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HomeMy Public PortalAbout10660 HALLWOOD DR_Building__ . ` DEPARTMENT OF COUNTY ENGMn BUILDING DIVISION OF BUELDING AND SAFETY COUNTY OF LOS ANGELES . WILLIAM J. FOX, COUNTY ENGINEER APPLICATION- CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OfFIC_Z JTJSE .ONLY BUILDING ,I 1 �// !v DISTRICT NO. F C.No. PERMIT NO.. ADDRESS �(�'�® � /I�0 0 d / ` `Jr_ –3 LOCALITY 2FAi /1'9 G RECEIVEP BY DATE OF APPL. DATE ISSUED NEAREST ,a � �ACROSS OWNER a ,-� !A jA ADDRESS MAIL "2 `„n ��r/ LOCALITY , ADDRESS f I' ✓GI TEL. � NEAREST t-�d t� G�A TE CROSS ST. CITY . FIRE NO. OFR TYPE.(% GROUPT� ARCHITECT OR TEL. L ENGINEER NO. ZONE PLANS I � BLDG. /, piO. ADDRESS SETBACK:LINE CONTRACTOR" C VEL. USE / ( APPROVED ZONE BY PATE HOUSE NUMBERING ADDRESS LEGAL MAP NUMBER !i ( NO. ASSIGNED BY - BLOCK I T NO. I BLOCK IO CORRECTIONS - TRACT NO. OF BLDGS. SIZE OF 10T I NOW ON LOT USE OF ' NO. OF EXISTING BLDG. FAMILIes DESOWON OF WORK a — RE AADDITION IR I DEMOLITION I—I I Z Z D r SQ. SIZE FT. /JI ^� ROOMS STORIESEXT. WALL ROOF _ U O COVERING btC I COVERING C J)k4 USE OF STRUCTURE �— APPROV LS INSPECT R'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS Q•Zj I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, ^ PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS �A CORRECT. r.- 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS E SIGNATURE OF `q LATH, INT. PERMITTE ��� �ey 1� LATH. EXT. - -C '" '113 ADDRESS �' I,r e_ i PLASTER, INT. AUTHORIZED AGI. - o PLASTER, EXT. $ F / EE $ HOUSE NUMBER COR- -7 v O ry RECT AND POSTED00 VALUATION FEE S f y, FINAL Gy ' 76A934A 088 3 9-32 ' A; "APPLICATION FOR COUNTY OF LOS ANGELES 'BUILDING PERMIT DEPARTMENT ENGINEER BUILD NG AND AFETY DNIS ON G BUILDIN FRE R APPLICAN TO FILL IN ADDRESS BUILDING _. LOCALITY j ) NEAREST r. ZIP Cf CROSS ST. G NO.OF BLOGS. ASSESSOR SIZE OF LOT N_OW ON LOT MAP BOOK PAGE PARCEL DISTRICTr7?:0eN PE FIRE SED BY �' S T, ZOTRACT [" BLOCK LOT NO s TEL. f OWNER NO. STATISTICAL CLASSIFICATION -• WER MA ADDRESS - CLASS NO.-:!?/—DWELL,UNITS B PG ZONE MAP ,q - - CITY ZIP s� NO. e) ARCHIR TEL. SPECIAL ENGINE NO• GIU CONDITIONS *DO R FSs ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO❑ _ CONT A BLDG.SETBACK FROM LIC. FRO PROP.LINEOF (STREET) AD tf No - NIGH AY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC. - FRONT PROP. LINE HIGHWAY WIDTH f, CLASS _ CONSTRUITION LENDE + NAME AND BRANCH BLDG.SE K-FR a- BLDG. CITY SIDE PROP.LINEOF (STREET) V SQ, F _ NO. OF NO. OF CHECK HIGHWAY + YARD _ TOTAL SETBACK FR TYPE OF EXISTING O SIZ STORIES MILIES ONE SIDE PROP.-LINE GHWAY WIDTH + ILLI DESCRIPTION'OF WORK NEW f0- ADD CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ _ IREPAIR❑ USE OF •' J • IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. - - - DEMOL ❑ APPLICANT TEL (PRINT) NO. 'BY (SIGNATURE) HEREBY ACKNOWLEDGE THAYPEIN AD THIS APPLICATION AND STATE THAT THE A80 ISNO AGREE TO COMPLY A WITH ALL ORDINA NC AN LATING BUILDING CON- ST TION. -I CER Y T T E WORK AUTHORIZED HEREBY I WILL T EM OY AVIOLATION OF THE LABOR CODEH STATE NIAIN RELATING TO WORKMEN'S P AT INSU - 'SIGNATU F FINAL - ^ BY PERMITTA DATE ADDRESS TE L. P.C. Fee$ Ip 0 Permit Fee Z� CITY NO. Issuance Fee VALUATION$gado v Total Fee �! PLAN CHECK VALIDATION Cc-Z-) M.O. CASH _ PERMIT VALIDATION \ M.O. CASH 8 3 4E"o-CCT .21 2.1 0 12.6 A Ja \! g 3 5'C,0_gCT 21 1 D 4 2.0 0 76A638A CE#8038 1275 v n APPLICATION FOR BUILDING PER COUNTY OF LOS ANGELES 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 C7 O or a certificate of Workers' Compensation Insurance,or a certified o6n copy thereof(Sec.3800,Lab.C.) CITY � ZIP " LOCALITY Policy No. 3/ ,Lb.