HomeMy Public PortalAbout10629 HALLWOOD DR_Building__ 76A63SACE#603_6_57 APPLICATION FOR BUILDING -PERM_,
COUNTY OF-LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
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BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. _
ram -DISTRICT NO. GROUP TYPE SE ER MAP
FOR APPLICANT TO FILL IN K P
CONST.
BUILDING •
ADDRESS STATISTICAL CLASSIFICATION-
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- CLASS.NO. DWELL. UNITS
LOT NO. - BLOCK - MAP STATE
NUMBER HWY. YES.
TRACT • USE ZONE, SPECIAL
/ NO.OF BLOGS. /t CONDITIONS
SIZE OF LOT 6 �� I NOW ON LOT
USE OF 333
EXISTING BLDG. ITGL/e BUILDING � EXIST..._
YARD HW
Y ST T NAME
- - SETBACK 'WIDTH- '
OWNER 91!5;; �D`rV![dJ'` - FRONT !
MAIL - P.L: a - -
ADDRESS Z ' Alot C*>tv0 - SIDE /
P.L. A
CITY Di EAG. No. o INSPECTION RECORD f
ARCHITECT OR TEL.
ENGINEER NO..
'ADDRESS
E L.4T/J - -
CONTRACTOR .NO. O!O/ -
V ADDRESS
DESCRIPTION OF WORK
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I
NEW 45 ' _ ALTER REPAIR DEMOLISH -
SQ. FT.. //�� NO.OF NO.OF /'
SIZE l�ya STORIES / FAMILIES/-
-
USE OF STRUCTURE -• tl�.a,� "'v"� .,ai3 .*3l.�,fCy.-�� ` '
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SIGNATURE OF - APPROVALS
APPLICANT _ -
- DATE INSPECTOR'S SIGNATURE
ADDRESS - - FOUNDATION: LOCATION ..
FORMS,.MATERIALS -
$ C. $, wl FRAME: FIRE-STOPS.
FEE BRACING.BOLTS �d -
VALUATION � FUAVENT,
LOCATION. -
..,.;,. :.., .. FEE GAS VENT.DUCTS
- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- .LATH,INT.
PLICATION AND STATE THAT THE'ABOVE IS CORRECT AND•
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGU,LATIN BLLILOLNG INSTRUCTION. LATH;HOUSENU.MBER.COR-
SIGNATURE OF -�Q � _
PERMITTEE v r! RECT AND POSTED '
ADDRESS FINAL -
JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, RIN IPAL STRUCTURA NGIN ER
PLAN CHECK VALIDATION CK. 'M.O. CASH PERMIT VALIDATION. CK. M. SH
LN 1 A. OF
DEPARTb= OF COIIRTTSt ERNGINEM
�. DIVISIO-OF BUILDING AND SAFETY
LOS
ANGELES sp,
\. WILLIAM J. FOX, COUNTY ENGINEER APPLICATION �-
t'' CASSATT D. GRIFFIN. SUPT OF BUILDING' i
_.
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FOR APPLICANT TO FILL IN FOR OFFICE.•USE ONLY
^ DISTRICT NO. PLAN
d/C0�5C. � PERMIT NO.
BUILDING
ADDRESS ��
LOCALITY _ RECEIVED BY DATE OFAPPL. •h� DATEISSUED °
NEAREST �; V
CROSSST
BUILDING
OWNER / ADDRESSr
MAIL .� r} LOCALITY
ADDRESS . TEL. (� I NEAREST-
CITY . . �'I r CROSSST,
NO
ARCHITECT OR TEL. FIRE PLA
_ NO. OF TYPE_ '/"GROUP
ENGINEER NO.` ZONE .• . NS
,t
ADDRESS ` SETBACK,LINE L J O
CONTRACTOR -� -^� TEL. �. �66 ONE 'USEI APPROVED BY 1DATE
^ / ` �I HOUSE NUMBERING
ADDRESS A VGTI� 2 d`'/
4 �
LEGAL MAP NUMBER -NO.BD - NO. ASSIGNED'BY
DESCRIPTION I T NO. / I BLOCK
" CORRECTIONS
TRACT
SIZE OF LOT X 0 D I NNOW O. OF BLDGB.
ON LOT
USE OFNO. OF
EXISTING-BLDG. ^�' FAMILIH
DESCRIPTION OF WORK o —
REW ALTERATION P ADDITION Z
IR I DEMOLITION I I e
r
SQ. FT. ! NO. OF -
SIZE ®IO ROOMS STORIES
p EXT. WALL ROOF
COVERING J I UCCD I COVERING Co►gAO�
USE OF STRUCTURE.
