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Home My Public Portal About5230 HALLOWELL AVE_Building__ F 'A: R A . ERMIT , fS "REQU' ED �T FOR M R ANY ^ ATERIAL'STORAGE`G r' DONE'-IN' THE- ROAD RIGFIT OF- WAY.' t ,eMen c[#Dos 2/60 APPLICATION FOR RUIL®I1VG PER,MIT'--- COUNTY ITCOUNTY 'OF LOS ANGELES' App EIs�� DEPARTMENNT OF COUNTY ENGINEER _ .BUILDING AND-SAFETY DIVISION LocALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN BUP•T OF BUILDINf3 CROSS S ,.r DISTRICT O. PpE PR CESSED BYr c FOR APPLICANT TO.FILL IN 'd CONST: BUILDING. STATISTICAL NC SSIFICATION SEWER MAP •-. _ . ,_ _ ___ K •' - ADDRESS _ ao CLASS. Oj-DWELL.VN ITS -�• ` ,LOT NO. .BLOCK NUMBER U STATE YES NO _. TRACT - USEZONE •SPECIAL, NO OF BLOGS. T f CONDITIONS - - - SIZE OF LOT I NOW ON LOT - -- - - USE'OF EXISTING BLDG:' BUILDING - - EXIST. TEL SETBACK YARD- HWY STREET.NAME WIDTH OWNER NO, FRONT ADDRESS - �411404�dAe SIDE ARCHITECT OR TEL., , P.L. ENGINEER No. . x ysrrd INSPECTION RECORD . i. ADDRESS /J may / TEL: ,/794A, 6G-' D 7�1Y S�L�-fvt�s/ a CONTRACTOR -All�� NO:. •. - - O ADDRESS' ' DESCRIPTION OF WORK O NEW ADD ALTER REPAIR DEMOLISH SQ.,F.T. NO.OF NO.-OF /A .Sri °� ��/ �a r io SIZE - STORIES' FAI41LIES /�/ �•� , USE OF L••�/• .�"l9IL/' dlff-*/v�GY.v�i / - ✓'/®d'7� STRUCTURE SIGNATURE-OF - APPLICANT VALUATION$ 'APPROVALS .DATE INSPEC IGNATURk PMT.' FOUNDATION:LOCATION - FEE $ ' - FEE.$ FORMS, MATERIALS b 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING, BOLTS 7��Gtr i1/�Pt✓t.,�- 1 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, � AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS'VENT DUCTS -,47`,(oe STATE LAWS REGULATING' BUILDING CONSTRUCTION. I CERTIFY THAT IN, DOING THE WORK AUTHORIZED 1 LATH, INT.• WILL NOT EMPLOY.ANY PERSON IN VIOLATION OF THE •• - •• WORKMEN'S COMPENSATION LAWS OF.CALIFORNIA. - LATH, EXT.'• u 64 SIGNATURE OF HOUSE NUMBER COR-' , r _ PE RMITTEE RECT AND POSTED ADDRESS FINAL ` = CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E GINE PLAN'CHECK VALIDATION cK M.o: ,' 'CASH _ PAM,VALIDATION- ' cK. M.o. CABR 76AB38A CE4803 8-64 APPLICATION FOR. BUIL 01 . G _PER'M-W� LLLIII COUNTY OF LOS ANGELES BUILDING j DEPARTMENT OF COUNTY ENGINEER' ADDRESS BUILDING AND SAFETY DIVISION LOCALITY J z JOHN A. LAMBIE.COUNTY ENGINcER _ NEAREST - COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTR T N TYPE P FOR APPLICANT TO FILL IN: CONST._ .' - BUILDING STATISTICAL SIFICATION - S WER MAP ADDRESS 5230 N. Hollowell Avenue CLASS NO. DWELL UNITS - ' ,-BK PG.. , • LOT NO. BLOCK USE-ZONE MAP • ' TRACT SPECIAL•- N0. OP BLD09. CO I I S l` - SIZE OF-LOT NOW ON LOT ` USE OF dwelling BLDG. SETBACK FROM TEL.. FRONT PROP. LINE OF - (STREET) . OWNER NO. TYPE-OF' EXISTING -SETBACK HIGHWAY "- YARD TOTAL ADDRESs5230 N Hollowell ri HIGH Y 'F M C.L. ' CITY Temple Cit + - - ARCHITECT OR TEL. BLDG. SETBACK FROM ' ENGINEER' NO. SIDE PROP.. LINE OF (9TRE ET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL_ ADDRESS - HIGHWAY WIDTH . .FROM C.L. __ _ __ _• CL TEL._ + _ _ _ 0 CONTRACTOR Ri id. �? 