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HomeMy Public PortalAbout4867 FRATUS DR_Building__ ' 1 76AG38A CE#803 7S6 APPLICATION FOR BUILDING PERMIT ea BUILDING AND SAFETY DIVISION BUILDING / /� ADDRESS 5 ' 1(/ / � Department of County Engineer �— County of Los Angeles LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST DISTRICT GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN B c �j�� ,�[ � � CONST ADDREBUILDSNG S 7/i - —��^!t/N DYE i—� STATISTICAL CLASSIFICATION LOT NO �: j— CLASS NO SLDW/EL/L' UNITS BLOCK NUMMAPBER o16 6 STATE HWY YES NO TRACT .. �,! U�O E SPECIAL _ /�� /� NO OF BLDGS CONDITIONS SIZE OF LOT Jy �1O X?b fS� NOW ON LOT �Q 4 QO USE OF _ EXISTING BLDG BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER �/ �'-f //� �",l�P`� _ _ FRONT MAIL L P L ADDRESS `� /�11�/� SIDE CITY �Q h Qtr/ �P-/ No JQLj P L INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS '_/ ` CONTRACTOR ``77 •;/�. {�/VZ-#-/,�NyOL#j-L /w ADDRESS �/2Z. S h: �+ 45 41 Bird, DESCRIPTION OF WORK NEW L' ADD ALTER REPAIR DEMOLISH SQ FT j ( �) NO OF / N OF SIZE // l/ STORIES / F ILIES US OF STRUCTURT r APPROVALS SIGNATURE OF APPLICANT / DATE INSPECTOR S SIGNATURE ADDRE ? Z f�JC 6j 463^/el FOUNDATION LOCATION , A ••�-�► FORMS MATERIALS rQ 1 .1/6 A 3m P C S FRAME FIRE STOPS �_ FEE BRACING BOLTS VALUATION I FURNACE LOCATION - -_97 A G FEE GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND `- AGREE TO COMPLY WITH ALL COUNTY ORCDDIIINANCES AND d N STATE LAWS REGU 1L`�Lq C¢NS RUCTION LATH EXT SIGNATURE OF %/ HOUSE NUMBER COR- f PERMITTEE RECT AND POSTED ADDRE 24' r-7 SA"_W FINAL JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK m O CASH PERMIT VALIDATIO cK M o CASH LMCC;0 2 5 2 - APR 16 1 6 6.50 In 725 ��' APR16 1 2800 "� 78A338A CE#803-8-57 APPLICATION FOR BUILDING PER I � 1 COUNTY OF LOS ANGELES BUILDING Ir DEPARTMENT OF'COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ol JOHN A LAMBIE,COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUPT OF BUILDING CROSS ST Acl T DISTRICT NO GROUP .TYPESEWER MAP�P FOR APPLICANT TO FILL IN .� CONST. SK BUILD / BUILDIN DDRESS G I_ ♦ STATISTICAL CLASSIFICATION I S LOT NO / ` BLOCK CLASS NO DWELL UNITS MAP STATE YES NUMBER HWY TRACT USE ONE SPECIAL SIZE OF LOT �Q� Q NO OF OW ON LOTS CONDITIONS USE OF EXISTING BLDG BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER / FRONT Of I MAIL ADDRESS CO ( ' ^ea:Ll ,. SIDE CITY ` I No , P L INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS Kiya I TEL CONTRACTOR g`vNO ADDRESS DESCRIPTION OF WORK E ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE STRUCTQ. IJAL Id 4 RE 1 SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION P C $ FORMS MATERIALS - FRAME FIRE STOPS 5 FEE BRACING BOLTS VALUATION $ �- FURNACE LOCATION FEE GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG U ING BUILDING C NSTRUCTIO LATH EXT SIGNATURE O HOUSE NUMBER COR. PERMIT RECT AND POSTED ADDRESSi- iFINAL II II JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M o CASH MAR 7 PERMIT VALIDATIIOON CK mo sH AP ! 4 O 1 -1 MAR 2 / A 2.00 M 7GAG98A CE#803 11-57APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS /vo, BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE.COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUP T OF BUILDING CROSS ST DISTRIC GROUP I TYPE SEWER MAP FOR APPLIC T PG CONST BUILDING ADDRESS STATISTICASIFICATION I _ / CLASS NO DWELL UNITS LOT NO JS BLOCK MAP STATE NUMBER HWY YES O TRACT USE ZO E SPECIAL NO OF BLDGS / C NDITIONS SIZE OF LG?. IS NOW ON LOT USE OF EXISTING BLDG _ B LDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER " FRONT —� ADDRESS L p igeAnruS i SIDE