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HomeMy Public PortalAbout5516 HALLOWELL AVE_Building__ OF B, LDING AND SAFET A�'I 29 JVPLICATION FOR PERMIT TY bfft0&ANdELES —' WM.�J. FOX. CHIEF ENGINEER BU -1 all FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMtTNo . BUILDINGAp / ADDR[SB LOCALITY RECEIVED BY DATE OF ADPL.) /JD/ATE IBBUED NEAREST .. V )t C O T OWNER R ADDREISS 1r �� (Goy.. /4A L.L a v s7 Ll. MAILLOCALITY ADDRESS NEAREST' 1 ,I C � .TEL. CROSS ST. (�• V CITY ND. FIRE NO.Or TYPROUP r ARCHITECT OR TEL. ZONE ��!PLANS S V J ENGINEER NO, BLDG. ORD.NO. ADDRES8 >• SETBACK LINE y�.y� APPROVED CONTRACTORc�shNO�i9 BY O�RT6 fes. - A4i ZONE A —/ APPROVED ADDREB DAT[ LEGAL ��� CORSECTIONS DESCRIPTION LOOTNO. BLOCK TRACT / ZQ q q.? t r'1 SIZE OF LOT O f:/ Y 7 I NOW ON LOTTS(V_V_A L USE OF .OF NO.OF EXISTI G SLOB. ` FAMILIEB MS- DESCRIPTION OF WORK NEW C� ALTERATION ADDITION_ O . A REPAIR MOVING DEMOLISH p SQ.FT. NO.OF SIZE �-� ROOMS STORIES WALLq RDOF COVERING ��„ COVERING lVt- lC!'� USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR OAT[ AND AGFORMS, REE TO COMPLY WITH ALL COUNTY ORDINANCES FLOCATION FORMS.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE BTOPS, SIGNATURE OF � c/ � � BRACING.BOLTS PERMITTE ,(�7]�3 "�(///jjj LATH, INT. AUTHORIZED AOT S LATH, EXT. 76A638A-3 2-50 $ P.C.® PLASTER,INT. O 8 ' �- V �..► FEE PLASTER.EXT. al III r VALUATION FEE "" • �� FINAL ~�� DEPRTMEPI Cr BUILDING AND-SAFE ' CATION'FOR PERMIT ,_.C-O TY OF`LO�'ANGELES N 1 WM.¢.1.';jF_0 r�. CHIEF ENGINEER d I L D ING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLYSUILDI : _Fes_ r DISTRICTNO. PLAN CK.NO. - PERMIT NO. ADDREB® d ly S SS�i� I 'AR.Ca © LOCALITY (,� RECEIVED BY - OATEr�OFF APPLL.. DATE IS UED NEAREST CROVO 6T. BUILDING �- 14A L l o�.., LLOWNER s _ ADDRESS � '<41Sr ADDRESS MAIL LOCALITY NEAREST- CITY 1 �� ITY - NO. CROSS-ST. `-'-�- FIRE NO.OF - TYPE GROUPir ARCHITECT OR TEL. ZONES PLANS �- ENGINEER NO. BLDG. f RD N ADDR988 SETBACK LINE APPROVED CO CTO aA��C�1 PSC tIC No BY utaLAPTRA /A ) BYD�!►TE DATE �! Y f PROVSD ADORE � p� 0.,y/iLtr�ti.n.,�� �/L! ZONE A ,1 -/ LEflAL- OTNO:'�� BLOCK _ CORRECTIONS r DESCRIPTION LQ7 � TRACT ! L �I I NO OF SLOGS. SIZE OF LOT • Q� � � � �O NOW ON LOT { USE OF NO.OF NO.OF EXISTING BLDG. FAMILIca_ ROOMS - DESCRIPTION OF WORK o�c rte- roGL — <... NEW ALTERATION ADDITION REPAIR MOVING / DEMOLISH 'Z) "•/7 ��Q�a/cMo.L' �oGT' S /,-/4�_ p - 9 FT. NO.cw ZE D O ROOMS {p STORIES WALL - •T ROOF COVERING .J�.w,rcc.n, COVERINGUSE Or OF NEW BUILDING 4i 4./��C...11 o. �� S IS�? Arr-sc. sN-Tim r �..i - �ce/SE'•✓, .d l7P L.1 CAT%;u I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS- V APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONi: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS A/JC Z--'AND STATE LAWS RESULATING BUILDING CONSTRUCTION. ----i---- A n A .� .Y - !/ _ (/ FRAME: FIRE STOPS. SIGNATURE OF BRACING,BOLTS PERMITTEE LATH, INT. AUTHORIZED AOT- LATH. EXT. 7GA63EA-3 a-SO $ p_C,III PLASTER,INT. - - - - ` 2 (10•p r':M. FEE I I r��� PLASTER,EXT. VALUATION -�-FEE FINAL .,WORKERS' COMPENSATION DECLARATION i a• ereBy affirm that I have a'certificate of consent to self APPLICATION F BUILDING -PERMIT insure, or,a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800'Lab.