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HomeMy Public PortalAbout5753 GOLDEN WEST AVE_Building__ .,,APPLICATION 'FOR COUNTY OF,LOS ANGEL'ES • DING'PERMIT DEPARTMENT OF COUNTY ENGINEER Ifl ", BUIL BUILDING AND SAFETY DIVISION LDING FOR APPLICANT TO-FILL IN ADIORESS 75 BUILDINGr /'D gg�r�� CC�� ADORES LOCALITY { CITY (/%1 ZIP91>V� NEAREST CROSS ST. NO.OF BL'DGS ASSESSOR SIZE OF LOTSV.X/ U NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P ESSED BY TRACT' BLOCK LOT NO �� �� CONST,. ZONE TEL OWNE�C/,� la'o& NO.o'1 75777 STATISTICAL CLASSIFICATION SEWER M6 ADDRES5�.7 C-s,{•J �• .•CLASS,NO DWELL UNITS BK PG CITY / r (�� U ZONE MAP >e (./i ZIP_ (/S/�J_ NO ARCHITEC OR TELV—J J SPE AL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL. BL G.SETBACK FROM ' NO FROX4TPROP LI NE OF (STREET) LIC: ADDRESS NO NIGHY } YARD TOTAL SETBACK FROM HTYPE OF IGHWAY EXISTING IS TING CITY LIC FRONT PROP LINE CLASS _ 'CONSTRLIC TION LENDER } NAME AND BRANCH pa_, BLDG SET K FROM' ADDRESS - CITY SIDE PROP LI _ (STREET) � SQ NO OF NO OF CHECK HIGHWAY } YARD = TOTA E ACK TYQp F EXISTING � SIZ I STORIES FAMILIES ONE SIDE PROP LINE HIGHWA WIDTH O _ _ ILLJ DESCRIPTION OF WORK NEW ❑ } _ h •-• ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ' CG ALTER ❑ - ❑ IN OPEN SPACE YES ❑ NO C]EPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. rl EMOL APPLIC T - _TE L IPRI No B G -I_HEREB ACKNOWLEDGE THAT E EAD IS APPLICATION AND STATE THAT THE ABOVE IS C ECT AN REE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- -STRUCTIONI CERTIFY THAT IN DOING THE, WORK AUTHORIZED - - - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFOR IN RELATING TO ' WORKME 'S COMPENSATION INSURA E - , SIGNATURE O FINAL BY PERMITTEE .--� _ DATE ADORES33- , TE L.y �}] P.C. Fee$ Permit Fee CI NO. Issuance Fee " VALUATION$ — ' Total Fee PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH 6 2"O t'lo nrT 12 1 9 `r 6.00A 96 76A638A CE#803812/74 - - - - 1 APPLICATIO.N -FOR BUILDING PERMIT F Ajt'h`'EICANT•TO FIEL IN IPrint or type only) COUNTY OF.LOS ANGELES BUILD'ADDRESS� t� DEPARTMENT OF COUNTY ENGINEER CITY e e ZIP �D BUILDING AND SAFETY DIVISION NO.OF BLDGS BUILDING SIZE OF LOT � S� NOWbN LOT ' ADDRESS,7.5 TRACT 7a7 LOCK LOO .- LOCALITY y TEL NEAREST. OWNEROSCAR NO , - S0. CROSSST ASSESSOR ADDRESS ,,3 //'��' p 7- MAP BOOK PAGE- PARCEL CITY Ply) V/� ZIP DISTRICT - .GROUP TYPE FIRE ROCES BY �D C CONST ZO ARCHITECT OR 'TEL V , D(J E ENGINEER,-,.- -- NO STATISTICAL CLASSIFICATION -SEWER MAP ADDRESS, _ CLASS NO DWELL UNITS Z- BVI -7G TEL CONTRACTOR 0 NO �Z NE NO LIC �i oo ADDRESS NOPECIAL LIC - ��� ONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ ' CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ,,ADDRESS - - ----CITY - __ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY' + YARD SQ FT NO OF NO OF CHECK_ FRONT PROP LINE HIGHWAY WIDTH SIZE Q0 _ STORIES FAMILIES ONE ,.rr�� y DESCRIPTION OF WORK d 6Q�YOOl77 NEW ❑ + `�" o� �} j G/ O ADD BLDG SETBACK FROM (STREET) O SIDE PROP LINE OF ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY . + YARD = SIDE PROP'LINE - HIGHWAY WIDTH N USE OF - REPAIR ,❑ Z EXISTING BLDG X��Ow e DEMOL ❑ + APPLICANTp TEL CORNER CUTOFF YES ❑ _ NO ❑ � 4-0 IPRINTI le (L IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) (} IN COASTAL PERMIT ZONE YES ❑ NO '❑ VALUATION e.