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Home My Public Portal About5704 GOLDEN WEST AVE_Building__ 76A696A CE$x'809.10_56 APPLICATION r' O`R B V I L®I N G P E M I T BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS County of TAS Angeles LOCALITY s' - JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN I' K PG CONST BUILDING S /+� , G6L 61Y� I ADDRESS CJ STATISTICAL CLASSIFICATION ,j,,pp �j / CLASS. NO. DWELL. UNITS' LOT N -_ BLOCK MAP STATE YES NUMBER -HWY TRACT - USE Z NE SPECIALNO OF ` SIZE OF LOT .7 ,7 �C�.Z I NOW ON LOTS 2- ��j CONDITIONS - -• �{' USE OF p Q Q6 !T L A ti �r 33 EXISTING BLDG n �S� g �� BUILDING EXIST. SETBACK YARD -HWY STRE T NAME - WIDTH OWNER L I'y • ��CAJ T. o P-,7 FRONT MAIL �^ 'F' L' Z ADDRESS c.//ft TCr SIDE C' TEL. P. L. CITY �rlf� �'� NO. INSPECTION RECORD' ARCHITECT OR `/ TEL. ENGINEER r G L-L/'A.l.`�NO. - ADDRESS TEL. / �✓ CONTRACTOR f? S;,404.NO. (p ADDRESS c' A 0 - ' DESCRIPTION OF WORK NEW X ADD ALTER REPAIR DEMOLISH SO FT. NO. OF NO.OF SIZE STORIES _ FAMILIES _ USE OF STRUCTURE APPROVALS _ SIGNATURE OF APPLICANT DATE INS ECTOR'S SIGNATURE ADDRESS ��/� FOUNDATION: LOCATION FORMS. MATERIALS $ P. C. g FRAME. FIRE STOPS, �p FEE �- _BRACING. BOLTS, VALUATION - ��C-�9 $� FURNACE: LOCATION. , FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. ' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. - STATE LAWS REGULATING B I 1 O T CTION. SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL - JOHN-A. LAMBIE, C61AITY ENGINEER, CLYDE N. DIRLAM, PRINC116AL STRUCTURAL G E PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION M.O. CASH ACO 3:0:7 4.�. OCT $ 1 6 2.7 5 ` A0 3.0-7 '5, OCt 8 DEPARTNl1 T OF $iJ LDING AND SAFETY APPLICATION FOR PERMIT ~ COUNTY OF LOS ANGELESr�fr �d y' � ®I WM. J. FOX, CHIEF ENGINEER ' i , FOR APPLICANT TO FELL IN FOR OFFICE•USE ONLY �{ DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING J 7 al L ADDRESS Frt LOCALITY L g RIVED BY DATE OF APPL. DATE ISSUED NEAREST t CROSS ST. BUILDING ADDRESS y�ry OWNER Rao O GIC.5 1 LOCALITY MAIL ADDRESS 6—AZ 3 d, /q•(�•' /�,o9 / `/r NEAREST /�/1 c _CROSS ST. �� `^d' CITY l G��" NOTEL.. • 3c74 FIRE NO. OF ZONE PLANS TYPE I GROUP/- �^ ARCHITECT OR TEL. ENGINEER NO. BLDG. �� - RD. NO.• SETBACK LINE ADDRESS APPROVED - TEL, - - BY DATE CONTRACTOR �op+"4� NO. USE -�,fy APPROVED - ti, ZONE \ BY DATE ADDRESS, i�� HOUSE NUMBERING LEGAL 00DESCRIPTION(I LOT NO` BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY�/V�x� HATE 2Q I NO. OF BLDGS, CORRECT�,�IrrONS SIZE OF,LOT ��X - NOW ON LOT •OLd `r•� ' Q r La ? USE OF I NO OF ,/ 1 VV _ _ EXISTING BLDG. FAMILIES 44/Q - er x C e,* y A_r Jf ^' DESCRIPTION OF WORK v/ ,C NEW I lel ALTERATION I I ADDITION O. REPAIR I' I DEMOLITION SQ, FT. NO. OF SIZE ROOMS STORIES Z EXT'WALL ,��-Y � ROOF r COVERING V VC - I COVERING Sf jjlAJ USE OF STRUCTUffE, • Zbv �,Cg . APPROVALS c1 INSPECTOR'S SIGNATURE DATE I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION CA PLITION AND STATE THAT THE INFORMATION GIVEN- IS FORMS, MATERIALS lr�l CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS J' �' LAWS REGULATING BUII�DIN(ST_RUCTIO , �q S . (yUI,iDII UCT IO1.,4YJ /_/ FURNACE: LOCATION, SIGNATURE OF � GAS VENT, DUCTS PERMITTEE LATH, INT. ADDRESS �� -CNQf•� t^�/ f�'' t v LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 7awa30A• 0093 to-50 $ I Z p(J P. C $ U FEE /� PLASTER, EXT. VALUATION , �� FEE $449 ,IO C? FINAL WORKERS'COMPENSATION DECLARATION �1 ,I• sur,% y a cer that'l 'have o certificate'of consent to self '.A P PL I CAT I O N R FOR" BUILDING- P E RM I T .msurg, ur a certficate`'of Workers' Compensation Insurance, � - _ or a certified copy thereof,(Sec 3800, Lab C ). Policy No