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HomeMy Public PortalAbout6012 LOMA AVE_Building__ 76A636A CE tib-32-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY .JOHN A, LAMBIE, COUNTY ENGINEER NEAREST /J WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. G UP TYPE - PR ES BY FOR APPLICANT TO FILL IN �j , _ CONST. BUILDING '7 J �EM�L� STATISTICAL CLA<S6FICATION �S07FR MAP ADDRESS 71 CLASS. NO. DWELL. UNITS C BK �-G LOT NO. 4O BLOCK/ WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE: TRACT Q� MAP ..}} HIGHWAY' STATE MAJOR SECOND LOCAL NO. OF BLDGS. +7 NO. Cf (CIRCLE) SIZE OF LOT )( 3 NOW ON LOT i USE ZO E SPECIAL USE:OF � CONDITIONS EXISTING BLDG. �1 TEL.%� IJ OWNER ��rJy /.)�, (JS NO *48' i 44 a BU LDING YARD HWY STREET NAME EXIST. ,^ SETBACK _ WIDTH' ADDRESS W� /Q e l6/ti Le G// FRONT D ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P! L ADDRESS O CONTRACTOR NO. ADDRESS 1 i F— DESCRIPTION OF WORK w a NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF ' ---- SIZE Q DRIES a FAMILIES USE STRUOCTURE �C:iI'✓i'P lfy cl 'n6a 0"'C /ZCf,iy - SIGNATURE OF _ APPLICANT ' VALUATION $ �- ® P t4.� �1V APPROVALS DATE INSPECCCTOOR_'SSIGNNATT(4RE P.C. PMT. FOUNDATION: O , ON FORMSMATERIALS //�'V/Y - \\�/�i'A1's�^''�1�i�"�,•%.,}�- FEE $ FEE $ � r e/� _ FRAME: FIRE STOPS, HEREBY I ACKNOWLEDGE THAT 1 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 ¢ (,✓`1 I/ BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STAT CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION 7SU NC LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTERECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION cK. M.O. CASH V �3 & 1 6 SEP l6 1 D 1 5.00- APPLICATIQN FOR, EU�ILDING PERMIT F01i APPLICANT TO FILL IN (Print or type only) BUILDINGCOUNTY OF LOS ANGELES ADDRESS �04i 74 4DEPARTMENT OF COUNTY ENGINEER CITY %� �j% ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF L0T/yy/;; �+� OW ON LOT y�J ADDRESS TRACT �/D BLOCK LOT NO,� / LOCALITY TE " Q/ f� NEAREST OWNER r4p.7 NO.L.'C Cx^'��'Y ROSS ST. . n/ f "� ASSESSOR ADDRESS �rys���� MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRQl,�)�ESSSSE0 BY CITY ZIP 7 ga CONST. ZONE I.'V✓ � � ARCHITECT R TEL. 3 ` ENGINEER NO. STATISTICAL CLJJASS��IFICATION SEWER MAP ADDRESS CLASS NO.._�L_DWELL.UNITS r— eF:BK PGl TEL. CONTRACTOR NO USE ZONE MAP �'I/1 LIC. , NO. (/O ADDRESS NO. Uv SPECIAL LIC. V CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) O}.. ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING CD SQ. FT rNO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE J� STORIES FAM LIES ONE O DESCRIPTION OF WORK � NEW ❑ + W ADDBLDG.SETBACK FROM a L-jSIDEPROP. LINEOF (STREET) Z ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY } YARD = HIGHWAY WIDTH REPAIR❑ SIDE PROP. LINE USE OF + _ EXISTING BLDG, 1 DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) N0. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ Q �yIN COASTAL ZONE YES ❑ NO ❑ VALUATION$ 'a �0 `�j� t o CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE ISCORRECT AND AGREETOCOMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE''STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATI I SURANC�E..