HomeMy Public PortalAbout4832 GLICKMAN AVE_Building__ DIVI70N OF BUILDING AND SAFETY BUILDING
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department of County Engineer
n � _County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT N0. I PLAN CK.OR REC.NO. PERMIT NO.
BUILDING 4834 NO. /
ADDRESS Glickman 41 /
LOCALITY Temple City Calif.• EIVED BY DATE OF APPL. /DATE 169UED
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CROBSREST ST. mower Azusa Rd BUILDING �w /
B G-Z�
OWNER Cora M. Meyer ADORES � �
MAIL 1.�34 NO. LOCALITY ��ry 2T
ADDRES19 'i- Glickman Ave NEAREBT
�r�j, CROSS ur.
CITY Temple liL1t.V NO. R0-85904 FIRE NO.OF TYP GR UP
ZONE LANE
ARCHITECT OR TEL P
ENGINEER ND. BLDG. /) ORD. NO.
SETBACK LINE ) /
ADDRESS UBE APPROVED ,�s��=n
TEL ZONE BY //'�,%Ct/_—r�-"c-_ DATE,c --�"-1-3
CONTRACTOR NO. HOBE NUMBERING
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ADDREBB MAP NUMBER NO. ASSIGNED BY
LEIYAL
DESCRIPTION LOT NO. BLOCK B CORRECTIONS
TRACT 10992OF 7Q
SIZE OF LOT 72x236 I N W ON LOTGH.
USE OFNO.CW
EXISTIN13 BLDG. Living & GaraFe I F MILLIEs' 2 f
DESCRIPTION OF WORK >r
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V o
NEW ALTERATION ADDITION 1i Z
D
REPAIR DEMOLITION r
NO OF
B ZE FT" 2 ROOMS 1 STORIES 1
EXT.WALLTAT ROF
COVERING RW siding I COVOERINGASP Shing
USE OF STRUCTURE
Zi-I ZTl ag
0
INSPECTION FOR APPROVALS
OCCUPANCYAIT INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
FORMS, MATERIALS
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOPS
CORRECT. BRACING, BOLTS
1 'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDINGFURNACE: LOCATION,
GAS FURNACE:
`/ CONSTRUCTION. VENT,DUCTS
BIGNJ�TURE OF LATH, INT.
PERMITTE
ADDRESS_ 4814 No. Glickman e LATH. EXT.
A
PLASTER, INT.
AUTHORIZED AGT. f
PLASTER, EXT.
FEE HOUSE NUMBER COR-
RECT
OR- r
1 RECTAND POSTED f ,�
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FEE r FINAL f „'i. ���,.G�<�,, C"-"P/-A
VALUATION
75A636A OBS 3 I-52
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76AG30A CE#808.1-6, APPLICATION FOR BUILDING PEFWW, IT u
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS AlLq-3_�_2
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP'T OF BUILDING CROSS ST.
- DIST CT GROUP TYPE—w—al
P BY
FOR APPLICANT TO FILL IN Q I CONSMVI
BUILDING ��• STATISTICAL CLASSIFICATION I SEWER MAP
ADDRESS ,J LNBK �P
h� CASS. _ O. DWELL.UNITS
LOT NO. a% BLOCK /h7 WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT /D MAP HIGHWAY STATE MAJOR SECON - CA
rn� // NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT. ;Z 4) I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. _ Q�
OWNER NO..J�/ -�'S UILDING EXIST.
YARD HWY STREET AME
(y /� SETBACK WIDTH
ADDRESS D : FRONT
ARCHITECT OR TEL.. P.L. �L /
ENGINEER NO. SIDE
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ADDRESS TEL. INSPECTION RECORD O
CONTRACTOR NO. U
ADDRESS O
DESCRIPTION OF WORK u
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NEW ADD ALTER REPAIR DEMOLISH N
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IZE STORIES FAMILIES
USE OF
/ STRUCTURE J JL ,�__..m=AA_
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SIGNATURE OF
APPLICANT j
VALUATION$
APPROVALS DATE, INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ I FEE FORMS,MATERIALS
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENS �ON INSURANCE.
