HomeMy Public PortalAbout6244 GOLDEN WEST AVE_Building__ 7GA638A DBS-3 3-55 AIR 11q(e? dr
-- PLICATI®N FOR BUILDING PERMIT, 1
DIVISION OF BUILDING AND SAFETY ADD E S NG
Deportment of County Engineer
County of Los Angeles LOCALITY b/e 0, tr,
WM.J. FOX, COUNTY ENGINEER -NEAREST �f l
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. P_ L/ P:
DIST NO. I GROUP I TYPE I SEWER MAP
FOR APPLICANT TO FILL IN TYPE Bx PG
/ hh ,,FF dQ f �/y �y7 CONS
AIDRI P STATE
OJA.+G �!'� 7 ;7 /)IdAI.�a A/APH d7 lP NUMB ER 0 E— HWY YES �Q
LOT NO. Z,Y 91 i:9-f BLOCK USE ZONE SPECIAL -
CONDITIONS
TRACT �l a�vod
SIZE OF LOT /+y/ A /.�1 I NOW ON LOTS BUILDING YARD HWY STREET NAME EXIST'
SETBACK WIDTH
USE OF FRONT VYLCqqn
O0,�-//
OWNERr,,-../. V 1'r, Lil d L! nJ
SIDE
AD (� 7- �,] I iq P N /l�l�L$J O TRACT DWELL. 1 UNIT
DRESS
5 INDUSTRIAL
d G a ,ew- TEL.//1 B p� vio I DWELL. I UNIT
CITY I-e e81>�f� �0t,f A NO.F9�!'PJ• `S�V a��". 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT
ENGINEER NO. ADDN.,ALT., ETC.
3 APT. UNITS 8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL.
CONTRACTOROW .RECORD
li�/I7C.J.}i NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD P ALTER REPAIR DEMOLISH ., .F /6ZM,4-L"•J111)01W ',D.2
SQ. FT, /� NO. OF NO. OF -
SIZE 4 Ll T— STORIES FAMILIES a
USFDOF STRUCTURE
ra,s, r��y1 - �r?� ►-�n r» — Ta /�/L j!i Joy` °' Y/>'i �r�i�T�,t�f.
SIGNATURE OF Z.1/G��.� �,� � .. y '
APPLICANT �,(� APPROVALS ,
ADDRESS IP P- � (���Ii"/f PW I�'✓,-5; DATE INSPECTORS SIGNATURE
FOUNDATION: LOCATION /� �, ///�� jr
® P. C. $ FORMS, MATERIALS / `7G1
T� V FEEFRAME: FIRE STOPS,
VALUATION - /c��rl BRACING, BOLTS �•✓1�i ' r2r��t ,
?��ri�X��
FEE $/l FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS Z< _ 1;1•'•5 6 � �rlq.fA�I�J�`�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT-
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH. EXT.
SIGNATURE IFHOUSE NUMBER COR-
PERMITTEE � !,-�'�'1 "_•` �' � �f"`�'' RECT AND POSTED
ADDRESS ( A,v Y/l FINAL -�2 �6 ����'✓
WM.J. FOX, COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR
Lf.
_i�CO 6 4 ',.n AUG 1 1 .0
`VfORKEREr COATION DECLARATION R I N G PERMIT
I hereby affirm thai I have ave aa certificate of consent to self APPLICATION' .. -
O UI L D
insure, or a certificate of Workers' Compensation Insurance,
or a certified copythereoflJ ec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company -
�' Certified copy is hereby furnished. FOR APPLICANT TO FI L I BUILDING
_ ADDRE
Certified copy is filed with the county building inspec- "" BUILDING
tion department. ADDRESS
_ .
Date Applicant CIT ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST _.
