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HomeMy Public PortalAbout9808 LA ROSA DR_Building__ PLICATION FOR f L DING PERMIT • FOR APPLICANT TO FILL IN noloaess J� z"- BUILDING T5 //�� _ G , ADDRESS /v ' o�C D' � LOCALITY NEAREST - - GIT.Y `/ ZIP .� �. CROSS Si. NO.OF BLDGS. ASSESSOR - SIZEOFLOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PR ESSED BY, ITRACT/IIBO/-fi!_ BLOCK. LOT N - CONST,-/- OWNER - .Q KB TIO "� !/ !/ /1, I ADDRESS �]„ A STATICLASSSTICALNOAS51Fl ION DWELL.UNITS ` �BK SEWER/MAP, ZIP us/yv-2pNE MAP ' ARCHITECT OR TEL >'T-1 NO. ENGINEER NO. d ISPECIAL CONDITIONS ADDRESS ' ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ CONTRACTOR /NO. LIC, BLDG.SETBACK FROM ' ' FRONT PROP,LINE OF ISTREETI ADDRESS NO. TOTAL SETBACKFROM TYPEOF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE .HIGHWAY WIDTH CITY -CLASS CONSTRUCTION LE ER + a NAME AND BRANCH BLDG.SETBACK FROM OU ADDRESS CITY SIDE PROP.LINE OF - ISTREETI 0 SO.FT, NO.OF 'NO.OF CHECK HIGHWAY + YARD TOTALSETBACK FROM TYPE OF EXISTING w SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH u N ❑ + Z DESCRIPTION OF WORK � NEW • 'UG,�, �,� '. All - ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ INOPENSPACE YES ❑ �^NO ❑ REPAIR ❑ USEOING BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ - NOEXIST ❑ APPLICANT //� T t IPRwn iGl �� 0.,,17-7. /r/etcP/s L�ocT/��/ 7(l . BY ISIGNATU /i -5- 3 HEREBY ACKNOWLEDGE THAT HAVE READ THISCOMFIT APPLICATION AND STATE /Z/Z7h9 Od G�/�C c THAT THE ABOVE IS CORRECT AND AGREE i0 CN.ICE WITH ALL ORDINANCES - ANDLAWSREGULATINGBUIL DING CONSTRUCTION. CERTIFY -IN VIOLATION DOING THE WORKNUTHODE ED HEREBYOFTHE STATWILLNOTEMPLOV'ANYINGTO W RKMENSCOM. -THE CODEANCE.STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM - - - PENSAiION INSURANCE. � / //�".,/,✓'�I SIGNATURE OF Q FINAL BY PERMITTEE DATE - ADDRESS 9 O _ �� -V TEL , 7 72 P.C.Fee$ Permit Fee CITY NO!' cf Issuance Fee ' VALUATION _ t - TotOl Fee v_.J "PLAN CHECK VALIDATION , CI ' M'.O: CASH PERMIT VALIDATION oK? M.O: CASH r \; 1-4 6-APR 26 1: D 2 5.0 0." — — ®s 76A6366 Ca IF 9/77 _ O ✓ V � K e'}A rr\ f � +.s♦. >� I..: \ -- �+i..n - w'-%srsz ♦ n.+rs+++. f�tJJ •v rdi�.`:'7y A'.v � � PPLJCA�TIO,N R„BUIL �'IN V RMEM-e y � ,F6 'Apra rc`aNT i MRN' iP rR\al Iz, � � r�w� « '< xBU11:•DING>ti F > T• Y \�-n,a ,y :. g,'' +�,u•...n.��COU�}I.FiY+AO ,a.OS,aANGELESy;. y C000 €ss�J L : .« '��. A s7 v. ?Sxif. z„1 DEPARTMENT=OFr-COUdNLTWIENGINEERA CITYG/T ZIP BUILDING AND SAFETY DIVISION cctA NO.OF BLOGS. BUILDINGfl SIZE OF LOT''q )( IZ� NOW ON LOT "� ADDRESS TRACT p/: BLOCK LOT NO. / LOCALITY (�( EL. /' _yNEAREST C OWNER / 0tJ0. �/7?56 CROSS ST. ♦ y .s/ / ASSESSOR ADDRESS O P w,{ O«- MAP BOOK PAGE PARCEL ss DISTRICT GROUP TYPE FIRE PRO ESSED BY CITY rE n �C. �AJ ZIP / CONST. ZO _q ARCHITECT OR TEL. �Y 2 C, ENGINEER NO. STATISTICAL CLASSIFICATION SEWER AP ADDRESS CLASS NO. A2-/ OWELL.UNITS BKt- PGgfI CONTRACTOR ©W NEL. USE ZO OR LIC. J A ADDRESS NO, SPE. CIA VPIONS CITY LIC. CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER 1 ^ �� NAME AND BRANCH r�O/NIL dl' µryl SETBACK FROM FRONT PROP.LINE