HomeMy Public PortalAbout10715 LA ROSA DR_Building__ • Nffi7T OF COUNTY ENGINEES ® �
DIVISION
SION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES '
WILLIAM J. FOX. COUNTY ENGNEER APPLICATION
CASSATT D. GRIFFIN, 9ur•T or BUILUtNG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESS / O�/V P DISTRICT NO. i Puu Cc.GA REC,No, PERMIT NO.
,n J r 63323- �� /AL 3J -t9
LOCALITY pi /Cj CIr RECEIVED BY DATE OF APDL. DATE ISSUED
NEAREST CROSS STI B } / .J
/ BUILDING
IL
OWNER � ADDRESS O 7/
MAILq / /�/ LOCALITY /
ADORE63 i A -
CITY Son �>O br/P/ TE /{ 9t-430fNEAREST
CROSS ST.
ARCHITECTOR TEL. ZONE I PLANS `•I TYPE I GROUI- S
FIRE NO. OF T
ENGINEER NO. _
BLDG. L O /�O O.
ADDRESS /104
^y �Q�(�/ SETBAUSESCCK. LINE 4
CONTRACTOR/ 1 41 ��/`�V I • NEL' is/f-7 ' ZONE/!lam BY
ED AT r
So SOA GO hrIC�I HOUSE NUMBERING /
ADDRESS A 1-)
LEGAL � MAP NUMBER 'L— •J NO. ASSIGNED BY
DESCRIPTION I 'LOT NO. BLOCK -
/,7 G CORRECTIONS-
TRACT +y(IL
NO. OF SLOGS.
SIZE OF LOT.4"'P IOD NOW ON LOT
USE OF �� I NO. OF
EXISTING BLDG. FwH lues
DESCRIPTION OF WORK D -
NEW ALTERATION DEMOLITION ADDITION - _ - - D
REPAIR
SO.PT. NO. OF
SIZE cj3 ROOMS STORIES 7 C
COVERING
Y/ GiVQI COVERING �+(f
USE OF STRUCTURE
E 674 uo
APPROVALS
III NSPEC OR'9 SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS cJ
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOP6,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS i
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOC ATION•
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS d
D� A'��/ LATH, INT.
SIGNATURE OF /_ , -/ //
PERMITTER �/ A rn� SS �/// - /p "
ADDRESS • , F 640 p � fr'�. LATH. EXT. V .�
r PLASTER, INT.
AUTHORI?an err
O Q PLASTER. EXT.
$ FEE' S HOUSE NUMBER COR-
1 O RECT AND POSTED
VALUATIONFEE 9 _ 0 FINAL r Sr
70AUSSA OBD 3 9.52
76AR38ACF#6D3:=-68` a
`' APPLICATION FOR BUILD NG PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Q W U
BUILDING AND SAFETY DIVISION Q
JOHN A. LAMB]E, COUNTY ENGINEER LOCA LITV
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
DISTRICT NO. GR TYPE D BY
FOR APPLICANT TO FILL IN r CONST.
(Print ort De only) U • e
BUILDING `� _ ((���� O //�L STATISTICAL�SIFICATION SEWER MAP
ADDRESS � 1 V'PL'>aE-''a CIL 55 NO. OWELL.UNITS SK PG
LOT NO. BLOCK USE ZONEMAP LQ-57
TRACT p 1Q�J SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT X Z NOW ON LOT
USE OF A n
EXISTING BLDG. —I_^ �E"�I `IL BLDG.SETBACK FROM
TEL. C63- r FRONT PROP.LINE OF (STREET),
OWNER NO. TYPE OF EXISTING SETBACK I HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM L.L.
+ U - o
CITY BLDG.S TBACK FROM
ARCHITECT OR TEL: SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } _
CONTRACTOR NO. I a
LIC.
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ U
C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK r
NEW DD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO, OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE �D L
SIGNATURE OF
APPLICAN
VALUATIONS �W�
APPROVALS DAT INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
77
FEES FEES FORMS, MATERIALS /
r FRAME: FIRE STOPS, �)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS__ 70/
AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS f
BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- t
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT Iµ/,6 j, —`j/—jJ
ING TO WORKMEN'S COMP TION IHS RAHC / •
( LATH, EXT.