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need'not be completed if the permit'is for one - ASSESSOR -
hundred dollars ($100)or less.) TRACT BL K OT NO. MAP BOOK "` PAGE PARCEL
.ELS US�NEf MAP
I certify in the performance of the work for which this OWN
permit is issued, I'shall not emplo' y pe sorsKpny ma er SPECIAL
so as to'be om subject.to'the or Co pe
ADDRESS ` `' CONDITIONS
d
_...
j o
,— CITY_ ZIP . _, 7
Date Appl c ARCHITECT OR TEL. 0
NOT C TO APPLICANT: If, 'after.mak this Certificate of ENGINEER NO DISTRICT - GROUP. TYPE FIRE t70CE ED BY
Exemption, you should become subject to the Workers' �'�` Q CONST.. ZONE r 1 aU
LU
Compensation provisions'of--the Labor Code, you must forth ADDRESS JY�r�
with comply with such provisions or this permit shall be" -• Z
deemed revoked. . TEL. STATISTICAL CLA SIFICATION APT. CONDO.
• CONTRACTOR No.
LICENSED CONTRACTORS DECLARATION LIC.- CLASS NO. DWELL. UNITS
hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC: -
Professions Code, and my license is.in full.force and effect. CITY CLASS BK VALIDATION
SQ. FL NO.,OF _ NO. OF CHECK
License Number Lic.-Class SIZE STORIES FAMILIES ONE
VALUATION Jai
Contractor Date, NEW
DESCRIPTION OF WOR / `/ ADD
$
n
1 am exempt under Sec. ALTER ,
B.&P.C. for this reasonREPAIR ❑ $ -
Date: USE OF DEMOL Q
EX45TING BLDG.
- APPLICANT TEL. FINAL
Signature PRINT
OWNER-BUILDER DECLARATION' ATE 7#
hereby affirm that I am exempt from the Contractor's License
Law for the following reason'.(Section 7031.5, Business and ADDRESS FINA
'Professions Code): PRESENT �Y rl
❑ BUILDING - - /
I, as owner of the property, or my employees with ADDRESS _.
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL:
I, as owner of the property, am exclusively contracting CONTRACTOR NO: c 5 6 3 7
' with licensed contractors to construct the project (Sec- "" A
tion 7044, Business and Professions Code).' ADDRESS :# 0 0 0 0 0
REQUIRED TOTAL SETBACK.FROM_ I T
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH y ,I o.1 061 3
1 hereby affirm that there is a construction lending agency for FInvestigation
the performance of the work for which this permit is issued "' o o �. 35
(Sec. 3097, Civ. C.). �,
0 4.1
M _. .. :I 01 4=86.
Lender's Name
LDMA Ref. #
6
_. _ - --•- -- '-- � Permit Fee -
Lender's Address
I certify that 1 have read this application and state that the Issuance Fee
LDMA P/C#
above information is correct. I agree to comply with all County eeordinances and to laws relating to building_construction, . .. . . Total Fee l/ !�r/ LDMA Perm. # -
v an er by aut or z e resentati es of this County to enter
e lb
- n d pro ty for inspec/tion pyrp?sT.
SEE REVERSE FOR EXPLANATORY LANGUAGE
SignatureCkAISPlicant or Agent ate- - - •- --• _ -. _ ..- __ .. - - - - -
I WORKERS' COMPENSATION DECLARATION
vT hereby affirm that I have certificate of consent to self APPLICATION FOR . BUILDING E RM I T
insure, or a certificate of Workers' Compensation Insurance, ,
or a certified copy thereof (Sec. 3800, Lab.°C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN INEARESSSTT.
UILDING
❑ DDRESS
❑ Certified copy is filed with the county,building inspec- BUILDING
tion department.` ADDRESS C"i 1 e/J
P
Date Applicant CITY �j �\ ZIP OCALITY TIC '
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS:-COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ROSZo,,74•
(This section need-not be completed if the permit is for one ASSESSOR
hundred.dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
r TEL.
