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Home My Public Portal About9837 HALLWOOD DR_Building__ 'f ,WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of•consent to self /L1\P P L E CQU�O N FOR O U d®E N C6.. p E G3G�iv �U • Lnsure,tbGa certificate of Workers' Compensation Insurance, G •�- � v-u .. , , ;. . ' or a certified copy thereof,(Sec. 3800, Lab..C.) STh ? COUWTY'OF LOS ANGELES' BUILDING ARID SAFETY. Policy No. Z°� Company �' � I,� �J�.'`�';,1\,>>. , :_ ,. n BUILDING Certified copy is hereby furnished. ," .FOR4,_APPLICANT.tiTO.FILL IN, �� ADDRESS �j� �Z(,wG+O4 �(Z BUILDING p� yy `k Certified copy is filed with the county building inspec- ADDRESS 1�3/' �l"!�� 'OQ, �. ;. ��.;' Tion department. CIN' (�.C C . ZIP..: ` Date Applicant LOCALITY NO. OF BLDGS. n NEAREST CERTIFICATE.OF'EXEMPTION.FRO WORKERS' SIZE OF LOT' )C NOW ON LOT v. CROSS ST. O S 'COMPENSATION'INSUR' CE1. ASSESSOR (This section need not be completed if the permit"is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars'.($100) or less.) - �,,p. TEL. pq OWNER (�;' f"Y'%Ji ��!/Q NO. ` O /� USE ZONE MAP49 I certify that in the.performance of the work for which this NO' a } y, /� ��' SPECIAL permit is issued,J shall not employ dny person in any manner ADDRESS ( AU4&nd q//2 7!�_ CONDITIONS so as to become subject to the Workers' Compensation Laws. U CITY JWle CiT�t zip Date Applicant' ARCHITECT OR .: TEL. DI TRICT GL[2tOUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. U CONST. ZONE V Exemption, you.should become subject to:the Workers' iIQ� ^� Compensation.provisions of the Labor Code, .you must forth- ADDRESS v•�U V _1 0t with comply with such provisions.or .this permit shall be /,,��,� p TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR Re"OLSf/t&IZO. `O�2 �� — LICENSED CONTRACTORS DECLARATION q / LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of.Chapter 9 ADDRESS.o[1CV, G� /L (E, NO. 73'7 SEWER MAP (commencing with Section 7000)of under provisions i of the Business LIC. CITY �r LOV/uA. CA' CLASS Q and Professions Code;and my license is.in full force and effect: BK. 1,�- PG. .-J VALIDATION SQ. FT. NO. O NO. OF CHECK ' License Number / l Lic..Class �'-� SIZE �� STORIES FAMILIES ONE' VALUATION Contractor Date DESCRIPTION OF WORK OrM jIoAJ NEW _ �. J O ❑I am exempt der Sec. mp ADD D ALTER ❑ B.BP.C. for this reason REPAIR $. Date: USE.OF n/�,,.� EXISTING BLDG. l� i47J Svic r DEMOL`0 Signature APPLICANT TEL. p/ FINAL OWNER-BUILDER DECLARATION (PRINT). veami NO. 766- s- I hereby.affirm that I am exempt from.the Contractors License �/ �p DATE �. Law for the following reason.(Section.7031.5, Business and ADDRESS pL ) (�• AlE, � FINAL i Professions Code): PRESENT - By ,BUILDING /�/•�• ❑ I,' as owner of 4he property, or my employees with ADDRESS Ai•41 008 wages as their sole compensation,will do the work and `i, z x07 7e \� �7a7V the structure is not intended or offered for sale(Section LOCALITY ;1 t t4 , �UL o _t 7044, Business and Professions Code.) MOVING TEL. D i ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. ^, :` 1 ITEi'IS . . ..:. with'licensed contractors to construct the project (Sec- ('.' �' ADDRESS \ TOTAL AL 96•®7_Y tion 7044, Business and Professions Code.) . �� u�r •" REQUIRED• TOTAL SETBACK FROM EXIST. oo C CONSTRUCTION LENDING AGENCY SET BACK YARD HWY. PROP.-LINE WIDTH YRG4 ;7Ro 7a I hereby affirm that there is a construction'lending agency for FRONT 'a the performance'of.the.work for which-this permit is issued P.L:' �• 4 y HA14E """a i (Sec. 3097, Civ. C.). SIDE -P.L. . (('ma�/•yy., .. i L/ WUi/�VLt�1 7� Lender's Name� - aO t , a/� 4 , 41 P.C. Fee$ Permit Fee Lender's Address 32 fAH ,83.44 I certify that I have read this application and state that the Issuance Fee J h LDMA P/C# D above information is correct. I agree to comply with all County Investigation Fee f d ordinances and State Idws relating to building construction, Total Fee :/ J LDMA Perm. # a and hereby authorize representatives of this County to enter upon the ab 4 entio operty for inspection purposes. ' SEE REVERSE FOR EXPLANATORY