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HomeMy Public PortalAbout9468 LA ROSA DR_Building__ AP P'L l CAT.I O I�!' FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �. :. BUILDING PERMIT BUILDING ANDS Y DIVISI N FOR _ PPCAN.T TO FILL IN ADDRESS ALI ,I BUILDING -� .-. _ ADDRESS '` �P40SA LOCALITY' CLTY •` * �C;,� �/ ZIP ,g I•,�O L�• NEAREST - - - - - - - _ CROSS ST. •,- - " -NO.OF SLOGS. l ASSESSOR- - - - - SIZE.OF'LOT _ -,NOW ON LOT - ( MAP BOOK I PAGE PARCEL'y - _ DISTRICT GROUP TYPE FIRE RO SSED BY' ACT/3-129"I' ' CT „� BLOCK LO NO �y '��• CONS�Ty ZONES OWNER /LJ.E' ' UC. C /1 NO.� J�3 STATISTICAL CLASSIFIC.A—xTI-O-NN ' SEWER ,ADDRESS - �!�r�.� .. /�:�•�C.•L�.SA (� CLASS NOOL�~DINE-LL,UNITS ,' BK PG i CIrTY �� �f� C ' �/ ZI,P.` �,0 - U .-ZONE MAP - -. NO -ARCHITECT OR. . ^ 'TEL. I ENGINEER •dO �l;` 'NO. �' CONDIT ONS Alt •ez ADDRESS ROAD DEPARTMENT APPRbVAL" REQUIRED YES .', NO [] 'CONTRACTOR• - - 'TEL. - BL G.SETBACK FROM NO FR NTPROP,.LINEOF STREET) -ADDRESS ' LIC. - _ NO. NIG AY ' }- YARD - TOTA L rS E•T Bp„C K FROM TYPE OF EXISTING LIC. �FRON-T- PROP:-LINE HIGHWAY „WIDTH CITY --.•.- ". ., f O _ GLASS -..• - - CONSTRUCTION LENDER NAME AND BRANCH °_ _ _ _ BLDG.SETBACK'FROM, •ADDRESS •CITY SIDE PROP.LINE OF - .TET ,RE SQ .FT. NO. OF NO. OF CHECK HIGHWAY -} YARD = TOTA•L SETBACK FROM TYPE. EXISTING �bZ -SIZE (.•7 STORIES• FAMILIES '� ONE, ,S,IDE PROP. LINE '- HIGHWA WIDTH O DESCRIPTION OF WORK' _ - NEW- ❑ - ; _ } _ _ _ 0-• ADD ❑ CORNER CUTOFF- _ YES ❑ NO ❑ Z" ALTER REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ , USE OF IN COASTAL'PERM IT ZONE' - -Y.ES'❑' NO ❑ EXISTING BLDG, "' DEMOL ❑ APPLICANT (PRINT) �L/�1 'VK•r// TEL�f("�,/^ 1'�Q-3,y LR I'GNATUR E) HEREBY ACKNOWLEDGE THAT I,HAVE READ THIS'APPL4ICATION STATE THAT TKE'ABOVE IS CORRECT AND AGREE TO-COMPLY ALL ORDINANCES AND LAWS 'REGULATING BUILDING CON- ae _ ��v *T•r -0 - CTI'ON--I -CERTIFY THAT, IN..DOING THE-WORK AUTHORIZEDj'���`-`9'r` - -•• S„ BY I WILL NOT EMPLOY iANY PERSON IN VIOLATION OF THE - R CODE OF THE STATE' OF CAL IFOR IN RELATING TO MEN;S COMPENSATION-INSURANCE. 3�.3"- ' '• - ,',� w�^ _ TURE OF FINAL -�� ITTEE 4 "DATE ' ESS -��/• No3 P.0?Fee$ Permit FeeIssuance-Fee UATION'; OE�.'. """, . Total Fee F PLAN. CHECK VALIDATION' ' CK, "':Mo^ CA9H PERMIT VALIDATION cK M O 'CASH N •�76A638A,CE#8038.12/75 TMENT OF BUILDING AND R COUNTY OF LOS ANGELES4U � �2 y n ' ` 'APPLICATION FOR PERMIT , 1 WM. J. FOX, CHIEF ENGINEER 19 J FOR APPLICANT TO FILL IN i FOR OFFICEvUSE ONLY'' i DISTRICT NO. ` PLAN'CK:NO':---`-'-•PERMIT'NO' BUILDING ADDRESS G Y O ,• /V•/•�c� �_ w O ��� � LOCALITY G 11J / RECEIVED BY DATE OF APPL. DATE ISSUED NEAREBT _ �J� ,�� �� J Q,• - / Jl ✓: _ i CROSS ST. (- BUILD OWNER - i/�,� ADDRESS ! a� MAIL //�' W. � //� /)A�" f? •/� LOCALITY ADDRESS _( �F VV�� /'T {/�y/'F (0[/, •. - hh fin® 1 NEAREST,' L h AI A CAL�,�N O. ��S CROSS ST. ,,TY ; FIRE � NO.OF TYPE DROOP` ARCHITECT OR TEL ZONE D• PLANS ENGINEER NO. v BLDG. 1 :f ADDRESS SETBACK LINE �,..CJ ^�� - APPROVED CONTRACTOR,]//IW��'..fl+'!O� - BYji.? ,�- f DATES j USE APPROVED 1 ' ADDRESS ZONE BY DATE I LEGALCORRECTIONS O DESCRIPTION LT NO. TRACTNO.OF SLOGS. I Zg - "��. -!,.lo.