HomeMy Public PortalAbout6223 GOLDEN WEST AVE_Building__ 74ALS8A CE#803-9 C APPLICATION FOR BUILDING ;PE ,�M-IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.'LAMBIE° COUNTY ENGINEER NEAREST `
WILLIAM A JENSEN SUPT OF BUILDING CROSS ST
DISTRICT NO GRD_ P TYPE PR ESSED BY
FOR APPLICANT TO FILL INCONST.
BUILDING fJ 'ry STATISTICAL CLASSIFICATION S ER MAP
ADDRES(S� )+KJ Q G en ��2s -�I BK P
LOT NO 1 U r!j D/1 /,U/ l i'C 2 BLOCK CLASS NO DWELL•UNITS STATE
NUMBER HWY YES N
TRACT - USE ZONE SPECIAL
NO OF BLDGS. �,+ CONDITIONS
SIZE OF LOT 7 X I e20 I NOW ON LOT
USE OF
EXISTING BLDG BUILDING EXIST
YARD HWY RE T NAME
_ TELfs SETBACK WIDTH
OWNER T ,..L O• d 0 is'.N0 nn FRONT
AD R2S ?[/aNCG%^,lQD � Lh' I+l) L,D +� SIDE
ARCHITECT OR TEL P L _
ENGINEER NO INSPECTION RECORD'
ADDRESS // d
TEL. i 1 0
CONTRACTORA. b ✓,e- NO -
ADDRESS �A--/Y7 �� p
DESCRIPTION OF WORK
NEW I ADD ALTER REPAIR DEMOLISH °r /.+ '�• 1\ N
SQ FT. ) NO OF NO OF ?
SIZE /-s^fin STORIES FAMILIES,/-.- 1. yy s• Jt
USE OF b' mdV�7
STRUCTURE 0-e_ /rI C
SIGNATURE OFil ,�y// rym � ���.!•.
APPLICANT ,,• 91 � I,— Y A.. IAS � vq
VALUATION$ //_ 700 I 1 _ _ (! / �
�J Qin APPROVALS J��"®DVA I{N�SPEC: R�SsiGwKTURE
FEE $ 27"\ FEE $115 Ire PMT FO FORMS, MATERIALSUNDATION
✓//�
FRAME FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS A
AND STATE THAT THE ABOVE"IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, -
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS - N _u 1I
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE -
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA
LATH,EXT
SIGNATUREOF HOUSE
RECTANDPOSTEDR•
PERMITTE /
ADDRESS '`'J �"'" FINALCIPAL '
PLAN CHECK VALIDATION CK MO. CASH CLYDE NP DfRL VAPR�INATIONTR CK URFALO ENGINCASFEER
r D'�„3 7 i;�'3 3 2 -3 0 2 7.0 0 5 '
, dt' "�.fit• � j� S' ' s � i��J/1 .._ - r 76A638ACEAPPLI'CATION�-FOR' BUILDING''.P•ERIVI I
'COUNTY OF 'LOS 'ANGELES BUILDING , y `
WAt
'DEPARTMENT,-OF .COUNTY:ENGINEER,
ADDRESS`
BUILDING'AND`SAFETY'DIVISI, N LOCALITY
JOHN A. LAMBIE. COUNTY ENGINcER )/
_NEAREST
'„ IL'_LIAM A UENSEN• SUP4,OKBUILDING ;'. CROSSST,. '? -
r. DIST�ICT'N� �R UP `TYPE' P+ @
F � D-BY"`
6R�.APPLICANT',._TO, FILL-IN �� _y, Q� .' coNsr
BUILDING-•. _ rh• ``5- STATISTICAL CLASSIFICATION r WER,MAP
DRIES
6223t .. �« ., BK
�,4. • �.; k - CLASS NODWELL"-UNITS -
�LOT.NO� � '-AttSCh� �__'rBLOCK` .-,� WATER
CERTIFICATE NOT REQUIRED RECEIVED ^
rip, .`•y4,/^ r, .
