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HomeMy Public PortalAbout5218 GOLDEN WEST AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ' COUNTY OF LOS ANGELES �.. WM. J. FOX, CHIEF ENGINEER BUIL FOR,APPLI ANTa,TO FILL IN j FOR OFFICE USE ONLY DISTRICT NO. •`, "-PLAN"CK.-NO:--' IT'N0! BUILDING -y z C/ ADDRESS Z Q.ai�"�.�G+, / Gr 1p ✓/ L j � DATE ISSUED LOCALITY RECEIVED BY - DATE OFAPPL. ',•". NEAREST (J S Q! Q—,5 D CROSS ST. BUILDING OWNER ( �/7' gyp/ 1,2_4 /(JJ/ ADDRES MAIL • - L� LOCALITY -7-/ ADDRESS /" I TEL CROSS MEARESTT_. CITY �.P NO. FIRE ,NO.OF TYP GRQ13P:���,�.�.�i ARCHI ECT OR TEL - j ZONE I I PLANS ^� 1 t ENGINEER NO. BLDG. ADDRESS SETBACK LINE APPROVED ;`"* •,rt -_ __s.r' t } CONTRACTOR TEL BY i DATE ��(�j'�//,P� NO. , V _ USE �¢/� APPROVED t ' ADDRESS / MM ZONE /&• BYI DATE I DE LEGAL LCRIPTION LOT NO. BLOCK (� Q V ` CORRECTIONS TRACT `'� ,. A' �.- NO. OF SLOGS. u j SIZE OF-LOT / ovYE' .D`-,!"ai I NOW ON LOToll UEXISTING BIDG.SE OF I I NO.OF I ND.OF �� FAMiuEe DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH NO.OF ' If� �jr iia �7�i aft Z SD.FT. ®cnr5IZE ROOMS STORIES WALL a ROOF COVERING /{���I COVERINGUSE OF*N W BUILDINGW 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALSr,Ao,-' APPLICATION AND STATE THAT THE ABOVE IS CORRECT. INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS PERMITTEE _ •� 001, LATH, INT. /1 r7 AUTHORIZED AGT. - LATH, EXT. -e' 76A63BA-3 10-50 /�O� P.C. PLASTER, INT. 7 I FEE / / PLASTER, EXT. nr VALUATION FEE ���a FINAL C�/� ©S 76#638( I •• - CE/803(REV 6/78) APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING -� FOR APPLICANT TO FILL IN ADDRESS J BUILDING r ADDRESS IU LOCALITY - /y NEAREST' t, CITY Z C" C�.,74 IP CROSS ST t" NO F BLDGS _ ASSESSOR SIZE OF LOT J �+ NO ON LOT MAP BOOK PAGE. PARCEL /0 P3 BLOCK LOT NO /�__ DISTRICT &)P TYPE FIRE O SED BY TRACT ^ CONST ZONE / TEL d OWNER ��% , S� NO'- f -4-) TISTICAL CLASSIFICATION SEWER ADDRESS "� Cm � +� CLASS NO al DWELL UNITS,�j BK PG CITY ZIP ENG ARCNEERT OR NO,VALUATION Q ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE•OF (STREET) CONTRACTOR NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + _ CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME-AND BRANCH-, C HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH C SO FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee `�� 17 ADD 0 Issuance Fee / _ ALTER REPAIR Total Fee _ _ USE OF DEMOL EXISTING BLD ❑ Z APPLICANT e TELI (PRINT) Q v D BY(SIGNATURE) Q HEREBY ACKNOWLEDGE THAT 1_HAVE READ THIS APPLICATION AND STATE- YY •-THAT THE-ABOVE IS CORRECT^AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILD" CONSTRUCTION I CERTIFY THAT IN DOING THE S HEEL#OR CODE OF,THE STATEAUTHORIZE DHEREBY 1 W F CALIIFORNIAOIN EILATING TOO WORKMENT SOCOMOF. Z 9`4 O vT T�I'1 PENSATION INSURANCE ., • . •#'o o o 0:0SIGN 1 PERMITT OF 2'0 o' _ , 4300 _ AD SS Z to 0 043V0OF� TELO � A CITY � NO" v.2'7;'-' ,7 9 USE ZONE AP y�' Q NO - ice• 1 M... SPECIAL _r CONDITIONS s BY FINAL �/ g J DATE / 9 /. 