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HomeMy Public PortalAbout6340 GOLDEN WEST AVE_Building__ M, 76A858A CE#8092/80 APPLICATION FOR BUILDING PERMIT,, COUNTY OF LOS ANGELES noDRess DEPARTMENT OF COUNTY ENGINEER A , BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST - y WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. .l DISTRICT NO. GROUP TYp PR CESSED BY FOR APPLICANT TO FILL IN G p coNST. I BUILDING STATISTICAL CLASSIFICATION I ER MAP ADDRESS �3 4Q G OZ&V/ �1��5 T BK PG +, "tn ! 7 n/W /-3n' CLASS.NO. DWELL.UNITS -7 Cl LOT NO.(e T BLOCK /`I MAp ,y STATE YES NO NUMBER /(� U HWY. TRACT,)gNr�/q��ilV�T+/I G/ND Geo USE ZONE SPECIAL [ SIZE OF LOT J, �/' /3 Q I NO.OF BLDGS. �±'-y I CONDITIONS ! ��' / ✓ NOW ON LOT j USE OF EXISTINGBLDG.,liy��L/o BUILDING YARD HWY R EZNAME EXIST. TEL SETBACK WIDTH OWNER �� i `} G 7", ,�. NO. FRONT ADDRESS Z'3 J(J �`D �j� �/j�f..` / SIDE ARCHITECT OR TEL. P•L. ENGINEER NO. INSPECTION RECORD ADDRESS f� '` TEL. J•i�? ', _„, CONTRACTOR j' � �,Q.G+�S Z�y NO.Cj, _r !• O ADDRESS<'�/S� f' �,ATj/✓/15 .S/7'f� ri/� i ` V DESCRIPTION OF WORK GM Oa NEW 1 ` ADD ALTER REPAIR DEMOLISH T. NO.OF ) NO.OF S. •',1FAMILIES t - , STORIES / F MILIES USEO /r/`/ 4A1 t w STRUCTURE 4.' +� SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FEE F� I FEE PMT. .— FO FORMS, MATERIAL FEE LOCATION $ -- FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION 4AWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF ,, ,,/ 7HOUSE NUMBER COR- PERMITTEE - - -� ''A� �� RECT AND POSTED ADDRESS FINAL /'� - T/7- CLYDE N. DIRLAM, PRINCIPAL ST CTI�RAL ENGINEER PLAN CHECK VALIDATION ( cls// M.O. CASH PERMIT VALIDATION aK./J M.O. CASH L 34 ? . . .'t I ���u 3 3.0 0 -U ®P 7 AA688ACE#8082/60 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALI JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. Q��`-✓ D]STRICT NO. GFWRP TYPE PR CESSED BY FOR APPLICANT TO FILL IN Q CONST. BUILDING STATISTICAL CLASSIFICATION _ r SEWER MAP ADDRESS ��.) l=Ln� �'' -'°' CLASS.NQ2,-3DWELL.UNITS '� BK PG LOT NO. BLOCK/ i� BLOCK �� MAP STATE YES NO 4 l NUMBER Q HWY. TRACT J/W fA 17 Jl JA 19 A/[7 40 USE ZONE SPECIAL SIZE OF LOT J-2-,l NO NO.OFON BLDGS. / �_� / CONDITIONS C I W USE OF LOT EXISTING BLDG. BUILDING EXIST. J� / TEL. SETBACK YARD HWY STREET NAME WIDTH OWNER.L-� G,•- ( v NO. FRONT r'1 P.L. �+ ADDRESS .SIDE ARCHITECT OR TEL. —P.L• ENGINEER NO. INSPECTION RECORD ADDRESS CONTRACTO - . ,ovw. L),jL)g'X, NO.2- W 0 ADDRESS i-e/SG DESCRIPTION OF WORK �J a NEW ADD ALTER/'- REPAIR DEMOLISH 2 l "' X TING ! SQ.FT. ...r �'_J. NO.OF NO.OF' M� x-10 UJ• D���� L If Pa SIZE STORIES FAMILI S USE OF STRUCTURE _ j SIGNATURE OF, _ /�c .� f// APPLICANT 71; it/ '/ ' !" fl VALUATI J� ._► I APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $` FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMfIENSATION.JLAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTE / _411 RECT AND POSTED ADDRESS FINAL -- �'€ CLYDE N. DIRLAM, PRINCIPAL STR FIJRAL ENGINE R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 3473 " -7 _ u 3... �. �u ' _� WORKERS'COMPENSATION bKLARATION I }&reby affirm that I hoe a certificate.of consent'to self f-ORW Inure, or q tertlflcate of Workers' Comp*nsatloh Insurance, AP`PCICATION ILDTNG PERMITor a certlfiidcopy,thereof (Sac: 3800;1a . GQUNTY OF COfANGELES BUILDING AND SAFETY policy No _Company Certtfted copy is.hereby furnished. FOR PPLICANT TO FILL IN ADDRESS . Dopy L filed with,the un buIldlPig Inapec- 'BUItDINC3 +tion departm 1. ADDRESS c�5 1-- Ci 2 Appll4artt * CITY ZIP LOCALMY TE Of. XFAAPTI FROM WORKER$' NQ.OF-BLDG&- N A,RST." COMPENSATION INSURANCE _ SIZE Of LOT NOW ST. (Thls�sectlon nand not-be Cont land if the-permit Is for on ASSESSOR hundred dollars (=100)orless j BLOtK Lot No. BOOK PIK3E - P T� tja L.c4atlfy that ln•the performanQR of the woFk-for which this • permit Is Issued, 10hall noi.employ any Par}o4 Jn any manner 0 �a l.•�rS-T� to as to become wblift to the Worker Mn nsatlbn Laws. ..' CONDM066 Data —. 