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HomeMy Public PortalAbout9612 LA ROSA DR_Building__ T City ofA'rFF�FC:`P1T 10 N F OBJ BUILDING PERMIT BUILDING FOR APPLICANT TO FILL,IN — ADDRESS BUILDING - ' 11 ADDRESS IS LOCALITYYt NEAREST CITY,T 6ilaple City ZIP " .91780. CROSS ST. a _ �¢„_ NO.OF BLDGSr ASSESSOR _ _ SIZE OF LOT'. NOW ON LOT MAP BOOK PAGE PARCEL 'I, o. 'DISTRICT 'GROUP' TYPE - FIRE PROCE ED BY -TRACT/'-/-"�(p - BLOCK LOT NO.3 ,,,/Q jj CONST, / ZOfjIE TEL. - (l Y OWNER 1, _ NO._ 285-5015STATISTICAL CLASS[FICATION - SEWE/R,M�PP ADDRESS 4 612 la. Rosa ., CLASS NO22 /,_/ . / DWELL.UNITS // BK / • PG aTY'Tem le Cl Calif. ZIP 91780 USEZONE IMAP ARCHITECT OR" . '.TEL. NO. ENGINEER NO. SPECIAL .." ' CONDITIONS _ ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES.❑ NOQ. El CONTRACTOR NO 282-i958 BLDG)SETBACK FROM �Q ' LIC. - FRONT PROP:LINE OF e.. tSTREETI' ADDRESS Marengo NO. - TOTAL SETBACK FROM TYPE OF EXISTING LIC. , HIGHWAY +- YARD FRONT PROP.LINE HIGHWAY WIDTH CITY- ,Alhambra Calif.. CLASS' _ CONSTRUCTION LENDER + ��' �� o- NAME AND BRANCHO - BLDG:SETBACK FROM ' U SIDE PROP.LINE OF. [STREET) ADDRESS -CITY 0 SO.FT. IN OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACKFROM TYPE OF EXISTING w SIDE PROP.LINE HIGHWAY WIDTH. SIZE STORIES FAMILIES. ONE � a DESCRIPTION OF WORK ,❑ { Z e—roof Hs. &Gana Ew 09it loll small ADD ❑ CORNER CUTOFF _ YES C] NO ❑. ALTER Lq❑�qT IN OPEN SPACE ':';:VES ❑ NO ❑ - -_ REPAIR LJ EUSE X STOING BLDG. - DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT, _ TEL -IPRINTI • - . NO. BY(SIGNATURE[ I HEREBY,ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION AND STATE THAT-THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ,- - - AND LAWS REGULATING BUILDING CONSTRUCTION. WORK AUTHORIZEDHEREBYIWAL NOTEMPLOY ANY PERSON INV OLA ? IONOF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOW PENSATIONINSURANCE. Frank EoU11C SIGNATURE OF FINAL - BY PERMITTEE'- DATE ' � " ADDRESS �19 S. Malren go CITU Alhambra, Calif. TEL 282-1958 P.C.Fee$ 'Permit Fee 21.75' NO. - _ Issuance Fee 'VALUATION. O - .1r1Y_2 i Gni Total Fee 1.75 'PLAN CHECK VALIDATION .. 'cH.,: WD..- ''C sH -PERMIT VALIDATION cK. m.o. CASH HOLDER d"� . ©L3GY'( llM3x r 9 9'0-min 9 ' 1 0 2 1.7.5 CS' Y6A63BB'CE#e03B 6/Y6 -- lee 6.G3.<CE V.0s,-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS,ANGELES 'BUILDING DEPARTMENT 'OF COUNTY,:£NGINEER ',. ADDRESS BUILDING*AND SAFETY.,DIVISION' iocnury s9 L e 6' ' JOHN A. LAMBIE. COUNTY'ENGI NEER' - NEAREST" WILLIAM A. JENSEN. $UPIi OFJBUH OwG - CROSS ST. ,( L"'NIL`I G P TYPE J�ER Byi , .FOR APPLICANT TO FILL IN coNST.UILDING. p / •STATISTICAL CLA ATION . ADD ESS, j, .-K,�' - - - ..K �p^ / "CLASS. NO. OWELC. UNITS ^ LOT NO. �/ 26 �`Q, BL K WATER- _ CERTIFICATE: ,NOT REQUIRED 'RECEIVED TRACT /- T + MAP }� MA)OR N HIGHWAY STATE MOSECODLOCAL , NO.OF BLDGS.,� NO- GY / i -Ia RCLEI - SIZE OF LOT _ NOW ON LOT _ USE ZONE SPECIAL USE OF l/�� q f ��•• �y p (� /�' I CONDITIONS :. °•. EXISTING BLDG.IP LLl�NIr1 - // /1174 '.. /1/ . k,�< -. No �.3f63 n BUILDING EXIST. "YARD MWY STREET!NAME. ' /. ,� SETBACK- WIDTH .. S (� - FRONT ,CT OR - TEL. P. L. C.ER / NO. 'SIDE ADDRESS LTO ,' U/F- / - NOJD ( DC — N✓RnW 1/\ 1 00S.' 3 - C' N 11 J- F0 DESCRIPTION OF WORKADD ALTER. REPAIRd DEMOLISH _,.. ..c NO..OF _ NO. OF ) YS 1T - STORIES FAMILIES:•OF RE t% /I " / .(07 • �/.. ! ',•/ SIGNATURE OF _ (/ —� y X l ' APPLICANT � q_ Jl. - a'iir 61. VALUATION V" !