HomeMy Public PortalAbout4947 GOLDEN WEST AVE_Building__ .f503 Vl¢v.e/71M
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFELY
PNG
OR APPLICANT-TO FILL IN BUILDING
ADDRESS 017/9
G
LOCALITY
NEA REST
` ZIP �1 CFlosSST.
41 1 1JO.OF BLDGS. ASSESSOR
OT f NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE' ED BY
BLOCK LOT NO. ��. CONST. ZONE
TEL-
�1�STATISTICAL CLASSIFI TION EWER hytO CLASS NO. DWELL UNITS BK aGe. zIP 1N2NOR ��N OALUATION $'� MT>iFRONT PROP.UNE OF (STREET)
CTOk NO. TOTAL SEfB,ACK FROM TYPE OF EXISTING
UO HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO.
LIC +
CITY '-- CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIgE PROP.UNE OF ISTREET
HIGHWAY + YARD _ TOTAL SFfBACI(FROM
TY
PEOF EXISTING
ADDRESS OD, SIDE PROP.kIN5 HIGFIWAY WIDTH
SQ.FT. NO OF NO.OF CHECK + V
SI Z STO�t]ES FAMILIES ON E Ox
O
DES7RIPT WORK EW P.C. Fee S. Permit Fee
IL& 5o
ADD
Issuance Fee
ALTER- El /
REPAIR Total'Fee
USEOF DEMOL El
EXIST I N G
APPLIUNT / TEL
BY ISIGNATURD
I HEREBY TFIAT,I MVE READ THIS APy}G�•TpN AND STATE '
THAT 'HE MOVE 'AND AGRfE TO�OOMPLY AW
ALL ORp NMICES
AND IAWS RfGIAAnNG BJ LN CON57RUCllOf�.I CFlZTIFY THAT IN%TTHE
� 44 9,0 fl
WKW AIJn4OPoZED HEREBY I Y/ILL NOT EMPLOY ANY P85ON IN VKXATKON OF
DE '
THE LABOR COOF THE STATE OF WJ FORN IA IN RE ATI NG TO WORKMEN 000A- ' # 0 0 0 0 • 1
PET•6ATKONINSURANCE t, .� ,.
2617800
SIGNATURE OF
PERMTfET r .0 ,, 17 &00'u
ADDRESS
TEL 06, 22'-79
crrYLl mit NO 49&i�im
S E 71ITIONS
D AL
'
C
FINAL
DATE
es 7eAB"A l�L
ce Ewa(rrv;errel
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
LUL
FOR APPLICANT TO FILL IN ADDRESS
BUILDING '
ADDRESS el'oes LOCALITY
/J N BAREST
CITY LP CROSS ST. rk—
ASSESSOR
SIZE OF LO`T L NOW ON LOT MAP BOOK PAGE PARCH
DtSTVJCT GROUP T FIE
TRACT I T 3 B10CK LOT NO. O Y ' J P BY
E
OWNER iV
STATISTICAL CLASSIFICATION F$MPS
ADDRBS�Rq CLASS NO. DWELL UNITSBK" ('pJG
CITY tP V
ARC-IITECT OR TEL VALUATION $ S (J
ENGINEER NO.
ADDRESS. BL FROM
TEL FRONT PROP.LINE OF (STREET)
CONTRACTOR ' NO. TOTAL SETBACK FROM TYPE OF EXISTING
UC r HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO.
Q� +
CITY - aAss
UCTION LENDER BLDG.SETBACK FROM
CONSTR
SIDE�ROP.UNE OF (STREET(
NAME AND BRAN I-i
HIGHWAY + TARO TOTAL SETBACK FROM TYPE Of EXISTING
ADDRESS CITY SIDEPROP.LINE HIGHWAY WIDTH
SQ.FT. NO.OF NO.OF CHECK + L7
SIZE STORIES FAMJLIE5 ONE
DESCRIPTION OF WORK NEW P.C- Fee 61V Permit Fee G
ADD
luuarice Fee
ALTBZ f
REPAIR Total Fee !'
