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HomeMy Public PortalAbout10641 HALLWOOD DR_Building__ 76w838A CE#809'11_57 APPA ICATOON FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDIADDRENG 49(p DEPARTMENT OF' COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAM BIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN YN BK PG" ' ��// / / �D(��• CONST.' . ADDRESS C6 � / E Q.1 Lv oj 0-� STATISTICAL CLAS_SCATION -. BLOCK LOT No. CLASS.NO�DWELL."UNITS__,p_-I - MAP - STHWY. ATE " " NUMBER - YES NO ° TRACT. SE ZONE - SPECIAL 'rte �• NO.OF BL'DGS. d CONDITIONS, - SIZE OF'LOT I� 16 G NOW ON LOT •�� USE OF EXISTING BLDG. .S t (QY•AG� BUILDING EXIST. g;. _ YARD HWY STREET NAME " A SETBACK WIDTH OWNER D^lC ketCid V 0- .: ^ FRONTMAIL / ADDRESS O C'SCt` '�OO� \�j/' P.L: 'SIDETEL " CITY Q b- G�tNo Et EI"`Q6 �1 ARCHITECT OR TEL. / -,I� INSPECTION RECORD ENGINEER NO. F - ADDRESS - TEL., 7 CONTRACTOR NO. (/ " ADDRESS - DESCRIPTION OF WORK NEW ADD->i? ALTER REPAIR DEMOLISH SQ.FT. <a NO.OF NO.OF. SIZEVl STORIES FAMILIES ' USE OF STRUCTURE Vl L O SIGNA - \ a APPROVALS ' APPLICANT _ - DATE INSPECTOR'S SIGNATURE . ADDRESS FOUNDATION: LOCATION _ l/ FORMS,MATERIALS s $ O 0- P.C. $ FRAME: FIRE STOPS, .. 'FEE BRACING,BOLTS VALUATION $ FURNACE: LOCATION, FEE QL "- GAS VENT,DUCTS ' 1 HEREBY ACKNOWLEDGE TH T I AVE READ THI P- LATH,INT. - • PLICATION AND S AT TH A VE IS CO ND AGREE TO COM WITH ♦tL U T,Y O DIN C S ND STA'1LAW LATI G 1 ING COIN R C ON. LATH.-EXT. - - p��� HOUSE NUMBER COR- SIGN T OR-SIGNAT RECT AND POSTED" PERM T,E // ADDRESS - FINAL Y � ` CLYDE N. DIRLAM; P INCIPAL S UCTURAL ENGINEER PLAN_CHECK VALIDATION CK. M.O. CASH PERMIT,VALIDATION CK. . M.O. CASH.: LA 1 5 O 9"�, :.NI- ' 1 a 2.G'O :' 76A(135,k',E i1-97. APPLICATION FOS SUIL®ING PERMIT COUNTY OF LOS ANGELES BUILDING/V6 DEPARTMENT OF COUNTY ENGINEER. ADDRESS 7 BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D..GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. ] GROUP SEWER MAP � FOR APPLICANT TO FILL IN TYPE I BK PG �. I CONST. - BUILDING 1G / Y STATISTICA SSI FI CATION ADDRESS _ Q? BLOCK ) _ LOT NO. �, CLASS.NO. DWELL.UNITS _o___- TRACT i�, _ NUM ER (J�-V/ �- HWY. YES NO - USE ZONE SPECIAL- NO.OFBLDGS. - -- CONDITIONS .SIZE OF LOT S LD d I/SNOW ON//LOTUSE EX OF BLDG. f-3VlC�- LDO..rI If pa L BUILDING- EXIST. YARD HWY STREET NAME yr1G ' LL SETBACK WIDTH OWNER A► A.e�" .j� /I'l.� De( FRONTMAIL .. ADDRESS 1- ry Q I Iwoo l� Y' P.L. - SIDE AAaa��P.L. ARCHITECT OR TEL. Y• � `� INSPECTION RECORD ENGINEER NO. 'IL I ADDRESS TEL:- �l/�6-�f``7Lf:rA 4 CONTRACTOR NO. /f - ADDRESS DESCRIPTION OF WORK NEW ADD ALTER - REPAIR DEMOLISH M1 SQ.FT. NO.OF NO.OF 8" SIZE 0 STORIES FAMILIES USE O (' �CA.Q ►�(3 QOIN�. SIGNATU APPROVALS APPLI NT G ADDRESS O ` CP (,tl�Od I�y. C DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION I ' FORMS,MATERIALS 1/lP.C. $ FRAME: FIRE STOPS, �^ / .00 . FEE � BRACING, BOLTS VALUATION $ S FURNACE: LOCATION, _ FEE GAS VENT,DUCTS 1HEREBY ACKNOWLEDGE v H. ll HAVE RE HIS AP- LATH,INT. PLICATION AND S .