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HomeMy Public PortalAbout5541 HALLOWELL AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES OCT 19Q6 I ® ' - � WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY t L 01?I / DISTRICT NO-- • PLAN K.NO. PERMIT PERMIT NO. BUILD ADD EISS �.��¢�` y� Y'f'A k, �01? a-0 7 36-KJb.�O. LOCALITY / [/ ' , RECEIVED BY )DATE OF APPL. DATE ISSUED NEAREST, CROSS ST. r/�i(�/n' -�/.".3 / �(//• �,- . OWNER '-y/ /i,'�(.f' _ , ADDRESS ,J� 5;:� /��',/�} MAIL // C • LOCALITY ADDRESS j l,G �7f�I�i �.-"frlJ' ( v NEAREST / TEL CROSS ST. ,{y/ j �' ,f,.,;-'•?- �1 t)a ,,,t CITY �,rin � F/fL.c-7,�.Z ..G''sC_G. NO. I - - FIRE NO.OF TYP GROUP ARCHITECT OR TE ZONE PLANE ENGINEER �/ .� - J`'' BLDG. p� ORD.110. ADDRESS / SETBACK LINE A TEL. PPROVED CONTRACTOR ,/C%A I'/`� NO. �_ UB DATE UBE APPROVED ADDRESS yam' O ZONE , BY DATE LEGAL. _ - J CORRECTIONS I DESCRIPTION LOT NO. ; BLOCK r.� TRACT = �'S L'..s,+• f /'�-. ,/SY!--•'� ,cL NO.OF BLDOS. e- SIZE OF LOT fd �e FaI NOW ON LOT USE OF `orNO.OF _NO,-OFA— EXISTING BLDG. FAMiCiEe ROOMS DESCRIPTION OF WORK' l NEW ALTERATION ADDITION O A REPAIR /,�w��ty --�1 MOVING �. DEMOLIBH SL ( /iY� ROOMS STORIES / D SIZE r _ '_. WALL l �V/� j!_ROOF ��ay COVER IN � .f:L-�. +f..rTlM I COV ERINC3 ,ray Al'l P� USE OF NEW 441 BUILDING � rr�• HEREBY ACKOWLEDGE THAT f APPL CATION,ANDNSTATE THAT THE HAVE ISE ECOR THIS NSPLCAPPROVALS)TO& DATE AND'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: G,BOLTS 910NATURE DF �(' h ` BRACING,BOLTS PERMITTED LATH,INT.: AUTHORIZED AOT /'�• ^`�' / EXT.: DBS-3 5oM SETS 1_1 P.C.$ PLASTER,INT. FEE l/-� PLASTER,EXT. VALUATION ���CCO C� FEE � l, FINAL ` R APPLICATION FOR = •4--` BUILDING PERMIT' BUILDING FOR APPLICANT TO FILL IN ADDRESS S�S�� �L�Cd�• BUILDING ADDRESS / -- LOCALITY NEAREST CITY CROSS ST NO O LDGS ASSESSOR SIZE OF LOT NO N LOT MAP.BOOK PAGE DISTRICT' GR UP TYPE FIRE• P O ESSEDBY TRACT BLOCK '- LOT On p CONST. E Off OWNER STATISTICAL CLASSIFICATION - SEWER MAP ADDRESS d;7 CLASS NO DWELL-UNITS BK PG CITY, ZIP• .9/O/ USE ZONE MAP ARCHITECT ORTEL _ 1 . NO. o�10 ENGINEER NO D SPECIAL 7 Vv 1CONDITIONS _ti. ADDRESS' ROAD DEPARTMENT APPROVACREQUIRED'. YESE]. NO'.[] TEL CONTRACTOR NO- BLDG SETBACK FROM ' LIC FRONT PROP LINEOF (STREET) ADDRESS ' NO TOTAL SETBACK FROM TYPE.OF .EXISTING LIC - . HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH CITY "♦ CLASS 'CONSTRUCTION LENDER Vd ;y-��' '' c, ro +- d NAME AND'BRANCH �, yv 1.1�'� 0 , BLDG SETBACK FROM V SIDE PROP LINE OF (STREET) ADDRESS CITY —� O TOTAL SETBACK FROM— TYPE OF' EXISTING F' SQ FT NO OF NO OF t,' CHECK HIGHWAY• + YARD—=--�-' V SIZE STORIES, FAMILIES ONE SIDE PROP LINE IHIGHWAY WIDTH �. DESCRIPTION-OF WORK--.. NEW ADD - -❑ CORNER CUTOFF' YES ❑' -NO ❑ ALTER ❑ INOPEN SPACE " NES ❑ NO ❑ USE OF REPAIR ' IN COASTAL,PERMIT ZONE., YES .