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HomeMy Public PortalAbout9153 LAS TUNAS DR_Miscellaneous__ MVLAIZATION :1.;.,49 Mi-SC —LANEOUS XPPLICATION ,,ny attirm t1i:;[ I hav,! a ierllflCae of I o ic!I COUNTY OF LOS AN%'Af-.LES BUIL'.);ING AND SAFETY DIVISION e, ur a certificate of V,,'ufkt:rs' Insurance, ..,'flified copy thereof(Seta. 390C), Lall.C.) 13 11 1.D I N G t)li,:y No.--- FOR APPLICANTTO FILL INI s3 <S_ AD L)R E.S 5 Certified copy is li,:rcrw fuinished. - LOC AL.TV 4 V_ OIL Ir r Ln W Certified copy is filed %vIIII the county building illspvcli.)." department. L,_,)C A L. YY 0 Of CROSS S, R 0 WC1 S E D� BY YV,, 0 Late-- Applicant D I S T R I C N 0. ROUP 2 L o A1 14 NST. 0 CERTIFICATI,' 01: EXE.MPTION I:k(*),,'.l 'WORKERS'ERs' —LEGAL LOT NO. Lmil-OCK z I tj :DESCRIPTION SECOND LOCAL r_ COM PENSAT ION NS RANCE _20o (c­C­:) STATE MAJOR 0 INC, OF BLOCS. --- 2, This SCC6011 11CCd not be c4miploted if the �v�uik iilvk)lv((I IRACT NOW ON LOT I, !! SPECIAL—CONDITIONS 0 by the permit is fur one hundred dollars (5100) or less.) USE OF OF LOT EXISTING BLDG. I certify ilizo ill the pI:rformanc,! of ill,! work tor which ilik .0 permit is issued, I Shall not ellipiov any person Ill ally 'llaniler Ir— �1_— —A, "/ u N-) as 10 bCCOFFIC SLIhj(-'C( t, tile Workers' conipciisanim LaWs. l!iFl+A,L OCCUPANCY GROUP Lu "�..DURESS CL Date— Applicant.-- U) TrL. z NOTICI: TO APPLICANT: If. after iw,lzing this C,11i!"Wale of NO. PLOAD C' CUPAN 'X.111I)II011. )*I'll should become suhjCCI to the WOIkers' CI)FI1j)eIiSali ,,I 1110VIS101IS Of Like LA)OF Code, )(Ill must forth- APPLICATION FOR EXI_,_HARDWARE: %viih comply with such p,-oviNions or this permit Shall I), TFAILER USE GEOLOGY INSPE'CTION ❑ deemed luvok,:J. 0 No Spec, Know]. OCCUPANCY INSPECTION Panic Devices LI('I:NSKD CUNTI(ACTORS I)ECLARATION I hereby affirm th:a I jin licenscd undei pnwision,,(it'ChapterSAFETY PERMIT (LIST ITEMS BE'—CW) NO. OF EXITS 9 (Colrlinen,:ing with Section 7000) it* Division 3 of the Busi- riess and ProtIssions 0)de, and mY licew;e is in full imcc alld PARKING effect.. ;;PACES R E Q'D PRpV1DED License Nuinber—_ l,i,:.Class-____ LIMITED TIME USE Contractor—___ Date z 0 I arn csentpi fFolli the liceiising rctimienicrits LIS I and :1 INSPrCTQR'5 j7 licensed Lrchitecl (IF !I fL'gktVIed prole,"ictilal engineer -7 or N0, pp acting " t liy sijilal eapacity (S,,(ioi 7051. BUS- r:�—­, TING O,LDG. Ir o R I f.s '-IG NATURF z — W inessand Professions Code). I`PeSENT USE OF BUIl_DING FINAL APPROVAL C YeLT Lic.or Reg. Date—___ 0 u HO,%,IE OWNE'k-BUILDER DECLARATION Nn OF EXISTING BUILDINGS Oil LOT AND USE --—---------------- I hereby affirm that I 'am esempt from the Contractor's License La", for the following reason (Suction 7031.5. BUSi- ness and llrofessiouis Code): NC, PARKING GFPCES PROVIDED 1, as owner of the property, will do the vvmk- and iliv zOOa6A structure is no[ intended or offered fir suitt (Section 7044, Business and Professions0 0 0 r�RCWOSEO USE OF DUILOING q1C,e rp CONSTRUCTION LENDING AGENCY .0 0 z I hereby affirm that there is :I construction lending agency for the purformiance of the work fur which this permit is 0610- 2 81 issued (See.3097,Civ.C.). d Lender's Naille— PROPOSED MAX. OCC. z Lender's Address PF-­?MiT FEE eer' above tify that I have read this application jIld 'Tat, that 111V I N C E F E E u e infurmation I.,correct. I agree to with all Co"IIIN' m-dil and State laws rel'itilik to building cons(rueiin r 't L ;ilcli'ebsCl' L, , FEE y authorize repr,�senlalives of this