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Home My Public Portal About5510 MCCULLOCH AVE_Building_9/8/1977_ l�Eyi`'L 1 CAT 1 O N FOR � '� COUN OF LOS ANGELES fLD I N G PERMIT °Bu LD NG AND SAFETY DIVISION ENGINEERRTMENT OF COUNTY _ BUILDING ��.c�JUQe FOR APPLICANT TO FILL'IN ADDRESS LDING ADDRESS �' IuLLa� LOCALITY NEAREST CITY ZIP / CROSS ST. ! ! NO.OF BLDGS. ASSESSOR SIZE OF LOT Q O NOWON LOT MAP BOOK PAGE EL DISTRICT GROUP TYPE FIRE PR ESSED BY TRACT BLOCK LOT NO. �/® .�� CQPJBT�� SAME OWNER AIVL Q IN .A l !� :57- 0 5- STATISTICAL CLASSI�FIICATI SEWER MAP ADDRESS C 4d C. `�V CLASS NO.,DWELL.UNITS BK PG CITY I& Iry ZIP USE ZONE MAP0. 2ds� ARCHITECT OR TEL. �z SPECIAL ENGINEER NO. [CONDITIONS R ADDRESS -ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM S . I LIC. FRONT PROP.LINE OF ' U�f --4—(STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF I EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY ' CLASS CONSTRUCTION LENDER C)• I zoc+ �� a NAME AND BRANCH BLDG.SETBACK FROM U \ .LINE OF ADDRESS CITY 1 SIDE PROP )STREET) w0 SQ.FT./� NO.OF NO.OF, CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE •.r STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N DESCRIPTION OF WORK "p ij_ NEW ❑� ADD CORNER CUTOFF YES ❑ NO ALTERR 11 El IN OPEN SPACE YES ❑ NOREPAI ' USE OF DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO EXISTING BLDG. �, �{ ) APPLICANT TEL (PRINT) �/�' (� �1J5 BY(SIGNATURE) 63 I HEREBY.ACKNOWLEDGE THAT I HIVE READ THI APPLICATION AND STATE '��T p A07_ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE IAL., ' WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 7 l p ' , THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'SCOM- y�v. �•-y-7 q.�, r , PENSATION INSURANCE. SIGNATURE OF FINAL BYE ^ PERMITTEE!2' 144,_� e DATE ADDRESS �' G!� / I TEL. P.C.Fee$ Permit Fee CITY v NO Issuance Fee VALUATION$ // 1 Total Fee //b• S PLAN CHECK VALIDATION CK M.O. CASH ' PERMIT VALIDATION CK. M.O. CASH 6 8 7-SEP �S 7GA638A CE 0803A 6/76 , y Ti ' 1 •.s I ,• '2 +.. . ' .,., 1 , APPLICATION FOR. BUILDING PERMIT ' COUNTY OF;LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION 1 FOR APPLICANT TO FILL IN BUILDING ADDRESS ' II BUILDING ADD I hereby aff(rtrl that•I have a certificate of consent to self-insure, I f ` G �GLo �� 1.� c LC. .or a Certificate of Workers'Compensation Insurance,or's Certified copy-thereof.(Seo.380.Lab.C.) •g `7 LOCALITY zip Policy No. Company SIZE OF LOT �)! NO.OF BLDG3.NO ON LOT ❑ Certified,copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is.filed with the county building Inspection TAT BLOCK ;+ LOT NO. 2 USE ZONE MAP NO. department.Date G 1' ASS OR MAP BOOK PAGE PARCE • Applicant ! d SPECIAL CONDITIONS. CERTIFICATE OF EXEMPTION FROM WORKERS' °°�,NSR ' TEL.NO. i YE NO COMPENSATION INSURANCE �d7 �.rS�� FI�U 3r0�'F'�� w�THIN 1000 F.rOF SCHOOL? (This section need not be completed if the permit is for one hundred �,�''`B�<u�� Are DISTRICT "G UP TYPE CONST' FIRE ZONE OCESS dollars($100)or lesP T � I certify that in the performance of the work for which this permit O T��e)� /—�d ZIP �`�� C L11Lfi Is Issued, I shall not employ any person in any manner so as to ARCHITE oR ENGINEER TEL NO. become subject to the W°fkers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CL"M NO. DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR �� TEL NO. •SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this-permit shall be deemed-revdked. ADDRESS ,! LIC.NO. P I LICENSED CONTRACTORS DECLARATION CITY _ LIC.CLASS SIDE PL O I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP y. (commencing with Section 7000)of.Division 3 of the Business and �•FT SIE NO. STORES NO.OF FAMILIES I Professions Code,and my license is in full force and effect. NEW ❑ BK PG DESCRIPTION OF WORK VALUATION , LU License Number 'Lic.Class ADD , /y /j y Contractor' -ALAIV TER ❑ GI " ❑ I am exempt under Sec. �a�9�/ �d REPAIR ❑ $V B.&P.C.for this reasonDEMOL ❑ LDMA P/C.# Date: USE OF EXISTING BLDG. URM ❑ j Signature APPLICANT(PRINT) TEL NO. LDMA Perm MZ Pt(Sr�.!e s ~ ❑ 1, a§owner of the property, or my employees with wages as I' O 33 i .� their sole compensation,will.do the work and the structure Is. ADDRESS 1– not Intended or offered for sale (Section 7044, Business and FINAL DATE p i � �!Imo+ Professions Code.) ,. WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL .I 1 /9`/ D' l ❑.1, BE owner of the ro rt, am exclusive) Contractin with ' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL DUAL TO OR GREATER THAN •TOTAL 304.1-4 Pe Y Y 9' THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL• Y - licensed contractors-to construct the project.(Section 7044, �' r• CHECK304.44 Business and Professions Code:) YES NO I WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING' CHANGE r IfI ti� OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH CHANGE ' ' - eCC CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. ¢ ' I hereby affirm that there Is a construction lending agency for YES❑ No the performance of the work for which this permit is issued(Sec. I AVi • (]�j (�-) t 1/9- 3097,CIV.C.). HE READ THE HAZARDOUS MATERIAL'S GUIDE AND THE SCAQMD t -. PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES ! }h� NG Lenders Name COU OUS Law EARS REPOS" AND FOOR OBTNS�AIiN TMA P UG n'FROM T°OHE CERNI 1 ` 1161 1 - M 11:08 Lenders Address VM ORAGETr I, o I certify that I have read this application and state that the above P.C.FEE' PERMIT FEE Information is-correct.' I-agree to comply with all county ordinances and State laws relating to building construction,and q It 414 hereby authorize representatives of this County to enter upon ISSUANCE FEE th )3,0 D e menti ed party for ns on purposes. 6 .17 -90 INVESTIGATION FEE TOTAL FEE 3V b�f ftwtd. dAppkentar 1, oats I . 1 SEE REVERSE FOR EXPLANATORY LANGUAGE• r u COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1305290115 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: IBK: 60 PG: 40 PC: 2 I SQ. FT STORIES TYPE OCCUP GROUPI 5510 MCCULLOCH AV I I ISTRUCTURE: 80 1 V—B R3 I TEMP CA 917802943 I (ASSESSOR INFORMATION NUMBER: I GARAGE; I NEAREST CROSS STREET: LIVE OAK 18573-013-037 I OTHER: I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI ITENANT: 1EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 105/29/13 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL TE FI Y: CODE: I IGHALI, MOUNIR (626) 422-0855— 1 14,000 1 15510 MCCULLOCH AVE I I I ITEMP 917802971 [ FEES PAID DISCRIlIPTIONFOr WORK 1 I 180 SQFT.pWOM ADDITION TO (E) ONE STORY HOUSE INCLUDE I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICONVERT,AREA FROM FAMILY ROOM TO BE BEDROOM AND WALK