Loading...
HomeMy Public PortalAbout9415 LAS TUNAS DR_Building__ CE#803(REV.6/78) - APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN. AUaowG ADDRESS 9 / S BUILDIN ADDRESS-5jqC LOCALITY NEAREST Q' CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT Q NOW ON LOT T MAP BOOK PAGE I PARCEL TRACT�i� co J BLOCK LOT NO.o7 DISTRICT GROUP TYPE FIRE P OCE ED BY CONST. ZONE ^ TEL. .OS GYv✓ OWNER NO. STATISTICAL CLASSIFICATION WER MAP � ADDREssq416 ax, CLASS NO. z;L`3J DWELL.UNITS B11 4 CITY ZIP ARCHITECT TEL. VALUATION $ / ENGINEER NO. d ADDRESSrL . BLDG.SETBACK FROM TEL: FRONT PROP.LINE OF (STREET) CONTRACTOR N O TOTAL SETBACK FROM TYPE OF EXISTING C. HIGHWAY, + YARD = FRONT PROP..LINE HIGHWAY `WIDTH ADD RES � NO • LIC. t = CITY- r-*#Y* CLASS5 BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF - (STREET( NAME AND BRANCH TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH ADDRESS CITY SQ.FT. NO.OF /�,� NO.OF CHECK + u SIZE STORIES FAMILIES ONE 09 DESCRIPTION OF WORK NEW, P.C. Fee$ 1440 Permit Fee 600 •ADD ❑ � ❑ Issuance Fee vv ALTER REPAIR ❑ Total Fee USE OF `' EXISTING BLDG. DEMOL ❑ Z . APPLICANT TEL IPRINTI N BY(SIGNATURE) , I.HEREBY ACK WL GE THAT I HAVE READ THI PPLICAT N AND STATE , � THAT THE ABOVE 1S CO RECT AND AGREE TO COM Y WITH L ORDINANCES, - W AND LAWS REGULATING UILDI NG CONSTRUCTION.I C AT IN DOING THE' l {=d 791 WORK AUTHOR( ED HE BY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR COD STATE OF CALIFORNIA IN RELATING TO WORKMEN:S COM 2 PENSATION INSURANCE. - - g SIGNATURE OF PERMITTEE ADDRESS O I TEL. CITY' •' NO: USE ZONE MAP NO. C, SPECIAL _r CONDITIONS :E / oc FINAL BY DATE 76A638A CE#803 B-64 APPLICATION FOR BU I DING PERMIT , COUNTY OF LOS ANGELES BUILDING - L, DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION Loc A LI T Y y,C JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ' ' - • /' COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST-. •�+- DISTRICT NO. - GROUP- TYPE, PRO- SSED BY ;1NEER OR APPLICANT TO FILL IN 6 J corisT. T .� �jl,L BG q - STATISTICAL CLASSIFICATION'• SEER MAPAS .1 V- CLASS NO. DWELL UNITS BK, PG `�J4 _ sL3 - BLOCK ' USE ZONE MAPT ' / .��_^' SPECIALL �y NO. OFBLDGS TIONS SILOT- ,/ !1/'`INOWoN LOT.U .EG G. BLDG.'SETBACK FROMTEL. FRONT PROP. LINE OF I .� "'(STREET) 000 .�� — .. 'J' TYPE OF- EXISTING SETBACK_ HIGHWAY- + YARD — TOTAL AS �O � p ( HIGHWAY WIO H- 'F M C.L.CBLDG. SETBACK ROM +AECT OR TEL. SIDE PROP. LINE OF (STREET)EER NO. . TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL }- ADDRESS HIGHWAY WIDTH FROM C.L. TEL. / 1. + - _ ,OV CON TRA CTO1R �f NO Y7 'ADDRESS 34� �� 3 / CORNER CUTOFF YES NO O LICu CITY c r SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK Z rX4 NEW ADDr� ALTER REPAIR DEMOLISH / SQ.FT. NO. OF NO. OF ! - Al9 .► SIZE STORIES FAMILIES �A17. USE OF �] STRUCTURE l` 0 d°f SIGNATURE OF APPLICANT VALUATION$ / �. - APPROVALS DATE INSPECTOR'SSIGNATURE P.C. T. �. FOUNDATION, LOCATION ' FEE$ ��` FEE$. -� FORMS•,_MATER.IALS.__. 'FRAME, FIRE STOPS, Lv I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT Is7�.� AND STATE THAT THE ABOV E.IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION `y WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS \ 1 9UILOI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK ALT HORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. 66 //�`/1� LATH. EXT. \ / SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 1 ADDRESS' F1 NAL JOHN F. LEWIS, PRINCIPAL isTqVdTU RAL ENGINEER 'PLAN CHECK VALIDATION CK.. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LI luo �r 2. '7 AR1.2 i D gr{ w.