HomeMy Public PortalAbout10053 LA ROSA DR_Building__ apt76AS38APLICATION FOR BUILDING PERMIT P
OF LOS ANGELES BUILDING
DJEENSEN.
OF COUNTY ENGINEER ADDRESS /01953 OS
D SAFETY DMSION LOCALITY
BIE. COUNTYJENGINEER NEAREST
SUPT Dj BUILDING CROSS ST.
DISTR CT GROUP TYPE CESSED BY
LICANT TO FRI. IN cox 1
BUILD �f STATISTICAL CLASSIFICATION EWER MAP
ADDR S M CLASS. NO. DWELL. UNITS �� BK
LOT NO. p ^ BLOCK WATER NOT REQUIRED RECEIVED
TRACT Q S 2 CERTIFICATE:
MAP O� (CIRCLE)HIGHWAY STATE MAJOR SECOND. CAL
NO.OF BLDGS. NO,o.f2/ / IuacL[)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL. /y
OWNER ,E O. B-/ BUILDING YARD HWV EET NAME EXIST.
I� SETBACK WIDTH
ADDRESS GA 0 FRONT
ARCHITECT OR TEL P. L.
ENGINEER O NO.� - _ JO SIDE
pp P. L.
ADORESSSS OS - /J4 O
CONTRACTOR N��
TEL C-
OL
ADDRESS / & i /
DESCRIPTION OF WORK
NEW D LTER REPAIR ?
SO_ FT- ! NO.OF OF"
SIZE 3 O STORIES
USE OF
STRUCTURE I -
SIGNATURE OF 1
APPLICANT
VALUATION S Y
ie5as •
APPROVALS 14 I. DATE INSPECTOR B SIGNATURE
FOUNDATION: LOCATION
F E S FEES FORMS. MATERIALS
FRAME: FIRE STOPS. .. _.
1 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 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-
ING LATH, INT.
TO WORKMEN'S C MPENSATION INSURANCE.
LATH E%T.
SIGNATURE OF ` HOUSE NUMBER COR-
PERMITTEE / RECT AND POSTED
I
ADDRESSFINAL
JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION C M.G. CASH
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES i
WM. J. FOX. CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE',ONLY
BUILDING 6� E DISTRICT NO. PLAMCK.NO. PERMIT NO.
ADDR[BB
LOCALITY . /c¢rw.. i[� rr.T RECEIVED BY JD/ATE Or APPL. 9� OATEISSUEDD
NEAREST /D �./!Y HI/ v S ( V' % '. C)
CROSS
OWNER (� �jI ✓/y��4�� /�: BUILDING C
Y" .6 UILDI iia ��/• ZIp
MAILn ` YI �T LOCALITY
ADDRESS h Npa
NEAREST
i/ _ 61r•st
CTEL. �_ CROBB BT.
ITY
i L.f/G4 NO.
FIRE NO.OF TYPE DROU�.,
ARCHITECT OR TEL. ZONE PLANB�� ��
ENGINEER NO.
G.
ADDRESS
BETD ACK LINE
��Jj �� �� y- APPROVED /
CONTRACTOR 055{ G(A NO / 4011e BY /7 DATE
USE
AD R[BB
J �� ZONE T BVPROVED DATE
LEGAL -7 CORRECTIONS
DESCRIPTION LOTNO. /`/ B/LOCK
TRACT �y �} a Z-/
SIZE OF LOT 5 ZX �� Q NOW ON LONO OF SLOOK.
NO BLDG. '�1_I IUSE: r NO.❑F I NO.OF
""TO
FAMIL. ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH p
BO.FT. NO.OF Z
SIZE ROOMS STORIES r
WALLI ROOF
COVERING COVERING _
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATIC LAWS REGULATING BUILDING CONSTRUCTION.
FRAME:
IRE TS,
SIGNATURE OF OLP
P[RMITT[ - - LATH. INT.
.. :fi�.a./CM..�s
AUTHORIZED AOT_ ./ -
LATH, EXT.
