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HomeMy Public PortalAbout5053 FRATUS DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® � r WM. J. FOX. CHIEF ENGINEER r FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY y BUILDING DISTRICT NO PLANCK NO PERMIT NO.ADDRESS O53 Fratus D / l�/S�/ y� �7 -/I,v LOCALITY Tem le City, California RECEIVED BY DATE OF APPL (�DATE ISSUED NEAREST / 7 -" CROSS 9T A BUILDING OWNER 1VRNSl HOMES INC ADDRESS MAIL ot♦ LOCALITY ADDRESS 26 East Santa Clara CRO TN i�'� �^v� CITY Aroadia NDL DOTM -3 63 SS ST. FIRE OF TYPE S PL GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO BLDG ` f �1 ORD NOS ADDRESS SETBACK LINE 4` kala �l Same CONTRACTOR Same N O BY DATE USE ' APPROVED ADDRESS I ZONE BY DATE EGAL r�®�i L CORRECTIONS DES IPTION LOT NO BLOCK TRACT A 6475 NO OF BLDGS SIZE OF LOT 61 g N *T 132 I NOW ON LOT o USE OFATO NO OF NO OF EXISTING BLDG lY I FAMILIES I ROOMS - DESCRIPTION OF WORK NEW X ALTERATION ADDITION D A REPAIR MOVING DEMOLISH � SQ FT NOF Z SIZE 6 ROOMS 5 STORIES 1 y WALL We_ r COVERING Plaster COVERING g l jm'1 e ' USE OF NEW BUILDING Dwelling Dwelling - Attached Garag r 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS i AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME. FIRE STOPS, BRACING,BOLTS SIGNATURE OF TU ER HOMES�I i v6 PERMITTE // LATH, INT. AUTHORIZED AGTC n Z.- LATH, EXT 75A638A 9-48 Des-3 SOM SETS $ P C $ / o-. PLASTER,INT. O.�-� f FEE ✓ PLASTER,EXT. / VALUATION FEE Z FINAL DIVISION OF BUILDING AND SAFETY •Department of County Engmeer 1 L - County of Los Angeles I APPLICATION WM. J. FOX, COUNTY ENGINEER ' FOR APPLICANT TO FILL IN ;j FOR OFFICE USE ONLY DISTRICT NO PLAN Cr- OR R¢c No PERMIT NO. , BUILDING ADDRESS 1 RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY o I / lir✓A�S y L-o� NEAREST _ tom'+ '� J R098ST. ../V J '� BUILDING OWNER �/ g�� e� 0 ! ADDRESS�0� 3 MAIL . . . LOCALITY7t_ / ell' ._ ADDRESS CROSS ST. NEAREST TEL i' CITY J ' NO. FIRE I NO.OF �— TYPE I GROUP ZONE PLANS ARCHITECT OR TEL ENGINEER NO. ' BLDG. ORD NO SETBACK LINE ADDRESS -u 1' USF �/ APPROVED 710- i ZONE - 7 BY DATE CONTRACTOR NO, I HOUSE NUMBERING ADDRESS / MAP NUMBER 4V�C NO ASSIGNED BY LEGAL DEBCRIPTION LOT NO. / �� BLOCK CORRECTIONS TRACT ���J ,0► NO. OF BLOM& SIZE OF LOT _ I NOW ON.LOT _ USE OF NO. OF EXISTING BLDG FAMILIES DESCRIPTION OF WORK °a o NEW ALTERATION ADDITION f D � r REPAIR DEMOLITION SQ.FT. / NO.OF SIZE ,� ROOMS STORIES EXT WALLRODE COVERING I COVERING USE OF STRUCTURE ll r°7 b v INSPECTION FOR 3 APPROVALS OCCUPANCYAS INSPECTOR;H,SIGNATURE DATE FOUNDATION: LOCATION / FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT ®RACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB, FURNACE: LOCATION, AND STATE LAWS' EGULATING BUILDING CONBTTRRUCTION PRN VENT,DUCTS / SIGNATURE OF LATH, INT. PERMITTE � ADDRE9 iV� P ^ 1 LATH, EXT. � N J PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT. - HOUSE NUMBER CDR- FEE } s RECT AND POSTED VALUATION � � FINAL FEE 76A636A D95 3 1-54 / WORKERS' COMPENSATIOI`J,D LLARATION l/ hereby affirm that I have a certificate of consent to self APPLICATION FOR U I L®I N G PERMIT insure, or a certificate of Workers'Compenstion Insurance, or a0`cerUfie copy thereof (Sec 3800�LQ6 C ) Policy No r� // p �y���� o 0+ COUNTY OF LOS ANGELE � BUILDING AND