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HomeMy Public PortalAbout9082 LAS TUNAS DR_Building__ r 0a4838A DBS-3 12.54 APPLICATION ' FOR• BUIL®INN PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING Q o d 4Zo Deportment of County Engineer County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST /S CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST, (. DISTRICT NO. GROUP SEWER MAP TYPE ,�• FOR APPLICAN TO FILL IN j�P CONST. BK /O BUILDING A ' ADDRESS �V MAP - /7 O - HWY Y 9 NUMBER � LOT NO. l BLOCK USEZONE SPECIAL - CONDITIONS TRACT I / � 3 . SIZE OF LOT 1 NOW ON LOTS j BUILDING - EXIST _ USE OF / SETBACK YARD HWY STREET NAME WIDTH EXISTING BLDG FRONT P L. <o /v OWNER SIDE P L. MAIL / ADDRESS 119 TEL. t DWELL 1 UNIT 5 INDUSTRIAL CITY NO 06 2 DUPLEX-UNIT 6 PUBLIC BLDG ARCHITECT OR TEL. ENGINEER NO- 3 APT UNITS 7 ADDN.,ALT.,ETC ADDRESS - 4 COMMERCIAL 8 MISCEL TEL 0 CONTRACTO No. INSPECTION RECORD ADDRES r DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO FT / NO OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURF�� SIGNATURE OF �� APPLICANT APPROVALS_ ADDRESS DATE INS ECTOR'S SIGNATURE FOUNDATION LOCATION $ FFEE FORMS, MATERIALS FRAME FIRE STOPS.VALUATION C/ V ✓ BRACING, BOLTS FURNACE* CT---- LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. S AND STATE LAWS REGULATING BU DING CONSTRUC- TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- , PERMITTEE RECT AND POSTED ( 1 ,,p L ADDRESS FINAL L I ` MC J. FOX. Coumw Fi4amESE a VALIDATION BY _ - ",, CO3T 7 6-1 'M9 2 - 1 6.0-`0 - - DEPUTY _ --' � / "' "DEPUTY _ BY BY ® DEPUTY DEPUTY 76AB96A CE#8036-=8 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT:D.GRIFFIN,SupT of BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P SED BY FOR APPLICANT TO FILL IN I CONST. BUILDING�J/� I SE ERMAP ADDRESS/// v 'i STATISTICAL CLASSIFICATION gK PG CLASS.NO. DWELL. UNITS lei LOT NO. BLOCK NUMAP MBER C�� STATE YES HWY. ` TRACT USE ZONE SPECIAL NO.OF BLDGS. f CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING B BUILDINGEXIST. SETBACK YARD HWY REET NWE WIDTH OWNER ��'''^^�� FRONT 'o' MAIL o IE/�� P.L. v ADDRESS .SIDE ITY r LE o oO P.L. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. i ADDRESSr w TEL. CONTRACTOR NO. V ADDRESS S DESCRIPTION OF WORK NEW ADD ALTE REPAIR DEMOLISH yam, SQ.FT. NO.OF NO.OF L�.� �• SIZE STORIES FAMILIES USE OF STRUCTURE 'S /y/�II vx SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS $ P,C. $ -+� FRAME: FIRE STOPS, FEE BRACING, BOLTS VALUATION ' $ C,3 FURNACE: LOCATION. FEE '3 GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNT ORDINANCES AND STATE LAWS"R OtlL TING BU LD G O TRUCTION. LATH.EXT. SIGNATURE OF LLJ HOUSE NUMBER COR. PERMITTE RECT AND POSTED ADDRES FINAL CLYDE N.DIRLAM. PRINCIPAL STRYQJURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERNIIT VALIDATION K. M.O. CASH ,2. 4:649lh FEB 13 1 A 30 0 18 OF - TEMPLE rJ . CI`T'Y ,Q"U Cl#8039/OC APPLICATION FOR BUILDING PE MIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST: DISTRICT NO. GROUPTYPE P ESSED-BY FOR APPLICANT TO FILL IN CONST. AB 7 DDRESNG S 0 �� // � p g STATISTICAL CLASSIFICATION E ER MAP ; �-.I�S (J/`//7 S BK PG GLASS.NO DWELL.UNITS `� LOT NO.