The URL can be used to link to this page

Home My Public Portal About8755 HERMOSA DR_Building__ APPLICATION FOR- BUILDING PERMIT FOR APPLICANT TO FILL IN (PF➢m or type oDIY) BUILDING � COUNTY OF LOS ANGELES ADREss �s O 44P DEPARTMENT OF COUNTY ENGINEER CITY %7 - cC/1r/� ZIP / ]7 SUILDtNG BUILDING AND SAFE Y DIVISION SIZE OF _OT;/� Z/C+ .�Ev/-i NOWOON LOTS /, - , ADDRESS' 67l TPC •' 3 / BLOCK KB�i�( 7 LOCALITY �--yy��,,� TEL.q G1 -e1(� NEAREST - _OWNER (C/ Zb S1;E>a✓ NO.p CROSS ST.ASS ' SSOR ADDRESS97-175- E, /�E�'� n MAPBOOKPAGE PARCEL ~CITY ZIP � 71� DISTRICT GROUP YPE FIRE SED BY CONS Tj Z ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAIS' ADDRESS CLASS NO._,zl?_oOWELL,UNITS 1148K CONTRACTOR l 'fL NO USE ZONE MAP n , LIC. h.� 1� NO. Q G/ ADDRESS /' NO. yOD AL CONDSPECITIONS CITY LIC. ''Z CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO` ] CONSTRUCTION LENDER NAME AND BRANCH SLOG.SETBACK FROM FRONT/PROP.LINE OF (STREET) ADDRESS CITY NIGHWA } YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT: f O NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE J 5 RIES FAMILIES 'ONE } - I d DESCRIPTION OF WORK NEW ❑ O OD ❑ BLDG.SETBAC U Lp SIDE PROP.!L NE OF (STREET) LTER ❑ HIGHWAY } YARD = TOTAL SETBAC OM TYPE OF EXISTING U REPAIR SIDE PROP. LINE IGHWAY WIDTH y� d USE OF } = Z EXISTING BLDG. PEMOL ❑ _ APPLI Cq NT / JEL `, CORNER CUTOFF YES ❑ NO (PRINT) 611E 7 BY (SIGNATURE) IN OPEN SPACE YES Cl NO IN COASTAL PERMIT ZONE YES NO 11 VALUATION$ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOYE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I,CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I T10% I5 EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STPTE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENS TIO INSURANCE. SIGNATURE OF PERMITTEE ADDRESS / /+ CITY /��'Jf�LC: Ci/�� NO� �� OIA TE jl NAL BY� Q SIA FE CHECKS PAYABLE 7'O+ FEE'$ ! v FEE Q HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. MD. CASH _ PERMIT VALIDATION CK. N.D. CASH 76A638A CE*003 S/T< A� u 32 1 1 1 5.00e' APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (P,IDr 0, typ. omy) ABUILDING DDRESS .J.� �C�2/3'10s �'12-- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY % ZIP yl0BUILDING AND SAFETY DIVISION O.OF SLOGS. BUILDING SIZEOFLOT X /'• NOW ON ,T� ADDRESS 175s Tft'A'C�f 7 BLOCK O"f NLOCALITYOWNER _ MSEL� TEL. NEAREST NO. CROSS ST. / ASSESSOR ADDRESSrf 1` A£(IIT aSTk+ E)j MAP BOOK PAGE PARCEL CITY „��E/�✓-I !Q6 DISTRICT GROUP TYPE FIRE SSED BY ZIP l �� CONST ARCHITECT OR _ "TEL. ENGINEER .IL4-- n N— STATISTICAL STATISTICAL CS�L YAS//SIFICATION SEWER MAP_ ADDRESS ,/�// CLASS NO.�DWELL,UNITS /tel BK III L>J57 CONTRACTOR TE EOL47T7 77 USE ZONE NO. 0 ADDRESS LIC. NO. H. ,1J SPECIAL CITY LIC. Y CONDITIONS CLASS ROAD DEPARTMENT APPROV L REQUIRED YES[] NO ❑ CONSTRUCTION LENDER '/ a Ip - NAME AND BRANCH /✓ a,V C BLDG,SETBACK FROM FRONT PROP.LINE OF (STR EE T) ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE A EXISTING 50. FT S OF NO. OF CHECK FRONT PROP, LINE HIGHWAY WIDTH SIZE IS FAMILIES ONE NEW ❑ + �� a O DESCRIPTION OF WORK U ADD ❑ BLD G.SETBACK FROM SIDEPROP.LINE OF (STREET) 0' LTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPEOF E%I STING U REPAIRED SIDE PROP, LINE HIGHWAY WIpTH C- USE OF + = n EXISTING BLDG.. DEMOL ❑ Z FPPLI CANTS c { NEL CORNER CUTOFF YES Cl NO ❑ (P PINT) (1 BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ FFFlIF-- �� IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION'S -+ 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION /, y�-�' ��F' &,,4 oale.Lc ace l n ti ow1> .o AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING 'CON- S ON- � rP /f .