Los Angeles County DEPARTMENT of



Los Angeles County DEPARTMENT of

320 West Temple Street, Los Angeles, CA 90012

for REQUESTING a

CERTIFICATE of COMPLIANCE

|= = Please type or print = = |C.C.Number (Official Use Only) |

| |      |

|APPLICANT’S NAME(Indicate: Owner or Vendee) |TELEPHONE/FAX |

|      |      |

|APPLICANT’S ADDRESS |STATE, ZIP CODE |

|      |      |

|ADDRESS of PROPERTY or NEAREST STREET |THOMAS GUIDE Page & Section |

|      |      |

|VIOLATION NO. (If Applicable) |ASSESSOR PARCEL NUMBER |SIZE OF PARCEL (AREA IN |OCCUPANT: | PARCEL INFORMATION: |

|      |      |S.F. or AC.) |OWNER |IMPROVED |

| | |      |TENANT |UNIMPROVED |

ALL APPLICATIONS MUST BE SUBMITTED IN PERSON

Prepare and assemble the following package. (Call (213) 974-6458 for information, if in doubt):

1. This form with the above portion completed.

2. Submit one completed REQUEST FOR CERTIFICATE OF COMPLIANCE FORM.

• TYPE the return address in the top left hand corner.

• Request must be signed in BLUE ink by all property owners. If a CORPORATION or COMPANY is the owner, provide the name of the company and the name and TITLE of the individual(s) signing on behalf of the company along with the ARTICLES OF INCORPORATION, OPERATING AGREEMENT and/or ORIGINAL letter of authorization. DO NOT USE COPY SIGNATURES. SUBMIT ORIGINAL SIGNED DOCUMENT.

• TYPE the legal description on the Exhibit “A” form as it is shown on the Grant Deed. Do not type on back of forms or outside of margins. Do not glue or scotch-tape legal description on form.

3. Submit legible copies of the latest RECORDED GRANT DEED. Include the title policy if available.

4. If the subject parcel is improved with buildings:

• Submit a PLOT PLAN, fully dimensioned on an 8 ½ “ by 11” sheet showing entire parcel, all structures, setbacks, dimensions and parcel area in square feet.

• Submit copies of the original building permit for all EXISTING STRUCTURES on the property.

5. Submit a copy of latest TAX BILL and a copy of the ASSESOR’S PARCEL MAP.

6. Appropriate filing fee (check the current Fee Schedule to determine the fee) payable to the COUNTY OF LOS ANGELES. Parcels found in violation of the Subdivision Map Act or County Subdivision Ordinance will incur additional fees.

INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED

AT THE DISCRETION OF STAFF, THE FOLLOWING DOCUMENTS MAY BE REQUIRED IN ORDER TO PROCESS YOUR REQUEST FOR CERTIFICATE OF COMPLIANCE

PROOF of PHYSICAL and LEGAL ACCESS to the subject property.

Copies of documents supporting original creation of this parcel (e.g. Grant Deeds, Contract of Sale, Records of Survey, Certificates of Exception, etc.)

APPLICATIONS WILL NOT BE ACCEPTED THROUGH THE MAIL

SUBMIT completed package IN PERSON to: Los Angeles County Department of Regional Planning

Land Development Coordinating Center

320 West Temple Street (Hall of Records, Room 1360)

Los Angeles, CA 90012 Phone: (213) 974-6411(Mon-Thurs)

APPLICATIONS MAY ALSO BE SUBMITTED AT THE DEPARTMENTS’ FIELD OFFICES LOCATED IN LANCASTER, SANTA CLARITA, CALABASAS, ARCADIA, EAST LOS ANGELES, LA PUENTE, FIRESTONE AND LOMITA. PLEASE SEE ATTACHMENT FOR THE CORRESPONDING FIELD OFFICE, LOCATION AND OPERATING HOURS.

