HomeMy Public PortalAbout10651 HALLWOOD DR_Building__ BAJO$ #803 12/,69 ! ` /'r,7VG%; �
z-. `APPLICATION F®R BaJ9L®ANCA IRE��I� fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS C.p�
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FNEAREST
Print ort a only)OR APPLICANT TO FILL IN CROSS ST.
DISTRICT NO. G�IJ Y E .� R CE £D BY
ADD EBUILDISS CONST,
STATISTICAL CLASSIFICATION S ER MAP
LOT NO. $ BLOCK CLASS NO. DWELL,UNITS BK •,p
TRACT USE ZONE MAP
�� W NO.OF SLOGS. NO. (/
SIZE OF LOT ]� V NOON LOT SPECIAL'
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USE OF l CONDITIONS - -
EXISTING SLOG. `(� Cy n
OWNER U NI,L' �CIv NOL BLDG.SETBACK FROM
ADDRESS tO� 5 l 'E / 8 u FRONT PROP.LINE OF (STREET)
�• TYPE OF EXISTING SETBACK HIGHWAY }-. YARD J= TOTAL-.
CITY 71�,K Cl
ARCHITECT
- ��[[ �J HIGHWAY WIDTH FROM C.L.
ENG IIEECT OR. ��V � t o NEL.E ' Y +
BLDG. TBACKFROM
ADDRESS SIDE PROP, LINE OF (STREET)
p� nn TE Lq TYPE OF EXISTING SETBACK HIGHWAY ' + YARD = TOTAL
CONTRACTOR ,IV�" NO.R.����� HIGHWAY WIDTH FROM C.L.
ADDRESS LIC. >_NO. + = d
LIC. O
CITE' CLASS CORNER CUTOFF YES ❑ NO ❑ V
CONSTRUCTION LENDER
NAME AND BRANCH Leo • SEE REVERSE SIDE FOR,SPECIAL APPROVALS
LLJ
ADDRESS Q W 7 d
SQ. FT. � NO. OF NO. OF NEW ❑ �� •A C
:
SIZE STORIES FAMILIES �-
USE OFj--�1 ADD
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STRUCTURE �J N C ALTER ❑
REPAIR � _ -
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION S� c APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, ?� �p� FOUNDATION: LOCATION �
FEE S 0_ FEE S(�_J. (O G' FORMS, MATERIALS /? 15V
FRAME: FIRE STOPS,
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, U
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION. I CERTIFY THAT IN' DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COM EISATION INS CE. L
LATH, EXT, 1/
SIGNATURE OFamLt�,)
HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED ,4j"`f/ ,as /A z
ADDRESS _ FINAL 4
J1*
JOHN F. LEWIS. PRINCIPALS'T URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK M.O. CASH
f� t'� 6 2 C 9-`'AUG 11 JL D 3 3.0 0
DEPARTMM OF COU WTY MGA
DIVISION �Y�OS AN SAFETY flip D H-0-1
.WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING t
FOR APPLICANT TO FILL IN FOR OFFICE, USE ONLY
u BUILDING �''°'
DISTRICT NO. 'PLAN CK.OR Rec.No. P RMIT NO.
ADDRESS c] (svo A i ,•� �Q� _��, 3gZ�9_2.�
LOCALITY R C�EIIVEe BY i ! DATE OF APPhL. DATEISSUED
NEAREST
CROSS ST.
. ADDRESS`
OWNER
- MAIL n (- C` . f Q� �a r�t�� t LOCALITY
ADDRESS F.- J J D ,
NEAREST �
t TEL. / CROSS ST.
CITY _'�7 Lie, NO '6 b
' FIRE j NCO. OF I.TYPE_t. GROUPr-�
ARCHITECT OR TEL. y
ENGINEER NO.. ZONE PLANS
l L
6 ADDRESS SETBACK'LINE ��` ,���';NO..
TEL _ / ^ USE _/ APPROVED •�
CONTRACTOR 1q.
` C Q?/ ZONE BY ! DATE '
^ ADDRESS eL��`I�► I. J Q.q ( yQ+ NBa'/G� g HOUSE NUMBERING
a
LEGAL MAP NUMBER f^�`! ' NO. ASSIGNED BY
DESCRIPTION LOT NO. BLOCK ;
CORRECTIONS
TRACT
t
SIZE OF LOT A I' NO.OF SLOGS.
NOW ON LOT
USE OF NO. OF _ _.....
EXISTING BLDG. AMIue 1
DESCRIPTION OF WORE E o —
NEW I /r ALTERATION I—I ADDITION
REPAIR I L1
Z
DEMOLITION D
r
SQ. FT. //�� ! NO. OF /
SIZE /(J{, S ROOMS ',� STORIES /
EXT. WALL _, I ROOF
COVERING t COVERING 04 1
USE OF STRUCTURE
I IL
APPROVAgS
_
114SPECTOIR S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS L�
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP-
FRAME: FIRE STOPS, /
PLICATION AND STATE THAT THE INFORMATION GIVEN 'IS BRACING, BOLTS
CORA REE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, + c.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OFNt)-' .LATH, INT. �}
PERMITTE /41e
LATH. EXT.
�� 7/
ADDRESS a
• PLASTER, INT.
AUTHORIZED A6T. w
. - - Q PLASTER, EXT. I
�„ i
P. C. !B
OD FEE. q��' HRECT AND POS EDOUSENUMBERR VP' Ip
VALUATION FEE $ FINAL +
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