Loading...
HomeMy Public PortalAbout5640 GLICKMAN AVE_Building__ _ . APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BLEJ)M ADDRESS WORKER'S COMPENSATION DECL4RAT10N }� I hereby affirm that I have a certlfloate of consent to self Mare, 1 �of' / or a certificate of Workers' Compensatbn LrIeurance,or a certlfied L copy thereof(Sec.3800, .C. Lab ) C` LOCJu�FY Pof� No �rTY WE OF LOT NOeL.OF Bt. !.9.NOW ON LOT Elhed Cert!W copy IS hereby Tumis . � NEAREST CROSS ST. ❑ Cw-Med copy IS flied wfth the oounty bulldbV Irapbotion TRACTBLOCK LOT NO L USE Il�tE MAP NO. a Date ppprnt A88E88OR MAP BOOK PAGE SPE(',LAl.COtDfTFON6 CERTIFICATE OF EXEMPTION SROM WORKERS' R� )J TEL 40. `- COMPENSATION INSURANCE (` wm N t"FT OF BCr-OX YES NO AIM(This section need not be conpiste i If the permit Is for one hundred (J d t D*7pCf Z— become TYPE CONST. FRE IDLE BY dollars($t00) or ba&) 'iL IIP I certify that in the performance of the work for which thea permit �Gti CL ' to�b Issued, I etialltprot employ arty person In arty manner ee'tor� Nbrksre Compensation `0 �4{d�Y TEL NO L`1`'L�l SD4t9T1('11 APT CONDO Date t ADORESB uAss NO. DWELL UMTS MOTIF TO A-R.CAW• tl, after makingCertffioate Of REQUIRED TOPl OM SETBACK FREMST Exmriptbn, you should become subject the V1br'kere' 1,� L 8Er BACK )AFU HWY P9DP UNE WOTH Cortpernaibn p(ovbbna of the Labor Code, you must forthwth 1 Q ,iS "f ' FTKWT comply with Such provWxia or this permit ahall be deefned revolted. c� SqWike C-� SUE LICENSED CONTRACTORS DECLARATION P L I hemby affirm that I am Ilceneed uiderprovbtorn of Chapter 9 1 �p SEWER MAP (cgmm-clrQ with Section 7000)of D%ision 3 of the Bahasa and FT.8= NO.OF FEiiE8 Na CF FA1�1E NEW 1:1 BF( FCH Profeeabns Code,and mry license•%In Tuff force and effeoL , LJcenee Number LIc.Ct md ) r pa L ADD El M-t1a1m Q Contractor Date J J/v� ALTER ,` 0r_7 U ❑ I am exempt under Sec. rL O� REPAIR ❑ BARS for this reason DEMOL ❑ LDMA P/C+ Dates URM ❑ SlprrahueL 1 ❑ I, as owner of the property, Or mTy empioyeea wRh wages as f PRN7) © Q 3 �� LDMA Pwm• z ACCT.-Lr their ode covipernado the work and the Structure % not Intended oroffereddfor (Sale (Section 70 se Bualnea)d- d FaiAL Do" O 110.33013 123•65 Rvfesalone Code.) WILL THE APPLICANT OR FurUE BU"M DcaA„+T HHIOLC A HA.ZATDCUS M4EfiAL El I, ea owner 4f the property, em elodueNely oontracttng with OR A►Ocnrr[CON 443 A HA7ARDOUB&WEF4AL EQUAL TO OR GFE�TER THAN THE ucenaed contractors to construct the project (Seodw 7044, NACxlrfa eaEcr�ON THE NAuao«a InLe NF awFON GLUE? FNAL TOTAL 123 - 65 Yes El No Elslid PrOfB88iOna Code.) Y LL THE WENDED UBC OF THE M-M:)L SY THE APPUCANT OR FUTURE BUILDING I.t-Ll-f\ li23.65 00aFW T FEaUIE A PPJ#FT POO CONBTRIOnON OR HOOFICAION FROM THE SOUTH