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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