-C.) OF LOS ANGELES BUILDING AND'SAFETY,, Policy No. Company BUILDING ❑ " Certified copy is hereby furnished. .: FOR APPLICANT TO FILL IN ADDRESS �,�`�6. H' �CQ.w ❑ Certified copy is filed with the county building 1nspec- BUILDING - tion,department. ., ADDRESS IGjq ALL ,W !s LI- Date Applicant t ' CIN�� G /� ZIP O Q LOCALITY' CG FP NO. OF BLDGS NEAREST- CERTIFICATE OF EXEMPTION FROM WORKERS'. SIZE.OF LOT. O X' O. NOW ON LOT O' CROSS ST AI, 1 ) a '-COMPENSATION INSURANCE /j p/y '(This section need not be completed'if the.permit is for-,one TRACT BCOCK LOT NO: _ MAP BOOK' a�0.co PAGE ��� PARCEL hundred dollars ($100) or less.) - •TEL.A"Y6 ' USE ZONEAP OWNER NO. ,+ 1 certify that-in the performance-of the,work for'which this U n SPE '7 permit is issued, I shall not employ any person in any manner• ADDRESS) -I N�1t+ CO �*�'� LL. �I SPECIAL' } CONDITIONS S6 as to become=subiect to-the'Workers' Compensation Laws. 0- - CITY A(3cA CYA) zib q 11 a O• U Date Applicant ''' = ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY 1 NOTICE-TO APPLICANT:, If,•after making this-Certificate of ENGINEER /VJry' NO CONST Z E § 0 Exemption, you,should,,become subject ,to the• Workers' U Compensation provisions of�the Labor Code, you must forth' ADDRESS. - �f' 1/ a N with .comply wrthi:such provisions• or this permit,shall be TELA STATISTICAL CLASSIFICATION - _APT .CONDO. . Z deemed revoked'' '• CONTRACTOR .� / — LICENSED CONTRACTORS DECLARATION, LIC. CLASS NO�DWELL.iUNITS 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. CITY CLASS VALIDATION and Professions Code,1and my license is in full force and.effect BK: PG.' SQ.-FT. ��hh NO OF' NO. OF CHECK License Number' a Lid. Class SIZE VSTORIES FAMILIES ONE VALUATIO DESCRIPTION OF WORK NEW E! Contractor Date ;9' 4.. ADD ► A (3JS►Td o-o ❑I am exempt under Sec. ' • � _. .ALTER : ❑ .. B.BP.C. for this reasonS REPAIR ❑ , Date: - EXISTOING BLDG -DEMOL ❑ u % ; �. APPLICANT TEL. Signature -A FINAL... f OWNER-BUILDER DECLARATION (PRINT), 1 NO.r+- M DATE. Z'Z'Q•� I hereby affirm that I am exempt from the Contractor's License'— Law for the following reason (Section 7031.5„Business and ADDRESS FINAL rofessions-Code): ,- : PRESENT • - By. BUILDING I, as owner of-the'Property, or m employees with t P P. Y. Y , ADDRESS , ' r V' iz sr _ •{ , --- ' wages as their sole compensation,will do the work and_ the structure is not intended or offered for sale(Section LOCALITY ii Y 7044, Business and Professions Code:) - MOVING TEL: ' - pit CONTRACTOR❑ NO.I, as owner of the property, am exclusively contracting 13with-licensed contract rs'to construct'the project-(Sec- ADDRESS y-- —»-; tion 7044, Business and,Professions Code.) REQUIREDTOTAL•SETBACK FROM EXIST. > CONSTRUCTION LENDING-AGENCY SET BACK YARD HWY PROP LINE WIDTH `? `I=; Y �. L I hereby affirm that there is a construction lending agency for FRONT the performance'of the work foi,which.this permit*is P1i � } L 26� _ d3, (Sec. 3097,-Civ. C.)' SIDE , f 8 Lender's Name P.L - CHECK � a j• LDMA Ref # i 1117 7 �}s ' = Lender's Address P.0 Fee'$ 0' /� . Permit Fee d e Z? 011�_ y - o. I certify that I have read this application'and state that the Issuance Fee /� LDMA P/C# ..above information is'correct.;lagree to-com I withall'Count Investi anon'Fee :ftj}_} i—;(f}j," R ordinances and State laws'relating to building construction, r • Total Fee' /� LDMA Perm # 77 a and hereby authorize representatives of this County to',enter., 4 �,i ii t upon the o e-menTioned pr e"rty"for mspre,cction'purpbses. U»� �� SEE,REVERSE FOR EXPLANATORY LANGUAGE SibnoQ6 of Applicant or Ag t. Date WORKERS' COMPENSATION DECLARATION' _ 1 F-hereb affirm that I have a certificate' of consent to self x J nsure, ora certificate'of-Workers'Compensation Insurance, APPLICATION :FOR B U I"L D I N G,.PERMIT or a certified copy thereof (Sec.