7DGS t+� 76y4638A CE,0803 4/70 r� t APPLICATION FOR BUILDI G PERM COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING'AND SAFETY DMSION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST n Print r t OnlyCROSS ST• BUILDING DISTRICTNQ, i G OU TYPE. P BY Qj`/ CONST. ADDRESS STATISTICAL CLA SIF CATION SEWER MAP LOT NO BLOCK CLASS NO. DWELL,UNITS BK PG TRACT USE ZONE MAP NO.OF BLDGS. NO. - �O SIZE OF LOT NOW ON LOT SPECIAL USE OF ; ��\\\ CONDITIONS EXISTING BLDG, -y OWNER O BLDG,SETBACK FROM AD ESS FRONT PROP.LINE OF (STREET)- , e TYPE,OF _EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR — TEL. a } _ ENGINEER NO. BLDG,SETBACK FRO ADDRESS SIDE PROP.LINE OF (STREET) gIiP`TEL. TYPE OF EXISTING SETBACK HIG + YARD = TOTAL CONTRACT O HIGHWAY WIDTH FROM C.L LfC. a ADDRESS t = O LIC V CITY CLASS CORNER CUTOFF YES ❑ NO ❑ p CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS' ADDRESS + Z SQ FT NO OF NO. OF NEW SIZE STORIES FAMILIES VOG USE OF ADD ? `7) _ - STRUCTURE �^ ALTER ❑ J e n 'REPAIR ❑ SIGNATURE OF APPLICANT DEMOL ❑ ' VALUATION $ APPROVALS - DATE INS CTOR'S SIGNATURE P,C PMT. —� FOUNDATION: LOCATION FEE $ � dS FEE $ Q� �i FORMS, MATERIALS �7 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 DOING THE WORK AUTHORIZED HEREBY I WILL NOT'EMPLOY ANY PERSON IN VIOLATION OF THE i LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN' RELATING TO WORKMEN'S COMPENSATION INSURANCE LATH, EXT, SIGNATUREOF � �e HOUSE NUMBER COR- PERMITTEE - �^" RECT AND POSTED ADDRESS FINAL / o _ JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION c� M CASH- , PERMIT VALIDATION cK �M O CASH 9, 7 0 3 APR 14 2 1 D 1 6.6 5�' • . l Af'. z9 7 0.4— AFR 1 4 1 D 2 7.7 5`" v 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 1001120036 PHONE (626) 285-0488 EXT ILEGAL ID. NO OF CONST BUILDING ADDRESS 1 ITR 12830 LT 15 1 SQ FT STORIES TYPE I 5218 GOLDEN WEST AV I I ISTRUCTURE 20 V-B I TEMP CA 917803246 (ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS STREET I 18589-009-007 1 1 THOMAS PAGE. 597 GRID- A4 LOCALITY TEMPLE CITY, Cl I I I I (TENANT (EXIST BLDG USE RESID USE ZONE: R-1 (ISSUED ON PROCESSED BY 1 I (EXIST OCC GRP- 101/12/10 SR 1 I I I I (OWNER TEL NO IBLDGS NOW ON LOT- VALUATION IFI AL DATE FIN BY CODE I IRUBINFELD CHARLES S,MARJORY J (626) 285-8212- 1 8,000 1 15218 GOLDEN WEST AV I 1 J s 1 (TEMP 917803246 I FEES PAID IDDESCRIPTION OF WORK 1 I I (TEAR OFF EXISTING INSTALL OSB RADIENT BARRIER INSTALL 30 I I IFEE DESCRIPTION QUANTITY UOM AMOUNT (YEAR DIMENSIONAL SHINGLES 1 (APPLICANT- TEL NO I I I INICKELL (626) 890-9415- IAA BLDG PERMIT ISSUANCE 27 75 1 I 1540 N. YALETON IAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 (SPECIAL CONDITIONS 1 IW COVINA, CA 91790 IAC STRONG MOTION RESID 8000 00 VAL 0 80 I 1 I ID2 PERMIT W/O EN-HC 8000 00 VAL 183.00 1 1 1 TOTAL FEES 212.55 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 (STORM TIGHT ROOFING (626) 890-9415- 1 1 I 1540 N YALETON AVE LIC NO I (LOCATION AND SETBACKS I IWEST COVINA CA 91790 790524-C39 1 I 1 1 1 I I (SOILS ENGINEER APPROVAL 1 I 1 I I I I I I (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I i 1 I LIC NO I (SLAB/UNDER FLOOR I I I I I I I I I I (RAISED FLOOR FRAMING I I I I I I I I I IMAP NO- SEWER MAP BOOK PAGE- FIRE ZONE: CMP I (UNDERFLOOR INSULATION I I I 1147H269 3 001 1 11 I I I (FLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I