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HomeMy Public PortalAbout9614 LAS TUNAS DR_Building__ 16A638A CE#803 I-67 APPLICA lON FOR UILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS - L BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP T OF BUILDING CROSS ST. DISTRICT NO. I.; ROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN C. CONST. BUILDING ( STATISTICAL CLASSIFICATION SEWER MAP ADDRESS `(� + h,�. 'i BK PG CLASS NO. / DWELL UNITS LOT NO. 5 _5-- BLOCK USE ZONE MAP -7 NO. * C TRACT SPECIAL L' /` No. of eLDos. CONDITIONS SIZE OF LOT NOW ON LOT USE OF }r I N `v 5LOG. SETBACK FROM ,hy TEL. FRONT PROP. LINE OF �Y 1 �' �J-.S (STREET) OWNER - NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS I' HIGHWAY WIDTH FROM C.L. CITY Ire-' + BLDG. SETBACK FROM ARCHITECT ORI l TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR �. �- t. - NO G ADDRESS - - NO L-�/LIC CORNER CUTOFF YES NO Q U CITY L t(- C LAS LIC C SEE REVERSE SIDE FOR SPECIAL APPROVALS o ESCRIPT ON OF WORK � w NEW ADD ALTER REPAIR DEMOLISH N Z SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIFS USE OF STRUCTURE=-t_ W c SIGNATURE OF -(,./,. APPLICANT (,(i 1.^, VALUATION$ �I,OO APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ E ` FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THELABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF +� l( J����. HOUSE NUMBER COR- PERMITTEE L�, y/,� RECT AND POSTED ADDRESS C2iZ-� C,LL� c_ Tom_ FI NAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION MO. CASH _ PERMIT VALIDATION CK. M.0 CASH Lt i,o 5 kG20 ?_ u o DEPARTMENT OF BUILDING AND SAFETY T APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS G �/�f/����/�LS LOCALITY +///I/j'�/�' Lr �/ rTy/� RECEIVED BY DATE OF APPL. DATE ISSUED CROSS ST.f t��.i.Ax/ eO.. L �./`r�+��j/( / pV[/ B ULD N13 OW NER(,,,/j/✓�.F''I�"L `i I"[��/� /\.....�' ADDRESS / (G7 h-G�+Q -4/OS MAILI / 'r, zws' r-411y � LOCALITY ADDRESSJ Tk / 'J''/�''��r NEAREST ��� CITY /A:/I� .— NO. CROSS ST. YJJ FIRE I ND.OF I TYPE GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. BLDG. ORD. NO. ADDRESS SETBACK LINE �/ ' �; ONTRACTrR �/4 �'//��/'/Np�,s���]'(J- B,�PROVED DATE USE APPROVED ADDRESS d /V S /eos/�qZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO. OF SLOGS. SIZE OF LOT I NOW ON LOT USE OF NO. OF NO.OF EXISTING BIDS. FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATIONADDITION O A REPAIR MOVING �I DEMOLISH GI Sq. FT. NO.OF Z SIZE ROOMS STORIES D r WALL ROOF COVERING I COVERING USE OfNEW j"�+'w� - BUILDING - /liV 9,4. 06 IdTTi�cy �. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO CO PLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAGULATING BUILDING CONILTIRUCTION. FORMS, MATERIALS !/ 10, FRAME: FIRE STOPS, SIGNATURE OF / �/''���)� BRACING, BOLTS PERMITTEE 41 `� =--Lit-- LATH, INT. AUTHORIZED AS • / LATH, EXT. 76A63BA-3 10-SOP.C. PLASTER, INT. FEE _ PLASTER, EXT. VALUATION FEE t-" FINAL WORKERS'COMPENSATION DECLARATION - ' I hereby affirm that I have r certificate of consent to self APPLICATION FOR BUILDING P E RM I T nsure,.;or'a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, La 6. C.) COUNTY OF LOS ANGELES BUILDING-AND SAFETY Policy—No.