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HomeMy Public PortalAbout5312 LOMA AVE_Building__ APPLICATION EOR BUILDING PERM-17 , FOR APPLICANT TO FILL IN (Print or type only) BUILDING - COUNTY OF LOS ANGELES ADOR Ess , DEPARTMENT OF COUNTY ENGINEER CITY — , X' ZIP I 1Q - ' BUILDING AND SAFETY DIVISION _ NO OF BLDGS / BUILDING SIZE OF LOT�_Q x��J���� NOW ON LOT / "" -ADDRESS TRAC �� I t71C0C:K LOT V� LOCA LIT -. TEL NEAREST OWNER � .P L 6/L NO 6• CROSS ST , I - ASSESSOR ADDRESS _3 Ja A Q' - MAP BOOK PAGE PARCEL DISTRICT I GROUP' ITYPE t FIRE PRO SS€D BY CITY�C PA L a, JCS ZIP 91710 y/{� �NST ARCHITECT OR- - -- TEL ENGINEER NO STATISTICAL-CLASSIFICATION �- BK WER AP ADDRESS CLASS N �DWELL UNITS PG CONTRACTORHEEL U ZONE MAP C NO / t ADDRESS _71-1 _ ,NO �I SPE AL LIC CONDITIONS CITY - CLASS _ ROAD MENT APPR OVAL REQUIRED YES❑ NO ❑ CONSTRUCTION DER a NAME AND CH B G SE-T BACK FROM - - • T -- - - - - F ONT PROP LI NE OF ) (STREET) ADDRESS CITY GHWAY } YARD _- TOTAL SETBACK FROM TYPE OF EXISTING C SO FT NO OF NO OF CHECK, FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES I ONE DESCRIPTION OF WORK NEW ❑ - a ADD I7BLDG.SETBACK FROM Z J SIDE PROP LINE OF (STREET) J ALTER ❑ HIGHWAY } -YARD = T'OTAL SETBACK FROM E OF EXISTING REPAIR❑ SIDE PROP LINE HIG AY WIDTH USE OF _ - }' EXISTING BLDG tea/ �ZXd& DEMOL ❑ AP PRIN TNT/J / ��LV/7 TEL ^ �.� CORNER CUTOFF YES ❑ NO ❑ `' 1( c7� IN OPEN SPACE _ _ YES ❑- NO ❑ BY (SIGNATURE) I - / - - �� - ,IN COASTAL ZONE YES ❑ NO ❑ VALUATION - 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 _ EXEM'PTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCT]ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT,PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIO LA-TION-OF THE ! LABOR CODE OF THE STATE OF CALIFORNIA RELATING TO WORKMEN'S COMPENS TION INSURANCE SIGNATURE OF PERMITTE17OP C,�dLlllG A- IQ1�L7—C*,f E ADDRESS �7 �.�U"�r d/� /�I�,/Ls^l'9•/ FINAL Y TEL DATE - CITY 10"Ll f NO O Q L' MA KF_ C//_CKS PAYABLE TO FEE ✓ FEE HARVEY T. BRANDT. COUNTY ENGINEER So r .PLAN CHECK VALIDATION CK M O CASH _ e - ePERMIT VALIDATION CK M o CASH UN 6 1 v 5 5.5 0 A98 76A638A CE#803 7/73 I , APPLPICATHON FOR, BUOL®9NG PERMET � RFOR+APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS 6 3/A A/. k0m DEPARTMENT OF COUNTY ENGINEER CITY ZIP �!� BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS �"2- TRACT. , BLOCK LOT NO LOCALITY TEL NEAREST a OWNER ,Q L NO 7 CROSS ST ASSESSOR ADDRESS V 3141 MAP BOOK PAGE PARCEL .ter DISTRICT GROUP TYPE FIRE R ESSED BY CITY / ZIP 91710 r CONST ZDNC- i ARCHITECT OR TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWE P ADDRESS CLASS NODWELL UNITS BKf PG TEL , CONTRACTOR NO US NE MAP LIC NO ADDRESS / NO ✓� SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTIO NDER NAME AND BRANCH _ BLDG SE BACK FROM FRONT P OP LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING Y SQ FT NO OF NO OF CHECK HIGHW + YARD FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE- DESCRIPTION OF WORK SJQ � NEW 1-17 u ❑ + - p ADD ® BLDG SETBACK � Qom' SIDE PROP LINE OF STREET( O ALTER ❑ ROM TYPE OF EXISTING EPw ❑ HIGHWAY + YARD = DE O LI HIGHWAY WIDTH N USE OF RAIR Z EXISTING BLDG r�OG1 P DEMOL ❑ + APPLICANT TEL D CORNER CUTOFF YES ❑ NO ❑ (PRINT( 1 - I � IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) + �` IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ 3 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING T RKMEN S COM _ PENSATION INSURANCE - SIGNATURE OF 'PERMITTEE ADDRESS r fFINAL 6{.+ BY rw .