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Home My Public Portal About6455 LOMA AVE_Building__ DIVISION OF BUILDING AND: SAFETY Department of County EngineerBUILDING ®� County.�of Los Angeles WM:, J'. FOX, COUNTY ENGINEER APPLICATION BUILDING. ' /Y-,r FM�A`P'PLICANT`TO_'FILL"'IN �_ ADDRESSBUILDING ��..5�� /��/,;9- • /1��. ADDRESS. (pV..i !AVI � LOCALITYC' NEAREST,LOCA .. CROSS ST.. � 0'� �C_... ` DISTRICT No.-,-:'PLAN Cict OR.Rec. No. :.. `PERMIT. NO. '_ - NEAREST • .-.�_—.- / ..�/p CROSS'ST• - 'OWNER /''*y/' ( d } ' RECEIVEDBYDATE OF.APPL. •DAT "ISS ED ./• ` MAIL ADDRESS, !�f USE ZONZ 'N 'OF.- - TYPE -GRO P IRE•ZONE CITY�iG 1!y/v_)6,Z-..[ c TEL .:I,-PLANS I `I _ -� . ,/ - ZONING',; ATM& -ARCHITECT OF3-� l' � � � TEL. � .+�'/v�� " _ENGINEER ` mss' `NO. 'APPROVED.BY . - /ORD. BUILDING' �,vop.• ADDRESS - SETBACK LINE: � .7 ` - 'YEL. /� APPROVED DATE ' CONTRACTO, NO. a BY: '• 7 p� �p /j - � HOUSE NUMBERING - .ADDRESS 2D �,,,, - .c ..!/( " LEGAL - -i MAP NUMBER :2 NO;- NO:•ASSIGNED BY DESCRIPTION LOT NO. I_J BLOCK DATE I( COnECTIONS - ��. INSPECTOR TRACT .� / /4 45 1 - . SIZE OF LOT(�U//_//� /�! I1. NOW ON LOT S� USE 'EX STOING BLDG. N/!'//"��,-+�" G-�i�"l�l�} I �FAMIOLtES MILIES I . . I. C . DESCRIPTION OF • z' NEW -AL-'FERATI'ON_ ADDITION_ r ,eREP-AJ;Rw p,DEMOLGTIjam- - SO. FT.', NO. OF /L SIZE � �./r'�ROO S STORIESEXt. WALL COVERING USE OF STRUCTURE APPROVALS. . - - INSPECTOR'S SIGNATURE. "-DATE __ t - - �.. FOUNDATION LOCATION FORMS,'MP.TERIALS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPST w�^f Jg�]1✓"� PLICATION AND STATE,THAT THEANFORMATION GIVEN IS. BRACING,,BOLTS // �jLzf"L CORRECT. _ _ 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES" N� _ - FURNACE: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRI7CTION.-- --^�•� - GAS VENT; DUCTS i 7 TURE =J SIGNAO ,PERMF L.� - �- LATH INT.-•'�� "' �h ITTE —i:j`TH; Ex T. ( /ISI. /fi frysw,C" ADDRESS.• /A: - Z_ :f /+.r1�4.�E .. _ PLASTER, INT. AUTHORIZEDFA - / PLASTER, EXT.. // $ �- P. C $, - - - '`� FEE $ HOUSE NUMBER COR- ✓ s - RECT AND'POSTED J .VALUATION FEE FINAL g ' a •' 7`6rA'638A�DB8 S-2-S8' • .,, .,.,r � .,.1.' • - �/ /--3--25M SETS 8-45 ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES FEB 9 �,.79'�� ® � 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL ,IN FOR OFFICE USE ONLY BUILDING aa66 J'j ,1�� DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS oaf ,a,•., / /A-F- ' Fk K.9,� 4. I73, LOCALITY ��':! DATE ISSUED R@yn�EdCµ{FINED BY DATE OF APPL. NEARE CROSSSST. I lF. BUILDING�D. OWNER. �i •O'-bl` 7® ADDRESS' tF; �L�sr,�fla MAIL S - tt'ra .'d1+" �C'7/f.:ke :., �r`tLOCALITY ADDRESS _ /SJ��s �q NEARESTT E— +Mu CITY _slhii+ "'� f.L' : L N fi^D�tl,'/I CROSS ST. NO ' �-�`�y t „i. FIRE.,-,�__� NO.OPj I TYPE „�,<4. I G}Y P ARCHITECT OR ' j TEL ZONEPLANS ENGINEER H! s&... .11•:(,' ., &N 0.i - _ - �/. D. NO. v R ADDRESS E��67� •4/d4N� l�, t� % MSt.t SETBACK LINE - v ,�,�r�.,�f�, '�y j y .1r7 A ,�`� w,j APPROVED CONTRACTOR �.��: ;dIV,,O [: '��NOL7}%�j`49011 BY �'� DATE USE APPROV r 4". 1� {..rG.t`.,. � t ZONE . BY DATE �. ADDRESS �. s G l.'