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HomeMy Public PortalAbout9240 LA ROSA DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT -,COUNTY OF LOS ANGELES � ' WM. J. FOX. CHIEF ENGINEER L FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 1 ADDREBB 9240. La Rosa Drive DISTRICT NO. _ PLAN CK.NO. PERMIT gNO•// BUILDING .p LOCALITY Temple City, Calif .. RECEIVED BY DATE OF APPL. DATE ISSUED �Roea1. Rio Hondo Avenue AUILDIND O 5.A I� OWNER TURNER HOMES INC• ADDRESS O MAIL ADDRESS 26 'East Santa Clara Pt., LOCALITY tT� C �- AY p� 1'� NEAREST i+l I O ����•U CITY �•_aac .a TEL (-3563 CROSS ST. FIRE NO.OF TYPEGROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. SLOG. � ` ORD.NO. ADDRESS - SETBACK LINE r d Ir. r APPROVEDTEL CONTRACTOR Same NO.. BY DATE • USE t�; PPROVED ADDRE92 ZONE Y' DATE LEGAL (� CORRECTIONS DESCRIPTION - r�LOT NO. BLOCK u� y/ TRACT 16475 S �� L N NO.OF BLOBS. *TO SIZE OF LOT 61 $-112 I NOW ON LOT USC OF I ND.OF I NO.OF EXISTING BLOO. Nn FAMILIES ROOMS DESCRIPTION OF WORK NEW ,ALTERATION ADDITION O A REPAIRq+// •� �/�"�- MOVING DEMOLISH4_ NO.OF O ROOMS 5 BTORIE®"1 WALL ROOF m COVERING PlasterI COVERING USE OF N[W - BUILDING 1 in / Q Xaa 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS, APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIO141. LOCATION INSPECTOR D9 TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIAL13 / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �� "' "I //7 qAs/ I FRAME: FIRE STOPS. SIGNATURE OF TURNER ��gg��+,��••II BRACtNO,BOLTS ✓_ ��.de.aRo.r_ /�/YQ`Sl PERMITT[ HOl`1rJD C LATH, INT. / / AUTHORIZED AOT / LATH, EXT. i 76A636A-3 2-50 $ P.C.G /6/��6.0.0 PLASTER,INT. < FEE 2'Y OO �� � PLASTER,EXT. VALUATION FEE !8 30.00 FINAL sr� " �e�eeaADd>3eaeAPPLoICATION FOR BUILDING PERMIT �. DP""'-ION OF BUILDING AND SAFETY AADDG Ess �aaC �� .�r ! _S' "4�;o.A _ Department of County Engineer r� County of LOS Angeles LOCALITY J ;mr,*-y .4 /a 1 WM.J.'FOX, COUNTY ENGINEER NEAREST CASSATT j� � �o� ��I'f" smammm 1-1D.GRIFFIN,SUPT OF BUILDING CROSS ST. / lCrQ D18TR NO. G P I TYPE �sr I S gEt MA9 7 FOR APPLICANT TO FILL IN. - J�6/� CONST. BUILDING , _ ATE ADDRESS 90�j D �• _0.5 Ij C/ ^ NUMB ER ST 'YES �NO� _LOT NO. BLOCK USE ZONE SPECIAL CONDITIONS TRACT _ 0 . NO. OF BLDGS. - SIZE OF LOTJ 'X l �IJ I NOW ON LOT SETBACK BUILDING YARD HWY STREET NAME EXIST. EXIST. USE FRONT EXIST,NG BLDG. GU �' P L. . OWNER SIDE _ MAIL . ADDRESS ct � L/ L �• Q7 O TRACT DWELL7 UNIT - • 5 INDUSTRIAL TEL 1 -DWELL. I UNIT ' CITY L�/tit PG r C7 NO.,p T T L.I z B PUBLIC BLDG. - ARCHITECT OR TEL. 2 DUPLEX I UNIT - ENGINEER NO. - ADDN.,ALT.. ETC. 3 APT. UNITS ,8 MISCEL.: -. ADDRESS 4 COMMERCIAL- - CONTRACTORA/-IJ--lUfJA-y 0-49A/, -TNo-P/A s3347s I INSPECTION,RECORD ' ADDRESS SGS GV L 1 - DESCRIPTION OF WORD NEW ALTER REPAIR DEMOLISH Q. FT. ,&49 NO.OF NO.OF SIZE '�-old/ STORIES FAMILIES USE OF-STRUCTURE SIGNATURE OF APPLICAN/,Tc,' APPROVALS ' ADDRESSa%4f` ���- �- DATE INSPECTOR'S SIGNATURE $ � Q a FOUNDATION: LOCATION P. C. FORMS, MATERIALS FEE FRAME: FIRE STOPS, VALUATION BRACING, BOLTS Ciz� FEE FURNACE: LOCATION, _ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMP Y WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS ULATING BUILDING CONSTRUC- - TION. LATH, EXT. SIGNATURE OF /� HOUSE,NUMBER COR- - PERMITTEE RECT AND POSTED