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HomeMy Public PortalAbout4837 HALLOWELL AVE_Building__ iOAS38A C6#BOD O-EB APPLICATION FOIA: BUILDING PERMIT '- 'COUNTY ERMIT ''COUNTY .OF LOS ANGELES BUILDING DEPARTD�NT OF COUNTY ENGINEER" ADDRESS . BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. DISTRICT N .GROUP TYPE CESSED BY FOR APPLICANT TO FILL IN `' I CONST I ,BUILDING. p �J _ S WER'M P ADDREss:� 3/ �AL.L p N/F_�L 1/F_ STATISTICA ^L ^��CL��ASSIFICATION {g)BK LOT NO: yC/ - 'CLASS. NO.a�DWELL:UNITS Q BLOCK MAP • c STATE YES NO TRACT �d 9 O NUMBER (/ HWY. VSE ZONE SPECIAL• _ NO. •1 OF BLDGS. ! CONDITIONS SIZE OF LOTS6X-I q O I NOW ON LOT nn�/� USE OF - �QQy EXISTING BLDG. / BUILDING EXIST.. /� SETBACK YARD HWY •STREET.NAME WIDTH OWNER[/ON'A L O- �C '/fi'/�•F F /n/G� FRONT i) MAI L-" Q• w/ pA P.L: O` _ ADDRESS ,11$•3 7 'Y Ag ISD 6s R LL I! P,F SIDE C TE G P:L. In _ v� I j INSPECTION RECORD ARCHITECT OR - TEL. ' ENGINEER NO.' ADDRESS TEL. CONTRACTOR 0W IVJ--lell NO. ADDRESS- DESCRIPTION ESS - DESCRIPTION OF WORK NEW' ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO,OF sUT /,2 STORIES FAMILIES - USE OF STRUCTURE _ SIGNATURE OF. ` APPROVALS APPLICANT D 'TE INSPECTO -S SIGNATURE ADDRESS FOUNDATION: LOCATION n _ FORMS,MATERIALS S`-00 FEE .� FBRACING, BOLTRAME: FIRE S S" VALUATION $ �,� FURNACE: LOCATION. jf k .FEE GAS VENT,DUCTS I.HEREBY,ACKNOWLEDGE THAT 1 HAVE READ THIS AP- - LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE ULATING BUILDI C NSTRUCTf'ION. LATH, EXT. S " SIGNATURE OF HOUSE NUMBER COR- PERMITTE L RECT AND POSTED _ ADDRESS T� 'FINAL - LOJbq CLYDE N.DIRLAM, P NCIPAL STRVCTURA, ER FLAN CHECK-VALIDATION CK. ,M.O. CASH_ PERMIT VALIDATION I CK. I M.O. CASH 0.2 .2'3 3'tn FEB . 3 1 A 9'.0"0 . 78A898AIdE#803.10.58 APPLICATION FOR BUILDING PERMIT- BtUDING AND-SAFETY DMSION BUILDING 3 t Department of County Engineer ADDRESS County of Los Angeles _ LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. lAffer.mm 21M •DISTRICT NO. - GROUP TYPE' - - SEWER 'MAP - FOR APPLICANT TO FILL-IN o'er CONST, BUILDING ADDRESS 4e37 Hollowell - STATISTICAL CLASSIFICATION - - LOT NO. BLOCK CLASS. NO. DWELL. UNITS MAPSTATE NUMBER l D HWY TRACT - USE ZONE SPECIAL v 4}A� NO. OF BLDGS. ` CONDITIONS'- - - • - ' SIZE OF LOT�� x y I' NOW ON LOT •- ,�/ USE OF fiesideIIce� _ ` ` EXISTING BLDG. - BUILDING EXIST. YARD HWY STFtEET_NAME • •_ SETBACK•-- . - ,.r_.r -• 'WIDTH ' OWNERFRONT —T' MAIL _ P. L. _ 91A SCh4fing ADDRESS - SIDE TEL. P.L. CITY NO -- INSPECTION RECORD' ARCHITECT OR - TEL. -- __ ENGINEER - NO: �4 �1 - - ` ADDRESS 11 TEL, CONTRACTORYa112�ae$t iMS00 NO. -At T0i - - ADDRESS 305 E. Valles San Gabriel DESCRIPTION OF-WORK NEW - ADD ALTER REPAIR DEMOLISH - • _ SQ:FT.. NO. OF NO. OF SIZE STORIES _ FAMILIES - - - - •- USE OF STRUCTURE Forced All Heatihe Cooling APPROVALS SIGNATURE OF APPLICANT Cey - _ 'DATE -INSPECTOR'S SIGNATURE ADDRESS 305 1 ValFOUNDATION: LOCATION - - - 'I IFORMS,.MATERIALS P. C. S FRAME: FIRE STOPS.