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HomeMy Public PortalAbout6028 LOMA AVE_Building__ 78A638ACE#8031157• APPLICATION FOR BUIL®YI VG ERMI Y •' • COUNTY OF. LOS ANGELES BUILDING .,DEPARTMENT "OF; COUNTY. ENGINEER ADD ESS. BUILDING, AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE C JOUNTY ENGINEER NEAREST 1 CASSATT.D.GRIFFIN,SUPT OF BUILDING CROSSST. - - DISTRI O. GROU -I TYPE ISEWEP.P� FOR APPLICANT TO FILL IN B ' CONST... BUILDING - - - =ADDRESS 7r STATISTICAL SSIFICATION - CLASS.NO. DWELL.UNITS - LOT NO /.'7 BLOCK• "MAP �`l ©© HWY. STATE YE5 TRACT_- t` NUMBER ._d`� - _ U ZO E SPECIAL _ NO,OF BLDGS. y CONDITIONS SIZE-OF LOT (3.' 8 ,'.K I I NOW ON LOT- / USE OF - - - EXISTING BLDG.' g • _ htly-2 .IL A BUILDING -YARD HWY - STREET NAME EXIST. SETBACK _ .. .WIDTH .OWNER. w tt.e., : FRONT. .. .. {1 MA I L P.L. .. .� 'ADDRESS.- L SIDE - - ' TEL.Ar L. CITY T�. A_G -: --� -NO �:�' 'A _ ARCHITECTOR•. INSPECTION:RECORD TEL. ENGINEER � i� NO. - - - . .ADDRESS �--+� TEL. .•(/.Y✓! �! G7 D^Y)^ CONTRACTOR - _ .. i& " NO. . DESCRIPTION OF WORK 0-7 GNU S7/ A/ 19S "T T12 le^7—//1?A / -CC = 7�9G�iL✓ . NEW - ADD R ALTER REPAIR. DEMOLISH o=Aa /dD =000940 SQ.FT. �j _ - -NO.OF NO OF SIZE. Calvo .o diL 'STORIES FAMILIES-1 .rte OIT .4e 2-cid -'USE OFSTRUCTURE $N ; 't-C ,.Lr .,ec! OP- icF6 , wo SIGNATURE OF � � -APPROVALS - •APPPPLICAICANT - " DATE INSPECTOR'S SIGNATURE ADDRESS p e s FOUNDATION: LOCATION" / FORMS,MATERIALS - $ - �O .,P:C . $ .�.� FRAME: FIRE STOPS. FEE'. - / 5 BRACING.BOLTS" " •••���,ppd.���� VALUATIO 7 �T/ Z FURNACE: LOCATION. I! f FEE $7/ GAS VENT.DUCTS . -1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STAT THAT- HE. OVE.IS CORRECT AND. AGREE TO CO LY 111H AL CO TY ORDINANCES AND - • - ' STATE.-LAWS G IN -B ING CONSTRUCTION. LATH,EXT. - - SIGNATURE OF HOUSE NUMBER'COR-. PERMIT TE " RECT•AND POSTED , 0 ".r/(o 11 iVLGI fl .ADDR S �,. o B"' 'FINAL lf�w}, r _ CLYDE W DIRLAK.PRINCIPAL STR URAL ENGINEER'. PLAN CHECK VALIDATION CK.' td.o. sx PERMIT VALIDATION ,CK. M.O.•. CASH' s 7 _13 'i 5.5:0 :. ;Uro - . l •_ 76A638A CE#803 9-fi8303 6AP1'LICATI.ON FOR ®IBU1 / � Job L NGP(MT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER" ADDRESS h ;T r1n T BUILDING AND SAFETY DIVISION LOCALITY Temple Cit JOHN A. LAMBIE; COUNTY-ENGINEER , NEAREST - COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY (Print or type only) " CONST. BUILDINGST,ATISTICALCSSIFICATION- SEWER MAP ADDRESS g,. TTt. a, P AT T h I CLASS NO. DWELL.UNITS" BK PG LOT NO. BLOCK MUSE ZONE MAP NO. TRACTSPECIAL CONDITIONS NO.OF BLDGS. SIZE OF LOTJ�7X l " NOW ON LOT A USE OF EXISTING BLDG. -Duelling, - -!BLDG.SETBACK FROM TEL --�;FRONT PROP.LINE OF (STREET). OWNERJohn (' NO. r 'TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL' ADDRESS 6028 North Loma" Ave. '_IHIGHWAY WIDTH FROM C.L. _ + _ CITY Terimle "City 'BLDG.SETBACKFROM -- - ARCHITECT OR TEL. SIDE PROP. LINEOF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY +" YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. } TEL +. C CONTRACTOR NC.: ADDRESS (fQ j�lNO Fj06�`�Q _ CORNER CUTOFF _YES ❑ - NO ❑ C CITY ) CLASS L° '3/ ,.SEE REVERSE SIDE FOR SPECIAL APPROVALS LL CONSTRUCTION LENDER. a NAME AND BRANCH ADDRESS SQ. FT. NO. OF. NO. OF. NEW - ❑ SIZE STORIES - FAMILIES USE OF ADD ❑ STRUCTURE " ALTER ❑ � ` SIGNATURE F REPAIR® " APPLICANT DEMOL ❑ - i c� i VALUATION $ 875.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE'$ 12 FORMS, MATERIALS FRAME:.FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION d BRACING, 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 STRUCTION., I CERTIFY THAT IN DOING .THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OFtTHE STATE OF -CALIFORNIA IN .RELATING TO WORKMEN'S COMPENSATION SURANCE. LATH, EXT. SIGNATURE OF �D HOUSE NUMBER COR- , RECT AND POSTED ADDRESS FINAL �O C JOHN F LEWIS. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT .VALIDATION CK. M.O. CASH #910211 BG APPLICATION FOR. BUILDING PERMIT � - 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRgss®,,,, C1� I hereby.affirm that I have a certificate of consent to self insurBUILDING ADDRESSe, 6028 Loma or a certificate-of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.3800,Lab.C.) Republic Temple Cit 91780 LOCALITY Policy No.PC9975O0 Company IndemnitV SIZE OF LOT NO.OFBLDGS.NOW ONLOT � ❑ Certified copy is hereby furnished. NEAREST CROSS ST (� Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. d ' USE ZONE MAP NO. epartment. Date 7-1-92 ApplicantVlrgin Roof Co. ASSESSOR MAP BOOK PAGE PARCEL —SPECIAL � CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL.NO. COMPENSATION INSURANCE Mr.. & Mrs. Garver WITHIN 1000 FT.OF SCHOOL?_ YES No ADDRESS (Thissection need not be completed if the permit is for one hundred 6028 Loma DISTRICT -GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit Temple City 91780 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation LAWS. STATISTICAL CL !SIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. �` DWELL UNITS NOTICE TO 'APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST CONTRACTOR TEL.NO.- Exemption, you should become subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Virgin Roof CO. 287-0507 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P IL P.O. B'ox J 160650 SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L O I hereby affirm that I am licensed under provisions of Chapter 9 San Gabriel C39 SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE I NO.OF STORES NO.OF FAMILIES = Professions Code,and my license is in full force and effect. 34 S S. one NEW ❑ BK PG C- 160650 C39 DESCRIPTION OF WORK . ADD ❑ U License Number Lic.Class Tear off then apply #28, #11 VALUATION W a Contractor Virgin Roof C®ate. 6-30-93 ALTER ❑ $ 8283.00 z and rock. (34 s s.) REPAIR ❑ $ ❑ I am exempt under Sec. B.AP.C.for this reason DEMOL '❑ LDMA P/C# USE OF EXISTING BLDG. Date: Dwelling URM. ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# I. ❑ I, as owner of the property, or my employees with wages as Vir in,:Roof Co. 287-0507 0 !• (•- .1 their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and P.O. Box J San Gabriel CA 91778 FINALDATE C i?,°€' Professions Code.) - WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLER HAZARDOUS MATERIAL - J z T;;",:I:_ ❑ I,'as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN `� Q 1 L-1 1,J Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B licensed contractors to construct the project.(Section.7044, ;HIL „ ��. Business and Professions Code.) ves❑ No❑ '. 4 .WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMITFOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH -I'�"f•• - ' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. -''•••--z- I hereby affirm that there is a construction lending agency for YES❑ No the performance of the work for which this permit is issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD s 7 3097,CIV.C.). - PERMITTING CHECKLIST.I UNDERS ND MY REQUIREMENTS UNDER THE LOS ANGELES - I i31�j,!--i_lTif s'f •'i f-�'7,.• .'S° m.. - COUNTY CODE,TITLE 2•CHAPTER .20 ECTION 2.20.100 THROUGH 2.20.140 CONCERNING _ a Lender's Name HAZARDO S M R S EPORT G B I F M THE SCAQMD. _'_" _ All Lender's Address OWNER OR JGENT o' I certify that I have read this application and state that the above Q information is Correct. I agree to Comply With all County P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and $138..94 a. hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-m one property for inspection purposes. 