HomeMy Public PortalAbout5942 LOMA AVE_Building__ 76ASS8A CE#809.9-11D � APPLICATION. FOR BUILDING PERM( _
i COUNTY OF LOS ANGELES BUILDING a,
DEPARTMENT OF COUNTY ENGINEER ADDRESS
WILDING AND SAFETY DIVISION LOCALITY '
JOHN A..LAMBIE, COUNTY ENGINEER NEAREST �7
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. a .�(.�
DIST['IC�N GRP •j•yPE PR S BY
FOR APPLICANT.TO FILL IN :> , ( I I CONST.='� ww f
BUILDING < STATISTICAL CL FICATION SE RMAP,�st�'
ADDRESS- C i K� Gf�'
CLASS. NO.—,T---DWELL. UNITS'
LOT NO: _2 -7BLOCK MAP / STATE
_ NUMBER c`�C� I..lyyy `YE(,(4401
'TRACT /'J ;USEZONE - '
_ <� L% SPECIAL
NO.OFBLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOT
U S E O F
EXISTING BLDG. BUILDING EXIST`.` �
YARD HWY .STREET NAME
n T L. SETBACK - WIDTH •
OWNERf_ FRONT
ADDRES .� SIDE _ • '�
ARCHITECT R TEL - P. L. -
ENGINEER .�xN.9'' INSPECTION RECOFOn.ljd >.
ADDRE S _ _ p IL
TEL.", �_ _Jr � O
ix
DESCRIPTION F WORK 1' v
NEW .-ADD ALTER REPAIR DEMOLISH
SQ. F - NO.OF NO.OF f %�"1A^•v�,.,1:' - 6�G �I�+.'ii'7 ,-. L. +/r.+`-"Jr�l
SIZE STORIES FAMILIES /
•STRUUSEOCTURE �?F f13.
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SIGNATU
APPL'I'CAN ZZ A -
VALUATION
P.
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 4-1 FOUNDATION: LOCATION
FEE '$ I I FEE $ "FORMS, MATERIALS
' FRAME: FIRE STOPS, -
I 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
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON'IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S COMPENSATION LAWS OF'CALIFORNIA.
- LATH, EXT. '
SIGNATURE OSS -• � � HOUSE NUMBER COR-
PERMITTE >U .I LC• ECT AND POSTED
ADDRES. n\ NAL •,���/ �f/" '�" /i''/.+��'�`-� -
/ CLYDE N. DIR'LAM, PRINCIPAL ST - URAL ENGINEER
PLAN'(CHECK VALIDATIO CK. M.o." CASH PERMIT VALIDATION CK M.O. CASH
�- 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 1301220076
PHONE: (626) 285-0488 EXT:
ILEGAL ID: l NO. OF CONST I BUILDING ADDRESS: 1
ITR: 5904 LT: 367 SQ. FT STORIES TYPE I 5942 LOMA AV
I (STRUCTURE: 1400 V-B I TEMP CA 91780 I
(ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS STREET: - I
15384-013-005 I 1 THOMAS PAGE-: 596 GRID: H3 LOCALITY: TEMPLE CITY-CAI
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON:, PROCESSED BY:
(EXIST OCC GRP: 101/22/13 SR
(OWNER: - TEL. NO: 1BLDGS. NOW ON LOT: .. VALUATION: I JFINALI DATE FI AL BY: CODE: 1
(GOOD ROSE (626) 287-9605- 1 1 5,000 1
1.6002 LOMA AV I -1 I
ITEMP 917801925 FEES PAID ID SCR P N OF WORK 1
• ITEAR OFF + REROOF HOUSE U NG 30 YR CLASS A SHINGLES I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
(APPLICANT: TEL. NO: I I I
IHOCKENBERY, JASON (909) 596-3993- IAA BLDG PERMIT ISSUANCE 27.80 1 I
15655 JUNIPER ST IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: I
ICHINO'CA 91710 - IAC STRONG MOTION RESID 5000.00 VAL 0.50
I ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60 I I
I TOTAL FEES 161.90 1 -
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
III SHEA ROOFING (909) 591-4463- I 1
15655 JUNIPER ST. LIC. NO I ILOCATION AND SETBACKS I
