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HomeMy Public PortalAbout4943 MCCLINTOCK AVE_Building__ BA638A OF#eon.to-36 APPLICATION F O R B U I L D I N G PE R M LT. 1 BUILDING AND SAFETY DIVISION BU1 R DING Deportment of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST. CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. DISTRICT N - GROUP ]TYPE SE ER MAP , FOR APPLICANT TO FELL IN BK PG CONSTBUILDING . ADDRESS `y f� wl �1 � �;C . �•.s�1 u/°.�"i Cf:.+ ' STATISTICAL SSIFICATION' I Q �. L14tiI "'3 CLASS.NO. DWELL.UNIT LOT NO.�h 42 /Y f�� �?/v 7 / �� BLOCKIS:2 MAP. STATE U � 4 NUMBER YES HWY O TRACT —4 CIA !A; USE ZONE SPECIAL NO.OF BLDGS. Jif CONDITIONS SIZE OF LOT ,�S'X 1�7_, I NOW ON LOT / USE OF EXISTING BLDG. d r✓I G.. BUILDING YARD HWY STREETWIDTH NAME EXIST. NA SETBACK OWNER�" 1(±yt�_al :2.r' V>0 ". K7 t:: r-\•\ FRONT .. . MAIL 1 `. �/�1 /� '.P.L. ADDRESS J V� 1.1 t Vl�ro(•JC (- + SIDE \ P. L. TE, CI (f A .-t N'O INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD VALTER REPAIR DEMOLISH SQ. FT. NO. OF NO.OF SIZE �G ��' r d STORIES FAMILIES ' USE.OF STRUCTuA APPROVALS SIGNATURE OF APPLICANT DATE INSPECTORS SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS, MATERIALS $ P.C. 3 FRAME: FIRE STOPS. FEE BRACING.BOLTS VALUATION ©� $ FURNACE: LOCATION. FEE GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS � TING BUIL !NG C STRUCTI N. SIGNATURE OF HOUSE NUMBER COR- V.PERMITTERECT AND POSTED ADDRESS Q FINAL OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM.PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERKIT VALIDATION ' CK. M.O.. CASH X18 3% se . 3 2.00 DIVISION OF BUILDING AND SAFETY BUILDING U ' L ® I Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Lf A// DISTRICT NO. PLAN CIG /DSR REC.No. C� PERMIT NO. BUILDADD EIBB / �3 /VV Al/ ' G IF6 //►�J`O C A �` +�7 f� / � ✓-B LOCALITY G /� 1'i /Yr? IF C.,T RECEIVED BY DATE OF"PI- DATE ISSUED NSAREBT. ��/'P^/.d •✓rK N S'J C� - /-/� - �,,,(J�`�' _ ROBS 8T » /� AA'' ILDING ADDREBS OWNER J„I R F r_�y LOCALITYMAIL ADDRESS 9� , A hCA APE NICAREST ✓ n ` ROBS ST. h. of �Q� CITY Sl0lA ,N- G'A-7'� NQ d PIAT C✓r ZIRE NO.or ONE I PLANE I TYPE / I BROUP / ARCHITECT ORA &e Aj' ` / opi pr EOL p�� / V �N ENGINEER tit' +f" g�BACK LINEORD. NO. ADDRESS '��� f USE APPROVED CONTRACTOR )VW J2 ��/� TL NO. ,�y ;,f JI 9 ZONE/I-( BY DATE p / HOUSE NUMBERING ADDRESS '] Pam,b-v loly/h/ AOA-p- MAP NUMBED :20-51/ NO. ASSIGNED BY LEGAL DESCRIPTION LOT NO. BLOCK N CORRECTIONS �2 TRACT O. OF BLDGIL N SIZE OF LOT I NOW ON.LOT gy�yp+ / AAs USE OF NO OF EXISTING SLOG. FAMILIEC _� DESCRIPTION OF WORK u�5+ U (� ru X NEW �. ALTERATION ADDITION /1 [/ '' s Z �U 0/` ! lQ ��0• �ifUlC7�n� a/l D REPAIR DEMOLITION �/ �NO.or •S- 3-33,- , r 9 ZE ROOMS STQRI'a ri 7 COVERING � C G � I COVERING Ge"I P. UBE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAS IN .ECTORI SIGNATURE DATE FOUNDATION: LOCATION ? - FORMS, MATERIALS `) j�A`'�j I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE STOPS, / / /1_� L q CORRECT. BRACING,BOLTS l Y 1 AND STATEAGREE LAWS REGULATING BT13 1313MPLY WITH LL.UILDING CONSTRUNTY UCTIOEN. + FURNACE: LOCATION, GAB VENT,DUCTS me�gg®® i n SIGNATUREOF PERMITTEE � � .L� LATH, INT. � ':✓✓V�i''/! ADDRESSr v e-A ESV V ' LATH, EXT. r P-r.4 D /Y+ PLASTER, INT. AUTHORIZED'AGT. PLASTER, EXT. 1�s19/E�.a ®�� FEE HOUSE NUMBER COR / RECT AND POSTED VALUATION FEE 8�! .��� FINAL L07 76A538A DBE 3 1-58 p '70A080A C8#800.1-01 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES pDD EISS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. G UP TYPE PR ED BY FOR APPLICANT TO FILL IN ��CONST. BUILDING /j IJ �p� QSTATISTICAL CLASSIFICATION I SE RMAP ADDRF�B CLASS.NO. DWELL.UNITS � LOT NO. Ugg eal B 104K WATER NOT REQUIRED RECEIVED TRACT y�© CERTIFICATE: !! MAPLN 1 HIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO.," (CIRCLE) SIZE OF LOT. X�J� NOW ON LOT USE ZONE SPECIAL USE OF / CONDITIONS EXISTING BLDG. `DLL/�LL//11G (/ 14 OWNER 'ell • 7�3� BUILDING EXIST. SETBACK YARD. HWY STRE NAME WIDTH ADDRESS h/9/p MC elz1 i/��G& FRONT ARCHITECT OR TEL. P.L. V �� ENGINEER NO. SIDE P.L. ADDRESS TEL INSPECTION RECORD 0 CoNTRACTOR/L.V'/D/y.