^�(�/t7 ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN CATION OF TXE LABOR CODE OI THE STATE OF CALIFORNI IN RELA ING TO WORKMEN'S COMPENSA N IN RANCE - SIGNATURE OF PERMITTEE _ ADDRESS x"5/5277 FINAL BY TEL. DATE CITY NO. 51rI KE CHECKS PA Y1 ISLE' 7'0: P.C. �", PMT. HARVEY T.. BRANDT, COUNTY ENGINEER FEE"✓ FEE �/ -c7 oZv. / 7.6. 2- PLANCHECK-VALIDATION M.D CASH PERMITATION CK. ' M.D. CASH 197v/ DLG 1923 u 81.90a" ✓A 434�JAN 1323 U 20.2J ° 76AG38A CE#8015716 _ - - 3JAN 13 1 0 17025a6 APPLICATION FOR BUILDING PERMIT A:OR AFP LICANT TO FILL IN fPIIHf o. type On(V) . BUILDING TSS ��2 � COUNTY OF LOS ANGELES ADLD' DEPARTMENT OF COUNTY ENGINEER BUILDING D SAFETY DIVISION 'AdCITY � �/ )// ZIP ^] SIZE OF LOT t] /�/BQ NOW0.OON LOT S ADDRESS LDING .��/SSS TRACT BLOCK LOT NO. LOCALITY / / 1 TEL. NEAREST ililrl OWNER /V NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL - DISTRICT GROUP TYPE FIRE SSED BY CITY D ZIP [ ODS {� ,r CONS T.� 'Zp,yE ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER ADDRESS CLASS NO. OWELL.UNITS / BK W� CONTRACTOR NEOL. -ZONE MAP �7 .S LIC, j NO..( _0 ADDRESS NO. _A1 SPECIAL CITY LIC. CON DI TI ONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO C] CONSTRUC ON L DER NAME AND BRANCH BL OG;SETBACK FROM' FRO PROP.LINE OF - (STREET) ADDRESS QTY HIGH AY } YARD TOTAL SETBACK FROM TYPEOF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP, LINE HIGHWAV WIDTH SIZE STORIES FAMILIES -ONE - + - a DESCRIPTION OF WORK NEW ❑ p BLDG.SETBACK FROM U ADD _] SIDE PROP. LINE OF (STREET) T� ALTER ❑ _ TOTAL SETBAC FROM TYPE OF EXISTING -� HIGHWAY } YARD - HIGHWAY WIDTH —REPAIR[E:1 SIDE PROP, LI W CH. MO ING BLDG, DEMpL Z_' APPLICANT TEL CORNER CUTOFF YES C1 NO El (PRINT( NO. IN OPEN SPACE VES N BY (SIGNATURE( VALUATION, IN COASTAL PERMIT ZONE YES NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �` -�1 ��Tr WO� ,w� ^,p SSS• AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY . G�� )• WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- (3n�k STE UCTIO N. ,I,CERTIFY THAT IN DOING THE WORK AUTHORIZED (- HEREBY I.WILL NOT EMPLOY ANY PERSON IN OLATION OF THE LABOR CODE OF THE STPTE OF {ALIFORX N RELATING TO WORKMEN'S COMPS N INSURANCE. SIGNATURE PERMITTE ADDRESS a TE FINAL / BY CITY NO.C/A"�R/`^ '� NO. DATE dIA(;E CHECK$ PAl"A(3LE TO: FEE FEE FEE HARVEY T. BRAN DT, COUNTY ENGINEER PLANCHECK VALIDATION K. M.D. CASH PERMIT VALIDATION cK: M,o. usN 1 9 511 19 1 3 0 .`P _ 9.0 0 76A636A CE*803 5/74 APPLICATIONFOR BUIL6ING PERMIT FOR ICIPPLICANT TO FILL IN (Print ortype only) COUNTY OF LOS ANGELES BIYLDING ADDRESS 5 ,S DEPARTMENT OF COUNTY ENGINEER aiv L ZIP / BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING �✓ Y SIZEOFLOi 0 NOW ON LOT / ADDRESS �SJ ,L T CT BLOCK L O. rr LOCALITY ST OWNER,C' ST.P Fr NL J' CROSS ST. ASSE5, ADDRESS SS ) MAPBOOK PAGE PARCEL -CITY e ZIP / DISTRICT� GROUP TYP S,F FIRE P SSED BY ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SE'WEERJAAAP ADDRESS EL. U ICLASS NO, 12 DWELL. TS • 8/0"-)PG CONTRACTOR NONE MAP C. NNO. ADDRESS O. PECIAL LIC. 7� CONDITIONS LI CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO 0 CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINEOF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE _ y DESCRIPTIONOF WORKOl` DOS NEW +ZZae O �L ADD ❑ BLDG.SETBACK FROM e'Wl SIDE PROP.LINE OF ( EETI O ALTER ❑ TOTAL SETBACK FROM EOF EXISTING 40 m Ii IGH w HIGHWAY + YARD = SIDE PROP.LINE WAV WIDTH a USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL CORNERCUTOFF YES NO FIR NT) NO. IN OPEN SPACE YE NO BV(SIGNATURE( � IN COASTAL PERMIT ZONE ES 0 NO ❑ VALUATION O � VQ L/-r IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ,l THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.