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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