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HomeMy Public PortalAbout5752 GOLDEN WEST AVE_Building__ 7BA888A 08S.2 12-54 APPLICATION FOR: BUILDING PERMIT' 1 DIVISION OF BUILDING AND SAFETY BUILDING 7/ Department Of County Engineer ADDRESS !� , - County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT No. GROUP TYPE EWBK MAPPG BUILDING - CONST 1� ADDRESS MAP -7 STATE - YES NO _NUMBER - HWY LOT NO BLOCK USE ZONE " SPECIAL CONDITIONS _ TRACT - - - NO OF BLDGS. SIZE OF LOT NOW ON LOT BUILDINGEXIST. USE OF SETBACK YARD HWY STREET NAME WLDTH EXISTING BLDG FRONT afO OWNER SIDE MAIL - P L - ADDRESS _ TEL. c I DWELL 1 UNIT 5 INDUSTRIAL - CITY NO ✓� Q DUPLEX_UNIT - 6 PUBLIC BLDG - ARCHITECT OFf TEL. _ '- ENGINEER NO 3 APT UNITS 7- ADDN ,ALT., ETC ADDRESS 4 COMMERCIAL 8 MISCEL. CONTRACTOR p� //G.� NO Q % �' �J JJ ����1y/�"�,� � ,,�� - INSPECTION RECORD ADDRESS`/D/4/'r:.12r=L 6! / I� DESCRIPTION OF WORK' b fJ NEW ADD ALTER REPAIR DEMOLISH ,IAn�g / v D�/�17 ffe /, .1 l��_f SO FT. NO OF NO OF /I'/'7 V /i. / �V YN SIZE STORIES - FAMILIES ��� "7"n WI -LO0� i-4� USE OF STRUCTURE - - 7 ' 1 Qi�rv_'� cif �'�Ao ..•iA�.�.i iY'Ly. '3f1 �'►?�Talo— _ �, _ X00/i!✓/9---�1 _ S %r off-BZAAY'Olf IA,' rfc, GNATURE OF ' APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION- LOCATION,' •$ - _ P.C: $ FORMS, MATERIALS FEE FRAME* FIRE STOPS. VALUATION - S pid _BRACING, BOLTS FEE FURNACE: LOCATION, GAS VENT. DUCTS ' I 1 HEREBY ACKNOWLEDGE THAT I- HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.WITH ALL COUNTY ORDINANCES LATH. INT. - AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF - HOUSE NUMBER COR- ' • PERMITTEE RECT AND POSTED '-ADDRESS ` FINAL - s-l740 b WM.-J. FOX, Coumw EHamam VALIDATION -UCA BY DEPUTY L"'"` O Be O 2 10 1 A_ 3.09, TY BY BY ® DEPUTY •- 76A638A CE#8038-64 APPLICATION OR BUI , ING PERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION L O C A L I T Y JOHN A. LAMBPE, COUNTY ENGINEER NEAREST- - •� COLEMAN W JENKINS,SUP•T OF BUILDING CROSS ST - - DISTRICT - G UP- TYPE P E �¢� FOR APPLICANT TO FILL IN S , (/ CONST l / STATISTICAL C ASS( ATION; SEWER MAP BUILDING ,� /��v _ ADDRESS �� �• `[lz ov e5' CLASS NO DWELL UNITS _ G LOT NO BLOCK USE ZONE MAP �a �• / ' _ - NO.. ' TRACT �I SPECIAL" 2 M1NO OF BLDOS. CONDI IONS SLZE OF LOT NOW ON LOT - USE OF, - BLDG SETBACK'FROMr OWNE� TOL T PE OF3,6 FRONTROEXISITINGFSE CK HIGHWAY YARD = TOTALr) ' ADDRESS HIGHWAY 'F M C L` ' CITY ARCHITECT R: TEL . BLDG SETBACK FROM- - - ENGINEER NO SIDE PROP LINE OF (STREET) , TYPE OF •EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS - HIGHWAY WIDTH FROM C L ,a- . TEL + 0 - CONTRACTOR NO o .230 ADDRESS ' E NO' '/✓ CORNER CUTOFF YES NO ;Q - F- CITY o LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS; W DESCRIPTI N OF WORK a N-Ew ADD REPAIR DEMOLISH - kAPPLICA NO OF NO OF - STORIES FAMILIES _ URE' .•+` _ , SIGNATURE OF CCION$ APPROVALS DATE INSPECTOR'S SIGNATURE PMT RO-O FOUNDATION, LOCATION FEE$CJ FORMS, MATERIALS__--'FRAME, FIRE STOPS,BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT4' AND STATE THAT THE ABOVE 15 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 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 COMPENSATION IN ANCE 'LATH EXT - SIGNATURE �� - HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED ADDRESS IF FI NAL • - , "//�G' - JOHN F LEWIS, PRINCIPAL SeyAL ENGINEER - PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION M O CASH' ••ii.