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HomeMy Public PortalAbout5766, 5766 1/2, 5766 3/4, 5768 LOMA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF LOS ANGELES - `. �. WM.'J. FOX, CHIEF ENGINEER a APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _rpy // / DISTRICT NO. - PLAN CK. OR RREc:'No: PERMIT NO: ADDRESSBUILDING V I�gi0'Ci �Gm(7/ -�(?/1�6/ / o1-14 .r c RECEIVED BY DATE OFAfPPL. DATE ISSUED LOCALITY NEAREST / CROSS ST. � ✓�� � BUILDING ADDRESS OWNER �d /e/ 11`! 7 �P` l� ��✓',�d /C� G ^� �'' MAIL/ LOCALITY ADDRESS �Y'� / eJ Y �i7d Gr V09 4— NEAREST' CROSS ST. CITY NO. T'V 0 FIREI NO. OF I•TYP =) GROUP ZONE PLANS ARCHITECT OR TEL. ENGINEER NO. BLDG. SETBACK.LINE / .r �� ADDRESS -. USE APPROVED , / �J ,p/•� TEL. ZONE BY I t DATE CONTRACTOR L �J. �P Y� NO. ^7 ' HOUSE NUMBERING ADDRESS MAP NUMBER ,NO. ASSIGNED BY-!!!! rM� LEGAL CORRECTIONS DESCRIPTION LOT NO. � BLOCK / Y1 � 7 n TRACT / Dy \ - 1 % d XIO/a -OJ I NO. OF LOT SIZE OF LOT NOW ON LOT USE OF NO. OFe 2 b9/s•L. . EXISTIN BLDG. I FAMILIES DESCRIPTION OF WORK NEW « ADDITION �t ALTERATION ! r I� �,rte' ..G...r,✓,�P �' c'o�i 6.•r2,... aa�, j..'4.a- Z 6f/✓�•s REPAIR DEMOLITION 94.FT. NO.OF STORIES SIZE {� ROOMS 6 >. EXT.WALL -r / ROOF COVERING �/ �d 6C I COVERING.- USE OF STRUCTURE h777% • Y INSPECTION FOR 'APPROVALS OCCUPANCYAS1 I NSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION / /� FORMS, MATERIALS 'f�P.t.n.•eeo 3�117� �-• 1,:-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- ! ' PLICATION AND STATE THAT THE.INFORMATION GIVEN IS FRAME: FIRE STOPB, CORRECT. BRACING, BOLTS 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES , AND STATE LAWS REGULATING •IrDTNG CONSTRUCTION.'. FURNACE: LOCATION GAS VENT, DUCTS i s SIGNATURE OF � .' I LATH, INT. '��t _ / �� h•�,.� PERMITTEE '2! LATH, EXT. ADDRESS s---v��ty.�'-C p� PLASTER, INT. AUTHORIZED AGT. ( / +v�7•�•'® PLASTER, EXT. ' P./ E $ HOUSE NUMBER COR- fvl+'r1��JO/•S /, FEE Vis'�/,�� RECT AND POSTED /_ !_ a . VALUATION / v �J (�FEE Q, G1 C) FINAL � � E • v 76AS38A DBS 3 7-51 16A638A CE�#803, 10.56 APPLICATION FOR BUI L a'N G. tl -ia.Rtl IT . -� BUILDING AND SAFETY DIVISION BUILDING " XV Depaitment of County Engineer ADDRESS L.' County of Los Angeles LOCALIT A,b JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS DISTRICT NO. GROUP .��,PE EWER MAP FOR APPLICANT TO FILL IN I - PG _ BUILDING i' `/ CONST . ADDRESS STATISTICAL�CLASSIF]CATION CLASS. NO.�DWELL-. UNITS � - I' LOT NO. BLOCK C �w co MAP 7 y L _ STATE y ER2 � ES NO TRACT v J(�7 - , NUMB -C3 HWY USE ZONE SPECIAL NO.OF BLDGS. �/�}�� CONDITIONS SIZE OF LOT`/ NOW ON LOT ' / - USE OF EXISTING BLDG.n ' ivL�l�`'` BUILDING YARD* HWY... STREET NAME.,. EXIST. SETBACK WIDTH OWNER /4-4 ' ^' / / FRONT MAIL ADDRESS �., -ySID E CITY ' f/i i r�(t. TEL' r y', P..L. ARCHITECT OR / . INSPECTION•RECORD. TEL. - ENGINEER ! NO. ' ADDRESS - p CONTRAC ,/-� / NO. a7 - 117 ADDRESS /;!5 / .AP h17117 - DES r RIPTIONF` WORE i �✓/1 6T7 s GA, A14&_/f D NEW. ADD ALTER REPAIR DEMOLISH SQ. FT. - NO. OF NO. OF l//-7/J-EV_ 8716 r/ZS t-•/yQ ' SIZE STORIES FAMILIES � - / / I USE OF STRUCTURE APPROVALS SIGNATURE OF � APPLICANT C' DATE INSPECTOR'S SIGNATURE ADDRESS ' n t</ /' 0- L ` ' �FrDIlJJry1� TION: LOCATION �FbFvm , MATERIALS _ Sm {( .. P, Q S FRAME: FIRE STOPS: - - �-V ! FEE BRACING, BOLTS ..