HomeMy Public PortalAbout5641 LOMA AVE_Building__ DEPARTMENT OF-WILDING.AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J.•FOX, CHIEF ENGINEER ts D1 Mu
-
FOrR^APPLICANT TFILLN . FOR OFFICCE USE ONLY DISTRINO.; PLBUILDINGADORES$
RECEIVED BY DATE OF APPL DATE ISSUED'
LOCALITY• ///�W �. / I SS '/ ���S
NEAREST • �
CROSS ST. •' ^ BfJILDING
ADDRESS (r/ /ff/ )� d
®�? E�G� •
OWNER
MAIL
LOCALITY
ADDRESSQ_'J .6 � � NEAREST
:TEL. / CROSS ST.
CITY Y NO. FIRE I kO. OF
PIANS.r - G UP
ARCHITECT OR TEL. - - ZONE /'-
ENGINEER NO.. BLDG. ��,{RO.�Np
SETBACK LINE
ADDRESS 'APPROVED -
EL. BY DATE
CONTRACTOR NO. USE APPROVED
ZONE f BY DATE
ADDRESS - - HOUSE NUMBERING
LEGAL ,
DESCRIPTION I LOT NO. I BLOCK MAP NUMBER ✓'+'o FIELD CHECK BY
TRACT / (� `. 3 NO. ASSIGNED BYAZCE- ATE
/ NO. of BLDGS. CORRECTIONS.
SIZE OF LOT A-10 x I NOW ON LOT
USE OF I NO. OF
EXISTING BLDG. FAMILIES •, .
s '
DESCRIPTION OF WORE _
NEW , I ALTERATION ( I ADDITION I '
0
REPAIR I. I DEMOLITION
SQ. FT. Q' NO. OF
SIZE O - ROOMS (D STORIES D
EXT.. WALL ^ ROOF r
COVERING, +C.� COVERING
USE OF STRUCTURE - Re's G n
D .X a0 ,/', �7�A °°
APPROVALS
INSPECTOR'S SIGNATURE DATE
IHEREBY 'ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND, STATE THAT THE INFORMATION GIVEN IS. 'FORMS,'MATERIALS � z.-s Z
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED , FRAME: FIRE STOPS,
HEREON.AND,WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING qUILDING C NSTRUCTION.
N,
FURNACE: LOCATIO •.
SIGNATUREOF - GAS VENT, DUCTS
PERMITTEE-....
LATH, INT.
ADDRESS_qd"��-.Ir
LATH, EXT.
AUTHORIZED AGT. -
"LASTER, INT. 1
7eweaeA. Deas fo-so $ � P. C. $ 710
0 f � FEE / --- PLASTER, EXT. -
pD
VALUATION o $ -1 D
t J'
76A638A CE4803.,8-64 AP LI V^TION rOR U IL:®.ICG : ERMI'T', _
COUNTY OF LOS ANGELES BUILDING ✓
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
fs
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST' ! -
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. �
DISTRICT NO. G OUP TYPE.. P SSED BY
FOR APPLICANT TO FILL IN coNsr:
BUILDINGS,6e� ' /. �� nV�., � �t� '/'1. % STATISTICAL ASSIFICATION' S PK 'MPG'L
ADDRESS I�,L` PJ (� CLASS NO.. DWELL UNITS -
ILL
LOT NO. - BLOCK USE ZONEMAP
TRACT SPECIAL
N0. OF BLDGS. CONDITIONS
•� -
SIZE OF LOT � 6� NOW ON LOT 2
USE OF - _ - -.
E ISTING G. CJ L`' BLDG'. SETBACK.FROM - -
TEL. FRONT PROP. LINE OF , (STREET)
OWNER �'1 �l:/A/0 NO. • TYPE OF EXISTING SETBACK - HIGHWAY /_+. 'YARD = -TOTAL,
ADDRESS :3 �O t/Cr G HIG WAY WIDTH [SETBACK
+ ?
