HomeMy Public PortalAbout9150 HERMOSA DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER.
FOR APPLICANT TO FILL IN { FOR OFFICE USE ONLYBUILDING v i
w yn. ` OISTRICTNO. _.PL-AN'CK:NO-',' --`"PERMIT'ND: j
ADDRESS Q Il _J 1
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LOCALITY /e RECEIVED BY 1 DATE OF ADPL. /DATE ISSUED
NEAREST
CROSS ST. ,.. 7/♦/ I �� �y )/ / �y
OWNER f L�1./,[b lINL '�Vl ADDRESS 41
MAIL ♦yew `® L _ / LOCALITY f T, e. i
ADDRESS /O ll��///}A4r . 'i 1 V( 'C♦s(lJ�✓/JLq/''I Q O' EST
CITK I�'�rN�i/Fi1X/P� • TE / ��665 CROSB BT. ' ♦ �/J�Gr / lY
7 `t FIRE ( NO.CF TYPE / GROUPi/
.ARCHITECT OR Y TEL ZONE�Q 1 PLANS
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ENGINEER NO. _
BLDG. _ ORD.NO.,
ADDRESS
SETBACKLINE
���� APPROVED I
CONTRACTOR W -/�NO.� BY DATE
USE APPROVED f
ADDRESS ZONE /� BY { 1 DATE
LEGAL 1y� /♦� 1
CORRECTIONS
DESCRIPTION
�¢�LOJTNO.+[O/ V BLOCK � ��0 I -O
TRACT 7 //O
NO FOL
SIZE OF LOT o/V- I NOW ON LOGS �j 8 ��,' */90�7.
USE OF • NO.OF I NO.OF
EXISTING BLDG. f`iFitJ I FAMILIES/ I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR DEMOLISH O
MOVING 1 A
O
'SO.FT._ NO.OF Z
SIZE ROOMB STORIES D
WALL ROOF _ _ F
. COVERING I COVERING
UHE OF NEW II �f1/C♦YI _ e ' /�n, 1
BUILDING
A,41 4* 33
1 HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS" APPROVALS '
APPLICATION AND STATE THAT THE A813VE 1B CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE I'
LATH, INT.:
AUTHORIZED AGT LATH,EXT.:
DSS-3 SOM SETS 1-aB $ P C S PLASTER,INT.
FEE
PLASTER,EXT.
VALUATIONI FINAL
FEE � 1