ADDRESS �`"�'� ' FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR M29 1 6 3.0_C -51•7 u JUN 29 .1 1 2.0 0 . TEMPLE CITY \� 76A638A CEOS09 3-66"APPLICATION FOR BU I LDI N PERMI•T COUNTY. OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 24o La Rosa BUILDING AND SAFETY DIVISION LOCALITY - JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST DIST D N G P TYPE PR MSB Y FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL SSIFICATION' 'SEWERTMAP ADDRESSigngg CLASS NO DWELL UNITS BPG LOT NO. BLOCK. 'USE-ZONE MAP NO. TRACT SPECIAL NO. OF BLOOS. _ CONDITIONS - SIZE OF LOT NOw ON LOT _ USE T,OFDwelling - I-XSNG BLDG, BLDG. SETBACK FROM TEL FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF EXISTING- SETBACK HIGHWAY YARD = TOTAL ADDRESS HIGHWAY F M C.L. a + ©_ Z ,CITY BLDG. SETBACK FROM _ ARCHITECT OR TEL. - SIDE PROP. LINE OF (STREET) ENGINEER NO.- TYPE OR EXISTING SETBACK HIGHWAY + YARD =. TOTAL _ ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR ^Virgin Roof C0110 '287-05007 + ADDRESS -•600 S Ga vd. 160650CORNER CUTOFF YES E] NOEl O CITY LIc SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK xx W d NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. NO. OF NO. OF — SIZE STORIES FAMILIES ` USE OF STRUCTURE Reroof house usinghot I - s fj► application- felt and asibhal±l e_.1 SIGNATURE OF and rock. APPLfCANT VALUATION$ '0 0 0 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION REE$ FEE$ 6.00 FORMS, MATERIALS•- FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL 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 LAB R CODE OF THE STATE OF CALIFORNIA RELAT• INC TO WORKMEN' CnMPENBATION I ISU RA NGE (LATH. EXT. SIGNATUREOF V rgI Of C . HOUSE NUMBER COR- PERMITTEE I RE AND POSTED 1 ADDRESS600 San Gabriel lvd.; S. G. IFI NAL � ,/ JOHN F. LEWIS. PR NCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION 'CK. 1i.O. CASH _ PERMIT VALIDATION ' CK. M.O CASH LAG', G..0,6 8•-0 AUG 1 4 1 D 5.0 0 I WORKERS'COMPENSATION"DECLARATION "' '=r•_ < - ' :q.:, APPLICATIONYAFOR .BUILDING PERMIT- • c I,hereby affirm that I have a•,certificate.,of consent to self insure,-or a certificate of�Workers' Com ensation Insurance, ., p or at'certified copy`thereof'(Sec. 3800; Lcib.',C.) r,+r!, - COUNTY OF LOS ANGELES -� BUILDING,AND SAFETY :r Policy NrrZ✓�l Company //�!ft �U/w _ - - - - CerTified'copy_•is hereby.furnished. FOR APPLICANT TO FILL IN ADDRESS Q Certified'co�py'is filed with the county building mspec- BUILDING ltion'department. t' f= ADDRESS 0990 Date: _,�_ 'Applicant, _ CITY *7,41 /.I ZIP O� LOCALITY y yM1 CERTIFICATE'OF EXEMPTION-FROM R "•`' "{' "' NO.OF BLDGS NEAREST _ > COMPENSATION INSURANCE- ii'•' ' SIZE OF LOT , NOW ON LOT CROSS ST. r (This section need:not beicompleted'ifahe.permit is.for:one »- - ASSESSOR; ' "-' r• •'t:, hundred dollars ($100)or less.) -{; ... V TRACT BLOCK LOE NO ~> MAP BOOK` ' "" PAGE;, PARCEL i UY NE - MAP r, - OWNER' lis. T' NO. j I certify that in the performance of'the work for which this permit is`issued, I shall riot employ any person in any manner ( r -- SPECIAL c - - O so as to become'subject To the Workers'Compensation Laws. ADDRESS - �!