126-02 - 500 DOUGLAS ST NVERSION 12.2000
O W NER.OUI LCER DECLARATION
he_av et". IVKen CAMlry of CYNv Flail anerempl awn the CAenCOoore
-ram.44 Lao toe are rtAnnala uea on (Sec Mal:. WsnCea MC VlettsYp9 edam
Pa my C' :tom '.'•.. ,mu 3pefldf 4pnilnj . ter. vInOOYa. dornoToh.or
rub. toy %trans onstoCa neat also mauve, Me someOM w um Olmmn
li a AMMO LLVoranl'ass rub .5 t're mammal pYCJ-<IC Me wort nor law
' • -caws Lyra Lw'Creptn O'O.mnwearq w01 Sae 70004 of On S ve
..•.. alpmvu a wl scCodelnear Ins is Memel
gletivaa n w so bass
:mud
a Toe M r
Mere N WAWA% Myt+'gEMn Of See 20313 ty anyapycarrl loot a perms
mubaes tan apPliarn Ma end panty 00 nil mat VAC five hundred dmnas (5600). ):
0 I. a2 sorer or the Mpnyor my ernagee: wen wain. as EWA We On.
7041. Bunten sic vim arms Code a TeCmim u.taoteaaad (Sim
.MY to an oem a popn'1y alra bolds a L.rwJILA lnYOdn. and Wee doe. NA"
sc.M vmsed re Morsel R tlrOur Ns or her or;n &MOM . OD,.ded put sot
repro arr•Ns are not nladCH or Orrtol fan Sal': n. r mmver. 04 evedCy n
arOMrw. a,W MM1n one mar01 anrebtOu. Ad owMr.P.4:4r as nave me
Nor a Moan mat ba Me nN r-M c Or AAWP+ Mr pq JeT010 CC Mat I
:f as oast thet 'at9 er ',Fluently mmawno SCSI turrod CN.
tauas en Onuud Inc Ward (Sec. TOaa. Borne — Rdeavcnn Credo. Teo
Coniscr m llyyy Law aces la Lay to an Omen a ctsertV we, bean o MY
wee Merman. ait wCa canbaCa to =Ca pOmas wen, . CotagMfe) Mane
;arson( M Ise F..arr•aGNns Licosa Law )
0 I are mane^ uMne Sc en SAP C. rtV sin •Cana
Dote Se'of OSnar
LICENSED CONTRACTORS OECIARATION
I Neepy alien omits penally of pawn)' uMI I an LOMUV agar WONW,i et
✓Co ta/99 Kobe xrrmal ^ mc�in000)4A CrwmCm:a low Browne.. Ana
rondo av erect
C-tto ar77(21 9
Lxeese r.:nsa rice Tale laanCv Er,Mralirvr rlNe
G.M. 54re -
WORN_1RS LJMPLnSATNON oECtARs{iOY
I Ineendy M rm urAlra penal.. or "marl Cm (11 roe loowng croaate
lyil
O I Noe Ora: .R -.sass, a ooi 'ate of M%nl to Les veve for
TNT
:areomn 011)a.f torrdnderi wTry50.nn ]!“1 r_»IJW Coon. tor
eemocse raintn ea . Cmoeu..aI t
alGMlmenbm wre.oetltt tnoe CTeu Tot 1F0 try •
JLC .fJ worAertcomptor eosaio.roWmaaCed Lt a µAdd ea'n 9CON1
5 0:yrrl My whaeln Oompeauuon.nswana•ermer and LellN nuMrcl the.
