HomeMy Public PortalAbout8726 1/2 HERMOSA DR_Building__ 70A638A CEk0039-67APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS LIP
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
6��
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICrT jJO. GRO TYPE PRo ¢seyv
(Print or type oMy)
J CONST. �
BUILDING � CT STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �6CLASS NO.-/Aa OWELL.UNITS-__1 SK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT Z SPECIAL
NO.OF BLOCS. CONDITIONS
USE OF AIP
SIZE OF LOT NOW ON LOT
EXISTING BLDG.
�� BLD SETBACK FROM
TEL ,� plrp FRONT PROP.LINE OF (STREET)
OWNER NO. / t0 6 TYPE F EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS r -r�µ� / T ,8/ HIGHW WIDTH FROM C.L.
CITY .e }
ARCHITECT O TEL BLDG.SETBACK FROM
SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY } = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } = y
CONTRACTOR a NO. LL
LIC.
ADDRESS NO. CORNER CUTOFF YES ❑ NOEl
U
LIC. C
CITY CLASS — SEE REVERSE SIDE FOR SPECIAL APPROVALS t3
DESCRIPTION OF WORK
N
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF N
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION
• APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 02�F FOUNDATION: LOCATION
FEE $ FEE 5 44 F L/ C� FORMS, MATERIALS
REREBY AC
KNOWLEDGE THAT HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
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. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CA IFO IIA RELAT. LATH, INT.
ING TO WORKMEN'S COMP AT NSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE' �f RECT--
POSTED
ADDRESS - L'�n L� V F FINAL y�(��y �, 'xay✓
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION K. MO CASH PERMIT VALIDATION CK M.O. CASH n
LACO5 3 1 32 JUL 2 1 A 4.00~ Q
76AS30AGE 803=-63 APPLICATION FO.R 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, SUPT OF BULLOING CROSS ST.
DISTHICT NO. GROUP. TYPEESSED BY.
FOR APPLICANT TO FML IN CONST:
BUILD INGSTA STICA L-CLASSIFICATION 5 WER MAP
ADDRESS �j� BK P
CLASS. NO._Jf DWELL. UNITS��
LOT.NO. BLOCK WATER NOT REQUIRED RECEIVED �-
CERTIFICATE:
TRACT MAP HIGHWAv '
NO,OF SLOGS. NO. (CIRCLE) STATE MAJOR SECOND OCAL .
SIZE OF LOT NOW'ON LOT USE'ZONE SPECIAL
rARCHITEC
CONDITIONS
LOG. /�/ j
TEL L
NO. - BUILDING EXIST. '
r SETBACK YARD HWY, ST EET NAME WIDTH
FRONT
OR73 TEL. •P. L. .- ..P99/ IPA
R NO. SIDEPLO
/J�� TELnn �//' Q( NO.Ll J 2 O
F
DESCRIPTION OF WORK W
a
y
,NEADD ._ALTER REPAIR. DEMOLISH Z
W
SQ. FT. NO.OF NO. OF'
SIZE STORIES FAMILIES
USE OF �Y .�
STIR CTUR o y '
SIGNATURE OF -
APPLICANT
VALUATIONS ^� -
APPROVALS DATE INSPECTOR'S SIGNATURE '
FOUNDATION: LOCATION
FEE SFEE S FORMS, MATERIALS
FRAME: FIRE STOPS. /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING FURNGAS 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 CODC OFTHESTATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE ! LATH. EXT. _
SIGNATURE OF' HOUSE NUMBER COR-
/I RECT AND POSTED
ADDRESS v INAL
JOHN F. LEWIS.PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. 'CASH _ PERMIT VALIDATION cK. M.G. CASH
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__ L ,�
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