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HomeMy Public PortalAbout5327 FRATUS DR_Building__ 76A 6360-CEkd '5-66 PLI DIN � AP ATI N C O FOR B U I G PQ- MIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST y COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DIS F ICT_N� G 7- TYPE -P O B FOR APPLICANT TO FILL IN U0 CONST BUILDING STATISTICAL SIFICATION SEWER/MAP ADDRESS s-32-7 —�?A-r� CLASS NO DWELL UNITS BK l IPG LOT NO ��/p(- [U`I'r) ,3070 p BLOCK �. USE ZONE MAP SP d/S/ �v TRACT ! - (,/� SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT D NOW ON LOT USE OF AAS�II _ EXISTING BLDG /` M BLDG SETBACK FROM o _ OWNER C/ I ' ( , R La NOL ;( r'3 (p2'v FRONT PROP LINE OF = (STREET) r ^ A �+ /' (+ TYPE OF EXISTING SETBACK HIGH WAY + YARD — TOTALS ADDRESS .r/)�,,��I'J. Aig F/?i.-rv/J OR. HIGHWAY WIDTH FROM FROMCL � ^ !�I ���/ tr e �, CJ _ _+ —z o — O ARCHITECT OR TEL BLDG SE BACK FROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL _ + d CONTRACTOR NO O LIC ADDRESS NO CORNER CUTOFF YES NO V CC I CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK w a (NEW ADD ALTER REPAIR DEMOLISH _ z SQ FT NO OF NO OF SIZE STORIES FAMILIES USE F STRUOCTURE SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION, LOCATION l FEE$ FEE$ !�• (,/(/ FORMS, MATERIALS FRAME, FIRE STOPS, I 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 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 CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE OFl/X(y!/ � C/� HOUSE NUMBER COR- PERM ITTEE OR-PERMITTEE W G� RECT AND POSTED ADDRESS S3 7 77�I n`G ,%.�.. �, FINAL of PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STRU URAL ENGINEER PERMIT VALIDATION CK M Cl CASH LALo 12 2 01-0 APR 13 I D 15.00- 76A638A CE#803 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST v DISTRICT NO GROUP- TYPE P SED BY FOR APPLICANT TO FILL IN l) CONST V J BUILDING r--� STATISTICAL CLASSIFICATION SE ER MAP ADDRESS K r 7- 1 CLASS NO DWELL UNITS J LOT N / J, V / � 'r-'/ [� BLOCK A WATER 7 CERTIFICATE NOT REQUIRED RECEIVED TRACT Z�4 MAP, / HIGHWAY STATE MAJOR SECOND AL NO OF BLDGS -/ '.'RCL OE) SIZE OF LOT D NOW ON LOT Al LV)V USE ZOAIE SPECIAL USE OF /� CONDITIONS EXISTING BLDG TEL q ' OWNER L i NO / ,BUILDING YARD HWY STREET NAME EXIST / SETBACK WIDTH ADDRESS J .Q f% ( / . FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE �- CL ADDRESS /j P L p O �{_SSX /,4 R// NO�/,P63I �4♦ �.e r ✓�-rt �, 10 CONTRALTO - , N ADDRESS , J/l/)b/l/Tsl' DESCRIPTION OF WORK w NEW ADD ALTER REPAIR DEMOLISH SQ FT ..yy '�� NO OF f NO OF SIZE JPO STORIES FAMILIES USE OF --Q dti-. / //lam✓r'/.� .�5 7 c J�_i STRUCTURE /I 4; A/ �i � • �'1�� � �� ����Q � ��- � /��/ yl o AP 7- A fZ� A r- r SIGNATURE OZZ APPLICANT VALUATION /APPROVALS DATE INSPECTOR S SIGNATURE FEE $ PIAT PC FEE $ D FOFORMSI MATERIALS LOCATION /j� 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 / "8r! WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS C �� .44J1 BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK } � /L AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA r TION OF THE LABOR CLATH INT 'f(/(fj( OD OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE O HOUSE NUMBER COR ` PERMITT RECT AND POSTED �`Z.?-V`3 ADDRESS FINAL JOHN F LEWIS PR'INCI'P;4L STI CT RAL ENGINEER PLAN CHECK VALIDATION MO CASH _ PERMIT VALIDATION CK M O CASH 8 6 1 DIC 2 7 2 3 D 2 8.5 0 ' �' ct V Li ;o9628Jill,' 15 1 D 60.50N ©S 76A638A • CE M8031REV 6/781 i c APPLICATION FOR? BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY' gADDRBUILDING ^Y E OR APPLICANT TO ILL IN ADDRESS G �— ' 60 V LOCALITY NEAREST / /I] B /,/CITYC ZIP CROSS ST (," (�C•1! li NO OF BLDGS- ASSESSOR LOT NOW ON LOT MAP BOOK '�`��IG� PAGE PAR EL ' DISTRICT GROUP TYPE FIRE OCE E BY � BLOCK LOT NO � D �� C +ETE �j N oSTATISTICAL CLASSIFICATION SEWER MAP CLASSNO DWELL' UNITS ,L,�BK/10G ZIP CT OR TEL VALUATIONER NO' ADDRESS I BLDG SETBACK FROM f TEL FRONTPROP LINEOF (STREET) CONTRACTOR NO I HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING FRONT PROP LINE HIGHWAY WIDTH ADDRESS _ LIC +• CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF' (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY - SIDE PROP LINE HIGHWAY WIDTH O 5Q NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE O DESCRIPTION OF W02K NEW PC Fee$ eJo Permit Fee ADD ❑ Issuance Fee. ull _ ALTER y} _ ❑ v - REPAIR _ Total Fee USE F EXISTTIING BLDG ' DEMOL ❑ � µ z Jr 7 7,9 R APPLICANT TEL _ / �1 @# ao o o o 2 1 (PRINT) NO (yk V ; O �r BY(SIGNATURE) IHEREBY ACKNOWLEDGE THA AVE READ THIS APPLICATION AND STATE r V ro 0 o 4 536 ' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W z AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _ 7 , WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V 0 r7•2�I7�� 9 ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMRi S COM Z PENSATION(NSU E 11 Ate,5,7 a 0 A IL SIGNATURE OF �# 0 0 0 0 0 1 _ ' PERMITTEE ADDRESS Z 2 0 - 88,00 TEL p- 0 0 CITY NO Q 0_ 8 S.0 0-25 USE ZONE MAP Opti 1 SPECIAL CONDITIONS II : os FINAL BY {; ��` lu d� DATE %OFOKERS'COMPENSATION DECLARATION sure or c m'that I have r certificate of consent to self A P P,L I CAT I O NV FOR B U insure, or a certificate of Workers' Compensation Insurance, � T_ _ ,I L D I N G PERMIT � or a certified copy thereof ��(Sec 3800, Lab C ) Lc'Jo/�dy COUNTY OF LOS ANGELES- NGELES BUILDING AND SAFETY Policy No jy�Vh$b'-3 LCom�n Certified copy is hereby furnishedBUILD FOR APPLICANT TO FILL IN i ADDRESS 327 +�1d5 42(� `C CA i ❑ Certified copy is filed'with the county building inspec- - BUILDING �2 }-C���S tion department - "�� ADDRESS J Date +Applicant. I CITY Y 1 0,L ZIP /) O LOCALITY O \12 CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS----- - NEAREST 'COMPENSATION INSURANCE '- SIZE OF LOT 165X 5& Sp - 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 1 PAGE PARCEL J TEL OWNER - U )9-0 - NO�f .t0 b-375 USE ZONE MAP I certify that in the performance'of the,work'for which this / SPECIAL - - - - permit is issued, I shall not empl6y any person-in any manner ADDRESS 3�/- Cl\�fS--" '- CONDITIONS O so as to become sublect To the Workers'Compensation-Lows l [� 7p u Date Applicant L CITY» i� 1Q Cz4 �r� ZIP / O ARCHITECT R(� j j TELL? G 2n DISTRICT GROUP TYPE-_ FIRE _ PR CESSED BY, NOTICE TO APPLICANT If, after making this Certificate of ENGINEER N r� V �es� NS NO 7�5 2`x"3 CONST' ZONE ~ Exemption,"'you should become subject to the Workers' G `CJ � � � Compensation provisions of the Labor Code;ryou must forth- ADDRESS )5O W 06Q V3 Mx g1723 with comply with,such provisions or this permit shall be - - TEL STATISTICAL CLASSIFICATION ; APT CONDO deemed revoked CONTRACTOR \ W NO _ t LICENSED CONTRACTORS DECLARATION - .- - - UC - CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS .ZZ3 leJ NO N.57(95 (commencing with Section 7000)of Division'3 of the Business and __ _ - LIC_ ' - SEWER MAPS Professions Code,and my license is in full'force and effect CITY , wti - CLASS BK VALIDATION j SQ FT ^2 / NO OF NO OF _ ___ CHECK e License Number '7 i Q v S Lic Class SIZE J STORIES V_/ FAMILIES / ONE' 11 ��l'1 _. _ VALUATION . Contractor�i] IrL 11l.tP-2.I� Date v �� DESCRIPTION OF WORK - -" NEW' El B� - h 3/ ADD $ ❑ I am exempt under Sec - 'Wt� _ - - P ALTER ❑ B 8P C for this reason - REPAIR.❑ —s 42 -` w i USE OF Date EXISTING BLDG DEMOL ❑ _ t ! Signature - (PRAPPLICANT TEL FIN NTAL / OWNER-BUILDER DECLARATION - 1 NO DATE /K—J - ` ' t I hereby off irmthat I am exempt from-the Contractors License ADDRESS FI 5`1 8.,9,A' i Law for the following reason (Section 7031 5, Business and Professions Code) 11 IA PRESENT ❑ _ BUILDING_ - I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the woik and the structure is not intended or offered for sale(Section LOCALITY E , 8 0 6 t 8 6 7044, Business and Professions Code) MOVING -' TEL El1, MY NO I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- t" tion 7044, Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM 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 (Sec 3097, Civ C ) SIDE �' �•'_ �'' Lender's Name ��!?K J - `w LDMA Ref #ti ? _ Lender's Address WLA [FRONT C Fee$ - Permit Fee- r R, ,Y` s i I certify that I have read this application and-state that the . - Issuance Fee t �LDMA"/C'# - a above information is correct I agree to comply with all County Investigation Fee _ ordinances and State jaws relating to building construction, _r _ \ Qi AAAA b and hereby authorize representatives of this County to enter Total Fee �+ - LDMA Perm # o r upon ffie ab e-mention roperty for inspection purposes - - a � X - - -- - � SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ure of Applicant or Agent Date