Form Ladbs 08 B 9A – Fill Out and Use This PDF

City of Los Angeles

Department of Building and Safety

INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR

REPORT OF RESIDENTIAL PROPERTY RECORDS AND PENDING SPECIAL ASSESSMENT LIENS

Created 8/10/2001, Last Revised 1/29/2003

A.ENSURE THAT THE PROPERTY ADDRESS IS IN THE CITY OF LOS ANGELES. Make this determination before submitting the Application to us for processing. Consult a recent version of the Thomas Guide to verify that the property for which this report is being sought is in the City of Los Angeles.

Please be advised that if any work is/was performed on your report, you may not be entitled to a refund, per L.A.M.C. Sec. 22.12, 22.13. This includes but is not limited to duplicate requests and canceled requests.

B.A separate application and fee must be submitted for each parcel. It is rare that a property contains more than one parcel.

C.Complete the following fields on the Application.

1.Assessor Number From County Tax Bill, Escrow Number, and Post Office City: (Area 1 of Application)

ΥAssessor’s Number: Consists of a Map Book, Page, and Parcel number. Submit one Assessor Number per report. Each condominium unit, or parcel or legally-tied parcels being sold require a separate report and fee.

ΥEscrow Number: Provide the escrow number, if applicable.

ΥPost Office City: Provide the Post Office city of the property, if known.

2.Street Address and Description of Property Being Sold: (Area 2 of Application)

Multiple lines are provided to indicate multiple address information along with the associated property description.

ΥStreet Address: Include the street beginning number, street ending number (if applicable), and street name and type (such as Ave, Blvd, Pl, St). Provide the condominium unit number when the property being sold is a condominium.

ΥDescription of Property Being Sold: Indicate whether the property being sold is a vacant lot, or has either a one-family dwelling or specify other type of structure(s) on the property.

3.Legal Description of Property as Shown on Grant Deed: (Area 3 of Application)

ΥTract, Block, Lot: The legal description will always contain a tract, but may not have a block or lot. Attach a copy of the legal description when it is a metes and bounds (measured boundaries) or is complex in nature.

4.Mail Completed Report To and Person to Contact for Additional Information: (Area 4 of Application)

ΥMail Completed Report To: Indicate the name and address where the completed report should be mailed.

ΥPerson to Contact for Additional Information: Provide a person’s name and phone number that can be contacted for additional information. If applicable, also include an e-mail address and fax number.

5.Complete and Include the Declarations Attachment: (Area 5 of Application)

ΥNo photocopied or altered Declarations Attachments will be accepted: The Declarations Attachment cannot be reworded or altered in any manner, and must contain the original wet signature of the owner and buyer, as applicable.

D.Enclose a check or money order for $70.20. Do not send cash. Only pre-printed checks will be accepted. Make check or money order payable to: DEPARTMENT OF BUILDING AND SAFETY.

E.Mail the completed Application, the original signed Declarations Attachment, and payment to:

Department of Building and Safety

201 North Figueroa Street, 4th Floor, “Cashier” Los Angeles, CA 90012

F.If you have any questions, please contact us at (213) 482-6777.

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City of Los Angeles - Department of Building and Safety

APPLICATION FOR REPORT OF RESIDENTIAL PROPERTY RECORDS AND PENDING SPECIAL ASSESSMENT LIENS

LADBS 08-B-9a (4/16/2002)

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City of Los Angeles - Department of Building and Safety

REPORT OF RESIDENTIAL PROPERTY RECORDS DECLARATIONS ATTACHMENT

(Per L.A.M.C. Sec. 22.12, 22.13., refunds are not granted for a report where ANY work has been done on the report.)

The Owner must complete item B in Section I for all reports. If the owner cannot complete all declarations under item A of Section I, the Buyer must complete Section “II. Buyer’s Declaration.”

I.OWNER’S DECLARATION:

I, as owner, declare under penalty of perjury that the following statements are true and correct for the residential building for which this report is sought.

A.The following device(s) and/or material has/have been or will be installed as indicated below.

(1) Water conservation devices 9 have been installed 9 will be installed in compliance with Los Angeles Municipal Code (L.A.M.C.) Section 122.03.

***Water Conservation Certificate of Compliance, as specified in L.A.M.C. Section 122.03, must be filed prior to the close of escrow with the Department of Water and Power (LADWP). A Certificate of Compliance form may be obtained by calling LADWP at (888) 284-6130.***

Further, I (Owner) certify that smoke detector and impact glazing/approved film for sliding glass panel of sliding-type doors will be installed prior to entering into an agreement of sale or contracting for an exchange of said residential property, or, where an escrow agreement has been executed in connection therewith, prior to close of escrow, and that within 10 days after installation, I will so advise the Department of Building and Safety in writing to Residential Property Records, c/o Cashier, 201 N. Figueroa St., 4th Floor-- Counter G, Los Angeles, CA 90012-4869.

B. 9 The property for which this report is being sought is one acre or less in size. 9 The property for which this report is being sought exceeds one acre in size and I have inspected the property for the existence of oak trees. (For the purpose of this declaration the definition of “oak trees” set forth in L.A.M.C. Section 46.01 shall apply.) The number of oak trees identified as located on this property is ____________. (If none, write “0".) I authorize

the Department of Building and Safety to verify this information by entry upon the subject property. I understand that a fee, as specified in L.A.M.C. Section 98.0412(a), shall be collected by the Department of Building and Safety for any inspection required to verify this declaration.

Signature of Owner____________________________________ Print Name________________________________ Date_______________________

II.BUYER’S DECLARATION:

I, as buyer, declare under penalty of perjury that the following statements are true and correct for the residential building for which this report is sought. A. The following device(s) and/or material has/have been installed as indicated below.

(1)9 Water conservation devices have been installed in compliance with Los Angeles Municipal Code (L.A.M.C.) Section 122.03.

(2)9 Lights and locks have been installed in compliance with L.A.M.C. Section 91.8607. 9 The Lights and Locks Ordinance does not apply since no apartment building (3 or more units) is currently present on the property for which this report is being sought.

(2)9 Impact Glazing/Approved Film for sliding glass panels of sliding-type doors will be installed in compliance with L.A.M.C. Division 24. 9 Impact Hazard Glazing Ordinance does not apply.

Further, smoke detectors in compliance with L.A.M.C. Section 91.310.9 and impact glazing/approved film for sliding glass panels of sliding-type doors in compliance with L.A.M.C. Division 24 will be installed by Buyer within 30 days after entering into an agreement of sale or contracting for an exchange of said residential property, or, where an escrow agreement has been executed in connection therewith, within 30 days after the close of escrow, and that within 10 days after installation, will so advise the Department of Building and Safety in writing to Residential Property Records, c/o Cashier, 201 N. Figueroa St., 4th Floor-- Counter G, Los Angeles, CA 90012-4869.

Signature of Buyer______________________________________ Print Name__________________________________ Date_____________________