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Home My Public Portal About9154, 9154 1/2, 9158 LAS TUNAS DR_Miscellaneous__ ,- . DEPARTMENT OF COUNTY ENGINEER *T DIVISION OF BUILDING AND SAFETY MISCELLANEOUS COUNTY OF LOS ANGELES OCCUPANCY SAFETY TRAILERS WILLIAM J. FOX, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING. APPLICATIONS FOR APPL1iCANT T FILL BULLDING t i -4 l �Q -BUILDING ADDRESS _ / 'T � _ ''ADDRESS nn ,A,,w, . LOCALITY '"1v� LOCALITY NEAREST V _ NEAREST CROSS ST. -CROSS ST. - DISTRICT NO. PLANCK.OR REC.'Nci�.-, PERMIT NO. OWNER e ` i RECEIVED/B�j'Y DATE OF APPL DATE ISSUED MAIL-.ADDRESS POO l � G ab' �,,,, I _i r CITY '�� TEL �� lj USE ZONE MAP NQ. I TE IG P.3"I FIRE ZONE CONTRACTOR _ NO. v ((a_ /� �•ry ZONING / ! ��'1+' G''r .ADDRESS APPROVED BY_ / BUILDING -ORD. No. LEGAL DESCRIPTION ( LOT NO. (� BLOCK SETBACK LINE: APPROVED DATE NO. OF SLOGS. BY: TRACT I N,OW ON LOT IxHOUSE NO. DATE Lam' USE OF ASSIGNED BY SIZE OF LOT J']. J�/ I EXISTING BLDG. CORRECTIONS APPLICATION FOR. . 00CUPANCY DATE INSPECTOR INSPECTIONI SAFETY PERMIT ................I...............-..............-................-.........-------------I--'- ---.------.-..------ _„ .. MISCELLANEOUS I ................1.------------------------------------------------------------------------•-_-----------•-------- TRAILER USE I ............._-1..d.-.-2,0 _C-5 L ............................_ f' , -- ................... DATE LIMITED TIME USE /9 /^ ../ J / ,I�(`-..✓ ,� /'' DATE DATE ...........................-----f...: ..-L-...�2I � FROM: TO: ........... USE OF STRUCTURES OR DEVICES J d•r ' c ,. ------------------------------------------------------•----•---------------- ---- ----------- A -- ------- 1 y------------- . ................i.........•-/r--------- ........... --....Tg... lak✓,......... �X i-------------1., 7 . /-.-.-1,7r1�l6 t6l.`�. i.../.I-CG�4-l',Ep.--- LADDRES TION F R //��,,��<�� --_-------------- /71y ..............................GIJG.,f�------------------ INSPECTION S. gk' p ................. ......�.....h`....Q.N !'-�ls.ffdA�S�....... REBY ACKNOWLEDGE THAT I HAVE READI THIS AP- ION AND STATE THAT THE INFORMATTIION GIVEN IS ••.__.••••••-_--,--••---_----•-•--•,----•-----------I..._----------------------- T. -•--------------�--------•--•--A- -# REE TO COIv„I.PCY ITH ALL COUNTY ORDINANCES -��s v��Yl �N? IL(vff-.! ._..nyvt ---_-- ATE LAWS EGU ATING.BUILD7�NG CONSTRUCTION. APPROVALS t INSPECTOR'S SIGNATUP� DATE URE O TEE ❑CCUPANCY APPROVAL N GROUP OCC.LOAD YIV f KIC, l-JI../IF i - rSTRAILER USE Ln rtoIZED AGT. SAFETY PERMIT W D TEMPORARY STRUCTURE MISCELLANEOUS FEE I EMPORARY APPROVED E TRUCTURE REMOVED r PERMIT FEE ( 01--f-l"01L APPROVAL 'l , WORKERS'COMPENSATION.DECLARATION CE 875(2-80) MISCELLANEOUS APPLICATION I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION_ insure, or a certificate of,Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) Policy No. Company FOR APPLICANTTO FILL IN BUILDING ADDRESS Certified copy is hereby furnished. BUILDING �•• p ./�/y� //y LOCALITY ADDRESS �i -• , Certified copy is filed with the county building inspection NEAREST department. LOCALITY T. ,— CROSS ST. Date Applicant NEAREST �G /�A/� DISTRICT NO/ GROUP TYPE PROC D BY ' CROSS ST. ��//I . 6� J CONST. IZ CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL f� " COMPENSATION INSURANCE DEsc RIPnoN Lor NO. BLOCK MAP MIG'WAY } No; ti (C I RC LEI STATE MAJOR SECOND:LOC AL d NO. OF BLDGS. (This section need not be completed if the work involved TRACT NOW ON LOT _ USE,ZONE SPECIAL CONDITIONS 0 by the permit is for one hundred dollars ($100) or less.) USE OF • SIZE OF LOT EXISTING BLDG. I certify that in the performance of the work for which this V 0 permit is issued, I shall not employ any'person in any manner OWNER' Cwh/Y {— so as to become subject to the Workers' Compensation Laws. MAIL ��//� //��44 OCCUPANCY GROUP W ADDRES / +••/•Y.� S uM! IV' V\ a Date Applicant _ in M C/7" TE j' —7 CEJ` OCCUPANT LOAD z NOTICE TO APPLICANT: If, after makingthis Certificate of CITY NO 7 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 GEOLOGY INSPECTION .NO Spec.'KnOWl. ❑ deemed ievoked. LICENSED CONTRACTORS DECLARATION OCCUPAnicY INSPECTION Panic Devices I.hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT Q (LIST ITEMS BELOW) 4�,(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 PARKING. E/"feCt. - SPACES REQ�D D PROVIDED O License Number Lie. Class LIMITED TIME USE Contractor Date DATE DATE . 