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Home My Public Portal About5341 GOLDEN WEST AVE_Building__ 71.51B98ADBS.$ APPLICATION FOR BUILDING PE�tTR�� . MIT 15 i 1 � ,ry , DMSION OF BUILDING AND-SAFETY BUILDING Dep=tment Of County Engines ADDRESS S3 r r' County Of LOS Angeles _ LOCALITY - T JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST { DISTRICT GROMAP FOR APPLICANT TO FILL IN I�p. UP TYPE SEWER 5 TT B � �i�"�(J CONST. BUILDING' /f MAP ,STATE ADDRESS,, •[yam/�jA/' ,�E,ST NUMBER v,,D 14, HWY YES (AO-)l ' J,,r��4w , �Y' i c' D/= SPECIAL- LOT NO. Btor.7"�• `}�'��P � A ''%N'XTj BLOCK WNCONDITIONS TRACT NO. OF BLDGS. BUILDING EXIST. SIZE OF LOT Q.Y S I NOW'ON LOT YARD HWY TREET NAME _ SETBACK WIDTH USE OF- 4 EXISTING /BLDG � -` ,,/ FPROL TQ OWNER'/14111ECry 5�' r. /lK^D��/ ®Cz/��/��Q SIDEMAIL _ ADDRESS -f*31 Ile, -�T! er/ �JVE O TRACT DWELL. ; I UNIT • - TEL, 7 5` INDUSTRIAL , CITY'Sff/if G/¢�iC�I�-L: NO, T/'F9�� '1t DWELL. 1 UNIT 6 PUBLIC BLDG. ENGINEER - ARCHITECT OR /� / 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC. ENGINEli �3 APT. UNITS ' 8 MISCEL.• ADDRESS `'�� C 4 COMMERCIAL - CONTRACTOR NO.TELINSPECTION RECORD,.' - ADDRESS ECORD'`ADDRESS k U t l DESCRIPTION OF WORK EW ADD - ALTER - REPAIR - DEMOLISH FT. NO. OF NO. OF SIZE %� STORIES FAMILIES U OFOTRUC R G1Dcc}(JE�- ' SIGNASTURE OF ' APPLICANTS APPROVALS ADDRESS03// fes•rr dMe:5, DATE INS, &OR'S SIGNATURE _ oy �'C�• FOUNDATION LOCATION `/, ( /� tB •^ $ 1.••� O`• /CSO'�� - P. C: $ _ FORMS.MATERIALS I "arI �T...lw ('nUnn...�•-..,,...,. — FEE FRAME: FIRE STOPS, ' VA TION �, $ BRACING. BOLTS S 8 S"(` �nb FEED `FURNACE: LOCATION, I HEREBY A KNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT`THE ABOVE IS CORRECT, - - ,AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. S1 AND STATE LAWS REGULATING BUILDING CON_STRUC- - TION. N LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERM ITT OR-PERMITTPOSTED ADDRESS l' - FINAL- ;JOHN A.LAMBIE: COUNTY ENGINEER r VALIDATIODT,, CLYDE N. DIRLAM, CHIEF_ BLDG. INSPECTOR CK MO _ t LACO,5'6 -1 5-' FEB 2 711,6. " 1 '. .0 0 d to LACO .o o c� WR13 1 3 U.0 0 76A638A CE #803 1/71 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print o, type only) CROSS ST. BUILDING DISTRICT NO. GROUP TYPE � PROCESSED BY CONST. ADDRESS .. _. i r ` STATISTICAL CLASSIFICATION SEWER MAP LOT NO �-''C7 I�' 'g F )BLOCK - , t CLASS NO. _DL WEL .UNITS BK PG TRACT f1A1' �j,jC^!� Yi [',A USE ZONE MAP NO.OF BLDGS. NO. - SIZE OF LOT NOW ON LOT SPECIAL USE OF •s _ - CONDITIONS EXISTING BLDG. } +'�i`s. ..y};�,; OWNER (VV}-'1,(-.�+,•) ff(,.}4„J }�'.�: ,.__.�i„��L'CIJFIOL iY" - BLDG.SETBACK FROM ADDRESS S'�`f 8 }'V 1,;,,.3<.:� Oif fj �S.o �,�.T' 3`v FRONT PROP.LINE OF (STREET) _ TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY 7�"�i\A i`•'l \-"T � � !.' HIGHWAY WIDTH FROM C.L. ARCHITECT OR, TEL. } _ ENGINEER `.t—k"1"} }"A• VJ,Nt '-:,�. NO. :. >7 ..f..< .. BLDG.SETBACK FROM - >- 11 v i� SIDE PROP. LINE OF (STREET) �- ADDRESS '5u ',....-+ 'r T�`�4J,<:}t`- :.,} (�II G CD TEL.. TYPE OF EXISTING SETBACK HIGHWAY �'-k YARD = TOTAL CONTRACTOR 0 kA')1�,1t f�V" NO. *�'� � HIGHWAY WIDTH FROM C.L. J LIC. ADDRESS °�� ^"4' P':` i-}' 1 � %NO. + — LV CITY 'y CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER p NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS FW — SQ. FT. Y,, NO. OF > NO. OF t NEW ❑ SIZE STORIES 4 FAMILIES USE OF — ADD STRUCTURE �-' `' "�-`-%!•=ti9 ti4z 1�..