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HomeMy Public PortalAbout5342 GOLDEN WEST AVE_Building__ < APPLICATION FOR BUILDING PERMIT, FOR APPLICANT TO FILL IN (Pant or tYoe only) BLILDiNG �.3'�ac�L £$T _ COUNTY OF LOS ANGELES ADORES DEPARTMENT OF COUNTY ENGINEER clrY T (� ZIP BUILDING AND SAFETY DIVISION LDING SIZE OF LQTV`�-(?7/14p_ NOW OON LOTF BLDGS ADDRESS TRACT pC�3� BLOCK LOT NO / LOCALITY - ` TE �JQ� REST OWNER ~- S�(n0SS ST - ASSESSOR, - ADDRESS -�' MAP'BOOK-," ' PAGE-- - RCEL G DISTRICT GROUP TYPE FIRE PROC SS B CITY L ` EZIP, �Q CONST ZONE ARCHITEC OR - L- pltI✓J - 3 ENGINEER _ ISTICAL- CLASSIFICATION- ' EWER MAP ADDRESS S _57 CLASS NO _DWELL UNITS BK6!P,G TEL, CONTRACTOR ��) NO USE ZONE MAP ^/ No LIC ADDRESS NO _ _ (,(/•• ' SPECIAL LIC IJ2 CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH � BLDG SETBACK FROM a FRONT PROP LINE OF (STREET) CC.'. ADDRESS CITY GHWAY } YARD T H _ TOTAL SETBACK FROM TYPE OF EXISTING IxI - SQ FNO-OF - NO. OF CHECK . FRONT PROP LINE HIGHWAY WIDTH C SIZE Io STORIES FAMILIES ONE I~ I + = N. DESCRIPTION OF WORK - JAL NEW ❑ - G. 'a� CA ElBLDG SETBACK FROM - CA SIDEPROP LINEOF (STREET) ALTER [:1 _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + `YARD a"' F1SIDE PROP LINE HIGHWAY WIDTH REPAIR USE OF + EXISTING BLDG _ DEMOL ❑ _ AP(PRINT)ICAN�LI TEL3 , I CORNER CUTOFF YES ❑- NO ❑ ' BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ - Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION •Y ' /t/ - CATEGORICAL EXEMPTION- YES❑ NO ❑ 1 HEREBY ACKN WLEDGE THAT I HAVE READ T IS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY IMPACT- EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTIONI 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 �/_ (��, /�- �� �, y^j� �J �•a( WORKMEN'S COMPENSATION INSURANCE / (J T J .Pl iV P•/��/ff SIGNATURE OF Z-30 D/JF PERMITTEE ADDRESS ��� _ _ FINAL BY CITY - NO DATE Q QL MAKE_ CHECKS PAYABLE TO p E p FEE I HARVEY T. SRANOT. COUNTY ENGINEER PLAN CHECK VALIDATION CK O CASH _ PERMIT VALIDATION ,K M O CASH 5 7 3c'61 JUN'_20 2 3 ' — 3 7.3 5 •�38 3 ,6 BrJUL -1 3 U 2'4.3- 76A 638A CE9803 7/7 ` 3 '69-1 JUL 1.0 1 0 27 5 A�6 TEMPLE CRTY 7GA038J Cr#aO32/fO APPLICATION .FOR BUILDING PERMIT °- COUNTY OF LOS ANGEIES BUILDING ---� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. - DISTRICT NO. GROUP TYPE. ESSED,BY ' FOR APPLICANT TO FILON CONST BUILDING STATISTICAL CLASSIFICATION• SEtWER MAP,'" ADDRESS 53 o/LC& ivr,S ..BK G 5o.7Stis /�T•OF, ar- - lC 7_? C O-' CLASS.NO DWELL.UNITS—1— LOT NO. W BLOCK MAP NUMBER HWY. AYES .NO TRACT O USEZONE SPECIAL NO OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT U il' l USE OF EXISTING BLDG BUILDING EXIST., TEL. SETBACK 'YARD HWY EET NAME 'WIDTH: . OWNER •NO. FRONT J� " �y 0` .C(.n/ P L CJ ADDRE dr G�'•f/-�s SIDE ' ARCHITECT OR TEL. _ P.L: " ENGINEER NO INSPECTION RECORD ADDRESS CONTRACTOR. //�� N��O.�� q / 1a - ADDRESS O COQ a-,_ -F.C�f/�, O DESCRIPTION OF WORK Q. NEW A—ADD 'ALTER . REPAIR DEMOLISH SO FT. �p N -0 OF NO OF ` - a SIZE V _ us 9- RIES FAMILIES - y USE OF �y STRUCTURE C,LL / tXAea.ax-= d� .SIGNATURE OF APPLICANT VALUATION$ 3 "APPROVALS DATE INSPECTORS SIGNATURE �J F FOUNDATION:! CN PMT.$ FORMSMATERIALS FEE " IIHE STOP , 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- F BRACING, BOLTTSS ice-j✓ / n PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION, - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS fJ STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. - WILL.NOT'EMPLOY ANYPERSON IN VIOLATION OF THE J.