�/ / © ��_ ,• SIZE OF LOT o I NOW ON LOT - USE OF NO:OF NO.CF ' EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK _.�,.• NEW-- - ALTERATION ADDITION - - -- - O _REPAIR MOVING DEMOLISH'. O Sq.FT. _ 7n� // NO.OF L� AWE SIZE (1 �L 6 ROOMB :J STORIES )p C - - D p r WALL J �G G Q ROOF S/ 01eP- V COVERING 4-COVERING/y �q /d, . USE OF NEW �� 4.E'( �/'`.vV/ - .. . . BUILDING • ' • 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS _ APPROVALS _ APPLICATION'.AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR 7Q- DATEv AND AG REE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS �5a� AND STATE LAWS REGULATING BUILDING DONSTRUCTION. t FRAME: FIRE STOPS, BRACING,BOLTB SIGNATURE OF,' PERM LTTE � (((///�CC LATH,INT:: AUTHORIZED AOT LATH,EXT.: %y •1" oes-s soM sErs i-ae $ P.C.1$- ,-PLASTER,INT. QQd FEE !$ PLASTER,EXT. - - - VALUATION FEE G FINAL lx -V p -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 [ADORES13-d- NEAREST DING //lQ DISTRICT NO. PLAN CK.NO. PERMIT NO. ESS 000����— f/ ��,�'����a66 �, I_ ��_.y / 777 LITY r�4s' _ RECEIVED BY DATE OF APPL. DATEISSUED NEAREST N EAR S ST. /. ! S 134, ^ ADDREBUILDSNG S •G-O / 7 (�1E1 O S R `aA ny/ l /7 ( GJ LOCALITY r �•{ TEL. �/ /may(�[��/4r i/I _ (.!L/�/ NO !T /- 17 / CROSS ST. �O CMG-cry �q ,/jq//� FIRE _ -� NO.OFGROUP ARCHITECT OR lnijPfiS� „� ✓ TEL. ZONE PLANS "/ ENGINEER �/)"P/ NO. BLDG. ` . ORD.NO., ADDRESS SETBACK LINE APPROVED CONTRACTOR //`J/y �✓`� N�:+� BY DATE %(/��' USE APPROVED I ADDRESS of f- L/ e,4 .,c &414*Azl ZONE BY. DATE LEGAL 157- DESCRIPTION 1. LOT NE BLOCK CORRECTIONS ! TRACT {/1714. -' 7 / NO.OF BLDGB � SIZE OF LOT `/ I NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS - -• - •- - - � DE/SSCRIPTION OF WORK t NEW ALTERATION I ADDITION REPAIR MOVING DEMOLISH AQ SQ FT. NO OF SIZE r Q ROOMS / STORIES Z r WALL ROOF /moi ir•1 L - ' COVERING .S7r/GG6 I COVERING L/� �7 ' c USE OF NEW .. .. .... ...... _ .. ._ ...- i BUILDING tl 1h. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS - APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOR: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB FORMS,MATERIALS fjaJ�/r7 AND STATE LAWS RE ULATING 4B,ILDING TRUCTION. 7 a FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS 7 PERMITTED LATH, INT. /� � � ►y I AUTHORIZED AGT LATH, EXT. 76Ar 9-45 DSS-3 SOM SETS $ o-0 p,C.III PLASTER,INT. 