HomeMy Public PortalAbout9561 LA ROSA DR_Building__ i ,o .. I '
"a �4P P L I CATION FOR ' -` -
OF COUNTY OF LOS ANGELES ' ,
I Nf
B U I L D,I N G PERMIT DEPARTMENT BUILDING D
G AND SAFETY EV GION R;
BUILDING /
FOR APPLICANT TO FILL IN ADDRESS
BUILDING.--cy�'7'� -- •==
ADDRESS L U l(/ LOCALITY -410
NEAREST
CITY ! �� ZIP 9 t �(}� CROSSST
/ 4 NO OF BLDGS ASSESSOR
SIZE OF LOT X /37 NOW ON LOT MAP BOOK PAGE PARCEL a
DISTRICTGROUP TYPE r FIRE ESSED BY
TRACT J� 7.� BLOCK LOT NO CONST ZONE
OWNER3G NO 7- v3 ` do M
A STATISTICAL CLASSSIIFII�CATTION SEWER AP
ADDRESS
S / (tet`y�- CLASS NO SL DWELL UNITS BK PG
CITY' / L e Q?• ZIP � �_v USE ZONE •[NO
ARCHITECT OR _ _ TEL ENGINEER NO . IALDITIONS
ADDRESS, CAJ i� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑.
TEL
CONTRACTOR 'NO BLDG SETBACK FROM -
LIC FRONT PROP LINE OF- (STREET)
ADDRESS 'NO TOTAL SETBACK FROM TYPE OF EXISTING
LIC HIGHWAY + , YARD ; FRONT PROP LINE HIGHWAY WIDTH-
CITY CLASS `
CONSTRUCTION LENDER + a
NAME AND BRANCH ' BLDG SETBACK FROM OU
ADDRESS CITY SIDE PROP LINE OF (STREET) p
SQ FT NO OF NO OF CHECKHIGHWAY + YARD TOTAL SETBACK FR TYPE OF EXISTING —
SIZE STORIES FAMILIES ONE SIDE PROP LINE GHWAV WIDTH
❑ + = Z
DESCRIPTIO F WORK NEW
ADD CORNER CUTOFF YES ❑ NO ❑
S ALTER IN OPEN SPACE YES ❑ NO ❑
REPAIR El
USEOF BLDG DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑
APPLICANT TEL '
(PRINT) N
BY(SIGNATURE)
IHEPEBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYIWITH ALL ORDIN,,NCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF `
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATURE OF �/ FINAL BY
PERMITTEE- DATE �'� _
ADDRESS _
TEL PC Fee$ V Permit Fee CL, -
CITY - — - NO
Issuance Fee
EVALUATION:$
D v Total Fee
PLAN CHECK VALIDATION 'CK Mo CASH PERMIT VALIDATION cK M o CASH
01.76A638A CE d803A 6/76 - .�
SETS 8-48 -
DEPARTMEN-"-OF ,aUILDING AND SAFETY-' ' APPLICATION FOR PERMIT
OOUNTY OF LOS,ANGELESBAR BUILDING
WM.vJ. FOX, CHIEF ENGINEER 46
FOR APPLICANT'TO 'FILL 'IN' FOR. OFFICE USE ONLY
_ DISTRICT NO:, PLAN CK NO. PERMIT NO.
BUILDING
ADD RE99
LOCALITY' RECEIVED BY DATE.OF APPL: DATE ISSUED `
NEAREST'_ B- S 3 1 z. =4 -_- __ ?4 Al L.
CROSS ST.
OWNERg C BUILDING /, /I O /1 D�
ADDRESS �' M M
MAIL -1 w A �, AyJ.� I LOCALITY �MPL6 G1TY '
ADDRESS , ) [-k' -"""yam --
NEAREST
TEL.
��fti/ ✓D.
CITY r! NOL. A. _CROSS ST.
'0f, / FIRE NO.OF TYPE GROUP
ARCHITECT OR - TEL. ZONE I PLANE I I'
ENGINEER NO
- _ 1BLDG. ORD. NO.
ADDRESS - SETBACK LINE ��.:..
, APPROVED
p �TEL. BY DATE
CONTRACTOR � _ 1.rANO' = - USE APPROVED -
`ADDRESS
• �. _ ZONE, BY ^ .G•�J�`.. DATE ®�
LEGAL, _ry CORRECTIONS
DESCRIPTION I LOTt`iNO. y_.� I BLOCK '
TRACT, ,i
�_�.7 I NO. OF SLOGS.
