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HomeMy Public PortalAbout6227 GOLDEN WEST AVE_Building__ I I � TEMPLE C. 79AE10ACE#E03"1-EI APPLICATION FOR -BU-ILDING PERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS •� / BUILDING AND SAFETY DIVISION LOCALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OP BUILDING CROSS ST. , DISTRICT NO. GROUP TYPE 2PRCESSED BY FOR APPLICANT TO FILL IN CONST.BUILDING // STATISTICALC SSIFICATION EWER MAP ADDRESS (C �'� BK PG CLASS.NO. DWELL.UNITS - LOT NO,6 BLOCK WATER - NOT REQUIRED RECEIVED' CERTIFICATE TRA Lt"� �C MAP � �i HIGHWAY O. FBLDGS. NO. � (CIRCLE) NSTATE MAJOR SECOND, LOCAL SIZE OF LOT NOWOON LOT / USE ZONE SPECIAL - USE OF _ _ /d - CONDITIONS - EXISTING BLDG. '�'��"(�(�•4 > ' TEL. D (� OWNER ,LA NO. BUILDINGEXIST. D YARD HWY STREET NAME �. �T�� SETBACK WIDTH" A & '� FRONT of p ARCHITRCHIT �7 ECT OR TEL. P.L- ENGINEER -NO. SIDE ADDRESS TEL. INSPECTION RECORD CL ,[� CONTRACTOR CJI dt/� ���"-"• NO. _ S ADDRESS DESCRIPTION OF WORK W a NEW ADD ALTER REPAI DEMOLISH Z SO.FT. NO.OF NO.OF _ IZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF �a APPLICANT' VALUATION $ -� - APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. D FOUNDATION: LOCATION FEE $ FEE _ FORMS.MATERIALS FRAME: FIRE STOPS, _ IHEREBY 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 GA%S VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. _TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. D SIGNATURE O JQr HOUSE NUMBER COR- / 0 PERMITTE • ` RECT AND POSTED / salmi" ii I - ADDRESSP=-� FINAL -CLYDE N. DIRLAM,:PAINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION' cr m.o. -CASH PERM VALIDATIONS cic •M.D. CASH [ AC00 1 D. 5.0 0u 0B•S ...42 tam sets i •. APPLICATION FOR PERMIT - - DEPARTMENT OF BUILDING AND SAFETY 1 COUNTY OF LOS ANGELES 10111 JDVILDING wm. J. FOX, CHIEF ENGINEER NO.OF BLDG. 'ORD:NO. DISTRICT NO. PLAN CK. NO. ///���PERMIT NO. PLAN SETBACK L E 7 5) FIRE APPROVED �h ZONE BY qTE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED DATE ZONE BY `' /•a �0 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY K BUILDING /. O NAME \ ADDRESS D GbL. t_&S7 C \ \ CC � Z ADDRE89 LOCALITY PL EC I U Z CITY \ \ CRO888 . C,41KI Bt4 L W Q STATE TEL. rj \ \ LICENSE NO. TE NAME J` K -NAME 3 ADDRESS SR"M O F TEL. < ADDRESS / CITY - NO. K F ZO CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U / APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TIL p� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. +Q a O AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ZZ LQT NO. IDR SIZE OF LOT l o o yc 50 SIGNATURE OF OWNER Q d NO. OF BLOCS. AUTHORIZED A6T. W - BLOCK NOW ON LOT + U TRACT - I3 mac. RRECTIONS pUSE OF BLDG W("& NOW ON LOT Z VI-LLI W( S FF F IIS DESCRIPTION OF WORK / C/ USE OF BUILDING �AIC LQ.fr— ):,ST) D ' To t=o R M -I I X 11 13E D lu o o M l War Production Board orders. You are cautimect to consuit wlM your local War 0 inn the work authorized In Lois, permit. Z D r NEW TYPE i GROUP y 1 NO.OF NO.OF ALTERATION ROOMS .FAMILIES I ADDITION SIZE X REPAIR STORIES MOVING WALL COVERING S Cr 0 DEMOLISH ROOF COVERING ' s P.C.s FEB FINAL APPROVAL _ VALUATION r mg B INSPECTOR'S I t�O DATE I NAME i I 79AG38Acr#eos-9.BO APPLICATION FOR .BUILDING PER IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY �• r JOHN A. LAMBIE, COUNTY ENGINEER 'NEAREST WILLIAM A. JENSEN SUPT OR BUILDING CROSS ST. DISTRI T NO GROUP TYPE P SEDB.Y _ FOR APPLICANT TO FILL IN , _r CONST. BUILDINGn �r/ ,r' STATISTICAL CLASSIFICATION •I SE ER MAP ADDRESS I�- / /� CLASS.NO - DWELL. UNITS ' LOT NOJ', F ('t Z BLOCK MAP STATE YES O NUMBER HWY. US ONE - SPECIAL NO.OF BLDGS. J CONDITIONS SIZE OF LOT I