-. Ji - - •1 - ' 8.4 7' 7": ,SAT J 0 1 D 8.0 Q-17 �. APPLLOXTION• FOR "BUILDING PERMIT FOR APPLICANT TO FILL IN A��RESS 5777 72-- el BUILDING - • - ADDRESS LOCALITY — C NEAREST CITY- ZIP (,?g CROSS ST N OF BLDGS ASSESSOR SIZE OF LOT "NOW ON LOT' MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE-` " ` FIRE - PROCESSED,BY ,-• TRACT - BLOCK LOTOO i- CONST t� ZONE ' OWNER j STATISTICAL-,CLASSIFICATION SEWER MAP ADDRESS ti 25 CLASS NO - DWELL UNITS BK CITY' ZIP USE ZONE NOAI a ARCHITECT OR TEL r SPECIAL ENGINEER NOS'/ CONDITIONS ADDRESS - ROAD DEPARTMENT,APPROVAL REQUIRED YES ❑ NO ❑ TEL 1, _ CONTRACTOR NO BLDG SETBACK FROM LIC= FRONT PROP LINE OF` (STREET) ADDRESS " NO` HIGHWAY + YARD = TOTAL SETBACK FROM TY EO EXISTING LIC- FRONT PROP LINE HIGHWAY WIDTH CITY. - CLASS' CONSTRUCTION LENDER + -A a NAME,AND BRANCH 0 BLDG.SETBACK FROM . V ADDRESS CITY SIDE PROP LINE OF' (STREET) Q� SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF [EXISTING V SIZE STORIES FAMILIES ONE SI DEPROP,LINE _ , HIGHWAY WIDTH N DESCRIPTION OF WORK NEW ADD, ❑ CORNER CUTOFF = YES ❑ NO ❑ 1-1ALTER, IN OPEN SPACE YES [:3 -NO [:1REPAIR USE OF ❑ `IN'COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG DEMOL APPLICANTTEL p' (PRINT) r NO o S� / / BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION-1 CERTIFY THAT IN DOING THE" - s 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 COM• PENSATION INSURANCE SIGNATURE OF JQ FINAL ! -// 79 ,BY PERMITTEE DATE I ADDRESS' A IS 9L Lo tA-1- .TEL PC Fee,$ Permit Fee -CITY NO } Issuance Fee VALUATION y O U " `` r t"', Total Fee U PLAN CHECK VALIDATION' CK M o CASH' " PERMIT•VALIDATION cK M O cnsH 5 l r SEP .20 1 © - 9.0 0 � r ®S 76A6388 CE 9803B"6/76 WORKERS'COMPENSATION DECLARATION I hereby affirm that,I have a certificate of consent to self DIN insure, or a certificate of Workers' Compensation Insurance, A P P L LCAT I O N F O R. R V U I L O PERMIT 'or a certified copy thereof (Sec 3800,,1a C Policy N 3 ' Company S �� //�/�. COUNTY OF LOS`ANGELES BUILDING AND SAFETY Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS .��7�`x C'i ` �.� / •Q (1 Certified copy is'filed Wrth the county building inspec BUILDING �j / LLLLL jjj tion department. -ADDRESS / -Lt/ LOCALITY !: NEAREST- Date V' Applicant / !�7iL CITY !�! v✓?!-Q" L" - ZIP CROSS ST - CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS ASSESSOR r " COMPENSATION INSURANCE SIZbOF'LOT ' ' NOW'ON LOT . MAP BOOK PAGE PARCEL (This section need'not be completed if the permit is for one _ USE ZONE,; MAP hundred dollar ($100)or less )• TRACT z BLOCK LOT NO NO TEL SPECIAL } I certify that in the performance of-the ewohk for which this OWNER' `t° / NO CONDITIONS 0. _ DISTRICT GROUP TYPE FIRE �PROCESSEDY O 'permit is issued, I shall not employ any person in any manner' ADDRESS GC .P_' CONST ZO V ' so as To become subject to the Work rs'Compensation Laws Date ' ' • Applicant /tI � CITY f/!Q ZIP STATISTICAL CLASSIFICATION APT• CONDO O NOTICE.,TO APPLICANT If, after making this.Certificate of ARCHITECT OR TEL ENGINEER NO CLASS NO 1DWELL UNITS W Exemption, you should become subject to 'the- Woekers' d , Compensation_provisionrof the Labor Code; you must forth- ADDRESS SEWER MAP N with- comply with such 'provisions or 4hiis"permit shall' be !' TEL Z deemed revoked' -- 1- 4 - " r --- BK PG �J VALIDATION , CONTRACTOR,A;E7 /� 4 O I *�� LICENSED CONTRACTORS DECLARATION I Hereby affirm That I am licensed• under'provisiohs of Chapter-9 ADDRESS �(/ / /�YzNO �7 6^ VALUATION �G (commencing with Section 7000)of Division 3 of the Business and / LIC �Qii Profess ians`Code, and my license is in full force and effect' CITY / /IQ /,/� CLASS l.'