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HomeMy Public PortalAbout4847 HALLOWELL AVE_Building__ .i . TEMPLE CR" 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