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Home My Public Portal About8802-04 LAS TUNAS DR_Building__ AA 76A6382 CE#8033.61APPLICATI0N FOR BUILDING PERMIT_ - - -' COUNTY OF 'LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER. ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMSIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT GF BUILDING CROSS ST DISTRI NO: I GROUP TYPE I PR CESS BYI FOR APPLICANT TO FILL IN. S CONST. ' -77 BUILDING ''JJ Inn,,11 STATISTICALG SS IFICATION — SEWER MAP ADDRESS DSC f- ?N � K PGS . CLASS: NO. DWELL.UNITS LOT NO. IJ B I Q-w OCK WATER NOT REQUIRED RECEIVED _ - - CERTIFICATE: - TRACT ..3 - - MAP MIGHwAV STATE MAJOR SECOND LOCAL v / NO.OF SLOGS. ..NO. Q_ ICIgCLE1 SIZE OF LOT IN OW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. _ I?, ['�A o' TEL. OWNER �'C I \(TSJ A u I) NO. BUILDING .ARD HWY STREET NAME EXIST. ' SETBACK WIDTH' ADDRESS FRONT ARCH ITECT OR TEL. R L. 3 Y ENGINEER - -NO. SIDE / 0 _ P. L. r?eJ A V ADDRESS TEL INSPECTION RECORD CONTRACTOR , NO. T G SS L S 1/4 on' a. s CS_ n T X �d. I v ADDRESS AN- , s fS INfi t fel r/ Bl�i alil PGY r -�Yd _ W DESCRIPTION OF WORE 1yd NEW 'ADD ALTER REPAIR DEMOLISH .0 (^ SQ.FT. / / v '/ NO.OF NO.OF' cl.It C] rG CLS CLOG YQ✓GQ llL/;� n �IZE / /I Y' STORIES FAMILIES \l USE OF STRUCTURE ' SIGNAT REO APPLI VALVA ON ..,. �� :�� _2;JAPPROVALS_ I -DATE INSPEOTOR'S SIGNATURE RC. PMT. o-(f FOUNDATION: LOCATION FE FEE $ FORMS, MATERIALS O FRAME: FIRESTOPS, HER&Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION RAMS: FIRE STOPS. ✓_Ul �}LCiGVW'I• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION: WITH ALL COUNTY ORDINANCE ANO STATE LAWS REGULATING GAS VENT DIJC'TS BUILDING CONSTRUCTION. I RTIFY THAT IN'DOING'THE WORK AUTHORIZED HEREBY I WIL T EMPLOY ANY PERSON IN VIOLA- LATH, INT." TION OF TH ABOR CODP HE STATE OF CA FO NIA REL'AT� INC TO ORKME MP AT, INSURANCE ' LATH, EXT SIGN URE OF HOUSE NUMBER COR- PERMIT RECTAND POSTED . / I �!I AODREs FINAL, ( -S 6-,' K«EiG�Kl"�Y/ CLYDE N. DIRLAM', PRINCIPAL.ST CT RAL ENGINEER PLAN CHECK VALIDATION PERMIT VALIDATION cL M.G. cABN' LA, D1234 APO1744 A L`;f 31 2 3 5'� "FPI 17 ? A 4 .0 0 Ie 78A838A CE#8.911$7 APPLICATION FOR BUILDING PERMIT - COUNTY: OF LOS ANGELES AooRENG 0 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LocALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRI CT NO. GROUP TYPE SEWER MAP FOR APPLICANT TJIN arc PG CONST. BUILDING ADDRESS' ''7STATISTICAL CLASSIFICATION LOT NO. / CLASS. NO. DWELL.UNITS MAP STATE TRACT 3NUMZZBER Qo _ - HWY. YES NO USS SPECIAL CONDITIONS SIZE OF LOT USEOF EXISTING BLDG. BUILDING 'YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER FRROLTMAIC G ADDRESS �CJ 0 Z -� SIDEP.L.CITY NO. INSPE ION"RECORD ARCHITECT OR TEL. ENGINEER NO. - ADDRESS TEL. CONTRACTOR NO. I V O ADDRESS S� O DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - SO.FT: NO.OF NO.OF' SIZE STORIES FAMILIES USE'OF STRUCTURE ___.__- SIGNATUREOF � � � APPROVALS APPLICANT [a DATE INSPE TORd.SL NATURE ADDRESS ��P-�> C-M FOUNDATION: LOCATION P C $ FORMS: MATERIALS FRAME: FIRE STOPS. 1 FEE BRACING, BOLTS VALUATION S O= FURNACE: LOCATION. FEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, EXT. SIGNATURE OF �^ __ _ r HOUSE NUMBER COR- �7 PERMITTEE [ 'v'•+v`w.