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HomeMy Public PortalAbout5520 GOLDEN WEST AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMT COUNTY OF LOS ANGELES ®� WM. J. FOX, CHIEF ENGINEER - - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO: PLAN CK. NO. PERMIT NO. BUILDING2 ADDRESS V qO �/j�J 9L `� LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED 7 e NEAREST - CROSS ST. I BUILDING L_ ADDRESS � t If /A�= dD G/G •('/Z OWNER I / A /-� ,p-7GJ (/1. ,��ls LOCALITY MAIL J ADDRESS S d —e (I v N IiUQST NEAREST _/ , _ TEL. 'fes G CROSS ST. �r"•O-A G LL--ox L•/ / CITY -L r,7 ,� �('� NO. / •19O P ,FIRE NO. OF -I I PE / / I GROUP ARCHITECT OR TEL. ZONE PLANS (/ ENGINEER NO. - BLDG. Cl aD�NO. SETBACK LINE ADDRESS APPROVED - TEL. BY DATE CONTRACTOR Nom' e NO. USE APPROVED ZONE BY • DATE' • ADDRESS - 1� HOUSE 'NUMBERING LEGAL DESCRIPTION LOT NO. /O I BLOCK MAP NUMBER FIELD CHECK BY TRACT - NO ASS[GNED'BY � DAT �0'� t �� • I NO. OF BLDGS. - CORRECTIONS SIZE OF LOT NOW ON LOT USE OF NO OF a EXISTING BLDG. Q 4 S-9 et �A `b a,ee I FAMILIES DESCRIPTION OF WORK ^ NEW I I ALTERATION I I ADDITION I V' REPAIR I' I DEMOLITION /'"� SO. FT. / NO. OF 1A15%ox 4 J.c,e- X_-4-0- !.v 3'e-te to .Z/,V -L O SIZE aQ ROOMS STORIES Y EXT WALL ROOF COVERING P° I r' COVERING Af I-fp r USE OF STRUCTURE / It e4w .p G ►e APPROVALS INSPECT ITS SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION. LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS �•f ,QIJ5;fl. - CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS _ HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING,-BOLTS LAWS REGULATING BUILDING CONSTRUCTION. _ FURNACE: LOCATION, SIGNATURE OF - moo- GAS VENT, DUCTS PERMITTE (_� LATH, INT. L76A638A Lp < ' LATH, EXT. D AGT. PLASTER, INT. L $ P C. $rFEE PLASTER, EXT. v FEE $/� O' FINAL A P P.L I CATION FOR COUNTY OF LOS ANGELES ;4 DEPARTMENT�OF,COUNTY ENGINEER rB U I L D I N G PERMI T BUILDING AND SAFETY DIVISION BUILDING ~ FOR APPLICANT TO FILL IN ADDRESS :S'Q BUILDING �'.► ` ADDRESS O 40144'r-0 LOCALITY _ NEAREST -• ".�• - CITY �� /{(� ZIP CROSS�_ CROSS ST 40.OF BLOGS ASSESSOR . , - SIZE OF LOT NOW ON LOT MAP,BOOK PAGE PARCEL- DISTRICTGROUP TYPE ',FIRE P OC S 'D.Ty TRACT 0 /�J BLOCK LOT:N_' CONST " ' 7pNE Qdt]K�1 TEL OWNER L..)_� Q ✓ - 'NO'p�Q1i STATISTICAL CLASSIFICATION' ' �joSEWER MAP ADDRESS `V —® /,J .ti'V - w�f j •CLASS NO.��DWELL.UNITS �'" 'is,BK �• PG CITY _ Goy) ! �_ ��f-,_ Zip �• 1`/ D USE ZONE MAP». ARCHITECT OR + TEL., SPECIAL ENGINEER NO. 7; ONOITIONS a •� • •� ADDR S` ROAD DEPARTMENT APPROVAL REQUIRED- YES[:] N_O ❑^, ,CON tTO Yri Y✓� TELos' BLDG.SETBACK FROM, .j-" /' I �NO + JJ J _FRONT„PROP, .LI NE OF (STREET) _ 'ADDRESS©J� `p (�•e5 y✓NO �D / _ TOTAL SETBACK FROM�TYPEOF EXISTING .