HomeMy Public PortalAbout5715 GOLDEN WEST AVE_Building__ --APPLICATION FOR BUILDING -P RMIT
76AG38A Ce#e0!0-QB
COUNTY OF LOS ANGELES BUILDING
-DEPARTNENT OF COUNTY ENGINEER ADDRES
BUILDING,AND SAFETY DIVISION = LOCALITYMZ� 11
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST A,.a I J
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. QSQ/
v FOR APPLICANT TO FILL IN DIST NO. GROIjp I TYPE PR SS D -
CONST:
BUILDING - - I SEWER MAP l
ADDRESS f41
STATISTICAL CLASSIFICATION
� S t l K PG"
L CLASS. NO. I DWELL. UNITS
LOT NO. �O BLOCK MAP STATE YES O
NUMBER I (/ HWY. '
TRACT (O�(o / USE ZONE SPECT L
SIZE OF LOT �06 I NO.OF BLDGS. CONDITIONS
NOW ON LOT �
USE OF
EXISTIN BLDG. P1 "' S BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER til £' J,pL.�\ / l FRONT . I GQ't
MAIL - ` - P L:
ADDRESS ( �CSIDE t
,C. 1 NEL
O _ P L. - -
p INSPECTION RECORD
ARCHITECT ORTEL.
ENGINEER &0--J4 /- NO.
ADDRESS,
TEL.
CONTRACTOR
r NO.
ADDRESS L5
DESCRIPTION
DESCRIPTION OF WORE
NEW - ADD ALTER 'REPAIR DEMOLISH `, -
SQ.FT. 'J7 D NO:OF NO OF J ,/� s��"
SIZE / STORIES FAMILIES
USE-OF STRUCTURE + -
SIGNATUR APPROVALS Gi�aTQU T -� /✓Id� l
APPLIC
/' ATE INSPECTORS.SLGMTURE
ADDRESS'? ��f L° f 1 FOUNDATION LOCATION h
MATERIALS
P.C. $ FRAME FIRE STOPS.
9 FEE _BRACING, BOLTS
VALUATIOW1 / g FURNACE LOCATION. .
FEE GAS VENT,DUCTS
I.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. ,
PLICATION AND STAT HAT THE ABOVE IS CORRECT AND - _
AGREE TO COMPL H LC CP LINT tDANC SeAlDSTATE LAWS AT G I GST N. LATH, EXT.
SIGNA HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS P..S FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E E
PLAN CHECK VALIDATION CK. MO CASH PERMIT VALIDATION CK M O. CASH
•2923 %MAR 2 - -1 A 9.00' :
APPLICATION FOR UIL ING (7RMIT
FOR APPLICANT TO FILL'IN (Pnnt o, typeonly) f
BUILDING .- ' COUNTY OF LOS ANGELES
ADDRESS h" �3 G eK kms- DEPARTMENT OF COUNTY ENGINEER
CITY "l o' ZIP BUILDING AND SAFETY DIVISION
N OF BLDGS BUILDING
SIZE OF LOT OW ON OT ADDRESS �( O
TRACT BLOCK LOT NO LOCALITY
TEL NEAREST of _
OWNER 8 } O CROSS ST
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE
CITY ZIP P E
3e og, _ ()� CONST ZONE
�
ARCHITECT OR _ TEL
ENGINEER - NO
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 'CLASS NO _DWELL UNITS r— BK P
CONTRACTOR y. if 7LIVI USE ZONE MAP
`` /Qy' LLP-1
NO �+ADDRES lQQ Al
N0� /QJ CONDSPECIIT ONS PP6P lhl J IV
CITY 7�7—� LIC ...
C CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION L NDER R ,
NAME AND BRANCH BLDG SETBACK FROM a
FRONT PROP LINE OF STREET) _ C
ADDRESS CITY
-HIGHWAY + YARD = TOTAL SETBAC OM TYPE OF EXISTING cc
SQ FT NO-OF NO OF „�_ CHECK FRONT P LINE HIGHWAY WIDTH C
SIZE STORIES FAMILIES ONE IC-7
+ = W
DESCRIPTION OF WORK NEW a-
ADD ❑ BLDG SETBACK FIR - Z
X&IJ _e77—
oc SIDEPROP• IN (STREET)
r ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING
J ❑ HIGHWAY YARD - SIDE PROP LINE
REPAIR HIGHWAY WIDTH
USE OF t =
EXISTING BLDG DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) _ _ NO
I IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATURE) _
,�' � IN COASTAL ZONE YES ❑ NO ❑
VALUATION o� -
CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
-ANO-STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT .EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCE D LAWS REGULATING BUILDING CON-
STRUCTION I CERTI TH T IN DOING T WORK A THORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT MPL ANY PERSON IN VIOLAT N OF THE
LABOR CODE OF T ST TE OF CALIF NI IN ATING TO
WORKMEN'S CO MPE N IN ANC
SIGNATURE OF
PERMITTEE -
ADDRESS f �-< TEL"Q-
FIBY e
CITY �r v NOATE V .7 6'
PMT
AKF_ CHECKS PA ABLE TO p E $� FEE $
HARVEY T. BRANDT. C UNTY ENGINEER GGG
PLAN CHECK VALIDATION CK M O CASH , PERMIT VALIDATION cK M O CASH
—,MAY, 13 - 1 D
1, 2.0 0,A!38
76A638A CE#803 7/73
U _ r
WORKERS'COMPENSATION-DECLARATION
insure bbraafcerfl�rptif catharte ofaWorke s' Compensat oI hve certificate of' n ent'to Insuran eself APPLICATION FOR BUILDING P ERMIT �.
s or a ciertified copy thereof ((Sec 3800, Lab C )
7 / /� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Nod?�i �S/L" Company •� �/f' >Y"y�
❑ Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS 7/ S�
F, �ertrf ed copy is filed with the county building inspec- BUILDING i
LJ tion-department ADDRESS
Date Applicant /7! , CITY ZIP O O LOCALITY r
ERTIFICATE OF EXEMPTION FROM WORKERS', NO OF.BLDGS NEAREST
COMPENSATION INSURANCE - SIZE OF LOT NOW ON LOT CROSS ST �C!//
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL
TEL p USE ZONE= MAP
I certify that in the performance of the work for which this OWNER // v NOr� t7 �- - NO
permit is-issued, I shall not employ any person in any manner ADDRESS �j �Gta C �y�s� �� SPECIAL _ r, �
so as to become sublect to the Workers'Compensation Laws �'v !!!"��� CONDITIONS C)
/1
CITY U
Date APplcant ?r C� ZIP
NOTICE TO APPLICANT If,- after making this'Certificate of ARCHITECT OR TEL DISTRICT GROUP I TYPE 1 FIRE PRO ED BY,- O
Exemption, -you should ,become subject to the Workers' ENGINEER NO ��//� CONST ZONE I"
Compensation,provisions of the Labor Code, you must forth-
ADDRESS
I1
with comply,with such provisions or this permit shall be / / TEL STATISTICAL CLASSIFICATION APT CONDO N
deemed revoked CONTRACTOR .�P"/ - NO� �U
LICENSED CONTRACTORS DECLARATION _ -� ;LIC CLASS NO DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �/ . 1 $ NO yiS� I3
(commencing with Section 7000)of Division 3 of the Business and, LIC SEWER MAP
Professions Code, and'my license is in full'force'and effect CITY ti/11 CLAS ,e 3 VALIDATION
SQ FT NO OF NO OF CHECK BK PG
License Number Lic ClassA,__l1�ZK SIZE STORIES FAMILIES ONE
`�C g� W O VALUATION
Contractor ` pate/Z � DESCRIPTION OF•WORK � / - -
: 5-� '
❑ I am exempt under Sec / 11 �%d ❑
� � ALTER
B 8P C for this reason �� /fJ'�/ • REPAIR s
Date USE OF
- EXISTING BLDG P-s✓C/C"we � DEMOL ❑ -
Signature L APPLICANT TEL.?7,r Q FINA
OWNER-BUILDER DECLARATION PRINT // i NO
���gD�Y' DATE
•I
hereby affirm that I am exempt from the Contract cense ADDRESS �.�F �S i
Law for the following.reason (Section 7031 5,•Business and FINA
Professions Code) By
BUILDING
❑ . 1, as owner of the property, or my employees with ADDRESS
wages as their sole compensation',will-do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code) MOVING - TEL $5 511 A
❑ 1, as owner'of the property, am exclusively contracting CONTRACTOR NO # o 0 0 0 to
with licensed contractors to construct-the project.(Sec- ADDRESS -
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE- WIDTH '
I hereby affirm that there is a construction lending agency for FRONT t
the performance of,the'work.for which this permit is issued P L .- ,o'6 a 6 3
(Sec. 3097,,Civ C ) SIDE
w PL o e o6a630 '
Lender's Name `T LDMA Ref N 1,209.-87
m Lender's Address P C Fee$ - Permit Fee
I certify that,I have read this application and state-that theIssuance Fee LDMA P/C N
above information is coriect I agree to comply with all County
Investigation Fee
a ordinances and State laws relating to building construction, 9 Total Fee n LDMA Perm q .
