HomeMy Public PortalAbout9823 HALLWOOD DR_Building__ -APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BU LCI Ns COUNTY OF LOS .ANGELES -
ADIAES9 - - j' '• DEPARTMENT OF COUNTY' ENGINEER
CITY � '; ' ZIP BUILDING AND SAFETY DIVISION
NO.OF BLOGS. BUILDING
SIZE OF LOT, x NOW ON LOT ADDRESS
't
TRACT/'Y' 09 .BLOCK LOT NO.- LOCALITY
-TEL. d NEAREST '
OWNER ' �j' NO.` 6 1 CROSS ST. � -
r
SSOR
ADDRESS ' i' �t.�1,0J MAPEBOOK I PAGE PARCEL.
DISTRICT. GROUP TYPE, - FIRE P SSED BY
CITY ZIP : 71.E e Q - CONSTZ NE V
ARCHITECT OR - -' - - TEL. - ®CO
ENGINEER J' NO.
STA TISTICAL'CLASSIFICA-TI ON SEWER MAP'
ADDRESS CLASS N �.�_DWELL,UNITS - SK PG
TEL.
CONTRACTOR NO OE ZONE MAP r�i1
. LIC. NO.
,/�/ SPECIAL
LIC '
ADDRESS - CONDITIONS
CITY LIC.
CLASS _ RAD DE PAR7MENT APPROVAL REQUIRED YES❑ NO 1-1CONSTRUCTION LENDER
NAME AND BRANCH LDG.SETBACK FR GM a
FRONT PROP.LINE OF (STREET) C
� C.;
ADDRESS./12- CITY - - TOTAL SETBACK' FROM TYPE OF EXISTING
H HWAY } YARD - C'
SQ. FT O. OF - NO. OF '- CHECK FRONT PROP: LINE HIGHWAY WIDTH C
SN
'SIZE TORIES FAMILIES _ ONE
DE SCRIPTION OF WORK i NEW ❑ V
BLDG.SETBACK FROM _ + z
N� J ADD SIDE PROP.LINE OF (STREET), .
y ,,,:si, ALTE R,❑ -HIGHWAY } YARD _ TOTAL SETBACK FROM["I'VE OF EXISTING -
- REPAIR❑ SIDE PROP. LINE HIG AY WIDTH
USE OF -.._ DEMOL ❑ - .. �... _
EXISTING BLDG. _
APPLCANT TEL CORNER TOFF YES ❑ NO
I
(PRNT) _ za-�9 N0. ^
o IN OPEN SPACE. Y,ES,E] NO
BY (SIGNATURE)
IN COASTAL ZONE. YES NO
VAL UATION�1+ ., - - CATEGORICAL EXEMPTION YES-❑ NO E]
HEREBY ACKNOWLEDGETHAT I VE READ THIS APPLICATION ENVIRONMENTAL -
AND•STATE THAT THE,ABOVE IS CORRECT AND.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. .I CERTIFY THAT IN DOING THE WORK-AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN-VIOLATION OF THE.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S.COMPEN TION INSURANCE. .0
SIGNA TURE OF g 'O.•f n� ,
PERMITTEE -
ADDRESS -
•,r y FINAL
TE.. Iy_I�L_®. DATE
CITY �'� NO.
A,9KF_ CHECKS 1 AYABLE TO P.C. N PMT,Q
FEE '✓ - tl' FEEF'
J[HARVEY, T.-BRANOT. COUNTY ENGINEER
PLAN CHECK VALIDATION\ CK. M O.. CASH o PERMIT VALIDATIONcK. M.O. CASH
JUL '2'3 1 D' 1.2.0 Q
76A638A CE74803 7/73 - m
74IA838A,CE#803 8-59'
8038-59' A Lc TI®N- FO�- k 8U_IDId PERMIT MI4:
�' •- J' c.
COUNTY. LOS ANGELES'. '` BUiLDiNG �
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION•' LOCALITY .
