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HomeMy Public PortalAbout6250 LOMA AVE_Building__ 76A638A 05S.3 12.54 APPLICATION FOR, BUILDING PERMIT DIVISION OF BUILDING AND SAFETY ADDRE SS NG Deportment of County Engineer ' ADDRE County of Los Angeles LocALITY e Yb'� P i- C l WM. J. FOX, COUNTY ENGINEER t - CASSATT D. GRIFFIN, SUPT OF'BU1LDING NEAREST ,Ca j I„ CROSS ST DISTRICT NO. GROUP SEWER MAP CATOILL IN FOR APPLINT FI TYPE �_PS�� BUILDING - CONST. ADDRESS MAP STATE YES O NUMBER HWY I� LOT NO. Dfs 7 BLOCK USE ZONE SPECIAL ITI C - TRACT NO OF-BLDGS. SIZE OF LOT oX NOW ON LOT I BUILDING YARD HWY STREET NAMEUSE EXIST. O .p �p SETBACK WIDTH -EXISTING BLDG Co J Cv. �V ,FPROL T OWNER SIDE ' _ MA'L P L d y ADD ' //� TEL. •'. DWELL 1 UNIT ' 5- INDUSTRIAL CITY , e �+ T -- 2t DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT O� TEL. - ENGINEER sem - NO 3 APT UNITS 7 ADDN,ALT., ETC. _ ADDRESS 4COMMERCIAL 8 MISCEL /J TEL. ` CONTRALTO NO. INSPECTION RECORD X 1 ADDRESS # DESCRIPTION OF WORK NEW ADD //LTER REPAIR DEMOLISH F' j-- T /V .T SQ FT. '1 NO. OF NO OF SIZE �f STORIES FAMILIES USE =t USE OF STRUCTURE \ /� � SIGNAT ' - - APPLI N ,r APPROVALS ADDRESS DATE - INSPECTOR'S SIGNATURE FOUNDATION' LOCATION OD P'C. S FORMS, MATERIALS - ((�� FEE FRAME' FIRE STOPS, p�er/// S O IBRACING;BOLTS I rJ FRy-/,,,, VALUATION '-'--- O FEE s FURNACE LOCATION, I GAS'VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE WS REG TING ILDIN CONSTRUC- TION. LATH, EXT. SIGNATURE O - HOUSE NUMBER COR- PERMITTEE IRECT AND POSTED ADDRESS FINAL WM.'J. FOX. COUNTY ENGINEER VALIDATION BY x'9:6-3Ln WR25 1 - 2.0'0 DEPUTY-: L,-7 - - DEPUTY By .. , �,,,• BY ® DEPUTY - DEPUTY DEPARTMENTCOUNTY OF LONGELESAFETY �I _6 - WM. J. FOX, CHIEF ENGINEER APPLICATION®� S A FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY p� / `1 DISTRICT NO. PLANCK. oR REc:No. - - PERMIT NO.i BUILDING ADDRESS �j pd,,, �1,[J �/ ,Af] �>pI.AAhFiA ��I�i/ !' �� �� � � o � /? RECEIVED BY - DATE OF APPL DATE ISSUED LOCALITY �I. I� �, Z- y'-,s r/ _5--�t-Z NEAREST CROSS ST. 1 k 1 BUILDING / ADDRESS (p/� f Q ft O A4 •Q OWNER l�1/ �� LAP) tnsjl1 MN f IAA -MAIL —'� LOCALITY-7:;_,,o J G/. ADDRESS NEARESTOf _ �l.r //►y, ,` �s + CROSS ST. , CITY '/ �WA_g>/A, 6. V NO. � ^J �� FIRE NO. F TYPE GROUP ARCHITECT ORi� - TEL J p• ZONE I— I PLAfl _ ENGINEER �1Y�1q{ (L{y�/ ` C'//4MO.p� ^[� �9 BLDG. ORD: NO. ADDRESS �.4 Q /`� /� O`bL�CI 1 l 1 SETBACK,LINE •a `��� �� USE APPROVED ' TEL ZONE BY DATE CONTRACTOR +B (NNO.��I /!j �.� HOUSE NUMBERING ADDRESSMAP NUMBER t NO. ASSIGNED BLEGALY DESCRIPTION LOT NO. BLOCK ` CORRECTIONS 1 0 t i TRACT No OF SIZE OF LOT .6 I NOW ON LOUSE OFT B� OF EX STN BLDG. �� {/� (� VISI I FAM ILLIES DESCRIPTION OF WORK NEW ALTERATION ADDITION �� Z REPAIR DEMOLITION r i 9 ZE ROOMS �`j FT NO.or STORIES -� COVERINGEXT.WALL COVERING-C;k1 USE OF STRU rrU E �. e4< 9 RA )N.46 � H#s 4 M4-k �Vl� VIA 19 :fig! 4Vtwn AWlN,i I SPECTION FOR } APPROVALS - OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ TH19 AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS' FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND-STATE LAWS REGULATING BUILDING CONSTRUCTION: GAS VENT, DUCTS SIGNATURE OF � 4 A ��T�_ LATH. INT. PERMITTEE moi'�,// filCe4 ADDRESS 4, -ax V �'��a /�/���!' LATH, EXT. Q � PLASTER, INT. AUTHORIZED AOT. PLASTER, EXT. wt jo '60 P.C.$ FEE HOUSE NUMBER COR- dL RECT AND POSTED C VALUATION FEE — FINAL 76A639A DBS 3 7-51 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY-OF LOS ANGELES ® — G UILDIN WM. J. FOX, CHIEF ENGINEER V ® FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY /J DISTRICT NO.- PLAN CK.NO. •�JPEE,RMIIT NO. ADDRESS (D.JU /yV�•7,G,.CO ?' ' �l , LOCALITY ����/!-',LLQ ' /T/• �AL��' RECEIVED BY, DATE OF APP_L..[,/ DATE•ISBUED NEAREST- / /� `' ��yl y�1 �. iJJ CROSS 9T. L.. /V L7�G AY 6 /L B�E/>'�[.A!