-;.A% If 1 • Y - V APPROVALS Iry p/B R " yp✓I'-0ATE� BPECToas sIGHwTugE FOUNDATION: LOC ATI N %Jq'/ '� -/f, "{ P.C. PMT: FORMS. MATERIALS !U ISL FEE $ FEE $ FRAME: FIRE STOPS. /)r /(L( �.f` 11 `N HER EBYa ACKN OWL EDGE.THAT I MACE READ GRE APPLICATION BRACING. BOLTS li /(A./ - WIT - ALLE:THAT THE ABOVE IS CORRECT AND.AGREE:E REGULATING, FURNACE: LOCATION WITH ,LL_.COUNTY _ORDINANCES' ,N- STATE'LDOING THE WORK 'GAS VENT. DUCTS ' BU_T O RIZ CONSTESY ,I 1.,NO TEFIPLO ANY DOING,THE WORK - MOgIZED HEREBY LL,NOT EMPLOY ANY PERSON IN RELAT LATH INT 'TION OF THE LABOR. E,OF'THE•STATE OF CALIFOPNIA RELAT-: - ' ING. WORKMEN'S O PENSwTt uRANCE. , LATH. .y/\J LATH EXT ' 'SIGNATURE OF - 'HOUSE NUMBER'CO :PERMITTEE ADDRESS ` S' 'JOHN.F. LEWIS. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION' EN. MID @BH PERMIT VALIDATIO CK.' M.y.`, 'c,BH 1%0 8 3 5 823 AUG 2, r �. � 1 a-;5 r- I " , 1 j v ' - APPLICATION. F® BUILDING PERMIT � COUNTY-OF LOS ANGELES BUILDING AND SAFETY ,r �j� WORKER'S COMPENSATION.DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 1 hdmby affirm that I have a'certificate of consent to self insure, BU1[gIN -DD SS _ - /I ,� or a certificate of Workers'Compensation Insurance,or a certified U - G ( copy thereof(Sec.3800,Lab.C.) CIT'rE M f L K /T ZIP ' a LOCALI P/- El - Policy No. Company SIZE OF LOST q /' ¢� NO.OF SLOGS.NOW O LOT ❑ Certified COPY is hereby furnished. _ J 2- •-50 X&04: I0,0A .�g NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRA ` BLOCK LOT NO. department. ' , ' -1`C�ID / Q/`'/' .O F 255e Z/j. USE ZONE MAP NO. i n Date - Applicant ASSESSOR MAP SO K - PAGE SPECIAL CONDITIONS ' (�[ D/ Gbi7 CERTIFICATE OF EXEMPTIONFROM WORKERS' R TEL'NO. - YES .No COMPENSATION INSURANCE - DWN V IFS ."Ra C Z' SG 7- $' -J. WITHIN 1000 FT.OF SCHOOL? ' DRESS (This Section need not be completed if the permit is for one hundred ��/2 2M S4 oat U DISTRICT - - GROUP LTYPE CONST.' FIRE ZONE OCESSED Y _ dollars{$f00)or less.). CITY ZIP t✓ (/ //,(!/� 2) IuJ' I certify that in the.performance of the work for which this permit TF—v'I PL C. I:('1" y �' C.j/�E IJ/I /�yam" V �_ "+� ' is Issued. 1 shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers:Compensation laws. - L FeA) o t// S( 7_ f 3c,J, STATISTICAL CLASSIFICATION t O Date Applicant � � � - - AD RESS � CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of ry L1"L/y� Al/ G _ REQUIRED TOTALSETBAXISTExem tion, CONTRACTOR TEL NO.p you Should becOmeSUbjeCltO th0 Workers' SETBACK YARD HWY PROPLIIDTHCompensation provisions of the Labor Code, you must forthwith � '- UILOF�/t• S 7—� 3 O , FRONT complywith such provisions or this permitshall be deemed revoked. ADDRESS - LIC.NO. P L !V .,-1 -510E >_.LICENSED CONTRACTORS DECLARATION CITY - LIC.CLASS P L _I hereb affirm that I am licensed under rovisions of Cha ter 9 aL� L (T Al/ASEWER P Y. P P S NO.OF STORES NO.OF FAMILIES (commencing with Section 7000)of in full i li force of the Business and NEW ❑ BK P Professions Cade,and my license is in full force and effect. - U DESC IPTION OF WORK ADD ❑ License Number Lie.Class A,d r�Y PA: $WA ON Contractor •-Date' ALTER ❑ J =-- y - :h -, -Z SdnX Ellam exempt under Sea REPAIR ❑ B.&P.C.for this reason r r4a r'rr! C/LJ.Q.//„v DEMOL ❑ LDMA P/C M USE OF EXISTING BLDG. Date: - rN URM 11Signature APP CAN (PRINT) TEL.NO: LDMA Perls N I, as owner of the property, or my employees with wages as L / �� �(�/L f�- 7- 9 3 Qi0. p ” AGI.I .i their sole compensation, will,do the work and the structure is ADDRESS - f 1.2 ,'-, not intended or offered for sale (Section 7044, Business and s/ 77 L y _f /y0!