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Home My Public Portal About4939 MCCLINTOCK AVE_Building__ P ®s 76A B88A �,�.•' CE#803(RErB/78) ` r Z. APPLICATION ION F®R BUILDING PERMIT IT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING / .yy) C (,� g;� ADDRESS ADIDRESS # % c�d-J#V�VC All LOCALITY NEAREST CITY ,C / ZIP Q CROSS ST. Q,4-715:0-1 NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL p A DISTRICT GROUP TYPE FIRE P CE BY TRACT�7 U. BLOCK L T NOJ —/ .��j 8 .O CONSj./ Z ,L, mi OWNER - /� i �Q� TEL -! V �l V STATISTICAL CLASSIFICATION SEWER MAP ADDRESS //(C C C .�C . CLASS NO. DWELL.UNITS B //& _ ® � pTCITY -p ARCHITECT ORTEL. VALUATION $ �S ENGINEER .5*e NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR-Ve S —NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. _Y CITY CLASS / BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH Q £#ira � c bi S Pj SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SO.FT.r NO.OF NO.OF CHECK t = SIZE NO FAMILIES ONE DESCRIPTION OF WORK 4dsl T begld^aa.•+ NEW ❑ P.C.Fee$ Permit Fee [� ADD Issuance Fee / wo 6'►IEad sl �L96..8 f3 9rJ.Ck ALTER ❑ `��' REPAIR ❑! Total Fee USE OF DEMOL ❑ A- EXISTING BLDG. �/�7 — /JJ� /sem r �` �� APPLICANT+�' TEL d ,Y / v -4 IPRINTIa7 OJ�J C Q�� D In CL-QA /%C., 5 do'eron� BY(SIGNATURE( yam,, / , I HEREBY AC WLEDGE THAT I HAVE READ THIS PLICATION AND STATE THAT THE ABOV S CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE. g SIGNATURE OF 1 4 9 0 4 PERMITTEE �1 o o.0 o 0 ADDRESS /J/ z TEL. C 2 c c 7' CC CITY:A �L N0.2-f3 ® G USE ZONE IMAP IQ 611 _ 0 0 v '; •> " 06. 13-7 10Q SQIOITIONS FINAL �A , i DAT TEMPLE CITY 11"equczNo.I-8I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUI•LDIN DEPARTMENT OF COUNTY ENGU EER ADDRESS BUILDING AND SAFETY DMSION LCICALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DIST I NO. GROU TYPE ESS Y FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL C SIFICATION. I SEWER MAP ADDRESS. CLASS.NO. DWELL.UNIT B AA __I LOTNOA "{�7 Lc, tZ , ; LOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: IN TRACT �� MAP HIGHWAY STATE MAJOR(SECOND, CAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT4, N W ON LOT USE ZONE SPECIAL i USE OF 4_ � CONDITIONS EXISTING BLDG. TEL. OWNER NO. BUILDING EXIST. YARD STREET AME SETBACK WIDTH' ADDRESS .FRONT �^ ARCHITECT OR TEL. P.L. / y ENGINEER N.O. SIDE ADDRESS INSPECTION RECORD O CONTRACT "0 Z. U ADDRESS O 0: _ O DESCRIPTION'•OF WORK W h NEW � ADD ALTER REPAIR DEMOLISH _ Z SQ FT NO.OF NO.OF — IZE STORIES FAMILIES I, , USE OF STRUCTURE (� SIGNATURE OF APPLICANT �1 VALUATION$ APPROVALS DATE . INSPECTOR'S SIGNATURE F E $ FEE $ FOUNDATION:LOCATION �...+ FORMS,MATERIALS � .O. ✓ f K.A FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS V• l�. e`.i"1'"" AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH-ALL COUNTY ORDINANCES AND STATE LAWS REGULATING • GAS VENT DUCTS BUILDING CONST%CTION. CERTIFY THAT IN DOING THE WORKAUTHORIZEDHEROT EMPLOY ANY PERSON IN VIOLA- LATH,INT.TION OF THE LAB TH STATE OF CALIFORNIA RELAT- ING TO WORKMENATI I RANCE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL fI�1 Yfe .�'!« ✓ , ;CLYDE N. DIRLAM, Phi 'flPAL ST URAL ENGINEER PLAN CHECK VALIDATION cK. M.C. CASH PERMIT VALIDATIO cK. M.o. CASH �y -1 f� � jfJ/ :CS C• 'J id011 9 1 U 3 .0\JJ lnr �. 5. �J a ,:� _ •� WORKERS'COMPENSATION DECLARATION! r`eby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING - PERMIT 'nsusure, or d certificate of Workers'Compenstion Insurance,or f :t certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY 'olicy No. Company `` "Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 9�3y �" C-`—i VAC' —I Certified copy is filed with the county building inspec- - BUILDING�Gj Z� 1 av LOCALITY J tion department. ADDRESS 1 1 /' l 1 C, NEAREST )ate Applicant CITY �1(Y1 l C: 'F ZIP � ,�gj CROSS ST. C..-7�2-!