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Home My Public Portal About6330 GOLDEN WEST AVE_Building__ — 7— APPLICATION APPLICATION FOR BUILDING PERMIT COUNTY OF LbS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION ' FOR APPLICANT TO FLLL IN BUILDING ADDRE I hereby afffrm Uiaf I heoe a oerMDate of cor*ont to seff I sffe, BuR-DM ADORE3 O D , L or a Gwtfftcate of Hbrkers' Compenaation Ineuran e, or a cerfflWAVE e copy thereof(Seo.3800,Lab.C.) L� C jT zP � p LaY L C'Z CJ') 9 10 . POiiGy nY soLOT N0.OF BLDOS.NOW ON LOT ❑ Certified copy Is hereby fUmtehed. AX a NEAREST C`TOSS ST' 2ASSES80R SLOP( 6 FT NO. i—Ol Y J ❑ ke filed with the county br>Ildtnp IrFap9ctiorF 6 USE ZONE MAP NO. Dade_ APPI�t- {( •RhGE PAACFI 7 &O �} / SPECV,L COfZX IONS CERTIFK:ATE OF EXEMPTION FROM WORKERS' NO.A'rU COMPENSATION INSURANCE ^ WTHIN 1000 Fr.of SC4-,00L? a NO 89 ' (Thio eectltln need not be completed If the permit le for one burx[red t? C wAVE: DgTRICT GROUP TYPE CONST. FEE ZONE doftare ($ioo)Or lees.) I ow* that In the performance of theperm ft work for whloh thkr peR 0 y/51 7L le lsaumed, I shall not thamploy any pennon In any manner so as to ARCHITECT OR ENaI�l I TEL Na _ becoe aub)ect to e Workers'Comsatio penn Laws, ARCHITECT �� SWrkSTICk APT DO Date Applicant ADDRESS Cuss Na �DV�LLl1MTS NOPCE TO APPLK'AM -If, §iter makkV ffils C-erttf a of EXOT Exgrnptio you aloAd bgoome eubTEL.)ect •to the- Workers' CONTRACTOR TNO. B� �yY ��PRpaOP UNEACKP , YdDTH Compereation provisions of the Labor.Code, you must forttw lth O h e cony ryfth such provtalons or thle permit shallm be deemed revoked. ADORESS �N0. PFRofr7 LICENSED CONTRACTORS DECLARATIONSEE CITY LIC.CLASS P L I hereby affirm that I am nceneed underprwbbne of Chapter 8 3EWFJ3 MAP (conrner>Ck>Q with Section 7000)of DlvkskxJ 3 of the Badness and SQ Fr.stZE No.ofsTORee No.of ES NEW El BI( PIG , ProfesNons Code,and my liense cis In full fore and effect License Number Lb.Clava DEsCFWTION OF WORK ADD ® NRLUA" Q Contractor Date .4 o ALTER ❑ �� ' D� ♦O (� ❑ I am exempt under Sec. REPAIR ❑ B.flP.C.for this reason DEMOL,' ElLDMA P/C Date: USE OF EXt8llN0 BLDG URM ❑ ACCT. a Signature APPLICANT(P�(T) TEL Law Perm� ACCT•T ' ❑ I, as owner of the property, (YA' en nployees wRh wages as 1 AY —30 yid z their soie cornpeneation, wAt do the work and.the structure is ADDRESS SOS .50 1 not Intended or offered for ease (Section 7044, Budneee and FINAL DATE 1 Code.) Y L 7FE APRJr,4ff OR RMJFE RADNO ODM"Xr WARE A FVZAFCOUE LWTFP.L I ae owner of the property, am exckJslvefy oontractfnp wrtthoR