HomeMy Public PortalAbout6045 GOLDEN WEST AVE_Building__ APPLICATION FOR B;U.ILDING PERMIT
FOR AP4LICA NT TO FILL IN' (Print or type only) '
COUNTY OF LOS ANGELES
ADDRESSj DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION
-NO OF BLDGS- BUILDING ,f
SIZE OF LOT 4 NOW ON LOT p7j ADDRESS (• J
TRACT I0�� BLOCK LOT NO Q LOCALITY f
TEL
NEAREST
OWNER NO CROSS ST
A
ADDRESS SSESSOR.MAP BOOK PAGE PAR
DISTRICT GROUP TYPE FIRE PR C ED BY
-CITY "ZIP � ONST i ZOf�y
ARCHITECT OR TEL �• ✓�
-ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO °�� DWELL UNITS BK /'3P/
TEL
CONTRACTOR NO9�4 USE ZONE MAP
LIC
NO
ADDRESS NO Z 7r- - SPECIAL _
= LIC CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO-[:)
CON RUCTION L DER
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF ~' ' (STREET)
-ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES • ONE - }
DESCRIPTION OF WORKNEW ❑ + G' - �—C'1 Yi 1p V- O
ADD ❑ BLDG SETBACK FROM
SIDE PROP LINE OF (STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
HIGHWAY_ + YARD = SIDE PROP LINE HIGHWAY -WIDTH N
USE OF REPAIR 1:1Z
EXISTING BLDG DEMOL 1:1 +
APPLICANTEL T
d �. CORNER CUTOFF YES ❑ NO
P ❑
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION $ Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREEJO COMPLY WITH ALL ORDINANCES
AND LAWS,REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE'
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ,
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATIN TO WORKMEN S COM
PENSATION INSU - -
SIGNATURE OF
PERMITTEE
ADDRESS
TEL DA EL �� BY
CITY NO
MAKE CHECKS PAYABLE TO FEE
PC $ FET $
HARVEY T.BRANDT,COUNTY ENGINEER ,
Il , o S�.so
PLAN CHECK VALIDATION CK MO CASH- PERMIT VALIDATION CK mo CASH
6 *19,'t4_8•3j� ' -c- Inia,14 t- k, s 6 5 8rA1jG `-13 1 .D g 2,5,0 m 8
J'-�
®s 76A638A CE#803 3 75
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 0202050031
PHONE: (626) 285-0488 EXT:
NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 90 SQ. FT STORIES TYPE 6045 GOLDEN WEST AV/L
STRUCTURE: VN TEMP CA 917801755
ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: WOODRUFF
5385-019-027 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TEN
A : E SE: S ONE: - SS D O D IR
EXIST OCC GRP: 02/05/02 JK 08/04/02
OW TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN CODE:
BOYD ROBERT A;BONNIE J (626) 796-6996- 4,640
8656 SUNNYSLOPE DR
SGAB 917751129 FEES PAID Un-cTFP'rTON OF WORK
T/O CARPORT ROOF; INSTALL CLASS A MODIFIED BITUMEN ROOF SYST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
AP LIC T: NO:
DON HENDERSON (626) 796-6996- AA BLDG PERMIT ISSUANCE 27.75
102 S SAN MARINO AC STRONG MOTION RESID 4640.00 VAL 0.50 SPECIAL CONDITIONS:
PASADENA 91107 D2 PERMIT W/O-EN-HC --- 4640.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DEVON ROOF CO. (626) 796-6996-
102 S. SAN MARINO LIC. NO LOCATION AND SETBACKS
PASADENA CA 91107 689278 C39 ;��
" �� SOILS ENGINEER APPROVAL
WRTTEU-OR ENGINEER: T L. N " FOUNDATION/TRENCH
LIC. N0: SLAB/UNDER FLOOR
iRAISED FLOOR FRAMING
AP NO: SEWER MAP B PAGE: FIRE ZONE: CMP: UND R LOOR INSULATION
150H269 3 01 FLOOR SHEATHING
NO. OF FAMILIES: S: A CLAW.-
YES
L YES 21 �" ROOF SHEATHING
SCHOOLITHIN HAZARDOUSSHEAR PANELS _
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ��^ FRAME INSPECTION
REQUIRED TOTAL SETBACK RO
SET BACK YARD: HWY: PROP LINE: WIDTH: R A G
FRONT PL- - INSULATION/WEATHER STR
SIDE PL- - - _
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.FLOOR/C
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ' ROUTE TO: BS0508
.k