HomeMy Public PortalAbout9142 LA ROSA DR_Building__ 1
76A638A CE11803 3-68 APPLICATION FOR BUILDING PERMIT �
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY-ENGINEER. AooREss
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST t _/
COLEMAN W JENKINS.SUP'T OF BUILDING CROSS ST
DISTRI NO�y GROrj1P TYPE, PR E S B
FOR APPLICANT TO FILL IN p b CONST:.
BUILDING STATISTICAL ASSIFICATION SEWER MAP
ADDRESS CLASS NO. DWELL UNITS BK� PG
LOT NO. USE ZONE
MAP-
BLOCK
NO.
TRACT 31SPECIAL '
OF BLDOS. CONDITIONS
SIZE OF LOTa 7,, /�/ V NOW ON LOT
USE OF
BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNER TYPE OF E%ISTINO SETBACK H10HWAY.' YARD = TOTAL ,
ADDRESS L HIGHWAY D F M C.L.
gtrzl a,-II 30
CITY0.
1 BLDG. S BACNM / + -
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER
TYPE OF EXISTING SETBACK NIOHWAY_ + ..YARD = TOTAL
ADDRESS / (�� HIGHWAY WIDTH FROM C.L.
T L. + _
CONTRA CTOR (��y _ �.
IC CD
ADDRESS / V L
. NO CORNER CUTOFF YES NO V
I T Y L ' cl` SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK
a
VJ
NEW ADD ALTER REPAIR DEMOLISH "
SO,FT. NO OF NO. OF
SIZE I r STORIES FAMILIF_5
USE OF C�
STRUCTURE
SIGNATURE OF / -
APPLICANT
VALUATION$ •00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GASVENT. DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY,I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. _
ING TO WORKMEN'S COMP"SATION INSURANCE. LATH. EXT.
SIGNATURE ✓ HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FI NAL "/�Zj
F. LEWIS. PRINCIPAL
PLAN CHECK VALIDATION CK. M MIT o. CASH _ JOHNPERVALIDATION T CK SURAL ENGINEER,
C s„ER ,
LA
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76eeseA"ca#eoa•1,-41APPLICATION "FOR BUILDING PERMIT
,
COUNTY OF LOS ANGELES BUILDING
'DEPARTMENT OF COUNTY ENGINEER AD
I
^ BUILDING AND'SAFETY D_ MSION LOCALITY
JOHN.A. LAMBIE,' COUNTY ENGINEER - NEAREST
• WILLIAM A. JENSEN SOWT OP BU)Lo1Na' CROSS ST. -I
DISTRICT NO. GR UP ,TYPE PR CES 6
FOR APPLICANT TO FILL IN �5 {�L coNsr
BUILDIN - STATISTICAL CLASSIFICATION •SEWER,MAP
ADDRESS ' / PG .
CLASS.NO/ DWELL.UNITS
• LOT NO. BLOCK WATER NOT REQUIRED. RECEIVED
- - CERTIFICATE
TRACT.'" . MAP HIGHWAY
A
STATE'MAJOR SECOND OCL
I
NO.OF BLOGS. NO. / (CRCLE)
SIZE OF;LOT I NOW ON LOT` USF ZONE- SPECIAL
USE OF CONDITIONS •'+ '
-EXISTING BLDG.-• \y^' _ ,_ - .
TEL.
'OWNE r •NO. BUILDING YARD HWY STREET NAME EXIST.
SETBACK - WIDTH'
ADDRESS FRONT •' l
ARCHITECT OR TEL P.'L.
ENGINEER• NO. 7Aa3 SIDE
ADDRESS: O_
TEL. , '.INSPECTION RECORD '•I p
CONTRACTOR-9.j. NO —4mmI - u
ADDRESS `,✓
DESCRIPTION OF WORK - C '�'t� O
E ADD ALTER' REPAIR DEMOLISH .N
SQ. ,NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF "'--�
STRUCTURE
SIGNATURE'OF`'.,.r'
APPLICANT,
VALUATION
APPROVALS DATE INSPECT91GSIGNATURE
P.C. '' ;Z PMT, •J�., FOUNDATION: LOCATION -
FEE $' I - FEE. $ v FORMS, MATERIALS
-FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION I BRACING, BOLTS
AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WA
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING?` .GAS VENT DUCTS / & ,.ri'4.i-----
BUILDING CONSTRUCTION I CERTIFY,THAT•IN DOING THE WORK.
AUTHORIZED HEREBY I WILL NOT EMPLOY'ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE•STATE OF CALIFORNIA RELAT-•.
