HomeMy Public PortalAbout6258 GOLDEN WEST AVE_Building__ 76A64*'A CE#803 8.63 APPLICATION FOR BUILDING PERM T''
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRTN Oma/ GROUP T E P�2 Y
FOR APPLICANT TO FILL IN O (Q/ C NST. 6/
BUILDING M n y�' �(/I�F STATISTICAL CLAS IFICATION SEWER MAP
A RES$ �(, a /, l BK t.7¢G�;
QL CLASS. NO. DWELL. UNITS / J
CK O WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑
TRACT
.All� .4A11441 MAP�' / NO.OF BLDGS. NO& "V1011 ,� (� HIGHWAY
STATE MAJOR SECOND, OCA
SIZE OF LOT S.Y..�'D A NOW ON LOT USE; E SPECIAL
USE OF ,(j a CONDITIONS
EXISTING BLDG. /V� rr�� / R/ 4
OWNER NO.. ����' 'Ili
(SETBACK WIDTH
YARD HWY ST EET NAME
ADDRESS J auCi• FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS ,✓!
TEL. d
V
CONTRACTOR &'Z4 NO.
l(rt,J
ADDRESSad
DESCRIPTION OF WORK F"
a
NEW ADD ALTER REPAIR DEMOLISHhol
r g �+ Vf
SQ. FT. y(S NO. OF NO. OF a ',.- V "' z
SIZE y, STORIES FAMILIES +
USE OF e -^
STRUCTURE
SIGNATURE OF \ Y
� R
APPLICANT
If
VALUATION
APPROVALS PATE INSPECT I,
P C PMT ��) FOUNDATION: LOCATION �?
FE,E FEE FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS WJ
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 DOING THE WORK
AUTHORIZED HEREBY I 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.
SIGNATUREOF HOUSE NUMBER COR- -
PERMITTEE ol
RECT AND POSTED t
ADDRESS FINAL -110
JOHN F. LEWIS. PRINCIPAL SUCK.
RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH
USO 7 8 7 9 "*JAN 2 6 1 D 2 2.0 0- Q
7eAeaa* COWS,/-84 APPLICATION FOR BUILDIN PER
• COUNTY OF LOST ANGELES euILpING _
DEPARTWNT OF. CQV�� ENGIN1;fR ADDRESS
BUILDING AND SAFE"'Y DIVISION LOCAL]T Y <
JOHN A. LAM19IE•• CouNTv ENGINEER NEAREST
COLEMAN 14. JENKIN-S SUR'T.OF BUILDING CROSS STMOWNmomomp. ' ' .
DIATRI T O. GROUP T !E C SSED BY
FOR APPLICANT TO FILL IN c NST
BUILDING ETATIBTICAL LA98IFICATION SE ER MAP 7
ADDRESS CLASS NO.' DWELL UNITS BK r, Pa f
LOT NO.1 1 CK O UDE ZONR MAP
96
TRACT c SP CIAL
SIZE OF LOT ( /►� Xq. OF BLDG/. lll---
V /'S XOW OM LOT
USE OF 'n r
"IJITINa BLDG. AJC W BLD:. /[T■AC[ FROM I
T L L FROXT PROP. LII[ OF (STREET)
01/N R NO, s TYPE OF [RI/TING /F_TRAGR HI/HW>AY YARD TOTAL.
ADDRESS �Z C C.L. .
+
CITY /LD/. SETBACK 7ROLd
ARCHITECT OR TEL. SID[ PROP. LII[ OF STR[[T
ENGINEER NO.
TYPE OF [7!1.71X• /[T/ACK HISHWAY + YARD '= TOTAL
ADDRESS HI/HWAY WIDTH FROM C.L.
