Loading...
HomeMy Public PortalAbout5428 LOMA AVE_Building__ 00•9-26M SETS 0." APPLICATION FOR PERMIT DEPARTMEN=T OF BUILDING AND SAFETY COUNTY OF LOS ANGELEST TJ lLDQom'y WM. J. FOX, CHIEF ENGINEER 113 `� _ DISTRICT NO. PLAN CK. NO. `PERMIT NO. PLANSS BLDG. ORD.NO. / � LS SETBACK LING FIRE APPROVED ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED //J��y /,,,✓ /�/� �� ^'�� ZONE / BY " DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY j t BUILDING 0E NAME ADDRESS WILI Z ADDRESS LOCALITY S Z NEAREST U W CITY CROSS ST. \ C Q STATE TEL. /W/F LICENSE NO. E NAME � f[� /�( �.V f ILI EMAIL O NAME 3 -ADDRESS.Z O ,--- U , �w Q_J►�s� 0 ,gyp 7EL. Q ADDRESS )N'� —" CITY '�.S NO. C Z _CIT'Y 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 0- --- -- APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. O LOT NO. e!� X/4 e) SIGNATURE OF I&SIZE OF LOT OWNER J F NO. OF BLDGS. - — �"� J �C�.. Q a BLOCK i NOW ON LOT AUTHORIZED AGT !_� 0 F J WTRACT `7 -7 -7 CORRECTIONS , D USE OF BLDGS. NOW ON LOT � _ 2-7 ey t DESC�}RIPTION OF WORKUSE OF ���/,, / �— BUILD NG / ) ' ("i h.�1-�I/b(n� /{,.`+ 9✓l f,�ry1y1,/'�l�i na. z,-o, t 9.41 6-1 f �� �'In.nlll'_L�1atn�nAnlV� •• �1 VIARN1i<;G ! 6_���L,C�Irlr J�LRsr�REfl.r - s construction may be in violation o Tor .,ue L____u __ __ 1-'_ - cautioned to consult with your local War Production Board Office before commenc- z• . a - mg ie work auttiorize is perms . NEW � TYPE I GROUP_l NO. OF NO. OF mart , ALTERATION ROOMS FAMILIES S ADDITION SIZE • REPAIR STORIES MOVING WALL COVERING _�/�t/'ST� �'• DEMOLISH ROOF COVERING ,/.I P. v FINAL.APPROVAL FEE � ! '�l� I',.1 tk"'d�`yry9�'`.a•.`' 8 `o � V I I INSPECTOR' � `�K•Ji ��'!�'.}yrrv'r '�, ' VALUATION FEE VALUb/ DATE, NAME rFf';� �,V' , ;41P��..y-�r' 4- if .�'. o•, • I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ' DISTRICT NO. PLAN CK. NO. 'PERMIT NO. BUILDIN ADDRESS ' VED BY 'DATE-OF APPL. DATE ISSUED LOCALITY r4l Y,,�,�• (1- -3 'fir NEAREST ,/ CROSS ST. vI BUILDING ADDRESS OWNER : _ MAIL ��//� LOCALITY ADDRESS .SY6L (��� NEAREST /� � CROSSE ST. CITY �%!/Lq� NO. 1p A FIRNO. OF UP ARCHITECT OR ✓ TEL. ZONE ENGINEER NO. BLDG. ORD. NO. SETBACK LIN ADDRESS APPROVED TEL. BY -- DATE CONTRACTOR NO. USE APPROVED C ZONE BY 07ATE- ADDRE� I HOUSE NUMBERING _ LEGAL - -- - - - - ---' -- - - - -- -- _ DESCRIPTION -I LOT NO. _- BLOCK-- ---- ---- - MAP NUMBER FIELD CHECK BY TRACT -� ! NO. ASSIGNED BY DATE NO of BLDGS. CORRECTIONS SIZE OF LOT A f NOW ON LOT USE OFf �/ I NO OF EXISTING LDGFAMILIES , I DESCRIPTION OF'WORK NEW I I ALTERATION I I ADDITION 0. REPAIR I DEMOLITION _ SO' FT. NO. OF D SIZE ROOMS STORIES - Z EXT. WALL ROOF Y r COVERING COVERING USE OF STRUCTURE r APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION,AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WIT}}}111 ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS' LAWS REGULATIN�S BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF 'w/T�` D /1 GAS VENT, DUCTS PERM.