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Home My Public Portal About4810 HALLOWELL AVE_Building__ D139-3 25M SETS 6-46 DEPARTMENT OF BUILDING AND SAFETYAPPLICATION FOR PERMIT COUNTY OF LOS ANGELES BU I 1 N G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. /PLAN CK. NO. PERMIT NO. BUILDING 1��-c"�'_. S. �-IA L L O�> �-. - ADDRESS F� KY! 5� Cr1 LOCALITY EC� BY DATE OF APPL. DATE ISSUED NEAREST `` `" �� CROSS ST. L_ o W a R ./""C toS l� /I�y OWNERS A-- p y'-1S ADD EISS l(J t� 3 .�/36,p�I (rtAp k; Z_ L MAIL ADDRESS LOCALITY � "�. $ � /J C7� �.� -�y'� TEL pp�� 9 CROSSSST. __CITY ) PL..� NO. ,n� I a5J4 FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONEPLANS I ENGINEER �, I•-� UI...LII�- P• BLDG. ORD. NO. ADDRESS _SETBACK LINE APPROVED CONTRACTOR NOL BY DATE USE APPROVED ADDRE89 ZONE J BY DATE LEGAL DESCRIPTION I LOT NO, I I BLOCK - CORRECTIONS TRACT 7 NO. OF BLOBS.SIZE OF LOT _97(9I (o I NOW ON LOT S;20 W( '/ USE OF I NO.OF - I NO. OF__ EXISTING BLDG. FAMILIES ROOMS / ✓ ` r-,, DESCRIPTION OF WORK 9 V NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH ""'� O SBA 'g' -/i`q...e LF.,w O Sq. FT. NO.OF D SIZE '15,50 ROOMS STORIES IF WALL ROOF COVERING COVERINGS44,W to USE OF NEW /J _ BUILDING D u, L-,!_l I..J�. I'( C. S G L I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR `�AT.E , / AND AGREE TO COMPLY WITH.ALL COUNTY OFORMS, MATERIALS ORDINANCES FORMS, AND STATE LAWS REGULATING.BUILDING CONSTRUCTION. FRAME: FIRE STOPS. SfGNATURE OF BRACING, BOLTS _.i OWNER 14, - LATH, INT.: ' AUTHORIZED AG' LATH, EXT.: P. C. $ O PLASTER,'I NT. dc FEE PLASTER, EXT. .a VALUATION �� ` FEE FINAL � r A1 WORKERSI-COMPENSATION DECLARATION 11 hereby affirm that (,'have a certificate of consent to self Insure;or a certificate of Workers. Compensation Insurance, A P P_L I CAT I O•N F O R= B U I L D 1 N G PERMIT or a certified,copy sthereof:(Sec. 3800,'Lab..C.) COUNTY OF LOS-ANGELES = .BUILDING"AND SAFETY: : Policy No: • Company i'• BUILDING /`Q/D ❑ Certified copy is hereby furnished, FOR APPLICANT TO FILL IN " ADDRESS �T�J ❑ Certified copy is filed with the county building inspec- BUILDING tion department. r ADDRESS n(O Date " Applicant`'' CITY / CTT NO OF BL �/ Gi`� `' LOCALITY CERTIFICATE OF,EXEMPTION FROM WORKERS' ,: SIZE OF LO7 NOW ON LOT O( NEAREST• , CROSS ST. ' • ' COMPENSATION INSURANCE ASSESSOR /�) (This section need'not be completed if the pe"it is for one TRACT •BLOCK1 LOT NO• " ` MAP BOOK PAGE�� PARCEL v I hundred dollars ($100) or less:) •.•iTEL )/ �j _ USE ZONE MAP t ; OWNER , — NO NO I certify that-in the performance of the work for'which this''. a permit is issued, I'shall not employ any person in any manner ADDRESS [ SPECIAL a CONDITIONS so as to become sublect to the Workers=Compensation Laws. - /- 0 CITY c 1/� ZIP' I O' - Date Applicant ' ARCHITECT OR TEL „ DISTRICT GROUP`TYPE FIRE, '.'PROCESSEDrBY C) NOTICE TO APPLICANT: If, after makin this Certificate of• ' ENGINEER NO 9"'• D� - CON. ZONE "O ,Exemption, you,should become, subject'.,to the<cWorkers':' ' Compensation provisions of The:Labor Code, you'-m' forth- ADDRESS _ _ a with comply with-such provisions 'of•this permtt•,shall be CONTRACTOR TEL.NO y STATISTICAL CLASSIFICATION APT." CONDO. Z deemed revoked' = r — LICENSED CO_NTRACTORS.DECLARATION <,; LIC. CLASS NO DWELL,UNITS . I hereby-affirm That•I'am licensed under provisions of Chapter 9 ADDRESS NO' SEWER MAP (commencing with Section 7000)of.Division 3 of,the,Business LIC. andProfessions Code,and my license is•in full force and effect. CITY CLASS BK- t17 PG A VALIDATION SQ FT NO OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ' ONE - VALUATION ' Contractor Date Y DESCRIPTION OF WORK t NEW .