The URL can be used to link to this page

Home My Public Portal About6234 LOMA AVE_Building__ 78A638A CE#803 B-63 APPLICATION FOR BUILDING PER IM . COUNTY OF LOS ANGELES BUILDING DEPARTNT OF COUNTY ENGINEER ADDRESS ME / BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DIS TRI T O G OUP j TY9E SSED BY FOR APPLICANT TO FILL IN C40 NST BUILDING STATISTICAL CL SSIFICATION S ER MAP ADDRESS l , CLASS NO DWELL UNITS -..+ P LOT NOBLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE TRACT 10 MAP (I N (CIRCLE) STATE MAJOR SECOND AL r ' NO� F BLDGO �...J SIZE OF LOT O O 3iU Q NO OW ON S LOT USE ZONE SPECIAL USE OF _ CONDITIONS EXISTING BLDG lo? E ,w OWNER T NO Lar 41 Zoo_ BUIL ING EXIST n SETBACK YARD HWY EET NAME WIDTH. ADDRESS FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L ^ yr ADDRESS ,� •fkT0 TEL 7! _ Q CONTRACTOR NO ,/' u ADDRESS " - // O DESCRIPTION OF WORK (/ U W CL NEW ADDALTER EPAIR DEMOLISH - Z SQ FT NO NO OF SIZE STORIES I FAMILIES USE OF STRUCTURE p r ' " SIGNATURE OF r APPLICANT VALUATION $ �--�- APPROVALS DATE/+NSPECTOR S SIGNATURE FEE $ SEE $ FORMSFOUNDATION ON MATERIALS ' 1 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 I I I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS l f f BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK p ' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH INT G( TION OF THE LABOR CODEOF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE � q y.1.. LATH EXT SIGNATURE OF i Y �� HOUSE NUMBER COR- P OR- ,! V - PERMITTEE / � rO�Mi[JrY7. �� F RECT NALAND POSTED �6`e'� t9 ,r0 ADDRESS G �5 /•C PLAN CHECK VALIDATION- CK MO CASH JOHN F LEWIS PRINCIPAL STR URAL ENGINEER PERMIT VALIDATION CK MO CASH 88 o 2 4:' APR 2 3 1 D .0 G- ADBS-3 11.55 APPLICATION FOR BUILDING PERMIT .55 �• DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS v r County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT�t�.pr GRO SEWER MAP t F;)R APPLICANT TO FILL IN T` I BKS , EBUILDIMAP NG ADDSS , U BERy STATE HWY YES �� .� I LOT NO. .1 BLOCK US_ZOyESPECIAL aCONDITIONS TRACT NO. OF BLDGS. SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BLDS FP T 0 OWNER SIDE J 'i. MAIL P. L. ADDRESS O TRACT DWELL- ,J i UNIT 1// 55 INDUSTRIAL TEL. CITY TE ' t 1 DWELL. 7 UNIT 6 PUBLIC BLDG. ARCHITECTR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS ` 8 MISCEL. i ADDRESS 4 COMMERCIAL TEL. INSPECTION RECORD - CONTRAC7CIR NO. �._ 111ADDRESS-.., _ I, DE SCRIPTION OF WORK I NEW .ADD. ALTER REPAIR DEMOLISH � , SQ. FT. NO. OF NO. OF - y SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE $ FOUNDATION: LOCATION T P. C. $ FORMS,MATERIALS FEE FRAME: FIRE STOPS, VALUATION -�' $ BRACING. BOLTS FEE FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC-TION. LATH, EXT. SIGNATURE OF i� HOUSE NUMBER COR- PERMITTEE ytI -�-�- >:•i 1' RECT AND POSTED / ADDRESS FINAL :3 JOHN A. LAMBIE, COUNTY ENGINEER YJU4DATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK MO CASH V 76AB38A CE0803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BU I LD I NSS ` � DEPARTMENT OF COUNTY ENGINEER ADDREG I BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT N GR UP TYPE �; PR CESSED BY FOR APPLICANT TO FILL IN �,�C.e CONST. �/ BUILDING �.,� STATISTICAL CLASSIFICATION •.