Loading...
HomeMy Public PortalAbout5957 GOLDEN WEST AVE_Building__ tj aeM seTs s-as . DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ��pL ® � N(�, WM. J. FOX, CHIEF ENGINEER FOR- APPLICANT TO FILL IN .,FOR OFFICE USE ONLY' �/j / DISTRICT-NO. PLAN CK.-NO. PERMIT NO. ADD EBLjILDISScs� C' �-� �� 'r /� - �--2 LOCALITY , •� �_ i ( � ,iC (� _ RECEIVED BY DATE OFA PL DATE.199U D •NEAREST CROSS ST. i .t`..s7'�%'�•-/f BUILDNG /l 'OWNER ,/C...F'�?�?�f%J-rte y ^Gf/�iC ADD EISS -rte^--� X16 '���--�•-'?.�/.�/•- ��`'r'��t MAIL LOCALITY �� �� ADDRESS - i% NEAREST TEL CROSS HT. r!;-�.{�'""' '• CITY, -`NO. FIRE NO.OF TYPE. GROUP , •ARCHITECT OR _ TEL. ZONEPLANS 1 •ENGINEER NO. _ BLDG. ORD. NO. ADDRESS - SETBACK LINE 4_� APPROVED TEL. BY DATE CONTRACTOR - 'NO. - ' USE /,/{'� °•APPROVED ADDRESS ZONE• BY DATE LEGALti - CORRECTIONS' DESCRIPTION," ESCRIPTION, I LOT NO. l' I BLOCK TRACT 1=( �✓ L7 ,2-5� �� -��b- s/.7vfF r�i NO.'CF BLOBS SIZE OF LOTS* �( n t1• I NOW ON LOT. �- USE OF NO.OF _NO. or,_ EXISTING, BLDG. I FAMILIWA ROOMS - - - DESCRIPTION OF WORk NEW •.ALTERATION ADDITION . 0 m_ REPAIR MOVING DEMOLISH O Sq: FT. SIZE , ROOMS STORIES ! - WALL r ROOF ✓ - COVERING -/•; may (_COVERING _ USE OF NEW BUILDING ✓"r ­(,LJ APPROVALS 1 HEREBY ACKNOWLEDGE .THAT I HAVE, READ THIS NSPECTOR DATE APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION:-LOCATION, �-j n� AND-AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES FORMS,.MATERIALS'= AND STATE LAWS`REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, ' 91GNATURE OF 4 BRACING, BOLTS OWNER � �, r 1� LATH, INT.: AUTHORIZED AOT t\ f' �! j � / - LATH, EXT.:' . P..C.• PLASTER, INT. _ V ,,• i fa FEC PLASTER, EXT. I VALUATION; FEE '-�{} FINAL 17 Q? ' `15kg"TWENT OF BUILDING AND SAFETY a . � APPLICATION FOR PERMIT -SCOUNTY OF LOS ANGELES _ 1� WM. J. FOX. CHIEF ENGINEER FOR APPLICANT �TO{{{ FILL FOR OFFICE USE ONLY BUILDING / `�"`A/ (�M �,//� DISTRI�No. PLANCK.NO. PERMIT NO. ADDRESS f .J /t % u! 1�) LOCALITY em ,CG C i RECELV D BY lDAT/E'OF(,APtPL. DATE ISSUED ORO SS ��! /`1 -Z�� I /— J6 �b C/d,,– b4,-eS ,-- o BUILDING OWNER Or7T117V //G'Tl'!G�/37L ci114,11 ADDREW 21 1 Al ,. / MAILLOCALITY ,, �-� ADDRESS 6Ue G l"zwe Pvc! fl&-c?, TEL. NEAREST CITY e-,"1 v 6,-L: N �` � CROSS 9T. r FIRE NO.OF _TYPE 13TP i M ARCHITECT OR /� TEL. ZONE PLANS ENGINEER �/'%G/r L F,—t-c k No.S 3'3899' - ' /1 em / BLDG. ORD.NO. ADD ES ,�mr/V /,sT u S h-,.O'1 q/ vd et jaSETBACK LINE / / SG.. , D' L I TEL10, APPROVED CONTRACTO�Rj�// /-� cJ 92 of 81 U NO. Tf0—,,—G BY 1/ ADDRESS /J(A/ 1J i�C1 Q��WaY rd raD�a- L.I>� ZONE BYUSE PRC�/ED ATE/t 'rc+ LEGAL p/ ,/ rr� L rCORRECTIONS a DESCRIPTION LOT NO� / BLOCK TRACT Ail R 1 1,0- .P.-�"iR.•'C 60t 6__ � 1 NO.OF SLOGS. SIZE OF LOT ��Q .1{ I NOW ON LOT ^�'c. ,�. %fit ,r�•�i3/1 '��F• te'''a'"-'Smt"� USEOF G�tu/'c. NO.OF NObM SD ILOOT //'C�I'r2� Ce,I�YIG� EXIBTING•BLDG FAMI�IEs ROOMS T Cc Y' -f DESCRIPTION OF WORK -t/o or " �o r �d�rna� �,/� za in tX � � NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH Lx•COI'LQ'�/ Y- Oli �/I m /Q Bq.FT. .( ���{�j�� NO.OF `/� v SIZE �� �V ROOMS STORIES _ f �� (/` ^�'� D r WALL ROOFn COVERING Sty< <O COVERING (J✓i�f-C�,Q USE OF NEW BUILDING G A circ dj / .t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOC IONINSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME: FIRE STOPS, � SIGNATURE OF BRACING,BOLTS _ / PERMITTEE ///� LATH, INT. AUTHORIZED AOT- �" � a, LATH, EXT. 7GA63SA-3 7-4e $ P.C,S ' / ".q PLASTER, INT. / L FEE PLASTER,EXT. / VALUATION B�3 v Y FINAL r / FEE JJJJ DB-3 8-43 BM sere APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY Q COUNTY OF LOS ANGELES BU1LI WM. J. FOX, CHIEF ENGINEER / NO.OF BLDG. ORD:NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. - PLANS SETBACK LINE ..� K,� 76 S-2 2 - FIRE APPROVED ZONE BY DATE RECEIVED BY - DATE OF APPL. DATE ISSUED USE APPROVED rc/ /.v vi — ZONE % BY . DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING p NAME ADDRESS lJ C 1- W UZ ADDRESS - LOCALI F t, NEAREST U Z CITY CROSS ST. 111 Q STATE TEL. LICENSE NO. NO. NAME Z MAIL a' NAME 3 ADDRESS ive 71 O �q/ /-�/� U I Y O TEL. ADDRESS CI NO. K ~ I HEREBY ACKNOWLED THAT 1 HAVE READ THIS Z - _ V 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 CONSTRUCTION. Z LQT NO SIZE OF LOT SIGNATURE O _ _O � OWNER -� t- NO. OF SLOGS. Q BLOCK NOW ON-LOT O AUTHORIZ W - 6 -' w TRACT_ Q S f CORRE ONS 2 L� ,, O f Q USE OF BLDGS. /t:I�'�'d" / ✓ �` -7 y /d/d/C "_/ fy / "NOW ON LOT DESCRIPTION OF WORK USE OF �^ azQ z .NE'Af TYPE GROUP < - NO.OF NO.OF - ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR 8TORIES - - MOVING WALL COVERING 7 ' DEMOLISH ROOF COVERING t $ P.C.