HomeMy Public PortalAbout4857 GLICKMAN AVE_Building__ 76A638A CE*803 8-64 APPLICATION FOR SU IL�� ERMI
COUNTY OF LOS ANGELES
BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DIST RI T NO. GROUP TYPE P C SSED BY
FOR APPLICANT TO FILL IN I CONST. e
UILDSTATISTICAL CLASSIFICATION SE ER MAP
BnDRESS 4859 J1 ickman, T .C- . BK PG /
tt CLASS NO. DWELL UNITS
O1-NO. 8 BLOCK II,a II USSEE ZONE MAP �. / )
TRACT 109-972 ;Jr ' SPECIAL ! _
/ 110. -
SIZE OF LOT 3 x 99 NOWOS ON L CONDITIONS
USE OF residence
E IST NG BLDG, BLDG. SETBACK FROM
NO.`448-226 FRONT PROP. LINE OF Z-/ (STREET)
OWNER Louise Bracken
TYPE OF EXISTING SETBACK
HIGHWAY + YARD
- TOTAL
T .C . WAY WIDTH FROM C.L.
ADDRESS 4857 JICman, �
CITY Temple CIt,i, Calif . ET +
BACK
FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE FEX%ISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS \\,, HIGHWAY WIDTH FROM C.L. d
CONTRACTORVa ey Cra f tNo`- 443-1745 + - v0
ADDRESS 10523 Lwr .. Az . No 18228 CORNER CUTOFF YES NO O
CITY Temp e City CLA 3-1 SEE REVERSE SIDE FOR SPECIAL APPROVALS u
W
DESCRIPTION OF WORK H
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF t
SIZE STORIES FAMILIES
USE Car Or 1
STRUCTURE l
20 x 20 detached
SIGNATURE OF
APPLICANT �4
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION, LOCATION
FEE$ FEE
P.C. PMT.$ L_� FORMS, MATERIALS
4�� i -
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILD I NG 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 COMPENSATION INSURANCE.
``""pp LATH. EXT.
SIGNATURE
E OF`1 � E ��o HOUSE NUMBER COR-
•,,//-- [._,� HORSE
ANDPOSTEID
ADDRESS,o"'S"2 .[ ^901-q�o iLAX' �� Fl NAL
JOHN F. LEWIS, PRINCIPAL STFMCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
1.�
:� s D 6.�0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
4 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202230086
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: 1
ITR: 10992 LT: 8 I SQ. FT STORIES TYPE 1 4857 GLICKMAN AV 1
I 'ISTRUCTURE: 12 V-B I TEMP CA 00000 1
(ASSESSOR INFORMATION NUMBER: 1 - 1 NEAREST CROSS STREET:
I I
18585-012-028 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
I I 1
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
IEXIST OCC GRP: 102/23/12 SR J
I I I I
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION:. 1FINAL TE FINAL BY: CODE:
IBOWLING, LOGAN (626) 627-6283- 1 6,700 `p'— �� J
14857 GLICKMAN AVE. /n
ITEMPLE CITY CA 91780 FEES PAID JD SCRIPTION OF WORK
I 1 IROOF REPLACEMENT FULL TEAR OFF RESHEET (LIMITED LIABILITY) 1
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IDEMENSIONAL SHINGLES 1
(APPLICANT: TEL. NO: I I I
IAPPEL CONSTRUCTION (626) 536-9730- IAA BLDG PERMIT ISSUANCE 27.80 1 I
1 JAB STATE GREEN BLDG FEE 6700.00 VAL 1.00 ISPECIAL CONDITIONS: 1
I JAC STRONG MOTION RESID 6700.00 VAL 0.70 1 1
I ID2 PERMIT W/O EN-HC 6700.00 VAL 166.20 1 1
I' TOTAL FEES 195.70 J 1
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE J
JAPPEL CONSTRUCTION (626) 536-9730- 1
1140 S. MARCILE STREET LIC. NO 1 1LOCATION AND SETBACKS J I I
IGLENDORA, CA 91741 932976 J 1 J I I
I J ISOILS ENGINEER APPROVAL I I I
I I
JARCHITECT OR ENGINEER: TEL. NO: I 1FOUDTDATION/TRENCH FORMS I I
1 _ J
1 LIC. NO: ISLAB/UNDER FLOOR 1 1 1
I I I
IRAISED FLOOR FRAMING
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I JUNDERFLOOR INSULATION 1 1 1
1144H273 3 001 1 I I I
I .I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
1 0 NO 21 1 IROOF SHEATHING
I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1
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1AIR QUALITY: 1000 FEET MATERIALS 1 I I J I
1 NO NO NO 1 JFRAME INSPECTION
I I I
I I IFIRE SPRINKLER HANGERS I I I
I I I
IINSULATION/WEATHER STRIPI I I
J IINTERIOR LATH/DRYWALL I I
J I I
1 I JEXTERIOR LATH I I 1
I I I
I IRATED FLOOR/CEIL ASSEM. I I I
1 I IRATED WALL ASSEMBLIES I I I
I I I
1 I IRATED SHAFTS/OPENINGS 1 1 I
I I I
1 I IT-BAR CEILINGS 1 I I
I I I
1 1 ILOT DRAINAGE I I 1
I I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 I 1
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