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Home My Public Portal About5025 GOLDEN WEST AVE_Building__ RUILD• BUILDING ADDREI/! j{,J 01� (,r(J/�/,T& APPLICATION LOCALITY 7— �,d� NEAREST DIVISION OF BUILDING AND SAFETY DROSS&IT. DeputIIwnt OT County Engine= DI51TRICTT NO. RECEIPT NO. PERMIT NO. County of Los dudes WM. J. FOX, COUNTY ENOINE[R GROUP DATE RECEIVED DAT[ISSUED CASSATT D. GRIFFIN, W.Irrr or ■uiLomm FOR APPLICANT TO FILL IN TYPE CONUT. REO[IVED BY IS/PED/Y OWNER MAIL HWY NUMBER 1f 8Y® NO UM■[R C/ HWY ADDR[is UHC ZONE SPECIAL TEL CONDITIONS DITY ARCHITECT ENGINEER r c BUILDING YARD HWY STREET NAM[ EXIfT. D /ETSACK WIDTH FRONT T P.L CONTRACTOR BIDE ep A O P. L. DATE CORRECTIONS INSPEDTOR aUILDING ADDREN LOT NO. BLOCK TRACT y� yC• c` NCL Or BIZC OF LOT O NW ON LDOLOT , "- 1 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH q _ r_Sl C4�r-� Sq. FT. NO. or NO.or r. BIZt /TORIES FAMILIE>• u/E Or/TRUOTIJR r e HO.OF EMP ca 1 HERESY ACKNOWLEDGE THAT IHAV[ READ THIN AP- PLICATION AND STAT[ THAT THE INrORMATION GIVEN 10 APPROVALS INOP[CTOR'O BIGNATURE DATE OORRLUT. 1GREE �O COMPLY WITH ALL COUNTY EIRDIMANO[/ FOUNDATIONS LOCATION AND TATE LAWN [GU INo.BUILD NG rORMS,MATERIALS FRAME FIRE STD Pf. BIONATURK or ,. ,r ) lf� BRADING,BOLTS P[RMPTTE FURNACE[ LOCATION, GAB VENT,DUL-n ADDRwfflm LATH, INT. AUTHORIZED AMT - LATH, [XT. D P. C.* HOUSE NUMBER OOR- FEE RECT AND PO/TYD VALUATION * 6 F[[ FINAL 'PC- S S 76A638A DBS 3(86 -34 ADDRESS •fA - --✓ BUILDING _ APPLICATION LOCALITY �• DIVISION OF BUILDING AND SAFETY NEAROSRS EST CST. Q— Department of County Engineer DISTRICT NO. ECEIP N/O. PERMIT NO. County of Los Angeles " ' f l WM. J. FOX, COUNTY ENGINEER GR UP GATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPT OF BUILDING �- / ^ ^ / r /� - 7 FOR APPLICANT TO FILL IN TYP CO sT. / RECEIVED BYY ISSUED BY OWNER ESS MAP ^l - STATE NO MAIL r Q+ ,j ,( NUMBER ^ HWY ADDRQ � //� � .,,� � I-pS� -+"'U�� USE ZONE SPECIAL TEL. ! CONDITIONS CITY �f'!�J? ` NO. 10 ARCHITECT OR TEL. iCj_eyTJ ENGINEER NO. - - BUILDING YARD HWY STREET NAME EXIST. ADDRESS .:, �7,,. SETBACK WIDTH FRONT r j TEL-JP. _ .L. CONTRACTOR / �J��I1 , ;,J ., NO. J/A — SIDE ADDRESS .!-as 9 ) 6.. a .1 ! ,h �JF.V P• L. DATE CORRECTIONS INSPECTOR BUILDING ADDRESS LOTH/ BLOCK , ' . TRACT - NO. OF SLOGS. }! I! �L' a. t'S.. SIZE OF LOT +` NOW ON LOTUSE 13F i FXIRTING BLDG. DESCRIPTION OF WORK -- O NEW ADD ALTER REPAIR DEMOLISH , Z Sq.FT. NO.OF NO.OF ' �`` - ` __ _ r SIZE STORIES FAMILIES UBE OF STRUCTURE - NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPE TOR'S SIGNATURE DATE CORRECT. � ''� I AGREE TO PLY W H f�� iN RDINANCES FOUNDATION: LOCATION AND STATE LA IN G CONSTRUCTION. FORMS, MATERIALS '„ _ k FRAME: FIRE STOPS, SIGNATURE OF �� BRACING,BOLTS PERMITTE FURNACE: LOCATION, GAS VENT,DUCTS ADDRESS- t LATH, INT. C�L.w^-• ` � AUTHORIZED AOT. _ __ LATH, EXT. N N r CJD P. C. SQ _�, HOUSE NUMBER COR- FEE J !