� •I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE r y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES w` _� y ., ,j,/Lo• ''�� Q AND LAWS REGULATING BUILDING CONSTRUCTION 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 COM PENSATION IN RANCE - - - SIGNATURE OF PERMITTEE ADDRESS _ FINAL BY TEL _ DATE- CITY NO,' r' MAKE CHECKS PAYABLE TO FEE '� FET - HARVEY T.BRANDT,CNINEER OUNTY EG PLAN CHECK VALIDATION,, . '' o CASH . PERMIT VALIDATION CK M o [ cnsH 5 4 �'i AUG• 9 - 92" OCT 27 1 D 1 OS 76A63BA CE#803 3 75 — ` APPLICATION FOR COUNTY OF LOS ANGELES `BUILDING'PERMIT -DEPARTMENT BUILDING AND SAFETY DNIS ONS PAODRESS OR APPLICANT TO FILL IN LA ESS � NG j/� �,(� " y • S /J Pi W��✓/ LITY /� CJ r ZIP 17U VST ST NO.OF BLDGS SOR F'LOTC/-�X NOW ON LOT OOK PAGE EL ' _ _ _ RICT GROUPTYPE ,FIRE - ROCE SED BY BLOCK LOT NOp �� 'CONST. ZONE - �CJ}R ����(,� NOLpI�i$%7S`DSTICAL CL,,ASSSI--FICA TION SEWER MASS CQ ASS NO DWELLUNITS 'BK PG 't \ ONE MAQ-j7i• .ZIP 117NO ECT OR TEL. r) SPECIAL ER NOCONDITIONS S _ DEPARTMENT•APPROVAL REQUIRED YES " NO❑CONTRACTOR TELA" ' - SETBACK FROM LIC O FRONT PROP LI NE OF - (STREET) ADDRESS NO HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC FRONT. PROP LINE HIGHWAY WIDTH • -- CLASS CONSTRUCTION LENDER } NAME AND BRANCH BLDG SETBACK FROM a ADDRESS CITY SIDE PROP.LINEOF (STREET) V SQ FT NO OF NO. OF ' CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING CD SIZE d STORIES 1 FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH U } = LLA DESCRIPTION OF WORK NEW tn%J ��-- ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z LTER ❑ IN OPEN SPACE YES ❑ NO REPAIRED ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, p `' EMOL ❑ APPLICA T A OhI [.�,P NOL-1k-,2"7 - - •(PRIN �(, B I HEREBY ACK WLEDGE THAT I HAVE AD:THI PPL ICAT ION AND STATE THAT THE ABOVE IS CORRECT AN TO COMPLY WITH' ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED - - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE �• LABOR CODE -OF THE STATE OF CALjFOR N�����I---rrr///lll IN RELATING TO •• WORKMEN'S' PENS TON IHS URA HG.Ej� SIGNATURE OF .(/ FINAL PERMITTEE- DATE ov - ADDRESS �� TE L.�����" � P C. Fee$ Permit Fee CITY NO OC(/ _ Q Issuance Fee VALUATION Q ' 0 Total Fee 4;7— PIAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION- CK M o CASH 6 2 2 8.5 0 A-9d 76AG38A CE#8038 12/75 A" APPLICATION FOR BUILDING PERMIT i1 y COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD ESS I Hereby affirm that I have a certificate of consent to self insure, BU ESS � _ or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) CITY ZIP