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HomeMy Public PortalAbout9450 LA ROSA DR_Building__ JIVKISION OF BUILDING AND SAFETY _ Department of County Engineer BUILD-1 County of Los Angeles WM. J. FOX, COUNTY ENGINEER - -APPLICATION FOR APPLIC T TO FILL IN ' FOR OFFICE USE ONLY DISTRICT NO.., PLAN CK.OR REC.NO: PERMIT'NO. BUILDING ADDRESS 7 el A 4— n �, REQEJW$D BY DATE OF AJPPL, DATE ISSUED LOCALITY � KWAREBT I OSB - / BUILDING // [ ADDRESS OWNER tV MAIL LOCALITY ADDRESS N�AREBT ^�'' QRS CROSS ST. CITY 013rju _ NO. , , O U FIRE NO.OF TYP GROUP ,•-� ZQNE :PLANS „_,L ARCHITECT OR �� TEL ENGINEER NO. BLDG. .—ys� �. J ORD. NO. SETBACK LINE ✓ C! \ ADDRESS USE797-t/ APPROVED L TEZONE BY DATE CONTRACTOR NO. H'ODUSE NUMBERING ADDRESS MAP NUMBER , NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT X NO. DF BLD 1 SIZE OF LOT , NOW ON LOT USE OF NO.OF EXISTING BLDG. FAMILIZO DESCRIPTION OF WORK A o NEW ALTERATION ADDITION Z - D r REPAIR DEMOLITION BQ.FT. . NO.OF SIZE ROOMS 13TDRIEB EXT.WALLROOF COVERING I QOVERING A USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION r MB, MATERIALS 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING, BOLTS I ABREE TO COMPLY WITH ALL COUNTY ORDINANQEB FURNACEa LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OF / /S LATH, INT. PERMITTE l/V LATH, EXT. ADDRESSI AUTHORIZED AMT. PLASTER, INT. P. PLASTER, EXT. FEE ' HOUSE NUMBER COR- / /�{ RECT AND PORTED l _ VALUATION Q O FEE �`v�S�_ FINAL 76A63BA DBS 3 1-52 - DEPARTMENT OF BUILDING AND SLICATION FOR PERMIT COUNTY OF LOS ANGELS$ m III 1- 14 - ld-' u WM. J. FOX. CHIEF ENGINEER r ILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �/ DISTRICT NO. PLAN OK.NO. PERMIT NO. ADDRESS F� /7 Q /7 � Z.-7 OS 2- �0, �0 LOCALITY / i / �L l� I T RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST / arm s s-0 /— CROSS Q i SUILDING OWNER /'' e , ADDRESS J6 009 I?J9J)9 A AMAIL DDRESS e/ vl/r I LOCALITY _ L� G' /7- ��7 41 /1 CROSBST.NEAREST TEL. CITY NO.,�, � ARCHITECT TEL. 1 FIRE NO.OF TYPB� GROUP qqj�Z //++ // I T ZONE -PLANS ENGINEER /J.e ,t �ia�ee3'L ,�ra NO./T/ a /��� ' BLDG. r� ORD.NO. A DREG 5�.� SETBACK LINE �// p//m�J APPROVED / CONTRACTOR -�P-49Ww^�L e 66SR0•. BY DATE USEAPPROVED f ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION ^ LOT NO. .3tq BLOCK TRACT .3302 SIZE OF LOT '+✓ I NOW ON LOTS /y ©/V Pi UHE TI / FAM NO.OF NO.OF Pe.FY'fl; f '1--/. O a EXISTING BLDD. /Y Q l� FAMILIEB"`� ROOMS DESCRIPTION OF WORKS �'b o• 4.° A � oZy NEW C ALTERATION ADDITION S 01 MN/Av! O REPAIR MOVING DEMOLISH ZQ Sq.FT. NO or 14j�tT ROOMH STORIES SWALL IZE ry'/ ROOF [ /�� COVERING ?GCS /^&/- I COVERING �V�E�^C^c.{y-S/1/ USE DI NEW ) �, V /�T,!'7' / / v /J Iy / BUILDING {/ p�d� ..9/ 4� k I-4 S .moi dam' XX A4,fts ... 71 - r I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 •PW APPLICATION AND STATE THAT THE ABOVE IS CORRECT; FOUNDATI N: LOCATION" INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ". FORMS.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. � FRAME: FIRE STOPS, 91GNATURE OF BRACING,BOLTS PERMITTEE -- - -�- LATH, INT. AUTHORIZED ADT - LATH, EXT. W� 76A638A-3 2-SCI ® P.C.6 PLASTER.INT. FEE / .�,G G�� PLASTER,EXT. �1 c >s _ VALUATION FEE �4 I FI NAL {,r• F 76A638A CE#80310-68 APPLICA'T'ION FOR BUILDING ` PERMI'1" COUNTY 'OF LOS ANGELES BUILDING '• DEPARTMENT OF,COUNTY'ENGINEER ADDRESS BUILDING AND SAFETY DMSION. LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN sup-T OF BUILDING •CROSS ST. DIST RIC NO. G P TYpg SSED BY',-, FOR APPLICANT O. FILL IN NO. r BUILDING - STATISTICAL CLASSIFICATION S ER MAP ADDRESS -- - " /' SK, PG CLASS.NO: DWELL. LOT NO. BLOCK -MAP 'STATE.