R and hereby authorize represenfahves of this.County to enter
upon thea ve- dritione ope for inspection pur as
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant gent Date -
,_WORKNR '-COMPENSATION DECLARATION
` 11to self 1 7r oolraafcertif caste of Worke s' Compensat on I have a certificate of'consent Insurance, APPLICATION FOR. BUILDING PERMIT
or a certified copy thereof (Sec 3800, Lab C ) - -1 1 OF LOS ANGELES BUILDING AND SJ
I fTY
Policy No Company BUILDING
❑ Certified copy is hereby furnished. - FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department ADDRESS ,a
Date Applicant CITY l /IA Z-1C ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' r i NO OF BLDGS: NEAREST
:COMPENSATION INSURANCE SIZE OF LOT •SD O NOW ON LOT CROSS ST_
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL
" TEL USE Z E MAP = -
I certify that in the performance of the work for which this OWNEf� DI NO SK
permit is issued, I shall not employ any person in any manner 99 I •SPECIAL- �
so as to become subject to the s"Compens Laws ADDRESS Gt/� CONDITIONS U
Dot ' Applcant CITY ZIP
NOTI E TO APPLICANT If, aft making this'Certificate of ARCHITECT O TE DISTRICT GROUP TYPE FIRE PRO D BY O
ENGINEER NO CONS Z NE V
t Exem tion, ou should bec a subject to-the Workers'
Compensationprovisionsof the Labor Code, .you must forth- ADDRESS .�� '�
with comply with 'such provisions or this permit shall,be 4TEVV STATISTICAL CLA SIFT TION APT NDO N
deemed revoked CONTRACTOR Z
LICENSED CONTRACTORS DECLARATION _ _ LIC
CLASS NO DWELL UNITS
-
I hereby affirm that I am Icensed under provisions of Chapter 9 ADDRESS ( NO
(commencing with Section 7000)of Division 3 of the Business and / LIC SEWER
Professions Code, and my license is in full force"arid effect CITY ! CLASS BK "v PG VALIDATION
- I " SQ FT NO OF NO OF CHECK
License Number Lc' Class SIZE STORIES FAMILIES ONE
VALUATION
DESCRIPTION OF WORK ,1p p NEW _ ElO a
Contractor Date _ ADD ❑ $ ?O
I am exempt under Sec ALTER
B.BP C for this reason REPAIR ❑ $ o o28,50
lA
USE OF .A^^ ❑
Date EXISTING BLDG DEMOL o'e 02 8.5 0 cm
Signature - APPLICANT TEL
OWNER-BUILDER DECLARATION PRINT ` IAkM $ Q oR.I NO DATE L 2 1 ,tA 8 8
1 hereby affirm that I am exempt from the Contractor's License
Low for the following reason (Section 7031 5, Business and
Professions Code) PRESENTY
�]L�J
I, as owner of the property, or my employees with BUILDING 44
ADDRESS
wages as their sole compensation,•wdl do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code) - - MOVING TEL t
1, as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- ,
tion 7044, Business and Professions Code) ADDRESS
REQUIRED TOTAL-SETBACK
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP'LINE WIDTH
;. I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P L
(Sec 3097, Civ C ) SIDE
PL
Lender's Name
�1
LDMA Ref #
m P C Fee$ - Permit Fee- 0
Lender's Address
I certify that I have read this application and state that the Issuance Fee . kLDA P/C#,
g above information is correct I agree to comply with all County Investigation Fee
