HomeMy Public PortalAbout6239 GOLDEN WEST AVE_Building__ TEMPLE. CITY ,
7"638A CE#803'2/ APPLICATION FOR B UILDING',- PERMIT
COUNTY-OF LOS ANGELES ' BUILDING
DEPARTMENT- ADDRESS OF COUNTY ENGINEER' 1 _
BUILDING AND SAFETY DMSION LOCALI
JOHN A. LAMBIE; COUNTY ENGINEER- NEAREST
WILLIAM A. JENSEN- SUPT of BUILDING " CROSS ST. '
DISTRICT NO. GROUP TYPE R CESSED BY
FOR APPLICANT TO FILL IN ONST.
BUILDING/ nn f� STATISTICAL CLASSIFICATION _ SEWER MAP
ADDRESS .-L/ ,BK 7%
- _CLASS.NO. —DWELL.UNITS
LOT NO. BLOCK MAP STATE 'yES, NO
NUMBER. C/ HWY.
TRACT USEZONE SPECIAL 1
NO.OBLDGS. CONDITION ,p�
SIZE OF LOT I NOW OF N LOT
USE OF �_�//
EXISTING BLDG. r
4t/ lA BUILDING EXIST.'
TEL. SETBACK YARD HWY -STREET NAME -- WI TH -
OWNER O FRONT I Q
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ADDR S �U SIDE - - - -
ARCHITECTO • TEL. „ P•L.
ENGINEER N INSPECTION. RECORD
ADDRESS g — r " ' p
CONTRACTOR NO. / O
ADDRESS J3 cC
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DESCRIPTION OF WORK iVAf �-a�'_ �`�+y 0
NEW XADD ALTER -REPAIR DEMOLISH
SO.FT: NO.OF NO.OF a
SIZE STORIES FAMILIES _ y
USE OF - - - - -
STRUCTURE _
SIGNATURE O -
APPLICANT - - '
VALUATION$
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APPROVALS D TE! INSPECTOR'S SIGNATURE
_ FOUNDATION: LOCATION
F E -a 7 FEE.$ �J FORMS MATERIALS
1 HEREBY ACKNOWLEDGE BRAC
THAT I HAVE READ THIS AP- FRAME:ING FIRE STOPSBOLTS ,
PLICATION AND'STATE THAT'THE ABOVE IS,CORRECT AND FURNACE: LOCATION, '
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS.
STATE LAWS REGULATING• BUILDING CONSTRUCTION.
1 CERTIFY"THAT 1N DOING THE WORK AUTHORIZED I LATH, INT.
WILL; NOT EMPLOY ANY PERSON IN VIOLATION. OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH, EXT. - N
SIGNATURE O EJ 1 ( HOUSE NUMBER COR-
PERMITTEC l��t�-+�►�� RECTANDPOSTED'
ADDRESS;F,Ig•AtIr4k .� -n. a04.iCI.�[ FINAL
CLYDE N. DIRL.AM, PRIKCIPAL STR RAL ENGINEER
PLAN-CHECK VALIDATION cK M.O. CASH PERM VALIDATION CK. ."M.o.- CASH "
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APPLICATION FOR BUILDING PERMIT,` V
FOR APPLICANT TO'FILL IN _('Print -or type on'w) .
euyLDING �� - COUNTY:OF'LOS ANGELES'-
ADDRESS ) - , DEPARTMENT -OF COUNTY ENGINEER ' -
c I Tv ZIP -BUILDING AND SAFETY DIVISION '
0.OF BLOGS. BUILDING /r
SIZE OF LOT NOW,ON LOT ADDRESS 9" r/
ATR CT� LOCK LOT NO LOCALITY ,
TEL. NEAREST
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a ASSESSOR _
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LIC. YY' NO.' • - .
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• CLASS, 1(0 ROA DEPARTMENT APPROVAL REQUIRED YES❑• NO❑
CONSTRUCTION LENDER
NAME.A'ND BRANCHBL G.SETBACK FROM
FR NT PROP.LINEOF STREET.)' -
SS -Y CIN - - HIGH AY t YARD ',TOTAL SETBACK FROM TYPE OF- EXISTING
SQ, FT. .NO.' OF / NO. OF �' CHECK HIGHWAY WIDTH
SIZE STORIES / FAMILIES ONE °-FRONT PROP. LINE,
DESCRIPTION OF WORK '��' NEW ❑ t - - O
ADD
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APPLICANTTEL CORNER CUTOFF YES ❑ NO• ❑ '
(PRINT) 0. - -
•"f��',:'• IN OPEN.SPACE� - . YES ❑ NO'E]E)
.BY (SIGNA TU_R "
IN COASTAL PERMIT ZONE YES ❑ NO '❑'
VALUATION$ 3 d
I HEREBY ACK NOWLEDGE.THAT I HAVE READ_THIS APPLICATION &7 /49 D"O ' d/•O'1�/� ti '/.' `•� •.�•,
AND STATE THAT-THE�ABOVE.IS CORRECT AND AGREE-TO COMPLY- - �- - -
WITH ALL ORDINANCES AND-;LAWS REGULATING BUILDING CON- -
�..�`
STRUCTION. I CERTIFY THAT' IN DOING THE WORK AUTHORIZED
HEREBY I WILL''HOT EMP OY• AHY PERSON IN`VIOLATION OF THE '
LABOR CODE OF THE�ST�.TE -OF CAL IFORN •-IN -RELATING TO •• -
WORKMEN'S•COMP NSATI N INSURANCE.
SIGNATURE OF -
PERMITTEE •, " ., „•
ADDRESSa:qe) - - ,
FINAL •��J'� BY _ �•,
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'C'I T Y I/ -- NO.(�,.� ATE
P:C. Q / PMT.':Q:.
b1AKE CHECtiS PAl:A6LE TO: FEE"✓ r FEE Y
HARVEY"T. BRANDT,, COUNTY ENGINEER -7
PLAN;CHECB'.•VA ATION, cK_'..- O� CASH, �. - P T-VALIDATION ' cc - -Mo CASH
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76A638A CE#803 57.4 _ -• .=- ..�. '
10 1 0. - 2';1 .7.5 A98
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 0307210041
PHONE: (626) 285-0488 EXT:
CONSTLEGAL ID: NO. OF
ON FILE SQ. FT STORIES TYPE 6239 GOLDEN WEST AV
STRUCTURE: VN TEMP CA 917801705
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5385-021-013 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST B . R - IS P .
EXIST OCC GRP: 07/21/03 JK 07/15/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: V FINAL DATE INAL BY CODE:
PAPP GEOFFREY MATTHEW (626) 446-5769- 5,000 / ?Vl
6239 GOLDEN WEST AV ( b
TEMP 917801705 FEES PAID
T/O HSE&GARAGE;INSTALL 30YR COMP SHINGLE OVER EXSTG SHEATING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICW TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LO
I
SOILS ENGINEER APPROVAL
A C N R: 0: FOUND ATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED
FLOOR FRAMIWU--
MAP NO: SEWER MAP : PAGE: FIRE ZONE: CM UNDERFLOOR INSULATION
153H269 3 01
FLOOR ING
OF S: DWELLING UNITS: PT OND: STAT
NO 21 ROOF SHEATHING
§CHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIREDTBACFROM EXIST— FIRE'SPR
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
OR
i
EXTERIOR ATH
RATED FL C IL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BCEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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