The URL can be used to link to this page

Home My Public Portal About5616 HALLOWELL AVE_Building__ DBS-3 25M SETS B-45 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT UXINTY OF LOS ANGELESsl BUILDING r WM. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST I �� A/ CROSS ST. BUILDING OWNER ADDRESS MAIL LOCALITY ADDRESS- NEAREST TEL. CROSS ST. CITY NO. FIRE NO.OF TYPE GROUP ARCHITECT OR .'% TEL. ZONE PLANS ENGINEER ;. 1lL %'�^H� NO. BLDG. ORD. NO. � III AD /��w -? - SETBACK LINE DRESS APPROVED TEL,' BY DATE CONTRACTOR NO: USE APPROVED i ._ ZONE BY �" Ip DATE ADDRESS ..,. LEGAL CORRECTIONS DESCRIPTION LOT NO. I BLOCK I TRACT NO. OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO OF NO. OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATIONADDITION O A REPAIR MOVING DEMOLISH Sq. FT. NO.OF -: SIZE ROOMS STORIES >D WALL ( ROOF COVERING COVERING USE OF NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - APPROVALS i APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING, BOLTS SIGNATURE OF OWNER LATH, INT.: AUTHORIZED AOT LATH, EXT.: P C $ PLASTER, INT. FEE PLASTER, EXT. VALUATION FEE FINAL DES-3 2SM SETS 8-4S DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT t C3UNTY OF LOS ANGELES 1 WM. _I, FOX, CHIEF ENGINEER BUILDING FOR APPLICANT TO FILL IN FOR. OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. , ( BUILDING OWNER ADDRESS - MAIL LOCALITY ADDRESS..- --"- NEAREST TEL. CROSS ST. CITY NO. FIRE NO.OF TYPE I GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD. NO, I ADDRESS SETBACK LINE APPROVED TEL. C3Y DATE CONTRACTOR NC. ..__. .... USE APPROVED ADDRESS ZZINE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO. OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.OF NO. OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVINGDEMOLISH p Sq. FT. NO.OF _ SIZE ROOMS STORIES Y> WALL ( ROOF COVERING COVERING USE OF NEW BUILDING - APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING, BOLTS SIGNATURE OF OWNER _,�.......; - LATH, INT.: AUTHORIZED AOT LATH, EXT.: $ P C. S PLASTER, INT. FEEPLAS TER, EXT. VALUATION FEE FINAL i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK -NO. PERMIT NO. ADDRESS 5616 N. Hallowell LOCALITY Arcadia, REIVED BY 7-7f A OF APPL. DATEISSUED NEAREST CROSS ST, B ILDING / iiI OWNER B MAIL LOCALITY ADDRESS 5616 N. Hallowell NEAREST TEL. CROSS ST. CITY Are,q dig NO. DO 7 8595 FIREI NO. OF I TYPE I GROUP ARCHITECTOR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS APPROVED TEL. BY DATE CONTRACTOR No. AT 6 1137 USE APPROVED ZONE BY DATE ADDRESS 5945N Temple City Blvd HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER –FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMI LIES DESCRIPTION OF WORK NEW I I ALTERATION I ADDITION REPAIR I I DEMOLITION Q. FT. NO. OF 'n fIZE ROOMS STORIES Z EXT. WALL ROOF r COVERING I COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ j FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION FORMS, MATERIALS CORRECT. — I AGREE TO COMPLY WITH THE CORRECTIONFRAME: FIRE STOPS, HERRON AND WITH ALL COUNTY ORDINANCES ANBRACING, BOLTS LAWS REGULATING UIL G CO STRU ION. �C`!`l+�C FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS rERMITTE LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT f'�C PLASTER, INT. 741ASSBA• D253 10-50 P. C. $ FEE PLASTER, EXT. VALUATION " �-�^ --�� $ FEE FINAL I APPLICATION FOR BUILDING PERMIT it COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDIN�,DR SS °'WORKER'S COMPENSATION DECLARATION ��7 i/� BUI DING ADDR ) a I hereby affirm that I have a certificate of consent to self insure, 1J"6 DUB£/ /ply i or A certificate of Workers'Compensation Insurance,or a certified Copy thereof(Sec.31M,Lab.C.) 'CI f ZIP 9�DD 7 LOCALITY Policy No. Company SIZE OF L �' NO.OF B DGS..NOW ON LOT vim+ �i Certified copy is hereby furnished. 00 NEAREST CROSS ST. 100, ❑ Certified Copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAPNO department. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o ER TEL.NO�./ COMPENSATION INSURANCE F� /n4/Gnn 6N� 8��7d WITHIN 1000 FT OF SCHOOL? ves No ADDRESS (This section need not be completed if the permit is for one hundred JTFj 0{� 1�j(J A U k DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) _/� y s� I certify that in the performance of the work for which this permit CITY AAA J j.q ZIP f o07 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. d (J ✓ become subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PIL c I hereby affirm that I am licensed under provisions of Chapter 9 / SEWER MAP v (commencing,with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.OF JA 0: NEW ❑ BK PG o. Professions Code,and my license is in full force and effect. pool. License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION LU E ZO OO F �S7",eh�� . �O ti Contractor Date ALTER � Z ❑ 1 am exempt under Sec. REPAIR ❑ $ B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm p 4 I, as owner of the property, or my employees with wages as p F ieir sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DA Q ^ / -.-, Professions Code.) Z —w _ `s WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �' J ' ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y g THE AMOUNTS SPECjFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i il'♦:_r licensed contractors to construct the project.(Section 7044, �rrO�/ Business and Professions Code.) ves❑ No 1 TAT - ,� 41-3 60 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING '_' OCCUPANT REI RE ERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ^•S�i r,+ :•ii'1 i' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY ANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST �� ( t„•K i ZU,: 1'_I FOR GUIDELINES. I hereby affirm that there is a construction lending agency for vEs❑ No a?� 1'- 18Nk.3 = -- the performance Of the Work for Which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ITLE 2,CHAPTER 20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING D _. ._., a Lenders Name HAZARDO� A F NING A PERMIT FROM THE SCAQMD. /D�� [?I::1!eWSi_I??i Lender's Address10- OWNER OR Adb� may, p o' I certify that I have read this application and state that the above / / information is correct. I agree to comply with all county PC,FEE PERMIT FEE ordinances and State laws relating to building construction,and ¢. hereby authorize representatives of this County to enter upon ISSUANCE FEE D O the a eennntt1'o �QjQf�P rty for/'ns�pection purposes. ¢ abhofA INVESTIGATION FEE TOTAL FEE _ P '110, 60 Sip, b Apglnrit or Apen Deb SEE REVERSE FOR EXPLANATORY LANGUAGE, T' APPLICATION FOR, BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDINGJIADPRESS PSIKOVb ID� � ) I hgreby affirm that I have a certificate of consent to self insure, / AvE or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) "q ZIP `�� LOCALITY o �/ Policy No. Company �' NO. B S.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I USE ZONE MAP� Date A licant ASSESSOR MAP BOOK PAGE PARCEL H PP SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' r�) �T a COMPENSATION INSURANCE OWNERADDRE4N �n v��o �� WITHIN 1000 Fr.OF SCHOOL? ves No 6460 O/it�l I (This section need not be completed if the permit is for one hundred W DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) ^l CIN + ZIP U I certify that in the performance of the work for which this permit 2e A pit 06 //`►�J� ,� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of / REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS SIDE c I hereby affirm that I am licensed under provisions of Chapter 9 tr SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SOZ.SIZE NO.OF STORES NO.OF FAMILIES Professions Code_,and my license is in full force and effect. O 0 NEW BK PG VALUATION License Number Lic.Class DESCRIPTION OF WORK ADD ElVALUATION Date ALTER ❑ $ � Pok ❑ I am exempt under Sec. �A A, REPAIR ❑ 1 B.&RC.for this reason DEMOL ❑ LDMA P/C# USE OF EXISTING BLDG. Date: URM. ❑ m`I{: Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# 'j 1 iIi•� as owner of the property, or my employees with wages as p their sole compensation,will do the work and the structure is ADDRESSFINAL DATE :.)THL � � d not intended or offered for sale (Section 7044, Business and Q 99 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL C/ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECI IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j 11� ar:' licensed Contractors to construct the project.