HomeMy Public PortalAbout8728 1/2 HERMOSA DR_Building__ 76A630A'CE#803 S-GTAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, Sup T OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. I GROU TYPE P By
(Print or type only) 1& CONS T.0
BUILDING V , p� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / ! C Z P(.- CV CLASS NO.._/a_DWELL.UNITS BK PG
LOT No / BLOCK USE ZONE MAPNo. /' g(
TRACT (.� Z ,I SPECIAL
NO.OF BLDGS. I' CONDITIONS
SIZE OF LOT NOW ON LOT IF
USE OF L� 4,UQ
EXISTING BLDG. �� BLDG.SETBACK FROM
TEL. rFRONT PROP.LINE OF (STREET)
OWNER d B W,,
/'' NO. TYPE OF EXISTING SETBACK HIGHWAY { YARD = TOTAL
ADDRESS Zb— /eN2. /C_ 4/ p/ GHWAY WIDTH FROM C.L.
s {
CITY
BLDG. KFROM
AROH I 12ECT50TF TEL. SIDE PROP.LI (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK AY { YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
_
CONTRACTOR NO.TEL. } O
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ U
C
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
z 41Z
SIGNATURE OF
APPLICANT n �
VALUATIO
APPROVALS DATE IxsPa TOR's slcea TU RE
P.C. PMT. FOUI FORMS MATERIALS ON
FEE FEE $ S
5
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 GOING THE WORN
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF C LIFOR A RELAT. LATH, INT.
ING TO WORKMEN'S COMPENS . 1 RANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE J RECT AND POSTED
ADDRESS — -e FINAL
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION DK. M.D. CASH
LACo5 3 1 6�s JUL 2 1 A 4.00-
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76A630A,CE08038-64 APPLICATION FOR BUILDING .PEF3MIT
COUNTY OF LOS ANGELES BUILDING
oo Ress 2
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY. JAAtZo_V
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS$UP'T OF BUILDING CROSS ST. Y
OiSTRIC NO. GROUP TYPE. ESSED BY
FE
OR APPLICANT TO FILL IN co NST.
LOI NG b / STATISTICAL ION S WER MAP
RESS o r• K G
CLASS NO. DWELL UNITS
NO. BLOCK USE ZONE MAP
/Y ' NO.
CT �lW SPECIAL
N0. OF BLDGS. CONDITIONS
OF LOT NOW ON LOT
OF
BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
ER 1 NO. TYPE OF E%ISTI NG SETBACK HIGHWAY + YARD = TOTAL
RESS NIOX WAY I 'F OM✓C/.L.
\ + _ S
HITECT O TEL. 0. SETBA K FROM
INEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YAAO = TOTAL
RESS HIGHWAY WIDTH FROM C.L.
6
A TEL �j + = O
TRAC NO �� / I V
LIC )0CORNER CUTOFF YES El NO El KR ESS p / Ocl_ SEE REVERSE SIDE FOR SPECIAL APPROVALSDESCRIPTION OF WORKZADD ALTER REPAIR DEMOLISH
T. NO. OF NO. OF
E STORIES FA ILIF_S
USE OF LY
STRUCTURE w V
SIGNATURE OF
APPLICANT
i
VALUATION
APPROVALS DATE INSPECTOR'S BIG NATURE
/ v FOUNDATION, LOCATION
FEES FEES •� FORMS, MATERIALS
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT •/I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ((�7
9UILOING 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-
ING TO WORKME 'S COMPE PTION INSURAN LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE REC ANO POSTED
ADDRESS FIN A L
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.G. GASH _ PERMIT VALIDATION DK. M.D GASH
Lp;L'o 5 3 6 28 1 h 4.0 0--
7
7SA611-55 eA Dnn-a APPLICATION FOR BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BUILDINGS+-
-
Deportment of County Engineer ADDRE9s -
County of Loa Angeles LOCALITY
Q� �tXN A. LAMBIE. COUNTY ENGINEER NEAREST
(J 'BATT D.GRIFFIN, BUP'T of BUILDING CROSS ST.
DISTRICT_AROUO. GPTYPE SEWER MAP
FOR APPLICANT TO FILL IN � j (CONST. SK PG
BUILDING
MAP STATE
ADDRESS OJIm� NUMBER pOQ HWY
YES O
LOT NO. ��� BLOCK UB ZONE SPECIAL
/ CONDITIONS
NO. OF TRACT �f0{ i�
SIZE OF LOT p x ( ro
NOW ON LOTS BUILD G
YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT '
P. L.
OWNER SIDE
MAIL P. L.
ADDRESS zn O TRACT DWELL. 1 UNIT
7 TEL. 5 INDUSTRIAL
17
CITY / NO. I DWELL. G 1 UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX TVi 2 UNITS 7 A.DDN.,ALT., ETC.
ENGINEER NO. 3 APT. _UNIT'
8 MISCEL.
ADDRESS 4 COMMERCIAL
conlT Aa7 Cc No' S INSPECTION RECORD
ADDRESS
DESCRIPTI F WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF Z
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR'S SIGNATURE
$ FOUNDATION: LOCATION
P. C. $ FORMS.MATERIALS
_ FEE FRAME: FIRE STOPS,
VALUATION / $ BRACING,FIREBOLTS
STOP
FEE FURNACE: LOCATION, - — �,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY QRDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILD N'Fa GONSTRU -
TION. /
TH, EXT.
SIGNATURE OF L HOUSE NUMBER COR-
.PERMITTEE RECT AND POSTED
/�
ADDRESS C7
FINAL
JOHN A.LAMBIE, COUNTY ENGINEER VLIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR
C�K MO CASH
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