Loading...
HomeMy Public PortalAbout4951 MCCLINTOCK AVE_Building__ FGA638A CE#eoa 8.83 APPL ICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DIST',ICT N G P TYPE P FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLAS (CATION S WER MAP .. ADDRESS J CLASS.NO. DWELL.UNITS BGi LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT Z MAP NO. __5 (CIRC°L AY NO.OF BLDGS. E) STATE MAJOR SECON ,LOCAL 9 SIZE OF LOT /�J NOW ON LOT USE ONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. BUILDING YARD HWY STREET NAME EXIST. I SETBACK WIDTH ADDRESS04z V FRONT %! ARCHITECT OR TEL. r P. L. ` ENGINEER NO. SIDE P. L. ADDRESS - TEL. 0 CONTRACTOR NO. ADDRESS p (/ DESCRIPTION OF WORK %/ j / • �, _ � o•� rcr�67Z S a NEW ALTER REPAIR DEMOLISH ADD SQ.FT. NO.OF NO. OF �• ��/ p/l'`j'�S-�• ,v sU �� SIZE STORIES FAMILIES g ' USE OF --STRUCTURE t IF 4 S NATURE'OF ..� E JaI/1� I+YG S�7 �1- r�� /•� //NIi APPL 1 CANT r O©f'/Os J ��'(S/�/1�� /2 Y1 E74/ VALUATION S � �p i ' APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEES FEE S FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS 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 CONSTRUCTION. I 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. , INC TO WORKMEN'SiCOMPE TIO INSURANCE. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE IRECT AND POSTED A ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. GASH L�1rv0.9 4.9-9.� JUL 10 1 D 12.0 Q a �y I6A63fikCE98033-69 APPLICATION FOR BUILDIN PERMIT O s i COUNTY OF LOS ANGELES BUILDING G e DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING CROSSSST. tV . GRO TYPE PRFOR APPLICANT TO FILL IN��(yyPl!RRIjINT OR TYgP�E OANLY) //fJABUILDINGDDRESS IG •1LiA✓e®c!Z [GGL� L CLASSIFICATION SE R MA�DWELL.UNITS BK PGLOT NO. AfBLOCK MAP 0.TRACT SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. // ��pp BLDG. SETBACK FROM (STREET) OWNER h7- • //S�4 NO. Ci� FRONT PROP. LINE OF �{ -/ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS r///�/Z -lf4( 2(X1,0 �C HIGHWAY WIDTH FROM C.L. CITY / e L L .O O ARCHITECT OR TEL. BLDGS BACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. _ CONTRACTOR NO. + a ADDRESS N0. CORNER CUTOFF YES ❑ NO ❑ l CITY CLASS SEE REVERSE SDE FOR SPECIAL APPROVALS C E CONSTRUCTION LENDER H NAME AND BRANCH DZ LL a V ADDRESS SO. F N0. OF N0. OF S .E.3oo STORIES FAMILIES / NEW ❑ USE OF / �(� ADD x STRUCT /� C]ALTER REPAIR ❑ SIGNATURE OF / DEMOL ❑• APPLICANT L VALUATION$ f APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. I FOUNDATION: LOCATION FEE$ FEE$ t FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE OF � HOUSE NUMBER CORRECT PERMITTEE !!f AND POSTED ADDRESS :57 •' !/ FINAL '2 --/d' JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. 4CASH A � � i .� p..- -i � 1 9 r !I . ��. 1�1 11 13 .v 0- . A638A CE 0803 1/7 :a. 1APPLICATION ems BUIL 1l PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISI.ON---.' BUILDING r G- ADDRESS COLEMAN W. JENKINS,"'SUPT-OF-BYIICOINGLOCALIT gig FOR APPLICANT TO FILL IN NEAREST Print or tvDe onl CROSS ST. BUILDING DISTRICT NO. OU TYPE nT ADDRESS J/ �,, ! s .r U CONS STATISTICAL CLASSIFICATIONS SEWER MAP LOT NO. BLOCK CLASS NO. DWELL,UNITS eV BK TRACT Q USE ZONE MAP 6_ NO.OF BLDGS. NO. !rU SIZE OF LOT NOW O LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. �! TE OWNER 4EIf�i L No BLDG.SETBACK FROM ADDRESS f � � FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + = I!• ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET;) TEL. TYPE OF EXISTING F SETBACK HIGHWAY- + YARD = TOTAL d CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. [ADDRESS NO- +LIC. ILIC. CLASSCORNER CUTOFF YES ❑• NO ❑ U. STRUCTION LENDER E AND BRANCH SE£ REVERSE SIDE FOR SPECIAL APPROVALS RESSFT. NO. OF NO, OF NEW STORIES FAMI IES �,t��OFADDaeAfUCTURALTERATUR OF REPAIR APPLICANT DEMOL ❑ VALUATION S DC/ N<C APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$ FEES FORMS, MATERIALS FRAME: FIRE STOPS, qyp�� cy I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. O LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMENCOMPENSAT N INSURANCE. LATH, EXT. SIGNATOR ' HOUSE NUMBER COR- _ PERMITTEE RECT AND POSTED ,Y ADDRESS FINAL Ly .,' 1_6641 JOHN F. LEWIS. PRINCIPAL STRUCTURAL GINEE PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION CK. M.0 CASH DvARTMBNT OF COIINTY ffiffGmm APR 15 BUILDING 'DIVISION OF BUILDING AND'SAFETY COIINTY OF LOS ANGELES 1 WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN K.OR REc. PERMIT NO. BUILDING - � 7 ADDRESS • LOCALITY ti • RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST (:�-rte:?.J' 7'/Q�3 3 L/ _'Z �� ?� CROSS T. • / OWNER 1 , BUIL INC / N �C, CG /NT�7Ck ADDRESS MAIL LOCALITY J /Y/SOL E TLI ADDRESS R NEAREST ` �A� TEL. CROSS ST. C7'" CITY140, ARCHIT CT OR TEL. ZONE I PLANS I FIRE NO. OF TYPE I GRO P ENGINEER NO. LDG. t1 ADDRESS SETBACK LINE [_(, / �P� / NO. CONTRACTOR 1 TEL • USE r/ APPROVED ! ZONE I BY DATE ADDRESS o- ` '., /HOUSE NUMBERING `/J9 y� DESL ALCRIPTION LOT OCK 1901V —MAP NUMBER 2 o lyI NO. ASSIGNED BY // r CORRECTIONS TRACT NO,OF SLOGS.SIZE OF LOT :� ! I NOW ON LOT !f 1 _ .� ��_ - �7 ',�1� *f,A'• USE OF I NO. OF EXISTING BLDG. FAMILIt8 DF.SCRIpTION OF WORK -. Ar,, 0 - NEW ALTERATION ADDITION -97�/ rf i ,0e 4 .nL a REPAIR DEMOLITION I-I I k�`I ' 'I4 Sr ,t_' ' -,y r SQ. FT. NO. OF ? � G r en n.r en—i— 'I n SIZE ROOMS STORIES �- EXT. WALL ROOFf "�`i+r ;'.? (' t :�• .'� C. COVERING I COVERING vzt fi USE OF STRU RE J. .,(fir'),»�i/�'� it"•�.T;�lr./9 r t,•.�e.•:•r�� t - IAPPRO AO INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, @ , 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENTDUCTS AND STATE LAWS REGULATING B ,BUILDING CONSTRUCTION. � SIGNATURE OFLATH, INT. PERMITTE 1 LATH. EXT. ADDRE - PLASTER, INT. AUTHORIZED ACT. /} } / TER, EXT. S� L/� FP. C. $(' D HOUSE NUMBER COR- i Ill!// FEE RECT AND POSTED VALUATION FEE S'•.� ' '3 FINAL •• - 79ABBBA ONS3 9-02 _ l n WORKERS'COMPENSATION DECLARATIONI herea APPLICATION �I insurebor a certificatefirthat 'of Workers'Co�mpenstionof aln urt to rance, o'r A P P L I CAT I® F I L D I N G PERMIT s a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company COUNTY OF LOS ANGELS BUILDING AND SAFETY ❑ Certified copy is hereby furnished. ADDRESS FOR APPLICANT TO FILL IN BUILDING Certified copy is filed with the county building ins Pec- BUILDING / / tion department. ADDRESSjC_ j //►/Te� LOCALITY NEAREST Date Applicant CITY j= ZIP CROSS ST. 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 is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. s TEL. SPECIAL +� OWNER NO. y - Ir I CONDITIONS I certify that in the performance of the work for which this DISTRICT GROUP TYPE FIRE P O D BY Li permit is issued, I shall not employ any person in any manner 5,0 _ / so as to become subject to the Workers'jCompensatitiion Laws. d ADDRESS /'� _- D CONST. S! 7 /qh �l�/�J��cC� CITY 5�� r� ZIP '�z- Date Applicant r ! STATISTICAL CLASS,A N APT. CONDO. U NOTICE TO APPLICANT: Jf, after making this Certificate of .ARCHITECT OR TEL. .L Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL.UNITS- Exemption, Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be _ deemed revoked. �" TEL' , VALIDATION CONTRACTOR �. � V1"�fL/f d. NO. � -•)L �L BK. PG, LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7� ",,7 t p j j.