(Section 7044, YES❑ NO Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH . /3� — CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST /' ___?j ;i j i i• vI ' FOR GUIDELINES,.�/ "i` e I hereby affirm that there is a construction lending agency for YES❑ NO IES 'I ` ' it-`: s the performance Of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD-19 i A 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 15 �. COUNTY CODE,TITLE Z CHA 2.20 SE TIONS 2.20.100 THROUGH 2.20.140 CONCERNING v � Lender's Name HAZARDOUS R F R I A R IT FROM THE SCAQMD. t— Q a Lender's Address rA OOWNER OR AG o I certify that I have read this application and state that the above information is correct. I agree to comply with-all county RC.FEE PERMIT FEE ordinances and State laws relating to building construction,and 6 ¢ hereby authorize representatives of this County to enter upon ISSUANCE FEE ? the ab a rty for ins ction purposes ¢ INVESTIGATION FEE TOTAL FEE Signalvrbft Applicant rn Agar Data SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING&WPESS BUILDING ADDRE 1 hereby affirm that I have a certificate of consent to self insure, Jp 1liUGd�GL /Y��r or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY��1 / ZIP /�� LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. O�' ,7o NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. J a S� a 14 ASSESSOR MAP BOOK PAGE PARCEL Date Applicant t21-3 0,-.;2 ' �_/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' Ow C 5�9-sob WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS w (This section need not be completed if the permit is for one hundred S a!�z DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($hat or less.) CI ZIPGw �� I certify that in the performance of the work for which this permit e 9/UD � I)// is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFI ATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS-fes NOTICE TO APPLICANT. If, after making this Certificate of TEL.NO. REQUIRED TOTAL SETBACK FROM EXIST / Exemption, you ShOUId become subject t0 the Workers' CONTRACTOR �1 SETBACK YARD I PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /- FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL o I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES CD Professions Code,and my license is in full force and effect. NEW ElBK PG U ❑ License Number Lic.Class DESCRIPTION OF WORK/J D _ ADD VALUATION N Contractor Date ALTER El � Z ❑ I am exempt under Sec. REPAIR ❑ B.BP.C.for this reason USE OF EXISTING BLDGDEMOL LDMA P/C# . J Date: URM. ❑ y Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z I F7 F a s qr� I, as owner of the.property, or my employees with wages as p/ �_ „-I their sole compensation,will do the work and the structure is ADDRESS {_i �•_F_R not intended or offered for sale (Section 7044, Business and FINAL DATE Q r_ —,•;. Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL.EQUAL TO OR GREATER THAN El 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPEC15e)ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FI0 licensed contractors to construct the project.(Section 7044, Business and Professions Code.) ves❑ No`b'V C-;-IE_�: __.01 0 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH E-,•,j-.1• ^' li CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MAyAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST • to CSP ° 1 FOR GUIDELINES. I hereby affirm that there is a construction lending agency for ves❑ No L��I/ the performance Of the Work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD � 3097,CIV.C.). - PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 1'.S'•.{I S%'-IJI!!U 1 +•+=�. -'J't�-�' m. OUNTY CODE,TITLE 2.CHAPTER 2.20 E TIONS 2.20.100 THROUGH 2.20.140 CONCERNING ' s Lenders Name ATERIA PORTI NINGAPERMIT FROM THE SCAOMD. I' `a Lender's AddressCL Ge4T - y o 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE the meE1t' ned r y or inspection purposes. 