CONSTRUCTION LENDING AGENCY coAsT An ouALrry►w+wEuENT DrQraFcr McAQW SEE P£FYTrm cHEDu-IST FOR (�I GUIDE,Ips I hereby affirm that two iB a corratructlon ler dN agency for M8❑ No❑ o the performance of the work for which thie pennft IS$&sued(Sea HAVE 3097,CHV.C. I HE READ EHE HAZARDOUS Y4ERIAL S WOPUCION GLEE AND THE eC1aO PE3irrrHB +}/ �C °i�-QZQrC APTI!2-20 8ECI)ONa TMCLK*i ND WY FOOL11RIEMENTS UNDER�,�ANGELES X18 I�1 i./ 1417,) LSndBrB Nerve u4EF{ALE FEPORTNG AND FOR C6W4NG A PEFUT F RON THE BCAQ61a Landera AddreaeCWAM a AMU �l l4°? 1 AM ��`9 _o 5Q� I Csrttfy that I have read this application and gtte under penalty P.C. EE PERtffr FEE y of pwoy that the above Morm atlon b correct I agree b:) oompty / ra R wRh all county ordtiencee Is,"State Ieralafing b be"ng (p'tJ conetrucdDrn and hereby autlhortze reprpeemt&&" of this Canty ISSUANCE FEE G O� to enter upon the above-mentionedmpectlon property.for IrpLrpoeee a m 2l V STKlKTK N FEE TOTAL FEE ^ Wr w r AQ.. .Ar- D- ~ SEE REVERSE FOR EXPLANATORY LANGUAGE I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. FNEAREST t �. J v ' /� / •��J RECE6 JED BY DATE OF APPL. DATE ISS ED („ ,a., / .,,,,s _ i/0 /!ti'°t �7 f(�� BUILDING ADDRES '�''�"�'`"' OWNER , t<.'� �!Pf✓ � MAIL LOCALITY ADDRESS ADDU 1 NEAREST A CITY .� to TEL d FIRE NO. OF TY GROUP ARCHITECT OR TEL. ZONE I PLANS I _-e__,� _- ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS APPROVED ��--77 TEL. �[� ! BY DATE CONTRACTOR P17 /J'L"f NO. `� ( / USEr7p,..;� APPROVED ZONE <'$Y DATE ADDRESS 3e S e7 -l p HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO., �� j",1 I BLOCK MAP NUMBER—C42 FIELD CHECK BY TRACT .. f NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT _ USE OF I NO. OF EXISTING BLDG. FAMILIES A eel h DESCRIPTION OF WORK NEW I ( ALTERATION I I ADDITION I —� O REPAIR I I DEMOLITION SQ. FT. NO. OF !7 SIZE ROOMS STORIES Y EXT. WALL ROOF 1• COVERING COVERING USE OF*STRUCTUR � roj 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. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF / GAS VENT, DUCTS PERMITTE� "�' - G LATH, INT. eyr� ADDRESS '! t' 6 LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76A686A- DOSS 10-60 P. C. $ FEE PLASTER, EXT. VALUATION FEE FINAL 4p'`, 7GA630A Cr 8032/60 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST - FOR APPLICANT TO FILL IN DIST T O. GRO TYPE CON I PROCESS BY ST. -/ BU ILDIN STATISTICAL YCLA SIFICATION SEWER MAP G ADD Av.'ARCA p;o� CLASS.NO. DWELL. UNITS-1 LOT NO./j" qL) 0019&W zu p BLOCK_ MAP STATE YES 10 NUMBER HWY. FTRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZEOFLOT NOW ON LOT USE OF --��'ZE USE EXISTING BLDG. Q#WJ41 BUILDING YARD HWY STREET NAME EXIST. TEL SETBACK A WIDTH WNERW,7-- C;,et-rSjok0')%A