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HomeMy Public PortalAbout5033 GLICKMAN AVE_Building__ B U I L ® I N G BUILDING ADDRESB — APPLICATION LOCALITY I NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST. Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles f WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CABBATT D, GRIFFIN, SUPT Or BUILDIND <� F/OR APPLI}CANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY OWNER // 1 I Wt MAP STATE YES NO MAIL �J`� [LNUMBER ADDRESS J J / UBE ZONE SPECIAL T . c� 1. CONDITIONS CITY =r �� J NO O ARCHITECT OR TEL. ENGINEER i NO. BUILDING YARD HNLY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT TEL. p, CONTRACTOR _ NO. SIDE P. L. ADDRESS DATE CORRECTIONS INSPECTOR BUILDING ADDRESS i LOT NO. BLOCK TRACT ,2 , ! NO.OF SLOGS. SIZE OF LOT , I NOW ON_LOT___ USE OF EXISTING SLOG. DESCRIPTION OF WORK 0 NEW ADD ALTER REPAIR DEMOLISH Z SO. FT. y NO. OF NO.OF D SIZE I /� STORIES FAMILIES r USE OF STRUCTURE (1 1I r NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS ! (J FRAME: FIRE STOPS, SIGNATURE OF , ., �,Nl !.' f BRACING, BOLTS PERMITTEE_ - FURNACE: LOCATION, GAS VENT,DUCTS ADDRESS_ 'A a�� LATH, INT. AUTHORIZED AGT. LATH, EXT. $ P.C.S HOUSE NUMBER COR- ,.— ✓ - FEE RECT AND POSTED VALUATION v O " FINAL / 76A63HA DBS 3 4-54 411W RTMENT OF BUILDING AND SA APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 9 WM. J. FOX. CHIEF ENGINEER bU ' ® 1 N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �r DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS �� �. ,r f:. /rYt •� / U / /_` LOCALITY N `� 4C, RECEIVED BY QDATE OFF APPL. yD/p_TE CROSS ST. ISSUED NEAREST "/C-S.s (J �-- �✓ � BUILDING OWNER ♦6sR,A ADDRESS U � � �� C;�l c o .-IP)W A MAIL ���♦ LOCALITY � C /T ADDRESS NEAREST z-14 �O � /d TEL. � _ A`���� / CROSS ST. CITY NO. !,Q FIRE NO.OF TYPE DRC�Ue� ARCHITECT OTEL. ZONE PLAN9 R / F ENGINEER NO. BLDG. s OR .NO. ADDRESS SETBACK LINE APPROVED TEL CONTRACTOR �/, J�,', =� = al NO./Y�aLD'dl�� BY DATE USE APPROVED ADDRESS f -✓ d-^£, f 'd -f✓ -f ZONE BY DATE LEGAL DESCRIPTION LOT O.�f a ,� Q-�}-tj CORRECTIONS I lw; 1 _TRACT wF� I Z I Iz- S"aOFa i _SIZE OF LOT ` U r I NOW ON LOTS Vrr' F r! .- � U USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION — O 9 r _REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE [% 7 y ROOMS -,�� STORIES WALLCC / r COVERING ,.7 1(/CC O G I COVERING ae",J915 USE OF NEW BUILDING �� (.♦�/�` Yi SI �i7�'K+ <,7`.. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Nj FRAME: FIRE STOPS, , SIGNATURE OF BRACING,SILTS PERMITTEE LATH, INT.: AUTHORIZED AOT LATH,EXT.: DBS-a SOM SETS I-4B $ P C.• �•Q PLASTER,INT. SO-� ♦ FEE J/ PLASTER,EXT. VALUATION FEE a/ v ^� FINAL - - _ !_ WORKERS' COMPENSATION DECLARATION T I hereby affirm that I have a certificate of consent to self I insure, or a certificate of Workers'Compe i .Insurance, or APPLICATION FOR BUILDING PERMIT a certified copy thereof (Sec. 3800, L E '� �+ COUNTY OF LOS ANGELES BUILDING AND SAFETY Pollcy N ), Company ✓Ly 7 c5/d�� f - Certified BUILDING copy is hereby furnished. FOR APPLICANT T PILL IN ' ADDRESS tSG33 ❑ Certified copy is filed with the count: n inspec- BUILDING ` t' par nt. ADDRESS J°0 ,j �, ��G v /�w LOCALITY �; 1 / s NEAREST Date Applicant ' ia� --� CITY ;7� "' � !1 ZIP ('� CROSS ST. �- ,CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE.ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL — l SPECIAL 0. I certify that in the performance of the work for which this OWNER C NOS .j CONDITIONS O permit,is issued, I shall not employ any person in any manner ( -, DISTRICT, GROUP TYPE FIRE PRO ESSED BY U ADDRESS, O- f _ I�'�✓7�✓�1 so as to become subject to the Workers'Compensation Laws. CONST. ZONErg Date Applicant CITY ,/�j '� % ZIP / STATISTICAL CLASSIFICATION ` APT. CONDO. � NOTICE'TO APPLICANT: If, 'after making this Certificate of ARCHITECT OR TEL..I_, Exemption, you should become subject to the Workers' ENGINEER /// �� ��� NO. � CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS "u ��� SEWER MAP with comply with such provisions or this permit shall be deemed revoked. TEL. `j VALIDATION CONTRALTO /ir .. �^% ' N J ' ' BK. PG, LICENSED CONTRACTORS DECLARATION rQ I hereby affirm that I am licensed under provisions of Chapter 9 I RESS U � �S. I. �i�`�7 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. Y 'j � S� CLASS �� $ FT. NO.OF NO. OF CHECK License Number Lic.Class / E - STORIES o FAMILIES r ONE //' Te16 C) 3 Y- NEW $ Contractor -/�/L` l 4aTe CRIPTI Pp OF WORK y ❑ ADD ❑ am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer_ ALTER ❑ FINA acting in my professional capacity (Section 7051, /✓ — �' �r� , REPAIR ❑ DATE `A Business and Professions Code). OF STING BLDG. DEMOL ❑ FINAL t Lic.or Reg. No. Date APPLICANT TEL.- B t a �,r _ z085,� A OWNER-BUILDER DECLARATION (PRINT) —+ ( �!✓✓�+ NO. 770 I hereby affirm that I am exempt from the Contractor's License f �j 7 ©,0,0 0 2 3 Law for the following reason (Section 7031.5, Business.and ADDRESS ®/ Professions Code): PRESENT © I a a 36,00 ❑ BUILDING I; as owner of the ,property, or my employees with ADDRESS •0 0,0 3`6,0 0 r; wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section ' LOCALITY 0.8.2 4:_8 1 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the.project (Sec- ADDRESS z 0 8 5,9 A tion 7044, Business,and Professions Code). REQUIRED TOTAL SETBACK FROM _EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 0 0.0 0 0 1 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. I 0 0 52 0 0 (Sec. 3097., Civ. C.). SIDE Lender's Name P L 0,0,o'5 2.0 0 p G vG OO $ P.C: Fee$ � r Permit Fee Lender's Address w I certify that I have read this application and state that the Issuance Fee aabove information is correct.-I agree to comply with all County Investigation Fee ordinances and State s relatingto building construction, �a m g Total Fee and here�. '- zerepresentatives of this County to enter upon thentioned property for inspectign urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent D e ©s e • APPLICATION FOR BUILDING PERMIT �l COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS S I hereby affirm that I have a certificate of consent to self insure, -BUILDING ADDRES,/� or a certificate of Workers'Compensation Insurance,or a certified - 5 L rLACXo-A414 5 copy thereof(Sec.3800,Lab.C.) '��LZ �j o zIP r��� LOCALITY— Policy OCALITY Policy No. Company SIZE OF LOTS C' NO.OF BLDGS.NOW ON LOT E/J I NEAREST CROSS ST. El Certified copy is hereby furnished. G j( I 10 p ❑ Certified copy is filed with the county building inspection TRACT BLOCLOr No. department. o USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER 6 TEL.NO. YES NO COMPENSATION INSURANCE � � ��� �ADD ESS WITHIN 1000 FT.OF SCHOOL? �t (This section need not be completed if the permit is for one hundred 612 3, ( l f W DISTRICT .,.GROUP TYPE CONST.' FIRE ZONE PROCESS BY dollars($hat or less.) 5 I certify that in the performance of the work for which this permit CITE �a �� zIP1?