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HomeMy Public PortalAbout6051 GOLDEN WEST AVE_Building__ y181.55 ADBS-9 APPLICATION FOR `��UIL.®ING .PERMIT ' ], 11.98 DIVISION-OF BUILDING AND SAFETY. ;P BUIL - -� Deportment of County Engineer �y County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST P CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APP CANT TO FILL_ IN ., ' DISTRICT-NO. GROUP SEWER MAP TYPE K PG CONST -a BUILDINGI MAP STATE__ , ' ADDRESS p NUMBER (/ HWYYES O LOT NO. / �' BLOCK USE ZONE SPECIAL _ f CONDITIONS TRACT, -SIZE OF LOT � = >P�p I NOW ON LOTN OF S d.J r BUILDING t " TRE T NAME EXIST. _ SETBACK YARD .HWY L WIDTH USE OF _ EXISTING BLDG. 'FRONT ' OWNER U� , • - SIDE P.L MAIL ADDRESS 'O, TRACT DWELL. 1 UNIT TEL. 5 INDUSTRIAL CITY Aj -011 NO. 1 DWELL./ 1 UNIT ' 6 PUBLIC BLDG. ARCHITEC . TEL. 2' DUPLEX 2 UNITS r 3' ENGINEE NO. APT. UNITS 7 ADDfI. ALT., ETC. . ADDRES / 8 MISCEL. (y O 4 COMMERCIAL `TEL• INSPECTION RECORD CONTRACTOR NO. ' ADDRES DESCRIPTION OF WORK -CED ADD , ALTER , REPAIR DEMOLISH SQ. NO. OF F'h. NO.•OF �!r - / '1 U / _ STORIES ', FAMI IFS j1 �•.L,E/- t• Z� USE OF STRUCTUR - 1 - �+,J� Ala al SfGNATURE OF � F APPLICANT'S e`' APPROVALS ✓ ADD-RES _ DATE INSPECTOR'S SIGNATURE FOUNDATION* LOCATION Qc© P.C. $ (}G ,. FORMS.MATERIALS FEE FRAME: FIRE STOPS. ' VALUATION �-� v $ /.q _BRACING. BOLTS �I�S FEE CJ FURNACE: LOCATION_ , I HEREBY ACKNOWLEDGE THAT '1 HAVE READ THIS GAS VENT, DUCTSAPPLICATION AND STA .THAT THE ' IS CORRECT I AND AGREE TO COMPLYTWITH ALL.COUNYEORDIINANCES LATH. INT. ZI 'Z 5_'Y //Ws�ds i/JA AND STATE 'LAWS REGU TING BUILDING NSTRUC- TION. LATH. EXT. 'Z SIGNATURE OF �e HOUSE NUMBER COR- ,/� PERMITTEE , RECT AND POSTED j ADDRESS FINAL JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION CLYDE,N.•DIRLAM, CHIEF BLDG. INSPECTOR CK MO •CASH 5612 FEB 27 'r6 1, 3.00A � ,E 5 6 6 2&-r) FEB 28 1 3. 0.0 0 In` WORKERS'COMPENSATION DECLARATION I here or'a cer that'I have certificate.of consent to Self yiAPPLICATION FOR B.U.I L D I N G PERMIT nsure, or a certificate of Workers' Compensation Insurance, or a certified copy.thereof (Sec. 3800, Lab. Ci) COUNTY OF LOS ANGELES BUILDING AND SAFETY -Policy No. .Company - CBUILDING ertified copy is hereby furnished.,- FOR APPLICANT TO FILL IN ADDRESS owf }� Certified copy is filed with the county building'inspec- BUILDING \ T Tion department. ADDRESS L 0 J _ _� Date V)i 9' � A¢plicant" " ` 0b CITY ZIP , ) o LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT O NOW ON LOT CROSS ST. _ (This section need-hot be completed if the permit is for one ASSESSOR hundred dollars ($100)oraess..) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. a %� - - - OWNER SC7 i NO.'Z CJ1 " G/ UZONE O. I certify that in the.performance of the work for which,this >_ILpermit is issued, I shall not employ any person in any manner ADDRESS C�Q�s (�� / SPECIAL so as to beecoriiee'subject to the Wo`rk(e�rrs'Compensation Laws. CONDITIONS 0 Date ` Applic6i t V\\JW CITY. 1 Yv1 L. ZIP y ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE _ PROC SSED BY NOTICE TO-APPLICANT: If, after making this'Certificate of h- ENGINEER t� NO. CONST. ZONE t; Exemption;'you should become subject to the Workers' W Compensation provisions of the Labor Code, you must forth- J5•Dd'- . � V/ H with comply with,such provisions or this permit shall be ADDRESS deemed revoked., STATISTICAL CLASSIFICATION APT. CONDO. Z I 11 .1CONTRACTO NO. Qb G9 ' LICENSED CONTRACTORS DECLARATION }}.� LIC: CLA55 NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE `� a OG V� NO.z `3�'3 (commencing with Section 7000),of Division 3 of the Business and /� LIC" SEWER MAP Professions Code, and my license is in full force and effect. CITY L- �i1 b0� CLASS BK PG VALIDATION { �,I SQ. FT NO. OF NO. OF CHECK License Number'V'l Lic.Class SIZE ®� STORIES FAMILIES ONE yah ,1�.n (1 © ( NEW VALUATION Contract" Date (DESCRIPTION OF �yWORK vJ f- ` o.C,ye-\ ADD � $ , I am exempt under Sec. 1 8'1.9 A. ALTER B.