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HomeMy Public PortalAbout8729 HERMOSA DR_Building__ 16AS3.E#.Ci=-69 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES WADDREt DEPARTMENT OF COUNTY ENGINEER Z9 E !Jp SAN C { BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING O. G OUP TYPE ROC ED Y FOR APPLICANT TO FILL IN ONST. BUILDING - n B L CLASSIFICATION SEWER MAP ADDRESS i' y S ` CLASS No F ELL UNITS_ K LOT NO. - BLOCK WATER NOT REQUIRED ❑ RECEIVED TRACT 0 CERTIFICATE: MAP HIGHWAY TT NO.OF BLpGS. NO. ¢IRCLEI. STATE MAJOR SECOND LOCAL SIZE OF LOT 5.+3 S NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BL�DDG. OWNER ,� /Y S7�OE �/1S / J �,E YARD HWY STREET NAME SETBACK WIDTH ADDRESS pZB 'FRONT / ARCHITECT OR T L. P. L. �_ I ENGINEER NO. SIDE } P. L. a ADDRESS I (J CONTRACTORce NOL ADDRESS f �A DESCRIPTION OF WORK w a h ADD ALTER REPAIR DEMOLISH SIOZE T. i Z7 p NO. OF NO. OF - /I STORIES FAMILIES USE OF / STRU TURE I I n ' SIGNATURE Q _ APPLICANT VALUATIONS 6 RIr p l�L� Sc,' APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. yFOU NOATIO N: LOCATION II / FEE S'.�� FEE S P`. FORMS. MATERIALS hFRAME FIRE STOPS. Ay . ' �� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ GRE APPLICATION BRACING. BOLTS !/Y ANO STATE THAT THE ABOVE IS CORRECT TE AGREE E COMPLY .FURNACE: LOCATION. ♦�/ A�w WITH ALL COU NTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT, DUCTS AUILORZ CONSTRUCTION. CERTIFY THAT IN PORNO TXE WOPK VIOLA- TION TH HEREBY WILL NOT EMPLOY ANY PERSON IN LATH. INT. OP THE LABOR CODC STATE NC CALIFORNIA RELAL - /J IN TO WORKMEN'$COMPENSATION INSURANCE. �J LATH. EXT. SIGNATURE OF���///��/) _ U HOUSE NUMBER COR- / 'f PERMITTEE ty-�'(((L.N�� jf((JJl111�6,L� ll.Ll�i�i RECT AND POSTED 'O 69 ADDR ESS_gZp��f S' N / �- FINAL ZIP,I;/< 6J r JOHN F. LEWIS. PRINCIPAL STI ldTTURAL ENGINEER PLAN CHECK VALIDATION CK. M.P. CASH PERMIT VALIDATION/ c , M.O. CASH L,ii,o G 1 4 2� i1P, 3 2 3 A 25.001--- 6 2 9 5 i49i1F 6 1 A 5 �1 _() /0 v