Loading...
HomeMy Public PortalAbout6023 GOLDEN WEST AVE_Building__ ©s'76A638a�' L,CE#803(REV 11/78) -APPLI ATIO OR BU I G PERMIT COUNTY OF LOS ANGELES BUILDING f ND SAFETY BUILDING , FOR APPLICANT TO FILL-IN ADDRESS BUILDING ADDRESS OCE3 -/C1�L W� LOCALITY NEAREST CITY ZI CROSS ST NO OF BLDGS ASSESSOR SIZE OF LO NOW ON LOT �� MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE SSED BY TRACT BLOCK LOT NO , CONS TEL ' OWNER SC/ NC STATISTICAL CLA�Jt CATION SEWER MAP ADDRESS CLASSNCrZ DWELL UNITS K Q CITY ZIP ARCHITECT E VALUATION $r7 ENGINEE ADDRESS BLDG SETBACK FR TE FRONTPROP LINEO REETI CONTRACTOR N HIGHWAY + YARDi = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESSpl C LIC + (l�- llt CIT CLASS BLDG SETBACK FROM CONSTRUCTION LEN +�J� SIDEPROP LINE OF -(STREET) NAME AND BRAN HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH_ Q SOF NO NO OF CHECK + = V SIZE STORIES FAMILIES ONE ❑ USE ZONE` MAP NO A 0 DESCRIPTION OF WORK NEW l (/ SPECIAL d. ADD ❑ CONDITIONS ALTER ❑ FINAL �J J� BY 1 REPAIR E] DATE _ • G.� USE OF DEMOL EXISTING BLDG ZO APPLIC E IP Q BY ISIGNAT REI Q IHERE CKNOWLEDGE HA E READ THIS AP LICATIO ND STATE uY ,THAT THE BOVE IS CORRECT ND EE TO COMPLY WITH ALL ORDINANCES _ _ AND LAW REGULATING BUILDIt G N RUCTION I CERTIFY THAT DOING THE V WORK A ORIZED H NOT EMPLOY ANY PERSON IN IOL'ATION OF " THE LABO CALIFORNIA IN RELATING TO WO KMEN S,COM Z PENSATIO INSUR E SIGNATURE. -93 9 a 5'A PERMITTEE ADDRESSZ # o 0:0"o- 0- 1 T L - ° 2'-.1 6 9. 0,0 CITY NO 169,00 P C Fee$ Permit Fee > 1 .1.2-7' 79 Issuance Fee W d Total Fee A `OAD' DEPT. PERMIT ' I� P,FOU!R FOP, ;N y_;1'1A I ER 11l SIO' "z � DONE IN- .THE ROAD R; G� WOR - ' 7a eaa� #po9 z/ao .A'PP'LICATION fOR . BUiLbINt PERMIT COUNTY OFI'LOS ANGELES BUILDING d DEPARTMENT OF-COUNTY ENGINEER ADDREss BUILDING AND SAFETY DMSION- ' LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST -WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. TRICT O. GROUP. TYPE - R �i B FOR APPLICANT TO-FILL IN 0CONST. �_ BUILDINGSTATISTICAL CL S FICATION - ADDRESS 4 C:l" - SEWER MAP �.J�L� Idol", uje-S!'-jam CLASS NO /'J DWEL LUNITS MAPSTAT LOT NO. 3 BLOCK NUMBER c;;_, v-lJ HWYE YES NO TRACT 6.5(o I USE_ZONE. SPECIAL SIZE OF LOT X x'.+06 I NO OF BLDGS s�, y CONDITIONS . NOW ON LOT USEOF i EXISTING BLDG., / Tl)t45o LTQ ra OeI _STI LD G EXIST. y /� TEL rI SETBACK YARD HWY STREET NAME -'WIDTH OWNER 7,i1r3mets D. � u ANO �_ I FRONT ,`��ry,/ J p / P L. .6 V ADDRESS _ SIDE ' ARCHITECT OR 'TEL P.L' ENGINEER NO INSPECTION RECORD ADDRESS TEL. . - I ° - a CONTRACTOR /!) G/' NO. ADDRESS DESCRIPTION OF WORKP3 - a r0 NEW � App l ALTER REPAIR - DEMOLISH SZ , NO. NO OF 7# WWWa SIZE` STORIES e FAMILIES O r - _ �j /�y�pl y USE OF Yp�. /`j/� O sQ. CJ Z/J Li Z, - STRUCTURE w r 5 'I- U hawl - SIGNATURE OF - i APPLICANT - VALUATION$ 'APPROVALS PATE , INSPECTOR'S SI' NATURE P.C. PMT. FOUNDATION -LOCATION ,4� FEE $ FEE $ d ,FORMS,MATERIALS Q - FRAME:-FIRE 1 HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS AP- STOPS, BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE,IS CORRECT AND FURNACE LOCATION. ' - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING -CONSTRUCTION. 