Loading...
HomeMy Public PortalAbout9156 LA ROSA DR_Building__ Fu111ACE#e03-1-e1 APPLICATION FOR BUILDING PE'ERM'IT COUNTY OF LOS ANGELES BUILDING n DEPARTMENT OF COUNTY ENGINEER ADDRESS Jo<0C� BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. _ DISTRICT NO P TYPE P O S Y FOR APPLICANT,TO FILL IN \J CONST. BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS BK CLASS.NO. DWELL.UNITS '9'P LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE. TRACT •,+ MAP /7� J HIGHWAY STATE MAJOR SECO LOCAL NO.OF BLDGS. NO. C�/ (CIRCLE) SIZE OF LOT 'G2�d IN ON LOT y� USE ZONE 6PECIAL , USE OF \\\��_ CONDITIONS EXISTING BLDG. -� �/ � TEL. ''/ OWNE NO. BUILDING ' EXIST. SETBACK -YARD HWY STREET NAME --"WIDTH ADDRESS F FRONT _ ARCH ITECT O TEL. P.L. / ENGINEER i L NO. T- -SIDE P.L. } ADDRESS ' u EL INSPECTION RECORD CONTRALTO NO. _ V ADDRESS - O DESCRIPTION OF WORK a NEW ADD _ALTER , REPAIR DEMOLISH / >' f' V) S FT. NO.OF NO.OF <y I„ ? IZESTORIES FAMILIES ,y „G, t USE'OF STRUCTURE SIGNATURE O APPLICANT 4F C VALUATION$ __ =:L - APPROVALS • DATE INSPECTOR'S SIGNATURE P C. PMT. SD FOUNDATION: LOCATION / _ FEE $ s FEE $ +� FORMS, MATERIALS G/ �i/ -� 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., f _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 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 WORKME`N�'SWATION LINSURANCELATH,EXT. SIGNATURE HOUSE NUMBER COR- PERM , • L Z G ITTEE RECT AND POSTED ADDRESS `G�JS S • i�0��'1 FINAL CLYDE N. DIRLAM, PRINCIPAL ST76ERAL ENGINEER _ PLAN CHECK VALIDATION cK M.O. CASH., PERMIT VALIDATION CK M.O. CASH Z,'0 1 ZR• APR8 2.3' D 4 4_.c 5 4 {" LN60 L .2 6 6'0 APR 14 1 D 88.5,0 (E)S-7 6380 '•° - , CE#803(REV 6/78) _ APPLICATION FOR;-BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY- = FORLDING APPLICANT TO FILL_�N Q ADAD�REss IDRESS 7` • LOCALITY - NEAREST �. CITY - �� �� ZIP Q CROSS ST- NO OF BLDGS, _ ASSESSOR SIZE OF LOT. 7.0 X ZJ NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY TRACT.- BLOCK LOT NO' �0 CONST ZON , TEL OWNER 1 41 M N i f) NO ' // STATISTICAL CLASSIFICATION C SEWER M _ ADDRESS / �� L a CLASS NO 2 !/UWELL UNITS ✓ Bri-3-PG. CITY lot& C.i tZIP •17.9 /r - //►� ARCHITECT OR TEL VALUATION ®VG- ENGINEER NO parr 'ADDRESS BLDG SETBACK FROM TEL -�t� FRONT PROP LINEOF (STREET) i f J1 y� NO- ��� HIGHWAY ..+ YARD = TOTAL SETBACK FROM TYPE OF EXISTING FRONT PROP LINE -HIGHWAY WIDTH ADDRESS •.�C� EZL/� , CITYIZ- \ LC C'I CBLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP LINE OF � •' (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SQ FT I NO OF INOF - CHECK + _ U SIZE STORIES FAMILIES ONE G DESCRIPTION OF WORK NEW E] P.C Fee$� .4 Permit Fee ADD ❑ Issuance Fee N V•T FJ/i� LTER Z PAIR Total Fee- da 00 USE OF EXISTING BLDG DEMOL ❑ Z _ APPLICANT ( TEL 0 (PRINTF i �J00 e-p_ NO Q g1&-4 5L;1 A BY(SIGNATURE) �L� a I HEREBY A KNO LEDGE_THAT 1•HAVE READ=THIS'APPLICATION'AM)STATE Y 'L I o`0'5 GA 0 _ THAT THE ABOV ORRECT AND AGREE TO'COMPLY WITH ALL ORDINANCES " AND LAWS REGULATING BUILDING CONSTRUCTION-(,CERTIFY THAT IN DOING THE. _ •. WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY,PERSON INWIOLATION OF V ;o;o.o PG O.-4� 03: THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z - PENSATION-INSO RANGE N RE W RK 1' ' 0 a'3-1 -:7 9'- SIGNATURE OF " 6v4! -52A -. PERMITTEE I An ADDRESS' tel. ., ll''r Z #:o o'�o•o'o;l CITY - .��. TEL ✓P� C ,'2 /• C O Q o o a N USE ZONE MAP Q io 0 0!7 Q 0 0 v NO SPECIAL CONDITIONS _ 0,8 3'1 ►r 79 _ FINAL BY ; DATE /'ZS-7y WORKERS' COMPENSATION DECLARATION- 111s -� •- � ' ' / l �• �! , hereby affirm that I have a certificate of con ert self APPLICATION FOR BUILDING P E RM I T insure, or a certificateInsu of Workers'Compenstion rancc e;or • a certified copy.thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NO. Company BUILDING /} / a ='Certified copy is hereby furnished FOR APPLICANT TO FILL IN •ADDRESS'`7 Certified copy is.filed with the county building inspec- BUILDING, SS / /') tion department' ADDRESS C//V v SA Q/�. LOCALITY, _ NEAREST Date Applicant CITY, �� ZIP 1 CROSS ST L�f1��L�'�"I'��. CERTIFICATE OF EXEMPTION FROM WORKERS' O OF BLDGS, ASSESSOR COMPENSATION INSURANCE SIZE OF LOT- NOW ON LOT MAP BOOK I PAGE PARCEL (This section need not be completed if the permit is for one. USE ZONE MAP �t hundred dollars ($100)or-less. TRACT