—Company . ❑ .Certified,copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING lG� ADDRESS < ❑ Certified copy is filed with''the co'unty building inspec- BUILDING tion department. ADDRESS Date Applicant CITY ZIP T(J® LOCALITY CERTIFICATE OF EXEMPTION FR50!RKIRS) NO. OF•BLDGS. NEAREST COMPENSATION I ASIZE OF.LOT NOW ON LOT CROSS ST. ASSESSOR(This''section need not be com ted if tmitis f. r one TRACT BLOCK~ LOT NO. MAP BOOK PAGE PARCEL hundred dollars.(.$100)or les 7 TEL. USE ZONE MAP OWNER I certify er if is isatin, I shall not m to of or 'hi h this ��� �� NO. NO. Y., P SPECIAL fZ P � P Y Y Per n�a anner / � ,rL _.. _ _ -.- so'as to become subject to a Wo r ers' m Laws. ADDRESS- It /9,� /✓Tr f r/ CONDITIONS / Q CITY - ZIP Aft) -_ _ U Date 7—`�� Applicant IM NOTICE TO APPLICANT: If, aft r m Certi icote of ARCHITECT OR TEL. DISTRICT GROUP' TYPE FIRE PROCES D BY ENGINEER NO. CONST. ZONE Exemption, you should become subj t to the orkers' _ i� Compensation provisions of the Labor ode;you ust forth- ADDRESS ✓ .with comply with. such provisions or this:per it shall be — --- - H deemed revoked. \vim TEL. ; STATISTICAL CLASSIFICATION APT. CO z CONTRACTOR ,S NO. LICENSED CONTRACTORS DE RATION --• - ---—• LIC. - -• CLASS NO. 2�' DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS "v 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 CLASSBK. : ' VALIDATION SQ. FT. NO.OF NO. OF _ CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE fATION DESCRIPTION OF WORK. (,_other: iv( NEW - ❑ Contractor Date ❑ ; ( Z)Z:) i S ADD 2291.8A ❑ 1 am exempt under Sec. " ❑ C� � � - ALTER' B.BP.C. for this reason / fr REPAIR ❑ $ #.o o 0.0 2 3 Date: USE OF - ❑ � 0 0 3 7.5 0 ' EXISTING BLDG. ' .. DEMOL jf j/� -rj - Signature APPLICANTTEL. + FINAL o © © 37.5 O U OWNER-BUILDER DECLARATION PRINT) /fibr f 17D1-11-0, ,01V NO. — DATE Thereby affirm that i am exempt from the Contractor's.License 0 9,'1 6-8 5 Ca for the following reason (Section 7031.5, Business and ADDRESS - /� /� FINA `P ofessions Code): PRESENT By ;2 2 94,O A BUILDING 1, as owner of the property, or my employees with ADDRESS .0 m o 0 0 0 1 wages as their'sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY o 0 2 a SO 7044, Business and Professions Code). MOVING TEL. ' op I, as owner of the property, am exclusively contracting CONTRACTOR NO. o 0 02 R 5 O ywith licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ' 0 9 1 7-85 COhIREQUIRED. YARD HWY TOTAL SETBACK FROM XIS .. STRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereb irm that there is a construction lending agency for FRONT the ormance otl the work for which this permit is issued P.L. (S . 3097, Civ. C.) SIDE P.L. Lender's Name /y m ._. LDMA Ref. P.C: Fee$ �� # " "-Permit Fee Lender's Addre ^� P• _1 ce/ft that. vi re is pplication and state.-that the -- _. Issuance Fee O LDMA P/C# ab ve infor ti corre d1agree to comply with all County Investigation Fee m o,�r finances ncY law reiatill �o building construction, - Total Fee - LDMA Perm. # - U 7'n hereby h rize,` 3�t 1'des of this County to enter m pan the a e-i e' ion e.ty for inspection purposes. -- 5 SEE REVERSE FOR EXPLANATORY LANGUAGE O igna re of Applicant r Agent - Date - ^- • - - ••- - - - - --_ -. ... ..,.._ .-. ._:_ WORKERS'COMPENSATION DECLARATION insure, ora affirm certif certificate of Worke s'Compensation oof n eInsuran e, APPLICATION FOR . BUILDING PERMIT or a certified copy thereof (Sec. 3800, L b.'C.)