// 2 SIGNATURE OF / ' PERMITTEE ADDRESS FINAL BY�. TEL. h``,"7 CITY N0. d DATE ! 7 HAKE CHECKS / :A}'AW-E 7U: P C Q PMT. FEE '✓ FEE HARVEY T. BRAN DT, COUNTY ENGINEER 0��� PLAN CHECK VALIDATION CK. M O. CASH _ 1PERMIT VALIDATION CK. M O. CASH n 76 A6 38A CE 9803 12/72 1 n�- 2 8, 1773 XUR7 2.3 1 U 2 w q 1 i I 76AG38A CE#803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING /) DEPARTMENT OF COUNTY ENGINEER ADDRESS (� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. / D!,TFiICT N P TYPE P E BY- FOR APPLICANT TO FILL IN CONST: Xy,Z BUILDING STATISTICAL CLASS KATION SEWER MAP ADDRESS CLASS. NO. DWELL. UNITS BPG/// LOT NO. NA BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE: TRACT MAP HIGHWAY NO.OF SLOGS. NO. G (CIRCLE) STATE MAJOR SECOND LOCAL - SIZE OF LOT NOW ON LOT ON SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL OWNER NO. BtfiLDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS O (\ 19A1 FRONT ARCHITECT OR TEL. F. L. � V ENGINEER NO. SIDE P. L. ADDRESS d (� TEL. l CONTRACTOR V i NO.a, CC ADDRESS Q DESCRIPTION OF WORK NEW 6"JADD ALTER REPAIR DEMOLISH - Z SQ. FT. / NO. OF NO. OF SIZE STORIES FAMILIES USE OF '"'C STRUCTURE d' , SIGNATURE OF APPLICANT VALUATION $ V ( 0-p APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INrySURRAAN^CE. LATH, EXT. SIGNATURE OF,,qq��,,\\���� Ir1n lL- � HOUSE NUMBER COR- PERMITTEE 1! Www"ll» RECT AND POSTED f ADDRESS FINALp •a. ; .- JOHN F. LEWIS. PRINCIPAL ST R URAL ENGIINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ► � 4 2 5 3 SEP 2 5 1 D 6.00- 76A638A CE fi803 4/7APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING / / MAKE CHECKS PAYABLE TO: ADDRESS [D � 7/ 0 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or 1 e only) CROSS ST. ABUILDINGDDRESS ' � DISTT0;. fGROUP ITYPE CONST�-61gj _ PROCESSED BY STATISTICAL CLASSIFICATION Jv SEWER MAP LOT NO. BLOCK CLASS NO,Z;&- DWELL,'UNITS BK PG TRACT USE ZONE MAP �'/ NO.OF BLDGS. ^ / _ NO. D14 SIZE OF LOT Def (ROD NOW ON LOT SPECIAL USE OF ffO CONDITIONS EXISTING BLDG. e //'' OWNER (J NOL 6-p BLDG.SETBACK FROM ADDRESS FR TPROP.LINE OF -(STREET) _ TYPE 0 ISTING SETBACK HIGHWAY } YARD - TOTAL CITY HIGHWAY TH FROM C.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG.SETBACK FROM a ADDRESS SIDE PROP.LINEOF (STREET) p U TEL. TYPE OF JEXISTING SETBACK HIGHWAY YARD = TOTAL = CONTRACTOR NO. HIGHWAYI WIDTH FROM C.L. c:) LIC. _ V ADDRESS NO. } - w LIC. N CITY CLASS CORNER CUTOFF YES ❑ N CONSTRUCTION LENDER NAME AND BRANCH jC.+ SEE REVERSE SIDE FOR S ECI L APPROVALS f ADDRESS SQ. FT. yy�� NO. OF NO. OF NEW ❑ SIZE �o1J STORIES / FAMILIES USE OF _ ADD 14'YPI STRUCTURE Q ALTER ❑ ❑ SIGNATUR O. APPLICAN REPAIR DEMOL ❑ l VALUATION $'_f—p` APPROVALS DATE IN5PECTOR'S SIGNATURE P.C. PMT. y FOUNDATION: LOCATION FEE $ FEE S / PFORMS, MATERIALS FRAME: FISTOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - LATH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, :1 SIGNATURE OF' _ HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS M FINAL _ - Wt" PLAN CHECK VALIDATION CK. M.D. CASH _ PTs�RMIT/ LI ATfION CK. M.O. CASH . APPLICATION FOR BUILDING PERMIT FQ,R APPLICANT TO FILL IN (Print o, type only) 3 UILCING 1 Q COUNTY OF LOS ANGELES ADDRESS 1— DEPARTMENT OF COUNTY ENGINEER CITY -A �� LI � ZIP BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING/s� SIZE OF LOT )-0� NOW ON LOT ADDRESS Kf /[�.P TRACT5q © "f BLOCKLOT NO-� LOCALITY TEL - NEAREST OWNER (( L- � NO.