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HomeMy Public PortalAbout5708 GOLDEN WEST AVE_Building__ --r'F M P L • G I7-y APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY''OF L'OS ANGELES ` ' ADDRESS� I S - DEPARTMENT-OF, COUNTY ENGINEER clry p^ - zip ' BUI�LJDINf�G.AND"SAFETY � /D�IV-I-SyIION - BUILDING SIZE OF LOTJ W/210 / NOWOON LOTS ; ADDRESS` �/ Ou ✓ 0_✓a_ - TRACT YJ�(Q I fB�LOCK •LOT NO •/�� LOCALITY' '-�• I y OWMQ (�I�IA+C t NQ '57CROSS ST y , �`/y Q ASSESSOR - ADDRESS'J /, 0, 'W MAP BOOK I PAGE, PARCEL ' DISTRICT GROUP',TYPE - FIRE PROCESSED BY CITY ZIP q ;{� '=-•r CONST,- - ZONE' - ^t _ TEL-; b -i- ` ENGINEER• 9 NO STATISTICAL-CLAS)SIF.ICATION ,SEWER,Iv1AP ADDRESS..' CLASS NO. fF DWELL UNITS` BK PG 'CONTRA %9S0_ USE ZONE MAP_ ' •TN OA J• NO AD Gy-•� NO �^/ I SPECIAL - ' /� CONDITIONS - C LS Y 'r,• __ _ jY_ -CLASS_ .a J.-�s ,. i CONSTRUCTION LEND ROAD-DE PARTNIEN T'A', PPROVAL REQUIRED Y 'Y ES❑ NO ❑� 'NAME,AND BRANCH BLDG SETBACK FROM- ' - -- ••t- • FRONT PROP LI NE OF (STREET) ADDRESS CITY •N HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ,•FT NO OF` NO.-,OF, CHECK FRONT,PROP 'LINE=. HIGHWAY WIDTH SIZE �V - ,STORIES,'` FAMILIES ONE } a t ' • ❑ DENEWV SCRIPTION OF WORK BLDG'SETBACK FROM /I O a/�� ADD E] SIDE PROP.LINE OF (STREET)' • eC.( /V O _O LTER HIGHWAY } YARD = TOTAL SETBACK, FROM TYPE OF EXISTING C. -REPAIR❑ ~ 'SIDE PROP LINE HIGHWAY WIDTH USE OF n = z N EXISTING BLDG DEMOL ❑ } - Z APPL1 A" p /' ,n�/, NOLL�cr� _ CORNER CUTOFF YES ❑ . NO ❑ - ' (PRI f�j`_'"` Ile'I C ,BY (SIGNATUR IN OPEN,SPA CE ' YES ❑ NO ❑ ' IN COASTAL'PERM IT,ZONE YES ❑•,• NO ❑ VALUATION$ oa, J- - I HEREBY;ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION /'NG'L� •SAND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY , - W ITH ALL ORDINANCES AND• LAWS REGULATING,.BUILDING CON-, J' L�I'• 1 ,,rq` a 1 STRUCTION ,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 COA N INSURANCE ' SIGNATURE O PERMITTEE - ADDRESS FINAL _ .. TEL - CITY NO DATE -/Zll Vias " Q "KE CHECKS PAYABLE 1-0. F E'$ FEE P• HARVEY T. BRANDT, COUNTY, ENGINEER PLAN CHECK VALIDATION -''CK M 0 CASH _ -PERMIT VALIDATION" "c K' IM 01 CASH . ' _ • , ' i-�s:Ii��Au�.'�r ..l: o ' _ v�4�('/�8/'J.17-�5 �� 76A658A CE4F809 5/74 '' •, - , _ a ' Temple City / 76A638A CE0803 3-66 FOR APPLICATIONO BUILDING PERMft -COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS �` BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS.SUP T OF BUILDING CROSS ST -/ -� - DISTRICT NO GR TYPE - -.,_ P S BY FADDR APPLICANT TO FILL IN �- CONST STATISTICAL SIFICATION - _ SE ER MAP 5708 Golden West CLASS NO DWELL UNITS BK - PG S BLOCK - .USE ZONE MAP �/] NO. 6 .