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Home My Public Portal About5626 GOLDEN WEST AVE_Building__ 76A638A CE#8036-62APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES ' = BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 5�2 d GoL BUILDING, AND-SAFETY DIVISION h LOCALITY -J-a-4 L� Gc r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST L--/VE' �/E'Y�• DISTRICT NO GROUP TYPE �}�- PROCESSED BY FOR APPLICANT-TO FILL IN 5 p _T CONST ►/ -6CLovj::::o, BUILDING / �/G STATISTICAL CLASSIFICATION SEWER MAP ADDRESSS/o & Gn OC E,N V,4s� li CLASS NO ' DWELL UNITS ' PG• LOT NO r• BLOCK WATER '❑ CERTIFICATE NOT REQUIRED RECEIVED TRACT 3 - MAP I HIGHWAY NO -2r d O STATE MAJOR SECOND, LOCAL / NO OF BLOT (CIRCLE) SIZE OF LOT71 Cl/�C s (� NOW ON-LOT USE ZONE SPECIAL - USE OF /• 1CONDITIONS EXISTING BLDG l Rte•' r TEL -OWNERCAR L Q NO BUILDING EXIST + SETBACK YARD HWY STREET NAME WIDTH - O , '• TEL ^• re-- FPOL2T ARCHITECT OR o 'o`bE4j OeST oro ENGINEER NO SIDE L � P L n' ADDRESS O O ) TEL �7 CONTRACTOR (� f + ADDRESS ' r �� X'a'r";i✓Y:��? ,�•=. �n��• �� OC �c1 / 1vd rr - a O DESCRIPTION OF WORK �' ''''' �`� � � "'� "'° ' E CL HSA CL NEW ADD ALTER REPAIR DEMOLISH 't„f�i �� I •, �' ,P',{7 Z Q FT NO OF NO OF 6i' 4�!'iu'r•L.9",{n' siL.,3:U ti,t_�s. ` SIZE STORIES FAMILIES I /® J. !,'w^ USE OF STRUCTURE SIGNATURE OF APPLICANT e r � W �{%�• 60 V540) � VALUATION•$ _� � - - ,�, •�. 000 APPROVALS DATES ^r INSPECTOR'S SIGNA;YU_R PC PMTFOUNDATION LOCATION / J � FEE $•�3J -� - FEE $ ' FORMS, MATERIALS .0/7 FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS,' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK /yam AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON-IN VIOLA- LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. _ ING TO WORKMEN'S COMPENTT �"�U RANGE , /L�/��'A i LATH, EXT � ,��,� •yji v� '.. SIGNATURE OF' •, HOUSE NUMBER COR; �J PERMITTEE RECT AND POSTED xI, ADDRESS S 0 FINAL IRA iet3 PLAN CHECK- VALIDATION CK MO cnsH _ JOHN F LEWIS, PRSNCIFAL STRU URAL ENGINEER PERMIT VALIDATION cK M O CASH R Ll'kuo 7 b l r R 2 4 21 U 7 -1 .010- "I r WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, �P P L I CAT I O N FOR B U I L D I N G PERMIT or a certified acopy �thereof.'(Sec 3800, Labn C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY otic o Company �Tl+�,F 69,41-U BUILDING , Certified copy is hereby furnished 'FOR APPLICANT TO-FILL IN ADDRESS�6 & k 60(' ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADD RES��(2 Date Applicant CITY-� NO OF BLDGS = LOCALITY CERTIFICATE'OF EXEMPTION'F WORKERS' SIZE OF LOT NOW ON LOT NEAREST CROSS ST' COMPENSATION INSU NCE ASSESSOR •'(This section,need `not be completed if the,permit is for one TRACT BLOCK LOT-NO MAP BOOK PAGE PARCEL ' hundred dollars ($100) or less.) TEL OWNER ZONE, MAP N USE I certify that,in the performance of the work for which this _ �� ,! G ��/ - SPECIAL r > permit is issued, I shall•not-employ any-person in any manner ADDRESS 6' �v CONDITIONS so as to become subject to the Workers.Compensation Laws 0 CITY: r C ZIP. / Date Applicant ARCHITECT R TEL NO DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT-If,,after making this Certificate of CONST ZONE O Exemption,- you' should become subject to the Workers' . ' - z t) Compensation provisions of the Labor Code, you must forth- ADDRESS Q - • v/ Zc N with comply with such, provisions.or this rpermit shall be TEL t7 STATISTICAL CLASSIFICATION APT CONDO "dee'med revoked CONTRACTOR NO oZ 7-�66 - . ? ' LICENSED CONTRACTORS DECLARATION LIC ''LL ee�� CLASS NO IV-/ DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS D — NO T-A J 7 SEWER MAP (commencing with Section 7000)of Division 3 of the Business CL and Professions Code,and'my license is in full force and effect CITY' CLASS BK PG VALIDATION ''LL SQ-,FT �' NO OF' NO OF CHECK' License Number Yo� /'7 Lic.Class 3q: SIZE STORIES FAMILIES ONE � ' _ _ NEW ❑ VALUATION ,Contractor �L �y/i.