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HomeMy Public PortalAbout5675 LOMA AVE_Building__ i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT /.4i COUNTY OF LOS ANGELES " WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL INFOR OFFICE "USE ONLY, . DISTRICT NO. PLAN CK.:NO. - PERMIT NO. BUILDING ADDRESS RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITYAll�l NEAREST �" �7dL5 O [ ''` � I �I''r`�s�."•`-' CROSS ST, 3 �x - f, BUILDING ADDRESS 0 7,•,� �� �" �,•�•J}/n OWNER � 'f/1 -' ,e . .. MAILy a,' / LOCALITY ADDRESS a ��'CH �R (yj ,. '�,"e'I.-+. %..NEAREST y10,r� �,(7) CROSS ST. / (� D (� t:./ CITY /1..�.-r},''f*R-✓ (.-,.r<s7 NO/iJ ® i<"7 '"/ l ZFIRE ONE I F ANS _I.TMPE^�� I GROUP ARCHITECT OR - � U TEL. -�'" ENGINEER 6f. /t.�i�= =*�«+ NO. 'BLDG. r f ORD. NO SETBACK LINE t �� ADDRESSs I APPROVED r t_ TEL. BY - DATE CONTRACTOR ,ft;•: �:=ia'L *�+ NO. USE / APPROVED ZONE ( BY DATE ADDRESS - .HOUSE NUMBERING LEGALDESCRIPTION I LOT NO, / I BLOCK MAP NUMBER�• -. '-" —FIELD CHECK BY— TRA CT YTRACT NO. ASSIGNED BY DATE � � � � - . ff i NO. OF BLDGS: CORRECTIONS- SIZE OF LOT ��� <,1. i' I NOW ON LOT USB OF I NO. OF EXISTING BLDG, ,.�---�•- FAMILIES ` fc. DESCRIPTION OF WORK NEW I.x I ALTERATIONI I ADDITION 1-wrx 0 REPAIR I I DEMOLITION I I I - - - -- -- - `m SQ. FT. r. NO.. OF _z Ii CIy_A , 41 SIZE i+, ROOMS STORIES r"'1 •, I / / Z CUJ/c%cLc�l rr.:sC]� tTiC1aG �JCiS'Fi"�"'`c EXT. WALL I ROOF COVERING �: ,�. .� ::'rst'=�,.; COVERING_-,) .';,dna,-:G {"`�. ,''c{J � !•-�r.�.in�^9 ice' USE OF STRUCTURE 4' ��- �j 9 � 4. '7—r� cf�L f=,a r,- tAjr 'P 43 APPROVALS INSPECTOR'S SIGNATURE. DATE I 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 Lel LAWS REGULATING BUILDING�CONST UCTION.. FURNACE: LOCATION, G SIGNATURE OFGAS VENT, DUCTS PERMITTEE - - �- a +.•-.-t�..✓I.-.w.t.'4�"'s�'I i / ; / ' LATH, INT, / ADDRESS LATH, EXT. �! AUTHORIZED AGT, PLASTER, INT. 78A 688A DBSS 10-50 $ (���� P. C. $ d '^� FEE PLASTER, EXT. f. VALUATION g&•��' FEE go FINAL �-'L"'""' \ .V 76A638A CE.#'8035-61 APPLICATION FOR BUILDING � PERMIT COUNTY OF LOS ANGELES . BUILDING` -j DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP^T OR BUILDING CROSS ST. ' DISTRICTN GR TYPE ES BY r, FOR APPLICANT TO FILL IN. : CONST.'' ' CL BUILDING �j STATISTICAL CLASSIFICATION ER MAP ADDRESS , ��, -zG11(tl ,(p CLASS.NO. DWELL.UNITS BK ^PG" LOT NO. BLOCK WATER NOT REQUIREDECEIVED CERTIFICATEi '''"`LLLLLL��JJJI��—___ - TRACT o !K - MAP ' H.IGHWAY .. . NO.OF BLDGS: NO. ICIRCLE) STATE MAJOR-SECO D'; LOCAL' SIZE OF LOT.. I NOW ON-LOT '�� USE ZONE SPECIAL USE OF e ) CONDITIONS - EXISTING BLDG. OWNER + /++ C To. I BUILDING EXIST. • YARD HWY STREET NAME SETBACK WIDTH ADDRESS7 //t"( L U /'3- T "O w FRONT ARCHITECT OR TEL! o - P.L. ENGINEER NO. - ;'SIDE CL P.L. 0 ADDRESS t� TEL INSPECTION RECORD. 