'FEE PLASTER,EXT. 5 VALUATION FEE J^�� FI NAL _ l A , PLICATION. FOR - ' KILDING .PERMIT y y • ING �/.F/OR A MID IN TO FILL IN ADDRM ,4 BUILDING ADDRESS - NEAREST 0 /76d i�/��OS/�• - �7 p LOCALITY �C/y1 fz F-. '�/T.Y /.0 CROS ST` CITY "ZIP -NO OF BLDGS ASSESSOR . SIZE OF LOT NOW ON LOT. MAP BOOK PA E PARCEL' 11 DISTRICT' GROUP TYPE FIRE OCE D BY TRAC �: !� BLOCK LOT NO `3 �-J A CONST\ / . ZOn / G TELPAA- J V �/ ' OWNER f� 4,ve4* /�•Zila:1 NO' _ STATISTICAL CLASSIFICATION SEWER MAP, ADDRESS •/ h7 �^ OSA- CLASS NO A-/ DWELL UNITS" BK PG_ ' CITY'-' ,i"'/l1 wE_ '1 (T '• ZIP 7•,�J�, �SE�ONE MAP // � /� .: t� ARCHITECT OR `• - '- t-TEL � NO U (o ENGINEER NO SPECIAL '. [ CONDITIONS ADDRESS- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ x NO ❑ 4 TEL CONTRACTOR, NO BLDG SETBACK FROM LIC- FRONT POP LINE OF (STREET). ADDRESS NO TOTAL SETBACK FROM -TYPE,OF- EXISTING LIC HIGHWAY .+ YARD = FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + O NAME AND BRANCH BLDG SETBACK FROM " ' U ADDRESS CITY. S10E POP.LINE OF (STREET)' SQ FT NO OF NO OF; CHECK HIGHWAY + ' YARD = 'TOTAL SETBACK FROM TYPE OF EXISTING SIZE 2 O STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH a } f t_p �Q/C tom- a _ Z DESCRIPTION OF VVORK (j NEW ❑ T�O ADD ❑ CORNER'CUTOFF YES. ❑" NO.-061 ❑ ALTER O IN OPEN'SPACE YES ❑ NO ❑ - REPAIR ❑ USE OF ❑ IN COASTAL PERMIT ZONE' YES ❑ NO ❑`; " ,EXISTING BLDG DEMOL . APPLICANT TEL (PRINT) NO BY(SIGNATURE( I HEREBY ACKNOWLEDGE-THAT I HAVE WIAD THIS APPLICATION AND STATE _ -THAT THE ABOVE 'S-CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - -,AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE - WORK AUTHORIZED HEREBY I WILL NOT EMPLOYANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - - •- - - - - _ - _ PENSATION INSURANCE' - • '' SIGNATURE OF FINAL' LADD�E 4/ %�v• DATE'/ �'';/Cl TEL a� P C Fee$" Permit Fee JM NO sV 3 Q : Issuance Fee y j Total'Fee CK. M.O. ' CASH ' PERMIT VALIDATION CK:' M.O• :CASH PLAN CHECK,VALIDATION -D 3 4.0 6,g. °N° lAy, 31 1 _ OS 76A638B CE/8038 8/77 - [ + - , WOR41R;Z;COMPENSATION DECLARATION '" e ,r_,. I,hereby affirm that I have'a certificate of consent to self - nsure, o cr certificate of Workers' Compensation Insurance; - P P L I CAT:I O•�V_�F O R r B lJuj L D_ i N G P E RM .1 or a cern ted co y trere f Sec. 3800,Lab. C:)'' � .(OZ� COUNTY-OF LOS•ANGELES i' BUILDING AND SAFETY otic ompan�r..,Tr/�i /TipK,(J Certified•copy,i's,hereby furnished. FOR APPLICANT TO FILL IN BUILDING ' ADDRESS ❑' Certified copy i tfiled'With*the"county building'inspec- _ BUILDING T o Ghon dlepartment: `''1-' •'•'' ADDRESS I' Date' !'' ''Appl`icant Q - CITY -ZIP LOCALITY - 'CERTIFICATE OF'EXEMPTION FROM'W RKERS'`' -" "' - "" 'N •-OF-BLDGS �: NEAREST ''"• 'COMPENSATION'INSURANCE•'•.' '' = SIZE OF LOT - •NOW ON iOT CROSS,ST_ a ASSESSOR (This•seciion need not-be completed if-the permit'is'-for•.one - - - •-t-'•-- - - - --' •- - - • --- � a., ._ ,� � ' hundred dollars ($100)or.less );. TRACT'• BLOCK - LOT NO MAP BOOK PAGE' •- PARCEL'+ TEL�J Q�j USE ONE MAP n' ,.