APPROV4S
INSPECTOR'S SIGNATURE DATE
• FOUNDATION: LOCATION - _
- FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS AP- FRAME: FIRE STOPS, r
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS 0
CORRECT. '
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES ° FURNACE: LOCATION,
p
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OFLATH, INT.
PERM ITTE t$
/ LATH. EXT.
ADDRESS '
• PLASTER, INT,
AUTHORIZED AGT. ,p
- - PLASTER, EXT.
O _
P. C. !$ 's HOUSE NUMBER COR-
D.O y FEE ^ RECT AND POSTED
VALUATION FEE S� FINAL
76A888A DES 9 S-Si
1
sz'.OR ARPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BLI;L DING y�y� �} p�
ADDRESSSSg��v� � ` 14AL '\A1001) /�\7 • DEPARTMENT OF COUNTY ENGINEER
CITY 1 � ZIPBUILDING AND.SAFETY DIVISION
NO.OF BLDGS. G
SIZE OF LOT �Q U kJ NOW ON LOT ' ADIDRESS
i
TRACT
gp p p�p� BLOCK�yq LOT No. �1 LOCALITY
TIL.OWNER 1�/dt1RND s,g����+�14 ATS p�NO.�6"3 jDSS ST.
ASSESSOR
ADDRESS l��9 HOs 3" dOOp .A E a MAP BOOK PAGE PARCEL..
p�J� p1
DISTRICT:-, GROUP TYPE FIRE PROC ED B
-CITY 7tm -X- ` ' O ZIP - CONST /� ZONES
ARCHITECT OR t� TEL. �J �. %/' -
ENGINEER 1� NO. STATISTICAL CLASSIFICATIONSEWER M P
ADDRESS CLASS NO. 42 DWELL.UNITS BK PG '
CONTRACTOR JgJ$j0H ,M 6`' NO. _ MIJz
NE ' MAP
ADDRESS po+5 {V':° A7.vk ANIENO]NO..��6-x•6 u SPECIAL
CITY �N*A CLASS d CONDITIONS
CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES''❑ NO ❑
NAME AND BRANCH ., BLDG.SE ACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SO.FT. j /� NO.OF 8 NO.OF CHECK HIGHWA + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE ( STORIES FAMILIES ONE
DESCRIPTION OF WORK T ft V t) 9� j( NEW ❑ + O
CBLDG.SETBACK 0�
je_ ✓ �IQ� ADD ��( SIDE PROP.LINE OF - - (STREET) O
aGJu6.dV� ��li W ALTER {� HIGHWAY + YARD = TOTAL SETBACK FRO TYPE EXISTING a
pip y� REPAIR
,
EXIST ❑ SIDE PROP.LINE WAA Y WIDTH _ N
USE OING BLDG. �,�a�l�I V DEMOL:❑ + _ Z
APPLICANT. p� g � /pTEL L ��P�� CORNER CUTOFF YES ❑ NO
IPRINT) Y�Oma- - 1 • A IV'N�/Nol6-1 .P l
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑. NO ❑
VALUATION $ cjva`
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL N E PL Y PERS+lVIATICdPIO
T E� LBOR,O DEp OF THE ST T F CAL I E TIG 'SC
'
OS TO,II E.
SIGNATURE
PERMITTEE
ADDRESS
FIN y r BY �r
CITY ��`J NO. P�� { F�li®
MAKE CHECKS PAYABLE TO: FEE $ FEET $
HARVEY T.BRANDT,COUNTY ENGINEER
5T,
PLAN CWECK,VALIDATIOk CK. M.O. CASH o PERMIT.VALIDATION Cc K. M.O. CASH
1 2"AFIR 23 U 5 5.5 0 6 0
0 S 76A638A CE#803 3.75'
\ 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 0603240040
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 19189 _ LT: 74 SQ. FT STORIES TYPE 10629 HALLWOOD DR
STRUCTURE: 24 VN TEMP CA 917804125
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL
8585-029-001 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 03/24/06 JK 03/19/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA . TFINA CODE:
SHORT ROLAND E;YVONNE A TRS (626) 448-5510- 4,000
10629 HALLWOOD DR
TEMP 917804125 FEES PAID S RIPTION OF WORK
TE OFF AND HOUSE AND GARAGE COMPLETE RE-SHEET USING 1/2"
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CD�X PLYWOOD,I5LB ROOFING PAPER 25 YR COMP. MATERIAL GABLED
APPLICANT: TEL. NO: .
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 4000.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLA /UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
144H273 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHOT ING �t/VL
zaJL
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS _
NO Nj 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
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508