CITY
ARCHITECT OR - TEL: BLDG. EPB ACK FROM-
ENGINEER NO. - SIDE PROP. LINE OF - � - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY -I- YARD - TOTAL }
- ADDRESS // HIGHWAY WIDTH FROM C.L. CL
r TEL. ! + _ 0
CONTRACTOR NO /��iL -
ADDRESS �ZJ' R> vT-NO / (! /,31 CORNER CUTOFF YES NO O
CITY CIC SEE REVERSE SIDE FOR SPECIAL APPROVALS W
f. fv ,- CL.
DESCRIPTION. OF WORK
NEW ADD ALTER REPAIR DEMOLISH c�
S Q.F T. 2 N O. O F N O. O F �'�F.S�' •�t:'ti"r..'i �✓:it.�i�"f.:'='=C.0
SIZE ..7 ,'�• STORIES FAMILIESirUSE OF
� f
STRUCTURE /jr /•j �` d�
SIGNATURE OF -
APPLICANT �•
VALUATION$ /
APPROVALS DATE _ INSPECT. SSIONATURE
P.C. PMT. (� ,g .FOUNDATION, LOCATION
FEE$ FE.E$l fj FORMS,--MATERIALS __ !a / -
'FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY •FURLL
�NIACEEl:+ O:CT'
Ai'O'h7q+�,�f'� I` r
WITH ALL COUNTY- ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS f"-
BUILDING.CONSTRUCTION. 'I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA REL•AT.
ING TO WORKMEN'S CO NSATION INSURA E. LATH. EXT.
' SIGNATURE OF' - � HOUSE NUMBER COR-
PF4RMITTEE R-ECT AND POSTED A -
ADDRESS �b'�f�1'2VI' 9xx>5'c�o>T6 /,e9•�crw F I N A L
JOHN F. LEWIS. PRINCIPAL ST LdCT'IJ RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK.• M.U. CASH .
i rtl 4 '� i �'�' A jC 1.3 1 D 8.S U
, _ - , 11T
76A63APPLICA I ION FOR BMI -
��_�<�...c!
COUNTY'OF LOS ANGELES BUILDING
`,DEPARTMENT'OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCA L IT k
JOHN A: LAMBIE. COUNTY ENGINEER NEAREST t
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DI ICT, GR $ CONSTYPE.' R S B -
FOR APPLICANT TOFILL IN i D T.
BUILDING STA TISTICAL,fek. SSIFICATION - SEWER MAP
ADDRESS lf,e, .CL'ASS NO. DWELL UNITS/FIt11J� Z[L -- BK, PG
.
LOT NO. BLOCK USE ZONE NOP
TRACT !� .SPECIAL _
,/ N0. OF BLDOS. �J CONDI O
SIZE OF LOT S�r J�p3 N0W ON LOT OV r 7�'� �( ,
XtSO
BLDG. SETBACK FRLf'C
TEL. FRONT.PROP. LINE. R '^ (*STREET)' _
-OWNER -O NO. _ TYPE.OF EXISTING' -SETBACK.. HION WAY .. -- YARD. TOTAL
ADDR ESS.J � �/Z, HI H Y
CITY ..
ARCHITECT OR TEL. BLD(01. 9E ACK FROM' •--" - -
ENGINEER NO. - BIDE PROP. LINE OF *STREET)
TYPE OF' EXISTING SETBACK •HIGMAAY + YARD = TOTAL' -
ADDRESS HIGHWAY WIDTH - FROM C.L. - CL
0
CONTRACTOR NOL D, + V
ADDRESS '$- _, /Q /5 (J/ ONO / L�A CORNER CUTOFF - - YES NO 0
I 'SEE REVERSE SIDE FOR SPECIAL APPROVALS U
6 cIc
.CITY V
W
.DESCRIPTION OF WORK N
NEW ADD ALTER REPAIR DEMOLISH -
SQ.FT. e4,NO. OF NO: OF -
SIZE 3�''T — d�� /A►to TORI ES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT -
VALUATION$ APPROVALS ' DATE INSPECTOR'S SIGNATURE
' P.C. PMT. FOUNDATION, LOCATION ^yt
FEE - FEE$ ��� FO_RMS,,..MAT-ERIAL_S _ % .,_U
'FR"AME, FIRE STOPS, ��;],'��j'•• F/ '�"/��
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS U 47
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO-COMPLY FURNACE: LOCATION -
WITHALL COUNTY ORDINANCES,AND STATE LAWS REGULATINGt�
GAS VENT. DUCTS
91JILD I NG-CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK - -
.'AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE-OF.CALIFORNIA RELAT-
ING TO WORKMEN'S CO NSATION NSURA E. LATH. EXT.
