HomeMy Public PortalAbout9518 LA ROSA DR_Building__ 76A((9B1.CE 4803 4/7APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING*
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER_ LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort a only) CROSS ST. -
DISTRICT NO. . GROUP TYPE CESS Y
BUILDING CONST
ADDRESS .951,P L (x Rost Dr �09 /
STATISTICAL CLASSIFICATION SEWER MA
LOT NO f-� BLOCK _ �
CLASS NO,�LDWELL,UNITS BK LPG G(J
TRACT F7 USE ZONE MAP
SIZE OF LOT ,5/ , � NO.OF BLDGS. NO.
NOW ON LOT SPECIAL'
OF Pt ���• CONDITIONS
EXISTING BLDG. I
//?I pa,4, s j_e NOL' P
OWNER BLDG.SETBACK FROM _
ADDRESS �.f�(,(, yam.
FR NT PROP.LINE OF (STREET)
Z - T E OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HI HWAY WIDTH FROM C.L.
ARCHITECT (AR /�� TEL. } _
ENGINEER ®(� NO.
BL SETBACKFROM
ADDRESS SIDE OP.LINE OF (STREET) V
TEL. TYPE OF E_ SETBACK GH }. YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH i O
ADDRESS NO "F - a
LIC. co
CITY CLASS CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROV, S
ADDRESS _
SQ. FT. - NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF r ADD
STRUCTURE.
r Ayy((}L!T R ❑
L�v�' . Q COIL' / � Ft�P�R❑
SI GNAT OR E O `
APPLICANT A,A DEMOL ❑
VALUATION $ 90i APPROVALS DATE INSPECTOR'S SIGNATURE
P.C.. PMT, FOUNDATION: LOCATION
FEE $ FEE $ iUd FORMS, MATERIALS.
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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS -
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED -
HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. -
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S CO��N INSURANCE LATH, EXT,SIGNATURE OF , HOUSE NUMBER COR-
PERMITTEE y.- RECT AND POSTED
ADDRESS r <� t
FINAL
PLAN CHECK VALIDATION CK M 0. CASH _ PERMIT VALIDATIONC•K M 0..-
CASH
I j4r , 0 1 4 073 -WR21 1 D 1:__5- ,00!`-` '
; �tao3 -57 APPLICATIBUILDING P RMI' 1,
.�.
COUNTY OF LOS ANGELES. �� BUILDING
DEPARTMENT OF COUNTY ENG ADDRESS
BUILDING AND SAFETY DIVISI ''N'�'a .y LOCALITY
JOHN A.LAMBIE,COUNTY INEE A NEAREST
i' CASSATT D.GRIFFIN,SUPT OF BUILDING s-.gar •ROSS ST.
' bISTRIC NO. GROUP STYPE EWER-MAP' + _
FOR APPLICANT TO FILL IN t �"� •I CONST BK— OPGG
'BUILDING + •;" - -
ADDRESS .f�A S ATISTICALCLASSIFICATION -
- a2 1(
a a
.,:9v --E 'SS.NO. DWELL. UNITS
LOT NO.REAP_ p BLOCK,,–, °�p�MP ER - y , STATE YES NO
TRACT 32 �' S NE Y.
SPECT s>
! Sy� NO.OF BLDGS. °�'d CONDITIONSy� `
SIZE OF LOT3 O9 NOW ON'LOT- �a
USE OF l G v.
EXISTING BLDG - D /� G .a$ I
I'L SING YARD HWY ST EET NAME EXIST.
� SETBACK _ WIDTH '
OWNER J. FRONT
MAIL P L: f6/
ADDRESS SIDE
P L.
