HomeMy Public PortalAbout9587 LA ROSA DR_Building__ i
- DIVISION OF BUILDING AND SAFETY 1g BUILDING
.4 Department of County Engineer p 53
Conntp of
Los xngelea ,(�� _M
WM. J. FOX, COUNTY ENGINEER r APPLICATION
t
FOR APPLICANT T�O�FIN
BUILDING ADDRESS
BUILDINGSpp7 T��I ���rr+ PADDES6 Cl LOCALITYNEAREST
CROSS ST. 'I a M.C"I L
LOCALITY I� .E V DISTRICT NO. I PUH CK. DR REC. No. PERMIT NO:
N ONMET I 9--Sok A& I l.• �.U.✓ '7
CROS98T. L. I ' 1r- . �l/ g� 3255 � 2—
F: A Y / ��TO_ REC`ELV ED BY DATE OF ADPL. DATEISSUED
OWNER ,MAIL �/ //)) Y� I;^,1
ADDRESS T+73S /�/ U "'f l... G.IG f C'�It
1 USE ZONE I NO. OF TYPE GROUP FIRE ZONE
)� N TEL. A- 11
: PLANS
CITY ✓/n H n///.¢ NO. AVS
ARCHITECT OR TEL. ZONING
ENGINEER �.�dl7 l>➢R�� NO. APPwoveD Br- ✓�1:�� S(��/f,,:S'�
BUILDING Frons';X tap tAlVd ORD.No.
ADDRESS SETBACK LINE:�O /�.7'C/ rr fl�.'F'�FJ,C_ ��Lq
6�/P p
TEL /� APPROVED �// OAiE`�
CONTRACTOR Q•(i///'' TE �[,[�/f2 Br:
�9 2.Z �• C.,4 L"I2.�k �?L / ,/"a 4C HOUSE NUMBERING
ADDRESS G
i LEGAL ��� MAP NUMBER--!Z(f) NO.'ASSIGNED BY�
N
DESCRIPTION LOT O. BLOCK -
�/ I I
,Z / DATE CORRECTIONS INSPECTOR
TRACT
SIZE OF LOTNOW ON LOT ' �'' -A/USE OF N O
�� -l•P� I�
EXTING G
TING BLDG. ' I FAMIOLIES R' dJT G� P'/I✓A'� O
DESCRIPTION OF WORK �lAl( �� o
NEW ��rALTERAT,10,,NADDITION rDEM04TREPAIR
ZEA
S ZZ 7 L ROOMS P. STORIES
ROOF
COVERING C�lCG WALL I COVERING 5i'i A-/CC
COVt� ' t9
USE 10F SFRUCTVR�L /
APPROVALS
INSPECTOR 9 SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS _
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, 'e
CORRECT. BRACING, BOLTS _ •'(�/q
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMITTEFDC�.(�/.. _ �4
ADDRESS. i^� 7 C—n'ie e1"Z' LATH. EXT.
A f
AUTHORIZED AGI. PLASTER, INT.
PLASTER, EXT. /
$ P. C.9 GL
��"� FEE 2/+• HOUSE NUMBER COR-
•�,.y�1--C RECT AND POSTED / •/ ��
VALUATION / FEE S 5/ FINAL 1. V r
7BAB9BA DES 3 2-58
TEMPLE CITY
T5A59BA DE kSGd 3s� APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMSIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT of BUILDING CROSS ST /
DIST ICT NGR P TYPE C S Y
FOR APPLICANT TO FILL IN coNs
BUILDING ("� STATISTICALCLAS FICATION SEWER MAP
ADORES, c7 BK
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED El
TRACT MAPf� /� HIGHwAT STATE MAJOR SECOND. LOCAL
ON
NO. LOGS. NO. /'T[/ ICIRCLEI
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OFJ CONDITIONS
EXISTING BLDG. [ r O L'N
TEL.
OWNER NO. BUILDING EXIST.
