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Home My Public Portal About4850 GOLDEN WEST AVE_Building__r y T ......... ...... 8 APPLICATION FOR BUILDING PERMIT 1. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.7� 311femag"m —51ST—TRIC NO. GROUP TYPE P C FOR APPLICANT TO FILL IN CONST BUILDING,. 10 d� STATISTICAL SIFICATION SER MAPPGADDRESS CLASS.NO. WELL. UNITS .LOT NO., BLOCK MAP p� STATE- YES O ' NUMBER (iV 0 �j HWY. TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. i BUILDING EXIST. YARDftw STREET NAME /� SETBACK WIDTH OWNER�J`a FRONT MAIL P.L. ADDRESS - SIDE �'+ TEL. P.L. CITY (� NO• ARCHITECT O INTION RECORD SPEC ENGINEER f- f �T£de� TNOEL. - ADDRESS CONTRACTO a , p &DDRESS .S '��C, DESCRIPTION OF WORK NEW AD ALTER REPAIR DEMOLISH SQ.FT: NO.OF NO.OF - SIZE STORIES FAMILIES USE OF STRUC SIGNATURE OF u APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS ,fit/ y+'�• FOUNDATION: LOCATION _ $ - _ FORMS,MATERIALS P,C. $ FRAME: FIRE STOPS, FEE BRACING, BOLTS VALUATION $ ?l FURNACE: LOCATION, . FEE - GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND ST TE THAT THE ABOVE IS CORRECT AND AGREE TO COM Y ITH AL COU. TY ORDINANCES AND LATH. EXT. STATE LAWS LATING UI NG C �ISTR SIGNATUREOUSE Num BER HRECTANDPOSTED / ADDRESS FINAL CLYDE N.DIRLAM, RINCIPAL SiTRjL6TJ.RAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION( cx. :m.o. I _ LAC,6 2 0 6 1 r;1," 12 1 R 5.0 0 11). _. ®F pp- 4 DBS-3 25M SETS B-45 --�� DEPARTMENT OF BUILDING AND SAFETY APPLtCAI.L ._- FOR PERMIT COUNTY OF LOS ANGELES BUILDING u ' L ® ' NG WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ DISTRICT NO. PLAN CK. NO. PERMIT NO. 13UILDING ADDRESS J LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST /i ��.L,ti''+•_:-� - - '> CROSS ST. BUILDING OWNER ADDRESS "M Al ADDRE88 C� LOCALITY "�—', •( �'�-t•`J NEAREST f�� // CITY �'� Kd1/t.JL+ .�•,. NO.� CROSS 5T. .. /�..,p.._t...{.A11.--f' �-�"Z .4•o--f O4_ FIRE -I_ - TYPE t f! i GROUP ARCHITECT OR /' TEL. ZONE PLANS 1 ENGINEER / NO. BLDG. ORD. NO. ADDRESS SETBACK LINE APPROVED TEL. CONTRACTOR NO. BY DATE USE APPROVED ADDRESS ZONE ` � `� BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. I BLOCK /.� TRACT NO. OF BLOBS. SIZE OF LOT ��! G X 6�Q I NOW ON LO_T USE OF I NO.OF I NO. OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW � ALTERATION H �ADITION O REPAIR ( �( �IMOVING OLISH NO.OFf 0 5 ZEFT/�S /� r` y ROOMS STORIES ! Z r WALL �/ � ROOF 7 COVERING J -�"�'� I COVERING C O" ^'�•.� USE OF NEW BUILDING APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, I PEC/TOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS8 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING, BOLTS SIGNATURE OF OWNER , LATH, INT.: AUTHORIZED AGT._. .G_—a3L—�.- LATH, EXT.: $ p C $ PLASTER, INT. FEE PLASTER, EXT. VALUATION $ A_r' FEE FINAL 76A638A CE#80310-58 APPL,ICAT'I®N FOR BUILDING PEI IT COUNTY OF LOS ANGELES BUILDING F DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST y CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP Typg ESSED BY FOR APPLICANT TO FILL IN __ _f CONST. BUILDING '/ yp� + �' SEWER MAP ADDRESS ,LL U I� .�7,Q' jr„/ .E /� C STATISTICAL CLASSIFICATION I HK PG - �� r .CLASS.NO. WELL. UNITS LOT NO. Gy � Ash BLOCK MAP STATE NUMBER HWY. YES. NO TRACT USE ZONE ECIAL NO.OF BLDGS. /e / CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. YARD HWY S REE T NAME EXIST. BUILDING . • WIDTH SETBACK OWNER .✓ "i �Lr 'r�`�'E`f�'✓.✓� FRONT MAILp J- P.L. ADDRESS CI /,j (��✓ _ SIDE P.L. CITY m INSPECTION RECORD ARCHITECTO TEL. ENGINEER NO. ADDRESS CONTRACTOR ADDRESS �� /F✓ t. �° DESCRIPTION OF WORK NEW 1, ADD ALTER REPAIR DEMOLISH SO.FT. � NO.OF J NO.OF _ SIZE NO. OigIORIES FAMILIES USE O STRUCT E ' SIGNATURE OF APPROVALS AP ,tDATE INSPECTOR'S SIGNATURE- ADDRESS IGNATURE ADDRESS Ct G�7� 7Y/ FOUNDATION: LOCATION FORMS,MATERIALS - $ P.C. $ FRAME: FIRE STOPS. (% (� FEE BRACING, BOLTS VALUATION $ CJ FURNACE: LOCATION. FEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT. STATE., LAWS REGULATING BUIL NG CONSTRUCTI N. SIGNATURE OFI HOUSE NUMBER COR- PERMITTE . � � RECT AND POSTED _f i ADDRESS -`� �'a FINAL - CLYDE N.DIRLAM, P INCIPAL STR RAZ:EC'yG1.NEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAAO 45 1 I n AYK 3 1 A 3.0 0 �F. . 78A638A CE#80310-58 APPLICATION FOR BUILDING PERMIT 1. COUNTY OF LOS ANGELES BUILDING r� DEPARTMENT OF COUNTY ENGINEER ADDRESS p 7 BUILDING AND SAFETY DIVISION LOCALIT JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,Supi OF BUILDING CROSS ST. DISTRICT NO. I GR U,PTYPE PRO SED) Y FOR APPLICANT TO FILL ryIN ` I colvsri . BUILDING � �+� ; STATISTICAL CLASSIFICATION I 'SEWER MAP ' ADDRESS / C/ CLASS.NO. DWELL.UNITS LOT NO. BLOCK MAP CSTATE NUMBER// HWY. YES O TRACT USE ZONE. SPECIAL NO.OF BLDGS. — I CONDITIONS SIZE OF LOT I NOW ON LOT USE OF - TIO ' EXISTING BLDG. BUILDING YARD HWY STREETNAME' EXIST. r SETBACK WIDTH OWNE � FRONT ADDRESS t7 SIDE " TEL. CITY No. ARCHITECT INSPECTION RECORD TEL. ENGINEER ADDRESSI TEL. CONTRACTO NO. y ADDRESS � �C�G°..L- � �•'^�`� -•"��A• - DESCRIPTION OF WORK NEW%S ADD ALTER REPAIR DEMOLISH SQ.FT. /� NO.OF NO.OF ,/ SIZE q STORIES FAMILIES / USE OF STFIUUCTURE GV SIGNATUREOF APPROVALS APPLICANT � �,/ / DATE, INSPECTOR=S-SIGNATURE ADDRES /V (�(iL � FOUNDATION: LOCATION .;�.