HomeMy Public PortalAbout5524 HALLOWELL AVE_Building__ ' ,:•.`f - :, - `. 1111
76A6S%CE*803 10-36 APPLICATION FOR 13 U I L®I-N GPERMIT
BUILDING AND SAFETY DIVISION ADDRES1524 Hallowell
Department of County Engineer
County of Los Angeles LOCALITY -ZTiv� Qa$$A -,, T D
JOHN A. LAMBIE, COUNTY ENGINEER CROSS ST. Ave--. I $
NEAREST-
CASSATT D. GRIFFIN, Sua'T OF BUILDING -
DISTRICT NO. OUP TYPE SEWER MAP
FOR APPLICANT, TO FILL.IN.- BK -CPG
ONST. '
BUILDING - -
-..ADDRESS-5524 Hallowell � Arcadia .. STATISTICAL OSSIFICATION
CLASS. N6_&MELL. UNITS - '
LOT NO. 11 - BLOCK MAPSTATE
p NUMBER' - YES--"no _
TRACT - 2392 U E ZO E -SPECIAL---. - - --- - -
p NO. OF BLDGS. ��7 CONDITIONS
SIZE OF LOT 807X1701 I NOW ON'LOT 1 - '
USE OF _PVt o _SWim PO BU L�NOG EXIST.
EXISTING BLDG. �. V
YARD HWY STREET-NAME". TH
-
ETBACK
OWNER Glenn I. 010ver - SFPROLT .
MAILa�
ADDRESS 5524.Hall owell- SIDE -
TEL. P. L.
CITY Arc d - No. ! INSPECTION.RECORD
ARCHITECT TEL. -
ENGINEER � an Stander$ NO.ST 7465 -
5916-Auckland Ave. - 7•
ADDRESS -
TEL. r PltJ �"•,r LzP y .���
CONTRACTORS U.n$et Pool$ - NO.PO 5918 _ -
�o / I a'bc�� ►,_
ADDREss 4063 Rgdfi2rd. Studio 011y
DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR _ DEMOLISH
So.E'15x30 TORIES FAMILIES
USE OF STRUCTURE
Sri �/o /385'87 -
APPROVALS
SIGNATURE OF
APPLICANT _ - DATE INSPECTOR'S SIG.KATURE
ADDRESS FOUNDATION: LOCATION617
FORMS, MATERIALS '
$ P.C. $ .. FRAME:'FIRE STOPS.
'A2600.00 FEE BRACING, BOLTS
VALUATION $ `, FURNACE: LOCATION,
FEE U GAS VENT, DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH AL COU TY ORDINANCES AND LATH. EXT. - -
STATE LAWS � D t� G STRj�CTION.
OF - N HOUSE NUMBER-COR-
SIGNATURE .
PERMITTEE RECT AND POSTED
ADDRESS FINAL _lav
JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM;PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION 6K. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
',LACo 9 6.6 '1 JUN .26 1- 6 " -2.50 '
LACO,9 6 6 2 JUN 2 6 1,.. - 1 0.0 0 . m
WORKERS'COMPENSATION DECLARATION 870399 SB 7 �
insure,oraffirm
that
te of Workers' Compensation eInsurance, APPLICATION F®R BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lob. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy NY 007 146 Compo4eaver Ins.
1:1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS lix
yvc lsto�
® Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 5524 N. Hallowell
Date 1 1/3/87 Applicant Virgin'Roof Co CITY Temple City ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST Ue
COMPENSATION INSURANCE SIZE OF LOT I ? O NOW ON LOT 1 CROSS ST.
(This section need not be completed if the permit is for one TRACT d� 3 JZ BLOCK LOT NO /� ASSESSOR
hundred dollars ($100)or le ._ss.) MAP BOOK PAGE PARCEL
Mar aret Rulon TEL. USE ZONE MAP ,`11
I certify that in the performance of the work for which this OWNER g NO. NO. Z 174
permit is issued, I shall not employ any person in any manner / SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS as above —1 CONDITIONS o
U
Date Applicant CITY ZIP
NOTICE TO APPLICANT: If, after making'this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE CESSED BY O
ENGINEER NO. CONST. ZONE
Exemption, you should become subject to the Workers' , C.1
Compensation provisions of the Labor Code, you must forth- ADDRESS R.:3
W.
with comply with such provisions or this permit shall be TEL
a-
deemed revoked. Vir in Roof Co NO-287-0507 STATISTICAL CLASSIFICATION APT. CONDO. fn
CONTRACTOR g NO. Z
LICENSED CONTRACTORS DECLARATION LIC• • CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS PO 'Box J No 160650
(commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP
Professions Code, and my license is in full force and effect. CITY Temple City CLASS C39 VALIDATION
SQ. FT. NO. OF NO. OF CHECK BK. PG.
License Number 160650 Lic.Class C39 SIZE 1500 STORIES 1 FAMILIES ONE
VALUATION
Virgin Roof Co. 1 1/2/87 DESCRIPTION OF WORK Over exist. roofs NEW ❑
Contractor Date $ 2400.00
❑ apply C1 'A' fiberglass shinglWD ❑ 0 1 ,
I am exempt under Sec. ALTER ❑
B.BP.C. for this reason 12 sqs. Flat deck: Tear off on REPAIR ❑ $
Date: L6ra sheet roof & apply 1#28, DEMOL ❑
Signature APPLICANT [. FINAL '2
OWNER-BUILDER DECLARATION PRINT Virgin Roof Co NO. 287407 DATE
I hereby affirm that I am exempt from the Contractor's License PO BOX J, San Gabriel, CA 91778
Law for the following reason (Section 7031.5, Business and ADDRESS FIN
i'
Professions Code): PRE ENT BY
❑ I, as owner of the property, or my employees with BUILDING
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 owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS J2869.5 A
tion 7044, Business and Professions Code). # 0 0 0 0 0 1
REQUIRED YARD HWY TOTAL SETBACK ° ° 5 9 2 5
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT .0 0 0 5 9. 2 5 5
the performance of the work for which this permit is issued P.I.