(-1,•ASOV IS RR T AND AGOMP I Y WITH A UNT OR AN ES AND i STA TE - ILD G ST UCTION. LATH,EXT. .+ /SGC/Gy�y�� SIGNAT E OF HOUSE NUMBER Cb R- -I - PER ITT@ RECT AND POSTED /( ADDRESS ' FINAL 6 CLYDE.N. DIRLAM, PRINCIPAL ST UCTURAL ENGINEER PLAN CHECK VALIDATION CK.' M.O. CASH PERMIT VALIDATION CK. . M.O. CASH. LAC0,15 0.-8'- ; JUN 4 ' l A 8.5-0 DEPARThUM OF COUNTY EINGIIMM p A DMSIO oUOF oUYILDIN ANS SAFETY �� � � � � ��. . WILLIAM J. FOX, COUNTr ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN. FOR OFFICE,USE .ONLY DISTRICT NO. :PLAN � CK.OR REc.No. P RMIT NO: B U IL D ' G NI ADDRESS D6 w� ( S �G0E -�.0 R EC E IVED BY t DATE OF APPL. DATE ISSUED LOCALITY q _ NEAREST 6 m 'j i I.`�-— I — +� CROSS ST e. v BUILDING / OWNER 1�� - - ADDRESS (/W w r.'[�'Y✓i (// d MAIL LOCALITY p ADDRESS NEAREST! C' a tt TEL. /6/ CROSS ST. CITY. J NO i ARCHITECT OR TEL. FIRE NO. OF __TY.P I GROUPS ENGINEER NO. ZONE PLANS 1�l ADDRESS SETBACK`LINE CONTRACTOR •�. TEL. 6 USE A APPROVED i+ /��J c� QIP ZONE A �� BY DATE ADDRESS AL•/ 2'Z �• ..XRIA t�N�� pF e HOUSE NUMBERING t LEGALIO LOT NO. G(' MAP NUMBER NO. ASSIGNED BY DESCRIPTI BLOCK p $4 CORRECTIONS - TRACT NO. OF BLDGS. r��y� _- - -- — SIZE OF.LOT__ _ _JC— ® —I=NOW`ON`LOT--lV USE OF NO. OF EXISTING BLDG. FAMILIES f DESCRIPTION OF. WORK - 0 REW ALTERATION P IR I—I DEMOLITION I-I ADDITION Z Z r S( FT. NO. SIZE 7 ROOMSOF (p STORIES / EXT. WALL ROOF- COVER NG OOF-COVERING S'�U G�n I COVERING C)IAA 0 USE OF STRUCTURE �• APPROV#LS INSPECT R'S SIGNATURE DATE n FOUNDATION: LOCATION „ FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- s FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS �/ a p CORRECT. - LOCATION, I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: AND STATE'LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS • SIGNATURE OF u LATH, INT. PERM ITTE / / ADDRESS dR.- SauGaht`/G>I f31U y LATH. EXT. PLASTER, INT. 9 AUTHORIZEDAGT. PLASTER, EXT. - $ d® P. C. $ c `g� HOUSE NUMBER COR- RECT AND POSTED VALUATION FEEL -- FINAL . 76A688A DBS 5 8-88 v APPUCAMON FOR BU.�.LMNGPERWT COUNTY OF,LOS ANGELES i - BUILDING AND SAFETY, WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified v CSG �l�Q copy.they f ec./38�0 L b ) CITY_ - /� �y ZIP .