9 CONTRACTORR,OVe I bAd ,±lzroA@�N. O[�� 7/3 ADDRESS,- 'OL ' O Al R-41-/1 .,Q Lu DESCRIPTION OF WORK N NEW ADD ALTER REPAIR DEMOLISH - SQ. FT. NO.OF NO.OF _ IZE STORIES ys FAMILIES USE OFL � A 1^'✓ f'' ' STRUCTURE SIGNATURE OF,�J APPLICANT VALUATION / ! - - ✓/,a APPROVALS L/�`jDJATfE/� PE INSPECTTOO/RSS/IIGGNNATURE FEE $ FEE $ FO FORMS,MATER ALSON I+'1 '�'1��11Ji2''W FRAME: FI RE STOPS„ I HEREBY ACKNOWLEDGE THAT 1 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 R G LATH; INT. INTO WORKMEN'S COMPE..SATION INSURANCE. LATH, EXT. PSIGNATURE ERMITTEE e"� ..�' =r HOUSE NUMBER COR- RECT AND POSTED !'�IVI►`IfII A ADDRESS, r 1 P' eC./6` I FINAL .- 'Al Le{ CLYDE N:DIRLAM, PF INC]PAL STRUCTURAL ENGINEER, PLAN CHECK VALIDATION Ck. M.O. CASH PERM V ATION cK- wo: x 7GA638A DSS-3 3.68 _ APPLICAT'I®N FOR BUILDING PERMIT �.. DIVISION OF`BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS County of Los Angeles LOCALITY T G WM.J. FOX, COUNTY ENGINEER NEAREST - CASSATT D. GRIFFIN, SUPT OF BUILDING,' CROSS ST.ImIm DISTRICT NO. GROUP I TYPE SEW,EER MAP FOR APPLICANT TO FILL IN S I CONST. _ /7 IAPI BUILDING �' b� A J•- / YES. .ADDRESS ,f7 ��"� �' f, ' N MA ER r'7�eOCe HWY- - LOT NO. J�.. BLOCK USE ZONE SPECIAL CONDITIONS TRACT .DOO ^- NO OF BLDGS. BUILDINGEXIST. SIZE OF LOT i� / X 1✓t� .I NOW ON LOT SETBACK YARD HWY STREET NAME - WIDTH USE OF ,i!'a!'S-L{=// '�Gf '' �f,J' FRONT OI EXISTING BLDG. P. L. OWNER SIDE `a L.< P. L. MAIL ADDRESS C .i `•,- -1114 O TRACT DWELL. 1 UNIT - ,/�'/ - - 5 INDUSTRIAL CITY" /'ii/-L� NO. - DWELL. - 1.UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. -2 DUPLEX I UNIT ADDN., ALT.. ETC. ENGINEER NO. 3 APT. UNITS - $ MISCEL.' ' ADDRESS ,J 4 COMMERCIAL CONTRACTOR C�`�,O�,��:f`�l�Lj j ,; �5' ,�,_�� �� INSPECTION RECORD ADDRESSi'i�� I'Y /' f•�T'� /!%o'Y'I.�. �� DESCRIPTION OF WORK NEW ADIxp. - ALTER REPAIR DEMOLISH SO. FT. A //LL NO. OF NO..OF SIZE T STORIES FAMILIES USE OF T CTURE SIGNATURE O F APPLICA % ,/,'/�/ L}� 4z. APPROVALS ADDRESS '.=' /` � �/5'a"' ;.+7 DATE INSPEdTOR'S SIGNATURE $ FOUNDATION: LOCATION P.C. $ FORMS, MATERIALS FEE FRAME: FIRE STOPS, VALUATION $ Q' _-- BRACING.BOLTS L v \ !"�'vt'n &,t FEE O FURNACE: LOCATION, I. t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS- GAS VENT,DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES,, ;.,LATH, INT. 3 �IS� tT'-7rJ''r ••"-J AND STATE LAWS REGULATING BUILDING CONSTRUC - 1 TION. �y) LATH. EXT. SIGATU TRE TEE /- ���"� yam✓ L" --��t/ L"'i��fffZ'1 p- HOUSE NUMBER COR- _ RECT AND POSTED ADDRESS I-�''^='� !� �'` --I" �� / 1 �,• FINAL lccl S� LA _�'tc-, .s WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR ! 2 8 2.6 N FEB 14 ' . 1 -8.00 pp APPLICATION per A 76A888ACE}808. 1-61 PPL.,ICATION FOR BUILDING,PERMIT COUNTY OF LOS ANGELES BUILDING —� DEPARTMENT OF COUNTY ENGINEER ADDRESS 1. BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. J DISTRICT N GRO.IJP- TYPE P O E D BY FOR APPLICANT.TO FILL IN j I CONST. STATISTICAL C IFICATION S - ER MAP BUILDING; ADOF2ESS',1-47,r�,// K �G'" CLASS.Nf `1_ O. DWELL.UNITS(' �. LOT NO. z BLOCK WATER NOT REQUIRED RECEIVED TRACT Z /\1 kC(P V - MAP CERTIFICATE: HIGHWAY aSTATE MAJOR SECON LOCAL NO:OF SLDGS. - NO. (CIRCLE) SIZE OF LOT. I NOW ON LOT USE ZONE t,PECIAL USE OFCONDITIONS EXISTING BLDG. 171,Vg�:1—tJ A TEL. OWNER /14 4iV�f7N�N0• BUIL ING SETBACK EXIST. YARD HWY STREET NAME ADDRESS �� U r1f'1//4-, WIDTH'- T.l' FRONT /. ARCH ITECT OR TEL. P. L. �(J ENGINEER NO. SIDE P.L. ADDRESS - %� •�,,/ /' ,+ / INSPECTION RECORD CONTRACTOR /� //v /�SOLJ LL% /-(J�Tjr�o•Gy�/^/!