�� /QI SETBACK YARD ,HWY STREET NAME WIDTH
ADDRESS .�
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L
ADDRESSO
,'TEL
CONTRACTOR/y e-&Al E.' O. /�4
ADDRESS a 7 CAJ' O
DESCRIPTION OF WORK w
a
N
NE ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO:OF NO. OF - -
SIZE STORIES FAMILIES
USE C
R
STUCTURE
SIGNATURE OF w/!L
APPLICANT /0'
VALUATION Sr 14,0 0 �—
APPROVALS DATE INSPECTORS SIGNATURE
P.C. ' PMT. FOUNDATION: LOCATION
FEE-'5 � FEE $ FO RM,, MATERIA LS
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 ORE I NA NCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK /
'AUTHORIZED HEREBY WILL LGN,PLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABO C C OF TME TATE OF CALIFORNIA RELAT�
ING TO WORKMEN' COA EN$ ION SUR ANCE. I
LATH. EXT.
SIGNATURE HOUSE NUMBER COR- - q
PERMITTEE N� RECT AND POSTED ref
ADDRESS FINAL /p �
JOHN F. LEWIS, PRINCIPAL STIR URAL ENGINEER
PLAN CHECK VALIDATION CK. MO. CASH _ PERMIT VALIDATION cK. M.o. CASH
l.21LO91 6 5 9 0 AuG30 1 D
OOS 76AG38A' �L
CE#803(RE V.6/781 ^a LII'IS
.b O
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL INUNGING _SSLDING /1DDRESS y O. ITY /STCITY / ZIP Si.NO.OF BUDGE. SORSIZEOFLOT �' 3 NOW ON LOTOOK PAGEPARCEL
RICT GROUP TYPE FIRE ESSEDBY.
TRACT BLOCK LOT NO. ��{{yq CONST. �. IZONEL - < // '/OWNER NO. TICALCLASSIFICATION SEWERADDREEESS •-4SSNO. yl DWELL.UNITS SK PG
ZIPARCHITECTOR IOENGINEER NO. ATION �j //DOS
ADDRESS BLDG.SETBACK FROM 7
TEL FRONT P RO P.D N E OF ISTREETI
CONTRACTO - 'd NO S — HIGHWAY . + YARD _ TOTAL SETBACK FROM TYPE OF I EXISTING
LIC FRONT PROP.LINE HIGHWAY .WIDTH
ADDRES ,o No.ory 060 _
c; p +
CITY d CLASS �/
CONSTRUCTION LENDER BLDG. OP.LISETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF ISSTING
HIGHWAY + YARD TOTALPROPSETBACK FROM TYPEOFHIGHWAY,
EXISTING 6
ADDRESS, CITY SIDE PROP.LINE HIGHWAY WIDTH O
SO.FT. NO.OF NO.OF CHECK + _ - V
SIZE STORIES FAMILIES ONE O
DESCRIPTION OF WORK — C't2 MEW ❑ P.C.Fee$ _ Permit Fee U F
ADD `I
❑ Issuance Fee y�j
ALTER z
REPAIR ❑ Total Fee
USE OF DEMOL
EXISTING BL DG �'[ ❑ Z
APPLICANT TEL
BY ISIGNATUREI Q
HEREBY ACKNOWLE THAT HAVE READ THIS APPLICATION AND STATE Y
THAT THE ABOVE 15 ND AGREE O COMPLY WITH ALL ORDINANCES W
AND LAWS REGULA NG 8 EDI CONST TION.I CERTIFY THAT IN DOING THE S
WORK AUTHORIZE HEREBY L OT LOY ANY PERSON IN VIOLATION OF -
THELABORCODE FTHESTATE F LI 'AIN RELATING TO WORKMEN SCOMZ
PENSAT'ON INSU NCE. - g 935 S 0 A
SIGNATUREOF ro o e o e e
PERMITTEE
ADDRESSZ
D 21e'e 97-00
.CITY ///i?nCCAI!/� TEL
N _ o!0 097.000
Q
D
LJSJZO�NE MAP.+ ^,/y � , L. - ; 0404 -79
NO. / b .>
>
SPECIAL - - r-
- J CONDIilONS n•. F
FINAL 9 BY o°Li
DATE
DO APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BILL 1 G SS
BUILDING ADDRE
hereby affirm that I have a certificate consent to self insure. SS
S 7 A 65A
or certificate of Workers' Compensation
Insurance,or a certified
copy thereof(Sec.3800, Lab.C.) CIT ZIP
)��, LOGALITV
Poliby No. G`y I Company'
SIZE OF L T N0.OF SLOGS.NOW ON LOT
v❑ Certified copy is hereby furnished. NEAREST CROSS ST.
