HomeMy Public PortalAbout9451 LA ROSA DR_Building__ f ,
'APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN "(Print or type only) '
BUILDING �� _ - - COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
c BUILDING D SAFETY DIVISION
CITY -tMol ``j ZIP
NO,OF BLDGS. BUILDING �
SIZE OF LOTV_ 1 NOW ON LOT ADDRESS 1
TRACT -0 BLOCK LOT NO LOCALITY - l,S`. L
NEAREST
OWNER UGl:. r WNOL ^� - CROSS ST. LQ '
ASSESSOR
Iq
ADDRESS_ - MAP BOOK PAGE' � PARCEL
DISTRICT GROUP TYPE FIRE SSED BY
CITY OR,'� ,, ZIP V /i CONST. - ZONE
ARCHITECT TEL. �J1 �^
ENGINEER VJ NO.
_ STATISTICAL CLASSIFICATION SEWER MIA
ADDRESS CLASS NOp2/DWELL•UNITS �- BO
K/� PG
CONTRACTOR NEL• - US ONE MAP
LIC. NO.
ADDRESS - - NO, r/ SPECIAL /J �j'
LIC. CONDITIONS /�—3 /
CITY CLASS -
- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG,SETBACK FROM 1 A b9 (STREET) a-
t. FRO PROP.LINE OF `/s� 0
ADDRESS CITY HIGH AY t YARD TOTAL SETBACK FROM TYPE`OF EXISTING V
SQ. F NO. OF NO. OF CHECK FRONT PROP.. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE O
DESCRIPTION OF WORK NEW ❑ t
ADD BLD ISETBACKFROM cn
murnewv- 'BON
SIDEP I INEOF (STREET) Z_
ALTER ❑ HIGHWAY + YARD = TOTAL SET-BA OM TYPE OF EXISTING
REPAtR❑
SIDE PROP. LINE HIGHWAY WIDTH
USE OF � - Q � t =
EXISTING BLDG.- DEMOL ❑
'•APPLI CA El_ CORNER CUTOFF YES ❑ NO ❑
(PRINT)• 0
BY (SIGNATURE)
IN OPEN SPACE YES ❑- NO-❑-
Q, ��o�-���Vp�s.�� IN COASTAL ZONE YES ❑ NO' [],
VALUATION$ �L.\J��C CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION- ENVIRONMENTAL
` 1
AND STATE THAT THE ABOVE IS CORRECT AND,AGR EE TO COMPLY IMPACT EXEMPTION DECLARATION'SI,GNED !• (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK UT_HORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EM Y ANY PERSON IN VIO A ION OF THE -
LABOR CODE OF TME ST TE OF CALIFORNIA ELATING TO
WORKMEN'S COMPEN T10 INSUR E. i
SIGNATURE OF
PERMITTEE -
ADDRESS
- - - FIN L BY /�,.�
TEL. DATE 7 .
CITY NO, -
Q i $
%I.1hE (.HL-C ' PAYABI-L 7.0: )74
FEE w FEE +
HARVEY T..BRANDT, COUNTY ENGINEER
PLAN CHECK-VALIDATION CH M o CASH _ RMIT VALIDATION CH' M o CASH
i
► �' 3 J ; t}
GOT12 1 D 2 8 .5(DA
76 g636q CE 71803 12/72 _ -
r
76A638A`CE43031-67 APPj--CATION FOR BU 1LPERMIT
COUNTY CT LOS ANGELES BUILDING �� O�
DEPARTMENT OF COUNTY ENGINEER ADDRESS �j Q /S
BUILDING AND SAFETY DIVISION LOCALITY C/V� /C `./•
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST /j /
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. Gam- /Q
DIST51CT N yc,�o UPj TY PIE P0,4 PROfy.EBED BY
FOR APPLICANT TO FILL IN .) , 0 �� %c`� coNs 7,1
BUILDING _ 7 STATISTICAL CLASSIFICATION SEWEI MAP
ADDRESS ,� (f J BK PG /l
CLASS NO. DWELL UNITS :-i
LOT NO. BLOCK USE ZONE MAP
N O. f
TRACT 6 SPECIAL
1 CONDITIONS
y NO. 01 BLDGS.
