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HomeMy Public PortalAbout5304 LOMA AVE_Building__ 76A638A CE #803 4/72 �FOR APPoLICAT'I iii IL D NG PERMIT' t COUNTY OF L6S ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK - PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING WAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY �t FOR APPLICANT TO FILL.IN NEAREST Print or type only) CROSS ST, DISTRICT N GROUP- TYPE P CESSED BY , BUILDING © j- i ,? CONST 1- ADDRESS D 1 STATISTICAL CLASSIFICATION SEWER,M P LOT NO BLOCK CLASS NOg2LDWELL,UNITS BK/� PG TRACT (,°'r TO N USE ZONE MAP _ NO.OF BLDGS. NO. O ` SIZE OF LOT NOW ON LOT ��� SPECIAL USE OF , �J� CONDITIONS b EXISTING BLDG. 1 TEL. e OWNER NO. ',VVa �91_dp.SETBACK FROM ADDRESS ,3(1 Al, /„(� �.(J�� )FRO TPROP.LINEOF (STREET) 'TYPE OF ISTING SETBACK HIGHWAY } YARD = TOTAL CITY 7, P le C,/ 'r� IHIGHWAV - M C.L. ARCHITECT OR TEL. ENGINEER NO. y BLDG.SETBACK FROM ADDRESS SIDE PROP. LINE OF (STREET) V TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL CONTRACTOR �� NO. HIGHWAY WIDTH FROM C.L. O LIC. _ + ADDRESS NO. - W LIC. Z C* CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH OVo SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS t �J SQ. FT NO. OF NO. OF NEW � v I/vi•N ..Esc s3�J SIZE STORIES FAMILIES USE OF ADD STRUCTURE A3Eb RCQ r ALTER REPAIR❑ SIGNATURE OF Alool .101 APPLICANT DEMOL ❑ VALUATION SffQ 8 Dy APPROVALS -• DATE INSPECTOR'S SIGNATURE FEE $ Sj FEE$ FOUNDATION ON: LOCATION ' �" FORMS, MATERIALS y FRAME: FIRE STOPS, 97��� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS �J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,' WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON— GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. gi Via//1,j_g-,-7_ -7y LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO _ WORKMEN'S COMPENSATION INSURANC . .LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- / PERMITTEE RECT AND POSTED -- ADDRESS FINAL /►��o PLAN CHECK VVA�/ ATION c DM o ASH .�- v PERMIT VALIDATION cK - M O CASH 01 4 -77 a 2b97`/3 AUG13 1 D 7 5 .7 5 4 �j r 7GA838A CEJV803 B-63 APPLICATION OR BUILDING PERMIT U COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENG R ADDRESS'' 3 BUILDING' AND SAFETY DIV.ISIO LOCALITY T L_E: T �- JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUP'T•OF BUILDING CROSS ST- DISTRIC�T NO. GS.CUP TYPE •P S '6 FOR APPLICANT TO FILL IN 6.pg j-UP BUILDING STATISTICAL CLASSIFICATION 5 W- R MAP �+ ADDRESSLO BK PG G CLASS. NO DWELL UNITS f0 LOT NO OQ �- J Cj��, BLOCK WATER I NOT REQUIRED ❑ RECEIVED I N oW 05"NIpy� 12A.6312A.634.-a.63tit w jn,r CERTIFICATE. TRACT f MAP HIGHWAY f +{�' NO (CIRCLE) STATE MAJOR SECON LOCAL / 1�"� �� NO OF BLDGS. SIZE OF LOT • NOW ON LOT USE ZONE 'SPECIAL USE OFCONDITIONS EXISTING BLDG o '' t OWNER TELO L-C.t�-2,eb _ � O 7 4 O CLIP ptl{�' Air BUILDING EXIST. " SETBACK YARD HWY STREET NAME WIDTH Q C ADDRESS nn. ,LAAL-L .p(.� ' yrs FRONT ARCHITECT OR I. TEL P L.