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Home My Public Portal About6312 TEMPLE CITY BLVD_Building__ itR rew•s•i ce 1•oa w[v 6/71t , APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY LDING FOR APPLICANT TO FILL IN BUILDING Z Q,._ ADDRESS ADIDRESS JI� I�'F.7 IL• �� OCALITY C NEAREST CITY G CIt, ZIP I / LO CROSSSi NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT r� MAP BOOK PAGE PARCEL TRACT 2-5/B 2- BLOCK1 LOT NO � L DISTRICT GROUP TYPE FIRE E E BY OWNER /. C. _1300 W%6 OWP-,�- iE _3061 SJQ 7o1�L ADDRESS 6`JIY ( �( NI vd I. STATISTICAL CLASSIFICATION ER MAP _ N CLASSNO DWELL UNITS BK PG CITY Ic'� I ZIP 17&0 / ENRGINTECT E R OR Sfal NO VALUATION $ /•� ADDRESS BLDG SETBACK FROM � aa TEL FRONT PROP LINE OF ISTREETI CONTRACTOR SG( NO HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO IC + CITY CLASS CONSTRUCTION LENDER STDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ISTREETI HIGHWAY + YARD TOTAL PROP KFROM TGHWA EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH 1-6 O SO FT NO OF NO OF CHECK + V SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK Erect Pat 0 NEW PC Fee S Pe,mlt Fee S OLQC ADD 59 Issuance Fee V� ALTER 5 REPAIR Total Fee USE OF EXISTING BLDG eS DEMOL APRICAN ^ TEL pO BY ISIGNATUREI WAA < I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE IHAI THCORRECT AND ABOVE S CORRAND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDLNG CONSTRUCTKIN I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE SATIO CODUEOF AIN STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOM �It 2QZ LI SIGNATURE OF ///�1C yM�I� '# • •1• •U,V• 1 PERMITTEE ADDRESS Z • • 1 S O O TEL •;• •'1 S0025 rFl�L NO ptO ONE P O O < Oa 117-79 ,r/� [�SPKIAL > CONDITIONS BV � Oyo v APPLICATION FOR COUNTY OF LOS ANGELES t BUILDING'PERMIT DEPARTMENT ENGINEER BUILDING AND SAFETY I FOR APPLICANT TO FI L IN BUILDING ADDRESS BUILDING ADDRESS 3 LOCALITY NEAREST CIT �p� �/ ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT P TYPE FIRE M BY T S Z BL LOT NO T CONS ZONE OW /'�/.e�AVb/�I IN L J .-.�— STATISTICAL CLASSIFICATION SEWER ADDRE �.� 61♦gn//G �jQ/�G" CLSSNO 1010 DWELL UNITS BK PG C 21P /6C� USE ZONE NO ARCHITECT OR TEL ENGINEER NO SPEC AL CONDITIONS ADDRESS EFLL� ROAD DEPARTMENT APPROVAL REQUIRED VES ❑ NO ❑ CONT / js Nb"��2�0 BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO TOTAL SETBACKFROM TYPE OF EXISTING LIC HIGHWAY + YARD FROM PROP LINE HIGHWAY WIDTH UTy CLASS CONSTRUCTION LENDER _ + NAME AND BRANCH O BLDG SETBACK FROM ADDRESS CITY SIDE PROP LINE OF ISTREETI U SQ QZEI B NOR F F MOTES SEK HIGHWAY + YARD TOTAL SETBACK FROM TVPEOF EXISTING O SIDE PROP LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW U ADD CORNER CUTOFF YES ❑ NO ❑ OW. y ALTER IN OPEN SPACE YES ❑ NO ❑ Z REPAIR USE OF IN COASTAL PERMIT ZONE VES ❑ NO ❑ EXISTING BLDG DEMOL APPLI T ♦ S TEL GI�� By HfREBY ACK EDGE T HA R 5 APRICATKNI ATE THAT THE ABOV COIIRKT D A T Y WITH ALL ORDINANCES AND LAWS REWIATING BUILD( G I I CERDFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY My PERSON IN VIOLATION Of THE LABOR CODE OF THE STATE OF CMIFORNIA IN RELATING TO WORKMEN S COM A INSURANCE SIGNATURE NATUTU RE OF FOAL BY PERMITTEE DATE U ADDRESS TEL PC Fee$ Permit FeeoZ CITY NO VALUATIONS 36 79 ao Issuance Fee ? Tcr01F 33/ FLAN CHECK VALIDATION Utz. LL o CASH PERMIT VALIDATION r o CASH 2 8 6�1MAk L7 3 3 _l 8 1 5 L JUN > 8-8 $ U S 8 1 6 n JUN 8 U 3 j 1.0 HBe - ReASaeA CIE 08D S�S _ _ I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I _ BUILDN I hereby affirm that I have a certificate of consent to sell sure 1 �� or acerMcate off WoorkersCbboomCperazi Ineuranc or a certified copy thereofISecPolicyil At L OCA RV No SIZE OF LOT NO OF BLDGS NOW 00!LOT C1 ow Copy s hereby furnished NEAREST CROSS ST Cerhfled copy a filed WIN the county budding uspecton TRACT BLOCK LOT NO dUSE ZONE MAP NO DateeParimB5plcant ASSESSOR MAP BOOK RAGE PARCEL SPECIAL CONDITKk.15 CERTIFICATE OF EXEMPTION FROM RKERS OWNER TEL NO COMPENSATION INSURANCE p WITHIN 1000 FT OF SCHOOL' YES NO (This section reed not be completed If the permit n for one hundred 2 1 DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BV dollars ($100)or to") 1 certry, that In the performance of the work for which Na permd s Issued I shad) not employ any person In any, manner so as to beCOM subhect t0 the WOrkers Compensation Laws C C OR NGI ER EL NO STAPSTICPL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO Q2 4 DV/ELL UNITS NOTICE 70 APPQC4Arr If alter making this Cerbfcate of REOIARED TOTAL SETBACK FROM EXIST EXemphon you should become subxxt to the Workers CONTRACTOR (� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwdh �' ��C NT CW#y with such provisions or Ns permit shall be deemed revoked P L 1 �2\ P L LICENSED CONTRACTORS DECLARATION SIDE LIC ' P L I hereby affirm that I am licensed underprovsions of Chapter 9 (IUDSEWER MAP Y (CommencM with Section 7000)of DNlsion 3 of the Business,and SVE NO OF STORES NO OF FAA RJtb fl Professions Code hcerse s In full force and effect NEW BK PG , U Lcrose Nu=�J�Lc Cfass2 GF WORK ADD ❑ wLUAnoN Contractor Date ` ALTER ❑ $ ❑ 1 am exempt uroer Sec REPAIR ❑ $ OF BBPC for flus reason DEMOL ❑ 04 LD P/C 0 W LU Date USE OF EXISTING 8 URM ❑ 1 fA Signature ? APPLICANT lFRM1 TEL NO LDMF Perm♦ � ❑ 1 as owner of the popery or my emes ployewith wages as Z A..T.=t their sole compensator, wad do the work and the structure Is ADDRESS 037 149. 5 not intended or offered for sale (Section 7044 Bjsvasa and FINAL DATE Q �JI 1'rolessnons Code) Y TIE A➢RI OR FITrURE 131.1101,10Rm 1O OCCUNr HAIioLE A HAZARCOL6 WUERa1 1 TTEMJ ❑ f as owner Of Nm e property aexcdueNety contract with OR A MIXTLFE CON ANING A IMZARDOUS MATERAL EQUAL To Oe['.!EATER TIYN TIE D C Icereed contractors to construct the M.OU1T5 s CIFE0 ON TIE HAZAADoIs MATERUAs NFORMnON OUOE+ FINAL BY TOTAL 149 - 35 Project ISecbon 7044 BUSIDOGS and Professore Code) wu TIE NTE K OF THE elIILq BY CONSTRUCTION AW FCX CH FunlfE aL1�10 VI IL K 14 T'.VC CONSTRUCTION LENDING AGENCY C AF OUWrYY Ar.0 IVEW DISTRTRCT I or SEF M1TING TION CHEClMEiUST FOR C�eJ 4�IY CHANE OuioEurEs J V� .1 X11 I hereby afflmn that there s a construction lending agency for YEs❑ No❑ ,v the performance of the wok for which the permd Is sued(Sec r,��(� �(�I 3097 CN C) ICIEEc TITLE 2U*r II MOERRSSVUM w wou swi`rirss RaT Los wvicELeS�LWMY�CO�oE I �/ /h VLHJ�ILJ]'�mGLr1 `��yq �ry'Q- Lenler s Name WMINAL$PTEREP(W W AMMO F�ORSOB20 YlNO ATPEA T FRRoimSTOHCE 9C�AOMWOio�� 4 (/� � 1C,]] 1 AM Lender a Address O awn..w IpLNT Q I certify that d have read this application and state under penalty PC FEE PERKOT FEE / of perAas y that the above Informston correct I agree to conply • �� with all coumy ordinances and State laws refitting to building �C construction and hereby autMnze representatives; of this County ISSUANCE FEE or upon the above-mentioned property fours >KvE m Sr)GATION FEE TOTAL FEE o.v SEE REVERSE FOR EXPLANATORY LANGUAGE