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Home My Public Portal About5505 LOMA AVE_Building__ APPLICATION FOR BUILDING`PERMIT FOR APPLICANT TO FILL IN (Print or type only) ' FENGINEER NG d 1 �j COUNTY OF LOS, ANGELES SS ,SSCP z v 'f" DEPARTMENT OF COUNTY ENGINEER ie-m L _ v ZIP BUILDING AND SAFETY DIVISION N .OF BLDGS. BUILDING ,y `� F LOT �JX(U� NOW ON LOT AD DR ESS�J�/� V ie - BLOCK L�J9. LOCA LIT ' e�,, (/ TEL NEAREST 41 . /Y�'I ` NO. - CROSS ST. / ASSESSOR SS MAP BOOK PAGE PARCEL DISTRICT JGRMOUEFIRE PRO E�SED BY ZIP ST, ZON ECT OR TEL •DD n ER NO. R7 p� STATISTICAL CLASSIFICATION SEWER AP SS v S �J CLASSNOfl_DWELL.UNITS /_ BK PG TEL.ACTORG 4 O - z USE ZONE NOP U ` LIC. �r AL SPECI ADDRESS q- + L NO. LIC. CONDITIONS CITY '/v CLASS ROA .DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER / ,Qp NAME AND BRANCH O (,4,/N/ C B DG.SETBACK FROM d ONT PROP,LINE OF (STREET) C ADDRESS CITY IGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING a. SQ. FT. - NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE + DESCRIPTION OF WORK NEW ❑ d t! � ADD ❑ BLDG. ACK FROM Z ( t Ql� 4 5w SIDE PROP. L (STREET) ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYP EXISTING REPAIR❑ SIDE PROP. LINE HIGHWA WIDTH USE OF DEMOL [:] + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) N BY (SIGNATURE) ^ IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION WCCATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWL IID THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA I 7 RELATING TO r �. WORKMEN'S COMPENSA ION SURANC E. SIGNATURE OF PERMITTEE ADDRESS `�-VIM— TEy� CITY NOL6- DATE rw d'I B,Y`"/ MAKE CHECKS PAYABLE_ TO: FEE O U/ FEE i HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 602:rZJUti 192.3 D 2 52C ayn 60 3 JUr1 19 1 D 42.() 0 A98 76A638A CE#803 7/73 L APPLICATION FOR BUILDING rPERMIT , FOR APPLICANT TO FILL IN (Print or type only) _ "a 'BUI CC]NG / COUNTY OF LOS. ANGELES ADDRESS �O �C.O 1-21 VIP k DEPARTMENT OF COUNTY ENGINEER CITY_ 19,MPLe, ZIP BUILDING AND SAFETY DIVISION 7 N OF BLDGS BUILDING SIZE OF LOT Gx�o� N W ON LOT ADDRESS��(/� ��-- TRACT BLOCK L L LOCALIT FZ TEL NEAREST OWNER _ LSI NO CROSS ST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROU_ E FIRE RO E�SED BY CITY ZIP C ST ZON ARCHITECT OR TEL DD ENGINEER NO p� STATISTICAL CLASSIFICATION SEWER AP ADDRESS (/ CLASS NO �_OWELL UNITS L BK PG CONTRACTOR TEOL –121 z US ZONE NOP LIC � SPECIAL ADDRESS �� I [.. NO I LIC CONDITIONS CITY CLASS RO -DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER � ,Q NAME AND BRANCH B OG SETBACK FROM a ONT PROP LINE OF (STREET) a V ,ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO. OF CHECK IGHWAY } YARD – HIGHWAY WIDTH SIZE STORIES FAMILIES ONE FRONT PROP LINE F } = LW DESCRIPTION OF WORK` NEW ❑ V ADD 11 'IDE CK FROM SIDE PROP (STREET) Z L ALTER ❑ HIGHWAY } YARD TOTAL SETBACK FROM TYP EXISTING = —REPAIR[:] SIDE PROP LINE HIGHWA WIDTH USE OF } EXISTING BLDG DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑, NO ❑ PRINT) N BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ '' ,q L IN COASTAL ZONE YES ❑ NO ❑ VALUATION`Q P �v/! V CATEGORICAL EXEMPTION YES❑ NO ❑ 1 HEREBY ACKNOWL DGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED I (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ` STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA I RELATING TO WORKMEN'S COMPENS ION SURANCE SIGNATURE OF `i „`:f/ ry>' 9�v ,4, PERMITTEE ADDRESS • FINAL BY _ TEL ✓_ CITY NO DATE 'r, f � • 17 V l aJ J MAKF CHECKS PAYABLE TO FEE FEE HARVEY T. BRANDY. COUNTY ENGINEER � O PLAN CHECK VALIDATION cK � M O CASH PERMIT VALIDATION CK M O CASH 6 0 2_'r"-'JUa 1-9.2 3 'D- • •2 5.2 C A= 6 0 UN 1.9 1 D 4 2.0 0 A% 76A638A CE#803 7/73 l -' APPLICATION FOR 76A638A CE#803 5-65 _ 1 � _� _ - O E3U I LD1 G PERIi� �/ , COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS / (� BUILDING AND SAFETY DIVISION LOCALITY /J7 JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST DI ST�,ICT N P TYPE P BY FOR APPLICANT TO FILL IN CONST FLA ILDING ./�• G`� v STATISTICAL C ASSI FICA TION - SE AP DRESS CLASS NO __4_1 DWELL UNITS T NO -?vR764V �C7 . BLOCK U Z EMAP Z NO TRACT T7,� � ,-SPEC SIZE OF LOT Q �p NO F BLDGS .l ,rte CONDITIONS' 9v NO OW ON LOT USE OF EXISTING,pyI3LQG� ""��" BLDG SETBACK FROM OW N E PAR My":zYj LLLJri NOL - FRONT PROP LINE OF — (STREET)-, ` _ . TYPE OF EXISTING SETBACK HIGHWAY_ + YARD — TOTAL ADDRESS /'f AA e/Jti, HIGHWAY WIDTH FROM C L CITY /y /F eP/4� BLDG SAC FROM ARCHITECT OR TEL SIDE PROP LINE OF (STREET) ENGINEER W e.4)(�,rO)r. NO'oj�"3Y 2 _ �j TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ADDRESS 161 ,(7Q 77�+elof , HIGHWAY WIDTH FROM C L _ I\ } — RJI4",S�1 A* -TEL — CONTRA CTO �� TEL j-o3r' O ADDR ES /,'S'A'G ,Fm ite* ST NO Q.](O.y CORNER CUTOFF YES NO V GC CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK -NEW 8�• ADD ALTER REPAIR DEMOLISH r' N SOFT Q �a NO OF NO OF SIZE �7 V� STORIES -�FA�MILLIESUSE / STRUOCTURE � //W 1 • A h-101 ,a ffAA.,5 SIGNATURE APPLICAN VALUATION$ Z APPROVALS DATE INSPEC PR'S SIGNATURE P C PMT Q'V FOUNDATION, LOCATION FEE$L j' FEE S FORMS, MATERIALS _ 44 FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS tooi-A A4 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE HOUSE NUMBER COR- PERM ITT RECT AND POSTED/ ADDRESS FINAL l j7 PLAN CHECK VALIDATION CK MO cnsH — JOHN F LEWIS PRINCIPAL ST TURAL ENGINEER PERMIT VALIDATION CK M e CASH P a,2 s O- 6JUN 15 2 3 D 5 0.50A-- 4 UO;3 1 5 a ��V 2 g 1 0 1 0 1 .0 O N APPLICATION FOR BUILDING PERMIT FOAPPLICANT TO FILL IN (Print or type only) YAUD R`_D'NG 7 r7 S' �/- �p�Jj /,L_ ��--COUNTY-OF L-OSYANGELES_ _,��_ DEPARTMENT OF COUNTY ENGINEER CITY ' C i ZIP / BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT 10_37-X O NOW ON LOT ADDRESS TRACT BLOCK C/OT ill) r LOCALITY -- OWNER fe G` / NOLZ til.3 CROSS ST ASSESSOR ADDRESS �05_ U Z0,01A. A• MAP BOOK PAGE PARCEL y -DISTRICT GROUP TYPE 'FIRE PROCESSED BY CITY "�el;j l •7 ZIP t' �p v CONST ZONE -- ARCHITECT OR TEL- ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS- CLASS_NO_.,DWELL UNITS BK PG CONTRACTOR - T USE ZONE MAP LIC NO ADDRESS_ _ NO1 SPECIAL CITYCv - LIC 1 �• CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO E]CONSTRUCTION NDER > >. NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LI NE OF (STREET) f e) C) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING = SO FT - - ] NO OF ._ NO, OF CHECK FRONT PROP LINE HIGHWAY WIDTH CD SIZE STORIES FAMILIES ONE - - - V + W DESCRIPTION OF WORK NEW ❑ z ADD ❑ BLDG SET CK FROM SIDE PROP L E OF (STREET) ALTER TOTAL SETBACK FROM TYPE OF EXISTING _ e.