HomeMy Public PortalAbout10027 LA ROSA DR_Building__ . �EMPLEY
7eAa33ACE«803 a:63 APPLICATION 'FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING r 0
DEPARTMENT OF COUNTY ENGINEER ADORES,
BUILDING'AND SAFETY DIVISION LOCALITY.
JOHN A-LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN;'SUP'T OF BUILDING CROSS ST.
D�RICT N G TYPE - �R�E `��D BY,
FOR APTRsa
FILL IN Lh • 0 CONSL V X7C _ P
BUILDING' STATISTICAL CLAS, ICATI OIN SEWER MAP
ADDRESS ' 100Temple City BK PG
CLASS. NO. DWELL. UNITS
LOT NO: /I BLOCK WATER NOT REQUIRED RECEIVEDTRACT (,�� CERTIFICATE: /� HWAY
O.OF BLDGS. NOM (/ �cGRc E, STATE MAJOR SECOND. LOCAL
SIZE OF LOT ' OW ON LOT USEZONE 5PECIALUSE-OF, /� CONDITIONS,
EXISTING BLDG. F`-I'Steve TEL.OWNERNO. BUILDING EXIST.
ADDRESS 10027emple Clty SFRONTKYARDHWV STREET NAME WIDTH
ARCHITECT ORTEL, P. L.
ENGINEER. NO. - SIDEADDRESSTEL. 0
CONTRACTOR •, NO. 1 V
ADDRESS 600 s. San Gabriel. Blvd. C
DESCRIPTION OF WORK u
W
NEW ADD ALTER XXREPAIR DEMOLISH N
SO.,FT. • NO. OF NO. OF
SIZE - STORIES FAMILIES.
STRUCTURE Residence
STR -
SIGNATURE OF
APPLICANT /p
VALUATION $ 687.00 ,
APPROVALS = DATE INSPECTOR'SSIGNATURE
P.C. .. PMT. FOUNDATION: LOCATION '
FEE $ FEE $ 8.00 FORMS. MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE_READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOV IS CORRECT ANO AGREE TO COMPLY, FURNACE: LOCATION,
WITH ALL COUNTY OROIN NCES ANO STATE WS REGULATING GAS VENT. DUCTS
BUILDING CONST. CT ON I CERTI Frf THAT N GINS THE WORK
AVTHORIZEO HEREB LL NOT EMPLOPE5 IN VI A- LATH. INT:
TION OF,THE.LABOR SJA I A RE AT-
ING TO WORKMEN'S
LATILI -
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 660 S. San Gahri PT' Rlvd. '
FINAL
SET Gabriel. CallfOPnla JOHN F. LEWIS.PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK, M.D. CASH - PERMIT VALIDATION cIC NO, CASH
Lfil,s q`,:7 6 6 b MAR 2 5 1 -D t3.0
TE PLE 'CITY ,
eueeel.cX431,_s, APPLICATION FOR BUILDING PERMIT
BUILDING
COUNTY OF LOS ANGELES Arl� Z� �R� gR �(2-
DEPARTMENT OF COUNTY ENGINEER OpREss
BUILDING AND SAFETY:DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY'ENGIN EER NEAREST
WILLIAM A. JENSEN�SUP•T OF BUILDING CROSS ST. "
FOR APPLICANT TO FILL IN _ DISTRICT NO, ROUP TYPE P OCESSED BY
/, �1, /T/ ✓J /J� • CON ST=.
BUILD'NO 1✓O?' 650 .bA /` STATISTICAL CLASSIFICATION ® SEWER MAP
ADDRESS SK PG
�//�' ,I CLASS.NO: DWELL.UNI ^/
LOT NO. 44 BLOCK � WATER NOT REQUIRED I ✓F RECEIVED -
TRACT' ^t CE RTI F I CAT/E: LLLJJJ Li
qq ,�yy NO.OF SLOGS. NOP- ` LCGRC L., STATE MAJOR SECOND, LOCAL
SIZEOF.LOT- O U X:CwJ NOW ON LOT USE ZONE SPECIAL
USEOF - � CONDITIONS
EXISTING SLOG. zz// ,
TEL
OWNER. 614A1� NO.GZ 3�/6 BUILDINGEXIST.
