HomeMy Public PortalAbout10619 HALLWOOD DR_Building__ BUILDING
RUNLDING
ADDRESS t o
APPLICATION LOCALITY-T r L
NEAREST
DIVISION OF BUILDING AND SAFETY CROSS ST.
Department of County Engineer DISTRICT NO 1 RECE PT NO. PERMIT NO.
County of Los Angeles 0/ 9-9
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT DF BUILDING
FOR APPLICANT FILL IN
'i TYPE T. RECEIVED BY ISSUED BY
OWNER A t r- A/ -
MAP. TEL-r- /.
sHE
MAIL NUMBER WY
ADDRESS/ O ab `CUSE20NE SPECIAL
Gv CONDITIONS
CITY / M .LNO
'
ARCHITECT OR TEL. 00
ENGINEER NO.
A-1 BUILDING YARD HWY STREET NAME EX13T.
ADDRESS l �►"-1w SETBACK WIDTH
TEL. FP.L.
CONTRACTOR NO.
�• SIDE
Ia P.L.
ADDRESS
DATE CORRECTIONS INSPECTOR
BUILDING
ADDRESS ALL_ !r
LOT NO. BLOCK ✓' �, O/�'"
TRAIT-�� cu-t--c.d::7/'P
TT NO. OF SLOGS. �J
9 1 z E OF LOTIq x/V o I NOW ON LOT /•��
USE Ge, ��
T ►-,,,r � G/
EXISTING BLDG. -
DESCRIPTION OF WORK
NEW CADD ALTER REPAIR DEMOLISH ) W
_ i 2
SM.FT./� NO. OF NO.OF 'V�� ` " D
-SIZE 7 '? STORIES FAMILIESr l r
USE jOF STRUCTURE /� I •A
Of
/ r
NO.OF
EMPLOYEES
I HEREBY 'ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.r-;:`-•
I AGREErTO COMPLY STH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS RE LATING BUILDING CONSTRUCTION. FORMS,MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OF - BRACING,BOLTS „
PERM1 e
FURNACE: LOCATION,
ADORES ") GAS VENT,DUCTS
LATH, INT. ®.!
AUTHORIZED AGT. - r �
LATH, EXT.
p
$ P.FEE C.$
'�' sem' �✓ HOUSE NUMBER ED
RECT AND POSTED
VALUATION r' FINAL
FEE
76A638A '•D85 3 12-53
n 1 .
h DEPARTbEERT OF COUNTY ENGIN ER
DIVISION OF.BUILDING AND SAFETY
. COUNTY OF LOS ANGELES f�'
a WILLIAM J. FOX. COUNTY ENGINEER APPLICATION
'CASSATT D. GRIFFIN, SUPT of BUILDING
i
FOR APPLICANT TO FI
....•rV'r r .'
LL . FOR OFFICE USE ONLY
DISTRICT NO. •'PLAN CK.OR REc.No. PERMIT NO.
e BUILDING'
ADDRESS 1 b --/
RECEIVE BY DATE O APPL. DATE ISSUED
LOCALITY i _a r
NEAREST dL'V1 �
CROSS ST BUILDING
-
OWNER / ADDRESS; GO I
P. /�-t � � � - t
MAIL
ADDRESS ` r C I1 LOCALITY'
TEL. NEARESTI
(
CITY O , CROSS ST.
ARCHITECT OR TEL. rimh ZONE I PLANS JL;I TYPE, I GROUP.
b ENGINEER NO. 1
_ BLDG. -
ADDRESS SETBACKiLINE 0
TEL. ! USE L APPROVED
CONTRACTOR ♦ - (+ ("` O. —6 Ib ZONE , BY 3 DATE
ADDRESS /C, Jr Sam d (J HOUSE NUMBERING
LEGAL MAP NUMBER d NO. ASSIGNED BY
DESCRIPTION ILOT NO. BLOCK
CORRECTIONS
TRACT
NO. OF SLDGS. £
SIZE OF LOT /0,0 I NOW ON LOT
USE OF NO. OF
EXISTING BLDG. FAMILIES {
DESCRIPTION OF WORK oALTER —
TION
NW
REP IR I-I DEMOLITION I-I ADDITION I D
Z
D
r
SQ.