-•.y. , OWNER --NOLU�+ 1!� NO [,certify_that in the jperformance of thewo�k for which this } permit.isAsued;I shall not employ any person m any manner' _ - j - SPECIAL- .. s"o as'to b6c'ome'sublect to'{h'e Workers''Compensation Laws. N ADDRESS' CONDITIONS ;�,• n ; Q :- CITY. _ - ZIP_'_ 09 Date Applicant; " ARCHITECT O TEL ^ /� O -NOTICE-TO APPLICANT If; after'rriakmg 'this;Certificate of, ENGINEERL-A-Z(4, N 37 7e�-1 L DISTRICT GROUP TYPE FIRE ' PROCESSED.BY_.- Ezemphon', you' "should become subject%to the,Workers' , . ✓ /+,�/ CONST. ZONE Compensation provisions of the Labor Code,ryou^must forth- ADDRESS & • - (/o R 3 ' with•comply with•such •provisions ,or.This>permit shall be •- - - - - TES STATISTICAL CLASSIFICATION APT. NDO - y deemed revoked.. .•' •, „ •. ,;;y- CONTRACTOR , NO _ y CONTRACTORS•DECLARATION -- -•• - - - V � - - -LIC - CLASS NO -2- LICENSED DWELL''UNITS + I ` I hereby affirm that I ami licensed under provisions-of Chapter 9 ADDRESS T F NO CLASS with Section 7000 of Division 3 of the Business and _ SEWER MAP ( 9. ) - --- --•-- ,-.._LIC--_. _ Professions Code, 9nd'my'hicense is in full'fo`rce and effect. CITY W.C, CLASS' u j -' SBK - - i VALIDATION J _• SQ. FT NO OF _ NO,OF -•CHECK ; License Number ? -Lic Class / SIZE STORIES- FAMILIES ONE cc• ry, q �Y` O --VALUATION �. Contractor-9tAUett BidlAt ?late -b 7- O '- DESCRIPTION-OF-WORK' NEW ; ❑ ° ADD ❑ �(1r/(/ 1- I am exempt under Sec. t Y ALTER M_❑ B,&P C:for this reason 'P _ 1 i�G _- _ _ REPAIRUSE OF 7 �❑ s _ _. _ __.. _ Date" `� � EXISTING-BLDG d�Z - DEMOL ❑ _- n Signature ;-'• - APPLPRINT7 TEL--- h NO3 FINAL C�JC/ - 6 1.7 n OWNER-BUIL- DECLAR N _ TE I hereby affirm•that-I am•ex pt.from th . ontractor's,Lice_nse rn 0c, �q / Law•for the following reason (Sectio[ 7031.5, Business and ADDRESS �� �'���f V`' l� F Ly '`.Professions Code); >_ >- _ -' J PR MS BUILDING' Ros ❑ I, as owner of the property, or my employees with, ADDRESS _ _ �Lt o • o wages as their sole compensation,will do the work and - 7 G c)- z the structure is not intended or offered'for sale(Section LOCALITY o - '--7044, Business-and Professions:Code).C MOVIN _ NO ® 0 Q 0-8- 8-8 5' ❑ CONTRACTORN 'I, as owner of the property, am exclusively contracting with licensed contractors'to'construct-the project'(Sec- ` ADDRESS - tion 7044, Business and.Professions Code) :_REQUIRED.._ TOTAL SETBACK FRO ' CONSTRUCTION LENDING AGENCY SET BACK YARD'- 'PHWY" PROP LINE .WIDTHi I hereby affirm that there'is a construction'lending agency for FRONT the performance of the work for which;this permit is issued . -•PL z- = -' - "A (Sec. 3097, Civ. C.). SIDE 'Lender's Name 3 LDMA Ref # - _ P.C-Fee,$.. _._ .