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HomeMy Public PortalAbout10153 LA ROSA DR_Building__ 9 CITY OF TEMPIE CITY 76A638A CE p8031ZV6APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE - PARCEL BUILDING AND SAFETY DIVISION BUILDING y JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �J COLEMAN VV. JENKINS, SUPT OF BUILDING LOCALITY n FOR APPLICANT TO FILL IN NEAREST Pri ne ort a onl _ _ CROSS ST. TBUILDING . DISTRICC'T O. GROUP TYPE P OC SS V ADDRESS - ]*- 10153 La ROaa Dr., T. City (�P CONST. {[J STATISTICAL_ SSIFICATION -- _ SEWER(MAP LOT NO. - BLOCK CLASS NO. DWELL,UNITS_ -' BK TRACT USE ZONE MAP O/o ' NO.OF BLOCS. NO. SIZE OF LOT NOW ON LOT fl- SPECIAL v USE OF - CONDITIONS EXISTING BLDG. - , TEt4OWNER Mr. H. L, i' y -' NO H�Vl BLDG.SETBACK FROM ' -ADDRESS 1 FRONT PROP.LINE OF - - (STREET) TY F EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY Temple-City, California 'HIGHf IDTH FROM C.L. ARCHITECT OR - TEL. ENGINEER - NO. El BLDG.SETBACKF M " ADDRESS i SIDEPROP, L INE OF '(STREET) �y TEL. TYPE OF EXISTING SETBACK IGHWAY- # YARD = TOTAL CONTRACTOPA2bambra Roofing OGL,'2 HIGHWAY WIDTH FROM C.L. ADDRESS 712180. Marengo LOF 16 } = O_ O CITY Alhambra Calif ornl CL SSROOfl CORNER CUTOFF YES NO ❑ CONSTRUCTION LENDER , O NAME.AND BRANCH SEE REVERSE SIDE FOR SPECIAL APP OVALS t3 - W ADDRESS y SO. FT. _ _ NO, OF _ _ NO. OF NEW ❑ z SIZE STORIES FAMILIES _ USE OF ADDID ' STRUCTURE Reroof residence & ALTER ❑ garage with 235# - REPAIR❑ . SIGNATURE OF _ - APPLICANT FTFY DEMOL ❑ - VALUATION S 5CO.00 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S FEES 9.00 FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ TNIS APPLICATION BRACING BOLTS - AND STATE THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-. GAS VENT. DUCTS STIR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. 'LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. �) �.[A LATH, EXT. SIGNATURE OF i �L�X. �J'F6 - HOUSE NUMBER COR- PERMITTEE % f RECT AND POSTED < ADDRESS 712 SO. Marangn��lhamhral C FINAL LJ 5 / V KLL JOHN F. LEWIS, PRINCIPAL ST Al_ ENGINEER PLAN CHECK VALIDATION CK. M.O. GASH _ PERMIT VALIDATION cK. M.D. CASH - = i3qr4 3 2R OCT3.0 1 D 9//.//0//]]0/�/ APPLICATION FORR, BUILDING PERMIT sl' - COUNTY OF LOS ANGELES -• - BUILDING AND SAFETY - 1 t , WORKER'S COMPENSATION DECLARATION BUILDINGQ�DflE$S ' FOR APPLICANT TO FILL IN BUILDING ADDRESS ,. AA - I,hereby affirm that I have a certificate of consent to self insure. O(5-b A (2-0GA 12(Lor a certificate.of Workers'Compensation Insurance,or a certified CITY - ZIP thereof(Sec.3800,Lab.C.) /� ��� L-E Ci(� 64c" "l( 0 LOCA - �. Policy No. Company SIZE OF NO.OF BLDGS.NOW ON LOT El copy is hereby furnished. .. Vf/ 2 NEARES CROSS ST. . ❑ Certified copy is filed with the county building inspection TRACBLOCK LOT NO. department. - �2 USEZONE MAP NO. N14 7 ft 4Q -73 Date Applicant ASSESSOR MAP WK PAGt I PARCEL n� SPECIAL CONDITIONS ' CERTIFICATE OF EXEMPTION FROM WORKERS' , .OWNER cH(N u TEL.NO. 'J(\ YES NO COMPENSATION INSURANCE WITHIN tIXD Fr.of scHooLv ADDRESS,(��� ,ate(,> 1 (This section need not be completed if the permit is for one hundred S.��"L�� .p .