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Home My Public Portal About4923 HALLOWELL AVE_Building__ _ `" f t _ 76A-6-VA ,C� x;03 1/7-0 PPLICATIO�N •FO ILD.IN PERMI �j COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE, PARCEL' t" BUILDING,AND SAFETY DMSION ` Pul ADDRESS JOHN A'.;LAMBIE, COUNTY ENGINEER COLEMAN •W, JENKINS;:'euP T OF,'.BUILDING LOCALITY ` FOR APPLICANT TO-FILL:IN NEAREST,'' -- -(Print ort e'onl - •CROSS ST.• 4t - 'DISTRICT,NNNppp GRO P .TYPE.' ` = ('PfF6 ESSED BY BUILDING, ' CONS , - ADDRESS _ _ STATISTICAL CLA SIFICATI.ON SEWER'MAP , LOT NO ( - •: BLOCK CLASS NO. DVJELL,UNITS' BF PG TRACT • Z - ZONE MAP NO.OF BLDGS -' ,NO. •• - SIZE OF LOT NOW ON.LO.T. SPECIAL': USE OF, CONDITIONS - EXISTING BLDG, An - TEL. I ; OWNE NO, BLDG.SETBACK+FROM Gr�S � r. : (STREET). , RESS FRONTPROP.LINEOF ADD - • - _ .TYPE OF-EXISTING 'SETBACK H_I GHWAY + YARD= = ,..TOTAL CITY " HIGHWAY ''WIDTH "FROM C.L. _ -• -ARCH IT C OR 'OrQ), ENGINEER - - - N BLDG.SETBACK-FROM - _ �. ADDRESS SIDE PROP.LINE,OF (STREET) r TEL. TYPE OF EXISTING SETBACK HIGHWAY - "} 'YARD = TOTAL: _ CONTRACTOR-• NO• .HIGHWAY WIDTH FROM-C.L. ° r( LIC. LIC." + _ 1 ADDRESS ,NO. � _ V _ .. -. CITY CLASS •CORNER CUTOFF,.-, YES ❑ - NO 0 CONSTRQC N:LEN R NAME:AND BRANCH SEE,-REVERSE SIDE FOR SPECIAL=APPROVALS~ 'a �--1 ., rn ADDRESS_ SQ. FT. I NO. OF NO. OF NEW ❑ i �.,ry '.Oe• D . IAI�/!�} w.f l� SIZE STORIES FAMILIES, F USE OF ADDS ,•�i'. -.J•t' :-}C. ST CTURE ❑ t - REPAIR❑ SIGNATURE - - APPLICANT - DEMOL ,❑ - + 1-•i +.. •"'•- VALUATION $ ,�., APPROVALS - DATE _•iNe PE' roll's SIGNATURE, - P.C, PMT. %t ',— FOUNDATION: LOCATION FEES FEE$ �: �, FORMS, MATERIALS / '7/.." FRAME: FIRE-STOPS, I•HEREBY-ACKNOWLEDGE THAT•ol HAVE READ THIS APPLICATION BRACING BOLTS �- �-�I '•�� l ° AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION', WITH ALL ORDINANCES' AND LAWS REGULATING BUILDING CON GAS VENT, DUCTS STRUCTION. I` CERTIFY THAT IN,DOING THE WORK 'AUTHORI'ZED 17 HEREBY I,WILL NOT EMPLOY-ANY,PERSON IN VIOLATION OF,THE LATH, INT. LABOR CODE OF THE- STATE OF -CAL IFOR NIA IN RELATING TO, - - WORKMEN'S COMP TION NSURA y 'LATH, EXT, 9.� V � SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS rly y al 0/h N AL• - - ,JOHN F LEWIS IPRIN IPAL TRUCCTTU�RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION •M O. CASH 1 tel` 76A638A CE.Y8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 3 DEPARTMENT OF COUNTY ENGINEER PDDRESS BUILDING AND SAFETY DIVISION ' LOCALITY JOHN A. LAMBIE,.COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING - CROSS ST. - DISTRICT N6. G,@S141P TY �� PROCESSED BY , FOR APPLICANT TO: FILL IN CO ST. iKl BUILDING'11��QQ STATISTICAL CLASSIFICATION- ER MAP ADDRESS.7`J� / CLASS. NO. DWELL. UNITS K PG 4 LOT NO. 5 i 3�7.O -�.of ;2,2 BLOCK WATER '^'►T �y CERTIFICATE: NOT•REQUIRED RECEIVED ❑ TRACT/k/5—45; q3- 4 MAP NO Q•/ AIGRCL 'E) STATE MAJOR SECOND OCAL AY NO.OF BLDGS. 'SIZE OF LOT NOW ON LOT USE ZONE SPECIAL ,USE OF + CONDITIONS rEXISTING BLDG. 1 TEL. . '' _ e OWNER NO.�7TS� BUILDING. ` - EXIST. n SETBACK YARD' FiWY STREET NAME WIDTH ADDRESS �(.� FRONT yv -. 0 / � 4 , ARCHITECT OR TEL. P. L. a7 ,F�� L ENGINEER NO. - •SIDE. P. L. .ADDRESS Aft tL TEL. 4/2-7 c .c. aJO / f-<. ne.#0 iv' t�'�'S 0 CONTRACTOR -,�,NO.yCJ�_' svi ADDRESS - CL - O DESCRIPTION OF WORK V A L` I' Z eQ t� G x S 1 (Pig TO u w u E Ts. InL. 4 F7 L-o wcg. a NEW ADD ALTER REPAIR DEMOLISH FLA n N SQ. FT.' NO. OF, NO: OF ,r P t'�` \Q M.a 1-1- ?, SIZE STORIES FAMILIES - �.