HomeMy Public PortalAbout10607 FAIRHALL ST_Building__ DEPARTbUM OF COUNTY ENGIIQEEEt
DIVISION OF BUILDING AND•.SAFETY . B-Ul-LDl-NG--'---
-
COUNTY OF, LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER ' -
CASSATT D. GRIFFIN,-SUPT OF BUILDING APPLICATION , - �S
FOR APPLICANT TO"FILL IN FOR OFFICE. USE„ONLY
DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO.,
ADDRESS 6 02- �' Foa/ s7`. 5; ' 1'74821 - 9
LOCALITY RECEIVED BY DATE OF APPL./ DATE ISSUED .
NEAREST . H ate' e ! �
CROSS ST .� f
BUILDING
OWNER L / / C� - ADDRESS;
MAIL /!� I ,/�� LOCALITY
ADDRESS 'Z - 49 GJ + -
• TEL. NEAREST; f, ,p +`
CITY Jnr (e9+- O - �� 'CROSS 8T. G,,, '}
ARCHITECT OR TEL. a FIRE j NO. OF -_TYPE GROUP''
ENGINEER NO. ZONE i I•PttLANS {
BLDG. 1' •7 .0� - -f �V .'N
ADDRESS - - SETBACKiLINE I I
CONTRACTOR - �/ NEL. /4� USE - PPROVED'
, ZONE BYI DATE
ADDRESS�>d2$ Pl_. �, j O f HOUSE NU�?BERIN6 I
LEGALMAP NUMBER �/_fJ�D ' NO. ASSIGNED BY ✓
DESCRIPTIONI LOT NO. BLOCK CORRECTIONS
TRACTNO. OF BLIDGS
SIZE OF LOT �Jd O 'I NOW ON LOT
USE OF NO. OF i - ._F. . ,- v
EXISTING BLDG. FAMILIES
- DESCRIPTION OF WORK ' ' o —
REP IR' I-I DLTOLITION ADDITION I GID
SQ. FT. •-NO. OF ,O P
SIZE l D?7 ROOMS �p STOSTORIESdN(�
EXT.-WALLROOF
COVERING - 1 C G O I' COVERING CC M-12 -
I, r
USE OF STRUCTURE �-
APPROVALS ,
INSPECTdR'S SIGNATURE - DATE
• FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS" BRACING, BOLTS
CORRECT.
-I AGREE TO COMPLY'WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING'BUILDING CONSTRUCTION. GAS VENT, DUCTS
_ �' 1t �f 1
SIGNATURE OF LATH, INT.
1 n�V
PERMITTE I
j+ LATH. EXT.
ADDRESS
' PLASTER,,INT. 1Y1
AUTHORIZED AGT.
"d p
'PLASTER, EXT. tllwr� ` :• 1 -
$-• � BGG FEE $ � J�-U -HOUSE NUMBER COR- {yy
RE AND POSTED
a . W s/
VALUATION FEE ' $��' •�- FINAL
"78A888A DBS 3 8-816 - ®-
APPLICATION FOR COUNTY OF LOS ANGELES
DIN P RMI DEPARTMENT OF COUNTY ENGINEER
. B U L G E T . BUILDING AND'SAFETY DIVISION
BUILDING
FOR'APPLICANT TO FILL IN ADDRESS [/ r
BUILDING / L - _
ADDRESS OCA LIT•Y
NEAREST '
CITY TMJ? /�. • ZIP CROSS ST.
NO.OF BLOGS. ASSESSOR
SIZE,OF,LOT 6 •U'Q NOW ON LOT f MAP. BOOK PAGE - PARCEL '
••DISTRICT GROUP TYPE. .FIRE, ESSED BY
,_- °' CONST'`
TRACT? BLOCK K LOT NO �I a ONE
—�
TEL. ' � . CJ � ,.� 0�-Gv-•cv
OWNER +h z_ ' ,("� ,NO. L STATISTICAL CLASSIFICATION
� S WER M P_ .
'ADDRESS �/j•'► L/"� CLASS N0. _DWELL.UNITS - B ri '
US ZQNE MAP
CITY - \ 1L// .ZIP �) NO. V '
ARCHITECT TE �a SPECIAL"
ENGINEER NO• ( CONDITIONS - - -'
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED - YES❑ NO❑
CONTRACTOR TEL. BLDG.SETBACK FROM
NO FRONT PROP.LINE OF (STREET)
LIC.
