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