Loading...
HomeMy Public PortalAbout9651 LA ROSA DR_Building__ I' , . APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (P'i" o' IYDB only) BUILDING ,PS/ /� /1QSA /RiU� COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY G r/RC.4`_ 071 ZIP 9/9 ,rO- BUILDING AND SAFETY D ON SIZE OF LOT r'3O x6s NOW11.OON LOTS / ADDRESS TRACT/ I O BLOCK LOT NO, plTL� LOCALITY NEAREST ,/ OWNER CF- %aR_r/IV NO`2O_7Sl7� CROSS IT I !7 ✓E%c ASSESSOR ADDRESS C ./ /� rZO S:3 1 R MAP BOOK PAGE CEL Lr DISTRICT GROUP TYPE FIR PROC SSED BY CITY ' /p x)LLT c/�LYZIP / 7�U Q CONST/' ZON A ARCHITECT OR M� Q�K�Q TEL. -O r o ENGINEER NO. Ar _ 44 STATISTICAL CLASSIFICATION SEWER KIAP ADDRESSi_v,u_t,r AMA&morA CLASS NO.C�V DWELL,UNITS BK PG CONTRACTOR NEL' USE ZONE MAP / LIC. NO. ADDRESS NO. �% SPECIAL LIG. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER"* NAME AND BRANCH �E/ F 'SV AR? LOG.SETBACK FROM Y RONTPROP.LINEOF (STREET) C> ADDRESS CITY HI MWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING U SQ, FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES / FAMILIES I ONE I�I O DESCRIPTIONOFWORK NEW SI . DGSETBACK / ADD SIDE P ROP.LINE OF (STREET( Z ALTER ❑ = TOTAL SETBACK M TYPE OF EXISTING HIGHWAY } YARD IGHWAY WIDTH - EPAIR❑ SIDE PROP. LINE USE OF + _ EXISTING BLDG.2eENCC ' nC'i EMOL A PP LICANTO. S/'l2/ l N TE NOL CORNER CUTOFF YES ❑ NO C:](PRINT) BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ QQ D V/�0q Yq IN COASTAL ZONE YES ❑ NO ❑ VALIDATION•� / "o CATEGORICAL EXEMPTION YES[:] NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CO PRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORNMEN'S COMPENSATION SURANC SIGNATURE OF ��. �✓ PERMITTEE ADDRESS t' 'A JB. TE L.S y JU� FINAL BY cyL, CITY ✓v NO. � DATE 2 -//, L� t1:IKE CHECKS PAIABLE /'O; P.C. Y PMT.$ FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER 7-6-, 7,5- PLAN � •-7 L` n l`J PLAN CHECK VALIDATION CH. M.D. CASH 'PERMIT VALIDATION CH. M,0. CASH .,^3 3.73 OCT 9 1 0 7 5 .75A 76A638A CE480312/72 ►� , - ,,APPLICATION FOR BUILDING P MIT FOR APPLICANT TO FILL IN (PIim er woe .,Iv) �hG / A/��f02 BUILDING S S� n COUNTY OF LOS ANGELES ADDRESS /vr DEPARTMENT OF COUNTY ENGINEER CITY . �Eit�C.L=Cl 7y ZIP � /7e-' BUILDING AND SAFETY ISION /3Frx G� NO.OF BLDGS. BUILDING SIZE OF LOT .NOW ON LOT /I ADDRESS JC TRACT/15 ISLOCKK�o LOT NO. /�If-�c.,. LOCALITY NEAREST OWNER •� G L J / /�/� / / /� NO.._5 •/O✓• CROSS ST. �.q //..�� ASSESSOR ADDRESS / (7•� /7 OS/3 MAP BOOK PAGE PARCEL F DISTRICT GROUP TYPE FIRE SED BY CITY .7� - GC'Ce/TY ZIP � /7�6 CONSy>- Z E ARCHITECT O TEL"� - J � Z-- -J, � �" ENGINEER -FO/YY. E'e NO. �p/-�Z�� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS l-7 ti -zLf/t.I i sww1n)RIvo. CLASS NO,_C=_24DWELL,UNITS SK PG CONTRACTOR NEL' USE ZONE MAP LIC. / NO. ADDRESS NO. SPECIAL LID, CONDI TIONS CITY CLASS C ROA EPARTMENT APPROVAL REQUIRED YES[D NO C]CONSTRUCTION LENDER TGC S /��/J i/�/. NAME AND BRANCH J 84G.SETBgCK FROM FNT PROP.LINEOF ISTREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EX ISiING O SO. FT.�^ NO. OF ( NO. OF J CHECK HI 'WAY } YARD - FRONT.PR OP. LINE HIGHWAY WIpTH U SIZE �7 STORIES / FAMILIES / ONE O t - DESCRIPTION OF WORK NEW ❑ G~j —ADD BLDG.SETBACK FROM C�h / / n/✓J/L '�(fD',.I SIDE PROP. LINE OF (STREET) 'i %� ALTER ❑ TOTAL SETBACK FROM T OF E%(STING Z 1 ENo T 7PCN6 / 2ewa P HIGHWAY 1 YARD = c REPAIR❑ SIDE PROP. LINE HIGH AY WIDTH EXISTING SLOG. 2 N SA / C /T•/��.^ {�nDEMOIL r + APPLICANT' Ot S'/ P (R?