The URL can be used to link to this page

Home My Public Portal About5657 MCCULLOCH AVE_Building__ ®' CE%03 REV.6/78) CITY OF TEMPLE CITY APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING 7 LDING FOR APPLICANT TO FILL IN ADDRESS v- C�[ ADIDRESS 5 6 5 7 M C C u l l 0 h. LOCALITY % c - CITY Tem Te Cit zip 91780 CNR�OSSST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRO SSED BY TRACT BLOCK LOT NO. �� CONST ZONE OWNER Anthony Straub. NO.445®57.92 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 5 6 5 7 M C C U 110 h CLASS NO. DWELL.UNITS__j �' BK foo PG CITYTemple City ZIP 91780 1 p ARCHITECT OR TEL. VALUATION $ 9 9.4 0 0 0 ENGINEER NO. ADDRESS BLDG.SETBACK FROM ' Ho L . Rand.ol COTE788�4040 FRONT PROP.LINE OF G -[STREET) CONTRACTOR TN TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS 5 2 9 ,E, Valley g 1 N5-186986, HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITYSan Gabriel Cao C+ LASS C-39 BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF 1 NO.OF 1 CHECK + _ �A SIZE I STORIES FAMILIES ONE DESCRIPTION OF WORK Re-roof house NEW ❑ P.C.Fee$ Permit Fee 1.8 e 0 0 only using Compo shingles ADD ❑ Issuance Fee 7,00 us 12x18 ALTER ��❑t REPAIR Total Fee 25.00 USE OF DEMOL ❑ EXISTING BLDG. C APPLICANT (PRINT)•H* Lo Randol Co, No.288-4040 a D BY ISIGNATU V IHEREBY ACKNOWLEDG THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Id AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- Z PENSATION INSURANCE. g 9 14.4 A SIGNATURE OF 90'7� PERMITTEE # o 0 0 0 0 1 ADDRESS 5 2 9 E Valle B 1 Z CITY San Gabriel No.288-4040 2 2 - -'2'5 0'0 O USE ZONE O. S 0 SPECIAL 0226-80 CONDITIONS FINAL Q p� � DATE�P v,doC) BY i \ 1 . w APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY • y WORKER'S COMPENSATION DECLARATION BUILDIN DD e FOR APPLICANT TO FILL IN I here affirm that I have a certificate of consent to self Insure, oL or a certificate of Workers'Compensation Insurance,or a certified OITa'^ /'►r ZIP �� copy thereof(Sec.380.Lab.C.) Com/ LOCALITY PQIICy NO. Company SIZE � �e NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy Is filed with the county building Inspection TAT p BLOCK LOT NO. department. �' 36d USE ZONE MAP NO. ��cl�r/J.�// Date Applicant ASSESSOR M BOOK PAGE PARCEL ^ Q� `— S 7'3 oil 0 12 9 2_� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNS NT� pSr/ � T>� i8�yyf P7g2 WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE [ ADDRESS_6s_� AN LA^ // I�QJ (This section need not be completed if the permit is for one hundred �� cc OG DISTRICT 'GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) q I certify that in the performance of the work for which this permit CITY ZIP 1' 0A zIP /! v Is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of , REQUIRED TOTAL SETBACK FROM EXIST Exemption, CONTRACTOR TEL NO. p you Should become subject t0 the Workers' � SETBACK 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 revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PIL c 1 hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NCI.OF STORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ VA PG ® I-- License License Number Lic.Class DE IPTION OF WORK / tJ i z.40 e �2diLTf 1�42C�t ADD ❑ 498'a, a-d CO) Contractor Date ALTER � ❑ I am exempt under Sec. REPAIR ❑ B.BP.C.for this reason DEMOL ❑ US EXISTIN�IG BLrr ,, LDMA P/C# Date: ] (f2 S`wr+7iy URM ❑ SI nature APPL ( INTJ �/ / TEL NO. `' /r� (/A ri L �2it K6 8/99 476!1"919 LDMA Perm q` Z y i i I,gas owner of the property, or my employees with wages as p their sole compensation,will do the work and the structure is ADDR !-l�•v 1 n not intended or offered for sale (Section 7044, Business and 7 M e C&0a CX .4ut Cr 77ATE Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL ❑ I, as owner Of the property, am exclusive) contracting with THE A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO TI GREATER THAN t 1 Y g THE AMOUNTS SPEC IED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ NO 1 "1103 { � Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING �J � / �' ?<ii_ <ii. OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH ®I'��/'' G. I��yf\ SL•r n.Lv CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ddd L� yy� FOR GUIDELINES. CHANGE a 0.2 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 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD m 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES t� �. COUNTY CODE,TITLEZ CHAPTER 220 SECTIONS 2.2DAWTHROUGH 22MI40 CONCERNING N10110-01,001 11/22/9& Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING APERMIT FROM THE SCAOMD. Lender's Address } ! All L'=-I i I0 1 certify that I have read this application and state that the above .RC.OWNER FEE �� PERMIT FEE Information is correct. I agree to comply with all county ordinances and Swe laws relating to building construction,and R+ here on ntatives of this County to enter upon ISSUANCE FEE 2 the o d o rty for inspection purpos . ,�✓ n 1 2 INVESTIGATION FEE TOTAL FEE W AppYranl W AFM SEE REVERSE FOR EXPLANATORY LANGUAGE i 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 0611060001 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 03668 IT: 003 SQ. FT STORIES TYPE 5657 MCCULLOCH AV STRUCTURE: 1300 VN TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/06/06 JK 11/01/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAA FIJI CODE: STRAUB, ANTHONY (626) 446-9090- 5,860 ten(J �J 5657 MCCULLOCH /J— TEMPLE CITY, CA FEES PAID D19SCRIPTION OF WORK TEAR OFF EXISTING ROOFING PARTIAL AREA ONLY. INSTALL CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FIBERGLASS SHINGLES APPLICANT: TEL. NO: I RANDOL ROOFING & CONSTRUCTION, INC. (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 2304 TROY AVE. AC STRONG MOTION RESID 5860.00 VAL 0.59 SPECIAL CONDITIONS: SO. EL MONTE 91733 D2 PERMIT W/O EN-HC 5860.00 VAL 149.40 TOTAL FEES 177.74 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RANDAL ROOFING AND CONSTRUCTION CO. (626) 288-4040- 2304 TROY AVENUE LIC. NO LOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 451937C39 - t SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 1508277 3 01 FLOOR S88ATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE, SPRINKLER HANGERS SET BACK YARD: HNY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATS RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 i r s � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411080031 PHONE: (626) 285-0488 EXT: - LEGAL ID: NO. OF Lumb I BUILDING DR SS: TR: 03688 LT: 003 SQ. FT STORIES TYPE 5657 MCCULLOCH AV STRUCTURE: 1200 TEMP CA 91780 ASSESSOR N 0 BER: NEAREST CROSS STREET: LIVE OAK THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C TENANT: EXIST SLOG S : RES I D us 0 E: ISSUED 0PROCESSED B : EXPIR . EXIST OCC GRP: 11/08/04 JK 11/03/05 . OWNER: TE NO: BLDGS. NOW ON LOT: ALUATION: FI T FINAL BY: CODE: STRAUS, ANTHONY (626) 445-5792- 2,200 �- ❑ 5657 MCCULLOCH TEMPLE CITY, CA S P SLR T N�'�C8 K DEMO HOUSE 1200 SF. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. O: WARD (626) 442-3718- AA BLDG PERMIT ISSUANCE 27.75 10628 ROSEGLEN ST. 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 TOTAL FEES 191.25 CONTRACTOR: --7E--L. N0: APPROVALS DATE INSPECTOR SIGNATURE WARD TREE SERVICE (626) 442-3718- 10628 ROSEALEN ST LIC. NO PEDESTRIAN PROTECTION TEMPLE CITY CA 91780 526197 C21 SEWER DISCONNECTION ARCHITECTOR ENGINEER: T_.-NOF ABANDON P D SPOS LIC. NO: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 0. OF FAMILIES: DWELLING NI S: AP CO D: STAT CLASS: NO 23 SCHOOL T HAZARDOUS— AIR A DOUSAIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 * COUNTY OF LOS ANGELES , TEMPLE CITY # 0508 I - -BUIi.DING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -=AL'fERA'PIONfREPAIR-----`--; BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9810060050 PHONE: (818) 285-0488 EXT: EG ID: 10. OF CONS _-B .I-LD I G:-ADDRESS.:--1 TR: 03688 LT: 003 SQ. FT STORIES TYPE - 5657 MCCUCLOCH AV- , STRUCTURE: 0 VN TEMP-CA-91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: XIST BLDG USE S D USE ZO R- ISSUEDON: PROCESSED BY: PIRES ON: EXIST OCC GRP: 10/06/98 UT 0/06/99 OWNER: TEL. NO: SLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: STRAUB, ANTHONY (626) 445-5792- 1 1,680 /�� _ 5657 MCCULLOCH L TEMPLE CITY, CA FEES PAID DESCRIPTION OF WOR . FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: REMOVE AND REPLACE WITH. GAF 20YR. P. SHINGLES APPLICANT: TEL. NO: RANDOL ROOFING (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 529 E. VALLEY BLVD. AC STRONG MOTION RESID 1680.00 VAL 0.50 SPECIAL CONDITIONS: SAN GABRIEL, CA D2 PERMIT W/O EN-HC 1680.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING (626) 288-4040- ' 529 E VALLEY BLVD LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91776 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION 140H277 3 01, FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: AP /CO D: STAT C ASS:- NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST , IRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH A�FLOOR/CE ASSEM. RATEDWALLASSEMBLIES RATED(SHAFTS/OPENINGS _ r * ADDITIONAL DATA ON FILE T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508