HomeMy Public PortalAbout6212 GOLDEN WEST AVE_Building__ :7 f+76A6 BAKE 803 2-63 APP'LICATI'ON- FO,RBYU,I LD,I NG`-PERM IT �-
COUNTY OF LOIS 'ANGELES `.BUILDING
RTMENT';OF COUNTY ENGINEER
+;DEPAADDRESS
rBUILDING AND.SAFETY.DNISION 1 -,LOCAL'ITY i' '?a
Y`
'JOHN A. LAMBIE, COUNTY ENGINEER - NEAREST -+ ;
=f _ WILLIAM A JENSEN, SUP T OF BUILDING -CROSS•ST-
• DI_S�tICT N .G TYPE - E D B
FOR APPLICANT.,�TO FILL IN ;� r , �.. coNsr' '
BUILDING - - •t• a STATISTICAL CL S (CATION - SEWER—MAP!
ADDRESS V ,�"' - '"• DBK
WELL UNITS- - .r- .
LOT'N �• LOCK YC,{�•� 'WATER
_ 'CERTIFICATE NOT REQUIRED •.RECEIVED _
TRAICT- ,MAP -HIGHwnY - '
7 "NO OF BLDGS '' NO """A 'STATE
'STATE MAJOR SECON LOCAL'.
SIZE OF,LOT ' ' NOW•ON-LOT '} •1 USE ZONE a SPECIAL -
'.USE OF x + ,CONDITIONS "
EXISTING'B DG'
" TEL - '
OWNER v c� NO BU LDING r EXIST ,
,'SETBACK• YARD- `HWY -STREET NAME WIDTH
,ADDRESS ,/•�./�{� '' _FRONT- '
v *" - - P L'-*
•ARCHITECT OR -•
ti TEL• +, ''r;
ENGINEER r _ NO' SIDE"' - -
' ADDRESSO
TEL
'CONTRACTO
-R' NO
, c
-ADDRESS r, O
Y DESCRIPTION',OF R&. �� '' '
t a
NEW ADD ALTER REPAIR DEMOLISH ' - - Z.
SQ',FT NO OF NO OF
SIZE _ (STORIES .'FAMILIES
USE-OF - '^
STRUCTURE - -
',SIGNATURE.OF'
• I .
-APPLICANT
.'VALUATION:$ ' ��; .� •� �r'
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION •LOCATION •-
FEE-5 _ - FEE $ k•rr I FORMS, MATERIALS,- -
'FRAME 'FIRE STOPS-`,'{,:,•
'I HEREBY'•ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRACING BOLTS' !
AND'STATE THAT THE ABOVE'IS'CORRECT AND AGREE TO COMPLY " FURNACE LOCATION
'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS-VENT DUCTS _
S BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE-WORK _ . -
AUTHORIZED HERE BY''I WILL NOT,EMPLOY ANY,P.ERSON IN VIOLA
TION OF THE LABOR-CODE OF THE STATE OF CALIFORNIA RELAT-. LATH--INT"- - .�•�` - _
ING TO WORKMEN S COM ENSATION INSURA LATH EXT
.SIGNATURE OF' _ I +'HOUSE•NUMBER COR
PERMITTEE RECT AND,POSTED•~., / •''�" `'
:•a ADDRESS - FINAL- -
% �- JOHN F LEWIS—Pi INCIPAC'STRucTURALEN ER V
'
PON CHECK VALIDATION - x 'cK M o '`CASH PERMIT;VALIDATION ' CK' M o
L L:6'
i'
7SA$$$ACE A01-9.Co APPLICATION FOR BUILDING PEWIT
COUNTY OF LOS ANGELES ' BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY. DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST a,, r
DISTRICT NO. ROUP TYFE P ESSED BY
FOR APPLICANT TO FILL IN � a CONST
BUILDING �� Q /q /O. STATISTICAL CLASSIFICATION E ER MAP '
ADDRESS O(i d ��qq 14S BK
CLASS NO-S:._DWELL UNITS
LOT NO t/zz BLOCK NUMAP MBER V'� STATE YES N
TRACT }✓ USE ZONE • SPECIAL
NO OFSIZE OF LOT J O�� D I NOW ON LOTS D CONDITIONS
USE OF
EXISTING BLDG BUILDING EXIST
TEL ��jj SETBACK YARD HWY TRE T NAME WIDTH
OWNER NO T. 71AI FRONT c�
P L _tjJ
ADDRESS[1Lf0^ SIDE
ARCHITECT OR TELA/ v� P L
ENGINEER NO •INSPECTION RECORD
ADDRESS/fix N. 9L
E / .�- - /o .JO
CONTRACTOR NO Gel,
ADDRESS L J - O
DESCRIPTION OF W '" -• ~
v
LIJ
h ' Yw, J H
NEW ADD ALTER REPAIR DEMOLISH
Z
NEW
A970 TORE FANO OF 0MIO IES
USE OF &
STRUCTURE • �/
i
SIGNATURE OF -
APPLICANT
VALUATION$
APPROVALS DATE INSPECT 0R'S SIGNATURE ,
P CQ PMT FOUNDATION
LOCATION
FEE $_ FORMSMATERIALS
� FEE $,
I FRAME FIRESTOPS, , ee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS A' Yl S.`--
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION, �.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH, INT
,EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO'THE WORKMENS COMPENSATION LAWS OF CALIFORNIA
LATH,EXT Yd!
