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HomeMy Public PortalAbout5924, 5924 1/2, 5926, 5926 1/2 GOLDEN WEST AVE_Building__ DB-3 25M SETS aaa APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY` COUNTY OF LOS ANGELES NUM. J. FOX, CHIEF ENGINEER BUILDING NO. OF /V BLD+G. ORD.NO. ' DISTRICTO. PLAN CK. NO. „rlp E,RMIT NO, PLANS SETBACK LINE (/J�� 17 FIRE APPROVED - ZONE BY I DATE 'J!gc/EjIVED BY DATE OF APPL. { DATE ISSUED USE /,,(� APPROVED l/ C.I r�� ZONEV BY DATE APPLICANT FILL IN HEAVILY OUTLINED. PORTION.ONLY 1 ,,.. 6 BUILDING O M NAME ADDRESS W Z ADDRESS LOCALITY NEAREST U W CITY t / CROSS ST. ��j/ A. iv1,�� Q LICENSE NO. v NOL NAME )"1. ,4 W E Z MAIL O NAME 3 ADDRESS �'" �' , I- O TEL. Q ADDRES r CITY NO. 0 � Y - F I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. /y� NO. !� �/ AND STATE LAWW-SeREGULATINGsBUILDING CONSTRUCTION. O LOT NO. 7e �_ �Ga SIZE OF LOT./0/I �/0 SIGNATURE OF/ OWNER � J F mea"° NO OF BLDG3. (// Q a BLOCK NOW ON LOT AUTHORIZIED AGiI'. �/� O Ir J W TRACT .S� CORRECTIONS O USE OF BLDGS. jNOW ON LOT DESCRIPTION OF WORK USE OF '✓7 BUILDING„--�f��Hd�� 1 J S TT'f This construction may be in viclat.on of _ ar Production Board order You -are ;-- ProductionBoard Office before cnmmppr�_ o ing the, work authorized in this permit. c� z - n r NEW TYPE V GROUP ^ NO. OF NO. OF ALTERATION ROOMS FAMILIES 1 ADDITION ✓' SIZE / >a/ REPAIR STORIES MOVING WALL COVERING,., DEMOLISH I ROOF COV/EERRIdNG A I I 0) tkFEE $' a FINAL APPROVALV $ .�_ ' INSPECTOR-9 v VALUATION FEE � DAT �� NAME DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES G ® � WM. J. FOX, CHIEF ENGINEER NN GV FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING //g.�,� G�����T,�L�S,•-/9f�1 ADDRESS LOCALITY /T,� Y7,�Q� RECEIVED BY DATE OF APPL. DATE ISSUED CROSSNEARES T. 5: _� ^^. BUILDING _ s/ OWNER L/-•,��� � _ ADDkE59 MAIL / LO ADDRESSTEL �y.�/ p NEARESTc CITY �^ NO. o.d CROSS 9T. FIRE NO.OF _TYPE. OROUUP ARCH TECTOR i TEL. ZONE PIANS �•Y/- ENGINEER NO. �j BLDG. ORD.NO. ADDRESS /J �giB' r +�'' '+may_ SETBACK LINE Gly APPROVEDTE " CONTRACTOR NO.�/' BY DATE USE APPROVED ADDRESS �� i'i'O C � " — ZONE 38Y DATE LEGAL v CORRECTIONS DESCRIPTION I LOT NO. 7 7 I BLOCK TRACT e. yr_e- ..d ' SIZE OF LOT v �_X ���V ', I NOW ON�L�OTS/7�'�� ' NO.OF EXIST USE orNG BLDG. � 1"� I FAMIL ENO.OFs 7 I ROOMS , DESCRIPTION OF WORK NEW ALTERATION ADDITION O " A REPAIR MOVING DEMOLISH GI Bq.FT. • /� _� NO.OF t Z ,SIZE z'V ROOMS I STORIES D WALL - r / r COVERING -�,p �,��� I COVERING BUILDING USE OF W G/f.1 /�'.� /'�Ge/ a- / .. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INS ECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS y AND STATE LAWS REGULATING BUILDI O CONSTRUCTION. FRAME: FIRE FIRE STOPS, SIGNATURE OF Ca�/� BRACING, BOLTS PERMITTEE LATH, INT.: _ AUTHORIZED AOT LATH, EXT.: DBS-3 soM SETS 7-4e $ P.C.18 f PLASTER,INT. FEE PLASTER,EXT. VALUATIONa-r!1 FEE [ FINAL �( � �•l�� - 1 a D-6775 = 7LG✓J� �'`L C C' y i 7GA638ACE#8032-63 'APPLICATION FOR BUILD'I'NG PERMIT'•, �. ' i COUNTY OF LOS ANGELES; ' 'BUILDING DEPARTMENT OF, COUNTY ENGINEER ADDRESS BUILDING AND SAFETY-DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST r DISTRICT'NO GROUP TYPE' P CE D BY FOR APPLICANT TO-FILL IN 5, 06 CONST BUIL.DING ST ST•ICAL CL SSIFICATION _ SEWER,MAP , ADDRESS 5926 N. Goldenwest, Temple -C BK 3PI .CLASS'NO - DWELL UNITS O LOT NO - BLOCK ,WATER, r 'r CERTIFICATE NOT REQUARED.