7M63BA-3 2.50 $ .O'D P.C.B PLASTER,IMT.
FEE PLASTER,EXT.
VALUATION FEE FINAL
'VISION OF BUILDING AND SAFETYr�
Department of County Engineer L (-
County of Los Angeles 11
WM..J. FOX, COUNTY ENGINEER APPLICATION ' - -FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
f
DISTRICT
NO. �'[D �[]P(�ER/y✓M�IT^NO
.A
BUILDING 4 -SADDRESS L 3 19, . S
y� �RE EIVEO BY DATE OF APPL DATE ISSUED
LOCALITY J L S
NEAREST L
CROSSST. BUILDING /QO
ADDREBB I
OWNER L •s �? �•
MAIL LOCALITY
ADDRESS NEAREST (•�'�
CROSS BY
CITY NOL-a. FIREI NO. IF I TYPE q!�� GROUP
T
ARCHITECT L ` _� ZONE PLANS r!I+/+1J
ENGINEER
ry SLOG.
ADDRESS SETBACK LINEUSES
TEL p. i.NEA _ l BYPROVED"" DATE
CONTRACTOR _ NO. O 573/ 7 - - HOUSE NUMBERING.
ADDRESS ODS f 17 • MAP NUMBER O/D NO. ASSIGNED BV
LEGAL - - -- - -- _ --- -- - - - CORRECTIONS
DESCRIPTION LOT NO. `BLOOK
TRACT D _
B.
NOOF BLDG
OF LOT S /^ I NOW. ON LOT
USE S T m ` C �•
USE OF
EXISTING
FAMILIES
BLDG. FAMILIES
DESCRIPTION OF WORK
NEW ALTERATION ADDITION / �1 Z
D
REPAIR DEMOLITION r
Bq.FT. NO. OF
SIZE (� / ROOMS STORIES
EXT.WALLROOF
COVERING R'OVERING
USE V STRUCTURE
INSPECTION FOR / APPROV A S
OCCUPANCYAS INSPECTOWIS SIGNATURE DATE
FOUNDATION: LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORMS. MATERIALS
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME: FIRE STOPS,
CORRECT. / BRACING, BOLTS
I AGREE X13 COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING[BUILDING CONSTRUCTION. GAB VENT,DUCTS
SIGNATURE G / / ' LATH. INT.
. PERMITTEE /`� _
h -
ADORES LATH. EXT.
• �J ,` 1
PLASTER, INT.
I AUTHORIZED AGT. —
kr YAP O � [ PLASTER, EXT.
$/y/pg �.N��� � FEE B .J �.�, HOUSE NUMBER COR- /
RECT AND POSTED ' /
vA unrlD ® /a FINAL '7� "'�i8
FCE
76A638A-BBS3�-52� - -/A
DEPARTMENT OF COIIYUM EMGINBER p
y'I DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES `✓
WILLIAM J. FOX. COUNTY ENGINEER APPLICATION -'
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN !t' FOR OFFICE USE ONLY
DISTRII�NO
ABUILDINGDDRESS /O 0 ��/� . PUN CK,OR REC.NO. PERMIT NO.
_ / s I i3G
LOCALITYRECEIV BY DATE OF APDL. /DATT .Is ED
NEAREST v (O//7S3
CR098 S / 'A
BUILDING lev
`�
OWNER /�� ADDRESS ✓ '44,
MAIL
ADDRESS LOCALITY V I
TEL. NEAREST
CROSS ST.
