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HomeMy Public PortalAbout9829 HALLWOOD DR_Building__ G4- APPLICATIO� -FOR CO TY OF LOS ANGELES DEPARTMENT 'OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS 1-/6 ov BUI ADD EING 5?p SS L-LLJOO LOCALITYNEAREST �'-f'�) l L� C• CITY T ZIPS, D CROSS ST. '- NO.OF SLOGS. - - ASSESSOR - - - SIZE OF LOT NOW ON LOT MAP.BOOK PAGE PARCEL _ DISTRICT- GROUP TYPE FIRE. .P CESSED BY K LOT NO. CON TRACT BLOCST' // -ZONE' .OWNER U � � NOL �!�(J � - STATISTICAL CLASSIFICATIO SEWER MAP ADDRESS Gi��- CLASS NO.20 DWELL,UNITS - � BK - P CITY �• _ZIP /g-�.//G USE ZONE NAOP -'7 ARCHITECT OR TEL. k SPECIAL ( ENGINEER NO, / CONDITIONS ADDRESS - ROAD.DEPARTMENT APPROVAL REQUIRED YES-[:] - NO ❑ CONTRACTOR .'TEL. BLDG.SETBACK FROM No. O FRONT PROP.LINE OF (STREET) LIC. ADDRESS NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE-OF EXISTING .LIC. .. FRONT PROP. LINE HIGHWAY ,WIDTH CITY - CLASS ' CONSTRUCTION LENDER + a NAME AND BRANCH BLDG.SETBACK FROM CD ADDRESS CITY SIDE PROP.LINE OF, (STREET) - V SQ. FT. NO. OF NO. OF CHECK HIGHWAY . + YARD = TOTAL SETBACK FROM TYPE OF EXISTING O SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH + LLJ DESCRIPTION OF WORK " NEW N. ADD Q - CORNER CUTOFF YES ❑ NO ❑ - Z 'TER IN OPEN SPACE YES ❑ - NO ❑ AIR .USE OF DEMOL IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, _ APPLICA N TEL ,ZOO , (PRINT) N0, _ Y _ BY (SIGNATURE) I,HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION- AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING. CON- STRUCTION. I CERTIFY THAT IN.DOING THE-WORK AUTHORIZED" -- - - HEREBY I WILL NOT_EMPLOY ANY PERSON IN VIOLATION OF THE - LABOR CODE OF THE STATE 'OF CALIFORNIA IN RELATING TO WORKMEN'S COMPE T N INSURANCE. ppp 'j .SIGNATURE O FINAL , �.d'�® BY 'PERMITTEEo DATE CCC111 CCG���l� _ ADDRESS No. dJ P.C. Fee$ Permit Fee' // 7s . Q /// a Issuance Fee VALUATION Y 3L,) Total Fee PLAN .CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION C M.O. CASH 7 p:-'FEB ? 1. ."&J8 76A638A CE#8038 12/75 - — - - - - 176A63bFA CE NIJ031/71 � ��-!'Y 'I�•.. • '� - APPLICATI DING PERMIT COUNTY OF LOS ANGE PAGE PARCEL DEPARTMENT OF COUNTY EN BUILDING AND SAFETY DIV o 4200 COLEMAN W. JENKINS, SUPT 0• oL � C FOR APPLICANT TO FILL Print or tvoe only) Q� DISTRI/C1TpNNO. GROUP TYPE PROCE SED BY ADD EBUILDISS �i oZ`3 "/ljotl© CONST. STATISTICAL CLASSIFICATION SEWER MAP LOT NO, 2 BLOC CLASS NO.S__ —DWELL.UNITS -�T_BK7/r PG TRACT �� USE ZONE MAP / NO.OF BLD NO. (�7 SIZE OF LOT [(�J NOW ON LO ��{ SPECIAL USE OF1 CONDITIONS EXISTING BLDG.DW-Lf-'L-A-\90(rj Cx T E OWNER ti NO. BLDG.SETBACK FROM FRONT PROP.LINE OF /T�«4'ee 42 (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT O TEL. � -S �,7 4> + Z 7� _ � 0 ENGINEER %,%U A LCc._% NO. 1 DGSETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL �q�. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL 7` CONTRACTOR' �jµ{'�, �y), NED 7c +�'we HIGHWAY WIDTH FROM C.L. V ADDRESS16CV (t). up— NO 72 + = O� 4WITMALL wLIC. H`_' �ZL312�' •- CLASS CORNER CUTOFF YES NOdTRUCTION LENDER AND BRANCH Lx-A-cis' 4 ( o SEE REVERSE SIDE FOR SPECIAL APPROVALSESST, NO. OF i• NO. OF NEWSTORIES 'JC FAMILIES /F ADDCTURE� ALTER oREPAIR❑ATURE OF N L�j.({yDEMOLATION $ G'f./+ VV APPROVALS DATE iNSP cTOR•s s GNA TURE 5 PMT. FOUNDATION: LOCATIONS FEE$ * i 7� FORMS, MATERIALS 7 eiFRAME: FIRE STOPS, ' 7/7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGBOLTS STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATIONH ALL ORDINANCES AND LAWS REGULATIN BUILDING CON- GAS VENT, DUCTS STRUC TION. 1 CERTIFY T IN DOING THE ORK AUTHORIZED HEREBY I WILL NOT EM Y ANY PERSON 1 VIOLATION OF THE LATH, INT. LABOR CODE OF TM TATE OF -CALIFO IA IN RELATING TO WORKMEN'S COMP TION INSURANCE. LATH, EXT. SIGN UR F f� Z�Z HOUSE NUMBER COR- P ERMI E RECT AND POSTED ADDRESS• OI '�2UL OKtL�Qc FINAL ., JOHN F. LEWIS. PRINCIPAL STR RAL GINEER PLAN CHECK VALID.A ON cK. M.O. CASH _ PERMIT VALIDATION CK. SH Lel �_ AN 31 2 3 D 4 5.4 51 7 5.'7 5~ r L 60 ? ? FEB 3 1 D WORKERS COMPENSATION DECLARATION - , � •.R >}r " 1. .� I hereby affirm that,I have,a certificate of•consent to.self /n1 n �'( M O � ?D M [E R n/1 �t insure or a certificate of Workers' Compensation Insurance, (j�� �f'" L/�1 LI P.OU V LIV �L P�LI'V LI LIV�fUU� or a certified'copy.theieof.(Sec. 3800; 6. C.') ' a _ . ._ IL D COUNTY OF LOS ANGELES — BU DING.e4ND SAFETY PolicNo Company •' - _. y. a. Certified copy is hereby furnished. .; FOR APPLICANT TO FILL IN. BUILDING r >, Certified co is filed with the count builclin `ins ec "'" PY Y 9 P BUILDING ADDRESS "tion'depariment. ? ADDRESS' r Date Applicant CITY f i C ZIP LOCALITY CT AOF•EXEMPTI 'FRO ORKERS' • ""' NO,OF BLDGS NEAREST_..- M ERFICTE COMPENSATIO INSURANCE, SIZE OF LOT NOW ON LOT CROSS ST., y' ` (Thi'ssection need not:be complefed if the permit is.fortone.. - » SE SOR+ AS S hundred dollars $100 or less. TRACT BLOCK LOT NO. MAP'BOOK PgGE, PARCEL �. ) ) 1 certify that in the performance,of the work•for'which this P } 'OWNER­4f)6 NO' USE ONE MA permit is issued,l shall not employ any person in any manner Y_ - SPOECIAL IL - - - - so as to become sublect.To'the Workers'Compens6tion laws. ADDRESS i / CONDITIONS O .'s „ �. .CITY ZIP - Pl Date` Applicant ARCHITECT OR TEL. NOTICE TO APPLICANTi`If diter:tmaking this'Certificdte of. ENGINEER NO. ° OUPj TY NE DISTRICT _ GR PE, , FIRE PRO D,BY Exemption,' you should become subject •to the" Workers CONST.. ZO Compensation provisions Of the LaboO Code,you musf.forth- ADDRESS `'' - :with comply ,with,such provisions.or this, permit shall be EL` STATISTICAL CLASSIFICATION APT. CON,0. deemed revoked:.: a;• ; -�., CONTRACTOR NO. __ LICENSED CONTRACTORS DECLARATION ..r. _. f LIC- - T CLASS NO.� DWELL. UNITS I hereby affirm that I:am licensed under provisions of•Chapter 9 ADDRESS 0 6 ./ NO. commenctn with Section 7000 of Division 3°of the Business and SEWER MAP r' ( 9 ) _ _ _.. _ LIC Professions Code; and my license-ism full:force and effect. CITY - CLASS C 3 "' VALIDATION ' BK. PG. I dd ' SQ. FT. , NO OF NO.OF _ CHECK License Number 'T�.