$ V •� FEES FINAL APPROVAL INSPECTOR'S DATE l Jyy 'VALUATION FEE /J NAME ���'\ P4 5 71 1p v P l- 0 � � ""��`` 7GA638A CE#83 B_83 APPLICATION FOR BUI-LO G PERMIT COUNTY OF LOS ANGELES BUILDING Q DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY (� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING rWATER O ROUP TYPE RO S ED BY FOR APPLICANT TO FILL IN - CONSBUILDING L CLASSIFICATION SEWER MAP ADDRESS DWELL UNITS LOT NO BLOCK NOT REQUIRED ® RECEIVED ❑ t�+ CERTIFICATE ,.h{•' TRACT MAP /{ HIGHWAY NO OF BLDGS NO V (CIRCLE) STATE MAJOR SECOLOCAL,,,, LOCA ,, - SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF ' 1 CONDITIONS EXISTING BLDG ��• OWNER q� - BUILDINGYEX IS - SETBACK YARD HWY STREET NAME WIDTF ADDRESSO ARCHITECT OR ' TEL FPL T ENGINEER A A NP All SIDE �j �y µ"• ADDRESS, t CONTRACTOR e 48, / ADDRESS - Q� DESCRIPTION OF WORK l��e1W ,,-vf 14,24 NEW ADD ALTER REPAIR DEMOLISH j�, SQ FT NO OF NO OF �r�'.: SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT t VALUATION APPROVALS PATE, INSPECTOR 5 SIGNA �EPMT -..�-�• FOUNDATION LOCATION FEE $ FEE $�'�- FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AIUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT TON OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S COMPENSATION INSURANCE , LATH EXT SIGNATURE OF HOUSE NUMBER COR- , PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO CASH fir. ;tt 33 �ff AVI �c L y 76A638A CE#803 8.63 APPLICATION FOR BUILDING PERMIT-•�/ti 4-f yA .4; COUNTY OF LOS ANGELES BUILDING SS V� /5 A/ (5-,g / fJ L� if' DEPARTMENT OF COUNTY ENGINEER }BUILDING AND SAFETY DIVISION LOCALITY HN'A. LAMBIE, COUNTY ENGINEER NEAREST. ' ,,,_�j WILLIAM A JENSEN, SUPT of BUILDING CROSS ST J DISTRICT NO GROUP I TYPE Fjlj6CESSED BY :FOR APPLICANT TO FILL,IN `s pcoNST ,�� BUIL'DING'i� / //// STATISTICAL CLASSIFICATION SEWER MAP ADDRESS,, rJ[�OPIL U g, v�� J)�? 1 4 y,` CLASS NO DWELL UNITS LOT NO , O' BLOCK WATER NOT REQUIRED RECEIVED ❑ y h CERTIFICATE . TR j a 1 7oC6 MAP HIGHWAY ACT � � ' NO OF BLDGS NO -? 0 n 7 (CIRCLE) STATE MAJOR SECOND, OCA SIZE,OF LOT L7 26� NOW ON LOT USE ZONE SPECIAL USE.OFI•f-• �,/q -rte,/��j /+) - CONDITIONS EXISTI'NGIB DG lj-VC t14& (J-� � e,—/ r/�S r BUILDING_ l� �irz �'b l�q OWNER EXIST • i - /-, 1S STREET NAME SETBACK YARD HWY WIDTH ADDRESS ARCHITECT O J� /vQS FRROL T r ENGINEER (i(/� /L (J/V NO 791-/]3 6 SIDE V co �j �/ P L �U l / / �J A1C ✓' �� A i' _ ADDRESS / �f- v�+ - TEL•► /H"'(- iy + .3^a$ 0". CONTRACTOR -0 NO ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH N 'S NO OF NO OF SIZE �O /O� S//T��ORIES �" FAMILIESUSE OF ' ? L��� S T R C T U R E (�1/jjb�s/� /Y�C J v n SIGNATURE OF 9 �, Q� G� a ,> �, l0%APPLICAN ,, VALUATION $ X/ OaoAke& (G ? �i DATE. riNSPECTOR S SIGNAIURE PMT FOUNDATION �y�/3) �_ ...r";,Y FPC EE $ /I �� FEE $ - �� LOCATION FORMS. MATERIALS w� l(f't� ,p y. s✓„ •Y. FRAME FIRE STOPS �(d CGS'• +.�^"�" '~ �c. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINW G BOLTS (d '?I r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS frBU1LDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK - .�AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT TION OF THE LABOR CODE OF THE STATE OF C LIFORNIA RELAT- — ! ING TO WORKWNO PE�AP_�IN. RANC /]� LATH EXT SIGNATURE " HOUSE NUMBER COR-PERMITTEERECT AND POSTED i ADDRESS FINNAL LAN CHECK VALIDATION CK M O CASH �! JOHN F LEWISRINCIPAL ST R RAL ENGINEER PERMITT VALIDATION CK M D CASH LF l�0 3 6 3 3 SEP 11 2 3 D 1 1 4.504 s 6626-0 DEC ' 9 1 D 2;'2 9.0 0 ` 78A838A CE#803 B-83 APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES El ' LD I N G A DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DISTRICT NOGROUP TYPE D'13Y FOR APPLICANT TO FILL IN � l� coNsr t BUILDINGSTATISTICAL CLASSIFICATION EWER MAP ADDRESS 4 a,••, K G CLASS NO jj—DWELL UNITS LOT NO BLOCK WATERJ� CERTIFICATE NOT REQUIRED' I7Cl RECEIVED ❑ TRACT �!L' NO17 HCGRCWE) STATE MAJOR SECOND, , OCAL NO OF BLDGS _ SIZE OF LOT NOW ON LOT USE ZONE SPECIAL - USE OF CONDITIONS EXISTING BLDG ,OT E L OWNER (�.y4r Q/�T-� NO BUILDING EXIST , _ SETBACK YARD HWY ft T NAME WIDTH ADDRESS FRONT ARCHITECT OR YEL P L ENGINEER NO SIpE ADDRESS TEL O CONTRACTO �l NO ' V ADDRESS DESCRIPT16N OF WORK - W - d NEW ADD ALTER REPAIR EMO Vl SO FT NO OF Z' SIZE oi STORIES oe FAMILIES USE OF STRUCTURE r SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR S SIGNATURE PCPMTuc[�� FOUNDATION LOCATION A� FEE $ FEE _ - FORMS MATERIALS \ FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS d` 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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- f` LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN'S COMPENSATION INSURANCE ' I \ LATH EXT SIGNATURE OF HOUSE,NUMBER COR— ' PERMITTEE R CT AND POSTED ADDRESS• c FINAL JOHN F LEWIS PRINCIPAL ST RAL'ENGINEER' PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATIO CK MO CASH LA(�o 5 7 2 4 Nov 9 1 o 4.00— .8-3 1•+1 =M ' ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM. :J. FOX, CHIEF ENGINEER NO.OF BLDG., ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK',LINE L � ,R FIRE APPROVED ZONE BY DATE i.' RECEIVED BY DATE OF APPL: DATE IS UEDy ZONE USE APPROVED DATE C6 ` , — -tea � 6 —,3x 13 APPLICANT FILL IN HEAVILY OUTLINED PORTION nONLY BUILDING AAS �y1 �lil hl _per/) ,Ili O m NAME ' ADDRESS ti /�/ OJ!� VVJKT/il "V 1' ' W Z ADDRES8 _ LOCALITY 0/- � I t� U W CITY NEAREST. 0• e• 1 YY e ST � o Ir a SNAM TATE TEL. LICENSE NO. NO. E .titei�d? '/j Z MAIL q NAME O Ole 'r-4 f V e 3 ADDRESS Abi i • L LQ O , O U �O �d'P� C-S CITY NO a ADDR 6 ,ir ZO CITY G�e `� e '7LV 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U STATE - TEL. Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT LICENSE NO -NO O�/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION U LOT NO-2- dL _� SIZE/F LOT ^V D SIGNATURE OF o/) OWNER .� 1- NO. OF BLDGS. 6• BLOCK �j NOW ON LOT / AUTHORIZED AGT. / J TRACT /�y+'vt� CS6 CORRECTIONS D USE OF SLOGS.�^�'/ / NOW ON LOT ( _ /7U/'e /may DESCRIPTION OF WORK USE OF BUILDING �FI,Z Ter/VA-T1 a•!,r' • v , • a • z C o NEW . TYPE GROUP ' NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR V STORIES Tom• ' MOVING WALL COVERINGG DEMOLISH ROOF COVERING 14 � $ P C. sf, FINAL APPROVAL SFEE /-400 Q / I � (� VALUATION FEE DATE •^ /^ NAME n APPLICATION FOR BU LING PERMIT ], 7 1y DIVISION OF BUMDING'AND SAFETY ANo EISS ) �' � N Department of County Engineer ! ..I County of Los Angeles LOCALITY 7 tIno WM.J. FOX. COUNTY ENGINEER NEAREST D CASSATT D. GRIFFIN, SUp'T OF BUILDING CROSS ST. DISTICT NO. GROU �. SEWER MAP FOR APPLICANT TO FILL IN 1 TYPE BK P8 C nnNiq Ln BUILDADD DRESS 5957 N. pGolden West Ave. NSM ER AL1 HWY YES OI LOT NO. 96,97.98 BLOCK USE ZONE SPECIAL r CONDITIONS " TRACT 7064 -� S hCK A!/o,4/E= ,/77'd-X%,;'SO rn NO.OF BLDGSIZE OF LOT 160"x_ 2001 I NOW ON LOTS 2 BUILDINGYARDkWY STREET NAME a) SETBACK WIDTDTH r USE OF EXISTING EL G.Chur Ch & Sunda School •FPOL T� ; a OWNER Community Methodist Church SIDE Z _�P. I:. ADDRESS ' - MAIL 7�T ADDRESS 5957 N. Golden West Ave. O TRACT DWELL. 1 UNIT 5 INDUSTRIAL COtFMltN OF CITY Temple City - TEL•At 60231 =� DWELL. 1 UNIT /°tflR /Qetc NO. �,��p B PUBLIC BLDG. AARCHIT�EC�T Culver Heaton E • Ry 15482 2' DUPLEX i UNIT /' 7 ADDN.,ALT.. ETC. .y�...ALT. _UNITS 8 MISCELE L,56r. S'UF7- ADDRESS °259 S.Los Robles Pasadena 4 'COMMERCIAL BIZl,!C y �r TEL. p A p RW CONTRACTOR -` �` A�' �"1 NO. L��■���/ - •'E INSPECTION,RECORD ADDRESS 4 rr /�. SAR)L N,1 I- DESCRIPTION OF WORK NEW x ADD X, ALTER REPP_AIR DEMOLISNO. OFH NO. OF Scl- FT-ZE 8500 STORIES�-&ba1-FAMIILIES USE OF STRUCTURE Church , SIGNATURE OF 1000, APPLICANjT '' �_ 'r APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE 1 FOUNDATION: LOCATION �2•��sZ `�/ 2S� - iFORMS. MATERIALS 137,000.00 FEE $ d b / FRAME: FIRE STOPS. / /J VALUATION $ - S tb 'BRACING, BOLTS- S /J .0 ccz� FEE LOCATIO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS FGAS VENT. DUCTS N. -/ IANYdIzYcl4- f ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT i�i�y AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. �tL /1 AND STATE LAWS EGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF ? � HOUSE NUMBER COR- PERMITTEE _RECT AND POSTED r //'�y!/�;-•��j ADDRESS' w'�•a/�Y �/.R• / Qt`s-�"'"'i• FINAL Z � 8 VbT�61,GLI.FP1Y• WK.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR _AC,06 1 2 5 My 2-5 -1 6 5 6,:2 5 rt teras-09,rs '-519-3S'79 0 4 0.3N SEP 2© ;��r76A636A CE#80,�I-67 APPLICATION FOR -BUIL NG PER COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L O C A C I T Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ' COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST FRE APPLICANT TO FILL IN DISTRICT No ouP TYPE p ��!