�- SE R MAP- - ADDRESS ` ��2 BK PG CLASS. NO. --IDWELI UNITS '— f F-- --I a> LOT NO. A76 BLOCK WATER LZ ,t CERTIFICATE. NOT REQUIRED RECEIVED El TRACT w / 6 MAP NO /I-yC� HIGHWA STLLLATJJJE MAJOR SECON . LO AL NO. OF BLDGS. SIZE OF LOT90 bo 3 SQ NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. � TEL. � OWNER NO. �d BUILDING EXIST. _ SETBACK YARD HWY ..STREET NAME WIDTH ADDRESS ` FRONT ARCHITECT OR TEL. P. L. Y�L ENGINEER NO. SIDE ADDRESS TEL. O CONTRACTOR NO. (J ADDRESS O DESCRIPTION OF WORK ri W d NEW ADD ALTER REPAIR DEMOLISH N SQ.FT. NO.OF NO. OF z SIZE STORIES FAMILIES USE OF STRUCTURE SIGNA U OF APPLICANT VALUATION $ t G` APPROVALS DATE INSPECTOR'S SIGNATURE P.C. _ PMT. FOUNDATION: LOCATION. FEE $ FEE $ `` FORMS, MATERIALS apjp' /X;;nO FRAME: FIRE STOPS. .f �/ % I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS .:EAnVA 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. SIGNATURE OF , HOUSE NUMBER COR- PERMIT RECT AND POSTED _..e ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL'ST CT RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH L;uo 8 0 2 6% A P R 2 3 1 0 1 1 .5 0 z�7 76A 638A C E#803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY _ f JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DIS?CT N GROU TYPE ESSED BY FS R APPLICANT TO FILL IN conlsr. ��-^� STATISTICAL CLASSIFICATION S WER MAP BKCLASS. NO. DWELL. UNITS BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT 9!/ MAP h �-• NO, OF BLDGS. NO., ({CGRCLE) STATE MAJOR SECOND L' CALF SIZE OF LOT O X V,3}.,! NOW ON LOT USE ZONE SPECIAL USE OF i�^� CONDITIONS EXISTING BLDG. �"JIY� I TEL. OWNER NO. BUILDING YARD HWY EET NAME EXIST. SETBACK WIDTH ADDRESS , ` f FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE ADDRESS,' d TEL. O CONTRACTOR NO. u ADDRESS Im O DESCRIPTION OF WORK G a NEW ADD ALTER REPAIR DEMOLISH H SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE v 61 SIGNATURE OF APPLICANT - VALUATION $ l APPROVALS ,E TE INSPECTOR'S SIGNATURE L'j.�--�/�� FOUNDATION: LOCATION FEE $ FEE $ 1 FORMS. MATERIALS FRAME: FIRE STOPS, d 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 It 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- INGTO WORKMEN'S COMPENSATION INSURANCE, LATH. EXT. SIGNATURE OF - HOUSE NUMBER COR- Yr PERMITTEE RECT AND POSTED A .✓ s ADDRESS l FINAL JOHN F. LEWIS. PwiNCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATION M.O. CASH L,1l�c, 8 0 2 5"a [-PR 2 3 1. D ''•7 SA895A CE 50311-57 APPLICATION,:FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING r. y .. DEPARTMENT OF COUNTY ENGINEER ADDRESS , BUILDING AND SAFETY'DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST - ,�.. CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. "'t4, t.�-••••'F"..�••.,y;:��.:... ..-+%� s? I " _ DISTRICT fQ. GROUP ;; PE r� SEWER MAP FOR APPLICANT TO FILL IN BK I ) - ✓I CONST. I 3 BUILDING ,.rte-^"-' STATISTICALSSIFICATION ADD SS E CLASS. NO. DWELL.UNITS LOT NO. `7 BLOCK MAP p, STATE NUMBER ;; u' �LHWY. YES TRACT f.c. `a USEZONE SPECIAL NO.OF BLDGS. ! CONDITIONS .SIZE OF LOT I NOW ON LOT ~:.''- ,='•� USE OF „. { EXISTING BLDG. BU- EXIST. .SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT MAIL P.L. ADDRESS. SIDE TEL. P.L.• CITY No. ? ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS rr99 r� ,fr TEL Dl TN /SG ' CONTRACTOR PIr s p� NO: ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO.FT. /y NO.OF NO.OF SIZE ST0RjZR FAMILIES USE O STRUGTURIYs" �-.y.�!�• t f/ SIGNATURE OF ;. f x. J � ,l..C'�.•�x APPROVALS APPLICANT - l DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION ,,•D ,J $ P G FORMS,MATERIALS — / p � •� - Gt.� FRAME: FIRE STOPS. FEE SPACING,BOLTS f�:1 VALUATION $ � FURNACE: LOCATION, FEE / •.-!�^" GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT, STATE LAWS REGULATING BUILDING, CONSTRUCTION. COR- SIGNATURE 'i ^.. + �: j' HOUSE NUMBER COR- ' RECTANDPOSTED PERMITTE ``=�''`� `"` ""'�'-'�- ��' ^�-� ?'