`. HIGHWAY } YARD - , CITY LIC. «�j J _ .FRONT PROP •LINE HIGHWAY WIDTH Z 1 C�"'t� CLASS J' CONSTRUCTION LENDER } NAME AND BRANCH a BLDG SETBACK FROM O ADDRESS. CITY - SIDE PROP,LINE OF (STREET). G� $Q NO OF-- NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING ,Lr SIZE.I i STORIES FAMILIES ONE - SIDE'PROP LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW" ❑ _ } �♦ n �- y� ADD CORNER CUTOFF YES ❑ y NO ❑ LTER ❑ IN OPEN SPACE YES ❑' NO ❑. T REPAIR❑ USE OF NG BLDG. • - - DEMOL ❑ IN M COASTAL PERIT ZONE YES ❑ ANO ❑ APPLICANT TEL - n- •'- - (PRINT) "s NO:` •” BY (SIGNATURE)-- I SIGNATURE)"I HEREBY ACKNOWLEDGE THAT 1 HAVE READ•THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- _ SIR UC TI ON - I CERTIFY THAT IN DOING THE WORK^AUTHORIZED 'HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF. CALIFORNIA IN RELATING, TO WORKMEN'S COMPENSATION INSURANCE - r - 1 •� - m SIGNATURE OF FINAL �,,,y ��77 BY_ PERMITTEE YN2DATE G✓ • ADDRESS - t `"A"'� ` TE L^� �s16�'� C. Fee$ Permit Fee �a- CITY NO f— _ Issuance Fee VALUATION$ ' �0o U :_ T to,Fee- PLAN CHECK VALIDA'T'ION CK 9 ' M O CASH PERMIT_VALIDAT ON -.76A638A CE0803B 12/75 - - - - ., 1 ,{ •/.�� ' - . (l:'r1 >,S ?`hlfltt' '� .;7. � f^ � � �J ["," 'li�:f ss.�J/� • APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES � ILDENTG WM. J. FOX, CHIEF ENGINEER �J 11 �1 DISTRICT NO. PLAN CK. NO. PERMIT NO. NO. OF BLDG. ORD.NO. PLANS SETBACK LING FIRS APPROVED ZONB BY DATE \\ RECEIV/E/�DD BY DATE //SOF APPL. DATE ISSUED ZONE / APPROVED DA \ �11d"1 /® v —llS /— �r APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ��" BUILDINGI`1' O Ir NAME ADDRESS Z-S7 1. / HZ ADDRESS LOCALITY t9 NEAREST U Z CITY } CROSS ST. Q STATE /TEL. "R. ^ LICENSE NO. NAME Al p MAIL NAME /C/ i ` 3 ADDRESS / �� A V � (' O TEL. 44 ADDRESS �7 ///f CITY /, l NO. F Z CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE 13 CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. SAND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. (./ SIZE OF LOT / SIGNATURE OF O , OWNER < d F NO. OF BLDGS. Q y/�1 BLOCK �'� NOW ON LOT ��! a\/ AUTHORIZED ACT. W � A 0, TRACT I f 13 f — /^ CORRECTIONS j D USE OF BLDGS. NOW ON LOT DESCRIPTION L�OF,/�WORKUSE OF BUILDING -Irl rl is construction may be in violatich of ar ar pfeelttt4.tn P—cf mci. i O Cautioned to cnn� j 7' t^n.r -rrrl `T r m Production Board Office before cor_ime c� a Wor u ized m this per },. r N6W _TYPE GROUPS NO. OF f''� NO. OF ALTERATION ROOMS FAMILIES ./'A' w ADDITION SIZE v `d I l,�-x�•� CaP;ktra 'n1 REPAIR STORIES q!� MOVING WALL COVERING O er- 0 •,��`A\I t,/A V DEMOLISH ROOF COVERING O M FPO . 1� U P.C.S FEE �VFINAL APPROVAL p,,. 1 1 VALUATION ® 'FEE $�6/p DATE � I NAME INSPECTOR'S 13• DEPARTMENT OF BUILDING AND SAFETY APPLICATION'FOR PERMIT' COUNTY OF LOS ANGELES BUILDING 1 WM. J. FOX;CHIEF ENGINEER �J NG NO. OFBLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERM,,IIT��NO. PLANS SETBA LINE ,,,..�.�'�'� `0 FIRE _ APPROV ZONE "'- BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED Iy� � ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING O K NAME ADDRESS ILJQ4� 1%1 �� 0000" H Z ADDRESS LOCALITY R 0 U Z CITY - NEAREST ILI CROSS ST. Q STATE - TEL. LICENSE NO. N Q. m- NAME • .�.� W Z MAIL K NAME 3 O ADDRESS / 0 Q ADDRESS JV CITY NOL . tr F Z I.