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Home My Public Portal About6251 GOLDEN WEST AVE_Building__ AOPLICATION FOR` BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) L1 BUILDING COUNTY OF LOS ANGELES ADDRESS" DEPARTMENT OF COUNTY ENGINEER CITY ZIP G' BUII.DING AND SAFETY IVMION NO.OF BLDGS. r- BUILDING �I SIZE LOTJO NOW ON LOT ADDRESS / ' ! TR:4C; BLOCK - LOT NO LOCALITY 11110,711, TEL. NEAREST OWNS NO. i CROSS ST. ASSESSOR ADDRESS 4 ,7k A� MAP BOOK PAGE ARCEL 1 DISTRICT gROUP TYPE FIRE PR Y CIT ZIP CONST. ZON ARCHIT T R EL .Q ENGINE R NO. STATISTI, kSSIFIC77TION SEWERMA ADDRESS CLASS NO1=9�DWELL.UNITS �K G TEL. CONTRACTOR NO, USE ZONE MAP LIC. NO ADDRESS NO. 7/ SPECIAL LIC. CONDI TIONS CITY CL.A SS ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH o Y, p BLDG.S BACK FROM FRONT ROP.LI NE OF' (STREET) 8 ADDFi ES CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT& NO. OF - NO. OF CHECK HIGHW } YARD - FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW DD BLDG. TBACK FROM (STREET) SIDE PR INEOF LTER ❑ HIGHWAY } YARD = TYPE OF EXISTING EPAIR❑ BIDE PROP. LINE AY WIDTH USE EMOL ❑ + EXISTITI NG BLDG. APPLICANT TEL �,y+l CORNER CUTOFF- YES ❑ NO E] (PRINT) J 7 T. IN OPEN SPACE YES ❑ NO ISY (SIGNATURE .1 - t IN COASTAL ZONE YES NO VALUATION )' �z - CATEGORICAL EXEMPTION YES[] NO I HEREBY ACKNOWLEDGE THAT I HAYE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY IMPACT E1(EMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING ■UILDING CON- STRUCTION. I CSR TIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROOFS DED (DATE) ea HEREBY I WILL NOT EMPLOY ANY PERSON IN VIO LJ,TION OF THE WORKLABORMENO5 CO MPENSAT ON INDURA OF THE STATE 01 CALIFORNIA IN RELATING TO 7 -3_�J ;3 �I j,.��C 1`D/ r SIGNATURE OF ✓��[!� ''r�� T.e�}' -► PERMITTEE ADDRESS TEL FINAL BY in CITY NO. DATEk /( MAKE C ECKS YABLE TO: FEE $ FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. w.0. CASH _ PERMIT VALIDATION CK. M.O. CASH i 2 6 3 N JUN 3 1 2 8.5 0 A�36 70A83DA CE#803 7/721 `�� lSAS3�'A CE GSOD 4/72 TePuc /�, APPLICATION FOR BU LDING PERMIT Is, I COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP B09K PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �Z�I �bl j-jj - 1 MAKE' CHECKS PAYABLE TO: ADDRESS LJ�J�� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY APPLICANTFOR TO FlIL INTFRONT ST i ST. BUILDING ICT 1jQ GROUP TYPE PR ED BY O S -+F- CONSTADDRESS CU��ii/��ISTICAL CLASSIFICATION SEWER MAP LOT NO. L[1 BLOCKSS NO.?� �.. DWELL,UNIT9 BK PGTRACT ONE MASIZEOFLOTNOW ON LOTg SPECIAALUSE OF CONDITIONS EXISTING BLDG.OWNER .SETBACK FROM ADDRESS T PROP.LINE OF (STREET) F EXIST) SETBACK HIGHWAY + YARD = TOTAL CITY WIDTH FROM C.L. ARCHITE T OR TEL. +ENGINEER NO. L .SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) p TE TYPE OF EXIBTIMG 8L'TBACK HIGHWAY + YARD = TOTAL CC CONTRACTOR NO. � HIGHWAY WIDTH FROM C.L. ADDRESS ■ NO + - C. CITY C ISL A CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAA_ AND BRANCH SEE REVERSE SIDE FOR SPE L APf ROVALS ADDRESS SO. FTcz��iOAO. OF ( NO. OF 7 L SIZE STORIES FAMILIES 1 NEW ❑ r USE OF ADD Y STRUCTURE ALTER ❑ REPAIR ❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATIONS V APPROVALS DATE INe CTOR'• S�IIINA TO R[ P.C. PMT, FOUNDATION: LOCATION FEE f FEE f FORAtS MATERIALS FRAME: FIPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGRE BOLSTOTS AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS R[ EATING BUILDING CON- LGAS VENT DUCTS GTRUC TION. I CERTIFY T IN D01 TH[ 311 AUTHORI D HERESY I WILL NOT [MP ANY P 11 IN ON F [ THINT.LA5011 COD F TH[ OF IFORNIA [ TD WORKMEN'S GATT UR LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL ��+p�� tf RTS PLAN CH= VALIDATION CK. M.O. CA1H _ PERMIT •AWL/ � CI(. M.O. —H j ;o9 4. 6 24 �OCT26 1 D 3 5.25r r TT - T T TMENT OF BUILDING AND SAFETY APPLICATION FOR PII4bffT COUNTY OF LOS ANGELES WMAR 619 4-6 V I L D I N G M. J. FOX. OHI[F ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY OUILDINO DI/TRIOT NO. PLAN 13K. NO. PERMIT NCO. ADDREOa 6 G g Q O / (o o 6 & Y LOCALITY // EIVED 0Y DATE OF//ADPL- DAT[ISWU/KD N EARI!!T o f r� OUILDINO CWN[R ADDREM e MAIL C1 LODALITY ADDRESS NEAREST IT, / �}�(� OROSA BT. ClITY J, V FIRE NO.OF ORO AROHIT[OT Rte. _ TEL ZONE PLAN19 NO. O LD O. / ORD.NO. ADOREAM BETEA3K LIN[ I f rV APPROV M L. CONRACTOR ` I I N TO. BY DAT[ UBE APPROVED ADPIR EJ00 ZONE ■Y DAT[ DDORIPTION LC+NO. / ■L O�7K-' `�. CORRECTIONS � TRA�/�Y.0 CJ''�Z--L�.(J�(/�I"C� �-FJc:Z� Ct•.� I r � � r NO.OF■LDOS. SIZE OF NOW ON LCT � USI OF NO O NO . LD DESCRIPTION OF WORK HEW ALTIRATIOH ADDITION 0 I REPAIR MOVING D[MOL10H G f Sq.FT. NO.OF 01ZE ROD M■ 1 STORI[B / WALL ROOF OOVERING OCV[RIN -�}�.ri..e U0E OF NEW BUILD O. P q d-0 I " F 3 L� I HEREBY AOKNDWL[DO[ THAT I HAVE READ THIO APPROVALS _ APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION IN OTOR DAT[ AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALO _c/ AND 6TATE LAWS R[OULATINO BUILDING `7'-17 CONSTRUCTION. /// IFRAMKi FIRE ISTOPS, r � ,�/P ti ■IOHATURI OF ■RACING,BOLTS fJ OWNER I{ � LATH,INTI I AUTHORIZED AOT. LATH,[7(T.1 R Q* PLASTER. INT. 9 F� PL::M EXT. VALUATIDN Fi! *, Z FINAL �ooN SATIgN DEC ARATtoN _ T ° �it�at' W ° Ce' Come ns °°�'' r ce, APPLICATION FOR BUILDING PERMIT Insu� Qr a cera a of YNork'ers'Compensation Insurance, or a certified copy thereof (Seca 3800, L . G) J COUNTY OF LOS ANGELES BUILDING AND SAFETY J?ol Icy No. _Company E'., Certified copy is hereby furnished. FOR APPLICANT TO FILL 1I�1_ MataAg Certifled copy Is filed with the county building Irspec- BUILDLNG r tion deparhTwnt. : AL)DRf55 Dat• AppltcarTt r , Z1P 10 ALM C ERTTFIC4TE OF DCEMPTJON FROM NO.OF NN 0011APETJSATION INSURANg SIZE OF LOT if .3 NOW(XJ LC7T ST. (This stolon need not be completed if the permtt is for one ASSESSOR hundred dollars (;100)or las.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCH I certify that In the performance of the work for which this CYM MER `��oZ�6 USE ZOW NO permit is*ued, I shall not employ any person In any manner ADDRESS i 1 �F(XJS to as to become subject fo the W s.Compensation LawUUU Date I/`L3 7 App]Ica ❑7YARCFUTG: NOT}CE TO-APPUCANT: if, after making is cote of d NO. doowDisrRla TYPE ZOFffNE BY Exemption, you should become subject to,the. Workers ( ZO►E Compensatlon provisions of the Labor Code, you must forifr ADO v14 with comply with such provision or this permit