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HomeMy Public PortalAbout5665 LOMA AVE_Building__ z,ti ri DEPARTMENT2.1 COUNTY OF OSI ANGELES Ar Q. APPLICATION FOR PERMIT WK J. FOX, ,CHIEF ENGINEER I.L D I N FOR APPLICANT T.0 FILL IN FOR OFFICE USE ONLY DISTRICT NO.. ; - PLAN CK. NO. PERMIT NO: BUILDING ADDRESS •` / L�,�t... �. .i �! L,. h� !3. !/ LOCALITY RECEIVED BY' DATE OF APPL. DATE ISSUED NEAREST. r CROSS ST. ,,. BUILDING ADDRESS _S /i • L,(J /'� - ' OWNER GY"� .• - .if_ ^^` 11��... c+c-• .��ff MAIL - ADDRESS.•C�I,.•S�'Ch ,, .l.) c,�"--: ..NEAREST NTEL CITY NO., , NO.,��/ I r CROSS ST. ZONEI PLANS TYPE--TJ". I GROUP—�17 ARCHITECT.,OR'. Y Q TEL.- ��•L ENGINEER NO. BLDG. - / QRD,�NO. SETBACK LINE j /I �,.,�rwre�-• /I/.�• / ADDRESS -" " ! APPROVED TEL. g BY _ _ - DATE CONTRACTOR j6i- � NO. - Y USE ,n APPROVED -sC/ - ZONE / ''BY DATE ADDRESS - { HOUSE NUMBERING _ - ' LEGAL ' . 2 - - • DESCRIPTION. 'I.'LOT NO. ..J I BLOCK MAP NUMBER `l-� FIELD CHECK BY TRACT '•� ��� - NO. ASSIGNED NO:OF BLDGS. - CORRECTIONS SIZE OF LOT - I,NOW ON LOT O USE OF I NO: OF EXISTING BLDG: �� FAMILIES -DESCRIPTION OF WORK NEW - I x I ALTERATION I I ADDITION I �.fiF�� _ -• REPAIR I I DEMOLITION SQ. NO OF / D SIZE �;y � - ROOMS 6 STORIES EXT. WALLROOFOQ f. - r COVERING I COVERING rQ_�L•Lt�9,,,n - - USE OF STRUCTURE f!' V 20 X 4 Cj 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 CORRECT. I AGREE TO•.COMPLY WITH-THE CORRECTIONS LISTED. FRAME: FIRE STOPS, - HEREON AND.WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF - GAS VENT, DUCTS /� •a' _ PERMITTEE'• .ADDRESS- " �! LATH, INT. _ U, LATH,EXT. AUTHORIZED AGT.r - - ^ - PLASTER, INT. .7eAE78A- 01389 .10-50',- G"�� P. C. $ FEE. PLASTER, EXT. - VALUATION. FEE 3 Q FINAL / G�•. — _i `�P �,y J APPLICATI®N OCBUILDIG PERMIT SJR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS , A CITY ZIP BUILDING.AND SAFETY DIVISION /C ��" � Ll �(} NO.OF BLDGS. BUILDING SIZE OF LOT 5 )r16C) NOW ON LOT -- ADDRESS ✓ SJ TRACT BLOCK LOT Nc,3 LOCALITY / EL. NEAREST OWNER "1'1a; NO.�� � { CROSS ST. `- ! ASSESSOR ADDRES /. ,W , MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE WCESS BY -CITY �'` ZIP / lj ��o q �. CONST.` ZONEARCHITECT OR TEL. / VENGINEER _ NO. STATISTICAL CLASSIFICATI N EWER MAP ADDRESS CLASS NO. �' DWELL.UNITS /<_BK6 TEL pp CONTRACTOR ci Ofxte olr NO.lc67-�1'.31 USE ZONE NO. 12 LIC. ADDRESS /kt E /'p(//� NO. �`/ SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH E BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING N SQ.FT. O.OF NO.OF CHECK HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } _ a DESCRIPTION OF WORK ESS . NEW ❑ + O DD NrBLDG.SETBACK FROM 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. �7EG� DEMOL ❑ + APPLICANT (�ED .s TEL CORNER CUTOFF YES ❑ NO P ❑ J IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATU IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION A IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - THAT THE ABOVE 15CORRECT 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 INSU SIGNATURE F PERMITTEE �y qg ADDRESS FINAL / B.Y--- TEL. D CITY NO. ATE �U�Z �( MAKE 6HECKS PAYABLE TO: FEE' , s. X FET HARVEY T.BRANDT,COUNTY ENGINEER 7 r I PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIQATI'ON�y/ sC K. M.O. CASH 24 411 © 61.V 0 Akt 4i es 76A638A CE#803 3.75 76A638An CE*603 9-67 ~�� —''-- APPLICATION FOR BUILDIIG PERMI/ - COUNTY OF LOS ANGELESBUf ILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. l ✓ ,._�jli DISTRICT NO.