The URL can be used to link to this page

Home My Public Portal About10618 HALLWOOD DR_Building__ �. DEPART OF COSY Emrmm _ DIVISION OF BUILDING ARID SAFETY COUM OF LOS ANGELES WW vv MILLIAM J. FOX, COUNTY'ENGINEER APPLICATION ' CASSATT D. GRIFFIN..SUP'T OF BUILDING g FOR APPLICANT TO 1 FBI IN FOR OFFICE USE .ONLY ; BUILDING J� /L�+- DISTRICT NO. .PLA CIc.OR REC.No. PERMIT NO.a ADDRESS (/ �L.. all U 5 ,SoeS4-16 37Z-77—/ I} _ /� RECEIVE BY DATE OFAPPL. - DA1TEyISSUED LOCALITY C..; R E NEAREST .^JSP/VY CROSS ST . . � BUILDING / p/ OWNEADDRESSI,AIL R e. �a car ADDRF�S �"J 14"; LOCALITY ` } 7 / ,I NEARESTi CITY �� TEL. •-7G to (� CROSS ST, C.�•^ .S FIRE NO. OF -TYPE GROUP/L _ ARCHITECT OR TEL. ZONE PLANS { ' ENGINEER NO. BLDG. ADDRESS SETBACK LINE ( 7 CONTRA OR A �/ y G` i USE �. APPROVED ZONE BY DATE ADDRESS L /�.+ r/i,„J Q ��ir' A"� HOUSE NUMBERING LEGAL {` MAP NUMBER �.� d NO. ASSIGNED BY DESCRIPTION LOT N0. BLOCK I CORRECTIONS'---' TRACT k I NO. OF BLDGS: SIZE OF LAT J J NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILI6 - DESCRIPTION OF WORK o — _ ..._ .0_ NEW !R . rALTERATION MO DEMOLITION (—I ADDITION I z r R SQ. FT. //' NO. OF � SIZE 4p ROOMS IG/ STORIES EXT. WALL ROOF COVERING Gl I COVERING . USE OF STRUCTURE. v APPROV g�& `� +✓ "' / -INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION gg' FORMS, MATERIALS z ,Aop kz �c.—�'A„4T 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, 6 PLICATION AND STATE THAT THE INFORMATION GIVEN 15 BRACING, BOLTS y! COR AGREE TO COMPLY WfTH ALL COUNTY ORDINANCES FURNACE: LOCATION. .v �� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS '000,00SIGNATURE OF / LATH, INT. PERMITTE LATH. EXT. /- ADDRESS ' _ PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ OC.FEE f ra HOUSE NUMBER COR- o RECT AND POSTED Oq VALUATION FEE $ ,L. FINAL ! .Zi'.rrr'sn 76AG38A 1208 3 8-88 I /i _ 7GA638A'D59•3 3.88 APPLICATION FOR BUILDING PEP. IT DIVISION OF BUILDING AND SAFETYBUILDING p Department of County Engineer ADDRESS l t County of Los Angeles LOCALITY WM.J. FOX, CNTYNGINEER NEAREST CASSATT D. GGRIFFIN SUP'EOF BUILDING CROSS ST. L _ GR UP DISTRICT NO. TYPE SEWER MAP FOR APPLICANT TO FILL IN I CONST-1. K. BUILDIN ADDRES - / CfiLaC•t7 IJ A � YES t NUMBER . - O LOT NO. �(,+ - BLOCK�� USE ZONE SPECIAL - CONDITIONS TRACT NO.OF BLDGS- / .BUILDING EXIST. SIZE OF LOT �C�OGy_I NOW ON LOT / SETBACK YARD HWY ' STREET NAME WIDTH EX STUSE ONG BLDG. •�U.J�1 x •u s FRONT .i ' P.,L. _ OWNER ��• �✓ SIDE. P.L. MAIL ADDRESS (.e+( +/ - O TRACT DWELL.- 1 UNIT - _ 5 INDUSTRIAL TELA.!' Gprii/ I DWELL. I UNIT CITY �G/�//�L. Lam" NOJJ'TiJ 11 s�l®//�B 6 PUBLIC BLDG. - ARCHITECT OR TEL. ' 2 DUPLEX I UNIT 7 ADDN.. ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8 .•MISCEL. , ADDRESS i - 4 COMMERCIAL TEL. CONTRACTOR NO: INSPECTION RECORD - ADDRESS - / DESCRIPTION / OF WORK NEW 4/ ADDS ALTER REPAIR DEMOLISH ' SO. FT. NO. OF NO. OF SIZE LJ STORIES �'�• FAMILIES - USE OF ST� i SIGNATURE APPLICANT,p •� APPROVALS ADDRESS (J l• DATE _ INSPECTOR'S SIGNATURE' $ FOUNDATION: LOCATION P.C. $ �_,... FORMS..MATERIALS FEE "FRAME: FIRE STOPS, VALUATION , v. $ - - BRACING,BOLTS �0.