IV Certified Copy is filed with the Cou y buil gspection TRACT BLOCK LOT NO.
department USE ZONE MAP NO.
Datetz' Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FRO WORKERS' wNER TEL NO.
COMPENSATION INSURANCE 1 A:Ir WITHIN 1000 FT.OF SCHOOL' YES NO
(This section need not be completed if the permit is for one hundred ADDRESS
dollars IS 100)or less.)
DISTRICT GROUP TV ONST. FIRE ZONE PROCESSED BY
ZIP
I certify that in the performance of the work for which this permitis
b Workers'issued, shall not employ any person aany manner 50 as to ARCHITECT OR ENGINEER
become subject the WorkeCompensation Laws. STATISTICALC SSI CATION APT CONDO
O
Data Applicant ADDRESS CLASS NDWELL UNRS
NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject t0 the Workers' 0 TRACTOR TEL NO. SET BACK YARD HWV PROP LINE .WIDTH
Compensation provisions of the Labor Code, you must forthwith � I
FRONT
comply with such provisions or this permit shall be deemed revoked. DDRESS � LIC O P L
LICENSED CONTRACTORS DECLARATION 1 CJ t � �T �I f-7 e) SIDE
_ �a L LASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 �� c c C� PLSEWERMAP T
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE, NO.OF DRIES NO.OF FAMILIES Ill.
Professions Code,and my license is in full force an NEW effect. BK PG , 0
� (
License Number �� d Lic. Class DESCRIPTION OF WORK .. . ADD ❑ VALUATION l.1
Contractor Y�W/,� /�+.eYbate _- / J �� ��! ALTER El $ � 0
Elam exempt under Sec.
1 C" �dw REPAIR ❑ $ U
B&P.C. for this reason r DEMOL ❑/ yEDMA P/C N
Date: USE
W
XISTIN LDG. URM ❑ N
Signature ?
APPLICANT(PRINT) N LDMA Perm x
❑ I, as owner of the property, or my employees with wages as q J �' W '6� 2
their sole compensation, will do the work and the structure is ADf(J/L(1 �• Q i e
not intended or offered for sale Section 7044, Business and f FINAL DATElL'�•'--
Professions Code.) { 0 qT
WILL THE URE CONT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL I 0+�� J �. 1 I thl'J
❑ I, as owner of the property, am exclusively contracting with ORA MIXTURE CONTAINING A HAZARDHAZARDOUS
MATERIAL INFORMATION
TO OR GREATER THAN THE FINAL BY Y ..
AMOUNTS SPECIFIED ON THE HA2ARCOUS MATERIALS INFORMATION GUIDE?
licensed contractors to construct the project !Section 7044, �+ iIITaL 181 — ,.S-_a
Business and Professions Code.) WILL
❑ No
WILL THE INTENDED USE OF THE SUIDLING BY THE APPLICANT OR FUTURE BUILDING 1 [' {� { ``, t
OCCUPANT REQUIRE TY M PERMIT FOR CONSTRUCTION GTION OR EE PERMITTING
FROM THE SOUTH
FOR .HEI`'. 1V�v
CONSTRUCTION LENDING AGENCY COAST AlR OUAUTY MANAGEMENT DISTRICT ISCAOMDI SEE PERMITTING CHECKLIST FOR V�M e. 1
cES El s. ^✓" •W !;}{q�ir�E .;11_1
I hereby affirm that there is o construction lending agency for YES❑ No,�"j
the performance of the work far which this permit is issued(Sec.
