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HomeMy Public PortalAbout6126 GOLDEN WEST AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING .PERMIT BUILDING AND SAFETY DIVISION BUILDING 7 �T- FOR APPLICANT TO FILL IN ADDRESS oZ fes^ ✓L BUILDING •7 9 ADDRESS p( / (� LOCALITY NEAREST CITY �� /C/ Z,P91 7 6 D CROSS ST. SIZE OF LOT1O�•/� I S NOWOONBLOTS � MAP BOOK PAGE ARCEL ��qq p DISTRICT 1GROUPITYPE FIRE PRO ESSED BY TRACTM(9 6-13 BLOCK LOT NO. �� CONST, Z�' TEL. OWNER //Y� NCO./ STATISTICAL CLASSIFICATION EWER ADDRESS p � C�('iLj/'`J�l CLASS NO.�DWELL.UNITS BK 7 A G CITY ZIP / / / FQ US ZONE MAP NO. ARCHITECT O , TEL. SPECIAL ENGINEER NO. 'ZO U CONDITIONS ADDRESS ~� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR - zqV--& EL BLDG.SETBACK FROM r� Q`/ �f LIC.'79% • FRONT PROP.LINE OF (STREET) ADDRESS S-0- 3 L,v�7 NO. � P9��] HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING CLIC.SS FRONT PROP. LINE HIGHWAY WIDTH C I TYCov11/� LA CONSTRUCTION LENDER e_y + NAME AND BRANCH BLDG.SETBACK FROM a SIDE PROP. LINE OF (STREET) CD ADDRESS CITY V SQ. FT. [[//6 NO. OF NO. OF CHECK HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING � SIZE jvSTORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH CD C; + DESCRIPTION OF WORK a ��,+ NEW [:] N t ADD 9 CORNER CUTOFF YES ❑ NO E] � /97 /ev ' G ALTER ❑ REPAIR IN OPEN SPACE YES ❑ E]NO USE OF `�JJ0 IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. /70/1!, DEMOL ❑ APPLICANT ' 2r f� /TEL G �1 R /�p� (PRINT) F�+l C D- .79��4'1PNO.33 099 i� f� �! .1�cJ+' /� �J9) r BY (SIGNATURE) G16� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR' CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF FINAL J„� --�J BY PERMITTEE 1 `' DATE !/ ADDRESS r 1/�v S' 1144 ��' 'v CITY V©ViNOL (7�'f,Z, P.C. Fee$ , �pZV Permit Fee .,C)r_z_5 Issuance Fee /�— VALUATION$ /J (J V VV Total Fee PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 5' 9 srn, 24 25.20 A=i, 76AZa2C?iZr1-7 2 3 0 2 0.2 5 78A638A CE#'803.7.58 APPLICATION FOR BUILDING PER I BUILDING AND SAFETY DIVISION ADDRESS BUILDING {BUILD 1 / Y j q A B„ p Q"'�'ati�`''� Department of County Engineer County of Los Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST 0 CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST. DISTRICT N SEWER MAP FOR APPLICANT TO FILL IN GROUP TYPE CONST LB K 7 BUILDING ^ /%_ n 11_ i I ADDRESS /► Nb 0-'�(7Ld-a.tJ A STATISTICAL CLASSIFICATION LOT NO. ®y BLOCK CLASS. NO. DWELL. UNITS STATE YES NUMBER HWY TRACT USEZONE SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT %S NOW ON LOT' USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT MAIL P. L. �. 944&1� ADDRESS J 'y l0 6-� / SIDE - TEL. P. L. CITY NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER - NO. ADDRESS CONTRACTOR �- o `r 0.5 e �a 1D �J P-1 f 112 I)X E f7A/D ADDRESS15 y1V DESCRIPTION bF WOR NEW ADD ALTER- REPAIR DEMOLISH �p SQ. FT. NO. OF NO. OF _ / �.I F_J11 ,/II 7 SIZ .STORIES FAMILIES U O RUCTURE ✓ +�GO /i i'J• ��! Iqh RlCe:r c-eQ SIGNATURE OF APPROVALS ��� �FJ��',Y�5".n ' APPLICANT_ PPLICANT DATE - INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS. MATERIALS $ ® �� P. C. $ FRAME: FIRE STOPS. FEE BRACING. BOLTS VALUATION $ , 0 d FURNACE: LOCATION. FEFr GAS VENT. DUCTS BY KNO E H H E R IS AP- LATH. INT. PLIC TIO TA EIS R ECT AND A O COMPLY IT ALL C TY ORDINANCES AND STATE LAWS ULA ING BUI T N LATH, EXT. SIGNATURE OF �' HOUSE NUMBER COR- lRgMITrTEE RECT AND POSTED AdD Els` " FINAL `�- JOHN 1k. LAMBIE. COUNT ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ��3 J 0MAY 1 2 .0 0 �,. W S'COMPENSATION'DECLARATION �.. I sure, a cerci at I haver certificate of consent to self A P P L I CATION FOR -BUILDING P E.R 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 TO FILL IN ADDRESS �j ❑ Certified copy is filed'with the county building'inspec- BUIL61NG tion department. ADDRESS �) Z J 601,01riv tet) jr f ll/C Date 20 IS Appl icarit V'i Kit SH0££ CITY I 4C TY ZIP r11-/ `S d LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 1'Ls NOW ON LOT CROSS ST. (This section need not be�completed if the permit is for one ASSESSOR hundred dollars ($100.)