± /Q}�� � � CONST ADDRESS / ul �� a �Gt7 tG,�jj,� STATISTICAL CLASSIFICATION SBKER MPP CLASS NO DWELL UNITS BLOCK USE ZONE MAP D NO SPECIAL NO OF SLOGS. �! CONDI ION - NOW ON LOT LOT 4G '�A SCf/OS�L rE�L�u1S�V/P G BLDG, BLDG. SETBACK FROM � TOEL G/�.2�/�q FRONT PROP. LINE OF - (STREET) _ o(p •7 TYPE OF EXISTING SETBACK HIGHWAY YARD - TOTAL ..r HIGHWAY FROM C L ADDRESS � � CITY ARCHITECT OR TEL BLDG SETBACK FROM ARCHITECT - NO SIDE PROP. LINE OF (STREET) ENGINETYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL + _ CONTRACTOR NO LIC G ADDRESS NO CORNER CUTOFF YES NO C cl CL SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK' C. 4 CL NEW ADD ALTER REPAIR DEMOLISH v Z SQ.FT NO OF NO. OF SIZE Q. STORIES FAMILIES USE OF STRUCTURE 41,946 1wVvr SIGNATURE OF APPLICANT VALUATION$ °� a Q�Q APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS RUILDINO CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA• LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S Cn ENSATION INSURANCE S&CE EXT SIGNATURE OF (/� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS - FINAL !­� PLAN CHECK VALIDATION CK MO CASH _ JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER PERMIT VALIDATION CK M.0 CASH LKID 1 3 6 8 c�c;2 5 1 D 9.0 0- APPLICATION FOR;BUILDING PERMIT FOR APPLICANT:TO-FILL IN (Print or type only) L1 BUILDING , �, COUNTY OF LOS ANGELES ' ADDRESS DEPARTMENT OF COUNTY ENGINEER G I TY - ZIP �f I 7 8 0 BUILDING AND SAFETY'DIVISION ' BUILDING NO OF BLOGS SIZE OF LOTS OW ON LOT - ADDRESS TRACT ` B CK L T`NO y - LOCALITYVk[ '� 4cvfj4fr EL ` NEAAEST - - OWNER I _ NO CROSS ST ® v - ASSESSOR ,ADDRESS - MAP BOOK t PAGE PARCE - _ DISTRICT GROUPTYPE' FIRE PROC SED BY CITY ` rZIP _ `b� CONST^• ZONE _ ARCHITECT OR - - TEL ENGINEER NO - STATISTICAL CLASSIFICATION- , SEWER MAP , ,ADDRESS !CLASS NO2 '" _DWELL UNITS _ BKPG TE CONTRACTOR f S'kerY NO /�L'T 'Z Z USE ZONE MAP - - LIC NO ADDRESS _ �, t ' y'pU/ d NO SPECIAL ) LIC - - CONDITIONS CITY CLASS - ' ROAD DEPARTMENT APPROVAL REQUIRED YESNO CONSTRUCTION ENDER NAME AND BR CH BLDG SETBACK FROM p� FRONT PROP'LINE OF - (STREET) -- ADDRESS CITY HIGHWAY y p = TOTAL SETBACK FROM TYPE OF, EXISTING SQ -FT - - NO OF NO OF 'CHECK - _ _ T PROP LINE _ HIGHWAY WIDTH - C SIZE STORIES FAMILIES ONE' 1 1 DESCRIPTION OF WORK NEW ❑ �' 9L ADD ❑ BLDG SETBACK r SIDE PROP LI (STREET),. ALTER ❑ HIGHWAY } YARD - TIOTAL SETBACiK FROM TYPE OF EXISTING REPAIR❑ SI,DE ,PROP LINE HIGHWAY WIDTH USE OF' } - EXISTING BLDG _ DEMOL ❑ , `r CORNER CUTOFF YES APPLCANT TEL O• - NO-{❑ I - - (PRINT) -NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO, ❑ ' ++yy IN COASTAL ZONE - YES NO ❑,- t -VALUATION ��i��•� _ _ - - _ _.., - ' C ATE GO RICAL EXEMPT ON YES❑ NO- ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND.STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY .IMPACT EXEMPTION DECLARATION SIGNED WITH .ALL ORDINANCES AND, LAWSREGULATING-BUILDING CON- S ON- ST RUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED - (DATE) HEREBY-"I 'W ILL'HOT EMPLOY ANY PERSON IN `V IDEATION OF THE LABOR CODE M THE STATE OF- CALIFORNIA IN REL'AT G TO WORKMEN'S COMPE NS CE SIGNATURE OF, PERMITTEE ADDRESS FINAL TEL DATE - C17Y NO J - M,9KF. CHECKSIYAYABLE TO FEE FEv�? � FHARVEY T. BRAND-TI. COUNTY ENGINEER �., PLAN CHECK VALIDATION CK - M O CASH t PERMIT VALIDATION CK M O CASH 76A638A CE#803 7/73 - _ _ •• 9 91 • 1 1, o. 2 1!7 5 #`� WORKERS' COMPENSATION DECLARATION 'APPLICATION FOR BUILDI-N PERMIT I hereby affirm that I have a certificate of consent to self' insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company' ' �— ❑ Certified copy is hereby furnished FOR APPLICANT BUILDING T F LL.IN ADDRESS ��tJ ❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS Date Applicant CITYZIP• LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' - N6 OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OFF/LOT yy NOW ON LOT CROSS ST (This section need not be completed if the permit is far one TRACT656 ASSESSOR hundred dollars ($100)or less ) - BLOCK LOT NO MAP BOOK PAGE PARCEL T USE ONE MAP 'I certify that in the performance of tHe'work for which this OWNER 6r k NO permit is iss ed, I'shall not employ any person in any manner SPECIALt so as to to tune subje t to°ihe Worrkkeers'Comp ns tion Laws ADDRESS CONDITIONS �. t✓�• �A CITY o/ ZIP U Date App i t ARCHITECT l r N L / _ DISTRICT GROUP. TYPE FIRE PR SSED BY O NOTICE TO APPLICANT If, after makingthis Certificate of ARCHITE I �i/ g7 Exemption, you 'should become subject to the Workers' �-� h CONST ZONE U Compensation.provisions of,the Labor Code, you must forth- U ADDRE " with*comply with such provisions or this permit shall be #I deemed revoked STATISTICAL CLASSIFICATION APT ONDO N CONTRA .C. NO mil Z LICENSED CONTRACTORS DECLARATION .