ING TO WORKMEN'S•COM ENSATION SURA E. 'LATH,EXT. - "'
SIGNATURE-0 HOUSE NUMBER COR-
PERMITTE _ - RECT AND POSTED 12- /&
ADDRESS FINAL
CLYDE N. DIRLAM,'PRiNCIPAL STR URAL ENGINEER
PLAN CHECK`VALIDATION cK M.O. CASH PERM. VALIDATION CIC M-0. CASH
4 2 'x.`_r 8 2 3 D 4.4.2 5
�'� 2 4"k) SES 2 1 S 8:5 0�
76A638A CE#803 5-65APPLICATION FOR SUILDIN PERMIT
•COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS- (b v
BUILDING AND SAFETY DIVISION LOCALITY,
JOHN A. LAMB)E. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING 'CROSS ST
DI ACT NO GR UP TYPE PR Y
FOR APPLICANT TO FI N b CONST.
BUILDING STA TIS-TICAL CLASSIFICATION, - SEWER.-MAP
ADDRESS IcCLASS NO DWELL UNITS 6K
LOT NO. BLOCK_ USE ZONE _NAP ,---
NO.
P NO.
TRACT / SPECIAL
` NO. OF SLOGS CONDITIONS
SIZE'OF LOT NOW ON LOT -
USE OF
EXIST,
NG BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF (STREET)
-117
OWNER NO _ TYPE OF EXISTI NO SETBACK HIGHWAY + YARD = TOTAL -
GHWAY WIDTH
ADDRESS HI 'FROM C L
i
CITY BLDG SETBACK FROM
ARCHITECT O TEL SIDE PROP LINE OF (STREET)
ENGINEER• NO.
• TYPE•OF EXISTING SETBACK -�HIGHW AY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH - FROM C L
E + 0a
CONTRA N _ _ O
IC sd` CORNER CUTOFF YES NO O V
_ADDRES NO
LIC �
CITY LLA S O 'SEE REVERSE SIDE FOR SPECIAL APPROVALS. O
DES IPTION Ot WORK u
W
NEW ADD ALTER REPAIR DEMOLISH h
. Z
SQ.FT'. NO OF NO. OF
SIZE STORIES FAMI LI F-S•
USE OF "T
STRUCTURE - -
t
S GNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P PMT FOUNDATION, LOCATION
FEE$ - FEE'$ FORMS, MATERIALS •
FRAME, FIRE STOPS,
'I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -BRACING'BOLTS '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY RSON IN VIOLA- LATH. INT.
L
F TH"C _ STATE C IF IA RELAT-WORINSU C LATH EXT.
TURHOUSE NUMBER COR- _
TTE RECT AND POSTED- FINALS •.� sky
JOHN F. LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK. M O CASH
:.
ti _� 6 15 4.1 3`zS OCT 21 1 D . 8.0 ON V .
n ._r
76A638A CE#8033-66 APPLICATION FOR BUILDI G PERMIT
-
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS �( Z
BUILDING AND SAFETY DIVISION L O C A L I T
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST r _
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST
DISTRICT N GROUP TYPE _ - P=GE D. BY_,
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL ASSIFICATION SEWER MAP
ADDRESS ` lA - CLASS NO DWELL UNITS BK. PG
LOT NO. BLOCK USE ZONE MAP
2 3 _
NO.
TRACT �� SPECIAL
NO. OF SLOGS.NO.
SIZE OF LOT NOW ON LOT
USE OF
EXISTINO BLDG. BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF (STREET)
OWNER AZL414NO. TYPE OF EXISTING' SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHW Y LN112TH FRQM C.L.
CITY "- /6 i� BLDO. 9 BACK FROM
ARCHITECT R TEL. SIDE PROP. LINE OF (STREE
ENGINEER NO. T)
TYPE OF EXISTINGSETBACK. HIGHWAY_ + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
T E L. " +
CONTRACTOR O _
ADDRESS Sl r- LI 'iS� CORNER CUTOFF YES NO a
O
CITY oe LI` - - SEE REVERSE SIDE FOR SPECIAL APPROVALS'
DESCRIPTION OF WORK
LL
CL
NEW ADD ALTER REPAIR DEMOLISH V:
SQ.FT. NO. OF NO. OF Z
SIZE STORIES FAMILIES
USE OF
STRUCTURE /•^ J -
SIGNATURE OF
APPLICANT
VALUATION$ !�' : '� �® .00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$` FEE$ FORMS,-MATERIALS
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. '
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURA CE. //JJ/ LATH. EXT. r
SIGNATURE OF�/ HOUSE NUMBER COR- -
PERMITTEE RE AND POSTED
ADDRESS ���� , Fl N A L
JOHN F.