- - -- -' � �< Or� IQ COUNTY OF LOS ANGELES BUILDING,AND SAFETY Policy No. Company BUILDING r1��II Certified copy is hereby furnished. FO/]]R AI�PPP"LICANTr�T�O+ FILL IN ADDRESS `•( `•f-- L�.��� u Certified copy is filed with the county building inspec- BUILDING q�l't' LIDS u . - 1 tion dearrttmyent. �p ADDRESS 7{�' Date 10-29 vv Applicant ° ILL CITY ZIP J ([�0 LOCALITY CERTIFICATE OF EXEMPTION FROA WO ERS' U NO:OF BLDGS. - NEAREST �J COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. 1 (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 USE ZONE MAP / r �7 I certify that in the performance of. the work for which this OWNER r(fe�� NO DD (9 NO. / l� } permit is issued, I shall not employ any person in any manner q I��1 t,'(�� SPECIAL - 9L so as to become subject to the Workers'Compensation Laws. ADDRESS I {� �11J (L ,ng ���• CONDITIONS u. .CITY L'.]"lC�.[7r8:, _ 'ZIP - Date Applicant ARCHITECT OR TEL. DISTRICT GROUP• TYPE FIRE RO SSED BY NOTICE TO APPLICANT: If, after making this Certificate of CO ZONE ENGINEER NO. Exemption, you should become subject to the Workers' Ly Compensation provisions of the Labor Code, you-must forth- ADDRESS L✓��v - y with comply with such provisions or this permit shall be /�,J' TEL. _ STATISTICAL CLASSIFICATION APT. CONDO. .deemed revoked. CONTRACTOR A��•FiUY�1 sin NO. c� LICENSED CONTRACTORS DECLARATION -- LIC. /^ CLASS NO._ _---DWELL. UNITS I hereby affirm that.I am licensed under provisions of Chapter 9 ADDRESS f 7g�JAfl7�b! �� NO. W I SEWER MAP (commencing with Section 7000)of Division 3 of the Business and ] n� LIC. - Professions Code, and my license is in full force and effect. CITY CLASS L: BK. PG. VALIDATION �[1I���� SQ. FT. _ _ NO. OF ___ NO. OF CHECK License Number ` '1 Lic.Classes SIZE STORIES FAMILIES ONE //yam; Ja(tdll'`f')n or VALUATION _ Contractor CJfU+iFJ U U I Date ��_� r^�� DESCRIPTION OF WORK 'l U�j]1(L�(fJ U, lY a �(�� (j`) �( f ' t ❑ I am exempt under Sec. NrV/(��,L/�yn�j� C��l /}/c` UGL,1 I� p �A ALTER B.BP.C. for this reason LILT U1 (j[r �L f_Lll.e cl l(J L REPAIR ❑ $ Date: USE OF DEAOL ❑ EXISTING BLDG. Signature APPLICANT /� TEL. (��/ FINAL / OWNER-BUILDER DECLARATION (PRINT) AL A�•�dv�e�n NO. `44 DAT �� ` �� I hereby affirm that I am exempt from the Contractor's License ADDRESS r�C�t/� FIN Law for the following reason (Section 7031.5, Business and Professions Code):" PRESENT ' B ❑ BUILDING I, as owner of The property, or employees with ADDRESS wages as their sole compensation, w will do the ork and my emplo the structure is not intended or offered for sale(Section [ADDR LITY 7044, Business and Professions Code). NG " ' - TEL - , ••.,, ❑ I, as owner of the property, am exclusively contracting RACTOR NO. with licensed contractors to construct the,project (Sec- ESS tion 7044, Business and Professions Code). 