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HomeMy Public PortalAbout6029 LOMA AVE_Building__ w� BUILDING ADDRESSISUILDING oma.• IX-//l APPLICATION LOCALITY . - NEAREST 'DIVISION OF BUILDING AND SAFETY CROSS ST. Department of County Engineer DISTRICT NO. RECEIPT NO. / PERMIT NO. County of Los Angeles J_ WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY OWNER MAIL // A' NUMBER STATE YES NO ADDRESS 6J&V -A, Q ® USE ZONE SPECIAL /A A— TEL. 1 CONDITIONS C I TY \�lrt.(1 •N ARCHITECT OR TEL. �/1 ENGINEER NO. ' BUILDING YARD HWY STREET NAME EXIST. ADDRESS ) SETBACK WIDTH TEL FRONT CONTRACTOR N0.' SIDE P.L. ADDRESS �.P.N�J w DATE CORRECTIONS INSPECTOR BUILDING U ADDRESS LOT NO. BLOCK TRACT Lf1SC7_)A A JS�T•T.�A"i�I���i� NO. OF SLOGS. SIZE OF LOT I NOW ON LOT II// USE OF EXISTING BLDG. DESCRIPTION .OF--WORK " D A • O NEW ADD ALTER REPAIR DEMOLISH Z SO.FT. NO. OF NO.OF Y SIZE STORIES FAMILIES t- USE OF STRUCTURE ' l NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE IN GIVEN IS , CORRECT. APPROVALS INSPECTOR'S SIGNATURE DATE 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS ^ ,... n FRAME: FIRE STOPS, SIGNATURE OF ��. ^IA �, /1'S . 11 _ BRACING,BOLTS PERMITTEE' �[ Ifllfiiiiii ---LLL«<"' ^ , , • FURNACE: LOCATION, ADORES OI/) .lil{•1-J GAS VENT,DUCTS S- .� � p AUTHORIZED AOT. LATH, INT. (aJl� lJ�.�� N/1 LATH, EXT. `& �\ 0.0 P.C.$ HOUSE NUMBER COR- EV FEE p� RECTAND POSTED VALUATION FEE $� do FINAL �� M :PKNr�� 76A638A DBS 3 12.53 Lj DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER EOR APPLICANT. TO FILL IN FOR OFFICE .USE ONLY DISTRI��YYNN0. PLAN CK..,NO. \PERMIT NO. BUILDING ADDRESS T. LOCALITY Ax: DATE OF APPL. DATE ISSUED NEAREST. IIl• e CROSS ST..•' - - t BUILDING ADDRESS - OWNER AZaurice Turner- MAIL LOCALITY ADDRESS 9106.Lf' Tunas Dr. NEAREST - - - TEL. CROSS ST. /6 .CITY Temple City - - NO.. AT 6 75A7 FIRE NO. OF ^� GR ARCHITECT OR TEL. ZONE - -PLANS ENGINEER ��'✓ _ ENGINEER _ NO. BLDG. ORD. NO. _ SETBACK LINE J ADDRESS , " APPROVED - - TEL. BY DATE CONTRACTOR;.�.KH2122' StimmelND• AT 1' �i7 USE APPROVED -- - ZONE BY DATE " ADDRESS" Z. , N. Tem le C BlVd Tem ley _ HOUSE NUMBERING LEGAL - - d DESCRIPTION ,I LOT NO. BLOCK MAP NUMBER - —FIELD CHECK BY � t TRACT - NO. ASSIGNED BY ATF NO. OF BLDGS. CORRECTIONS .. SIZE OF LOT; NOW ON LOT ` USE OF - .I.NO. OF EXISTING.�BLDG:.• - FAMILIES DESCRIPTION OF'WOKS ' NEW I, :. -I-ALTERATION I .I ADDITION REPAIR DEMOLITION 60. FT. NO. OF !7 SIZE _ ROOMS STORIES - Z ' D EXT. WALL •' - I-ROOF - - r COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE I HERESY. ACKNOWLEDGE.THAT 1 HAVE-READ THIS AP- FOUNDATION: LOCATION PLICATION+.AND.. STATE THAT THE .INFORMATION GIVEN IS FORMS, MATERIALS. ' CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,' HEREON AND WITH'ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING By1LDP G'C �STRU'�TION. J FURNACE: LOCATION, SIGNATURE OFGAS VENT„DUCTS PERMITTE :'LATH, INT. ADDRESS' •.. �r g �•+R17 LATH, EXT. ' AUTHORIZED AGT. PLASTER, INT. ' 76ASSSA D13SS% 10-80 P. C. $ - - t9••<� FEE B 0 PLASTER, EXT.--,- OF ^ Ain VALUATION.., FEE _— FINAL APPLICATION FOR BUILDING PERMIT'. . COUNTY-OF LOS ANGELES" BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO,FILL IN .BUILDI ADDRESS 1 I hereby affirm that I have a certificate of"consent to self insure, BUILDI or a certificate of Workers' Compensation,Insurance,Or a certified w CITY � - I� ,.- -ZIP copy thereof(Sec.3800 lab.C.) ,LOCALITY - .. Policy No. Company SIZE OF,LoT1 NO,OF BLDGS,NOWONLOT ❑ Certified copy is hereby furnished. - /��-QQ. S' CA- .NEAREST CROSS ST. - , - ❑ Certified copy is filed with the county building.inspection " TRACT BLOCK, LOT,NO. department: - - USE ZONE MAP NO. Date Applicant- r ASSESSOR MAP'BOOK --:- PAGE •• PARCEL - I O SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' owNER TEL No. <. — O / COMPENSATION INSURANCE f WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be-completed if the permit is for one hundred ADDRESS - - .DISTRICT- GROUP * TYP ONST. FIRE ZONE PROC dollars ($100)or less.) CITYcertify,that in the performance of the work for which this permit is issued, I shall not employ any person in any, manner so as to A CHITECT 6R ENGINEER - - TEL NO. - • become subject to the Workers'Compensation Laws. G .STATISTICAL CLASSIFICATION APT CONDI) Date - Applicant ADDRESS - 'CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of A REQUIRED TOTAL SETBACK FROM EXIST - Exemption, you Should become subject to theWorkers' CONTRACTOR r fit TEL NO. SET BACKYARD HWY - PROP LINE WIDTH Compensation provisions of the Labor.Code, you must forthwith FRONT comply with such,provisions or this permit shall be deemed revoked. ADDRESS : LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY - LIC.CLASS P L " I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of*the Business and •SQTS NO.OF. TORIES NO.OF AMILIES - , Professions Code,and my license is in full.force and effect. OQ NEW ❑. BK PG a License Number Lic.Class DESCRIPTION OF WORK c - ADD ❑ VALUATION 'Q Contractor Date [ ALTER o $ o�D G V 1rc C — ElL 1 am exempt under Sec. G� REPAIR BAP.C. for this reason DEMOL _❑ CDMA P/C# Illi V Date: USE OF EXISTING-BLDG. ,,,,_.� �'� URM ❑ - - - _ (( j L G d Signature APPLICANT(PRINT) .� TEL NO. CDMA Perm# 'Z. 1, as owner of the property, or my employees with wages as /�_ ZO 1 . their sole compensation, will do the work and the structure is ADDR SS �l/I� - FINAL DATE _ 11~.F•�_': not intended or offered for sale (Section 7044, Business and j r Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL O ❑ I, as owner of the property, am exclusive) contracting Wlth OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y. Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL licensed contractors to construct the project (Section 7044, r,~ YES❑ NO ~s - _ E Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH. CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. - ;.•?-Fzl`I i:: I hereby affirm that there is a construction lending-agency for YES'❑ NO'❑ a the performance of the work for Which this permit Is issued(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 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 HAZARDOUS4i Ii e y -, ,z .• Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. a Lender's Address `'F • O. - OWNER OR AGENT - o I certify that I have read this application and state under penalty " 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT F o with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANC EE to enter upgn the above-mentioned property for inspection purposes. a A ��� �`' 3 !-�S- "INVESTIGATION FEE. TOT E r sgtta of Appl—t or Aged, Oahe b �f ' SEE,REVERSE FOR EXPLANATORY LANGUAGE t / ! _ • •� "WORKERS' COMPENSATION DECLARATION*..` � �•1 , _. _ _ .;. - .. I hereby affirm that:1.have a certificate of consent"rG•self q; insure, ora.certificate of Workers'CompenstionInsurance; or }. APPLICATION' FOR BUILDING PERMIT, a certjfied'copy+thereof (Sec. 3800, Lab. C.) y COUNTY OF LOS ANGELES BUILDING.AND SAFETY Policy No Company BUILDING, �,.; Certified copy is hereby'fumished: FOR'APPLICANT TO FILL•IN. ADDRESS W0457i ❑ 'Certified copy is filed with the county building inspec- BUILDING .' Z s tion department. ADDRESS - LOCALITY NEAREST Date Date "Applicant — "CITY- L I iw.. -ZIP c - q CROSS ST. _ CERTIFICATE OF EXEMPTION FROM WORKERS' -NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE' SIZE OF LOT QJ .�1.95 NOW ON LOT, MAP BOOK PAGE. PARCEL ' USE ZONE.:,. MAP (Thb is section need not e completed if the permit is for one. �[ 9 f' hundred dollars (sibo),or less.) TRACT BLOCK LOT NO. -L ( NO. �/Q �✓ TEL.,,✓ ��j SPECIAL , I certify that 1i n'the,performance of the work for which this _ OWNER NO� s►�, CONDITIONS O permit is issued, I shall not employ any person in any,manner s�j � �j` DISTRICT GROUP TYPE FIRE PRO - SED BY O ADDRESS "1 t�1 v CONST. ZONElz so as to become subject_to the Workers'Compensation Laws. / 'S O _ - (/ • Date- Applicant ` CITY �V` ZIP STATISTICAL CLASSIFICATION _ AP CONDO." W c G' t NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL: ENGINEER' NO: CLASS NO. DWELL UNITS— Compensation Exemption, you should become subject to the Workers' y� Compensation provisions of the Labor Code, you must forth- ADDRESS ^ -. *' SEWER