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Home My Public Portal About5004 FRATUS DR_Building__ 76A638A CE#g03 5-65APPLICATION FOR BUILDI G PERMI - A _ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS d BUILDING AND SAFETY DIVISION LOCALITY 77 C_ , JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DISTRLC TNO� G P TYPE PR B FOR APPLICANT TO FILL I CSC/) CONST BUILDING /} STATISTICAL C��/Q,SB IFICATION SE ER MAP ADDRESS 0l/ _ CLASS NO .._DWELL UNITS 6K PG LOT NOD BLOCK USE ZONE MAP D {/� NO TRACT J /]" SPECIAL NO OF BLDGS I[ CONDITIONS SIZE OF LOT NOW ON LOT ' USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L r CITY BLDG SETBACK FROM ARCHITECT OR TEL SIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L T + CON T �2J' E j � _ 0 S NI (/ y(/ � CORNER CUTOFF YES NO OV Lc OC CITY CILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK u W d NEW ADD ALTER REPAIR DEMOLISH N Z SQ FT NO OF NO OF SIZE $TORIES FAMILIES USE OF STRUCTURE f' % GNATUREOF APPLICANT VALUATION$ ) U C) APPROVALS DATE INSPECTOR'S SIGNATURE P C v— PMT FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS �l 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION IN U NCE LATH EXT SIGNATU <,;V HOUSE NUMBER COR- P ERMITT RECT AND POSTED jt D {It ADDRESS F I N A L JOHN F LEWIS PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH LAC;,,8',7 0 2-0 JAN 1 1 1 D 4.00- 4 16A 9E_#803 3-69 APPLICATION FOR BUILDIN�GP E:R M& I COUNTY OF LOS ANGELES ABUILDING DDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY' JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST -&0 CROSS ST L DISTRICT NO GROUP _ TYPE CONST PROCESSED BY FADDRESS R APPLICANT TO FILL IN i � (PRINT OR TYPE ONLY) � �"' l ;= 0c 4CLASSSTATISNIOCAL CL=FDWELLONUNITS SEWER MAP PG r 1�'Q O BLOCK USE ZONE NO _ 1 /� / ISPECAL NO OF BLDGS �( CONDTIONS SIZE OF LOT NOW ON LOT �, r USE OFn EXISTING BLDG b'ftF_ .lt4(, w GAR BLDG SETBACK FROM a, TEL FRONT PROP LINE OF �L11'y" TG�S (STREET) \" OWNER LU MALLSN NO O TYPE OF EXISTING SETBACK HIGHWAY + ' YARD = TOTAL ADDRESS � I� +t HIGHWAY '(WID1T�H FROM CALL 3'f CITY -I L�ICv qll 1_L,L_ vr7 ' / + ARCHITECT OR TEL BLDG SETBACK FROM �1 �—(STREET) ENGINEER NO SIDE PROP LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRACTOR `' nl,D NOL T. L � + - C LIC ADDRESSZ . wvrz1W NO I CORNER CUTOFF YES NO ❑ L' oc CITY 4LV CLASS i SEE RE ERSE ID FOR SPE IAL APPROVALS CONSTRUCTION LENDER w NAME AND BRANCH CL Ln ADDRESSlop Z SO FT NO OF NO OF SIZE `3 ADDtSTORIES FAMILIES NEW ❑ USE OF STRUCT/UURyE�y�( �i�Z,��. rA �l ALTER ❑ fid/./V -noN REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT Od VALUATION .1350 O `APPROVALS DATE NSPE 'r s N URE P C PMT �J i FOUNDATI LOCATION 141- L FEE $ FEE $ / yS FORMS MATERIALS IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE OPS, / BRACING BO S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATI WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- \ PENSATION INSURAN '`VE S�! pMAA�e f LATH, EXT SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE� AND POSTED d ADDRESS FINAL JOHN F LEWIS, PRINCIPAL S WCTURAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION /�GKJ M 0 