HomeMy Public PortalAbout8728 HERMOSA DR_Building__ 6A638 At E»0030-64 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING D
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST "
COLEMAN W. JENKINS,BUP'T OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYP P ESSED BY
FOR APPLICANT4T0 FILL IN cONs . l/Ml
BUILDING ) STATISTICAL LASSIFICATION S Ey44R�..MAP
ADORES$ ) CLASS NO. DWELL UNITS
LOT NO. BLOCK USE ZONE MAP
NO. /
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N0. OF SLOGS. ////1114 CONDITIONS
SIZEIOF LOT NOw ON LOT
USE OF
N BLDG. SETBACK FROM
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OWNER NO. TYPE 01 EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS5'9 HI WAY WIDTH OM C.L.
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CITY � y
ARCHITECT O TEL. BLDG. SETBACK FROM
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TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM 1.L.I >.
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TEI. _Q } = O
CONTRACTOR { O
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CITr E SEE REVERSE SIDE FOR SPECIAL APPROVALS V
DESCRIPTION OF WORK a
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NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE (lav
SIGNATURE OF
APPLICANT
VALUATIONS
APPROVALS DATE I NSP EC TOR'S S IO NATU RE
P.C. PMT.
FOUNDATION, LOCATION
FEES 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 O�U / f�'�✓✓J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GA5 VENT. DUCTS
RUILDI NG CONSTRUCTION. 1 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.
ING TO WORN MEN'$CnMPENBF ION INBl1RANCE. LATH. EXT.
SIGNATURE OF USE NUMBER COR-
PERMITTEE RECT AND POSTED y
ADDRESS I N A L ) /��/ y7.✓A'�j
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN E R
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CAB.
iA s-7 6 6G JUL 19 1 n 4.00� �.
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70A638A CEu8039-BTAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
En /
DEPARTMENT OF COUNTY ENGINEER ADDRSS
BUILDING AND SAFETY DIVISION LOCALITY C �/
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINSt SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTR Ll--NO. G CTONSYPE PR Es Br
LL T.
(Print or true only) -!5
BUILDING a STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS (� L-1-t✓IOSG-' CLASS NO. / DW ELL,UNITS BK PG
LOT NO. BLOCK USE ZONE MAP �/ /'•)
TRACT 6 Z SPECIAL
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OWNER J_Pp V O. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
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CONTRACTOR NO, CD
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ADOkE55 NO. Z CORNER CUTOFF YES ElN U
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CITY LASS — SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH
Sq. FT. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT I
VALUATION
APPROVALS DATE Ixsvea TOR•s slGxAnRE
P.C. PMT. ,V FOUNDATION: LOCATION
FEE S FEE S (/ 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 COV-TY
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 T5M�1E)S�r . LATH, INT.
INO TO WORKMEN 5LABO COMP TI IN�✓/J/// LATH, EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE' RECT AND POSTED
ADDRESS .Z FINAL
JOHN F. LEWIS, PRINCIPAL STRprTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M.D. CASH
' If' 5314" JUL 21 A 4.00-
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7BA638A CE#8039-BTAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �J y
DEPARTMENT OF COUNTY ENGINEER ADDRESS / J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL INDISTRICT NO. GRO TYPE s$�J By
(Print or type only) CONST. C�
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.-10—DWELL.UNITS=/_ BK PG
LOT NO. BLOCK USE ZONE MAP
n NO.
TRACT fI SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON OT
USE OF ( �/
EXISTING BLDG. L;/ .- r Q�'-� BLDG.SETBACK FROM
TEL. O FRONT PROP.LI NE OF (STREET)
OWNER
J _ e(,. / If NO Zp
`_ TV E OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
ADDRESS V -- ztj- /� NIG AV WIDTH FROM C.L.
CITY T` } -
BLDG.SETB
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
LIN
ENGINEER NO.
TYPE OF ESTING SETBACK I HIGHWA YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } _
CONTRACTOR NO. d
1 44 LIC.
A DO RESS NO. Z CORNER CUTOFF YES ❑ NO ❑ U
LIC.
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
U
DESCRIPTION OF WORK a
z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE C'
SIGNATURE OF
APPLICANT
VALUATIO /Ji/1
(/ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. &} FOUNDATION: LOCATION
FEE S FEE S I /(,/ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS wPPLICwTION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •FURNACE: LOCATION,
WITH ALL COV NTY 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 STATEOF LIF NIA RELAT, LATH, INT.
INC TO WORN MEN'S COMP IrvSUR IC .
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE- RECT AND POSTED
ADDRES - `' FINAL
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.D. LASH
LACo 5 3 1 5 JUL 2 1 A 4.00-
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