SIZE'OF LOT NOW ON LOT
USE OFI NO.OF I NO. OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW I ALTERATION I ADDITION _ O
REPAIR I MOVING ,DEMOLISH O
SO. FTNO.OF ' Z
SIZE " 0 ROOMS STORIES _ D
r
WALL '� I ROOF' n
COVERING'COVE R IN[ _
�7
USE OF NEW .�, _ '•� }
BUILDING
+`±APPROVALS - r
I HEREBY, ACKNOWLEDGE THAT I`HAVE .READ THIS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, PECTOR DATE
FORMS, MATERIALS,-. `
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -
AND'STATE LAW-9 REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, _
BRACING, BOLTS -
,SIGNATURE OF
OWNER LATH, INT.:- %/L ll)- 41
f.
,~AUTHORIZED 1 -
A _ LATH, EXT.: ?
KAW
P. C. IIIPLASTER,PLASTER, INT. '
�.•�g�''� FEE E `_4 PLASTER, EXT.
C
VALUATION $ �s � �
FEE ,�° — FINAL
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
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS �
CA45
LOCALITY dZ
RECEIVED BY DATE Or ADPL. DATE ISSUED
NEAREST
CROBS ST. -
i BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDRESS
NEAREST v
TEL. CROSS BT. ,
CITYtk NO. FIRE NO OF TYPE OR
OUP
ARCHITECT O TEL ZONE PLANS
ENGINEER NO.
BLDG: / D
/ I 4��/� w ./ / t` SETBACK LINE C/
ADDRESS I
APPROVED '
TEL BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE 13Y DATE
LEGAL CORRECTIONS
DESCRIPTION LOTHO. BLOCK
TRACT IJ[� �/ 2n /' - _ // -
NO OF BLDGEL 1 I
SIZE OF LOT NOW ON LOT I u-1 I r• NCS
USE OF OF NO OF
FA !'
EXISTING BLDG FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
_ A
REPAIR MOVING DEMOLISH p
SO FT. NO OF Z
SIZE ROOMS STORIES D
WALL ROOF - r
COVERING ♦ I COVERING jp,-.I
USE OF NEW
BUILDINGA
n�
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
/��] ��/y/'� FRAME: FIRE BTOPB, `/ p-
` P//%�i? A�t /S�\-Lp' _ I BRACING, BOLTS n /"
SIGNATURE O
PERMITTEEro_ - � ��'�'�'�'`S� LATH,INT.:
AUTHORIZED AOT LATH,EXT.: I
oSS-3 SOM BETS 1-48 $ P.C.0 PLASTER,INT. '
� I
S
FEE PLASTER,ASTER,EXT.
VALUATION FEE FINAL
76A638A CE#803 5-65 APPLICATION FOR BUILDI PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A D D R E SS �,_ Qi
BUILDING AND SAFETY DIVISION L O C A L I T Y✓
JOHN A LAMBIE COUNTY ENGINEER NEAREST -
COLEMAN W JENKINS SUP T OF BUILDING CROSS 5
DIS I IRI CT'N G UP TYPE ROC S 0
FOR APPLICANT TO FILL IN 5 p 2 coNsr
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ��(p CLASS NO DWELL/UNIITTS BK,� PG/�
LOT NO 3 BLOCK USE ZONE�.,N
OP _ �� VZl
TRACT lea o?v p ' CONDITIONS f
NO OF BLDGS
SIZE OF LOT �O NOW ON LOT
USE OF
E ISTING D BLDG SETBACK FROM
T L FRONT PROP LINE OF (STREET)
OWNER _� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CITARCHITY ECT CPR TEL BLDG SETBACK FROM
ENGINEER NO -
SIDE PROP LINE OF (STREET)
ENGINEER
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS _ HIGHWAY WIDTH FROM C L
TEL + _
CONTRACT NO O
LIC
ADDRESS NO CORNER CUTOFF YES NO V
CITY CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
DESCRI-PTION OF WORK
a
NEW ADD ALTER REPAIR DEMOLISH N
Z
SQ FT NO OF .NO OF
SIZE STO IES FAMILIES
USE OF`
STRUCTU
S I aTC�R'T'tl'Ite'b F
P
VALUATION
V CZ
APPROVALS DATE INSPECTOR'SSIGNATURE
P C PMTFOUNDATION, LOCATION
F FEE$ ��, FORMS, MATERIALS _
FRAME, FIRE STOPS,
I HEREBY AC KNOWLEOGE•THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING- GAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT '
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKME 5 COMPENSATI0 SURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
` PERMITTEE - D AND POSTED
/\ ADDRESS FINAL J!
