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Home My Public Portal About8710 HERMOSA DR_Building__ � J y ]BAB3�1 CE.PBO3 D-65APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES FNE LDING DEPARTMENT OF COUNTY ENGINEER RESS BUILDING AND SAFETY DIVISION A Tv JOHN A. LAMBIE. COUNTY ENGINEER RESTCOLEMAN W. JENKINS,SUP'i of BDILDING SS ST. .`... DISTRICT NO. GROUP TYPEP SSED BY FOR APPLICANT TO FILL IN CONST, _ BUILDING (� ///�� STATISTICAL CLASSIFICATION - ;AVER MAP ADDRESS �7 •• )S- S• V^• CLASS NO. DWELL UNITS ` [K r1�G LOT NO. BLOCK "17-- j L USE ZONE NO. TRACT SPECIAL NO. OF BLESS. CONDITIONS a2d2 SIZE OF LOT Now ON LOT USE OF EXISTING L G. BLDG. SETBACK FROM TEL. /y (y/C PRO PROP. LINE OF - TREET) OWNER (/ _ SC/✓ NO. ` O C TYPE OF EXISTING SETBACK- HIGHWAY } .. YARD = TOTAL • U ADDRESS. C /,S HI WAV IDT. FROM V } CITY _ ^{'A j^ BLDG. SETBACK FROM JVIARCHITECCTTOR TEL. ENGINEER NO SIDE PROP. LINE OF (STREET) TYPE OF I EXISTING ISETEACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY IWIDTH I FROM C.L. CONTRACTOR /Tf NOL _ } _ ADDRESS NO LIC CORNER CUTOFF Y-ES NO O CITY c�as SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK R NEW ADD ALTER REPAIR DEMOLISH h Z SQ.FT. /n� NO. OF NO. OF SIZE 'G! STORIES FAMILIES J*USE OF r r STRUCTURE - ) SIGNATURE OF APPLICANT VALUATION$ APPROVALS PATE INSPECTOR'S SIGN TORE P.C. PMT. FOUNDATION, LOCATION //pp FEES •'�� FEES FORMS, MATERIALS � ' qy FRAME, FIRE STOPS, )� / HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATIO BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS SUI-DING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN'S COMPEL SATION IN RANCE. LATH. EXT. Z SIGNATURE OF HOUSE NUMBER COR- / PERMITTEERECT AND POSTED • 1 ^ ADDRESS I D FINAL JOHN F. LEWIS. PRINCIPAL ST T RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATIO arc. M.O CASH 7 6 4 5- DEC 6 1 A 1 1.50- 4 Ir r IJ T5A639A CEY8033-63 APPLICATION FOR BUILDING PER IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GR(;UP I TYPE ESSED BY FOR APPLICANT TO FILL IN CONST. C L BUILDING STATISTICAL CLASSIFICATION S WERM P ADDRESS f�f 7/Q Q it K G U� �+ CLASS. NO DWELL UNITS �7 LOT 14 L5. I L �y BLOCK WATER NOT REQUIRED RECEIVED ❑ ^ CERTIFICATE: TRACT P 3 MAP HIGHWAY NO.OF FLOGS. NO CIRCLE) STATE MAJOR SECOND. OCAL . SIZE OF LOT NOW ON LOT USE ZONE PECIAL USE OF //�� //�� CONDITIONS EXISTING BLDG. G (rJ'y If TEL �/ 8/ BUS �L OWNER O. 10 BUILDING EXIST. C SETBACK YARD HWV STREET NAME WIDTH ADDRESS G FRONT ARCHITECT OR TEL. P. L. ENGINEER O. SIDE P- L' 9. ADDRESS d TEL G CONTRACTOR NO. U ADDRESS Y DESCRIPTION OF WORK ri a NEW ADD ALTER .REPAIR DEMOLISH SQ. FT. INO.OF NO. OF SIZE STORIES FAMILIES 1 USE OF STRUCTURE n L SIGNATUREO APPLICANT VALUATION C/ APPROVALS DATE INSPECTOR SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $-^ FEE $ / ` FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN' COMPENSATION INSURANC LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STR TURAL ENGINEER PLAN CHECK VALIDATION K. ' M.D. GA HK PERMIT VALIDATION CA GAP1U A- =T6,� -'ARNIITTEE F s.,,aa Exao3,a-=a APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING 8710 E. Hermosa Dr., DEPARTMENT OF.COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY San Gnbriel JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUP T OF BUILDING CROSS ST !.—!<� DISTRICT NO. GROUP .I TYPE I P ESSED BY FOR APPLICANT TO FILL IN CONST BUILDING • LASSIFICATION SEBKR MAP PG ADDRESSH STATISTICAL C LOT O1 115 BLOCK CLASS.NO DWELL. UNITS MAP '� ^ STATE YES NO q'J NUMBER ?' HW Y. TRACT 3623 USEZONE •SPECIAL NO.OF BLOGS. ,^ CONDITIONS SIZE OF LOT 4� NOW ON LOT 2 USEOF House & G age EXISTING BLDG BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER Maron J. Over Oss FRONT MAIL ADDRESS 8710 E- Hermosa Dr.p P L � SIDE TEL. P.L. CITY No. INSPECTION RECORD ARCHITECT OR TEL. _ ENGINES ZWT)An1] w. NO. - 1tSt YLLIL O-/�'.3'f 'f�EK M't,e/erF (/G T TACK nF ADDRESS ' CONT�A.nit3hox> .Bros- . Inc N%'P-3221 P°rc /dF_.a T�sr a/oT cess Tis sr,�J uF.Y7 ADDRESS 5871 Firestone Bl.� _So Ga _ DESCRIPTION OF WORK - a 10 AI4 °yc 4n a<_ h. V. ? = ---- NEWX ADD ALTER REPAIR DEMOLISH SO. FT. NO.OF NO.OF SIZE STORIES FAMILIES US696STF31 fj1REWim pool iStd l - 83lw- , SIGNATURE �- APPROVALS APPLICAN ADDRESS 1 Firesto Blvd.. O G DATE INSPECTOR'S SIGNATURE DLOCATION $ FORMS.ORMS.MATERIALS 2 JOO.00 P,C.. S FRAME: FIRE STOPS. 