LOCALITY ��—, --y Policy NO Company SIZE OF LOTNO OF BLDGS NOW ON LOT NEAREST CROSS ST ElCertified copy is hereby furnished 50 44-e" ❑ Certified copy Is filed with the county budding inspection TRACT BLOCK LOT NO USE ZONE MAP NO department. ASSESSOR P BOOKPAGE PA CEL Date Applicant ' GE�' ( L f 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow0 64A9_ P1f®bR_I LAW TEL NO z � YES NO COMPENSATION INSURANCE V -THIN 1000 FT OF SCHOOL? ADDRESS (This section need not be completed If the permit is for one hundred DISTRICT GROUP TYPE CWTFIRE ZONE C ED BY dollars($100)or less) CITY ZIP I car*that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers' pensation Law STATISTICAL CLASSIFICATION PT ONDO Datei�Appl-cant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT. If, after making this Cert-f to of REQUIR TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' �NT)aACr:OR TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �w FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L a 0 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMILIES O Professions Code,and my license Is in full force and effect �I NEW ❑ BK PG CD License Number LIC Class DESCRIPTION OF WORK ( ADD ❑ VALUATION UATON , N Contractor Date /I ALTER ❑ z_ hl ❑ El am exempt under Sec CFI rco REPAIR $ , B&P C for this reason DEMOL El P/C# Date USE OF EXISTING BLDG �`' URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Perm It Z ` 25 5 22 I� El I, as owner of the property, or my employees with wages as .0 .Ir T IS their sole compensation,will do the work and the structure is ADDRESS H { not intended or offered for sale (Section 7044, Business and FI DATE G i OT f1L 257 - 52 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J t;j••�ECK i�E�u J52 f0 I, as owner of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project-(Section 7044, YES❑ NO El1.I IF�(�IJG a ill[ Business and Professions Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES JI{ i,—`s F�II� �,�I f•�, ��f I_'r I hereby affirm that there Is a construction lending agency for YES ElNO❑ the performance of the work for which this permit is Issued(Sec 7 ;c I'E �? 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,Civ C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLE Z CHAPTER 2 20 SECTIONS 2 20100 THROUGH 2 20110 CONCERNING a Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lender's Address ORAGMT o I certify that I have read this application and state that the above PC FEE PERMIT FEE Information is correct I agree to comply'with all county 9 1 ordinances and State laws relating to building construction,and of O Q hereby authorize representatives of this County to enter upon ISSUANCE FEE _ sbt the ve-mentioned pr arty for inspection purposes r 10 17'9� INVESTIGATION FEE TOTAL FEE - a A~«Ag. a SEE REVERSE FOR EXPLANATORY LANGUAGE '. - r��.. 1 .,,. ...w r..-_ -_ , . .....�..>,ywr�o c+.r_.... .,e}.,- ._ .>.. ' ;-•�..-.. rte. _w.... .... > .,r -i a . ., .....