Co
Pa'ev Nd v4 C. 352 0373
1%, we, rite b San .w..a. erne. 'am. a tom noun ulwra dram
arrwv that in mepedollance m the writ to Mach ass oelme n owed.
ens; not •rmpby any penman m any manna roam •s Demme Nlbe: 10 pa COIYar:
mnlp mmlee Iowa 0e Cannat and agree main AnN A become subject to the
*Comes' wnderc rd pronmons of Sec 3700 a11e M' Coe. I ahtil fMltmm
comas win those oraceons
•
l 0011ME l
FERAGE Cl AMLVRE iv SECURELL SUBJECT
CDY^ENSA DON
COVERAGE VNLSWF LND OWLS SUD/ECOAnaHUMORED TD
CRMNAL PENAL TIES AND OWL EWES UP TODVEHUMORED
rNOVSAND DD4IR5rtSWAYr. SiA0OD10N TO OM COSF OF
COYPENSATIDAMAGES AS PRDMDED RCA alSECDa CWa>00
TNEIAHOBO E CODE. INTEREST AND ATTORNEYS OYES
CONSTRUCPJN LENDING AGENCY
I IWebylunderDr of to that threes a Cm5nacency
ion the DNememce of mower Ito Mwo.ms corns Isw(SOC]Os' C.).
Leaded-1 Name
LO0O S Address
`r r
\-3v r-. Z
oily Char I rceo road dm try Katfn na1 a.1:0 Nam irw el Osn rrdonard f e
Cr.-, I moron to c mply_Yt.ru sly and county ayntnCei and Mats taws re.
'o aavero Conatnrttvr. and Iefeew aeec. to reneenulmes Or Ina ale
TO eater upon Ca adov menhorcd property for Im DWP SCc
BUILD NG PERMIT
SCILOIN r SAFETY D.NISION
COMMUNITY. EC'JNOMIC S DEVELOPMFNT
SERVICES CEPAR MEN`
350 Main Street
El Segundo. CA 90245
miE lwkF Insoectbn Des( Line' 13101526d3T9
Sip I�toRrEt2o so
2EJ e DoveLA S sr.
'UitE l:'IEN11F PING NMMShR
caZr.4 Boot
IMbANNOIN Pim
.wool .aa
u.SCO IC I Z N4
AOLr • •t.
So( t..L. Sou;
CITY
FATE
ORANIC-26 CA .
!N[oRT 6-; 2o1-•
AC4.)14ENS.
I SCSI
ANL reC
%MTr.
714
c74-5770
0
IP
C1Zs(0s
ON
ALWRk•:S
CI
TA
IP
IRE
-so Pig BRAz.C.La
SUREnr
PHONE ND C7 i4 )
914-8770
so( We Scun-ic2t4
CITY STATE ZIP
C1 AM&Z cA. 9ZeloS"
Nh INACTL'K'i rA.m.
LI(. NU
J
r AvT N 635
PHONE NO. iy I/m )
So% W.. SC0114EON 974-9770
cl n' S A 0IP
C2i\N1G
. r:
PL Jul CHE P IT NUMBER: '; 6. .-05 Z -
uAV use u:ul,.. COILS
NM', a'At.
E
CLIP U`..E uWLa. Akcn
At 11 N (;I
mete (CAL
4N✓ua TIN. A.IFA
AS BNA m n
OES KI 1 N F W KM
T A (30) SPZr-IvKL tS :F:'f.i,
HeF >
-•re0UP(S)
h t
THAI i/ r.NSTRUIb a
y IN
SOUAI.F AG
STuTISTICAL CAA:S'ICATIO.
NO.04 STORIES
FIRE SW.ONKI ENS
ES NO
UNITS)
C E IN E//fFl CT
S 3oco
PLAN CHECKFEI
ENERGY FLAN CHEC.
S >(C:i's-"
VAlUATtON
$
I+.Lea, NOM caLIT
:hat IALS
AT'
S
PLAN CHECK FE'
ENERGY PLANCHEC.
S
RE'/IS{ .5 VAL9AN .
5
—
NEGEIPI NLIMHCH
IN. I IAI.S
DATk
PERMIT
RETENTION
SHIP FEE
ACCELERATED
TOTAL RUILDG PERM=FEE
N
FEE
FEE
2__
C
5
--a?
$ S v_
b u
FEE
S
=7.
///y/
S / C I /
PAID
PD=
r 7 HEALTI'
DEPT APPROt AL
APPROVAL
APPROVA'.
