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_