HomeMy Public PortalAbout5005 GLICKMAN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1
WM. J. FOX. CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
IBUILDING it a }awry ('�{ /� , DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDREBB
LOCALITY RECEIVED BY DATE OF ADPL. DATE ISSUED
NEAREST
CROBS ST.
9UILDIN13SL G
OWNER ADDRESS /^
ADDREBB MAIL
LOCALITY . Gs
NEAREST
TEL. CROSS ST.
CITY NO. FIRE NO.OF TYPE ®ROU
ARCHITECT OR TEL, ZONE PLANS _
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE -Z-
APPROVED
BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION I LOT NO. CCK
TRACT
NO.OF BLDGS.
SIZE OF LOT I NOW ON LOT
USE OF11 - - ND.OF NO.OF `
EXISTING BLDG. v FAMILIES ROOMS
DESCRIPTION OF WORK C-
NE:V ALTERATION ADDITION O
REPAIR MOVING DEMOLISH �Q
SR.FT. NO.OF Z
SIZE ROOMS . STORIES I A� /ci s- Z ' � 0 r
WALL OF
ROD
COVERING ,�'7�-LJGCp I COVERING
USE OF NEW J,
BUILDING - - mac/ S f
IV-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION IN EOTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS _
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS. -
SIGNATURE OF BRACING.BOLTS -
PERMITTEE_ LATH, INT. ` jf
AI�THORIZED AOT LATH, EXT.
PLASTER.INT.
/- (1 '
4� ( 6"' FEE / i PLASTER,EXT.
VALUATION FEE Z...3 FINAL
TEMPLE CITY
76A638A CE #803 3-69 APPLICATION FOR BUILDING PERMIT Z- u
COUNTY OF LOS ANGELES BUILDING
SS 5005 Glickman Avenue T . C .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY QJ 7
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. /
DISTRI T N0. OUP TYPE C PROC SS BY
FOR APPLICANT TO FILL IN ) /
(PRINT OR TYPE ONLY) .J
BU KESS 5005 Glickman Aven T . C . STATISTICAL CLASSIFICATION SEWER MAP
CLASS NO. =24—DWELL.UNITS BK
LOT NO. BLOCK USE ZONE MAP
NO. C�
TRACT SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
OWNER John f Me i s ne r NEL'5 91 -9 51 FRONT PROP. LINE OF (STREET)
P
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS
CITY Long Beach Calif .
ARCHITECT OR TEL. BLDG.SETBACK FR (STREET)
ENGINEER NO. SIDE PROP. LINE OF
TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL
ADDRESS HIGHWAY WIDTH I FROM C.L.
H H . L L . Rando 1 Co . TEL. 288-404 +
CONTRACTOR NO.
ADDRESS 529 E Valley B Ldo.I. 6 CORNER CUTOFF YES ❑ NO ❑ O
CITY San Gabriel , Cal 1 CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS oe
CONSTRUCTION LENDER 0
NAME AND BRANCH
U
w
ADDRESS
SQ. FT. N0. OF NO. OF ❑ Z
SIZE STORIES FAMILIES NEW
USE OF - ADD ❑
STRUCTURE i ❑
ALTER
REPAIR
SIGNATURE OF DEMOL
APPLICANT
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ 00 FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION,
TION. I CERTIFY THAT IN DOING THE WOR THORIZED HEREBY I
GAS VENT DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOL 10 OF THE LABOR CODE LATH, INT.
OF THE STATE OF CA IF RNIA I E}.ATIN T ORKMEN'S COM-
PENSATION INSURAN l LATH, EXT.
SIGNATUR OF HOUSE NUMBER CORRECT
PERMITTE I AND POSTED
ADDRESL' Vb FINAL
JOHN F. LEWIS, P INCIPAL S/T/R_UCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.o. CASH - PERMIT VALIDATION M.O. CASH
./1,j