NOW ON LOT I USE TI •t.., EXISTING BLDG. •� /l/� BUILDING • " EXIST. YARD HWY NAME TEL. SETBACK WIDTH OWNER NO. C FRONT `` P L. OLS/ ADDREBS� w SIDE ARCHITECT-OR TEL. P.L. ENGINEER NO INSPECTION RECORD ADDRESS . CONTRACTOR TEL. 9=0 O ADDRESS n ^ au- DESCRIPTION'OF-WORKLu - _ - t/1 NEW ADD ALTER REPAIR DEMOLISH Q/ - c Y Z,. SQ FT. O O NO OF ' NO.OF SIZE STORIES FA 444-GG. _ STRUCTUREUSE OF 9 A /S SIGNATURE OF ' APPLICANT VALUATION$ !O Q' � - , APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. Q FOUNDATION: LOCATION , FEE $ t'f� FEE $ �..e. - 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 BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE-- OF THE WORK FOR WHICH THIS PERMIT IS ISSUED [!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. SIGNATURE O HOUSE RECT AND POSTEDR ' PERMITT ADDRESS `2-- V� FINAL CLYDE N. DIRL.AM, P,,RIN�CIPAL ST'S CT RAL ENGINEER . PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA &ATION CK M.O. CASH U.,C0 4 1: 2 Milt. 2 4 1' D r f r . .. WORKERS' COMPENSATION'DECLARATION. q a ["hereby affirm that I have-a certificate of consent'to self 'APPLICATION G ®R':. BUILDING I+E RM I T- insure; or a certificate of Workers' Compensation-lnsurance, or a certified copy thereof:(Sec 3800, Lab C ) = r - COUNTY-OP WS ANGELES :` BUILDING AND SAFET Policy,No Company 0 Certified.copy•is hereby furnished FOR'APPLICANT TO FILL IN - BUILDING ❑ ADDRESS Certified copy i3 filed with the county building'mspec BUILDING 'tion department ADDRESS, Date ' ­Apphi ant• CITY. ZIP LOCALITY — CERTIFICATE OF EXEMPTION FROM WORKERS' . O OF,BLDGS. NEAREST 13 COMPENSATION INSURANCE SIZE�OF LOT, OW ON LOT CROSS'S T_- (This'Sectionneed,not be completed if the permit is for one �,.'::. ;• ASSESSOR hundred dollars,(5,100)or•less.)'•- TRACT BLOCK LOT NO ''. MAp,BOOK PAGE PARCEL TEL. USE Z NE. MAP t OWNER r - I,certify that in'the performance of th'e work'for which this'. O NO NO permit is issued,]shall notemploy'any person's i CIAL so alto bec esu lect•to the Workeis" nsatt Law ADDRESS- CONDITIONS CITY w ZIP U . Date Applicant _} 6 NOTIC O.A LICA T:'If;°after making thi ,Cer' icate of ARCHITECT-OR STEL ,DISTRICT -, G OUP TYPE . - FIRE PROCESSED-BY t' Exemp ion; you should become',subjech-to th Workers' ENGINEER '• - NO ,�/ '` CONST ZONE F= •t Compensation provisions,of the Ldbor Code, y must forth- ADDRESS °UUh W with'comply;with'such, provisions,or this permit shall be TEL. deemed_,revoked. -p 5. - . STATISTICAL CLASSIFICATION APT. CONDO. fq 1. CONTRACTOR NO._ + Z. LICENSED CONTRACTORS DECLARATION_ _'4 c' wAIC. CLASS NO. I hereby,affirm that I am licensed under provisions of Chapter 9 ADDRE NO ' (commencing with Section 7000)of.Division 3 of the Business and LIC SEWER MAP Professions Code;and my license is in full force.and effect.' CITY ' CLASS VALIDATION BK. PG.' SQ.'FT •, NO OF NO. OF CHECK License Number` ` Lic.Class SIZE. STORIES FAMILIES ONE r . VALUA�OI� " Date DESCRIPTION OF WORK G - NEW - .Contractor - '.' . ��'. O ; - om exempt AA ADD under^Sec. ❑ ALTER �. H 1 .S,5 A B.BP,C. for this reason REPAIR' S — Date: USE O #,• 's • i ij EXIST G BLDG DEMOL - AP_PLICANT',.- TEL , ' • , Signature .• , -' % FINAL'' � - - r= ti`•ti.2$,5 Q - OWNER-BUILDER DECLARATION PRINT. _ NO DATE ' ' I hereby affirmahat I;am exempt from the Contractor's License' .w .o:e�0 2 5.0 Law for the following reason,(Section 7031 5, Business and j ADDRESS FIN Prof ssions Code): t B, , " I Q•1 7 . 