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HomeMy Public PortalAbout9106 LAS TUNAS DR_Building__ Y � • ` APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or tYPe Only) aooRess �- COUNTY OF LOS ANGELES I DEPARTMENT OF COUNTY ENGINEER CITY Zj zlP. BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT . NOW ON LOT ADDRESSew I TRACT, BLOCKLOT NO. LOCALITYni - - TENEAREST OWNER- I -s C/`� NOL; �V61/ CROSS ST.- } ASSESSOR } ADDRESS. / S r /,¢/ C MAP BOOK PAGE ARCEL DISTRICT GROUP TYPE FIREPRO E`SSED BY CITY ZIP ^ �l /= CONST. ZONE 1/1 ARCHITECT OR TEL !i' 9 .���" .ENGINEER S�Kf{ NO. STATISTICAL CLASSIFICATION - SEWER MAP ADDRESS S K! �"� CLASS NO.��DWELL.LIN ITS BKZ_P10 CONTRACTOR CCQ Cai`jeL -� - USE ZONE MAP G _ LIC. NO. ADDRESS-_S X14` j - -- NO. '2 4;-7-g6 �� SPECIAL LIC. CONDITIONS - CITY P � f CLASS R AD DEPARTMENT APPROVAL REQUIRED YES[D NO E] CONSTRUCTION LENDER NAME AND BRANCH LOG.SETBACK-FROM - "- - PONT PROP.LINE OF (STREET) d IGHWAY } YARD ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING - CD SQ. FT NO. OF NO: OF CHECK - HIGHWAY WIDTH FRONT PROP. LINE SIZE STORIES FAMILIES ONE O + DES'CRIPTION OF WORK NEW ❑ IU ADD BLDG.S SIDE PROP. LINE OF STREET) Z ALTER ❑ HIGHWAY + YARD - TOTAL.SETBACK FROM. TYPE OF STING REPAIR❑ - SIDE PROP. LINE HIGHWAYI WI 'USE OFDEMOL ❑ + EXISTING BLDG_ � - APPLICANT _ TEL //' .f CORNER CUTOFF YES ❑ NO ❑ - (PRINT) � 'a (liPr.�/ 0. , 5-2 BY (SIGNATURE)- IN OPEN SPACE .YES ❑ N BY (SIGNATURE)-c ❑ . Q, IN COASTAL ZONE YES ❑ NO ❑ VALUATIONY 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) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- I STR UC TION. I CERTIFY T_THAIN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) , HER I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE TATE. OF CALIFORNIA IN��/RELATING TO _ W.ORKMEN'S CO MPE NS N INSURANCE SIGNATURE OF _ PERMITTEE _ ADDRESS FINAL BY TEL 77 a B W CITY /�/,,/�L,Z�.�.Q�` NO. DATE /7-5,� P.C. '- PMT. %1A KE CHL CICS PlAYA131—E 1'0: FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER n _ •� PLAN-CHECK VALIDATION CK.— M.O. CASH _0 -PERMIT V L DATION CK. M.O. cnsN' I 3 0- 1 D 3.0.0 I-A—A CE#803 1.2/72 a' T•6A638A CE0803 8-64 APPLICATIO&V FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS d BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN / CONST. / BUILDING S T AT It YlC Ili CLA F1, ACt-t0N S1� �R'MAP ADDRESS CLASS NO. DWELL UNITS BK PG LOT NO. ++ BLOCK USE ZONE MAP NO. TRACT „rr, 9 *✓ SPECIA N0. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF E ISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNERNO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL 4 ~' ADDRESS HIGHWAY WIDTH FROM C.L. CITY ARC HIT �'C "6 "" TEL. BLDG. SETS C OM ENGINEER NO. SIDE PROP. LINE OF (STREET) }. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CL ADDRESS HIGHWAY WIDTH FROM C.L. 0 V TEL. + _ Lu CONTRACTOR t ••NO ADDRESS 777t ' 'S NO _ CORNER CUTOFF YES NO U- CITY + LIC _ SEE REVERSE SIDE FOR SPECIAL APPROVALS LSCRI TION Ot WORK 0 O CL NEW ADD ALTER REPAIR DEMOLISH W SQ.FT. NO. OF NO. OF F- SIZE STORIES FAMILIFS USE OF STRUCTURE ! F SIG 'ATURE OFY { APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ I FEE$ '� GJ FORMS, MATERIALS FRAME, FIRE STOPS, , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION ' WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF .- HOUSE NUMBER COR- PERMITTEE RECT.AND POSTED ADDRESS F] NAL r, JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH ' aei ., 7{A�99A CE 809.9-60 APPLICATION FOR BUILDING PERMIT'"' COUNTY OFI`i6sS,-ANGELES BUILDING G , ©J IIS�i 1 y ISI/�S ADDRESS ` lD DEPARTMENT OF `COUNTY,>.ENGINEER BUILDING AND SA"i-Y "DIVISION LOCALITY r ' JOHN A. LAMBIE, COUN'X'.ENG[NEER NEAREST WILLIAM A. JENSEN'.SUPITOEBUILDING CROSS ST. DISTRICT NO. l GROUP P OCE 'ED Y TYPE FOR APPLICANTTOiFIIL'rII1V �� CONST. I BUILDING i }`-.,I''""y` STATISTICAL GLASS ICATION I SEWER MAP ADDRESS O w * �'j BK PG CLASS. N DWELL. UNITS LOT NO. G Y +'•1� I { }_;, BLOCK MAP o� STATE NUMBER„)(} ((� rj HWY. YES TRACT ` �+� � �,, ,. _ USE ZONE' SPECIAL 6. NO_pC :IGS. CONDITIONS SIZE OF LOT • "OW.ON-VST j USEOF EXISTING BLDG. BUILDINGEXIST. YARD HWY5?RE T NAME ♦ 1 j-' TEL SETBACK WIDTH OWNER t W/�R�S lI-`r`c NO. FRONT P. L. Sic ADDRESS Cti f^,� V `C' SIDE ARCHITECTOR TEL. P.L• ENGINEER NO. INSPECTION RECORD } ADDRESS d CONTRACTOR C—k c��\(�L��'� (ON,(N�O. UO ADDRESS S Jam �'{�'r\-Nckv`LC.N� C+ DESCRIPTION OF WORK 7�R-�/��G{"�bf /'A_Q6 6S75:/Q Ale v Lu E/) ✓A/1!)I Tipr;�� �f�T a NEW ADD ALTER REPAIR DEMOLISH N NO.OF NO.OF 1lr�i"AI ;1ti�• -7lr i+/;tlJ./} SIZE STORIES FAMILIES r USE OF STRUCTURE" ;l PWAT". SIRE O APPLICANT VALUATION 11 APPROVALS DATE// INSPECTOR'S SIGNAT/UJ�RE FEE $ I I FEE $ FO FORMS. MATERIALS FRAME: LOCATION FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND EE-TO COMPLY FURNACE:'LOCATION, - WITH ALL COUNTY ORDINANCES AND STATE AW REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT I TH RFORMANCE OF THE WORK FOR WHIC THIS PERMIT'IS SSU D I SHA NOT L'ATH, INT` EMPLOY ANY PERSON IN Y MA NER SO A T B OME UECT TO THE WORKMEN'S C ENSA N S C IFORNI LATH,EXT. SIGNATURE OF HOUSE NUMBER COR. PERMITTEE RECT AND POSTED ADDRESS -�" FINAL 3-6,6t// U/ ( Al CLYDE N. DIRLAM,,PRINCIPAL ST RAL ENGINEER .I PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. .M.O. CASH 76463 IIIA Cr 11809•g-60 APPLICATION FOR- BUILDING PERMIT . COUNTY OF LOS ANGELES B,L I LD I N G DEPARTMENT OF COUNTY ENGINEER ADDRESS �/c� (� ��%�Ay/liLi,4 a BUILDING•AND SAFETY DIVISION LOCALITY 96ert, eie f A,S v t 1-,l Af JOHN A. LAMBIE;COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP'T.OF BUILDING CROSS ST. '✓� ' - DISTRICT O. G UP I TYPEP CESSED Y. FOR APPLICANT TO FILL IN ��"n - CONST •BUILDING • ) STATISTICAL CLASSIFICATION SEWER MAP ADDRESS va`,f•„( ��f l'✓ J,Sb� 1-7 c- , NO. / DWELL.UNITS © I �.K PG Q LOT NO. BLOCK MAP �e) � HWYE NUMBER YES NO TRACT S-�7 Q,_ USE ZONE . SPECIAL .ri �} �^ NO.OF BLDGS. CONDITIONS SIZE OF LOT ,rj. X 7J I NOW ON.LOT -{ - O ll/I_. �, - .. USE OF - C /I/-- EXISTING BLDG.- /:'i .1 S7-1",rF_ !