-3800, Lob.•C.) ,: 'COUNTY OF LOS ANGELES BUILDING ANWSAFETY' Policy No. Company ❑ 'Certified co is hereb furnished.:' FOR APPLICANT TO FILL IN BUILDING �51'�jy;.: ' 6 PY Y ADDRESS ❑, - Certified copyis filed with the county building'in'spec- BUILDING� �• tion department. ADDRESS )J «-p L-1 L L ''�: � CITY: �vg L/Q I�/`I ,`•'• ZIP'. f O D LOCALITY .. i�- - .• • Date' ''Applicant NO OF.BLDGS. 777 CERTIFICATE OF EXEMPTION-FROM WORKERS'. SIZE OF LOT U jJ NOW ON-LOT NEAREST / " CROSS ST: �,, 'COMPENSATION INSURANCE ASSESSOR„ /� "'(This section need not be completed'if the permit is for one TRACT BLOCK LOT NO ' MAP BOOK `) PAGE �1 ''PARCEL CJ -hundred dollars ($100)or-'less.) '; TEL g) �, OWNER.. M FAR/ ND..'" NO. SCJ USE ZONE•;, MAP 4 I certify that in-the performance'of the work for which this NO permit is issued, I shall not employ-any person-in any CIAL manner .' AD_DRESS�Jr/ CLO &.�L Y —I, COPE NDITIONS r" a_ so as to become subject to the Workers' Compen'satiori ws., e O O „ , -0 r \ - CITY ��� ,� ZIP"' ;'Do te Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE' FIRE PRO ESSED BYy ' _'NOTICE'TO"APPLICANT: _If,.a makin his CertifiC of r, ENGINEER NO CONST.� ZONE "•d � ,.Exemption,,-you-•sh'ould become subject to the Workers' ��ss, 'Q 3 �: U Compensation,provisions of the Labor Code, you must forth- ADDRESS �:05 1\� "' �• with--comply-withi such,provisions or,this permit shall-be TEL. STATISTICAL,CLASSIFICATION. AP .r CO N deemedi revoked.' CONTRACTOR'O biJ,SV „'NO Z 'LICENSED CONTRACTORS DECLARATION LIC CLASS NO 2I DWELL`UNITS I her affirm that I am'iicensed under provisions of Chapter 91 ADDRESS NO. LIC SEWER MAP (commencing-with Sectiori-7000)of.Division 3-6f'the Business ' - CITY CLASS and Professions Code,and my license is in full,force and effect: BK 2 VALIDATION SQ FT NO. NO OF CHECK �' License Number Lic,'Class, -s �L SIZE , STORIES FAMILIES ONE i•, r VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ s ❑I'am exempt under Sec. v !S R,O d ADD ❑ pop-,t ALTER ❑ =r t+ B.BP.0 for this reason �p� �� J,l DDD _S' $ � . REPAIR Date:.' USE.OF: EXISTING BLDG: DEMOL ❑ f Signature APPLICANT TEL.. FINAL - �(t''f '"1 =' ;OWNER-BUILDER DECLARATION N (PRINT] NO. DATE I'hereby affirm that I am exempt from the Contractor's License - Law.for,the following reason (Section 7031.5,",Business.and ADDRESS FINAL" rofessions Code):' PRESENT >^ By�' °�/` BUILDING — I, as owner•of'the property, or my employees with ADDRESS. t �(' 711 wages as their sole compensation,will do the work and :.. ' l� �kC. _t �t_ a(.,) the structure is not intended or-offered for sale(Section LOCALITY i, �_ 7044,-Business and Professions Code.) MOVING -' - -TEL. ❑� as owner of the property, am exclusively contracting. y CONTRACTOR LL NO. —with l icensed contractors'to;construct the project-(Sec; '^' ADDRESS L.