-(3 o J� DISTRICT -,GROUP TYPE CONST.' FIRE ZONE OCE D BY I Certs($tat)or less.) cm .ZIP 5'r �(/ � � 3 � � . I certify that in the performance of the work for which this permit IV( J is issued, I shall not employ any person in any manner SD as to ARCHITECT OR ENGIN�EEEEER TEL NO, ws become subject to the Workers'Compensation La . -T I. Y � OSO G(A M1 (9,-0( Z _ STATISTICAL CLASS[[ CATION APT CONDO Date Applicant ADDRESS - CLASS NO. �/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate DI cowtiA �( 9 REQUIRED TOTAL SETBACK FROM EXIST Exemption, CONTRACTOR TEL.NO V p you should become subject to the Workers' U V SETBACK YARD HwY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith m(.1 C 1 nI IFRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS��,�? L'^ 10 O S!{ Ji ICV P L 97 J fT 1'� SIDE •r �• LICENSED CONTRACTORS DECLARATION CITYtern/ eC'L?I I hereby affirm that I am licensed Under provisions Of Chapter S SO.FT.SIZE NO.OF TORES .OF AM LIES SEWER MAP v��I( 4S 1 (commencing with Section 7000)of.Division 3 of the Business and 7 10c Professions Code.and my license is in full force and effect. fD NEW [:1 BK PG ► IT_.1� _ License Number - Lic.Class -DESCRIPTION OF WORK • - " VQUA ION Y ;.• W FYc.,I((, (2(�J fit—p WUb ADD Til?AL tri 1 . 31%n Contractor Date ALTER ❑ Z (L'(- fI rV ROOCvt S [BATH ROD&4 REPAIR ❑ !_HECKEl 1 `� I am exempt under Sec. $ t-�_ '01iDMA P/C 4 B.&P.C.for this reason �V D l'(L o hC DEMOL 11 .. - ''HANG " USE OF EXISTING BLDG. • Dater -'�R 10 e-hCGL �URM ❑ Signature APPLICANT PRINT) - L.NO. LDMA Perm p �I=1 IIs IJLI�t �• �, . �] I, as owner of theproperty, or m em to ees with wage's as L G� �� ( 'QJl -`(cf Z Z Y P Y 9 q 0 Z-J- i• A!i their sole compensation, will do the work and the structure is lDD9ESS q-J D�L('(ALI�hI $T, fN• LJVI(♦1.9 FINAL DATE ~ not intended or offered for sale (Section 7044, Business and o Professions COlfeJ WILL THEAPPLICANT OR FUUREBUILDINGOCCUPANT HANDLEAHAZARDOUSMATERIAL �� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ^ ❑ 1, as owner of the property, am exclusively contracting With TMEAMOUNWI TS SPECIFIED ON THE HADOUS MATERIALS INFORMATION GUIDES [FNAILV4' \I licensed contractors to construct the projecl.(Seclion 7044, YES E] No ❑ Business and Professions Code.) S . WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CONSTRUCTION LENDING AGENCY OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AW QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORGUIDELINES. Via �/ I hereby affirm that there is a construction lending agency for YES E] NO❑ �/Lam^ the performance of the work for which this permit is issued(Sec. 90 _ i r,,.l I HAVE HEAD THE MAT.I UNDERSTAND MATERIALS INFORMATION GUIDE AND THE ANGELES 9 •3097,CIV.C.). PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES ,;P. [] �[�,/ J •-� CWNTYCJSIWOELE2CREPRTNG SEC FOR PERM21.11.110 CONCERNING 3> a Lendefs Name HAZMOOUS IMTERULS REPORTING AND FOR OBTAININGAPOiMIT FROM THESCAOMD. -^ � Z r � D Lender's Address R7 �1 r r Nk 0 owRFAwACLmm H oI certify that I have read this application and State that the above - •=� —1 - P.C.FEE PERMIT FEE - ITI information is correct, agree to comply with all county �/ G.? 1� F'-` , FP, ) ordinenbes and State laws relating to building construction,and a F r!O / ./ 6„ Fr! g hereby authorize representatives of this County to enter upon _ L ,r v ISSUANCE FEE -yI � 7Wa1 the a $'m�prp Brty for inspection purpo 7 .J+ a S. r`LL--1 u♦ n � INVESTIGATION E TOTAL FEE / ryq r 1711 j (. J d SEE REVERSE FOR EXPLANATORY LANGUAGE -=' -' -r i JJJ '-rl 1.. 