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HomeMy Public PortalAbout5930 LOMA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR`APPL IdANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES 7J I_LDI NE ADDRESS © DEPARTMENT OF COUNTY ENGINEER ADDRESS CITY �J..+, �- �'_, - zip , BUILDING AND SAFETY DIVISION O.OF BLDGS. BUILDING SIZE OF LOT ,X13? NOW ON LOT ADDRESS 553-® TRACT BLOCK LOT NO. LOCALITY T NEAREST OWNE C �l /� NO. �rj i�� CROSS ST. ! CZ/✓f ` -' ASSESSOR ADDRESS w t..UB�10c MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ROCESSED BY -CITY = t1. L% –� ZIP CONST. .ZONE AARCHITECT OR TEL. �,(� ENGINEER NO. STATISTICAL CLASSIFICATION, SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BK PG TEL. CONTRACTOR NO. USE ZONE I NOP �� --7 (���� LIC. p SPECIAL ADDRESS 1/`�j NO. /�' ' LIG. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF ISTREETI ADDRESS CITYOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWA YARD = ONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + O ADD ❑ BLDG.SETBACK FROM (STREET) cz O SIDE PROP.LINE OF 0 ALTER TOT LSET ACK ROM TYPEOF EXISTING w ❑ HIGHWAY + YARD – DE PROP.LINE HIGHWAY WIDTH N USE OF REPAIR Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL CORNER CUTCH F YES NO ��/&, ❑ (PRINT) C7(Z1Z NO. ��r IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ om VALUATION 6) 49 /u�U Civ/pC v /�i aG7J �C—R7; O t t IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE _ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Q% OAf�•.. ,U' •_ "'�-/ m W?yeu WORK AUTHORIZED HEREBY I WILL NOT EMPLOY AY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CAL RNIA I TING TO WORKMEN'S COM- PENSATION OM- /� PENSATIONINSURANCE. -Z,.. uy —/ �'f/ � ,�/, SIGNATURE OF PERMITTEE ^O ADDRESS FINAL // BY TEL. DATE ,6 / f�I CITY �� NO. MAKE CHECKS PAYABLE TO: FEE $ v a FET HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH .l PERMIT VALIDATION CK. M.0. cASH 9 7 3N JAN 5 1 1) 1 5.0 G, ®s 76A638A CE#803 3.75 APPLICATION FOR Il BUILDING PERMIT FOR APPLICANT TO FILL IN ADDREss,. ^ .3d BUILDING ADDRESS LOCALITY NEAREST CITY Q, L' ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT o'—/�/ MAP BOOK PAGE PARCEL TRACT (f BLOCK O 36 DISTRICT GROUP YPE FIRE PRO SSED B TEa ST. L j J OWNER ej NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 1,411.0i CLASS NOr_-_*2f!d_DWELL.UNITS BK PG CITY ZIP NE NOP D V ARCHITECT OR TEL. v SPECIAL ENGINEER 4,a — NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL'REQUIRED YES ❑ NO❑ TEL. CONTRACTOR h..\ NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF i EXISTING LIC. HIGHW Y + YARD - FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER NAME AND BRANCH BLDG,SETS K FROM OU ADDRESS CITY SIDE PROP.LI OF (STREET) SQ.FT. NO.OF NO:OF CHECK HIGHWAY + YAR - TOTAL SETBACK FROM TYPE OF EXISTING U SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH d N ❑ + = Z_ DESCRIPTION OF WOK (I p NEW l ADD ❑ CORNER CUTOFF YES ❑ NO ❑ A ` � ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR El USE OF ❑ DEMOL IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTIN BLDG. APPLICANT TEL 1 5j - s-��ewo'fI% 0 PRINT) NO. i p _ BY(SIGNATURE( // I HEREBY ACKNOWLEDG THAT IhiAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. / SIGNATURE OF FINAL f ! BY PERMITTEE DATE ADDRESS TEL P.C.Fee$ Permit Fee CITY r L NO.� ` Q Issuance Fee VALUATION y 2��/V Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 9 6, 1 AUG 3 . 1 2 8.5 U AL_ OS 76A63813 CE X80313 6/76 - ' 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 0905260011 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS:_ ITR: 5904 LT: 365 SQ. FT STORIES TYPE 5930 LOMA AV (STRUCTURE: 830 V-B TEMP CA 917801923 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15384-013-003 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXIST OCC GRP: 105/26/09 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN BY: CODE: I ICHING CHUN, LIN (626) 400-7553- I 4,200 15930 LOMA AV I TEMP 917801923 FEES PAID IDE SCRIPTION OF WORK ITEAR OFF AND REROOF COMPOSITION SHINGLES, PLYWOOD AND REPLACI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IE 9 WINDOWS DOUBLE PANELS. (APPLICANT: TEL. NO: I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 IAB STATE GREEN BLDG FEE 4200.00 VAL 1.00 ISPECIAL CONDITIONS: IAC STRONG MOTION RESID 4200.00 VAL 0.50 ID2 PERMIT W/O EN-HC 4200.00 VAL 132.60 IFR INV WORK W/O PERMIT 257.00 DOL 257.00 ICONTRACTOR: TEL. NO: I TOTAL FEES 418.85 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO ILOCATION AND SETBACKS I I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1150H265 3 001 I I _.I IFLOOR SHEATHING I I INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I 1 NO 21 I ROOF SHEATHING ..q) SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO I IFRAME INSPECTION I IREQUIRED TOTAL. SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I I I (INTERIOR LATH/DRYWALL IEXTERIOR LATH (RATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I I I I I I I IT-BAR CEILINGS ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I