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. STORIES SIGNATURE iness and Professions Code): - PRESENT USE OF BUILDINGFINAL APPROVAL. o ARTS sro,�� Lie.or Reg.No.. Date HOME OWNER-BUILDER DECLARATION NO. OF AXND UrvG BUILDINGS ON LOT AND USE 2:55,5A 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 IAL S SPACES PROVIDED - I, as owner of the property, will do the work and.the I#,o`.o o. 0 818 structure is not intended or offered fo_r sale (Section P I : 7044, Business and Professions Code). o D o 0 0 0 o z PROPOSED USE OF BUILDING re CONSTRUCTION LENDING AGENCY , 07h0'6_84 I hereby affirm that there,is a construction lending agency 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 c—, 00 I certify that 'I have read this application and state that the r above_information is correct. I agree to comply with all County ISSUANCE FEE ordinances and State laws relatinFor uildmg construction, . • and hereby authorize represents ' this County to enter TOTAL FEE upon the above- e 'o d ro inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnat o rm• tee to �L ► WORKERS'COMPENSATION DECLARATION CE 875 (11-84) M I SC E L LA N EO U S A P P L 1 C A T I O N CE 875 I hereby affirm that I have certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.). Policy No. Company FOR APPLICANT TO FI LL IN BUILDING �/ AD DRESS cv 1 Certified copy is hereby furnished. X BUILDINGl�5 / `t, n� 7 LOCALITY ADDRESS (7 /�0 (!� 1 S I ❑ Certified copy"is filed with the county building in speC[lOn .LOCALITY NEAREST . department. CROSS ST. Date Applicant NEAREST DISTRI GUP TYPE CESSED BY ' CROSS ST. CON CERTIFICATE OF EXEMPTION FROM WORKERS' LEGAL ' COMPENSATION INSURANCE DESCRIPTION LOT NO. BLOCK rnAP HIGHWAY NO. (CIRCLE) STATE MAJOR.SECOND LOCAL NO. OF BLDGS. (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 (S100) or less.) USE OF 1 I certify that in the performance of the work for which this SIZE OF LOT EXISTING BLDG. permit is issued, I shall not employ any person in any mannerowNER bAv it) S. L. oN so as to become subject to the Workers' Compensation Laws. _. MAIL OCCUPANCY GROUP _ I Date Applicant ADDRESS ! TEL NOTICE TO APPLICANT: If, after making this Certificate. of CITY t rl PLUS GI(Y No(E7,G)Z� OCCUPANT LOAD -- Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- APPLICATION FOR EXIT HARDWARE: t with comply with such provisions or this permit shall be ❑ M deemed revoked. TRAILER USE E] GEOLOGY INSPECTION NO Spec. Knows. OCCUPANCY INSPECTION$$ Panic Devices LICENSED CONTRACTORS DECLARATION ❑ I hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ (LIST ITEMS BELOW) a I 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, P.EOD PROVIDED rn SPACES �J c License Number Lic. Class LIMITED TIME USE Contractor Date _ DATE DATE Z FROM: TO: 14 I am exempt from the licensing requirements as I am a % } licensed architect or a registered professional engineer SIZE OF NO. OF INS TOR Z acting m my' professional capacity (Section 7051. Bus- EXISTING BLDG. STORIES SI ATU ° iness and Professions Code). ]'C o PRESENT USE OF BUILDING FINAL APPROVAL v Lie.or Reg.No. Date HOME 01VNER-BUILDER DECLARATION NO. OF EXISTING BUILDINGS ��F��,^^^''' ON LOT AND USE V FEE E E I hereby affirm that I am exempt from the Contractor's Y j License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): - I, as owner of the property, will do the work and the SPACES PROVIDED structure is not intended or offered for sale (Sec-ion I 7044,Business and Professions Code). CON STRUCTION LENDING AGENCY X PROPOSED USE OF BUILDING iCe us e I hereby affirm that there is a construction lending agency Q-� Cif VSA I for the performance of the work for which Uiis permit is issued(Sec. 3097,Civ.C.). 1 Lender's Name PROPOSED MAX. OCC. Lender's Address _ I certify that I have read this application and state that the PERMIT FEE 25,00 -above information is correct. I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction, and hereby authorjze representatives of this County to enter TOTAL FEE 25.00 1 upon the above- ntioned pro erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sieniture.of Per ee O Date