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HomeMy Public PortalAbout5738 GOLDEN WEST AVE_Building__ Y TEMPLE CETT , 7U638A CE ttaQS 2/80 APPLICATION FOR -BUILDING PER . IT COUNTY OF LOS.ANGELES BUILDING 'DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION - LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER- NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST DISTRICT NO. GROUP CONS '-HYPE P ESSED BY FOR APPLICANT TO FILL IN T. ' BUILDING _ STATISTICAL CLASSIFICATION S WER MAP ADDRRE�SS c� -eJr CLASS.NO�DWELL.UNITS �— MBK -'NO.Y LO ' 0_4 / LOCK NUMAP MBER TATE YES NO TRACT /�^4 USE ZONE SPECIAL J 9 _ I NO.OF BLDGS. �^ CONDITIONS SIZE OF LOT Q - NOW ON LOT � IIJ USE OF / EXISTING BLDG. a BUILDING EXIST. , �/ TEL. SETBACK YARD HWY T EfT NAME WIDTH" OWNER ;5 • h71 ����� NO. FRONT f ADDRESS *v-! a ��TELpp SIDE -ENGINEER ARCHITECT OR �p ©� NO S-v0 3 F L �j hh INSPECTION_RECORD ADDRESS /'' G V G U/N R - �i �• aCONTRACTOR �sQ'!�9 �f NO.£c q_e5v O ADDRESS 4 � /Cyk1/��➢�` 0 l/),-1 A - - _ V DESCRIPTION OF WORK 0 NEW ADD ALTER REPAIR DEMOLISH SO.FT.. NO OF NO OF SIZE STORIES FAMILIES USE OF STRU Iy 4.- SIGNATURE /SIGNATURE OF APPLICANT - VALUATIONS U I APPROVALS 4-54-1-d DATE INSPECTOR'S SIGNATURE FEE $ FEE $ FOUNDATION: LOCATION Z -7 FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS'AP- FRAME FIRE STOPS. ; PLICATION AND STATE THAT THE ABOVE.IS CORRECT'AND BRACING, BOLTS' FURNACE LOCATION. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - WORKMEN'S COMPENSATION' LAWS OF CALIFORNIA. LATH,EXT. S � HOUSE NUMBER IGNATURE OF PERMITTE RECT AND POSTED ADDRESS © FINAL - CLYDE N. DIRLAM, PRINCIPAL ST R URAL ENGINEER PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4. 2 6 9 t irk; 2 3 D 3 .0 V ®7 �i�i�-,42 1 D 12 .00 M 1 .ND&X_fiTMENT -OF BUILDING AND SAFETY APPLICATION FOR PERM COUNTY OF LOS ANGELES U I " I G 1 'WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS + �7 gZ © y� LOCALITY RECEIVED BY DATE OF APP DATEISSUED NEAREST r/ 1 7 �� CROSS ST. ADDRES ' - _DDRDI S � -� S OWNER MAIL LOCALITY Ce ADDRESS NEAREST TEL. CR088 ST. d CITY % LNO. FIRE NO. OF TYPE GRO P ARCHITECT ORI - TEL. ZONE PLANS V I , ENGINEER NO. BLDG. ORD. NO.' _ SETBACK LINE ADDRESS APPROVED - TEL. BY DATE CONTRACTOR + O, USE APPROVED i ` ZONE - BY DATE ADDRESS /1 iAl + HOUSE NUMBERING LEGAL DESCRIPTION, LOT NO. BLOCK MAP NUMBER �00 FIELD CHECK BY TRACT NO: ASSIGNED BY SATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT I NOW ON LOT ' USE OF I NO. OF EXISTING BLDG,. FAMILIES DESCRIPTION OF WORE NEW I [ALTERATION IX I ADDITION 0 REPAIR I X I DEMOLITION I I SQ. FT. NO. OF - SIZE ROOMS STORIES Z " D EXT. WALL ROOF 1 - r COVERINGjv,�X. COVE G USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION , PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGRER TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HERHON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION�-�' SIGNATURE OF + GAS VEN�DUCf•8'-' PERMITTE _ LATH, INT. ADDRESS-4i LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 7EAG28A, 0892 70-60 $ ) �- P C. >$ (e� L/ c Q FEE PLASTER, EXT. VALUATION $ FEE — FINAL Fw 8A 638A CE#803 9-67 ��`� �� • APPLICATION F G PERMIT COUNTY OF LOS ANGELES - BUILDING [/ DEPARTMENT OF COUNTY ENGINEER ADDRESS J of BUILDING AND SAFETY DIVISION LOCALITY /o,_f" JOHN A. L-AMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST CROSS ST DISTRICT NO. GROUP TYPE PROCESSED BY PRE OR APPLICANT TO FILL IN LLrD CONST. r Print ort pe only) _ ING ^�� ! /J,v �O�J� STATISTICAL CLASSIFICATION SEWER MAP SS i ((�� CLASS NO.