- ENGINEER NO. SIDE P L } ADDRESS TEL CURB, GUTTER, DRIVtWA_Y_AI PROACFJt �0 CONTRACTOR Fv- No AND PARKWAY TREEREQU,IRED Q,,��i Ss m ADDRESS DESCRIPTION OF WORK Note- Permits-for curb, uEer,:sit!ew,:i' And dr veweyrcp r ieh 1 stallations should be fa!:en oui at the L. i:.c. •^,n:.ti Dopt.,.Ataden '�(+p , NEW ADD ALTER_ REPAIR DEMOLISHOffi "` G... "11 Irl• ef ••-•y .. _.. �. SQ FT NO OF NO OF ] a length delay. Survey & Design woA 'rakes sime and is not starts e SIZE I STORIES FAMILIES 1 until Permit'has been issued. Ap;oly for' parkway tree per at USE OF STRUCTURE "SI NG hs i L W. �TfQG! If SIGNATURE OF APPLICANT - VALUATION $ B—� .. - APPROVALS DATE INSPECTOR'S SIGNATURE PC PMT FOUNDATION- LOCATION =- "••jl FEE—$r/ / �� FORMS. MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS / AND STATE THAT THE,ABOVE 15 CORRECT AND AGREE.TO COMPLY 'FURNACE LOCATION WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS, BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- '-TION IOLA- LATH. INT +'TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- .I NG TO WORKMEN'S C ENSATI UR E LATH. EXT SIGNATURE OF HOUSE NUMBER COR- _ PERMITTEE f _ RECT AND POSTED ll „4 ADDRESS ''' '444— FINAL JOHN F. LEWIS, PRINCIPAL ST f RAL ENGINEER PLAN CHECK VALIDATION cK. M O CASH PERMIT VALIDATION CK M O CASH 11,08408 MAY 8 -23 D 3. 7.2 _ 5A } 1 tR�o 9.2 8 1Ql> JUN 2 7 1 D 111.75- 76A638A CE 0803 12/69 ��' /• .' �-- �R APPLICATION FORBUILDING PERMIT � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK _ PAGE. PARCEL BUILDING AND SAFETY DIVISION BUILDING r /� , JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS :=✓ Q '�. /V ` IJ7 ✓� COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST - - Print ort a onl CROSS ST. BUILDING �'�li.E• DISTRICT.NO. GROUP TYPE CONS ,�:. -•P SSED B LlY ,�. -•� T. (/•^." ADDRESS lJ � yL /� STATISTICAL CLASSIFICATION - SEWER MAP LOT NO PQ/�. ap/ i BLOCK •-� Z/, - " CLASS NO. - DWELL,UNITS ,BK/n PG 6 TRACT USE,ZONE MAP 01 NO.OF BLDGS 4 NO. . SIZE OF LOT NOW ON LOT 7SPECIAL USE OF T- 11,24' OND ITIONS T EXISTING BLDG, -OWNER�p� ._fy- NOL v�- ',�� BLDG. BACK FROM ADDRESS S3 Q lf p `i = FRONT PR LINE'OF (STREET) TYPE OF EXISTING - BACK - HIGHWAY - -}- YARD = TOTAL CITY '/W,0A, /'' HIGHWAY WIDTH FRO L. ARCHITECT OR TEL. - t = ENGINEER NO. BLDG.SETBACK FROM -, ADDRESS SIDE PROP.LINEOF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY } YA = NOTAL CONTRACTOR (,v' NO. *HIGHWAY WIDTH FROM C.L. ADDRESS LIC. 1NO. t = a .. - - - - - O CITE' CLASS CORNER CUTOFF YES ❑ NO U CONSTRUCTION LENDER NAME AND BRANCH /(/�N� SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS - LaJ j a SQ. FT. NO. OF NO. OF ❑ y SIZE 7- ©k/SSTORIES FAMILIES NEW Z USE OF STRUCTURE pC)PetV PfT/G ALTER 1:1 ;J �- �• I1.s2 ANG' (•O G{�F. REPAIR❑ SIGNATURE OF - APPLICANT DEMOL ❑ / e/ VALUATION $ © /APPROV A-LS; DATE •' I SPEC R's si N VRE P,C. PMT. /� FOUNDATION: LOCATION FEE $ _ FEE $ �,VV FORMS, MATERIALS Q o FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, - WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STR