WASTE AP 'ROYAL
�—I
' ' SCHOOL FEES PAID
[ FIRE OF>T.
c0 SANITATION GIST
0 PUBLIC WOONS FEES
SCAOM I
[1 OSHA PERM:T ORTMNE0
r l INOUST CIAL
ALCM TT NUMBER
INI IALS
[—�/i �e?
F::CALELIDr
rpOc✓arE�
`
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C/
VERSION 123043
OWNER.BUILDER DECLARATION
I Seedy aMT hie penally a Min, that I nth <tema ln, Its CenMM}M.
LeMeact'Lae lade ieCosnnc reason (Set )0J1.9. Wens% and YMIenaonscWC.
Any cry a manly meth maNes a wean TO COnatruCt. Ina. memo, domain, a
roper env seam. once roCs maned. alp meats one .aR"AnI la SUM damn
Inn.) a signed YNenn.ni Teat he a she shcanM paWant to the aOsafnset the
Cant tee Loam Law (Chacte 9 (Can eecw9 won Sec 7000) of Dec 3 of the
Cusses, and YMCssons COMB a NI nett a9 U ahem VIaterem Red MO din
to the +hoped eaalnda1 Any rmlaeon of Sec 703, 5 by any amaTrn fa a Parr:
na'nle IaCal: to a and hundred Wears
meaty a no. moe Man Inv dred u (S CO).)'
Uonnd' 1. a crew of Ira aepaly. a my emeloy .i Hen Kai es NM Yea minc
pennasm, hY do Pm Gall DM the a:aC a rip readd a Plan. to ail (Sec
7044, Deftness we Proless.on Cote: The Conlmem license Law does not
apply a an omen of amMy who balm a cn eWef deer. ne3 Wq due, wee
work Mimed a herself ce weep Pm or her corn emaeW'a aw'Old that such
unauvnnma wend for IF..
+tended et relined sale. ne e.w.Ionpeweeaw-
ammem a sole .teen me Lee ea esem eta.. Ian ceowev pa' w Awe me
batten a a{MAj NI nee ice t o not Awn Or wymtl la fee WIDOW a sal t
O I. as owner a ICO aepeny ender CsduTyety oenV W mg with KO1vd COm
moue IncassNG the prom° (Sol: 20'1a. Husales, and Prolesupts Cole The
caVJCIas Leeman Law Oyes roe =ON to an axes d mends vino bins Of tn.
flies thereon. an Iwo arenas ere vet aos.cS .Lech a msnc'o(s) (canto
Conran erne C nvaaaa
uncouth. I
0 I am eseeDl under SrHmn ____,___ BSP C lot lM mason
Cite Sryvlwe of Qsa.
I :CENSE," CONTRACTORS DECLARATION
I hwntr. rn.... . rents denary Or PClury: a, I mI lcmvV 'nee Iunuaad
Chapter P ;myen m Seaga r0.VEa; Unison EIDuuvn and
(ATE one my Incest' 1W 1P.1S,n Weed
5T3L..—nt
6/3�f0,'�a.n
Uw�x C.»s vamp.
l0/1 rr/07
Darn Searue el Connecter
WORKERS' COMPENSATION DECLARATION
I Omery aeen Ind, inneery el thrum one r, f:ielaVnm My/rotwa
GT I I.s.e and rl even I. ce state of otos.) f0 tHI.naen la nonce'
wnannsaea. asaWv'6C to by SeCan137000l CieLabor Cone to to as.
tonnsnos } the work to, weal tea penny re cued
Ili I non Inc wN matethe Tiemem IA'npMYafnn emumnce. n'. T,vreC
lrfi Vrq a to Lay)/ Lane ran Ere ancnunW Or the wet to wlnnkf. 5
nawnc My nM ken'CoeYxCn n,VaaC Gamy anti pony r toe
crew State Com . Ins. Fu
Binder 4401
^Pa MNo
J lonely that n do palace. a a pan,'
S0t to winch lens ntn Lanfw
'la'. rnl..try% any Demef in any manner vl an lobe . .w0(
OTn4nsnKn Inn OF Cei to a. and eye* that rf I sestet acme,atfM le
pose% c ymtsann: Sot': 3700 Otte LISITC
mawToteClafnat
Cay in Rase weami
10/14/02
Use Eenawma Cent
wA..CEO' FAILURE L. SECURESHea S_WECTAN O SAnos
COVERatEafIUMEd ANDDVasa. TOONEHR.OSCO TO
PLOTER
CRatthsHOUSAe TFN1L�ST XCMtR O0W yaDflONE E COSIO
MIXNSAPODOLLARS 'SLA.ad1. OFOR U. SECT COST OK
COSPEUEARCR COOEESA: APOPO ATOWSES FEE1yMOi'
]IlF 4CONSTR. I
AGENEYSFE[5.