TELArCITYlZ NO el P L ARCHITECT OR TEL INSPECTION RECORD ENGINEER NO ADDRESS , [ TEL »�— CONTRACTOR NO ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF r NO OF SIZE STORIES FA (LIES USE OF STRUCTURE SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR SSIGNATURE ADDRESS 66Z 7 a FOUNDATION LOCATION FORMS MATERIALS B'V P C FRAME FIRE STOPS y FEE BRACING BOLTS VALUATIONS B(J FURNACE LOCATION J `/ FEE - GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEF RECT AND POSTED ADDRESS FINAL / CLYDE N DIRLAM, PRINCIPAL STRUCTURA!EENGINEER PLAN CHECK VALIDATION CK. M o CASH PERMIT VALIDATION CK mo art ,� CO3' 4 5°°" AUG 7 1 A' 2.0 0 WORKERS' COMPENSATION DECLARATION nt to self insureboraffirm certificate that te of Workers' Compensation eInsurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polcy,No)N6:51I Company BUILDING ❑ / -7 ' Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS (7 Certified copy is filed with the county building inspec- BUILDING tion departm�eent �/,, r,,�S L T ADDRESSJi S (- Date ' k '� O Applcant�.J r w WI Vr, CITY .Q ZIP [ LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' O OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one n TRACT BLOCK LOT NO MAP BOOK/J ASSESSOR PAGE PARCEL hundred dollars ($100)or less ) TEL OWNER N USE Z,QNE 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 SPECIAL so as to become subject to the Workers'Compensation Laws CONDITIONS O Date Applicant CITY ZIP NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL DISTRICT GUP TYPE FIRE PRO ESSED BY O Exemption, you should become subject=to the Workers' ENGINEER NO /1 CONST. / ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESSr IKI (/ W with comply with such provisions or this permit shall be TELr�G yr, D..' deemed revoked CONTRA TOR Col-ar $ t NO 4 p S`a 16C� STATISTICAL CLASSIFICA)TION APT ONDO Z LICENSED CONTRACTORS DECLARATION jC CLASS NO pi l DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS DOT 5, NO Z2O (commencing with Section 7000)of Division 3 of the Business and (( LIC SEWER AP Professions Code, and my license is in full force and effect CITY bV` ,✓ CLASS BK PG VALIDATION �© SO FT, NO OF NO License Number Lic OF CHECK Class '� SIZE STORIES FAMILIES ONE W� L 2 VALUATION Contractor Date —JD—v DESCRIPTION OF WORK NEW ❑ : ADD ❑ !V ❑ I am exempt under Sec ❑ ALTER B 8P C for this reasonA REPAIR $ Dote USE OF EXISTING BLDG DEMOL ❑ z 9 6 Lk 6 A Signature APPLICANT TEL g FINAL PRINT NO OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License 1 o - 49.88 Law for the following reason (Section 7031 5, Business and ADDRESS FIN Professions Code) PRESENT BUILDING By o 0 0 4 9.'8 8 3 ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and O a 2 0-8 8 ' the structure is not intended or offered for sale(Section LOCALITY loop. I 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- ADDRESS tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK F CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH i I hereby affirm that there is a construction lending agency for FRONT the perfdrmance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE PL Lender's Name LDMA Ref # m Lender's Address PC Fee$ Permit Fee J 3 /^� g I certify that I have read this application and state that the Issuance Fee ! V kLDA P/C# o above information is correct I agree to comply with all County Investigation Fee LDA AA ordinances and State jaws relating to building construction, Total Fee - LDA Perm # N and hereby authorize representatives of this County to enter m upon the abo me ned erty for inspection purposes M m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ppjicant or A t Date