<FlC IF BUILDING EXIST. SETBACK 'TEL. YARD HWY STREET NAME WIDTH OWNER NO, 644 FRONT ADORESS 2//Z,C/�.S/C�/L'.f�:C-A/7 SIDE ARCHITECT OR TEL _P.L. ENGINEER t NO,47,-z /" ' INSPECTION RECORD ADDRESS ,ZC- LN.Vo D � 7GkCONTRACTORjC::_ . My b /3.g T ADDRESS /, k-,6 /'C a DESCRIPTION OF,WORK l 7-6 JJI P r- 7L-1 O U NEW IL ADD ALTER REPAIR DEMOLISH - - H SO: FT, �I NO. OF NO. OF SIZE /,O v STORIES FAMILIES USE OF STRUCTURE �F_»-��F_-,fTig r� ,F- m SIGNATURE OF J - t �� EIS'✓✓; ©N /' �� " APPLICANT - t J f1-r/a 1-A- VALUATION$ I _ t! v'vG APPROVALS DATE. INSPECTOR'S SIGNATURE FOUNDATION: LOCATION P.C. a`C� +1 PMT. `.FORMS, MATERIALS - / FEE $ I I FEE $ _ ���` FfY:AM E: FIRE STOPS, 1/ I HEREBYACKNOWLEDGE 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 STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN'ANY MANNER $O AS TO BECOME SUBUECT I ♦' MYO,P���' �GCV TO THE WORKMEN'S COMPEN SATI LAWS OF CALIFORNIA. LATH, EXT. SIGNATURE OF HOUSE NU,MBERCOR- / w PERMITTEE_ RECT AND POSTED \ ADDRESS M 71 - FINAL CLYDE N..DIRLAM, PRINCIPAL STRRAL ENGINEER PLAN CHECK VALIDATION CKi M.O. cnsrt . . PERMIT, VALIDATION DKM.o.' cash 76AG38A CE#803 8-63 APPLICATION FOR BUILDING- PERMIX COUNTY OF LOS ANGELES BUILDING C7 ADDRESS -r, ✓ '10, - DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT GROUP TYPE 'P�R43•C`�SSED BY FOR APPLICANT TO FILL IN _ C CONsr. �(J/ BUILDIN STATISTICAL CLASSIFICATION S ER MAP ADDRESS BK y�PG CLASS. NO. DWELL. UNITS lC� LOT NO. BLOCK WATER NOT REQUIRED. 571 RECEIVED ❑ '�] CERTIFICATE: TRACT ©� _ 9 �^"� 1 NO Ca �y,...�(L. H�GRWEY. STATE AJOR ECOND. LOCAL NO.OF BLDGS. s!/ij C� SIZE OF LOT 3, NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS' EXISTING BLDG. c ' TEL OWNER NO. BUILDING EXIST. .--�+ SETBACK YARD HWY STREET. AME WIDTH ADDRESS �� -0• FRONT ARCHITECT OR TEL. P. L. n ENGINEER NO. SIDE . P. L tt// ADDRESSV k y G` �_c..-.�i• �T..3t/1/1'+`2fr.P J O TE CONTRACTOR [.} O NO. 1 4D ADDRESS Y n ag O SCRIP dON OF WORK �>�1?IGl•F �l.y �{ its x �1_. ��r�tt llf f�faU�� V NEW ADD ' ALTER REPAIR 'DEMOLISH " i j• - V1 SQ. FT. ZsNO. OF i NO. OF SIZE ® [ STORIES I FAMILIESUSE STRUOCTURE L T= - � �[ SIGNATURE{ APPLICANT VALUATION $ �•� ` APPROVALS D�ATJE INSPECTOR•.S SIGNAT U/R�E_s PMT. FO FEE $ � FORMS,OON MATERIALS FRAME: FIRE STOPS, f I HEREBY 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 STATE WS REGULATING GAS VENT, DUCTS L7 '// •/WJ/[l�/✓/1✓! BUILDING CONSTRUCTION. I CERTIFY THAT IN D ING THE WORK AUTHORIZED REBY I WILL NOT EMPLOY AN P SON IN VIOLA- LATH. INT. y�y' TION OF THE LABOR CODE THE STATE OF AL FORNIA REL T- TION TO WORK PEN TION &UR�E - I• LATH. EXT. SIGNATURE OF - '1.ItlAf� HOUSE NUMBER COR- PERMITTEE __WW�w RECT AND POSTED ADORES FINAL j� � ;5- Ll �. "• JOHN F. LEWIS. PRINCIPAL STR laT RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASii PERMIT VALIDATION C.11. M.O. CASH LANG 5 0 7 4 OCT 2 Q. 1 D 8.00— t WORKERS'COMPENSATION DECLARATION hereby affirm that I have ce'tCom a of consent to Self APPLICATION F 6R B U I L D I G PERMIT insure, or a certificate of Workers'Compensation Insurance, - or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING;AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS f>1 Certified copy is filed with the county building inspec- BUILDING e tion department: ADDRESS Q LOCALITY NEAREST Date Applicant CIT ZIP CROSS ST. CERTIFICATE iOF EXEMPTION.FROM WORKERS' / NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LO (> NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one Z USE ZONE MAP hundred.dollars ($100)or less.) TRACT BLOCK LOT NO NO. Z.U C.