HomeMy Public PortalAbout6442 LOMA AVE_Building__ 78A838A CE#808 9-67APPLICATION 1= R BUILD G PERMIT
CbCTNTY O,F LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEARESTCROSS ST
FOR APPLICANT TO FILL IN DISTRICT N GROUP T E PR CES BY
C ST,
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ADDRESS�j (� / CLASS NO.�DWELL UNITS BK/ P
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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 FUR14ACE LOCATION,
px �{WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VE T, DUGTSiBUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORKAUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LA R ODE OF THE STATE OF CALIFORNIA RELAT- LATH, INING TO WORKME 5 C MPENSATION I SULATH, EXTSIGN URE HOUSE NUMBER COR-PER - RECT AND POSTEDlc6�
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JOHN F LEWIS PRINCIPAL
PLAN.CHECK VALIDATION CK M o CASH _ PERNIIT VALIDATION T CK URAL
O ENGINEER
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75A636A CI: 003 1-61 `
� APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ee
DEPARTMENT OF COUNTY ENGINEER °DDRESS i D
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
DIST g CT NO. G TYPE SSED BY
CON R
FOR APPLICANT TO FILL IN Jr!% rJ�� CONST
BUILDING i//i 7 / I STATISTICAL CLASSIFICATION SE KR MAP
ADDRESS
CLASS NO DWELL UNITS i
LOT NO. BLOCK WATER
CERTIFICATE NOT REQUIRED )Vl RECEIVED
TRACTMAP HIGHWAY
NO OF BLDGS _ NO p-' a (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT NOW ON LOT USF ZONE SPECIAL
USE OF CONDITIONS
EXISTING�B"L�DG
OWNER Gv�liL//�ar� `+/�iGS��jTEL NOBUILDING
YARD HWY ST EET NAME EXIST
SETBACK WIDTH
ADDRESS �.�/��� FRONT
ARCH ITECT OR TEL j P L E✓—l�A/L
ENGINEER NO SIDE
P L.
ADDRESS a
TEL.!=474 INSPECTION RECORD O
CONTRACTOR NO.
ADDRESS O B 0
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DESCRIPTION OF WORK ri
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NEW ADD ALTER REPAIR DEMOLISH Z
SQ FT. NO OF NO OF
IZE STORIES FAMILIES -
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$77, 77 U I ^ J
1 J
UNDATION APPROVALS' //DATE INSPECTOR'SISIGNATURE
FEE $ FEE $ n �"� FO FORMS, MATERIIALSON
FRAME FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, I '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 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 COMPENSAX INS RANCE I
LATH,EXT -
SIGNATURE OFijj� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL �'t +� ✓ �,� I ��' _�
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.C. CASH PERM"VALIDATION cK. M.O. CASH
JUN 18 1 D 6.00-
76A638A CE 4803 4/72
APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK )PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS / c
MAKE CHECKS PAYABLE TO: �
HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
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BUILDING A J, DISTRICT NT GROUP PE PRO ESS B
ADDRESS /Y �' NST
C/c ^/
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK
!CLASS NO. DWELL,UNITS BK P
TRACT USE ZONE MAP //��
i T NO.OF SLOGS ' RNOITIONS
. V Q '
SIZE OF LOT )C /OC! NOW ON LOT ECIAL
USE OF - L A FG /� LC
EXISTING )BLDG. KE-0. 67 !!�T/i� ` F,
OWNERIFEL
BLDG,SETBACK FROM-
ADDRESS
OM-ADDRESS L,D FRONT PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL
CITY S • ff - - -- ,Q HIGHWAY WIDTH- FROM C L
ARCHITECENGINEER T O `EX C--h k � T '�7 t =
BLDG SET ACK FROM
ADDRESS SIDE PROP LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL G..7
CONTRACTOR NO HIGHWAY WIDTH FROM C.L O
LIC t = U
ADDRESS Np, La.l
LIC. n-
CITY CLASS CORNER CUTOFF YES E] h NO ❑ Z
CONSTRUCTION LENDER
NAME AND BRANCH 0 to F SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT NO OF NO, OF" ) NEW ❑
SIZE STORIES FAMILIES /
USE OFD ADD
STRUCTURE p a /+lM NA
ALTER ❑
REPAIR❑
SIGNATURE OF
APPLICANT RRMOL ❑
VALUATION $ APPROVALS DATE IN a TOR's SIGNATURE
Y
P,C PMT, FOUNDATION; LOCATION / ,
FEE $ FEE $ FORMS, MATERIALS `7
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,
WITHALL ORDINANCES AND LAWS REGULATING BUILD ON- GAS VENT, DUCTS -
STRUCTION I CERTIFY THAT IN DOI THE WORK A HO ZED
HEREBY I WILL NOT EMPLOY ANY P S IN VIOLA ON 0 THE LATH, INT -
LABOR CODECO OF T TATE OF ALI ORNIA IN ELA NG TO
WORKMEN'S A ISON INSURA
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR- r�
PERMITTEE RECT-AND POSTED
ADDRESS FINAL 73
PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VAATION CK M 0 CASH
` 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 1105120025
PHONE (626) 285-0488 EXT
LEGAL ID• NO OF CONST BUILDING ADDRESS
ITR 14396 LT 22 SQ FT STORIES TYPE 6442 LOMA AV I
I ISTRUCTURE 30 V-B TEMP CA 917801333 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15382-016-002 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
TENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY
(EXIST OCC GRP 105/12/11 SR I
(OWNER TEL NO• I BLDGS. NOW ON LOT• VALUATION F DA FINAL BY CODE
IBRENNAN THOMAS M,LYNN - 6,000 s{ I Y
16442 LOMA AV !!W��/
ITEMP 917801333 FEES PAID IDESCRIPTION OF WORK
ITEAR OFF ROOF TO WOOD REROOF USING 30 YR SHINGLES
IFEE DESCRIPTION QUANTITY UOM• AMOUNT
APPLICANT TEL NO I I
BILL MARINO (951) 255-7003- SAA BLDG PERMIT ISSUANCE 27 80
IPO BOX 2192 SAB STATE GREEN BLDG FEE 6000 00 VAL 1 00 SPECIAL CONDITIONS
IMONTCLAIR CA 91763 IAC STRONG MOTION RESID 6000 00 VAL 0 60 I I
ID2 PERMIT W/0 EN-HC 6000 00 VAL 149 70 I I
TOTAL FEES 179 10 I I
CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE I
(BILL MARINO (951) 255-7003- 1 1 I
IP 0 BOX 2192 LIC. NO 1 1LOCA1ION AND SETBACKS I I I
MONTCLAIR, CA 91763 69015 C39
I ISOILS ENGINEER APPROVAL
I 1 I I I I
1ARCHITECT OR ENGINEER TEL NO 1FOUNDATION/TRENCH FORMS I I
1 LIC. NO I (SLAB/UNDER FLOOR I I
IRAISED FLOOR FRAMING
I I
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP JUNDERFLOOR INSULATION I I
1153H265 3 OCI I 1-1
I _I IFLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
I 0 NO 21 IROOF SHEATHING
I I
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
(AIR QUALITY 1000 FEET MATERIALS I I I I I
1 NO NO NO I (FRAME INSPECTION
I I I
I (FIRE SPRINKLER HANGERS
I I I
INSULATION/WEATHER STRIPI
I I I I I I
(INTERIOR LATH/DRYWALL
I I I
1 (EXTERIOR LATH
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(RATED FLOOR/CEIL ASSEM I
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(RATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS I I I
I I I I I I
IT-BAR CEILINGS
* I I
ADDITIONAL DATA ON FILE
I I
ILOT DRAINAGE
1REPORT ID DPR261 ROUTE TO BS0508