�'a:aat-ice-yY � ;• WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate'of consent to self • APPLICATION FOR U I L D I IV G PERMIT: insure, or a certificate-of Workers'Compenstion Insurance, or p.certified cop thereof S 3800, Lab. C.) �: COUNTY OF LOS ANGELES BUILDING'AND SAFETY Pol N PY .. o Y �• _ BUILDING S �Y pony • /�`h'Certified co s hereb furnished'. N ADDRESS if Q�CJ! „_' FOR APPLICANT TO FILL..I Certified copy is filed with the co my building inspec- t BUILDING I tion depa'riment. ADDRESS �"� LOCALITY . NEAREST - • -Date_•. i/-Applicant _CITY :ZIP.`� 2f<'.0 \ CROSS ST. - - - ERTI CATE OF EXEMPTION'FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT O� W 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 1Q BLOCK LOT NO. NO. AL 1 , TEL. SPECIAL `• d OWNER. ) tl/ NO. aD �Z. CONDITIONS I certify'that in the performance of the work for which this DISTRICT GROUP TYPE FIRE RO SSED BY 0 tr permit is issued, I shall:not employ any person in any manner CONST. ZONE so as to.become subject to the,Workers'Compensation Laws. ADDRESS _^ ,. 11— Date Applicant CITY C �I ZIP STATISTICAL CLASSIFICATION' APT. CONDO. U. NOTICE TO APPLICANT: df,' after making' this Certificate of ARCHITECT OR TEL. C ENGINEER NO. CLASS NO. �— DWELL. UNITS - Exemption, you should become -subject to the.Workers' H , Compensation provisions afLthe Labor Code, you,must forth- ADDRESS SEWER MAP with•.comply,w,ith such 'provisions or this permit shall be 1. 1 deemed.revoked.. TEL' BK~ PG, VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions.of-Chapter 9 ADDRESS - NO. VALUATION (commencing with Section 7000)of Division 3 of-the Business and LIC.- Profession's IC: l Professions Code, arid'my•license is in full force and effect. CITY CLASS $ / CJ SQ. FT.' NO. OF NO. OF CHECK License.Number. Lic.-Class SIZE STORIES- FAMILIES ONE $ Contractor Date DESCRIPTION OF WORK D W S NEW ❑ ❑ I am exempt from the licensing requirements as L am a j Kr�oc ii w t Wof DD A licensed architect or a registered professional engineer ALTER FINAL acting in rr y professional capacity (Section 7051, N i t JLt REPAIR ❑ DATE Business and Professions Code). . USE OF FINAL! / EXISTING BLDG. DEfv10L ❑ By �-{h .tw Lic..orReg. No. _Date ;APPLICANT - - TEL r OWNER-BUILDER DECLARATION (PRINT). NO. I hereby affirm that I am exempt from.the Contractor's License Law for the following'reason (Section 7031.5, Business and ADDRESS -Professions Code): PRESENT BUILDING'- 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 Businegs and Professions Code). MOVING TEL. I,-as owner of the property, am exclusive'ly:'contracting CONTRACTOR. NO. with lice contractors to'construct the project(Sec ­2 1�9,5 A- tion)7044, Business and Professions Code). ADDRESS REQUIRED TOTAL'SETBACK FROM, EXIST. # o o'o,o o `CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there.is 8 construction'lending agency for FRONT. /'� the performance of the work.for which this permit is issued P.L. 210'- 3.4 Q 0 (Sec. 3097,'-Civ. C.). SIDE o c o'7j[j l v P.E. Lenders Name: �1 11 ((�1 O -• - . - P.C.Fee$ ` Permit Fee. c,27 O 9.°I: 7 r'8 , Lender,s,Address w I certify that•I have.read this application and state that the Issuance Eee above.,nformdtion is correct: I agree to comply v�ith all County Invas,'gotion Fee o - ordinances and State laws relating to building construction, 3 O and hereby-authorize representatives of this County to enter . Total Fee upon�the above-mentioned property for ins ection'Pur oses. a ?� b»L. ,�z9-,,rel M � � SEE REVERSE FOR`EXPLANATORY LANGUAGE - 9A— Signature of Applicant or Agent D� - - ©s