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HomeMy Public PortalAbout10220 LA ROSA DR_Building__ APPLICATION FOFt BUILDING 'PERM.IT DIVISION OF BUILDING AND SAFETY BUILDING Deportment,of County Engineer ADDRESS County of Los Angeles :. Locnury _ WM. J. FOX, COUNTY ENGINEER CASSATT D. GRIFFIN. Suvr of BUILDING NEAREST „,, CROSS ST. ✓Gh��//JJ ee•_! FOR APPLICANT TO FILL IN DISTRICT NO. GROUP _ TYPE' SE SK MAP- `� J` CONSr: • . BUILDING /q r1D Ca^R MAP - STATE _ ADDRESS //V�< NUMBER AIC) HW YES NO LOT NO. /. BLOCK USE Z NE S16ECIAL '/ J •� ln CONDITIONS. TRACT - . /� NO. OF BLDGS. °�� _ SIZE OF LOT 6 �� I NOW ON LOT BUILDING - EXIST. YARD HWY STREET NAME USE OF SETBACK WIDTH EXISTING BLDG. FRONT _'moi P. L. OWNER �.Y C1/T�f C�.fG SIDE MAIL / �l •e6� T � ADDRESS O ,�' 1 - - CITY.�/� I DWELL. I UNIT 5 INDUSTRIAL t 2 DUPLE%_UNIT -6 PUBLIC BLDG. ARCHITECT R TEL. �1 ENGINEER NO. � 3 APT. � UNITS '7/ ADON:.,AI�: ETC. - ADDRESS _ - q COMMERCIAL A B MISCEL. � c� d” CONTRACTOR �� •G �C NO. / <•: INSPECTION RECORD ADDRESSd�GJ. -Dii 7 DESC IPTION OF WORB�® NEW ADDS' . * ALTER REPAI DEMOLISH - SO.FT. NO. OF - NO. OF SIZE STORIES FAMILIES - USE OF STRUCTURE ' SIGNATURE OF _ APPLICANT A _ A "— APPROVALS ADDRESS J' �j DATE INSPECTOR'S SIGNATURE /� FOUNDATION: LOCATION. $ /yO O' P. C. S FORMS, MATERIALS L//1 C. FRAME: FIRE STOPS, VALUATION S �� O BRACING. BOLTS FEE _ FURNACE: LOCATION, GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT- I HAVE READ - APPLICATION AND STATETHAT-THE ABOVE ISt CORRECT ' AND_AGREE TO PLY WITH ALL COUNT RDINANCES' LATH: INT. ANO STATE W REGULATING BUILD CONSTRUC- T" ONSTRUC- - - TI N. LATH, EXT. SIGNATURE O HOUSE NUMBER COR- RECT AND POSTED J ADDRESS FINAL WM.-J. FOX. .COUNTY .ENGINEM VALIDATION- 'by • _:eco 59Y6 3 UUL 2 6 T 1 .0 0 •. DEPUTY - -- - DEPUTY BY BY © - DEPUTY.. . - /��� ,DEPUTY 1: 4.� vI.AB38A EE#BD3B.BIAPPLICATION FOR BUILDIN PERMIT COUNTY OF -LOS ANGELES ADDRESS DEPARTMENT DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION - LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' WILLIAM A. JENSEN SUPT or BUILDING CROSS ST. y _ D...... T.NO. G P TYPE RO S BY f FOR APPLICANT TO FILL IN, CONST , ,I BUILDING /J`) STATISTIC C IFICATION S ER AP 1` ADDRESS 'L� • /BK .' CLASS.NO. DWELL.UNITS - LOT NO. �✓ BLOCK WATER . -NOT REQUIRED .RECEIVED ' CERTIFICATE:' " TRACT ��.�1 - Li MAP 0 HIGHWAYSTATE MAJOR NO. OF SLOGS. NO. fCIRCLEI SECON LOCAL SIZE OF LOT I NOW ON LOT U5= ZONE SPECIAL USE OFt CONDITIONS ' •E%1 STING BLDG. - µ - TEL. / 1 OWN NO. BUILDING 'YARD HWYSTREET NAME EXIST. SETBACK WIDTH- D '� FRONT ADDRESS/0,;Z - il/ 7 r ARCHITECT OR TEL.. - - .P. L. C/ _ ENGINEER NO. SIDE L ,..P: L., - O ADDRESS L INSPECTION, RECORD , ' CONTRACTOR , NO . . a ADDRESS r ESCRIPTION FVjqftAv ? �� /—,'' xN NEW SO FT. ADD ALTER -REPNO.OF AIR DN O.OFSH 3II.?=3++ )l 44 L!/A .P/L<s„.,%.!• 6C/�. -f:Jv ?•{`�,)j} •e�P IZE STORIES FAMILIES USE OF R...�Y• - / - �, c��7/1L llcwUJY_ifA:D9 � - _ ,�I . STRUCTUREI� p/C r-! `•A(A��y!l�,�, YLI r �LGCK/ SIGNAU RE OF Zf T " / W"'+' r A'�� _ f/ �AZ /p � APPLICANT •' LI VALUATION$ - - �.,..