'ADDRESS 337 S. Woods Ave.No' 159496 CORNER CUTOFF - YES O NO •0. H • clLos Angeles L'c C39 SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK n NEW ADD ALTER• REPAIR X DEMOLISH ' SQ.'FT. _, NO. OF _ _ NO. OF •SIZE STORIES FAMILIES USE.OF t ` STRUCTURE Terool hoose & garage _ SIGNATURE OF. - .APPLICANT VALUATION$ 550.00• - APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION _ FEE$ FEE$ 6.00 FORMS, MATERIALS 'FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ•THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS .9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT TION. THE LABO CODE OF THE STAT OF CALIFORNIA RELAT- IN O OR�CME 'S ENS ION INS CE LATH. EXT. - E .HOUSE NUMBER COR- RMI HE REC AND POSTE A DRESS FI NAL JOHN F. LEWIS,'PRI CIPAL STR RAL ENGINEER PLAN-CHECK VALIDATION CK M O._ _CASH _ „PERMIT, VALIDATION CK. M.O CASH k b r r L o 5`2,7 6-ZE OCT 14 . 1 D 6,<0'0 IF WORKERS' COMPENSATION DECLARATION insure, or a certtf carte of Worke srlComtpensat on elnsuran ificae'of consnt to elf A P P L I CATION, .F O.R BUILDING PERMIT or a certified copyahereof (Sec: 3800, Lab. C.)• _ y7 r w(� -• —COUNTY OF'LOS ANGELES - , BUILDING AND'''SAFETY Policy No. 3116 Company �U - BUILDING,:" ❑ Certified copy'ts-hereby furnished. �ya' F FOR APPLICANTJO FILL IN ADDRESS -r . , '�.._. -. _,^rt.. � •, ., i . -Certified copy is filed wit e-county building inspeo- � ltion department." .tDate 7�� 'Applicant' le C/ .ZIP LOALITYH •NO: OF BLDGS NEAREST.CERTIFICATE'OF`EXEMPTION FROM WORKERSS' '," " ' '' NOW ON LOT "' CROSS ST, •COMPENSATION,INSURANCE ASSESSOR (This section need not be completed if the permit is for one BLOCK LOT NO. "" MAP BOOK PAGE PARCEL'hundred dollars ($100) or•less)-• - TEL (�( q A S G- _,TEL 1l=II7a _ USE ZONE• MAP ;NO % 31•certify that.in'the-performance of the worktfor which this / J J/ SPECIAL-"permit is issued, I shall not employ any person in any manner 30-Aj' J Ql( j( CONDITIONS. a so as to become sublect,to the,Workers'Compensation Laws. OU CITY ��. i C/� ZIP,. '. Date 'Applicant '• ARCHITECT. R TEL DISTRICT,- J,GROUP TYPE, FIRE PROCESSED.BY 0 NOTICE•TO 'APPLICANT:•If, after •rimaking this Certificate of ENGINEER _ NO CONST- ZONE ;O Exemption;,,,you ,should become. subject -to-thee.Workers' t '/ i� ~' ' W Com'pensatiori;'provtsions OftheLabor Code; you must-forth- ADDRESS �D `:`� i' ✓' ' a N with-comply,.with such provisions.•or•this.permrt.;shall 6e TEL STATISTICAL CLASSIFICATION APT CONDO:` Z deemed revoked.: + CONTRACTOR. trflA h NO — t LIC. CLASS NO DWELL UNITS ` LICENSED CONTRACTORS,DECLARQTIONi- r , ADDRESS 67iu z„sn, No Y3C�33' I hereby affirm that,I am licensed under provisions of Chapter 9 LIC SEWER MAP: (commencing with Section 7000)'of•Division 3'of the�Business �' _f I' CITY A ' (/P� CLASS-�' / VALIDATION and Professions Code,and my license is,in full force and effect. BK PG SQ. FT"" NO OF NO "OF: CHECK"'� License Number �`�SVJ Lic, Class�� SIZE STORIES FAMILIES ONE V L ATIO Il ` c � Ar aFFD Je.p DESCRIPTION OF WORK �� NEW ❑ Contractor �'A: Date '4� ` �/ C/-` ADD'-- .41 vV V ❑ -s - F N S QL 1. :36Y •4 ';J(�ISKos ADD ❑ ► 1 am exempt,under Sec. ALTER ❑ BAP C. r his,reason /.�� /7a��Cl o Pr. }$ /5" USE OF, 'REPAIR ❑ Date., _ DEMOL ❑ EXISTING BLDG ignature ^�^ APPLICANT TEL • 01NAL • `WNER-BUILDER DECLARATION` (PRINT)" JVN (� . � /V'`"NO , A DATE- nj ' I hereby affirm that I dm exempt from the Contractor's License ADDRESS '� /`aZUSA +t 4 - PN :eW11 Law forthefollowing reason.