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HomeMy Public PortalAbout5912-5916 GOLDEN WEST AVE_Building__ 76A63SACE*eO3.7 - APPLICATION FOR' BUILDING PE MIT 1 BUILDING AND SAFETY DMSION BUILDING ADDRESS Department of County Engineer ' f County of Los Angeles LOCALITY y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. � DJS ICT NO. . GROUP TYPE SEWER MAP FOR APPLICANT TO FILL M Jr K G• CONST - BUILDING�i' ADDRESS J Go4Q STATISTICAL CLASSIFICATION / ! �+1.((,,�7 CLASS. NO DWELL UNITS I LOT NO. /dJQTAI L7O ar QTS LC / MAPSTATE NUMBER `7 - I.WYE YES O TRACT USE ZONE SPECT ' (&C NO OF BLDGS. �J CONDI N - SIZE OF LOT (& NOW ON LOT USE OF _ EXISTING BLDG. BUILDING EXIST A SETBACK Y'°` HWY STREET AME WIDTH OWNER J FRONT ! MAIL l P I- � N• Go LDC-.�l w 60' ADDRESS a F^�'// /in( s SIDE /G�/- l..G NO/-I CITY / ClYJ64A P. L. INSPECTION RECORD ARCHITECT OR /I ENGINEER NO. f/ ADDRESS c A TEL. - �7�'T ` . CONTRACTOR / � NO. 1 ADDRESS DESCRIPTION OF WORE NEW ADD ALTER REPAIR DEMOLISH SCI. FT. _1 /� NO OF NO OF r -/ ���7 !/I" �"'• l?//!(,r ��S X� SIZE /� V STORIES 7 FAMILIES / ,,/i �j� / USE OF STRUC UR 1 (J /r���11`P /1" �v�11f`S I/V PT1 APPROVALS SIGNATURE OFA ,<, , APPLICANT Q "• DATE INSPECTOR'S SIGNATURE ADDRESS ^( FOUNDATION LOCATION1wo� - � .- Ov P C S 8,(/ FRAME FIRE STOPS, //�/ A •C%�Tii I/U/ FEE p BRACING. BOLTS ! ! $ FURNACE LOCATION. --�/ VALUATION •+.� GAS VENT, DUCTS FEE NOkTIl VA T I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. SOUTH-U / P-2z-57 ,0 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND /VpK7Ql � /�I��d C; (NI. AGREE TO COMPLY WITH LL COU TY ORDINANCES AND LATH. EXT. *4 FFV -2 .O _ STATE LAW S RE UL I BUI 'NG CONSTRUCTION, SIGNATURE OF HOUSE NUMBER COR- - _, k PERMITTEE 4 _RECT AND POSTEDJJ77SS Ij�P.LgOI! ADDRESS I FINAL �'Zl�'.Ce /1!3' A, JOHN A. LAMBIE, COUNTY ENGINEER, ` ;t'CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH f t _7'41- -SEPI 2 '6 4 4.04 a 2`3-•6�8 n ;SEP '] 1 8 8.0 0 M -AU G� 1957V 78AS38A_CE• 803-10.58 APPLICATION FOR [B,UIWNG PERMIT 1 BUILDING AND SAFETY DIVISION BUILDING AD°KESS Department of County Engineer' County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS S DISTRICT,NO.] GROUPTYPE - _ SEWER :MAP FOR APPLICANT TO FILL IN - I CONST.NS T. BUILDING Yfr �B`Oo� W/4+� STATISTICAL'CADDESS LASSIFI CATION CLASS. MO." DWELL. UNITS - II LOT NO. O - BLOCK MAP �- YES NUMBER ® � Hyyy NO TRACT ,S - USE ZONE SPECIAL - - r. NO. OF BLDGS. +t� CONDITIONS. SIZE OF LOT ( NOW ON LOT USE OF _ y EXISTING BLDG. BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH', OWNER FRONT MAIL P. L. ADDRESS SIDE - - _ TE / P. L. - C'TM " (P ' INSPECTION RECORD ARCHITECT 011f TEL,. ENGINEER NO - ADDRESS TEL. (Vv c—;I�� O. , 1�v 'D- CONTRACTOR ��� NO. - - ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH ,I ' SQ FT. NO OF �7 NO. OF _ SIZE STORIES (1 FAMILIES - - - USE OF STRUC17 T E _ APPROVALS - SIGNATURE OF _ APPLICANT _ DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION , FORMS, MATERIALS $ U P. C,� FRAME FIRE STOPS. © - / d �� - FEE �,G- BRACING. BOLTS ' VALUATION $ FURNACE. LOCATION. - GAS