Loading...
HomeMy Public PortalAbout4886 FRATUS DR_Building__ r - 7GA63'A GE#803.756 APPLICATION FO BUILDING PERMIT 1 BUILDING AND SAFETY DIVISION ADDRESS �j►C+/ �� iii �-7 Department of County Engineer ADDRE County of Los Angeles LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST CASSATT D GRIFFIN, SUPT of BUILDING CROSS ST •�^ DISTRICT NO `ROUP TYPE ,,,[SEWER MAP G FOR APPLICANT TO FILL IN CONST BUILDING ...y� ADDRESS y�� STATISTICAL CLASSIFICATION / LOT NO V BLOCK CLASS NOi(�LCDWELL UNITS�I TRACT r�, NUMB ER O /6 SHWY YES O ��JS...E NE SPECIAL [- NO OF_13LDGS 1/r _ +� CONDITIONS SIZE OF LOTS©�ZJ X 'D V I NOW ON LOT NQ�J `ISSS _ USE OF EXISTING BLDG BUILDINGEXIST SETBACK YARD HWY STREET NAME WIDTH OWNER *� �l/ FRONT MAIL ,//7!y1 ' // P L ADDRESS 74 m Lemic 6 r��I SIDE P L - CITY S'R h ��f f-i Trio INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS EL CONTRACTOR CJ^✓' e � NO ADDRESS "27'Z 2 SQf1 C�ct6H�� DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SO FT11,111-5— ��L` NO OF N F SIZE / J STORIES tIES USE OF STRUCT ptaK mIN-T igv E. Fesl T.'&,eg W- '" 3 APPROVALS SIGNATURE OF y`� APPLICANT DATE INS,eECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION I - FORMS MATERIALS '� �9Z „r•P Qi1,�� .,. =a 066 P C SFRAME FIRE STOPS � rra BRACING BOLTS VAL IQN O 0 FEE FURNACE GAS VENT DUBCTSN 7 /�/./ o 4 FEE I HEREBYK 4W AT 1 HAVE READ THIS AP- LATH INT PLICATION Al /.T TH T HE ABOVE IS CORRECT AND V AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT G STATE LAWS REGULA . >UILD; O RUCTION — SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS /'Z Zr-� I �"�- 4Y• FINAL JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION c m o CASH PERMIT VALIDATION CK M o CASH i ►f„`7 2,,4-O—L,, APR 16 16 6.5 0 LAC0 7 2 4 1 APR 16 1 ' 2 8.0 0 4 + 76A638ACE#8032-63,APPLICATION FOR B'U,ILDING PERMIT � f COUNTY'OF LOS ANGELES- SU ILD IN -DEPARTMENT OF COUNTY ENGINEER ADDRESS -BUILDING AND SAFETY DIVISION` LOCALITY / t JOHN A LAMBIE COUNTY ENGINEER NEAREST ZC. WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST- DISTT G OUP TYPE P SSED BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS d J - 'CLASS NO _DWELL UNITS LOT NO BLOCK^ ' WATER RECEIVED y 1 CERTIFICATE NOT REQUIRED RECEI ❑ TRACT, �` MAP q HIGHWAY II�LLTTT , �- NOp/�/ - (CIRCLE) STATE MAJOR SECOND OCAL NO, OF BLDGS SIZE OF LO - NOW ON LOT, USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG F { / OWNER ,f J V NO BUILDING EXIST' I 'SETBACK YARD HWY STREET NAME WIDTH rADDRES (?6 TA?.L.7C t FRONT ARCHITECT OR TEL P L ENGINEER NO- SIDE } P L d ADDRESS f� O CONTRA �/ 7 t � ADDRESS 0/', , O ' DESCRIPTION OF W RK _ a . NEW AD - ALTER REPAIR DEMOLISH SQ FT �._ NO OF NO OF / I SIZE 3 -STORIES FAMILIES - r USE OF STRUCTURE _ SIGNATURE OF > APPLICANT _ ',VALUATION S "37 C/ APPROVALS DATE jN PECTOR S 51 ATURE PC ,. PMT `FOUNDATION LOCATION '/ _ - FEE S - FEE S 'a FORMS MATERIALS r { ' FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT_I HAVE READ THIS APPLICATION BRACING BOLTS rAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION �. r WITHALL COUNTY.ORDINANCES AND STATE LAWS REGULATING _GAS VENT DUCTS ' k BUILDING CONSTRUCTION I CERTIFY THAT IN DOING ,THE ,WORK t) AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN V10 LATH INTI �IdIA TION.OF THE LABOR CODE OF THE STATE OF CALIFORNIA RE -, �_ ` _ ING.TO WORKMEN S COMPENSAT ON I ANCE I r LATH EXT ap SIGNATUR = °� OUSE,NUMBER COR - PERMITTE RECT AND POSTED ADDRESS INAL r° r L JOHN F LEWIS PRINCIPALfSTRU RAL ENGINEER PLAN CHECK VALIDATION, CK MOI CASH _ ,PERMIT VALIDATION CK M O CASH L11Lo`5 