County' t, ente upon the abm'r-nlrntiuned property tiJr pectlo)'l. Impo­ 'es. Sl", REVERSE FOR L,N PLANATORY LAN(;1J.,1,G_1` 0 CID WORKERS'COMPENSATION DECLARATION CE 8754(2-80) MISCELLANEOUS APPLICATION I her.9-v affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insu;`e *.r a certificate of Workers'Compensation Insurance,or. '_11certified copy thereof(Sec. 3800,Lab. C.) Policy No. Company FOR APPLICANT TO-F.ILL IN BUILDING �I�.r3' / „� �� ADDRESS L-, 0 -Certified-copy is hereby-furnished. BUILDINGLOCALITY ADDRESS -77, ❑' Certified copy is filed with the county building inspection NEAREST department. LOCALITY, j -1,I-ze Ly/T cixoss ST.y OSE/����D Lil771 Date Applicant NEAREST DISTRICT NO. GROUPTYPE PROC SSED BY CROSS ST. �D - L1/D• '� �� CONST. CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL - COMPENSATION INSUR-ANCE DESCRIPTION LOT NO. BLOCK MAP HIGHWAY. STATE MAJOR SECOND LOCAL '} NO: (CIRCLE) This section need not be completed if the work involved NO. of LOT a ( p TRACT * - 'NOW ON LOT USE ZONE SPECIAL CONDITIONS O by the permit. is for one hundred dollars ($100) or less.) U USE OF ' ' SIZE.OF LOT -. EXISTING BLDG.' I certify that in the performance of the work for-which this O permit,is issued, I shall not employ any-person in any manner OWNER so as to become subject to the Workers' Compensation Laws. MAIL OCCUPANCY GROUP �+ U ADDRESS �SL'yL IN V� `vD,._ Date - Applicant TEL Cq NOTICE TO APPLICANT: If, after making this Certificate of CITY NO. OCCUPANT LOAD' Z_ Exemption, you should become subject `to -the Workers' APPLICATION FOR EXIT HARDWARE: Compensation provisions of the Labor Code,you must forth- with comply with such provisions or-this permit shall be TRAILER USE E GEOLOGY INSPECTION C1 No Spec. Knowl. O ' deemed revoked. = LICENSED.CONTRACTORS DECLARATION. OCCUPANCY'INSPECTIOry Panic Devices ❑'. I hereby affiim that I am licensed under provisions of Chapter SAFETY PERMIT q (LIST ITEMS BELOW) _ No. of EXITS 9 (commencing with Section 7000) of Division 3 of the Busi- ness and Professions Code, and my license is in full force and effect. PARKING SPACES REQ'D . PROVIDED D License Number -- Lic'.Class LIMITED TIME USE Contractor Date DATE DATE F-1 - / FROM: TO: I am exempt from the licensing requirements as I am a licensed architect or a registered- professional engineer SIZE OF ' NO. of INSPECTOR'S acting In my professional capacity (Section 7051, Bus- EXISTING BLDG. / 3o•sQ, �� STORIES f SIGNATURE mess and Professions COde). PRESENT USE OF BUILDINGFINAL APPROVAL G/w OCCC.0"-i EO Ills— Lic. or Reg.No. Date HOME OWNER-BUILDER ON AD LOT AND UDECLARATION of XIUNG BUILDINGS 7 ON SE' J -- I hereby affirm that- I am exempt,from the Contractor's License Law for the following reason (Section 7031.5, Busi- �9 4 0.'1;b A. ne55 and Professions Code): NO. PARKINGSPACES PROVIDED 3 t ' # ®;. . . 88 . I, as owner of the property, .will do the work'and the ; structure is not intended or offered for sale (Sectiono,o`o 0;0 0 o-,z 7044, Business and Professions Code). PROPOSED USE OF BUILDING CONSTRUCTION LENDING AGENCY 0 5'1 A8-2- I hereby affirm that there is a construction lending agency �E / �L/T ./ / •(/ 'for-the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name PROPOSED MAX. OCC. Lender's Address PERMIT FEE' e15 60 I certify that I have read this application and state that the oC above information.is correct.I.agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, TOTAL FEE ' /11ir) �j�/� e` and hereby authorize representatives of this County