HomeMy Public PortalAbout8837 1/2 LAS TUNAS DR_Building__ CE#803(REVi I I/78�
APPLIC TIA."--OR BU1 PERMIT
L—, COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
�q n ADDRESS-
ADDRESS 6 (Y •^n/� ( LAS i V-WA S b LOCAL) Y
-r�/n[ is c ).l'- NEAREST
CITY [ ZIP CR055 ST
NO,OF BLDGS. ASSESSOR,.,
SIZE OF LOT .) NOW ON LOT MAP BOOK - PAGE PARCEL "
D15TRICT GROWTYPE FIRE P ED BY
TRACT BLOCK LOT NO, D CON�� ' .
i TEL.- -- -
OWNER DSS, I V Ddb NO. R - /`�
1 STATISTICA CLA�ON - BE
MAP
ADDRESS til'YV1 _ _ '
CLASS NO DWELL UNITS BK PG
'CITY ZIP
ARCHITECT OR TEL. VALUATION $ ®�T p•O
ENGINEER -- NO.
ADDRESS BLDG.SETBACK FROM
TEL ii rr FRONT PROP.LINE OF STREET)
CONTRACTOR
-4tf.gr NO. HIGHWAY HIGHWAY + YARD _ TOTAL SETBACK FROM TYPEOF EXISTING
LICADDRESS-3271 FLsF.64CT D`+-- N&-2S7-IGC FRONT PROP.LINE HIGH WAV WIDTH
CITY LDA ANd-OL.0P, �' CLAS$ 4-'I� +
CONSTRUCTION LENDER _ BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF - (STREET)
HIGHWAY + YARD = TOTAL SETBACKFROM I TYPEOF 1EXISTING 6
ADDRESS CITY - SIDE PROP.LINE HIGH WAV WIDTH.
SO.FT NO.OF NO.OF _ CHECK -+ - _ V '
SIZE STORIES FAMILIES ONE
USE ZONE- MAP _ - C
DESCRIPTION OF WORK - --- NEW Q J1 NO_
j iEe/ ADD ❑ Cv'' / c CONDITIONS
SPECIAL 9N
5 'r- rAC£ 00'4t' ' ALTER LJFINAL _ �Q:8( BY / J Z
REPAIR' ❑ DATE S �4
USE OF l . .
EXISTING BLDG. DEMOL QUO LUH_ 7
APPLICANT5p(' ryn TEL n C c S �/ 0 # 2.3
IPRINTI 3t3S f)w ' *�M✓Ho 22 e'. . a
2 • • 12.00
BYt51GNATUREI' ( �C?x > e e 12 0 06
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS A UCATION AND STATE Y
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH.ALL,ORDINANCES - W 0 1 8'-OO 0
AND LAWS REGULATING BUILDING CONSTRUCTION.(CERTIFY THAT IN DOING THE S U
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF u
THE LABOR CODE OF THE STATEOF CALIFORNIA IN RELATING TO WORKMEN'S COM- _ _ - Z
PENSATION INSURANCE." g -
SIGNATURE OF •, �, .,, - e. z 0 8 1..1 A
PERMITTEE
ADDRESS- ') ci+' P..' p. _ -
Z '# a `o.1.
1jO �
CITY /yam . N022,j,.��f2so22 D
p ,
/G' Qe lee 22000
P.C. Fee$ [/ d Permit Fee �LJ
-t 0'6 1 8-80
Issuance Fee
e
Tocol Fee
—DEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PERMI
COUNTY OF LOS ANGELES4 ® 1 N
WM. J. FOX, CHIEF ENGINEER ��!
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDIND
ADDRESS /T y W. L s,,r / u w n S - 12 9,7 Z
LCCALITY !� RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST Yj/ _ _/ (%/ S-/2 'y�l
CRO66 6T.
/ BUILDING
R✓
OWNErI�'L/ , ' N ADDRESSMAIL
ADDRESS LOCALITY T '�
NEAREST
TEL CROSS ST. Q$ _ A/LE.LI 1
T. ,
RFIRE NO.OF TYPE GRCUP
ACHITECT OR TEL ZONE PLANS
ENGINEER NO. / VV4--UUU
BLDG. ORD.NO.
