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Home My Public Portal About4826 HALLOWELL AVE_Building__ TEMPLE CIT` 79AG38A C[#8031-d1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING > DEPARTMENT OF COUNTY ENGINEER' ADOREss BUILDING AND SAFETY DMSION LOCALITY J • JOHN•A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. _ FOR APPLICANT TO FILL IN DISTRICT I N GROUP TYPE /P Y ._./ � _�GJI CONST. 151 BUILDING STATISTICALCFICATION SEINER MAP ADDRESS / BK f �� ` CLASS.NO. DWELL. UNITS /�{ LOT NO. BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED -TRACT MAP V •D HIGHWAY EI S ATE MAJOR SECOND, OCAL NO.OF SLOGS. , NO. SIZE OF LOT a I NOW ON LOT USE ZONE SPECIAL USE OF - CONDITIONS EXISTING BLDG. TEL �p OWNER •NO.�/ D BUILDING YARD HWY STREET NAME EXIST. ' SETBACK WIDTH' ' ADDRESS FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE - P.L. ADDRESS SPECTION RECORD o_ TEL. i f O CONTRACTOR rNO. )'� //// V ADDRESS - "ALi DESCRIPTION OF WORE �, v • W D_ NEWADD ALTER REPAIR DEMOLISH - - h SQ FT. /9•-/7 NO.OF NO.OF ?~ IZE v v STORIES FAMILIES USE OF STRUCTURE / SIGNATURE OF APPLICANT VALUATION or. U� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT'. FOFORMS!MATERIALS ON +J FEE $ FEE $ -7 v `' t7"�,/ FRAME: FIRE STOPS, /Y e I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS / F'$'• 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- TI IOLA- \\ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. ING TO WORKMEN'S COMP SAF INS RANGE I LATH,EXT. SIGNATURE 01`6 HOUSE NUMBER COR- I �o0r PERMITTEE RECT AND POSTED ADDRESS FINAL" CLYDE N. DIRLAM, PINCIPAL STRUCTURAL E R R PLAN CHECK VALIDATION' CK. N.O. CASH PERNUT'VALIDATION ' aK. m.o. CASH X 7.5 8 8, JAN 3. o 5.0 0: M 7!A436A•cF#80D6_eB., APPLICATION FOR BUILDING PERMIT' �.:• COUNTY OF LOS ANGELES BUILDING 4 DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 BUILDING'AND, SAFETY DMSION LocailTY _�Ar, C.'�"V JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN BUP'T OF BUILDING CROSS-ST. DISTRICT NO. -GROUPTYPROCE SED BY FOR APPLICANT TO FILL-IN 5 I CONS I .E PJ� BUILDING - ' ADDRESS' ' %�25 �P / 'STATISTICAL CLASSIFICATION SEWER MAP ' y] - BK PG CLASS.NO. DWELL. UNITS(/ 11 4- 4 LOT NO. / BLOCK MAP _ STATE NUMBER '[(� - HWY. YES;" O TRACT � � SIC +� - - U�SZONE SPECIAL _ NO.OF BLDGS. qq CONDITIONS SIZE OF LOT . I-•NOW ON LOT OA,. USE OFd " EXISTING BLD •EXIST. - - SETBACK YARD HWY • STREET NAME WIDTH , OWNER -FRONT MAIL 6 0( P.L. ' ADDRESS. Col - SIDE - 1 TEL. P.L. clrY No: '7 ��'INSPECTION RECORD ' ARCH ITECTOR TEL-. _ • ENGINEER NO. ADDRESS f�' ¢I • TEL. lei " CONTRACTOR- NO. DD / - DESCRUMON OF WORK ^ -� NEW. _ADD` ALTER REPAIR DEMOLISH SO.FT. NO.OF NO.OF ¢ �� wim-0 SIZE &Ei STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF - APPROVALS APPLICANT • - DATE INSPECTOR'S SIGNATURE , ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ P.C, S FRAME: FIRE STOPS. a BRACING, BOLTS VALUATION " FURNACE: LOCATION. FEE GAS VENT,DUCTS 1-HEREBY ACKNOWLEDGE•THAT'I HAVE READ THIS AP- LATH,INT. PLICATION:AND STATE-THAT THE ABOVE IS CORRECT AND > AGREE,TO COMPLY WITH'ALL COUNTY,ORDINANCES AND ATH,EXT. STATE LAWS REGU ING BUILDING CONSTRUCTION. SIGNATURE OR HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL E R PLAN CHECK VALIDATION Cr_ M.O. CASH PERMIT VALIDATION CK. M.O.