© RECEIVED- TRACT' ' "• _ MAP. - HIGHWAY " _ NO OF BLDGS' NO Q� (CIRCLE) STATE MAJOR SECON L CAL SIZE OF,LOT A •JO 'a -NOW ON L'OT. USE ZONE ` SPECIAL --------- USE USE OF 'r� CONDITIONS' - EXISTING BLDG Gar$ a ,�' ,•f` _ A �,f� _ OWNER S. A. N1aCa11ister NO "',•}�y BUI DING 'YARD• HWY STREET NAME EXIST ADDRESS 5926 N. Goldenwest , TE°A1 :. Oit SETBACK WIDTH � p FRONT c ARCHITECT OR , ♦ -TEL _ P L ~- 6—D L- & 4 O ENGINEER_ ` '- -NO "SIAE�. - - y. -P iL ADDRESSCL TEL •17 IC A /(sof:, O CONTRACTOR- Nbonarch Rf Co. No 66191• v/�/ � / .3 _ U ADDRESS 611 S. Fair Oaks,_ Pasadena J. ! O DESCRIPTION.,OF'WORK wL a NEW' ADD ALTER' REPAIR EMOLISH - h SQ FT ,NO OF NO!OF - ? SIZE STORIES FAMILIES ' USE OF ° • _ 1 STRUCTURE 1- , - _ a ,qnd 9Q# r611 -roofing. SIGNATURE OF' APPLICANT ' - - - r •' VALUATION'S 200.00' , - APPROVALS .DATE INSPECTOR'S SIGNATURE P I - PMT FOUNDATION LOCATION - .FEE $ - ` ' FEE 5, x4.00• FORMS, MATERIALS t.- 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 BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE-WORK _ AUTHORIZED HEREBY I WILL NOT EMPLOY'ANY'PERSON IN VIOLA-r LATH IN - J TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELA.T. _ ING TO WORKMEN S COMPENSATION INSURANCE • - , a - LATH, EXT P RIMITTEE SrGNATUREOF Monarch Roof in & NUMBERInsiul. C HOUSE RECT AND POSTEO /I ADDRESS b FINAL' - -•' M JOHN F LEWIS PRINCIPAL ST URAL ENGIN R PLAN CHECg'VALIDATION' CK M o C H _ ' I' PERMIT VALIDATION: cK M O CASH " y A, j; '8}58:SEo Ate '�_ 4.0,0- N 1�� '1 - - it�� ,ar�3+ � , ' • DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER NO. OFBLDG. ORD. NO.I DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE FIRE APPROVED - i4 ZONE BYDATE RECEIVED BY DATE OF APPL: DATE ISSUED USE APPROVED I •►� ay ,.}1• f��{).��� ZONE BY DATE . I I R• APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY � BUILDING - - � O NAME /�/L�/�I l.a. ADDRESS �} W Z ADDRESS Ir. �j" "^tI'f�i�d..�.,I LOCALITY U Z NEAREST K d3 9101:1/ W CITY CROSS -ST. /'J4,A �✓Wi� t STATE TEL. � LICENSE NO. NO. W NAME f..s l / •� Z MAIL / �a� ��♦t U NAME � U �f ` '� ' 0 ADDRESS �/ oll TEL. QADDRESS CITY - p NO. 4w F _ R ZO CITY 1 HEREBY ACKNOWLEDGE TH T 1 HAVE READ THIS U - APPLICATION AND STATE THAT THE ABOVE 18 CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES r" LICENSE NO NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LOA NO. �{� SIZE OF LOT SIGNATURE OF OWNER JIF- NO. OF SLDGS. AUTHORIZED AGT. 4 �} a BLOCK NOW ON LOTw 4F J TRACT 1 4AS /Ja¢lS� CORRECTIONS r W USE OF D NOW ON NOW DESCRIPTION O/F* WORKUSOF f BUILD NG .1 Z 0 NEW �.J TYPE j?Qm ®GROUP NO. OF NO. OF ALTERATION ROOMS FAMILIES ADDITION SIZE Q+� _ REPAIR STORIES ♦ V MOVING _ WALL COVERING f���o9 EMOLISH ROOF COVERING ! Y ? $ s P.C. $ FINAL APPROVAL- FEE $ INSPECTOR'S VALUATION FEE �� DATE '00w NAME (r!� DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ; ® L ® ' WM. J. FOX, CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO.— PLAN CCK.NO. PERMIT NO. ,�(/ ADDRESS LOCALITY a ' d RECEIVED BY DATE OF APPL. DATE ISSUED' NEAREBT CROSS ST. .