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Home My Public Portal About6218 LOMA AVE_Building__ WORKERS'COMPENSATION DECLARATION hereby affirm thaw I have o certificate of cion Int To, self - APPLICATION. FOR BUILDING PERMIT insure, or a certificate of Wo�{cers'Compensation Insurance; or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES. BUILDING AND SAFETY Policy No. Company Certified co is hereby furnished. BUILDING ❑ copy y FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING I �/ y� n tion department. ADDRESS (J f of &LtLOCALITY ef-I` f nf.di NEAREST Date Applicant CITY -pyzip CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' y( NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT /� NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one �1 L� USE ZONE MAP hundred dollars ($100)or less.). TRACT -C BLOCK �(/ V LOT NO. /p NO. T ) SPECIAL I certify that in the performance of the work for which this OWNER CONDITIONS 9L permit is issued, I shall not employ any person in any manner / Q I�y�,� /� ISTR T GROUP TYPE FIRE PROCESSED BY O so as To become sub est To the ork rs'/C/o�mpenfsation Laws ADDRESS (%� D lV• l/IJ!y`!/� /�Jy�i/f/� CONST. ZONE U JD-t e Applican C�;�"� �`'^' CITY ZIP %l �a" STATISTL C SStFICATION APT, CONDO. ARCHITECT O TEL. /� y� NOTICE TO APPLICANT: If, after making this Ce icate of ENGINEER NO. ��' LU LU Exemption, you should become subject to the Workers' YY II!` ,(�p,� (� ,, CLASS NO. DWELL. UNITS Compensation provisions of The Labor Code, you must forth- ADDRESS r AJ�e,� 1"�v� NQ10, J�'- SEWER MAP � with comply with such provisions or this permit shall be deemed revoked. TEL. VALIDATION CONTRACTOR Q p NO. BK PG LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LUATION (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 SQ. FT NO. OF ( NO. OF CHECK License Number Lic.Class SIZE _ STORIES I FAMILIES ONE #+C, d O Contractor Date DESCRIPTION OF WORK be ` NEW ❑ $ 1 ] O,91 ❑ I am exempt under Sec. OrlQ— cn I ' M .ADD o 1 `' E.C 1 '0 ALTER ❑ FINAL B.BP.C. for this reason REPAIR E] DATE ✓ ( 1, 15-83 Date: USE OF DEMOL FINAL EXISTING BLDG. �M /1 /� ❑ BY Signature APPLICANTQf)tl gDm r'�mm�l v NO OWNER-BUILDER DECLARATION PRIN/T�� rt� L I hereby affirm that I am exempt from the Contractor's License ADDRES3�C I (\ q //pp� //��,�Cll `- F 75 3 A Law for the following reason (Section 7031.5, Business and I>'T AI e l( t Vr1 r essions Code): PRE NT ;r oto 1-1 BUILDING /, as owner of the property, or my employees with ADDRESS .[([ I �(! /wages as their sole compensation,will do the work and ✓/" G . o, 2 ) the structure is not intended or offered for sale(Section LOCALITY /// 7044, Business and Professions Code). MOVING TEL. = o 0 3 7, 2 9 6 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 02.07-84 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ' 8 7 5 A REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ► I hereby affirm that there is a construction lending agency for FRONT `. o•o o 0 o 1 the performance of the work for which this permit is issued P.L. I ' • (Sec. 3097, Civ. C.). SIDE 12'6250 n P.L. o Lender's Name i s Lender's Address P.C. Fee$' ' s Permit Fee - 2,C 7—8 'X I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee t g ordinances and State laws relating to building construction, Total Fee u and hereby authorize representatives of this County to enter upo the above-mention e property for inspection purposes. n C7�7 SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applica r Agent Date ®s WORKERS'COMPENSATION DECLARATION 7'� I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lob. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ copy y FOR APPLICANT TO FILL IN ADDRESS Certified co is hereby furnished. ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Q LOCALITY NEAREST Date Date Applicant CITY -/ �� (i[. ZIP �� CROSS ST. ' CERTIFICATE OF EXEMPTION FROM WORKERS' Vf 61 NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT n NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for oner�e�qq USE ZONE MAP hundred dollars ($100)or less.) TRACTS9014 BLOC JUD LOT N(! (A SPE CIAL I certify that in the performance of the work for which this OWNER jQFYJ n/ /1! 