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Home My Public Portal About5337 FRATUS DR_Building__ 79AG30A CE#803 I-BI APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS �� -� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST - WILLIAM A JENSEN SUPT OF BUILDING CROSS ST DIST-RICT O G TYPE" P Y FOR APPLICANT TO FILL IN __15 , CONST (�_ BUILDING .4�2 3 -7 r�s STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �! .J / / ,(� BK � y �T- _ CLASS NO-Q--DWELL UNITS ! LOT NO O?4 040/ BLOCK WATER NOT REQUIRED RECEIVED Tf/'4 9 CERTIFICATE TRACT r�J MAP `, HIGHWAY TATE MAJOR SECOND LOCAL SIZE OF LOT /-� 1 3 I NOW ON LOTS US ZONE SPECIALLE) USE OF CONDITIONS EXISTING BLDG /'/{/J t7 ,e p 2P) k ' OWN ERTU JVle111j/ 74', I��i ��NO� BUILDING EXIST YARD HWY STREET NAME ��—+y�/ ! yy� � iv'6^/ SETBACK WIDTH ADDRESS//m/.�.(s/7��1�Q � �C FRONT' �� ARCHITECT OR TEL P L 0 ENGINEER NO SIDE ADDRESS y�+ P L CONTRACTOR• AAA TEL Z f/INSP EC TION RE/CORD/ p ADDRESS ` - DESCRIPTION OF WORK O U W CL NEW ` ADD ALTER REPAIR DEMOLISH Z SQ FT qq NO OF I NO OF / �IZE STORIES FAMILIES / USE OF STRUCTURE �e $ J d /V C • _ A#-AeSr rr/ O-A YTA A-a SIGNATURE O APPLICANT { I ! \ VALUATION$ /y/ APPROVALS DATE INSPECTORS SIGNATURE FEE $ i v(/ FEE $ L� FOUNDATION LOCATION /fj I 14VII/ L'�il.S1A� FORMS, MATERIALS /�)/ 14 na FRAME FIRE STOPS, /y(//•.t� j�, 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 BUILDING 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- jI ING TO WORKMEN S COMPENSATION INSURANCE LATH,EXT I J/1 �v % �yv� tj1A SIGNATUR 1�-}/`I HOUSE NUMBER COR- ► J PERMITTEE RECT AND POSTED ►, -[ S /! /IAA OIII't ADDRESS �— FINAL t A la W(ly" PLAN CHECK VALIDATION cK M O. ,CASH CLYDE p PERMIT VALIDATION TR cK uRFA0 ENGINEER �t}1o.6 9 ? 7Q;,;JAi4 11 2 3 ID 2'7.0 C , L X725.7 ,JA; 1. ; 1 p 54 .00 DG. i TEMPLE C OTS 1 , 1 79AG36ACE#009 1-6I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY'DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUPT OP BUILDING CROSS ST DISTRICT NO UP TYPE P SSED BY FOR APPLICANT TO FILL IN 12— coNsr BUILDING Qg STATISTICAL CLASSIFICATION SEWER MAP ADDRESS J r Imo, `/ BK )PG CLASS NO DWELL UNITS - 1 LOT NO c9'�7 6d* BLOCK- WATER (,Q. CERTIFICATE NOT REQUIRED RECEIVED TRACT J 1 r 7 ' MAPHIGHWAY STATE MAJOR SECOND, CAL SIZE OF LOT 2 ;- X 7 7 IND OF BLDGS / NO (CIRCLE) NOW ON LOT USE 2bNE SPECIAL USE OF CONDITIONS EXISTING BLDG / Yf(TLy y OWNER ,$ E'1/ / A/nO(r/�`��/ gU1LDINGr EXIST t� SETBACK YARD HWY TREET NAME WIDTH ADDRESS /� ZG�7 �n e //+n a niT FRONT ARCHITECT OR TEL 1,P L ENGINEER NO SP IDE ADDRESS TEL INSPECTION RECORD O CONTRACTOR _,ZA Ali NO GC ADDRESS' O DESCRIPTION OF WOR W CL _ N NEW ADD ALTER REPAIR EMOLISH Z SQ FT .� Q NO OF f IZE _ STORK FAMILIES , USE OF I STRUCTURE SIGNATURE O - APPLICANT VALUATION$ - 7 < / APPROVALS DATE INSPECTOR 5 SIGNATURE PC PMTFOUNDATION ,LOCATION FEE $ "'' FEE $ FORMS, MATERIALS FRAME FIRE STOPS, I ✓ ' �TJJI IHEREBY 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 BUILDING CONSTRUCTION 1 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- *4 ING TO WORKMEN COMPENSATION INSURANCE [FINAL ATH, EXT - a J / r6` OUSE PERMITT1 • RECTANDPOS POSTED ^�N _1fl,1 , A ADDRESS 'AU(i Illo 1/ /W CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M o. CASH PERMIT VALIDATION _0 M o. CASH i,�7 2 5 8Jk1 19 1 2.0 0 WORKERS' COMPENSATIONDECLARATION r Insure bor afcertif carte of Workers' Comtpennsation eInsuran e, APPLICATION. FOR` BUILDINdifERMIT or a certified copy thereof (Sec. 3800, tab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ ' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING 4f tion department. ADDRESS yam( � CITY' '�___(2 M r l� � ZIP LOCALITY !