HomeMy Public PortalAbout5527 HALLOWELL AVE_Building__ m- A;04 1,
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#803 2-63 APP;LICATIONTQR, BUILD1.1 1G'"PERMIT;
.COUNTY OF LOS ANGELES,'-,,'".' ;BUILo,INc - `-
ADDRESS ,�;;6�
DEPARTMENT ,OF-COUNTY'ENGINEER`:.
',BUILDING AND-,.SAFETY,.DNISION<' '' a LOCAL'ITY, '
JOHN A, LAMBIE. COUNTY,ENGINEER'$ .µ 5 NEAREST'!'
4.
;'CROSS
r �rw WALLIAM'A. JENSEN, SUPT OF BUILDING .;,_ i S S,T". -{ "'r• -
v bISTRICTjNO. `•-�G ROUP', ;!TYPE`-•,°�-' PROCESSED,BY,` '
'FOR APPLICANT 'TO,;;FII:L IN' '• �'; p Rj -'=�},';+. CdNST::
r BUILDING _ _ . •.S_TATISTICAL'CLASSIFICATION,t7y, - •'uSEWER:MAP_
ADDRESS`- ,k •1'-' _,� .v7 >`" •':«r �'-• BK_
• - - _ CLASS IJO• 4 DW ELL._U'N ITS_ - - ?
•COT'NO ( BLOCK.. WATER •y.. •�NOT REQUIRED,;. fR ECEIVED'� f.�•
CERTIFICATE_,"
TRACT "-' - .IAAP_:j k` - •-i• .,, .HIGHWAv ,.STATE MAJOR SECOND, 'O �A
O OF^BLDGS.- "•y '.NO- C�Is, v(6RCLE).... ' S
SIZE•OF LOT -- D-Q' •NOW,ON LOT, '_�� USEZONE� '•°-'' PECIAL .'+ "' •• - - - - -
USE OF
_ X3.,4 • " lCON DITION'S`
EXISTING BLDG - _ .r�', • -
II,
1, L�a
••'OWNER f - TNEO (O/jBUILDING' '• •
w -'•EXIST
- .,SETBACK,
YARD.-'' HW Y - 'STREE•T,NAME: •V1/IDTH
r.,
v.'ADDRESSSz,f. - _ FRONT,
ARCHITECT OR f -. "� 'TEL• - - .-
,#` ENGINEER• _ •• _NOS +'s•' SIDE'
ADDRESS" - •- �-, G.•
...�•
TEL
:�'� ° !a'!Tr�`�'/��rA'31• _ �' �h,'�.6�.�OPa Y, �' r.�iOQ
CONTRACTOR, - • �, "r..kh•I 'NO
ADDRESS. -, n -. >:•,•,-'` Se""� `o-. - i
sr' H
,DESCRIPTI'ON OF~WORK'` '
•'" NEW,L ADD.:',,ALTER- REPAIR DEMOLISH - -a:y - ,�,` _ "�- �". - Z
SQ•FT - -_NO2'OF _ NO-OF _ „Y.. ;� •r; y
0
••”,SIZE• _ 8ORIES• - -.FA'M_ ILI_ES '' #' s "•I• - - - - r '
;USE OF'' +1��"-W,- _ �'• ..t nth .,yf _ t� r. ,•t .. _
'STRUCT U'R �
- •..
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w r2 k1 l'
SIGNAT)RE'OF.�.; -. - :A.Y3 _ "x- . 'd-.' •
_-APPLICANT
VAL'UAT,IONr$ y'��_ _ 'L ..
1-E,.'- LA P,PROV;4LS•• ••'f.' aAT E; r- INSPECTOR=SSIC.NA UR_E
P'C - "apM�-=jy"� �1 sFOUNDATION LOCATION p Iel se fp f��
FEE`$ .I ''°" :. Y _ '� FEE-•'$,`�'�',J�'�1 .�✓,," .4"FORtv15:'MATERIALS - ,BtT�/1���1'w►�•/ �i+'�'�`!� p� ..