TRACT „.,�-, - .. •' u -t-`-.= •'"',�i ^• MAP' HIGHWAY. STATE MAJOR SECOND, OCAL
'` +•• `:'k:q. �.NO OFJBLDGS •- ,:NOS" v lfJ (CIRCLE)
SIZE,O,F.�LOT, c. �' 'NOW ON LOT'%�' Z„'`� USE ZONE SPECIAL', r 'r
h rUSE OF'. :;y� • iF CONDITIONS' '•,. r -�' -
EXISTING'BLDG d,' '' ) r ,
e . ,, r •-STEL �' _ •''I °� ~^ ` a'
j'OWNER 4' - O-', � iBUILDI'N G'• ' EXIST-
EX '
'- n,� 7 g - • SETBACK •YARD HVJY,- STREET NAME 'r WIDTH >•�
ADDRESS 3 '-N d6ld2ri�• e6t_;a_%. „FRONT” �� O
ARCHITECT OR .i:TEL'z° ` 'i "'-� 'P sL'" X. ? 7
ENGINEER 4 _ •NO
P L
'ADDRESS
« _ -'STEL s" a. : 'i•s =.�"•' .]_," = . .,d1. - P n // ", O.
.CONTRACT OR; ty O:
py
ADDRESS I _ v - s•i- G,•te ,.' - _ L "° ,O
?, DESCRIPTION)"OF'WORK° +` �� -'�` "'u",
w
NEW- X ADD ALTER REPAIR ',DEMbLISHy' Z
SO FT" " .�L NO-O-Fi w'. NO='OF. •` f /..a'Sa+
SIZE - -'�� , STORIES' - ,FAMILIES- • _ 1 '�
r'US
O TURE 'VSt@"SW-�IIl rOOl •+ �s 7'A�.lai� li;.:,y' A
y• Stt3 � 1an' 1205 25
SIGNAj REO
APPLICANT
$2"540:00• "�f ti; �,` , ,�� '_ .:' '`= �.: "'�-
VP.LUAT•I ON ti ,•«y �d4 .r,.dre - S=y
�, APPROVAL'S J,DATE, INSPECTORaS�SIGNATU RE
PC - \\�' I'• ' PMT '' /' FOUNDATION L-OCATIONY
Y.;FEE $ Jt` ✓ FEE•$✓���' 4 FORMS,"MAT+ERIALS
'.w: _ FRAME:FIRE STOPS,,,.
I HEREBY.-AC KNOW LEDGE`TH AT Y HAVE_READ,THIS APPLICATION BRACING BOLTS
c-AND.STATE THAT.THE'A BOV E•'I S'CORRECT"AND AGREE TO'COMPLY( FURNACE LOCATION,'-,
WITH ALL GAS AND'.STATE' LAWS-REGULATING GAS VENT DUCTS' 7 ,✓J ','�
BUILDING-CONSTRUCTION'.-I'yCERTIFY'-THAT,•IN,�DOING•THE'WORK - {
•Y AUTHORIZED'HEREBY'I WILNOT-,EMPLOY,�ANY' ER N-IN VIOLA- l�) . A
i. -LATH; INT
TION SOF THE'ALABOR CODE F,THE STATE O CA RNIA.RELAT-
.IN G,TO WORKMEN 5. O SATION INSUR E LATH, EXT. °� N0..•'
Y..
-SIGNATURE ��'�• _ " HOUSE NUMBER•COR-,
,'PERM IT,T,EE _ - - - ECT=AND POSTED �• �`�4����L ,.+� �- -� �'1•
ADDRESS _ FINAL;e r��^;f: '� 6`r'IY /f Y�tc�J •✓l� �S
JOHN F LEWIS• PRINCIPAL STR RAC ENGINEER '
PLAN,'�=CH'ECB`VALIDATION CK ~M O CASH PERMIT VALIDATION CK 4 M o CASH
2'6, tµ•�;l t'16. 2 '3',Q; r" 3.75 x, ;
/ �'�p' G. l
76A636A CE b0032-63 APPLICATION FOR BUILDING PERNT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DIVISION LOCALITY 3. 2
m JOHN A' LAMBIE, COUNTY ENGINEER' NEAREST
WILLIAM A -JENSEN, SUPT OF BUILDING CROSS ST '!
