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HomeMy Public PortalAbout5327 LOMA AVE_Building__ A ROAD LIEPT: P77WT_ is REC?UIRED P. 6 i FOR ANY P.4A(E?IA,L.�i� ,I?ONE 1N THE ROAD .P.IGn t Or--WAY. 7ewesewce�eos:e-eo APPLICATIONFOR -BUILDING .PERMIT -CCIUNTY OF LOS.ANGELES BUILDING. " ADDRESS 'DEPARTMENT OF COUNTY ENGINEER BUILDING AND'SAFETY DMSION LOCALITY =- ..JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN,,Su of BUILDING CROSS ST - - DISTRICT NO. GR P TYPE �! P CESSED BY : :FOR APPLICANT-TO-FILL IN `� CONST' BUILDING CLASS.STATISTICAL CLASSIFICATION ATION _ SEWER_ MAP '. ADDRESS NO." DWELL. UN LOT NO. - BLOCK MAP '-o/ ! 7 STATE YES NUMBER �C / -' HWY TRACT ��� a - USE ZONE SPECIAL q NO:OF BLOGS. CONDITIONS' - SIZE OF LOT Q V I NOW ON LOT ��-r 1..• USE OF EXISTING BLDG. BUILDING - .EXIST. }� - SETBACK. YARD HWY. -STREET NAME' WIDTH OWNER _ /V FRONT MAIL ADDRESS, �• 'Q` SIDE - - - TEL.- P.L. CITY 0 V NO. 6a , NSPECTIO_ N RECORD , ARCHITECT OR TEL. ENGINEER- `�Y[�d NO. �/ ADDRESS - TEL. .sal a./. ��d\-I_�, r n -S(.`e l.A.r..-..,m__1 CONTRACTOR - -NO ADDRESS - - - • DESCRIPTION OF WORK- NEW ORK - �" G �� NEW (AD ALTER�-,REPAIR DEMOLISH , SQ. FT. "' NO. OF' NO.`OF SIZE STORIES FANNLIES USE OF - STRUCTUR 'SIGNATURE F - APPLICANT - ' APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS - --FOUNDATION: LOCATION _ FORMS'MATERIALS Y L VALUATION'$ —� __I FRAME: FI RE STOPS, •BRACING, BOLTS IrPl�r�� /' FURNACE- LOCATION-, FEE $ -~ I FEE • ' I GAS VENT,DUCTS I'HEREBY ACKNOWLEDGE THAT 1-HAVE READ THIS AP' LATH, INT. - ,PLICATION AND STATE THAT'THE•ABOVE IS'CORRECT AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES,AND - - - - • STATE LAWS REG TING BUILDING CONSTRUCTION. LATH, EXT. •' SIGNATURE OF - - HOUSE NUMBER COR- PERMITTEE RECT AND POSTED A ADDRESS- FINAL' .'CLYDE N. DIRLAM, PRINCIPAL•STR URAL ENGINEER.'. PLAN CHECK VALIDATION- CK,. M.O. CAS"' PERMIT .VALIDATION CK. M.O. CASH a o-7 4.9 O "MAR 9 1 .A 2 1.00 � ®' 76e638Aeel803 2/60 APPLICATION FOR BUI=L_®ING PERMIT �,• COUNTY OF, LOS ANGELES BUILDING DEPARTMENT OF .COUNTY ENGINEER ADDRESS BUILDING AND-SAFETY-DMSION LOCALITY JOHN A. LAMBIE, COUNTY,ENGINEER NEAREST " WILLIAM A. JENBEN 8UP'T OP BUILDING CROSS ST. DISTRICT NO. GR TYPE P B ' FOR APPLICANT TO'FILL'IN- CONST. BUILDING STATISTICAL CLAIFICATION ER MAP ADDRESS �✓ BK ?,P CLASS:NO. DWELL. UNITSpf LOT NO. BLOCK MAP NUMBER Q HWY. - YES NO TRACT 'USE ZONE _SPECIAL // NO:OF BLDGS. CONDITIONS SIZE OF LOT O- (v d I NOW ON LOT USE'OF 'EXISTING BLDG. - X_LL I - - EXIST.