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Home My Public Portal About5337 GLICKMAN AVE_Building__ -, APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) .r. , COUNTY OF LOS ANGELES A oRFss� L/ DEPARTMENT OF COUNTY ENGINEER CITY Pz zIP 07/ 7 ka BUILDING AND SAFETY DIVISION N ,OF BLOCS. -- BUILDING 5 -- ZE OF//LO' r L" NOW ON LOT �=-�. ADDRESS / TRACT /, BLOCK LOT NO LOCALITY TEL. NEAREST OWNER ;i `/ , i NO. j I1 CROSS ST. ASSESSOR ADDRESS _:+ •J �. .• � k .ft ?C' }( MAF BOOK PAGE PARCEL _ ^� DISTRICT GROUP TYPE FIRE PROCESSED BY CI TY7r •, l L i / - ZIP /Y �%' '- - CONST ZONE { ARCHITECT OR TEL. ENGINEER �' NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO,-r DWELL•UNITS BK PG CONTRACTOR .:.v,•\: M" NOL USE ZONE MAP LIC. NO. ✓ ADDRESS NO. t SPECIAL CITY LIC. CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO❑ r CONSTRUCTION LENDER °-' NAME AND BRANCH BLDG.SETBACK FROM C-.') FRONT PROP.LINE OF--__ 'STREET, W ADDRESS CITY - HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING Ll - NO.FT '' NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK + - Q CC NEW ❑ C) BLDG.SETBACK FROM '�c'1•� C `1 T,.1 f /� j S F ADD ❑ SIDE PROP.LINE OF 'STREET w ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROMTYPE OF EXIST N, ~ EPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF } _ EXISTING BLDG. DEMOL ❑ APPLICANT TEL.. - CORNER CUTOFF YES C] NO ❑ (PRINT) ,/•�' 1 NO.; i BY (SIGNATURE),., -yIN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ j i r 4 �r CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED—(DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED---(DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF/... PERMITTEE -�•- r ADDRESS '� ,• - FINAL B TE L. CITY NO DATE MAKE (J/CCKN /1A)IA131,k 10: Q PMT. FEE FEE J HARVEY P.C. $T. BRANDY. COUNTY ENGINEER PLAN CHECK VALIDATION c, M I, ASI) _ PERMIT VALIDATION M 76A638A CEn803 7/73 OBS-3 25M SETS 2-46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT CWWN11: OF LOS ANGELES B U I L p I N GWM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING - DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS . ,_. _ LOCALITY 2 `•`I L- `-( 7 RECEIVED BY DATE OF APPL. DAATIE ISSUED NEAREST BUILDING .i _ OWNER , I N l" 5�C _ADDRESS MAIL I • ADDRESS S- 7 Q �, ✓V r1 J/�(��O/V�I l� LOCALITY �.�+.-�.- .��,/ .4 -,-L.i.,.•f NEAREST _ r •� L %�.'�,�� NOL � (- CROSS ST. CITY ....C._--C.....:(,.....,. .�._, 7S 7/r FIREO.OF TYPE �f GROUP N ARCHITECT OR r TEL. ZONE I PLANS ( Y ENGINEER '� ��-(' NO. Y ' BLDG. ORD. NO. ADDRESS _SETBACK LINE TEL. APPROVED --------------------------- CONTRACTOR .� F. L NO, BY DATE USE APPROVED ADDRESS _ ZONE BY DATE LEGAL DESCRIPTION I LOT NO. r BLOCK CORRECTIONS --TRACT lo S l 2NO. OF SIZE OF LOT /lJ Q NOW ONBLOT8. _ USE OF NO.OF NO. Or EXISTING BLDG. '.y ' I FAMILIES I ROOMS DESCRIPTION OF WORK r NEW ALTERATION ADDITION —__— A O REPAIR MOVING DEMOLISH Q- �to-• _ _ _ - - ..-�" 90. FT. L NO.OF SIZE ROOMS STORIES 'x,.4-46 /i'� C _ > --- - r WALLROOF COVERING C_(,r b I COVERING - USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS _ APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CDNSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF _BRACING. BOLTS OWNER LATH. INT.: AUTHORIZED AOT LATH, EXT.: P. C. $ PLASTER, INT. ` FEE PLASTER, EXT. '1 - VALUATION � � S ^ FEE ` FINAL APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type Only) 6U1LIDI �., COUNTY OF LOS ANGELES ADDRESS .r.a•_.