff Ave, FIRE NO.OF TYPE GROUP G ARCHITECT OR TEL. ZONE PLANS/ ENGINEER NO. BLDG. `` ORID NO. ADDRESS SETBACK LINE L 1., APPROVED CONTRACTOREleCtoPrOdo Corp oNpl CA 1-6141 BY qc DATE ADDRESS 1100 NoMain St. LOA. —12 ZONE �-�7 BY DATE DATE LEGAL CORRECTIONS TRACTDESCRIPTION LOTNO. ,Ly L• BLOCK TRACT NO.OF BLOBS. / SIZE OF LOT 7L �� I NOW ON LO USE OF ��n.��� / I NO.OF �-NO.OF �- 7 EXISTING BLDG. Q_ FAMILiEs ROOMS DESCRIPTION OF WORK NEW ALTERATION I ADDITION I Y O REPAIR MOVING DEMOLISH 0 BE;.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOT r COVERING I COVERING USE OF NEW BUILDING SIGN (B) INSTALLATION OF-DOUBLE FACE NEO SIGN INTERIOR OF BLDG, ON WALL RELR OF RU= DUTO SEE ATTACHED FRINTSm I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND GREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND ^AT• EGULATING BU DING CONSTRUCTION. , FRAME: FIRESTOPS, __2 51GNATUR BRACING,BOLTS 0 PERMI L , INT. j AUTHORIZED AGT T Q0RP_ LATH, EXT. 3BA DBS- PLASTERINT. DBS-3 SOM SETS .� P.C.lf+ , �• FEE PLASTER,EXT. 1�Om00 III � , VALUATION FEE 2000 FINAL WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION BUILDING PERMIT insure, or a certificate of Workers'Compensfion Insurance,or � • a certified copy thereof(Sec. 3800, b. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY ' P❑olicyNo. y�7�Company qAft . 'pd Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �3 s T �_ 1 ❑ Certified copy is filed with the county building inspec- BUILDING 3,r � - 1 tion dep rtment. \ ADDRESS �� Gf1 LV�'/ LOCALITY NEAREST r Date O L Applicant CITY f ZIP CROSS ST. ER FICATE OF EXEMPTION FROM RKERS' I NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP Da hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL. ,,ll C 7 SPECIAL OWNER LQ� N0.7LT-97CONDITIONS I certify that in the performance of the work for which this or/ c l ,� (� n DISTRICT GROUP TYPE FIRE PROCESSED BY permit is issued, I shall not employ any person in any manner ADDRESS ( DC7 �-t701°��jLJ 7• v CONST. ZONE so as to become subject to the Workers'Compensation Laws. ` l` DO09 - -Ae Date Applicant CITY s°•s ZIP STATISTICAL CLASSIFICATION APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of 1ARCHITECT OR TEL. UJ Exemption, you should become subject to the WorkersENGINEER NO. CLASS NO. e�---2- DWELL. UNITS IL Compensation provisions of the Labor Code, you must forth- ;' ADDRESS SEWER MAP with comply with such provisions or this permit shall be i TEL. q deemed revoked. CONTRACTOR \ &41 eel NO. (75 1 BK. /_ PG,l'�Z' VALIDATION LICENSED CONTRACTORS DECLARATION LIC, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS l X1943 NO.3 VA ATION (commencing with Section 7000)of Division 3 of the Business and LIC r 00 Professions Code, and my license is in full force and effect. \JE ITY�`/�nF�T� � Ysr� S. CLASSC`�5 �Yt ��O License N r 4 r Y Lic.Classy HECK IZE, caj STORIES G— FAMILIES CONE Contractor ` Date 3 S Z \ ESCRIPTION OF WORK T1flV E � NEW $Iam exempt rom the licensing requirements as I am a �c.���ADDlicensed architect or a registered professional engineer I r r/ ALTER ❑ FINAL ''� �?acting in my professional capacity (Section 7051, Iox n DATEBusiness and Professions Code). SE OF REPAIR ❑. FINAL XISTING BLDG. "Is G�' DEMOL ❑ B Lic.or Reg.No. Date PPLICANT TEL. yOWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and DDRESS Professions Code): RESENTUILDING I, as owner of the property, or my employees with DDRESS wages as their sole compensation,will do the work and " 6 n the structure is not intended or offered for sale(Section OCALITY 7044, Business and Professions Code). kRE TEL. �' 0 0 0 0 0 ❑ I, as owner of the property, am exclusively contracting R NO. with licensed contractors to construct the project (Sec- - 329.50 tion 7044, Business and Professions Code). TOTAL SETBACK FROM EXIST. �+ 4, -ri? CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for Q 305-82 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 4-4&� //Permn Fee Q O G�tJ u""�` Lender's Address k� c 3.2/,oe p- I certify that I have read this application and state that the Issuance Fee 0 i it O 3��`O n above information is correct. I agree to comply with all County Investigation Fee • J O a dinanc s and State laws relating to building construction, Total Fee h-2 �' S6Pand reby uthorize repr ntatives of this County to enterio up the a e-mentio pert or inspection urp ses. ( j. SEE REVERSE FOR EXPLANATORY LANGUAGE Si5oiurefof Applicant or AGht to 0 ®s WORKER$'CQMPENSATf9pi DECLARATION ., insure,retiy certificate that I have r cerfii`om a of consent to self APPLICATION F®RBUILDING PERMIT � insure, or a certificate of Workers'eomperlsation Indurance, or a certified copy thereof (Sdc. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No of G'g67/70company 2EPyt6tla IfJPe3"y" Certified copy is hereby furnished. ML FOR APPLICANT TO FILL IN BUILDING -ADBU IDRESS 1:•,_5 7'-�� J ! (/ ��1 / Certified copy is filed with the county building inspec- BUILDING �b .ne,,, tion department. ` ADDRESS l�� I ���r�E c L 8� r LOCALITY Date 8 Applicant A• CITY—rE--AE Gt ' 1 ZIP C OSNEARSST. LL'JG� CERT KATE OF EXEM N FROM ORKERS' NO.OF BLDGS. ASSESSOR / COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one ; USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. p� TEL. C—�' SPECIAL y I certify that in the performance of the work for which this OWNER �o Aet',� NO. CONDITIONS Ib permit is issued, I shall not employ an person in an manner r- DISTRICT GR UP TYPE FIRE PROCESSED BY O P p y y P i ADDRESS rg 3� TeW IPLE C.1 el L CONST. ZONE so as to become subject to the Workers'Compensation Laws. l / CITY T�++P / f�J� V Date Applicant �� Gt ZIP 'STATISTICAL CLASSIFICATION APT. CONDO. I- NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. 2 DWELL. UNITS P UJI Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. ,�CONTRACTOR dLS ce�tl�.� 1 NO. BK.L_ PG, � VALIDATION LICENSED CONTRACTORS DECLARATION LIC, p�_ I hereby affirm that I am licensed under provisions of Chapter 9 p ADDRESS -L O 1..30 IS +NN E NO. VALUATION oC (commencing with Section 7000)of Divisioft 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY uos �(�L'ES CLASS �' ys $ 000�— 2 7 1 2 0 A 021 /O Lic.Class G`4S ;SIZE F7 ]STORIES AMILLIIES CHECKONE , # o o 0 '2 License Number •1 a o89,25 ContractorQt2S CO ZP ' Date Z-$ DESCRIPTION OF WORK l2•�s"'JO V6 m L-p NEW $ 0 0 0 8 9.2 5 5 I am exempt under Sec. .S f(a t'`� �a ADD ALTER ❑ FINAL 052887 B.&P.C. for this reason 1105ML— PJ60 5M.0 0,J C-YJ577N REPAIR ❑ DATE Date: USE OF JULC S.I-�v C- 7 �C DOL FIN EXISTING BLDG. �O By Signature APPLICANT PRINT .,&.fZNO. 7y$^,i-,01 -27121 A OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's LicenseADDRESS # 0 0 0 0 0 1 Law for the following reason (Section 7031.5, Business and Professions Code): BUILDING ( - 1 1 5.5 0 I, as owner of the property, or my employees with a ADDRESS = wages as their sole compensation,will do the work and LOCALITY 0 0 1 1 5,5 0 v the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. 0528-87 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- .ADDRESS tion 7044, Business and Professions Code). •. REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 0 P.L. P Lender's Name r -C `_ 3 Lender's Address P.C.Fee$ �.g��S Permit Fee /as i rI certify that I have read this application and state that the Issuance Fee rt o' I'J above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee er ✓ '� and hereby authorize representatives of this County to enter I !�=� ti ned pro arty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant or Agent 150te > WORKERS'Ct'.�•MPENSATlplf DECLARATION %nsureby ra certificate that I have r certificate of consent to self L I CAT N FOR BUILDING PERMIT insure, or a certificate of Workers'Com erisation Insurance, or a certified copy thereof (Sec. 3800,, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. C 617/ Company `�eueJG iNpe"RNt 1. BUILDING ' E] Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS `� 3 S �� ` 494 Certified copy is filed with the county buil 'ng inspec- BUILDING 1r"q 3� Iff ---L��7��Le G(� L-0 p r L�• tion department. ADDRESS J 1 LOCALITY NEAREST Date 2g Applicant • CITY � 1e(-E �'( ZIP .C OSSST. CERTIFI ATE OF EXEMPT N FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for oneUSE ZONE MAP hundred dollars ($100)or less.) e TRACT