NO.WO 49;06fzl FRONT P.L. D D DRESS/0.2-2-f 4f, ZI&It— Q4K X 1,40 Akmg;lf SIDE CHITECT OR TEL. P.L. ­GINEER NO. INSPECTION RECORD-J ADDRESS TEL. CONTRACTOR No. 0 ADDRESS DESCRIPTION OF WORK J 0 E- NEW ADD �ALT� REPAIR DEMOLISH S 8 Q NO.OF NO.OF 04 SIZE FT.E STORIES FAMILIES USE OF -STRUCTURE SIGNATURE OF APPLICANT VALUATION$ APPROVALS VAT W INSPECf6R'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE FEE FORMS,MATERIALS 14<REBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME: FIRE STOPS,BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. ICERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - WORKMEN'S COMPENSATION -LA)A(S OF�\CALIFORNIA. LATH,EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE Z 12, RECT AND POSTED I ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Or DEPARTMENT OF BUILDIAG AND SAFETY �LICATION FOR PERMIT 4 'COUNTY OF LOS ANGELES 11 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS �(p ♦ `c', - - LOCALITY / RECEIVED BY DATE OF APIPLc. DATE ISSUED NEAREST CROSS BT. } BUILDING `I/ . OWNER ADDRESS /' L7' C MAIL LOCALITY , C ADDRESS (rI NEAREST A /, TE CROSS 9T. CITY N FIRE No.OF TYPE1 GROUP ,- RCHIENGINEERT OR who TEL.NO ZONE PLANS ._`.'i+/�' , 1� BLDG. / OR .d0. ADDRESH SETBACK LINE Z® ` TE ��� APPROVED CONTRACTOfff N `,/ BY DATE USE APPROVED ADDRES s ZONE BY DATE DESCRIPTION OTAO B CK �� 2.4--� CORRECTIONS TRACNO.OF BLDGE. SIZE T NOW ON LOT d Fl-/ TD XO�t� I NO.OF �„�. I NO.or, EX SNOBLDG. FAMILIES ROOMS 4Alrr)-Lxj ILrz DESCRIPTION OF WORK t o - I. NEW ALTERATION ADDITION N✓m kc REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES ' f C �//'*' 4" L `�///`f WALL ROOF COVERING I COVERIN USE OF NEW - BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS _ APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY ITN ALL COUNTY OR NANCES FORMS,MATERIALS AND STATE LAWS RE NO BUILDING CON RUC T N. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE LATH,INT.: AUTHORIZED LATH,EXT.: f f DBS-3 SUM SETS :-48 $ f P.C.S ��' PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE ra 1 f �t FINAL COUNTY OF LOS ANGELES TEMPLE CITY f 0508. BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TU AS ALTERATION/REPAIR BUILDING AND SAFETY/ LAND DEVELOPMENT TEMPLE CITY CA 91760 BL 0508 990920002.0 PHONE: (626) 285-0488 EXT: j DUPLICATE ON FILE SG. FT STORIES TYPE 5640 GLICKMAN AV• ASSESSOR INFORMATION NLWER: STRUCTURE: 0 V TEKP CA 917802710 _ NEOEST CROS$9-MEL-1 8586-016-027 l --"' "- ' -- -' - T PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY IST OCC GRP: 09/20/99 VG 03/18/00.DAER - i TEL.-W.- BLDGS. NOW ON LOT' VALUATION: FLNAL 'DATE FINAL BY.