HomeMy Public PortalAbout5212 MCCLINTOCK AVE_Building__ SA888A 0139.9 8.88
APPLICATION
1 pian s
F®R BUILDINGPERMIT
DMSION OF BUILDING AND SAFETY ADD Ess L•
Dep osiment of County Engineer
County of Los Angeles LOCALITY 1,C-- G G <52F�,' 7—
WM.J. OX.CONY ENGINEER NEAREST
CA SAT_T DF GRI F Nu SUPP'T OF BUILDING CROSS 8T.
FOR APPLICANT TO FILL IN DISTRICT NO:. GR UP TYPE SEWER MAP
-
I CONST. I a
BUILDINGY /V MAP STATE
ADDRESS � / L C L' NUMBER Q HWY YES NO
LOT NO. r BLOCK us ZO SPECIAL
�J/ CONDITIONS
TRACT
133 '
SIZE OF LOT �D jC �.� I NOW ON LOT S_
B SETBACK NO.OF TIDING YARD HWY STREET NAME GIST'
WIDTH
USE OF
EXISTING BLDG. , FP OL T G
OWNER SIDE
P. L.
MAIL �/ n
ADDRESS S 1+ Y �7• C.VL�N O(. O TRACT DWELL. 1-UNIT
� 5 INDUSTRIAL
TEL. . 1 DWELL. 1 UNIT
CITY C NO. 6 PUBLIC BLDG.
ARCHITECT Ok TEL 2 DUPLEX I-UNIT 7 ADDN..ALT.. ETC.
'ENGINEER MIA21 NO. $ APT.• UNITS
8 MISCEL. -
ADDRESS 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO.OF NO.OF
SIZE OR1E8 FAMI Es
U8 S UCTUR • r
SIGNATURE
APPLICANT APPROVALS
ADDRESS DATE INSPECTORS SIGNATURE
$ P.C. S .FORMS.MATERIALS ION ..v im a
O v FEE FRAME:FIRE STOPS, r
BRACING,BOLTS _
VALUATION FEE f `V FURNACE:LOCATION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS'
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WIT# COUNTY ORDINANCES LATH,INT.
AND STATE LA EG IN BU DING CONSTRUC-
TION. /i .s' .R„•
LATH.EXT.. A/B
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
r ✓r G�
ADDRESS FINAL
WM.J.FOX,COUNTY ENGINEER VALIDATION - C.N.DIRLAM,CHIEF BLDG. INSPECTOR
Ado 7,•5 3. 51' SEP 6 1 . *6.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1005030019
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 13384 LT: 12 I SQ. FT STORIES TYPE [ 5212 MCCLINTOCK AV
I ISTRUCTURE: 2400 V-B TEMP CA 917803558
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18574-005-015 1 [ THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 105/03/10 SR
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFIRDATE 11 CODE:
CODE:
15212KOON BARBARA C - [ 4,800 1 �' 1
5212 MCCLINTOCK AVE
ITEMPLE CITY CA 91780 I FEES PAID 1DE8CRIPTION OF WORK u1
I I (INSTALL 30 YEAR CLASS A ASPHALT SHINGLE OVER EXISTING ONE 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ILAYER 3 TAB SHINGLE HOUSE AND GARAGE 1
(APPLICANT: TEL. NO: I I I
IKEEFER'S ROOFING CO. (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27.75 1 I
11210 BEGINIA COURT IAB STATE GREEN BLDG FEE 4800.00 VAL 1.00 ISPECIAL CONDITIONS:
[UPLAND, CA 91784 AC STRONG MOTION RESID 4800.00 VAL 0.50 I
D2 PERMIT W/O EN HC 4800.00 VAL 132.60 I
TOTAL FEES 161.85 I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IKEEFER'S ROOFING (909) 608-0622- 1 1 I
11216 BEGONIA COURT LIC. NO 1 ILOCATION AND SETBACKS II I
1UPLAND, CA 91784 HIC * I I I I I
I I ISOILS ENGINEER APPROVAL I I I
[ARCHITECT OR ENGINEER: TEL. NO: - 1 [FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: i (SLAB/UNDER FLOOR [ 1
[RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION [ I I
1147H277 3 001 1 I I [
I I [FLOOR-SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
1 NO 21 1 IROOF SHEATHING [ \ I
1 SCHOOL WITHIN HAZARDOUS
I ISHEAR PANELS I I v I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
1 NO NO NO 1 IFRAME INSPECTION I I I
[ [FIRE SPRINKLER HANGERS [ [ [
I I (INSULATION/WEATHER STRIP[ I [
I I (INTERIOR LATH/DRYWALL I I I
[ [ [EXTERIOR LATH I [ I
I I RATED FLOOR/CEIL ASSEM. I I I
I I (RATED WALL ASSEMBLIES
IRATEDISHAFTS/OPENINGS I I I
1 1 [T-BAR CEILINGS 1 [ I
* ADDITIONAL DATA ON FILE
I ILOT DRAINAGE I I I
I IREPORT ID: DPR261 ROUTE To: BS0508 I I I I