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HomeMy Public PortalAbout5829 GOLDEN WEST AVE_Building__ APPLICATION FOR COUNTY.OF LOS.ANGELES T bF COUNTY ENGIN UILDING PERMIT D PARTM BUILD NG AND SAFETY DIVISION B BUILDING !, ` _ FOR-APPLICAN TO FILL-IN ADDRESS �/� BUILDING �� - �•}yL - y ADDRE S LOCALITY CITY ZNEAREST IP CROSS ST �q O OF•BLOGS• ASSESSOR - -- SIZE OF LOTbo* z J OW ON LOT I MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE _ FIRE SSED BY BLOCK LOT NO Ll I CONST. ZONE TRACT( o1 'I• �Q/� A A p �r7 ` /��-y , o v OWNER,`./'1SJNo" M ` IC-3 NOL 73'15 /% STATISTICAL CLASSIFICATION SEWE MAP_ ADDRESS IG LJ /V - CLASS NO.L//rr'',, _DWELL UNITS BfPG U ,ZONE P-- MA �J ' CITY _ _ ZIP / _ NO ARCHITECT OR TEL. - SPECIAL ENGINEER NO. !1 CONDITIONS ADDRESS - - ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO E] CONTRACTOR NO BLDG SETBACK FROM - _ LIC FRONT PROP LINE OF (STREET) - ADDRESS - NO �I GH WAY �• YARD _ TOTAL SETBACK FROM TYPE OF EXISTING' LIC FRONT PROP LINE HIGHWAY WIDTH CITY_ CLASS_ _ CONSTRUCTION LEN I " tC,�j� - V 0 NAME AND,BRANCH BLDG SETBACK FROM ADDRES SIDE PROP.LINE OF (STREET) C.� SQ FT NO OF NO. OF CHE HIGHWAY t YARD - TOTAL SETBACK FROM TYPE OF EXISTING �•' SIZE STORIES F MILIES ONE SIDE PROP LINE HIGHWAY WIDTH 02-6 W.GZL-/ .C' NEW ® _ t = � D SC IPTION OF WORK _ N 1 ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF t'� IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. , DEMOL /�j� ,' ❑ AP PRINT)PL NT ,V �I,T�I 'VV NOL� 7_Zf ",�y / lJiw�)/ /f'Y I BY (SIGNATURE) ' ' 1 HEREBY ACKNOWLEDGE TH I HAVE READ THIS APPLICATION - _ _ -• AND STATE THAT THE ABOVE I CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION - I`•CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PARS ON IN VIOLATION OF THE - - LABOR CODE OF T STATE OF LIFORNIA IN RELATING TO WORKMEN'S COMPE TION INSURA - - - LR'ER OF- z FINAL - � 'DATE "� TEL p,C. Fee$ Permit Fee 22 (�ir'f t._ NO , Issuance'Fee N$ - G} /' � - /c (p0 Total Fee p2 -PLAN CHECK-VALIDATIO CK M O • CASH a PERMIT VALIDA CK M o CASH 7 5 7 *E3 1'£3 `' 3 d 12 4.2 0 4 3 0 MAY- 5. 1 ® 2 7 3.0 � �►�� , 91"MAY -5'2•.3 0 _ 3 9.6 0 a :a ' 78A638A CE#8038 12/75 .- •- .- � r,� .-._ � DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERNIIT •COUNTY OF LOS ANGELES L ®�_ NVM. J. 'FOX, CHIEF ENGINEER " FOR APPLICANT TO FILL IN FOR OFFICE:USE ONLY '�7' DISTRICT NO. - PLANCK. NO. PE ., NO. ADDRESSBUILDING 5529 NO. Golden West Ave � 1��/ LOCALITY •'' Temple Cit R EIVED BY l DHTE OF APPL. DTE ISSUED sr• NEAREST pp CROSS ST. ., : •Las 1 Inas ' BUILDING '�1 oL �/1�' ADDRESS (r OWNER` EErwin' J. Larson T MAIL - LOCALITY ADDRESS i_•S ame - _. -NEAREST /I TEL. �m / CROSS ST. CITY ;, s ame No. t�.�.-(J 0 6 ZFIRE ONE I PLANS I TY I G ARCHITECT OR; TEL.. ENGINEER NO. BLDG SETBACK LINE ADDRESS APPROVED �T� �r / BY T DATE CONTRACTOR• F.LLY.vLL'1 CONSTI`�L TOS 2 V - ' USE APPROVED- pp D,�-1 �+ ZONE �-/ BY DATE r ' ADDRESS VQ, _-E. Linden _ Le11f1OwTer - - HOUSE ,NUMBERING - LEGAL }} J DESCRIPTION `-�-(,_.I LOT NO. 1 I BLOCK' MAP NUMBER _ FIELD CHECK BY 6 61 NO .ASSIGNED'By ,,�I'DATF ' TRACT - } NO. OF BLDGS. CORRECTIONS SIZE OF LOT • t19O I NOW ON LOT, 1 USE OF _ NOOF _ EXISTING BLDG.' Priv.Residencel FAMILIES 1 '' DESCRIPTION'OF WORE '�� NEW ,,, I I ALTERATION I I ADDITION I �� ��4� !