The URL can be used to link to this page

Home My Public Portal About10640 HALLWOOD DR_Building__ I DSION �N'T OF I)ING ENaIIITEEB I L®I I� DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES A''•. WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUP'T OF BUILDING FOR APPLICANT TO FILL IN FO pyFjCLXSE ONLY BUILDING /� DISTRICT NO. P R Ec.No. PE^RMIT NO: ADDRESS V ® 6� a 4 /(fav S i -1 `/o7 LOCALITY aE� A:!- 0177, RECEI�Y DATE OF APPL. DATE ISSUE NEAREST CROSS ST BUILDING ADDRESS /f/ ®' OWNER ��''' +� a `� / AMAIL DDRESS Z ` i v_ �� / 11 LOCALITY 2 CITY `�� TEL. NO. OF �760� ARCHITECT OR TEL. ZONE -� I PLANS �, I TYPE GROUP ENGINEER NO. _ BLDG. ADDRESS SETBACK'LINE ' b uTEL. r USE APPROVED - CONTRACTOR i' (O ZONE — I BY DATE r_ HOUSE NUMBERING ADDRESS ss'► LEGAL MAP NUMBER /d NO. ASSIGNED BY DESCRIPTION LOT NO. BLOCK CORRECTIONS TRACT NO. OF BLDGS. SIZE OF LOT I NOW ON LOT 1B USE OF NO. OF - - EXISTING BLDG. FAMILIES DESCRIPTION OF WORK o — NEWATION ITION I ADDITION I z DEMOLITION Z D r SQ. FT. NO. OF {� SIZE �j\J ROOMS STORIES EXT. WALLROOF COVERING [,LCC,(,J,�hh,, COVERING "1 USE OF STRUCTURE APPRO LS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION / FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ cyte 110%4-- I SIGNATURE OF 7� (_ LATH, INT. PERMITTE — ADDRESS.. -�u�i'L e" LATH. EXT. / PLASTER, INT. AUTHORIZED A 1 ® � PLASTER, EXT. FEE $ HOUSE NUMBER COR- _ (� V RECT AND POSTED VALUATIONFEE ��, d FINAL i^ ="'k.. 78A888A 006 3 9-82 WORKERS'COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERM 1 T insure, or a certificate of Workers' Compensation Insurance, PERMIT- or a certified copy thereof (Sec. 3800, Lab. C.) Policy NoAq 1-6 S 33,Comp0an, l i aK i��^u�v-i COUNTY 'OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING qo �® • ADDRESS 1 Certified copy is filed with the county building inspec- FADDRESS G / LGA- tion department. S 64V AG G'WocoCly Date �1'J �O� Applicant v� EM1�I�i GI ZIP C1 1'7 LOCALITY N�_IUAA 6r— CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL.�y USE Z E MAP I certify that in the performance of the work for which this /I mn Fr 11 J( _ NO.-1 7'0 �d /p//I/�I NO. permit is issued, I shall not employ any person in any manner S b �(� (� R C ` SPECIALso as to become subject to the Workers'Compensation Laws. r� CONDITIONS t T ZIP V Date Applicant NOTICE TO APPLICANT: If, after makingthis Certificate of CT OR TEL. DISTRICT GROUITYPE FIRE PROCESSED BY Q Exemption, you should become subject to the Workers' R NO. / ' CONST. ZONE (— Compensation provisions of the Labor Code, you must forth- ADDRESS /t V L+-I. with comply with sucsfh provisions or this permit shall be d deemed revoked. TEL•. STATISTICAL CLASSIFICATION APT. NDO. fn CONTRACTOR M 0 NO. 7� I V i LICENSED CONTRACTORS DECLARATIONti LIC. q CLASS NO.�DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS - �U NQ. '(73o-la SEWER MAP (commencing with Section 7000)of Division 3 of the Business and nn LIC. Professions Code, and my license is in full force and effect. CITY Ic--19 E CLASS A BK PG VALIDATION r� SQ. FT. NO.OF NO. OF CHECK License Number 480 Ll, Lic.Class_ SIZE STORIES FAMILIES ONE 4 rv► n G VALUATION ContraclorY .1/►lP r )2t M In Date 4�_ 0 DESCRIPTION OF WORK NEW ❑ $ C O J I,am exempt under Sec. ADD El ALTER B.&P.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. I DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License A 9 3 1.4 A Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT # 0 0,0 e o.1 BUILDING I, as owner of the property,_ or my employees with ADDRESS I 0 - 59.25 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ® 0 0 a 59.25'. 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. �4t75,-88 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK F SET BACK PROP. LINE WIDTH 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee ' Lender's Address 1 certify that I have read this application and state that the Issuance Fee r V 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, g Total Fee .S LDMA Perm. # ` 6 an esentatives of this County to enter c upon t eabove- tinned pro for inspection purposes. m y1, L1�'-�� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date 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 1107260093 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST I BUILDING ADDRESS: I ITR: 19189 IT: 63 SQ. FT STORIES TYPEDR I 1STRUCTURE: 16 V-B 10640 A TEMP A917804LLWOOD 24 I ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: I 18585-028-016 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: IEXIST OCC GRP: 107/26/11 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FIAL BY: CODE: 1 IMELLER, ESTHER (626) 443-5031- 1 3,200 110640 HALLWOOD DR iP-1 ITEMP 917804124 FEES PAID IDESCRIPTION OF WORK I TEAR-OFF ROOF LAER DOWN TO1WOOD REROOF WITH 30 YR SHINGLE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1APPLICANT: TEL. NO: 1ESTRADA, PORFIRIO (310) 674-5752- IAA BLDG PERMIT ISSUANCE 27.80 1 4257 W. 101 ST. IAB STATE GREEN BLDG FEE 3200.00 VAL 1.00 ISPECIAL CONDITIONS: 11NGLEWOOD, CA 90304 IAC STRONG MOTION RESID 3200.00 VAL 0.50 1 ID2 PERMIT W/O EN-HC 3200.00 VAL 116.00 1 TOTAL FEES 145.30 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE IF M ESTRADA ROOFING (310) 674-5752- 14257 W. 101 STREET LIC. NO - ILOCATION AND SETBACKS 11NGLEWOOD, CA 90304 622091 C39 j I (SOILS ENGINEER APPROVAL I 1 1 ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: i ISLAB/UNDER FLOOR I I 1 IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I 1144H273 3 001 I I I 1 I I IFLOOR SHEATHING I I 1 INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: j 0 NO 21 I IROOF SHEATHING i SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO IFRAME INSPECTION I I I I I IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL (EXTERIOR LATH I I 1 IRATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS 1 i IT-BAR CEILINGS ILOT DRAINAGE I 1 I I IREPORT ID: DPR261 ROUTE TO: BS0508 I1 I I I