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Home My Public Portal About5344-5346-5348-5350 VILLAGE CIRCLE DR_Building__ 1.- APPLICATION FOR BUILDING PERMIT L IN FOR APPLICANT TO FILL IN //�� ADIDRESS..J � bBUILDING ` ADDRESS j ,��S�Ci /I6� e Cyyc(s fes✓ LOCALITY NEAREST CITY e,' . ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT ; NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT UP YRE FIRE RO SED BY TRACT BLOCK' LOT NO. /�^ O )NE OWNER HJL�///J L.1 No .3 Z STATISTICAL CLASSIFICATION SEWER ADDRESS ado✓C: CLASS NO. DWELL.UNITS BK PG CITY ZIP ZONE OP / /L ARCHITECT OR TEL. QSPECIAL `J ENGINEER NO. I D CONDITIONS ADDRESS ROAD ARTMENT APPROVAL REQUIRED YES❑ NO❑ • TEL. CONTRACTOR /!7 f NO. BLDG SETBACK FROM LIC. FRO PROP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIG WAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + O NAME AND BRANCH BLDG. CK FROM U ADDRESS CITY SIDE PROP, (STREET) 0 SQ.FT. NO.OF NO.OF CHECK HIGHWAY +, YARD = TOTAL SETBACK FROM E OF EXISTING U SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIG WIDTH a DESCRIPTION OF WORK NEW ❑ + Z 2 de/10 ADD CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTTIING BLDG. e4f1WZc�� DEMOL ❑ APPLICANT TEL (PRINT) fC NO. BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ AS 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.. J �/ SIGNATURE OFFINAL /� BYI PERMITTEE _ �+ ,'Ptt DATE ' ADDRESS j ' LVALUAT:ION TEL. �2 P.C.Fee$ Permit Fee Issuance Fee $ Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 0 3 3 AUG 8 1 1 5.0 0 ab; BS 76AG388 CE M803B 6/76 APPLICATION FOR BUILDING PERMIT FOR APPLICAtaT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS J"c? CJ/Z DEPARTMENT OF COUNTY ENGINEER If y8 v,LL A ,� CITY T L : T zip }l7 S�v BUILDING AND SAFETY DIVISION e. NO.OF BLDGS. BUILDING _ 4— OF LOT NOW ON LOT ADDRESS �� LCA r TRACT o7!6 OA BLOCK 40T NO. 3 LOCALITY .42 p TEL. NEAREST OWNER 2 W /Z 6-0.0, A/,Fgvn.2'6,3 CROSS ST. , ASSESSOR ADDRESS 53U%G4 ,� MAP BOOK PAGE PARCEL -CITY 7 Af L0C C_� ZIP 17�0 DISTRICT Q G TYPE FIREPR ESSED Y ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICA ION SEWER MOO ADDRESS TEL. CLASS NO. DWELL.UNITS BK PG CONTRACTOR NO. ZONE I MAP _�'20 LIC N0. u ADDRESS NO. SPECIAL / LIC CONDITIONS CITY J CLQ ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. Q NO.OF NO.'OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE % STORIES FAMILIES ONE } DESCRIPTION OF WORK OP'fAl RA FTCL NEW ❑ + O ADD Ea BLDG.SETBACK FROM oe k6Q T z SIDE PROP.LINE OF (STREET) O ALTER 103TOTAL SETBACK FROM TYPE OF EXISTING w 1}Ti 0 CO2AIC,' HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH . N USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TELp CORNERCUTOFF YES ❑ NO ❑ IPRINTI AjjZ,5,qV NO•S�y3 e�6J IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ 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 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. SIGNATURE OF PERMITTEE 'Q ADDRESS FINAy ~— NO. ,�y�d DATE ` 15--27 BY CITY � G/' T D MAKE CHECKS PAYABLE TO: FEE F ET HARVEY T.BRANDT,COUNTY ENGINEER--1 `J PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. CASH 67 '3x- 14 1 P 1 5.00A- ®s 76A63BA CE 0803 3.75 APPLICATION FOR COUNTY of LOS ANGELES_ .9 - • DEPARTMENT OF COUNTY ENGINEER U I L D 1 N G PERMIT BUILDING jiNp SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING r ADDRESS 3 V Al- �' Ugetk LOCALITY NEAREST CITY L� �/ ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GR UP TYPE FIRE P SSED BY TRA 1. �i BLOCK LOT NO. % ��' Urj CONST. Zp� S TEL. I ljj OWNER u NO. STATISTICAL CLASSIFICATION ^^��// SEWER M P ADDRESS VIA (r 4? e • CLASS NO�DWELL.UNITS BK PG CITY e' ZIP C USE ZONE MANOP ARCHITECT OR ` TEL. SPECIAL ENGINEER NO. ELICONDITIONS ADDRESS .