HomeMy Public PortalAbout8720-22 HERMOSA DR_Building__ 76AG38A CE4303 9-67APPLICATIONFOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING !?-I-Z-
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SOFT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GR UP TYPE PRO EDg-Y
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BUILDING F72 y STATISTICAL CLASSIFICATION Ycc3S3��� SEWER MAP
ADDRESS a C� �[{ CLASS NO. A? DWELL,UNITS BK Q6PG
LOT NO. E_ Z-6 HI-s— BLOCK US ZONE MAP /
NO. W
TRACT -3 L. 3 SPECIAL
/-� NO.OF BLDGS. CONDITIONS
SIZE OF LOT d NOW O OT
USE OF Aq
EXISTING BLDG. 2fS c<l/`2 BLDG.SETBACK FROM
�-j, e e� ^-.BOE L. z FRONT PROP.LINE OF -(STREET)
OWNER 44JJ VC'V TYPE OF EXISTING SETBACK HIGHWAY } YARD AL
ADDRESS Z(.,- cpy Lg—'Al J HIGHWAY WIDTH FROM D-L.
CITY
BDG.SETB FROM
ARCHITECTO TEL. SI LINE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBW HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH F C.L.
TEL. } = y
CONTRACTOR NO. D-
LIC, 77
U
ADDRESS NO. Iq f4
CORNER CUTOFF YES ❑ NO ❑
C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK i
rn
z
NEW ADD ALTER REPAIR MOLT
SO. FT. NO. OF
SIZE STORIES FAMILIES
USE Q
STRUCTURE �J
SIGNATURE OF
APPLICANT r
VALUATION fl��
/'/v APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEES t L FORMS. MATERIALS
FRAME: FIRE STOPS,
HEREBY AC NrvOWLEDGE THAT HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY OROINANCES 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-
TION OF THE LABOR CODE OF THE STATE OF CALIFOR IIA RELAT- LATH, INT.
ING TO WORKMEN'S COE SAT( INSVR NCE
LATH, EXT.
SIGNATURE T HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS - Z _ C U FINAL
JOHN F. LEWIS. PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.D. EAS.
LAC0531okS jUL 2 1 A 4.00
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784633A CEtt3039-67
APPLICATION FOR BUILDING PERMIT
i�
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4 a-
BUILDING AND SAFETY DIVISION LOCALITY
A. LAMBFE, COUNTY ENGINEER
COLEMAN W. JENK I NS, SUPT OF BUILDING NEAREST � g�
CROSS ST.
FOR APPLICANT TO FILL IN DlsrRl o. 1 GR
o P TYPE PRo BY
T�(Print or type only) CONS
BUILDING �/�f�/�/77 STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (.' /�\� eY Q Qi CLASS NO._Z(:�1--DWELL,UNITS Ir BK G
LOT NO. p(71 Ld BLOCK USE ZONE MAP J'
7 /2 �/'�
NO. C,c OCP
TRACT J 3 0 ,'/ SPECIAL
NO.OF BLDGS. /� CONDITIONS
SIZE OF LOT rte'! NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
Q
TEL p F PONT PROP.LINEOF (S T)
OWNER . B ILT�L'r . NO. �0 TYPE OF EXISTING SETBACK HIGHWAY + Y = TOTAL
ADDRESS q2f�- IGm /`C�--da3� ' /0 , HIGHWAY WIDTH FROMC.L.
CITY
ABLDG.SETBACK FROM
ARCHITECT OR TEL.
SIDE PROP. LI NE OF (STREET)
ENGINEER NO.
TYPE OF E%)STI ETSACK HIGHWAY + YARD = TOTAL
ADDRESS H ;HWAV W FROM C.L.
TEL. + = a
CONTRACTOR NO.
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑
CITY CLASS — SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
h
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ, FT. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION p0�
APPROVALS DATE Irvs PEC TOR's SIGNATURE
P,C. PMT. ��` - FOUNDATION: LOCATION
FEE S FEE $ F V " 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,
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-
TION OF THE LABOR CODE OF THEE.STATE OF CA FOR A RELAT� LATH, INT.
ING TO WORKMEN'S COMP ATIO INSURA E.
/L////5�/�/ LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE AND POSTED
ADDRESS 2 — �✓ FINAL
JOHN F. LEWIS. PRINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION GK. M.G. CASH PERMIT VALIDATION cK. M.G. CASH
Lt}Lo 5 5 0 9:' ,eta 2 1 A 4.00-