HomeMy Public PortalAbout5934 GOLDEN WEST AVE_Building__ 76AG38A CB x8032100 APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF- COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION , Locau
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST '
DISTRICT NO. GROUP TYPE PR CESSED BY
FOR APPLICANTmmilmll� ,TO FILL IN �'"A= �' CONST;
BUILDING �9�y De,/ �� STATISTICAL CLASSIFICATION SEWER,MAP
ADDRESS v A/ �K }'G
CLASS NqqO-- DWELL.UNITS
LOT NO. BLOCK NUMBERMAP `o6 HTATE YES NO
TRACT USE ZONE. SPECIAL
^ NO OF LDGS., CONDITIONS
SIZE OF LOT Sd x �V I BNOW ON LOT
US E'O F /i Q n r
EXISTING BLDG C /Z BUILDING EXIST. '
YARD HWY STREET NAME
OWNER -DC LU0 NO Q E 1. SFRONTK IDTH
ADDRESS 6 O IW .42.vshlD . SIDE
ARCHITECT OR !� - _ TEL P L. - - -
ENGINEER 200 t f' NO. INSPECTION RECORD
ADDRESS a .ir 7- -
TEL. a
CONTRACTOR NO.' O
ADDRESS C AS id'" U
DESCRIPTION OF WORK a0
u�
NEVII� ADD ALTER REPAIR DEMOLISH
SO FT. NO OF NO OF
SIZE O STORIES FAMILIES
USE C , o/1 7-
42
STRUCTURE iL 47
SIGNATURE OF
APPLICANT
VALUATION S/
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE S FEE FO FORMS,MATERIALS /� J�j
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME• FIRE STOPS, ' 9-/h /�IYI y f'[fj➢�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS [qU i I/
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE: LOCATION,
STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS -
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMP NSATION LAWS 2LIFORNIA. LATH,EXT.
SIGNATURE O HOUSE NUMBER COR- '
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK: M.O. CASH - PERMIT VALIDATION CK. M.O. CASH "
{ 4 5 D NOV ? 1. 1- D - 6.0 0 � ®�
: A 'ROAD DEPT PER:,,AIT IS REQUIRED
FOR ANI' AAATEW,*L 5 0:.AGS OR"WORK
DONE IN THE ROAD RiG,-IT OF ,WAY. ^
78A808A QE#8088-OY APPLICATION FOR BUILDING PERMIT
COUNTY OF;LOS,ANGELES BUILDING ' -
ADDRESS
DEPARTMENT OF COUNTY ENGINEER .
BUILDING AND SAFETY DIVISION LOCALITY
EAREST -
JOHN A.-LAMBIE,,COUNTY•ENGl NEER NCROSS ST
CASSATT D. GRIFFIN SUPT OF BUILDING '
DISTRICT N -GRO P. _ TYPE- P CESBY '
FADORESS
OR APPLICANT TO FILL IN ~ D CONST
_ STATISTICAL CLA (CATION SEWER MAP 1
MAIL
G ,� O /) 77 mss/ ,� F/�`( , B 1-11-31-3 "
S y -i�LASS.NqqO''._� DWELL UNITS-
LOT /79 BLOCK MAPNLM ER oZeieI 7' STATE
YES NO
t•. (p SC� Q" •, USI ZONE SPECIALNO OF •\
, LOT J�X I/o I NOW ON LOTS - CONDITIONS - -
• '
G BLDG BUILDING ' - EXIST -
SETBACK- 'YARD HWY R_EET,NAME• WIDTH
SI 0 ID J t� , F r)NT
S -
P. L
'=�G ' �L� Cllr - • NO AT ' ' ' < •',� "' INSPECTION RECORD
ARCHITECT OR TEL -
ENGINEER ;v c, NO
ADDRESS 3- /z9 ��.!/7n.,,. �/ E•' /IiA7-
TEL _ •• ,><j) ,,y,.lr!ty'yy( (� 7 P' `c/V'"!/n!