�„ _ �L DEPARTMENT OF COUNTY ENGINEER CITv zIP 7 SU BUILDING AND SAFETY DIVISION r .OF BLDGS. / BUILDING •� SIZE OF LOT GaU [1 NOW ON LOT f-q ADDRESS TRACT d BLOCK I LOT NO. LOCALITY OWNER rp3/Y L,{/L/YOL T 2 031 CRO SEST ST. _ l .Jti ;c k ASSESSOR ADDRESS 3 3 6e; Yf Kl MAP BOOK PAGE PARCEL / DISTRICT GROUP TYPE FIRE Er SED BY CITY c% ZIP / 0 (f ^,..� CONST. ZONE 1 ARCHITECT ORn HEEL. OO ENGINEER �•�- �/G 2_ STATISTICAL CLASSIFICATION SEWER dAP ADDRESS CLASS Nq.,.�OWELL,UNITS BK PG TEL. hq CONTRACTOR �t,!/ - _ NO USE ZONE NOP V IMA LIC. SPECIAL ADDRESS NO. vt. CONDITIONS CITY LIC. 111 CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑ CONSTRUCTION LENDER �- NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF -(STREET) V ADDRESS . CITY _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY } YARD - CC SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH CD SIZE STORIES FAMILIES ONE �) v LLJ DESCRIPTION OF WORK �' ,� NEW ❑ } CL �C) J �7- _ ADD Elg OE PROP.L NE OFLDG.SETBACK FROM (STREET) Z / ALTER ❑ HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING .L-/VZA.I OCTj /• /r /vo SIDE PROP. LINE REPAIRHIGAiWAY WIDTH ❑ USE OF DEMOL ❑ } _� EXISTING BLDG, APPLICANT e` `, .TEOL� 1 CORNER CUTOFF YES ❑ NO ❑ (PRINT) `L D BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ v(/ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNkD (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TFIN LABOR CODE OF THE STATE OF CALIFORNIA IN REL G yy7WORKMEN'S COMPEN ATION I SU NCE. I{'f-/,/ ,f ,�I.SIGNA'T'URE OPERMITTEEADDRESS � P BYTEL.CITY NO.MAKE (_IIECKS !'AYABLE TOr FMT.2 FEE $ HARVEY T. EIRANDT. COUNTY ENGINEER l� r / PLAN CHECK VALIDATION CK M 0. CASH _ PERMIT VALIDATION CK. ' M O CASH 2 9 C-MAY 21 1 U 1 5.0 U •`c, 76A638A CE#803 7/23 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 1105110029 PHONE: (626) 285-0488 EXT: ILEGAL ID: I .NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 10558 U14: .004 I SQ. FT STORIES TYPE OCCUP GROUPI 5337 GLICKMAN AV I I ISTRUCTURE: 348 1 V-B R3 I TEMP CA 917803330 I (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: LANDSEER 18585-002-019 I OTHER: 49 1 V-B U I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I I (EXIST OCC GRP: 102/06/12 SR I 1OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FSNAL DATE FI AL BY: CODE: I AL, ADRIAN (626) 476-5999- 1 75,680 15337 GLICKMAN AVE. I I ' �, 1� ITEMPLE CITY CA 91780 FEES PAID IDESC IPTION OF WORK 9I (ADDITION + LEGALIZATION NEW FAMILY ROOM, DINING ROOM, GUEST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISTUDY ROOM, INTERIOR REMODEL 289 SQFT KITCHEN AND FAMILY JAPPLICANT: TEL. NO: I IROOM AND PORCH 1 ILIU, MICHAEL (213) 928-7746- IBI PLANCHECK W/ENERGY 75680.00 VAL 988.20 1 1 12550 W. MAIN STREET 1AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 IALHAMBRA CA 91801 IAB STATE GREEN BLDG FEE 75680.00 VAL 4.00 1 1 1 IAC STRONG MOTION RESID 75680.00 VAL 7.60 I 1 JB2 PERMIT W/ENERGY 75680.00 VAL 1,162.60 J 1 ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.30 JAPPROVALS DATE INSPECTOR SIGNATURE 1 IPALACE CONSTRUCTION INC. (626) 552-1655- I TOTAL FEES 2,291.50 1 1 