HomeMy Public PortalAbout5359 LOMA AVE_Building__ DEPARTMENT OF COUNTY ENGINEER
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DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
tiv CASSATT D. GRIFFIN, SUPT OF BUILDING - - --
FOR APP CANT O FELL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO:
ADDRESS h _ 3
LOCALITY �f..�.` t �'4 I RECEIVED BY DATE OF APPL. DATE ISS ED
NEAREST (� i ' .� P'$L •er—
to, -lo oo
CROSS T Lei I..s'1/�d s BUILDING
OWNER zhn� � 4, ADDRESS
MAIL LOCALITY 1 1
ADDRW NEAREST
(� ��y1 TEL CROSS ST. O i �/
CITIt: X \•1 O
ARCHITECTIQ)R TEL ZONE -� I PLFIRE ANS _ TYPE GROUP
NGINEER NO,
a 1
ADDRESS BLDG O O
'�yy�� l ^� SETBACK LINE
I TEL acl l ' i `F.J��
CONTRACTOR 'b" NOUSE APPROVED
ZONE BY ..4s` DATE 0 d
ADDRESS `-0L "L,1�, I HOUSE NUMBERING
LEGAL MAP NUMBER �� NO ASSIGNED BY
DESCRIPTION I LOT NO. BLOCK
r, CORRECTIONS
TRACT I I ZI � IL
SIZE OF LOT 'V'T' "i0l _
� >( o� I NO. OF B . I
NOW ON LOT'
USE OF NO. OF t -
EXISTING BLDG. I✓l FAMILIES
DESCRIPTION OF WORK �� a G .�" i Atc.✓ o -
NEW ALTERATION ADDITION ! / ��'8 i
REPAIR I I DEMOLITION I _ �a D
r
SQ ^� S
SIZE T J ROOMS STORIES _
EXT. WALL ROOF
COVERING CG O I COVERING t1 ;;
USE OF STRUCTURE,
.A
APPROVALS
INSPECTO SIGNATURE DATE
FOUNDATION: LOCATION
_ FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING,••BOLTS "L-a d
COI AE REE TO COMPLY WITH ALL COUNTY ORDINANCES 8 1 FURNACE: LOCATION,
AND STATE LAWS.IRXpEynG,UULATIN_G BUILDING CONSTRUCTION GAS VENT, DUCTS \ ✓�/o/� �—
SIGNATURE OF` j�` � �`` LATH, INT. NNS
PERMITT6(� �c wwwttuuu 1 n
Y �•"f� L W r Pg `y, �r L�1 EXT. i!
ADDRESS \
AUTHORIZED AGT.
II 01[0 \_ •PLAR. 1 NT, '
PLASTER, EXT.
�t QIO
$ 1 FEE $
HOUSE NUMBER COR- ,
RECT AND POSTED /
VALUATION FEE $ FINAL
78AG88A 0093 9-82
i
76A638A CE#803.10.88 APPLICATO®9V OR BU LMNG PEFeaaO
BUILDING AND SAFETY DIVISION BUILDING �✓ �!
Department of County Engineer - ADDREss a t
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' t!
CASSATT D.GRIFFIN, SUPT OF 13UILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN r BK P
r+ ICONST.
BUILDING /� � /V9�y+� -
ADDRESS (y /� //�=CCrr STATISTICAL CLASSIFICATION
CLASS NO. DWELL. UNITS
LOT-NO. BLOCK M4'PSTATE
�t NUMBER r - HWS,TRACT / Z/ - USEZ NE SPECIAL
SIZE OF LOT LOCA XNO OF/ � I NOW ON LOTS �aa 1�� CONDITIONS
USE OF d./ �� �.LJ . BUILD EXIST.
EXISTING BLDG
YARD HWY STREET NAME
,q SETBACK WIDTH
OWNER J &t9 FRONT
MAIL /^ - P. L.
