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HomeMy Public PortalAbout6220 GOLDEN WEST AVE_Building__ rz K 76AG28ACE9803'2/e0 APPL_.ICATION FOR BUILDING PER IT ` COUNTY OF LOS ANGELES BiiILDING `� � � DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY ,DMSION LOCALITY ,JOHN A. LAMBIE. COUNTY ENGINEER NEAREST s ! WILLIAM A. JENSEN •Sua'T GL/ 70l BUILDING CROSS ST. GL70 DISTRIC NO. 'GROUP Np PR S BY FOR APPLICANT TO FILL IN CON BUILDING / �/ 'A, �J STATISTICAL SIFICATION SEWER MAP ADDRESS (pZZU /Y. �0���/7.i'v� f!!�� GPG ESS.NO: DWELL UNITS Z LOT NO. ZO7 2 BLOCK 4 NUMAP MBER STATE YES TRACT I/3B0 USE ZON SPECIAL NO OF SIZE OF LOT a,& X ISD I NOW ON LOTS CONDITIONS USE OF �� �� EXISTING BLDG BU LDING EXIST. YARD STREET NAME .TEL. OWNER SETBACK WIDTH S NO I�T�.SZZ�' FROL TP. ADDRESS 41'220 /�.GO�A�C/9 va'Csf Ave. SIDE - ARCHITECT OR TEL. 'P•L. ENGINEER NO INSPECTION RECORD_ ADDRESS �/ r TEL.- Al CONTRACTOR NO O ADDRESS 'I' DESCRIPTION-OF WORK �/ ��' /f/1���_%i7/f�// 72- 0 NEW ADD ALTER -REPAIR DEMOLISH SQ FT. NO.OF NO OF SIZE // STORIES FAMILIES cove, /j �/� y USE OF _ C.ove, / 4Y- ,/ILL STRUCTURE - — .y GOP SIGNATURE OF' APPLICANT' VALUATION S _ y APPROVALS DATE INSPECTOR'S SIGNATURE PC FOUNDATION' LOCATION F E S z, FEE $ 91, 06- FORMS,MATERIALS 3-2 O-6 # 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FBRACING BOLOTSS' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE. LOCATION, ���,,,,pp AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND ,GAS VENT DUCTS X.LC,G' U C_ STATE LAWS REGULATING BUILDING CONSTRUCTION. { 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS jOF,fCALIFORNIA. LATH,EXT SIGNATURE OF �`,� _/ /�D� HOUSE NUMBER COR- PERMITTEE � y� C RECT AND POSTED ADDRESS' FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECg VALIDATION cK - M.O. CASH, PERNIIT VALIDATION CK. M.O. CASH'- - 4 5 4 -- F�B 142 3 D 13.5 v °! . Lf,�o3a � � �� 27 D ' -27:_ 76A638A CEuBr'3':5-65 APPLICATION FOR BUILDING PERM _ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF'COUNTY ENGINEER ADDRESS /�- BUILDING AND SAFETY DIVISION LOCALITY - 7 JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST - A DISTRICT NO .GR 'TYPE "" P O D BY FOR APPLICANT TO FILL IN ^�_ CONST-' BUILDING-�� y� �� �� STASISNO 4 _D E_LL U ON - _SEWER MAP ADDRESS �r CLASS NO DWELL UNITS 'Y PG LOT NO - BLOCK USE ZONE MAP TRACT ��3� SP SPECIAL �r NO OF BLDG. CONDITIONS SIZE OF LOT i ��� NOW ON LOT USE OF p IS ING BLDoa op- BLDG SETBACK FROM1,7 �. ^ TEL FRONT PROP LINE OF J _ (STREET) OWNER ) Q TYPE OF EXISTING SETBACK HIGHWAY + YARD ..- TOTAL, ADDRESS �6rd �..A� •(/V�5 HIGHWAY WI T FROM-C L CITY BLDG SETBACK FROM-' ARCHITECT.OFFTEL SIDE PROP LINE OF } (STREET) ENGINEER- NO TYPE'OF EXISTING- SETBACK-, HIGHWAY +.