3 INVESTIGATION FEE TOTAL FEE r m A„I SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1208080003 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: 1 ITR: 12392 LT: 18 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5616 HALLOWELL AV STRUCTURE: 360 1 V-B U I ARCD CA 910078419 (ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LIVE OAK 18586-013-024 OTHER: THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: 1 I IEXIST OCC GRP: 108/08/12 SR 1 I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFI DATE FIN Y: CODE: 1 IKASUBUCHI, GREGG (626) 215-5279- 1 6,829 1 1 I 15616 HALLOWELL AV I W�t1 (ARCD 910078419 FEES PAID 1DESCR PTION OF WORK 1 I (ADD OPEN PATIO COVER IN THE REAR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1 (APPLICANT: TEL. NO: I IKASUBUCHI, GREGG (626) 215-5279- IAA BLDG PERMIT ISSUANCE 27.80 1 - I I IAB STATE GREEN BLDG FEE 6829.00 VAL 1.00 (SPECIAL CONDITIONS: 1 IAC STRONG MOTION RESID 6829.00 VAL 0.70 I I 1 IAX BUILDING REVIEW FEE 54.70 ID2 PERMIT W/O EN-HC 6829.00 VAL 166.20 1 1 (CONTRACTOR: TEL. NO: I TOTAL FEES 250.40 (APPROVALS DATE INSPECTOR SIGNATURE I IKASUBUCHI, GREGG K - (626) 215-5279- 1- 15616 HALLOWELL AVENUE LIC. NO 1 (LOCATION AND SETBACKS I I1 1 1ARCADIA, CA 91007-8419 NONE 1 I (SOILS ENGINEER APPROVAL I 1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I 1 I IPOLYTECH DESIGN BUILD INC. (626) 321-2127- I 1 1 1 I 12025 SO. 4TH STREET LIC. NO: I ISLAB/UNDER FLOOR I I I 1ALHA24BRA, CA 91803 NONE I I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I I I 3 OO I I 11ST LEVEL FLOOR SHEATH 1 I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 1 1 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING I 1 1 1AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO 1 IFIRE DEPT. FRAME INSPECTI I 1 1 11 (BLDG DEPT. FRAME INSPECTI I SHEAR PANELS I I I I I I I I 11NSULATION/WEATHER STRIPI I I' I I 11NTERIOR LATH/DRYWALL I I I I I I I 1EXTERIOR LATH I I I I I I I I ILOT DRAINAGE I I 1 I I I I 1 (SMOKE DETECTION DEVICES 1 1 I I 1 IFIRE DEPARTMENT APPROVALI I I I 1 11 I (REPORT ID: DPR261 ROUTE TO: BS0506 I I I I I I 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 1107110055 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 12392 LT: 18 BL: .001 SQ. FT STORIES TYPE OCCUP GROUPI 5616 HALLOWELL AV I I (STRUCTURE: 1604 2 V-B R-3 I ARCD CA 910078419 I (ASSESSOR INFORMATION NUMBER: I GARAGE: 212 1 V-B U 1 NEAREST CROSS STREET: LIVE OAK I 18586-013-024 -1 OTHER: 443 1 V-B R-3 ( THOMAS PAGE: '597 GRID: B3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE ZONE: ITSSUED ON: PROCESSED BY: I 1 IEXIST OCC GRP: 110/1'7/11 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: 1RAATE FI BY: CODE: J IKASUBUCHI, GREGG (626) 215-5438- 1 260,770 15616 HALLOWELL AV I 1 1ARCD 910078419 1 FEES PAID ID CRIPT'� OF WORK I I I JADD & REMODEL 1ST: FLOOR KITCHEN, FAMILY RM, MASTER BATH #2, 1 1 _IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT;jW.I;C. LAUNDRY RM, POWDER RM, 2ND: FLOOR 3 BEDRMS, 2 BATHS, I JAPPLICANT: TEL. NO: I .1W/ATTACHED 1 CAR GARAGE I IQUAN, ALBERT (626) 202-8328- IB1 PLANCHECK W/ENERGY 260770.00 VAL 2,193.50 1' ' 13139 HEMPSTEAD AVE IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 JARCADIA, CA 91006 JAB STATE GREEN BLDG FEE 260770.00 VAL 11.00 1 I I JAC STRONG MOTION RESID 260770.00 VAL 26.10 1 I ___IB2 PERMIT W/ENERGY 260770.00 VAL 2,580.60 1 ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.30 JAPPR.OVALS DATE INSPECTOR SIGNATURE 1 IKASUBUCHI, GREGG K (626) 215-5438- 1 TOTAL FEES 4,940.30 1 I 15616 HALLOWELL AVENUE LIC. NO I ILOCP_TION AND SETBACKS I ARCADIA, CA 91007-8419 NONE I I 1 ISOILS ENGINEER APPROVAL 1 JARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS IPOLYTECH DESIGN BUILD INC. (626) 321-2127- 1 lJ � f 12025 SO. 4TH STREET LIC. NO: J 1,SLAB;'UNDER FLOOR "1 ALHAMBRA, CA 91803 NONE I- AIN I —1 IRAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J ,a JUNDERFLOOR INSULATION I 3 001 1. I I 11ST LEVEL FLOOR SHEATH 1N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 SCHOOL WITHIN HAZARDOUS „ �� IROOF SHEATHING (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 IFIRE DEPT. FRAME INSPECTI I I IBLDG DEPT. FRAME INSPECT( �( 1 I I__ I I 1SHEAR PANELS I 11NSULATION/WEATHER STRIP 1 1 11NTERIOR LATH/DRYWALL I 1EXTERIOR LATH 1 1LOT DRAINAGE 1 1 ISMO-<E DETECTION DEVICES J I I 1 I I__ I I I I 1FIRE DEPARTMENT APPROVAL( 1 I 1 I 7 I I 11REPORT ID: DPR261 ROUTE TO: BS0508 I