HomeMy Public PortalAbout9429 LA ROSA DR_Building__ 76A638A CE #e03 3-69' APPLICATION FOR BU I LDI N PEIR T t
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
! FOR APPLICANT TO FILL IN - DISTRICT N0. GROUP _ TYPE - PR C Y
s
(PRINT OR TYPE NLY) (/
BUILDING /' .STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS dQ"�,/ CLASS NO. DWELL.UNITS 6K --P-G --
LOT
P�
LOT NO. BLOCK USE ZONE MAP
N0. 01,5;;,
TRACT SPECIAL
N0. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT ,
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
TEL.h FRONT.PROP. LINE OF (STREET)
OWNER ((/J'V O.OL TYPE OF EXISTING SETBACK HIGHWAY +' YARD' TOTAL;
HIGHWAY WIDTH FROM C.L.
ADDRESS
CITY
ARCHITECT TEL. BLDG.SETBACK FRO (STREET)
ENGINEER NO. SIDE PROP. LINE OF
TYPE OF E%ISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH I FROM C.L.
TEL +
CONTRACTO_R No - -- - -
LIC CL
ADDRESS NO �� CORNER CUTOFF YES ❑ NO ❑ 0
cid
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS .
CONSTRU TION LENDER ~
NAME AND BRANCH - w
CL
V)
ADDRESS Z
SQ. FT. NO. OF NO. OF ❑
SIZE STORIES FAMILIES NEW
USE OF ADD ❑
STRUCTURE ALTER
REPAIR
SIGNATURE OFDEMOL ❑
APPLICANT '
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �� FO NDATION:
MATER r .
FEE $ FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELAT IG O. RKMEN'S'COM-
PENSATION INSURAN E.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDRES _ FINAL
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.o. CASH
` .�► }i+1-5.. ..oma VL 17 ' 1 0 . 9.0 0;;�, Q .
"DBS-3y 25M SETS B-49 - -{ -- - -
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
-COUNTY OF LOS ANGELES MAR Y1946 B U I L�® 1' � G •
•WM. J. FOX, CHIEF ENGINEER - - -
'FOR APPLICANT TO FILL ,IN - FOR OFFICE'USE ONLY.
BUILDING i�" DISTRICT NO. PLAN -CK: NO.• •' PERMIT NO. -
ADDRESS A SY �A..�} R f��� ,U- G; 0 tL•- �, '�J� l"7
LOCALITY- J [1 �,� = RECEIVED BY ,', DATE.OFFvAPP D TE ISSUED
NEAREST - 1.3 �-i l l�•_ 3 - / -
CROSS ST. -
_ I BUILDING �
OWNER r /1 e �/L��. 'Y }} .ADDRESS �'4MAIL �� !' /� V1 O••� �'/,,(P� / .
ADDRESS i'P. ``I ,1�, q " � +'• LOCALITY '' E, ��/�p� -
QCT NEAREST i'U ET 3 L '
CITY .' 4 L NO. �-C- +0 6� CROSS HT. _] AIJ V -
FIRE NO.OF I TYPE i GROUP;
ARCHITECT AOR I TEL., ZONE I PLANS Z!
ENGINEER NO. I
- _ - - BLDG. ° 'ORD. NO.
'ADDRESS - SETBACK-LINE
APPROVED
�
TEL. - •-
CONTRACTOR •�����A,"AA""-*"+y�� NO. BY DATE
USE /'- /• APPROVED 9 /,�'��
ADDRESS ZONE/,y`.f BY •DATE
LEGAL
6
DESCRIPTPTION LOT NO. � I'BLOCK CORRECTIONS
-". � - - •
TRACT' I J G �
pr� �} NO. OF SLOGS.
W
SIZE OF LOT � x �/ / I NOW ON LOT'
USE OF NO.OF NO. OF - -
I
EXISTING BLDG. I FAM�GEB ROOMS -• " • - -
DESCRIPTION OF WORK
- NEW* ALTERATION I ADDITION - . 0
REPAIR MOVING //. DEMOLISH 'I O_
NO.OF
SIZE ' v ROOMS ., {� STORIES
WALLI,-ROOF :�� •- ,A"
COVERING COVERINGUSE OF NEW - .. _•
BUILDING
fo
9�.
