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HomeMy Public PortalAbout10732 LA ROSA DR_Building__ APPLICATION FOR BUILDING PERMIT FOR•APPLICANT TO FILL IN (Print or type ..iV) BUILDING 3 Z G �o COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER 4 CITY/L [E C zIP JJBUILDING AND SAFETY DIVISION - LDING I SIZE OF LOT NOW OONBLOT S ADDRESS/U 713C2 `A .` TRACT 7' BLOCK I LOT NO. LOCALITY EL. NEAREST OWNER,7//mAi S TC NO. 2 CROSS ST. ASSESSOR ADDRESS /D -' G MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE -O SSED BY CITY <7/.,5 L` L ZIP 09 , CO ST, ZpN E' ARCHITECT OR TEL./ 3 ENGINEER Lis NO. U SZ-�� STATISTICAL CLAS IFICATION SEWER Ap ADDRESS �Q Q 4 e- � CLASS NO�DW``ELL.UNITS SB` G CONTRACTORL- -< B�N7DEMOL ZONE NO, C✓�[)J/ ADDRESS L L M Nr��l Lt CONDITIONS SPECIAL CITY L �I ROAD DEPARTMENT APPROVAL REQUIRED- YES NO CONSTRUCTION LENDERNAME ANDBRANCH - BLDG.SETBACK FROMFRONT PROP.LINE OF ISTREETI ADDRESS CITYHI HWAY } YARD TOTAL SETBACK FRSO. FT // NO. OF NO, OF FRONT PROP. LINSIZEb Z STORIES FAMILIESDESCRIPTION OF WORK Oo L ❑ SIDE PROP.L NEOAF MISTREETI❑ _ TOTAL SETBACK FRO TYPEOF EXISTING ❑ HIGHWAY } YARD - HWAY WIDTH W DEPROP. LINEUSE OF + - GO ZEXISTING BLDG. ❑ _ APPLICANT L. 5/9(x/ rA�T/EL //`` CORNER CUTOFF .YES ❑ NO (PRINT)C BY (SIGNATURE) IN OPEN SPACE YES ❑ NO Q -Z• IN COASTAL PERMIT ZONE .YES C] NO ❑ VALUATION,$ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN V10 TION OF THE LABORC ODE OF THE ST E OF CAL IFO IA RELATING TO WORKMEN'S CO MPENEAT INSURANCE. SIGNATURE OF - PERMITTEE , ADDRESS 2l3rSrLZlOP � TEL.2 FINAL 9`��✓SI V 9Y / CITY /?G/9�/ NO. S(Jp DATE ,11A KE CHECKS PAYABLE 7"O: FEE C;2. FEEMT-$ l HARVEY T. BRANDT, COUNTY ENGINEER J O (�_ PLANCHECK VALIDATION CH. M.o. CASH PERMIT VALID TION CH, M.o. CASH 536PJUL2123•D 12.60 �s ' 7GA638A CE38035/74 5 -7-JUL 21 1 0 �•} 2.000 A98 76A636A CER603 9.67 _ 'APPLICATION FOR BUILDIN PERMI H COUNTY OF LOS ANGELES BUILDING =, DEPARTMENT OF COfJNTY ENGINEER ADDRESS IF U ST. BUILDING AND SAFETY DIVISION LOCALITY T C .JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. i FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP I TVP. PROCESSED BY T (Print ort pe only) �, �"— CONSp BUILDING STATISTICAL C)_ASSI FICATION SEWER MAP ADDRESS CLASS NO._1(1/_DWELL,UNITS BK PG LOT NO. 49 BLOCK USE ZONE MAP NO. a S TRACT 17867 SPECIAL NO.OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF Residence EXISTING BLDG, FRONTSETBACKOP.LI FROM /I TEL. FRONT PROP.LINE OF �A n O-S.A S� ISTREET) OWNER }, NO. Q TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS 10732 laa. Rosa Drive HIGHWAY WIDTH FROM C.L. CITY Temple City ocRi c/ 1 1 } ;Ld BLDG.SETBACK FROMOfXSIM/'I 0A1 (STREET) ARCHITECT OR TEL. SIDE PROP.LINEOF ENGINEER NO. TYPE OF EXISTING SETBACK I HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. O� `Q K } al _ O CONTRACTOR Owner NO. /J ADDRESS NO. CORNER CUTOFF YES ❑ NO CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPR VALS DESCRIPTION OF WORK FH ? NEW AD ALTER REPAIR DEMOLISH c Sq. FT. NO. OF