��NOLJr�c CORNER CUTOFF YES El NO BY (SIGNATURE) /' J IN OPEN SPACE YES ❑ NO ❑ QQ /) IN COASTAL ZONE YES ❑ NO [:]VALUATION Y 000 Cq TE GOflICAL 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 (GATE) WITHALL ORDINANCES ANO LAWS REGULATING BUILDING CON- STNUCTION. CEO iI FY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (GATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WOFKMEN'S COMPENSATION INSURANCE. l SIGNATURE OFyQ� S (✓ PERMITTEE ADDRESS !c ��j-�'l�-� ` C, FINAL BY CITY L �E/ NOL` G �SOpD DATE .11:1 F:F.' CHECKS PA)AM-E. I( P.C. $ FEE FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALID TION CK: M.D. CASH _ PERMIT VALIDATION CK. M.o. CASH 35 573 Fz>� �z� D 45454 < 76A630A CERB03 12/72 U 1 � I l 1 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT \ COUNTY OF LOS ANGELES B p LD � WM. J. FOX. CHIEF ENGINEER 'U NNG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ❑ISTRICyNO. PLAN CK. NO. RMIT NO. ADDRESS S LOCALITY Ci RECEIVED BY DATE OF APPL. DATE ISSUED � NEAREST DRDS$9T. ��/ BUILDING - T ADDRESS Lou -jf OWN[R 3!1 MAIL LOCALITY ADDRESS NEAREST TEL. CROSS ST. CITY NO. FIRENO. OF TYP GROU ARCHITECTOR TEL. ZONE PLAN B�— ENGINEER NO. BLDG. SETBACK LINE ADDRESS APPROVED TEL. BY DATE CONTRACTOR/jTIJ—y�(,(i•) NO. USE / APYPROVED ZONE BDATE ADDRESS HOUS NUMBERING LEGAL ESCRIPTION I LOT NO. y BLOCK MAP NUMBER-------/-- FIELD CHECK BY D TRACT NO. ASSIGNED BY DATE No. OF BLDGS. / CORRECTIONS SIZE OF LOT&_ 'Z, NOW ON LOT USEOF 9� NO. OF EXISTING BLDG. S. FAM.uas I DESCRIPTION OF WORK NEW I I ALTERATION I I ADDITION I� 0 REPAIR DEMOLITION I '- F D 60. FT. �j � NO. OF SIZE L-V ROOMS STORIES Z D EXT. WALL ROOF �• E COVERING I-COVERING USE OF STRUCTURE / I L2APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED - FRAME: FIRESTOPS, J n HEREON AND WITH ALL COUNTY ORDINANCES AND STATE ` BRACING, BOLTS •- LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF {/p'Z'�- / GAS VENT, DUCTS PERMITTET -.� LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AST. PLASTER, INT. vaweaew DBaa m-ao $ P. C. S © SIE;rj� FEE PLASTER, EXT. �• VALUATION `_'/G FEE FINAL FINAL r TEMPLE CITY nine.Cl:bo. ,R APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY _-f„ JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /`R.�GL I R WILLIAM A. JENSEN SUPT OF BDILDING CROSS ST. C DI STR�T N GROU TYPE P CES BY FOBUILDINGR APPLICANT TO FILL IN .. �7 CONST.STATISTICAL CLASSIFICATION WE ADDRESS CI�J L� 1\OSA �jQlUt SEBP57 '111 CLASS. NO WELL. UNITS LOT NO. 44- C, BLOCK WATER NOT REQUIREDZI 1.1 RECEIVED �J V' a� CERTIFICATES TRACT r NO.OF BLDGS. NO _01HIGHWAY Rc EI STATE MAJ SE NO, L A %� SIZE OF LOS ���0 I NOW ON LOT / USE ZONE SPECIAL USE OF Vl �� I�GN ci NDITIONS EXISTING BLDG. Vl ( ..�ll A.. OWNER I� 'J L`�� S 1 A I I I`4 NOH) )Sf�V BUILDING ' ` EXIS . SETBACK YARD HWY ST EET NA E WIDTH ADDRESS LA ROSA 'ZI FRONT n 1 ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE air ADDRESS PECTION ORD O T EL. CONTRACTOR NO. ADOR ESS UKQ DESCRIPTION OF WORK u w NEW! ADD ALTER REPAIR DEMOLISH ` � l• {' �./ SQ.FT. NO.OF NO.OF / �7;, t rl..Yll SIZE STORIES FAMILIES USE OF STRUCTURE - Fe'lec3 ' SIGNATURE OF APPLICANT \ VALUATION S (] APPROVALS\ DATE JNSPECTOWS SIGNATURE FOUNDATION: LOCATION - 1 FEE $ FEE S FORMS.MATERIALS\ FRAME: FIRESTOPS. \ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, \ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDINGCONSTRUCTION. I CERTIFY THAT IN