HomeMy Public PortalAbout5471 GOLDEN WEST AVE_Building__ 76A636A-CE#60310-66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY �-
JOHN A. LAMBIE, COUNTY ENGINEER 14EAREST
CASSATT D. GRIFFIN, SUP'T OF BUILDING C=ROSS ST. � ,�/dl�J !>.lZ.
DISTRICT NO. GROUP TYPE P OCESSED BY
FOR•APPLICANT TO FILL IN X CONST
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
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LOT NO. / BLOCK NUMABER STATE YES N0
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SIZE OF LOT NOW ON LOT NO.OF S ,, -�
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CONTRACTOR TEL.
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DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
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STRUCTURE le _IV
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APPLICANT -� -! � ' y /'
ff y APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS -may'/ ���42i�/�f? Pf�t � FOUNDATION:
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VALUATION$ �� FRAME:FIRE STOPS,
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I FURNACE:LOCATION.
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FEE $ FEEGAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND r
STATE LAWS REGULATING BUILDIN Cp/NSTRUCTION. LATH,EXT.
SIGNATUR {/ //�� ` HOUSE NUMBER COR-
PERM �� ' ✓/T""�q�� RECT AND POSTED
ADDRESS s� �� ` �� FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E IN R .
PLAN CHECK VALIDATION CK. M.O. ' CASHPERMIT VALIDATION CK. M-O. CASH ;
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8 .1 4 1I ;21002.5 1 A 5.00 F
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 1301180006
PHONE. (626) 285-0488 EXT
ILEGAL ID I NO OF CONST BUILDING ADDRESS
ITR 13805 LT 70 SQ FT STORIES TYPE 5471 GOLDEN WEST AV
I ISTRUCTURE 1500 V-B TEMP CA 917803219
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
IS588-022-020 " THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI
I I
ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY I
EXIST OCC GRP 101/18/13 SR I
DOWNER TEL NO JBLDGS NOW ON LOT VALUATION IFINALT DATE FI AL BY CODE
BHALLA, NIEL - 1 5001-71
15471 GOLDEN WEST AV 1
ITEMP 917803219 - FEES PAID IDES_RLPTION OF WORK
INEW STUCCO ON REAR SIDE OF THE RESIDENCE
1 iFEE DESCRIPTION QUANTITY UOM AMOUNT
JAPPLICANT TEL NO I
IGORINA, JOSE (562) 658-5753- JAA BLDG PERMIT ISSUANCE 27 80
19155 RAVILLER DR JAB STATE GREEN BLDG FEE 500 00 VAL 1 00 ISPECiAL CONDITIONS 1
IDOWNEY CA 90240 QAC STRONG MOTION RESID 500 00 VAL 0 50
1 ID2 PERMIT W/O EN-HC 500 00 VAL 43 70 1
1 IFS INV WORK W/O PERMIT 339 60 DOL 339 60 1
ICONTRACTOR TEL NO. TOTAL FEES 412 60 JAPPROVALS DATE INSPECTOR SIGNATURE
IGORINA AND SON EXTERIORS (562) 861-1721- 1-
19155 RAVILLER DR _ LIC NO LOCATION AND SETBACKS
IDOWNEY, CA 90240 NONE I
JSOILS ENGINEER APPROVAL
I
ARCHITECT OR ENGINEER TEL NO j FOUNDATION/TRENCH FORMS
I - �
LIC NO SLAB/UNDER FLOOR I
I !
IRAISED FLOOR FRAMING
1
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP JUNDERFLOOR INSULATION I
I147H269 3 00 1 1-1
I IFL00R SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ,
- 0 NO 21 IROOF'SHEATHTNG I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAP PANELS I I I
JAIR QUALITY 1000 FEET MATERIALS
1 NO NO NO 1 1FRAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS
I I I
(INSULATION/WEATHER STRIPI I I
INTERIOR LATH/DRYWALL
IEXTERIOR LATH
IRATED FLOOR/CEIL ASSEM.
I I
I IRATED WALL ASSEMBLIES I I
I I
IRATED SHAFTS/OPENINGS
I I I
1T-BAR CEILINGS
I I I
` 1
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
r 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 1301180005
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 13805 LT 70 SQ FT -STORIES TYPE
5471 GOLDEN WEST AV
I (STRUCTURE 1500 V-B TEMP CA 917803219
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18588-022-020 THOMAS PAGE- 597 GRID A4 LOCALITY. TEMPLE CITY CAI
I I
ITENANT (EXIST BLDG USE- RESID USE ZONE R-1 JISSUED ON. PROCESSED BY
EXIST OCC GRP 101/19/13 SR
OWNER TEL NO 1BLDGS NOW ON LOT- VALUATION FINAL QATF, FI AL BY CODE
IBHALLA, NIEL - 1 500 p:�m 15471 GOLDEN WEST AVITEMP 917803219 FEES PAID SCRIPTI N OF WORK 1
I INEW STUCCO ON GARAGE 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT
1APPLICANT TEL NO I 1
IGORINA, JOSE (562) 658-5753- IAA BLDG PERMIT ISSUANCE 27 80 1
19155 RAVILLER DR IAB STATE GREEN BLDG FEE 500 00 VAL 1 00 (SPECIAL CONDITIONS 1
IDOWNEY CA 90240 _ 1AC STRONG MOTION RESID 500 00 VAL 0 50
1D2 PERMIT W/O EN-HC 500 00 VAL 43 70
I TOTAL FEES 73 00 1�6�1 � ���
I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IGORINA AND SON EXTERIORS (562) 861-1721- I 1-
19155 RAVILLER DR LIC NO (LOCATION AND SETBACKS 1 1
IDOWNEY, CA 90240 NONE 1 I
I ISOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS
1 LIC NO: I (SLAB/UNDER FLOOR I 1 1
I I I
1 ' (RAISED FLOOR FRAMING 1 1 1
I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I
1147H269 3 001 1 1-1
I I (FLOOR SHEATHING 1
INC, OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I
1 0 NO 21 1 IROOF SHEATHING
I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I 1 1
1AIR QUALITY 1000 FEET MATERIALS I
I NO NO NO 1 IFRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS
I I I
(INSULATION/WEATHER STRIPI
f1 11NTERIOR LATH/DRYWALL
I I 1EXTERIOR LATH I I
RATED FLOOR/CEIL ASSEM
I I I
I 1 IRATED WALL ASSEMBLIES 1 1 1
1 I I
(RATED SHAFTS/OPENINGS
I I I
IT-BAR CEILINGS
I I I
_ - ILOT DRAINAGE 1 1
- - (REPORT ID DPR261 ROUTE TO BS0508 1 I 1