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Home My Public Portal About6206 GOLDEN WEST AVE_Building__ 79A038A C6#SOS 9-60 APPLICATION' FOR BUILDING 'P T COUNTY OF LOS ANGELES •- BUILDING Lj DEPARTD�NT 'OF 'COUNTY ENGMEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST .( WILLIAM A. JENSEN SUP'T OF BUILDING CROSS ST ` DISTRICT N GROUP TYPE P SED BY FOR'APPLICANT TO FILL IN - CONST BUILDING v �f/�• STATISTICAL CLASSIFICATION 'p SE ER MAP, ,ADDRESS.v O� // ' BK CLASS NO DWELL UNITS LOT NO BLOCK MAP _ STATE"'°•,YES • NUMBER , �-��;;,�f ,HWY. n TRACT - USFZONE .SPECIAL (�-0 It NO OF LOGS: CONDITIONS C✓-L!F:-Y/y" JY� �J O t7 " I NOW ON LOT SIZE O�LOT USE OF EXISTING.BLDG BUILDING YARD HWY T E NAME EXIST • TEL' SETBACK WIDTH, OWNER NO �A13 FRONT P L G ADDRESS O SIDE - r- ARCHITECT O, TE P L - ENGINEER " N - - INSPECTION RECORD �. ADDRESS 71 JL I - _ �[ _ O CONTRACTOR N / � _ _ _ 4 U. ADDRESS` ./�, ., '� /^� � , - ,: .l •'"`' 0 r DESCRIPTION ,OF WOE of Lu - • NEW ADDS+ •ALTER REPAIR DEMOLISH 'ter--•�" �z NOOF S FAMILIES IES p, T 'Jae% ! USE OF I - /Ti .,...��' - V .C8«.�.•.�._i• 'STRUCTURE SIGNATURE OF aft�+I�G1.E�d+".r,..�I•C�a _d[.7``'�sti+tC, ( / �LlL� /•�f-9�� APPLICANT t 1I� =�O� •�r•T ` VALUATIONS - , V APPROVALS PrATE. INSPECrOR•S SIGNATURE P C C� - PMT FOUNDATION LOCATION �y ' FEE $` FEE $ FORMS, MATERIALS FRAME FIRE STOPS, I,HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION BRACING, BOLTS AND STATE`THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, ,I WITH ALL,ICOUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT,IN THE PERFORMANCE _ OF THE WORK FOR 'WHICH THIS PERMIT IS ISSUED I SHALL NOT .LATH, I-NT _ 'Gd A��•-..—�,�._ EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT TO THE WORKMEN COMPENSATION LAWS OF CALIFORNIA _ _ LATH, EXT - � , SIGNATURE OF % HOUSE NUMBER COR- P ERMITTE OR-PERMITTE - RECT AND POSTED ADDRESS % FINAL CLYDE N DIRLAM, PRINCIPAL STR RAL-ENGINEER PLAN 'CHECK VALIDATION cK. M o. CASH PERNIIT 'VALID'ATION cK:/ M o. "SH LAC,7 9 2'_7 YD" s:3 9 2 - JW 1 U h 5 .C.o _� -WORKERS' COMPENSATION,DECLARATION I,hereirmI have a certificate of consent to sf insure, oraffa certtf carte-of Workers' Compensation insurance, A P P L I CATION FOR •�B U I L D I N G �P E RM I T_ or a certified copy thereof (Sec 3800, Lab C ) ~COUNTY-OF LOS ANGELES BUILDING'AND SAFETY " Policy No Company BUILDING ElCertified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS p2Qlo G�h7 'Lo -e ❑ ',Certified copy is filed with the county building inspec- BUILDING o Tion department ADDRESS " CIN zip 6 LOCALITY 7 ti �i�ci Dare Applicant NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE'OF LOT', NOW ON LOT - CROSS ST COMPENSATION INSURANCE ASSESSOR (Thts section need -not be'completed'if the permit is for one TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL ,,,hundred•dollars ($100) or less ) TEL { OWNER ' NO. USE ZONE MAP 4 I certify that in the,performance of the work for which this NO permit is issued, I shall not employ any person in any manner- ADDRESS • SPECIAL CONDITIONS O so as to.become subject to the Workers'Compensation,Laws. U �] (\ �p CITY - ZIP Dat —Applicant 1 -` i►�{— ' ARCHITECT OR TEL � DISTRICT GROUP TYPE FIRE, PR CESSED'BY NOTICE TO'APPLICANT If, after making this Certificate of ENGINEER - NO / CONST ZONE Exemption, you should•become subject to the, Workers'. /� // .Compensation provisions of the Labor Code, you must forth- ADDRESS d ��' V G a with' comply, with such provisions or this permit shall be TE STATISTICAL CLASSIFICATION _ APT CONDO Z deemed-revoked '" - CONTRACTOR _ N I , Z LICENSED CONTRACTORS DECLARATION V LIC `CLASS NO CO /• 'DWELL UNITS ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �� NO SEWER MAP .(commencing with Section 7000)of Division 3 of the Business LIC and Professions Code,and,my license is in full force and effect CITY CLASS •BK ' PG t VALIDATION it/C+ /,rc , . SI FT ST OF FA OF CHECK License Number(n V � Lc Class C. � SIZE' STORIES FAMILIES ONE - , `�1�,�Ra��Q,� VALUATIQN 4 Contractorl�` &A'9{t6 i Date 7- - ? DESCRIPTION OF WORK 1 NEW ❑ jDO; _ ADD ❑ ; ► ❑I &n exempt under Sec 1 e ALTER ❑ B&P C for this reason E , US F PAIR,❑, Date EXISTING BLDG DEMOL ❑ Signature _ APPLICANT TEL •-•- FINAL -OWNER-BUILDER DECLARATION (PRINT) NO , DATE I hereby affirm that I am exempt from the'Contractor's License - - 4 F -Law Jf r the following reason (Section 7031'5, Business and ADDRESS FINAL .Professions Code)_ - "B , .. - , ,r- PRESENT�- y''r•` �j�' €"f�.•` ❑ 1, as owner of theproperty,, or m employees with BUILDING f YADDRESS "04 'j,wages as thQirsole compensatton,-will do the work'and1he structure•ts not intended or offered for sale(Section LOCALITY , 7044, Business and-Professions Code ) MOVING TEL CONTRACTOR NO E j. � 98. : ❑ I,.as owner of the property, am exclusively contracting t. with licensed contractors to construct the project (Sec- ADDRESS r_ 'i tion'7044, Business and Professions Code ) is-ALOK _nom_ CONSTRUCTION LENDING AGENCY SETT REQUIRED YARD HWY TOTAL REOTpACNEFROM EXIST- CONSTRUCTION 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 (Sec,3097;Civ:C ) r" SIDE PL Lender's Name CDMA Ref`# ' �,lf - 9 a�=�",•+-'' " P C Fee$ _ Permit Fee Lenderfs Address -• ,. � . . • o I certify that I have read-this application and state that the Issuance Fee / LDMA P/C# 0 S above information is correct I agree to'comply with all County Investigation Fee / z ordinances and State jaws relating to building construction, Total Fee Com/ LDMA Perm # a and hereby authorize representatives of this County to enter u n e ib¢ve- do operty f rnQQ {1��Ay V SEE REVERSE FOR EXPLANATORY LANGUAGE " for inspection purposes �-- O_ Signature of'Applcant or Agent Date 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 1405270062 PHONE (626) 285-0488 EXT (LEGAL ID NO. OF CONST BUILDING ADDRESS J 1 ON FILE SQ FT STORIES TYPE 6206 GOLDEN WEST AV (STRUCTURE V-B I TEMP CA 917801704 ASSESSOR INFORMATION NUMBER - NEAREST CROSS STREET LAS TUNAS 15385-025-033 J THOMAS PAGE 597 GRID A2 LOCALITY ' TEMPLE CITY CAI I 1 ITENANT IEXIST BLDG USE RESID USE ZONE R-1 JISS3ED ON PROCESSED BY 1 (EXIST OCC GRP 105/27/14 SR IOVINER TEL NO JBLDGS NOW ON LOT VALUATION I FjNlL D4TE F AL BY CODE IBRANSON CHRIS J (626) 223-6141- 1 9,000 16206 GOLDEN WEST AV TEMP 917801704 FEES PAID JCP-IPTIO OF WORK J RERIOF TEAR OFF INSTALL 7/16" OSB (HAS 3/8 PLYWOOD NOW) AND J 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT 150 '_R CLASS "A" SHINGLES (APPLICANT TEL NO ISHEA, JOE (909) 437-4924- JAA BLDG PERMIT ISSUANCE 27 80 I J 15655 JUNIPER STREET JAB STATE GREEN BLDG FEE 9000 00 VAL 1 00 (SPECIAL CONDITIONS ICHINO CA 91710 IAC STRONG MOTION RESID 9000 00 VAL 0 90 1 1 1 ID2 PERMIT W/O EN-HC 9000 00 VAL 199 80 1 1 I TOTAL FEES 229 50 J ICONTRACTOR TEL NO I JAPPtOVALS DATE INSPECTOR SIGNATURE J III SHEA ROOFING (909) 591-4463- 1 1 1 15655 JUNIPER ST LIC NO I JLOCF.TION AND SETBACKS 1 1 1 ICHINO CA 91710 565595 - 1 - I- -- - - 1 1 1SOIL`S ENGINEER APPROVAL 1 1 1 JARCHITECT OR ENGINEER TEL NO IFOU DATION/TRENCH FORMS I I 1 - I- I LIC NO I ISLAB/UNDER FLOOR 1 1 1 1 I I I IRAISED FLOOR FRAMING 1 1 1 1 I_ IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP IUNDF,RFLOOR INSULATION J 3 001 1 11 JI IFLOOR SHEATHING I I 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I -1-1 1 1 NO 21 1 1ROOF SHEATHING J� I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I i1� (AIR QUALITY 1000 FEET MATERIALS I I NO NO NO J IFRAME INSPECTION J I 1 1 1 (FIRE SPRINKLER HANGERS 1 1 I I JINSUTATION/WEATHER STRIPI I 1 1 1--, -I _1 I JINTERIOR LATH/DRYWALL I I 1 1__ 11 I I (EXTERIOR LATH - 1 I 1 I I (RATED FLOOR/CEIL ASSEM I I 1 I I I (RATED WALL ASSEMBLIES 1 1 1 1 1 I I I IRATED SHAFTS/OPENINGS 1 1 1 1 I I I I IT-BAR CEILINGS 1 1 I 1 I 1 - I I ILOT DRAINAGE 1 1 1 I _ IREPORT ID DPR261 ROUTE TO DS0508 I 1 1 1 I 1 I_