HomeMy Public PortalAbout9802 LA ROSA DR_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILLdN IPrirlt or Type only)
BUILDING r COUNTY OF LOS ANGELES
4DDRESS U- I 7 I DEPARTMENT OF COUNTY ENGINEER `.
Cr '� ZIP BUILDING AND SAFETY DIVISION
y NO. F BLDGS. ' ' BUILDING
SIZE OF LOT ` �^ Z� NO ON LOT ADDR 5 U I
TRACT Z -' BLOCK LOT NO.J, LOCALITY '
��+�_ TEL. - NEAREST
OWNER 'O. CROSSST.
ASSESSOR
ADDRESS V• i .(�J MAPBOOK. PAGE PARCEL
DISTRICT G PE FIRE ESSED BY
-CIT IP - NST. ZONE 4
ARCHITECT 1:5
/��JTEL. 67 /
ENGINEER l- - R _,( V NO.
.ADDRESS <�y1� ��.�. STATISTICAL CLA 'j/4ATION SEWER-WAP
CLASS Nd3-I !' DW/ELL UNITS [!/�BK 2PG
CONTRACY9R/�J�w/�y� NZONE MA
NOPLIC
ADDRESS ��''``I��(JI / I L NO�,�//_7y Xy y0 SPECIAL-
CITY _LJ "{/Y CLASS C-' CONDITIONS _
CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
NAME AND BRANCH BLDG.SETB K FROM - -
FRONTPR PAINEOF ISTREETI
ADDRESS CITY -- TOTAL SETBACK FROM TYPE OF EXISTING
SO.IT. j� ' g�j NT06 IJO.OF CHECK HIGHW Y + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE ,4 STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW + - O
BLDG. BACK FROM li
V
ADD ❑ SIDEPR .UNEOF LSTREETI O
ALTER ❑ V
TOTALSETBACK FROM TYPE OF EXISTING
HIGHWAY + = SIDE PROP.LINE HIGHWAYI WIDTH N
USE OF - . REPAIR ❑ Z
EXISTING BLDG. DEMOL' ❑ +
APPLICANT - T CORNERCUTOFF YES
IPRINTI . N
A IN OPEN SPACE YES NO ❑
BY ISIGNATUREI '' ll IN COASTAL PERMIT ZONE YES NO
VALUATION$�&OV
HEREBY ACKNOWLEDGE TAND n HAVE ROAD THIS APPLICATION AND STATE � _
ANDY THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH All ORDINANCES p/�
AND LAWS REGULATING BUILDING CONSTRUCTION. CERTIFY THAT IN DOING THE• ] 4
WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF T/
THE LABOR CODE OFTHESTATEOF CALIFORNIA IN RELATING TO WORKMEN SCOW ! CJ
PENSATION INSURANC // //L
SIGNAT URE OF �" 9 f •A(/�j 61+76 DA/
PERMITT J
TE
i
ADDRES �
FINAL 7 BY
CITY " +� N_O. �L/'� DATE //sS +/ 6
MAKE CHECKS PAYABLE TO: FEE $ f� FET
HARVEY T.8RANDT.COUNTY ENGINEER
6� " ' : 75
PLAN CHECK VALIDATION cH. .o. CASH PERMIT VALIDATION cK. M.o. cnsH
3:.6 /gin :5U21 ® 14.63
- 3'.6 $�'IIR '30 4 8.7
Os 76A63BACE#803375
7V0
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 1104110051
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 9481 LT: 9 BL: .001 1 SQ. FT STORIES TYPE 9802 LA ROSA DR
(STRUCTURE: 1857 V-H TEMP CA 91"1803920
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
18569-022-003 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
ITENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 104/11/11 SR I
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL/-�,j1+T�E// (/A/,[n_/HY: CODE:
1WEI, LING LUO (626) 957-7630- 4,000 1 I
15650 SULTANA AVE. _ V
(TEMP 917803920 FEES PAID IDES GRIP ION OF WOAK
REROOFING HOUSE AND GARAGE TEAR OFF EXISTING LAYERS 20 YEARS(
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (ASPHALT SHINGLES
APPLICANT: TEL. NO:
�HO, STEVE (626) 863-6323- AA BLDG PERMIT ISSUANCE 27.80 1_
IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECIA1. CONDITIONS:
IAC STRONG MOTION REBID 4000.00 VAL 0.50
1RMD2 PEIT W/O EN-HC 4000.00 VAL 116.00
TOTAL FEES 145.30
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SKYWALK CONSTRUCTION INC. (626) 863-6323-
11309 N. LAS TUNAS DRIVE LIC. NO LOCATION AND SETBACKS -
(SAN GABRIEL, CA 91776 906987
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
I (RAISED FLOOR FRAMING I I II
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDFRFLOOR INSULATION
1144H269 3 001 1 11
IIFLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS
IALS
NO NO NO FRASHEAR PANELS
