HomeMy Public PortalAbout5337 GOLDEN WEST AVE_Building__ 76A638A.CB#BG9 E_ae APPLICATIO,N• FOR,' BU'IL®ING PERMIT -
COUNTY OF LOS ANGELES BUILDING �'� �'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION' LOCALITY 77 _
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUPTYPE P O ESSE9 BY'
FOR APPLICANT TO FILL,IN' X" I CONST. :;,r,,I
BUILDING" - I SEWER,MAP-
-7/, STATISTICAL CLASSIFICATION..
ADDRESS t�...� -r'P GGf.�a / - -' BK PGI
'� - CLASS. NO. ( DWELL. UNITS
LQT NO. BLOCK MAP STATE
YES NO
r NUMBER HWY.- I
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NO.OF BLOGS. CONDITIONS �....__ ♦
SIZE OF LOT '7 D •I NOW ON LOT d W - -♦
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OWNER �^ f C/ 1'•P / A
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, INSPECTION RECORD'
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ADDEESS
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CONTRACTO �s� NO'
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DESCRIPTION OF WORK _
NES• ADD ALTER' REPAIR DEMOLISH
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SIZE Gam-./ CJ STORIES FAMILIES 1 USE OF STRUCTURE
SIGMP.TUREOF ' � APPROVALS
APPLICANT DATE p INSPECTORxS>SIGNATURE
I ADDRESS �...J FOUNDATION. LOCATION r,��� '
/GGjj FORMS.MATERIALS '� � /
,$ ` S� FEE. '� FBRAC-NG.FIRE STOSS.
VALUATION',' y �� FURNACE: LOCATION.
FEE GAS VENT,DUCTS
I,HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-- LATH,INT.
PL•(CATION AND STATE THAT THE ABOVE IS •RRECT AND
AGREE TO COMPLY WIT jA OUNTY OR •NANCES AND
STATE' LAWS GU IN(3 BUIL NG 6NSTRUCTION. LATH, EXT.
SIGNATURE O ,� f HOUSE NUMBER COR- h
PERMITTE � RECT AND POSTED /
ADDRESS - FINAL i
CLYDE N. DIRLAM, PRINCIPAL T ��L•ENGINEER
N -PLAN
, CEMCB VALIDATION cK M.O. CASH PEBMT VALIDATION CK. M.O. �CABH
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76Aa89AQ6•M803L-D9 -APPLICATION FOR BUILDING •PERMIT �.
COUNTY OF LOS ANGELES BaooREs"s ,�,3 � ,�r (,� �../I�
DEPARTN1EriT OF COUNTY ENGINEER ��`
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST.
DISTRI , O. GRO P TYPE',P E S D
FOR APPLICANT TO FILL IN' CONST.
BUILDING
• ' / . A CSSIFICATION
>
SEWER MAP
ADDRESS 3 STATISTIC
CLASS NO DWELL. UNITS
LOT NO. / g=1_ MAP � EtNUMBER ao 6•" HWY -YES O
TRACT )L�
USE ZONE SPECIAL
/ �•/ NO.OF BLDGS. n' CONDITIONS -
SIZE OF LOT 6c� I NOW ON LOT
USE
OF �
EXISTINo BLDG BUILDINGEXIST.
_ SETBACK YARD 14BO41 - STREET NAME _ WIDTH
OWNER- FRONT , / /
MAIL 9g �. P. L.
ADDRESS .7 �- SIDE ,
TEL. P L.
I - No. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO T
DDR . s -
TEL.
CONTRACTOR NO.
ADDRESS '
DESCRIPTION OF WORK
NEW" ADD, ALTER REPAIR �D�EMOLI�SH -
SQ.FT, NO OF �hh�OF
SIZE STORIE FAMILIES
-USE OF STRUCTURE 7-
SIGNATURE OF - APPROVALS,
APPLICANT
1 DATE INSPECTOR'S SIGNATURE
ADDRESS _ FOUNDATION•. LOCATION '
FORMS,MATERIALS `
P.C. $ FRAME FIRE STOPS.