OWNER vi%7 J'/�/%7 NO. USE NE MAP
certify that in the performance of the work for which this j NO. 3 y
permit is issued, I shall not employ any person in any manner ( SPECIAL -
so-as to become-subject to the Workers'Compensation Laws. ADDRESS / CONDITIONS �O
CITY �e j ZIP 99
Date — '^ Applicant � '
ARCHITECT OR TEL. DISTRICT G OUP TYPE FIRE PR ESSED BY O
NOTIC TO APPLICANT: If,' after makin this Certificate of CONST. ZONE
ENGINEER NO.
Exemption, you should become subject to the Workers' �/�(�// ,
Compensation provisions of the Labor Code, you must forth- ADDRESS SW V _�s 12.
with comply with such provisions or this permit shall be /J 3yi TEL. STATISTICAL CLASSIFICATION APT. IMONDO.
deemed revoked. CONTRACTOR Pp/ �fyJ j !/�f�'✓1 .NO
LICENSED CONTRACTORS DECLARATIONCL
�7 / LIC. ASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /J�9 I�oJ% NO., C'_T
(commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP
Profess ion_s'Code, and my license is in full force and effect. CITY G d l.4 r CLASS G, BK VALIDATION
SO. FT.-. NO. OF NO._OF CHECK
License Number��9 70� Lic.Class ` 319 SIZE STORIES FAMILIES / ONE
E VALUATION :.
Contractor Aloe 1,V,*05 r/leili- Date � —�2—s>7 DESCRIPTION OF WORK ['��OUG'/ /' NEW E]ADD $
r�. oil,❑ I am exempt under Sec. :r J
- ALTER
B.BP.C. for this reason i N %sC REPAIR_ $
USE OF
Date: EXISTING BLDG. DEMO! ❑ .b 7 8.:9 A
APPLICANT TEL.
Signature - � FINAL
OW DER DECLARATION PRINT) NO —D DATE �' '#,o.,o 0;0,0.1
I hereby affirm that Imam exempt from the Contractor's License > •
Law for the following reason (Section 7031.5, Business and ADDRESS FIN i 'r0.0
,o,o
B o•o 49,88
x
" Professions Code): PRESENT Y
o
BUILDING 49,8 8 U
❑ I, as owner of the property, or my employees with ADDRESS - l/
wages as their sole compensation,will do the work and T 4,t0-2-87-
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SETT BACKK YARD " HWY TOTAPROP.LINECK FRO WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. -
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
P.C. Fee$' Permit'Fee J-�- LDMA Ref, ii
Lender's Address _
> / (
certify that I have read this application and state that the Issuance Fee ( O i ) (/ LDMA P/C# oil,
Q above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to.building construction, Total Fee LDMA Perm. N - -
U and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
+ Silty a of Applicant or Agent Date _
1 -
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 0212110024
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 11386 LT: 1 BL: A SQ. FT STORIES TYPE 6244 GOLDEN WEST AV
STRUCTURE: VN TEMP CA 917801701
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5385-022-012 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/11/02 JK 06/09/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
AUYEUNG VINCENT W CO TR (626) 286-4645- 5,950 /.?z
//��Z � ,
6244 GOLDEN WEST AV /1 z
TEMP 917801701 FEES PAID DESCRIPTION OF WORK
T/O;INSTALL NEW COX PLYWOOD & NEW COMP SHINGLE;INSTALL NEW
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TORCHDOWN ROOF
APPLICANT: TEL. NO:
ASTROM ROOFING (213) 216-8218- AA BLDG PERMIT ISSUANCE 27.75
642 E 46TH ST AC STRONG MOTION RESID 5950.00 VAL 0.60 SPECIAL CONDITIONS:
LOS ANGELES D2 PERMIT W/O EN-HC 5950.00 VAL 149.40
TOTAL FEES 177.75
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ASTROM ROOFING (213) 216-8218-
642 E 46TH ST LIC. NO LOCATION AND SETBACKS
LOS ANGELES CA 90011 779011C39H
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153H269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508