- SPECIALNOOF SLOGS CON 1 ION NOW ON LOT BLDG SETBACK FROM TEL FRONT PROP. LINE OF - (STREET) s. lith a NO - TYPE OF EXISTING -SETBACK -HIGHWAY YARD = TOTAL ADDRESS 5 08 Golden West HIGHWAY WIDTH FROM C L ARCHITECT OR TEL BL'DG'-"SETBACK-FROM ENGINEER NO SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK.I-HIGHWAY + YARD =- TOTAL ADDRESS HIGHWAY WIDTH FROM C L -TEL + CONTRACTOR Virgin•Roof Cc-No 28 -0 07 r ADDRESSp00 San Gabriel Btk. 16o65o CORNER CUTOFF YES NO V CITY San Gabriel LI` C-39 SEE REVERSE SIDE FOR SPECIAL-APPROVALS o DESCRIPTION OF WORK IU a NEW ADD ALTER REPAIR DEMOLISH � SQ.FT. = NO OF 1 NO OF SIZE STORIES FAMILIES USE OF STRUCTURE Rernof hnusi- and attached arae with 235# comp. shingles. SIGNATURE OF APPLtCANT - 1: 6 - VALUATION 4 � 4 � 6 •00 APPROVALS DATE INSPECTOR'S SIGNATURE P C' PMTFOUNDATION, LOCATION FEE$ FEE$ .W 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK - •AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT - TION OF THE20E CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKPFN6AT10 N^�UgANQ6• LATH. EXT SIGNATURE ']-Tglll vl V HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED ADDRESS 600 San Gabriel Blvd.s G. F1 NAL ! f F. LEWIS. AL ,PLAN CHECK VALIDATION CK M O CASH _ JOHNPERMIT VALIDATION TO CK RM O ENGINEER LAWO,�l 3-5,1-0 ALIG 1 7 1 D 9.0 0, N, r DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 'COUNTY OFLOS ANGELES ��' d WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ ®APPLICANT DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING I-708 7O CJ <C L-3'dL.�[�6�1 Wojs " ' /TY� d ADDRESS J l�1PL� �` ;�,y/ RECEIVED BY DATE OFAPPL. DATE ISSUED LOCALITY � Y Spry/� " NEAREST / I &::r`�� � Jr- 3�� CROSS ST. ©1'It'•C BUILDING BDL.D6 - l' ADDRESS �J OWNER �a D� Se-50 E,CS MAIL /n/ LOCALITY ADDRESS S Z3 � ,�4el'orrm.QA/ /` kF- NEAREST TEL CROSS ST. ! v� o;v L. CITY 7�2rct�-L.._� �JT'�✓ NO. 4T x- s4�4 FIRE NO OF�r I TYPES GROU�,;P ARCHITECT OR TEL. ZONE PLANS • • ENGINEER NO. BLDG. / OR SETBACK LINE �Q ADDRESS APPROVED - _ TEL. BY .�_ DATE CONTRACTOR-�/ - NO. �M/� - USE ��j' APPROVED "'"• __ ZONE /L•� BY DATE ADDRESS �'•� _ -f ' HOUSE NUMBERING- LEGAL DESCRIPTION LOT NO. MAP NUMBER FIELD CHECK BY TRACT NO.�(7 / NO. ASSIGNED BY a' &_56DATF NO OF BLDGS. Q CORRECTIONS SIZE OF LOTZ.-� I NOW ON LOT A USE OF 4 I NO OF 4-s-'? EXISTING�BLDG, Q FAMILIES LO D RIPTION OF WORK NEW I ALTERATION I I ADDITION O REPAIR I I DEMOLITION D SIZE (� s Li 0 ROOMS (p STORIES Z EXT. WALL� UCCO ( ROOF A/00 iP d C 6-`/ �" r COVERING Woo ytj COVERING .5y4//`Q/ �•Aa% USE OF STRUCTURE �) 17 4-777, a APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH PLICATION AND STATE THAT THE INFORMATION IS AP- FOUNDATION: LOCATION /�� •�,�a'� GIVEN IS FORMS, MATERIALS /'�j• 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. �••� �7 FURNACE:GAS VENTDUCTS LOCATION, Or ' SIGNATURE OF' K�JDO� 'R�d �. - PHRMITTEBp� //VGa/ ��� JJ LATH, INT. ADDRESS -�•�T J !�Y` �12L/e�. A.c2,X/ 4V� / J LATH, EXT. / AUTHORIZED AGT. /7�.--_3/NFD f[ PLASTER, INT. t . 