HomeMy Public PortalAbout5612 MCCULLOCH AVE_Building__ 7GA53BACE#8031-82 APPLICATION .FOR' BUILDING. PERMIT.' � -
COUNTY- OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DIVISION LO'C'ALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. 1
DISTR CT NO. GROUP TYPE ESSED'BY-
FOR APPLICANT TO FILL IN coNs�`,
BUILDING 1 STATISTICAL CLASSIFICATION S WER MAP
ADDRESS / E !� CLASS. DWELL..UNITY-
S y B7CGO
LOT NO WATER NOT REQUIRED, I ICI' RECEIVED ElCERTIFICATE: . LL`l
TRACT MAPHIGHwpv STATE MAJOR SECOND, OCAL
O,OF BLDGS. NO. (CIRCLE)
SIZE OF LOT ef6II.
NOW ON LOT USE ZONE SPECIAL
USE OF' CONDITIONS
EXISTING BLDG. / f'
' TEL: -
OWNER NO BUILD _G YARD HWY STREET N ME EXIST.
T SETBACK WIDTH
ADDRESS O/ _ (1.-Q :.[ C, _ FRONT
ARCHITECT'OR TEL P. L.
ENGINEER NO. S113E ' }
P. L._ a
ADDR€ S SAE _ —R t. �•, //dG
TEL. L
`CONTTO NOGIi -�'7(E ):• 1'ay�� r
ADDRESS f,:, ,rC.t��1fAi ./,r`ift YP( •�`t; FY- ...e �h.i/,�.'� C
DESCRIPTION OF WORK xt, ;r=�,r•'r :. --,:;,'> -� ._��.�s`_�r.
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A CL
NEW •.(/ADD ALTER REPAIR DEMOLISH
SQ.FT. w. NO.OF ' NO.OF /' i•
SIZE 1 .�+ STORIES FAMILIES k !'7 r�• _.-.r ��'
USE OF
STRUCTURE Q r
OF aI ✓. ' »�SIGNATURE r .
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APPLICANT =.Z �-" 1•' cr
VALUATION$
Q a APPROVALS - DATE . INSPECTOR'S SIGNATURE
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$ '.0-0c FOUNDATION:! ON
FEE FEE $• FORMSMATERIALS
PfIW i
.
FRAME:
FIRE STOPS, j°j
1•HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION . BRACING BOLTS n
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH.-ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ,'
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. �r • I /� ..J --i.. F (i? '6r;ii•!
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA•RELAT- '•
r
INC TO WORKMEN'S COMPENSATION INSURANCE. LATH,-EXT. �+ v If/
SIGRVURE OF HOUSE NUM9ERCOR- //�� �+ � r �.
PERMITTEE �•�i RECT AND POSTED (/ /"`l
ADDRESS r'e, FINAL, /�!!•J�� `� ;I
JOHN F. LEWIS, PRINC/PAL STR RAL ENGINEER .
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK: M.O. CASH
LACO7 2 .6".0 NDU21 2-3 D 2-5.00A {
Uo' 8 0, 3 9� "DEC) ' --7.. l p 5 0.0 0 v
TEMPLE CITY TEMPLE CITY
76A638A CE �BD3 ""APPLICATION FOR BUILDING PERMIT .
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRES l.
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN `
Print ort a onl CROSS ST.
BUILDING DISTRICT NO. ROUP I TYPE PRO ESS D B
ADDRESS 5612 Mc ul l och Avenue J CONST "
STATISTICAL CLASSIFICATION SEWER P
LOT NO. BLOCK CLASS NO.aZILDWELL.UNITS BK PG/�
TRACThL ZONE MAP
NO.OF BLD.GS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG. Dwel ar
OWNER Jawn Johnson NOLG 3_$
B G.SETBACK FROM
ADDRESS 5 612 McCulloch A e . T FR NT PROP.LINE OF (STREET)
CITY Temple City TYPE EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWA WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO.
BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. -TYPE OF EXISTING1 SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR H. L . RAndol NO. 288-40&
_ HIGHWAY WIDTH FROM C.L.LIC }
ADDRESS 529 E Valley NO. 8/341 + = c
CITY San GA4rtel CLASS C39-S CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER F-
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPR9 ALS LL
ADDRESS Z
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE Re-roof with ALTER ❑y
Owens-�Co•rntng fiber las REPAIR LI
ASGNATUREPPLICANT OF wend king shinglesDEMOL ❑ '
VALUATION 5 .700 . 00 APPROVALS DATE INSPECTOR'S SIGNATURE
FEE S FEES .1 2 . 0 Q FOUNDATION:
MATERIAAITS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COM TETION SURA
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE. RECT AND POSTED
ADDRESS 529 E__v ] ley hyd ,\SanGah yy
�— ,�. FINAL �/a 9.� tud U
JOHN F. LEWIS. P I CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VA ,ATION CK. M:O. CASH
{ Ar', 1 0 9 573 lHall' ���D 1 2,0 04