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Home My Public Portal About5329-5331-5333-5335 VILLAGE CIRCLE DR_Building__ APPLICATION FOR COUNTY OF LOS ANGELES TMENT OF COUNTY 'BUILDING PERMIT °Bu DING AND SAFETY IVSIONR FOR APPLICANT TO FILL IN n ADDRESS j ,L. cr auzeL� fz• BUILDING ADDRESS -5--3-3-3 V I!.�t o(&F x/12 CL r b I` LOCALITY NEAREST CITY /LJ L� �� T ZIP j 0 CROSS ST. ILL; ( lI IJ NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE r PARCEL r DISTRICT I GROUP I TYPE FIRE PROCESSED BY TRACT n ,p BLOCK LOT NO. _ CONST. ZONE OWNER 3-. #f1 TEL. `J^ 3 % CI I d j` STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. a/ DWELL.UNITS BK PG CITY T)r ZIP USE ZONE NOP ARCHITECT OR TEL. D. SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ �- y TEL. CONTRACTOR (r'' ,0-5 O. BLDG.SETBACK FROM lic. / FRONT PROP.LINE OF (STREET) ADDRESS eel NO. 1717, 22 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C FRONT PROP.LINE HIGHWAY WIDTH CITY CONSTRUCTION LENDER + _ �- NAME AND BRANCH O BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET( U SQ.FT.) NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING Ems' SIZE { STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH O DESCRIPTION OF WORK rl p NEW + U ADD ❑ CORNER CUTOFF YES ❑ NO ❑ W.• O ALTER ❑ N REPAIR ElIN OPEN SPACE YES ❑ NO ❑ Z USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT1 -y _ TEL _ (PRINT)Qi!vL(� (�d,SrrNONO: BY(SIGNATURE) ' I HEREBY ACKNOWLEDGE THAT I HAVE READ APPLICATION AND STATE _ THAT THE ABOVE IS CORRECT AND AGREE TO PLY 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. 7 ]Vt SIGNATURE OF + / PERMITTEE C FINAL DATE ADDRESS O Al&IMAI 40e TEL. P.C.Fee$ Pee I Fee CITY NO. QQ Issuance Fee 7 VALUATION�P � ' Total Fee PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. ASH :70•102AP 4 .p, D 22.0. 0L+�o 76AS38A CE 0803A 6/76 /r n APPLICATION FOR COUNTY OF LOS ANGELES OF COUNTY BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISION ENGINEER FOR APP)L�ICANT T/O FILL IN ADDREss 3 ADDLDING RESS ��/��j/J V�L 1-196 G�L.C:� LOCALITY lf CITY .V�///6� L! NEAREST ZIP CROSS ST. ° NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE CESS BY TRACT / ' BLOCK LOT NO. �J CONS . TELk i Z OWNER s7, �� J O ry STATISTICAL CLASSIFICAT ON EWER MAP ADDRESS //�"G CLASS NO. ` � DWELL.UNITS BK PG CITY ZIP USE ZONE MAP ARCHITECT OR TEL. k �J NO. ENGINEER NO. CONDITIONS ADDRESS //�� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR e'L/Jn(�1 12-9010 ll)C NO /1 2- BLDG.SETBACK FROM r FRONT PROP.LINE OF (STREET) ADDRESS •3// (� 19z_ l/9 NO..9c�-9/3 TOTAL SETBACK FROM TYPE OF EXISTING LIC > HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + O NAME AND BRANCH BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) W SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTALPROP.SETBACK NE TYPEOF EXISTING SIZE STORIES .rr�� FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N DESCRIPTION OF WORK F /d' oQj-)• NEW ❑ + 9 ADD ClCORNERCUTOFF YES ❑ NO ❑ ALTER ❑ REPAIR ElIN OPEN SPACE YES [I No ElUSE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. /nJ DEMO[ ❑ APPLICANT L/7 J Z I0e TQ• SJ�lZ BY ISIGNATUREI I HEREBY ACKN LEDGE THAT I E READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND REE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THEPENLIT ON INSURA THE STATE OF CAU FOR IN RELATI O WORKMEN'S COM- �es4-,_G= SIGNATURE OF FINAL L �� BY PERMITTEE) DATE ADDRESY�// ' L II..