HomeMy Public PortalAbout6443 LOMA AVE_Building__ 78AeHeA CE BOH 10-88 APPLICATION FOR BUILDING PERMIT rJ j
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. GROUPTYPE PROCESSED BY
FOR APPLICANT TO FILL IN coil I
BUILDING STATISTICAL CLASSIFICATION I SEWER MAP
ADDRESS t.. BK PG
CLASS.NO. DWELL.UNITS
LOT NO. i BLOCK NUMB ER HWYE YES NO
TRACT i " USE ZONE SPECIAL
NO.OF.BLDGS CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING SETBACK YARD XIS
HWY STREET NAME WIDTH
OWNER _ -- FRONT
MAIL P.L.
ADDRESS SIDE
TEL. P.L.
CITYNO.A, ( INSPECTION RECORD
'
ARCHITECTR TEL.
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 e '
SIGNATURE OF ,
APPLICANT=S e APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
_FORMS,MATERIALS
VALUATION FRAME: FIRE STOPS,
_BRACING,BOLTS
FURNACE:LOCATION,
FEE $ I FEE $ "'� -" I 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 BWILDING ,CONSTRUCTION. LATH,EXT.
SIGNATURE OF +. H.OUSE NUMBER RECT AND POSTED
R
PERMITTEE '
i
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
®F
• -- SII ,�`c�>��I[ -J /f� �L. I
76A638A CE�}`803 6-62 APPLICATION FOR BUILDING PERiViI'
COUNTY OF LOS ANGELES BUILDINGh
DEPARTMENT OF COUNTY ENGINEER ADDRESS - y-3 ,C 0
BUILDING AND SAFETY DIVISION -LOCALITY � '
JOHN A. LAMBIE, COUNTY ENGINEER
NEAREST d
WILLIAM A JENSEN, SUPT of BUILDING CROSS ST J
DISTRICT-N•O G}Z UP TYPE :7�O D'BY
FOR APPLICANT TO FILL IN `j f (�r coNsr L
BUILDING , /• STATISTICAL CLAS IFICATION - R MAP
ADDRESS �� 'j/G •a
CLASS NO DWELL UNITS BK P O
LOT NO - BLOCK WATER I
CERTIFICAMAP /TE NOT REQUIRED a--RECEIVED ❑_ -
TRACT I�,S-� NO OF BLDGS ��JJ NO L�r- 11-IRC{ VLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT _12NOW ON LOT Ot USE ZONE SPECIAL
USE OF I CONDITIONS
EXISTING BLDG
OWNER edlAl v1sabelS,-We;;E472,-2.21 BUIL ING EXIST
/ ,, ,/� SETBACK YARD HWY STREET NAME WIDTH t
ADDRESS6Y�//��//,r ••Lo'1., - FRONT
ARCHITECTO� TEL P�'L
ENGINEER .lee O NO SIDE
CL
ADDRESS �rtF ' C'' Pugs P L O
`uk TEL f V
CONTRACTOR } NONI
j
ADDRESS • O
'�bESCRIPTION OF WORK a
W
?i?!!;`2' sf1t94'� .�11F.�./iO3�- ,. .✓L..�,.�r' •, N1
NEW ADD AL'TERt REPAIR DEMOLISH "'p , ,�{,�(�f ,,C? ,�,✓'p.f -
SQ FT , NO OF NO OF / fV' c.•'f fsi 1[.dY' ;:,,,+'�// {i,:,...;�s
SIZE STORIES FAMILIES ••tl�%�f/d"� •
USE OF.
STRUCTURE
IL6 10, O 1' (o d 0 G f!� '
•SIGNATURE OF _ / ..•M. q 3/ ? f A1IS 6/�^ -77'e
APPLICANT 17 �' �_,p_� ,'•�� - ����
VALUATION $ F - IT , ,
APPROVALS ,DATE INSP CTOR'S SIGNATURE
PMTFOUNDATION LOCATION -
FEE $/'V } - FEE $ ` , .' FORMS, MATERIALS
FRAME FIRE STOPS.