• YES= NO NUMBER HWY:' TRACT .2 USE ZONE SPECIAL " NO.OF BLDGS. ///� - CONDITIONSI - SIZE OF LOT I NOW ON-LOT qL.(/-�, -• - - USE OF EXISTING BLDG. BUILDINGYARD •HWY STREET NAME - EXIST' L�� SETBACK WIDTH OWNER - FRONT MAIL -. P.L. ADDRESS' SIDE- , - TEL.- CITY INSPECTION-RECORD '. ARCHITECT OR TE- .- �TEL. - ENGINEER NO. ADDRESS - - - - CONTRACTOR/,'-( -NO61f I912 ADDRESS DESC ON, OF WORg NEW ADD ALTER REPAIR DEMOLISH SQ.FT. _ NO.OF NO.OF SIZE .STORIES FAMILIES USE OF STRUCTURE -- — SIGNATURE OF APPROVALS L ' APPLICANT ' vt DATE' ,INSPECTOR'S SIGNATURE _ ADDRESS - FOUNDATION:-LOCATION $ / FORMS,MATERIALS _ -- P.C. $ r FRAME: FIRE STOPS.; E ; FE BRACING. BOLTS VALUATION S- / Q FURNACE: LOCATION. -FEE (jJ GAS VENT:DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT T ABOVE IS CORRECT AND - _ AGREE TO COMPLY WITH �ILDI RDINANCES AND - - - - STATE LAWS REG NCONSTRUCTION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- ; PERMITTE ` 'RECTAND POSTED ADDRESS FINAL CLYDE N. DIRLAM,•P INCIPAL ST URAL_ENdiiKiER` PLAN CHECK VALIDATION' CK. M.D. CAAH ,P VALIDATION cK: M.o.• ' cAstl r �ro6,0 6 8'Lc , Y i R: 6.0 4' �° APPLICATIP'N+013 * BUILDING PERMIT . COUNTY OF'LOS ANGELES BUILDING,AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL 1N BUILDIN�G1AD`DRESS C_,0 BUILDING ADDRESS A � I hereby affirm.that I have a certificate of consent to self Insure, �� v��' p� or a certificate of Workers' Compensation,Insurance, a certified _ copy thereof (SEC 3800,Lab C) CITY zIP Policy No- .:Company �• � / �/Xv LOCALITY SIZE OF LOT •'�1 T _NO OF BLDGS NO ON LOT ❑ Certlfled'copy is hereby furnished. 86/ � , / �' NEAREST CROSS ❑ Certified copy is,filed with the county building Inspection TRACT BLOCK LOT NO , department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'. Q �1/�.j/Q„� ,(���%/ T�BQ ��-r� YES NO_ COMPENSATION INSURANCE E ��`"' /` /, i THIN 1000 FT OF SCHOOLS (This section need not be completed if the permit is for one hundred ADDRESS - dollars ($100) or less) '1'�� ��� ���yU` DISTRICT GROUP FTYNST. FIRE ZONE PROCESSED BY CITY, ZIP I certify that in the performance of the work for which this permit' is Issued, I shall not employ any person in-a manner'SO as to ARCHITECT OR ENGINEER TEL NO- C • -beco�Ybethe Workers'Comp ati I Laws STATISTICAL CLASSIFICATION ' - _ APTDatApplicant ADDRESS CLASS NO 14�_ DWELL UNITS NOTICE TO APPLICANT, If, after making this •Cer ate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should ,becom subject to the Workers' CONTRACT TEL SET BACK YARD HWY. PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith' FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS C NO P IDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L I hereby affirm that I am licensed under provisions of Chapter,.9 SEWER MAP (commencing with Section 7000)'of•Division 3 of the_Business'and SO FT SIZE I NO O DRIES I O FAMILIES Professions Code,and my license Is in full force and effect' NEW BK a t' DESCRIP I N ORK ADD - -❑ - VALUATION Q License Number Llc Class Contractor Date ER $ ��eU • U �` L j REPAIR ❑ OO ❑ I am exempt under Sec. B&PC for this reason JvQ� �y�1 EMOL ❑ LDMA P/C# W Date USE 0 XISTING BLDG �•� - 'URM •- - - -�� -- Signature .