HomeMy Public PortalAbout6439 GOLDEN WEST AVE_Building__f&7 6 A 6 3 8 A C E 1 t 8 0 3 3 *
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A ROAD DEBT. PeRPu:!T IS REQUIRED
F7.^,
ANI` &AATEi?IAL STORAGE OR WORK
DONE IN THE ROAD RIGHT OF WAY.
76ASSBA CE#8098-Ei APPLICATION FOR BUILDING PERMIT,
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS [/
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE P ESSED BY ,
FOR APPLICANT TO FILL IN CONST.
BUILDING ST STICAL CLASSIFICATION I SEWER MAP
ADDRESS s - BK P
CLASS.NO. DWELL.UNITS `'�
LOT NO. Q: fi LOCK MAP STATE
NUMBER r o HWY. YES NO
TRACT
1 _•� �i USE ZONE SPECIAL
n NO.OF BLDGS. ,.f-) CONDITIONS
SIZE OF LOT Com" L�(f I NOW ON LOT
USE OF
EXISTING BLDG. (!�''!tt'6 e BUILDING EXIST.
y/ SETBACK YARD HWY If S �t T�NAME WIDTH
OWNER //'-� FRROP.L T /. ,"el
ADDRESS (,p ` - SIDE /
TEL. Is P.L.
CITY - No. I — ro INSPECTION RECORD
ARCHITECT Ooft TEL.
ENGINEER NO.
ADDRESS
TEL - U -L
CONTRACTOR ! NO. _ IKD Al
ADDRESS - e
DESCRIPTION OF W
NEW ADD "_ALTER REPAIR DEMOLISH - r
SQ. FT. A NO. OF NO. OF _
SIZE STORIES FAMILIESUSE OF
/•`'
STRUCTURE ' •X :,5 ,. " f�
SIGNATURE OF
APPLICA I
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
CA ION
VALUATION $ -�- FRAME: FIRE STOPS, / '-
_BRACING, BOLTS l '• C,
P.C. PMT. L FURNACE: LOCATION,
FEE S I FEE S - •� GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORD ANCES AND
STATE LAWS REGU ING UILDING T CTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITT A RECT AND POSTED
ADDRESS I N A L ,j K / I
CLYDE N. DIRLAM, PRINCIPAL STRACTqRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. , M.O. CASH
L..VPS 0 7 4 3 i'u1 Y 13 2 A 3.0 0 "1
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN EILIy� J
I he",afftrm that I have a ow flGDMB of opnsent to see insure. / (/
or a certlFlcaLa of Workofs' Compeneatbn Insurance,or a cartffled 1�V •v
-opy tJa Secy 3 C�f CITY /c ZIPFblky Compn Pte. II`� ` 'm
/ Sag OF LOT OF BLDGS.NOW ON LOT
❑CACflled cow b hereby fumlehed. NEAREST CROSS ST.
❑ Certified copy Ia fled with the county'bullding Inepectlon. TWAOT BLOCK LOT NO.
118E 30fJE MAF+NO. � /
ASSE8SOfl MAP BOOK W1(3E PAA(',a .
t SPECLIL CONDITIOfJ.9
CERTiF"TE OF EXEMPTION FROM WORKERS', ° �],l
COMPENSATION INSURANCE "� D. /�"'� WITHIN i000 Fr.of eCriooLrs NO
(This Seanm need not be cornpleted If tine permR b for one hundred �/„ D VI/171" W
dollars ($,00)or Vela) ' - tt DtSTFt1Cf GROUP F�tE IDtE PFIOCESSED BY
I certffy that In the performance of the wcA for which thfb perish; z"I I Igo
Is Issued, I Shall not employ, " perabn In any.manner so as to AACfm ECT OR EQtJc�lf�7a TE1 Na o� 1L 3 sas✓ef
become subject to the Work"e'Compensation Uws- snTisr�cti APT CONDO
Date pPd ADDRESS arss NaDWSJ-LJKTS
AuncE ,TO APPLX'.ANT• ff, after meking we Qwnmte of - REQUIRED TO-VU-SETBACIc FF" 0091-
Erem fti, you ShoL6d becorne su*,t to the Wotk ' ' SET BACK 11m HWY PROP LINE WUTH
Compensation provisions of the Labor Code, you must fortfnvfth �
corrpay with such provbbrts or thb perTnft Shen(be deenlAd revoked. e L
LICENSED CONTRACTORS DECLARATION ,Q�I � ,LLIC �Q� SUE
I hereby affirm that I Arn Ibensed underprovtalorre of Chapter 8 1 PSEWER MAP
(axwTwTdrQ with Section 7000)of Dfvblon 3 of the Bualwos and _IQ .Sag N0.OF STORES N%a OF FAMUES
Profesgiorts to In fu11 fcroe _ � 4 NEW ❑. Bic P(l Poo.Lloenee Nu Lb.Clean of of wont I\� ADD El ��bN
Dete Ip\� ALTER El
Elmpt I am exeunder Sec. REPAIR -0
Ra P.C.for this reason DEMOL ❑
CDMA P/C r
Daftx �L URM ❑
Signature APFIfffXTww(y
El I_as owrfer of the property; or my-employees with wages ae iIA� ` I ' 4 t 7 1
their sole.cortpeneatloft, w do the work and the stnlchure b �Q/�
not Intended or offered for Sale (Section 704-4, Business and r FD1AL Dla'E -
EI 1, �h?.v,!
