HomeMy Public PortalAbout6221 GOLDEN WEST AVE_Building__ 76►e3aAce,�eoa•s-eo APPLICATION FOR BUILDING PERMIT ,
.COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF-COUNTY ENGINEER , ADOREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST )
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST C/
DISTRICT NO. GFTOTYPE P5P, 47. SSED BY
FOR APPLICANT TO FILL IN CONST
BUILDING �/ff a - STATISTICAL CLASSIFICATION SE ER MAP '
ADDRESS /C� ,6 Fb !` ,v K '
D 7"' )J A� CLASS NO DWELL UNITS /
LOT NOP10f'�oA rCt-r"4 ��LG4 3 BLOCK /i NUMBER STATE YES O
HWY
TRACT ,( 'USEZONE SPECIAL zy
SIZE OF LOT Uf'l/X I142X 1't 3 I NOW ON LOTS �- CONDITIONS
USE OF _
EXISTING BLDG _ - BUILDING EXIST
TEL O YARD HWY T E T NAME
9,0011
� SETBACK WIDTH
CAP OWNER t^•P 011449L Q G t- 4D NO. t 3!�c FRONT
ADDRESS //$ y�d Ep d a�/J/- LNC V SIDE
ARCHITECT OR TEL P L
ENGINEER NO ' jNSPECTION RECORD r
ADDRESS �-
CONTRACTOR // S,Q TEL
/ 0
NO.
ADDRESS r'[ L Q
DESCRIPTION OF WORKLu
CL
NEW ADD ALTER REPAIR DEMOLISH
SO FT / t - NO OF NO OF / l �✓0 % !a /-r ! /-�S �'� dJ t ��
SIZE ! J G STORIES FAMILIES
USE OF
STRUCTURE
�cc ar rz t- p(� 6 : gest'a� 'ivt I 1 W �a�►.
SIGNATURE.OF / / � "to /
APPLICANT
VALUATION
APPROVALS ATE INSPECTOR SSIGNATURE
PMTr,✓ FOUNDATION LOCATIONPC
s
FEE $ �� FEE $�J FORMS MATERIALS gyp' Lt�
FRAME FIRESTOPS, /�� •�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS COI
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION.
IF-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS A
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALLk NOT LATH, INT _ 51EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT' - x//11
TO THE WORKMEN 5 OMPENSATION LAWS OF CALIFORNIA LATH, EXT
SIGNATURE OF HRECT,ANDPOS NUMBER EDR.
PERMITTE
� l SII• ,yi
ADDRESS � &� L� FINAL !
CLYDE N DIRLAMI1PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK. M o. CASH PERDCT VALIDATION CK. MO. CASH
�, Lf,1,08 0 2 4 JI�N. J. 5 4 ,0 00 y
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 0811030008
PHONE (626) 285-0488 EXT.
ILEGAL ID I NO OF CONST BUILDING ADDRESS 1
ON FILE I SQ FT STORIES TYPE 6221 GOLDEN WEST AV
(STRUCTURE 2468 V-B TEMP CA 917801705
ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET LONGDEN
15385-021-018 1 THOMAS PAGE: 597 GRID A2 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE RESID USE ZONE. R-2 (ISSUED ON PROCESSED BY
IEXIST OCC GRP 111/03/08 SR I
I I I I
OWNER- TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FIN Y CODE
IMORENO ROSALIE (626) 285-7586- I 4,450
16221 GOLDEN WEST AV
TEMP 917801705 FEES PAID I NSStR TION OF WORK
ITEAR OFF EXISTING ROOF AND REROOF NEW TAR PAPER 15LB INSTALLI
IFEE DESCRIPTION- QUANTITY UOM AMOUNT INEW COMPOSITION SHINGLES
1APPLICANT TEL NO I I t
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1 1
1 1AC STRONG MOTION RESID 4450 00 VAL 0.50 ISPECIAL CONDITIONS I
ID2 PERMIT W/O EN-HC 4450 00 VAL 132.60
IFR INV WORK W/0 PERMIT 257 00 DOL 257 00
TOTAL FEES 417 85
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I
I LIC NO I ILOCATION AND SETBACKS
I ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I -
1 LIC NO 1 SLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
I I �
IMAP NO: SEWER MAP BOOK PAGE FIRE ZONE CMP 1UNDERFLOOR INSULATION
I153H269 3 001 1
I I IFLOOR SHEATHING 1
INO OF FAMILIES DWELLING UNITS APT/COND• STAT CLASS
I NO 21 I IROOF SHEATHING I I 1
1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I
1AIR QUALITY 1000 FEET MATERIALS I 1
1 NO NO NO 1 (FRAME INSPECTION I I
I I I I I i
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS _
ISET BACK YARD HWY. PROP LINE WIDTH I 1 1
(FRONT PL- I 11NSULATION/WEATHER STRIPI I I
I SIDE PL- 14 1 1
I 11NTERIOR LATH/DRYWALL
I I I I I I
IEXTERIOR LATH I
I I I I I I
RATED FLOOR/CEIL ASSEM
1 (RATED WALL ASSEMBLIES I 1
I I I I I I
(RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I
I I I I I I
1 I ILOT DRAINAGE
I I I
IREPORT ID DPR261 ROUTE TO BS0508 I I 1
I i I I I I