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HomeMy Public PortalAbout5317 GOLDEN WEST AVE_Building__ DMSION OF BURDING AND SAFETY Department ef."Couniy ,Engineer � U i L D i NG. 1 County o! Los Angeles �� WM., J. FOX, COUNTY APPLICATION ENGINEER � ••��./y/� FOR APPLICANT TO FILL IN ADDRESS ADDRESS �+�•/ Z LOCALITY NEAREST • LOCALITY - j I CROSS ST. -`- (rI�J•A+�•F' , ,, NEAREST DISTRICT NO.' a PLAN CK.LOUR RREE'C.-NO. PERMIT NO.' + CROSS ST. V % r•/z `+ & L -� a ��R//E��,,yJC�.���E��I��V��EADl BY L� `{DATE OF APPL. DATE-ISSUED.' + AMAIL DDRESS _ �..JrI'�GI'v� J �S, -� 3-n-3- .5-54 t USE-ZONE I NO. OF � GROUP - FIRE ZONE-, CITY` PLANS ' r ARCHITECT OR TEL: ZONING,.. Dw7E , ENGINEER - NO. C APPROVED B - Y.••�//&140 BUILDING /y��- ORD.,rNy O. ADDRESS - - SETBA KLINE- 7 - /V- Z4 TE .}� �j$$ APPROVED `DATE CONTRACTOR A} NOLAU t ®e,� J t BY, - ADDRESS •iA ! I HOUSE NUMBERING ' - LEGALf MAP NUMBER I •NO�:488IGNED BY DESCRIPTION LOT NO. BLOCK Ii DATE I R CORRECTIONS. - - I INSPECTOR' TRACT • " J L SIZE OF LOT ��� I NOW ON LOTS r Odd/r Go //.- E17 X STUSE OIN6 BLDG. �a"- :� m ��I FAMINo. OLIES1. �I-µ �_1,rE A5PA/G�."-Vw2 S DESCRIPTION OF WORK. - - ' �� Sx 7 8flG r-7r NEW ALTERATION ADDITIONY �yt � REPAIR DEMOLITION k t• ,a+� e•� � SN FT. pig, 'R - O. OF, I SIZE E `i ��' ROOMS. STORIES � •Zp EXT WALL _• I ROOF. COV RING - COVERING' `�^,�%p „® /�,!C.O, Z&4. USE OF STRUCTURE D /APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION�j//�o_,/u,y�_ .4 FORMS, MATERIALS/;! , y /•-�y/J_y 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- ' -� �� .P-•/ PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS A I AGREE TO°COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OFfi � LATH, INT.- /�L A-bT�y�.+f0 G�/-JG rA.19$,R PERMITTEE ADDRESS / • ,� LATH, EXT. {, _,`,,., ' PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. 6 G EC.ffi 6 FEHOUSE NUMBER COR- RECT AND POSTED - VALUATION FEE —' -FINAL _ (O '"AeSaA DBS 3,2-33- ._.. ! _ -_ •, APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) B U I DI NmG­ -;+ COUNTY OF LOS,ANGELES A DDR'ESS DEPARTMENT OF COUNTY ENGINEER CITY zl'P BUILDING AND. SAFETY DIVISION INOF BLDGS - BUILDING SIZE OF LOTS, NO ON LOT ADDRESS TRAC E}I�PrPVF L T O 6-5— LOCALITY _TEL NEAREST OWNER NO ., CROSS ST, ASSESSOR ADDRESS MAP BOOK - PAGE PARCEL _ DISTRICT GROUP.TYPE FIRE PR ESSED BY CITY ZIP O, - CONST 7 TELONE ARCHITECT-OR _ "' _ _ U G_- - � ENGINEER . NO STATISTICAL CLASSIFICATION SEWER,M•�AP— ADDRESS _ CLASS NO _DWELL UNITS BFt��G TE CONTRA USE ZONE MAP / N � LIC NO ,::;,24 ` ADDRESS ~ NO �� i SPECIAL i LIC CONDITIONS ' CITY CLAS lE-- ROAD DPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH BLDG S BA JC FROMd FRONT ROP LINEOF (STREET) C C.; ADDRESS CITY HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING SO FT- NO OF NO. OF CHECK FRONT PROP LINE HIGHWAY WIDTH c: SIZE STORIES. FAMILIES ONE } - LL DESCRIPTION OF WORK NEW El - ADD BLDG SETBAC (STREET) SIDE PROP LINE OF ' - ALTER ❑ HIGHWAY (} YARD TOTAL-SETB CK FROM TYP Fr EXISTING ' = REPAIR❑ SIDE PROP LINE HIGHW WIDTH 1 US EXISTING BLDG DEMOL ❑ ^ } J - - APPLICANT TEL CORNER CUTOFF, YES ❑ NO (PRINT) 0 A` BY (_SIGNATURE) IN OPEN SPACE, - YES �- NO ❑ IN COASTAL ZONE YES [ej NO ❑ VALUAT-ION*$, �J _ ' CATEGORICAL EXEMPTION YES� � NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE-TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL, ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED ' IMPACT REPORT PROCESSED (DATE) HEREBY" I WILL NOT EMPLOY ANY PERSON-IN-VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE o '7y 1fVC.4/5 BIdl,�/�G✓�SG�v/�E J7n SIGNATURE OF, ��/� /1/QT�nJC 1/✓�/=�' .rJ/IBIP D�.I�L_.�i. /SLfh�erJ PERMITTEE �i �• - Cso ,1e� ADDRES OGG.V jet; ��J �r� •r �F r1�? - I`•�"I� erpoo FINAL BY TEL ATE' t�'� - CITY NO. / - MAKF CHECKS PAYABLE TO FEE ✓ ° PEE $ ' HARVEY T. BRANDT, COUNTY ENGINEER W PLAN CHECK,VALIDATION CK K+0 CASH _ PERMIT VALIDATION cK Mo CASH o r5 �x '°15 ©' " 4 2.0:0sa 76A638A CE9803 7/73 - - /�-•- 111/ 'APPLICATION FOR 1301L®INCa PERMIT COUNTY`OF LOS ANGELES r; BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION iFOR APPLICANT TO FILL IN pq BUILDING ADDR�Ss ` - BUILDING ADDRESS - y. p ✓�•1 G/ I hereby affirm that I have a certificate of;consent to self.,lnsure, -� C • or a certdicate,of Workers' Compensation Insu17 re e, or a certfie copy there f Sec 380 ab C) CIT ZIP ub /� r _ fU L ��� LOCALITY Policy NAT /� /�i, Compan !tom SIZE OF LOT NO OF BLDGS NOW ON LOT• - - ' ❑ Certif,0d cUp'Dls erebyy7 rnlshed a ~ `— / b NEAREST CROSS ST ❑ Certified copy Is filed with the county buildin &,necfion = TRACT , BLOCK -LOT NO •-1 �� departure t USE-ZONE MAP NO ? [� w Date ' ASSESSOR MAP BOOK PAGE - PARCEL• -r ,` "SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM W RKERS'• OW �/ TEL NO .- YES ` NO COMPENSATION INSURANCE L!f/!' WITHIN 1000.FT OF SCHOOL (This section need not be completed if the permit is for one hundred ADDRESS' J y dollars ($'100)or less) iJ�,/ ���� 1,���� -JPISTRICT '- GROUP '-TY CONST FIRE ZONE PRO ESSED:BY .� CITY ZIP I certify;that In the performance of the work for which this permit D p 2 Is Issued, I shall not employ any person In any manner so as to. O J ARCHITECT OR ENGINEWn, TEL NO become 'Subject to the`Workers'Com ensation'Laws p, _ _ .. .STATISTICAL CLASSIFICATION APT CONDO Date Applicant; � - - ADDRESS - - ^- - CLASS NO' �/) � DWELL-UNITS t NOTICE TO APPLICAiNT' If,•after' making 'this' Certificate ofREQUIRED TOTAL SETBACK FROM ',EXIST � _Exemption, ' you should :'become Subject t0 the Workers' C N CTOR •A" � - TEL NO SET BACK YARD HWY PROP,LINE WIDTH Compensation provisions of the.Labor Code, you must forthwith 6C�Y' L/ FRONT comply with such provisions or this permit shall be deemed revoked DDR E / LIC-No P L' ^r O. LICENSED CONTRACTORS DECLARATION PILE CIT _ LASS P L _ I hereby affirm that•I am licensed underprovisions oft Chapter 9 WER MAP (commencing with Section 7000)of Division,3 of the Busmess and SQ FT SIZE. NO OF STORIES NO OF FAMILIE ^ 5 Professigns'Code,and my license is 1in full force an effect NEW BK PG a' License N mb �OLic Class DESCRIPTION OF WORK 7 ADD ❑' VALUATION ® Q ContracEe , ECJ ALTER ❑ �' El am exempt under Sec REPAIR El B&P'C"for this reason DEMOL ❑ W• #� LDMA P/C' • - .s Date USE OF