- CDDE:. POLEC-CHESTER R•RITA J TRS (818) 445-7267- 1 - 3,200 09/27/99, R. FEILEN 5640 GL I=AN ASI TEMP 917802710 FEES'PAID WORK T/0 1 LAYER ON NORTH SSECTION OF HOUSE NG EAST SIDE OF GAR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND INSTALL 25-YR GAF DIMWIONA1 SHINGLES J N DAVISROOFINGCO. (818) 821-4665- AA BLDG-PERMIT ISSUANCE 27.75 AC STRONG MOTION 3200.00 VAL 0.50 SPECIAL CON.DITIONS: D2 PERMIT Y/ .00 VAL 115.80 NGELES 144-05 1: J N DAVIS ROOFING (626) 821-4665- 2 EAST LA PORTE LIC. NO iETBACKS STE A 572125C-39 ARCADIA, CA 91006 SOILS ENGINEER • - f ARCHITECT OR ENGLNttX: TEL. NO: LIC. 111111 BOOK: uguffn . MAP NO: SEWER MAP PA(IE: FIRE ZONE: n ® �� 5% INSUI-ATION 150{ 73n S • MO 21 - SC L WITHIN OSHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS Q.. Q NO Uro NO FRAME INSPECTION El n wFIRE SPRI FRONT BACKYARD: HYY: PROP LINE: WIDTH: SQ U �fl0i $ INSULATIONfWEAT9ER STRIP SIDE PL- RATED WALL k999UErW- �VIC6 TM INTERIOR LATH/DRYWALL RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: RSD508 ; T COJNPENS TION DECLARATKk1 a I�t�Aof waraVicer�srtcumPe,actlon ,roro , APPLICATIONFOR BUILDING PERMIT jfled copy therwf (Seco 3f�00, Lab.t ) COUNTY OF LOS ANGELES- BUILDING AND SAFETY Policy No. : , Company' ���. L•!.�/! .. Certified copy is hereby furnished. R.APPLICANT TO FILL IN Rtes I—F ' Certtf�ied Copy Is flro with the county bulWln¢Intpic- BUIL LJ llon'ddpartment.. AbDkfSS J)v}i_ Applicant (3"R1' LP LOC4LfTY L-RT1FtcA E OF DffJV1PTFON FROM WORtOM' • � ,COMP)Tt50ON I NSU RAKE. SJZ�dF LOT rtOw. C/ (This sectlgrr need not+bs�mpreted If the permlf Is for one hundred dolkxx t$10Q)or leis.). TRACT 9i � CAT No. MW DOCK, PAGE P TEL- I ce{tlfy that In +,a performonc*,of th fpf lCh / NO. f perm.lt is Issued, I shall notremploy a _ 1, SPECIAL: to of to me bled to the W CITY � LP J (� Date Appllcait} .NOTK� tf, aftih`.maklitp'this Cert f rIECYOR. - gtSTRtCT� GROUP TYPE FIRE ExemRtton, you aklauid beEom4i tubled -to 'tFv*,Wdrkeri- Q ZONE Compensa I �Z*orn of the Labor Code you moil-faith- ADDRESS LQ8 with comply with ancti, provisions or Ali permit shall be - dl CONTRACTOR NCO. STATIMXAL CLASSIFJCATYOtJ r AFT. `L deemed revCiLed. :,.. -. L10EN5�QONTRACTCtgS DE�ATION _. . I O_ASS No. —DWELL, UNIT$ I hereby affirm that I am Ilcenzaq under provisions of Chapter 9 ADDRESS NO. (comrr»rtcinp with Sod on 70W)of Divkl{on 3-of th}Biril_neas and � SEWER MAP PwfMlorts Cbde, and my Ilcense.Is In full forte gnd effect. ` GITY CLASS VAL1 A' BKTION SQ. FT. NQ• �1 NO. OF CJEOC .1T. . UCanso Number Lic.Claw SIZE STORIES FAMMJES OtdE Cohfraetor' per, f DESQt1PTtON OF WORK NEW• } nI qm exempt under Sec d ALTER B.$P.0 for this reason- . ^ 0 Ac REPAIR : - t Doti: EXTSYING BLDG. / i(J//' 51 nature T o CWVN ER�U I LDf R DECLARATION SPRINT �i� NNoo. -DATEr h h -affirm that L artrex*}npt from the Cohtrocfor t Uconse �j Law for the followln'�=reasori (Settlor 703L�, Busrntisi grid ADDRESS �!