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Home My Public Portal About9243 LA ROSA DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' -K WM. J. FOX. CHIEF ENGINEER IN G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. A o EBB 9243 -La. Rosa Drive ^ �� y�. q 4...es LOCALITY Tele City-i California RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST 1 CROSS . Fra ttlla Drive OWNER TURNER-HOMES- -INC-,' ' . - ADDREIN 9� 4 3 Lq �e% A AMAIL DDRESS 26 -East Santa Clara St's` ^• LOCALITY 1 NEAREST �o A-r. 1 c TEL DO '7_3563 CROSS ST. bf CITY Arcadia NO. / FIRE NO.OFTYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. _ BLDG. �A 1 1 ORD.NO. ADDRESS _ SETBACK LINE APPROVED TEL. By DATE CONTRACTOR gptrnA NO. USE 1 APPROVED ADDREGS ZONE BY DATE LEGAL _ , '�• v CORRECTIONS DESCRIPTION- LOT NO. 102 BLOCK - TRACT 16475 � ~ s p '). NO.OF BLDGS. SIZE OF LOT 62 R 101 NOW ON LOT ATNO USE OF I NO.OFI NO.OF EXISTING BLDG, No FAMILIKS ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O , A REPAIR ' qq MOVING //" DEMOLISH p SIZE - yVVy ROOMS 4 STORIES 1 r WALL ROOF m _ COVERING Plaster, COVERING USE"r" Dwelling �SUILDINOW Ji I HEREBY ACKNOWLEDGE THAT 1 HAVE READ -THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE FORMS, IO '+ AND AGREE TO COMPLY WITH'ALL COUNTY ORDINANCES FOUNDATION, LOCATION FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, / SIGNATURE OFm D _ BRACING,BOLTS ��it.Ae►�LL...1 ��IVIS�^ PERMITTE j n HOS 0 LATH, 1001, INT. ALLTHORIZED A0T LATH, EXT. 7GA63BA-3 2-SO $ �'�" P.C.S .-5.63 PLASTER,INT. REE PLASTER,EXT. VALUATION FEE 28.13 8Ai3 FI NAL f •WORKERS' COMPENSATION DECLARATION I hereby affirm that I have'a certificate of consent to self msur'e, or a cert ficate of Workers' Compensation Insurance, L•I:CAT I O.N, 'F'O R , B 4J IL DIN nl G PERMIT or a certified-copy thereof(Sec. 3800,•Lab C ) - �- % • - y • • -COUNTY OF.LOS ANGELES- BUILDING AND SAFETY Policy No � Company BUILDING ' -• • rtified copy.is hereby furnished. FOR APPLICANT TO FILL' IN ADDRESS Certified copy is filed with the county bur ing inspec- BUILDING tion department. ADDRESS (` ,Date �! ��pplicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST ullt COMPENSATION INSURANCE- SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit Is for one / ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO ( MAP BOOK' : PAGE' _ PARCEL, TEL.^� Q USE 20NE MAP / '] I certify-that in the-performance'of the.work for which this OWNER NOe�JS r3TJ NO. / `'�C permit is issued, I shall not employ any persomin any manner-" SPECIAL i so as to become subject to the Workers'Compensation Laws. ADDRESS- CONDITIONS 0 CITY ZIP Date Applicant = ' NOTICE TO APPLICANT:-If, after making'this,Certificate of ARCHITECT OR TEL DISTRICT G UP TYPE FIRE PR SSED BY O ENGINEER NO. y CONST: ZON I" Exemption; 'you should,.become subject to the Workers' �j Compensation provisions of the Labor'Code, you must forth- ADDRESS t v �' " =. W with comply with such provisions or this permit shall be / TEL `deemed revoked. CONTRACTOR �OfO v O 6 STATISTICAL CLASSIFICATION APT. ONDO. Cf) . LICENSED CONTRACTORS DECLARATION LIC, __-Z9 / CLASS NO. DWELL-UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Z(�• NO � � (commencing