HomeMy Public PortalAbout4923 GOLDEN WEST AVE_Building__ A ROAD DE?T. -71'17
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FOR ANY
pp DONE IN -Itis ;._,-,� ;...,,., r WAY.
76A588A CE#8038.59 APPLICATION FOR BUILDING PE. MIT 1
COUNTY OF LOS ANGELES ADDRESS L
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRO P TYPE PR ESSE Y
FOR APPLICANT TO FILL IN -5— CONST. u
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS B
CLASS.NO. DWELL.UNITS C/
LOT NO. BLOCK MAP -{ �y / / STATE YES
NUMBER HWY.
TRACT USE ZONE SPECIAL
//11 /1
O.OF BLOGS. /�1 CONDITIONS
SIZE OF LOT Vls, NOW ON LOT lJ '1-
USE OF
EXISTING BLDG. BUILDING EXIST.
_ SETBACK YARD TREET NAME WIDTH
OWNER FROMAIL P. NT I
ADDRESS G�- f Lt�. � 'FR tl_L�- SIDE
P.L.
CITY G�- NE. T 8/ INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS •
DESCRIPTION OF WORK
NEW L' ADD ALTER REPAIR DEMOLISH
SQ. FT, NO. OF ` NO. OF
SIZE 1.5 c.5 STORIES / FAMI IES
USE OF JD
STRUCTURE P LI✓LCAl c-/
SIGNATURE OF 6' 2- 1�-L:,
APPLICANT
T APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS - I-e to Gat- '• / t^ FOUNDATION: LOCATION
FORMS,MATERIALS
VALUATION $ / FRAME:FIRE STOPS, _
BRACING, BOLTS - '•�
P.C. �/ PMT. /�j /r/l FURNACE: LOCATION,
FEE *9FEE $� """- GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PL ICATION
P-PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND L
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OFV "/�"l_ J `� HOUSE NUMBER COR-
PERMITTEE �• iii///ttt RECT AND POSTED
ADDRESS 9 9 rxE_ �- y tit . .c. FINAL
CLYDE N. DIRLAM, PRINCIPAL STR4IGIURAL ENGINEER
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK.1 M.O. CASH
UC05 JAM22 2 3 A 27.00 � �
i, ,5 6 7 9`d -�IAH 271 A 54-00 10
A;1 J
APPLICATION .FORSUILDING PERMIT
COUNTY OF LOS ANGELES t BUILDING AND SAFETY
VIOFiIWS COi1PENB/►TION DECLARATION
PW APPU Alff TO PLL INBURIN NG ADMESS O (,`J �-
I husby afflnn that I have a otrttfinle of consent to No Yxie, ���ADDFt11M
qr a oertlfloab of Wbrims Comperedton Inu orr`
�the a). arr o •v G•`. l
LOCALITY7e 4ey
Poioy No Company N 81ZELOT N LOT
oWf Is hereby gyre& NEARW CFKMT..
UWTYM �, Ned with TRACT BLOCK- LOT Na
ueE M E MAP Na
Deli@ �+F AB�BOR AMP BOOK PAGE PAFIC�
ePect�u cororTaons
Con-nCATE Of OMMOT"FROi4 offl Qiv _ OWNER
TEL NO.
/�U O d YES No
COJi�QIISATIOM RtaURANCJr ADf wrlrtrrtaoo Fr oFac�tooL�
(TNG secrion read not be corrIf the parmR Is for one hundred C S N ( 7— DMn:UCT GROUP CCW FW ZONE PROCI BeED,WY
dofiare MOM or lesi.) CITY ZF
II cartf�fy.that In the perfor *rm of the worts for vrt" V*palm& GN�t
DeCOrtM.It bUM Nbfi�fl�CArt t OnL a0 di b AAaYTECT OR Tei_NO. 8V91STW-AL CLAM
3 AFT COrDO
Deie Apptloant APDRIM J CLAM Na�L DWELLUNITB
NOTIC iE TO'APPUC."T. 11, titer rraidrvg this C&Vicsta of RE011fV!D TOIAL_eETBACK FROM EXIST
Exemption, You should become subject to the Vkrkws' r 7 �D Z g 6IET K" MYtO,- WY PF*P LIE WIDTH
CbmpenesHon provisions of the Labor Code, you must forthwith `�7 �o
oorrrpiy wfth such provMwe or this permit s1m1 badeemgd Tavoksd. O r �. L�� PL
L tsJ® TRAC 1 RS DECL RATION CITY t� lit 4ua cues S 81DEL
PL
I hsraby afflnn that,I am floerreed A-6 111 1
under provieiorre d C irpiar 0 80.FT.&M Na OF STORES Na OFFAMLE8 NEW El � IAP Pb �
(cortrrervdng.wtth 8ect4ora 7000)of[*vision 3 of tho-Btaftr.ss and - �---
Proleealwe Code,and. t}obnee.Is In ful force and of act 2
lJoeree LIo Ciera J ADD ��W ,
0,1,am i1X0M pt under 880. REPAJ R $
B.AP.C.for this resew DEIMOL LDMA PrC a
Dat« LEE OF EXISTNG BLDG f URM ❑
AP fc vrr Ta-Na MOM FWM f
❑ 4 r owner of the prdpartx or my employeee v fth wage. r
that sob compereaft%wtu do the work and the sbuct"Is r Ir
not Marded or oflered for sale Maction 7044, t�,&v=and 6 v I aAnL ay►,ra
� 7
Profestiorncoda.) wa.L araRrturwavLbm ca�wrrwo�aArwupoi�srrvati -�0 - qZ SL i 204.