SETBACK . YARD HWY 51TNAME - W TH'
ADDRESS - FRONT
ARCHITECT OR _ TEL. -P. L. i
ENGINEER NO. SIDE '
P. L.
ADDRESS l�Sy �sr, .TELA ,' y INSPECTION RECORD
CONTRACTOR'
ADDRESS e)7, NAAM -
DESCRIPTION OF WORK
UU
w
NEW ADD ALTER REPAIR EMOLI 0
N
SFT. - NO,OF .OF Z
• IZ IZE STORIES FAMILIES _
USE OF
STRUCTURE
SIGNATURE OF 1
APPLICANT '- ..
VALUATION$
APPROVALS DATE. INSPECTOR'S SIGNATURE
•F E $ FEE $ FOUNDATION: LOCATION
FORMS.MATERIALS L
FRAME: FIRE STOPS.
�LHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLT,
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLYRNACE: LOCATION.
/
WITH ALL COUNTY ORDINANCESAND STATE LAWS REGULATIN. GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORKAUTHORIZED HEREBY 1 WILL NOT PLOY ANY PERSON IN VIOLA- LATH.•INT. _
TION OF TME,LABOR=CO E OF TH£S�i OF CALIF RNIA RELAT-
ING TO WORKMEN'S C MPFIJ A 10 U LATH,EXT.
SIGNATURE�OF,
lJ HOUSE NUMBER COR-
PERMITTEE RECT AND/POSTED
ADDR Ess FINAL
CLYDE'N. DIRLAM.' RINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION. cK. M.o.. cAsH PPERMIT VALIDATION cK M.o. cAsH '
! ; 02827
FEP 20
_ 6
TEMPLE -C9TX.;;
`J
APPLICATION_, FOR-BUILDING PERMIT
COUNTY OF LOS ANGELES'l!" , ' BUILDING !! 2_7
O '
DEPARTMENT OF COUNTY ENGINEER
BUILDING:.AND SAFETY DIVISION LOCALITY i
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN..9uP•T OF BUILDING CROSS ST.
DISTRICT NO: GROUP TYPE P ESSED BY
FOR APPLICANT TO FILL IN /' J CONST. v 0-e
BUILDING. [[I� /^/,�(� STATISTICAL tC�LA�SSI FICATION S ER MAP
ADDRESS ® lav,&777 r���4✓"'"^
BK PG
CLA95. NON ELL. UNITS ��' I 6 S�
' LOT NO. . _ BLOCK WATER NOT REQUIRED - ,RECEIVED
TRA - a •�/ _2O - CEARTIF,IC�AT�Eq: �T
NO.OF GS. �I,! IUgC EI STATE MAJOR SECON O, LOCAL
S IZEOF LOT. •, D I NOW ON LOT USEZONE -SPECIAL /
USEOF - CONDITIONS
EXISTING BL l, '
OWNER NO `- ' BUILDING EXIST.
SETBACK YARD HWY STREET NAME
ADDRESS le B `L WIDTH'
�C�l ✓C 'FRONT
ARCHITECT OR TEL. I ' P. L. _
ENGINEER NO. SIDE
P. L.
ADDRESS t
CONTRACTOR, �1� TEW / INSPECTION RECORD a
•YS NEI ,W 4
.ADDRESS /1�lZ- ;ie K
DESCRIPTION OF WORK 0
V
W
NEW AD .ALTER REPAIR DEMOLISH d
h
SQ.FT.," ^^_ NO.OF NO-OF 'Z
IZE 1.�' STORIES FAMILIES
USE
STRUCTURE _• '
'SIGNATURE OF ,I
APPLICANT
VALUATION S / [/
PMT. / p-o APPROVALS DATES S INSPECTOR'S SIGNATURE
P.C. .�'. I FEE S 4, " 1 `FO FORMS,MAIERIIALS.N �� R29 ( i✓,���`
FEE $
FRAME: FIRESTOPS,'" �y �/ ��/••� /�._ /. -
I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION ', Bfl ACING, BOLTS
AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY :FURNACE:LOCATION.