�\�► CERTIFICATE OF EXEMPTION FROM WORKERS' NO. F BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT- NOW ON LOT MAP BOOK PAGE PARCEL 'This section need not be completed if the permit is for one USE ZONE MAP .Z iundred dollars ($100)or-less.) r TRACT BLOCK LOT NO. NO. TEL. n SPECIAL certify that in the performance of the work for which this OWNER NO. 6_ sv `^ CONDITIONS O )ermit is issued, I shall not employ any person in any manner C S I/ ^v DISTRICT GROUP TYPE FIRE PROCESSED BY U to as to•become subject tb the Workers'Compensation Laws. ADDRESS 1; �(' �I I TUG( j—\ CONST. ZONE _ O )ate Applicant "CITY ��1(Yl ZIP STATISTICAL.CLASSIFICATION APT. CONDO. VOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. U :xemption, you should become subject to the Workers' ENGINEER NO. CLASS NO.� DWELL. UNITS _ H ompensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP z with comply with such provisions or this permit shall be TEL teemed revoked. CONTRACTOR NO. BK. PGVALIDATION LICENSED CONTRACTORS DECLARATION LIC. hereby affirm that'l am licensed under provision's of Chapter 9 ADDRESS( NO. VALUATION commencing with Section 7000)of Division 3 of the Business and LIC. 'rofessions Code, and my license is in full force and effect. CLASS $ SQ. FT. ' NO.OF NO.OF CHECK icense Number Lic.Class SIZE 2 STORIES FAMILIES ONE t A $ :ontractor Date DESCRIPTION OF%WORK A NEW ❑ ] I am exempt from the licensing requirements as I am a ��Q �!>�oYr` .� �I._ ADD licensed architect or a registered professional engineer tl` ALTER ❑ FINAL .1 1�^ n - actin in m professional capacity Section 7051, L�ca 1q,n.;1y DATE 1 9 Y P P Y ( \� V� VJ 1�� ootfYl REPAIR ❑ Business and Professions Code). USE OF FINAL EXISTING BLDG. L_lPAIR ❑ ic.or Reg.No. Date APPLICANT TEL. By OWNER-BUILDER DECLARATION PRINT NO. hereby affirm that I am exempt from the Contractor's License' aw for the following reason (Section 7031.5, Business and ADDRESS Irofessions Code):. PRESENT ` BUILDING 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 2 3 3 A tion 7044, Business avid Professions Code). . REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ° °'O ° ° 1 hereby affirm that there is a construction lending agency for FRONT he performance'of the work for which this permit is issued P.L. 2 ° 1 5 5 0 Sec. 3097, Civ. C.)., SIDE ender's Name P L 1 4 5 5 0 3_I ao 3, 1 0-02 P.C.Fee$ Permit Fee ender's Address certifythat I have read this application and state that the PP Issuance Fee bove information is correct. I agree to comply with all County Investigation Fee rdinances and State laws relating to building construction, nd hereby thorize representatives of this County to enter Total Fee_- pan the b e- en' ned prop ty ' r inspection purposes. 3A sz SEE REVERSE FOR EXPLANATORY LANGUAGE Signat re of Applicant or Agent Date es WORKERS'COMPENSATION DECLARATION - 1� Y r' su're,y QHcer that I have r certificate C mte of consent to self� I APPLICATION~ FORBUILDING PERMIT jtsure, or a certificate of Workers'Compensation Insurance, , or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY P61"icy No. CompanyBUILDING ❑ , Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed.with the county building inspec- BUILDING A tion department. ADDRESS 4 LOCALITY / x NEAREST Date Applicant CITY ZIP V CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' 43 bl., L&OB NOJ OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT - BLOCK LOT NO. NO. I�6— TEL. X38 .3 SPECIAL � I certify that in the performance of the work for which this OWNER . CONDITIONS permit is issued,I shall not emploAkerso n in man (STRICT .GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Wom at on La s ADDRESS 5 P1 CONST. ZONDate 2 Applicant CITY ZIP STATIST( L C SIFICATI APT. CONDO. uARCHITECT OR TEL.NOTICE O APPLICANT: If, aftethis Certificate of ENGINEER '--� NO. --' CLASS NO. DWELL.UNITS LU Exemption, you should become suk3ject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP to with comply with such provisions or tftis permit shall be deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC, Professions Code,and my license is in full force and effect. CITY CLASS I 0O. , SQ.FT. NO.OF t NO.OF CHECK License Number Lic.Claw SIZE STORIES l FAMILIES ONE $ Contractor Date DESCRIPTION OF WORK NEW ❑ ADD I am exempt