HomeMy Public PortalAbout5118 MCCLINTOCK AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BUINDINGADDRESS r��8 /1I e.Z11v76e DEPARTMENT OF COUNTY ENGINEER
Ty ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING _
SIZE OF LO S X��p NOW ON LOT ADDRESS tj (fes...
TRACT BLOCK
LOT NO. LOCALITY
TEL. NEAREST
NO.6'"J -&* CROSS ST.
G ASSESSOR
ADDR d �(!' ,L A,--j �1� �� MAP BOOK PAGE PARC%
IP p�7�O DISTRICT' GROUP TYPE FIRE PRO ED BY
CITY PLL C i 7
T CONST),., ZO�i
ARCHITECT OR TEL. D� -` Y V
ENGINEER :f STATISTICAL CLASSIFII.C��A_TIION SEWER MAP
__ -
TEL.
ADDRESS CLASS NO.�DWELL.UNITS BK/� �G
CONTRACTOR NO. �Y-7,20000NDITIONS NE MAP
SPEC AL
LIC.
LIC. NO.
ADDRESSot NO.
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ - NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREI�
ADDRESS CITY TOTAL SETBACK FROM TYPE-OF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE ,HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE }
DESCRIPTION OF WORK NEW ❑ + — CL
/ O
ADD BLDG.SETBACK FROM f
SIDE PROP.LINE OF (STREET) O
' ALTER LJ
=1 TOTALS TBACK FROM TYPE OF EXISTING w
HIGHWAY + YARD SID ROP.LINE HIGHWAY WIDTH , w
USE OF -REPAIR 1:1Z
EXISTING BLDG. DEMOL ❑ +
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
IN OPEN SPACE YES ❑ NO ❑
BY)SIGNATURE)
IN COASTAL PERM) ONE YES ❑ NO ❑ °
VALUATION
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
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-
PENSATION INSURANCE.
SIGNATU
PERMITTEE
ADDR .�p ! --7
CITY Nf�iS moi'! DATEFINAAG=O��tJ BY � sCi
MAKE CHECKS PAYABLE TO: FEE $ FET
HARVEY T.BRANDT.COUNTY ENGINEER
_j -
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
8 2 0-*AUG 2.3 1 D • 8.2.5.0 A-sa
J.
®s 76A63BA CE#803 3.75'
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 0508 0501270031
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13384 LT: 8 SQ. FT STORIES TYPE OCCUP GROUP 5118 MCCLINTOCK AV
STRUCTURE: 0 0 VN R3 TEMP CA 917803556
ASSESSOR INFORMATION NUMBER: GARAGE: 134 1 VN U1 NEAREST CROSS STREET:
8574-005-009 OTHER: 90 1 VN U1 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/04/05 JK 09/29/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
WANGLER CAROLE ANN (626) 575-0052- 35,000 G'
5118 MCCLINTOCK AV 's c-
TEMP 917803556 FEES PAID DESCRYPTION OF WORK
ADD TO GARAGE 134 SF. & TWO PORCHES 90 SF. AND NEW ROOF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 5:12 OVER EXISTING FLAT ROOF 780 SF.
APPLICANT: TEL. NO:
NICK (626) 574-0055- D1 PLANCHECK W/O EN-HC 35000.00 VAL 511.65
P.O. BOX 2118 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
COVINA CA 991727 AC STRONG MOTION REBID 35000.00 VAL 3.50
D1 PLANCHECK W/O EN-HC 35000.00 VAL 511.65
TOTAL FEES 1,054.55
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BILL HINOJOSA CONSTRUCTION (626) 332-4525-
4841 N. VECINO DR. LIC. NO LOCATION AND SETBACKS
COVINA, CA 91722 648450 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS Z/J
LIC. NO: SLAB UNDER FLOOR 2 I ✓
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING t rT
AIR QUALITY: 1000 FEET MATERIALS 1 6
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT/` �
SET BACK YARD: HWY: PROP LING: WIDTH: 6-
FRONT PL- SHEAR PANELS ,g
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508