HomeMy Public PortalAbout9570 LA ROSA DR_Building__ U i L I N G BUILDING �,�,0 E4� 1?6c-a Dr
ADDRESS T
APPLICATION LOCALITY /C�7tO/P
DIVISION OF BUILDING AND SAFETY _ NEAREST Tt
CROSS ST.
Department of County Engineer DISTRIC O. RE.CEkDt NO. PERMIT NO.-
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DAT ISSUED
CASBATT D. GRIFFIN, BIJP•T OF BUILDING �'^ ���1 ���/_j
FOR APPLICANT TO FILL IN _ TYPE CONST.• R€CES.= =
DEPARTMENT OF BUILDING AND SAFETY APPLICATION-FM-PERMIT
' COUNTY OF LOS ANGELES I
WM. J. FOX. CHIEF ENGINEER No
FOR APPLICANT TO FILL q
FOR OFFICE USE ONLY
BUILDING �)�� q Q4�J DISTRICT NO PLAN CK.NO. PERMIT NO.
ADDRESS
LOCALITY 6+'I' 'd y- ( R C D DATE OF APPL. �D/}ATE ISSUiE'D`D
CIT REST s��l�S� t13 SaUILD
�a Y 67l AlY-vs/ DDREISS I !A`
NG
OWNER ��j /� S^//f� ��l
MAIL Bjjaa�tt/,e: �V J// ,00�ad4l4oOCALITY or-c.
ROSSST.IRE NO NS +7 TYPE GROUPARCHITECT OR -- T[L. ON PLANS G�.�-ENGINEER NO. BLDA �pETBACK LINE � r �(�� 7f-D.NO.
ADDRESS 2/
R/ i` A/ A- p [L� APPROVED
CONTRALTO ®Ill,at�*TNp. a jSy SY DIATE
yr /�♦ i - USE APPROVED
-
ADDREB o� GV"�•S-�Nsz v�ly v® � ZONE /� BY DATE
LEGAL
DESCRIPTION I LOT NO?-� BCOCK
!r I Jo CORRECTIONS
TRACT to v
,�yd�i 49
NO OF SLOGS. ,�p�w�
-- SIZE OF LOTL�C1�(�++j'(�,�t j I NOW ON LOT IWMaUSE
EXIST NO OF'
NO BLDG./1'MGr/y�• I F� E I ROOMS C' G F,� J. ,ol/7--
DESCRIPTION OF WORK
,NEW ALTERATION ADDITION
A
REPAIR FT. / MOVING DEMOLISH DEMOLISH
NO OF
SIZE f ! - ROOMS 15
STORIES
CWALL 4
OVERIN�h ICOVERIN ,WR/4�40/y
_ �{
USE OF NEW
SUILDING
/ IF
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR oAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION,: LOCATION ,/1 %
FORMS.MATERIALS ,,G
AND STATE LAWS.REOULATING BUILDING CONSTRUCTION z
y ��..��tt �,p¢¢?? FRAME: FIRE STOPS.
SIGNATURE OF �6"0 BRACING.BOLTS ,yam
PERMITTEE Fja �F + j LATH. INT.
O
AUTHORIZED AT --- LATH, EXT.
r
7GA63BA-3 2-SO P C 41PLASTER.INT. - -
00, FEE _[ PLASTER.EXT.
�� � a
VALUATION J x L FEE , � �` FINAL
w
r ---86006]« LA,
WORKERS' COMPENSATION DECLARATION
,herekiy affirm that I, have,a„certificate of con-sent self, APPLICATION: �R d!U' D' G, PERMIT
insure, or a certificate of'Workers' Compensation,Irisurance, t
or o4 certified copy thereof (Sec'3800, LaI3 C")
y IV85' 225+1mpany'Fr'emorit Indemnity COUNTY OF LOS ANGELES' 1,, BUILDING AND"SAFETY .
Policy No "' --
a Certified.copyiis'hereby furnished ,' . " FOR APPLICANT TO FILL IN BUILDING' , ' Ir
�b `Cernfied co f - - - - _ _ _ ADDRESS r
L3� py s iled'with'fhe county building'inspec- BUILDING #
tion deportmerif'' wt• ADDRESS -9570 LaRosa 'Dr
V,rrgin Roof. Co
Date Applicant, CITY Tem l,e City ZIP r r- r LOCALITY ^
CERTIFICATE OF EXEMPTION FROM WORKERS'-,”r ' `""` NO-OF BLDGS--v - r NEAREST_..'.
"- '+ COMPENSATION INSURANCE'Q ` SIZE OF LOT NOW ON'LOT t CROSS ST f.