�� CITY/ - ®/� NO�' �— P.C.Fee$ Permit Fee Issuance Fee VALUATION$ 3 a Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID TON CK. M.O. CASH ®s 76A638A CE 1803A W76 2 8,',--AUG 16 1 d 9.0 O 6Jo •.APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER_ 15 U I L D I N G PERMIT BUILDING AND SAFETY DIVISION BUILDING s ✓ FOR APPLICANT TO FILL INBUILDING ADDRESS 5s, LL� G� 1 LOCALITY / G CITY e' JO ZIP NEAREST CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT N W ON LOT MAP BOOK PAGE PARCEL DISTRICT IGROUP I TYPE FIREESSED BY TRACT Cw LOT NO. G � j CONST• _ ZE TEL. ` Ll-- 7 1 OWNER NO. STATISTICAL CLASS FICATION SEWER MAP ADDRESS f1j (d/ I?c'Gh CLASS NO. DWELL,UNITS BK PG ra "USE ZONE MAP CITY `i�yy ZIP NO. 0/ v ARCHITECT OR TEL- R.P� SPECIAL ENGINEER NO. / CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR" rj �+ �f qO L' BL SETBACK FROM LIC. FRPNT PROP.LINE OF (STREET) � ADDRESS / , b/i�oh j5V NO, HIG WAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITYLIC. FRONT PROP. LINE HIGHWAY WIDTH ' CLASS 4L ` _ CONSTRUCTION LENDER \ + - NAME AND BRANCH CI} BLDG.SET -FFFkZOM- CD ADDRESS CITY SIDE PROP.LINE OF _ (STREET) C.3 SQ. FT, NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FR'OIA TYPE OF EXISTING C3 SIZE �d(7 STORIES FAMILIES ONE SIDE PROP. LINE LGHWAY WIDTH C•��•��+ DESCRIPTION OF WORK NEW L y ADD ❑ - CORNER CUTOFF YES ❑ NO ❑ r ALTER ❑ S-0 41 5W494 DtffQ REPAIR❑ IN OPEN SPACE YES E] NO ❑ USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, APPLICATEL (PRI NT) ,A/8 'tLL� ;r'/IPJ u N0, BY (SIGNATURE) I HEREBY ACKNOVTLEDGE THATI 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 7 LABOR CODE OP THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S-COMPENSATION INSURANCE. SIGNATURE OF V / FINAL f� 'f, �f] BY PERMITTEE DATE ADDRESS TEL. P.C.Fee$ Permit Fee CITY NO./� Issuance Fee � VALUATION d �� -Total.Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH 66. 7 iL�O!nCT 1.3 1 0 1 5.0 0 698 78A89BA CE 0805B 12/75 `/ l/ Y 7- APPLICATION APPLICATION FOR BUILDING PERMIT z� FOR APPLICANT TO FILL IN (Print or eype only) AA BUILDING BING ADDRESS5399-31 -33-35p-gp Ci A{J,��L�D-ESS 5329-31-33-35 Village Cir. Dr CITY Temple Cit ZIP 91780 LOCALITY Temple City NO.OF BLDGS. SIZE OF LO-4e 5 Acre NOW ON LOT NEAREST Z CROSS ST. Baldwin TRACT29602 1a• a Za' LOT NO 1 ASSESSOR MAP BOOK PAGE PARCEL TEL DISTRICT GROUP TYPE FIRE �SSED BY OWNER Im er NO. - _ CON114 ST. ZONE ADDRESS 61 So. •Lake St, `J� V�' 3 STATISTICAL CLASSIFICATION SEWER MAP CITY :Pasadena ZIP 1 CLASS NO.�-DWELL•UNITS BK PG ARCHITECT OR TE ENGINEER N 6 - USE ZONE MAP �� NO. / V ADDRE5sL7231 E. Railroad Citv of nd, D SPECIAL CONTRACTOR Noel Baldwin N�448-3907 CONDITIONS LIC ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ ADDRESS 10017 Green St NO. BLDG:SETBACK FROM CITY Temple CitCL SS B-1 FRONT PROP.LINE OF (STREET) HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF'EXISTING NAME AND BRANCH 1II CONSTRUCTION LENDER1 Aerial Savings FRONT PROP. LINE HIGHWAYI WIDTH , ADDRESS ITY Pasadena + pr SQ. FT NO. OF NO. OF CHECK BLDG,SETBACK FROM v SIZE 5818 STORIES `z FAMILIES ONE SIDE PROP.LINE OF (STREET) NEW HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING O DESCRIPTION OF WORK SIDE PROP. LINE HIGHWAY WIDTH W ADD El + _ a New Development ALTER E] t» Z EPAIR CORNER CUTOFF YES ❑ NO USL -G� ❑ ❑ EXISTING BLDGSingle Family Re r-MOL ❑ IN OPEN SPACE YES ❑ NO ❑ AP PRIN)NTN el Baldwin 9044.8- 0 IN COASTAL ZONE YES ❑ NO ❑ BY (SIGNAT ENVIRONMENTAL CATEGORICAL EXEMPTION YES❑ NO ❑ 4 p EXEMPTION DECLARATION SIGNED (DATE) VALUATION$ 120,6 IMPACT V 0 e OO IMPACT REPORT PROCESSED (DATE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STON. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED MER Y 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LAB R CODE OF THE STATE OF C IA IN REL TING TO ' WOR P KATION 1 RA! SIGNATURE FINAL �/O/_2^ BY PERMITTEE DATE L/ ADDRESS 10017 G en treet FEE 1 FEE TEL 92060 CITY N0448 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 894�'c_'FEB 20210 192.60 B% 7GA638B CE#B03A 5/73 1 2 31POOCT 14 1 D 6 4 2.0 0 A'1b WORKERS' COMPENSATION DECLARATION Iiiireinsure,'or a certif tate f Workers'ave a tCompens oificate of n Insurance, APPLICATION FOR BUILDING P E RM I T `or a certified coplyt of(Sec. 3 E COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Compan /111 Certifiedfcopy is hereby furnished. FOR APPLICA FILL I BUILDING " ADDRESS j Certified copy is filed wit t e un i Ing i ec- ADDRESS t e tion department. 5 ate _Applicant CITY ZIP LOCALIT NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT IBLOSK LOT NO. MAP BOOK J PAGE PARCEL hundred dollars-($100)or less.) TEL. OWNER ( NO, / USE ZONE MAAP I certify that in the performance of the work for which this o� N . SPECIAL } permit is issued, I shall not employ any person in any manner ADDRESS I . 1�a CONDITIONS a_ so as to become subject to the Workers'Compensation Laws. O CIN , ZIP Date Applicant ARCHIT R TEL. 134 DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. o Exemption, you should become subject to the Workers' A22 Y V Compensation provisions of the Labor Code, you must forth- ADDRESS �.Q �J a with comply with such provisions or this permit shall be CONTRACT TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. NO Aa LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO LIC. SEWER MAP (commencing with Sectio 000)o ivision 3 of t e Bus' ess CITY CLASS and Professions Code 1' a is in full fort n9 a t. BK. PG. VALIDATION SQ. FT. - NO. OF NO.OF C ECK License ber Lic. Class SIZE STORIES FAMI ES A ONE VALUN ContraDESCRIPTION OF WOR ❑ kj c Date ; U(� s( s �� s ADD ❑ ► ❑I am exempt underI.C. ALTER B.BP.C. for this reason REPAI ; e: -USE OF EXISTING BLDG. DEMOL Signature APPLICAN TEL. FINAL OWNER-BUILDER DECLARATION (PRINT NO. I hereby affirm that I am exempt from the Contractor's License t DATE Law for the following reason (Section 7031.5, usiness and ADDRESS �� r11h FINAL ,( Professions Code): PRESENT By =r•r• (i: r.3 I, as owner of the property, my employe s with ADDRESS wages as their sole compensa' n,will do the work and ' i - ,;•- ,;n the structure is not intended r offered for sale(Section LOCALITY ' '-"-: -• _,i 7044, Business and Profe ions Code.) MOVING TEL. =❑ ::- CONTRACTOR NO.I,as owner of the prop,ty,am exclusively contracting with licensed contrac ors to construct the project (Sec- ADDRESS I °^� x- _ 9"3 tion 7044, Business nd Professions Code.) ;- } �,•�� _}_ REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. i :•,: t G j:i CONSTRU ON LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affi that th a is a construction lending agency for FRONT ':iil.Ir ,;1 , the performan E�i ia work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name '7 d Lender's Addres LDMA Ref. # -_ -Ju. . _ r 1 I� ,•:a P.C. Fee $ Permit Fee y iii::_'• 1 �,_,- I certify that I have read this appli n and state that the Issuance Fee c Al- /� LD kA PSC# above i formation is correct. I agr to c mply with all County Investigation Fee ordina State laws rela ng to i ding construction, Total Fee 7 LDMA Perm. # and he than' a d9resent fives f is County to enter upon t e-me i d proper or ction ur o s ' L 19— SEE REVERSE FOR EXPLANATORY LANGUAGE rt6re of ApWaW or Agent Date s ... APPLICATI9.N FOR BUILDING PERMIT COUNTY OF LOS /016EL06 BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS / I hereby affirm that I have a certificate of consent to self insure, n �.