�DWELL,UNITS BKr PG •p BLOCK USE ZONE MAP - �Q NO OO �� CONDSPECIAL TIONS NO.OF BLDGS F LOT NOW ON LOT NG BLDG. BLDG SETBACK FROM NO. TYPE EXISTING SETBACK HIGHWAY } YARDTOTAL SS 4/bu� HIGHWAY IDTH FROM C L -7emv Au TECT OR TEL. BLDG SETBACK FRO (STREET) EER - NO. SIDE PROP LINE OF TYPE OF EXISTING SETBACK HI AY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L. TEL }, CONTRACTOR o/7/ /OIJ NO. O ADDRESS /y {I NO CORNER CUTOFF YES ❑ El CITY �!� CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS IC o DESCRIPTION OF WORK c_ / C/) NEW ADD ALTE REPAIR DEMOLISH SQ. FT NO OF NO OF SIZE "STORIES, FAMILIES , IUSE OF STRUCTURE eA) �NJ M SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMTFOUNDATION• LOCATION FEE $ FEE $ FORMS, MATERIALS - FRAME: FIRE STOPS, •� - I 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 DU ILD NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA LATH, INT ING TO WORKMEN S COM�,NTS_AV INSURANCE ' �� r0�/ ✓ r LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS ✓ FINAL PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STRU URAL ENGINEER PERMIT VALIDATION CK M O CASH 5,0'7 ?'S .JUN 17 1 D 1 72 5cc - _ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance,or a certified 't" copy thereof(Sec.3800, Lab. C.) CITY— ZIP LOCALITY Policy No. - Company SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO department. ` / USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant ��;j SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) CITY« ZIP I certify that in the performance of the work for which this permit t / is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws. ARCHITECT OR ENGINEER TEL NO. P 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 to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION CITY 7 LIC.CLASS P L CL SIDE � 1 hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO,OF STORIES NO.OF FAMILIES U NEW 1-1 BK PG Professions Code,and my license is in full force and effect.. LU License Number - Lic.Class r DESCRIPTION OF WORK ADD ❑ VALUATIONIq , J Contractor Date ALTER ED $ LL ❑ I am exempt under Sec. REPAIR ❑ $ cc Itr BAP.C.for this reason DEMOL ❑ LDMA P/C# Q Date: USE OF EXISTING BLDG. URM ❑ W 0 Signature APPLICANT(PRINT) TEL NO. LDMA Perm# d. ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS LU W not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J El I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ a the performance of the Work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD EL EL 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 P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building W construction, and hereby authorize representatives of this County ISSUANCE FEE to enterup trhp7fabov -merjOone property for inspectionpurp es. m a i� _ INVESTIGATION FEE TOTAL FEE r` •;gnat—ot Auu kinT w Agdt oz�e SEE REVERSE FOR EXPLANATORY LANGUAGE I APPLICATION FOR BUILDING PERMIT r. COUNTY OF LOS,ANGELES BUILDING AND SAFETY. WORKER'S,COMPENSATION DECLARATION FOR APPLICANT•TO FILL'IN BUILDING ADDRESS BUILDING'ADDRESS `(A, I hereby affirm that I have•a certificate of consent to'self InsuFe, C OLD£ .. yu or a certificate of Workers' Compensation Insurance,or a certified, copy thereof(Sec 3800, Lab C) ��.