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Home My Public Portal About5717 LOMA AVE_Building__ BUILD BUILDING 1 L ® 1 ADDRESS ` / L C� YY� _ - APPLICATION LOCALITY DIVISION OF BUILDING AND SAFETY NEAREST CROSS CROSS ST. ! Department of County Engineer DIST T NO. RECEIPT N9. �PMIT NO. County of Los Angeles WM. J. FOX, COUNTY ENGINEER GR UP DATE RECEIVED, DATE ISSUED CASSATT D. GRIFFIN, SUPT OF BUILDING 12 -l� mS�t/�-A -S,/ FOR APPLICANT TO FILL IN TYP ST. EIVE-D-S, � ISSUED BY OWNER A MAP 2. j STATE NO MAIL j NUMBER HWY ADDRESH E c p L(�79ZO/NE SPECIAL CITYL.t�6+ .. NO. CONDITIONS ARCHITECT OR �' K TEL. ENGINEER fl E NO. i BUILDING YARD HWY .STREET NAME EXIST. SETBACK WIDTH ADDRESS .� ^ v FRONT IzO 114 yr„Y �r CONTRACTOR. / 1 \ 4 / / �j0.• _ ID �' SIDE P. L. ADDRESS f ny �e DATE CORRECTIONS INSPECTOR BUILDING ADDRESS- ,✓' /� �,/ I LOT NO. +y BLOCKcNo TRACT I / SIZE OF LOT X NOW ON LOTS. USE OF s F..XIRTING BLDG. DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH_ Z SQ. FT. / T NO.OF NO.OF D SIZE L J STORIES FAMILIES t- USE OF STRUCTURE / / l•d? en J 0 �� YY'I / /L1 r NO.OF EMPLOYEES ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION n AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS 1.4 s� FRAME: FIRE STOPS, SIGNATURE OF �f '�-� e ! �!J."' 1 -/ BRACING,BOLTS PERMITTEE �� I""•�f ^ , AAAddO,�y�* t• — FURNACE: LOCATION, U.°'+ .. �'9 Lr.:^.�,t-.te} .�"rI._ GAS VENT,DUCTS ADORES - — A 6 �. LATH, INT. AUTHORIZED AOT. 0-- LATH, EXT. AI $ /J� („/ -P• C• HOUSE NUMBER $ COR- - r - FEE / • RECT AND POSTED •G--\r^-X41,,.4_. s!•A LDi��-� - VALUATION PEE ��m FI N/1L 76A638A DB5 3 Ob 5-54 WORKERS' COMPENSATION DECLARATION insure, oraa certificate of Workers' Compensat ffirm that I have a certificate of. on eInsuran ent to lf' aP P L I CAT I O N FORBUILDING PERMIT . ,or a certifjed copy thereof (Sec."3800,'Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING" ✓ ❑ Certified copy is:hereby.furnished. FOR APPLICANT TO FILL IN ADDRESS . ❑ 'Certified copy is filed with-the county building inspec- ' BUILDING - Tion department. ADDRESS II LQA 4� Date Applicant CITY' •"e ZIP j: O LOCALITY NO. OF BLDGS. 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. L MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. 81 > USE ZONE; MAP " OWNER Z NO. NO. I certify.that is"the performance of:the:work for'which'this permit is issued, I shall,not employ any person in any manner ADDRESS L_G I � ) SPECIAL d i CONDITIONS so as to become subject to the Worke .Compens on Laws. `' O � CITY Date ZIP (� U Date Applicarff. ARCHITECT O TEL. NOTICE TO.APPLICANT: If, after makin. this Certifi ate of ENGINEER NO. DISTRICT �R,0UP TYPE FIRE PROCESSED BY g �/ CONST., ZONE Exemption, yoshuld become subject t the.Workers' - 1 \ Q `l a Com ensation provisions of the Labor Code, J ( [} V you must forth- • ADDRESS" with comply with such provisions or this permit shall be TE . STATISTICAL CLASSIFICATION APT.-. CONDO. N ` 'deemed revoked. • CONTRACTOR ',- O. Z LICENSED CONTRACTORS-DECLARATION LI CLASS NO. 1TDWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter ADDRESS O' 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. O N F N0. OF CHECK ' License Number Lic. Class SIZE' / ORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW.. / ADD ❑ $ f 7 . C,O, ► ❑I am exempt under Sec. I(7 p ALTER .ID B.&P.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINA OWNER-BUILDER DECLARATION (PRINT) NO: DATE / I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5,'Business'and ADDRESS FINA Professions Code): PRESENT By i m BUILDING OLJ I, as owner of the property,.or my employees with ADDRESS ` wages as their sole compensation,will do the work and °Q the structure is not intended or-offered for sale(Section LOCALITY , 3307 2113, 3t} MOVING TEL. 7V '��o 7044,Business and•Professions Code.) i �� CONTRACTOR NO. ❑ I, as owner of The property, am exclusively contracting with licensed contractors to construct The project (Sec- ADDRESS TOTAL 237-=38;1.i 'Tion 7044, Business-and Professions Code.) REQUIRED` TOTAL SETBACK FROM EXIST. //++,,// .� CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHECK 2s7o3a I hereby affirm that there is a construction lending agency for FRONT 4R1JL -the:performance of the work.for which this permit is issued P.L: eGO (Sec. 3097, Civ. C,). SIDE - Lender's Name LDMA Ref. # ODD& SDI 6/ 2/89: P.C. Fee$ Permit Fee 3 Lender's Address 9;46. oLDMA P/C# .. o - 1 certify that I have read this application and state that the Issuance Fee 8 above information is correct. I agree to'comply with all County Investigario Fee , , R ordinances and.State laws relating to building construction, Total Fee / s LDMA Perm. # a and hereb resentatives of this County to enter n upot bove-mentio property,fo-r'inspection,purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signatuica r Agent. Date he`r //'o WORKERS' COMPEf J,SATION DE`_LARATIOAd insure, oraafir-m that have certif cote of Wo kersrtComte of consent to pe� sation'Insurance, 'APPLICATION L . ,FOR BUIL®I N PERMIT ora certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES` BUILDING-AND SAFETY Policy No Company ❑ Certified copy is hereby.furnished.' - FOR APPLICANT TO, FILL IN"', BADDRES UILDI s.•. � �>P7 Certified copy is filed with the'-county,'building inspec- BUILDING 7 . -tion-department.. ADDRESS 5-1/ -7 AUS ITZIP 7,96 Date - APphcdnt CY" el l �/e CI_L 'L LOCALITY NO. OFBLDGS. NEAREST CERTIFICATE OF EXEMPTION:FROM'.WORKERS' SIZE OF LOT.' /(j,' NOW ON LOT CROSS ST. (�.GrL� T C .t'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 �1e C� LU• Q'YI NOr B� 3d0 USE ZONE MAP I Certify that in the performance of the work for which this NO. 'permit is issued, I shall not employ`anyperson!in any manner - ADDRESS 57. 1-bh�q (/-112 CONDITIONS d so.as to become subject.to the Workers Compensation Laws. 1 O CITY j Girij. e -L.GI ZIP 7�D Date Applicant. ARCHITECT OR /'' TEL. � NOTICE TO APPLICANT: If, after this of ENGINEER TEL DISTRICT-, ' GROUP, TYPE FIRE PROCESSED BY 9 _ CONST. ZONE Exemption, you.should: become-subject .to_the Workers' n ��j , 1 U Compensationprovisionsof the-Labor Code,you must forth- ADDRESS ,v !`- V LU with comply ;with such ,provisions .or this-permit shall- be TEL STATISTICAL CLASSIFICATION APT. CONDO'. Z deemed revoked. CONTRACTOR NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO, DWELL. UNITS Thereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (eommencirig with;Section 7000)of Division 3 of the Business LIC. SEWER MAP .and-Professions Code,and mylicenseis in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT / NO. OF / NO. OF CHECK - License Number' Lic.'Class SIZE. STORIES -! FAMILIES ONE �•w •. ` VALUATION DESCRIPTION OF WORK A i Oki _J NEW. Elj Contractor � ' Date . � $ '^'j � loop. ';;� ti-? s �.�}t• ADD E]Lam exempt under Sec. Mcu{er iCv / o ALTER Eli i 11 ` B.&P.C. for this r_eo_son' ) '� 'REPAIR $ Date: RL cfa, USE OF EXISTING 6LDG. e ,.M. .._ DEMOL ❑ ; i- ,; x lr s z Signature- APPLICANT TEL, FINAL OWNER-BUILDER DECLARATION (PRINT) / w NO. c� ATE "} =i) ` - -. - I hereby affirm that Com exempt from the Contractors License -71-1 _ D Law for the following reason-(Section 7031.5, Busine"ss and ADDRESS 5 OM C( .u'-9• Tel,"m e- -C(� FINA Professions Code) PRESENT I ! By rAlt ; a, a I, .as owner of theproperty, or m employees with BUILDING''5.- Dm Q we• ,�'�yl�I G!G i YADDRESS * S'z = Wages as their sole compensation,will do the work ande/YIlc'04 v< » 1 t ` r. z+�=rte . the structure is not intended ooffered for sale(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 �f— tion 7044, Business and Professions Code.),, _ 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. _ ,(Sec. 3097, Civ.,C.)- SIDE: P.1. Lender's Name / LDMA Ref. # t ri t i n P.C..Fee$ W I •�%� Permit Pee f s' i ., f t a t 3 Lender's Address o I certify that I have read this application and state that the, Issuance Fee LDMA'P/C# above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and.State laws relating to-building construction, Total Fee LDMA Perm. # a and hereby authorize representatives of this County•to enter • upon the vsciagt}oned property for inspection"purposes. ` SEE REVERSE"FOR EXPLANATORY LANGUAGE Si na f- icontor7-ent• Date` g}u`-re'-a Appy - " 9 - . WORKERS'C�APENSATION DECLARATION ' '- Q I hereby ,affirm that I have 'a certificate of consent to self AP P L ICT I®N F® B U I L D I N G Y PERMIT ER IT insure,'or a certificate of Workers' Compensation Insurance, u oro r a ceftified copy thereof (Sec. 3800, Lab. C.) COUNTY,OF LOS:ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby.furnished:: BUILDING FOR APPLICANT TO FILL IN ADDRESS ��J loh►'I�, Uv_ Certified copy is'Jiled'with the county`bui!ding inspec BUILDING 1 tion