1 CERTIFY'THAT IN DOING THE" WORK AUTHORIZED I LATH, INT` WILL NOT EMPLOY ANY PERSON IN VIOLATION'OF THE - WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT: SIGNATURHOUSE NUMBER,COR- PERMITTE E O - RECT AND POSTED ADDRESS IC4 FINAL` O � ` ,CLYDE N.-DIRLAM, PRINCIPAL STRUCTURAL EN94NS4R PIAN CHECK VALIDATION cK.'; M.o. 'CA'SH PERMIT VALIDATION, CK. M:o.' cAstt J - 'r'_®p WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to =elf , A P P L I:CA - I O F O R BUILDING PERMIT insure, or a certificate of-Workers' Com' Compensation Insurance, or a certified copy thereof (Sec 3800, lab. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company j ^ � BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL-IN - ADDRESS Z3 =A, Y�e71.- Certified copy is filed with the county building inspec- BUILDING ,I �/ tion department ADDRESS 607--� N. �L}��✓ C��y�; LOCALITY NEAREST Date � Applicant CITY ht-�= �- / ZIP �4 - !�O CROSS ST CERTIFICATE OF EXEMPTION FROM WORK RS' r NO OF BLDGS ,�, ASSESSOR COMPENSATION INSURANCE SIZE OF LOT CI 1C 'LOa NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT I BLOCK LOT NO NO 7007 J J TEL 9 ` SPECIAL I certify that in the performance of the work for which this OWNER L__H, P,14, !?=..PNO CONDITIONS permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE - PROCESSED BY Q �4 j; - so as to become subject to the Workers'Compensation Laws ADDRESS {J' . 1. ,� CONST ZOONE CITY' rvL r"T ZIP 9/X60' O Date Applicant STATISTICAL CLASSIFI TION �� APT CONDO , NOTICE TO APPLICANT .If, after making this Certificate of ARCHITECT OR TEL U 'Exemption, you should become subject, to the Workers' ENGINEER NO CLASS NO DWELL UNITS ti Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP to with comply with such. provisions or this permit shall be deemed revokedCONTRACTOR Q TEp BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Kl NOUATION (commencing with Section 7000)of Division 3 of the Business and LIC `rb, Professions Code, and my license is in full force and effect CITY Cat CLASS - $.� - , '73 5 b A SQ FT NO OF NO OF CHECK License Number 344q9(L—Lic Class SIZE ��•� STORIES •' FAMILIIEE�S� ONE 0 00 o 23 { ��`� A�ate DESCRIPTION OF WORK A�� JVi�t� /rte C NEW ❑ $ 2 0 Contractor 4 SO 4 ' f n _ ADD ; I am exempt under Sec O U a IndC-i G ,/� ALTER E] DATED o c Ila 04E , - B BP.0 for this reason CE I �l AJ,tr / I� ' REPAIR ❑ - — USE OF FINAL • ' EXISTING BLDG LcZ.2�I9°ti��^' C DEMOL E] ey Signature APPLICANT TEL L g OWNE -BUILDER D LARATI N PRINT t�� NOile,q 9-7 I hereby affirm that I am exempt from the Contractor's Licens� ,/'�� Law for the following reason (Section 7031.5, Business and '�. ADDRESS hU'2� �� 61) - -1J G�')^r C. �✓ !J '� ' F ?n,cA Professions Code)* PRESENT - BUILDING . I, as owner of the property, or my employees with ADDRESS �' wages as their sole compensation,will do the work and the structure isnot intended or offered for sale(Section' LOCALITY C o l - 7044, Business and Professions Code) MOVING TEL b I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ytion"7044, Business and Professions Code) ADDRESS c 0 � 7- REQUIRED, TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH fi Q 1 A, I hereby affirm that there is a construction lending agency for FRONT the performance of the work for-which this permit is issued PL_ , ;' o t•"a o n (Sec 3097,Civ C.) SIDE ?,c, ; 0 FO PL - v Lender's Name 17/ ` 0 P C Fee$, 5 0 ` Permit Fee e' y - Lender's Address � 0 1 I certify that I have read this application and state that the Issuance Fee above information is correct I agree to comply with all County Investigation Fee _ ordinances and State jaws relating to building construction, Total Fee Y1 and hereby authorize representatives of this County to enter /-upon t ab ve-m ti4efdaroperty for inspection purposes ; J SEE REVERSE FOR EXPLANATORY LANGUAGE n ®: ignature of A plicant o -gent Date 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS r 9071 LAS TUNAS'' ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA BL 0508 9708280002 PHONE: (818) 285-0488 EXT: CONST TR: 6561 LT: 93 SQ. "FT STORIES TYPE23 GOLDEN WEST 60AV STRUCTURE: 0 VN •TEMP CA 917801719 ASSESSOR INFORMATION NU NEAREST CROSS STREET: LAS TUNAS 5385-019-008 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY t USE: SID PROCESSED BY: PE B EXIST OCC GRP: 08/28%97 UT 08/28/98 r � OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL;DATE FINAL DE: ROAN LEE H;PEACE A (626) 286-4987- 1 2,100 6023 GOLDEN WEST AV 'T TEMP 917801719 FEES PAID DESCRIPTION OF WORK TEAR OFF AND APPLY 20 YR. GENSTAR COMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: L. HAUKOM ROOFING (626) 285-9011- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2100.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC2100.00 VAL 99.15 6N�LETOHL FEES 127.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE R HAUKOM ROOFING (818) 285-9011- 6122 N. IVAR LIC. NO LOCAT,15N AND SETBACKS TEMPLE CITY, CA 438388 C39 ' SOILS ENGINEER APPROVAL ARCHITECT ENGINEER: TEL. L FOSEA71ON/TROMH FORMS ' LIC. NO: n� � � _ t SLA /,UNDER FLOOR � f-j R L00 FRAMING 1MAP 50H26: SEWER MAP BOOK: PAGE: FIRE ZONE: CM01 ���� �C �� UN RFLOOR INSULATION 1� �f— ��� ��� � � — ��1 HEA THING 0. 0 DWELLING /CO : STAT 1 — a." -3lj NO 21 �`� ROOF SHEATHING � � / SCHOOLITH HAZARDOUS \ �� f' 1 itk�; SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO q _, ��� FRAME INSPECTION O , __�� REQUIRED ET FROM EXIST /� �� ,� V FIR SPRINKLER HANGERS ff SET BACK YARD: HWY: PROP LINE: WIDTH: 0 FRONT PL- INSULATION/WEATHER ST iP SIDE PL- INTERIORLATH/DRYWALL it EXTERIOR LAT RATED WALL ASSEMBLIES RATED SHAFT97UPENINGS T-BAR CEILINGS DRAINAGELOT REPORT ID: DPR261 ROUTE TO: BS0508