25829 A UIRED TOTAL.SETBACK FROM T._. CONSTRUCTION LENDING AGENCY BACK YARD HWY'' PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for NT # o`° ° a ©,� the performance of the work for which this permit is issued ® ® 4 9 8 8 (Sec. 3097, Civ. C.). E Lender's Name4 9,8 8 5). LDMA Ref. # Z Lee$ - - - PermitFee - 1 Q30"86Lender'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 County igation Fee d f' ordinances and State laws relating to building construction, Total Fee LDMA Perm: and hereby authorize representatives of this County to enter upon the above-mentio ed property for inspection purposes. dr �1Li a SEE REVERSE FOR EXPLANATORY LANGUAGE ^ - Signature f Applic6tit or Agent -'- Date WORKERS'COMPENSATION DECLARATION - I hereby affirm that I have a certificate.of consent to self insure, or a cert°icote of Workers' Compensation Insurance, APPLICATION FOR BUILDING. PERMIT or a certified copy thereof (Sec: 3800, Lab.'C.) COUNTY OF LOS ANGELES BUILDING AND SAFET Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department: ADDRESS Date Applicant CITY-7g7—4&1 ZIP LOCALITY CERTIFICATE 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 LOTTEL. MAP BOOK -PAGE / PARCEL 'NO. Z IrJ USE ZONE MAP OWNER-.. �--�1 I certify that in the performance of the work for which this � NO. � .� .✓ � y. permit is issued, I shall,not employ any p •son i a manner' _ SPECIAL; so as'to become'subjectto the Workers' om' ns tiori,Laws. ADDRESS ��~ \ CONDITIONS • CITY '' ZIP / �O Date -- Z Z APPlican �.. R, ARCHITECT OTEL. DISTRICT GROUP TYPE FIRE ROC SED Y O NOTICE.TO APPLICANT: If, after making thi's Certificate of �- ENGINEER _ NO. CONST,' ZONE Exemption you should become subject to the'Workers' W Compensation provisions of the Labor Code, you must.forth- ADDRESS '15 0 0- with comply with such provisions or this permit shall be ""' '" TEL. STATISTICAL CLASSIFICATIONAPT: CONDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION -- - LIC; CLASS NO. `�-L�DWELL. UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business.and _ _ LIC.- Professions Code, and my'license is in full force and effect. CITY CLASSBK' PG VALIDATION SQ. FT, NO. OF NO. OF__•.. CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION, DESCRIPTION OF WORKNEW - Contractor Date. < / aO� a 0.. -�--- ADD ❑ ❑ I am exempt under Sec. -e - , ALTER B.&P.C. for this reason REPAIR ❑ "a Date:' USE OF - EXISTING BLDG. DEMOL_ ❑ Signature APPLICAN j EL FINAL. OWNER-BUILDER DECLARATION PRINT O DATEli ` I hereby affirm that I am exempt from the Contractor's License Law for the following'reason'(Section 7031.5, Business and ADDRESS FI 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, Business and Professions Code): MOVING - "' TEL. - - I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the`project (Sec- ADDRESS 9 5 4 a.3 A Tion 7044, Business and Professions Code). REQUIRED - TOTAL SETBACK FRO -EXIST.. # m CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o 0 2 95 0 the performance of the work for which this permit is issued P.L: - - - - - (Sec. 3097, Civ. C.). SIDE ® ° ° 2&5,0 I P.L. - _.- . Lender's Name � LDMA Ref. # 4 0 9,2 3-8 6 P.C. Fee$ Permit Fee O - Lender's Address ' I certify that I have read this application and state that the Issuance Fee kLD P/C# a above information is correct. I agree to comply with all County Investigation Fee ordinances and Stat laws relating to.building construction, _ _..c-, Total Fee TDMA Perm. # U and hereby uth ae representatives of this County to enter upon The ov me Toned property for inspection purposes. Q � SEE REVERSE FOR EXPLANATORY LANGUAGE ++ - Signotu a of Applicant or Agent- Date - - .... _. _ -._ _.. . .. _- •. _ -. . . ..- .. . Q i W