(Thi's `section'need'not be completed•if the per'mrt i's'for one -- r- _ '__ ASSESSOR ,,,+.;i ' - 1 1 yc ;i i
hundred dollars ($100)or less-,),a - TRACT BLOCK LOT NO
MAP BOOK t 1Lk ' • PAGE. PARCEL t
Ay r,-r y .t... ,r° [, a,,• - -Dagley- Leslie NO
. USEZ NE'- MAP ; a
I certify that m the'performance of,The'w ' forwhich,rthis- OWNER ' O NO .^M, •. �.
'SPECIAL A,-- -_ t - - _ d:
peimitjis issued I shall not employ ariy'pers'ori m any mannerADDRESS as--a Ove- -• - i , ` } 0 '
so as to.become subject to the Workers'Compensation Laws CONDITIONS
Applican't' t,K,••,,; a CITY... - _ZIP 0
NOTICE tTO APPLICANT If,^'after making1dthi's'•Certificafe of ARCHITECT OR TEL DISTRICT-, GROUP TYPE FIRE... PR CE ED BY ,._
1. _ _ ENGINEER NO CONST _ ZONE
Exemption, you should become subject"`to' the,,Workers' _
Compensation provisions of the Labor Code, you must forth' Y`- _ CW. '
ADDRESS �
with comply, provisions or%,this permit shall be - - - - - -- - TEL' 'i STATISTICAL CLASSIFICATION APT C-NDO^ V
deemed revoked,, `y,r-. ^ CONTRACTOR Virgin Roof Co No 287-0507 n _ _ _ 1 —
LICENSED CONTRACTORS DECLARATIONS +', 4-•- - - - ^ -- - - -- •LIC = CLASS NO h DWELL`UNITS T
I hereby affirm that I"am licensed under provisions of Chapter 9 ADDRESS P 0 BOX J NO 160650
(commencing with Section 7000)of Division 3 of the Business and, , __ _ LIC - br= SEWER MAP
-- —Professions-Co'd'e and my licerse is m full''force and=effect�t-� 4 San_G_abL el___ _ C39 _�. �_� _ —VALIDATION
CITY--4 - �_�� 'GLASS7-4- -e= e�
" ' r>tl'60650+;y X39• SQ FT NO OF' NO OF CHECK BK FG 1
License Number Lic Clos SIZE STORIES FAMILIES ONE
N�, T.,, ., . - ,. , . . - .,.,�•rti _
ConTrayarrgin ROof'Co si+Da��3]'/86 DESCRIPTIOWOF-WORK-Tear of-f eXiSt:�--- NEW
VALUATION
00
: 3570. , ,
❑ I am exempt under Sec r a j roof and r'e-roof with Class A ADD ❑
.f P ALTER �❑ ''�`�
Fiber' lass shingles. 20 s s. ? '
B 8P C for this reason g g sqs. ❑ S - `_,_ ,_ _. � _ . _ .___ _..- ._ .
Date-"` ` USE OF dwelling a
EXISTING BLDG g DEMOL
APPLICANT ' TEL {
Signature f PRINT Virgin Roof Co NO 287-0'50 FINAL !' Q �` , 3.9'��9:A,
"OWNER-BUILDER DECLARATION _ _ _ »DATE f ��'4�p
-1 hereb .affirm that.l,am exempt from the Contractor.s License _ -� -
Law for the follovGing'rea'son(Section,7031 5, Business and ADDRESS` P 0 BOX J, San Gabriel 91778' FINA ; # o''m ono o`J -' •i
"Professidhs'Code) '.e - NT I -gY - - _ .-p' -_
❑t r BUILDING Boyo 6,4 6,3 1=
I_ as owner of the property_ or my employees with ADDRESS
"wages as'their sole compensation,will do the woik and
the structure is not miended or offered for sale(Section LOCALITY `, o ° 0 6,&'6'3 0
^^
7644-, Busines'sand-Profess ions'Code) MOVING; -TEL-- :' --^ -- - T - } - - - 3
�❑ I, as'owner of The property, am exclusively contracting CONTRACTOR « NO r 0 2 0 3 8 6
with licensed contractors to consirucT`The project (Sec- r FADDRS ' _ _� _ r _ s_ _ _
.hon 7044, Business,and Professions Code) ` ? `-
5S. ED_ _TOTAL SETBACK F _ ! r _ , cV j
CONSTRUCTION LENDING'AGENCY' CK "YARD 'HWY PROP LINE WIDTH t , 'r `
hereby affirm that there is a construction lending agency for
the performance of the work for which this,permit is-issued -
(Sec •3097, Civ C ) _ -
m - -
'a r~Lender's Name ~'
•LDMA Ref #
$ -^^ --- PermitFee' 5�8•.r13 LendersAddress> I certify that,l have read this application and statethat the ., _ _; 10.50 _ _f Issuance•Fee LDMA P/G#bove information is correct,I agree to comply with all County tion Fee
ordinances and State laws relator to building-construction, _ 68.63- ~' I
and her y authorize representatives f This County To enter -" Total-Fee LDMA'Perrr-#' - -
upon th above-mentioned pro rty fo r chon purposes
~/ SEE REVERSE FOR EXPLANATORY LANGUAGE t "