�•S - �©� L:' I' REPAIR DEMOLITION - -- -- -• - -- -• - --^-A SQ. FT. , NO. OF - L1 SIZE• OO! ROOMS 1„ STORIES- 1 D EXT WALL i.,StU.CCO ROOF r COVERING „ COVERING COMPO USE OF STRUCTURE Private Gal-age . APPROVALS / INSPECTOR'S S GNATURE DATE 1 HEREBY ACKNOWLEDGE,THAT I HAVE READ THIS AP- FOUNDATION LOCATION ' PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS,,MATERIALS_ CORRECT.' • ' I AGREE,,TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, / HEREON AND WITH,ALL COUNTY ORDINANCES AND'STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. ,FURNACE. LOCATION, ' SIGNATURE OF GAS VENT, DUCTS _ PERMITTEfi 791T NDj7E_ /I.II,A.TI'�T9�1ATA"'I►B�ION ,, TH, INT. ADDRES r `�•` ��� We LATH, EXT. AUTHORIZED AGT,. ' • PLASTER, INT. 78A698A: DSSB' d0- '.$ P. C. $ - ® FEE--11 PLASTER, EXT. ' VALUATION •' - O V FEE % .FINAL '-' ' L� DR-3 9;-4S 23M SETS APPLICATION FOR PERMIT )DEPARTMENT OF BUILDING AND SAFETY BUILDING - _ =COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANE SETBACK LIMB FIRE APPROVED ZONE BY DATE EI r BY DA� OF P� A E ISS�� USE APPROVED 7/ ZONE e` BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY a0 NAME BUILDING '"� O g i_ �°, � ADDRESS �/ �J A� ' d yl Z ADDRESS LOCALITY 9 -r�_ F NEARESTr U z CITY CROSS ST. 6` 6 STATE NO.TEL. NAME/1111,414 �""/ :6A&�p/7 LICENSE NO. NO. //tl I Z ADDRMAIL ESS) (` . w "4ifJe," a NAME O ADDRESSy � � I CITY Cry NO H I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS z U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO, NO. AND STATE LAWS REGULATING BUILDING ICONSTRUCTION. // S� o LOT NO'Gf BJP / SIZE OF LOT SIGNATURE OF OWNER NO. OF BLDGS. a AUTHORIZED(AGT. - BLOCK NOW ON LOOT b mUm TRACT � _..(�" / ORRECTIONS WUSE OF / /� w�`g`; D NOW ON LOT S %ibf�f 4 1/.-44 .4 DESCRIPTION OF WORKUSE OF BUILDING UILDING (�t 7(t 11� C: , a u War Production BCE)rd orders You Aaret 0 cautioned to conmil_t v,1th~Tour local War 1 ;tri "work. auJacri .J in uiis pe. Z a r NEW TYPE GROUP NO.OF NO.OF / ALTERATION ROOMS FAMILIES Y ADDITION SIZE 3 O /� T REPAIR STORIES MOVING WALL COVERING w DEMOLISH ROOF COVV,7ERIING FEE 3� FINAL APPROVAL � �„ � INSPECTOR'S NAME DATION FEE ��� DAT//f,/� I • s • APPLICATIOWFOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION _ FOR APPLICANT TO FILL IN BUILDING ADDRE BUILDIN ESS hereby affirm that I have a certificate of consent to self insure, �„ or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP T��• c,/T copy thereof(Sec 3800,Lab C) T / div LOCACITY Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified Copy is hereby fumished 73 NEAREST CROSS ST 13Certified Copy Is filed with the county building Inspection TRACT BLOCK LOT NO �ONE MAP O� department Date Applicant ASSESSOR MAP BOOK PAGE PARCEL / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO YES NO COMPENSATION INSURANCE1V'D ✓�fl WITHIN 1000 FT OF SCHOOL? ADD ESS (This section need not be completed If the permit Is for one hundred DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY dollars($100)or less) CITY ZIP p� I certify that In the performance of the work for which this permit w L'a— eIr / 6 v 0 _ 3 / la Issued, 1 shall not employ any person in any manner so as to ARCHIT T OR ENGINEER TEL NO V become subject to the Workers'Compensation Laws. 