HomeMy Public PortalAbout5226 GOLDEN WEST AVE_Building__ 0�p
76A638A C E
A
.!APPLICATION FOR BUiLDING PERMIT
COUNTY, OF LOS ANGELES ASSESSOR
DEPARfMENT 'OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
-tUILDIr4G AND,SAFETY DIVISION BUILDING
ADDRESS
—COLEMAN W. JlEtNKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
(Print or type only) OSS ST
DISTRICT NO. GROUP ITYPE ,PZ SS:E�OBY
BUILDING 7— CONS T
ADDRESS e'06 I Il)e.,-J �j 57c) 15 1 _7
STATISTICAL CLASSIFICATION SEWER MAP-
LOT NO 14 BLOCK
CLASS N DWELL UNITS— BKjr PG,
TRACT Z f3�54c> USE ZONE MAP
NO OF BLDGS � NO
SIZE OF LOT -70' f, 1 44 NOW ON LOT SPEC�AL
USE OF CONO TIONS
EXISTING BLDG.
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TEL
OWNER NO BLDG SETBACK FROM
ADDRESS _2'Z�2 4 FRONTPROP LINEOF_ NE-5--_f IS T R E E T)
TYPE OF EXISTIN_ SETBACK
GI I HIGHWAY + YARD TOTAL
CITY HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL +
ENGINEER NO, 0-0
BLDG SETBACK FROM
ADDRESS SIDE PROP LINE OF .(STREET)
TEL TYPE OF EXISTING SETBACK HI HWAY + YARD TOTAL
CONTRACTOR NO HIGHWAY WIDTH FROM C L C)
LIC
ADDRESS NO +
LIC
CITY CLASS CORNER CUTOFF YES E] N C`_x1
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS '1171-71 W&t�
SO FT NO OF NO OF
SIZE STORIES 'A WLIES NEW El
USE OF ADD Zy
STRICTUREZE4--ce_ ALTER
REPAIR
F
DEMOL
SIGNATURE 0
APPLICANT
VALUATION $ APP-11 I I
JDATE INSPECTOR'S SIGNATURE
PC PMT FOUNDATION: LOCATION
FEES �55. 5-0 FEE 's-5-- FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THATC1 HAVE READ THIS PPLIC ION BRACING, BOLTS -A--4;(3
AN
D STATE,THAT THE ABOVE IS ORRECT AND AGR TO _0 PLY FURNA�CE LOCATION,
WITH ALL ORDINANCES AND S ATING B I IN CON- GAS VENT, DUCTC
STRUCTION I CERTIFY T DOIN THE R UT ORIZED ' % -
HEREBY I WILL NOT E OY Y P E R N IN 10 TI OF THE LATH, I
LABOR ACODE OF TH ST OF, C IFORNI LATING TO NT
WORKMEN'S-COMPE AT URAN XT -
SIGNATURE6F I HOUSE,NUMBER COR2
PERMITTEE AA,
RECT AND POSTED --Dig -74
ADDRESS - k -1 r,70 ,
FINAL 7
71
JOHN F L:EWIS PRINCIPAE STRU(� _�EN G I N E E R
PLAN CHECK VALIDA ___jURA1 IV
TION' m 0 ',CASH"" ' PERMIi-VALMATIeN /-'PK I -M�O CASH,,
c- v
8.0 -3- , AUG 3 -2'3 D 3,.3�01
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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 0405040002
PHONE: (626) 285-0488 EXT:
GA ID: NO. Or CONSTL =
TR: 12830 LT: 14 SQ.-FT - - STORIES - TYPE 5226 GOLDEN WEST AV
STRUCTURE: VN TEMP CA 917803246
ASSESSOR iNFORMATION7 NEAREST CROSS STREET: LAS TUNAS
8589-009 X06 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE 0NE: R-1 ISSUED PROCESSED B EXPIRES .
EXIST OCC GRP: 05/04/04 VG 04/29/05
OWNER: TEL. NO: BLGGS. NOW ON LOT: VALUATION: FINAL ATE F'NA! BY: CODE:
JUNG ROSEMARY C (626) 437-4595- 1,5005226 GOLDEN tl��
C
TEMP 917803246ST AV FEES PAID DEg-CRIPTION0 WORK-
REMOVE AND REPLACE 3 WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT- TEL. NO: -
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 1500.00 VAL 82.20
TOTAL FEES 110.45
CO4PRACiOR: ' TEL. N0: APPROVALS DATE INSPECTOR SIGNAfURE
SAME AS OdNER
LIC. NO LSDS� Af C�
SOILS ENGINEER APPROVAL
ARCHITECT bR fWGTNE'E-CR --' TEL. 0: I OjN / R FSS
LIC. NO: ISLAS/UUNDER FLOOR
f� I _
II�AIJ�D 'r..^v0'? tJ.
MAP NO: SEWER MAP S00K: PACE: - FIRE ZONE: CMP: UNC RFLOOR I S LATIO
X.X 3 01
FLOOR SHEATHING
NT.- OF FAA IL'ES: DWELLING N TS: APT COND: STAT CLASS: _
40 21 ROOr SHEATHING
S- CHSbC-iTI7AIN HAZARDOUS
SHEAR PANELS
AIR QUALI'Y: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
EQ IRED TOTAL S THACK FROM MIRE SPRINKLER HA S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- _
TNTL"R R L
EXTERIOR LATH
RATED L C LAS EM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENIRUT—
T-BAR CEILINGS
0i D G
REPORT ID: DPR261 ROUTE TO: BS0508
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