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Home My Public Portal About10061 LA ROSA DR_Building__ 7UP,�38A CE!"03 9-68 ��''�-�- iJ - I APPLICATION FOR BUILDIN PERMIT 'L!I COUNTY OF LOS ANGELES BUILDING `p0 DEPARTMENT Off- COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER >, COLEMAN W. JENKINS, SUPNEAREST T of BUILDING NEARCROSS ST. / FOR APPLICANT TO FILL IN DISTRICTVPE R S NO (Print or type only)' S GR CONST, ni.. � BUILDING TN CC4T1 STATISTICAL C�gbSIFICATION SEWER MAP ADDRESS �, CLASS NO.�fVLDWELL,UNITS BK LPG LOT NO. BLOCK �\ USE ZONE MAP ) it /� / NO. C/ TRACT (j (� SPECIAL SIZE OF LOT (y(0 X / I/ r�0 INDNOWOONBLOTS CON OI TIONS USE OF _ EXISTING BLDG. L�-{SlDCi.I(. BLDG.SETBACK FROM j OWNER S TEL. FRONT PROP.LINE OF (STREET) j _ cc'' // 'AJ L- � NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS 106W E. ��L CGgA PIZ• HIGHWAY WIDTpH� FROM C.L. '� 11 CITY .-�'\i'LI- GI � � CAL . v + 0 BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS //`` f" HIGHWAY WIDTH FROM C.L. CONTRACTOR` .Lp. "_/' )5`[�L j NOLYL + - C ADDRESS 1_ (� IAI tS.UE NO.��.�U+�/L CORNER CUTOFF VE$ ❑ NO ❑ ft LIC. C clTv }If�C1i=NDt1 f S -CAL. CLASS -- SEE REVERSE SIDE FOR SPECIAL APPROVALS LL CONSTRUCTION LENDERCIL NAME AND BRANCH '--D 2 ADDRESS $O. FT. -�G• NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF LL'PS iL�I- n)C_ �-�,AA IIK ADD STRUCTURE ALTER /zQa„k /r REPAIR❑ SIGNATURE OFj APPLICANT 11 I ,,,�( DEMOL ❑ VALUATION s 3a&v APPROVALS D T (.3;P/014-S/15rune P.C. PMT. FOUNDATION: LOCATION O FEE S FEE S (f FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITN ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCT$ STRUC TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATIp% INSUR NCE. - t LATH, EXT. Q o SIGNATURE OF//'7) 1/ PERMITTEE J /'N ��/ :/ HOUSE NUMBER COR- PERMITTEE AND POSTED ADDRESS -V A/ (H' U '' FINAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION cK. M.o. usH _ PERMIT VALIDATIO CK' M.D. DASH [,Ar 2 12 5 OCT 3 1 D 2 2.5 0, a ;�97t�2G�rt/ 's WORKERS'COMPENSATION DECLARATION tl sur ,0;a certificate ficate haver certificate of tion Insurance, sett - APPLICATION FOR BUILDING PERMIT • insui+e, or a certificate of Workers" Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS '/ 42ElCertified copy is`filed with the county building inspec- - BUILDING ZCL tion deportment.• ADDRESS �'.Uf OIo L /I V (JS ,(�� Date. Applicant CITY Vyil F//L ZIP " c/ LOCALITY I - CERTIFICATE OF EXEMPTION FROM WORKERS' - I NO. OF BLDGS. NEAREST. ..- ' COMPENSATION INSURANCE SIZE Of LOT S X G NOW ON LOT CROSS ST. (This section need not be completed if the permit is fortune - - - -- ASSESSOR .hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL - �... /O._ r /TEL. USE ZONE - MAP I certify that in the performance of the work for which this OWNER fs-+' NO. NO. >„ I7 permit,is issued, I shall not employ any person in any manner ADDRESS -}. e �/ r y / SPECIAL - O so as to becom subject to the Work Compe ation Lows.. P—'/ CONDITIONS (`aJ.d,wvf' zip /2`D v �— Date �� Applicant CITY. pp NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT- GROUP TYPE FIRE PROCESSED BY O ENGINEER NO. CONST ZONE F Exemption, you should become subject to the Workers' //•'J ' W Compensation provisions of the Labor Code, you must forth- ADDRESS q/iJ J'( ✓ ) 1 6 with comply with such provisions or this permit shall be -- N deemed revoked.• - TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z CONTRACTOR NO. - LICENSED CONTRACTORS DECLARATION .LIC. CLA55 NO. DWELL. UNITS_ : hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO, SEWER MAP (commencing with Section 7000)of Division 3 of the Business and _ - LIC. - - Professions Code, and my license is in full force and effect. CITY CLASS "BK VALIDATION SO. FT.Q• NO. OF _ NO. OF_ CHECK License Number Lic.Class SIZE /} STORIES FAMILIES ONE VALUATION Contractor - Date DESCRIPTION OF WO)RK',h- AD ❑❑ $Z/ I am exempt under Sec. (i(.•L vuo _ . ❑ ALTER B.BP.C. for this reason REPAIR ❑ $ - ;265 59 A Date: USE OF s a❑ • EXISTING BLDG. DEMOL # Signature - APPLICANT � ,/ / { TEL. - • g OWNER-BUILDER DECLARATION PRINT) VL/(llGl.`7'✓1 .I s NO. ��` DATEE I • • 6 R.6 3 I hereby affirm that I am exempt from the Contractor's License ) - • • t 6 a 6 3 6 Law for the following reason (Section 7031.5, Business and ADDRESS FINA Professions Code): PRESENT By BULDING Q 2 24 8'� I, as owner of the property, or my employees with ADIDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sole(Section LOCALITY . 7044, Business and Professions Code). - MOVING - TEL. - F)XF`('as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- gppRFS$ tion 7044, Business and Professions Code). EXIST CONSTRUCTION LENDING AGENCY - - SETT BACKD YARD HWV TOTA PROP.SETBL NEFR M -WIDTH I hereby off irm that there is a construction lending agency for FRONT - - the performance of the work for which this permit,is issued P.L.- - - - - (Sec. 3097, Civ. C.). SIDE .. . P.L. Lender's Name DMA R.I. N m Lender's Address P.Ci Fee$ - - - Permit Fee I certify that I have read this application and state that the Issuance Fee - (/ LDMA P/GB a above information is correct. I agree to comply with all County lavesngatloa Fee ' ordinances and State laws relating to building construction, _ _ _ Total Fee IDMA Perm:If - - - and hereby auiho z representatives of this County to enter m upon i e above- tinned property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE ' a 5 9nalureof Applicant or Agent Date WORKERS' COMPENSATION DECLARATION - here, or cer thate haver certificate of tion Int,to self APPLICATION --FOR BUILDING PERMIT insu:e, or a �ertil�cate of Workers'Compensation Insurance, or a yertified-!opy thereof (Sec. 3800,Lob. C.) ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company IL EJ Certified T Certified copy is hereby furnished. FOR APPLICANO FILL IN BUDING 0ADDRESS (X/ / Certified copy is filed with the county building inspec- BUILDING , 5(� tion department. ADDRESS cp 100(p � Dote Applicant CITY yr��rT Le C ZIP" 0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.of BLDGS. NEAREST -- - COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. �/J�,� (This section need not be completed if the permit is for one - ASSESSOR hundred dollars ($100)or less.) TRACT 8t;K LOT NO. MAP BOOK PAGE I PARCEL //�p _TEL' USE NE MAP - OWNER G 6,ey NO. - I certify that in the performance of the work w i<h this Y. I NO. r permit is issued, I shall not emp an Pers monnor 7 SPECIAL d so as to become subject to th orker ation Laws. 'ADDRESS 6� p/T,�.. pp,, CONDITIONS C) Date f, p/ Ap is CITY [�� (440 14 ZIP � / �0- �-� �i's] O(O NOTICE TO APPLICANT: I , r mokmg this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE - ..FIRE PR ED BY O ENGINEER NO. L JI� CONST. / ZONE W Exemption, you should ecome subject to the Workers' 7 KK IV/ '/1 Compensation provisions of the Labor Code, you must forth- ADDRESS `� W with comply with such provisions or this permit shall be TEL. STATISTICAL OASSIFI ATION APT. NDO. Z deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION - - - LIC. CLASS NO. DWELL. UNI75 I hereby affirm.that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and -. - - LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK. G PG. VALIDATION SO.FT- Y NO.OF _ NO. OF _ CHECK License Number Lic.Class 512E STORIES' FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WOK A D' ❑ $ 10 I am exempt under Sec. ALTER ❑ , " 21P,636 B.BP.C. for this reason REPAIR ❑ $ 0627-86 Date: USE OF DEMOL EXISTING BLDG. ❑ — - Signature APPLICANT TEL. FINAL �J OWNER-BUILDER DECLARATION PRINT NO. DATE Gz,- - I hereby offir that I am exempt from the Contractor's License - law for following reason (Section 7031.5, Business and ADDRESS FINA Profe ons Code): - PRESENT By BUILDING _ I, as owner of the property, or my employees with ADDRESS wages os their sole compensation,will do the work and 'the structure is not intended or offered for sale(Section LOCALITY . 7044, Business and Professions Code). MOVING TEL. " I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS ` tion 7044, Business and Professions Code). ` CONSTRUCTION LENDING AGENCY SETBACK YARD HWY IOTA PROP LINE FROM—CK WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. - - -- " (Sec. 3097, Civ. C.). SIDE _ P.L. . . ' m Lender's Name P.C. Fee$ Permit Fee LDMA Ref. # - Lender's Address ' i _I certify that I have r this op lication and state that the Issuance Fee- .J(l - LDMA P/C# - above information " orrect. I a e to comply with oil CountyIn.esligation Fee g ordino ate laws r ting to building construction, - u an y o r sentatives of this County to enter Total Fee / �3 ' LOMA Perm. # toned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE S' nature of ApP moot or Agent Dote - - - - COUN[Y OF CCS ANGELES TEMPLE CITY H 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS,,, 9071 LAS TUNAS _ - RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVL�LUPMENT TEMPLE CITY CA SL 0508 9706110085 PHONE: (818) 285-0488 EXT: ' , LEGAL ID: - NO. OF CONS1 NEW BUILD G D RES : TR: 10821 LT: 8 BL: A - SQ. FT STORIES TYPE OCCUP GROUP _ 10061 LA ROSA OR STRUCTURE: 96 1 VN R3 TEMP CA 917803302 ASSESSOR INFOR14ATION NUMBER: GARAGE: NEAREST CROSS STREET: RYLAND 8585-007-012 OTHER: THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY TEN ANT: EXIST BLDG S USE 0 SS ON: PROCESSED BY: EXPIRES ON: (EXIST OCC GRP: 06/16/97 TC 6/16/98 OWNER: TEL. N0: �BLDGS. NON ON LOT: VALUATION: FINAL-DATE FIN Bim. / COD GRUETER ROBERT T;BETTY N TRUSTEES (818) 918-3912- 1 11,600 (� ZsY/ 1249 MICHELLE ST WC6V 917905334 FEES PAID DES Ri IUN BEDROOM EXTENSION 96 SQ. FT.,REROOF EXISTING HOUSE AND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE-T/O APPLY 1/2" COX AND COMP. SHINGLE 20 YR. AND APPLICANT: . NO: EDWARD FINNECY CO. (714) 857-1145- AA BLDG PERMIT ISSUANCE 27.75 AE STRONG MOTION OTHER 11600.00 VAL 2.44 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 82 PERMIT W/ENERGY 11600.00 VAL 276.87 TOTAL .FEES, 361.76 CONTRACTOR: TEL. NO: p. \ _ ' APP OVALS DATE INSPECTOR SIGNATURE EDWARD FINNECY CO. (714) 857-1145- 14881 GENEVA LIC. NO - /�� - - �� - - LOCATION AND SETBACKS IRVINE,'CA 92604 280689 B ^� SOILS ENGINEER APPROVAL ARCHIMT OR ENGINEER: NO: ' �' `'` 0 . . ION/TRENCH FORMS BARR, JOHN (818) 443-6533- 10258 E. LA ROSA DR. LIC. NO: SLA /UNDER FLOOR TEMPLE CITY, CA 91780 16186 C � _ _ I P UND 2�€ MAP O: SEWER MAOFLOOL�R INR AMI REO EL SHEATH . OF IES: DWELLING AP CO STA S , NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS - - NO NO NO FIRE DEPT. FRAME INSPECT - REQUIRED TOTAL SETBACK-FROM EXIST DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: -.� FRONT PL- - P SHEWR PANELS SIDE PL- INSULATION/WEATHER S R M IZ IN RIOR LATH-/D�RIWALL EEX IOR LATA- LOT-DRAINAGE SKOW-DYT-ETION DEVICES FIRE DEPARTMENT APPROVAL - * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 L\ 1