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HomeMy Public PortalAbout6205 LOMA AVE_Building__ 76A638A CE0803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF-:LOS ANGELES BUILDING DEPARTMENT'•OF COUNTY ENGINEER ADDRESS 'BUILDING AND SFETY% DIVISION LOCALITY• G , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM,A.-JENSEN, SUPT OF BUILDING r_ CROSS ST. - DISTRICT'-NO. G•, TYPE B " FOR.APPLICANT TO •FILL IN coNsr: BUILDING STATISTICAL CLASSIFICATION WER MAP- - - BK PG ADDRESS /� _ .;. .CLASS. NO.��DWELL. UNITS ,. LOT NO / ".'P 16 .t CK�ir"L / WATER CERTIFICATE: NOT REQUIRED a.. RECEIVED r. ' . ';� TRACT - MAP HIGHWAY STATE MAJOR SECOND :LOCAL G� NO: OF BLDGS.,A NO. (CIRCLE) �y r ' SIZE OF LOT 7 Q NOW-ON LOT /IAL /U Al USE ZONE —CONDISPECTIONS ONS E,SDL.C/ •. -Qq' O� 4 "USE,OF _ _ EXISTING BLDG. TEL. OWNER ,/L/` h - NO BU LDING. ^! EXIST. (7 SETBACK` YARD/ HWY - STREET NAME, WIDTH ADDRESS `�.� - .,Q `• es�/i%L�" .e� ! FRONT, ARCHITECT OR �d TEL. / _ P. L.: (� ENGINEER ., i/ r�•.. NO. 7' �`? O- SIDE ' ADDRESS. • 7 / e&S!Or. ' /� TEL. [ O CONTRACTOR /. (,=pq✓C.. NO. ADDRESS d• /YL moi/N /47!/�. •. ;. - 0 0 DESCRIPTION OF WORK CL -." NEW ADD ALTER REPAIR 'DEMOLISH z Ll L9 SQ. FT.. /��� - NO. OF. NO. OF.,t. -tr, r; SIZE A STORIES FAMILIES'/ AND.PARKWAY TREr^, I,,� � Ul!'cD STRUCTURE � r�. S/ w /Y C.I� J l / of- P I---�" A� r. `fGG C9ir1/�/� a,of .Ch l afAi e,I..ns ! - way aporoa h 3, ! x SIGNATURE OF L'O -' n,..c APPLICANT '_•' n rnea; C--;it .I �,1:` /y ale.gf)y, a urve , iY i� order i� VALUATION $.� QV .. Yn 1 I It Is OOf bfi 00 - A @been vs,,. EfAl- - / �5 SIGN TURE P.C. �_.✓ .. . F ON: LOCATION ® / PMT. • ,C�+°. FEE $. Q v - FEE $/(/ FORMS. MATERIALS FRAME: FIRE STOPS. ,rte I HEREBY ACKNOWLEDGE THAT I HAVE READ TH IS 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,- - '- A $ '^""'•- -TION OF THE LABOR CODE.OF THE STATE,OF C/p/�IFORNIA RELAT-i LATH. INT. - a '•.. .ING TO WORKMEN'S OM/P�ENSATIIOOONN INSURANCE.,y / '-Z(J:Gb OFY SC;S'�C LATH. EXT. a ~ SIGNATURE OF HOUSE NUMBER COR: PERMITTEE� RECT AND POSTED -ADDRESS^'j�"r ' A-/ Ceti.•'.c �. f1 - FINAL s JOHN F. LEWIS. PRINCIPAL SIR10C NURAL.ENGINEER -' PLAN CHECK VALIDATION cK. M;O. CASH PERMIT VALIDATIO CK. M.O. CASH �,.8.4s6 .a ,EnY.l ,d.? 3- 3 5,. 0i LKLo'9, 3 4 7` JUN 9 .'2 D 10 650, .. WORKERS' COMPENSATION DECLARATION insureboraafcertifcirm arteofWokesflCompensatoificate of neInsuranef APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) - - Policy N69-3z/0 / COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS 02 t K7 . Cerfified copy is filed with the county building inspec- BUILDING tionde*p7acrt�ment�J ADDRESS < Date O✓�/ApplicaL Cly ZIP CITY, ��- ZIP�iOMA �0 LOCALITY CERTIFICATE OF EXEMPTION FROM. R S' -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 ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL L. USE ONE MAP I certify that in the performance of the work for which this OWNER N0. — NO. permit is issued, I shall riotemploy cm person in any manner r SPECIAL so as to become subject to the Work s'Compensaii aws. ADDRESS ' CONDITIONS CITY �( ZIP Date 'Pt Applicant 4A, ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makin is rtificate of DISTRIC/{/T GR UP, TYPE FIRE PROCESSED BY Exemption, you should become subject to t e Workers' ENGINEER NO. ( CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS " V with comply with such provisions or this permit shall be deemed;revoked. TEL ,y STATISTICAL CLASSIFICATION APT. NDO. g CONTRACTO /C/°/' / O LICENSED CONTRACTORS DECLARATION �.,• LIC.- CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSC �T NO. (commencing with Section 7000)of Division 3 of the Business and LIC. ,p SEWER MAP Professions Code, and my license is in full force and effect. CITY iso CLASS L '—� BK VALIDATION /y SQ. FT. }p NO.OF NO. OF CHECK License Number ` /7 Lic.Class SIZE STORIES FAMILIES ONE VALUATION ContractorV✓�/�-�///71�/� Date DESCRIPTION OF WORK _ Q/ l/l� NEW ❑ $ ❑ ADD ❑ l/C�� ' I am exempt under Sec. - �7 ❑ ALTER B.BP.C. for this reason— REPAIR $ Date: USE OF DEMOL EXISTING BLDG. ❑ Signature - APPLICANT TEL. FINAL �/ INNER- LDE ECLARATION (PRINT) NO. DATE `C I hereby affirm that I am exe from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINL 2689.1 A Professions Code): PRESENT BY ❑ BUILDING # 0 0 0 0 0'1 I, as owner of the property, or my employees with ADDRESS I., as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' ?(.° 1 0 6,1 3 , 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. ° ° 1 0 6„1 3 v . with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). Q 4,2 2=8 7 CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAPREOTPAINEFROM WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee v ' t .I certify that I have read this application and state that the Issuance Fee LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee f 0 ordinances and State laws relating to building construction, u and her y authorize representatives of this County to enter Total Fee LDMA Perm. # upon th above-mentioned perty fo=nspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignatu o Appl' t 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.`0508'0604180022 - PHONE: (626) 285-0488 EXT: -LEGAL ID: - - .NO. OF CONST "- BUILDING ADDRESS.,-.,.;t BK: 6 PG: 91 . PC: 1 SQ. -FT STORIES .TYPE 6205 `LOMA AV ' - 'STRUCTURE: 181 - VN - TEMP CA 917801635 `ASSESSOR INFORMATION NUMBER:- . NEAREST ,CROSS STREET ..53.84-01-0-026 i ' NEAREST 5967GRID:,'H2--' LOCALITY,•,7EMPLE..CITY, C TENANT: - 'EXIST BLDG USE: RESID USE ZONE: R-1 ' ISSUED ON.: PROCESSED BY: EXPIRES ON: - . . :EXIST OCC GRP: - 04/18/..06 - JK 04/13/07 OWNER: - - 'TEL. NO: - BLDGS. NOW ON LOT: _ .w r4. VALUATION: FINAL DATE FINAL BY: CODE: CHAN, KEILUNG (626) 780-5608- '�' - '`5,,;800 6205 LOMA.AVE -_ 'TEMP 91780741.5 «' •• h FEES' PAID DESCRIPTION OF WORK - s_. 181'S.F. PATIO ENCLOS E ON REAR OF SFD ICBO #3190- - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT.: APPLICANT: TEL. NO: BLAS., MARCELO (909) 594-7547- AA BLDG PERMIT ISSUANCE 27.75 786 PINEFALLS AVE AC STRONG MOTION RESID 580.0..00 VAL 0.58 SPECIAL CONDITIONS: WALNUT, CA 91789 AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 5800.00 VAL 149'-.40 . TOTAL.FEES 232_.43 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE 'WEST COAST CUSTOM ROOMS (909) 594-7.5477 - 786 PINEFALLS AVE _ LIC.'-NO LOCATION AND SETBACKS 'WALNUT CA 91789 '471619BHIC F`"e `�� ate`•`"`'�� E�_ _ -.. ' SOILS ENGINEER APPROVAL ' ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: - i - SLAB/UNDER FLOOR - RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX - 3 - 01. - FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: 'STAT CLASS: .. - NO- '21 ROOF SHEATHING SCHOOL WITHIN_ HAZARDOUS i SHEAR PANELS - AIR QUALITY: 1000 FEET MATERIALS .NO NO NO I FRAME INSPECTION - REQUIRED TOTAL SETBACK FROM EXIST EIRE SPRINKLER HANGERS SETBACK YARD: HWY: "PROP LINE: "WIDTH: FRONT PL- INSULATION/WEATHER STRIP - SIDE PL- INTERIOR LATH/DRYWALL r EXTERIOR LATH RATED FLOOR/CEIL ASSEM. - - RATED WALL 'ASSEMBLIES , .RATED SHAFTS/OPENINGS .T-BAR CEILINGS LOTDRAINAGE - - . 