HomeMy Public PortalAbout9726 LA ROSA DR_Building__ 76A638A CEu6035-65 APPLICATION FOR BUILDING G PERMIT IJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER. noon Ess
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.Su P'T.OF BUILDING CROSS ST. _
DISTRICT NO G��u� TYPE. S
FOR APPLICANT TO FILL IN �)"�d TJ CONST.
BUILDING STA TIS T I C A LXC
C, SSI FIC A TI ON SEWER MAP
ADDRESS CLASS NO. DWELL UNITS BK PG o
LOT NO. - -/7 BLOCK - USE ZONE MAP -
� �S 0�1/ '
NO. 9/
TRACT ^4F,+ / SPECIAL -
NO. OF BLDGS. / CONDITIONS
SIZE OF LOT Q 1p0 NOW ON LOT -
USE OF
EXISTING BLDG. BLDG. SETBACK FROM ..
TEL. FRONT PROP. LINE OF Q-�' � (STREET)
OWNER ER NO. 1 S TYPE OF EXISTING 'SETBACK HIGHWAY t YARD - TOTAL
ADDRESS HIGHWAY W19TH
FROM CC.
CITYT �. �V } 0 .- �.
BLDG. SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF E%ISTING SETBACK -HIGHWAY. } YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROMC.L.
n TEL. ./t +'. C1 - C9 It
CONTRACTOR R NO l�
LIC CORNER CUTOFF YES NO O
ADDRESS NO
CITY CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK. w
a
NEW A- ADD ALTER REPAIR DEMOLISH y
Z
511.FT. NO. OF NO. OF
SIZE S STOR E5 FAMILIES
USE OF
STRUCTURE' OtI
SI GNA.TU RE OF
APPLICANT
VALUATION$
APPROVALS DATE- INSP EC R'SSIGNATURE
FOU NOA TI O N.-LO C A T ION / -
FEE 'PMT. -.4111-
FRAME,
/
FEE$ FEE$ �� AME,FORMS,
FI ETERIA
FRAME, FIRE STOPS,
HERESY
ACKNOWLEDGE IS HAVE READ THIS ATO LOTION BRACING BOLTS alk
AND STATE THAT THE ABOVE IS CORRECT AND AGREE REGULATING COMPLY FURNACE: LOCATION
WITH ALL CO UNTYONSTRU TI O. [ CES AND $TATE LPW$ THEWRK GAS VENT. DUCTS
AUTLDINGHORIZED
D HEREBY I WILL
CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE- OF THE STATE CALIFORNIA REIAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR- Y,
PERMITTEE F 'q ECT ANO POSTED
ADDRESS 7 4'Ad- FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O cnsH
"1 1 .50~
;ito2 3 0 2:9 K� y 2 5 1 0
-APPLICATION FOR
BUILDING PERMIT
FOR APPLICANT TO FILL IN ADDRESS
_ 2,11
:
ADDRESS LOCALITY �L `-�) T`I
NEAREST
CITY C ZIP ? vd CROSS ST. ,r-y-/ (/y -
N .OF BLDGS ASSESSOR
SIZE OF LOT' WON LOT MAP BOOK PAGE PARCEL, -
'\ DISTRICT GROUP TYPE FIRE ROCES ED BY
TRACT - ��,.- BLOCK- LOT NO. 17 CONST. ZO
EL.
OWNER p ND.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. '2' ( DWELL.UNITS �'+" BK/Z) PG
CITY ZIP USE Z9NE AP /'] / -
L/J. NO. O
ENGINARCHIEER
R NOTELSPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROV A REQUIRED YES❑ NO❑
TEL. ,
CONTRACTOR NO, BLDG,SETBACK FROM
q FRONT PROP.LINE OF (STREET)
ADDRESS Yr7� NC D TOTAL SETBACK FROM TYPE OF EXISTING
LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY' e - CLASS
CONSTRUCTIO LENDE - + O
NAME AND BRANCH BLDG.SETBACK FROM - V.