N ^
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VET DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN.:DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLALA
TH;INT + ' n
TION OF THE LABOR CO E OF TH AT OF CAL}��QQgNlq gELAT (/ �/I✓.�
ING TO WOR KMEN:S M NSATI N B CE. - LATH,EXT.
SIGNATURE OF v HOUSE NUMBER'COR-
RECT AND POSTED
ADDRESS I 0 Iti FINAL
CLYDE N DIRLAM. PRINCIPAL S7AL ENGINEER
PLAN CHECK VALIDATION cK: M.O. GASH PERMIT VALIDATION GK -M.O. GSH
L�t'o .C' 4 9 SEPI 1 D 6nor
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
I p e 96,.®a N�A
WM._J, FCX, CHIEF ENGINEER UJ
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /•- } 'J l DISTRICT
NO. PLANCK. NO.
PE
RM ITN .q
ADDRESSJ �L _
LOCALITY �5) f�-'E7�C�1E�.VED BY - DATE OF APPL. DATE IMS UE�DD
NEAREST J •V✓�-G ��ML� J 1 �'L O ' v 1
CROSS ST. ^ n BUILDING
Jl/` � � ADDRESS d OT� L P, O/+SI �J
MAILOWNER LL �rJ-1� � LOCALITY 1 f (-I 10L (fin ` I T
ADDRESS
}' -Q F L., dIZ/(ti�„] t NEAREST '
CITY /vNo. T� ��� O�}K CROSS BT. \ (,� O�j.0 1 h.l
FIRE NO. OF
Q I TYPE T GROUP r
' ARCHITECT OR (/ / TEL. ZONE PLANS
ENGINEER NO. BLDG. by 1� ORD. NO:
SETBACK LINE 4 O
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USEAPPROVED -
ZONE Y DATE
ADDRESSl00 HOUSE NUMBERING
LEGAL - YO ICU
DESCRIPTION I LOT NO. BLOCK MAP NUMBER - FIELD CHECK BY
TRACT O�� NO. ASSIGNED BY DATE
NO. OF SLOGS. CORRECTIONS
SIZE OF LOT NOW ON LOT
US H OF �1 NO. OF
EJ(ISTING BLDG. VV _ �✓l�,i(„� FeN L p
DESCRIPTION OF WORK
�PA�/N To � Bo Thi TcP
NEW ALTERATION I I ADDITION
,�o TDM �c q r c'�l,
REPAIR �I .I DEMOLITION I NO. OFQI I h'1 _ •�T
SSQ.IZE JJ V ROOMS lr✓ STORIES (cJ , n/ L/
/C o.
EXT. WALL ROOF �l D TM19T
COVERING in I COVERINCs`pJ e 'L ..(-/ L��Mr Ti4 rz S7 T6'S
USE OF STRUCTURE ,
^ } THis 131-JG. IJ /yT<xar U 7� fls=
�✓l/ ure-o s9,r /9 ecl ,S, /n/ ram
IPd 0 kAb r/u @ B' /►I APPROVALS
Owl a"1✓ t IQ I_ INSPECTOR'S SIGNATURE DATE
1 HERESY'AC KNOWLEDG THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT. /;(-I'ry , /f clr oa,4iL .L�n-v✓�.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED , FRAME: FIRE STOPS, -e. /-
HEREON AND WITH ALL"COUNTY ORDINANCES AND STATE BRACING, BOLTS 1u Nll
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE0 ?nlr� G`J • GAS VENT, DUCTS '
PERMITT OOO�vv� '
DRESS LATH, INT. / J
AUTHORIZED A
. 0 ,a vc/i�/?D YE ✓��rT ' LATH, EXT.
-
A PLASTER, INT.
Aes¢A. D62310.00 /O Q V/ FEE B
r PLASTER, EXT.
VALUATION S
FEE � FINAL
76A688A DBGy3 B-eC
✓, " APPLICATION FOR BUILDING PERMIT -�
DIVISION OF BUILDING AND SAFETY BUILDING
J 020
Depoilmeat of.County EDgluees ADDRESS
County of Los Angeles LOCALITY
WM.J. FOX. COUNTY ENGINEER NEAREST
CASSATTD. GRIFFIN. SUPT OF BDILbINc. CROSS ST.