• BLOCK MAP NUMBER - STATE YES ' TRACT - USEZONE SPECIAL SIZE OF LOT 0 NOW ON LOTNO.OF S_ //_► CONDITIONS USE OF `� ^ 1 EXISTING'BLDG. I BUILDING EXIST. TEL. SETBACK YARD HWY STREET AME WIDTH OWNER I O. FRROL TP. ADDRESS SIDE ARCHITECTOR TEL. P.L. ENGINEER INSPECTION RECORD ADDRESS TEL. '�- 6 a CONTRACTOR 0 NO. O ADDRESSf2gjZ V DESCRIPTIM OF WORK NEW DD ALTER REPAIR DEMOLISH / S / O.OF NO OF STO SIZE RIES FAMILIES �7 N USE O 1 A!' �` ,FrT�'�`- in STRUCT RE' FI S ATURE OF ✓- APPLICANT !J"� 1 ' `�� �Gy� � VALUATION$ � _� i'l� 1, 11,57-1-Ir - APPROVALS DATE/ INSPECTOR'S SIGNATURE P C. CI PMT. a FOUNDATION: FORMS.MATERIALS ON FEE FEE $ FRAME:FIRE STOPS. -yL-vo 1 HEREBY ACKNOWLEDGE THAT t'HAVE READ THIS AP- BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. J 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. / WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF C V.IFORNIA. LATH,EXT. SIGNATURE OF �✓u HRECT AND POSTEDR OUSE NUMBER CO - PERM ITTE ADDRESS S�/ � FINAL �� Q CLYDE N. DIRLAM, PRINCIPAL ST T L ENGINEER -PLAN. CFIECK VA TION CK. M.O.L CASH PERMIT.VALIDATION cK m.o. CASH. 09 3 4 '8 DEC 1..2 3 D 7.5 O ••� - .69 ,349— DEC 1 1 D 1 5.0 0 ®• s APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only BUILDINGCOUNTY OF LOS ANGELES ADDRESS G �— .dr- _ -v' �?-5 DEPARTMENT OF COUNTY ENGINEER clrY i ZIP U , BUILDING AND SAFETY DIVISION . �.l ,/ j NO OF BLOGS } BUILDING f�• 1 a ' _ SIZE OF LOT )Q NOW ON LOT !J ADDRESS !r .�SC� TRACT � BLOCK LOT NO 0 LOCALITY Tg j EL - NEAREST OWNER r l(I TNO CROSS ST ASSESSOR ADDRESS . ik, MAP BOOK PAGE PARCEL DISTRICT I GROUP I TYPE FIRE PROCESSED BY !� CONS ONS T.h• Z O NE ARCHITECT ZIP TEL q!� o Q ,Y/ / /l• `" ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. =DWELL UNITS L BKj/y PG CONTRACTOR N0. USE ZONE MAP "r� LIC. /y NO V V (a ADDRESS NO ! '4 SPECIAL LIC ` CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM }. FRONT PROP.LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING C-3 SO FT __FNO OF 'NO. OF CHECK HIGHWAY } YARD - FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE O _ N + DESCRIPTION OF WORK NEW ❑ � ❑ BLDG.SETBACK FROM N ADD SIDE PROP LINEOF (STREET) Z_ ALTER HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING EPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF t = EXISTING BLDG RQ 54V,4-hDEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) Mo. _ IN OPEN SPACE YES ❑ NO BY (SIGNATURE) ❑ - Q IN COASTAL ZONE YES E] NO ❑ VALUATION s d � CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL 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 IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA 1 RE LA G TO WORKMEN'S COMPEN ION INS 11 CE SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL CITY NO DATEC PMT.Q %1,11\E C11LC1\S P,1},1131-L 10. FEE �� G ✓ `J FEE P HARVEY T. BRANDT, COUNTY ENGINEER ll 3 3 co PLAN CHECg VA TION cK M O (LA-H,)— PERMIT VALIDATION K' Mo CASH $_3 15�Nov, _20 3.0 0 0�d 76A638A CE#803 12/72 - 8 6,PIYDY ,2Q 1 © _5 O AJa V or.e3eACr.#eos•s-so APPLICATION FOR BUILDI G -PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS l l s vV,('L BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST DIS CT O. GROUP TYPE ; PRO SSED BY FOR APPLICANT TO FILL IN dr l CONST BUILDING �Q �V STATISTICAL CLASSI CATION SEWER MAP ADDRESS (J 7gK PG CLASS NO DWELL UNITS LOT NO. BLOCK MAP �'j STATE NO NUMBER,2-0 Q HWY YES TRACT USE ZONE SPECIAL , NO OF BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG BUILDING YARD 4WY STREET NAME EXIST A TEL. SETBACK WIDTH OWNER tINk (.L NO _& 3 FRONT r� P L S ADDRESS• G1.b d Nf a SIDE ARCHITECT OR TEL P L ENGINEER NO INSPECTION RECORD ADDRESS o_ TEL. O CONTRACTOR G k O w O - /'�0 ' �, u ADDRESSIX �'hRY`L��N 1 O DESCRIPTION OF WORK �J r ot-/ l W O_ EW ADD ALTER REPAIR DEMOLISH p ,r� Z S T. NO OF NO OF SIZE STORIES FAMILIES C USE OF / ,96 N,-o STRUCTURE V SIGNATURE OF APPLICANT VALUATION$ �V APPROVALS DATE INSPECTOR S SIGNATURE PC PMT=5 �:� FOUNDATION LOCATION FEE $ FEE FORMS MATERIALS FRAME FIRE STOPS, 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 ST LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION CERTIFY THI THE PERFORMANCE OF THE WORK FOR WHIG THIS PERMI IS I UED I SHALL NOT LATH, INT EMPLOY ANY PERSON IN Y MANNER O AS O ECOM UBU ECT TO THE WORKMEN S C N TION L WS F ALIFOR I LATH,EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ��y�/ ADDRESS FINAL -gr '� LiT7P CL.t l CLYDE N DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN C A N CK M.O. CASH PERMIT VALIDATION CK. M O. CASH UP 2 6 5 FEB16 1 o ' S.Q t7 ,r WORKERS'COMPENSATION DECLARATION . I hereby affirm that I have a certificate of consent to self APPLICATION F O B U I L D I N G PERMIT insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec 3800, Lab C ) t' COUNTY OF LOS ANGE S (f. BUILDING AND SAFETY Policy No Company I ' aBUILDING �y,, Certified copy is hereby furnished FOR APPLICANT,TO FILL IN ADDRESS !�-\ Certified copy is filed with the county building inspec- BUILDING `�--- tion department ADDRESS L LOCALITY � NEAREST Date` Applicant CITY ZIP U CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLD GS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT rL MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZON MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO / NO y ) TEL ��)) SPECIAL I certify that'in the performance of the work for which this OWNER I' NO `i CONDITIONS permit is issued, I shall not employ any person in any m nner DISTRICT GROUP TYPE FI " v J . I'Al. "e ADDRESS © r�� CO� 19 0 so as to become subject to the Wor rs Co o aw O Dat6 Applican c CITY ZI STATISTICAL CL TION APT CONDO ARCHI CT R TEL LY NOT TO PLICANT If, after ma ng this Certificate of � Exemption, you should become su lett to The Workers' ENGINEER Y NO --�Zy� CASS NO DWELL UNITS C Compensation provisions of the Labor Code, you must forth- ADDRESS / �j ` SEWER MAP Z with comply with such provisions or this permit shall be �7 deemed revoked CONTRACTOR Np BK/—PG,/C/ VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and LIC VALUATION Professions Code, and my license is in full force and effect CITY CLASS $ O6 SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES /I FAMILIES 'ONE Contractor Date - DESCRIPTION OF WORK �T OGk NEW $ I am exempt from the licensing requirements as I am a V Ci �- I' � ADD licerised architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code) USE OF FINAL EXISTING BLDG DEMOL Y Lit or Reg No _Date APPLICANT ii TEL � ��¢ , OWNER-BUILDER DECLARATION PRINT) //lam Ir`',�I 'U NOS /y69 I hereby affirm that I am exempt from the Contractor's License ADDRESS E3 d -�trQZ (.' - • ✓/� Law for the following reason (Section 7031 5, Business and 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 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING S TEL j, as owner of the property, am exclusive) contracting CONTRACTOR NO P P Y. v g X42-22A with licensed contractors-to construct the project (Sec- ADDRESS tion 7044, Business and,Professions Code) # a-0 0 0 0 1• REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE, WIDTH I hereby affirm that there is a construction lending agency for FRONT /y1 2 0 1 6 O Q 0 the performance of the work for which this permit is issued P L O'T/ (Sec 3097, Civ C ) SIDE ° PL o 01 60,006 Lender's Name_ •1 - - P C Fee$/ Permit Fee O ��2 — I ' Lender's Address ' w I certify that I have read this application and state that theIssuance Fee cabove information is correct I agree to-comply with all County Investigation Fee 0 ordinances and State jaws relating to building construction, Total Fee 2 and hereby authorize representatives of this County to enter a upr above- nti d o or inspection purposes a _,JJ SEE REVERSE FOR EXPLANATORY LANGUAGE Os Sign re of Ap licant or Agent' Dot