❑ NO ❑ EXISTINGBL G -4 DEMOL e.. t APPLICANT TEL qr v (PRINT) O rf BY(SIGNATURE( IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - - - AND'LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _ 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 COM-• - - - - - _ - PENSATION INSURANCE - SIGNATURE OF `t FINAL:, .►-' ABY .'�J/-/•'.�.J�,r-�...�;T✓...' PERMITTEE DATEr'• "(�, ADDRESS TEL M / P C Fee S. Permit Fee CITY NO Issuance Fee VALUATION Total Fee ' PLAN CHECKYALIDATION CK. M.o CASH PERMIT,VALIDATION CK. M o. cns 0 9 3; 0'�=Jkt�+;`13 �1. �.. 2. a� Abri ®5 76A638B CE#803B 8/77 - ' _ PL,ICAT ION...FORy r L; -COUNTY OF,LOS ANGELES,. i U I L D 1 N G P E R M' LD N IT DEPARTMENT BUIG AND SAFETY DIVISION ENGINEER BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING C 12 ADDRESS LOCALITY NEAREST CITY CROSS ST NODGS ASSESSOR . SIZE OF COT NO OF N LOT• MAP'BOOK PAGE. PARCEL DISTRICT GROUP TYPE FIRE ED BY ,TRACT-- BLOCK - LOT NO " CONST O,WNER, ZONE TEL _It'1 Ug. ', NO STATISTICAL CLASSIFICATION SEWER MAFF ADDRESS- CLASS NO'-- DWELL UNITS BK C ^PG + CITY ZIP ( / f USE ZONE- MAP NO ARCHITECT OR ` TEL ( " ENGINEEP . NO SPECIA �J CONDITIONS ADDRESS:~ ROAD DEPARTMENT APPROVAL REQUIRED -- YES ❑ NO•❑. _TEL.. CONTRACTOR NO BLDG SETBACK FROM L'IC. FRO PROP LINE OF (STREET) ADDRESS ' A NO ` HI WAY +„ YARD = TOTAL SETBACK FROM' TYPE OF' EXISTING LIC FRONT PROP LINE. HIGHWAY ,WIDTH- CITY CLASS _ r CONSTRUCTION LENDER + CL y NAME AND BRANCH H BLDG SET M - - •SIDE PROP LINE OF (STREET), ADDRESS CITY ' O SO FT /y NO OF NO OF. CHECK ' HIGHWAY + YARD = TOTAL SE OM• TYPE OF' EXISTING �SIZE 6 STORIES FAMILIES ONE SIDE PROP LIN HIGHWAY WIDTH ; N DESCRIPTION OF WORK NEW ' ❑ r fr, �-_-_ " ADD ❑ CORNER CUTOFF YES E] No ❑'-: ALTER. El IN OPEN SPACE YES ❑ O ❑ ' REPAIR 11.USE OF ElIN COASTAL PERMIT ZONE• YES ❑ NO ❑" EXISTING'BLDG DEMOL APPLICANT, _.- NL(PR . AO BY(SIGNATURE) a .`. - � .. . . :��..�-• ,, •. , r ; "' I HEPEBY ACKNOWLEDGCTHAT-I HAVE READ.THIS APPLICATIOWAND STATE THAT.THE ABOVE IS CORRECT.AN D'AGREE TO COMPLY WITH ALL ORDINANCES ,r AND LAWS REGULATING BUILDING CONSTRUCTION;I CERTIFY THAT IN DOING THE 'WORK AUTHORIZED HEREBY I WILL NOT'EMPLOY'ANY PERSON IN VIOL'ATIOWOF• THE LABOR CODE OF.THE STATE OF CALIFORNIA'IN RELA FING TO WORKMEN'S COM C - - PENSATION INSURANCE - •,. _ SIGNATURE OF, ,FINAL. '�(l��( �. BY 'PERMITTEE'•• DATE- 7 LJ �—• Y t I.I ADDRESS. '-TEL i P C Fee$ Permit Fee _ CITY - a• `3 NO Q _, '� +�5• Issuance Fee VALUATION p i.'