HomeMy Public PortalAbout6267 GOLDEN WEST AVE_Building__ 76A63BA C APPLICATION FOR BUILDI G PER T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A D D R E S ( Z 6
BUILDING AND SAFETY DIVISION LOCALI r
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST.
DISTRI NO GRO TYPE O Y
FOR APPLICANT TO FILL IN CONST.
BUILDING J0) STATISTICAL C SSIFICATION SEWER MAP
ADDRESS 6 Z 6 A aa ((/' SS NO.STATISTICAL
ELL UNITS BK P
ADN"0. ��O F G'' i ALO E ZONE MA NO.
TRACT -- SPECIAL ,� » �l -
_ � CONDITIONS / C v
NO OF
SLOGS.
SIZE OF LOT NOW ON LOT l' !�C^
USE OF ` �^ lC
XIST,E NG BLDG, BLDG. SETBAC FROM /
�^f. FRONT PROP. L NE OF (STREET)
OWNER !/Y p TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS Ol y � H GHW Y M C.L.
d `- ' --+ 2p = ZO
CITY LDG. 9 BACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO. _
TYPE OF EXISTING SETDACK HIGHWAY + YARD — TOTAL }
ADDRESS SR'7L �j Q HIGHWAY WIDTH FROM C.L. a
CONTRACTOR 'MMOL / /�J + = O
LIC (y CORNER CUTOFF YES NO
ADDRESS 42 ? % NO / O
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w
d
DESCR PTION OF WORK UURB, GUTTER, DRIVEWAY APPROACH, Z
NEW ADD ALTER REPAIR DEMOLISH `
SQ,FT. [✓ NO. OF NO. OF N
SIZE STORIES FAMILIES
erml s for cur6, art'er,
:n-) drivcwa' a toe
USE OF a fio. . , ,.,.c
STRUCTURE oP a try(
e, or C. Cc. Ln._ e�:r': .,I in order
ourvcy f5!--. tune and is no} sfar}ed
SIGNATURE OF n e as been is
APPLICANT CI} a r
VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION, LOCATION
F E$ FEE$ FORMS, MATERIALS !/f=
FRAME, FIRE STOPS, - I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS f
SUILDI NG 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 gWII SURA NCE.. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL Ile -
JOHN F. LEWIS. PRINCIPAL ST �RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
7 1 D
76A63BA CE #603 1/71
APPLICATION FOR BUILDING PERM
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, •UP•T OF BUILDING LOCALITY
R APPLICANT TO FILL IN NEAREST
(PrInt or type ;4) CROSS ST.
ABUILDING DDRESS � LI 7 DRICOT N GR I PE P �EgDD By_
ONS T. C/ !/(//•`�
_ /^ STATISTICAL CLASSIFICATION SEWER MAP
LOT NO.� b U C CLASS NO. f DWELL,UNITS BK
TRACT — USE ZONE MAP
NO.OF BLDG-S. NO.
SIZE OF LOT ,y NOW ON LOT SPECIAL
USE OF _jrc�__ CONDITIONS
EXISTING BLDG.
TEL
OWNER NO.OZ BLDG.SETBACK FROM
ADDRESS - FRONT PROP.LINE OF (STREET)
TYPE OF EXISTINa SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WID FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER NO. BLDG.SETBACK FR
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. C L' '/ TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL
CONTRACTOR NO. Q 4'A x-77 HIGHWAY WIDTH FROM C.L
ADDRESS '�7 NO. ! + = p
CITY C.
CLASS / CORNER CUTOFF YES ❑ NO ❑ tF'
N��AND BRANCENDER
HH 7 SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE ALTER ❑
d—
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
II VALUATION S LT v APPROVALS DATE INSPECTOR'S SbNATORI
P.C. PMT. FOUNDATION[ LOCATION t
FEE S FEE S o-� FORMS MATERIALS (-
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRAC[NO BOLTS
AHD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACEt LOCATION,
W-ITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CIRTI FY THAT IN DOING THEWORK AUTHORIZED
'HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
BOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
ORKMEN'S COMPENSATION INSURANCE, LATH, EXT.
SIGNATURE OF hn- ,may HOUSE NUMBER CC>R-
PERMITTEE —Li RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPA STRURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CATH _ PERMIT VALIDA N, CK. M.O. CASH
LAL�o3002R3 M 1 D 9.00N
COUNTY OF LOS ANGELES TEMPLE CITY aR 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATIONAEPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0504130012
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF COKST BUILDING
ON FILE SQ. FT STORIES TYPE 6267 GOLDWEST:
EN AV
STRUCTURE: VN TEMP CA 917801705
ASSENOR INFORMATION NUMBER: NEAREST CROSS STREET:
5385-021-007 THOMAS PAGE: 597 03RID: A2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: Ktbiu USE PROCESSEDEXPIRES ON:
EXIST OCC GRP: ZONE: - 04/13/05 JK � 04/08/06
OWNER: TEL. NO: RM. NiOW ON LOT: VALUATION: FI DATE FINAL Y:
LaZARO CARMEN
6267 GOLDEN WEST AV 15,000 . L / CODE:
TEMP 917BO1705 FEES PAID ON OF WURK °
EXIST GARAGE REPAIR FROM STORM DAMAGE
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: L04: AMOUNT:
OILEARY (626) 287-0977— AA BLDG PERMIT ISSUANCE 27.75
5873 AGNES AVE AC STRONG NOTION RESID 15000.00 VAL 1.50 SPECIAL CONDITIONS:
TEMPLE CITY CA 91700 D2 PERMIT W/O EN—HC 15000.00 VAL 300.60
TOTAL FEES 329.85
CONTRACTOR: TEL. NO: APPROVAL$ DATE INSPECTOR SIGKATORE—
OILEARY THOMAS (626) 287-0927-
5873 i4ES LIC. NO LOCATION AND SETBACK$
TEMPLE CITY, CA 91780 4893546
SOILS ENGIREER–APPROW-
LIC. N0: SLABAINDER FLOOR
RAISM FLOOR FRAMING
W NO: SEM MAP BOOK: PAGE: FIRE ZONE: CHP: UNDERFLOOR7990DUTW—
XX 3 01
. Of FAMILIES: DWELLING UNITS: APT/CORD: STAT CLASS:
NO 21
sc SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PLINSULATIORI'WEATHER STRIP
—
SIDE PL—
REPORT ID: DPR261 ROUTE TO: BS0508