SIGNATURE OF .HOUSE NUMBER COR-• r
PERMITTEE RECT AND POSTED .e
•, ADDRESS _ _ FINAL "/^^ 1" f* ,,,.• :�
c:a
E
JOHN F. LEWIS. PRINCIPAL STR�TtJRt.L ENGINERPLAN.CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION O. CASH
��'���
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 0502280036
PHONE: (626) 285-0488 EXT:
LEGAL ID: N0. OF CONST BUILDING ADDRESS:
TR: 16134 LT: 4 SQ. FT STORIES TYPE 5641 LOMA AV
STRUCTURE: VN TEMP CA 917802451
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5387-022-016 - THOMAS PAGE: 596 GRID:..H3 LOCALITY: .TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/28/05, JK 02/23/06
OWNER: TEL. NO: BLDGS. NOW ON LOT.: VALUATION: FINAL DATE FI_NAL ,BY- CODE
HUYNH,.NGOC (626) 451-6595- 2,440
5641 LOMA 'AV
TEMP 917802451 FEES PAID DESCRIPTION OF WORK
REPLACE 10 WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2440.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 2440.00 VAL 99.00
FR INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 384.25
CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND-SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR EN INEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: SLAd%UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHE,4R PANELS
AIR DUALITY: 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 SHA TS/OPENINGS v
T-BAR CEILINGS
LOT, DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 t v^+ ,. BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS + - r RESIDENTIAL ADD
•BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004120001
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 16134 LT: 4 SQ. FT STORIES TYPE OCCUP GROUP 5641 LOMA AV
STRUCTURE: 478 1 VN R3 TEMP CA 917802451
ASSESSOR INFORMATION .NUMBER: GARAGE: NEAREST CROSS STREET: LAS TUNAS
5387-022-016 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/27/00 UT 10/24/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE 'w,, FINAL BY: CODE:
HUYNH;NGOC (626) 451-6595- 1 35,400 )
5641 LOMA AV 7~/ r k
TEMP 917802451 FEES PAID DESCRIPTION OF WORK
NEW GUEST HOUSE - NO KITCHEN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. N0:
SAME AS OWNER B1 PLANCHECK W/ENERGY 35400.00 VAL 575.01
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION'RES•I;D-7!!! 35400.00 VAL 3.54
62 PERMIT 41%ENE�R�v�� 676.50
.TAD EES VAL 1,282.80
CONTRACTOR: TEL. NO: ®� ��. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER d �-
LIC. NO CATION AND SETBACKS
_s rCD ^yAII
ARCHITECT OR ENGINEER: TEL. NO: +-CMALLQUIJRENCH EOR9S
CREATIVE DESIGN (714) 288-0308-
P 0 BOX 4535 LIC. NO � 1111111 SLAB/UNDER LOOR
ORANGE CA 92867 NONE Ir—
RAISED;FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: 'IPOJ1_ U
D �f�//-11W0(-j��(��/ UNDERFLOOR INSULATION
IL��{I��J ILJ^lel fLJl�uSST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-
NO 21 �t 'o` ND LEVEL FLOOR SHEATH
�\ � 0 '
SCHOOL WITHIN HAZARDOUS r ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS Q y
a ®� FIRE DEPT. FRAME INSPECT
NO NO NO 0
REQUIRED TOTAL SETBACK FROM EXIST ��j 0 BLDG DEPT. FRAME INSPECT
SET FRONT PL-
L YARD: HWY: PROP LINE: WIDTH: ZC cc�.�pyOCelb �tl SHEAR PANELS
SIDE PL- I
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL /�-
� 1
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508