-' �••'�"'I �y �p i ADDRESS "J° •f "?� ✓ f 't '•I FINAL CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENeeG-IN,E-ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. /CA 5H f a. n ®P ..may r /•-,. 'r.y,�,, WORKERS' COMPENSATION DECLARATION hereby ksnaconsent acifinsureoracertifcate of Wore ' Compensation urnAPPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. ' ' FOR APPLICANT TO FILL IN ADDRESS ❑ Certified co is filed with the count buildin BUILDING tion department. y g ins pec- ADDRESS CITY ' E,-T/, G/T ZIP ;7a LOCALITY/G-z-/� T Date Applicant uNO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOTG / X -� NOW ON LOT Z CROSS ST. COMPENSATION INSURANCE y ,v ASSESSOR i-aa (T.ais section need not be completed if the permit is for one TRACT��a / BLOCK LOT NO�i� MAP BOOK J� PAGE PARCELG+S~ hundred dollars ($100) or less.) OWN �� TEL L _J6 GSGe_ CY o USE ZONE MAP 1 certify that in the performance of the work for which this 7 to �/ SPECIAL PE I S 3 �a permit is issued, I shall not employ any person in any manner ADDRESS w3 I �p�i� FQf V� ® CONDITIONS 0- so as to7 become subject to the Workers' Compensation Laws. CITY4� /"�� G-�1�7 ZIP /l7 i 0 Date </ ��/ ApplicaARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of .ENGINEER NO. _ 2_ CONST. NE F— Exemption, you should become subject to the Workers' w Compensation provisions of the Labor Code, you must forth- ADDRESS �� 31 CL with comply with such provisions or this permit shall be c TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTO ,(/!Z� NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.,.--/ DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business0 f LIC. SEWER MAP TY and Professions Code,and my license is in full force and effect. CLASS BK PG VALIDATION SQ. NO. O NO. OF / CHECK License Number Lic. Class SI E STORIES IFAMILIES / ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW $ ��' • r❑I am exempt under Sec. � / ADD ❑ ► �// (iOY I��6CP/L ALTER ❑ B.&P.C. for this reason � REPAIR $ Date: USE OF EXISTING BLDG. DEMO' ❑ Signature APPLICANT(PRINT) /v�A TE . FINAL g OWNER-BUILDER DECLARATION DATE Q-r I hereby affirm that I am exempt from the Contractor's License S5�Z3(i/�r/.`�`jam Law for the following reason (Section 7031.5, Business and ADD RE FINAL Professions Code): PRESENT By ❑ I, as owner of the property, or m employees with BUILDING _ P P Y= YADDRESS �g wages as their sole compensation,will do the work and _ r the structure is not intended or offered for sale Section LOCALITY , Vit; !> ��/I/7044,Business and Professions Code.) MOVING TEL. LJ I, as owner of the property, am exclusively contracting CONTRACTOR NO. E = with licensed contractors to construct the project.(Sec- �: tion 7044, Business and Professions Code.) ADDRESS J!• — '3 :114 1-_a 1 a REQUIRED TOTAL SETBACK FROM EXIST. -,- CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP, LINE WIDTH ':Nr;_jt 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. CH"I (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name /..I J // LDMA Ref. #' vt_= 7.: : P.C. Fee Permit Fee O Lender's Address :t ) ;x. 0 1 certify that I have read this application and state that the Issuance Fee .3- LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee .� 6 ordinances and State laws relating to building construction, Total Fee �s Jf LDMA Perm. # a and hereby authorize representatives of this County to enter upon the� above-men oned property for inspection purposes. 7- SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ' WORKERS' COMPENSATION DECLARATION 1i y' �,�PLICATION FOR BUILDING eb bffirm that I have a certificate of consent to self PERMIT 4 re, or certificate of Workers' Compensation Insurance, �zr 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 ADDRESS �a3 ❑ Certified copy is filed with the county building inspec- F-7- D G j tion department. S lr 2-3 V eel -/�rGL /r_ ZIP 7ate Applicant LOCALITY s NO. OF BLD CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT d X/``�•3:� NOW ON LOT 2^ NEARESTCROSS ST. ' COMPENSATION INSURANCE �i (This section need not be completed if the permit is for one TRACT .� �U BLOCKASSESSOR LOT NO.�? Q MqP BOOK � C1 PAGE -,q hundred dollars ($100) or less.) �`L.� �� _ PARCEL L. OWNER < N0 ��76� USE ZONE MAP �� I certify that in the performance of the work for which this NO. �`� >_permit is issued, I shall not employ any person in any manner ADDRESS ��? /�1/ CONDITIONS 0- so as to become subject to the Workers' Compensation Laws. O t� � CITY /�� ✓�/� ZIP U Date Applicant r ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY � NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ONE Exempti,pn, you should become subject to the Workers' U Compensation provisions of the Labor Code, you must forth- ADDRESS OF '3 a 4,ith comply with such provisions or this permit shall be p STATISTICAL CLASSIFICATIONAPT. CONDO. N deemed revoked. CONTRACTOR ® fu !J�/L� CZ Y Z_ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG. VALIDATION SQ. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES / FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW . ❑ S �❑I am exempt under Sec. «`� / ��rT�"t3`'- ADD � ❑ ALTER pop B.BP.C. for this reason 41X?Z/tLsfOiz� REPAIR ❑ $ Date: ` USE OF EXISTING BLDG. DEMOL ❑ MAPPLICANT �, A n Signature (PRINT) i�ii�/O NO. �.�%moi % FINAL OWNER-BUILDER DECLARATION //�� DATE �®•— C I hereby affirm that I am exempt from the Contractor's License ADDRESSG /� - �f/ / I�G Law for the following reason (Section 7031.5, Business and FINAL _ Professions Code): PRESENT By :- • _- ❑ I, as owner of the property, or m employees with BUILDING - -{_t P P Y, YtADDRESS ,,, 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. CONTRACTOR NO. �"•-"r'. � I, as owner of the property, am exclusively contracting s{_'}"r;� „�� ; 3, _ate with licensed contractors to construct the project (Sec- tion 7044, Business and Professions,Code.) ADDRESS I+ 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 the performance of the work for which this permit is issued P.L. '(Sec. 3097, Civ. C.). SIDE P.L. Lender's Name t ;; - i `srt - m LDMARef. # r'y P.C. Fee$ Permit Fee i .v Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee 't9'O LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee .� 8 ordinances and State laws relating to building construction, Total Fee �� . d LDMA Perm. # a and hereby authorize representatives of this County to enter upon theabove-mentio d property for inspection purposes. -2�c..�-=��J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant 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 1110310066 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 270 I SQ. FT STORIES TYPE 6234 LOMA AV 1 I _1STRUCTURE: 27 V-B TEMP CA 917801634 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15384-011-005 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 110/31/11 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 1LING, TERRY (626) 202-6275- 1 9,000 �j �n 16234 LOMA AV I P A/ S I( +l 1TEMP 917801634 1 FEES