(Sec. 3097, civ. C.). SIDE J 23-17-87
P.L.
Lender's Name
48.75
LDMA Ref. #
m Lender's Address P.C. Fee$ Permit Fee '
I certify that I have read this application and state that the Issuance Fee A LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee 59.25 LDMA Perm. #
R and here authorize representatives o this County to enter
upon tI above-mentioned
prop!
rop ty fo ection purpos s.
a, Q SEE REVERSE FOR EXPLANATORY LANGUAGE
Signat Cyof Applicant or Agent Date
COUNTY OF LOS-ANGELES TEMPLE CITY" # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0111070045
-:PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CO G ADDRESS:
TR: .12392 LT: 11 SQ. FT STORIES TYPE OCCUP GROUP 5524 HALLOWELL AV
STRUCTURE: 79 1 VNR3 ARCD CA 910078417
ASSESSOR NF 0 GARAGE:, NEAREST CROSS STREET: LIVE OAK
8586-013-017 OTHER: THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
TENANT: ERT��USE: USE ZONE; ED S RES
EXIST OCC GRP: 12/06/01 VG 06/04/02
TEL. NO: BLDGS. NOW ON LOT: VALUATION: F
INALTE FINAL BY: CODE:
RULON MARGARET R TR- (626) 442-5628 _ -_ 1 5,925 Z5524 HALLOWELL AV
ARCD 910078417 FEES PAID DESCRIPTION
BATHROOM ADDITION
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT:
R J A DESIGN (626)• 339-4655- AA BLDG PERMIT ISSUANCE 27.75
1144 N EDENFIELD AVE AC STRONG MOTION RES ID 5925.00 VAL 0.59 SPECIAL CONDITIONS:
COVINA 91722 AX BUILDING REVJEW'F.EE_=--- 54.70
B2 PERMIT W/ENERGY5925?00 VAL 164.34
GELESTOTAL`FEES 247.38
CONTRACTOR: TEL. NO: �O�j �/��;� APPROVALS DATE INSPECTOR SIGNATURE'
ALL TRADES CONSTRUCTION (626) 286-0087-
5812 TEMPLE CITY BLVD #208 LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 705760 B
` SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. Nb: - ye 'ION/TRENCH FO
LIC. NO: SLAB/UNDER FLOOR
1111111
R ISED FLOOR FRAffflTG
�ry c
MAP 0: SEWER P BOOK: PGE: IRE ZONE: CMP,:= USUG'
UNDERFLOO I SULATIONf3' LlW Q��� S LE
N0. OF FAMILIES: DWELLING P : STAT CLASS:—
NO ' 21 r n F ND LEVEL FLOG S H
SCH
OO
L HAZARDOUS
\ a' SHEATHING
AIR'QUALITY: 1000 FEET MATERIALS _
NO NO NO + ® ® IRE DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:REQUIRED TOTAL SETBACK FROM EXIST � s J". �0�� DG NSPEC
FRONT PL- C Oervice khat SHEAR"PANELS
SIDE PL-
INSULATIONNEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH '
LOT-DRAINAG
SMOKE DETECTION DEVICES
IRE DEPARTMENT APP OVAL
REPORT ID: DPR261 ROUTE T0: BS0508
2 -o J
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0110150041
PHONE: (626) 285-0488 EXT:
LEGAL ID: . 0F CONST-- BUILDING ADDRESS:
TR: 12392 LT: 11 SQ. FT STORIES TYPE 5524 HALLOWELL AV
STRUCTURE: ARCD CA 910078417
ASSESSOR INFORMATION NUMBER: NEAREST 'CROSS STREET: LIVE OAK
8586-013-017• THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
TENANT: EMT-=USE: RESID USE ZONE: ISSUED ON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 10/15/01 JK 04/13/02
OWNER: TEL. BLDGBLDGS. NOW ON LOT: VALUATION: FINAL DATE FI kL B : CODE:
RULON MARGARET--R-TR-- --- (626) 442-5628- - 1 ., 2,500 _ 1:9 1,7-0
5524 HALLOWELL AV
ARCD 910078417 S
-M-PTMN OF WORK
FILLIN EXISTING SWIMMING POOL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: '
ALL TRADES CONSTRUCTION (626) 286-0087- AA BLDG PERMIT ISSUANCE 27.75
5812 TEMPLE CITY#208 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS:
TEMPLE CITY 91780 —TOTAL FEES 191.25
- S C
CONT �aELEO
CONTRACTOR: TEL. NO: ®�j 11 APPROVALS INSPECTOR SIGNATURE
ALL TRADES CONSTRUCTION (626) 286-0087-
5812 TEMPLE CITY BLVD #208 LIC. NO PEDESTRIAN PROTECTION
TEMPLE CITY, CA 91780 705760 B
SEWERIDISCONNECTION
ARUMU-OR ENGINEER: TEL. O: - _ PRIVATE DISPOSAL
LIC. NO: J 1111111 UND RGRND S RUT REMOVAL f;777F
AND SOIL RECO14PACTION
MAP X 0: SEWER MAP BOOK: GE: FIRE ZONE: CMP
�Ou1-\U
�L K`: \`�/J\\vjJ n fr{ nG RK�"35
OF ITS: PT C
NO 23SCHOOL tri c
WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
erVICe ltbAl •
REPORT ID: DPR261 ROUTE TO: BS0508