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HomeMy Public PortalAbout5670 LOMA AVE_Building__ TEMPLE CI TY 76A688A CE#808.1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �O L ec Y► DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY 1 E C+ y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. v) J�-LL_' FOR APPLICANT TO FILL IN DISTRICT NO. GROU1.P -TYPE T PROCESSED BY •-j I o� „�_ J CONST.,V 6 Ol.o W a"iI BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 5670 No. Loma BK PG +-� CLASS.NO.�DWELL. UNITS-1 LOT NO. / BLOCK WATER / CERTIFICATE: NOT REQUIRED ® RECEIVED El TRACT O 50 S MAP HIGHWAY STATE MAJOR SECOND LOCAL C� j/ NO OF BLDGS. NO. Z.-O()�j (CIRCLE) SIZE OF LOT S' -/ X /b I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG.Zd Z. TEL. OWNER E. . Henrichsen NO. BUILDING EXIST. ADDRESS 5670 No. Loma SETBACK YARD HWY STREET NAME WIDTH FRNT _ a ARCHITECT OR TEL. P.L. 7_(� GD 4+i. H S~CI ENGINEER NO. SIDE P.L. ADDRESS INSPECTION RECORD O CONTRACTORVirgin Roof CO.Nc.T70507 v ADDRESS 600 S.San Gabriel B1. _ O DESCRIPTION OF WORK San Gab u W a NEW ADD ALTER REPAIR DEMOLISH N Z SQ. FT. NO.OF NO.OF �IZE STORIES FAMILIES USE OF STRUCTURE Re-roof House & Att. Gar, SIGNATURE OF APPLICANT VALUATION$392•00 APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE $ 6 oo FOUNDATION: LOCATION 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, 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- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNI REL ING TO WORKMEN'S CO ION IN RANCE. 00, LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT TEE_ c RECT AND POSTED _ it ADDRESSO S• San Gabug 1 Blvd ' FINAL / San Gabriel CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH v 0� DEPARTMENT OF BUILDING AND SAFETY APPLICATION.FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER -' FOR'.APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK. NO.' PERMIT NO. .. G/ tG..�O /� 3��, / ��.• ADDRESS `S - LOCALITY A,,-L,4b RECEIVED BY DATE OF APDL. /DATE �ISSgU D¢� NEAREST - �T /9"d L/s A-o Z - ROSS ST. BUILDING - ADDRESS �,/ yy OWNER o!:- J"•.. ./! �t+ tifY`4 ��-' , // U MAIL - " LOCALITY ADDRESS ,/,1 ��,F,_ ny,\ �yA/•.,..G /'��+ ;(.� NEAREST - CITY ;bi -F...p f•.ils7 NO. / (� ( A CROSS ST. ZONE I PLANS ��•- I T'YP I GROUPT' ARCHITECT OR TEL. �" ENGINEER 11_ x-->=L��-+.. NO. BLDG. - c OR D.�NO. �i SETBACKLINE 4f"� ^` ADDRESS4, I APPROVED .TEL. BY DATE CONTRACTOR ..� y „4:piv�f-�',,J NO. USE APPROVED - ZONE J7// BY DATE ADDRESS HOUSE NUMBERING - •LEGAL �i� -DESCRIPTION I LOT NO. 'I BLOCK • MAP NUMBER _FIELD CHECK BY - TRACT �1 -" j c AT ' TRACT 1 i].� - NO. ASSIGNED Y � E NO. OF SLDGS. �' CORRECTIONS' SIZE OF LOT �F / G? - I NOW ON LOT USE OF ' _ NO. OF _ EXISTING.BLDG. I FAMILIES lam- .5�Gi o 9 e / DESCRIPTION OF WORK NEW I X I ALTERATION I I ADDITION REPAIR I .I DEMOLITION SIZE j sem- ROOMS ( STORIES D Z a EXT. WALL ROOF %� � � r COVERING COVERING USE OF STRUCTURE V y 4 8 APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY.ACKNOWLEDGE THAT I HAVE 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 WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS .REGULATING BUILDING CONSTRUCTION. ' FURNACE: LOCATION, SIGNATUREOF r� GAS VENT, DUCTS PERMITTE ' �-!t-'"��_-�"`Z•y a l LATH, INT. ADDRESS LATH, EXT. AUTHORIZED,AGT. - ' PLASTER, INT. FEE. f PLASTER, EXT. VALUATION FEE $3GrFINAL G�!/✓'""� .. 