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
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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-
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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 ; ,.