�- S FURNACE: LOCATION, - VALUATION �7 , GAS VENT, DUCTS FEE1v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. ' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - - - AGREE TO COMPLY WITH ALL COUNTY ORD.LNANCES AND STATE LAWS REG ATING BUIL INGfCONSTRUCTION. !-ATH, EXT. _ SIGNATURE OF HOUSE NUMBER COR PERMITTEE - A.i (� RECT AND POSTED / ADDRESS f7 _ "/ _ >'l.ft" /1_/ FINAL JOHN A. LAMBIE, COUNTY ENGI EER, /" CLYDE N. DIRL AM; PRINCIPAL STRU URAL ENGINEER PLAN.CHECK VALIDAT ON CK. ".0. CASH PERMIT VALIDATION CK. M.O. CASH s- w® k APPLICATION • , _syr IJP � I • I - .< .. COUNTY OF LOS ANGELES.. . : BUILDING AND SAFETY , WORKER'S COMPENSATION DECLARATION.`,' FOR APPLICANT TO FILL IN BwLOw ADDREss /y, BUILDI ' DDRESS - •- — o hereby affirm that I have a certificate"of'consent to self insure, y ii e7, or a certificate of Workers Compensation Insurance,or,a certified copythereof(Sec '3800,Lab C:) ,` CI . .- Zip _ L,(12 - /—! :c - '.'' . �"'�,��., LOCALI Y Policy-No. Company . ; SIZE OF.LOT NO.O,SLOGS.NOW ON.LOT. -P ❑'Certified copy'is hereby furnished. NEAREST CROSS ST - ❑ Certified copy.Is filed with'the County building Inspection - - TRACT BLOCK LOT NC1e •` ,.department: - _ f�J�bJ .. -USE.ZONE -MAP NO.. • • - .. - - ' BOOK PAGE PARCEL' Applicant A SSOR MA - SPECIAL CONDITIONSDate ER TE OW NO.. i/✓ CERTIFICATE OF EXEMPTION FROM-WORKERS l YES NO COMPENSATION INSURANCE C; 7dm 675: i 15 - WITHIN 1000 FT.OF SCHOOLS Y' ,,: ADD ESS' .: � :- .. _ (Thlssection need not be completed if the permit is for ane hundred .DISTRICT GROUP TY CONST. FIRE ZONE .PROCESSED BY dollars.(S100)or less.), 6417(ID C,e�. etck�2 - •. , - CIT . . {Z/IP�,t U`v I certify that in.the performance of.the work for which this permit —I[7-3z-. f �� --� 3 . Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become sulijechto m the Workers'Copensation Laws. - - -.,STATISTICAL CLASSIFICATION - APT;: CONDO Date Applicant ADDRESS Vl-Lf ,. . t_ CLASS - (� 11 rA CL DWELL UNITS NOTICETO APPLICANT,.' If, after making `this -Certificate' of REQUIRED � - TOTAL,SETBACK FROM; � EXIST, _ Exemption, ' you Should become.`..subject' to the Workers'', CONTRACTOR ` ,TEL.NO: - SET BACK YARD.F NWY. - PROP.LINE WIDTH. Compensation provisions of the Labor_Code; you must forthwith (/l)V12 < .' FRONT coinplyrwith:such,provisions or this permit shall be deemed revoked., . ADDREgS - LIC NO.'- - - P L - - LICENSED-CONTRACTORS DECLARATION SID , E .