to'enter VCS �/Sy TO u the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee - Date WORKERS'COMPENSATION DECLARATION 76M444 MISCELLANEOUS APPLICATION /- CE 875 (11-84) i raffirm that I have certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, , o or a certificate of Workers' rs'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.). Policy No. Company FOR APPLICANT TO FILL IN BUADILDRDESSING ( �C3 L,UI L V / Certified copy is hereby,furnished. BUILDING / S — 'A fl cJ G� 1 LOCALITY �� SS P g p LOCALITY V `J NEAREST Certified copy is filed with the county building inspectio40Pn C� department. / f M (a C L CROSS ST. Date Applicant EAREST �0 Y ��� DISTRICT_CT�p GRgU CONST/ PRO ED B CROSS ST. ra•T� SS ((�YY `J I/ CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION LOT No. BLOCK NOF l�v ^^�H IGHWAY STATE MAJOR SECON OCAL f/tl //Y(/_G/\ (CIRCLE) NO. OF SLOGS. (This section need not be completed if the work involved TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) USE OF S!JE OF LOT EXISTING BLDG. �� a I certify that in the performance of the work for which this o permit is issued,I shall not employ any person in any manner OWNER C:) so as to become subject to the Workers' Compensation Laws. AIL 2C OCCUPANCY GROUP. ��✓ Date Applicant - DORESS �� �= `� U.1NOTICE TO APPLICANT: If, after making this Certificate of CITY , O Sic.rxr TEL %� OCCUPANT LOAD Exemption, you should become subject to the Workers' APPLICA ON FOR EXIT HARDWARE: _ Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be TRAILER USE ❑ GEOLOGY INSPECTION ❑ No Spec. Knowl. deemed revoked. - Panic Devices LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION El I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ (LIST ITEMS BELOW 9 (commencing with Section 7000) of Division 3 of the Busi- No. of EXITS ness and Professions Code, and my license is in full force and effect. PARKING SPACES REQ'D D PROVIDED D License Number Lic. Class LIMITED TIME USE Contractor Date DATE DATE 0 I am exempt from the licensing requirements as I am a FROM: TO: licensed architect or a registered professional engineer SIZE OF NO. OF INSPECTORS acting in my professional"capacity (Section 7051, Bus E (STING BLDG. STORIES S NATURE inessand Professions Code). /p FINAL APPROVAL PRESENT USE OF BUILDING l.� 04 Lic.or Reg.No. Date HOME OWNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ON LOT AND USE I hereby affirm that I•am exempt from the Contractor's License Law for the following reason (Section 7031.5, Busi- ness,and Professions Code): NO. PARKING 0 I, as owner of the property, will do the work and the SPACES PROVIDED structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY %,JPROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agency �r-y�- � 0 G 0 0 8 8 for the performance of the work for which this permit is 0000-88 G O O+8 8 issued(Sec. 3097,Civ.Q. Lender's Name 9662!1 :A PROPOSED.MAX. OCC. Lender's Address }}��.• * • • 8$Q p I certify that I have read this application and state that the t� PERMIT FEE above information is correct.I agree to comply with all County ISSUANCE FEE • • • o • • e z ordinances and State laws relating to building construction, R and hereby authorize representatives of this County to enter TOTAL FEE B04-8 8 upon the above-mentioned property for inspection purposes. (J SEE REVERSE FOR EXPLANATORY LANGUAGE ��' Signature of Permittee Date WORKERS'COMPENSATION DECLARATION CE 875 (11-84) MISCELLANEOUS APPLICATION CE 875 � - I hereby affirm that 1 have a certificate of consent to self COUNTY OF LOS ANGELES BUI�..IDING AND SAFETY DIVISION I insure, or a certificate of Workers'Compensation insurance,or LU a certified copy thereof(Sec. 3800.Lab.C.). PolicyNO.