`� `�' �O D ADRESSOrVT — D tel' r��'� M�L'• I- Lam- ��//!�� / i O DESCRIPTION OF WORK LLI � = �- NEW AD ALTER REPAIR DEMOLISH 2 Z SQ.FT. NO.OF NO.OF $IZE, FjU STORIES / FAMILIES USE OF n �rA ,q '! 1 rRe;:'""; 'r✓'et_1�. STRUCTURE 4,t' SIGNATURE OF� APPLICANT - VALUATION - APPROVALS DATE INSPECTOMS SIGNATURE r FOUNDATION: LOCATION FEE $ I I FEE $ (✓ v FORMS, MATERIALS G��lr,{/i'�C/ (" •� FRAME: FIRE STOPS," 1 HEREBY ACKNOWLEDGE THAT I HAVE-READ THISAPPLICATIONBRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,. WITH ALL COUNTY ORDINANCES ANDSTATE 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 CALIFORNIA RELAT- ING.TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT.SIGN , / JI���y,r� P.ERMAITT EE OF HOUSE NUMBER RECT AND POS EDR 4�_1 1 1 -1 r �i IA e 7 Y/.° ADDRESS i5 �! FINAL f �� df/!/ /f� lf�'" CLYDE N. DIRLAM, PRINCIPAL ST C AL ENGINEER PLAN"CHECK VALIDATION. CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH OCT .a 76A638A CE,.#8036-61.APPLICATION, FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING aS~� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY .DIVISION LOCALITY PAA Iff JOHN A.'LAMBIE. COUNTY.ENGINEER NEAREST J.O n WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. /L rJ ` DISTRICT NO: GROUPTY.q�MiYHAt ,..PROCESSED BY, FOR APPLICANT TO FILL IN —p cola' w BUILDING ' p STATISTICAL CLASSIFICATION SeWER MAP ADDRESS �• V ®/r� ��// BK G - - CLASS.NO._LDWELL. UNITS^ - LOT NO. BLOCK WATER NOT REQUIRED 1 tX RECEIVED ' . /J CERTIFICATE:, LLLJJJ TRACT 6 3 0.S MAP S HIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. - ,J-O U (CIRCLE) SIZE OF LOT._S ( q 0. IN ON LOT USE ZONE SPECIAL USE OF CONDITIONS 'EXISTING BLDG. L qq C. TEL OWNER V d NO.. <3 BUILDING - EXIST. _ YARD HWY • STREET NAME yypp SETBACK WIDTH ADDRESS 7 ONIl. .- FRONT 1 / ARCHITECT OR TEL. P. L. �O �'I a (OO / ENGINEER -NO. SIDE 0. t P.L. - - O ADDRESS �TL��y INSPECTION RECORD CONTRACTORAaQrdrV' N rNEOg ?. 91� `O ADDRESSaj33y� ! v C� DESIPTION_ OF WORK ItcG CR CAI NEW ADD ALTER REPAIR DEMOLISH IF SQ. FT. � � ,NO.OF �IZE STORIES FAMILIES 9 USE OF STRUCTURE SIGNATURE OF k� - APPLICANT_ VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION / � FEE $ FEE $ -Sr c- FORMS,MATERIALS / l/.f� 'FRAME: FIRE STOPS, 1 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 r 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 CALIFORNA RELAT- - ING TO WORKMEN'S COMPENSATION INSURANCE. ' LATH,EXT. SIGNATURE OF I HOUSE NUMBER COR- J /f PERMITTEE RECT AND POSTED "ADDRESS- - FINAL p,9Q/jf�� CLYDE N. DIRLAM, PRINCIPAL STR)J RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (a, w0. CASH +lit .p 5.0' TEMPLE 'CITY p 76A888A CE#808. 1-61 APPLICA`T'ION.-.FOR BUILDING PERM,I°T' COUNTY OF LOS: ANGELES - BUILDING !