JOHN F LEWIS RINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK MO CASH
ut�O 5 SSP 2 0 4.0) N
%
76A638A CE7t803 8-63,i�Pr-LIC:ATION FOR BUILDING PERMIT
COUNTY OF`LO,S ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER' ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 5
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST
DISTRICT NGRPOP YPE O D
FOR APPLICANT TO-FILL IN Q CONST
BUILDING. L `STATI ST I CAL•CLAS SI ICATI ON SEWER MAP
ADDRESS �J� �j � ' BK PG
CLASS NO DWELL UNITS
LOT NO3,• BLOCK WATER
CERTIFICATNOT REQUIRED RECEIVED
E v '
TRACT �' _ MAP �{ HIGHWAY STATE MAJOR SECON LOCAL
w NO OF BLDGS NO- `J (CIRCLE) '
SIZE OF LOT �S NOW ON LOT '
USE ZONE SPECIAL
USE OF I • I' CONDITIONS
EXISTING BL G s I E �'
T E L -
OWNER WL, NO B ILDING EXIST
ljYARD HWY STREET NAME
a , SETBACK �-,,.- WIDTH
ADDRESS 674
ARCHITECT OR / TEL j' P L ,
\r �^F —`-'S
ENGINEER NO SIDE y
.. /� P L j
� ADDRESS Al
f � �
'TEL J V O ti
CONTRACTOR IJ O' U
ADDRESS CUr.d TIER, DRIVEWAY APPROACH,
lZ
ID XKD PARKW O
DESCRIPTION",OF WORK F
r
curb u ar, side, , and drivowaY approach U
' UMW ADD ALTER gREPAIR DEMOLISH �1 J ..^1F/ •. Vf
SQ FT r NO OF,}: NO OF, allations shoWA0';::Ien h t;al {i. A I`:•in Order to avol Z
SIZE STORIES FAMIL_I'E& 1 Ice, or 1. C CO } "
USE OF I A lenOthydelay Survey J& Uesi'gn work ta7 cs it mend is nOt"starte,
STRUCTURE ,— swaY
until Permit has been issued' A4p,�pry or.Par ,, _
SIGNATURE OF
I APPLICANT
'C ?
VALUATION $/O .ter„
{ 0_0APPROVALS DATE INSPEC 'SIGNATURE
I PC PMT FOUNDATION LOCATION /
FEE $ FEE $ FORMS MATERIAL � rO
FRAME FIRE STOPS �.A
�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING"BOLTS —
AN Dr STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
ATE LAWS REGULATING
WITH ALL COUNTY ORDINANCES AND STA
I GAS VENT DUCTS � a '/�I, .'J •� ./��
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK 1 tk /� 1 ,
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT �x, pff y {.,r/(I I ,\
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT •� ' � n.f4
ING TO WORKM S COMPENSAltNSURANCE
LATH EXT
SIGNATURE yo
O� USE NUMBER COR-
PERMITTEE RECT AND POSTED
�w
ADDRESS '75-z
A FINAL
r JOHN F LEWIS PRINCIPAL STIR U AL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
Lko 8 5 5 5 HAY 152 3• Q 1_9_175A
T L;09 1 2 4c'o- JUN 16,- 'l D 5925—
� 4
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 1309120036
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST I BUILDING ADDRESS 1
ITR 13620 LT 23 SQ FT STORIES TYPE 9561 LA ROSA DR
I _ISTRUCTURE 2200 V-B TEMP CA 917803827
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-014,-011 I - THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI
I I
ITENANT (EXIST BLDG USE RESID USE ZONE R-1 IISSUED ON PROCESSED BY
(EXIST OCC GRP 109/12/13 SR
I I I I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFTW, DATE FINAL BY CODE
(CHU LUNG-CHANG,YUEH J (626) 285-2041- I 8,800 7,}-
19561 LA ROSA DR �7
ITEMP 917803827 FEES PAID IDESCRIPTION OF WORK
IMAIN' HOUSE TEAR OFF ROOF AND INSTALL O S B PLYWOOD WITH
IFEE DESCRIPTION QUANTITY UOM AMOUNT 1#30 LB FELT AND NAIL 30 YEAR DEMENTIONAL SHINGLES
(APPLICANT TEL NO 1 1 I
IMATIARENA, MANUEL (626) 444-4910- IAA BLDG PERMIT ISSUANCE 27 80 1 1
14425 ROWLAND AVE #D JAB STATE GREEN BLDG FEE 8800 00 VAL 1 00 ISPECIAL CONDITIONS I
JEL MONTE CA 91731 JAC STRONG MOTION RESID 8800 00 VAL 0 90
ID2 PERMIT W/O EN-HC 8800 00 VAL 199 80
TOTAL FEES 229 50 1
(CONTRACTOR TEL NO ,1 1APPRGVALS DATE INSPECTOR SIGNATURE !