ADDRESS �G./ SIDE
TEL. ��
CITY ZAS �? NO. INSPECTION RECORD
ARCHITECT OR TEL. -
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR O.
ADDRESS _
DESCRIPTION OF WORK
t W ADD ALTER REPAIR DEMOLISH
FT. NO. OF NO. OF
SIZE - STORIES FAMILIES
USE OF RE
IV
APPROVALS
SIGNATURE OF
APPLICANT - DATE INSPECTORS SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS. MATERIALS 1A
$
P. C. B FRAME FIRE STOPS. - - -
� � FEE t- BRACING, BOLTS
S - FURNACE: LOCATION,
VALUATION G
FEE AS VENT, DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALI.COUNTY ORDINANCES AND LATH.EXT.
STATE LAWS RE �INC3' BUILDING CONSTRUCTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED'
ADDRESS -
JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, P INCIPAL STRU TURALINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK�/M�)o. H
LkO 0 0 1 1 LCl JUL 9 1 8.5 In
76A638A CEN8031-67 APPLICATION FOR BUILDIN pEpERMI r'
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS,
BUILDING AND SAFETY DMSION L O C A L I T Y ��✓ /
JOHN A. LAMBIE. COUNTY ENGINEER NEA'REST
COLEMAN W JENKINS.SUP T OF BUILDING CROSS ST
D1ST_ RT O G�1iktP TYPE P O - B
FOR APPLICANT TO FILL IN d CONST
BUILDING STATISTICAL CLA SIFICATION S WER MAP
ADDRESSCLASS NO DWELL UNITS BK PG
LOT NO BLOCK USE ZONE MAP
TRACT NO.
SPECIAL
NO OF SLOGS. CONDITIONS - -
SIZE OF LOT. NOW ON LOT
.USE OF
BLDG. SETBACK FROM
TEL - FRONT PROP 'LINE OF - (STREET)
W NO a TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESSo;7'_-3,Tcl H10H Y FROM C L
CITY
ARCHITECT OR EL BLDG SETBACK FROM- -
• ENGINEER O
SIDE PROP LINE OF (STREET)
TYPE OF EXISTING a SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C L
ADDRESS
TE + _
NO
fs S NC CORNER CUTOFF YES NO C
LIC
CITY C LAAASEE REVERSE SIDE FOR SPECIAL APPROVALS c
DESCRIPTION OF WORK C_
' 4
_ n
NEW ADD ALTER REPAIR DEMOLISH
- z
SQ.FT NO OF _ NOOF
SIZE STORIES FA ILIF_S
USE OF
STRUCTURE
SIGNATURE OF -
APPLICANT I
VALUATION$ .00 _
- APPROVALS DATE INSPECTOR'S SIGNATURE _
P C PMT _ - - -FOUNDATION,MATERIALS
CION -
FEE
FRAME, FIRE STOPS,
1 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
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 OF THE STATE OF CALIFORNIA RELAT•
ING TO WORKMEN SCOMPENSATION INSURANCE LATH EXT
SIGNATURE OFl HOUSE NUMBER"COR-
PERMITTEE UEC AN POST D
ADDRESS — FINAL
/ EI/
JOHN
S+FppLEWIS.
PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PLRkff• V AWYA IO CK, M.O CASH
L11�;0 7. 0 5 I•- OCT 2 9 1 D 6.0 0IN
ZXTWNT OF BUILDING AND SAFETY APPLICATION FOR PERM
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
BUILDING -
-XOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO: PLAN CK. NO. 'PERMIT NO.
BUILDING - Gg-n
ADDRESS
R CE I•V D BY DATE OF APPL.- DATE ISSUED
LOCALITY -
NEAREST � , O T�
CROSS ST. IA. 1401LD1 G'
ADDRESS `�3 l^/b
OWNER - {
MAIL LOCALITY
ADDRESS NEAREST
TEL. CROSS ST.