-, GRO TYPE P, O ESS BY FOR APPLICANT TO FILL IN y CONST. (Print or type only) �_q F C! J BUILDING - STATISTICAL CLA FFICATION SEW -R.MAP ADDRESS 5zk,5: CLASS NO. DWELL.UNITS BK PIS �? LOT NO. BLOCK USE ZONE MAP NO. TRACT ' 3 Ub SPECIAL NO.OF BLDGS. COND TIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG, _ BLDG:.SETBACK FROM iTEL. FRONT PROP,.LINE OF (STREET) OWNER d.r NO. �'OV-f d�J TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS GJ� �� �`Q HIGHWAY WIDTH FROM C.L. CITY 4—✓. + - eo ARCHITECT 6 SI TEL. DG,SETBACKFROM SDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM G.L. TEL.. } _ 2 CONTRACTOR /� '�� NO. 0 C. ADDRESS NO CORNER CUTOFF YES ElNO ❑ V CITY CILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK _ �cQ — c� b IL T G?/ .Gh%®ly I� �1 !✓ `1/�I f'� . Z_ NEW DD ALTER REPAIR DEMOLISH n r SQ. FT. N O. O F NO OF SIZE L STORIES FAMILIES USE OF v STRUCTURE 1-/ �j- SIGNATURE O APPLICANT VALUATION $ �'-d� APPROVALS DATE INS PE���OR'5 SIGNATURE P.C. PMT, °� - FOUNDATION: LOCATION n �f'" Cr FEE $ FEE $ s � FORMS, MATERIALS <� - g r:•'i7=`''... .Pfl'f FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING FURNACES LOCATION, BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK GAS VENT, DUCTS AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ,. TION OF THE LABO ODE OF TH ATE F CALIFORNIA RELAT- INGTO WORKME ENSATI N IN U A CE. LATH, EXT, SIGNATURE O � � HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED Vz ADDRESS FINAL X�wl JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH Ljjoi2 9-8 6:o FEB '.7 1 D 27.75- 4. vQ r13 , 76A63BA CE#803 8-63 APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS : BUILDING AND SAFETY DIVISION LOCALITY il2� c JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO GRO TYPE 1� S tiBY FOR APPLICANT TO FILL IN ` CONST. i1 BUILDING STATISTICAL CLASSIF ATION SEWER MAP ADDRESS p BK PG of CLASS. NO: DWELL. UNITS L LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT MAP HIGHWAY NO. OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT NOW ON LOT USE ZO SPECIAL USE OF CONDITIONS EXISTING BLDG. /1 � TEL. OWNER&111 G /ir,_, NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS��J�,r�/, FRONT ARCHITECT OR I TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS - O' TEL ,•• /� fde_1- -? CONTRACTOR(,�/h„t-'� - NO.-9si 1. ADDRESS cn % A DESCRIPTI OF V(6r& CL Vf NEW ADD ALTER. REPAIR DEMOLISH z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE ,/(AL¢-e ^ SIGNATURE OF APPLICANT ry•�y VALUATION r� 10 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. d� FOUNDATION: LOCATION FEE $ FEE $C? FORMS, MATERIALS FRAME: FIRE STOPS, 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 I BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.,INT.. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE O ��Z�,�a HOUSE NUMBER COR- PERMITTEE ) _ ^ RECT AND POSTED ADDRESS lel)'_I"V '/ FINAL JOHN F."LEWIS. PRIN IPAL ST Al URAL ENGINEER PLAN CHE k ALIDATIOI- cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH FEB 2 9 1 D6 Z 0 r 76A638A CE#803 1-62APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. I GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN �- � CONST. BUILDING /r. / �q 9 STATISTICAL CLASSIFICATION SE ER MAP ADDRESS Q` K efG CLASS. NO. ELL. UNITS LOT NO. BLOCK WATER f, CERTIFICATE: NOT REQUIRED RECEIVED TRACTMAP HIGHWAY NO. (CIRCLE) STATE MAJOR SECOND, OCAL NO.OF BLDGS. r SIZE OF LOT NOW ON LOT USE ZONE 8PECIAL USE OF CONDITIONS EXISTING BLDG. s TEL. OWNER NO. BUILDING EXIST. / �A SETBACK YARD HWY ST�EET NAME WIDTH ADDRESS (� f O�!/ FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L- ADDRESS ADDRESS O CONTRACTOR NOTEL.. ADDRESS O DESCRIPTION OF WORK u W 0. H NEW ADD L E REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ o 0^ APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE $ FOUNDATION: LOCATION FORMS, MATERIALS FRAME: FIRE STOPS. 471Y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH- INT, ING TO WORKMEN'S COM N TION INSUR N �%� LATH, EXT. t• (� _�''W`'' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE Jf RECT AND POSTED ADDRESS �..D P-"1l0 FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH iJ o4858o SEP 27 1 D 4.00 1 W7 p 70AGSBA CE#808•I-81 APPLICATION -FOR 8UIL®ING PERM COUNTY OF LOS ANGELES BUILDING 66 N. L^ma Ave DEPARTMENT-6F COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY Temple City- JOHN A. LAMBIE, COUNTY ENGINEER_ NEAREST ` WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. , DISTRICT NO. G OUP I TYPE ORO S ED BY FOR APPLICANT..TO FILL IN d c CONST. BUILDINGTAT STATISTICALCLASSIFICATION• - - I , SK PG SE ERMAP ADDRESS 5665 - lr® LOm Ave® , CLASS. NO� DWELL. UNITS LOT NO. 31' BLOCK WATER ' - - CERTIFICATE: NOT REQUIRED RECEIVEDEl TRACT 130' S MAP�/li HIGHWAY S ATE MAJOR SECOND LOCALNO.OF ' SIZE OF LOT- I NOW ON LOTS 2 NO. ll (CIRCLE) y� { USF ZONE SPECIAL / USE OF' HOUSe BG aZ'a�a CONDITIONS EXISTING BLDG, b OWNEen RR O Gal.aSSi TEL. NO. BUIL ING NAME r- EXIST/. - ADDRESS"L'� N"/ m -Loma Ave.y. Temple C TBACK YARD HWY STREET WIDTH RUNT ARCHITECT OR �yn 7���T� � T��7 TEL. P. L. ENGINEER STt�''�DARD--P��t�.Eil NO. SIDE - ADDRESS _ Ony OO S aTIC®T$L. � INSPECTION RECORD ,.�r —q CONTRACTOR I�16. �q.� U ADDRE S Fir e S tone 've 9 a I-7 //L.,Q / Y �•f" "DESCRIPTION OF'WORK J O r� � ' U CL NEW X ADD ALTER )REPAIR. DEMOLISH �� JG 1 r V / /�✓.�f "dT toZ SO.Fr. 575 STORIES FAMILIES USE OF - _)'�A + ,��.1�J V G/ (1?Y'J�f� ✓+� c i STRUCTURE Pr"3vai�e•:'�swi-m' po -1. 1 ,�✓ Baa sta an:" SIGNATUR APPLICA 00,z �� -- - t VALUATION.$ 320©00 APPROVALS '/ DATE INSPECTORSS SIGNATURE FEE $�/ Z-5 FEE $ ,� , FOUNDATION: LOCATION �/ FORMS,MATERIALS 0 FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 'BRACING,.BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C MP�Y FURNACE: LOCATION, ' WITH 'ALL COUNTY ORDINANCES AND STATE LAWS RE 'LA,ING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOIN HE WORK - AUTHORIZED HEREBY 1 i L N T EMPLOY ANY PER N-INrVIOLA. 9 LATH, INT. ". TION OF THE LABOR DE OTHE STATE OF CA FOR.N.1'A RELAT- "-J) ING TO WORKMEN'S OMf SATION INS U IA E. LATH,EXT. - .) 