UC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED _ HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S CO MPENSATION INSURANCE. LATH, EXT, , SIGNATURE OF HOUSE NUMBER COR- PERMITTEEUSE NUMBER POSTED • ADDRESS E::��Xlo` '�` `" F I N'AL - - it E 3C7 •Zt/ -JOHN F LEWIS. PRINCIPAL�STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M 0. CASH _ PERMIT VALIDATION, _CK M O CASH a 81-1- 9 2c- DEC30 1 ,:D 6.00- ,v 0 8-63 APP ICA'TION FOR BUILDING PERMIT* 78A 838A CE#8 3, L , COUNTY OF LOS' ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ` WILLIAM-A. JENSEN, SUPT OF BUILDING CROSS ST S DISTRICT NO GR TYPE' P O' %B FOR APPLICANT TO FILL IN CONST C/ BUILDINGSTATISTICAL CLASSI F_ICATION S WE AP / ADDRESSBK' PG/_� CLASS NO .DWELL UNITS (((YYY LOT NO o&Tlvm BLOCK L WATER ' p �0• ��`�'i NOT REQUIRERECEIVED �t CERTIFICATE D TRACT 5 ' T �� �r MAP HIGHWAY ' j NO OF BLOGS. P7 NO (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT�-R.�Zj NOW ON LOT •USE ZONE 6PECIAL _ •USE,OF •' ,,(( ,� CONDITIONS EXISTING BLDG T OWNER L &' 'BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH � - ADDRESS 2. - 7 Lv6� 'FRONT ARCHITECT OR - TEL P.'L ENGINEER NO. SIDE P L � ADDRESS <�� C. h TEL 0 CONTRACTOR �/ NO. - •,�(� ` ` C` .z✓� �� ADDRESS "DESCRIPTION OF WORK r W a NEW ADD ALTER REPAIR DEMOLISH N •SO FT. NO OF NO OF SIZE STORI S FAMILI S ' USE OF STRUCTURE Z / SIGNATURE OF - APPLICANT VALUATION $ / f APPROVALS DATE INSPECTOR'S SIGNATURE P.0 PMT FOUNDATION LOCATION FEE $ FEE $ 'e- FORMS. MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I'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 BUILDING 'CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR C DE OF THE ST OF CALIFORNIA RELAT- ING TO THE C PENSA O IN AN E. LATH. EXT SIGNATURE OF - E�.'^"" _ HOUSE NUMBER COR- PERM ITTEE ' _ RECT AND POSTED ADDRESS e. ,J FINAL Ilef 7` PLAN CHECK VALI ONS cK M O CASH JOHN PERMIT VALIDATION TRCCT�URAL M O ENGINEER CASH is ALL 8 4 1 -0 MAY op-P, :I-4:q arW SATZ APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO.OF „ BLDG. ORD:NO. DISTRICT NO. PLAN CK.,NO. PERMIT PLANS SETBACK LINE 67- FIRE APPROVED ZONE BY \ DATE /RECEIVED BY DATE OF AFPL. DATE ISSUED USE /,[@� APPROVED !a o�+ ZONE O-�"� BY DATE _ .'q,,, v ! APPLICANT FILL IN HEAVILY_ OUTLINED PORTION �IONLY C BUILDING NAME A O DDRE88 �'r ` ,� 0_ n W Z ADDRESS _ ` LOCALITY �_RA4^/A1�( F_ 5 �•. . / NEAREST U W CITY / CROSS ST. .� Q STATE /N O. NAME LICENSE NO. Z MAIL IY 'NAME a / .= ADDRESS-.# W U _yv O �('�',y� TEL. ,acs ADDRESS A�'�C1 CITY ,(/E! " NO. F Z I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 0 CITY APPLICATION AND STATE THAT'THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. P� F ZO LQT NO. P` D X SIGNATURE ✓ SIZE OF LOT 8 OWNER ` < F NO. OF SLDGS. j Q d BLOCK NOW ON LOT b�®��. AUTHORIZED A _ W � J CORRECTIONS.TRACT �In 4 O USE OF BLOBS. NOW ON LOT DESCRIPTION OF WORK USEOF BUILDING BUILDING �/ .L�L/S G1 n /,✓i I D NEW IV TYPE J,(i- GROUP NO.OF NO.OF J ALTERATION ROOMS y ,/FAMILIES ADDITION SIZE 0 /1 REPAIR STORIES 1 e MOVING WALL COVERING,.1*<oWe4.Ar DEMOLISH ROOF COVERING�wCJylnvNJ $ P.C.