JOHN A. L'AMBIE.' COUNTY ENGINEER NEAREST ' Y` /J• r J
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
*" - • .DISTRICT NO. GROUPTYPE I PROfZESSED By
FOR .APPLICANT TO FILL IN-` -' " ` "'`' CONST Tri
BUILDING s 1 - '.�^� STATISTICAL CLASSIFICATION /SEWER MAP
° ADDRESS ' r' 'I ""i r r' - 16- K
-- CLASS. NO.I WELL. UNITS/
LOT NO. BLOCK MAP r ?y �� STATE '
NUMBER . '/ F� HWY_ YESNO
TRACT f' i / r1 USE.ZONE SPECIAL �-
NO._OF BLDGS.. CONDITIONS
.SIZEOF LOT ;f? f`. �:,-I- v.. NOW ON LOT '^-./ '
USE OF
EXISTING BLDG. . BUILDINGEXIST.
SETBACK. YARD HWY f STREET NAME WIDTH
OWNER '., ,. z i7 s'�M� f...."1 1V' .FRONT'• .,. 1
MAIL ,
ADDRESS , r ` � i rA^f SIDE i
P.L:
'CITY fr�i.a'_.+4.ry .� . ,: rTNo •s INSPECTION RECORD .
ARCHITECT OR - V TEL.. .
ENGINEER
ADDRESS ' _ :-
TEL,
CONTRACTOR. NO. - - -
z ADDRESS
DESCRIPTION"OF WORK-
el NEW 'ADD ALTER ,REPP.IR 'DEMOLISH
SQ'.FT. NO\OF NO.`OF,
SIZE .. ST:ORIES' FAMILIES
USE OF
r STRUCTURE
f
` SIGNATURE OF
a APPLICANT '!
•• APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS - FOUNDATION:-LOCATION
- I - FORMS, MATERIALS
-n VALUATION $ "" : FRAME: FIRE STOPS,
BRACING, BOLTS
FURNACE: LOCATION,
P.C.
FEE GP.S VENT;DUCTS
$ I FEE S �'
1 HEREBY ACKNOWLEDGE THAT'1 HAVE READ THISAP-
PL
AP- LATH, INT..
F PLICATION AND STATE THAT THE ABOVE IS CORRECT:AND
AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING 'CONSTRUC3'ION. LATH, EXT.
SIGNATURE OFA r /-' r% I"f HOUSE NUMBER COR-
SIGNATURE
RECT AND POSTED
ADDRESS ' FINAL'
' ,f:',.l,.• `CLYDE N. DIRLAM., PRINCIPAL STRUCTURAL EN NEER
PLAN CHECK VALIDATION 'CK. M.O. "'CASH_ PERMIT VALIDATION K.
M.O. SASH,•l'
Fid ,K c,0 xuf" 1 .
78A888A CE}x808 70-88 ALL -.Il: LLL VA Y ION FOR H. U I LO NIN PERMIT—
COUNTY
ERMICOUNTY OF LOS ANGELES Bu1LDIN �
SIG.
DEPARTMENT OF'COUNTY ENGINEER '
A°DREss
BUILDING AND SAFETY DIVISION LocaurY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST !�
CASSATT D. GRIFFIN, SUP.'T OF BUILDING 'CROSS ST.
.r _• DISTRICT NO. GROUP' TYPE - PROCESSED BY-'
FOR APPLICANT-TO FILL IN aL I CONST; I a
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ciy e >f PPS I- 6.Y! -r+G CLASS.NO. DWELL.UNITS �' BK PG
�_= � -
LOT NO. BLOCK MAP -STATE YES O.•
NUMBER
TRACT USE ZONE SPECIAL
CONDITIONS
^. SIZE OF LOT �`�v` X(n I NOW ON LOTS' s /�ri '
USE OF.
.EXISTING BLDG. �� � Q BUILDING YARD HWY _ STREETNAIvIE EXIST.
f SETBACK WIDTH-
OWNER
IDTH-
OWNERy��"l?17 {l ri/ FRONTMAIL
ADDRESd P .._'..L!!.iJ� SIDE �C. - �.�f•''-
� - _ TEL. P.L. - -
CITY -A . No. , '7f INSPECTIO RECORD.