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 SETBACK 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 PL SIDE } LICENSED CONTRACTORS DECLARATION CITY LIC CLASS PL °- I hereby affirm that I am licensed under provisions of Chapter 9 SQ FT SIZE NO OF STORES NO OF FAMILIES SEWER MAP (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG C Professions Code,and my license Is In full force and effect. v DES RIPTION OF WORK ADD ❑ VALUATION License Number Uc Class y Contractor Date ALTER Z ?� REPAIR ❑ ❑ I am exempt under Sec B&PC for this reason /Y S1 1 DEMOL ❑ LDMA P/C N Date USE F (STING BLDG URM ❑ Signature APPLICANT(PRINT) TEL O LDMA Perm N Z r•it, r s I, as owner of the property, or my employees with wages as ADDRESS their sole compensation,will do the work and the structure is H =- not intended or offered for sale (Section 7044, Business and FINAL DATE 'Ct=.- PfOfeSSIOn3 Code) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ' 13 I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN _ `c' p THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TI ^1_ dJ —P licensed contractors to construct the project (Section 7044, _ Business and Professions Code) YES NO k 1�` _'_r WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING I �.4 it OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '��,���,'��� J• :/,it^_+-' ii"� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ow FOR GUIDELINES - I hereby affirm that there is a construction lending agency for YES❑ NOK the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD j_ 3097,CIV C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELESlyil ) '•i!E i S.'J t.�.t.. .". COUNTY CODE,TITLE Z CHAPTER 2 20 SECTIONS 2 20 100THROUGH 2 20140 CONCERNING ;B Lenders Name HAZARDOUS TERIALS REPOORTIN!r ORO AINING A PERMIT FROM THE SCAOMD Lender's Address ��tt ^ + o AdENT I certify that I have read this application and state that the above Information Is correct I agree to comply with all county PC FEE PERMIT FEE Q ordinances and State laws relating to budding construction,and 'le�' y V hereby authorize representatives of this County to enter upon ISSUANCE FEE the a ove-mentlone property for m pectlon purposes / G v INVESTIGATION FEE TOTAL FEE/.;2 Do d a �u ma � O Ap.m SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - RESIDENTIAL ADD/ALT/REP BU_I_LDING_-AND_SAFETY_/LAND DEVELOPMENT__ `. TEMPLE—CITY—CA-91780 __ __ _ __ _ _ _ — _ _ __ _ '__BL_0508 1206210012._.._-_ PHONE ' (626) 285-0488 EXT ILEGAL ID 1 NO OF _CONST _ -NEW BUILDING ADDRESS 1 ITR 6561 LT 471 SQ FT STORIES TYPE OCCUP GROUP(• 5829 GOLDEN WEST AV 1 __(STRUCTURE: 816 2 V,-B R-3 I TEMP CA 917802204 1 ASSESSOR INFORMATION NUMBER ti GARAGE _ I NEAREST CROSS STREET 18587-024-006, • OTHER 896 2 ' - V-B R-3' J 1HOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl ITENANT IEXIST BLDG USE- USE ZONE JISSURD ON PROCESSED BY IEXIST OCC GRP 108/14/12 SR TOWNER - TEL. NO- _ BLDGS. NOW ON LOT VALUATION FI LATE _ FINAL Y - CODE - IWONG, RICHARD - 119,670 _7 - �� 1 15829 GOLDEN WEST AV ITEMP 917802204 1 FEES PAID IDESCR PTIO OF WORK 41 I 11ST ,FLOOR ADDITION & REMODEL KITCHEN, FAMILY RM, BEDRM #4, 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT 1WI�-_! POWDER RM, LAUNDRY RM W/STORAGE, 2ND. FLOOR MASTER J 1APPLICANT TEL NO BELRM, MASTER BATHRM AND WIC AND REPLACE ALL WINDOWS ITOBIN, ROBERT (909) 921-2033- IBI PLANCHECK W/ENERGY 119670 00 VAL 1,328 50 J___ •I - 15823 ZAPATA PL IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS• J _ IRANCHO CUCAMONGA IAB STATE GREEN BLDG FEE 119670 00 VAL 5 00 1 I IAC STRONG MOTION RESID 119670.00 