117078 COLIMA ROAD #317 LIC. NO I ILOCATION AND SETBACKS I I IHACIENDA HEIGHTS, CA 91745 383572E 1 I �� I 1 1 ISOILS ENGINEER APPROVAL I 1 I JARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I ILAM, GARY (626) 588-8615- I 1 I 12550 W. MAIN ST., #211 LIC. NO: I ISLAB/UNDER FLOOR All CIO I I 1ALHAMBRA, CA 91801 NONE I I 1-1 I 1 1 IRAISED FLOOR FRAMING I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J JUNDERFLOOR INSULATION I I 3 001 1 1-1 I 11ST LEVEL FLOOR SHEATH I I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I 1 SCHOOL WITHIN HAZARDOUS J (ROOF SHEATHING I I I JAIR QUALITY: 1000 FEET MATERIALS 1 I I NO NO NO I IFIRE DEPT. FRAME INSPECT J _ JBLDG DEPT. FRAME INSPECTq J✓il`1I, I 1 I SHEAR PANELS I l LI1' I I 11NSULATION/WEATHER STRIP( I 1 I 11NTERIOR LATH/DRYWALL 1 EXTERIOR LATH I ILOT DRAINAGE I I 1 I ISMOKE DETECTION DEVICES I J I IFIRE DEPARTMENT APPROVAL( I I I I . I 1* ADDITIONAL DATA ON FILE I I I I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 I I I I I I I 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 1006210047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 10558 UN: .004 SQ. FT STORIES TYPE 1 5337 GLICKMAN AV 1 STRUCTURE: 1250 V-B TEMP CA 917803330 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18585-002-019 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 106/21/10 SR 10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL ,D,ATR7-D FINAL BY: CODE: TWANG, CHENEY Y (626) 279-9758- 1 4,400 5337 GLICKMAN AVE �') /�"" ` _ I ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF WORK I (TEAR OFF AND REROOF MAIN HOUSE WITH ASPHALT SHINGLES AND IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IPLYWOOD I (APPLICANT: TEL. NO: I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I 1 IAB STATE GREEN BLDG FEE 4400.00 VAL 1.00 ISPECIAL CONDITIONS: I 1 IAC STRONG MOTION RESID 4400.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 4400.00 VAL 132.60 IFR INV WORK W/O PERMIT 128.50 DOL 128.50 I ICONTRACTOR: TEL. NO: I TOTAL FEES 290.35 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I LIC. NO I ILOCATION AND SETBACKS I ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: I (SLAB/UNDER FLOOR I I I I I I I I I I (RAISED FLOOR FRAMING I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I I147H273 3 OOI I 11 I I I IFLOOR SHEATHING I I I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- I I I NO 21 I IROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO 1 IFRAME INSPECTION I I I I I I I I I IFIRE SPRINKLER HANGERS I I I I I I I I I (INSULATION/WEATHER STRIPI I I I I I I I I I _I (INTERIOR LATH/DRYWALL I I I I I I I I I IEXTERIOR LATH I I I I I I I I IRATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I I RATED SHAFTS/OPENINGS I I I I I I I I I IT-BAR CEILINGS I I I I I I I I I I I ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I ` V ORKERS',C DMPP,�ti 10N DEQiARATION Ihereby affirm that I have a cgs ccyt,:nof�consent to.selfI .inspre, or a certificate pf Workers Com nsation Insurance, A P P L CATI ON F OR BUILDING PERMIT or certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF-LOS-ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified co is hereby furnished. -FOR APPLICANT TO FILL IN BUILDING Py' y ADDRESS -7 ADDRESS t J ❑ Certified copy is filed with the county building inspeBUILDING c- �? 