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HomeMy Public PortalAbout5357 MCCULLOCH AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER „A-U f L-ID I N C7 PERMIT BUILDING AND SAFETY DIVISION BUILDING ING R APPLLICANT/TO FILL IN ADDRESS BUILD'IG [A7DDRBU' S7 • 'G C:..I/�L j fJ LOCALITY i / ZIP OW 7 V NEAREST CROSS ST.. ASSESSOR {/ I U NOW ON LOTS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY BLOCK LOT NO. G/ CONSZONE WNE e�1l • ;:c•l NOLIZp�I� STATISTICAL CLASSIFICATION ON _ /y� / EWER AP ADDRESS iy/CCLI/O(6 CLASS NODWELL,UNITS Ib pG CITYTe--i I ZIP �'7 Q USE ZONE MAP NO. ARCHITECT OR TEL. �r SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL. BLDG.SETBACK FROM NO FROKT PROP.LINE OF (STREET) LIC. - ADDRESS NO. NIGAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP, LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH O} BLDG, TRACK FROM ADDRESS CITY SIDE LINEOF A (STREET) SQ, FT,� NO. OF / NO. OF CHECK HIGHWAY + YARD = K FROM TYPE OF EXISTING 09 SIZE (� STORIES FAMILIES ONE SI E P LL HIGHWAY WIDTH O DESCRIPTION OF WORK NEW ❑ + h WADD CORNER CUTOFF YES ❑ NO ❑ hirdi�D' �` ALTER IN OPEN SPACE YES ❑ NO ❑ USE OF "� IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, DEMOL ❑ APPLICANT TEL ' (PRINT) NO. - - e BY (SIGNATURE) I HEREBY ACrRTIF1 T I HAVE READ THI LICATION AND STATE IS CORRECT AND AGREE TO COMPLY WITH ALL AND LAWS REGULATING BUILDING CON- STRUCTION. THAT IN DOING THE WORK AUTHORIZED HEREBY COWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CDE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF FINAL 7 BY PERMITTEE DATE - ADDRESS TE L. P.C. Fee$ Permit Fee 2. CITY NO. Issuance Fee VALUATION D Oa - Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (:V— M.O. CASH 9 3 0 ©CT 26 1 u 6 2.2 5 A-tI- 76ASsaA CEOS03B 12/75 (Pvr - 76A638A CE#8033-66 B I �GP RMI7 . APPLICATIONFOR UDI L COUNTY OF LOS ANGELES nooaeNN DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY , 46 JOHN A. LAMBIE. COUNTY ENGINEER ' NEAREST COLEMAN W. JENKINSAUP'T OF BUILDING CROSS ST. I DISTR CTAO OR TYPE PR BY ,FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICA C IFI CATION SEWER MAP ADORE33472� e 04 Gds CLASS NO. DWELL UNITS BK ' G !/G� LOT NO. BLOCK USE. ONE MAP NO. TRACT ` / SPECIAL N0. OP BLDGS. CONDI IONS .SIZE OF LOT NOW ON LOT i USE OF O E"ST"E"ST"Q BLIRG, BLDG. SETBACK FROM ' TEL. FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL r e ADDRESS HIGHWAY WIDTH FROM C.L. CITY � BLDG. SETBACK.FROMARCHITECT OR TEL.. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTI'NO SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. EL. CONTRACTOR ry c ADORES � , f NO CORNER CUTOFF YES NO C clr CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS c CRIPTION WORK U L NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES ; FAMILIES USE OF «,G STRUCTURE i SIGNATURE OF APPLICANT VALUATION.$ i i i ,00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ , ' FORMS, MATERIALS FRAME, FIRE STOPS,. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND.-AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS.VENT. DUCTS 9UILDING CONSTRUCTION.'1 CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY•1 WILL-NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STAT-& CALIFORNIA,R LAT- ING TO WORKMEN'S ION IN R N LATH.-EXT. SIGNATOR FAVHOUSE NUMBER COR- PEiiMITTE Ni REC AND POSTED ADDR FINAL JOHN K.LEWIS. PRINCIPAL STAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PER= VALIDATION CK. M.O CASH 8 5 L .6 PAY.12 1 _D3.Q 0~ CQ 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 0907220042 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 13613 IT: 92 I SQ. FT STORIES TYPE I 5357 MCCULLOCH AV I ISTRUCTURE: 2520 V-B I TEMP CA 917803514 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: DAINES 18573-007-020 1 1 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl (TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1EXIST OCC GRP: 107/22/09 SR (OWNER: TEL. NO: 1BLDGS. NOW ON IAT: VALUATION: JFINALDAX FINAL BY: CODE: 1 ICHUNG, HOWARD (626) 254-3187- 10,500 1 15357 MCCULLOCH AV I I U / ITEMP 917803514 I FEES PAID IDESCRIP ION OF WORK I I I 1TEAR OFF AND REROOF BY REPLACING EXISTING SHINGLES WITH NEW 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: COMPOSITION SHINGLES ADD 1/2" THICK PLY WOOD. 1APPLICANT: TEL. NO: I I 1 ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 1 IAB STATE GREEN BLDG FEE 10500.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION RESID 10500.00 VAL 1.05 I 1 ID2 PERMIT W/O EN-HC 10500.00 VAL 233.40 I 1 I I TOTAL FEES 263.20 I 1 (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I (SAME AS OWNER - I 1 1 LIC. NO 1 1LOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS 1 I 1 1 LIC. NO: 1 1SLAB/UNDER FLOOR I I 1 1 1 1RAISED FLOOR FRAMING 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I 1147H277 3 001 11 1 I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I 1 NO 21 1 1ROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO NO NO IFRAME INSPECTION I I 1REQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I IFRONT PL- I 11NSULATION/WEATHER STRIP SIDE PL- I I I I 1 I 1 I 11NTERIOR LATH/DRYWALL 1 1 I I 1EXTERIOR LATH I I I 1 I IRATED FLOOR/CEIL ASSEM. 1 I I IRATED WALL ASSEMBLIES 1 1 1 IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS I I I I I 1 I ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1 I I I I I I