��l , r/ •' WORKMEN'S COMPENS ON SAWS F CALIFORNIA. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- _ PERMITTE - _ RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION' cK M.O. CASH -PERMIT VALIDATION CK M.O. CASH � .��46 4 5rkRi 30' % 3 D 22.501 _ 76A638A CE#803 2-63 APPLLCAT]ON• FOR:B,U I LDING PE'RM,IT� ; COUNTY'*.OF LOS ANGEI:ES, " BUILDING ' DEPARTMENT OF COUNTY ENGINEER -. ADDRESS, BUILDING AND,SAFETY',.DIVISION- z LOCALITY-, -JOHN A:LAMB IE:•COUNTY.ENGIN'ER NEAREST' ' WILLIAM,A JENSEN, SUP T oF.BUILDING CROSS ST •� DISiICT O GR TYPE BY'I FOR 'APPLIC'A'NT TO FILL•IN CONST _ BUILDING L _ / ., _ r STATISTICACLA _ I ATION 3, _ SEW,ER"MAF; `M•• ADDRESS �.� O •WFsS J' - t 'a 3d ''=BK 7 1 CLASS NO DWELL UNITS' -- LOTNOPa ,p/s' 'p�/_ ••�,,;. •',",BLOCK WATER '` "y ❑ ;NOT REQUIRE, '' `'' RECEIVED 'CERTIFICATE• ,-,,, - •' ,, TRACT %a g.�o' =,' - ' : .MAP ) ,HIGHWAv STATE MA'JOR,SECON LOCAL y: LNO'.OF BLDGS NO G (CIRCLE) 'SIZE OF LOT JINOW,ON LOT' S USE ZONE SPECIAL.' = USE OF ,•_ /' .� i- CONDITIONS + EXISTING BLDGTE J ;' /'� t /t Iz -i.DGNI• - / - s. ,, �I Y DOWNER JO .'/. /1�drP,D Sri NO',/I , O •. > B -DING YARD HWY- i _4STREET NAME "'EXIST l.-- ' SETBACK y I . .WIDTH; ' ADDR ESS S3�f"� �' ES/. �I �� ,FRONT e ARCH ITECT OR TEL- a R L - J��IJ ' ENGINEER NO SIDE f ADDRESS I Id • - TEL I rw - ' ,t,'O `CONTRACTORr Q_S' JNO ., ADDRESS_ / /� PW- /l•D DESCRIPTIO OF WORK v Lu _ N 'NEWALTER,_ REPAIR, DEMOLI5H• .. SQ FT" / ''�_' -'NOOF NO OF 7 _ SIZE' `�•10� - ST•ORI ES FAMILIES, USE OF •, �F, - 4 •�,`: ,STRUCTURE .S C.e,L�.t`.'• v�'.G �/�l/O - , ' �SIGNATUR _ •' - d •�_• _ ' 'APPLICANT •�4 t _;' e, , > VALUATION APPROVALS, t - ', ( ATE INSPECTOR 5 SIGNA�FU �+P C - ,t PMT FOUNDATION ' LOCATION+ FEE $' - - ' `t " FEE $ ,A .,FOUNDATION MATERIALS FRAME FIRE STOPS/b { A .`I HEREBY ACKNOWLEDGE'THAT I HAVE READyT,HIS APPL^KATION BRACING, BOLTS GrYc`s/6jJ' 'AND STATE THAT THE ABOVE-IS CORRECT'AND AGREE TO COMPLY FURNACE LOCATION` WITH ALL COU RDINANCES AND'STATE OAWS REGULATING GAS VENT, DUCTS'. BUILDING ST RUCTI .I CERTIFY. THAT I DOING THE WORK r a , AUTHORI D HER I LL' NOT:EMPLOYt PERS N-INS VIOLAS ,;LATH;INT ,•, TION THE THE L-ABOR CO OF-THE-.STATE F PER RNIA RELAT- _ •�' ING T WORKMEN 5 COM NSATION INSU - _ ,LATH. EXT '•SIGNA .OF .spry' - HOUSE NUMBER COR- ' PERMITTEE' "' RECT AND POSTED - ADDRESS FINAL l01 1 PL/, ? ` + - '• JOHN F LEWIS PRINC' dP STRUCTURAL ENGINEER PLAN.C CK V_'ALIDATI ZN cK ,M o' _ CASH _ PERMIT.VALIDATION CK. t ^mo ASH ''49,;34 't 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 0711270049 PHONE: (626) 285-0488 EXT ILEGAL ID- I NO OF CONST I BUILDING ADDRESS ITR 12830 LT- 1 BL 001 UN 002 I SQ FT STORIES TYPE I 5342 GOLDEN WEST AV I ISTRUCTURE VN I TEMP CA 917803231 I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: OLIVE 18589-004-001 I THOMAS PAGE '597 GRID. A4 LOCALITY TEMPLE CITY, CI I I I I ITENANT (EXIST BLDG USE RESID USE ZONE: R-1 11SSUED ON PROCESSED BY EXPIRES ON 1 (EXIST OCC GRP 111/28/07 SR 05/26/08 1 I I I I (OWNER TEL NO- IBLDGS NOW ON LOT. VALUATION IFINAL DAT BY CODE- 5342 GOLDEN SHIN (626) 292-1443- i 1,000 i �.XPIRLJ5342 GOLDEN WEST AV � ITEMP 917803231 1 FEES PAID IDESCRIPTI F WORK '-ICONVERT WOOD BOARD WALL TO RE-STUCCO INSTALLED ON EXTERIOR W1 