Company t COUNTY OF L'OS.ANGELES BUILDING AND SAFETY �. Certified copy ni is hereby furshed FOR-APPLICANT'TO FILL IN- AooRess Certified copy is filed with�the county building ivpec- BUILDING tion departmentADDRESS 7 O�/' O �hW LOCALITY (y NEAREST_ /J Date Applicant � CITY T �� /� ZIP' CROSS ST f CERTIFICATE OF EXEMPTION OM WORKERS,' p�- NO-OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT �/ -NOW ON LOT MAP BOOK, ` PAGE PARCEL, (This section'need not be completed if the'permrt'is for one USE ZONE' MAP hundred dollars ($100)or'less ) TRACT, BLOCK ` LOT NO NO ^•TEL-• - SPECIAL- Icertify That in the performance of the work for which this OWNER { -NO 7 0 CONDITIONS Gam. permit•is issued, I shall not employ any person in any manner, DISTR CT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'-Compensation,Laws ADDRESS IM Q•/ CONST ZO E V CITY Tom ) / f ZIP L[ O Ddte A licant STATISTICAL CLA551 TION APT CONDO �. NOTICE TO APPLICANT Applicant— makin this Certificate of ARCHITECT OR TEL F r. g % ENGINEER NO- `" CLASS NO DWELL UNITS LU Exemption, you should-become subject. to, the Workers' CL Compensation provisions of the Labor Code, you must forth- ADDRESS - - SEWER MAP N -with comply with such provisions or_this permit shall be Z TEL deemed revoked CONTRACTOR NO 3 BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION-,-' 'A'�c LIC ! - 6 I hereby affirm that I am licensed under provisions of Chapter'9 ADDRESS 'vv NO co VALUATION _ (commencing with Section 7000)of Division 3 of the Business and". // / ! LIC + Professions Code, and my license is ih full`force and effect CITY L!dY! <G Gr CLASS D� SQ FT- L� NO OF" NO OF-- CHECK i Cntracto�/�'re/f,49r?�001]iale ense Number -361 673 Lic Class t3 —/ SIZE' V STORIES / FAMILIES ONE DESCRIPTION OFWORK NEW $❑ w �Q ADD\ I am exempt under Sec i ' "- /r �� • � ALTER Q FINAL B BP.0 -for this reason / C _ REPAIR DATE -7P USE OF . J FINAL EXISTING BLDG DEMOL - Date-, Signature APPLICANT '/ By OWNER-BUILDER DECLARATION PRINT 83 , _ - 3 9 0,,9'A I hereby affirm that I am exempt from the Contractor's License ^ ' f , Law for the following reason (Section'7031 5, Business and ADDRESS• !"� �/ # o o-m o-o �• Profess ians'Code) '' PRESENT BUILDING >. .rr 2ro 2 3 7.3 8' I, as owner of-the property, or my employees with• ADDRESS- wages'as their sole compensation,will do the work and = o ? 2 3 7,7J'$c=` the structure is not mtended'or offered for`sale(Section - LOCALITY 7044, Business and Professions Code) - MOVING TEL _ 0'8 3 1,-S(I••4 EJI, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to•construct the project (Sec- ' ADDRESS tion 7044, Business and Professions Code) fE_ ` REQUIRED TOTAL SETBACK FROM EXIST ' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH a ` hereby affirm that there is a construction lendmg,agency for FRONT - Z ' the performance of the work for which this'permit is issued P L (Sec 3097, Civ C ) SIDE y _ m P L o Lender's Name Lender's Address P C Fee$ Permit FeeAl / I certify that I have read this application'and state that,the Issuance Fea above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee d and hereby authorize representatives of this County to enter upon the ab ve-mentio edpropert f r inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S3@Kature of Applicant or Agea Date ®s 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 0301080018 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 459 BL: .001 SQ. FT STORIES TYPE 5704 GOLDEN WEST AV STRUCTURE: VN TEMP CA 917802503 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-028-023 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: SPROCESSED . EXIST OCC GRP: 01/08/03 VG 01/03/04 OWNER: TEL. NO: BLDGS. NOW