—Company BUIL'I P FOR APPLICANT TO FILL IN ❑ ADDRESS / Certified copy is hereby furnished. BUILD ADDRESSING Dr. LO CP.LITY Certified copy is filed with the county building inspection LOCALITY NEAREST department. Temple City CROSS Date— _Applicant_- NEARESTj -� DISTRICT NO. GR0J P ITYPE ESSED BY CROSS ST. Y` )y fi CONS CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL COMPENSATION INSURANCE DESCRIPTION LOT NO. BLO CF MAP HIC Hw Av tio. (CIRCLE) STATE MAJOR SECOND LOCAL! C NO. OF BLDGS. �__T—__ (This section need not be completed if the work involved TRACT NOW ON LOT {USE ZO. F_ SPECIAL CONDITIONS by the permit is for one hundred dollars (5100) or less.) usE of SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which this I permit is issued. shall not employ any person in any manner OWNER so as to become subject to the Workers' Compensation Laws. MAIL ^ /O OCCUPANCY GROUP ADDRESS Date Applicant ' NOTICE TO APPLICANT: If, after mal_ina this Certificate of CITY Ise TEL. rg. •� OCCUPANT LOAD - Exemption, you should become subject to the Workers' APPLIC.4 ION FOR r_�I? HA.RDINAR=: Compensation provisions of the Labor Code. you must forth with comply with such provisions, or this nermh shall be TRAILER USE -1 GEOLOGY INSPECTION filo jp@r. Know!. deemed revoked. OCCUPANCY INSPECTIONS Panic Devices LICENSED CONTRACTORS DECLARATION I 1 hereby affirm that 1 ant licensee under provisions of Chapter r �I SAFETY PERMIT ' IST ITEMS BELOW i3ornmencing WM- )e Ctior., _ uion .-Ol) of Division O; the Busi- 1 "-i I NO. OF EXITS rens and Professions %ode, e_nd n;:, license i u; full force and / +'C v' PA RKItVl- REO'D I� i PROVIDED SPACES I License Number _ L.ic. Class LIMITED TIME USE Cchtactor Date _ f— — DATE DATE Ta: � ! 1 am z: zmnt from. the licensing ;ecali:zmEnt:, as 1 ant L.1m INSPECTOR'S licensed arcltlteCt or a reL'1GiereC prOIeSStOna1 71 2;n er SIZE OF NO. Or SIG TURE actin_ in nn Jrofessional ;a;?;i:ii`: (Section 051. 13:7s- .t EXISTING BLDG. I STORIES - - incss and Professions Code). } _ f PP.ESENT USE OF BUILDINGF]NAL APPROVAL Lic. or Rec. No. l HOME OWNER-BUILDEP.DE LAV< `1'1l iN NO. OF EXISTING BUILDINGS `'i ON LOT AND USE 1 hereby affirm that I am zxc;upt :nom th° o tract,r's U �r I li•_Ii +! { License Lary for the r"ollo\\ing r_tt;on (Section 7031.x. Btui- rens and Professions Code): NO. PARKrNc. +� {`is;, 4 •� ': SPACES PROVIDED [ •l•`•^•° 1, as owner of the property, will :io the wori: and tiic i —� structure is no: inteutied or of cr::d r-or sale ISeclion 70.14,Business and Professions Code). 1 — PROPOSED USE OF BUILDING coNSTxucTlo LInD1Nc ;1cE;cl Kr 1 hereby affirm that there is a construction. iendinL aacnc'r h ut n( e�L� for the performance of the wort. for which this permii is —� issued (Sec. 3097.Ci':. C.). Lender's Name _ PROPOSED MAX. OCC. Lender's.Address _ I 1 PERMIT FEE 25.00 1 certify that 1 have read this application and state that the —� above information incorrect. I agree to comply with all County ISSUANCE FEE I drdin;utczs and State laws relating to buildin_ construction- and hereby authorize representatives of this County to enter i TOTAL FEE 25.00 upon the ac ove-men Toned property for inspection purposes. S"i:REVERSE FOR EXPL..':"A '0RY LA''::�.