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HomeMy Public PortalAbout8736 (1/2) HERMOSA DR_Building__ 76 63BACC 8038-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY T r JOHN A. LAMME. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS SUP'T.OF SU140ING CROSS ST. DISTRI NO. GR UP TYPE P SSED B FOR APPLICANT TO FILL IN co sr BUILDING STATISTICAL�IFICATION SE ER MAP ADDRESS - BK PG CLASS NO. DWELL UNITS LOT NO. BLOCK USE ZONE MAP NO. - TRACT J SPECIAL NO. OF BLOBS. l CONDITIONS SIZE OF LOT NOW ON LOT USE OF BLDG. SETBACK FROM TEL. //� FRONT PROP. LINE OF (STREET) OWNER Q o NO. b! TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS (J O XIO v 'F MC.L. CITY 4' ✓ ) }• _ ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE 01 BXI8TIN0 98TBACK HIGHWAY } YARD = TOTAL } ADORES$ HIGNWAY WIDTH FROM C.L. 1 TEL } = O CONTRACTORLIC {` ADD RE9 L NO CORNER CUTOFF YES NO O CITY c C O SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK a Z_ NEW ADD ALTER REPAIR DEMOLISH SO.FT. NO. OF NO. OP SIZE STORIES FAMILIES USE OF g STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE IN9P EC TOR'991GNATURF P.C. PMT. ! FOUNDATION, LOCATION FEES FEES ^�' FORMS,.MATERIALS FRAME, FIRE STOPS, / ^ I HEREBY AC N NOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY,THAT. IN DOINO THE WORK ,• AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORK 'S COMPENSATION INSUR N LATH. E%T. SIGNATURE OF HOUSE NUMBER COR- RECT AND POSTED ADDREss INAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CH. M.O. CASH PERMIT VALIDATION CK. M.O. CASH. L RGo 3.7 6 7" JUL 19 1 A 4.00- v 7BA630A CE#8039-BTAPPLICATION 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, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP TYPE P OLE By CONST. ' (Print or type only) BUILDING ) / j STATISTICAL CLASSIFICATION SEWER MAP AOORESS �( (� C CLASS NO._/`.-DWELL.UNITS BK PG LOT NO. �? 6 BLOCK USE ZONE MAP NO. TRACT SPECIAL NO.OF SLOGS. / CONDITIONS SIZE OF LOT NOW ON LOT USE OF ! _ / ` EXISTING BLDG. / V-� BLDG.SETBACK FROM TEL. / FRONT PROP.LINE OF (STREET) OWNER h/e Qy NO. — _ TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL ADDRESS (G /Lo �( .HIGHWAY WIDTH FROM C.L. CITY �by� e' + - ARCHITECT O TEL. BLDG.SE FROM SIDE PROP.LIN (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK ttrotrwAy } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. } = a CONTRACTOR NO.444 a y ADDRESS NO. I Z. CORNER CUTOFF YES ❑ NO CITY CLASS - SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK ti z_ NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF S1ZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF gw APPLICANT v .. VALUATIO /�—// APPROVALS GATE Irvs vEcron•s slcNn ro RE P.C. PMT- FOI LOCATION FEE 5 FEE S FORMS, MATERIALS vEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION FRAME: FIRE STOPS, BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE! LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILOI NG CONSTRUCTION, I CERTIFY THAT IN OOING THE WORN AUTHORIZED MEREBY I WILL NOT EMPLOY ANPFRS NN IN VIOLA. TMF TION OF THE LABOR CODE OF E STATE OCACI R4 RELT' LATH, INT. ING TO WORI(MEN'$COMP ION IN5URA1; " LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE- RECT AND POSTED kINAL ADDRESS — JOHN F. LEWIS, PRINCIPAL ST R U/RAL ENGINEER PLAN CHECK VALIDATION CK. M.G. GASH _ PERMIT VALIDATION «. M.G. CASH L&05 3 1 8� JUL 2 1 A 4,00- sA63aaGEnao3z-63 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. SUPIT OF BUILDING CROSS ST DISTRI T NU.' GROUP TYPE .P SSED BY, FOR APPLICANT TO FILL IN, CONST. BUILDING /] /� STATISTICAL CLASSIFICATION WER MAP ADDRESS / / BK ' PG CLASS. NO." DWELL. UNITS LOT NO. / BLOCK WATERNOT REQUIRED IEl _RECEIVED ❑ CERTIFICATE: TRACT _ MAP HIGHwgv NO, OF BLDGS. NO. ja RCLEI STATE MAJOR SECON gLOCAL 'SIZE OF LOT NOW ON LOT USE ZONE SPECIAL _ USE OF ^ CONDITIONS EXISTING LDG. TEL. •OWNER NO. BUILDING EXIST. SETBACK YARD HWY 'STREET NAME WIDTH 'ADDRESS FRONT ARCHITECT OR TEL P. L. ENGINEER NO: SIDE ADDRESS - P L 6 TE - O CONTRACTOR I� A' NO Q Ed A O D R ESS �3 /., _ , Q DESCRIPTION OF WORK W a y NEW ADD ALTER. REPAIR DEMOLISH - Z SQ: FT. NO. OF NO. OF _ -SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT - VALUATION $ APPROVALS DATE INS. TOR'S SIGNATURE FOUNDATION: LOCATION ' FEE S C FEE PMT5 FORMS. MATERIALS - FRAME: FIRE STOPS.. ' HEREBY ACKNOWLEDGE THAT HAVE READ THIS PPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION. WITHALL 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- LATH. INT. - TION OF THE LABOR CO.' OF THE.STATE OF CALIF O IA RELAT ING TO WORKMEN: COMP NSA MINSU�A .' LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE UECT AND POSTED ADDRESS I FINAL - o J l . JOHN F. LEWIS, PRINCIPAL ST R AL ENGINEER. PLAN CHECK VALIDATION DN. M.D. DASH _ PERMIT VALIDATION CK. M.G. CASH ±,1Lo 5 3 6 3'i Vic° 8 1 A . 4!J l TI ; ,.