� S / ��// Jr'✓ �/��i s� r// -� . BUILDING OWNER / ��� o�J - y ADDRESS MAIL �1j r G ADDREBB A•" O � ;'vA C. /I ,o)/do'5"0'0'e 5 �P,e LOCALITY i ANZEAREST CITY 4 NO. G .14"; CROBB BT. FIRE NO.OF TYPE _ GROUP ARCHITECT OR TEL. ,_ _ • ��' ZONE PLANE ENGINEER NO. �H q .� BLDG. - ORD.NO. 4J ADDRESS / / �3 /� Oe-:.J le— A& ' -� �� SETBACK LINE APPROVED �g TEL' --��+ BY DATE CONTRACTOR NO. UBff APPROVED ' ADDRESS ZON BY DATE LEGAL DESCRIPTION LOT NO. / BLOCK CORRECTIONS ,/,y .meq/� TRACT (o � 4�' -- - /� NO.OF BLDGB. - SIZE OF LOT �V NOW ON L'ONO.OF ^T / o.CiF USE OF /�� ✓l' I FAMILIES AM L[S / I ROOMS EXISTING BLDG. :: DE CRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMCLIBH i Z Sq.FT. ,// NO.OF SIZE btu pROOIMS STORIES o r WALL ROOF COVERINGiz r.R a��SL COVERING ®r�i�/'•!°! J; USE OF NEW BUILDI O /-91 ev e �� ,C � ��• /� ✓ V der C/L/ a 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES j FORME,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEELATH,INT.: AUTHORIZED AOT LATH,EXT.: oas-a SUM BETS 1-48 $ P C.a PLASTER,INT. FEE PLASTER,EXT. !8 ` VALUATION FEE 22 �� FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES wm J. FDX, CHIEF ENGINEERW 11- U I FOR OFFICE USE •FOR APPLICANT TO FILL IN ONLY I ^ TMM � DISTRICT NO. ' -' PLAN CK:'NO' "`-"'PERMIT'NO. BUILDING" ADDRESS �� LOCALITY '� ����� • 'G ) RECEIVED Y DATE OF L. DATE ISSUED CROBS ST. O S '' L/I�/g- '� . e- •�.' F/ �� ,- BUILDING OWNER ADDRE88 �. 1 MAIL / 9 - • � �+'s- LOCALITY 8 (.G�i.a aoG ADDRE8 �a � , NEAREST t EL. CROSS BT. CITY NO. FIRE NO.OF TY GROUP ' ARCHITECTOR TEL. ZONE PLANS f ENGINEER O. BLOB. ADDRESS en , SETBACK LINE .� TEL. - APPROVED CONTRACTOR NO. BY DATE r USE APPROVED 1 ADDRESS �/ ZONE BY DATE LEGAL ,q CORRECTIONS } DESCRIPTION LOT NO.'S �'/ BLOCK TRACT NO.OF BLDOS. SIZE OF LOT --5'b K I NOW ON LOT /y@/y/ I^>/ USE OF NO.OF NO.OF - U v r, ^I EXISTING BLDG. FAMiLIE I ROOMS _- DESCRIPTION, OF WORK ► r h a� _,�, � NEW z:,4 ALTERATION ADDITION REPAIR MOVING DEMOLISH S4•FT. e� NO.OF P f ... Z SIZE ...y �� ROOMS /F.�BTORIES ,�p - WALL R06F COVERING.SwP C G I COVERING�9e,Qp��..,40 - -' - USE OF NEW ,OA BUILDING 'v I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVAL/4 APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE ' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, / �s SIGNATURE-OF I BRACING,BOLTS PERMITTE LATH,INT.: i AUTHORIZED,AOT - �_ � �Ll o- LATH,EXT.: f DSS-3 SOM SETB 1-4B $$ P.C.III PLASTER,INT. PLASTER,EXT. X FEE VALUATION - ! 3):4 L FINAL a �y 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, BUJDING ADDRESS / or a certificate of Workers' Compensation Insurance,or a certified "� � copy thereof(Sec 3800,Lab G) C�_ G,/ zIP LOCA a., '1 .qi'7e� LIT Policy'No Company SIZE F LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished, NEAREST CROSS IST " ❑ Certified copy is filed with the county building inspection TRACT BLOCK' LOT NO ` .department - USE ZONE MAP NO Date • _Applicant ASSESSOR MAP BOOK - PAGE PARCEL _ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' QWNEg E0R6/NO •��P n TEL Nj? Jr' WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE , f:► r! v . , ADDRESS - (This section need not be completed if the permit Is for one hundred DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY dollars ($100)or less) CITY ZIP •- ._ I certify that m the performance,of the work for which this per cW , & ���7Ille ,3 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 1 P STATISTICAL CLgSSIFICATION 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' CONTRACTO 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 PL LICENSED CONTRACTORS DECLARATION- SIDE' CITY 'LIC CLASS P L I hereby affirm that 1•am licensed underprovisions of Chapter 9 SEWER MAP_ (commencing with Section 7000)of Division 3 of the Business and SQ�T SIZE NO OF ST5FEq NO OF FAMILIES , Professions Code,and my Iicense,is In full force and effect, SW NEW ❑ BK PG ' d 30 License Number Lic Class DESC PTION WO ADD E] VALUAfy V �,`_ Q Contractor Date' � i 'L ALTER ❑' $ ' ;L`� ti' ' ` i" U cc REPAIR-- ❑ O ElI am exempt.under Sec ` ;$ a `� ,t^' �\_a.�._I `�. U B&PC for this reason DEMOL ❑ LDMA,P/C# W Date USE OF EXISTING BLDG URM ❑ n Signature APPLICANT(PRINT)- TEL-NO LDMA Perm# - Z �as owner of the property, or my employees with wages as Z F`t-1- 'a ! their sole compensation, will do the work and the structure Is' ADDRESS,- - ; O - 1,67 �j FINAL DATE• ~ -rS-I=� _ a't- not intended or offered for sale (Section 7044, Business and 99 a T , Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL '1,;:2, '�' /�� �, j,TE11'z ❑ 1, as owner of'the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE } Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY T�tA 137a ' licensed contractors to construct the project (Section 7044, 1 _ Business and Professions Code) YES❑ No❑ y i r WILL THE INTENDED USE MI THE BUIDUNGCONSTRUCTION BY THE APPLICANT OR FUTURE BUILDING i_HLi K OCCUPANT REQUIRE A PERMIT.FOR CONSTRUCTION OR MODIFICATION FROM THE-SOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES J /f ..CS t'�CHAPGE i7G 1 hereby affirm that there is a construction,lending agency for YES 1:1NO El he performance of the work for which this permit Is issued(Sec ]HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THESCAQMDPERMITTING 3097,-CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE I s••7 I') '1 ''-!+ a TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS ��I_I1: III ,` 1,i'• ' _, Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD o Lenders Address ;05S }- AN _f O OWNER OR AGENT _ 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 PC FEE PERMIT FEE I , o 4constr ty ordinanc and State laws relating to building and eby oo thorize representatives of this CountyISSUANCE FEE th bo e- e oned property for Inspe tl purp sesaINVESTIGATION FEE - TOTAL FEEa Al-I Date / lJ SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANQELES 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 1106270081 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST I BUILDING ADDRESS ITR 6561 LT 77 1 SQ FT STORIES TYPE 1 5924 GOLDEN WEST AV STRUCTURE V-B TEMP CA 917802226 (ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET LAS TUNAS 1 18587-026-018 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl TENANT JEXIST BLDG USE RESID USE ZONE R-3 JISSUED ON PROCESSED BY (EXIST OCC GRP 106/27/11 SR I OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF AL DAT FINpfL_BY CODE ISHEN, SUSAN (626) 458-3451- 1 9,000 15924 GOLDEN WEST AVE TEMPLE CITY CA 91780 FEES PAID ID SCRIPTION OF WORK FIRE