HomeMy Public PortalAbout5624 / 5628 GLICKMAN AVE_Building__ CITY OF TEMHE CITY
76AaaaA C]ESE036-54 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGET BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION L O C A L I T Y
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSXUP'T.OF 19UILDING CROSS 3T. J
UIS CT
Tfl GROU TY �E BY
FOR APPLICANTJO FILL IN , (J
BUILDING STATISTICAL C IFICATION SEWER MAP
ADDRESS CLASS NO. DWELL UNITS B PQ
LOT
BLOCK UDE ZONH MAF a
NO.
TRACT -/ SPECIAL
N0. OF ELDEE. CQNDITIQNS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING RLDO.
BLDG. SETBACK FROM
FRONT PROP. LIN[ OF (STR[[T)
OWNER _ NO.
T
YPEN6 -YARD
TOTAL
AD13RESS .. 624 Glickmu Temple Cit C.L.
CITY Temple City
O +
BLDG. S[T[ACK FROM
ARCHITECT OR TEL. SID[ PROP. LINE OF ■TR[[T
ENGINEER NO.
TYP[ OF [x1ETIXE 6[T6ACK HIGHWAY + YARD = TOTAL
ADDR SS HIGHWAY WIDTH FROM C.L. d
Lu Mfg. C;141�1 TE
CONTRACll.LtOR NO 26 181 + OV
ADDREiS337 S. Woods Ave. Lp 159496 CORNER CUTOFF YES NO O
CITY Los Angeles, 22 LID C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK h
Z_
NEW ADD ALTER REPAIR"' DEMOLISH
SQ,FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURH
reroof
SIGNATURE OF
APPLICANT
VALUATION$ 58aOC` APPROVALS DATE IN1P[CTOR'S EIENATUR[
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ FORMS, MATERIAL
FRAME, FIRE STOPS,
I HERESY ACKNOWLXDGE THAT I HAV[ READ THIS APPLICATION BRACING BOLT
AND STAT[ THAT THE ASOVX IS CORRECT AND AGR= TO COMPLY FURNACEI LOCATION
WITH ALL COUNTY ORDINANCES AND /TAT[ LAWS RKOULATI NO OAS VENT. DUCTS
•UILDIN0 CONSTRUCTION. I CKRTIFY THAT. IN DOING THK WORK
AUTHORIZED HERISY I WILL NOT ]EMPLOY ANY PIERSON IN VIOLA- LATH. INT.
TON OF THE LASOR COD[ OF TH[ STAT[ OF CALIFORNIA RKLAT.
ING T2&0 f1MT ON NSURANCL ATH. EXT.
SIONAT I CI 8� HOUSE NUMBER COR
PERMITTEE N
ADDRESS FINAL
^ JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CE= VALIDATION CK: M.D. CASH PERMIT VALIDATION M.O. CASH
3 � 86�SFEB26 11a 9.00— z
78A638A CE 8803 3-69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING r
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ,
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN D13TRICT o. a T T. PR Y
(PRINt OR TYPE ONLY)
BUILDING �j� n, STATISTICAL CLAS ICAT[ON 3E ER MAP
ADDRESS 5624 GliCkMRn-
CLASS N0. DWELL.UNITS BK PG
LOT NO. BLOCK USE ZONE MAP D
N0.
TRACT SPECIAL
N0. OF BLDGS. COND TIONS
SIZE OF LOT NOW ON LOT
USE T I R8 sideH oo
EXISTING BLDG. BLDG. SETBACK FROM
TEL.
FRONT PROPT INE OF (STT )
OWNER Jt9 N0. SBACK HIGHWAY + YARD TOTAL
ADDRESS %24 G iekmgn
H WAY WIDTH FROM C.L.
CITY Temple Cit + c
ARCHITECT OR TEL. BLDG.SETBACK F
ENGINEER N0. SIDE PROP. LINE OF (STREET)
TYPE OF EXLSTIS SETBACK H + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR N0. 263 51U —
ADDRESS 337 S. Woods Ave NO 159496 CORNER CUTOFF YES ❑ NO O
LICCITY Los Augeles� GA. 22 CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS I=
CONSTRUCTION LENDER 0
NAME AND BRANCH
ADDRESS
SQ. FT. NO. OF NO. OF ❑ Z
SIZE STORIES FAMILIES NEW
USE OF �e�de11� ADD ❑
STRUCTURE `
ALTER ❑
Riald Mfg, Go. REPAIR W
SIGNATTiRE OF DEMOL ❑
APPLICANT
J
VALUATION APPROVALS -DATE INSPKCTON'• 214NATUN[
P.C. PMT. M FOUNDATION: LOCATION
FEE $ FEES •W F ALS
NC
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,BOLTS
I
AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL THAT
AND LAWS REGULATING BUILDING CONSTRUC-
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE ATE OF ELIFCff&fl RkWjXG a ORKMEN'S COM-
PENSATION INSURANCE. jugs
LATH, EXT.