�. ' 'iy S �� .•Total Fee PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK: M o' CASH; OS 76A638A CE#803A 6/76 •• - -"- �' - - , ©S 76A638A CE/803(REV.6/78) APPLICATION FOR, B'UILDI.NG• PERMIT . COUNTY OF.LOS ANGELES BUILDING AND SAFETY BUILDING . FOR APPLICANT TO FILL IN ADDRESS BUILDING -C ADDRESS J // LOCALITY. NEAREST., CITY D' ZIP �l�f GROSSST �Y NO OF BLDGS ASSESSOR SIZE OF LOT. -NOW ON LOT, MAP BOOK PAGE,', . PARCEL -y DISTRICT - GROUP ' TYPE i FIRE OC ED BY 'TRACT BLOCK LOT NO / O C/ .. �i CONSt,"/ ZONE OWNER• STATISTICAL CLASSIFICATION ,, ))EWER MAP •ADDRESS"•�/ / CLASS NO DWELL UNITS wBK-5 PG CITY / ZIP ARCHITECT OR, TEL VALUATION $ ENGINEER NO (f' ADDRESS• BLDG SETBACK FROM TEL FRONT PROP.LINE;OF (STREET) CONTRACTOR NOTOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY t YARD' FRONT PROP LINE'* HIGHWAY WIDTH ADDRESS NO LIC" + _ CITY CLASS BLDG SETBACK FROM r' CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD TOTAL SETBACK FROM HITYPE A EXISTING ADDRESS CITY SIDE PROP LINE GHWAY WIDTH O SO FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ P C Fee$ Permrt Fee 6- 3 0 ADD ❑ . ❑ Issuance Fee 7 ALTER . REPAIR ❑ Total_Fee USE OF EXISTING BLDG DEMOL ❑ Z APPLICANT TEL 0 (PRINT) NO Q ,BY(SIGNATURE) Q ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE .• YY - THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES. SL - AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE "WORKAUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF' V ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- 2 •, pp PENSATION INSURANCE 4,0 O,6 A ' SIGNATURE OF, Li #.°,°l°..o o , PERMITTEE �f ADDRESS 2'o a 17 Q O 6. • Z TEL '010,67 0 O O 9 , CITY NO Q cc' ' USE E NO s2 p 01. > Lu O 1 (—7`9 SPECIAL CONDITIONS �j�' / 1(/' DATE DATE �Y W - , TEMPLE 'CITY 7••030•CE#0014 ,�1 APPLICATION FOR BUILDING' PERMIT COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY ` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP -rYpE .� ESSED BY, FOR APPLICANT TO FILL IN coNsr BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESS SSW , S2; K _ffG CLASS.NO. DWELL.UNITS LOT NO. 15- BLOCK WATER t✓� y CERTIFICATE• '- NOT'REQUIRED RECEIVED TRACTy MAP 42�• HIGHWAv STATE MAJOR SECOND, OC, NO.OF BLDGS. NO. CIRCLE) SIZE OF LOT �'•�� Q I NOW GOWN LOT USE ZONE' SPECIALUSE EX STOING BLDG. %�-�S.�p,, r//C+��'�If t� CONDITIONS ' OWNER '1 NO. 4,ta_ I -' BUILDING EXIST. SETBACK YARD H ST , T NAME l/ WIDTH ADDRESS ::�S~ /V '•' �-� FRONT - ARCHITECT OR TEL. P L. ENGINEER NO. SIDE P.L. A CL ADDRESS r s ih flu F-7' TEL cam• p c SPECTION RECORD / p CONTRA d� -'Z7JfC e NECL Cl/Ifl - p /. V ADDRESS - AJ&A1,Q / ! ...