�• ROAD DEPARTMENT APPROVAL REQUIRED YES[:] NO❑ CONTRACTOR l�9�i /�JL' B G.SETBACK FROM ` D A�x iLIC•• F ONT PROP.LINE OF (STREET) ADDRESS i a AV-J� A NO. 7 H HWAY .+ YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY m' 6Q . CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBACK FROM p ADDREE SS CITY SIDE PROP.LINE OF (STREET) SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TY OF EXISTING fY . SIZE• STORIES FAMILIES ONE SIDE PROP. LINE HIGHW WIDTH DESCRIPTIO WORK NEW + Or CL ADD ❑ CORNER CUTOFF YES ❑ NO ❑ -ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ rEXISTINGLDG. �' jD��/NDEMOLUSE OF IN COASTAL PERMIT ZONE YES ❑ NO C� .os !a NoLc1 7-7 URE) ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION HAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE -WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE , LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPE NSA iI.ON INSURA E. �/�J�� SIGNATURE OF FINAL BY vU PERMITTEE, b •D•A-TE ADDRESS 9 ar-i4w d=clrY /1Cdl/ �� • NO�Lf�f 7 S P.C.Fee$ Permit Fee Z 'f Issuance Fee VALUATION$ Total Fee � PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASO i 9 MAY 6 -1• .D. 1 2.0 0 ,L-98 76AG38A CE#8098 12/75 APPLICATION FOR' BUILDING PERMIT ad FOR APPLICANT TO FILL IN (Print or type only) • 7 B UILDING Village Cir Dr. COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER le City zip 91780BUILDING AND SA TY DIVISION NO.OF B BUILDING 5344-46-48-50 Village Cir. D . SIZE OF LOT L}.5 ACrer�lOW ON LOTOT 1 � ADDRESS TRACT 29602 Bld ��%mw LOT N6. ,1 LOCALITY Temple City \ OWNER ImperialTSavings NO.795-880 CCROSS ST. Baldwin ASSESSOR ADDRESS 61 So. hake• St. MAP BOOK PAGE PARCEL DISTRICT_ GROUP TYPE FIRE PR SSE D'BY CITY ZIP 91101 CONST. ZONE ARCHITECTfa Foerstel TNOL`964-001 ` "Os `�� ENGINEER Cl STATISTICAL C��LAS��SIFICATION SEWER M ADDRESS 17231 E RailroadInd:iLASS NO. DWELL,UNITS BK PG CONTRACTOR Noel Baldwin NoL448-390 USE ZONE NOP Q ADDRESS 10017 Green St. No•237497 On SPECIAL LIC. CONDITIONS I CITY Temple Gity CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG,SETBACK FROM �r FRONT PROP,LINE OF (STREET) C ADDRESS 61 So. bake CITY Pasadena _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - C SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE 818 STORIES 2 FAMILIES ONE CCCF DESCRIPTION OF WORK ��Q,�r,,,�/ NEW + G ADD ❑ BLDG,SETBACK FROM New Development SIDE PROP.LINE OF (STREET) ` ALTER ❑ HIGHWAY + YARD = TO.TAL SETBACK FROM TYPE OF EXISTING ❑ REPAIR SIDE PROP. LINE HIGHWAY WIDTH EXISOT NG BLDG. Single Family RE61MOL ❑ + APIPRIN) TEL NQv 44p- g0 CORNEI CUTOFF YES ❑ NO ❑ BY (SIGNATOR CJ7 IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION f 128 60 .00 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- STRUCT ,I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) MERE I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LAB CODE OF HE STATE OF CALIFOR• IN RELA G TO WOR EN' SATION IN URAN PIGNATURE ERMITTEE ADDRESS ZOO I FINAL CITY Temple City N0448-3907 DATE _ BY le G MAKE_ CHECKS PAYABLE TO: FEE 192.60 FEE HARVEY T. BRANDT, COUNTY ENGINEER rNI PLAN CHECK VANDAYtON CK. O. CASH _ PERMIT. 1 IDATION CK.__,,M.O. CASH 1 1 7w1OCT 14 "1 6 4. 2.0 0 438 76A636A CE#603'7/79 8 8.;;FEB 20 210 _ 1 � Z. 0� WORKERS' COMPENSATION DECLARATION su bylorm off ' rtconsent to APPLICATION FOR BUILDING PERMIT nara s � n or a certified o y th eaf(Sec. 3800, Lab. C. �p� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. •I Company 4b BUILDING ❑ Certified copy is hereby furnished. /� r�-' FOR APPLICANT TO FILL I DDRESS ❑ Certified copy is filed with the cow wilding BUILDING ,Q tion depart t. ,��y�e, ADDRESS ,,,n ` -A lLr , Date Applican / aI� J`., CITY n r� z ow LOCALITY NO. OF LDGS. 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 BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) e TEL. ry OWNER tl g NO. ?�` USE ZONE MAP 1 certify that in the performance of the work for which this �/'� SPE permit is issued, I shall not employ any person in any manner ADDRESS , '76 Z4 • /� D CONDITIONS n. so as to become subject to the Workers'Compensation Laws. O CITY ZIP Date p scant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER DISTRICT GROUP CCOITYPNST. ZONE E FIRE PROCESSED BY O Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS C� G,G a with comply with such provisions or this permit shall be TEL• 2� STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR 7 NO. d� Z_ LICENSED CONTRACTORS DECLARATION yj� LIC. l,y CLASS NO. 5;1L/ UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS t Y� /"�%� SEWER MAP (commencing with Section 7000)of D'vision 3 of the Business p LIC. and Professions Code,and i n is in full for n ct, CITY (�/ CLASS BK VALIDATION SQ. FT. NO. OF NO. OF CHECK License N rML–twec— . lass SIZE STORIES FAMILIES ONE sVALUJATION NEW Contracto DESC11. RIPTION OF WORK ADD ❑ $ /��' '• ❑I am exempt under Sec. T ` 11 M ► • L ALTER ❑ B.&P.C. for this reason / y REPAIRM $ te: USE OF EXISTING BLDG. DEMO' ❑ Signature APPLICAN TEL, f g OWNER-BUILDER DECLARATION (PRINT) U NO. FINAL . DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section.7031.5, Business and ADDRESS FINAL a Professions Code): PRESENT By ❑ I, as owner of the property, or m employees with BUILDING P P Y� YADDRESS wages as their sole compensation,will do the work and –,• 0 r– 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- rid( z i"� Pion 7044, Business and Professions Code.) ADDRESS .f REQUIRED TOTAL SETBACK FROM EXIST. CHECKCONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH It I hereby affirm that there is a construction lending agency for FRONT C;ti NIG - the performance of the ork for wh71�,Ms _-q-h- issued P.L. 'L`LI (Sec. 3097, Civ. C.) SIDE P.L. t i{ Lender's Name LDMA Ref.# 1jl J–I.i�XS i i it': P.C. Fee$ Permit Fee �� ti{1=r L 1 F;'�9=r Lender's Address L-°LI! o I certify that I have read this Opp do and state that the Issuance Fee wa LDMA P/C# above information is correct. I ogre to c –ply with all County Investigation Fee ordinances a to laws rWAgen ding construction, Total Fee LDMA Perm. # ere autho epresis County to enter u the abo e e ti pectioyuToses� ogo, SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant orDate