{� GTly. ZIP Policy No 2b5574 .Company' —'rrrr �r> I C—k LOCALITY SIZE OF LCT NO OF BLDGS NOW ON LOT ❑_Certified copy ig hereby furnished h' NEAREST CROSS ST , El Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO ' departm nt - - ,USE ZONE MAP NO . Date 2 Applicant ASSESSOR MAP BOOK - PAGE PARCEL r SPECIAL CONDITIONS , CERTIFICATE OF EXEMPTION FROM WORKERS' ovyyEF� OL TEL NO COMPENSATION'INSURANCE ���� 'WITHIN 1000 FT OF SCHOOL? YES NO (This Section need not be completed If the permit Is for one hundred ADDRESS `�") �`� �'�' DISTRICT. GROUP .TYPE CONST FIRE ZONE PROCESSED BY dollars($100)orless) v , CITY= ` ZIP u^ I certify that,in the performance of the work for which this permit I t 4v �•� Z—f 3 y Is Issued, I shall not Cr 'employ any,person in any, manner so as to become,subject to ttie Workers'Compensation LawsARCHITECT OR ENGINEER ,TEL-NO 4• 'STATISTICAL CLA !StIIFICATION APT CONDO Date i •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 to the Workers' CONT ACTOR ^ ^ TEL NO ' .SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor.Code, you must forthwith V IiC/U�CJ FRONT comply with such provisions or this permit shall be deemed revoked ADDRES r LIC,NO' P L LICENSED,CONTRACTORS DECLARATION0s3s SS SIDE r - CITY - LIC'C S P L I hereby,affirm that,I am licensed underprovisions•of,Chapter 9 r r""`—�i A 'SEWER MAP >_ (commencing with Section 7000)of Division 3 of the Business'and SQ FT SIZE, NO OF STORIES NO OF FAMILIES a Professions Code,and m license is in'full force and effe t NEW El BK PG , p D SCRI TION OFWO K 'VALUATION V License Number Lic Class e�c� ADD ❑ (� Contractor N��NCm�d Date' 9 Z/ �3 ALTER ❑ ir p ❑ 1 am exempt under Sec L ASS S H I N L(- REPAIR ❑ F- BBPC for this reason DEMOL .❑ LDMA P/C# W CL Date _ USE OF EXISTING BLDG URM '13 N Signature Z APPLICANT(PRINT) TEL.NO LDMA Perm# ACC, g ❑ I, as-owner of the property, or.my employees with wages'as Z their, sole compensation, will do the work and the structure is ADDRESS O .`cl_= 149.15 not intended or offered for sale (Section 7044, Business and FINAL DATE Q110- 1 . Professions'Code), WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL L• El I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J FINAL BY j ie,E,nL 149'=OR SPECIFIED.ON THE HAZARDOUS MATERIALS INFORMATION GUIDE licensed contractors to construct the project (Section 7044, ves❑, No❑ - Business and Professions Code) CHECK WILL THE INTENDED USE OF THE BUIDLING.BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1_E-il�tf�� .1313 CONSTRUCTION LENDING AGENCYCOAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD),SEE PERMITTING CHECKUST FOR GUIDELINES ` I hereby.affirm that there Is a construction lending agency for YES❑ No❑ f�f�_ _((� �y the performance of the work for wt lch this permit is Issued(Sec HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PE WITTING 1JI� I�I�L�-i 7 1 I�li3 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 4 4 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 1oc'J t ill.,.,'I+'I+, Lender's Address 2 O OWNER OR AGENT oI certify that I have read this application and state under penalty ' O of perjury that the above information IS correct I agree to comply PC FEE PERMIT FEE _ N with all county ordinances and State laws relating tb building 62 < construction,�nd hereby authorize representatives of this County - ISSUANCE FEEto enterup abo -m o property,for Inspe�g7on urp es / ?j INVESTIGATION FEE TOTAL FEE n epmwre a M or _ oa,e I ' SEE REVERSE FOR EXPLANATORY LANGUAGE A_ . r 76A638A CE 0803 1/71 '�•Ih OF Ti EOL �d � BUILDING PERMIT, COUNTY OF LOS ANGELES ASSE:SOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK DING .�7 PBGE PARCEL ,BUILDING AND SAFETY DIVISION gDIDRESS ( G,0 COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY t `' FOR APPLICANT T FIL I NEAREST rent n CROSS ST. b..� DISTRICT NO. GYP," PROCESSED BY BUILDING r CONSTh t ADDRESS 3` _ STATISTICAL CLASSIFICATION „ SEWER MAP LOT NO 1 -, Q BLOCK CLASS NO._2_�_DWELL•,UNITSl L - aBKJI PG \ TRACT USE ZONE MAP NO.OF BLDGS. NO SIZE OF LOT,' -Z c'0 NOW ON LOT _ SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. ' OWNER NO.-, SLOG SETBACK FROM ADDRESS _ FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY t: YARD TOTAL HIGHWAY WIDTH FROM C L. - CITY - ARCHITECT OR TEL. } _ ENGINEER NO. BLDG SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK IGHWAY }y YARD = TOTAL y CONTRACTOR NO. HIGHWAY WIDTH FROM ,• O LIC. + _ U ADDRESS NO I - L.I LIC. RNER CUTO Lu CITY CLASSCONSTRUCTION CO _Elf NAME AND BRANCH. SEER DI; FOR SPECII'L APPROVALS aW. , ADDRESS SQ. FT NO OF M OF NEW ` t SIZE STORIES FAMILIES USE OF ADD STRUCTURE\&/0ALTF�� SIGNATURE O RE /AIR READ CARE 4 �G APPLICANT DE L TMg APPLICATION IS A BUILDING PERMIT W, EN _p OPERLY'FIL r G SIGNED, AND M C R THE CORRE T VALUATION $ Q� - FEE IN TR VALIDATION SPACE BELOW THEREFORE T-ESD-TO-0C-SUCH-WDR*_ ,DIS�-T�'�� THIS APPLICATION, IN A CDt 6RME-E-Wi-FN—kM9- ECT TO A L OF THE PROVISIONS FEE $ ��" FEE $ 1G` Of THE BUILDING CODE, ORDINANCE P2 9 OF THE COUNTY Of LOS ANGELES. AND RELATED 4AWS " 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THIS PERMIT BECOMES NULL AND VOID IF ORK IS NOT COMMENC- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ED WITHIN 60 DAYS FROM THE DATE Of IS UANCE OR If WORK IS WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- SUSPENDED AT ANY TIME DURING CONSTR CTION FOR MORE THAN STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 120 DAYS, OR IF ANY WORK IS DONE 0 THE SAID BUILDING OR HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE STRUCTURE IN VIOLATION OF ANY COON �' ORDINANCE OR STATE LA 50 CODE 0► TM! STATE OF CALIFORNIA IN RELATING TO LAW RELATING THERETO WORKMEN'S COMP NSATION INSURANCE, i A ROAD DEPT. PERMIT IS REQUIRED FOR;ANY MATERIAL STORAGE SIGNATURE OF, _ OR WORK DONE IN THE ROAD R10MT,OF WAI PERMITTEE ADDRESS _ JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M 0 A _ PERMIT VALIDATION CK M 0 `CABM, I � y • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • r DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0003070013 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF ST NEW BUILDING R S : TR: 11131 LT: 18 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5638 GOLDEN WEST AV STRUCTURE: 589 1 VN R3 TEMP CA 917802520 ASSESSOR IN ORMATIO NUMBER: GARAGE: NEAREST CROSS STREET: LIVE OAK 8588-012-029 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: XIS DG USE: USE 0 E: ISSUE ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/10/00 UT 09/06/00 1-19 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KU; 1 62,500 5638 GOLDEN WEST AV TEMP 917802520 FEES PAID DESCRIP I N OF WORK ADD 1 BEDROOM, 2 BATHROOMS, RELOCAT ITCHEN AND INTERIOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMODELING ALSO REROOF EXISTING POR ON OF HOUSE APPLICANT: KWOK (323) 728-7833- AA BLDG PERMIT ISSUANCE 27.75 109 E. FLORAL DRIVE AC STRONG MOTION RESID 62500.00 VAL 6.25 SPECIAL CONDITIONS: MONTEREY PARK, CA AX BUILDINGREV.I•EW�FEE�� 54.70 a B2 PERMIT W)' NERdY-------62500t-00 VAL 1,022.51 CONTRACTR,"�7E�-ESTOTAJ�fEES 1,111.21 INTERNATOIONAL CONTROL (626)N917-1125 �O� APPROVALS DATE INSPECTOR SIGNATURE 16026 DOUBLE GROVE ST LIC. NO OCA 0 D T C S VALINDA, CA 91744 590485C-36 NEER APPROVAL 2 O ARCHITECT OR ENGINEER: FOUND ENCH FO S LIC. N0: 111111 SLAB/UNDER FLOOR UTSET FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: GMF:= /� jJ �J ��l UNDERFLOOR INSULATION 3 R 0�1:I U O \�I(�1(J O L I1« \1 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: AP C ASS:- �J V L]u�J NO21 X11 O ND LEVEL FLOOR SHEATH SCHOOL WIT HAZARDOUS Q T* ING AIR QUALITY: 1000 FEET MATERIALS NO NO NO D ® ®y FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET FRONBCK APL YARD: HWY: PROP LINE: WIDTH: %%L, ��pVae lbl�'t�� SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INS ATI N/WEATHER STRIP INTERIOR LATH/DRYWALL tv TERIOR LATH LOT DRAINAGE 7 SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 A ROUTE TO: BS0508 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 0004210021 PHONE: (626) 285-0488 EXT: GAL ID: NO. 0 S NEW BUILDING ADDRESS: TR: 11131 LT: 18 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5638 GOLDEN WEST AV STRUCTURE: 34 1 VN R3 TEMP CA 917802520 ASSESSOR INFORMATION NUMB GARAGE: NEAREST CROSS STREET: LIVE OAK 8588-012-029 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: XI BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/21/00 VG 10/18/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KU; - 1,500 5638 GOLDEN WEST AV -&t TEMP 917802520 FEES PAID DESCRIPTION OF WORK F-1 ADD NEW PORCH 34 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: KWOK (323) 728-7833- AA BLDG PERMIT ISSUANCE 27.75 109 E. FLORAL DRIVE AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS: MONTEREY PARK, CA AX BUILDING REVIEWW-FEE 54.70 D2 PERMIT W%0'�EN�H�Cyt-L ALO82.20 OFEES VAL 165.15 CONTRACTOR: TEL. NO: ®�9 ��/A APPROVALS DATE INSPECTOR SIGNATURE INTERNATIONAL CONTROL (626) 917-1125- 16026 DOUBLE GROVE ST LIC. NO LOCATION AND SETBACKS VALINDA, CA 91744 590485C-36 *, SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS LIC. N0� 1111111 SLAB/UNDER FLOOR DWELLING FLOORFRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: UNDERFLOOR ILTI O 3 01= J Bog)L CVO FLOOR SHEATH NO. OF FAMILIES: D L I D: STAT CLASS:- NO 21� D' ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS a` l � �t ROOFSHEATHING AIR QUALITY: 1000 FEET MATERIALS Z9 0 NO NO NO 11 ®� FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM <18� n pI�Q� BLDG DEPT. FRAMEPEC SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ZL` �ervic e Th'6 SHEAR PANELS SIDE PL- INSULATION EATHER STRIP INTERIOR LATH/DRYWALL TERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508