�CG� or a certificate of Workers'Compensation Insurance,or a certified 4-41 W ereof(Sec.3800,Lab.C.) CITY. ,'/ ZIP LOCALITY c o �Od S 1494 -,cf� Company v/!/ �i99 �� gi T` SIZE OF LOT or NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. CT BLOCK LOT NO. �Ul�✓ ❑ Certified copy is filed with the county building inspection TRAUSE ZONE MAP NO. department. DateaFn3V DD1icant g�e F L ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWE TEL'NO. COMPENSATION INSURANCE �i�iL�a WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS P P ✓ DISTRICT GROUP T YPE FIRE ZONE PROCESSED BY dollars($100)or less.) d—,9,77 viG � � �� Cl ZIPG 1 certify that in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as t0ARCHITE OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION CONDO Date Applicant ADDRESS CLASS NO.,-2 DWELL UNITS t. NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM L, EXIST Exemption, you should become subject to the Workers' CONIF / T TEL NO. SET BACK YARD HWY PROP LINE IDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS / 0 LIC.NO. PL `7 �'� 4 . \ LICENSED CONTRACTORS DECLARATION ��J�/ - — SIDE L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG , } License Number 3a, �Ic.Class ` DES IPTION OF f 4 ADD ❑ VALUATION C Contractor ' edCZ'/,Date —_;E !! ALTER ❑ $ C;29'90'9- d d U ElI am exempt under Sec. �Jele�l S REPAIR [I $ Q BAP.C.for this reason DEMOL ❑ LDMA P/C# U W Date: USE OF EXISTING BLDG. URM ❑ (- Signature z APPLICANT(PPoNT) TEL NO. LDMA Perm# � � z ❑ I, as owner of the property, or my employees with wages as Z ACCT°1r their sole compensation, will do the work and the structure is ADDRESS 0 ;�I}� ql� not intended or offered for sale (Section 7044, Business and FINAL DATE Q tit iOL Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 ITEMS ❑ 1, as owner of the property, am exclusively contracting with OR MIXTURE ECN HE HAZARDOUS MATERIALS CONTAINING EQUAL TOOR ION GUIDE? FINAL BY ER THAN THE licensed contractors to construct the project (Section 7044, TOTAL 102®30 Business and Professions Code.) YES❑ No❑ �j ('-�/ j('� WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ilE4fL 1�.1%°+.j�l OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 1 GUIDELINES CHANGE .00 I hereby affirm that there is a construction lending agency for YES❑ No❑ C4 the performance of the work for which this permit is issued(Sec. M 3097,CIV.C. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ) CHECKLIST I UNDERSTAND MY REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �y �ry�ry 'r�{'�qq —t —�{) C11 Lender's Name MATERIALSTITLE 2.CHAPTERRE ORTING AND FOR OBTAIN NG A PERM T FROM THE CONCERNING G HAZARDOUS Ll Lfi'—� 1 3 it 1!93 aLender's Address 8964' 1 Aid O OWNER OR AGENT Z; I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE of perjury that the above information is correct.I agree to comply N with all county ordinances and State laws relating to building Cv (o construction, hereby au a repre tatives of this County ISSUANCE FEE n a ed prop spectiou�os�sZ CID ® /// INVESTIGATION FEE TOTAL FEE s,°uuw�N u• m Geo SEE REVERSE FOR EXPLANATORY LANGUAGE