SIDE PROP.LINEOF (STREET;
ADDRESS CITY O
SQ.FT. NO.OF NO.OF CHECK HIGHWAY } YARD = TOTA SETBACK FROM TYPEOF EXISTING w
SIZE STORIES FAMILIES ONE SixPROP.LINE HIGHWAY WIDTH N
DESCRIPTION OF WORK O NEW
ADD ❑ CORNER CUTOFF YES NO ❑
ALTER ❑_ 'IN OPEN SPACE YES NO ❑
.USEOF REPAIR IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. DEMOL ❑ , y/�
APPLICANT TEL
(PRINT) TNIZL
EL
BY ISIGNATUREI
"P HEREBY ACKNOW CORRECT
iHAT AND. HAVE O COMPLY
AWITH, LL ORDINANCTE
ES..THAI THE ABOVEREGULATING
BUIL AN CONSTRUCTION
i0 COMPLY CERTIFY
THAT
IND DOING
THE �
AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAI VIOLATION
THE
WORK AUTHORIZED DEOF THE
WILL LIF RNIAEMPLIN
PERSON IN.RKMEN ION OF
THELABOR COOS OF THE STATEOF CALIFORNIA IN RELATING TOWORKMEN COMA
PENSAiION INSURANCE ,_,;y �
SIGNATURE OF' kn
��77
PERMITTEE - 1 -FINAL T(�7 BY
DATE
ADDRESS _
CITY w I�D�J�I /. NO. P.C.Fee$ Permit Fee
j\ I• ; e�_�r •Issuance Fee
VALUATION$\ Gf.— ` ` - - '�
Totol'Fee
PLAN CHECK VALIDATION;\ ScK_,o. CASH ' PERMIT VALIDATIONcam:' M.o. CASH
9'9`81 AUG. 5 1 0. 2 1.75 ,&
(6, 76AS380 C E#80386/76'
V—
DEPARTMENT OF BUILDING AND SAFETY) . r APPLICATION FOR PERMIT '
COUNTY OF LOS ANGELES ®8a �® N�1
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT,TO FILL IN FOR OFFICE USE ONLY
OIBTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS (
LOCALITY RECEIVED BY DATE OF APPL. DATE IBSUED
NEAREST ♦ / �2 -0
C R0139BT.
B JILDING
-
OWNER I. , ADDREBB - -��' o 47S
MAIL
ADDREBB((! uJ�/ - tJ`�g • LOCALITY —L
NAREST ..�+
CITY 1 � ♦ TEL'NO. CR EOBBST.
FIRE NO.OF TYPE`J GROUP
ARCHITECT OR T[L ZONE -PLANS �-
ENGINEER \ NO. _
SETBACK LIN[BLDG. ORD.NO.
ADDRESS �'�`^�I� �
APPROVED
CONTRACTOR Np BY DATE
USEAPPROVED
ADDREBB _ ZD^NE.y / BY DATE
LEGALC
DE RIIPTION LOTNO. r�
I / I BLOCK /` - �1 CORRECTIONS
TRACT
SIZE OF LOT 'k NOW ON LOT6 ��--
USEOF NO.OF I NO.OF
EXISTING BLDG.��/l"L( L F. LF.. ROOM9 �J 7
DESCRIPTION OF WORK „ �s Lcn 3:noj'_♦G. a.�n 4l/[.
NEWix I ALTERATION ADDITION •�O L� F-/�e^� T!-�� O
REPAIR (^ ( MOVING - DEMOLISH 3.�//Y'�Y� ONLY/ i�U a�e�, e.
B ZE J- J\D ROO MNooB STORIES / ��.Y v""���
WALL ROOF
COVERING r COVERING
USE CF INGNCW iG
BUILD
V
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS /�,�n �y/yC
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.'
FRAME: FIRE STOPS.
SIGNATURE OF BRACING.BOLTS
PERMITTE _ nti/ /tin - LATH. INT.
AUTHORIZED AO I- /� 1 �O /
LATH. EXT,
v
76A5 BA-3 2-50 $ P, PLASTER, INT.
7�
PLASTER.EXT. /•
VALUATION �Z FINAL
PEE
i /
#920279 SB
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self APPLICATION -.FOR BUILDING. PERMIT
insure ora.certificate'of WorIyer3 Corrfpensation Insurance,
or a cerhfied'copy thereof (Se l' 3806,'-Lab. C.) - `
-
-', " . - - _COUNTY OF LOS ANGELES - 'BUILDING AND SAFETY - -
Policy No. W271O598'Compony Cal. Comp:
❑ Cerfified'co is hereb furnished. ' FOR APPLICANT TO FILL IN BUILDING-
PY y - ADDRESS �cC2
® Certified copy is filed with the county building inspec- ADDRESS
,tion,,deporiment:• - ADDRESS - 9726 La Rosa Dr.
7-1-93 Virgin Roof Co. clTf' .Tem Te Cit ZIP 91780 LOCALITY
Rafe Applicant _ NO. OF BUDGE. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' -L.'' SIZE OF LOT - - NOW ON LOT - CROSS ST. `
.-COMPENSATION INSURANCE _ - ASSESSOR 1-
(This section need.not be completed if the permit is for one TRACT ' - -' BLOCK"` - LOT'NO.' MAP BOOK e PAGE - PARCEL .
