HomeMy Public PortalAbout5717 GOLDEN WEST AVE_Building__ TEPA PLE CITY
7GA858A CE'g9 8- 1-61 APPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES 13 U I LO ADDREING
DEPARTMENT OF COUNTY ENGINEER
SS
BUILDING AND SAFETY DIVISION LOCALITY'
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DIST ICT GROUP TYPEP O BY
FOR APPLICANT TO FILL IN S (S�/ 1T,� CONST.
BUILDING /7 SIATISTICALCLASSIFICATION SEWER MAP
Vl /
ADDRESS / A" Lf� '^Y`�.. CLASS. NO. DWELL. UNITS / I BK PG
LOT NO. tVl BLOCK WATER NOT REQUIRED RECEIVED Ll
21 TRACT �� MAP HIGHWAY ST TE MAJOR SECOND, LOCAL
' NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LO:rhA ,441 10;',//OI NOW ON LOT f USE ZONE SPECIA
USE OF �.�—r�r _ i CONDIII,I -L
EXISTING BLDG. �_ �C S UC/YG�.
_ ���- TEL. ,/
OWNER 'I S O IY NO. BUILDING EXIST.
_ YARD STREET NAME
�7 SETBACK - WIDTH
ADDRESS n e� �, �/_A7 L.G G� T4 FRONT
ARCHITECT OR TEL. P. L. nf..0
ENGINEER NO. SIDE
ADDRESS �=a/ fr t'7
TEL. INSPECTION RECORD c-
O
CONTRACTOR ��/�] t NO.
ADDRESS
DESCRIPTION OF WORK
c�
CL
NEW i ADD ALTER REPAIR DEMOLISH N
SQ. FT. NO.OF NO.OF T
$IZE r/ ,hr >r STORIES FAMILIES _
USE OF
STRUCTUREGe
SIGNATUREOF Cyd`)
APPLICANT_____f-- j
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �; FOUNDATION: LOCATION
FEE $ FEE $� FORMS. MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. ICER'iIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S MPE N$'lTlO VNSURANCE.
_LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE �`�-� RECT AND POSTED
ADDRES l)Ll' 1' U FINAL
14f/> CLYDE N. DIRLAM, PRINCIPAL STR f AL ENGINEER
PLAN CHECK VALIDATION M.O. CABH PERMIT VALIDATION CK.
CK. M.O. CASH
-
0
� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS +9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0904010033
PHONE (626) 285-0488 EXT
(LEGAL ID NO. OF CONST NEW BUILDING ADDRESS
ITR 6561 LT: 81 BL 001 I SQ FT STORIES TYPE OCCUP GROUPI 5717 GOLDEN WEST AV 1
I (STRUCTURE 495 1 V-B R3 I TEMP CA 917802504 -
(ASSESSOR INFORMATION NUMBER I GARAGE 1 NEAREST CROSS STREET
18587-023-004 I OTHER THOMAS PAGE. 597 GRID A3 LOCALITY TEMPLE CITY, Cl
I I I I
ITENANT (EXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY
IEXIST OCC GRP: 107/20/09 SR I
I I I I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION I D TEq
BY: CODE-
THOU, KWEIT SHUNG (626) 320-3301- 1 73,370 15717 GOLDEN WEST AV
ITEMP 917802504 FEES PAID IDESCRIP ION OF WORK 1
I 1 (ADD NEW BEDROOM, BATHROOM AND FAMILY ROOM 495 S F
I IFEE DESCRIPTION QUANTITY UOM. AMOUNT I
(APPLICANT TEL NO I 1 ' 1
ICAI (626) 780-7959- IB1 PLANCHECK W/ENERGY 73370 00 VAL 970.95 1
1502 DE LA FUENTE ST IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS I
(MONTEREY PARK 91754 IAB STATE GREEN BLDG FEE 73370.00 VAL 3 00 1 I
IAC STRONG MOTION RESID 73370 00 VAL 7 34 1
1 IB2 PERMIT W/ENERGY 73370 00 VAL 1,142 30 1
(CONTRACTOR: TEL. NO I TOTAL FEES 2,151 34 (APPROVALS DATE INSPECTOR SIGNATURE
THOU, KWEIT SHUNG (626) 320-3301- 1 1 1
15717 GOLDEN WEST AVENUE LIC NO 1 (LOCATION AND SETBACKS
ITEMPLE CITY, CA 91780 NONE 1 1 ��l1
I I (SOILS ENGINEER APPROVAL
I I I I I
(ARCHITECT OR ENGINEER TEL NO- 1 (FOUNDATION/TRENCH FORMS 1
I -ml
LIC NO I (SLAB/UNDER FLOOR
I v I I i
(RAISED FLOOR FRAMING I
I71I
IMAP NO SEWER MAP BOOK. PAGE FIRE ZONE CMP.1 (UNDERFLOOR INSULATION - I I
3 001 [[
I I l 11ST LEVEL FLOOR SHEATH
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I �'���`�'� ��"'� tj I I I
1 NO 21 1 �ilg 12ND LEVEL FLOOR SHEATH
1
1 SCHOOL WITHIN HAZARDOUS (ROOF SHEATHING
(AIR QUALITY- 1000 FEET MATERIALS
NO - NO NO I IFIRE DEPT. FRAME INSPECT( I I
I I I I -L I
(REQUIRED TOTAL SETBACK FROM EXIST I (BLDG DEPT FRAME INSPECTI I I
ISET BACK YARD HWY PROP LINE- WIDTH. I I
(FRONT PL- I (SHEAR PANELS I
I SIDE PL- q I I
1 (INSULATION/WEATHER STRIP( 1
(INTERIOR LATH/DRYWALL
� I
I IEXTERIOR LATH I
I II I � I I
I I ILOT DRAINAGE I I
I I I I I I
I ISMOKE DETECTION DEVICES I 1 1
I P I I I I I
1 y l IFIRE DEPARTMENT_APPROVAL( I I
1 IREPORT ID DPR261 ROUTE TO BS0508 1 I I 1
I I I I I I