�_lp 17, . � Cr✓ DEPARTMENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY:DIVISION, LOCALITY JOHN•A.,LAMBIE,'COUNTY ENGINEER NEAREST WILLIAM.A. JENSEN BUB:T OF BUILDING CROSS ST:.•• - - DIST N GROUP- TYPE' PROCE D `FOR`APPLICANT"T.O FILL TRI INP y `°corisr: BUILDING �/- �J -STATISTICAL'CLA SIFICATION' SEWE MAP ADDRESS... -), jdLorn:� •T .":.. ' �-.•.'.. . B PG� �'�'— CLASS. NO. DWELL.UNITS LI^ LOT NO: - .•- .•' „BLOCK.. - WATER .. CERTIFICATE: ,NOT REQUIRED. RECEIVED , TRACT Is O - MAP STATE,MAJOR-SECOND: OCAL NO.'OF BLDGS. -�N. .NO. (J.O-� .(CIRCLE) SIZE OF LOT. (NOW ON LOT USE ZONE SPECIAL - USE OF / - - CONDITIONS EXISTING BLDG. . y `,.�/ OWNER A(R&=f 6 AA1 ,{/C"D 464- TEL. -_ ..-. - •"_... NO. BUILDINGEXIST. SETBACK YARD- HWY _ STREET NAME. WIDTH ADDRESS ' _ y'(o F7/YI{t ./ - - •. FRONT.- <?I ARCHITECT OR - 'TEL. - :P: L. ell ENGINEER NO. :.SIDE .. . . - P. L. •}• ADDRESS - _ 'j - TE �. `: INSPECTION RECORD,• lam,- p CONTRACTOR � - ADDRESS DESCRIPTION OF WORK n"fa�' � r , uj .. CL NEW (ADDI . ALTER REPAIR DEMOLISH `, I) �j - 9 9 PK s, SQ..FT.- - ` -. NO.OF., 'if l. NO.OF,., '•. . // /L. D�.P - o All, : i� J `,vq ? " �IZE ,1 tl.'X�.P� . STORIES 'FAMILIES y - USE OF -:ST.R CT,URE. M SIGNATURE-OF - � : 1 -�'• r(pp .. +1✓,/,ye�r ; aQay. �C��I/�i,!..tis A, - ICANT VALUATION - '.•l /T. / "�A/Y�� C (Y �1 f��Y�r/� VALUATION$ 0,0O :. -R. APPROVALS )DATE INSPECTOR;S.SIGNA-TURE PMT :FOUNDATION: LOCATION ` c ' FEE $ .. I J FEE'S$ - FORMS:MATERIALS '•. ✓Jr`d�; P.C. ;FRAME: FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT(,.HAVE READ THIS APPLICATION'' BRACING, BOLTS AND STATE,THAT THE E ABOVE IS.CORRECT AND AGREE TO'COMPLY' .. -,FURNACE: LOCATION; WITH ALL COUNTY,ORDINAN NCES. AND STATE LAWS GAS DUCTS BUILDING.CONSTRUCTION. I CERTIFY THAT.IN DOING THE WORK , AUTHORIZED'HEREBY I WILL NOT EMPLOY ANY PERSON'IN VIOLA e 'LATH: INT.=' — TION OF THE,,LABOR CODE OF THE STATE OF CALIFORNIA'.RELAT- ' 'ING TO WOR KM EN'S'COMP NSATION INSU RANO LATH,EXT: G 7 SIGNATURE - `HOUSE NUMBER COR- e, OR PERMITTEE__ �'-ERECT AND POSTED - /� •//�./ f ' - ADDRESS v ' -FINAL - '-'�•T a CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER PLAN. CHECK VALIDATION QK. M.O..,' MI cnSe PERT.VALIDATION .cK: M.O. CASH WORgRS' COMPENSATION DECLARATION suf consent CP a certificate have Wokes' Compensatia certificate of on Insurance, APPLICATION FOR BUILDING PERMIT or a certifiie/ 1C /14d copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic oNU7rZCompany�dCZX•'-S BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS L� Certified copy is filed with the count ui ding i sp - BUILDING ADDRESS �'`14 tion de artment. (� Date 9 7;2 A lican CITY r�L� �L �7 ZIP PP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR /fin (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK � r2 PAGE vim' PARCEL hundred dollars ($100)or less.) TEL. USE ZONE MAP I� I certify that in the performance of the work for which this OWNER NO. o�✓J NOi3i. IAL permit is issued, I shall not employ any person in any manner ADDRESS67 �/7/� CONDITIONS a so as to become