-LAtCASH ol'5� �w5'"91 0 SE''2'9 1- A 1'.0'0 . _ Of TEMPLE CRTC _ 76A80EA CIS#3031:/60 APPLICATION FOR BUILDING- P RMI-T - � • .1 COUNTY OF- LOS ANGELES . '-BUILDING DEPARTMENT OF COUNTY*ENGINEER, ADDRESS BUII:DING 'AND.SAFETY DMSION LOCALITY JOHN A. LAMBIE;COUNTY, ENGINEER - NEAREST WILLIAM-A. JENSEN SUPT OF BUILDING CROSS ST. i DISTRI T N GR UP- TYPE ESSED BY \ FOR APPLICANT TO FILL IN j�(�►• coNsr. BUILDING_ �/r1 ` STATISTICAL CLASSIFICATION S WER.MAP- -ADDRESS �L'E' ° - BK P CLASS.NO. DWELL.UNITS - LOT NO Q '-.BLOCK MAP STATE 'YES NO- NUMBER HWY. TRACT _ 6 -• USEZONE SPECIAL SIZE OF LOT I NO.OF BLDGS. CONDITIONS NOW ON LOT USE OF 1 EXISTING BLDG. BUILDING EXIST. TEL. YARD HWY ST ET NAME G SETBACK WIDTH ' OWNER _ NO. �� Oa FRONT % •q P.L. �FiV ADDRESS SIDE ARCHITECT OR TEL.. P.L. ENGINEER NOt-1 -INSPECTION RECORD ADDRESS TEL.. ,owmoQI CONTRACTOR -NO. - - "I I O ADDRESS gbdRUMON OF,VORS_ / 0 NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF .4 SIZE I USE O STRUCTURE ' /I/j 3/Cao i a s 1efi.Qn�i•�.: . , r• SIGNATURE OF,- - - //G ^�-+a-H' l .�FJ� G✓�S-sD- OsJ'AO• :- APPLICANT VALUATION$ 4 1s CLeoxt- mosmmimpm APPROVALS' DATE INSPECTOR'S SIGNATURE PMT. - FOUNDATION: LOCATION' - n FEE $ - - FEE $ FORMS,MATERIALS - - 2 - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING, BOLTS PLICATION'AND STATE THAT THE ABOVE IS CORRECTAND i AGREE 'TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE: LOCATION, GAS VENT,DUCTS I !lle,< STATE LAWS REGULATING- BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. II / WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S OMPENS TION LAWS OF CALIFORNIA. LATH,EXT. l�/(-r (. A, SIGNATURE O - HOUSE NUMBER COR- PERMITTE RECT AND POSTED I N W ADDRESS ^i FINAL• CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E R PLAN=_CHECK VALIDATION CK. M.O. .-CASH -PERIM VALIDATION cK. 'M.O.LA CASH 9.0 _�. 76A63BA.CE#603.10-56•APPLICATION O . B U I I_®IN G, PERMIT "'• � BUILDING AND SAFETY DIVISION BUILDINGS, " • ADDRESS. .Department of County Engineer r" County of Los Angeles,: LOCALITY x JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' CASSATT-D. GRIFFIN, SUPT OF BUILDING -CROSS ST. ',DISTRICT NO.' GROUP TYPE .��- -I ER MAP FOR APPLICANT TO FILL IN CONST rT BK BUILDING ) - ADDRESS STATISTICAL CLASSIFICATION LOT NO. BLOCK - CLASS. NO.,' DWELL. UNITS- '-I •• _ MAP.,'- .STATE - ` NUMBER . �- - .HWY- YES TRACT " �. •• , AlPECIAL• - NO. OF BLDGS." /g/,_ CONDITIONS SIZE OF LOT �T-� �• I NOW ON LOT . + "� USE OF - •fJ�>� - -• - - EXISTINGBLDG. - BUILDING ' EXIST.' YARD-. •HWY •• STREET NAME, SETBACK• - - - •WIDTH, _OWNER w FRONT 1 475 ,O MAIL- { - P. L. ADDRESS Ol - SIDE TE /L 4%Z P. L. CITY C�-�►� NoINSPECTION RECORD` . ARCH ITECT,OR TEL. , ENGINEER NO. - > _ ADDRESS. TEL. CONTRACTOR NO. ADDRESS- ,. DESC TION OF WORK o NEW ADD ALTER REPAIR DEMOLISH � �/9 )� r A-��i�.;:.i./✓� J/!7`,,,, SQ. FT. NO. OF- NO.OF SIZE •,' STORIES FAMILIES .9' USE'OF STRIJCTURE -. 