USE OF DEMOL
EXISTING BLDG.
APPLICANT TEL 87 0 A
PRINT( NO. I#,o o'o o 23
BY OC-4 ATURB �
> .2 ° °.° 9.-60,
IHEREBY AONOWLEDGE THAT I HAVE READ THIS APPUCATKJN AND STATE � JJ
THAT THE A E 15 CORRJEL7 AND AGitEE TO COMPLY WM I ALL ORDO AMM .0-0
0'0 9.6 0 F-- .
AND LAWS REGiAATTNG BUILDING CONSTRUCTION.I CERTIFY THAT IN 00(w,THE
WORK AUTHORIZED HEREDY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF '
THE LABOR CODE OF THE STATE Of OU-IFORNIA IN RELATING TO WORKMEN'S COM- I 2 18-78 78
PENSATKMI INSURANCE
SIGNATURE OF 1 87. 1 A
PERMITTEE
ADDRESS # o o"o 0 0 1
CITY J TEL — 2 ro o 9.0 0
�D1E MAP
NO. 1 9.006
14 MOMS
H NAL BY
DATE ?� 7 L+'
r WORKERS'.COMPENSAT40N'DECLARATIOIa. Y
� affirrri'�hdt a have a certificate tonsant to seff
� n, , Q certlfl�,e of Wo en.'Compensation ltmanance, APP ,ICATIO OR BUILDING PERMIT
or a terTi ied copy.ihereof SOW, Lab. C)
COUNlry OF LOS ANGELES', BUILDING AND SAFETY
P-ollcy No. �{orripony
Certified copy Is h°r' fumished.'' 'fOFILL N. bUILDNGFO AV 17
ADbRESS
Certified copy Is filed with the coupty.building Irapec- BUILDING
419a dfparirrlent., ADDRESS
Date Appllcant ❑TY• I ZIP L ST.
( Rllf3CATE OF QCI=NWTION-FROM WQWRS' &a Dr.to7NO.OF.. NOW �- B BAc PARCELCOMF!Rs! ,A19ON INSURANCE.. ..
(Chis section rived,riot be,compjetecl If the permit Is for one UM ZOO
bundred dollars(i}()0),on lew-) TRACT eioac (� LOT No.
' _ TS � sPEaAL T
a 4ertify tfrot.In rhe performance of the-.work for wfilci, this.' No mr�ITlot�s �; d
pprmif Is Issued, I shall 666amployany person In any rrianher _ DISTRICT GRQUP FIK -By Q
so as to become Lybjgct to the Workers'Compensation Laws. ADDR83S qr' ZOPIE w_ -
. } �. t — ac
Date ` A'111cant ARCH OR �P T� ST^TPTKAL C LASSiFICATFON AFT O
-.19C)71C ,0 ff, pftor.maklnq this Cec#tfitate'of
Gem on, u' should. NG�E13t (1AS5 ND. TJ1Mf3L UNITS A.
ph yo betorne.�arlblett to the 1/lrockets"• � ..
Com"nsatIbn pcovIsions of the,Lgbor.Cgdg,,you rp'ust.forth- _ ADDRESS SEWER Msp
with comply vilth wchdYlalons of t�Is If.be TEL. V/1lfDA1FdN 1
daemed revoked 1; pp{�jRAc`fOR NO. . BK PG, -
I UC�N.`�.��tJTRRALTQRS DECLARAf Ibl'JLFC - "• ,
I hereby'tafFlrm that I am Ilcensgd uridec pray(alorn'ttf Chtlpibr NO. VALUATFOM
(commencing with Section70(f0(f0)of Dtvlrba'3 ofib'
Buslnei and UG
•Profe�Ioro Code, and±my II is InfulI force tired effect: OTY CLAM
-FT. NO:OF
Ucense'Number-. T-Llc.Clan STORIES' LFAMUES ONE ►
Conhncfor' Date^ DESCRIPTION OF VkOR1C ❑ _ l 1J
ApR
I'am exempt undc
p�SeF
ALTER F11i -
49
- REPAIR DA
B.3P,C for.this reason _ y
" USE O*
Date. EXISTING BLDG.
