HomeMy Public PortalAbout5570 GLICKMAN AVE_Building__ I
DiITMENT OF BUILDING AND SAFETY �nca APPLICATION
I IL D I N G
COUNTY OF LOS ANGELES
r WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGrr��1-� y r DISTRICT NO. QPLAN CK. NO. PERMIT NO.
��
ADDRESS J—J IQ I4' f /i1t.-/..�- V UO S8 '
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST. BUILDING J
ADDRESS
OWNER _ y
MAIL �) �!Z LOCALITY
ADDRESS /r Q c_Sr-n_ie. NEAREST
TEL. CROSS ST. c
Cc. C� t �o
CITY .�� r•�",� NO. 3O.I FIRE NO. OF TYPE - -7- GROUP-�
ARCHITECT OI1r T TEL.
ZONE PLANS I
ENGINEER V NO. BLDG. , -('%'r- - ''�i ORD. NO.
SETBACK LINE
ADDRESS APPROVED
-
TEL. BY 0 DATE
CONTRACTOR Cy���,-��`„ NO. USE APPROVED
., ZONE BY '" !/, DATE
ADDRESS
HOUSE NUMBERING
LEGAL
DESCRIPTI K I LOT NO. I BLOCK MAP NUMBER dG®� FIELD CHECK BY
TRACT NO. ASSIGNED BY-d- �TpATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT /Z 0 NOW ON LOT
USE OF I NO. OF (p
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK Z a
NEW I 4_- ALTERATION I I ADDITION I
REPAIR I I DEMOLITIONI I I 1.,
SQ. FT. NO. OF C .. Q
SIZE J ROOMS `+� STORIES Z
EXT. WALL ROOF
COVERING '/I_ '< I COVERINGf
USE OF STRUCTURE
f. REouEsT MAP
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDI G CONSTRUCTION. /--� FURNACE: LOCATION,
SIGNATURE OF G""L J,r J'�U GAS VENT, DUCTS
PERMITTE (�� ��}}�•� '��C
A 659 / 0
DDRES ' yJ (O LATH, INT.
' • LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76A636A DBS3 10-50P. C. !Q
® O O FEE l --- PLASTER, EXT,
_ J
VALUATION - _ FEE ~)( ~ FINAL
yt� y ��roNLa,RAT1oN. ':
heir ' ° "fi • of ins s t° , APPLICATION FOR BUILDING PERMIT
Irtiluro�or a Certificate of Workeni Compensation Insyronce,
or a certtfled copy thereof (SPS.'3800,"Lab_,Q. -
COUNTY OF.LOS ANGELES_.- BUILDING ANP SAFETY
Policy Nb.T_Company
❑ Certified:copy u hereby fumhhed. FOR AMICANT TO FILL IN ppm
❑ Certified copy b filed with the county building Inspec- IIDING
Non department. ADDRESS
Date- Appllcartt CTY' U ZIP 1 p v �17Y
NO. OF BLDG&
CERTIFICATE OF EXEMPTION FRO04 WORKERS S SIZE OF f NOW ON LOT C2o55 ST.
COMPENSSATION INSURANCI: ASSESSOR
tThls section need'-not be com leted ff the permit is for one T1�f OCC LOT NO. AMP BOOK PAGE PARCEL
hundred doll�,h ($100)q�,Iess.7
01hR ER USE ZONE
I,certlfy that In the•performance.of the work for which this I
SPEC
permit,fs.Issued, I shall fwt employ any p radn In any mariner ADDRl;SS :
COMMONS
w to become.subject to the Workars ComLAL
perisatlon Laws Q
CTTY
Applicant ARCHITECT OR TEL
C1,TO-APPLICANT: If, after klrig th C*th9cote ENGi►�t NO. 3 CONST. ZONE
Exemption, you,*hould become subject to the Workers' D TYPE � O,
Co mpentlptfon,proJlslons of the Labdr Code, you must forth- ADDRESS
with comply with such ,proylslons.or'thb-permit #mll be STATISTICAL
deemed revoked - CONTRACTOR TPN _ AFT. COf�O.
CLASS NO. UNITS
UCENSE,p COtJI'RACTORS D6Q:ARATION . , _ No.