- APPROVALS -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, SPEC
.DATE' -
• AND UFORMS, MATERIALS AGREE TO COMPLY.WITH ALL CO
NTY ORDINANCES AND STATE LAWS REGULATING BUILDING,CONSTRUCTION. FRAME:' FIRE STOPS:
SIGNATURE OF BRACING, BOLTS
OWNER -LATH,. INT.:
AUTHORIZED-AG LATH, EXT.:'
• ,,�,+ - - P. C..6 /y.�� 'PLASTER, INT: -
�. .FEE / '!V PLASTER, EXT.
VALUATION
FEE , FINAL
76A638A CE. 803 1-62APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BU ILDING
9429 La Rosa Dr•,
DEPARTMENT OF COUNTY ENGINEER /i
BUILDING AND SAFETY DIVISION LOCALITY Temple City
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. _
DISTRICiT NU TYPE - P OG SEDC
FOR APPLICANT TO FILL IN ,, �� CONsr.
BUILDING STATISTICAL CLASSIFICATION WER MAP �j I.
ADDRESS 9429 -La R - Dr. BK P
CLASS NO DWELL UNITS
LOT NO. BLOCK WATER NOT REQUIRED_E:- ,RECEIVED y
13620 CERTIFICATE. iU —�
TRACT v MAP -"'/1' HIGHWAY STATE MAJOR SECON , LOCAL
NO OF BLOGS. ^� NO ( (CIRCLE)
SIZE OF LOT NOW ON LOT ` USE ZONE SPECIAL
USE OF House- and garage
a -CONDITIONS
EXISTING BLDG. C g
jalliam E. Morphet Np BUILDING EXIST.
a . osa r• Temp e y SETBACK YARD HWY s STREET NAME WIDTH
A S FRONT / J/
ARCHITECT OR 'TEL. P L.
ENGINEER NOSTANDARD PUN . SIDE ',
P L d
ADDRESS POO 1$ Inc-* SP�3221 '�-'�''�` �'��`° `' " ''�0
nn� TEL
C l'QF67 1 9 NO.
Ar1restone blvct. :3o a e �.,�gt N. �►�t� � - ' m
DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR DEMOLISH ." ,pf' f Z_
SQ FT. [[�� NO OF NO OF
SIZE 47 STORIES FAMILIES / I ;
USE OF vt- (�_ 1�`/ A�/(�.Gt F�'r'1r A 7e4 '.rlpO;Ahr1 k
STRUCTURE Private swim of 7
- Standard D an
Ark
SIGNATURE'OF , V
APPLICANT-
VALUATION
'
VALUATION $ 01-
500 000
APPROVALS DATEf INSPECTOR'S SIGNATURE
FEE $��[ PMT' /�r �Q� FOUNDATION LOCATION
/ v �,, FORMS, MATERIALS
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
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ''OR.'� /` /_ N
TION OF THE LABOR CODE THE STATE OF L NIA RELAT- 1 w
ING TO WORKMEN'S MP ATION INSUR LATH, EXT
SIGNATURE OWOW NUBER COR-
AD E11 D res One o RE_T
UDI
FINAL )-/+ (,p
AL
PLAN CHECK VALIDATION CK M O CASH _ JOHN PERMIT VALIDATION /1 F. LEWIS, PRINCIPAL TRCK RM O, CASH .SH .
LAL0 7 4 9 7- NOV 2 8 2 3. D 3.7 5,
LAG 7 4 9 8:61 NOV 2 8 1 0 1 5.0 ON
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESS .a Gd ty ( � DISTRICS HO. PLA K.NO. PERMIT NO.
BUILDING
� 3� �3
LOCALITY ♦ R EIVED BY DATE OF APPL. GATE ISSUED
NEAREST I I
CRO S T
i BUILDING
OWNER % ADDRESS
MAIL � / LOCALITY
ADDRESS I{�
NEAREST
TEL. CROSS ST.