<),4w TEL CITY P/a9 !X CS,J�• NO DATE " r MAKE CHECKS PAYABLE TO FEE FEET $ HARVEY T.BRANDT,COUNTY ENGINEER 0„[L PLAN CHECK VALIDATION CK mo CASH v PERMIT VALIDATION CK M o - CASH 659trIAR i1 1 D 8 2.5 0 ®S 76A638A CE#803 3 75 (P 76A638ACE#8033-66 APPLICATION F® BILDI PEMIT COUNTY OF LOS ANGELES BUILDING j''�/ DEPARTMENT OF COUNTY ENGINEER ADDRESS oL BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST - COLEMAN EAREST _COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST DISTRICT NO P TY-PE P CE BY FOR APPLICANT TO FILL IN �Q CON r BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO —/—DWELL UNITS BK PG LOT NO'00 � BLOCK USE ZONE " MAP - NO. R C2 TRACT _ s SPECIAL e NO OF BLDGS CONDITIONS ' SIZE OF LOT NOW ON LOT i USE OF .17 BLDG. SETBACK FROM TE FRONT PROP. LINE OF (STREET) OWNE LL, N TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS c HIGHWAY 1 F M C L �J CITY �LSJF� + LDG SETBACK FROM ARCHITECT OR TEL B .. _ 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 ADDRESS NO CORNER CUTOFF YES E] NO g V CITY Llc SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORKCA `~W' EW ADD ALTER REPAIR DEMOLISH CURB, GUTTER, DRIVEWAY APPROACH, SQ.FT NO OF NO OF SIZE STORIES FAMILIE USE OF STRUCTURES G Note: Permits for curb, gutter, sidewalk, and driveway approach I SIGNATURE OF Office, or T. C. Co Engineer's Oi:icc wviiedie;a!y in order to avoi APPLICANT a lengthy delay. Survey & Design wo-k W;es lime and iS not start 1 / aa I t 1 VALUATION$ •00 City HalkPPROVALS DATE INSPECT 'SSIGNATURE FEE$ O-� PMT FO U� FORMS,I_MATERIALS F- y FEE$ _ 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 13UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 6 FI NAL �� JOHN PLAN CHECK VALIDATION cK M O CASH _ PERMIT VALIDATION T CK U EN ER M O CASH i Hl�o 7 -2.9 8� FEB 2 3 2 3 D =• 3 2'.00A_ ` _ Lk"LE0 7 5 9 2-0 MAR 15, ' 1 D 6 4.00- ell 76A638A CE#8033-66 APPLICATION FCkBULLDIC PERMIT COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST - DISTRICT NO GRO P-' TYPE P ES BY _ FOR APPLICANT TO FILL IN S CONST BUILDING STATISTICAL CLASSIFICATION SEW MAP , ADDRESS 2 CLASS NO ADWELL UNITS B P y LOT NCII)/ Sf BLOCK USE ZONE MAP NO S - - TRACT �� 14,-' /c/ SPECIAL NO OF SLOGS CONDITIONS ` SIZE OF LOT NOW ON LOT USE OF BLDG. SETBACK FROM _ TEL FRONT PROP. LINE OF (STREET) OWNE L NO TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS z- /- HIGHWAY F M 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 LIC ADDRESS NO CORNER CUTOFF YES - NO d d CITY Llc SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK LL' CL NEW ADD ALTER REPAIR DEMOLIS SQ.FT elp NO OF SIZE STORIES FAMILIE USE OF STRUCTURE SIGNATURE OF APPLfCANT VALUATION$ .00 APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT Ov FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S COMPENSAT ON INSURANCE LATH EXT SIGNATURE O �� HOUSE NUMBER COR- PERMITTEE RErT AND POSTED ADDRESS 2722 7-- jAe='l_xy FINAL PLAN CHECK VALIDATION CK M o CASH JOHN F. LEWIS PRINCIPALS UC RAL ENGINEER PERMIT VALMATIO CK MO CASH Lht;0 7 5 9 0 MAR 15 1 D 4.0-0 WORKERS' COMPENSATION DECLARATION �r I hereby affirm that I have a certificate of con-,ent to selfO D D D D O insure, or a certificate of Workers'Compenstia Insuran e, or Q p p d 0 CQT 0 O m FOR R CD3 U 0 d D�[ (D PER 0' a certif d-copy thereof (Sec 3800, Lab C ) / COUNTY OF LOS ANGELES BUILDING AND SAFETY Pal icy"No !O Company - O ertifted copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESSLZ Laic-� Certified copy is filed with the county building inspec- BUILDING lZ ��� U tion deppartmADDRESS LOCALITY ent �i ll�► L/� CGT c %'Date l - V Applicant ,df� I�-�1 CITY ZIP CROSS ST �L�2 CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS r ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 7 ��C7` NOW ON LOT MAP'BOOK PAGE PARCEL (This section need not be'completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT / BLOCK LOT NO ^ / NO p l -c TEL „Y SPECIALIL I certify that in the performance of the work for which this OWNER LJ�L�/ NO .Z��ol�-` CONDITIONS O permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO ESSED BY U so as to become subject to•th_e Workers'Compensation Laws ADDRESS S 3�Z Lp�,�7 4 c/ p CONS ZONE 109/ 0C CITY ���/�pOUr CC/ ZIP S ( O Date Applicant