{s�r�Date DESCRIPTION OF WORK, $ E]I am exempt under Sec' ADD -E] V vV ► �^ ALTER •❑ B'&P C. for,this reason CL 'REPAIR $ Date USE OF EXISTING BLDG 'DEMOL ❑ Signature APPLICANT TEL FINAL OWN UILDER DECLARATION (PRINT) / NO —� G _ DATE I hereby affirm that I am exempt from the-Contractor's License �_, V ,:t_ Law for The following reason (Section 7031 5, Business'dADDRESS `/ _ FINALndi. Q, 3 E 7 � 17�atr1 Professions Code)- PRESENT _ BY (r F El i, i 1 I(E3l+:+ ��Ir I, as owner'of the property, or- my employees with ' ADDRESS wages as their sole compensation,will do the work and - UTAL i75 - 4- 1 .the structure is not intended or offered for.sale,(Section LOCALITY „ 7044, Business and Professions Code ) MOVING . TEL CHECK 175.-41 - CONTRACTOR NO ❑ I, as owner of the property, am exclusively contracting GFiAtJ��E with licensed contractors to construct the'project (Sec- a.. tion 7044, Business and Professions Code ) ADDRESS REQUIRED- TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency tor FRONT �I �-lLti ]'l �'��I3 the performance of the-work for which this permit is issued P•L - _ (Sec3097, Civ C ). p SIDE 4 2822 ASI _ !` fP L Lender's Name P C Fee$ Pe'rmrt Fee ell �f LDMA Ref # Lender's Address 2 0 I certify that I have read this application and state that the Issuance Fee ��J ' LDMA PIC# ,` 8 _above information is correct I agree To comply with all County Investigation Fee • - R ordinances and State laws relating to building construction, Total Fee LDMA Perm # a and hereby authorize representatives of this County to enter ' uporothe ab'ovEnmIentione property for.inspection purposes " 1 L_- SEE REVERSE FOR EXPLANATORY LANGUAGE Si volLure of Applicant or Agent Date ; 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 0008300041 PHONE: (626) 285-0488 EXT: --LEGAL ID: NO. OF CONST NEW BUILDING TR: 11131 LT: 17 SQ. FT STORIES TYPE OCCUP GROUP 5626 GOLDEN WEST AV STRUCTURE: 0 1 VN R3 TEMP CA 917802520 ASSESSOR INFORMATION—NUMBER: GARAGE: 0 1 NEAREST CROSS STREET: LIVE OAK 8588-012-027 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST ISSUED PROCESSED EXPIRES ON: EXIST OCC GRP: 08/30/00 UT 02/27/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT BY: CODE: DONOFRIO CARLO;LILA M (626) 287-4609- 1 15,000 5626 GOLDEN WEST AV UPHED TEMP 917802520 FEES PAID DESCRIPTION ORK REMODEL KITCHEN, BATHROOM AND LAUNDRY AREA FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: WALTER WENDT (626) 451-9911- AA BLDG PERMIT ISSUANCE 27.75 6149 LOMA AVE AC STRONG MOTION RESID 15000.00 VAL 1.50 SPECIAL CONDITIONS: TEMPLE CITY, CA B2 PERMIT W/ENERGt-�,-----,15OOO.00 VAL 330.66 GELEsTOTAL FEES 359.91 CONTRACTOR: TEL. NO: �Oc3 �/� APPROVALS DATE INSPECTOR SIGNATURE WENDT AND SONS CONSTRUCTION (626) 451-9911- 6146 LOMA AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 432646 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N : / FOUNDATI /TRENC F LIC. N0: 1111117 SLAB/UNDER FLOOR (� C /�fJK � 3 RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: 3 1 01= I i I1 11 \1I1\11/ UNDERFLOOR INSULATION U ��JLL`o LL�� V EJ FRI ST LEVEL FLOOR SHEATH 0. GF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS,:- NO 21 v Q ND LEVEL FLOOR SHEATH SCHOOL WITHIN -ffrfAmug 19, 0.AIR QUALITY: 1000 FEET MATERIALS \ ROOF SHEATHING NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL S TBAC EXIST— ZI n �� G DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 6%%L. �,�PV �� V�0 a SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INSUL IO R STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEV FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BSO5O8