87 BUILDING' I, as owner of the property, or,my employees with ADDRESS n - wages as tReir'sole compensation;will-do the work and the stiucture is not intended or-offered for sdle:(Section LOCALITY •7044, Business and Professions Code). MOVING' `•, -`STEL • I, as owner'of the property, am exclusively contracting, r CTOR NO with licensed contractors to construct the project-(Sec- - tion 7044,-Bustness and Professions Code). ED TOTAL SETBACK " CONSTRUCTION LENDING AGENCY, K , ' -YARD HWY PROP LINE WIDTH i '.I hereby affirm that there is a construction lending agency for "the performance of the:work for which this',permit is issued(Sec: 3097; Civ;,C.).Lender'sNameLDMA Ref. # Lender's'AddressS' Permit Fae1 certify that I Piave read this application'arid statethat,they'_ IssuanceFee � LDMA P%C No above information i rrect. I�a to comply-with all Countyte n.Fee q ordinances and State ati to building construction,. $ and here ut orize re se fives of this County o ent r• Total Fee LDMA Perri. 11`, upon abo -ment' operty for ins71�7x s© / SEE REVERSE FOR EXPLANATORY•LANGUAGE w Signature of,APP ant or Agent i>6te c;,• r WORKERS'COMPENSATION DECLARATIOW, _ }' k` - I hereby affi,m,that I,have a certificate of'consent-to•self insure, or a'certificate of Workers' Compensation l6surance;t ' " � PLICATION'- 0 OU I L:D'I NO:—PERMIT or o cerTified' opy=thereof (Sec: 3800, Lab. C.) COUNTY'OF LOS,ANGELES v t BUILDING AND SAFETY ' - Policy No. - 'Company' �._ - Certified copy is hereby furnished. s- BUILDING FOR'APP_LICA_ NT TO FILL' IN ADDRESS (C� El Certified•copy is filed with.the county building inspec_� , BUILDING ,//� r`6✓ tion department. q •+ =ADDRESS' ! NZ(,(f ,LOCALITY, Date Applicant h CITY NEAREST ems' 1. ZIP •J�' CROSS ST ' r:�,; - NO. OF BLDGS " ASSESSOR '•,t. CERTIFICATE OF EXEMPTION FROM WORKERS' t r COMPENSATION INSURANCE i. SIZE OF LOT 3 01 -•NOW ON LOT'_ ',`lam -MAP BOOK PAGE ' PARCEL r r' (This sectioTRACT 'BLOCK T NO O'n need not be completed if the permit is for one = USE ZONE,- MAP •' �3 x '� ' _ N hundred dollars ($100)or less. )' ; J. SPECIAL I certify that in the performance of'the work-for which this OWNER f r0 9J 1p y0 CONDITIONS'. d. DISTRICT GROUP TYPE _ FIRE PR ESSED'BY- O- .permit is issued,-I shall not employ any person in any manner t Q'�, - a,. ..c so as to become supbject to the W Compensate Law ADDRESS *zG� p/ CONST..' ZONE ' Date-�0 .^� �2c1 , �Q :! ,, ZIP �--- O Applicant iit STATISTICAL CLASSIFICATION APT CONDO: V` ' NOTICE TO APPLICANT: If, .after-make this Certificate of A CHITECT OR TEL ; Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO•DWELL. UNITS d. Compensation provisions of the Labor Code, you must forth-. ; _ - N. ADDRESS ' ,r;.: SEWER MAP , .with comply with such provisions or this permit 'shall be / _ deemed revoked., - ,TEL. ", 'BK L PG �� VALIDATION CONTRACTOR' NO. , LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I bm'' licensed under provisions of Chapter_9 ADDRESS NO ALUATION ' (commenang,with Section 7000)of Division 3 of the.Business and . LIC m Professions Code,-and my license.is in full force and effect CITY CLASS NO.OF NO. OF CHECK SQ. SIZE- �'�l�y D STORIES FAMILIES (' ONE. License'Number Lic.Class •. .n •, or _ Date DESCFP ION OF'WbRK-• Contracty p�'•ry[ NEW $ e57 0 Q 4c), 1 ADD j am exempt under Sec. ALTER FINA 99 P B.&P.C,for this reason DATREPAIR USE OF Date: EXISTING BLDG. L 0 -S DEMOL E] FI By Signature APPLICANT TEL. -OWNER-BUILDER DECLARATION PRINT . U% O. I hereby affirm that I am exempt from the Contractor's License n Law for the following reason (Section 7031.5, Business'and Professions Code) ❑ BUILDING I,• as owner of the property, or my employees with ADDRESS wages-as'their sole compensation,will,do-the work and z b 61.6 A, ` the'structure is not intended or offered for sale(Section LOCALITY. , 7044, Business and Professions Code). MOVING .•- TEL,.-,' # o e I, as owner cf the property, am exclusively contracting CONTRACTOR " NO. ' 2 '2'0 5. 