ARCHITECT OR - TEL.
ENGINEER NO. :
ADDRESSEL
y4
CONTRACTORI,/(1'7!/T l�..JCYIC'A�1 NO
ADDRESS.-��
DESCRIPTION. OF WORK ?. G
NEW ADD A QTeR - REPAIR DEMOLISH - - - - -
SQ.FT. - NO.OF NO.OF
_ SIZE STORIES FAMILIES' -
USE
AMILIES'USE OF-- C ?,7
/
STRUCTURE. 9Pr. •Z W ?
SIGNATUREOF
APPLICANT`
APPROVALS DATE :INSPECTOR'S SIGNATURE M1
ADDRESS FOUNDATION:LOCATION
f FORMS,MATERIALS— .
VALUATION.$ FRAME:FIRE STOPS, (�-
BRACING,BOLTS
FURNACE:.LOCATION.
FEE $ I FEE $� ��'� I ' GAS VENT,DUCTS -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- : ° ' -
PLICATION"AND STATF+THAT,'THE ABOVE IS CORRECT.AND .' LATH.INT
AGREE TO COMPLY WITH A"LL)COUNTY ORDINANCES:AND
STATE LAWS REGU'•�LATING' BUILDIN.G CONSTRUCTIONS. LATH,EXT '�I">��r/
' SIGNATURE OF -
HOUSE NUMBER COR
'PERMITTEE-�- 6 �� RECT AND POSTED
611g
ll'l
ADDRESS FINAL
Z,// CLYDE N.�DII/R�LAM, TP*RINC*IIP}AL STRUCTURAL EN R
PLAN C ECB VALIDATION CK./M.O. CASH PERMIT'VALIDATION -CK. M.O. . :CASH
Or
A RCAD DEPT PERWT IS. rr";ti^,.UI^::5
` FOR ANY MATERIAL ST07•AGE R::
pp IO..y.�p@'�'+�111I pp[/�./{� pu DONpppE- IN THE¢��Rp'OAD RIGHT OF�Y1,pppWAQ/Y. _.1'1}'�'+� 1¢���[�' _ 1p1
7EABBBA CE#8098.89 -Ae 9 LIVATION Y O \ BUIL®LL-��/' tl 'ER 1T• •�:-
COUNTY 'OF'LOS ANGELES• BuluDiNG �j'
DEPARTMENT. OF COUNTY ENGINEER ADDRESS
BUILDING'AND SAFETY DIVISION LOCALITY S t�
NEAREST "
.4,JOHN A. LAMBIE.,COUNTY'ENGINEER / i
,CASSATT D.`GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO.', GROUP 'STYPE JESSED BY .+
FOR APPI'ICANT.TO FILL-IN CONST.'
. BUILDING. - STATISTICAL.CLASSIFICATION. - _ S WER'MAP
ADDRESS J
CLASS.NO:4; DWELL.UNITS --�--- -/T
LOT NO; 'BLOCKMAP STATE_ +YES.
- - .NUMBER' o! "///i HWY.. '
TRACT' Q_ - USE ZONE SPECIAL - -
''ll NO.OF.BLDGS. j CONDITIONS
SIZE OF LOT ' O-A L' NOW ON LOT. "'/
USE OF /
EXISTING.BLDG. - BUILDING EXIST.
SETBACK YARD: -HWY ST NAME #4 WIDTH
OWNER +� 1 FRONT
MAIL: P.L.
ADDRESS 2 - SIDE -
.. -
'� TEL: - P.L:
CITY No.'. INSPECTION.RECORD.._ .
'ARCHITECT OR V TEL _ -
ENGINEER NO. ' - -
ADDRESS
TEL.
CONTRACTOR - NO. . - - _• - - - -
.ADDRESS-
DESCRIPTION OF WORK
NEW ',ADD ALTER REPAIR - DEMOLISH - - -
SQ. FT:• N NO:-OF. r ..
SIZE STORIES : FAMILIES - - -
,USE OF':
STRUCTURE _ .