IZEFT. ./0 ROOMS (7 STORIES , •
S
EXT. WALL ROOF
COVERING S (�('�:� I COVERING ��Vjt I..///��
USE OF STRUCTURE 1
8 '
APPROVJkM
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
01
r
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, i
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION,
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS
/REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE Off!/ �y /1//f LATH, INT.
//��
i�
PERMITTEE // r ti 1��� /VVV V
LATH. EXT, I
ADDRE38 /
PLASTER, INT.
"'AUTHORIZED AGT. A-0�
•..,.B,Q " ' 'PLASTER, EXT.
EVALUATION
FEE '�m� HOUSE NUMBER COR- v 1
-p RECT AND POSTED - Alp
-(1�
$ ®
FEE ,y ` FINAL
76A688A DBS 3 8-82. 1 /
KERS'COMPENSATION DECLARATION
tpinsur'�_;.
it that I have a'certificate of consent to self O O
o O nn c a certificate of Workers' Compensation Insurance, A� O���IjAU O O M FM �=/ D U V ��n V LI
or a
Zit copy tfaere/of��Sec. 3800, Lab. C:). }- COUNTY OF LOS ANGELES
BUILDING AND SAFETY
Policy No+ ®G�W"-Company raAd
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN. ADDRESS ./06/f 9 «iuvo
° .
Certified copy is filed with the c unty building inspec- BUILDING Q / may/ �^ J
tion departrm�ent. ADDRESS 70��7 �`/W�O'� /� LOCALITY- < E��`�'
Date, 7 77 0 Applicant / CITY f Ern, �� ZIP 7/7w CROSS ST.
._ CERTIFICATE OF EXEMPTION FROM WORKERS' �p NO.OF BLDGS, ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT. SS 7 NOW ON LOT MAP BOOK PAGE - PARCEL
(This section need not be completed if The permit is for one USE NE MAP
hundred dollars ($100)or less.) TRACT .{��Q��n/ 7�BL�OCK / LOT NO. 73 ".p ® NO.
OWNER �Z.'E �1�r.0e SCAI�U2cll s7S- 4UI! CONDITIONS '
I certify that in the performance of the work for which this D STRICT [GAIOUP TYPE FIRE PROCESSED BY O
permit is issued;I shall not employ any'person in any manner l{fj��tUJOG7 ,y CONST: Z V
so as to
-become subject to the Workers'Compensation Laws: ADDRESS /0�1 b
"ZIP ►v � ,V o
CITY /�� e �!.
:^Date Applicant - STATISTICAL CLASSIFICATION ". APT: _ NDO. U
NOTICE TO APPLICANT: If, .after makingthis Certificate of ARCHITECT OR TEL.
ENGINEER �E21Y1/ �? Gv�J e "NO S6 "Z/6 CLASS NO.�DWELL:UNITS w
':Exemption,. you should become subject to .the Workers' N '
Compensation provisions of the Labor Code, you must.forth- ADDRESS >DD2/, .��d1 �hyrJ��lO J S .lo SEWER MAP
with comply with such .provisions, or this permit shall be G _
deemed revoked. CONTRACTOR U Q _ U O / 6 BK. PG,' VALIDATIONN
. _ O. ,�0.7. 7
LICENSED CONTRACTORS DECLARATION �+• '/ / Q /
I hereby affirm that I am licensed under'provisions of Chapter 9' ADDRESS 7���+`/`eAW`� `� 1p -3�!9 �VALUAAT106N(commencing with Section 7000)of Division 3 of the Business and LIC:Professions Code, and my license is in full force and effect. CITY AWS14' C� 17o2 CLASS
SQ. FT. 7� NO. OF 9. NO.OF l CHECK _ D
License Number r7 Lic.Class O SIZE 7 STORIES f+V FAMILIES ONE
Cont ctarF'4t C(9v
cla"?z4y to 5-20-p DESCRIPTION OF WORK 002' A!�� NEW $
D I.am. exempt under Sec.