2.1
❑ I a owner df the Property am ' Y b ti0 w M CONMY M A VAZArooU.rwbvwL ea�L ro oR arwae+n+w ' 1ITEM
Icensed oontraolon to construct the pfo)ect.(8aatbn 7044, naourr.sr�m ow THE awJvroore rra�La sa�oreuhion taLi 17r1�fan,
rm❑ rro ElBuelr a and Prole salwe Code.) �•Y/ TIS`� 24
Q - 23 2S
Mu TM WMCM UM or Yrs MAMM BY n e AMUC."rr on RmR MILABDDM
oocu+w'r�o�ew Peirr roe on rrooe�v�ou rAor ni earrri DECK
U904NO Abr,�arK�.'Y FOR .: r�w�o�rr�'p�hq sae r narrcero areoraer �C D t ,, o ?
peUNM
by affWwa a t#we In for winch o0onthile lrm It M�saued y for
-M❑ No❑Ulm �+��►�' C� W�ccl G1� {rte �)
gg 3007,Chr.C.). 'HAM P r�o"' iaoerewo w , nye Los�►G �-
b lenders rj.rne r nc` tREPOP :a�o PJN*4�r�, t�� 6/26/92
Lender.A W..
1 oertfy that I have read&A apoosbon and.tate tat—the above
' b,fomwoon w oorrea I. ogres-to. Comply v fth aA County P.C.PEE P73#ff FM / .
or&rwroe.and&ri W"reiath 10 Wkk goon uctlorr,and '
repra.entativee urf this County to errw uponQ rBeUANCE FEE
for tup.tstion 2 / TO' iJO. a�
UM FEVWM POR WMAMATO"LANQUAOC
COUNTY OF LOS-ANGELUS TEMPLE CITY � - - f 0508 BUILDING PYRkIT -
DEPARTIiNT OF PUBLIC WORKS 9701 LAB TUNAS ALTERATION/RYPASR
BUILDING AND SUETY / LAND DYVIMOPKKNT TEMPLE CITY CA 91780 BL 0508 0510060005
PHONES (676) 785-0488 EMT:
LDOAJ, ID: NO. OF CONST BUILDING ADDRHSS.
TRi 5347 LT: 6 BL: .001 BQ. FT STORIES TYPE 4973 GOLDT<N WEST AV
STRUCTURE: 700 VET TEMP CA 91780393E
ASSESSOR INFOR14ATION NUMBER: R-RARAST CROSS STRYFP: 100WIM ABUSA
8589-019-001 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEM➢L= CITY
TENT: EXIST BLDG USE: RNSID USE SONE: A-1 ISSUED ON: PROCESSED BYi EMPIRES ONi
YMIST OCC GYP: 10/06/05 sI - 10/01/06
O1QYR: TII,. 190: BLDGS. NOW ON LOT: VALUATION: F DATE, F 7: CODE.