/ ��•• _ CJ RECT AND POSTED � VALUATION - -EE ICS FINAL c:. �.�•..._ 76A638A DBS 3 (cab 5-54 WORKERS' COMPENSATION DECLAIZATICMI L �ioreby�Ifflrm fFbt I have a certfflcote of consent to wlf �►P.P reari•o.n� FO - PERMIT Kure, w a,certificate of Workers' Compensation Insurance, ora certifled copy fliereaf ($ec. 380Q Lab. C.), S . . COUNTY OF LOS ANGLE !lUILDIN¢ AND SATA Pollcy No. �TCompany Certified copy Is hereby fumishBUILDINGed, FOR APPLICANT TQ PILL IN ADDRESS Certified copy Is#iled with the county bt,Ildlnq Ihapec- $UILJiING tion dgpcu mbnt' ADDRESS Date AppllcaM' CITY C y TIP 7 LOCALITY CERTIFICATE=OF EMMFFJC•N FROM WORKERS' NO.OF BLDGS.• ' NEAREST G'Ol1A�ENSATION INSURANCt Sl7E OF LOT NOW ON LOT ST• (This Nctlon bred not-be com leted If the permit h for one K A - hundred dollars(;100)or less. PCZ BICk]C T W. MAP ROOK PAGE PARCH I petrify that In the performance of the work for which`this OwP6t D7 NO. tip e prmit Is Issued, I shd�,6Qt employ dhy n In any morin so as to become wblGkt_to tf17W co ef penwH ADDRESS. COfDffIONS Date /0 ✓ Applicant P D NOTICE TO APPLICANT_.ff, after.rnakIn '.thh' fflcate of ARC�t17ECT _�- TELDfSTRICT, TYPE R BY Exemption, you should 'becorh "subject.to- the Workers' 7 Compensation provirlona,of the.Lak}or Code,.you must forth- ADDRESS with.comply 'with such provlslorm or ffils .permit shall be Te STAT15T1C.41 FC.AT10N APT.' deemed revoked. CONTRACTOR: T UCENSEIS CONTRACTORS bQCLARAT" CLASS NO. 6W9J_ UNfTS� r L hereby affirm that I am licensed und*r pravbloris of Chapter 9. ADDRESSSEWER MAP NO. (cammericlnq with Secrion 7Q00)of D#vfalort 3 of tfae Buslr»sM and � �ppofeaslorp.Code,and �ny'llcbnse h In full,force andefhct. CITY CESS W, _ P0. , YALp/►typN Na FT. NO.OF NO.OF C1 ECK- - License Nyrtibi r lrlc Ctes. SE STORES Ott VAJLUATION Gonftacfor bate C1ESCRIPTION OF WORK •' NEIN : - ,A,qD I am exempt yrKler.Sec. e0 ! 4 VUE , B.&P.C: for this reason REPAJR $ �8 QQ 4.A Date: L-.EXISTINGFBLDG, .S ' DEMO" #la`o o ie.