A wcrue ,KkZAFDOUa 6MM2F,L EQUAL To OR CRFATBj THAN THE [7f C .r .wotlrrTa eF4 ON TFE FuzARooLreNVIERALS rr-oM&MM cxJICE2 k3aeneed.oontracfors to construct the pmol (Section 7044, FINAL BY i y i. � DAtneaa end Profeesione Code.) Ym❑ No E] _ 14] 12 1 (&L TFE NTENDEJ USE OP THE AfYM B/ TF-E APPUCAKT OR RnIPE BULDNQ CCCLf REQIF A P 417 POR CCWTFKJCT"OR,IODFIG�FROM TFE 8CUTH CONSTRUCTION LENDING AGENCY COMT AP QUAUTY MrxAoaEJT LWIFWI (W.Acw SEE F8INTTMi C-EoareT FOR narrow.Ee I hereby effb i, thud there.le a cor>sh'o lendlnp aperxy for vea❑ No❑ n the performarne of the work for which this permft Is tesued(Sec. o I FW�E FEAR TFf FFAZAFnOUe LL4ERAL8�FOHL4gN eLpF?MO THEeCAUD PEAtfTTNO a 3087,Cfv.C.) a ?'11-a7 i urr�souo MY FeouAoorra o rFE LOB woe Es con Hry CODE— j I " Lender's Name MaF�La�F a AND Paoevr�A PEMT�TFE CONCEFPdW g Lenders Address TuT� 1 1 T C I owft that I t,a,e read thio appOcaflon and state under pw164 j CI-EC1K 171.85 5 d Z perfury that the abo,e knfonnatbr,1:B corned.I agree obrtPlY P.C.FEF D LSD PEFMT FEE GMT T .r ! xi with all county ordnencee and Stade Iswe relallnp lo buldlnq V conatiction, and hereby auhoftze repreeerrtativee of thla County I88LLAACE FEE b the above-merruoned for k7Fepection rxapoeea. 07!i•7'"�/ ,�1V NVESTT0ATKA ETF To-w FEE / / s, �CL _10J0m 1 11/ -7/?4 1 [� c SEE REVERSE FOR EXPLANATORY LANGUAGE r COUYlY OF LOS ANGELES T'EFa)LE CITY / 0508 B=IM PERM= DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPA33L BUIIDINO AND 9?.FSTY / LAND DEVELOPM�T TEMPLE CITY CA 91780 BL 0508 0709050019 PHONE: (626) 285-0488 EST: LEGAL ID: NO. OF CONST BUILDIMO ADDRESS: ON F= SQ. FT STORSFiB TYPE 6330 GOLDEN WfiST AV STRUCTURE: 19 VN TEMP CA 917801420 ASSE9SOR INFORMATION NUMBER, NEAREST CROSS 9TRE T: LOMMEN 5383-020-030 THO49AS PMS: 597 GRID: Al LDC2%.=: TEMPLE CIT7, C T2VUilT: EXIST BLDG USE: REBID USE ZONE: R-1 IS= ON: PROCESSED BY: EXPIRES ON: E}= OCC GRP: 09/05/07 9R 03/03/06 OMNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FICODfi: LIU HAI-=j AI-HSIANG 9 (626) 309-9830- 5,600 6330 GOLDEN WEST AV TEMP 917801420 FE .9 PAID ON F WORK TEAIj OFF RE-ROOF HOUSE 4 GARAGE 1UTZkLL OSB PLYWOOD 30 YEAR FRE -DESCRIPTION: QUANTITY: UOM: AMOIINT: COMTp09IfiION SHINGLES. INSTALL MODIFIED FLAT ROOF AREA APPLICANT: TEL. NO: SUNSHIM ROOFING (626) 581-7088- AA BLDG PERMIT ISSUANCE 27.75 510 N. DIAMIONG BLVD. AC STRUM MOTION RESID 5600.00 VAL 0.56 SPECIAL COKD=ON9: DIAMONG BAR CA 91765 D2 PERMIT W/O EN-HC 5600.00 VAL 149.40 TOTAL FEES 177.71 CONTRACTOR: TEL. 190: APPrVAL9 DATE INSPECTOR SIGNATURE SUNS 0:11E