__..,......,.... , WORKERS' COMPENSATION DECLARATION f• ', ti obi: _ .^ Ir hereby°rnffirm, that Ihave acertificate-of�consent to.self 'APP '' I'CATION� FOR BaJ.I'L-D�I N G, PERMIT insure,fora certificate of Workers' Compensation•Irisu�ance, �1 drr-a certified'co�3y'thereof (Sec -3800;Lab C y '.» r, r :. ;' ., t = ', ; .;n�• ' , ;a,. ;_ COUNTY•'OFICIS ANGELES BUILDING AND SAFETY b; S Tqr Policy-No ,Company ._ - .,,__._ _ _ -_ _ r BUILDING-� >-. ertifibd,,copy is hereby furnished ;iv +:; FOR APPLICANT TO FILL IN. ADDRESS - Certified+copy is filed with"the'coounty buildinb-, ec' BUILDING`' - • _ _ _ _ __ _ °1 tion department, ' *:? +', '. - i' '•�"�'�_ ADDRESS 5753 Golden T^lest- "" Datel+" s,t^11'•`a.~ ¢+Applicant•` CITY,TeTi> le' City zip 317,80• LOCALITY s t CERTIFICATE OFtEXEMPTION FROM`WGRKERS'• --NO-OF BLDGS• Z. NEAREST- ; SIZE OF LOT f X1-0 NOW ON LOT CROSS ST COMPENSATION INSURANCE }• - • [ (This s_echon,need not be complefedsrf.Th_e permit is forcone - CC Q�^pf, 465: ASSESSOR 1 c"r-c - ;hundred dollars ($100)or less,) _ TRAh Bt9w LOTrNO MAOtOK`' r ;' PAGEI PARCEL OWNEI©s'C�Y ' OCT1crllC'2` - '"N023S-75TEL 07- USE ZONE -MAP 1 certify;that,in the performgnce'of the work•for which this R NOpermit is issued, I'sh'a11 not employ any person in'cinymanner r } _ 4' - i ,� SPECIAL• - - - -- t0 + ADDRESS -5753.•GOlden_ales i - CONDITIONS sa'as'to b'ecome'sublect to the Work' Compens i n laws' r1a, :,.!!' `i.. i — r _ CIT.Y_ ^e le �t -ZIP_'_9178©._.-._ `,.-, -, .•• r, ce O Da Applica _NOTICE'TC'APPLICANT ,If; after m- ing"thi's Cerhfic o Y ARCHITECT ti n•: , TEL DISTRICT GROUP TYPE- -: FIRE' _ PR ESSED BY' - ENGINEER (h7I1eY `NO CONST T ZONE TM r Exemption,' you should' become sublect•To 'the• Workers'; ' _ -4r Compensation provisions,of,the Labor'Code;�you,m(d-forth- ADDRESS 6,:0 •wltk-,comply•with:suchrprovisions or,+this•permit shall be, -w-.----. ;•- TEL i I• x g deemed'revoked „; �;• -t+, _;,' i ;--• F 4 CONTRACTOR �Jlier-, - NO M j STATISTICAL CLASSIFICATION 3- APT -ONDO:'� LICENSED CONTRACTORS'DECLARATION , 7 - - - -i - - - -uC CLASS NO DWEL%`UNITS'V !' I hereby,affirm,that I.am;licensed under provisions of Chapter 9, ADDRESS^ • NO. (commencing withjSectidn 7000)of Division 3,a,- e,Business and ,• _F, _ _ LIC- SEWER•MAP Professions Code; and"my license is in full force'and effect CITY CLASS �' �J . 't • VALIDATION ;- ,_;-r,__ .[*•;,. a _•tr.. ,.i it - ., BK �PG / SQ 'FT NO OF' NO OF - CHECK ; SIZE STORIES FAMILIES- ONE ) ,LicenseNiimber` Lic`Cla ` S M �, _ ALUAT,ION ' `^ " _ :a. r•-_. h - ❑ �_V �. OF WORK" Construct - NEW--- DESCRIPTION Contractor' ' Date= / -$ am exem t under Sec p wood deck- LA I-d - ADD r p 3 ALTER I .Y .,••;.fid} B&P C for this'reason - REPAIR."0 "Da`te` USE OF• y - EXISTING BLDG 'Res ldence DEMOL ;�- :'Signature APPLICANT - TEL i FINAL _ OWNER-BUILDER DECLARATION PRINT Mar- ROdri ueZ Y NO DATE; - -• iI•° ° 2.a.5,o -herebyaffirm that I-arri-exem tJrom the Contractors Licensey s, Law for the following redso'n (Section 7031 5, Business and ADDRESS -+ 5753 Golden' West . FIN` - r'1 o o i`2'R 5•Q 5, Pr fessions Code) - PRESENT BUILDING ' 0„5,,0 8'�-,8'7�r;• ' _ 1, as owner',of the property or my employees with ADDRESS '_- ____ wages a`s iFieii sole compensation,will do The work and LOCALITY i wr _•� ( i the structuress not intended or offered for sale(Section f 7044;rBusmess'and Professions-Cod,)- ,, 'MOVING; ,- k { fEL .