with Section 7000)of Division'3fof the Business'and LIC. SEWER MAP Professions Code, and my license-is in fu_II•force and effect. CITY 4ii111q_ CLASS �— BK_ _PG VALIDATION -�/ SQ. FT., NO.OF NO OF CHECK License Number L Sr�JI'9 Lic.Class 0157-1 ` SIZE+ STORIES'' ' FAMILIES ONE ° ❑ VALUATION ControctoA6"tiS5,df wrcpate �� 7 —�� DESCRIPTION OF-WORK NEW- _ ADD v U I am exempt under Sec. ❑ - ALTER B.BP.C. for this reason ❑ S REPAIR 2 8 3 7,5;A USE OF DEMOL Date: EXISTING BLDG. ❑ # 0 0 0 0 t o.rJ Signature' APPLICANT TEL --- 49.88 FINA / OWNER-BUILDER DECLARATION PRINT NO 7 ' l�6 q� DATE _ 77-X 'I I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS 2 FIo'a40886_ n Professios Code):- PRESENT B / �� 1 1 7 $7 - BUILDING - _ " . I, as o'wner of the property, or my employees with ADDRESS *• wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL CONTRACTOR' NO �ti'" I, as owner of the property, am exclusively contracting \,ti - t with licensed contractors,to construct'the project (Sec- ADDRESS` tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED, TOTAL SETBACK FROM ':xW YARD HWY S ETBACK PROP LINE WIDTH, I hereby affirm that there is a construction lending agency for }� •` '> the performance of the work for which this permit is-issued (Sec. 3097, Civ. C.)., Lender's Name -i �" ,i�y -�� •,.' ;- - •� P i t F LDMA Ref.e mi eeLender's Address I certify that I have read this application and state that.theIssuance FeeLDMA`P/C,# above information is correct. I agree to comply with all County"• ee q ordinances and State laws relating to-building construction, R and hereby authorize r esentatives of this County to enter ' Total Fee. - t n CDMA Perm # .m upon the above- nt' ed operty for'inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of pphcant or Agent Date t , WORKE_?S"C�1_6-9NSATION DECLARATION _ I surebytia cer hat I aW r certificate of consent to self .�P P L'CAT'-ON ®� BUILDING PERMIT .insure; or a cert�f�cate of Workers' Compensation Insurance, .or a certified `copy thereof (Sec: 3800,'lab. C.) ,,�,� COUNTY OF LOS'-ANGELES BUILDING AND SAFETY Policy No Company _��"'^' ' Certified co s hereby furnished BUILDING 2rcfl /J ❑ py y FOR APPLICANT TO FILL IN ADDRESS L Certified copy is filed with the county building inspec- BUILDING ,� tion department, ADDRESS �O Date Applicant CITYr ZIP LOCALITY 77 CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF.BLDGS NEAREST COMPENSATION,INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ` (This section'need not be completed if the permit is for one - / Z ASSESSOR - TRACT ( - S', BLOCK LOT NO' (! hundred dollars ($100)or less.), MAP BOOK' PAGE PARCEL TEL`. USE ONE MAP. I certify that°in the performance of the work for which this'', ' OWNER i NO• NO. �1i permit is issued, I shall not employ any person in a y manner SPECIAL so as to become subject to the Workers'Co pe tion aws. ADDRESS r CONDITIONS Date ''�i� �Applicant CITY' ZIP. U ARCHITECT OR TEL.'• NOTICE TO APPLICANT: If, after'making'ih Certificate of, DISTRICT GRPPP I TYPE FIRE PROCESSED BY O ENGINEER NO. / Exemption, .you should become subject to the Workers' . .. . . ^ !)