�� ( CROSS ST. ADDRESS ��-l(j� Z ``��^� L"'gA am�(`A f/N� /' MAPESSOR BOOK PAGE PARCEL CITY ' ,ff J�( �- l- ZIP � t ® DISTRICT GROUP TYPE FIRE R SSED BY Jy CONST./�/ ZONE 1 ARCHITECT OR TEL. ®a �- ENGINEER NO. STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NO �_DWELL,UNITS BK PG TEL. US ZONE MAP CONTRACTOR NO. LIC. NO. Q ADDRESS NO. -j SPECIAL 17 LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER } NAME AND BRANCH BLDG%SETBACK FROM C FROVT PROP.LINE OF (STREET) C; ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING d' SQ. FT.1 3 ^ . NO. OF ( NO. OF I CHECK HIG AY + YARD - FRONT PROP. LINE HIGHWAY WIDTH SIZE dpi STORIES I FAMILIES ONE L; + CL DESCRIPTION OF WORK �^� D� �� ��-� NEW ❑ Z ADD BLDG. TBACK FROM (STREET) SIDE PROP. ALTER ❑ GHWAY + YARD TOTAL SETBACK FROM . E OF EXISTING HI = REPAIR❑ SIDE PROP. LINE HIGH WIDTH USE OF DEMOL ❑ + D EXISTING BLG. ,� APPLICANT / , _ /�y iL` TO. Sl \7/ _>,L[L1'; CORNER CUTOFF YES ❑ NO ❑ (PRINT) ( R W V IA.7 c7�.�j(�' I BY (SIGNATURE) IN OPEN SPACE YES E] NO IN COASTAL ZONE YES NO VALUATION Q$Y 9 g CATEGORICAL EXEMPTION YES NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO d , emn/D� Oe2 / ��✓l�'�1_ ' WORKMEN'S O F - /SA/TION INSURANCE.NSURAeNC'E. SIGNATURE �PERMITTWE ADDRESS V /1_ l6W •/) !f``%/G�• �!- / „> '> FINAL , EE C" TEL — ] DATE f / -170. - BY CITY NO. MAKE CHECKS PAYABLE 7-O: F ° PMT. FEE FEE HARVEY T. BRANOT, .COUNTY ENGINEER __j �xe�� PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION (_C: � m.O. CASH 1.7 - 76A 638A CE9803 7/73 /�/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BULLDINr, PERMIT DEPARTMENT OF-PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411160022 PHONE: (626) 285-0488 EXT,: Lf GAL ID: - ` --NO: OF CONST_ BUILDING ADDRESS: TR: 5904 LT: 369 SQ. FT STORIES TYPE 6012 LOMA AV STRUCTURE- VN =TEMP CA 917801925 ASSESSOR INFORMATION' N_03I"BER: - NEAREST CROS S 'ST REET:'LAS=.TUNAS_. ,.; 5384-013-00I THOMAS PAGE: 596 GRID: H3 LOCALITY:: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED BY: _ EXP_IRES ON: EXIST OCC GRP: 11/16/04- A. 11/11/05 OWNER: e_rE_L. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE- WANG DANIEL;L+JH CHIEN (626) 287-1112- 5,000 L" -- 6012 LOMA AV TEMP 917801925_ FEES PAID DESCRIPTION OF WORK REPLACE 16 WINDOWS (SAME SIZE). FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: M. NO: SAME AS. OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 5000.00 VAL -132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORM LIC. N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: 'SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION ' XX 3 -01 FLOOR SHEATHING• N0. OF AMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO -NO FRAME -INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: , FRONT PL-INSULATION/WEATHER STRIP . 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