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HomeMy Public PortalAbout6423 LOMA AVE_Building__ 76A BOA 0E9.9 APPLICATION , FOR -BUILDING PERMIT" 11.58 DIVISION- OF BUILDING AND SAFETY BUILDING C.itrvl•� Deportment of County Engineer ADDRESS County of Los Angeles - LOCALITY JOHN A. L-AMBIE, COUNTY ENGINEER NgAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. I FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP BK PG CONST' BUILDING MAP STATE ADDRESS 6423 Loma Avenue-- NUMBER HWY YES NO LOT NO. BLOCK USS ZONE SPECIAL CONDITIONS- TRACT NO.OF SLOGS. SIZE OF LOT y I NOW ON LOT BUILDING - EXIST: _ SETBACK YARD HWY STREET NAME WIDTH USE OF •Residence FRONT EXISTING BLDG.- - - OWNER Y illiaM-Ro U.'Donnell SIDE �) q,.., P.L MAIL - 642Loma Avenue ADDRESS 3 O -TRACT DWELL. 1 UNIT CITYTemp'le City -- NDu 36007 DWELL. - I UNIT 5 INDUSTRIAL 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 AODN..ALT.. ETC. ENGINEER - NO.- 3 APT. UNITS ' ADDRESS 4 COMMERCIAL 8 MISCEL. gT�,�OR- gineering, Inr,l Sy-56280 INSPECTION RECORD ADDRESS 1437E. Colorado Pasao DESCRIPTION OF WORK NEW ADD ( ALTER ) REPAIR DEMOLISH SO FT. NO. OF NO OF — T )T_ )—/)✓)S 4I' _A SIZE-- - STORIES- FAMILIES {,�/ (, _ U§FrQ.F STRUC�URE ����" ��.Y �n �� R ji(1(1 CE11 2'AI E1P.�' ,lTla system /1 4: rFf7'� =.�. .SIGNATURE OF r-, Englmeerng. Inc . APPLICANT APPROVALS . ADDRESS DATE INSPECTORS SIGNATURE $ 1000 _ P C. FFORMS, MATERIALS LOCATION ' FEE FRAME' FIRE STOPS. VALUATION V$G e00 BRACING. BOLTS FEE FURNACE LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS - APPLICATION AND STATE•THAT THE ABOVE IS CORRECT I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. or- Fbginee' ing, Ina. LATH. EXT. SIGNATURE OF !/Y- HOUSE NUMBER COR-- PERMITTEE ��/ ���-000����/// RECT AND POSTED' ADDRESS 1417 Y Qb1orado Pasn. FINAL - 6' JOHN A.LAMBIE. COUNTY,ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR' • - CK MO CASH LACUfl 7 5 4 0 APR 2 5 1 6.0 O N FOR,APNLICANT TO FILL IN (Printortype only) COUNTY OF LOS ANGELES BUILDING ADDRESS !! /� � 3 DEPARTMENT OF'COUNTY ENGINEER l�7p� IV �7l< • clrY _ BUILDING AND SAFETY DIVISION C�iYI l� 0- ZIP �J 2 0 NO OF LOTDE� 1 ADIDRESS ('U LDING /p ` J , (. R SIZE OF LOT (y7 x ASO NOW ONN LOT TRACT,I iL SCS BLOCK- LOT NO y LOCALITY TELp v NEAREST OWNER G J NOo'-t7 7~ '4MO CROSSST &a0 114e \ ASSESSOR \ -ADDRESS-' Q MAP BOOK PAGE PARCEL ' CITY eyy) r DISTRICT GROUP 'TYPE FIRE ZSSED ZIP CONST ZONE ARCHITECT OR rj�r �, J� QS 'Jl `�� O� ENGINEER /3 / t.r N / STATISTICAL CLASSIFICATION SEWfR MAP ADDRESS %"p / � CLASS NO �JDWELL UNITS AI BK 90 PG TEL CT CONTRAOR K � pry-, 4 NO 6S 3 d?l7 USE ZONE NOP 00,73 ADDRESS fff_iC' i2� DV NO3�a7 D SPECIAL LIC ^'iCONDITIONS 'CITY ; CLASSIC-Ir-1 ROAD DEPARTMENT APPROVAL REQUIRED YES ❑f NO ❑ ~' CONSTRUCTION LENDER NAME AND BRANCH ome ICCj L'r/ l U BLDG SETBACK FROM FRONTPROP LINEOF (STREET) , ADDRESS CITY TOTAL SETB CK FROM TYPE OF EXISTING SQ FT. r NO OF NO OF CHECK HIGHWAY + YARD = FRON R P LINE HIGHWAY WIDTH SIZE J STORIES FAMILIES` ONE } DESCRIPTION OF WORK' NEW + O C • ADD ❑ BLDG SETBACK FROM � d W f M M i Pool SIDE PROP LINE OF (STREET) O �'Z)a ALTER ❑ TOTAL SETB'ACK,FROM TYPE OF EXISTING w j* IToF HIGHWAY. +_ .YARD USE OF SIDE PROP LINE . HIGHWAY 04SMN f .REPAIR❑ Z EXISTING BLDG �V �. DEMOL ❑ + APPLICANT, TEL CORNER C OFF YES ❑. NO ❑ (PRINT)_ - NO _ • IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( -^ - Q IN COASTAL PERMIT ZONE, YES ❑ NO ❑ VALUATION$ ('JQ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE _ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ' AND LAWS•REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF _ THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF ' PERMITTEE �T ADDRESS �p FINAL ,' /� ! BY_ CITY ,v e` TEL rry Z` DATE/V /� n Jw'J 0.4214601-01 X_ . p MAKE CHECKS PAYABLE TO P C G PMT FEE P FEE 48 =H�RVEYT.BRANDT,COUNTY ENGINEER �9✓Z� t PLAN CHECK VALIDATION CK M o cnsH o PERMIT bALIDATIONcK M O _ CASH "4`.3 740qU,G;.. c3:2,3, , g 4 3 S:�AtlG 3 •-1° © 4 8 `- 2 '9.2 � a O - - - ®S 76A6384CE'#803 3 75 ' . - /p - - WORKFgS'COMPENSATION DECLARATION _ I-here �rm that I Have a certificate of consent-,to-self l? insure,¢orra certificate of Workers' Compensation Insurance, O�LI­X1� IJ V :�®� L✓ D 11 `LJ 1�.��� 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' Certrfied'copy is filed with the county building inspec- BUILDING r fion,depariment ADDRESS n Date Appliccint. CITY ZIP q. LOCALITY _ CERTIFICATE OF_EXEMPTION FROM,WORKERS' NO OF BLDGSS NEAREST _ COMPENSATION INSURANCE SIZE of LOT NOW'ON LOT CROSS ST' (This section need not be'completed if the permit is for one ASSESSOR hundred dollars ($100)or,lesi ) - '"r TRACT BLOCK LOT NO MAP'BOOK PAGE PARCEL y ;TEL',$ USE ONE� MAP { OWNER O NO I !certify'that in'the performance of The work foi,which-this permit'is issued, I shall not employ any person in any manner ,. SPECIAL so as to become�squ�blecfto the-Workers'-Compensation Laws ADDRESS CONDITIONS �lr "D 4 ~, - CITY' ZIP (� Date Applicant ARCHITECT O TEL - fel NOTICE TO APPLICANT If, 'after making is Certifi Te of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Q Exempho'n, you sFiould' become subject'to the' ork'ers' CONS ZONE Compensation'provisions of the Labor Code, you must,forth- ADDRESS Vl�! ZO W with comply:with such provisions or this permit,sholl be EL tL� deemed_ revoked :3 CONTRACTOR NO 2 STATISTICAL'CLASSIFICATION APT CO N Z '- LICENSED CONTRACTORS DECLARATION LIC CLASS NO �L� DWELL UNITS I hereby affirm-that 1 am licensed under provisions of Chapter 9 ADDRESS NO'Jf I (commenting with Sect_ion,7000)of Division 3 of the Business and ! _ LIC SEWE P Professions Code,'and rriy license is in full force and effect CITY' CLASS'' BK VALIDATION _ SQ FT NO OF NO OF CHECK License�Number Lic Class ° SIZE STORIES , FAMILIES 'ONE I. . NEW. a VALUATION Contractor Date DESCRIPTION OF WORK • • - ADD _- • QI am exempt under Sec ` _ ALTER B 8P C for this reason REPAIR S , Date USE OF _ EXISTING BLDG DEMOL Signature Y APPLICANT ` c' N LL, FINA n, -OWNER-BUILDER DECLARATION, (PR DATE 2&'0 A 4 hereby affirm that I'am exempt from the Contractor's License- # e e'o •'t� ,Law•for the following,reason (Section 7031 5, Business•and ADDRESS r 7 � . FINAL.' ProfCode) � PREM T BY 'I,,• 9'4 Q 8 8 BUILDING - 1 - �, I, as owner'of the property; or my employees with ADDRESS wages as their sole compensation,will do, LOCALITY ".67.the wcr work and o 0 4 Q,8 8= • the structure is riot intended or offeredfor sale(Section ' 7044,'Business and Professions Code) MOVING TEL _ 2 6,;'8 8 I, as owner of the property, am exclusively contracting, CONTRACTOR NO ; with licensed contractors to construct the prolect'(Sec ADDRESS r' .tion 