(Section`7031,.5, Business and FINALrPRESENT YBUILDING -C-T�a Professions Code B ❑ I, as owner.of the property,- or my employees with ADDRESS wages as their sole compensation;will do,the work and AQ 1 y _L10. LOCALITY ', the structures"s not intended or.offered for sale(Section _ �`,�Lr v 7044, Business•and Professions Code.) MOVING * :TEL. 1 � � = = CONTRACTOR NO. ❑ I, as owner of the'property,;•.6m ezclusrvely contracting t l 1 }�L' m �v with licensed contractors to construct.the project•'(Sec- , ADDRESS tion 7044, Business and-Professions:Code:) REQUIRED 'TOTAL SETBACK-FRO EXIST n CONSTRUCTION LENDING :• SET BACK YARD HWY - ' PROP:LINE WIDTH "t .wLt'"� _ oE:I); , hereb",affirm that there is'a construction lending agency•for FRONT the performance of:the work for which this permit is.issuecl - P L _ (Sec. 3097, Civ.'C ). SIDE, Lender's Name P L Cil li i3—[)!:IIsi yf.I ci-3+1 LDMA-Ref..#_, P.0 Fee$ " Permit Fee Lender's Address I certify-that I have read this application and state that the '- t Issuance Fee /S.- LDMA�P;C# above information-is correct. I agree to comply with all_County Investigation Fee nances and`.State' laws relating-'4o'building'construction,`• ' Total Fee a d LDMA Perm # a nd ereby authorize representatives of this,County to enter' _ p n he above-mention d property for inspection purposes. :' ,. -SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date 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 0504070008 PHONE: (626) 285-0488 EXT: LEGALAD: NO. OF CONST BUILDING ADDRESS: TR: 14053 LT: 22 SQ. FT STORIES TYPE 5230 HALLOWELL AV STRUCTURE: 23 VN TEMP CA 917803460 ASSESSOR INFORMATION NEAREST CROSS STREET:' At(4 8585-019-035 a, THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: - ON: EXIST OCC GRP: 04/07/05 JK 04/02/06 OWNER: TEL. N0: BLDGS. VALUATIO A F CODE: STEL GERARD;PATRICIA A (626) 444-9170- 5;,400 Z 5230 HALLOWELL AV TEMP 917803460 FEES PAID DESCRIPTION OF WORK \-� TEAR-OFF ON HOUSE & GARAGE. INSTALL NEW ROOF SHEETING (1/211) APPLI.CANT: TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RECOVER W/30# FELT & 30 YR COMPOSITION SHINGLES "A", 4 & 12 0: REXWAY ROOFING, INC. (626) 333-5615- AA BLDG PERMIT ISSUANCE 27.75 507 W. AZUSA AVE AC STRONG MOTION RESID 5400.00 VAL 0.54 SPECIAL CONDI IO S: LA PUENTE, 91744 D2 PERMIT W/O EN-HC 5400.00 VAL 149.40 TOTAL FEES 177.69 CONTRACTOR: TEL. NO: APPRbVALS DATE INSPECTOR SIGNATURE REXWAY ROOFING, INC: (818) 333-5615- 507 N AZUSA - LIC. NO LOCATION AND SETBACKS LA PUENTE CA 91744 655956C39 ILS ENGINEER APPROVAL ARCHITECT 0FOUNDAT16N/TRENCH FORMS - r LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING 0: SEWER MAP BOO E: FIRE ZONE: CRP__ UNDERFLOOR A ION 147H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CO : STAT CUOT _ NO 21 ROOF SHEATHING 3 S SCHOOLSHEAR AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION SETBACKREQUIRED TOTAL SPRINKLER SET BACK YARD: HWY: PROP-LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR RATED . TED WALL ASSEMBLIES RATED SHAFTS/OPENINGS CEILINGS IL LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508