6 7- FEB 17 '1 D 1 8.50—,, c APPLICATION FOR BUILDING PERMIT � COUNTY OF LbS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO ALL IN BUILDING yk USIZEOFLOT I D ESS �i I hereby affirm that I have a certificate of consent to self in _ or a certificate of Workers'Compensation Insurance,or a ceITY z copy thereof Pec 33800,Lab C) LOCALITYPOMC o Companyi NO OF BL GS NOW ON LOT ��/ Certified copy is hereby furnished NEAREST CROSS ST ❑ Certified Copy Is filed with the county bulldl g Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Dat Applicant ASSESSOR MAP BOOK PAGE PARCEL PP v SPECIAL CONDITIONS CERTIFICATE OF EXE MPTI FROM WORKERS' Ow ER TEL NO COMPENSATION INSURANCE ADDR WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed If the permit Is for one hundred DISTRICT GROUP TYPE C ST, FIRE ZONE PROCESSED BY dollars($100)or less) CI ZIP I certify that In the performance of the work for which this permit / ,40 Is Issued, I shall not employ any person In any manner so as to ARCHrrECT OFT-ENGINEER TEL NO O - J become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO 520 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TE N P Y 1 .� M SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith t lr FRONT comply with such provisions or this permit shall be deemed revoked ADD ES LIp NO PL SIDE c- LICENSED CONTRACTORS DECLARATION LI CLAss PL o I hereby affirm that I am licensed under provisions of Chapter 9 � SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and SQ FrSIZE NO OF STORES NdFAMILIES Professions Code,and my license is In full force and effect NEW ❑ BK PG , co~7 License Number 4a-3 t 2 LIC Class�� DE IPTION OF WORK ADD ❑ VALUATION a Contractord'e.t�C1T.;Q6 /M-w=4���,�7 ALTER ❑ $�� z ❑ I am exempt under Sec REPAIR B&P C for this reason DEMOL ❑ �LDMA P/C# a USE OF EXI TING G ❑ Slgnatur LDMA Perm# APPLICANT(PRINT) TEL NO Fir I °vg ElI, as owner of the rty, or my employees with wages as p 3307 117.913 their sole compens Ion, will do the work and the structure Is ADDRESS not Intended or offered for sale (Section 7044, Business and _FINAL DATE Q I ITEMS Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL CII - Q 111TAL 117 a 90 ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN _ P P Y Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j j f° j'1 licensed contractors to construct the project (Section 7044, CHECK 1 a Business and Professions Code) vas❑ No❑ �{/' _ WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING I_'"�jjlyvE °CIO OCCUPANT REQUIQUALITY MANAGET FOR MENT DISTRICT (SNOMD)SE(CATION FROM THE SOUTH e�1W1 � (1�� �_ O/C CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST 7W �I FOR GUIDELINES I hereby affirm that there Is a construction lending agency for YES ElNO Elthe performance of the work for which this permit is Issued(Sec �0000-000t/3 ��_r 3097,CIV C) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD _ _ L+ ° -, PERMITTING CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES �q. y +•{1 �iJ„ Lenders Name COUNTYCODE TITLE2 CHAPTER 220 SECTIONS 2 20 100 THROUGH 220140 CONCERNING HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD a Lenders Address IL OWNER OR AGSM 0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE $ Information Is correct 1 agree to comply with all county a a N ordinances and State laws relating to building construction,and a hereb authorize representatives of this County to enter upon ISSUANCE FEE the o e-mentioned perty for Ins ction purposes �.- INVESTIGATION FEE TOTAL FEE SlpneNA d Appllnn � Dib //�' 9 0 SEE REVERSE FOR EXPLANATORY LA G