$ FEE FINAL APPROVAL INSPEVALUATION • I v $ DATE I NAME FEB ,�dy - DEPARTMENT'OF BUILDING AND SAFETY t APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER I FOR APPLICANT TO FILL IN a FOR OFFICE USE ONLY DISTRICT NO. .--PLAN-CK.NO.— -- -PERMIT NO., BUILDING D / �l p / I ADDRESS AP LOCALITY (::740 RECEIVED BY 1•. DATE OFAPPL.. DATE ISSUED NEAREST CROSS ST. BUILDING J. ADDRESS' OWNER �' • • r MAILltj LOCALITY , O ADDRESS •,J l i�r���8'Q �� � NEAREST • I /� TEL. CROSS ST. 'p ' CITY p 10 [ y ND• FIRE NO.OF I TYPE GROUP: ARCHITECT OR TEL ZONE PLANS ENGINEER �'�/h Q r NO. - Qp ADDRESS SETSACKt LINE O APPROVED t TEL' ; E - CONTRACTOR C�/�y�/11/k'e� ! NO. BY DAT UBEAPPROVED ADDRESS ZONE BY 'v DATE 6 LEGAL A h 6e CORRECTIONS DESCRIPTION LOT NO ®YI BLOCy l• e TRACT NO. OF BLDGS. ' SIZE OF LOT I NOW ON LOT a �, .�O_(�, S USE I NO.6F I ROOMS ` �r /l S • -17G ,d -•I� NO.OF EXISTITI NG BIDO. FAnti�iee DESCRIPTION OF WORK a r ® NEW ALTERATION ADDITION - lvl::L REPAIR MOVI DEMOLISH * "• "-"• •"""" •" - ^•)t.�r;r''t �, �+� A SLI. FT. �� O.OF � � /�� SIZE ROOMS STORIES �/1�{/ pQ(y Q l�/T,�,/�� > WALL ROOF /+ 1� J"' COVERING �� r' COVERING .^...ycl ,O.A. Lq�O ocJ6G� Gam.., c BUILDG USE 0 N NEW I? Cl f V%a cx:3-7- r1 ` _v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INS)AECTOR DATE FORMS, MATERIALS AND STATE LAWS REGULA NG UILDING CONSTRUCTION. FRAME: FIRE STOPS, •�- ,�f SIGNATURE OF ..Amite BRACING, BOLTS v-A.'y- PERMITTE LATH, INT. -2-1 -S7 AUTHORIZED AOT. LATH, EXT. 76A638A'3 Iv-sD P.C.$ PLASTER, INT. l� FEE C. PLASTER, EXT. �O 0 // VALUATION FEE ` FINAL ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AVD`SAFETY i ? COUNTY OF LOS ANGELES �T TT���T� Y 1 . � ��J1 11.E WM. J. FOX, CHIEF ENGINEER - N BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO' PL S SETBACK LINE / I FIRE APPROVED ZONE ,BY - -DATE RECEI ED BY DATE OF APPL. DATE ISSUED/ USE * APPROVED ZONE '/ BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY, 0 BUILDING f� ` O K NAME ADDRESS F W Id U W W Z ADDRESS ,P® 1 LOCALITY u W CITY ®®®®®®pppp ,�f CROSSSST. _ r�����ggg Q STATE .f . TEL. /) � LICENSE NO. E NAME l.�,fy/ ���J//� %fJ���,/ It � 3 MAIL d°'WW� e-IY l T g�el.ar7� NAME ADDRESS ✓� IL Q ADDRESS O CITY NOL FE- ZCITY _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ, THIS O' APPLICATION AND STATE THAT THE ABOVE IS CORRECT U`• • STATE TEL.• AND-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO.' "" AND STATE LAWS REGULATING BUILDING CONSTRUCTION. , ZO LOT N,~­I, SIZE OF.LOT SIG OWNER OF �t �• �yv� NO. OF BLDGS. 1. J 1 1 AUTHORIZED AGT. - Q IL BLOCK ��"�► 7 NOW ON LOT m TRAC-,Y O Y40 .jolt' 7/ ��// �' �% _7�/./Lr.