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79AG311A CH}r0a!•1-�1 • APPLICATION FOR BUILDINGf PER IT /-
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Gc
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 1 -,
WILLIAM A. JENSEN 9UP•T OP BUILDING CROSS ST.
DISTRICT NO. GR UP CESSED BY -
FOR APPLICANT TO-FILL IN <' t �TYPE '
CONS l�
BUILDING . STATISTICAL CLASSIFICATION WER MAP
ADDRESS BK PG
/ CLASS. NO.�DWELL.UNITS
LOT NO. 9 O L BLOCK WATER
[, -CERTIFICATE NOT REQUIRED RECEIVED
1 -
TRACT �'�,, s 61AP,/e HIGHWAY STATE MAJOR SECOND, OCA
O.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT 60 197.7 OW ON LOT 2 USE ZONE SPECIAL
USE OF T�.,. J` / CONDITIONSS j -
•EXISTINGBLDG. Dwelling & Garage A__// Z-I'7-ra',
OWNER T '1 016 ' s�� ;-
iT 'I pp BUILDING YARD HWY ST '•f NAME/7/7 WIDTH
EXIST.
ADDRESS 4847 Hallowell Ave e - SETBACK I / i i ,.
FRONT
ARCHITECT OR TEL. P L.
ENGINEER - 6yn NO. SIDE
ADDRESS TEL. dye_ _ INSPECTION 'RECORD a
CONTRACTOR- NO.' � ,[
ADDRESS tr1(C5� ._.�� =j`,?�-.' sem' yin
i•
DESCRIPTION OF WORK �
r /1. '� x - �T oit = a
NEW 07D• ALTER REPAIR DEMOLISH e,j` � Aldi 9. .�� z
SO.FT. NO.OF NO.OF /�jM1/t
IZE 576T1 'F STORIES 1 � FAMILIES
USE-OF - DwelliII
STRUCTURE g'•
illy
A Lev
c r y
SIGNATURE OF h /s
APPLICANT Zt-Ld K'_ GU40JGS,Jor
VALUATION$ 5000 —
APPROVALS ,DATE INSPECTOR.SSIGNATURE
P.C.• - PMT. • 'J _ FOUNDATION: LOCATION
FEE $ FEE $ FORMS.MATERIALS J J'T��(T"•
FRAME. FIRE STOPS, �..�
I HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS APPLICATION BRACING BOLTS / Q'tt -d/�. �.. ."r. t
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 4' C /�' �l !
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS G•. !
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. 7- Ir.2� _..19•G'�vyi 1
-TION OF THE LABO E OF THE STATE OF CAL RNIA RELAT-
ING TO'WORKM •S O ENSATION INSURANCE
LATH,EXT. ^
SIGNATURE IF - _ HOUSE NUMBER COR- /
PERMITTEE- RECT AND POSTED
ADDRESS841 F11 A INAL rm 3Almd>W.
CLYDE N. DIRLAM, PRINCIPAL ST RAL NGINEER
PLAN CHECK VALIDATION CIL M.O. CASH PERM VALIDATION cK. M.O. CASH
j jA(;0 3'8 8 2 a` SEP 4 1 D 2 2.0 0
t t 9803 3,69 7
APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BUILDING 4�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. yt/P✓ 041 cd,jr
FOR APPLICANT TO FILL IN DISTT`RI�C•T NO. GROUP TYPE ST. PROC ED BY
(PRINT OR TYPE ONLY) ^L v44
BUILDING STATISTICAL CLASSIFICATION SEWER M P
ADDRESS / CLASS NO. v DWELL. UNITS BK G. PG Yy
LOT NO. Vr{ Z Z - BLOCK USE ZONE MAP ''7 p� 1.0
NO. z o
TRACT ��, Z —_9 �, ISPECAL
NO. OF BLDGS. CONDTIONS
SIZE,OF LOT dpA 'ZQM NOW ON LOT
USE OF
EXISTING BLDG. 44C� BLDG. SETBACK FROM
TEL. _ � FRONT PROP. LINE OF -(STREET)
OW NER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
J/
ADDRESS v HIGHWAY WIDTH FROM C.L.
/
+ _
CITY ZF
CI BLDG.SETBACK FROM
ARCHITECT 0 TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WDTH FROM C.L.
TEL. + _ }
CONTRACTOR NO. CL
ADDRESS
6
i9'1"
A% , NO CORNER CUTOFF YES NO u
LIC. ix
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
CONSTRUCTION LENDER // F-
NAME AND BRANCH L U
i w
a
ADDRESS
L
SQ. FT. NO. OF NO. OF ❑ ss `
SIZE STORIES FAMILIES NEW
USE OF `� ADD
STRUCTURE d ❑
ALTER
REPAIR
SIGNATUREMOL
APPLICANT 44 11llV
VALUATION $ Cf�v APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. 7 PMT. FOUNDATION: LOCATION
FEE $ FEE $ Z� SO FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
6z oe
WILL NOT EMPLOY ANY PERSONIN VIOLATIO F THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATI 0 WOR N'S COM-
PENSATION.INSUR C
ATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE
AND POSTED
ADDRESS FINAL Aj He
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION cK. M.O. CASH
�_1r s 5 3 G� AUG 2 2• 1 B 2 2.5 0'r'
WORKERS'COMPENSATION DECLARATION
T_ ,rm ;f at I have a certificate of consent to self — APPLICATION FOR BUILDING PERMIT
i or a ce`,tifiL'bte of Workers'Compensation Insurance,
or a certified copy thereof (Sec! 3800, Lab. C.
