HomeMy Public PortalAbout5761 LOMA AVE_Building__ 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 1008110007
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST j BUILDING ADDRESS:
ITR: 12241 LT: 2 SQ. FT STORIES TYPE j 5761 LOMA AV j
STRUCTURE: 1200 V-B j TEMP CA 917802453 j
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS j
15387-023-002 I I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: 1
I 1EXIST OCC GRP: 108/1.1/10 VG I
10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAG DATE FINAL BY: CODE: j
ILI, YEUNG YUNG - j 4,500
15761 LOMA AVE. 1 i
ITEMPLE CITY 91780 I FEES PAID IDESCR PTION OF WORK 1
I 1 IT/O EXISTING ROOF, RESHEAT AND INSTALL 30-YR COMP SHINGLES j
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: jON HOUSE j
(APPLICANT: TEL. NO: I I I
IJIM'S ROOFING - IAA BLDG PERMIT ISSUANCE 27.80 1 I
1 jAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 (SPECIAL CONDITIONS: 1
1 1AC STRONG MOTION RESID 4500.00 VAL 0.50 j 1
1 ID2 PERMIT W/O EN-HC 4500.00 VAL 132.80 j 1
I 1 TOTAL FEES 162.10 I 1
(CONTRACTOR: TEL. NO: j jAPPROVALS DATE INSPECTOR SIGNATURE j
IJIM'S ROOFING (562) 397-8116- 1 1 j
113739 CULLEN STREET LIC. NO I ILOCATION AND SETBACKS I I I
IWHITTIER CA 90605 928063-C39 *I I 1 1 1
1 1 ISOILS ENGINEER APPROVAL 1 I I
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: ( jSLAB/UNDER FLOOR I I
I I I I I I
I I IRAISED FLOOR FRAMING
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( jUNDERFLOOR INSULATION j j j
1150-265 3 001 1 11 j
I I (FLOOR SHEATHING I I I
jNO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: j j 1 - I j
j NO 21 j IROOF SHEATHING j
1 SCHOOL WITHIN HAZARDOUS j (SHEAR PANELS I I I
jAIR QUALITY: 1000 FEET MATERIALS j I I I I
1 NO NO NO j IFRAMF INSPECTION j j 1
I I I I I I
I I IFIRE SPRINKLER HANGERS I 1 1
I I I I I I
I I jINSULATION/WEATHER STRIPI I I
I I 11 I
j I IINTE?IOR LATH/DRYWALL I 1 1
I I I I I I
I I 1EXTERIOR LATH j j j
I 1 (RATED FLOOR/CEIL ASSEM. 1 1 1
I I I I I I
1 1 (RATED WALL ASSEMBLIES
I I I I I I
I j IRATED SHAFTS/OPENINGS I I I
I I I I I I
1 j
IT-BAR CEILINGS
I I* ADDITIONAL DATA ON FILE 11 1 1
I I ILOT DRAINAGE I I 1
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 I
I I I I I I
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
BUILDINGr/� {�/� �p1/�' / DISTRICT NO. PLAN CK. NO. ERMIT NO-
D J�/V •J f Y. cs/,P •l'"YC,GC2 �l ( ® �U Z.
LOCALITY 0L , G� RECEIVED BY DATE OF APPL. DATEISSUED�,sL.sfif ., p!L�
NEAREST ���t�' .�f' d �J/��Z 3"��d -UZ
CROSS ST•. U'e�SA.--I.L.-�D�l�4-40 �- BUILDING
ADDRESS • 7,r? La M 6 JT
OWNHR�.�-1 'C..J✓?.:moi./ ao�.�.>/5.../1="�-�1 �_
MAIL . LOCALITY � p.FM Ir L�
ADDRESS '73-T Lzi NEAREST
CITY ,,.•'_�.-'..�.,�".ri'Y`j � NO. CROSS ST.
-FIRE NO. OF
ZONE I P ANS I TYPE I GROUP
ARCHITECT OR- TEL -
ENGINEER - Ao J BLDG. ORD. NO.
