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Home My Public Portal About5260-5262-5262-5264-5266 VILLAGE CIRCLE DR_Building__ JJ-L- 'APPLICATION FOR BUILDING PERMIT Go/,3 FOR APPLICANT TO FILL IN (PPInt or typeonly) I S' BUILDING COUNTY OF LOS ANGELES ADDRESS 5260-62-6 =6.6 Villa e Ci Dr. DEPARTMENT OF COUNTY ENGINEER CITY - Tem le Cit ZIP 1 g BUILDING AND SAFETY DIVISION LDING SIZE OF LOT 4.5 Acre4)Ow ON LOTOF S 1 ADDRESS 5260-62-6¢-66 Village Cir. Dr TRACT29602 LOT NO. 1 LOCALITY Temple City TEL NEAREST OWNER L+ 1 S Jnr ,g NO, -880 CROSS ST. Baldwin ADDRESS 61 So. Lake St. MAP BOOK ASSESSOR PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CITY Pasadena ZIP 1101 rrr� CONST. ZONE ARCHITECT TE V•0 I :3 ��LZLGI:r.Ii ENGINEER ga Foerstel N 6 -OO1 STATISTICAL CLASSIFICATION r� T� I•t SEWER M�P ADDRESS 17231 .L' . Railroad Clt Of In(�P-ASS NO.Q3 _DWELL•UNITS , BK PG CONTRACTOR Noel Baldwin Nol�g8-3907 USE ZONEFNOPADORES �. S t Np Lc PECIAL LIC. ONDITIONS CITYTemple Cit CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH imperial Savin s BLDG.SETBACK FROM F FRONT PROP.LINE OF (STREET) C ADDFR�TESSS,61 S CITY PaS A HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING L S ZEJC718 TORIES 2 FAMINO. OF NO OLFIES 4 CHECK FRONT PROP. LINE HIGHWAY WIDTH F v + L DESCRIPTION OF WORKlAaaYasjel NEW 1!❑ BLDG.SETBACK FROM New Development ADD SIDE PROP.LINE OF (STREET) ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - REPAIR SIDE PROP. LINE HIGHWAY WIDTH USE t. ❑ EXISOT NG BLDGSingle Family Re €MOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ( a-2 Noel Baldwin ND -3907 BY (SIGNATOR IN,10,PEN SPACE YES ❑ NO ❑ q p IN COASTAL ZONE YES NO' E]VALUATION$128 600. CATEGORICAL EXEMPTION YES NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. IMPACT EXEMPTION DECLARATION SIGNED" (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTIO ERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HERE 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LA p CODE OF THE STATE OF CALIFO N RELATING .TO WO KMEN'S ATION INS�NC E. I SIGNATURE OF PERMITTEE ADDRESS IO 7 '0ji'e_6nf Street n TE CITY N0448-3907 DIATE NAL 1 - /G-7G BY MA KF_ CHECKS PAYABLE TU: FEE 192.60 FEE P HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDA �N oK' M.O. CASH PE It VALIDATIO cH. M.O. CASH 8 9 6 "FEB' 20 2,1 19 2.6 0 by6 7BA638A CEp803 7/73 - -• -^ ' 1 '� 1 D nr%T i A -I n APPLICATION FOR COUNTY OF LOS ANGELES OF COUNTY ENG BUILDING PERMIT D BUILDING AND SAFETY DIVISINEER 91 BUILDING yy '�7 FOR APPLICANT TO FILL IN ADDRESS-J 6 BUILDING S ADDRESS I Z-Vc-L+ LOCALIT CITY ��% -/ZIP NEAREST CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE LPReGiESSED BY TRAC�Q�`0'2- /6 LOT NO. I "~ �1 CONST. ZONE �t,S�Ir ��N /Y� U No e v OWNER STATISTICAL CLASSIFICATION -' SEWER MAP ADDRESS CLASS NO2=/_DWELL.UNITS BK PG CITY ZIP USE ZONE MAP /� N O. (/ ARCHITECT OR TEL. SPECIAL ENGINEER NO. FFF+++ CONDITIONS ADDRESS ,, ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR tjl Vejfo1 WppDA 1Alj)T OL B DG.SETBACK FROM A ,,! LIC. /•� F ONTPROP.LINEOF (STREET) ADDRESS 71 , f jIIo &7iV NO. 17 �1 H HWAY + YARD = TOTAL SETBACK FROM TYPEOF HIGHWAY EXISTING CITY F',V.bl� y CLASS FRONT PROP. LINE CONSTRUCTION LENDER + a NAME AND BRANCH BLDG.SETBACKFROM C ADDRESS CITY SIDE PROP.LINE OF (STREET) C.; SQ. FT,J�/ NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM OF EXISTING O SIZE // 6 STORIES FAMILIES ONE SIDE PROP. LINE HIGH WIDTH ),,,,, _ V DESCRIPTION OF WORK NEW ❑ + h 0 AIA171, AQ ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ,5A G j,_/ /V ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ EPAIR❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. � DEMO LL APPLICANT TMT�I � �MO1RINT) OID BY (SIGNATURE) 44Z� v ❑ I HEREBY ACKNOWLEDGE THAT I HAVE AD THIS APPLICATION AND STATE THAT THE ABOVE IS CORREC AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OFv `� FINAL �� I_. BYv�-+- PERMITTEE DATE ADDRESS I•�Q Iv TEL. P.C. Fee$ Permit Fee / 2, CITY NO. Q Issuance Fee VALUATION$ Q D (((fff�� Total F PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO M.O. CASH 2 5T"o-NOV 23 1 D 1 2.0 0 ®:,,o 76AG38A CE#8038 12/75 V (APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN//�� ADIDRESS •.LDING 5 Z oev Al ` ` BUILDING ADDRESS :Z� J l.L r-61— ClJq&L k LOCALITY 99 NEAREST CITY r ZIP 1 Q CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL TRA a BLOCK J LOT NO. DISTRICT GROUP TYPE FIRE PRO ESSED BY L. y .