-- �--J - �_ �/ LATH, INT. ADDRB88 LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76Aef 8A- DBBD 10-50 $ 11 P. C. 8 � o l ® � FEE PLASTER, EXT. VALUATION $ 0 FEE .� FINAL I 76A838A CE#803 B-63APPLICATION FOR BUILDING 05ERt1/I11" COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE P ES BY FOR APPLICANT TO FILL IN e Q t CONST BUILDINGSTATISTI CL I �FICATION SEW R AP ADDRESS CLASS NO DWELL UNITS � B P LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACT MAP HIGHWAY STATE MAJOR SECON LOCA O OF BLDGS NO (CIRCLE) SIZE OF LOT 1?0OW ON LOT USE ZONE PECIAL c USE OF r NDITIONS L EXISTING BLDG EL OWNER B4LI.GEXIST, SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT I _ ARCHITECT-OR -- --- TEL - - P L ENGINEER NO SIDE P L ADDRESS d _ CONTRACTOR TEL O NO U ADDRESS DRIVEWAY APPROACH+ DESCRIPTION WORK AND PARKWAY TREE REI Q 0 f- v 00 LU NEW ADD ALTER REPAIR DEMOLISH SQ FT NO NO OF {tal4�lo�s should be taken 0- a} � s L A•• �'.o. lZ4a3d Aa�.l �Z SIZE STORIES FAMILIES gsnaa.s 'Ji 1-1 "I- -I �} �} ©�a0� OR USE OFay e 8 Desi A H�.L 'IL� S'irAx9 Ond 14 n9t 11f�Tld STRUCTUREfoT paAcwey trCe perm + 1 raat� Peanut has,been issued. ApP11F SIGNATUREF APPLICA `/' ` R l f`' VALUATION $ _ (�jF,L �U / % APPROVALS DATE INSPECTOR'S SIGNATURE P C FEE $PMT / j'('"' FOUNDATION LOCATION FEE $ 1z'3:r MATERIALS FRAME FIRESTOPS ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN OING THE WORK AUTHORIZED HEREBY I NOT EMPLOY AN P RSON IN VIOLA- LATH INT TION OF THE LABOR C E F THE STATE OF CA IFORNIA RELAT ING TO WORKMEN S PE SATIO SURANC LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE 0 RECT AND POSTED ADDRESS FINAL J2� ' /7 0 JOHN F LEWIS PRINCIPAL ST RAL ENGINEER PLAN C CR VA ATION CK MO CASH PERMIT VALIDATION CK M O CASH iii .0 6 7 3� SEP1 1 D 1 725- 14 DEPARTMENT OF•BUILDING AND SAFETY ' APPLICATION FOR PERMIT- COUNTY OF LOS ANGELESBUO ® 1 WM. J. FOX, CHIEF ENGINEER `� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING //�� DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESSOR �fY�.aCt/� .."+ .,�•6rCan•... � L� LOCALITY /I,-p..y,n"E��.p,! e�,� RE EIVED BY DATE OF APPL. DATE ISSU D CROSSNEARES T. /I w✓/J rs� r..�-+a�. '-�•�. ��� / -`-�'�� BUILDING o / OWNER /I�/1,_.�f�(�/f� ( syA J� j�/J ADDRESS "Y'1MAIL DDR '�/_� �J J, �f�., /J�� .P'/ _LOCALITY .�'�,•�L�✓ "1�, /'`+'� . ADDREBB Ij (S ✓�(,.r /J'� F�'�'Y ��/��• ______ NEAREST /Q y' TEL. '/ •�, CROSS ST. CITY' '�P�-,ti���. ( �.A.•ri NO. ttt��� �J FIRE NO.OF TYPE GROUP ARCHITEENGINEER CT�OR� ]�/ i// 6�({�J NO TEL. ZONE"-�'� I PLANS '� t13,e ��,, o,// [�G• C/��7�`7�✓I./�"� BLDG. % / ORD. O. ADDRESS /3( , SETBACK LINE CONTRACTOR IL //(/),f"f�//��J NO. '°`PPROVE','���'`���yf/!