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HomeMy Public PortalAbout8807 HERMOSA DR_Building__ 76A638A CE P803 3-69 /� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �q 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. GRO TVP CONST. PRO E r (PRINT OR TYPE ONLY) �7 r D BUILDING STATISTICAL CL SS FICATION SEWER AP AODRESS 8807E Hermosa CLASS NO. CP< 1 DWELL.UNITS BK PG D LOT NO, BLOCK USE ZONE MAP �� !� NO. V TRACT SPECIAL _ NO. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING SLOG. Residence BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OW NE Ferdinand Fritz NO, TYPE OF E%"STING SETBACK "HIGHWAY ARD TOTAL H GHWAY WIDTH FROM C.L. ADDRESS 8807 E. -Hermosa CITY Temole t ARCHITECT OR TEL. BLDG.SETBACKF ENGINEER. NO. SIDE PROP. LINE OF (STREET) TYPE OF I E%"STING SETBACK HIGHW + YARD = TOTAL ADDRESS HIGHWAY WIOTH FROM C.L. CONTRACTOR Rigid Mfg. Company N + ADDRESS 337 S. Woods Avenue NO. 159496 CORNER CUTOFF YES ❑ NO ❑ C CIT3..Os Angeles CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS ft CONSTRUCTION LENDER C NAME AND BRANCH tt LL ADDRESS v Sp. FT. NO. OF NO. OF 7] Z SIZE STORIES FAMILIES NEW USE OF q ❑ ❑ STRUCTURE ALTER ❑ REPAIR SIGNATURE OF DEMOL ❑ APPLICANT VALUATION S 630.00 APPROVALS DATE wsPse Toms S"GNATCRe FEE $ FEE $ 12.00 FOUNDATIFOR MSO MATERAA LSN IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GA VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. Rigid AIlQ Company LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE h/ C_CLL�sCL AND POSTED �T ADDRESS 337 S. Woods. os Angeles 90022 FINAL 9 /5 JOHN F. LEWIS, PRI CIPAL ST TTIRAL ENGINEER PLAN CHECK VALIDATION ck. M.G. CASH - PERMIT VALIDATION CK. M.C. CASH i r, 6 2 2 3 AUG 7 1 D 1 2.0 0 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS 0 C ertnosw G or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) ZIP Policy No.IIQ3zG S Company STAT£ JJAb ei'"/ C� LOCALITY �7 SIZE OF CT N0.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. —/-5G NEAREST CROSS / XCertified copy is filed with the county building inspectio TRACT BLOCK LOT NO. departmen. FDISTTRICT MAP NO. Date &-!?��AppllCant ASSESSOR MAP BOON PAGE PARCEL SPECIAL colvolnoNs CERTIFICATE OF EXEMPTION FROM WOR RS' ow R - !l ` Lpyl�, �b�� COMPENSATION INSURANCE AriaAl AchAtc+s0ll y , 00 FT OF SCHOOL' YES NO (This section need not be completed if the permit is for one hundred ADD / arm P Z`- W/f GROUP TY CONST FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY n �/ ZIP 1 certify that h the performance of the work for which this permit /V r !i � g i5 issued, shall not employ any Cpersonompensation at any manner a0 as f0 ARCHIT T OR ENGINEER TEL NO. //O become sublet[to the Workers'Compensation Laws. STATISTICAL CLgJ$SIFICATION APT CONDO IF Date Applicant ADDRESS CLASS NO. ' DWELL UNITS NOTICE TO APPLICANT.. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject 10 the Workers' C igACT }�N � Compensation provisions of the Labor Code, you must forthwith /G Jig j ��� C, 7 SET BACK ARE HWV PROP LINE WIDTH pp �f' FRONT comply with such provisions or this permit shall be deemed revoked. ..g R¢S`F ' ^ yf (� t�(JP L LICENSED CONTRACTORS DECLARATION O SIDE CITY LIG. AS§ P L I hereby affirm that 1 am licensed underprovisions of Chapter 9 / SEWER MAP Y (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO,OF STORIES NO.OF FAMILIES R Professions Code,/3d m liPy� se' in full force��(Ud teC NEW BK PG , O License Number I' ✓� Lic.Class '+ —�� DESCRIPTION OF WOR yjrt ADD ❑ VALUATION V i $ >ao . Contractor Date ,�� � 11 ,,MM�,�,,// ALTER ❑ IM G'/ /VL�i.i.J lY,YT�" QCT REPAIR ❑ O $ ~ ❑ 1 am exempt untle ec. U B.&P.C.for this reason �rQC% j '�3�/4 DEMOL ❑ W DMA P/C x Date: U OF EXISTING BL n URM El1 N Signature APPLICANT(PRINT A16 I T LDMA Perm x y, ? ElI, as owner of the property, or my employees with wages as Z ANT their sole compensation, will do the work and the structure is AID //��S ,/� not intended or offered for sale Section 7044, Business and IC` `^— !