HomeMy Public PortalAbout8706 HERMOSA DR_Building__ T6A63bA CE #8031"APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK - j PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING /may'
ADDRESS & `0(,oP
COLEMAN W. JENKINS, SUP OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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DIST:t�.CT NO. GROUP TYPE �'$OCSSED BV
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STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK
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ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY
/ / HIGHWAY WIDTH FROM C.L.
ARCH TECT OR EL. + _
:.eI / NO. L DG.SETBACK FROM
ADDRESS - / SIDE PROP,LINE OF (STREET)
/ TYPE OF E%(STING SETBACK HIGHWAY + YARD = TOTAL d
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CONSTRUCTION LENDER-
NAME AND B CH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ FT. O. OF NO. OF
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SIZE TORTE FAMILIES ( J
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EPAIR❑
SIGNATURE
APPLICANT EMOL ❑
VALUATION S GI APPROVALS DATE INSPECTOR'S SIGNATURE
ON: LO
FEES I l O FEES ql_3. C7: )_ rOFORMS,I MATERIALS ATION Ip
FRAME: FIRE STOPS, s�1f
HEREBY ACM NOW LEO GE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS '7Z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUE
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED !/�
HERE BT WILL NOT EMPL T ANY PERSON IN VIOLATION OF THE LATH, INT. i°� l
LABOR CODE OF THE ST TE OF CALIFORNIA IN RELATING TO
WORKMEN'5 COMPENS TI INSURANCE. LATH, EXT. �� v
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED ryw�
ADDRESS FINAL
JOHN F. LEWIS, PRI CI AL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION K. o. GASH _ PERMIT VALI A ION c ' M.o. CASH
9 4 4 3;w 001 5 a 5 1 .90E
p - -D Njl.�q 2 3 A 5.40
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