HomeMy Public PortalAbout5422 LOMA AVE_Building__ 76A638A CE#80311-57 APPLICATION FOR BUILDING PERMIT GJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP_ TYPE .SEWER MAP
FOR APPLICANT TO FILL IN CONST. BK PG
BUILDING
ADDRESS STATISTICAL CLASSIFICATION
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK MAP STATE
• NUMBER - HWY. YES NO
TRACT - a USE ZONE SPECIAL
r OOFBLD GS. CONDITIONS
�
SIZE OF LOT _ _ NOW. ON LOT f. riI
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P.L:
ADDRESSSIDE --
w- TEL. P.L.
CITY No.. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK —
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. - NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. $ FRAME: FIRE STOPS. -'"`'�,
FEE BRACING.BOLTS
VALUATION $ FURNACE: LOCATION.
FEE -- GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I 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 REGULATING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS I FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
J. .i OF
76A638A CE#803 6-62 APPLICATION FOR- BUILDING PERM i T"
COUNTY OF LOS ANGELES BUILDING'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.-LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
DISTR CT N G P TYPE P D
FOR APPLICANT TO FILL IN Q coNsr
BUILDING ( STATISTICAL CLASSIFICATION S ER MAP
ADDRESS V
CLASS NO DWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIREDRECEIVED
TRACT MAP HIGHWAY STATE M_ AJOR SECOND LOCAL
NO OF BLDG. NO -(CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIALO
USE OF —CNDITIONS
EXISTING BLDG
TEL
OWNER �44NO BUILDING YARD HWY STREET NAME EXIST
�s SETBACK WIDTH
ADDRESS �,I�' l,..P "FRONT
ARCHITECT OR TEL P L ::�- v�
ENGINEER - NO SIDE
P L �-
ADDRESS , d
TEL
CONTRACTOR,`, �(/yy�� NO�,
ADDRESS,
CRIPTIOWOF WORE
NEW ''ADDt4 .W
Y.r4ALTER, ... REPAIR OLI r' - •I„ 'r, I ••£: - ..N
SQ FT {•, ,,,qtr "'-'NO OF NO OF _ l•' Z
SIZE ;a ,I STORIES FAMILIES
USE OF,J -1 I
'STRUCTURE,' �'�• - �
SIGNrATUR�IOF' „•' �•• e -
APPLICANT'I 'NS.
VAL'UATI
• �'� _ APPROVALS - [DATE_ •••INSPECTOR'SiSIGNATURE ,
i ate, FOUNDATION LOCATION
FEE $ IAS" ' FEE $r �U "-L FORMS MATERIALS it r/�lr'�"r +)t�l�A.^ Xf-f''.
FRAME" FIRE STOPS
I
HEREBY ACKNOWLEDGE THAT 1 HAVEIREAD THIS APPLICATION ' h BRACING BOLTS ' f •F
AND STATE THAT•'THEABOVE'IS, ORRECT AND AGREE TO COMPLY 'FURNACE LOCATION A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS f� • �, '• Io
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK `
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- �/ •'�/ fid '
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH; INT
ING TO WORKMEN'S CO MPENSATI ONA N SU RANCE ' �, , /'
LATH, EXT
SIGNATURE OF V HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS - FJNAL 7 �(
•
-- JOHN F LEWIS, Pd1TI1NCIKLISTRU RAL ENGINEER
LI
PLAN CHECK VADATION CK M O CASH _ PERMIT VALIDAON �I� ) M o CASH
�;is2 3 2 3 D 4.1;0
76A638A CF#803 6-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING -
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST -
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
DICT NOG P PE R E D B
ILL-
FOR APPLICANT TO FILL- IN �//� CONST
BUILDING STATISTICAL CLA IFICATION SE R MAP
ADDRESS s Y. ~ T,C ,
CLASS -NO DWELL UNITS -,W--
LOT
r V
LOT NO BLOCK' WATER '_r_'']__
CERTIFICATE NOT REQUIRED baa RECEIVED
TRACT - MAP HIGHWAY STATE MAJOR SECOND LOCAL
I' bb NO OF BLDGS NO (CIRCLE)
SIZE OF LOT T�Z;X QQ NOW ON LOT USE ZONEPECIAL _
USE OF CONDITIONS /
EXISTING BLDG NyQv P _
TEL
OWNER NO O BUILDING YARD HWY STREET NAME EXIST "
SETBACK WIDTH
ADDRESS � ', 'cNAM FRONT i/• ./
ARCHITECT OR TEL P L (�
ENGINEER NO SIDE
v P L
ADDRESS TEL 0
�/
CONTRACTOR ��++AI Ii NO U
ADDRESS/1S y N` A.a l,Q -
DESCRIPTION OF WORK OF
V
W
NEW ADD ALTER REPAIR DEMOLISH
H
SQ FT NO OF NO OF � Z
SIZE STORIES 1- FAMILIES
USE OF J
STRUCTURE
SIGNATURE OF4
APPLICANT f
VALUATION $ ! 1 �.•O
JJLL// [�� APPROVALS DATE INSPECTOR'S SIGNATURE
FEE Q, FEE $ 60 FOUNDATION ERI ATIOWR
PC PMT FORMS, MATERIALS ,..,� _
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 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT bTION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN 5 COMPENSATION rC.