CASH P 1 7 9 9%Q Sul 2 1 0 2 7.75Y 76A638A CE #803 3-69 APPLICATION FOR BUIL I NG PER IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUP'T OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO ou TYPEfLUtJST PROC ss r (PRINT OR TYPE ONLY) S. O BUILDING STATISTICAL CLASSIFICATION r y SEWER MAP ADDRESS CLASS NO ��DWELL UNITS - BK PG LOT NO BLOCK USE ZONE MAP — NO 11 TRACT /" SPECIAL s- NO OF BLDGS I J CONDITIONS SIZE OF LOT NOW ON LOT i USE OF EXISTING BLDG t G BLDG SETBACK FROM TEL FRONT PROP LINE,OF_ (STREET) OWNER IL . ALUEW NO T OF EXISTING SETBACK HIGHWAY + -YARD - TOTAL ADDRESS J ��-TI� & HIGH Y WIDTH FROM C L CITY + ARCHITECT OR TEL BLDG SETBACK-FROM _ (STREET) ENGINEER NO SIDE PROP LINE OF TYPE OF EXISTING -SETBACK HIGHWAY ' + - TOTAL' ADDRESS ;1HIGHWAY WIDTH FROM C L EL CONTRACTOR UK' I�.GJG wvuo - + ADDRESS �� NO GO CORNER CUTOFF YES p NO ❑ CITY hofs-MBF-Lto CLASS ^�) SEE REVERSE SIDE FOR SPECIAL APPROVALS 0 CONSTRUCTION LENDER ~ NAME AND BRANCH u. CL ADDRESS N Z SO FT NO OF NO OF ❑ SIZE STORIES FAMILIES NEW LAPPLICANT F Ve Q L 0 Or ADD ❑ ' ALTER fi� tREPAIR ❑DEMOL vu7 APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE $ FORMS, ORMS MATERIALS IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE LOCATION, TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA LIN RELATING TO WORKMEN'S COM- PENSATION INSURANCE �U`�� ./� LATH, EXT SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE ,U� AND POSTED ADDRESS- lk%jraxA Vb FINAL JOHN F LEWIS, PRIN6PAL STR CT RAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION cK M . CASH DEPARTMENT OF BUMDIND3,AND SAFETY APPLICATION FOR PERMIT COUNTYS_OFILOANGELES 1 WM. J. FOX.:CHIEF ENGINEER' i bu FOR APPLI64NT tTO;FILL. IN FOR OFFICE USE ONLY d f^ s .r / 1 ct t� 'DISTRICT,NO. _,,i-PLAN"CK.NO. a PERMIT NO. ADD 6IBB a7 �71s LOCALITY Calif �a RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST ,�. Y� ,t '- '' , CROSS IST." �''.4',8.'fi4. a Dr.11 a, - {p �#h �v +�- s�1 BUILDING OWNER , 4TJRi� HOMES .LNGS, � - ADDRESS MAIL re�� . 4 ► w y LOCALITY yT`+C.C .Jr ..4 ADD RESB 26 �a,qt -Santa 0lara 5 l�o .•� s�'f A 1-1d V NEAREST Qt r ;, fi,,,,, TEL. t�t CROSS ST B CITY read i . N O L- {+!!��}6�� , ti T FIRE NO OF 1! TYPE ORO 1 ARCHtTECT,OR _TEL. ZONE PLANS "ENGINEER- _ NO !:r BLDG.' p'�� R •NO _ ADDRESS • SETBACK LINE APPROVED, TEL. BY` S DATE OO-NTRSA Me S II_t® NO U USE �' � APPROVED" ' AD RHB y *ZONE BY DATE DESCRIPTION LOT NO CTO BLOCK 1 - CORRECTIONS TRACT v` tr."s i..7 v 4 .Si, / 7 '''j ` NO OF BLOBS. h7�i7 u F'_ C SIZE OF LOT',59, , S„� I NOW ON LOT :7O ^D G J USE Or NO.OF NO OF EX{STING BLDG. s FAMILIEB _ ROOMS- DESCRIPTION'OF WORK ` NEW ALTERATION ADDITION - O ` REPAIR MOVING DEMOLISH 9q.FT. 'NO OF _ SIZE- ROOMS 4 STORIES - WALL ,{. ROOF COVERING P` ' { t -COVERING BBu LODINO C) ft y E j I HEREBY ACKNOWLEDGE THAT 1 HAVE READ rTHIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDAT113N- LOCATION - INSPECTOR- DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAMES FIRE STOPS. SIGNATURE OF i ,may BRACING,DOLTS R HOMS 0 PERMITTL , LATH, INT:' AUTHORIZED AGT LATH, EXT. �rj + ` € 76A69BA-3,8-60 �r P.