� 1 Date Applicant NO. F BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS'. SIZE OF-LOT NO ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER NO. USE ZONE MAP I certify that in the performance of the wofk for which This �, -� n NO. } permit is issued, I shall not employ an person in an manner ADDRESS 5 �"( � e_ SPECIAL P P Y Y P Y �.— / CONDITIONS O _so as to become subject to the Workers' Compensation Laws. _r' U CITY f ( ci IP Date Applicant ARCHITECT OR TEL. 0 PP DISTRICT GROUP TYPE FIRE PROCESSED BY 0' NOTICE TO APPLICANT: If, after making this .Certificate of ENGINEER NO. CONST. ZONEj� F- Exemption, you _should become subject to the Workers' �� 3 �/ ut Compensation provisions of the Labor Code, you must forth- ADDRESS V a TEL. N with comply with such provisions or This permit shall be STATISTICAL CLASSIFICATION � APT.. CONDO. z . deemed revoked. CONTRACTOR NO. — LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. Iel DWELL. UNITS I herebyaffirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division P P 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE ❑ VALUATION Contractor Date DESCR TION OF WORK� /�y !W�, NEW $ ❑I am exempt under Sec. ,0 V e u ADD El ► � qqa ALTER ❑ B.&P.C.-for This reasoREPAIR ❑ $ Date: USE OF DEMOL El EXISTING BLDG. Signature APP(RT) FINAL UILDERDECLARATION. NO. DATE I,hereby affirm that I am exempt from the Contractor's License FINAL Law for the following reason (Section 7031.5ADDRESS , Business and + i Professions Code): PRESENT BY L r„ BUILDING ! ° ❑ I, as owner of The property, -or my employees withADDRESS wages as Their sole compensation,will do The work and /1, he structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. i%'�C%/U CONTRACTOR NO. as owner of The property, am exclusively contracting l I l I fsL v with licensed contractors to construct the project (Sec- i � '' ) _ ADDRESS' I tion 7044, Business and Professions Code.) REQUIRED HWY TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD PROP. LINE WIDTH % INGE moi_± 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 _ P.L. Lender's Name _ LDMA Ref. # P.C. Fee$ Permit Fee d Lender's Address , 0 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# 8 above information is correct. I agree to comply with all County nvestigation Fee , 0 ordinances and State laws relating To building construction, Total Fee // LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-mentioned property for'inspection purposes. e� SEE REVERSE FOR EXPLANATORY LANGUAGE (! Signature of Applic 't-or Agent Date 1 - v Q WORKERS'COMPENSA HON DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation.Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY • Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN. BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING pTvS b� � tion department. ^�+, 1� �� C ADDRESS �7 e Date ( f Applicant IGV�B J t"q)e(LJ CITY (t ZIP &7y(2 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF SIZE OF LOT NOW ON LOTS CROSS NEAREST O�r�rvi� COMPENSATION INSURANCE (This section need not be completed if the permit is for onell�qp ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. fT• MAP BOOK PAGE I PARCEL TEL. ')�l �� , USE Z NE MAP I certify that in the performance of the work for which this OWNER .) NO. J NO. permit is issued, I shall not employ any person in any manner C nn // SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS 3_3 3� pp az h 9'1 / CONDITIONS U CITY lk l ZIP %/ /O v Date Applicant ARCHITECT OR TEL. 1 DISTRICT GROUP TYPE FIRE PROCESSID BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER t�S NO. ` CONST. ZONE Exemption, you should become subject to the Workers' •�� p P /yam _ //�� - U Compensation provisions of the Labor Code, you must forth- ADDRESS�)L/ yD d y��AA)0tO fr �V•Piz �'/3�3 5, -5 d 1 with comply with such provisions or this permit shall be deemed revoked. r/7 TEL STATISTICAL CLASSIFICATION O N CONTRACTOR [.7v � _ � NO. qqA Z LICENSED CONTRACTORS DECLARATION / LIC. CLASS NO. ��j DWELL. UNITS - I hereby affirm that 1 am licensed under provisions of Chapter ADDRESS /5,33(oRoS6ov ; �W NO. (commencing with Section 7000)of Division 3 of the Business and / LIC rp SEWER MAP Professions Code, and my license is in full force and effect. CITY J J 4h`F CLASS D BK PG. VALIDATION SQ. FT. tl NO.OF A NO. OF CHECK License Numbera��ys Lic.Class SIZE gXta STORIE t FAMILIES 1 ONE 7f �µ-. /� /��^` /77 L v� VALUATION Contractor ��!/_&f& �O Date 4g-134+7 DESCRIPTION OF WORK Cu0 s h710 &A NEW Q $ Com' 001. a^`1 11 x 3 t.,) �w��s�p , a I am exempt under Sec. -. B.BP.C. for this reason w�S REPAIR $ -''`j USE OF (� Date: DEMOL EXISTING BLDG. ❑ ^-�trC APPLICANT TEL i i C•'t[v Signature '�--�� FINAL / 41 = 45 OWNER-BUILDER DECLARATION PRINT Uj NO. p� DATE � / ): � I hereby affirm that I am exempt from the Contractor's License ADDRESS �J �S W l.jafli ^ Law for the following reason (Section 7031.5, Business and FINAL t,,•,•ECK 41.4 t Professions Code): PRESENT BY OBUILDING 1, 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 t ii, G-i_I;_Ei; t'd 7044, Business and Professions Code). MOVING TEL. _t i ❑ CONTRACTOR NO. 1i c= , as owner of the property, am exclusively contracting LR4"}� s f i13�i�•! with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CK FROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPREOTPALINE 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.). SIDE4.t. r Lender's Name LDMA Ref. # 1 !T EIM'. P.C. Fee$ 7 Permit Fee L} Lender's Address oo 5 r^r 5 a I certify that I hove read this application and state that the Issuance Fee LDMA P/C# +:t S, above information is correct. I agree to comply with all County Investigation Fee i) Ir:. , ,t':°''"s 0 ordinances and State laws relating to building construction, Tora1 Fe LDMA Perm. # f '� ' t= ,"16 and hereby authorize representatives of this County to enter t `�� upon th bove-me coned property for inspection purposes. a r• SEE REVERSE FOR EXPLANATORY LANGUAGE i a= `[' "`__t J;`'-D r �J r0 Il 4 It!. j r Signaturelof Applicant or Agent Date #!i':.