HomeMy Public PortalAbout5452 GOLDEN WEST AVE_Building__ APPLICATION FOR BUILDING PERMIT L
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING. - . 1 COUNTY OF LOS ANGELES
ADDRESS `'' �"' );�l.t L`,! WE:ST AVE ' - DEPARTMENT OF COUNTY ENGINEER
CITY TUIP E CITY v • ZIP BUILDING AND SAFETY DIVISION
LDING
SIZE OF LOT GO* 115NOWOON LOTS � ADI
A DRESS
TRACT 35 BLOryCK /+nt! LOT NrO. a1j LOCALITY
TEL. ST
OWNER FAIRI-JAVEN OE V,, IVJiJRPmo. 2V-9521 GROSSNEAREST.
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ASSESSOR
ADDRESS8�356 �-UNT N MIIIE MAP BOOK PAGE PARCEL
r�ryL� 1775 DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY 0_t 4% 5A3R C^ ^fin t7ZIP ll,,��'�tf-� tt�"! CONST,r.. ZONE
E7q, flQ ' OR UORE HAjAn - NO.J39-414a �-
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS rr��'��� CLASS NO._ DWELL.UNITS SK PG
CONTRACTOR 0WPJEfj No. USE ZONE MAP
LIC. _ NO.
ADDRESS ',*)At--E AS t�f�. NO. SPECIAL
LIC. CONDITIONS
CITY
CONSTRUCTION LENDER CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES NO
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP. LINE OF (STREET)
ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROMI TYPE OF EXISTING
SQ. FTS NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH >-
SIZE Tizj�) STORIESzep FAMILIES-CP..; ONE
O
} = U
DESCRIPTION OF WORK NEW Li.l
ADD El SIDE
FROM W
,II GLE FAMILY RCS �EN SIDE PROP. LINE OF (STREET)
'ITH7 ATTACIED l.7AP.A.",E, ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING r
.0 F 1 t1ta� �G.b� L.7 C. ❑ HIGHWAY } YARD = �
REPAIR SIDE PROP. LINE HIGHWAY WIDTH
USE OF } = CD
EXISTING BLDG. DEMOL ❑ a'
AP PRIN AN(7 ts�i..&E. I,cL,LL;t E� NO 20-9527
��{{'�''o� '} r� CORNER CUTOFF YES ❑ NO ❑ LJ
4:G` —952 7
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
9 IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION� t^�� `- � }u
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 STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL BY
TE L.
CITY NO. DATE /
P.C. PMT.,
IIA KE CHECKS P.1)�.1 J31_EyT� FEE � �'. .' FEE
HARVEY T. BRANDT, COUNTYXNrINFtER ,y �;� L
�
PLAN'CHECK VALIDATION I CK. M 0 'CASH _ # PERMT VAUDATION CK. M O CASH
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 0212180014
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDINGADDRESS:
TR: 35012 LT: 11 SQ. FT STORIES TYPE 5452 GOLDEN WEST AV
STRUCTURE: VN TEMP CA 917803216
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8588-020-032 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSU D ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/18/02 JK 06/16/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ALAN GETZ (626) 285-3540- 12,000
FEES PAID DESCRIPTIUN OF WORK
REMOVE SHAKES;INSTALL ROOF SHEATHING&CERTIANTEED RESIDENTIAL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FIBERGLASS SHINGLES
APPL CANT: TEL. NO:
EAGLE ROOFING (626) 291-5700- AA BLDG PERMIT ISSUANCE 27.75
6327 LIVIA AVENUE AC STRONG MOTION RESID 12000.00 VAL 1.20 SPECIAL CONDITIONS:
TEMPLE CITY 91780 D2 PERMIT W/O EN-HC 12000.00 VAL 250.20
TOTAL FEES 279.15
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
EAGLE ROOFING (626) 291-5700-
6327 N LIVIA AVE LIC. NO LOCATION AND SETBACKS
TEMPLE CITY CA 91780 698529 C39
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
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
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 FLOG /CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508