�/?a 'Y LEGAL " CORRECTIONS DESCRIPTIO�ySN�� LOT NO. „� s BLOCK �,. TRACT 7J�Ip�e(j Ay% $ y SIZE .OF LOT { ,��f �'°' � �%�r� l NOW ONSLOG LOTa USE OF NO.OF NO. OF-4 EXISTING BLDG.: I FAMILIES 'ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION, 1 O A REPAIR MOVING. DEMOLISH Sq. FT. NO.OF j D SIZE :IV t� ROOMS o. STORIES x r WALL t-f" ROOF ` //� COVERING C I COVERING -f' .�'i USE OF NEW BUILDING - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS _ �' APPROVALS _ (- APPLICATION AND STATE THAT THE ABOVE IS CORRECT- - FOUNDATION: LOCATION, INSPEC1V1R DATE 410' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, -MATERIALS AND STATE LAWS REGULATING BUILDING'CONSTRUCTION' FRAME: FIRE_STOPB, I rat SIGNATURE OF BRACING,'BOLTS OWNER LATH, INT.: AUTHORIZED AGT - 6 VVK " _ - LATH,"EXT.:. � PLASTER, INT. f �f k- _ �... � 4911) PLASTER, EXT. VALUATION` ` FEE ��..� �� FINAL ._-x:, ��/ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate*of consent�to'.self .insure,or a certificate of Workers'.Compensation Insurance, r A P P L I AT I O N FOR BUILD IN G P E RM I T or a certified copy thereof (Sec, 3800�,'La�b C:) COUNTY OF LOS ANGELES. BUILDING AND SAFETY Policy No. g Com anYT7 rdVl� BUILDING , ❑ Certified copy is hereby furnished., FOR APPLICANT TO FILL IN. ADDRESS Z ❑ Certified copy is filed'with county building inspec- L ' BUILDING .,--•- n r✓� P ADDRESS S 4 tnG C,4, / / 7 -`tion department: Un>. r+/ :: p/1 .T Date �a Applicant •+ L�gr4'1d C6TY w ZIP ��7 �V LOCALITY - NO. OF. BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE _ ASSESSOR (This section need not be completed-if the permit-is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or,less:) „ , TEL r7 _ OWNER • USE ZONE .• MAP I certify,that in'the performance'of the work for which'this N0. �/`� 5 permit is issued, I sh"all not employ any person in any manner. ADDRESS . D V SPECIAL a J. CONDITIONS so as to become subject to the Workers' PIX CCoo�mppenn'sattilon Laws. O Dat �-�\/ �� JC:T /7t CNV CITY • ZIP I�O (✓ ' U OTICE TO,APPLICANT: afte 7 ARCHITECT OR TEL. TYPE FIRE BY 0 Tom`— - DISTRICT GROUP.' - PROCESSED' O r 'making this'.Certificate of ENGINEER- :.NNO: � CONST. ZONE Exemption, you should_ become' subject•:to. the Workers'. A. w . .Compensation provisions of the Labor.Code, you.must forth- ADDRESS. with comply•with'such:provisions or this permit shall be TEL %� STATISTICAL.CLASSIFICATION / APT. CONDO. N deemed-revoked CONTRACTOR C .Q NO. Z LICENSED CONTRACTORS DECLARATION LIC. �-T CLASS NO: DWELL. UNITS I hereby affirm That I am licensed under provisions of Chapter 9 ADDRESS r P;'A NO' SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. ni CITY. -A l� 7 CLASSIV and Professions Code,and,my license is•in full force and effect. : _ BK. PG. VALIDATION SQ.-FT.. NO. OF NO. OF CHECK License Number Lic.,Class� SIZE STORIES FAMILIES ONE VALUATION Lys f DESCRIPTION OF WORK OFF : I#AK NEW ❑. Contracto"r �- � ' Date'. �`lD�`� '$ � 6- ADD ❑I am exempt under Seca •NSJALC :�// JC t�� . ADD ❑ ALTER- ❑ B.&P.C. for this reason SS S Aek- v .15, LA $ r REPAIR Date: - USE OF EXISTING BLDG. DEMOL ❑ 4. Signature APPLICANT' TEL. Q FINAL ..OWNER-BUILDER DECLARATION (PRINT). L1}OI�Q NO. ,�,....