HomeMy Public PortalAbout10714 LA ROSA DR_Building__ _
DIVISION
OF UI COUNTY ENGINEER BUILDING® '
DMSION OF BUILDING AND SAFETY IF
� COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
„! CASSATT D. GRIFFIN, SUPT OF BUILDING f
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING �j DISTRICT NO. I. PUN CK.OR REc.NO. PERMIT NO: �j
ADDRESS / / 1Q. �� 5- - I (033 '7 3 �•L �J � �1.V
ai /� 'Ci ' RELIVE DATE OF APPL DATE ISSUED
LOCALITY `Y
NEAREST
CROSS ST 1
• ILDING
ADDRESS
OWNER /Y
MAIL � Z S al)GG 'brie/ NEAREST
ADDRESS 71
CITY /f' '� Tp ..y1`Y CROSS ST.
ARCHITECT OR TEL. FIRE NO. OF - TYPE GROU
ENGINEER NO. ZONE I PLANS ,I. I g
BLDG. q O O.
ADDRESS J SETBACK LINE ` C / •G
CONTRACTOR, I Y, NO. / ZONE I BYPROVED DATE
2 HOUSE UMBERING '
ADDRESS a /1 (� ! O �/
LEGAL �/� MAP NUMBER NO. ASSIGNED BY
DESCRIPTION I LOT NO. BLOCK
/n/ CORlRECTIONS"
TRACT NO. OF BLDG9. �I `I 7 Z�0
SIZE OF LOT I NO ON LOT
USEOF �� NO. OF - - - � -
EXISTING BLDG. FAMILIES_
DESCRIPTION OF WORK O -
NEW ALTERATION ADDITION
2
REPAIR DE OLITION D
r
SO. FT. /il NO. OF 0L'
SIZE ((//`.}�/ ROOMS SlOOjRIES ,
EXT. WALL RF
COVERING , /t' COVERING V40
USE OF STRUCTURE
e-C �1 G!3 Q! .
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION .►�+ �j�
FORMS, MATERIALS f 'Z
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS, ✓
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS A �+ <
CORRECT. FURNACE: LOCATION.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS -7 /
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /
e LATH, INT. n y
SIGNATURE OF g ../ //�� q��
PERMITTE��8 VY V LATH. EXT. y
ADDRESS '
- • PLASTER. INT.
AUTHORIZED
[�1 PLASTER, EXT.
$ P. C. S J
Q O FEE 6 HOUSE NUMBER COR- j
- /� / RECT AND POSTED
VALUATION IFEE S y(O /'�' FINAL y
7OA888A DO8 9 9-81 (O (p)
• COUNTY OF UOS 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 BL 0508 1208290036
PHONE: (626) 285-0486 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1
ITR: 17867 LT: 52 1 SQ. FT STORIES TYPE 10714 LA ROSA DR
ISTRUCTURE: 1049 V-B TEMP CA 917803409
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON 1
18574-002-028 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEX IST BLDG USE: REBID USE ZONE: R-1 IIS SUED ON: PROCESSED BY: 1
EXIST OCT GRP: 108/29/12 SR I
I I I I
IOWNER: TEL. N0: 'BLDGS. NOW ON LOT: VALUATION: C
FINAL j7pTE� BY: CODE:
TROONG, DAI (626) 524-1551- 1 2,500
110714 LA ROSA DR
ITEMP 917803409 FEES PAID 117EICRk TION OF WORK 1
REPLACING 13 WINDOWS
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
(APPLICANT: TEL. NO: I I 1
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1
JAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 SPECIAL CONDITIONS:
JAC STRONG MOTION REBID 2500.00 VAL 0.50
III PLANCHECK W/ENERGY 2500.00 VAL 92.60
182 PERMIT W/ENERGY 2500.00 VAL 108.90
CONTRACTOR: TEL. NO: I TOTAL FEES 230.80 JAPPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO I (LOCATION AND SETBACKS
I I JSOILS ENGINEER APPROVAL I I I
I
�W2CHITECT OR ENGINEER: TEL. NO: FODNDAT ION/TRENCH FORMS
1-1-
LIC. NO: SLAB/UNDER FLUOR
(RAISED FLOOR FRAMING
I I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 IpNDEAFLOOR INSULATION I I I
1147H277 3 001
1
I I IFLOOR SHEATHING I I I
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
0 NO 21 IROOF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
NO NO NO (FRAME INSPECTION
(FIRE SPRINKLER HANGERS
I I I I
(INSULATION/WEATHER STRIP(
I
IINTERIOR LATH/DRYWALL
I I I
1 I 1E%TER IOR LATH 1 I 1
I I (RATED FLOOR/CEZL ASSEM. 1
I I IRATED WALL AsseMeLxes I I I
RATED SHAFTS/OPENINGS
I I
1 JT-BAR CEILINGS I I I
I I
I 1 ILQT DRAINAGE I I 1
(REPORT ID: DPR261 ROUTE TO: BSO508