Loading...
HomeMy Public PortalAbout9630 LAS TUNAS DR_Building__ 6AG38n,CE#"803-10.56 APPLICATION FOR BUILDING PERMIT 1 BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS O a �v County of Los Angeles LOCALITY �� C JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP COP NST. BUILDING C, r O ADDRESS l� S STATISTICAL!?SSIFICATION CLASS. NO. DWELL. UNITS LOT NO. BLOCK MAP STATE NUMBER -2-607 HWY YES NO TRACT USE ZONE SPECT NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT C" USE OF EXISTING BLDG. b �'�- BUILDING YARD HWY STREET NAME EXIST. \ 1 SETBACK WIDTH OWNER O. \` 1 r 4 V V% FRONT �Q O , MAIL P. L. '6 (/�� ADDRESS Ip OLS lV h 0.,S SIDE TEL P. L. CITY C' NO• INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS C [� O TEL. CONTRACTOR QAC NO. 2 'J ADDRESS � 'Q r h DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE APPROVALS SIGNATURE OF APPLICANT T DATE INSPECTOR'S SIGNATURE ADDRESS O CA` FOUNDATION:FOUNDATION: LOCATION FORMS. MATERIALS $ P. C. Y FRAME: FIRE STOPS. 4 FEE BRACING. BOLTS VALUATION i 0 $ FURNACE: LOCATION, FEE '-^ GAS VENT, DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WI ALL COUNTY O A ES ND LATH. EXT. STATE LAWS REGU ING ILDING G RUC N. SIGNATURE( HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS a a lin FINAL OHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LA(00 9 1 5 AUG 2 1 1 .0O s® CI T " 76A638A CE0803 5-65 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS X-C, BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST � _ �� COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. A I DISTRICT NO. ROUP TYPE PRO ESSED BY FOR APPLICANT TO FILL IN s10 e k) CONST. _'Z��___ _ BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �• ! G� G-yZ��� CLASS NO. DWELL UNITS 6K PG LOT NO. � BLOCK USE ZONE MAP /1�© NO. (1 TRACT , �• SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT? NOW ON LOT USE OF l EXISTING BLDG. SETBACK FROM TEL FRONT PROP. LINE OF (STREET) OWNER ` NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS Q,� c.iG 1ZfL:�7 HIGHWAY WIDTH FROM C.L. CITY mv'c' 10 SO + _ BLDG. SETBACK FROM ARCHITECT ORT L. SIDE PROP. LINE OF — (STREET) ENGINEER O. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS ' HIGHWAY WIDTH FROM C.L. `�. TEL 33 �j? 2. + CONTRACTO NOLIC i3 [�) ADDRESS / A �y ' NO I` O/ CORNER CUTOFF YES � NO El OU CITY / CLA ` G - `f.. SEE REVERSE SIDE FOR SPECIAL APPROVALS O D CRIPTION OF WORK W CL NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF XX// SIZE . STORIES FAMILIFS f_ USE OF - / STRUCTUREC.i� d , SIGNATURE OF APPLICANT C VALUATION$ 2�p06->d Ap PROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ �}+ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON I VIOLA- LATH. INT. TION OF THE LABOR ODE OF THE STATE OF CALIFOR�RELAT- ING TO WORKMEN' MPENSAT 5 U R LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PE,RMiTTEE RECT AND POSTED ADDRESS FI NAL JOHN F. LEWIS. PRINCIPAL ST7RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION M.o CASH Li 4 4 8 ^ fit•-G 31 1 D 4.0 0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDADDRESS � � � /� S DISTRICT NO. PLAN CK. NO. PERMIT NO. 71 LOCALITY �•�4��r''-!/�/� � RE EIV BY DATE OF APPL. DAE ISS ED NEARE _ CROSSSS'T. PLP �T� O j� �,/� DDRESS NG ��� �� OWNER /MAILJ�j/J �4• �U�s"/ ADDRESB�Ot 0 �T / {//Y ,f .�ry. _LOCALITY / � �.e= ���� {/��iZ TEL. CRASST NEAREST. -FE-n'ol-(- �'�/ . FIREI NO. I TYPE ROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. C ORD.NO ADDRESS _SETBACK LINE //V eg� •J"'I`1.�C✓;)1� �0 APPROVED CONTRACTOR N13.�' 'fj ~ BY DATE USE APPROVED ADDRESS ✓' +"r � "/r� '� 20NE ( G.-ABY DATE LEGAL -� DESCRIPTION I LOT No. BLOCK CORRECTIONS /� TRACT K� !E?�;y Z� No.OF G SIZE OF LT NOW ON LOTS O USE O EX STNG BLDG. �r0k I FAM ILIEB T F ROOM DESCRIPTION OF WORK NEW ALTERATION ADDITION A REPAIR MOVING DEMOLISH � SQ.FTS NO. OF SIZE ROOMS STORIES D WALL ROOF r COVERfl I COVERING-- USE OF NEW _ BUILDING r G L I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS 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. `�J�/I�j� FRAME: FIRE STOPS, SIGNATURE OF F''.r✓�i © BRACING,BOLTS OWNER LATH,INT.: AUTHORIZED AGT LATH,EXT.: $ P.C.