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 CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION INSURANCE. SIGNATURE OF / PERMITTEE ��^^ ADDRESS U - FINA CITYN� DA EL 6�!-^. BV - - MAKE CHECKS PAYABLE TO: FE $ UY 6 FET $ HARVEY T.BRANDT.COUNTY ENGIN EER PLAN CHECK VALIDATION uc M.O. cASH PERMIT VALIDATION CH. M.O. wsH 1.292n,PR 12 1 U -2135aa ®s 76A638ACEN603345' APPLICATION FOR BUILDING PERMIT FOR A PPLI CANT TO FILL IN (Print or type only) BunDINc COUNTY OF LOS ANGELES ADDRESS sis DEPARTMENT OF COUNTY ENGINEER CITY 7c .� r ZIP BUILDING AND SAFETY DIVISION 040,OF BLDG5. BUILDING J / SIZE OF LOT NOW ON LOT ADD RESS, �� TRACTI� 1. ��L- BLOCK LOT NO. /' .. LOCALITY ��v-a-L.✓TQC. / TEL NEAREST i OWNER �'r y�- o N0,1,FS'- � CROSS ST. < ASSESSOR ADDRESS ,3 .gyp .� MAPBOOK PAGE I PARCEL DISTRICT UP TYPE FIRE ESSED BY -CITY _ �� ZIP `-- / CON SI. ZONE ARCHITEaoR EL. J G� ( , s /! 1 ENGINEER �� '1��i NO. STATISTICAL CLASSIFICATION SEWER Mi1� ADDRESS �..2 , F r CLASS NO. _� / DWELL.UNITS BK/0 PG CONTRACTOR - pp/NO. .3al�lc� US��ZONE MAP LIC /iJ� I NO. ADDRESS p NO. Fs O.Z SPECIAL np LIC ''/Z.z�? CONDITIONS CITY b CLASS C:--5-5' ROADD EPARTMENT APPROVAL REOUI RED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLD'.SETBACK FROM ADDRESS CITY FR T PROP.LINE OF ISTREETI TOTAL SETBACK FROM TYPEOF EXISTING SO.FT. NO.OF NO.OF CHECK HIGH + YARD = NT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE y DESCRIPTION OF WORK p NEW + - p S•1 ' ADD ❑ ACK FROM SIDE ROP•LINE OFF IS ETI O ALTER ❑ TOTAL SETBACK FROM TVPEOFXISTING G HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY) IGHWAY IDTH o- USEOF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL p CORNER CUTOFF YES NO IPRINTI NO. 1 /1 •4' IN OPEN SPACE YES NO BY ISIGNATUREI INCOASTAL PERMIT ZONE �{ YES E] NO ❑,f' VALUATION $ / Ci A HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CG BUIL AND AGREE i0 COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL EMPLOYLOYA ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFLIF ORNIA IN RELATING i0 WORKMEN'S COM- PENSATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS `� FINAL Y TEL. DnrE CITY / /TN/�V/ O NO. PC MAKE CHECKS PAYABLE TO: FEE $IL FET $ HARVEY T.8 RANDT,COUNTY ENGINEER ,�'- �F� / ��' PLAN CHECK VALIDATION c' m.o. CASH / PERMIT VALIDATION -,o m.o. CASH 0.3 9'E�...�!![: i5 2 3 D 2 9.2 5 ,L — — — 040�-,nR 16 1 ® 48.75a ®3 )6A63BACEN8033]5' ��R 14ritERS• COMPENSATION DECLARATION ,�.h*6 offiim c that Chave a certificate of' 4ent tpaself -'APPLICATION- FOR B,UILDIN�G PERMIT ' insure or a certificate of Workers' Compensation Insurance, _. .. -.. or o'certi£ed"copy thereof (Sec. 3800, Lab. C.) L COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy SC7 Cgmpanya0"'L)1_ TA:I� Certified copy is hereby furnished." FOR APPLICANT TO FILL IN BUILDING n1� copy Y 9 P BUILDING - - - ADDRESS Certified co is filed with the count buildin inspec- `''� C /� (+y. r y� tion department. ADDRESS / 5-J �/ 94)9()„yi (.X, Date Applicant CITY ZIP CEJ LOCALITY CERTIFICATE OF EXEMPTIO FROM WORKERS' - NO. OF