� NO. GG/� VALUATION (commencing with Section 7000)of Division 3 of the Business and / LIC Professions Code, and my license is in full force and effect. c CITYC GNdl 4 CLASS z $ S���� +7 ♦ SQ. FT. i NO.OF Z NO. OF CHECK License Number ---� � !'/r L 3 Lic.Class SIZE .1 ! STORIES FAMILIES / ONE Contractor'L 12:0 XIC 0 Date 6 DESCRIPTION OF WORK ;?Zy - NEW $ ElI am exempt from the licensing requirements as I am a ! �fC �� ,-� ADD ❑ licensed architect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity (Section 7051, ; fa ' /� !'r" {'' i� rt:Ft REPAIR DATE f' ,r'� Business and Professions Code). USE OF ' / / / ❑ EXISTING BLDG. Gt�t`✓�O-'��'��' DEMOL ❑ FINAL CJ (?f a e Lic.or Re No. _Date APPLICANT �^,/� �/ TEL. 9 OWNER-BUILDER DECLARATION (PRINT) J/y. r V, TEL,NO. JC"'f L I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ;DADDRESS Professions 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 j CONTRACTOR NO. ° with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED 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 P L. Lender's Name Lender's Address P.C. Fee$ Permit Fee / 7 / x I 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 A ordinances and State laws relating to building construction, �G and hel eby authorize representatives of this County to enter Total Fee upon jii�ab ov mentioned,Property for inspection purposes. I •. i fs ( (y• c� G Lt c 2' /C 7 '� SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signature of Applicant or Agent ore ®s J I COUNTY OF LOS ANGELES i TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ` ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9711040033 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. Of CONST BUILDING ADDRESS: TR: 4902 LT: 14 BL: E i SQ. FT STORIES TYPE 44951 MCCLINTOCK AV !STRUCTURE: 0 VN 4EMP CA 917804104 ASSESSOR IN0 0 NUMBER: NEAREST CROSS STREET: GRAND 8574-024-020 (THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TEMKIFFF.- S SE: RESID USE ZONE: R-1 TSS E. ON: PROCES BY EXPIRES ON: EXIST OCC GRP: 11/04/97 UT 11/04/98 OWNER: TEL. NO: BLDGS. ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: HEHL EDWARD W;HENRIETTE Y (818) 444-8073- 1 2,500 4951 MCCLINTOCK AV TEMP 917804104 FEES PAID DESCRIPTION OF-WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: . REMOVE AND RECOVER WITH COM SHINGLE 25 YR. GAF APP O: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 2500.00 VAL 0.50 SPECIJL CONDITIONS: D2 PERMIT W/O EN- X2500.00 VAL 99.15 � ��T0T�1L f EELS 127.40 SAMERASTOWNER TEL. N0: - (� APPROVALS DATE INSPECTOR SIGNATURE LIC. NO LOCATJON AND SETBACKS SOILS ENGINEER APPROVAL I ARCHITECT OR-ENGINEER: TEL. NO: - 0 D ON/TREMC 0 S LIC. NO: ^ SLAB/UNDER FLOOR RAISED 00 FRAMING Z SEWER MAP BOOK: PAGE: FIRE 2ON3: CMP: 01 77 n U O U C CT V'®'OKS UNDERFLOOR INSULATION �f'� OOR(SH THING 0. 0 ES: DWELLING S: COND: STA CLASS: 1 NO 21 /boy n � ,p ROOF SHEATHING SCHOOL -HAZARDOUS �� \ 'fi �r �/ �� 3`fi R I P LS AIR QUALITY: 1000 FEET MATERIALS f / NO NO NO �' '/ , y� FRAMEONSPECTION REQUIRED TOTAL SETBACK FROM EXIST � ---�_ff FIRE-SPRrNKLER ANG RS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- L EXTERIOR LATH RATEDj_FLOOR/CEIL ASSEM. RATED'WALL ASSEMBLIES PATEDISHAFTS/OPENINGS T-HAR'-CEILINGS DRAINAGELOT i REPORT ID: DPR261 ROUTE TO: BS0508