�L�E.WIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PFIMUi VALIDATION( CK, M.O CASH
L&
"*'0 8A ,IJAN20 1 .a . 1.50-
76A638A CE#803 9-67
APPLICATION FOR BUIL G PERMIT LJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 6f /. 2- B
BUILDING AND 'SAFETY DIVISION LOCALITY '—
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST
CROSS ST.
DISTRICT NO. GgQUP TYPE � PR SSE BY
FEXISTING
OR APPLICANT TO FILL IN q )_� CONST.
(Print ort pe only) SiV
STATISTICAL C ASSIFICATION SEWER MA
6• .9142 CLASS NO. DWELL,UNITS BK PG/2_3
— Bldg. E BLOCK USE ZONE MAP O t r-I
No. 1
AL
- M-� CON DSPECIT ONS
NO.OF BLOGS.
T NOW ON LOT
USE OF
LDG. Li ht Industr BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
NO. TYPE OF EXISTING 'SETBACK HIGHWAY + YARD = TOTAL
0 NO. Encinita Avenue
HIGHWAY WIDTH FROM C.L.
CITY Temple City, California BLDG.SETBACK FROM O + Q _
ARCHITECT OR TEL. SIDE PROP.LINE OF STREET)
ENGINEER NO.
TYPE OF EXISTI TRACK HIGHWAY + 'YARD = TOTAL
ADDRESS y_ HIGHWAY H FROM C.L.
CONTRACTOREvan Williams NO.IPL 3-0220 + o
ADDRESS 2111 E. Imperial No� 237645 CORNER CUTOFF YES ❑ NO ❑ U
CITY Los-Angeles, Calif c Ass "B" SEE REVERSE SIDE FOR SPEOIAL APPROVALS o
DESCRIPTION OF WORK , U ) N
N2m 'lqxx ALTER REPAIR [ '
SQ. FT. - NO. OF NO. OF
SIZE STORIES 1 FAMILIESUSE
STRUOCTURE lIight.Industry,-Cpnu4ercial
SIGNATURE OF
APPLICANT
VALUATION S.1,,000; APPROVALS DATE INS PEC TOR's SIGNATURE
P.C. �J - PMT. FOUNDATION: LOCATION
FEES // 0 FEE $
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
DU ILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK ,
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P SON IN VIOLA- ,
TION OF THE LABOR CODE OF THE STATE OF C IFORNIA RELAT• LATH, INT.
ING TO WORKMEN'S CO SATION INSURANCE
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS9,111al Highway' L.A.L'AHighway, L.A. FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMT VALIDATION CK MO CASH CW
u- ,
, io 6-9 6'2G,_ OCT,2'2 2 3.,.U'
^'•' It
%o;';,' APPLICATION FOR BUILDING PERMIT
• , COUNTY OF LOS ANGELES BUILDING AND SAFETY
fN
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I heiky'affirm that) have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of Workers'Compensation Insurance,or a certified ILI 2 /-A ROSA
copy thereof(Sec.3BOO,Lab.C. CITY ZIP
��fii� LL,, T LOCALITY _
Policy NoA--?.S0:JrJJ Company,���"�u SIZE OF LOT 1 NO.OF BLDGS NOW ON LOT ��7 p L•�
❑ Certified Copy is hereby furnished. NEAREST CROSS ST.
®-f ifled copy is filed with the c unty building Inspection TRACT BLOCK LOT NO. USE ZONE MAP NO.
department. ���
ASSESSOR MAP BOOK PAGE ,PARCEL '
Date �d ��� +plicant- �/iJ._! SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TE NO.M ^ '�� [ YES NO
"COMPENSATION INSURANCEDAw �' 2 WITHIN 1000 FT.OFSCHOOLT
ADDRE q '
(This section need not be completed if the permit is for one hundred Q a �OJ uZ, DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.) CITY- zI Jj
I certify that in the performance of the work for which this permit ty' ✓• � �
Is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO.
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant. 'ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you ShOUId become subject to the Workers' CONTRATOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith tnouhf INC' SOf 12 FRONT
comply with such provisions or this permit shall be deemed revoked. A DNSS �� ���` LIC.NO. PL
O E .
3 5 No
I
LICENSED CONTRACTORS DECLARATION CITY LIC. SS PL 0'
hereby affirm that I am licensed-under provisions of Chapter 9 SEWER MAP ^'
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SI2!E NO.OF STORES NO.OF FAMILIES
Professions Code,and license is in full force and a fact. /U NEW El BK PG , v
98�3 qv O CRIPTION OF WORK ADD ❑ VALUATION Lu
License Number• Lic.Classf(Z7� DAMt4 G�t 7 O 2d O� s�:_ a
Contractor SrnL`V.�E INC DaLe O' �2'� 90 ALTER ❑ d y
❑ 1 am exempt under Sec. REPAIR $
BAP.C.for this reason DEMOL ❑ LDMA P/C#
USE OF EXISTING BLDG.
ywtlh ISL MAPUJ /9CtJ21N URM ❑
Signature � AP+ICANT(PRINT) TEL.NO.