$ PLASTER. INT. ,p FEE ~� PLASTER, EXT. VALUATION FEE a FINAL J ' 1,w DEPARTMENT OF BUILDING AND SAFETY {'►rrLlt+fl l lvm r VIS rr ru•111 COUNTY OF LOS ANGELES ® ® ' WM. J. FOX. CHIEF ENGINEER U ' L FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY T DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRES - ; / LOCALITY rf/Vf�L F RECEIVED BY DATE OF APPL. DATES IBSUEE' NEAREST CROSS ST. �/ iS rl ooe Cove R11V';S ADDREI NG OWNER SS MAIL ^^ �} �^ �j `J ADDRESS .2` /-4 F, �/JS I(�/�jQs Ae, LOCALITY TQC NEAREST TEL. CROSS ST. NO. FIRE NO.OF TYPE r GROUP ARCHITECT ENGINEER NO.OR TEL. ZONE PLANS ;% BLDG ORD.NO. ADDRESS SETBACK LINE /� j� tt�� /� APPROVED CONTRACTOR N: /�-�,AIC7-5 NO. Ai 1.2 .j,' BY ATE USE 7 APPROVED ADDRESS 2¢G �,(f�Qf?�G ��.�� ZONE BY DATE LEGAL <s; BLOCK CORRECTIONS DESCRIPTION/ LOT NO/. TRACT NO.OF SLOGS. SIZE OF LOT NOW❑N LOT USE OF G BLDG. �� I NO.OF I NO.OF % FAMILIES P.O❑MS DESCRIPTION OF WORK _ NEW ALTERATION I ADDITION OLD 1 REPAIR MOVING DEMOLISH 0 SQ.FT. NO.OF Z SIZE ROOMS STORIES WALL ROOF COVERING I COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS 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 . /P�--^ BRACING,BOLTS_ PERMITTEE / ��J'��<'I _LATH, INT. AUTHORIZED AGT - b LATH, EXT. 76A638A-3 2-50 $ P.C.S PLASTER,INT. FEE _ PLASTER,EXT. VALUATION / FEE FINAL Y• DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING /�� ,/�'^� .014 .S DISTRICT NO. PLAN CK.N�O` PERMIT NO. ADDRESS;,-,�F^ (U L. /C LOCALITY � /w/'? f;.. RECEIVED BY DATE OF APPL. DATEISSUED NEAREST CROSS ST. �� BUILDING / _ 19 OWNER ADDRESS ZZ , LsN - i; T�/ .3 MAIL �D LOCALITY L ADDRE53 L4� O N //� NEAREST CITV ����/� ^- r-YTEL CROSS ST. !+ ARCHITECT TEL. ZONE PLANE _ENGINEER , NO. FIRE NO.OF SLD.. ORD.NO. ADDRESS SETBACK LINE ` , o APPROVED CONTRACTOR V ' f NO. DATE USE APPROVED ZONE ADD RE33 � -` �' BY DATE LEGALS--(o - CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT L6 ✓c- SLOGS. -SIZE_OFLOT �'X//�� I NOW ON LOT _ USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION o A REPAIR MOVING DEMOLISH Sq.FT. �! NO.OF _SIZE cWALL ? ROOMS BTORIES y ROOF COVERING // «� I COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS 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 PERMITTEE � LATH,INT.: AUTHORIZED ADT LATH,EXT.: DBS-3 SOM SETS 7-47 $ P.C. �1...6.' PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE �"" "" FINAL r WORKERS'COMPENSATION DECLARATION CT hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT 1! insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company rV BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING i tion department. ADDRESS ' S 7 LOCALITY � � ' A Date Applicant l tl CITY �� Cl ZIP CROSS SR C TIFICATE OF EXEMPTION FROM WORKERS' 70-W . OF BLD S. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT OW 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. �f NO. TEL. SPECIAL >_ CL I certify that in the performance of the work for which this OWNER NO. CONDITIONS 0 permit is issued, I shall not employ any person in any anner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become su ject to the Workers'Compensati ;Lawsr ADDRESS CONS ZONE 09 Cdr 1 09 Date Z Applicant �' CITY ZIP STATISTICAL C g ICATION APT. CONDO. 0 NOTICE tO AP ICANT: If, after making this Certifi ate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO.�DWELL. UNITS W Exemption, you should become subject to the Porkers' d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be ? deemed revoked. CONTRACTOR T BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION ((��` LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Q� IcNO. 04 FA 1V VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY ff'— CLASS , SQ. FL NO. NO. OF CHECK License Numbers�Q Lic.Class SIZE -3�t; STOR S FAMILIES ONE \ 3 DESCRIPTION OF WORK NEW ❑ $ Contractor �[yiB,re ADD 1 am exempt under Sec. ❑ ALTER ❑ FINAL B.