HomeMy Public PortalAbout5311 LOMA AVE_Building__ 76A638A CE#8033-66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING Lr �Oa
DEPARTMENT OF COUNTY ENGINEER ADD R E SS J ' p
BUILDING AND SAFETY DIVISION LOCALITY `E6( w (�
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ._
COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST (� '
DISTF�JCT - GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN p T CONST — • �
BUILDING STATISTICAL CLASSIFICATION.,. SEWER MAP
ADDRESS a CLASS NO �DfW�E LCL UNI TSS BK/J7 PG�
LOT NO O"• (, -� BLOCK USE ZONE NOP
TRACT 1/246 SPECIAL
NOOF BLOGS CONDITIONS `
SIZE OF LOT NOW ON LOT ,
USE OF3 SLOG i a /AA(• BLDG SETBACK FROM, '
/ TEL n4���Q FRONT PROP LINE OF (STREET)
OWNER EUG N G•c'�� •� TYPE OF EXISTING SETBACK HIGHWAY - YARD' _ TOTAL
ADDRESS (
HIGH W Y FROM C L
CITY
ARCHITECT OR TEL BLDG SETBACK FROM .�..._
ENGINEER NO. SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY__} ,.YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L -
TEL + _
CONTRACTOR NO y
LIC a
ADDRESS NO CORNER CUTOFF YES NOfq U
CITY CL A 5 SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK LJ
a
cn
NEW ADD ALTER REPAIR D LISH
,SQ.FT. NO OF N OF
SIZE STORIES F MILIES _
USE OF
STRUCTURE 4flJdr,
SIGNATURE OF
APPLICANT
VALUATION$ O ' •00 APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION, LOCATION
FEE$ FEE$ �� FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
SUILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT
TION OF THE LABORCC E OF THE STAT OF IFOR A RELAT•
ING'TO THE S C PENSATIOWIN ANG LATH EXT
SIGNATUREF HOUSENUMBER COR-
PERMITTEE RE AND POSTED
ADDRESS E/ v F I N A L
JOHN F LEWIS. PRINCIPAL SC4.0
RAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION M.O CASH
_ ..� _ L� 7 8 1 4* -MAR 29 1 v 0-
– — \
76A 636A CE#803 3-68 A P PLI.�AT.ION FOR .BUILD �ER I -
���' BOUNTY QF LOS-ANGELES BUILDING IILJIf
DEPARTMENT-OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION I_oCNL-ITY . I
JOHN A. LAMB[E, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING STq,t - _..
CROSS
ST
FOR APPLICANT TO FILL IN
DISTRICT No. 'GAP-: TYPE , -E AFD
Print ort e only) � CONST 1/J
BUILDING STATISTICAL CLA IFICATION - 'a SEWER MAP
ADDRESS I 6 CLASS NO, DWELL UNITS BK__, PG .
LOT NO. /0 BLOCK us MAP---
NO
TRACT. 1 SPECIAL '
i NO.OF BLDGS
CONDITIONS
SIZE OF LOT^ 0 NOW ON LOT s zi
USE OF• c 1
EXISTING BLDG, i pa/VC G - BLDG,SETBACK FROM `
S NOL �.�*J',r0�.� FRONT PROP,LINE OF --' - ^ (STREE-T)
OWNER
TYPE OF EXISTING SETBACK HIGHWAY } -YARD TOTAL
ADDRESS
HIGHWAY WIDTH .FROM C.L.
rr, 4,01N AV
}
CITY. �G.� 4..
BLDG.SET-BACK FROM -
ARCHITECT OR - TEL. _ SIDE PROP LINEOF (STREET)
ENGINEER /" NO. TYPE OF EXISTING SETBACK- HWAY - •} -'YARDTOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. ,
TEL
CONTRACTOR N NO } - d
O
ADDRESS NO CORNER CUTOFF YES.❑� NO ❑ ' ,V
LIC
CITY CLASS SEE REVS E SIDE FT SPECIAL APPROVALS -1
DESCRIPTION OF WORK Lin)
`
NEW ADTER I.
I- REPAIR' R DEMOLISH-- '- `� ♦ ♦ ` _ - - ;i '
SO FT NO OF ' NO. OF
SIZE STORIES / FAMILIES �ti♦,'. ;;�`, -
- USE OF
STRUCTURE Birfie •�; `,,,__ ''�,,, _�
'> .h
SIGNATURE OF
APPLICANT- •' `�y�` '�' i \, `.^",.
VALUATION $ APPROVALS _�� - t' ATyINroR's`slc URE
P.0 ✓C/ PMT -� FOFORMS I MATERIALS
FRAME:
4 c
AAON' 4'-' \ �i \
FEE$ FEE $
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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT.
