HomeMy Public PortalAbout4928 MCCLINTOCK AVE_Building__ APPLICATION OR BUILDI G PERMIT
FOR APPLICANT TO FILL IN (Print or type oniv) -BUILDING
.
ADDAESS �G' BUILDIN
ADDRE
G r �
1 // SS -�
CITY e /- ZIP 7 o
LOCALITY
OF BLDGS. _
SIZE OF LOT NOW ON LOT NEAREST
CROSS ST.
ASSESSOR
TRACT BLOCK j I LOT NO MAP BOOK PAGEEL
K EL. q,,/ DISTRICT GROU TYPE FIRE PROC SED BY
OWNE L nn j�� y�M%ANO. /�.Ti �r�� �� CONST. ZOCIE.• ,
ADDRESS OC /"/ /JjL' cz;ty/Q —`(— S
CITY C C// ZIP ( /e �t STATISTICAL CLASSIFICATION WER M P
V CLASS NO. DWELL•UNITS BK I G
ARCHITECT Off TEL.
ENGINEER NO. U ZONE MAP -�//
NO.
ADDRESS SPECIAL
TEL. CONDITIONS
CONTRACTOR NO
LIC. ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
ADDRESS NO. BLDG:SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET).
CITY CLASS TOTAL SETBACK FROM TYPE OF EXISTING
,CONSTRUCTION LENDER HIGHWAY + YARD - FRONT PROP.•LINE HIGHWAY WIDTH
NAME AND BRANCH
ADDRtSS62 r CITY + o�
SQ. FT NO. OF / 'NO. OF CHECK BLDG.SETBACK FROM C)
SIZE STORIES IFAMILIES ONE SIDE PROP.LINE OF (STREET) CD
CG
J NEW $� HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CD
DESCRIPTION OF WORK k J,� �-�+ HIGHWAY WIDTH
i• ❑ SIDE PROP. LINE W
New ADD + _ y
LTER ❑ Z
CORNER CUTOFF YES ❑ NO ❑
REPAIR❑
USE OF DEMOL
EXISTING BLDG. ❑ IN OPEN SPACE YES El NO ❑
AP PRINT)NT /I � �, ,CN'lOL Q IN COASTAL ZONE YES ❑ NO ❑
BY (SIGNATURE) ENVIRONMENTAL CATEGORICAL EXEMPTION YES❑ NO ❑
IMPACT EXEMPTION DECLARATION SIGNED (DATE)
VALUATION IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISION
AND STATE THAT THE ABOVE IS CORRECT AND AGRPLY
WITH ALL ORDINANCES AND LAWS REGULATING CON-
STRUCTION. 1 CERTIFY THAT IN DOING THE WOAUTHORIZED
HEREBY
'
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOTHE
LABOR CODE OF THE STATE OF CALIFORNIA
JINELTOWORKMEN'S COMPENSATION NSUR NCE. �/ J
SIGNATURE OF A FINAL fV,
I B1��.`� /
PERMITTEE DATE
ADDRESS 2 Nr G 4/ P.C. Q %FMT.Q/. FEE 'D FEE 'PTEL06
CITY e" a �/ NO. �•
PLAN CHECK VALIDATION CK. M.O. CASH PEItIVIIT VALIDATION( •c� m.o. CASH
1 2 r APR z4 1 35.2 5 ,698
76AG38B CENS03A 5/73
APPLICATION FOR COUNTY OF LOS ANGELES
OF COUNTY
BUILDING PERMIT DEPARTMENT BUILDING AND SAFE Y DIVISIONER
BUILDING FOR APPLICANT TO FILL IN ADDRESS ����' )Xe
BUILDING �y
ADDRESS a+L LOCALITY
CITY ` ZIP �/ / RNEAREST
COSS ST.
O.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIREt7ESSED BY
TRACTW&4-11 BLOCK LOT NO. CONST. 7
TEL.
X55:a8 � �
OWNER NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 6�j�). mal"'digta ek CLASS NO. DWELL.UNITS'
BK PG
C//lift) , 'U ONE P MA
CITY Lam. ZIP NO.
