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HomeMy Public PortalAbout6462 LOMA AVE_Building__ �5A638A CE.ry80310.58 APPLICATION FOR .BUILD[NCS PERMIT: 1.. COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER �J r -BUILDING AND SAFETY DIVISION LOCALIT'-� '' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. _ - _ DISTRICT NOfl GRO TYPE P E Y FOR APPLICANT TO FILL IN `I Z; I CONST. I BUILDING .STATISTICAL C SIFICATION, SEWER MAP ' ADDRESS �,y�a i _ I QL' _ _ g / p a LOT NO. .0 - BLOCK CLASS. NOoo_��YLDWELL:UNITS I '// 7, q / - NUMBER CYC©C�- HMAP WY. AYES �.. TRACT /1" USE ZONE SPECIAL NO:OF'BLDGS. CONDITIONS ' 2. SIZE OF LOT I NOW ON LOT _ - USEOF EXISTING BLDG. /7`O'7f'l e- BUILDING EXIST. YARD HWY STREET.NAME Q ��qq SETBACK � - � "WIDTH OWNER /W � / Ao SS' FRONT f�� �+ .. _ �, MAIL - r', L: .,.�V L_OIYJ A ADDRESS 117 . = SIDE � - CITY - e• L. v i NO. ARCHITecro TEL. INSPECTION ECORD' ' ENGINEER ADDRESS ' _ TEL. - '�, . "� - Aft 'q7- __r19- ✓ CONTRACTOR] q/C-fe o. /�- y p lp� L \� n ADDRESS �/g /. � /V /tl//f,(/T _ DESCRIPTION OF WORK NEW ( DD ALTER REPAIR DEMOLISHoe- Ate, SIZET STORIES NO O IES - ' USE STR CTURE / . SIGNATURE OF APPROVALS ..APPLICANT ADDRESS C6-. ` ..iceUNDATION: LOCATION. _ � F 3..D�TE INSPECTOR'S.SIGNATURE ORMS,MATERIALS 77 P.C. 9$ FAME: FIRE STOPS / FEE BRACING, BOLTS `•' VALUATION ! e2o� FEE $ / F�IRNACE: LOCATION,. / GAS-VENT.DUCTS (J '1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. - "� I s PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ,�^ `' _ AGREE TO COMPLY WITH ALL COUNTY ORDIN CES AND TH;•EXT. -. ,J..-/& ,5 4. STATE LAWS REGU Ti BUILDING C •�BTRUCTION. SIGNATURE OF HOUSE NUMBER COR- PERMITTE ® RECT AND POSTED ADDRESS FINAL ( CLYDE N.,DIRLAM,.PRINCIPAL'ST13J,4eTURAL ENGINEER'. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO ' c M.O. CASH 5 2 4 i rid 1 6 1 A �..Q d to _ e _ �, . ,�•36A 6'J6,A_i.E#8033-68 - - APPLICATION FOR BUILDING PERMIT fl COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF:COUNTY ENGINEER ADDRESS G �� - BUILDING AND SAFETY DIVISION LOCALITY. 6 JOHN A. LAMBIE, COUNTY ENGINEER / COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST - CROSS ST. DISTRICT N ` G OUP TYPE PR ESSED BY FOR,APPLICANT TO FILL IN CONST.` ; (Print or type only) _ i� BUILDING Jif, �� STATISTICAL CLASSIF;CATION SEWER MAP. ADDRESS //, CLASS NO. - DWELL.UNITS. �BFSV' PG �6 LOT NO. �6 BLOCK USE ZONE MAP 2G+�`� '/l� NO.' TRACT (413 6 " / CONDITIONS SPECIAL NO.OF BLDGS. SIZE OF'LOTX��S NOW ON LOT USE OF ! EXISTING BLDG. s BLDG,SETBACK FROM '''�j��,� L. FRONT PRO P.:LINE OF (STREET). OWNER NO. 6� O TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL HIGHWAY WIDTH FROM C.L. - ADDRESS �p _ ?G r - 2 L� CITY r 4 7 �i }BLDG.SETBACK FROM ARCHITECT ORTEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. ,TYPE OF EXISTING SETBA.J K K GHWAY } - YARD = TOTAL ADDRESS HIGHWAY WIDTH I FROM C.L. TEL. 't CONTRACTOR NO. J a LIC. CD ADDRESS NO.. CORNER CUTOFF YES NO ❑ U LIC. CITY CLASS SEE REVERSE SIDE F SPECIAL APPROVALS U DESCRIPTION OF WORK a z NEW AD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO, OF �I SIZE 1� n STORIES FAMILIES USE OF tIrd STRUCTURE SIGNATURE OF ' APPLICANT �jr VALUATION $ [/ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. CJ'L FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS _ FRAME: FIRE STOPS, I HEREBYACKNOWLEDGE THATI HAVE READ THIS APPLICATION 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. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF'CALIFORNIA RELAT• LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, 'SIGNATURE OFHOUSE NUMBER COR- PERMITTEE r RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK.. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 76A638A C59803 9-68 - - APPLICATION FOR BUILDI G PER COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS - BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE; COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO ROU TYPE P BY . � © CONST. (Print or type only) ./ BUILDING ^, STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ',/7l CLASS NO.---4C—/ DWELL,UNITS BK PG LOT NO. AC2 BLOCK USE ZONE MAP O '7 NO, (/ - TRACT SPECIAL NO.OF BLDGS. CONDITIONS*- SIZE OF LOT NOW ON LOT ' USE OF EXISTING BLDG. BLDG.SETBACK FROM - TEL. FRONT PROP.LINE OF (STREET). OWNER _ NO. TYPE 0EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS �V A 1 [ HIGHWA DTH FROM C.L. („p /` _ CITY n? (S". E + — BLOG.SETBACK ARCHITECT OR - TEL. SIDE PROP.LINEOF (STREET) ENGINEER NO. - TYPE OF EXISTING SETBACK HIGHWAY YARD TOTAL ADDRESS HIGHWAY WIDTH FROM,C.L. TEL.e�� q _ y CONTRACTOR R- .� dz— NO. p5p 6% + C LIC. �' ADDRESS9`� (2- RV//UA 6/,T.'NO. CORNER CUTOFF YES ❑ -- NO ❑ �t LIC. CITY � A) 49,jt jf IRI, CLASS~ rm-W SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER m NAME AND BRANCH z ADDRESS - SQ. FT. NO. OF NO. OFNEW SIZE STORIES FAMILIES USE OF ADD F]STRUCTURE ALTER ❑ IGNATU - REPAIR❑ - APPLICANT DEMOL ❑ VALUATI Z.$ 0® APPROVALS` DATE- INSPECTOR'S SIGNATURE P.C: PMT. � ` FOUNDATION: LOCATION FEE $ FEES (!�"� FORMS, MATERIALS 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, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF STATE OF •C ORNIA IN RELATING TO WORKMEN'S COMP N ATION INSURAN LATH, EXT.' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL-ENG R PLAN CHECK, VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORK ER'S'COMPENSA`rION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 6 / �, 6 I hereby affirm that I have a certificate of consent to self.insure; BUILDING ApD E ' ^L r �C) (� or a certificate of Workers' Compensation,nsurance, d LV certified copy thereof (Se .3800 Lab.C.) '' // CITY �„� ILf. ZIP I LOCALITY Policy I\ Company ,��///. SIZE OF L T NO.OF BLDGS.•NOW ON LOT - �- ,❑ Certifi py is hereby furnished. - - NEAREST CROSS ST. ertfied copy Is f d with th �lcounty building inS tion TRACT BLOCK, LOT NO: depar e to USE ZONE MAP NO. Date 1 Applicant -ASSESSOR MAP BOOK PAGE PARCEL - C . SPECIAL CONDITIONS f CERTIFICATE OF'EXEMPTION FROM WORKERS'- OWNER TE o _ 77� COMPENSATION INSURANCE WITHIN 7000 FT.OF SCHOOL? YES NO (This section need not be completed if,the permit is for one hundred ADDRESS DISTRICT GROUP T ONST. FIRE ZONE PROCESSED BY' dollars tion nor less.) CITY ZIP ' I certify that in the performance of the work for which this permit w is issued, I shall not employ any person in any manner so as to - ARCHITE ORE (NEER - TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO ' Date Applicant- ADDRESS - - -- CLASS NO. :Q I DWELL UNITS NOTICE TO APPLICANT.' If, after _making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST'. Exemption, you .Should become' subject to the WorkersCONTRACT R �r SET BACK 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. ADDR r t�0. �y SIDE PL b N`+ {p LICENSED CONTRACTORS DECLARATION >CITY v N� LIC.CLASS ._� P L , I hereby affirm that I am licensed underprovisions'of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code, d my license is in full force an effect-5NEW ❑ BK PG 4 d License Number Lic.Class DESCRIPTION OF WORK' ADD ❑ VALUATION `� t /l ® Q $ l/_ v 0 " Contractor Date � c> 'ALTER ❑ ❑ I am exempt under Sed. �. REPAIR $ 0 BAP.C. for this reason DEMOL ❑ V LDMA P/C# - W Date: USE OF EXISTING BLDG. URM ❑ SignatureAPPLICANT/-"t/ "A T L� O (Z, LOMA Perm# z.._ _ ❑ I, as owner of the property, or,my employees with wages as �"�V 7 Z n�l:1 .1r their.sole compensation, will'do the work and the structure is ADDRES ` /�- / not intended or offered for sale (Section 7044, Business and ( "6 `-' (. 