SIGNATURE OF,�
APPLICANT
_ APPROVALS ' DATE INSPECTOR'S'SIGNATURE"
ADDRESS - FOUNDATION: LOCATION, - -
_ FORMS:<MATERIALS•
VALUATION $ ....�' IFRA.ME:-FIRE STOPS,
BRACING,BOLTS _
FURNACE: LOCATION,
FEE .$•+' ..`I FEEPMT. $ 5 "�1.• - 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 REGEATING/-BUIL LNG CONS C ION. - LATH,EXT. '
HOUSE NUMBER COR_
SIGNATURE OPOSTED, .. ,
PERMITTED RECT.AND POSTED
ADDRESS 'FINAL
CLYDE N.:DIRLA:W PRINCIPAL STRUCTURAL EN NEE .
PLAN.CHECK-VALIDATION CK. , m.o. CASH PERMIT VALIDATION CK. M:O.; CASH ,.
A ROAD -DEPT. PE I,/,1' f5. REOU'lkED'
FOR ANY MATERIAL S TORR OR VVOR.K
DONE' IN THE--ROAD .RIGHT OF .WAY.
,a _ ..
- µµ Lp`�L�.�j•Ip�..�/I�11.. Iy�fl/.'�, 18I - gp��I(,� '1 .18�' .ppp .�/'��q PERMIT IOC
78A888A CE fl808 8.88 -(�8 C L i cAT I O N ...FOR 8d'�/�B D N G H E.�1' IT
-
COUNTY OF LOS ANGELES BUILDINGADDRESS
DEPARTMENT OF COUNTY ENGINEER .
BUILDING AND SAFETY DIVISION LOCAL IT
JOHN'A: LAMBIE. COUNTY ENGINEER NEAREST: �.
CASSATT.D;GRIFFIN, SUPT OF BUILDING'. 'CROSS ST.
DISTRICT NO. GROUP TypE ,' P CESSED BY
FOR.APPLICANV TO FILL-IN '�::. - ( CONST
BUILDING STATISTICAL CLASSIFICATION . SEWER"MAP
ADDRESS 3 ., y�'
- CLASS.No.-46--DWELL.UNITS •I IF.
.LOT-NO.. BLOCK- MAP Gya " - • - STATE'
yES 'NQ
NUMBER tX ''� - HWY:
TRACT'.: ..� USE ZONE. SPECIAL' - -
y rr NO.OF SLOGS. yy X- NDITIONS
SIZE OF LO .X /, .I NOW ON LOT
USE OF
EXISTING BLDG. - BUILDING - _ - EXIST.
- j/.- - SETBACK 'YARD HWY -- STREET NAME._ WIDTH'.-
MAILERO J( ',FP. L.'
ADDRESS ��"
.. . . . ,. - TEL: . ''
P.L
CITY. No. INSPECTION RECORD:-
ARCHITECT OR TEL.
ENGINEER NO. '
ADDRESS - -
CON '� - ._TEL..
TRACTOR_ NO. - -
' ADDRESS - -
-DESCRIPTION-OF WORK`
.NEW A ALTER REPAIR DEMOLISH _ - - _ _
SQ. FT:'/�Lo NO. OF NO. OF.
S1ZE STORIES - FAMILIES -
USE-OF'.' ., •; .,
STRUCTURE
SIGNATURE OF L .
APPLICANT-
. - APPROVALS' DATE INSPECTOR'S.SIGNATURE' -
ADDRESS_' _ FOUNDATION: LOCATION
VALUATION.$ �•' F RMS,MATERIALS
FRAME: FIRE STOPS,
BRACING, BOLTS,. ' ® L',/.�•��"'�
FURNACE: LOCATION, - - -
P.0 PMT:. SrG� -
.FEE S. I FEEIGF.S VENT,..DUCTS
HEREBY ACKNOWLEDGE THAT I 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 REGULATING BUILDING N IT TION. . ,LATH,EXT.
SIGNATURE
OF f„��,� / HOUSE NUMBER COR- ;
/' �f .r..