PfOfeaBlOrTe Code.) VOL THE APPL-IDANT OR FUTURE SUI DM OCCIN"T HANDLE A HAZARDOUS LWIF AL goo- M3
as owner of the property, am exdef
uvety contact v with CR A AIXTLRE CDrvla43 A uAME ea.vi GF
TO OR EC-M THAN TrE Me
Ilceneed contactors to oonatruot throject e p (Section 7044, NAD1 411 eR�ON THE�uWr e RFOFMA41Or oLI IE7 13'AL BY
I 1 ITEI r�
unhess and Prof6salocm Code.) YEs❑ No❑ , jT/�
w1L T7E NTEmDED LnE CF THE..,rm By THE APPLIGNT CR RJnIE Bl�Dlq TLI I rL 1
OCIXRANT FEOUFE A PEF§4T FOR CONSTRUCT OR FACM THE 90UT11
CONSTRUCTION LENDING AGENCY aY�AAxAc�I�T grerRlcT recxyot �Na aEaanST FOFl CWCK 153.x.;
I hereby affirm that there is a lending ageray for YEe❑ No❑
N the perfomorce of the work for which th permit to ls- a (Seo. •
00
o I HVE FEAR Tlf HAZARDOUS RFOFAMTKA ODIC AND THE 8CACM PEFOAT7M
3087,Civ.C.) C ECKUErT-.NIAUNDeWWDIM r,rv�frs IRiIEA TFIE I0s A43ELEe COUNTY cOOQ
r LwxWEi Name 1 Kr V_S REPORT AND OR COWAN&A PEF"T 22a 140
M. - '.
. QDQf1--OiQi01 1/ 3/96
Leaders Address
� � 1
5Q� I artffy that I (rave read this application end slate under perTaity OM OR A0R AM 10'
� '01
of per)ury that the abode trrformaflon Is Correct I$gree to ccn#y P.C.FEE PE STT FEF /
with all county ordIrancee and State (awe refattrQ to buUnp IS
and hereby authorize re{xeeentffiivee of thb County OSLA 4GE FEE QQ
b mentioned property for hrepection punpoeea .J
ro PIVEST)3ATfON FEE M-11L FEF I�
o.r /
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WPM 9701 LAS TUNAS RESIDENTIAL ADD/ALT/R8F.
BUILDING AND SAFETY./ LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0112210035
PHONE:-X626) 285-0485 EXT:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6439 GOLDEN WEST:AV J.
STRUCTURE: 30 1 VN 'P3 TEMP CA 917501423
5363-016-004 GARAGE: NEAREST CROSS STREET: LONGDE4
OTHER: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
TENANT:
ENIST BLDG USE: Lrs E ZONE: .ISSLIED Uk: PROCESSED BY: EXPIRES ON:
EXIST DCC GRP: 1281/01 JK 06/19/02
OWNER: T E L BLDQS. N()W ON LOT: FIM DATE . - CODE:
JUN LEI (626) 447-5952- 2,250 .
6434 GOLDEN WEST 'AV
TEMP 917501423
BATH gDDITION - INCL ES ONLY SINK ,AND SHOWERt
FEE DESCRIPTION: QUANTITY: Lam: AMOUNT:
SAME AS OWNER AA BLDG PERMIT'ISSUANCE 27.75 1
AC STRONG MOTION _q.ID:,,,�_2250.00 VAL 0.50
AX BUILDING JtEVIR��FE+_� 54.70
B2 PERMIJ W/4NEIM7 E� �22�b`LOQhVAL 108.90
SAME AS'OWNER CONTRACTOR, TEL. *0: r �.f' /EFS `, _
LIC. NO /,'' f- '��� `� LOCATION AND SE
, TBACKS
SOIL E)IGINESFU70W
ARCHITECT -OR ENGINEER: TEL. NO:
LIC. NO'i /�_� "`� SLABfLJNDER FLOOR
:
UNDERFLOOR IWMTION
31 i Il'. 1�'
J I T/I I -I LI�J �_-/ 1 l 4=��r'-= ` IST LEVEL FLOW73ffUTT--
W.
SCHOOIL WITHIN KAZARDOUS --- ROOF SHEATtWff-
DUW
No
21 2ND LEVEL FLMVVUTTF
AIR QUALITY: 1000 FEET MATERIALS
Mo NO No.
REQUIRED TOTAL SETBUXBLDG DEPT. FORE 7
SET BACK YARD: HWY:_ H:
T PROP LIME: WIDTH:
� '� lc' s�
FRONT PL- `� `�! SHEAR PANELS. .
SIDE PL- �•� i'ILE ll_ ,
INTERIOR L
EXTERIOR LATH
LOT DRAINAGr
SMOKE DETEMN-UN=
` REPORT ID: WR261 ROUTE TO- B30508