HomeMy Public PortalAbout5414 GOLDEN WEST AVE_Building__ _ APPLICATION FOR BUILDING PERMIT
FOR+APPLICANT TO FILL IN (Print or type only)
BUILDING COUNTY OF LOS ANGELES
ADDREss DEPARTMENT OF COUNTY ENGINEER
CITY LE _Y TV ZIP BUILDING AND SAFETY DIVISION
'' NO.OF BLD'O `` BUILDING 1
SIZE OF L07r, NOW ON LOT ADDRESS /
TRACT °r� BLOCK LOTNO LOCALITY
u.
TEL. NEAREST
OWNER I" NOgg CROSS ST.
t ASSESSOR
ADDRESS e„d, ^> } C t 3E" MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPEFIRE PROCESSED BY
CITY �,'^j`- , ZIP C^
CONST. ZONE
A R-CJa4-TZO'" CR , TEL''.
----- STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. .___OW E L L.U N I TS BK PG
CONTRACTOR NEOL. USE ZONE MAP
LIC,
NO.
ADDRESS - -, NO, SPECIAL
LIC, CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO O..
CONSTRUCTION LENDER C)
U
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP. LINEOF (STREET) J
ADDRESS CITY
HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LL'
SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH >-
SIZE ..-d STORIES FAMILIES e.L ONE
DESCRIPTION OF WORK NEW d
BLDG.SETBACK FROM !STREET) W
C,< eil�3 _ ,,.r y�„ ,y j_a ADD SIDE PROP. LINEOF H
ALTER ❑
HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
=
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF } _
EXISTING BLDG. DEMOL ❑
APPLICANT _yy`�' �-} d y' k+� ,��} TEL
CORNER CUTOFF YES NO
(PRINT) l'if. df: i G).J•€F—f �rC`-td N0. �t}�,w�,t,'�,�`,.7
BY (SIGNATURE) IN OPEN SPACE YES NO
IN COASTAL ZONE YES NO
VALUATION_ ::;: .: '' -" CATEGORICAL EXEMPTION YES NO ❑
'1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HERESY IWILL N07 EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL
T E L.
CITY NO. DATE
MAKE CIIECK� I'AYABLE TO: P. $ PMT.
FEEE FEE $ !
HARVEY T. BRANDT. CQXJN#TY 4NGINEER
PLAN CHECK VALIDATION' ncK " M o cpSH e PERMIT VALIDATION CK MO CASH
76A638A CE#803 7:73
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 9909300001
PHONE: (626) 285-0488 . EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 35012 LT: 16 SQ. FT STORIES TYPE 5414 GOLDEN. WEST AV
STRUCTURE: 3400 VN TEMP CA 917803218
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-020-037 THOMAS PAGE: 597 .GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPI S ON:
EXIST OCC GRP: 09/30/99 VG 03/ /00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
MARTINEZ RUBEN;AURORA (626) 286-5578- 7,000
5414 GOLDEN WEST AV D 044
TEMP 917803218 FEES PAID DESCRIPTION OF WORIf
T/0 EXIST ROOF,, RESHEAT AND INS ALL DURALITE 2000 (5.6 LBS)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICBO #
APPLICANT: TEL N0:
JOHNSON (909) 277-2466- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS:
D2 PERMIT W/O,EN=HC=__ 7000.00 VAL 166.20
SELETOTA�L�FfES 194.65
CONTRACTOR: TEL.
WESTSIDE ROOFING (909)N693-0875 ®� ���%� APPROVALS DATE INSPECTOR SIGNATURE
42245-B VIA DE LOS FIDEOS LIC. NO LOCATION AND SETBACKS
TEMECULA, CA 92590 749906 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: �/ FOUNDATION/TRENCH FORMS
LIC. NO:!/ _ 1111>>1 , SLAB/UNDER FLOOR
fI r 1 ----
IU RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: UNDERFLOOR INSULATION
XX 3 I� LJ1 f\V /LJ 'JtJFLOOR SHEATHING.
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ----- --�
NO 21\�\� —- O -- — ROOF SHEATHING
SCHOOL WITHIN . HAZARDOUS NN 0 = �t SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO y,'w, FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST Qq� I �d� FIRE.SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: . WIDTH:,
FRONT PL ��p�d� �r��� INSULATION/WEATHER STRIP
SIDE PL-
— INTERIOR LATH/DRYWALL.
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508