/790 is issued, I shall not employ I )/d any pers i a a r so to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Com n ,io STATISTICAL CLASSIFICATION APT CONDO Date�Applicant �� (5� ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT., If, after king this Certificate Of CONTRACTOR TEL.NO. REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith 'I FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L S) 1A IVIDE '" LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L n- 0 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP V (commencing with Section 7000)of Division 3 of the Business and SQ.FT SIZE NO.OF STORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG , U. License Number DESCRIPTION OF WORK ADD E] VALUATION Lu Lic.Class � a � � �� Contractor Date ALTER 0�®. coo 111 am exempt under Sec. REPAIR ❑ B.&P.C.for this reason a i - DEMOL 1:1Date: USE OF EXISTING BLDG. URM 11LDMA P/C# Signature APP (CANT(PRINT) TEL.NO. LDMA Perm If Eq 4 El 1, as owner of the property, or my employees with wages as p their sole compensation,will do the work and the structure is ADDREP§ t '" P not intended or offered for sale (Section 7044, Business and 55—Sal MAPLO- 07-1 FINAL DATE16. a ProWILL THE APPLICANTOR FUTURE BUILDING OCCUPANT HANDLER HAZARDOUS MATERIAL fessions Code.) ,//a j 11 ® 'L" �" L (®+' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q 5."i-�;• as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL•BY L" ^ licensed contractors to construct the project-(Section 7044, ("` s -z• Business and Professions Code.) YES❑ NO®' TOTAL �16 �S—*123 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING i,: r.i: y+ 'i+ OCCUPANT REQUIRE A PERMIT FORCONSTRUCTION OR MODIFICATION FROMTHESOUTH �' ///) ._1t y�,�a�e CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES . (''' ;'[•'v('� a%„I I hereby affirm that there is a construction lending agency for YES❑ NO "HA`'3E the performance Of the Work for which this permit Is Issued(.Sec. ;HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES ro. COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100THROUGH 2.20.140 CONCERNING o Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. a_ Lender's Address r --� �Q, OWNER OR AGENT .ems 42-5 •- o' I certify that I have read this application and state that the above information is correct. I agree to comply with all county RC.FEE PERMIT FEE ordinances an State laws relating to building construction,and a. her a re e I s this County to enter upon ISSUANCE FEE /� thetio nspection purposes. 3` o (/ a INVESTIGATION FEE TOTAL FEE P - �� Tr Signa of Appli 1 or ABeat Data SEE REVERSE FOR EXPLANATORY LANGUAGE, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0306190016 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 10821 LT: 6 BL: C SQ. FT STORIES TYPE OCCUP GROUP 5033 GLICKMAN AV STRUCTURE: 600 1 VN R3 TEMP CA 917804023 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8585-013-019 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/02/03 JK 06/26/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA DATE FINAL BY: CODE: LIN; SUSAN (626) 825-9398- 47,520 5033 GLICKMAN AV TEMP 917804023 FEES PAID DESCRIPTION OF WORK ADD FAMILY RM, BATHRM & BEDRM; FINALIZE EXPIRED PERMIT #3307 APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (TURN INTERIOR WINDOW TO DOORWAY-PLUGGING DOORWAY W/CABINETS SAME AS OWNER - B1 PLANCHECK W/ENERGY 47520.00 VAL 721.44 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 47520.00 VAL 4.75 B2 PERMIT W/ENERGY 47520.00 VAL 848.76 TOTAL FEES 1,602.70 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:1 UNDERFLOOR INSULATION 3 01I ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL i REPORT ID: DPR261 ROUTE TO: BS0508