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HomeMy Public PortalAbout9569 LA ROSA DR_Building__ APPLICATION FOR BUILDING PERMIT � FOR APPLICANT TO FILL IN (Print or type only) - /� -//` j C! BUILDING- COUNTY OF LOS ANGELES ADDRESS DEPARTMENT ,OF COUNTY ENGINEER clrY r- ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING - SIZE OF LOT /��Z- NOW ON LOT ADDRESS TRACT 3 d BLOCK LOT NO , -LOCALITY TEL NEAREST OWNER- - NO CROSS ST- ASSESSOR ' ADDRESS MAP BOOK PAG PARCEL _ DISTRICT G YPE FIRE PR ESSED BY CITY L ZIP -� ZON ARCHITECT O TEL ENGINEER O _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS .!5 f f CLASS NO UNITS BK PG CONTRA CTO NEL U ONE MAP LIC NO ADDRESS � — ' SPECIAL IC CONDI TIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED, YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLD SETBACK FROM FRO T PROP LINE OF (STREET) > ADDRESS CITY 0- SQ FT NO OF NO OF CHECK - HIGH AY + YARD = TOTAL SETBACK FROM TYPE OF H G WAY EXISTING CDCD FRONT PROP LINE SIZE STORIES FAMILIES ONE - - - - _ - . CD DESCRIPTION OF WORK NEWILLI ❑ - V BLDG S ACK FROM a ADD SIDE PROP (STREET) cn Z ALTER ❑ HIGHWAY + YARD = OAIR❑ AL BACK FROM TY F EXISTING SIDE PROP LINE HIGHW REPWIDTH - USE OF + _ EXISTING BLDG �- L DEMOL ❑ APPLICANT TEL =� CORNER CUTOFF - YES ❑ NO C]- (PRINT) 0 _ IN OPEN SPACE - YES ❑ NO BY (SIGNATURE) ❑ IN COASTAL ZONE YES ❑ NO ❑ d -j_5% _ VALUATION iQ' (J I/� CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ` STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE SIGNATURE OF p - PERMITTEE ADDRESS � .2 TEL FINAL J BY CITY �i����/�)/1,O/7 NO ��-S' I ATE C PMT II 1hL C11C I`S P 1T-1I31-L- 10 FEE $ FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN_CHECK VALID ION CK M o CASH VALIDATION CK M O CASH 32.7 15 4.50e _ 'Y 76A638A.CE#803 12/72 �,,,� 8r9AN l rN - n 1 5.0,O AZ�b i ©S 76A638A CE#803(REV 6/78) I' APPLICATION FORBUILDING •PERMIT f� -,COUNTY OF LOS ANGELES BUILDING AND SAFETY PARCHITECTORf OR APPLICANT TO FILL IN BUILDING ADDRESS NG • SS Lo2ar a LOCALITY ' NEAREST Y ZIP CROSSST NO OF BLDGS r ASSESSOR ' LOTS L NOW ON LOT MAP BOOK PAGE P ' DISTRICT GROUP ,TYPE ]10�REPROCEED BYBLOCK LOT NO CONST TEL �QU 3 R /C��v NO _ STATISTICALCLASSIFI ATION SESS �� cL CLASS NQ �DWELL UNITS —BK G �(� ZIPECT OR TEL VALUATION $EER NO SS BLDG SETBACK FROM .^ TEFRONT PROP LINEOF (STREET) ACTOR NO Q HIGHWAY + YARD -__ TOTAL SETBACK FROM TYPE OF EXISTING ��/� LIC rr/l FRONT PROP LINE HIGHWAY WIDTH ADDRESS /V( (/�iNO - LIC - - CITY- (� Q(/1 �a -- CLASS C "3 CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH _ SIDE PROP LINE OF � � (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SQ FT / NO OF NO OF CHECK + = u SIZESTORIES FAMILIES ONE 91 DESCRIPTION OF WORK NEW PC Fee$ Permit Fee ADD /❑ Issuance Fee /- y D �L ALTER ❑ Z REPAIR ❑ Total Fee USE TI DEMOL EXISTING BLDG �/�� Pi ''�,,(/� (� /fix❑ _ Z APPLICANT TO OTVV NO a -406 D , BY(SIGNATURE( Q I HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS APPLICATION AND STATE, Y THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE Z WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF i V _ 617 U•5 A THE LABOR CODE OF THE STATE CALIFORNIA IN RELA NG TO WORKMEN S COM Z PENSATION INSURANCE • rT�,° °1°�° ° PERMTTEEEOF �ZI°'O 4 3.O O ADDRESS D z '°'° 4 3. OOFI TEL e O CITY NO Q 0 9, 1 :8'—' 7 9 ZONE MAP ` s NO Q , SPECIAL ''. • • _ _ c b. F CONDITIONS FINAL BY W / ._ DATE 76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMIT COVNTY-tQF LOS ANGELES BUILDING DEPARTMENT' `OF COUNTY ENGINEER ADDRESS �f BUILDING-AND SAFETY DIVISION LOC A LI TIY--- JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T of BUILDING CROSS ST - DISTRICT NG TYPE FOR APPLICANT TO FILL IN o CONS NO ` + STATISTICAL C SIFICSE ER MAP. - ADDRESS V_ .1,c-7 !•� If, CLASS NO DWELL UNITS -- - eK -PG LOT NO BLOCK USE ZONE MAP NO �J TRACT �. -SPECIAL-- -- -- q NO OF SLOGS CONDITIONS - SIZE OF LOT o'7?/� p NOW ON LOT USE OF ElISTING / ,-s 11 ems✓�� BLDG SETBACK FROM TEL (t� FRONT PROP LINE OF _ (STREET) - OWNER " //� NO (,� TYPE OF EXISTING SETBACK HIGHWAY �; YARD TOTAL ADDRESS '!H_ b s .r f 77c./.� HIGHWAY WIDTH 'FROM C L - - CITY f 6/f7 �� !� �C. C_D BLDG SETBACK FROM .. - ARCHITECT OR ly TE L SIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L 11 TEL uu + CONTRACTOR C� NO `` Y �f1 T� - c- ADDRESS/0 , DWP� NO/!J� - O CORNER CUTOFF YES � - NO U C C9 CITY @ e C s SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIP ON OF WORK v W CL N NEW ADD ALTER REPAIR DEMOLISH _ Z SQ.FT NO OF / NO OF SIZE 6 STORIES -! FAMILIES USE O F S STRUCTURE SIGNATURE O - APPLICANT VALUATION$ / � � ! APPROVALS DATE INSPE R'S SIGNATURE FOUNDATION, LOCATION i FEE$ FEE$ D FORMS, MATERIALS 7, 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK / w AUTHORIZED "ILLPLOY ANY PERSON IN VIOLA LATH INTTION OF THE TE OF CALIFORNIA R AT ING TO WORKSURANCE ` -72LATH EXT /SIGNATUREr / /i1' HOUSE NUMBER COR- PERMITTEE - RECT AND POSTED - ADDRESS// s � 1`- i 41Lzl' P'Aff 9X- J .�' C1 . FI NAL ;5r 41V OV W4.OP JOHN F LEWIS PRINCIPAL T URAL ENGINEER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK- M o CASH �r�LIO e &gyri 16 1 0 1 1.50- DIVISION OF BUIMING AND SAFETY Xmmu �IDI'm = NG Deportment of County Engineer Coua1y, of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATIOND NG BU'L _ FOR APPLICANT TO FILL IN ADDRESS C, L BUILDING �1 c/� 11 LOCALITY -77 l C ' ADDRESS NEA.REBT 1l h CR088 ST. l-'til V j LOCALITY l DISTRICT NO. PLAN CK.OR Rec. No. PERMIT NO. OS OWNER Q -'/ J� LLQ / / RECEIVED BY DATE OF APPL. DATEISSUED AMAILDDRESS (J r �' OIQ� L� �t PCC O�!1 1n. 1��� 3�1� `s4 TEL USZON6 -NO. OF 1TYPE---.T- I GROUP I FIRE ZONE ' A TEL `PLANS CITY +�f" ARCHITECT ORI' TEL. /"1� ZONING•:, ENGINEER NO. V APPROVED BY- GG- Fri BUILDING ADDRESS SETBACK LINE: 2O i _ TEL. APPROVED DATE, CONTRACTOR NO BY J,. ' HOUSE NUMBERING ADDRESS �f LEGAL MAP NUMBER I l n - NO ASSIGNED BY,'1 n-LW-L DESCRIPTION LOT NO BLOCKV /11,316 �j `6 DATE CORRECTIONS I INSPECTOR- TRACT (-3/�/ SIZE OF LOT v /1 I NOW ON LOT NO. OFBLDGS4 USE F NO. OF EXISTING BLDG I FAMILIES �1 "/ !