- FORMS,MATERIALS 4 9 •— { P.C. $ °�" FRAME: FIRE STOPS, !!! C! FEE BRACING, BOLTS VALUATION $ C9 FURNACE: LOCATION, - FEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH.INT. AGREE TO COMPLY WITH ALL COUNTOe DINANCES'AND LATH,EXT. STATE LAWS REGULATING BUILDIONST CTION. SIGNATURE OF ' HOUSE NUMBER COR- PERMITTEE G1 RECT AND POSTED ADDRESS _ . FINAL CLYDE N.DIRLAM,PRINCIPAL STRAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION' cx. M.0. CASH LA �1 4 6i ',I; 26 2 3 A 16.50 ICe '�..�'CO` 1 4 7 ,,��ii 26 1 A 3 3.0 0 M 1 04- APPLICATI®IV1 _ ,PR3lJIL®INCa PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY` FOR APPLICANT•TO FILL IN BUILDING ADDRESS WORKER'S COMPENSATION DECLARATION r� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS /` c ]/ 1 or a certificate of Workers' Compensation Insurance,or a certified �� ,P�•'•'' W,v� a" — ` •Try k7.L copy thereof(Sec.3800,Lab.C.) CITY ZIP �� - � civC, LOCALITY Policy No. Company SIZE F LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. '?sem S 15 ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. - ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEERy� T,'EL 9NO. COMPENSATION INSURANCE W1,l ��'y� W tc O'i3J 3Y'1-1—/0 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS �o DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) `� v 0 ZIP I certify that in the performance of the work for which this permit CITY a � 9►7�p , D� is issued, I shall not employ any person in any manner so as to ARCH ECT OR ENGI ER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. —qz DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith d� P44 Z13 �� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP } (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STOFE7 NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG V License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION Contractor Date ALTER El $Loa0 ❑ I am exempt under Sec. �'L REPAIR $ U BAP.C.for this reason Zyr DEMOL El _ LL LDMA P/C# "' Date: USE EXISTING BLDG. URM 11 •. n� Ca 'Signature APPLICANT(PRINT) TEL NO.� LDMA Perm# _i m I, as owner of the property, or my employees with wages as �✓✓ Q U1� � I� -l03 Z their sole compensation, will do the work and the structure is ADDRESS ,7 J -35 not intended or offered for sale (Section 7044, Business and (ao 5 W eL -,1,J FINAL DATE , C +3a iL �" R= Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HAN LE A HAZARj OUS MATERIAL _ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J CHECK^K iZ x c' El I, as owner of the property, am exclusively contracting Wlth AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? a ^^ FINAL BY ••'�?;'.ti'"t: iS i licensed_contractors to construct the project (Section 7044, YES❑ No❑ tt Business and Professions Code.) i WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY GU ST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR tLi I I hereby affirm that there is a construction lending agency for YES❑ No❑ 2-5 +' N the performance of the work for which this permit is issued(Sec. = = rn [HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address uE'T� �b �w O - OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building co construction, and hereby authorize representatives of this County ISSUANCE FEE ' T D ro to enter upon the above-mentioned property for inspection purposes. m 14 Z91 IQ i(1 INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0512210011 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 4850 GOLDEN WEST AV STRUCTURE: 270 VN TEMP CA 917803935 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8589-020-021 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/21/05 JK 12/16/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: WU WEI QIAO;YU XIANG YAN (626) 285-7937- 5,400 4850 GOLDEN WEST AV TEMP 917803935 FEES PAID DESCRIPTION OF WORK PATIO COVER 270 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5400.00 VAL 0.54 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 5400.00 VAL 149.40 TOTAL FEES 232.39 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO - LOCA'iION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLABIUNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION " 144H269 3 Oil FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I SHEAT? PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAM,, INSPECTION g}j REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- j INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTE]'tIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAF CEILINGS LOT DRAINAGE iREPORT ID: DPR261 ROUTE TO: BS0508 ` 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 0610270009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 4850 GOLDEN WEST AV STRUCTURE: 270 VN TEMP CA 917803935 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8589-020-021 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/27/06 JK 10/22/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIDjP TE FINAL BY: CODE: WU WEI QIAO;YU XIANG YAN (626) 285-7937- 2,500 4850 GOLDEN WEST AV 1 � TEMP 917803935 FEES PAID DES RIP ON OF WORK TO ENCLOSED PATIO 270 S.F. LAUNDRY ROOM & RECONVERT THE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE BACK TO ITS INTEDED USE AS A 2 CAR GARAGE APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 2500.00 VAL 108.90 TOTAL FEES 191.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS 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 144H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: 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: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0904290002 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO- OF CONST I BUILDING ADDRESS: 1 ON FILE I SQ. FT STORIES TYPE 1 4850 GOLDEN WEST AV 1 (STRUCTURE: 1500 V-B I TEMP CA 917803935 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 18589-020-021 I I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 I (EXIST OCC GRP: 104/29/09 SR 1 I I I I 10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFIAL DAT FINAL BY: CODE: I IWU WEI QIAO;YU XIANG YAN (626) 285-7937- 1 3,000 1 ' "7 I 14850 GOLDEN WEST AV I I oT„ ITEMP 917803935 1 FEES PAID IDE CAIPTIOfq OF WORK I ITEAR OFF AND REROOF 30 YR COMPOSITION SHINGLES IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 I ` IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: IAC STRONG MOTION RESID 3000.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 3000.00 VAL 99.00 I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 I ICONTRACTOR: TEL. NO: I TOTAL FEES 385.25 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I LIC. NO 1 ILOCATION AND SETBACKS I I I I ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 (SLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I I I 1144H269 3 001 1 11 I I I IFLOOR SHEATHING I I I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 1 NO 21 1 IROOF SHEATHING I M I i1) 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 I �! ` 1AIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO I 1FRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I IFRONT PL- I 11NSULATION/WEATHER STRIP( SIDE PL- I 1 11 I (INTERIOR LATH/DRYWALL I I I I I I I I I 1EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I IRATED WALL ASSEMBLIES I I I (RATED SHAFTS/OPENINGS I I I I I I I 1 IT-BAR.CEILINGS I I I I I I I I 1 (LOT DRAINAGE I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I 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 0904290002 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1 ON FILE I SQ. FT STORIES TYPE 1 4850 GOLDEN WEST AV 1 ISTRUCTURE: 1500 V-B I TEMP CA 917803935 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 18589-020-021 I I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 104/29/09 SR I OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF IIJAL DATF, FINAL BY: CODE: 1 IWU WEI QIAO;YU XIANG YAN (626) 285-7937- 1 3,000 1 I 14850 GOLDEN WEST AV 1 I V I ITEMP 917803935 I FEES PAID DEgCAIPTIOR OF WORK I1 I I ITEAR OFF AND REROOF 30 YR COMPOSITION SHINGLES 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 1 (APPLICANT: TEL. NO: I I - I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I 1 IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IAC STRONG MOTION RESID 3000.00 VAL 0.50 I I I ID2 PERMIT W/O EN-HC 3000.00 VAL 99.00 ( 1 I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 1 1 ICONTRACTOR: TEL. NO: I TOTAL FEES 385.25 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO 1 ILOCATION AND SETBACKS I I I I I I I I I I I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL, NO: I IFOUNJATION/TRENCH FORMS I I I 1 LIC. NO: 1 (SLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I 1144H269 3 001 1 1-1 I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I 1 NO 21 1 IROOF SHEATHING I 4a I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO 1 IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I IFRONT PL- 1 11NSULATION/WEATHER STRIPI I I I SIDE PL- 1 I I I I I 1 (INTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH 1 I I IRATED FLOOR/CELL ASSEM. 1 I I I IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I i 1 ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I