SIGNATUREO HOUSE NUMBER COR- /^•,
PERMITTEE' RECT AND POSTED
ADDRESS C O, IS A QO<,(A TaG FINAL F 4 cp7
JOHN F. LEWIS. PRINCIPAL ST
R URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.D. CASH
AP, 0 '7 0 7% X127 1 D 2 7.7 5-
a /
I n
WORKERS'COMPENSATION DECLARATION
„y�pffirm that have a certificate of consent to =elf APPLICATION FOR B WING PERMIT
ins We, or a certificate of Workers'Compenstion Insurance, or
a certified copy thereaf,(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ BUILDING Ste ,
Certified copy is hereby furnishc.c FOR APPLICANT TO FILL IN ADDRESS• 7 li
Certified copy is filed with the<a unty building inspec- BUILDING �J {� _
tion department. � '- ADDRESS i o L � � �z �S � LOCALITY '
C Q IF
NEAREST
LAA'n/
Date Applicant t CITY 1�'•r 1. , ZIP -�� CROSS S7.
CERTIFICATE OF EXEMPTION FROM WORKERS' / NO.OF BLDG : ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT /1 ����� NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars ($100)or less.) TRACT p Q -7 BLOCK LOT NO. aj� NO. 0 S� T
TEL.�//(�� 7�G /' QO SPECIAL y
I certify that in the performan%ce of the work far which this OWNER NO.'L-[,b (.J , CONDITIONS O
/ r ermif Is issued, I shall not employ an person in an manner (STRICT GROUP TYPE FIRE PRO SSED BY U
l.' p P y y P y ADDRESS O� 1- 1� �- �f CONST. ZONE °
so as.to become subject to the Wok er 'Compensation Laws. D S_Q� /�_3 O
Date Applicant " CITY IY L L G 1 21P 1 STATISTICAL CLASSIFICATION APL CONDO. (~j
NOTICE TO APP ANT: If, after making this Certificate of ARCHITECT OR- .<ln TEL. yE
`k ENGINEER I I_ r+YL NO. DWELL UNITS_ 6
,1I Exemption, you should. become subject to the Workers' CLASS NO. N
i Compensation provisions of the Labor Code, you must forth- SEWER MAP Z
with comply with such provisions or this permit shall be 'L /
Vdeemed revoked. CONTRACTOR• �1�+— NO. BK.J'PG, VALIDATION '
LICENSED CONTRACTORS DECLARATION - LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ' NO. _ VALUATION
(commencing with Section 7000)of Division 3 of the Business and - LIC. r` �-
Professions Code, and my license is in full force and effect. CITY CLASS �` S � UV D
50. FT. NO. OF NO.OF CHECK
License Number Lic.Class SIZE Z STORIES 1 FAMILIES ONE
Co NractorDote DESCRIPTION OF WORK
NEW ❑ S
am exempt from the licensing requirements as I am a L/ p L sIll ADD
licensed architect or o registered professional engineer _ ALTER FINAL z .� _,g
acting in my professional capacity (Section 7051, REPAIR ❑ DATE r
Business and Professions Code). USE OF
' EXISTING BLDG. L, 1 sr s N�S'44�� DEMOL BY AL
Lic. or Reg. No. Date APPLICANT ?Kt«1l .�P;�_ ('TEL - -
OWNER-BUILDER DECLARATION IPRINTI -7 `jJ�L�.� NO.
I hereby affirm That I am exempt from the Contractor's License
Law-for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT /
y� BUILDING r 2 8 9.5 A
✓ql I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ° ° o ° e }
7044, Business and Professions Code). . MOVING TEL
I, as owner of the property, am exclusively contracting CONTRACTOR NO. 2 ° ° 9.7•O O
with licensed contractors to construct the project (Sec- ADDRESS e e o 97,00
x
.tion 7044, Business.and Professions Code). -
REQUIRED TOTAL SETBACK FROM EXIST. n t _
CONSTRUCTION LENDING AGENCY SET BACK YARD Hwy PROP. LINE WIDTH 103 3 1 — o a O
I hereby affirm that there is a construction lending agency for FRONT t /
the performance of the work for which this permit is issued PA O O -20
(Sec. 3097, Civ. C.). SIDE
P.L.
Lende-,s Name e _.
