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Home My Public Portal About6141 LOMA AVE_Building__ 76Ae38A CEWO3 9-68 0-PLICATION F�rORI UILDING PERMIT IL'I COUNTY OF LOS ANGELES DO DING DEPARTMENT OF COUNTY ENGINEER DDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO ROUP CONST�T PROCESSED BY (Print or type only) Q BUILDING _ STATISTICAL CLASSIFICATION EWE MAP ADDRESS CLASS NO. a DWELL,UNITS BK,,-, PG '7 LOT NO BLOCK USE ZONE MAP NO O TRACT Q SPECIAL NO.OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. -?�C.cQ BLDG SETBACK FROM TEL FRONT PROP.LINE OF' Ste' (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L ADDRESS CITY BLDG,SE BACK FROM ARCHITECT OR TEL. SIDE PROP LINEOF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL - ADDRESS HIGHWAY WIDTH FROM C.L. ' CONTRACTOR •� T + = C C: LIC. ❑ ADDRESS �G�vQln NO. .;-Y"�'3 CORNER CUTOFF YES NO C CITY, X LA CSS SEE REVERSE SIDE FOR SPECIAL APPROVALS 4 CONSTRUCTION LENDER CL NAME AND BRANCH %/ a ADDRESS SQ FT NO OF NO. OF NEW SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE O ALTER ❑ SIGNATOR REPAIR 67 El APPLIC yy( DEMOL ❑ VALUATION $ 17ePO APPROVALS DATE INSPECTOR'S SIGNATURE FE PMT. 2 FOUNDATION: OFORMS I MATERIAAL ION FEE $ FEE $ ,� !9 FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TI ONI CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 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 r-� LATH, EXT. SIGNATURE OHOUSE NUMBER COR_ PERMITTEE- RECT AND POSTED ADDRESS 3 �i FINAL I PLAN CHECK VALID TION CK Mo CASH .JOHN F LEWIS PRINCIPAL ST RAL ENGINEER PERMIT VALIDATIO CK )M O CASH C A%_6_38B_,,--, `�PPUC�+�I l0Nl FO BUILDING_PERM � - COUNTY 6F—LOS ANGELES BUILDING � v DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST , COLEMAN W JENKINS.SuP T OF BUILDING CROSS ST It. DIST T NO GROUP TYPE PRO ESSED BY/ ^, FOR APPLICANT TO,FILL IN " coNST BUILDING r STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 61 j Q, ��M �— / . N. CLASS NO _DWELL UNITS BK LOT NO BLOCK USE ZONE MAP NO G� TRACT QL - SPECIAL •- yy ;NO OF BLDOS CONDI I N SIZE OF LOT �p 1� � � -N.WfON LOT• 3 ~ USE OF / I,/GjIV �l /P�Z PI• -- • L I � BLDG. SETBACK FROM ' I' - ? TEL _ FRONT PROP. LINE OF t�'(adET) OWNER AlL N NO f3 - A� TYPE OF EXISTING SETBACK HIGHWAY YARD - NOTAL• ADDRESS 1"(. Nr �v/►1 /7 + HI WAY 'FROM C�L a CITY 7----M P4 ARCHITECT OR TEL • BLDG SETBACK FROM - L ENGINEER NO SIDE PROP LINE OF (STREET) ` TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL >_ADDRESS HIGHWAY WIDTH FROM C L d • TEL + _ • 0 CONTRACTOR NO ,- ADDRESS'•! � - 1 NO - • 't�' CORNER CUTOFF YES E LIC NO � O s Y -" cL SEE REVERSE SIDE"FOR SPECIAL APPROVALS DESCRIPTION OF WORK • '` `� �,�� ,� (^��• �� Z 1 NEW A D � - y ALTER REPAIR DEMOLISH SQ.FT. NO OF NO OR A 912E O -STORIES FA4(LIES � I� -ai �AC/ h /J� USE O F 7 ��j �jq •S T U C T U R E �•-� .i7•�7�-v7'v l La'-� �-) T� All, �- SIGNATURE-OF'� " , �'�/4 •J / a `D'I� `�,$ VALUATION$ .O,Q;Q�� @ APPROVALS ` DATE INSPECTOR'S SIGNATURE P.C. .d 00• y PMT ,� , FOUNDATION, LOCATION FEE$ '.! _ FEE$ FORMS, MATERIALS _ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE!READ THIS APPLICATION BRACING BOLT AND*STATE'THAT THE ABOVE ISI CORRECT AND AGREE TO COMPLY I FURNACE: LOCATION WITH ALL COUNTY ORDINANCES'-ANO STATE LAWB, REGULATING GAS VENT. DUCTS 9U ILDING4 CONSTRUCTION I CERTIFY THAT,IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON`IN VIOLA LATH. INT F - - ` TION OF THE LABOR CODC OF THE STATE OCALIFORNIA LAT• ING TO WORKMEN'S,COMPENSATION INSURA NC 1� LATH EXT. ' SIGNATURE-OF i��j/fJ�I.J / HOUSE NUMBER COR- PERMITTEE /�L�'L� _ RECT AND POST D ADDRESS �� / F I N A L JOHN F. LEWIS. PRI CI AL STRUCTURAL ENG! ' R PLAN CHECK:VALIDATION•r� CK M O CASH PERMIT VALIDATION CK Mo ABH LAL6 7. 