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HomeMy Public PortalAbout6274 LOMA AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) �C BUILDING . COUNTY OF LOS ANGELES ADDRESS 1, " DEPARTMENT OF COUNTY ENGINEER CITY j e_ - e. ZIP Q t ,� $ BUILDING AND SAFETY DIVISION N OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT-) IV BLOCK LOT NO 2- 7�C^ LOCALITY NEAREST OWNER E TOL ^•7j� CROSS ST. c ASSESSOR ADDRESS v e MAP BOOK PAGE PARCEL x D TRICT GROUP" TYPE FIRE PROCESSED BY CITY 1 i-fZIP11 r/ CONST. �:� ZONE- •�7�.j ARCHITECT-OR TEL. dYC �� ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. � _OWELL,UNITS BK4?r—PG� TEL. CONTRACTORNO USE ZONE MAP LIC. ����yyJJ N0. ADDRESS NO. /L�/ SPECIAL LIC. CONDITIONS - CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED- YES� NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF STREETI y ADDRESS CITY Q- HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING om .) C SQ. FT. ),/� NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE �{/V STORIES FAMILIES ONE O t 14 DESCRIPTION OF WORK NEW ❑ •� v� '�' 1­ 7 ADD xBLDG.SETBACK FROM aW lz6-�� / j SIDEPROP. LINEOF (STREET) Z C?/`� ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIDE PROP. LINE HIGHWAY WIDTH REPAIR[] USE OF DEMOL ❑ + EXISTING BLDG. APPLICANT TEL CORNER CUTOFF, YES 13 NO (PRINT) N0. IN OPEN SPACE YESID NO ff BY (SIGNATURE) Q � IN COASTAL ZONE YES NO VALUATION W ' _ CATEGORICAL EXEMPTION YES NO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE 0 PERMITTEE ADDRESS of I ` - FINAL 9 GAP BYpv,p. CITY NOL.. �.. 75 DATE/ JUKE CHECKS R-AYAW-E, I FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 .:5:7,-ZAA1JG A 2 1.7 5 76A638A CE9803 1.2/72 76,Qr638A CE #8 3 1/77 , / t,571(2 C- e A " PPLICATION FOR BUILDING L PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN ' NEAREST Print ort a onl CROSS ST. ct U BUILDING DIS c+ CT NO GROUP YPE P OCESSED BY ADDRESS ' f.( x .;�_ CONST. !/ STATISTICAL CLASSIFICATION SEWER MAP �+ LOT NO. . 'kYCC, �L117c-F BLOCK CLASS NO. '/ DWELL•UNITS BK JFPG)„✓ TRACT d ��J USE ZONE MAP p NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT - , SPECIAL USE OF CONDITIONS EXISTING BLDG, TEL. OWNERC'.. NO• - BLDG.SETBACK FROM ADDRESS ' -7 FRONT PROP.LINE OF (STREET) . ja o e > TYPE.OF EXISTING 'SETBACK HIGHWAY + YARD = TOTAL CITY /H•IGHWA�+Y WIDTH FROM C.L. ARCHITECT OR TEL. /,.,/J�J/ ��> + �-0 = Z� ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF J (STREET) TEL. TYPE OF EXISTING SETBACK HIG Y '+ YARD = TOTAL O- HIGHWAY WIDTH FROM C.L. O CONTRACTOR .. NO. rJ ADDRESS NO LIC' - _ + _ � O LIC. ~- CITY CLASS CORNER CUTOFF YES ❑ NO Lu CONSTRUCTION LENDER a C/) NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ /) SIZE STORIES FAMILIES USE OF ADD ❑ -�S��L� STRUCTURE ALTER ❑ d REPAIR❑ SIGNATURE O APPLICANT DEMOL ❑ VALUATION $ O c9V APPROVALS f DTE INSPECTOR'S SIGNATURE P.C. PMT. /�Gi G FOUNDATION: LOCATION FEE $ FEE $ 6 ��J 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTI ON. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, SIGNATURE OF,® P HOUSE NUMBER COR- PERMITTEE "�Q- �'u�• " Le=a `/4y) RECT AND POSTED s. lz ADDRESS ©Ly{' _ !`! a l FINAL JOHN F. LEWIS. PRINCIPAL S;Pqqc URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONUK M.O. CASH c..5 9 JUL 2 � 1 D 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 0605050047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 274 UN: .002 SQ. FT STORIES TYPE 6274 LOMA AV STRUCTURE: 26 VN TEMP CA 917801634 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-011-011 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/05/06 JK 04/30/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL, DATE FINAL BY: CODE: RUDDER EUGENE B;ROSE M (626) 286-7500- 7,300f f2 f 6311 ENCINITA AV J'( 10 TEMP 917801317 FEES PAID DESCRIPTION OF WORK TEAR OFF, REROOF HOUSE & GARAGE APPLY 30 YR. SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: VASQUEZ (626) 571-1565- AN BLDG PERMIT ISSUANCE 27.75 4635 FENDYKE AVE AC STRONG MOTION RESID 7300.00 VAL 0.73 SPECIAL CONDITIONS: ROSEMEAD CA 91770 D2 PERMIT W/O EN-HC 7300.00 VAL 183.00 - TOTAL FEES 211.48 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE OTILIO GONZALEZ (626) 571-1565- 4635 FENDYKE AVE LIC. NO LOCATION AND SETBACKS ROSEMEAD CA 91770 729291 C39 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 SHEAF 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- INTEI:IOR LATH/DRYWALL - EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATEL SHAFTS/OPENINGS T-BAIL. CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508