�) FEE BRACING. BOLTS
VALUATION- /`� Q $ FURNACE LOCATION,
Bali i FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE'THAT.I HAVE READ THIS AP- LATH. INT. '
PLICATION AND STAT 'THAT THE ABOVE IS CORRECT AND -
AGREE TO COMPLY HAL NTY•ORDINANCES AND =
STATE LAWS REGI ING 1 DING,CONSTRUCTION. LATH. EXT. - - -
SIGNATURE OF- HOUSE NUMBER COR- A
PERMITT RECT AND POSTED /` A
ADDRESS INAL
' CLYDE N. DIRLAM, P.RINCI6,L STRUCTURAL ENG ri
- PLAN CHECK VAL A N CK. M O. CASH PERMIT VALIDATION `CK ,M O. CASH
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 0703050045
PHONE: (626) 285-,0488 EXT
LEGAL ID: - - NO. OF, CONST BUILDING ADDRESS-
ON FILE SQ, FT STORIES TYPE 5337 GOLDEN WEST AV
(STRUCTURE. 800 VN TEMP CA 917803248
I
ASSESSOR INFORMATION NUMBER 1 1 _ NEAREST CROSS STREET.
18589-003-015 I 1 THOMAS PAGE: 597 GRID: A4 LOCALITY• TEMPLE CITY, Cl
TENANT. JEXIST BLDG USE- RESID USE, ZONE R-1 JISSUED ON PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 103/05/07 JK 02/28/08
I 1 I I
(OWNER- TEL NO IBLDGS, NOW ON LOT. VALUATION: 1FINAL DATE FIN CODE.
IREID JOHN A,ALTIVEROS CLARISSA R (626) 291-5590- 1 1,600 1
15337 GOLDEN WEST AV 1 2 I
1TEMP 917803248 FEES PAID 1DESCRIPTION OF WORK
I I 1REMOVE ONE LAYER,COMP. INSTAL 30 YR ELK SHINGLES TO MATCH 1
I 1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IADDITION 1
(APPLICANT. TEL NO: I I 1
IKEEFERS ROOFING CO. (909) 608-0622- JAA BLDG PERMIT ISSUANCE 27.75 1 1
11216 BEGONIA COURT JAC STRONG MOTION RESID 1600.00 VAL 0.50 1SPECIAL CONDITIONS: 1
(UPLAND, CA 91784 ID2 PERMIT W/O EN-HC 1600.00 VAL 82.20 I I
1 TOTAL FEES 110 45 1 I
1CONTRACTOR TEL NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IKEEFER'S ROOFING (909) 608-0622- 1 I
11216 BEGONIA COURT LIC. NO 1 ILOCATION AND SETBACKS I I 1
(UPLAND CA 91784 760903 C39 I I_ 1 I 1
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER TEL NO. I IFOUNDATION/TRENCH FORMS I I
1 LIC NO. 1SLAB/UNDER FLOOR I I I
I I I I I I
I I IRAISED FLOOR FRAMING
I I I
1MAP NO SEWER MAP BOOK PAGE: FIRE ZONE CMP (UNDERFLOOR INSULATION I I I
1147H269 3 O11 I 1 I I
IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS- APT/COND STAT CLASS. 1 I I I I
1 NO 21 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS 1 I I
(AIR QUALITY: 1000 FEET MATERIALS I I 1 I I
1 NO NO NO 1 IFRAME INSPECTION
I II
IREQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY PROP LINE WIDTH I I I I
IFRONT PL- 1 (INSULATION/WEATHER STRIPI I I
I SIDE PL- I 1 1-1 1
I (INTERIOR LATH/DRYWALL
I I I
