HomeMy Public PortalAbout5339 GOLDEN WEST AVE_Building__ ` APPLICATION FOR-BU ILDING .PERMIT'
FOR'APP.LICAPIT TO FILL IN (Pant or type only)
BUILDING 3 ,���'oldQ�. COUNTY OF LOS ANGELES- '
ADDRESS DEPARTMENT•OF COUNTY ENGINEER
CITY A' %'- ZIP - - BUILDING AND SAFETY DIVISION `
NO.OF BLDGS' BUILDING /
SIZE OF LOT NOW ON LOT ADDRESS r
TRACT �J 7�-� BLO LOT NO LOCALITY
TEL NEAREST
OWNER /4e/� NO CROSS ST.
ASSESSOR
ADDRESS 3 -6Wv- o MAP BOOK PAGE PARCEL
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DISTRICT GROUP TYPE FIRE SSED By
CITY �p �`7ZIP CONSTONE
ARCHITECT O TEL '"O� �"
ENGINEER NO
STATISTICAL CL //S''IFICATION SEWER MAP
ADDRESS CLASS NO.!Q_OWELL UNITS r B
CONTRACTOR' TEL. USE ZONE NO
NO
LIC. D SPECIAL
ADDRESS NO- •
LIC CONDITIONS
CITY I� 24�
CLASS '
ROAD DEPARTMENT APPROVAL REQUIRED YES[] N_O ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDP SETBACK FROM
• ..
FR0bT PROP.LINE OF ' - a (STREET)'
ADDRESS; CITY TOTAL SETBACK FROM TYPE'OF EXISTING
SQ FTJ NO' OF - NO. OF CHECK NIG AY } YARD = FRONT PROP .LINE HIGHWAY- WIDTH
SIZE /?O STORIES FAMILIES ONE ,
} or
DESCRIPTION OF WORK r NEW ❑ BLDG BACK FROM ,'I' ' U
o� ADD SIDE PROP. (STREET)
LTER ❑ TOTAL SETBACK FROM OF EXISTING
HIGHWAY } YARD. = HIGHW 'Wf DTH
REPAIR SIDE PROP LINE d
/n N
USE OF _ G,
- DEMOL ❑ - } - Z
EXISTING BLD _
I CORNER CUTOFF YES ❑ NO ❑
APPLICANT I � � TEL _
(PRINT), ^ ..( /�le / C` .`NO. `
BY (SIGNATURE) IN OPEN SPACE YES ❑ _ NO ,❑
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IN COASTAL PERMIT ZONE YES ❑ � NO_ ❑
r
VALUATION '
is r % ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO-STATE°THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY �q,�+d�•. may,,•
WITH 'ALL ORDINANCES AND LAWS ,REGULATING BUILDING CON- '�e'�G'7r��/}/ 'OCI' �.v, /lAri7 w ..r1'7�
STRUCTION I CERTIFY THAT SIN DOING THE WORK'AUTHORIZED
HEREBY I� WILL NOT'EMPLOY ANY PERSON,IN VIOLATION OF THE •"
LABOR CODE OFA THE ST4.TE- OF CALIFORNIA IN RELATING TO V` ���� •� �0� M �C F t � r'"'
WORKMEN'S COMPENSATION INSURANCE
SIGNATURE OF A.r/- .liZ'ct4.4e- e1/W;,r
PERMIJTTEE
ADDRESS v�"
._ FINAL f ! BY'
CITY N'OL C26S;�l70' DAIEQ'G�r�.•!��
AIA KE CHECIyS P 17'Af3LE 70 F E'y /
FEE s
HARVEY T. BRANDY, COUNTY ENGINEER ;
PLAN'CHECK VALIDATION CK -- M o- CASH PERM_ IT VALIDATION CK M O CASH
PEG 18 1 "U 4 8.7 5 e98
76A638A CE#803 5/74 ,
TEMPLE CITY
76A638A Ce 9808 1-11 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES Bu1l.DING �3
DEPARTMENT OF COUNTY ENGINEER ADDRESS
CJ
BUILDING AND SAFETY DIVISION LOCALITY,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS'ST
DISTRICT NO., GROUP PR CESS (B
FOR APPLICANT TO FILL IN 2�Sy c Ns.,
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESSS-3 3f W BK PG
CLASS NO / •DWELL UNITS---!-I
LOT NO OCK WATER NOT REQUIRED RECEIVED, El
CERTIFICATE L
TRACT /1O 1'SS MAP(Z HIGHWAY
7 NO OF BLDGS.
NOC/ (CIRCLE) STATE MAJOR`=SECOND• OCA
SIZE OF LOT G 7,5 I NOW ON LOT USE ZONE SPECIALUSE IF
EX STT G BLDGS,N 6Z_Ae jLy /'�GsI�'[,C�/LJCr �A{. CONDITIO -�
TEL.