of Applicant or Agen - -'- --Date , •q .. __� _. _ _ ., _ _ _ ..-.. ._a _ _ ,_ ___-_ s-i. ..,., x .- .. _ �. _ ..._ ,OO i h
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 0908100044
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 13329 LT 59 SQ FT STORIES TYPE 9570 LA ROSA DR
ISTRUCTURE V-B TEMP CA 917803828
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-015-010 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY
IEXIST OCC GRP 108/10/09 SR
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE I
ISHI JUN NIU (818) 456-1859- I 2,600 1 I
19570 LA ROSA DR I I
ITEMP 917803828 FEES PAID IDESCRIPTION OF WORK
I I IREPLACE 11 WINDOWS SAME LOCATION I
IFEE DESCRIPTION QUANTITY UOM AMOUNT I I
(APPLICANT TEL NO I _
ITHIRD GENERATION & CONSTRUCTION (818) 533-6722- IAA BLDG PERMIT ISSUANCE 27 75
112101 LOS OLIVOS RD IAB STATE GREEN BLDG FEE 2600 00 VAL 1 00 ISPECIAL CONDITIONS I
1SYLMAR, CA 91342 IAC STRONG MOTION RESID 2600 00 VAL 0 50 I I
ID2 PERMIT W/O EN-HC 2600 00 VAL 99 00 I
1 I TOTAL FEES 128 25
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
ITHIRD GENERATION CONSTRUCTION, INC (818) 201-8841- 1 I I
112101 LOS OLIVOS ROAD LIC NO 1 ILOCATION AND SETBACKS I _
ISYLMAR, CA 91342 893694 I _ _ d _ _ - - - -I i I 1
1 I ISOILS ENGINEER APPROVAL 1 I
1ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I
LIC NO I ISLAB/UNDER FLOOR I
I (RAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I
I144H269 3 001 1 t 1
I (FLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS
NO 21 'C.� IROOF SHEATHING
I I I
SCHOOL WITHIN HAZARDOUS ` (SHEAR PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS I I I I
NO NO NO (FRAME INSPECTION I 1 I
IREQUIRED TOTAL SETBACK FROM EXISTI IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD HWY PROP LINE WIDTH 'I I I I
IFRONT PL- I IINSLLATION/WEATHER STRIPI I I
I SIDE PL- 1 1 11
I
I 1
EXPIRED;2-0/ D (INTERIOR LATH/DRYWALL1EXTERIOR LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM
(RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS
ILOT DRAINAGE I I
I IREPORT ID DPR261 ROUTE TO BS0508
I I I I I I
n
P
COUNTY OF LOS ANGELES TEMPLE CITY # 05 8" f-BUILDING,PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9711260049
PHONE: (818) 285-0488 EXT:
LEGAL . OF CONSTSS:
TR: 13329 LT: 59 SQ. FT STORIES TYPE OCCUP GROUP 9570 LA ROSA DR
STRUCTURE: 444 1 VN R3 TEMP CA 917803828
ASSESSOR INFORMATION GARAGE: NEAREST CROSS STREET:
8590-015-010 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: ZONE: ISSUED OC BEXPIRE
EXIST OCC GRP: 12/02/97 UT 12/0 8
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CO
NIU,SHI JUN (818) 454-2560- 1 32,860 .�J
9570 LA ROSA DR !
TEMP 917803828 FEES PAID UESCUPTION OF WORK
ADD 444 SQ. FT. BEDROOM, BATH ANDh OSE EXISTING PATIO TO
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: HABITABLE SPACE (FAMILY ROOM)
APPLICANT: .
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 32860.00 VAL 3.29 SPECIAL CONDITIONS:
AX BUILDING REVIEW EEE 54.70
B2 PERMIT W/ENERGY �-32860:00 VAL 632.28
� TOTAL IFEESy� 718.02
CONTRACTOR: TEL. N0: 'O•o� n APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION N BACKS
SOILS ENGINEER APPROVAL
ARCHITECT ENGINEER: TEL. NO: ® OUNDA T ENCH a
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: AGE: FIRE ZONE: CMP: C7 U ���� UNDERFLOOR INSULATION
P U B�8C
3 01 WORKSOle
ST LEVEL LOOR
NO. OF IES: DWELLING UNITS: A D: STAT CLAg-S--.
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS Y� R00 IN
NO NO NO ®� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM �� - BLDG DEP E T
SET BACK YARD: HWY: PROP LINE: WIDTH: tl
FRONTSIDE PL- SHEAR PANELS
eoca INSULATION/WEATHER STRI
INTERIOR LATH/DRYWALL ilAEXTERIOR ✓
A L
LOT DRAINAGE
SMOKE DETECTION
FIRE DEPARTMENT VAL
REPORT ID: DPR261 ROUTE TO: BS0508
J