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Home My Public Portal About10108 LA ROSA DR_Building__ e� 1IPl5 76A63B �E • CE pno3AL�� 6/del " C1111S APPLICATION FOR. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL INJA DRESS BUILD ING ADDRESS �/�V �P LOCALITY AREST CITY C/' ZIPOSS ST. NO.OF BLDGS. SESSOR SIZE OF LOT NOW ON LOTPBOOK PAGE PARCEL ISTRICT GROUP TYPE FIRE CESSED BY TRACT/092 BLOCK �� LOTN ,1CONST. ZONETELOWNER / ,eL NO. •v� �ATISTICAL CLASSIFICATION SEWER P ADDRESS )D SCLASS NO. DWELL.UNITS L BI� PG CITY 1e ZIP AR ITEC7 TEL. LUATION gj /V /`/�J�ENGINEER NO. 000S DG.SETBACK FROM TEL ON T PROP.LINEOF ISTREETI CONTRACTOR r `, / / / JNalcGHWAY + YARD TOTAL SETBACK FROMTEXISTING ADDRESS 81 W /J• /K'NO.I FRONTPROP.LNE HIGHWAY WIDTH LIC + CITY C-TPL CLASSDG.SETBACK FROM CONSTRUCTION LENDER E PROP.LINE OF ISTREETI NAME AND BRANCHGHWAY + YARD _ TOTAL SETBACK FROM TYPE EXISTING ADDRESS -- / CITY SIDE PROP.LINE HIGHWAY WIDTH O SO.FT • IN S DRIES / FAMIILLIES / CO EK + O SIZE DESCRIPTION OF WORK NEW ❑ P.C. Fee$ / Permit Fee C% 14 ADD /J ALTER ❑ Total Issuance Fee 'f Z REPAIR ❑ Total Fee / EXISTUSETIING BLDG. DEMOL El qs O APPLICANT TEL IPRINTI NO Q D BY ISIGN iUREI 'L yt�.ur�� Q I HEREBY ACKNOWLEDGE THAT I HAIE READ THIS APPLICATION AND STATE Z —'Z7 —-� LYS =3 6 7, 1 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES /� ELE # o p p p e 1 AND LAWS REGULATING BUILDING CONSTRUCTION, CERTIFY THA IN D01NG THE //V WORK AUTHORIZED ERE WILL NOT EMPLOY ANY PERSON VIOLATION OF f T HE LABOR CODE OF iH ATE DFCAUFORI NRELATINGT GRKMEN'SCOM. Z 2 p 1 8700 PENSATIONUIRAN . � INSa� 7-7 f.JI� 4 d s pp19ZCG SIGNATURE OF AA PERMITTEE CM 1 1 -79 ADDRESS / TEL. �i Z CITY /�/ � f�, ` NO. O U$F$0;E MAP �G �) NO. l/ j �) JSPECIAL 7/T+- CONDITIONS f FINAL ,qI/ DATE B �^�tq�t!"'Z W. L COMPENSATION DECLARATION S have a certificate of consent to self gPPLI�`ATLON- FOR• BUILDING PERMIT i.- icate of-Workers' Compensation Insurance, I opy.thereof'(Sec. 3800, Lab C.) a ` t :COUNTY OF LOS ANGELES BUILDING.AND SAFETY Policy No in J> Y'�//✓� - Certified copy is hereby furnished. FOR APPLICANTTO-FILL IN - BUILDING / ADDRESS - Certified copy is file with the county building spec- BUILDING tion deportment ADDRESS G Dote - PPlicont CITY i ZIP / LOCALITY C - 'CERTIFICATE OF EXEMPTION FROM WORKERS' - - - - NO.OF BLDGS. -'- NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. Wf/ (This section need not be completed if the permit is for one - - --^- ASSESSOR hundred dollars ($100)or less.) _ TRACT BLOCK LOT NO. MAP BOOK ^yPAGE PARCEL - TEL. USEE MAP I certify that in the performance of the work for which this OWNER NO. " NO. - 2-75 � . permit is issued, I shall not employ any person in any manner SPECIAL - d so as to become subject to the Workers'Compensation Laws. ADDRESS .¢' CONDITIONS O V Date' Applicant CITY. _ .ZIP .� ,/ �1 pL NOTICE'TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. O ENGINEER —NO. DISTRICT G OUP.; TYPE FIRE PR CESSED BY V Exemption, you- should become subject to the' Workers' �-. CONST'. / ZONE Compensation.provisions of the Labor Code, you must forth- ADDRESS �� / 6 with comply with .such provisions or this permit shall be - - - - - - TEL, STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION - - - - LIC; - - - CLASS NO. DWELL. UNITS_ 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. L PG.y VALIDATION ,�� / SO. FT NO.OF i^ NO.OF _ _CHECK - . License Number� '��7 ' Lic Class_Y.LL SIZE STORIES ..v-C. FAMILIES ONE n^ OF WORK y ❑ VALUATION 4 3 9.-1 A -�N��,�S� ' NEW $ r O� . Contractor Date DESCRIPTION ALL O� V ` ✓ ' YY �' ADD LJ ' 23 I am exempt under Sea AVER ❑ B.BP.C. for Ihis reasonREPAIR $ - - �- ( • 1 9286 Date: USE OF _ v _ DEMOL Ay EXISTING BLDG. �/ ❑ • . 1 9 2 8 6�. Signature !/ APPLICANT T // G ' g Y v A - O NO) !. FINAL PRINT) / �y l 0.4 0 OWNER-BUILDER DECLARATION DATE 8_36 - - I hereby affirm that I am exempt from the Contractor's License / /� �/ Law for the followADDRESSing reason (Section 7031.5, Business and ! 4J C oG//L7r/ FINA Professions Code): '" ` " - -' ` -- PRESENT - �• �/ - - ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as 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 SETT BACKK YARD HWY IOTA PROP. LINEETBACK WIDTH! - C -- --R.4 7 Q b A: . hereby affirm that there is a construction lending agency for FRONT # • • • • •-1 the performance of the work for which this permit is issued P.L.- - `�� •=• ' ' _ -- '•`.) 38 P.L. (Sec. 3097, Civ. C.). SIDE �.` ti '2 3 _ Lender's Name LDMA Re! # v \ ` \-`• • - 237.385 g / a Lender's Address P.C. Fee$ 1.2 -b Permit Fee nt 0 0 05.27=86 ' I certify that I have read this application and state that theIssuance,Fee ISO k LDMA P/C`# above information is correct. I agree to comply with all County Investigalion Fee l - g ordinances and State'laws relating to building construction, _ _. . J -7 - - Total Fee LDMA'Perm. #. d and hereby authorize representatives of this County to enter i m up05.th-97above-m ione operty for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature of Applicant or Agent OE) I , 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 0106200052 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING ADDRESS: TR: 10821 LT: 1 BL: C SQ. FT STORIES TYPE 10108 LA ROSA DR STRUCTURE: 3000 VN TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-013-002 THOMAS PAGE: 597 "GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: SFR/G USE ZONE: XX ISSU ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/20/01 JK 12/17/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE F CODE: HAMMER HAROLD P;MABEL A (626) 443-9813- 4,800 /_��1 G�/v, 10108 LA ROSA DR CCS 4 6 TEMP 917803303 S PAID b'E�SCRIRf IUN U� WO REAT-OFF, AND RE-ROOF /2 CDxCCROTEX COMP. SHINGLES CLASS A FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: APPLICANT: TEL. NO: DOUG DEARDEN (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 4251 BALDWIN AVW AC STRONG MOTION RESID 4800.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE D2 PERMIT W/O EN=HC - 4800.00 VAL 132.60 NOTAL FEES 160.85 CONTRACTOR: TEL. N0: - `" i . APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- - 4251 BALDWIN AVE LIC. NO - LOCATION AND SETBACKS ELMONTE CA 91731 HIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: _J ' FOUNDATION/TRENCH FORMS LIC. NO: �/ - -�- -- SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: ` UNDERFLOOR I SULAT ION XX 3 01 ' FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNIT APT/GOND: STA LASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ! SHEAR PAN S AIR QUALITY: 1000 FEET MATERIALS t vv NO NO NO FRAME INSPECTION REQUIRED TOTAL SETB K ROM EXIST ,Lv FI7E SPRINKLE HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SIDE PL- - INSULATION/WEATHER STRIP INTERIOR LA H/ RYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENING T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508