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HomeMy Public PortalAbout10635 HALLWOOD DR_Building__ i 76:&BACE l.6032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING D/ DEPARTMENT OF COUNTY ENGINEER ADDRESS ((�Q BUILDING AND SAFETY DIVISION LOCALIT l ( JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DI TRICT GRO P TYPE C BY PHOR OR APPLICANT TO FILL IN CONST. NG STATISTICAL CLAS IFICATION SEWER MAP SS �� QODCLASS. NO. DWELL. UNITS . BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE:zHIGHWAY STATE MAJOR SECONNO. OF BLDGS. NO. 0 (CIRCLE) F OT j�Z7 i NOW ON LOT USE ZONE SPECIAL . CONDITIONS G-BLDG. TEL.NO.�4 BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH SS �O�s�,l.S /�'0�.�..IV© J� FRONT ECT OR TEL. P. L. EER NO. SIRE >" pt EK, P. L. ADDRESS S gM Or V TEL CONTRACTOR Q LV ry J5)C? NO S/�lb 1. w O ADDRESS -5"/-)-P4 12 V DESCRIPTION OF WQRK a Z NEW AD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF ' SIZE �b3 STORIES FAMILIES �� ej + USE OF �I'' k_"t -� STRUCTURE- SIGNATU E OF APPLICANT ��� 1 VALUATION - _.b APPROVALS ATE INSPECTOR'S SIGNATURE FOUNDATION: LOCA ION FEEFEE $ ��" FORMS. MATERIALS 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. ' WITHALL 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- �,fy! INT.. vi . .' t TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATUREO ��t.' HOUSE NUMBER COR- PERMITTEE =fe_ - — RECT AND POSTED _ ADDRESS_ FINAL 7(z + e -JOHN F. LEWIS. PRINCIPALS T RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.U. CASH Lr, o1 3 8 G GCT1 4 1D 18.50- '4'0 76AS38A DBS-3 12.54 - - R. APPUcAVOU O R 'UI LDl NG PER _9 `ryDIVISION -OF BUILDING AND SAFETY BUILDING ADDRESS ! l�LOt„7 6•.• /��, � /.y �/O,rs :.. Department of County Engineer County of Los Angeles LOCALITY WM. J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,'SUP'T OF BUILDING ' CROSS ST. 104714 FOR APPLICANT TO FILL IN DISTRICT NO. 0%D I TYPE' . ISEWBE`Rr. MAG BUILDING' T CONST �1 ADDRESS /Q 6..3 S. 17.A41— (Amt d A EMAP STATE - _ YES' O r NUMBER pt d/D HWY - LOT NO. - / 'BLOCK USE ZONE SPECIAL .. CONDITIONS TRACT' - - •. - - - {fa 'V 'O . I NO:.OF BLDGS. ' .SIZE OF LOT /[ �l NOW-ON LOT BUILDING .YARD HWY" STREET NAME - EXIST. USE OF .. ,. SETBACK WIDTH EXISTING BLDG. FRONT - AV OWNER 1/tT� Ci� L• /`-U. [-.� ! 'v .SIDEMAIL - - - • p �j ADDRESS1691,g ' 5 ,e "A I_I JQ d J 6 _ - ,9/ TEL. g^� }� c •9�- �' DWELL. I UNIT 5 INDUSTRIAL CITY1�•�Yd.P� / •�NO. 2 DUPLEX_UNIT E PUBLIC.BLDG. ARCHITECT OR - 11�. TEL. ENGINEER _ NO: 3 APT. UNITS 7 'ADDN.,A}JLTT..�_ETC. ' ADDRESS - - 4 .'COMMERCIAL -- 8� MISCEL I%714 ,. .. TEL. CONTRACTOR NO. INSPECTION .RECORD ADDRESS L� �vtl� f-A 6 b6 la DESCRIPTION :OF WORK, h ^ J MZf ~� ,t .5.z P CIA NEW .1�_ ,ADD .. - ..ALTER ` - REPAIR- •' DEMOLISH f '•.. /'/S fes_.. SQ. FT. /�^(� - A NO. OF -� NO. OF- _ SIZE /,? 5 STORIES FAMILIES - US OF STRUCTURE - n n A SIGNATURE OF ,_� APPLICANT 7 -• (,�_ / '•'., /y`y .APPROVALS ADDRESS �Y6 JJ •/Tj�'�6.�W� �/�- DATE INSPECTOR'S\SIGNATURE FOUNDATION: LOCATION. "$ P: C. $ .FORMS, MATERIALS - O Ot P I FEE FRAME: FIRE'STOPS, _ VALUATION BRACING, BOLTS; FEE - FURNACE:.LOCATION, .. GAS VENT, DUCTS - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE 'READ THIS - APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY WITH ALL COUNTYnORDINANCES LATH, INT. ' AND .STATE LAWS REGULATING BUILDING CONSTRUC_ - TION. i LATH,'EXT. SIGNATURE OF O�� v' •• HOUSE NUMBER COR- -PERMITTEE RRECT AND POSTED.:. ADDRESS - - �Y�/ - FINAL WM. J. :FOX, COUNTY"ENGINEER VALIDATION BY , 0.`7s'2 �6��41.-.�. 'AU6 29 ��z 1 ,0�0�`. DEPUTY. DEPUTY . BY BY ® - - - DEPUTY . - • • DEPUTY 1 flILDHHO DEPARTA�NT OF CODNTY E►�fII MD DIVISION OF.BUILDING AND SAFETY �! COUNTY OF LOS ANGELES I WILLIAM,J. FOX, COUNTY ENGINEER _. . . CASSATT D. GRIFFIN, SUPT OP BUILDING 1 APPLICATION r FOR APPLICANT TO FILL IN i FOR OFFICE USE ONLY �. BUILDING // 2 'n` DISTRICT NO. _ :PLAN CK.OR REC.No. /PERMIT NO. ADDRESS , LOCALITY J (/e c 1+ R CEIV, D BY { DATE OF APPL. `'DATE ISSUED NEAREST CROSS ST. T Gt V S� 1 BUILDING S,�• az� ADDRESS': OWNER MAIL; LOCALITY' . � � ADDRESS lA /Ud iNEAREST' l TEL. / CROSS ST. l VVI` CITY C9 Lt Ir',�. O b , ARCHITECT OR TEL.. FIRE, - NO. OF TYPE', GROUP ENGINEER NO. ZONE — PLANS '� J BLDG. I G e i , :'/ ADDRESS SETBACK LINE TEL. USEI APPROVED f CONTRACTOR .