2';1,"3 u�o' :NOV 9 .2 3 D", 1 1•.0 0~ r cQ y° 7-2 1 4- NOV 9 1 D 2 2.00 �bA838A �#ftQ3�B-E!4 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING _ DEPARTMENT OF COUNTY ENGINEER ADDRESS � T BUILDING AND SAFETY DIVISION — L O C A LI T Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST- { COLEMAN W JENKINS,SUP•T OF BUILDING CROSS ST DERDISTRICT N_O GROUP TYPE PIRQC D'n� FOR APPLICANT TO FILL IN .' V~ I-L f CONST BUILDING �']'''` STATISTICAL ASSI'FICATION SEWER MAP_ ADDRESS 61-1-1 I-V, N�X, /VJ .&_ CLASS NO DW ELI 'UNITS BK --PG%^ ' LOT NO BLOCK USE ZONE MAP NO TRACT �— �� SPECIAL - - y CONDITIONSTRA - •LOT Q / NO OF BLDGS s NOW ON LOT USE OF $'TC�9? IST N J L00 SETBACK FROM EL PONT PROP LINE OF (STREET) OWNER �yI NO TYPE OF EXISTING. SETBACK HIGHWAY - YARD = TOTAL _ ADDRESS-1/ell/�' / L-/��•� HIGHWAY I TH 'FROM C L - / �. .Lac.4 L. .�`D1 , � - .�� + ,26 . CITY .� f+ �Ir ' BLDG SETBACK FROM - ARCHITECT OR TEL ENGINEER NO SIDE PROP LINE OF - (STREET) ' TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS _ `HIGHWAY WIDTH- - FROM C L OL .�, NO - - + — OU CONTRACTOR , LIC ADDRESS NO CORNER•C UTOF�F '�Y ES, NO w 4 LIC - .__ t .z7a• = .7 ">< CITYCLASS 'SEE REVERSE'SIDE,FOR SPECIAL APPROVALS , Li DESCRIPTION OF WORK '1/040— '4744"?, �,1 " NEW ADD ALTER REPAIR DEMOLISHdd f SQ.FT NO OF _ NO .OF � - .vs+1-f �'_a�•a��,K4?= )'1 AAlA/ SfZ-E �!X-iSs STORIES _ -• FAMILIES -USE OF S T R U C T UREA L M5v.•�e � ffr jr VALUATION APPROVALS DATE INSPECT SSIGNATURE FOUNDATION, LOCATION F E$ FEE$ FORMS, MATERIALS _ FRAME, FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG 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�ALIFORNIA RELAT- ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE OF �_�y✓✓ ,� fi� / HOUSE NUMBER COR- ' PERMITTEE REq T AND POSTED ADDRESS F I N A L LEWIS, PRINCIPAL PLAN CHECK VALIDATION CK M O CASH _ JOH PERMIT VALIDATION STRUCTURAL TURM O EN CASH "A 2 2 � ( �� 3 1 0 1 i.50- • .r .. APPUCAMON FO*R BULDNIG P'ERNT COUNTY OF•L'OS'ANGELES BUILDING•AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILgING ADDRESS BUILDING ADDRESS ( ��^ I hereby affirm that I have a certificate of consent to self Insure, /; '� W/'1� � , or a certificate of Workers Compensation Insurance,or a certified `t' copy thereof(Sec 3800,Lab C) CITY-TEMPLF— i�`l ZIP n I� (�p LOCALITY Policy No Company SIZE OF L T q �(TJ `(1 NO OF BLDGSS NOW ON LLJOT El Certified copy Is hereby furnished X I `Cl NEAREST CR SS ST ❑ Certified copy Is filed with the county budding Inspection TRACT BLOCK LOT NO department 0�5 USE ZONE MAP NO /J Date Applicant ASSESSOR MAP BOOK PAGE PARCEL I�uQ ff 7n�—/1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER `'� ( , Th 'l V COMPENSATION INSURANCE ' M WITHIN 1000 FT OF SCHOOL?