__•_YARD; _, ' TOTAL• ADDRESS S HIGHWAY WIDTH FROM C L TEL _ - + _ CONTRACTOR NO .5� ^+-�• - LIC ADDRESS CORNER CUTOFF YES NO O NO CITY C� ,SEE REVERSE SIDE FOR SPECIAL APPROVALS • DESCRIPTION OF WORK - a EW ADD ALTER REPAIR DEMOLISH H S FT NO OF NO OF SIZE, J Q� STORIES FAMILIES USE OF r (s.a'J .,''A4 7— STRUCTURE STRUCTURE ,G e rr .s'9 A" /0& SIGNATURE O F P P L I C A N T A Ile- VALUATION$ APPROVALS DATE INSPECTOR'S SIG NATURE - _FOUNDATION, LOCATION ' FEE$ FEE$ FORMS, MATERIALS _ - FRAME, FIRE STOPS, , - - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT , AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S Co SATION INSURANCE if - �� LATH EXT SIGNATURE OF ' -• PERMITTEE .i` n _ YYY��� ,,>E, HOUSE NUMBER COR- RECT AND POSTED c ADDRESS :?.a � FINAL PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS, PRINCIPAL STRUCTURAL EN INFER PERMIT VALIDATION .;CK, M e CASH r`ltiJO 4 0 s .fl AUG 10 1 0 6.00- 76 A638 CE. 8031-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING f3 j DEPARTMENT OF, COUNTY~£NGINEER ADDRESS (� BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST � O WILLIAM A JENSEN, SUPT OF BUILDINGCROSS ST DIS�,RICT G TYPE E 'BY FOR APPLICANT O• FILL IN ,� (� coNsr BUILDING STATISTICAL CLASSIFICATION ER MAP ADDRESS 1 tl 1 BK G CLASS NO DWELL UNITS— LOT NITS LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP HIGHWAY STATE MAJOR SECOND LOCAL NO OF BLDGS NO -(CIRCLE) I SIZE OF LOT NOW IN LOT USE ZONE SPECIAL USE OF / CONDITIONS EXISTING BLDG I,�/ - I TEL �oI - OWNE ✓ NO ��JJ(( BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRESS FRONT D ARCHITECT OR TEL P L ENGINEER NO ' SIDE - P L__ ADDRESSd - �� � /� 00 O ` TEL V CO ) Nocc i / f ADDRESS �•- l O� DESCRIPTIO F WORK NEW ADD ALTER REPAIR DEMOLISH f Z SQ FT -NO OF NO OF I SIZE STORIES FAMILIES USE OF ST URE SIGNAT E OF APPLICANT VALUATION $ _ APPROVALS DATE INSPECTOR'S SIGNATURE PC PMT FOUNDATION LOCATION FEE $ i (/-C/ FEE s� FORMS, MATERIALS _ FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .BRACING BOLTS 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 DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN 5 COMPENSATION INSURANCE / r I 9 /J LATH EXT J t SIGNATURE Q ' C" �DkUk{BER COR- PERMITTEE POSTED ADDRESS ) - FINAL PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS, PRINCIPAL ST RAL:�ENGI�NEER PERMIT VALIDATION 'CK Mo CASH 3 2 9 6G DEC 9 1 D 6.00- 14 ' 76A636A'OE:b8032-63 'APPL'ICATION `F_ O-R�•BUILDI-NG PERMIT " - COUNTY OF`LOS ANGELES 1 BUILDINGTJ�O DEPARTMENT OF'COUNTY ENGINEER,,­ P DDR ESS 6G BUILDING 'AND SAFETY ,DIVISION"�. "LOCALITY JOHN A. LAMBIE.'Couniry ENGINEER NEAREST _ WILLIAM A JENSEN,,SUP TLOF.BUILDING CROSS ST �� QF/��•7 - - _ DISTRICT NO Y GROUP TYPE' P OCESSE BY - FOR APPLICANT TO FILL INL j;`©' coNsr BUILDING i ' y{/� •y�i '.STAT I ST I CA Ll LASS FI CATION SEWER MAP '4T BK PG, CLASS' NO' DWELL UNITS .71 77 LOT NO BLOCK WATER "6 a' ❑ _ •CERTIFICATE-- NOT REQUIRED RECEIVED /. TRACT / w �LJ\'„ - �' : 7MAP } HIGHWAY NO OF BLDGS''-.