�'JI CONDITIONS �} ZIP. - + .CITY_. _ ARCHITECT OR TEL DISTRICT: GROUP„ TYPE FIRE _PROCESSED BY ? NOTICE TO-APPLICANT"-Jf„'after making this'�Certificate of ENGINx ' Exemption,+,you•=should`beEER' NO come, subject- to,the Workers” 4 �i /] CONST K, NE- LU Compensation provisions of the Labor Code„you.must forth- ADDRESS With ;comply, witljc,such•.provistons or Thisf.permit shall be --.- -.- - - -- n H + deemed revoked:, EL 7S STATISTICAL CLASSIFICATION s, APT. C' DO"' :• Z e i• c•F CONTRACTOR E N i OZ - o _ LICENSED CONTRACTORS DECLARATION - p -- - L CLASS NO - DWELL UNITS' I hereby affirm that,I am licensed under provisions of Chapter 9 ADDRESS 9191i - C/T O A-2/ SEWER MAP (comrnencing with Section 7000)of DiJiiion 3 of the Business and _• - _ LIC. Frofessioris'Code, and my'license is'in full force'ci d'effeb. CITY -Q O CLASS ~L_^.3/ }' BC P6. ' y VALIDATION i a f L.t: 1•, 9 „S'k • - SQ FT_ D NO OF_ NO OF CHECK C }' , t t. :t Yt. ct 41 :, SIZE STORIES FAMILIES -ONE t } r: ;], �' License Number Lic.Cldss (`'" prj 4 VALUATION (./ t. - ;'s_ . .. DESCRIPTION OF WORK /77 U/ %Cl1O NEW ❑ R - Contractor' Date ADD ❑ $ 1 am exempt under Sec. . �. •• ^ � ., yr .. - ALTER 1 ,- �'-'•' . B'BP.C. for this reason AS 717>/i> REPAIR. a - - Deltec' USE 1” DEMOL' ❑ 1 t t • . EXISTING BLD -- - - Signature APPLICANT q =TEL'. FINAL i OWNER-BUILDER DECLARATION PRINT !t G= `>`' C��', -N04�� DATE thereby affirm that I am exempt from The'Contractor's License Low for the following.reason (Section 7031.5, Business and ADDRESS FIN: ' f �.. Professions Code).y ». PRESENT - :- By'/ __ _ 7 ❑ p _ BUILDING -- - - + I; as owner of the property, or my'employees with ADDRESS wages as+;i iF'sole compensation;will do the woik-and } ; the structure is not intended-or offered for sale(Section LOCALITY '• � ! - " 7044,-Business and-Professions Code). - MOVING TEL ❑. 1„as owner of the property, am exclusively contracting CONTRACTOR with licensed contrdctors To'construct the protect (Sec- ADDRESS tion 7044, Business and Professions Code). y REQUIRED_ _ TOTAL SETBACK _.. _ AN( - CONSTRUCTION LENDING AGENCY 'SET BACK YARD HWY'' PROP. LINE WIDTH' hereby affirm that there is a construction'lending agency for FRONT .. -``){- ! . the performance of-the work for which-this permit is issued - - •- -•P L - - r: r - -- » - -- - • - _ _ �� am-. _ i (Sec. 3097, Civ. C.). SIDE -.,. Lender's Name (ITAL + ® 0.0 ” LDMA Ref # _ P-C-Fee E- - a...,Permit'Fee - '. - i --78.00 Lenders Address I` E -, "­ ' •�, - ' (_certify.that I_have.read..this.application,and state that the Issuance Fee- CDMA P/C#_ '- •HAtf�1E a above information is correct. I agree to comply with all County y Investigation Fee g ordinances and State taws relating to building construction, _ - Total•Fee - CDMA Perm. # -{ u and hereby authorize-representatives of this County to•enter / f`W a upon t eabove-mentioned roperty f inspection purposes. I0(�CIl�-INOI �. �.6 -� A�GUAGE SEE REVERSE FOR EXPLANAT RY L N • O -- - Sig ure• plicant or-Agent---- Date-- 7 / PP LICATION• FOR: BUILDING PERMIT COUNTY OF LOS ANNNN6tLeS BUILDING AND SAFETY WORKER'S'COMPENSATION DECLARATION 5 FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self,Insure, BUI- IjdF�ADD V �V� or a certificate of Workers' Compensation Insurance,or a certified fJ !'1 copy thereof(Sec 3800,Lab C) - CITY.