"-Slgnature _ r. APPOCANY LLV Ir TEL
OWNb37 UIIDER TFON.' I tJ0
I l e;4y affirm that(am exempt from a Contrbctorppcense
Low for the fdllowlna reason (Sectlbn 7891.5, Buil neu;and. -
Prpfesstohs Code): .
BUILDING-
F, a� owner of She property; of Tny employees Hvith, ADDRESS -
wages as their sole compeasvtlon;will,doihe work and t
the WrUcttrre Is rrot Intonded ot.gffered for sale-(Siectiod . LQGAIJTY
7U0, Builnesr and Professloni Lode} MOVJN]G TEL
1,-4c*owner of the property, 4m excli4lvely"tontrocting NO.
T with Jlc k6ed cora -
troctors to corritrutt the project (Sec- I,
'tion.70�44, Business and Prgfessions C,ode� fi
Cot4swLCTION_t N1)1NGAGENCY : fir II p YARD- HWY TOTAL�� U fR wlDODTrI =. �:, 2.5 7'Q 8 A
Gtt
,Iierabyhfflrrr that there[A a co lop 10rod Ing agengy fol FRONT ,'
the performgore of thgivorkrfor`which thb permit Is lisuud, R , _,� 'r", # o o r •,o'
3097,'Cv.C) }�� t
.. ,s — 'P. �L LR r �,' - IO162-3$
Lenders[dame {
�. P.c�..t P«,,;ttF« 1.6'2386
to .Address'
nder _ ` - J I.a 2-' 8 6
I certify that 1 hdve mad this appllctrtior, and slate that tM ��+Fes �
above IofomwNon kixorreat. I agree to comply wlth.allounfy InwatlpatLon rse
ordinances and 5" layers relatlpg to building oonstruction,
Total F;-
and hereby"outharize-represpntatives of kj County to'enter.
:upon the aBgYg-mpntloned rty for'Jn�on purposes_ '
—3-V .Pfi' ta•pvssr roe MMAP*TCWY UUMgA04..
of Apokarrt WAgwit Date �s
'WORKtRS'wNSATION DECLARATION
htr y offlrm �hot� e,a certtflcate of con}ent fo ..rfA 1 �;1 CA C},R,,1FORAWILDING PERMIT ]
Insyre, or a certp-oote of Wdrkers'Comperuatrort Inturance,
or o certlfled r py'thgmof (mac. 3800, Lab'. C:) ` "'
COU Oft S;A�GEL 6UILbING AND S ETY
Polldy No. Company'
CertlfJ copy is hereby fumished.. FOR APPLICANT TO ILi IN
❑ Certified copy Is filed'with the county 6vll8lnp las�>ec- BUILDING
tion department. ADDRESS O 4L
/f
Data -Applicant . ' CITY. ZIP LocaLlrY
CERTIFICATE OF DMYPTION FROM WORKERS', NO.OF 9LDOS
COMPENSATION INSURANCE' Srg bF Lbr' NOW ON 3I.
(fbls section need not be cam feted if the permit Is for one ASSESSOR ' '
hundred dollars ($.100)or less � TRACT 6LOCK Lortlb. ,Boat PAGE PARC
TEi_
OWt�R 115E E MAP
I'certlfy that in the pen`otrnante-of'fhe.work fob which this- NO
p�mlt Il Issued,I shall not emplby any tion]n any.maanef f I SPECIAL
so as to become subject to the Worker' Com pensatIan AJC''
Dai. GtApplicaor any Cl nP Y)
NO ICE O ICANT: If; after making this•Cent fi�. of ARCHIfE{T t p
DISTRICT TYPE R BY
Exemption, you s!?ould bocomi tublIedt to •the Wbrkert'. CONST, . _ ZbPE j
Compsnsatlon proylslons of-the Lisbon.Code,you must firth- .. ADbRFsb, ✓- . �.