`q CONST. ZONE 1 OWNER 'r Q NO. V. V� Lay STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ei LV/- CLASS NO. DWELL.UNITS BK PG CITY Com[ ZIP O USE ZONE MAP NO. ARCHITECT OR TEL. ENGINEER NO. SPECIAL pb CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ �y TEL. CONTRACTOR ;Al C 6 9/ AI O.t/ BLDG. TBACK FROM LIC. //gyp / FRONT ROP.LINE OF (STREET) ADDRESS U) NO. Qj 76,1 (� _ TOTAL SETBACK FROM TYPE OF EXISTING pp LIC HIGH+Y + YARD - FRONT PROP.LINE HIGHWAY WIDTH CITY ` wCLASS C��7 } CONSTRUCTION LENDER + a NAME AND BRANCH BLDG.SETBAC M 8 ADDRESS CITY SIDE PROP.LINE OF (STREET) w SQ.FT.yy// NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACKPE OF EXISTING U SIZE ((p D STORIES FAMILIES ONE SIDE PROP.LINE HIG Y WIDTH a N DESCRIPTION OF WORK /I/ �lLsZ-TL IZ NEW + _ ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USEOF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑ APPLICANT TEL IPRINT NO. �,7 ?//I!D BY(SIGNATURE) • I HEREBY ACKNOWLEDGE THAT I HAVE REA HIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. G� f y A �. SIGNATURE OF T' FINAL / .-' BY ` � PERMITTEE DATE J ADDRESS 71Y .yam CITY 14 �nl . NO. b P.C.Fee$ Permit Fee �-- Q@ Issuance Fee VALUATION$ a C,(99. Total Fee PLAN CHECK VALIDATION ''CK. •M.O: CASH PERMIT VALIDATIO CK. M.O. CASH 5 91—AUG. 3 1 D 1 .0 0 ops ®S 76A638B CE/603B 6/76 - LIT) ^ WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy'No• 625246 Company State Fund ❑ Certified co Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING I�, copy Y ADDRESS 5260-5266 Village Circle EOK Certified copy is filed with t unty uikding JsecX BUILDINGtion department. ADDRESS 5260-5266 Village C Temple- City, Ca 91780 91780 Cit l Tempe y ZIP Date 9-18-92 Applicant B nco Roofing CITY LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT 4 CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK. PAGE PARCEL hundred dollars($100)or less.) TEL OWNER Village Owners HOA No. 967-7921 USE ZONE MAP 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 ADDRESS 1275 Center Court SPECIAL o}.. so as to become subject to the Workers'Compensation Laws. CONDITIONS' O SITY— .wFle City ZIP Date Applicant ARCHITECT O TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZO E Exemption, you should become subject to the Workers' , " Compensation provisions of the Labor Code, you must forth- ADDRESS S I/ with comply with such provisions or this permit shall beTEL• STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. — Z LICENSED CONTRACTORS DECLARATION Blvd. LEC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1152 Kraemer NO. 344837 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY Anaheim 92806 CLASS C39 BK VALIDATION SQ. FT. NO. OF NO.OF CHECK License Number 344837 U. Class C39 SIZE STORIES FAMILIES ONE VALUA ON Contractor Bronco Roofing Date 9-18-92 DESCRIPTION OF WORK Tear off existing NEW ❑ $ �,lln�� El I am exempt under Sec. Expires 5-31-94 roof and re roof with CalShak ADD ❑ V`1/ , ALTER BAP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APP(p IRNET) Bronco Roofing No• FINAL OWNER-BUILDER DECLARATION — DATE I hereby affirm that I am exempt from the Contractor's License 1152 N. Kraemer, Anaheim 92806 j Law for the following reason (Section 7031.5, Business and rADDRESS ESS FINAL Professions Code): NT By -' z• NG �'='°$ ❑ I, as owner of the property, or my employees with r:wages as their sole compensation,will do the work and 61the structure is not intended or offered for sale(Section LITY7 __7044, Business and Professions Code.) NG TEL. ? 1 IEIM;I,as owner of the ro ert ,am exclusive) contractin RACTOR NO. with licensed contractors to construct the project (Sec- t 0 i 1 AL 49"68 ADDRESS tion 7044, Business and Professions Code.) 249.6-3 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH f�_i I hereby affirm that there is a construction lending agency for FRONT �^tth S�. °' the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE t P.L. '-4711 -lll?Q1 $/�°l`a2 Lender's Name f°r. 9� 5564 1 Aril''_ S P.C..Fee$ Permit Fee ��Ref. q Lender's Address 1 certify that I have read this application and state that the Issuance Fee �-'�7= � LDMA P/C# 3 above information is correct.I agree to comply with all County Investigation Fee 6 p ordinances and State laws r 'ng to building construction, Total Fee a LDMA Perm.# and eby thorize repres fives of this County to enter n th ove- nioned p perty for' pection purposes. o Q—� -9 7 SEE REVERSE FOR EXPLANATORY LANGUAGE S nature of Applicant or Agent Date