�w�,4= NO`vgi�j 140 V ADDRESS�JS,?:l L A/pkdJ14 FAA``,Oko//(� l i_4_ gig O DESCRIPTION SOF WORK ti W NEW ADD //ALTER REPAIR DEMOLISH u) SQ.FT. NO.OF NO.OF' _ z IZE O STORIES FAMILIES USE OF mew STRUCTURE SIGNATURE OF APPLICANT14 /94=11 VALUATION$' / 0 APPROVALS DATE INSPECTOR'S SI NATURE FOUNDATION:LOCATION FEE $ � FEE $ FORMS,MATERIALS J�. �f// L�/ {,•�'y'_ �G P ' FRAME:•FIRE.STOPS, yytf I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,BOLTS 0`.Zo AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY FURNACE:'LOCATION,' ' WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS e BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION OF TH E'LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMP ATION INSURANCE. LATH.EXT. SIGNATURE OF HOUSE HOUSE NUMBER COR- PERMITTEE A4 •RECTANDPOSTED ADDRESSAkp. FINAL lvi el ` ` A11,11 f r ' CLYDE N. DIRLAM,'PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERNIIT VALIDATION cK M.C, CASH LAC0 3 595 -,-o OCT s 7Z A638A� r CE 0800 78) APPLICATION FOR BUILDING P RMIT COUNTY OF LOS ANGELES BUILDING AND,&#ETY FOR APPLICANT TO FILL IN ADDRESS BUILDING / ADDRESS d/' !/ LOCALITY NEAREST CITY i I• ZIP CROSS ST. O F BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY TRACT �/ BLOCK LO I CONST. ZONE OWNER NOTEL. / `� ,> STATISTICAL CLASSIFICATION SEWER MAP °' ADDRESS 'T CLASS NO.�SIDWELL.UNITS c�BK/ PG CITY ZIP %/�7ea ARCHITECT OR TEL VALUATION $ / U ENGINEER , NO. ADDRESS BLDG SETBACK FROM TEL FRONT PROP.LINE OF ISTREETI CONTRACTOR vKQd / NO 0_1 HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESSN LIC + CITYQ� C CLASS - BLDG.SETBACK FROM CONSTRUCTION LEND SIDE PROP.LINE OF (STREET) NAME AND BRANCH ® e 04 tcf�_ t HIGHWAY +, YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH Ol u SO FT NO OF NO.OF CHECK + _ �r SIZE O STORIES FAMILIES ONE ZONE MAP �� DESCRIPTION OF WORK NEW ❑. NO. j1 SPECIAL ADD CONDITIONS VA ALTER ❑ FINAL �� y BY REPAIR ❑ DATE t�r Z USE OFDEMOL EXISTING BLDG. ® 4_. [ ❑ O APPLICANT TEL IPRINTI el NO. O BY ISIGNATUREI IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd 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- Q PENSATION INSURANCE d SIGNATURE 0( PERMITTEE ADDRESS �P� Z TEL. y O CITY =LdzNO.. P.C.Fee$ Permit Fee / > s- Issuance Fee W ssr Total Fee APPLICATION '�' ' �1' C ON FOR. ��!I�.D I NG PERMIT . COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS ^ I hereby affirm that I have a certificate of consent to self insure, BUIWING AD�ESs � J or a certificate of Workers'Compensation Insurance,or a certified CITY ,zIP Copy thereof(See.9800,Lab.C.) 7t LOCALITY Policy NO. Company SIZE OF LO NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department.` . Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE TEL NO.' �l ( YES NO COMPENSATION INSURANCE ADDRP el WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred �.�� DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100}or less.) CITY ZIP I certify that-in the performance of the work for which this permit /7e�fj Is Issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO. f/ become subject to the Workers'Compensation Laws. _ STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. S�PLZ DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRAOTOF� / TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provision' of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC,NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC,CLASS SIDE- LICENSED I hereby affirm that I'am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and •FT SIZE NO.OF STORES NO.OF FAMILIES � License Number Lic.Class ADD. VALUATION $ Professions Code,and my license is in full force and effect. NEW BK PG C' DESCRI ION OF WORK VA❑ , Z Contractor Date ALTER ❑ -REPAIR ❑ ! ❑ $ I am exempt under Sec. ,i B.