HomeMy Public PortalAbout4877 FRATUS DR_Building__ APPLICATION FOR BUILDING PERMIT
FOF,APPI.ICANT TO FILL IN (Print or type only)
"'LCI NG r� COUNTY OF LOS ANGELES
ADDRESS f �''/.�- �'�� DEPARTMENT OF COUNTY ENGINEER
CITY e� A!5� �-� ZIP BUILDING AND SAFETY DIVISION '
5X/, O OF BLDGS BUILDING
SIZE OF LO NOW ON LOT ADDRESS
TRAC �9 BLOCK I LOT NO / LOCALITY '
NEAREST
OWNER J �' yv� �%/7 NOL CROSS ST
y ASSESSOR
ADDRESS lfp �� `�� / �� MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROC SED BY
CITY ���T/? `fi ZIP CONST ZONE
ARCHITECT OR TEL
ENGINEER NO
STATISTICAL CLASSIFICATION WER MAP
ADDRESS _ CLASS NO DWELL UNITS BK
CONTRACTOR /�1 �f�G/�/ TEL
7 USE ZONE MAP
ADDRESS j��Q'�v��/I'(��� 71f/% NO SPECIAL
LIC
CONDITIONS
CITY CLASS 00/
ROA DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLD SETBACK FROM a
FRO T PROP LINE OF (STREET) C
ADDRESS CITY L_ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHW Y + YARD - d'
SQ FT �T NO OF FA OF CHECK FRONT PROP LINE HIGHWAY WIDTH c
SIZE 11" STORIES FAMILIES ONE
LL
DESCRIPTION OF WORK NEW ❑ v
J BLDG SETBACK F Z
ADD SIDE PROP LINE OF (STREET)
ALTER ❑ - TOTAL SETS ROM TYPE OF EXISTING
HIGHWAY + YARD -
REPAIRSIDE PROP LINE IGHWAY WIDTH
r` ❑
USE
EXIISOT NG BLDG 1'0Je-40 DEMOL ❑ +
AP PRINT)N�m� ' � TEL% NO��``7�7�G� CORNER CUTOFF YES ❑ NO ❑
IN OPEN SPACE YES ❑ NO
BY (SIGNATURE) ❑
G�eYFFH""�C�' IN COASTAL ZONE YES ❑ NO ❑
VALUATION 'J�/ � �f
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-
STRUCTIONI 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 RELATING TO
WORKMEN'S COMPENSA N INSURANCE
SIGNATURE OF
PERMITTEE
*DDRESS
CITI/V % / NEFIBY
O L' %LATE /
MAKE CHECKS PAYABLE l0 PEE FEE
HARVEY T BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PE IT VALIDATION CK \ o CASH
76A638A CE#803 7/73 l
11 2 8 NMAY 23 1 9 4 2.G Q_a98
78A698ACE#809.796 APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING//�� � �
Department of County Engineer ADDRESS ! `
County of Loa Angeles LOCALITY
JOHN A LAMBIE. COUNTY ENGINEER NEAREST I
CASSATT D GRIFFIN, SUP T OF BUILDING CROSS ST
CT
DISTRIO GRI TYPE �+ I SEWER MAP
FOR APPLICANT TO FILL IN VyJI
CONST
BUILDING/
ADDRESS 77 7 j—�Gf LAs �/= STATISTICAL CLASSIFICATION /
LOT NO ` x BLOCK CLASS NO DWE/L'L UNITS MAP •
S jWY ATE YES
NUMBER 2 /A N
TRACT / USEZ NE SPECIAL
NO OF BLDGS fin{ CONDITIONS
SIZE OF LOT r j-O x I i 1 /�7 NOW ON LOT �()�I —
USE OF
EXISTING BLDG BUILDING EXIST
YARD HWY STREET NAME
OWNER L'./' r SETBACK WIDTH
''7 eCA/ FRONTMAIL
ADORESSrC oO'� T` Q/ SIDE
CITY �K QUI"/ / NO A �4j 1,6P L
INSPECTION RECORD -
ARCHITECT OR TEL
ENGINEER NO
ADDRESS T EL
CONTRACTOR ��r �►' NO/��y �/p�"J'IJ
ADDRESS/�j J'..J`f�'C_ jfg b-
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH -
SQ FT Jj`� NO OF O OF
SIZE / F�J STORIES ILIES -
SE OF ST UCTURt:.
d C/ey _
4x. l�y y
APPROVALS
SIGNATURE O /
APPLICAN DATE INSP, CTOR SSIGNATURE
;ttr__
FOUNDATION
MATERIALSION
;Z O O p C $ Q FRAME FIRE STOPS
FEE BRACING BOLTS 17 7
VA UATIO _ 0 FURNACE LOCATION �+,
FEE -�• GAS VENT DUCTS l'_9
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 ORDINANCES AND LATH EXT
STATE LAWS REGU ING ILD G ON RUCT10 —
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS --� FINAL
JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
ASHLGPLAN CHECK VALIDATIONM o CASH PERMIT VALIDATIO CK- M O -AS-
LG 7
7 2.5 4- APR 16 11. 6 6.5 0
b�P0 7 '2 5 5 APR 16 1 2 8.0 0