AIR QUALITY] 1000 FEET MATERIALS III
ME INSPECTION
III III III
FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIPI I
(INTERIOR LATH/DRYWALL
EXTERIOR LATH
I I I
RATED FLOOR/CEIL ASSEM 1
I I I
(RATED WALL ASSEMBLIES
I I I
RATED SHAFTS/OPENINGS
1
1 T-BAR CEILINGS
I
ILOT DRAINAGE
1 IREPORT ID: DPR261 ROUTE TO: BS0508
1 1 II I I I
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 0404130061
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. Of CONST BUILDING ADDRESS:
TR: 9481 LT: 9 BL: -001 SO. FT STORIES TYPE 9802 LA ROSA DR
STRUCTURE: VN TEMP CA 917803920
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
8589-022-003 THOMAS PACE: 597 GRID: A4 -- LOCALITY: TEMPLE CITY, C
TENANT: E IST BLDG USE: RESID USE ZONE: R-I ISS E ON: PROCESSED BY. EXPIRES ON:
EXIST OCC GRP: 04/13/04 VG 04/08/05
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATEY; CODE:
MOORE MITCHELL C;DEBBIE L (626) 285-6307- 680
9802 LA ROSA DR
TEMP 917803920 FEES PAI6__ D SCRIPTION OF WORK
REMOVE AND REPLACE 2 EXIST WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: iEL. NO:.
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27-75
AC STRONG MOTION RESID 680.00 VAL. 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 680.00 VAL 43-65
TOTAL FEES 71.90
CONTRACTOR: TEi.. !dO: - APPROVALS DATE INSPECTOR SIGNAT RE
SAME AS OWNER - _ '-
LIC. NO LOCATION .AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NC: FOUND TION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED Fi OOR FRAMING j
MAP N0: SEWERMAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: 'TA7 CLA55:
NO 21 ROOF SNEA7HINf,
SCHOOL WITHIN HAZARDOUS SHEAR FA,N'cL5
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-
INTERIOR LA'i Hi DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTSIOPENINGS
T-BAR CEILINGS
L DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
' I
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1103150007
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 9481 LT: 9 BL: .001 1 SQ. FT STORIES TYPE 9802 LA ROSA DR
I ISTRUCTURE: V-B TEMP CA 917803920
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST
18589-022-003 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
TENANT IEXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 103/15/11 SR I
(OWNER: TEL. N0: HLOGS. NOW ON LOT: .VALUATION: 1FINAL DATE FINAL BY: CODE: I
ILI, TONGZHAO (626) 757-7630- 10,000
15650 SULTANA AVE.
ITEMP 917803920 FEES PAID IDESCRIPTION OF WORK 1
(KITCHEN, TWO BATHROOMS REMODEL AND REPLACE TEN WINDOWS
_IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (
(APPLICANT: TEL. N0:
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1
IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 ISPECIAL CONDITIONS:
IAC STRONG MOTION REBID 10000.00 VAL 1.00
B2 PERMIT W/ENERGY 10000.00 VAL 238.90
IFA INV WORK W/0 PERMIT 257.00 DOL 257.00 ��i
(CONTRACTOR: TEL. NO: TOTAL FEES 525.70 IAPPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO ILOCATION AND SETBACKS
I
I I (SOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I
IRAISED FLOOR FRAMING I
I I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IDNOE^FLOOR INSULATION I I I
1144H269 3 001 I 1-1-
I I IFLOOR SHEATHING I
IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 1-1-
NO
1NO 21-1 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
IFIRE SPRINKLER HANGERS
1NSU=ION/WEATHER STRIPI I
I
3 J/ INTERIOR LATH/DRYWALL
I I I
IEXTERIOR LATH
I I 1RATED FLOOR/CEIL ASSEM. I I I
I I (RATED WALL ASSEMBLIES I I
I (RATED SHAFTS/OPENINGS
IT-DAR CEILINGS I I
ILOT DRAINAGE I I
1 iREPORT ID: OPR261 ROUTE TO: 850508 I I I I