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Home My Public Portal About5664 MCCULLOCH AVE_Building__ F SUIILD%NG AND SAFXTY int oS mounty Engineer �'rlOUILDING -bounty of Los Angeles 11r► 29' WM. J. FOX, COUNTY ENGINEER '952 APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �. DISTRI NO. P N CK.DR RED.Na. PERMIT NO. BUILDING G IL �! 97,0,-c ADDRES 1L ! EIVED Y DATE OFAPPL I DATE ISSUED N;EAREBT RO88 8T. BUILDING ADDRESS OWNER MAIL LOCALI T6&& /C� 6-G •( QI r // - � ADDRESS 4; r2- NEAREST �e P� pq�� v 2 GRUBS ST. /'!3 '41E CITY A i°��1 ' NO. FIRE NO.OF I-TYP .6j2EiUP 0/ !� ARCHITECT OZONE PLANS R /'1+ TEL ENGINEER / J NO. BLDG. q- ^, � / pF�D�,►Jpy l SETBACK LINE ems/ S� ® � r ADD EBS � ' USEX4 p APPROVED TEL Z13N BY DATE CONTRACTOR il��r' �? �N�O. -HOUSE NUMBERING //�� ADDRESS �.+ +s+ �'"'"�'� MAP NUMBER , NO. ASSIGNED 1XA4 DE CRIPTIDN LOT NO. BLOCK CORRECTIONS TRACT may, NO. OF BLDGB. ` SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. w • r -m- (rte s 1I!'AMIL:ES DESCRIPTION-OF WORE: �� A o NEW ALTERATION ADDITION �D D REPAIR DEMQLITION ell r H ZE lela.Kr RO MB STORIES EXT.WALL COVERING P��+Q I ROOF �1� OVERIN , USE OOFF.-S.-TRUCTURE INBPECTION OR APPROVALS OCCUPANCYlAs INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION - r� FORMS, MATERIALS X1.7 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRESTOPS, CORRECT. BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY 13RDINANDES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ° GAB VENT,DUCTS J' SIGNATURE OF .A-L+ � LATH, INT.rT PERMj'rr IC !d ~"1�;�'✓ ::j s�.3,. e�- � f�,y=`K LATH. Exr. ADDREB • PLASTER, INT. AUTHORIZED AOT. meq=-+- l PLASTER, EXT. `--- FEE HOUSE NUMBER COR- •RECT AND POSTED VALUATIO i 19 FEE x y.3°- FINAL ,7 76AS38A D883 1-52 WORKERS'COMPENSATION DECLARATION I I hereby affirm that I have a certificate of consent to self i �,�. D. insure, or a certificate of Workers'Compensation Insurance, I A P P K P CA70 O N U 0 0 9 L I T or a certified'copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUOLDING AND SAFETY I Policy No. Company BUILDING %® 1:1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESSy�6 ElCertified copy is filed with the county building inspec- BUILDING tion department. I ADDRESS Me 0 C LOCALITY _ /( CC Date Applicant i CITY -�� Cf ZIP 1;?/7S D CROSS ST. [/Pi ®iQ46,5 CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK 3 E O13 1PARCEL (This section need not be completed if the permit is for one USE Z E ESPECIAL P hundred dollars($100)or less.) TRACT BLOCK LOT NO. �0 .TEL. Y I certify that in the performance of the work for which this OWNER NO.' - -r21- NDITIONS CT permit Is issued,I shall not employ any person in any manner DISTRIGROUP TYPE FIRE I PROCESD BY OADDRESS �,� �9 /]� . ZONE 4J so as to b ome subject to the Worker'Compensation Laws. CONST ` cl r - ZIP / 7 7.5— . (`�/ O Date -a Applicaavt ems' �cl �`� STATISTICAL CLASSIFICATION APT. JCr. Il- NOTIC TO APPLICANT: If, after making this Certificate of ARCHITECT OR TE. ENGINEER • CLASS NO. If ELL. UNITS LU Exemption, you should become subject to the Workers' G. Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be g deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. ��yy Professions Code,and my license is in full force and effect. CITY CLASS $� GrJ.,B 0 1 SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Vol Contractor Date DESCRIPTION OF WORK — /6eNEW $ ❑❑ I am exempt under Sec. ��Q�� S7/! ADD ALTER ❑ FINAL 5� DATE ' B.BP.C. for this reason REPAIR Dot e• EMOL ❑ USE OF FINAL9293. 