/ BUILDING3� _ OWNER ADDRESS. / 0MAIL //r/�'r��/�/// /7��VA���V�f� � ,!O�/� //� /� • �/ LOCALITY ADDRESS •.� - `J ' NEAREST p�j a /6 CITY �"�/�`��z V,�� 'NO. /' (�/ CROSS ST. - Y�L/C% Z}�..�.� �►A�-` _ _ FIRE NO.OF TYPE- OROUIi ARCHITECT OR -i1 /O'A� y NOEL, ZONE "^� -'PLANH,b - -ENGINEER BLDG. ORD.NO. ADDRESS SETBACK LINE ' APPROVED CONTRACTOR L.`'`Q Np, �9 BY DATE yrt A I' USE /Q J APPROVED ADDRESS (J d��7 y£ ZONE'%�� BY - DATE LEGAL DESCRIPTION LOT NO. f l BLOCK CORRECTIONS TRACT %5/D - i O%�V/Q C7�7 C I -NO.OF BLDOH. - - SIZE OF LOT V NOW ON LOT USE OF p ,I1c p� NO.OF NO.OF /^ ' EXISTING BLDG.fjf.V S)VlC�+ FAMILIES/I ROOM9�C/ DESCRIPTION OF WORK NEW ALTERATION ADDITION - O REPAIR MOVING DEMOLISH 0 Bq.FT. Noor Z SIZE V ROOMB STORIES D WALL R OF /Q' � `�y r COVERING i ,./ AV -ICy/OVERINl ( /� 'asn'04 USED BU LDFINGW D ' L/O 40"/ ucp I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVA APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION 1 $PECTOR DATE AND AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, , SIGNATURE OF � r�/ / BRACIND,BOLTS PERMITTEE LATH,INT.: AUTHORIZED A13T- LATH,EXT.: DBS-3 SOM SETS 7-47 P.C.lO - PLASTER,INT. / FEE y PLASTER,EXT. � v VALUATION FEE L- FINAL !�� ADBS-3 11.55 APPLICATION FOR BUILDING PERMIT 5 � I1•55 DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDREss County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP- SEWER MAP TYPE..�_._.__.. FOR APPLICANT TO FILL IN /­-bK PG CONST. BUILDING MAP STATE YES NO ADDRESS NUMBER HWY LOT NO. BLOCK USE ZONE SPECIAL CONDITIONS TRACT NO. OF BLDGS. SIZE OF LOT [NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTHt EXISTING BLDG. FRONT P. L. OWNER - SIDE P. L. MAIL ADDRESS O TRACT DWELL. 1 UNIT 5 INDUSTRIAL TEL. I DWELL. 1 UNIT CITY NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ENGINEER NO. 7 ADDN., ALT., ETC. 3 APT. UNITS 8 MISCEL. ADDRESS L} COMMERCIAL TEL. CONTRACTOR NO. INSPECTION RECORD I I ADDRESS DESCRIP-TION OF WORK I i NEW ADD LTER EPAIR DEMOLISH SQ. FT. NO- F NO. OF -SIZE ORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT_ PPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE _ FOUNDATION: LOCATION P. C. $ FORMS. MATERIALS FEE FRAME: FIRE STOPS. VALUATION $ j 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 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL ON JOHN A. LAMBIE, COUNTY ENGINEER ,/VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR 'i CK /MO CASH 76A638A CE#803 4--68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY _ JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. [7TF37P I TYPE I PROCESSED BY FOR APPLICANT TO FILL IN - CONST. BUILDING I SEWER MAP ADDRESS STATISTICAL CLASSIFICATION BK PG CLASS. NO. DWELL. UNITS LOT NO. BLOCK MAP STATE YES NO NUMBER HWY. TRACT USEZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT OW ON LOT USE OF '1 s EXISTING BLDG. BUILbiNG EXIST. SETBACK YARD HWY STREET NAME W)'TH OWNER FRONT MAIL P.L. ADDRESS SIDE TEL. P.L. ARCHITECT OR NO. INSPECTION RECORD ARCTEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPROVALS - APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS $ P.C. s FRAME: FIRE STOPS, FEE BRACING, BOLTS 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 STATE LAWS- REGULATING BUILDING CONSTRUCTION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ®F � t WORKERS'COMPENSATION DECLARATION l I hereby affirm that I havecertificate of consent to self �1 ��hf O(�n10101120 -� insure, ora certificate of Workers' Compensation Insurance, v �fv Lf' �fUU - ora certified copy thereof (Sec 3800, Lab C ) A LJL u U�.) ' Policy No Company COUNTY-OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished FOR APPLICANT�TO�FILL•IN BUILDING ADDRESS -2 " Certified copy is filed with the county building mspec- BUILDING tion department ADDRESS 4/+ cv— LOCALITY NEAREST Date