HomeMy Public PortalAbout6226 GOLDEN WEST AVE_Building__ - 76A638A'CElfBO38-64 APPLICATION FOR BUILDING ,ERMIT
COUNTY-OF LOS ANGELES' BUILDING
DEPARTMENT OF *COUNTY ENGINEER ADDRESS
-BUILDING AND SAFETY DIVISION , LOCA'L1TY T C'
JOHN A. LAMBIE• COUNTY ENGINEER NEAREST
- COLEMAN W. JENKI,NS,SUP'T OF BUILDING CROSS ST. : Wandon - -
,DISTRIG'0T-N " GROUP , TYPE - .P E D BY
FOR APPLICANT ,TO FILL IN` :,S ' �m0 L� CONST.
BUILDING - STATISTICAL CLASSIFICATION SEWE A
ADDRESS6290 N0. G- CLASS NO UNITS
LOT NO. BLOCK USE ZONE 'MAP
TRACT` 11386
- SPECIAL',
N0. OF BLDOS: '
'CONDITIONS " - -
SIZE OF LOT - .NOW ON LOT
OF - - - ,--
TING /- BLDG. SETBACK FROM _
.TEL FRONT,PROP. LINE OF (STREEY)
OWNER- L F NO: p TYPE'OF ' EXISTING SETBACK HIGHWAY' ,+ YARD' _ :TOTAL
[ _
' ADDRESS- `226 -Na• GOld"en:West• "V@ HIGHWAY : , 'F FROM C L. ••� -
CITY Temple Cit - - •. �� + _0/ r, Z-0
BLDG. S BACK FROM _
ARCHITECT OR - TEL. _ SIDE PROP. LINE OF (STREET) -_
ENGINEER _"Eng�i:NO- TYPE OF EXISTING SETBACK HIGHWAY + .YARD j= 'TOTAL
ADDRESS HIGHWAY WIDTH- FROM C.L
8 E Firestone TEL
EBlvd a + _ 0
- CONTRACTOR NO-
ADDRESS IC CORNER-CUTOFF YES'• NO 'O
F• o
CITY - SO CY8 -LIC `- 'SEE-REVERSE SIDE FOR SPECIAL APPROVALS, - V
' W
DESCRIPTION OF. WORK �� � p• -,�� - Z'
NEW . ADD ALTER REPAIR DEMOLISH
/P-
SO.FT. NO. OF NO. OF
SIZE - STORIES FAMILIES -
USE,OF
STRUCTURE swim Poolj
SIGNATURE F r '
APPLICA -
VALUATION 3100 - - ,
. APPROVALS DATE INBPEC RSSSIGNATURE
- :P.,C. - L PMT. "• FOUNDATION, LOCATION
- -
FEE -U3 FEE$Z . FORMS, MATERIALS,__
FRAME, FIRE STOPS, ` 'I
I'H ER EBY 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
y REGULATING - GAS VENT- DUCTS
9UILDING CONSTRUC 10 I CERTIFY THAT IN "IG THE WORK
+ AUTHORIZED HER Y ILL NOT EMPLOY 'NY ER ON IN VIOLA- LATH. INT. -
-TION OF THE BOR OD€ �FTTHE* A OF FO RNIA'R AT-ING TO WOR EN' OMPENION RA ELATH. EXT'SIGNAT E HOUSE NUMBER COR- '
PERMIT E 'D'-POSTED
ADDRESS 111' Fl N AL '
JOHN F LEWIS. PRINCIPAL STRUC URAL ENGINEER,•'
PLAN CHECK VALIDATION �K M O CASH PERMIT VALIDATION CK M O CASH
R'031' 9 o JUN 30 2 1� ' 4.63 st
_' - LALO 3 1 9. 6' 'J U N 3 U 1 D 1 851Q N :a
/ C r
7GA638A CEV803 8-63 APPLICATION FOR BUILDING PERMI , /
COUNTY OF LOS ANGELES ADDRESS ;+ p WIM6
DEPARTMENT OF COUNTY ENGINEER J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRIC NO. GROUP TYPE ESSED BY
7 )We
PPLICANT TO FILL IN coNsr.BSTATISTICAL CLASSIFICATION S WER MAP
Ae l„/'DBK GjPG
CLASS. NO. y DWELL.UNITS �JLBLOCK WATER It CERTIFICATE: NOT REQUIRED IVI RECEIVED
TMAP HIGHWAYSTATE MAJOR SECOND LOCAL
NO.OF BLDGS. NO. , (CIRCLE)SIX s'D NOW ON LOT USE ZONE SPECIAL
UCONDITIONS
E �/
OWNER Q O. �I BUILDING YARD HWY T E 7 NAME EXIST.