~ LIC CLASS NO DWELL UNITS I hereby affirm that[.am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and LIC �+ SEWER MAP Professions Code, and y license ism 1.full force and effect CITY ' CLASS... �� BK C-22 3 VALIDATION ' SQ T NO OF NO OF CHECK License N tuber Lic Class —/� SIZE STORIES FAMILIES ONE VALUATION Contr Date 6te � DESCRIPTION'OF WORK ❑NEW r B� ADD RZ ❑ I am'exempt under Sec - - ❑ ALTER - B&P C for this reasonREPAIR ❑ $ Date USE OF EXISTING BLDG • �.�. DEMOL ❑ Signature APPLICANT I FINAL 7 OWNER-BU ILDER,DECLARATION PRI s" NW DATE b I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031 5, Business and ADDRES ?+ Gs ,�i00�0 FIN ix L c Professions Code) PRESENT By ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is hot intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO with,licensed contractors to construct the project (Sec- ADDRESS TOT tion 7044, Business and,Professions Code) 8;� cJ A REQUIRED AL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE '" WIDTH �.' ` #,o o e. • e�1 I hereby affirm that there is a construction lending agency for FRONT ` e * 6 a 6 3 the performance of the work for'which-this permit is'issued P L' (Sec 3097, Ctv C ) SIDEx PL eee6a635 Lender's Name Lender's Address P C Fee$ t Permit Fee S. LDMA Ref # J 0.2 3 s 8 7 1 certify that I have read this application and,state that the Issuance Fee tJ V., LDMA P/C,# o above information is correct I agree to comply with all County Investigation Fee ¢Q o ardi es n State.jaws relating to building construction, Total,Fee V LDMA,Perm�M ' her authorize representatives of this County t enter - upon t ove-mentioned property for inspection poses SEE REVERSE FOR EXPLANATORY'LANGUAGE Signature of Applicant or Age '--- Date APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND-SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO,FILL IN BUILD ADD ESS BUILDING ADDRESS K/ I hereby affirm that I have a certificate of consent to self-Insure„ _ or a certificate of Workers' Compensation Insurance,or a certified copy there8f L5ec 3800, Lab C) L / CITY • ZIP V6oyo0749 �/ f , e, LO ALIT Policy o Company Q' G Fyw SIZE O LOT- NO OF BLDGS NOW ON LOT- . ❑Certified copy IS hereby furnished NEAREST CRO ST 111 Certified copy Is filed with the county budding inspection TRACT — BLOCK LOT NO `, -/ /1 USE ZONE MAP NO department Date.�7�,��_( Applicant �AI► /M�'��^ 1,04 Ay 'ASSESSOR MAP BOOK - - PAGE- PARCEL - - SPECIAL CONDITIONS OWNER TEL NO- YES NO CERTIFICATE OE EXEMPTION FROM WORKERS' to fV / f e./ COMPENSATION INSURANCE 6 rst (/w.+�e ar/ �f rAciS WITHIN 1000 FT OF SCHOOLS • This section need not be completed If the ermit'Is for.one hundred ADDRESS ( - P P �m DISTRICT' GROUP, TY CONST FIRE ZONE PROCESSED BY dollars ($100)or less) CITY � • ZIP - • 1 certify 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'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 SET BACK YARD HWY. PROP LINE WIDTH Compensation provisions of the Labor Code, you must -forthwith O/ A1044 4*i1'iw FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION C- SIDE CITY LIC CLASS v P L I hereby affirm that I am'-licensed underprovisions of Chapter 9 4 4 1" IleJq G�/ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES ` Professions Code,and my license Is in full force and effect r' Z NEW ❑ BK PG License Number G ra Ill LIC Class GX/ DESCRIPTION OF WORK ADD VALUATION pop- Q 9-?D`p6 / �f i $ Contractor T�eia/4�D .t•w ao Date , /� J , ALTER ❑ 7e! cc sIVe� ✓�+cr> REPAIR ❑ 0 ❑ I am exempt under Sec $ I-- B&PC for this reason 4eA/ , DEMOL ❑ LDMA P/C Date USE OF EXISTING BLDG URM ❑ a. Signature APPLICANT(PRINT) TEL,NO` LDMA Perm# Z ❑ I, as owner of the property, or my employees with wages as d their sole compensation, will do thC work and the structure IS. ADDRESS mss F �,tif_� �•atft not intended or offered for sale (Section 7044, Business and e� I� /VGA" /"OYY/•�!i•k' FINAL DATE Q - Professions Code) +�• 7 T= ' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -J7- Y� J - _ ❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y• y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY '5 I_f I AL 17:3 ze 64 licensed contractors to construct the project (Section 7044, YES❑ NO Rr :ti- Business and Professions Code) CHECK WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING UTH OAST A R QUOCCUPANT QUTY MANAGEUIRE A MENT T CONSTRUCTION DISTRICT