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL. TEL. k*51 USE ZINE MAP I certify that in the performance of the work for which,this OWNER 12 A CfS 'f H II le I A3 NO: 3 3`-7-3/ t •�`/�� NO. } permit is issued, I shall not employ any person in any manner �- jW SPECIAL - d so as to become subject to the Workers'Compensation Laws. ADDRESS 5�o On3TR N fl 11{ v£ Ia3 1?i CONDITIONS �O �ZD i SS I V I k K 1 � � CITY OMM LAA t Ch .. .ZIP4,0-3- _ Date Applicant ARCHITECT OR TEL. O NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUP,, TYPE. _ FIRE_, .PROC S BY u ENGINEER NO. V O _ CONST. ZONE Exemption, you'should become subject to the Workers' �j (J 3 µ/ ;21 UA Compensation provisions of the Labor Code, you must forth- ADDRESS "� �/ IL with comply with such provisions or this permit shall be deemed revoked: TEL. STATISTICAL CLASSIFICATION APT. CON CONTRACTOR NO. 4. e LICENSED CONTRACTORS DECLARATION -- LIC. CLASS NO. DWELL. UNITS I hereby affirm that I 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'my license is in full force and'effect. CITY CLASSBK VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE El N (� - DESCRIPTION-OF WORK j NEW Contractor Date ADD ❑ G nn _ LL� A ❑ 1 am exempt under Sec. , .L- 0. rfll pl ALTER E] , 2 Q 2' B.'&P.C. for this reaso ITC Mik., c A 3110 EIS REPAIR ❑ $ # o o'o'o o.'J Date: USE OF EXISTING BLDG. DEMOL ❑ ® o 6&6 3 Signature APPLICANT ir TEL. <-1 5 f FINAL (PRINT) Y )Ir s l7 NO. j�S %2.3 /® / 0 0 a E OWNER-BUILDER DECLARATION DATE 6 6 3 v 1 hereby-affirm that I am exempt from the Contractor's License ADDRESS 1;L 11) [h IV-rANA c`�£ C d 403 FIN 2 8 5 Low for the following'reason (Section 7031.5, Business and �— Professions Code): PRESENT B /� ❑ 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 not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TE-L. - I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED -CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP. LINESETBACK- WIDTH WIDTH hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P:L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # + Lender's Address P.C. Fee$ Permit Fee r 3 ' I certify that I have read this application and state that the Issuance Fee 10 1J LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee L', I .T 1 ; ordinances and State laws relating to building construction, Total fee .4 X 3 LDMkP-erm. # u. and hereby authorize representatives of this County to enter upon the a -rrtentione roperty for inspection_ purposes. o iGC SEE REVERSE FOR EXPLANATORY LANGUAGE . Signoture of Applicant or Agent Date - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT ��T��O FILL ININ ' ADDRESS ❑ Certified copy is filed with the county building inspec- AD,RESS tion department. / CI '� Gl�\ ZIP ( LOCALITY VY1 Date Applicant J O. OF BL CERTIFICATE OF EXEMPTION FROM WORKERS' E OF LOT NOW ON'LO NEAREST CROSS ST. COMPENSATION INSURANCE (This section need not be completed'if the permit is for one TRACT BLOCK LOT NO. ASSESSOR MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) � TEL. iJ NER D NO. USE ZONE' MAP 1 certify that in the performance'of the work for which this NO. ��^^1� V!