-V4, •�� ,( ZIP , ti./� LOCALITYPolicy No No Company _ SIZE OF LOT .L`--ti--NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished' NEAREST CROSS ST ❑ Certified copy Is,flled with the county,budding Inspection TRACT BLOCK LOT NO - department. - USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE-OF EXEMPTION FROM WORKERS' OWNR �� &Q �EL NO — /611 WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE' �j I ADDSS (This section need not be completed If the permit IS for one hundred t 1 b `J` Y! - DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100) or less.) CITY "{ v /-1 `f 1 I certify that In the performance of the work for which this permit. s issued, I Shall not employ any erSOn in any,manner,so as t0 ARCHITECT OR ENGINEER �J• TEL NO o i becom subject to the Workers' o pensatl R Laws STATISTICAL CLAS ll`ICATION 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 should become subject to : the Workers' CC�N�TR TOR 1 '/ EL N�� �o SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith tAi/� J�ttD6`I FRONT comply with such provisions or this permit shall be deemed revoked DRESSPL ` SID E LICENSED CONTRACTORS DECLARATION 15q PL 5. I hereby affirm that I,am licensed underprovisions of Chapter 9 CI ! `- LIC cL s` SEWER MAP (commencing with Section 7000)of Division 3 of the BUsiness•and, SO FT SIZE.\ NO OF STORIES NO 01 FAMILIES. Professions Code„: my lice"nn e�j7s in full force and'effect NEW ❑ BK PG a License Number 0 LIC Cie, ` r DESCRIPTION OF PORK ii jj p ADD ❑ VALUATION �0-0 1 0 Contractor•PU Date' heI�c�nUe 1j�_ wn`1 ����yN� I! ALTER [� $ �' U T� S\3Ui '� �..'�'�11� REPAIR ❑ 0, ❑ I am exempt under Sec. $ I— B&P.0 for this reason �; fl' t � DEMOL . 13LDMA P/C# W ate U E OF-EXISTItJG BLDG - URM ❑ •-• - - - IL Signature . APPLICANT(PRINT) TEL NO LDMA Perm# - Z Z AGGT.B ❑ I, as'owner of the property, or my employees with wages as .O j their sole compensation, will do the work and the structure is ADDRESS FINAL DATE ~ 3`�`"' 175e6C not Intended or offered for sale (Section 7044, Business and QQ PfOfeSSIORS Code) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL '-0— 1 iTEt15 ' ❑ I, as owner of the•property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY5 5 licensed contractors to construct the project (Section 7044, YES El NO ❑ TtICCTAL -_o ® -� Business and Professions Code) �HG�N 17 ,6 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH (/+•-L�J//��r,, CONSTRUCTION•LENDING AGENCY COAST.AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR L•MNGE .00 GUIDELINES ' I hereby affirm that there is a construction lending agency for YES❑ NO❑ (j•�j(��(n� (y(� 9/ J N the performance Of the Work for Wt11Ch this permit IS,ISSUed($eC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE'AND THE SCAOMD PERMITTING ,OLiL14J'�11VD1 7/ 5/95 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS ' 1 c M• i 3 Lender's Name - MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD ,, ?14S 1 Al 1 j 1 41 o Lender's Address - a O OWNER OR AGENT o •I certify that I have read this application and state under.penalty R of perjury that the above information is correct I agree to comply PC FEE PERMIT FEE '141 o with all county ordinances and State laws relating to building m construpti9n, an hereby authorize representatives of this County ISSUANCE FEE �j �� —to e t f upon th bove mentioned property for inspection purposes ol/ v .fi A `3—�'rj' INVESTIGATION FEE TOTAL FEE , � -Ino yam Adpm o � SEE REVERSE FOR EXPLANATORY LANGUAGE