-c-4 a b-17Cil REPAIR❑ HIGHWAY + D = SIDE PROP LINE HIGHWAY WIDTH USE EXIISOT NG BLDG DEMOL ❑ + APPLICANT r- TEL CORNER CUTOFF EYES NO _ (PRINT) e N0.2 1' BY (SIGNATURE) IN OPEN SPACE YE NO ❑ Nx Q IN COASTAL ZONE YES NO ❑ .VALUATION Y - - CATEGORICAL EXEMPTION ❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ,AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) - WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY ,I WILL NOT EMPLOY ANY PERSON N VIOLATION OF THE ��'��O �- � /, / �� ' LABOR CODE OF THE STATE OZAL NIA RELATING TO VW1120 ORKMEN'S CO MPE NS ION I U t SIGNATURE OF �, } PERMITTEE y/ ADDRESS O - OHl ✓� � �1�I � I�3 T d" -7S L FINAL _ _ IBY CITY/XGlT - NODATE Q MAKF CHECKS PAYABLE TO PEE FEE K HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK M 0 CASH m PERMIT VALIDATION CK M o cne 1 �Ay 125 r 1 5.n 0 A u 76A638A CE#803 7/73 - I WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self' "Qp p p C�Q�p O[,� O G°3 o-M RIMM IG P E R p"T insure, or a certificate of Workers' Compensation Insurance, oc a certified copy thereof (Sec 3800,ppLab C ) rjy 7-�/CU/1 A COUNTY OF LOS ANGELES BUILDING AND SAFETY Poll No Z 3ZCompany'�+ +�� BUILDING. Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is-filed with-the county building'mspec_ BUILDING ' ,,/ • . _ _ tion department ADDRE.SS� D�/V/d L Ohl r� /�h'JAL� G•CT ZIP 9// �p LOCALITY. CITY Dater —/S9� Applicant NO OF BLDGS NEAREST _CERTIFICATE OF,EXEMP N FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATI INSURANCE ASSESSOR (This section need not be completed if the permit'is for one TRACT BLOCK �i� LOT NO 3S AMP BOOK PAGE PARCEL ` hundred dollars ($100)or less ), TEL - OWNER j O FPlB �' USE ZONE AP I NO I'certify that in the performance of the work-for which This �• permit,is issued, I shall not,employ any person in any manner ADDRESS SJOS 1 .4 4e/ CONDITIONS d so as to-become subject to the Workers' Compensation LawsO - - CITY i» j(` ZIP /7S-a Date Applicant ARCHITECT OR TELJ0 NOTICE TO APPLICANT' If, after makingthis Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY �� n CONST ,/ Z NE Exemption, you should become subject to the Workers' Oy V ��/// - Compensation provisions of the Labor Code, you must forth- ADDRESS w Q_ with comply with such provisions or .this permit shall -be TEL STATISTICAL CLASSIFICATION APT CONDO N deemed revoked CONTRACTORNO IV �6// - ? LICENSED-CONTRACTORS DECLARATION ' LIC CLASS NO.��_DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /EI�,Q� NO /�,(p LIC ?t{ SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY H7/9 CLASS J / and Professions Code,and my license is in,full,force and effect BK PG ^ VALIDATION SQ FT NO OF NO 011'E F C ECK' License Number `!�ZD/�� Lic Class SIZE STORIES FAMILIES ONE n�j _� DESCRIPTION OF WORK � Q)'� �,JdP NEW ❑ VALUATION Conti'actor-Z/�D6,�pes A!/&aafe /G-/S-9/ ❑ _ �. - .�p•i ADD El � - I am exempt under Sec �J ALTER ❑ B&P C for this reason ;i O _ REPAIR ❑ $ Date USE OF EXISTING BLDG DEMOL ❑ Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION (PRINT) y� v,Ob,d7a8 NO /ALL / i DATE / I hereby affirm that I am exempt from the Contractor's License ADDRESS Jr ,n..,e� Tf� 77�Ge$ Law for the following reason (Section 7031 5, Business and FINAL Professions-Code).