I HEREBY A KNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS '
AND STATE THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION - -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE-WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT �• {f/
TION OF THE LABOR CODE OF TH TATE OF CALIFORNIA RELAT.
ING TO WORKMENZ2�A
TIO 'NSU ^NCE
LATH, EXT
SIGNATURE OF HOUSE NUMBER_00R- ,-
PERMITTEE RECT AND POSTED J A
ADDRESS t FINAL
JOHN
f ,,1,3/(✓rtek,
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION STRUCTURAL
CEN CASH, 'y-\
l `\y
L; �,'0 9 1 i 5� JAN 4 1 D 8.0��~ te l
' T pV�V }iR BUILDING
UIIVpV P} RMp 74888AE4808 1- 1 APZ` Q
M
COUNTY OF LOS ANGELES Apo Elsa �o ,3
f�DEPARTMEN T OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A�,Ir'AMBLE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN 9UP'T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRI T(N`,O. G OUP TYPE, P SSED BY
� L°� d � 1 CONST.
F.
BUILDING STATISTICAL CLASSIFICATION, SE RMAP
ADDRESS.
CLASS NO DWELL UNITS
LOT NO. ,' BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY
NO OF BLDG S. �7 NO j' '(CIRCLESTATE MAJOR SECOND, O
) CP:L
SIZE-OF LOT NOW ON LOT' !/
USE ZONE SPECIAL
USE OF , CONDITIONS
EXISTING'BLDG �J'fl-
/� TEL T
OWNER C"- �'a� NO BUILDINGYARD 'HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS L.— FRONT •,� �L
ARCHITECT-OR TEL. P L �l�)
ENGINEER NO SIDE
r � ,
P L }
b ADDRESS
TEL. INSPECTION RECORD p
CONTRACTOR - NO V
ADDRESS
DESCRIPTION OF WORK ��� �/ /�1�6I�IK4 Y/vGa.�,lIK9 C
x �,'4G'�-C �lkl r 4-f Fc,I/ a
Y( (��rw(i `L
_
NEW ADD ALTER REPAIR DEMOLISH _
SQ FT. NO OF - NO OF _
IZE STORIES FAMILIES ,
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT -
VALUATION.$
APPROVALS DATE INSPECTOR'S SIGNATURE
PCPMT // FOUNDATION. LOCATION
FEE $ FEE $y C$ FORMS, MATERIALS
"FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT KNAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT-DUCTS a ',
BUILDING CONSTRUCTION I CERTIFY THAT,IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
�LAT,H; INT.
TION OF THE LABOR CO OF THE ST OF�CALI ORNIA ..LAT-
ING TO WORKMEN'S PENSATION U NCE 4
LATH,+EXT
SIGNATURE OFHOUSE NUMBER COR_
I
PERMITTEE RECT AND POSTED
ADDRESS FINAL %d >�>•<S,�Y / /i7 >
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN,CHECK VALIDATION cv- M o. cA9H" PERMIT VALIDATION cK m.o. CASH
• r
GAG° PUCAMOM .G OO R o U�LMNQ PERMF i1
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICAN O FILL IN BUILDING ADDRESS
WORKER'S COMPENSATION DECLARATION
BUILDI A
I hereby affirm that I have a certificate of consent to self Insure,
or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP
copy thereof(Sec 3800,Lab C) / LOCALI
`
Policy No Company SI F T O OF BLDGS NOW OT
❑ Certified copy is hereby furnished I
NEAREST CROSS ST
❑ Certified copy Is filed with the county building inspection TRACT BL CK LOT N
department USE ZONE MAP NO