'hundred.dollars ($100) or,ess.) OWNER John MeisCnhelder NO. - USE ZONE: MAP - r
:I certifythat,in The*performance of,the work for which this - - ;; - = , SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS. 9726 La Rosa Dr. CONDITIONS d
so as;a become subject to the Workers'Compensation Laws. . O
. . CITY Tem le Cit ZIP - 91780 - U
Date Applicant - ARCHITECT OR TEL.` _.DISTRICT- GROUP TYPE FIRE- PROCESSED BY �
.NOTICE TO APPLICANT: If, after making this Cerfificote.of - ENGINEER - .. NO. 41. CONST: ZONE 0
Exemption, you should become subject to the Workers' - 2 U
• Compensation urovisions of the'Labor Code, you',must forth- ADDRESS (�t� d
with:comply withsuch provisions or,this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO.
deemed revoked,' CONTRACTOR Virgin Roof Co. No. 287-0507 - - - - 2
- LICENSED.CONTRACTORS DECLARATION.a w LIC CLASS NO. 52 DWELL. UNITS—
I hereby affirm that I arn,licensed under.provisions of Chapteri? ADDRESS. P NO.
160690 EWER MAP S
(commencing withSection 7000)of.Division 3.of the Business � ` LIC.
and Professions Code,and my license isin.full force and effect. _ CEiY' an CLASS BK. PG. VALIDATION -•
50. FT. : NO. OF` NO.'OF CHECK
License Number 160650 Lic. Class C39 SIZE 28 s S %RIFs 1 FAMILIES ONE -
VALUATION
Contractor Virgin Roof Co'. Date- 6-30-93 DESCRIPTION OF WORK Tear off then NEW
❑ f 5875,00
. ADD' El
11 ,
I am exempt under Se 'a A ❑ '
LTER `_ ... .
B.BP.C. for this reason; Fiber lass •sfiin les. 28 Bost, REPAIR ❑ f'
Date: USE OF:. _ .
_ - EXISTING BLDG. Welling DEMO.
Signature APPLICANT TEL. 'FINAL/y -
OWNER-BUILDER DECLARATION (PRINT) Virgin Roof Co. . NO. 287-P 07' -
$ r DATE
I hereby affirm that I am exempt from the Contractors License _ _ _ •:
Law for the following.reasoo (Section 7031.5, Business and ADDRE55 P.0., X FINAL. : 3307 _ 225.20
Professions Code): : PRESENT: By _
❑ I, as owner of theproperty, or m employees wtlh - BUILDING' }`T _ - 1 EM.
YADDRESS
wages as their sole compensation,.will'do the work and; - -?.' P it. , T ITAL ITEMS
:: 5� v�
the structure is not intended or offered for sale(Section LOCALITY C0r�, _
7044, Business and Professions Code.) MOVING -.. TEL. - r} t.': - jHELY, ?�J.OV
❑ CONTRACTOR NO. '1 - ` _ '
I, as owner the property, am exclusively contracting -CHANGE 00
with licensed coniractors.to construct the project (Sec- - - •- 1 t - -
ADDRE55 • . .... _- q..
.. .. tion'7044, Business and"Professions Code.), _ �.
..REQUIRED RED- " TOTAL SETBACK-FROM -EXIST.';', — -
CONSTRUCTION LENDING AGENCY ' SET BACK YARD' 'HWV PROP. LINE WIDTH OCIJO'WOS ^ 11/30/92
hereby affirm that there is a construction lending agency for FRONT - - _ _
the performance of'the'workfor-which this permit is.issued ^P:L. - "' - - - i. - ',.6744 '1 . AMI'�4:,
(5ec. 3097, Civ. C.). SIDE - - - �-
Lender's Name,
f
m - _ LDMA.Ref. A
�
P C mit Fe
Fee S Pere $201.05 -
Lender's Address - � - t
I certify that I hove read this application andstate that the - Issuance Fee 94.75 LDMA P/C N �-
8 above information is correct. I agree to comply with all County Investigation Fee -
ordinances and State lavis relating to building construction, Total Fee - $225.80 ..LDMA Perm. M -
a and herebyauthorize representatives of this County to enter
upon thea �'e-m nfi oned property for inspection purposes.