- - FEE BRACING, BOLTS ' S FURNACE: LOCATION. VALUATION M GAS VENT, DUCTS FEE 6.00 -. - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATHEXT - - STATE LAWS REG LATING UILDING CO , .STRUCTION. - SIGNATURE OF HOUSE NUMBER COR- - - PERMITTEE ECT AND POSTED ADDRESS INAL CLYDE N. DIR6,AM. PRINCIPAL STR RAL ENGINEER JOHN'A.LAMWE. COUNTY ENGINEE;, PLAN CHECKLI VALIDATION C M.0, CAS H ERM T.VALIDATION CK.' M.O. CASH 6 k,'O 4. /n 79AeiSAcs Bose-,. APPLICATION FOR . BUILDING PERMIT COUNTY OF LOS ANGELES �BUILDING� clo f'1�CGL a'G ,. DEPARTMENT OF COUNTY'ENGINEER , . �j'� BUILDING-AND SAFETY DMSION LOCALITY-re_-,""0/-,6C, j JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ' CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. bL�L- ZL*fes DISTRICT.NO. GROUP TYPE P CES /BY FOR APPLICANT TO FILL IN 1. CONST.j/ -BUILDING �/ SEWER MAP ADDRESS ,// (gLL0b2i �L /% ")E STATISTICALXLASSIFICATION I BK 'PG - CLASS. NO.._GL�DWELL. UNITS�1 .L LOT.NO.. - BLOCK MAP STATE - YS NUMBER HWY. - TRACT. C. USE-ZONE SPECIAL y NO.OF BLDGS. CONDITIONS SIZE OF LOT i X I Q I NOW ON LOT a. USE OF. BUILDING EXIST. EXI • -TI 'D YARD HWY STREET NAME _ SETBACK' WIDTH OWNER FRONT a�! �./ ADI RMALESS 9 3 1 tllgc.i G GVF L/� p kl=- SIDE 'erG ` CI F i-E- C•/J' NEIL d y I P.L. .. INSPECTION RECORD ARCHITECT-OR, TEL - ENGINEER /YNO s.. TEL. CONTRACTOR NO. ADDRESS' DESCRIPTION OF WORK -� V NEW ADD ALTER REPAIR- . DEMOLISH SO:FT. Lq NO.OF NO.OF SIZE • STORIES FAMILIES SIGNATEOF r APPROVALS 'APPLI ANT D �� ATE INSPECTOR'S SIGNATURE ADDRESSIW2 'LG+� G• FOUNDATION: LOCATION G ' ' - FORMS.MATERIALS � v-- �7 P.C. $• �© FRAME- FIRE STOPS,• .® -I'3-�'`� ►`,� . p/ FEE BRACING, BOLTS� 9C: FURNACE: LOCATION. �- GAS VENT, DUCTS � / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. ' • PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNT ORDINANCES AND STATE, LAWS EGULATI BUILDI O TRUCTION. LATH, EXT. - SIGNATURE O HOUSE NUMBER COR- PERM ITTFE: OR-PERMITTE RECT AND POSTED T p � ADDRESS-513' ! -�' 7 "C* t FINAL CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER ' PLAN CHECK VALIDATION CK. M.O.. CASH PERMIT VALIDATION CK. I M.O. CASH 2'9':6'8: ' {SRR' 3 .2 :, o3r3' ;7 8 „ 4._' :' APPLICATION .FOR B61 ILDING PERMIT COUNTY. OF LOS'AMGELE^�r, BUILDING`ANCiSET AFY �. . _ WORKER'S COMPENSATION DECLARATION_'' FOR APPLICANT TO FILL IN BUILDING ADDRESS ; [ BUILD I hereby affirm that I have.a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance,ora certified"_ i zIP copy thereof,(Sec.380 LOCALITYC) Policy No Company S12E OF LO NO,OF BLDGS NOW ON LOT I ❑'Certified copy Is hereby,furnished - NEAREST CROSS ST; ❑'Certified c py Is'fd d,with.the ounty.buddmg_inPSI ion, ' TRACT - BLOCK -1.`LOT NO' s - USE ZONE MAP NO de tmen - e'ASSESSOR_•MAP BOOK•" PAGE PARCEL Date` plicant -b­ . SPECIAL CONDITIONS H CERTIFICATE OF EXEMPTION FROM WORKERS' ,'; YES ' NO COMPENSATION INSURANCE WITHIN 1000 FT of scHooL� (This section need'not be completed,if the permif)i ,for,,bne hundred .DISTRICT GROUP TYPE NST FIRE ZONE• PROCESSED BY dollars'($100).or less') ZIP I certify that In'the performance of the work,for which°this permitDO s"Issued, I shall^not emplol oy any person in any manner so