subject to the Workers' Compensation Laws. //�� /�� O CITY %��PL6' l-i � ZIP U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' w Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be �i�•( __\- ! '� TEL. STATISTICAL CLASSIFICATION APT. co Z deemed revoked. CONTRACTOR/ trC �JA+4 A! N 77� 884 1 _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. c / DWELL. UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �' ��X Z06 NO. ��8 S'J�- LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY L `ig��' o CLASS and Professions Code,and my license is in full force and effect: BK PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK 88'g9� SIZE STORIES FAMILIES ONE License Number Lic. Class �►4044c-- T),014J 'ap )S l9 L DESCRIPTION OF WORK NEW ❑ VALUATION Contractor DateC $ *1006 E]I am exempt under Sec. � � 0044d-t- via, G.sa-- ADD ❑ , ALTER ❑ B.&P.C. for this reason I REPAIR ❑ $ ate �9 IfL USE OF EXISTING BLDG. DEMOL ❑ Signature Q APPLICANT TEL. FINAL f OWNER-BUILDER DECLARATION (PRINT) NO. DATE �"tl I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL fr Professions Code): PRESENT By ❑ BU MING I, as owner of the property, or my employees with ADDRESS " ' �:•r•'i wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , ••;•;`+ ,- 1�j;a t. 7044, Business and Professions Code.) MOVING TEL. -- - ❑ I, as owner of the property, am exclusive) contractingCONTRACTOR NO. P P Y, Y with licensed contractors to construct.the project (Sec- ADDRESS tion 7044, Business and Professions Code.) i`•._) ;;;_ J -2 S S3 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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. = �,,•:" ;l-i (Sec. 3097, Civ. C.). SIDEP.L. Lender's Name p LDMA Ref. It i i.t- P.C. Fee$ Permit Fee (/ Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee v' LDMA P/C# 8 above information is correct. I agree to comply with all County. Investigation Fee 6 ordinances and State laws to building construction, Total Fee /1-119, C4 LDMA Perm. # a and hereby orize res tat' es of this County to enter upon t one .rt, for inspection Qur ses. 9�— SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION • insure, ot a certif carte of Worke srlificate Compenof consent to sat on Insurance, APPLICATION 'FOR B U ISL D I N G PERMIT or a certified copy thereof (Sec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli No!� ��74?,A company /y�'y_J L BUILDING � 7� d Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county �Idi�nec" gDDRESS � J'LDING � GC4�lfl tion department. y�- Date A licant � ZIP j %bya LOCALITY pp � NO. OFBLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK �� PAGE y PARCEL hundred dollars ($100) or less.) TEL. OWNER-P' t 4.5' CZ NO. USE ZO E MAP O U a NO. /7 I certify that in the performance of the work for which this SPECIAL >__ permit is issued, I shall not employ any person in any manner ADDRESS �eX5 l�'9 �/ CONDITIONS d so as to become subject to the Workers' Compensation Laws. 7 O CITY ZIP �/ Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If,, after makingthis