DISTRICT NO. �'Ro ITYPE :/ SEWER MAP
FOR APPLICANT TO FILL IN ✓ zfJ-
Q CONST.
BUILDING 1 <L MAP STATE
ADDRESS-/!f<�1+, � C �/� �'i^l /.✓ NUMBER'• �OI HWY
USEZONE, SPECIAL _
LOT NO: BLOCK f CONDITIONS l
TRACT
SIZE OF LOT/Od C I NOW-0N NO. LOT OF BL GS. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG. FRONT <,
OWNER ,d�I� f�L Gf"l��li .'../ SIDE r
(/•/� L / -P. L.
MAIL
ADDRESS �QO3.'// L• /T �S /.^�...7 'O. TRACT DWELL, I UNIT -
y n ,�s �S'�-•- 5 INDUSTRIAL
CITY .�e 414,- �L•!�✓!f
NO. �� �J .1 DWELL. 'I UNIT 6 . PUBLIC BLDG:
ARCHITECT OR , TEL - 2 'DUPLEX I UNIT, ADDN..ALT...ETC.
ENGINEER NO. 3 APT. __UNITS 8 MISCEL. -
ADDRESS 4 COMMERCIAL, '
TEL
CONTRACTOR TEL NO.' N"y /INSPECTIORECORD
ADDRESS - U � >� 41-5 'I[./S-��/ •4
DESCRIPTION OF WORK
-
4-2 �s F
NEW (ADD, ALTER ' ".REPAIR DEMOLISHI�—
SO. FT. / NO. OF / NO. OF
SIZE W STORIES- FAMILIES
USE OF STRUCTURE
SIGNATURE OF } Ap, R✓!G//Llf"a. '&
APPLICANT ' APPROVALS
ADDRESS /!/ DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
$ P. C. S FORMS, MATERIALS
FEE .FRAME: FIRE STOPS., _
VALUATION fwV 00 BRACING.BOLTS
G
FEE a 1j•� FURNACE: LOCATION, e•'1
6
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS FLl
.APPLICATION AND STATE THAT THE ABOVE 19ORDINANCES-
i IFS V/
AND AGREE TO WS RE WITH ALL COUNTY ORDINANCES"' LATH. INT. ..l
AND STATE LAWS REGULATING BUILDING CONSTRUC•' T
TION. .!J LATH. EXT. U
SIGNATURE OF<r <'� •� ���. ��`C/ HOUSE NUMBER COR
PERMITTEE RECT AND POSTED -,_ A•.
ADDRESS ..FINAL -
WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BL0G. INSPECTOR
C
y�087 5 1 iry OCT 7 1 ' 6-.00- in
et;a 5:•4.5 P.SM OATS ` APPLICATION FOR PF1101IT
DEPARTMENT OF BUILDING AND SAFETY
`COUNTY OF LOS ANGELES BTr 7
WNI. J. FOX, CHIEF ENGINEER j
NO.OF BLDG. ORD.NO' DISTRICT NO. PLAN CK. NO. . RM//ifi N�/O./
PLANS SETBACK LINE s �- G V/
FIRE APPROVED
ZONE _ BY DATE �RECEII,VEDIBY Y DATE OF APPALL.. DATE ISSUED
USE _ APPAOV ED " I ]7/
ZONE BY DATE
APPLICANT FILL IN HEAVILY OUTLINEAD/PORTION-ONLY
BUILDING //J.
EOE NAME - ADDRESS / ` ��/ 1p` /®'V.fJ�'y-`G�1►
pj = ADDRESS / A � LOCALITY
TONEAREST
U m CITY CR093 T.
Q STATE NAME
C ,
TEL.
I LICENSE NO. _ AJ NO. _ - �,
P { Z MAIL /)
-x NAME i ADDRESS 1<57
0 0
TEL.
q ADDRESS { CITY '�� NO.
CITY I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
-- APPLICATION AND STATE THAT THE ABOVE IS CORRECT
V 67ATE TELZ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO: I AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
OZ LOT NO. �' SIZE OF LOT S. aX10'O! SIGNATUREOWNER OF /J
IF. NO. OF SLOGS.