1 I >/1/ 1' SIGNATURE O HO_--USE NUMBER COR /./..A PE T�/y RECT AND•POSTED 44' �p�'��I111ff I ADEssl 6S n .81YAr. O UPW FINAL CLYDE N: DIRLAM,,PIRINCIRAL ST T RAL ENGINEER PLAN.CHECK VALIDATION.- CK _M.O. dASH PERMIT VALIDATIONCK. M.O. CASH ORKERS' COMPENSATION DE(V``ARATION insure, orafcertifcateof Workes'-C' pensatothat'l have a'certificate of neInsuran nt to of APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pblicy No Company W&i&_1 ezedA BUILDING �� Q ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS XCertified copy is filed with the county building inspec- BUILDING �. do de artment. ADDRESS , CITY Cl ZIP 17SO LOCALITY Dat Applicai NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT,: )e1_ 6 NOW ON LOT -L— CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. / OWNER NO. Z-0 NE A I certify that in the performance of the work for which this NO.SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESSCONDITIONS a so as to become subject to The Workers'Compensation Laws. 0 CITY ZIP Cie Date Applicant ARCHITECT / TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEE S7aI/U NO. 73� DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. V ZONE _ U Exemption, you should become subject to the Workers' � � � �� j� (—(�L/Jy/ a Compensation provisions of the Labor Code, you must forth- ADDRESS 1� w with comply with such provisions or This permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION A�J LIC. 49(2�6 CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSJ(p7 /C NO. /C. SEWER MAP (commencing with Section 7000)of Division 3 of the Business �� 9rAV L and Professions Code,and my license is in full force and elle T. CITY CLASS BK. PG. VALIDATION SQ. FT NO. OF r� NO. OF CHECK �j License Numb r ����1// Lic. Class �Z SIZE �® STORIES u FAMILIES ONE 2 VALUATION c0 A�.`T.14 Contrac Date DESCRIPTION OF WORK NEW ❑ ❑I am exempt under Sec. ADD �- ► ,3,'307 i ITEMS'c 371. j,7 ALTER ❑ 1 1 I �7 BAP.C. for this reason / REPAIR ❑ $ Y TA Date: US OF O .. �.J; , TOTAL L AL 371© 03 EXISTING BLDG. DEMOL ❑ Signature APP(PRIANTT NO. 3 FINALM- Ci `7i°Q`= OWNER-BUILDER DECLARATION I I hereby affirm that I am exempt from the Contractor's License DATE Glf °LI Law for the following reason (Section 7031.5, Business and ADDRES + t FINAL Professions Code): PRESENT BY _I �lrti t!iL :f BUILDING nJl ❑ t ❑ I, as owner of the property, or my employees with ADDRESS -, wages as their sole compensation,will do the work and -3931 1 APS v:51(` the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ,r ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETBACK YARD HWY UIRED TOTAPROP.SETBALINEFROM WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE Lender's Name. ` Re m? ��" -1 V e P.C. Fee$ 27 �� Permit Fee ♦ J m ba' Lender's Address y.a 0 1 certify that I have read this application and state that the • Issuance Fee O C6MA P/C# 8 above information is correct. I agree to comply with all County Investigation;Fee d ordinances and State laws relating to building construction, Total Fee a LDMA Perm.,# +'J' a an eby authorize representatives of this County to enter aupo above-me ne p perty for inspectio pun oses. 3 \ Cr_, 9 V • , �-.t. `' C �r� SEE REVERSE FOR EXPLANATORY LANGUAGE �.1 .µJ'0, _ co ` Signature of Applicant or Agent ate C.* rb F.7