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HomeMy Public PortalAbout5420 MCCULLOCH AVE_Building__ APPLICATI L NG PERMIT FOR APPLICANT TO FILL IN (Print or type only) F v dG COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ZIP / BUILDING AND SAFETY DIVISION OF SLOGS. BUILDING _,NOW ON LOT ADDRESS o2 TRACT BLOCK LOT NO. LOCALITY TEL. NEAREST OWNER Ci / NO. CROSS ST. j ASSESSOR ADDRES �+ //�G [� MAP BOOK PAGE PARCEL CI �+ ZIP 17RO DISTRICT GRLOJUITYPE P CONST FARE RO SSED BY ARCHITECT OR TEL. -1 . 08 /-T ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO..- DWELL.UNITS jit= BK/Q jg CONTRACTOR �/sry'�i�i 0L - *USE ZONE MAP O �rrrLIC a^ NO. ADDRE J2j � oP' NO.,�vl�r 7 3 SPECIAL CITY LIC. CONDITIONS zi Al CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD - ;TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT NO, OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE rf STORIES ,�` ,FAMILIES j ONE 11�1��/ l-�7 + CL DESCRIPTION OF WORK NEW ❑ � BLDG.SETBACK FROM L,1 !) � ADD SIDE PROP.LINE OF (STREET) m L (/� ALTER :1 - TOTAL SETBACK FROM TYPE OF EXISTING h' HIGHWAY •F YARD - V REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH CL _ CL EXISUSE OT NG BLDG. QrG OEMOL ❑ + Z APPLICANT Aw' TEL//J/ CORNER CUTOFF YES ❑ NO ❑ (PRINT) f.f��(�iy N0: (/2-/a` BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION; N5 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `- WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE S F TE OALIFORNIA IN RELATING TO ' WORKMEN'S COMPENSATI INSU NCE. n SIGNATURE OF lof PERMITTEE ADDRESS �d� CITuiD�)"� �/ 1016• v NOL T��•7 TEDIATE �NAL �7� /� BY MAKE CHECKS TO: FEC. j FEE HARVEY T. BRANDY, COUNTY ENGINEER PLAN'CHECK VALIDATIONCK. M.O. CASH — PERM VALIDATION CK. M.O. CASH '. 44�MAY a �' 1.4 7 4 b MAY 7 1 1) 9,0 0 76AS38A CH x O09 5/74 dy Y" APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) _ 8 BUILD'NG .. COUNTY OF LOS ANGELES ADDRESS �YI :ilcst- G. �ARTMENT OF COUNTY ENGINEER CITY ej _ t ZIP BUILDING AND SAFETY DIVISIONGWJ-. r NO.OF BLDGS. BUILDING SIZE OF LOT ` NOW ON LOT ADDRESS r TRACT &OL-111BLOCK LOT NO. LOCA LIT ~ i /�� TEL NEAREST OWNE dG'Gjj' r , V Q W = NO. / CROSS ST. ASSESSOR ADDRESS �,. J� MAP BOOK PAGE PARCEL //]] � DISTRICT GROUP TYPE FIRE SED BY CITY Q'-( ^71� ZIP G / p J� CONST. ZONE ARCHITECT. R TEL. ��9, ( L ENGINEER- { . ) NO 7 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ✓ -7 r L.A. CLASS NO.0_-y__DWELL,UNITS f6 BK Q PG CONTRACTOR r i �; NOL QUZONEFM�APLIC. YO.ADDRESS 0rc NO. J� r AL ONDSPEC,IT ONS Lt / LIC. CIT Q_ �+ a7 CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LEND Q ' NAME AND BRANCH �. V{ ,9 BLDG.SETBACK FROM FRONT PROP.LINE OF '___tSTREET) n ADDRESS. /Jr in -) CITY keL - TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD FRONT PROP. LINE HIGHWAY WIDTH SIZE �� STORIES/� FAMILIES �p ONE C DESCRIPTION OF WORK NEW + / D y ADD BLDG.SETBACK FROM O SIDE PROP.LINE OF (STREET) ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF EXISTING BLDG. j` �-CZj r j/ DEMOL ❑ + APPLICACORNER