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HomeMy Public PortalAbout5644 LOMA AVE_Building__ DEPARTMENTOF..tUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES -`WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 'PERMIT NO. BUILDING •-, t/ _ - DISTRICT NO_ PLA ����� ��/� ADDRESS T ' LOCALITY REECEEIIVE�D BY DATE OF APPL. DATEISSUED NEAREST CROSS ST, BUILDINGOWNRR /� ADDRESS ,J u 5F`�'" ��/ /7 � Ale-,y, MAIL - LOCALITY , ADDRESS t' ,� i J� NEAREST ` � / TEL (��/ CROSS ST. //�. Gam' CITY ,`yy.y �- NO.A-1y. ( ( ` k FIRE NO. OF GRQ-UP ``•• ZONE .. I PLANS I I -.�(-'-(/J' ARCHITE TOR TEL. ' ENGINEER '- NO. SETBACK LINE. / � TNO ADDRESS.. �n ' _ APPROVED. _ TEL. BY DATE CONTRACTOR NO. - - USE /�I APPROVED - - �. ZONE BY ' DATE ADDRESS - - - HOUSE NUMBERING LEGAL f OQ C - DESCRIPTION I LOT NO. r ( BLOCK MAP NUMBER IELD CHECK BY TRACT 1 .[s. / NO. ASSIGNED BY ATE No. of BLDcs. CORRECTIONS SIZE OF LOT. J`4, X I.NOW ON LOT / � USEOF I NO. OF A//M:r_, EXISTING BLDG.. FAMILIES —� 12oe DESCRIPTION OF WORK L! ✓ NEW I I ALTERATION I I ADDITION � �✓ /L�Ei�Y ts7 ":,3•�r \.✓GTi•-r T�TCS/=� � O, REPAIRI - I DEMOLITION •I I I - -- SQ. FT. NO- OF SIZE l Q I ( ROOMS J STORIES "r z l�� EXT. WALL "'� ROOF .4P. /✓pT Gnti, r COVERING`i(f/L✓�--G{A„' I COVERING USE OF STRUCTURE ff, to APPROVALS 'INSPECTOR'S SIGNATURE DATE 1 HEREBY,ACKNOWLEDGE THAT 1 HAVE- READ THIS AP FOUNDATION: LOCATION �"„� PLICATION AND. STATE THAT,THE INFORMATION GIVEN IS. FORMS, MATERIALS /.Egg re,. CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HfiR'ON AND WITH ALL, COUNTY ORDINANCES AND-STATE BRACING, BOLTS -LAWS REGULATING BUILDING, CONSTRUCTION. FURNACE: LOCATION,SIGNATUREOF '/ s ;/- - _ GAS VENT, DUCTS .PERMITTER ...ld L �/[ ••/ . LATH, INT. ADDRESS / �J � G AS - r�� /'!�•/ LATH, EXT. 61 AUTHORIZED AGT.' i - PLASTER, INT. 7EAe89A• 0898 10-,80 $ ®® P. C. $ /y, op © FEE / :�s� PLASTER, EXT. VALUATION �� Oa 70 FEE FINAL` G •.�'..�-' ��L rs % T. _ APLIC l ON FOR BUILD�I'NG PERMIT R F0 ~APPI:'IVANTTO FILL IN (,P,ir or'fvoe only) BUILDING / �� ��� COUNTY OF LOS ANGELES DO AREss DEPARTMENT OF COUNTY. ENGINEER / //, BUILDING AND SAFETY DIVISION crrY WW/1. E l / I?Y ZIP �! O NO.OF BLDGS. BUILDING SIZE OF LO.''T;�'�VIoS - NOW ON LOT Z ADDRESS V r•�- '/�. TRACT �(p��Y BLOCK LOT NO, p{.� LOCALITY `% NEAREST - OWNE��, � IO I/OVIe .-NO. `7J l��O� CROSS ST. ! ^ L97F-1 z 3 L MAPASSPAGE I PARCEL �I SSOR ADDRESS 22!__C�Ex�.�v. ,� , _ DISTRICT'` GROUP TYPE FIRE PROCESSED,BY CiTY,���4�N7; �//[�,' ZIP �O! !-- CONST. ZONE2 , ARCHITECT O f -� ' TEL,r �/ �"' •..` ENGINEER ©NS/OA/. .NO• STATISTICAL CLASSIFICATION - - SEWER MAP ADDRESS /j' !I/� Q`y//� �/�, CLASS NO.�.L__DINE LL.UNITS - BK PG, CONTRACTOR Zj/�,� /�UIC/ll `"iN L - - USE ZONE NAOP ADDRESS LIC. SPECIAL CJ L ��%CEAr/ vY NO. LIC. CONDITIONS CITY,!%/.x �rl71//C� CLASS - _ ROAD DEPARTMENT APPROVAL REQUIRED - YES� NO CONSTRUCTION LENDER ./ NAME AND BRANCH BLDG.SETBACK.FROM FRONT'PROP•LINE OF - t (STREET). ADDRESS CITY HIGHWAY + YARD-. TOTAL SETBACK FROM TYPEOF- 'EXISTING V SIZE' �� S DRIES F0OF OMOFES ! CONEK - FRONT PROP. LINE HIGHWAY 'WIDTH O yp f ! H•- DES'CRIPTION OF WORK NEW ❑ + V - p Lu BLDG,SETBACK FROM N s^/ 4L 7-ie44T101V ADD SIDE PROP.LINE OF (STREET) z ALTER ❑ 'HIGHWAY + YARD =TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF DEMOL ❑ + - EXISTING