3DH7, CIV.C.) IHAVEREA THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE 5CA0MO PERMITTING
ry CHECKLIa.I UNOERSTAND Y REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE ( /
JCertifythat
' Na a TITLE B. APTEfl 2.20$ TIONS 22U20 100 THROUGH 2.20 140 CONCERNING HAZARDOUS 1��({�I—y-I�)�l y 7/iD/4,
MAT RIA REPORTIN AN FOR OBTAINING A PERMIT FROM THE SCAOMD.
o Ad ass i/'�1 Hid "IST
o aruea oa acsm
othat have read this application and state under penaltyfh t the above information is correct.I agree to comply P.C.FEE PERMIT FEEFN c ty ordi ces an tate laws relating to building
mio . and eby out o eepresentatives of this County ISSUANCE FEE nth o er} ed property for inspe/}ion pu pos Opp Cc' �jT
tP .v //---� INVESTIGATION FEE TOTAL FEE/Q • J
o romlmu a-.y�m o
SEE REVERSE FOR EXPLANATORY LANGUAGE
. 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 9909170006
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST BUILDING ADDRESS:
TR: 19316 LT: 4 SQ. FT STORIES TYPE 9587 LA ROSA DR
STRUCTURE: 0 VN TEMP CA 917803827
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8590-014-031 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: R SID US ZONE: R-1 ISSUE ON: PROCESSED Y: EXPIRES ON:
EXIST OCC GRP: 09/17/99 VG 03/15/0
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE:
HIROHATA, HELEN (626) 287-8605- 15,000
9587 LA ROSA DRZ'
TEMP 917803827 FEES PAID DESC IPTION -1 9
OF WORK'
KITCHEN REMODEL
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT:
APPLICANT: TEL. NO:
L & W KITCHENS & BATHS (626) 287-1131- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 15000-00 VAL 1.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC—"15000.00 VAL 300.60
�NGELE$TOTAL-ZFEES 329.85 G
CONTRACTOR: TEL. NO: �O�j APPROVALS DATE INSPECTOR SIGNATURE
L 8 W KITCHENS & BATHS (626) 287-1131-
8812 LAS TUNAS DR. LIC- NO LOCATION AND SETBACKS
SAN GABRIEL, CA 91776 2053448
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: / C' FOU DA ON/TRENC FORMS
LIC. NO: 111 lln SLA /UNDER FLOOR
RAISED FLOOR FRAMING
1MAP NO:44-269 SEWER MAP BOOK: PAGE: FIRE ZON3: CMPO'! \0 LIDS {� („1 /)1'�^\i'i�lO// /� UNDERFLOOR INSULATION
tl /U p ILIA \1111111111/ IIJ�IGI IlJ1C(u CCN`��) FLOG SHEATHING
N0. OF FAMILIES: WELLING ITS: AP COND: STAT CLASS:
- —NO 21 �1i -- - ROOF SHEATHING
SCHOOL WITHIN ARDOUS `\ O 0 3`w};Ali
AIR QUALITY: 1000 FEET MATERIALS \ 10 0 43 '
r•. SHEAR PANELS
NO NO NO A O �� �s FRAME INSPECTION
REQUIRED EXISTSET BACK YARD: HWY: TOTAL
PROPTBACK LINE:FROM WIDTH:FRO46/70 SgrViCcle That `� INSULATRON/WEATHERFIRE SPINKLERGSTRIP
SIDE PL-
INT LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508