SPEC AL
ENG NEERARCHITECT R NOL TE . ( CONDIT ON -'W--"-' N/�*�-r—/2— Y,6
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR TEL. BLDG.SETBACK FROM
LIC. FRONT PROP.'LINE OF (STREET)
L
ADDRESS NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF HIGHWAY EW DTIHG
CITY
LIC. FRONT PROP. LINE
CLASS _
CONSTRUCTION LENDER +
NAME AND BRANCH BLDG.SETBACK FROM C
ADDRESS CITY SIDE PROP,LINE OF (STREET) v
SQ• FT NO. OF NO. OR CHECK HIGHWAY { YARD = TOTAL SETBACK FROM TYPE OF EXISTING C
SIZE ` STORIES FAMILIES ONE SIDES PROP. LINE HIGHWAY WIDTH
DESCRIPTION OF WORK NEW + y
ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER ❑
IREPAIR C IN OPEN SPACE YES [TNO 1:1
USE OF [] IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL
APPLICANT EL�
(PRINT) f
BY (SIGNATURE) , / lA / V -
i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,-
AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED-
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE"p/��
LABOR CODE OF THE STATE OF C LIFORNIA IN RE}. i'�f"'
WORKMEN'S COMPENSATIONISURAN
///���
SIGNATURE OF d FINAL -7- -ZVBY
PERMITTEE DATE // ,/
ADDRESS IG 4;;v G
/)
TEL P.C. Fee$ Permit Fee ,�
CITY p NO. dIt
Issuance Fee'Y
VALUATION$ � /
Total Fee /' i J'3
PLAN CHECK VALIDATION CK. M.O. CASH ® 'PERMIT VALIDATION CK. M.O. CASH
8•9 O'OCT 22 1 -D. 1 17.b 3 A,9
76AG36A CZ*8038 12/75 - -
78nesSADEf8.8 APPLICA TION FOR '13UII,®I_NG PERMIT 9
r 'bMSION OF BUILDING AM SAFETY- BUILDI s - C`
Deportment of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST -
CASSATT D.GRIFFIN,SUPT OF,BUILDINs CROSS ST.
DISTGROUP SEWER. MA
FOR APPLICANT TO FILL IN RICT / TYPE PG
�• . �
BUILDING I MAP _ ��..{{ �• STATE
ADDRESS I NUMBER p� �7 Hwy. YES O
LOT NO. BLOCK ONE SPECIAL
.. CONDITIONS
TRACT
NO.OF BLDG 8.
SIZE-OF LOT I NOW ON LOT BUILDING EXIST:
USE OF.
SETBACK YARD HWY STREET NAME WIDTH
EXISTING BLDG. FPP.L. .y�•* /Y MA( .I . TVeA 6 d ,
OWNER SIDE h 1
MAIL
�r P.L.
ADDRESS.If O ;TRACT DWELL. 1 UNIT 5 INDUSTRIAL
r � �rG9 NO. 1')DWELL.. 1 UNIT
CITY _ 6 -PUBLIC BLDG. '
ARCHITECT _ TEL. y_ DUPLEX 2 UNITS
ENGINEER — NO.-' 7 ADDN.,ALT., ETC.
8 'APT. UNITS- -
8 MISCEL. '
ADDRESS 4" COMMERCIAL
CONTRACTOR . . rTioL INSPECTION RECORD.
ADDRESS .0-4 Ble�dJ.
DESCRIP ION OF WORK
�it.- a ..- %f Senn �..o 1A. u 1t
NEW �DD ALTER ' REPAIR DEMOLISH3 J
SQ.FT. NO.OF NO.OF -e i' @ .0-1lf re.:l
_SIZE �/J�Q STORIES Fk11.ES i! / f j/
USE OF STRUCTURE
SIGNATURE OF 8'
APPLICANT . APPROVALS
ADDRESS ' Q DATE INSPECTOR'S SIGNATURE
%ice' FOU AT/ ION:LOCATION loo'
00�' P.•C. a. .�9 O' FORMS.MATERIALS
$
.� yFEE FRAME: FIRE STOPS.
i s 0.
VALUA ON
FEE QG FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS !n %J 4'� f'J1J�.ie/��Y/lLew
APPLICATION AND STATE THAT. THE ABOVE IS CORRECT-
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT: /r � fjj• !f/.C�//1/
AND STATE LAWS REGULATING BUILDING CONSTRUC- _�- J
TION. LATH. EXT. /ir^ l /�
SIGNATURE OF HOUSE NUMBER COR- e
PERMITTEE RECT AND POSTED
ADDRES *T� FINAL
JOHN A.LAMBIE.COUNTY ENGINE YAJa DATION CLYDE N.DIRLAM. CHIEF BLDG. INSPECTOR
1,/CKKCASH
::aW 5,6 8 8.u- MAY . -3 -16 1.0:0'O.A in
5.7 -�q . 1 2. 0-00
In
- // / -
,00
eAe_le%,�E#H09-Io.13H APPLICATION FOR BUILDING- PERM .- 1J.
i"
BUILDING AND SAFETY DIVISION BUILDING . �[
ADDRESS '(J-
Department of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. ••GROUP•. .TYPE EWER _-MAP
FOR APPLICANT TO FILL IN I CONST.