CITY ' (� T��� NO. FIRE NO OF TYPE GROUP♦
ARCHITECT TEL. ZONE [PLANS I - r ,t
ENGINEER NO. - BLDG ORD. NO.
SETBACK LINE CEJ Y
ADDRESS �'%4' APPROVED J
BY DATa�;
EL
CONTRACTOR NO. OQ C Lab� ZON! / ABYPRO ED DATE _ 1 �-
ADDRESS b HOUSE NUMBERING
LEGAL
DESCRIPTION I-LOT NO. I BLOCK MAP NUMBER FIELD CHECK BY
TRACT NO ASSIGNED BYn DATE
NO. OF BLDGS. I-/CORRECTIONS.
SIZE OF LOT d S-o I NOW ON LOT Q
USE OF NO OF —9 a '
LC l(/'.S T - a _0 c i C
_
EXISTING BLDG. FAMI UES ,
DESCRIPTION OF WORK
NEW 'I jtil ALTERATION I I ADDITION I
REPAIR I I DEMOLITION I I I -- ----�-. A,
SQ. FT. NO. OF.
.0*..Ad;' �
SIZE _ BROOMS STORIES '/ �v 2, Y
EXT WALL ROOF r
COVERING I COVERING `
USE IPSTRUCTU E \
a. r.v-Soo.
APPROVALS
INSPECT R'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP.- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS -FORMS, MATERIALS
CORRECT.
EGREE TO COMPL WITH THE CORRECTIONS LISTED FRAME. FIRE STOPS, -fir 3-LL
HEREON AND WITH AL COUNTY, ORDINANCES•AND STATE BRACING, BOLTS
LAWS REGULATING B ILDING CONSTRUCTION.��
i FURNACE- LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTE
" LATH, INT. �
ADDRESS G
LATH, EXT. -
AUTHORIZED AGT. \ / `/ v/
` PLASTER, INT.
LTA• DBS9 10-50 .� -PC. $FEE /S ---� PLASTER, EXT.ION _ $ �
FEE 3 p'� FINAL
WORKERS' COMPENSAT)ON DECLARATION s
I hereby WORKERS'
that,I.
havecertificate of consent to self
insure,,or_a certificate of,Workers' Compensation Insurance, Op U R®E V G PERn E"T
.
ora cernfied copy thereof (Sec 3800, Lab,,C ) ti COUNTY.OF LOS jANGELES BUILDING AND_'SAFETY
Policy No ,++.ai a -Company.. M1
-' e w - BUILDING��'
❑ ,Certified copy is hereby fu(nished FOR APPLICANT TO FILL IN ADDRESS '
❑ c.Certified copy is filed with the countybuildmg mBUILDING
'- ' gDDRE55
tion department.. p Q
b LOCALITY
/
Date` Applicant CITY 1 1 L-- NO OF BLD NEAREST
CERTIFICATE OF'EXEMPTION FROM WORKERS' SIZE'�OF LOT
i NOW ON LOT
CROSS STS' QCs
COMPENSATION INSURANCE." 7 ASSESSOR �'7 r�
(This section need'not be completed'if`the permit is'for one TRACT BLOCK ' LOT NO _ MAP BOOK !,7�,,iJ PAGE / PARCEL S
hundred dollars ($I 00) or less ) t` "' TEL
' OWNER NO ,� �� USE ZONE MAP _
I 'certify�that in'the:per`formance'of the work for which this NO
permit is issued,•I shall not,employ any person in any manner, ADDRESS J S Sf�` SPECIAL , �
v, CONDITIONS
so as,to become sublect to the Workers' Compensation Laws O
t. CITYr++ G ZIP l_ U
Date Applicant ARCHITECT'OR r-► TEL �l� DISTRICT GROUP TYPE; FIRE PROCESSED BY O
NOTICE TO APPLICANT If;-after making this Certificate of - ENGINEER.: _ ..�-� //? NO- ��
CONST ZONE
Exemption; you should become sublect to the Workers' �/ ,� ' / W
Compensation provisions of the Labor Code, you must forth- ADDRESS' D `�i r 'T/� 2-f r eJ: > 1! e�. a
with DWELL UNITS