} s ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT '' ./ EMOL ❑ VALUATION $ 1 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ '^ -" FEE S FORMS, MATERIALS 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 LATH, INT, LABOR CODEOF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. r �* �F `�,/ SIGNATURE OF ' lJ�/ LATH, EXT.:�/ HOUSE NUMBER COR- PERMITTEE •C� RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK, M O. CASH _ PERMIT VALIDATION CK. M.O. CASH � :75 'i 78A538A CE =803 4.'7 APPLICAT�ION FOR � w� ILI PERMIT i COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING AKE CHECKS RAMBLE 70: ADDRESS H HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT Wei; Aup: FOR APPLICANT TO FILL IN NEAREST S�'d Print ort a T CROSS ST. tt![Uc 57 DISTRICT NO. GROUP TYPE PROCESSED BY BUILDING _ - ONS - ADDRESS [ - : , _ - .... , STA ISTICAL CLASSIFICATION SEWER MAP LOT NO. - "" BLOCK CLASS NO. ' _DWELL,UNITS BK PG TRACT F USE ZONE MAP NO.OFYBLDGS. NO. SIZE OF LOT y(� I NOW ON LOT SPECIAL USE OF _ CONDITIONS EXISTING BLDG, .:. TEL. OWNER No. '"t,t � BLDG.SETBACK FROM ADDRESS (�. 4 _, FRONT PROP.LINE OF (STREET) L TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY I Ty HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. } _ ENGINEER 'S NO. BLDG,SETBACK FROM v ADDRESS SIDE PROP.LINE OF (STREET) w TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL J CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. LIC. ' ADDRESS NO, + _ LIC. CITY CLASS CORNER CUTOFF YES E] NO ❑ d CONSTRUCTION LENDER m LLJ NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS Sq. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE - ) t �, r ALTER ❑ ❑ SIGNATURE OF REPAIR APPLICANT -�� DEMOL ❑ VALUATIONS . APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION; LOCATION FEE S FEES FORMS, MATERIALS 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 LABOR CODE OF THE STATE OF CALIFORNIA IN UJATING TO LATH, INT. WORKMEN'S COMLATH, EXT.TION INSU�RA I¢G E. ,�",,•"A,+�`w �`� SIGNATURE OF A f HOUSE NUMBER COR- RECT AND POSTED ADDRESS „ FINAL v PLAN CHECK VALIDATION CK. MO. CASH _ PERMIT VALIDATION CK M O CASH r _ i #920114 BG Yr" WORKERS' COMPENSATION DECLARATION I hefE*y affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR . BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. PC997500 Company Republic Indemnity -' BUILDING ❑ Certified copy is hereby furnished. ' . FOR APPLICANT TO FILL IN ADDRESS 7 ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 5.341 N. Golden West Date 7-1-92 Applicant Virgin Roof Co. CITY Temple City ZIP 91780 LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK I LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or'less.) TEL. OWNER Duke O aWa NO. USE ZONE MAP I certify that in the performance of the work for which this SPE permit is issued, I shall not employ an erson in an manner ADDRESS SPECIAL p y v p Y 5341 N. Golden West CONDITIONS a so as to become subject to the Workers'Compensation Laws. O CITY 'Temple City ZIP 91780 Date Applicant ARCHITECT OR TEL. DISTRICT GROUP I TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after.making this Certificate of ENGINEER NO. CONST. Z NE Exemption, you should become subject to the Workers' Compensation provisions of the labor Code, you must,forth- ADDRESSDU t aW with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR Virgin Roof CO. NO. 2$]—Q _ LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO. DWELL. UNITS — I hereby affirm that l am licensed under provisions of�Chapter 9 ADDRESS" P.0. Box 5010 NO. 160650 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY San Gabriel CLASS C39 BK PG VALIDATION SQ. FT. NO. OFNO. OF CHECK License Number 160650 Lic. Class C39 SIZE 18 S $TORIES 1 FAMILIES ONE • F] VALUATION Contractor Virgin RQof 'CO. Date ` 6-30-93 DESCRIPTION OF WORK Tear