HomeMy Public PortalAbout5305 GLICKMAN AVE_Building__ [IBS-3 25M SETS®AS
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
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BUILDING DISTRICT NO. PLAN, CK. NO. PERMIT NO.
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ADDRESS 1
LOCALITY _ t .ni_. ,� RECEIVED BY DATEorAPPL. DATE ISSUED
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OWNER ADDRESS , s!_..-
MAIL ° "® LOCALITY
ADDRESS - I' :Lz "'"`•�'
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FIRE NO.OF TYPEr ` GROUP
ARCHI ECT OR TEL. ZONE I PLANS V ,
-ENGINEER NO. `
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
TEL.
CONTRACTOR NO. BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL �.. CORRECTIONS
_DESCRIPTION /I LOT NO. BLOCK
TRACT G ��
1 NO. OF SLOGS.
_SIZE OF LOTe I NOW ON LOT
USE OF NO.OF NO. OF
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
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REPAIR MOVING DEMOLISH
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SIZE ROOMS STORIES r r
WALL ( ROOF
COVERING �;, '_" COVERING C.�' `
USE OF NEW
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APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
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. FRAME: FIRE STOPS,
BRACING, BOLTS
SIGNATURE OF
OWNER (C_ //1��/P �y LATH, INT.:
AUTHORIZED AOT- �+ 4' � '�"i
LATH, EXT.:
P C PLASTER, INT.
QJ) � FEE PLASTER, EXT.
VALUATION V FEE $� FINAL
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L � ITIMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESI w
WM. J. FOX, CHIEF ENGINEER
NO.OFBLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT_ O.
PLANS SETBACK LINE 7j dj
FIRE APPROVED
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE APPROVED ,
ZONE BY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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~ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
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O CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
_-1 LICENSE NO. NO. A Y AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
ZO LQT NO. SIZE OF LOTfy` A 3 1. SIG OWNER NATURE OF
Q H NO. OF BLDGS. 'If <f.. �'f
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DESCRIPTION OF WORD
USE OF
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NEW TYPE GROUP
NO.OF NO.OF
ALTERATION ROOMS FAMILIES
ADDITION SIZE
REPAIR STORIES T
MOVING WALL COVERING _
DEMOLISH ROOF COVERING
y ; P.C.s FINAL APPROVAL
7-5-6uFEE
INSPECTOR'S
VALUATION FEE • V DATE L NAME
76A638A CE 4803 12/69
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING /{ p
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS r�® /✓ / �/�
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY � /J L•t= ��
FOR APPLICANT TO FILL IN NEAREST /
Print or type only) CROSS ST,
BUILDINGDISTRICT NO. GROU R TYPE ^ PS S E D BY
ADDRESS �r/
®� �/� 10 CONST, {/
6TATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK
CLASS NO-2-L-DWELL.UNITS
TRACT g..� USE ZONEI MAP
NO.OF SLOGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF `V CONDITIONS
EXISTING BLDG.
TEL.
OWNER �. �® i(� NO.
BLDb,.SETSACK FROM
ADDRESS FRONT PiROP.LINE OF (STREET)
TYPE OF EXISTI ETBACK HIGHWAY -I- YARD = TOTAL
CITY /yC � !t HIGHWAY WIDTH FR L.
ARCHITECT OR �+ EL, } -
ENGINEER vL9.7 O• BLDG.SETBACK FROM
ADDRESS SIDE PROP. LINE OF (STREET)
// TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
CONTRACTOR /A Np����� HIGHWAY WIDTH FROM C.L.
ADDRESS ®IZ. P,A> Ar LD-, Z } _
LIC, �e v
CITY /�{ pt �/!� CLASS< CORNER CUTOFF YES ❑ NO ❑ �
CONSTRUCTION LENDER o
NAME AND BRANCH /Pl�. SEE REVERSE SIDE FOR SPECIAL APPROVALS t
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ADDRESS c/7
SQ. 'FT. OF NO. OF Z
SIZE; TO ES F ILIES NEW
USE OF : K� ADD
tSfTyRUCTURE iy �j
W ee/i�J# ALTER ❑ ��I�SQU o
REPAIR❑
SI ATURE OF
A PLICANT DEMOL ❑
VALUATIQN=S
APPROVALS DATE INSPECTORS SIGNATURE
P.•. / PMT. �( FOUNDATION; LOCATION
F FEES '" FORMS, MATERIALS
FRAME: FIRE STOPS,
,I 9tREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE; LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
�S TRUC TION. I CERTIFY THAT IN DOING THE Wo
K AUTHORIZED
HEREBY I WILL NOT EMPLOWE��eAL31
ON IN Y ATION OF THE LATH, INT.
LABOR CODE OF T STAF RNI NG TO
WORKMEN'S COMPE LATH, EXT,
PIGNATU EE OF HOUSE NUMBER COR- 7
ECT AND POSTED
ADDRESS a, AL
JOHN F. LEWIS. PRI CIPAL STRUUCCTT}URAL ENGINEER
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PLAN CHECK VALIDATION CM.O. CASH _ PERMIT VALIDATION GI K. J M.O. CASH
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F E B 2 4 2 3 D
7.60 ��
7
1^_ 8 6 6 2- FEb24 1 A 1 2.00 CQ
—
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 1201030094
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 10558 LT: 30 I SQ. FT STORIES TYPE 1 5305 GLICKMAN AV 1
I (STRUCTURE: 400 V-B TEMP CA 917803329 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18585-003-009 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: - IEXIST BLDG USE: GARAG USE ZONE: R-1 11SSUED ON: PROCESSED BY: 1
IEXIST OCC GRP: 101/06/12 SR
I I I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL_ TE FIN BY: CODE: I
ITHAIMAS SURACHAI;SIRIPUNGGAR (626) 579-9065- 1 14,000
15305 GLICKMAN AV I I /10
ITEMP 917803329 I FEES PAID ID SCRIPTION OF WORK v1
I I IRE-FRAME ENTIRE ROOF ON DET HED 2-CAR GARAGE 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - ID1 PLANCHECK W/O EN-HC 14000.00 VAL 241.90 1 I
I IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1
IAB STATE GREEN BLDG FEE 14000.00 VAL 1.00 I
IAC STRONG MOTION RESID 14000.00 VAL 1.40
ID2 PERMIT W/O EN-HC 14000.00 VAL 284.60
ICONTRACTOR: TEL. NO: IFS INV WORK W/O PERMIT 257.50 DOL 329.70 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I TOTAL FEES 886.40 1 I
1 LIC. NO 1 ILOCATION AND SETBACKS
I I I
ISOILS ENGINEER APPROVAL I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
1 LIC. NO: I 1SLAB/UNDER FLOOR I I I
I I I
IRAISED FLOOR FRAMING I I I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I
1147H273 3 001 1 I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
1 0 NO 21 1 IROOF SHEATHING I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS I I I I I
NO NO NO 1 IFRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS I
I I I
I I (INSULATION/WEATHER STRIPI I I
I IINTERIOR LATH/DRYWALL I I I
I I I
IEXTERIOR LATH I
IRATED FLOOR/CEIL ASSEM. I I
IRATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS I
I I I
ILOT DRAINAGE I I I
I i I
IREPORT ID: DPR261 ROUTE TO: BS0508 1
I I I I I I