DOING THE WORK \ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF LI ORNIA ELAT- ING TO WORKMEN'S C M SATI INSURAN I / LATH, EXT. SIGNATURE OF /�(/ HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS `� i XZ FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION cm. N.O. PERMIT VALIDATION CK. M.O. G8H LZO 2 7 5 7 APR 1 1 D 4.00-, Q DEPARTMENT OF BUILDING AND SAFETY ! APPLICATION FOR PE KAUT- COUNTY OF LOS ANGELES BUILI ® ® I N G WM. J. FOX. CHIEF ENGINEER + �8 �a FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ']�"/�L�/- ��,, '• /� DIBTRICT NO. PAN CK.NO. PERMIT NO. ADDRESS L.`�-�/ / p JA-0' /1/Y�I. -K Z !'1/�! J �✓� Z 7 LOCALITY " R�//r,g/ 1 RECEIVED BY DATE OFAPPL- DATE IBBUED NEAREST f y�) V [ /2� �'i7 / 1CROSS 87 ' DDREIBNO B OWNER A 44 MAIL G �2 LOCALITY ADD REBS N EAREBT O _ /JA / p TEL. CROSS BT. CITY /1/L... _,a NO. FIRE No.OF TYPE ARCHITECT OR TEL ZONE PLANS _ENGINEER /TN/"TLLI �. NO. BLDG. � ORD.NO. ADDRESS .+�. X .� Z. f--r.(_l/�1. e' �Y6... moe, BETBACK LINE Zee' /4, 0,, ' PROVED CONTRACTOR �J4d/-Tn.e[ L NO` UY DATE UBE /^/ APPROVED ADDRESS -ZONE/ +/ BY DATE LEGAL '/ / CORRECTIONS DESCRIPTION I LOT NO. y BLOCK e— TRACT / S`(I + .asNO OF /0830 SIZE OF LOT � ' Oa NOW CN LOTS ,.3/ - /'-✓fes 1 .✓T UBE OF I NO.OF NO.OF , EXISTINOBLDO. FAMMIE6 RODMB DESCRIPTION OF WORK 2_�S/� G �•Rs �; NEW ALTERATION ADDITION O q P REPAIR MOVING DEMOLISH Z- Z� _ /l�n'f ) � ��/ p :QW:QWT. NROOOM.OFS y STORIES , D T- 5� O r WALL I ROOF COV[RINS i� COVERING J EEOF NEW14 B _�y-y✓ ��, a BUILDING !T-� W _v`� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION 7BP[CTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMAT MATERIALS AND STATE AWB REGULATING BUILDING CONBTRUCTIDN. �L_W SIC FRAME' O BIGNATUR[OP VN}r S/ �(I/ BRACING.G,BBOLTSLTS V ` G PERMITTE[ v ATH. INT. AUTHORIZED AOT — ATH, EXT. 76^63BA-3 2-50 $ '_ P.C.B G ted PASTER.INT. / / 5-0 FEE PASTER.EXT. / VALUATION FEE ®-2 �_ ''!'1' FINAL a 3/,�. WORKERS'COMPENSATION DECLARATION '.nerGJY affirm that I have a certificate of consent to self APPLICATION FO R BUILDING PERM T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) S�a�e F COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NolDI140zs_%'1Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDINGLOT Q Q (JI Certified copy is filed with The county building inspec- BUILDING&S Lq ADDRESS ttio��nTT department. 1 _ -ADDRESS bJ \ 01 Date�h�L�-Ll l Applicant- L 'QLxG CITY �Q, 1�� •L, ZIP 1\ LOCALITY $ Q. C\ CERTIFICATE OF EXEMPTION FROM W &KERS' NO. OF BLDGS. NEAREST 1 U COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. C 2 l (This section need not be completed if the permit is for one ASSESSOR- hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL , TEL.q pp USE ONE MAP I certify that in the performance of the work for whichthisOWNER NO.ZO Z NO, permit is issued, I shall not employ any person in any manner ADDRESS I I SPECIAL . so as to become subject to the Workers'Compensation Laws, 11 CONDITIONS 0 Date- Applicant CITY 02. 2IPIM NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR J TEL. DISTRICT GROUP TYPE FIRE P OCESSED BY 0 Exemption, you should become subject to the Workers' ENGINEER NO. K ? CONST. ZONE U Compensation provisions of the Labor Code,you must forth- ADDRESS �c V p r _/ W with comply with such provisions or this permit shall be TEL p STATISTICAL CLASSIF.ICA710N APT. CONDO. 