1 I (EXTERIOR LATH I I I
I I I
1 IRATED FLOOR/CEIL ASSEM. 1 I I
I I IRATED WALL ASSEMBLIES I 1 I
I I I
I
IRATED SHAFTS/OPENINGS 1 I I
I I I
I I IT-BAR CEILINGS I I 1
I I I
1 (LOT DRAINAGE I I 1
I I I
I 1REPORT ID DPR261 ROUTE TO: BS0508 1 1 1
I I I I I I
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 0701160022
PHONE (626) 285-0488 EXT-
ILEGAL ID I NO OF CONST NEW I BUILDING ADDRESS ) I
ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 5337 GOLDEN WEST AV 1
ISTRUCTURE 240 1 VN R3 I TEMP CA 917803248 I
(ASSESSOR INFORMATION NUMBER GARAGE: 320 1 VN U1 I NEAREST•CROSS STREET
18589-003-015 OTHER- I THOMAS PAGE: 597 GRID A4 .LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE. USE ZONE JISSUED ON: PROCESSED BY: - EXPIRES ON I
(EXIST OCC GRP: 101/22/07 JK 01/17/08
(OWNER TEL NO IBLDGS NOW ON LOT- -VALUATION. IFI AL DAT FI Y CODE I
IREID JOHN A,ALTIVEROS CLARISSA R (626) 291-5590- 1 _ 35,240 1 I
15337 GOLDEN WEST AV 1 1
ITEMP 917803248 1 - FEES PAID IDESCRI TcN OF WORK 1
I I (ADD FAMILY ROOM 240 S F. AND GARAGE 320 S.F 1
I IFEE DESCRIPTION. QUANTITY: UOM- AMOUNT: ( J
JAPPLICANT: TEL. NO I I 1
ITOM O'LEARY (626) 287-0927- JAA BLDG PERMIT ISSUANCE 27.75 I
15823 AGNES AVE JAC STRONG MOTION RESID - 35240 00 VAL 3 52 ISPECIAL CONDITIONS - 1
ITEMPLE CITY CA 91780 JB1 PLANCHECK W/ENERGY 35240 00 VAL 575 01 1 J
JB2 PERMIT W/ENERGY 35240 00 VAL 676 50 1 _ I
1 TOTAL FEES 1,282 78 I
(CONTRACTOR TEL NO: 1 �• (APPROVALS DATE INSPECTOR SIGNATURE I
ITOM O'LEARY CONSTRUCTION (626) 287-0927- I 1 I
15823 AGNES AVENUE LIC NO I ' ILOCATION AND SETBACKS I I I
ITEMPLE CITY, CA 91780 489354 B-1 J 11 I I
I I ISOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL NO- (FOUNDATION/TRENCH FORMS I 1
LIC NO 1 ISLAB/UNDER FLOOR
IRAISED FLOOR FRAMING 1 I I
IMAP NO SEWER MAP BOOK. PAGE. FIRE ZONE CMP: ( 1UNDERFLOOR INSULATION I I I
3 Oil 1 11 11ST LEVEL FLOOR SHEATH 1 I I
INO OF FAMILIES. DWELLING UNITS APT/GOND STAT CLASS- 1 I I I
NO 21 12ND LEVEL FLOOR SHEATH 1
SCHOOL WITHIN HAZARDOUS (ROOF SHEATHING
JAIR QUALITY 1000 FEET MATERIALS I
NO NO NO IFIRE DEPT FVAME INSPECTI
IREQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT FRAME INSPECTI 1 I
ISET BACK YARD HWY PROP LINE WIDTH: I k I I
IFRONT PL- ISHEAR PANELS I
I SIDE-PL- I I J
I I JINSULATION/WEATHER STRIP J I
11NTERIOR LATH/DRYWALL I I
(EXTERIOR LATH
ILOT DRAINAGE
I 1 (SMOKE DETECTION DEVICES 1 1
FIRE DEPARTMENT APPROVAL( I
I 1 1 I I I
_ IREPORT ID DPR261 ROUTE TO: BS0508
I I I I
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