BUILDING
ADDRESS G STATISTICAL• S
LOT NO.. BLOCK SIFICATION
CLASS. NO. DWELL. UNITS I
` MAP STATE YES O
TRACT ! 0 T, NUMBER ST ATE
U�S,E ZONE SPECIAL
(r7x �� I NO.OF'BLDGS. �LJI CONDITIONS -
SIZE OF LOT OO NOW ON LOTUSE ,V1
EX STI NG BLDG.• /�C�S/a��hClr BUILDINC, EXIST.^
SETBACK 'YARD HWY STREET AME WIDTH•
OWNER• i<A FRONT -�
MAILP,L.
ADDRESS ,r G CZE A/VV• SIDE
TEL
CITY / C14x •NO.e9 146 7S-7 P. L. -
ARCHITECT OR TEL. _ IIJSPCTION RECORRDD
'
ENGINEER NO..
ADDRESS
TEL
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
Sq.FT. NO.OF NO.OF
SIZE • STORIES / FAMILIES �.
USE OF STRUCTURE
-APPROVALS
SIGNATURE OF
APPLICANT DATE - INSPECTOR'S SIGNATURE
ADDRESS
1 FOUNDATION:LOCATION
FORMS.MATERIALS /
P.•C. $ FRAME:'FIRE STOPS. s
FEE BRACING.BOLTS + 21,E
f QFURNACE: LOCATION.
FEE -�
VALUATION GAS VENT. DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDIbIANCES AND LATH..EXT.. :
STATE -LAWS REGULATING eUIL N STRU ION.
SIGNATURE OF• HOUSE NUMBER POR-
PERM ITTEE
OR-PERMITTEE RECT AND POSTED le
ADDRES r� FINAL
OHN'A.LAMBIE.COUNTY ENGINEER, CLYDE N.DIRLAM,PRINCIPAL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION- 'cK: M.o. cwsH
63
.ACo 4 1 6 .4 N $ 1 . 2-'0 0 a .
a+- 9..q 1. '
'BA688A CE#809.7-se APPUGATION FOR BUILDING - PERMIT
BUILDING AND SAFETY DIVISION BUILDING (7-7 Q� (1 /�, i�•.��r� /A
Department of County Engineer ADDRESS ✓ !{� /! /Y�. CA Le 6
County of Los Angeles LOCALITY ���L_ t
JOHN A.LAMBIE..COUNTY ENGINEER NEAREST 2
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. lT�L A
1 12
DIS RIC NO. GROUP ICONST'7--1
TYPE SEWBK MAPPG
FOR APPLICANT TO FILL IN 1,/J BUILDING Q
ADDRESS //'��ILJ t u��GC���G STATISTICAL CLASSIFICATION I
LOT N.O. 6l� BLOCK.i ` CLASS. NO. DWELL. UNITS
MAP J STATE aim
rf NUMBER / HWY
TRACT 4610
`-+ USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOST� �7'-'" I ` I NOW ON
USE OF
EXISTING KDG. BUILDING EXIST.
'SETBACK YARD HWY STREET NAME WIDTH
OWNER IG 1`� V FRONT
ADDRESS '4926 G CLikme-- v -- SI L.
/' SDE
CITY 1 "V� Z . T'EL.c P.:L.
NO. 6 INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS ./
IV TEL.
CONTRACTOR /) NO.
r!�_S 6,4-1 4.04-- 'S
ADDRESS
DESCRIPTION OF WORK //is tc
/ o is
NEW ADD✓ ALTER REPAIR DEMOLISH
SQ. NO.OF ii NO.OF
SIZE /�%(/ STORIES -11 FAMILIES -
USE OF STRUCTURE fXlrt G G/�.•+9
APPROVALS
SIGNATURE OF \' _
APPLICANT / DATE INSPECTOR'S SIGNATURE
ADDRESS 4/fir-� GC. 10111vCx_ FOUNDATION:LOCATION
FORMS, MATERIALS
p,C. g FRAME: FIRE STOPS,
FEE BRACING.BOLTS
VALUATION70 Of $ rr�- FURNACE:LOCATION,
FEE .GAS VENT. DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. x%'61/ /fGJ ✓r W�i�
STATE LAWS REGU NG BUILDING CO STRUC7 N.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS C I FINAL
IOHN A..LAMBIE. NTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH,
�_.iU07 4 5 .7L WR 23 -1 4!,J l:
�, 11w
7GA638A CEPBOS 6-64 APPLICA'T'ION FO•R_PU I9.:®1 G PERMIT
COUNTY OF LOS ANGELES BUILDING-
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DNI§ION 'LOCALITY
.JOHN A. L•AMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,BUP:T,.OF BUILDING CROSS ST.