� fg APPROVALS .DATE INSPECTORNATE 'S:S FEE PC: E: S - FEE $ ,,'S T'L" `•" FO FORMS.MA�TERIIALSON 2//� � ✓ -"� FRAME: FIRE STOPS, /// �•i- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'BRACING, BOLTS - I/'I I AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY, FURNACE: LOCATION, (/ WITH ALL COUNTY'ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS A.'J BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED,HEREBY I WILL NOT.EM PLOY ANY PERSON IN VIOLA- LATH:INT. ,TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C E TION INSURANCE. 1' . 'LATH, EXT. - � Go-7' .r i SIGNATURE OF •HOUSE NUMBER COR• - PERMITTEP RECT AND POSTED .i ADORES FINAL CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER uaR PERM VALID - PLAN CHECK VALIDATION cK. m.o. ATION cK . m.o. u H 9.231 -t PARA7, 1 D 15 .00 w WORKERS'COMPENSATION DECLARATION 1-hereby affirm that I have a certificate of conseni-to self.:'.• - ' -'APPLICATIONS FOR BUILDINGPERMIT - r insure, or a certificate of Workers'Compenst"suronce,y t er f ( 38 ob C. tp(q COUNTY OFLOS ANGELES BUILDING AND SAFETY y IYd' ` • — Corn pony - - c . cop y FOR APPLICANT TO FILL,IN _ BUILDING Certified co is'hereby furors ed. ADDRESS - 1;L s Certified copy is filed with the county.building inspec- _ BUILDING 1 pp tion department. ADDRESS ` - LOCALITY . \J u_T: 6) p ( NEAREST 'Date I Applimn -" CITY L/ l� ZIP CROSS ST.' f "- "s CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR - - COMPENSATION INSURANCE - SIZE OF LOT. NOW ON LOT. MAP BOOK. PAGE PARCEL ' (This section need not be.completed if the permit is Eocene USE ZONE MAP Q hundred dollars($100)or less ) _ TRACT ` ] BLOCK LOT NO.\ / - NO, �� Y t SPECIAL d. I certify that in the,performance of the work for which this - OWNER - CONDITION$ - O. PRO SSED V ' permitis cshall not employ any person any manner - CONST. ZONE V r so as to become subject m DISTRICT GROUP TYPE FIRE B to the Workers'Compensation Laws ADDRESS_ 1+ QDate Applicant CITY ZP ' STATISTICAL O.CLASSIFICATION APT. COND 'NOTICE'TO APPLICANT:- If, ofter' making this Certificate"of -"" ARCHITECT OR- .. - e TEL. - - - - V ENGINEER NO. - ' CLASS NO. DWELL UNITS_ �- Exemption, you should become subject to the'Workers' - - - N `,Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z -•swim comply with such provisions or this permit shall be deemed revoked. TE Bg. L pG T VALIDATION CONTRACTOR 'N LICENSED CONTRACTORS DECLARATION-, _ hereby dffirm.lhal am licensed under Provisions of Chapte9. ADDRESS VA4DATION _ (commencing with Section 7100)of Division 3 of the Business and - LIC. Profession`Code, and my licenseis in full'force and effect. CITY 1 �"1 . .CLASS S r (/Aw SO. T. INC. OF NO. OF CHECK License.Number - DQ_ Lic.Closs0 SIZE STORIES FAMILIES ONE ` Co tract r' v Date�p� DESCRIPTION OF WORK NEW - - �f ADD am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer- ALTER„ FINAL' C' acting in my professional capacity (Section,7051, '/ / �-I'� REPAIR DATE l / .Business and Professions Code). USE OF �4 8 6 9'A• 1 I , EXISTING BLDG DEMOL FINAL _ Lic..or Reg. No. Date—` � APPLICANT TEL BY ;# !,•1O ! 