PERMITTEE RECTANDPOSTED
ADDRESS`
FINAL,
CLYDE N. DIRLAM- PRINCIPAL STRUCTURAL.EN�ASH
PLAN CHECK'VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M O:
7..�'6-.7'� :MAR � 4 1 A 5.00 , �P
WORKERS' COMPENSATION.DECLARATION
I have a'o hereby
srtconsentInsurance,
self
C�T O M FOR OU R O N G P E Rn
insureoracertifcate of WorkersCompensato
or a certified copy thereof'(Sec:"3800,
Lab. C.) COUNTY OF LOS ANGELES ' BUILDING AND SAFETY
Policy,No. Company
❑ Certified copy,is her eby.furnlshed..: FOR APPL CANBUILDING'T TO FILL IN ADDRESS Q�a3'
BUILDING-
❑ Certified copy is filed with the county building inspec- ADDRESS
tion department.
Date Applicant ' CITY' �.� C�L ZIP �• t�,� LOCALITY
t r N OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOP J.Z� N W ON LO7 ' CROSS SL
COMPENSATION INSURANCE.' ASSESSOR
(This sectiori`need not be completed if the permiC,is for one TRACT k4l O` BLOCK LOT NO. MAP BOOK ,PAGE PARCEL
hundred dollars ($100) or.less.) TEL
OWNER � � NO �t US NE MAP ` r•—Z
I certify that in-the performance of the work for which this NO.
i "SPECIAL }
permit is issued, I shall not employ any person in an manner ADDRESS CONDITIONS
so as to become subject to the W kers' CompLMat,i n�Laws. 0 .
CITY ZIP
Date Applicant' ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE ESSED BY 0
NOTI E TO APPLICANT: If, after mak�n •this.>Certificate. of ENGINEER •. NO. ^ CONST. ZONE O
Exemption, you,should become sbjec to, the.-Workers'- (r.3 LU
Compensation provisions of the Lab(yrr Code, ou must forth- ADDRESS 'Ju CL
withcomply with .such provisions.or Tnts permit shall be TEL. STATISTICALC SSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR NO. Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS' ' NO., . SEWER MAP
(commencing with Section 7000)'of-Division"3 of the Business z . LIC.
and'Professions Code;and my license is in full force and effect. CITY CLASS BK PG. -- VALIDATION
SQ. FT yn J` r NO. OF NO. OF CHECK
License Number Lic. Class SIZE / STORIES FAMILIES ONE
( - - VALUATION
DESCRIPTION OF WORK `b NEW ❑
Contractor Date _ $ C�e
Cly ADD
❑I am exempf under Sec D
ALTER. ❑
B.&P.C. for this reason REPAIR ❑ $ r.
Date:• USE OF. r
EXISTING BLDG. S /' r DEMOL ❑
Signature APPLICANTTEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO� � �
I hereby affirm that am exempt from the Contractor's License gDDRESS VL' > f+
Law for the following reason (Section 7037.5, Business ands �J .{?'�.:`.`
FI
Pro scions Code): PRESENT B / WA
_
BUILDING
I, as owner of the property 'or my employees with ADDRESS
wages as their sole compensation;will do the work and LOCALITY
the structure is not intended oroffered for sale(Section
7044, Business and Professions Code:) MOVING TEL.
❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO. -+ -• -with licensed contractors to construct the project (Sec- ADDRESS ' '
tion 7044, Business and Professions Code:)
REQUIRED TOTAL SETBACK FROM, EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. UNE 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. I 3,•' ;rb -- s:i!!w,
P.L. r
Lender's Name t ' a
t .
m LDMA Ref. # °_' t
P:C. Fee$ Permit Fee'
3 Lender's Address
I certify that I have read this application and,staie that the Issuance Fee Q � LDMA P/C# t
above information is correct. I agree to comply with alFCounty Investigation.Fee �i
0 ordinances and State la�e%,property
relating to building construction, Total Fee LDMA Perm.
a and.hereby authoriz resentatives of.this County to enter ? t''
aupon t o above-menti for inspection purposes: tit
SEE REVERSE FOR EXPLANATORY LANGUAGE -
r r I•... E�(j h !