ACITYRC T E C% TTE – INSPECTION RECORD -
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS C W` -
TEL _ V �� - 1 A 7
CONTRACTO NO
:tom 4_
ADDRESS ,i -7—C , -
DESCRIPTION OF WORK �`
O -v,—
NEW ADD ALTER' REPAIR DEMOLISH e�_
SIZE O STOR ES FA MOI LIES
SIGNATURE OF APPROVALS
APPLICANT -
DATE INSPECTOR'S SIGNATURE
ADDRESSFOUNDATION: LOCATION
• FORMS, MATERIALS
/
P.C. �1 FRAME: FIRE STOPS.' f O O FEE '�� BRACING. BOLTS
VALUA ,O FEE S p FURNACE:GAS VENTLDUCTS OCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT TH ABOVE S CORRECT AND l�
AGREE TO COMPLY WITH ALL UNTY RDINANCES AND ✓` vV
STATE LAWS R LA TNG ILDI CONSTRUCTION. LATH, EXT. '+v -
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECTAND POSTED
ADDRESS FINAL
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N.'DIRLAM, PRINCIPAL STR URAL ENGINEER
PLAN,CHECK VALIDATION K. - Wo. CASH PERMIT VALIDATION C M.O. CASH
5-3:3.OR JAI20-1 6-`A. : 1-8-o".0 ..M
= --• ----- . ._ ._ JAN2 3' `.i :A. .3 8 5."0
�' a _, .
N're,
WORKERS�1=0MPEf�SATION DECLARATION
hereby offdn't-t have a certrficate of consent to•selfor a certificat�t of Workers' Compensation Insurance, APPLICATI.OI�1��F b R 'B U I L D.I N G.,.PE'RM ITor d1`rtified cmpy thereof (Sec. 3800,-la�b-.�C-.•) / COUNTY OF LOS'ANGELES BUILDING AND SAFETY
P.Iicy�yol 928Ce Co��ny
:��-9/ FOR APPLICANT TO FILL IN BUILDING
Certified copy is hereby,furriished. ADDRESS
Certified copy is filed'with the county building inspec-
tion department. ADDRESS ,
Date Applicant CITY'.- G� ZIP LOCALITY
�1 O; OF;BLDGS. NEAREST �7
CERTIFICATE OF EXE TIO FRO ORKER SIZE OF LOT G�Z•/'� Now ON•LOT P� CROSS ST. (� f
COMPENSATIO INSURANCE ASSESSOR
(This section,need not be com leted if the permitis for one TRACT, BLOCK LOT NO• MAP BOOK i v PAGE �/
hundred dollars ($100) or less.) . TEL
OWNER' lJ NO USE,ZONE', MAP
NO'
I certify that'in the performance of the work for which this y1 rSPECIAL'
.permit is issued, I shall not employ any persori,in any manner ADDRESS �� / / CONDITIONS - CL
0
so as to become'subject to the Workers' Compensation.Laws. U
CITY ZIP a
Date Applicant ARCHITECT OR TEL -DISTRICT' GROUP TYPE FIRE :'PROCESSED BY Q -
NOTICE-TO APPLICANT: If, after making this Certificate of• ENGINEER• NO. CONST, C' ZONE I V
Exemption, ;you should,-become sublect to the' Workers' —= w
Compensation provisions-of the Labor Code, you must forth- - ADDRESS ;. -� V N
with comply with such,,proyisions or this permit shall be• TEL qy STATISTICAL CLASSIFICATION APT. CONDO.' Z
deemed revoked. CONTRACTOR s N //
LICENSED-CONTRACTORS'DECLARATION r LIC.' CLASS NO DWELL. UNITS
I hereb affirm that I yam licensed under rovisions of Chapter 9 ADD �h NQJ J7
Y P. P LIC SEWER MAP,
(commencing with Section 7000)of Division 3 of the Business G �- CLASS VALIDATION
and Professions Code,and my"license is in full force and effect. BK. PG.