PAID ID S"_R PTIO F WORK I TEAR. OFF EXISTING ROOFING MATERIAL INSTALL MONIER LIFE TILE 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ILIGHTWEIGHT TILE SLATE #5354 STONE MOUNTAIN BLEND 5.8 PSF APPLICANT: TEL. NO: I 11CBO: #1647 SUNSHINE ROOFING (909) 590-8988- IAA BLDG PERMIT ISSUANCE 27.80 1 I 1516 N. DIAMOND BAR IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 ISPECIAL CONDITIONS: I IDIAMOND BAR CA 91765 IAC STRONG MOTION RESID 9000.00 VAL 0.90 I I ID2 PERMIT W/O EN-HC 9000.00 VAL 200.30 -I TOTAL FEES 230.00 I CONTRACTOR: TELI . NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1SUNSHINE ROOFING INC. (626) 581-7688- I 1 1516 N DIAMOND BAR BLVD #183 LIC. NO I 1LOCATION AND SETBACKS I 1DIAMOND BAR, CA 91765 755126 C39 I I ISOILS ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I - I 1 LIC. NO: I (SLAB/UNDER FLOOR IRAISED FLOOR FRAMING I I I 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1153H265 3 001 1- I I IFLOCa SHEATHING 1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: II I 0 NO 21 1 IROOF SHEATHING I l I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALS 1 I I I NO NO NO I 1FRAME INSPECTION I I I I I IFIRF, SPRINKLER HANGERS I I I I I I I 11NSULATION/WEATHER STRIPI I I I (INTERIOR LATH/DRYWALL I I I 1 1 1EXTERIOR LATH I I i 1 i 1RATED FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES I I I I i I I 1RATED SHAFTS/OPENINGS 1 I I I IT-BAR CEILINGS ILOT DRAINAGE I I I 1 1REPORT ID: DPR261 ROUTE TO: BS0508 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 1111020014 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 5904 IT: 270 I SQ. FT STORIES TYPE I 1 I (STRUCTURE: 7 V-B I 6234 LAMA A1 TEMP CA 91788 01634 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15384-011-005 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I (TENANT: IEXIST BLDG USE: DETAC USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 111/02/11 SR I TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: F119AL DATE FINAL BY: CODE: T (LING, TERRY (626) 202-6275- 1 2,000 i 1 16234 LOMA AV T 1TEMP 917801634 FEES PAID IDE RIPTION OF WORK I I 1 ITEAR OFF EXISTING ROOFING MATERIAL ON DETACHED GARAGE MONIERI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ILIFE TILE LIGHTWEIGHT TILE SLATE #5354 STONE BL20D 5.8 PSF 1 (APPLICANT: TEL. NO: I IICBO: #1647 T ITA, MANDY (909) 598-8988- IAA BLDG PERMIT ISSUANCE 27.80 1 1516 N. DIAMOND BAR IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IDIAMOND BAR CA 91765 IAC STRONG MOTION RESID 2000.00 VAL 0.50 1 I ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 I 1 TOTAL FEES 111.50 1 ICONTRACTOR: TEL. NO: 1 TAPPROVALS DATE INSPECTOR SIGNATURE 1 ISUNSHINE ROOFING INC. (626) 581-7688- I 1516 N DIAMOND BAR BLVD #183 LIC. NO ILOCATION AND SETBACKS I I IDIAMOND BAR, CA 91765 755126 C39 1 1 ISOILS ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER: TEL. NO: i IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 ISLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:T JUNDERFLOOR INSULATION I 1 1153H265 3 001 I I (FLOOR SHEATHING i I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I 0 NO 21 i 1ROOF SHEATHING T � I l T SCHOOL WITHIN HAZARDOUS I ISHEAP PANELS 1 1 I (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO i IFRAME INSPECTION T 1 1 IFIRE SPRINKLER HANGERS I I I I 11NSULATION/WEATHER STRIPI I I 1 I I JINTERIOR LATH/DRYWALL I I I I I I 1EXTERIOR LATH 1 1 I RATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS 1 I I 1T-BAR CEILINGS I I I I I ILOT DRAINAGE 1 I REPORT ID: DPR261 ROUTE TO: BS0508