9 ordinances and State laws relating to building construction, Total Fee LDMA Perm q
and hy authorize representatives of this County to enter
u th above-menti rre property for,inspection purposes
/r �ZSEE REVERSE FOR'EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date - /
BOUNTY 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 0810150040
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST I BUILDING ADDRESS
ITR 6561 LT- 461 SQ FT STORIES TYPE 5715 GOLDEN WEST AV
I (STRUCTURE V-B TEMP CA 917802504 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 1
18587-023-005 1 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
I I I I
ITENANT IEXIST BLDG USE RESID USE ZONE R-1 11SSUED ON PROCESSED BY 1
IEXIST OCC GRP r 110/15/08 SR
I I I I
1OWNER. TEL NO 1BLDGS NOW ON LOT VALUATION IFINAL DATEQaL BY CODE 1
ILANIGAN, MARY (626) 286-0145- 1 485 I ry1
15715 GOLDEN WEST AV I
CARPED
ITEMP 917802504 1 FEES PAID IDESCRIPTION OF WOR 1
I i IREPLACE (1) ENTRY DOOR, SAME LOCATION 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT I
(APPLICANT TEL NO I I 1
(DAVID BATIOFF (626) 614-7059- IAA BLDG PERMIT ISSUANCE 27 75 I
IAC STRONG MOTION RESID 485 00 VAL 0 50 ISPECIAL CONDITIONS I
ID2 PERMIT W/O EN-HC 485 00 VAL 43 65 I
TOTAL FEES 71 90 I I
I I I I
-(CONTRACTOR.- - - TEL NO - - - - 1APPROVALS DATE INSPECTOR SIGNATURE I - -
1AMERICAN HOME CRAFT INC (916) 290-4394- I 1 I
19823 OLD WINERY PLACE LIC NO I ILOCATION AND SETBACKS 1 1 I
ISACRAMENTO CA 95827 790709BC17 I I I I I
I I ISOILS ENGINEER APPROVAL
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO- I IFOUNDATION/TRENCH FORMS I
1 LIC NO I ISLAB/UNDER FLOOR I I 1
I I I I
I (RAISED FLOOR FRAMING
I I I I I I
IMAP NO. SEWER MAP BOOK: PAGE- FIRE ZONE CMP I _ (UNDERFLOOR INSULATION I I
1150H269 3 001 1
I I IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS-.APT/GOND STAT CLASS
NO 21 1 IROOF'SHEATHTNG I I I
I I I I I
SCHOOL WITHIN HAZARDOUS 1SHE1R PANELS I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION I I
I I I I I I
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS
ISET BACK YARD. HWY- PROP LINE. WIDTH I I
IFRONT PL- I 11NSULATION/WEATHER STRIPI I I
I SIDE PL- I 1 1
I 11NTERIOR LATH/DRYWALL
I I I I I I
IEXTERIOR LATH I I I
I I I I I I
IRATED FLOOR/CEIL ASSEM
I I I I I 1
RATED WALL ASSEMBLIES
I I I I I I
(RATED SHAFTS/OPENINGS I
I I I I I I
I _ IT-BAR CEILINGS
I I I I I I
I 1 ILOT DRAINAGE I I 1
I I I I I I
IREPORT ID DPR261 ROUTE TO BSO508 I
(BOUNTY 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 0806050003
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 6561 LT 461 SQ. FT STORIES TYPE 5715 GOLDEN WEST AV
STRUCTURE V-B TEMP CA 917802504
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18587-023-005 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE: RESID USE ZONE R-1 ISSUED ON ✓ PROCESSED BY EXPIRES ON
EXIST OCC GRP 106/05/08 SR 12/02/08
(OWNER TEL NO IBLDGS NOW ON LOT- VALUATION FINAL DATEEXPIRED
CODE
LANIGAN, MARY (626) 286-0145- 6,000 i-5715 GOLDEN WEST AV