ING TO WORKMEN S COMP NSATION INSURANCE
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE, Jr �J Q �-[cRECT AND POSTED
ADDRESSJ� /1 D• dMAAVE , FINAL �p
JOHN F LEWIS PR NCI AL STRUCTURAL ENGINEER
PLAN CHECK•VALIDATION CK M o CASH _ PERMIT VALIDATION CK M O CASH
76A638A CE#8033-66 APPLICATION FOR BUILDING PERMIT
t L
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS r `
BUILDING AND SAFETY DMSION LOCALITY F ma 1 C 1
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKINS.SUP T OF BUILDING CROSS ST D�� i La
DISTRICT NO. GROUP I-TYPE PROCESSED BY
FOR APPLICANT TO FILL IN COys_ —7Zr_s-R1
BUILDING STATISTICAL CLASSIFICATION SEWMAP
MAP
ADDRESS f��J�( �Qµd Ave CLASS NO DW ELL UNITS B"!/ PG6
LOT NO F CUP-T, BLOCK E USE ZONE MAP
TRACT Z �
1 , � ✓ SPECIA
NO OF SLOGS r /�^U CONDITIONS
SIZE OF LOT NOW ON LOT 1 - v
USE OF ' I
3 BLDG' BLDG. SETBACK FROM ll�� / -
TEL/J FRONT PROP. LINE OF Vy (STREET)
R
OWNELL c_U O Z80-owl TYPE OF EXISTING SETBACK HIGHWAY `• YARD = TOTAL,
i(
ADDRESS 1'G &LLU-- F>LV ;l - HIGHWAY- WIDTH FROM C L '
CITY �,�P•� '"�/JY� � + Z c!-- = Zv
ARCHITECT OR TEL. BLDG .SET,BACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + .YARD = TOTAL
;ADDRESS f HIGHWAY WIDTH FROM C L '
TEL
CONTRACTOR NOLIC
1
1 ADDRESS_ NO CORNER CUTOFF YES--o NO E] Q
CITY cls SEE,REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORKLIL
_
E ADD ALTER REPAIR DEM ISH -^- _ �ti,t Z
.FT NO OF NO OF
SIZE Z'.) STORIES FAMILIES `r USEOFTORE I
SIGNATURE OF
APPLICANT ,
VALUATION$ / 1_57+0 O
APPROVALS ' DATE INSPECTjdR'S SIGNATURE
P C '{�}�.��/y PMT a FOUNDATION, LOCATION
FEE$ w(�(/� FEE$� !! V FORMS, MATERIALS'
FRAME, FIRE STOPS,
- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,FURNACE. LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. •LATH. INT /
TION OF THE LABOR CODE �F_TlT�'l OF CALIFORNIA RELAT-
ING TO WORKMEN SS�C MPENRA CE LATH EXT
SIGNATURE Of.,V . HOUSE NUMBER COR-
PERMITTEE // REC.T AND POSTED .�/
ADDRESSZZZ S I- FINAL v Y
JOHN F.
pLpE.WIS. PRINCIPAL STRUCTURAL ENGINEER
CK . _
PLAN CHECK VALIDATION M O. CASH _ PEMWIl VALIDATION CK mo CASH
iA-0.7-8 1 6'_029 2 3 D 28.50A
6.0 4,6-10- APR13
APPUCAMON FOR BULMN,G P.ERNT
COUNTY OF,LOS,ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS
or a certificate,of Workers' Compensation Insurance,or a certified 4V
copy thereof(Sec 3800, Lab C) ,, •, CITY- ZIP -T;0^
- -
Policy No 4L&JO � Company T�'4"`s =°`3 �� LOCALITY
SIZE OF LOT NO OF BLDG9 NOW ON LOT
❑ Certified copy is hereby furnished NEAREST CROSS ST
dertified copy is filed with the county building mspection TRACT BLOCK LOT NO
epartment w USE ZONE MAP NO
} Date 4:�••7�r Applicant o�..e� ASSESSOR MAP BOOK PAGE - - PARCEL-:
SPECIAL CONDITIONS. ,
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER - -TEL,NO
P
COMPENSATION INSURANCE r —llk
WITHIN 1,000 FT OF SCHOOLS YES' NO
(This section need not be'completed If the permit Is for one hundred ADDRESS
dollars,($100)or less)* ' -DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
• '' �' � '
CITY ZIP
I certify that In the performance of the work for which this permit
is issued, I shall riot employ any person in any manner so as to
become subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER - - TEL-NO
STATISTICAL'CLASSIFICATION APT CONDO
Date Applicant ADDRESS - CLASS NO "DWELL UNITS
NOTICE TO-APPLICANT If, after making this Certificate,,of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you .should become subject -to the -�Work4s' CONTRACTOR - TEL NO - SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you,must forthwith