` rt,,� ^ USESTRO TUBE � ,. z. / k1l Q.. lid cl< E"�c ARL e'a SIGNATURE OF. APPLICANT - - VALUATION $ /17d4, v r APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ PC FEE $ FORMS. MATERIALS. ' FRAME:>FIRE STOPS. - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,' WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS, BUILDING•CONSTRUCTION. I CERTIFY THAT INDOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY.ANY PERSON IN VIOLA. LATH,TNT. TION OF,THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ,• ING TO WORKMEN'S COM ATION INSURAN LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE 'RECT AND POSTED ' ADDRESS FINAL JOHN F. LEWIS. PR NCIP L ST5,6(;-' RAL ENGINEER PLAN CHECK VALIDATION--'-•-cK, M.O. CASH PERMIT VALIDATION CK. M.G. CASH LA" 5. 3 4 3� OCT' 1 D .. . 4.00w �' I ' i'6a`5.`'8ACE48035-55 APPLICATION FOR BUILDING -PERMIT . COUNTY OF LOS ANGELES BUILDING 3 DEPARTMENT OF .COUNTY 'ENGINEER ADDRESS . BUILDING AND SAFETY DIVISION LOCALITY - JOHN,A. L'AMBIE-, COUNTY-ENGINEER NEAREST *" { COLEMAN W. JENKINS,SUP:T OF BUILDING CROSS ST -' DISTR1CT N GROUP TYPE _� PROC _ED BY, FOR APPLICANT TO FILL IN 19 �. CON ST' - BUILDING STA T1 T IC A'L CLASSIFICATION' ' _ SEWER•MAP. ADDRESS. - - B;� PG '�- •_ CLASS NO "DWELL UNITS �• LCT-NO USEZONE MAP" No TRACT,. .jl �-� - SPECIALJ. CONDI ••t ` N0. OF BLDGS. J TIONS SIZE OF LOT NOW ON LOT USE OF c:4-- / EXISTING B DG. /c: BLDG. SETBACK FROM _ -- //�� TEL FRONT PROP. LINE OF a _ '(57RE E7) ' OWNER f!'� NO. TYPE OF EXISTING I SETBACK HIGHWAY ="h•' YARD = "°TOTAL, • ADDRESS HIGHWAY' WIDTH -FROM CA: CITY t --jr19;t _ b�L ARCHITECT OR EL. BLDG. SETBACK FROM SIDE PROP. LINE OF (STREET) ENGINEER NO. - TYPE OF EXISTING SETBACK n HIGHWAY +, ,.YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL - -i=- �— - - - a• CONTRACTOR NO •� O ADDRESS �f/ /C� NOL'C 2-) �- CORNER CUTOFF YES,: .NO ..U. cITY LL �� SEE REVERSE SIDE FOR'SPECIAL APPROVALS O DESCRIPTION OF WORK N ADD ALTER REPAIR DEMOLISH SQ,FT. 'l� NO. OF NO OF SIZE W STORIES FA tv11LI F_S - - - USE OF STRUCTURE - - - SIGNATURE OF ' APPLICANT f VALUATION$ APPROVALS DATE I NSP ECTOR'S-SIG NATURE P C PMT FOUNDATION, LOCATION FEE$ FEE'$- / - FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS OO lL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES .AND STATE LAWS REGULATING GAS VENT DUCTS - 9UILD I NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR C DOF THE STATE OF CALIFORNIA RELAT- ING'TO WORKMEN'S O EENSATION IN URA �p� '-•��y _ LATH EXT. SIGNATURE Oa7 HOUSE NUMBER COR- - f PEfRMITTEE VVV -,HOUSE AND POSTED - - ADDRESS FI-NAL - JOHN'F. LEWIS, Pl4iNCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION -CK .M O CASH O 04 8 1 MAR 1 Jr" 1 D '8.0 ON .•d F' . z V WORKERS' COMPENSATION DECLARATION insure,boraa certif carte of Worke srlCompensat on eInsuran of APPLICATION FOR, BUILDING PERMIT 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 �W ❑ Certified copy is filed with the county building inspec- BUILDING -T Too tion department. ADDRESS IrU ^► 1c5 U Date Applicant CITY ZIP l� LOCALITY pp sNO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT �30 CROSS ST. COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACTJ BLOCK LOT NQ. MAP BOOK ` PAGE PARCEL hundred dollars ($100) or less.)' TEL. OWNER NO. USE ZONE MAP Al, I certify that in the performance of the work for which this i ` �+AV�p ) NO. 7 17 79 permit is issued, I shall not employ any person in any manner ADDRESS 1 /N' NV� I SPECIAL }- CONDITIONS Q so as to become subject to the Workers' Compensation Laws. .