�/,v'�' / �zrC/'''6.."Gf F✓ 'I�- O DESCRIPTION OF WORK NEWALTERATION ADDITION v D 11� REPAIR DEMOLITION SS r NO OF ZEESQ FT y ROOMS STORIES STORIES �► �I \ CCOVERINGL Tj/.� I COVERING �L �Q jg� Qv)•-L,,,�/ �/o I�Lr�*r USE F STRU UREE •-• APPROVALS !j I'NSPECTOR'S SIGNATURE DATE • ,FOUNDATION• LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISVEAP- FRAME: FIRE STOPS, Ali_ PLICATION AND STATE THAT THE INFORMATION GIN IB BRACING, BOLTS CORRECT I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, v t� ��✓� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF / �G/d LATH, INT PERMITTEW LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT vJ PLASTER, EXT Q L (O J /� FEE ffi �� HOUSE NUMBER COR- () OR- v RECT-AND POSTED VALUATION FEE2,Cp C FINAL 76ASSBA DBS 3 2-88 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 9812210005 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONSTUI I G ADDRESS: TR: 19316 LT: 1 ' SQ. FT STORIES TYPE 9569 LA ROSA DR STRUCTURE: 0 VN TEMP CA 917803827 ASSESSOR INFORMATION NEAREST CROSS STREET: 8590-014-023 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: E G USE: ID USE ZONE: - UED 0 PROCESSED EXPIRES . EXIST OCC GRP: 12/21/98 UT 12/21/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F FINAL BY: CODE: MCLAUGHLIN VIRGINIA A (818) 286-7882- 1 4,200 9569 LA ROSA DR TEMP 917803827 FEES PAID T OF WO TEAR OFF, INSTAL " PLYWOOD, OVER WITH GAF 25 YEAR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: L. O: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4200.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HCS-X4200.00 VAL 132.60 ��GELtTOTAF E QLZS 160.85 CONTRACTOR: TEL. NO: ®� ���i TP-FROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO I m C AND SETBACKS I SOILS ENGINEER APPROVAL r ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIONPRENCH FORMS LIC. NO: 111111 SLAB/,UNDER FLOG RAISED FLOOR MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: UNDERFLOOR I S ATIO 144H269 3 01i U O C 00KS FLooP SHEATHING NO. OF FAMILIES: DWELLING UNITS: A NO A CLASS. NO O 0 ROOF SHEATHING SCHOOL WITHIN �I SHEAR AIR QUALITY: 1000 FEET MATERIALS 0 ? � NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK EXIST 890 -py®Q I SPRINK-EER-TANG—ER-9--- SET APL YARD: HWY: PROP LINE: WIDTH: FRONT G�. odePvic Ithl INSULATION/WEATHER STRIP SIDE PL- INTERIOR EXTERIOR LATH RATED F ASSEM. RATED WALL ASSEMBLIES RATEDSHAFTS/OPENINGS T- AR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508