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HomeMy Public PortalAbout4927 GLICKMAN AVE_Building__ APPLICATION FOR B U 1L61NG PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS Al- E DEPARTMENT OF COUNTY ENGINEER clTr ZIP D BUILDING AND SAFETY DIVISION �7 NO.OF BLDGS. BUILDING SIZE OF LOT nc ,7 NOW ON LOT +� ADDRESS TRACT d BLOCK A/ LOT NO, MCJ LOCALITY &IWX ee ,! TEL. NEAREST OWN E NO� CROSS ST. ASSESSOR r ADDRESS 4 / 14114 MAP BOOK PAGE PARCE -CITY *� ZIP / ® DISTRICTS UP RE qPROVSzD.BY TEL CONS / ARCHITECT OR � � ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BK5_ MAw CONTRACTORl 41 NO. USE Z NE NOP LIC. ADDRESS Q NO. SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + p ADD ❑ BLDG.SETBACK FROM 0 rl A/ F SIDE PROP.LINE OF REETI O d �{/� < ALTER TOTAL SETBACK FR TYPE OF EXISTING ,U /}C,6 HIGHWAY + YARD = SIDE PROP. HIGHWAY WIDTH N USEOF REPAIR 1:3Z EXISTING BLDG. X,[p n GG DEMOL ❑ + APPLICljpLT� E' _/C CORNERCUTOFF YES NO (PRINT A G�a IN OPEN SPACE YES NO BY(SIGNATURE) IN COASTAL PERMIT ZONE YE NO Q / C� VALUATION$ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PN IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELAT T WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS 2 H TELA/ �G�// DA EL O 7-76 BY FI CITY NO. MAKE CHEC PAYABLE TO: FEE FET HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALID TfON CK. M.O. CASH• 3 0 t'-"AIr, 12 1 ® 6.0 () ASG, 83 76A638A CE#803 3-75 APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING �7 FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS r LOCALITY 7-1 .il NEAREST T ZIP !J CROSS ST. NO.OF BLDGS. ASSESSOR- S I SSESSORSI 7 NOW ON LOTAl MAP BOOK PAGE PARCEL DISTRICT GROUP CONSTZONE TYPE FIRE P S Y , TRACT � BLOCK LOT NO. �j .i � L• lJ OWNER STATISTICAL CLASSIFICATION SEWER LLMAP ADDRESS CLASS NO.�DWELL,UNITS BKJ 4G C ZIP L1 US ZONE NAOPr�O/e ARCHIT CT OR TEL. -' SPECIAL ENGINEER NO, CONDITIONS ADDRESS RO D DEPARTMENT APPROVAL REQUIRED YES NO CONTRACTOR TEL. B DG.SETBACK FROM NO F ONT PROP.LINE OF (STREET) LIC. ADDRESS NO. HIG WAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION ENDER + NAME AND BRANCH BLDG.SETB- FROM o� ADDRESS CITY SIDE PROP. LIN (STREET) C� NO. OF NO. OF CHECK HIGHWAY } YARD TO CK FROM TYPE OF EXISTING � SQ. FT. _ SIZE STORIES FAMILIES ONE SIDE PROP. L HIGHWAY WIDTH O + LLJ DESCRIPTION OF WORK NEW ❑ cj- c4) ADD ❑ CORNER CUTOFF YES ❑ NO E] Z ALTER ❑ O Q� IN OPEN SPACE YES El NO REPAIR USE OFIN COASTAL PERMIT ZONE YES NO EXISTING BLDG, DEMOL ❑ AP RICA T N . LC-- BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN D01 G THE WORK AUTHORIZED MERE BY I NOT EMPLOY ANY P SO N VIOLATION OF THE LABOR ODE F THE STATE OF ALI NIA IN RELATING TO Ali WORK COMPENSATION INSUR CE SIGN TU FINAL BY PER 0j DATE ADORESS /� P.C. Fee$ Permit Fee I Issuance Fee Gail 7 VALUATION Q$ Air /��: C Total Fee PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK. M O CASH 3 9a. 9.00 ♦ I 76A538A C.-.O3- 12/75 APPLICATION FOR BUILDING PERMIT FOR.APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUI[DING ADDRESS .1 DEPARTMENT OF COUNTY ENGINEER CITY zip Lj BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING G SIZE OF LOT NOW ON LOT ADDRESS TRACT © BLOCK LOT NO. ` LOCALITY �~ TEL NEAREST OWN & l �: CROSS ST. C4 ASSESSOR ADDRESS 119a MAP BOOK PAGE PARCEL / �'0 DISTRI GROUP TYPE FIRE P ESS D BY /{, CONST. ZONE ARCHITECT OR TEL. \ i 11v � CITY ZIP _ ENGINEER NO. STATISTICAL CLASSIFICA ION SEWER AP TEL. ADDRESS CLASS NO. DWELL.UNITS L BK 4 CONTRACTOR NO. JAE ZONE I NMAF /r LIC. V ADDRESS NO. / SPECIAL LIC. / j CT CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED ` YES ❑ NO ❑ CONSTRUCTIO ENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY t YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE I STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + O h ADD ❑ BLDG.SETBACK FROM (STREET) O SIDE PROP.LINE OF Q ALTER TOTAL SETBACK FROM TYPE OF EXISTING w /� HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH N �E/GW • QT `S REPAIR ❑ Z_ (tf �DEMOL El + APPRINTIN /}J G�RL'�tio� TEL L � f CORNER CUTOFF YES ❑ NO ❑ IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( f' '�� O IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ (J t, A) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ' AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE - WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P SON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELAT i TO ORKMEN'S COM" PENSATION INSURANCE. SIGNATURE OF PERMITTEE A ! ADDRESS FINAL �• TEL. DATE BY CITY N MAKE CHECKS 15AYABLE TO: FEE FET HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PER T*ALIDATION K. M.O. 'y CASH 8 2 2 1 R.ega 11 U .v U n Bf 76A638A CE#803 3-75 stP PL I CATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING C-2 _ J FOR APPLICANT TO FILL IN ADDRESS BUILDING F ADDRE �' LOCALITY NEAREST r CITY j�� ZIP C. CROSS ST. NO.OF SLOGS. ASSESSOR SIZE OF L - NOW ON LOT �" MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CONST. ZONE 1 TRACT BLOCK LOT NO. --. ' TEL �<L�CI �,... �,._. ff�.. OWNER �� '� NO. C STATISTICAL CLASSIFICATION y _ $EWER MAP ADDRESS �^ y/�'' CLASS NO. DWELL•UNITS BK5�6 �+ / �j' ' -US ZONE MAP r� CITY -k [ ZIP D 6 NOt_ �-L'� 6 ARCHITECT OR TEL. SPECIAL ENGINEER NO. �1a4` CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL. BLDG.SETBACK FROM G ti' NO FRONT PROP.LINE OF (STREET) ADDRESS G NpTOTAL SETBACK FROM TYPE OF EXISTING NIGH WAY } YARD CITY LIC. FRONT PROP. LINE HIGHWAY WIDTH CLASS _ CONSTRUCTION LENDER } NAME AND BRANCH BI_6'6,•,ETBACK FROM ADDRESS CITY SIDEPROP"ttN-EO•F - ----- (STREET) SQ. FT NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK F TYPE OF EXISTING dC SIZE b STORIES FAMILIES ONE SIDE PROP. LINE WAY WIDTH CD NEW ❑ } C.: _ ADD Z ❑ CORNER CUTOFF YES ❑ NO ❑ ,.�, O ALTER ❑rd REPAIR[] IN OPEN SPACE YES ❑ NO fiAUSE ❑ EXISOT NG.BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ A P,P N T T L^ �. --f4�„ `�C`. iolsr - - By (alep ) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGRIVE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE ORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON I VI0 ATION OF THE LABOR CODE OF THE STATE OF CALIF ORI A RELATING TO WORKMEN'S CO MPEN ION INSURANCE. SIGNATURE OF _ FINAL J_ -�j BY PERMITTEE DATE ADDRESS a '7 TE CITY P.C. Fee$ Permit Fee :,�C 1, /� N �/ ' Issuance Fee VALUATION Q� �- 2L== Total Fee 2 PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDATION CK, M.O. CASH 32s',0_p ?_4 1 ® 2 1.7 5 76A638A CE*803B 1Z/75 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 9812300062 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 10992 LT: 12 BL: A SQ. FT STORIES TYPE 4927 GLICKMAN AV STRUCTURE: 900 TEMP CA 917804021 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-012-032 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/30/98 UT 12/30/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: COD GREANEY THOMAS M;MARIA T - 1 0 4927 GLICKMAN AV 0 TEMP 917804021 FEES PAID DESCRIPTION OF WOR DEMOLISH 900 SQ. FT. RESIDENCE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: COMSTOCK, CROSSER AND ASSO. (310) 546-5781- AA BLDG PERMIT ISSUANCE 27.75 321 12TH STREET 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: _MANHATTAN BEACH, CA — TOTAL FEES 191.25 GELS S7 �\ CONTRACTOR: TEL. NO: COMSTOCK CROSSER AND ASSOCIATES (310) 546-5781-201 �®,®� APPROVALS DATE INSPECTOR SIGNATURE 321 12TH STREET SUITE 200 LIC. NO / PEDESTRIAN PROTECTION MANHATTAN BEACH, CA 90266 8717986 f!� SEWE ISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: �P ABANDON RIVATE DISPOSALG7 LIC. NO: "111111 UNDERGRND STRUCT REMOVAL !. AND SOIL RECOMPACTION MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: I P:'") J i 144H273 01=u U IS L' NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 23 \ SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS �❑ ';y#�¢ NO NO NO Lf � y1�cp ✓J L 0 Servic'e'-Th REPORT ID: DPR261 ROUTE TO: BS0508