HomeMy Public PortalAbout5334 GLICKMAN AVE_Building__ 76A638A CE#8033-66 APPLICATION FOR BUILDINdPERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. t/rk
DIST CT G OUP TYPE O SS BY
FOR APPLICANT TO FILL IN �� CONST.
BUILDING y STATISTICAL CLASSIFICATION SE"R MAP
ADDRESS 3� oLoCLASS NO. DWELL UNITS BK PG
LOT NO. SS � LOCK USE ZONE MAP
_ NO. C L
TRACT /o.. / SPECIAL
_ NO. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
BLDG. SETBACK FROM
,J� T TEL. FRONT PROP. LINE OF (STREET)
OWNER /(/� �/ NO. ��' TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS L ( HIGHWAY WI TH F OM C.L.
CITY
BLDG. SETBACK FROM
ARC HIT CT O TEL. �u _�Z j-7, SIDE PROP. LINE OF (STREET)
ENGINEER O.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
Z73'LZ 76 HIGHWAY WIDTH FROTE
M C.L.
CONTRACTOR �� �� �� NOL. +LIC _
ADDRESS NO CORNER CUTOFF YES NO
O
CITY cls SEE REVERSE SIDE FOR SPECIAL APPROVALS
DDESCRIPTION OF WORK
N�W ADD � A ER REPAIR DEMOLISH • ti Z
FT.4 NO. OF NO. OF
SIZE A ,�S/TOR EEl FAMILIES
USE STRUOCTUR
SIGNATURE OF \ �.
APPLICANT
VALUATION ;z.,;.� !� Am
APPROVALS DATE INSPECTOR'S SIGNATURE
, FOUNDATION, LOCATION
FEE$ FEE$ i L FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG 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 STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S C P SATION INS RANCE. LATH. EXT.
1
SIGNATURE OF Ad HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS Fl NAL
JOHN F. LEWIS. PRINCIPAL STR.L. TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O CASH
ob636-0 JAN 9 1 D 2.0 0-
75A588A CE#80870-58 APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING FIND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER CROSS s7C �d`1
CASSATT D. GRIFFIN, SUPT OF BUILDING .
DISTRICT NO. 3ROUP TYPE P CESSED BY
FOR APPLICANT TO FILL IN _5_� „ I CONST.r I
BUILDING - STATISTICAL CLASSIFICATION S WERMAP
�
ADDRESS BK PG
CLASS.NO. DWELL.UNITS
LOT NO. MAP STATE
NUMBER YES
TRACT O US.TONE SPECIAL ONS/7/ �..
OF.B GS / CONDITIONS 7 r
SIZE OF LOT NOW ON L T
USE OF
EXISTING BLDG. A BUILDINGYARD HWY TRE NAME EXIST'
SETBACK WIDTH
OWNER FRONT a_ j
MAIL P.L. �f�J
ADDRESS I SIDE
CITY TELN.O 3 76 P.L.
ARCHITECT OR TE G SPECTION C RD
ENGINEER N 11- 0
CY �
ADDRESS I allo�EL
CONTRACTO 1 NO 17 6 J _
ADDRESS
DESCRIPTION OF WORK ;
NEW ADD ALTER REPAIR DEMOLISH
T. NO.OF NO.OF �' G X 'T "'/'(-7 �T /-.,i--
•
SIZE STORIES FAMILIES
USE OF �t.`L O y1 v R3
STRUCTURE
adv iP� M
SIGNATURE OF
APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS I' // FOUNDATION:LOCATION - ..
FORMS,MATERIALS
VALUATION$ ®' � FRAME: FIRE STOPS,
BRACING,BOLTS ~ -'
P.C. PMT. FURNACE:LOCATION.
FEE $ I FEE $ GAS VENT,DUCTS _l / t! `�•+..,,,,,.
I HEREBY ACKNOWLEDGE AT I HAVE READ THIS AP- LATH.INT. g (G 1`Lyr.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS RE&LGUI INO QSfRUk. TION. LATH,EXT.
SIGNATURE OF J HOUSE NUMBER COR-
PERMITTEE 'RECT AND POSTED "yZ'G o
ADDRESS Ve� FINAL ,^.a.�...•
CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION ?K• M.D. CASH
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 0005020060
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 10558 LT: 35 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 5334 GLICKMAN AV
STRUCTURE: 45 1 VN R3 TEMP CA 917803328
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: OLIVE
8585-004-027 OTHER: 240 1 THOMAS PAGE: 5.97 GRID: B4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/02/00 UT 10/29/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
YEN;STEVE- (626)1+43--93-22- 1 9,500
5334 GLICKMAN AV
TEMP 917803328 �.. 1F�O FEES PAID DESCUPTION OF WORK
ENCLOSE PORCH TO BE PART OF DINING ROOM, CONVERT 1/2 BATH
!! FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TO 3/4 BATH, CHANGE FRONT WINDOWS (4) AND ENTRY DOORS,
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESI_D_.�- 7000.00 VAL 0.70 SPECIAL CONDITIONS:
AX BUILDING REVIEW—FEE— 54.70
B1 PLANCHECK!W/ENERGY��7000�=00 VAL 0.00
D2 PERMIT`.W/OfEN`'HC:=---- 9500 00'-VAL 216.60
CONTRACTOR: TEL. N0: �j�./� TOTAMFEES:�� 299.75 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NOS/j' w� LOCATION AND SETBACKS
!/ '(( y` SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: - d " '' ^f�� FOUNDATION/TRENCH FORMS
LIC. NQ:. 1
PL
SLAB/UNDER FLOOR
= RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP r r UNDERFLOOR INSULATION
3 b1=� ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:—
NO 21 \ j G�' ( J gym_ � ' ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS � y t , ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS �,r` U �''1
NO NO NO
i Llr` I FIRE DEPT. FRAME INSPECT
�tL�-'�`�.v
REQUIRED TOTAL SETBACK FROM EXIST �✓� BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: !�C
FRONT PL- SHEAR PANELS
SIDE PL- ��_--_
/ INSULATION/WEATHER STRIP
',7 /l s% /��� INTERIOR LATH/DRYWA
EXTERIOR LATH -
��FfJ . LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508 b4�nP �� �� ✓� ✓�„
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 0209300005
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 10558 LT: 35 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 5334 GLICKMAN AV
STRUCTURE: 45 1 VN R3 TEMP CA 917803328
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: OLIVE
8585-004-027 OTHER: 240 1 VN R3 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/30/02 JK 03/29/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY / CODE:
YEN;STEVE (626) 433-0322- 1 9,500 �I 16-03 1(1/
5334 GLICKMAN AV
TEMP 917803328 FEES PAID DESCRIPTION OF WORK
FINALIZE PERMIT#0005020060(ENCLOSE PORCH TO BE PART OF DININ
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RM;CONVERT 1/2BA TO 3/4BA,C/0 4WINDOWS&ENTRY DOORS,ADD PATIO
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 9500.00 VAL 0.70 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 9500.00 VAL 216.60 ��.0
TOTAL FEES 245.05 Gly% "�EJ�
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. N0: -I- SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: 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: UU
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
Y/off c�e��e,�7o, - 1 .q Cc4•1"�
l FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508