EXISTING WbG URM ❑ „Signature APPLICANT(PRINT,) TEL NO _ ,LDMA Perm# _ _ •1 ^ Z ❑ 1,-'as owner of the',property, or my"employees with wages as, • zO ACCT.JL w11 „ their sole compensation, 1-do,the work and the structure Is ADDRESS _ not Intended or offered for sale (Section 7044, Business and - FINAL DA'TE/n/� C 3.7 3 108°90-• Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ITL- - J Vrr 7U OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE L _ ❑ 1,'as Owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE2 •FINAL BY � w 1 ITEMS licensed contractors to construct the project (Section,7044, YES❑ NO❑ TOTAL :1(3 ,. 9b Business and Professions Code)' CHECK • WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR-FUTURE BUILDING l'ICG�n - 108.90 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH f _ CHE K 08 CONSTRUCTION LENDING AGENCY - COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR • /�L1A��C� j/1�.(/1� , GUIDELINES - CHANGE y e, e00 1 hereby affirm that there is a construction lending agency'for YES❑• NO❑ a the performance of,the work for which this permit is Issued(Sec I HAVE READTHE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING •3097, CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, " TITLE 2;CHAPTER 2 20 SECTIONS 2'20 100 THROUGH 2-20 140 CONCERNING HAZARDOUS ` . ::1?/ b/95 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD QQ-0001 o Lender's Address +;• 3613 1 AM10:50 OOWNER OR AGENT - o I certlfy,that I have read this application and state under penalty o , of perjury that the above Information is correct I agree to comply PC FEE PERMIT FEE =' with all county ordinances and State laws relating to building ter CO construction,-and hereby authorize repr entatives of this County ISSUANCE FEE o�• Uv •• ; toe n the ab m oned pro y for spectlon purposes c� INVESTIGATION FEE .TOTAL FEE m a Andrcum a Agent e/� .- ` SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0712050003 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST BUILDING ADDRESS 1 ON FILE I SQ. FT STORIES TYPE 1 5317 GOLDEN WEST AV ISTRUCTURE VN I TEMP CA 917803248 - (ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET - 1 18589-003-036, I I THOMAS PAGE: 597 GRID: A4 LOCALITY- TEMPLE CITY, CI ITENANT IEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON- PROCESSED BY EXPIRES ON i IEXIST OCC GRP- 112/05/07 SR 06/02/08 1 I I I I IOWNER- TEL NO IBLDGS NOW ON LOT: VALUATION IFINAL DATE FINAL BY CODE- 1 ISTIVER, RONALD - I 800 1 1 15317 GOLDEN WEST AVE I 127-40-q Z ITEMPLE CITY CA 91780 I FEES PAID IDESCRIPTION OF WORK 1 IREPLACE 2 WINDOWS I IFEE DESCRIPTION QUANTITY. UOM. AMOUNT I I (APPLICANT: TEL. NO I 1XA (626) 625-8793- 1AA BLDG PERMIT ISSUANCE 27 75 I I 19423 GUST°ST - 1AC STRONG MOTION RESID 800 00 VAI, 0 50 ISPECIAL CONDITIONS. I IROSEMEAD, CA 91770 IB2 PERMIT W/ENERGY 800 00 VAL 71.94 TOTAL FEES 100 19 (CONTRACTOR TEL. NO (APPROVALS DATE INSPECTOR SIGNATURE ISO CAL CONSTRUCTION (626) 712-4823- 1 1 I 1425 BONITA STE. 211 LIC NO' ILOCATION AND SETBACKS ISAN DIMAS, CA 91773 832488 B 11 I ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER TEL. NO I IFOUNDATION/TRENCH FORMS I I IMENG HSIEN WANG (626) 255-8595- 1 I I 18748 VALLEY BLVD , F LIC NO 1 ISLAB/UNDER FLOOR I I I IROSEMEAD, CA 91770 C 043146 1 I I I IRAISED FLOOR FRAMING I IMAP NO- SEWER MAP BOOK- PAGE FIRE ZONE CMP.