❑ $ %Flo/� , ADD LiCJ ll Ell am exempt,under Sec. ALTER .❑ y a B.BP.C. for this•reasonS REPAIR ❑ Date: USE OF. . EXISTING BLDG DEMOL ❑ Signature TEL APP(PR NT) NO FINAL OWNER-BUILDER DECLARATION DATE ('/` 'I hereby affirm that I am exempt from.the Contractor's License L • Law for the following reason (Section 7031.5, BusinessADDRESS FINA and � �/"°"•'� �.• • - Professions Code): .. ,• PRESENT BY-3 �v BUILDING i•: •a z I, as owner of the property,,,or my employees with ADDRESS ,wages as Their sole compensation,will do the work`and /{JJq _ti•I k;' ;_,:_•� LOCALITY ` C��1 \G 'T ' •: the structure is not intended or offered for sale(Section � / - tr'; " 7044, Business and Professioris Code.)• MOVING; ' TEL , - ITE t M. CONTRACTOR NO. % r ❑ I, as owner of•the property, am exclusively contracting - T - ;Tle#i A - 9, ;B,- 6:3 with licensed contractors-t6 construct the project (Sec- ADDRESS - " tion 70" Business and'Professioris,Code.) REQUIRED TOTAL SETBACK FROM EXIST- »-CONSTRUCTION'LENDING AGENCY. SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction,lending agency for FRONT • tt?r the performance of.The work for which this permit,is issued PL (Sec. 3097, Civ. C.). SIDE Lender's•Name { r[ - (7 LDMA Ref # y 1 j' •-�i1 *y' P C Fee,$ Permit Fee el !f Lender's A ress Address o I certify that I have read this application and'state that the Issuance Fee 7 LDMA P/C# 8 above information incorrect.'I agree to comply with all County Investigation Fee• . C7 ordinances and State laws relating fo building construction, - Total Fee a i '� LDMA Perm # a and hereby authorize representdtives:of this County to enter M0, eme one abo - property for inspection purposes. � SEE REVERSE FOR EXPLANATORY LANGUAGE: _.-. Signature of Applicant or Agent Date r. - kWORKERS'"COMPENSATION DECLARATION ` I here4y affirm that I have a certificate of consent-to self insure, or a certificate of Workers' Compensation Insurance, A P•P L I CAT 1 O K •FOR . BOWING, PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY-OF LOS ANGELES BUILDING AND SAFETY-- ' Policy No.• Company BUILDING !, Certified.opy--is hereby'furnished. FOR APPLICANT TO FILL IN ADDRESS �b`Q NAA*, o' LL - - BUILDING ��•ll - ' ❑ Certified copy is filed with the county`building inspec ADDRESS , V L ( C. tion department. _ - CITY I E h9LE ZIP LOCALITY e Applicant r / �J NO OF BLDGS., NEAREST _ 10ERTIFICATE OF.EXEMPTION FROM WORKERS' , ' SIZE_OF LOT:J O .1V /A" NOW ON LOT CROSS ST.' COMPENSATION INSURANCE —r •' 7 This sePtion need not be com leted'if the 4 ASSESSOR 7 PAGE t ? PARCEL / ( p pefmit is for one TRACT' BLOCK LOT NO MAP BOOK O 5O - hundred'clollars ($100) or'less ) p� TEL. OWNER EPNO. '�Z' USE,ZONE.,. OP !,certify that in the:performance,of_the'work for which this p //.�.�� SPECIAL }_ permit is issued,;)shall not employ any person m any manner ADDRESS- 94 V L-LOW «- }"• v CONDITIONS "':.. • O . so as to become subject,to the.Workers,Compensation Laws.