The URL can be used to link to this page

Home My Public Portal About5638 LOMA AVE_Building__ , APPLICATI-®N FOR BU [LD1 NG._ PERMIT: . FOR APPLICANT TO FILL IN (Print or type only.) 1 O NTY O L A ELES EUI LCI NG -L��p _ 'ADDR.ESS '� ' O.. '- DEPARTMENT OFC -NTY ENGINEER cITv7SVA%E CLT ZIP 1 BUILDING AND-SA ETY DIVISION i,/ P NO.OF BLDGS. BUILDING •`' X -SIZE OF LOT�OA-k\s NOW ON LOT" - nn 'ADDRESS - r77T 7"Y 'TRACT BLOCK - C' LOT'NO,vt IO LOCALITY - NEAR ST ,OWNE 1EL pn�pS}1 TOL CTO _ GROSSLz EST. - ,,`` ASSESSOR ADDRESS ADDRESS p- 1v®,'.�►lJ►"� N,4 Ile- MAP,BOOK - PAGE - P RCEL �r p�1 � TRICT GROUP,TYPE FIRE' R CESSED BY - CITY,F ttx-- "C `-rZIP -1.1-119® 1.. CON ,. _. ARCHITECT OR - -TEL. - ENGINEER • • NO.. _ STATISTICAL ASS I F I CA T IO N. SEWER MAP _ ADDRESS LASS NO WELL,UNI;TS BK PG � - - TEL. CONTRACTOR-- -- - NO• E ONE MAP ..LIC. NO. ADDRESS _. NO. - _ SPECIAL LIC. CONDITIONS ' CITY ^. CLASS1� ROAD DEPARTM EN T-AP ROVAL REQUIRED YES❑ NO CONSTRUCTION-LENDER PAa NAME AND BRANCH' BLDG.SETBACK FROM - - --. FRONT PROP.LINE OF - (STREET) - CC•.' ADDRESS CITY " HIGHWAY } YARD -_ T TA L.SET BACK FROM TYPE OF EXISTING � .SQ. F - NO. OF _. .- _NO. OF -CHECK - GHWAY WIDTH C SIZE STORIES FAMILIES ONE - _ RONT PROP. LINE U DESCRIPTION OF WORK" NEW _ • Z : BLDG.SETBACKFROM- _ ..ADD �J SIDE PROP: LINE OF - (STREET) ALTER = TOTAL SETBACKFROM. _TYPE OF EXISTING RE-PA d\J\ IRHIGHWAY .} YARD SIDE PROP. L_INE HIGHWAY WIDTH . - ❑ USE OF .r DEMOL a EXISTING BLDG. _ - ., _ _ APPLICANT• l ��]] CTIELy{ CORNER 1' CUTOFF ES� ❑ NO ❑ - (PRINT) `�,�7p .U� IY'0:• - • "`J�-,�' Q�•f - IN OPEN SPACE Y.ES ❑ NO ❑ BY (SIG'NATURE UMt e.nlW/ - .IN COASTAL ZONE YES ❑ NO ❑ - VALUATIONP. 4=5 - - - CATEGORICAL EXEMPTION YES"❑ NO•❑ ` I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL - AND STATE THAT THE ABOVEr IS' CORRECT AND,AGREE ,TO COMPLY IMPACT - EXEMPTION'DECLARATION,SIGNED (DATE) WITH ALL ORDINANCES ..AND LAWS ..REGULATING BUILDING.CON- STRUCTION. 1 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 IN RELATING TO �a WORKMEN'S COMPEENI �SATION INSURANCE. � 77 //�I r/C YV r �O,{V /6 �?�.�i/-.a.--�r� SIGNATURE OF f�` lla-oD ev PERMITTEE - - -• ADDRESS. - .�'d � - AP.� •".�dj�t'wiv'. .• "FINAL' BY•. CITY lC R'�� 1� 1 N O L D A TE 9Q .>C �.•".` !J .P..C:. _ .PMT:G MAKCHECKS CHECKS PAYA'BLE,T0 FEE FEE�P HARVEY T. 'BRANDT, COUNTY ENGINEER .! n `PLAN CHECK VALIDATION CK. " M.O. CASH ,. (Eh MIT VALIDATION( M,o. CASH 58 u _. p"A 76A638A CE0803 7/73 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 11f/M. ,J: FOX, CHIEF;ENGINEER .FOR'APPLICANT, TO FILL IN FOR_OFFICE USE ONLY BUILDING .�r�.'/� DISTRICT NO. .. /�/1PLLA'LN!/CK.y/NJO.L� 7/.'PERMIIT N�O..- -ADDRESS .d.