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HomeMy Public PortalAbout10117 LA ROSA DR_Building__ >eAeeeA oeerry�� APPLICATION FOR BUILDING PERMIT ], _ Ilee LIVISION OF BUILDING AND SAFETY BUILDING Q Deportment of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT of BUILmrva CROSS ST. DISTRICT O. G TYPE SEWER P FOR APPLICANT TO FILL IN BK PG �) CONST. BUILDING �O I/ - NUMAPMBER C� O / (/ STATE YES NO ADDRESS n lI I /� /� HWY* LOT NO./)A K "'^ L ' BLOCK USE ZONE SPECIAL CONDITIONS 9 TRACT �O x� l!- 0 SIZE OF LOT / / IG V I NOW ON LOTS ) / BUILDING HWY STREET NAME EXIST. USE OF YARD SETBACK WIDTH ✓L�. _ EXISTING BLDG. FRONT n ^/ 1 J 0 / OWNERMR M11� lPO f- iyl RLMQU IS 1 SIDE MAIL P. L. ADDRESS O TRACT DWELL. 1 UNIT 5 INDUSTRIAL CITY rtriv, PJLE-- y- NO FO 6-50((JJ� 1 DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. DUPLEX 2 UNITS 7 ADDN..ALT., ETC. ENGINEER NO. 3 APT. _UNITS B MISCEL. ADDRESS 4 COMMERCIAL ,1 TEL. EL' CONTRACTOR (/(72„([/ TNO.EL INSPECTION RECORD ADDRESS apF.P, DESCRIPTION OF WORK iAAXQI Aii 1" 8'- EW ADD ALTER REPAIR DEMOLISH 7�/ .01r./ , 1 . FT.J /1Q ST OF / / SIZE / STORIES FAMILIES ^ USE OF STRUCTURE C"' G ;41%1 P, G.,.�/ SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION "ISCORRECT FORMS, MATERIALSFRAME: FIRE STOPS.VALUATION � BRACING, BOLTS JFURNACE: LOCATION, �y1 HEREBY ACKNOWLEDGE THATHIS GAS VENT. DUCTSAPPLICATION AND STATE THAT THECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- / TIONS /J/ ' '/ LATH. EXT. SIGNATURE O �/ HOUSE R PERMTRECT AND POSTED l [�1�?%;y✓�+"M"/ ADDRESS FINAL I?_01:7 fEq JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDGANSPEcrOR CK MO CASH �l 0 6 4 6 3 P•1ily 2 8 1.6 1 8. 6,O 0 r m 1 L�CDr � 8 3- 76A638A <E#803 a-BTAPPLICATION FOR BUILD) G PERMftLJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS i BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JEN K INS, SUPT of BUILDING NEAREST' CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. P TYPE PRQQEs B (Print or type only) F v CONST. BUILDING STATISTICAL_CLA SEWER MAP ADDRESS u aI7 Ci. R' CLASS NO. DWELL,UNI Ts_ SK PG LOT NO. BLOCK USE ZONE MAP �2 (? NO. TRACT SPECIAL NO.OF BLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM L ` FRONT PROP.LINE OF —(STREET) OWNER ✓ TYPE OF EXISTING SETRACK HIGHWAY } YARD - TOTAL ADDRESS (J Q HIGHWAY WIDTH FROM C.L. } - CITY ( AL1/{-• BLDG.SETBACK FROM ARCHITEC OR TEL. SIDE PROP.LINEOF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C,L. TEL. } = d CONTRACTOR O ADDRESS CORNER CUTOFF YES ❑ NO ❑ C1 C LIC. C clry CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRfPTION OF WORK N Z_ NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF / STRUCTURE -73 O SIGNATURE OF APPLICANT ^ VALUATION SI., ! 1 � t APPROVALS � DATE INSPECTOR'S 51 cxw TU RE P . PMT. FOUNDATION: LOCATION FEES FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR ODE OF THE STATE OF CALIFORNIA RELATLATH, INT. ING TO WORKMEN' COI PEN TION INSVRAN LATH, EXT. SIGNATURE O PERMITTEE HOUSE NUMBER COR- RECT AND POSTED ADDRESS V, FINAL IO JOHN F. LEWIS. PF IN I AL STR RAL ENGINEER PLAN CHECK VALIDATION CK. MD. CASH _ PERMIT VALIDATION cK. M.D GASH LAC0 4 9 1 5 e JUN 5 10 6.0 0 v-ISL �I TEMPLE CITY i5A5DeA CE=dG9 a-" APPLICATION FOR BUILDING PEW COUNTY OF LOS ANGELES BUILDING// i DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUP-T OF BUILDING CROSS ST. .ryKJ DISTR T N9, GROUP TYPE SEED BY FOR APPLICANT TO FILL IN CD/ CONST. BUILDINGd �w� STATISTICAL CLASSIFICATION 5 WER MAP ADDRESS /' CLASS. NO.�DW ELL. UNITS �� BK 'G LOT NO. / (l BLOCK WATER NOT REQUIRED RECEIVED ❑ ,J CERTIFICATE: TRACT Id 4J MAP .1 GHWAr STATE MAJOR SECOND CAL NO.OF BLOGS. NO. (CIRCLE) SIZE OF LOT �B NOW ON LOT USE ZONE SPECIAL USE OF / / CONDITIONS EXISTING BLDG. "'f/� TEL./ OWNER Q / O.�J BUILSETBACK DING YARD HWY S EET NAME EXIST. ADDRESS A-.,!F. , 6 FRONT WIDTH ARCHITECT OR TEL. P. L. [/ ENGINEER NO. SIDE r P. Lt ♦ D ADDRESS TEL. :Y !J'4r�'Y✓/ u..1' �w (�.✓/ O CONTRACTOR NO. ADDRESS %'2f+/� s j^ •R.y�f:.// i Q r � � DESCRIPTION OF WORK w c 'Al NE ADD ALTER REPAIR DEMOLISH Z SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE C� SIGNATU RE OF 't- lL!♦L APPLICANT VALUATION S APPROVALS DATE . INSPECTOR'S SIGNATURE P.C. PMT. 0() FOUNDATION: LOCATION FEE $ �' FEE $ FORMS. MATERIALS D FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS ANO STATE THAT THE ABOVE 15 CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION. n I WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCTS I BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK ' \ AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT. TION OF THE LABOR CODC OF TME STATE OF CALIFORNIA RELAT� _ Jyrl ING TO WORKMEN'S COMPENSATION INSURANCE. oe LATH, EXT. SIGNATURE O HOUSENUMBER COR- / PERMITTEEVkj RECT AND POSTED ADDRESS/d/��/ FINAL JOHN F.AWIS. PRINCIPAL STRUCTURAL ENGGASH R PLAN CHECK VALIDATION CK. M.D. GASH _ PERMIT VALIDATION CK. M.D. 0029E SEP 11* 1 0 8.00- 76A635A CE#903 9-67 7APPLICATION FOR BUILDI G PERM_ COUNTY. OF LOS ANGELES BUILDING 6) DEPARTMENT OF COUNTY ENGINEER ADDRESS (� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN ols�R�r N / `GG CTYPEONST. R E BY (Print or typo only) . U r Qi U+ BUILDING r� /� fSTATISTICAL CLASS( (CATION SEWER NtAP / ADDRESS /�wI/ c LA OJCLASS NO. J DWE LL.UNITS BI(� FG/ LOT NO. �0 r t EL"OCKUSE 20NE MAPTRACT �. 131 Af NO.OF BLCONDITIONS SIZE OF LOT JS! 2-`J -(c - NOW ON LOT USE OF ♦/ EXISTING BLDG. HOMEE BLDG,SETBACK FROM //�� f1iT�EL. /pi FRONT PROP.LINE OF (STREET) OWNER- NI (TL BJP�IO. P'� CZ TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS IO ��� (.- /'T- OJ le HIGH WqY WIDTH FROM C.L. CITY r'Mli c 1 jr-L' l>-ra.' �-0 ��c� ABLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEERJj'�'' NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS S� IY1t{� HIGHWAY WIDTH FROM C:L. CONTRACTOR ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ U C CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a - cA 1,rn fon NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF 10A1, 411- SIZE LSIZE STORIES FAMILIES USE OF .S'��f L i!/ 7 S F-?' f lA-G.S . STRUCTURE b<< W/v ILL .vn sJ� a vc .vA►oa s1r� .,.�J pL SIGNATURE OF APPLICANT VALUATION S /n� ��{ APPROVALS DATE Irvs PEc?oR's slcry Aru RE FEE S * FEE $ •� {/0 FOUNDATION: MATERIAA TI FRAME: FIRE STOPS, `/ '✓1 - -✓/I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY.1 WILL NOT EMPLOY ANY PERSON IN VIOLA. _ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT_ LATH, INT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. S I GNATURE'''pppppp {� HOUSE NUMBER COR- PERMITTEE'1� RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PR ACIPAL STW!55tlli ENGINEER PLAN CHECK VALIDATION CK, M G. CASH _ PERMIT VALIDATION CK. M.O. DASH LSU o 3 0 1 7� FEB 8 1 0 12.00, 76A638A GEA8035-65 APPLICATION FOR BUILDING PERMIT / COUNTY OF LOS ANGELES FADD DING %� // DEPARTMENT OF COUNTY ENGINEER RESS ! /BUILDING AND SAFETY DIVISION ALITYJOHN A. LAMBIE. COUNTY ENGINEER RESTCOLEMAN W. JENKINS,SUP'T OF BUILDING SS ST. _ FOR APPLICANT TO FILL IN ❑Isr ICT'p0. GRQJL CONSTYPE . PROCESSED BY BUILDING r STATISTICAL CLASSIFICATION _ SEWER MAP ADDRESS - G Z, CLASS NO. • DWELL UNITS BK, PG LOT NO. BLOCK USE ZONE MAP c NO. TRACT /Q�Z� SPECIAL N0. OF BLOGS, n� /' CONDITIONS SIZE OF LOT NOW ON LOT !/ USE OF EXISTING BLDG. BLDG. SETBACK FROM FRONT PROP. LINE OF (STREET) N (� TYPE Oi E%(STI NO SETBACK HIGHWAY + YARD = TOTAL ADDRESS C HIGHWAY WIDTH FROM C.L. _ + zv = CITY ARCHITECT O TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR .V(/V/W�/ NOL + — LIC ADDRESS NO CORNER CUTOFF YES NO O clrr CILASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK a NEW A4DD SS ALTER REPAIR DEMOLISHSQ-F / SIZE � GT rO CJ STORIES FAMIOb NO OF LIES V� USE OF STRUCTURE pa rv, SIGNAT RE OF V APPLICANT / VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION. LOCATION FEE S FEES FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BU ILOING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'5 COMPENSATION INSURANCE. LATH. E%T. SIGNATURE OF�� HOUSE NUMBER COR- PERMITTEE 1� RECT AND POSTED ADDRESS l /��p, [FFI NAL .. Z�, JOHN F. LEWIS. PRINCIPAL STUBAL ENGINEER PLAN CHECK VALIDATION CN. M.D. CASH _ PERMIT VALIDATION cK. M.D CASH tlii 0 3 8 2 5`S JUL 2 9 1 D 4.00- v WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT ILIS insure, 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. Companyuuko- ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS iely-7 L4 R-6-5 A ❑ Certified copy is filed with the county building inspec- BUILDING l L. p {-. q 1 tion department. ADDRESS 1 . 'L� L' ` LOCALITY t p — e It NEAREST = G.I T Y, zip 9/ 7 E O 1 CROSS ST. Date Applicant CITY ' CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS:: ASSESSOR COMPENSATION INSURANCE SIZE OF LOT -.NOW ON LOT i MAP BOOK PAGE PARCEL - (This section need not be completed if the permit is for one TRACT NO. LUSE ZONE MAP O hundred dollars ($100)or less.) BLOCK OT NO. TEL SPECIAL I certify that in the performance of the work for which this OWNER L/ L.L/•�Is T NO.yy —:S 62 CONDITIONS d permit is issued, I shall not employ any person in any manner } _ ,p 'l DISTRICT .GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS/0 � 7 i H /f 41 5 A t A ,.--. CONST. ZONE ,� V CAA /; / �j R ` RC CITY C PL_F V I -1 ZIF / 17 C/ J O X Date Applican STATISTICAL CLASSIFICATION APT. CONDO. V NOTICE TO APPLICANT: If, after moling tis Certif' ate of ENGINEER TEL. Exemption, you should become subject to the orkers' ENGINEER NO. CLASS NO. DWELL. ITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall be Z TEL. L Y� VALIDATION deemed revoked. CONTRACTOR NO. BK. PG, LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is wfull force'and effect CITY CLASS $ d Q Poo._ 50. FT. NO.OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE — NEW ❑ $ Contractor Dote DESCRIPTION Of WORK /"rr ADD ❑ I am exempt under Sec. C' RA .e U ❑ + ALTER ❑ FINAL B.BP.C. for this reason L X rJ-RIG!\ ! I rp�l x REPAIR ❑ DATE ^ Date: USE OF FINAL NAL EXISTING BLDG. DEMOL E] Signature APPLICANT TEL. T OWNER-BUILDER-DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Poo - Low.for the following reason (Section 7031.5, Business and ADDRESS Professions Code): , PRESENT B4 21,3 A ❑ BUILDING I, as owner of the property, or my employees with ADDRESS # o o e o e 1 wages as their sole compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY .2 e o 7 a O O 7044, Business and Professions Code). MOVING TEL. o 0 0 I, as owner of the property, am exclusively contracting CONTRACTOR NO. - 70 O with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 0803-83 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE. WIDTH , I hereby affirm that there iso construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee G I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee �j ordinances and State laws relating to building construction, Total Fee ;7 .i V 0 and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Vit-(X/AL)) 4 GIes SEE REVERSE FOR EXPLANATORY LANGUAGE i Sig we of Applico or Agent Dote ®s COUNTY OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1106140055 PHONE: (626) 285-0488 EXT: ICE: 2 ID: NO. OF CONST BUILDING ADDRESS: ITR: 29316 LT: 1 SQ. FT STORIES TYPE 10117 LA ROSA DR STRUCTURE: 2200 V-B TEMP CA 917803305 1ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8585-007-048 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI I TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: I RANPIIREZ MARIA (EXIST OCC GRP: 106/14/11 SR IOWNER: TEL. N0: 18LDG5. NOW ON LOT: VALUATION: IFI AL D TE FINAL BY: CODE: 1IS HENRY (626) 253-5975- 1 10,000 11011710117 LA ROSA OR TEMP 917803305 1 FEES PAID D SCRIPTION OF WORK 1 IREMOVE MED WOOD CEDAR SHAKES INSTALL 7/16 OSB SHOW NEW 30 IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (( APPLICANT: TEL. NO: 13&R PERRYMAN CONST INC (626) 695-8175- IAA BLDG PERMIT ISSUANCE 27.80 12740 E CAMERON AVE IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 )SPECIAL CONDITIONS: WEST COVINA CA 91791 :AC STRONG MOTION RESID 10000.00 VAL 1.00 IDI PERMIT W/O EN-HC 10000.00 VAL 217.10 TOTAL FEES 246.90 CONTRACTOR: TEL. NO: III IS&R PERRYMAN CONST INC (626) 695-8175- APPROVALS DATE INSPECTOR SIGNATURE 12740 E CAMERON AVE LIC. NO (LOCATION AND SETBACKS WEST COVINA CA 91791 562559 I I I ISOILS ENGINEER APPROVAL )ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS LSC, NO: ISLAB/UNDER FLOOR 1 11 (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I147H273 3 col 1 11 (FLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAISE INSPECTION IFIRE SPRINKLER HANGERS I I (INH ULAT ION/WEATHER STRTPI I I I INTERIOR LATH/DRYWALL ' (EXTERIOR LATH f I I I�RATED eLooR/cell Assets. I I I (RATED WALL ASSEMBLIES I I RATED SHAFTS/OPENINGS III IT-BA.R CEILINGS I (LOT DRAINAGE REPORT ID: DPR261 ROUTE T0: BSOSOB I I I I I