(^Re- O. ZONE I BY I DATE ADDRESS aC l ca •5 LenII&' HOUSE NUMBERING LEGAL MAP NUMBER �v --L-NO. ASSIGNED BY DESCR PTION LOT NO. BLOCK - - CORRECTIONS--" TRACT NO. OF BLDGS. SIZE OF-LOT X /00 I NOW ON LOT 4- USE OF : I NO. OF EXISTING BLDG. FAMILIES DES ON OF WORK — fO NW + REP IR DEMOLITION I—I ADDITION I Z r SQ. FT.' //•• 'NO. OF _ SIZE /Db S ROOMS LO STORIES , EXT. WALL. ROOF COVERING 'c��UGeO I COVERING �O p % , USE OF STRUCTURE �—' t a t, APPROVALS INSPECT R'S SIGNATURE DATE FOUNDATION: LOCATION ' FORMS, MATERIALS I'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, I AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, / SIGNATURE OF LATH, INT. G/ ° PERMITTE a t LATH. EXT. -� ADDRESS -72 61' - - I PLASTER, INT. !'(J• AUTHORIZED AGT. ✓ ©fj PLASTER, EXT. 111E G'/1 $ $ D D FEE S g S_� HOUSE NUMBER COR- RECT AND POSTED i t aft VALUATION FEE $� 0 S. J L FINAL 76A638A Doss 8-85 - . 1 ppUCA70HFOR BUM LDWR PERMW � COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDIN� WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN � I hereby affirm that I have a'certificate of consent to self insure, BUILDING ADDRESS u A 160 FN or a certificate of Workers'Compensation Insurance,or a certified 0 5 14 A&.L L4n1b 7> copy thereof(Sec.3800,Lab.C.) ZIP_91-790 L _ Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK P&E� PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN S=�L a U TEL.NO. YES NO COMPENSATION INSURANCE o WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred '3W DISTRICT GROUP TYPE CONST.' FIRE ZONE OCES BY dollars($100)or less.) CI a ZIP t 7711 \ I certify that in the performance of the work for which this permit LE G is issued, 1 shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. !/ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT C DO Date Applicant ADDRESS CLASS NO. DWELL UNITS. NOTICE TO APPLICANT If, after making this Certificate Of CONTRACTOR TEL.NO. REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE ,LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL o " U 1 hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO. FAMILIES CD Professions Code,and my license is in full force and effect. NEW ❑ BK PG v DESCRIPTION OF WORKVALUATION ❑ License Number Lic.Class ADD D N w 1000 Contractor Date ALTER El $ .o o z t El I-am exempt under Sec. ` s J- OF REPAIR — B.&RC.for this reason DEMOL ❑ LOMA P/C# Date: USE O ISTING BLDG. URM ❑ ES 1> c I Signature APPLICANT(PRINT) . rn TEL.NO. LDMA Perm# - " El 1, as owner of the property, or my employees with wages as L JJOL� 0 A °Q their sole compensation,will do the work and the structure is ADDRESS" F ,7' not intended or offered for sale (Section 7044, Business and 3 'ALA-,400Q O oA 2. T FINAL DATE �•SL�? Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MA IAL �� '" ) � ij i OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN V „';� 4 1C EMS ❑ 1, as}owner of the property, am exclusively contracting With THE AMOUNTS PE IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL 8 1� �j// �f y A licensed cOnfractors to construct the project.(Section 7044, "YES❑' NO _.i�l i"li. - -.�E 19 rm �8 Business and Professions Code.) 1 A _ 521.75 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ,:� CHECK - OCCUPANT REQUIREAPERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH /t �p•� `/j/ _ CORISTRUCTION LENDING AGENCY COAST AIR QUALITY NAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST ( F1� fq� ( f{j�y( � a t�Ll FOR GUIDELINE _J (} / LLIr�^"" CHANGE N 1 hereby affirm that there is a construction lending agency for YES❑ NO f� the performance Of the Work for which this permit IS ISSUed(.SBC. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,Civ.C.). PERMITTING CHECKLIST.1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES - 000113-001011 y I 0 2/283/911-1 COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING III 1 -Ill I �, is Lender's Name HAZARDOUS MATERI S REPORTING AND FO OBTAINING A PERMIT FROM THE SCAQMD., {p 9 1 A r CL Lender's Address OWNER AGENT 17 �1 F j °° o 1 certify that I have read this application and state that the above information.is-correct. I agree t0 comply with all county P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and a. hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-mentioned property for inspection purposes.. 13,06) a / INVESTIGATION FEE TOTAL FEE I d spnen,re a Mq c _ / SEE REVERSE FOR EXPLANATORY LANGUAGE,