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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'