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HomeMy Public PortalAbout9572 LAS TUNAS DR_Building__ DB-8 8-40 28M 0.;10532 APPLICATION FOR PERMIT DEPARTMENT Off' BUILDING AND SAFETY BUILDING��a L COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE _.... /y FIRE APPROVED ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED ZONE BY DATE 1 J``s .:: APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILD p to NAME ADD EING SS ul I Las Tunas W Z ADDRESS LOCALITY Temple Cit F � NEAREST U W CITY CROSS ST. K < STATE TEL. LICENSE NO. NO. W NAME ;TQr eznt g z MAIL 19 NAME Electrical Products vOr� • 0 ADDRESS 2172 2 La`3 Tunas F U TEL < ADDRESS 1128 Venice Blvd• CITY i el-ftPle v it V NO.. K F1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS z CITY Los An :,eles O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. p L' �r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. 125�3f3 NO, 11 OJ IL AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LOT. NO. be .,� '�-r SIZE OF LOT SIGNATUREOF OF BLDGS. OWNER _ n Q NOAUTHORIZED AGT. BLOCK NO. ON LOT j Ul CORRECTION In TRACT WI D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING Install 1 - c le c . si,Mn � a z O NEW r"`f✓ TYP - GROUP NO. OF NO. OF ALTEP.ATION ROOMS FAMILIES ADDITION SIZE REPAIR STORIES MOVING i WALL COVERING DEMOLISH ROOF COVERING s P. C. $ FINAL APPROVAL 150,00 FEE n $ 2.00 1 V t I INSPECTOR'S VALUATION FEE I DATE NAME M' °e-a IA-4&a9AI Set, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY i COUNTY OF LOS ANGELES B UILD"'IA(G WM. J. FOX, CHIEF ENGINEER NO,OF BLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE FIRE APPROVED V W ZONE BY DATE ;v, D BY DA`T A PL. DATE SU USE ^ APPROVED ( *0 +P'�� ZONE BY DATE /' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY E BUILDING " p NAME ADDRESS W Z ADDRESS LOCALITY r 4 •'"`°R• V Z CITY CROSS S.C. ` < STATE TEL. y,�'J/�.�1 LICENSE NO. NO. NAME `r� `M I�.L� C•^J x MAIL n EO NAME ti. O ADDRESSa5"�l. rr Q e I.- TEL. t ADDRESS L CITY NO. It Z CITY 1 HKRESY ACKNOWLEDGE THAT 1 HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE 1S CORRECT STATE TEL "L AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. ©�� NO. ��` AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z SIZE OF LOT SIGNATURE OF O LQT NO. OWNER i F NO. OF BLDGS. / AUTHORIZED AGT. BLOCK " " NOW ON LOT W TRACT V / CORRECTIONS D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORN USE OF BUILDI CZA Z D NEW TYPE ( GROUP r NO.O I NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE P REPAIR I STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING s P.C.° FINAL APPROVAL FEE �,,� /µ1/ 1NSPEC. -S 'VALUATION !'EB 4 � DATE - � I NAM ,✓���>';1�/L- Dea now- DkPARTMENT OF UILDING AN ON FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER B ' 1 L D FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS / �"' .�y- �,( a C,/ LOCALIT - :.ivW, BY DATE OF APPL. DATE 188UED rP � NEAREST %i L? . r r ti"• 4r✓? CROSS ST. BUILDING OWNER ADDRESS MAIL lo")/ 7 20- LOCALITY 1� ADDRESS /� TEL. NEAREST CITY ! I� NO. CRO89 ST. FIRE NO.Or F ARCHITECT TEL. ZONE I PLANE I TMPE^I7'T I GROUP ENGINEERNEI._ . ,�„J,1� D. SLOG. ORD. NO. ADPRE 89 SETBACK LINE APPROVED CONTRACTO aa _Clio NO.IV USE-y- /' B�' /�' DATE l AP AODRES � �I� !h r�a4� -- /.c ZOWii "',� ���V BYPROVED DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. BLOCK TRACT NO. OF 8LDGS. SIZE OF LOT NOW ON LOT ir USE OF t NO.OF I NO. OF .► EXISTING BLDG. I FAMrLj ROOMS DESCRIPTION OF WORE NEW ALTERATION ADDITION D -- 8 REPAIR MOVING DEMOLISH O_ Sq. FT. NO.OF SIZE ROOMS STORIES WALL ( ROOF COVERING COVERING / USE OF NEW ( BUILDING APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: 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 OWNER LATH, INT.: AUTHORIZED AGT Z!9LATH, EXT.: P. C. PLASTER, INT. FEE PLASTER, EXT. VALUATION FEE FINAL L /d' Q OB-S t.., zew APPLICATION FOR PERMIT 'DEPARTMENT OF BUILDING AND SAFETY 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,�`�; - -•^ / g FIRE APPROVED ZONE BY +�.