- APPLICANT( NT TEL N LDMA Perm# t - Z ❑ I, as owner of'the property, or my employees with wages as (. ir their sole compensation, will do-the work and the structureisADD .J� (�e not intended or offered for sale (Section 7044, Business and C./ �/p FINAL DATE Q Professions Code) WILL THE APP ANT OR FUTURE BUILDING OCC A5ELOS E A HAZAR S MATERIAL "• k 2 J. OR A MIXTUR CONTAINING A HAZARDOUS MAT RIAO OR GR ER THAN THE ❑ 1, as owner of the property, am exclusively contracting with /YESE] CIFI ON THE HAZARDOUS MA RIALTION GUI Q FINAL BY '� ��� i ,a licensed contractors•to•construct the project (Section 7044, Ai,-(:T O - Busness and Professions Code) - � i��o+�ENDED USE OF THE BUID G BY THNT R FUTURE BUILDING QUIRE A PERMIT FOR CO TRUCTION IC ION FROM THE SOUTH _CONSTRUCTION LENDING AGENCY ALITY MANAGEMENT DIS ICT(SCAQMITTING CHECKLIST FOR 7 -ITEMSI hereby affirm that there is a construction lending agency.for ' o� - TOTAL AL• 7- 6 15 N the performance of the work for which this permit Is Issued(Sec HAVE READ THE HAZARDOUS MATERIALS INFORMATONDTHE SCAQMDPERMITTING {� C' jC 3097,Civ C) _ CHECKLIST I UNDERSTA MY REQUIREMENTS UNDE ANGELES COUNTY CODE, .�Ltl.�t 256.n 1_f N TITLE 2,. 'HAPT 2 2 ECTIONS 2 20 100 TH OUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS T' AND FOR OBTAINI ERMIT FROM THE SCAOMD j{ .00 3 / CHANGE. CL Lender's Address. ' 0 - OWNER GR AG o o I certify that I have read this application and state under penalty + - o PC FEE PERMIT FEE }{ rj I I c+j /95 of perjury that the above information Is correct I agree to comply' �—O ' �Q /. D (�00 ' 001 oN with all county ordinances and State laws relating to building m construction, and/thereby authorize representatives of this County ISSUANCE FEE G� �J ��j AM 8 50 to enter n t above-mention d toperty for ins;p ti purpo s O J` !may 7Y � INVESTIGATION FEE' TOTAL FEE sgremra of kens a AWnce eq Co SEE REVERSE FOR EXPLANATORY LANGUAGE APPL- ICATION E®R BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING-'AND- SAFETY WORKER'S COMPENSATION DECLARATION ' FOR APPLICANT TO FILL IN BUILDING ADD Ess , I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS ora certificate of Workers' Compensation Insurance, or a certified- CIT ZIP copy thereof (Sec 3800, Lab C) ` LOCALITY Policy-No Z 4 & Company 'r ' - SIZE OF LOT NO OF BLDGS NOW ON LOT KCertrfled copy IS hereby furnished . 0 NEAREST CROSS'ST.• ❑ Certified copy is filed with the county bwlding Inspection TRACT BLOCK LOT NO department ^ �+ `/ / USE ZONE MAP NO Date f phcant �"tJ�•G� y ASSESSOR MAP B K - -PAGE PARCEL ' •SPECIAL CONDITIONS R CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER L NO- .. COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL'? YES NO Ir (This section need not be completed If the permit Is for one hundred ADDR S DISTRICT GROUP TYPE CONST FIRE ZONE ,PROCESSED-BY dollars ($100) or less) ' CIT � ZIP ' I certify that In the performance of the work,for which this permit IS Issued, I Shall not employ any person In any manner SO as t0 ARCHITECT OR ENGINEER TEL NO _ become subject to the Workers'Compensation Laws STATISTICAL CLAS I I ATION • 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 t0 ' the Workers' CONTRACT TEL NO SET BACK YARD. HWY PROP LINE WIDTH Compensation provisions of the Labor Code,*you must forthwith FRONT -comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC NO fP L LICENSED CONTRACTORS DECLARATION SIDE ITY LIC CLASS P L. _ I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and y license I n'full force and effect. NEW 11 BK PG a License Number LIc Class. DESCRIPTION OF WORK f - ADD ❑ VALUATION Q