(CHINO, CA 91710 565595 I 1 1 1
1 ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. NO: ISLAB/UNDER FLOOR i I
(RAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:, CMP: ( 1"UNDERFLOOR INSULATION I I
1150H265 - 3 00 -
. I.FLOOR SHEATHING I I
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I .� I I
0 NO 21 I IROOF ;SHEATHING I I
I SCHOOL WITHIN HAZARDOUS I ISHEAP.PANELS I 1
(AIR QUALITY: 1000 FEET MATERIALS I I
NO NO NO I IFRAME'INSPECTION I I
•IFIRE SPRINKLER HANGERS I -I
I I (INSULATION%WEATHER STRIPI I I
- I IINTERIOR LATH/DRYWALL 1 I
- I EXTERIOR.LATH I 1
I (RATED FLOOR/CEIL ASSEM. I L,
I IRATED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS I 1
IT-BAR CEILINGS I I 1
* ADDITIONAL DATA,ON FILE
I' ILOT DRAINAGE
IREPORT 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 1301220077
PHONE: (626) 285-0488 EXT:
ILEGAL ID: _ - 1 NO. OF CONST I BUILDING ADDRESS:
ITR: 5904 LT: 367 1 SQ. FT STORIES TYPE I 5942 LOMA AV
I I - ISTRUCTURE: 600 V-B 1 TEMP CA 91780 -
(ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET:
15384-013-005 1 - THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI
I
(TENANT: - 1EXISTBLDG USE: DETAC USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
I 1EXIST OCC GRP: 101/22/13 SR
I I II
10WNER: -TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN By CODE: 1
(GOOD ROSE (626) 287-9605- 1 1 1,000 1 I
16002 LOMA AV - - I 1/ ' I
(TEMP 917801925 1 _ - FEES PAID IDESCAIPTION OF WORK 1
I I ITEAR OFF + REROOF DETACHED GARAGE USING 30 YEAR CLASS A 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISHINGLES 1
(APPLICANT: - TEL. NO: I I I
IHOCKENBERY, JASON (909) 596-3993- IAA BLDG PERMIT ISSUANCE 27.80 1 I
15655 JUNIPER ST IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 (SPECIAL CONDITIONS: 1
(CHINO CA 91710 IAC STRONG MOTION RESID 1000.00 VAL 0.50 1 1
1 ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 1 -
I. I TOTAL FEES 94.70 I 1
(CONTRACTOR: TEL: NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
III SHEA ROOFING (909) 591-4463- 1 1 1
15655 JUNIPER ST. LIC. NO I (LOCATION AND SETBACKS
ICHINO, CA 91710 565595 1 1
(SOILS ENGINEER APPROVAL
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: ISLAB/UNDER FLOOR -I I I
I I
I 1 IRAISED FLOOR FRAMING
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I I I
1150H265 3 001 1 I 1
I .1 IFLOOR SHEATHING I 1 I
INO. OF FAMILIES: .DWELLING.UNITS: APT/GOND: STAT CLASS: I 1
1 0 NO 21 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS 1 I
(AIR QUALITY: 1000 FEET MATERIALS I 1 I I 1
1 NO NO NO I (FRAME INSPECTION 1 I I
I I I I I I
I I IFIRE SPRINKLER HANGERS I I
I I IINSULATION/WEATHER STRIPI I I
I I 1 I i
I. (INTERIOR LATH/DRYWALL I I I
I I 1EXTERIOR LATH I I 1
I I I I I I
1 1 IRATED FLOOR/CEIL ASSEM. I I 1
I I i I I I
1 1 IRATED WALL ASSEMBLIES 1 I 1
I I I I I I
1 I (RATED SHAFTS/OPENINGS 1 1 1
I I I I I I
1 I IT-BAR CEILINGS 1 1 1
I I* ADDITIONAL DATA ON FILE 1 I 1 I
I 1 ILOT DRAINAGE I 1
1 IREPORT ID: DPR261 ROUTE.TO: BS0508 I I I I
I I I I I I