7EAei8A- D887 1080 P. C. $ ® �� FEE / 7. PLASTER, EXT. VALUATION O/� , FEE $3 S-G FINAL r , COUNTY OF LOS ANGELES TEMPLE CITY # 0508' 1 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0111120001 PHONE: (626) 285-0488 EXT: = LEGAL ID: NO. OF CONST BUILDING-ADDRESS; TR: 6561 LT: 459 BL: .001 UN: .002 - SQ. FT STORIES TYPE 5708 GOLDEN WEST AV STRUCTURE: VN TEMP CA 917802503- NEAREST CROSS STREET: LIVE AOK 8587-028-022 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY - EMT-BrO USE: RESID USE ZONE: R-1 I N: EXIST OCC GRP: 11/12/01 JK 05/11/02 OWNER: TEL. NO: B DGS. NOW ON OT: VALUATION: FINAL DATE FINAL BY CODE: MONTEJANO PAUL;MARY (626) 285-8412- 1 5,000 5708 GOLDEN WEST AV I ��0 ' I TEMP 917802503 FEES PAID DESCRIPTION UF-MRK REPLACE SHEATHING AND ROOF (25YR COMP SHINGLE) APPLICA FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GOLDEN WEST ROOFING SERVICE (800) 726-7700- AA BLDG PERMIT ISSUANCE 27.75 8639 BUENA TIREEA PL AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL DITIONS: BUENA PARK 90621 D2 PERMIT W/O,EN=HC--5000.00 VAL 132.60 ��GELESTOTAL—FES 160.85 CONTRACTOR: TEL. ®� �� APPROVALS DATE INSPECTOR SIGNATURE— GOLDEN UREGOLDEN WEST ROOFING (800) 726-7700- 8639 BUENA TIERRA PL LIC. NO SETBACKS BUENA PARK CA 90621 HIC SOILS ENGINEER APPROVAL ARCHITECT 0 - // DATIO ORMS LIC. NO: _ SLAB/UNDER FLOOR 1'i RAISED FLOOR FRAMING MAP N0: SEWER MAP K: AGE: FIRE ZONE: C P,: 00 ! UN L00 INSULATION 150H269 3 1�ol:� �J� � [SCD L (���J ����� 1L�lJULJ L NG NO. OF FAMILIES: DWELLING A S — — NO 21 \� Y ROOF SHEATHING SCHOOL WITHIN '7�US SHEAR PANELS AIR QUALITY: 1000 FEET-_ MATERIALS z/ NO NO �..r NO,- I; —� � E INSPECTION REQUIRED TOTAL S BA f.1'7 IST FIRE SPRINKLER HANGERS SET BACK, YARD: HWY: P_ROP ® _LI_NE: WIDTH: ��0� ,��v�®4� FRONT PL c� INSULATION/WEATHER P SIDE PL- NTLATH/DRYWALL EXTERIOR LAT SE . RATED WALL ASSEMBLI S RATEDS T-BAR CEILINGS _ * ADDITIONAL DATA ON FILE :a;• G REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS' COMPENSATION DECLARATION - ` »t' APPLICATION FOR- :BUILDING° PERMIT 1-,hereby affirm that I haveu ,a certificate„of,.consent to self insure, or a certificate of Workers' Compensdtion Insrance, or'a certified copy thereof (Sec•3800, Lab C �•. : COUNTY OF LOS ANGELES BUILDING;AND SAFETY P❑olicy.No Cert Company BUILDING .-� /�•v Certified copy is hereby furnished FOR APPLICANT TO FILL IN (�o ADDRESS ❑ `Certified co'py is filed with the couniy building inspec- BUILDING- tion department ADDRESS e& e DaTe'' Applicdnt - CITY - - ZIP ? LOCALITY I CERTIFICATE OF EXEMPTION FROM WORKERS' st - NO OF BLDGS NEAREST = • `k - %COMPENSATION z I NSU RANGE r ' SIZE OF LOT - NOW ON LOT CROSS ST (This section need not'be`completed if;the permit is-for"one - - -- ASSESSOR _ -- t t ` hundred dollars ($100)oraess ) TRACT, BLOCK LOT NO MAP BOOK_t - PAGE. PARCEL TELr y, S r,,. - OWNE W l �J NO O? USE ZONE MAP ' I certify that !n ihe, ' formance of th'e work for which