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HomeMy Public PortalAbout8852 HERMOSA DR_Building__ Li S,.76A638A S CE 086A[REV.6/781 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN LER G �8SSADIDRE55 K I/rrc8•Q-Q� TG TCIT ZIP l�fp (P 5T.SIZEOFLOiOR I d VX 'Z12 NOW ON LOTNO S OK PAGE PARCEL ICT GROUP TYPE FIRE SSED BTRACT BLOCK LOT NO. //e �O /�Z CONST• Z /EOWNER EQ S /V/`r�'-?ADDRESS O D ' jICAL CLASSIFI ATION SEWERR,M S NO. ©� DWELL UNIT57 / BVO PG CITY ZIPARCHITECT OR , TEL. TION ENGINEER NO_ $ 2�? ADDRESS BLDG,SETBACK FROM EL % d FRONT PROP.LINE OF (STREETI CONTRACTO M ! <c) O. HIGHWAY + YARD TOTAL SETBACKFROM TYPE OF EXISTING LIC FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. �} LIC. + ' -0 CITY (/ CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS CITY SIDE PROP,LINE HIGHWAY WIDTH G SO.FT. NO OF NO.OF CHECK + = u SIZE S-Sa- STORIES FAMILIES ONE ,F O DESCRIP ION OF WORK NEW P.C. Fee$ c2/ 7 62,0 Permit Fee 7.j� 0 G ADD ❑ �7 6 ,///i, 0 Issuance Fee / y� ALTER ❑ Z REPAIR ❑ Totol Fee -32,& •�� USE OF DEMOL ❑ EXISTING BLDG. a7�9 0 €427.6A /,4 APPLICANT TEL 6- - 66 p 1PRINT) LEIajf d 3 0 # 23 BY ISIGNATUREI 2 0 0 3 6 0 0 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE a 62THAZaa Y U� AND THE LAWS RFGULAVE IS CORRECT TING BUILDINGDCONSTEE TO RUCTIONOrI CERTPLY IFY WITH IN ORDINANCES DO NG THE Q = 36 0 0'0 O o O THE LWORABOR CODE OF AUTHORIZED THE STATE OF CALEREBY I WILL 60RNIAOIN ELLATING OO WORN IN KMEN SOC MF � �/�-7/ Z PENSATION INSURANCE. Q 0 5 0 9.-7 9 �42Z7A SIGNATURE OF PERMITTEE o e'e e o ADDRESS ,p TEL If 0 3 CITY C-+ NO. �•' - Q 60 USE ONE �6 0 = = 3 2 3 5 0 a 009'-79 _ L[SPENCIALDITIONS f FINAL DATE � U , APPLICATION FOR 7 Il R BUILDING PERMIT FOR APPLICANT TO FILL IN ASID ESS C t� V [ADDRESS UILDING LOCALITY ZIP 9J7FFD - cOSSSTASSESSOR IZE OF LOT �0 MAPBOOK PAGEDISTRICT GROUP TYPE FIRE OC SD BY RACT 3 / BLOCK LOT NO. %(j �✓D Q p CONST.T / Z �_4d Gaaro tfLFi6NLflcss T11.w--'7/-ea so CJ 'l, �/ OWNER %' NO •dt$,f.,6S3` STATISTICAL CLASSIFICATION SEW ER MA`-'P7^/ ADDRESS-r1TJ F5' Q�7EF2 A o5A p CLASS NO.JAL DWELL,UNITS / K/D PG CIT•Y'` ( E Ci� 7IP / i78U USE ZONE MAP O / ARCHITEQ OR - TEL, p al SPECIAL l0 ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TELS7.7-/&D 0 CONTRACTOR LB 4 7/ NO. a ys• 'S BLDG.SETBACK FROM LIC FRONT PROP.LINE OF— /"P��~La"'Y'-R} ISTREETI ADDRESS /L. NO. TOTAL SETBACK F ROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LI NE HIGHWAY WIDTH CITYCLASS CONSTRUCTION LENDER - + O a NAME AND BRANCH BLDG.SETBACK FROM OU ADDRESS CITY SIDE PROP.LINE OF (STREET) SO.FT. / NO.OF - NO.OF CHECKk + YARD TOTAL SETBACK FROM TYPE OF EXISTING w SIZE LY STORIES FAMILIES ONESIDE PROP.LINE HIGHWAY WIDTH m + - Z_ DESCRIPTION OF WORK NEW ADD RNERCUTOFF YES ❑ NO ❑ ALTER CE YES ❑ NO ❑ USE OF REPAIR ERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL APPLICANT�{� gyp'/ TEL s'✓�IPRINTI GI,QF�•"i No. �1-F,BY ISIGNATUREIKC_CIHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATnTHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCEAND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THWORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION O .THE LABOR CODE OF THE STATEOF CALIFORNIA IN RELATING TO WORKMEN'S COM ^A/pp�,PENSATION INSURANCEIr /" � SIGNATURE OF - LDATE f//l� BY PERMITTEE ADDRESS TEL. Z , Permit FeeCI NO.�� �Y r� � to G Issuance FeeVALUATION= oS / S� - —7 c Total Fee o;•�1` / _PLANCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CN. M.O. CASH 3 7 49KNi 10 ;r•3 o n 15120 'N •JUAi 22.-2 6' 22 ] 7 ��{ F (- S 76A63B76A53813CE#80386/7] - � 2 2' Itlid �� D G • `-'.�! �/ OCA © r