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Home My Public Portal About9133 HERMOSA DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDINGwft 1 %4M;MC J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE:,ONLY B a UILDIN6 r DISTRIC.yA10. PLAN CK..NO: PER �O D ADRESS /- I eI yyy�A,1 lA /lSl LOCALITY �'� A/N� _ REC@IBY �OF APPL. DATE ISSUED NEAREST / CROSSST. "IV BUILDINGnw,s l�� A N - ` ADDRESS 9/3,3 E /L EER m ar OWNER /1✓/IV' MAIL LOCALITY TF_M PLE If-llt/ ADDRESS NEAREST / a^ TEL. CROSSST. CITY TEL FIRE NO. OF TYPE�+,L_ I GROUP ARCHITECTOR TEL. ZONE �— PLANS �' �/ _ ENGINEER NO. BLDG. ORD. O. f SETBACK LINE / FTM/!✓ FPL / ADDRE39. APPROVED VI 1 ,� ,.f ( •�j7EL. (}, US DATE CONTRACTOR d ,LL.� )-/AAMwn✓1N0. '� I�.(S ,S OI (J USE APPROVED ��I ZONE BY DATE ADDRESS )1 /0 . rl v Q�F.J HOUSE NUMBERING . LEGAL DESCRIPTION I LOT NO, 7).0'Y• BLOCK MAP NUMBER 1=9 FIELD CHECK BY TRACT 0NO. ASSIGNED BY DATE ' NO. OF SLOGS. CORRECTIONS [gyp•x SIZE OF LOT J p /�O' I NOW ON LOT USE OF /I I NO. OF _ EXISTING BLDG. FAM i LIES I DESCRIPTION OF WORK - NEW I I ALTERATION I I ADDITION REPAIR I I DEMOLITION I I I -' _A SQ. FT: NO. OF D SIZE ROOMS STORIES e � EXT. WALL q1n,(I �y� '�- -. ROOF // ��// COVERING A+v� ( COVERING/I/(..(-.LI'YYV�,G�- USE OF STRUCTURE 1,,/ /� ,�//' APPROVALS ,7 / ✓Y /tel' /Y (9� ^ INSPECTOR'S SIGNATURE DATE 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION �LAI(j�l�, PLICATION.AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS ��//��m CORRECT. - ,e, - I- I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS Mu_w LAWS)RSGULATING BUILDING/ CONSTRUCTION. •v FTU^ - ♦ �A `1 _ FURNACE: LOCATION, SIG AT RE OF l IrTj GAS VENT, DUCTS P I ;E L ,Q y`� �� /3 LATH, INT. ADORBSS /Il - / LATH, E%T. AUTHORIZED AGT. - I PLASTER, INT. TEAEIEA• Dan 10 $ P. C. 6 0 - ^^ FEE PLASTER, EXT. VALUATION ^V POO $ ISo FINAL /�/j A�� FEE 1 /I• 'Z� 7i v jV . G . - 76'A6nA CE .803 0/72 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BADUIDRELDING AIA KE C//E CFS PAYABLE TO: SS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ' FOR APPLICANT TO FILL IN NEAREST Print .' NO. onl CROSS ST. BUILDING DISTRICT�NO. GROUP TYPE PRO SEED BY ADDRESS / ,�, eY D D{�' �.Q? CONST. STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO. _DWE LL,UNITB_ BK PG TRACT �O USE ZONEI MAP _ NO.OF BLDGS. NO. Z SIZE OF LOT X/ a 0 NOW ON LOT 3 2 SPECIAL USE OF CONDITIONS EXISTING BLDG. i " TE OWNER / W i R- NO.L. BLDG.SETBACK FROM L' ADDRESS ✓ FRONT PROP.LINE OF `T � 4�� (STREET) `� TYPE OF E%ISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM 0.L. ARCHITECT OR TEL. } ENGINEER NO. BLOG.S ETBACK FROMY ADDRESS SIDEPROP, LINEOF �—�DI P'l (STREET) p FF7'D TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL U CONTRACTOR K) p� NO. HIGHWAY WIDTH FROM C.L. O ADDRESS NO } I O = t W LIU. OIL. CITY CLASS CORNER CUTOFF YES ' , NO ❑ Z_ N CONSTRUCTION LENDER NAME AND BRANCH 0U LA-7 SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ FTS2-0 STORIES FA MI I. NEW S ZE USE OF ADD ❑ STRUCTURE ALTER ❑ SIGNATURE OF _ REPAIR[] APPLICANT DEMOL ❑ VALUATION 5 APPROVALS DATE I Pec Ton• 51cNArvRe P.C. PMT. FOUNDATION: LOCATION � y FEES FEES 15� FORMS, MATERIALS 7 J FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF 1 / w �K�w.0 HOUSE NUMBER COR- PERMITTEE /V��'///VVV "`��—� V li RECT AND POSTED ADDRESS 9'/3 Z 3. 7 WeL I.tiE SA FINAL PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VAUDATIO C'. M.D. SASH IpfO11 � �,> FL520 1 0 15-00- '? rR vaweiu ce gem a-va APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER - ADDRESS. - BUILDING AND SAFETY DIWSION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CA88ATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DIST;ICj NO. GROUP I •-Y E I, P ESSED BY FOR APPLICANT TO FILL IN CONST. BUILDIADDRESS NG y/ STATISTICAL CLASSIFICATION `— I SEWER MAP PG ADDRESS J'+1e�/rI O SR �1 3 3 LOT NO. CLASS. NO-12-3-OWELL. UNITS e 171 BLOCK MAP �7 n-B TATE YES p '/ NUMBER mil TRACT /(0YT ( U8E'ZONE SPECIAL SIZE OF LOT S d V NOW ON LOTS �j l CONDITIONS USE OF �./ I? F EXISTING BLDG. e3' T 2+Ya Y a BUILDING EXIST. YARD HWY STREET NAME -Ti/� �s SETBACK WIDTH Lr OWNER ��/ Y' FRONT p////f (�V ADDRMAILESS �✓ P. L. "� r �--' SI OE TEL. P.L. ARCCITY No. INSPECTION RECORD ARCHITECT OR 7 TEL. ENGINEER NO. ADDRESS CONTRALTO//R J�rI yr/6 ,ll�a2w f"TEOL. { ry.67i -"i •rR" f,2 /rD-oV ADDRESS DESCRIPTION OF WORK NEW L' ADD ALTER REPAIR DEMOLISH SQ.FNO-OFNO.OF S ZET 8-G rr J ^ Oi STORIES FAMILIES USE OF STRUCTURE _ q SIGNATURE OF ryi APPROVALS APPLICAN//T ADDRESS W IL7 C �-�7o DATE INSPECTOR'S SIGNATURE /•�I FOUNDATION: LOCATION •I [/ P.C. S FRAME: FIRE STOPS. $ ?BQ •` F—EE BRACING. BOLTS ;VALUATION g •7 �� FURNACE: LOCATION, FEE c7 GAS VENT. DUCTS - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ] /� �ry AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. 