HomeMy Public PortalAbout8747 HERMOSA DR_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Prim or type o,lv)
BUILDING � COUNTY OF LOS ANGELES
ADDRESS '� DEPARTMENT OF COUNTY ENGINEER
CITY / ZIP BUILDING AND SAFETY DIVISION
SIZE OF LOTV,4 106��Z V NOWOON LOTLO'S ADDRESS �P/LAZaS/f
TRl/CtM J (Y BLOCK A N . LOCALITY CC
- tt c TEL. 'Z ) NEAREST
OWNER �Q IV t=J� NO. �7/ CROSS ST.
) -/'3� ASSESSOR
ADDRESS E(/A to 7)) MAP BOOK PAGE PARCEL
uZy11�� y� DISTRICT GROUP TYPE FIRE PR ESSED BY
CITY /ZNI/4 ZIP /Oa G /3 A� CONST r ON `
ARCHITECT ORE
ENGINEER . r�1M NO' STATISTICAL CLASSIFICATION
/; SEWER,/AP
5A"�,P,�
ADDRESS C CLASS NO.0 DWELL,UNI
TS /T BK WG
CONTRACTORS(? ed PS, NOL ,� -USE ZONE MAP
LIC. NO. O
ADDRESS S ' - LID SPECIAL
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH G' "A SLOG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY
HIGHWAY } YARD - TOTAL SETBACK CK FROM TYPE OF E%ISiING
SO. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE 5O STORIES I FAMILIES ' ONE
DESCRIPTION OF WORK CONST 2UCT NEW t[E:l } C26 Z O
hAe ReS-. pw£ (/� ADD BLOP. L NE OF (STREET( to
G Res- V t 1 ALTER } YARD - TOTALSETBACK FROM TYPE OF E%(STING
EPAIREPROP. LINEHIGHWLLUSE OF EXISTING BLDG. EMOL }APPLICANT`� �t^; / NEL/[!'� CORNER CUTOFF YES ❑ NO ❑
(PRIN i) cJbkj I N' 77
BY ISI NT TCA IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES E] NO [:3VALUATION$ -L3
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _��� �/ /� COC /C //7 !I/✓/)A
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY �y
WITH ALL ORDIMANCES AND LAWS REGULATING BUILDING CON-
ST
ON- �./C Ft:.LS7��� / Y/'J 1
STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIAJN RELATING TO
WORKMEN'S COMPENS ON i RI NCE.
SIGNATURE OF ..
PERMITTEE
ADDRESTI S
FINAL BY
CITY NOL DATElpmT
y
,tI;IKE CIIECKS PA Y;I ULE "!'O: FEE• FEEg
HARVEY T. BRA ND T, COUNTY ENGINEER ` �D
PLAN'CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATIO
1
1 9 6�=GtG 19 2 3 U 8 1.9 0 �J
432iJAN 1323 20,25 I
76A63BA CE*803 SIJA '- JV 4 3 3�"JAN 13 1 U �1 7 0.2 5 eyD