����JJ SETBACK WIDTH
ADDRESS /, etjWe, FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE ,�
P. L. i /'.
ADDRESS d
TEL. O
y CONTRACTOR NO.
ADDRESS +
DESCRIPTION OF WORK
y. r: o
NEW ADD Vf
ALTER REPAIR DEMOLISH - v' O.
SQ. FT. NO.OF NO. OF - '1 r-�:�:::,.:•'1 �:S`? .^..�.., �' �=, ,�•._t','i •. '7Z.,
SIZE STORIES FAMILIES
USE OF l,l'i G _a,•-St's ..>:.%'/e '
STRUCTURE '
t7'
SIGNATURE OF
APPLICANT
vc
VALUATION $ :I
APPROVALS {." DATE, INSPECTO• 'S SIGNATU*
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ _ 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. •-, - - f'.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY K
THAT IN DOING THE WOR
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- �^-`-" •»--""-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. p
ING TO WORK EN'S OMPENSATION I SURANCE. .p '~•�-- {
LATH.EXT. -� C
SIGNATU OF HOUSE NUMBER COR• .a'•-" ,-' '•" 3
PERMITTE RECT AND POSTED t
ADDRESS' �" .i�yv FINAL 1 i�a-`,':ief ✓ - A �. � A
.� _ - JOHN F. LEWIS. PRINCIPAL STRUCTURAL�N�IRt r
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M. . CASH
i
I
Y
r. 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 1202130041
PHONE: (626) 285-0488 EXT': - -
ILEGAL ID- - I - NO. OF CONST I BUILDING ADDRESS: 1
ITR: 11386 - LT: 1 BL: B I SQ. FT STORIES TYPE , 1 6226 GOLDEN WEST AV I
I (STRUCTURE: 28- - V-B I TEMP CA 917801704 I
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1
15385-025-001 - - - I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID-• USE ZONE: R-1 i. 'IISSUED ON: PROCESSED BY:
- 1EXIST OCC GRP: 102/13/12 -SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI �Y: CODE: 1
MCCLELLAN, ELIZABETH (626) 286-8525- - 1 13,500 ja�)
6226 GOLDEN WEST AV _
ITEMP 917801704 •• I - - FEES PAID (DESCRIPTION OF WORK -
I I ITEA-R-OFF AND RE-SHINGLE TIMBERLINE GAF SHINGLES 1
IFEE DESCRIPTION. QUANTITY:' UOM: AMOUNT:-I
(APPLICANT: TEL NO: - _ I -
IWILSHUSEN, JOHN (954) 605-3209- IAA BLDG PERMIT ISSUANCE 27.80 - I
11212 S. FIFTH UNIT A IAB STATE GREEN BLDG FEE 13500.00 VAL 1.00 (SPECIAL CONDITIONS: -
IMONROVIA, CA 91016 IAC STRONG MOTION RESID 13500.00 VAL 1.40 r
I ID2 PERMIT W/O EN-HC 13500.00 VAL 284.60 I I
I -I TOTAL FEES 314.80
(CONTRACTOR: TEL. NO: - - I (APPROVALS - DATE INSPECTOR SIGNATURE I
(APR ROOFING - (626) 254-0351- - I
11212 S. FIFTH AVENUE, SUITE A LIC. NO I ILOCATION AND SETBACKS`
(MONROVIA, CA 91016 - 947534C-39 I I I I
I ISOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 ISLAB/UNDER FLOOR I I I
I I I
I I IRA-SED FLOOR FRAMING I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE- CMP:I _ UNDERFLOOR INSULATION I .I I
1153H269 3 001 11 I
I I _ IFLOOR SHEATHING
INC. OF FAMILIES: DWELLING UNITS: APT/COND- STAT CLASS- I
- 0 NO 21 I - IROOF SHEATHINGPv
I
I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I I
NO NO NO I IFRAME INSPECTION I I
I (FIRE SPRINKLER HANGERS I I I
I (INSULATION/WEATHER STRIPI I
I ' t (INTERIOR LATH/DRYWALL I I I-
I I I
I (EXTERIOR LATH I
- I
I I IRATED FLOOR/CEIL ASSEM. I I I
I I - - I-• I I I
I IRATED WALL ASSEMBLIES I I
I I I I I I
(RATED SHAFTS/OPENINGS I
I I - I I I_ •I
I I IT-BAR CEILINGS I I I
I ILOT DRAINAGE' I I
_ I I I
IREPORT ID: DPR2614 ROUTE TO: BSO508 I I I I
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