comply, with such°*provisions or ,this permit shall be `.' TEL STATISTICAL CLASSIFICCONDO N
deemed revoked - _ CONTRACTOR ATION APT NO .� C Z
LICENSED CONTRACTORS DECLLIC CLASS NO ; / -DECLARATION LIC
- NO ` '
I hereby affirm that I am licensedunder provisions,of Chapter'9 LIC SEWER MAP
(commencing with Section 7000)of Division 3 of the Business
and Professions'Code,;and my license ' 'in full force and effect CITY- CLASS BK PG VALIDATION
SQ_FT NO OF NO OF CHECK
License Number Lic Class SIZE �� STORIES FAMILIES ONE °• y
VALUATION
t' DESCRIPTION OF WORK NEW ❑ y�� /q ` v-
Contractor Date ❑ 7 T/
aADD
I am exempt under Sec• -` q � A
ALTER ❑
B&P C for this reason —r REPAIR ❑ a
Date USE,OF
EXISTING BLDG / / Pf' DEMOL ❑
Signature APPLICANT r� _ TEL FINAL'
OWNER-BUILDER DECLARATION, - '-(PRINT) i' NO DATE Z-0
_ /J
v[!
I hereby affirm thatd am exempt from,tfie Contractor's License l/, ,.�_. ,
Law for the following �eason'(Section'7031 5, Business and ADDRESS: a�'p FINAL t
Pr ssions Code) . PRESENT.
BUILDING Y .. F ;_:Tda r•5.�
PILII, as owner of the property, or my employees with ADDRESS
,wages as their sole compensation,will do the'work and
::the structure-is-not intended or offered for sale-Section_ LOCALITY
7044, Business and Professions Code-) -•t MOVINGSTEL
I, as owner of The property,- y 9 CONTRACTOR NO
p p y,-am exclusive) conTracTin f•.-:- s.
with licensed contractors to ec-
construc
ADDRESS
t the project (ro ect S - v _ �.• ;
-
tion 7044, Business,and Professions -
'Code ) m. ),' �`aJ# 9 e_i
REQUIRED; TOTAL SETBACK FROM EXIST
-
CONSTRUCTION y
CONSTRUCTION LENDING AGENCY T BACK ' YARD HWY PROP LINE WIDTH F�
I hereby affirm-that there is'a construction,lending agency for FRONT Y nv �' ) :. i.EMS
'the performance of the work for which This permit'is_issued PL
fiF m
(Sec 3097, Civ C ) SIDE
29
P L h ;' CHECKtS i
Lender's Name
PC Fee$ / d / Permit Fee 7�h 9LDMA Ref # - `' ' i } --
Lender's•Address �.�GC ;) '_:a' _4-�4IVI
- • e - - - Issuance Fee'. �.1� LDMA P/C#
I certify that Ihave-read this application and state That the
8 above information is correct_I agree to comply with all County Investigation Fee —0/,
ordinances and State laws relating'to building construction; Total-Fee-
and hereby authorize representatives of•this,County to enter
upon the above, entfoned prop rty for inspe io purp ses
�� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applica t or Agent Date ,
,. WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self D D O D D
insure, or a certificate of WorkeFs' Compensation Insurance, -FOR, C3 ,�d D D[ C� p Q�
o�a certrfted'copy'thereof (Sec 3800, Lab. C ) "
't = ' �•. COUNTY OF LOS ANGELES BUILDING,AND SAFETY:_ ,
Policy No Company I - } - 1, " -
•. Certified copy-is hereby furnished ` - FOR APPLICANT TOFILL IN BUILDING� r
®'