Certificate of ENGINEER NO. CONST. ZONE U Exemption, you should become subject to the Workers' '/ w Compensation provisions of the Labor Code, you must forth- ADDRESS Y a with comply with such provisions or this, permit shall be A_� TEL STATISTICAL CLASSI TION APT. CONDO. N deemed revoked. CONTRACTOR " !amu N /4 X4`7&'6� j _Z LICENSED CONTRACTORS DECLARATION10 LIC. S� CLASS NO. DWELL. UNITS — 1 +/Jt�c �? Q 74 Ihereby affirm that I am licensed under provisions of Chapter 9 ADDRESS'- NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION �. � SQ. FT. NO. OF TNO. OF CHECK License Number Lic. Class 73 SIZE STORIES IFAMILIES ONE /L',� •� Q VALUATION ConTrocTor "` "" ��� Date M a— DESCRIPTION OF WORK NEW ❑ ❑ ADD ❑ $ Ale.O© I am exempt under Sec. ��x`s L�g� loop, B.BP.C. for this reason REPAIR ❑ $ D USE OF EXISTING BLDG. DEMOL ❑ Signature APP(PRINT) NO. ANT) FINAL NT TEL. OWNER-BUILDER DECLARATION DATE I hereby affirm That I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By �{ ElBUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section - --' 7044, Business and Professions Code.) MOVING TEL. ❑ 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.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY rFRONT YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, Civ. C.):Lender's Name. Permit Fee �O O LDMA Ref. # tL 3 Lender's Address 7 0 1 certify that I have read this application and state that the Issuance Fee - / S LDMA P/C# above information is correct. I agree to comply with all County. Investigation Fee Q� 8 ordinances and State laws r to building construction, Total Fee Q IO LDMA Perm. # a and hereby orize re sent vel of This County to enter m upon :fin' ed pr y for inspectio pur oses. a . 4 .Yt SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date . �~ WORKERS' COMPENSATION DECLARATION Cr•`^ hereby affirm that I have a certificate of consent to self � APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, i> or a certified copy thereof (Sec. 3800, Lab. C.) r 3Q' COUNTY OF LOS ANGELES BUILDING AND SAFETY Polity Nol!��— Company (q-jf BUILDING 576 LL��JIk Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- 'BUILDING tion department. ADDRESS t �� �. �/ CITY �i '¢(,� ZIP ?/,?fro LOCALITY Dateli_ T `g�Applicant O. OF BLDGS. CERTIFICATE OF EXEMPTI FROM WORKERS' SIZE OF LOT OW ON LOT NEAREST FdA It 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 �. A,� .�+ NO. I � ��.� USE ZONE MAP I certify that in the performance of the work for which this JNO. permit is issued, I shall not employ any person in any manner ADDRESS SCONDITIONS PECIAL a so as to become subject to the Workers'Compensation Laws. O CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. CONST. ZONE � Exemption, you should become subject to the Workers' UJ \/ Compensation provisions of the Labor Code, you must forth- ADDRESS © 3 V 3 a with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. CN.) ' Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION j SQ. FT. NO. OF NO. OF CHECK License Number 6_Y20% a Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor 41Date DESCRIPTION OF WORK NEW El $ 00 � ADD ❑ pop.ElI am exempt under Sec. — r �' ALTER 1:1 B.