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Home My Public Portal About10258 LA ROSA DR_Building__ ' 11910334 BG t, WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to =elf APPLICATION FOR BUILDING PERMIT 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, PC997500 Company Republic Tndemnity ❑ Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN ADDRESS Qa ® Certified copy is filed with the county building inspec- BUILDING tion deportment ADDRESS 10258 La Rosa Date 7-1-92 Applicant Virgin Roof Co. cm' Temple Cit ZIP 91780 LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. - MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL OWNER John Ba NO. USE ZONE MAP I certify that in the performance of the work for which this NO. ,/ /✓ SPECIAL. } .permit is issued, I shall not employ any person in any manner ADDRESS 1 2 - / CONDITIONS - d so as to become subject to the Workers'Compensation Laws. O ' CITY ZIP - U Date Applicant ARCHITECT OR TEL. ENGINEER NO. DISTRICT GROUP TYPE FIRE P CESSED 8V O NOTICE TO APPLICANT: If, after making this Certificate of CONST. 7QNE H Exemption, you should become subject to the Workers' �Q� 2 �f l) Compensation provisions of the-Labor Code, you must forth. ADDRESS ✓ o/ d with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION A77 CONDO. N deemed revoked. CONTRACTOR Virgin RoofCo. NO. - Q ? LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS_ I herebyaffirm that I am licensed under provisionsof Chopter9 ADDRESS P.O. BOX J NO. 160650 SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessLIC. " and Professions Code,and my license is in full force and effect. CITY SanGabriel CLASS C39 BK PG VALIDATION 50. FT. . - NO. OF NO. OF - CHECK License Number 160650 Uc. Class C39 SIZE 61 'S S STORIES 1 FAMILIES - ONE VALUATION Contractor Virgin Roof CD.Da10 6-30-93 DESCRIPTION OF WORK Tear off then NE`" 71f 1470.00 El am exempt under Sec. a 1 -1128, .1111 and 1172 hot ADD ❑ , ALTER ❑ B.BP.C. for this reason TRO ed. 6T S S. REPAIR ❑ $ Date: USE OF DEMO, F-1EXISTING BLDG. Dwelling Signature APPLICANT TEL' FINAL - OWNER-BUILDER DECLARATION (PRINT) Virgin Roof Co. NO. 287-0507 DATE hereby affirm that Lam exempt from the Contractor's License ADDRESS P.O. BOX J, San Gabriel 91.778 Law for the following reason (Section 7031.5, Business and FINAL(- .L Professions Code): PRESENT By ❑ I, as owner of the property, or my employees with BU ILDING ADDRESS ^t'" •r wages as their sole compensation,will do the work and -, -,�-+f ,he structure structure is not intended or offered for sale(Section LOCALITY ' `� l 1 -� _.,11 7044, Business and Professions Code.) MOVING TEL 1 TT7i1c ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS - OTAL 135 6 5E-7tion 7044, Business and Professions Code.) _ : nr, + -- REQUIRED TOTAL SETBACK FROM EXIST. `-1D-r% CONSTRUCTION LENDING AGENCY - SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for whichthis permit is issued P:L. (Sec. 3097, Civ. C.). SIDE P.L. :a.'r.i Lender's Name 110.82 LDMA Ref. q LI[I;'LI 1 Ph t4 Lender's Address P.C. Fee$ Permit Fee ► certify that I have read this application and state that the Issuance Fee 24.75 LDMA P/C B ' 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. R a and hereby authorize representatives of this County to enter Ll u on the abo entioned property for inspection purposes.11-12-91. - SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Applicant or Agent Date #920212 BG „ ,._... WORKERS' COMPENSATION DECLARATION ` I hereby affirm that I have a certificate of consent to self APPLICATION FOR, BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) . . COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo.W2710598 company Cala COmD. BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Olt✓ ® .Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 10258 La.Rosa Date 7-1-93 'Applicant VirQin Roof Co. CITY Temple City ZIP 91780 LOCALITY - NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT - CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need.not be completed if the permit is for one TRACT BLOCK '- LOT NO. MAP BOOK TEL. PAGE PARCEL hundred dollars ($100) or less.) OWNER John Barr NO. USE ZONE MAP I certify that in the performance of the work for which this NO, permit is issued, I shall not employ an person in an manner ADDRESS SPECIAL } P P Y Y P Y CONDITIONS d so as to become subject to the Workers' Compensation Laws. O CITY Temple City ZIP 91780 U Dare Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE CESSED BY oc NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO, CONST. NE Exemption, you should become subject to the Workers' 17f Compensation provisions of the Labor Code, you must forth- ADDRESS Y d with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT, CONDO. Z deemed revoked. CONTRACTOR Virgin Roof Co. NO. 287-050 LICENSED.CONTRACTORS DECLARATION LIC CLASS NO. DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX 5010 No. 160650 LIC' SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessCIN San- Gabriel CLASS O VALIDATION, . and Professions Code,and my license is in full force and effect. - BK. PG. 160650 FT NO. OF NO. OF CHECK License Number Lic. Class C39 SIZE 29 S $TORIES 1 FAMILIES ONE VALUATION ❑ contractor Virgin Roof Co. pate 6-30-93 DESCRIPTION OF WORK Tear Of NEW ADD ❑ $ 4282.00 , Ell am exempt under Sec. aoply #30 felt and Class A ALTER ❑ B.BP.C. for this reason Fiberglass Shingles REPAIR ❑ $ Date: USE OF EXISTING BLDG. DwellingDEMOL -I Signature APPLICANT TEL OWNER-BUILDER DECLARATION —FINAL (PRINT) Virgin Roof Co.- NO. 287-0507 -- .DATE �t I hereby affirm that I am exempt from the Contractor's License E' Law for the following reason (Section 7031.5, Business and ADDRESS P.O. BOX 5010 San 'Gabriel g'.+ =- FINALE Professions Code): PRESENT •,�; �:BY, El 1, t 9 1;' 3 I, as owner of the property, or my employees with ADDRESS .,a q Nt=1-T•T wagesas their sole compensation,will do theworkand LOCALITY ::, ._ f' j� �j( �jl�... the structure is not intended or offered for sale(Section , Sti t 7044, Business and Professions Code.) MOVING T€€L.NO. 1 7TCI!_ ❑ I, as owner of the property, am exclusively contracting CONTRACTOR $, - _ with licensed contractors to construct the project (Sec- ADDRESS YC "? TOTAL 03 - �� tion 7044, Business and Professions Code.) Y t; —�.. i — r REQUIRED TOTAL SETBACK FROM EXIST F CHECK K I I,1.0. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP, LINE WIDT,T' _ I hereby affirm that there is a construction lending agency for. FRONT CHANGE OTA the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. 1!!11_'J—i„IIJI)1 0121-,102 Lender's Name LDMA R.I. p ..632 1 AN 4IF! m P.C. Fee$ Permit Fee 'it$178.32 , - Lender's Address p. a I certify that I have read this application and state that the Issuance Fee 24 75 LDMA P/C F 8 above information is correct. I agree to comply with all County Investigation Fee R ordinances and State laws relating to building construction, Total Fee $201.07 LDMA Perm. R a and hereby authorize representatives of this County to enter upon the abo -me tionad property for inspection purposes. ' 9-21-92 SEE REVERSE FOR EXPLANATORY LANGUAGE ^ ignature of Applicant or Agent Date - COUNTY OF TOS 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 1209130009 