IS ICSGAOMDR MODIFICATION O EE PERMITTING NG ECKUSTM THE OFOR CONSTRUCTION LENDING AGENCY GUIDEUNES _/ I hereby affirm that there Is a construction lending agency for YES El NO LTJ a the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING - s!i? - 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE t I!it'tj)-._IE II _ _r i_ 7 I N TILE 2,CHAPTER 2 20 SECTIONS 2'20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS q Lender's Name MATERIALS REPORT AND F OBTAI •(1 P IT FROM THE SCAOMD •��;,j i i i t'1[1 a 4V o Lender's Address 7yf r 1 1 O CWErOR AGENT - I certify that I have read this application and state under penalty O of perjury that the above Information is correct I agree to comply PC FEE PERMIT FEE o with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE00 ' D to enter up the ove-menti ed property for inspection purposes d ID � ��z INVESTIGATION FEE TOTAL FEE //17 I r` sa-mmre a App`c t«Agent Date SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION BUILDING PERMIT- _ COUNTY"00�'LOS ANGELES , BUILDING AND'SAFETY WORKER'S COMPENSATION'DECLARATION FOR APPLICANT TO FILL IN 3; BUILDING ADD SS I'hereby affirm that I have a certificate,of consent to,self Insure, BUILDING ADDRESS. a -E_ � or a certificate of Workers' Compensation Insurance,or a certified '� JV Copy thereof (Sec'3800,Lab C) / CITY. , ZIP'-"/ �p� - 00"/3 9 4,/ �.Q�G �U%�IO /�IJO�C ��'✓ - 7CJ� LOCALI Policy NO l Company SIZE OF LOT - NO OF,BLDGS NOW ON LOT C1 Certified copy Is hereby furnished _ NEAREST CR96S ST Certified copy:is filed with the county building Inspection' TRACTt BLOCK LOT NO o- department USE ZONE MAP NO % Date Applicant -/-•-�2 ASSESSORMAP_BOOK PAGE PARCEL` M —1��C� SPECIAL CONDITIONS c% CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO ; COMPENSATION INSURANCEpermitilwt -1 -p ������' ^�- / . u�' �f7ZS� WITHIN 1000 FT OF SCHOOLS YES NO - ,` A�v ' (This section need not be completed-if the permis for onADDRESS e hundred s.p! DISTRICT -GROUP - TYPE CONST FIRE ZONE 'PROCESSED BY dollars($100)or less) CITY ZIP I certify 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',Compensation Laws - STATISTICAL CL,A�jSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO O3 15t DWELL UNITS 'NOME TO APPLICANT If, after making this Certificate Of 'REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should, become subject to the Workers' CONTRACTOR / EL�[l0 ,� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor-Code, you must forthwith ,6.,F3./C�lw�/L.C,f3 � Y ��. � Ct FRONT comply with such provisions Or this permit shall be deemed revoked, ADDRESS LI NO PL LICENSED CONTRACTORS DECLARATION yam"' g SIDE CITY J � LIC CLASS PL , I hereby affirm that I am licensed underprovisions of Chapter 9 ( 4GSJ (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES' NO OF FAMILIES SEWER MAP r Professions Code,andEl license Is in full force and-effect NEW BK PG O License Nu`�'ber �2���S Lic Class 0 � C—R} DESCRIPTION OF WORK ,.� ADD ❑ VALUATION - O CofrkC o`f`t1.'7D � q'--V-5;2ate / ALTER ❑ �' ��3" `�`7 v W REPAIR 0 1 am exempt under Sec - /L, $ Z BBPC for this reason �Igsilc�6'� .5�9� L /(�` DEMOL ❑ LDMA P/C# Date USE OF EXISTING BLDG - URM ❑ ' Signature A P (CANT(PRINT) r7 TEL NO LDMA Perm# E1,I,as owner of the property, or my employees with wages as L/ G� �/ '� "%5�� Z :4i- their sole compensation, will do the work and the structure Is ADDRESS �// �. _ O S. not Intended or offered for sale,(Section 7044, Business and 'S /v. fit/ //ti// Ala; - C," FINAL DATE Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL `��--/ J # 1 ENS ❑ I„-as owner of the property, am exclusively',contractinwith- OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ���777 I - g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE licensed contractors to'construct the project (Section 7044, FINAL BY' TOT ` z -E Business and Professions Code) ves 11 No El WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR.FUTURE BUILDING _ t �; Z A''"Irk OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIRCATION'FROM THE SOUTH _ CONSTRUCTION LENDING AGENCY - COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR - - 'r- p,i E- GUIDELINES INr I hereby affirm that there is a construction lending agency for YES❑ No Ela , the performance of the work for which this permit Is Issued(Sec p) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUScl`�1 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCACMD I a e Lender's Address f 7Lff� p� `c"i s OWNER OR AGENT oI