- PRESENT By — — BUILDING ❑ 1, as owner of The property, or my employees with ADDRESS wages as their sole compensation,-will do the work and tf the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code ) MOVING TELD,� �s�/Il�� j f T AL 1 �339-m_08• ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO �jliol/ with licensed contractors to construct the project (Sec- ADDRESS t `E Y. tion 7044, Business and Professions Code) {.11i�ie�t]C REQUIRED YARD HWY TOTAL SETBACK FROM• -EXIST 1 CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH I hereby affirm that There'is a cohstruction lending agency for FRONT the performance of the work-for 'which this permit is issued P L '(Sec 3097, Civ C ) SIDE PL rf Lender's Name "- 7t $ LDMA Ref # Lender's Address PC Fee$ Permit Fee '� I certify that I have read this application / and state that the Issuance Fee /' , w `LDMA P/C#- 8 above information is correct I agree to comply with all County Investigation Fee - ordinances and-State jaws relating to building construction, Total Fee - O LDMA Perm # a and hereby authorize representatives of this County to enter on the above-men ne property for inspection purposes Q/S SEE REVERSE FOR EXPLANATORY LANGUAGE 1q. VqK1K- Signature of Applicant r 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 1310020014 PHONE- (626) 285-0488 EXT LEGAL ID I NO OF CONST I BUILDING ADDRESS ITR 9751 LT 0 UN 002 1 SQ FT STORIES TYPE 5505 LOMA AV I ISTRUCTURE 25 V—B 1 TEMP CA 917802306 1 ASSESSOR INFORMATION NUMBER. ', NEAREST CROSS STREET 15387-020-035 THOMAS PAGE 596 GRID. H4 LOCALITY TEMPLE CITY CAI I I ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY IEXIST OCC GRP 110/02/13 SR (OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IFIj1^AL D TE _ _F_INAL BY CODE. ICAM TAT B,HOANG ANH THE (626) 278-5752— i 12,150 1' — 15505 LOMA AV c ITEMP 917802306 FEES PAID D IO F WORK I IREMOVE OLD ROOF INSTALL #30 FELT PAPER METAL FLASHINGS EDGE (FEE DESCRIPTION QUANTITY. UOM AMOUNT IMETP_I, 2 DOMERS REPAIR/REPLACE DAMAGE WOOD INSTALL EAGLE APPLICANT TEL NO 1TILF, CAPISTRANO TILE RAKE RIDGES #28 BASE SHEET ON FLAT ROOF 150ZA D CERON, MARIA (626) 286-9016— IAA BLDG PERMIT ISSUANCE 27 80 14533 SHIRLEY AVE IAB STATE GREEN BLDG FEE 12150.00 VAL 1 00 ISPECLAL CONDITIONS IEL MONTE CA 91732 IAC STRONG MOTION RESID 12150.00 VAL 1 20 1 D2 PERMIT W/O EN—HC 12150.00 VAI, 267 00 j TOTAL FEES 297 00 (CONTRACTOR TEL NO IAPPPOVALS DATE INSPECTOR SIGNATURE (GOLDEN KEY, INC - (626) 285-8877— i1 1 14533 SHIRLEY AVENUE LIC NO 1LOCATION AND SETBACKS (EL MONTE CA 91731 775115 1 ISOI'_,S ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO IFOUi'DATION/TRENCH FORMS I I I I I LIC NO ISLA3/UNDER FLOOR I I 1 (RAI"ED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP-1 1UND`,RFLOOR INSULATION I I 3 001 1 FLOOR SHEATHING 1 1 IND OF FAMILIES- DWELLING UNITS APT/COND. STAT CLASS NO 21 i ,y j ti� ��y J� /^,.Y�e ROCF SHEATHING 1 SCHOOL WITHIN HAZARDOUS �(ut ut �jn, 1Sll PANELS 1 �/ (AIR QUALITY 1000 FEET MATERIALS 1 //{r,, I NO NO NO to ``�w FRAME INSPECTION I _ IFIRE SPRINKLER HANGERS I I I IINSJLATION/WEATHER STRIPI I I 1 (INTERIOR LATH/DRYWALL I I 1 IEXTERIOR LATH I I I I I I 1 1 IRATED FLOOR/CEIL ASSEM 1 (RATED WALL ASSEMBLIES I 1 (RATED SHAFTS/OPENINGS 1 1 IT-BAR CEILINGS I I 1 �* ADDITIONAL DATA ON FILE I 1_ 1 ILOT DRAINAGE I I I I I I 1 IREPORT ID DPR261 ROUTE TO BS0508 1 •, 1 1 I I I I I I