• - ,; - .r" ' f - Professions CONTRACTOR NO 1, as owner of the property, am exclusively contracting, with licensed cont ADDRESS, thetiprolect'(See- - "` - _.. ;_,.= a _�:•' .', _ �(- �. _ Y ADDRESS . tion 7044;Business and Professions Code) _ �.' t' t r•:'i. _ _ REQUIRED. .TOTAL SETBACK- ! CONSTRUCTION AGENCY Y SET BACK YARD' HWY' i' 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 -P1, - r` - ?� ^" r� a•- - - ` '� ^- ,-'(Sec 3097, Civ C ) SIDE Lender's-Name ' - - �_ _ LDMA Ref # ' ••-t P'C•'Fee:$'-�--• Permit- V r' i - ''Lender's Address - > } _ I cerfrfy,that I have read this application and-state that_the`-. - Issuance Fee- 6""') D- kLDMA-P/,C'*,.­ (5-W a ' "cibove,information is correct I agree to comply with all County, Investigation Fee,-.*-' g ordinances and State laws relating to building construction, •Total-Fee­ ' - 7 CDMA Perm # •-•-- ?-• ,- 5-- ='�' 3`,,i v•, _and Hereby autkbrize representatives of this County to enter t• $ m. + upon the,above-mentions perty for inspection pupp oses e _ 'a00SEE REVERSE FOR EXPLANATORY LANGUAGE• '-. l -Signature of•Apphcant or-Ag t _ Date' -, i - _ ., ice». . 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 1002160031 PHONE (626) 285-0488 EXT DUPLICATE LEGAL ID NO OF CONST BUILDING ADDRESS ITR 6561 LT 465 SQ FT STORIES TYPE 5753 GOLDEN WEST AV I ISTRUCTURE 2400 V-B TEMP CA 917802504 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET WORKMAN 18587-023-012 1 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl TENANT: JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON: PROCESSED BY I 1EXIST OCC GRP 02/16/10 SR I OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINALil " CODE IRODRIGUEZ, MARRY - 1 6,100 15753 GOLDEN WEST AV O TEMP 917802504 1 FEES PAID IDESCRIPTION OF WORK I I (REMOVE EXISTING COMP ROOF, REROOF OVER EXISTING SHEATING I IFEE DESCRIPTION QUANTITY UOM AMOUNT IWITH 30 YEAR SHINGLES (APPLICANT TEL NO I I IKEEFER'S ROOFING CO (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27 75 1 11216 BEGONIA COURT IAB STATE GREEN BLDG FEE 6100 00 VAL 1 00 ISPECIAL CONDITIONS I 1UPLAND, CA 91784 IAC STRONG MOTION RESID 6100 00 VAL 0 61 1 1 1 ID2 PERMIT W/0 EN-HC 6100 00 VAL 166 20 1 1 I TOTAL FEES 195.56 1 1 ICONTRACTOR TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE I IKEEFER'S ROOFING CO. (909) 608-0622- 1 1 11216 BEGONIA COURT LIC NO i ILOCATION AND SETBACKS 1 1 (UPLAND CA 91784 760903 C39 I1 1 1 ISOILS ENGINEER APPROVAL 1 1 I I I I I I (ARCHITECT OR ENGINEER. TEL. NO ( IFOUNDATION/TRENCH FORMS I I I I LIC