CUTOFF YES ❑ NO ❑ (PRINT)' I J 1 IN OPEN SPACE YES ❑ NO ❑ BY (SIGNpTUR Q 001 IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ / CATEGORICAL EXEMPTION YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY 1 WILL NOT EMPLOY ANY PERSON IN V LAT) OF THE LABOR CODE OF THE STA No NG TO WORKMEN'S COMPENSAT SIGNATURE OF PERMITTEE _ ADDRESS TE FINAL BY CITY NO. DATE 17 ( gn JI P.C. • PMT. MAKE CHECKS PAYABLE 7'O FEE � FEE HARVEY T. BRANDT, COUNTY ENGINEER 8r 6o �� PLAN CHECK VALIDATION CK. . M.O. CASH — PERMIT V I DATION CK. M.O. CASH 8 7 3 FEB 27 2 3 3 1 8.6 0 89,, 14T 76A63BA CE 8803 12/72 (J 9 0 3 r-.MAY 9 1 0 5 3 1.0 0 A88 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print Or type only) ADDRESS 0 , C COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY / Gil ZIP BUILDING AND SAFETY DIVISIOW;jK0 Nd OF BLDGS. BUILDING ' SIZE OF LOT NOW ON LOT ADDRESS p7 d TRACT C L C.5 LOT NO. LOCALITY TI OWNER ss jvp �L� Ja NO A03S*8f1. ASSESSOR ADDRESS /-/ t' MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE LPSHWW4SED BY CITY I f �e`Tr' IP Q CONST ZONE ARCHITECT R TE ENGINEER I '4r%.wO• �O A A.TATptISTICAL CLASSIFICATION SEWER MAP ADDRESS ,rj'�� #q cy✓9 6 +�� `F',CLASS NO.9=?0 ,/ DWELL.UNITSBK�0 PG CONTRACTO .0 A A e.c NE + �, 'USE ZONE NMAOP a �--Z ADDRESS „�'yCyat� .� pw N) _� SPECAL LIC. jf CONDITIONS CITY�� 90Q Lp CLAS��(p ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER Vd -f__NAME AND BRANCH /• BLDG.SETBACK FROM _ FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE D STORIES FAMILIES 'ONE ❑ } _ DESCRIPTION OF WORK a NEW C) ADD ❑ BLDG.SETBACK FROM r Q C= OSIDE PROP.LINE OF (STREET) LTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING IF REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH W _ a USE OF EXISTING BLDG. j9W a jj /At EMOL F1 } Z APPLICA TE CORNER CUTOFF YES ❑ NO ❑ (PRINT) + NO , S BY (SIG • IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ LUATION :70. `e IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STPTE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF PERMITTEE ADORES] �( aJ1► .� Q CITY SK NO. MAKE CHECKS PAYABLE TO: FEE' FEEPMT.' HARVEY T. BRANDT, COUNTY ENGINEER (� ,U a LPLAN'CHECK VALIDATION CK. ` M.O. CASH PERMIT VALIDATION cK. M.O. CASH 2 .3 6 P nr;T 20 23 0 5.40 A! 6 2 :3 7 Pnr.T c0 1 0 9.0 0A_qb 76AG36A C6#607 5/74 �* 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 1210100083 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BIIILDING ADDRESS: 1 ITR: 31886 UN: 22 I SQ. FT STORIES TYPE I 5420 MCCULLOCH AV E 1 I (STRUCTURE: V-B I TEMP CA 917803562 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18573-014-047 I I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, CI I I 1TSNANT: EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 110/10/12 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: IFINAL DATE FINAL BY: CODE: I IMATCHETT SUSAN A (626) 350-4884- 1 3,600 I 15420 MCCULLOCH AV ITEMP 917803562 I FEES PAID IDESCRIPTION OF WORK 1 I I IDEMO ON TUB, MINOR DRYWALL REPAIR, REMOVE & REPLACE ROUGH 