wlth'compfy,•with such provisions or this.Permlt shall. be - r TEL . . - STATISTICAL pON API. '
deemed revoked*- CONTRACTOR — L
LICENSED EQNTRA&ORS DECLARATION) _. LIC 4-AS3 TJO DWELL UNITS
r I Aeby affirm that I am licerµed under provisions of ChapW.9 NO.
jc¢mmww:i 4`wlth Section 7Dbl7�of�lvWon 3 of the BuWne and ' � $E��
Prbfewl6-Code, and my Ilcerrsi 11 la full force and effect. CITY' CLAS VALQAT"
5Q.,Fr. NO.OF NO.OF C7 tECK
LI cense N urn Ser ' Lk.C I nn' Sig STORIM LAS / OPE
v 110N }
' Contrgcfor ,: Date DESCRIPI{ON OF W6RK *VIM
o
�''( / 'ADD
Il I arrt exempt-under Sec
B.Il;P.t yfor this reason REPAIR S
Ddte:' USIEEX1I: BLDG. �MCOO
Slflncturb APPL'M - _ FILIAL.
_ OWNER-BUILDER K<tARATIOfJ. (PIDST1
I hereby affirm that I am e>tempt from this Controgtc�s.L.lC�nse
" Law fQr.tF» f61low1ng rpson (Section 7031,5, Buslnest and R
Professlons Code): aa
BUILDING + 9'0;�.3 A
I, as owner 9f the property or`my q'mployeas with ADDRESS }. .
*cggae as tbglr tole c6mper}s¢tlgh WJltdo th6 w6rk and LOCALITY �'`-- t ,,
-t #'e ♦ 0,0 0 '�
the Str•uctL"b not Intehdedor offered for sale(Sectlon
7041,'Buslness and Profpoloris Code] MOVING TEL f • o 4,(15,0,
NO. t
I, as own}r of the pcop", am exclusively controcting 1.
Wltfi Ilcensedcontroctors to corWr uct the proloct (Sec- ♦ ♦" t: `ADDRWz•.,` o. o.o
Han YW, BuNnow-ond Profess ions Code n ♦' ♦ \ ;k,^` 4 Q.rJk
COfJSTRLICTION LFNb'ir,o AJ�ENCY YARD I�VVI - = �` 0'6 l '4-�8�8
F hereby affirm that therstr.ls'a donetructlon lending gjprvcy fqr
the pdrforman�ce of-the-work fer whlch•thls'permit 19,1Owed
(Set 3D97,Cly.C} SIDE t
P.{._
Lend�r'r Nam*
�1 LDMA Ref. 1�
Leride�s Addresf P.C.rye Permit h.-- t(JrJ
I c.rtlfy.•that I have read thls.applicatlon and nate tf;at.rrt. Lswance l t' P�
R above Iofbrmatl6n b do. l agnst to comply with all Coun}y. Inveetlgarton
ordlrKmc" and Skft ktws relatlhQ td building construction, Total�'ee. - tD�VAA Pian. 1
and hereby authorise riprwerttativm of this County to enter
upon the abov*-menttkHwd property for Ihspectlon purpoeM
R ul J :)/F�.A-'ry SO WARE FOR MAi!LAT01111if UOKMIAGM
ftnatu a of AOO kvrt or AW-rt Date -
• WoRtaRs' cQMPENsanoN DC{LAR.4TION
I hereby d cerifccr I have a fV,CoTie of consent to ocff ADPL TION FGR'. BUILDING. PERM%
• Insure, of Q certlfifate of�Nbrkers' Cornpersatlon Insurancb, a
or a curtFRed copy thbroof (�Se4.';OW, Lab- C_)
' COUN'flf OF LOS Y1HQELES dWDING AHED•SAFETY.