/ FINAL DATE -•- Professions Code.) WILL THE APPLICANT OR FUTUHE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL I/ TO OR GR EATER THAN THE _ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUALQ p 3 q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY i ITnLi V a V licensed cto construct the project (Section 7044, Business andnd Professions Code.) YES Cl No l - CHECK j��_,i L WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMm SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NQ,�( PR the performance of the work for which this permit is issued(Sec. HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING r N 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, f_Ii I1�'�I%�I�y D/ _,, j. o TITLE 2,CHAPTER ZD SECTIONS ZDD THROUGH CONCERNING HAZARDOUSLentler's Name TIRAND FORO 0Lender's Addreas a Nr o I certify that I have read this application and state under penalty 0 Of perjury that the above information i5 Correct.I agree t0 Comply P.C.FEE EEMIT FEE , rN with all county ordinances and State laws relating to building mconstruction, and hereby authorize representatives of this County ISSUANCE FEE to enter on IN bove-m /pq/D r p y for inspe/tionff��urppo�oses. 7z V4� INVESTIGATION FEE TOTAL FEE O mwwa�+a y.m SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT r COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING gRE$s y I hereby affirm that I have a certificate of consent to self insure, BUI �. RESS .T fij"DSA hK Of/ 7 G4. or a certificate of Workers' Compensation Insurance,or a certified �' 61/�� Y copy thereof (Sec.3800,Lab.C.) CITY �� l 1 ZIP g LOCALITY Policy NO. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT V ❑ Certified Copy is hereby furnished. NEAREST CROSS ST El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department I USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE ,PARCEL e,�� SPECIAL CONDITIONS ����'_©/ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER 1� � TEL NO. COMPENSATION INSURANCE rITTRIN loop FT of scgooL? YES No (This section need not be completed it the permit is for one hundred ADORERS dollars ($100)Or less.) - t/p0 fl(.(9'►(i9 /t S DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY CITY21P -\ certify that in the performance of the work for which this permitBV /1 3 is issued, I Shall not employ any person in any manner s0 Be to ARCwTECT OR NGINEER TEL N0. /C -51 become Subject to the Workers'Compensation Laws, STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.. :74 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should became subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith itJ FRONT comply with Such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO, P L LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and S07 SIZ NO,OF STORIES NO.OF FAMILIES NEW ❑ SEWER MAP PG O Professions Code,and my license is in full force and effect. License Number LiC.Class DESCRIPTION OF WORK ADD 5t VALUATION Contractor Date ALTER W $ L L — ` W ❑ I am exempt under Sec. - _ REPAIR ❑ $ N z _ BBP.C.for this reason ,mss � DEMOL ❑ LDMA Pic# USE OF EXISTING BLDG. URM ❑ Signature ' / APPLICANT(PRINT) TEL NO. LDMA Perm x f`'gryP 1 .as owner of the property, or my employees with wages as Z `;..._ I their sole compensation, will do the work and the structure is ADDRESS O _� v not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) - D _ WILL THE APPLICANT OR FUTURE HAZARDOUS OCCUPANT HANDLE q R GREATER MATERIAL OR A MIXTURE CONTAINING A HAZAROWS MATERIAL EQUAL TO OR GREATER THAN THE �` J i " 1 ❑ I, en owner Of the property, am exclusively contracting 44,ith AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 7 - +I I- licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES NO El 1 T_)T,H ^, L = :35 WILL THE INTENDED USERMI THE BUIDLINGCONSTRUCTION BY THE APPLICANT OR FUTURE BUILDING I OCCUPANT AIR REQUIRE A PERMIT FOR C STRICT OTION OR MODIFICATION FROM THE SOUTH r - i y t .-7c CONSTRUCTION LENDING AGENCY GUIDE AIR Ouqury MANAGEMENT DISTRICT Iscmmol SEE PERMITTING CHECKLIST FOR `.T!