Loading...
HomeMy Public PortalAbout5947 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISI RO. PLAN CK.NO. PERMIT NO. : � "•7 j IC / ADDRESS 111 , / 'r®f/i j LOCALITY 766 RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST (® - CROSS E LP14D ADDRESS �i ��/'y�LECI I 'OWNER / MAIL LOCALITY (, ADDRESS TEL NEAREST CITY NO. CROSS ST. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LINE O .e w APPROVED EL. //rJ BY DATE CONTRACTO O. �,(�V USE APPR D I • ADDRE96 • �, ZONE C BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO.OF BLDGB. SIZE OF LOT NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O S REPAIR MOVING DEMOLISH 0 9q.FT. NO.OF Z SIZE ROOMS STORIES y WALL ROOF r COVERING I COVERING USE OF NEW BUIL NG 1 HEREBY 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 GULATING BUILDING CON RUCTION. FRAME, FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH, INT. AUTHORIZED AGT LATH, EXT. 7S._. S .r - O d PLASTER.INT. DBS-3 SOM SETS .� p,D. q �'}.� FEE �i�/V PLASTER,EXT. VALUATION 4' FINAL 3- Z�-• /I �/j FEE • .��_ BUILDING BUILDING �•�� !�!. GES/`./ / ��i ADDRESS APPLICATION LOCALITY NEARE 'A f/l DIVISION OF BUILDING AND SAFETY CROBB T. Wa09 v,//_ Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CABBATT D. GRIFFIN, BUP-T OF BI.,ILDIND ` �, �.�• o -FOR APPLICANTAQ FILL IN TYPE CONST. RECEIVED BY ISSUED BY A �1 —=-- �' . e OWNER i✓!A J-r-� /1 //]ll.f AJ/!_/ ` . MAP STATE YES NO MAIL " //rte////� I /� NUMBER HWY ADDR B_ � � USE ZONE SPECIAL CONDITIONS CITY Wi:�'J�?'4253 ARCHITECT OR' V A TEL. '+ ' ENGINEER e V NO. _ BUILDINGEXIST. / SETBACK YARD HWY STREET NAME WIDTH ADDRESS 14-4 FRONT T P.L. CONTRAC OR O -.- v r - SIDE P.L. ADDRESS BUILDING DATE CORRECTIONS INSPECTOR ADORERS LOT NO. pE p{ 0/ BLOCK TRACT b�/ •.6� SJ.� / ixIn4 !! 0n q /_ PN-wolo LOS SIZE OF LOT NOW ON LOT / USE OF 1)P 1AA P5/?f;7.'Q Al n/A'AV.- F_XISTING BLDG. DESCRIPTION OF WORK ���7 �vn 1,,*v,(,PAI ire ri nis As O NEW ADD ALTER RegyR DEMOLISH. /� Z Sq.FT. NO.OF NO.OF .%J ITvL O It n /�/=GvU,P,�C SIZE STORIES FAMILIES U STRUCTURE. p�^•� + �3e oejCrA /-`&e 1mrow.) �T �Z-4 �/'f��7?•r!d No.OF EMPLOYEES tk , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP= PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INBPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION., LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS FRAME: FIRE STOPS. SIGNATURE,OFfBRACING,BOLTS PERMITTEE X �1�✓ G� _ �•��' FURNACE: LOCATION, Lei GAS VENT,DUCTS [VALUATION DDRESS LATH, INT. UTHORIZED AOT. LATH, EXT. $ P.C.$ HOUSE NUMBER COR- FEE RECT AND POSTED e/ FEE �, FINAL ���j/�/' 9L A11.1 nD! 1—I a �. 'BA68eADBe.98.8APPLICATION- FOR BUILDING ■ E® .MI ■ - BUILDING. �. DIVISION OF BUILDING AND SAFETY ADDRESS Deportment of County Engineer -county of Los Angeles LOCALITY INK J.FOX,COUNTY ENGINEER NEAREST I CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT O. GROUP SEWER MAP TYPE FOR APPLICANT TO FILL INA j� S 19- N I CONST. I HK , PG ' BUILDING MAP STATE ADDRESS V / NUMBER HWY - LOT NO. BLOCK USE ZONE SPECIAL n CONDITIONS TRACT J / SIZE OF LOT /oO�[ I NO.OF SLOGS. '� BUILDING EXIST. NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OFFRONT EXISTING BLDG. P. L. / SIDE OWNER P.L. MAIL 9/ O TRACT DWELL. I UNIT ADDRESS - - 5 INDUSTRIAL TEL. 1 DWELL. I UNIT CITY NO. 6 PUBLIC BLDG. ARCHITECT O TEL. 2 DUPLEX 1 UNIT 7 AODN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS • M18CEL. ADDRESS 4 COMMERCIAL TELCONTRALTO /+7.