HomeMy Public PortalAbout5212 GOLDEN WEST AVE_Building__ 'TEMPLE CO 4 L4
7ue0eA CIE#803 1-6I APPLICATION FOR BUILDING PERMIT ,
COUNTY OF DRE
LOS ANGELES BUILDINGS
DEPARTMENT 'OF COUNTY ENGINEER ADS
BUILDING AND SAFETY DMSION LOCALITY
? -JOHN A. LAMBIE, COUNTY ENGINEER NEAREST }
WILLIAM A. JENSEN SUP•r OF BUILDING CROSS ST
FOR-APPLICANT TO FILL IN DISTRICT NO GR613P TYPE P C $�B�BY
�'i CONST_.
BUILDING / / �• STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS f - K G
LOTNO.&J-4 S401CIfCLASS NO�LDWELL UNITS
BLOCK WATER NOT REQUIREDRECEIVED
128�� CERTIFICATE -I
TRACT '
SIZE OF LOT S`o /74+ NO'OF BLDGS /�� NOP• C%• HCGRC EI STATE MAJOR SECOND, LOCAL
NOW ON LOT �!O UPEP
SPECIAL ' a^,-
USE OF CONDITIONS r
EXISTING BLDG ?TEL. I� v J �J � iI.�CEiY�,�
OWNER �+�j -/� _��s^ / �9 NO Q ULLDING YARD HWY STREET NAME ` EXIST
ADDRESS) f',- X46 �n /� la;71. ,�/yam! SETBACK - -WIDTH
FRONT {-� /•�
ARCHITECT OR YIE L P L• C+�
ENGINEER ` NO SIDE
P L
ADDRESS TEL. �/z INSPECTION RECORD
CONTRACTOR -B•
ADDRESS -
O
DESCRIPTION OF WO& u
W
CL
;
P-
NEW ADD ALTER REPAIR DEMOLISH N
SQ FT. /S NO OF NO OF _ ?
IZE STORIES FAMILIES ,
'USE OF
STRUCTURE - L`j -
47
r
SIGNATURE OF '
APPLICANT
/�,,�
VALUATION$ �'r_ � (�"1� � ,,
APPROVALS- DATE INSPECTOR'S SIGNATUREI f
PC FOUNDATION. LOCATION ®�1f��
FEE $ �� PMT. '
FEE i 'p6 FORMS, MATERIALS ® (P�'
FRAME FIRESTOPS,
I HEREBY ACKNOWLEDGE THAT 1-HAVE READ THIS APPLICATION BRACING BOLTS a./
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE. LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK J
AUTHORIZED HEREBY I WILL NOT EMPLOY-ANY PERSON IN VIO LATH, INT- '� /� A
TION OF THE LABOR CODE OF THE STATE OF CALIFORNI$R T-
ING TO WORKMEN'S COM SATION E2� /, If
°�GIi ,LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE •g RECT AND POSTED
ADDRESS FINAL
CLYDE N-. DIRLAM, PRINCIPAL ST7cK.
RAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH , PERMIT VALIDATIONM.O. CASH
i� LA
v,76 A6,38A'CE #803`4/72
' APPLICATION FOR BUILDING PER T �
* COUNTY' OF LOS ANGELES ASSESSOR
DEPARTMENT-OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND-SAFETY DMSION BUILDING
MAKE CHECKS PAYABLE TO. ADDRESS J
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort only) CROSS ST.
DISTR CT N GR ;,TYPE PRO S BY
BUILDING // J ,tt�� CONST.
ADDRESS 2, 606 E )/— , V Cc
Lk r7 STATISTICAL CLASSIFICATION SEWER M�
LOT NO �1 / BLOCK
CLASS NO.— f DWELL.UNITS BK PG
TRACT �- USE'ZONE MAP - -
NO.OF BLDGS. 'Q NO.
SIZE OF LOT NOW ON LOT �) / SPECIAL'
USE OF / CONDITIONS
EXISTING BLDG. CC��A —,c
TEL..
_ OWNER ', �f,j�/�J� NO. / �� BLDG SETBACK FROM -
ADDRESS S1 60 R ^ J,!59r FRONT PROP,LINE OF (STREET).
y, TYPE OF EXISTING SETBACK HIGHWAY - } YARD, = TOTAL
CITY rdZ - ,5:5. HIGHWAY WIDTH, -FROM C L
ARCHITECT OR TEL. } _
ENGINEER NO. BLDG.SETBACK.FROM te.
CL.
