HomeMy Public PortalAbout6349 GOLDEN WEST AVE_Building__ p
770038A CE#809.9-60 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST l
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUPI TYPE -_1.- I PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSIFICATION I SEWER MAIBK PGP
ADDRESS � -- CLASS. NO.--Z—DWELL. UNITiL-.- 7
LOT NO. BLOCK MAP NUMBER �� - HWYE YES �'Ilb
L /
TRACT USE ZONE SPECIAL �If
A-
NO.OF BLDGS. � CONDITIONS
SIZE OF LOT7,9
X 9 f NOW ON LOTi��i ,/ f j' --
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
TEL. SETBACK WIDTH
OWNER NO. O FRONT t 7 i.
ADDRESS / � SIDE
ARCHITECT OR
ENGINEER INSPECTION RECORD
a
ADDRESS2Z J O
TEL. V
CONTRACTOR NO.
ADDRESS O
DESCRIPTION OF WORK NS P W
NEW X ADD ALTER REPAIR DEMOLISH " ,mss f' �p ,�: Z
SO. FT. NO.OF NO.OF ,r�J
SIZE STORIES FAMILIES
USE OF
STRUCTURE �.
SIGNATURE OF
Ia
APPLICANT
VALUATION$ R, i
APPROVALS IDATE INSPECT 'S SIGNATURE
_ FOUNDATION: LOCATION
P C I I PMT �/[,O FORMS, MATERIALS
FEE $ ✓_� �� FEE $ l o
FRAME: FIRE STOPS. -
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 1 G
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. ! Ct>I =_. .lx
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. - R G
LATH,EXT.
SIGNATURE O HOUSE NUMBER COR- "? R r
PERM ITTE REGT AND POSTED ,1
ADDRESS FINAL '�r'r!"Ijf �•- ,ta..r'�-t..t. '
CLYDE N. DIRLAM, PRINCIPAL STRI,I _URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
P230 33
APPLICATION FOR: BUILDING PERMIT
OF LOS ANGE1 E8 BUILDING AND SAFETY
RIEa
WOCON PENSATION DECLARATION TO l�f AppucAwr i Bus aNG ADOR�B
o (,v
I hereby affirm that I have a certificate of oonsent to sed Insure, �L G (Al U,<
or a oertfeperrstbn Irruranoe,or a certified cete of%%Ukm. Com
oWy thereof(S—3EM c) crrY / f ZIP Ell Q LOCALMY
N e a"
Policy No. Com,' 8EZE OF LOT OF BLOM NOW ON LOT
,
ry�})gw#A_ed�,Y hereby fumi�Fed. ; NEMETr ST.
EfCafGTMd copy I. tiled wkh the county bu yob TRACT BLOCK LOTt10
dapafhTlEnt V IJBEZONE MAP NO.
Deb J ASSESSOR YAP BOOT(
PAflE PAACEi SPECIAL COfsM>W
CERTIFICATE OF EXE]"ON FROM WO LICO ' OWNER V C k— Ta No. YES No
. COMPENSATION INWRANCfE wrrl sty loco FT.of Bcr�ooL�
ADOFE$8 /'�
(This seotbn need not be completed d the permk'la for one hundred C� O 1cle,G..t C/
oMTRICT GROUP FIFE ZONE PROCESSED BY
doifare(><10q or has.) pry rp
I cwtlfy that In the perlormarm of the work for which this permit / C K* , d Z
Is laved, I shall not empty any person in wV mannoor so r lo ARCHITECT OA INE$1 TEL Na
become sub)ect to the Workers'Compsnsstlon Laws. STATtS AL APT CONDO
Dale Applkant CLSS ANa=D1MHl Mrrs
NOTfCE TO APPLICANT if, after maktng this Certffioats of RECAMED TO'D L SETBACK F FK LI EXIST
ExemptiorRACTOR
n, you should become subjeot to the Wdrkers' 9 SETBACK VA,RD HW PROP UNE WIDTH
Campensetlon proviskm of the Labor Code, you must fcxd w!d &44S
oompy with such provisions or this pwmk shell be deemedTevoked. ADDRESS 3 P
cf
L�CONTRACTORS DECLARATIONt jc;�
SIDE
CfTY U V I ) P L
I hereby affirm that I am licensed under provision of Chapter 8 SB ER YAP
(oornrnenoiW with Section 7000)of Division 3 of the Business and so.Fr.SIZE NO.OF STORES I NO.OF FAhC M+
oc
NEW ❑ BK Po
Profession Code,and my Doense Is In hrll force end
S
Lkxrre Number Lk--Class DESCR!PTaw
NOFoRX ADD ❑ VN-UATiOR ,
Coram t, d C� ALTER ❑ $ d O U
❑ I am exempt under Seo. FUDWR $