211 OWNER-BUILDER DECLARATION' - '(PRINT) NO.' t a e 5 `a 44 I hereby affirm that I'am •exempt from the Contractor's License ,57// , ^ law for.the following reason (Section 7031.5,.Business and ADDRESS s Professions Code): PRESENT r ° •,° 5544!0 ' BUILDING. _ 1, as towner of the property; or my employees with ADDRESS _ 0 Q 21 8 1 wages as their sole compensation, will do the work and - _the structure isnot intended or offered for sale(Section LOCALITY-- 7044, Business and Professions Code).' - MOVING TEL. ❑. I, as owner of the property, amexclusively contracting CONTRACTOR - NO.. t ' :9,4 8 7.O A with licensed contractors to construct the project (Sec- ADDRESS Z_ - tion 7044,•Business and Professions Code). - ' ' # e • e's REQUIREDTOTAL SETBACK FROM EXIST. ' _ CONSTRUCTION LENDING,AGENCY SET BACK YARD HWY PROP. UNE WIDTH -' T hereby affirm that there iso construction lending agency for FRONT --l� a a . /� - 2 e 14 0.6 0,0 the performance of the work for which this permit is issued P •C C/ - (Sec.,309Z, Civ. C.). - SIDE. - _ .. f', .. - .e'.e �',O t1 O O .. P.I. Lender's Name k.2 1 _8 lenAddress P.C. Fee S / Permit Fee der's - W 1 certify,that I have read this applicationand state that the - Issuance Fee - above information is correct. I agree to comply with all County - Invesnganon Fee ordinances and State laws relating to building construction, - and hereby authorize representatives of this County to enter Total Fee / U on the;obove-mentioned prope"for inspection p4liposes. SEE REVERSE FOR EXPLANATORY LANGUAGE - WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent-to suranc urself APPLICATION, FOR VILDING PERMIT - LS inse, or.a certificate of Workers'Coinpenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C. r COUNTY OF L05 ANGEL S BUILDING AND SAFETY PolicrNo._-� Company -7 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN - BUILDING ADDRESS Off' r _0 LA O Certified copy is filed with the county building inspec- BUILDING1:1 ^ _ tion deportment.. - ADDRESS 0�.o 1n -/ROSH LOCALITv Tfia7 LF' Ci T - - L�yL NEAREST' !� Date r Applicant CITY F/'• 4E Ci T t ZIPCROSS ST. /Q RVFl/ CERTIFICATE OF EXEMPTION FROM WORKERS' - NO. OF BLDGS.- ASSESSOR - COMPENSATION INSURANCE - - SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP TRACT. BLOCK LOT NO. - NO. .hundred dollars ($700)or less.) - - t ' % � � p TEL,.� / / SPECIAL � d Lcertify that in the performance of the work for which`ih is OWNER?OBE / IVAIVIFS NO.w�fL1'�G Zb / CONDITIONS 0 permit is issued, Lshall not employ any person any manner ISiRICT GROUP TYPE FIRE PROC D BY U so as to become subject to the Workers'Compensation Laws. _ ADDRESS %O o�0 �OS fJ r CONST. ZON I pc 3o-brj a7v%E/// C T zla R3 o •Dafe�"� Applicant ✓� _ STATISTICAL CLAS FICATION APT. CONDO.' ` NOTICE TO APPLICANT: If; after-make this Certi icat� ems' ARCHITECT O TEL: �/L W Exemption, you should become subject to the Workers - ENGINEER NO, CLASS NO. '^ / DWELL. UNITS= N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP - ? with`comply With such .provisions or this permit shall be eaOPrV - deemed revoked., - - S7�T� INN/'V'f STEL. D VALIDATION CONTRACTOR .NO.�ByD ZJ - BK. PG, ' LICENSED CONTRACTORS DECLARATION (, _ I,hereby affirm that am licensed under provisions of Chapter 9 A 7 ��� Ow ���E N0.307 .3Z. VALUATIO (commencing with Section 7000)of Division 3 of the Business and L_$T- Co✓/Ni0 ,LIC. Professions Code, and my lliicense is in full force aannld,effect. . . CITY :CLASS Cr' S _ 302 3a Lic.Clain C -G SIZE FT�.ZS•• STORIIEES AMIOLIES CONEK Lice nse Number. Contractor Date DESCRIPTION OF WORK NEW $ - '- _ ❑ ADD _- ce exempt the licensing requirements as am o Q �N .