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Home My Public Portal About4921 MCCLINTOCK AVE_Building__ 78A488A•CE4808 9-87 y`- APPLICATIONORB ILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRICT NO. TYPE PRO SSED Y FBD OR APPLICANT TO FILL IN L F CONST. Print or type only) •^' a7 6 01 G // ,/ STATISTICAL CLASSIFICATION SEW;VAP S P l L O C CLASS NO.- DWELL.UNITS_ B PCyr Ql BLOCK USE ZONE MAP.;,No. y� J f} SPECIAL NO.OFBLDGS. raj CONDITIONS LOT D NOW ON LOT BLDG. BLDG.SETBACK FROM f % TEL. FRONT PROP.LINE OF -STREET). Z. TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL HIGH AY WIDTH FROM C.L.S CITY ABLDG.SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL + CONTRACTOR NO. Q• O ADDRESS NO. CORNER CUTOFF YES ❑ NO LIC. O CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPRO ALS t; DESCRIPTION OF WORK ,,// NEWO'r ADD ALTER REPAIR DEMOLISH ` SQ. FT. S/d NO. 011 F NO. OF r� - _ �oT SIZE �, STORIES FAMILIES USE OF AVA/L T n d AE STRUCTURE ' awhslAl md I SIGNATURE qjir APPLICANT a VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE P.C. �/ MT. Q �,r FOUNDATION: LOCATION FEE$ , 4(o FEE$ FORMS, MATERIALS '!� ✓ ,.+.rr:C,�,s rJ FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRA CING• BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING FURNACE: LOCATION, GAS VENT, DUCTS d� 1 •�� C! BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN'VIOLA• TION OF THE LABOR CODE OF THE STATE'OF CALIFORNIA RELAT• LATH, INT. !O f ING TO WORKMEN'S COM TION INSURANCE. '/ •_� r LATH, EXT. SIGNATURE OF OUSE NUMBER COR- PERMITTEE RECT AND POSTED Ile ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION PD M.O. CASH PERMIT VALMATIO CK. M.O._ CASH L-A ..2 7 .8-3- JM25. 2 3 4.8.81 - 3: 12.5 FEB-1-5 t21:3 3 'D 5.25- .1v. _ � ; .31. 2720' FE815 . AD 8. 0.25~ a • /,ORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELS :,-4�� _. BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANTO FILL IN BUILDING, qi ADDRESS vC ❑ Certified copy is filed with the county building inspec- BUILDING / tion department. ADDRESS '-i / C�n . LOCALITY Date Applicant CITY CROSS ST. ZIP NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit it for oneO D \ USE ZONE MA hundred dollars($100)or less.) TRACT BLOCK LOT NO. No.P, >_ TEL. �jO �/ SPECIAL B. TO I certify that in the performance of the work for which this OWNER NO. CONDITIONS 0 DISTRICTGROUP ITYPEV FIRE C ED BY permit is issued;I shall not employ any person in any manner '77�� c so as to become subject to the Workers'Co mpe a ion Laws. ADDRESS ( /q CONZONE Date Applicant CITY ZIPD STATISTICAL CLASS( (CATION APT. CONDO. V ARCHITECT OR EOL..%.)NOT( E TO APPLICANT: If,'after making this rtificate of ENGINEER NO. / rL Exemption, you should become subject to he Workers' CLASS NO. DWELL. UNITS N Compgnsation provisions of the Labor Code, u must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION � }}-� IC. s,�j I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS piwat" J 121.0�_ VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. / S Professions Code, and my license is in full force and effect. CITY CLASS �G //� /l SQ. NO.OF NO.OF CHECK License Number . - + �Liic.CCllass SIZE STORIES', FAMILIES ONE Contractor /�C Dnte 16—lb-9 DESCRIPTION OF WORK NEW ❑ ❑ I am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer _ ALTER ❑ FINAL" DATE I acting in my professional capacity (Section 7051, REPAIR ❑ ' � 1 7 0.0 A Business and Professions Code). E OF % v FINAL EXISTING BLDG. )�+ + DEMOL Q ❑ By o 0 0 0# 2 3 Lic.or Reg.No. Date APPLICANT l�f 4 e h NO.fi // 2,o 0 2 8 8 0 OWNER-BUILDER DECLARATION PRINT /✓ I hereby affirmthat I am exempt from the Contractor's License ADDRESS / 4�A1-1fAJ*Je (g6 �� /� �>ed / o o'0 2 8 8 0 cwt Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT❑ BUILDING 0,2 7-8 1 i I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale,(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. o CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH a 1 7 O, 1 A I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. - # 0 0 0 0 0 1 (Sec. 3097, Civ. C.). SIDE P.L. 2 - - 43, 00 Lender's Name '1 0,2 g Ar 8 0 C6 o P.C. Fee$ 01 eel � Permit Fee, r J Lender's Address I certify-that) have read this application and state that the Issuance Fee ♦ —�! G� above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, and hereby authorizer resentatives of this County to enter Total FeeIr upon th bove-me o ecL property for inspection purposes. _ i `0/ SEE REVERSE FOR EXPLANATORY LANGUAGE o , Signature of A cant or Agent Date ®s 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 0609050047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 4902 IT: 10 BL: E UN: .002 SQ. FT STORIES TYPE 4921 MCCLINTOCK AV STRUCTURE: 20 VN TEMP CA 917804104 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5574-024-014 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/05/06 JK 08/31/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL/nATE FINAL BY: CODE: LI ZHIMING;WANG JUNHUA - 6,800 �/ 4921 MCCLINTOCK AV i0 TEMP 917804104 FEES PAID DESCRIPTION OF WORK TEAR OFF 6 REROOF HOUSE 6 GARAGE INSTALL OSB PLYWOOD & MINOR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: LITE TILE VILLA TILE ICBO BE 2656 5.8 BL. APPLICANT: TEL. NO: SUNSHINE ROOFING (626) 581-7638- AA BLDG PERMIT ISSUANCE 27.75 516 N. D. BAR #183 AC STRONG MOTION RESID 6800.00 VAL 0.68 SPECIAL CONDITIONS: DIAMOND BAR CA 91765 D2 PERMIT W/O EN-HC 6800.00 VAL 166.20 TOTAL FEES 194.63 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SUNSHINE ROOFING (562) 860-1896- 516 DIAMOND BAR BLVD. LIC. NO LOCATION AND SETBACKS DIAMOND BAR CA 91765 755126 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB'UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H277 3 01 , FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING 6! SCHOOL WITHIN HAZARDOUS SHEAR PANELS o AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAMD INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE T0: BS0508 I