EURC,for this reason f DEMOL LOMA P/C r
D USE OF E7oSTM PRM ❑
: LDYA Prem. ZZ 1
1, as owner Of the property, or mr y employees with wages
their win oompensatlon,will do the work and the strucbme Is ADOREee U
El 1,
a
not Intended or offered for sale (Section 7044, Brwirmas and ��Z/E.v SAL oATt 3307
S 1
RDI ssi re coda.) V LLTFa APPLKAKTORRfnUFtEaURDMOOOLFWTFWi]LaAFLAZARD"ILPamRAL
OR A RADM i A HAZAJbOIC YQRiAL EQUAL TO OR QFCATM THAN J
❑ 1, as owner of the properly, am defy � THE MBOUNTD oN THE FLAZA DOLS W aW ALe IFOFauvFor+GLUM PDY►L NY > 1 I TLI o
(cera d cor t wtors to oonetruot the pr000t.(Sectlon M", res❑ Fro
Business and Professions code.) TOTAL 12u _ 50
w11 THE USC OF TFC BIIOHO eY THU APPMANT OR FUTURN s■�ON
OOQiMNT A PwLT FOR CONOTFLIOTIOM OR LICOa.OMICH PROM TFC SOUTH /�[ D�i e
CONSTRUCTION LENDf�1G A(H9XY COAaT Aim QUXJTr Dern � rosro
oT cl WE PU rr04EKLW O R 5 it cx
FOR GF Ill.P
I hereby affirm that there Is a constniodon lerFding apwr oy for Yee❑ MO
the perlonnanoe of the work for whkcm this p&Tnft Is heued(Sec. 1 Fac RGAD THE Fwaaoous MArerui vvcFvHUrON GU DE AND THE SrAOSo
3W7Lender's Name oourrrr TRLQ>. I 11OlQUlO W Feoi.�rTaiS THROW
F!LOS ANGELES .
[1CrD -D001 10/15/90
Landers Address
°_"a 1 AM 8:3F
I certify that I hove rad this applicabon red @tate that the above P.C.FM PSff FEE
krforFatlon Is oorreot I agree to corn* wfth a➢ oouTrty
ordna xm and 8tdr laws relating to bullding oormsbTrctfon and ,
hereby authortne representatives of thls County to enter upon I88LU NCE FEE
Property for mcdon
PtV5TK3AT75N FEE To-D1L FEE �...y.,
296�.g .Avd DM
SM REVERSE MR EXPLANATORY LANGUAGE,GU ,
COUNTY OF LOS ANGELES TE PLE CITY 2 0508 BUILDING PERMIT
DEPARTSQNT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TENPLE CITY CA 91780 BL 0508 0811190023
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUDDING ADDRESS:
ON FILE SQ. FT STORXRS TYPE 6349 GOLDEN WEST AV
STRUCTURE: V-B TEMP CA 917801418
ASSESSOR INFORMATION NLA4BER: NEAREST CROSS STREET: LONGDEN
5383-018-022 THOMAS PAGE: 597 GRID: Al LOCAJ=: TEMPLE CITY, C
TENANT: FTT T BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
RTT T OCC GRP: 11/19/08 SR
OlIDID2: TEL. NO: BLDGS. NOW ON LOT:: VAI,=ON: F IIUIL DA Y: CODE:
FLING, BAD Q (323) 684-6173- 2,000
6349 GOLDEN WEST AV CARRM
TEMP 917801418 FRE.9 PAID DFSCRIPTION OF WORK
3IT0ZN REMODEL AND CHANGE OUT FRONT DOOR
FEE DFSCRIPTION: QUANTITY: UGH: AMOUNT: ,
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIOUS:
B2 PERMPT W/ENERGY 2000.00 VAL 90.42
FR INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 375.67
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOQATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 190: FO ON TRENCH FORMS
LIC. NO: SLAB UNDER FIOOR
ED FLOOR FRA!(RVG
T
MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CMP: UNDERYWOR INSULATION
1531L269 3 00
FLOOR SHEATHING
D70. OF FAMTT.TUB: nMF'T�r.Tly[7 UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEAT G
SCHOOL WITHIN HAZARDOUS `' / r` JD� SHEAR PANZZ
AIR QUALITY: 1000 FEET N TTZRIALS 1
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM RAST FIRE SPRITI= HANGERS
SET BACK YARD: HNY: PROP T. NIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
ZW=OR LATH/DRYWALL
Ea`TE TOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508