Date Applicant ASSESSOR MAP PAGE PARCEL
' � � SPECIAL CONDITIONS
ozp
CERTIFICATE OF EXEMPTION FROM WORKERS' LARCRTECT
R TEL WITHIN 1000 FT OF SCHOOLS YES NO
COMPENSATION INSURANCE
(This section need not be completed If the permit Is for one hundred • DISTRICT GROUP TYPE CONST FIRE ZONE P ESSE BY
dollars(Ehat or less) ZIP ?1790 V�off k-3
JZ 3
I certify that In the perforrnence of the work for which this pe It / '
Is Issued, I shall not employ any pe In any marine o OR GINEER TEL NO
become b ect to a Workers' pB tion Laws -�' STATISTICAL C IFICATION APT
Date�Appll ADDRESS CLASS NO DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL
SIDE
LICENSED CONTRACTORS DECLARATION Cm LIC CLASS P IL �-
q CD
I hereby affirm that I am licensed under provisions of Chapter,9 / SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and FT IZE NO OF TORES NO OF FAMILIES
Professions Code,and my license Is In full force and effect NEW ❑ BK PG D
License NumberLic Class S RIPTION OF WORK ADD ❑ VAL A ON �n
Contractor Date ALTER ❑ `� �' d Z
❑ 1 am exempt under Sec REPAIR ❑
B&P C for this reason DEMOL ❑ LDMA P/C#
Date USE OF EXISTING BLDG URM Cl AP ICANT(PRI �N T
L}I' LDMA Penn#
(9 c-V 1
-� ❑ I, as owner of the property, or my employees with wages as � O
their sole compensation,will do the-work and the structure Is ADDRESS F Ai CT°g
not intended or offered for sale (Section 7044, Business and FINAL D < _ �-
Professions Code) ( C' �_31�7 �vLl°
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
❑ I, as owner of theproperty, flm eXCIUSIVBI contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN l
Y g THE AMOUNTS SPE IFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > 1 ITEMS
licensed'contractors to construct the project (Section 7044, Yes❑ No
Business and Professions Code) I T'I j X 230 - 98
WILL THE INT DED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ('-HE
0�yy [[
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1 1.-HEPK iJC'°7�5J
'CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST i
FOR GUIDELINES
I hereby affirm that there Is a construction lending agency for YES 1:1 NO
CHANGE °f`IJ
the performance of the work for which this permit is Issued(Sec I HAVE READ DOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
3097,CIV C.) PERMITTING KL ST I UNDERSTAND MY REQU ENTS UNDER THE LOS ANGELES -
COU E•TITL CHAPTER220SEC IONS 2A 100 THROUGH 220140 CONCERNING
za Lender's Name HAZAR SMAT LS REPORTING O O IN MIT THESCAOMD / 0 i�I[I-010100 �/��f X1.5
ct Lender's Address f � 7:
.
o _.
0 1 Certify that I have read this application and state that the above PC FEE PERMIT FEE
information Is correct I agree,to comply with all county
ordinances and State laws relating to building construction,and
hereby author r resentatives this County to enter upon ISSUANCE FEE
the ov�property�spectl p ses
YD INVESTIGATION FEE TOTAL FEE
n
ria mnpa° 0u°
SEE REVERSE FOR EXPLANATORY LANGUAGE.