U LATH,EXT.
SIGNATU E OF /I/ HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EINE
PLAN CHECK VALIDATION CK. I .O. CAS' PERM VALIDATION CK. M.O. CASH
TEMPLE CITY
pp
74A436A CIE#803,1-61 APPLICATION FOR BUILDING PERM T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS I
BUILDING AND SAFETY DMSION LOCALITY
` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. [�
DISTRICT N . GRP TYPE t PR ES D BY
FOR APPLICANT TO FILL IN S CONST. L 2
BUILDING STATISTICAL�SIFICATION SEWER MAP
ADDRESS �� BK P
a< CLASS. NO. DWELL.UNITS
LOT NO. BLOCK JS WATER NOT REQUIRED RECEIVED
/o77 Y CERTIFICATE:
El 0
TRACT MAP �7 / U HIGHWAYSTATE MAJOR SECOND, OCAL
NO.OF BLDGS. � NO. L (CIRCLE)E)
SIZE OF LOT7,X a � I NOW ON LOT USE ZONE SPECIAL -
USE OF CONDITIONS
EXISTING BLDG.
TEL. 1 �-}-
OWNER NO. O BUILDI G YARD HWY STREE NAME EXIST.
_ SETBACK WIDTH
ADDRESS �� � (�-,�,/��r/h/�lJ/ FRONT 1
ARCHITECT OR TEL. P. L. 2-0 6
ENGINEER NO. SIDE
P.L. }
ADDRESS
""�' �/ TEL. r INSPECTION RECORD p
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� e,.tlL/]r/p /�01a+ILS NO. 6zlorl - U
kl C/¢STZ.1411
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DESCRIPTION OF WORK
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CL
NFW D ALTER REPAIR DEMOLISH N
Z
, NO.OF NO.OF
J y STORIES f FAMILIES -
OT$
APPROVALS DATE INSPECTOR'S SIGNATURE
P C -� FEE $ S FOUNDATION: LOCATION
FORMS,MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT D CTS 1
BUILDING CONSTRUCTION. ICERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. F� ^
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S P SAT INSURANCE.
'?
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- -
PERMITTEF_ RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
Li-ivJ
x 0 1 3""o' JUN, I
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 0309250025
*. PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
BK: 44 PG: 82 PC: 1 SQ. FT STORIES TYPE OCCUP GROUP 4832 GLICKMAN AV
STRUCTURE: 243 1 VN U1 TEMP CA 917804018
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8585-015-077 OTHER: THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/06/03 JK 09/30/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
MINH H LE & NHU HUONG PHAM (626) 401-2797- 7,000
4832 GLICKMAN AV
TEMPLE CITY 19780 FEES PAID r RIP I F WORK
R CVE EXISTING COVERED PATIO; BUILD ENCLOSED PATIO FOR
APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LAUNDRY, WATER HEATER, AND STORAGE
SAME AS OWNER D1 PLANCHECK W/O EN-HC 7000.00 VAL 141.27
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION VAL 0.70
D1 * K :=W/,O.,EN=HC;- --.-•7000,00 VAL 141.27
��Tiu-C: •r' - _----_=-_!TOTAL-FEES. 310.99
CONTRACTOR: TEL. NO: -- -�:
SAME AS OWNER _ '. a=% '.7: APPROVALS DATE INSPECTOR SIGNATURE
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: I� �''_ FOUNDATION/TRENCH FORMS
{ i �
LIC. NO _
-- --- i � SLAB/UNDER FLOOR
��--- —1 - — -! ' - RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: _1 I', _- UNDERFLOOR INSULATION
3 01 j,
-_ != -•-- ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/EO-ND-STAT-CLASS:--
NO
LASS:-NO 21 - 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS
r ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS +'l y'
NO NO NO \ _;, '•.;ti=,j- FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST ` „J,_ BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: __ <'� "',;.
FRONT PL- ?;• �- - ' SHEAR PANELS
SIDE PL-
-_- - INSULATION/WEATHER STRIP
i
INTERIOR LATH/DRYWALL / J
EXTERIOR LATH t
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508