— Com an"�Z� SIZE OF LOT NO.OF BLDGS.NOW ON LOT --7.KGertified copy is hereby furnished. NEAREST CROSS ST. 8 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. '.TJ depa tmen. USE ZONE MAP NO. Date 9�tT Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. (� COMPENSATION INSURANCE ��LA C7 WITHIN 1000 FT.OF SCHOOL? YES NO This section need not be com leted if the permit is for one hundred ADDRESS ( P t f DISTRICT GROUP T CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) ,� ba V�I� I certify that in the performance of the work for which this permit )tW\ �,� �ZIP � 3 �1 is issued, I shall not employ any person in any manner so as to J become subject to the Workers'Com ensation Laws. ARCHITECT OR ENGINEER TEL NO. P STATISTICALCLA SIFICATION APT CONDO Date Applicant ADDRESS - CLASS NO. =V DWELL UNITS NOTICE TO APPLICANT.' If, after makingthis Certificate of REQUIRED TOTAL SETBACK FROM -EXIST Exemption, you should become subject to the Workers' NT CTOR TEL NO. 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.y0. P L ^ LICENSED CONTRACTORS DECLARATION � SIDE .Tag �jTY� ^t � LICLAS CP L 1 I hereby affirm that I am licensed underprovisions of Chapter 9 �--+� Y�'r —`�, (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO,OF FAMILIES SEWER MAP 333 1?:�c a •_t 55 � Professions Code,and my license is in fNEW ❑ BK PG �ull force and effect. ITEMS d License Number '��..�5`r1�Lic.Class ^3� DESCRIPTION OF WORK ADD ❑ VALUATION 3.1 ff�t Q Contractor Date Ct_�11T� �j ALTER ❑ � ` T'tlr�p�L 125 -55 U ' $ CHANGE 125 a F5 0 ❑ I am exempt under Sec. REPAIR aoo 0 BAP.C.for this reason i - t LJ S "•A EMOL ❑ LDMA P/C# III Date: USE O EXIST4V BLDG. URM ❑ Q' " oo00—aao i 9/19/95 Z. Signature APPLICANT(PRINT) � TEL NO. LDMA Perm# tali 1�7 1! ❑ I, as owner of the property, or my employees with wages as " A- 0 2360 1 AM 11! their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE G PfOfeSSIOnS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFFIIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ No CIu� Business and.Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NoN N the performance Of the Work for which this permit Is issued(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTIN ND FOR OBTAINING A PERMIT FROM THE SCAQMD. CL Lender's Address owNea OR E 0 0 1 certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building d m construction, and hereby authorize representatives of this County ISSUANCE FEE .�S Q to ent r upon the ab ve-mentioned property for inspectio purposes. a < 9 S INVESTIGATION FEE TOTAL FEE/,71 /'—�� Signature Ap'cant or Agent Date `J SEE REVERSE FOR EXPLANATORY LANGUAGE • : APPLICATI�I FtpJILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS yJ ' �,q l I hereby affirm that I have a certificate of consent to self insure, 106-60 �p BUILDING ADDRESS �� I'f ' j^ ' DQ or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800, Lab.C.) �/� TCITY aI ZIP rT•I!L LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. NEAREST CROSS ST.A, G_ ElCertified copy is filed with the county building inspection TRACT BLOCK LOT N �� /"� department. USE ZONE MAP NO. Date S�3 Applicant ASSESSOF.LMAP BQQK PAGE PARCEL _ 14 o © `/Z SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. NO r COMPENSATION INSURANCE ��49 D �L/ WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS 0 /�D `� � DISTRICT GROUP TYPE CONST. FIRE ZONE PROCE567D BY dollars($100)or less.) CITY rc� ZIP .