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HomeMy Public PortalAbout10644 FAIRHALL ST_Building__ ©5'76A638A b CE#'803(REV 6/78) r ,APPLI'CATION;_FOR, BUILDING, RERMIT' , ' -),COUNTY OF LOS ANGELES vki BUILDING AND SAFETY BUILDING FOR APPLICANT'TO'FILL IN, ADDRESS /0 jp c1,c� q BUILDING °r � .L— LOCALITY : ADDRESS ' ` II r; ` NEAREST CITY,, ZIP ZI * CROSSST NO OF'BLDGS er ASSESSOR, ' SIZEOF'LOT G/G NOW ON LOT r MAP BOOK T PAGE PARCEL S �` ; ' DISTRICT GROUP TYPE FIRE ROCES DBY TRACT BLOCK k" LOT NO 63 CONSTa ' Z� a " EL fJC'�7d v OWNER NO� STATISTICAL CLASSIFICATION + WR MAP ADDRESS" CL °r * ` a� _. ASS NO DWELL UNITS BKPG, CITY t ZIP ARCHITECT OR_ TEL ENGINEER NO VALUATION /rjT r ADDRESS BLDG SETBACK FROM T TEL FRONT PROP LINE OF (STREETI CONTRACTOR NO TOTAL SETBACK FROM TYPE OF EXISTING - LIC HIGHWAY + YARD = - FRONT PROP LINE HIGHWAY WIDTH ADDRESS F NO ti LIC CITY)" CLASS BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH r � SIDE PROP LINE OF * (STREET) t HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE 6F,' EXISTING ADDRESS ^ SIDE PROP-LINE HIGHWAY 'WIDTH d� CITY ' SQFT NO OF NO OF CHECK + _ V SIZE STORIES / FAMILIES ONE V O DESCRIPTION OFxWORK, a NEW ❑ P C'Fee$ Permit Fee„ z i 7 + r S ADD ❑ I"ssuance Fee yaj • Z i - - ALTER REPAIR ❑ " * Totol Fee + ) USE OFEMOL'❑ EXISTING BLDG D - Z APPLICANT a - y- TEL /� O (PRINT) - C c BY(SIGNATURE) > IHEREBY ACKNOWLEDGE THAT I HAVE R AD THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE . V 'WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S'COM r Z r� PENSATION INSURANCE p �r ' 4r�2 0,8,A . r SIGNATURE OF _ PERMITTEE 0,6 ? O o'lt � f ADDRESS T a d Z I_ 2'Q U 3aV O Oj b ` I- 0 1 TE )J)� 0 1 304 0 0�,+� CITY+ NCT� 14--7H�L Q I ' 0 0 0 ! USEPN MAP s YZN No s tImp 1 (5'--'7' q a 7 SPECIAL i�i t NDITIONS1 I © •2 :Ea FINAL BY d " DATE �/V(� ✓r" ' �.. DEPAR?NNM OF COUNTY ENGMEttt • DMSION OF WELDING AND SAFETY ' W - i, COUNTY,OF LOS ANGELES LDING WILLIAM J FOX, COUNTY ENGINEER APPLICATION R CASSATT D GRIFFIN, SUPT OP BUILDING 1 s 1 FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY : Tao DISTRICT NO :PLANCK ROE !� 3��PER ADDRESS SSG � Q I!r !1 a 1 I S c� 41 LOCALITY % /e Ca�' 7— RECEIVED BY DATE OF APPL DATE ISS7�3 NEAREST / j hBIX / 3 d CROSS ST JQ ! V BUILDING , r 1 �`j 1 OWNER L. FA 6i7T� ADDRESS; � a I 1 MAIL �j ry �- LOCALITY li C ADDRESS',r� //�_I1 '�°'� ;�G�✓L ��'��� NEAREST; fre` I CITY �°'l 17i4 �^` tom. TEL NO, r CROSS ST �' !"l?� I I� 1/ ARCHITECT OR TEL FIRENO OF TYPE �5 GROUP, ZONE r I PLANS 'I �1/.. ' ENGINEER NO i , BLDG / _� ' l -�OR O ADDRESS / /I/� /�� ,TEL �'7/ // SETBACK�L NE �'�� •L- 3 CONTRACTOR �.j--X-/ / r_*14 NO /P/1�6v ZONE A BYUSE PROVED /�� _ TE ADDRESS HOUSE NUMBERING LEGAL MAP NUMBER /� O/D NO ASSIGNED BY I DESCRIPTION I LOTNQ BLOCK - CORRECTIONS TRACT p NO OF BLDGS J/ SIZE OF LOT (/ NOW ON LOT /1�*jq4= USE OF I NO OF EXISTING BLDG FAMI DESCRIPTION OF WORK ( Q - E AIR DEMOLITION I—I TiON ADDITION R r I SO FT /� 7 '7 NO OF / SIZE ! (/ F / JR�OOMS l V STORIES EXT ALL ROOF COVERING �d'Lt) I COVERING USE OF STRUCTURE APPROVALS INSPECTO'R'S SIGNATURE DATE FOUNDATION LOCATION FORMS, MATERIALS i I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP- FRAME FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT IFURNACE LOCATION 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION LATH, INT SIGNATURE OF /,1/'.r' PERMITTERA 4 , ` ' ' - LATH EXT r ADDRESS J "�"l LASTER, INT AUTHORIZED AGT J PLASTER, EXT $ P C ffi 60 FEE 0 �- HOUSE NUMBER COR- '! I RECT AND POSTED N VALUATION FEE, $1i2, FINAL 7eAe3eA 008 3 e-52 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT j DEPARTMENT O`r' PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0907150010 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW I BUILDING ADDRESS ITR 19189 LT 11 1 SQ FT STORIES TYPE OCCUP GROUP 10644 FAIRHALL ST J I ISTRUCTURE 498 1 V-B R3 I TEMP CA 917804120 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET LOWER AZUSA 1 18585-027-006 1 OTHER THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY Cl (TENANT IEXIST BLDG USE USE ZONE JISSOED ON PROCESSED BY 1 1EXIST OCC GRP 107/22/09 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1F2 AL DATE FIIJAL BY CODE ICHAN, DAISY - 110644 FAIRHALL ST 1 73,820 ' A ITEMPLE CITY CA 91780 FEES PAID SC IPTIIOON OF WORK I JADD BEDROOM, BATHROOM AND DEN 498 S F I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 (APPLICANT TEL NO ICHU (626) 581-7738- IB1 PLANCHECK W/ENERGY 73820 00 VAL 970 95 11830 EWING CT IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS 1 (HACIENDA HEIGHTS IAB STATE GREEN BLDG FEE _ 73820 00 VAL 3 00 IAC STRONG MOTION RESID 73820 00 VAL 7 38 I 1 JB2 PERMIT W/ENERGY 73820 00 VAL 1,142 30 I 1 1CONTRACTOR TEL NO J TOTAL FEES 2,151 38 JAPPROVALS DATE INSPECTOR SIGNATURE I JIMPACT CONSTRUCTION (626) 821-5308- 1I 115902 HALLIBURTON RD 125A LIC NO ILOCATION AND SETBACKS IHACIENDA HEIGHTS CA 91745 479410 B 1 I 1 ISOILS ENGINEER APPROVAL 1 I JARCHITECT OR ENGINEER TEL NO IFOUINDATION/TRENCH FORMS I JARCHIART CORP (626) 581-7738- IDBA L J CONSTRUCTION LIC NO 1 15LAB/UNDER FLOOR 11830 EDWING CT NONE 1 I I I HACIENDA HEIGHTS CA 91748 I I I 1RAISED FLOOR FRAMING J 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP- 001 1UNDFIFLOOR INSULATION 1 I I I 11ST .EVEL FLOOR SHEATHI I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 1 NO 21 1 12ND LEVEL FLOOR SHEATH 1 I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING 1 1 (AIR QUALITY 1000 FEET MATERIALS 1 I 1 NO NO NO 1 II DEPT FRAME INSPECT( I I IREQUIRED TOTAL SETBACK FROM EXIST I IBLDG DEPT FRAME INSPECTII ISET BACK YARD HWY PROP LINE WIDTH 1 IFRONT PL- I SIDE PL- 1- 1SHEAR PANELS 1(2?1 / ^' 1 11NSULATION/WEATHER STRIP( , R I I 1 JINTERIOR LATH/DRYWALL J 1 1 I 1 1EXTERIOR LATH 1 o JI -1 I 1 1LOT DRAINAGE 1 / J IF I ISMOKE DETECTION DEVICES I I 1 IFIRE DEPARTMENT APPROVAL( I I I I I I I I J 1REPORT ID DPR261 ROUTE TO BS0508 I I