74 MfQr � / CONDITIONS � permit is issued, I shall not employ any person in any mannerISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS /► W �j CONST. ZO u DE Date Applicant CITY ZIP /7Vv STATISTICA CLASSIFICATION CONDO. I- NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. 21 DWELL. UNITS Compensation provisions of the Labor Code, you must forth- tH ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. TEL. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION RZ4e LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. V LUATION (commencing with Section 7000)of Division 3 of the Business and LIC. oo Professions Code, and my license is in full force and effect. CITY CLASS $ SQ. FT.t) NO. OF NO. OF CHECK poll.Number Lic.Class SIZE D STORIES FAMILIES ONE Q ❑ Contractor Date DESCRIPTION OF WORK NEW $�/ DD E] I am exempt-under Sec. �� (/` / ❑ ALTER FINAL B.&P.C. for this reason REPAIR r❑ DATE / —Z-7—� Date: USE OF /� FINAL EXISTING BLDG. 'P/)C� DEMOL ❑ Signature APPLICANT 77-' TEL. �Q BY OWNER-BUILDER DECLARATION w PRINT {7/S G.�/1LNC(�NO. ;� 7-71T 1 hereby affirm that I am exempt from the Contractor's License/Law for the following reason (Section 7031.5, Business and ADDRESS G Poo r essions Code): PRESENT 9 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 2"6 2 2 7 A ❑' I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- # 0 0 0 0 0 1 tion 7044, Business and Professions Code). ADDRESS ; • REQUIRED TOTAL SETBACK FROM EXIST. 2 0 0 4 3 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH , I hereby affirm that there is a construction lending agency for FRONT o 0 0 4 3 0 0 v the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 0 9. 1 4-8 2 FD P.L. Lender's Name P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee p g r i nces and State laws relating to building construction, Total Fee and ereby authorize representatives of this County to enter m V;ptheagbme,,toned property for inspec4on Pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Applicant or Agent Date ®s I WORKERS'COMPENSATION DECLARATION .. 444/ hereby affirm that I have certificate of consent to self A P P L CATION FOR BUILDING insure, or a certificate of Workers' Compensation Insurance, � PERMIT or a certified copy thereof (Sec. 3800, lab. C. COUNTY OF LOS ANGELES ► BUILDING AND SAFETY Policy No. Company t Certified co is hereby furnished. BUILDING v �� ❑ Py y FOR APPLICANT TO FILL IN AD RESS /s ❑ Certified copy is filed with the county building inspec- BUILDING. �w N� J�,. � Ave, _ moi. tion department. ADDRESS O !�V CLO LITY `v i a-,& �� NEAREST Date Applicant CITY-7 o- IQ `1,"—ZIP 7CRbSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' ,,J� NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 771 NOW ON LOT ,BOOK PAGE PARCEL (This section need not be completed if the permit is for one { Ft ZONE MAP hundred dollars ($100)or less.) TRACT �9d BLOCK LOT NO. V%/ /) NO. SPECIAL I certify that in the performance of the work for which this OWNER J [S Aut�L NO&fiL. 4 O / 7�� ` CONDITIONS permit is issued, I shall not empl person in any manner /„� /I/ )n DiISTRICT .GROUP TYPE FIRE PROCESSED BY O so as to become subject To the orke Compensation La*s. ADDRESS K/ /V W CONST. ZO E U Dat —�3 A licant CITY ZIP / t /� 0 PP STATISTICAL CLASSIFICATION APT. CONDO. ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this C rtificate of ENGINEER NO. - Exemption, you should become subject to a Workers' CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- try ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. r y� TEL. CONTRACTOR /U / N�12 NO. BK. PG, VALIDATION 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. Q'lJQ Professions Code, and my license is in full force and effect. CITY CLASS $ o vv , SO. FT. 2//yy OF NO. OF CHECK License Number Lic.Class SIZE "�I!O ORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW $ F-1I am exempt under Sec. � o l'tA dV ADD ALTER FINAL ,y B.&P.C. for this reason I OU, h f DATE REPAIR Date: USE OF UFINAL EXISTING BLDG. DEMOL By C.�/ Signature APPLICANT EL. �� 1 OWNER-BUILDER DECLARATION PRINT S NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS co- �. l�QY1ftA. ' EP;ofes ions Code): PRESENT BUILDING I, as owner of the property, or,my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 1 .9 8, 1 A ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS ,# 0 0 0 0 0 1 tion 7044, Business and Professions Code). I • • REQUIRED TOTAL SETBACK FROM EXIST. d o'o CONSTRUCTION LENDING AGENCY SET BACK YARD HWy PROP. LINE WIDTH , � 7$' 0 I hereby affirm that there is a construction lending agency for n,FRONT o 0 0 ] Q the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE m P.L. O`513-83 < Lender's Name Lender's Address P.C. Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee $ ordinances and State laws relating to building construction, Total Fee u eby authorize representatives of this County to enter po th above-mentioned property for inspectionpurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o pplicant or Agent Date ®t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802260046 PHONE: (818) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: TR: 5904 LT: 268 SQ. FT STORIES TYPE 6218 LOMA AV STRUCTURE: 0 VN TEMP CA 917801634 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-011-001 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/26/98 UT 02/26/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAV DA FINAL BY: CODE: CHIN GENNA (626) 963-6879- 1 2,200 J�2 �'^ I 6218 LOMA AV / vL/ TEMP 917801634 FEES PAID DE$CRI TI N OF WORK RECOVER ONLY WITH COMP SHINGLE TIMBERLINE 25YR. APPLICANT: TEL. N0: IEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MOREY CONSTRUCTION (626) 963-6879- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI.D 2200.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HG .2200:OO. VAL 99.15 TOTAL FEES 127.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MOREY CONSTRUCTION (818) 963-6879- 943 E. MEDA LIC. NO _ ' LOCATION AND SETBACKS GLENDORA, CA 91741 459367-B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - `i FOUNDATION/TRENCH FORMS LIC. N0: - SLAB/UNDER FLOOR I ' I RAISED FLOOR FRAMING i MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:l UNDERFLOOR INSULATION 153H265 3 01f FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 -f ROOF SHEATHING SCHOOL WITHIN HAZARDOUS i 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 ASS M. f RATED WALL ASSEMBLIES l RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT 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 1310230055 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 5904 LT: 268 I SQ. FT STORIES TYPE OCCUP GROUPI 6218 LOMA AV I I (STRUCTURE: 246 2 V-B R-3 I TEMP CA 917801634 1 (ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: LONGDEN I 15384-011-001 OTHER: 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I _I I I (TENANT: IEXIST BLDG USE: PHOTO IISSUED ON: PROCESSED BY: I 1EXIST OCC GRP: R-3 110/23/13 SR 1 I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN4L BY: CODE: (CHIN GENNA (626) 346-3893- 1 21,700 I /� I 16218 LOMA AV 1 I > �' l V (TEMP 917801634 I FEES PAID I EDCRIPTION dF WORK I IROOF MOUNTED PHOTO VOLTAIC 14 MODULES 3:45 KW I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1 (APPLICANT: TEL. NO: I I ICHU, JONATHAN (626) 390-5886- IAA BLDG PERMIT ISSUANCE 27.80 1 1451 W LAMBERT RD IAB STATE GREEN BLDG FEE 21700.00 VAL 1.00 (SPECIAL CONDITIONS: 1 IBREA CA 92821 IP1 RES PV PC,10KW 153.90 I 1 1 IP2 INSPCT RES PV <10KW 138.00 I TOTAL FEES 320.70 I 1 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISUN BEES GROUPS INC (714) 676-8888- 1 1451 W LAMBERT ROAD SUITE 212 LIC. NO ILOCATION AND SETBACKS I 1 IBREA CA 92821 970591 1 1- I I ISOILS ENGINEER APPROVAL 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I I I (DOUG ENGINEERING (949) 285-5104- 1 1 11 I 1102 PINON TREE LANE LIC. NO: I (SLAB/UNDER FLOOR I I I ICOSTA MESA CA 92627 C69163 I I _ 11 1 I I (RAISED FLOOR FRAMING I 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I 3 001 1-1 I 1 IFLOOR SHEATHING I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: i I 1 1 NO 20 ! IROOF SHEATHING 1 L I I _ I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1 1 1AIR QUALITY: 1000 FEET MATERIALS 1 1__- I NO NO NO 1 IFRAME INSPECTION I 1 I I I I I I 1 I (FIRE SPRINKLER HANGERS I I I j (INSULATION/WEATHER STRIPI I I I I I I i IINTBRIOR LATH/DRYWALL I I I I I I I I I I I (EXTERIOR LATH I I 1 I I I I I I I I 1RATED FLOOR/CEIL ASSEM. I I I I 1RAT1`0 WALL ASSEMBLIES I I i I I I I RATFD SHAFTS/OPENINGS I I I I I I I I I I IT-BAR CEILINGS I I I I i I I I I I ILOT DRAINAGE I I