HomeMy Public PortalAbout5420 GOLDEN WEST AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING ./ COUNTY OF LOS ANGELES
ADDRESS �- �-' GULDEN WEST AVEI'XIE DEPARTMENT OF COUNTY ENGINEER
CITY "I• �1 "(•E CITY ZIP BUILDING AND SAFETY DIVISION
SIZE OF LO��^Tyy G4. X 107wOWOON LOTS C BUILDING
ESS
TRACT 3.5012 BLhOCtK' Cin[ LOT NO. 25 LOCALITYNEAREST
-
OW NEF{rs�IR["Y1VE��I Y.� u• E,rlJc�lF��NOLi��+ � CROSS ST.
j HUNTING
t� ASSESSOR
ADDRESS 8656 E• HUNTINGTON DRIVC MAP BOOK PAGE PARCEL
��++��}^� ry{�r �ry DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY SAN �til.7l'YyIEL �y�.�ryZIP 9177�'��j CONST. : ZONE
ErT�Tf OR EPd+ E F'A+dttti]U NOL 33�J-41{. .. ..
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �^�I��L CLASS NO. DWELL UNITS BK PG
CONTRACTOR OWNER
TEL.
USE ZONE MAP
III
t��± F� �{ LIC. NO.
ADDRESS WIME A5 #iBw„1lle, NO. SPECIAL
CITY
LIC, CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
j CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SQ, FT���ryry C�ss NO OF NO. OF CHECK FRONT PROP, LINE HIGHWAY WIDTH >..
SIZE 1.1C3tf. STORIESOM FAMILIES ONE �O
} = U
DESCRIPTION OF WORK NEW
LLJ
ADD BLDG. FROM
SI'GlE FULV FE5I0EACE SDPROP. LNEOF (STREET)
WITH Ii nTTryn ,,,,f�„� f? ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING 4
i.i I# Fi F1 L! �,} Ii REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH �
USE O
EXISTING NG BLDG, DEMOL ❑ } C-
f��g ryry r,�yr �v �y� r��^f M CORNER CUTOFF YES ❑ NO w
APPLICANT
ANT L7L 13'�.t7E lL11F t7�No NO. G:37r►752 ❑ F_ I,
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ 149gG!50:,g1G0
I HEREBY 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 CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE ST(TE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
j ADDRESS
TEL.
FINAL JBY
�oWCITY NO. DATEWW Q
lI.AKE CHECKSf'AY,AWL�;IO:. FEE +Q� '' FEE
HARVEY T. BRANDT. COUf`jTYaENPINEERMOMmi
y a
PLAN'CHECK VALIDATION ;CK ; PRO 'CASH _ P Ri�IIT VALID( TION CK M O. CASH
I CJ t� -, � � f.Jll --• ,a
T4
76A638A CE#803 574
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 0102260035
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 35012 LT: 15 SQ. FT STORIES TYPE 5420 GOLDEN WEST AV
STRUCTURE: VN TEMP CA 917803218
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8588-020-036 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/26/01 UT 08/25/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL TE FI A B CODE:
PETER'CHANG & SUSIE SU HUA YEH (323) 264-8050- 1 7,500
5420 GOLDEN WEST AV 113 o r
TEMP 917803218 FEES PAID DESCRIPTION-OF WOR
T/O EXISTING WOOD SHIN LE, REP WITH NEW CDX PLYWOOD AND
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAF TIMBERLINE 30YR COMPOSITION SHINGLE
APPLICANT: TEL. NO:
KIM YOUNG MAN - AA BLDG PERMIT ISSUANCE 27.75
1541 LOMA VERDE ST AC STRONG MOTION RESID 7500.00 VAL 0.75 SPECIAL CONDITIONS:
MONTEREY PARK, CA D2 PERMIT W/O EN-HC 7500.00 VAL 183.00
TOTAL FEES 211.50
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
YOUNG'S CONSTRUCTION CO. (323) 264-8050-
1541 LOMA VERDE STREET LIC. NO LOCATION AND SETBACKS
MONTEREY PARK CA 91454 408931
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: - - SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASST
FLOOR SHEATHING
NO 21 ROOF SHEATHING C>�
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- 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
r3�_�
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 1009020044
PHONE: (626) 285-0488 EXT:
.ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 35012 LT: 15 SQ. FT STORIES TYPE 5420 GOLDEN WEST AV 1
I ISTRUCTURE: V-B TEMP CA 917803218 1
(ASSESSOR INFORMATION NUMBER: - I NEAREST CROSS STREET: OLIVE J
18588-020-036 I I . THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY: I
I 19XIST OCC GRP: 109/02/10 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL BY: CODE: 1
IYEH, SUSIE (626) 348-1499- J 3,600
15420 GOLDEN WEST AVI / v
ITEMP 917803218 1 FEES PAID ID SCR PTION OF WORK
I I ICHANGING 11 RETRO-FIT WI OWS AND 1 RETRO-FIT DOOR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: I I
ITHAI TRAN - (626) 215-3919- JAA BLDG PERMIT ISSUANCE 27.80 I 1
12204 CHARLOTTE AVE JAB STATE GREEN BLDG FEE 3600.00 VAL 1.00 ISPECIAL CONDITIONS: J
IROSEMEAD CA 91770 - JAC STRONG MOTION RESID 3600.00 VAL 0.50
1 ID2 PERMIT W/O EN-HC 3600.00 VAL 116.00 J -
JFR INV WORK W/O PERMIT 257.00 DOL 257.00 1
(CONTRACTOR: TEL. NO: TOTAL FEES 402.30 JAPPROVALS DATE INSPECTOR SIGNATURE
JUS CONSTRUCTION INC. (626) 215-3919- I 1-
12204
12204 CHARLOTTE AVE LIC. NO (LOCATION AND SETBACKS 1
