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