LANGUAGE . . - Signature of App i nt or Agent Date GE'E6 PRU PE' OT :� y COUNTY OF`LOS'ANGEL-ES' BUILDING�ANb SAFETY` WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN c.. /3S BU LDING ADDRESS I herebyaffirm that I have a certificate of consent to self insure, �IaSZ�' �y, or a certificate of Workers' Compensation Insurance,or a certified `� ,�. al - p copy thereof(Sec.3800,Lab.C.) C! C,-� ZIP l LI t `1 C r 1 �� 5 C � 'S(� LOCALITY Policy No. Company SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. INEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS l O CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER \ TEL NO, COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO ADDRESS (This section need not be completed if the permit is for one hundred {� u tl 1_ I�� I, it �y _ DISTRICT GROUP WYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) S !-6 fl 6t 6/Y CITY ZIP ;;�rrr�� I certify that in the performance of the work for which this permit `1 is issued, I shall not employ any person in any manner so as to AmCT.O'" I E I TEL Gip become Subject t0 the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. _ 1 STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 1"y DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you -should become "subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL >- SIDE o' LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L 00 I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES 0 Professions Code,and my license is in full force and effect.. NEW Ey BK PG License Number Lic.Class DRIPTION OF WORK ADD ❑ VALUATION C, Contractor Date ALTER 9 , CT�) rL ❑ 1 am exempt under Sec. �k�t A REPAIR ❑ B.BP.C.for this reason DEMOL ❑ LDMA P/C# � Date: USE OF EXISTING BLDG. URM ❑ " Signature APPLICANT(PRINT) TEL NO. ��.rr �{; LDMA Perm# . ' '.'?`�' ";, 1, as owner of the property, or my employees with wages as u. � .a &N1 &S AA — ''•y4„ ZO 'jf.( �,Ir. their sole compensation, will do the work and the structure is ADDRESS _ _n not intended or offered for sale (Section 7044, Business and FINAL DATE �) G . .45 1' -yt=,0 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THEJ/ '• ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �. licensed contractors to construct the project (Section 7044, s ' t'y1`CT JL Cb6- Business and Professions Code.) .VES El NO El WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING •J•��,�y ,L.�._e�.,;.,: OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR iMS GUIDELINES. s. s C.I.: I hereby affirm that there is a construction lending agency for YES❑ NO❑ sT' the performance of the work for which this permit is issued(Sec. TOTAL HL 1,;�� Q �•�!__,e I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, (•• E{'y TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS '--'='• •" ` Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. _ - m Lender's Address NyFi t, }Ii OWNER OR AGENT n3. 1 certify that I have read this application and state under penalty P.C.FEE PERMIT FEE r,�I_ of perjury that the above information is correct.l agree to comply , C Ig.2� i r fly'-j'[ U) with all county ordinances and State laws relating to building ! r"3�L.�` _ t" DO construction, and hereby authorize representatives of this County r ISSUANCE FEE 27 i�� A �E��y; i 1'I I f to ente upon the!above-mdrltioned property for inspection purposes. •J � ' l� �fU� ?>�G1011t lb INVESTIGATION FEE TOTAL FEE N 39rtature.f Pdlcent«Awnl r� Date SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0203220020 PHONE: (626) 285-0488 EXT: - LEGA ID: N0. OF CONS NEW BUILDING ADDRESS: TR: 13986 LT: 12 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9837 HALLWOOD DR STRUCTURE: 1117 1 VN R3 TEMP CA 917803917 ASSESSOR INFORMATION NUMBER: GARAGE: 441 1 VN U1 NEAREST CROSS STREET: AGNES 8589-021-004 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/01/02 JK 01/28/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE ` FINAL B CODE: KWOK KING H;WONG LINDA L (626) 285-8920- 100,000 l - ?a O /L 9837 HALLWOOD DR TEMP 917803917 FEES PAID DESCRIPTION OF WORK ADD & REMODEL TO CREATE 4BR/3BA & ADD ATTACHED 2CAR GARAGE _ APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER B1 PLANCHECK W/ENERGY 100000.00 VAL 1,211.62 AA BLDG PERMIT ISSUANCE 27.75 SFIAL CONDITIONS: AC STRONG MOTION-RESID----- 100000.00 VAL 10.00 / B2 PERMIT„WENERGY ;-;.,--100000-.00 VAL 1,425.44 _ TOTAL FEES _ 2,674.81 may. - -�v ,r ”. CONTRACTOR: TEL. N0: % a,. �\ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO /� �;�� +� � A LOCATION AND SETBACKS \` , SOILS ENGINEER APPROVAL / i I L `S w`, ARCHITECT OR ENGINEER: TEL. NO: ,�i �.Jd FOUNDATION/TRENCH FORMS KAO, JUSTIN (626) 839-9385 2321 FALLEN DRIVELIC. N0 1/ I i � � I - _ SLAB/UNDER FLOOR ROWLAND HEIGHTS, CA 91748 322022.1 I �_ r ��'� � �� RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- UNDERFLOOR INSULATION 3 01 �� i� A ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS �� .:� �/i ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO � FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST \V ?�,i� BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: `" f y', SHEAR PANELS FRONT PL- SIDE PL- INSULATION/W AT ER STRIP INTERIOR LATH/DRYWALL �. EXTERIOR LATH / LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803030009 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13986 LT: 12 BL: .001 SO. FT STORIES TYPE 9837 HALLWOOD DR STRUCTURE: 142 VN TEMP CA 917803917 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST _ 8589-021-004 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/03/98 UT 03/03/99 OWNER: TEL. NO: BLDGS. NOW ON-LOT: VALUATION: FINAL DATE FINAL BY: CODE: KWOK KING H;WONG LINDA L 00 1 2,500 1a4& 9837 HALLWOOD DR 4-29-�� A TEMP 917803917 FEES PAFD- DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ENCLOSE EXISTING PATIO 151 X 915" APPLICANT: TEL. NO: HUNT INTERIORS, INC. (626) 285-8439- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID -2500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW=FEE= � 54.70 D2 PERMIT W/%EN'-HC\,�y LG=�2500.00�VAL 99.15 CONTRACTOR: TEL. NO: ~TOTAL'eF,EE� \ 182.10 �' "' ,�,\ APPROVALS DATE INSPECTOR SIGNATURE HUNT INTERIORS, INC. (626) 285-8439- d� 1100 S. SAN GABRIEL BLVD. LIC. NO /f � LOCATION AND SETBACKS SAN GABRIEL, CA 91776 6565248 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: /� � i , '� � �� \ �� ; FOUNDATION/TRENCH FORMS LIC. N0: .� _ \"�,llllillt SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: �; �' �� %�`� ;I �; �� UNDERFLOOR INSULATION D144H269 3 01 �� NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: , FLOOR SHEATHING _ NO 21 �� i� / ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ' SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ' �, FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST ` � ° %� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL SIDE PL- _ INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED OOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0208010007 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CO ST BUILDING DRESS: TR: 13986 LT: 12 BL: .001 SQ. FT STORIES TYPE 9837 HALLWOOD DR STRUCTURE: TEMP CA 917803917 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES 8589-021-004 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/01/02 JK 01/28/03 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINEy FINAL BY: CODE: KWOK KING H;WONG LINDA L (626) 285-8920- 0L ' - " 9837 HALLWOOD DR TEMP 917803917 FEES PAID 5-ESCRIPTION OF WORK DEMO'151SF OF EXISTING HOUSE & DETACHED GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: < --TOTAL FEES 191.25 CONTRACTOR: TEL. N0: �� .-� '-�"��i?j,��\ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO PEDESTRIAN PROTECTION �} SEWER DISCONNECTION r 1 1 ARCHITECT OR ENGINEER: TEL. N0: �'� ABANDON PRIVATE DISPOSAL KAO, JUSTIN (626) 839-93857'// �'� 2321 FALLEN DRIVE LIC. NO /, I� UNDERGRND STRUCT REMOVAL ROWLAND HEIGHTS, CA 91748 322022; AND SOIL RECOMPACT ION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP , X ��, X01 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 23 - SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE T0: BSO508