11-24-92 _� SEE REVERSE FOR EXPLANATORY LANGUAGE _
Signa ure of Applicant or Agent. Date -
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760 SL 0508 0805270013
PHONE: (626) 285-0488 EXT:
LEGAL ID: I N0, OF CONST iBUILDING ADDRESS:
TR: 14832 LT: 17 SQ. FT STORIES TYPE 9726 LA ROSA DR
I STRUCTURE: V-B TEMP CA 917803950
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET: GOLDEN WEST
18589-018-013 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
(TENANT: iEXIST BLDG USE: REBID USE ZONE: R-1 11SSDED ON: PROCESSED BY: EXPIRES ON: 1
EXIST OCC GRP: 105/27/08 SR 11/23/08
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FI AL DAT FI ^q Y: CODE:
CHEN, HAO QIANG (626) 321-7421- 500 /� �' j/
9726 LA ROSA DR +� (((��J II
ITEMP 917803950 FEES PAID IDESCRIPTION OF WORK
(INTERIOR DRYWALL AND 3 WINDOWS ON THE GARAGE
IEEE DESCRIPTION: QUANTITY: UDM: AMOUNT: (
(APPLICANT: TEL. No: I
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 500.00 VAI, 0.50 SPECIAL CONDITIONS:
ID2 PERMIT W/O EN-HC 500.00 VAL 43.65 1
IFR INV WORK W/O PERMIT 128.50 DOL 128.50 1
I TOTAL FEES 200.40 1_
CONTRACTOR: TEL. NO: _ 1APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO (LOCATION AND SETBACKS
1SOISS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
1 I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:11 A 1UNDERFLOOR INSULATION
1144H269 3 O11 1** `` `I �/'� y^s�1�..y"•\y_ Sf}�``1
11 r�1y'��y2. d�\ Ic +\' ��11`� FLOOR SHEATHING
IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ��'llll I
NO 21 \�eROOF SHEATHING si ►JD 1'l Cca�vti l���a tc �— ,�
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS
1SET BACK YARD: HW: PROP LINE: WSDTH.
1FRONT PL- INSULATION/WEATHER STRIPI
SIDE PL-
IINIIERIOR LATH/DRYWALL
(EXTERIOR LATH
(RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATDD SHAFTS/OPENINGS
T-BAR CEILINGS
I
LOT DRAINAGE
1REPORT ID: DPR261 ROUTE TO: DS0508
4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT D ��
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 9907130029
PHONE: (626). 285-0488 EXT:
LEGA 0. OF CONST NEW BUILDING ADDREM
TR: 14832 LT: 17 - SQ. FT STORIES TYPE OCCUP GROUP 9726 LA ROSA DR
STRUCTURE: 440 1 VN R3 TEMP CA 917803950
ASSESSOR INFORMATIONNUMBER: GARAGE: NEAREST CROSS STREET: GOLDEN WEST
8589-018-013 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: E IS BLDG USE: USE ZONE: SUED ON: PROCESSED BY: EXPIRES ON:
EXIST.000 GRP: 07/13/99 UT 01/09/00
OWNER: .TEL. NO: BLDGS. NOW ON LOT: .VALUATION: FINAL DATE FINAL BY: CODE:
COLORES;ERNIE (626) 286-7363- 1 5,000 r /�
9726 LA ROSA DR ✓e-C�
TEMP 917803950 FEES AI DSP 0 OF ORK
CONVERT GARAGE TO FAMILY ROOM AND ADD BATHROOM TO EXISTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SQUARE FOOTAGE
APPLICANT: EL. 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.90 i
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING,REVIEW_F.EE� 55.00
B2 PERMIT,N/ENERGY'ELES n5000.00 VAL 146.85
CONTRACTOR: TEL. N0: jS P�VJ TOTABLF V 230.25 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: - TEL. O: / FO DATIO / RENCH FORMS
LIC. N0:// 11�11�1 SLAB/UNDER FLOOR
RAISED FL FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: U � n O F�S UNDERFLOOR INSULATIONE1P,, O
1ST LEVEL FLOOR S AT
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 Vi .8 ,r ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS 3 �- '^=• I?'. Z1SHEA N —
AIR QUALITY: 1000 FEET MATERIALS 'T -- `��-_
- NO NO N0. A O ® �" ®y FIRE DEPT. FRAME INSPECT
REQUIRED SETFROBACK YARD: HWY: TO PROPBACK LLINE:FRO EXIST BLDG
46/XC SerViOce That��`� SHEAR PANELS
FRAME
SPEC
SIDE PL-
INSULATIO EA STRIP
INTERIOR LATH RY/ WALL �
TER IOR LATH
i
LOT DRAINAGE
SMOKE�DET CTION DEVICES
FIRE DEPARTMENT APPROVAL
(REPORT ID: OPR261 ROUTE TO: BS0508 —
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