- j LATH, EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTE
I ADDRESS FINAL
JOHN
PLAN CHECK VALIDATION M O CASH _ PERMIT( VALIDAITIR CTU R
O STAL ENGINEER
CK
C M O CASH
Lh o 2 3 2,7 LIAR 20 2 3 D, 3 0.2- 5�
' LA" 2 b 1 7" APR 2 1 D 6 0S 5 QN
COUNTY OF LOS TjNGELES 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 1107060014
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW
BUILDING ADDRESS I
ITR 7796 LT 19 BL 001 I SQ FT STORIES TYPE OCCUP GROUP 5422 LOMA AV
I (STRUCTURE 263 1 V-B R-3 I TEMP CA 917803003
ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET
15388-001-037 1 OTHER 109 1 V-B U
THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl
ITENANT JEXIST BLDG USE USE ZONE JISSUED ON PROCESSED BY
1EXIST OCC GRP 107/14/11 SR
OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE I
1LIN, YI (626) 905-3815- 1 41,160
15422 LOMA AV
TEMP 917803003 I FEES PAID DESCRIPTION OF WORK 1
IREAR NOOK ADDITION 242 SQFT CONVERT (E) PORCH TO FOYER 21
IFEE DESCRIPTION QUANTITY UOM AMOUNT ISQFT AND REAR PATIO COVER OPEN 109 SQFT
(APPLICANT TEL NO: 1
ISU, RICHARD (626) 376-1863- IB1 PLANCHECK W/ENERGY 41160 00 VAL 647 20 1
1216 S SUNNYSLOPE AV 1AA BLDG PERMIT ISSUANCE 27 80 (SPECIAL CONDITIONS
(PASADENA, CA 91107 IAB STATE GREEN BLDG FEE 41160 00 VAL 2 00 1
1AC STRONG MOTION RESID 41160 00 VAL 4 10
I IB2 PERMIT W/ENERGY 41160 00 VAL 761 40 1
(CONTRACTOR. TEL NO 108 CERTIF OF OCCUPANCY 101 30 (APPROVALS DATE INSPECTOR SIGNATURE 1
ILIN, YI (626) 905-3815- 1 TOTAL FEES 1,543 80
1QI HONG LIN LIC. NO I ILOCATION AND SETBACKS 1
15422 LOMA AVENUE NONE I I 1 I I
TEMPLE CITY, CA 91780 1 (SOILS ENGINEER APPROVAL I t
ARCHITECT OR ENGINEER: TEL NO 1 IFOUNDATION/TRENCH FORMS I 1
1 LIC NO 1 (SLAB/UNDER FLOOR 1 /�
1 IRAISED FLOOR FRAMING
I I I
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I
1 3 001 11ST LEVEL FLOOR SHEATH I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1
1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I
I SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I 1 I
(AIR QUALITY 1000 FEET MATERIALS 1 I
1 NO NO NO 1 (FIRE DEPT FRAME INSPECTj vI
1 I IBLDG DEPT FRAME INSPECTI I
I
1 1SHEAR PANELS 1
INSULATION/WEATHER STRIP
11NTERIOR LATH/DRYWALL 1 I
1 I I
I (EXTERIOR LATH
I I I I
ILOT DRAINAGE 1
1 I I
I I
1 1 1SMOKE DETECTION DEVICES I I
I
FIRE DEPARTMENT APPROVALI I I