BLOCK LOT NO. NO_ } I y�//� T17 EL I r SPECIAL A. I certify that in the,performance'of the work for which this OWNER ((/ �D NO Z CONDITIONS Q permit is issued, I shall not em to art 'son in an manner S ✓1 DISTRICT/ GROUP TYPE FIRE OCESSED BY V P P Y Y P Y ADDRESS V/ On ' _ CONST 3 E O so as to become subject to the Wor s' ompensatwn L s V //�� CITY 16 Ci� ZIP �J;d Dat Applicant STATISTICAL CLASSIFICATION APT DO V NOTICE TO APPLICANT If,•after/ akin; this Certificate of ARCHITECT OR TEL LU i ENGINEER, NO CLASS NO DWELL UNITS— , you should beco e subject to the Workers' Vfd�n Compensation provisions of the Labor Code,'you must forth- ADDRESS SEWER MAP 6\=' with comply.with such provisions or this permit shall be / deemed revoked CONTRACTOR (w��/L/ NO" [T BK _TPG, y� 3 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 ii LIC Professions Code, and my license is in full force and effect CITY CLASS $ SQ FT NO OF NO OF CHECK } License Number Lic Class SIZE. STORIES „ FAMILIES ONE (y! 'DESCRIPTION OF WORK lits vG NEW $ +f Contractor Date a V ❑ ADD I am exempt from the licensing requirements as I am d licensed architect or a registered professional engineer ALTER FINAL "acting, in my professional capacity (Section 7051, REPAIR DATE ?� Business and Professions Code). USE OF �-} FINAL EXISTING BLDG &0- �2' DEMOL '❑ By Lic.or Regt No. _Date APPLICANT TEL INT ,/bAA 'MI)Cgl: =BUILDER DECLARATION PRNOOWNERG (r I hereby affirm that I'am exempt from the Contractor's License _ V. Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code): PR 0 s owneBUILDING I r I, ar of the property, or my employees with ADDRESS � wages as their sole compensation,will do the work and ' V the structure',is not intended or offeredLOCALITY for sale(Section 7044; Business and Professions Code) MOVING TEL " 4 3 5,6 A I, as owner of the property, am exclusively.contracting CONTRACTOR NO with licensed contractors to construct the project-(Sec- -tion 7044, Business and Professions-Code) YARD HWY TOTAL SETBACK FROM . EXIST •0 90'5 2 0 0 CONSTRUCTION LENDING AGENCY PROP LINE WIDTH • I hereby affirm that there is a construction lending agency for 5 2 O O the performance of the work fogy which this permit is,issued. ,0'•0.0 (Sec 3097, Civ C.). O'f> 4-82 Lender's Name Lender:s.Address Permit Fee 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 Fee Ob ' $ ordinances and State laws relating to building construction, Total Fee Z and hereby aut raze representatives of this County to enter a upon e gimentioned propert for inspection purposes o � a � SEE-REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date - ©s - 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 0306030044 PHONE: (626) 285-0488 EXT: _UGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 28317 LT: 3 SQ. FT STORIES TYPE 9156 LA ROSA DR STRUCTURE: VN TEMP CA 917803016 ASSESSOR NEAREST CROSS STREET: ENCINITA 5388-009-010 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY T BL - . EXIST OCC GRP: 06/03/03 JK 05/28/04 OWNER: TEL. BLDGS. NOW ON LOT: LUATION: TFWATLD E FINAL CODE: KWONG;ALLEN (626) 292-7386- 4,000 �/ 9156 LA ROSA DRIVE �-�R ��3 i `� TEMPLE CITY 91780 FEES PAID ONE "ION OF WORK LEGALIZE OFFICE BUILT WITHIN EXISTING BUILDING (REMOVE LOFT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ABOVE OFFICE) APPLICANT-: XUE PEI HU (626) 379-9770- AA BLDG PERMIT ISSUANCE 27.75 1522 ACACIA STREET AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: ALHAMBRA 91801 Al PLANCHECK W/EN-HC 4000.00 VAL 113.19 PLA a r Dov f A2 PERMIT W/ENERGY HC 4000.00 VAL 133.17 FO+c- S�T 'A UL& TOTAL FEES 274.61 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE XUE PEI HU (626) 282-7988- 1522 ACACIA ST LIC. NO LOCATION AND SETBACKS ALHAMBRA CA 91810 91755 764228 SOILS ENGINEER APPROVAL ARCHITECTENG : FOUNDATIONPRENCH LIC. NO: SLAB/UNDER FLOOR FLOORRAISED FRAMING MAP NO: SWR MAP BOOK: P RE ZONE: CMP: UNDERFLOOR I ATION X 3 04_ FLOOR SHEATHING 0. OF FAMILIES: D D: STAT C[B-97 NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUSPANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACKSPRINKLER SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL INSULATION/W S RIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED RATED WALL ASSEMBLIES RATED S T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: 8S0508