FRONT ,
comply with such provisions or this permit shall be deemed revoked - ADDRESS - - •• - - LIC NO - P L
LICENSED CONTRACTORS DECLARATION 413o SIDE
CITY LIC CLA S - P L _
I hereby affirm that I yam licensed underprovisions of Chapter 9 J µ{� tiA SEWER MAP
(commencing with Section 7000)of Division 3,of the•Busmess and SQ FT SIZE NO'OF STORIES. NO OF FAMILIES _
Professions Code,and my license is in full force andel effect NEW El BK PG a
License Number 47-O4� Llc Class g DESCRIPTION OF WORK ADD ^❑ VALUATION - Q
Contractor r"''r—Date x-17 S� - S ALTER $ d cc
' # d-S—1 REPAIR El $ L_< 0
El am exempt under Sec
BBPC for this reason DEMOL ❑ * V
LDMA P/C-# W
Date USE OF EXISTING BLDG URM ❑ '--I =�'
Signature APPLI ANT(PMT),, TEL NO LDMA Perm# _ ;,�}�"� S.Irt'=it+:'Z
❑ I, as owner of the property, or my employees with wages asZO ,y
their sole compensation,.will do the work and the structure Is ADDRESS
not intended or offered for sale (Section '7044, Business and .� L' a FINAL DAT 0 }-iy,1 =a
Professions Code) WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT'HANDLE A HAZARDOUS MATERIAL _
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J i' r 'F •�C
❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIE ON THE HAZARDOUS MATERIALS INFORMATION GUIDE FINAL -�=
licensed contractors to construct the project (Section 7044, VES❑ N
Business and Professions Code) 1 I C I i•
_ WILL THE INT NDED USE OF THE'BUIDLING BY THE APPLICANT OR FUTURE BUILDING ,
OCCUPANT REQUIRE A PERMIT CONSTRUCTION OR
SOUTH
COAST AIR QUALTY MANAGEME TDRCSCAQMDSEEO �• -� t j{t 1"}, 'T - 2i m _.0
CONSTRUCTION LENDING AGENCY LOR
GUIDELINES
��//
I hereby affirm that there is a construction lending agency for YES❑ vq}B� ,�_Q�} L• }_E. T �o L'
w the performance of the work for which this permit is issued(Sec HAVEREAD EHAZARRDOUSMATERIALSINFORMATIONGUIDEANDTHESCAOMDPERMITTING
3097,Civ C �•N1'-� --
N ) _ - CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS ,
" Lender's Name MATERI ORRNG ANO.F R OB;XMING A PERMIT FROM THE SCAQMD /✓/ v �' _
o Lender's Address > r.�
- OWNER OR AGENT j fl ii )�"I,I EI f "F i.� 7
o I certify that ['have read this application and state under penalty -
o P C FEE PERMIT FEE
of perjury that the above information is correct I agree to comply / a _I
with all county ordinances and State laws relating to building ' � (p
construction, and hereby authorize representatives of this County ISSUANCE FEE �' /l�
r upon thea e-m oned property for inspection purposes d
a AQ=or— INVESTIGATION FEE -' TOTAL FEE
0
Sm— MWt o Agent "
SEE REVERSE FOR EXPLANATORY LANGUAGE
y
� 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 j• �- d BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL
BUILDING AND SAFETY /-LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9910150016
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 11218 LT: 51 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5311 LOMA AV
STRUCTURE: 625 1 VN R3 TEMP CA 917803002
ASSESSOR INFORMATION UMBER: GARAGE: = ;NEAREST CROSS STREET: BROADWAY
5388-007-027 OTHER: THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C
TENANT: USE ONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
11/08/99 UT 05/ /00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
STOHR PETER R;MERLINE B (626) 287-3823- 20,630
5311 LOMA AV ���
TEMP 917803002 FEES PAID DESCRIPTION OF WOR
BUILD,'A NEW DETACHED WORKSHOP 625 S.F. WITH TOILET AND -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LAUNDRY SINK - COVENANT FILED WITH LOS ANGELES COUNTY
