HomeMy Public PortalAbout9822 HALLWOOD DR_Building__ 76AI''4A"Ct*803. 9-67 -
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APPLICATION FR BUILD NCS PEIRMT
COUNTY OF LOS ANGELES BUILDING �J
DEPARTMENT OF'C.OUNTY ENGINEER ADDRESS D i / c -Y_/
BUILDING AND SAFETY DIVISION LOCALITY T� �c
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. l
DISTRICT NO. G OU TYPE PROCESSED BY
FOR APPLICANT TO FILL IN L[ coNsr.
(Print or type only) J / �"�/ /p�(�l�_C_!r/+1+
BUILDING ;Fy ��JJ` /f STATISTICAL CLASSIFICATION _SEWER P -y
ADDRESS fj"_ CLASS NO. DWELL•UNITS ^r BK PG
LOT NO. -ell - BLOCK USE ZONE MAP �, 1
TRACT
�r No.
(/ p .I (' II
NO.OF SLOGS. CONDTIONS
SIZE OF LOT AL
� NOW ON LOT'
USE OF
- EXISTING BLDG. G BLDG.SETBACK FROM
TEL. FRONT'PROP.LI NE OF (STREET).
OWNER •- NO. -
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
?? HIGHWAY WIDTH FROM C.L. _
�r`
} 'Do =
CITY "2o
.
ACK
ARCHITECT OR TEL. SIDE
M (STREET)
ENGINEER NO. - SIDE PROP.LINE OF
TYPE OF EXISTING SETBACK HIGHWAY } -YA RD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL, i + _ d
CONTRACTOR N0.
g O
ADDRESS NO p` CORNER CUTOFF YES ❑ NO U
C
CITY - clLAss — SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK A N
_Q
NEW ADD ALTER REPAIR DEMOLISH a
SQ. FT, q NO. OF NO. OF '� Z'� • _
SIZE ...,/3k e� �- STORIES FAMILIES
USEOF
STRUC RE •'
SIGNATURE OF
APPLICANT
VALUATION S �a
-�� I APPROVALS DATE IN TOR'S 1 ATURE
P.C. PMT. i v4--r -FOUNDATION: LOCATION g
FEES. / FEE $ 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,
WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON'IN VIOLA.
TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION IN URA NCE.
v"��A �j� / LA , EXT,
SIGNATURE OF. L/(✓��i��2� �a� OUSE NUMBER COR-
PERMITTEE"' RECT AND POSTED
ll
ADDRESS FINAL z�
JOHN F. LEWIS. PRINCI AL STRU TURAL ENGINEER
PLAN CHECK VALIDATION (0 M.O. CASH _ PERMIT VALIDATION cK. M.o. CASH
L 4 4-a te .APK4 1 Q . 5,63—:1N
.2.5 0
76AG38A DBS-3 12.54
APPLICATION FO R' B' UI SDI NG PERMIT
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY %�..� . -
WM.J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN.-SUP•T OF BUILDING NEAREST '
CROSS ST.Go
DISTRICT 9R-1
R�P TMP SEWER= .MAP.
FOR APPLICANT TO FILL'IN �°' ,-� B Pc
'BUILDING ./% p�.�. p - _ _
ADDRESS _l 66 L� .//iLt/�-Qi MAP ; t101 4� H'STATE "YDS
NUMBER
LOT NO. L.O - BLOCK USE ONE SPECIAL
CONDITIONS
TRACT / J•' Y/ - _ ,- ,.
/r -NO:-OF BLDGS. ��
SIZE OF LOTS OIJ x �2r I NOW ON LOT �' BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT
[Q - P. L. .
OWNER `,,/ TJ SIDE
MAIL
.ADDRESS /�T JW�`�A ..P. L.
—•�
TEL. l DWELL. '1 UNIT 5 INDUSTRIAL
CITY.,-1._.� � NO. _ •. - ..
2 DUPLEX_UNIT ,6 PUBLIC BLDG.
ARCHITECT OR TEL.
ENGINEER NO. 3 APT. UNITS 7 ADDN.,'ALT., ETC.
—
ADDRESS - - q COMMERCIAL 8 MISCEL.
//•�� TEL.
