HomeMy Public PortalAbout9819 LAS TUNAS DR_Building__ DEPARTMENT'OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES . BUILDING
1
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESSjF
LOCALITY �' ` RECEIVED BY DATE OFFAPPL• DATE ISSUED
NEAREST u 9—
CROSS ST. �/ i/ - BUILDING /fFl h J S
ADDRESS
OWNER � �
MAIL LOCALITY --C P7-?
ADDRESS NEAREST
d 1 TEL. ^ CROSS ST. .e(, /f/-
CITY NO.,.�/ fi" �� FIRENO. OF I TYPE I GROUP„
ARCHITECT OR TEL. ZONE �� PLANS .-
ENGINEER NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE �; 'J APPROVED
ADDRESS
ZONE -.J BY DATE
HOUFIELD CHECK BY NUMBERING
G0!
LEGAL
DESCRIPTION LOT NO. D ,� BLOCK MAP NUMBER
TRACT NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT
USEOF �•4 ' I NO. OF
EXISTING BLDG,/' , I FAMILIES
DESCRIPTION OF WORK e r r
NEW I ALTERATION I I ADDITION I .f p I i �? z• Q y/r[
r
REPAIR I I DEMOLITION I I IY I°i�
SQ. FT. NO. OF
SIZE ROOMS STORIES ;
EXT. WALL ROOF r
COVERING I COVERING
USE OF STRUCTURE
-t. 7 :�
AP ROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT. Ci-
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. Gill
p FURNACE: LOCATION,
SIGNATURE OF—� ' '`///Q GAS VENT, DUCTS Y
PERMITTEg � � � � C �„•��
LATH, INT.
ADDRESS
LATH, EXT.
AUTHORIZED AGT. ^� / s
PLASTER,
INT.,&) "1
7EAE3eA• Desa 10-80 $ P. C. s�f+-""�- �� y
J FEE PLASTER,'EXT.C, Z 4
VALUATION FEE $'�G� FINAL v
It
i J
DEPARTMENT COUNTY ENGINEER BUILDING
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR REc. No. PERMIT NO.
BUILDING _
ADDRESS AA w' ! __ .�� f y
LOCALITY {h'1 ' ��^ /' 9 l/ %/�- IRXQEIIVED BY DATE OF APPL. DA ISSUED
NEAREST
CROSS ST. ^ ' Ind,./ BUILDING
OWNER ,�^,L'V'�J , �I I,C i, ! D O S — ADDRESS T �+ ��d ��,,,,s .�.,,�,4
I
MAILr'f/ /� lH LOCALITY
ADDRESS Y,� . '� --- NEAREST 7
X NO. CROSS ST. �/LI
CITY \4 11 PI P
ARCHITECT OR TEL. FIRE NO. OF TYPE GROUP
ENGINEER NO. ZONE PLANS =Z—_
BLDG. ORD. NO.
ADDRESS
SETBACK LINE _...� t^, C Ste- �-
'��Iraa Rt P (Ajv,5f TEL. n,� USE APPROVED
CONTRACTOR y NO. ; _ ZONE__-, "S' BY DATE
ADDRESS c HOUSE NUMBERING
LEGAL MAP NUMBER_?' r^�-' I'-� NO. ASSIGNED BY
DESCRIPTION I LOT NO. I BLOCK
- CORRECTIONS
TRACT
.� (_- ,.�. I NO. OF BL
SIZE OF LOT
NOW ON LOT
USE OF EXISTING BLDG. I FO ILIEs
DESCRIPTION OF WORK D -
NEW ALTERATION ADDITION Al/A/ ,J /, / `
c e D
REPAIR I—I DEMOLITION LJ• _ ��+ f�w 7)✓ .T � D
SQ. FT. NO. OF
Q 7-J
SIZE ROOMS STORIES
EXT. WALL I ROOF
COVERING COVERING
USE OF STRUCTURE f,� •�
_ V Eli J Li P
A s ' : !I] r r �( ►►� _ _�
✓�/Z� APPROOASSIGNATURE DATE
FOUNDATION: LOCATION ') -
FORMS, MATERIALS J
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE IN
GIVEN IS BRACING, BOLTS f1 �'!� •I+
CORRECT.
IAGREE TO COMPLY WYfH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF? LATH, INT.
