HomeMy Public PortalAbout5029 GLICKMAN AVE_Building__ 78A688A DB:•e8.3-55 PPLICATION FOR BUILDING PERMIT 1
BUILDING
, DIVISION OF BUILDING AND SAFETY
ADDRESS -5C7
Department of County Engineer
County of Loa Angeles LOCALITY
WM.J. FOX. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST.
DISTRICT NO. GROU I TYPE SEWERBK MA PG
FOR APPLICANT TO FILL IN coNST
BUILDING , + STATE
ADDRESS S�2q Cl L L'- "� ;� r - NUMBER O'er-O/ Q www YES 10
LOT NO ri BLOCK v XSE 7PNE COND SPECAL
TI ONS
TRACT O00
NO. OF BLDGS. f BUILDING MST.WIDTH
SIZE OF LOT ' / J NOW ON LOT YARD HW
SETBACK Y STREET NAME
EX STTING(B�LUSE OF DG. V l.�J-E,Lf C... i iR�) CiT1. FRONT
-EXISTING
OWNER I t C^ lk)Cl L h P.L.
MAIL �. TRACT DWELL.
ADDRESS I �� �L I �C O 1 UNIT5 INDUSTRIAL
_ r _ TEL. ^/ i + 1 DWELL. 1 UNIT
t, 1, r II Fo r✓CP •_.'1 6 PUBLIC BLDG.
CITY� - � t rr �..r l � NO. 2 DUPLEX 1 UNIT
ARCHITECT OR TEL. _ ADDN ALT.. ETC.
ENGINEER '`7 �n:-h-� NO' 3 APT. UNITS
� $ MISCEL.
ADDRESS
i �. „�,.�� 4 COMMERCIAL
TEL. _ INSPECTION RECORD
CONTRACTOR NO. .'
ADDRESS '""-'�"" t�" 5'G Ll a leeoL.0 9p
1DESCRIPTION OF WORK ' _ N (,v ,q. L,
NEW FtDD ALTER REPAIR DEMOLISH
SQ. FT. J O NO.OF i NO. OF
SIZE STORIES f FAMILIES
USE OF STRUCTURE '
SIGNATURE OF' APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS
FOUNDATION: LOCA IOW
$ �/ P. C. IS FORMS, MATERIALS ~
QOO FEE FRAME: FIRE STOPS,
BRACING. BOLTS
VALUATION
FEE s/ �" FURNACE: LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS, REGULATING BUILDING CONSTRUC-
TION. /j/ _ LATH, EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS - ' FINAL T�'
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR
TIC.)4 5 02 "I'A
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 0501310054
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 10821 LT: 6 BL: C UN: .002 SQ. FT STORIES TYPE 5029 GLICKMAN AV
STRUCTURE: 2500 VN- TEMP CA 917804023
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA
8585-013-020 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/31/05 JK 01/26/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: JDCV
D TE FIN BY: CODE:
GONZALEZ MARIA - 3,000
5029 GLICKMAN AV
TEMP 917804023 FEES PAID PTION OF WORK
OFF-REROOF COMPOSITION SHINGLES 30 YR. HOUSE, GARAGE,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: STORAGE.
APPLICANT: TEL. N0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3000.00 VAL 99.00
FR INV WORK W/O PERMIT 128.50 DOL 128.50
TOTAL FEES 255.75
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
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET o 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-
INTERI.OR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
D RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508