APPLICANT: TEL. NO:
MOTA (626) 806-6876- D1 PLANCHECK W/O EN-HC 20630.00 VAL 341.19
452 N. SUNSET AVE. AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AZUSA, CA 91702 AC STRONG MOT,ION$RESID�20630.00 VAL 2.06
D1 PLANCHECK�W//O-EN_�C��20630?00 VAL 341.19
T,OTAL1 FEES 712.19
CONTRACTOR: TEL. NO: ®�J `��A APPROVALS DATE INSPECTOR SIGNATURE
LUIS M MOTA GENERAL CONTRACTOR 818969283
542 N SUNSET AVE LIC. NO LOCAtD S BACKS
AZUSA, CA 91702 623955 B
APPROVAL
ARC TECT OR GINEER: TEL. NO: 0 NDATION/TREN
LIC. N0: 1111111 SLAB/UNDER FLOOR y� 717
RAISED FLOOR FRA G
f—
UNDERFLOOR INSULATION
147-265 X X 3 4 U'
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01
-.:)UBSUC W(Oluo-M ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING TS: APT/CON : STAT CLASS:–
NO 12\V\� 0 ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS \ 0 � OF SHEATHING-
AIR QUALITY: 1000 FEET MATERIALS ` Q AI � �•
2.47
NO NO NO El ® ®� FIRE DEPT. FRAME •I SPECT
REQUIRED TOTAL SETBACK FROM EXIST f/8' w1O<� BLDG DEPT. FRAME INSPECT
SET
FRONgAPL-CK YARD: HWY: PROP LINE: WIDTH: �C S'D pVIC SHEAR PANELS
SIDE PL-
SULA IO EAT TRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH 7 7�
LOT DRAINAGE 3-)3
SMOKE DETECTION DEVI S
FIRE DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES 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 0704270001
PHONE (626) 285-0488 EXT: '
LEGAL ID- NO OF CONST I BUILDING ADDRESS:
ITR 11218 LT 51 BL. .001 1 SQ FT STORIES TYPE 5311 LOMA AV
STRUCTURE VN TEMP CA 917803002
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET- I
15388-007-027 1 i THOMAS PAGE 596 GRID: H4 LOCALITY- TEMPLE CITY, Ci
ITENANT: (EXIST BLDG USE: RESID USE ZONE R-1 JISSUED ON: PROCESSED BY: EXPIRES ON-
1EXIST OCC GRP. 104/27/07 JK 04/21/08 1
(OWNER: TEL NO IBLDGS. NOW ON LOT: VALUATION IFI AL TE FIN CODE 1
ISTOHR PETER R;MERLINE B (626) 287-3823- 1 7,070 1 r / 1
15311 LOMA AV _ I I /
ITEMP 917803002 I FEES PAID IDESCRIPTION O WORK
(RETROFIT INSTALLATION OF 5 WINDOWS & 3 PATIO DOORS 1
IFEE DESCRIPTION: QUANTITY UOM AMOUNT 1 I
(APPLICANT TEL NO. I I
(BROTHERS HOME IMPROVEMENT (562) 531-4777- IAA BLDG PERMIT ISSUANCE 27 75 1
15881 OBISPO AVE #101 IAC STRONG MOTION RESID 7070.00 VAL 0 71 ISPECIAL CONDITIONS 1
ILONGE BEACH CA 90805 ID2 PERMIT W/0 EN-HC 7070.00 VAL 183 00 1 1
I 1 TOTAL FEES 211 46 I 1
I I I
(CONTRACTOR- TEL NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
IBROTHERS HOME IMPROVEMENT (800) 672-3777- 1 1 1
12510 DOUGLAS BLVD. #300 LIC NO I ILOCATION AND SETBACKS I I 1
IROSEVEILLE, CA 95661 699009 B I I i I 1
ISOILS ENGINEER APPROVAL I 1
(ARCHITECT OR ENGINEER TEL NO I FOMDATION/TRENCH FORMS I I
LIC NO: (SLAP/UNDER FLOOR I I I
I I I + I I I
IRAISED FLOOR FRAMING 1 I I
IMAP NO: SEWER MAP BOOK- PAGE FIRE ZONE: CMP 1 IUNDLRFLOOR INSULATION I I
1147H265 3 011 1 1-1
I IFLOOR SHEATHING 1 I 1
INO OF FAMILIES- DWELLING UNITS: APT/COND STAT CLASS. 1 1-1
I I
NO 21 I ROOFiSHEATHING
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I I I
1AIR QUALITY 1000 FEET MATERIALS 1 I 1 1
NO NO NO (FRAME INSPECTION 1 I I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIREISPRINKLER HANGERS 1 I I
ISET BACK YARD HWY PROP LINE WIDTH I I I I I
IFRONT PL- 1 11NSULATION/WEATHER STRIPI I 1
I SIDE PL- 1 11 1 1
1 1 11NTERIOR LATH/DRYWALL I I 1
I (EXTERIOR LATH
IRATED FLOOR/CEIL ASSEM I 1 1
IRATED WALL ASSEMBLIES I 1 I
1 IRATED SHAFTS/OPENINGS 1 1 1
IT-BAR CEILINGS 1 1 1
1 I ILOT DRAINAGE I I I
1 IREPORT ID. DPR261 ROUTE TO. BS0508 I 1 1 1