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HomeMy Public PortalAbout5417 GOLDEN WEST AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN ADBUILDING DRESS BUILDING ADDRESS , T LOCALITY NEAREST CITY Tf.i"iPILE CITYZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT "r x • NOW ON LOT MAP BOOK PAGE I PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT 3014": BLOCK LOT NO. CONST. ZONE TT { TEL. _, OWNER t�y,F- 11f�_ t s D .1I, L i '?Typ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �Tr G3 E• i` ,"'IF T,"' . CLASS NO. DWELL.UNITS BK PG CITY �Sr°i ': �,�M.?i'' - USE ZONE MAP �,. ZIP `'_11 i 1.� NO, ARCHIK-0 OR TEL. 1 ENG1W6&R E " i� !::iJil 0S NO.3.39-4 y�}. SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR :;` .` i ;< NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS7'Ar �^� }.5:. }-`, NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES Ji'.:. ONE SIDE PROP LINE HIGHWAY WIDTH + _ DESCRIPTION OF WORK NEW Y 4' ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE REPAIR ElEXISTTIING BLDG. DEMOL El REPAIR COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT /� TEL r (PRINT) ��EORI:� I<r1E3Y,.FYi:0 NO. z] O U w BY(SIGNATURE) J w IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE � THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE O WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF d THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM PENSATION INSURANCE. w SIGNATURE OF FINAL ` BY PERMITTEE DATE / ��✓ ADDRESS TEL. P.C. Fee$ Permit Fee CITY NO. Issuance Fee VALUATION t�;'T �x«yr ''r Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH OPS 76A6388CE N803B 6/76 L ©s 76A638A _ CE#803(REV 11/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ANQ SAFETY BUILDING FOR APPLICANT.TO FILL IN ADORES • %'/'f ' BUILDING ADDRESS-4 41 y 6O.eae � LUv57� / LOCALITY 7 (� NEAREST CITY /I/f �� �� ZIP A7// (f0 CROSSST NO OF BLDGS ASSESSOR SIZE OF LO,T��/f /r � NOW ON LOT MAP BOOK PAGE PARCEL TRACT,?4 Z BLOCK /v�J�� 1.LOT NO `STRICT GROUP CONST TYPE FIRE E OCESS BY , LAO OWNER G�`i�lL170 �. /✓ NO i5 3 �� ciC1 J� �j _ STATISTICAL CLASSIFICATION ER MAP ADDRESS--f Y�L G� �✓ ���` CLASS NO DWELL UNITS BK PG CIT Y%G /dd�C �Ll ZIP ARCHITECT OR TEL VALUATION Y ENGINEER NO �-+ ADDRESS _ BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC ' FRONT PROP LINE HIGHWAY •WIDTH ADDRESS NO LIC + _ CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = AL SETBACK FROMT-YPE OF• EXISTING d ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SQ FT NO OF NO OF CHECK + = L7 SIZE (! v STORIES FAMILIES ONE P Q' DESCRIPTION OF WORK NEW -USE ZONE_ MAO O 0 S o 'SPECIAL o ADD ❑ CONDITIONS JN- ALTER ❑ FINAL BY REPAIR--❑ DATE USE OF DEMOL EXISTING BLDGnn n /�/n►�,�l [, 7//❑ O APPTEL(PRINT) BY(SIGNATURE �• > I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP NAND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WI L AND U _ AND LAWS REGULATING BUILDING CONSTRUCTION ('CERTIFY THAT IN DOING THE V ' WORK AUTHORIZED HEREBY'(WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- _ Z ' PENSATION INSURANCE qs � 113.9A SIGNATURE OF PERMITTEE # o'oaoo.l ADDRESS c 2 o -,15 2 0'0 CITY NO p o o 0 52000 J PC Fee$ Permit Fee 77 > 07608-80 Issuance Fee W d Total Fee COUNTY OF LOS ANGELES TEMPLE CITY # 0508. BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ' ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 BL 0508 9905130073 PHONE: (626) 285-0488 EXT: LEGA ID: NO. Of BUILDING ADDRESS: TR: 35012 LT: 4 SQ. FT STORIES TYPE 5417 GOLDEN WEST AV STRUCTURE: 0 VN 'TEMP CA 917803219 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 8588-020-025 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE : R-1 ISSUE ON: PROCESSED B . EXIST OCC GRP: 05/13%99 UT 11/09/99 I OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL"DATE FINAL BY: CODE: VUKOJEVIC;RADE (626) 285-1571- 1 5,500 f .10/1)r] 5417 GOLDEN WEST AV r iC �,/Pl TEMP 917803219 FEES PAID DESCRIPTION OF WOR TEAR OFF AND INSTALL 1/2" PL D, COVER WITH It YR. COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE APPLICANT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 C AC STRONG MOTION RESID 5500.00 VAL 0.55 SPECIAL CONDITIONS: D2 PERMIT W/O EN-H= 5500.00 VAL 149.40 ��GELE�TOT`A®F,EES 177.70 SAME AS TEL. NO: - 6j �/�A� APPROVALS E INSPECTOR SIGNATURE LIC. NO LOCATION AND SETBACKS SOILS,ENGINEER APPROVAL ARCHITECT OR ENGINEER: O: FOUNDATION/TRENCH FORMS _ f LIC. NO: 1111111 SLAB/UNDER FLOOR I ISED FLOOR MAP O: SEWER MA_P BOO : PAGE: FIRE ZONE: CMPie UNDERFLOOR I S CATION 147H269 3 tol r US)I7 \1I1\11I0 K SuLLL��� 1J V' FLOOR SH N0. OF FAMILIES: DWELLING : A T/CO D: SS,:— NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUSD * R PANEL AIR QUALITY: 1000 FEET MATERIALS LF NO NO NO O ®yFRAME INSPECTION REQUIRED TOTAL SETBACK IRE , NGERS SET R A FRONT PL- YARD: HWY: PROP LINE: WIDTH: �8%%L, Ser ��B�ytl�t INSULATION/WEATHER STRIP SIDE PL- vicei INTERIOR LAT I EXTER IOR LATH • I RATEDI FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES t RATED SHAFTS/OPENINGS T-BAR, CEILINGS T DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 d I � I