0ti f . FINAL DATE Professions Code.) s`3' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J y 1 Y'f i_., OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ��•�_� ❑ 1, as owner of the property, am exclusively contracting,With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the p4oject (Section 7044, /YES- iI i'Al . 12 1 ;35 ❑ NO❑ - � - � � (/ Business and Professions Code.)'- �: i c WILL THE INTENDED USE OF THE BUIDLING BY'THE APPLICANT OR FUTURE BUILDING SI►I �� 1 '_.�'f��,e•, OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH dA n J1 CONSTRUCTION LENDING` AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING'cHECKUST FOR C.V Spt -r �` GUIDELINES. '-•I iA GE I hereby affirm that there is a construction lending agency for ' YES❑ NO❑ w the performance Of the work for which this permit Is Issued(Sec. IHAVEREAD THE HAZARDOUS MATERIALSINFORMATION GUIDE AND THE SCAOMD PERMITTING _ _ 3097,CIV.C.)' CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - "'!'' 1,:r 4 ',4 E-'�i I ` ' N - - f`-•3 t���i-e:f.1. I it ,t,yi�r�z+ -TITLE2,CHAPTER 2.20 SECTIONS 2.20.700 THROUGH 2.20.140 CONCERNING HAZARDOUS � � t- Lehder's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address O, OWNER OR AGENT _ .. o I certify-that I have read this application and state under penalty O of perjury-that the above information is correct.I agree to comply P.C.FEE - PERMIT FEE ' _ • -with all'county ordinances and State laws relating-to building COn truction, and here y authorize epresentatives Of this County ISSUANCE FEECD tco o ter up the o -mentioned operty for inspecti�purposes� 70 ZZ ¢. !ter / INVESTIGATION FEE TOTAL FEE t` gnalure of lica,or Agenf Date ' SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1102220006 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I ITR: 14396 LT: 20 I SQ. FT STORIES TYPE 1 6462 LOMA AV 1 I (STRUCTURE: 530 V-B 1 TEMP CA 917801334 1 IASSESSORINFORMATION NUMBER: i NEAREST CROSS STREET: 15382-015-020 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I I !EXIST OCC GRP: 102/22/11 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: - VALUATION: (FINAL DAIE FINAL BY: CODE: IR MELODY (626)378-7877- 1 1,500 1 - 16462 LOMA AV I I (TEMP 917801334 FEES PAID (DESCRIPTION OF NORK I I ITEAP. OFF INSTALL 20 YEAR SHI GLES 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 I (APPLICANT: TEL. NO: I ITEJEDA, JUAN M (626) 922-2234- IAA BLDG PERMIT ISSUANCE 27.80 1 I. 115826 HAYLAND ST. IAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS: I ILA PUENTE CA 91744 IAC STRONG MOTION RESID 1500.00 VAL 0.50 _ I ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 I I I TOTAL FEES 111.50 I ICONTRACTOR: TEL. NO: I JAPPR6VALS DATE INSPECTOR SIGNATURE (JUAN MANUEL TEJEDA (626) 922-2234- 1 1. I 115826 HAYLAND STREET LIC. NO I (LOCATION AND SETBACKS I I ILA PUENTE, CA 91744 816608 C39 I I 1. I (SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I I I LIC. NO: (SLAB/UNDER FLOOR I I I I I I I I I 1 I (RAISED FLOOR FRAMING I I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I 1153H265 3 OOI I 11 I' I I (FLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I NO 21 (ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I I I 1 NO- NO NO I IFRAME INSPECTION I I I [FIRE SPRINKLER HANGERS I I ' (.INSULATION/WEATHER STRIPI_ I I I (INTERIOR LATH/DRYWALL 1' I - IEEERIOR LATH I I I I I I I t I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I I (RATED WALL ASSEMBLIES I I I I I I I I IRATED SHAFTS/OPENINGS I I. 1 I IT-BAR CEILINGS I I I I I I I I ILOT DRAINAGE I' I I I I I I I IREPORT ID: DPR261 ROUTE TO: BSO508 I