0. deemed revoked. CONTRACTOR o NO. I Z LICENSED CONTRACTORS DECLARATION { \ LIC CLASS NO. L DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS \V 9. NO. (commencing with Section 7000)of Division 3 of the Business and 50. FJ.1_2,q, LIC SEWER P �\ Professions Code, and my license is in full force and effect. CITY y� CLASS - VALIDATION S FAMI 31 Lj p NO. OF CHECK BK. PG. License Number OLIO�h t 'Lia Class SIZE STORIEINC. LIES ONE \ Q ., pp VALUA ION y ControctorLyAh4�aVV COIY.� Date 0- DESCRIPTION OF WORK & DO AD NEW ❑ $ U 011.1 am exempt under Sec. ALTER ❑ - B.BP.C. for this reason REPAIR O f :2 7 7 9.-3 A Date: USE OF ❑ EXISTING BLDG. RSI- DEMOL Signature APPDCANT I \ TEL / .• I + FINAL i OWNER-BUILDER DECLARATION PRIMP❑r�Y�sf `I�\L.�C QvR,, SNO. '1O I +U DATE c� :( • 1 34,25 I hereby affirm that I am exempt from the Contractor's License ADDRESS 1 lW V aY\'Q U\\1 1� ` Low for the following reason (Section 7031.5, Business and s FIN 'e s i1 3 4,2 5 5 Professions Code): By❑ 8 31 8 7 I, as owner of the property, or my employees with BUILDING ADDRESS wages their sole compensation,will dothe work and ' , the structure for is not intended or offered for sale(Section LOCALITY , 7044, Business and Professions Code). MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. _ t with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). - CONSTRUCTIONLENDINGAGENCY Kum A SETT BACKK YARD HWY TOiAFROPL WE WIDTH - - -I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.).. SIDE - e Lender's Name ` - tL-"'7 C� LDMA Raf. 0 ` - lender's Address P.C. Fee E Permit fee /,23-7S 3p CC/J I certify that have read this application and state that the _ Issuance Fee V r.�f LDMA P/C R a above information is correct. I agree to comply with all County Investigation Fee ! - - q ordinances and State laws relating to building construction, Total Feeqq and hereby authorize representatives of this County to enter MDMA Parm.N ' up o ha above-mentioned p[operty for inspection purposes. AM an `_p \ ` pr� EEE REVERSE FOR EXPLANATORY LANGUAGE Signature Q Applicant or Tot Date �7 �t APPLICATION FOR .5 -1 PERMIT Ll l COUNTY"OF LOS ANGELES �' -� UfLDING DEPARTMENT OF COUNTY ENGINEER ADORESSZ C BUILDING AND SAFETY DIVISION`. _iocnurv. 3 r JOHN A. LAMBIE, COUNTY-EN6INEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSSST. DISTRICT NO.a ( G OUP TYPE PR V ED BY FOR LAPPLICANT TO FILL IN CONST. f, lfADD EISS vs3 �� Ro SA /�� STATISTICAL GL SSIFICATION BE ER MAP !//� K PG CLASS. N DWELL, UNITS LOT NO. T BLOCK MAPSTATE YES C NUMBER HW On TRACT J USEZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT I LSE OF / 'EXISTING BLDG. 0 FS+ BUILDINGYARD HWY STREET NAME EXIST. /� TEL. SETBACK WIDTH OWNER / /6 AA 1, _� r JTFlnN�IN�NO. FRONT P. L. ADDRESS S/F-"e SIDE ARCHITECYOR 1 TE P. L. ENGINEER `✓+nMT S QII NO��'3U� INSPECTION RECORD ,ADDRESS G �,�pA _ d TEL I sIL IIL O �.CONTRACTOR fir.S�tA 661 NO.Lb-QP2.5 ;. ADDRESSC DESCRIPTION OF WORK "-��' ! -' ✓ /' 1J.rr G ADD ALTER SIZE ST REPAIR DEMOLISH T OF STORIES FAMILIES FAMILIESOSEOF { STRUCTURE �/ O e ` (� ( i ✓Is GRAY �d//.� I�i' �RyGi {j 'H' �4D','[ri�D �/� J V •AN - '- - ofz ! SIGNATURE APPLICANT • '- r� - p�wry Yi ' 4 VALUATION$ APPROVALS DATE . INSPECTOR'S SIGNATURE PMT FOUNDATION: LOCATION `// /I/�J H ,f FORMS. MATERIALS �/JJ BJ // F E $ "4. I I FEE $ U - FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE REAP THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15;CORHECT AND AGREE TO COMPLY FURNACE: LOCATION. "Y WITH ALL COUNTY ORDINANCES ANP STATE LAWS REGULATING GAS VENT DUCTS ' � 9UILOING CONSTRUCTION. 