NO I (SLAB/UNDER FLOOR 1 1 1 1 IRAISDD FLOOR FRAMING 1 1 1 I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP ,1 (UNDERFLOOR INSULATION I I 1150H269 3 001 1 I I I I IFLOOR SHEATHING I I I IND OF FAMILIES: DWELLING UNITS APT/GOND- STAT CLASS I II----------���yyy---���--I I NO 21 1 I ROOF,SHEATHING `+� SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS aI (AIR QUALITY 1000 FEET MATERIALS I I 1 1 1 NO NO NO I IFRAME INSPECTION 1 1 I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD- HWY. PROP LINE. WIDTH 1 1 I IFRONT PL- (INSULATION/WEATHER STRIPI I I I SIDE PL- I 1 - I 1 (INTERIOR LATH/DRYWALL 1 1 1 I I I I I I I 1EXTERIOR LATH 1 I 1 1 I IRATED FLOOR/CELL ASSEM I 1 I I I I I I 1 1 IRATED WALL ASSEMBLIES I I I I I I I 1RATED,SHAFTS/OPENINGS I 1 1 1 1 IT-BAR CEILINGS 1 1 1 1 I ILOT DRAINAGE I 1 1 I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 1 J 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 0908170054 PHONE (626) 285-0488 EXT ILEGAL ID- NO OF CONST I BUILDING ADDRESS ITR- 6561 LT 465 SQ FT STORIES - TYPE 5753 GOLDEN WEST AV (STRUCTURE- V-B - TEMP CA 917802504 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 18587-023-012 THOMAS PAGE: 597 GRID A3 LOCALITY TEMPLE CITY, Cl (TENANT- 1EXIST BLDG USE RESID' - USE ZONE 'R-1 IISSUED ON PROCESSED BY I I - ;EXIST OCC GRP 108/17/09 SR 1 I I I I (OWNER TEL NO IBLDGS. NOW ON LOT VALUATIONIF D E FI CODE I IRODRIGUEZ, MARY (626) 285-7507- 1 9,500 I D 1 15753 GOLDEN WEST AV I I I ITEMP 917802504 - 1 FEES PAID IDYSCRIPTfON OF WORK _ 1 I IRETROFIT 15 WINDOWS IFEE DESCRIPTION QUANTITY UOM AMOUNT I - (APPLICANT _ TEL. NO I I - (DANIEL (818) 535-4035- IAA BLDG PERMIT ISSUANCE 27 75 - 119205 PARTHENOR IAB STATE GREEN BLDG FEE 9500.00 VAL 1 00 ISPECIAL CONDITIONS 1 INORTHRIDGE CA 1AC STRONG MOTION RESID 9500.00 VAL 0 95 1 I 1 ID2 PERMIT W/O EN-HC 9500 001VAL 216 66 1 1 IFR INV WORK W/O PERMIT 257 00 DOL 257 00 1• 1 (CONTRACTOR TEL NO I TOTAL FEES 503 30 (APPROVALS DATE INSPECTOR SIGNATURE (CAPSTONE COATING & WINDOWS (818) 772-5006- I 119205 PARTHENNOR STREET #G LIC NO 1LOCATION AND SETBACKS I 1 INORTHRIDGE, CA 876136 B ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I 1 LIC NO (SLAB/UNDER FLOOR I I I I 1 I I I I IRAISED FLOOR FRAMING 1 1 1 (MAP NO SEWER MAP BOOK: PAGE FIRE ZONE CMP-; - - - (UNDERFLOOR INSULATION- I I I 1150H269 3 001 I I I I I I IFLOOR SHEATHING I I INO OF FAMILIES. DWELLING UNITS APT/GOND' STAT CLASS I I I 1 NO 21 IROOF SHEATHING 1 I I I I I I SCHOOL WITHIN ' HAZARDOUS ISHEAP PANELS I (AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO I (FRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I I ISET BACK YARD. HWY PROP LINE WIDTH- 1 _ .r I- IFRONT PL- ' - �_ INSULATION/WEATHER STRIP,( I 1 SIDE PL- I I I (INTERIOR LATH/DRYWALL - I IEXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM I I (RATED WALL ASSEMBLIES I I I I I I IRATED SHAFTS/OPENINGS I 1 I IT-BAR CEILINGS I 1 1 ILOT DRAINAGE I IREPORT ID DPR261 ROUTE TO BS0508