I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0702010022 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 5904 LT: 268 I SQ. FT STORIES TYPE OCCUP GROUP 6218 LOMA AV I ISTRUCTURE: 752 1 VN R3 I TEMP CA 917801634 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: LONGDEN I 15384-011-001 OTHER: 1242 1 VN U1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXPIRES ON: I (EXIST OCC GRP: 109/21/07 SR 03/19/08 I 1 TOWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF NAL DATE FIN Y CODE: I CHIN GENNA (626) 580-6238- T 142,870 16218 LOMA AV TEMP 917801634 T FEES PAID 1 RIPTION OF WORK I T1ST. FLOOR REMODELING RE-ARRANGE FMLY RM, LVNG RM, DINING RMI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:11242 S.F. & ADD 2ND: FLOOR 2BR/2BA W/WALKING CLOSET 752. S.F1 (APPLICANT: TEL. NO: I I 1 ICHIN (626) 580-6238- IB1 PLANCHECK W/ENERGY 142870.00 VAL 1,470.38 1 1 16218 LOMA AVE. 1AA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS: ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 142870.00 VAL 14.29 1 I 1B2 PERMIT W/ENERGY 142870.00 VAL 1,729.86 1 I 1 TOTAL FEES 3,242.28 I 1CONTRACTOR: n TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I (AIR CARE MECHANICAL CO. �L//� (626) 442-6792- 1 1 I 18143 CELITO DR f(� c�-�'U LIC. NO I ILOCATION AND SETBACKS IROSEMEAD CA 91770 516562 C20 *I 1 ISOILS ENGINEER APPROVAL 1 1 S t� TARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS 1 1 I ILUK, SAMUEL (626) 858-0438- 1 1 11 1 1527 N AZUSA LIC. NO: I 1SLAB/UNDER FLOOR I T NONE1 11 ICOVINA, CA 91722 i IRAISED FLOOR FRAMING 1 I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I I 3 Oil 1 11 I T I 11ST LEVEL FLOOR SHEATH I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: T 1 I I NO 21 I ` , 2ND LEVEL FLOOR SHEATH I 1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I I 1AIR QUALITY: 1000 FEET MATERIALS I I I 1 I NO NO NO 1 IFIRE DEPT. FRAME INSPECTI I I IREQUIRED TOTAL SETBACK FROM EXIST I IBLDG DEPT. FRAME INSPE T1 ISET BACK YARD: HWY: PROP LINE: WIDTH: IFRONT PL- I ISHEAR PANELS SIDE PL- 11NSULATION/WEATHER STRIP( iINTERIOR LATH/DRYWALL / 1EXTERIOR LATH 1 -IN 1 1LOT DRAINAGE I 1 I - I ISMOKE DETECTION DEVICES I I I IFIRE DEPARTMENT APPROVAL( I I 1* ADDITIONAL DATA ON FILE A 1 I I I IREPORT ID: DPR261 ROUTE TO: BS0508 T 1 I I I I I I I I 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 0805200006 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 268 SQ. FT STORIES TYPE 6218 LOMA AV 1 I (STRUCTURE: V-B TEMP CA 917801634 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LONGDEN I 15384-011-001 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C1 TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 105/20/08 SR 11/16/08 I 10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF NAL DATE F BY: CODE: CHIN GENNA (626) 580-6238- 1 3,000 16218 LOMA AV I ,� TEMP 917801634 FEES PAID 1 RIPTION OF WORK 1 I 1 IREPLACE EXISTING 11 WINDOWS 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 1APPLICANT: TEL. NO: ICHIN (626) 580-6238- 1AA BLDG PERMIT ISSUANCE 27.75 I 1 16218 LOMA AVE. 1AC STRONG MOTION RESID 3000.00 VAL 0.50 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 ID2 PERMIT W/O EN-HC 3000.00 VAL 99.00 1 I I TOTAL FEES 127.25 I 1 ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 1AIR CARE MECHANICAL CO. (626) 442-6792- 1 1 1 18143 CELITO DR LIC. NO I (LOCATION AND SETBACKS I I IROSEMEAD CA 91770 516562 C20 I I1 I 1 ISOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I ILUK, SAMUEL (626) 858-0438- I 1- 1 1 1527 N AZUSA LIC. NO: I 1SLAB/UNDER FLOOR I I 1#309 NONE I 1 ICOVINA, CA 91722 1 IRAISED FLOOR FRAMING I 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I I 1153H265 3 Oil 1 1 1 I IFLOOR SHEATHING I I I 1 INC. OF FAMILIES: DWELLING UNITS: APT/CONDSTAT CLASS: I 1 I NO 21 I - IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS I I NO NO NO FRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I ISET BACK YARD: HWY: PROP LINE: WIDTH: I1 1 1 IFRONT PL- I 11NSULATION/WEATHER STRIPI I 1 SIDE PL- IINTERIOR LATH/DRYWALL 1 1 I I I I IEXTERIOR LATH I I I I 1 1 IRATED FLOOR/CEIL ASSEM. 1 1 I 1 IRATED WALL ASSEMBLIES 1 1 1 I I 1 I i (RATED SHAFTS/OPENINGS I 1 1 I II I I I 1 1T-BAR CEILINGS I 1 1 I* ADDITIONAL DATA ON FILE II I I ILO,T DRAINAGE I I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I I I 1