-v�w..b RECT AND PO STED ADDRESS O O FINAL . CLYDE N. DIRLAM. PRINCIPALSTRUCTURAL ENGINEER PLAN CHECK VALIDATION CK: M.O. GSH PERMIT VALIDATION, CK. M.O. CASH 1, Go i s 7 GO DEC -2 1 a 5.0 0 `�. %DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES U 1 L ® � WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 'I /� p `}''•I`,,1 DISTRICT NO. PLAN CK.NO. PERMITN/O9. BUILDNO ADDRESS 1p4'1 i q"5 71 A•1 S LOCALITY �5 A a Af�'f�/7l/��/7//� RECEIVED By DATE OF APPL. /DATEIBSUE(D NEAR" T CROSS ST.�y w OWNER M1I /+J V� �V BUILDING // ^ E J 9S 7.I lv f }. �1 P BUILDING ADDRESS Up'1[J�y ® (sTy/fid r V ///✓✓✓/-TJ AMAILDDRESS lab ?s 4AS f dlrA l LOCALITY (J Al �XIGL NEAREST M uSC,q- TC to �' TEL. CROSS ST. CITY !/� �� -A/�M/L7 NO. FIRENO.OF TYPE GROUP ARCHITECT OR � TEL. ZONE PLANS ENGINEER NO. —� BLDG. / ORO.NO. ADDRESS / D�7-�// �/,(� / SETBACK LINE ✓/ CONTRACTOR/ 1,16 TEL./NO.�.1111�(3�S'� ByPROUSE /V'ED DATE AD R[B r" � /%+i'-Q 'T9RaA-1�I .GgiIC.LCII� ZONE `a ByPROVED DATE LEGAL / CORRECTIONS DESCRIPTION -1-LOT-40. BLOCK TRACT NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.OF NO.Of EXISTING BLDG. FAwI I.I[B ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION 0 F REPAIR MOVING DEMOLISH p SG.FT. NO.OF Z SIZE ROOMS STORIES D r WALL RODF 1 COVERING COVERING UBE OF NEW BUILDING I OfVg, / ii A/ v / v-i R_ E rte- a �r BFF/cE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INBPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REG)))ULATING BUILDING CONSTRUCTION. �� FRAMEILTS FIRE STOPS, SIGNATURE Or /J BRACINS.BOLTS PERMITT[e LATH, INT. AUTHORIZED AOT- /l/�'f."l"^�-"-A UTH. EXT. 7A 121A-3a-50 $ _!'� P.C.G PLASTER.INT. !T/A✓J/��/V FEE PLASTER,EXT. VALUATION �Y/J VF ✓ FEE ® �,�� FINAL DE_PARTMENT OF BUILDING AND SAFPLICATION FOR PERMIT COUNTY OF.LDS ANGELES Tu 3 194J. L ® � ,Wm. J. FOX, CHIEF ENGINEER '' FOR APPLICANT TO.77OLoAl FOR OFFICE USE ONLY ��/� DISTRICT NO. PLAN CK.NO. PERMITrNyO. ADD EougISSG //✓�• %(S/V�-�0�� 0 �.0 3 6 8 7 LOCALITY `�' /II�� (2tfj/VY gj RECEIVEDBY DATE OFAPPL. DATE IHHUEDNEAREST CROSS ST. 1, eIV CI.O !I ( � r�L1SLIILDING // , , �I / �� nOWNER��DN H/ f'9KADDRESS/Y'G�-R Il — 09f LAS / (INTS MAIL �� 7 S0 ' �I LOCALITY T M dL ,-L- ADDRESS / �? J I NEAREST /1 1 (� �.I D p p� TEL J CROSS ST. S. /4)us A CITY L)• i ..T A Irl 41�]4 NO. L{.T eZ�Ij� / - FIRE NO.OF TYPE GROUP ARCHITECT OR /,, TEL. ZONE PLANE 2 ENGINEER NO. BLDO. / `J /9 / ` t ORD.NO ADDRESS 6ETSACK LINE (^ / - t� �""/� / 'iAl As TEL. -BY DATI;3� CONTRACTOR NO. USE c APPROVED ADDRESS p ZONE I- BY DATE DESCRIPTION LOT NO.PJ.Fr/ 1 II"e[5EK�— CORRECTIONS .-.' _TRACT a i, a a SIZE OF LOT SS X -/ 6 NONO.W OF SLNO/V USEOFc_ ON LOT n F NO EXISTING BLDO.slI-R�T� ' I F w�[B "` ROOMS"- s/_L/4� DESCRIPTION OF WORKl�l NEW j/ ALTERATION �ADDITtDN CREPAIR MOVING p HD.FT. ND.DF 1 Z SIZE CS co o ROOMS STORIES / D WALLn ROOF �,., �� . r COVERING JDX I COVERING�W'Y4R3. - - / USE OF NEW eUILDI NO ."Q in, V V A I HEREBY ACKNOWLEDGE,THAT 1 HAVE READ THIS APPROVAL�i APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION I,NHPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS ,� � -� n_ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. R �zg� , -�`.,n- FRAME: FIRESTOPS, SIGNATURE OF 14! (("]l%n.