HomeMy Public PortalAbout6443 GOLDEN WEST AVE_Building__ . ' APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BU LD LNG _ COUNTY OF LOS ANGELES
ADDRESS ' " DEPARTMENT OF COUNTY ENGINEER
CITY nw1A ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRES L-
] 1
TRACT • a.r-x BLOCK LOT NO %,f LOCALITY
TEL. NEAREST
OWNER a i NO. CROSS ST.
ASSESSOR
ADDRESS 'I MAP BOOK PAGE PARCEL
DISTRICTGROUP TYPE FIRE ESSEQ BY
CITY ' �' ZIP 7,J CON::I Z E
ARCHITECT OR TEL.
`JIB
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Li CLASS NOL ! _DWELL,UNITS BK L— PG/ 2
CONTRACTOR - m/ No +),�de U ZONE MAP
LC
ADDRESS ( R NO O r-' SPECIAL
LIC. CONDITIONS
CITY CLASS `�� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONS RUCT N LENDE
NAME AND RANCH BLDG.SETBACK FROM (STREET) y-
`� FR NT PROP.LINE OF d
ADDRESS �- CITY _ TOTAL SETBACK FROM TYPE OF EXISTING U
HI HWAY + YARD
SQ. FT. FRONT PROP. LINE
NO. OF NO. OF �. CHECK HIGHWAY WIDTH
SIZE Q'� STORIES FAMILIES ONE
t = �
DESCRIPTION OF WORK NEW ❑ W
ADD ❑ BLDG,S CK FROM (STREET) N
SIDE PROP.L Z
ALTER ❑ HIGHWAY + YARD T AL ROM TYPE OF EXISTING
REPAIR❑
SIDE PROP. LINE HWAY WIDTH
USE OF DEMOL ❑ +
EXISTING BLDG.
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PR INT) NO.
y 4 IN OPEN SPACE YES ❑ NO
BY (SIGNATURE) ❑
Q A IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ 4lo CATEGORICAL EXEMPTION YES❑ NO ❑
i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO w - _
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF - -
PERMITTEE
ADDRESS �i �. eLILAZ11-1 C;
FINAL Y
TEL !/
ATE
6'
CITY NO.
ll,IKh ( 1Tf:(,K5P.aY'MLL 10: FEE FEE
HARVEY T. B NDT. COUNTY ENGINEER ��71
PLAN CHECK VALIDATION CK. M O CASH PERMIT VALIDATION CK.• M O. CASH
76A638A CE#803 12/72
V
00111N" OF LOS -ANGELES TEMPLE CITY 0505 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TU AS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750 BL 0505 0208010071
PHONE: (626) 255-0455 ERs
LEGAL ID: NO. Of CON9T BUILDING
011 FILE SQ. FT STORIES TYPE 6443 00LDEN WEST:AV
STRUCTURE: VN TEMP CA 917501423
NEAREST CRMSYREET: LEMON
5383-016-003 THOMAS PAGE: 597 GRID: Al LOCJILITY: YEMPLE CITY
TENANT: B(IST BLDG USE: REBID USE ZONE: Ri I Ssm ON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 08/01/02 JK 01/28/03
OWNER: TEL. W: BLDGS. W)W ON LOT: FINAL DATE FINkL BY: CME:
CHIA YUAN TSAI (323} T24-9007- 2,600
126 ARLIGHT ST - r3 OrL
MTPK 917556626 FEES PAID UUNIPTION OF 6MK
FEE DESCRIPTION: QUANTITY: UOr: AMOUNT: APPLY 25YR CORP SHINGLE OVER EXISTING (3RD LAYER)
APPLICANTLOUIE XUINN�LU (626) Z6871- AA BLDG PERMIT ISSUANCEZ� 75
1719 S STONEMAN AVE AC STRONG NOTION RESID 2600.00 VAL 0.50
SPECIAL CMITrNg—.- --
