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Home My Public Portal About10733 LA ROSA DR_Building__ DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY r� COUNTY OF LOS ANGELES BUILDING B WILLIAM J. FOX, COUNTY ENGINEER APPLICATION / CASSATT D. GRIFFIN, SUPT of BUILDING ' FOR APPLICANT TO FIIS IN FOR OFFICE USE,ONLY BUILDING DISTRICT NO. I P/UN CK.o/n/REc.No. ,PERMIT NO.. ADDRESS I XC .. Ul �� 1�� IALO�'5— LOCALITY S RECEIVED HV DATEOFAPPL. DATE ISSUED NEAREST M QQ CROSS ST fS /// G BUILDING /. -�lVa ADDRESS /LIot OWNER LOCALITY `/� MAIL ADDRESS F`• /�f �`f/ 2 VG I �+N ,Q/ TO I NEAREST CITY V ceoss Br. ARCHITECTOR TEL: FIRE hiO.ZONE I PLANS TYPE-- I GROU7i� ENGINEER NO. _ BLDG. ADDRESS /wn/ q �f' SETBACK'LINE 2. 0 �/1 ��9,v-.�q NO. CONTRACTOR-PA, • / -• S NO. �/ �p /+ ZON �/ By PROVED /s��/y./- ATE 11'63 ADDRESS / 2-//7 5O 'V 4 6Q t`J HOUSE Y NUMBERING ,Y -/ LEGALMAPNUMBER � b NO. ASSIGNED BY DESCRIPTION I LOT NO. I BLOCK CORRECTIONS TRACT- / 11 /yf" AA SIZE OF LOT V / JCIV I. NO. OF SLOGS. - NO ON LOT - •I USE OF NO. OF f - -- - -- - -- EXISTING BLDG. FAMILIES DESCRIPTION OF WORK D — II^v}I�/ REPAIR 1 DEMOLITION' —I ADDITION r Sq. SIZE FT.7 RNO.OMSOF Q OSTORIES(/ G - EXT. WALL ./- ROOF /^y COVERING / LSE I COVERING W USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE.STOPs. /J PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - GAS VENT, DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF *t LATH, INT. PERMITTEE, c .7A� S/J. S G lfrie.( LATH. EXT. ADDRESS yam'' PLASTER, INT. AUTHORIZED AGT. _ G u PLASTER, EXT. $ Q-D� P. C. $ O q h HOUSE NUMBER COR- / Q D� FEE (Q RECT AND POSTED •-. L� 1 VALUATION r'1& FEE ®�j 6 ••�"' FINAL rG 7BAE98A 0023 ➢-82 {WORKERS'COMPENSATIONDECLARATION T a certificate aonsen; to serf - T4pPLICATlO_N :_FO -,B,UIL'DING .P.ERMIT - ; - 'S hereby a{firm'That ! hpve., insure or a certificate of Workers Compensation Insurance - a _.._._. -_ _ _ or6.certrfied copy thereof (Sec 3800 b.1C ) ^ •n . IU(J!/�.•r �.. � .�.. :,. • I COUNTY OF LOS ANGELES -BUILDING-AND SAFETY Policy Na. Company _. -. .._ .. _. .-_ __ Certifi Is hereby furnished.A t ., + � FOR APPLICANT TO FILL IN Q f " BUILDING ADDRESS 3� Certified copy Is filed wlth'the county 6m!ding inspec- BUILDING /�ryy 7 ` t �`'ttlandepartmem. 11 + ` v ' ADDRESS 6 I Date''i - Applicant '+'•• •Y•t`.'�t CITYZIP LOCALITY 3 CERTIFICATE OF EXEMPTION FROM'WORKERS " ! - - - � � - :" 'NO. OF BLDG&- -' -'^- - NEAREST.-- "'• _ - "COMPENSATION INSURANCE i' SIZE OF LOT NOW ON LOT CROSS ST. /v7 ,(This section'need'not becomjileted if the'peim if'is4oi,one - - -'•` - - - -- -- -^'-"'^""" - ASSES,' t, __ '. c '• ' hundred.dollars ($100)or less.) r TRACT' BLOCK LOT NO. MP.P BOOK ' e PAGE. PARCEL _ TEL.- US ON) MAP I.certify ihaiin the performance of the work for wh_ch this OWNER V NO. `t3 p NO. - } permit Is Issued, I shall not employ any person in any manner _ __._ _... _ SPECIAL• - 6 so as to become_subject to the Workers'Compensation taws. ADDRESS _ 5�-> CONDITIONS •+ O :V .Date ' 'Applicant •� - - CITY i ZIP_-_ NOTICE TO APPLICANT If after making'this Certificate of ARCHITECT OR TEL _DISTRICT__. . UP. NOPE- _ FIRE .PRO SSED BY Exemption,•you%should 'become subject. to'the Workers ENGINEER - _ NO. . - C NST' E Compensation provisions of'the Labor Code you-must-forth ADDRESS -- - W _ SOY � t916 with Comply withsuch provisions or.this,permit shall be -- - - - �� _ Noy/ STATISTICAL CLASSIFICATION j APT. NDO. - 'N deemed_revoked r v - CONTRACTOR IZO .I Z- LICENSED CONTRACTORS DECLARATION. - - - - --s� 11 NO.74— DWELUN L. ITS_ _ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS .N 6 f��l�-D NO. (commencing with Section 7000)of Division 3 of the.Business and „LIC ,,/ = SEWER MAP Professions Code, and my license Is in full force and effect, CIN `� F/ (/9'� CLASSOO / BK - ,"VALIDATION ? t _ SQ.-FT.�r NO. OF ES' NO. OF _ CHECK t License.Number t Liz.Class - SIZE I STORIES FAMILIES ONE .. VALUA ION. Q t DESCRIPTION OF WORK' �C/V:- - NEW-- El oo e1' U� Contractor Date - - ADD $ , ❑ I am exempt under.Sec - - _ -,64(-a14ej7 ❑ t ALTER t B.