ADDRESS SIDE PROP.LINE OF (STREET) CD
TEL. TYPE OF EXISTING1 SETBACK HIGHWAY-,,,} - YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH' FROM-C.L. P-
LIC. ~
ADDRESS NO F = a
LIC. N
CITY CLASS -CORNER CUTOFF YES ❑ NO ❑ Z
CONSTRUCTION LENDER '
NAME AND BRANCH - SEE REVERSE SIDE FOR SPECIAL APPROVALS-
ADDRESS
SO FT. NO. OF NO. OF NEW 01 -
_SIZE STORIES FAMILIES
USE OF
STRUCTURE
DD ❑
STRUCTURE 6 i� -
ALTER -
�Yv
REPAIR❑
SIGNATURE - -
APPLICANT DEMOL ❑
VALUATION $ APPROVALS D TE INSPE OR's SIGNATURE
P.0 PMT. 77
FOUNDATION; LOCATION J• /
FEE $ FEE $ 1 FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS - '- -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION, -
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-' GAS VENT,-DUCTS
STRUCTION I CERTIFY THAT IN 0ING THE WORK AUTHORIZED -
HEREBY I WILL NOT EMPLOY ANY ERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF C LIFORNIA IN, RELATING TO '
WORKMEN'S CQMPFNSATION URA -
LATH, EXT. ,
SIGNATURE OF HOUSE',NUMBER COR-
PERMITTEE RECT-AND POSTED -
ADDRESS FINAL JU 3
PLAN CHECK,VALIDATION CK M O _ PERMIT VALIDATION CK mo cns
s 'D 1 2:OON
C-DuNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMC4T TEMPLE CITY CA 91780 3L 0508 040823000
PHOkE: (626) 285-0488 EXT:
L E GAL—T-9--_ 0. OF CONST <ILDIFlG ADDRESS: T
TR: 12830 LT: 16 BL: .001 SQ. 'FT STORIES' TYPE 52212 GOLDEN WEST AV
STRUCTURE: 2600 VN TEMP CA 917803246
A S SSOR INFORMATION—NUMBER:, " NEAREST CROSS STREET:
8589-009-034 - -THOMAS PAGE: 597 GRID: A4 LOCNLITY: TEMPLE CITY, C
EXIST BLOC, USE: RESID USE YCH ': R-3 IS UE ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/23/04 JK Gh;iB%05
OWNER: TEL. NQ: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
GIESE,,RAY (562) 546-0120- 3,800
5212 GOLDEN WEST AV
TEMP 917803246 -, �- FEES PAID DESCRIPTION OF WUfi
REROOF Wiio 4C, YEARS-COMPOSITION HOUSE & GARAGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NL':
NEWELL ROOFING (562) 946•-2799- AA BLDG PERMIT ISSUANCE 27:75
14359 PLANTANA AC STRONG MOTION RESID 3800.00 A1. -' 0.50 SPECIAL CONDITIONS: _
LA MIRADA D2 PERMIT W/O EN-HC 3800.00 VA 115.80
FR INV WORT. ':/G PER4IT 257.00 DDL 257.00
TOTAL FEES 401.05
CONTRACTOR: TEL. NO: APPROVALS—�—v DATE TNSPEC(OR SIGNATURE
NEWELL ROOFING (562) 9k6-2799-
14359 PLANTANA LIC. NO LOCATION AND Sr OACKS
LA MIRADA, CA 90038 679738(,39
SOILS ENGi'4EER APPROVAL
ARCHITEC PuRyppTi f-O,'I URP;+C!: _OPTS— — -----"---
SLAB/JND_ F:_
RAISED FLOOR i RA�11NG —�
MAP NO: SEWER-KAP BOOK PAGE: FiRE ZONE: CMP: UNDERFLOOR INSULATION _ —
XX 3 03
OR SHEATHING
N0. OF FAMILIES: D6'�LLING•UN T : APT/CO D: S ATS- CLASS-
NO 21 ROOF SHEATHING i
SCHOOL ITHIN HAZARDOUS SHEAR PAYEES
AIR QUALITY: 1000 FEET MATERIALS `
NO No 1;0 FRAME I"JSPLC7ION� I -
REQUIRED TOTAL SETBACK FRJM EXIS — - - - - ��-PRIN'��.C�R yANGERS -
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATIONNWEATHER STRIP
SIDE PL-
INTERIOR LA�IDRYWALL
EXTERIOR- LATH
ATEDFLOOR/CEIL.ASSE .
RATED WALL ASSEMBLIES
RA D SHR S/ffENINGS --
n T-BAR CEILINGS
LO R INAGE
REPORT ID: DPR261 ROUTE TO: BS0508