IFEE DESCRIPTION QUANTITY UOM AMOUNT IWEST FACING WALL ON THE MAIN DWELLING 1 1APPLICANT TEL NO I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1 I 1 IAC STRONG MOTION RESID 1000 00 VAL 0 50 ISPECIAL CONDITIONS I ID2 PERMIT W/O EN-HC 1000 00 VAL 65 40 I I IFR INV WORK W/O PERMIT 128 50 DOL 128 50 I TOTAL FEES 222 15 I I (CONTRACTOR. TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC NO I ILOCA-10N AND SETBACKS I I I I I I I I I I I ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I I LIC NO I ISLAB/UNDER FLOOR I I I I I I I I I IRAISED FLOOR FRAMING I I I I I I I I I IMAP NO SEWER MAP BOOK. PAGE: FIRE ZONE: CMP I I (UNDERFLOOR INSULATION I I 1147H269 3 Oil I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS APT/GOND STAT CLASS I I I I I I NO 21 I -IROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR,PANELS 1AIR QUALITY 1000 FEET MATERIALS I I I NO NO NO 1 (FRAME INSPECTION I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS ISET BACK YARD HWY PROP LINE WIDTH I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I 1 11 1 I I 11NTERIOR LATH/DRYWALL I I I I I I I I IEXTERIOR LATH I I I (RATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS 1 I 1 I\ IT-BAR CEILINGS I I I I I I I I I I ILOT DRAINAGE I I I I L 64- I REPORT ID. DPR261 ROUTE TO BS0508 1 % �� � T I 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 0506 0711140025 1 PHONE (626) 285-0488 EXT , I ILEGA.L ID NO OF CONST j BUILDING ADDRESS 1 ITR 12830 LT 1 BL 001 UN 002 SQ FT STORIES TYPE j - 5342 GOLDEN WEST AV I jSTRUCTURE 2400 VN TEMP CA 917803231 1 ASSESSOR INFORMATION NUMBER j NEAREST CROSS STREET OLIVE 18589-004-001 j THOMAS PAGE 597 GRID A4 LOCALITY- TEMPLE CITY, Cl ITENANT jEXIST BLDG USE RESID USE ZONE. R-1 jISSUED ON PROCESSED BY EXPIRES ON I IEXIST OCC GRP 11/14/07 SR 05/12/08 1 jOWNER TEL NO IBLDGS. NOW ON LOT VALUATION IFINA.L DATE FINAL BY CODE 1 ILIANG TZAI-SHIN - 5,900 15342 GOLDEN WEST AV j 16j�✓ / ITEMP 917803231 j FEES PAID IDESCRIPTION fDF WORK I j (REMOVE EXISTING ROOF INSTALL 1/2 PLYWOOD AND 30 YEAR CLASS Al I IFEE DESCRIPTION QUANTITY DOM AMOUNT ISHINGLES AND RIDGE CAP (APPLICANT TEL N0. IKEEFER'S ROOFING x (909) 608-0023- IAA BLDG PERMIT ISSUANCE 27 75 j I 11216 BEGONIA COURT QAC STRONG MOTION RESID 5900.00 VAL 0 59 ISPFCIAL CONDITIONS j 1UPLAND CA 91784 ID2 PERMIT W/O EN-HC 5900.00 VAL 149 40 1 i TOTAL FEES 177 74 CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE KEEFER'S ROOFING (909) 608-0622- 1 ' 11216 BEGONIA COURT LIC NO ILOCATION AND SETBACKS :"• UPLAND CA 91784 760903 C39 1 1' j = j (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I ,'- I - I 11 I LIC NO: I ISLAE/UNDER FLOOR I I I I I _1 _ (RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK. PAGE FIRE ZONE CMP:I (UNDERFLOOR INSULATION I I 147H269 3 Oil 1 IFLOCR SHEATHING' INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I j -1-1 I NO 21 1 j ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1SHEAR PANELS 1AIR QUALITY 1000 FEET MATERIALS 1 1 NO NO NO 1 1FRAME INSPECTION I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS ISET BACK YARD HWY. PROP LINE WIDTH• I IFRONT PL- I 11NSULATION/WEATHER STRIPI I I I SIDE PL- 1 1 1 jINTERIOR LATH/DRYWALL j EXTERIOR LATH I 1 I (RATED FLOOR/CEIL ASSEM I I I I I I j (RATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS IT-BAR CEILINGS j 1 j (LOT DRAINAGE j j 1 IREPORT ID DPR261 ROUTE TO BS0508