° 'NO _ , ' �pJ (CIRCLE) STATE MAJOR SECOND. LOCAL SIZE OF LOT­ X ��O_ -NOW ON LOT .Z USE ZONE` 'SPECIAL ' USE ' •� - = / CONDITIONS ; EXISTING BLDG TEL- .. •• ` , OWNER- NO, BUILDING '''' EXIST -_•SETBACK YF`RD HWY - STREET NAME WIDTH ADDRESS 6W7 _/ -.5.-,p4 _ FRONT ARCH ITECT''O_R'- TEL ' P L Keret ENGINEER i NO • rt �4• SIDE P-L a ADDRESS ?` - :- .0 I TEL CONTRACTOR .SNI''!'�••e�� NO _ '•y v - ., - _ ADDRESS k:� O . DESCRIPTION OF`'WORRs 1 W r 'a ,�• N NEW ADD ALTER 'i, REPAIRE_MOLISH SIZE T iJ N O.O W._SQ F , •• _ ^'�'� _ , t, ,. ,,STORIES FAMILIES s USE OF STIR SIGNATURE OF _ APPLICANT 1 '1 VALUATION $ O.'--1 ' s •": l` .. 4 7 \ APPROVALS -DATE INSPECTORSSS I G NATURE LOCATION' PC ' - • PMT- afOUNDATION FEE•$ 1 / �'�' FORMS, MATERIALS` 6 FEE ..��' FRAME>FIRE'STOPS,,'^ ``• / ',/ , _ 'I HEREBY ACKNOWLEDGE THAT I HAVE-READ`THIS APPLICATION ''BRACING..BOL-TS AND STATE THAT THE ABOVE'IS CORRECT'AND AGREE TO.COMPLY -FURNACE LOCATION' WITH ,ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING`CONSTRUCTION I,CERTIFY THAT IN DOING`THE WORK / �- b AUTHORIZED HEREBY 11W,ILL,NOT EMPLOY ANY,'PERSON IN VIOLA- ' ' , TION OF THE LABOR CODC.-OFiTHE STATE OF CALIFORNIA.RELAT-' LATH, INT ING TO WORKMEN S COMPENSATION INSURANCE 1 - , •,LATH, EXT• �r TURE OF GddSIGN ,c � cHOUSE"NUMBER COR4.' RECT'AND POSTED PERM S?• „ J _ a ��--' 4I 'i d-= _ e• .ADDRESS �• F/�J FINAL--�,^ ''.•1� �- /I �lY�� �J�� % r 1 a'• �, { t„a .,'JOHN F LEWIS LPRINCIPAL'.STRUCTU RASE NG R'•. PLAN 'CHECK VALIDATION- .CK ”{'M O, CASHA , _ '; PERMIT VALIDATION ck M G CASH, ` ^ ; 4.0.0- 17 .y .4RPLICATION FOR BUILDING;- PERM lt - FOR°APPLICANT TO FILL IN (Print ort u YPe yonw)` � BUILDING r D £1� _ , - • 'COUNTY;;OF.';LOS ANGELES '- ADDRESS_ DEPARTMENT OF COUNTY-ENGINEER CITY % � - 2'1 P, �p' BUILDING -AND SION't. S `� - i NO.OF BLDGS BUILDING SIZE OF LOT ? ` ~ NOW ON`LOT ADDRESS TRACT BLOCK Q LOT NO LOCALITY" L _` l' �� TEL NEAREST .OWNER_4!- Q_ NO CROSS,ST'. , a.+l"vy *; <• r' / ASSESSOR Ati �a�•. ADDRESS 6 l !�f MAP BOOK- �i'.J+1 I"' PAGES '� PARCELa's " CITY �£ - ZI'P ��'(�Q - - - T DI�RICT �G�*ROUP:' CONST'yS� a - ZONE' 'PROCESSE¢O,BY' ; ARCHITECT OR. ,TEL. "'1 C•, '� (O' .W f ENGINEER NO 2 - - STATISTICAL CL`ASSIFICATION.­ `° ' SEWER M P ADDRESS "� '. - ° - "' - '.•rCLASS NO.� DWELL �' ' BK PG CONTRACTOR - NEOL' USE ZONE MA'P !1 ��, 5 i,• LIC.? NO' L/G�G7 ADDRESS, - - LI - l SPECIAL �.:i --LIC. '` CONDITIONS' CITY CLASS - ROAD DEPARTMENT AP PRO VA L�REQ USI R E'D AYES❑ NO ❑ { ` CONSTRUCT[ON'LENDER , _ - 11 NAME AND BRANCH BLDG-SETBACK FROM ' "•- r '- '; " - - - ,FRONT PROP LINEOF- (STREET) ADDRESS '" CITY HIGHWAY- YARD ,TOTAL SETBACK' FROM TYPE OF. EXISTING ',} ! 'SQ•-FT, NO.-OF' • NO. OF CHECK - �.•. FRONT PROP I:LCINE. HIGHWAY WIDTH xSIZE STORIES FAMILIES 'ONE _ DES RI PT ION 6F'WORK ° - - NEW' }�•. _ - 'at ' - '' ,O U BLDGrSETBACKFROM'- g^.