TEMP 917802504 FEES PAID IDESCRIPTION OF WORK
IREMCVE & REPLACE 14 WINDOWS W/NEW MILGARD RETROFIT WINDOWS I
IFEE DESCRIPTION QUANTITY UOM AMOUNT INO STRUCTURAL MODIFICATIONS STRAIGHT REPLACEMENT I
(APPLICANT TEL NO I I 1
IWINDOWS ETC (909) 394-4749- IAA BLDG PERMIT ISSUANCE 27 75 I 1
1440 S SAN DIMAS IAC STRONG MOTION RESID 6000.00 VAL 0.60 ISPECIAL CONDITIONS 1
ISAN DIMAS, CA 91741 ID2 PERMIT W/O EN-HC 6000 00 VAL 149 40 1 1
1 'IFR INV WORK W/O PERMIT 257 00 DOL 257.00 I
1 1 TOTAL FEES 434 75 I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
IWINDOWS ETC (909) 394-4749- 1 1 1
IA DIVISION OF WINK 2K,INC LIC NO I ILOCATION AND SETBACKS 1 1 1
1440 S SAN DIMAS 866394 B I _ 1
ISAN DIMAS, CA 91741 1 ISOILS ENGINEER APPROVAL 1
I I I I I I
(ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS I
LIC NO: I (SLAB/UNDER FLOOR I I I
1 I (RAISED FLOOR FRAMING I 1
IMAP NO- SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I
1150H269 3 011 I I I 1
1 _1 IFLOOR SHEATHING 1 1 1
INO OF FAMILIES DWELLING UNITS: APT/GOND STAT CLASS
1 NO 21 I IROOF SHEATHING I I 1
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
(AIR QUALITY 1000 FEET MATERIALS I I I I 1
NO NO NO I 1FRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS
ISET BACK YARD. HWY PROP LINE WIDTH I I 1
IFRONT PL- I IINSGLATION/WEATHER STRIP( I
SIDE PL- I I I
(INTERIOR LATH/DRYWALL
I I I I I I
1 I 1EXTERIOR LATH I I 1
IRATED FLOOR/CEIL ASSEM I I I
I I I I I I
1 I IRATED WALL ASSEMBLIES 1 1 1
I I I I I I
(RATED SHAFTS/OPENINGS
T-BAR CEILINGS I 1
ILOT DRAINAGE 1 -
I
I _ IREPORT ID DPR261 ROUTE TO BS0508 I 1 I 1
I I I I I I
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 0802110032
PHONE: (626) 285-0488 EXT
ILEGAL ID NO OF CONST I BUILDING ADDRESS 1
ITR 6561 LT- 461 I SQ FT STORIES TYPE 1 5715 GOLDEN WEST AV 1
I ISTRUCTURE V-B I TEMP CA 917802504 1
ASSESSOR INFORMATION NUMBER- - 1 I NEAREST CROSS STREET: I;
18587-023-005 I I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl
I I I I
ITENANT IEXIST BLDG USE RESID USE ZONE: R-1 (ISSUED ON PROCESSED BY- EXPIRES ON- 1
I 1EXIST OCC GRP 102/11/08 SR 08/09/08 1
I •I I I
(OWNER. TEL. NO 1BLDGS NOW ON LOT VALUATION: IFINAL DATE FINAL BY CODE
ILANICAN, MARY - 10,000
15715 GOLDEN WEST AV __73
-
ITEMP 917802504 FEES PAID IDESCRIPTION ItYP WORK I
I I INEW ROOF 30 YEAR CLASS A SINGLES SHEATING NEW PLYWOOD 1
I IFEE DESCRIPTION- QUANTITY UOM AMOUNT I 1
(APPLICANT: TEL NO I I I
IRON SCHWEIGER (323) 493-9350- IAA BLDG PERMIT ISSUANCE 27.75 1 1
15322 WHILSHIRE BLVD IAC STRONG MOTION RESID 10000 00 VAL 1.00 ISPECIAL CONDITIONS 1
ILOS ANGELES CA 90003 ID2 PERMIT W/O EN-HC 10000 00 VAL 216 60 1 I
IFR INV WORK W/0 PERMIT 257 00 DOL 257 00 1 I
I TOTAL FEES 502 35 1
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
1PROFESSIONAL BUILDERS AND REMODELIN (888) 634-4477-• 1 1
15322 WILSHIRE BLVD LIC- NO I ILOCATION AND SETBACKS - 1 I I
(SUITE# 200 800769 B I I ; 1 1-1 1
ILOS ANGELES CA 90036 ,1 ISOILS ENGINEER APPROVAL 1 1
1ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
1I ISLAB/UNDER FLOOR .1-1
