HomeMy Public PortalAbout4834 GLICKMAN AVE_Building__ 76AG38A CE#803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES . BUILDINGS ( >
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST '-
DISTRICT N,¢r GROUP TYPEP OC ED BY
FOR APPLICANTJO FILL IN �j ' _ coNsr'` /
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS `.�G1 /'��...>>/ ✓Yi�>,L2 __� SK
CLASS. NO. DWELL. UNITS
LOT NO. `� BLOCK WATER NOT REQUIRED RECEIVED ❑,
CERTIFICATE:MAP /
TRACT /a 3GBI - — N0.,���J �✓ HIGHWAY
CIR LEI CAL
NO.OF BLDGS. l STATE MAJOR SECOND, O `
SIZE OF LOT _ NOW ON LOT USE ZONE SPECIAL - .
USE OF 333 CONDITIONS G_W
EXISTING BLDG. - f}
EL.
OWNE NO. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR ,,,JJ TEL. P. L. -�I1•-^�. �/✓ 1 / '���
ENGINEER /b� NO. �y,�� SIDE
P. L.
ADDRESS e
TEL j
CONTRACTOR . e S G'S" .NO � / h,
ADDRESS O
_ O
DESCRIPTION OF WORK - ItK
Lu
NEW ADD ALTER REPAIR DEMOLISH _ rr
T. NO. OF NO. OF -V!>
SIZE ® STORIES FAMILIES f
USE O L (g,.._ :? _ ��.,, /�:-f•.P-.! n.r Xfi
STRUCTURE - ^�/�~ `
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE,p INSPECTOR'S SIGNATURE
P.C. � PMT. �' - G� FOUNDATION:FORMS, MATERIIALSON
J
FEE $ � - FEE $ -
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO BRACING, BOLTS 1 .✓ � ��
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 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 C LIFORNIA RELAT-
ING TO WORKMEN'S COM - NSATION INS UF3ANCE.
LATH. EXT. f,
SIGNATURE r ' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 9-)4--6rj-
J-
JOHN F. LEWIS. PRINCIPAL STR IZAL ENGINEER
PLAN CHECK VALIDATION o_cKM.O. CASH PERMIT VALIDATION CK. M.O. CASH
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76A638A CE*803 B-63 APPLICATION FOR SUILWINC PER IT y.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT
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DEPARTMENT OF COUNTY ENGINEER ADDRESS (J e
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST //��
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. „,, /,1/,j,�( ,� ✓`�,{
DISTRLCT NOS GROUP TYPE. 1 ROCS' E`1j B
FOR APPLICANT.- O FILL IN ✓' coNs �_ j
BUILDING' / f STATISTICAL CLASSIFICATION SEWER MAP
ADDRESSL � � CLASS. NO. ) DWELL. UNITS' BK PG
LOT NO. BLOCK WATER T�I
f CERTIFICATE: NOT REQUIRED RECEIVED u
TRACT �O { NOP r (ICGRCVLE) STATE MAJOR SECOND,. OCAL'
WX
NO.OF BLDGS.SIZE OF LONOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS -
EXISTING BLDG.
TEL. —
OWNERea� ML NO. d BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT f
ARCHITECT OR , TEL _ P• L.
ENGINEER f” NO. ^� �J SIDE
P. L. �
ADDRESS
TEL 0
CONTRACT O RW+ MC5NO 0- U
ADDRESS o ag
DESCRIPTION OF WORK G -
w
a
NEW ADD ALTER REPAIR DEMOLISH N
z
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE �•
SIGNATURE OF
APPLICA
r� o =
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. U FOUNDATION: LOCATION
FEE-$_' FEE $ 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.
WITHALL 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 CO nNSATION INSURANCE. 7
LATH. EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED P �•J ((� n
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONcK. / M.O. CASH
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 9807210056
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
BK: 44 PG: 82 PC: 2 SQ. FT STORIES TYPE OCCUP GROUP 4834 GLICKMAN AV
STRUCTURE: 0 1 VN R3 TEMP CA 917804018
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA RD.
8585-015-078 OTHER: 275 1 THOMAS PAGE: 597 GRID,: B5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/21/98 UT 07/21/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. CODE:
DE LOS SANTOS ROSALINDA;DIAMOND PRI (626) 448-6536- 1 2,750
4834 GLICKMAN AV
TEMP 91780401811-1�L -
FEES PAID DESCRIPTION OF WGRK
OPEN PATIO COVER - 275 SQ. FT. (ALUMINUM) ICBO #2228
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
WEST COAST CUSTOM ROOMS (909) 594-7547- AA BLDG PERMIT ISSUANCE 27.75
786 PINEFALLS AC STRONG MOTION.RESID 2750.00 VAL 0.50 SPECIAL CONDITIONS:
WALNUT, CA AX BUILDING-REVIEW FEE 54.70
D2 PERMIT W%0 EN-HC. '. 2750:00-VAL 99.00
TOTAL- FEES 181.95
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WEST COAST CONSTRUCTION (909) 594-7547-
786 PINEFALLS AVE. LIC. NO LOCATION AND SETBACKS
WALNUT, CA 4716198
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: i FOUNDATION/TRENCH FORMS
LIC. N0: __" -_! I ! i1' i 'i SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ---- - -- _
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