I hereby affirm that I am licensed under provisions ofpte*9 AMP
ucSEWER
(commerxing with Section 7000}of Division 3'of the Business -
ond Professions Code,and my license is In full farce,and:effect. CITY �`M BK � VALIDATION
SC, FT. NO.OF NO. Of a�ac
License Number' `LIc. clan T� SIZE. STORES FAMILIES. ONE
VALUATFON
Contractor _Date DESCRIPTION OF WORK NEw' ❑
❑I-Qm'exempt under Sec l Am
�t�LTER-: ❑ ►
6.BP.C. for this rgason ; .
REPAIR _.
EXISTING BLDG. DEMflI ❑
Slgnatun TEL _.. _ .t FlNAt _
OWNER-BUILDER DiC1ARATIONNT) NO- DAT9
I hereby affirm that I am exempt from the Contractor's License
Law for the following rehson (Sec�lori`7031.5, Business and ADDRESS '
Professions Code):.
❑ I, as eT of the, o or rn em I with BUILDING `
oY+r1 prop", Y P oYeM ADDRESS i, �.` ,`...pr1� . ` �� ,.. .'• .
wages as thelrsole compensation;wIN do the work-and
the structure Is not Intended or offered far sale(Section LOCALITY I a' 7 `k: .�t 7 134■25
-7044, Business and'Profpsslona Code,) M0V1NG TEL-
1, -
. as owner of the property,am exclusively contracting CONTRACTOR, NO. _ )' } '`;
with licensed contractors to construct the project.(Sec- A _ ` -a
tion 7044, Businea and Profamlons Code.) �{� y.
-CONS7Rl1CTIO1iLENbINGAGENCY YARD ENVY FROM.. DUST. '- - �' LiL�rK" 134■25
I hereby affirm that there Is a constmctfoh lending agency for ' FRONT- ,J
00
the performance of the work for which this permit W Issued P.L - - •
(Sec 3047, Clv. C.). SIDE ,
Lender's Name 11L11.lLl-W1J1 64.-9/89
LDMA.Rif. k
P.C. Fee Perm It Fee i � rlr]!! 1 rf I tV=I "
Lenders Address.
I certify that I have read this apphcation and state that the Issuance Fee U LDMA P/C f
above Information Is correct. I agree to comply with all County Inveaigatlon Fee.
ordinances and State laws relatl,ng to building construction, Taal Fee 3 , LDMA Perin.` y,
and hereby authorize representatives of this County to enter_
opo the above-mentioned property for Inspection purposes. 4 . _ , � - �^�- ., r•
�a $ a.. Ito QVFOR DT~TORY r♦NG!sGA.
Sip of Applloo nt JIU—
D6W
WORKEI25' COMPENSATION DECLARATION
1 htreby affirm that I have.a.certificate of coWnt:to »ff- APPLICATION .FOR BUILDING PERMIT'
In1urk or a cerllfltate of Workers' Compprugtlon-Insurance,
or-a Certified copy.thereof (Sec00',38Lab; G)
. COUNTY OF LOS ANG LCJILDING AND f/U'ECY
Polley Gompdoy,
n iT— ILD14JG' t
irltfied,cop'y as her pby.fymished:.. FOR-APPLICANT TO FILL 1N
0 Certtded co�Is filed with the county buiWinglraprac- BUILDING '
tion,department. .
date- r •Appllcant Z1F f4 v LOCALITY
F1CATIjI OF PtEfV1PTION FPOM W0MiF6' - bi.LOT NOW ON LOT - CROSS ST.
COMPQNSATION INSURMIKT; .
(Thlssedloa,need hot be const leted tf the permit li fbr one. T tJ0 600K PAGE' PARCET
hundrbddolldrs (;100) or'ja*L)
I certify that in the drmo, , ,, , , woFlcJfor Jvhlth this G ZOO MAP
'—
permlYls litsued,.l ingll ndt employanypqrsbrt In any manner - ` D sPEaAt
so da ONS
to become sublect to,the Workers'Comparuatlon.Laws
ZIP
[,clot l ARCHITECT:OR .. TEL r DI ICT 'P TYPE FIFA BY 0.-
No.aCANf: If;:after. . n9` this Ificdrte NO.' " ' - OY
T. ZONE'
Exemptl n, you, ould; become subject to a °Wbrluwv
Cbmpen*Mlon prbvltlora df•the Labor Cbde,.you must fgrth -– - Ami _
wlt� eompky with, sCich. im.