SIGNATURE OFQQ
PERMITTEE >l /JI A- _ HOUSE NUMBER CORRECT
ADDRESS 337 • Woods Ave, L• • AND POSTED
FINAL
JOHN F. LEWIS, PRI CI AL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
2 4 7 3 F,3 OCT 2 9 2 0 6.00-
" COUNTY OF LOS'ANGELE9 TEMPLE CTTY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WOR.S �,._ 9701 LAS TUNAS BUILDING PE ADD
Bft DING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 R 0508 0811ADD
PI-INE: (626) 285-0488 hTT:
170026
LEGAL ID:
NO. OF CONST NEN BUILDING ADDRESS:
ON FILE 9Q. FT STORIES TYPE OCCUP GROUP 5624 GLICKN9iN AV
STRUCTURE: 890 1 V-B R3 TEMP CA 917802710
ASSESSOR INFORMATION NUMBER: GARAGE: NEARFL4T CROSS STREET: LIVE OAK
8586-016-003 OTHER: 28 1 V-B U THOMAS PAGE: 597 GRID: D3 IACALITY: TEMPLE CITY, C
TE2UU?T: EZIST BLDG USE: USE ZONE: ISSUM ON: PROCESSED BY:
RYT T OCC GRP: 01/12/09 SR
OWNS: TEL. N0: BLaGS. NOW ON LOT: VALQATION: FPOLL DATF, FINAL BY: CODE:
WANG, GEORGE/AMY (626) 823-7968- 119,620
5624 GLICj2oMN AV
TEM[P'917802710 FEES PAID D&9CR-IPTIOA OF WORX
REAR ADDITION 2 NEW BEDROOMS, BATHROOM, FAMILY ROOM,
APPLICANT: TEL. 1`O FEE DESCRIPTION: QUANtI'ITY: UOM: AMOUNT: RELOCATE KITCHEN, NEW FRONT PORCH, REMDEL (BEZ
) BA OON{ AND
APPL,I
L = (626) 705-7998- 131 PLANCiECK W/ENERGY 119620.00 VAL 1,328.45 '
9080 NAVE AA LDN
G PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
EL M}NTETE, CCA A 91731 BAB STAT'S GREEN BLDG FEE 119620.00 VAL 7.50
AC STRONG MOTION RESID 119620.00 VAL 11.96
i B2 PERMIT W/EN FKTY 119620.00 VAL 1,562.88
CONTRACTOR: TEL. NO: - TIOTAL FEES 2,938.54 APPROVALS CT
DATE INSPECTOR SIGNATUREAMY S.. WANG (626) 823-7968-
P.O. BOZ 99 LIC. Nd LOCATION AND SETBACKS
WALNUT, CA 91788-0099 NONE /
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS
T AND W CONSULTING ENGINEERS (626) 288-0708-
1168 N. SAN GABRIEL BLVD. #N LIC. NO: SLAB ER FLOOR
ROSE?DAD, CA 91770 35693
A✓ a rou-, SED FLOOR FRAMING
MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CMP: ll ERFLOOR INSULATION
3 OO `�<
19 FLOOR SHEATH
NO. OF FAMILIES: L7WFTrTNf7 UNITS: APT/CON®: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS HAZARDOUS ROOF SHENTHIM
ASR QUALITY 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED T IAL SETBACK FROM EAST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
SHEAR PANELS
INSULATION WEATEiER STRIP
TAT'�'F'RTOR LATH DRYWALL
EXTERIOR LATH
LOT DRAJ206OR
SMOKE DETEC'T'ION DEVICES
FIRE DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE T'0: 1390508
COUNTY OF LOS ANGELES TEMPLE CITY t 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0902250022
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STOP= TYPE 5624 GLIC12QN AV
STRUCTURE: 1075 V-B TEP CA 917802710
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8586-016-003 TROWL.S PAGE: 597 GRID: B3 LOCALITY: TEIPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: SID BY:
EXIST OCC GAP: _ 02/25/09 SR
01QHEIt: TEL. 190: BLOCS. NOW ON LAT: VT.LiTATION: BY: CODE:
FANG, AMY (626) 823-7968- 6,800
5624 GLICKI4.N AV
TRAP 917802710 FEES PAID E�DIAITIR
PTI OF WORK
OFF REROOF WITH APHALT SHIRGLFS TO MATCH NEW
FEE DESCRIPTION: QUANTITY: QOM: AMOUNT: ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AB STATE GREEN BLDG FEE 6800.00 VAL 1.00 SPECIAL CONDITIONS:
AC STRONG MOTION RE9ID 6800.00 VAL 0.68
D2 PERMIT W/O EN-HC 6800.00 VAL 166.20
TOTAL FEES 195.63
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNT.TURE
SANE AS OWNER - -
LIC. NO LOCATION AND SETBACKS
.. SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDA=OIN TRENCH FORMS
LIC. 190: STAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIFE ZONE: CMI: UMDEMFLOOR INSULATION
15OH273 3 00
FLOOR SHEATHING
NO. OF FAMfTL. : D%T=]-NG UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHRATEEI G
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR Q@.LITY: 1000 FEET NATERI ALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRIN]= HANGERS
SST BACK YARD: HWY: PROP LI2IP: FDIJTH:
FRONT PL- INSU ATION WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYFALL
EXTERIOR LATH
RATED FLOOR CELL ASSEN.
RATED WALL ASSEMBLIRS
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAJNAGE
REPORT ID: DPP261 ROUTE TO: 1390508