- 1 P city 'I E 1 L� 71 ZIP x' Date Applicant- ARCHITECT OR TEL. t " PP '" `'r" •• ` DISTRICT' GROUP TYPE �' FI ESSED BY= O NOTICE TO APPLICANT: , after making this Certificate of ENGINEER NO. CONST., ZONE' U Exemption, you should •become subject*•to the Worker's' C, /�' U Compensation provision's of the'Labor Code, you must',forth- -- ADDRESS ✓ 3 / w _ LU with•'comply with.such provisions or this permit,.shall be NO $TATISTICAL,CLASSIFICATION' APT CONDO. Z . deemed revoked.', CONTRACTOR — LICENSED CONTRACTORS'DECLARATION LIC- CLASS NO: �/ DWELL UNITS I herebyaffirm that I am licensed under rovisions•of,Cha ter 9' ADDRESS LIC P P LIC SEWER MAP- , (commencing with Section 7000)of Division 3 of'the Business•' L I/ VALIDATION and Professions Code;and my license is in full force and effect: CIN ' CLASS- BK.- PG. 7 t SQ FT.} , NO. OF, NO OF CHECK License Number w Lic..Cl6ss fr SIZE / {�� STORIES FAMILIES ONE ` y - VALUATION. DESCRIPTION OF WORK NEW ❑ t1= •a sa' Contractor Date' _.. ADD ; D Tu ❑1 am exempt•under Sec. ► -L( f ,ALTER -.❑ .�q •B.&P.C. for.this reason' REPAIR ❑ � - _ Date: USE OF. i I I) n , EXISTING BLDG. DEMOL D, 33 APPLICANT TEL. tiF t•F'•., ` t Signature (PRINT) NO FINAL' OWNER-BUILDER DECLARATION DATEi�,4 _ t" Is= t+I I hereby affirm that]am exempt from the Contractor's License v Law-for the following reason (Sectiori 7031.5, Business and ADDRESS FINAL' j s Prof sstons Code): PRESENT " By' w';v 1: O - BUILDING r+ �l Ua T 1, as owner of the property;-or my employees with ADDRESS _ _ i -Tr t� #'_t ' r L? ' ,'— wages as theii-sole compensation,will do the work and \:tu,"4;«« the structure isnot intended or offered for sale(Section LOCALITY , ri 7044, Business and Professions Code.) MOVING TEL ' CONTRACTOR' NO. , ❑ .I, as owner of the property,-am exclusively contracting. fist• r•,-•.3 a with licensed contractors to construct the'project (Sec- gDDRESS F O tion 7044;.Business and.Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST.', " =1-'' - •••� CONSTRUCTION LENDING AGENCY SET BACK.' YARD HWY PROP LINE WIDTH f r•' I hereby affirm that there is a-construction lending agency for FRONT the performance-of-the work for which this_permit is issued P-L 3-iTA .. (Sec. 3097, Civ. C.). SIDE e t I [r!# ." Lender's Name' P L - ,*. 4, , _ ^s 1 ) LDMA Ref. # n P.C. Fee$ Peimd Fee - Lender's Address V - o I certify that I have read this application and state that the Issuance Fee 7 J LDMA P/C# , t. Sabove in is correct. I agree to complywiith all'County- Investigation Fee ordinances and State laws.relating•to building construction, Total Fee ' Ai LDMA Perm. # d and he bybov authorize representatives:of,this County to enter _ ' u t am ne ropert'y for inspection jorpos ~ SEE REVERSE FOR EXPLANATORY_LANGUAGE I - - = L 31 Signature of•Applicant or Agent., Date - �� ` APPLICATION FOR BUILDING PERMIT . '� COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN a ILDI G A ORES 1 I hereby affirm that I have a certificate of consent to self insure, BUILDING ADORES _ C.t1J C 1. or a certificate of Workers'Compensation Insurance,or a certified I LL 0 We`L Ave: �� O C�� C. C 7 0 copy thereof (Sec.3800,Lab. C.) CIT r L E zIP/�, S[� L 1 `-'l V LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT El Certified copy is hereby furnished. S !)( l 1(0!5 ` NEAREST GROOS SI. E3 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. l�� J department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP E10OK PAGEPARC L S C) SPECIAL CONDITIONS Q� CERTIFICATE OF EXEMPTION FROM WORKERS' ER �.— n TEL �G 27 YES NO COMPENSATION INSURANCE 1� f 0 J WITHIN i000 FT:of SCHOOL?