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HomeMy Public PortalAbout4939 HALLOWELL AVE_Building__ SAP PL I CAT I O N :FOR COUNTY OF LOS ANGELES n BLSDIVISION- . OUNTY ENGINEER qILDING' PERMIt UIDINGANP SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS dLKde— BUILDING a r. 1 - ADDRESS l Q ' �� �l LOCAL!T _ NEAREST CITY �� ZIP f CROSS ST. BLDGS.• ASSESSOR " SIZE OF LOTS.3 LOT 6 MAP BOOK PAGE' PARCEL J \ +� DISTRICT GROUP TYPE ;. FIRE CESSED BY TRACT `C.Q_, K StD ` [,,.. `-.�'CONST. ZONE _ TEL / OWNER` NO. ^ STATISTICA'L CLASSIFICATION SEWER MA_P �J ADDRESS i 1 V• ( CLASS NO. ©� DWELL.UNITS MBK G CI-TY;_ ZIP 1/0 of.. L� ;ONE NAOP ARCHITECT OR TEL.. �J SPECIAL _ ENGINEER NO• P_ CONDITIONS^ ADDRESS ROAD DEPARTMENT APPROVA REQUIRED ^, YES❑ NO ❑- CONTRACTOR - ' TEL. - BLDG.SETBACK FROM NO FRONT PROP,LINE OF (STREET) - LIC. ADDRESS' NO. 'HIGHWAY } YARD _ TOTAL SETBACK ,FROM TYPE OF EXISTING . CITY LIC. FRONT PROP. LI-NE HIGHW Y WIDTH � •- -- - -- CLASS - _ CONSTRUCTION LENDER {�.l 1� F ,9-d NAME AND BRANCH \J N BLDG.SETBACK-FROM- ADDRESS CITY SIDE PROP. LINE OF V (STREET) �j SQ. FT: [/ NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SET'BAC'K FROM TYPE OF EXISTING' O SIZE I bvSTORIES O FAMILIES / ONE SIDE PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW + '" ADD ❑ - CORNER.CUTOFF YES ❑ NO ❑ ALTER ❑ r .F - EPAIR,❑ -IN OPEN SPACE YES ❑ NO ❑' USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑.� NO ❑ - EXISTING BLDG. `t\ - A P P L I C A N T \ `� �+`O�S 1•� ! •�6 �, p�•T" ` (PRINT)' BY (SIGNATURE I HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION •, ,-••„AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY , WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 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 RELATING TO WORKMEN'S COMP TION,)N' SIGNATURE OF' FINAL, ����-•� BY aPERMITT E - • - DATE / ADDRESS S • TE L. P.C. Fee$ /• 6 . Permit Fe� CITY NO. M Issuance Fees VALUATION$32q p0 O / -Total Fee PLAN CHECK-VALIDATION CK M o CASH PERMIT VALIDATION CK M CASH 2`•5 8''Q'SE,P- •2.i 2.31P. 1-3,1.40 3"1: 1"M CS±� s 6 1 0 2 1­9.0 0 Aa �•76A638A CE*803B 12/75 fes' w COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0711060008 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS- IBK: 70 PG- 53 PC: 2 I SQ. FT STORIES TYPE OCCUP GROUPI 4939 HALLOWELL AV I I ISTRUCTURE: 0 1 VN R3 I TEMP CA 917803459 (ASSESSOR INFORMATION NUMBER: GARAGE: _ I NEAREST CROSS STREET: LOWER AZUSA 1 18585-016-041 OTHER: 768 1 VN U1 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl I I I I ITENANT: (EXIST BLDG USE. USE ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 I (EXIST OCC GRP: 108/07/08 SR 02/03/09 1 I 1 I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI CODE: I BURKLE KENNETH J;CLAUDEAN M (626) 443-6055- i 21,000 Ij3/ �. - -- --'------'�-' I 4939 HALLOWELL AV ITEMP 917803459 1 FEES PAID ID SCRIPTI N OF WORK I1 ICONSTRUCT SHED ACCESSORY BUILDING 768 S F. PRE FAB. IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I I IBURKLE (626) 443-6055- ID1 PLANCHECK W/O EN-HC 21000 00 VAL 341.19 1 1 14939 HALLOWELL AVE. 1AA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 21000.00 VAL 2.10 I ID2 PERMIT W/O EN-HC 21000.00 VAL 401.40 I 1 TOTAL FEES 772 44 1 I CONTRACTOR: TEL. NO: I C7 r'>>,: '� , l ' -�\ ,, (APPROVALS DATE INSPECTOR SIGNATURE 1 1 N. J. BURLOWKLE (626) 443-6055- 1 - 1- 14939 I I N. HALLOWELL AVENUE LIC. NO � (LOCATION AND SETBACKS ITEMPLE CITY, CA 91780, NONE 1 1 - 1 1 1 ISOILS ENGINEER APPROVAL 1 I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/-TRENCH FORMS I ISCHAUB, STEVEN WILLIAM (480) 946-2010- 1 I I 15800 E THOMAS RD, STE 104 LIC. NO: ; 1 - 1SLAB/UNDER FLOOR I I ISCOTTSDALE, ARIZONA 85251 C61570 I I I I I 1 1RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 3 Oil 1 I C 11ST LEVEL FLOOR SHEATH I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. 1 I I I I 1 NO 21 . 1 12ND LEVEL FLOOR SHEATH 1 I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I I I 1AIR QUALITY: 1000 FEET MATERIALS 1 I I I 1 NO NO NO I IFIRE DEPT FRAME INSPECTI I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I (BLDG DEPT. FRAME INSPECTI.7 7 ISET BACK YARD- HWY: PROP LINE: WIDTH: i rj(�y-�f/-"�/-1 17 y IFRONT PL- I - 1SHEAR PANELS I SIDE PL- I I (INSULATION/WEATHER STRIPI I I I1 I 1 1 (INTERIOR LATH/DRYWALL 1 I 1 I I I I I I I IEXTERIOR LATH 1 I 1 I ILOT DRAINAGE I I I I I I I - (SMOKE DETECTION DEVICES 1 1 IFIRE DEPARTMENT APPROVAL( 1 1 _ _ � REPORT ID: DPR261 ROUTE TO: BS0508