7044, Business and Professions Code) r REQUIRED TOTAL SETBACKFROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY. PROP LINE WIDTH I heieby 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 # Lender's Address PC Fee$ Permit Fee r ✓ 1 certify that'l have read this application and state that the Issuance Fee r (/ LD MA P/C•## D g above information is,correct I agree to comply with all County Investigation Fee S ordrnances'and'Stote laws relciting to building construction; Total Fee LDMA Perm M - and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE , Sign at of Applicant' r 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 0201080007 PHONE: (626) 285-0488 EXT: GA 0. OF CONST BUILDING TR: 12504 LT: 28 SQ. FT STORIES TYPE, 6423 LOMA AV - STRUCTURE: VN TEMP CA 917801332 ASSESSOR R: NEAREST CROSS STREET: WOOLLEY 5382-018-015 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY I T BLDTUSE: RESID USE ZONE: R-1 ISSUED0 SED BY: EXPIRES ON: EXIST OCC GRP: 01/08/02 JK 07/07/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE AL BY: CODE: HIGBIE NANCY L 3,500 6423 LOMA AV TEMP 917801332 FEES PAID VSCRIPTIO REROOF HOUSE & GARA E OVER EXISTING ROOF W/25YR ELK CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP APPLICANT: E . NO: CLASSIC ROOFS (626) 286-6990- AA BLDG PERMIT ISSUANCE 27.75 10603 FREER ST AC STRONG MOTION RESID__--_ 3500.00 VAL 0.50 SPECIAL CONDITIONS: TEMPLE CITY D2 PERMIT W/O-EN-HC- _ - -:--3500.00 VAL 115.80 7TOTAL FEES 144.05 CONTRACTOR: EL. 0: ��% �'� -� �� �� APPROVALS DATE INSPECTOR SIGNATURE CLASSIC ROOFS (626) 286-6990- 10603 FREER ST LIC. NO !�'/� , A� LOCATION AND SETBACKS > �f� TEMPLE CITY CA 91780 382938 C39 y• �. y SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: �� - �� FOUNDATION/TRENCH LIC. N0. —_II i �- SLAB/UNDER FLOOR �` _.___ _ l _ � i ! • RANED FLOOR FRAMrW6- MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP 153H265 UNDCRFLOOR INSULATION 3 01- �� FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLA§§-.- NO 21 V - - - „�' ” „"j -i ! " ROOF" SHEATHIN SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS / �" j _) NO NO NO � .� / % -'�', Y "'l/ j i FRk4E NSP CTION n MU DTOTAL SETBACK FROM EXIST V�� ��. i, .,r.. , _ SPRINKLER HAWn'Wg- - SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATH R STRIP SIDE PL- _ --- INTERIOR LATH/DRYWALL EXTERIOR LATH FATED Fl L ASSEM. RATED WALL ASSEMBLIES UTSHAFTS/OPENINGS BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1311200063 PHONE (626) 285-0488 EXT: LEGAL ID: NO OF CONST NEW I BUILDING ADDRESS 1 ITR 12504 LT 28 I SQ FT STORIES TYPE OCCUP GROUPI 6423 LOMA AV 1 I ISTRUCTURE: 450 1 V-B R-3 I TEMP CA 917801332 1 (ASSESSOR INFORMATION NUMBER I GARAGE: NEAREST CROSS STREET 15382-018-015 I OTHER THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl TENANT (EXIST BLDG USE. RESID (ISSUED ON PROCESSED BY I (EXIST OCC GRP- R-3 111/20/13 SR I (OWNER TEL NO. IBLDGS NOW ON LOT- VALUATION IFINAL DATE FINAL BY CODE- I IESTRADA, DAVID (626) 625-4033- 1 500 1 16423 LOMA AV I I TEMP 917801332 1 FEES PAID ID SCRIPTION OF WORK 1 1 1 ITO FINALIZED EXPIRED PERMITS BL 0710220037, EL 0710220045 I IFEE DESCRIPTION QUANTITY UOM: AMOUNT: IME 0710220020 AND PL 0710220026 TO ADD MASTER BEDROOM, BATH 1 (APPLICANT TEL NO I (ROOM, WALK-IN CLOSET AND KITCHEN REMODEL AND DINING AREA ISAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27 