13.00 7-16-91 INVESTIGATION FEE TOTAL FEE SIP..,7 Pl�.APM �. 151.94 U SEE REVERSE FOR EXPLANATORY LANGUAGE, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0108080028 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5904 LT: 371 SQ. FT STORIES TYPE OCCUP GROUP 6028 LOMA AV STRUCTURE: 194 1 VN R3 TEMP CA•917801925 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LAS TUNAS 5384-013-009 OTHER: 425 1 VN R3 THOMAS PAGE: 596 GRID: H3 LOCALITY,:--TEMPLE CITY lz TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/10/01 UT 02/06/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: NAL DAT© F AL BY: CODE: ! CHANG DAVID;JOYCE (626) 286-8285- 46,240 a- O- / 6028 LOMA AV TEMP 917801925 FEES PAID DESCRIPTION OF WOR ADD ON 1BEDROOM & 1 BATH: 194S.FT./ ENCLOSE EXISTING COVERED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PATIO TO GAME ROOM: 425S.FT., TOTAL 619S.FT. APPLICANT- TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 46240.00 VAL 709.24 AA BLDG PERMIT ISSUANCE,_-_,.__ 27.75 SPECIAL CONDITIONS: AC STRONG MOT;IONfRESI-D 4"6240..00 VAL 4.62 B2 PERMIT W/.ENERGYe",�J ?`;46240:00 VAL 834.41 �� TOTALS FEES 1,576.02 CONTRACTOR: TEL. NO APPROVALS DATE INSPE T SIGNATURE SAME AS OWNER LIC. NO �i� t�� ✓' V� �` LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITE T OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS CHOU, HUNG (626) 574-0101 ! q 2-1V 511 S. 1ST AV., #161 LIC. NO + ' y.;j �, SLAB/UNDER FLOOR ARCADIA, CA 91006 C17559 - - RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP, J !' UNDERFLOOR INSULATION 3 �,Ou ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLAM- NO 21 ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \ , gal ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT 3 REQUIRED TOTAL SETBACK FROM EXIST \�dn BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- `�� �"u , i�`^'.� =` SHEAR PANELS SIDE PL- ---_ =. INSULATION/WEATHER STRIP , yj0/ INTERIOR LATH/DRYWALL ��ll�� CS`� EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL 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 0109180009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 371 SQ. FT STORIES TYPE 6028 LOMA AV STRUCTURE: 72 VN TEMP CA 917801925 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5384-013-009 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/18/01 VG 03/17/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE nFIAL)BY: CODE: CHANG DAVID;JOYCE (626) 286-8285- 6,0006028 LOMA AV TEMP 917801925 FEES PAID DESCRIPTION OF WORK ADDITIONAL 72 S F. TO THE EXISTING PERMITTED WORK IN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PROGRESS APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES.ID-.= 6000.00 VAL 0.60 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY---_-__-. =_6000.00 VAL 164.34 TOTAL FEES 192.69 i CONTRACTOR: TEL. N0: � / `���?� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS l 2 I d i7/6 f fir' t ' ;• SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: - �' ` �'• FOUNDATION/TRENCH FORMS - _ CHOU, HUNG (626) 574-0101 i' � i y ,` k 511 S. 1ST AV., #161 LIC. NO SLAB/UNDER FLOOR ARCADIA, CA 91006 C17559 - -� RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP ? ! UNDERFLOOR INSULATION XX 3 OT FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:_ -- - ' - - NO 21 ` , ' ,� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST t y % ��' FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- - _ -- INTERIOR LATH-/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0500