LIC NO
I I I
IRAISED FLOOR FRAMING I I
I I I
IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I
1150H269 3 Oil I 11
I I IFLOOR SHEATHING I 1 1
INO. OF FAMILIES DWELLING UNITS APT/COND- STAT CLASS 1 I _ I
1 NO 21 1 IROOF SHEATHING
I
° 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 1
(AIR QUALITY 1000 FEET MATERIALS I I I I I
1 NO NO NO I 1FRAME INSPECTION
I I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS 1 I I
ISET BACK YARD. HWY. PROP LINE WIDTH 1 I I I I
IFRONT PL- I 11NSULATION/WEATHER STRIPI I
SIDE PL- I
11NTERIOR LATH/DRYWALL
I 1EXTERIOR LATH I 1 1
I I I
I 1 IRATED FLOOR/CEIL ASSEM
I I I
IRATED WALL ASSEMBLIES
I IRATED SHAFTS/OPENINGS I I I
I 1 IT-BAR CEILINGS I I 1
I I I
ILOT DRAINAGE I 1
I I I
1 IREPORT ID DPR261 ROUTE TO: BS0508 I I I 1
I I I I I I
C
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 0912030005 f'
PHONE (626) 285-0488 EXT
ILEGAL ID I NO OF CONST BUILDING ADDRESS
ITR 6561 LT 461 SQ FT STORIES TYPE 1 5715 GOLDEN WEST AV 1
I ISTRUCTURE V-B TEMP CA 917802504 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET I
18587-023-005 I THOMAS PAGE 597 •GRID. A3 LOCALITY: TEMPLE CITY, Cl
[TENANT (EXIST BLDG USE: RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1
I JEXIST OCC GRP 112/07/09 SR 1
10WNER TEL NO JBLDGS NOW ON LOT VALUATION: IFINAL DATE FINAL BY CODE I
ILANIGAN, MARY (626) 286-0145- 1 55,000 1
15715 GOLDEN WEST AV I I
ITEMP 917802504 1 FEES PAID IDESCRIPTION OF WORK I
I 1 (INTERIOR FIRE DAMAGE KITCHEN, BATHROOM 42 AND LAUNDRY ROOM 1
IFEE DESCRIPTION QUANTITY. DOM: AMOUNT
JAPPLICANT TEL NO. I I
IALVARADO (714) 529-1133- JAA BLDG PERMIT ISSUANCE 27 75 1 1
1552 LOFT S BREA BL. JAB STATE GREEN BLDG FEE 55000 00 VAL 3 00 ISPECIAL CONDITIONS I
IBREA, CA 92821 JAC STRONG MOTION RESID 55000.00 VAL 5.50 1 I
I JAX BUILDING REVIEW FEE 54 70 1 I
1 JB2 PERMIT W/ENERGY 55000 00 VAL 935 39 1 I
ICONTRACTOR TEL NO - I - TOTAL FEES 1,026 34 1APPROVALS - DATE - INSPECTOR SIGNATURE 1
ICALIBER CONSTRUCTION AND RESTORATIO (714) 529-1133- 1 1
1552 LOFT S BREA BLVD LIC NO 1 ILOCATION AND SETBACKS I 1
BREA, CA 92821 915437 B i ISOILS ENGINEER APPROVAL 1 I
JARCHITECT OR ENGINEER: TEL. NO 1 - 1FOUNDATTON/TRENCH FORMS I I
LIC NO ISLAB/UNDER FLOOR I
IRAISED FLOOR FRAMING I 1 I
MAP NO: SEWER MAP BOOK PAGE- FIRE ZONE. CMP I C� }J!a�� (UNDERFLOOR INSULATION I
115OH269 3 001 " v ; 1
I I _ IFLOOR SHEATHING 1
INO. OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I
NO 21 1 IROOF SHEATHING 1
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS J 1 I
1AIR QUALITY 1000 FEET MATERIALS I I I I
1 NO NO NO 1 IFRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I
ISET BACK YARD HWY PROP LINE WIDTH 1 I I I
JFRONT PL- JINSULATION/WEATHER STRIPII y 1�/.,1I
I SIDE PL- 1 115���—'IV�_SI—v1
I (INTERIOR LATH/DRYWALL I
I I �IvV I
I I 1EXTERIOR LATH I I v I
I IRATED FLOOR/CEIL ASSEM. I 1
I IRATED WALL ASSEMBLIES I I J
1 �r• I RATED SHAFTS/OPENINGS I 1
IT-BAR CEILINGS 1 I I
I I I I I I
I ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO. BS0508 I
I I I I I I