BLDG. APPLICANT/• TEL - CORNER CUTOFF _ YES ❑ NO (PRINT) ®p6e,,�R�VIellf NO. ' BY (SIGNATURE) IN OPEN SPACE - YES ❑ NO - IN COASTAL ZONE YES �. NO VALUATIONsi6000, - CATEGORICAL EXEMPTION YES� 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= _ 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 IN RELATING TO WORKMEN'S COMPENSATIOTI INSURANCE. - SIGNATURE OF� PERMITTEE ADDRESS N _ 0. E J� 7 J7 .FINAL. � BY- ' - C Iy�T Y\.dG? � L,41fe) N 0.I/"��/ 7/,3 DATEPMT a 'IlA KE Cf�CKS PAYABLE /O: FEE $ ! F..EE + ,� HARVEY T. BRANDY, C.O.UNTY ENGINEER � 5 _ ,,PLAN CHECK VAL_IDA'TION CK. M.O. CASH _j PE"I VAILIDATIO cK. M.O. CASH 1431 JUL25 4 8.75A c' ,;_76A638A CEg 03 12/72 • _ - V06U5bb lid WORKERS' COMPENSATION DECLARATION hereby affirm that'1 have a certificate'of consent,to self �'�AT I O N ' �R BUIL®I �, ��RMI T insure, or a certificate of Workers' Compensation Insurance, 11®®� or a certified copy thereof (Sec: 3800,..Lab. C.), 1 11 'COUNTY OF LOS ANGELES. BUILDING AND•SAFpy Policy rvo:W0007146' carr pony Beaver Ins. BUILDING Certified copy rs hereby furnished. FOR.APPLICANT TO FILL IN ADDRESS C IIJJ X. Certified copy.i's filed 'with the county building.inspec BUILDING tion department. ADDRESS 5644 Loma 17 7 Dare _.7-1-89. Applicant Virgin Roof Co CITY Tem le Cit ZIP 9178 LOCALITY. . CERTIFICATEOFEXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need,.not be completed if the per is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK, PAGE PARCEL I certify that in the performance of.fhe work.for which this OWNER George Limber NO. --7 Z USE ZONE r, MAP SPE L permit is issued, I shall not employ.an'y person in any manner ADDRESS '516 A oStlnO "' '- CONDITIONS' y` so as to become subject to the Workers'Compensation Laws. ~� ' .. CITYSAn Gabriel ZIP Date Applicant NOTICE TO APPLICANT: If, after,:making this Certificate of ARCHITECT OR TEL. . DISTRICT GROUP TYPE- FIRE CESSED BY ENGINEER NO. ZONE Exemption, ,you should .become subject to the Workers' Compensation,provisions of the.Labor Code, you-rnust forth- ADDRESS r 'L 3 CONST with comply with such provisions or this'permit shall 'be TEL: STATISTICAC'CLASSIFICATION APT: CONDO. `deemed revoked., CONTRACTOR Virgin Roof Co'. NO. 287-0507 CLASS NO. 2-j DWELL. UNITS LICENSED CONTRACTORS DECLARATION LIC..' I hereby affirm that 1.6 in licensed under provisions of Chapter 9 ADDRESS P:O Box J tvo' -160650' (commencing with Section 7000)of Division 3 of the Business and LIC: SEWER MAP Professions Code, and,my license is in full force and effect. . CITY Sari Gabriel CLASS C39, BK.' PG. VALIDATION 4, SQ. FT., NO:OF NO. OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES 1 FAMILIES ONE' VALUATION NEW DESCRIPTION OF WORK Over existln Contractor Virgin Roof. CO: Date 6-30-89 ADD O ;3575:.00 O I am exempt under Seca roof a 1 Cla ALTER ® ' ❑ $ V B.BP.C. for this reason Shln' leS. 28 S S. REPAIR Date: EXISTUSE OING BLDG. DWellln DEMOL Q Z Signature `APPLICANT TEL. ' FINAL �` OWNER-BUILDER DECLARATION PRINT) Virgin Roof Co No.287-0507 DATE Z� p I hereby affirm that I am exempt from the:Contractor's License Low for the-following reason (Section 7031.5, Business and ADDRESS P.O. BOX J FI Professions Code): PRE ENT aBUILDING i I, as owner of the property, on my employees with ADDRESS wages as their sole compensation,will do the work,and lllll the structure