` u culDeurves. I hereby affirm that there is a construction lending agency forES❑ NO❑ '._Irt;�Nilv �[Iil m the performance Of 11lE WOfk for WhlC11 tf115 permit is ISSUEd(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3l)97,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 220 140 CONCERNING HAZARDOUS )'1' 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SOAOMD. i_I,- 1 EU ii I i"t o Lender's Address =: PN c - o I certify that I have read this application and state under penalty of perjury that the above information is correct. I agree to comply PC FEE PERMIT FEE $ with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANCE FEE 'L to enter upon the abovaAmentioned property for inspection purposes. a 3—p _ INVESTIGATION FEE TOTAL FEE / d bgle+m w•9eni oau � I SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR_BIOILDING PERMIT �3 COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDI DOR SS ,` WORKER'S COMPENSATION DECLARATION d`�j 'r BUILDING ADDRESS n I hereby affirm that I have a certificateeconsent to self insure. or a certificate of Workers' Compensation Insurance,or a certified ✓t - - copy thereof(Sec.3800,Lab.C.) GTS (S�iL U ZIP CA— t D p 7 LOCALIT Policy NO. Company SIZE OF LO NO.OF BLDGS.NOW ON LOT/T ❑ Certified copy is hereby furnished. I NEAREST CROS ST c 13 Certified Copy is filed with the county building inspection TRACT BLOCK LOT NO. Pk�/+� L B department. USE ZONE MAP NO. Date Applicant ASSESSOji1A 0 PAGE PARCEL/ 77 6 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNS �ryl TEL NO. G �✓ COMPENSATION INSURANCE IN� !�V` WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed if the ADDRESS p permit is for One hundred P91 .� -y) O h.n DISTRICT GROUP TYPE CONST. FIRE ZONE PR,(CESSED BY dollars($100)or less.) UL7 tY1� V�� ,(� ., , certify that in the performance of the work for which this permit CTY , L� cl ZIP �.�`v (y t-7S-6 r U-V u�L�J is issued, I shall not employ any person in any manner so as to �l L ! become subject to the Workers'Compensation Laws. ARCHI ECT ORE GINEER TEL NO. •� STATISTICAL CLASSIFICATION SIFICATION APT CONDO Date Applicant ADDRESS - CLASS NO, O2 I DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTOR TEL NO. SET BACK yggp HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith u r FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIG.NO. PIE LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP Y (commencing with Section 7000)of Division 3 Of the Business and SO.FT.SIIZxE NO.OF STORIES N0,OFFAMILIES NEW ❑ SK PG o Professions Code,and my license is in full force and effect. L4i''(p 11 CO DE CRIPTIGN OF WORK VALUATION License Number Lic.Class ADD �'1y Iz Contractor Date ws f , ' �otT'Te7 ALTER ❑ $ L ✓ �DOO O W ElI am exempt under Sec. REPAIR ❑ $ DO B.BP.C.for this reason - DEMOL ❑ LOMA P/C# Date' USE OF EXISTING BLDG. URM ❑ Signature _ --vim^ 7 APPLICANT(PRINT) TEL NO. LDMA Perm# .�.. I,.as owner of the property, or my employees with wages as �t 2 — Z their sole compensation, will do the work and.the structure is ADDRESS Q]rr``�� rr'�� �,J� O OTJ� lJ' �FS F'�w'ry �+ FINAL DATE not intended or offered for sale (Section 7044, Business and / R Professions Code.) WILL THE APPLICA OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE' FINAL BY ' =�[_; __ licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) T f :L( WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BNLDING -- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTHTrT CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT tscaOMD)SEE PERMITTING CHECKLIST FOR _' i F�(.i:"r GUIDEUNES _ —!- 1 hereby affirm that there is a construction lending agency for 'YES❑ No❑ - sT CIT 41 -' e } 9 the performance of the work for which this permit is issued(Sec. 6 IHAVE READ THEHAZARDOUSMATGGRWWLS INFORMATIONGUIDE AND THE SGAQMD PERMITTING " `, 7e SO97, CIV.C.) CHECKLIST. UNDERSTAND MV RLIIREMENTS UNDER THE LOS ANGELES COUNTY CODE. ' wNL;,. 11—'t TT�I TITLE 2.CNAPTEfl 230 SECTION Q�Q0.1p0 THRO 20.1<0 CONCERNING HAZARDOUS a Lender's Name MATE IALS RE NG AND FOR NG A PERMIT F M TP=SCAOMD fj,';yST ; o Lender's Address o o I certify that I have read this application and state under penalty _ 0 of perjury that the above information is correct, I agree to comply PC.FEE �jrl PERMIT FEE with all county ordinances and State laws relating to building G' m construction, and hereby authorize representatives of this County ISSUANCE FEE �� "� _ m to enter XZ;F? ionedproperty for inspection purposes )r a L✓ INVESTIGATION FEE TOTAL FEE Jsevi+m m�w�=�Ax„I ou. Q SEE REVERSE FOR EXPLANATORY LANGUAGE