Lender's Address P.C. Fee S Permit Fee
2, I certify That I have read this application and state that the Issuance Fee ,
aabove information is correct. I agree to comply with all County Investigation Fee .
0 ordinances and Slate lows relating to building construction, Total Fee -
and hereb�voalhof ze representatives of this County to enter _ '
m upon tF� vE- ntioned property for Inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE _
^ / Ign .e of Applicant or Agem Dae ,\ _ .. - es
h � '
WORKERS' COMPENSATION•DECLARATION
`- thereby affirm that I have a certificate of consent to self
insure; or a certificate of Workers'Compenstion l nsurance, or APPLICATION FOR BUILDING PERMIT _
o certified copy thereof (Sec3800, Lab. C.) COUNTY OF LOS.ANGELES �y C. BUILDING AND SAFETY
Policy No. Company
. Certified copy Is hereby furnished.
RE APPLICANT TO FILL IN nooaess S C- �
,� 'Certified copy is filed with the county building inspec- BUILDING/O - 7
tion department. ADDRESS�" ��� /�� O S Lx_ j�" 'LOCALITYNEARE }-
T P
Date - Applicant - CITY C /Y / G"� ZIP 1 a O CROSSSST. fi r$ I M FVT D I,-
CERTIFICATE OF EXEMPTION FROM WORKERS' O. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE' SIZE OF LOT /�.6�' NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one /((_ USE ZO E MAP
TRACT /7 006 y BLOCK LOT NO. �� NO. a Q�
hundred dollais'(5100)or less.) �. }
TEL (,�[ � ry� SPECIAL 1
I certify that in the performance of the work for which This OWNER NO CONDITIONS O
permit is issued, shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO SSED BY V
so as to become subject to the Workers'Co Fensotio Lows. ADDRESS/0�/, /-G.-- ;.O S'Q CONST.• ZONE
0
-a -x
PT. le e;� ZIP sig 43 3 0
Date
App icarit CITY OR
ARCHITECT TEL. STATISTICAL CLASSIFICATION PT. CONDO. V
. -
NOTICE TO APPLICANT: If, after making this Certificate of '- m
Exemption; you should become subject to the Workers' ENGINEER �U-) �' 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 /� _
deemed revoked. CONTRACTOR OWN F_a NO. � BK.Z� PG, 0 VALIDATION.
LICENSED CONTRACTORS DECLARATION. UC.
I.hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION -
(commencing with Section 7000)of Division 3 of the Business and _ LIC. 4'•�/yT -
Professions Cade, and my license is in full force and effect. CITY -CLASS $ Lf>
'SQ. FT /`. NO:OF NO. OF CHECK -
License Number _ Lic Class SIZE �J STORIES FAMILIES ONE -
+ f-1 $
Contractor Date DESCRIPTION Of WORK NEWl�
ElI am exempt from the licensing requirements as I am a ADD -
licensed architect or a registered professional engineer ALTER ❑ FINAL -
acting in my professional capacity (Section 7051, REPAIR ❑ DATE
Business and Professions Code). USE OF ) '
Q/�, �1•L/`�' I I I h C ❑ By AL
EXISTING BLDG. DEMOL
Lic.or Reg. No. Date APPLICANT -
OWNER-BUILDER DECLARATION (PRINTI ��1 I• • �- T UK c z 3 2 3 9 A -
I hereby affirm that I am exempt from the Contractor's License / �Q �` # s ° e e 23
Law.for the following reason (Section 7031.5, Business and ADDRESS- 1
P f ssions Code): . PRESENT -
` ° °
I, as BUILDING 2 1 2.O O
owner of the property, or my employees with ADDRESS
wages as their sole compensation, will do the work and - ,° ° ° 1 2.0 0"
the structure isnot intended or offered for sale(Section LOCALITY - -
7044, Business and Professions Code). MOVING _ TEL. - 1 1, 2 B-80
1, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). - -
CONSTRUCTION LENDING AGENCY REQUIRED YARD HW ^TOTAL SETBACK FROM EXIST 23 2�0 A
SET BACK PROP. LINE WIDTH
I hereby affirm that there is.a construction lending agency for - FRONT i - # e s e • • 1
the performance of the work for which this permit is issued P.L. - t �,
(Sec. 3097, Civ. C.), SIDE `, : IZ[°;° 220 O
P.L dJ
Lender's Name
o° ° 2200
Lender's Address P.C. Fee S �i Permit Fee
.1 1.28-80
w I certify that I have read this application and state the) the - Issuo'nce Fee
aabove information is correct. agree to comply with'all'Coahty Imesngotlon Fee
ordinances and State lows relating to building construction, Total Fee • -
and hereby authorize representatives of this County to.enter _
mupofn'tHeeJobove-mentioned operty for inspection purposes.