department. ADDRESS 1-0 � - �� t r�t•• ,(� Date Applicant CITY Li e . CL f ZIP 7 LOCALITY �pryv� �( CERTIFICATE OF EXEMPTION FROM WORKERS' - I NO. OF BLDGS. NEAREST COMPENSATION INSURANCE• SIZE OF LOT NOW ON LOT CROSS.ST. ( (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. OOK PAGE PARCEL. ASSESS hundred dollars ($100)or less.) MAP B I certify that in the performance of the work far•which this OWNER WOO NO I'�t10�- � ,_ USE ONE MAP NO. permit is issued, I shall not employ any person in any manner -/ / SPECIAL so as to become subject to-the Workers'Compensation Laws. ADDRESS Jr�� 1 l/KA',• ri CONDITIONS 0 Date r�_t =5+� Applican CITY '�. i ZIP b V l C7 1 NOTICE TO APPLICANT: If, after. ' aking this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO.--" CONST. ZON� U Compensation provisions of the Labor Code,.you must forth- ADDRESS ' with comply with such provisions.or this permit *shall be" '51 0� e p-` deemed revoked. TEL STATISTICAL CLASSIFI ATION APT. C to CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC„ CLASS NO.�DWELL. UNITS hereby affirm that I am licensed under,provisions of Chapter 9 ADDRESS NO. (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 CLASS BK VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contr6ctor Date DESCRIPTION OF WORK wt del. i f ." NEW ��® ADD a! 1 I am exempt under ec. (f" vino 1 7 ❑ ALTER B.&P.C. for this reason �GIQ . re t b Y REPAIR ❑ f - USE OF C cx L e� t.£in ,1, +c�i 6c&{tw - a ;@8 4 6.8 A Date'// y EXISTING BLDIUZKS G Cepa c4z( DE.MOL Signature ��oE�.AA • �1—f 6,7 APPLICANT. TEL. FINAL # 0 0 0 0,0 NER-BUILDER DECLARATION PRINT K O. I hereby affirrri that i am-exe'mpt from the Contractor's License i "`" '` - - DATE _ Law for the following reason (Section 7031.5, Business and ADDRESS FIN I' ° 2"`9Q 2 5 290,2.5= Professions Code): PRESENTB y j Y �� v tq .' BUILDING / �•-G41L ✓� I, as owner of the property, or.my employees with ADDRESS wages as their sole compensation,will do the work and -r' t ..) 2,8 1 i '-8 7 the structure is not intended or offered for sale(Section LOCALITY 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 FR CONSTRUCTION LENDING AGENCY. SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for L'Investigation the performance of the work for which this permit is issued' (Sec. 3097, Civ. C.). Lender's Name LDMA Ref. #, - P.C. - Permit Fee-Lender's AddressI certify that I have read this application and state that the Issuance Fee (/ LDMA P/C# above information is correct. I agree to comply with all County ee 0 ordinances and State laws relating to building construction, Total Fee t� LDMA Perm. # ' o and;hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE !^ Signature of Applicant.or Agent, Date, c 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 0604110025 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ' TR: 12977 LT: 5 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5717 LOMA.AV STRUCTURE: 640 1 VN R3 TEMP CA 917802453 ASSESSOR INFORMATION NUMBER: GARAGE: -NEAREST.CROSS STREET: LAS TUNAS - 5387-022-006 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: - 12/27/06 VG 12/22/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: _ VALUATION: F AI, DAT FIN CODE: TSAI, WEN CHI (626) 576-7123- 52,990 5717 LOMA AV v TEMP 917602453 FEES PAID DESCRIPTIO OF WORK ADD 640 S. KITCHEN RELOC ION, DINING ROOM RELOCATION, NEW FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: KID'S COMPUTER AREA APPLICANT: TEL. NO: FAN '(626) 454-0816- B1 PLANCHECK W/ENERGY 52990.00 VAL 776.56 355 PEACH ST #A AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: MONTEREY PARK 91754 'AC STRONG MOTION RESID 52990.00 VAL 5.30 B2 PERMIT W/ENERGY 52990.00 VAL 913.61 TOTAL FEES 1,723.22 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WU WU CONSTRUCTION (626) 487-2884- 4518 -HORNBROOK AVE LIC. NO LOCA'T'ION AND SETBACKS BALDWIN PARK 91706 864088 SOILS ENGINEER APPROVAL - ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS 149, 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 NO. OF FAMILIES: DWELLING UNITS: APT/CONDI 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: FRONT PL- SHEAR PANELS "SIDE PL- INSULATION/WEATHER STRIP vz��` n '5�.1� , ' , INTERIOR .LATH/-------- WAL \K•✓ _l/1C "' EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES ,�(/ FIRE DEPARTMENT APPROVAL REPORT 'ID: DPR261 ROUTE TO: BS0508 -