` - ADDRESS Ceriifiecl'copy is filed"with the county building inspec- BUILDING ,t� �- �
tion department " ADDRESS �J til 1
Date• '-7 / 6 p G Pltccint ' CITY IP LOCALITY
AP
CERTIFI TE OF EXEMPTION FROM ORKERS'� - - - NO BLDGS NEAREST,
• •';COMPENSATION INSURANCE SIZE OF L07 NOW ON LOT CROSS ST r
(This✓section need not be'corripleted•if-the permit is for one ASSESSOR_„ -
hundred,dollars ($1CT 00)or less ) - TRABLOCK LOT NO MAP BOOK � y PAGE PARCEL--
* r TEL USE Z E MAP -- - -• --_ - y ,
certify ffiat,,m the performance of The work for which;this OWNER NO NO - >-
permit is issued, I shall not employ any person in`any manner SPECIAL- - -- d
so as'to become subject to the Workers'Compensation Laws ADDRESS CONDITIONS t
, • ,..•• •- •I I 1 :` CITY ZIP• _ _ _ . __'.'.. _ .__ _ ._ V
Date Applicant c•< r
10
NOTICE•TO'•APPLICANT "If, aT GROUP_after making this Certificate of ENGINEERARCHITECNO
OR TEL
LO DISTRICTYPE _ FIRE_ PROC SED BY
Exemption, you should become*subject<to-the Workers' '� CONST j ZONE
Compensation provisions of the Labor Code, you must forth- ADDRESS LU
with•comply with,such provisions orY,this permit shall be
deemed revoked TEL STATISTICAL CLASSIFICATION -j APT NDO
r e- CONTRACTO 'L OJ S// jt( i_ _
LICENSED CONTRACTORS DECLARATION,, Cl LIC CLASS NO Z/ .T"DWELL UNITS '
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES leW • NO
commencirwitli Section 7000 of Division 3 of the Business and SEWER MAP r i
Professions'Code, and my license is m full force and effect CITY CL(JrrLtt CLASS 'BK "- PG
' r� SQ FTNO OF NO OF _CHECK
License Number kJ Lic Class0-�'-C '7 SIZE STORIES FAMILIES ONE
VALUATION
DESCRIPTION OF WORK NEW-
Contractor ate s vZ �L +✓s.O C%
ADD
J
❑ I am exempt under Sec �-• - ' �• " _ )
t_
8PC., r - •,� � ❑ �
B for this reason TER
.❑ 's �' -
_ Dare USE OF r'
EXISTING BLDG ') MOL ❑
"Signature - APPLICANT TEL FINAL _
OWNER-BUILDER DECLARATION
(PRINT) NO DATIE�6
hereby affirm that I am exempi,fmm the Contractors License
Law for the following'reason (Section 7031 5, Business and ADDRESS J' FIN "' "
Professions Code) "'" PRESENT -' BY r _ -
BUILDING
F11, as owner of the property, or my employees with ADDRESS _ I " _ ' '.
wages as their sole compensation,will'c16 the work and ,_T o'i, 2 9 2 5 C=J
the structure is not intended.or offered for sale(Section LOCALITY D Q
_ i
- 7044;Business and Professions Code) MOVING -TEL1'6 a 8 b
❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO 0
with licensed contractors to construct the project (Sec- -
tion 7044, Business and Professions Code) ADDRESS t
REQUIRED _ TOTAL SETBACK 1
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT �
the-performance of the work--for which this permit is issued P L--- ` ti
(Sec 3097, Civ C ) SIDE ��r
P L
Lender's Name
m - LDMARef\#��.