`C.S •' p PLASTER,INT. FEE �4Ct7�� PLASTER.EXT. - +VALUATION -n ;518 FINAL FEE WORKERS' COMPENSATION DECLARATIOm insure,oraafcertif cafirm tharte of Workers' Comtpensat on eInsuran ent to lf APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800, Lab CC ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polcy Company _972r-4r— o `� ,V BUILDING r�rr Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county buildm inspec- BUILDING tion department ADDRESS _(:719a4 EdAMS VT /� Date Applicant CITY v` ZIP LOCALITY ' CERTIFICATE OF EXEMPTION FROM RKERS' NO 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 ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL USE ZONEMAP I certify that on'the performance of the-work for which this OW R N NO permit is issued, I shall not employ any person in any manner �s _ SPECIALr so as to become subject to the Workers'Compensation Lows ADDRESS�Q / CONDITIONS 0 1 0, Date Applicant CITY _ ZIP �y NOTICE TO APPLICANT 'If, after making this Certificate of ARCHIT CT bR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY 0 V Exemption, you should become subject to the Workers' ENGINEER NO CONST NE ..-, �`� / Compensation provisions of the Labor Code, you must forth- ADDRESS -,00 V a with comply with such provisions or this permit shall be NLO �y STATISTICAL CLASSIFIC,�TION APT CONDO Z4 deemed revoked CONTRACTOR —0 / LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO 7 (commencing with Section 7000)of Division 3 of the Business and LICSEWER MAP Professions Code, and my license is iK full force and effect CITY Vd, _ CLASS 415 BK PG VALIDATION 2—�r, SI FT ST OF FA OF CHE K License Numb�er/fes �••/� / ��` Lc Class—A/.) SIZE STORIES FAMILIES ONE ATO/L �/ z7�/�/��C Date �f�O� DESCRIPTION OF WORK /moi NEW 1:1 VALUATION L1_ �� Contractor / Q 0 0 1 am exempt under Sec Its rj�--�� ADD ❑ /� ER B 8P C for this reason / T� ad o— REPAIR $ U S O C-'Xa I EXISTING BL DEMOL Signature APPLICANTr T O 7—.&} FINAL PRINT /Z✓ CqR OWNER-B ECLARATION DATE I hereby affirm that I aempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS ` FINAL Professions Code) PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS wages as their'sole compensation,will do the work and ® w—r the structure is not intended or offered for sale(Section LOCALITYJ7 1, 7044, Business and Professions Code) � MOVING TEL r _. ❑ CONTRACTOR 0 NO "L ya_ I, os owner of the property, am exclusively contracting _ j _I t; with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS REQUIREDTOTAL SETBACK FRM'MTTff� 63 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT _ the performance of the work for which this permit is issued P L *3`(Sec3097,3097, Civ-C ) SIDE PL Lender's Name _ LDMA Ref # ;t_, —, •IE j; ___ 1 P C Fee$ t Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee 3 LDMA P/C# Poo. i 111 _a�. a above information is correct I agree to comply with all County Investigation Fee 0 ordinances and State jaws relating to building construction, Total Fee b LDMA Perm # and her, authonze represent ves of this County to enter m up n t e ove-me oned pro ty for in ection purposes JV•^q/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur App scant or Agent ° Date