HomeMy Public PortalAbout8726 HERMOSA DR_Building__ T5A6]9A EF r6CJ 2.6] APPLICATION. FOR BUILDING PERMIT �� ;
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUP-T OF BUILDING CROSS ST.
DISTR>;rNO. I GrUP TYPE OCE SSED B
FOR APPLICANT TO FILL IN CONS .
BUILOING' n STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 9 BK /> PG
/ CLASS. NO. DWELL UNITS /'
LOT NO.' / - BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRACT • ' MAP HlcNwwv STATE MAJOR SECOND, LOCAL '
NO.OF SLDGS. NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF ^ n /� I CONDITIONS
EXISTING DG. AdZLA,-, iC> •!'VY/'I
TEL.
OWNER NO. 'BUILDING YARD HWY STREET NAME EXIST.
SETBACK / WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. - SIDE
P_ L. }
ADDRESS D_
TEL O
CONTRACT !4 O. �•Q V
ADDRESS Lf42,
K
O
DESCRIPTION OF WORK w
. a
NEW ' 'ADD ALTER REPAIR DEMOLISH h
SO. FT. NO. OF NO. OF ?
SIZE STORIES FAMILIES '
USE OF P w
STRUCTURE
SIGNATURE OF
APPLICANT t
VALUATION S/ >' '
APPROVALS DATE INSPECTOR'S SIGNATURE
P.G PMT. FOUNDATION: LOCATION
FEE 5 FEE $ FORMS. MATERIALS
FRAME: FIRE STOPS.
'I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY FURNACE: LOCATION, ay
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF LIFORNIA RELAT.
ING TO WORKME '5 COMPENSATION INSU AN +
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE A R CT AND POSTED
ADDRESS *NAL �),'yah p444"
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. . M o. CASH _ PERMIT VALIDATIO CK. M.D. CASH .
LAAO 5. 3 6 1 SEP d .1 A. 4.0 Qr"
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76A638A CEPS038-66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST.
DISTRI T NO. GR TYP SSED BY
FOR APPLICANT TO FILL IN CONST. /. ��
BUILDING STATISTICAL LASSIFICATION I SEIIER MAP
ADDRESS CLASS NO. DWELL UNITS B G
LOT NO. BLOCK US ZONE MAP
I
No
TRACT SPECIAL
N0. OF BL009. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
IN BLGO. SETBACK FROM
TEL. IRONT PROP. '1'.1E101
INE OI (STREET)
OWNER WWV�` NO. TYPE OF I EXISTING I SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIG42AY JIDTH I _M C.LL'.
CITY -i 4al1l Y ) + y = .�
ARCHITECT OR TEL. LDO. 9E A FROM
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTIN0 SETBACK I HIGHWAY + YARD = TOTAL r
ADDRESS HIGHWAY WIDTH FROM C.L. CL
CONTRA TEL + _ -O
AODRES NIC CORNER CUTOFF YES NO O
CITY L 6� ✓ SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTI F WORK a
Z_
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. OF NO. OF
SIZE STO ESFAMILIES
USE OF
STRUCTURE P�
tell
SIGNATURE OF
APPLICANT
VALUATIONS 06 APPROVALS DATE INSPECT_D 'SSIONATURE
P.C. PMT, FOUNDATION, LOCATION /
PEE$ 4- FEES FORMS, MATERIALS
FRAME, FIRE STOPS, _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION �V/ [/q /'� +_•I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS Q,Y
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKME 'S Cn MPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE &JIL&JRECT AND POSTED
ADDRESS N AL _1q-14 qa�ju
JOHN F. LEWIS. PRINCI L STIR C URAL ENGINEER
PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDA IN cK. M.D. CASH
PL ..
I' 5 0 3 0� AU027 ?L A t}.0
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:6A638*1EUR03 B-B°APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 77- p�yw
BUILDING AND SAFETY DIVISION LOCALITY a1/
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUR'T OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN . DISTR -NO. Gl TYPECONS � Pao sfaBY
(Print or type only) !Y 1 !!!�//
ADDREING SS Z� �i 4i STATISTICAL CL,4551 FICA TION / SEWER MAP ``//
CLASS NO.— DWELL.UNITS BK FPG y Z,
LOT NO. BLOCK USE ZONE MAP
/ NO.
TRACT .3ba,� >•� SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW LOT
USE OF
EXISTING BLDG. - �/'Q Y—� BLDG.SETBACK FROM
T E L'4 �` / F PONT PROP.LINE OF -ISTREE
OWNER // (^ NO. .f_(O TYPE OF EXISTING SETBACK HIGHWAY } VARO OTAL
ADDRESS � 2,(p ,yKL I� C// � HIGHWAY WIDTH FROM C.L.
CITY ' C:/� B LDG.SETBACK FROM
ARCHITECT O TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETB HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH F C.L.
TEL } = r
CONTRACTORNO.ADDRESS 140. Z CORNER CUTOFF YES ❑ NO ❑ T"T
[C
CD
CITY CLASS —� SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
z_
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION ,
APPROVALS DATE- INS PECTOR's sIc„A TU RE
P.C. PMT. .i14, FOUNDATION: LOCATION
FEE S FEE S FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AMD 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 THE STATE Oi CALI RNIA RELIT- LATH, INT.
ING TO WORKMEN'S COMPEN ll INSURAN
LATH, EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE' RECT AND POSTED
ADDRES —� FINAL
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION EK, M.D. DAB„ _ PERMIT VALIDATION K. M.D. cAs„
5 3 1 2 2 JUL 2 1 A 4.00-
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