HomeMy Public PortalAbout8902 HERMOSA DR_Building__ 76A638A CEABO3 8-64APPLICATION FOR BUILD( G PERMIT v
COUNTY OF LOS ANGELES rNE
LDING
DEPARTMENT OF COUNTY ENGINEER RESS J
BUILDING AND SAFETY DIVISION ALITY • `/ tC
JOHN A. LAMBIE. COUNTY ENGINEER RESTCOLEMANW. JENKINS$w•r of BVILDINc SS ST.
DISTT NO. GROUP TYPE, PR C B BY
FOR APPLICANT TO FILL IN !�— co sT.
92
BUILDING /n/ // STATISTICAL QxLASS IFICATION SEWER MAP
ADDRESS • �/ G:/ CLASS NO.�L(S ELL UNITS 8K PG
LOT NOi l Q 6 BLOCK USE ZONE MAP
NO.
TRACT Z SPEC( L
N0. OF BL005. CONDITIONS
SIZE OF LOT NOW ON LOT
RZE
OF
EXISTING BLDG. SETS K FROM
TEL. FRONT PROP. L OF (STREET)
ER D / NO. TYPE OF EXISTING TBACK HIGNWA �' YppD = TOTAL
RESS HIGHWAY WIDTH Fp .L.
C94HITECT R TEL. BLDO. SETBACK FROM
NEER NO. SIDE PROP. LINE (STREET)
TYPE OF INO SETBACK HIGHWAY } YARD = OTAL
RESS HIGHWAY W TH FROM C.L.
TEL._72 �j�l } = vO
TRACTOR NO
RESS NO LIC CORNER CUTOFF VES NO Q
cic /� SEE REVERSE SIDE FOR SPECIAL APPROVALS V
W
DESCRIPTION OF WORK d
Z_
AOD ALTER REPAIR DEMOLISH
T NO. OF NO. OF
.7.¢ ]�� STORIES FAMILIES
USE OCTURE d-! C w" aATURE OFLICANTUATIONS ��
APPROVALS DATE INSPECTOR'S SIGNATORE
P. PMT.
FOUNDATION, LOCATION
FEE
S FEES FORM FIRE STOPS,FRAME. FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT R HAVE READ GRE APPLICATION BRACING BOLT
ANO
STATE TMAT THE ABOVE IE CORRECT TE AGREE E COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES CER AND STATE LAWN REGULATING GAS VENT. DUCTS
AUTLD HORIZED
D HEREBY I W1N. CERTIFY THAT.YANY DOING THE WORK -
AVTMORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN RVIOLA-ELAT- LATH. INT.
TION OF THE L/)B CODC F TME STATE NC CALIFORNIA RELAT.
ING TO WORKMEN'S OMP SATIOI �SVRANCE. LATH. EXT.
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRES FI NAL
JOHN F. LEWIS. PRINCIPAL ST UOTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATIO cK. Im.o. GASH
J,lo4 9 6 ;,uc26 1 4.00-
I6A838n CER8038-BA APPLICATION FOR BUILDIN P RMIT
COUNTY OF LOS ANGELES BUILDINnooREss G
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST.
YPE
FB
PLICANT TO FILL IN 01sT' cy�NO G CONST. PR
�' .r/Of , CLSTATN(/O.ADW EL C ILL UI
ON NI T$ - $RK R MAP
PG
/v7 J o(v BLOCK USE ZONE J.MAPNO.' SPECIAL
NO. Of BL009. CONDITIONS0 NOw ON LOT
USE OFN / I!-' W/L `
D Q S1 ' � BLDG. SETBACK FROM
TEL. �, FRONT PROP. LINE OF (STUFFY)
OWNER �I �,/62 2 054J N/NO. }ypE 01 EK ISTI NO SET_BACN HIGHWAY '{' YARD = TOTAL
ADDRESS J #OS NI M AY WI X f M C.L.