NO. OF liiJ' SIZE STORIES FAMILIES USESTRUO TURE Add a bath bedroom /14MR TC SIGNATURE OF APPLICANT VALUATION $ 9_ 500.00 APPROVALS DATE INBP I TOIIS SIG ATURE P.C. PMT. f�Q FOUNDATION: LOCATION FEE S FEE S 2 pyo FORMS, MATERIALS b i FRAME: FIRE STOPS, HEREBY ACKNOWLEDGE THAT I „AVE READ THIS APPLICATION BRACING BOLTS AN p STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- / TION OF THE LABOR CODE OF THE STATE OF C IFORNIA RELAT. LATH, INT. (b ING TO WORKMEN' M NSATIALN 1' URA 1EU,/11 LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 10732 Ta IJnan T)T'1VRS FINAL A ft , JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN ER PLAN CHECK VALIDATION CX. M.D. CASH _ PERMIT VALIDATION CK. M.D. us„ LHFA 4 1 9 9 4 APR 8 1 0 22.50- w 4. DIVISION OF of COUNDING ENGINEERSAFBUILDING - WILLIAM � ' �� ' DIVISION OF BUILDING AND SAFETY - - COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CAHBATT D. GRIFFIN. SUP'T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PUN CK.oR RE<.No. PERMIT NO. �/ BUILDING Q `Lf O� C t (33 -�3 ADOREBB " V LOCALITY T / �y�� �� /2 RECEIVED BY . DATE OF APPLL. DATE ISSUED NEARESTCROSS BT .r 1• rd G _ r , BUILDING / D 2 / OWNER MAIL �7 (� ADDRESS ADDRESS / / i GJ / LOCALITY NEAREST CITY cS G ri'�/ TO 7"7 J� CROHSST. ARCHITECT OR TEL. ZFIRE ONE �,� I PLANS {� I TYPE-7 I GROU� T ENGINEER N A V J ADDRESS BLDG.! Q n SET ACK LINE 40 , NO. CONTRACTOR .,/�.� [' [� No..� ]-VJj0% TEMP CITY 96A636A CE 2P 803162 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER aooREss f1� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ' WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPEESSED BY FOR APPLICANT TO FRI IN CONST _ ('� STATISTICAL CLASSIFICATION EWER MAP BUILDING ADDRESS O7 2 LA Ros DR, K .� CLASS. NO. DWELL. UNIITS�I��� J r LOT NO. '4'9 !7 CERTIFICATE:BLOCK WATER NOT REQUIRED 11,[ RECEIVED ❑ TRACT -78 G7/ LO MAP qq � HlcHwnY STATE MAJOR SECOND LOCA NO. OF BLDGS. NO.ZONE ICIRCLEI SIZE OF LOT "� NOW ON LOT USE ZONE SPECIAL USE OF R� 1D�NC /� / CONDITIONS EXISTING BL/D�Gl, I/� /,(�,ji OWNER ( A WAIS NO.G 31 BUILDING YARD HWY TRE NAME EXIST.- SETBACK ADDRESS, 3P_ 1-A RosA 'PR, �rlc_ SETBACK WIDTH FRONT Z ARCHITECT OR TEL. P. E N "C ENGINEER (" O. SIDE FID d ADDRESS ti' 0 A L + U CONTRACTOR NO [/ -- 2/f ADDRESS DESCRIPTION OF WORK i W a NEW ADD ALTER REPAIR DEMOLISH tv �, • , Z SQ.FT. NO.OF NO. OF SIZE STORIES 1 FAMILIES USEOF Sift UCTURE AMYL QOM J ✓O AAt ;Jhf tD_'z ac4vtv/I ,d4k X.,__ 4i SIGNATURE OF FiL ' � i%!PA AV!' APPLICANT _ Ll h VALUATION $ APPROVALS DATg INSPECTO...IGNATURE P.C. PMT. / J FOUNDATION: LOCATION w FEE $ FEE $ FORMS. MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 1 W AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LAgQ4 CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKM 'S P SATION NSUflANCE o LATH. EXT. O L-3 SIGNATURE HOUSE NUMBER COR. PERMITTEE RECT AND POSTED ADDRESS , 3 FINALaAwmu JOHN F. LEWIS, PR C PAL STRUCLVURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LALO 1 4 3 6'�` FEB 2 7 1 D 6.00-