moo_ Contractor a U ALTER ❑ EII am exempt under Sec REPAIR cc 1:1 BAPC for this reason / (a Z DEMOL ❑ LDMA_P/C# W Date USE OF EXIST NG BLDG URM ❑ t 1 �'• Signature APPLI T)..:1) Ile -Z f� TEL NO - LDMA Perm# i e, • Z 6+C :� +` ❑•1, as owner of the property, or my employees with wages as 9� r'-'3 z-r, . their sole compensation, will do the"work and the structure Is ADDRESS not intended or.offered for sale (Section 7044, Business and- :MJ FINAL DATE ' P % Q Professions Code) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE'A HAZARDOUS MATERIAL _OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL TO OR El1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GU DEE9 GREATER THAN THE FINAL BY licensed contractors to construct the project (Section 7044, Business and Professions Code.) VES❑- No� • - WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH, �•'• - CONSTRUCTION LENDING AGENCY COAST AIR QUAD Y MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR �7 1• { , GUIDELINES I hereby affirm that there is a construction lending agency for YES No T ;` N the performance of the work for which this permit is Issued(Sec rn IHAVE READ THE HAZARDOUS MATERIALSINFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER•THE LOS ANGELES COUNTY CODE. _ _ TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - ` - Lender's Name - MATERIALS R RTINF�O _ G AND FOR OBTAINING nIT FROM-THE SCAQMD ��•/� ` ' o Lender's Address p. OWNER OR AGENT o I certify that I have read this application and state under penalty o PC FEE' PERMIT FEE of perjury that the above 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 ISSUANCE FEE L777 9 a' to enter upon the above-mention kd property for Inspection purposes es 1 ^� INVESTIGATION FEE - TOTAL FEE 10 Sq,eNre a �AAgffi( Da - - SEE REVERSE FOR-EXPLANATORY LANGUAGE i 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 0309050010 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDIN-GADDRESS: TR: 13329 LT: 38 SQ. FT STORIES TYPE 9450 LA ROSA DR STRUCTURE: VN TEMP CA 917803841 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-022-015 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY EXIST BDG ONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/05/03 JK 08/30/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL JAIE-, FIW BY: CODE: KUNG; LING KO (626) 287-6592- 8,000 I ¢/, U3 9450 LA ROSA DR 1 V TEMP 917803841 FEES PAID DESCRIPTION OF WOR T/O HOUSE & GARAGE; INSTALL SHEATING & 40YR COMP SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TE ERIC TSENG (626) 378-8570- AA BLDG PERMIT ISSUANCE 27.75 12029 SAN RIO ST AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: EL MONTE 91732 D2 PERMIT W/O EN-HC 8000.00 VAL 183.00 TOTAL FEES 211.55 CONTRACTOR: TEL. NO: APPROVALS- DATE INSPECTOR SIGNATURE JENG CONSTRUCTION (626) 378-8570- 12029 SAN RIO ST LIC. NO UMTTION AND SETBACKS EL MONTE, CA 91732 458578 B SOILS ENGINEER APPROVAL AR�Tt EER: TEL. N FOUNDATION/TRENCH OR LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H265 3 01 SHEATHINGFLOOR FAMILIES:NO. OF DWELLING S: /CONDI STAT CLASS: NO 21 ROOF SHEATHING -cz SCHOOL WITHIN HAZARDOUS S AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION D TOTAL SETBACK FROM EXIST IR RINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL NSULATIO / EAT R S RIP SIDE PL- INTERIOR L- I R 0 LATH/DRYWALL EXTERIOR.LATH RATED FLOOR/CEIL ASS . RATED'WALL ASSEMBLIES RATED SHAFTS/OPENINGS -BAR C ILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508