80 1 1 IAB STATE GREEN BLDG FEE 500 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 500 00 VAL 0 50 1E2 ADD INSPECT HRLY RTE 1 00000 HOU 144 90 TOTAL FEES 174 20 (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I LIC NO I ILOCATION AND SETBACKS 1 ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I LIC NO I (SLAB/UNDER FLOOR I1 IRAISED FLOOR FRAMING I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I 3 001 1 11 I 1 IFLOOR SHEATHING I I 1 INO OF FAMILIES DWELLING UNITS: APT/COND. STAT CLASS I I I I 1 NO 99 I IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1AIR QUALITY 1000 FEET MATERIALS NO NO NO I (FRAME INSPECTION IFIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI I I 1 I (INTERIOR LATH/DRYWALL I 1 I (EXTERIOR LATH I I I I I I I IRATED FLOOR/CEIL ASSEM I I IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I 1 I ILOT DRAINAGE I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND,SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0710220037 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST NEW I BUILDING ADDRESS" 1 ITR 12504 LT 28 SQ. FT STORIES TYPE OCCUP GROUPI 6423 LOMA AV - I I _ISTRUCTURE 450 1 VN R3 I TEMP CA 917801332 1 (ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET I 15382-018-015 I OTHER 300 1 VN R3 I THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl ITENANT (EXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY EXPIRES ON I IEXIST OCC GRP 110/22/07 _ SR 04/19/08 I I I I OWNER TEL. NO. JBLDGS. NOW ON LOT VALUATION: IFINAL DAn BY CODE ESTRADA, DAVID (626) 625-4033- 1 70,480 1 /� y�I��6�� _ 1 6423 LOMA AV A i�A ITEMP 917801332 1 FEES PAID " IDESCRIPTION OF WORK 1 I I (ADD MASTER BEDROOM, BATHROOM, WALK-IN CLOSET 450 S F AND 1 IFEE DESCRIPTION QUANTITY UOM- AMOUNT IKITCHEN REMODEL AND DINING AREA 300 S F (APPLICANT TEL NO I I 1AZUKA EGUN (818) 968-0334- IB1 PLANCHECK W/ENERGY 70480 00 VAL 943 17 1 19814 BEACHY AVE IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS 1 IPACOIMA, CA 91331 1AC STRONG MOTION RESID 70480 00 VAL 7.05 1 I 1B2 PERMIT W/ENERGY 70480 00 VAL 1,109 63 1 1 1 TOTAL FEES 2,087 60 I 1 ICONTRACTOR. TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IBAS ASSOCIATES CONSTRUCTION (818) 968-0334- 1 1 I 19814 BEACHY AVE LIC NO I ILOCATION AND SETBACKS I 1 1ARLETA, CA 91331 610162 B I I 1 I 1 1 ISOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER TEL NO 1 IFOUNUATION/TRENCH FORMS 1 I LIC NO 1 (SLAB/UNDER FLOOR I (RAISED FLOOR FRAMING I -1- IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION `� 1 3 011 I_ 1 I 11ST LEVEL FLOOR.SHEATH I INO OF FAMILIES- DWELLING UNITS APT/COND: STAT CLASS- I I I I I NO 21 1 12ND LEVEL FLOOR SHEATH I 1 1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I� (AIR QUALITY. 1000 FEET MATERIALS I I- I I �./ NO NO NO I IFIRE DEPT FRAME INSPECT( I I I _I I_• I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 1BLD(; DEPT. FRAME INSPECTI ISET BACK YARD HWY PROP LINE WIDTH I__ I I I FRONT PL- I I SHEAR PANELS C-/r7-p'/ •1/�- �7 I SIDE PL- I N/ (INSULATIOWEATHF�R„�T$IPI d�J`Y e �(,� �. f ��� Z, kte't Lc)( �/�/.1t vl LT/ i INTERIOR LATH/DRYWWNA(LLLL.•)) / ov (EXTERIOR LATH I 1 I ` 1 I ILOT DRAINAGE I I I I I I I I I ISMOKE DETECTION DEVICES I I 1 I I I I I I I I IFIRE DEPARTMENT APPROVALI " 1 1 (REPORT ID DPR261 ROUTE TO BSO508 I I 1 I I I I I I I /i,