&P.C. for this reason fd, 4 REPAI S Date: USE-OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL WNER-BUILDER DECLARATI44 (PRINT) NO. i.. .. __ .._.. I hereby affirm that I am exempt from the Contractor's License DATE/) Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT ey ❑ I, as owner of the property, or. m employees with BUILDING ' 1 P P Y� YADDRESS ACCT■* wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITYPoo. " 63107 7y8 001 7044, Business and Professions Code.) MOVING TEL. ii TT M ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. TOTAL YA t ISE SS �y with licensed contractors to construct the project (Sec- ADDRESS _..... _ .. TOTAL 7.8..s 00 tion 7044, Business and Professions Code.) REUIREDr CONSTRUCTION LENDING AGENCY SETBACK YARD HW TOTAPROP. LISETBACNE EFROM WIDTH CHECK 78.00 1 hereby affirm that there is a construction lending agency for FRONT CHANGE .10.0the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L Lender's Name I 'I � 0/25/89 LDMA Ref. # P.C. Fee$ Permit Fee 3 Lender's Address tl� �•-` 1 AM va it 0 1 certify that I have read this application and state that the Issuance Fee J ( LDMA P/C# 0 above information is correct. I agree to comply with all County Investigation Fee 6 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and hereby authorize representativehis�ounty to enter upAa't above-men toned p opert VolYit i tion purposes. f o ✓ � � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DFPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0506130007 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 16305 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP 5675 LOMA AV STRUCTURE: 305 1 VN R3 TEMP CA 917802451 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LAS TUNAS 5387-022-009 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/20/05 JK 07/15/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL A FINAL BY: CODE: TSENG, TSUI CHUNG (626) 286-5059- 25,250 /// ` 5675 LOMA AV - TEMP 917802451 FEES PAID DE RI�T ION OF WORK ADD MASTER BATH/WIC AND EXPANSION OF FAMILY ROOM 305 SF. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: HENRY YING KUN HUNG (626) 705-1638- B1 PLANCHECK W/ENERGY 25250.00 VAL 452.99 6123 RENO AVE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AC STRONG MOTION RESID 25250.00 VAL 2.53 B2 PERMIT W/ENERGY 25250.00 VAL 532.95 TOTAL FEES 1,016.22 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HENRY YING KUN HUNG (626) 705-1638- 6123 RENO AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 808139 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH f NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT / REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: r FRONT PL- SHEAR PANELS fJ�,_�.--- SIDE PL- F.INSULATION/WEATHER STRI/ /. INTERIOR LATH/DRYWALL �% l I EXTERIOR LATH 9 V LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508