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 13531 LT: 10 1 SQ. FT STORIES TYPE 10258 LA ROSA DR - T I ISTRUCTURE: 2400 V-B I TEMP CA 917803306 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: T 18565-014-001 I 'THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 IISSUGD ON: PROCESSED BY: T IEXIST OCC GRP: 109/13/12 SR T I TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I AL DATE FINAL BY: CODE: T 1SPARNZ CHT, BOB - 7,100 I\ 110258 LA ROSA DR T p��r"�- (J�,ly TEMP 917803306 FEES PAID ID CP._PTION OF WORK IRENOVE ONE LAYER OF COMP INSTALL 30 YEAR COMP SHINGLE OVER IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IEXISTING PLYWOOD I (APPLICANT: TEL. NO: I I IKEEFER'S, BRIAN (909) 608-0622- TAA BLDG PERMIT ISSUANCE 27.80 11216 BEGONIA COUT IAB STATE GREEN BLDG FEE 7100.00 VAL 1.00 (SPECIAL CONDITIONS: (UPLAND, CA 91784 IAC STRONG MOTION RESID 7100.00 VAL 0.70 I ID2 PERMIT W/0 EN-HC 7100.00 VAL 183.00 TOTAL FEES 212.50 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE T KEEPER'S ROOFING (909) 608-0622- I 1 11216 BEGONIA COURT LIC. NO I ILOCATION AND SETBACKS TUPLAND CA 91784 760903 C39 I I ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. N0: I TFOUNUATION/TRENCH FORMS I I I 1 LIC. NO: I (SLAB/UNDER FLOOR I I I I I RAISED FLOOR FRAMING I I I I TMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I147H273 3 001 I I i FLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 21 (ROOF SHEATHING I � I SCHOOL WITHIN HAZARDOUS SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS . NO NO ND FRAME INSPECTION I (FIRE SPRINKLER HANGERS I I (INSULATION/WEATHER STRIPI I I II (INTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH T I I I I I I I I (RATED FLOOR/CEIL ASSEM. I I TRATE➢ WALL ASSEMBLIES IRATED SHAFTS/OPENINGS I I IT-BAR ceILlNcs I I I LOT DRAINAGE I REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0407150021 PHONE: (626) 285-0488 EXT: L 0. OF CONST NEWBUILDING ADDRESS: TR: 13531 LT: 10 SQ. FT STORIES TYPE OCCUP GROUP 10258 LA ROSA DR STRUCTURE: 50 1 VN R3 TEMP CA 917803306 ASSESSOR IN 0 GARAGE: 150 1 VN U1 NEAREST CROSS STREET: ARDEN 8585-014-001 OTHER: 649 1 VN R3 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C EXISTL G SE: USE Z069F0 S X I N: EXIST OCC GRP: 04/04/05 JK 03/30/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VAL ATION: FI AL DAT I BY: CODE: SPARNICHT, TRUDI - 50,000 � ` S i 10258 LA ROSA DR -� TEMP 917803306 FEES PAID6€itkT�TiT)�b'F �� ADD 50 SF TO MASTER BEDROOM, ADD 150 SF TO GARAGt�A FEE DESCRIPTION: QUANTITY: LION: AMOUNT: REMODEL EXISTING BEDROOMS AND LAUNDRY ROOM 639 SF. ��I SAME AS OWNER - B1 PLANCHECK W/ENERGY 50000.00 VAL 745.83 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CON ITI NS: AC STRONG MOTION RESID 50000.00 VAL 5.00 82 PERMIT W/ENERGY 50000.00 VAL 877.47 TOTAL FEES 1,656.05 I CONTRACTOR: TEL. NO: - APPROVALS DATE INSPE-C-T-0-R-01-GNATURE SAME AS OWNER - LIC. NO F65 B C S SOILS ENGINEER APP OVAL ARCHITECT R G 0: D / R S INING LU STRUCTURAL ENGINEER, 62679 - 2500 E FOOTHILL BLVD LIC. NO: SLAB/UNDER FLOOR NONE FRAMINGRAISED FLOOR AP NO: SEWER MAP BOOK: PGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 03 SHEATH1ST LEVEL FLOOR 0. OF F E O S C SS: NO 21 ZND LEVEL FLOOR SHEAfH-- SCHOOL WITHIN HAZARDOUS ROOF SHEATHING I AIR QUALITY: 1000 FEET MATERIALS ! C/ NO NO NO IRE DEPT. FRAME INS ECT REQUIREDSETBACK L DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE. WIDTH: -_ FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRI15 <714 lOar 1 1 INTERIOR LATH/DRYWAL EXTERIOR LATH ' No - ps � � 0 DRAINAGE (9�- SMOKE DETECTIONES FIRE DEPARTMENT AP OVAL REPORT ID: DPR261 ROUTE TO: BS0508