CITY O TYP IUP
ARCHITECT OR TEL. FIRE NO. OF GROUP
I I VI
ENGINEER NO. ZONE PLANS
ADDRESS BLDG.SETBACK LINE Q
TEL. ' USE APPROVED
CONTRACTO �•' NO - ZONE ,
BY DATE
ADDRESS HOU •BE NUMBERING yT __ /
LEGAL MAP NUMBER-4'PO '/O NO. ASSIGNED B'!r if 5 V}_
DESCRIPTION LOTNO. BLOCK CORRECTIONS
TRACT -`0 /
OF BLDG
S,
SIZE OF LOT JZ10 NNOW. ONLO
USEOF A I O
. OF
EXISTINGBLDG.. NAMILIe I -
DESCRIPTION OF WO D -
A
NEW ALTERATION ADDITION
REPAIR HZ
DEMOLITION D
r
SFL - NO. OF
SIZE
E ROOMS STORIES
:EXT. WALLROOF �(�/
COVERING I COVERING Y/DTT
USE OF�S�TJIUCTU ���i'� -
1
APPROVALS
INSPECTOR'SSIGNATURE DATE
/ FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDG THAT 1'HAVE READ THIS APe FRAME: FIRE STOPS. Q Y/ •5
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS �7
+ CORRECT. FURNACE: LOCATION,
I STATE LAWS
COMPLY WITH ALL COUNTY ORDINANCE. GAS VENT; DUCTS
AND STATE LAWS'REGULATING BUILDING.,C/JO/NSTRUCTION.
SIGNATURE TTE O�)�r�% LATH, INT.
PERMITTER
//rO O LATH. EXT.
j ADDRESS
PLASTER, INT.
AUTHORIZED AGT:'
PLASTER, EXT.
$ ✓OO�� FEE S HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE 9 O'�j` �o FINAL
]BAWBA 0083 B-BB -
APPLICATION FOR BUILDING PERIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY k
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST 1
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. \
FOR APPLICANT TO FILL IN 7 �e � G P coNsT.
BUILDING / ` // / STATISTICALCLAS ATION 5 WER MAP
ADDRESS / OSS, (�Q Q,�jCI BK P
CLASS.NO. DWELL, UNITS
LOT NO. BLOCK WATER . NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT . NOP OZ 0
(CIRCLE)IIGWASTATE MAJOR SECOND LOCAL
SIZE OF LOTk I NONOW ON LOT OF SLOGS, USE ZONE SPECIAL
USE OF f CONDITIONS
EXISTING BLDG. /c
I TEL.
OWNER / NO. BUILDINGEXIST.
�j SETBACK YARD HWY STREET NAME WIDTH
ADDRESS V 6 I�Q /1 6J� FRONT /Jl�
ARCH ITECT OR TEL. P. E. (i
ENGINEER NO. SIDE
ADDRESS INSPECTION RECORD 1
TEL. O
R
CONTRACTOOh _a 6 O. - U
ADDRESS e. V E� 01 t+ - K
DESCRIPTION OF WORK 0
W
a
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO.OF NAO OF / _
SIZE STORIES FAMILIES
USE OF
STRUCTURE
Q
SIGNATURE OF - -
APPLICANT
VALUATIONS a
''(( ' APPROVALS - - DATE INSPECTOR'S SIGNATURE
FEE $ ,-�`-� FPMTEE $"C FOUNDATION: LOCATION
FORMS. MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES
O
AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK A�
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,.INT. a��/` f/ f`AJS�I✓
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE awew I RECT AND POSTED
ADDRESS 1 I FINAL &1114
CLYDE N. DIRLAM, PR N IPAL ST AL ENGINEER
PLAN CHECK 'V RTI cK. M.O. CAUN PERMIT VALIDATION cK. M.o. cwsH
2-r-0 7 � nuc 3 0. 2 3 D 12 .0 0
LpkL�3 2 2 9 7 SEEP 7 1 D 2 4 .0 U
/�� �
LLCNZi 11Y1L1V Y Vi DV1LL11YV NiYL JNIL11 "�����"----' - --' '---
COUNTY OV LOS ANGELES no
rV ® O U W
' WM. J. FOX, CHIEF ENGINEER W
FOR /APPLICANT TO' FILL IN FOR OFFICE USE ONLY
ABUILDINGDDRESS
D19TR/]'CNO. PLAIN CK.NO. PERMIT NO.
