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HomeMy Public PortalAbout5417 LOMA AVE_Building__ •DYVISION-OF � AND SAFETY Department of Coumty Engneer � 1953 BUILDING 7 � County of Los Angeles D 1 WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �/ s DISTRICT NO. PLAN CK. DR REC.ND. PERMIT NO. AUILOINO DDRESS - r J f�� ®� _ .y- yJ E�IVEeD BY DATE or APP`L. D E 1 UED LOCALITY / �L JZ'i�� / II 1 �ti.� / o �� NEAREST / CROSS M. (�M A ®�. / l/�' BUILDING F� ADDRESS T 4 / • 9 OWNER IQ I_ hi.MAIL LOCALITY -E_ �^-- `g. �✓"*-g,., ADDRESS R SO ,4 47 4gAl',5'0 ,P S 7s NEAREST ,�` CROSS ST. -� CITY O.Nl-9-'L":L lc FIRE NO.OF I TYPE I GROUP - ARCHITECT OR TEL ZONE PLANS ENGINEER Q W Al E NO. .� BLDG. ORD. NO. SETBACK LINE ADDRESS USEAPPROVED CONTRACTOR �(/(/��� TEUNO. ZONE / BY ATE3-�� //JyHOUSE NUMBERING ADDRESS MAP NUMBER �V 1-7 -NO. ASSIGNED BY LEGAL �If :CORRECTIONS DEBORIPTIDN LOT NO. / 19/_3 BLOCK TRACT // 2 / O �� X / ( No. OF BLDSB. /. SIZE OF LOT F. NOW ON LOT ��J6AA USE OF NO.OF EXISTING BLDG. I FAMILIES DESCRIPTION OF WORK 00 0 NEW ALTERATION ADDITION Z D REPAIR DEMOLITION r SO.FT. ////6 NO.OF / SIZE "7� Q ROOMS STORIES EXT.WALL ROOF COVERJNG C/ Gly fJ I COVERING USE OF STRUCTURE INSPECTIDN FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION I HEREBY ACKNOWLEDGE THAT 1 HAVE READ.THIS AP- FORMS, MATERIALS 9/ PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, ,+ CORRECT. BRACING,BOLTS - ',Ge,. •t---s / 1�J 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FUGRNRN VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTEE LATH, EXT. ADDRESs/��.1�/ a��ii1-.n�9.0..1`a...• G A,� PLASTER, INT. AUTHORIZED AOT. P.C.0 PLASTER, EXT. PEE HOUSE NUMBER COR- /f RECT AND POSTED � � VALUATION r FEE �I ® FINALd'� �2✓� �,/���I'�� 76AS39A D893 1-52 `f AIVIS� BUILDIND SAFETY ' department of County En03neer 153 BUILDING _ County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY e DISTRICT NO. PLAN CK.OR REc.Na, PERMIT NO. BUILDING ADDRESS ,/, "G w�- Q VED BY DATE OF APPL. DAT I UED LOCALITY / u 4._ e- t T 1 NEAREST / ® ` BUILDING �G �l CROSS BT. h- ��y r� � c ADDRESS OWNER `F K/• � N I� '�• MAILLOCALITY ADDRESS /'` Z1 Se • AL-/VIIRNSO eS NEAREST �1 / CROSS ST. CITY /7ee PO, NOL lo:C�a rIRE ma.or PONE PLANE TYPE GROU --° ARCHITECT OR TEL- ENGINEER ELENGINEER NO. BLDG. ORD. NO. BETBACK LINE ADDRESS UBEAPPROVED /1 TEL' ZONE / BY DATE CONTRACTOR fl/Lt//VC e NO. HOUSE NUMBERING ADDRESS MAP NUMBER �T/ NO. ASSIGNED BY LEGAL 0 �'e'®F�ots K—CORRECTIONS DESCRIPTION LGOT NO. /7� /3 BLOCK TRACT � Na DF BLDGS. Al I.,C c7 SIZE OF LOT 'l O I NOW ON LOT OR/ -+ USE OF I NO.OR / EXISTING BLDG. FAM ILIE® DESCRIPTION OF WORK 00 0 NEW I— ALTERATION ADDITION Z D REPAIR DEMOLITION r or SIZE O ROFT. NO'OMS d STORIES EXT.WALL /C¢ ROOF COVERING ¢mob�/a p..1� COVERING 0 /Lf USE OF STRUCTURE 1Pg-s.12FN e I- INSPECTION FOR APPROVALS 7 S-0 OCCUPANCY AS INSPE IGNATURE DATE •6UNDATION: LOCATION FORMS, MATERIALS 'Y3 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- / PLICATION AND STATE THAT THE IN GIVEN 1 FRAME: FIRE STOPS, f CORRECT. � BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINA E9 FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRU ION. OAS VENT,DUCTS ' fv SIGNATURE OF '�� LATH, INT. dpi PERMITTEE LATH, EXT. 4 'may AUTHORIZED AOT. PLASTER, INT. / /d- P.C.S / PLASTER, EXT. rFEE ! 7/y OUSE NUMBER COR- /} 'p® RECT AND POSTED ��ni�4, VALUATION �� O FINAL /- ��� 5 76A636A DBS 3 1-52 6 . WORKERS' COMPENSATION DECLARATION re oraafcertif certificate of Workers' Comtperisation Insurae of consent tonce, APPLICATION_ . FOR BUILDING PERMIT rtified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES,:' BUILDING AND SAFETY No. Company_ 's:, a• BUILDING •_ j Certified copy is hereby furnished. FOR APPLICANT.TO FILL IN ADDRESS Certified copy is filed with the county building inspec- FADDRE � + u�. tion department. 