14, T,O d /�YI�SU..fllr�v STATE LAWS RE TING BLhOUNT G CONSTRUCTION._ SAND SIGNATURE OF N �,/p/� HOUSE NUMBER COR. PERMITTER GGG ii'iii✓✓✓✓✓✓CCC../// RECT AND POSTED ADDRESS FINAL Z"ZL'SB� CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN R MI PLAN CHECK VALIDATION CK. M.O. CASH - PERT VALIDATION .CK. M.O. cnsx y ;i�D741CC11' 1 A 3.0 C7 m APPLICATION FORBUILDING PERMIT COUNTY OF LOS ANGELES - BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDREss I hereby affirm that 1 have a certificate of consent to Self insure, BUILDING ADDRESS ``AA `•A p/ +>�' ' or a certificate of Workers'Compensation Insurance,or a certified copy thereof (Sec.3800, Lab.C.) CITY _ ZIP- O LOCALITY Policy No. Company SIZE OF LOTy / _ NO.OF BLDGS.NOW ON LOT O Certified copy is hereby furnished. ✓( X/j O NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. - department. I USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGED/ PARCEL * SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER S ,Oe/ A TEL Na 1 COMPENSATION INSURANCE O A'R C ••�3� WITHIN 1000 FT.OF SCHOOL? VES NO (This section need not be completed if the permit is for one hundred ADDRESS t-� � �- - dollars ($100)or less.) C V CL'/'1-J DISTRICT GROUP TYPE CONST: FIRE ZONE PROCESSED BY CITY ZIP p I certify that in the performance of the work for which this permit IA- is issued, I shall not employ any person in any manner so as 10 ARCHITECT OR ENGINEER TEL NO. become Subject to the Workers'Compensation Laws. 01 wZ 2, STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should became subject to the Workers' CONTRACTOR Q WNL TEL NO. SET BACK YARD HWV PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO, P L LICENSED CONTRACTORS DECLARATION SIDE - P L CITY LIC.CLASS _ I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES - Professions Code,and my license is in full force and effect. pq NEW ❑ BK PG + Pilo. DESCRIPTION OF WORK VALUATION d License Number _ I Class / / ADD p 'O Contractor Date ALTER ❑ $•% ��• �� (.J ❑ 1 am exempt under Sec. REPAIR ❑ $ O B&PC.for this reason DEMOL ❑ LDMA P/C A t W Date: USE OF EXISTING BLDG S.�D6N'I�� URM ❑ _ t Sig lure - APPLICANT(PRINT) TEL NO LDMA Perm x as owner of the property, or my employees with wages as Mi 0, �- —`01 3 5 '11_ Z T t AL:f: . their sole compensation, will do the work and the structure is ADDRESS 0 not intended or offered for sale (Section 7044, Business and q 3 rE 9ioq FINAL DA r Q -- Professions Code.) i WILL THE APPLICANT OR FU RE HAZARDOUS OCCUPANT HANDLE q R GREATER THAN THE J y ORA MIXTURE CONTAINING P HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, en owner Of the property, am theexcproject contracting n 44, AMOUNTS ePECIFIED E HAZARCOUS MATERIALG INFORMATION GUIDE? a " FINAL BY > NO licensed contractors to construct the project (Section 7044, YES H nom: Business and Professions Code.) WILL❑THE INTENDED USE OF THE BUIDLING BY THE APPUNAW OR FUTURE BUILDING w`; -•A 1' �JJ�, '}I}�v i 1J OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH L! - CONSTRUCTION LENDING AGENCY COAST AIR.QUALITY MANAGEMENT DISTRICT(SGAOMD)SEE PERMITTING CHECKUST FOR 4 EMS C!1'� GUIDELINES i 1 I hereby affirm that there is a construction leading agency for YES El No - L the performance of the work for which this permit is issued(Sea moi-_a-_'- m cg} HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING H 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, r-a=�.� TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 230.(40 CONCERNING HAZARDOUS l(\ 3 Lender's Name MATERIALS REPoRIING AND FOR OBTAINING A PERMIT.FROM THE SGADMD. o Lender's Address 0 orvrvcR of Acerv* o I certify that I have read this application and State underpenally of perjury that the above information is correct.I agree to Comply P.C.FEE PERMIT FEE a _� with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE ato^entP,Lup�on above-mentio�ned pry p�/�'far,inspection purp ses l hy\ Ind INVESTIGATION FEE TOTAL FEE T Cao SEE REVERSE FOR EXPLANATORY LANGUAGE