CONSTRUE N LENDING AGENCY
I navy Mem under cavalry M rue that err is a tata•ruarM 'endow pannc..
forma oertermaee d fro win t -ownTea vomit is issued Mee 3097 De CL
Lmdees Name
Le.v'NS Ada0G
' Tinny teat' save 1 p u.s aaycJ4w and pro trim: bat above n:ama(pn
Wroth Iarre. to cprnply than all qy and (duty adeanc s and Mato laws ne.
tattoo m 0Y0pn pnstunan. and Tomb( auo pre (Other. nlDLues 00 ter.. en
to nice upon the abdomn:Anne yepay for es000tan kuIWwa.
oleo- 5+1V' oreof AedtGMt Or Anent
BUILDING PERMIT
BUILDING SAFETY DIVISION
COMMUNITY. ECONOMICS DEVELOPMENT
SERVICES DEPARTMENT
3ld Main Street
El Sooundo. CA 90245
saes -Von Rnauest I Inn' I31rl 524-2379
>I It ALAMUse
500 N Douglas St., Et Segundo CA
SUITL I IDENYIGYING NUMIstk
IU>E:a>DP VAflLEL NUMnEle
ronn
.VYLIIAVI /t.!/NIAI.I VL.t>O'n OAT(
Aztec Fire Protection
5121 W Jefferson °
CITY
Blvd.,
LIgP]PC m y16
TY STATE
PIK.`N NO.
(3.3)
.939-3R13
ZIP
0✓Lre. J ANON YMUNENU
Northrop Grumman Corp (310)
7 I l'12-3G'tS
Est
her Northrop Avenue
.vfherF\E
n�e,Jr
STAre
CA
i
90250
UN
LL
[STATE
21
ONE ND
AUGHS^S
C
STATE
ZIP
:ONIRAC ILH'La NA ME
Aztec Fire Protection
u r'Y LIL NO.
513411
ADONks
5121 W Jefferson Blvd
Los Angeles
PHONE NO.
(323)939—
>TATr 3013
CA 90016
PLAN CHECK/PERMIT NUMBER: l 55 -p2_
1. se jwU{. ANNA NOW MEGILY.N(IAL
USE 8d00 Alt + ADDIIION u
CAW U>E
91.0t. ANEA
Inc.:'4ATICN
OESCKI'TICN OF WORK:
Installation of
Fire Sprinkler System
4,100.00
VALUATION
LOTLS *m u.L
es -
PLAN CHECK FEE S l a4e7 r&u
ENERGY PLAN CHECK S
owe:mWI NIIhAU
NO
L141 L
REVISIO VALUAtIO
PLAN CHECK FEE S
ENERGY PLAN CHECK S
MLLLIYI !IUMn H INIlIALS 1)A S
PERMIT FEE $
RETENTION FEE $
SNIP FE $
ACCELERATED FEE S
TOTAL BUILDING PERMIT FEE $
ni SCHOOL FEES PAID HEALTH DEPT APPROVAL
SANITATION DIET PAID Q FIRE DEPT. APPROVAL
r---1 PUDIC WORKS FEES PD C3 SCAOMD APPROVAL
OSHA PERMIT OBTAINED [ 1 INDUSTRIAL WASTE APPROVAL
RECEIPT SUMMER LNIIALS I CATE
F.nALEU n
LATE
03
G
r
0
Z
C)
m
73
-u
1]
r
n
G
Z
VERSION 124000
OWNER.CU%DER DECLARATION
I Mr'bv stern trCat JauY a Pe!UN matt an eaaap ITr me Commoaa
octet Lae la me tee rove RYson (Sr tW1.5, NNYIest anti Protection. Code'
Pay wa MM NY.ch mane. a Pwa] tO R a la lN. meow. aamea.a
sv 0Ve, caw a a Ow/a. aae reams the gWcat la wa nw'wl
to (gee yR' astenienl add ha a ale n boomed AnYMrt to Vie p as.na tn.