- YARD HWY STREET NAME ' TEL SETBACK WIDTH- OWNER NFRONT ADDR J SIDE - _ � -•- ARCHITECT OR - TEL. P.L. ENGINEER No. -INSPECTION RECORD ADDRESS - TEL. CONTRACTOR ���' - NO. x• - - O ADDRESS •-_ - - - V 'DESCRIPTION "OF WORK• ` O NEW ADD ALTER REPAIR DEMOLISH / - A4. �{ SO.FT, NO.OF. NO.OF _ aW SIZE STORIES ,FAMILIES - t _ N USE OF " : �/ STRUCTU�R / (E. �f FI t% (- SIGNATURE OF r - APPLICAN 1 z - VALUATION APPROVALS ATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION F E $ FEE•$� /�/)/ 0 V FORMS .MATERIALS - - I HEREBY ACKNOWLEDGE THAT) HAVE READ THIS,AP- FRAME:,,FIRESTOPS, _ PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS, FURNACE; LOCATION, AGREE TO COMPLY WITH-ALL COUNTY ORDINANCES AND GAS VENT,DUCTS ' STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY -ANY PERSON IN VIOLATION,OF THE WORKMEN'S COMPE ATION LAWS OF CALIFORNIA. LATH,EXT:- = SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED " ADDRESS �- FINAL - - CLYDE N. DIRLAM,"PRINCIPAL STRUCTURAL ENG PLAN CHECK VALIDATION . CK. M.D. CASH PERMIT VALIDATION. CK.• M.O._ CASH > ; 76A698A CE.ry603 10-66 %-1I�IaI=l(:-_*ATI.QN FOIA', -BUILDING PERMIT COUNTY,OF LOS ANGELES, BUDDING DEPARTMENT, OF COUNTY ENGINEER ADDREss. BUILDING AND, SAFETY DIVISION LOCALITY•. JOHN A.LAMBIE,COUNTY ENGINEER NEAREST 'CASSATT D.GRIFFIN,SUPT OF,BUILDINB CROSS,ST: c DISTRICT •O: 'GROUP. •n • .pE t'•P SSEDtBY,• ; FOR-APPLICANT TO FILL-IN ; ' I CONST. ' BUILDING ^/���, /,a.� STATISTICALCL_ASSIFICATION SE KR'M'°`PPG, ADDRESS_ J .7 L.� _ y i • - CLASS. NO .DWELL. UNITS _ 1I Ll LOT NO. BLOCK- -MAP - STATE YES NUMBER, HWY. TRACT O USE,ZONE SPECIAL' NO,OF BLDGS. - i CONDITIONS t ' SIZE'OF LOT 6�/'X I�C O I NOW ON LOT 1' ' ti• 'USE.OF EXISTING BLDG. 'BUILDING -YARDS HWY STREET NAME• EXIST. SETBACK - WIDTH,. OWNER = rr77 - FRONT MAIL. 01- O M P.L. ; - ADDRESS•. SIDE e' , '-'TEL. -� P% _.-L. CITY EC L�- No. INSPECTION:RECORD .,•: - . .4RCH1 ECT R - TEL. _ - 'ENGINEER• 'NO. ADDRESS• TEL. CONTRACTOR,• _ _ NO. I . ADDRESS - r DESCRIPTION OF WORK .f NEWADD ALTER REPAIR' DEMOC'ISH • SO-.FT.' •. --NO.OF " NO.OF SIZE- I O 4�9 �f STORIES FAMILIES - - - USE OF U T E SIGNATURE OF r APPROVALS - - ,,APPLICANT - ,. - - •• AT INSPECTOR'S IG AT RE' ADDRESS- - FOUNDATION: LOCATION' > FORMS,MATERIALS C � P.C. $ FRAME: FIRE STOPS., .I 7 FEE BRACING, BOLTS `• '.C.�7'/" - •�ry�h-.�` ' VALUATION', - - $ (f' FURNACE: LOCATION. FEE GAS VENT,DUCTS' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS AP- LATH,INT. PL9CATION AND STATE THATTHE ABOVE IS CORRECT AND _ AGREE TO,COMPLY WITH ALL COUNTY'ORDINANCES AND 'LATH,EXT. ` STATE .LAWS REGU !NG BUI • ING• QONSTRUCTION. SIGNATURE OF •/�/ HOUSE NUMBER'COR- ' PERMITTE + - w RECT AND POSTED ADDRESS FINAL - T'�"��V6• L7 —1 1 CLYRE'N. DIRLAM, PRINCIPAL STRUCTURAL EN ,. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION., CK. rh.o,:' C"H .Ak '��MM°(( ' (YJP• yy 7 APPLL CAVO FOGS .8UO.L© N,�IIPERI., 'COUNTY,OF LOS ANGE�E$ ::rod r BUILDING AND SAFETY'' WORKER'S COMPENSATION DECLARATION -FOR,AP,PLICANT•,TO FILL IN. ;vy'r BUILDING ADDRESS Thereby affirm that a have a certificate of consent to self-Insure, BUILDING ADDRESS" or a certificate of Worke'r's',Compensation'Insurance,or a certified' 21 iLa� copy thereof(Sec 3800,Lab'C I �7 �. CITY' ^ ` _ ' ZIP _ LOCALITY-. Policy NO Company SIZE OF OT NO OF BLOGS NOW ON LOT G- 0 Certified copy is,- ereby furnished NEAREST CROSS'ST , 13Certlfied•copy s.fited wth the county budding Inspechon TRAJCT: (� BLOCKC LOT NO ` department• - / %d G ��, USE ZONE - MAP NO Date - Applicant'` ASSESSOR MAPF BOOK _ 'PAGE PARCEL •• A0 SPECIAL CONDITIONS OWNER' TEL NO- CERTIFICATE OF EXEMPTION.FROM•WORKERS' JiA� �I COMPENSATION INSURANCE Lo WITHIN 1000 FT OF SCHOOLS YES' NO (This se3tion need not--be completed If the permit is for one hundred ADDRESS dollars x$100) or less 1 w � DISTRICT GROUP TYPE CONST FIRE ZONE JRESSED BY 1'certify that in'the performance'of the work for ch this�pe t CITY �` ZIP.� '� (/ 4 Is Issued, i'shall not employ. erson In any nn o a o ��0 3 / G ' become bje t to the•Workers'Co ARCHITECT OR ENGINEER TEL NO, pensaUOn. "7 STATISTICAL Cl ANION APT CONDO Date Applicant! ADDRESS •� � ^� q� / CLASS NO DWELL UNITS. NOTICE TO APPLICANT If, aft r eking this_. Certihca of �✓� CJ1y'til /��b ve_.t�cJ REOUiRED TOTAL SETBACK FROM EXIST Exemption, you should beco e' blect t0 the Workers' CONTRACTOR TEL NO SET-BACK YARD• ,HWY PROP LINE - WIDTH - Compensation prove§Ions of the r:Code, you must forthwith - 6`7 comply:wlth"such provisions oe this permit shall-be deemed revoked ADDRESS LIC NO" FRONT 1 - Ir PL }' LICENSED CONTRACTORS DECLARATION _r SIDE j O •• CITY - ''`LIC CLASS P.L .'U I hereby affirm.that I'am licensed underprovisions of Chapter 9 SEWER MAP (Commencing with Section 7000)of Dlvfsion.3 of the Business and, SO FT SZE NO OF STORIES NO OF FAMILIES Professions'Code,and.myr license Is m full force and ct. G NEW ❑/ BK PG,_ ; O License Number. •'��fl,,���/�I!� LIC Class - DE RIPTION O .WORK - 'ADD IU --VALUATION ,. Contractor ILA lTG-. C-) Date Z ! ALTER ❑ ` U • a I am'exempf under'Sec �_ DPS REPAIR El Z B&PC•for this reason DEMOL C] $ - . . LDMA P/C;r- Date USE OF.EXISTING-BLDG PRM ❑ s".• 23 . - _ �. Signature - APPLICANT'(PRINT) TEL NO LDMA Perm N ' 1 n •ir 8 ❑ I, as owner of tHe'property, or my.employees with wages as. -,,,--3303` ���I ` their sole compensation, w 11 do-,the work'and the structure Is ADDRESS n _.0 . not Intended or offered for sale (Section 7044, Business'and r FINAL DATE f Q _� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL , l-21 •� ; JL C3 .OWA.MIXTURE CONTAINING A HAZARDOUS MATERIAL,EQUAL TO OR GREATER THAN'7HE NNN/ ♦ •t•�s•g C3 I, as 'OWrler of-the.property, am exclusively contracting with _ AMOUNTS SPECIFIED ON THE;HAZARDOUS MATERIALS INFORMATION GUIDE'1 FINAL BY ',j.