Loading...
HomeMy Public PortalAbout5059 FRATUS DR_Building__ I APPLICATIO )) FOR BUILDING PERMIT FQR APPLICANT TO FILL IN (Print or typi, only) BUILDINGCOUNTY OF LOS ANGELES ADDRESS ©S �lC'/S'T�t I'Q�P DEPARTMENT OF COUNTY ENGINEER CITY 4.� 1IP yy 4 BUILDING D SAFETY DIVISION � ` j 'y NIS BUILDING v - SIZE OF LOT&/ NOWOON LOTS' 'I ADDRESS 5Osc7 1=el�lj/ TRACT( ,5- BLOCK LOT NO ! 3 LOCALITY Cr / L TEL NEAREST OWNER L� LPMfI/lhd0 CROSS ST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GR - YPE FIRE ROC SSED BY CITY ZIP NST NE ARCHITECTD TEL , ENGINEER .AR �� r �_ NO STATISTICAL C SSIFICATION ` ADDRESS SO C-/2 CLASS NO $EWER TE� _DWELL UNITS B PG MAO CONTRACTOR G �/ aG/9/�NO LIC^ SG26 ZONE NOP / ADDRESS 2 '`t/ . NO f y �j SPECIAL ,�* ` LIC Z� CONDITIONS CITY � G Q * CLASS C—S ROAD DEPARTMENT APPROVAL REQUIRED' YES� NO CONSTRUCTION LENDER NAME AND BRANCH IVL� BLDG SETBACK FROM FRONT PROP LINE OF �'�� (STREET) ADDRESS' . CITY L4,-, IV FRONT HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ FT / NO OF �/ NO OF CHECK ,FRONT PROP LINE HIGHWAY WIDTH SIZE 7lJ STORIES FAMILIES ONE , + ~ = a� DESCRIPTION OF WORK NEW O ElBLDG SETBACK FROM- ' C1 SLr/ Oo L ADD SIDE PROP LINE OF 1 (STREET) ALTER ❑ O Z • Z _ _ _7 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE A EXISTING V 16-1 W JREPAIR[j E PROP LINE HIGHWAY WIDTH O_USE OF + = ZEXISTING BLDG OL ❑APPLICANT/ TEL ` 1 CORNER CUTOFF YES ❑ NO (PRINT) ��(p L� NO BY (SIGNAT,URE IN OPEN SPACE YES ❑ NO ❑ QQ'� IN COASTAL PERMIT ZONE YES ❑ NO VALUATION,$ - Q p_ '�'•,, - _/�/1 n I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION SAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL, ORDINANCES AND LAWS REGULATING BUILDING CON- �7 Ufiv STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY PERSON IN VIOLAT R OF THE s LABOR CODE OF THE ST OF CALIFORNIA rTING TO ��'t��d- g�. Q L Ylt C� sQ Ce-A- � WORKMEN'S COMPENSAT INSURANCE SIGNATURE OF PERMITTEE r' ' ADDRESS ' FINAL BY TEL DATE IP C $ PMT $ CITY � NO � AIA RE CHEChS PA 1'At3LL 70 T FEE FEE HARVEY T. BRANDY, COUNTY ENGINEER / r ' PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH 7 0'11NJUL 29 2 3 0 1 4.8 3 0�36 7 0 2r'-JUL 29 1 0 4 8.7 5 ear 76A638A CIE#803 574 _ - / DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY 'OF LOS ANGELES ® � WM. J. FOX. CHIEF ENGINEER - -FOR APPLICANT TO FILL IN FOR OFFICE_USE ONLY BUILDING DISTRICT NO PLAN CK NO PERMIT NO. ` ADDRESS 5059Fratus Drive LOCALITY TempleCity, California RECEIVED BY DATE OFAPPL DATE ISSUED NEARE CROSS T Pentland Avenue p'' BUILDING ( p� ♦ ,�,w �Ip I��T U S OWNER TURNER HOMES INC. ADDRESS k d -FAZ k? 1 MAIL ADDRESS 26 East Santa Clara Ste LOCALITY , n� TEL r� NEAREST I CITY Arcadia NO DO (-35b3 CROSS ST FIRE NO OF —1,4 TYPE GROUP ARCHITECT OR TEL ZONE PLANS �/� ENGINEER NOBLDG P P L ��/��+'NO �7 ADDRESS SETBACK LINE '9�"i.k#! APPROVED TEL CONTRACTOR Sallie NO BY 1 DATE i USE ` APPROVED ADDRESS ZONE BY DATE LEGAL , ' CORRECTIONS DESCRIPMON LOT NO 4 BLOCK TRACT 1664!J j�j b� 1 SIZE OF LOT 61 x 133 I NOW ON LOTS +�o ' USE OF NO OF NO OF EXISTING BLDG o I-AMI LIES ROOMS DESCRIPTION OF WORK NEW I x l ALTERATION I I ADDITION I O REPAIR I MOVING IA DEMOLISH Sq FT NO OF SIZE O ROOMS 5 STDRIEQ 1Q D WALL COF COVERING Plaster I COVERING S' ri_1e r USE OF NEW BUILDING Dwelling — Attached Garag I HEREBY ACKNOWLEDGE THAT 1 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 AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME. SIGNATURE OF BRACING,BOLTS 0 � AV- PERMITTEE TURNER HOMES -NC,� J LATH, INT. FIs AUTHORIZED AST / LATH, EXT. //O.P , 76A63BA 9-48 OBS-3 50M SETS P C PLASTER, INT. c i /69 FEE