'ADDRESS - - NO. HIGHWAY } YARD = TOTAL SETBACK FROM STYPE OF EXISTING '
LIC. - - - - FRONT PROP. LINE HIGHWAY WIDTH
CITY - - CLASS
CONSTRU N LENDER +
NAME AND BRANCH BLDG,SETBACK FROM
n�
ADDRESS CITY SIDE PROP.LINE OF (STREET) V
TOTAL SETBACK FROM TYPE.OF EXISTING
SQ.IZ F NO. OF NO. OF CHECK HIGHWAY + YARD = HIGHWAY WIDTH _ O
.SIZE STORIES FAMILIES' ONE ' SIDE P,.ROP. LINE �j
+ LLJ
DESCRIPTION OF WORK NEW a
ADD . CORNER CUTOFF YES ❑ NO ❑ Z
ALTER•❑ - - - '-'NO
_ '
IN OPEN SPACE YES ❑ NO
REPAIR❑ ❑
USE OF ❑
''EXISTING-BL �ZL( DEMOL ❑ IN COASTAL PERMIT ZONE t' YE NO
•APPLICgN TEL,
(PRINT) NO. '
•BY ISI A
I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS&PPLICATION
, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTIONI CERTIFY-THAT IN DOING THE WORK AUTHORIZED, -- - _
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TME 1
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO lv/
WORKMEN'S'COMPENSATION-INSURANCE. -
SIGNATURE OF -- FINAL -BY
'PERMITTEE - DATE
ADDRESS '
TE L. P.C. Fee$ Permit Fee
;CITY _ NO.
Issuance Fee
r•VALUATION•$.•A107 •• -- - -- -
tLd Total Fee
PLAN-CHECK-VALIDATION 5 M O CASH _ PERMIT VALIDATION CK M O CASH
6.'S 9�OCT 13
2-3- D, 7 3`:8 0
7GA038A CIE*803B 12/75 -- '`.� - - - - -• -
COUNTY OF LOS ANGELES TEMPLE CITY #-0508 BUILDING PERMIT
DEPARTMENT OF .PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0901200005,
PHONE:. (626) 285-0488 EXT:
(LEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ITR: 19189 - LT: 20 SQ. FT STORIES TYPE 1 10607 FAIRHALL ST 1
I ISTRUCTURE:' 1200 V-B I TEMP CA 917804119 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: PAL MAL
18585-026-012 1 - 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 101/20/09 SR 1
I I I I
(OWNER TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL D TE FI Y: CODE• I
ITALMO, MARK R (626) 448-4045- I 6,000 I • ! I
110607 FAIRHALL ST. I I
ITEMPLE CITY CA 91780 I FEES PAID I ESCRIP ION IWORK', 14
1
' I - . ITEAR OFF AND REROOF WITH COMPOSITION SHINGLES I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT. 1 I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER - - IAA BLDG PERMIT ISSUANCE 27.75 I
I IAB STATE GREEN BLDG FEE 6000.00 VAL 1.50 ISPECIAL CONDITIONS: 1
I 1AC STRONG MOTION RESID 6000.00 VAL._ 0.60 1 I
_ ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40
I 1 TOTAL FEES 179.25 1 I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I
I LIC. NO I (LOCATION AND SETBACKS
I I I
ISOILS ENGINEER APPROVAL i
(ARCHITECT OR ENGINEER:• TEL. NO:- - - IFOUNDATION/TRENCH FORMS I I '
LIC. NO: I (SLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING I I
I I I
IMAP NO SEWER MAP BOOK: PAGE: FIRE ZONE: CMP- 1 (UNDERFLOOR INSULATION I
I144H273 '3 001 I I I I
I I IFLOOR SHEATHING I I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
NO 21 I IROOF SHEATHING (
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS Imo- I
(AIR QUALITY 1000 FEET MATERIALS 1 I I I I
I NO NO NO 1 IFRAME INSPECTION
I I I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH. I - - -
IFRONT PL- I (INSULATION/WEATHER STRIPI I I
I SIDE PL- I 1-1 I
I I ; ' 11NTERIOR LATH/DRYWALL, I I I
IEXTERIOR LATH -
I IRATED FLOOR/CEIL ASSEM I I I
I I I
I IRATED WALL ASSEMBLIES I I I
I I I
IRATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS I I I
I I I
ILOT DRAINAGE I I I
I I I
I (REPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I I I I