� • �. f. tion 7044, Business and Professions Code.) _ ;•� REQUIRED'' ,YARD'' •HWY;: TOTAL SETBACK FROM 'EXIST :' I { t 1 -4 i �;",T CONSTRUCTION LENDING AGENCY SETBACK PROP. LINE WIDTH . I hereby affirm that-there is'a"construction lending agency foi. " FRONT I the performance'of the'work for:which-this per-mit,is issued P.L. u. ' ,(Sec. 3097, Civ. C.)._ .,SIDE Hw.,.T , Lender's Name t :y� E`- _ LDMA Ref # _: f PC Fee$. Permit Fee �3V 09 ai'• t 'Lende'r's Address I certify, 'that I have read this'application and state that the Issuance.Fee 2 •-_7� CDMA P/C# I l i 8 above.information,is correct, I agree to comply with'all County Invesggation Fee t► ^ 7 G, t-I 1. ^' '147--.1 "ordinances and'State laws relating to"building construction, f Total Fee I`? 1 - 1 CDMA Perm # - a and hereby authorize re pr of this County to enter = i sti 1 17,•3`fupon the Bove-mentionedperty for inspection purposes. /,�`/ ,El.t Jh'�l ;A In ��'/LA­4 9 SEE REVERSE FOR EXPLANATORY LANGUAGE S n uof Applicant or Agent Date �• WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT � nsure, or a certificate of WorrC kers' Compensation Insurance, _ , )r a certified copy thereof (Sec 3800, Lab C. COUNTY OF LOS ANGELES. BUILDING AND SAFETY ' cyNo. Company BUILDING '� f V Certified copy'is hereby.furnished.: FOR APPLICANT TO FILL-IN ADDRESS r fi Certified copy is filed'with the county.building inspec- BUILDING J tion department ADDRESS-55/,4 . M AlLo wrp , LOCALITY NEAREST CITY' RCAQf•A C �� �� )ate Applicant ZIP' , CROSS ST 'CERTIFICATE OF„EXEMPTION FROM•WORKERS' J NO.OF BLDGS ASSESSOR COMPENSATION INSURANCE. SIZE OF LOT go NOW ON LOT MAP BOOK PAGE PARCEL 'This section need not be completed if the permit is'for one A ,may USE ZONE MAP /� A iundied dollars ($100)or less.) TRACT A-+�-[ � BLOCK LOT NO. (/ NO. �p A TEL SPECIAL certify that in the performance of the work'for.which this, OWNER V as �E �l�y NO � CONDITIONS d Dermit is issued, I shall not-employ any person in any man er / ! DISTRICT GROUP TYPE FIRE PROCESSED BY O ;o.as to-become subject to the Workers'C en Ghon la ADDRESS 5,3 /4q`- l���*/a��� ��"� ! CONST. ZO V t, I CITY r� C "ry�� �pvW ZIP date/ r -ApplicanARCHITECT OR T STATISTICAL CLASSIFICATION APT CONDO. I� VOTICE"TO APPLICANT:' If, aft e along TI i Certificate f CLASS NO. DWELL. UNITS ENGINEER NO :xerription, you should become subject to the Worker '' d ' --ompensation provisions of-the Labor Code, you'must forth- -ADDRESS SEWER MAP H ,vith" comply with such- provisions or this permit 'shall be Z jeeined revoked:' 'TOh (q`•MARIV I NO:�Oil /y L BK. PG, VALIDATION CONTRACTOR LICENSED CONTRACTORS DECLARATION, LIC. hereby affirm that I am licensed under provisions of Chdpter 9 ADDRESS NO VALUATION 'commencing with Section 7000)of Division 3 of the Busiriess and LIC. professions Code, and,my license is in full-force and effect: CITY. CLASS �• / It SQ FT ?� NO.OF' NO.OF CHECK:icenseNumber Lic Class SIZE V STORIES FAMILIES ONE NEW $:oniractor DateDESCRIPTION OF WORK �/ }� `IF✓'� 7 li ADD ]_1 am'exempt underSec. ALTER FINAL � B.BP.C. for this reason J DATE ' REPAIR USE OF FINAL ' Date: EXISTING BLDG. ®u� DEMOL BY �s Signature APPLICANT ' ° TEL. LL ' OWNER-BUILDER DECLARATION- PRINT a / IR�b N04 I hereby affirm that I'am exempt•fro"m',the•Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code.):'. PRESENT i- BUILDING I as owner of the property, or•my 'employees with ADDRESS wages as their sole compensation,will do the work and the,structure'is not'intended'or,offered-for sale(Section LOCALITY 7044,.Business and Professions Code). MOVING TEL �[ • ,I,•as:owrier'of the;property, am exclusively,contracting CONTRACTOR NO., with',licensed contractors to construct the-project (Sec- -97 1 8,2 A, ` FADDR '. 