/ SPECIAL permit is issued, I shall not employ any person in any manner RESS L ) I0 V_ �" — I CONDITIONS so as to become subject to the Workers'Compensation Laws. UO (� Date � u � Applicant CHITECT R ' TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTIC TO APPLI ANT: If, after making this Certificate of (NEER NO. CONST. ZONE Exemption,' you should become subject to the Workers' Y. � _ Compensation provisions of the Labor Code, you must forth- ADDRESS v CL with comply with such provisions or this permit shall be O TEL- CLASSIFICATION APT. CONDO. N TRACTOR deemed revoked. Z LICENSED CONTRACTORS DECLARATION rr UC. CLASS N0QZ3_DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 RESS Ov l NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business 1 v LIC. �y and Professions Code,and my license is in full force and effect. I `� CLASS BK / / PG VALIDATION FT. OF \ / . OF CHECK License Number Lic. Class OF YofrAMILIES ONE °� q VALUATION �i �r Contractor Date DESCRIPTION OF WORK NEW ❑ $ 1} El am exempt under Sec. A/Ltj L ` ADD ❑ ► ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OF o EXISTING BLDG. DEMOL Signature APPLICANTr�� / TEL. FINAL ,{ OWNER-BUILDER DECLARATION (PRINT)G!/ /T/ NO DA' </ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 0a pl Professions Code): PRESENT ❑ ILDING , as owner of the property, or my employees with BUADDRESS'If•' ms r wages as their sole compensation,will do the work and LOCALITY , � �,'" . the structure is not intended or offered for sale(Section �� ` ...... t I,.`ti.{ 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR NO. ''<^ ` I, as owner of the property, am exclusively contracting ,• with licensed contractors to construct the project (Sec- ADDRESS �, !`, '` �; _ tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. f_ j+rri: Z i 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 P.L. =}' »• n.h_s (Sec. 3097, Civ. C.). SIDE Lender's Name, N — LDMA Ref. # I I-•t•—'t F-i a`'/ I-'� �a P.C. Fee$ Permit Fee Lender's Address _ lHID o I certify that I have read this application and state that the Issuance Fee I a LDMA P/C# , 8 above information is correct. I agree to comply with all County Investigation'Fee R ordinances and State laws relating to building construction, Total Fee 6 V �1 ® LDMA Perm. # a and hereby autho i representatives of this County to enter .2 upon thea mentioned ro ert for i pection purposes. ,o SEE REVERSE FOR EXPLANATORY LANGUAGE n. Signa ure of Applicant or Agent Date .ERS' COMPkNSATION DECLARATION• ccertificate �' ins'ure cira certif cate of Worke s' Compensation Insurance, ' APPLICATION FOR BUILDING PERMIT U'Acertified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING o ' ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- 1ADDRESS_2;?,11b DING ( Ol.� tion department. RESS p� vt-j/- A � ! A �C!-' Ll� Ci IT�� ZIP 6A r �? LOCALITY Date— Applicant NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' OF LOT �AJC( NOW ON LOT CROSS ST. hi aHeAl COMPENSATION INSURANCE Avro 6"A Q h � ASSESSOR (This section need not be completed if the permit is for one T BLOCK a✓ LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. ER NO. C US E MAP I certify that in the performance of the work for which this n NO. ZIAL permit is issued, I shall not employ any person in any manner RESS `� �NU ��� CONDITIONS a so as to become subject to the Workers' Compensation Laws. O �/cT�� ZIP C12 -L t/ U Date Applicant HITECT OR TEL. Q' INEER i DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT:.If, after making this-Certificate of (CWb.v NO. 2.f CONS E Exemption, you should become' subject to the Workers' ., v U Compensation provisions of The Labor Code, you must forth- /V. �7/���-Lti� l�(i.p�i/� ^�E � d/ a with comply with such provisions or this permit shall be fNl� TEL. STATISTICAL CLASS IC TION APT CONDO. Z deemed revoked. CONTRACTOR ��p `�'�1 NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWS MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT NO. OF NO. C CHECK License Number Lic. Class SIZE Z STORIES Z FAMILIES t{ ONE VA IJION Contractor Date DESCRIPTION OF WORK pj S 11j4' - ADD El/ NEW El am exempt under Sec. -2 —$ f<C g�0- T ► P ALTER ❑ 4Vm B.