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 0 CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATETEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION. / O , �'� ®Q' SIGNATURE OF O LOT NO r SIZE O LOT OWNER NO. OF BLDGS. ' r��f Qa � � AUTHORIZED AGtf BLOCK NOW ON LOT OIr JW TRACT ® a�� 1 CORRECTIO �y r 1 D USE OF BLDGS. � M �pv�� l g\ I `; ,` NOW ON LOT ieG3�c (I�' ° ` /, E DESCRIPTION OF WORK_ 1 w USE OF I+ i BUILDING = I I V10— r/!411/ I� I I- O z Z a r NEW TYPE GROUP r NO. OF NO. OF ALTERATION ROOMS FAMILIES ADDITION SIZE � ✓y�f�J J REPAIR STORIES MOVING WALL COVERING DEMOLISH I ROOF COVERING $ y P.C.$ 0NAL APPROVAL` 4!� FEE t S U . i1, $/ / I INSPEC+,ORSS, VALUATION FEE 8�•/f.. DATE �' NAME v APPLICATION. FOR BUILDING PERMIT 1� . COUNTY OF-LOS ANGELES :•• BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO'FILL IN BUIL DRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or certified D blcll' (/V copy thereof (Sec 3 0,Lab C S CITY (� + °ZIP (' A , p 11 -1 LOCALITY,-*7 Policy No r/Company RQ2-{/'�t v� -1 p �m r-"T� SIZE OP LOT NO OF BLDGS NOW ON LOT ElCertified copy is hereby furnished NEAREST CROS ST, ❑ Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department t� USE ZONE MAP NO Date Apphcarit U19 LtiY� �1 \ ASSESSOR MAP BOOK PAGE` PARCEL /, l ' ,yi/ SPECIAL CONDITIONS , CERTIFICATE OF EXEMPTION FROM WORKERS'• OWNER TEL No _ •. COMPENSATION INSURANCE C HAZ1 l& •44 - to36 WITHIN 1000 FT OF SCHOOL' _YES No (This section need not be completed if the permit is for one hundred ADDRESS n dollars ($100) Or less) �1�0 �7�d'�h West- DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BYE Y P P CITY ��� 1e ZIP /17Q O �j�O� I certif that in the performance of the work for which this permit 1 Is issued, I shall not employ any person in any manner s0 as t0 ARCHITECT OR EF4GINEER TEL NO become subject to the Workers'Compensation Laws STATISTICAL C�L'ASSS/IFKATION APT CONDO Date �ffx � Applicant S ADDRESS, - CLASS NO .rte DWELL UNITS NOTICE- TO APPLICANT If, after makinertificate 'of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject t0 the Workers' CONTRACTOR TEL NO �3 SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith. Rte' a FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS , f s L CIt L PL_ l� t T TO v3 SIDE LICENSED CONTRACTORS DECLARATION, CITYl> A LIC CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 1-•n C 3 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license is In full force and effect NEW BK PG License Number a LIC Class G 3 7 DES TI OFWORK - ,ADD ❑ VALUATION , a Con -1 ppa Date & q'3 J ALTER ❑ $ TV U ❑ I am exempt under Sec REPAIR B&PC for this reason 1%­1 DEMOL '❑' U LDMA P/C# W Date USE OF EXISTING BLDG URM ❑ L Signature APPLICANT( T) • TEL NO 313 'LDMA Perm# - - - - L Z ❑ I, as owner of the property, or my employees with wages as r,IIJ Q rn — -Z -- their sole compensation, will do the work and the'structure is ADDRESS //►� �`wA 2 _ not Intended or offered for sale (Section 7044, Business and � �� A FINAL DATE Q 1-DE J 16.