11 11 I
I I I
1 IREPORT ID DPR261 ROUTE TO BS0508 I
I I I I I
COUNTY OF LOS r,NGELES 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 1109120061
PHONE (626) 285-0488 EXT
LEGAL ID I NO OF CONST NEW I BUILDING ADDRESS 1
ITR 7796 LT- 19 BL 001 SQ FT STORIES TYPE OCCUP GROUP 5422 LOMA AV
I ISTRUCTURE 35 1 V-B R-3 I TEMP CA 917803003 1
IASSESSOR INFORMATION NUMBER. I GARAGE I NEAREST CROSS STREET 1
15388-001-037 1 OTHER 26 1 V-B U I THOMAS PAGE: 596 GRID H4 LOCALITY TEMPLE CITY, Cl
ITENANT (EXIST BLDG USE- USE ZONE (ISSUED ON PROCESSED BY 1
EXIST OCC GRP 109/12/11 SR
I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION- IFI AL DATE FINAL BY CODE 1
ILIN, YI (626) 905-3815- 1 7,740
15422 LOMA AV 1
ITEMP 917803003 I FEES PAID IDESCRIPTION OF WORK I
I I INEW BAY WINDOW ADDITION OF 19 SQ FT REVISE INITIAL PERMIT J
I IFEE DESCRIPTION QUANTITY- UOM AMOUNT IBL 1107060014 TO INCLUDE 13 SQ FT ADDITION FLOOR AREA IN 1
(APPLICANT TEL NO I INOOK AND STORAGE REDUCE PERMITED 109 SQ FT OF PATIO TO 26 *1
ISU, RICHARD (626) 376-1863- IAA BLDG PERMIT ISSUANCE 27 80 1
1216 S SUNNYSLOPE AV JAB STATE GREEN BLDG FEE 7740 00 VAL 1 00 ISPECIAL CONDITIONS I
(PASADENA, CA 91107 JAC STRONG MOTION RESID 7740 00 VAL 0.80 I
IB2 PERMIT W/ENERGY 7740 00 VAL 201 80 1 1
ID7 ADDNL PLANCHECK FEE 2 00 HOU 218 80 1
JCONTRACTOR- TEL. NO I TOTAL FEES - 450 20 1APPROVALS DATE INSPECTOR SIGNATURE I
ILIN, YI (626) 905-3815- 1 I I
JQI HONG LIN LIC NO ILOCATION AND SETBACKS -
15422 LOMA AVENUE NONE 1
ITEMPLE CITY, CA 91780 1 ISOILS ENGINEER APPROVAL I I I
I I
(ARCHITECT OR ENGINEER TEL 'NO IFOUNDATION/TRENCH FORMS I
I - I
1 LIC NO 1 ISLAB/UNDER FLOOR I
I � I
I I I
I IRAISED FLOOR FRAMING
I I .
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I 1
I I I
3 OOI 11ST LEVEL FLOOR SHEATH I
JNO- OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
0 NO 21 1 12ND LEVEL FLOOR SHEATH
I I I
1 SCHOOL WITHIN HAZARDOUS J IROOF SHEATHING 1
1AIR QUALITY- 1000 FEET MATERIALS I
1 NO NO NO I IFIRE DEPT FRAME INSPECTI I
1 IBLDG DEPT FRAME INSPECTI�1/j�lj�,,jV�.'(�/�►/}I I
1 I SHEAR PANELS 11 1
(INSULATION/WEATHER STRIPI I I
I
ANTERIOR LATH/DRYWALL
1EXTERIOR LATH
LOT DRAINAGE
I I
ISMOKE DETECTION DEVICES J I I
IFIRE DEPARTMENT APPROVAL(
1* ADDITIONAL DATA ON FILE
1 I I I I I
IREPORT ID DPR261 ROUTE TO BS0508
1 I f I I I