VENT. DUCTS FEE" , 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ,I _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. STATE, LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF HOUSE NUMBER COR- - -PERMITTEE RECT AND POSTED - ADDRESS FINAL - - - JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE,N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION . CK. mo CASH APPLICATION FOR BUILDING PERMIT - , COUNTY OF LOS•ANGELES, = BUILDING AND SAFETY BUILDING ADDRESS FOR APPLICANT TO FILL IN WORKER'S COMPENSATION DECLARATION - � : • I hereby affirm that I have,a certificate of consent to'self Insure, BUILDINGt� or'wcertificate of Workers'Compensation,Insurance,or a certified / copy thereof,(Sec,3800,Lab C) CITY l ZIP, S y_; �� ��� LOCALITY Policy NO .--y---T Company SIZE OF LOT NO OF BLDGS NOW ON LOT - • *Certified copy is hereby furnished - ` i NEAREST CROSS ST4f ❑ Certified copy is filed with'the,county bui ng Inspection TRACT BLOCK LOT NO department •USE ZONE _ MAP NO Date '=l.Z'" �Apphcant• ASSESSOR MAP BOOK PAGE PARCEL - ` e ^ SPECIAL'CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' sOWNER T lNo' COMPENSATION INSURANCE D `Y jI WITHIN 1o00'FT OF SCHOOLS YES No This section need"not be coin feted if the permit,is for one hundred ADDRESS ( P DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less) _ • _CITY -ZIP I certify,that.inPthe performance of the work for which this perm is Issued,'I'shall not employ any person In any it, manner so as to become subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO , �, 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 subjeot to the Workers'- CONTRACTOR . TEL NO SET BACK- YARD HWY PROP LINE WIDTH Compensation provisions-of the Labor Code; you must forthwith 6,4K 60/t/ (A .1 FRONT comply with such provisions or this permit shall be deemed revokedA ESS LIC O P L <- LICEN //�SED.CONTRACTORS DECLARATION / :2 3`5 - SIDE I hereby.affirm that l�am licensed underprovisions of Chapter 9, r§SQ ✓� '�-� SEWER MAP (commencing with Section 7000)Of Division 3 of.the Business and. TSIZE' NO OF STORIES' NO OF FAMILIES . Professions'Code,and,my license-Is m full force and�[ffect „ NEW, ❑ BK. PG d ��3,59 (� ? DESCRIPTION OF WORK - ADD ❑ VALUATION - - i, Q License Number Lid Class Contractor,n1LL�LZ Date f�'1Z— � RFr ALTER El S 2 C d Y-e- Gil 0= El am,exempt,under Sec r REPAIR B&PC for this reason G.J���' /'E /�[ / DEMOL. ❑ U LDMA P/C# Date US F ISTING'BLDG URM ❑ U0 Signature APP A_N (PRI T,) TEL NO LDMA Perm# •.. .1 •• Z ❑ I, as owner of theproperty, or m emplo-employees wdh wages as ve �_Z Z Vit: a y Y g {their sole compensation, will do the work and the structure is ADDRESS - �O �=� t� :!,y DATE <>H ' - not intended or offered for sale (Section 7044, Business and - ' FINAL Q - ' Professions Code) WILL THE'APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL L Z ❑ I,,as'owner Of they OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusively contracting' with AMOUNTS SPEC FIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FIN�ILYI.i TA ® �-�f licensed contractors