(N/! 4i tV by e. FINAL DATE < :1-i27 tz. . Professions Code.) - ' WILLTHE APPLICANT OR FUTURE BUILDING OCCURANTHANDLE A HAZARDOUS MATERIAL — - 1 ITEM "' ❑ 1, as owner of ther0 ert , am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q - P p y y 9 THE AMOUNTS SPECIFIED ON THE HASARDOUS MATERIALS INFORMATION GUIDV FINAL Y 'S licensed contractors t0 construct the project.(Section 7044, YES 11NO❑ li{Tf{(. �1-�v4 - -17 Business and Professions Code.) - WILL THE INTENDED USE MI THE BUILDING BY THE AP PLICANT OR FUTURE BUILDING r:HEr_t; �.?3,s? •COASTOCCUPA IR REQUQUALIRE M PERMIT DISTRICT (S CONSTRUCTION PE IO FROMPERMITTING CHECKLIST FOR _ ' CONSTRUCTION LENDING AGENCY COAST AIR DUALITY MANAGEMENT OISTRICi(SCAQMD)SEE PERMITTING CHECKLIST \. •�•,, \_ '`. li, 'f`0 FOR GUIDELINES. i'�F�(9,.E I hereby affirm that there is a construction lending agency for YES❑ NO❑ -the performance Of the work for which this permit Is Issued(SBC. I•HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,Civ.Ci.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES � COUNTYCOOE,TITLE2.CHAPFER 2205ECTIONS 2MAOOTHROUGH 2.20.tiBCONCERNING C1LI[Jp—yS I[l j. {`Ja/i4/Ltil Lender's Name �. /� HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT MOM THE SCAQMD. Lenders Address `b 1 AM 9.412 ao O ER OR,SERT o' I certify,that I have mad this application and state that the above - information IS correct. I agree t0 Comply With all county P.C.FEE !M3, 12- { PERMIT FEE 'L ordinances and State laws relating to building construction,and J, ��a•'I hereby authorize representatives of this County to enter upon. ISSUANCE FEE the ab mentioned property for inspection purpose ^ INVESTIGATION FEE TOTALFEE tipiuu2ol.opb�IwA2.n Dem SEE REVERSE FOR EXPLANATORY LANGUAGE. S 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 1005170002 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 14467 LT: 25 BL: .001 SQ. FT STORIES TYPE 9612 LA ROSA DR ISTRUCTURE: 33 V-B TEMP CA 917803859 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8589-014-025 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY: IEXIST OCC GRP: 105/17/10 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: IMARQUEZ STEVEN;PATRICIA (626) 287-2607- I4,500 �� �n 19612 LA ROSA DR � , y ITEMP 917803859 FEES PAID (DESCRIPTION OF WORK ITEAR OFF ROOFING ON HOUSE 4 GARAGE TO DECK REPLACE DRY ROT (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IAS NEEDS INSTALL 30 YR SHINGLES & RIDGE CAPS TO MATCH (APPLICANT: TEL. NO: I (SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 (SPECIAL CONDITIONS: IAC STRONG MOTION RESID 4500.00 VAL 0.50 ID2 PERMIT W/O EN-HC 4500.00 VAL 132.60 1 TOTAL FEES 161.85 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - - - I_ LIC. NO (LOCATION AND SETBACKS ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: IFOUI0ATION/TRENCH FORMS I LIC. NO: (SLAB/UNDER FLOOR (RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( JUNDERFLOOR INSULATION 1144H269 3 001 1 1-1- I I IFLOOR SHEATHING I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1-1- NO 1NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS IF'p�--1 pal V JAIR QUALITY: 1000 FEET MATERIALS T NO NO NO FRAME INSPECTION AFIRE SPRINKLER HANGERS . 1 INSULATION/WEATHER STRIP (INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS ILOT DRAINAGE (REPORT I0: DpR261 ROUTE TO: 850508