Kgvlilons o! thla,pgr{nIt &Rall. be TEL STATZTICAL CLASSI TFON APT_ . .COtNDO Z
degmed revoked.'. NO. :
LICENSED CONTRACTORS DECLARATION, 'ADDRESS
UC Ci45s tJO. UNITS
�� �.
••�hereby•affimr that I aAt Jlcensed under provtsloht.of.C}ibQter�� � -
(c9mm ndng with Section 7000)of Division 3 of the Business, sEY�ER
and Pro�lore��Code,dnd my license Is In-fvjl fgr4eartdeffect. _ CITY' CLASS.Qe PG.
VALIPAT�ON"
Ucense NumberLIc.;Clem 7 SIZSMFJLS FAMILIES ONE ,
VALUATION
CanTracfor DESCRIPTION OF WORK NEW El. rw:00
E 41
ElI bm•exempt under Sbc .
`� - _ ALTER. -
B.$P.C_for this reaso.^ ' REPAIR ;_
Dots: USE OFbasTi. pup-- DEMOI D
519n ro ::.
MR.]QW TEL
FWAI
OWNF zILDEk DECLARA-noN DATE
I hereby afflr4q thdt I bm exempt from the Contrador`s License -
Law fbr the following reason•{Sectlon 703:1,5;Business and °� FI ±"
] i
'. . frofes[lons Cade);
BUILDING
dwnw of fhe property, or my employees with ADDRfS$ ' VOID ._ .
wogeaas their sole-cbmpenrptlba;will do the Work and - LOCAtm
•L
e'
the I I _
e striicturo Isnot In�J�'o fbr a Seth on•
. �• 7044, Bualnas and Professloru Coc{e:) .. .
/ OW .OR NO- 1
i, asownbfofthe property,am,Oxduslvely.contractlnQ _'. .. �
with Ilcenabd contractor+ to cpnmud-thb project (Sec- – r' __ rL/}l.t
tion 7044, t,sxInesa And P4'oi'ess[ana C000.). r
CONSTf2UC110N LBJDING 4LfCY YAM). FIWY !OIAIA&V FROM
T L24.
I heroby affirm.4hd4 there-I}a constroctlon,lendlN gQbncy for `
the prmance of the work for which this permit Is IssUad
erfoITM .
(seg, 3097, Civ.C;7, /�T�OT/�AyyL 12�r��+�L�pppp
L"pr`s'Nbme� 1iCL4R JiTrGCr
IBMA-Re4. t
n P:c Permit Fee
t_andees Address'
1 certify that I fwve read Thli; gpplloatlon a(�d state that the _ t:ua„c. i LDMA P/C t ►
aboyelnform¢t1pnIscogqd.'Va.gr"tocomply*IthaIrCop nty ." lnwstlpatlon- {�
ordlnarlCes and Slate knvs nlgtlnp to bulldlnq coltsiruGtlbn, Tonal Fee V LDMA Parm'!t ( – � 8/29/,89
and herepy authbrlYe reprbsentativbs df this County to emir
U n thb above-meqtloned property for.Irmpectlbn pbrpbees 1 AM 8_50.