CITY
FIRE NO.OF TYPE OR
ARCHITECT OR V / TEL. ZONE PLANS
ENGINEE / NO.
BLDG. D.NO.
ADDRESO SETBACK LINE
APPROVED
-CONTRACTOR N BY &ATE
USE APP V
ADDRESS ZONE4 BY DATE /�
LEGAL
DESCRIPTION LOT NO. J BLOCK CORRECTIONS
TRACT •
NO.OFN ILDGS.
SIZE OF LOT `� NOW OLOT
USE OF NO.OF NO.OF
EXISTING BLDG FAMILIC I ROOMS
DESCRIPTION OF WORK
-NEW 1.010 ALTERATION ADDITION
' A
REPAIR MOVING DEMOLISH p
90.FT. NO.OF Z
SIZE 6 ROOMS 9 ORIEBr
WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING
l
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS.MATERIALS �
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
i FRAME: FIRE STOPS. �
SIGNATURE OF` A�• BRACING.BOLTS
/� /
PERMITTE� r _ __ LATH. INT.
AUTHORIZED AGT LATH, EXT.
76A63BA-3 2-50 $ Go
P.C.B � PLASTER.INT.
FEE PLASTER.EXT. /
III
VALUATION FEE FINAL
WORKERS'COMPENSATION-DECLARATION
_ '
hereby affirm that I have r certificate'of consent to self. �,�I'L I CAT I 'N' I•�d/I�} U•I L D"I N G P E R11A I T
insure,.or'a certificate of Workers'"Compensation Insurance,_ "Q _
". or a certified-copy,the�eof."(Sec:',3800;'Lab:C) -' - " - ;
104,6140.' STATErFUND `; COUNTY>OF.LOS_ ANGELES.,. BUILDING AND SAFETY•
�Pc;14 No. Company
s Certified,copyls,hereFiyfurn'ished.- - FOR APPLICANT TO FILL-'IN J BUILDING'.�'��
> : ` .. ADDRESS /�7
• Certified,co .,is filed with the county building%inspec BUILDING: E. tT
tion.depa'rtment: ADDRESS 9429 ;LA ROSA _ Tl
Date 11=1-92 .RANDOLROOF,ING clTv ��TEMP-L'E''CITY, -CA zlP 91780' '^ ioccilry
�`PPltcant;' y NO OF BLDGS
t•A NEAREST=- _
"CERTIFICATE OF EXEMPTION-FROM WORKERS'; SIZE'OF LOT'' NOW ON LOT� '' CROSS ST
' '• "COMPENSATION INSURANCE`' =' - ASSESSOR
_ ..
(This'section need riot be completed•rf.•ihe'permiT•is'for'one TRACT"' '1"' BLOCK`' LOT NO. MAP:BOOK, PAGE. PARCEL'
hundred dollars ($100)Gr less.) fr TEL
r, OWNER=WILLIAM•-MORPHETT••, No619=365`41 USE ZONE`" MAP,'�"y/�,� a
I-certify that,in the pe'rformdnce of the work for which this.
