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HomeMy Public PortalAbout10102 LA ROSA DR_Building__ .7EJ!sn;- GL%tlTJ3 TAE It.6/761 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING Z ADDRESS L IN ADIDRESS © .1 �C LOCALIT NEAREST CITY ZIP �� CROSS ST. NO.OF BUDGE. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE P DISTRICT GROUP TYPE FIRE PROCE ED TRACT BLOCK LOTNO. ^'� p CONST. ZONE Z TEL. / _ OWNER NO. STATISTICAL CLASSIFICATION SEWERM ADDRESS .� CLASS NO. DW ELL.UNIiS BK PG CITY ZIP ARCHITECTO TEL. VALUATION ENGINEER NO. ri"-� ✓ •+ ADDRESS BLDG.SETBACK FROM TEL FRONT PROP.LINE OF -� —STREET) CONTRACTOR J —� NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER ,,//�� / SIDE PROP.LINE OF ISTREETI NAME AND BRANCH HIGHWAY + YARD = T LSETBACKFROM TYP OF 1EXISTING ADDRESS - -CITY SIDE P _ -' ROP.LINE HIG AY WIDTH O SO.FT NO.OF NO.OF CHECK ate' + /1 = {J SIZE STORIES FAMILIES ONE V / O DESCRIPT NOF WORK NEW P.C.Fee S bo Permit Fee ADD ❑ CY l_ , Issuance Fee g ALTER / / � /, REPAIR ❑ (Q V C/ Total Fee USE Of DEMOL EXISTING BLDG. — RL/r(./Z /� Z APPLICANT TEL IPRINiI �-• 'J �,y>;` ,f NOy BY ISIGNATUREI Q' IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE i0 COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON W VIOLATION OF V o C THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING iO WORKMEN$COM / Z v Z PENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESSZ q 1 TEL ///��� CITY // / NO. C USE ZONE MAP NO (/ i SPECIAL � a-f 4- - C CONDITION v 1 •lba Id �c�•V f -f-f- FINAL BY DATE I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES O 1 WM. J. FOX, CHIEF ENGINEER V FOR OFFICE USE ONLY P OR APPLICANT TO FILL IN DISTRICT NO. PLAN CK. NO. P,,,EEERMIT NO. ING /7 7✓—' ESS LITY / ��� RECEIVED•BY' GATE OF APPL. DAT6135UED CROSSST BUILDING _ori i� ADDRESS CJI U` ER 1. (� :n / G / LOCALITY I CE88 / NEAREST -,J(n-t��YL y_ >( � [J NO. CR0998T. 1 a 6 - �9d ZONE PLOF ANSTYPE= GROUPITECT OR � NO• BLDG. I OR NO. NEER ` ' y_SETBACK LINE ✓ V ��`' /ESS " APPROVED V TEL. BY DATE RACTOR/ NO. USE APPROVEDZONEBYDATE ESS HOUSE NUMBERING LEGALY u CRIPTION LOT NO. BLOCK ` MAP NUMBER FIELD CHECK BYT �_0 9 A, 0J NO. ASSIGNED BY DATE (/,� No. of BLDGs. /� CORRECTIONS OF LOT !/ -///v /7 I NOW ON L.I1OTUSEOC,� EXISTOING BLDG. �( FS. /rA�GiY�41'FAM LIFs DESCRIPTION OF WORK' NEW I I ALTERATION I ADDITION REPAIR I I DE�MMOLITION I NO. OFrI I L SIZE /-I ROOMS J STORIES / Z EXT. WALL ROOF s r COVERING ��d/A'�c I COVERING -A:-,M-1 Le,[p USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRESTOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FE / LFURNACE: LOCATION, SIGNATURE O - GAS VENT, DUCTS PERMITTEnKKK LATH. INT. ADDRESS / LATH, EXT. AUTHORIZED AGT. PLASTER, INT. Tawaaew Deli to-io $ FEE -7, s, ��� PLASTER, EXT. VALUATION I FINALyjy� '�/ v•Z DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � ® I ®� / WM. J. FOX, CHIEF ENGINEER U L FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �rL t,' DISTRICT NO. PLANCK. NO. PERMIT NO. ADDRESS r I 7l e5 J4 LOCALITY �'' �/- )/C.G Ly RECEIVED BY •//D�ATEE OF APPL. DATEISSUED NEAREST 'ROSS ST SUILD OWNER .1L e4L11 ADD rr CY' //J/�/LL�+� -�v EBS I MAIL Ao RESS��:14- 3(' �� �/�L` .`c c'"'-'^-' . LOCALITY /��I•//�// t /�� /` NEARES CITY U'��E- O'eLC TEL �� CROBB ST. l �C /�." /V F� No FIRE NO.Or TYPE GROUP ARCHITECTOR I T ZONE �— PLANS .1 I/ SLOG. /-� ,1' / ORD.NO. ADCRE99 / .{ SETBACK LINE / O /}� J TEL APPROVED •+ CONTRACTOR NO. BY DATE USE ./`��. j APPROVED ADDRESS / r ZON✓E� /dI ( By DATE LEGAL DESCRIPTION LOT NO. I nI BLOCK l.-. �[ v /(/ CORRECTIONS ��yy TRACT ) ,q �.� / -/-m Q d'-0;!;-: F II ��. � . / /��T NO.OF SIZE OF LOT -:5 CI X ��P NOW ON LOTS /�r��-"L • r USE OF NO.OF I NO.OF —7 EXISTING.BLOG. -FAH,u ER�'�ROOMS �, f/ a2..i Lr� C4 DESCRIPTION OF WORK NEW /� ALTERATION ADDITION / rc.: FI !«R�.0 a.tM 2 Q�U 11 REPAIR MOVING DEMOLISH OFINt,���,J_�/J•- Lop BE;. FT. �j p / ND.OF - p Z SIZE - p O <O ROOMS J STORIES / /-�-�a `� t�G�•7 �Q__, D r WALLROOF COVERING • t/t o'T'Lr I COVERING .Jkc (L .. USE OF NEW BUILDING (iWl+I- �'� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT TME ABOVE IS CORRECT FOUNDATION: LOCATION (INSPECTOR �s,DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. r FRAME: FIRE STOPS, /r SIGNATURE OF� _ - /_ BRACING,BOLTS /�fv OWNER LATH,INT.: AUTHORIZED AST. LATH,EXT.: LDBS-3 35N sErs I-aY $ P C ® OPLASTER. INT./ // ©O FEE. /,t/�/ PLASTER,EXT. - ///' //LUATION / 0 FEE 9/ C% OO FINAL fr ✓'� WRKERS' COMPENSATION DECLARATION --- inhere, raffirmlfico 1 hover certificate of consent to self _ _APPLICATION FOR , BU-ILDING PERMIT - insure, or a cet;ficole of Workers' Compensation Insurance, or a certifiee/d.c�c__s-l6y�thereof (Sec. 3800, Lob. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nol�Company ^EUILDING �. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS t _ Cerlified copy is filed with the county building inspec- BUILDING 7I titin'department. i�e�sc ADDRESS i Date //ni /`Q7/ Applicant CITY ZIP_ Q LOCALITY CERTIFI ATE OF EXEMPTIO FROM WORKERS' - - NO. OF BLDGS. - ---- NEAREST - ----- - COMPENSATION INSURANCE SIZE OF'LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one - - - - - - ASSESSOR, .r hundred dollars ($100)or less.) TRACT BLOCK LOT NO, MAP BOOK PAGE OWNER NOPARCEL � J TEL. USE NE MAP NUJ b ' 6 -1 ' certify that in the performance of the work for which this rr//�� permit is issued, I shall not employ any person in any manner ADDRESS - Z1,919 - - _ /]/� SPECIAL 0 so as to become subject to the Workers'Compensation laws. CONDITIONS -�. O u but Applicant CITY -/ _._ _ ZIP. G..- - _ . K NOT( E'TO APPLICANT: If, after makih th is'Certificate of ARCHITECT OR TEL. DISTRICT OUP TYPE FIRE PRO SSED BY g ENGINEER �— NO. G/1g CON ZO E Exemption, you should become subject to the Workers' - /rC �/'� �'/- 9 W Compensation provisions of the Labor Code, you must forth- ADDRESS - l n V d with comply with such provisions or this permit shall be - - -- - TEL. STATISTICAL CLASSIFICATION APT, rDO. Z deemed revoked. - CONTRACTOR NO. 1/J _ LICENSED CONTRACTORS DECLARATION -- --- - • -LIC. - '-' •- CLASS NO._I DWELL. UNITS_ 1 hereby affirm that 1 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.. _1 -VALIDATION PG SO. FT. NO. OF NO. OF CHECK_ License Number Lic.Class SIZE STORIES IFAMILIES - ONE I • 11 VALUATION Contractor Date DESCRIPTIONOFWORK NEW L{ $ ADD YrJA V C/ I am exempt under$ec. y ON , ALTER B.BP.C. for this reason D - REPAIR $ Date: USE OF - EXISTING BLDG. DEMOL Si nature - - APPLICANT TEL FINAL�2 9 OWNER-BUILDER DECLARATION PRwr _ / �� O NO. �_ DA I hereby affirm that I am exempt from the Contractor's License ADDRESS O� G.a ' Law for the following reason (Section 7031.5, Business and _ Professions Code):' - PR EN v FI OBUILDING - - - - - I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 14 7 Q S A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING ' " _ ' -- TEL.- ❑. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. With licensed contractors to construct the project (Sec- '(ADDRESS -.124,88- tion 7044, Business and Professions Code). - � � .. REQUIRED YARD' HWV TOTAL SETBACK FRO I . . . . 1 26.88'•. U CONSTRUCTION(ENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 0 5 27 86 the performance of the work for which this permit is issued - -P.L.- - (Sec. 3097, Civ. C.). SIDE I P.I. m Lender's Name d. S _ - __ . LDMA Ref. H _ - i = Lender's Address P:C. Fee'S Permit Feefig1 > , I certify that.I have read this application and state that the .- - - Issuance _suonce Fee U� Q•- - LDMA P/C M - , a above information is correct. I agree to comply with all County Investigation Fee ordinances.and State laws relating to building construction, _ _ . . _ Total Fee - LDMA'Perm. If- - - `• - - _ ' - u and hereby authorize representatives of this County to enter m upon bove-men " ned pr perry for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signoture of Applicant or Agent '- Dot,( COUNTY OF LOS ANGELES TEMPLE CITY # 05,Rm6 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - i RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9805070060 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 10821 LT: 80 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 10102 LA ROSA DR STRUCTURE: 252 1 VN R3 TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8585-013-001 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: i USE ZONE: ISSUED ON: PROCESSED BY: EXP RES 0 : EXIST OCC GRP: 10/22/99 UT 04/19/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN4 BY: CODE: SANELLO ROCCO;MARY J (818) 575-0091- 1 20,000 npj �,F/`9`� 10102 LA ROSA DR `7 TEMP 917803303 FEES PAID DESC IPTIOON OF WORK NEW ONE BEDROOM AND BATHROOM - PLAN CHECK PAID UNDER FIRST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PHASE OF CONSTRUCTION OF NEW GARAGE AND INTERIOR REMODEL APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 20000.00 VAL 2.00 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY—_ 20000.00 VAL 423.06 (;ELEST TL-AL-ZFEES 452.81 CONTRACTOR: TEL. NO: �j APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO OCA ION' !D SETBACKS / GI L Z ARCHITECT OR ENG19EE-F.--- TEL. NO: / FOU! ATIOI TREl CI RIS LIC. NO:� 1117111 SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: n f �'�(/`J I UNDERFLOOR INSULATION 3 I U' '�C o 1 CC ��lV�l.,I \\ ST EL LOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: A T/CO : ST CL S -- -- - --— NO 21 `� --- ——-" -- ND LEVEL FLOOR SHEATH SCHOOL WI HINA RS 1;, r, `. / 00 SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT - o �a REQUIRED OT T KEXIS G8 C �(� BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- C Service That SHEAR PANELS SIDE PL- INSTAUTTIN/WEATHER STRI INTERIOR LAT DRYWAL tAitHIUK_LAIM i LOT DRAINAGE SMOKE-DETECTION DEVI S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 • TY COUNTY OF LOS ANGELES TEMPLE Cl 1 # 0508 ` BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS C RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804030062 PHONE: (818) 285-0488 EXT: GAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 10821 LT: 80 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 10102 LA ROSA DR STRUCTURE: 0 1 VN R3 TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: GARAGE: 590 1 NEAREST CROSS STREET: 8585-013-001 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EX IR S ON: EXIST OCC GRP: 05/07/98 UT 05/ /99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: SANELLO ROCCO;MARY J (818) 575-0091- 1 30,000 r n �� 10102 LA ROSA DR TEMP 917803303 FEES PAID DESCRIPTION OF WORK COW NEW GARAGE (DEMO EXISTING) AND INTE OR REMODEL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: L. N0: SAME AS OWNER - 81 PLANCHECK W/ENERGY 50000.00 VAL 742.49 AA BLDG PERMIT ISSUANCE- -.,..- 27.75 SPECIAL CONDITIONS: AC STRONG MOTION-RESID- -- -30000-.00 VAL 3.00 82 PERMIT W/ENERGY,^` S30000-00°VAL 589.71 i 1ti�' TOTALZFEESZ� 1,362.95 CONTRACTOR; TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS / Ial �� 1. _ t �,y �� SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: i� �-, _I - FOUNDATION/ R 7 ENCH FORMS LIC. NO: f t- - '�--t f , � SLAB/UNDER FLOOR RAISED FLOOR FRAMING �1� MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 77 / 3 01 N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT LASS: ST LEVEL FLOOR SHEATH— NO HEA HNO 212ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT T / REQUIRED TOTAL SETBACK FROM X ST _ _ BLDG DEPT. FRAME INSPECT SET BALK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION WEATHER IP INTERIOR LAT DRYWAL EXT RIO �LATH LOT DRAINAGE SMOKE DETECTION DEVICES IRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508