HomeMy Public PortalAbout5630 MCCULLOCH AVE_Building__ ISAe ;o �o.ge �aPPI�ICA'�'I ®� B LDING -PERMIT r�--
COUNTY OF LOS'ANGELES BUILDING 'Z Or_
17
DEPARTMENT-OF COUNTY ENGINEER ADDRESS �J
BUILDING AND-SAFETY DIVISION LOCALITY
JOHN A. LAMBIE..COUNTY ENGINEER• NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING -'CROSS ST.
DISTRICT NO. GROUP- TYPE P CEBBED BY
FOR APPLICANT TO FILL IN v�'^'� I CONS �.
BUILDING v- STATISTICAL CLASSIFICATIONE B SR MAP G
ADDRESS �I Q CLASS.NO�DWELL.UNIT I PG
LOT NO. BLOCK MAP /—
' STATE '
see legal NUMBER oLd—� � HWY. YES NO
TRACT - USE ZONE SPECIAL
SaNO.OF.BLDGS / CONDITION
` SIZE OF LOT A0 1 715 1 I NOW ON LOT
USE OF -
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WID H '
OWNER' Beni J. &-Ronald J Vercelli FRONT
g MAIL P.L. �}
ADDRESS055
TEL. OdSIDE
P.L:
s CITY No Hollywood No. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
t ADDRESS
CONTRACTOR Circle Bee Contr. T%T-68746•
ADDRESS 1123 So San 91-vil
DESCRIPTION.OF WORD
NEW X -ADD' - ALTER REPAIR DEMOLISH `
SQ.FT. NO.OF NO.OF �++;.
SIZE IES FAMILIES, d•• v.�J
USE OF
STRUCTURE house & QaraEe
I SIGNATURE ffi
� LL�
APPLICANT APPROVALS DATE `INSPECTOR'S SIGNATURE
ADDRESS 23 • FOUNDATION:LOCATION
r 'FORMS.-MATERIALS
VALUATIO /�� FRAME:FIRE STOPS, / --
BRACING,BOLTS
FE $:.l I FEES F GAS VENT,DUCTS LOCATION. it I
I HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS AP-
✓/�/ la 1 !.✓�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH.INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND ` \
STATE LAWS EGULATING B H-DIN ONSTRUCTION. LATH,EXT. /A"z A"
SIGNATURE F HOUSE NUMBER COR- �v
PERMITTE - 't' RECT AND POSTED 6� "A"r_ %oC' f ,.�,
ADDRESS FINAL Q,r-•.C,f-e
CLYDE N. DIRL•AM,PRINCIPAL SylECTRAL ENGINEER
PLAN CHECK VALIDATION cx. M.c. CASH PERMIT VALIDATION aK M.O. CASH
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,.
,OAss"CChos.'I-6, APPLICATION FOR BUILDING .PERMIT" -
COUNTYOF LOS ANGELES" App ElsN (e Lo C �„�• r,
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENQINEER NEAREST f� °
WILLIAM A.JENSEN SUP T GF-BUILDING CROSS ST.. iCY/1.GCt-G
DISTRICT N GROUP] T.pE PR EBBED BY
FOR APPLICANTIO FILL.TINJ �r"Q CONST. �!L[�✓ pY-
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
'ADDRESS S CLASS.NO. BK PG
cc DWELL.UNITS QLOT NO.S-' WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT 3 --�3 MAP ��(( ��qq HIGHWAY STATE MAJOR SECOND, LOCAL
NO.OF BLDGS. NO. &6- -6 Q (CIRCLE)
SIZE-OF LOT. I NOW ON LOT USE ZONE --SPECIAL--
USE
-
USE OF ��\\ � �`- _ / CONDITIONS
EXISTING BLDG. S/ FAQ -
k - TEL.
s OWNER L G. NO: I D BUILDING EXIST.
C C - ^ YARD HWY STREET NAME
R ADDRESS/!'�34� 2. LA.S ff/AIP-
ARCHITECT OR. (1�s.TEL.' SETBACK WI TH'
FRONT /� 7
_ P.L. �f✓ �" �;�1(/ Q
ENGINEER NO. SIDE
ADDRESS /� .y� INSPECTION RECORD a
CONTRACTOR cj I/Y.la R ( NO. 8
ADDRESS Am
DESCRIPTION OF WORK 0
V
YJ
NEW ADD ALTER REPAI DEMOLISH
h
SQ.FT. NO.OF NO.OF Z
SIZE STORIES FAMILIES
USE.OF
STRUCTURE
I'
i
SIGNATURE O
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
F E $ FEE $�� v' FORMS.MATERIALS
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION• .BRACING..BOLTS
AND STATE THAT THE ABOVE IS 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 OT EMPLOY ANY PERSON IN VIOLA- LATii,INT.-
TION OF THE LABOR CO E F THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'SSATION INSURANCE.04 LATH,EXT.. / ,J
SIGNATURE OF f !"'L� HOUSE NUMBER COR-
PERMITTE RECT AND POSTED J
ADDRES FINAL }-
' CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECZ{ 1IALIDATION CK. M.O. cAax PERMIT VALIDATION cK. m,o... CARR
; . . .
LAC- 207 -l "0 7 -l " Aub 3 a I � 6.00 M.
y 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 0503040033
PHONE: (626) 285-0488 EXT:
- LEGALNO. OF CONST BUI G ADDRESS:
ON FILE SQ. FT STORIES TYPE 5630 MCCULLOCH AV
STRUCTURE: VN TEMP CA 917802941
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8573-013-020 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: R SID USE ZONE: R-1 ISSUED N: PROCESSED BY: EXPIRES N:
EXIST OCC GRP: 03/04/05 JK 02/27/06
OWNER: TEL. NO: BLDGS. NOW ON OT: VALUATION: FINAL REED AL BY: CODE:
RAMIREZ, ALFONSO (626) 442-4181- 1,210 5630 MCCULLOCH AV
TEMP 917802941 FEESPAID ���0
REPLACE 11 WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1210.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 1210.00 VAL 82.20
FR INV WORK W/O PERMIT 128.50 DOL 128.50
TOTAL FEES 238.95
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIORTRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
ISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
0. OF FAMILIES: DWELLING I CO D: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL HAZARDOUS SHEAR S
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
EQ IR D TOTAL SETBACKFROM EXIS IR SP NK R G RS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR
L-
I TE ORLATH/DRYWALL
EXTERIOR LATH
RATED L00 C L ASSEM.
RATED WALL ASSEMBLIES
MTO SHAFTS/OPENINGS
T-BAR CEILINGS
LOT-DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508