�17 L Y _ /'i ! fO/C! �!..;. /Co 2'2 ' ,� RFS, EIVED BY= DATE OF APPL. DATE/I�SSUED LOCALITY //�� /� � ?��. �•- .J�jr;P-� NEAREST v - CROSS ST. - BUILDING • ._ _ _ ADDRESS OWNER - .. LOCALITY MAIL '• / }. ADDRESS�a�! NEAREST rTEL.- ./' J. CROSS ST. yG :. •/a/ lJ6f/!�' �"`�" , CITY NO. T �+ -I• �I Y O NO. OF- FIREG ,P . ARCHITECT OR - TEL: ZONE I PLANS - I �► ENGINEER -NO. STD ACK LINE: ADDRESS �'� I - - _ - APPROVED. .T L. :`u ,BY DATE - CONTRACTOR' . ` NO. - USE /APPROVED - - - ZONE BY DATE . .ADDRESS. - _ • - HOUSE NUMBERING - LEGAL Q� .DESCRIPTION ` LOTNO. - /,�G I�.BLOCK '' MAP NUMBER VP`LJ ��+ MELD CHECK BY _ . TRACT' �l .1 •(J - - NO. ASSIGNED BY ATE - v I NO. OF.BLDG$. CORRECTIONS SIZE OF LOT NOW ON LOT M,.o� USE OF .. _ NO..OF. o @.g EXISTING BLDG,n• - - I FAMILIES DESCRIPTION 109 OF WORE 'NEW. I I ALTERATION I.' I ADDITION I . y'�'c�ra Aar+ O .- `REPAIR DEMOLITION SQ. FT. NO. OF : SIZE - /.�..�` - - ROOMS STORIES �. osr' i't�.:.:G.C,.4'•. 1-'.?-� '�y; , EXT'. WALL -.e_. ra ROOF COVERING COVERING ,�G��.....,v~' - USE OF STRUCTURE, :1 C lop °�' VIP 44 gni APPROVALS ; ' INSPECTOR'S.SIGNATURE DATE, I HEREBY ACKNOWLEDGE•THAT IHAVE READ THIS AP- FOUNDATION: LOCATION / PLICATION'AND:, STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS - CORRECT. r:. --.-. . .,. _ I AGREE.TO.. COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, 'HEREON AND�W.ITH 'ALL`COUNTY-ORDINANCES AND STATE- BRACING, BOLTS�t,. LAWS REGULATING JOUILDING ,CONSTRUCTION. •FURNACE: LOCATION, ' GAS VENT., DUCTS SIGNATURE OF � z - PERMITTEE' 000CCC . LATH, INT: ADDRESS. - ° LATH, EXT. AUTHORIZEDAGT. r - x PLASTER, INT. 76A3s8A; 0893 ,10-80. of:'f P. C. $ - P.o� I ®, FEE ,PLASTER, EXT. VALUATION ' (�t� FEE $ FINAL C » r4_ L APPLICATION POR BUIL INCA PERMIT FOR APPLICANT TO FILL IN" (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS r1 �� ®� �v - DEPARTMENT OF COUNTY ENGINEER i7�o " ciTY �E.. C�"�y ZIP tj BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT 'x + NOW ON LOT ADDRESS a TRACT (�Q�1C.7 1 BLOCK LOT NO.c$ Q {�J LOCALITY OWNER �\111�R�L. X. J L,�I '. NEAREST NO. 0 a+l CROSS ST. �� `+,. L ASSESSOR ADDRESSSO� 1 Ve.. �q11-R_ A�E MAP BOOK PAGE PARCEL CITY T c ��,� C+�� ' 1Ou�. DISTRICT GROUP TYPE' FIRE OCESS BY ZIP 5✓v� CONST. / ZONF.� ARCHITECT OR TEL: V ENGINEER NO. STATISTICAL CLASSIFIhCCATI0 SEWER.MAP ADDRESS TEL. CLASS NO. c,� DWELL.UNITS BK PG CONTRACTOR NO. USE ZONE MAP LIC. ,C�/� i NO. 40 ADDRESS NO.. SPECIAL LIC. . CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY __ TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD- FRONT PROP.LINE HIGHWAY,WIDTH SIZE Q STORIES T FAMILIES ONE } DESCRIPTION OF WORK 1 NEW ❑ + O ^,n ADD BLDG.SETBACK FROM = ' 1= SIDE PROP.LINE OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + YARD ._: SIDE PROP.LINE HIGHWAY WIDTH N USE OF REPAIR, ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. IN OPEN SPACE _ YES ❑ NO ❑ BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION IHEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION AND STATE _ THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING,TO WORKMEN'S COM-. - PENSATION INSURANCE. SIGNATURE'dF J PERMITTEE' V m+�+nnlr� ADDRESS UISI FINAL BY TEL. DATE CITY NO. MAKE CHECKS PAYABLE TO: FEE FEET HARVEY T.BRANDT,COUNTY ENGINEER c�— PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. cnsH ®s 76A63BA.CE#803 3-75' ' COUNTY OF LOS ANGELES" TEMPLE CITY # 0508 BUILDING PERMIT ti DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS • ALTERAT.ION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA .91780. BL 0508 0604250001 PHONE: (626) 285-0488 EXT: ' LEGAL ID: • NO. OF CONST - BUILDING ADDRESS: TR: 16134 LT: 20 SQ. FT STORIES TYPE - 5638 LOMA AV STRUCTURE: VN TEMP CA 917802450• .. ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: 5387-019-016 .THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE�CITY, C TENANT: - - EXIST BLDG. USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: . EXIST OCC GRP: - - 04/25/06 - JK 04/20/07 OWNER: TEL. NO: - BLDGS. NOW ON LOT: .VALUATION: FINAL DATE FINAL BY: CODE: :GAO, GEORGE (626) 679-0858- - 6,000 ' 5638 LOMA AV �/ - TEMP 917802450 FEES PAID - DDESCRIPTION OF WORK •`� ' - REPAIR CHIMNEY PER L.A. CITY STANDARD DETAIL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: - TEL. NO: PETTERS (626) 296-7700- AA BLDG PERMIT ISSUANCE 27.75 - 6155 POPPY PEAK DR AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS: _ .LOS ANGELES 91103 AX BUI•LDING-REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 6000.00 VAL 149.40 TOTAL FEES 232.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BOSTON BRICK AND STONE (626) 296-7700- 2005 LINCOLN AVENUE LIC. NO LOGITION•AND SETBACKS - PASADENA, CA 91103-1322 783578B '1 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: . .SLAP/UNDER FLOOR RAI!3ED FLOOR FRAMING - MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDJLRFLOOR;INSULATION 147H265 3 01 '9 _ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: 'APT/GOND: STAT CLASS: NO 21 ROO? SHEATHING SCHOOL WITHIN HAZARDOUS - SHEAR PANELS - AIR QUALITY: 1000 FEET MATERIALS NO NO .NO FRAME INSPECTION_„ ';i•-�/�% !d REQUIRED TOTAL SETBACK FROM EXIST FIR;; SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: _ .FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH f �/• ///6' RATED FLOOR/CEIL ASSEM_ RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOTIDRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 i