3 fed z . ta i _ ADD z7.Ob9A
ALTER FIPoAL /� #'o °'O °
23
DATE
B.&P.C. for this reason
USE OF ,f REPAIR - FIN I 1 ° 3.3 5.9"7.
Date: " EXISTING BLDG. fAM�G E �" C� DEMOL O B
APPLICANT TEL q
Signature OWNER-BUILDER DECLARATION. PRINT rs�'VO ' NO. 7��'y/ ° ° 3 3 5 9 7 v
I hereby affirm that I am exempt from the Contractor's License5/tlp C.�Co�UwFGK � - D 5,2 0 $7
'Low for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT
BUILDING
I, as owner of the property, or my employees with ADDRESS G
wages,as their sole,compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code).. MOVING TEL.
I, as owner of the property, am exclusively contracting. CONTRACTOR NO.
with licensed contractors"to construct the project (Sec- ADDRESS P7 4 2'2 A
tion 7044, Business and.Professions Code).
REQUIREDYARD HWYTOTAL SETBACK FROM EXIST.
. o'
CONSTRUCTION LENDING AGENCY. . SET BACK PROP. LINE WIDTH # o ° o o•'(
I hereby affirm that there is a construction lending agency-for FRONT
.the performance of the work for which this permit is issued P.L. D !( ° 4 0 5.7 5
(Sec. 3097, Civ. C.). SIDE a .° 4 0 7"5
0 P.L.
v' Lender's Name - •� �.o 7,0 7 d 8 7
Lender's AddFess P.C. Fee$ 3 v Permit Fee95 j27'
L y� t
I certify that I have read this application and state that-the ` . Issuance Fee L S V
above information is correct. I agree to comply with,all County Investigation Fee �e+�� '
g ordinances and State lawsrelating to building construction, Total Fee ,6 J,
u and hereby authorize representatives of this County to enter
up o a above-mentioned property for inspection purposes.
SEE REVERSE FOR,EXPLANATORY LANGUAGE Y
Signature of Applica't or Agent 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 0810280021
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ITR: 19189 LT: 73 I SQ. FT STORIES TYPE 10619 HALLWOOD DR
I ISTRUCTURE: 1800 V-B TEMP CA 917804123
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL I
18585-025-004 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPEL CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
I (EXIST OCC GRP: 110/28/08 SR 1
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE— gig j{(�"p��' BY: CODE:
ISCATURCHIO GIUSEPPE;MIRTA (626) 575-4819- 1 4,000 1 a �"" y p 1
110619 HALLWOOD DR I I '�.�^rm N I� 1
ITEMP 917804123 I FEES PAID IDESCRIPTION OF WORK 1
I ITEAR OFF AND REROOF WITH LIGHT WEIGHT TILE 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
(APPLICANT: TEL. NO: I I 1
ISAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.75 1
1AC STRONG MOTION RESID 4000.00 VAL 0.50 ISPECIAL CONDITIONS: 1
ID2 PERMIT W/0 EN-HC 4000.00 VAL 115.80 I I
TOTAL FEES 144.05 I I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I
LIC. NO 1 ILOCATION AND SETBACKS 1 I
ISOILS ENGINEER APPROVAL
I 1 I I
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
1 LIC. NO: 1 (SLAB/UNDER FLOOR I I
IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION
1144H273 3 001 1—
I
_I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
NO 21 1 IROOF SHEATHING I
I-1I, , , I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1
(AIR QUALITY: 1000 FEET MATERIALS I - I
NO NO NO IFRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST �x6 (FIRE SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- (INSULATION/WEATHER STRIPI I I
I SIDE PL- I I I
I (INTERIOR LATH/DRYWALL I I I
I IEXTERIOR LATH I I I
1 1 IRATED FLOOR/CEIL ASSEM. I I I
IRATED WALL ASSEMBLIES 1 I
IRATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS I I I
I I I I
ILOT DRAINAGE
I I I I I I
• IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I I