• 0 DESCRIPTION OF WORKLLI CL NEW (ADD) #' ALTE REPAIR DEMOLISH SQ.FT NO.OF / NO.OF IZE STORIES FAMILIES ST EUCTURE / (� �D� L1�2-�, i �Gi ,• %, i?'t i'� X.E?,�,rFOsY tT.! �� ^�/; SIGNATURE OF ��" eC•!.�9Sc`7`i� �&1/TA, a t A��.� W APPLICANT VALUATION$ - ,• _ APPROVALS ,DATE/ vINSPECTAR'S SIGNATURE FEE $ —_ FEE $ dG FOUNDATION: LOCATION FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �r�J/�;{. •.� �'�, //J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. �11 Il /f/Wf/I TION OF THE LABOR CODE OF STATE O CALIFORNIA RELAT- �y�y ING TO WORKMEN'S COMP - N INS. NCE LATH,EXT. SIGNATURF - HOUSE NUMBER COR- PERMIT OR- , A PERMITTEE RECT AND POSTED ✓lam/ns�"'�- "- ADDRESS ) FINAL CLYDE N. DIRLAM, PRINCIPAL STRUC RAL ENGINEER PLAN CHECK VALIDATION. 'm m.o. cAsH PERMIT VALIDATION cK. M.O. CASH !r+l,o 3 2 3 4 SPR 1 1 1 D 1'5 .0 v~ WORKERS' COMPENSATION DECLARATION r r i�Y 1•-hereb affirm that I have.a`certificate of consent .to'self y QAPPLICATION ,eFOR.� BULLDIN.C': PERMIT -: - insure, or,a certificate of•Workers' Compensatton'Insurance, - o} a'certified copy thereof_(Sec. 3800, Lab:C.,) ` _ " -K, ,, COUNTY'OF LOS ANGELES BUILD11 6�' ND"SAFETY' '•Policy,Nq Company:.y BUILDING m ❑ Cert,fied'copy,is"hereby:furn'shed., FOR APPLICANT_TO'FILEJON ADDRESS ❑, .Certified copy is filed'with'the:courity buildm ins ec- BUILDING_ 9 P ADDRESS �� tion department:' t -.o ° Date Applicant CITY.[='t�. '/f•%KR�yIQ ��: -ZIP. g 'DOIO. LOCALITY - h ., NO OF BLDGS NEAREST' CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF COT' O ,Z; Now ON'LOT l Fi CROSS S7 s "COMPENSATION INSURANCE. -'' '" ' ,, . ;.: - ` ASSESSOR, ." - _ _ • (This section need not,be'-completed`'if the permit is for one, TRACT`, D • BLOCK' "` 'LOT NO-: MAP BOOK r-<` :. ^ PAGE '•' PARCEL hundred dollars ($100)or less,)•.-^ a /-/ tl�'_,/ TEL: USE'ZONE" MAP OWNER /ITh %NO 355 3 h , NO ,I certify.that in-the performance:of:the:work:for:which this .= SPECIAL:e '_ 'permit,is issued, I shall not employ any persomin;anymanner ADDRESS • `} J/LJ r'e- " s 1 CONDITIONS ' �•' CL so'as to.become subject to the Workers'.Coni pensation Laws. - ':S „ R - << ;. : O clTy• `-�'12EIt flY P G - _ zip 00.�- ,' ,�- U Ddte'_ ' a Applicant =' ARCHITECT OR,, TEL 1 DISTRICT; GROUP:.T.YPE AFIRE PROCESSED BY. NOTICE;tTO-APPLICANT: ,If;. offer,-making 'this..Certificate of - ENGINEER.-',' _ ZONE �'_ NO.-`.