HomeMy Public PortalAbout10604 FAIRHALL ST_Building__ - �Zz '
76A638A CE#'0 I_62 APPLICATION FOR BUILDING PERMIT `
COUNTY OF LOS ANGELES 6'L-'N
r DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER -NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DIST RI T NO GROUP TYPE CESSED BY
FOR APPLICANT TO FILL IN � coNsr. `
BUILDING STATISTICAL CLASSIFICATION EWER MAP ,
ADDRESS Q6'Q �%,.. / c - X ,^�, BK PG
CLASS NO V DWELL UNITS -
LOT NO BLOCK WATER' NOT REQUIREDRECEIVED -❑
_ CERTIFICATE. -
TRACT �S MAP HIGHWAY STATE MAJOR SECOND. OCAL
NO.OF BLDGS NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG /-/ '
TE '
OWNER N �.?SD/ BUILDING. YARD HWYSTREET N tN E' WIDTH'•• -
/� SETBACK ,qA
ADDRESS/0,00+" /� S 717..101- C./ FRONT
P
ARCHITECT OR TEL . L
ENGINEER NO. SIDE
ADDRESS P. - n/
TEL S ��f✓/!f% J'�+'__
' 3 � u. �.inti- u'
CONTRACTOR NO
ADDRESS l �J
DESCRIPTION OF WORK
W
CL
H
NEW . ADD ALTER REPAIR DEMOLISH Z
SQ FT. NO. OF NO OF 14-p/;
SIZE pf�/ ^'STORIES .FAMILIES gyp..
USE
ST R UOCT U R E e* �f rj 6OO^, g ��<:�r+a:f l eE>f
v 1
h OSQ C�IYiJ747 6t77
0
SIGNATURE OF - -
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 0 FOUNDATION- LOCATION -
FEE $ FEE $ _ FORMS, MATERIALS
.FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION BRACING. BOLTS Y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS '
BUILDING CONSTRUCTION I CERTIFY THAT IN 'DOING THE WORK
AUTHORIZED HEREBY i WILL NOT EMPLOY ANYJ PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF/CAL'I FORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE - +
" r LATH. EXT.
SIGNATURE HOUSEfNUMBER COR-
PERMITTEE �l/�//�C/G/ RECT'AND POSTED
ADDRESS O _ FINAL'
JOHN,F. LEWIS, PRINCIPAL STRUCT RAL'EN G :>
PLAN CHECK VALIDATION !cK-, ; MO.A',CASH _ PERMIT-.VALIDATION DK M.O AQSH
tat 03 �tl-'r s
q N ':••t` f
• / to�.,�. :�; Y r "''e"'
DEPAMIENT. OF COUNTY ENGINEER
r' DMSION OF BUMDING AND SAFETY - -'
COUNTY OF LOS ANGELES '
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
1� CAS8ATT D. GRIFFIN, SUPT OF-BUILDING 4 . I
FOR APPLICANT TO FILL IN , FOR OFFICE,.USE ONLY
BUILDING DISTRICT NO. ',PLAN CK.OryR�REc.NO. PERMIT NO?•
ADDRESS -may ` �� ��1I I/ �Q s . (.l .7 7 J .O y :387 �-1 '
LOCALITY YIT� /� C tA�RECEIVED BY' i DATE OFAPPL. DATE ISSU�rD
CROSS ST.,T' / /a7 /,'� O/,+'
BUILD
-OWNER G
ADDRESSf ` • E;. �a►r a� t
MAIL LOCALITY t
.ADDRESS" �'7� - Sah' �A��/� .• 1
/p ,/ k NEAREST; 1 p
CITY �C� C:i /" T�' _ -�4-/44. CROSS ST. o� i Y•`
FIRE } NO. OF : TYPE: GROUP"'
ARCHITECT OR
TEL1. f,
ENGINEER NO. ZONE PLANS } 1
ADDRESS BLDG. /1
"
/j SETBACK'LINE �CJ
CONTRACTOR �� "/ C uK TEL. 74/4� USE 4 AP
ONE BYFROV - J�f'�A �• _ iy
ADDRESS _J `j HOUSE NUMBERING
LEGAL - MAP NUMBER .1 NO. ASSIGNED BY -
DESCRIPTION LQTNQ. / BLOCK _'} RRECQTIONS' '
TRACT. ` , I O
h I NO. OF.BDG8.
SIZE OF LOT V NO ON LL
OT bdI
USE OF NO. OF
EXISTING BLDG. FAMILIES t
DESCRIPTION OF WORE -
0
;—,-T-
NEW
DEMOLITION I—I ADDITION I D
REPAIR Z
D
r
SQ. FT. ' NO. OF /
SIZE ROOMS STORIES Q
EXT. WALL ROOF /1
•
-COVERING `I COVERING
USE OF STRUCTURE -
APPROV LS '
INSPECTOR'S SIGNATURE DATE
S S dl •, FOUNDATION: LOCATION
FORMS, MATERIALS
'1 HEREBY'ACKNOWLEDGE THAT 1• HAVE READ THIS AP-' 'FRAME:' FIRE STOPS, ' �a
PLICATION AND STATE THAT THE INFORMATION GIVEN. IS BRACING,-BOLTS
CORRECT. - FURNACE: LOCATION, -
.1 AGREE TO COMPLY WITH ALL- COUNTY ORDINANCES GAS VENT, DUCTS
AND STATE'LAWS REGULATIN/G/-�BUILDING;,C/�ONSSTRUCTION.
SIGNATURE OF /YI �/ 1 I LATH, INT. - ya.�
PERMITTEE ���111 { 4 J
s
LATH. EXT. - 11 % (f
ADDFRESS'
• -• STER,.INT. ! r'
AUTHORIZED AGT. " ' ^ �
_ A PLASTER, EXT. u
'FEE HOUSE NUMBER COR-
RECT-AND POSTED
VALUATION �t (/�V !8 O -
FEE ,2 2 FINAL
•76A89BA,DBH 8 8-8Y' -