�� n DATE . I hereby.affirm that,I am exempt from the e Contractor's License ADDRESS / J/7 A # Law for the following reason (Section 7031.5, Business and FINAL y " Professions Code):._ PRESENT By BUILDING i f i_ ❑ I, as owner of the property, 'or.'my employees with ADDRESS L _ _ wages as their sole compensation,.vvill'do the work and - s the structure isnot intended or offered for sole-(Section LOCALITY . - - 7044, Business and Professions Code.) ,.. MOVING TEL. s T#t IS ❑ I,.as owner of the.property;.am exclusively contracting _ CONTRACTOR NO. with licensed contractors to constructahe'projecT (Sec- I t# L q ' e? 0 ADDRESS tion 7044, Business and.,Professions Code:) �,. _. REQUIRED TOTAL SETBACK'FROM EXIST. CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP,LINE WIDTH' '3 I hereby affirm that there is a construction lending agency for FRONT E_#-##tiP�iT #11 the performance of.the work'for'which this permit is issued P.L., ' (Sec. 3097, Civ,. C.); -SIDE Lender's Name, ' .. --- _ P.L. _ 100 m / LDMA•Ref. N i _ -{ t- \. P 0:Fee$ Permit Fee '3 Lender's Address' 2 $ 1 certify ;hat I have read this'application and"•state that,the Issuance Fee -✓ LDMA P/C# ® " above information is correct. I agree to,comply with all County Investigation Fee 2 8 ordinances and State laws relating to'building construction; Total Fee r9 LDMAPe m. q a and hereby authoriz representatives of this County to enter upon the ve-m" i ned.property for inspection purposes: SEE.REVERSE FOR EXPLANATORY LANGUAGE I nature of App' ant or*Agent Date,. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0212020061 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 12504 LT: 33 SQ. FT STORIES TYPE OCCUP GROUP 6455 LOMA AV STRUCTURE: 1278 2 VN R3 TEMP CA 917801332 ASSESOR INFORMATION NUMBER: GARAGE: 600 1 VN U1 NEAREST CROSS STREET: EMPEROR 5382-018-020 OTHER: THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/05/03 JK 01/31/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F L ATE FINAL BY: CODE: FERGUSON; DAN & MARCIE - 118,220 ) L 6455 LOMA AV TEMPLE CITY 91780 FEES PAID D SCRIPTION OF WORK 1ST & 2ND FLR ADDITION (FAMILY RM, 2BR, 2BA, LAUNDRY); NEW FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DETACHED 3CAR GARAGE APPLICANT: TEL. NO: TOM O'LEARY (626) 287-0927- B1 PLANCHECK W/ENERGY 118220.00 VAL 1,322.28 5823 AGNES AVENUE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY 91780 AC STRONG MOTION=RESI`D X118220.00 VAL 11.82 62 PERMIT W/ENERGY,-- 8220 00 VAL 1,555.62 / GELES TO,TAL�FEES 2,917.47 TOM CONTO',LEARY CONSTRUCTION (626)N287-0927 APPROVALS DATE INSPECTOR SIGNATURE — 5823 AGNES AVENUE LIC. NO LOCAT AND SETBACKS TEMPLE CITY, CA 91780 489354 B-1 �PZA�E SOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: y FOUNDATION/TRENCH FORMS Ab—a �3 /( gA 2 iaa LIC. N0:/ -_ 111 1111 SLAB/UND 2 0o � RAISEDFLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01-J r i�� l iUNDERFLOOR INSULATION TV 0 ��(1/0 ��<� i s NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: -- - - ---- -- ---- +S-,, NO 21`\�`- ---- —_— ZND LEVEL F SHEATH SCHOOL WITHIN HAZARDOUS \ O 4r�7 �� ROOF SHEATHING- AIR QUALITY: 1000 FEET MATERIALS `\ /7 [1 4-" C> / NO NO NO 1 � ��',t, F IRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST \ 2p �� ' BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- �'�� SHEAR PANELS SIDE PL- \� --- _ INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL z:>3 EXTERIOR LATH (2 c- v A a l7'�asi- Qc) y LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE T0: BS0508 �—