=+ .!� 'TEL �Zi SPECIAL I certify that in the performance of the w c for which.this OWNER 1-1- v O. - CONDITIONS CL ��. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 permit is issued,-1 shall not employ an person,n an manner .i-�' p P y Workers' ' y ADDRESS Li/ �. CONST ZONE U ,so as to be ome ubject to the Workers"Compeasa on Laws. Date Appl' AIRC R ZI T L. STATISTICAL CLASSIFICATION APT'.J CONDO. LU TO PPLICANT: If, after making this Certificate of lJ ENG EER /� NO. CLASS NO. DWELL. UNITS Exemption, _you should become subject to, the Workers'' a. Compensation provisions of the Labor,Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or-this permit shall be TEL. z deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. ' i hereby affirm that I'am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my,license is in-full force and effect. CITY CLASS $ wv ► SQ. FT. NO. OF NO.OF CHECK License Number Lit.Class SIZE ISTORIES FAMILIES ONE DESCRIPTION OF WORK NEW Contractor Date $ " ADD O Q I am exempt under Sec. 4, a ALTER FINAL REPAIR B.BP.C. for this reason 0 DATE Date: USE OF .r- FINAL DEMOL n EXISTING BLDG. -S J2 �r BY Signature APPLICANT TEL. S /s OWNER-BUILDER DECLARATION PRINT O. _ I hereby affirm that I am exempt from the Contractor's License ,0 Law for the following reason (Section 7031.5, Business and ADDRESS V Professions Code): PRESENT BUILDING G l I, as owner of the property, or my employees with ADDRESS ff .3 p, wages as their sole compensation;will do the work and' LOCALITY �- the structure is not intended or offered for sale(Section o 0 0 0,0 7044, Business and Professions Code). . MOVING TEL. f33' ' I, as owner of the-property, am exclusively contracting - CONTRACTOR NO. 2.'- 0605;0 with licensed contractors to construct the project (Sec- ADDRESS 0 0 0 tion 7044, Business and Professions Code). b Q Jr 0 c CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBACK FROM EXIST. SET BACK YARD HWl PROP. LINE WIDTH I hereby affirm that there is a construction,lending agency for FRONT a 2 4 -8 the performance of the work for which.this.permit is issued P.L. (Sec. 3097, Civ, C.). SIDE FD P.L o Lender's Name Lender's Address a P.C. Fee$ Permit Fee • I certify that I have read this application and state'that the IV Issuance.Fee l/ a \n above information is correct. I agree to comply with.all County Investigdtion Fee V( g ordinanFa and State laws relating to building construction, Total Fee u and hirutfiori_e representatives of this County to enterp ri b mentioned a ecty for inspection purposes. \` a ,0 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or ent Dgte _ ®s