°nada,. Lana Law (Dwaine9 (aLpAaq vin Sec. 7003) 0 DN. 3 .the
!warren end Pmyenava Cadet or PILMaYo !exempt Memnon ma Me peps
'a th. !sped ®rrcMn Any veleta, ei Sec 10315 by any aOpegnt to a Dean
..gwi IIeap$ant to a ool NOSING( net more Man five heeled de5ale (S5 ;
LJ el ore nary, a my empbntes ath wean at Par me OTT
is not atadea a la Lb (Sac.
pnygr. wen as the 50% and W anuQle carted
:044. Business all Pnylenere CLAM TM CaI raOas Lmoa Las does not
y' V gayer a property No laid! or Mlp:w, teem, ale she do, such
rditareee a Nese Or Veagh m a her oat vloyma. pmedao that oath
ororearenta we not eaMhd a Rhea for tale if, IOHW. Be WORN ol atn
own, - 'al wean as War a cas,osveat ire O nr'USOe' we have the
.veal at Pavan Net he a arq TIC rag bald ael!papa.stala e pape a sae I
p I. as dare et 0e property. M ecJnrmty b corg adth lamed min
b construct The a%R= (SIC TDM. Busneoa as Plaenat, Code The
Lon/racket. Hone tat OCee net CONb MO Tana a Ma" Wd PRAY a Ira
paws wawa, ant. sac antra°. b auth pyMs PPP a antelMtl ltmae
r..n to me Cantors Lama lw,).
,..exerla Inver Saar . 0 AP C. la tat maim
Oat, SS nL.x a Olerra
LICENSED CONTRACTORS DECLARATION
I Neely amain user palely a palsy that I an home, c der m Nose= of
Chaco), al minim evil Seven 7000, of D.rlcar 3 awn Scones, and
✓yawns Coen. Nes my sane to n tea Ida add ONO.
,teen Clem Lmlae Number FaprwEon Ce'n
Dale Samar , a Contactor
WORKERS' COMPENSATION DECLARATION
to 1Mpwrt9 cacirn n,
I happy earn war penally a pe ay an el
C7 I hare and set maaeen a carbrlcta a meant to !ohms I
co p:fly/ n, as prenone for by Sides 37C) or De Leap la /
far'vae el M. wen la CA Op pone a afel
p t nand s, Let martian ..Lora' avlpenaean CI
Sec JAM a to lllW L.U.T. la we pManmact of 11ak1 Clny oppp�aaaa�mmmml���/���{�j
n awed My acner..I' anpmulpl mw/Ial Pa her A
Caner
Pao No
fr.n..a.....t. n
U I r Magadan me nce o lot e too f evert.
ILILTMraga/ Deay Oaken End maarersatl1a. !nab
yin
per'aa4 gnat Cmoviso.at Spun At. ail
COe.'LgearetMnpan,arna Sw°. of the Lobar IMal laOram
Wnpv arm TObaM9an
Date :Wiwi/!. April ant
WARNaO.' iA04Rf TOFECJPE ,.aIKLIaS roaaENtA Dan
COVERAOEK UNIAWFW_ AND AVM< SLIIIECEAMF.IatOKR TO
CRNWNAL PCNALTI S AND CML FNE T UP T() ONE HUMORED
OMLSAM000 L4R5 410Apb). ay AD!!MV TO THE COST OF
COMPENSATION 0440.4 GEE AS PROVWCD MR W SECTION 370ll Oe
Me 4,809 , MERSt, AND ATIMNEYS FEES.
