HomeMy Public PortalAbout5618 MCCULLOCH AVE_Building__ 78A838A CE 9803 12/69
FOR BUILDING PERM
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER 'ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST.
BUILDING 1 11 DISTF3jCbNk G O TYPE P. 6 BD B
ADDRESS `vIJC, CONST.
STATISTICAL CLASSIFICATION. SEWER_r
LOT NO. pLOCK CLASS NO-CZ,( DWELL•UNITS_^ BK PG
[ADDRESS
RACT USE ZONE MAP ��
NO.OF BLDGS. NO. C120-5 (/
ZE OF LOT NOW ON LOT SPECIAL
SE OF CONDITIONS
XISTING BLDG.
�4 TEL.
WNER NO — BLDG.SETBACK FROM
5618 McCulloch
FRONT PROP.LINE OF (STREET)
'TYPE OF EXISTING SETBACK I HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. I =
ENGINEER NO, BLDG.SETBAC OM
ADDRESS SIDE PROP.LINED (STREET)
CONTRACTOR Howard" L . Ranc of 0`•288-404 HI HWAYTYPE OFEW WIDTH FROM CCL. AY + YARD = TOTAL
ADDRESS 529 E . Valley Bld No' 186086 + _ C
CITY San Gabriel U1 , C ASS C—3 9 CORNER CUTOFF YES ❑ NO ❑ C.D
CONSTRUCTION LENDER Cc
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
co
SQ. FT. NO. OF NO. OF NEW ❑ - I
SIZE STORIES FAMILIES =.
USE OF ADD ❑
STRUCTURE
A LTER.❑
SIGNATURE OF REPAIR❑X
APPLICANT DEMOL ❑
VALUATION $ Qnn APPROVALS DATE` INSPECTOR'S SIGNATURE
ON
FE 5 FEE$ 12 .00 rOUNDATFORMS!MATERIAALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,FURNACE: LOCATION,
WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSO N VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STAE OF •CAL IA RE TING TO -
WORKMEN'S OF
INS C LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED ,
ADDRESS 529 E. Vall y--Blvd SanGab . FINAL
JOHN F. LEWIS. PRINCIPAL SLCKJ. M.O.
AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CASH
1 �r.. b 7 4i= VOL 28 1 D 1 2.00
TEMPLE CITY
aueaallee eas,+—s+ APPLICATION F014 BUILDING PERMIT
•F•
COUNTY OF LOS ANGELES BUILDING/ /
DEPARTMENT OF COUNTY ENG2UM ADDRESS VV//
BUILDING AND SAFETY DMSION LOCALI .._Q.� �
JOHN A. LAMBIE, COUNTY EhQINEER NEAREST
WILLIAM A.JENSEN SUPT or BUILDING CROSS ST.
DIST T N GROUP TYPE P CESS BY
IST
APPLICANT TO FILL IN T coNST
BUILDINGTATISTICAL CLASSIFICATION / SEWER MAP
ADDRESS Al.c7 I
CLASS.NO.�DWELL.UNIT
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: 4 Li
TRACT MAPp� OS () HIGHWAY
STATE MAJOR SECOND, CA
NO OF SIZE OF LOT I NOW ON LOT NO. oC
USE.ZONE SPECI
USE OF CONDIT[
EXISTING BLDG. _A- I
/J�NO.' T �7 BUILD NG XIST.
OWNER r YARD STREET NAME
ADDRESS �7 Q/ ���� ��jj �/ / SETBACK r W DTH'
ARCHITECT OR TEL��� FRONT
ENGINEER NO. SIDE �l� L/
ADDRESSy �s7� INSPECTION RECORD n'
CONTRACTOR i �vO.'1,�V . 4. Jam) X,f �/ / / QV
ADDRESS lei�' /r!�/J�(G7 �j/'�/G �!(/ �!!fr % IX
DESCRIPTION OF WORg 1 0
- r V
W
NEW ADD ALTER REPAIR DEMOLISH N
S.F NO.OF S�rI NO.OF � Z
FAMILIES
USE OF f
STRUCTURE —
SIGNATURE OF
APPLICANT
VALUATION$ I
APPROVALS DATE., INSPECTpR'S SIGNATURE
F C.
$ FEE $ '�PMT. FO FORMS.MATER ALSON 'Z�/C,C /
FRAME:FIRE STOPS,
1 B
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING OLTS A)�/Ff�y f 6 fes'
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, /Gf
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS •�I�'
BUILDING 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 STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSA N INSURANCE. LATH,EXT. y; � J
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND.POSTED
ADDRESS-A& FINAL
CLYDE N. DIRLAM, PRINCIPAL STRyy�T,�RAL.ENGINEER
PLAN CE= VALIDATION M.o. CASH PERMIT VALIDATION (cK. M.D. CASH
Lr,r 2 43 31 ,SEP 1 2 3 D 19.5
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'` X202 StP ?0 1 D 30.00