�( CONST ZONE (-- Compensation provisions of the Labor Code,,you must forth- ADDRESS •, S� (JLC / L! with comply with such provisions or this'permit shall`be TEL. STATISTICACCLASSIFICATION APT. CONDO. deemed revoked; „ CONTRACTOR+ NO Z. LICENSED CONTRACTORS DECLARATION _ < LIC- ��Q_,l CLASS*NO DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O, �N (commencing with Section 7000)of Division 3 of the Business and ' SEWER MAP LIC'.. /_ Professions Code, and my license is m full force and effect "' .CITY, CLASS' -v VALIDATION ' SQ FT^� NO. OF NO OF CHECK BK PG License Number •��B I Lic.Class SIZE�/ STORIES FAMILIES ONE '' / •i VALU TI N " Contractor /td(O/*�55�./� Date �f'��y7 DESCRIPTION OF.WORK %(� N ❑ $ /JD ADD ❑ 1 am exempt under Sec. O a 2 (D A• LTER B.BP.C. for-this reason J REPAIR. s - #'.9.0 0 0 0.1 USE OF / Date: EXISTING'BLDG. ., DEMO! ❑ 3 o.2+7 a 7 5 SignatureAPPLICANT TEL FINAL PRINT NO �� • OWNER-BUILDER DECLARATION (PRINT) DATE 0 2.7 37 5_ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code):. `Q 2 -8 7 ❑ BUILDING . I, .as.owner of the property; or, my employees with ADDRESS wages as their sole compensation,will do the work'and the structure,is not intended-or offered for sale(Section LOCALITY • 7044, Business and Professions,Code). ,, MOVING-. : . ;- � •., TEL. , ❑ I, as owner of the property, am exclusively 'Contracting CONTRACTOR NO. g • with--licensed contractors to construct.the project (Sec-,• •, _ _' ', •, - tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY. PROP. LINE `WIDTH' I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit,is issued . P.L. (Sec. 3097.Civ.'C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ - Permit fee. lender's Address _ •I certifythat I have'read this application and state that the /) �l ' PP _ Issuance Fee �/t V kLDA P/C q above information is:correct. I agree to comply with all County Investigation Fee ordinances' and S ate ws relating to building construction, �. . " R and hereby a ori ' representatives of'this County to enter Total Fee LDMA.Perm. # _ upon the a e- ti d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Applicant or Agent .'Dote, 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 1110170100 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 16475 LT: 102 SQ. FT STORIES TYPE I 9243 LA ROSA DR I I _ STRUCTURE: V-B TEMP CA 917803732 ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: RIO HONDO 18590-010-002 1 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXIST OCC GRP: 110/18/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FINAL DATE FINAL BY: CODE: 1 IWEIS STEVE;SHELLY (626) 285-3836- 1 38,000 ` /�(� 19243 LA ROSA DR 1 � .1 _ l ITEMP 917803732 I FEES PAID IDESCRIPTION OF WORK ` 1 1 I IKITCHEN REMODEL AND TEAR OFF AND REROOF TO MATCH NEW I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JADDITION (APPLICANT: TEL. NO: 10'LEARY, TOM (626) 287-0927- IAA BLDG PERMIT ISSUANCE 27.80 1 I 15823 AGNES AVENUE JAB STATE GREEN BLDG FEE 38000.00 VAL 2.00 ISPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 JAC STRONG MOTION RESID 38000.00 VAL 3.80 1 1 JB2 PERMIT W/ENERGY 38000.00 VAL 704.20 I 1 I TOTAL FEES 737.80 (CONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1TOM O'LEARY CONSTRUCTION (626) 287-0927- I 15823 AGNES AVENUE LIC. NO I ILOCATION AND SETBACKS 1 