IGOLDSTAR ROOFING INC (626) 444-4910- 1 1
14425 ROWLAND AVENUE LIC NO j ILOCA`IION AND SETBACKS I I
JUNIT D 741676 1-- 11
JEL MONTE CA 91731 ISOILS ENGINEER APPROVAL
I I I I I I
JARCHITECT OR ENGINEER TEL NO IFOUN,ATION/TRENCH FORMS I
LIC NO I ISLAB!UNDER FLOOR I I I
I I_ I I
I IRAISED FLOOR FRAMING
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDEQFLOOR INSULATION
I 3 001 1 1 I
I IFLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I
1 NO 21 IROOF SHEATHING
I I I I I I
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS
(AIR QUALITY 1000 FEET MATERIALS I_ I
NO NO NO (FRAM'. INSPECTION I I I
I I I I I I
IFIPE SPRINKLER HANGERS
I I I I I I
IINSULATION/WEATHER STRIPI I I
I
I-,-
(INTERIOR LATH/DRYWALL I I 1
I I EXTERIOR LAT-I 1 1
1 ! (RATED FLOOR/CEIL ASSEM
1 JRATFD WALL ASSEMBLIES I I 1
IRATED SHAFTS/OPENINGS 1 I I
I I I I I I
IT-BA_R CEILINGS 1 1
1 * ADDITIONAL DATA ON FILE I 1 1 1
ILOT DRAINAGE I 1
I I I I I I
(REPORT ID DPR261 ROUTE TO BSO508
I ! I I I I
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 1309120038
PHONE (626) 285-0488 EXT
LEGAL ID _ NO OF CONST BUILDING ADDRESS
ITR 13620 LT 23 SQ FT STORIES TYPE 9561 LA ROSA DR
I ISTRUCTURE 600 V-B TEMP CA 917803827
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-014-011 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI
1 I
TENANT IEXIST BLDG USE DETAC USE ZONE R-1 JISSUED ON PROCESSED BY
EXIST OCC GRP 109/12/13 SR 1
OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1F AL'AEFINA L Y CODE
ICHU LUNG-CHANG,YUEH J (626) 285-2041- I 2,200
19561 LA ROSA DR I "'
ITEMP 917803827 I FEES PAID JDE CRIPTION OF WORK
IDETACHED GARAGE TEAR OFF ROOF AND INSTALL 0 S B PLYWOOD
IFEE DESCRIPTION QUANTITY UOM AMOUNT IWITH #30 LB FELT AND NAIL 30 YEAR DEMENTIONAL SHINGLES 1
(APPLICANT TEL NO I I 1
IMATIARENA, MANUEL (626) 444-4910- IAA BLDG PERMIT ISSUANCE 27 80 1 1
14425 ROWLAND AVE #D JAB STATE GREEN BLDG FEE 2200 00 VAL 1 00 ISPECIAL CONDITIONS 1
IEL MONTE CA 91731 JAC STRONG MOTION RESID 2200 00 VAL 0 50
ID2 PERMIT W/O EN-HC 2200 00 VAL 99 00
TOTAL FEES 128 30
CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
IGOLDSTAR ROOFING INC (626) 444-4910- I
14425 ROWLAND AVENUE LIC NO ILOCATION AND SETBACKS
JUNIT D 741676
JEL MONTE CA 91731 ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I I
1 LIC NO 1SLAB/UNDER FLOOR I
RAISED FLOOR FRAMING
I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION
� I I
1 3 001 IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I
NO 21 1 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUSISHEAR PANELS I I
JAIR QUALITY 1000 FEET MATERIALS I I 1
1 NO NO NO I (FRAME INSPECTION I I 1
I I I
IFIRE SPRINKLER HANGERS I I
I I I
1 1 (INSULATION/WEATHER STRIPI I I
I I I
IINTERIOR LATH/DRYWALL
I (EXTERIOR LATH I I I
I I I
1 1 1RATED FLOOR/CEIL ASSEM
IRATED WALL ASSEMBLIES
I I I
I (RATED SHAFTS/OPENINGS
I I I
IT-BAR CEILINGS I
I
I* ADDITIONAL DATA ON FILE
1 I ILOT DRAINAGE I I I
1 IREPORT ID DPR261 ROUTE TO BS0508 I I I
I I I 1