_ / SETBACK LINE%,a J-%" RA./Ay /� P I-
ADDRESS - -1 APPROVED - - T-
BY
TEL. --/-�..a USE / APPROVED
ZONDATE
CONTRACT ,C� /�p NO. ° * 1
E BY DATE
ADDRESS 1 �� P+'?tf1 �� .•�; HOUSE NUMBERING
LEGAL �I
DESCRIPTION I•LOT NO. 2- I BLOCK ; MAP NUMBER GA FIELD CHECK BY
TRACT Z-Z(,�„/ NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS - -
SIZE OF LOT _ t7 X� Z I NOW ON LOT
USE OF NO. OF
EXISTING BLDG.H-a. ,.1Eu/.�1.��'l.�'T' IND
DESCRIPTION OF'-WORN
NEW •I I ALTERATION'*'l I ADDITION I _
REPAIR
SIlFT. NO. OF
SIG7
ZE {XtJ fYdy ROOMS STORIES �JYn - '
EXT. WALL ROOF -�
COVERINGr
00-11i I COVERING �%; v: ,., ' •
USE OF STRUCTURE
a/w it L lam' ✓/O(! APPROVALS
_ E/ 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.
A AGREE TO COMPLY ,WITH THE'CORRECTIONS LISTED FRAME: FIRE STOPS,
HERPLON AND WITH ALL COUNTY ORDINANCES .AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. -.FURNACE: LOCATION,
v n , DU SIGNATURE OF� /.f - - I / GAS VENT -
PERMITTEE_
J/-'�"7 /(/ r7.f ,' LATH, INT.
ADDRESS
- ..
AUTHORIZED AGT. � „ ' 146 fr�!'f LATH, EXT.
PLASTER, INT..
.7EA838A- 0B33 -10-56 �� E" P. C: $
op FEE - PLASTER, EXT.
VALUATION�+ FEE $ / �� FINAL �
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers' Compensation Insurance,
or a certified 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 � e�
tion department. ADDRESS
Els-1 1-ovaq.Date Applicant CITY ZIP L LOCALITY
PP NC4 OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS.' SIZE OF LOT 1( 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 PARCEL
hundred dollars ($100) or less.) TEL.
OWNER NO. USE ZONE NOPZ S
I certify that in the performance of the work for which this PE. IAL 4
permit is issued, I shall not employ any person in any manner ADDRESS ✓/ CONDITIONS 0
so as to b com subj:pplicant
t to the Worke ' Com pen tun U
CITY ZIP
Date ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE P CESSED BY
NOTIC O PPLICANT: If, after making this Certificate of ENGINEER NO. CONST. _ — ZONE U
Exemption, you should become subject to the Workers' — ���f/ U
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. C80DO. Z
deemed revoked. CONTRACTOR / / NO.
LICENSED CONTRACTORS DECLARATION 1LIC. CLASS NO. DWELL. UNITS
I hereby 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 4- VALIDATION
SQ. FT. NO. OF NO. OF � CHECK
License Number Lic. Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK NEW 11ADD ❑ ®C�Qei 00 f �/��
"
Elam exempt under Sec. Poo. '(
ae ALTER
B.&P.C. for this reason ^L / REPAIR El $
USE OF
Date: EXISTING 4LDG. Y��S1� C' DEMOL El --2Z _1L� C
APPLICANT TEL.
Signature (PRINT) v NO FINAL : µ T C
_ I»
OWNER-BUILDER DECLARATION DAT
I hereby affirm that I am exempt from the Contractor's License -t},( =+,a =,
Law for the following reason (Section 7031.5, Business and ADDRESS FIN —
cz r
Professions Code): PRESENT BY
BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and f r�=1E lul 'CIC
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. rtt 1 ) I_k trfl_i z -_;-'Z ,
•s�,
with licensed contractors to construct the project (Sec- ADDRESS ?{
tion 7044, Business and Professions Code.) !II }+ '
REQUIRED YARD HWY TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK 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� ZO
(Sec. 3097, Civ. C.). " SIDE
P.L.