&P.C. for this reason i1 �'DU?� REPAIR ❑ S ��� � Date: USE OF EXISTING BLDG. A\10 DEMOL ❑ Signature APPLICANT TEL. FINAL (PRINT) NV/V c//CT - NO. i �•-c a s OWNER-BUILDER DECLARATION DATE )[_t yam, :�,;•,_a-•_e 3 I hereby affirm That I am exempt from the Contractor's License �bd Law for the followingreason Section 7031.5, Business and ADDRESS Cs� FINAL t-r'i ''i= 7 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 not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR❑ NO.1, as owner of The property, am exclusively contracting --, , with licensed contractors to construct the project (Sec- # "�'�i�E�ll tion 7044, Business and Professions Code.) ADDRESS CONSTRUCTION LENDING AGENCY REQUIREDYARD HWY TOTAL ETBA SETBACK WI T. SEBACKI hereby affirm that there is a construction lending agency for FRONT The performance of the work for which this permit is issued P.L. (Sec. 3097, Civ: C.). SIDE P.L. CD_ ! a. <n.-2 Lender's Nome. m C� I 1j ... LDMA Ref. # M P.C. Fee t ..a / t'Fe Lender's r- Address C_r I certify that I have read this application and state that the �� Ilsdance Fee LDMA P/C# ►-+ , 3 above information is correct. 1 agree to comply with all County Investigation Fee Rordinances and State laws relating to building construction, Total Fee D C/.'11, LDMA Perm. # a and hereby authorize representatives of this County to enter upo a above-mentioned ropeQt for inspec io purposes. `. O p Cj t'' •1, � �" ��c SEE REVERSE FOR L ATOR�LA 'sUhwsE v ,� co Signature of Applicant or Agent Date c t n t.,t � tJ 'a O 4J �� P - t:] Ln ��! COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608080023 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6126 GOLDEN WEST AV STRUCTURE: 160 1 VN R3 TEMP CA 917801702 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 5385-026-019 OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/08/96 TC 08/0,9/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LAU LINDA KWAI LIN;LAWRENCE SHU WOO (818) 291-2252- 1 2,000 a��,b ®1 6126 GOLDEN WEST AV V v 0'{� TEMP 917801702 FEES PAID DESCRIPTION OF WORK - PATIO ENCLOSURER WITH ELECT. ICBO 6 21P FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: L. J. HAUSNER CONT. (714) 544-3100- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID r7�1 2000.00 VAL 0.50 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY; �� L CC2000...00 VAL 90.42 D4 STANDARD,PC W%+ENS �2000.00,VAL 63.22 ==_TOTAL_ FEES181.89 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE �- - L. J. HAUSNER CONSTRUCTION (714) 544-3100- 205 44-3100 205 FASHION LN #108 LIC. NO `�� / �� LOCATION AND SETBACKS TUSTIN, CA 92680 3216317 B �l SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS LIC. NO: r�� b `-_; _ �� r— tial SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 / NO. OF FAMILIES: DWELLIN T LEVEL FLOOR SHEATH UNITS: APT/GOND: STAT CLASS: ���`At � � �, � , ,� ��� NO 21 NAVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \,G,., ROOF SHEATH NG AIR QUALITY: 1000 FEET MATERIALS J/,o - , � NO NO NO ��� �� -- FIRE DEPT. FRAME INSPECT \` REQUIRED TOTAL SETBACK FROM EXIST „\�� __ BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 6 FRONT PL- SHEAR PANELS SIDE PL- I SULATION/ EATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508