PERMITTEE �I I'1-r •2 t ® rl S i I— (. ,
.� LATH. EXT,
ADDRESS
PLASTER, INT.
AUTHORIZED AGT. _
!- PLASTER, EXT.
a
HOUSE NUMBER COR-
VALUATION
AND POSTED
VALUATION !rl n FEE $
�Z FINAL
76A638A DBS 3 9-52 0
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
' WM. J. FOX, CHIEF ENGINEER
NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE
FIRE APPROVED
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE APPROVED
ZONE �/ BY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
5 BUILDING ,l (''j��/ /y
O K NAME _ ADDRESS ✓ / 1J
U w
I-
101 Z ADDRESS - _ LOCALITY
I Z1 '�� NEAREST
U Wl CITY CP.OSS ST. f
Q ISTATE TEL.
LICENSE NO. NO. W NAME
ZMAIL
00 NAME 00 ADDRESS
F
Q I ADDRESS / CITY f NO
Z CITY �'v ! 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
O - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
'_iCENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Z LOT. NO. j L" SIZE OF LOT SIGNATURE OF
01 OWNER
Q dl NO. OF BLDGS. ----- AUTHORIZED AGT. 'L -
D N BLOCK NOW ON LOT
L
TRACT CORRECTIONS
W
D USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF WORK P r
USE OF
CUILLDiNG
J
--- - Q
Z
NEW TYPE GROUP
NO. OF NO. OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE ' Ll
REPAIR STORIES
MOVING WALL COVERING �A.. .
DEMOLISH ROOF COVERING
P.C. $ FINAL APPROVAL
- //^^��- FEE
l Vo --- $ / 4 Q. I INSPECTOR'S
VALUATION O v FEE l! DATE NAME
i
DtPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTR►CTr10. PLAN CK. NO. ' ']PERMIT NO.
ADDRESS
LOCALITY / RECEIVED BY J DATE OF APPL.�I DATEISISSUED
NEAREST / / p`5_-'5.d
CROSS ST. BUILDING
ADDRESS
OWNER f
L. A46
MAIL LOCALITY
ADDRESS �. S� I S` NEAREST
t� TEL. CROSS ST. C'�d�i��/✓ �£`�' /
CITY NO. ZFIRE NO. OF ONE I PLANS Z E I TYPI GROe
ARCHITECT OR TEL.
ENGINEER NO. BLDG.
SETBACK LINE
ADDRESS APPROVED
' TEL. BY DATE
CONTRACTOR A^" /.0 p1'7 NO. USE
..,ZON�/ BYpROVED DATE S
ADDRESS '�>w /y ' VC ',. HOUSE NUMBERING S�
LEGAL
DESCRIPTION LOT NO. 7� BLOCK MAP NUMBER Lia 7 FIELD CHE;114Yr J t
TRACT G s NO. ASSIGNED BY DAT
NO. OF BLDGS. CORRECTIONS . Q YU ;
SIZE OF LOT til D • NOW ON LOT ` /1• O
USE OFNO. OF FJ
EXISTING BLDG, -`J I FAMILIES
DESCRIPTION OF WORK
NEW ( I ALTERATION I I ADDITION I �y��•-+ 0
REPAIR I I DEMOLITION
SQ. FT. NO. OF f !7
SIZE ROOMS STORIES V Z
EXT. WALL �' ROOF .� `� r
COVERING CVO I COVERING C 6 Al P o
USE OF STRUC RE I
d&41 rP- e- /,D e N C e f
o :�i!
c
/J 1,1 r.
APPROVALS y7
INSPE OR'S SIGNATU E � D TE
IHEREBY
PLICATION AND STATELT AT THE INFORMATION GIVEN S FOUNDATION:
MATERIALS
ION
CORRECT. 3
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULAT► G BUILDING CONSTRUCTION.
FURNACE: LOCATION,
SIGNATURE OF �L-Jl�.'��+. GAS VENT, DUCTS
PERMITTE
�[ �p LATH, INT. C�0 p+,,l.•- .fa_ f41
ADDRESS r��r-+��GCL��` f•� t t
t LATH, EXT. OV
AUTHORIZED AGT.