CONSTRUCTION LENDING AGENCY
herebyafMn Nder penatNol CMMv W: Owe is consTJapn tOlaato MLTC.,
late wllamaos as -at 1a Y.am Via pamt Is asuac (Sea SOW. Cn. C.).
LTeYe Name
trades Address
I only that I have aeao trw gtpcal al and eta a Tat ma 000ra mtamala' .1
wtect : sate, to array veal al ON aW eacty allnana, wale lags rs'
TO bYdq anarva tt. ale eaten. >of manly
I.ore
•s rifler wanaMaaNgle ee eir/!
BUILDING PERMIT
BUILDING SAFETY DIVISION
COMMUNITY. ECONOMIC & DEVELOPMENT
SERVICES DEPARTMENT
350 Main Street
EI Seaunaa, CA 90245
la"' (11015242379
So° ti Zoe1 -z-f%S
I h , N AL. r nOON rq y,
D0/1 6/9VCc� Wisocmt ?tot-0
ADD�N''
3 3/
J
C4<
21P
90;
L
i e/Av v eJ 39C/
4I-ET1!/41
NGINLEN PHON/ NO
PH
ADOHESS
aye -it -WO— 4J
CITY ATC Z
f s £ aa10 702. eic—
CONTWACTON>NA,¢ CIl\ LIC NO.
nON
PLAN CHECK/PERMIT NUMBER; l% 8/ et do Z
LJ'kcr,IDLI
I.MO Lot
ULW. Ak�A
lab
DAL
1.k4' USE
00.4 P
LOMME.
t.(AV pa L
JLL4. AreA
µ1KHA Motif
7•110N0
..NIPIE,
WOR
%OD.(.{Tcl2J/cl6—
/X? ' _� %r_
t /e? r/ cs>.d
ofef'C _ GU,t
7y._ 32o/.
— So07 c-t
7.e3.)t o4Soz.3A.jbS
2r�
et a
14112
CK.0 GRDu✓OI
1Jn f. IN.v NUL
JJlJ2 fOOrAGE
NO Oi
SfOHIE
/
HNG VHINRL. Cl
(YFs) N)
'3TANSI ICAL CLASS 'ICATIOT
un�J
UNIfIY)
�
LI nit INEarl CT
/�y��
S ._3'c/ATq ,
C
PLAN CHECK FEE 3 a.59. y
V/d ENERGY'
PLAN CHECK 5
r1L1,I.' IIU.MUE.N
1siltLca.G
OAt).
Lai I.
PLAN CHECK FEE S
ENERGY
PLAN CHECK S
M[Lcl✓(NUMbEN
NITNkd a LAle
PERMIT FEE S
RETENTION FEE 5
SNIP FEE S
ACCELERCTEO FEE S
TOTAL BUILDING PERMIT FEE S
_ SCHOOL FEES PAID n1 HEALTH DEPT APPROV IL
r—I SANITATION DIST PAID Q FIRE DEPT APPROVAL
C PUBLIC WORKS FEES PD G j SCPOMD APPROVAL
J OSHA PERMIT OOTAINEO i1 INDUSTRIAL WASTE AP rROVAl
HECLIY( ANIMA,.
INI(IALA
HAIL
µ U
GAIt
APFAyA) ...5/1/j f ..L
AD(D�FFES�SSS �XX �L
o c), -. /{o t'yEr Jahr c<t=-m/li.9
I-91Y ZIPS PHONE _• .3
h !NAME Gy7J9/-_ BI
W Fi//
3 IADD :r ji �•-%h-el/T .PHONE:? /_%43�_
TI
STATEJZ1P iie 7 ,
CITY.R-L U
_yn
ADDRESS PHONE
-_ _ _ ___._..
i, CITY STATE/ZIP - _ __ __.
e NAME y'DJ.E, ' S7-61944r:T.P4i)/CF _ _ _ V
ADDRESS y[ ! A NONEc.
W an_ r %//GA STATEyZIIP/,c�in�fr�G�/
NAME 2/xV(['( / L(.IFY'1 !-
MAILING ADDRESS 1
LR
ec
CITY 1 TELEPHONESa
I ,
STATE ZIP CITY NO
aIN'•by
CI
seem,boor candy Fa al nand aberpmraenClto Upto,9
(Nnersencro eml Sne:n l a of OW Lanni W Praeewm COL and
mylctn$. anlull erect
lztarla Vas Lc_ No t
CNN S9114e t
`.