ON ALUATION: FINAL DATE FINAL BY: ID THAI;PHONG (626) 287-6295- 1 5,500 i 5704 GOLDEN WEST /PE: TEMP 917803253 FEES PAID DESCRIPTION T/0 EXIST ROOF, RESHEAT AND INSTALL COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5500.00 VAL 0.55 SPECIAL CONDITIONS: D2 PERMIT W/O EN=HC�5500.00 VAL 149.40 GELE'STOTA®FEES 177.70 SAME AS OWNER L. 0: - � �{�j A� APPROVALS DATE INSPECTOR SIGNATURE— LIC. NO LOCATION AND SETBACKS n SOILS ENGINEER APPROVAL ARCHITECT OR NGIN . NO: 0 0 LIC. NO 1111111 SLAB/UNDER F MAP NO: LRAIS.ED FLOOR FRAMING SEWERMAP B00 R ON : CMP:- — UNDE LN LA 0 150H269 3 ,SD nO K HA THING NO. OF FAMILIES: o D: CLASS:— NO 21 �i1 O + I ROOF SHEATHING 13-3 J -7 C SCHOOL WITHIN HAZARDOU§__ �\� I; PANELS AIR QUALITY: 1000 FEET MATERIALS \ ❑ _ f, C�* NO NO NO \ E I� � FRAME INSPECTION REQUIRED L SETBACK FROMd�� I®/q� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: El FRONT PL- Segryth INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED L . RATED WALL ASSEMBLIES SHAFTS/OPENINGSRATED CEILINGS DRAINAGELOT REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATIO!"4 OR BUILDING PERMIT COUNTY OF LOS ANG,FLES 4- BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 1 hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers' Compensation,Insurance,ora certified ..copy thereof (Sec 3800,Lab C) CITY ZIP ' l 32 r z far. /J LOCALIT Y /J Policy NO Company�O�! * SIZE OF fOT J, NO OF BLDGS NOW ON LOT 90 ertlfied copy Is hereby furnished I NEAREST CROSS ST 11Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO - Date - Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS 0� CERTIFICATE OF EXEMPTION FROM WORKERS' QWNER � L NO J - /�� TE87- /f T 0 WITHIN 1000 FT OF SCHOOLS YES NO COMPENSATION INSURANCE ADppRESS (This section need not be completed If the permit is for one hundred , p?Z5 D / DISTRICT GROUP TYPE CONST FIR ZONE PROCESSED BY dollars ($100) or less) L A�4r� o�-I ,^ CITY � ZIP I certify that In the performance Of the work for which this permit IS Issued, I shall not employ any person In any manner so as to ARCHITECTIOR ENGINEER TEL NO v _ become,subfect to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT: CONDO Date Applicant ADDRESS CLASS NO — ''DWELL UNITS ' NOTICE, TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, •you' should become Subject t0 the Workers TRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor'Code, you must forthwith 35 -316 G FRONT comply with such provisions or this permit shall be deemed revoked ADD `SS LIQ UQP L LICENSED ICONTRACTORS DECLARATION Gtr a SIDE J,TY �/� l/� LIC CLASS �� P L I hereby affirm that I am licensed underprovisions of Chapter 9 �'�" " 4/ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license is In full force and effect NEW ❑ BK PG , } a License NumberL210&g r, LIC Class C-39 DESCRIPTION OF WORK ADD ❑ VALUATION D 0 Q $ U Contractor 'Date S e2 S —�3 ALTER ❑ REPAIR 0 1:1 ❑ 1 am exempt under Sec � ^ $ B&PC for this reason DEMOL ❑ LDMA P/C# { W Date USE CIFIsG. URM ❑ IL t1 (n Ci Signature < APP ICANT(PRINT) TEL NO LDMA Perm# r rv T 88 Z r 4 s ❑ I, as owner of the property;or my employees with wages as �Oist�s G, / 6�� 0 - �LI�� - 6-6.70 their sole compensation, will do the work and the structure Is DDRESS _ .. FINAL ATE - 'Q not Intended or offered for sale (Section 7044, Business-and O �,^jTEM= •. PfOfeSSIORS Code) 'WILL THE'APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BYJ�� > TOTAL 86-70 p y. Y g AMOUNTS SPECIFIED ON THE HAZ MATERIALS INFORMATION GUIDE ,,licensed contractors to construct the project (Section 7044, - {C([G aL p - YES❑ NO �.