ADDRESS `' SETBACK LINE
AP
CONTRACTOR/ NO. SJ-2f1.-9O B`,PROVED DATE
9�se, e 4ao�-n USE APPROVED
ADDRESS ZONE G -LBY DATE
LEGAL
DESCRIPTION LOT NO. BLOCK .D D 6' CORRECTIONS
_TRACT
i BLOBS.NO.OF
NOW ON LOT .i
SIZE OF LOT
USE OF NO.OF NO.OF
EXISTING BLDG. I FwHI LIE. ROOMS '
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH 0
BD.FT. NO.OF Z
_SIZE ROOMS STORIES D
WALL ROOF F
COVERING ( .COVERING
-H w-em- W
R
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 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 DF / �./ ! L a ' BRACING,BOLTS
PERMITTEE w•B,q,p(�„'p few' j,u'p— `O
LATH,INT.:
AUTHORIZED AST LATH,EXT.:
oos-2 som sET. 7-97 $ P.C.>B
PLASTER,INT.
FEE PLASTER,EXT.
VALUATION iFVL= FEE 9 2 ' FINAL �� (-'/•p I�
r
.P,I✓BAG3BA ,EABD33IAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS /�t C— CG s vRS
BUILDING AND SAFETY DIVISION LOCA LITYI ` -evi{
JOHN A. LAMBIE, COUNTY ENGINEER-
COLEMAN W. JENKINS, BURT OF BUILDING NEAREST
NEAREST. ///UJ �Ct. •�v'�
DISTRICT NO. .GROUP TYPE-. PROCESSED BY
FOR.APPLICANT TO FILL IN co
(Print or rvoe only) a sl 5n ,''�/7-
FU.E
DING / { �J'�I ' ^ STATISTICAL'CLASSIFICATIONSEWER MAP
RESS I - I-A • V�T�' CLASS NO.�DWELL//,UNITS_ BK PG
NO. BLOCK USE ZONE NADP 6
T ��'f./ SPECIAL
N O.OF BLDGS. CONDITIONS ( -
OF LOT NOW ON LOT
OF1.
EXISTING BLDG, 1V Iy Q^!n VP7F1G¢' BLOC SETBACK FROM ,
Q It S .,JmgA/NOL. O/-/Z,�L FRONT PROP.LINE OF - (STREET),
OWNER Y TYPE OFEXISTING SETBACK HIGHWAY:' } YARD! _ TOTAL
ADDRESS .I LAj yMRs HIGHWAY WIDTH FRDM O.L.
CITY g7en PLC C- 1 I BLDG,SETBACK FROM
ARCHITECT OR TEL.
NGINEER NO. SIDE PROP. LINEOF (STREET)
E
TYPE A EXISTING SETBACK HIGHWAY } YARD = -TOTAL
ADDRESS c- HIGHWAY WIDTH FROM C.L.
CONTRACTOR ALciz p I6i v4.NOL Z, -,F2, , + a
ADDRESS T AI mA 1N t NO. .'S� �I1. CORNER CUTOFF YES ❑ NO ❑
U
clTv .I.q3 >4 N6Ct-E LIC. o
S CLASS C-41)7 SEE_ REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK _ a
NEW ✓ ADD ALTER REPAIR DEMOLISH r —
SO. FT. NO. OF NOIMILIES -'C •�'
SIZE ' � Z STORIES FA {
USE OF
STRUCTURE -Q ll 7-1 f•d G /
SIGNATURE OF
APPLICANT
VALUATIONS _ t
I APPROVALS, ` DATE b
'\Vl moi" �(, V IN3PECTOII St SITR
GNAUE
P.C. I PMT. 01 'FOUNDATION: LOCATION F -
FEES FEE S FORMS,.MATERIALS �c ` _ _
..FRAME:FIRE STOPS;'+
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYFURNACE:,LOCA T,I ON, .SC
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING TS\
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK GAS VENT, DUC _
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
INGTO WORKMEN COMPENSATION INSURANCE.