under Sec. ❑ . ALTER ❑. FINAL ,,,z/_�� B.BP.C.for this reason REPAIR ❑ DATE USE OF FINAL /+ Date: EXISTING BLDG. DEMOL ❑ By .1 0-t, Signature APPLICANT TEL. v OWNER-BUILDER DECLARATION PRINT SA NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS , P fessionsCode): 'PRESENT I, as oNG wner of the property, or my employees with ADDRESSSS 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. - T% 8 0,b A I,as owner of the property,am exclusively contracting CONTRACTOR NO. yo 0 0 0 0 1 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 2 o o 4 9 8 8 RET BACED K TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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. (Sec. 3097, Civ. C.). SIDE 0215-83 'o P.L. Q Lender's Name P.C.Fee$ Permit Fee Lender's Address rI certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances ak$ta9telaws ri o building construction, Total Fee and he arepres n iv s of this County to enter up nt booned ro a for inspectio puri ses. o SEE REVERSE FOR EXPLANATORY LANGUAGE Sign itu&&Applicant or Agent Date es r i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL OSOS 0605300012 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 4902 LT: 12 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 4939 MCCLINTOCK AV STRUCTURE: 294 1 VN R3 TEMP CA 917804104 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GRAND 8574-024-032 OTHER: THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/21/06 JK 07/16/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: IBARRA, ANY G (626) 444-4924- 24,340 / J' �� 4939 MCCLINTOCK AV ✓, TEMP 917804104 FEES PAID DESCRIPTION OF WORK ADD 2 BEDROOMS 294 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 24340.00 VAL 438.14 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 24340.00 VAL 2.43 B2 PERMIT W/ENERGY 24340.00 VAL 515.46 TOTAL FEES 983.78 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS 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: UNDEZFLOOR INSULATION 3 O1 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 1 FRONT PL- SHEAR PANELS SIDE PL- ZNSUL•ATION WEATHER STRI INTERIOR LATH DRYWALL •Q� EXTERIOR LATH LOT DRAINAGE SMOYL DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BSO508 �k�4i COUNTY OF LOer kELES TEMPLE CITY # 0508 •�H?I-BTNC-PERP7I-T DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ;- T'RAT,`ON BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 03030013 PHONE: (818) 285-0488 EXT: GA ID: NO. OF CONST BUILDING ADDR SS: TR: 4902 LT: 12 BL: .001 SQ. FT STORIES TYPE •, OCK AV STRUCTURE: 0 VN L iEwi% CA a rr t)4 ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: GRAND 8574-024-032 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TENANT: I5 G . SID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/03/98 UT 03/03/99 OWNER: TEL. NO: BLDGS. NOW ON OT: VALUATION: FINAL DATE FINAL BY CODE: PU JENNIFER H (626) 442-5601- 11 3,000 4939 MCCLINTOCK AV � - __ _ TEMP 917804104 FEES PAID DFSC21pTIGN .^.F GR / RZG&#*R-WT-Tif-20`Yt-.-GAf-GOMP:SNd•NGI E= FEE DESCRIPTION: QUANTITY: LION: AMOUNT: APPL CA T: TEL. NO: SWS DESIGN GROUP, INC. (626) 284-4009- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID-t--—3000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O:EN=KC :-_=--=-3000:OO�VAL 99.15 I TOTAL-FEES 'a._ 127.40 CONTRACTOR: TEL. NO: ;�'r`..�'r �� ` " � APPROVALS DATE INSPECTOR SIGNATURE S W S DESING GROUP, INC. (626) 284-4009- �•:�� 2121 W. MISSION RD. 303 LIC. NOLOCATIONADSETBCS ALHAMBRA, CA 91803 726785 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: EL. N0: _I i `' FOUNDATIOWITRENCH FORMS LIC. NO: SLAB/TINDER FLOOR RAISED FLOOR FRAMIN NAP 47H277 SEWER MAP BOOK: PAGE: FIRE ZONE: C1-4P0-1 UNDERFLOOR INSULATION - NO. OF FAMILIES: DWELLING UNITS- APT/COND: STAT C ASS: iFLOOR SHEATHING NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION- REQUIRED NSPECTIONR QUI E TO SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR L- I T RIOR LATH/DRYWALL EXTERIOR LATH RA D' COR/ AS . RATED,WALL ASSEMBLIES RATED S TS/0 S T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508