0 0.: _ f. with licensed contractors to construct the project (Sec- roADDRESS - tion 7044: Business.and`Professions Code). 2 0 t5 0 0 REQUIRED„• TOTAL SETBACK FROM EXIST fo*o = CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH c� I hereby affirm that there°is a construction lending agency•for FRONT - e• ( 0, 0'4 k '8 2' :the performance of the work'for which•this permit is•issued P L. (Sec. 3097, CiJ'C,:). r SIDE Lenders Name s - Lender's Address P.0 .Fee$ t Permit}Fee r I certify that) have'read this rapplicdtion'and state that the ` '( Issuance Fee F ` above information is correct. I agree to comply with all County Investigation Fee g :,oidinanc s and State jaws relating'-to-building construction, Total Fee- YJ and he y authorize • resentatiJes of-this County to enter •X, ' Pon a above-rile do d property for inspection purposes.' .�� SEE REVERSE FOR EXPLANATORLANGUAGE .Signature of' plic nt or en(' Dat 1 ®t l 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 0303310011 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6227 GOLDEN WEST AV STRUCTURE: VN TEMP CA 917801705 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5385-021-016 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID U R . EXIST OCC GRP: 03/31/03 JK 03/25/04 OWNER- L. N o BLDGS. NOW ON LOT: VALUATION: F'INAL DAT0 ROSELL JOHN;BECKY (213) 763-2900-1005 3,500 ^� 6227 GOLDEN WEST AV 3 TEMP 917801705 FEES P DESCRVTIUN 1, APPLY,ASPHALT SHINGLES OVER EXISTING ON HOUSE 8 GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 3500.00 VAL 115.80 t. TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DA INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION SOILS�ENGINEER APPROVAL ARCHITECT OR ENGINEER: TE - FOUNDATION/TRENCH LIC. NO: SLABFLOOR RAISED FLOOR FRAMING MAP NO: SEWER A PAGE: FIRE ZONE: CMP: UNDERFLOOR N L 0 X 3 01 OF FAMILIES: PT/ OND: S . NO 21 ROOF SHEATHING SCHOOL A DOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL BAC FIRE S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATIONNEATHER STRIP SIDE PL- INTERIOR EXTERIOR LATH RATED,WALL ASSEMBLIES RATED SHAFTS/6F9Wflff§___ -BAR CEILINGS LOT DRAINAGE REPORT 1D: DPR261 ROUTE TO: BS0508 ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780BL.0508,03.03310011 PHONE: (626) 285-0488 EXT: !_DUPLICATE > LEGAL ID: { NO. OF CONST BUI--- ON FILE J SQ. FT STORIES TYPE 6227 GOLDEN WEST AV STRUCTURE: VN TEMP CA 917801705 INFORMATIONASSESSOR NUMBER: NEAREST CROSS STREET: LONGDEN 5385-021-016 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY TENANT: D D - PROCESSED EXIST OCC GRP: 03/31/03 JK 03/25/04 I OWNER: TEL. LDGS. NOW A FINAL DAIE FINAL BY: CODE: ROSELL JOHN;BECKY (213) 763-2900-1005 i 3,500 ��/--01 ?!1 � � 6227 GOLDEN WEST AV TEMP 917801705 FEES PAID UETEff-IffMN OF WORK APPLY ASPHALT SHINGLES OVER EXISTING ON HOUSE & GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PP . NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O.EN-HC 3500.00 VAL 115.80 --_ TOTAL---FEES 144.05 CONTRACTOR: TEE7. NO: �` ��:= APPROVALS DTTE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION SETBACKS SOILS ENGINEER APPROVAL AR - Ill I - �1 - S C M LIC. NO: _ -jI SLAB UN FLOOR RAISED FLOOR-FRAMING NAP NO: SEWER MA PAGE: FIREZONE-.-- CM ,> UNDERFLOOR INSULT I N X 3 .01 , S OF FAMILIES: L : APT/CO L S NO 21 - - - ` ROOF SHEATHING SCHOOL WITHIN HXA ' SHEARPANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETB C FIRE SPRINKLER HAN� G SET BACK YARD: HWY: PROP LINE: WIDTH: "- FRONT PL - j - INSULATIONNEATHER STRIP SIDE PL LATH/DRYWALL 5XTER.IOR LATH RATED L . RATED WALL ASSEMBLIES SHAFTS/OPENINGSRATED T-BAR CEILINGS LOT DRAIRW- REPORT ID: DPR261 ROUTE TO: BS0508