Policy No. ; Company, BUILDING
0 certtfiad'-cppyls'h.reby furnith.ed. Y FOR ApPLICAIJF 70 fiLL IN
Abor�S
Certtffed•copy,Is filed'�v►th the county brillding lnspec- EgA NG 1._
floR department. JwDRE55 T
Dte�—f�ppllcbrit CAY• ZIP' LOCALflI,
CERTIFICATE OF.DZMPT10K, ROA71 _ Std Ot LOT+ tJOVy ON 1.0 T
COMPENSATION I NSU RAN CROSS ST.
is sectlorl nebd raf be m sled Ff the rmlt It for one ^►
(Tf? 4a pe TPA-7-' O27C LOT NO. f rc/ /,�qF}TOOK. FAGf pAR(S y D
'.hundred dollars (VQOr of leis
OMFR t&4
I�ertlfy That In,ttte.p}rforrnance'bf the work forwhlch this l�E � ,'C
SPfaA1
permlI Is.lisued, Fs-hall no employ arty n In 8ny'manngr C fffONS
so os to.becornb wblect.to thp...Workers pehsafion Lows Q .
} fi7fy, r Zlf' V
,Dates A-Wllcant' =,. CITY
TEL. Ct-
NONCE TO CArCf: If, after maklnp this Certificate of .' EtSGIt®2- f^ 1J0. GRO>iP TYPE FIRE - = PROCESSED By O.
Exemption,. you shoyld,bAcoru 'w6�ect to'-tha Workws ' Jt CONST. ZONE
Compensdtlon�roylslons of the Labor Code,•you;,mvrt forth= _ ADDRESS. - A - �r s
with comply with,such provlslotja•gr,.?fils,.p¢rrritt 4Kgll be TEL ' 7AIIFnCAL FICATION APT. OONDO.
deemed revoked. ,., - _ bONTRACTOk NO. �/ riw
LICHJS�CQNTRACTORS DECLARA7JON; LIC CLAM NO. LNIT5'
I herebybfRrm that I am llcerisgd urkler provlslon;of,0� -pier 9' ADDRESS NO.
LK_ SEW92 MAP
.(Gommencltt9 with�L?Ion 700Q)pf:Plv,lslarl 3 of the Builne4a �.. . + VALbAIt}bN .
and Professlons Co¢e;and m.y license is IR full farcg,artd effeti.• . Cay. CUSS BK.uPG.
r . FT. -NQ. OF NO. OF
CHECK -
LJcensq Number �tda --� S17F - STORIES FAMILIES K)W c
VALUA110N C.
Q:ontractor Date DCSC! Fn0N OF WORK NEW _
❑1 am exempt under~'Sec AJC .� ►
C.'for th llq r oho n REPAIR L1 i
--Date. .. ,: SOF' .r
- DaST] BLDG. DEMOL Q
5lpnaturo . . . APPIJCAtJT T>3 F!!AL
QWNEft,BuILD92 DaRAnCrN PRI Np• 411
DAT
I hereby affirm that I am?xempt from the Cohttactbrslltbnse
Law for"the fglLowlri¢teasorti (SeE}lon 7031.5,'�Lslnest arld
ADDRESS RNA1 _ -r
Pro ons Coda):
BUILDING " r��
L3! 1, a4'owner of the property, or My employees with ADDRESS ' 1 I E
wages as their sole compensbrflon;�wlll do fhb work and
_the stnxture Is not Intbn�e or offered for.sale(Setiloh
LOCAL"" _.. l` ` . OTAL 10.5- 251
ISI 7044, Business-and Professions Code:):. - MOVI r , TES - _. 'is i
1 J, as'owner of the arh exclyalvgl�rcontrodJnp NO. 1 .i�
- -with Iltens�d conftctors yto coneruct the,project,(Sec- ADDRESS fYL .IJV
flan 7Q44,'Business apd Professions Code.). f` 7-tier
CbNSTRUCTION 4NDING AQ64QC YARtr 1il/yY R2ob4
I hereby affirmthat therg9s a-ronstrucflon lending apen� for FROhff ti 1 rf 1
'the pwf&mance of the work for ylhlch tfyls eermlt Isassued P:L
(Sem 3097, Cram,.o - SIDE 8119 7, 1.' -" { 7:7k,
.