�AGL SiLmature oI Permittee Date WORKERS'CONIPENSATION DECLARATION 761VI444 )_ I h -US APPLICATION hereby affirm that l have a certificate of consent to self CE 875 (,1.84) MISCELLANEGCOUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION uisure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800.Lab.C.). Policy No. Company FOR APPLICANT TO FILL IN BUILDING �/ ADDRESS /L3 Certified cope is hereby furnished. XX BUDRILDESSING e LOCALITY AO ) Certified copy is filed with the county building inspection LOCALNEAREST department. CROSS ST. mate_ ___Apniicant NEAREST fD DISTRICT NO. GROUP ITYPE CESSED BY ,/ CROSSLEST.L �( /�f�- (TR'f ll'l(':%TE OF EXEMPTION WORKERS'ORKERS �t^=J COMPENS.-MON INSURANCE DESCRGAIPTION LOT ND, IBLO CK pP wlo wAv n0. (CIRC'.) STATE MAJOR SECOND LOCAL j NO. OF SLOGS. (This section need_riot he compieted If the work involved {TRACT iNOW ON LOT USE �O NEi5PEC7AL CONDITIONS i iw the Permit is for one hundred dollars (S100) or less.) fuse OF SIZE OF LOT I EXISTING BLDG. , I that in the ^erforinartce rf :he work for which this _ nrrmit is issued, I sh:rl1 nut emriov :111V ae:son in any marineowNER pi t�l.l1 Q'A ' �^ n, :;s lu herume snhiect ;u !h., IN,rkers' (amvensation Laws. MAIL /y7 vv^CCUPANC! CROUP OC ES 50000::0.Q- 1�:1e-__-- _ :�pnhAOOR cclnl -- _ NOTICE f0 .APPLICANT: If, after inakine this Certificate of NO. CCCUP.4N7 LOAD i h:.eemotion, you should become subject to the Workers' Cornrensimon nrovisions of the Labor Code, you must forth- /D APP'_1 TION =0R EXi7HARDWARE* lilt cmmoh• .vith such provisions or this nermit ;hall be TRAILER usEGEolocY INSP_c—ION J, Nc Spec. iCnowl. ,ie_�rncd revoked. OCCUPANCY INSPECTION 1 Panic Devices I IC ENSi,D CON TRACTORS DECLARATION — ' i 1 hvia.hv alflritl Thai I and hL"_nsed Linde:provisions of Chapter gwF37Y PERMIT J (LIST ITEMS BELOW) o rcmiimencinz with Section 7,0001 of Division 3 of the Busi- NO. OF ExiTS ness ;Ind !.oiession� (',)de. and mv license is in full force a 1 r .I(.:;. �{ • Nan'Ie Cf Justness 'PARKING �I I PROVIDED ; '� RECD LIQ y, /I//) SPA CES 1 L:I,: :'lullitrr _ i.i . Class _ O ']'/TCI2 ':5f /VLF 6 j �— LIMITED TIME USE I i I ani exempt iron the iicensing requirements as 1 am a licensed archltei-, or a re_istered orofessionai engineer SIZE OF NO. OF 7NSPEc oR'S j t G EXISTING BLDG. O 5 I STORIES SIGNATURE 3ctine in my proiessional car•acirr iSec.ion •D_1. Bus loess Sud I'rutessions Code!. _ - _ PRESENT USE Or auILDING FINAL APPROVAL YJv/iy_/J Li c. or Re_. No. — __ Date 11OP41OWNi R-iil'IL')ER DECLARATION NO. OP EXISTING BUILDINGS 0 ON LOT AND USE %✓�1 I herein• alfittu that I ain exempt :torn the Contractor's License I.aw for the i'otlowine rcason (Section 7031.3, Busi- ness anci Processions C udel: No. PARKING SPACES PROVIDED 1, as ovine: of the proper(}. %%-ill do the work and the structure is not intended or offered for sale (Section ! %044.Business and Professions Code). CONS FRI.1CHON I.ENDING AGENCY PROPOSED use Or BUILaINa i 1 hercby affirm that there is a construction lending agency ,•:° m. fur the performance of the work for which this permit is �{ issued (Sec. 3097,Civ.C.). Lender's Name ----.---- ,.I:,I I j PROPOSED MAX. OCC. , fel Lender's Address ff PERMIT FEE ' I Certify that I have read this apnliLrition and state that the \ above int urmation is correct. I agree-to comply with all County j ISSUANCE FEE ordinances and State laws relating to building construction, = ` and hereby authorize representatives of this County to enter I TOTAL FEE 25. 00 upon the ahove-m tiuned property for inspection purposes. Signature:, v�t SEE REVERSE FOR EXPLANATORY LANGUAGE