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Home My Public Portal About9521 LA ROSA DR_Building__ 76AG38A CE*803 B-63 APPLICATION FOR BUILDING PERMIT • , COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER AODREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST DISTRICT l�,p GROUP TYPE PROCESSED BY, FOR APPLICANT TO FILL IN O CONST BUILDING _ _ �+ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS L �'` CLASS NO DWELL UNITS- LOT PG LOT NO BLOCK WATER NOT REQUIRED1:1RECEIVED ❑ CERTIFICATE. , TRACT 3 Z--Q MAP HIGHWAY STATE MAJOR SECOND•LOCAL ' L NO OF BLDGS NO 116 (CIRCLE) SIZE OF'LOT S O�[7''S X I12- (�J NOW ON LOT USE ZONE SPECIAL USE OF �+ - ^ CONDITIONS o ' EXISTING BLDG ECJ + , 4� c 4-6 f . TEL. Q)� OWNER E �J (,(r/�C.K NO. �'(/2 BUILDING EXIST ��77 y� � - SETBACK YARD HWY STREET NAME WIDTH, ADDRESS gS74! L''7 1 CJ S •y p-.-• FRONT ,Q A •ARCHITECT OR TEL P L ENGINEER NO. SIDE CONTRACTOR A J : TEL MA- NO. ZS ^� / V - ADDRESS 15-3.2-7 DESCRIPTION OF WORK O� v W CL NEW ADD J<ALTER ' REPAIR DEMOLISH - Z SQ FT. NO OFNO OF SIZE STORIES i FAMILIES •I _ USE OF STRUCTURE L`. SIR.0O1V\ `�- ��'7131TF - SIGNATURE OF APPLICANT r--= ' VALUATION $ ,:5,9(0� °,� ' APPROVALS PATIJ INSP T R'S SIG E PC PMT FOUNDATION LOCATION �'// FEE $ FEE $ % FORMS, MATERIALS FRAME' FIRE STOPS, ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION WITHALL 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- LATH. INT ' TION OF THE-LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO PENSATI N INSURANCE, LATH. EXT. SIGNATURE OF .. HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 7 C4 FINAL JOHN F. LEWIS. PRINCIPAL STIR RAL.ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK. - M 0 CASH DEPAKTB 8-45 ENT OF_BUILDING AND .SAFETY 'APPLICATION FOR PERMIT COUNTY'OF LOS ANGELESMAR �{"�' �4�'_ LD ING .WM. J.- FOX, CHIEF ENGINEER " FOUR{ APPLICAEINT TO FILL IN FOR OFFICUSE ONLY BUILDING 2,// - 11� �..�,�,� ,,,`' DISTRICT NO. -PLAN CK.- NO. PERMIT NO. ADDRES -LOCALITY n � - RECEIVE/D� BY DATE OF APPL. DD}A'nGE'ISSUED . NEAREST CROSS BTy, -_ _-,f.,P . •/J J Y '�.�, -- :`.� W/ fes' BUILDING"' •� { , /..� - d ��K•-•• OWNER _ /� }�J ADDRESS �L• AMAILDDRE99. 3.Qc� .` s LOCALITY 1 :C � (' NEAREST .�(f�.f CITY TEFL• CROSS ST. ARCHITECT_ O TEL. ZONE I 'PLANS J�/I. T,�PE, ENGINEER NO. a _ •_ - BLDG. ORD. NO. AD DRESS SETBACK•LINE - APPROVED - - - _ Q TEL. BY DATE - CONTRACTOR., H'M. NO. USE ` [ - rC') ZONE/ 'BYPROVE ADDRESS OATE '��<y' !r -"�'^"•- r� LEGAL CORRECTIONS DE8CRIPT16N I LOT�jN/O. I BLOCK TRACT' _ /JGP !/V •. - Q v f /� NO. OF SLOGS. SIZE OF LOT (j r I Z' / •I NOW"DN LOT USE OF _ NO.OF• NO. OF EXISTING BLDG.' I FAMILIES I-ROOMS . - - DESCRIPTION'OF WORK _ NEW .ALTERATION ADDITION - O REPAIR MOVING DEMOLISH - •• T p 80. FT.'. NO.OF SIZE .IID.D ROOMS STORIES WALL' I ROOF COVERING OVERING - - USE OF NEW - - i BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 't APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT (FOUNDATION: LOCATION, INSPECTOR DATE <. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES F,ORMS,_ MATERIALS ^ per' AND STATE LAWS REGULATING BUILDING CONSTRUCTION: ,FRAME: 'FIRE STOPS,. • - BRACING, BOLTS - SIGNATURE-OF _ OWNER • , ., - - -/�� i LATH, INT.: jVI / AUTHORIZED AOT ,1LATH, EXT.: _ . d ` PLASTER, INT. ,FEE' 3•I `�' APLASTER,, EXT. - '_VALUATION - FEE X14 �� t� lNAL DEPARTMENT OF BUILDING AND SAFETY' APPLICATION FOR PERMIT _ COUNTY OF LOS ANGELES i WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING (� pAQ DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS ® /� d 17 -- �A/�// I iq. LOCALITY 17- oil 1. RECEIVED BY DATE OF APPL DATE ISSUED NEAREST C CROSS STv C . `l e: _ BUILDING 117 /� �� 5A OWNER /l C \^/ ADDRESS-• �Cf/ V MAIL LOCALITY T-'L/✓�/�L� c.r'y ADDRESS I .1, - _ NEAREST TEL ITY �L tL T NOL CROSS ST. [JAJ _7 FIRE I TYPE _ GR L DU� ARCHITECT OR TE � ZONE � PLANS PLANH _ ]T1� U/ ENGINEER NO. BLDG. l ORD..NO. ADDRESS _ 'SETBACK LINE-2-0 TEL! APPROVED - D _ BY ATE CONTRACTOR D� � NO. USE APPROVED ADDRESS ZONE,4 BY- DATE LEGAL / CORRECTIONS DESCRIPTION/ I LOT NO. '/(p I BLOCK TRACT /3 N . SIZE OF OOF SLOGS. LOT �Y fie+ I NOW ON LOT F USE OF l r NO.OF I NO.OF EXISTING BLDG. FAWLIE. ROOMS 14 DESCRIPTION OF WORK NEW ALTERATION •ADDITION - O � A REPAIR MOVING DEMOLISH p SO.FT. / NO. OF Z _SIZE ROOMS - STORIES O ROOF COVERING �C.r*STEII COVERING USEOFNEW A%2 BUILDING f-v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS;, APPROVALS APPLICATION AND STATE THAT THE ABOVE IS:CORRECT FOUNDATION: LOCATION INSPECTOR_ 'DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER -04 LATH,INT.: AUTHORI LATH;EXT.: DBS-a 25M SETS'/-47 $ I PLASTER. INT. _ P.C.� I �42 FEE PLASTER, EXT. VALUATION / � FEE FINAL r• • -Y Y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 8L 0508 1307010014 PHONE: (626) 285-0488 EXT: (LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: JTR: 13620 LT: 16 1 SQ. FT STORIES TYPE OCCUP GROUP 9521 LA ROSA DR I ISTRUCTURE. 0 1 V-B R-3 I TEMP CA 917803827 I (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: 1 18590-014-004 OTHER: I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY CAI (TENANT- IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I I JEXIST OCC GRP: 107/10/13 SR I I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI E FINAL Y: CODE: IYAO, CHUN LEE (626) 696-0648- 1 15,000 1 19521 LA ROSA DR I 1 64I ITEMP 917803827 1 FEES PAID I DESCRIPtfION OF WORK II I I JADD BAY WINDOW, REMODEL (E) MASTER BATHROOMS RECONFIGURE 1 I IFEE DESCRIPTION: QUANTITY:'UOM: AMOUNT: IWINDOWS IN MASTER BEDROOM AND KITCHEN REMODEL I (APPLICANT: TEL. NO: I I I ISAME AS OWNER - JB1 PLANCHECK W/ENERGY 10000.00 VAL 202.50 1 I 1 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I 1 IAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 1 1 1 JAC STRONG MOTION RESID 15000.00 VAL 1.50 I JB2 PERMIT W/ENERGY 15000.00 VAL 330.70 I (CONTRACTOR: TEL. NO: I TOTAL FEES 563.50 1APPRCVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC NO I ILOCATION AND SETBACKS I I 1 I I I I I I I ISOILS ENGINEER APPROVAL 1 I I 1ARCHITECT OR ENGINEER: TEL. NO. I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I 1 1RAISED FLOOR FRAMING I I 1 IMAP NO: SEWER MAP BOOK- PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION I I I 1 3 001 1 1-1 __-I 11ST LEVEL FLOOR SHEATH I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1 0 NO 21 12ND �LEVEL FLOOR SHEATH I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I 1 JAIR QUALITY- 1000 FEET MATERIALS j I I I I I NO NO NO I IFIRE DEPT. FRAME INSPECTI I I I I I 1BLDG DEPT. FRAME INSPECT gb�$5"� I 1 I SHEAR PANELS I II I _1 JINSULATION/WEATHER STRIP � I I JINTERIOR LATH/DRYWALL 1 I I I IEXTERIOR LATH I J 1 I ILOT DRAINAGEI I 1 I I 1 I ISMOKE DETECTION DEVICES I IFIRE DEPARTMENT APPROVALI I I I I I I I I IREPORT ID: DPR261 ROUTE TO. BS0508 1 1 I I I