APPUCATMN FOR BULDNIG PERNT
COUNTY OF LO!4 ANGELES, BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION > FOR APPLICANT TO FILL IN BUILDING ADDRE S
I hereby BUILDING ADDRESS
affirm that I have a certificate of consent to self Insure, _ 611(.3 NO. Loma
or a certlflcate of Workers' Compensation Insurance,or a,certifled "
copy thereof' S c 3800,L C) • CITY ZIP
2� 780-9 State Fund Taiple City 91780 _ LOCALITY /-
Policy No Company SIZE OF LCT NO OF BLDGS NOW ON LOT
r IgGertified copy IS hereby furnished NEAREST CROSS ST ,
❑ Certified copy IS filed with the county-building Inspection TRACT BLOCK LOT NO
department USE ZONE MAP NO
Date 2-13-96 Applicant, Al Pagano ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO
COMPENSATION INSURANCE Irina Bolton 286-0500 WITHIN 1000 FT OF SCHOOLS YES NO
(This section need not be completed If the permit Is for one hundred ADD�E1�1S
V443_N� jppja DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
dollars($100)or less) nn
I certify that In the performance of the work for which this permit CITY ZIP
Te le Cit 91780
is Issued, I shall not employ any,person In any manner so as to
ARCHITECT OR ENGINEER TEL NO
become subject to the Workers'Compensation Laws
STATISTICAL CLA SI/FICATION -APT CONDO
O /
Date Applicant ADDRESS 'CLASS NDWELL UNITS
NOTICE TO APPLICANT If, after making this 'Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO - SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith A & S Roofing of Pasa. 357-7715 '1 FRONT
comply with such provisions or this permit shall be deemed revoked AD KESS - I P L
LICENSED CONTRACTORS DECLARATION 8L18C-Meridian St. 3 73 SIDE
`%arte LIC CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 C39 SEWER MAP >_
(commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES I NO OF FAMILIES G.
Professions Code,and m license Is In full force and effect 3000 1 1 NEW ❑ BK PG O
License Number 32473 Llc Class C39 DESCRIPTION OF WORE p ADD ❑" VALUATION D V
ContractoA & S`Rfg. of POp,. 2-13-96 Tear off, 1= CDX lynTocd and ALTER ' ❑ s6,000,00 Cc
El I am exempt under Sec reroof With GAF Woodlinz 25 REPA11R�I-X $ 0
B&PC for this reason year fiberglass Class A Comp.— DEMOL ❑ W
LDMA P/C_#
CL
Date USE OF EISTIN� LDG URM ❑ Z
LeM ence
Signature APPLICANT(PRINT) TENO LDMA Perm# ,E
El 1, as owner of the property, or my employees with wages as Al Pa7ano 3§-7715 Z AC:CT.V
their sole compensation, will do the work and the structure Is ADDRE$$CO C Meridian St Duarte Ca. 9101 ;d�3 17 .6
not intended or offered for sale (Section 7044, Business and d} U e FINAL DATE Q� Q
Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE'A HAZARDOUS MATERIAL /T� I I ITEMS
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE' Q
licensed contractors to construct the project (Section 7044, ' FINAL BY YES
TOTAL 175 . 65
Business and Professions Code) VES 1:1 No El /•y/
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHECK 175. 65.
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE .N�
GUIDELINES
I hereby affirm that there Is a construction lending agency for YES❑ NO❑
N the performance of the work for which this permit is issued(Sec ����y '
O1 3097, CIV C) CHECKLIST I UNDERSTAND
I HAVE READ THE US MATERIALS MY EQUIREMENOTSMATION UNDER OTHDE AND THE E LOS ANGELESQMD COUN PERMITTING
CODE, ►lOWl W0I 2/13/96
TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS tQa {�• �t {
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 7037 I Al 110•l I
0 Lender's Address
0 MN A OR AGENT -
oI certify that I have read this application and state under penalty
0 of perjury that the above Information is correct-I agree t0 comply PC FEE PERMIT FEE
N with all county ordinances and State laws relating to building J
m construction, and her y authorize representatives.ofthis County ISSUANCE FEE '
to enter ab endo d pro erty for Inspection purpose c;27 :5 67
2-.13-9
� INVESTIGATION FEE TOTAL FEE
^ r� Appb-«Agent D..