&P.C. for this reason _. ._ _ - - - - REPAIR- O _ '$ - - --) �� T- - - -�.[�.7 (J 6 USE OF / `\ ❑ 1 Dater DEMOL ' EXISTING BLDG..//t/LR - RR - - ' � 1 Signature - - - - APPLICANT TEL. FINAL 0 / .tt • • • • I ' . OWNER-BUILDER DECLARATION PRINT I hereby affirm that I am exempt from the Contractor's License Sr - e, - 02rt-86 law for the following reason (Section 7031.5, Business and ADDRESS (:t 0 Jul.) ) FIN _ _ _ _ • $ �� 3 -'Prdfes`slbns Code): - `-"- PRESENT _ BUILDING ❑ I, as owner of the property, or my employees with x ADDRESS wages as their sole compensation,Will do the work and the structure is not intended or offered for sole(Section LOCALITY 7044,Business and Professions Code).- MOVING' - " - - '.TEL. "- I as owner of the property, am exclusively contracting CONTRACTOR NO. 2 o_ i __ _ _ _ . .__ __ - _ with licensedBusiness and o scion C the project (Seo- ' ADDRESS t .` - ~T • I tion 7044, Business and Professions Code). ; 'REQUIRED._. _ .TOTALSETBACK FR M-- CONSTRUCTION LENDING AGENCY - 'SET BACK YARD HWV' PROP. LINE IDTH; - W hereby affirm that there is a construction lending agency for FRONT - the performance of the work for which this permit is issued •- -P.L. _. _ _1-_ _-.. ._ . -,.,_ (Sec 3097, Civ. C.). SIDE • -. J 2 P.L.. m Lender's Name _ e •r_ .. - _ .. ._ ..,-._ _... LDMA Ref. N P C Fee$ -' Permit Fee - Lender's Address �\ a I..cerbfy that I haveread thisapplication.and state.thot the ....,_. ... _ __- Issuance Fee--• (..l IOMA P/C N - '+ - - - -- a above information is correct. I agree to comply with all County t Investigation Fee - ' ''• ordinances.and State.laws relating to building.construction, Tota PFee^ LDMA'Perm. - . -. .-'._ .'_J.�:7. _ - -W_ - - .. � and hereby authorize representatives of this County to enter _ upon the above-mentioned property for inspection purposes t Q SEE REVERSE FOR EXPLANATORY LANGUAGE _.. Signature of Applicant or Agent - __ z._ .Date _ • COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1304090006 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 17867 HE 48 SQ. FT STORIES TYPE OCCUP GROUP 10733 LA ROSA DR I _ISTRUCTURE: 0 1 V-B R-3 I TEMP CA 917803410 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: PERSIMMON 8574-002-024 OTHER: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 105/02/13 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: F TE FI/NAL Y: CODE: ILIAW, KATHERINE (909) 331-1155- 1 64,000 110733 LA ROSA DR ITEMP 917603410 FEES PAID IDEISCRIPTION OF WORK IIITLERIOR REMODEL TO ADD BATHROOM, CLOSET FOR BEDROOM, LAUNDR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IY ROOM, RELOCATE 1/2 BATHROOM AND REMODEL KITCHEN (APPLICANT: TEL. NO: (YANG, KEVIN (626) 375-2820- IBE PLANCHECK W/ENERGY 64000.00 VAL 878.50 1 . 19138 OLBMA ST IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 AB STATE GREEN BLDG FEE 64000.00 VAL 3.00 IAC STRONG MOTION REBID 64000.00 VAL 6.40 B2 PERMIT W/ENERGY 64000.00 VAL 1,033.50 (CONTRACTOR: TEL. NO IFR INV WORK W/O PERMIT 339.60 DOL 339.60 (APPROVALS DATE INSPECTOR SIGNATURE TOUCHSTONE CONSTRUCTION DEVELOPMENT (626) 618-2288- TOTAL FEES 2,288.80 1 12022 SANTE ANITA AVE LIC NO (LOCATION AND SETBACKS SOUTH EL MONTE CA 91733 938018 I ISOILS ENGINEER APPROVAL ISI _- (ARCHITECT OR ENGINEER: TEL NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDERFLOOR • RAISED FLOO OR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: ( (UNDERFLOOR INSULATION 3 001 (1ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 21 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING (AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FIRE DEPT. FRAME INSPECTI _I I BLDG DEPT. FHAM E INS PBCT I I---- I SHEAF PANELS I (INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR EACH ' LOT DRAINAGE ' ISMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVAL( ADDITIONAL DATA ON FILE REPORT ID: pPR261 ROUTE T0: HS 0508