�RRECTIONSn�,�v'-� v O USE OF BCDS14." NOW ON LOT ( 'I J DESCRIPTION OF WORK ; USE OF BUILDING gol Tit Y lap le It Ah- ml)a41,1461 H 32 a I r NEW, TYPE -- - GROUP NO. OF NO. OF ALTERATION00000' ROOMS FAMILIES / ADDITION SIZE REPAIR / _ STORIES f MOVING WALL COVERING/j/ ' UDEMOLISH ROOF COVERING FEE $ _ FINAL APPROVAL I n $ d INSPECTOR'S r' VALUATION ��� FEE DATE V //_ II NAME WORKERS' COMPENSATION,DECLARATION nn insure b raafcertif certificate of Worke s' Compensation f'consInsurpn ent to' lf' ' �;� �kv O N F,O - D U L 0 N� r1P E RU V ll�U or a certified copy thereof (Sec.;3800, Lab C•) COUNTY OF LOS ANGELES.. BUILDING AND SAFETY . Policy No -Company . ❑ Certified copy;is Hereby,furnished'. FOR APPLICANT TO FILL IN ADDRESS44- 0 Certified copy,is filed with the county,.building,inspec- BUILDING ./ Tion department., ADDRESS 7 e�� v Dare ' Applicant CITY^ 1 %7 CA ZIP ' �� 30 LOCALITY NO OF-BLDG NEAREST `dRTIFICATE.OF'EXEMPTION`FROM WORKERS" `SIZE OF LOT NOW ON LOT CROSS ST 'COMPENSATIONS INSURANCE ASSESSOR (This section need not'be,completed if The permit is for one • TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL 9 O USE ZONE FSPECIAL, OWNER f / - Q�17c�.�y/f f�- No Oqi I cert ify.that,in the.performance of the work for,vihich this r permit is issued, I shall not employany person in any manner ADDRESS 53,0 /�. DITIONS so as to become subject to'the Workers' Compensation Laws. CITY% ` �/� r �.G ZIP Date Applicarit ARCHITECT OR TEL ,DISTRICT GROUP TYPE FIRE P OCESSED BY NOTICE TO APPLICANT: If;. after making this:Certificate'of ENGINEER r NO - CONST, ZONECI Exemption, you shouId'-.bec6me .subject,to the-,•Workers' `` // U • -Compensation-provisions of the'Labor Code, you,.must forth-. ADDRESS <. �� ,with comply,with 'such provisions.-.or. this permit shall be TEL- .�+s STATISTICAL CLASSIFICATION APT' CONDO. deemed.revoked. : CONTRACTOR � 4 NO -�7 � .- Z LICENSE D,CONTRACTORS DECLARATION UC CLASS NO DWELL UNITS ; I herebyaffirm that I am licensed'under revisions of Chapter 9 ,} NO P _ P ADDRESS'J - LIC SEWER MAP (commencing with Section 7000),of Division 3,af the-Bust'ness and.Professions Code„and my license'is iii full force and-effect. CITY' e2 e CLASS BK PG VALIDATION SQ FTINO OF NO-OF' 1 'CHECK License Number Lic'Class - SIZE STORIES FAMILIES 1 A ONE VALUATION Contractor Date DESCRIPTION OF WORK b 00r NEW ❑; �y ADD El $ 3.O'©lJp O ❑I am exempt under-Sec. ALTER ❑, BAP.C. for,this_reascn- DEP AIR $ Date: USE OR, EXISTING`BLDG jDEMOL ❑' t, Signature APPLICANT. tl�i,1 p DSjTEL `FINAL (PRINT); '( zpv- 'NO 2;.66-05 1e r •.OWNER-BUILDER DECLARATIONDATE ��- I hereby ciffirm that I am exempt from the Contractor's License ADDRESS. FINAL Low-for the following,reasori�(Section 7031.5, Busihess and p Pro essjons Code)_ PRESENT BY' BUILDING }�;? ;,-ir I, as owner of the property, or my-employees with ADDRESS 3 •' wages as their sole compensation;will do the work and •'• - -- •- � ,_,L�£' ” the structure is not intended or offered for•sale'(Section CocAurY - _ �ii_3. 