� ` BY ��/�y/I9�u DATE USES /AFPROVED ADDRESS � 13 '/ / ./i�l• ZONES - BY DATE LEGALI - CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT ), �. got- NO.OF SLOGS. SIZE OF LOT d?cv2 :G� d ® NOW ON LOT USE OF /��� I NO.OF ' I NO.OF EXISTING BLDG. �/ FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR +MOVING DEMOLISH p Bq.FT. p 4 NO. OF Z SIZE / / Q ROOMS STORIES / r WALL • /J I ROOF COVERING �+/f[A�• COVERING USE OF NEW , BUILDING ) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION I SPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES } FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS T J OWNER '' LATH,INT.: AUTHORIZED AOT./ (f, LATH,EXT.: $ P.C.S PLASTER. INT. FEE �1 PLASTER, EXT. z VALUATION T I v L_ FINAL WORKERS'COMPENSATION DECLARATION / I hereby affirm 'that I have a certtficate�of consent to self O O q D O insure,'or a certificate of Workers'Compensation Insurance, LQ p d C�Q� O M-0 d D 0 C� G3Gw ora certified copy.thereof (Sec 3800, Lab C,) o j 3 z Com on COUPdTY OF LOS'AWGELES" BUILDING AND SAFETY Policy No p 'y F Certified co is hereby furnished BUILDING ❑.} copy y, FOR APPLICANT TO FILL'IN ADDRESS Z - �p3y Certified copy 1s filed with the`county building inspec- BUILDING tion department , A ADDRESS i LOCALITYy tAJww NEAREST Date 1D 'u/ .Applica `L CITY ZIP CROSS ST ERTI KATE OF EXEMPTION FROM ORKERS' NO OF BLDGS -ASSESSOR tai COMPENSATION,INSURAN E SIZE OF�LOT.': NOW ON LOT MAP BOOK PAGE PARCEL' (This section need•not be lcompleted 1f.the permBLOCK LOT NO it is for'one USE ZONE MAP -7 hundred dollars ($100),or ess ) TRACT. - NO �Q TEL Q�t 1 SPECIAL, } I certify that in'the performance of the work for which this OWNS i NO Y� CONDITIONS • IL. permit is issued;'I shall not,employ any person in any manner „ DISTRICT "GROUP TYPE FIRE PROCESSED BY O % so as to become subject to the-Workers'Compensation Laws ADDRESS CONST ZONE U C CITY` ZIP —�" �� .�+� O Date o Applicant ST ATISTICAL.CLASSIFICATION T CONDO F- NOTICE TO APPLICANT• If, aft'. making this'Certificate of' ARCHITECT OR TEL Exemption, you should become subject to, the Workers' ENGINEER NO 'CLASS NO DWELL UNITS LU Compensation provisions of the Labor-Code, you must forth- ADDRESS SEWER MAP, with comply with such 'provisions 'or this permit shall be _ deemed revoked` NO Zas O BK �, VALIDATION �. CONTRACTO LICENSED CONTRACTORS DECLARATION LIC , I hereby affirm that I am hcensed'under provisions of Chapter 9 ADDRESS (J . .NO VALUATION 6� (commencing with Section 7000)of Division 3 of the Business and ° yyQ LIC Professions Code, and my license.is in full force and effect CITY /�1d CLASS $� SQ NO F NO OF CHECK License Numb r y ,/ w'� Lic Class/ SIZE' STORIES FAMILIES ONE Y cy, $ ` Contract +Date 0 7 DESCRIPTION OF WORK NEW ❑ '. I am exempt,under Sec ALTER FINAL - -W B 8P C for This reason Qom• REPAIR DATE �'�� •"- Date' USE OF /�• DEMOL r FINAL EXISTING BLDG `yIU ❑ �- By, Signatuie d APPLICANT TEL / ' . PRINT NO OWNER-BUILD R DECLA ATION � 6 1`4 .8 A' I hereby affirm that I am ez rapt from the Contractor's License Law for the following reasorr(Section 7031 5; Business and ADDRESS(N 1 D #Lo 0 0"a 0,1- Professions 1-Professions Code) PRESENT s, , 7,3 8, BUILDING .