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Home My Public Portal About5215 GLICKMAN AVE_Building__I T 7EMPLE CITY 76A$38ACE#809. 1-6t APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING _ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. ->- --,- DISTRIST NO. I GROUP ITYPE ESSED BY FOR APPLICANT TO FILL IN ��i` CONST. C_- BUILDING //''�� / ^ � STATISTICAL CLASSIFICATION WERMAP C�zlC.0/�ysv II�G BK PG ADDRESS CLASS.NO.-4d_)DWELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT 7 Q MAP �r HIGHWAY STATE MAJOR SECON OCAL NO.OF BLDGS. NO. /i_ � (CIRCLE) SIZE OF LOT J(t+ �� I NOW ON LOT '` USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. �� nTEL. OWNER-j6g (j�Ex. DeV,om,' �Z NO.AT_6LSiS BUILDING EXIST. SETBACK YARD HWY S ET E WIDTH ADDRESS SP26 7-E"APe C.CrY &W, FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P.L. } ADDRESS CL �/ r TEL p, INSPECTION RECORD p CONTRACTOR+'`J. �� Dc/. gyp. NOAT.�Z(SIY - V ADDRES DESCRIPTION OF WORK .. W a ADD ALTER REPAIR DEMOLISH > Z SQ.FT. /y NO.OF NO.OF �^- IZE / G✓�/ STORIES FAMILIES - USE OF e� STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECT R'S SIGNATURE P C A PMT �J FOUNDATION: LOCATION FEE $ - (J FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STAT OF LIFORNIA RELAT- ING TO WORKMEN'S COM N ATION INS RA E. � LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS Z�" 'e Q FINAL CLYDE N. DIRLAM, RINCIPAL STR RAL ENGINEER PERMIT CHECK VALIDATION cK M.O. CASH PERT VALIDATION cK M.O. CASH x&06630 J NOV 7 23 D 2 1.5 01 v 7320 NOV 23 1 D 46.5 UN ` 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 1109290096 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS: 1 ITR: 27309 LT: 27 I SQ. FT STORIES TYPE 1 5215 GLICKMAN AV I I ISTRUCTURE: 1800 V-B I TEMP CA 917803327 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE/GREEN 18585-003-013 -i THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I I (EXIST OCC GRP: 10929/11 SR I I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFIN_AI, PATE FI AL BY: CODE: 1 IJIMENEZ CINDY (626) 705-0568- 1 2 3,800 1 .� 15215 GLICKMAN AV I 1 ITEMP 917803327 1 FEES PAID IDESCRIPT ON OF WORK I I IRE ROOF: TEAR OFF AND INSTALL 30-YR COMP SHINGLES I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 (APPLICANT: TEL. NO: I 1ARCHADEL INC* (310) 516-8400- IAA BLDG PERMIT ISSUANCE 27.80 1 I 11859 W 169TH ST #D IAB STATE GREEN BLDG FEE 3800.00 VAL 1.00 (SPECIAL CONDITIONS: I IGARDENA CA 90247 IAC STRONG MOTION RESID 3800.00 VAL 0.50 1 1 ID2 PERMIT W/O EN-HC 3800.00 VAL 116.00 1 TOTAL FEES 145.30 I 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE IARCHADEL INC. (310) 516-8400- I 1- 11859 .11859 W.l69TH ST.,UNIT D LIC. NO I ILOCATION AND SETBACKS I I GARDENA, CA 90247 * RHE ,* (SOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I 1 I - I 1 LIC. NO: I ISLAB/UNDER FLOOR I I 1 1 IRAISED FLOOR FRAMING 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I 1147H273 3 001 1- 1-1 1 _1 (FLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 0 NO 22 -1 IROO.r SHEATHING 1- SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 I_ 1 1 1 NO NO NO 1 IFRAME INSPECTION I I I I (FIRE SPRINKLER HANGERS 1 1 1 I I I I 11NSULATION/WEATHER STRIPI I 1 (INTERIOR LATH/DRYWALL 1 I I I I (EXTERIOR LATH 1 I 1 I I I I (RATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I I I IRAT8D SHAFTS/OPENINGS I 1 I IT-BAR CEILINGS I 1* ADDITIONAL DATA ON FILE 1 1 ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BSO508 _ 1 1. 1 - ' 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 1109290095 PHONE: (626) 285-0488 EXT: LEGAL ID: � NO. OF CONST I BUILDING ADDRESS: ITR: 27309 LT: 27 I SQ. FT STORIES TYPE 5215 GLICKMAN AV 1 (STRUCTURE: 400 V-B TEMP CA 917803327 I (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE/GREEN 18585-003-013 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI (TENANT: 1EXIST BLDG USE: RESID- USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 109/29/11 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFIN6 4DAE FI AL YCODE:1JIMENEZ CINDY (626) 705-0568- 1 2 1,00015215 GLICKMAN AV ITEMP 917803327 1 FEES PAID IDESCRIPTION OF WORK 1 I I IRE ROOF: TEAR OFF AND INSTALL 30-YR COMP SHINGLES I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I I IARCHADEL INC* (310) 516-8400- 1AA BLDG PERMIT ISSUANCE 27.80 I 11859 W 169TH ST #D JAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: IGARDENA CA 90247 1AC STRONG MOTION RESID 1000.00 VAL 0.50 I 1 ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 I 1 I 1 TOTAL FEES 94.70 I 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 1ARCHADEL INC. (310) 516-8400- I 1 11859 W.l69TH ST.,UNIT D LIC. NO I ILOCATION AND SETBACKS IGARDENA, CA 90247 * RHE * I I I I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I LIC. NO: 1SLAB/UNDER FLOOR 1 I I I I I IRAISED FLOOR FRAMING I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( - (UNDERFLOOR INSULATION I I 1147H273 3 001 1 I 1 ' I I IFLOOR SHEATHING 1 I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 0 NO 22 I IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS I 1 I NO NO NO _ IFRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I I I I I 1 - IINSULATION/WEATHER STRIPI I 1 I (INTERIOR LATH/DRYWALL 1 I I I 1 IEXTERIOR LATH I I I I I I I (RATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I 1* ADDITIONAL DATA ON FILE I I-LOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507260035 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 27309 LT: 27 SQ. FT STORIES TYPE OCCUP GROUP 5215 GLICKMAN AV STRUCTURE: 304 1 VN R3 TEMP CA 917803327 &: �4 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSSSTREET8585-003-013 OTHER: THOMAS PAGE: 597 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/01/05 JK 07/27/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: JIMENEZ CINDY C;MOORE MELISSA J (626) 452-8616- 38,000 /�� 5215 GLICKMAN AV / TEMP 917803327 FEES PAID DESCRIPTION OF WORK ADD MASTER BEDROOM, BATHROOM, WALK-IN CLOSET 304 SQ FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 38000.00 VAL 599.41 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 38000.00 VAL 3.80 B2 PERMIT W/ENERGY 38000.00 VAL 705.21 TOTAL FEES 1,336.17 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 .(7 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION y 3 01 p - IST LSVEL 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 STRIkl INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE --- - SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 - 1