•.. _ - A � �j •--�. ADD ❑ SIDEPROPiLINEOF' - (STREET) / O { — /- LTERg❑ HIGHWAY } YARD -TOTAL SET•BAC,K FROM TYPE.OF, EXISDTH W TING U REPAIR❑ 'SID 'LINE'LINE HIGHWAY WICL USE }; _ _ Z EXISTING BLDG,,,- _ t - DEMOL ❑ i" - APPLICAN' /jam TEL�g' r • .,..a CORN ER CUTOFF- YES ❑• '� NO ❑•; _ (P.RINT) `� O Z1 - ° F' ? _IN OPEN,SPACE - YES ❑ NO ❑ .B Y'fSIGNATURE 4 •�• ' - - - = a - • IN COASTAL.PERMI�j,ZONE' YES ❑ ,NO ❑ - :VALUATI'ON$ ' .p•C:/ .a•Q, r - IHEREBY,ACKNOWLEDGE,THAT-I-HAVE'READTHIS APPLICATION s AHD STATE THAT THE ABOVE-1 IS CORRECT 'AND AGREE•TO,COMPLY 'WITH- ALL ORDINANCES AND LAWSREGULAT I NG-'BU ILDI G CON-' `' • STRUCTION I -CERTIFY-THAT-IN DOING LATHE WORK'AUTHORIZED HEREBY I WILL'NOT EMPL'0Y`ANY PERSON.IN'.Vid12ATION OF THE LABOR CODE OF;;THE;STATE OF CAJlINIA INS ELATING TO --WORKMEN'S COMP SA. ION INS URA ESIGNATURE OFPERMITTEE` - .; s FI,NAL BY CITY~ /(.� - y; ',NO 'tj� DATE t11ARE CNECRS PAYABLE�'IO.4' ' FE r' FEE HARVEY T. BRANDT, COUNTY"ENGINEERJ PLAN CHECg VALIDATION,-CK ,; M o- CASH PERMIT. VALIDATION .CK', '�M O CASH) ti v r ' - , ' ' N• _!^j%% cT*t f_^y C,,, 4, C)V '78A838A'CE#803 5/74 n ti9 - _ +- • ` APPLICATION FOR' BUILDING PERMIT_ FOR,APPLICANT TO FILL IN (Print or tYoe only) BUILDINGCOUNTY OF_ LOS ANGELES ADDRESS 6220 Golden'-West DEPARTMENT OF COUNTY ENGINEER. ' - Tem le Cit ^ BUILDING-AND SAFETY- DIVISION CITY P Y ZIP 0 _ - y �y NO OF BLDGS •BUILDING _ SIZE OF LOTTI"?? /� NOW ON LOT ADDRESS 6220 Golden West ✓� TRACT��7r7 BLOCK LOT NO LOCALITY Temple it _- _ TEL - NEAREST 4 OWNER - Ra �Busic - NO - CROSS ST - 6220 Golden West ASSESSOR ADDRESS MAP BOOK PAGE-' - PARCEL DISTRICT G TYPE FIRE SSED BY - CITY Temple City - ZIP - _ ;r. [[�� CONST- - ZONE ARCHITECT R TEL 6- 03 -.3 w - ENGINEER John B. Fer sonTo 881-53 - STATISTICAL CLASSIFICATIONV111 / ,SEWE��R77MAP ADDRESS 18340 Ventura Blvd. -Tarza 'CLASS NO �^7 DWELL UNITS BK/ 'PG _ CONTRACTOR Owner NOL USE ZONE NO LIC ADDRESS - - NO - JJ SPECIAL - LIC. lI CONDITIONS 'CITY CLASS -- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ _ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM _ FRONT PROP LINE OF (STREET) n- ADDRESS CITYC7 HIGHW4 } YARD -_ TOTAL SETBACK FROM TYPE-OF EXISTING - V SQ FT - NO OF NO. OF CHECK FRONT-PROP LINE HIGHWAY WIDTH SIZE 7k� STORIES FAMILIES ONE CD _ } _ DESCRIPTION OF WORK NEW ® - a BLDPvt Swim Pool•�25634 ADD ❑ SDE PRO BACK FROM (STREET) Z_ ALTER ❑-� HIGHWAY } YARD - T A SE-T CIS TYPE OF EXISTING SIDE PROP. LINE WAY WIDTH EPAIR❑ USE EXIISOT Nd G BLDG. Residence IDEMOL ❑ t - APPLICANT TEL CORNER CUTOFF YES ❑- NO C](PRINT). - - NO. - - BY (SIGNA_TURE)_. _ IN OPEN SPACE :.YES ❑ - - NO ❑ IN COASTAL ZONE _-YES ❑ NO ❑ VALUATION$ ;7 p CATEGORICAL EXEIv1PTI0N YES❑ N_0 ❑ I HEREBY ACKNOWLEDGE THAT!I HAVE READ THIS APPLICATION ENVIRONMENTAL _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -• IMPACT' - EXEMPTION DECLARATION SIGNED- (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I� CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON ,IN VIOLATION OF THE _ LABOR CODE, OF THE TATE OF CALIFORNIA IN RELATING TO /t r•...y b0&,01_ p�&® _ �jn /O I�P `�' • WORKMEN'S COMPENS TI N INSURANCE. r• ((y / //� SIGNATURE OF rF� ���! n �^ �f� L•dA'� PERMITTEE ADDRESS TEL. FINAL / BY CITY - NO. DATE - N,1hL (.HL-( 1\S PAT ABLL•10- FEE FEE'$ s HARVEY T. BRANDT, COUNTY NGINEER y PLAN CHECK VALIDATI CK M o---CASH _ - PERMIT A DATION cK M o CASH 5 2'5.rP'JUN _ 2 2 3 D 1.4"0 ®Zk; 76 g638A CE#803.12/72 5,2 6�JUN 2 1 0 6 9.0-0 .. , - COUNTY OF LOS ANGELES ` TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709240067 PHONE: (818) 285-0488 EXT: L . OF CONSTG TR: 11386 LT: 2 BL: B SQ. FT STORIES TYPE 6220 GOLDEN WEST AV STRUCTURE: 0 VN TEMP CA 917801704 AS SESSONUMBER: NEAREST CROSS STREET: 5385-025-002 i THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TMAWT--i EXIST BLDG USE: RESID USE ZONE--R-1 ISSUED N: PROCESSED BY: EXPIRES N: EXIST OCC GRP: 09/24%97 • UT 9/24/98 OWNER: TEL. NO: LDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: EGAY, RON (626) 451-6531- 1 8,000 6220 GOLDEN WEST AV 0� TEMP 917801704 FEES PAID DESCRIPTION OF WORK REMOVE AND RECOVER, APPLY 1/2" CDX PLYWOOD, ELK COMP. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE 40 YR. CLASS A " ARTMUT TEL. NO: NORTHSTARR ROOFING (626) 286-8453- AA BLDG PERMIT ISSUANCE 27.75 - AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: D2 PERMIT W/0 EC � 800E VAL 183.90 TOTAL FEES 212.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE NORTHSTARR ROOFING (626) 286-8453- ' 9085 DUARTE ROAD LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91775 615051 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: NO: p dna TO--U-NDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ONE: CMP:' O� (� ���J�m K� UNDERFLOOR INSULATION 153H269 3 01 �f' i[� l9 V U I _ L1 LOOKSHEATHIWU- NO. OF FAMILIES: LIN ITS: PT . STAT CLASS: % NO 21 p y� ROOF:SHEATNING SCHOOL WITHIN HAZARDOUS / SHEAR PANELS _ AIR QUALITY: 1000 FEET MATERIALS NO NO NOb�o ❑ RAMS INSPECTION IRED 0 SE FROM XIST Z� SPRINKLER S SET BACK YARD: HWY: PROP LINE: WIDTH: Q� FRONT PL- �� INSULATION/W ATHER TRIP J-`; SIDE PL- U r- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED00 . RATED WALL ASSEMBLIES RATE5 SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION insure, or afcertif carte of Worke srlCompensation Insuran e, A P P L I CATION FOR BUILDING PERMIT or a certified copy thereof (Sec 3800, Lab C ) " .COUNTY OF LOS ANGELES BUILDINGrAND'SAFETY Policy No Company Pol ­1LDING 01— Certified copy is hereby furnished FOR APPLICANT TO-FILL IN ADDRESS 92 ❑ Certified copy is filed wtth•the county building inspec- BUILDING // T tion department- ADDRESS f!