HomeMy Public PortalAbout5621 MCCULLOCH AVE_Building__ T9 PL CITY ' .
V9A699A CE#909.1-91 APPLICATION FOR BUILDING: PERMIT
COUNTY OF LOS ANGELES ' ' BUILDING C
DEPARTMENT•OF COUNTY-ENGINEER ADDRESS
BUMDING AND SAFETY DMSION LOCALITY '
JOHN A. LAMBIE, COUNTY ENQINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO I GROUP I TYPE PSSED BY
FOR APPLICANT TO FILL IN
BUILDING / �Ij STATISTICAL CLASSIFICATION S ER MAP
ADDRESS 1V I
gK
CLASS.NO. DWELL.UNIT J
LOT NO. BLOCK [CERTIFICATE:
ATER NOT REQUIRED RECEIVED
I
TRACT oG 1' ,//�
NO.OF BLDGS.•
NOP ,7 CJ' (CIRCLE)
HIGHWAY STATE MAJOR SECOND, OCAL
SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL
USE OF 1 CONDITIONS
EXISTING BLDG.
TEL.
OWN
E N BUILDINGYARD HWY STREET N' E EXIST.
ADDR S SETBACK WIDTH
FRONT
ARCHITECT OR _ � TEL. . P.L.
ENGINEER NO. SIDE
P.I
ADDRESS TEL , PiSPECTI,QN RECORD n.
CO NO. 9 b ! oJJ i� Al, g
ADDRESkL _ i?-a- ls:P .AfJ' _•/J'T+•e a,.-,' 1)0,4 a �,
DESCRIPTION,/& WORN f ^'-rA'. =xl'�! �' f' , �' i' � " mo
NEW.Af IADD ALTER REPAIR DEMOLISH p �/ N
SQ.FT. y NO.OF' NO.OF %.: �JO/ .� � '� .f1+H:, rA t—.?
IZE A STORIES AM LIES ll/// / - 6y-y ,1,
USE OF '!.�'s
STRUCTURE
r. � �' �/r~o� 1/�%�y�-�'/�Lr• a/��C/�d%�,.�:: �1 s�r� X.•SIGNATURE OF
OF
APPLICANT ,�, �
VALUATION-s Q
,IR I
APPROVALS DATE v INSPECTOR'S SIGNATURE r
FEE $ �-' FEE $ :Q Cr rj FOUNDATION:LOCATION
FORMS,MATERIALS wn
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME:BRACING,BOLTS-AND STATE STATE THAT THE-ABOVE IS CORRECT: ND AGREE 70 COMPLY FURNACE:LOCATION, �����... `-
_ WITH ALL COUNTV ORD N NOES AND ST E WS REGULATING - GAS VENT DUCTS
B DING STRUCTI' T 1 OING THE WORKF,
ORIZ E EBY1 L N.VIOLA' („ATH,INT. ' !R 1 IA RELAT- .WO N'S P NSAT4ION INSUR C�. ''"g,` LATH,EXT.
SI URE O s HOUSE NUMBER COR=
P
T,;,
� RECT AND POSTED ; ,rte/ E
AD. ss FINAL '01,29 01,2 .' r2 _ '
CLYDE N. DIRLAM, PRfNCIPAL STRUCTURAL ENGLR
PLAN C E= VALIDATION cK.- M:O. 'CASH PERMIT VALIDATION cK. M.C. �CnBel�
LAPA a 9 4 5 TEQ28 .1 U 6.00
COUh!TY•O"F tOS ANGELES TEMPLE CITY # 0508BU D NG PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS '- ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 •SBL 0508 00030029
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. 0 CONST B I DI G_ADDR SS':
TR: 24579 LT: 16 SQ. FT STORIES TYPE5b21-MCCULLOCH AV-�
STRUCTURE: 0 VN TEMP CA 917802942'
ASSESSOR INFORMATION NUMBER: NEAREST CRO§S STREET: LIVE OAK
8573-011-024 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: C-1 ISSUED ON: PROCESSED-BY: EXPIRES ON:
EXIST OCC GRP: 03/20/00 UT 09/16/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
HERR STEVEN (818) 452-8682- 1 2,300
5621 MCCULLOCH AV
TEMP 917802942 FEES PAID DESCRIPT 0 OF-WORK
TEAR OFF NORTH SIDE OF HOUSE AND I TALL 1/2" CDX PLYWOOD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: '
APPLICANT: TEL. N0:
GOLDEN KEY ROOFING 626A385901 -6 AA BLDG PERMIT ISSUANCE 27.75 0;2g
4533 SHIRLEY AVE. AC STRONG MOTION RESID 2300.00 VAL 0.50 SPECIAL C ITIONS:
EL MONTE, CA D2 PERMIT W/O
-3_00.00 VAL 99.00
GELEST ® E S 127.25
CONTRACTOR: TEL. NO: SOS (: �/�AJ- APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY MAINTENANCE CO. (626) 285-9016-
4533 SHIRLEY AVE. LIC. NO LOCATION AND SETBACKS
EL MONTE, CA 91731 481171 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRE CH FORMS
LIC. N0� 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
11550H277 SEWER MAP BOOK: PAGE: FIRE ZONE: �M,P�1;�n n 0 L� W(0�n/j ��1 UNDERFLOOR INSULATION
uA U lu^Su lU�`v�\��J FLOO9 SHEATHING
NO. OF FAMILIES: DWELLING U ITS: APT COND: STAT CLASS:—
NO 21�( ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 0 I�tI., SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS Q El
NO NO NO A Ll ® �� FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST //6 �i� FIRE SPRINKLER HANGERS
SET FRONTACK PL- YARD: HWY: PROP LINE: WIDTH: S'e tV9Ithla� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
a
e• 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 0910260002
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 24579 LT: 16 I SQ. FT STORIES TYPE I 5621 MCCULLOCH AV 1
ISTRUCTURE: V-B I TEMP CA 917802942 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18573-011-024 I I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY:
1 (EXIST OCC GRP: 110/26/09 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1
1JIN, LI (626) 448-8636- 1,700 1 I
15621 MCCULLOCH AV I I_ I
ITEMP 917802942 1 FEES PAID DESCRIPTION OF WORK
I [ IBATHROOM REMODEL 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.75 1 I
I IAB STATE GREEN BLDG FEE 1700.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IAC STRONG MOTION RESID 1700.00 VAL 0.50 1 [
B2 PERMIT W/ENERGY 1700.00 VAL 90.42 1 I
I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 1
1CONTRACTOR: TEL. NO: 1 TOTAL FEES 376.67 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - 1
I LIC. NO I ILOCATION AND SETBACKS
I I
ISOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
I _ I I
LIC. NO: I (SLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING
� I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
I I I
1150H277 3 001 1 1 1 I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I_
NO 21 I IROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
1 NO NO NO 1 IFRAME INSPECTION I I
(REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1
(FRONT PL- 1 IY0/0 (INSULATION/WEATHER STRIP( 1 1
I 3IDE PL- I 4�\U u
I I IINTERIOR LATH/DRYWALL
I I I
I I IEXTERIOR LATH I I I
I I I
I I (RATED FLOOR/CEIL ASSEM. I I
RATED WALL ASSEMBLIES I I I
[ (RATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS
I I
I I ILOT DRAINAGE I I I
I I �
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I I