40 Chpq/7 Vie;' tion department. ADDRESS /' ( /} Date Applicant CITY fe.%Y� ` ZIP `7U °+ LOCALIT NO. OF BLDGS. NEAREST r CERTIFICATE OF EXEMPTION FROM.WORKERS' SIZE OF LOT u t,, /r U NOW ON LOT — CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the,permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL _ ,hundred-dollars ($1b0)'or less.) y �� TEL 7- !'t`� OWNER G� )IU✓ILCJYd )U I N L Ur7 USE ZONE MAF _' /� I•certify that in the performance of The work for which this NO. permit is issued, I,sha.11 not employ any person in any manner ADDRESS �� SPECIAL C- 4 CONDITIONSCL so as to become subject to the Workers' Compensation Laws. q f�f O CITY Dl'V [O ZIP �uU l'� U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making .This Certificate of ENGINEER NO. — CONST: ZONE k/^� O0 Exemption, you .should become subject to the Workers' a ( �_-''/� w Compensation provisions of the Labor Code, you must forth- ADDRESS. with comply with such,provisions or this permit shall be - TEL.. STATISTICAL CLASSIFICATION APT. CONDOZ . N .deemed revoked. • CONTRACTOR NO. _ LICENSED CONTRACTORS DECLARATION ,.. LIC. CLASS NO. DWELL. UNITS I hereby affirm that'I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section.7000)of Division.3 oftheBusiness LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION., SQ: FT.g]�, NO. OF NO. OF CHECK License Number. Lie. Class SIZE STORIES FAMILIES . ONE r - VALUATION Contractor Date DESCRIPTION OF WORK � � NEW -�❑¢ C ,_.�,D ❑I am exempt under Sec. �/i1 f FY�i ADD c , ALTER krV B.&P.C. for this reason-' REPAIR ❑ S USE OF v Ddte: EXISTING BLDG. °2' DEMOL F-1 < APPLICANT n �� TE Signature FIN Aliq OWNER-BUILDER DECLARATION. (PRINT), �C" Cbz � DATE I hereby affirm that Wm exempt from the Contractor's License i Law for the following reason (Section 7031.5, Business and ADDRESS FINA s Professions Code): PRESENT a By �t•t• a BUDING ' ILNiTr• o•a' ❑ I, as owner of the property, or my employees with ADDRESS j' 25 "wages as their sole compensation,will'do the work and t? 251 o 5 the structure is not intended or offered for'sale(Section LOCALITY pop f 7044; Business and:Professions Code.),. MOVING" --" TEL. ITU I, as owner of The" ro erT am exclusive) contractin CONTRACTOR NO. with licensed-contractors T construct the project (Sec "-'TI-;TA -215 1 m 5 1 ADDRESS ` tion 7044, Business and Professions Code:) `5 a • REQUIRED TOTAL SETBACK-FROM EXIST. t CHEZ K i:'�e+t+ CONSTRUCTION LENDING AGENCY SET BACK' YARD `HWY _PROP. LINE WIDTH t,t I hereby affirm that,there is a construction lending.agencyfor FRONT ` : r-`A tGE the performance of the work for which this permit.is issued P.L. / (Sec.-3097, Civ. C.). SIDE , P.L. Lender's'Name, tl t�l�l_ i1r i ;;7 ?,!kr m LDMA Ref. # -'-- :il.a an=_3 P.C.Fee$ Permit Fee dt;rl1 i ; t j :C Lender's Address I certify that I ha'v'e read this application and state that the Issuance Fee P/C# 8 above information is.correct: I agree to comply with all County Investigation Fee N ordinances and State laws relating'to"building.construction, I Total Fee / ° / LDMA Perm. # a and hereby authorize re resentatives of this.County to enter upon b e-mentiod priTn-Rrty for inspection purposes. ~" SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ofAIzCplieant or Agent Date"