TEL. + = O
CONTRACTOR NO U
IC' CORNER CUTOFF YES NO OL
ADDRESS NO. O
CITY LA ItIt SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIP-T ON OF WORK AHD PARKWAY TREE
CL
Z
_
NEW ALTER REPAIR DEMOLISH
94 FT. �� NO. OF NO. OFN4061 P0111111111ft 4W uwb;
SIZE STORIES FAMILIES tfallfiiEoM�+ L. taken oAO of A D aP
proacb ii-
U3E OF � � Ifs/
STRUCTURE Office, or T,Q Co. EngIneer't Offlu Imm'sdiafely Irt order to
SIGNATURE OF U00 Pwn* bdu b"m ASCI. ply for parkwaytreeparroff et T.
APPLICANT !mty Kit
VALVATION$- d APPROVALS DATE II/F[CTOR'/SIGNATURE
P.C. s' PMT. Q d' FOUNDATION, LOCATION .
FEE pEg FO MATERIAL
FRAME, FIRE STOPS,
I Ht1tE7O [ O
Y ACKNWLIDOTHAT I HAVE RAD THIS APPLICATION BRACING BO T
AND ATATI,THAT THE ASOVF IG coRR[c-r AND AORQ TO COMIiLY FURNACE, LOCATION
WITH All. COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
•UILDI NO CONWIRUCTION. 1 CXFMFY THAT. IN DOING THE WORK _
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE
k-, O CODs OF THE STATE OF CALIFORNIA R[LAT-
]NO TO WORKMEN'S C�OMPPIEN T,ON INSURANCE. LATH. EXT. 4
SIGNATURE OF T (P H USE NUMBER COR-
PERM ITTEE LR
ADDRESS 6 Z" Fl N A L
JOHN
��F..�LEWIS. PRINCIPAL ST AL ENGINEER
rL.L1i�JL
PLAN CHECK VALIDATION CK. M.O. CASH _ 1 Vll.l IDATIO CK M.O. CAfH
X 0 3 9 91 APR 9 1 D 5.G 0, a
COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 970T LAS TUNAS ALTERATION/RLPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT ' TEMPLE CITY CA 91780 .BL 0508 -0011210037
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF COINST BUILDINGi
ON FILE SQ. FT STORIES TYPE 6258 GOLDEN WEST:AV
STRUCTURE: VN TEMP CA 917801701
NEAREST CROSS STREET: LONGDEN
5385-022-026 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 I SSUED LIN: PROCESSED BY: WIRES ON:
`EXIST OCC GRP: 11/21/00 UT 05/21/01
OWNERTEL. NO: BLDGS. NOW ON VALUATION: TI DATE FI By--- CODE:
HUANG�MEGAN (674) 447-8001- 1 4,900
6258 GOLDEN WEST i
TEMPLE CITY, CA FEES PAIT-- DESCRIPTION OF WORK
RESHEATH i REROOF HOUSE AND GARAGE, ELK 25YR COMP SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT:- TFIL. NO:
WM T NELSON ROOFING (626) 303-0524- AA BLDG PERMIT ISSUANCE 27.75
1325 E. RUDDOCK ST AC STRONG MOTION R 4900.00 VAL 0.50SPECIAL CMITIONS:
COVINA, CA 91729 D2 PERMIT Y/ .00 VAL 132.60
PNN;ELE O 160.85
CONTRACTOR: TEL-. 40: APP ROVAI S DATE INSPECTOR SlGkATLRE
WM T NELSON ROOF CONTRACTOR (626) 303-0324-
1325 E. RUDOOCK ST. LIC. NO LOCATION AND SETBACKS
COVINA, CA 91724 648085 C39
SOILS�ENGINEER APPROVAL
LIC. NO MAP NO: SEWER MAP BOOK: PAGE; FIRE MR INSULATION
111111SLABA�NDER FLOOR
153H269 3: TR U L C W( K S FLUUR IFATHING
. OF FAMILIES: DWELLING UNITS: :
NO 21 � � Z-!� •
O
AIR QUALITY: 1000 FEET MATERIALS 0 ❑
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACKFIRE EPRIg
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- `SQtVjC6 rnaINSUIXTI
SIDE PL-
TAT I EU--
EXTER6 LATH
v-
PATEDrWALL ASSEMBLIES
II
I
NGS
LOT TINAGE
REPORT ID: DPR261 ROUTE TO: BS0508 4
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