'tion'7044,'Business and Professions Code). � ' TOTAL SETBACK FROM EXIST ° 4(” 0 0 0 ° 1 CONSTRUCTION LENDING AGENCY YARD HWY PROP. LIN WIDTH`. I hereby affirm that there is a construction lending agency for -• the.performance of the•work for which this permit is issued 21° 2123 0 (Sec. 3097, Crv."C.)- ° 02 2'3, v Lender'sName 10,27-82 Lenders Address Permit Feecertifythat'I have read this application and statethat the � Issuance Fee - Dbove information is correct. I agree to comply with all County Investigation Fee �m Drdinances and State laws relating to building construction, Total Fee and hereby outhoriie representatives of this County to enter upon'the abo -mentioned prop rty for inspection purposes. : j 0— —S2. - SEE REVERSE FOR EXPLANATORY LANGUAGE; 1 W Signature,MfApplicant or Agent'P Date \ ..®s 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 1105310053 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 12392 LT: 10 SQ. FT STORIES TYPE 5516 HALLOWELL AV '{- I ISTRUCTURE: 37 V-B I ARCD CA 910078417 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN I 18586-013-016 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY. I I IEXIST OCC GRP: 105/31/11 SR 1 I I I I (OWNER- TEL. NO IBLDGS. NOW ON LOT: VALUATION: IFIN,,AL DAT FINAL BY: CODE• IFARINO JOSEPH J JR;BARBARA H (626) 445-4589- - I 9,800 I ,f -- -•-- - - -- 15516 HALLOWELL AV 1ARCD 910078417 FEES PAID IDESCRIPTION OF WORK 1 I IT/OFF ROFF ON HOUSE + GARA E RESHEATING W/7/10 O.S.B. 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IINSTALL COMP SHINGLES I (APPLICANT: TEL. NO: I 1 I IPIN ROOFING (562) 923-9242- IAA BLDG PERMIT ISSUANCE 27.80 I I 18524 10TH STREET IAB STATE GREEN BLDG FEE 9800.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IDOWNEY, CA 90241 1AC STRONG MOTION RESID 9800.00 VAL 1.00 1 ID2 PERMIT W/O EN-HC 9800.00 VAL 217.10 1 I 1 1 TOTAL FEES 246.90 I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I IPIN ROOFING (562) 923-9242- 1 1 1 18524 10TH ST LIC. NO 1 ILOCATION AND SETBACKS I 1 DOWNEY, CA 90241 758000 C39 - I 1 1 I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER. TEL. NO: IFOUNDATION/TRENCH FORMS I I LIC. NO: I (SLAB/UNDER FLOOR I I I I I I 1 1 IRAISED FLOOR FRAMING 1 1 I I I I I I I IMAP NO SEWER MAP BOOK- PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I 1147H273 3 001 I 11 I I I IFLOOR SHEATHING I I 1 INO OF FAMILIES: DWELLING UNITS. APT/COND: STAT CLASS I I I 0 NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1AIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO IFRAME INSPECTION I 1 1 1 (FIRE SPRINKLER HANGERS I I 1 1 (INSULATION/WEATHER STRIPI I I I I I I 11NTERIOR LATH/DRYWALL I I 4 I I I I 1 I (EXTERIOR LATH I I I •I I I - (RATED FLOOR/CEIL ASSEM. I I I I I 'IRATED WALL ASSEMBLIES 1 1 1 I I I I i 1RATED SHAFTS/OPENINGS I 1 1 I I I I I I 1 1 IT-BAR CEILINGS I I I I I I 1 1 ILOT DRAINAGE 1 1 1 i I I i I I 1 IREPORT ID DPR261 ROUTE TO: BS0508 1 1 1 1 I I I I I I