�.. �� CONST. Exemption,. you tishouId,'become. suble'd,to- the Workers' "" n(S t U Compensation provisions•of the Labor.Cocl,,-you,must forth `. ADDRESS'_ c' a with comply,with,such pfcyisions<or,'this.permit shall be _ TEL STATISTICAL-CLASSIFICATION> 3 APT CONDO: _ ".deemed revoked.. . ,4` CONTRACTOR• NO - �Z _ ;'sLICENSED�CONTRACTORs'DECLARATION'_< LIC. CLASS`NO �� " DWELL .UNITS r I hereby affirm that.I am licensed under'provisions of Chapter 9 ADDRESS .' NO. ' L'IC' SEWER MAP-,' , (commencing wrth,Section 7000)`of•Diyision 3,of,The Business • •''t'" '-"" ;-,and Professions Code,and,m,y license is in full,fo.ce,and_effect. CITY CLASS BK,' PG , �. VALIDATION ` - SQ:'FT.` NO,OF NO. OF: / 'CHECK License Number ` tic.'Class i SIZE STORIES FAMILIES t ONE VALUATION Contractor - Date• DESCRIPTION OF WORK NEW ❑ ' �. $ C, ❑,I;am exempT.under'Sec. `I �GG ADD "❑ 4 ALTER! ❑ - 4 �B.&P..C.•for this,,-season _ _ REPAIR a- I Date:;--"--- USE OF 1, ` J: EXISTING BLDG..�CS-I ��� DEMOL Si nafure * f APPLICANT- TEL G G 9 OWNER=BUILDER DECLARATION '_(PRINT),K16d A I� NO 'FINAL DATE `I,h'erekiy,affirm that I am exempt from the Contractor's License Law"for.tFie"foliowm'g,reas'on'(Section 2031.5, Busmess'and, ADDRESS FINAL a jr :tt Profe loris Code : ';'- PRESENT < B �!_••_:-a X,., _ BUILDING',' S yr + y l�y,ss r' it'll"1tF1 l'" y5&7" L 1, •as`owher•of,;the property,'or my employees-`vvith ADDRESS ,b ,,�- ,='wages as theicsole'compensation,will do the work and - -• �- �� � _ the structure is'•not intended or offered for,sale(Section LOCALITY'" .!;` , { '•,:pts;. y,_, 704, Business and•Professions,Code')'-'�• r' MOVING'. 2 r TEL. Q^ n „_L CONTRACTOR` NO - S{_I i fel, 5 . r yc o . ❑ I; as owner ofilhe property am exclus, ycontracting mJ( with licensed contractors to construct the project-(Sec- ;ADDRESS i s•"'e _ " tion 7044,.Business•and'Professions.Code,) 5 "- REQUIRED' YARD' HWY• TOTAL.SETBACK FROM r ;- EXIST •. _ q'• `_ ;„ (^_t " CONSTRUCTION LENDING AGENCY. SET BACK PROP LINE WIDTH'• et 's� I hereby-affirm-that there is a const uction'lending agency for FRONT the performance•of the-work for'-which tkis'permit is"issued''-• 'P:L (Sec..3097, Civ. C:):' Lender's Nome ff UUU LDMA Ref # PC. Fee$. Permit Fee 'Lender's Address . . hcertify that I have read-this application and state,that the _ Issuance Fee � • kA P/C q.' ► r above information-is•correct. I-agree`to comply with al l County Investigation Fee •, 'ordinances and State laws relating,to building,construction, t, "` Totdl Fee Com, ' LDMA Perm and hereby authorize.representatives-of th&t-o'unty to.enter upon the b ve-mentioned er?IPVy'for jnspection purposes. 10 -7 _SEE REVERSE FOR EXPLANATORY LANGUAGE e of { SignaturApplicant or Agent -Dat tF ''