certify that I have read this-application and state under penalty O of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE �/� + • _ - $ with all county ordinances and State laws relating to building a construction, and hereby authorize re r flues of this Count hSSUANCE FEE m to enter the above-menUo r Ae y r inspection L! s CID �,,. �',�'�/� f'' INVESTIGATION FEE TOTAL FEE - - sanon,ro nt n Agent D.y f 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 1011080067 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST I BUILDING ADDRESS: ON FILE SQ FT STORIES TYPE I 5957 GOLDEN WEST AV ISTRUCTURE 15 V-B I TEMP CA 917802227 I (ASSESSOR INFORMATION NUMBER. i NEAREST CROSS STREET I 18587-025-002 I THOMAS PAGE- 597 GRID- A2 LOCALITY- TEMPLE CITY, Cl ITENANT IEXIST BLDG USE CHURC USE ZONE R-3 (ISSUED ON- - PROCESSED BY 1 I IEXIST OCC GRP. 111/98/10 SR I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION FLNAL DATE FINAL BY: CODE 1 IFIRST UNITED METHODIST CHURCH (626) 286-3129- 1 4,000 �(Ft;T 15957 GOLDEN WEST AVITEMP 917802227 I FEES PAID D SCR PTION OF WORK I I 115 SQUARES, 1 LAYER TEAR LF PARTIAL REROOF WITH 30 YR CLASSI I IFEE DESCRIPTION QUANTITY- UOM AMOUNT. IA COMPOSITION SHINGLE PUT BACK ON NO SHEETING I (APPLICANT TEL NO I I I IGARVEY ROOFING (626) 840-2019- IAA BLDG PERMIT ISSUANCE 27 80 1 I 1174 W. FOOTHILL BLVD IAB STATE GREEN BLDG FEE 4000 00 VAL 1 00_ ISPECIAL CONDITIONS I IMONROVIA, CA 91016 'IAC STRONG MOTION RESID 4000.00 VAL 0 50 1 1 ID2 PERMIT W/O EN-HC 4000.00 VAL 116.00 1 I 1 TOTAL FEES 145 30 1 I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IGARVEY ROOFING (626) 358-9208- 1 1 I 1174 W. FOOTHILL BL LIC NO 1 ILOCATION AND SETBACKS I IMONROVIA, CA 91016 692839-C39 '1 I I I I I ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO I ISLAB/UNDER'FLOOR 1 I IRAISED FLOOR FRAMING I I IMAP NO. SEWER MAP BOOK PAGE. FIRE ZONE. CMP I - - (UNDERFLOOR INSULATION I I I 1150H269 3 001 1 1 I I IFLOOR SHEATHING INO OF FAMILIES: DWELLING UNITS- APT/GOND STAT CLASS I I I I I I NO 22 I 1ROOF SHEATHING ( I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY. 1000 FEET MATERIALS I I NO NO NO I IFRAME INSPECTION I I I I 1 IFIRE SPRINKLER HANGERS 1 I I (INSULATION/WEATHER STRIPI I I I (INTERIOR LATH/DRYWALL I I I I 1EXTERIOR LATH I I I I I I I I I RATED FLOOR/CEIL ASSEM. I I I I (RATED WALL ASSEMBLIES I I 1 IRATED SHAFTS/OPENINGS I I I I I I I I IT-BAR CEILINGS 1 1 I ILOT DRAINAGE I 1 1 IREPORT ID: DPR261 ROUTE TO- BS0508 I I 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 0304280005 PHONE: (626) 285-0488 EXT: L 0. OF CONSTAD ON FILE SQ. FT STORIES TYPE 5957 GOLDEN WEST AV STRUCTURE: VN TEMP CA 917802227 ASSESSOR I N NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-025-002 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: ST BLDG USE: COMME USE Z - D BY- EXPIRES ON: EXIST OCC GRP: 04/28/03 JK 04/22/04 OWNER: TEL. O: BL GS. NOW ON L VALUATION: INAL DATE FINAL BY: CODE: FIRST UNITED METHODIST CHURCH - 17,000 5957 GOLDEN WEST AV J TEMP 917802227 FEES PAID DgnWTMON OF WOR REMOVE EXISTING BUILT UP ROOFING & INSTALL MODIFIED BITUMEN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: TOP NOTCH ROFFING (626) 305-1122- AA BLDG PERMIT ISSUANCE 27.75 1615 S MAYFLOWER AC STRONG MOTION RESID 17000.00 VAL 1.70 SPECIAL CONDITIONS: MONROVIA D2 PERMIT W/O EN-HC 17000.00 VAL 334.20 TOTAL FEES 363.65 ONTRACTOR: L. N0: APPROVALS DATE INSPECTOR SIGNATUR TOP NOTCH ROOFING (626) 305-1122- 1615 S MAYFLOWER LIC. NO ,' ' ION SETBACKS MONROVIA CA 91016 635825HIC OILS EN NEER APPROVAL ARCHITECT TEL. �� �; i-' :�� _ FOUNDATIOR/TRENCH FORMS LIC. NO: --7- SLAB/UNDER SLAB/UNDER FL OR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H269 3 01 ( , FLOOR SHEATHING OF FAMILIES: DWELLING UNITS: APT/COND: STAT CL NO 21 ROOF SHEATHING cip bhp t� Z c;• SCHOOL WITHIN HAZARDOUSi SRUFTAELS AIR QUALITY: 1000 FEET MATERIALS " NO NO NO FRAME INSPECTION ;i SETBACKTOTAL REQUIREDT �� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- RLATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RA S T- AR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0111140021 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 1 DI SS: ON FILE SIGN DESCRIPTION: "FIRST UNITED METHODIST CHURCH" ABOVE 5957 GOLDEN WEST AV TEMP CA ASSESSOR NEAREST CROSS2227 STREET: WOODRUFF 8587-025-002 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY XIS B S SS S . EXIST OCC GRP: 11/14/01 JK 05/13/02 OWNER: TEL. NO: -BUD-G-S7WONT ON LOT: VALUATION: FINAL DATEFINAL ODES FIRST UNITED METHODIST CHURCH (626) 286-3129- 6,500 5957 GOLDEN WEST AV TEMP 917802227 FEES P I TION OF WOR REMOVE EXISTING SIGN; INSTALL PREFAB SIGN ON NEW FOOTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: L. N0: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: D2 PERMIT W/0 EN=HC=�6500.00 VAL 166.20 GELESTO`TtiC) 248.