as;to become subject'to`tfie Workers'Compensation Laws m ARCHITECT O ENGINEER TEL'NO' STATISTICAL CLASSIFICATION APT .CONDO Date - Applicant r •ADDRESS.f . - •'GLASS'NO �L— DWELL UNITS , NOTICE-TO APPLICANT' If, after making this .Certificate of - REQUIRED TOTAL SETBACK FROM EXIST Exemption, .yOU should become subject .,t0 the .Workers" CT ACT R TEL�yp/ - SET_BACK- YARD HWY PROP LINE WIDTH'- , Compensation provisions of the Labor Code, you must forthwith O_ 'FRONT comply with such provisions or this permit shall be deemed revokedL- LICENSED CONTRACTORS DECLARATIONSIDE LIC CLASS �]�' P L ; I hereby affirm-•that;I,am licensed underprovisions of Chapter 9 J SEWER MAP (commencing with Section 7000)of Division 3.of the Business'and S SIZE NO OF STORIES NO OF-FAMILIES. Professions Code,and y ice is in full force a e NEW ❑ BK PG tr SCR( ON-OF-WOR .VAL ATIO License,Nu er is Class ADD ❑ Q Contract Date' ALTER ❑ $ C.1 ❑ 1 am exempt under Sec _ REPAIR ❑ O ? - U B&PC. for this-reason DEMOL ❑- _ _ LDMA P/C# _ • �jJ • -' Date - US OF (STING BLDG _. �• •URM ❑ Ij. -. - . - ,i-' •1 d Signature APPLICANT(PRINT) ', - _,, . TEL NO _ L_DMA•Perm# • f �`�#�•4 ITE 3c•� EII, as owner of•the,property, or my,employees with wages'as z 1,i f Ere ,their sole compensation, wlll,d'o,the work and the structure is ADDRESS _ not intended or offered for sale (Section-7044, Business and - FINAL�DATE i Q TOTAL'I AL' - ' S'9 — '15 Professions Code) -9.15 'WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL i7+; OR A MIXTURE CONTA NING,A HAZARDOUS MATERIAL EQUAL TO OR.GREATER THAN THE ��~ �' J -CHEC � ❑ 1, as owner of the property,'am exclusively contracting with' AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE FINAL licensed contractors to construct the project (Section 7044, CHANGE Business and Professions Code). VES❑ NO❑ r a WILL'THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE,BUILDING .. r - _ OCCUPANT REQUIRE-A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY + COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMfrTING CHECKLIST FOR,' t ((�1(5?!�y�_�}(7J�{ f`ii tiL+,” - 6UIDEUNES _. .. � � '� 00C 1.�3V01 •_G Lhereb*affirm that•there is a-construction lending agency for y• g 9 y YES❑ ,-NO❑ N' the performance Of the work for which this permit is issued(Sec f 1 . OM °i I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ' - �/ ,;3097,-CIV C) .r�' - CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES�COUNTY CODE, - `' • - t` _ TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS' - 3 `, Lender's Name - MATERIALS REPORTING,AND FOR OBTAINING A PERMIT FROM THEBCAQMD , IL 'Lender's Address - O - OWNER OR AGENT, o Icer fy that I have read this application and state under'penalty - .o - a - - P C FEE' ' PERMIT FEE - d of p jury that the above information'Is correct I agree to comply;" a dh all county ordinaJjae State.'laws relating to building n ruction, and h ebsentatives of this unty ISSUANCE-FEE - m / pp t upon the ab erty for Inspec n p r INVESTIGATION FEE TOTAL FEE ^{ ni or MP, «neem Oa�e SEE REVERSE FOR EXPLANATORY LANGUAGE '