HomeMy Public PortalAbout9108 LAS TUNAS DR_Building__ 76AQ5lA CE#B09'1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY e �ft "
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. (?y'Y►
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN pp T�
J CJ i CONST. 1� I
BUILDING STATISTICAL CLASSIFICATION WER MAP
S �/
ADDRESC1 �c S/K.'m�aS �r- BK PG
_ CLASS.NO.Z�DWELL. UNITS----j ,_ - I o
LOT NO. -lac BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT„S / C j� MAP1 vO /' HIGHWAY STATE MAJO SECOND, LOCAL
NO.OF BLDGS. �\ NO. u- Jp ICIRCLE)
SIZE OF LO' i pf S X J I NOW ON LOT !F✓ USE ZONE SPECIAL
USE OF _ CONDITIONS
EXISTING BLDG. /1 - 3
'/ TEL. _ (�
OWNER 401.7.1 1 p 9Tc� 't% NO. ">` S BUILDING YARD HWY STREET NAME EXIST.
Y
ADDRESS SO SETBACK WIDTH
FRONT
ARCHITECTOR TEL. P. L. P,� - �•-C �ti'?1 a L
ENGINEER NO. SIDE
P. L.
ADDRESS }
TEL.� INSPECTION CO a0
CONTRACTOR c^ T y ALL}Y>'t�r'�''-/NO. / '�%t//l9
ADDRESS i/�LI �%J i��- /•l•f1;tS i/J! - T�- - '^ J`� G '`r I l
DESCRIPTION OF WORK I-
w
a
N W ALTER REPAIR DEMOLISH rn
FT. NO.OF NO.OF _ z
SIZE STORIES FAMILIES
USE OF
STRUCTURE S
SIGNATURE OF
APPLICANT
VALUATION$ -
/ r �r APPROVALS - DATE INSPECTOR'S SIGNATURE
PMT.F E $ �/ FEE $ FOUNDATION:
O
�_ FORMS!MATERIALS
ON
TERIIALS
FRAME: FIRE STOPS, a.•
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 LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. - "` e.. c`
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN/C2NSATION INSURA E. LFINAL
EXT. iie
SIGNATURE OFE NUMBER COR-
P ERMITTEE—T �z �� ' T AND POSTED
ADDRESS--rL. �c I 7
CLYDE N. DIRLAM, PRINCIPAL STR AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. H PERMIT VALIDATION C� M.O. CASH
J 2 6ri 1 J .5I�' is
0 1 2 9 t
76A638A CE 4803 6.62 APPLICATION FOR BUILDING� . ERM.IT
COUNTY OF LOS ANGELES BOILOING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY,ENGINEER, NEAREST
WILLIAM A..JENSEN, SUPT OFBUILDING CROSS ST.
DIST CT NO GROUP YPE CE ED Y -
FOR APPLICANT TO FILL IN S CONST:
BUILDINGc ,CEJ STATISTICAL CLASSIFICATION - -SEWER MAP
ADDRESS O C-g� X �'
CLASS. NO. I `DWELL. UNITS
LOT IJ O. BLOCK ,WATER. -
TRACT CERTIFICATE: NOT REQUIRED RECEIVED
MAP- HIGHWAv - STATE MAJOR ECOND OCAL
NO. OF BLOGS. ; NO. 4 (CIRCLE)
SIZE OF LOT /�� NOW ON LOT USE ZONE - SPECIAL -
USE G - .-� CONDITIONS
EXISTING BLDG.
TEL.
?OWNER - NO. BUILDING YARD HWY STREET NAME - EXIST.
SETBACK WIDTH
ADDRESS Q O"ot FRONT
ARCHITECT OR . TEL. P. L. O`Tl
ENGINEER- NO. SIDE �-
ADDRESS1 O
TEL
CONTRACTOR NO AT.y�Z08 h
ADDRESS O
DESCRIPTION OF WleffiKu
CL
NEW • ADD ALTER REPAIR DEMOLISH h
Z
T. - / NO. OF NO. OF..
SIZE �. STORIES FAMILIES .
USE OF
.STRUCTURE i0_/= - - -
SIGNATURE JFf -
APPLICANT v� -
VALUATION.$
APPROVALS DATE -INSPECTOR'S SIGNATURE
P.C. _ PMT. FOUNDATION: LOCATION.
FEE FEE $ "..� FORMS, MATERIALS
FRAME: FIRE STOPS, . -
I HEREBY ACKNOWLEDGE THAT IHAVE 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 DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODEOFTHE STATE OF CALIFORNIA RELAT- - -
< ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT..
.SIGNATURE OF .���..� HOUSE NUMBER.COR-
PERMITTEE
OR-
PERMITTEE .RECT AND POSTED
ADDRESS S 'FINAL.
` JOHN.F. LEWIS. PRINCIPAL STRUCTURAL ENGI R
PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATION -CK. . M.O. CASH