to'Construct the project (Section 7044, YES❑ No. -Business and Professions Code) , ,• w �s f? `r t-'` • WILL THE-INTENDED USE OF THE BUIDCING BY THE APPLICANT OR FUTURE BUILDING,. ' + 4 - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ CONSTRUCTION LENDING,AGENCY COAST-AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR - ' l f• nI j3'� }• GUIDELINES - § - ._ �•• '`GE I hereby affirm that,there Is a.construcUon lending agency for Yes❑•t No� a the performance of,the work for which,this permit Is issued(Sec - _ . - �.••', p� - _ IHAVE READ THE HAZARDOUS AT RIALS INFORMATION GUIDE AND THESCAOMD PERMITTING- _ ,r•j �� N _3097, CIV C) CHECKLIST DERSTA QUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2'C ER 2 SE I S 2 20 100 THROUGH 2 20 140'CONCERNING HAZARDOUS, Lender's Name MATERI EPORT G OR OBTAINING PERMIT FROM THE SCAQMD o Lender's Address �.�'S-i O OWNE o I certify that I have read this application and•state under penalty �.. o P C FEE` - ',PERMIT FEE •%/Q� ' o, of perjury that the above information-is correct I agree to comply �© N with all county, mantes and State laws relating to building co const CI ereby authorize representatives of this County - ISSUANCE'FEE - (0 to er above-mentioned property for Inspection purposes ��' V i •j INVESTIGATION FEE ,,TOTAL FEE oe _ SEE REVERSE FOR EXPLANATORY-LANGUAGE 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 0610020022 _ - PHONE (626) 285-0488 EXT "--- - - --' LEGAL ID• NO. OF CONST BUILDING ADDRESS TR: 6561 LT: 74 BL: .001 UN: 002 SQ FT STORIES ' TYPE 5912 5916 GOLDEN WEST AV STRUCTURE: 2400 VN TEMP CA 917802221 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 8587-026-016 - THOMAS PAGE 597 GRID. A3 LOCALITY TEMPLE CITY, C TENANT. EXIST BLDG USE RESID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON. EXIST OCC GRP- 10/02%06 JK 09/27/07 OWNER: TEL. NO: BLDGS NOW ON LOT VALUATION. FINAL DATE FINAL BY: CODE HO TOMMY N,MARISA (626) 287-6938- 4,800 � 612 NORMAN AV i(J/� _ G (�/� k ARCD 910064805 FEES PAID DESCRIPTION OF WORK REMOVE ONE LAYER CAP SHEET INSTALL NEW HOT TAR FLAT ROOF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT. APPLICANT TEL NO. TEMPLE CITY ROOFING, CO. (909) 608-0622- AA BLDG PERMIT ISSUANCE 27 75 1216 BEGONIA COURT AC STRONG MOTION RESID 4800.00 VAL 0.50 SPECIAL CONDITIONS: UPLAND, CA 91784 D2 PERMIT W/O EN-HC 4800 00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: - TEL NO APPROVALS DATE- INSPECTOR SIGNATURE TEMPLE CITY ROOFING CO. (626) 279-1224- ' 1216 BEGONIA CT. I LIC NO LOCATION AND SETBACKS UPLAND, CA 91784 760903-C39 * ' SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER• TEL. NO FOUNDATION TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP. UNDEFFLOOR INSULATION 15OH269 3 01 FLOOR SHEATHING NO OF FAMILIES: DWELLING UNITS: APT COND STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS l� AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY- PROP LINE WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS - T-BAR CEILINGS , * ADDITIONAL DATA ON FILE I LOT DRAINAGE _ !REPORT ID: DPR261 ROUTE TO: BS0508 `� t