PLITER, IN
70A63BA DBff 10-50 P. C. S _
SSD FEE PLASTER, EXT.
oe
VALUATION FEE `��� d' FINAL
I
z
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES f ® '
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY _ y RECEI ED BY DATE O-F�A7P-DL. DATE ISSUED
NEAREST q 1 / '^ v
CROSS ST. ty/��/ +�
BUILDI
OWNER vv� (rZ'�`-4-- J-'') ADD ESNS &-A
MAIL �- / _ LOCALITY
ADDRESS � �'(� d-�u•�-^7
NEAREST
CITY �- TEL.
CROSS ST.
FIRE NO.OF TY!S GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ev/ URD.NO.
ADDRESS SETBACK LINE 7
APPROVED
TEL BY DATE
CONTRACTOR NO.
USE 6 APPROVED
ADDRESS ZONE BY DATE
LEGAL :2
DESCRIPTION// I LOT N//O. 27- BLOCK CORRECTIONS
TRACT (p S (Q t
NO.OF SLOGS.
SIZE OF LOT 5 V x �� NOW ON LOT
USE OF I NO.OF I NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
A
REPAIR � MOVING DEMOLISH G]
SQ.FT. r/�p® NO.OF Z
SIZEf�/W� ROOMS STORIES D
WALL ROIdF
r
COVERING COVERING
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONi: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS, ?
SIGNATURE OF BRACING,BOLTS
PERMITTE LATH, INT.
AUTHORIZED AGT LATH, EXT.
76A638A 9-48
DBS-3 50M SETS $ P.C.g PLASTER, INT.
FEE PLASTER,EXT.
VALUATION FEE FINAL - '�-�L�-✓�, yt
WORKERS'COMPENSATION DECLARATION a �1
I hereby affirm that I have a certificate of consent to selfD D D
JI�I
insure, or a certificate of Workers'Compensation Insurance, A P P��CA ' PERMIT
or a certified copy thereof(Sec. 3800, Lob.C.) '
Policy NoWC6104841 Q any •Western Employers CO.UNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
® Certified copy is filed with the county building inspec- BUILDING �gL� �i
tion department. ADDRESS 9819 E. Las Tunas LOCALITY ! v
NEAREST
Date 3/26/85 Applicant Lytle Roofing Co. CITY Arcadia zip 91.006 CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' No.OF BLDGS. -ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars($100)or less.) TRACT BLOCK LOT NO. /a NO.
TEL. �' SPECIAL
I certify that in the performance of the work for which this OWNER Mr. Jerry Cobb NO. CONDITIONS IL
permit is issued I shall not employ an person in an manner r DISTRICT GROUP TYPE FIRE PROCE ED BY O
P Y Y P Y 98�9 €� Lels Tanes CONST. / ZO E U
so.as to become subject to the Workers'Compensation Laws. ADDRESS �. ..��._• . _ J "
1 Q'
CITY Arcadia ZIP 91006
Date Applicant STATISTICAL CLASS APT. JCONYO. F
NOTICE-TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. i
Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS—
'Exemption,
iiiiiiiiiiiiiiR
Compensation provisions of the Labor Code, you must forth- ADDRESSSEWER MAP
with comply with such provisions or this permit shall be El' Z
deemed revoked. ,c CONTRACTOR Lytle 1 e Roof NO. 9 — BK. . PG• VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 :.ADDRESS 2948 E. Walnut NO.186303 VALUATION
(commencing with Section 7000)of Division 3 of the Business and I LIC,
Professions Code, and my license is in full force.and effect. CITY Pasadena Ca. 91107 CLASS C39 $2000.00
SQ.FT. NO.OF NO.OF CHECK 7
License Number 18630.3 Lic.Class 39 SIZE IN
1 FAMILIES ONE #' y
DESCRIPTION OF WORK NEW ❑ $ I 4 8
Contractor Lytle Roofing .Date 3/26/85 � �a o
❑I am exempt under Sec. Composition, then lay 15# fel DD ❑ O O —
ALTER ❑ FINAL
B.BP.C. for this reason -:"Then apply G REPAIR ® DATE
USE OFte' I n EXISTING BLDG. Residential DEMOL ❑' FIN
Signatur
APPTEL
LICANT
Lytle Roof i n Co. N6.792-5171
OWNER-BUILDS DEC TION /
I hereby affirm that I am ex pt from the Cont'ctor's License ADDRESS 2948 E. l nut S
Law for the following re on IS
7031.5, Business and
I.-Pa5a 91107
Professions Code): +PRESENT
❑ BUILDING 9819 E. L
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). LADDRE
TEL.
