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
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ZCITY J a LOT +.1 SIZE OF LOT 2Q'O,X-7 03 Q
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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
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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
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SPECIFICATIONS
FOUNDATION
MATERIAL EXTERIOR PIERS
THICKNESS—TOP
THICKNESS—BOTTOMgza
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DEPTH IN GROUND
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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