DISTELLCZN G TYPE. D B
FOR-APPLICANT TO.FILL IN coNST.
LI
BUILDING n STATISTICAL QLMSIFICATION SE ER AP
ADDRESS :� e V �f• 7d@, ��• BKPG
CLASS NO. ELL UNITS
LOT NO. BLOCK USE ZONE MAP
A�
TRACT y SPECIAL
NO. OF 111.103;. CONDITIONS
SIZE OF LOT - NOW ON•LOT
USE OF
EXISTING BLDG. SETSACK•-FROM
''T' -TEL.: n^�� -7 FRONT PROP. LINE OF - (STREET)
OWNER
+Q��� �'1'�,/1`�' OY NO. of TYPE.OF EXI'STIN9 SETBACK_, .HIGHWAY -`.I' YARD- _ 'TOTAL
ADDRESS / Q►. D1To@i HI HWAY Tm FFROM C.L.. '
P,
i .p + 0-_
'CITY Tem I Cal i 1_
.. BLDG. SETBACK,FROM
ENGINEER NO.
ARCHITECT OR - TEL,. SIDE PROP. LINE'OF (STREET) -
•
_ TYPE OF 'EXISTING SETBACK 'HIGHWAY --}• YARD = TOTAL-
ADDRESS - HIGHWAY WIDTH FROM C.L. A.
-
TEL. + = 0
CONTRACTOR NO V
LIC
ADDRESSNO.. CORNER CUTOFF YES E] NO
O
CITY CLASS REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK °-
-fp //J Z
NEW ADD ALTER REPAIR DEM OLIS
Sq.FT. 'NO'. OF ff NO. OF (Ai I LL i ��FU • CB L>erA.�
SIZE STORIES 7 FAMILIES
USE OF
STRUCTURE AI •�`}
SIGNATURE OF •lbDW Q m r
APPLICANT
VALUATION$' n
8�a APPROVALS DATE /-'lNSPECTORliMIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$' FEE$ �/ C/ I/ FORMS;_MATERJALS__
'FRAME; FIRE,STOPS,
I HEREBY ACKNOWLEDGE,THAT 1 HAVE READ THIS APPLICATION •BRACING BOI..T ! _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY FURNACE: LOCATION- ! t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS I
%UILDING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK - _
AUTHORIZED-HEREBY•I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA-RELAT- (
ING TO WORKMEN'S COMPENSATION INSURA14CE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-•
PERMITTEE .4 RE AND POSTED _
ADDRESS e- FINAL Ij�j
RI
JOHN F. LEWIS. PNFCIFAL ST RAL ENGINEER':
PLAN CHECK VALIDATION CK. M.O. CASH -7PERMIT VALIDATION CK. M.O.• CASH
G-? 5� MAY 17 1 D. 4.Q Q N ��'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0505120046
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 4902 LT: 6 BL: D SQ. FT STORIES TYPE 4928 MCCLINTOCK AV
STRUCTURE: 22 VN TEMP CA 917804103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GRAND
8574-023-009 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/ .2/05 JK 05/07/06
i
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
MITCHELL MICHAEL A;GERRILYN M (626) 912-6080- 7,000 �
4928 MCCLINTOCK /f/ c
TEMPLE CITY CA 91780 FEES PAID DESCRIPTIONa
RE-ROOF HOUSE/GARAGE TEAR OFF CLASS 30 YR. CLASS A
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMPOSITION
APPLICANT: TEL. NO:
MUSALIAN (626) 339-0394- AA BLDG PERMIT ISSUANCE 27.75
1066 EDNA AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS:
COVINA, CA 91722 D2 PERMIT W/O EN-HC 7000.00 VAL 166.20
TOTAL FEES 194.65
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MUSULMAN ROOFING CO., INC. (626) 339-0394-
1066 E. EDNA PL LIC. NO LOCATION AND SETBACKS
COVINA CA 91722 420356 C39
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
147H277 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME 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.
i
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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