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY j # 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 1303130018
PHONE (626) 285-0488 EXT
ILEGAL ID I NO OF CONST NEW I BUILDING ADDRESS 1
ITR 12504 LT 31 I SQ FT STORIES TYPE OCCUP-.GROUP 6443 LOMA AV 1
I ISTRUCTURE 0 2 V-B R3 _h - TEMP CA 917801332
(ASSESSOR INFORMATION NUMBER GARAGE / I NEAREST CROSS STREET- EMPEROR
15382-018-018 _ i OTHER- - I
THOMAS PAGE- 596 GRID H1 LOCALITY TEMPLE CITY CAI
I
ITENANT IEXIST BLDG USE USE ZONE. (ISSUED ON PROCESSED BY 1
IEXIST OCC GRP- 103/26/13 SR
I
(OWNER - TEL NO IBLDGS. NOW ON LOT VALUATION- 1FIN DATE FINAL BY CODE. 1
IWONG, STEPHEN (6261 278-3442- 1 25,000 1
16443 LOMA AV I v
(TEMP 917801332 1 - FEES PAID IDESCRIPTION OF WORK 1
1 J INTERIOR REMODEL KITCHEN & SUBDIVIDE (E) FAMILY ROOM/DEN J
IFEE DESCRIPTION: QUANTITY UOM: AMOUNT- JAND ADD BATHROOM 1
(APPLICANT TEL NO I I I
INGUYEN, Y V (626) 287-1022- JB1 PLANCHECK W/ENERGY 25000 00 VAL 438 10 1 - I
11321 ELM AVE UNIT G JAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS J
ISAN GABRIEL CA 91775 JAB STATE GREEN BLDG FEE 25000 00 VAL 1 00 ICOVENANT RECORDED 1
I JAC STRONG MOTION RESID 25000 00 VAL 2 50 1 I
'
_132 PERMIT W/ENERGY 25000 00 VAL 515 50
ICONTRACTOR - TEL NO I TOTAL FEES 984 90 JAPPROVALS DATE INSPECTOR SIGNATURE 1
IAM CONTRUCTION CO (714) 622-0116- 1 1 i
18571 LANDERS DRIVE LIC NO I - - - ILOCATION AND SETBACKS 1 J I
IMIDWAY CITY CA 92655 625479 1 - 1
1 ISOILS ENGINEER APPROVAL J I
JARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I
J LIC. NO 1 - JSLAB/UNDER FLOOR I J
�! IRAISED FLOOR FRAMING J 1 1
l) }Zt
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 1 � JUNDERFLOOR INSULATION I I I
1. 3 col I_ I I
I I 11ST LEVEL FLOOR SHEATH
1NO OF FAMILIES. DWELLING UNITS APT/COND STAT CLASS 1 I I
1 0 NO 21 1 12ND LEVEL FLOOR SHEATH
1 SCHOOL WITHIN HAZARDOUS I I, i JROOF SHEATHING I 1 1
JAIR QUALITY 1000 FEET MATERIALS I 1- 1-1
1 NO NO NO I IFIRE DEPT FRAME INSPECTI I I
I IBLDG DEPT FRAME INSPECTI
1 1 ISHEAR PANELS I I I
1 I INSULATION/WEATHER STRIP) I
I I JINTERIOR LATH/DRYWALL 1 I
I I I I I
I I IEXTERTOR LATH 1 1
I ILOT DRAINAGE
ISMOKE DETECTION DEVICES I
I IFIRE DEPARTMENT APPROVALI I
I I 1 I I I
I I I— 41 I I
I IREPORT ID- DPR261 ROUTE TO- BS0508
I I I = 1 I I
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 0908110002
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST BUILDING ADDRESS
ITR 12504 LT 31 SQ FT STORIES TYPE 6443 LOMA AV I
ISTRUCTURE V-B TEMP CA 917801332
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET EMPEROR I
15382-018-018 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE RESID USE ZONE R-1 11SSUED ON- PROCESSED BY 1
1 IEXIST OCC GRP 108/11/09 SR
(OWNER TEL NO 'I BLDGS NOW ON LOT VALUATION
Fz�L DAFIN�I, BY CODE
ICHING LAI CANNIS MENG (626) 569-9825- 5,860r16443 LOMA AVITEMP 917801332 FEES PAID �_RIPTI N OF WORK
I I IREPLACE 19 WINDOWS LOWE E SAME LOCATION AND 3 SLIDING DOORS
1 IFEE DESCRIPTION QUANTITY UOM AMOUNT
1APPLICANT TEL NO I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75
IAB STATE GREEN BLDG FEE 5860 00 VAL 1 00 (SPECIAL CONDITIONS