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IIN VALVE (SHOWER VALVE) 1 (APPLICANT: TEL. N0: IYENULONIS, LAURA (951) 977-9630- 1AA BLDG PERMIT ISSUANCE 27.80 1 I 19901 INDIANA AVE. IAB STATE GREEN BLDG FEE 3600.00 VAL 1.00 1SPECIAL CONDITIONS: 1 RIVERSIDE, CA 92503 ACSTRONG MOTION REBID 3600.00 VAL 0.50 I IB2 PERMIT W/ENERGY 3600.00 VAL 127.40 1 I 1 TOTAL FEES 156.70 (CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1 IEZ HOME IMPROVEMENT GROUP (951) 977-9630- I 1 19901 INDIANA AVE., LIC. NO ILOCATION AND SETBACKS 1 1 ISTE 102 947714-B I I I I I 1RIVERSIDE, CA 92503ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS I I I I - LIC. NO: 1 (SLAB/UNDER FLOOR 1 I I I 11�XPRED IRAISED FLOOR FRAMINGIMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IL�E (UNDERFLOOR INSULATION I 1 1 1147H277 3 001 1 I I I IIFLOOR r IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I _/ _ 1 0 NO 21 1 1ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ]SHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS 1 I_ I I I NO NO NO 1FRAbiE INSPECTION I I I 1FIRE SPRINKLER HANGERS I I 1T-NSULATION/WEATHER STRIP 1 I I I 1INTERIOR LATH/DRYWALL I 1 I I 1 1EXTERIOR LATH I 1 1 1 (RATED FLOOR/CELL ASSEM. I I I I I IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I 1 1T-BAR CEILINGS 1 I ILOT DRAINAGE I I I I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I I I I I 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 0503290058 PHONE: (626) 285-0488 EXT: LEGAL I S : TR: 31886 UN: 26 SQ. FT STORIES TYPE 5420 MCCULLOCH AV A STRUCTURE: 38 VN TEMP CA 917803562 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8573-014-051 THOMAS PAGE: 597 GRID: 03 LOCALITY: TEMPLE CITY, C TENANT: S LDG S I USE-MNE: R-3 ISSUED 0 PROCESSED B XP S 0 : EXIST OCC GRP: 03/29/05 JK 03/24/06 OWNER: TEL.-NO: B DGS. NOW ON LOT: ALUATION: FINAL DATE FIN BY: CODE: GARDEN VIEW HOA (626) 444-5577- 10,450 5420 MCCULLOCH AV --,, 21, TEMP 917803562 FEES P DSS TEAR OFF ONE LAYER BASE SHEET TOUCH ONE LAYER SBS MODIFIED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 4.5 U.S. INTEE APPLICANT: . NO: ALLEN (909) 981-5499- AA BLDG PERMIT ISSUANCE 27.75 1042 N. MOUNTAIN AVE AC STRONG MOTION RESID 10450.00 VAL 1.05 SPECIAL CONDITIONS: UPLAND, CA 91786 D2 PERMIT W/O EN-HC 10450.00 VAL 233.40 TOTAL FEES 262.20 CONTRACTOR: TEL. 0: APPROVALS--- DATE INSPECTOR S GNATURERIGHT-WAY ROOFING (909) 981-5499- 1042 N. MOUNTAIN SUITE B-124 LIC. NO LOCATION AND SETBACKS UPLAND, CA 91784 652996 C39 SOILS ENGINEER PR A C EC O E S - i LIC. NO: SLAB%UNDER FLOOR RAISED MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H277 3 01 FLOOR SHEATHING 0. OF FAMILIES: D L G N S: APT CO : STAT C ASS: NO 21 ROOF SHEATHING SCHOOL I A 2 AROOM SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION - ii o3 - REQ I ED TOTAL SETBACK FR IST FIRE SPRIG 5 SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER S RIP SIDE PL- INTERIOR LATH/DRYWALL Ej(TERIOR LATH RATED FLOORMIL ASSE9.7 TED WALL ASSEMBLIES S GS -BAR CEIL N S G REPORT ID: DPR261 ROUTE TO: BS0508