HomeMy Public PortalAbout6404 LOMA AVE_Building__ 76A638ACE#803 9-68
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING pa()/1
DEPARTMENT OF COUNTY ENGINEER ADDRESS a lj-1 [ L�
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. ��! CV C7
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROC SSED BY
(Print or type only) , QG9 S CONST.
BUILDING w' STATISTICAL�C,jLASSIFICATION WE P
ADDRESS 66�0!Y /v' O CLASS NO. v DWELL,UNITS BK PG
LOT NO. BLOCK USE ZONE MAP M
NO. 003
TRACT3� SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT jE/ l Z=C) NOW ON LOT
USE OF
EXISTING BLDG. tICL C q AJO e BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STREET)
OWNER E, j r NO.2 57 30TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS C41pL 1O HIGHWAY WIDTH FROM C.L.
� t =
CITY �/Y1 y�L� c�T, BLDG.SETBACK FROM
/"�
TEL..
LZ T SIDE PROP.LINE OF (STREET)
ENGINEER TYPE OF EXISTING1 SETBACK HIGHWAY + YARD = TOTAL
ADDRESS !s'� p HIGHWAY WIDTH FROM C.L. -
TEL _ }
CONTRACTOR //r ��/.� NO. + C
p LIC'/76/
IC. �7 �'
ADDRESS ! D - V� p/J? No.LIC 76/0 CORNER CUTOFF YES ❑ NO ❑ m
LIC. C
CITY G• CLASSCd SEE REVERSE SIDE FOR SPECIAL APPROVALS LL
CONSTRUCTION LENDER �_ CL
C
NAME AND BRANH a
ADDRESS))
SIZE T le.Pp ORIES FAMIOFNO OLFIES I NEW ❑
USE OADD
STRUCTURE PATro Cd ve
ALTER ❑
/✓ C/���I.3S ��
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ �s 0/
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION
FEE S FEES -9, FORMS, MATERIALS
FRAME: FIRE STOPS, �r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS d�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TI ON. I CERTIFY THAT IN DOING THE RK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VI ATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF 'CAL-IFORN A I ELATING TO
WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE O, HOUSE:NUMBER COR-
PERMITTEE _ rr7 RECT AND POSTED o
ADDRESS 9s * MV'W
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION <cK.' M.O. CASH
2 21`6 X24 1 D 94-0' cu
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 1005170020
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 14396 LT: 51 SQ. FT STORIES TYPE 6404 LOMA AV
(STRUCTURE: 400 V-B TEMP CA 917801331
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EDWARD
15382-016-031 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
EXIST OCC GRP: 105/24/10 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IMATT EDWARD F;PATRICIA W (626) 287-9302- 1 1,500 I
16404 LOMA AV I
ITEMP 917801331 FEES PAID IDESCRIPTION OF WORK
TEAR OFF AND REROOF WITH COMPOSITION SHINGLES GARAGE ONLY
' IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
APPLICANT: TEL. N0:
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75
IAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS:
IAC STRONG MOTION RESID 1500.00 VAL 0.50
ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20
IFR INV WORK W/O PERMIT 128.50 DOL 128.50
(CONTRACTOR: TEL N0: I TOTAL FEES 239.95 (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I
I LIC. NO I ILOCATION AND SETBACKS
I
(SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I
LIC. NO: ISLAB/UNDER FLOOR
IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-.j (UNDERFLOOR INSULATION
I153H265 3 001
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
NO 21 I IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAF. PANELS I I 1
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO /�/{®r I R E IFRAME INSPECTION
1 E" IFIRE SPRINKLER HANGERS
1 ..0-?l INSULATION/WEATHER STRIPI I
(INTERIOR LATH/DRYWALL
(EXTERIOR LATH
(RATED FLOOR/CEIL ASSEM.
- (RATED WALL ASSEMBLIES
(RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I I
I ILOT DRAINAGE
I IREPORT ID: DPR261 ROUTE TO: 3S0508
I I I I