- YES No (This section need not be completed If the permit Is for one hundred ADDRESS 6 1 4 1 N _ �_ o vvk , �V R DISTRICT GROUP TYPE CONST FIRE ZONE " PROCESSED BY ' dollars,($100)or less) , CITY ZIP t I certify that In the performance of the work for which this permitis Issued, I shall not employ any,person In any manner so as to ARCHITECT OR-E IN R TEL NO �J become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO -9—z DWELL UNITS NOTICE TO APPLICANT If, after •making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CONTRACTOR - - TEL NO i Q�/�` SET BACK YARD, HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you,must forthwith �� 1 O� 1 0`� I FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L SIDE 1 LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L I hereby affirm that I am licensed underprovisions of.Chapter 9 (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES SEWER MAP NEW ❑ BK PG Professions Code,and my license Is in full force and effect License Number LIC Class DE IPTION OF WORK ADD ❑ VALUATION a Contractor Date ' tlpap ALTER El $ "� O vJcc llnc�t�VAS S z4 REPAIR OO ❑ I am exempt under Sec T1 1 L B&PC for this reason Y -r HCl` `� ' SF�9��f00P� DEMOL ❑ LDMA P/C# W "Date USE OF EX TING BLDG - URM ❑- - Z a Ignature APPLICANT(PRINT) TEL NO _ LDMA Perm# - �, Z NJ 1, as owner of the property, or,my-employees with wages as M Z �_•�•I "$ their sole compensation, will do the work and the structure Is ADDRESS not Intended or offered for sale (Section 7044, Business and FINAL DATE / Q ) - Professions Code WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL tl l OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _ ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY f 5 3 licensed contractors to construct the project (Section 7044, i E_i-[�i� ��__a a .,�0 Business and Professions Code) YES❑ No❑ t�, T _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING '.j�j i_ 10 5.+.."jJ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR n To GUIDELINES CHANGE, , I hereby affirm that there Is a construction lending agency for YES❑ NO❑ N the performance of the work for which this permit Is Issued(Sec HAVE READ THE HAZARDOUS MATERIALS INFORMAT ON GUIDE AND THE SCAQMD PERMITTING N3097,CIV C) _ CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE ♦ �+. 1'u- f�`F`I)-I iii I j ' 'y •! '1 f i�jl' TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD o Lender's Addressf OWNER OR AGENT ` r 0 1 certify that I have read this application and state under penalty O of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE o with all county ordinances and State laws relating to building v/ m constructio and he Ky authorize representatives of this County ISSUANCE FEE (0 to enter n thea menti ed property for Inspection i purpose g, p((p _ � INVESTIGATION FEE TOTAL FEE Sgn a of mor Apent Dote SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES . BUILDING AND SAFETY Y .WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIL//L�VqJNG ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS -/ ""� or a certificate of Workers'Compensation Insurance,or a•certified 6 / �'d _ v - . copy"thereof (Sec 3800,Lab C) CITYJ_ _ ZIP •- - �M G� G� � � � � LOCALITY Policy No Company SIZE OF LOT NO OF BLDGS NOW-ON LOT ' ❑ Certified copy IS hereby-furnished a NEAREST CROSS ST. ❑ Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO . ASSESSOR MAP BOOK PAGE PARCEL Date Apphca�i. SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER - _ TEL NO COMPENSATION INSURANCE I fI CHAN PR,4 WITHIN 1000 FT OF SCHOOLS YES No (This section need not be completed if the permit is for one hundred ADDRESS C'�..�// DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100) or less) - .5 CITY ZIP I certify 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 - ' become subject to the ARCHITECT OR ENGINEER TEL NO Workers'Compensation Laws 4� STATISTICAL CLA 71C ION APT CONDO Date Applicant , ADDRESS - - - CLASS NO DWELL UNITS NOTICE TO- APPLICANT If, after making this,'Certificate,of REQUIRED- TOTAL SETBACK FROM EXIST Exemption, you should 'become Subject to the Workers', CONTRACTOR - TEL NO SET BACK YARD 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 P L LICENSED CONTRACTORS DECLARATION PILE CITY LIC CLASS - PL 1 hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and _ SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license is In full force and effect NEW ❑ BK PG D a License Number Lic Class DESCRIPTION OF WORK ADD VALUATION - rN 0 Contractor Date E]ALTER $ 0 0 v" U PAIR ElaREElI m exempt under SEC _- B&PC for this reason DEMOL ❑ LDMA P/C# V W Date - USE OF EXISTING BLDG URM ❑ �, - a CO Signature APPLICANT(PRINT) TEL NO LDMA Perm# i-'t' Z_ V/1, as owner of'the property, or my employees with wages as Z their sole compensation, will do the work and the structure Is ADDRESS 0 1�I-I t 15.Z.-45 c'.Z°4 not Intended or offered for sale (Section 7044, Business and FINAL DATE � Q � ymp • rofessions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �� l J _ _ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE (� {6 old I, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY [t � ' 5-Z 45 licensed contractors to construct the project (Section 7044, YES 11 NO❑ - 1 Business,and Professions Code) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPUCANT OR FUTURE BUILDING - _OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGE I�I CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDEUNES I hereby affirm that there Is a construction lending agency for YES❑ NO❑ _ ( w the performance Of the Work for Wf11Ch this permit IS ISSUed(SEC IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTING7-t O 3097,CIV C) CHECKUST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a 0 - �_ TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD - __ Fi + °°I'•: a. Lender's Address OWNER OR AGENT O o I certify that I have read this application and state under penalty O of perjury that the above Information IS correct I agree to comply PC FEE PERMIT FEE /� O o with all county ordinances and State laws relating to building a) constructio , and eby authorize representatives of this County ISSUANCE FEE to enter on the ove-men ned property for Inspection purposes �_ � _ INVESTIGATION FEE TOTAL FEE m /S! J Sgriewre of AppLgnl Agent Det. ' SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0506060030 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 5904 LT 253 SQ FT STORIES TYPE 6141 LOMA AV STRUCTURE VN TEMP CA 917801633 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 5384-010-018 THOMAS PAGE. 596 GRID H2 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE—R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 06/06/0S JK 06/01/.06 OWNER TEL- NO BLDGS NOW ON LOT VALUATION: ��/oDPTE FINAL BY CODE LIAO, ANDY (626) 221-8412- 250 'J�. / 6141 LOMA AV (QX TEMP 917801633 FEES PAID DESCRIPTION OF WORK REPAIR DRYWALL KITCHEN FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 250 00 VAL 0 50 SPECIAL CONDITIONS- B2 PERMIT W/ENERGY 250.00 VAL 48 02 FR INV WORK W/0 PERMIT - 257 00 DOL 257 00 TOTAL FEES 333.27 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 FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK. PAGE FIRE ZONE CMP UNDEP LOOR INSULATION XX 3 01 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 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