CITY _1/dP« c17-y +
ARCHITECT OR )) TEL BLDG. SETBACK FROM
ENGINEER �JQ //JI NO. s Z SIDE PROP. LINE OF (STREET)
(1 /pJ TYPE 01 EKISTINO SETBACK NIGH WAY + YAPO = TOTAL '
ADDRESS D/d �. JAN t• Rd /At pL HIOKWAY WIDTH FROM 0.L d
1 -TCONTRACTOR SHrb1]f_F .. NOL X7-��-Z-/ v/� + O = O
ADDRESS S (
/Q
. +4" A#,ptr NO 21 C.-3-/Q Y CORNER CUTOFF YES NO O
CITY SGe./ LG /3A_1L9 LID / SEE REVERSE SIDE FOR SPECIAL APPROVALS Vw
DESCRIPTION OF WORK /� _ v�
��AA�� , ,evo , Z_
NEW AD ALTER REPAIR DEMOLISH ��,��tV "R�i � I�..�O ! /.'Ev'6 /•'"/
SOFT. Q.1 NO. RI NO. OF _ ^ �y �v �•"}'��/' /1� ) � `v,
512E y� �j n_- STORIES FAMI LIRE -- R IA.'/I�7I r)t-/lS� /.%a�+✓YY Y(/✓"t (
USE OF
STR CTURE 9713 VOM
SIGNATURE OF jr (-i.
APPLICANT 141.
VALUATIONS 0sL(•I rr �;y
APPROVALS (f [�A,TINSP�E'C T�p'S 910 NATURE
FELOCES FEES / (/V C. pMT, FO FORMS,I MATERIALSON O AIT�•TI
FRAME, FIRE STOPS, I r
I HEREBY AC H NOWLEOGIt THAT I HAVE READ THIS APPLICATION BRACING BOLT I.
AND STATE THAT THE ABOVE I9 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION 7• S I r�vOY
WITH ALL C
O
ON
TY ORDINANCEe ANO STATE LAWS REGULATING
GAS VENT. DUCTS "� I
901LDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT-
ING
r/
S
SIGNATURE OF 6B NpLQN/jCE
UI A 'L� HOUSE NUMBER COR- /
PERMITTEE "-,cRECT AND POSTED
ADDRESS 112ZD 6r A/Gii/Fay ?' FI NAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEEj
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. u9H
��1
4 0 0 9 JUL 2 7 1 D 15.0
I
DEPARTMENT OF COUNTY ENGINEER
DMSION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, 6UP•T OF BUILDING
FADDRESSMa
PPLICANT TO FILL IN FOR OFFICE USE ONLY
_ �+ DISTRICT NO. Pun CK.OR REC.No. PERMIT NO.
/Jt OV 3 6 3
RECEIVED BY DATE OF APPL. DATE 1664ED
NEAREST
ROSS ST.
ADREbUILDISS1 CN
ADDRESS o G e- Af�.q MAIL NEAREST
LOCALITY (� 4f I'
,O TEL. CROSS
CROSS ST. V L V ��f✓�I a�
CITY \ NO. ,��
ARCHITECTOR TEL. ZONE I PLANS TYPE D I/ GROUP,
ENGINEER NO.
ADDRESS BLDG. - �� /J J I ORD. NO.
SETBACKLINE // /(G�i r✓
CONTRACTOR at ,�cc.... V O. 7--2,7-7/ ZONE BYUSE PROVED DATE
ADDRESS ,300 JEi 44A-ley �v SC HOUSE NUMBERING
LEGALI I MAP NUMBER ^��� NO. ASSIGNED BY
DESCRIPTION LOTNO. BLOCK CORRECTIONS
TRACT
NO. OF BLOGS.