,Signatur'Nipf Applicant or Agent Date
r.
COUNTY OF LOS ANGELES TEMPLE CITY # 0506r "" BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709040074
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 14908 LT: 6 FT STORIES TYPE OCCUP GROUP 9823 HALLWOOD DR
STRUCTUR 497 1 VN R3 TEMP CA 917803917
ASSESSOR INFORMATION NUMBER: GARAG NEAREST CROSS STREET
8589-021-016 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/15/97 UT 09/15/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE:
HO RAYMOND;CHUN C 2 36,800 t
9823 HALLWOOD DR 1-7�-��a
TEMP 917803917 FEES PAID DESCRIPTION OF WORK
NEW ADDITION OF FAMILY ROOM, MASTER BEDROOM AND BATH
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
YAM (714) 288-0308- AA BLDG. PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 36800.00 VAL 3.68 SPECIAL CONDITIONS:
AX BUILDING REVIEW-FEE54.70
B2 PERMIT W/ENERGYP L E�36800=00 VAL 689.04
TOTAL FEE
oC � S 775.17
CONTRACTOR: TEL. NO: � APPROVALS DATE. INSPECTOR SIGNATURE
WAI TAK CONSTRUCTION (818) 285-7931-
611 E. MISSION DR. LIC. NO LOCATION AND SETBACKS
SAN GABRIEL, CA 99776 586138 B
O SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: I O FOUNDATION/TRENCH FORMS
CREATIVE ARCHITECTURAL AND PLANNING (714) 288-0308- `'�/
P. 0. BOX 4535 LIC. NO: — SLAB/UNDER FLOOR
ORANGE, CA 92667 53582 S
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM01 �� E ID�(I (� n O•���� UNDERFLOOR INSULATION
v U UV V 1/ ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: P 43 ;
NO 21 — 11 ND LEVEL FLOOR SHEATH} �J
SCHOOL WITHIN HAZARDOUS �^ d ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS (/
NO NO NO `�✓��o ( O FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST 0� BLDG DEPT. FRAME INSPECT ®�n,D
SET BACK YARD: HWY: PROP LINE: WIDTH: >v
FRONT PL- SHEAR PANELS
SIDE PL (��
`v INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL F
EXTERIOR LATH /
LOT DRAINAGE
SMOKE. ETECTION DEVICES
FIRE UPPARTMENT APPROVAL
(REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY #-0508 BUILDING.PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS-TUNAS RESIDENTIAL_ADD
BUILDING-AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9710080002
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 14908 LT: 6 SQ. FT STORIES TYPE OCCUP GROUP 9823 HALLWOOD DR
STRUCTURE: 30 1 VN R3 TEMP CA 917803917
ASSESSOR INFORMATION UMBER: GARAGE: NEAREST CROSS STREET:
8589-021-016 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/09/97 UT 10/09/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE:
HO RAYMOND;CHUN C - 1 2,200 _p
9823.HALLWOOD DR
TEMP 917803917 . FEES PAID DESCRIPTION OF WORK
ADDITIONAL 30 SQ. FT. ADDED TO BL9709040074
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
YAM (714) 288-0308- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2200.00 VAL 0.50 SPECIAL CONDITIONS:
B2 PERMIT W/ENERGYo C,2200.00'VAL 109.07
\�, � TAL FEES 137.32
CONTRACTOR: TEL. NO: �'t APPROVALS DATE INSPECTOR SIGNATURE
WAI TAK CONSTRUCTION (818)•285-7931- /`///�
611 E. MISSION DR. LIC. NO /� LOCATION AND SETBACKS
SAN GABRIEL, CA 91776 586138 B SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: J �f �r' 1� - FOUNDATION/TRENCH FORMS
LIC. N0: �� �(�� V � �1\\ SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
_
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION_
3 01 1� �����JJ��'� �!.�/J 10
L _ - ---- - ST LEVEL FLOOR SHEATH
N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1f
NO 21 � . � ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ��� �;� ' ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO , �� ��)� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST / ` ��� _ - % BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
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: BS0508