HomeMy Public PortalAbout5104 GLICKMAN AVE_Building__ A ROAD D� i. ?.41�T cnrr
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7GA638A CE 99098-69 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER rJ
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J
CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED B
FOR APPLICANT TO FILL IN �r .Z— CONST. -4.,c, - _
BUILDING r U STATISTICAL CLASSIFICATION SEWER
ADDRESS �i BK PG
CLASS.NO. DWELL.UNITS
LOT NO. - 6CK MAP STATE /
r NUMBER HWY. Y ES rNO
TRACT ZONE SPECIAL
_ -�O CONDITIONS a
-- ,I
SIZE OF LOT J .1 "r I NO.OF BLDGS.NOW ON LOT ,�-
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER
FMAILRONT D / w
ADDRESS -1,1. 3(v SIDE 'i
TEL P.L.
CITY e,.'. f A zf I tx--- NO INSPECTION RECORD
ARCHITECT R TE S�D*Ll
ENGINEER • NO
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ADDRESS D - k T
TEL
CONTRACTOR , g NO.
ADDRESS .
DESCRIPTION OF WORK I r 3i
NEW ADD ALTER REPAIR DEMOLISH _--
SQ. FTNO. OF NO. OF
.SIZE ISO STORIES FAMILIES
USE OF . �V / cion/ ✓.�'�'S7/! /% /�l/-I T,
STRUCTURE /
SIGNATURE••OF T S '- l31 le;9Y 0 TTL'7/'
APPLICANT
APPROVALS DATE INSPE OR'S SIGNATURE
ADDRESS Afpi Yli FOUNDATION: LOCATION
FORMS, MATERIALS - ✓�-�J �J ---"
VALUATION $ �.. � S FRAME:
BRACING BOLTTSS
FURNACE: LOCATION,
P.C. l PMT. �j ,�,� GAS VENT,DUCTS
FEE S/ FEE 5✓ V
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO CO LY WITH ORDINANCES AND
STATE LAWS EG L NG UI IN CONSTRUCTION. LATH,EXT.
HOUSE NUMBER COR-
. SIGNATURE O �--�
PERMITTE RECT AND POSTED -
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST 61 RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION �CK. / M.O. CASH
67541%53 FB � 2 3 A 19501
696s"--ol FEB 26 1 A 39.00
4
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 0708070033
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1
1 ON FILE I SQ. FT STORIES TYPE 5104 GLICKMAN AV
(STRUCTURE: VN I TEMP CA 917803362
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GREEN
18585-006-030 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, CI
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON:
I 1EXIST OCC GRP: 108/07/07 SR 02/03/08
DOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: I ATE FIN CODE:
IHILDEBRAND H;L TRS (909) 982-1869- 1 30,000
12049 ALBRIGHT AV J I
(UPLAND, CA I FEES PAID ID2SCRIPTIO14 OF WORK
IFIRE DAMAGED RESHEET ROOF W SHINGLES, REPLACE (E)10 WINDOWI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW KITCHEN, BATHROOM, FRAME DAMAGE RAFTERS & INSULATION I
(APPLICANT: TEL. NO:
(JOE MARTINEZ (323) 683-5113- IAA BLDG PERMIT ISSUANCE 27.75
15003 TELEGRAPH RD. IAC STRONG MOTION RESID 30000.00 VAL 3.00 (SPECIAL CONDITIONS: ) _
ILOS ANGELES CA 90022 JB2 PERMIT W/ENERGY 30000.00 VAL 590.37 1
I I TOTAL FEES 621.12 1
(CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE 1
IROBERT ARZATE CONSTRUCTION (323) 683-5113- 1 1 I
15003 TELEGRAPH ROAD LIC. NO I 1L0CATI0N AND SETBACKS I I I
ILOS ANGELES, CA 90022 719804 B I I I I I
I I ISOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
I LIC. NO: I ISLAB/UNDER FLOOR I I
I I IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J (UNDERFLOOR INSULATION I I I
1147H273 3 Oil I 1-1 I
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 1fn I
NO 21 i iR00F SHEATHING I �j,�•' 1 ` I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
JAIR QUALITY: 1000 FEET MATERIALS I I I
NO NO NO 1 IFRAME INSPECTION d J
IREQUIRED TOTAL SETBACK FROM EXIST J IFIRE SPRINKLER HANGERS I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- 1 IINSULATION/WEATHER STRI I J
SIDE PL- I i I I
JINTERIOR LATH/DRYWALL I I I
1EXTERI0R LATH 1 I 1
I I IRATED FLOOR/CEIL ASSEM. II I
1 I IRATED WALL ASSEMBLIES J I I
J IRATED SHAFTS/OPENINGS J I
IT-BAR CEILINGS J I
I ILOT DRAINAGE J I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I I I