fg
1MVIIIII111M MO;iJU`LAllAT011Y LA�. . _ f
nature ofAt
tcaM or 'I l
COUNTY OF LOS A7w'7r<LE.9 TE24PLE CITY 0508 BUILDING PERMIT
DEPARTMSENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - BL 0508 0902100037
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRFSS:
ON FILE SQ. FT STORIES TYPE 5570 GLICKMAN AV
STRUCTURE: 2400 V-B TE14P CA 917802709
AB9E9SOR INFORMATION NUMBE02: NEAREST. GR099:9'fl=: HOGUE
8586-016-012 THOMAS PAGE- 597 GRID: B3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REDID USE PANE: R-1 ISSUED ON: PROCESSED BY:
=ST OCC GRP: 02/10/09 SR
OWNER: TED:,. NO: BLDG9. NOW ON LOT: VALUATION: FINAL BATE F BY: CODE:
YAIMAGUCFII, JOHN J (626) 941-6011- 4,000
5570 GLIC134AN AV
TE4P 917802709 FEFS PAID DESCRIPTION OF1 NORM
TEAR OFF AND REROOF WITH COMPOSITION SHINGLaS
FEE DESCRIPTION: QQANTTTY: UGH: AMOUNT:
APPLICANT: TEL. 190:
JAVIER RDMdO (626) 230-6974- AA BLDG PERMIT ISSUANCE 27.75
AB STATE GREEN BLDG FEE 4000.00 VAL 1.00 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 4000.00 VAL 0.50
TOTAL FEES 145.05
CONTRACTOR; TEL. NO: APPROVALS DATE INSPRCTOR SIGNATURE
CIB CONSTRUCTION (310) 384-9352-
12930 BEES AVENUE LIC. NO LOCATION AND SETBACKS
BALDWIN PARK, CA 91706 821970
SOILS E0GTVRRP APPROVAL
ARCHITECT OR ENG TEL. NO: FOUNDATION TRENCH FORMS
- I _
LIC. NO: SLAB UNDRR FLOOR
RAISED FLOOR FRAYffNG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDkRFLOOR INSULATION
147H273 3 00
FLOOR SHEATHING
NO. OF FAMIL `S: DWELLING UNITS: APT CON D: STAT CLASS:
NO 21 ROOF SHEATHING
i
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QTD.LIT'Y: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM RXT9T FIRE 9PRTNT�rER HANGERS
SET BACb YARD: HWY: PROP LIMIE: WIDTH:
FRONT PL- IN91,TI?.TION WEATHER STRIP
SIDE PL-
INTERIOR LKTE DRYWALL
KKTERIOR LATH
RATED FLOOR (-= ASSEM.
RATED WALL ASSEMBLIES
RATEb SFmF'T9 OPENINGS
T-BAR CEIJMS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: B90508
J
C0UNTY OF L0S ANGELES T 2CPLE CITY M 0508 BUILDING PERMIT
DEPARTS TT OF PUBLIC STORKS 9701 LAS TONAS ALTERATION/REPAIR
HULLOING AND SAFE'T'Y / LAMID DEVELOPMENT TE3G LE CITY CA 91780 BL 0508 1106220024
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BDIIa ING ADERRSS:
ON FILE SQ. FT STORIES TYPE 5570 GLIC134AN AV
STRDCTURE: V-B TEMP CA 917802709
ASSESSOR INFORMATION NUMBER: NYAREST CROSS STREET: ROQUE
8586-016-012 THO69A9 PAGE: 597 GRID: B3 LOCAL TY: TII4PLE CITY CA
TENANT: =AT BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROcFS9ED BY:
ED= OCC GRP: 06/22/11 SR
OMNER: TEL. NO: BLOB. NOW ON IAT: VALUATION: F DATE Fir• BY: CODE:
TAMU63U= JOHN IKAZDID (626) 941-6011- 1 6,000
5570 GLICI4NAN AV
TEMP 917802709 FEES PAID PTI OF WORK
STUCCO ON WMS'T SIDE 40FT317 - 2808Q FT 2 FIS 4 3 SLIDING
FEE DESCRIPTION: QUANTITY: DOGS: AMOUNT: DOORS 4 10 W-12ZDOWS
APPLICANT: TEL. NO:
GREMTVALUE CONSTRUCTION (626) 617-1824- AA BLDG PERMIT ISSUANCE 27.80
1009 COWfllA HII-IS RD AB STATE GREEN BLDG FEE 6000.00 VAL 1.00 SPECIAL CONDITIONS:
COVINA CA 91724 AC STRONG MOTION RESID 6000.00 VAL 0.60
D2 PERMIT W/O EN-HC 6000.00 VAL 149.70
TOTAL FERS 179.10
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
Ggma VALUE CONSTRUCTION (626) 617-1824-
1009 COVINA HITT-S RD LIC. NO LOCATION AND 9ETBAZKS
COVINA CA 91724 483800
SOILS ENGII=R APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDA'T'ION TRFNC'H FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAbEENG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Com: UNDERFLOOR INSULATION
15OH273 3 00
FLOOR SHEATHING
NO. OF FAMILIES: DMEIJ-TNG UNITS: APT/GOND: STAT CLASS:
0 NO 21 ROOF SHRATH.ING
SCHOOL WTTH221 HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRINKLER HANGERS
INSULATION WEATHER STRIP
INTERIOR LATH DSZYNALL
EXTERIOR LATH
RATED FLOOR/CEFL ASSEM.
RATED WALL ASSEMBT,
RATED SHkFT9 OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: B90508