} -S •-•'r';[jA,Tt,� RECEIVED BY DATE -yOF APPL. DATE ISSUED USE APPROVED � l�=4 �I �,,. /L �. ;',.�. `� •t._. ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY r, } E NAME �TN�-�:lV � y :� /FJ ,ADDRESS 217(EI Ae� / TIN Z ADDRESS /QS��J/ ) y4✓ �' LOCALITYNEARE U Z CITY /r�' CROSS ST /. V /V -5F--,C 7 < STATE TEL. LICENSE NO. NO. NAME3 7R R ✓` _ MAIL EO NAME I I I;J^ ADDRESS A / 7 fF J 0 U-'� 12 l/ "'I U 11 a�(� TEL. < ADDRESS j/C O .�.n "f JY j CITY NO. C ZO CITY 5 fy�I C- ir. r., �) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U STATE —� TEL. APPLICATION AND STATE THAT THE ABOVE IS CORRECT LICENSE NO. NO. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES / vC l5 X AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. l.O 2�" I SIZE OF LOT SIGNATURE OF 0 A OWNER r RNO. OF BLDGS. BLOCK NOW ON LOT / AUTHORIZED AGT. K J D TRACT C.Y �• / COAftECTIONS W D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDING 1 J a a NEW TYPF,= GROUP/y NO.OF NO.OF _ ALTERATION ROOMS FAMILIES ADDITION SIZE '"- REPAIR STORIES `-5 / IL MOVING WALL COVERING C !� 44 4 DEMOLISH ROOF COVERING L `L•� s P. C. S FINAL APPROVAL r�Q �\ FEE INSPECTOR'S VALUATION GTC/ ) FEE $ , S DATE I NAME WORKERS►COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) ' ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No - Company 557,9Te ❑ BUILDING _ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS •z. Certified copy is filed with the county building inspec- BUILDING �Af tion department ADDRESS Date Applicant f�C�/�STJC� CITY e Pi 07 IPql-,7?0 LOCALITY CEIRTIFICATf 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 ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL s USE ZONE MAP I certify that in the performance of the work for which this OWNER � C NO NO � permit is issued, I shall not employ any person in any manner ` SPECIAL so as to become subject to the Workers'Compensation Laws ADDRESS cJ '� ,$ �,— CONDITIONS V CITY ZIP Q tY Date Applicant ARCHITECT OR TEL O DISTRICT GROUP TYPE FIRE R ESSED NOTICE TO APPLICANT If, after making this Certificate of Q CONST/ ZONE V Exemption, you should become subject to the Workers' ENGINEER NO _� T Compensation provisions of the Labor Code, you must forth- ADDRESS H with comply with such provisions or this permit shall be TEL p STATISTICAL CLASSIFICATION CONDO Z deemed revoked CONTRACTOR — �7"{ 4 NO (/ LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2V&1 -� � T. NO OHO SEWER MAP p (commencing with Section 7000)of Division 3 of the Business and �] LIC �l r,, { ` Professions Code, and my license is in full force and effect CITY fy 6e .S CLASS - BK PG 6 SQ FT 1 pG NO OF NO OF CHECK LicenseNumbe m Lic Class l' /O SIZE X706 STORIES FAMILIES ONE # 0 0 0 0 0 nn / VALUATION /I ContractorA 1 A2DC1 Sf/" Date DESCRIPTION OF WORK •• A NEW s t��Cl a Io - 59.25 I am exempt under Sec ev C7,0V C J/�7/ 4)jew"400 oeADD El❑ �j ALTER B 8P C for this reason l!e< IASLREPAIR �} USE OF G $ ❑ � `^ � ���>�� Date EXISTING BLDG DEMOL Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT NO DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS FINAL Professions Code) PRESENT BY J.44 x aBUILDING 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) REQUIRED txlbl CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP SETBACK NEFROM 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 PL Lender's Name $ LDMA Ref # ' Lender's Address PC Fee$ Perm t Fee ' I certify that I have read this application and state that the Issuance Fee 0 LDMA P/C# above information is correct I agree to comply with all County Investigation Fee $ ordinances and.State jaws relating to building construction, Total Fee J LDMA Perm # u and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes a ��C �� 9� SEE REVERSE FOR EXPLANATORY LANGUAGE a Signature of App licy t or Agent Date