PLASTER,EXT. VALUATION FEE FINAL �'•`�id /`/ �• WORKERS'COMPENSATION DECLARATtOW4 p I hereby affirm that„I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLACATION FOR rB,UKDING' PERMIT - or a certified copy thereof (Sec 3800; Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No d• A Company, BUILD a. Certified copy is hereby furnished r ,. FOR APPLICANT TO FILL IN ADDRES ' Certified copy is filed with the county building inspec- BUILDING - tion department ADDRESS Jw 5 (�R Date '' Applicant CITY :aA,1PLE rj7X ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM'WORKERS"', - NO OF BLDGS - NEAREST '3 COMPENSATION INSURANCE SIZE OF LOT ;t /3S NOW ON LOT / CROSS ST _ (This section need not be completed if the permit is for one - �� ASSESSOR - 3 hundred dollars ($100)or less ) TRACT 5 BLOCK LOT NO c, MAP'BOOK PAGE PARCEL 1-, r OWNER - - TEL $I$7�2'f 2 USE ZONE MAP I certify that m the performance of the work for-which this NO IL erm,t is issued, I shall not employ an person in an manner " SPECIAL- d p . p Y y p y ADDRESS- SOS A CONDITIONS U so as to become'sublect to the Workers'Compensation Laws .l, a . w.) _ o _ _ _ — Date 's '' Applicant SFT C� CITY r. ZIP O NOTICE TO APPLICANT` If, after making This Certificate of ARCHITECT OR TEL DISTRICT• _GROUP TYPE FIRE _ PROCESSED.BY H Exemption,'`you should become' sublectt to -the`Workers' ENGINEER NO CONST t T ZONE SJ Compensation provisions;of the Labor Code, you must forth- ADDRESS _3 - W with rcomply ,with such provisions or this permit shall be " - - TEL STATISTICAL SIFICATION APT CONDO Z deemed revoked' ° CONTRACTOR NO _ _ LICENSED CONTRACTORS DECLARATION t - - - LIC -- -- CLASS NO DWEIL''UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and ,_ _ LIC SEWER MAP Professions Code, and my license ,s in'full force and effect CITY CLASS "BK �" VALIDATION `j f A SQ FT NO OF NO OF CHECK Lic ass License Number ClSIZE STORIES FAMILIES ONE rt „ VALUATION ._ a,. DESCRIPTION OF WORK 017 E /L NEW -� Contractor Date ADD $ 0 1 am exempt under Sec ROOM - 1511 E] } p ALTER ' B&P C for this reason REPAIR_Q USE OF " Date EXISTING BLDG DEMOL S, nature x " PPBUILDING TEL a FINAL g OWNER-BUILDER DECLARATION - NO Z 2- Z DATE�•��� - I hereby affirm that I am.exempt from the Contractor's License Law for the following reason•(Section 7031 5, Business and Os T(1 S Ll7 FINAL `Professions Code) "` ' " By C C>� I, as owner of the property, or_my employees with 0&5,2 A- wages as their sole compensation,will do the work and the,structure is not intended or offered for sale(Section - - 7044, Business and Professions Code) MOVING TEL- - # 0 0-0 0 0 1 I, as owner of the property, am exclusively contracting CONTRACTOR - NO Y - with licensed contractors to'construct the protect (Sec- ADDRESS - ` 3 ' \, ( '- 2561 3 tion 7044, Business and Professions Code) ' 1\ ,e 0 2 5 1'J c�� REQUIRED TOTAL SETBACK FROM EXIST 1 CONSTRUCTION LENDING AGENCY' SET BACK YARD HWY PROP LINE WIDTH >- I hereby affirm that there is a construction lending agency for FRONT = x -the-performance of the-work for which-this permit is-issued' - P L - -- �" r i 0, 0"}$4 (Sec 3097, Gv C ) SIDE ' r P L Lender's Name oI I LDMA Ref-# Lender's Address P C Fee$ - Permit Fee •- ' i > .I certify that I_have read this application and state that the _ - Issuance Fee LDMA-P/C# - Q above information is correct I agree to comply with all County Investigation Fee m ordinances and State laws relating to building construction, - Total Fee- LDMA Perm # d and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes _ A Q SEE REVERSE FOR EXPLANATORY LANGUAGE c T 0 -� Signature of-Applicant or Agent - Date