�"IG4•['l JU a 0 Business and Professions Code) _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ -_ . . •• `'y OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH- ,) 1 I - r.6 ANGE •4J� ' CONSTRUCTION LENDING AGENCY COAST AIR OUAUTV MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR K ` 'ry .�py7 /�(��J 1 GUIDELINES �t'L`Fy�Vj I hereby affirm that there Is a construction lending agency for VES❑ NO❑' a the performance of the work for which this permit is issued(SEC ){{ //2r�93' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING - f�- IOC j •.}J x_ J 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a - TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS- -- -- - •' - g i 3 - 'I AM 8:24 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD 7 1 j o Lender's Address OWNER OR AGENT O o I certify that I have read this application and state under penalty 0 of perjury that'the above Information IS correct I agree to comply PC FEE PERMIT FEE //es,�p -with all county ordinances and State laws relating to building construction, and hereby,authorize representatives of this County ISSUANCE FEE co to g the inspection purposes abov ntio roperty for Insp a Y' Sr�I-S -I � INVESTIGATION FEE TOTAL FEE m D "a Aaak�t�Agent owa SEE REVERSE FOR EXPLANATORY LANGUAGE _ 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 0110040022 PHONE: (626) 285-0488 EXT: ADDRESS:LEGAL ID: NO. OF CONST BUILDING TR: 6561 LT: 459 BL: .001 SQ. FT STORIES TYPE 5704 GOLDEN WEST AV STRUCTURE: VN TEMP Ck 917802503 _ ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-028-023 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY IS G D - C -]EXPIRES ON: EXIST OCC GRP: 10/04/01 JK 04/02/02 OWNER: TEL. N0: LDGS. NOW ON L VALUATION: AL DA FINAL Y: CODE: THAI;PHONG (626) 287-6295- 1 4,000 5704 GOLDEN WEST TEMP 917803253 FEES PAIDDESCRIPTION-6 REPLACE ALL WINDOWS (15) AND PATIO DOOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN=HC7!� 4000.00 VAL 115.80 TOTAL- EES 144.05 CONTRACTOR: TEL. NO: GELES APPROVALS DATE INSPECTOR SIGNA SAME AS OWNER LIC. NO LOCAlION SOIL sENGIN ER A PROVAL ARCHITECT OR ENGINEER: FO FORMS LIC. N0: / 111111 SLAB/ D R FLOOR f ' R FRAMING AP 0: SEWER MAP BOOK: AGE: FIRE ZONE: V O� UNDERFLOOR INSULATION 150H269 3 �L-l � C V K FLOOR SHEATHING NO. OF FAM G UNITS: APT/COND: STAT CLASS:- NO 21 �Sl 0 ROOF SHEATHING HAZARDOUSSCHOOL WITHIN Q d 0 - It* SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0- ❑ 1_ NO NO NO � ' f1 ' i �yFRAME INSPECTION RE Q L SETBACK E SET PLYARD: HWY: PROP LINE: WIDTH: FRONT - Serv�e Th'3% tl INSULATION/WEATHER STRIP SIDE PL- 0R LATH/DRYWA EXTERIOR LATH RATED WALL ASSEMBLIES TED SHAFTS/OPENINGS T-BAR CEILINGS LOT -DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0110310020 PHONE: (626) 285-0488 EXT: LEGAL 0. OF CONST BUILDING TR: 6561 LT: 459 BL: .001 SQ. FT STORIES TYPE 5704 GOLDEN WEST AV STRUCTURE: TEMP CA 917802503 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-028-023 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: L USE: D 0 PIR ON: EXIST OCC GRP: - 10/31/01 JK 04/29/02 OW EL. 0: BLED`GS. 109 ON LOT: VALUATION: FINAL DATE F CODE: THAI;PHONG (626) 287-6295- 4,000 5704 GOLDEN WEST p TEMP 917803253 E UnTRMION OF WORD / DEMO SWIMMING POOL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: TOTAL FEES 191.25 011 CONTRACTOR: TEL. NO: P�GELES C® APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - � �A LIC. NO PEDESTRIAN PROTECTION SEWER DISCONNECTION ARCHITECT OR NGI T - ¢ ABANDON PRIVATE DISPOSAL LIC. N0: UNDERGRND STRUCT REMOVE AND SOIL RECOMPACTION MAP XNO: SEWER MAP BOOK: PGE: FIRE ZONE: 0j_\ n /7 (] (�K OF LLING PT . STAT CL �t�Jlf��'V`I/ [�J�[�1 NO 23 � CHOOL WITHIN HAZARDOUS �•. Q , AIR QUALITY: 1000 FEET MATERIALS *` NO NO NO t�0 Service Yha - REPORT ID: DPR261 ROUTE TO: BS0508