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Home My Public Portal About9713 LA ROSA DR_Building__ —'DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIB: N6 PL/AN Cc. OR RE..NO. PERMIT NO. BUILD/ S rl ` VIO w�L) R IVED BY DATE OF APPL. DATE ISBUED LOCALITY / Z NEAREST G I— I L CROSM ST. BUILDING 3 �_ s/7`n ADDRESS / OWNER ==EBB EBB 3 NEAREST CROBB T[ BT. a•TEL. CINO. FIRE NO.OF TYPE RQep ARCHITECT OR ZONE PLANE �,BO az— ENGINEER Q• BLDG. SETBACK LINE ADDREB UBEAPPROVED ZONE BY DATE CON RA 4 I 1 _ HOUSE NUMBERING ADD [SS: O MAP NUMBER ; ' /LT NO. ASSIGNED BY /%J/ LEGALCORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT ND. DF BLOGa. SIZE OF LOT NQW ON LOT USE OFI NIX OF EXISTING BL G. FAMILIEO SCRIPTION OF WORK a NEW ALTERATION 0 ADDITION Z D REPAIR DEMOLITION t- EQ. FT. NO.OF SIZE ROOMS STORIES EXT.WALL ROOF COVERING I. COVERING USVYFSTFtUCTxv J G INSPECTION FOR APPROVALS OCCUPANOYAS INSPECTOR'6 NATURE/- DATE FOUNDATIDN: LOCATION J ` S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORMS, MATERIALS PLICATION AND BT TC THAT THE INFORMATION GIVEN IS FRAME: G, BOLTS I CORRECT. BRACING, BOLTS I AGREE TO REBU WITH ALL COUNTY ORDINANOEB FURNACE: LOCATION, AND STATE LA B REDO LAT D BWLDIN ONHTR CTION. GAS VENT, DUCTS t 1 BIONATUR[ LATH. INT. PERMITTE Y F H, EXT. ✓, ADDRE PLASTER, INT. AUTHORIZED AG / 8PLASTER, EXT. FE[ P. E 8 HOUSE NUMBER COR- //n RECTAND POBTEDI VALUATION 7 K� `" 0 FEE B 0 FINAL 96A63BA DBS 3 1-52 DEPARTMENT OF'BUILDING AND SAF)AUU ft.. 1Zf4VI>L AtION FOR PERMIT , COUNTY OF LOS ANGELES B p ® I L ® I N l WM. J. FOX, CHIEF ENGINEER V FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. - -PERMIT NO: BUILDING ADDRESS S LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST / 8 - 17-49 CROSS HT. \ o � �� ISUILDINO��O �F OWNER ��/J�eM �../f,/�f'��7/ -ADDRESS MAIL •�Jtj ^JLOCALITY ADDRESS TFM�Li� Ct TJX NEAREST X �� y CITY NO ./-® SiCROBB HT. FIRE NO.OF TYPE GROUP ARCH ITECT OTEL �, t I I �( _ ZONE PLANS =.�S ENGINEERq U ,N.io../�� Op ORD.NO. 13 1` BELTBACK ADDRESS LINE 7 APPROVED TEL BY DATE CONTRACTOR NO. USE n APPROVED ADDRESS t ZONE ,C/ BY DATE LEGAL DESCRIPTION I LOTNO. �3o BLOCK ��,f��le CORRECTIONS � C Al TRACT I GE 7 / /`y NO.OF BLOBS, SIZE OF LOT ` O VI NOW ON LOTUSE E%ICGTlg6 BLDG.D.J9./9��"!Ir r FAMILIES L E911 ROOMS DESCRIPTION OF WORK f NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH D 90.FT. (y �� NO.OF Z SIZE X _WALLjj ROOMS HT.,j RIEB r COVERING X/A-a) I COOVERING USEO NEW ` - sAR� � -BUILD/�I NO Y*. /�1 CCCl8B8111""FFZZZSSS--- ��C.tritiez/ti c /� L I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IH CORRECT ,FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. v ^� C FRAME: FIRE STOPS, G SIGNATURE OP� ® BRACINGr BOLTS PERMITTEE LATHr INT.: AUTHORIZED AOT LATH,EXT.: �L 999-3 SUM SETS raB $ m P C S '.v PLASTER,INT. 73 So .J FEE �' pLABTERr EXT. ® VALUATION FEE � FINAL ,� ✓�/tnr..,ti �Q-3��/� - ; . , Ah PLICATION;' FOR, BUILDING PERMIT .. ,. ..� COUNTY OF. LOS�'ANGELES - BUILDING AND SAFETY - WORKER'S-COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS(ql / BUILDING'ADDRESS !� !'� hereby affirm of W have a certificate.of consent to self'insure, / l J� .r�o5 , . , or a certificate of Workers' Compensation Insurance,or a certified 'l•/t""7 ZI,P` /'-'L ` Poly thereof (Sao!.3800„Lab.C.) y' ( - Cs. LOCALITY Policy No.' Compan SIZE'OF LOT; N0.OF BLOCS.NOWONLOT f ' ❑ Certified copy is hereby furnished. �' NEAREST CROSS ST: ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO: tlepar e I � USE ZONE Date pof t � ��? ( O� ASSESSOR MAP BOOK PAGE - PARCEL'. - -- / ' SPECIAL CONDITIONS t f/ CERTIFICATE OF EXEMPTION FROM WORKERS', NER TEL a 'COMPENSATION INSURANCE LY) aJ "00Z�' WITHIN 1000 Fr of scHOOL? � - "VES NO (This section need not be completed it the permit is for one hundred ADDRESS - F--� _ -- _ Q'-�3 .5, D e, _ DISTRICT � GROUP TVPL CONST. FIRE ZONE PROCESSED BV ' tlollars-($AD0l or dess.), - C V - ZIP . certify that.im the performance Of the work for which this permit 1- ��5J , is-issued, I.shall.not employ any person in any manner s0.a5.t0 ARCHITECT ORENGINEER TEL NO _•� _ v 'mow become subject to the.Workers'Compensation Laws_ .STATISTICAL GL SIFlCATION APT CONDO ` Date Applicant ADDRESS = GLASSNO. DWELL UNITS •-' NOTICE TO