~Lender's Address P C Fee$ - Permit Fee - -
certify that I have rea this application and state that the _ Issuance Fee O is LDMA P/C#,- _-- J `•
a above information i o ct j agree to comply with all County Investigation Fee ///�► -
ordinances and St ws relating To building construction, _ _ _ Total Fee 9 -rIt LDMA Perm # - -- - - -
u -and hereby auth r epresentotives of•this County to enter
upon the abo urposes
a E
SEE REVERSE FOR EXPLANATORY LANGUAGE
a 1 , . • :Ooi
Signature of Applicant or Agent - - Da "' - - - - '6N ---- - - - - - - - -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1212170026
PHONE: (626) 285-0488 EXT. DUPLICATE
LEGAL ID NO. OF CONST NEW BUILDING ADDRESS
ITR 11218 LT 3 BL E SQ. FT STORIES TYPE OCCUP GROUP 5359 LOMA AV
I ISTRUCTURE 118 1 V-B U I TEMP CA 917803002
(ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET: OLIVE
15388-007-003 OTHER THOMAS PAGE- 596 GRID H4 LOCALITY_ TEMPLE CITY CAI
I
TENANT JEXIST BLDG USE USE ZONE JISSUED ON. PROCESSED BY
1 EXIST OCC GRP: 101/17/13 SR
OWNER TEL NO IBLDGS. NOW ON LOT. VALUATION. JF NAL ATE FIjqATA BY CODE 1
INGO, TRACY 2,238 I
15359 LOMA AV - - .� k
JTEMP 917803002 FEES PAID DESCRIPTION F WORK
1LEGALIZE PATIO BEHING DETA ED 2 CAR GARAGE,
IFEE DESCRIPTION QUANTITY UOM. _ AMOUNT.1
APPLICANT• TEL NO I
1YU, ANDY (626) 458-8111- JD1 PLANCHECK W/O EN-HC 2238.00 VAL 84 20 1
1350 CHERYL LANE 1AA BLDG PERMIT ISSUANCE 27 80 1SPECIAL CONDITIONS
WALNUT CA 91789 JAB STATE GREEN BLDG FEE 2238 00 VAL 1 00 1
IAC STRONG MOTION RESID 2238 00 VAL 0 50 _
I ID2 PERMIT W/O EN-HC 2238 00 VAL 99 00 J I
JCONTRACTOR. TEL NO I TOTAL FEES -212 50 (APPROVALS DATE INSPECTOR SIGNATURE
INGHIA VAN VICTOR (714) 724-3681- 1
110391 BONNIE DR LIC NO I 1LOCATION AND SETBACKS I C
IGARDEN GROVE CA 92843 562136 * I I J I I
I I ISOILS ENGINEER APPROVAL J
I I I I I I
(ARCHITECT OR ENGINEER TEL. NO: I IFOUNDATION/TRENCH FORMS I
IA P DESIGN, INC (626) 458-8111- 1 1 1'
1350 CHERYL LANE LIC NO I ISLAB/UNDER FLOOR I I
1WALNUT CA 91789 NONE I I J I
I I _ JRAISED FLOOR FRAMING J J
I I I I I I
1MAP NO SEWER MAP BOOK PAGE. FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I I
1 3 001 1
I I 11ST LEVEL FLOOR SHEATH J J I
INO OF FAMILIES DWELLING UNITS APT/COND: STAT CLASS I I I I I
1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 J
I I . I I
I SCHOOL WITHIN HAZARDOUS I 1ROOF SHEATHING I I
(AIR QUALITY 1000 FEET MATERIALS I I I J I
I NO NO NO I 1FIRE DEPT FRAME INSPECTI I I
I I 1 1-1
__ 1
I I JBLDG DEPT FRAME INSPECT( I I
I I I 1-1
I I ISHEAR PANELS I I I
I I 1 11 I
_ (INSULATION/WEATHER STRIPI I
I I I I I
I I IINTERIOR LATH/DRYWALL I I I
I I I I I I
I 1EXTERIOR LATH I I
I I I I I I
I I 1LOT DRAINAGE I I 1
I 1 11 I