FOR OFFICE USE ONLY

|C.C.Number |HNM (CE) |FS(CS) |Plotted |

|      |      |      |      |

|Zone District |Zone(Current) |Effective Date |Zone(Previous) |Effective Date |

|      |      |      |      |      |

|Date of Creation |Number of Parcels |How Created |Census Tract |Supv. Dist |

|      |      |      |      |      |

|REMARKS |

|      |

|Filing Fee |Receipt No. |Date |By |VIOLATION |Date |Doc No. |

|      |      |      |      |      |      |      |

|Type of C.C. Issued |Document Number |Date |By |

|      |      |      |      |

Attachment I

INFORMATION

LOS ANGELES COUNTY LOBBYIST ORDINANCE

The intent of the Los Angeles County Lobbyist Ordinance is to make lobbying more open and visible to the general public. In this way the public can be better informed of activities designed to influence official action.

County lobbyists are defined in the ordinance as “…any individual who is employed, contracts or otherwise receives compensation, other than reimbursement for reasonable travel expenses, to communicate directly, or through agents, employees or subcontractors, with any county official for the purpose of influencing official action, if a substantial or regular portion of the activities for which he or she receives such compensation is for the purpose of influencing official action.” Lobbyists are required to register, pay a registration fee and disclose their lobbying activities on designated forms with the Executive Office of the Board of Supervisors (address below).

The ordinance also requires anyone who applies for a County permit to sign a certification. This is to state that they are aware of the lobbyist ordinance and if they are represented by a lobbyist that the lobbyist is complying with the ordinance. To implement the provisions of this ordinance and to make compliance simpler for those who are not lobbyists, the Department of Regional Planning has prepared the certification form on the other side of this sheet.

If you would like to obtain a copy of the ordinance you may contact:

Executive Office of the Board of Supervisors

County of Los Angeles

Kenneth Hahn, Hall of Administration

500 W. Temple Street, Room 383

Los Angeles, CA 90012

(213) 974-1093

The Department of Regional Planning has copies of the ordinance available for review at their offices located at:

320 W. Temple Street, Room 1360

Los Angeles, CA 90012

Between the hours of 7:00 a.m. and 6:00 p.m.

Monday through Thursday

Their offices are closed on Fridays

LOS ANGELES COUNTY

DEPARTMENT OF REGIONAL PLANNING

CERTIFICATION OF LOBBYIST REQUIREMENTS

(Ordinance No. 93-0031)

Ordinance No. 93-0031, Los Angeles County Lobbyist Ordinance, effective May 7, 1993 requires certification that each person who applies for a County permit is familiar with the requirements of Ordinance NO. 93-0031 (Lobbyist Ordinance) and that all persons acting on behalf of the applicant have complied and will continue to comply with the requirements of said Ordinance through the application process.

I hereby certify that I am familiar with the requirements of Ordinance No. 93-0031. I further understand that the making of such a certification, and compliance with this Ordinance shall be conditions precedent to the granting of the requested permit, license, contract or franchise.

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|Applicant | |Date |

PERMIT NO(S).

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PLEASE SEE REVERSE SIDE FOR INFORMATION ABOUT THE ORDINANCE

RECORDING REQUESTED BY

Department of Regional Planning

320 West Temple Street

Room 1360, Hall of Records

Los Angeles, California 90012

AND WHEN RECORDED MAIL TO

|Name: |      |

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|Street: |      |

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|City: |      |

SPACE ABOVE THIS LINE FOR RECORDER’S USE

CERTIFICATE OF COMPLIANCE

REQUEST FOR CERTIFICATE OF COMPLIANCE

I/We the undersigned owner(s) of record (and/or vendee(s) pursuant to a contract of sale) in the following described property within the unincorporated territory of the County of Los Angeles, hereby REQUEST the County of Los Angeles to determine if said property described below complies with the provisions of the Subdivision Map Act (sec. 66410 et seq., Government Code, State of California) and the Los Angeles Code, Title 21 (Subdivisions)

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|Signature | |Signature | |Signature |

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|      | |      | |      |

|Name & Title (Typed or Printed) | |Name & Title (Typed or Printed) | |Name & Title (Typed or Printed) |

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|      | |      | |      |

|Date | |Date | |Date |

LEGAL DESCRIPTION

SEE ATTACHED EXHIBIT “A”

EXHIBIT “A”

     

|Los Angeles County Building and Safety Offices & Planner Office Hours |

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|To see a map of the field office locations, click here. |

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