LDMA Perm#
❑ I, as owner of the property, or my employees with wages as Fc 0 �► i4 S 2 l,1 7Z3 Olf?' G All. .s
their sole compensation,will do the work and the structure is ADDRESS N
not intended or offered for saleSection,7044, Business and /O If & IL L FINAL DATE
( t'-
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 4 I } �LIT--
1,
Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 7044, YES❑ NO �" i;I ,[ o
Business and Professions Code.) _
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CHE
r f
OCCUPANT REQUIREA PERMITFOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH4'�• - '�•�=-I
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST I
FOR GUIDELINES C.,����I�� 5 CIO
I hereby affirm that there is a construction lending agency for �Es'❑ NO� �l -
the performance Of the Work for Which this permit Is Issued(.Sec.•• ' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAGMD �y
3097,CIV.C,). - PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES -n) r�•k
COUNTYMOE,TITLEZ CHAPTER 220 SECTIONS 220.10DTHROUGH 2.20.140 CONCERNING r(//1///1 D. i Il i�I�I-�I•I�I J, i tf y��+l l
Lender's Name HAZARDOUS MATERIALS R RTING O FOR OBTAINING A PERMIT FROM THE SCAOMD f�
Lender's Address OWNM��� ku� 1 AM 9-,417
0 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE
information is correct I agree to comply with all county >
ordinances and State laws relating to building construction,and
hereby authorize representatives of this County to enter upon ISSUANCE FEE
the above-mentioned property for inspection purposes. �•
INVESTIGATION FEE TOTAL FEE
m
sgmwn a AppinM or AwK Dm J
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
OL•=LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0401230010
PHONE: (626) 285-0488 EXT:
GAL ID: NO. OF CONST BUILDTNG ADDRESS:
TR: 28317 LT: 5 SQ. FT STORIES TYPE 9142 LA ROSA DR
STRUCTURE: 7000 VN TEMP CA 917803016
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: ENCINITA
5388-009-012 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: COMME USE ZONE: M SS PROCESSED
EXIST OCC GRP: 01/23/04 VG 01/17/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
OTTING ENTERPRISES INC - 15,000
7211 DAFFODIL / f
CARLSBAD, CA 92009 FEES PAID DESCRIPTION
T/0 EXIST ROOF AND INSTALL BUILT-UP ROOFING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
PRIVITT (562) 696-9537- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 15000.00 VAL 1.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 15000.00 VAL 300.60
TOTAL FEES 329.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DICK MADSEN ROOFING (562) 696-9587
12511 PUTMAN AVENUE LIC. NO . C 1 SETBACKS
WHITTIER. CA 90602 4167970-39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. FOUNDATION/TRENCH FORMS
LIC. NO:, SLAB/UNDER FLOOR
RAISFD FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
144-265 3 04
FLOOR SHEATHING
OF FAMILIES: DWELLING TS: A : STAT ASS:
NO 22 ROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK M EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR L
EXTERIOR LATH
RATED FLOOR/FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTSIOPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0602210069
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 28317 LT: 5 SQ. FT STORIES TYPE OCCUP GROUP 9142 LA ROSA DR
STRUCTURE: 0 1 VN B TEMP CA 917803016
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5388-009-012 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
TOP WOOD SHUTTER E%IST OCC GRP: B 02/21/06 JK 02/16/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEP I� CODE:
TOP WOOD SHUTTER (626) 286-8817-- 8,000 !A�
9145 LA ROSA DRIVE
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK
PRE-FAB SPRAY BOOTH
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
M.S. TECHNICHAL SERVICES (562) 426-3453- D1 PLANCHECK W/O EN-HC 8000.00 VAL 155.55
P.O. BOX 9130 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ,
AE STRONG MOTION OTHER 8000.00 VAL 1.68 .
D2 PERMIT W/O EN-HC 8000.00 VAL 183.00
TOTAL FEES 367.98
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BAR Z INDUSTRIAL (909) 481-3450- _
8356 BELLA VISTA LIC. NO LOCATION AND SETBACKS
ALTA LOMA, CA 91701 727856 B _
SO1LS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 04
FL:,OR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: _
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS - SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRINKLER HANGERS
INSULATION WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508 _