HomeMy Public PortalAbout5211 HALLOWELL AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER L
FOR APPLICANT TO FILL IN FOR OFFICE.'USE ONLY
UILDDISTRICT NO. PLAN CK,NO. PERMIT NO.
ADDREBB DISTRICT h' ?. 9�7-,�y �y ��'� •��
LOCALITY T10ACRECEIVED BY DATE
jorAPpPPLL. DATE ISSUED
NEAREST (`
_ CROSS BT. /L.O.4, I/ �J 1
BUILDING /
OWNER ISS - CA ADDREBB
MAIL �c1/ LOCALITY e
ADDRESS �,� CDS,-O,e �O RJiC✓O�• _ .
NEAREST "
CITY ey" NO. Y6 I YI CROSS BT.
FIRE NO.OFTYPE GROU
ARCHITECTOR TEL. ZONE PLANS ?/
ENGINEER NO.-
BLOB. �y ! R N
ADDRESS SETBACK LINE GSC!
APPROVED
�^ TEL. BY DATE
CONTRACTOR d /�J/� l NO. -
p USE APPROVED '
ADDRESS /.3 G ✓/C ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. I BLOCK JiD
TRACT / 7 4
SIZE OF LOT S3 13 I NO.OF BLDGB. '
NOW ON LOT 8
USE OF NO.OF NO.OF
EXISTING BLDG. C.0 I FAMILIES ROOMS d _
DESCRIPTION OF WORK
NEW ALTERATION 'ADDITION -
O-
A
REPAIR__j MOVING DEMOLISH p
S4•FT. NO OF Z
SIZE 9.S ROOMS STORIES D
WALL / ROOF
— �
COVERING N T d L' c 0 I COV ERIN0ed W.4 049
USE DI NEW /NIXF M/fir
BUILDING �y-
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS '
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS yJrs/.I/ /d- `
AND BTATE LAWS REGULATING BUILDING CONSTRUCTION. _
FRAME: FIRESTOP8, ,!
SIGNATURE OF gam BRACING,BOLTS
PERMITTEE `�"fLCJ�7_5
///�jj'��J LATH,INT.:
AUTHORIZED -
LATH;EXT.:
DBS-3 SOM SETS 1-48 $ 42 P.C.0 PLASTER,INT. /
FEE PLASTER,EXT.
VALUATION - �� FEE (/v ' FINAL
APPLICATION FOR COUNTY OF LOS ANGELES_
T OF COUNTY ENG
BUILDING PERMIT D BUILDING AND SAFETY DIVISIONER
BUILDING
FOR APPLICANT TO FILL IN ADDRESS �Z f /J o. D CA-10e
r BUILDING
ADDRESS ���I ��• LLCG[)CGL. LOCALITY (�
CITY7(.,/6)� C'%'�• ZIP NEAREST
CROSS ST.
/ NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK - PAGE PARCEL
LL'' DISTRICT GROUP TYPE FIRE PRO ESS BY
TRACT r>�J'� T BLOCK LOT NO O �� CONS . J ZONE
yp� �,
0WNER19-eB -IM4IVd6e-- .ir�%:C'RC N0..7� 't/'I7 STATISTICAL CLASSIFICATION S 11
EWER MAP
ADDRESS b2-ft IVO• �LlG t+stil �L_ CLASS NO. Z-I DWELL•UNITS BKS PG
CITY ,/J�/7t� �i-r-y ZIP USE ZON MAP
-^ NO.
ARCHITECT OR TEL. �yy SPECIAL
ENGINEER NO• v CONDITIONS
ADDRESS "- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR
TEL.N0 � FRONT PROPCLINE OF (STREET)
�, tQ�/d�/� - /
L 't LIC. •�
ADDRESS �o JQ, �V OQ,�s/qfJ'� NO. rL'�• 6i HIGHWAY } • YARD _ TOTAL SETBACK F TYPE OF ISTING
CITY '/ t- LIC• FRONT PROP. HIGHVIA WIDTH
L /x'/70& . o-e- /' CLASS -�r T
CONSTRUCTION LENDER +
NAME AND BRANCH - d
BLDG.SETBACK FROM O
ADDRESS CITY SIDE PROP.LINE OF (STREET) G>
SQ. FT NO OF NO. OF CHECK HIGHWAY + YARD = T AL SET C ROM TYPE OF EXISTING
SIZE 3Da STORIES / FAMILIES / ONE SIDE PRO I E - HIGHWAY WIDTH OF
DESCRIPTION OF WORK NEW ❑ + e/
ADD CORNER I26TOFF YES ❑ NO ❑
rzolo 720- 1-1111'A416
/� ALTER ❑ IN OPEN SPACE YES El N0
REPAIR❑
EUSE
XISOT NG BLDG. EMOL ElIN COASTAL PERMIT ZONE - YES�❑ NO
APPLICANT �J TELE /•-y ` .a �� ,-, ��
(PRINT) L..•a' .(L J /�•,J^
BY (SIGNATURE)
I HEREBY ACKNOWLEOtGE THAT VV� READ THIS APPLICATION '
AND STATE THAT THE ABOVE IS RECT AND AGREE TO COMPLY ,
WITH ALL ORDINANCES AND L WS REGULATING BUILOING CON-
-STRUC
TION. I CERTIFY THAT IN DOING •TME WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF.CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATIOINSURANCE
1 r
FINAL
SIGNATURBY
E OF �� /—ZS�
PERMITTEE DATE vJ/
A00RESSS q[� 0..�� S'C7 '� 41?7 '49-
CITY (1L.//"r'/ /I /�NO. �J 71 P. Fee$ Permit Fee
Issuance Fee
VALUATION$ •7�dd r OC) -
Total Fee
PLAN CHECK VALIDATION' CK M O CASH _ PERMIT VALIDATION CK M o CASH
8.2 5ro-DEC 17 1 D 5.5.0
76A638A CE0803B 12/73 A -