Lender's Name
P.C. Fee$ Permit Fee 14 LDMA Ref. #
Lender's Address /}
0 1 certify that I have read this application and state that the Issuance Fee /A' C/ 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 Feev♦ LDMA Perm. #
a and hereby authorize representatives of this County to enter
upon th 06vz7mentio a pro erty for inspection purp1ses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
�ignature of Applicant or Agent Date
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 1008110009
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS: ' 1
ITR: 12241 LT: 2 SQ. FT STORIES TYPE 5761 LOMA AV I
STRUCTURE: 500 V-B TEMP CA 917802453 I
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 1
15387-023-002 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
I IEXIST OCC GRP: 108/11/10 VG
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: 1FNAL^DAT FIN /,�y� CODE:
ILI, YEUNG YUNG (626) 715-8873- 1 1,500 �i�� yl\�.
15761 LOMA AVE.
ITEMPLE CITY 91780 1 FEES PAID SCRIPTION OF WORK
J IT/O EXISTING ROOF, RESHEAT AND INSTALL 30-YR COMP SHINGLES
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JON DETACHED GARAGE 1
(APPLICANT: TEL. NO: I I
IJIM'S ROOFING (562) 397-8116- JAA BLDG PERMIT ISSUANCE 27.80 1
I JAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 (SPECIAL CONDITIONS:
J IAC STRONG MOTION RESID 1500.00 VAL 0.50 1
I ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 1 I
I 1 TOTAL FEES 111.50
(CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1
IJIM'S ROOFING (562) 397-8116- 1 I
113739 CULLEN STREET LIC. NO (LOCATION AND SETBACKS I I I
IWHITTIER CA 90605 928063-C39 *1 I I I I
I I (SOILS ENGINEER APPROVAL I I I
JARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
I LIC. NO: 1 JSLAB/UNDER FLOORI I-
I I I
I 1 IRAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I
1150-265 3 001 1 I I I
I I (FLOOR SHEATHING I I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
I NO 21 1 (ROOF SHEATHING I I
I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I
JAIR QUALITY: 1000 FEET MATERIALS I I
NO NO NO 1 (FRAME INSPECTION I
(FIRE SPRINKLER HANGERS I
I I (INSULATION/WEATHER STRIPI I I
I I (INTERIOR LATH/DRYWALL I 1 1
I I 1EXTERIOR LATH I I
I I (RATED FLOOR/CEIL ASSEM, I I
I I IRATED WALL ASSEMBLIES I I I
(RATED SHAFTS/OPENINGS 1 I I
IT-BAR CEILINGS I I I
* ADDITIONAL DATA ON FILE II I
I I ILOT DRAINAGE I I I
I (REPORT ID: DPR261 ROUTE TO: BS0508 I
I _I I_ I
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 0204080004
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 12241 LT: 2 SQ. FT STORIES TYPE 5761 LOMA AV
STRUCTURE: VN TEMP CA 917802453
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-023-002 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EX ST BLDG USE: RESID USE ONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 04/08/02 JK 10/05/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI727CODE:
KA YICK TRADING CO INC (626) 286-4210- 2,400 J�
8808 MISSION STE201 7 3, Z ��" �
ROSEMEAD 91770 FEES PAID DESCRIPTION OF WORK
C/O 12 WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID_ ---,,,_2400.00 VAL 0.50 SPECIAL CONDITIONS:
SHU CHEUNG SIU D2 PERMIT W/O EN,HC=-- - -2400:00 VAL 99.00
JOTAL-,FEES\ 127.25
CONTRACTOR: TEL. N0: ' "��jJ� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER6-1
11r LIC. NO 4�-� � LOCltT10N AND SETBACKS
'
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: %I�' / �� \��
FOUEDATION/TRENCH FORMS
LIC. N0:
SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: �� �� �.` `I/� �� UNDERFLOOR INSULATION
150H265 3 01
FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: - - "- "
NO 21 �� ROOF' SHEATHING
SCHOOL WITHIN HAZARDOUS A = rr,,� ''�� SHEER PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO \ �� �� FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST �'�.SG� i FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: ��G�� _ %�•��
FRONT PL- :� o-v ; „1INSULATION/WEATHER STRIP
� ��� .9_^'s,_- -
SIDE PL
= INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT-DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508