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS `7
Certified copy is filed with the county building inspec- BUILDING L4. q 7
tion department. ADDRESS 1' / C LOCALITY + C
NEAREST
Date ApplicantCITY . ZIP CROSS ST. Gam✓
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAG�ZLE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. / NO.
jN qtly TEL. 1� i/ SPECIAL >-
CONDITIONS
certify that in the performance of The work for which this OWNER J' L+nel / NO.6J �V I`� CONDITIONS IL
Y P DISTRICT GR UP TYPE FIRE PR ED BY O
permit is issued, I shall not employ any person in any manner cf^� �� CONSL, ZO�
so as to become subject to the Worker om ensati Lows. ADDRESS �� 7' ! �L /AD/
DateJj Q CITY t' 1 ,( ZIP C1 O
--2/—V Applicant = STATISTICAL,CLASSIFICATION APT. DO:
NOTICE.TO APPLICANT: If, after makingthis Certificate of ARCHITECT ^� TEL.
ENGINEER 1"'>{"r' (A,y NO. — 1 CLASS NO. DWELL. UNITS �
Exemption, you should become subject to the Workers' _C^ 0.
Compensation provisions of the Labor Code, you must forth- ADDRESSJ C , Lei SEWER MAP
with comply with such provisions or this permit'shall be
TEL. I VALIDATION
deemed revoked. CONTRACTOR off NO. L—BK. PG,�
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business andLIC. $
Professions Code, and my license is in full force and effect. CITY CLASS J!l ,
SQ. FT Nb. OF NO. OF 1 CHECK
License Number Lic.Class SIZE STORIES FAMILIES ! ONE
Contractor Date DESCRIPTION OF WORK + NEW C]
ADD ES N
I am exempt under Sec. �'' E] FINAL �
rr,, ALTER /
B.BP.C. for this reason iiXV-601'+1 t �LL� REPAIR DATE
Date: USE OF < I�,, DEMOL FINAL_f I�
EXISTING BLDG. r�-�+�`�•Vl(, A.
By (7`
Signature APPLICANT TENL.O.
OWNER-BUILDER DECLARATION PRINT dr 571
I hereby affirm that I am exempt from the Contractor's License + Pilo 6 3 4 A
Law for the following reason (Section 7031.5, Business and ADDRESS L I I't (10we-
Professions Code): PRESENT # o 0 0 0 0
® BU ENG
I, as owner of the property, or my employees with DRESS ;1 - 246.75
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY .o - 246755
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 1,22-87
with licensed contractors to construct the project (Sec- ADDRESS
"tion 7044, Business and Professions 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
the performance of the work for which this permit is issued P.L. ;
(Sec. 3097, Civ.C. SIDEFD
'
o Lender's
Lender's Address T� � 41 ��r �t'�z/�j< y P.C. Fee$ Permit Fee
I certify that I have read this application and state that the / Issuance Fee
above information is correct. I agree to comply with.all County Investigation Fee
g ordinances and State laws relating to building construction, Total Fee b
v and her authorize representatives of this County to enter
upon t e bove-mention prop y for inspection purposes.
a SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of p nt or 9gent Date ®s
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 0207160030
PHONE: (626) 285-0488 EXT:
-UE G L I : N0. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 4847 HALLOWELL AV
STRUCTURE: VN TEMP CA 917803457
ASSESSOR INFORMATION NUMBER• NEAREST CROSS STREET: LOWER AZUSA
8585-016-008 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/16/02 JK 01/12/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
MAGANA;PETER 6,000
4847 HALLOWELL AV
TEMP 917803457 FEES PAID DESCRIPTION OF WORK
T/O; SHEET & INSTALL 30YR SHINGLE OVER HOUSE & GARAGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
TILLY ROOFING SERVICE - AA BLDG PERMIT ISSUANCE 27.75
4635 FENDYKE AVENUE AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS:
ROSEMEAD D2 PERMIT W/O EN-HC 6000.00 VAL 149.40
TOTAL FEES 177.75
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
OTILIO GONZALEZ (626) 571-1565-
4635 FENDYKE AVE LIC. NO LOCATION AND SETBACKS
ROSEMEAD CA 729291 C39
SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: TEL. NO: FOU DAT ON/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
X 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: PT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK ROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOG RIC EIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0207020048
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL D: NO. OF CONST NEW BUIL G ADDR S :
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 4847 HALLOWELL AV
STRUCTURE: 128 1 VN R3 TEMP CA 917803457
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8585-016-008 OTHER: THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/03/02 JK 12/30/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
MARCO AMATO (310) 851-2158- 8,000
4847 HALLOWELL AV A.M// W
TEMP 917803457 FEES PAID DESC PT ON WORK
NEW ENTRY AREA, C/0 2 WINDOWS IN FRONT AND 1 IN BACK
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS:
B1 PLANCHECK W/ENERGY 8000.00 VAL 171.11
B2 PERMIT W/ENERGY 8000.00 VAL 201.30
TOTAL FEES 400.96
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING �—
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION d
3 01
ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT-
REQUIRED
NSPECG REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: 217 C,L
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP Lf�
INTERIOR LATH/DRYWALL
EXTERIOR LATH v
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508