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Home My Public Portal About5624 HALLOWELL AVE_Building__ 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 0411180015 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 12392 LT: 19 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5624 HALLOWELL AV STRUCTURE: 368 1 VN R3 ARCD CA 910078419 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LIVE OAK 8586-013-025 OTHER: THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/19/04 JK 11/14/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: EJAAL9,WFI ,YBx: CODE: NASSAR, CHARBEL (626) 447-9481- 30,470 5624 HALLOWELL AV ARCD 910078419 FEES PAID DESCRIPTION OF WORK ADD 1 BEDROOM & 1 BATH 368 SF. APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - B1 PLANCHECK W/ENERGY 30470.00 VAL 514.01 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 30470.00 VAL 3.05 B2 PERMIT W/ENERGY 30470.00 VAL 604.73 CONTRACTOR: TEL. NO: TOTAL FEES 1,149.54 SAME AS OWNER _ APPROVALS DATE INSPECTOR SIGNATURE LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENC FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING - MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STA C ASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT i L REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: ` n FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508 APPLICATION FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELES BUILDING AND SAFETY • WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN [NEAREST LDING ADDRESS �j r I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS /�, r r/LL o CFJ` L or a certificate of Workers'Compensation Insurance,or a certified AL L6 kJL A` v copy thereof(Sec.3800,Lab.C.) CITY ZIP Policy No. �' ` I Company r16-nCA� g l O Q� cnuTv SIZE OF LOT, NO.OF BLDGS.NOW ON LOT s ❑ Certified copy is hereby furnished. -7(- (♦U0 CROSS STL, rtified copy is filed with the co my building i spection TRACT BLOCK LOT NO. USE ZONE MAP NO. apartment. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant _b( SPECIAL CONDITIONS OWNER TEL.N VES NO CERTIFI ATE OF EXEMPTION FROM WORKERS! � �2� SSD T 5(2� 44 35 G COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? ADDRESS 1�_' (This section need not be completed if the permit is for one hundred -A-, �7JV DISTRICT "GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) Cm ZIP .� I certify that in the performance of the oor which this permit is issued, I shall not employ a rson in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the W Compensation Laws. STATISTICAL CCL,AASSIFI I APT CONDO Date Applicant - ADDRESS CLASS NO. DWELL UNITS NOT TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. P Y 1 SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith T5 `lCDr �1`iq,Su7 FRONT comply with such provisions or this permit shall be deemedrevoked. ADDRESS LIC.NO. PL Av. y�I l� LICENSED CONTRACTORS DECLARATION CITY /� LIC.CLASS SIDE 1 a o 1 hereby affirm that I am licensed under provisions of Chapter 9 (��L� " ` t SEWER MAP ==1 { a'=3 a _� (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STOREq NO OF FAMILIES i ❑ T I' ol— Professions Code,and m license is in full force and BK PG �d effect. � ` NEW License Number y7��1a Lic.Class I DESCRIPTION OF WORK ADD VALUATION , !€ AZd a yVj C.6 s CST / � : / ?S Contractor Date " �' '^' ti ALTER ❑ $ NEC" 7[1a�:�..z REPAIR ❑ 1 am exempt under Sec. $ CHANGE GE Ss B.&P.C.for this reason €�K/t F (�iC(5� (� l7 DEMOL ❑ a USE F # EXISTING BL LDMA P/C Date: N 4r' URM ❑ y g ` _ I fl j�is i_€}•�I''` I�€tom;�i�7' l Signature APP�I CANT(PRINT TEL.NO. LDMA Perm# a ❑ I, as owner of the property, or my employees with wages as J <✓Q Q'CL 1 x /' €!i=•°°_ their sole compensation,will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE q j� G Professions Code.) 101. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /� 8�( v J OR A MIXTURE CON INING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN I, as owner of the property, am.exclusively contracting with THE AMOUNTS P FIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j licensed contractors to construct the project.(Section 7044, vas❑ No �. Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALINAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES 11 No the ,Civ.mance Of the Work for Which t rfillt IS ISSU@d(Sec. 3097,CIV: I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQM[}-„ C.J. PERMITTING CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELS$' m. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING'"` '�•-•' �`_ ^ '�' ��•'( '' ' I^'•'€ Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD..r rT I {^ a Lender's Addr 1 ter: €^^ 1 ice. OWNER OR AGENT _ i9 rT'€ o' I certify t I have read this application and state that the above '—•' ~'' PC.FEE PERMIT FEE $ infor tion is correct. I agree to comply with all county ��s �,'� M Irl N or ' ances and State laws relating to building construction,and ;70 cy/��J^ x <. hereby auth rize represqntativPi of this County to enter upon ISSUANCE FEE bove- do pr p pection purpos s. F 0.1 m /p INVESTIGATION FEE TOTAL FEE g INA L �' 31 r..rJ C>€ sgaew a App. Dme }..a. ��•; q=1 ,� 3 SEE REVERSE FOR EXPLANATORY LANGUAGE 4*.I .ri �: -_! 0 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 0501110017 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 12392 LT: 19 BL: .001 SQ. FT STORIES TYPE 5624 HALLOWELL AV STRUCTURE: 28VN ARCD CA 910078419 ASSESSOR INFORMAT ON NUMBER: NEAREST CROSS STREET: 8586-013-025 THOMAS PAGE: 597 GRID: 83 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/11/05 JK 01/06/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AL DATE FIN Y: CODE: CHARBEL, NASSAR (626) 447-9481- 12,000 5624 HALLOWELL AV o I- ' ( / ARCD 910078419 FEES PAID DESCRIPTION OF WORK T/O EXISTING APPLY 1/2 OSB WITH DOUBLE LAYER 30 PD ATSM WITH APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EAGLE LITE SHAKE PONDERSA. DAMON (714) 577-0457- AA BLDG PERMIT ISSUANCE 27.75 1001 APPLING AC STRONG MOTION RESID 12000.00 VAL 1.20 SPECIAL CONDITIONS: PLACENTIA CA 92870 D2 PERMIT W/0 EN-HC 12000.00 VAL 250.20 TOTAL FEES 279.15 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DAMON ROOFING, INC. (714) 577-0457- 1001 APPLING LIC. NO LOCATION AND SETBACKS PLACENTIA, CA 92870 420695C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING NITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS f AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED —TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508