is not intended or offered for scile'(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR NO. I, as owner of the property, am exclusively contracting with licensed contractors to'construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). � 1 ;2,2 A REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY . SET BACK YARD' HWY PROP. LINE 'WIDTH .I hereby affirm that there is a construction lending'agency for FRONT ° °_6a 63 the'performance of the work for which this permit is issued P.L. iii:.67.6 8,6 3 :z o ® o U (Sec. 3097, Civ. C.). `" SIDE P.L. d 1 30;=88 Lender's Name :.. P.C. Fee$: Permit fee LDMA Ref: # Lender's Address $ ' 10.50 o f,certify that Ihave-read this application and 'state that the Issuance Fee kDA P/G# - 'a above information is correct:;I agree to comply with all County Investigation Fee ' 0 ordinances and State laws relating to building construction, Total Fee (�$,6 LONA Perm. # and hereby authorize representatives of this County,to enter. -� upon the above-mentioned property for inspection purposes: 11-29-88. SEE REVERSE FOR EXPLANATORY LANGUAGE', Siature of Applicant or.Agent - / Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPA3TMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUW�DING AND SAFETY /.LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1402120059 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1 ITR: 16134 LT: 21 I SQ. FT STORIES TYPE 5644 LOMA AV 1 I (STRUCTURE: V-B TEMP CA 917802450 I (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: LAS TUNAS I 15387-019-017 I _ I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I I I I (TENANT: (EXIST BLDG USE: DETAC USE ZONE: R-1 IISSUED ON: PROCESSED BY: (EXIST OCC GRP: 102/12/14 SR (OWNER: TEL. NO: IBLDGS. NOW ON-LOT: VALUATION: IFINAL DATE FINAL CODE: I ISANTILLAN VICTORIA (626) 285-4445- 1 1,200 I 1 15644 LOMA AV I I ITEMP 917802450 1 FEES PAID JDtS(fRfPTIO14 OF WORK 1 I I IINTERIOR DRYWALL INSIDE DETACHED GARAGE (EXISTING ON WALL & I 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICEILING) I (APPLICANT: TEL. NO: I I I IBARROSO, FELIPE (626) 409-2847- IAA BLDG PERMIT ISSUANCE 27.80 1 1 11156 DOUGLASS DR IAB STATE GREEN BLDG FEE 1200.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IPOMONA CA 91768 IAC STRONG MOTION RESID 1200.00 VAL 0.50 IB2 PERMIT W/ENERGY 1200.00 VAL 90.40 1 1 .1 TOTAL FEES 119.70 1 ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ILANDMARK CONSTRUCTION (626) 409-2847- 1 1 11156 DOUGLAS DRIVE LIC. NO I ILOCATION AND SETBACKS 1 1 1 IPOMONA CA 91768 547251 1 1 1 I - I 1 (SOILS ENGINEER APPROVAL 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I I LIC. NO: 1 (SLAB/UNDER FLOOR I I I I I I I I I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I _ 1 3 001 I 11 I 1 -1 I FLOOR SHEATHING I I INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 1 I I I NO 21 1 IROOF SHEATHING I I 1 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO IFRAME INSPECTION I 1 I 1 I IFIRE SPRINKLER HANGERS 1 I I I I I I I I I (INSULATION/WEATHER STRIPI I I I I I I I I I 11NTERIOR LATH/DRYWALL I 1 I I I I I I I I 1EXTERIOR LATH I I I I I I I I I I IRATED FLOOR/CEIL ASSEM. 1 1 I (RATED WALL ASSEMBLIES 1 1 1 IRATED SHAFTS/OPENINGS I I I I I I I I 1T-BAY. CEILINGS I I I I I I I ILOT DRAINAGE I I IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I I I I I I I