ROSEMEAD CA 91770 661037 I -I I I
ISOILS ENGINEER APPROVAL
JARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. NO: ISLAB/UNDER FLOOR I I
I I IRAISED FLOOR FRAMING 1 J
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J JUNDERFLOOR INSULATION I J
1147H269 3 001 1 1
I I IFLOOR SHEATHING I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
1 NO 21 1 IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I
JAIR QUALITY: - 1000 FEET MATERIALS 1 11 1
1 NO NO NO IFRAME INSPECTION I 1 I
I _ IFIRE SPRINKLER HANGERS
I (INSULATION/WEATHER STRIPI I I
JINTERIOR LATH/DRYWALL
I 1EXTERIOR LATH I I 1
IRATED FLOOR/CEIL ASSEM. I I
I (RATED WALL ASSEMBLIES I I
I IRATED SHAFTS/OPENINGS 1 I
I I IT-BAR CEILINGS
I I ILOT DRAINAGE J
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 'BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1301220069
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS:
ITR: 35012 LT: 15 I SQ. FT STORIES TYPE OCCUP GROUPI 5420 GOLDEN WEST AV 1
I (STRUCTURE: 0 1 V-B R-3 I TEMP CA 917803218 1
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 1
18588-020-036 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 1
(TENANT: (EXIST BLDG USE: RESID 11SSUED ON: PROCESSED BY: 1
IEXIST OCC GRP: R-3 101/22/13 SR 1
1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL ATE FINAL BY: CODE: 1
IYEH, SU - I 24,000 �/
15420 GOLDEN WEST AV 1
ITEMP 917803218 I FEES PAID 1 SCRI IO OF WORK 1
INSTALLATION OF 21 ROOF MOUNTED SOLAR PANELS INV CHNAGE
1 _(FEE DESCRIPTION: QUANTITY: UOM: AM0UNT: IC0N`2RACTOR SEE ALSO BL 1212240033 1
1APPLICANT: TEL. NO: I I
MICHAEL, FLEZZY - IAA BLDG PERMIT ISSUANCE 27.80 1 1
TOTAL FEES 27.80 ISPEC'IAL CONDITIONS:
I
I
-I I
CONTRACTOR: TEL. NO: I (APPROVALS - DATE INSPECTOR SIGNATURE
IBURKE ELECTRIC (951) 368-4050- 1 1
119825 ROTERDAM IN LIC. NO I ILOCATION AND SETBACKS I I
IRIVERSIDE CA 92508 010896796 11 1
I I ISOILS ENGINEER APPROVAL I -I
1 _I 11 1
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
I I
I LIC. NO: I SLAB/UNDER FLOOR I I
I i 1 1 I
I I IRATSED FLOOR FRAMING I I
I I I 11 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFL00R INSULATION I I
I 147H269 XX XX 3 001 I 1-1
I I IFLOOR SHEATHING 1 I 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 11
1 0 0 NO 99 1 (ROOF SHEATHING
I I I
I SCHOOL WITHIN HAZARDOUS I SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
I NO NO NO FRAME INSPECTION
I -I I
I IFIRE SPRINKLER HANGERS
I I I
I I IINSUF-ATION/WEATHER STRIPI I
I I I I
I (INTERIOR LATH/DRYWALL
I I I
I I IEXTERIOR LATH I I
I I I i I
I I IRATED FLOOR/CEIL ASSEM.
I I I
I I RATED WALL ASSEMBLIES
I I IRATED SHAFTS/OPENINGS 1
I I IT-BAP, CEILINGS i 1
I I i I _I
I I ILOT DRAINAGE
I I I_ I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I 1
I I I
` COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1212240033
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITR: 35012 LT: 15 SQ. FT STORIES TYPE OCCUP GROUPI 5420 GOLDEN WEST AV 1
I (STRUCTURE: 0 1 V-B R-3 I TEMP CA 917803218
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
18588-020-036 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
(TENANT: IEXIST BLDG USE: RESID (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: R-3 112/24/12 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE F NAL BY: CODE: 1
IYEH, SU - 24,000 , 1
15420 GOLDEN WEST AV 1
ITEMP 917803218 FEES PAID JOESCRIPT'10fi OF WORK 41
I (INSTALLATION OF 21 ROOF MOUNTED SOLAR PANELS INV UPGRADE 200
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: I I 1
MICHAEL, FLEZZY - IAA BLDG PERMIT ISSUANCE 27.80
IP1 RES PV PC<10KW 153.90 ISPECIAL CONDITIONS:
1 IP2 INSPCT RES PV <10KW 138.00 1
TOTAL FEES 319.70
ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
(ELITE ELECTRIC (951) 681-5811- 1 1 1
19415 BELLEGRAVE AVE LIC. NO ILOCATTON AND SETBACKS I 1 1
(RIVERSIDE, CA 92509 418242 1 1 1 1
ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS
LIC. NO: ISLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I IUNDERFLOOR INSULATION
147H269 XX XX 3 00 1 1
1 IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 0 0 NO 20 IROOF SHEATHING 1
I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1
(AIR QUALITY: 1000 FEET MATERIALS I 1 1 1
I NO NO NO IFPAME INSPECTION 1 1 1
1 FIRE SPRINKLER HANGERS 1
INSULATION/WEATHER STRIPI
1 1 INTERIOR LATH/DRYWALL 1
1 EXTERIOR LATH 1 1 1
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
1 IT-BAR CEILINGS I I 1
1 I* ADDITIONAL DATA ON FILE I
ILOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508 I1
I 1