HomeMy Public PortalAbout8850 HERMOSA DR_Building__ X415 96A636A
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ND SAFETY
FOR APPLICANT TO HLL IN BUILDING
ADDRESS
BUILDING -
ADDRESS O p - LOCALITY �•
NEA S
CITY ZIP I7 UG 0 CROSS RE ST.
NO.OF BLDGS ASSESSOR
SIZE OF LOT Pd,zL. NOW ON LOT I MAP BOOK PAGE. PARCEL
G DISTRICT GROUP TYPE FIRE ESSED BY
TRACT 3b 3 BLOCK LOT NO. �� O CONST. ZONE
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OWNER TEL.
P NO.-57V,7 Ip
STATISTICALCLASSIFICATION SEWER P
ADDRESS S G CLASS NOh DWELL.UNITS M BK U PG
CITY -�� ZIP C/ /7 0 -
ARCHITECT OR TEL. VALUATION $
ENGINEER NO. .
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF ISTRFEH
CONTRACTOR NO. HIGHWAY + YARD _ TOTAI SETBACK FROM TYPE OF E%,STING
LIC. - FRONT PROP LINE HI GHWAV WIDTH
ADDRESS NO. _
IC. +
CITY CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE (STREETI
HIGHWAY + YARD = TOTAL SETBACK FR OM TYPE OF EXISTING
ADDRESS CITY SIDEPROP.LINE HIGH WAV WIDTH O
SO.FT. NO.OF NO.OF CHECK + V
SIZE STORIES FAMILIES ONE K
DESCRIPTION OF WORK NEW P.C. Fee$ Permit Fee 41 5 0r
` ADD ❑ Issuance Fee /7
ALTER ❑ Z
REPAIR ❑ Total Fee
USE OF DEMOTE EXIST,NG BLDG. 2 _
APPLICANT TEL i 0 a f`
IPRIN TI L TSS NOJ�
0
BY,SIGNATURE) j "
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE " 42 7.3 A
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF p
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM, _
PENSATICN INSURANCE. Q
2' 05200
PERMITTEESIGNATURS of e .' = 5 2 0 p 50
ADDRess - z 0509-79
., No:s77/6cty s
CITY ! ..i
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FINAL / /i. C�_�7 pi BV �Qr 6
DATE i J �I I
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