Applicant CITY ZIPTZ Z8� CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' O 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 TRACT BLOCK LOT NO USE ZONE NOP o�O O hundred dollars-($100)or less ) of 'ITL r+! SPECIAL >. I certify that in the performance of the work for which,this OWNECL R � 6 CONDITIONS ' 'permit is issued, I shall not employ any person in any manner DI TRICT GROUP TYPE FIRE PR ESSED BY O so as to b e subject to the�loq�cers' mpen ion 1Vws ADDRESS b � • CONST ZONE ^- Ix w / Date fipplecant CITY^_ ZIP �• STATISTICAL CLASSIFICATION - APT JCONDO O ARCHITECT TEL NOTICE TO APPLICANT- If; after making this Certificate of - ' ENGINEER NO U Exemption, .you should become .subject to the Workers' CLASS NO DWELL UNITS a Compensation provisions of the,Labor Code, you must forth- ADDRESS, SEWER MAP fA with comply with such provisions or this permit shall be _ deemed revoked CONTRA L BK �PG, � VALIDATION LICENSED CONTRACTORS DECLARATIONLIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO fVALUATION (commencing with Section 7000)of Division 3 of the Business and �� LIC Q� , Professions Code, and my license is in full force and effect CITY CLASS 00. D SQ NO O OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW $ ADD 1 am exempt under Sec ALTERFINAL B.BP C for this reason REPAIR DATE EX OF O at EXISTING BL DEMOL FINAL NAL o.+ APPLICANT TEL Y Signature PRINT NO OWNER-BUILDE DECLARA ION I hereby affirm that I am exempt from the Contractor's License D Law for the following reason (Section 7031 5, Business-and ADDRESS Profe ns Code): 2 9 3 3 A 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 # o 0 010 0.1 7044, Business and Professions Code) MOVING TEL 20 0 9 7 5 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS 9 7,5 ' tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTHD 0 Q 1 7-81.3 1 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 m PI: ' v Lender's Name ll Lender's Address PC Fee$ Permit Fee ,oG 1 certify that I have read this application and state that the Issuance'Fee /U S 0 above information is correct I agree to comply with all County Investigation Fee g ordinances and State jaws relating to building construction, Total Fee (/ "7 d and hereby authorize representatives of this County to enter upon t e above-mentio ed r pert °C inspectionurpos s ' SEE R�,;,4- EVERSE FOR EXPLANATORY LANGUAGE ^ ®< Signature of Applicont or Agent e • ti 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 0209170038 PHONE: (626) 285-0488 EXT: -LEGAL ID: NO. OF CONST B G S: TR: 5904 LT: 272 SO. FT STORIES TYPE 6250 LOMA AV STRUCTURE: VN TEMP CA 917801634 ASSESSOR0 N NEAREST CROSS STREET: LONGDEN 5384-011-008 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY D U S SSD ON: EXIST OCC GRP: 09/17/02 JK 03/16/03 OWNER: TEL. NO: BLDGS. NOW ON L LUATION: FINAL DATE FINAL BY: CODE: HAWKINS THOMAS W (626) 447-5258- 500 y(� 414 FAIRVIEW AVE 1/-1-3 ARCADIA 91007 5ff§ffflT N OF WORK REROOF GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O ENzHC=_=_= 500.00 VAL 43.65 =TOTAL—FEES 71.90 CONTRACTOR: TEL. N0: P�PROVALS DATE INSPECTOR SIGNATOR SAME AS OWNER LIC. NO ON S SOILS ENGINEER APPROVAL ARCHITECT OR NG ER: TEL. ��, --�� � � NAT LIC. N0:'; I ; LA UNDER FLOOR � r ; �,� RAISED AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: — J - UNDERFLOOR INSULATION 153H265 3 11 O1 T!1 ji�, „(�>> �,,�, ,�/, �,�, ,;,�%� <? OF FAMILIES: DWELLING APT/CO: SAT CLASS: -�/'' FLOOR SHEATHING ROOF SHEATHING 2 SC N HAZARDOUS AIR QUALITY: 0 100 FEET MATERIALS NO `.� � 1_ AM INSPECTION REQSE FIRE S NK E G SET BACK YARD: HWY: PROP LINE: WIDTH: A, ��-� _ � � FRONT PL- SIDE PL- INSULATION/WeATHER STRIP WTERFfi LATH/DRYWALL EXTERIOR LATH RATED F L ASSEM. RATED WALL ASSEMBLIES RATED S OP NIN S TEAR C E IL rN—GT— LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508