� n I certify that in the performance of the work for which this permit r��' (i1� / S ` is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT;OR ENGINEER P TEL NO. STATISTICAL CLASSIFICATION APT CO DO 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 t0 the Workers' CO ACTOR _ TE N`O. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith f '�1�� � "� G7�3�� FRONT comply with such provisions or this permit shall be deemed revoked. APDRESS LIC.NO. PL .4131«fir SIDE LICENSED CONTRACTORS DECLARATION 5�� �^ CITY LIC�SS PL I hereby affirm that I am licensed underprovisions of Chapter 9 C0U/pOV4, SQ FT IZf,� NO.OF/TORIES NO.OF FAMILIES SEWER MAP �' (commencing with Section 7000)of Division 3 of the Business and (-f Professions Code,and my license is in full force and effect. NEW ❑ BK PG , d License Number ae�/y/ Lic.Class DESC IP7TION�O{F�VyIOqRK' p�— 'yam ADD VALLI Contractor " Date ALTER ❑ $ tVAV - ❑ 1 am exempt under Sec. $ F— REPAIR 1:1B.&P.C.for this reason � T/+/ /0 '71 Qa4E/li DEMOL 11 V I'fr !' LDMA P/C 1. - 111 Date: USE OF EXISTING�6D� f1 URM 11IL Signature APP I NT(PRINT) 0-1T , LDMA Perm# _Z El 1, as owner of the property, or my employees with wages as ��� 41//C-417��� ��� ` L Z their sole compensation, will do the work and the structure is ADDR�TC S O 01 /6A `- 54-t/ d`--" �'J &a✓/� FINAL DATE ~ not intended or offered for sale (Section 7044, Business and � � /�/(' s Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /�/y�/ ACICT°8 ❑ 1, as owner of the property, am exclusive) coWactin With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _ Q 1/,_(} �� y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > 3303. 640°'^ licensed contractors to construct the protect (Section 7044, YES El N Business and Professions Code.) qPL, 1 ITEMS WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING , T OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 640 . ' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR TOTAL GUIDELINES. yt 1 hereby affirm that there is a construction lending agency for YES El NO ]+�I/k,4Yr 640° N the performance Of the work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING r 4rr"IIHHtt"IIVVGG ° 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MAT RTI FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address OWNER OR AGENT 0000-0001 8/ 3/95 o I certify that I have read this application and state under penalty �, o P.C.FEE PERMIT FE t7 of perjury that the above information is correct.I agree to comply �0 cA 1p(3 1 RM j with all county ordinances and State laws relating to building J(J f a construction, andhereby authorize representatives of this County ISSUANCE FE CO M to ent n the mentioned property for inspection purposes. .30 a �.��� INVESTIGATION FEE 'TOTAL FEE ' wS49oemr1 of AOMca,i«Agent Do. C SEE REVERSE FOR EXPLANATORY LANGUAGE