SIZE OF LOT L NOW ON LOT -
USE OF I NO. OF -
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK G -
_A
NEW ALTERATION ADDITION O
Z
REPAIR DEMOLITION D
r
SO. FT. NO. OF
SIZE ROOMS STORIES
EXT. WALL I ROOF
COVERING COVERING
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
I AGREE TO CO WIT ALL COVNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS UILDING CO�RUCTION. GAS VENT, DUCTS
SIGNATUREI U&
' LATH. INT.
PERMITTE
0^ LATH. EXT.
ADDRESS L-V
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
S t^fj� P. 0. S
C//Cv FEE HOUSENUMBERCOR-
RECT AND POSTED
kW
VALUATION FEE S/ FINAL
TBAE OA OBB9 9�a
T
APPLICATION FOR BUILD � G PERMIT
FOR APPLICANT TO,FILLIN fPrfntortype only)
[ADDRESS5!7,::Pa
DING I, OUNTY OF LOS ANGELES
RESS Q fZ / D RTMENT OF COUNTY ENGINEER
'' J'^/ G j J' zIP ✓/ S IL G AND SAFETY DIVISION
NOOF BLDGS. BUILDING
OF LOT• �7 NOW ON LOT / ADDRESS O�
T ��,j BLOCK �' LOT NO. LOCALITY
E ��G/l� No CROSS ST.
ASSESSOR
' /77O MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE P ESSED BY
-CITY T�inf'G� C IP dCONSTIZQNE
ARCHITECT OR TEL. O
ENGINEER NO, O STATISTICAL CLASSIFICATION SEWER MAPI
ADDRESS /�.. � �j j CLASS NO. DWELL.UNITS BK PG
kDE
TOR �_/TL. N6JV 7' U ZONE NMOAP
,4/ LIC.
/ NO SPECIAL
CASCONDITIONS
TION LENDER ARTMENT APPROVAL REQUIRED YES ❑ NO ❑
D BRANCH BLDG ETBACK FROM
FRO TPROP.UNEOF ISTREETI
CITY TOTAL SETBACK FROM TYPE OF EXISTING
NO.OF NO.OF CHECK HWAV + YARD = FRONT PROP.LINE HIGHWAY WIDTH
STORIES FAMILIES ONEON OF WORK NEW ❑ + O
U
LDG.SETBACK FR m
ADD DE PROP.LINE OF ISTREETI O
ALTER TOTAL SETBACK FROM TYP EXISTING w
�+ I ❑ HIGHWAY + YARD = SIDE PROP.LINE HIGHWA WIDTH . N
USE OF eREPAIR Z
EXISTING BLDG. � _7 DEMOL ❑ +
APPLICANT �(' ✓f} TLSA3CORNER CUTOFF YES ❑ NO E]
IN OPEN SPACE YES ❑ NO ❑
BY ISIGNATUREI
- �• IN COASTAL PERMIT ZONE VES ❑ NO ❑
VALUATION y 40
HEREBY ACKNOWLEDGE THAT 1 HAVE READ APPLICATION AND STATE `T
THAT
THE ABOVE IS CORRECT AND AGREE TO COMPLY
Y WITH ALL ORDINANCES _
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY IN IN MING THE
WORK AUTHORIZED HEREBY WILL LIF EMPLOY ANY PERSON IN VIOLATION OF
W
THE LABOR CODER CE.STATE OF CALIFORNIA IN RELATING i0 WORKMEN'SCOM-
PENSATION INSURANCE. '
SIGNATURE OF
PERMITTEE
ADDRESS/4;aT ST I
�/ �j �y FINAL BY
CITY IES/ Gl�L�J.t//� NO.�J/'JO DATE -L 7 ' / 7 •• �"-'
MAKE CHECKS PAYABLE TO: FEE $ G=�F ETE
HARVEY T.BRANDY,COUNTY ENGINEER
IIIIIl
PLAN CHECK VALIDATION cu. M.o. CASH — PERMIT VALIDATION cK. M.o. CASH
e96� �aR 24 i u 2 6.5
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