� � r�+✓ .d� Y/G!'✓6 /+ FEE �. FURNACE:LOCATION. - 1 HEREBY ACKNOWLEDGE THAT .1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREETO CO ITH LL COUNTY ORDINANCES LATH, INT. ' AND STATE LA REGU T GD►NG CONSTR - - TION. LATH, EXT. - - SIGNATURE O . HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS .FINAL 9� � .' �%t 'I':✓" .WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR s� a OCl 13 1 ..:L _ .76A639A,CE#803 9-67IZ ® PERMIT ' I TION- FOR BUILDING COUNTY OF LOS ANGELES BUILDING ` DEPARTMENT OF COUNTY ENGINEER ADDRESS /0 GG c4i'6 BUILDING AND SAFETY DIVISION LOCALITY 7 redE `7 f-�'C C v JOHN A. LAMBIE, COUNTY ENGINEER NEAREST, T7 f COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRI Pr N0. CONST. ESSED BY/ (Print or type only) U' BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. OWELL,UNITS �= BKPGG LOT NO. BLOCK USE�20NE MAP f NO. TRACT 1 SPECIAL NO.OFBLDGS. a) Z a� CONDITIONS SIZE OF LOT- ,S X NOW ON LOT �C USE OF EXISTING BLDG, BLDG.SETBACK FROM NO. FRONT PROP.LINE OF –(STREET). OWNER i TYPE OF EXISTING SETBACK IGHW } YARD – TOTAL ADDRESS �J. G"1 Q.0 HIGHWAY WIDTH FROM C.L. CITY C ' t 2:21B ET AC -M ARCHITECT OR TEL: I OR LI EOF (STREET) ENGINEER NO. T E OF EXI TI G SETBACK HI A YARD = TOTAL ADDR SS,. // HIGHWAY WI H. FROM C.L T — ^ Of ,NO. + o_ O y 7 ADNO ! �/�� CORNER CUTOFF YES -[] NO ❑ V D. ( CITY /'� CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS s- •. - U DESCRIPTION OF WORK "' _ o_ NEW DD ALTER REPAIR DEMOLISH .- SQ. FT: � NO. OF NO OF a SIZE l.� STORIES / FAMILIES P - `• r USE OF STRUCTURE / f at fe t SIGNATURE OF APPLICANT. VALUATION $ APPROVALS DATF NSPE RAS SIGNATURE P.C. PMT.. 'FOUNDATION: LOCATION FEE S FEE $� �• FORMS, MATERIALS .r FRAME: FIRE STOPS, / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS / AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ GAS VENT, DUCTS Y BUILDING 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- 1A ING TO WORKMEN'S COMPENSATION NCE LATH, EXT.. SIGNATURE OF .� HOUSE NUMBER COR- PERMITTEE �' RECT AND POSTED ADDRESS ! FINAL JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M:o. CASH t, LO2 :2.5 Q pp�OC�QMON, FOR .o ULONO .pERNT.. � .• COUNTY OF LOS ANGELES'` �X BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT.TO.FILL IN Bul ItJ A D S BUIL NG ADDRESS r I'hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensatiorn.lnsurance,or a certified CI v ZIP copy there pf(S .38 L .�2C7^l1 Policy 21 No. "�r-- -�Ompany - LOCALITY . . jP v... SIZE OF L T NO.OF�BLDGS.NOW CMLOT NEAREST C O S T. ❑ Certified copy is hereby furnished. , aQ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. partment. ^p USE ZONE MAP NO.' :Ve � �`'�( e1 4 tw z- ASSESSOR MAP BOOK PAGE PARCEL Date �Z✓� `r`� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o ER T NO. YES NO, ` COMPENSATION.INSURANCE' �{ ;3 WITHIN 1000 Ft.of SCHOOL? (This section need not be completed if the permit is for one hundred Ap RE S ` DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100).or less.) /�! o CITY 'ZIP