SAFETY bCom an AJ ❑ Certified copy is hereby furnished ;4 -- _ FOR APPLICANT TO FILL IN BUILDING r - ADDRESS Certified copy is filed with the county building inspec- BUILDING - hon department ADDRESS LOCALITY Z� C ^ /� �1�A / NEAREST / Date —0d Applicant K�fhwJ CITY �IYI Lf ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' 0 OF BLDGS- ASSESSOR COMPENSATION INSURANCE SIZE OF LOT C�l j NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one _ Cr USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO J C� G � [� 1I�L SPECIAL Owge d I certfy that m ihe,performance of the work for which this OWNER I U Si � 4f2 Jo �- l7 / CONDITIONS { Q permit is issued, I shall not employ any person in any mannerDISTRICT GROUP TYPEY FIRE ?aIUB U , so as to become subject to the Workers'Compensation Laws ADDRESS 37-0 S %'rL TV S Yr CONST ZONE oe CITY h­L ri !L j' ZIP / Date Applicarit STATISTICAL CLAS IFICATION AP, CONDO U NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR _ TEL _ W ENGINEER NO CLASS NO l DWELL UNITS0. Exemption, you should become subject to the Workers" ,� � � H Compensation provisions of the Labor Code, you must forth- ADDRESS , SEWER MAP Z with comply with-such provisions or this permit shall be deemed revokedCONTRACTOR TEL �jG �67�17 BK PG VALIDATION ,yam} NO CC7O LICENSED CONTRACTORS DECLARATIONLIC IR hereby affirm that I am licensed under provisions ofiChapter 9- ADDRESS ( �L� �I s S��-I �NO VALUATION �1 (commencing with Section 7000)of Division 3 of the Business and, / LIC — T Professions Code, and my license is in full force and effect CITY CLASS f $ / SQ FT NO OF NO OF CHECK License Nu'mberria-66 9 I Lic Class r SIZE KV/n !� STORIES q FA(M�IILLIES ONE Contractor( d✓✓�'�� l Date _� D f2fPfbN OF WOR S f i'r /J ❑ ��ry® bm ❑ 1 ADD, �E I am exempt from the licensing requirements as I am a 4-DI), `i�J JV1� licensed architect or a registered professional engineer _ h p ALTER ❑ FINAL f acting in my professional capacity (Se ion�051, )1 - �, � tj ❑ DATE/ CO Business and'Professions Code), REPAIR, �y _n FINAL k�t BLDG �C 1�1' N� DEMOL ❑ B Y Lic or Re _Date M1' APPLICANT-ry l L 7 `r Reg No OWNER-BUILDER DECLARATION (PRINT) �. (� �b �—�// I hereby affirm that I am exempt from the Contractor's License p , Law for the following reason (Section 7031 5, Business and ADDRESS Z'3'7 9 A Professions Code) , PRESENT ❑ - BUILDING - - - ' �# o I 0 0;0 1 I, as owner of the property, or my employees with ( ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 2 0 1 r6 9, 0,0 - 7044, Business and Professions Code) ` MOVING TEL ❑ CONTRACTOR NO o o � 6 9,0 0_I,as owner of the property, am exclusively contracting , v with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) 04,2 3'—8 2 YARD HWY REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK 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 t (Sec 3097, Civ C ) SIDE PL Lender's Name © t Lender s Address P C Fee$ Permit Fee w I certify that I have read this application and state that the Issuance Fee above information is correct I agree to comply with all County Investigation Fee a ordinances and State'laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter a 4pon the above- ntioned property for inspection purposes a y —C��- SEE REVERSE FOR EXPLANATORY LANGUAGE a Signatur Df Applicant or Agent�,X'' Date �s