HomeMy Public PortalAbout5503 GOLDEN WEST AVE_Building__ �Di�OARTMENT OF BUILDING AND SAFETY l APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1 L
o WM. J. FOX, CHIEF ENGINEER '
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FOR APPLICANT„TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
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LOCALITY RECE VED BY DATE OF APPL. DATE ISSUED
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APPROVED
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• _ j USE r/�. APPROVED
ADDRESS ZONE BY DATE
LEGAL �, CORRECTIONS
DESCRIPTION /LyOT NO. BLOCK r
TRACT 0 1I,,�,- - / yQ•�r't
SIZE OF LOT�.`a.�t� d/�0 I NOW ON LOTNO.OF S ,�'`
USE OF NO.OF NO.or— '
EXISTING BLDG. FAMILIEa ROOMS ,
DESCRIPTION OF WORK
NEW IX ALTERATION ADDITION
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_SIZE 2u ROOMS STORIES
WALL ROOF
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B U I LDI,N O W
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
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AND STATE LAWS REGULATING BUIL.1311G CONSTRUCTION
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS„ J�
PERMITTEE_
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LATH, INT.: _ i� C •�C� 'p
AUTHORIZED AOT LATH,EXT.: IV
DDS-3 SOMSETS•7-a7 $ - PLASTER,INT.
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VALUATION Q� �� FEE (7 FINAL • - ,34'- % I
76A638A CE#803 8-64 APPLICATIONVOR BU ILDI, G PERMIT
COUNTY OF LOS ANGELES BUILDING ,
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND 'SAFETY DIVISION L O C A L I TY
JOHN A. LAMBIE, COUNTY ENGINEERNEAREST
COLEMAN W JENKIINS,SUP'T OF BUILDINGFSETBACK
NO GRO TYPE Jd�CE BY
-FOR APPLICANT TO FILL-IN CONST
BUILDING CAL CL(% FICATION I SEWER MAP .
ADDRES �63 ,® �,•�' _LJ_DW ELL-UNITSOT NO BLOCKE MAP �1 NO /X 4-TRACT _ - SPECIALNOOF- CONDITIONS
SIZE OF LOT, .. r 'NOWON LOTUSE OF' QCO ACK FROM
TEL n` �'/� FRONT PROP LINE OF (STREET•)
OWNER O C7[ V TYPE OF EXISTING S ACK HIGHWAY + YARD = TOTAL
ADDRESS-5,561 , 40,66,n- nn J g HIGHWAY WIDTH 'F OM C L `
C 1 T Y- / e G Cj +
BLDG SETBACK FROM
ARCHITECT OR I TEL SIDE PROP LINE OF (STREET)
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY �•' ARD. = TOTAL
ADDRESS HIGHWAY WIDTH r FROM'C L d
CONTRACTOR {j Q NOL��O � I V + - VO
/ LIC. CORNER CUTOFF YES NO ® O
ADDRESS (�O �� 4I NO -
CITY `� LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS u
DESCRIPTION OF WORK w
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NEW ADD T REPAIR DEMOLISH
SQ.FT _ NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE-'0— r &-r-)
SIGNATURE OF
APPLICANT
VALUATION e� APPROVALS - ISA'T-E INSPECTOR'S SIGNATURE
P C PMT00 FOUNDATION, LOCATION
FEE$ - FEE$ 49 FORMS, MATERIALS__-
FRAME, FIRE STOPS, - -
I HEREBY ACKNOWLEDGE THAT•.I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS,CORRECT, AND AGREE TO COMPLY FURNACE: LOCATION
•WITHALL COUNTY ORDINANCES, AND-STATE LAWS REGULATING GAS VENT DUCTS
BUILD I NG ,CONSTRUCTION .I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT ;
TION OF'THE LABOR COD- OF THE STATE OF CALIFORNIA RELAT. ,
ING TO WORKMEN 5 CO NSATI ON INSURANCE LATH EXT '
SIGNATURE OF HOUSE NUMBER COR- '
PERMITTEE ECT
AND POSTE
ADDRESS ,J/ F1 NAL
PLAN CHECK 7oLVALIDATION.. SK M o CASH JOHN F LEWIS PRINCIPAL AL ENGINEER
PERMIT VALIDATION,—. _._'M o CASH
,; :0APco6 2 D 8.0 0-
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 0512120067
PHONE. (626) 285-0488 EXT
LEGAL ID: NO OF CONST BUILDING ADDRESS:
TR: 13805 LT: 24 SQ FT STORIES TYPE 5503 GOLDEN WEST AV
STRUCTURE 1700 VN TEMP CA 917802519
ASSESSOR INFORMATION NUMBER• NEAREST CROSS STREET: BROADWAY
8588-010-006 THOMAS PAGE 597 GRID• A3 LOCALITY. TEMPLE CITY, C
TENANT EXIST BLDG USE RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY. EXPIRES ON
EXIST OCC GRP 12/12/05 JK 12/07/06
OWNER: TEL NO: BLDGS NOW ON LOT VALUATION: FINAL DATE FINAL BY• CODE.
CHAVEZ DEANNE/GILBERT (626) 292-7758- 8,000
5503 GOLDEN WEST AV �/�/2.�
TEMP 917802519 FEES PAID DE R TION OF WORK
TEAR FF AND REROOF 30 YR COMPOSITION SHINGLES HOUSE AND
FEE DESCRIPTION. QUANTITY. UOM: AMOUNT- GARAGE
APPLICANT TEL. NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 8000 00 VAL 0 80 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 8000 00 VAL 183.00
FR INV WORK W/O PERMIT 257 00 DOL 257.00
TOTAL FEES 468.55
CONTRACTOR. TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
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 CORD STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRF.ME 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
t
RATED SHAFTS/OPENINGS
T-EAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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