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Home My Public Portal About6424 TEMPLE CITY BLVD_Building__ It, 7ewe CIE 00* enol APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS NEARELOCALIST •� NEAREST . CITY ZIP 49CROSSST NO OF BLDGS ASSESSOR SIZEOFLOT NOW ON LOT MAPBOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROLE E BY TRACT K LOT 'OO CONSI I6�E OWNER ,qo TJO _ O �I a STATISTICAL CLASSIFICATION ER MAP ADDRESS CLASS NODWELL UNITS BKd Mi CITY ZIP ARCHITECT OR TEL VALUATION $ O O ENGINEER NO ADDRESS L SETBA K FROM /R TEL FRONT PROP LINE OF ISTREETI CONTRACTO�.C1- CA LI ClCoHIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING UC FRONTPROP LINE HIGHWAY WIDTH ADDRESSjuks N C + CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD TOTAL SET FROM TYPE EXISTING ADDRESS CITY SIDE PROPROP LINE HIGHWAY WIDTH O SO FT NO OF NO OF CHECK + V SIZE STORIES FAMILIES ONE W DESCRIPTION OF WORK NEW PC Fee$ Permn Fee ZL �7 r - ADD / 6y Issuance Fee V� ALTER Z f w.a2- Ge/ REPAIR Total Fee USE OF DEMOL EXISTING BLDG Z APPLICANT TEL F4 IPRINTI NO t 3D BY ISIGNATUREI ae I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICATION AND STATE p THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES TVSL AND LAWS REGU TING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE IABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATON INSURANCE SIGNATURE OF PERMITTEE ADDRESS `R 1 EL F CITY NO G USE ZONE IMAP ^ O O 3 SECIAL Ra ' P CONDITIONS FINAL /O .�J� BY DATE ( G - 7 6 O SMG -1 1 D 3 4.0 0 •_� SION OF BUILDING AND SAFETY I Department of County Engineer t954 BUILDING CQuntyTY 01.1" AngelesAngelesAngeles APPLICATION WM. J. FOX, COUNENo10I[ER- FO8 CANT TO FILL IN FOS OFFICE USE ONLY DISTRIOT NIL Pwa C[ OA R[o NO PERMIT NIL AGGRESS LoowuTY DATE Or^PPL. /DATE UMIUZ v NEAREST I �"i✓ „� �, l D– �` S�•–• / V– L°– im BUILDIMC !L ^1 ' ADDRESS CWNER AOFL MAIL / LOCALITY V ADDR – N[ARQT T[ CROSS ET. 8 – mucZONC ruN% Z TYPE — CROUP / ARCHITECT OR TEL 1• ENGINEER I NO. BLDGO NIL D C SETBAK LIN[ UB[ _ APPROVtD CONTRACTOR 0. IDN[ SY DAT[ HOUR[ NUMBERING ADORIONIS MAP NUMBER 2 V V 3 NO ASSIGNED BY `[°" G mow( '1 CORRECTIONS DWORIPTION LOT N6 1 BLOCK TRACTS�TI SLDCB. SIZE OF LOT NOW OMD. CF N LOT ,40 USE Or NO.OF EXISTING BLDG NO.Dr DESCRIPTION OF WOGS ' J- NEW ALTERATION ADDITION `'—/3(IT NA PO WIIPIJ�C" REPAIR DEMOLITION T Sm rT Nq OF VF III= ROOMS STORIEB EXT WALL ROW COVERING COVERING 2,4 1 e 17'A ye-mlUBE OF BTRU R[ / t= l' HF ,5 i v f4011Y1 Pr-_A9,7 INOP[GTION rOR APPROVALS OCCUPANCY AS INSPECTOR•9010NATURa DAT[ rOUNDATION rCIRMB, MATERIALS I HEREBY ACKNOWLEDGE THAT TTHE 1 HAVE READ THIR AP- PLICATION AND STATE TNAT THE INFORMATION GIVEN IB rRAMKz G, BOL •Z CORI BRACING, BOLTS RECT I Al3RC[ TO COMPLY WITH ALL COUNTY ORDUOTIO B ' AND TATE LAWS R OULATINO BUILDING QONRTRUOTION FURNADE LOCATION. GAB VENT DUCTS BIGNATUR[ OF LATH, INT PIE M11 LATH. Exr ADDR PLASTER, IIT. AUTHORIZEDAOT 0 PLABTKR. [XT. / gO 0 �'�• POO / �� HOUR[NUMBER COR• rR RECTA POBTED rteVAWATION ' ►INAL TMtLA O®a 1.69 � �J try• APPLICATION FOR BITILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY 11111ORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN aulLpNCI BUI ADORlSS - I hereby aft., that I have a certificated oonaerht to eeB Imus T' r•certificate a Workers Compensation Compensation Insurance,or a certified •� CITYcopy then of(Sec 3800.Lab C) Policy No 4L// Company SIZE OF �-yf y WD OF eLDua Now oN LOT ❑ C rifled copy Is hereby furnished ��—f].