1 A ` EXISTING BLDG. B / Signature .,e APPLICANT TEL. y( Y # 0 0 0 0 0 1 OWNER-BUILDER DECLARATION �/� PRINT t�M NO. I hereby affirm that I am exempt from the Contractor's License ADDRESS .Z ,� �d Gc'7�G. 0 - 33.00 Law for the following reason (Section 7031.5, Business and Professions Code): PRE ENT u t :BUILDING a o - 33005 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY 9 1 7-85 the structure is not intended or offered for sale(Section p 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP,LINE WIDTH D I hereby affirm that there is a construction Lending agency for FRONT the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE 0 P.L. v Lender's Name � A o Lender's Address P.C.Fee$ Permit Feea/ xI certify that I have read this application and state that the Issuance Fee V aboveinformation is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 9 and hereby authorize representatives of this County to enter upon t above- ntioned property for inspection purposes. , o ` Ly �J SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant or Agent I Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0604260006 PHONE: (626) 285-0488 ERT: LEGAL ID: N0. OF CON8T NEW BUILDING ADDRESS: TR: 12049 IT: 5 SQ. FT STORIES TYPE OCCUP GROUP 5664 MCCULLOCH AV STRUCTURE: 495 1 VN R3 TEMP CA 917802961 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LIVE OAK 8573-013-041 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/03/06 JK 04/28/07 OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL TE FINAL BY: CODE: SAM CHOI (626) 287-0364- 55,000 8837 LONGDEN AVE TEMP 917802961 FEES PAID D P ON OF WORK ADD 2 BEDROOMS, 1 BATHROOM 495 S.F. PER DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAM CHOI (626) 287-0364- B1 PLANCHECK W/ENERGY 40990.00 VAL 636.03 8837 LONGDEN AVE B1 PLANCHECK W/ENERGY 55000.00 VAL 159.04 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 55000.00 VAL 5.50 B2 PERMIT W/ENERGY 55000.00 VAL 935.39 CONTRACTOR: TEL. NO: TOTAL FEES 1,763.71 APPROVALS DATE INSPECTOR SIGNATURE SAM CHOI (626) 287-0364- 8837 LONGDEN AVENUE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS /2 LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS C A NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE ' SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0604260004 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 12049 IT: 5 SQ. FT STORIES TYPE OCCUP GROUP 5664 MCCULLOCH AV STRUCTURE: 0 1 VN R3 TEMP CA 917802961 ASSESSOR INFORMATION NUMBER: GARAGE: 441 1 VN U1 NEAREST CROSS STREET: LIVE OAK 8573-013-041 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C TENANT: ERIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/03/06 JK 04/28/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL D FINAL BY: CODE: SAM CHOI (626) 287-0364- 20,000 ,6 _ 8837 LONGDEN AVE TEMP 917802961 FEES PAID DifS IPT ON OF WORK Ex LD DETACHED GARAGE 441 S.F. FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: SAM CHOI (626) 287-0364- D1 PLANCHECK W/O EN-HC 13050.00 VAL 241.23 8837 LONGDEN AVE D1 PLANCRECK W/O EN-HC 20000.00 VAL 85.68 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 20000.00 VAL 2.00 D2 PERMIT W/O EN-HC 20000.00 VAL 384.60 CONTRACTOR: TEL. NO: TOTAL FEES 741.26 APPROVALS DATE INSPECTOR SIGNATURE SAM CHOI (626) 287-0364- 8837 LONGDEN AVENUE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS LIC. NO: SLAB UNDER FLOOR l/ RAISED FLOOR FRAMING bb L^ MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508