✓ ry I ofis 1, owrror of-the or m ern I with BADPRM UILDING - Wopes os thelrsol•compensation,will do tth•tiy�orkand $ ;� A the structure b not Intended or offered for sale(Section LOCALITY , x,'7044,Business and Professlons*GxW _ MOVING TEL � # 6,i.o.q,a FJO. , . I, as owner of the property, am exClinlvely contractlnp io yo 4 9,8$. ?'� with Ilctirtaed c¢rtitractofs to construet3h* project (Sec- . tlpn 70.4, Business and professions Code). ADDRESS - _ 49;$89 JQOfJSTRUCTKW LENDING`AtENCY YARD hTWY LlPE WI I v =r- A hereby affirm thatthere is a canstrptztlod let lnq agency for FRONT J'.G 2 8 $. :rhe perhormance of the work for which this pwmlt Is homed: P - (Sec. 3097, Clv.-C') SIDE _ P.L. Lenders Name - $. Lenders Address P fee f h FN Fit. 1 catlify that t hove•reod'thls appllcatYbn artd state thpt the Issuance Fee J✓ LDMA Pic - a obove Information is corred. I ogree.to comply waft all County. Investrpatbn Fee ordlno and Sk11p Paws reIatl yiWlng oonatrugIo-01Fee R "r, qnd a this County to eTo1oI nter LDMA Pear_ I nspeCt i oq oM 4-Y PO!DPLANATORY LANOUAGN -Stpra of Kpp4c "or Apert - _ •DaF�..,. / - - - - - - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 + BUILDING PERMIT DEPARTKB(T OF PUBLIC WORKS-- 9071 LAS TURAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9705150037 -f. 'PHONE: (818) 285-0488 EXT: 0. s LMI�*I D: MO. OF CONST BUILDING ON FILE SG. FT STORIES TYPE 5640 DLICKMIIN AV: STRUCTURE: 0 - V TEMP CA 917602710 ASSESSOR INFORMATION kU49ER: NEAREST CROSS STREET: 8586-016-027 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY MMUbt1 E*xLRES ON: EXIST OCC GRP: ISSUED ON- ESSED HT:LAM I : Kt:blUUSE ZONE-. - 05/15 TC 05/1 OWER: TEL ON LOT- 'FINAL DATE NO: VALUATION: POLEK CHESTER WITA J TRS (818) 445-7267- 1 2,980 5640 GLICKMAN A�l 4 2--ZI/ TEMP 91780271-0 FEES D R= Y OF ROOFING ONLY i REROO EXISTING EEE DESCRIPTION: �GI�AIiTY�1' � T:. 1 LAYER TH CLASS A GAF 25 YR. COP INGLE" J N DAVIS APPLICA �ROOFING CO. (818) 821-4665- AA BLDG PERMIT ISSUAW 1yy &27 75 AC 8TRONG FIOTION RFtID l D2 PERMIT W/O SKI YAC 99" %; L% \ J N DAVIS ROOFING (8 8) 821-4665- �/ - J 2 E. LA PORTE #A LIC. NO ARCADIA, CA 91006 . 572125C-39ARCHITECT OR ENEilmhm: TEL. — _ SOILS bMNEER ­Nuom on-ead 11,Z) M U&TI0N/_TRmffFTmw_ . _ I _ LIC. 00: _ i ✓-' .� K 10: SEWER MAP BOOK: PAGE; F!RE kp 150RM 3� 01 D: 9TXT7CDQff--- \\ \ 21 ROOF AIR QUALITY: 1000 FEET MATERIALS NO NO NO REQUIRED TOTAL SETBACK FROM E)(IST ME SPRINKLM_9X9MT__ FRAME INSPECTION SET BACK YARD: NY: PROP LINE: WIDTH: FRONT PLMOM - SIDE PL- INTERIOR LATH/DRYWALL RATED :FLOWCEn )MM. z T-BAR 'CEILINGS IL REPORT ID: DPR261 ROUTE TO: BS0508