HomeMy Public PortalAbout5243 HALIFAX RD_Building__ DEPARTMENT OF BUILDING AND SAFETY 1 APPLICATION FOR PERMIT ill% /yam
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER B ' ® I
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
- BUILDING DISTRICT NO. PLAN CK.NO."q PERMIT NO.
ADDRESS F .L,L V.
LOCALITY ��M IPl I T RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST ��•E� �(J f✓S O ��
CROBB-ST.
Ce/l/1T CO BUILDING
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OWNER F {.( T,��"/' ADDRESS
MAIL
ADDRESS .j /_ , (.d 4 �2R0O �[ 1/Q. LOCALITY
6-3 O
NEAREST
TEL.
SL. CROBB BT.
CITY /4'f1917/�i�✓A No. il6/7/♦ - -
FIRM NO.OF TYP GROUP
ARCHITECTOR TEL. ZONE PLANS Z
ENGINEER NO.
BLDS. /
ADDRESS SETBACK LINE
APPROVED -
CONTRACTOR NO. BY DATE
USE APPROVED '
ADDRESS BB !�/�. ZONE BY DATE
LEGAL I, CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
��^ �. fL I NO.OF BLDG..
SIZE OF LOT
NOW ON LOT
USE OF I NO.OF I NO.OF - -
EXISTING BLDG. FAMILIES ROOMSP
DESCRIPTION OF WORK
NEW ALTERATION ADDITION -
O
REPAIR MOVING DEMOLISH p
Sq.FT. NO.OF _ _ ZD
SIZE �ScS ROOMS STORIES /
WALL ROOF //
CO
—COVERING�T!/CGf] I ^COVER INOde%odO,17,1 diJ
USE OF NEWS-t'�.D�/VIC/Y
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION SPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS - ef yiy.�/
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
(/NO11,1/` FRAME: FIRE STOPS, �
SIGNATURE OF BRAC INB,BOLTS �'/�y/K� �4 Y��
PERMITTEELATH,INT.:
AUTHORIZED AST LATH,EXT.: /
OBS-3 SOM BETS 1-48 $ G 2OL7 P.C.$� All
PLASTER,INT.
FEE I PLASTER,EXT.
�� ��
VALUATION FEE o— FINAL
76A63BA DOS-3 12.54
APPLICATION , FOR- BUILDING PERMIT 1
DMSION OF BUILDING AND SAFETY BUILDING`
ADDRESS
r Deportment of County Engineer T---��—
County of Los Angeles LOCALITYr L' ,
WM. J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.'GRIFFIN, SUPT OF BUILDING" CROSS ST
DISTRICT NO. GROUP SEWER MAP
FOR-APPLICANT TO FILL IN �� I TYPE /' -BK PG
BUILDING a'�°r•� j�,ri� (,( CONST -
ADDRESS� /rLI:'�f•Z L r•(f r NUMAP MBER A0 STAT
LOT-NO. / BLOCK USE ZONE SPECIAL -
„- •_. CONDITIONS
"TRACT , IV
J��'�'� -•
�' NO OF.BS.
LDG �y0 V _
SIZE OF LOTa�t ljl, � L NOW ON LOT 4t/y BUILDINGEXIST.
USE OF
SETBACK YARD HWY STREET NAME WIDTH
EXISTING BLDG ` /moi FRONT -
y _ P L _
OW N ER��i ILfC��l CI'e �� I• /� SIDE ,
MAIL P. L.
ADDRESS. •J '� t l�� I7�•G lI�(/ [/i 4.. _ - , - -
qq •�''t' TEL. o'� I DWELL I UNIT 5 INDUSTRIAL
_CITY .-T 1/.LL" C. �l 5 NO /'f.� IV_�j�� -
2 DUPLEX_UNIT 6 PUBLIC BLDG
ARCHITECT OR TEL
ENGINEER NO. - 3 APT - UNITS 7 ADDN ,ALT.,,ETC.
ADDRESS 4 COMMERCIAL 8 MISCEL
TEL.
CONTRACTOR NO. -INSPECTION RECORD
'ADDRESS
DESCRIPTION OF WORK '16z zl/lle-1
/ P
ALTER REPAIR DEMOLISH
SO. FT. L NO OF / NO OF v ��• ' �v /
SIZE l: STORIES 4-1 FAMILIESAW r ,
USE O/F STRUCTURE ) - _
"SIGNATURE OF / l"i•` �� )�� "
APPLICANT l/ /~./• s t i APPROVALS .
ADDRESS r'2. 'I,'-;? DATE INSPECTOR'S SIGNATURE
FOUNDATION LOCATION. n I�J-5�
$ 7 P�/ �1 FEE $ FORMS, MATERIALS 75 �!•7✓ -
„f\ FRAME' FIRE BRACING BOLTS
S'
VALUATION $ L
FEE p FURNACE LOCATION,
GAS VENT, DUCTS
I AHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE BOVE IS CORRECT _
AND'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. -
AND STATE LAWS, REGULATING BUILDING CONSTRUC-
TION. LATH, EXT. _
NUMBER _
SIGNATURE ERMITTEEF� � = 4/-45 '.' HOUSE
RECT AND POSTEDR
ADDRESS ^_ •'� l :.�F"' � F .,FINAL
VVM. J. FOX. CouNTY ENGINEER VALIDATION
B,Y Q6 4 55B'0AUG " 9 1 8.0 0 In
DEPUTY DEPUTY
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BY BY
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