HomeMy Public PortalAbout5343 GLICKMAN AVE_Building__ CE#803(REV.11/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
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FOR APPLICANT TO FILL IN BUILDING
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NO.OF BLDGS. ASSESSOR
SIZE OF LOT�(�/ NOW ON LOT / MAP BOOK PAGE PARCEL
TRACT (/J� BLOCK LOT NO.(52-6 DISTRICT GROUP TYPE FIRE PROCESSED BY
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ENGINEER NO.
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BY(SIGNA4 >
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE V 2 ° - 21,60
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 6=7 0 0 0 `� 1,6 O U
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY: P SON IN VIOLATION OF
THE LABOR CODE OF STATE OF CALIFORNIA`IN REL T TO WORKMEN'S COM- Z
PENSATION I' CE' g 0 6 0 4—8 0
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SIGNA6RE O_. 0 6 1,6 A
PERMITTEE
ADDRESS V o 0 Z 0 0 0 1
TEL. 0 2 0 0 3 (I 0 0,
CITY
0 o a 3 ,006
P.C. Fee$ Permit Fee 0 5.0 4'=8 0
Issuance Fee 7 W
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Total Fee ���
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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 1306030062
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: 1
ITR: 10558 IT: 26 UN: .002 I SQ. FT STORIES TYPE - 1 5343 GLICKMAN AV 1
I (STRUCTURE: 1650 V-B I TEMP CA 917803330 1
ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: LIVE OAK
18585-002-018 1 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
(EXIST OCC GRP: 106/03/13 SR
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF .1AL DATE FINAL BY: CODE: 1
IVON MOOS ALBERT A;ALICE TRS (626) 444-4732- 1 9,200
15343 GLICKMAN AV I 1 T `fi
ITEMP 917803330 I FEES PAID 1IMSCRIPTIOW OF WORK I1
I I ITEAR OFF OLD ROOFING INSTALL RADIANT ARRIER OVER ENTIRE 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IDECK NEW CLASS "A" FIBERGLASS SHINGLES 1
1APPLICANT: TEL. NO: I I I
ICOACH, RICK (818) 970-4081- 1AA BLDG PERMIT ISSUANCE 27.80 1 I
11126 KATHERINE RD IAB STATE GREEN BLDG FEE 9200.00 VAL 1.00 ISPECIAL CONDITIONS: 1
ISIMI VALLEY CA 93063 IAC STRONG MOTION RESID 9200.00 VAL 0.90 1
ID2 PERMIT W/O EN-HC 9200.00 VAL 216.60 1
1 TOTAL FEES 246.30 J_ 1
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(UNITED ROOFING CO (323) 223-4081- 1 1
11821 DALY STREET LIC. NO 1 ILOCATION AND SETBACKS I I I
ILOS ANGELES CA 90031 137650 1 1 I I I
I I ISOILS ENGINEER APPROVAL I I I
ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I
LIC. NO: 1 ISL .B/UNDER FLOOR
I I I
I I (RAISED FLOOR FRAMING 1 1
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I
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3 -001 (FLOOR SHEATHING 1 I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 1
1 NO 21 1 IROOF SHEATHING I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I
(AIR QUALITY: 1000 FEET MATERIALS I I
1 NO NO NO I IFRAME INSPECTION
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I I (FIRE SPRINKLER HANGERS I I
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I (INSULATION/WEATHER STRIPI II
11NTERIOR LATH/DRYWALL 1 I I
I I
I 1 1EXTERIOR LATH
I I I
IRATED FLOOR/CEIL ASSEM. 1
I 1 IRATED WALL ASSEMBLIES 1
I I I
IRATED SHAFTS/OPENINGS 1 I I
I I I
I I 1T-BAR CEILINGS I
I* ADDITIONAL DATA ON FILE
I ILOT DRAINAGE I I I
1REPORT ID: DPR261 ROUTE TO: 2S0508
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