1_J M--A w 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 0602060052 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 10821 IT 13 BL: .001 SQ. FT STORIES TYPE '10153 LA ROSA DR STRUCTURE: 457 VN TEMP CA 917803305 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BADWIN 8585-007-021 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/15/06 JK 02/10/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: PINAL FI AL BY: CODE: MING MU YU;PIAO CHIEN WANG (626) 215-5600- 9,140 10153 LA ROSA DR / TEMP 917803305 FEES PAID SCRIPTIO OF WORK ADD A 457 S.F. COVERED PAJO ALONG SIDE OF SIDEYARD ATTACHED FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TO THE HOUSE. APPLICANT: TEL. NO: SAME AS OWNER - D1 PLANCHECK W/O EN-HC 9140.00 VAL 184.11 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION REBID 9140.00 VAL 0.91 D2 PERMIT W/O EN-HC 9140.00 VAL 216.60 TOTAL FEES 429.37 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS CHU, JACK (626) 448-4BB7- L ,L 130 EVERETT LIC. NO: SLB/UNDER FLOOR MONTEREY PARK, CA 91755 NONE RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UN=ERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHFAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRP.ME INSPECTION I REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- 4. INTERIOR LATH/DRYWALL EXTERIOR LATH ll �'c 1 RACED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 f 1 COUNTY OF LOS ANGELES TEMPLE CITY k 0508. BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0703150007 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 10821 LT: 13 BE: .001 SQ. FT STORIES TYPE 10153 LA ROSA DR I - ISTRUCTURE: 2172 VN I TEMP CA 919803305 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 1 18585-007,.021 THOMAS PAGE: 597 GRID: H4 LOCALITY: TEMPLE CITY, CI (TENANT: - IEXIST BLDG USE: REBID USE ZONE:-R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: IEXIST OCC GRP: 103/15/07 JK 03/09/08 OWNER: TEL.- NO: JBLDOS. NOW ON LOT: VALUATIONFINAL ATE FIN��� H��IY: CODE: I MU CHING YU;PIAO CHIEN WANG (626) 448-4887- I 12,:000 110153 LA ROSA DR ITEMP 917803305 - FEES PAID 1 rRIPTI N OF WORK IREPLACE ROOF, REMOVE SHEATHING REPLACED W/SHEATHING WITH IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:ITILE ROOF (APPLICANT: TEL_N70_l I ISAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 1 AC STRONG MOTION REBID 12000.00 VAL 1.20 ISPECLAL CONDITIONS: 102 PERMIT W/0 EN-HC 12000.00 VAL 250.20 I TOTAL FEES 279.15 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - LIC. NO LOCATION AND SETBACKS • I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: - (FOUNDATION/TRENCH FORMS LIC. NO: 1 ISLAB/UNDER FLOOR IRAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE[ CMP:( (UNDERFLOOR INSULATION I 1147H273 3 oil 1 1 ' I I (FLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 1 11 NO, 21 IROOF SHEATHING I I - I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO (FRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS ISET HACK YARD: HW PROP LINE: WIDTH: - - IFRONT PL- (INSULATION/WEATHER STRIP( I SIDE PL- IINTERIORLATH/DRYWALL . IEXTERIOR LATH I I (RATED FLOOR/CEIL ASSEM. - (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS I ILOT DRAINAGE I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS I NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT, TEMPLE CITY CA 91780 BL 0508 0402020004 _ PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST NEW ' BUILDING ADDRESS: TR: 10821 LT: 13 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 10153 LA ROSA DR STRUCTURE: 640 1 VN R3 _ TEMP CA 917803305 ASSESSOR INFORMATION - GARAGE: 424 1 VN 'U1 _ - NEAREST CROSS STREET: BADWIN 8585-007-021 OTHER: 79 1 VN U1 I THOMAS PAGE: 597 GRID: B4/LOCALITY: TEMPLE CITY, C TENANT: USE ON : R- ISSUED ON: PROCESSED RES 0 11/17/04 JK 11/12/05 1 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN L TE FINAL BY: CODE: CHING MU.YU;PIAO CHIEN WANG (626) 448-4887- 79,500 10153 LA ROSA OR _ TEMP 917803305 FEES PAID UEsZRTTrFoN OF WORK NEW GUEST HOUSE 640 S. BORM, BATH, DEN, LIVING ROOM, FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PORCH W/ATTACHED 2 CAR GARAGE. APPLICANT: TEL. O: SAME AS OWNER - B1 PLANCHECK W/ENERGY 79500.00 VAL 1,026.49 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 79500.00 VAL 7.95 B2 PERMIT W/ENERGY 79500.00 VAL 1,207.64 TOTAL FEES 2,269.83 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER -" I LIC. NO D SETBACKS SOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS CHU, JACK (626) 448-4887- 130 EVERETT LIC. NO: SLAB/UNDER FLOOR MONTEREY PARK, CA 91755 NONE RAISE R FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULAT ON 147-273 L _ 47 - 3 01 S LO SHEATH N0. 0 FA DWELLINGTS: A COND: p LASS: NO 01 2NDLEVEL FLOOR SHEATH SCHOOL THIN HAZARDOUS ROOF T I G AIR QUALITY: 1000 FEET MATERIALS NO NO _ NO FIRE DEPT. FRAME INSPECT REQUIRED TAL SETBACK FROM ISBLDG DEPT. FRAME INSPE7 SET BACK YARD: HWY: PROP LINE: WIDTH: (� FRONT PL-SIIDE PL- SHEAR PA LS / INSULATION/WEATHER ST-RIP INTERIOR LATH/DRYWA EXTERIOR LATH LOT DRAINAGE l - SMOKE DETECTION DEVICES ` I FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY #0508 BUILDING-PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - RESIDENTIAL ADD BUILDING-AND-SAFETY / .LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0402020007 PHONE: (626) 285-0488 EXT: _ LEGAL ID: NO. OF CONST -NEW BUILDING-ADDRESS: TR: 10821 LT: 13 BE: .001 SO. FT STORIES TYPE OCCUP GROUP 10153 LA ROSA DR STRUCTURE: 861 1 -VN U1 - TEMP CA 917803305 ASSESSO NFORMATIO UMBER: GARAGE: .. . - •'NEAREST CROSS STREET:-BADWIN- " 8585-007-021 OTHERS THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TERAN To-. - EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/17/04 JK 11/12/05 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN L D E FINAL BY: CODE: CHING MU YU;PIAO CHIEN WANG (626) 448-4887- 25,500 10153 LA ROSA-DR Z' TEMP 917803305 _ FEES PAIDDCSQR�TT OMOM 0K - DEMO EXISTING GARAGE AN ILD NEW 4-CAR GARAGE 861 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: - APPLICANT: TEL. NO: - - SAME AS OWNER - D1 PLANCHECK W/O EN-HC 25500.00 VAL 411.81 AA BLDG PERMIT ISSUANCE - 27.75 SPECIAL CONDITIONS: _ AC STRONG MOTION RESID 25500.00 VAL 2.55 _ D1 PLANCHECK W/O EN-HC 25500.00 VAL 411.81 - TOTAL FEES 853.92 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACK SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIONITRENCH FORMS CHU, JACK _ (626) 448-4887- ' 130 EVERETT LIC. NO: SLAB/UNDER FLOOR MONTEREY PARK, CA 91755 NONE RAISED FLOOR FRAMING MAP NO:.. SEWER MAP BOOK:. PAGE: FIRE ZONE: _ CMP: UNDERFLOOR INSULATION 3 01 ST EVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STA CLASS: - 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 XIS - BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS -� SIDE PL- - - NSULA ION/W S R P � - C i INTERIOR LATH/DRYWAL L ^ , .. E T OR LATH - LOT DRAINAGE . . _ SMOKE DETECTION DE IDES- . FIRE DEPARTMENT APPROVAL - REPORT ID: DPR261 ROUTE TO: BS0508