BLDGS. - NEAREST COMPENSATION SURANCE' SIZE OF LOT NOW ON LOT CROSS,ST. , (Thissectionneed not be completed if the.permit is far one - ASSESSOR - -� hundred dollars ($100)or less.) TRACT BLOCK LOT NO. G MAP BOOK' PAGE PARCEL r TEL.9 C.. U' USE ZONE MAP I certify that in the performNO ance of the work for which this OWNER (- e4U �-{ ` NO. _ y permit is issued, Ishall not employ any person in any manner - - y I - SPECIAL - - - - -- d so as to become subject to the Workers' Compensation'LADDRESS aws. V CONDITIONS V Date Applicant r CITY_ ZIP �1 - K ARCHITECT OR ,n TEL. NOTICE TO APPLICANT:'If,'hfteo making•this Certificate of ENGINEER /�-- NO. DISTRICT GROUP TYPE : FIRE _ P O SED BY. Exemption,*you should become subject to the Workers' - /!/L�/ /Q CONST. 1 / ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS -51`"' /1.�� .. //. - .� - 0• with comply .with -such-provisions or, this permit shall be �, _ __ deemed revoked.,, ��QQ Q ]'L TEL. STATISTICAL CLASSIFICATION APT. CO O. Z CON AI11SL�, _ACtNO. _ LICENSED CONTRACTORS DECLARATION. ) L�/1 LIC LJ/� r " CLASS NO. _ I .. DWELL UNITS_ hereby affirm that I am licensed under provisions of Chapter 9 ADDRE5S31 9 AIT _w VIL NO. bG // 'SEWER MAP (commencing with Section 7000)of Division 3 of the Business and /�,{. LIC _ Professions Code, and my license is in full force and effect. CITY ArzkA d/ A CLASS - VALIDATION + 50. FT�.�'�7F.l. S OF / _ NO. OF _ CHECK BK. PG' llic�ense Number U(1 �� l Lic.Class SIZE fb IS I FAMILIES / ONE -A �C�AI I r tt'''- // _ _ VALUATION - ontractor LSfiV'PaD&Fate -�� b - DESCRIPTION OF 1W�'O�RK qn-w NEW ❑ $ %'7 ��-6 !lam hop- /�lJ F/9/-r I ADD .•GG gm exempt under Sec. q ALTER ❑ B.BP.C. for this.reason 2'eREPAIR ❑ '$�` -` ' Date: USE OF 12,gyp y-� /�(> EXISTING BLDG. K-C_�..]/P(;/A,C4 DEMOI ❑ - _ _ Signature -" - APPLICANT TEL ( FINAL ' PRI OWNER-BUILDER DECLARATION _ L O ,,nn .DATE - - 4 2 7:6 A NT 1-hereby affirm that I am exempt from the Contractor's license gDDRE55 C �'I•LIVt'ILY6T8� L. I!/y - Law for the following reason'.(Section 7031.5, Business and r FINAL e e s e e "Professions Cade):' "' """ PRESENT -- - BY t BUILDING I, as owner of the property, or my employees with ADDRESS _ - - 1 • 1 4 3. 6'3 wages ct their sole intended or off will f o the work and , the structure is not intended or offered for sale(Section LOCALITY _ s 7044, Business and Professions Code). __. MOVING' - - TEL- - -- - - - - - - ' e 4 3�6 3 v. I, as owner of the property, am exclusively contracting CONTRACTO NO. _ 0-321 with licensed'contractors'to construct the project (Sec- ADDRESS - 86 tion 7044, Business and Professions Code). . . CONSTRUCTION LENDING AGENCY' SETOBACKD YARD HWV TOTAL PROP.I LICK NE WIDTROM H - - hereby affirm that there is a construction lending agency for FRONT t ' the performance of the work for which this perm permit is issued' PL - - - - - (Sec 3097, Civ. C.). �/L SIDE P.1. - - - Lender's Name ��/E /✓� LDMA Ref. t! m -- - - P.C. Fee$ -- '• - - Permit Fee - "-- -' - Lender's Address i I certify that I have read th is.gpplication and state Jhgt-the - . Issuance Fee SO- -I LDMA P/C N - a above information is correct. I agree to comply with all County Investigation Fee - _ordinances nd State laws relating to building construction, 77 _ and hereby uthorize representatives-of this County to enter - -- 4omlfee- - �'. 6�+ - - LDMAPerm. # m upon the ab e-mentionproper r inspection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE - Signatur of Applicant or Agent-