�)p S�"7 CVYI �[ �L: (/ l/.ya< LOCALITY Policy Narl'� ComSIZE OF LOT D.OF LDGS.NOW ON LOT - f ❑ Certified copy is hereby furnished. —�i NEAREST CROSS ST. ❑ Certified copy is filed with th coAj�' in TRACT BLOCK LOT NO. de art e t. _ USE ZONE MAP NO. Date• Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONSCERTIFICATE OF PTIWORKERS' OWNER //' d�,Q TEL NO COMPENSATION INSURANCE © ✓`/Li's �9 WITHIN 1000 FT.OF SCHOOL? YES NO MO (This section need not be completed if the permit is for one hundred ADDRESS // dollars($100)or less.) (rL DISTRICT GROUP TST. FIRE ZONE PROCESSED BY CITY_ 'ZIP ' I certify that in the performance of the work,for which this permit is issued, I shall not employ any person in any manner so.as to become subje t0 Yorkeom nsation ARCHITECT R ENGINEER TEL NO. STATISTICAL CLAS IFICATION APT CONDO Date / Appl �� ADDRESS CLASS NO. DWELL UNITS 'NOTICE TO APPLICANter making C dicate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you ghoule Subject to the. Workers CONTRACTORTEL NO. ' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith. t('. r FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS _ _ L,IC.-NO._ .-,�r� LICENSED CONTRACTORS DECLARATIONSIDE '. LIC.CLASS/ P L I'hereby affirm that 1 am licensed underprovisions of Chapter 9 (w SEWER MAP (commencing'with Section 7000)of Division 3 of the Business and SQ.FT. IZE NO.OF DRIES NO.OF FAMILIES Professions Code,and y licens pis in full force an Ifect: NEW BK PG a 11 DESCRIPTION OF'W RK O �� ADD ❑ VACUA D .. Q License Number Lic.CI s t _ Y, III Contractor. Date ".Z i ALTER ❑ El am exempt under Sec. ``e)es h �'� REPAIR El0 B.&P.C.for this reason fs � �D ��� DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ CD- Signature 1 Z APPLICANT(PRINT)� T NOS.' ' LDMA Perm# I+ ❑ I, as owner f the proper y, my employees with wages as It ���4. 77/ Z '�+T $ - °8 their sole compensation, will do the work and the structure is, ADDRESS/ O r, rt not intended or offered for sale (Section 7044, Business and / , �f � FINAL DATE Q 3703, 142.20 Professions Code.) _WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL '�.� � ° 1 ITEMS ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING.A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY A' licensed contractors to construct the project (Section 7044, TOTAL m0 Business and Professions Code.) WILL ❑ No❑ ((�[1[Jy�T� WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 142° OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR ° GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ N, the performance of the work for which this permit IS Issued(Sec. HAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ° 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ��-04[I1 7/20/95 N TITLE 2,CHAPTER 2.20 SECTIONS 2:20.100 THROUGH'2.20.140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address 1459 1 AM 9.12 OWNER OR AGENT 0 o I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE / / o with all county ordinances and State laws relating to building C/ a c nstLrupon , and h eby authorize representatives of this County ISSUANCE FEE ,�O m 0 t en t ve mentioned property for inspection purposes,_ m - a ',r INVESTIGATION FEE TOTAL FEE lure of Applcan Dale 7'p>i - SEE REVERSE FOR EXPLANATORY LANGUAGE