¢%/Q /9LU/Jf/1(/4/19 '�0�'� 3,4 A licensed architect or o registered professional engineer . / ALTER � ' FINAL -acting in my professional capacity (Section 7051, d ,�6 DATE '� #;e fe'e 023 Business dnd Professions Code), USE OF REPAIR 1 , EXISTING BLDG. /O GE DEMOL ❑ BY AL 2 e e!l c[I Q Lic.or Reg. No. _Date APPLICANT • - TEL 9& '• - ' OWNER-BUILDER DECLARATION PRIM E/./ 19RJ NO. f•�e:� (�4 0 I hereby affirm that I am exempt from the Contractor's License � {,��"� V!/�YJ �aa , Law for the,following reason.(Section 7031.5, Business and D S F 063,0-81 Professions Cade)::- 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 riot intended'or offered for sole(Section LOCALITY 7044, Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO. r - 0 41 3.5.-A with licensed contractors to construct the-project (Sec. .ES tion 7044, Business and Professions Code). ADDRESS - #I 0 0 CONSTRUCTION LENDING AGENCY SET BACK REQUIRED YARD Hwr. TOTALPROP USETBACK FROM NE WIDTH EXIST. _ 2'•:°'2 S. hereby affirm.that there is a construction lending agency for FRONT- . the performance of the work for which this permit is issued P,I, H'e •2 5.0'0,u -(Sec. 3097, Civ: C.). - - - .SIDE P.L. 0.6 3,0'-6 1 Lender's Name - `^ - - . lender's Address r - P.C. Fee-3 - Permit Fee (JY - w I certifythat I have lead this application and state that the - , PP once Fee above information is correct.J agree ting t comply with alLuction Investigation Fee - - - - - ordinance and State lows relating to building construction,. Tnla1 Fee m and her y out -e representatives of this County to'enl r - - V m upo a oba -menngned property for inspe`ction purposes. a /_ �3�� SEE REVERSE FOR EXPLANATORY LANGUAGE' ^ Lure of Applicant or A Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT - DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA SL 0508 9702060007 PHONE: (818) 285-0488 EXT: LEGAL . OF CONST BUILDING ADDRESS: TR: 13531 LT: 15 SQ. FT STORIES TYPE 10220 LA ROSA DR STRUCTURE: 0 V TEMP CA 917803306 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-014-006 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: XIS BLDG USE: RESID USE ZONE: R-1 ISSUEDON: PROCESSED EXPIRES ON: EXIST OCC GRP: 02/06/97 TC 02/06/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: BARNES ROBERT D;SUSANNE M - 3,000 10220 LA ROSA DR / TEMP 917803306 FEES PAID �$CRIP'TIOO OF WOR n n, RECOVER WITH COMP. SHINGLE 20 YR. FEE DESCRIPTION: UUANTITY:,UOM: AMOUNT: APPLICANT: T �� RANDOL ROOFING (818) 288-4040- AA BLDG PERMIT ISSUANCE✓ ')27.75 AC STRONG MOTION RESIDE 3OOO:OO'VAL 10}50 SPECIAL CONDITIONS: D2 PERMIT W/O EN'HC� 3000:00-VAL\ 99515 `®Q� TOTAL FEES 127:40' . CONTRACTOR: TEL. NO: ' Y � D APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING AND CONSTRUCTION (818) 288-4040- o a 52E. VALLEY BLVD LIC. NO coeJ ','�...+ .' 0 0 LOCATION AND SETBACKS SAN GABRIEL, CA 91776 451937/8 A SOILSENGINEER APPROVAL ARCHITECT ENGINEER: T N0: sAcl®m brisci FOUNDATION/TRENCH FRMS _ 1 LIC. NO: 1 ' O SLAB/UNDER FLOUR RAISED LO I ® 1 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 01 C 1 R-fSHEA N0. OF FAMILIES: DWELLING UNITS: O STAT CLASS: �S G-j NO 21 v� � ROOF SHEATHING SCHOOL WITHIN AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBAW FRW EXISTFIRE SPRINKLER NG S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- I INTERIOR LATH/DRYWALL i EXTERIOR LATH R ED, 00 CEI ASS M. i RATED WALL ASSEMBLIES RATED-.SHAFTS/OPENINGS T-BAR,CEILINGS 1 LOT RAINAffE­ REPORTT ID: DPR261 ROUTE TO: BSO5O8 1 i