O
I_
C
}
,.re
WORKER'S COMPENSATION
I tryst) •`.rm unfit' Warty Al Notary
I toss aid 41 mentor. a CMfant
conoeo0ran. es po.ded for by Sececa
cf the wry IN wl*t sal sward a Usury
lhe.e ltd ea moan ,amyl' pomponsnon
31C0 a Ire LSW' Code IN the ptdNnaxt
Ily wNLefi N.M\N N; tnlaaa%t ya
DECLARATION
ore N en. loeosn9 dKdV etMs
0! WINM to oeMhwe IN troikas'
3/0)eery LOON Code. !a dGmenc•
Hare a NOW*, by 5sctun
cl rt AP *NM re penal en '
•Id ' ninbef we
Pc '
QCxre:
Rey LEAN) need AN be Cp{.pt1d
Ea _I ce'FY rat n ea pefN!VK. nl
(4 ! e' of airy pstlon H Vry mane' Is
y Lien el ClA'NrL. cMy' e: illl
CC W vtoos9nf et Section 5. the Libot
• Date
1 e one Nniceetowa (SIDJ) N an t
ic' a arc,t-s dN:ml is asutd I ail nos
to "4 IMCI le M e Olaf' CMWNeb01
fuellct to re ,Nast.' Ccnotnla0Yr I
Code./ tad teerads [only Nth Pose
Ovular!
O WAR IN es pied set', states Nmpeenarorto. ewe:a ucuW. A-4Nat
0 )«10 en- ew ales Ant(NI P. 1 V0 to ore NeM_d thousand
3 : f`.to g
a n15100103.00) sr all ton to the cost f CWapenls'an OarJies Is Nos 440 loom
Se^M31M cl re LeNs Cot rts4es13N anane, l was
i Iweb/ non videPenal NWity Pal I tan esompO•an re Ccn"Klas Leans. Ls.
' IN M 104Ntog onion (See 1031 5 Dulness 3M PICI.IanI Cole) Any coty a COtMy
o dKn finites a peen IC [car al, C•4 mpOe• deno4N e' rope my evasive Nf
: p ns nwWN.. Aso IAllae dry AC:d: ntla slat. perm.) to l V e F rod Mtalin's that no
0/ V* I Stain p rsueN b M ran neaa are CMoICIN5 Lane Lae(Ow 9
(mNnsMaq re Secsm 703010! 044NA. 3 a M Bmardn ed P'c'lacn Gout Of
I Caine N NoisestmsI ttM,C" tad M Pun IN the a49td eaanpton An, s9a0M
a Se+a+ 1031 5 by any sy'ecsnl IN a pe:nuresins M asa.a'4 to I aid waa'ry N
N.I more ran p.lotted • Oa] V a 1S5o01I I
etKs 4,eener a M Prom's0 insemp'01wes eye ayes as Mf ICY cornpsnse:0a or
ra do Pa etnand tC nvud -ol .1 no:.a-led a eyes 4 se. is., 'Ju e]s»u <S
AJ Pt YIs044 Coat) The OrdscAlo(IL nit Las tOtl not appf/ V NCAM1a a vrt.rry
CS •l' luil N m',(eat to P'Im. are ere NMI <n INN horsed a try c,Y1 Ns 0 net Den
0_ tou404u, Hot4H that INN .Tnpd, Crams the NA at:en:eo a ae•ed 1a CA0'r
W Alwtre Ile bJINNannotaT.ml a Seal afros Ore star awTp'eten,MCenes-
}• bustle s4 Ross M tt,Sn of doer.) Mil re Cl sh04 net bud a .tiro. a wary
r., )eaten
0 7s Carte a lit )Weeny. Yn as tanaNy ColitEl- 9 ..r awn', 0en1K9nL
tbvrGn re Nghe ISueca 1044 Buis-e•s a'a Ito'.,0ms Coat Ise Cenoestul
L<e-se Lae day nil •.y'1 n In oero: of carry end tubs e. elNc.tl Mrex. 4'4
np COtlC.4'a s.O projects war a cones00 bRteme Navas/ t0 the C[ )taws
LlYt. tat _
() leta Liars)—vr044''SCt__ BS PC !or Ina sea s:'
Oat. n_a7=; Sr n L
_
CONSTRUCT! L WING AGENCY
WINa ti atom tabor Walt el paste/ rat rt:, re a consuacaln Nn:n9 Wray for f
Cl re pMa.4ce 4 la wok Ed Varna Una SE3091 C. CI
/ swirl ?Urn*
LNdo•N]eest
AUdifekkga
IL An/r•w I • • •
J \ City of El Segundo
DEPARTMENT OF BUILDING SAFETY
aN L.ntL.n iev. 1(V • VL ••••.v .