shall be TEL. EUTtSTFU1 QI351FKJTION AFT. N deem»d rwoked. CON RACTOR NOCLASS No: Dwt3l ur„Ts z UCODVTRACTORs DECLARATION :Lr — I hereby affirm that I am licensed under provblons of Chapter 9- ADDS NO. mS1 K� (comencing wtth Sedlon Division of Dfvon 3 of the Business and Profession Code, and my license Is In full foto and effect. CITY CLASS � � '1� VALDAMN SQ.Fr,s X a O NO.OF NO.of CHECK License Number Lic.Class, Sta STORES F ONE Contractor Date DFSCRJPTK)f4 OF WORK NEW � Q� ❑I am exempt finder sec ADD ALTER , 8 4 5.1 A B.&P.C. for this reason REMR S.. # • o,o o,o _1 Date: LM OF MSTW,WDG. DE#AOL Signature FII�IAL AWLICAW TEL. c 6 a 6 3 - OWNER43uILDER DECLARAnoN >_ s - DATE `� • 6 a 6 3 1 hereby affirm that I am exempt from the Contractors Llcerse - Law for the following reason (section 7031.5, Business and ADDRESS -1.3o,-87 DDRESS Professiors Code) IILDI I� '1.3 Q,-8 7 F] I, as owner of the operty, or'my employees with ADDRESS NG wages as their sole compensation,will do the work and the struduro Is not Intended or offered for solo(section LAY '7044, BusJness and Professions Code MOVING TEL I, as owner of the property,am exclusively contracting CONTRACTOIZ NO. wtth licensed contractors to corstrud the projeFt (Sec- ADDRESS tion 7044, Business and Professions Code CONSTRUCTION LENDING AGENCY rMaM YARD Fi1Ar1 AL PROP. LR•E TH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P (Sec. 3097, Ov. C.} SIDE P.L. Lenders Name" 8 P.C.Fee S Permit Fee LLAAA Ref. #Lender's Address //''''�� ` I certhat I have.read this application and stab that the I Fee 0'J LD+AW P/C tify above Information is correct. I agree to comply with all County Invest%p3tion Fee ordinances and Slate flaws relating to building construction, Torsi fee LDVMA Penn. # and hereby authorize representatives of this County to enter •above menti property for Inspection purposes + —-IS ft QVl 111 Mt IMANATOWY LAMOALAOi of Apps or Agem Dcft 1 COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0503040020 PHONE: (626) 285-0488 EXT: LEGAL ID: MO. OF COKST BUIDING ON FILE SO. FT STORIES TYPE 6251 GOLDEN WEST:AV STRUCTURE: 1800 VN TEMP CA 917801705 NEAREST CROSS STREET: LONGDEN 5385-021-010 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: 2 ISSM ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: - 03/0{/05 JK 02/27/06 BARBERA ROBERT J;BERNICE P (626) 824-3819- 3,500 745 SIERRA MADRE BL SMAR 911081439 T/0 AND REROOF WITH 1/2' CDX PLYWOOD COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: LION: AMOUNT: FRONT HOUSE. APPLICANT: TEL. NO. SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 3500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 3500.00 VAL 115.80 FR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 401.05 i SAME AS (AMER - LIC. NO LOQT ARCHITECT OR ENGINEER: TEL. NO: FOlACATIoN7TWMfMT-RRW- LIC. NO: SLA973DER FLOOR RAISED FLOOR FORT99 MAP NO: SEWER KAP BOOK: I . : UffM FLOOR INSULATION 153H269 301 FLS UEATHING No 21 roffFSHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANns AIR QUALITY: 1000 FEET MATERIALS NO NO *0 TOW INSPECTION REQUIRED T 00T FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SIDE PL- REPORT ID: DPR261 ROUTE TO: BS0508