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Home My Public Portal About9552 LA ROSA DR_Building__ 76A6 38A CE0903 8-64 APPLICATION FOR BUILDING PERM COUNTY 'OF LOS ANGELES B U I L D I N G, DEPARTMENT OF COUNTY ENGINEER AooR Ess 7 BUILDING AND SAFETY DMSION LOCALITY JOHN A.•LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. DISTRUICC-T'NO. I GROU TYPE, ffS SSED BY FOR APPLICANT TO FILL IN - CONST.BUILDING d I� STATISTICAL LASSIF_ICATION _ MAPADDRESS /I // . 1 Y I CLASS NO. DWELL UNITS PG r' V LOT NO. BLOCK USE ZONE MAP ��y No. �uC� TRACT 11 SPECIAL CONDITIONS ' SIZE OF LOT NO. OF B - NOW ON LOT USE OF NG BLDG, BLDG. SETBACKFROM TEL. FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF - EX ISTINO 'SETBACK ' 'HIGHWAY YARD--- _ - TOTAL ADDRESS ' ZZ 'r .0 HIGHWAY ID 'F M C.L. ' ARCHITECT OR TEL•. BLDG. SETBACK FROM ENGINEER NO, 910E PROP!-LINE OR ASTREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS _ //// - q HIGHWAY WIDTH FROM C.L. a CONTRACTOR IFNOL �''�'7J^ '— - -� + - _ 'ADDRESS cl )_ r LIC '1 CORNER CUTOFF YES NO o O Y L r `J SEE REVERSE SIDE FOR.SPECIAL APPROVALS Lu DESCRIPTIO OF WORK z NEW ADD{/ ALTER REPAIR DEMOLISH Sq Q.F T. j� N O. O F N O. O F SIZE /� STORIES FAMILIES USE.OF STRUCTURE SIGNATURE OF APPLICANT C VALUATION$ OQ APPROVALS �f PATE, INSPECTOR'S SIGNATURE N LOC P.C. r,�• - PMT Gi-�JI FOFORMS,IMATERIALSON FEE$ .7FEE$ ^_ UNDA 'FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTd•�7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. l TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSU RA NC . LATH. EXT. '�"��•" ,jy E� SIGNATURE 0 .HOUSE NUMBER COR- PERMITTEE RE T'AND POSTED _ 1 a ._.�•1/ 'ADDRIiSs F I NAL ` —T/-65- 4111 JOHN F. LEWIS. PRINCIPALf/STR TURAL ENGINEER . PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK. M.O CASH t_HCO 3 76 9"D JUL 19 1 D 1 0- .. . j,. TEMPLE CITY 76A638A CE 8031-62 APPLICATION- FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDR SS 9552 E. La Rosa Dr•a DEPARTMENT OF COUNTY ENGINEER . BUILDING AND SAFETY DMSION LOCALITY Temple City JOHN A. LAMBIE, COUNTY ENGINEER NEAREST, J WILLIAM A. JENSEN, SUPT OF BUILDING _ CROSS ST DISTRICT NOU TYPE ''(� P C �D BY FOR APPLICANT TO FILL IN `�r �' , CONST. I/ BUILDING' STATISTICAL CLASSIFICATION S _ER MAP ADDRESS 9552 .-E., La Rosa Dr. - sK PLt"fJ - p - - ,CLASS NO DWELL UNITS ,'CERTIFICATE �., LOT NO ,8 BLOCK WATER NOT REQUIRED REC VED - . I TRACT 13329 - MAP �f HIGHWAY• STATE MAJOR SECOND LOCAL NO.OF BLDGS .y NO `/ (CIRCLE) - SIZE OF LOT NOW ON LOT J, USE ZONE SPECIAL USE OF CONDITIONS -- •EXISTING'•BLDG. House -and garage - 7� /� TEL- OWNER .K C P-i zzitola NO BUILDINGEXIST. D Temple Ci ETBACK YARD HWY STREET NAME' WIDTH ADC� SS La O'S a' .VI.'• p FRONT 5/Y C �- ,j• ARCHITECT OR TEL P. L• ENGINEER arnANDARDNO,- SIDE ADDRESS`-- u y�,I #4�y Pools 71C. TE c9. ~e A f l • 7/ p V c e s ne N O Gate _ � DESCRIPTION 'OF WORK !eq W NEW X ADD ALTER REPAIR DEMOLISH �i/ -_�l J �`d>` p z SQ FT. Q 'NO OF NO OF 8 SIZE NO - FAMILIES USE OF P Til OO Z I STRUCTURE - ' Stand SIGNATURE OF S APPLICANT _ - VALUATION $ 2500,000 APPROVALS /'DATE INSPECTOR'S�S GGNyAT U RE PC PMT FEE $ J FEE $ �� G/(,/ FO FORMS, MATERIA SUNDATON ION FRAME FIRE STOPS, I' , ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS. ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION •WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING-'THE ORK EREBY I TION OFZED THEHLABOR COPEL F HE ATEMPLOFYCALRS0 1 RELAT- ING LATH, INT - TO WORKMEN'S TAAE S'ATION ,NSU RANI • LATH, EXT. SIGNATURE OUSE'NUNIBER COR- •, PER�ITTFF - .RECT AND POSTED A ) e�•�i Dp��D�}}}MQ{{''7$7S ' res one v o a o Gate FINAL z �>✓ � �,..�,. - '. '` ,'JOHN F. LEWIS, PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION cK. M O. CASH _ PERMIT VALIDATION CK. M O CASH 9 03 G JAN 1 '1 2 3 0 3.'7 5 ;.. f LAisG _ LAUo 4 0. 4 L, JAN I 1 •1 D 1-5.00- q, DEPARTMENT OF BUILDING AND SAFETY ` APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILD WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN - FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING /� / '<� /,,..7S2 �., ADDRESS LOCALITY r RECEIVED BY _ r DATE OF APPL. DATE ISSUED CNEAREST ROSS STBUILD_ ,� �/ I2�. O-57y OWNER QJ S KGfJ0CTM C 2ZZ�r,O�' ADD ESS MAIL LOCALITY C , ADDRESS macig NEAREST �'v�✓S�� TEL. CROSS ST. CITY NO. FIRE ND.OF TYPE GROUP ARCHITECT OR TEL. ZONE,- PLANS ENGINEER NO. BLDG. � e, O D,N O. ADDRESS SETBACK LINE .L,.a. , APPROVED CON&fktt C0_ "T&jf`?l G N NO� BY �7_•.cDATE USE APPROVED ADDRESS P -So. T ZONE BY DATE LEGAL TO. QQ CORRECTIONS DESCRIPTION FIT �bz TRACT [q /J � (� F84 N 0.13F BLOB S� SIZE OF LOT(P'Z,�� I NOW ON LOTS USEOF �"' I NO.OF -NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW � ALTERATION I ADDITION to Z-r O F � REPAIR MOVING DEMOLISHGI Sq.FT. �' NO.OF /yam rr '' ' SIZE �Q� Z _ ROOMS �/ -STORIES I D WALL R13OF COVERING �T�C�V I COVERING/Cmc,Po - I' USE,'DF NE -BUILDING UILDING W DA.I // w�ni �f.�+ •t ' _7--r. j.Q w I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS: -'/, ��gJ APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOW LOCATION IN PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS r . . PERMITTE17LATH, INT. � l�Ar AUTHORIZED AOT LATH, EXT. 76AG38A9-48 r V oss-3 SOM SETS ��....�� - p,C,ai PLASTER, INT. 7��p�+y, FEE pLASTER,EXT. VALUATION fi d' ;p FEE FINAL ��` ;)kA-0 76A63sA,.s-E#003 10-58N, APPLICATION' -FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING —' 7C;?— DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATJ'D.GRIFFIN' SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP PE rte. P O ESSED BY FOR APPLICANT TO FILL-IN ��j ' r' J , BUILDING SE ER A ADDRESS STATISTICAL C SSIFICATION I �K j P LOT NO. 15 CLASS.NO. L- DWEL . UNITS d � - LOCK NUMAP MBER D/ STATE YES NO HWY. TRACT U E ZONE SPECIAL NO.OF BLDGS. CONDITIONS - - SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BUILDING• - EXIST.' SETBACK YARD' HWY STREET NAME WIDTH OWNER FRONT MAIL P.L. tole ADDRESS SIDE L L CITY _ "o' - - INSPECTION, RECORD - ARCH IT CT OR - -TEL. ENGINEER NO. - - - - - -- - - -- -- . ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW -ADD ALTER REPAIR DEMOLISH - SQ. FT, oo�� NO.OF NO.OF SIZE pC.d STORIES FAMILIES USE OF STRUCTUREda- - -. SIGNATURE OF APPROVALS APPLICANT - DATE INSPECTOR'S SIGNATURE - ADDRESS •FOUNDATION: LOCATIONcy ' FORMS,MATERIALS - $ �1 P.C. $ FRAME: FIRE STOPS. 30 0 - FEE BRACING. BOLTS= •- VALUATION $- FURNACE: LOCATION. - FEE ' GAS VENT.DUCTS' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- ! - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.AND LATH, EXT. S ' STATE LAWS' REGULATING BUILDIN NSTRUCTION. - SIGNATURE OF 'HOUSE NUMBER COR- PERMITTE RECTANDPOSTED •.,(� /_I ADDRESS FINAL ,., `' /J /"•I '"" c Vim_ > CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ,�t�,ol6 2 8 h FIAY. 6 • ' 1 'A 3'.0 0 �.,.. TEMPLE CITY 76A638A CE#B03 I-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS c BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAM BI E. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS S r T N UP TYPE P OCE D Y FOR APPLICANT TO FILL IN conlsr. BUILDING tr• y� ICAL CLA KATION SEWER MAP A-DRESS �S2 L'. OS�'f11- BK PG NO. DWELL UNIT�SJ� LOT NO S BLOCK 'p, NOT REQUIRED TtlRECEIVED ATE: iJ� TRACT MAP HIGHWAY STATE MAJOR SECOND, NO.OF'BLDGS. NO. ICIRCLEI SIZE OF LOT NOW ON LOT - USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. a� ry� OWNER Z� Z/Tc EL BUILDING EXIST Z-, SETBACK YARD HWY STREET NAME WIDTH as FRONT I ARCHITECT OR � TEL PL T O ENGINEER NO SIDE P L CL ADDRESS - 0 TEL. � �a �/J^ � uADDRESS CONTRACTOR/9 � NO. /„�J ",fJ_ nf`> +-�' DESCRIPTION OF WORK 'lam f'`�?fcy� Lu i W CL CA NEW ADD ALTER PAIR DEMOLISH / Z SQ FT. N NO OF SIZE STORIES FAMILIES SE OF STRUCTURE IGNATA E OF APPLICANT VALUATION $ APPROVALS INSPECTOR'S SIGNATURE P-C FEE $�7 FOUNDATION: LOCATION ' FORMS, MATERIALS FRAME FIRE STOPS, /P 2 C'�i';. C.C�G'• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,'BOLTS l97 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION I AUTHCERTIFY THAT IN DOING THE WORK / ORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH. INT ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT SIGNATURE OF e� HOUSE NUMBER COR- PERMITTEE �.-✓ ,6' !/_ '�' RECT AND POSTED ADDRESS , -S�s� FINAL PLAN CHECK VALIDATION CK mo CASH JOHN F. LEWIS. PRINCIPAL STRUCTURAL EnCA.H PERMIT VALIDATION CK M.O. `' Ao 0 4 9 7 JAN 3 1 1 D 41 i 0- APPLICATION- FOR BUILDING, PERMIT COUNTY OF LOS ANGELES " ' BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT,TO FILL IN BUI ADNG DRESS BUIL ING•ADDRESS •+'/1 J - �� •'/�'�`� - I hereby affirm that I have a certificate of consent to-self Insure, -� /3 , or'a certificate of Workers' Compensation Insurance,or a Certified - copy thereof (Sec.3800,Lab C.) - -CITY- - - ZIP - - j LOCALFr Policy No Company S F LO NO OF BLDGS NOW ON LOT ❑ Certified'copy is hereby'furnished NEAREST CROS ,ST ❑ Certified copy Is filed with the county building Inspection TRACT BLOC LOT NO department - USE ZONE MAP NO - Date - Applicant } ASSESSOR MAP BOOK O�yO PAGE