`3�. '' Lic:Class_ SIZE.' STORIES 1 FAMILIES ONE VALUATION, Contractor Date DESCRIPTION OF WORK'"" - W $ a - 1 a.;_ a _ AEl �.1 am exempt under Sec ALTER �+ BAP.C..for this reason PAIR -$ ._ ._ ___ _ _ -•- _- - El v: RE o � 2633, 1_ Date USE OF l EXISTING BLDG DEMOL 0 _ APPLICANT. TEL. -- i ( -1,0 -Signature FIM r. PRINT) NO. A Q 3 W.NER-BUILDER DECLARATION. - -DATE. Thereby offi dhat I am:exempt,from.the Contractor's.License - Low for the followirig:reasorif'(Sectio'n 7031.5,•-Business and ADDRESS'• F1ed o_o.�'Q(�:°� 3 U, -_ _ Professions Code):.. PRESENT - - - - - - = 7 N• BUILDING 8 3� I, as owner of the ro ert or m %em to ees'with ADDRESS ,. P _ Y . Y _. i? 1_.w 0 �. � wages as the'ii. , e compensation,-Will do the work and the structure is not intended or offered for sale(Section LOCALITY •'•7044;Business and Professions-Code) -" MOVING '"" TEL. - CONTRACTOR NO. I, as owner of the property, am exclusively contracting - : DRE _. ..a,... _ with licensed contractors to construct the.,pcoject (Sec- '�" :Tion 7044, Business and Professions Code). ADDRESS REQUIRED. TOTAL SETBACK.FRO T: CONSTRUCTION LENDINGAGENCY- SETBACK YARD- ' HWY 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•r .(Sec. 3097, Civ. C.). SIDE Lender's Name o � LDMA'Ref. # P.C. Fee$ . . --. „ •Permit•Fee-.. 116-JI-0 Lender's Address7LDMA I certify_that I have.read.this application and.state:that_the - Issuance-Fee- 4 J- -P/C-#•-- - above information is correct. I agree to comply with all Count a 9 P Y Y Investigation Fee 1 c.•y `, l < ordinances and State laws relating.to building_constructi.on, _ _ _ _. Total4ee tet,/ - -CDMA Perm. # and h eby arize repre usentatives of this County to enter - upo t e ob e- entioned property for inspection purposes. j SEE REVERSE FOR EXPLANATORY LANGUAGE -..• Signature of-Applicant or Agent- :. .. Date- 1 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 1309230048 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 14908 LT: 7 1 SQ. FT STORIES TYPE J 9829 HALLWOOD DR 1 I_ ISTRUCTURE: V-B I TEMP CA 917803917 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: J 18589-021-017 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI I _ TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY: IEXIST OCC GRP: 109/23/13 SR I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: 1FINAIL DAT' FINAL BY: CODE: 1 L VICTOR;LEE - 1 4,500 19829 y 19829 HALEWOOD DR 1 -y-II- ITEMP 917803917 I FEES PAID ID SCRIPTION F WORK 1 I I IKITCHEN REMODEL O I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( 1 (APPLICANT: TEL. NO: I I - JHERNANDEZ, FRANCISCO (626) 732-9865- IAA BLDG PERMIT ISSUANCE 27.80 I 1 112700 ELLIOTT AVE IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: J JEL MONTE CA 91732 IAC STRONG MOTION REBID 4500.00 VAL 0.50 IPERMIT FOR KITCHEN REMODEL ISSUED CONTINGENT ON PATIO COVER J JB1 PLANCHECK W/ENERGY 4500.00 VAL 124.00 1BEING PERMITTED OR REMOVED J 1 _1132 PERMIT W/ENERGY 4500.00 VAL 145.90 1 1 CONTRACTOR: TEL. NO: I TOTAL FEES 299.20 JAPPROVALS DATE INSPECTOR SIGNATURE JFH CONSTRUCTION (626) 232-9865- 1 1 112700 ELLIOTT AVE SP 25 LIC. NO I ILOCATION AND SETBACKS TEL MONTE CA 91732 968550 1 1 ISOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 i ' IFOUNDATION/TRENCH FORMS 1 1 LIC. NO:. 