6 Date Applicant _M (/1 ZIP +' �CJ LOCALITY / NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' 7C I NOW ON LOT ' CROSS ST. ti COMPENSATION INSURANCE �') �7 2 ASSESSOR (This section need not be completed if the permit is for one BLOCK 1/ LOT NO. L G �� MAp BOOK PAGE P RCEL hundred dollars ($100) or less.) TEL. USE ZONE MAP�, K YK NO. Q ' I IR I certify that in the performance of the work'for which thisJ�i ��permit is issued, I shall riot employ any perso in any manner '� L O . � SPECIAL CONDITIONS so as to become subject to the War, s' ation Laws. O CITY Dat Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, ma t Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY a in Exemption, you should be me subject t the Workers' CONST E (� 0 Compensation rovisiIL ons of the Labor Code, ou must forth- ADDRESS —J{ Com( —J--Y w with comply with such provisions or this permit shall be TV. STATISTICAL CLASS ON APT. CONDO. 0 deemed revoked. CONTRACTOR O. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of'Division 3 of the Business ' LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG ,�•. VALIDATION SQ. FT. NO. OF NO. OF CHECK ACCT License Number Lic. Class SIZE STORIES rrr) FAMILIES ONE VALUATION Ft!•Li.T' Contractor Date DESCRIPTION OF WORK AVPI NEW ❑ t ❑ 3A37 21,3 0 1 am exempt under Sec. !Ok'. .. r ADD ? I 1{ ° ALTER ❑ ► TEr B.&P.C. for This reasoncaREPAIR ❑ $ . fj TOTAL' "230.79 Date: USE EXISTOINF BLDG. DEMOL ❑. © ')�(� -y�+ i' 230.r V Signature APPLICANT j� TEL. g OWNER-BUILDER DECLARATION (PRINT). J $L �� NO, ^Gia j FINAL J. ,V CHANGE .00 I hereby affirm that I am exempt from the Contractor's License ^ DATE i Law for the following reason (Section 7031.5, Business and ADDRESS { L,0 A�/t• FINAL nn��, ��,,tf;,ffrr++ 5/1-74/89 t' t7Cr Professions Code): PRESENT �/� a By 00/:��y'+0-00Jt{ 5/24/89 BUILDING 4.1-7 M A �C V k .�Y7i It i 9. 26 I; as owner of the property, or my employees with ADDRESS k'i !S ,•' 3 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY. , 7044, Business and Professions Code.) MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project'(Sec- ADDRESS tion 7044, Business.and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT fr ' the performance of the work for which this permit is issued P.L. / Fr I �� (Sec. 3097, Civ. C.). SIDE �qy P.L.. le F/ Lender's Name f�1 '=' �' ►-. CF�j - .. P.C. Fee$ Permit Fee Lender's Address • 3 WW o I certify that I have read this application and state that-the '�" a Issuance Fee © L A P/C# t-ti 8 above information is correct. I agree to'comply with all County Investigation Fee `` ;.. R ordinances and Slate laws relating to building construction, Total Fee ` �J LDMA Perm. # a and hereby authori representatives of.this County to enter upon th above""-m n io, d property for inspection purposes, ' rT�' t`+ �� a5 )1,6 % SEE REVERSE FOR XPL N TORY LANGUAGE •Cj ( ,O tJ 6.1 Signa uriof pplicant or Agent Date 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 0601260004 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 11218 LT: 12 BL: .001 SQ. FT STORIES TYPE 5417 LOMA AV STRUCTURE: 28 VN. TEMP CA 917803004 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY- 5388-005-013 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: 01/26/06 JK 01/21/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TING, KAREN (626) 285-3343- 4,000 5417 LOMA AV A TEMP 917803004 FEES PAID DESCRIPTION OF WORK INSTALL 30 YR CLASS A COMP ON TOP EXISTING ROOF (NOW ONLY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1X COMP) APPLICANT: TEL. NO: - ALFRED LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75 4533 SHIRLEY AVE AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE, CA 91731 D2 PERMIT W/0 EN-HC 4000.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GOLDEN KEY INC. (626) 285-9016- _ DBA NEVADA GOLDEN KEY LIC. NO LOCATION AND SETBACKS 4533 SHIRLEY AVENUE 775115 C39 EL MONTE, CA 91731 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 O1 _ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ' NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SH1•3AR 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