� '- Permrt'Fee .. �' - - - - - - '-• - - - -- - - Lender's Address > n 1 . I,certify.that I have-read this applicdtion.and state that the , Issuance-Fee �(/ [LSD i LDMA P/C# �1 -• _ t.' above information is correct I agree_to comply with all County Investigation Fee -r _- $ ordinances and State laws relating-to building construction, _, _ _,- '-7-------. TotaFFee- - -LDMA'Perm N ` O - Q-(� : ' v V and ereby authorize'repre a aty�es&this Co my to enteup the above-mentioned ro inspe on purposes. _ Tv Q SEE REVERSE FOR EXPLANATORY LANGUAGE Signature• Pelican or Date.. • 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 1201170068 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 13329 I SQ. FT STORIES TYPE 9468 LA ROSA DR I I (STRUCTURE: 22 V-B TEMP CA 917803841 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:- 18590-022-017 TREET:18590-022-017 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: I I (EXIST OCC GRP.: 101/17/12 SR - I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: I IROBLES FRANK L;S000RRO V TR (626) 380-7240- I 6,750 t1 / \+ 19468 LA ROSA DR I \ \ �\ - 1 ITEMP 917803841 1 FEES PAID ID9SCltIPTION OF WORK I (REMOVE EXISTING ROOF INSTALL OSB PLYWOOD INSTALL 30 YR COMP 1 I IFEE DESCRIPTION QUANTITY: UOM: AMOUNT:ISHINGLES HOUSE & GARAGE 1 (APPLICANT: TEL. NO: . I I 1 IIAN ELI 818968930 - IAA BLDG PERMIT ISSUANCE 27.80 1 1 14740 KESTER AVE IAB STATE GREEN BLDG FEE 6750.00 VAL 1.00 'ISPECIAL CONDITIONS: 1 ISHERMAN OAK 1AC STRONG MOTION RESID 6750.00 VAL 0.70 1 1 ID2 PERMIT W/O EN-HC 6750.00 VAL 166.60 i I -1 TOTAL FEES 196'.10 ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 11ST CHOICE ROOFING (310) 251-8662- 1 1 1 11808 SANTA FE AVE LIC. NO ILOCATION AND SETBACKS I ITORRANCE CA 90501 748270 1 I- 1 1 I I I ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I 1 LIC. NO 1 ISLAB/UNDER FLOOR I 1 1 I 1 I IRAISED FLOOR FRAMING I 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE CMP: 1 JUI4DERFLOOR INSULATION I I I 1144H269 3 001 1 11 1 I I IFLOOR SHEATHING I I I INO OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS- I I I I I 1 0 NO 21 1 (ROOF SHEATHING I I I�I I SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS I I. I (AIR QUALITY. 1000 FEET MATERIALS I - I ' I I NO NO NO I IFRAME INSPECTION I I I I I I I I I I IFIRE SPRINKLER HANGERS I I 1 I (INSULATION/WEATHER STRIPI I I I I I_ 11 1 1 I (INTERIOR LATH/DRYWALL 1 I I I I I I I I 1 1 1EXTERIOR LATH 1 1 1 1 IRATED FLOOR/CEIL ASSEM 1 1 I I I 1 I IRATED WALL ASSEMBLIES I I 1 I _ I I' IRATED SHAFTS/OPENINGS I I I I I I I I IT-BAR CEILINGS 1 I I I 1* ADDITIONAL DATA ON FILE I 1 1 I ILOT DRAINAGE I I I I_ I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I