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HomeMy Public PortalAbout9715 LAS TUNAS DR_Building__ DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANG LES BUILDING FLANS BLDG. FIRE - DISTRICT No. PLAN CHK �Kc, PE MIT No. FILED �//�ui ZONE ZONE LAden• o/ TYPE OF BLDG. 1 II 111 IV X UP DATE F APP RE El E Y DATE $SUED BLDG. SETBACK LINE NO. _. PPLICANT FILL IN HE AV] O TLINED PORTION ONLY 1�t BUILDING, �„ mI NAME '- ADDRESS-- 7=t-Gt"F F WI WW Z ADDRESS rU`• {T""'° - LOCALITY „� Ty t NEAREST J = ZI CITY /� _ CROSS ST. U W I STATE Q LICENSE NO. TEI. o. NAME W - MAIL p NAME 3 ADDRESS 10C) ~ O My 9 yl 1 U -� Q ADDRESS CITY >� L NO.,L—,. F ZCITY J a LOT +.1 SIZE OF LOT 2Q'O,X-7 03 Q V STATE oU NO. OF BLDGS. LICENSE NO. TEL. No. W N J W BLOCK NOW ON LOT D USE OF BLDG. CLASS Of WORK TRACT NOW ON LOT N EW ION DEMOLI H DESCRIPcTION OF WORK ALTERATION REPAII—I MOVING USE OF NO. OF BLDG. O'I�I't•• v'7'2 ROOMS 4' SIZE OF „ / „ STORIES No. OF r f BLDG. – x 1 `O I I FAMILIES T COR C ON S SPECIFICATIONS FOUNDATION MATERIAL EXTERIOR PIERS THICKNESS—TOP THICKNESS—BOTTOMgza J DEPTH IN GROUND Z SUPERSTRUCTURE 0=1 — (9 SIZE SPACING SPAN R. W. PLATES (SILL) GIRDERS JOISTS FLOOR JOISTS—CEILING .,i y •;� BEARING WALLS --- PARTITIONS ROOF RAFTERS FINAL APPROVAL SILL BOLTS f #COVERING DATE INSPECTOR'S NAME WALL <'L4d G ROOF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES P.C. FEE $ AND STATE LAWS REGULAT G�ByILDIN CONSTRUCTION. •'�,.r',;.' SIGN t.G .�'1P;',�1d., VALUATION $��' FE E WORKERS' COMPENSATION DECLARATION insure, or afcertif carte of oWorkers' Comtpennsation5eInsuran e, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. a VI6b1 Company 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ""' Z-41, �7z, ADDRESS � a I� Certified copy is filed with the county building inspec- tion deportment. r /✓///� ADDRESS Date Applicant�'-��/lQ—LMY CITVr� ZIP LOCALITY f CE IFICATE OF EXEMPTION FROM WORKERS' NO, OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL USE ZONE MAP I certify that in the performance of the work for which this OWNER %' C NO. NO permit is issued, I shall not employ any person in any manner SPECIAL a so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS 0 Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR . TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 ENGINEER NO. CONST. ZONE (- Exemption, you should become subject to the Workers' / ' / U Compensation provisions of the Labor Code, you must forth- ADDRESS (/I(� {/ LU with comply with such provisions or this permit shall be /_' -- +TEL. STATISTICAL C SIFICATION APT. CONDO. Cn deemed revoked. CONTRACTOR � D`. N NO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL, UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. ^^ SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS T BK PG VALIDATION L� SQ. FT. NO. OF / NO. OF CHECK License Number/ d�� Lic.Class_ SIZE STORIES FAMILIES ONE ❑ VALUATION �' $DESCRIPTION OF WORK NEW C -�t Dontracttt_I Date_'7��� _ , ADD I am exempt under Sec. ALTER B.BP.C. for this reason �t REPAIR $ ]91.5 A Date: USE OF DEMOL EXISTING BLDG. Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO, DATE I hereby affirm that I am exempt from the Contractor's License • ° • ° • • z Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): By 0 9. 14-87 QBUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SET BACK YARD HWY IRED TOTAPROP.ALINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # °o P.C. Fee$ Permit Fee Lender's Address ' I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all Count 9 PY Y Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter LDMA Perm. # upon the above-mentionedAprroppee t for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or gent to