MAP Z with comply with such provisions or this permit shall be . deemed revoked. ) TEL' BK.I PG,/ / VALIDATION CONTRACTOR NO. LICENSED`CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 .ADDRESS., NO. /VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC ' Professions Code, and my license is in full force and effect. CITY : CLASS _ C la $ SQ. FT C^ NO. OF - NO. OF CHECK< - ' License N_ umber Lic.Class SIZE 5 � Z STORIES' FAMILIES ONE 'Contractor Date DESCRIPTION OF WORK i o � NEW ❑ iJ a p - ❑ „ ADD Q'^ I am exempt from the licensing requirements as I am a licensed architect or a•registered professional engineer' M ALTER ❑ FINAL acting in my professional capacity (Section 7051, II 1 . � < fly REPAIR ❑ DATE S ` �'p Business and Professions Code). -USE OF > A • EXISTING BLDG.' DEMOL' ❑ FINAL `- - By Lic.or Reg. No. Date APPLICANT TEL. (PRINT) .. NO' ' OWNER-BUILDER DECLARATION'. ' I hereby affirm that I'am exempt from the Contractor's License _ Law for the following reason (Section 7031.5, Business and ADDRESS - Professions Code): , PRESENT _ C Z L 3'6 BUILDING.: --. — _ - - - -9 5 ]'A I, as owner of the property, or my employees with ADDRESS wages'as their sole compensation,will-clothe work and # a'o;o o e,*'� the structure is not intended or offered for sale(Section LOCALITY -7044,-Business and-Professions Code). I -MOVING TEL. - -� 2'-.'2:4 i-,Ob I, as owner of,the ro ert am exclusively contracting CONTRACTOR NO. witH,licensed contractors to construct the project (Sec- _ o'-'24 1,0 0 EADDR tion-7044, Business and Professions Code).- - p D ' TOTAL SETBACK FROM EXIST. 0''S,0 3.—8 2 CONSTRUCTION 1ENDING AGENCY K YARD HVJY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued �(Sec,.3097, Civ. C,).`Lender's Name Lender's Address Permitfeewcertify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply.with all County ion Fee //' ' ordinances and State laws relating to building construction, Total Fee �/♦ w' v andeby.authorize representatives of this County to enter w - _ Ze above;mentioed property for inspection purposes'. e SEE REVERSE,FOR EXPLANATORY-LANGUAGE Signature of-Applicant or AgeAt Date - ©s .. 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 0908100045 PHONE: (626) 285-0488 EXT: DUPLICATE'. ILEGAL ID: I NO. OF CONST - - I• BUILDING ADDRESS: ITR: 5904 LT: 349 - SQ. FT STORIES TYPE 1' 6029 LOMA AV I ISTRUCTURE: V-B TEMP CA 917801926 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15384-014-021 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: . 108/10/09 SR I I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE^ RET BY: CODE: I. IZUO.P. WANG (626) 292-1151- 1 2,800 1Ar 1 16029 LOMA AV I I I ITEMP 917801926 1 FEES PAID IDES'•.RIPTIONOF WORK I I I IREPLACE 12 WINDOWS SAME SIZE VINYL DUAL GLAZE LOW E I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I 1 ITHIRD GENERATION & CONSTRUCTION (818) 533-6722- IAA BLDG PERMIT ISSUANCE 27.75 1- - 1 112101 OLIVOS RD. IAB STATE GREEN BLDG FEE 2800.00 VAL 1.00 ISPECIAL CONDITIONS: I ISYLMAR, CA 91342 IAC STRONG MOTION RESID 2800.00 VAL 0,50 1' 1 I ID2 PERMIT W/O EN-HC 2800.00 VAL 99.00' I I { I TOTAL FEES 128.25 1 (CONTRACTOR: - TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ITHIRD GENERATION CONSTRUCTION, INC. (818) 533-6722- 113469 LOS OLIVOS ROAD - LIC. NO 1 LOCATION AND SETBACKS 1 SYLMAR, CA 91342 - 893694 I' (SOILS ENGINEER APPROVAL- I I I I I I I IARCHTTECT OR ENGINEER: . TEL. NO: IFOUNDATION/TRENCH FORMS I II LIC. NO: (SLAB/UNDER FLOOR I IRATSED FLOOR FRAMING - I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I 115OH265 3 001 1 1-1 I. 1 1 IFLOOR SHEATHING 1' INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1. 0 NO 21 I IROOF SHEATHING 1 I SCHOOL WITHIN HAZARDOUS. I ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS 1 1 1 I 1 NO NO NO I FRPME INSPECTION 1 I IFIRE SPRINKLER HANGERS 1 I 1 I I II I I IINSULATION/WEATHER STRIPI I I I I I _1 (INTERIOR LATH/DRYWALL EXTERIOR.LATH - I IRATED FLOOR/CEIL ASSEM. I' 1 I 11' I I 1 I _ IRATED WALL ASSEMBLIES L- I I I I I I 1 1 RATED SHAFTS/OPENINGS 1 i T-EAR CEILINGS I I I I I I ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508