&P C.for this reason y DEMOL ❑ LDMA P/C# Date. USE OF EXISTING BLDG. URM, ❑ i Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ni•{•: a as owner of the property, or my employees with wages as Z n"'•? their sole compensation,will do'the work and the structure is ADDRESS 3-31=;= g' 63 not Intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) s c TEi S ❑ • WILLTHEAPPI.ICANTORFUTURE BUILDING OCCUPANT HANDLEAHAZARDOUSMATERULL I ��9Z J I, eS owner Of the' . ro e OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN p p rty, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATIONGUIDE9 FINAL BY io •'-, 6.3 licensed contractors to construct'the project.(Section 7044, ❑ - Business and Professions Code.) YES 11 No I L,Aw ? o7 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPIR APERMIT FOR CONSTRUCTION OR MODIFICATION .,„i`•i1�1 a I, I 3 CONSTRUCTION LENDING AGENCY COASTAQUALITY DISTRICT(SCAOMDSEE PERMITTING TING CHECKLIST .- FOR GUIDELINES. - I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the.work for which this permit is issued(Sec, 9097,Civ.C.. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDffii 5y r3 2 PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES .rs( T2 f q COUNTYCODE,TITLEZ CHAPTER220SECTIONS 22M100THROUGH 220.140 CONCERNING _ Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 1111 .a € H o a(s aLenders Address OWNER' ��� r - til I �� 0 o° - I certify that I have read this application and state that the above Information is correct. I agree.to comply with all county RC.FEE PERMIT FEE , ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-mentioned property for inspection pure = • 7J . � E✓li � �� Z INVESTIGATION FEE TOTAL FEE / ,I a �pgwaMarApun !LL�(�l'"'���' �, � (d . SEE REVERSE FOR EXPLANATORY LANGUAGE, ' Z • COUNTY OF LOS ANGELES TEMPLE CITY }3508 .. "°'` BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -P RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA m BL 0508 9612120003 PHONE: (818) 285-0488 EXT: LEGA ID: 0. OF CONST NEW B LD G A ESS: TR: 4902 LT: 13 BL: E SQ. FT STORIES TYPE OCCUP GROUP 4943 MCCLINTOCK AV STRUCTURE: 480 1 V R3 TEMP CA 917804104 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8574-024-018 OTHER: THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TENANT: XIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED-BY: EXPIRES ON: EXIST OCC GRP: 12/12/96 TC 12/12/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE: YASSA JOSEPH G;VICTORIA M (818) 350-1136- 1 35,500 Z zo'Ad 4943 MCCLINTOCK AVla TEMP 917804104 FEES PAID UESCRIPTIONOF WOR ADDITION OF 480 SQ. FT. BATHROOM, FAMILY ROOM AND LAUNDRY FEE DESCRIPTION: Q�IANT s"Y�0�1L AMOUNT: ROOM WITH LAUNDRY SINK AND TOILET PLICANT: TEL. O: ,� SAME AS OWNER - AA BLDG PERMIT ISSUAACE��� 27.75 AC STRONG MOTION ESID� 35500:00=VA1\ 3f�5 SPECIAL CONDITIONS: AX BUILDING REVfEIFEE� 4�s7U B2 PERMIT W/ENE.GY .'35500.00 VAL �67,4M CONTRACTOR: TEL. NO: TOTAL FEES / \760.85 SAME AS OWNER _ i'��s��•} Q U- / 6 APPROVALS DATE INSPECTOR IGNATURE i'A / (1 LIC. NO tyd =� i� ' C kOCATION AND SETBACKS _27 SOILS ENGINEER APPROVAL �� SI 'h / ARCHITEC 0 ENGI EER: TE NO: FOUNDATION TIO TREWC FO 5 ' LIC. N0: SLAB/UNDER FLOOR l'1l .cam / USED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE0: CHP: /' 6<NDERFLOOR INSULATION �' ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT C ASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS � � NO NO NO u 1 FIREDEPT FRAME INSPECT n REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAM SPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS Pol SIDE PL- INSULATION/WEATHER L- INS LATION/ EATHER STRIP �/ INTERIOR LATH/DRYWALL 77""�� r-� EXT RIO TH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508