1TEMPLE CITY, CA 91780 489354 I 1 ISOILS ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 ISLA3/UNDER FLOOR I 1 I I IRAI_SED FLOOR FRAMING 1 I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I 1 I 1144H265 3 001 I I IFLOOR SHEATHING 1 I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 0 NO 21 -1 IROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS I I I JAIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 (FRAME INSPECTION I I I 1 IFIP.E SPRINKLER HANGERS I I I (INSULATION/WEATHER STRIPI I I 1 —1 11NTERIOR LATH/DRYWALL 1EXTERIOR LATH I I I (RATED FLOOR/CEIL ASSEM. I I I 1 IRATED WALL ASSEMBLIES ' I RATED SHAFTS/OPENINGS I I =I IT-BAR CEILINGS 1 .CI* ADDITIONAL DATA ON FILE 1_. I ]LOT DRAINAGE I 'I _ EREPOR� Ip. DPR26i ' UTETOBF,gqO�Oo -` - .i ... .'( RO ' M•,�'._.-'..! •K' Pt.w...>.r'.� 'a-:.." ,'- ..z.:.s: r.., t: w^�,4, r_ r •- :-t r- o ..r '—"- ar. - `K'e�•.<3. :. ... .,." - .. :�'_t,.-, .:-- .. D _`,:;" _. - ti Nt ti-.e K'..�.,rr°,�'�":'-.- ,.'�dpn'3-,.�• R.:�. .� '.`-�'- ,,`.,i:.-''"�'�4',z•,c. ''�. F. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 _ BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1103090001 - PHONE- (626) 285-0488 EXT: , ILEGAL ID: � 1 NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 16475 LT: 102 SQ. FT STORIES TYPE OCCUP GROUPI 9243 LA ROSA DR I I ISTRUCTURE: 201 1 V-B R-3 I TEMP CA 917803732 1 JASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: RIO HONDO 1 18590-010-002 OTHER: 195 1 V-B U THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: USE ZONE- (ISSUED ON: PROCESSED BY: I I 1EXIST OCC GRP- 103/28/11 SR I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFI D J FI CODE: IWEIS STEVE;SHELLY (626) 285-3836- I 38,000 19243 LA ROSA DR I 1 ITEMP 917803732 1 FEES PAID JDESCRIPT ON 00 WORK 1 (ADDITION TO FAMILY ROOM, MASTER BEDROOM AND COVERED PATIO 1 IFEE DESCRIPTION. QUANTITY: UOM: AMOUNT: ( (APPLICANT. TEL NO: I I 10'LEARY, TOM (626) 287-0927- IB1 PLANCHECK W/ENERGY 38000.00 VAL 598.60 1 15823 AGNES AVENUE IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1 A STATE GREEN BLDG FEE 38000.00 VAL 2.00 IAC STRONG MOTION RESID 38000.00 VAL 3.80 I I JB2 PERMIT W/ENERGY 38000.00 VAL 704.20 1 I (CONTRACTOR. TEL. NO. I TOTAL FEES 1,336.40 (APPROVALS DATE INSPECTOR SIGNATURE I ITOM O'LEARY CONSTRUCTION (626) 287-0927- 1 ^1. 1 15823 AGNES AVENUE LIC. NO 1 ILOCATION AND SETBACKS 1 I ITEMPLE CITY, CA 91780 489354 B-1 1 1 ISOILS ENGINEER APPROVAL 1 1 I I I I I I JARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS I ZiI LIC. NO: JSLAB/UNDER FLOOR I I 1 I IRAISED FLOOR FRAMING I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( JUNDERFLOOR INSULATION I I I 1 3 bol I I I I I 11ST LEVEL FLOOR SHEATH I 1 I NO OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS,. I I I NO 21 12NL-LEVEL FLOOR SHEATH 1 I SCHOOL WITHIN HAZARDOUS I JROOr' SHEATHING I 1 JAIR QUALITY: 1000 FEET MATERIALS NO NO NO i IFIRE DEPT. FRAME INSPECT( I I IBLDG'DEPT. FRAME INSPECTI I I I I I I ISHEAR PANELS 1I r (INSULATION/WEATHER STRIP( I (INTERIOR LATH/DRYWALL L I I I I 1 1EXTERIOR LATH I I I r I I ILOT DRAINAGE I ( I I 1 1 (SMOKE DETECTION DEVICES 1 IFIRE DEPARTMENT APPROVAL( I I I I I I I I IREPORT ID DPR261 ROUTE TO. BS0508 I I_