LOCALITY //� /��'IL=� / RECE ED BY DATE OF APPL DATE ISSUED
NEAREST - W��V n f7i
CROSS ST. / L� /'•�
OWNER I\t'� / /!/ .LI/�,{LA�fMyl�Gl/tel/nl ADDRESSI AIL
ADDRESS LOCALITY
I / ✓��Y /iI A}�.L/e K I///
NEAREST "qG'oew!
CITY TEL.
- CROSS ST. JV
FIRE NO.OF TYPE GROUP
ARCHITECT O0. F /�" TEL ZONE I PLANS
ENDIRbEs NO. I 1�
/ BLDG. �/— O ORD.NO.
ADDRESS SETBACK LINE �(� /�1 I X/ Y
APPROVED
EL B,. DATE .
CONTRACTOR
.. USE APPROVED _
ADDRESS ZONE/'y 'BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT /C 2-
/
NO.OF SLOGS.
SIZE OF LOT 95' NOW ON LOT
USE OF - NO.OF NO.OF
EXISTING BLDG. FwNl L..9 ROOMS -
DESCRIPTION OF WORK
NEW ALTERATION X ADDITION x - O
' A
REPAIR MOVING DEMOLISH p
Sp.FT. r ,per NO. OF l Z
SIZE a /✓/fVs ROOMS `1 S�T/bOO61ESS r
COVERING `M/ /:� i I RDOCOVERT 'y"• //;.:�` _
USE CF NEW
BUILDING (J�/.fn/ii}�O{�-�A•FF'///�/.A/l /l
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAL'S,
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR JJ.JDATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESFORMS. MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _
FRAME: FIRE STOPS. ..
SIGNATURE OF `. BRACING,BOLTS
OWNER n LATH,INT-:
AUTHORIZED AGS.. Oi
_Z / LATH,EXT.:
..S-a 25M SETS 1-49 $ ax R:C IB-- PLASTER. INT.
FEE PLASTER, EXT.
VALUATION FEE ,040 FINAL / L 5
OB-3 25M SETS o-« ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES " TILDITG
INK J. FOX, CHIEF ENGINEER �J Yl
NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS SETBACK LINE � l L�/
FIRE APPROVED
ZONE nnn BY DATE RECEIVED BY 'DATE OF APPL. DATE ISSUED
USE Ory APPROVED I 6�( -�
ZONE /�r BY / DATE
APPLICANT FILL IN HEAVILY `OUTLINED PORTION ON
LY {/
BUILDING /
0 d, NAME A
W Z ADDRESS Al LOCALITY
NEAREST
U W CITY y CROSS ST.
K
STATE TEL.
LICENSE NO. NO. R NAME
ZMAIL]
J
00 NAME 3 ADOkE55
V O
TEL.
Q ADDRESS CITY NO.
E
I- - I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
0 CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. NO. pq �A AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
J F -LOT NO. SIZE OF LOT Jj Ly�lO SIGNATURE OF
O " OWNER
/J NO. OF BLOGS
Q d BLOCK A NOW ON LOT AUTHORIZED AGT.
D
JU
Id TRACT �� Z� CORRECTIONS
D USE OF SLOGS.
NOW ON LOT
DESCRIPTION OF WORK
USE OF
BUILDING
0
A
O
Z
D
NEW t� TYPE y GROUP
NO. OF NO. OF
ALTERATION ROOMS �FAMILIES
ADDITION SIZE
REPAIR _ STORIES
//A_ ,♦,p/�1
MOVING I WALL COVERING
DEMOLISH I ROOF COVERING
$ FEES
Grp FINAL APPROVAL n
SD -
VALUATION FEE S // I /�/ I NAMEC�/��'�J�'- v
COUNTY OF LOS ANGELES TEMPLE CITY M 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109190008
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 10821 LT: 7 BL: A I SQ. FT STORIES TYPE 10053 LA ROSA DR
ISTRUCTURE: 3500 V-B TEMP CA 917803302
1ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
18585-007-011 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
TENANT:
IEXIST BLDG USE: REBID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 10/03/11 SR
(OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FTN L BY: CODE:
ITRUONG, BA T (626) 674-7778- 5,000 1
110053 'LA ROSA DR. I
ITEMPLE CITY CA 91780 FEES PAID (DESCRIPTION OF WORK li
REROOF OVER EXISTING WITH 30 YR COMPOSISTION SHINGLES
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I
APPLICANT: TEL. NO:
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1
JAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 (SPECIAL CONDITIONS:
IDB PERMIT W/O EN-HC 5000.00 VAL 132.80
TOTAL FEES 161.60
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO (LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAE/UNDER FLOOR
(RAISED FLOOR FRAMING
I I
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( iUNDEAFLOOR INSULATION
1147H273 3 001
I I IFLOOR SHEATHING
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 11 1
1 0 NO 21 1 IROOF:SHEATHING
I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS 1
I NO NO NO 1FRAME INSPECTION 1
(FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I I
IINTERIOR LATH/DRYWALL
IEXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. 1
(RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
T-BAR CEILINGS
(LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0506
I
COUNTY OF LOS ANGELES TEMPLE CITY # 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 0108060036
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONSTE 8 I D E S:
TR: 10821 LT: 7 BL: A SO. FT STORIES TYPE OCCUP GROUP 10053 LA ROSA DR
STRUCTURE: 0 0 VN XX TEMP CA 917803302
ASSESSORINFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
8585-007-011 OTHER: 845 1 VN R3 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
EXISTUSE:
E ZO S 0 PROCESSED EXPIRES 0 :
EXIST OCC GRP: 08/07/01 UT 02/03/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA�E CODE:
MAI LE, HUYNH (626) 307-9629- 6,000
10053 LA ROSA /® /Q
TEMPLE CITY LA 91780F ES PAID Utb IP2� WORK / LN
CONVERT EXISTING SEWING ROOM TO BEDROOM & REMODEL MASTER &
APPLICANT:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BATH ROOM TOTAL 845S.F.
O;
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 60u.�+ Ckas,—} 'Fp I0.v tic�.Vw YLI....
AC STRONG MOTION RESID-_ __6000.00 VAL 0.60 SPECIAL CONDITIONS:
AX BUILDING REVIEW�FEE 54.70
62 PERMIT,W/ENERGY= - r 6000:00 VAL 164.34
s S �-` ='TOTAUjFEES`l 247.39 z
CONTRACTOR: TEL. N0: / _ 7i',"r\ `..,, APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - �
LIC. NO ., LOCATION N SETBACKS
/ / •"( �.`\ SOILS ENGINEER APPROVAL
ARCHITECT R ENG ER: TEL /
/
NONENFOUNDATION/TRENCH FORMS
OIL, JAMES (626) 260-4600- I
428 PARK AVE LO.� L - SLAB/UNDER FLOOR
MONTEREY PARK CA
_ RAISED R G
MA NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPO' �" - .. UNDERFLOOR INSULATION
-. - S E FLOOR SHEATH
N0. O F M L E L UNITS: C N S L S :- -
NO 21 2ND LEVEL FLOOR SHEA H
SCHOOL T IN HA ADO OOF SHEATHINE
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
KtUULRLUTOTAL SETBACK FORM S '�� 'r•� ` " BLDG C G U
SET BACK YARD: HWY: PROP LINE: WIDTH: /i,. „ r l
FRONT PL s'r
SIDE PL-
ViCu �" SHEAR PANELS
INSULATIONNEATHER SRI
INTERIOR LATH/DRYWALL
EXTERIOR L
1 0
LOT DRAINAG
SMOKEE C O C S
F RE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 05081 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS : ALTERATION/REPAIR
BUILDING AND SAFETY ) LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0109060026
PHONE: (626) 285-0488 EXT:
LEGAL ID.- N0. OF CONST BUILDING ADDRESS:
TR: 10821 LT: 7 BL: A SQ. FT STORIES TYPE 10053 LA ROSA DR
STRUCTURE: VN TEMP CA 917803302
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-007-011 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESIF— US ZONE: X% ISSUED ON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 09/06101 UT 03/05/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFI Y: CODE:
MAI LE, HUYNH (626) 307-9629- 1,000 !Q 5:Lo10053 LA ROSA
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION WWM
CHANGE OUT WINDOWS (4 IN D NING ROOM, LIVING ROOM AND BED
APPLICANT:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOM, AND 1 SIDE EXITING DOOR BY THE POOL
EL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID_ 1000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O.EN°HCG_ - 000.00 VAL 65.40
FL_GTOTAL-FEES\ 93.65
CONTRACTOR: TEL. N0:
SAME AS OWNER _ . �.� APPROVALS DATE INSPECTOR SIGNATURE
\i
LIC. NO ,/I-� � - � '�� LOCATION AND SETBACKS
.f � •� SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: TEL. N // / _ I' - �• FOUNDATION/TRENCH FORMS
QIU, JAMES (626) 260-4600-.t
428 PARK AVE LIC. NO: I .,,; SLAB/UNDER F100R
MONTEREY PARK CA NONE � �� - Y ,,�- -��� ,
RAISED FLOOR FRAMTNG
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:'�� � ^ UNDERFLOOR INSULATION
X% 3 �I OP \ _ ` J ;1 \•, - i FLOOR SHEATHING
NO. OF FAMILIES: DWELLING S: APT/GOND: STAT CL SS'- - - - - __ - - _
NO 21 --, /j ,� - ROOF SHEATHING
CHOOL WI N HAZA OUS t' � �, / �� � � - � � -� SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO i J 1' 1� �'�.,ir� FRAME INSPECTION
REQUIRED 0 AL SETBACK FROM EXIST40 ! I / � �` I S RINKLER HAN ERS
SET BACK YARD: HWY: PROP LINE: WIDTH: ` ` //C
FRONT PL- .Y el'UjC,? INSULATION/WEATHER STRIP
SIDE PL-
INT RIOR LA RYW LL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
` COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0810230001
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
1TR: 10021 LT: 7 BL: A SQ. FT STORIES TYPE 10053 LA ROSA DR
STRUCTURE: 950 V-B I TEMP CA 919803302
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
18585-007-011 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I I I
ITENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
I IEXIST OCC GRP: 110/23/08 SR I
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATEFIN CODE: I
TRUONG/HUYNH, BA/MAI (626) 674-7778- 2,500 ,
110053 LA ROSA DR. V
ITEMPLE CITY CA 91780 FEES PAID D SCRI TION OF WORK I
I (TEAR OFF AND REROOF 50% PART OF THE ROOF ON THE BACK WITH I
I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ICOMPOSITION SHINGLES I
(APPLICANT: TEL. NO:
ISAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27.75 1 1
1 IAC STRONG MOTION REBID 2500.00 VAL 0.50 ISPECIAL CONDITIONS:
I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00
I I TOTAL FEES 127.25
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATDRE
SAME AS OWNER -
LIC. NO ILOCATION AND SETBACKS
I
I I 50IL5 ENGINEER APPROVAL
1 1-1--
I ARCHITECT
IIARCHITECT OR ENGINEER: TEL. NO: I jFOUNDATION/TRENCH FORMS I I I
I - I I I I
I LIC. NO: I SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION
I147H273 3 001 1
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
NO 21 IROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS I
AIR QUALITY: 1000 FEET MATERIALS I_
I NO NO _ NO (FRAME INSPECTION I
I I- 11
(REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I 1 1
IFRONT PL- I INSULATION/WEATHER STRIP I I
I SIDE PL- I I 1
I I (INTERIOR LATH/DRYWALL I I I
1 I
IEXTERIOR LATH I I I
I_
IRATED FLOOR/CELL ASSEM.
I '
IRATED WALL ASSEMBLIES
I
IRATED SHAFTS/OPENINGS
I
T-BAA CEILINGS
I
IL07 DRAINAGE I I
1
REPORT ID: OPR261 ROUTE TO: 850508
1 I