/ {,J J.. LOCALITY / �j NEAREST fool- Date Applicant CITY �}N1 4✓` ZIP 7 U D CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' O OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT OW ON LOT MAP BOOK PAGE ) PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO TEL- / SPECIAL } I certify That in the performance•of the work for which this OWNER Cs S1 NO �Jbz CONDITIONS permit is issued;I shall not employ an person-ii an man er // `/'�/� DISTRICT GROUP TYPE FIRE PROCESSED BY O p p Y Y p y ADDRESS (o 2-20 G��C� V6-,: CONST ZONE V • so as to become subject to the W kers'6 mpe, orlon La s Date - "' - Appl ca 1 �'� CIN ZIP O STATISTICAL C SSIFICATION A CONDO O NOTICE TO APPLICANT- If, after making this Certificate of ARCHITECT OR TEL ENGINEER NO CLASS NO DWELL UNITS Exemption, you should become subject to the WorkersO. Compensation provisions of the Labor Code, you must forth-' ADDRESS SEWER MAP N with,comply witH such provisions or this permit shall bej TELi7 z deemed revoked CONTRACTOR NO BK PG, _ / VALIDATION LICENSED CONTRACTORS DECLARATION_ LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO ATION OG (commencing with Section 7000)of Drvision'3 of the Business and LIC Professions Code, and my'(cense is in full force and effect CITY CLASS r , SQ FT NO OF NO OF CHECK License Number Lc Class SIZE STORIES FAMILIES ONE _ — ;.�- --- - NEW Contractor Date w DESCRIPTION OF WORK ❑ r ! t S(WA. �C ADD ❑ �I am exempt under Sec ALTER ❑ FINAL , B.&P C for this reason REPAIR ❑ DATE USE OF FINAL Date EXISTING BLDG CP SE DEMOL ❑ BY Signature APPLICANT�+ / TEL OWNER-BUILDER DECLARATION PRINT 1�S ,� ) - NO I hereby affirm that I am exempt from the Contractor's License / T t Law for the following reason (Section 7031 5, Business and ADDRESS t�Z C� �, "X, Pe onsCode) P y 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 EJ1, as owner of the property, am exclusively contracting CONTRACTOR NO 79-i 4 3 2 8 A with licensed contractors to construct the project (Sec- 0 0 0 0 0 1 tion 7044, Business and Professions Code) ADDRESS _ �'^ a'. , REQUIRED TOTAL SETBACK FROM EXIST v CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH ;f 6 2,.o,0 2850 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 `.,y . o 0 0 2 8 5 O (Sec 3097, Cry CSIDE •?, PL r 09,21 -84- Lender's Name r ^ Lender's Address PC Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee L r above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee -S� Y/ and hereb authonze re resentativ sof this County to enter up o �e ove- entTed proper for inspection purposes ; (��• 7 -21- ,C'tj SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of Applicant or Agent Date ®3 +{ 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 1004060037 PHONE: (626) 285-0488 EXT LEGAL ID- I NO OF CONST I BUILDING ADDRESS ITR 11386 LT 2 BL B I SQ FT STORIES TYPE I ISTRUCTURE V-B 6220 GOLDEN WEST AV I TEMP CA 917801704 J (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 15385-025-002 I THOMAS PAGE 597 GRID A2 LOCALITY. TEMPLE CITY, Cl ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY. I (EXIST OCC GRP 104/06/10 SR J 10WNER TEL NO 1BLDGS NOW ON LOT. VALUATION (FINAL DATE FINAL BY CODE- 1 JIGE, RONALD (626) 451-6531- 1 9,000 1 1 16220 GOLDEN WEST AV I - I 1 ITEMP 917801704 - 1 FEES PAID ID C IPTION OF WORK I I REPLACE 10 EXISTING WINDOWS WITH ENERGY EFFICIENT WINDOWS IFEE DESCRIPTION QUANTITY: UOM AMOUNT IREMODEL BATHROOM 1APPLICANT TEL NO I I 1 ISAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27 75 1 I IAB STATE GREEN BLDG FEE 9000 00 VAL 1.00 (SPECIAL CONDITIONS I JAC STRONG MOTION RESID 9000 00 VAL 0 90 1 JB2 PERMIT W/ENERGY 9000 00 VAL 219.78 TOTAL FEES 249 43 I ICONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - 1 I LIC• NO; i (LOCATION AND SETBACKS I I -- --------- ----------- - - ---- -------- ---- - - ----------- -- --- ----------- - ---- -- ---i SOILS ENGINEER APPROVAL -----I - --I-- - JARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I LIC NO I ISLAB/UNDER FLOOR 1 I I I 1 1 IRAISED FLOOR FRAMING I 1 I I I IMAP NO- SEWER MAP BOOK PAGE: FIRE ZONE CMP:J 1UNDERFLOOR INSULATION I I 1153H269 3 001 1 I I I (FLOOR SHEATHING 1 INO. OF FAMILIES DWELLING UNITS APT/GOND: STAT CLASS 1 NO 21 1 IROOF SHEATHING I I I J SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I 1AIR QUALITY 1000 FEET MATERIALS 1 1 1 1 1 1 NO NO NO 1 1FRAME INSPECTION I IREQUIRED TOTAL SETBACK FROM EXIST J IFIRE SPRINKLER HANGERS ISET BACK YARD HWY: PROP LINE. WIDTH - I I IFRONT PL- 11NSULATION/WEATHER STRIPI I I I SIDE PL- I 1 11 1 I I JINTERIOR LATH/DRYWALL I I I 1 IEXTERIOR LATH 1 I J I I J IRATED FLOOR/CEIL ASSEM. I 1 IRATED WALL ASSEMBLIES I 1 I I I - IRATED SHAFTS/OPENINGS J I I I IT-BAR CEILINGS 1 - J J ILOT DRAINAGE 1 J I I i I 1 (REPORT ID DPR261 ROUTE TO BS0508 I 1 I I + I I 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 0709170029 PHONE (626) 285-0488 EXT• ILEGAL ID NO OF CONST BUILDING ADDRESS- ITR 11386 LT 2 BL B I SQ FT STORIES TYPE 6220 GOLDEN WEST AV 1 I ISTRUCTURE 600 VN TEMP CA 917601704 (ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET 15385-025-002 THOMAS PAGE 597 GRID. A2 LOCALITY TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE R-1 (ISSUED ON PROCESSED BY: EXPIRES ON 1 1 (EXIST OCC GRP 109/17/07 SR 03/15/08 1 I 1OWNER: TEL NO 1BLDGS NOW ON LOT VALUATION. (FINAL DAT X P BY: CODE 1 IRON — i 3,250 i /\9 6220 GOLDEN WEST AV ITEMP 917801704 1 FEES PAID IDESCRIPTION OF WORK 1 IRE-ROOF SHED 11'60 X 7' BACK PORCH 16 X 20 ASPHALT SHINGLES 1 IFEE DESCRIPTION QUANTITY UOM: AMOUNT: 1 '� I (APPLICANT: TEL NO IAMPB CONSTRUCTION INC. (626) 284-3260— IAA BLDG PERMIT ISSUANCE 27 75 1 12618 W MAIN ST #C IAC STRONG MOTION RESID 3250 00 VAL 0 50 ISPECIAL CONDITIONS 1 1ALHAMBRA, CA 91801 ID2 PERMIT W/O EN—HC 3250 00 VAL 115 80 1 1 TOTAL FEES 144 05 ICONTRACTOR: TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1A M P B CONSTRUCTION (626) 284-3260— 1 1 12618 W. MAIN STREET