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