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Home My Public Portal About6050 LOMA AVE_Building__ 76A638A OBS-33-55 APPLICATION FOR BUILDING PERMIT 1. DIVISION OF BUILDING AND SAFETY BUILDING A/ Deportment of County Engineer ADDRESS County of Los Angeles . LOCALITY WM.J. FOX.COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.. LN DISTRICT NO. GROUP I (SEWER -MAP FOR APPLICANT TO FILL IN - r TYPE. "� BK PG BUILD _ � � r7 � � � � �f ADDRESS /,� l�® .St _ifr°"i✓1p. ./[�f.��L.l_ NUMBEMAP R- �C�C SHWY YES CAS _ q T • USE��WNE SPECIAL- _LOT NO.{[�. BLOCK , ''• CONDITIONS - TRACTt7no - . - O. OF BLDGS. SIZE OF LOTIL E NOW ON LOT �/ BUILDING YARD HWY STREET NAM - EXIST. SETBACK WIDTH USE OF EXISTING BLDG. "'� FPOL.� i ; y 0 OWNER SIDE,P. L. floMAIL ADDRESS r ^ O TRACT DWELL. 1'UNIT # 5 INDUSTRIAL TEL 1 DWELL. 1 UNIT CITY. 1.�/I'"�G�.Y IJi /,.� u. lNO. 65CJf� 6 PUBLIC BLDG. ® / , `I -2 DUPLEX - -1 UNIT pDDN..ALT., ETC. ARCHITECT OR I'�7/ J//{ TEL. _ _ ENGINEER V ,( - tf NO. $ APT. 'UNITS - 8 MISCEL. ADDRESS [ ` 4, COMMERCIAL - - CONTRACTOR �,�} i�.4 / NO �(19"'L�DI INSPECTION RECORD ADDRESS - DESCRIPTION OF WORK . NEW ADD - LTER. REPAIR DEMOLISH 60w / '67 If�NDV, SO. FT. NO. OF - NO.OF i - SIZE STORIES FAMILIES USE OF ST� SIGNATURE OF \J`p' 1 - - APPLICANT �•-•�� -- i -.� .�1.y.3' - - APPROVALS ADDRESS e67�. /(i7 'fL,,,F,,,Ks' - _ - DATE INSPECTORS SIGNATURE - F , t MATERIALS ION P. C. $ FORMS .3/- ��,�•-f}� M'(I FEE S / /t FRAME: FIRE STOPS. I � $ 7 CO BRACING,BOLTS VALUATION - FEE —.C-- FURNACE: LOCATION. IHEREBY ACKNOWLEDGE THAT I-NAVE READ THIS , GAS VENT,DUCTS APPLICATION AND STATE THAT THE.ABOVE.IS CORRECT - - AND AGREE TOC MPLY WITH ALL COUNTY,ORDINANCES. LATH. INT. AND STATE LA REGULATING BUILDING CONSTRUC 'TION. - • LATH, EXT. SIGNATURE O ' ' HOUSE NUMBER COR- PERMITTEE - AND POSTED r ADDRESS FINAL 112VZ J WM.J. FOX,COUNTY ENGINEER VALIDATION. C. N. DIRLAM, CHIEF BLDG. INSPECTOR- �0 9 2 9 '_5 OCT 2 4 1 2:0.0 � r �76A696A CE 609,1_57 APPLICATION FOR BUILDING PERML 1 COUNTY OF LOS ANGELES BUILDING 'DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND-SAFETY .DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST. CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT O_. GRA .TYPE SEWER MAP G FOR APPLICANT TO FILL IN ICONST. I /— I BUILDING - ADDRESS-60-549 STATISTICA ASSIF.ICATION " /r - 'L�(i(/ CLASS. NO. DWELL.UNITS LOT NO: 3'7 BLOCK, MAP STATE p� - - NUMBERHWY. YES TRACT ,(i USEZONE 'SPECIAL NO.OF SIZE OF LOT t/ J NOW ON LOTS CONDITIONS USE OF I EXISTING BLDG. - 1/L BUILDING EXIST. - p�� e SETBACK YARD HWY STREET NAME WIDTH OWNER ,LZ6,4 MAIL /U FRONT —� ADDRESS �%aSa �. `�p��vG✓ �� SIDE TEL .ems P.L. CIT No. INSPECTION RECORD ARCHITECT'O TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK A4;9-7'71=R 76 AAA b?lvdfll ll� NEW ADD ALTER REPAIR DEMOLISH SQ.FT. Jam'` -•� NO.OF NO.OF SIZE /J� 2-o .STORIES FAMILIES USE OF STRUCTURE /-R 7-;Ce 7e ,g V'vi0 - ✓, . ;gZrA1B77-n? Wlrft MPI Lf GJ/-//) APPROVALS U•(/'C� , SIGNATUR v , APPLICA T < C DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION _FORMS.MATERIALS y� / -1/y/,TiLf� (/f'�(' D✓ �� FEEP.0 $ FRAME: G. BOLTS 1.1 FEE BRACING. BOLTS O VALUATION $ FURNACE: LOCATION. ' FEE GAS VENT,DUCTS - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- `' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH,INT. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND - r STATE LAW REGULATING BUILDING C NSTRUCTION. LATH,EXT. _ Q`\ OUSE NUMBER COR_- SIGNATURE O 1: \�� o -� PERMITTEER-��-,7�r/ rrr vvvsss'1 C<. RECT AND POSTED '' rd ADDRESS�O O �. t ivti.-,��J !L � FINAL /O-2-3Jo (ir'►/rl' � CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL NEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M CASH' ' f. o''2 4,7-7Y, `o J: 2 1 'A ®�. - WORKERS'`COMPENSATION DECLARATION Hereby affirm that I haves a certificate of consent to self AP P L I CAT I•O N F O R. .Q U I L.®I N G PERMIT �} sure,tonr a certificate of Workers' Compensation Insurance, or a ceri7ri ed copy tliereof (Sec. 3800, Lab. C..) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING SU ADDRESS r ( (L ❑ Certified copy is filed with.the'county'building inspec, BUILDING tion department. ADDRESS 6 0 5_0 ofq U A tivc- / Date Applicant CITY '— LE• G • ` v ZIP T LOCALITY ' CERTIFICATE OF EXEMPTION FROM WORKERS'. NO. OF'BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.' (This section need not be completed if the permit is for one IZ.Oo ASSESSOR 1 hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL OWNER _ TE `L-y USE ZONE MAP I certify that in the performance of'the work for which this' �� 'S L � 1 NO. permit.is issued, I shall'not employ any person in any manner SPECIAL . so as to become'suibjject to the Workers'.Compensation Laws. ADDRESS [r I CONDITIONS O Date— !7 -&LAppltcant� -M fSTQK L:E1 K=4TTShTY i L i'.. ZIP. f7 'f�.- NOTICE TO APPLICANT: if, after making this,Certificate,'of ;ARCHITECT OR BEL- DISTRICT GROUP TYPE FIRE PR CESSED BY O Exemption, you 'should become subject to' the•Workers' ENGINEER NO. `L G•r CON T. ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS ` '� / / W with•comply'with such provisions or, this permit shall be TEL O-' STATISTICAL CLASSIFICATION APT. NDO. - N deemed revoked..- CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO. 'DWELL. UNITS — I heieby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY : e G Z CLASS VALIDATION. SQ. FT. NO. OF NO. OF CHECK BK. PG. License Number Lic..Class ' SIZE (� STORIES FAMILIES ONE ❑ VALUATION CDate DESCRIPTION OF WORK NEW ontractor ,• ADD ® $ �UQ v 8 3.a 8 A ❑ _T R 01f9 hd I am exempt under Sec. ALTER # o 0 0 o t0 it B:BP.C. for this reason USE OF REPAIR ❑ $ ] Q Q Date: EXISTING BLDG. DEMOL ❑ Signature APPLICANT V-ATSAK�� FINAL 0 0 0 7 8 0 0'0 PRINT 6 DATE OWNER-BUILDER DECLARATION I K S N �L 3 I 1'y1 $ 8 7 I hereby affirm that I am exempt from the Contractor's License �� Law for the following reason (Section 7031.5, Business and ADDRESS OS N• tit SVG` T. G! FINA Professions Code)' PRESENT /' B BUILDING�6Oho N. Lo/f f/ r ffi I, as owner of the property; or my employees with ADDRESS wages as their sole compensation;will do the work and � C, the structure is not intended or offered for sale(Section, LOCALITY- -'7044,Business and Professions Code). '. MOVING TEL. �• I, as owner of the property, am exclusively contracting PADDR NO. with licensed contractors to construct the project (Sec- - ADDRESS tion,7044, Business and Professions Code). , YARD HWY. TOTAL SETBACK FR s''} CONSTRUCTION LENDING AGENCY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency foi the performance of the work for which this permit is issued (Sec. 3097;Civ. C.). - Lender's Name LDMA Ref. # Permit Fee so. Lender's"Address 3 o I certify,that I ,have read this application-and•state:that.the Issuance Fee O J LDMA P/C# o above information is correct:I agree to comply with all County Investigation Fee ordinances and State laws relating to,building construction, 0 9 Total'Fee LDMA`,Perm # ' ,:1 t L, ;• , and he authorize representatives of this County 4o enter upon the,above-mentioned propertyfor inspection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature ol Applicant or Agent - Date '- • - .- ' 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 0206050022 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 374 SQ. FT STORIES TYPE 6050 LOMA AV STRUCTURE: VN TEMP CA 917801925 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBLADI 5384-013-012 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY 1'ENAiv'i: EXIST BLDG USE: RES1U - USE ZONE: R=1I -ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/05/02 JK 12/02/02 OWNER: TEL. No: BLDGS. NOW ON LOT: - VALUATION: FINAL DATE dF NAL BY: CODE: KATSAROS THEMISTOKLES N;KIRIAKOULA 6,175 �_2-nZ 6050 L.OMA AV _ TEMP 917801925 FEES PAID DESCRIPTION OF WOR T/C; INSTALL 1/2" CDX PLYWOOD & 40YR CLASS A COMP SHINGLES _ APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DAVID KEENAR (626) 334-8866- AA BLDG PERMIT ISSUANCE 27.75 686 S ARROYO #271 AC STRONG MOTION RESID 6175.00 VAL 0.62 SPECIAL CONDITIONS: PASADENA 91105 D2 PERMIT W/O EN-HC 61.75.00 VAL 166.20 TOTAL FEES 194.57 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WORLDIS BEST ROOFING (626) 796-8550- 686 SO. ARROYO PARKWAY LIC. NO LOCATION AND SETBACKS #271 726379/C39 PASADENA, CA 91101 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO:, SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 01 FLOOR SHEATHING NO. OF FAMILIES: 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 fI1;E SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH - RWFED FLOOR/C IL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508