HomeMy Public PortalAbout5203 HALLOWELL AVE_Building__ DEPARTMENT OF -BUILDING AND SAFETY. APPLICATION FOR PERMIT
COUNTY"OF LOS ANGELES VD, G
WM. J. FOX, CHIEF ENGINEER i
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
_ DISTRICT NO: PLAN CK.NO. •PERMIT NO.
'BUILDING
ADDRESS
LOCALITY `• '/ s A RECEIVED BY,r DATE
hOF,APPL. -DATE-ISSUED
NEAREST
'49
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CROSS T.
ILDING
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OWNER �//1� �, �+ s..
MAIL LOCALITY.i / G, 6T C-i
ADDRESS NEAREST
TEL. _ _ CROSS ST. _ �r •. / I /\ __ _
'CITY �.Y NO. FIRE NO.OF TYPE GROUFi—'
ARCHITECT OR TEL. ZONE �P PLANB �
ENGINEER NO. , "" •"' - -
ADDRESS SETBACK LINE 1_0 ` �� '•/��•
TELAPPROVED,,
,\-
CONTRACTOR � NO.. BY DATE
_ USE APPROVED
ZONE SY DATE
ADDRESSLEGAL
DESCRIPTION I LOT NO. / BLOCK /LLI� kCORRECTIONS
JTRACT
.OF SLOGS. -
SIZE OF LOT NOW ON LOT i+�tl��`'• z�� t (� '
USE OF N13.131" NO.OF
EXISTING BLDG. I FAMILIEY ROOMS i -
DESCRIPTION OF WORK, �,.
l
NEW ALTERATION ADDITION '_ lxwA; Q..�/\/ .1,
u 1 ' r
4 REPAIR MOVING DEMOLISHrL}3 •/Y �J V )� J � GI
SQ.FT. �j NO.OF j Z
SIZE �J}'9aa ROOMS STORIES / pyL /-��.� r -
OVI .�ti I ROOF . %?
COVERI G �,,, COVERING ,ra{JCp,,;t,
USE ��yy
.OF NEW (�
BUILDING n X1 ..R'.
AL
CIA-
I HEREBY ACKNOWLEDGE THAT 1 HAVE-READ THIS ,�- •APPROVALS! n
APPLICATION AND,STATE THAT THE ABOVE IS CORRECT .FOUNDATION: LOCATION /INSPECTOR DATE
AND AGREE TO-COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS �1, , `� 01
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - !9
- FRAME: FIRE STOPS:
SIGNATURE O BRACING,BOLTS ��/�•�\
PERMITTEE �"- I
LATH,INT.: � // G -yp.-/�
AUTHORIZED AOT
LATH,,EXT.: ,
DBS-3 SDM SETS 7-47 ' $ ,p P.C p p PLASTER, INT.
D � FEE PLASTER,EXT.
VALUATION FEE ,.V •'� FINAL
/
76A638A CEtk803 5-65 APPLI-CATION FOR ;BU LLDI N - ERMIT - . - LJ •--
COUNTY OF LOS ANGELES B U I L D I N G
DEPARTMENT OF COUNTY ENGINEER ADDRESS ' `_;2C9•
BUILDING AND SAFETY -DIVISION _LOCALITY
JOHN A. L•AMBIE. COUNTY ENGINEER NEAREST
COLEMAN W JENKINS,SUWT OF BUILDING CROSS ST. _
DISTRICT NO OUP- TYPE. ., ,P C S d_ i •
FOR APPLICANT TO FILL IN coriST.
BUILDING STATISTICAL CLASSIFICATION- SEWE�MA PADDRESSCLASS NO-2-4-DWELL: UNITS BK .PG• J(
LOT NO BLOCK USE ZONE -MAP'��
NO
TRACT � ' '-SPECIAL
_ CONDI TI ONS
_ NO -
SIZE OF LOT NOWOF BLDOS.
ON LOT
USE OF -
EXISTI G ELLOG. - BLDG. SETBACK FROM _
T,EL FRONT PROP. LINE OF J (STREET)
OW TYPE OF -EXISTING SETBACK -'HIGHWAY + YARD - - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
.-
-CITY - -
ARCHITECT OR TEL BLDG SETBACK FROM
ENGINEER SIDE PROP. LINE OF '� (STREET)
TYPE OF EXISTING SETBACK HIGHWAY _}, YARD' = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
07 +C so
LIC CORNER CUTOFF YES
A NN �'O
O
OC'
U
IT Y L�c 'SEE REVERSE SIDE FOR SPECIAL APPR VALS -0=
DESCRIPTION OF WORK W
a.... .a
-NEW ADD - ALTER REPAIR DEMOLISH
SQ.FT L NO. OF NO. OF - -?
SIZE STORIES FAMIES
USE OF '
STRUCTU E- -
SIGNATU E OF i - -•
APPLICANT - -
VALUATION$ . - n -
APPROVALS • DATE INSPECTOR'SSIGNATURE .
P C. PMT. FOUNDATION, LOCATION
FEE$' .' FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS, • •-
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION BRACING BOLT§.T
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION _
WITH ALL COU NTY'•ORDINANCES AND'STATE LAWS REGULATING GAS VENT. DUCTS _
_ 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY.I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S Cn MPENSATION INSURANCE - LATH.•EXT.
.01
SIGNATURE OF HOUSE NUMBER COR-
PERM ITTEE
OR-PERMITTEE RECT AND POSTED
ADDRESS FINALol
JOHN F. LEWIS. RINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CKF M O CASH _ PERMIT VALIDATION cK M.O CASH'
o•
7 5" ALIG G 2 1 D 4.6 3-rL
"
"� 8 7 5:o AUG 1 a 1 8.5 0.�' '
Utt�o 2