(This section need not be completed if the permit is for one hundred A ESS _ P o ``U wt� �/� DISTRICT GROUP TYPE CONST. F�ZONE PROCESS Y dollars($100)or less.) "v 1 certify that in the performance of the work for which this permit CIT-y- r (t ZIP is issued, I shall not employ any son in an manner so as to ARCHITECT OR ENGINEER TEL NO. ,J(/ become subject to the Worker C pe ti WS. ` STATISTICAL CLASSIFICATION APT CONDO Date 7-1 _9h 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' CONTRACTOR TEL NO, SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith EFRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO, E11LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS 0 I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ. No.OF TDRIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. AVJ NEW BK PG 0 License Number Lic.Class D RIPTI0 OF WOR' ❑ VALUATION , I $ U � � ADD r� ooa I� Contractor Date �I rr ALTER ❑ N ElI am exempt under Sec. - REPAIR 1:1 z $ B.BP.C. for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ f Signature APPLICANT(PRINT) TEL NO. LDMA Perm# .- _ s, 23. I, as owner of the property, or my employees with wages as Zy s their sole Compensation, will do the work and the structure is ADDRESS yt'�'i `g not intended or offered for sale (Section 7044, Business and FINAL DAT Q 0-3-303 50.50 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ?j J •I r1 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE e I' l.r: '`P°1_1 ❑ 1, as Owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > `," ��037 licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES❑ NO❑ ER-CCIR WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING L '(� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ^•=�!�� - M14°�•'} CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR � GUIDELINES. , 1 hereby affirm that there is a construction lending agency for YES❑ NO❑ ACCT. the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ""CCT.Ir 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 j30- -a 264.15 m Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address 2 TTFM •' cOWNER OR AGENT 3 1 certify that I have read this application and state under penalty TOTAL 3 :.4 a 65 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE c U) with all county ordinances and State laws relating to building C•HEC K _314_65 M con�r !upan' d hereby authorize representatives of this County ISSUANCE FEE / I toth ove- ion roperty for inspection purposes. 1 J CHANGE °00, d717 Q,Z INVESTIGATION FEE TOTAL FEE N sp,mt .1 Awe—w Agent -Ie SEE REVERSE FOR EXPLANATORY LANGUAGE #ffl[I—j�s[I1 7;17/96 7517 1 PM 5.1 10 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S.00OMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS4b b�0 1k 0wet1 BUIL I G,AgD�ESS /AtL0WJ5C� �1 I hereby affirm that I have a certificate of consent to self insure, IIVV--(( / or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY f g C i r Zlq,�?� C +- y LOCALITY r^ ' Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ei v ❑ Certified copy is hereby furnished. I NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o R �71Lo 'TEc2 T �Vg 3� WITHIN 1000 FT OF SCHOOL? YES No COMPENSATION INSURANCE g (This section need not be completed if the permit is for one hundred A !O f►IAL/,fi�,,f��L ^ U DISTRICT GROUP TYPE CONST. FIRE ZONE PRO SSED BY dollars($100) or less.) / / �lX�" I certify that in the performance of the work for which this permit C �/ f`r'•�� C2 ZIP T, is issued, I shall not employ any person in an manner so as to ARCHITECT OR ENGINEER ��EL NO. J• •..J Y becom'eet�subjlqQCtrrryr,,,,tttt��c��n�pp� e