__c Professions Code) 0 Y WILL THE URE CANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL t - J ---- -T M OR AMIXTURE CONTAINING AHAZARDOUS-MATERWL EOUAL,.TO OR GREATER THAN THE 1 E Ef 1J ' ❑ 1, as owner of the prsperty, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY „- 7 i- licensed,contractors to construct the ro ect Section 7044, TOTAL 1118- 65 g 1 8- P 1 ( YES❑ NO� �II1tlL 1 9 i m Business and,Professions Code) i WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING /� ---'-- ••---— -s 9 i'= 'C7 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �n,(/J CHEC t' fJ:• CONSTRUCTION LENDING AGENCY COAST AIR QUA ITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR <=7�'"�/�� GUIDELINES 1�.HANGE .013 _ I hereby affirm that there Is a construction lending agency for YES❑ No - _. ' N the performance of the work for which this permit Is issued(Sec jD� p) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING r 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 011100-0001' �( (�{ {(� t{ TITLE 2,CHAPTER 2 20 SECTIONS 2 20'100 THROUGH 2 20 140 CONCERNING HAZARDOUS - Q[IQ[I—LIVID 1 3f 2 I/.ie_ 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD i o Lender's Address- 13,4 j �' OOWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above Information is correct I agree to comply PC FEE PERMIT FEE �,� ��• with all county' ordinances and State laws relating to building ./ m construction, and hereby aut onze repre ntatives of this County ISSUANCE FEE to enter up bove-m p for inspection purpoCses Q a t g / INVESTIGATION FEE TOTAL FEE q DNB SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0311100015 PHONE: (626) 285-0488 EXT: GAL NEW G ADDRESS: TR: 11131 LT: 10 SQ. FT STORIES TYPE OCCUP GROUP 5520 GOLDEN WEST AV STRUCTURE: 874 1 VN R3 TEMP CA 917802518 ASSESSORINFORMATION UMBER: GARAGE: NEAREST CROSS STREET--BROADWAY " 8588-012-018 OTHER: 164 1 VN U1- THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: USE--ZONE: ISSUED 0 : PROCESSED EXPIRES . EXIST OCC GRP: 02/05/04 VG 01/30/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F DAT FINAL BY: CODE: HUNG UNG T;QUACH CHAU HUE (626) 451-9863- 189,700 g 5520 GOLDEN WEST AV TEMP 917802518 PTION OF WORK ADDITION & EXTENSIVE REMODEL TO CREATE 4BR/3BA SFR W/101SF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PATIO & 63SF PORCH APPLICANT: . NO: WANG + HA ASSOCIATES (626) 991-2161- B1 PLANCHECK W/ENERGY 70000.00 VAL 933.92 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 189700.00 VAL 18.97 B1 PLANCHECK W/ENERGY 189700.00 VAL 826.50 B2 PERMIT W/ENERGY 189700.00 VAL 2,071.08 CONTRAC OR: EL. NO: TOTAL FEES ;3,878.22 APPROVALS DA INSPECTOR SIGNATURE T D T GENERAL CONSTRUCTION (626) 291-2851 4923 GOLDEN WEST AVE. LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 626477 B SOILS ENGINEER APPROVAL ARCHITECT OR EN R: N0: FOUNDATION/TRENCH FORMS WANG AND HA ASSOCIATES (626) 991-2161- K y 1815 AZALEA DR. LIC. NO: SLAB/UNDEk FLOOR ALHAMBRA, CA 91801 NONE RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UND Rf OOR INSULATION 3 01 1ST LEVEL FLOOR-SHEATH 0. OF FAMILIES: DWELLING UNITS: APT/01TUT STAT ASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHIN AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTALCK FROM EXIST BLDG DEPT. FRAME INSPECT / 1 SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- 2.1 INSULATION/WE 6-e3-t4 (9� INTERIOR LATH/DRYWALL EXTERIOR LATH �,•,J/, LOT DRAINAGE SMOKE DETECTIOND IC IR ARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508