-R.I -
it LendeYs NanSe �S ` LDMok Ref #
Lende's Address 1- P.a Fa*' Permit Fee' O� -
I MAP
r F certify that I'have read this appllcotlo'ri and state that the Lnuar» ✓' LDMA P/C I
O 4bove Information Is correct.I ppree tQ ccWhPlywlthall County
�x1 ordlnoncbs old.$t rfe laws telatlnq to'bulldlhq cons6'ctignr I Total Fee L/ �'� LDMA Pirm
eri
and heby authQdze tepresentatives of this County to enter
upon the above mbntloried 6perty for lnspeeflor p,4:oq s
. . sra �sols oGLANATOkY Wil A_"
Slgnaturr of Apel caM or ApeRt "Das
COUNTY OF LOS T291EI,i9 TEMPLE CITY # 0508 BUIIDI9G PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAB TUNAS ALTERATION/REPAIR
BUILDING AND SAFE'T'Y / LAND DEVELOPMENT T04P E CITY CA 91780 BL 0508 0909300006
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUDDING ADDRESS:
TR: 14832 LT: 24 SQ. FT STORIES TYPE 4947 GOLDEN WEST AV
STRUCTURE: 2700 V-B TEMP CA 917803938
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KEY WEST
8589-018-020 TFK)FA9 PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, C
TEN?.NT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
EXIST OCC (RIP-: 09/30/09 SR
,: TEL. NO: BLDG9. NOW ON LOT: VALiATIF]�L� FINAL BY: CODE:
STEINERE
9TES2iORTH, DK (626) 242-8585- 66,200 I!
4947 GOLDEN WEST AV _
TEMP 917803938 FE'S PAID DkSCRIPTION OF WORK
RE-ROOF, TEAR OFF INSTALL 30 YR COMP 9HINGL&9 AND MODIFIED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BIUNEN
APPLICANT: TEL,. NO:
ARC-IADEL INC. (310) 516-8400- AA BLDG PERMIT ISSUANC3 27.75
1859 W. 169TH ST. #D AB STATE GREEN BLDG FEE 6200.00 VAL 1.00 SPECIAL CONDITIONS:
GARDENA, CA 90247 AC STRONG MOTION REBID 6200.00 VAL 0.62
D2 PERMIT W/O EN-HC 6200.00 VAX, 166.20
FR INV WORK W/O PERMIT 257.00 DOL 257.00
CONTRACTOR: TSL. NO: T02'AL FEES 452.57 APPROVALS DATE INSPECTOR SIGNATURE
ARCHADEL, INC. (310) 516-8400-
1859 W 169TH ST ID LIC. NO LOCATION AND S=ACKS
GARDENA CA 90247 830661039
SOIL ENGINEER APPROVAL
ARCHITECT OR EMINIIER: TEL. NO: POIIN1lATION TRENCH FORMS
LIC. NO: SLAB UTDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRS ZONE: c3u: UNDERFLOOR INSULATION
144H269 _ 3 DO
FIGO SHEATHING
NO. OF FAMILITS: D%C=ING UMTS: APT/COND: STAT CLASS:
NO 21 ROOF SHRA7.HING
SCHOOL WI'TMEN HAZARDOUS SHEAR PANELS
AIR QUALITY: 10 0 0 FEET MGITERSAL9
NO NO NO FRAME INSPECTION
REQUIRED TOTAL 83'"BnCIC FROM EXIST FIRE SPRINI= HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- + INSUUTION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
ED[r=OR LATH
RATED FLOOR/CEIL ASSE24.
RATED WALL ASSEMBT,
RATED SHAFTS OPENINGS
T-BAR CETT•29Gp
LOT DR A INAOE
REPORT ID: DPP-261 ROUTE TO: BS0508