HomeMy Public PortalAbout9445 LAS TUNAS DR_Building_8/16/1974_wall sign APPLICATION FOR BUILDING PERMIT s'I
,FOR KPPLICANT TO FILL IN (Print or type only) lJ
BUILcwG COUNTY OF LOS,ANGELES
ADDRESS tJ-�� 4A�- `Y11i-11 fJ��:'• DEPARTMENT OF COUNTY ENGINEER
CITY "� _h't( 1� C— 1 ZIR BUILDING-AND SAFETY DIVISION
O.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRESS _
TRACT BL CK- LOT NO. LOCALITY
�•• - TEL. NEAREST
OWNER {.�--),Ti-F-d!5 - NO. CROSS ST-.
ASSESSOR
ADDRESS ,AmE MAP BOOK - PAGE - - PARCEL
DISTRICT' GROUP T E FIRE OC SED Y
CITY ZIP .. - NST. Z,Q�IE i
ARCHITECT OR �� - TEL.
ENGINEER NO.
STATISTfCAL"CLASSfFICATION SEWER MAP
ADDRESS J�
'CLASS NO.�(.L_DWELL.UNITS BK PG
CONTRACTOR13 P,l L./M NO.`J(�Ct-ItiyY1(.'7 'USE ZONE MAP
�� .LIC. -5 NO. Ia
ADDRESS 70 3 L dLAzFL e-t NO. L1 /j� / / '�` SPECIA`L
A' LIC. a 11 CONDITIONS
CITY 'lf. CI� COD," CLASS q"�F
ROAD DEPARTMENT APPROVAL REQUIRED YES� NO
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SET--BACK FROM a
- FRONT ROP.LINE OF - (STREET) L
ADDRESS �- CITY
TOTAL SETBACK FROM TYPE OF EXISTING
NO. OF NO. OF CHECK HIGHW Y } YARD - HIGHWAY WIDTH
SQ. FT. 'FRONT PROP: LINE C
SIZE S I FAMILIES ONEC:l L
DESCRIPTION OF'WORK tSYA1C. NEW BLDG.SE
��' ADD SIDE PROP. LINE OF (STREET)
y.y�,AL� ✓ IALTER ❑
HIGHWAY } VARD = TOTAL SETBACK FROM OF EXISTING
- �� - REPAIR[] - � SIDE PROP. LINE HIGH Y WIDTH
USE OF DEMOL ❑ _.} c
EXISTING BLDG,
APPLICANT TEL _ CORNER CUTOFF` YES'[] .. NO
(PRINT) NO.
r
BY (SIGNATURE) IN OPEN SPACE. YES El NO,❑.
IN COASTAL ZONE YES �. NO
VALUATION$, 3- `-t0•�— ,
r 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- '
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL' NOT"EMPLOY ANY PERSON IN VIOLATION OF THE- -
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATOG TO _
WORKMEN'SCO;JA�;NC INSURANESIGNATURE O
'PERMITTEE c•^- _ _
ADDRESS
FINAL - p^Y BY
TE L.. DATE/6),�1 tJ �I 1 iALf
CITY NO:
MAKE CHECKS PAYABLE TO: FEE FEE N
HARVEY T. BRANbT. COUNTY ENGINEER �fj 4
PLAN CHECK.VALIDATION cK. ._ CASH PERMIT .VALIDATION cK. M.O. CASH
,2 5 6 il�JUL 30 .2 3 D 1"'g.8 0 m
5 6:6.tiAU_G. 16 . 1 0_✓
76A638A CE#803 7/73