I I ISMOKE DETECTION DEVICES I I I
_ I IFIRE DEPARTMENT APPROVAL(
I I* ADDITIONAL DATA ON FILE 1 I 1
I IREPORT ID DPR261 ROUTE TO: BS0508 I I 1
1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1212170026
PHONE (626) 285-0488 EXT
LEGAL ID I NO OF CONST NEW BUILDING ADDRESS
ITR 11218 LT 3 BL E I SQ FT STORIES TYPE OCCUP GROUPI 5359 LOMA AV
STRUCTURE 118 1 V-B U I TEMP CA 917803002 1
ASSESSOR INFORMATION NUMBER IGARAGE NEAREST CROSS STREET OLIVE
15388-007-003 1 OTHER THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI
(TENANT. IEXIST BLDG USE USE ZONE JISSUED ON PROCESSED BY 1
IEXIST OCC GRP 101/17/13 SR 1
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF AL DATE FIIJAL iW CODE 1
INGO, TRACY - I 2,238
15359 LOMA AV I 1 -17
I
1TEMP 917803002 FEES PAID ID—EMRIPTiotq 6F WORK 1
1ATTACHED PATIO BEHING DETACHED 2 CAR GARAGE 1
I IFEE DESCRIPTION QUANTITY UOM• AMOUNT.1
(APPLICANT TEL NO I I
1YU, ANDY (626) 458-8111- ID1 PLANCHECK W/O EN-HC 2238 00 VAL 84 20 1
1350 CHERYL LANE IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS 1
IWALNUT CA 91789 IAB STATE GREEN BLDG FEE 2238 00 VAL 1 00 1
I 1AC STRONG MOTION RESID 2238 00 VAL 0 50
1 ID2 PERMIT W/O EN-HC 2238 00 VAL 99 00 1 I
CONTRACTOR TEL NO 1 TOTAL FEES 212 50 1APPROVALS DATE INSPECTOR SIGNATURE
INGHIA VAN VICTOR (714) 724-3681- 1 I I
110391 BONNIE DR LIC NO I ILOCATION AND SETBACKS
IGARDEN GROVE CA 92843 562136 I 1 I I
I I ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I
IA P DESIGN, INC (626) 458-8111- 1 1 1 I
1350 CHERYL LANE LIC NO ISLAB/UNDER FLOOR
IWALNUT CA 91789 NONE 1 I I 1 I
I 1 1RAISED FLOOR FRAMING 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1UNDERFLOOR INSULATION
I I I
3 OOI 11ST LEVEL FLOOR SHEATH I
INC, OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 I 1 I
1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 1 I
1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I I 1
(AIR QUALITY 1000 FEET MATERIALS 1 I
1 NO NO NO 1 IFIRE DEPT FRAME INSPECTI I I
1 11
1 1BLDG DEPT FRAME INSPECTI II
I ISHEAR PANELS I I
1 1 11NSULATION/WEATHER STRIPI
I 11NTERIOR LATH/DRYWALL I
I 1
I I I
1 1EXTERIOR LATH
1 1 1LOT DRAINAGE I I
ISMOKE DETECTION DEVICES
I
I 1FIRE DEPARTMENT APPROVALI I I
1 I* ADDITIONAL DATA ON FILE I I I I
I
1 I I I
1 IREPORT ID DPR261 ROUTE TO BS0508 I I
I I I I I
' COUN'PY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1212170025
PHONE (626) 285-0488 LXT
(LEGAL ID I NO OF CONST NEW I BUILDING ADDRESS
ITR 11218 LT 3 BL E I SQ FT STORIES TYPE OCCUP GROUPI 5359 LOMA AV 1
I ISTRUCTURE 79 1 V-B R3 I TEMP CA 917803002 1
(ASSESSOR INFORMATION NUMBER I GARAGE IINEAREST CROSS STREET OLIVE 1
15388-007-003 —1 OTHER. 50 1 V-B U THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI
(TENANT (EXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY I
I (EXIST OCC GRP 101/17/13 SR I
10WNER TEL NO IBLDGS NOW ON LOT VALUATION IFI AL DATE FINAL BY CODE
INGO, TRACY - I 25,000 ol
15359 LOMA AV I !
ITEMP 917803002 1 FEES PAID (DESCRIPTION OF WORK
I I (INTERIOR REMODELING NEW KITCHEN, POWDER ROOM, AND BEDROOM, 1
I _IFEE DESCRIPTION QUANTITY UOM AMOUNT (LEGALIZING LAUNDRY ROOM WITH PATIO AND REPLACING 14 WINDOWS
(APPLICANT TEL NO I I i
IYU, ANDY (626) 458-8111- IBI PLANCHECK W/ENERGY 25000 00 VAL 438 10 1
1350 CHERYL LANE IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS 1
WALNUT CA 91789 IAB STAT: GREEN BLDG FEE 25000.00 VAL 1 00 1 1
1 1AC STRONG MOTION RESID 25000 00 VAL 2 50 j
B2 PERMIT W/ENERGY 25000 00 VAL 515 50
ICONTRACTOR TEL NO I TOTAL FEES 984 90 !APPROVALS DATE INSPECTOR SIGNATURE
INGHIA VAN VICTOR (714) 724-3681-
110391 BONNIE DR LIC NO ILOCATION AND SETBACKS
IGARDEN GROVE CA 92843 562136 I I 1
1 ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS 1 1 1
IA P DESIGN, INC (626) 458-8111- 1 1 - _ y
1350 CHERYL LANE LIC NO 1SLAB/UNDER FLOOR -
IWALNUT CA 91789 NONE 1
IIRAI:ED FLOOR FRAMING I 1 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE U7P I IUNDEP.FLOOR INSULATION I ! 1
1 1
I- 3 90I 11ST LEVEL FLOOR SHEATH
I I
INO OF FAMILIES DWELLING UNITS APN/COND STAT CLAS„ =
_
OO21
12ND LEVEL FLOOR SHEATH 1
1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING
1AIR QUALITY: 1000 FEET MATERIALS ! I 1
1 NO NO NO 1 (FIRE DEPT FRAME INSPECT(
1 1BLDG DEPT FRAME INSPECT( 1
I
1 - SHEAF PANELS
(INSULATION/WEATHER STRIPI
11NTERIOR LATH/DRYWALL
1 IEXTERIOR LATH I 1 1
LOT DRAINAGE 1 I 1
1 I I I
ISMOKE DETECTION DEVICES I
I _ _
(FIRE DEPARTMENT APPROVALI I 1
1* ADDITIONAL DATA ON FILE I 1
I
1 I I I
—IREPORT ID DPR261 ROUTE TO BS0508 I ( 1
T 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 0611130007
PHONE (626) 285-0488 EXT-
LEGAL ID. NO OF CONST BUILDING ADDRESS-
TR 11218 LT 3 BL: E - SQ. FT STORIES TYPE 5359 LOMA AV
STRUCTURE 2232 VN TEMP CA 917803002
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET OLIVE
5388-007-003 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 11/13/06 JK 11/08/07
OWNER TEL NO BLDGS. NOW ON LOT VALUATION FINAL DATE - FINAL BY - -CODE:
CHANG CHUN HUNG,CHIANG KUEI JAN (626) 451-0579- 3,500 p
5359 LOMA AV ,
TEMP 917803002 FEES PAID DESCRIPTION OF WORK
TEAR OFF AND REROOF SINGLE TILE LIGHT 1 SQ FOOT=2.4LB
,FEE DESCRIPTION QUANTITY: UOM: AMOUNT:
APPLICANT TEL NO _
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 350000 VAL 0 50 SPECIAL CONDITIONS.
ID2 PERMIT W/O EN HC 3500-00 VAL 115-80
TOTAL FEES 144 05 '
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATSON AND SETBACKS
SOILS,ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL. NO - I FOUNDATION/TRENCH FORMS
LIC. NO- ,I SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE: FIRE ZONE CMP- UNDEPFLOOR INSULATION
147H265 3 01.+ -
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS APT/GOND- STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS „ SHEAR PANELS -
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST - FIRE SPRINKLER HANGERS
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-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508