5 FEE -� BRACING, BOLTS VALUATION FURNACE: LOCATION. FEE 19, GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE D THIS AP. LATH. INT. PLICATION AND STATE THAT THE ABOVE RRECT AND AGREE TO COMPLY W TH ALL COU TY R NAN E AND LATH,EXT. STATE LAWS U TI 1 ONS TION. SIGNATUREO H SENUMBERCOR- PERMITTE RECT AND POSTED (� A ADDRESS FINAL CLYDE N. DIRLAM. PRINCIPAL S7R_Uf,T. RAL ENGINEER PLAN CHECK VALIDATIONcK. M.O. CASH PERMIT VALIDATION Kr m.o. CASH .. f 6 5 4 P,'J 2 3 A 3 .� O M ®. r y s WORKERS' COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT hedr�y affirm that I have a certificate of consent to self L, ' �insure, or,a certificate of Workers' Compensation Insurance, �- .�f a certified cop e f ec. 3800, b. ) L CC -3 COUNTY OF LOS ANGELES BUILDING AND SAFETY rl I G�/�dG2J� '7J P 7,/Co u/F 9-� r 7�Po icy o. ompany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN qo RE55 � _r' ❑ Certified copy is filed with the county b iId ing inspec- BUILDING tion department. ADDRESS DcI, 47 Applicant CITY 4l' / /r//C.(UG- ZIP l-77 LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. yT�C7 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK �L p� LOT NO MAP MAP BOOK PAGE PARCEL hundred dollars ($100j or less.) - OWNER 0 5� ,4/44 NOr>7-p6" S¢ U E ZONE MAP O - certify that in the performance of the work for which this No. S'/ J1� _ ( SPECIAL >_permit is issued, I shall not employ any person in,any manner ADDRES �y,7G/� r/ ,n� CONDITIONS a' so as to become subject to the Workers'Compensation Laws. �,�� ) p,, •-7,� 0 CITY-5410 r!'711G7Y��/ P �— /Y' Date Applicant ARCHITECT OR TEL. DIS RIOT GROUP TYPE FIRE PROCESSED BV W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. TYPEZONE 0 Exemption, you should .become subject to the Workers' P2 � /) 7 CI Compensatioprovisions of the Labor Code, you must forth- ADDRESS V J a with comply with such provisions or this permit shall be / Lf!/� �(J/{- UU L TEL ;�OO STATISTICAL CLASSIFICATION APT, CONDO. Z deemed revoked. CVNTR�AJC�TOR / d N �V LICENSED CONTRACTORS DECLARATION AOR ESP d T/� 'J!/�NO.��CJ JFO CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9sY SEWER MAP (commencing with Section 7000)of Division 3 of the Business UG CITY c"il/!i!� G/T CLASS VALIDATION and Professions Code,and my licens is in full force and effect, 8K. PG. SQ. IT. NO. OF NO. OF CHECK c nse Num r Lic. Class SIZE STOR EE'S I FAMILIES O VALUATION o �Date DESCRIPTION OF WOR N LQG`/ W ❑ s�o ❑I am exempt under Sec. - W'"_ / ALTER p B,BP.C. for this reason D�« 9 REPAIR ❑ $ USE OF * Date' EXISTING BLLDDG. -7 DEMOL ❑ Signature APP(PRINTTj/��US � TIOGv - 27 FINAL OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License gDDRE55 Q G 0�•'Y C Law for the following reason (Section 7031.5, Business and FINAL 1 Professions Code):. - PRESENT - BY El 1,I, as owner of the property, or my employees with ADDRESS l� ACCT.&y wages their sole compensation,will o the work and the structure for is not intended or offered for sale(Section LOCALITY 7044, Business andProfessions Code.) MOVING TEL. ..loop 3 30 7 306.75 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO, 1 ITEMS with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code.) ADDRESS TOTAL AL 3136 v C REQUIRED .TOTAL SETBACK FROM' EXIST. /`IlC/•V 'ry CONSTRUCTION LENDING AGENCY SET BACK YARD HWV pR P. LINE WIDTH Of CK .706.75 1 hereby affirm that there is a construction fending agency for FRONT _ C�N�IE the performance of the work for which this permit is issued P.L. ,00 (Sec. 3097, Civ. C). SIDE P.I. g Lender's Name LDMA Ref. k + - fULIW�VLJLII 6/ 6/$5' P.C. Fee $ Permit Fee ' 3 Lender's Address �/ 3820 1 AM10L27 I certify that I have read this application and state that the Issuance Fee cc) LDMA P/C# . 8 above information is correct. I agree to comply with all County Invevigation Fee // -y / ordinances and State laws relating to building construction, Total Fee U(rx / J LDMA Perm. # w ,and hereby auihori representatives of this County to enter upo iheI. - Nio @d property for inspection p rposes. a n �- 9 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature/of Applicant or Agent Date .,