+Yl BRACING, BOLTS PERMITTEE LATH, INT.: 101, AUTHORIZED AST - LATH,EXT.: \ �� OBS-3 SUM SETS 1-48 $ e eF� /o �="Q PLASTER.INT. PLASTER,EXT. VALUATION j FINAL APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES �-,.. BUILDING AND SAFETY 'WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUICDINc noDREss L.p 1 hereby affirm that I have a certificate of consent to self insure, BUILgN ADD SS Q�/ pL1PiJ or a certificate of Workers'Compensation Insurance,or a certified SZoviQ S copy thereof (Sec.3800,Lab,C.) CIT— I ZIP / IV 1 57 IA?`49LOCALITY Policy NO. - Company SIZE OF LOT NO,OF BL GS.NOW ON LOT, ❑ Certified Copy is hereby tarnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK - LOT NO. department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERI TEL N0. COMPENSATION INSURANCE to r WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS - tlollars($700) Dr less.) DISTRICT GROUP TVP CONST. FIRE ZONE PROCESSED BY 1 CITY ZIP /,(p I certify that h the performance of the work for which this permit �GILv bissued, shall rcpt employ any person at an manner So a5 f0 ARCHITECT OR ENGINEER TEL N0. ` 4-71/ become subject to the Workers'Compensation Laws. STATISTICAL CL8SSjKICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.. If, after making this Certificate of REQUIREDTOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith. iV�///(// complywith such provisions or this permit shall be deemed revoked, FRONT P P ADDRESS LIC.NO. p l LICENSED CONTRACTORS DECLARATION - SIDE ' CITY - LIC.CLASS P1 I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. - NEW 6Y BK PG a License Number LiC.Class DE RIPTIQ%^WORj(S ADD ❑ VALUATION �O , Q Contractor Date ALTER [3 $ cccc ❑ I am exempt under Sec. REPAIR ❑ $ 0 Bi for this reason - DEMOL ❑ LDMA P/C b W Date: us xl O URM ❑ S Signature APPLICANT(PRIN J TEL NO. LDMA Perm x y S I�I, as owner of the property, Or my employees with wages a5 �G �r U� g 19SS Z t�_•_T.f their sole compensation, will do the work and the structure is AD f _ not intended or offered for sale (Section 7044, Business and 0 � /7 � FINAL DATE Q __ Professions Code.) c I S I O,. WILL THE APPLICANT OR FUTURE BURONG OCCURINT HANDLE A HAZARDOUS MATERIAL J ❑ I, as owner of the property, am exclusively contracting with AMOUNTS-R A TSPECFIIEDURE TONIITHE HAZARDOUSG A SMATERIALS NFFORMAMATERIAL EQUAL TION GUIDE? FINAL THAN THE A/1 Q 8 B FINAL V J > TI_{�� v a � licensed and Professions to construct the protect (Section 7044, YES❑ NQ Business and Professions Code.) CHECK .j�j,4i1 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING {_{^ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I.rTnf�u` '1-i j CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT BCAOMDI SEE PERMITTING CHECKLIST FOR hrj GUIDEUNES I hereby affirm that them is a construction lending agency for YES❑ NOV the performance of the work for which this permit is issued(Sec. III READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTING 3097,CIV.C.) _ CHECKLIST. UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. RLE 2.CHAPTER 2 2C SECTIONS 2.20.ID0 TMR H 280a<D CONCERNING HAZARDOUS ` 3 Lender's Name AT RTING AND FOR rq RMI M THE SCAOMD. r_.7�a o Lender's Address 0 o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply PC.FEE PERMIT FEE - n with all county ordinances and State laws relating to building m /construction, and hereby authorize representatives of this County ISSUANCE FEE - m \ ntBr the above- fig a pro any for inspectiop purposes (o A INVESTIGATION FEE TOTAL FEE o, E5� D SEE REVERSE FOR EXPLANATORY LANGUAGE