ROOFING (626) 581-7688- 516 N. DIAMOND BAR BLVD. LIC. 190 LOCATION AND SZ'rBACXS DIAMOND BAR CA 91765 755126 90II9 ENGINEER APPROVAL ARCHITECT OR ENGIN: TSL. NO: FOU DATION TRSNQI FORM LIC. 190: SLAB/UNDER FLOOR i RAISED FLOOR FRAMING MAP NO: SEWER FAP BOOL: PAGE: FIRE ZONE: CNP: UND R INSOLATION 153H269 3 01 FLOOR 9HEATHIPG NO. OF FAMILIM9: DMi�Ia UNITS: APT GOND: STAT CLASS: NO 21 ROOF SFDULTHING / SCHOOL WITHIN HAZARDOUS SHEAR PA1031S AIR QUALITY: 1000 FEST MATSILIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPQTNa Ro HANGERS SET BACK YARD: HW7: PROP T.IIiE: WIDTH: FRONT PL- INSULATION STRIP 92DIi PL- OR LATH DRYKALL FM'fERTOR LATH RATED FLOG CEIL ASSEM. RATED WALL AS9gDr IEmS RATA SHAFTS OPENINGS T-BAR CEILINGS LCYf,,DRkniAGE REPORT ID: DPR261 RO= TO: 1390508 COU= OF IAS ANGF-7, TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAF TY / LAND DEVELOPMENT TE2GLR CITY CA 91780 BL 0508 1202130017 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6330 GOLDEN WEST AV STRUCTURE: 193 1 V-B. U TENfP CA 917801420 ASSESSOR INFORMATION NDMBER: GARAGE: NEAREST CROSS STREET: LA'N®EN 5383-020-030 OTHER: THOMAS PAGE: 597 GRID: Al LOCALITY: TE[GLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: F'rT T OCC GBP: 02/13/12 SR OWNER: TEL. NO: BLDGS. NOW ON LAT: VALUATION: FINAL LATEF Y: CODE: LID HA2-=;AI-HSIANG S (626) 309-9830- 7,500 6330 GOLDEN WEST AV 1 TEMP 917801420 FEES PAID DESCRIPTION OF WORK LEGALIZE EXISTING WORKSHOP ATLAC7-ISD WITH EXISTING DPTACHED FEE DESCRIPTION: QUANTITY: UOM: AMCCNi': TWO CAR GARAGE APPLICANT: TEL. NO: SAME A9 OWNER - AA BLDG PERMIT I99CANCE 27.80 AS STATE GREEN BLDG FRE 7500.00 VAL 1.00 SPECIAL CONDITIONS: AC STRONG MOTION RESID 7500.00 VAL 0.80 COVB2UdW RECORDED Al BUILDING REVTRW FEE 54.70 D2 PERMIT W/O EN-HC 7500.00 VAL 183.40 CONTRACTOR: TSI,. NO: TOTAL FEES 267.70 APPRQVAL9 DATE INSPECTOR SIGNATURE SAME A3 OWNER - LIC. NO LOCATION AND SETBACKS S032A ENGINEER APPROVAL ARCHITECT OR ENGINERR: TFL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR HASSID FLOOR FRANf2200 MAP 190: SEWER. MAP BOOL: PAGE: FIRS SONE: CI)- LII7DERYLAOR INSULATION �- 3 00 13T LEVEL FLOOR SHEATH NO. OF FANILIE.S: SING UMTS: APT GOND: STAT CLASS: 0 NO 21 21RD LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS" ROOF SHEATBTDG ASR QUALITY: 1000 FEET MATERIALS NO NO NO FIRS DEPT. FRAME INSPECT BLDG DEPT. FRAME INSPECT SHEAR PANELS INSULATION/WETHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATH LAT DRAJNAGE SMOKE DETECTION DEVICES FIRE DEPARTKENT APPROVAL REPORT ID: DPR261 ROUTE TO: 1390508