` _ CITY LIC.CLASS P L .. I hereby :affirm;that 1 am licensed underprovisions of Chapter 9SEN/ER MAP "1 (commencing with Section 7000)of Division 3 of the Business and' SQ,F,-TTI NO.OF STORIES NO OF'FAMILIES - } Professions Code,and my license is'in full force and-effect .. ✓C BK 71 :I NEW PG' License.Number Lica ClasseiO DEtRIPTION,OJVWORKADD - ITVALUATION ® Q- GG e Ds j Contractor Date ALTER REPAIR '❑ 0 ❑ I am exempt under Sec. $ i B.&P.C-for this reason DEMO ❑ LDMA P/C L Date us OF.EXI TI G BLD URM ElCn ❑,Signature _ AP.(hlANT(PRINT)' - \ EYy�LL-NO�,i _ _LDMA Perm#' I, as owner of the:property, or my employees with wages'as `fig « < v `6 3, IS-j- yl-ata ; _ + their sole compensation, will do the work and the structure is ADDRESS' — _ SiSb, Z not intended.or offered for sale (Section 7044,.Business and.` �G` '� - .FINAL DATE -- Professions.Code.) WILL THE APPUCANT'OR;FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL a � y,',am exclusive OR A MIXTURE'CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El I, as owner of the property, y contracting With AMOUNTS SPECIFIE ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? .. FINAL BY f "' licensed contractors to construct the project (Section 7044, Business and Professions Code'.) YE,SXr No i WILL THE INTENDED USE,OF'THE BUIDLING BY THE'APPLICANT OR FUTURE BUILDING - •3,^ ! OCCUPANTREQUIREA,PERMIT FOR CONSTRUCTION.OR MODIFICATION FROM THE SOUTH. - CONSTRUCTION LENDING` AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMDj SEE PERMITTING CHECKLIST FOR } :. GUIDELINES. I hereby affirm that there is a construction lending a enc for. y g. g y. YES El .. NO N erformance of the work for which this permit'is issued(Sec: iHAVE AE the pADTHEHAZARDOUSMATERIALS INFORMATION GUIDE AND THESCAQMD PERMITTING - - - • 3097 CIV._C-.) - -•„ CHECKLIST.I UNDERSTAND MY REQUIREMENTS.UNDER THE LOS.ANGELES COUNTY-CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender!s:.Name Mi REPORTING AND FOROBTAININGA,PERMIT.FROM THE SCAQMD - - - ' q Lender's Address. OWNER OR AAENT y o I certify that I have read this application,and state under penalty '> { o . -. - . -. . _- P.C�FEE. - .. PERMIT FEE of perjury that the above information Is,correct.I agree to comply, / } w ..: with all county ordinances.and State laws relating to building'. . < construction, and hereby authorize representatives of this.County SSUANCE FEE ; a to Ver upon the above-men' edproperty for inspection purposes. o��•� �, 1NVESTIGATIONFEE. - " TOTAL FEE Signature If APPIi t of Agent date' - SEE REVERSE FOR.EXPLANATORY LANGUAGE 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 1204020052. PHONE: (626) 285-0488 EXT: - - (LEGAL ID: 1 NO. OF CONST _ BUILDING ADDRESS: 1 ITR: 5905 - LT: 78 _ I SQ. FT STORIES - TYPE I 5768 LOMA AV - - - I _ISTRUCTURE: V-B TEMP CA 917802452 I (ASSESSOR INFORMATION NUMBER: • NEAREST CROSS STREET:. 15387-017-033 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 1 I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON:' PROCESSED BY: 1 (EXIST OCC GRP: 104/02'/12 SR (OWNER: _ TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: .IFI AL DATE FINAL Y: CODE: 'I ITSAI, BENJAMIN - 1 -3,000 OsciF-Tjm?