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HomeMy Public PortalAbout5015 FRATUS DR_Building__ ,DEPARTMENT OF BUILDING -AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®!!' 1 � I LD I N G WM. J. FOX. CHIEF ENGINEER V FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT NO BUILDING ADDRESS 5015 Fratusw `11 , + �� 7 y 6 f i LOCALITY Temple City, CaliforrAaa .�R�, E,CEIIVdED\ DATE OFAPPL DATE ISSUED NEAREST Pentland Avenue \ — (S7CROSS 9T HOZ �B INC. BUILDING OWNER TURNER ADDRESS ��00 OOaa IT E��, tea, MAIL 6 East Santa Clara St LOCALITY ADDRESS _ p T NEAREST CITY d NO DO 6 CROSS ST. FIRE NO lar TYP�EGROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO BLDG. '+� 113 NO/; SETBACK LINE 6''"� ley +secp ADDRESS APPROVED TEL DATE CONTRACTOR Same NO USE USE APPROVED ADDRESS ZONE BY DATE LEGAL I �lCORRECTIONS- DESCRIPrIONLf� LOT N❑ BLOCK TRACT 16 NO OF SIZE OF LOT 61 R 132 I NOW ON LOTTS No c USE OFI NO OF I NO OF NQ FAMILIES EXISTING BLDG ROOMS DESCRIPTION OF WORK ' = NEW x ALTERATION I ADDITION , O A REPAIR MOVING DEMOLISH Sq FT NO OFZ SIZE O ROOMS STORIES 1 D WALL ROOFr- COVERING Plaster I COVERING S n Q E OF NE BUIDINGW Welling .. Attached Garage /ox 7-0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI LOCATION INS ECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION �J '�" ✓q -`�` T� v/y�I Q *T/y FRAME FIRE STOPS, v- �� ��� q/fie /,L \� SIGNATURE RMITTEE Or T"�"` A.Vl��✓ t'1V BRACING,BOLTS / J J LATH, INT AUTHORIZED AGi / / 9��j.B LATH, EXT j.C'.C'CC l!! v 3B9M OBS- 5 SE PLASTER, INT. OBS-3 OSETS � LQ P C $ FEE � PLASTER,EXT. VALUATIONFINAL FEE T'""' APPLICATION 170F ' BUILDING PERMIT COUNTY OF LOS ANGELES ,_ BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AQWESS I hereby affirm that I have a certificate of consent to self Insure, BUILD G ADDRESS _ ` or a certificate of Workers Compensation Insurance, or a Certified copy thereof(Sec 3800,Lab C) CITY AL G f ZIP q1-7 Qb LOCALITY , Policy No Company SIZE OF LOT NO OF B DGS NOW N LOT ❑ Certified copy Is hereby furnished onE NEAREST CROSS ST / n ElCertified copy Is filed with the county budding Inspection TRACT BLOCK LOT NO USE ZONE MAP NO department Date Applicant ASSESSOR MAP BOOK PAGE PARCEL ' a SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' W pNIVA H �F/UGl2 7 8165 COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES NO This section need not be completed If the permit Is for one hundred. ADDRESS ( P -'Al" DISTRICT GROUP ,TYPE CONST FIRE ZONE PROCESSED BY dollars ($100) or less) ,. CITYZIP p I certify that In the performance of the work for which this permit 5 'a tv e5, IS Issued, I shall not employ any person In any manner so as,to ARCHITECT OR ENGINEER TEL NO /C become subject to the Workers Compensation Laws '` I ' STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS VV/v + CLASS NO -2/ 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 TEL NO SET BACK YARD HWY PROP LINE WIDTH' Compensation provisions of the Labor Code, you must forthwith AWN` FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license is In full force and effect /lJ /�� NEW ❑ BK PG , a License Number LIc Class DESCRIPTION OF ORK ADD ❑ VALUATION ©O O Contractor Date DO z 1 4 f FT— ALTER ❑ $ U "J-D L_!(lST7�lC'T Uu/NCS REPAIR ❑ O ❑ I am exempt under Sec $ U F- B&PC for this reason �� DEMOL ElLDMA P/C# W Date USE qJ"X ?GDG URM ❑ __ 0- Signature APPLICANT(PRINT) TEL NO LDMA Perm# _ Z El1, saw 1 I, as owner of the property, or my employees with wages as - ' their sole compensation, will do the work and the structure Is ADDRESS not Intended or offered for sale (Section 7044, Business and I ` FINAL DATE Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -i ,�✓ = .J.. J [ LJ I, as owner of the property am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q 4 Y1,�- + Y y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044 / H_+- l ,a YES El -NO Buslnes's and Professions Code) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ` • 'T -j GUIDELINES n"• i I hereby affirm that there Is a construction lending agency for a the performance of the work for which this permit Is Issued(Sec VES❑ NO HE HAZARDOUS AZA -E I_I T AL 200 15 T 3097, CIV C IH CHECKLVE IST I UNDERSTAND MY INFORMATION GUIDE AND THE SG S COUNTY ITTING - N ) CHECKLIST UNDERSTAND TI REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE ,-i`E-+ TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS , - 3 Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD h i j... _ o Lender s•Address �� 0 OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above Information IS correct I agree to comply PC FEEfr, PERMIT FEE with all county ordinances and State laws relating to budding `J O' 0 m construction, and hereby authorize representatives of this County ISSUANCE FEE / cc toe upon the above mentio e p rty for Inspection urp ses �� ti r Sq azure of Piicanl or ABe Oa, INVESTIGATION FEE TOTAL FEE m /�9 t SEE REVERSE FOR EXPLANATORY LANGUAGE