DISLaJ•CT NO G UP TYPE CESSE Y `
FOR-APPLICANT T FILL IN !/ �� CONST -
_ BUILDING � STATISTICAL CLASSIFICATION S WER MAP
ADDRESS' BK G
CLASS NO DWELL.UNITS
LOT NO O BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT - MAP HIGHWAY STATE MAJOR SECOND C
NO OF BLDGS NO (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
I
TEL
OWNOF r / NO UILDING EXIST
SETBACK YARD HWY ET NAME WIDTH
ADDRESS •+ FRONT
ARCHITECT OR TEL P L
ENGINEER _ NO SIDE -
P L
ADDRESS
0
TEL:
CONTRACTO NO
ADDRESS O
DESCRIPTION OF,WORK uVa
a
tN ADD ALTER REPAIR DEMOLISH - Z
T NO OF NO OF --
S RI AMILIE
F �1J t
CTURE
ATUR
LIC ION $ � APPROVALS DATE INSPECTOR'S SIGNATURE PMT FOUNDATION LOCATION
FEE $ FEE $ ' FORMS MATERIALS ty ,A _ il•
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i BRACING BOLTS ucT♦A 2� /►� f
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 CO NSTRUCTIO I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY WI NOT EMPLOY ANY PERS IN V LA- LATH INT
TION OF THE LABO COD OF THE STATE OFCALI NI ELAT-
ING TO WORK EN COMP SATION'INSURANCE LATH. EXT _ t
S4gIGNAT E O HO SE NUMBER COR-
PERMITT RIECT AND POSTED
ADDRESS FINAL�vg IL
PLAN CHECK VALIDATION- CK MO CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGI
PERMIT VALIDATION CK MO CAS
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 1204200028
PHONE (626) 285-0488 EXT -
LEGAL ID I NO OF CONST I BUILDING ADDRESS I
ON FILE I SQ FT STORIES TYPE 1 6223 GOLDEN WEST AV I
ISTRUCTURE 3400 V-B TEMP CA 917801705 1
ASSESSOR INFORMATION NUMBER 1 - NEAREST CROSS STREET
15385-021-015 1 _ THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI
ITENANT IEXIST BLDG USE RESID USE ZONE R-2 (ISSUED ON PROCESSED BY - 1
I (EXIST OCC GRP- 104%20/12 SR 1
10WNER TEL NO IBLDGS. NOW ON LOT VALUATION IFINAL DATE FINAL BY- CODE 1
ITSUJI TAYASHI,NOBUKO (626) 286-0684- 1 1 11,000 -
16223 GOLDEN WEST AV (� 1
ITEMP 917801705 I - FEES PAID 1DE RIPTI�F WORK I
_ I ITEAR' OFF EXISTING ROOF AND RE ROOF LIFETIME GAF TIMERLINE
IFEE DESCRIPTION QUANTITY UOM AMOUNT (LIFETIME SHINGLES 1
(APPLICANT TEL NO I I I
IWILSHUSEN, JOHN (954) 605-9309= IAA BLDG PERMIT ISSUANCE 27 80 I
11212 FIFTH AVE IAB STATE GREEN BLDG FEE 11000 00 VAL _ 1 00 ISPECIAL CONDITIONS 1
IMONROVIA CA 91016 1AC STRONG MOTION RESID 11000 00 VAL 1 10
ID2 PERMIT W/O EN-HC - 11000 00 VAL 233 40
1 TOTAL FEES 263 30 1 1
(CONTRACTOR - TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
(APR ROOFING (626) 254-0351- ,I _ 1
11212 S. FIFTH AVENUE, SUITE A LIC NO I ILOCATION AND SETBACKS 1 -
(MONROVIA, CA 91016 947534C-39 'I I 1 I I
- ISOILS ENGINEER APPROVAL 1 1
(ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
I LIC NO 1 1SLAB/UNDER FLOOR I I
_ I I I
I IRAISED FLOOR FRAMING I 1 1
1 1I I
1MAP NO SEWER MAP BOOK- PAGE- FIRE ZONE CMP-'J JUNDERFLOOR INSULATION I
1153H269 3 001 1 11 I
I I IFLOOR SHEATHING
INO OF FAMILIES. DWELLING UNITS APT/COND STAT CLASS 1 _ I 1 1
I 0 NO 21 1 IROOF SHEATHING I 1
I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS PANELS I��11 1
1
1AIR QUALITY• 1000 FEET MATERIALS I I I I I I NO NO NO I IFRAME INSPECTION
I I I
I 1 IFIREtSPRINKLER HANGERS I I I
I I I
1 (INSULATION/WEATHER STRIPI I I
I 1 11NTERIOR LATH/DRYWALL 1 1 I
I I I
I I 1EXTERIOR LATH 1
I 1
IRATED FLOOR/CEIL ASSEM. I 1
I - IRATED WALL ASSEMBLIES
I I I
IRATED SHAFTS/OPENINGS I I I
I I I
I I IT-BAR CEILINGS 1 I 1
I I I
I I LOT'DRAINAGE
I I I
I IREPORT ID DPR261 ROUTE TO. BS0508