SIGNATURE OF HOUSE NUMBER COR- q 1�
PERMITTE RECT AND POSTED
ADDRESS• FINAL w `�•-
CLYDE N DIRL•AM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION cK. M o.. cAsN
.LA[. 7923 ,LIIj 1 2 3 D 22 .5; 0 �
�?.
83941 iU 9 1 D "45.00
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 1408270062
PHONE- (626) 285-0488 EXT.
ILEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 6212 GOLDEN WEST AV
ISTRUCTURE ,2300 V-B I TEMP CA 917801704 I
(ASSESSOR INFORMATION NUMBER: J NEAREST CROSS STREET- - J
15385-025-035 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI
I I I
(TENANT. IEXIST BLDG USE RESID USE ZONE R-1' (ISSUED ON PROCESSED BY
1 (EXIST OCC GRP 108/27/14 SR
I I I I
TOWNER: TEL 6- iBLDGS. NOW ON LOT- VALUATION IF A S FINAL BY CODE
LOHNANN MARY A (626) 286-4710- 9,000
6212 GOLDEN WEST AV
ITEMP 917801704 1 FEES PAID JDEACRIPTTOlt OF WORK 1
I (REMOVE EXISTING ROOF INSTALL CLASS "A" ASPHALT SHINGLES 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT (OVER #30 FELT
(APPLICANT TEL NO
IBAELLY, THOMAS (818) 841-4300- IAA BLDG PERMIT ISSUANCE 27 80 1 1
1827 N HOLLYWOOD WAY JAB STATE GREEN BLDG FEE 9000 00 VAL 1 00 ISPECIAL CONDITIONS 1
IBURBANK CA 91505 JAC STRONG MOTION RESID 9000 00 VAL 0 90
ID2 PERMIT W/O EN-HC 9000 00 VAL 199 80
TOTAL FEES 229 50
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE J
IBAELLEY ROOFING INC (818) 841-4300- 1 _
1827 N HOLLYWOOD WAY #173 LIC NO ILOCATION AND SETBACKS
IBURBANK CA 91505 774174 1I
ISOILS ENGINEER APPROVAL I 1
I I I I I I
(ARCHITECT OR ENGINEER TEL NO 1 JFOUNDATION/TRENCH FORMS I I I
LIC NO I JSLAB/UNDER FLOOR
I I I I I I
(RAISED FLOOR FRAMING J
I I I I I I
IMAP NO. SEWER MAP BOOK PAGE FIRE ZONE. CMP I JUNDERFLOOR INSULATION I I I
I 3 001 1 11 1
1 _ IFLOOR SHEATHING I
INO OF FAMILIES DWELLING UNITS APT/COND. STAT CLASS I I I
1 NO 21 1 , IROOF SHEATHING
J IIm
I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I
1AIR QUALITY 1000 FEET MATERIALS I 1
1 NO NO NO I IFRAME INSPECTION I
I I I I I I
I IFIRE SPRINKLER HANGERS 1
I I I I I I
JINSULATION/WEATHER STRIPI I I
I I
I (INTERIOR LATH/DRYWALL I
I I I I I I
1EXTERIOR LATH I I
I I I I I I
IRATED FLOOR/CEIL ASSEM I
I I I I I I
IRATED WALL ASSEMBLIES I
I I I I I I
I JRATED SHAFTS/OPENINGS I I I
I I I I I I
IT-BAR CEILINGS I 1
I I I I I I
1 ILOT DRAINAGE I
I I I I I I
(REPORT ID DPR261 ROUTE TO. BS0508 1 J I 1
I I I I I I