-r 210 0 k,--as-,owner of the property, or my'employees with ADDRESS , t wageas their sole compensation',will do the work and a o•o8 7,3'81= ' U the structure is not intended or offered,for sale(Section LOCALITY ,7044, Business and Professions Code) . ' MOVING TEL ,1 a 2 0—8 3 I,;as owner of - CON the property, am-exclusively contracting TRACTOR ry NO � �.' - with licensed contractors to construct the project-(Sec- ADDRESS tion 7044, Business End Professions Code) y REQUIRED TOTAL SETBACK FROM EXIST , CONSTRUCTION'LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH hereby affirm that there.is a construction lending agency for FRONT ,!he performance'of'the work for which this permit is issued'• P L (Sec 3097, Civ C ) SIDE f o P L Lender's Name Lender's Address PC Fee'b a Permit Fee -• I certify'that I have-read This application and state that the, Issuance Fee above informatlon.is correct I,ogree to'comply with all County, Investigation Fee g ordinances and State jaws relating to building construction, and her y,authorize representat es of this County to enter Total Fee u above-ment ed for spection purposes s • ` .'SEE REVERSE FOR EXPLANATORY LANGUAGE _ ms Signatur of Applicant or Agent 'Dai - f i 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 0101090036 PHONE: (626) 285-0488 EXT: GAL D: N0. OF CONST BUILDING ADDRESS: TR: 7796 SQ. FT STORIES TYPE 5428 LOMA AV STRUCTURE: 0 VN TEMP CA 917803003 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 5388-001-034 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY TIENANT: E ST BL S : R SID USE ZONE: R ISSUED--OW--. PROCESSED 8 EXPIRES N: EXIST OCC GRP: 01/09/01 UT 07/08/01 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL. CODE: BURGENER JAMES L;HILDA J (818) 286-5081- 1 1,880 5428 LOMA AV 1-17,61 TEMP 917803003 FEES PAID DEQ -WORK REROOF OVER EXISTING WITH 30 YR. ELK COMP. SHINGLES APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: J N DAVIS ROOFING (626) 821-4665- AA BLDG PERMIT ISSUANCE 27.75 2 E LA PORTE ST. A AC STRONG MOTION RESID 1880.00 VAL 0.50 SPECIAL CONDITIONS: ARCADIA, CA D2 PERMIT W/O,EN=HC=- -"--,1880.00 VAL 82.20 TOTAL--FEES 110.45 CONTRACTOR: TEL. N0: �, '� ' � � APPROVALS DATE INSPECTOR SIGNATURE J N DAVIS ROOFING CO. (626) 821-4665- 2 EAST LA PORTE #A LIC. NO � �✓ � �� LOCAIION AND SETBACKS ARCADIA CA 91006 572125 C39 �/'j ✓'r; C� 1 ��� SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. O: n�� F� 1� - � �� 'A�' FOUNDATION/TRENCH FORMS LIC. NO � i� -- -- � SLAB/UNDER FLOOR RAISED L RM G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: !CMP: r / i�' UNDERFLOOR INSULATION 147H265 3 i011',' i i I`�i��, J ��lI \J `_ / TUMOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/ CLASS:- - — — ---- - - - NO 21\\\ \— --- - - -- -, �� ROOF SHEATHING O a SCHOOL I I HAZARDOUS A 6/ �� \ 7, /��� SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO �� , ;r / FRAME INSPECTION RE QUI AL B E IS �' % IRE'SP S SET BACK YARD: HWY: PROP LINE: WIDTH: ��\Jp _ �����% INSULATION/WEATHER STRIP FRONT PL- �/ SIDE PL- ��� INT OR LAT /D P NET EXTERIOR LATH RATED 0 C ASSE . RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508