SQ NO OF' NO'OF- CHECK
License'Number� ii Class SIZE STORIES FAMILIES ONE
1 - VALUATION
Coniract, •'_Date +�. I DESCRIPTION OF WORK NEW
- - / JIF
ADD $
- poll. _
❑I am exempt under Sec. / ^ 7
ALTER
B.BP.C. for this reason REPAIR 'El $
-.t
Date. USE OF. 7
EXISTING 9LDG L DEMOI ❑
Signature APPLI N) i gTEL S FINAL' /'
OW -BUILDE LARATIO DATE :`/ ITEMSIr
I hereby a irm that am exempl from the Contractor's License
Law'fot the follo m reason• Section 7031.5, Business and ADDRE !� FINAL fr= 85
s ( i-
-P.rofessionsCod PRESENT - BY c !��_ ® �
BUILDING t p
❑ 1„as owner of the property, or my employees with ADDRESS _ A.
wages as their sole compensation;will do the work and LOCALITY y '"': t7
the structure is not intended or offered for.sale(Section
7044, Business and Professions Code.) MOVING TEL
❑ .1,-,as owner of the property, am exclusively contraCONTRACTOR NO.cting _ •t alr^_, ��• �g•
with licensed contractors to construct the project (Sec- -if. -L- '? °—
ADDRESS
hon 7044; Business.and Professions Code.) . 9 j � a
REQUIRED TOTAL SETBACK FROM '"' EXIST,
YARD HWY yt},%'•_
CONSTRUCTION LENDING AGENCY SET BACK PROP.vLINE WIDTH , ``�� tt
hereby'affirm that there is a construction lending agency for FRONT t_�td3-it`lGE—I'`
r ' the performance.of the work for which this permit.is issued PA"
(Sec. 3097, Civ. C.). SIDE
Lender's Name - D0l11;,l-•01li_I;L •5l• _.''3i
LD
--r
�j MA Ref #
Lender's Address
P.C. Fee$ v�c7( 0� Permit Fee GJ' /,O r r7 i ��ss
I certify that I have read this application and'siate that the' Issuance Fee LDMA P/C# ,
o Y PP -
8 above information is correct. I agree to comply with all County 'Investigation Fee
R ordinances and State,laws relating to building'construciion, Total Fee LDMA'Perm. #
and her y authorize representatives o this County to enter F
upon a ve-mentioned prty inspects n urpo es. 1�
9 SE EVERSE FOR EXPLANATORY LANGUAGE
;0n-tureAp
cant or A nt Dafe_ - -
fi, - -
1
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 0312150005
PHONE: (626) 285-0488 EXT:
LEGAL ID: MO. OF CONST BUILDING ADDRESS:
TR: 13329 LT: 49 BL: .001 UN: .002 SQ. FT STORIES TYPE 9518 LA ROSA DR '
STRUCTURE: VN TEMP CA 917803826
ASSESSOR INFORMATION NUMBENEAREST CROSS STREET: TEMPLE CITY
8590-019-008 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
S . RESID USE ZONE: - 0 B EXPIRES ON:
EXIST OCC GRP: 12/15/03 JK 12/09/04
OWNER: 0: BLDGS. NO ON LOT: VALUATIO • F 4D) F NAL BY: CODE:
CHOI SOON K (626) 287-4813- 3,000
9518 LA ROSA DR
TEMP 917803826 FEES P D 0
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
IN_ TALL GAF 30YR DIMENSIONAL SHINGLE OVER EXISTING 1 LAYER
�
APPLICANT: 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3000.00 VAL 99.00
TOTAL FEES 127.25
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEERAPPROVAL
ARCHITECTOR ENGINEER: FOUNDATION/TRENCH-FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR R
MAP NO: SEWER MAP BOOK: PAGE: FIR ZONE: CMP: UNDERFLOOR INSULATION
144H269 3 01
FLOOR SHUTHING
NO. OF FAMILIES: DWELLING UNITS: : STAT CLATT--
NO 21 ROOF SHEATHING
HAZARDOUSAN
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTALSETBACK ST FIRE SPRINKLERHANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- I S _ATIO R STRIP
SIDE PL-
ERTERIOR LATH
PAYED FLOOR/CEIL t
a E .
RATED L ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT BRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508