&P.C. for this reason REPAIR DATE v✓ / �"r Date: USE OF /' B NAL P EXISTING BLDG. `- " DEMOL ❑ y (f Signature APPLICANT T,1 L. OWNER-BUILDER DECLARATION PRINT ( NO. O I hereby affirm that I am exempt from the Contractor's License /�ADDRESS Law for the following reason (Section 7031.5, Business and G Professions Code): RESENT 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 tion 7044, Business and Professions Code). PREIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, Civ. C.).Lender's Name Permit Fee ' Lender's Address f, r I certify that I have read this application and state that the Issuance Fee / above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total FeeIOV- / 4 j and hereby authorize represe ives of this County to enter uPon th move-mentio d erty fpr inspection p oses oe ` Z SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or ent Do `�J ®s i WORKERS'COMPENSATION DECLARATION ' APPLICATION FOR R WILDING PERMIT I .hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers Compensation Insurance, or a certified;copy thereof(Sec. 3800, Lab. C.) r / COUNTY OF.LOS ANGELES BUILDING'AND SAFETY ''Policy No,q 6.67/Ad Company T�� Au Al 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 (J c ' Date L Applicant . CITY' ;� ZIP LOCALITY NO.OF BLDGS. NEAREST CER IFICATE OF'EXEMPTION FROM WORKERS' - SIZE OF LOT Now LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR ' (This section need not-be completed if'the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.), TEL. OWNER' B Ch,,m NO. � -, USE ZONE MAP I certify that'in the'performance'of the work for which this IVO. :permit is issued, I shall not employ any person in any1manner ADDRESS �� SPECIAL'. a so as to becomeCONDITIONS subject to the Work Compensation Laws. O 9riy/Q�� CITY ZIP U. Dated T Applican. ' ARCHITECT OR TEL. a NOTI E O APPLICANT:. If, after making,this Certi cote-of ENGINEER NO DISTRICT' GROUP TYPE FIREW,R:CES�ED'BY Q Exemption;. you.should•become subject. to the Workers' CONST. ZONE V Com ensation provisions of the Labor Code, Jho a CL p p you.must forth- ADDRESS with comply with'such provisions or this'permit shall.be , /� TEL STATISTICAL.CLASSIFICATION. APT. CONDO. ,. N f deemed'revoked. 'CONTRACTOR 00 /N L0 .NO —/ Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.o7a DWELL:UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 . ADDRESS p g NO. D / JJ LIC. SEWER MAP (commencing s Cod eand' 7000)of Division 3 of the Business CITY. G O,v=e (2B• CLASS C ` Q and Professions Code,and'my license is irS full force and effect. BK PG VALIDATION /l �q SQ. FT NO. OF NO.OF .CHECK ' ' License Number;,34. /y ' Lic. Classes SIZ Q STORIES FAMILIES ONE VALUATION. ' Contractor G' o r (.'o Date' L DESCRIPTION OF WORK �je p g70cle' i NEW ❑ DQ- ' 1 ADD • ❑ $ ya ao, ❑I am exempt under Sec. & O 'E' r7 ► ALTER ❑ B.&PCC.for this reason 4 zsgmaD REPAIR ❑ $ Date: USE OF - kJ EXISTING BLDG. 1 DEMOL ❑ ' Signnturp� a'�,�f� �r APPLICANT-- - TEL. .. ' (PRINT) NO FINAL OWNER=BUILDER.DEC TION DATE I hereby affirm that I am exempt from the Contractor's License Law for the fdllowing-reason (Sectiori'7031.5; Business and ADDRESS FINAL Professions Code):,.' PRESENT- "'By IL ❑ BUILDING ACMV I;'as owner bf the ProPertY- or my employees with i4DDRESS l. wages as their sole compensation;will do the work and ( Uj ,sa07 - i9.0 iyt the structure is not intended or offered for sale.(Section LOCALITY {/- 7044, Business and Professions Code.) j MOVING TEL. -' 1 1TMS ❑ I, as owner of the property,am exclusively contracting j CONTRACTOR NO. O1,AL 129. 14 with licensed contractors to.construct the project•(Sec- I ADDRESS tion 7044, Business and Professions•Code.) REQUIRED• = TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY I SET BACK YARD HWY PROP. LINE WIDTH t+u��� n I hereby affirm that there..is d construction lending agency.for ' FRONT CHANGE 000 the performance of the work for which-this permit is issued P.L. i (Sec. 3097, Civ. C.). SIDE.', 00007-0001- 8 /6 P.L. 7I 1/7 is Lender's Name 1 5301 q�1 n ' I Dryer �, LDMA Ref.# 1 410620 P:C. Fee$ Permit Fee . /' Lender's Address i I certify that I have read.this application and state that the �' Issuance Fee �� 7.: LDMA P/C p ,•• ; I. above information is correct.I agree to comply with all County ( Investigation Feb•. Q I: ordinances and State laws relating to building construction, Total'Fee �� /� LD MA Perm. p and hereby authorize•representatives of this County to enter E. upon the above-mentioned property for inspection purposes. ' ! SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent - Date