CONTRACTOR Ow NCQT 3( C/ - NO. s�1.�`/�
ADDRESS
" DESCRIPTION OF-WORK - ,'• _._ - ,
NEW✓/ADD ALTER . REPAIR DEMOLISH ' �• - - �f, lf• �A�
S •FT. ,/•f 7� STORIES -FAMILIES
�•� ��/�
SIZE
(,j
USE OF _ _ Jia,^"t � �d/,' �G.L�/t'��IG'4` 9•-/`f-'��_
,.STRUCTURE L I IJ IN oc2�-2
" = _ ' 7--/ll-r»r_'� 1�
SIGNATURE OF `^"'= ���'��• �'�' �P
"APPLICANT
ADDRESS , O 7 p all dG -xor APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION LOCATION
MATERIALS
VALUATION $ G'O Q �� I F 4ME FIRE STOPS, j"
�j RACING, BOLTS �
FPC ' PIATEE $ FEE $ I F RNACE LOCATION,-AS VENT, DUCTS
1 HEREBY ACKNOWLED E THAT I HAVER THIS AP- LAtrH, INT
PLICATION AND STATE T THE ABOVE IS O ECT AND
AGREE TO COMPLY WIT LL COUNTY O IN NCES AND, ` -
STATE LAWS REGULA G B ING CO STRUCTION. LAITH,EXT
SIGNATURE O �� HR ECT ANDPOSTEDUSE NUMBER R I2�I��D C/dIVtJLIJf1U,�f-Y
PERMITTE - '
.1
ADDRESS FIF,,IAL -2i'`I�/�O ,.., •-
cK (CLYDE N DIRLAM, PRINCIPAL STRyC '�URAALL ENGINEER
PLAN CHECK VALIDATION M o. ci H MI
'`` PERT VALIDATION-( CAsk
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 1201050030
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 6561 LT 79 SQ FT STORIES TYPE 5934 GOLDEN WEST AV.
STRUCTURE 40 V-B I TEMP CA 917802224
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18587-026-020 THOMAS PAGE 597 GRID: A2 LOCALITY TEMPLE CITY, Cl
TENANT IEXIST BLDG USE APART USE, ZONE R-3 (ISSUED ON PROCESSED BY
EXIST OCC GRP 101/05/12 SR
OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
IPICONEVO ROSE M, ALEX (626) 444-2882- 1 12,000 1
19628 LOWER AZUSA RD I142
TEMP 917804252 FEES PAID IFESCAIPTION OF WORK
TEAR OFF AND REROOF APARTMENT BUILDING USING 30 YEAR CLASS
IFEE DESCRIPTION QUANTITY UOM. AMOUNT IA DIMENSIONAL SHINGLES OVER 30 LB FELT
(APPLICANT TEL NO I I
IHOCKENBERY, JASON (909) 596-3993- IAA BLDG PERMIT ISSUANCE 27 80 1
15655 JUNIPER ST IAB STATE GREEN BLDG FEE 12000.00 VAL 1 00 ISPECIAL CONDITIONS
(CHINO, CA 91710 IAC STRONG MOTION RESID 12000.00 VAL 1 20 1
1 ID2 PERMIT W/O EN-HC 12000 00 VAL 250 90
I TOTAL FEES 280 90
CONTRACTOR TEL NQ I (APPROVALS DATE INSPECTOR SIGNATURE
III SHEA ROOFING �• (909) 591-4463- 1 1
15655 JUNIPER ST LIC NO .1 (LOCATION AND SETBACKS 1 I
(CHINO, CA 91710 565595/C39 I I
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO I - IFOUNDATION/TRENCH FORMS I I
LIC. NO SLAE/UNDER FLOOR I
I I I I I I
(RAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK. PAGE FIRE ZONE CMP-1 (UNDERFLOOR INSULATION - I
1150H269 3 001 1
I I IFLOOR SHEATHING I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS- I
0 NO 21 1 (ROOF SHEATHING ,gyp
I I I "\
SCHOOL WITHIN HAZARDOUS I SHEAR PANELS I -
1AIR QUALITY 1000 FEET MATERIALS I I
NO NO NO I IFRAME INSPECTION I
IFIRE SPRINKLER HANGERS
_ 11NSLLATION/WEATHER STRIPI
I 11
(INTERIOR LATH/DRYWALL
I _ I I I •I I
IEXTERIOR LATH
IRATED FLOOR/CEIL ASSEM
I ( I
IRATED WALL ASSEMBLIES I
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
I I I I
ILOT DRAINAGE I
I I I I I I
I IREPORT ID DPR261 ROUTE TO BS0508 1
I I I I I I