-?,� SlgnatUre INT �7,Z FINAL _ a',o o 9 88 ' OWNER-BUILDER DECLARATION' DAYII A Fvweby affirm tbat Lam exempt from the Cootroctarx Ucense c ADOr�ss ,s�— - �^ o o,o 4,Q 8.8 5 . Law fat the following treason (S.ectlon 7X)31.5, Business and Fl s Profoulons-Cod1p): N r� p I, an gwner of the or m ern to with �AD�SS r�'u,� �,`v 7 wages as tf4ir.sole comms pematiop;will do thewokand ST the structure Is not Intended cr offered for sale(Section 7044, Business and frofessioowCode)- MOVING TEL �. I, as owner of the propery,.artrexclpsivel conhuctioq NO. with Ilceosed-contractors to construct the�cojee (Sec- tion 7044, Business and professions CQde�. f COfJSTRUCT1bN LENDING AGENCY YARD FfVVY TOTAL SETBACK FROM PROP. LINE TH I hrreby affirm that there is a constrictloh londlnq agency for FROW the plrfocmance of the wol* for which-thh permit Is hsuad (Sec. 3697, C.Iv. C SIDE ' P.L. L*rtiders Name „ B P.C. Fee= Perm Foe - Lenders A¢drees J certify tIt¢t L have read this applkaflon and ttafe that the _ ysuance Fen MMA P/Ct. above Information Is correct. I ogee to cgmpfy with all County . J Fey ordlnanpes ar5}ote]awe relgtlnp tp bulldlnfl aonattuCtlon, Total Foo IbMA Perm. and hereby authorize represen Ves of this County to entw n thea menfl pro f/or.Irrp&cfloa purposes +�. �• id3LahY'� /O i�NWOM rOR EMLANATORY WKWA01. 5lgrwh"of Applkarrt or Agwrt : Dale. 5 y 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 0311210038 PHONE: (626) 285-04M EXT: NO. OF CONST NEW BUILDING TR: 14832 LT: 19 SQ. FT STORIES TYPE OCCUP GROUP 5025 GOLDEN WEST:AV STRUCTURE: 605 1 VN R3 TEMP CA 917803939 ASSESW INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LA ROSA 8589-018-015 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: TgSDM-,5r-- PROiCESSED BY: EXPIRES ON: E)(IST OCC GRP: 12/17/03 JK 12/11/04 06IN ER TEL. NO: BLDGS. WOW ON LOT: VALUATION: FINAL DATE F I E: CHURN JOSEPH M AND JESSICA I (626) 292-7796- 50,000 5025 GOLDEN WEST AV 74T C TEMPLE CITY 91780 FEES PAID ADD BEDRM, BATHRM & FAMILY RM FEE DESCRIPTION: QUANTITY: UOM: AMOLRMTAPPLICANT: TEL. NO: : SAME AS OWNER - 81 PLANCHECK W/ENERGY 47916.00 VAL 721.44 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL MNDITIONS: AC STRONG MOTION RESID 50000.00 VAL 5.00 B1 PLANCHECK W/ENERGY 50000.00 VAL 24.39 82 PERMIT W/ENERGY 50000.00 VAL 877.47 CONTRACTOR: TEL. . TOTAL FEES 1,656.05 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LDCATION AND SETBACKS SOILS ENGIW9Er-AMyRU7Ar- LIC. N0: RAISED FLOOR FRAMING MAP NO: SEWER MAP BOX: PAGE- FIRE 3� 01 % U� 1ST LEVEL n-5NFT99T'R— NO 21 ZND LEVEL FLOOR SHEATH SCHOOL WITHIN HALMLXJUb l/ AIR QUALITY: 1000 FEET MATERIALS '7 NO NO NO REQUIRED TOTAL SETBACK FROM E)(I ST BLDG DEPT. FRA14E INSPEqT, SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SIDE PL- INSULATION/WlEATHER STRIP / INTERIOR LATH/DRYWALL EXTERIOR LAIM LOT DRAI NAGE SMOKE DETECTION DEVICES FIRE DEPART14ENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508