Loading...
HomeMy Public PortalAbout6221 LOMA AVE_Building__ E' MPE RTF ,Y ' APPLRCATION J ®® �BUILDING PERMI pypNpppT COUNTY OF LOS ANGELES BUILDING a. ADDRESS i , IEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST 1 / WILLIAM A. JENSEN SUPT OF BUILDIN6� CROSS ST DISTRR>T NO. GROUP TypE CESSED BY FOR APPLICANT TO FILL IN. Q CONS BUILDINGj Y �•y STATISTICAL CLASSIFICATION EWER MAP ADDRESS �2�Z. l.. n/A Ii, __8K CLASS NO DWELL UNITS LOT NO. ~�G BLOCK 'WATER CERTIFICATE NOT REQUIRED ❑ RECEIVED TRACT. MAP -,l ({CGRC LE) NO OF BLDGS. yN0• STATE MAJOR SECOND, LOCA SIZE OF LOT�.7 J'C G� I NOW ON LOT 7 ;USE ZONE SPECIAL USE OF - CONDITIONS EXISTING BLDG OWNER \Y M il=?L_W-Y NOPc Jc-a� tBBU1L�DING YARD HWY EET NAME EXIST eJ 1 � _ - ',SETBACK_ WIDTH ADDRESS / " �'` FRONT ry ARCHITECT OR TEL P L ENGINEER - NO _EIDE ADDRESS , INSPECTION RECORD' 'p CONTRACTOR I i4DDREssS�G� �. ''�.-.ril/��,. �G. I � t ! �/� �d�'Y7.D' GfJ.��e`?.-� �J ��'�E1�.�-U�• DESCRIPTION OF WORKLU r, / .j./� Z '• ���' u NEW --ADD- ALTER ' REPAIR DEMOLISH _ ,� f�` ,.Y e / ♦� Z I SO FT. NO OF `` NO OF psu+ �j4�- �s '< r�3 Z� £�';T � Y IZE ,"��=+C� STORIES 1• FAMILIES SUSE OF TRUCTURE N-4 .J � ,� - +` r�;�L-CJII , '1'� .'"`%` '�'"�g•Irl'ST tT .-w Zr-i I c✓l 'Pi SIGNATURE OF / �'� �r'"v"r-v"`""`��_ = -. ..✓ APPLICANTle Ij+�-✓ y VALUATION Z°v • s'G.•!7G' C9 G)-�f �,,, ..A� 1 I / �" B'� '�-` i �'v. S, -%J,- 5a.9' APPROVALS (,O DATE _ INSPECTOR'SiSIGNATURE PC y�Cg Cj yPMT. y FOUNDATION LOCATION FEE $. a FEE $� FORMS,MATERIALS FRAME FIRE STOPS,A ./ 11 9 —1-1- I HEREBY.ACKNOWLEDGE THAT I HAVE RED THIS APPLICATION BRACING, BOLTS 14 All AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING., GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. _ INC TO WORKMEN S COMPS TION INSURANCE LATH,EXT SIGNATURE OF / / HOUSE NUMBER COR- 1 PERMITTEE % � �'�" / HOUSE AND POSTED j ADDRESS�� • • `_ i^ FINAL In I Li V/__ f 114fl--P, C�{JI �. CLYDE N. DIRLAM! PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION cK I .O. !ASH PERMIT VALIDATION cK. M.O. CASH L&0,0-8:7,3% X27 23 D 2 5.00e - 1 5 8 4�-, JW.13 1 D 5 3.50— _ TEMPLE CETY A�yCC 09031- 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER P DDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN BUP'T OF BUILDING CROSS ST DISTRICT NO G TYPE R S BY FOR APPLICANT TO FILL IN CONST BUILDING/ :Z/ O - _ STATISTICAL C/LASSIFICATION S ER MAP "�I ADDRESS(,Q CLASS NO LDWELL UNITS---Ajt�BK�- LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED 1><I� RECEIVED TRACT' A - MAP 03 HIGHWAY STATE MAJOR SECON LOCAL t NO OF SLOGS NO ICIRCLE) SIZE OF LOT .J X I NOW ON LOT USE ZONE SPECIAL ° USE OF - CONDITIONS EXISTING BLDG. TEL ,r► OWNER W,• NO . BUILDING ' EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS& Aar &ysFRONT ARCHITECT OR TEL P L P ENGINEER NO SIDE f O m V z P.L ADDRESS INSPECTION RECORD a I TEL .. O CONTRACT//OR NO . .J'Y.3 V ADORESS/o Z d a ZU rfT ja_v d' DESCRIPTION OF WORK C d NEW ADD' ALTER - REPAIR DEMOLISH / Z SO FT. NO OF _ IZE STORIES FAMILIES ^ USE OF, 't' lei / /t STRUCTURE SIGNATURE OF APPLICANT v - VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE PC PMT FOUNDATION LOCATION FEE -$ FEE i (%(/ FORMS,MATERIALS FRAME- FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE LATH,EXT y SIGNATURE OF�` HOUSE NUMBER COR- PERM ITTE I RECT AND POSTED ADDRESS 2 fita Pr FINAL CLYDE N DIRLAM,lPRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION Cr- M.O. 'CASH PFJMW VALIDATION cK. m.o. cAst1 --~- LAI�c1 0 4 71 APR 1 '3 1 D 4.00 �° WORKERS'COMPENSATION.DECLARATION , I hereby affirm that I have a certificate of consent to self - D p C C1 o M nn insure, or a certificate of Workers'"Compensation Insurance, Ent P F 6� `�-���®� �®V\ ����©�lJ V� �,��U rFJ U�� u or a certified copy thereof (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 46,ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS Date ApplicantCITY /Q ZIP' LOCALITYs 0GZBti CERTIFICATE OF EXEMPTION FROM WORKERS' KO, SIZE OF LOT NOW F LDGS CROSS ST COMPENSATION INSURANCE LOT (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 TEL f� USE NE MAP a /_ I certify'that in the performance