this NO CL permit is issued, I shall not employ any person in any manner SPECIAL -- - - - 'i ADDRESSY{/ I CONDITIONS V so as to become'sublect To the Workers'Comoensbtiori..Laws _ Date'" `” 'APPlicanT t CITY ZIP 00 _ f 0 NOTICE TO APPLICANT 'If, after making this Certificate of ARCHITECT R TEL DISTRICT GROUP TYPE FIRE PRO ESSED BY 1 Exem'p'tion, 'you "sFiould become sublecT� to'the•'Workers ' ENGINEER NO L�,)�( CONST ZONE ` t Compensation•provisions of the Labor Code,'you must forth-• ADDRESS ✓ry U 3 _ _ . 64 d H with -comply-with such provisions or.this permit- shall be - - - deemed revoked TEL /� STATISTICAL CLASSIFICATION 'APT DO' Z CONTRACTOR P NO ,;V/ _ LICENSED CONTRACTORS DECLARATION,a" - n LIC f CLASS NO Z DWELL UNITS I hereby affirm,That -I am licensed under provisions�of Chapter 9 ADDRESS ..r NO (commencing with Section 7000)of Division 3 of the Business and fi _ LIC- SEWER MAP Professioris:Code,and my license is m full force and effect _ CITY��� t1aQ CLASS BK "VALIDATION' '- _ SQ FT NO OF NO OF CHECK a ., License Number t Lic Class" SIZE STORIES FAMILIES t,+. ,, , VALUATIO '• 1' •v`� •• ^r' DESCRIPTION OF WORK h 6 {� U v ✓ r,' Contractor DaTe L r r ADD ❑ $ v _ ❑ I am exempt under Sec e ALTER ❑ 1 , B&P C for this reason REPAIR ❑ $ 7 2 7 A - - - Date USE OF DEMO" ❑ EXISTING BLDG _. _. -._ • e :_• i APPLICANT A,'TEL F NA Signature OWNER-BUILDER DECLARATION PRINT Qr .1410 NO DATE` X95 - I hereb affirm that I am exem t.from-the Contracton s License J }}+,� • U 9 8'8 h "'' " Law for the following rep ason (Section 7031 5, Business and ADDRESS ����/ FINA ' I Professions Code) R gy • • 4 9,-8 8 BUILDING ❑ I, a3 owner of the property, or my employees with ADDRESS—_: 03,21 -•8-5 ' wages as their sole compensation,will do The wo'r'k and the structure is not intended or offered for sale(Section LOCALITY , - 7044,-Business and Professions Code)--­--,-- ' - MOVING -TEL- I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to'construct The projecr'(Sec ADDRESS t tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK F _J_ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH' 1 1 hereby affirm that there is a constructionlending agency for FRONT the performance of the work for which this permit is issued P L - -I - (Sec 3097,-Civ C ) SIDE ' • Lender's Name P IL LDMA Ref # PC Fee$ - Permit Fee _ Lender's Address -1 certify that I:have read-this application and state that."the - ___ Issuance Fee [v t �� CDMA P/G# above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating n onstruction, $ - __ 9 to buildi 9..-c -. - �• - -. -Total Fee -CDMA^Perm- # - - --- -- + - ...- _ _ • u and hereby authorize representatives of this County to enter n e abov tinned pr perty for inspection purposes C a SEE REVERSE FOR EXPLANATORY LANGUAGE _T a ��lgnot plyy t r ent i - Date _ - -- _ - '- -• _.. .. - - - - -. _ _. y...-,,._ _ .. ._. ._,OO i