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-