VAL 12 00 - I _JB2 PERMIT W/ENERGY 119670.00 VAL 1,562 90 1 (CONTRACTOR TEL NO IFR-INV WORK W/O PERMIT 684 40 DOL 684 40 IAPPROJALS DATE INSPECTOR SIGNATURE 1 ITOBIN CONSTRUCTION INC. (909) 989-9173- 108 CERTIF OF OCCUPANCY 101 40 on IS823 ZAPATA PLACE LIC NO I _ TOTAL FEES 3,722 00 ILOCATION AND SETBACKS RANCHO CUCAMONGA,_CA 91737 593678 _ _ I ISOILS ENGINEER APPROVAL J - ARCHITECT OR ENGINEER TEL NO i iFOUTDATION/TRENCH FORMS I 7j J LIC NO 1SLAB/'UNDER FLOOR ( `1RAT_SED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP, i •4 JUNDERFL00R INSULATION I I 1 3 c01 %-1 J1SI L'sVEL.FL00R SHEATH I INO OF FAMILIES, DWELLING UNITS- APT/COND STAT CLASS J 0 NO 21 j 12ND LEVEL FLOOR SHEATH 11 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING 1 I (AIR QUALITY _ 1000 FEET MATERIALS 1 NO NO NO 1 IFIRE DEPT FRAME INSPECTI 1 1 - IBLDG DEPT FRAME INSPECTI/J�3_ 7, - 1 ISHEAR PANELS /I INSU'pTION/WEATHER STRIPI 111 I I 11NTERIOR LATH/DRYWALL I I I I I JEXTEPIOR LATH J 1—!. I J LOT '?RAINAGE J ISMOKE DETECTION DEVICES I I I I__— I J FIRF"DEPARTMENT APPROVAL( IREPORT ID DPR261 ROUTE TO BS0508 I� J j- 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 0506 1106150079 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW I BUILDING ADDRESS 1 ITR 6561 IT 471 1 SQ FT STORIES TYPE OCCUP GROUPI 5829 GOLDEN WEST AV I ISTRUCTURE. 0 - 1 V-B R-3 I TEMP CA 917802204 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: 1290 1 V-B ' U I NEAREST CROSS STREET- LAS TUNAS I 18587-024-006 I OTHER I THOMAS PAGE 597 GRID A3 LOCALITY- TEMPLE CITY, Cl I I I I ITENANT (EXIST BLDG USE- USE ZONE (ISSUED ON PROCESSED BY 1 1 (EXIST OCC GRP 110/25/11 SR I I I I I (OWNER TEL NO. IBLDGS NOW ON LOT VALUATION 1FINAL 9ATE FI CODE: I IWONG, RICHARD - 59,366 _ 15829 GOLDEN WEST AV ITEMP 917802204 1 FEES PAID IDE ,1 T 0 OF WORK 1 I I IDEMO (E DETACHED 2- GARAGE AND BUILD DETACHED 4 CAR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT IGARA(,E I (APPLICANT TEL NO I I I IYEH, JEREMY (626) 226-8585- ID1 PLANCHECK W/O EN-HC 59366 00 VAL 764 40 1 1 18232 GARVEY AVE #202 IAA BLDG PERMIT ISSUANCE 27 80 1SPECIAL CONDITIONS I IROSEMEAD, CA_91770 IAB STATE GREEN BLDG FEE 59366 00 VAL 3 00 I IAC STRONG MOTION RESID 59366 00 VAL 5 90 1 I I ID2 PERMIT W/O EN-HC 59366 00 VAL 899 30 1 ICONTRACTOR TEL NO I TOTAL FEES 1,700 40 (APPROVALS DATE INSPECTOR SIGNATURE 1 ITOBIN CONSTRUCTION INC (909) 989-9173- 1 15823 ZAPATA PLACE LIC NO ILOCATION AND SETBACKS IRANCHO CUCAMONGA, CA 91737 593678 1 I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER. TEL NO 1 IFOUNLATION/TRENCH FORMS I I I IZ Y NI ENGINEERING (626) 226-8585- 1 1 11 1 18232 GARVEY AVENUE #206 -- LIC NO (SLAB/UNDER FLOOR IROSEMEAD, CA 91770 68149 1 I I IRAISFD FLOOR FRAMING 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP IUNDEP.FLOOR INSULATION I I I 1 3 001 1 I I I I I 11ST LEVEL FLOOR SHEATH I INO OF FAMILIES DWELLING UNITS. APT/GOND STAT CLASS I I I 1 0 NO 21 1 2 12ND LEVEL FLOOR SHEATH 1 1 SCHOOL WITHIN HAZARDOUS i V1ROOF SHEATHING I 1 1 1AIR QUALITY- 1000 FEET MATERIALS I 1 NO NO NO I IFIRE DEPT FRAME INSPECTI I I I i 1 11 I (BLDG DEPT FRAME INSPECT( I l ISHEAR PANELS I 1 (INSULATION/WEATHER STRIPI I I (INTERIOR LATH/DRYWALL 1 I (EXTERIOR LATH I I I I I I I ILOT DRAINAGE I I I I I I I I ISMOKE DETECTION DEVICES I I I I I I I I I IFIRE DEPARTMENT APPROVAL( I I I I I I I I IREPORT ID DPR261 ROUTE TO SS0508 I I