SIZE OF LOT s NOW ON LOT
USE OF f -
��>/IN BLDG. SETBACK FROM
TEL. (J r FRONT PROP. LINE OF (STREET)
OWNER O NO. �b �v -
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS n�CIL n51 CIL HIGHWAY WIDTH FROM C.L.
CITY r (� l�/� wl + = •� )
ARCHITECT O [r �^ TEL. `� '] BLD.. SETBACK FROM
ENGINEER ,�. l\.0 (� 0 NO. � .2/'fl{► SIDE PROP. LINE OF - (STREET)
✓� r C TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS �`� 9 J, Q Gf `�S j HIGHWAY
WIDTH FROM C.L.
TEL. +
CONTRACTOR (O NO SQ/H
LIC
ADDRESS NO CORNER CUTOFF YES NO
CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
CD
DESCRIPTION OF WORK
LLJ
NEW ADD ALTER REPAIR DEMOLISH cn
Z
SQ.FT. NO. OF NO. OF —
SIZE STORIES FAMILIES
USE �J2t z
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ •�� APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. f PMT. FOUNDATION, LOCATION
FEE$ • FEE$' ��7 FORMS, MATERIALS
FRAME, )FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRAG NG BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
SUILDI NG CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR COD OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF 1-[ �� HOUSE NUMBER COR-
PERMITTEE �fRECT AND POSTED
ADDRESS �` • F I NAL lr 7
JOHN F. LEWIS. PRINCIPAL S RAL ENGINEER
PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT VALIDATION CK. ' M.o CASH
L hi,o 1, u ; 3:o i v 10 3 D i .i' S'
X104 fdDulr�'I 1 D 22.50"
._.__ --. rr.--•rte -� `�;...
COUNTY OF LOS ANGELES TEMPLE•CITY # 0508 - BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9712090029
PHONE: (818) 285-0488 EXT:
LEGAL ID: 0. OF CONST 'BUILDING ADDRESS:
TR: 13620 LT: 9 SQ. FT STORIES TYPE 9451 LA ROSA DR
STRUCTURE: 0 VN TEMP CA 917803840
ASSESSOR INfORMATION NEAREST CROSS STREET:
8590-011-009 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: G USE: USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES N:
EXIST OCC GRP: 12/09/97 - UT 12/09/98,
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY• CODE:
WANG EUGENE Y;CHUANG SHEUE 000 1 5,140
1015'RODEO RD - L
ARCD 910062317 FEES PAID UE_ffffrM76N_UFWORK'
TEAR OFF AND RECOVER WITH 1/2" PVYWOOD 25 YR. GAF COMP
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES
A 0:
R. J. HAGBERG ROOFING (626) 796-4652- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5140.00 VAL 0.51 SPECIAL DITIONS:
D2 PERMIT W/O EN-HG ,x.5140.00 VAL 150.00
k- �LETOTAL FE ES 178.26
CONTRACTOR: TEL. NO: ® p APPROVALS DATE INSPECTOR SIGNATURE
R. J. HAGBERG ROOFING (818) 796=4652- r9�✓JB
2390 E. FOOTHILL LIC. NO LO AT ION AND SETBACKS
PASADENA, CA 91107 545843/C39
SOILS ENGINEER APPROVAL
i
ARCHITECTR ENGINEER: 0: n FOUNDATION/TRENCH FORMS
LIC. NO: : \/ SLAB/,UNDER FLOG
RAISED FLOOR FRAMING
MAP NO: SEWER MAP-BOOK: PAGE: FIRE ZONE: CMP.: UNDERFLOOR INSULATION_
144H269 3 01 U�L�C
FLOOR SHEATHING
F FAMILIES: DWELLING UN PT/CON AT CLA 42
NO 21 0 I� ROOF 'SHEATHING
lz- �-�
o
WITHINSCHOOL HAZARDOUS D
AIR DUALITY: 1000 FEET MATERIALS SH ELS
NO NO NO bQ ® FR INSPECTION
SETBACK-FROMREQUIRED TOTAL Z� iS HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- Q INSULATION/WEATH STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED .
RATED WALL ASSEMBLIES
RATEDSHAFTS/OPENINGS
T-BAR CEILINGS
DRAINAGELOT
REPORT ID: DPR261 ROUTE TO: BS0508