HomeMy Public PortalAbout5217 HALLOWELL AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY _ 1 APPLICATION FOR PERMIT�.�`"i9
COUNTY OF LOS ANGELES , D
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
F DIBTRO. °PLAN CK.NO. PERMIT NOBUILDING .
ADDRESS -� lovk0 r✓,C,C A �`.' �7_I 0Qf/C7,q Y C f -4
4
LOCALITY. RECE,I)VED BY�1 DATE or AAPPL.�7 DATE ISSSSUED
NEARSCROSS B {��!-, �G/Fi/.:. �% V Jam' `
//1 BUILDING /
OWNER �E,C F.f T _. 0 ItX 7-fe. V O . ADDRESS
MAIL A DRESS 3 (o� F( 4 ALO/2.49 7 �L(� LOCALITY
//. NEAREST
CITY NOL'l CROBHHT.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS Zj
ENGINEER NO.
BLOB. OR SMO.
ADDRESS SETBACK LINE
APPROVED -
TEL. By DATE
CONTRACTOR NO.
,/py� USE A/ APPROVED
ADDRESS (CSB ZONE / BY - DATE
LEGAL —Z, p CORRECTIONS
DESCRIPTION LOT NO. BLOCK /
TRACT �.
...�.3 X/��jL I NO.OF BLOTS.
SIZE OF LOT
NOW ON LOT
USE OF NO.OFN13 OF
EXISTING BLDG. O I FAMILIES O ROOMIC
DES IPTION OF WORK
NEW ALTERATIONADDITION O
REPAIR MOVING DEMOLISH p
Sq.FT. NO.OF Z _
SIZE �.��� ROOMS STORIES
WALL (` ROOF �I '
COVERING Ol T(JC.Cp0 I COVERING"&1*J4J /T/Crj
USE NEW /
SUILDIDINO
/
ZCZA,of,4 o.
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIAL13
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. — J
FRAME: FIRE STOPS, '-
SIGNATURE OF BRACING,BOLTS -
PERMITTE /�; .
LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DES-3 SUM 96TE 1-48 $ 6, 70-6 P.C.B —, Q� PLASTER,INT. -
�rJ FEE
PLASTER,EXT.
7 _
VALUATION 715 / FI NAL
FEEav
TEMPLE CITY
76A638ACE#8031-62 APPLICATION FOR BUILDING PEIRMJT
COUNTY OF LOS ANGELES BUILDING ,*
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE • P ESSED BY
FOR APPLICANT TO FILL INU �— CONST.
BUILDING �^ % A STATISTICAL CLASSIFICATION SEINER MAP
ADDRESS �• (x fl SK
CLASS NO. DWELL UNITSi
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE.
TRACT NO OF SLOGS NAY
O (iCGRCLE)
STATE MAJOR SECOND LO A
SIZE OF-LOT 3 NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
OWNER M Q�� TNOELoj /�
BUILDING YARD HWY ST NAME EXIST
�• SETBACK WIDTH
ADDRESS FRONT -
ARCHITECT OR TEL. P. L
ENGINEER - SIDE
P L a O
ADDRESS'
♦_r TEL / / f7 t f 0
CONTRACTOR- zfle� NO. ! ) $� •H A� 'y'�,*J,
ADDRESS r •/ - 3,oil �ir -O
D CRIPTION OF WORK °"I �'�" ��� u
Lu
Bfi {y
NEW •ADD ALTER - REPAIR DEMOLISH ,{ d'.. .