"yf�-(� �,- SEE REVERSE FOR EXPLANATORY LANGUAGE I
^ Stignoture of Applicant or Agent Date - - -
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 0401290015
PHONE: (626) 285-0488 EXT:
LEGAL O. OF CONST BUILDING ADDRESS: -
TR: 17867 LT: 45 SO. FT STORIES TYPE 10715 LA ROSA DR
STRUCTURE: 2500 VN TEMP CA 917803410 D�&"Ikr vev
ASSESSOR INFOR A 0 NUMBER: NEAREST CROSS STREET: 7
8574-002-021 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: D 0PROCESSED BY: EXP R S ON:
EXIST OCC GRP: 01/29/04 VG 01/23/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT FINAL BY: CODE:
ROMO, CHRIS (626) 305-0862- 3,800
10715 LA ROSA DR
TEMP 917803410 I ES PA D CRION OF WORK
T 0 EJ IS ROOF 8 INSTALL CLASS A FIBERGLASS AND MODIFIED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: BITUMEN MEMBRANE GRANULATE ON FLAT AREAS
APPLICANT: TEL. NO:
GUARD ROOFING (800) 828-4646- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3800.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3800.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WEATHER GUARD ROOFING (626) 287-0669-
4251 BALDWIN AVE. LIC. NO U671.I N AND SETBACKS
EL MONTE, CA 91731 808888 C39
i SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: OUNOA ON/TRENCH FORMS
LIC. N0: SLABi UNDER FLOOR
RAISEDLOOR— FRS
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOORSH ATHIN—
OF IES: DWELLING NTS: APT/CON : STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN H DOUS $HEAR, P. P L�F17 S �l
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBAEK FROREX ST FIRE SPRINKLER HA G RS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED S A S/OPEN NGS
T-BAR CEILINGS
LOT bRA AG—
!REPORT ID: DPR261 ROUTE TO: BS0508
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 0006080043
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 17867 LT: 45 SQ. FT STORIES TYPE OCCUP GROUP 10715 LA ROSA DR
STRUCTURE: 0 1 VN R1 TEMP CA 917803410
ASSESSOR INFORMATION NUMBER: GARAGE: 0 1 NEAREST CROSS STREET: PERSIMMON
8574-002-021 OTHER: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/08/00 UT 12/05/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B . .CODE:
ANDREWS PHILIP A;KAREN E TRS - 1 130 q-( 00 10715 LA ROSA DR 1)�i
TEMP 917803410 FEES PAID DESCRIPTION OF WORK
REMOVE A/C UNIT AND REPLACE WITH WINDOW
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO: - -
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 130.00 VAL 0.50 SPECIAL CONDITIONS:
D1 PLANCHECK iW/0'EN-H-C _\130.00 VAL 82.11
GEL� TOTTAAL,FEES 110.36
CONTRACTOR: TEL. NO: �Qr7 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: � '� \ FOUNDATION/TRENCH FORMS
i
LIC. NO:/ _ — \ SLAB/UNDER FLOOR
t�
L RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:Th ���1�1 �IIL� C ` UNDERFLOOR INSULATION
3 � L01 � : ,-�A t,
U l`Ji IL�G� \"� ,l LJ is i, IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/FOND: STAT CLASS:----- ------ --- -- - - --- ----- - ----
NO 21V — "- -- -- j �� % ND LEVEL FLOOR SHEATH
al
SCHOOL WITHIN HAZARDOUS t:� / ROOF SHEATHING
AIR QUALITY; 1000 FEET MATERIALS
NO NO NO 7 I `�!N �� FIRE DEPT. FRAME INSPECT
J l �
REQUIRED TOTAL SETBACK FROM EXIST �-n10N��i. BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: �iC _
FRONT PL- S, IL
j1ljJ SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL-
EXTERIORLATH/DRYWAT—
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508