off then NEW $ 2984.00 El I.am exempt under Sec. app. 1 �f30. felt and Class A ADD ❑ pop. ALTER ❑ B.BP.C. for this reason Fiberglass Shin REPAIR ❑ $ Date: USE OF ❑ EXISTING BLDG. Dwelling DEMOI Signatu'reAPPLICANT TEL. FINAL (PRINT). Virgin Roof. Co NO. 287-0507 - r"ti ' OWNER-BUILDER DECLARATION DATE y� I hereby affirr&that I am exempt from the Contractor's LicenseBox •5010O DRESS P. . S Gabrie Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code):` PRESENT By ❑ property, "-• »" I, as owner of the ro ert or m em to ees with BUILDING' P P y Y P Y ADDRESS wages as their sole compensation,will do the work and , { _2 the structure is not intended or offered for sale(Section [DDRE ALITY 7044, Business and Professions Code.) VING TEL. `. ❑ I, as owner of the property, am exclusively contracting - NTRACTOR NO. with licensed contractors to construct the project (Sec- SS tion 7044—Business and Professions Code.) { ,=;`a.= EQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY ET BACK YARD HWY PROP. LINE WIDTH -•; a,"t I hereby affirm that there is a construction lending agency for RONT the performance of the work for which this permit is.issued .L. (Sec. 3097, Civ. C.). IDE .L. €l':ii 3—i =; a i.Lender's Name . Fee$ Permit Fee $1.10.82 LDMA Ref. # 4 F' Lender's AddressIlio. ► ° I certify that I have read this application and state that the Issuance Fee 24.75 LDMA P/C# 8 above information is correct: I agree to comply with all County Investigation Fee d ordinances and State, laws relating to, building construction, Total Fee $135.57 LDMA Perm. # a and hereby authorize representatives of this County to enter u on the abotye-me tioned property for inspection purposes. t _ 6-3-92 SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date _ 4 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 9907140003 PHONE: (626) 285-0488 EXT: LEGAL D: N0: OF CONST BUILDING S: ON FILE SQ. FT STORIES TYPE 5341 GOLDEN WEST AV STRUCTURE: 0 VN TEMP CA 917803248 ASSESSOR INFORMATIONNEAREST CROSS STREET: OLIVE 8589-003-021 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: IST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED B . EXIST OCC GRP: 07/14/99 UT 01/10/00 OWNER: TEL. NO: BL S. 09 ON OT: VALUATION: FINAL DATE FINAL BY: CODE: OGAWA IWAHO D CO TR OGAWA TRUST (818) 287-3883- 1 3,000 5341 GOLDEN WEST-AV I AA/`7 TEMP 917803248 FEES PAID 5E9CRI TIN OF�WORK e VINYL_ SIDING INSTALLED OVER EXISTINGP90W SIDING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PL NT: � - AMERICAN HOME IMPROVEMENT PROD. (800) 807-9889- AA BLDG PERMIT ISSUANCE 27.75- 10415 SLUSHER #2 AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS: SANTA FE SPRINGS,CA D2 PERMIT W/OiW G!: -^ 3000.00 VAL 99.60 fox ELOSTO,TO FEES 127.85 CONTRACTOR: TEL. 0: ®�J ��/� APPROVALS DATE INSPECTOR SIGNATURE AMERICAN HOME IMPROVEMENT (800) 807-9889- �► 10415 SLUSHER DRIVE #2 LIC. NO LOCATION AND SETBACKS SANTA FE SPRINGS CA 90670 BUSLICENSE SOILS ENGINEER APPROVAL 1, ARCHITECT OR TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO- 111111 SLAB/UNDER FLOOR r _ RAISED FLOOR FRAMING t MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: , UNDERFLOOR I S IO 147H269 3 �01, Li p L�� KS FLOOR 0. OF FAMILIES: DWELLING S - NO 21 R00 ' SH AT ING SC \ 0 ** SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS \ ❑ Ra NO NO NO �\ 0 ® FR E INSPECTION REQUIRED TOTAL ST �t✓8� � - a104�y SET BACK YARD: HWY: PROP LINE: WIDTH: ZC ��rV�C ��aq INSULATION/WEA R STRIP FROSIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED R CEIL ASSEM. i RATED WALL ASSEMBLIES RATED TS/OPE I GS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 4 -