7044, Business and Professions Code.) MOVING TEL._• T, C'M,: CONTRACTOR -NO i x r-E Ems= " ❑ j, as owner of the property, am'ezclusiveily contracting _ . with Icensed contractors to constructrthe.prolect (Sec-` -• I i I-Eii 200 tion 7044;;Business and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST . s�f•E"' , ` ii t CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP LINE WIDTH ' '' I hereby affirm that there is a construction lending agency.for FRONT r;� f_I� )�f7 the-performance of the work,for which this permit is issued P'L (Sec. 3097, Civ. C )."` -SIDE,, -:P.L I t.i_ 1; T L'ender's Name _ ! €-( —i�_i! � •_Y'; LDMA Ref-# , PC Fee$ Permit Fee Lender's Address -,.I certify that I have read this dpplicafion"and state that the Issuance Fee LDMA P/C# ® , above information is correct. I agree to comply with all County Investigation Fee. • ordinances and:State laws relating to building construction,, Total Fee - c+ � LDMA Perm #. r and hereby authorize representatives of this•County to enter- upon the above=m ntion properly,for inspection 1 SEE REVERSE FOR EXPLANATORY LANGUAGE' _. gnature of Applicant Of Agent Date COUNTY OF LOS jiVGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0901070029 PHONE: (626) 285-0488 EXT: LEG ONFILE N0. OF CONST BUILDING ADDRESS: SQ. FT STORIES TYPE 5304 LOMA AV (STRUCTURE- V-B I TEMP.CA 917803001 (ASSESSOR INFORMATION NUMBER: I NEAREST-CROSS STREET: - I5388-008-024 I THOMAS PAGE: 596 GRID: H4 LOCALITY TEMPLE CITY, Cl TENANT IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: _ 101/07/09 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: - VALUATION: IFINAL ATE FINAL BY: CODE: (BAYER, MARILYN (626) 286-5348- 1 _ 15,0001 15304 LOMA AV 1 i '-f 1 TEMP 917803001 I FEES PAID I SCRIPTIO OF WORK I I 1ADD NEW BATHROOM TO EXISTING FAMILY ROOM AND CLOSE DOOR WAY I IFEE DESCRIPTION QUANTITY: UOM: AMOUNT: (& OPEN NEW DOOR 1 APPLICANT: TEL. NO: IHOME CARE & DESIGN (888) 580-5557- 1AA BLDG PERMIT ISSUANCE 27 75 I 110680 W. PICO BLVD IAB STATE GREEN BLDG FEE 15000.00 VAL 1.50 ISPECIAL CONDITIONS: ILOS ANGELES CA 90064 IAC STRONG MOTION RESID 15000.00 VAL 1.50 IB2 PERMIT W/ENERGY 1500000 VAL/. 330.66 1 TOTAL FEES 361.41 1 ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE IHOME CARE AND DESIGN (888) 580-5557- 1 1 _ 110680 W PICO BLVD LIC. NO I ILOCATION AND SETBACKS 1 ILOS ANGELES/CA/90064 820230 1 _ I ISOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER: TEL. NO: IFOUNSAT'lON/TRENCH FORMS 1 1 I LIC. NO: I ISLAB/UNDER FLOOR 1 1 I I I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 (UNDERFLOOR INSULATION I 1 I I144H265 3 0O1 \ 1 �-�`� �� J�e�'� IFLOOR SHEATHING 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS I NO 21 IROOF SHEATHING I 1 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1 I (AIR QUALITY. 1000 FEET MATERIALS 1 I 1 NO NO NO i 1FRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HAD I�I I I I ISET BACK YARD HWY: PROP LINE- WIDTH: 1 I I 1 IFRONT PL- 1 SIDE PL- 1 iINSULATION/WEATHER STRIP' - 1 JINTERIOR LATH/DRYWALL ' 1EXTERIOR LATH I I 1 IRATED FLOOR/CEIL ASSEM. 1 I I 1 i IRATED WALL ASSEMBLIES 1 I IRATED SHAFTS/OPENINGS 1 1 IT-BAR CEILINGS 1 i ILOT DRAINAGE - (REPORT ID DPR261 ROUTE TO: BS0508 i