�t• � CITY pn �t T ZIP �. U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE P SSED BY Q NOTICE TO APPLICANT: If, after-makingthis Certificate of ENGINEER NO. CONST. ZE U Exem tion, you should become subject to the Workers' lZr4�_ Compensation provisions of the Labor Code, you must forth- ADDRESS �' s N with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR NO. — LICENSED CONTRACTORS 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. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG ;•;,_.VA&IflATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE .'' VALUATION €.``••` Contractor Date DESCRIPTION OF WORK NEW ❑. _L ADD ❑ ��./ " E]I am exempt under Sec. POl=" A ALTER _ B.BP.C. for this reason �. Wl� �S REPAIR ElS USE OF ;_F 1- y. Date: EXISTING BLDG. DEMOL ❑ - -•= { Signature APPLICANT ff�, TEL. // r� ""a' �.? =; n G g (PRINT). C� NO. "63(F FINAL i_+:sit" OWNER-BUILDER DECLARATION '/ �; DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS V 1 Law for the followingreason Section 7031.5, Business and FINAL - Prof ssions Code): PRESENT BY -- t-- I as owner of the property, or m employees with BUILDING P P Y� YADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section [AD LITY _I3"? i_@ 3;%I3 a•€.. '€'�j'' ❑ 7044, Business and Professions Code.) NG TEL. d:,�r t I, as owner of the property, am exclusively contracting RACTOR NO. L ); with licensed contractors to construct the project (Sec- ESS tion 7044, Business and Professions Code.) UIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY BACK. YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for NT the performance of the work for which this permit is issued P. (Sec. 3097, Civ. C.). ,,rr __ E Lender's Name Fee$ Permit FeeLDMA Ref. # Lender's Address r^7�01 certify'that I have read this application and state thattheIssuance Fee 0- LDMA P/C# ►8above information is correct. I agree to comply with all County tigation Fee. � R ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and hereby uthorize representatives of this County to enter upon the ab e-mentio d property for inspectiQ p rpos s a t r t SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signa of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9701280024 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 4923 HALLOWELL AV STRUCTURE: 1200 V TEMP CA 917803459 ASSESSOR RMA BER- NEAREST CROSS STREET: 8585-016-005 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: EXIST B RESID ZONE: R- ISSUED 0 PROCESSED BY: EXPIR S EXIST OCC GRP: 01/28/97 TC 01/28/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE: KAI HENRY K (818) 284-2007- 1 1,500 4923 HALLOWELL AV y TEMP 917803459 FEES PAID DESCRIPTION OF WORK COVER OVER EXISTING WITH COMP. SHINGLE APPLICANT: NO: - - 25 YR. FEE DESCRIPTION: ��-U�A�NTIT�:JUOM; /J� AMOUNT: SAME AS OWNER AA BLDG PERMIT ISSUANCES 27.75 AC STRONG MOTION RESIDS 1500..00-VAL (,O 50 SPECIAL CONDITIONS: D2 PERMIT W/0 EW-HC� 1500..00-VAL 82:20 TOTALL FEES 110.45', CONTRACTOR: TEL. NO: O APPROVAn DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO 0 ACKS SOILS ENGINEER APPROVAL ARCHITECT R: IS�'EJ]I0M NJ U t �] FOUNDATION/TRENCH LIC. N0: �tuti_ (� SLAB/UNDER FLOOR RU FLOOR MA _ f P NO: SEWER M BOOK: GE: FIRE ZONE: CMP: NDERFLOOR INSULAT 144H273 3 01 U FLOOR . OF FAMILIES: WE ITS: /CO CL � l NO 21 ROOF SHEATHING SCHOOL IT AZAR SFS PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACKT GERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/W5ATHER STRIP SIDE PL INTERIOR L ' EXTERIOR LATH RATED FLOCIR/CEIL ASS RATED WALL ASSEMBLIES t RATED SHA GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BSO5O8