� NOLO INSPECTION RECORD 4-4r N ADDRESS�/ 0`a- �!; •� TC /I "" "�Gy rt . . DESCRIPTION OF WORk NEWADD ALTER REPAIR DEMOLISH [APPLICATION Q. FT. NO.OF NO.OF IZE STORIES FAMILIES SE CU�FFn STRUCTURE 1� IGNATURE F APPLICANT APPROVALS DDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION �` eSP.C. ffi FORMS.MATERIALS (J1 FEE FRAME: FIRE STOPS, ALUATION +� BRACING,BOLTS ffiEEFURNACE:LOCATION, IHEREBY ACKNOWLEDGE THAT1 HAVE READ THISGAS VENT,DUCTS AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS-REGULATIKO BUILDING CONSTRUC- TION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED q ADDRESS � FINAL 17 ,,W WM.J.FOX,COUNTY ENGINEER VALIDATION, C..N.DIRLAM.CHIEF BLDG. INSPECTOR 1C0 9 1 6 OCT 19 1 4.0 0- .' !P , DEPAR" "WT OF BUILDING ANDETY APPLICATION FOR PNEMIT '�•URTY OF LOS ANGELES T B 4 ' p I L -WM. J. FOX, CHIEF ENGINEER � FOR.APPLICANT TO FILL IN FOR OFFICE USE ONLY ABUILDING A/DDRESS ,f�fDISTRICT NO. PLAN K.NO. PERMIT NO. LOCALITY �I'P9 py`�, Szn. 77 ; ��a'1 RECEI ED BY, DATE OF APPL. DATE ISSUED, NEAREST _ l �' ��'° ep r-6�,1+ `C� P�• �— CROSS ST. �+)ef i Ir. '. �:+ . BUILDING ® OWNER 1411,1414{ �� ) 0 f 'C l ` ADDRESS r MAIL /f p /• / LOCALITY a .ADDRESS ���f0 / T 4� �7 /C.•};r �6 � �♦ j —NEAItET I ! 1 s CITY ��a > �_�a, '� NO. �-^ _ CROSS ST. I, }IQr FIRE NO.OF -r-?PE ARCHITECTOR,-. r -•'•%� TEE}j,, 1 ZONE Plcgli6--j. 1 --- F EkglNEERN6:C1 �� �_ BLDG. rr— �' t �y —ADDRESS _SETBACK LINE: , - �•- �-`,�� �ABPROV6D T.�.., CONTRACTOR i,..,•„• •� NO..". � BY DATE UBEAPPROVED { ZON.E�s� BY DATE ADDRESS . � 0 !� / ' I LEGALT DESCRIPTION LOT NO. I BLOCK-- s� lJ CORRECTIONS TRACT igls"a�! , ?,t"9 4 I NO.OF BLDGS� SIZE OF LOT /i � NOW ON LOT !,?Q � /��� /_i.,.�/.,. .��/`L-�""t /� ft • USE OFj NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS fiL Gl2�G t� i DESCRIPTION OF WORK �` U f NEWAll--ALTERATION ADDITION O A REPAIR MOVING p DEMOLISH SIZE CRDOMS / STORIES r WALL �� I ROOF Cb WVy" COVERING ti�S�f 1'� COVERING USE OF {/NEW � BUILDING d:y6s u tY a nn /6 �7 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVA�I. APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION N ECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRESTOPB, SIGNATURE OF 1 ! BRACING,BOLTS PERM ITTE ' , ' / �p A LATH,INT.: 14'14 AUTHORIZED AST` 11 � 1 LATH,EXT.: � Des-a SUM SETS 7-47 $ P.C.III 7h PLASTER,INT. }` FEE : PLASTER,EXT. VALUATION FEE �' FINAL /� DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ®L ® � WM. J. FOX, CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY E �/// �1/� c e'lsDDRDISTRICT NO. PLAN CK.NO. PERMIT NO. 88/A// �1/I dy/y ��rl �yy LOCALITY 7r/. PL QRE EIV D BY DA E OF APPL. DATEISSUED NEAREST L -���� R1 B (G]J�T/ "7 - CROSS ST. 1) BU DING OWNER P/J%•6. /�JJt� dam+♦ P A RE SMAILB ADDRESS // c�(��� y�"j .���� LOCALITY e NEAREST TEL CROSS ST. CITY r (. ._. s NO. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE Qv.� PLANS ENGINEER NO. BLDG. ADDRESS SETBACK LINE d a..