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 0607170035- -" - PHONE:- (626) 285-0488 EXT: - .. - LEGAL ID: - NO. OF CONST - - BUILDING ADDRESS: _ BK: 6 -PG: 91PC:' 1 'SQ. FT STORIES TYPE6205 LOMA AV - 'STRUCTURES: '26 --" VN - - TEMP. CA 917801635 `?y ASSESSOR INFORMATION.NUMBER: - NEAREST CROSS STREET: 5384-010-026 - - - •. THOMAS.PAGE: 5,96 GRID: H2 LOCALITY: -TEMPLE CITY, C. TENANT: - - - EXIST BLDG USE: RESID 'USE-ZONE.: R-1 ' ISSUED ON: 'PROCESSED BY: EXPIRES'ON:. 'EXIST .00C GRP: ';r" 07/17/06 JK 07/12/07 OWNER: _ TEL. NO: BLDGS.. NOW'ON-LOT: - VALUATION: FINJL D TE - FINAL.BY:-- CODE: CHAN, KEILLING '(626) 285-7739- 6.,000 -' - '- -- .6205 LOMA AVE.. - TEMP 917807415 FEES PAID _ DE CRIP ION OF WORK - - REMOVE EXISTING CAL. SHA INSTALL YEARS COMPOSITION FEE DESCRIPTION: a QUANTITY: UOM: AMOUNT: SHINGLES - APPLICANTS, TEL. NO: - - DIAMOND ROOFING SYSTEM, INC. (909) 629-7571- AA.BLDG.PERMIT ISSUANCE 27.7,5 : ( 1128'. PRICESTREETAC STRONG MOTION RESID -6000.00 VAL .0.60 . SPECIAL CONDITIONS: - - POMONA,-CA91767 D2 PERMIT.W/O,EN-HC 6000.00 UAL. 149.40 - TOTAL FEES 172.,75 CONTRACTOR: TEL. NO: - APPROVALS, DATE - INSPECTOR SICNATURE DIAMOND ROOFING. SYSTEM, INC. (909;) 629-7571- .t 1128 PRICE ST - LIC. NO LOCATION AND'SETBACKS POMONA,• CA 91767 - N/A * • - 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 153H265 - 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 _ _ ., FIRE-SPRINKLER HANGERS' , -SETBACK 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 ALL-:ASSEMBLIES.RATEDSHAFTS/OPENINGS • - - T-BAR-'CEILINGS - - - * ADDITIONAL.DATA ON FILE -. _ SLOT`DRAINAGE 'REPORT ID: DPR261 ROUTE TO: BS0508 - - COUNTY OF LOS ANGELES TEMPLE CITY. # 0508 - BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1311200061 PHONE: (626) .285-0488 EXT: _ (LEGAL ID: I NO. OF CONST NEW I' BUILDING ADDRESS: IBK: 6 PG: 91 PC: 1 1 SQ. FT STORIES TYPE OCCUP GROUPI 6205 LOMA AV I (STRUCTURE: 210 1 V-B R-3 I TEMP CA 917801635. - IASSESSOR. INFORMATION NUMBER:,. _ I GARAGE:' 1 NEAREST CROSS STREET: 1 15384-010-026 OTHER: I THOMAS PAGE: 596 ' GRID: H2 LOCALITY: TEMPLE CITY CAI I I (TENANT: IEXIST BLDG USE: PHOTO 11SSUED ON: PROCESSED BY: IEXIST OCC GRP: R-3 1,11/20/13 SR _i I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFIN,AL D TE FINAL CODE: I ICHAN, LOUIS (626) 780-5608- 14,000 `y / 2 " 16205 LOMA AVENUE 112 � ' / ITEMP 917807415 FEES PAID IDESCRIPTION OF WORK I I ( (SOLAR PV SYSTEM 3.78 KW 14 PANELS I __1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I BERANICH, JUSTIN - 1AA BLDG PERMIT ISSUANCE 27.80 I IAB STATE GREEN BLDG FEE 14000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 1 IAC STRONG MOTION RESID 14000.00 VAL 1.40 1 IP1 RES PV PC,10KW 153.90 I I I IP2 INSPCT RES PV 11OKW 138.00 (CONTRACTOR: _ TEL. NO: I TOTAL FEES 322.10 1APPROVALS DATE INSPECTOR SIGNATURE ISOL FUSION INC (805) 924-2386- 120750 VENTURA BLVD LIC. NO I. ILOCATION AND SETBACKS ISTE 430 980873 1 I I - IWOODLAND HILLS CA 91364 ISOILS ENGINEER APPROVAL I I I ! I I I I (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I 1 LIC. NO: I ISLAB/UNDER FLOOR I I 1RATSED„FLOOR FRAMING I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION 3 00 IFLOOR..SHEATHING INO. OF FAMILIES: DWELLING UNITS: •APT/GOND: STAT CLASS: 1I 1 NO 20 IROOF. SHEATHING I I I I I ! I I I 1 SCHOOL WITHIN HAZARDOUS I ISHF.AR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS - I NO NO NO I IFRAME INSPECTION I I I I I I I I I I IFIRE SPRINKLER HANGERS I I I I IINSULATION/WEATHER STRIPI I I I IN'T_'ERTOR LATH/DRYWALL I IEX_'ERIOR LATH I 1 I I I RATED FLOOR/CELL ASSEM. I (RATED WALL ASSEMBLIES I I TED SHAFTS/OPENINGS i IT-PAR CEILINGS I I I I - ILOT. DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I 1 I