�•1ry licensed contractors to:construct the-projectr(Section 7044; '822.�� Busines' and Profess)on§Code 1 YES El 'No �.. S�'1 ti c TTr _ �• WILL THE INTENDED USE OF THE•BUIDLING BY THE APPLICANT OR FUTURE BUILDING ,��`,• • �•>,,A4;� 11'CJ _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE,SOUTH - I t. CONSTRUCTION LENDING AGENCY COAST AIR,UAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR { , e r TOUL vp heri=by�affirm that there,•is a construction lending-agency.,for YES❑ No❑ ,f the performance of the-work for which this permit Is Issued(Sec: = :yi•, {_ �{;v 873.22' 3097,CIV C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SOAOMD PERMITTING "-Dt•I r _ •CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE," _ •. y r •%•,{J�{,I('G' - _ _n(j Ll • ''t.• ` TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS L C-! N'G G Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Q, Lender's Address _ :• - - O'MNER OR AGENT - 3. 1 certify:that'l have•read'-this application'and state under-penalty a 0000-0001 7/15/95 s a P C FEE PERMIT FEE 0 of'pequry that the',aboye Informa n I correct'I agree to comply E� nc� with all county ordl es and Sta iaws relating to' building �O U 9` .. 74229, 1 Ah M construction, and- eby a ¢ r press ntatves o} this County r ISSUANCE FEE r' o er on the ve- phoned ope for Inspection - • y INVESTIGATION FEE, TOTAL FEE C;•h CIO a App4 N«Aire '• i 7.—,. —� o. Or / SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY , 4 0508 - BUILDING PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0505240007 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 11218 LT: 8 BL: E SQ. FT STORIES TYPE 5327 LOMA AV STRUCTURE: 150 VN TEMP CA 917803002 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-007-008 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON EXIST OCC GRP: 07/15/05 JK 07/10/06 OWNER: TEL NO: BLDGS. NOW ON LOT: VALUATION: FILL ./TE FINAL BY: CODE: JIE YING FENG (626) 287-8649- 2,000 157 5327 LOMA AV TEMP 917803002 FEES PAID DE RIP ON OF WORK EN LOSE THE FRONT PORCH 150 SF. non-habitable space _ FEE DESCRIPTION: QUANTITY:• UOM: AMOUNT: ' APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE _ 27.75 AC STRONG MOTION-RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0 EN-HC 2000.00 VAL 82.20 _ TOTAL FEES 165.15 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENC,H FORMS LIC. N0- SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CNP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEF2 PANELS AIR QUALITY: 1000 FEET MATERIALS ' NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS v SET BACK YARD. HWY: PROP LINE: WIDTH. FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-EAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508