certify that in=the performance of the work for which this permit i5 issued,.'I shall not employ any person in any manner So as t0 A HIT T ORE " - 0 become Subject t0 the Workers,Compensation.Laws. NGINEER .TEL NO. STATISTICAL CLA/JS`IFICATION IT CONDO Date- Applicant ADDRESS ' CLASS NO. DWELL UNITS NOTICE TO APPLICANT' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRAFT ` TEL'NO. SET BACK YARD HWY PROP LINE WIDTH R Compensation provisions of the Labor Code, you Must forthwith vC'S' FRONT comply with such provisions or this permit shall be.deemed revoked. DD S LIC NO.- , ! P L >- �f LICENSED:CONTRACTORS DECLARATION SIDE L C Y C.CLA SE - .U I hereby affirm that 1'am licensed underprovisions•of Chapter 9 � SEWER MAP (commencing with Section 7000)of Division 3 of the Business and . SO.FT.SIZE NO.OF'STORIES NO.OF FAMILIES Professions Cod and my license is in full force an effect. NEW ❑ BK PG O DE RIPTION OF WORK ~ License Num Lic.Class _ ^ ADD ❑ VALUATION D V c� e� / i(�V ' 64 W Contractor Date [ -'def l. ALTER ❑". $ �� IL ❑ 1 am exempt under Sea REPAIR ❑ $ Z BAP.C.for this reason ^ Q L�fiLa DEMOL ❑ LDMA P/C a /ODate:/L—�Ca� L USE OF EXISTING BLDG. URM .❑ - - Signature APPLICANT(PRINT) TEL.NO., _ LDMA Perm a ❑ 1,,as owner of'the.property, or my employees with wages as Z rit f;� their sole compensation; will do the work and the:structure is ADDRESS- 3:303 y not intended'or offered for sale (Section 7044, Business and FINAL DATE Q - 3 c '= Professions Code.) f IL WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A'HAZARDOUS MATERIAL J -�• TENS ❑ 1, as Owner of theOR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE .. property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY -192}{{ Af 45 licensed contractors,to 'construct the project (Section 7044, a Business and Professions Code.) Yes El No El / 19".45 r s WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 1 °4-I OCCUPANT.REQUIRE'A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH +�q -r... CONSTRUCTION LENDING AGENCY .COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR .. (,}itiING]' •,j�li' GUIDELINES. L.hereby affirm that there is a construction lending agency for YES❑ - No❑ the performance of the work for which this permit is issued(Sec. _ _ 3097,CIV.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING �IL1 IE-1.�1� ;+!ti CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE; L L O 1� ''I' ._ f J TITLE,2,CHAPTER 2.20.SEOTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS y y Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD_ �- r °?'kV Z E'H f Li=i Lender's Address [ # cr OWNER OR AGENT - 3 1 certify that I have read this application.and state under penalty 0 of perjury that t .above information is-correct:I agree to comply P.C.FEE PERMIT FEE ✓j� U) with all cou ordinances and State laws relating: to building �Jfi M constructs d hereby authorize,representatives of this County ISSUANCE FEE 0 o nter p the abo e- boned property for inspection purposes. -10 61 INVESTIGATION FEE' TOTAL FEE N Date z SEE REVERSE FOR EXPLANATORY LANGUAGE