q/� PARCEL 92 3 ' Q / SPECIAL CONDITIONS _ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ♦ TEL NO � 0 / COMPENSATION INSURANCE WITHIN i000 Fr OF sCHooL� Yes NO (This section need not be completed if the permit is for one hundred ADDR 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 to ARCHITECT R ENGINEER TEL NO .become subject to the-Workers'Compensation Laws STATISTICAL CLASSIFI TION 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 to the WorkersCON TO /f TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions,of, the-Labor. Code, you must forthwith �Gfi 10,0 -3%� FRONT comply with such provisions or,this permit shall be deemed revoked AD KESS LIC NO r PL LICENSED CONTRACTORS DECLARATION �lo 02 SIDE, 012l� LIC CLASS P L - I hereby affirm that I am licensed Underprovisions of Chapter 9 jjG /T SEWER MAP (commencing with Section 7000)6f Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES NEW ❑ -BK PG Profes'sion's Code,and my.license is In full•force and effect. , a License Number Llc.Class DESCRIPTION OF WORK. ADD ❑ VALUATION O Contractor Date'• ALTER ❑ $ U ❑ I amexempt under Sec. REPAIR ❑ $ 0 B&PC for this reason �-�� DEMOLX W LDMA P/C# Date - - USE OF EXISTING BLDG - URM ❑ d Signature APPLICANT(PRINT) TEL NO LDMA Perm# Z ❑ I, as owner of the property,'or my employees with wages as ZAC(:T ` a a .their sole compensation, will do the work and the structure Is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DAT 0 0 3 1634 a q5 Professions Code) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ,, T I! OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J I 1!LS El 1, as Owner Of the property, am exclusively contracting With licensed contractors to construct the AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY - project (Section 7044, YES❑ NO❑ T 01 T AL : 4334 _ 953 Business and Professions Code) WILL THE INTENDED USE OF THE BUIDLING BYTI THE APPLICANT OR FUTURE BUILDING (-'LEEK 184.95 84 o 95 ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH L rrTTCC.- !r 1 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR LI N' / (ry GUIDELINES - CHAN'GE - _00 I hereby affirm that there Is a construction lending-agency for - YES 1:1 NOT] - the performance of the work for which this permit is Issued(Sec HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �7(}7 (�(� {q J 1/95/ w 'TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS !,000—V V 0 1 ,C/J 1/95 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD Lender's Address `1t"71' 1 AM 10 2 ilk.➢ O - OWNER OR AGENT , o I certify that I have read this application and state under penalty 0o PC FEE PERMIT FEE of perjury that th above Information Is correct I agree to comply `J - - w with all county dmances and State laws relating'to building ., m construction, a • ereby authorize representatives of this County ISSUANCE FEE to enter n a ve-mentioned property for inspection purpose �� (p o a � m - D INVESTIGATION FEE TOTAL FEE /e .. - x sgn tum a nop « i /` 'SEE REVERSE FOR EXPLANATORY LANGUAGE