IN CLOSI (APPLICANT: TEL. NO: I JET FOR THE'EXISTING MASTER BEDROOM I [SAME AS OWNER — JAA BLDG PERMIT ISSUANCE 27.80 1_ 1 1 JAB STATE GREEN BLDG FEE 14000.00 VAL 1.00 ISPECIAL CONDITIONS: I JAC STRONG MOTION RESID 14000.00 VAL 1.40 I JBl PLANCHECK W/ENERGY 14000.00 VAL 265.30 I 1 I JB2 PERMIT W/ENERGY 14000.00 VAL 312.20 I I ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 JAPPROVALS DATE INSP CTOR SIGNATURE I ]SAME AS OWNER — I TOTAL FEES 709.10 I I I LIC. NO I ILOCATION AND SETBACKS I I II I- I I SOILS ENGINEER APPROVAL I 1 1 JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I I I IES I LIC. NO: I JSLAB/UNDER FLOOR 1 e I I (RAISED FLOOR FRAMING 1 I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I 1 3 001 I 1-1 1 I I 11ST LEVEL FLOOR SHEATH I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I I I I I I I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I IAIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO I IFIRF. DEPT. FRAME INSPEC I I I JBLDG DEPT. FRAME INSPECT( I I ISHEAR PANELS I I I I I ] JINSULATION/WEATHER STRIP 1 ] (INTERIOR LATH/DRYWALL I I I 1 I I 1EXTERIOR LATH I ILOT DRAINAGE I I I (SMOKE DETECTION DEVICES J I I I I I IFIRE DEPARTMENT APPROVAL( I 1 J I I I I J I [REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I ] I i COUNTY OF LOS ANGELES TEMPLE CITY # 05 S BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0207290044 PHONE: (626) 285-0488 EXT: LE D: NO. OF CONST NEW G ADDRESS: BK: 60 PG: 40 PC: 2 SQ. FT STORIES TYPE OCCUP GROUP 5510 MCCULLOCH AV STRUCTURE: 77 1 VN R3 TEMP CA 917802943 ASSESSOR TIO NUMBER: GARAGE: NEAREST CROSS STREET: LIVE OAK 8573-013-037 OTHER: THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY EXIST BLDG " 07/S ZONE: ISSUED ON: PROCESSED EXPIRES ON: EXIST OCC GRP: 30/02 JK 01/26/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE: GHALI;MOUNIR S - I 30,000 f 5 02 ✓p / 5510 MCCULLOCH AVE V TEMPLE CITY 91780 FEES-PAID D SCR P IO OF WORK EXTEND&REMODEL KITCHEN;REPLACE ROOF RAFTERS&JOISTS AFFECTED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BY A71.11 TION;REPLACE ROOF,DRYWALL,INSULATION,WINDOWS&DOORS PP 0: ADEL SALAMA (626) 533-2734- AA BLDG PERMIT ISSUANCE 27.75 Irv' 5818 ROSEMEAD BLVD AC STRONG MOTION RESID_ 30000.00 VAL 3.00 SPECIA CONDITIONS: TEMPLE CITY B1 PLANCHECK .W/ENERGY • -30000.00 VAL 501.80 82 PERMIT W/.ENERGY-- ; 30000.00 VAL 590.37 'i'• - TOTAL„FEES• 1,122.92 CONTRACTOR: TEL. NO: s';,;• 4 APPROVALS DATE INSPECTOR SIG ATURE SAN MICHALE GENERAL CONTRACTOR (626) 533-2734- 5818 ROSEMEAD BLVD. LIC. NO j '� LOCATION ND SET C S TEMPLE CITY, CA 91780 777203 B SOILS ENGINEER APPROVAL , r ARCHITECT OR ENGINEER: E 0: - " i,� , OUND N RE H FO S .s LIC. NO':l I , SLAB/UNDER FLOOR - ! - -- — - -' - - - AIMS-0 FLOOR FRAMING MAP N0: SEWER AP BOOK: PAGE: FIRE ZONE: CMp?'. UNDERFLOOR NSULATION 3 01 - '1ST LEVEL FLOOR SHEATIF NO. OF FAMILIES: DWELLING UNITS: APT/CO : STAT CLASS: - - NO 211'. ND LEVEL FLOOR SHEATH SCHOOL AZARDO SROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS �+ f NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK OM E• IS BLDG EP ESP CT SET BACK YARD: HWY: PROP LINE: WIDTH: +� FRONT PL- ! - = SHEAR PANELS �— SIDE PL- ! S LA ION/ EA R STR P INTERIOR ATH/DRYWALL Z EXTERIOR L T L LOT DRAINAGE SMOKE DTECTIO DE C FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508