CONTRACTO 2,4z(: _,;GciyiB—,•,�. NO. J'-411773 INSPECTION RECORD
D
ADDRESSI� 1nA7 /�1/1�_ T
DESCRIPTIOX OF WORK.
NEW _ADD' ALTER. REPAIR DEMOLISH
SO r FT. / ,I� NO OF NO. OF
STORIES' / FAMILIES
SIZE r L
USE OF STRUCTURE
SIGNATURE OF
APPLICANT' ` - //! 1 APPROVALS
ADDRESS J'Y(J.• 1 I DATE INSPECTOR'S SIGNATURE
/A U ' • FOUNDATION: LOCATION
C: L S _ _ FORMS, MATERIALS - /
.-FEE ' - FRAME: FIRE STOPS, _
VALUATION FEE . FURNACEGLOCATION,
�� ���~ •�^
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS '
APPLICATION AND STATE THAT THE ABOVE IS CORRECT - -
' 'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATING BUILDING -CONSTRUC-
TION.. LATH, EXT.
SIGNATURE OF /./ / ��� � /. HOUSE NUMBER COR-
PERMITTEE !!!///�//'[ Y1�p RECT AND POSTED
ADDRESS
WM. J. FOX, COUNTY ENGINEER'• VALIDATION
BY
,DEPUTY .'"_ "/f ;DEPUTY '.
BY BY
DEPUTY DEPUTY ,
DBS-3 25M BETS 2-46'DEPARTMENT OF OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES AGI
WM. 'J. FOX, CHIEF ENGINEER BUN LD9 . '
4
i FOR APPLICANT TO FILL INS a 2, FOR OFFICE USE ONLY J_�2-.
�.". ASWILDING
DDRESS ` DISTRICT NO. PLA"'NO. PERMIT NO.
LOCALITY RECIVED BY DATE OF/' T J•/APPL. DATE ISSUED
'= NEAREST �/' - �Yd��✓
CR039 3T. ZGei tel/
BUILDINGAl
OWNER �i '�, .ADDRESS ` 9 .,.• 't ° *'
MAIL
'ADDRE39 C��•1V'!` LOCALITY
NEAREST
CITY TEL' �� CROSS 9T:
NO:
FIRENO.OF TP_E 1/ GROUP
.ARCHITECT OR TEL. ZONE I Y,
PLANS-�—"I
_ENOINEER - NO. YYY ���lll..J//
Ta
BLDG. _ � ORD. NO.
ADDRESS- p. SETBACK LINE -
APPROVED
TEL.
w�c.�'6G. �ITNEL. BY•' DATE
CONTRACTOR -
/� USEAPPROVED '
ADDRE59 �/�L.D ZONE / BY DATE
LEGAL
DESCRIPTION � LOT NO. � � BLOCK r- CORRECTIONS
TRACT
y-y f NO..OF BLOGS.
SIZE OF LOT a fZ- a' I s NOW ON LOT -
USE OF NO. O
OF �NO. F ¢ -
EXISTING BLDG. - ivyYiy.l FAMILIES � ROOMS
DESCRIPTION. OF-WORK'
NEW ALTERATION; .'ADDITION 1
.O
REPAIR MOVING DEMOLISH _ 0
SQ.
FT. /F YO. ROOMS !/' STORIES / Z
' D
F ,
WALL ROOF
COVERING I COVERING
USE OF NEW �G '
BUILDING
APPROVALS
I ,HEREBY -ACKNOWLEDGE THAT 1. HAVE, READ THIS, _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, AlHPE OAS DATE
AND AGREE TO COMPLY WITH ALL COUNTY. ORDINANCES FORMS,. MATERIALS - �,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, yQ t 6
SIGNATURE OF BRACING, BOLTS
" OW N E R �/�, IjT�L ,'(/ LATH, INT.:
' AUTHORIZED 'AGT - '"�` N '�?' '• 4
'
LATH, EXT_,
V >::i o:�:..,
P.
C.
$ PLASTER, INT.
FEE PLASTER, EXT.
VALUATION 4 $ U v FINAL ' -
FEE
��J D B S - 3 2 S M B E T S
D f P A R T ��E N T _ O F B U I L D I N G A N D S A F E T Y , A P P L I C A T I O N F O R P E R M I T
_ , : Z : : B O U N T Y O F L O S A N G E L E S � M A Y , * - l \ '