HomeMy Public PortalAbout10650 FAIRHALL ST_Building__ DEPARTNdENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENGINEER APPLICATION '
CASSATT D GRIFFIN, SUPT OF BUILDING 1 }
FOR APPLICANT TO FILL IN FOR OFFICE ,USE ONLY
BUILDING R //� / S_/ DISTRICT NO PLAN OR REc No PERMIT
NO`
ADDRESS (/ b �N�✓� •1r �j6 l4l -" '
LOCALITY C. C/ RECEIVED BY I D7;�
APPLL DAT ISSUED
NEAREST v Lot 9 a " 0 f��
CROSS ST BUILDING 1 6 i I
�. � ADDRESS! G
OWNER `� c/ V ,
ADDRESS MAIL �/ Z S� ��- LOCALITY 1 1
TEL / / / NEAREST `
CITY �� / 6{.' O �- (��B 6 CROSS 3T r 1 a
ARCHITECT OR TEL FIRE ZONE I pLpryg �I TYPE "I GROUP r
ENGINEER NO
BLDG r -
ADDRESS / / SETBACKrLILI�N,E
CONTRACTOR ice^ ,RC1 N NO �D� _ONEUSE e+.,BYPROVED/���lr�L BITE�/
ADDRESS �� J� 1J �r �/ �� i HOUSE NUMBERING
LEGAL }� MAP NUMBER /� ? NO ASSIGNED BY
DESCRIPTION T N D BLOCK }
�� CORRECTIONS- TM'
TRACT jql } y 1
JJ11�� NO OF BLDGS
SIZE OF LOT DCJ I NOW ON LOT h
USE OF N6 OF -- - -.
-EXISTING BLDG FwMtitea
DESCRIPTION OF WORK f o —
REW ALTERATION P IR I-IT-DEMOLITION ADDITION I D
SO NO OF r
S ZE T ROOMS (� STORIESEXT WALL ROOF
y{�
COVERING
OVER NIA G I COVERING r
USE OF STRUCTURE l
APPROv tS
INSPECTOR'S SIGNATURE ATE
Sia/, 0 FOUNDAION
FORMSrMATERIALSION /�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS r -e
CORRECT,
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT, DUCTS
�
SIGNATURE OF / ^ ���/!! LATH, INT
PERMITTEE AAA_
k 11 f1 /
w LATH EXT /
ADDRESS �i
[/�') PLASTER, INT �r
AUTHORIZED AG r
91- eF/6 D PLASTER, EXT ! a S
$ X+�pvr FEE S / HOUSE NUMBER COR- �/
A. RECT AND POSTED
VALUATION V Ll I FEE S 1j FINAL �v//
7GA63SA 088 3 S-SY 1 V y�
76A638A CE fi803 4/72 Temple City
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �� .,��oo �—
AIAhE CHECKS PAYABLE 10 ADDRESS .�� C�
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST
BUILDING
DISTRICT NO GROUP TYPE ROC SSE p BY
ADDRESS 06 Fairhall Sts ' CONST
�U
LOT NO BLOCK (STATISTICAL CLASSIFICATION SEWER CLASS N O _DWELL UNITS BKPG ?
TRACT USE ZONE MAP
NO OF SLOGS ` NO
-SIZE OF LOT NOW ON LOT �' SPECIAL _
USE OF CONDITIONS '
EXISTING BLDG 1'1.
OWNER Mrs. Davis NOL 443-4986 "
BLDG SETBACK FROM .
ADDRESS 16650 Fairhall St. FRqV7PROP LINEOF (STREET)
TY E OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY Temple City HIG WAY WIDTH FROM C L
ARCHITECT OR TEL }
ENGINEER NO BLDG TRACK FROM Off.
ADDRESS SIDE PR E OF (STREET) CO.P
TEL 2 2-19 TYPE OF EXISTING SETB 'H AY + YARD
CONTRACTOR Alhambra Roofing NO HIGHWAY WIDTH FRO C L
O'
ADDRESSL719 So- Marengo- OC t = y�
LIC
CITY CLASS' CORNER CUTOFF YES El NO ❑ Z
CONSTRUCTION LENDER -
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OFADD
STRUCTURE
ALTERrnmpf) Shingles, ❑
REPAIR
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION S 700900
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT FEE S FEE S 12 600 FOUNDATIONFORMS MATERIAASION
PC
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATIO INSURANCE LATH n e� ATH EXT
SIGNATURE OF (�(//!/ HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 712 So. Naren o, Alhambra
FINAL
PLAN CHECK VALIDATION CK M o CASH PERMIT VAIJDATIOND mo CASH
4"8 4:rO�J28 1 0 1 2.0 0 ens
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