BLOCK LOT NO. NO. ,pp � TEL. Z SPECIAL I certify that in the performance of the work for which this ! OWNER 00(7 e^ I NO. �' CONDITIONS permit is issued, I shall not employ any person in any manner t U DISTRICT GROUP TYPE FIRE PRQCESSED BY o so as to become subject to the Workers'Compensation Laws. ADDRESS S 9 3 ALE C I 6 r `S` CONST. ZQNE // U CITY QE Ct ZIP J {) `' O Date Applicant •STATISTICAL CLASSIFICATION APT. NDO. k- NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ;: � Exemption, you should become subject to the Workers' :ENGINEER NO. CLASS NO ,�, DWELL.UNITS a- Compensation provisions of the Labor Code, you must forth- 4n with comply with such provisions or this permit shall be TELL2.4 deemed revoked. CONTRACTOR ,/L CO 2VALIDATION �' NO. -Z23 BK. PG, LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS It wI-J£ �' NO. 027cly O* VALUATION ;2 71 1.9 (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY LO S A40(6LES CLASS G s r• -'SQ.FT. NO.OF NO.OF CHECK �� ® 1 0 2 1 a _ License Number 0 Z-?4 O Z Lic.Class G�5 SIZE STORIES FAMILIES //��J) ONE i Contractor n S `� g R Date � $ DESCRIPTION OF WORK u r� /� GURGb$t $ 20 oo U ADD I am exempt under Sec. FFjW � ''11'S ALTER FINAL B.BP.C. for this reason 4� REPAIR � . DATE USE OF pl Date: ❑ EXISTING BLDG. DEMOL Signature APPLICANT TEL. •-1 41 OWNER-BUILDER DECLARATION PRINT GEOr�.G-E IL'J<bw�NO.-1'+ Z23 1 I hereby affirm that I am exempt from the Contractor's License � , .•+-tO Nt` 1 � Lo A-AJCr�ES Law for the following reason (Section 7031.5, Business and ADDRESS« l® Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). [ADDRESS OVING TEL. I,as owner of the property,am exclusively contracting ONTRACTOR NO. with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). �• REQUIRED TOTAL SETBACK FROM EXIST. 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. tSec. 3097, Civ. C.). SIDE 'r F L Lender's Name Lender's Address P.C.Fee$ rP—it Fee I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee J ordinances and State laws relating to building construction, Total Fee r' and hereby authorize representatives of this County to enter Jt�he above-m a prope y for inspection purposes. A • /J SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Applicant or Agent Dot ( ®s ` Y WORKERS'COMPENSATION DECLARATION 1 I hereby affirm that I have certificate of consent to self ®PLIC ®T 'R BUILDING L I ' P I T insure, or a certificate of Workers'Compensation Insurance, �'" mil LJ or a certified copy thereof (Sec. 3800, Lab. C.) �, � JL�� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ' ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING /+/ - tion ep fitment. ADDRESS ._ �, , / L� Date Applicant . i ter . CITY ' C L, ZIP LOCALITY CE IFICATE OF EXEMPTIO F O WO ERS' NO.OF BLDGS. ` NEAREST COMPENSATION,I SURANCE SIZE OF LOT NOW ON LOT CROSS 5T. (This section need not be com l ted if the permit is for one ASSESSOR hundred dollars($100)or less TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE NO I certify that in the performance of the work for which this OWNER NO. SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS / �' �^� CONDITIONS so as to become subject to the Workers'Compensation Laws. U CITY ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUP TYPE FIREqAP'r. l SED BY O Exemption, you should become subject to the Workers' ENGINEER NO. ' CONST. ZONE „ V Compensation provisions of the Labor Code, you must forth- ADDRESS0 W with comply with such provisions or this permit shall be L� TEL STATISTICAL CLASSIFICATION ONDO. CO deemed revoked. CONTRACTOR LICENSED CONTRACTORS DECLARATION LIC,. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r ,'I NOto 7 J 7 SEWER MA (commencing with Section 7000)of Division 3 of the Business and I / LIC. L Professions Code, and my license is in full force and effect. CITY 1 CLASS / L BK PG ✓ VALIDATION SQ.FT. NO.OF NO.OF CHECK License Nu b Lie.Class SIZE STORIES FAMILIES ONE VALUATION Contractor sr Date DESCRIPTION OFWORK NEW ❑ $ '1— 1 C ADD C3❑I am empt under Sec. ALTER ❑•'; oil. B.8 .C. for this reason REPAIR ❑ ' $ DUSE OF Date: �J ” EXISTING BLDG. �f DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License p Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT By ❑ BUILDING I, as owner of the property, or myemployees with ADDRESS wages as their sole compensation,will do the work and 41 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. D0111, ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 9 Pyo 7 with licensed contractors to construct the project (Sec- ADDRESS O/QQ / tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK 1 ;o o 9�9 8 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o 0 0 6Q50'0 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 01.08-88 P.L. Lender's Name • LDMA Ref. # °o P.C. Fee$ Permit Fee 6-72 Lender's Address I certify that I have read this application and state that the Issuance Fee 14••47 LDMA P/C# o above information is correct. I agree to comply with all County Investigation Fee q ordinances and State laws relating to building construction, 0 Total Fee -�./(/ LDMA Perm.# N a d hereby a rize r eptatives of this County o ter m n the a me io pro "rty for inspection ur oses. m � < SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of plicant a Dote WORKERS'COMPENSATION DECLARATION • "� �s p�t hereby affirm that I, have certificate of consent to self A P P L I CA t N FOE ��I L®I PERMIT insureor a certificate of Workers'Compensation Insurance, r a4 a certifirad copy thereof(Sec. 3800, Lobb. C.) COUNTY OF LOS ANGELES 1 BUILDING AND SAFETY Po(ic ��_Coinpany C/NA Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ..ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ,5 Z406 .4 /a-p - Date �pplicant^ CITY ZIP i.,•LOCALITY CERTIFI E OF EXEMPTION FROM WORKERS' IFNO.OF BLDGS. .NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for oneASSESSOR TRACT BLOC LOT NO. "MAP BOOK PAGE PARCEL hundred dollars($100)or less.) i OWNERfd NO. USE ZONE MAP LD 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 Cr SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. Exemption, you should become subject to the Workers' ICONS `T./ ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS �� ✓ I/ with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFI TION APT. NDO. deemed revoked. CONTRACTOR .- NO. LICENSED CONTRACTORS DECLARATIONLICCLASS NO. DWELL. UNITS — I t� I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS '� NO.oW SEWER MAP (commencing with Section 7000)of Division 3 of the Business and i LIC. �^ Professions Code,and my license is in full force and effect. CITY . CLASS �F BK 4 PGLIS VALIDATION ` SQ.FT. N OF N .OF CHECK License Number`'�+ `y y Lic.Class SIZE STORIES F (LIES ONE I ❑ VALUATION IDESCRIPTION OF WORK NEW $ Contractors 1VUDate t " • ADD ❑ ❑I am exempt under Sec. s�(,1 ALTER ❑ pill. B.BP.C. for this reason REPAIR ❑. $ SE OF # ����� Date: XISTING BLDG. DEMOL ❑ Signature PPLICANT — TEL.�/ FINAL NO.: o o ���ev OW ER-BUILDER DECLARATION PRINT DATE dao 2 1 hereby affirm that I am exempt from the Contractor's License DDRESS 47J,6 �O !�� `�)da�i0{-�� FINAL2, 08 -87 Law for the following reason (Section 7031.5, Business and1 Professions Code): r, n By ❑ UILDING I►� I, as owner of the property, or my employees with DDRESS d wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section , LOCALITY ^• �o 7044, Business and Professions Code). MOVING TEL oC e O ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. n L with licensed contractors to construct the project (Sec- ADDRESS �( tion 7044, Business and Professions Code). ) REQUIRED YARD HWY TOTAL SETBA K / S !) CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH �1 I hereby affirm that there is a construction lending agency for FRONT �� lf/�• /T the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE �! P.L. Lender's Names `' ,r�J� ( 6) LDMA Ref. q Lender's Address P.C.Fee$ Perm!?Fee l/7/(�J6 7) I certify that I have read this application and state that the Issuance Fee L v��`r LDMA P/C q R above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee s�� LDMA Perm. q N and hereby authorize representatives of this County to enter SIR 3 upon the above-mentioned prop rt(for inspection purposes. m ) SEE REVERSE FOR EXPLANATORY LANGUAGE ,ignt.ture of Applicant or Agent Date