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 15SUED I SHALL NOT LATH, INT. EMPLOY ANY PERS ANY MANNER ED AS TO BECOM SUBUECT i TO THE W OR M . 5 C MFEN SATION Cal CALIFORNIA., [ATH,EXT. SIGNATURE OF HOUSE NUMBER COR- FERMITTEF 'RECT AND POSTED p ADDRESS FINAL r 0ZF^- P� Bfi. s 'CLYDE N. DIRLAM, PRINCIPAL STRUC URAL EN (NEER PLAN CHECK VALIDATION <—d-) M.O. CASH I PERMIT VALIDATION CK M.O. CASH X467 7:a3 (123D 375 �I� � ,6 8 .�Il�J,3°�� a 1.5 I U 1 COUNT OF LOS ANGELES ''TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMI OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / tAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709150008 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADD S TR: 15683 LT: 44 SQ. FT STORIES TYPE 9651 LA ROSA DR STRUCTURE: 0 VN TEMP CA 917803861 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-016 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED N: PROCESSED BY: EX RES ON: EXIST OCC GRP: 09/15/97 UT 0 %15/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: HARDY KAREN - - 1 5,200 9651 LA ROSA DR TEMP 917803861 FEES PAID DESCRIPTION OF W ( TEAR OFF AND RECOVER WITH 30 YR. CLAW A ELK COMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: HAUKOM ROOFING CO. (626) 285-9011- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5200.00 VAL 0.52 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HCS I e5200.00 VAL 150.00 TOTAL FEES 778.27 CONTRACTOR: TEL. N0: (( I1 APPROVALS DATE INSPECTOR SIGNATURE HAUKOM ROOFING (878) 285-9011- 6122 N. IVAR LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 438388 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: p� / r -- :`� \ !�_, FOUNDATION/TRENCH FORMS (// LIC. N0: �q SLAB/UNDER FLOOR 7� --_- - 7 11 �J. 1�M RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 7, ` r 1/( '1l ^//\;' UNDERFLOOR INSULATION 144H269 3 01 _ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CON T CLASS: NO 21 D ROOF SHEATHING M f SCHOOL WITHIN HAZARDOUS `� Jy' S AR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO A // \ �� FRAME INSPECTION REQUIRED BACK YARD: HWY: TOTAL SETOP BACK FNE: WIDTH: ���..- 'fl FI SPRINKLER HANGERS FRONT PL- � INSULATION/WEATHER STRIP SIDE PL- N;y INTERIOR LATH/DRYWALL - EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 l� COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT + BUILDINGPANDMENT OF PUBLIC SAFETY / AND DEVELOPMENT TEMPLPHONEEA(6264CA 91080 EXT: FILE OPYDBL UPLS08 0505240011 LEGAL ID: NO. OF CONST �1 BUILDING ADDRESS: TR: 15683 LT: 44 SQ. FT STORIES TYPE 9651 LA ROSA DR STRUCTURE: VN TEMP CA 917803861 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-016 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/24/05 JK 05/19/06 OWNER: TEL. NO: BLOCS. NOW ON LOT: VALUATION: FINAL TE FINAL BY: CODE: KONG, MONICA/KEUNG (818) 209-3388- 100 �p // 9651 LA ROSA DR ✓ 27 P ` TEMP 917803861 FEES PAID DES)ZRIPT&ON OF WORK KITCHEN AND BATHROOM REMODEL i -4 FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: � APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 100.00 VAL 0.50 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY 100.00 VAL 48.02 PR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 333.27 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NG NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR 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