J 6 AUTHORIZED AGT _
BLOCK � NOW ON LOT C
° /p k q % { CORRECTIONSy
TRACT '
u
O USE OF SLOGS.
NOW ON LOT / ...A Y O�•GT�1.��4"�I�.0 ___
DESCRIPTION. OF WORK �1
USE OF ` --'--
BUILDING,-')
NEW TYPE V GROUP
NO.OF NOJO1
ALTERATION ROOMS / FAMILF
IES { �/ 1 V / i
ADDITION SIZE 1_� X 4<40,
l 1 ,
REPAIR STORIES
MOVING WALL COVERING !{, \
DEMOLISH I ROOF COVERING
0 a� P.C.
s FINAL APPROVAL
FEE
sZ 76 I INSPECTOR'S
VALUATION . FEB DATE NAME
/
WORKERS' COMPENSATION DECLARATION
Hereby affirm that have o certificate of consent =elf APPLLCATION. FOR BUILDING. PERMIT
insi,.�, or a ceHificate'of Workers' Compensation Insurance, - ._
ora certifi d c4by thereof (Sec. 3800, Lab. C.) - CCC.SSS
.F$C-y�L /J) y/� �- COUNTY OF LOS ANGELES BUILDING AND'SAFETY - -
VC�o�I�cyNO. Company L..� (.1"s'\rn GL
❑}t
Certified a ' is hereby furnished., FOR APPLICANT TO F LL IN ADDRESS L 0.
ALJ Certified copy is filed wi he c my building inspec BUILDING ^ - -- • -- -+- +' - -- - - - - -department. ADDRESS
Q /!' CITY' ( _ _ -ZIP _t 7 'O LOCALITY / / .
.Date.. CERT F E
Applicant
Vpleted
antFROM!.� PP - n N ..OF BLDGS. -,,. __ - NEAREST
WORKERS' - SIZE OF-LOT - WON LOT CROSS ST. L„)
COMPENSNCE '- _ _ _ _ _
_ - y ASSESSOR,
-(This section need not bee'permit is for one TRACT- BLOCK LOT.NO MAP BOOK. - PAGE PARCEL
hundred dollars ($100) or' - b TEL
O VNO _
u
USE MAPOWNER
NO.
- ,I certify that in the performance of the work for which this '='- SPECIAL
m
,peritJS issued, I shall not employ any person in any manner - ADDRESS l�ow9- _ -' ' - - `'
CONDITIONS a
so as,-to become subject to the_Workers'Compensation Laws. - - - --� - - - - _ - - U
I ,.. � CITY _• ZIP ,» ___ � � � - t
Date ' 'Applicaw - - ARCHITECT OR �' 'TEL. DISTRICT "GROUP TYPE FIRE ''PROCESSED BY -
NOTICE TO APPLICANT:'If, after making this Certificate of ENGINEER - -=`NO' / CONST. ZONE.
-Exemption, -you i should become rsubject to the Workers' J :.0Sw-
Compensation provisions of the Lobor'Code, you must forth- ADDRESS _ _ _ _ ��' .? 0-
with comply with .such provisions or„this permit shall be - rNx TEG. STATISTICAL,CLASSIFICATION. - tAPT.. CONDO:.. Z
deemed revoked.. - CONTRACTOR NOS .7 1J-0 ”
LICENSED CONTRACTORS DECLARATION - LIC. CLASS N'O. DWELL UNITS_
hereby affirm thot I am licensed under`provisions of Chapter9 - _ ADDRESS b NO.•
LIC. SEWER MAP.
,(commencing with Section 7000)of Division 3 of the Business - - I -
and Professions Code,and my license win full force and effect. - CITY �'�- - CLASS �� BK• .PG. " / VALIDATION
SQ. FT. . OF NO. OF CHECK r -
License Number If-7 "W CJy 66. Class '-^ /3. SIZE TORIES / FAMILIES ONE -
- //,Ly,�L. ,[-L� r Q� j{ /' VALUATION
• 'Contractors 1 r/ ' riz ` r,•_ -Date � /" ��,- DESCRIPTION OF WORK �y 5� f - - NEW o $ I
C �� ADD` ❑ ►I
❑ am exempt under Sec.' -
_
ALTER LJ r
-B.BP.C. for this reason - '- - REPAIR $
-D :�• USE OF
ate
EXISTING BLDG.