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE � Eby SAME AS OWNER LIC. NO LOCATION y SOIL S ENGINEER APPROVAL ARCHITECT OR ENG CH FORMS LIC. NO: 1111111 SUPPORT STRUCTURE �( MAP N0: SEWER MAP B00 PAGE: FIRE ZONE: U ,n n D ��� `, /� (70(�(�� 8 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 20 VI �vJ 0 0 - [[[JJJ �uu HAZARDOUS0 AIR QUALITY: 1000 FEET MATERIALS NO NO NO ❑ �Ff Q t10//6 C ` ervice Vh-a REPORT ID: DPR261 ROUTE TO: BS0508 'COUNTY OF LOS ANGELES TEMPLE CITY #10508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9911100055 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 5957 GOLDEN WEST AV STRUCTURE: 0 VN TEMP CA 917802227 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF 8587-025-002 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: R ISSUED ON: PROCESSED BY: IRES ON: EXIST OCC GRP: 11/10/99 UT 5/08/00 OWNER: TEL NO: GLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: FIRST UNITED METHODIST CHURCH (818) 286-3129- 1 3,600 �t_��_ 5957 GOLDEN WEST AV TEMP 917802227 FEES PAID DESCRIPTION OF WORK NORTH SIDE OF BUILDING-REMOVE EXI ING HOT ROOFING, IN- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: STALL MODIFIED BTUMEN WITH HEAT APPLICANT: TEL, 0: TOP NOTCH ROOFING (626) 305-1122- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 3600.00 VAL 0.76 SPECIAL CONDITIONS: D2 PERMIT W/O EN'HC 3600. 00 VAL 115.80 y�d,��TO�T:® FEES 144.31 CONTRACTOR: TEL. NO: �O�j ��j; APPROVALS DATE INSPECTOR SIGNATURE TOP NOTCH ROOFING (626) 305-1122- 1615 S MAYFLOWER LIC. NO LOCATION AND SETBACKS MONROVIA CA 91016_ 653825/C39 SOILS',ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. FOUNDATION/TRENCH FORM LIC. N0: / 1111111 SLAB/UNDER FLOOR L RAISE LOOR FRAMING 1 _ MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:= � UNDERFLOOR INSULATION 150H269 3 �4 U PIC L� WOLI aK 3 v FLOOR;SHEATHING NO. OF FAMI ES: DWEL NG UNITS: APT/CO : STAT CLASS:— I NO 21 \W ROOF SHEATHING SCHO �\ 1 AIR QUALITY: 1000OFEET IN MATERIALS ® Q Q HEAR;PANELS NO NO NO ® ®� FRAMEIINSPECTION REQUIRED TOTAL SETBACK FROM EXISTFIRE SPRINKLER HANGERS SET APL YARD:PL- PROP LINE: WIDTH: ��rC Ser VD a lb5b Vtl0 FRONT INSULATION/WEATHER STRIP SIDE PL- 1 TERI LATH/DRYWALL EXTERIOR LATH R TE L00 EIL ASSEM. RATED WALL ASSEMBLIES R TE f /0 INGS T-BAR"CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I j COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803030021 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING-ADDRESS:' ON FILE SQ. FT STORIES TYPE 5957 GOLDEN WEST AV STRUCTURE: 0 VN TEMP CA 917802227 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF 8587-025-002 THOMAS PAGE: 597 GRID: A2 ' LOCALITY: TEMPLE CITY TENANT: X S US 0 - SSU ON: PROCESSED B RES ON: EXIST OCC GRP: 03/03!98 UT 03/03/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B O' CODE: FIRST UNITED METHODIST CHURCH (818) 286-3129- 1 3,600 j. J( 4 , 7 5957 GOLDEN WEST AV 7 11 `` V12 TEMP 917802227 FEES PAID MCRIPTION OF WORK REMOVE EXISTING BUILTUP ROOFING, ALY BUILTUP MODIFIED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GITUMEN ROOF SYSTEM PPL L. TOP NOTCH ROOFING (626) 305-1122- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 3600.00 VAL 0.76 SPECIAL CONDITIONS: D2 PERMIT W/O EN=HC- 3600:00 VAL 116.10 F-�-LTOTkG�EES 144.61 CONTRACTOR: TEL. NO: t� �Z'n APPROVALS DATE INSPECTOR SIGNATURE TOP NOTCH ROOFING (626) 305-1122- 1615 S MAYFLOWER LIC. NO LOCATION AND SETBACKS MONROVIA CA 91016 653825/C39 / SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. �i �� ��/�� �� €O G" ION/ RENCH FORMS LIC. N0: ;� r � I i � � � `x,1111111• ��', LAB/UNDER FLOOR ' RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: �' �, _ , 17 ` UNDERFLOOR INSULATION 150H269 3 04 FLOOR. SHEATHING NO. 0 LLING UNITS: APT/CO : STAT L NO 21 ° �- ��':� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �.'"�, �� ,� AR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NONO �'' /.� %�� RAM INSPECTION REQUIRED S ��� ="�j �-SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERI L EXTERIOR LATH RATED C IL ASSEM. WKM WALL ASS BL S ATED SHAFTS/OPENING T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508