- J '.' A 2® 3 NEAREST 6f ❑ Cardw Is flied adth tlhe TWITAGA 64MABLOCK LOT 1 O USE ZONE MAP NO �� n / Dela APPlCant ASSESSOR P 8001( PAGE -/ SPECIAL CONDITIONS CERTIFICATE OF E%EMPTION FROM WORKERS' OWNER tri /K7 .�_ WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE p ,.l (Thm section need not be completed If the permit le for one hundred,,, �G �v�Y U DISTRICT ;Oup TYPE CONST IFIREZONE PROCESSED Br dollars(:1011)or less) a /o `-' ' I certify Mat M the performance of the work for which this permit LC'—G� / �D� 3 Is h,. I Mil not empfoy any prison In any manner so as to OR vhcI1NEER TEL.NO become Subject to the Vbrkany CAmprsetion lass Q,6Z -;p STATISTICAL CLASSIFIC T J� APr CONDO Doe—Applicanta� ADoaEs^ Gd(�� aASBNo DWELL UNITS NOTICE TO APPLICANT If attar making this Certificate of REowIED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' _/S� �j f EL-W SETBACK YARD NWy PROP LINE WIDTH Compefaetion provleions a Me Labor Code. you mat for111MM COUT� �Y G FROM crnpy with such pro"om or Oft permit stall be deemed revoked Lorl4- Pl. y LKENSED CONTRACTORS DECLARATION I�CLASS rce -- 0- 1.PL O I hereby affirm that I am licensed under provisions of Chapter 9 IVO G� r10 OF SEWER MAP � at(mnmenci g with Section TODD)of Divleten 3 of the Business,and FT SIZE end Z_ NEW ❑ BK Po Pmtesebm Code and my Ikerhse a In full force end DESCRIPTIONpoll Ucerhaa lkmlbrL�3/�o� Llc Care `� !✓O /jO WORK ADD ',� y _ Contractor XMdlAcL'i714 Dots S� ALTER - _ _ REPAIR ❑ zpr "moo �O 23 ' - exempt i 9 ❑ &PC for oft DEMOL ❑ LDMA PIC a ACCT.i pp t USE OF odsruvD BLDO�- . URM ❑ . 3307�— 8.11 Signature J WANT J TEL•N0 LOMA Perm S _ ❑ I, as renr a ProPertY. or my empbyeee wM wapea es / • 2 1^�i'-r�I I'V O their ads compamedon will do the work and the structure b 'ADDRESSL ypAL DATE not Intended or erred for sale (section 7044. Bushass and o 3307 1263.1^ PmfB®Wns Code) MLLT1lARLM/JlIGfhRrlxa BlRaINOOCCUMIITIWQIIIAIMSA1m01le YA16eK ❑ I as owner em exclusively,o1 the property, eexcluexclusively,econtracting with °a A rmruRE CGrmlosen A IRAwmwa MATBUAL calci ro oR GIQATDI THAN 2 ITEMS T1hEuoln*e ePocv®oN nalwiaoolre MArewAls wvaauTroN awce+ -. FotAL BY > licensed Cont odors to construct Me PrOild (section M44 43❑ w❑ TOTAL 1361.233 Business and Professions Code) WILL nw w,astEo uaE r The eunnaa air APNJGNIT oB wva aAlnro oQNsr'Arr�srlcArv.arwacamrwrT MCAOwosrmaNRr10T1�awnH ,r ' C${Y. 1361.23 COl18TRUCTION LENDING AGENCY cnvm An ouN.nr MANulBmrr nB1NCr Reulo.a» I9aiarTMG b®pam Fur aumcLSEs C} GE .0D I hereby affirm that there Is e CoraOnrctan lending egWK.y for Ycs❑ Int❑ _ the performance of the work for which this permit Is lmAd(Sac. I WWE BEAD ne HA:Armols HArcnws IIfGBWT10N GUIDE Ala)TIE swarm 9087,City C) P6a111Tl10 GCCIaar Im hxearum w IFAUOKlIB11a uN0El1 TIi We ANG6Ee LenaecsName G«.nY nExaAPre,maE�GHa��n.«a,GN�t .aG ScAcK0000-0001 E/21192 IIAT/JIDOIa IMT9aA181®a1Ra10 AID f GR OBwNMG A rElOoi IroY T6 BGc1aD LamersAddreas . m 5146 1 AM10:32 I CW ft that I hove read dla apWICRVW and sate that the above o Information Is Correct I agree to crnPty with iso county PC FEE / PEFLNUT FEE D Ss ardimnces and sate Fawn retailing to building mtru ac"M and t� O 8 the above-rnernlaned property for lrnsPec'aan Wrposea �FEE all 7.5� >° NYEsrgATroN TOTAL FEE Ia / ..... .d.. old O WE REVERSE FOR 01PIANAT01111'LANOWO! A APPLICATION FOR BUILDING PERMIT ] COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN auLaN RESS • I hereby affirm that I have a certificate of consent to sell Insure BUILdNG E ` / r77 p a certificate of Workers Compensation Insurance or a certifiedCRY ` % L qJ O copy thereof(Sec 36DO Lab C) LOCALTTV_ Policy No Company F L T ONO OF BLD ON LOT ❑ Certified copy Is hereby furnished OQ NEAREST CROSS ST ❑ Certified copy Is filed with the county building Inspection TRACTBLOCK LMUT NO P department USE ZONE MAP NO Date Applicamt ASSESSORI'AGFr/ CES., SPECIAL COMMONS CERTIFICATE OF EXEMPTION FROM WORKERSOWNER �/ L No L— YES No COMPENSATION INSURANCE WRrmv 1000 FT OF SCHOOL' (This section need not be completed If the permit is for one hundred ADOFi DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars(x100)or less) I certify that In the pertrm aaroe of the work for which the pepermitcy O s Issued I Shall not employ any Per in airy manner s0 BS f0 ARCHITECT OR ENGINEER TEL NO become Subject to the Workers Laillm STATISTICAL CLASSI APT CONDO Date3—j,>?%g3Applicant ADDRESS CUSS NO DWELLUN NOTICE TO APPLICANT If after Zlisno this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become Subject to the WorkersCON TEL NO SET BACK YARD Hwy PROP USE WIDTH Compensation provisions of the Labor Code you must forthwith FRONT comply with such provisions or this permit shall be doomed revokedSS . J LIC NO P L {/ SIDE LICENSED CONTRACTORS DECLARATION UC CLASS P L 1 hereby affirm that I em licensed underprovislors of Chapter 9 SEWER MAP (commencing with Section 7000)of Davison 3 of the Busmess and SO FT 0 , NO STORES NO OFF IDES NEW ❑ BK PG d Professions Code a license is In full force d)p'��effect License Number i�/yd�A.G LIC Claes DEscWTION OF ADD ElVALUATjoN O Conbactor/4 R4-/ Qe Date 3 — ALTER ❑ $ ccU ❑ 1 am exempt under Sec REPAIR ❑ $ 0 W BBPC for the DEMOL A reason LDMA P/C. 2 / Date -3 — �j_All S USE OF EXISTING BLDG URM ❑ 1 Signature APPU T f / Q L NO_ -DMA Perm 0 - Z 47!21[31 as the property or my employees with wages as lG 2 .CT.i their compensation will do the work and the structures S � not Intended or offered for safe (Section 7044 Business and 0 FINAL Q 175.90 Pror9a5pn1S Code y/ILL THE MPLN:MR OP FUTURE BUILDING OLGLfMM HX CLE A HAZAPDgIS IJATERIAL TE V 1 ITEM EM ❑ I as Owner of the property am exclus,voly, contracting Wnh OR A MIXTURE CA1tWNNe A H DOLIs WTERNL EQUAL TO OR GREATER THAN THE licensed contractors to construct the project (Section 7044 AMOUNTSs CIHEO ON THE HAZARWo WTERAis INFOFWncw GLUDEv FINAL By > TOTAL 175 -90 l No 0 Business aProfessions Code) Wft EBusinessnd ��I�fy OCC i1tE REOURE USE OF THE BUOUNG BY TE ARP-icnn OR FROM T E St \rFlGIT\ 175.90 COAST kit REOUTY A PERA.T NT CONSTRUCTCN of MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY W,OE AIR wA+,*r rwur3EMI¢Nr OIsrRCT IscAeum SEE veRnur rrA cHECKusr FOR �� 00 mloEUNEs I hereby affirm that there s a construction lending agency for res❑ Np❑ m the performance of the work for which this permit is Issued(Sec IHAVE READ TIEnVSMDOus MATERIFLSINFpAlAlAnaupE AIA THE SO&NtOPERMITTNG 3097 CC) mITA ° " s UNDER `4NLOUii 2 CCPER]20 SECTIONES t0`00i THROUGH p,.D CONCERNING S 0000-0001 3/29/93 Lenders Name VATERNLs REPORTING AND FOR OSPUNING A PERALT FROM THE SCAOMD Sk Lenders Address �90u 111 0 axce w rnrNr g I certify that I have real this application and state untlty Penalty of perjury that the above Information s correct I agree to candy PC FEE PERMIT FEE .J $ with all county ordinances and Sate laws relating to bulldog D '^ S consirudgn and hereby authorize representatives of this Cd ty ISSUANCE FEE g to enter upon the above-mentioned property for inspection purposes m INVESTIGATION FEE TOTAL FEE/ O ay.d•a Aeodr v Acv ar A SEE REVERSE FOR EXPLANATORY LANGUAGE