1AC STRONG MOTION RESID 5860 00 VAL 0 59 I
ID2 PERMIT W/O EN-HC 5860 00 VAL 149 40
_1FR INV WORK W/O PERMIT 257 00 DOL 257 00
ICONTRACTOR TEL NO I TOTAL FEES 435 74 (APPROVALS _ DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
I LIC NO I (LOCATION AND SETBACKS
• I I I- I I I
ISOr,S ENGINEER APPROVAL 1 1 1
I I I I I I
(ARCHITECT OR ENGINEER TEL NO i 1FOUNDATION/TRENCH FORMS I
1 LIC NO I ISLA-B/UNDER FLOOR I
I (RAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP IUND`'RFLOOR INSULATION I I I
1153H265 3 001 I_' - 11
(FLOUR SHEATHING
INO OF FAMILIES: DWELLING UNITS APT/GOND STAT CLASS 1 I_ I I I
NO 21 1 JROO,7 SHEATHING I I
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
(AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO 1 (FRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST IFIP? SPRINKLER HANGERS
ISET BACK YARD HWY. PROP LINE WIDTH I I
IFRONT PL- 11NSPLATION/WEATHER STRIPI I
I SIDE PL- I_ 11
I (INTERIOR LATH/DRYWALL
I I I I I I
IE=RIOR LATH
IRATED FLOOR/CEIL ASSEM
I I I I I I
I I IRATED WALL ASSEMBLIES 1
IRATED SHAFTS/OPENINGS
I I I I I I
I I IT-B.I.R CEILINGS
ILOT DRAINAGE I I I
I I I I I I
IREPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I I I I
.COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS r RESIDENTIAL ADD
1� BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807020016
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 12504 LT: 31 SQ. FT STORIES TYPE OCCUP GROUP 6443 LOMA AV
STRUCTURE: 0 1 VN R3 TEMP CA 917801332
ASSESSOR INFO ON NUM R: GARAGE: NEAREST CROSS STREET: EMPEROR
5382-018-018 OTHER: 360 1 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRE .
EXIST OCC GRP: 07/02/98 UT 07/02/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA CODE:
VOGEL;TED & TRACY (626) 287-2313- 1 1,700
6443 LOMA AV
TEMP 917801332 FEES PAID DESCRIPTION OF K
OPEN WOOD LATTICE PATIO CO
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. O:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1700.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REV PEOF5EE _ 54.70
D2 PERMIT W/OMEN Ho���.v�d 4 1700:00°VAL 82.20
TOTAL-(FEES 165.15
CONTRACTOR: TEL. NO: ®� ���. APPROVALS DATE INSP TOR SIGNATURE
SAME AS OWNER - Or
LIC. NOO�ON AND SETBACKS
SOILS ENGINEER APPROVAL
I
ARCHITECT OR GINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: (� _ y'1119111 SLAB/UNDER FLOOR t
dlI RAS FL R FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:,�� ��� F, �, �i'�i1 r� ��
(, \� 1 �� ` i UNDERFLOOR INSULATION
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3 01 'rg-T—LEVEL FLOOR SH
EATH
N0. OF FAMILIES: DWELLING S: APT/CONDI STAT CLAM ,
NO 21 NAVEL FLOOR SHEATH
SCHOOL HAZARDOUS 1���� / �roa �r �� e� RO SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
ILI
REQUIRED TOTAL SETBACK FROM EXIST
BLDG DEPT. FRAME IN9PECT
SET BACK YARD: HWY: PROP LINE: WIDTH: I - 6
FRONT PL :w^?�j�� �-/i SHEAR PANELS
SIDE PL- _ "- "_- - -
-x=- INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LA
LOT DRAINAGE
SMOKE�DETECTION DEVICE
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
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