(i� , ,
SQ FT. � 0 NO OF NO OF .r'
SIZE' 45--.3? STORIES FAMILIES , `' - 6/ �. ,•,USE OF
STRUCTURE OO //;'3 fin , .i�.�✓rS+'4'A A1�lP�ffiL
SIGNATURE OF ` J� ierG7 fi- .'SedA
APPLICANT Q�G�,O 1i A���S�E�•`.f�'�Y°'K A'-W" 04 ,-
VALUATION $ (� t ,p
APPROVALS ATE INSPECTORS SIGNAS E
FOUNDATION' LOCATION /r
FEE $ �- FEE $ FORMS, MATERIALS (/
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY 'FURNACE LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WIL OT EMPl,P NY PERSON IN VIOLA- LATH, INT �" l /£ '
TION OF THE LABOR CO O THE AT OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO E ATIO INS ANCE
LATH. EXT. ((
-SIGNAT E OF HOUSE NUMBER COR-
PERM ITT RFC-_T AND POSTED -
ADDRESS L"'"l FINAL
PLAN CHECK VALIDATION CK MO CASH JOHN F. LEWIS, PRINCIPAL S�71RAL
ENGINEER
PERMIT VALIDATION M O CASH
Li i o 0 6 9 6'13 FEB `] 1 D 2 2.0 O N
COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0706130021
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST I BUILDING ADDRESS:
ITR: 15874 LT: 19 SQ. FT STORIES TYPE 5217 HALLOWELL AV 1
I (STRUCTURE: VN I TEMP CA 917803461 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
18585-019-019 I I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, CI
I I I I
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
IEXIST OCC GRP: 106/13/07 SR 06/07/08
I I I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DA F Y: CODE: I
ITAN, HENRY/MELANIE (626) 617-3328- 1 6,000 -'-
15217 HALLOWELL AV
ITEMP 917803461 FEES PAID 1 SCRIPTION OF WORK 1
I (REPLACE 10 WINDOWS & PATIO DOOR 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 1
IAC STRONG MOTION RESID 6000.00 VAL 0.60 ISPECIAL CONDITIONS: I
ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40
1 TOTAL FEES 177.75 I t 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR-SIGNATURE
ISAME AS OWNER - I I I
I LIC. NO I ILOCATION AND SETBACKS
I I I
I ISOBLS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
LIC. NO: 1SLAB/UNDER FLOOR I
I IRAISED FLOOR FRAMING I 1
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I
1147H273 3 Oil I ., I ' 1
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I '
NO 21 I IROOF SHEATHING I I 1
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I
I I I
(AIR QUALITY: 1000 FEET MATERIALS I I I I
NO NO NO I IFRAME INSPECTION
I I I
IREQUIRED TOTAL SETBACK FROM EXIST 1I IFIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- I 11NSULATION/WEATHER STRIPI I I
I SIDE PL- I 'I -1-1 I
I IINTERIOR LATH/DRYWALL
I I I
I fI (EXTERIOR LATH I I I
I I I I I I
I iRATED FLOOR/CEIL ASSEM.
I IRATED WALL ASSEMBLIES I I I
I I I I I I
I (RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
I j 11 ILOT DRAINAGE I I
I I I
I IREPORT ID: DPR261 ROUTE TO: BSO508 I
I I I I I I
o
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR.
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0407200010
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO.-OF CONST BUFLD-fNG ADDRESS:
TR: 15874 LT: 19 SO. FT STORIES TYPE 5217 HALLOWELL AV 1� P
STRUCTURE: VN TEMP CA 917803461
S S R ORNA IOFI'. ER: fNERREST CROSS STREET: MILOANN
8585-019-019 THOMAS PAGE: 597 GRID: C4 OCALITY: TEMPLE CITY, C!
TENANT: EXIST L G USE: RESID USE 1011E: R- S ON: OCESS EXPIRES 0 : f
EXIST OCC GRP: 07/20/04 JK 07/15/05
OWNER: - TEL. NO: BLDGS. NOW Oji LUT: VALUAtION: FINAL DATE FINAL BY: CODE_:
LOI-TAN, MELANIE (626) 579-5836- 10,000
5217 HALLOWELL AV
TEMP 917803451 FEES PAID —DESCRIPTi0N OF WOR I
FEE DESCRIPTION:
ADD 1 BATHROOM AND REMODEL EXISTING BATHROOM
APPQUANTITY:� �'CM: AMOUNT:
LICANT: TEL. O:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MoIION RESID 10000.00 VAL 1.00 SPECIAL CONDITIONS:
AX BUILDINGG REVIEW FEE 54.70
82 PERMIT ` ENERGY 10000.00 VAL 238.26
TOTAL FEES 321.71
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 'IGNATURE
SAME AS OWNER
I
LIC. NO LOCA`f10N ANO SETBACKS
SOILS ENGINEER APPRCVAL
ARCH IT ECT OR—Lt..".FN TEER ,EL. N : _ OUkL1S?10"r.!TREMC-FIFORMS
LIC. NO:- "LOCR I
I RAIS D F..00R Ff fl NG
_ I i
MAP NO: SEWED: MAP GOOK': PAGE: FIRE ZONE: CMP: GND'c-FLOOR INSULATION
XX 3 03
-
0. OF F IILIES: DWELLI G UNITS: A /CONDI FOR SH ARG A-f CLASS: _
NO 21 ROOF SHEATHING � Ii
SCHOOL WITHIN HAZARD-OUg— SMAk-PANEES
AIR QUALITY: 1000 FEET MATERIALS i
NO NO NO FRAME INSPECTION {
REQ TOTA L ETBAC FRO EXIST FIRE SPRINKLE—R HANGERS ^�
SET BACK YARD: HWY: PROP LINE: WIDTH: i
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- _
I TI�ERIIOR LATH/DRYWALL / f
tU-WTR CATH . l
RATED FLOOR/CEILAS
RATED WALL ASSEMBLIES
RATED SHA 'S/OP-ENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DP R261 ROUTE TO: BS0508