( (UNDERFLOOR INSULATION I 147H269 3 Oil I IFLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS. APT/COND STAT CLASS. 1 I I I I NO 21 (ROOF SHEATHING I I SCHOOL WITHIN,:- HAZARDOUS 1 ISHEAR PANELS 1AIR QUALITY- 1000 FEET MATERIALS I I 1 NO-- NO NO I IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE. WIDTH- I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I 1 1-1 1 I I IINTERIOR LATH/DRYWALL I I I IEXTERIOR LATH I _ I I I IRATED FLOOR/CEIL ASSEM I I I I T I IRATED WALL ASSEMBLIES I I I I I - IRATED SHAFTS/OPENINGS I I I I I I ` IT-BAR CEILINGS I I ILOT DRAINAGE I I I REPORT ID DPR261 ROUTE TO: BS0508 I I I I I I I I I t 4 f COUNTY 6F 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 0710310024 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUPI 5317 GOLDEN WEST AV ISTRUCTURE 159 1 VN R3 I TEMP CA 917803248 ASSESSOR INFORMATION NUMBER GARAGE I NEAREST CROSS STREET ' 18589-003-036 OTHER 214 1 VN R3, THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl TENANT IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY EXPIRES ON IEXIST OCC GRP: o- 111/06/07 - SR --05/04/08 10WNER TEL NO IBLDGS NOW ON LOT VALUATION 1FINAT,_DATE FINAL BY,, CODE-: 1 ISTIVER, RONALD - 36,350 15317 GOLDEN WEST AVE TEMPLE CITY CA 91780 FEES PAID ' 1DESCRIPTION OF WORK J 1ADD UTILITY ROOM, BATH-,-159 S F AND REMODEL EXISTING MASTER IFEE DESCRIPTION QUANTITY UOM AMOUNT IBEDROOM 214 S F REMOVE AND REFRAME EXISTING ROOF. (APPLICANT TEL NO I I IXA (626) 625-8793- JB1 PLANCHECK W/ENERGY 36350.00 VAL 587 22 1 - 19423 GUST ST JAA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS. IROSEMEAD, CA 91770 IAC STRONG MOTION RESID ' 36350 00 VAI 3 64 1 1 JB2 PERMIT W/ENERGY 36350.00 VAL 690 86 1 J TOTAL FEES 1,309 47 1 (CONTRACTOR- TEL NO J 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISO CAL CONSTRUCTION (626) 712-482,x- I 1 1425 BONITA STE. 211 LIC NO . J ILOCATION AND SETBACKS J ISAN DIMAS, CA 91773 832488 B 1 _ 1 - I ISOILS"ENGINEER APPROVAL 1 I 1ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS 1I/ _ I / _ IMENG HSIEN WANG (626) 255-8595- 1 JP/Ny2 J (� 18748 VALLEY BLVD , F LIC NO. 1 •ISLAB/UNDER FLOOR I J IROSEMEAD, CA 91770 C 043146 I J (RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE- FIRE ZONE- CMP J JUNDERFLOOR INSULATION I 1 3 Oil I ' 1-1 �- J 11ST LEVEL FLOOR SHEATH INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS J I 1 NO 21 J 12ND LEVEL FLOOR SHEATH 1 1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING 1AIR QUALITY 1000 FEET MATERIALS I 1 NO NO NO i IFIRE DEPT FRAME INSPECTI I I I ISI IREQUIRED TOTAL SETBACK FROM EXIST J I� -� ( �L, BLDG DEPT FRAME INSPECT4� LI SET BACK YARD HWY PROP LINE WIDTH IFRONT PL- f JSHEAR PANELS I I I SIDE PL- ` I J \rwl ,V L\ 11NSULATION/WEATHER STRIP J (INTERIOR LATH/DRYWALL (EXTERIOR LATH ILOT DRAINAGE J 1 J,= I l 19MOKE DETECTION DEVICES I I I IFIRE DEPARTMENT APPROVALI I I IREPORT ID DPR261 ROUTE TO BS0508