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