AMINO ADDRESS no 01 2bLf14../A5
qAf•-- 7o2 BLOCK/PAGE LOT/PARCEL
TYPE OF CON iiiG--ROUP C
USE ZONE �� FE0'D YARDS
At U
' NO STORIES
—SIZE OF CONST.
•
USE F puILDING _- A3C ED.
ho USE - f4rAltgat" I —�)
SPRINKLERED 6E972 NO
1VET STANDPIPES YES -NO
ESCRIPTION OR REMARKS: . NEW y, 'ADDITION I ALTERATION
7bo,C�_ Fg_VV_A_3-oi,59-s'�176
e& 7//co
• I catty vat I ears Ned Wt sprat*. are stale Wl the abase NimaloOn a OIXled.l
ape to c m1y*YJl al COI end rots)/ s and tests laws Isistec 0Wdn9
• cu.snrctan. and rjelwy av pe - tA'Pa eeytotntal Won M abort
Os%
FOR DEPT. USE ONLY
PPL NEC BY7 �z ,^A l"_ I DATkS'
`_tni
' BLDG SAFETY FFIRE DEPT
I
' PLANNING PARKS)BEC
_ i
PUBLIC WORKS I
d10 1,,fl t /U /)UB,UG k Ol: j
CLIP USE , RLDG. AREA
2 CMP USE n/ •BLDG. AREA
p
N CMP USE , BLUD AREA
rfi Die
S
S
Is 35903_ w— -
co ,
s R_>77a [fO
VALUATION OF JOB
Sal I FEE CAT a
ENERGY PLAN CHECK
PLAN CHECK FEE
li BUILGING PERMIT FEE
' PLAN RETENTION FEE
TOTAL
PERMIT ISSUE DATES
READ CONDITIONS BELOW
The oak Iveunted 1) n1u4rM4 of V4 pKmd a Wt,ICI ed ed M ones and invited,. 4N fore er
na Ndntxe Ins sysnlorenu of to C ry N EI Symtld, and the lase of M Stale Cl CW0014 In
noted to f.C)h oars. Ire 4'h InMTMA M'eb.
Tess rwaa tacanet rut afro Aso I eat n not cemmenfed stun On. !unclad Ott/ IIS)) days
' cm 0M Cu? N103001 ce d *opt 'ascended St sly nary Ong Caa0040Y- h for Pt sin* pared of
Ira. or fonts won is d04 sr. rnyalen of M Co Ccanan0l a 5W9 las4 40.efdf was
VALIDATION
DIlOAan WHITE (Owl I YELLOW (AtPcw)
des FOAM 8409 Ptt IN5
INSPECTION RECORD
APPROVALS
DATE
INSPECTOR
Plan Check
APPROVALS
No. 143i,
DATE
.cfp
INSPECTOR
EXCAVATION
DRYWALL
FLOOR JOISTS
STEEL
FRAMING
WALL
ROOF
BOND BEAM
INSULATION
PANELS
-
LATH, EXTERIOR
RETAINING WALL
14TH, INTERIOR
MASONRY
ACOUSTICAL
FENCE
ENERGY
FINAL jf9'"
iiii
J
REMARKS