114an1 C7Tr' P .NOTICE'TO APPLICC�/�ff�•.ff,"after'makIN�this'CertHicate of ARCJ IDECT OR DISTRICT CONST Z BY fxemptton, yoo shoujd' bec'o" ■pblecf. fo-the Workers CompahsgtONk Ion provlsforis of the Loabor-tode, you must forth- ' ADDRESS. with comply with such,prpvtsions or this permit sboR be deemed revoked. CONTRACTOR / ��7 V /VL�w/ �j STAIISTK'AL CLA.SSRCATK)N AAT. LICENSED OONTRAC.'TORS DECLARATION CLASS NG. DWELL UNITS I hereby affirm that I am IIEertsed undgc provisions of Chapter 9 ADDRESS k ��T7b. C.FI 7 oornrrfencJng wMh Section 7C9Q0)of'Dlvislob 3 of th»&Wness and lIG /r SSR MAF ofasalonr CCoodee, and my license h in full force and effect. C17y - -V N CLASS {_ II ��ll VALIDATION Pf NO.OF' NO,OF CHEOC BK" �— Lice mbar Uc CI '' SIZE` STORIES LEES OPE . ✓ VALUATION- Cion Date d�WORK- � . . _ ADD v DL am exempf under Sac, CC _ ALTER B.dP.C:. for this reason REPAIR USE OF Dare' DUSTING BLDG. DEhrtOl _ Signiawre APPUCANT .. _ RNAL ER-BUIL�R DECLARATION INT 3J0 -O- I.h/riby affirm that 1 dm exempt from the.C.ontralctcr's1Jcense ADDRM. 3 9,Q'3 2 A • taw for.thra foilowing reaaon,'($ectian 7031,3, Business and' , pt'ofesflons todw); _ ;.._ I, as owner of the property,'or my employees with BUS' t # o`o wages as their sola tom-pensatlon,will do tha*6rk and 4 016 &738 • thra atrixture b Rot Int6rK4ed or pff>ted for snip(Section ' 7044, Business and Profemlgns Code). AtiblhtlO ( T9, ' I, as'oWner of that am axclysivel controc•tin �" �'} prppa?<tK; r 9 o 0 6 8 7.3 8 6 =. {—J with Ikarised contractors to c4MtrVct the project (Sec- ton 7044 Bosh o Coda ' ass and n# 9 Profal+lADDRESS TOT&L � 223 8$ . YARD *my 77 - C:OtJSTI�UC.T10fJ,LJ?JDING AGENCY . UIQ , 1 I hereby Arm that thard Is a cohVrustiori Iend Ing og*ncy for FRONT the parformonee of,thi'work for whlth thb pon'nit Is hauad .(Sec.:3997, Clv. C') Labdars Ngmr L 1DAM Ref. f. L4ndal s Address' P. F+.f Petmit ry. ADDRESS­ I cibrtlfy.that I hava rood this appllortion and"state that the k"Xx.)ce Fee P/C f. above Informer fon Ircbgact.'I agree to comply with all County ,- frrvedlQatygn Fen ,• , ordinances abd Skrte laws relating to building tonstructlon, Total APirtrL f` - :`ti ._ a hare�y a Ize reprewrttativar of this County to enter loved prop"for lespection purp oses 1 ]/ M'ovum Kid K'VUMATM LANOUAgf y , of AQplkanf or Agent - _ _ COUNTY OF LOS ARGET£4 TEMPLE CITY # 0508 BUILDING PERMIT DEPARTCKWr OF PUBLIC WORK& 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CI'T'Y CA 91780 BL 0508 1108250028 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6340 GOLDEN WEST AV STRUCTURE: 72 1 V-B U TE34P CA 917801420 AgSE9SOR INFOR}WTION NUNDER: GARAGE: NEAREST CROSS STREET: LONGDEN . 5383-020-029 OTHER: THOMAS PAGE: 597 GRID: Al LOCALI7.'Y: TEN= CITY, C VITT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXIST OCC GRP: 09/21/11 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALLATION: F DATE F BY: CODE: CHEN KE ZIN, HUI L.I (626) 451-9981- 1,800 6340 GOLDEN WEST AV TEMP 917801420 FEES PAID D CRl TION OF WORK BUILD A DETACHED TRkr.I.IS FEE DESCRIPTION: QUANTITY: GOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - D1 PLANCHECK W/O EN-HC 1800.00 VAL 82.10 AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS: AB SATE GREEN BLDG FEE 1800.00 VAL 1.00 AC STRONG MOTION RBS ID 1800.00 VAL 0.50 D2 PERMIT W/O EN-HC 1800.00 VAL 82.20 CONTRACTOR: ti0: FR INV WORK W/O PERMIT 128.50 DOL 128.50 APPROVALS DATE INSPECTOR SIGNATURE SAME AS-OWNER - TOTAL FEES 327.10 LIC. NO LOCATION AND SETBACKS SOILS ENGIN= APPROVAL ARCHITECT OR ENGINEER: . NO: FOUN]bATION TRENCH FORMS LIC. NO: SLABjUNDKR $LOOR RAISED FLOOR FRJU4ING PAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDMULOOR INSULATION 3 00 1 . 1ST LEVEL FLOOR SERATH NO. OF FAMII=: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET M ATRR I ALS NO NO NO FIRE DEPT. FRAME INSPECT BLDG DEPT. FRAME INSPECT SHEAR PANELS INSULATION WEATHER STRIP I INTERIOR LATH/DRYWALL EXTERIOR LATH LOT SHOD DETECTION DEVICES FIRE D ARTMENT KPPROVAL REPORT ID: DPR261 ROUTE TO: BS0508_