OF -ISTREET) _ d ADDRESS aTr Tc plz HECK _ TOTAL SETBACK FROM TYPE OF EXISTING O HIGHWAY } YARD SQ FT. TT NO. OF NO. OF CHECK FRONT PROP, LINE HIGHWAY WIDTH U SIZE �V STORIES FAMILIES ONE CC ❑ } _ O DESCRIPTION OF WORK NEW C~j ADD BLDG.SETBACK FR CL PA'M'tY �OOM }�• p•} ' SIDE PROP.L INE O F ISTREET7 Z 11 ALTER ❑ i AL SETBACK FROMI TYPE OF EXISTING �OrVp�'Y\Y• ' HIGHWAY } YARD -REPAIRE PROP. LINE HIGHWAY WIDTH ❑ S EXISTING NG BLDG. e--Ifl _ pp OF DEMOL ❑ } APIPRINTq NIT. . 14MQ� J CKgATT•DN NOLaC(j J 7Z�� - CORNER CUTOFF YE ❑ NO ❑ BY ISIGNA TUR E) IN OPEN SPACE YES NO ❑ IN COASTAL ZONE . YES ❑_ NO ❑ Q 1..: ),l VALUATION lT �� CL Cq TE GOflICAL Ex E EMPTION Y '❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT 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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR WORKMENCODE S EOF THE COMPENSATSNATE OF INSURA CALIFORNIA IN RELATING TO SIGNATURE O i•t' F(^ /✓�//^ I+/ C_l PERMITTEE ADDRESS ///''' JI]' /. \ I `� : A CITY /1 NOLN DA TEC - BY A� / QQI )I.I KE C l-(:KS P:1 Y:I 1,31-E '10; FEE •� v IFEE D HARVEY T. BRANDT, COUNTY ENGINEER �J / / PLAN CHECK VALI ATION CH. CASH _ (O PER T VALIDATION CH. M.O. CASH 4131%s oy�a'2 0 6 1 .6 5 � Oy 76A638A CERB03 12/72 _ 5 2�9PJAN31. 1 1. 0 2.7 5 °A 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 1002040051 PHONE: (626) 285-0488 EXT: (LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITR: 9481 IT 13 BL: .001 SQ. FT STORIES TYPE 9806 LA ROSA DR I ISTRUCTURE: V-B I TEMP CA 917803920 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN'WEST 18569-022-004 1 J THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I I 1 I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: I I IEXIST OCC GRP: 102/04/10 SR I I I I I IOWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN�(�Y: CODE: 1YU, ROCKEY (310) 217-1161- 3,000 1T f'Af 19808 LA ROSA DR. .e» w 1 V �( GARD 902494326 1 FEES PAID 1DESCR PT ION OF WORK I I (REPLACE 9 WINDOWS 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 I 1APPLICANT: TEL. NO: I I I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 1 1 IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 1SPECIAL CONDITIONS: 1 I IAC STRONG MOTION RESID 3000.00 VAL 0.50 1 D2 PERMIT W/O EN-HC 3000.00 VAL 99.00 IFR INV WORK W/O PERMIT 257.00 DOL 257.00 (CONTRACTOR: TEL. NO: TOTAL FEES 385.25 (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO ILOCATION AND SETBACKS I I (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. N0: 1 (FOUNDATION/TRENCH FORMS I I I LIC. NO: 1 SLAB/UNDER FLOOR I I (RAISED FLOOR FRAMING I I I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSOLATION 1144H269 3 001 1 I I I I I FLOOR SHEATHING IND- OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION IREgDIREO TOTAL SETBACK FROM EXIST 1 (FIR-'. SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: , IFRONT PL- I INSULATION/WEATHER STRIPI I I SIDE PL- INTERIOR LATH/DRYWALL (EXTERIOR LATH (RATED FLOOR/CEIL ASSEM. I I (RATED WALL ASSEMBLIES 1 I I I I I I I IRATED SHAFTS/OPENINGS T-BAR CEILINGS I I (LOT DRAINAGE I I I (REPORT ID: DPR261 ROUTE TO: BS 0508 I I I I