OWNER C, (y.J r NO BUILDING YARD - EET Nyp1E EXIST.
���� ,�� SETBACK _ WIDTH
ADDRESS 971M S'3• Z� iOL� G.(T�iI FRONTdo „J I ' /
ARCHITECT OR TEL T P L aC. 7/J
ENGINEER NO SIDE
P L y'
ADDRESS' CL
TEL. I , INSPECTION RECORD , p
CONTRACTOR NO f, y s- Yom,,, U
ADDRESS J O
DESCRIPTION OF WO
uj
NEW ADD ALTER REPAIR DEMOLISH �,yf�� _�6' N
SQ FT. �7 NO OF NO OF Tgdl �' ' a" Bk9r"',ar
IZE i, S STORIES FAMILIES
USE OF
STRUCTURE 'AJ L, - • Y `,y- I
Ali/ 4
SIGNATURE
APPLICANT -
VALUATION$
APPROVALS PATE , INSPECT.O§'S SIGNATURE
S"" ✓ FOUNDATION. LOCATION
FEE.
f FEE $ 4 v v FORMS, MATERIALS
FRAME FIRE STOPS, y�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS 6 / z •TY.r//(
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 ICERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S MPENSATION INSURANCE
LATH,EXT.
SIGNATURE OF 4/C/ HOUSE NUMBER COR- I1 /jr�
PERMITTEE ��LL.•�� RECT AND POSTED / V
ADDRESS 42v-C-4 FINAL
CLYDE N DIRLAM, PR^NCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH ItIUMT VALIDATION cIc M.O. CASH
L'AL05'-,TO---1_ ' ,DEC 5 2- 3 D 2 250 l •M
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 1408110075
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST
BUILDING ADDRESS
ON FILE I SQ. FT STORIES TYPE I
5339 GOLDEN WEST AV
(STRUCTURE- 1800 V-B917803248
I
ASSESSOR INFORMATION NUMBER I I NE3
NEAREST CROSS STREET
18589-003-014 1 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI
ITENANT IEXIST BLDG USE RESID USE ZONE. R-1 (ISSUED ON PROCESSED BY 1
1 IEXIST OCC GRP 108/11/14 SR 1
(OWNER TEL NO - IBLDGS NOW ON LOT VALUATION F NXR(q
F NA���L BY CODE
IMATT LENNG (626) 456-2071- 1 6,500 �15339 GOLDEN WEST AV II
ITEMP 917803248 I FEES PAID ID SCRIPTION OF WORK
IREMOVE EXISTING ROOFING MATERIAL AND INSTALL 30 YEARS I
IFEE DESCRIPTION QUANTITY UOM AMOUNT ISHINGLES COMPOSITION I
(APPLICANT TEL NO. I I 1
(PARK, HONG S (909) 721-8812- IAA BLDG PERMIT ISSUANCE 27.80 I 1
120729 TIMBERLINE IN IAB STATE GREEN BLDG FEE 6500.00 VAL 1.00 (SPECIAL CONDITIONS I
IWALNUT CA 91789 IAC STRONG MOTION RESID 6500 00 VAI, 0 70 I 1
ID2 PERMIT W/O EN-HC 6500 00 VAL 166 20
TOTAL FEES 195 70 I
ICONTRACTOR TEL NO- (APPROVALS DATE INSPECTOR SIGNATURE
IGOLDEN EAST ROOFING & CONSTRUCTION (909) 721-8812- 1
120729 TIMBERLINE LANE LIC NO ILOCATION AND SETBACKS 1
1WALNUT CA 91789 946835
1 I ISOILS ENGINEER APPROVAL 1 1
(ARCHITECT OR ENGINEER: TEL NO I IFOUNDATION/TRENCH FORMS I I I
I - I
LIC. NO I (SLAB/UNDER FLOOR 1 1 1
I I I
1 1 (RAISED FLOOR FRAMING 1
IMAP NO. SEWER MAP BOOK PAGE- FIRE ZONE CMP I (UNDERFLOOR INSULATION I
I I I
3 OOI IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I 1 I
NO 21 1 IROOF SHEATHING I
SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I
(AIR QUALITY 1000 FEET MATERIALS I 1 1-1-
1
1 NO NO NO 1 IFRAME INSPECTION
1 IFIRE SPRINKLER HANGERS 1 1
(INSULATION/WEATHER STRIPI I I
1 I (INTERIOR LATH/DRYWALL I 1
I I I
1 1 IEXTERIOR LATH I 1 1
I I I
IRATED FLOOR/CEIL ASSEM.
1 IRATED WALL ASSEMBLIES
I I I
IRATED SHAFTS/OPENINGS I I I
I I I I
I 1T-BAR CEILINGS
1 ILOT DRAINAGE
I I I
IREPORT ID DPR261 ROUTE TO BS0508 1 I 1
I I I I I I