HomeMy Public PortalAbout9088 LAS TUNAS DR_Building__ 1.+r.r[itt 1 M r•ry 1 Ur b U iLDiNG AND SAFETYrr tirri.i�.r>`i aviv r vn rznmi t
COUNTY OF LOS ANGELES '
® U® ® '
WM. J. FOX, CHIEF ENGINEER 1�
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS` ij! ;5` /U/Y/,r t+r"
LOCALITY RECEIVED BY DATE OF APPL. J DATEISSUED
G���
NEAREST �� /
CRO
B9 ST. `.f /
BUILDING
OWNERj��,Ejp �`" ADORE
MAIL
H9 'a-17
ADDRESS LOCALITY
LOCALITY_
LNEAREST
_CITY No. CROSS BT.
ENGINEER FIRE I NO. OF TYPE GROUP
ARCHITECT OR NO. ZCNE-_ PLANS
\^.. BLDG. ORD. NO.
ADDRESS SETBACK LINE
�� TE�1 /�jy p(/� APPROVED - DATE
CONTRACTOR �,/r ND /T �'o(J
jz&eUSE APPROVED
ADDRESS ZONE / SY DATE
LEGAL
DESCRIPTION I LOT NO. BLOCK CORRECTIONS
TRACT
SIZE OF LOT
/0(1
I NOW DN LOTS /
USE OFNO.OF I NO.OF /
EXISTING BLDG. FA lc Es ROOMS'
DESCRIPTION OF ORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH
Sq.FT. D NO. DF Z
BIZE ROOMS STORIE91 y
WALL ROOF r
COVERINP Khr>V it COVERING
USE OF NEW
BUILDING
a4;;�n >r e
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS ,����
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /_ 1'1
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS G
OWNER LATH, INT.:
AUTHORIZED AOT.
LATH,EXT.:
P.C.III PLASTER. INT.
per/ FEE PLASTER, EXT.
VALU TION ��d FEE �`� ( `� FINAL _ Sl- ¢� / �
WORKERS' COMPENSATION DECLARATION
piere Z, affirm That I have a certificate of consent to Self APPLICATION FOR BUILDING PERMIT
msure; or a certificate of Workers' Compensation Insurance,
i'ar-vicertified copy thereof (Sec 3800, Lab C )
�5��� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No, Company. BUILDING
FOR APPLICANT TO FILL IN
Certified copy is hereby furnished ADDRESS
—I Certified copy is filed with the county building inspec- BUILDING
u tion department ADDRESS v p G ��T� /�G LOCALITY
NEARE
Date YY��Applicant �E 4CITY L� C�/� zip Q C OSSST
CER FICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK I PAGE PARCEL
(This section need not be completed if the permit is for one / USE ZONE MAP
hundred dollars ($100)or less ) TRACT �/ �� BLOCK I LOT NO NO
TEL U L SPECIAL }
I certify that in the performance•of the work for which this OWNER GO �/�NO �i 3 CONDITIONS IL
permit is issued, I shall not employ any person in any manner �j _ r DISTRICT GROUP I TYPE FIRE PR SSED BY O
7 Z �G ��
so as to becomeADDRESS CONST ZONE U
� subject to the Workers'Compensation Laws i-`
Date App CITY f ZIP STATISTICAL CLASSIFICATION APT CONDO, O
TEL
NOTI E T APPLICANT If, after m ng t e if a-of ENGINEER ARCHITECT OR NO U
Exemption, you should become blect to 1 orkers'' CLASS NO 2�- DWELL UNITS a
Compensation-provisions of the Labor Co e, you must forth- ADDRESS SEWER MAJPG H
with comply with such provisions.or this permit shall be Z
deemed revoked TEL CONTRAC R NO BK VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NCO �C��� VALUATIO
(commencing with Section 7000)of Division 3 of the Business and LIC 60
Professions Code, and my license is in full force and effect CITY. CLASS $ ,SQ F �Z 7NO OF NO OF CHECK
60
License Number Lic Class SZ STORIES FAMILIES ONEContractor DateDESCRIPTION OF WORKNEW $
I am exempt under Sec ADD
v/ ALTER FINAL l B.&P C for this reason O DATEJ
REPAIR
USE SE OF EXISTING BLDG DEMOL 0 B1NA
Signature APPLICANT /' �,QTEL
Y
OWNER-BUILDER DECLARATION PRI O fi GeNOZ E
I hereby affirm that I am exempt from the Contractor's License ADDRESS
Law for the following reason (Section 7031.5, Business and.
Professions Code)-
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 kADDRE
7044, Business and Professions Code) TEL
I, as owner of the property, am exclusively contracting CONTRACTOR NO 5 9 1.9 A
with licensed contractors to construct the project (Sec-
tion 7044, Business and Professions Code) # 0 0 0 0,011
CONSTRUCTION LENDING AGENCY D TOTAL SETBACK FROM EXIST
K YARD HWY PROP LIN WIDTH I ° ° 40. 50
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued 000 [) Q50v(Sec 3097, Gv C )Fo 11, 12-86
Lender's Name
Lender's Address $ Permit Fee Q
I certify that I have read this applicofion and state that the Issuance Fee � tr7
a above information is correct I agree to comply with all County Investigation Fee
9 ordinances and State laws relating to building construction, Total Fee
b and hereby authorize representatives of this County to enter
upon the above-mentioned perty for inspection purposes
o Agent
SEE REVERSE FOR EXPLANATORY LANGUAGE
natur of A Inc or Agent Datd Os
DEPARTMENT OF BUILDING AND SAI i
COUNTY OF LOS ANGELES
WM. J- FOX, CHIEF EN--;NEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
'/ / DISTRICT NO. ' PLAN CK.NO. PERMIT No.
BUILDING /� !,�' Gig(' �y-V Af f�•y f� I V
ADDRESS �,(+'7l /"�.3 .f r/f-f
LOCALITY F/ /f� J�G.- rR�7E�CEI/y"E.D BY _DATE OF APUP^L�. DATEISSUED
NEAREST
CROBS ST.
BUILDING
AOWNER /4p W/9
1510 A ADDR
MAIL / LOCALITY
r/-L-,Al Z—497DDRESS fv [[
s
NEAREST 1'
TEL CROSS ST. ' S}
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANE ,
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS - SETBACK LINE
/� eJl y��'1° 9,,ry APPROVED
CONTRACTOR // G.�(7 l ��� NOL BY DATE
J �,/�'l /� r USE APPROVED
ADDRESS �/ �"""�J1/L1,4e4�/ 911KjoJ® ZONEG'��+^' BY DATE
LEGALDESCRIPTION LOT NO. �4 BLOCK CORRECTIONS
TRACT
NO.OF S
SIZE OF LOT NOW ON LOT
USE OF !�:/�. �i I NO.OF�,.I NO.OF/
EXISTING BLDG. FAMIL1E ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
A
_ REPAIR MOVING DEMOLISH
Sq.FT. NO.OF Z
_SIZE - ROOMS STORIES D
WALL ROOF r
COVERING I COVER IN1r---_.____
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION' LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REO GATING BUILDING CONSTRUCTION a
` FRAME: FIRE BTOPS,
MATURE OF BRACING,BOLTS
lalG� -,MITTEE
PE r �/ LATH,INT.:
AUTHORIZED AGT "LATH,EXT.:
'DBS-3 SLIM SETS 7-47 P.C.$ PLASTER,INT.
FEE PLASTER,EXT.
� r')
VALUATION �} FEE FINAL l'