I NO 21 1 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS I I I I 1 I NO NO NO 1 (FRAME INSPECTION I I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 (FIRE SPRINKLER HANGERS I I I ISET BACK YARD HWY: PROP LINE WIDTH I I I I I (FRONT PL- I INSULATION/WEATHER STRIPI I I 1 SIDE PL— I I I I (INTERIOR LATH/DRYWALL 1 1 I I I I I I I I I (EXTERIOR LATH 1 I 1 I I I I I I I I (RATED FLOOR/CEIL ASSEM I 1 I I I I I I 1 I (RATED WALL ASSEMBLIES I I 1 I I I I I I IRATED SHAFTS/OPENINGS 1 I I I I I I I I I IT-BAR CEILINGS I I I I I I I I I I I ILOT DRAINAGE I I I 1 (REPORT ID DPR261 ROUTE TO BS0508 1 1 1 I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0910130018 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW I BUILDING ADDRESS 1 ITR 12830 LT 15 I SQ FT STORIES TYPE OCCUP GROUPI 5218 GOLDEN WEST AV I I ISTRUCTURE 449 1 V-B R3 I TEMP CA 917803246 (ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET MILOANN 1 18589-009-007 I OTHER 146 1 V-B R3 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl J � I TENANT (EXIST BLDG USE. USE ZONE (ISSUED ON PROCESSED BY I 1 IEXIST OCC GRP 111/12/09 SR I I I I I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION: IFINAL DATE FIN BY: CODE 1 IRUBINFELD CHARLES S,MARJORY J (626) 285-8212- 1 78,240i �0 15218 GOLDEN WEST AV 1 ITEMP 917803246 1 FEES PAID ID CRIP ION OF WORK 1 I 1 1449 S F HOME ADDITION CONSISTING OF MASTER BEDROOM, BATH I I IFEE DESCRIPTION QUANTITY UOM AMOUNT. ICONVERT 146 S F EXISTING BEDROOM INTO DEN 1 (APPLICANT TEL NO I I1 ISU (626) 376-1863- IB1 PLANCHECK W/ENERGY 78240 00 VAL 1,017.23 1 I 1216 S SUNNYSLOPLE IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS. 1 1PASADENA, CA 91107 IAB STATE GREEN BLDG FEE 78240 00 VAL 4.00 I 1 IAC STRONG MOTION RESID 78240 00 VAL 7 82 I I JB2 PERMIT W/ENERGY 78240 00 VAL 1,196 75 1 1 1CONTRACTOR TEL NO: TOTAL FEES 2,253 55 JAPPROVALS DATE INSPECTOR SIGNATURE 1 IWILLIAM GRIJALVA GEN CONTRACTING (661) 299-4767- I 1 4J 119336 FOUR OAKS STREET LIC NO I ILOCATION AND SETBACKS 1 SANTA CLARITA CA 91351 712934 B I I J J I ISOILS ENGINEER APPROVAL i 1ARCHITECT OR ENGINEER TEL. NO 1 IFOUNDATION/TRENCH FORMS I/p- ?* 1 IKWEI CONSULTING ENGINEERS (949) 395-6954- I 1 lob 11 113104 GLEN COURT LIC NO I ISLAB/UNDER FLOOR I I I (UNIT 52 C72100 1 CHINO HILLS CA 91709 i � �� �,Zl � Q'S` '�'Q � I PAISED FLOOR FRAMING I f I MAP NO SEWER MAP BOOK- PAGE: FIRE ZONE- CMP i +tl,� ` Po IUNDEFFLOOR INSULATION vw I I 11ST LEVEL FLOOR SHEATH J 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I NO 21 1 12ND LEVEL FLOOR SHEATH 1 1 1 I I i I J I 1 SCHOOL WITHIN HAZARDOUS I I ROOF SHEATHING Il Imo/1^/ _ (AIR QUALITY 1000 FEET MATERIALS I U 1 n 't( l 1 NO NO NO I IFIRE DEPT. FRAME INSPECT I 1 I I I I I 1 IREQUIRED TOTAL SETBACK FROM EXIST I 1BLDG DEPT. FRAME INSPEC ISET BACK YARD: HWY PROP LINE WIDTH I Iit I IFRONT PL- I ISHEAR PANELS I I I SIDE PL- J I I I J 1 (INSULATION/WEATHER STR 1 J o L _^ I J INTERIOR LATH/DRYWALL � �1�� I I 1EXTERIOR LATH !J I 1 I (LOT DRAINAGE (�I 1 1 I I 1 I ISMOKE DETECTION DEVICES I J J I I J I J I 1 1 IFIRE DEPARTMENT APPROVALI I I I III I I I � I La 61 I I IREPORT ID DPR2ROUTE TO BS0508 1 I J I J I I I I I