-OF I 1825 E. ELM AVE 1 ISAN GABRIEL CA 91775 FEES PAID- WORK. IREMODELING EXISTING BATHR OM I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:,( (APPLICANT: TEL. NO: I _ I- (MIRACLE DEVELOPMENT INC. (626) 674-2338- IAA BLDG PERMIT ISSUANCE 27.80,. 1 12751. 13ATSON AVE IAB STATE GREEN BLDG FEE 3000.00 VAL .1.00 ISPECTAL CONDITIONS: IROWLAND HIS 91748 IAC STRONG MOTION RESID 3000.00 VAL 0.50 I 1 IB2 PERMIT W/ENERGY 3000.00 VAL 108.90 '1 i TOTAL FEES 138.20 1,_ (CONTRACTOR: TEL'. NO: I IAPPIiOVALS - DATE INSPECTOR SIGNATURE (MIRACLE DEVELOPMENT INC. (626) 674-2338- 1 12751 BATSON AVE LIC. NO - ILOCP..TION ANDSETBACKS1 ROWLAND HEIGHTS CA 91748 928751 I SOILS ENGINEER APPROVAL I I 1 I I i I (ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I 1 1 LIC. NO: (SLAB/UNDER FLOOR I I 1 I I I (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: - FIRE ZONE.: CMP,: ( I UNDERFLOOR INSULATION 1150H265 . 3 001 1 - I I _ IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I _ 11 I. 1 0 NO 21 I IROOF SHEATHING �J I _ _I I SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS - I 1AIR QUALITY: 1000 FEET MATERIALS I _ NO NO NO - FRAME INSPECTION I IFIRE SPRINKLER.HANGERS 1 I I I (INSULATION/WEATHER STRIPI I I I I I I I I _ (INTERIOR LATH/DRYWALL ��� (. 1 (EXTERIOR LATH I I i 1 IRATED FLOOR/CEIL ASSEM: I I I 1 (RATED WALL ASSEMBLIES 1 1 I 1 r I I 1 I 1RATED SHAFTS/OPENINGS I 1 - T-EAR CEILINGS I - - 1_ 1 I 1LOT-DRAINAGE 1 1 I I 1 I• I 1 1 REPORT ID: DPR261 ROUTE TO: BS0508 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 0903100011 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST 1_ BUILDING ADDRESS: I ITR: 5905 LT: 78 SQ. FT STORIES TYPE I 5766 LOMA AV I (STRUCTURE: V-B I TEMP CA 917802452 (ASSESSOR INFORMATION NUMBER: - I NEAREST CROSS STREET: LAS TUNAS . - I 15387-017-033 I THOMAS. PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-2 - (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 103/10/09 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE F N BY: CODE: (BENJAMIN & MASAKO TSAI (626) 286-5482- 13,800 - 1825 E. ELM AVE. 1 J'� 1 ISAN GABRIEL CA 91775 1 FEES PAID ID$SCRIPT ON OF WORK - 1 I I IKITCHEN REMODEL FOR UNIT 41 & UNIT 45, CHANGE OUT 38 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IWINDOW S (APPLICANT: TEL. NO: I I - I IMIRACLE DEVELOPMENT INC. (626) 674-2338- IAA BLDG PERMIT ISSUANCE 27.75 1 I 11116 SOUTH SECOND ST _ IAB STATE GREEN BLDG FEE 13800.00 VAL 1.00 (SPECIAL CONDITIONS: i IALHAMBRA, CA 91801 IAC STRONG MOTION RESID 13800.00 VAL 1.38 1 1 . JB2 PERMIT W/ENERGY 13800.00 VAL 312.18 1 I -I TOTAL FEES 342.31 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IMIRACLE DEVELOPMENT INC. (626) 674-2338-' I_ I 11116 SOUTH SECOND ST. LIC. NO (LOCATION AND-SETBACKS IALHAMBRA, CA 91801 928751 B I I (SOILS ENGINEER APPROVAL I I I IARCHITECT.OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I 1 I I LIC. NO: ISLF.B/UNDER FLOOR I I 1 I IRAISED.FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 IUNDERFLOOR INSULATION I I 150H265 3 00 iI. I ` 'j, (� '5nm-e` FLOOR SHEATHING I 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I �i' �'� I_, I NO 21 1 3- ' IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS 1 ISHE.AR PANELS I I I (AIR QUALITY: 1000 FEET - MATERIALS . 