. � /,,g r SQ NO OF NO OF CHECK �. License Num `r 7� `�"-� Lic Class SIZE STORIES FAMILIES ONE 1 DESCRIPTION OF WORK NEW ❑ $ Contractor Date /�G; ❑ - .ADD ❑ I am exempt under Sec a, ALTER ❑ DATEL B BP.0 for this reason REPAIR Q USE OF 1 t Date EXISTING BLDG DEMOL ❑ FIN By Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor's License Law for tke following reason (Section 7031 5,'Business and, ADDRESS 4 �29.7.2A Professions Code): PRESENT ' BUILDING I,-as�owner, of the property, or my employees with'.' ADDRESS, # e o 0 0 0.,1 wages as their sole compensation,will do the work and the structure is not intended or.offered for sale'(Section _ LocAUTY �j 0 0 9'2 5 ` 7044, Business,and Professions Code) MOVING TEL j, as'oviner of the property, am exclusively contracting CONTRACTOR NO ',To r00'5 9y2 5 with licensed contractors to construct'The project (Sec- ADDRESS tion 7044, Business and Professions Code) b``G1 0-!--,813 REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD. HWY PROP LIN 'WIDTH I hereby affirm that there is a construction lending for FRONT ' 3 ` the performance of the"work.for.whrch'this permit is issued - P L_, (, (Sec 3097, Civ C ) SIDE i Q Lender's Name - P L P C Fee$ Permit Fee's •- -- .. Lender's Address ` I certifythat- have read this`a lication and state that the " �7 r P,P t 'a Issuance Fee above information is correct I agree to comply,with all County Investigation Fee � g ordinances and State.laws relating to building construction, Total Fee a; �i and hereby authorize representatives of this County to enter upon the above-mentioned property"for inspection purposes o Q SEE REVERSE FOR EXPLANATORY_LANGUAGE ®s ' Si ature of Ap licant or Agent - f Dare - ,~ i n COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0209200011 PHONE: (626) 285-0488 EXT: LEGAL TR: 6561 LT: 454 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 5752 GOLDEN WEST AV STRUCTURE: 496 1 VN R3 TEMP CA 917802503 ASSESSOR GARAGE: NEAREST CROSS STREET: LAS TUNAS 8587-028-014 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY EXIST ISSUED 0 . EXIST OCC GRP: 11/07/02 JK 05/06/03 OWNER: TEL. N0: BLDCS. NOW ON LOT: VALUATION: FINAL DAT F ALCODE: PIGULSAWAS;POTE (626) 289-8586- 36,000 /_ 5752 GOLDEN WEST AV (l/ TEMP 917802503 FEES PAIDRIPTION'OF WORK ADD FAMILY RM,MASTER BD & BATH; REPLACE BDRM WINDOW TO MEET FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EGRESS & GLASS SLIDER; REROOF EXISTING APPLICANT: T L. MOTTA (562) 941-2744- B1 PLANCHECK W/ENERGY 36000.00 VAL 575.01 10443 MILLS AVENUE AA BLDG PERMIT ISSUANCE27.75 SPECIAL CONDITIONS: WHITTIER AC STRONG MOTION�RESIO-=__ 36000.00 VAL 3.60 B2 PERM IT,,jW/.ENERGY: << -,36000:00 VAL 676.50 "?TTAL FEES ` , 1,282.86 CONTRACTOR: TEL. NO: /r APPROVALS DWTE INSPECTOR SIGNA UR NONE \\\` LIC. NO ���� ��� �` 16TAMON AND SETBACKS NONE /�i� OILS NGINEER AP ROVAL ARCHITECT ENGINEER: L. 0: til a_ y sem, ' ��� UN R t1 L LIC. NO�j�� � ! ' ��—� .� SLAB/U DER FLOOR �� RAISED FLOOR MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 UNDRFLOOR INSULATIOT 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING COND: STAT :- - —- - - - - - - — - -- — - - - J NO 21 C\� -`-- �� ,�;�- - ��'� ND LEVEL FLOOR SHEATH CH LWITHIN Z ��� '��rJ r b� /�� R N p w AIR QUALITY: 1000 FEET MATERIALS �� Li NO NO NO h 'f/ IRE DEPT. FRAME INSPECT \ / IJ Ll REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: �����8; -�� � � FRONT PL \��r?;��,fl�� ��� � j SHEAR PANELS SIDE PL A R STRIP7-„ INTERIOR AT DRYW L ? l3 3 EXTERIOR LATH 3 i3 u�-- LOT DRAINAGE DETECTIONSMOKE DEVICffg- FIRe DEPARTMENTPR AL REPORT ID: DPR261 ROUTE TO: BS0508