Signature APPLICANT - TEL, q' FINAL
(PRINT) N qu t NO. / '17d1 UI
OWNER-BUILDER DECLARATION - DATE -
I hereby affirm that I am exempt from the Contractor's License - - -- G �� .�yL-
Law for the-following reason (Section 7031 5, Business and ADDRESS a 6 r' O FINAL':
.-_Professions Code): .T .:• - - _ • . PRESENT -- - - - - •- ;By - - # 2.3. `
❑ BUILDING 1.,
I, as owner of the property, or my employees with ADDRESS _ ACCT..' •
wages as their sole compensation,will do the work and - :Z c,
the structure is not intended or offered for sale(Section LOCALITY - 33 •37.07 .,90
704, Business and Professions Code.)- - MOVING - - - TEL, '- Poo
❑ 1, as owner of the property,am exclusively contracting. CONTRACTOR NO. - 1 .
• with licensed contractors to'con-struct the project (Sec- . ADDRESS ACCT.T
tion 7044, Business and Professions Code.) _
r �rry
-: . REQUIRED YARD HWY 'TOTAL SETBACK FROM 'EXIST • - ^. -" .� 7 -- ,•40.50
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
hereby affirm that there is a construction lending ogency for FRONT - _ - _ -- - ? ITEMS
the performance of the work for which this permit is issued- - 'P.L. - - - • t - : . -
(Sec. 3097, Civ. C.). - - . SIDE
P L TOTAL 7f; _00
.' _
Lender's Name (WK 78.00 LDMA Re( N3 / O Permit e QU - CJMIGc
_ .00
+Lender's Address _ - • _ _ �, PV
- •, -
a I certify that I have read this application and state that the.. . '.Issuance Fee /'-� .J LDMA P/C N
above information is correct. I agree to comply with all County Investigation Fee, - -- O !,• _ ,,�,,�M0��r�Tijl�t1fi 11
,`ordinances cad-State laws.relating to Sailding construction, Tmal.Fee •-� LDMA Perm. N - OMI 8/18l99
on here authorize re r sentatives of this Count to enter _
up n th ab a tic P property for inspection purposes. "-» - - - - S1b9 1 Aflli%5a I
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent
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 8L 0508 0007280019
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF—CONST BUILDING ADDRESS:
TR: 10821 LT: 4 BL: A SQ. FT STORIES TYPE 10027 LA ROSA DR
STRUCTURE: 0 VN TEMP CA 917803302
ASSESSOR IN ORMA ON BER: NEAREST CROSS STREET: BALDWIN
8585-007-005 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
TEN IST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/28/00 UT 01/25/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
10027TODORANL WALTER W JR;LEONA - 1 5,000 11
l D�O/ 9
10027 LA ROSA DR ![ /
TEMP 917803302 FEES PAID D SCR PTION Ut WOR
TEAR OFF/RESHEET WITH 1/2" COX, APPLY ELK 30 YR. COMP.
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SHINGLES
APPLICANT: M. N0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN.HC =-5000.00 VAL 132.60
TOTAL�F,EES 160.85
CONTRACTOR: TEL. N0: cJ PNGE LE S co APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
I
SOILS ENGINEER APPROVAL—
ARCHITECT
PPROVALARCHIT CT OR ENGI EER: -TEL. N0: OUNDAT ION/ NC ORMS
LIC. NO:� 11 111 SLAB/UNDER FLOOR
RAISED FLOOR FRA G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H273 3 ft, U O U G "(/„ 0 1H
1 V V U�1 FLOOR SHEAT NG
NO. OF FAMILIES: DWELLING UNITS: APT/CON : STAT CLASS:_
NO 21 h p Q ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS O 016v (I SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS x {�
NO NO No
O O / L- FRAME INSPECTION
A ® ®s
REQUIRED TOTAL SE ACK FROM EXIST G O��F FIRESPRINKLER HAERS
SET BACK YARD: HWY: PROP LINE: WIDTH: b/Z `Service 7ha
FRONT PL- C <� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED F OOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508