LIC NO 1 ILOCATION AND SETBACKS 1 1ALHAMBRA CA 91801 863573 B 1 I I ISOILS ENGINEER APPROVAL 1 1ARCHITECT OR ENGINEER- TEL. NO- 'IFOUNDATION/TRENCH FORMS I 1 LIC NO 1 [SLAB/UNDER FLOOR 1 1 � 1 IRAISED FLOOR FRAMING I 1 IMAP NO. SEWER MAP BOOK: PAGE FIRE ZONE CMPII (UNDERFLOOR INSULATION I I I 1153H269 3 OL1 1 1-1 I 1 :1 IFLOOR SHEATHING II NO. OF FAMILIES DWELLING UNITS: APN/COND- STAT CLASS: 11 - I 1 O 1 1ROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS `1 ISHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 1FRAdIE INSPECTION 1 1 IREQUIRED TOTAL SETBACK FROM EXIST i1 IFIRE SPRINKLER HANGERS 1 1 1 ISET BACK YARD HWY. PROP LINE WIDTH: ,1 I I )FRONT PL— ,1 11NSULATION/WEATHER STRIPI I 1 I SIDE PL— 1 1 1 I I 1 11NTERIOR LATH/DRYWALL I I I 1 '1 IEXTERIOR LATH I 1 I I I I I �I IRATED FLOOR/CEIL ASSEM. 1 1 I IRATED WALL ASSEMBLIES I I I I I 1 )RATED SHAFTS/OPENINGS 1 1 1 I I IT—BAR CEILINGS 1 1 I I I I I I LOT'DRAINAGE I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I a 1 � 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 1003290002 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 11386 LT 2 BL B SQ FT STORIES TYPE 6220 GOLDEN WEST AV I ISTRUCTURE V-B I TEMP CA 917601704 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 1 15385-025-002 I - THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl TENANT IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON- PROCESSED BY IEXIST OCC GRP 103/'29/10 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI AL DATE FIN Y. CODE IIGE, RONALD (626) 451-6531- 1 8,000 16220 GOLDEN WEST AV 1 ITEMP 917801704 I FEES PAID JIWSCRIPTION OF WORK .I IMASTER BATHROOM REMODEL AND REPLACE 6 EXISTING WINDOWS WITH IFEE DESCRIPTION QUANTITY UOM- AMOUNT (EFFICIENT WINDOWS I (APPLICANT TEL NO I - I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 IAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 ISPECIAL CONDITIONS- I JAC STRONG MOTION RESID 8000 00 VAL 0 80 I IB2 PERMIT W/ENERGY 8000 00 VAL 201 30 IFR INV WORK W/O PERMIT 257 00 DOL 257 00 I ICONTRACTOR TEL NO I TOTAL FEES 487 85 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - 1 LIC NO I ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL. NO 1 IFOUNDATION/TRENCH FORMS I I I I LIC NO I SLABlTrNDER FLOOR ' IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK- PAGE FIRE ZONE. CMP.( (UNDERFLOOR INSULATION I I153H269 3 001 1 1-1 I I IFLOOR SHEATHING If INO. OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I 1-1 I NO 21 I IROOF SHEATHING II SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS ' 1 NO NO NO 1 IFRAME INSPECTION 1 1 1 IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD HWY PROP LINE WIDTH IFRONT PL- I (INSULATION/WEATHER STRIPI I 1 SIDE PL- IINTERI1 1 I (EXTERIOR LATH IRATED FLOOR/CEIL ASSEM I I I _ IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I 1REPORT ID DPR261 ROUTE TO BS0506 /��IID