TRUONG;ANTSONY (676) 673-1736- 3,500 /✓J/
4973 GOLDEN AES`! AV r
TYMD 917803938 YYEB PAID NSCRIPTION OF WORK L
RHPLACH TILES ROOF TO KAc:E YZIBTING HOUBY AND GARAGH
FKH DEBCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT, TEL. NO:
lgi 18 OWNXR - Al BLDG PERMIT ISSUANCE 77.75
AC STRONG MOTION REBID 3500.00 VAI, 0.50 SPECIAL CONDITIONS:
DZ PNRM T W/O 3H-HC 3500.00 VAL 115.80
TOTAL FRES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAMB AQ OWNKR -
LIC. NO LOCATION AND SHTBACILS
SOILS HNGIWKKR APPYOPiL
ARCHITECT OR E19GI3IYSR: TEL. NO: FOUNDATION TRENCH FORMS
WANG, NICK (676) 300-8931-
1815 AYAL A DR LIC. NO: SLAB UNDRR FLOOR
AL13 JORA CA 91801 NONE
RASBYD FLOOR FRAMING
MAP NO: SEWER MAP BOOI: PAGE: FIRE ZONE: CNP: UNDR�R INSULATION
144E-269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS. APT COND: STAT CLA138:
190 71 ROOF SHEATHING
SCHOOL WITHIN EULZ RDOUS SHEAR PANELS
AIA QUALITY. 1000 FEET MATERIALS
No NO NO FRAME INSP3422'I019
NEQUIRYD TOTAL SYTHACK FROM YMIST FIRS SPTNIcTaR HA19GYRS
SET HACI Tlkla PROP LIN-Y: WIDTH:
FRONT PL- INSU ATION WEATHER STRIP
BIDE PL- INTERIOR LaTR DRTKALL
EXTRU IOR LATH
RATED FLOOR CYIL ASSYM.
RATED X LL ABBRAIII IES
RATED SHAYTB OPY19LNGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: 880508
COUNT'VOF LOS ANGELES TEMPLE CITY If D508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS T1MAS RESIDENTIAL ADD/AT/REP
fir[{ BUILDING AND SAFETY / LAND DEVELOPPLENT TEMPLE CITY CA 91780 BL 0508 01062710056
PHONE: (626) 285-0488 EXT:.
MO. (YF NE61 BUILDING ADNESS.
TR: 5342 LT: 6 -'BL: .001. SQ. FT STORIES TYPE' OCCUP GROUP 4923 GOLDEN WEST AV_
STROCTUtE: SW t VN R3 7ElP CA 917803938
ASSEnOR IFFOMWION NI ER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8589-019-001 OTHER: THOMAS PAGE: 597 GAUD: A5 LOCALITY: TEMPLE CITY
TENAXT: E)(IST BLDG USE: 'USE
I SSUED ON: PROCESSED LIT' EXPIRES ON:
EXIST OCC GRP: ZONE: 10/23/01 'JK 04/21/02
TRUONG•ANTHOMT .(626) 673-1236- 1 129,000 r
4923 6&DEN WEST AV
TEMP 917803938 FEES PAID OF
ADD ENTRY AND MAST ITE, RELOCATE KITCHEN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. MO:
$AME AS OWER - B1 PLANCHECK W/ENERGY 67000.00 VAL 906.15.
AA BLDG PERMIT I 27.75 SPECIAL CONDITIME
IAC STRONG Ml .00 VAL 12.90
Bi P B2 PSC l7� ES VAL 1,628.22
CONTRACTOR: TEL. NO: T 3,052.86
APPROVALS DATE INSPECTWITMMURT—
SAME AS OWER
LIC. NO LOCATION AND SETBACKS.
SOILS ENGINEER APPRNXt
WANG, NICK (626) 300- �► o{ ��
1815 AZALEA DR LIC. llllllSLAB/l*DER FLUOR
r ALHAMBRA CA 91801 NONE
RAISED FLOOR FRAMING
MAP *0: SEWER MAP BiOOK: PAU: FIRE ZME:.
U So L C W 0 ILFD�l wu%S _Mn_7TUUR MEATH
Tgr
100. OF FAMILIES: DWELLING UNITS: APT/COND; STAT C
NO 21 2ND LEVEL FL5WTRUrF_
SCHOOL WITHIN HAZARDOUS $',
;WF SHEATH NG
AIR QUALITY: 1000 FEET MATERIALS � '. ❑ ;-
"1
NO NO NO t'
REQUIRED TOTAL SETBACK FR EXIST4th' n-MUTT FOR INSPECT
.
SET YARD: HWY: PROP LIME: WIDTH: Service at
SIDE PL- SHEAR PANELS
INSULATIONIWEATHER STRIP
INTERIOR LATH/DRYWALL
ME DET ION DEVICES
FIRE DEPARTMENT RIPME
REPORT ID: DPR261 ROUTE TO: BS0508