of the work'for which this OWNER ��J /C i (9/9 NO%'7 - NO ermit is issued, I shall not employ do er on in any manner Dr j�j/ / SPECIALi o as to become subject to the Work s' mpensat on Laws ADDRESS (W r �(J CONDITIONS / L� CITY Date Applic ARCHITECT OR TEL NOTICE TO'APPLICANT If, a ter makin this Ce at of NO i DISTRICT GROUP TYPE FIRE PR SSED BY O Exemption, you should become subject to the ers' ENGINEER ,�/ �� CONSV ZOjJE' W Compensation provisions of the Labor Code, you must forth- ADDRESS ' ' �� (/VSO/ _J//� with comply with such provisions or this permit shall be 0: deemed revoked TEL STATISTICAL CLASSIFICATION APT rCND0 n CONTRACTOR NO -� / Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS 1 hereby 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 CLASS BK � • VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE ISTORIES FAMILIES ONE R 7 9 62 A • VALTION-� ' DESCRIPTION OF WORK /VNEW Contractor Date ` ADD E3E. UA3068 ' #,0 0 o io o�� ❑ I am exempt under Sec ALTER ❑ D e) ° ° 5,9,2 5 B&P C for this reason REPAIR �❑ $ _ _ t a USE OF 5 9',2 5 Date EXISTING BLDG DEMOL ❑ 1 Signature APPLICANT TEL FINAL \ 0 9."2.I,�,8 7 OWNER-BUILDER DECLARATION PRINT NO DATE,4� 8� I hereby affirm that I am exempt from the Contractor's License Law f the following reason.(Section 7031 5, Business and ADDRESS FINA P o yssions Code) r PRESENTBY BUILDING 1, as owner of the property, or my employees with ADDRESS wages as themsole compensation,will do the work and . • the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL F] 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) QD' CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAL SETEXTST CK FROM 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 PL Lender's Name LDMA Ref q PC Fee$ Permrt Fee - Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C N _ o above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee LDMA perm N . and hereby authorize representatives of this County to enter upon the above-m honed pro arty for inspection purposes •�87 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ppli ant or n Dote - 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 1110050016 PHONE (626) 285-0488 EXT ILEGAL ID ( NO OF CONST I BUILDING ADDRESS 1 ITR 5904 LT 247 _ I SQ FT STORIES TYPE 1 6221 LOMA AV I I ISTRUCTURE ,2100. '� V-B r . s'e_ TEMP CA 917801635 1 (ASSESSOR INFORMATION NUMBER _ ?%�, r_ NEAREST CROSS STREET 15384-009-023I THOMAS PAGE- 596 GRID H2 LOCALITY TEMPLE CITY, Cl ITENANT - IEXIST BLDG USE RESID USE ZONE R-1 I 'JISSUED ON PROCESSED BY I I IEXIST OCC GRP 110/05/11 SR 1 10WNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FIN ���Y CODE 1 1GAY, KEN (626) 864-2260- i 8,900 i 16221 LOMA AVE ITEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK 1 (TEAR OFF SHEATING INSTALL 30 YEAR COMPOSITION SHINGLES OVER I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1#30 FELT (APPLICANT TEL NO I I I ITEJEDA, JUAN (626) 922-2234- 1AA BLDG PERMIT ISSUANCE 27.80 1 1 IAB STATE GREEN BLDG FEE 8900 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 8900 00 VAL 0 90 1 A 1 iD2 PERMIT W/0 EN-HC 8900 00 VAL 200 30 TOTAL FEES 230 00 ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 IJUAN MANUEL TEJEDA (626) 922-2234- 115826 HAYLAND STREET LIC NO 1 (LOCATION AND SETBACKS I I ILA PUENTE, CA 91744 816608 C39 I I 1 I I ISOILS ENGINEER APPROVAL I 1 I I I I I I (ARCHITECT OR ENGINEER TEL NO. 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC NO I ISLAB/UNDER FLOOR I I I I I f IRAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 'i 1UNDERFLOOR INSULATION I I 1153H265 3 001 1 1 1 1 I (FLOOR SHEATHING 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I — 1 1 0 NO 21 IROOF SHEATHING I, I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS 1 1 11 I 1 NO NO NO IFRAME INSPECTION 1 1 IFIRE SPRINKLER HANGERS I _ 1 1 1 t _ IINSULATION/WEATHER STRIPI II 11NTERIOR LATH/DRYWALL I I I I I 1 IEXTERIOR LATH 1 I I I I 1 IRATED FLOOR/CEIL ASSEM I I 1 1 1 IRATED WALL ASSEMBLIES I I I I I I I 1RATED SHAFTS/OPENINGS IT-BAR CEILINGS I (LOT DRAINAGE 1 I REPORT—ID_ DPR261M _ ROUTE TO.- . B •is '"_ _ _ -� .__ - �.� _ _ _-�nr.