NO
permit is Issued, I,shall'not-employ,any person-'in mariner ADDRESS '9'_101_ JOSHUA:.LANE p�
Y' /� / CONDITIONS
so as to,become sublect.to the Compensatwn.Laws. O
y YUCCA'-VALLEY" 92284 ;}^ v
J. ,. ::3; CITY= _ ZIP
Date " ApplicdnT• - ARCHITECT OR - Y+ TEL. DISTRICT, GROUP TYPE ~. FIRE PROCESSED,,BY W
NOTICE'TO.APPLICANT: If''-after rnaki'ri this:Certificate,of ENGINEER, _ NO. }
g T CONST. NE r. 0 '
Exemption,- you. should' become,'sublect_to the-.Workers' W
Compensation-"provisions.of,the-Labbr Code; you must forth- ADDRESS .�( d,
with, comply with,such provisions or this;permit,•shall be l TEL $TATISTICAL'CLASSIFICATIQN APT ,CONDO' N
deemed revoked. ' :r. 5. CONTRACTOR NO 288-4040 - Z
ti as•C
LICENSED.CONTRACTORS DECLARATION ?• LIC CLASS NO.' DWELL UNITS '
I hereby affirm that I_am licensed under provisions of-Chbpter9 ADDRESS 529 E. VALLEY BLVD .451937,, r
SEWER MAP,_
(commencing„with Section 7000)of-Division 3 of'the'Business., '�•' SAN sGABRIEL, CA ' `. - LIC :G-39 ' `'_ ! - - - ' ; : - -• - ,
- and Professions•Code,and'my license is in full force and effect. ' CITY'.. CLASS BK, �`�•�` s VALIDATION
SQ: FT-. NO.OF NO OF”' CHECK-
' License Number'- "45'1'93.7. b Lic. Class- C=39- SIZE STORIES FAMILIES ONE'
Y VALUATION `
Contractor RANDOLI'ROOFING'_Date-"'i 1-31-94: DESCRIPT16WOF WORK "NEW 2 `O0O'.. ,
❑ _ .. .ADD ❑
I am,exempt under ec. E AND GARAGE WITH "
—YEAR"CLASS` A 'FIBERGLAS.'SWING ' ER, "
B.BP.C. for this reason' 0. REPAIR
' ..1 USE'OF
Dater "
r EXISTING BLDG SFD DEMOL"❑
Signature . ,.- APPLICANT TEL- "FINAL^
OWNER=BUILDERbECLARATION i' ,(PRINT)"' O N NO'_'288-4040
DATE
I hereby affirm that I am-exempt.from the Contractor's Licenser '5.29,>'E. -VALLEY>BLVD:, SAN•.'GABRPE FINAL'
Law for the following^rea`son,(Section'-7031`.5, Busiriess and: - ADDRESS v
Profess ions.Code): �.. PRESENT.- :.: _. r. ,BY
,b, " BUILDING Ct1r�f.T
I; as owner:of tHe'property;,or my,employee's'with','__- ADDRESS ) `� '" 83-07
_ t
u o srJ.�
c•:• -,Wages as their sole torr' einsation,will co'the work and LM
P ( LOCALITY � —���� s/ 1 �T�!Is�
-the structure is not:mtended;or offered'�for•sale Section
. 7044;',Business and,Professions Code:) MOVING. Y. - TEL , �—
`
CONTRACTOR'.,• NO. g —
❑ I, as owner`of the property, am exclusively contracting' Ti IT L 9 t-� �'�+=1'
with licensed contractors to construct the ro-ect Sec-, '�..� - �y> [,
tion 7044, Business and•P�ofessioris,Code.): I ( ADDRESS' �;�E�;K 98 67,
CONSTRUCTION LENDING AGENCY-> REQUIRED- TOTAL SETBACK FROM EXIST - ^
` SET BACK' "YARD" .+HWY: '" r PROP LINE- WIDTH- -k CHANGE -.013
I hereby affirm that'there,ts.a•.constructiori lending ag4hcy.for FRONT - '- •"' �:;
_ the pe`rform6nce-of the work for which this permit is issued P L. 't r' ' '- -
(Sec..3097, Civ: C:): :SIDE i�F /�
P"L-- .lUli.Vf 7,i
"Lender's`Nam@, ''• -6233 -1 ' FM 5:07-
m wr '•73:88. LDMA•Ref #
P C Fee$ ' Permit Fee'
•Lender's'Address =
certify that.I-have read this.application and state-that the _Issuance'Fee— 24.'75 �" LDMA P%C#
'above information' correct.-I agree to comply with all'Cou'niy Investigation Fee'
s . 98..63.
ordman5es a S laws relating to building consi� citon, Total Fee, LDMA Perm #
a and�he tib n e,repres' ativ s of'thts'County t enterupbe " e phoned a 'for'mspect prose : .
~} - SEE-REVERSE,FOR EXPLANATORY LANGUAGE
" Si r of ". r ent ate .C/