'APPROVALS ' SIGNATURE OF - _ _ APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION /,/I/(/;� ,FORMS, MATERIALS 7 r E•(..�ttj gjJ ,$ v' Ov • P,-C, .Q FRAME: FIRE STOPS. FEE BRACING, BOLTS S - FURNACE: LOCATION, VALUATION - FEE GAS VENT, DUCTS C. ' '-- :1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- .LATH, INT. - -` PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND / �r�i jLyr ,may STATE LAWS REGULATI B IL G CONSTRUCTION. LATH. EXT: SIGNATURE O HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED-- • GR�f A/� ' .4DDRE54 - FINAL - -x JOHN-A. LAMBIE,'.COUNTY ENGINEE CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cit. M.O. CASH PERMIT VALIDATION. cK. M.O. • CASH I .2 2.a 1:� 'sem 1,3 4-.00 0 n TEMPLE CITY . AQ]EA C - - 1 v•_�r - 7. eaao� 1-QI APPLICATION FOR BUILDING PERMIT .- COUNTY OF{LOS ANGELES BUILDING - DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY.DMSION LOCALITY /YYI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTTRI�N TYPE ES Y FOR APPLICANT TO FILL-IN a CONST. BUILDING STATISTICALCLAS FICATION SEWER MAP ADDRESS4gA BK PG CLASS.NO DWELL.UNITS L. LOT NO. 'BLOCK WATER CERTIFICATE•//�/NOT REQUIRED. RECEIVE D TRACT NO.OF BLDGS. No .AZO 1(CGRCLE>HWAY STATE MAJOR SEC D LOCAL/ SIZE OF LOT V "Al O I NOW ON LOT USF ZONE SPECIAL / USE OF / LDCONDITIONS EXISTING BG. ! /[,JI _ i TEL. OWN ER •'N' NO. BUILDING YARD HWY STREET NAME EXIST. - SETBACK ,WIDTH ADDRESS�P2 FRONT ' t, / •' ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE P.L. ADDRESS CL TEL. 1 INSPECTION RECORDS O CONTRACTOR NO. � --/y., O ADDRESS ` �- ' DESCRIPTION.OF WORK W /' a NEW ( ADD ALTER REPAIR DEMOLISH N Z SQ.FT. NO.OF NO.OF IZE STORIES FAMILIES USE OF STRUCTURE LA-0-9_ SIGNATU E OF APPLICANT , VALUATION$ , APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. /�-�/ FOUNDATION: LOCATION FEE $ FEE $ FORMS,MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �Y 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 /•,�yy /J/ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH`INT•. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA ING TO WORKMEN'S C MPENSATION INSURANCE ` LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ,�•- ADDRESS - FINAL i / 1 II% .• "lam CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN E , PLAN.CHECK VALIDATION cK. m.o. CASH PERMIT VALIDATION cK. • M.O.SCASN Lk0 6 6 0 11-0 NOV '7 1 D .1 5..0.Q~ 4 WORKERS' COMPENSATION DECLARATION I herebyaffirm that I"have a certificate of consent to self insure, r'a certtficate`of.Workers'"CompenS&ion Insurance,' APPLICATION ,FOR 'BUILDING PERMIT or a•certified copyahereof (Sec.'3800 Lab. C� —COUNTY OF LOS ANGELES .. F -BUILDING AND SAFETY Policy No. Company BUILDING / ❑ 'Certified copy is'hereby furnished." FOR APPLICANT TO FILL IN ADDRESS ��`'lv; /C� •4 ❑ Certified copy is filed wrth•the county building inspec- BUILDING p�L �` tion department. " ADDRESS CITY . e e. C / I -.ZIP, �i 7 LOCALITY -ice Date Appltcarit NO. OF BLDGS.._ NEAREST -CERTIFICATE OF EXEMPTION'FROM WORKERS'' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not,be c6mpleted if the permit is for-one ' TRACT• /cJ 6 BLOCK" LOT NO. MAP'BOOK ; .,• PAGE PARCEL hundred dollars ($100) or less.) TEL, OWNER G(/ �/JQ�/�JCt NO a��5 USE ZONE" MAP .j certify that in-the perfoimamce of the work for which this NO - - permit.ts issued, I shall not employ any person in any manner ADDRESS - a2G a�w kJ eL 17/� SPECIAL'c CONDITIONS �_ O •• " so•as to become sublect to the Workers'.Compensbtion-L6ws. _ U CITY ZIP YDate Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE - FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after, making,this Certificate of ENGINEER ...NO. CONST' " ZONE ►- -,Exemption;- you:should"become subject to the .Workers' G W Compensation provisions of the Labor Code, you must,forth- - ADDRESS.:. with,comply with such provtsioris .or this ,permit shall be,, ,/' TEL STATISTICAL CLASSIFICATION APT.. : ,CONDO:. N deemed revoked.',. CONTRACTOR C� �J NO., -- Z j LICENSED CONTRACTORS DECLARATION,. LIC. CLASS NO. "� DWELL. UNITS ADDRESS' I hereby,affirm that I am licensed under provisions of.Chapter 9 NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC- and Professions Code,and my-license is in full force and effect: _ CIN'' CLASS BK PG VALIDATION r SQ 'FT NO OF NO OF CHECK ' License Number Lic. Class SIZE /�"v STORIES FAMILIES / ONE VALUATION Contractor Date" DESCRIPTION OF WORK " NEW ❑ w: 070.b .ADD -0 ; �� y ❑I am exempt under Sec. L' e r�^S E S oil, . .• .. .ALTER a:,O - _ . B,BP.C. for this reason �!J - USE OF� /��e t� REPAIR s Date: EXISTING BLDG �c fGvfLA �� DEMOL Signature APPLICANT T N� FINAL(PR1 OWNER-BUILDER DECLARATION DATE'l�l/� �� AC*CT es I hereby affirm that I;am exempt from the Contractor's License -' ADDRESS Law for the following reason (Section 7031:5, Business and FINAL � � � "' ,J,_a},i %tG�6v� Cages ns Code):'" PRESENT .. . �k: . - By' i ITEMS BUILDING -.'1 ITE S =K as owner of the pioperty; or. my employees with ADDRESS 4 as Their sole compensation;will do the work.and / �" 012- TOTAL ala m 63 the structure is not Intended•or offered for'sale(Section" LOCALITY 'CASH ti: 7044, Business and Professions Code.) MOVING ' TEL _ ' - v,.eb , CONTRACTOR NO 0 1, 6s owner of the property;am exclusively,contrdcting !:{ }{ f�E with licensed,contractors to construct the prolect.(Sec- ADDRESS " tion-7044,,Business and Professions'Code.) ' -,REQUIRED TOTAL SETBACK FROM' EXIST' CONSTRUCTION LENDING AGENCY SET BACK YARD HVJY PROP. LINE WIDTH I hereby affirm that there is a'construction lending agency for FRONT � �—GCI1 W.. � "� the performance of then work for which,this permit is issued "P.L 3�n {{r'••' i:..L (Sec. 3097, Civ. C ). SIDE. - ��a'J 1.z ��1� :t P L. Lender's Name T s r -LDMA-Ref:# P.C. Fee$ , Permit Fee_ Lender's Address i. ° I ceitify thdt'I•'hdve read this application and state that the Issuance Fee l 'LOMA P/C# + ' above information is correct. I agree To comply:with all County ' t Investigation Fee'" ordinances and`State law's relating to.building construction, Total Fee• � LDMA Perm #' , < and he by authorize representatives of this County to enter - u on, a above-rnentio d pro ertt for inspection purposes. SEE.REVERSE.FOR EXPLANATORY LANGUAGE { Signature of Applicant or Agent Date