1 ISLAB/UNDER FLOOR I I I 1 IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM2: ( JUNDERFLOOR INSULATION I iJ 1 3 001 (FLOOR SHEATHING J J INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: j _ • I 1_ J 1 NO 21 ' 1 ROOF. SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I 1 JAIR QUALITY: 1000 FEET MATERIALS J I I I 1 NO NO NO i 1 FRAME INSPECTION Nf(iI PN I FIRE SPRINKLER HA&Gt ' INSULATION/WEATHER STRIPI I J 11NTERIOR LATH/DRYWALL J 1 I I I 1EXTERIOR LATH -I I I I J IRATED FLOOR/CEIL ASSEM. I J IRATED WALL ASSEMBLIES J J I I I (RATED SHAFTS/OPENINGS 1 1 I I I IT-BAR CEILINGS J I i I J ILOT DRAINAGE 1 I I I J IREPORT ID: DPR261 ROUTE TO: BS0508 I J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1401220030 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: ITR: 14908 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 9829 HALEWOOD DR 1 I (STRUCTURE: 125 1 V-B R-3 I TEMP CA 917803917 I (ASSESSOR INFORMATION NUMBER: GARAGE: 1 NEAREST CROSS STREET: I 18589-021-017 i OTHER: I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: RESID (ISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: R-3 101/22/14 SR (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FI AL Y: CODE: 1 IKOFAHL VICTOR;LEE - 1 2,800 19829 HALLWOOD DR 1 ITEMP .917803917. 1 FEES PAID I I 1 TF WORK I I ICOVERED PATIO -I 1 I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1 1APPLICANT: TEL. NO: 1 IHERNANDEZ, FRANCISCO (626) 732-9865- IAA BLDG PERMIT ISSUANCE 27.80 1 I 112700 ELLIOTT AVE IAB STATE GREEN BLDG FEE 2800.00 VAL 1.00 (SPECIAL CONDITIONS: - 1 1EL MONTE CA 91732 1AC STRONG MOTION RESID 2800.00 VAL 0.50 I 1 1 ID1 PLANCHECK W/O EN-HC 2800.00 VAL 84.20 1 ID2 PERMIT W/O EN-HC 2800.00 VAL 99.00 'I (CONTRACTOR: TEL. NO: I TOTAL FEES 212.50 1APPROVALS DATE INSPECTOR SIGNATURE 1 IFH CONSTRUCTION (626) 232-9565- 11 112700 ELLIOTT AVE SP 25 LIC. NO 1 (LOCATION AND SETBACKS IEL MONTE CA 91732 968550 1 1 r{' V ISOILS ENGINEER APPROVAL yI 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I LIC. NO: SLAB/UNDER FLOOR 1 1 (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( i I I I I UNDERFLOOR INSULATION 1 I 1 3, 001 (FLOOR SHEATHING 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1 NO 20 i (ROOF SHEATHING I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 (FRAME INSPECTION 1 IFIRE SPRINKLER HANGERS 1 1 1 (INSULATION/WEATHER STRIPI I 1 11NTERIOR LATH/DRYWALL 1 i 1EXTERIOR LATH (RATED FLOOR/CEIL ASSEM. I 1 I (RATED WALL ASSEMBLIES I I (RATED SHAFTS/OPENINGS IT-BAR CEILINGS 1 1 1 I 1 1 i (LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I I I I