&P.C. for this reason E] $ REPAIR. #'° ° o a o'1 Date: USE OF [ . EXISTING BLDG. j- DEMOL Z Signature APPLICANT��rr++�� TEL. n FINA i ®,1 8 1, 1 3 PRINTo C- NO. S p �Q 1 / OWNER-BUILDER_DECLARATION t�.� DAT (� 1 hereby-affirm.that I am exempt from the Contractor's License ADORES �� Q( _ FI ° °.1 8.1, 1, 3 6 Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT / f 0 4,0 9 8 5 BUILDING I, as owner of The property, or my employees with AD _ D_RE55 y2•r /`';Z(`� wages as their sole compensation,will do the work and U G ✓✓ the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions-Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with-licensed contractors to-construct the project(Sec- ` tion 7044, Business and Professions Code). ADDRESS REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION`LENDING AGENCY SET BACK YARD HwY PROP. LINE WIDTH I hereby affirm that there is a-construction lending agency for FRONT the•performance of-the work for which this permit is issued PA. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name m ' kLDMA Ref.;# ' Lender's Address P.C. Fee$ Permit Fee > ix I certify.that I have read this application and state that,the Issuance Fee MA P%C# a above information is correct. I agree to comply with all County Investigation Fee 2 m ` ordinances and State laws relating to building construction, Total Fee r 3 - Perm. # v and hereby authorize representatives of this County to enter m upon t eabove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE •- _ Sature of Applicant or-Agent - -'--Date I n 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 1007060005 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 6561 LT. 90 UN 002 SQ FT STORIES TYPE 1 6051 GOLDEN WEST AV 1 I ISTRUCTURE. 22 V-B TEMP CA 917801755 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15385-019-003 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl TENANT IEXIST BLDG USE RESID USE ZONE R-2 JISSUED ON. PROCESSED BY IEXIST OCC GRP 107/06/10 SR OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IILIVAL DATE FINAL BY CODE WILSON CYNTHIA (626) 573-7104- 1 7,000 71 16051 GOLDEN WEST AV 17 ITEMP 917801755 - 1 FEES PAID I ESCRIPTION OF WORK I ITEAR OFF 3 LAYERS INSTALL 1/2" OSB AND 30 YR GAF ASPHALT IFEE DESCRIPTION QUANTITY UOM AMOUNT ISHINGLES (APPLICANT TEL. NO- I I I ILABBE, GUY (626) 815-1279- IAA BLDG PERMIT ISSUANCE 27.80 I IAB STATE GREEN BLDG FEE 7000 00 VAL 1.00 ISPECIAL CONDITIONS 1 IAC STRONG MOTION RESID 7000 00 VAL 0 70 . ID2 PERMIT W/O EN-HC 7000 00 VAL 166 60 TOTAL FEES 196 10 ICONTRACTOR TEL. NO (APPROVALS DATE INSPECTOR SIGNATURE IJ N DAVIS ROOFING CO. (626) 815-1279- 1 1 11308 E COLORADO BLVD., #B LIC NO I ILOCATION AND SETBACKS 1 I I (PASADENA, CA 91106 572125039 * I I I I 1 I ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I LIC NO JSLAB/UNDER FLOOR 1 I 1RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP.( - (UNDERFLOOR INSULATION I I 115OH269 3 001 1 1 1 I I IFLOOR SHEATHING 1 1 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I - I NO 21 1 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 (AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO I IFRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I 1 � I I I (INSULATION/WEATHER STRIPI I I - 11NTERIOR LATH/DRYWALL I I I I IEXTERIOR LATH I I I I 1 IRATED FLOOR/CEIL ASSEM 1 I I I f I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I i I IT-BAR CEILINGS I I 1 I* ADDITIONAL DATA ON FILE ILOT DRAINAGE I 1 IREPORT ID DPR261 ROUTE TO BS0508 I 1 I I I I I I