ALHAMM 91801 D2 PERMIT Y/�-HC7_77-X2600.00 VAL 99.00
127.25
CONTRACTOR: TEL. NO: DATE INSPECTOR SIGRATURr—
LOUIE XUINN LU (626) 252-6571- L>,``�
1719 S 8TONEMAN AVE. LIC. NO J,� �
ALRNSRA, CA 91801 15433B/L ��
ARCHITECTT / ~�
LIC. NO/ I —1 �j
-'`l
153H269 3SLAE(UNPER FLOOR
PAGE: FIRE ZONE' 1
LI �'�• Lam,' , 1 i, 1 I
NO 21 7,
r, FLOOR SHEATHING
'i !'� SHEATH I KG
bZ �'•
AIR QUALITY: 1DOO FEET MATERIALS
REQUIRED TOTAL SETBACK FROM EXISTi I-1 �' ;
SFT BACK YARD: HWY: PROP LINE: WIDTH: ,
FRONT PL- �� ''-`Sd+"VlCO �- I
SIDE PL- —
�� INTERIOR LATH/DRYWALL
EXTERIOR LATH
T- CEILINC3
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOA AN3ELE,S TF7IPT.R. CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BU=ING AND SAFETY / LAND DEVELOPMENT TE74PLE CITY CA 91780 BL 0508 0708200031
PHONE: (626) 265-0488 EXT
LEGAL ID: NO. OF CONST NEW BUILDING ADDRFL99:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6443 (GOLDEN FEST AV
STRUCTURE: 97 1 VN R3 TEbMP CA 917801423
AS939SOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STR=:
5383-016-003 OTHER: THOMAS PAGE: 597 GRI): Al LOCALITY: TEXPLR CITY, C
Tlaukw: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCRSSRD BY: EZPIRE:9 ON:
E'ZIST OCC GRP: 09/05/07 SA 03/03/08
OWNER: TEL. NO: BLDGS. NOW ON IAT: VALUATION: DATE FINAL i CODE:
JOSEN FONG - 15,000
6443 GOLDEN WEST L/
TENPLE = CA 91780 FEES PAID D CRIPTION OF WORK
ADD BATHROOM 97 S.F.
FEE DESCRIPTION: QUANTITY: UGH: AMOUNT:
APPLICANT: TTS,. NO:
TAN (626) 280-8660- B1 PLANCH= W/RNBRGY 15000.00 VAL 281.06
1900 S. DEL FAR AVE. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
SAN GABRIEL CA 91766 AC STRONG MOTION REBID 15000.00 VAL 1.50
B2 PERMIT X/ENERGY 15000.00 VAL 330.66
TOTAL FEES 640.97
CONTRACTOR: TET,. NO: APPROVALS DATE INSPECTOR SIGNATURE
SUCCESS DEVELOPMENT CONSTRUCTION (626) 280-8660-
1900 S. DEH, MAR AVENUE #205 LIC. NO LOCATION AND SBTBACI.S
SAN GABRIEI., CA 91766 895967 B
SOUS ENGINEER APPROVAL
ARCHITECT OR ENGI2=: TEL. NO: FOUNIATIOH TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMS2R3
MAP NO: SESMSR FAP BOOK: PAGE: FIRE ZONE: CMP: UbIDE GrLOOR-INSULATION
3 01
19T LEVEL FLOOR SHEATH
90. OF FAIGLIES: DW=LING UNITS: APT/COAD: STAT C7ASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHRATHING
AIR QDALPL'Y: 1000 F= NAT12RLIA S
NO NO NO FIRE DEPT. FRAME INSPECT
REQUD= TOTAL SETBACK FROM RZ T BLDG DRPT. FRAME INSPECT
SET BACK YARD: HWY: PROP L.=: WIDTH:
FROST PL- SHEAR PANELS
S IDE PL-
INSULATION WEATHER 8
TRJA
il!? TOR LATH DRYWALL
t✓v-�V'"`�V� �iit(,C� Q.�.1—"�-'� 'la' `l - � "" V �b �I�t �
EXTERIOR LATH
LAI
LAT DRAINAGE
SmxR DETECTION DRVICE9
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: B90508