APPLICANT' It. after making this Certificate .Of '1 _ .REQUIRED TOTAL SETBACK FROM ' EXIST Exemption, you should 'became subjOct t0 the Workers TRACTOR - '� TEL NO' ` SET BACK YARD HWY ' 'PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith' L g � •(, •FRONT comply with such provisions or this permit shall be deemed.revoked. ADDRESS f L NO. P } Ant 5 5r M,1 ,4- LI SIDE J, a LICENSED CONTRACTORS DECLARATION PIT Q -LIC Ass Pc _ 0 I hereby affirm that I.am licensed underprovisions of Chapter s%' V'L 3 - U SEWER MAP (commencing with Section 7000)Of Division 3 of the Business and SQ FT SIZE NO.OF[TORIES NO.OF FAMILIES IY Professionsbotle,and mgg li e'- in full force and effect. - ( NEW ❑ BK PG 0 License Number Lic.CID DESCRIPTION OF WORK 1�^.� ..� ADD ❑ VALUATION , U Contractor �2e�jL� Date y - V $ a //�� r ALTER ❑ l"OM "F.�'. \� REPAIR ❑ Z . ❑ 1 am exempt under Sec. $ 1 B.&P.C. for this reason - Q �L - DEMOL ❑ - - Date. USE OF.EXISTING BLDG. LDMA P/C c�'. -URM ❑ Signature - 3 3(}.] 1/c v,cc _ .APPLICANT PRINT) TELNO � iDNA Form♦ .I pp ❑.I, as owner of the property, or my,employees with wages a5 t C 3 - Z 1 r Ic S , their,sole compensation, V+ill dorthe work and the structure is ADDRESS ,,cc•9l - �/-- 1, O n y r.�: Not intended or offered for'sale,(Section 7044, Business and = - 'L/ �' C, J '�� FMAL DATE Q TOTAL 12-_� I5 Professions Code. ' / O C' ee I OR THE APPLICANT OF G A HE HAZARDOUS OCCUPANT UAL TO R GREATER MATERIAL j'I -Q .HECK 1 r 1.55 ❑ I, as owner Of the r0 ert y g OR AMI%TURF CONTAINING A HAZARDOUS MATERIAL EQUAL TO OP GREATER THAN THE p p y;ram the project contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MgrERIALS INFORMATION GUIDE?” FINAL BY 0 project (Section 7044, CHANGE �hJ licensed contractors to construct the .YES❑ rvo❑ - - •- . Business and,Professions Code.) - ' • `CC THE IREQUIRNTENOAPE MI THE BUIDLINGCONSTRUCTION BY THE APPLICANT OR FUTURE BUILDING OCCUPANT OUATTEA PERMIT FOR CONSTRUCTION IG EE PERMITTING CH THE SOUTH - CONSTRUCTION LENDING AGENCY `consT Awauqurr MANAGEMENT DISTRICT Iscgoam SEE PEflwrnNG cHEClcum FOR 0000-OCIO1 ' ,:?�I �/C,`;�- GUIDELINES , hereby affirm that there is a construction lending agency for YES❑ rvo❑ e1^E,' 1 .A 1J9tj7 the AM 3097,performance Of the work for which this permit is issued(Sec, I HAVE READ THE HAZARDOUS MATERIALS INFOnMATION GUIDE AND THE SCAOMD PERMITTING 'T y .3D97,(,'IV.C:) ' CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. .. TITLE 2.CHAPTER 220 SECTIONS 220.100 THROUGH 2.20 140 CONCERNING HAZARDOUS m Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address- oxxca - 3 1 certify that I have read this application and state under penalty . 0 of perjury that the above information is'.correct .PCFEE PERMIT FEE I agree to comply " " - 1 m with all county ordinances and-State laws relatingto building • �J - r m c Struction, and hereby autIn- representffiive5-Of this COUnty - ISSUANCE FEE -- . t ler upon tf ab r�iT antioned p erty for innnspecti d ,�\' �� ,p INVESTIGATION FEE TOTALFEE Tof w� - 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 0609220009 PRONE: (626) 285-0488 EAT: LEGAL ID: NO. OF COMET BUILDING ADDRESS: TR: 15683 LT: 15 SQ. FT STORIES TYPE 9713 LA ROSA DR STRUCTURE: VN TEMP CA 917803951 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-010-015 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: 09/22/06 SK 09/17/07 OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: F/TJIJp4AL TE FINAL BY: - CODE: DONATO LINDA F (626) 237-0021- 500 -- 9713 LA ROSA DR TEMP 917803951 FEES PAIDD66CRIPTION OF WORK TCHEN REMODEL DRYWALL FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: NEWMAN (626) 285-2602- AA BLDG PERMIT ISSUANCE 27.75 9144 SOUTHVIEW AC STRONG MOTION REBID 500.00 VAL 0.50 SPECIAL CONDITIONS: SAN GABRIEL CA 91775 B2 PERMIT W/ENERGY 500.00 VAL 48.02 TOTAL FEES 76.27 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROBERT NEWMAN (626) 285-2602- 9144 SOUTHVIEW LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91795 432157 B 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 144H269 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 NO 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- I .7 INTERIOR LATH/DRYWALL Z I EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BSO508 l