AR R TEL STATISTICAL CLASSIFICATION n APT CONDO (� NOTICE TO APPLICALU NT If, after making this Certificate)of ENGINEER NO CLASS NO DWELL UNITS CL Exemption, you should become subject to the Workers' y Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP z' with comply with such provisions or this permit shall be `9 - TEL deemed revoked CONTRACTOR aVelnr NO'7fc7 ��/ BK APG, G / VALIDATION LICENSED CONTRACTORS DECLARATION / LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 50 -.V` lG/��� NO f 221- VALUATION (commencing with Section 7000)of Division 3`of the Business and LIC / Professions Code, and my license is in full force and effect CITY l�v�, CLASS 0' $ / l /'7 7 SQ FT NO OF r .NO OF CHECK License Number '! r' 'Z �A��Q Lic Class �/ SIZE STORIES ` FAMILIES ONE Contractor ���[```� Z_ Date /�— / A DESCRIPTION OF WORK /�/�/L �� NEW $ I am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer ALTER Q FINAL acting in my professional capacity (Section 7051, - C REPAIR � DATE ' Business and Professions Code) J USE OF yy ' EXISTING BLDG O�"1�i DEMOL FINAL 1_ By Lic or Reg No Date APPLICANT TEL OWNER-BUILDER DECLARATION PRINT) dS�a'Ll �E'�G¢i�T NO 7q'311 I hereby affirm that I•om exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) •• PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation, will do the work and f / the structure is not intended or offered for sale(Section LOCALITY ` v 7044, Business and Professions Code) MOVING TEL S 04 60 A I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- o o,0 0 0 1ADDRESS _ _• tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST 2.-lo 8 8,0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o 0 o 8 8,0 O v the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE 0 6 1 1 -8 1 PL Lender's Name P C Fee$ Permit Fee Lender's Address W I certify that I have read this application and state that the Issuance Fee above information is correct I agree to comply with all County Investigation Fee o 'ordinances and State laws relating to building construction, Total Fee .G and hereby authorize r esentatives of this County to enter Qupon the obov n ed roperty for inspection purposes a ,�/�Q $EE,REVERSE FOR EXPLANATORY LANGUAGE •Signature pli nt or Agent Dote - - ©s 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 0402100002 PHONE: (626) 285-0488 EXT: LEGAL ID: No. BUILDING ON FILE SQ. FT STORIES TYPE 5312 LOMA AV STRUCTURE: 3500 VN TEMP CA 917803001 , ASSESSOR INFORRTTIO NEAREST CROSS STREET: OLIVE 5388-008-023 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C TENANT: IS GUSE: RESID USE - S D 0 SS I OW'-. - EXIST OCC GRP: 02/10/04 VG 02/04/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DjkTE FINAL BY: SILVA CYRIL H;DIANE K (626) 286-7075- 5,460 -1-4-20 r 5312'LOMA AV TEMP 917803001 FEES PAID DESCRIPTION0 W R o T/0 EXISTING PITCH ROOF ON HOUSE AND GARAGE AND APPLY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLASS A 30-YEAR ASPHALT SHINGLES APPLICANT: TEL. NO: K S T ROOFING CO (310) 329-2600- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5460.00 VAL 0.55 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 5460.00 VAL 149.40 TOTAL FEES 177.70 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE KST ROOFING CO. (310) 329-2600- 1916 W. 150TH ST. LIC. NO LOCATION AND SETBACKS GARDENA, CA 90249 B/L 20976 SOILS,ENGINEER APPROVAL ARCHITECT OR NEER: TEL. NO: DAT 0 FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP B-0-07'. PAGE: FIRE NE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FA L ES: D G UN S: T/CO STAT CL SS: NO 21 ROOF s—H E-A-TTi I N G 7 SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIlED TOTAL SETBACK FROM IS FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATIONIWEATHER STRIP SIDE PL- INTERIOR L EXTERI OR LAT RATED LO IASSM i WMEN—W-AMASSEMBL I ES GS T-BAR ,CEILINGS * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508