Loading...
HomeMy Public PortalAbout5423 GOLDEN WEST AVE_Building__ ©s'76A638A _�- CEi#803(REV,1J/78) � � • ,"APPLICATION F- _R BUILDI RM"IT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN _- ADDREs BUILDING ADDRESS LOCAL TY NEARES CITY / ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP,BOOK PAGE PARC DISTRICT GROUP TYPE FIRE O SED BY TRACT BLOCK LOT NO CONST E TEL OWNER NO STATISTICAL CLA SI (CATION SEWER MAP ADDRESS CLASS NO r / DWELL UNITS BK PG CITY ARCHITECT OR TEL VALUATION`$ ENGINEER, - NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF CONTRACTOR NO HIGHWAY + YARD OTAL SETBACK FROM TYPE OF EXISTING FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO _.. - LIC + _ CITY CLASS BLDG SETBACK'FROM CONSTRUCTION R SIDE PROP LINE OF (STREET) NAME A CH HIGHWAY + YARD - TOTALS FROM TYPE OF EXISTING16 ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH V SO FT OF ' NO OF CHECK + _ SIZ STORIES FAMILIES ONE , 09Q USE ZONE MAP �1 DESCRIPTION OF WORK NEW NO SPECIAL ADD ❑ CONDITIONS #A ALTERFINAL G BY Z REPAIR -❑ DATE ���� o USE OF DEMOL EXISTING BLDG ZG APPLICANT TEL (PRINT) B NO D J BY(SIGNATUREI I > > n I HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLICATION AND STATE - V � A 1 0 5.3 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE U .#10;0.10 O oil WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OE THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM _ - _ -_ Z • ' ' ' PENSATION INSURANCE ' • g 2! 3:4:00 , SIGNATURE OF o -'o 3,A 0 0 v PERMITTEE ADDRESS• ^ Z � 0:7;0 2-8 0 TEL CITY T NO S G -J PC Fee$ Permit Fee > f Issuance Fee W IL Total F _ iC�71803(REV,'11%�B), _ _- �.�. ...... �`..G1�-�//r�G��/ c-•c� ..• ,_ APPLICATION. FOR O.0ILD ING P.ERM71T, �r COUNTY_OF LOS ANGELES. ., BUILDING•AND•SAFETY,IbDING •f - - ,_ .� _FOR•APPLICANT TO FILL IN:, ' ADDRESS- BUILDING v ADDRESS S _ - _L ��_ LOCALITY �► NEAREST CITY ZIP, Q CROSSST O OF BLDGS ASSESSOR, ` SIZE OF LOT NOW ON LOT MAP,BOOK` '^'s �' PAGE - PARCEL , ^' DISTRICT ` GROUP" TYPE "'FIRE' PRO SSED BY TRACT BLOCKS . LOT NO .CONST- ZONE i. .TEL OWNER NO STATISTICAL CLASSIFICATION" ;�- SEWER MAP ADDRESS t Time) CLASS NO DWELL UNITS,- BK PG.' CITY Y ZIP' ARCHITECT OR - TEL VALUATION $ 4 ENGINEER - NO ADDRESS _ t� BLDG SETBACK FROM .f TEL �7{ FRONT PROP LINE OF (STREET), CONTRACTOR 'NO 8 1 HIGHWAY + YARD _ TOTAL SETBACK F 3 ROM MTYPE OF EXISTING LICFRONT,PROP LINE, HIGHWAY 'WIDTH - ADDRESS - NOJg5jm 4 • " + _ T t' LIC _ CITY` - LASS J 3` BLDG SETBACK FROM ' CONSTRUCTION^LEN ER r "^^^ 'SIDE PROP LINE OF 1 '�ISTREETI - NAME AND BRANCH +' _ HIGHWAY + 'YARDY = TOT�ALSETBAC_KFROM T�YPEOF EXISTING �.'.' ADDRESS y CITY? SIDE PROP LINE y. HIGHWAY WIDTH• cr SO FT' Q NO OF NO OF y� 'CHECK ` 't'+ _ u SIZE STORIES 'FAMILIES ONE �� IG USE'iONE MAP NO DESCRIPTION OF-WORK NEW ^- -� SPECIAL d j ' ADD ❑ �,✓Z CONDITIONS > 1101 ALTER ❑ FINAL, REPAIR �❑ DATE USE OF EXISTING BLDG DEMOL ❑ - a Z APPLICANT•, /+ _ 4 TEL `~ O e 1 (PRINT) C_.f�Li �O ,15 NO 1.�✓ Q :3 'BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I' AVE READ THIS APPLICATION AND STATE �'+• Y .r 8J�7 6 A THAT THE ABOVE IS CORRECT.-AND GREE TQCOMPLY WITH ALL,ORDINANCES _ - _ _ ;��L , AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE - _ t •• - WORK AUTHORIZED HEREBY I,WILL NOT EMPLOY ANY PERSON IN VIOLATION OF •'V # o o O,o THE LABOR CODE OF THE STATE OF CALI I�ORNIA IN RELATING TQ WORKMEN S COM _ ,_ _ Z 1 _ PENSATION INSURANCE �• 88 ,o p n ' "` T r 1 , •`, ,,�-O,O V Q U`10 SIGNATURE O +- PERMITTEE ADDRESS `"TEL µ CITY NO �M PC Fee$ Permit Fee � _; Issuance Fee UA Total Fee COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0812110001 PHONE (626) 285-0468 EXT ILEGAL ID I NO OF CONST I BUILDING ADDRESS 1 ITR 35012 LT 5 I SQ FT STORIES - TYPE 5423 GOLDEN WEST AV 1 STRUCTURE 540 TEMP CA 917803219 (ASSESSOR INFORMATION NUMBER 1 , 1 NEAREST CROSS STREET OLIVE 1 18588-020-026 THOMAS PAGE 597 GRID A4 LOCALIT'Y TEMPLE CITY, Cl ITENANT IEXIST BLDG USE. SWIMM USE ZONE (ISSUED ON PROCESSED BY IEXIST OCC GRP 112/11/08 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION FINAL DAT FIN CODE IZHOU, DANNY (626) 274-9898- 1 8,000 1 _ 15423 GOLDEN WEST AV ` ITEMP 917803219 FEES PAID ID SC IPTIO OF WORK ISWIMMING POOL DEMOLITION & FILL POOL W/DIRT IFEE DESCRIPTION QUANTITY UOM AMOUNT 1APPLICANT: TEL NO I 1 SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 102 DEMOLITION INSPECTN 163 50 ISPECIAL CONDITIONS 1 1 1 TOTAL FEES 191 25 1 CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I LIC NO IPEDESTRIAN PROTECTION I I I I I I I I 15EWER DISCONNECTION I I I (ARCHITECT OR ENGINEER. TEL NO (ABANDON PRIVATE DISPOSAL( I 1 LIC NO 1UNDERGRND STRUCT REMOVALI (AND SOIL RECOMPACTION IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE CMP I I 1147H263 001 I I 11 INO OF FAMILIES DWELLING UNITS APT/GOND- STAT CLASS NO 24 I _ SCHOOL WITHIN HAZARDOUS (AIR QUALITY 1000 FEET MATERIALS NO NO NO I A I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I 1 i .3. 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 9902170012 PHONE: (626) 285-0488 EXT: LEGAL 0. OF CONST BUILDING ESS: TR: 35012 LT: 5 SQ. FT STORIES TYPE 5423 GOLDEN WEST AV STRUCTURE: 0 VN TEMP CA-917803219 ASSESSOR INFORMATION-NUMBER: NEAREST CROSS STREET: BROADWAY 8588-020-026 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BL : RESID USE ZONE: - S ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/17/99 UT 02/17/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE F1NA CODE: OVER5423STREET G0LDENPETER WEST AV 31-,) (818) 285-9005- 1 7,670 223 G Q TEMP 917803219 FEES PAID DESCRIPTIONWORK TEAR,OFF, NEW SHEATHING, ECOVE TH OWENS CORNING 25 YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: RANDOL ROOFING (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 529 E. VALLEY BLVD AC STRONG MOTION RESID--.7670.00 VAL 0.77 SPECIAL CONDIT 0 S: SAN GABRIEL, CA D2 PERMIT W/OmEN=NC_—�7670,00 VAL 183.00 �OdELESTOTk_L-FEES 211.52 CONTRACTOR: TEL. N288-4040- ii � APPROVALS DATE INSPECTOR SIGNATURE 529 E VALLEY BLVD LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91776 B SOILS ENGINEER APPROVAL ARCHITECT OR ER—GREER: FOUNDATION/TRENCH FORMS LIC. N 1111111 SLAB/UNDER FLOOR 0� FLOOR FRAMING RAISED 1147H269 SEWER MAP BOOK: PAG FIRE ZONE: CMPOJ1 n Q�UC © NDERFLOOR RKS INSULATION yaa v S EATH 0. OF FAMILIES: APT/COND: STAT CL SS• NO 21 �\ ROOF SHEATHING HAZARDOUS Q 0l ** SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 NO NO NO El ®� FRAME INSPECTI REQUIRED TOTAL SETBACK FROM EXIST � �0 FIRE SPRINKLER SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ZC '3e rvic a Tha$ N LA ION/WEATHER S R P SIDE PL- ERI AL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED S AFTS S T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOR BUILDING PERMIT BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS ; LOCALITY NEAREST CITY IF-1'1L ZIP CROSS ST. Na OF BLDGS. ASSESSOR SIZE OF LOT 5 BNOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPETRE PROCESSED BY TRACX LOCK OT NO CONST. ONE TEL, OWNER O. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO, DWELL.UNITS BK PG CITY ZfP USE ZONE MAP NO. ARCHITECT OR TEL SPECIAL ENGINEER NO - CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = 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 I TYPE OF EXISTING SIZE b�7L' STORIES FAMILIES ONE SIDE PROP.LINE IHIGHWAY1 WIDTH © + _ DESCRIPTION OF WORK NEW ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USEOF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑ APPLICANT TEL r (PRINT) NO. V w BY(SIGNATURE) J w • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Q AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON W VIOLATION OF 0 a THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- � PENSATION INSURANCE. SIGNATURE OF FINAL BY PERMITTEE DATE ADDRESS TEL. P.C. Fee$ Permit Fee CITY NO. =` Issuance Fee VALUATION$ 47•- Z'01 ° Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ©S 76A638B CE N803B 6/76