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HomeMy Public PortalAbout4935 HALLOWELL AVE_Building__ APPLICATION FO.R- B U ILD ING PERMIT _ FOR APPLICANT TO'FILL IN (Print or type only) ' BUII DING c, r� _ COUNTY OF LOS ANGELES ADT�RE5�5 l -D I DuJ-LSI• DEPARTMENT OF COUNTY ENGINEER,- CITY ZIP U BUILDING AND SAF Y DIVISION gjSqNO.OF BLDGS BUILDING SIZE OF LOT `Z.'{-X NOW ON LOT TRACT RK �I I46cci LOCALITY TELNEAREST OWNER k&A— NO. CROSS ST ASSESSOR ADDRESS fp� Ie QMAPBOOK PAGE PARCEL -CITY CQ� (� ZIP DISTRICT GROUP ,TYPE FIRE ESSED BY I.�� CONST ZONE-,-' ARCHITECTOR - TEL ENGINEER NO STATISTICAL CLASSIFICATIO N / SEWER4AP ADDRESS CLASS NO DWELL UNITS / �.BVZPG TEL CONTRACTOR NO ZONE OP ��f O LIC -- - ADDRESS NO SPECIAL LIG • 7"- CONDITIONS - CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP'LINE'OF " (STREET) ADDRESS' -CITY- - TOTAL SETBACK FROM. TYPE OF EXISTING SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE- O� STORIES FAMILIES ONE } DESCRIPTION OF WOR NEW + �V O ❑ ADD. BLDG SETBACK FROM es SIDE PROP LINE OF• - - (STREET)- - O ALTER_-❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY. + YARD = SIDE PROP LINE HIGHWAY WIDTH _ USE OF REPAIR- ❑ __ Z EXISTING BLDG DEMOL ❑ + APPLICANT TEL r�J/' CORNER CUTOFF YES NO (PRINT( E NO 92 /( IN OPEN SPACE YES NO BY(SIGNATURE) ��^ ,,l _ IN COASTAL PERMIT ZONE YES NO VALUATION$�� W 0 / - /7. - �/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 2 �, ^-�' 15/N� D` AND LAWS REGULATING BUILDING'CONSTRUCTION I CERTIFY THAT IN DOING THE �6 y�,(J r /�- WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- PENSATIONINSURA CE _ 3 - - - "' :, "•' n , SIGNATURE O PERMITTEE ADDRESS= TEE po 96 CITY �_ G. s NO. IA EL BY / MAKECHECKS PAYABLE TO FPC EE FET HARVEY T. BRANDT,COUNTY,ENGINEER J ` O PLAN CHECK VALIDATION., cLc: M.0. CASH _ / PERMIT VALIDATION QCK. M.o. CASH 2:5'?r 13 -1. 0 Irl V-Nov 26 ' 1' 0 D2-1 9. G A9 . ®s 76A638A CE#803 3-75' p moo? p VG' PLICATION FOR COUNTY OF LOS ANGELES iTMENT OF COUNTY U 1'LD I N G PERMIT DEP D NG AND SAFETY IV SION ENGINEER FOR APPLICANT TO FILL IN BUILD dg-e. BUILDINGt ADDRESS 3,5 Merl 1% e w'el LOCALITY U NEAREST CITY ZIP 70 CROSS ST.` NO.OF BLDGS. ASSESSOR SIZE OF LOT V NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP kYPE FIRE. SS�EDD BBB W40• Jd/;`pO ie�jBLOCK p 33 /1 OWNER CONST. ZJO e-r `, NO. STATISTICAL CLASSIFICATION SEWER MA ADDRESS 3,5' Na r t h L�, d(i p,c_I- CLASS NQP!!4d DWELL.UNITS �K G CITY TP.M L< C I ZIP .. ZiNE MAP ARCHITECT OR TEL'. SPECIAL ENGINEER NO. ZVv CONDITIONS, ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ �p TEL.' p CONTRACTOR /� Utf g rlt.95Q�!) NO. �/�� BLDG.SETBACK FROM /J y ? FRONT PROP.LINE OF (STREET( ADDRESS '36S �7 d`57 P NO. J�J 6 HIG WAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING f riLIC. FRONT PROP.LINE HIGHWAY WIDTH CITY i- /T L'✓'d Q CLASS _ CONSTRUCTION LENDER + } CL NAME AND BRANCH BLD TBACK FROM U U ADDRESS. CITY SIDE PRO (STREET) _ O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETS M TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a V) El + Z DESCRIPTION OF WORK NEW jy e C_ ADD CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE /f REPAIR 1:1EX STOING BLDG. G" DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT TELT— (PRINT) NO. BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELALING TO WORKMEN'S COM. " PENSATION INSURANCE. SIGNATURE OF L�/UiL� FINAL 3 iG (1 BY PERMITTEE 7 y� DATE ADDRESS �3D.S Com)1' A`f. h/� Ne L✓d(f d TEL. 6 39tJ P.C.Fee$ / 6' Permit Fee CITY /J NO. Q. Issuance Fee VALUATION$ Total Fee � Z PLAN CHECK VALIDATION CK. o. CASH PERMIT VALIDATIO cK. M.O. CASH 59 %_SEP 223, D 21.15ASi — � O os � 2 1 ® 352 5 ©S 76A6384 CE#803A 6/76 �- COUNTY OF LOS ANGELES TEMPLE CIT( # 0508 BUILDING PERMIT -CEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9805070076 PHONE: (818) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: BK: 70 PG: 53 PC: 3 SQ. FT STORIES TYPE 4935 HALLOWELL AV STRUCTURE: 0 VN TEMP CA 917803459 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-016-042 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: UE 0 D BY: EXPIRES 0 : EXIST OCC GRP: 05/07/98 UT 05/07/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL_�DATE� FINAL BY: CODE: LOUIE KEN L;SOLIN T (626) 579-3294- 1 2,000 /&.2, �R 4935 HALLOWELL AV TEMP 917803459 PAID IP OF WOR RECOVER ROOF WITH ELK 40 YR. COMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID=== 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 E �� N HC2000AO VAL 82.20 (-ELR TKL%— EES 110.45 CONTRSAME ACTOR: TEL. ®� ��m APPROVALS DATE INSPECTOR SIGNATURE LIC. NO LOCATION AND SETBACKS t SOILS ENGINEER APPROVAL ARCHITECT OR L. NO: / FOUNDAT I ON/T S LIC. NO. �( � l�llllllg SLAB/UNDER FLOOR R77SED FL00 R FRAMIN'ff— MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: 144H273 3 01 UG��R F LOOR I NSULAT I ON ,� �,�:�� _���iI;'���� �1 �t'J �.Ji�is�i����;i FLOOR SHEATHING N0. OF FAMILIES: UNITS: AP / SS: -- — — --— —— — —— NO 21 ��� �� i7 i �� �� �+�+�, ' ROOF SHEATHING HAZARDOUS W SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ��� SCHOOL WITHIN A �� ME INSPECTION NO NO NO `� ��— ✓ / REQUIREDTOTAL SETBACK FROM EXIST ��.�. ' Vii^' IRE SP KLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRUT SIDE PL ER R LL EXTERIOR LATH REED R RATED WALL ASSEMBLIES RATEDA T GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508