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HomeMy Public PortalAbout4933 FRATUS DR_Building__ r DEPARTMENT OF BUILDING AND SAFETY U i L ® i N G COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER APPLICATION ti FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY MIT NO BUILDING `y ,.Av' �� (� DISTRICTNO. PLANCK OR No q ,gER3 ADDRESS 4 c../ /' i W 000ccc...ttt... {,TT�,/t^� F \�'l II66// 33 LOCALITY p�Cj r/7// '1!�,p,/ •Ez 0/7-Y •�I��-EIV D BY DATE°F APPL. DATE ISSUED NEAREST 6/ //�� CROSS ST. J BUILDING r] tr I' f��) ADDRESS' "'� r TU J D I� MAIL ft LOCALITY TF M PLF ADDRE99 j D Q NEAREST ��"/1'C ' TEL- CR098 ST. S a CITY `````` NO � � FIRE I NO.OF I TYPF- GROUP= ARCHITECT OR TEL ZONE PLANS ENGINEER NO. BLDG. ORD NO. SETBACKcLINE Zp M L I LL ADDRESS USE APPROVED , �. TEL. ZONE BY DATE CONTRACTO ,+C' , pc,44 E-NO. � HO/USE NUMBERING ADDRESS AA vied/6 V151pJ�� MAP NUMBER � 1 � NO ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT / /0 !�x 75- NO OF BlDO.. SIZE OF LOT X/3 Z NOW ON LOT N USE OF NO OF - EXISTIN BLDG I FAMILIES DESCRIPTION OF WORK NEW ALTERATION ADDITION O y REPAIR DEMOLITION r SU FT' /07913 NOFlflu�92� TTQ/P >�pMfiiC PILOr3iOg. SIZE ROOM. STORIES i-G'1 h/�T�e ���r v � �•O i�Q EXT WALL -r rw ^ I ROOF "*' A po -COVERING (f(. o COVERING (- /-, USE OF STRUCTURE t d / 8'k io Leo `— INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION LOCATION 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, G, CORRECTBRACING, BOLTS E / I AGRECOMPLY WITH ALL COUNTY RDINANCES AND STATE W EGULATING BUI G TRUCTION FURNACE: LOCATION, �. GAS VENT, DUCTS SIGNATURE O LATH, INT. PERMITTEE ' I LATH. EXT. ADDRESS ', t , PLASTER, INT. AUTHORIZED AOT. aGa PLASTER, EXT. -, FEE ��- HOUSE NUMBER COR- RECT AND POSTED y VALUATION --ra FEE cyN �y FINAL 76A63BA DBS 3 7-51 WORKERS' COMPENSATION DECLARATION fiinsu herebyaffirm that I have a certificate of consent to self tre, or a certificate of Workers'Compenstion Insurance, or APPLICATION FOILDING PERMIT a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company F1Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 4933 N. FratUS Dr. EJBUILDING tion copy is filed with the county building inspec- BUILDING tion department ADDRESS 4933 N. Fratus Dr., LOCALITY Temple City NEAREST Date Applicant CITY Temple CitV ZIP 91780 CROSS ST Siparklett St. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 4 7 r x 13 2 1 NOW ON LOTNO OF BILDGS 2 MAP BOOK 8590 , PAGE 3 O PARCEL 2 9 - ASSESSOR COMPENSATION INSURANCE (This section need not be completed if the permit is for one -- USE z NE MAP hundred dollars ($100)or less ) TRACT 16475 BLOCK LOT NO 145 NO (lam y TEL SPECIAL IL I certify that in the performance of the work for which this OWNERRic and E Cla ton NO 443-1246 1 CONDITIONS O permit is issued I shall not employ any person in any manner DISTRICT I GROUP ITYPE FIRE E D B so as to become subject to the Workers' pensation Laws ADDRESS Same as above , /� t3 CON S7 / ZONE � 8/19/81 CITY ZIP /✓• •V/ 3 Date Applicant STATISTICAL CLASSIFICATION APT CONDO W NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR EL Exemption you should become subject to the Workers' ENGINEER N/A NO CLASS NO �+ DWELL UNITS Compensation provisions of the Labor Code, you must forth ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL deemed revoked, CONTRACTOR N NO BK J PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC / Professions Code, and my license is in full force and effect CITY CLASS $ SQ FT NO OF NO OF CHECK License Number Lic Class SIZE 1.60 STORIES � FAMILIES � ONE ` NEW ❑ $ Contractor � pate DESCRIPTION OF WORK _ ❑ I am exempt from the licensing requirements as I am a Room expansion Jr ADD ❑ licensed architect or a registered professional engineer ALTER ® FINAL 1 o��'Q/ acting in my professional capacity (Section 7051, REPAIR ❑ DATE ( ()( Business and,Professions Code) USE OF FINAL, /. Lic or Reg No _Date EXISTING XISTIAPPLIGBLDG Residence TEL DEMOL ❑ I OWNER-BUILDER DECLARATION (PRINT) R. E. -Clayton NO 443-1246 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS Same as 'above Professions Code) l PRESENT BUILDING 4933 N. Fratus Dr. X I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and le z 0 8 5 2 A the structure is not intended or offered for sale(Section LOCALTem City y 7044, Business and Professions Code) - MOVING TEL #,o 010 0 0 1 ❑ j, as owner of the property, am exclusively contracting CONTRACTOR N/A NO 2 -,-'7 9,0 0 with licensed contractors to construct the project (Sec- [ACDDRE,SS tion 7044, Business and Professions Code) o 0 0 ]9,0 0 v REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH ✓ I hereby affirm that there is a construction lending agency for FRONT ��` 2 —81, the performance of the work for which this permit is issued P L �0 -Z v Z (Sec 3097, Civ C ) SIDE PL J Lender's Name m Fee$ Permit FeebLender s Address w I certify that I have read this application and state that thessuance Feea above information is correct I agree to comply with all County vestiation Fee b 0 ordinances and State laws relating to building construction, and hereby authorize representatives ofthis County to enter Total Fee upon the above-mentioned'prgperty for inspection purposes m , SEE REVERSE FOR EXPLANATORY LANGUAGE Sigre of Appl,m or Agent Date , \ _ ©s