Workers' ensatio S. r STATISTICAL CLASSIFICATION PT \\\ Dated Applicant ADDRESS CLASS NO. '"` DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROK4 EXIST Exemption, you should become Subject to the Workers' CONTRACTOR TEL NO. SET BACK 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.NO. P L LICENSED CONTRACTORS DECLARATION PILE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW El 8K PG , d License Number Lic.Class DE IP NOF RK /l ADD ElVVALUAgON® O Contractor Date ^ o ALTER 1-10 U 0 0 El am exempt under Sec. REPAIR ❑ $ BAP.C.for this reason > Z DEMOL ❑ l P— LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ IL Signature APP CANT(PRINT) TEL NO. LDMA Perm# Z &I, as owner of the property, or my employees with wages as Zi'� � their sole compensation, will do the work and the structure is ADDRESS O H"` I °g not intended or offered for sale (Section 7044, Business and FINAL DATE Q 3307 ilj�°•Oc Professions Code.) �j+ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL To OR GREATER THAN THE FINAL BY < 1 ITEMS El I, as owner of the property, am exclusively contracting WITH AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? I icensed contractors to construct the project (Section 7044, YES ElNO 1:1CIT AL 0 � 95 Business and Professions Code.) I " WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDEJNES. 1 hereby affirm that there is a construction lending agency for YES ElNO❑ C-HAI-rE °Oji I 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, N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS -} i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address4474 1 AN ;a;i? OWNER OR AGENT ' O o I 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 /')�. Sr o with all county ordinances and State laws relating to building `� < construction, and hereby authorize representatives of this County ISSUANCE FEE CO �1 to on the boye-me I e� perty for inspection �' I v 7/ INVESTIGATION FEE TOTAL FEE ^ Sgna re of Apo—or agent Date 01 9 SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0103280038 PHONE: (626) 285-0488 EXT: LEGA ID: 70. OF ONST NEW BUILDING ADDRESS: TR: 13645 LT: 13 SQ. FT STORIES TYPE OCCUP GROUP 4810 HALLOWELL AV STRUCTURE: 160 1 VN R3 TEMP CA 917803456 ASSESSOR INFOR ATION NUMBER: GARAGE: NEAREST CROSS STREET: 8585-017-017 OTHER: THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE o';IY TENANT: EXIS BLDG US : USE ONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/11/01 UT 10/08/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE: BITTER RONALD M;CATANZARO TANYA L (626) 401-9011- 9,6003J �� 4810 HALLOWELL AV TEMP 917803456 FEES PAID DESCRIPTION OF WORK REMODEL AND CONVERT jr EXISTING SUNROOM TO LIVING SPACE APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 9600.00 VAL 0.96 SPECIAL CONDITIONS: B1 PLANCHECK_W/ENERGY 9600.00 VAL 202.52 B2 PERMIT,W%ENERGY 9600.00 VAL 238.26 TOTAL FEES 469.49 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS "� - r Gx�S SOILS ENGINEER APPROVAL 71J1 ARCHITECT OR ENGINEER: TEL. N0: i� - � FOUNDATION/TRENCH FORMS LIC. N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING j AIR QUALITY: 1000 FEET MATERIALS 1 111c�1 NO NO NO Ls' FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST �� w QeH.v",`LCt'([i� BLDG DEPT. FRAME INSPECT -11 SET BACK YARD: HWY: PROP LINE: WIDTH: FSRONT PL-IIDE PL �`�, SHEAR PANELS INSULATION/WEATHER STRIP 0 INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508