_
.-FRAME' FIRE STOPS. _ 4�G� C....�'�• -�;'
II HER E6Yy'ACKNOWLEDGE THAT I HAVE_READ'THIS APPLICATION '^ - BRACING`BOLTS v°" •',® 1 rC ./p1,
A. AND,STATE!THAT•THE,'ABOVE IS:CORRECT AND,AGREE�TO'COMPLY r- • •'+r" - 'F - J .�•,
l- c -g FURNACE;,,:,LOCATI ON
WITH ALLt'COUNTY.,ORDINANCES; AND STATE LAWS'REGULATING. •GAS'V ENT:DUCTS`"=``•r • '�_�, v,s, ' �
BUILDING;CONSTRUCTION I"CERTIFY THAT IN DOING•THE`WORK-P. - •,� y. wt Pp r��
A'N Y.PERSON•.IN VIOLA- Y.'•� � s
'.AUTHORIZED•HEREBY `WILL NOT EMPLOY., �'y`.„�� P
TION OF THE'LA�CO THE STATE OF,CALIFORNIA REL•AT- T ''ING•TO WOR.METION INSU CE - s f't ' `LATH:'EXT'.'SIGNATURE OHOUSE-NUMBER;COR
PERM ITTEE _ RECT-AND°POSTED r.•r� '' - ,
ADDRESS _ - •INAL' • • "A; r•fv'
,,'JOHN'Fv LEWl-,-'F R•�NCIPAL STRUCTU RAL•:EONFR
PLAN GHECg VALIDATION 1;5cii " M'o CASH PERMIT VALIDATION CK M O
OCT.8 1 D
7/ 7
.76A63,BA'CE,#BD3 6_e2'APPLICAT-[O•N" FOR BU,IL:bING, PER
MI-T- -
COUNTY OF LOS ANGELES BUILDING `
DEPARTMENT OF COUNTY ENGINEER L ADDRESS
` BUILDING AND SAFETY DIVISION LOCALITY
f JOHN A.•LAMBIE,"COUNTY ENGINEER,, NEAREST' f, '
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST
DISTRICT.NO.- 'GROUP TYPE - P S ED 13
FOR-'APPLICANT TO FILL IN CONST
I
BUILDING STATISTICAL CLASSIFICATION, - � •SE ER MAP -
ADDRESS - K PG
CLASS NO DWELL .U14ITS
LOT NO BLOCK WATER ,NOT REQUIRED �� RECEIVED ❑- '
CERTIFICATE: LLLLLLJJ --
"TRACT MAP HIGHwnv
'- NO.OF BLDGS. NO ,�'`(cIRc�Ej, STATE MAJOR,SECOND L CAL''
SIZE OF LOT'S (f ;NOW'ON LOT USE ZONE. , SPECIAL,-: _
.USE OF CONDITIONS l,
EXISTING BLDG
T L.
OWNER' r BUILDING EXIST. '
- 'YARD -HWY ,STR AME
SETBACK WIDTH
ADDRESS 'FRONT.,
,'ARCHITECT OR _ TEL ' . , P''L '3
ENGINEER - - NO. SIDE
P L
ADDRESS •ti'O-
t TEL - •-� A
.� CONTRACTOR
.ADDRESS - •L&J��
,. t``....fO
DESCRIPTION OF-WORk-- UJI
CL
y
NEW ADD; ALTER REPAIR DEMOLISH
SQ'. FT - - NO OF NO OF 7
(� (C,fr'
SIZE , STORIES, FAMILIES jf � ✓V'
U$E'O F
STRUCTURE - v
,SIGNATURE OF - ,. �1/;P'A.'�r7"�f� .,Lh°id -•- •1,i"�71G�
APPLICANT
VALUATION $ •'` / _
tw� APPROU�ALS - '_',DATE I 1 ECTOR'S SIGNATURE
PC 'PMT ' s�a: FOUNDATION LOCATION -
FEE $ ,+ FEE $ .,FORMS, MATERIALS
' -+ IO FRAME: FIRE^STOPS, ^ /�- I
�I HEREBY 'ACKNOW LEDGE,THAT I"HAVE.READ THIS APPLICATBRACING, BOLTS ,� J /l 1�(
AND,STATE THAT`THE`ABOVE IS CORRECT-,AND AGREE TO`C.OMPLY FURNACE - LOCATION -
-
WITH ALL COUNTY,*ORDINANCES AND, STATE LAWS REGULATING '-,GAS VENT, DUCTS'"',
SBU ILDING CONY
CONSTRUCTION I'CERTIF , THAT IN .DOING THE-WORK
AUTHORIZED HEREBY-I WILL NOT EMPLOY-ANY PERSON IN VIOLA 4 ,L'ATH.•INT
TION',OF.THE LABOR,CODE OF THEISTATE OF CALIFORNIA RELAT- _
+I ING TO WORKM N'S COMPENSATION INUSR E
,LATH, EXT.
SIGNATURE IF �t" HOUSE NUMBER CO -
>;1 PERMITTEE" - - ECT AND�POSTED _
,•ADDRESS 4tA661
JOHN Fi4LEWIS', PRINCIPAL STRU CTU RAG ENG R
`PLW'CHECK VALIDATION CK` M_0 - CASH PERMIT'VALIDATION CK M.O.
.LAo0�T8 2" FE8�1