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HomeMy Public PortalAbout4846 GLICKMAN AVE_Building__ 76A, 8A APPLICATION FOR BUILDING /PERMIT COUNTY OF LOS ANGELES ADDREISS "kr Q DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P CESSED BY FOR APPLICANT TO FILL IN `S,p� i coNsr. BUILDING // STATISTICAL CLASSIFICATION SEWER MAP ADDRESS / // L!7 Ci/ BKS�PG � CLASS. NO. DWELL. US NIT LOT NO. r BLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE:MAP {{,� TRACT (�9-9 NO. L/ HIGHWAY NO.OF BLDGS. e RC E) STATE MAJOR SECOND. LOCA ! SIZE OF LOT- 2 3 NOW ON LOT L USE ZONE SPECIAL USE OF �7-� CONDITIONS 7 EXISTING BLDG. TEL. OWNER NO: BUILDING EXIS Q - T. ` Q SETBACK YARD HWY STREET NAME WIDTH ADDRES Cid FRONTO 0,c/ ARCH ITECT O TE ? P. L. ENGINEER �7 SIDE P. L. ADDRE >- CL R $ ro l .4 ixU ADDR ;[ 0 DESCRIPTION OF WORK v W CL NEW t/ ADD ALTER REPAIR DEMOLISH v #^ SQ. FT. NO. OF NO. OF z SIZE STORIES FAMILIES USE OF STRUCTURE d 10- 1 -61fokm SIGNATURE O 8 APPLICANT VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION [[ P.C. L's FEE $ fPMT `'-✓� FORMS, MATERIALS '�� p� FEE $ O FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS -9 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. ) t.... WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK /�1 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN'S PENSATION I AN LATH. EXT. I U-�- U SIGNATURE O ��� 1 �� �A��/ -� HOUSE NUMBER COR- PERMITTEE / „ S.[L - RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL U AL ENGINEER PLAN CHECK VALIDATION ocK,.,. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH U,Ao2339:a AUG 7 1 D 60.50— . Yv � I G� 76A638A CE#803 1-62APPLICATION FOR BUILDING PE I ' I COUNTY OF LOS ANGELES BUILDING 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 O. GROUP TYPE ESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESSa�e 4-- SK � G CLASS. NO. DWELL. UNITS LOT NO. f7 BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE: TRACT 9 �- MAP � / HlcFiwA NO.OF SLOGS. NO. (CIRCLE)Y STATE MAJOR SECOND, 6CAL� 'I SIZE OF LOT NOW ON LOT �- USE ZONE SPECIAL USE OF %" CONDITIONS EXISTING BLDG. OWNER .� TE ^� �r NO / / / BUILDING YARD HWYTEXIST. SETBACK RE WIDTH y ADDRESS Cd NAME FRONT raj^ ARCHITECT OR TEL. P. L. ENGINEER - NO. SIDE ADDRESS / IL TEL" 7) > CONTRACTO NO. ADDRESS C ' DESCRIPTION OF WORK u u, CII. NEW ADD ALTER REPAIR DEMOLISH z SQ.FT. p - NO. OF FA. OF SIZE / STORIES FAMILIES I" USE OFn dy�Y� STRUCTURE 1 r SIAGNATURE OFVA U PPLICANTbull / VALUATION $ ILII /�) t� APPROV DATE INSPECTOR'S SIGNATURE PC PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THEABOVE 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' C MPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH "oc y G}` 'tnl �j .3 v f 8.5 1;, /•Ll�i�' /51 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 0403220032 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: BK: 30 PG: 85 PC: 2 SQ. FT STORIES TYPE 4846 GLICKMAN AV STRUCTURE: 2600 VN TEMP CA 917804018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-015-046 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/22/04 VG 03/17/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F D F, FINAL BY: CODE: GONZALEZ, CAMILLE (626) 401-0237- 5,000 4846 GLICKMAN AV 0117 TEMP 917804018 FEES PAID MCRIPON OF WORK T/0 EXI T ROOF AND INSTAL SS A COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RE-STUCCO 2 SIDES AND BAC OF RESIDENCE APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING yds SCHOOL WITHIN HAZARDOUS SHEAR PANELS '� 1 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- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH 0 RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508