DAMAGE (E) BEDROOM, BATHROOM, CLOSET AND REPLACE FACIA IFEE DESCRIPTION QUANTITY UOM AMOUNT IBOARDS APPLICANT. TEL NO I I IYU (626) 203-2039- IAA BLDG PERMIT ISSUANCE 27 80 1 118715 BARROSO ST IAB STATE GREEN BLDG FEE 9000 00 VAL 1 00 ISPECIAL CONDITIONS 1 IROWLAND HEIGHTS IAC STRONG MOTION RESID 9000 00 VAL 0 90 1 IB2 PERMIT W/ENERGY 9000 00 VAL 220 30 1 1 I TOTAL FEES 250 00 1 1 ICONTRACTOR- TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IMILESTONE CONSTRUCTION, INC (626) 203-2039- I I 1 116715 BARROSO ST LIC NO ILOCATION AND SETBACKS ROWLAND HEIGHTS CA 91748 924088 B I 1 ISOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER TEL NO I IFOUNDAT_ION/TRENCH FORMS I I I LIC NO (SLAB/UNDER FLOOR I I I I I 1 IRAISED FLOOR FRAMING 1 I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I 115OH269 3 001 1 11 1 I I IFLOOR SHEATHING 1 1 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I- 0 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS I1 1 1 NO NO NO IFRAME INSPECTION I I I 1 IFIRE SPRINKLER HANGERS 1 I I I I I I I I 1 r�/� JINSULATION/WEATHER STRIPI r\ I I I V `�v (INTERIOR LATH/DRYWALL 1 1 1 I t (EXTERIOR LATH I RATED FLOOR/CEIL ASSEM 1 IRATED WALL ASSEMBLIES 1 I I 7 I I I I \ IRATED SHAFTS/OPENINGS I I I I I I IT-BAR CEILINGS I I I ILOT DRAINAGE IREPORT ID DPR261 ROUTE TO BS0508 1 1 I I I I I I 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 1111.150074 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST I BUILDING ADDRESS ITR 6561 LT 77 I SQ FT STORIES TYPE 1 5924 GOLDEN WEST AV ISTRUCTURE 3000 V-B I TEMP CA 917802226 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS S'T'REET 1 18587-026-018 I I THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI I I I _I ITENANT IEXIS7 BLDG USE RESID USE ZONE R-3 11SSUED ON PROCESSED BY 1 1 TEXTS'= OCC GRP 111/15/11 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE I ISHIEN, SUSAN - I 4 7,5000 I 1 s/ ,r I FEES PAID IDESCRIPTION OF WORK I ITEAR OFF #30 FELT I _—IFEE DESCRIPTT_ON QUANTITY UOM AMOUNT (APPLICANT TEL NO I 1 ICHUNG, WAN S (626) 824-4277- IAA BLDG PERMIT ISSUANCE 27 80 1 11612 KIOWA CREST DR IAB STATE GREEN BLDG FEE 7500 00 VAL 1 00 1SPECIAL CONDITIONS 1 IDIAMOND BAR CA 91765 IAC STRONG MOTION RESID 7500 00 VAL 0 80 1 1 ID2 PERMIT W/O EN-HC 7500 00 VAL 183 40 1 I 1— -1 TOTAL FEES 213 00 I (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I IYZIS CONSTRUCTION INC yy - I 1 11612 KIOWA CREST DR A LIC NO ILOCA^ION AND SETBACKS 1 I IDIAMOND BAR CA 91765 967270 1 1 I I I 1 I (SOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I LIC NO I ISLAB/UNDER FLOOR I I I I I I I-._ I I 1 I IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE, ZONE CMP I (UNDERFLOOR INSULATION I I I 1150H269 3 001 _I I I I IFLOOR SHEATHING I 1 INO OF FAMILIES DWELLING UNI'T'S APT/COND STAT CLASS I I _ I I I 0 NO 21 1 IROOF S14EATHING I I 1 _.- SCHOOL. WITHIN HAZARDOUS (SHEAR PANELS 1 IATR QUALITY 1000 FEET MATERIALS 1 NO NO NO I IFRAME INSPECTION 1 I 1 IFIRE SPRINKLER ((ANGERS I I 1.. I I I ITNSULATION/WEATHER STRIPI I I I I —_ -- _ - 11NTERIOR LATH/DRYWALL IEXTERIOR LATH 1 1 i2P.TED FL')OR/CEII. ASSEM I IPAT D WALL ASSEMBLIES _ i ,�Fs;I'E!: :i:L�:'•^.S/Oo;NINGs - ` IT-BAR CEILINGS (LOT DRAINAGE K _ .. -,_,_AREPORT ID- DPR261 ROUTE TO- BS0509