LATH, EXT,
SIGNATURE O HOUSE-NUMBER'COR-
P
PERMITTEE RECT.AND POSTEDA% Y
ADDRESS 175 AA/ I✓ ?Vt.A, ST 1..P FIN AL1y
JOHN F. LEW15. PRINCIPAL.STRUCTURAL`ENGINEER
PLAN CHECK VALIDATION _ CK. M.G. CASHPERMIT VALIDATION(cK M.D. �11 S k'
`'•
o 0 6 m Jai 14 ti. D 9.0 0,,1
7
WORKERS:COMPENSATION DECLARATION
I .herebo affirm that have a certificate of consent to self APPLICATION FOR BUILDING PERMIT
°risU�rey�,o�r�oC�ertif�icate�of-f Workers'Com bort Insurance, or ,,I
f}—p /'—h�p.�v—/�' e .-LG-s�'�`� - COUNTY OF LOS ANGELES BUILDING AND SAFETY
o licy No, Com an
Certified copy is hereby furnished. .FOR APPLICANT TO FILL IN - BUILDIN i 7 // f�- C -
ADDRESS `L/ 91
Certified copy is filed with the ccunty.building7__�
ec- BUILDING -'7 /'
tion department. ' / -ADDRESS / -� -'r A% LOCALITY TL.<js Li'x� C �•
Date Applicant CITY.' NEAREST '�,
CI zIP �ii'7 CROSS ST. bY1 L
`CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. - ASSESSOR
< COMPENSATION INSURANCE SIZE OF LOT - NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. al, r
//II TELJ SPECIAL y
('certify that in the performance-of the work for which this OWNER /I'� �£ NO.ZkS O!t/� CONDITIONS O
.permit Is issued„I.shall not employ any person in any manner f q� r DISTRICT GROUP TYPE _ FIRE P SED BY V
ADDRESS I �- LIl JN11Tj �i CONST.. ZONE
^so as to becom e'sub ect to the Worke Com nsation Laws. �s � )) qq 1V/ ZO
+ ST7V Tv--l(.L ZIP '
ary / '1/77b
Dale ���Appica STATISTICAL CLASSIFICATION. _ APT. CONDO. V
ARCHITECT.OR. ._ TEL.
"NOTICES n, youLICANT: If, r Ing this Certificate of ENGINEER NO. s� W
-
Exemption, you should become subject to the Workers' CLASS NO, DWELL. UNITS_ 1
Cordleensation provisiona.oP the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be SEWER MAP. / Z
.deemed revoked_ / TEL' r' '� ,} VALIDATION
CONTRACTOR' G(/L cj l(J NO, 5 O/-u} BK.. t PG, 9 .
y.- •. LICENSED CONTRACTORS DECLARATIONy,, /.�� .f f,cLIC. (/
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 13�I C'- L,t�! ��kS {NO. i-7 VALUATION
/(com(commencing with Section 7000)of Division 3 of the Business and // ,T� LIC. 7� /'-L
mencing
and my license is in full force and effect. CITY Vr/T'✓7?l CLASS '7 $ "1J ID - -
T y O Lf / SO. FL. SNO.TO OF NO,-OF CHECK
j License Num
/�{fb}er 7 /Y Lic Cla�s's` SIZE STORIES FAMILIES ONE '
Confrdctor L•e � Date✓ _�� -� NEW
i DESCRIPTION OF WORK
I am exempt from the licensing requirements as I am a �, +D/L-bTi A7. ADD - -
- -licensed architect or a registered professional engineerALTER FINAL
K �j
acting in my professional capacity (Section 7051, 51iihe/AAb At'WV I Nei mL�. REPAIR •� DATE !// 7Z
Business and Professions Code), USE OF 7W VlvG / a LS - V —
EXISTING BLDG. v lz �j DEMOL E] FINAL.
Lic. or Reg. No. Date APPLICANT TEL. BT -
- ' OWNER-BUILDER DECLARATION (PRINT)' No:LSrJ -a/Y) 9
I hereby affirm that I am exempt from the Contractor's License / •���
Law for the following reason (Section 7031.5,'Business and ADDRESS i t514%)Gi -
Professions Code): - - .PRESENT <
. -❑ BUILDING .. -
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and 5 2 2�J A
- the structure is not intended or offered for sole (Section LOCALITY. - - -
7044, Business and Professions Code). MOVING - - TEL.
-� 1, as owner of the property, am.exclusively contracting CONTRACTOR _ NO.
with licensed contractors to constructthe project (Sec- .2 ° - 6 1.O O - +
tion 7044, Business and Professions Code). [ADDRESS EQUIRED TOTAL SETBACK FROM EXIST. e'° e.6 1.O O 10
CONSTRUCTION LENDING AGENCY ET BACK. YARD HWY PROP. LINE WIDTH
( hereby affirm that there is a construction lending agency for FRONT .� 2_8 rhe performance of the work for which this permit is issued P.L.(Sec. 3097, Civ. C.). SIDE -P.L.Lender's Name lender'sAddress ✓ . Fee$ Permit Fee
w I certify that I have read this application and state that the Issuance Fee
p _ above information is correct I.agree to comply witkall County Investigation Fee
ordinances a tate laws relating to building construction, ;
m and hereb ut a representatives of this County ro enter Tornl Fee
mr upWov eatP nedn property for inspection`parposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
.Signature of Appllmnt or Agent Dote - -