HomeMy Public PortalAbout5411 MCCULLOCH AVE_Building__ -
•APPLICATION FOR BUILDING PERMIT
DIVISION OF,BUILDING AND SAFETY ACCREISS ,
Depaztaneat of County Engineer
County.of Los Angeles LOCALITY-
WM.J.FOX.COUNTY ENGINEER NEAREST -
`•�CAS_SA_TT D.GRIFFIN,SUPT OF'BUILDING CROSS ST.
DISTRICT NO: GROUPI TYPE S BK MA P
FOR.APPLICANT TO.FILL IN G�
CONSI. r
BUILDING Jit MAP STATE 1LC>l� N
ADDRESS A t NUMBER• r3O HWY
LOT NO. y BLOCK USE ZONE SPECIAL .
dtk CONDITIONS
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TRACT
`, NO.OF BLDGS. q BUILDING EXIST.
SIZE OF LOT i / - // NOW ON LOT 1f SETBACK YARD HWY STREET NAME• WIDTH
USE.®EX BT NG BLDG. Tgx1 4j2 r f' FRONT' O /
OWNER S } I iJ• C +y' SIDE
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MAILADDRESS �• . E��ld€s� 'tet ' O TRACT DWELL. I UNIT
y �•� p 5 INDUSTRIAL .
CITY S R��,r"�P NO. l3•l!lOfs •1- DWELL:: I UNIT 8 PUBLIC BLDG.
ARCHITECT 019 '� TEL. 2. DUPLEX I'UNIT DON.;ALT.. ETC.
ENGINEER �' NO. 3 APT. UNITS ' .
8 MISCEL.
ADDRESS• 4 COMMERCIAL
TEL. _ INSPECTION.RECORD
CONTRACTOR NO.
ADDRESS _ +
DESCRIPTIdN OF WORK
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NEW ADD ALTER REPAIR- DEMOLISHit,
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4' .'SO..FT• N0.OF NO.-OF /
SIZE " CCr STORIES FAMILIES.• r ' r
USE OF STRUCTURE
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SIGNATURE OF r � n ► d`
APPLICANT ..+� a"✓" r' "'� ,d AlLe 61 APPROVALS
DATE' INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION P /
S P.C. B FORMS.MATERIALS-
FEE FRAME:/ FIRE STOPS, ,a� /� _�'�• E pQ BRACING.BOLTS
VALUATION
FEE '' 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 WITH ALL COUNTY ORDINANCES LATH.INT. r
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
a g' LATH.EXT. t X w SIGNATURE OF .�; / ��J� HOUSENUMBER COR-
PERMITTEE_( �N'� RECT AND POSTED
s �ADDRESSC�S ! . aFINAL �� ° y 7
WM.J.FOX.COUNTY ENGINEER VALIDATION . Mr' C. M.DIRLAM,CHIEF BLDG. INSPECTOR
►� 3 4 2 4 FEB 2 3 8.00
• 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 1010280057
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 13613 IT: 94 I SQ. FT STORIES TYPE I 5411 MCCULLOCH AV
I ISTRUCTURE: 1348 V-B I TEMP CA 917803516
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: DAINES
18573-007-022 I I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, CI
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 110/28/10 SR
(OWNER: TEL N0: IBLDGS. NOW ON LOT: VALUATION: (FINAL T8 FI CODE:
IWICKLINE, DOUGLAS (626) 444-6436- I 5,000 I I
5411 MCCULLOCH AV I I I
TEMP 917803516 FEES PAID I C I I OF WORK I
I IRE- F 2ND LAYER WITH COMPOSITION SHINGLES I
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I
IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ]SPECIAL CONDITIONS: I
IAC STRONG MOTION RESID 5000.00 VAL 0.50 I
ID2 PERMIT W/0 EN-HC 5000.00 VAL 132.80 I ]
IFR INV WORK W/O PERMIT 128.50 DOL 128.50 I
(CONTRACTOR: TEL. NO: I TOTAL FEES 290.60 (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - I
LIC. NO I (LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I
LIC. NO: I (SLAB/UNDER FLOOR I I 1
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I ] I
1147H277 3 001 I I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
NO 21 I IROOF SHEATHING I I
I. SCHOOL WITHIN HAZARDOUSI I I I
(AIR QUALITY: 1000 FEET MATERIALS I ISHEAR PANELS
I I
NO NO NO I ]FRAME INSPECTION I I
(FIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIP( I
I (INTERIOR LATH/DRYWALL I I
I (EXTERIOR LATH I I
RATED FLOOR/CEIL ASSEM. I ]
I I I I
I (RATED WALL ASSEMBLIES I I I
I (RATED SHAFTS/OPENINGS
I I (T-BAR CEILINGS
LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508
I ] I I I