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 1210020058 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 16305 LT: 7 SQ. FT STORIES TYPE 5670 LOMA AV STRUCTURE: V-B TEMP CA 917802450 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-018-003 j THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXIST OCC GRP: 110/02/12 SR OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: iFZALNDiE FI AL BY: CODE: CHEN, WEINA (6 26) 512-2978- 1 5,000 15670 LOMA AV ITEMP 917802450 FEES PAID IDESCRIPTION OF WORK IKITCHEN REMODEL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( APPLICANT: TEL. NO: SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 JAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: JAC STRONG MOTION RESID 5000.00 VAL 0.50 1 JB2 PERMIT W/ENERGY 5000.00 VAL 145.90 1 1 JFR INV WORK W/O PERMIT 342.20 DOL 342.20 ICONTRACTOR: TEL. NO: I TOTAL FEES 517.40 1APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I LIC. NO ILOCATION AND SETBACKS ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: JSLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Cmp;J JUNDERFLOOR INSULATION 1147H265 3 001 1 1 -1 IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 1 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO I IFPAJIIE INSPECTION FIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI I I INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I_ IT-BAR CEILINGS I I ILOT DRAINAGE I- REPORT ID: DPR261 ROUTE TO: BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1301030062 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 16305 LT: 7 SQ. FT STORIES TYPE OCCUP GROUPI 5670 LOMA AV _(STRUCTURE: 544 1 V-B R3 I TEMP CA 917802450 ASSESSOR INFORMATION NUMBER: i GARAGE: NEAREST CROSS STREET: 15387-018-003 OTHER: 198 1 V-B U THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI TENANT: IEXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 107/08/13 SR OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: IFTNAL DATE FINAL( CODE: ILAM, PETER (626) 625-3839- 84,390 'I/ 15670 LOMA AV I ITEMP 917802450 FEES PAID D CKIP ON OF WORK I (ADD FAMILY ROOM WITH FULL BATHROOM AND COVERED PATIO __IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: j ISAME AS OWNER - 1B1 PLANCHECK W/ENERGY 84390.00 VAL 1,072.80 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: IAB STATE GREEN BLDG FEE 84390.00 VAL 4.00 I 1 IAC STRONG MOTION RESID 84390.00 VAL 8.40 I rl I _IB2 PERMIT W/ENERGY 84390.00 VAL 1,262.10 I 1 ICONTRACTOR: TEL. NO: ICE CERTIF OF OCCUPANCY 101.40 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I TOTAL FEES 2,476.50 1 1 LIC. NO ILOCATION AND SETBACKS I I (SOILS ENGINEER APPROVAL I IA.RCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I IANOKIA INC. (888) 765-8982- 1 -1-1- 1713 1 I I 1713 W. DUARTE ROAD, #G303 LIC. NO: I (SLAB/UNDER FLOOR I 1 1 1ARCADIA, CA 91007 NONE 1 11 1 IRAIS-D FLOOR FRAMING I 1 I 1 MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CtdP:I 1UNDE7FLOOR INSULATION I 1 3 COI I- 11 (IST T_,EVF.L FLOOR SHEATH 1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1-- NO NTO 21 12ND -EVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING (AIR QUALITY: 3.000 FEET MATERIALS I I NO NO NO I _ IFIRE DEPT. FRAME INSPECT 1 i - IBLDG DEPT. FRAME INSPECT(_ 1 1 I_ 1 I 0, ISHEAY PANELS I _I INSULATION/WEATHER STRIP 1 , (INTERIOR LATH/DRYWALL IEXTERIOR LATH ILOT DRAINAGE �^ 1 1 1 i ISMOKF DETECTION DEVICES I 1 1 IFIRF. DEPARTMENT APPROVAL( I 1 I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 I 1 1