- f �O160, ^^ BBy DATE CONTRACTtr�CCOR �® �ll'a NO./V 7����/�; g p ^ USE APPROVED ADDRESS 3�y 10 L�. . ^F3� Tj +W4!C j0L) 7-X ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOTNO. ga'e I BLOCK - TRACT EC NO.OF BLOGB. / SIZE OF LOT NOW ON LOT USE OF NO.OF NO.or- EXISTING FEXISTING BLDG. FAMII IEe ROOM DESCRIPTION OF- YORK NEW ALTERATION ADDITION O • A REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES WALLROOF COVERING i COVERING UBE OF NEW BMfILDiNG- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION:LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /� y�-►������f� FRAME: FIRE STOPS, SIGNATURE EE �(/� / �!'�+ t.✓f% BRACING,BOLTS PERMITTEE r//""`jj" / ` � LATH,INT.: AUTHORIZED AGT LATti,EXT.: DBS-3 SOM SETS 7-47 $ P.C.G PLASTER,INT. -7/� r FEE PLASTER,EXT. / J VALUATION FEE FINAL �_ )-/ ! y WORKERS'COMPENSATION DECLARATION hereby affcertifica I have r certificate of consent to self APPLICATION P P L I CI T I®N F®R BUILDING PERMIT insure,e�r,r a certificate of Workers'Compensation Insurance, or a cerTified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company LDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN `t BUIy� ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS �fy/ Date Applicant CITY �� � C/ ZIP Tot / t/ LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT /d ',— NO.OF BLDGS. NEAREST SS ST. `�'�/�v{� �• COMPENSATION INSURANCE NOW ON LOT CRO (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT l BLOCK LOT NO. MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNER � yfLS/ �v,�j tel• —(� US/E/ZON� No 7-5 permit is issued, I shall not employ any person in any manner ADDRESS vb ��� �°''/� �/- SPECIAL CONDITIONS so as to become subject to the Workers'Compensations Laws. f /� U / - 9� 7-OS�3 2>0 /�o CITY 1 / C /Q,�T ZIP e � �' Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, offer making this Certificate of ;W1 I UP TYPE FIRE PROCESSED BY O ENGINEER NO. CONST. ZONE t;; Exemption, you should become subject to the Workers' ,i �i V Compensation provisions of the Labor Code, you must forth- ADDRESS �/ \J � AW. with comply with such provisions or this permit shall be / TEL. STATISTICAL CLASSIFICATION APT. I VONDO. N deemed revoked. CONTRACTOR NO. i LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY ` CLASS BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATI Ni DESCRIPTION OF WORE4 I U' NEW Contractor Date ❑ / ADD O $ L� ❑ 1 am exempt under Sec. // � . ' Q ,tom, t1 k .09527A _ ALTER B.BP.C. for this reason iYZIF t-S T I T*L ❑ A" $ -REPAIR 0 0 0 0 0 Date: EXISTING BLDG:';;DA- 15 G1 P-00&,k DEMOL ❑ ) o a 2 a 5 O Signature APPLICANT TEL. FINAL �Q g OWNER-BUILDER DECLARATION PRINT NO. DATE "C1 0 0 0 2 $ 5 v I hereby affirm that I am exempt from the Contractor's License 5 3 : 8 Law for the following reason (Section 7031.5, Business and ADDRESS FIN N 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 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. with licensed contractors to construct the project (Sec- ADDRESS 4' tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT t the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name "' cO d LDMA Ref.♦Y Lender's Address P.C. Fee$ Permit Fee L 1 certify that I have read this application and state that the Issuance Fee . LDMA P/C tY 2 above information is correct. I agree to comply with all County Investigation Fee �( ordinances and State laws rel ting to building construction, Total Fee �0 a S e LDMA Perm.H and hereby authorize re F t'tives of this County to enter S upon Yh above-mention 8' operty for inspection purposes. r' Imo/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date