HomeMy Public PortalAbout5131 FRATUS DR_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING _--'-•" --} COUNTY OF LOS ANGELES
ADDRESS .S 7•.3/ rr�-v.7'f �' ,f'1<,r-'' DEPARTMENT OF COUNTY ENGINEER
Ci TYZIP , ;714BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDINGS-/ ,
SIZE OF LOTr/r�"✓"" NOW ON LOT ADDRESS
� s
RA�CT ", BLOCK LOT N LOCA LITY- r'x3'C •"," R2-�`i'`.L
.-r"/'-'~ ,,+f _ TEL•"�' `'� '' NEAREST
OWNER /L.'�' C'.i ��/J�,rr I' NO CROSS ST `1.moi".-� ".:+''t�.ra...�?r'....«• �\
ASSESSOR """' - r
ADDRESS , � ` MAP BOOK PAGE \PARCEL
DISTRICT RQLtP TYPE FIRE -PROCESSED BY
CITY ` ZIP , ( CONS ZONE
ARCHITECT OR 'T E L .,,^i (`J 1(yi
fes{„e��:__
ENGINEER NO
STATISTICAL CLASSIFICATION SEWER MAP
i
ADDRESS n., GLASS NO=�_DWELL UNITS BJKPy���
�-�
TEL
USZONE MAP
R �/ ^ � I
_CONTRACTO ,?,,,yy�r-�_ NO f _ +
{` LIC t- ( y NO f_-- '!� i
ADDRESSNO SPECIAL
LIC CONDITIONS
CITY
CLASS ROAD DEPARTMENT APPROVAL REQUIRED, YES❑ NO ❑
CONSTRUCTION LENDER a
NAME AND BRANCH BLDG SETBACK FROM U
FRONT PROP LINE OF (STREET),���r 4.
ADDRESS CITY XjST_I+G uJ
HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF, EXISTING � J
SO FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAW WIDTH' Li
SIZE STORIES FAMILIES ONE r� ,,% r
` r M NEW ❑ } �."""^....� -� ';ti?
..DESCRIPTION OF WORK �„r'�-�f r
BLDG SETBACK FROM
{ fl; �,�' r r' ADD ❑ SIDE PROP LINE OF '�- (STREET) _
`s- ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING LLJ
HIGHWAY } YARD = �. F-
REPAIR❑ SIDE PROP LINE, HIGHWAY WIDTH'
EXISUSE
OT NG BLDG DEMOL ❑ } + A
APPLICANT. --"'
d f y..% ��/'` TEL'�.�':� r'` CORNER CUTOFF YES ❑ .NO
(PRINT) S❑ '
; .�f /} _>!! r N 0 rf� _
BY (SIGNATURE),
IN OPEN SPACE YES ❑ NO ❑
Q IN COASTAL ZONE YES ❑ NO ❑ `'
VALUATIONY„ `fi'r,-)�...�.+.^.�.. CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL , f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED 2 IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
STATE-'6F CODE OF THE STAT "OF CALIFORNIA IN RELATING TO , G
W ORK MEN'S.COMP,ENSATION-INSURANCE
SIGNATURE OFr`
PERMITTE
ADDRESS-5
JI+-7,.<•rf y,.'•_ _„+•.1-
ry. FINAL BY
TE L• DATE
11 1 hl- ( HL( f\S P 0-1131-6 /0 FEE,$ FEE
HARVEY T BRANDT, COUNTY ENGINEER11
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK) M CASH
76 A638A CE#803 12/72 - I
DFPARTMENT 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
1 DISTRICT NO PLANCK NO PERMIT NO
BUILDING
ADDRESS 5131 Fratus Drive //- (o-/(6 9 y:y7 '
LOCALITY Te le City, California RECEIVED BY , DATE OF APPL DATE ISSUED
NEAREST Pentland Avenue / l�
CROSS ST
UILDING
OWNER TpER HOMES
INC.•
ADDRESSMAIL
p�
ADDRESS 26 East Santa Clara St. LOCALITY
Arcadia,�a NEAREST
A
CITY caa■ ,a NO DO -3 63ROSS ST
FENO OF TYPEd w'IGROUP,
ARCHITECT OR TEL ZONE PLANS . cis
ENGINEER NO
BLDGORD NO
ADDRESS fm�. oy� ➢ �G��
SETBACK LINE � P�
"
�r US APPROVED
By
CONTRACTOR flame NO I DATE
EAPPROVED
1 r
ADDRESS ZONE �� ` BY I DATE '
LEGAL [� CORRECTIONS I
DESCRIPPION I LOT.. 127 BLOCK
TRACT
16475NO OF
j� �
SIZE OF LOT 61 .R 1301 NOW ON LOTS No
USE OF NO OFNO OF f
EXISTING BLDG No FAMILIES ROOMS - '`-
DESCRIPTION OF WORK
NEW X ALTERATION I ADDITION O '
REPAIR MOVING DEMOLISH
S4 FT NO OF - - " '•� '
SIZE965 ROOMS STORIES 1 D
WALL - I ROOF pmy '� : .t., ` r
COVERING Plaster COVERINGUSE OF NE
BUILDINGW Dwelling — Attached Garage
1 ® Y,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION -INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS /
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME. FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
/
j
PERMIT TE TURNERS r LATH, INT
� r�
1 AUTHORIZED AGT LATH, EXT �'�m ym
76A636A 9-48
085-3 SOMSETs $����� PC
$ PLASTER, INT.
o /
FEE 61 / PLASTER,EXT, f/
VALUATION FEE ��-S'a FINAL
�� _ y - �� - �� - J t '