t, I,as owner of the property,am exclusively contracting CTOR NO.
with licensed contractors to construct the project (Sec-
tion 7044, Business and Professions Code). S
RED YARD HW`? TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY 1CK PROP. LINE WIDTH D
I hereby affirm that there is a construction lending agency for T
the performance of the work for which this permit is issued P.L.
iSec. 3097, Civ. C.). ' -
m
o Lender's Name
'$ ' Permit Fee 3 �O
Lender's Address
11 certify that I have read this application.and state that the Issuance Fee 10.50
above information is correct. I agree to comply with.all County ation FeeQ'ordinances and State laws relating to building construction, Total Fee "'7'#f11f4County to enter :• -_ .
`�m Cpo }he above-men' ned party for in ection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
n
Signature of Appli nt or,Agent
®s
Date
' - APPLICATI N FOR BUILDING PERMIT
COUNTY OF 1EO!t A'j ES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION
FOR APPLICANT TO FILL INe I ING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of Workers'Compensation Insurance,or a certified V (A- 12 P
copy thereof(Sec.3800,Lab.C.) CIT ZIP
Ta-_4o1, l d LOCALITY
Policy No. Company SIZE OF OT NO.OF BLDGS.NOW ON LOT
C
El Certified copy is hereby furnished. NEAREST ROSS ST.
,
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
USE ZONE MAP NO.
department.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE C' L O �� WITHIN 1000 FT.OF SCHOOL? YES No
(This section need not be completed if the permit is for one hundred DDs
73 • `� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
I certify that in the performance of the work for which this permit CT (a ZIP , 1040
DQ �-0� F,
is issued, I shall not employ any person in any manner so as to ARCHITECT R ENGINEER TEL NO. �`
become subject to the Workers'Compensation Laws. •G V STATISTICAL CLAS—ySIFLCATION APT CONDO
-Date Applicant ADDRESS ` CLASS NO. ;�'/ DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate of f2 l�l�' aA' REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L
•
LICENSED CONTRACTORS DECLARATION SIDE
CITY VC.CLASS P L
I hereby affirm that I am licensed underprovislons of Chapter 9 SEWER MAP i
(commencing with Section 7000)of Division 3 of the Business and S FT.sit
NO,OF STORIES NO.OF FAMILIES r
NEW ❑ BK PG s
Professions Code,and my license is in full'force and effect. N"' 1 o s 12
License Number Lic.Class DES IPTIO OF 7 ` ADD VALUATION ® � � 102.31-
ContractorC
Date ALTER ❑ $ O
3 avo Sins 6 rZ
joof REPAIR �f ITEMS C
❑ I am exempt under Sec. T $ TOTAL 102 a 3
DEMOL ❑ LDMA P/C# I�L102.30'a'it
8.&P.C.for this reason
Date: USE OF EXISTING BLDG. URM ❑ w��l9�E �I}L
L�S nature APPLICANT(PRINT) TEL NO. LDMA Perm# CHANGE
J
LU I, owner of the property, or my employees with wages as Z
thel sole compensation, will do the work and the structure is ADDRESS �r�yrr,'��yir
FINAL DATE F ii000-000 1. 31/11/011-1.
not ntended or offered for sale (Section 7044, Business and �
Prof salons Code.) WILL THE APPLICANT.OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL a { }�I� a
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE — J 'j 1 t i'It l o �}
❑ I, owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 0
13
sed contractors to construct the project (Section 7044, YES❑ NO❑
iness and Professions Code.)
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES
I hereby affirm that there is a construction lending agency for YES❑ NO❑
a the performance Of the Work for Wt11Ch this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097CIV.C)
N , . CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2 CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SNCCACIMDNG HAZARDOUS
Q Lender's Address OWNER OR AGENT
o
c I certify that I have read this application and state under penalty
Of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county ordinances and State laws relating to building
construction, and hereby authorize representatives of this County ISSUANCE FEE
mto en ection purposes.
a
(10VINVESTIGATION FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE