HomeMy Public PortalAbout10140 LA ROSA DR_Building__ 76a638ACE#0032-63 APPLICATION FOR BUILDI G PERMIT
COUNTY OF LOS ANGELESnUILDIN C0.! ¢v L-AA
DEPARTMENT OF COUNTY ENGINEERDDRESS
BUILDING AND SAFETY DIVISION LOCALITY Ti MF[ G'!
JOHN A. LAMBIE. COUNTY ENGINCER _ NEAREST G 1
WILLIAM A. JENBEN, SUPT OF BVILOING CROSS ST.
FOR APPLICANT TO FILL IN Dlsrr No. GROUP TYPE CONST. PROCESSED BY
_T � GoLoVY.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS I U DWELL. UNITS -BK PG
� p CLASS. NO. L
LOT NO. _ / LOCK WATER NOT REQUIRED ❑ RECEIVED ❑
O' CERTIFICATE:
TRACT' /O p MAPH IRCLE) STATE MAJOR SECOND 'LOCA
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N O.OF BLDGS. NO. �-Q/ Pw -
SIZE OF LOT Q NOW ON LOT USE ZONE SPECIAL
USE OF - CONDITIONS -
EXISTING BLDG.
TEL
OWNER NO: G BUILDING YARD HWV STREET NAME EXIST.
ADDRESS �3 SETBACK /W'IDTH
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ARCHITECT OR TEL. P. L.
ENGINEER p—otQ NO. SIDE }
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ADDRESS
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CONTRACTOR _ NO
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DESCRIPTION OF WORK', w
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NEW ADD ALTER REPAIR .DEMOLISH Z
50.FT. NO. OF NO. OF. '
SIZE STORIES FAMILIES—
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE, INSPECTORS
SIGNATURE
$ A pJ FOUNDATION: LOCATION
FEE $ FEE
�Y/ FORMS. MATERIALS / t
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 1
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. DUCT$
BUILDING CONSTRUCTION. 1 CERTIFY-THAT IN DOING THE WORK I
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'S COMPENSATION INSURANCE. \
LAT EXT. -
SIGNATURE OF �� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED I .�.♦!
ADDRESS : -% 1 G FINAL A.i i1'.G3 j)//♦✓/�
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHEC%.VALIDATION CK. M.o. GASH _ PERMIT VALIDATION CK. M.G. CASH
h o.15 5 7 3G JUN .� _ G 4.0 ,0—
,.A.„A�.#........ APPLICATION FOR BUILDING PERMIT Z
COUNTY-OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER AD°REss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST'
DISTR[5;T NO. GROUP TYPE ESSED BY '
FOR APPLICANT TO FILL IN 5 1 I CONST. I
BUILDING STATISTICAL CLASSIFICATION I SOWER MAP
ADDRESS - BK
CLASS.N® DWELL.UNITS ��-
LOT NO. BLOCK NUMBER
STATMAP E
LOT YES NO
TRACT USEZONE SPECIAL
NO.OF.SLOGS /p/_. CONDITIONS
SIZE OF LOT - NOW ON LOT
USE OF
EXISTING BLDG. BUILD NG RD WR
NG YARD HY TEET NAME ' EXIST.
SETBACK I WIDTH
OWNER ¢ FRONT
MAIL P.L.
ADDRESS ] U SIDE
TEL-L ( ..� P.L.
CITY t No INSPECTION RECORD
ARCHITECT OR J TEL.
ENGINEER NO.
/ N v VS
ADDRESS TEL.
CONTRACTOR NO. -
ADDRESS
DESCRIPTION OF WORK
.NEW AODM ALTER REPAIR DEMOLISH ,
SQ.FT. ,/ NO.OF NO.OF
SIZE /� STORIESC FAMMJILIEESSUSE Or
STRUCTUR V
. Y
SIGNATURE OF �/a
APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS �I �' FOUNDATION:LOCATION
FMATERIALS
VALUATION$ FRAME:RFIRE
OS.
ACING.SOL
TS
FURNACE:LOCATION.
S I FEE S� /9� FGAS VENT.DUCTS
FEE
1 HEREBY ACKNFE LED E THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE.ABOVE IS CORRECT AND
AGREE TO COMPLY WITH AL COUNTY ORDINANCES AND -
STATE LAWS RfY$U -ATIN IN CONST UCTION. LATH,EXT.
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE �� %✓ RECT AND POSTED
ADDRESS FINAL /~I''J ✓L
•CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
91('0 7 1 4 7 NOV 9 1 A 6.0 0 r0
46>6,9.GE6O„-63 APPLICATION FOR BUIL ING PERMIT .�
COUNTY OF LOS ANGELES BUILDING10/ 40 _ LA RoS/F'
DEPARTMENT OF COUNTY ENGINEER A DRESS
BUILDING AND SAFETY DIVISION LOCALITY TG m Pt-t CIT
' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. Cjl)GKm AV
DISTRICT NO. GROUP TYPE PROCESSED Y ,
FOR'APPLICANT TO FILL IN S-p _ co sr. v ' GoLo r�
BUILDING/b ISTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS
pp' /
LOT NO/Lss� P /J CLASS. NO. DWELL. UNITS B(��C
P
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BL6CK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
TRACT MAP HIGHWAY
SIZE OF LOT X I(p .3,. NNO.OF OW ON LOTS �- NO. ZQ J()' (CIRCLE' STATE MAJOR SECON . LOCAL
SPECIAL
USE OF ' - USE ZONE
' CONDITIONS
EXISTING BLDG. I� _'
TEL- /�
OWNER NO 'BUILDING YARD HWV STREET NAME EXIST
Jam .
pp SETBACK WIDTH '
ADDRESS ' h - FRONT
2 J / -
ARCHITECT OR �/J TEL. P. L.' La 2aJ
ENGINEER NO. SIDE.
P. L y
ADDRESSTE
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CONTRACTOR s NO 3/ ,7 , u
ADDRESS J J aJ wO
DESCRIPTION OF WORK u '
w
a
NE ADD. 'ALTER REPAIR -DEMOLISH
SQ. FT. / //.. NO.OF NO. OF '
SIZE 3� 4�• STORIES FAMILIES' w
USE OF
USE OF -
n + ,
SIGNATURE OF g
APPLICANT
VALUATION S
i
"APPROVALS DATE INSPECTOR INSPECTOR'S SIGNATURE
P.C. E Of FOUNDATION FORMS. MATERIALS
N
FE
FEE $ FEE $�
FRAM E:'FIRE STOPS. '+ ^
HERESY ACKNOWLEDGE IS 1 HAVE AN.READ•THIS_ APPLICATION BRACING, BOLTS
AND STATE THAT`Y ORDINANCES
IS CORRECT TE AGREE E COMPLY FURNACE: LOCATION. / \
WITH NO COUNTY ORN..1NCER ANO STATE LAWS DOING
REGULATING EATING GAS VENT. DUCTS
AUILOING COHEREBY I WILL
I.CERTIFY THAT'IN OOING THE WORK / \
TION
TH HEREBY C WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COMPENSATION
THE STATE NC CALIFORNIA RELAT-
INGTO WORKMEN S COMPENSATION ,rvSURFNCE. LATH!EXT, If -
SIGNATURE OF” HOUSE NUMBER PERMITTEE
ADORES
a RECT ANDPOSTED
ADDRESS �. 2 rim //O frs✓/+eL- rG FINAL I
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK, M.O. GASH _ PERMIT VALIDATION CK. Wo. CASH
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 1309300099
PHONE: (626) 285 X0488 EXT:
ILEGAL ID: N0. OF CONST BUILDING ADDRESS:
ITR: 10821 LT: 5 BL: .001 UN: .002 SQ. FT STORIES TYPE 10140 LA ROSA DR
(STRUCTURE: 14 V-B I TEMP CA 917803303
I ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18585-013-047 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I I
(TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 IISSUED ON: PROCESSED BY: I
IEXIST OCC GRP: 109/30/13 SR
I I I
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION � NAL BY: CODE:IO CONNOA KEVIN H;SALLY S (626) 222-1828- 9,000 110140 LA ROSA DR
1TEMP 917803303 FEES PAID �IN�u
RI TION F WORK 1
I I IITEAR OFF EXISTING ROOFS APP CLASS "A" 30 YR SHINGLES OVER 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IEXIS'FING SHEATING HOUSE ONLY 1
1APPLICANT: TEL. NO:
ILANFORD, ROB (626) 390-3480- IAA BLDG PERMIT ISSUANCE 27.80 I
13535 LANDFAIR ROAD IAB STATE GREEN BLDG FEE 4000.00 VAN 1.00 ISPECIAL CONDITIONS: 1
PASADENA CA 91107 (IAC STRONG MOTION RRSID 4000.00 VAD 0.50
I ID2 PERMIT W/O EN-HC 4000.00 VAI, 115.80
1 TOTAL FEES 145.10
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ILANSFORD ROOFING (626) 390-3480- I
13535 LANDFAIR RD. LTC. NO ILOCATION AND SETBACKS
PASADENA, CA 91107 775456 * 1
I ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I I
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING 1
II I II II I
IMP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION
3 001 1 11 1
(FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITSS: APT/COND: STAT CLASS:
NO 21 IROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS SHERR PANELS
HAIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
IFIRE SPRINKLER HANGERS
I
INSULATION/WEATHER STRIP(
INTERIOR LATH/DRYWALL
1 IEXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
I (RATED SHAFTS/OPENINGS
IIT-BAR CEILINGS
* ADDITIONAL DATA ON FILE
I ILOT DRAINAGE
I I I II II I
1REPORT ID: DPR261 ROUTE TO: SS0508
I I I II II I