1 I I I I NO NO NO I IFRAME:INSPECTION 1 1 I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS 1 1 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- 1 (INSULATION/WEATHER STRIPI I I I SIDE PL- I - I_ 1-1 1 I I (INTERIOR LATH/DRYWALL I I I I I (EXTERIOR LATH I I (RATED FLOOR/CEILASSEM. I 1 I I I I I I I (RATED WALL ASSEMBLIES I 1 I IRATED SHAFTS/OPENINGS I I I I I I I I ' IT-BAR CEILINGS I I I I. I ILOT DRAINAGE I I 1_ (REPORT ID: DPR261 ROUTE TO: BS0508 1 , 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 1203050092 PHONE (626) 285-0488 EXT: _ i ILEGAL ID: NO. OF CONST i BUILDING ADDRESS: ITR: 5905 ' LT: 78 I SQ. FT STORIES TYPE 1 5766 LOMA AV - 1 I (STRUCTURE: 5000 V-B I TEMP CA 917802452•- (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: LAS TUNAS . 1 15387-017-033 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 103/05/12 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFZNAL DATE FINAL BY: CODE: .I TSAI, BENJAMIN (626) 818-5166- 12,000 ����N {'� 5766 LOMA AVE 1 ITEMPLE CITY CA 91780 FEES PAID .1 D'PSCAIPTION OF WORK I IREMOVE ROOF INSTALL 30 YRS CLASS A FIBERGLASS SHINGLES ON 5 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IUNI TS AND GARAGE TORCH DOWN ON BREEZEWAY ., (APPLICANT: TEL. NO: -IDOUGLAS COTE .ROOFING (626) 967-2251- IAA BLDG PERMIT ISSUANCE 27.80 I I 1 IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 (SPECIAL CONDITIONS: 1 IAC STRONG MOTION RESID 12000.00 VAL 1.20 'ID2 PERMIT W/O EN-HC 12000.00 VAL 250.20 1 I TOTAL FEES 280.20 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IDOUGLAS COTE ROOFING (626) 967-2252- I 1_ I • 1346 E RAMONA ST LIC. NO ,I - ILOCATION AND SETBACKS I '� ICOVINA CA 91723 727923C-39 *1 1 ISOILS ENGINEER APPROVAL '1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I LIC. NO: 1 1SLAB/UNDER FLOOR I I RAISED FLOOR FRAMING 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( - UNDERFLOOR ENSULAT ION 115OH265 3 001 - '.� 1 1 IFLOCR SHEATHING I - INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 I 1 0 NO 21 IROOF,•SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS - 1 1 1 (AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO 1 1FRAME INSPECTION 1 1 I I IFIRF, SPRINKLER HANGERS 1 1 11NSULATION/WEATHER STRIPI I I I I I I I I 1 ANTERIOR LATH/DRYWALL 1 I I I I I I I 1 I (EXTERIOR LATH 1 1 1 I I I I I I IRATED FLOOR/CEIL ASSEM. 1 1 IRATED WALL ASSEMBLIES IRATEIY SHAFTS/OPENINGS I I 1 IT-BAR CEILINGS I I 1* ADDITIONAL DATA ON FILE I I ILOT DRAINAGE I 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I i I I I I