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HomeMy Public PortalAbout9812 LA ROSA DR_Building__ � DING / 7,6A638A.CEU8038-64 APPLICATION FO UI PE MIT 'COUNTY OF LOS.ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY.DIVISION `LOCALITY JOHN A. LAMBIE', COUNTY EN.GINCER EAREST / COLEMAN W. JENKINS,SUP'T.OF BUILDING' i 'CROSS ST. " DISTR NO., OR UP TYPE. PESSED BY. FOR APPLICANT TO FILL IN 5 % CONST. l BUILDING STATISTICAL CLASSIFICATION 5 ER MAP ADDRESS 9 ' CLASS N0- DWELL UNITS G= BK/ PG� LOT NO. I]v� ] BLOCK USE ZONE MAP NO. TRACT 6 �. -SPECIAL NO. OF BLD05. CONDITIONS SIZE OF LOT �pGG .NOW ON LOT i E XISTING N . !�V U N �/ BLDG, SETBACK FROM FRONT P. LINE TRE ER L•Q 1 NOL 1 ) L TYPE OF ROE%IST MGFSETBACK HIGHWAY YARD = 4TOTALI RESS / L-. D XIG- AY WID F OM C.L. ' Y TEM��E Cr`Tij I , ✓ - r } - S LDG. 5ETB a ROM HITECT OR TEL. SIDE PROP. LINE OF (STREET) INEER NO. TYPE OF EXIS TIN0' 4f TBACK HIGHWAY } YARD = TOTAL - RESS //II ••�� HIGHWAY WIDTH FROM C.L. CL TRACTOR PACT rum NO L^/q Z� IU7V } - — 0 RESS IO9L NO 'Zl I p0J CORNER CUTOFF. YES NO O r t fT LIC ST Tc. SEE REVERSE SIDE FOR SPECIAL APPROVALS v w DESCRIPTION OF WORK y Z_ ADD ALTER REPAIR - DEMOLISH T. NO. OF NO. OF .STORIES -FAMILIESOF OF RE.SNSTAc< C7 SUoUJgTU v Ac. h'toaR- f oizwRCe ATURE OFLICANT Z30 _UATIONS APPROVALS DATE . INSPECTOR'SSIGNATURE. PMT. ((,,// U-D FOUNDATION, LOCATION FEES FEES p FORMS, MATERIALS ' FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS' 9UILDING CONSTRUCTION. 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 CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. J LATH. EXT. SIGNATUREOF � .GG �� HOUSE N BE COR- PERMITTEE ll RECT D OSTEO ADDRESS-09 0 CJI FINAL ]�!_ J JOHN F. LEWIS, PRINCIPAL STPUCTURAL ENGIN R PLAN CHECK VALIDATION DK. M D. CASH PERMIT VALIDATION DK. M.O CA H LAA;o7 6xo 2—� IrOv 2 9 1 D 6.0 0- a a..... APPLICATION FOR BUILDING PERMIT J COUNTY OF LOS ANGELES BUILDING— DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. G I T�.pE P SSED BY FOR APPLICANT TO FILL-IN CONST. BUILDING n STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. 9812 La ROSa Temple C� lP _� I PSK LOT NO. , L BLOCK CLASS. NO. DWELL. UNITS MAP, STATE NUMBER HWY. YES TRACT USEZONE SPECIAL NO.OF BLDGS. CONDITIONS + SIZE OF LOT 66X268 Approxi NOW ON LOT Z j USE OF EXIST,NG BLDG. Welling BUILDING EXIST. SETBAYARD HWY REET NAME ' FRONT - WIDTH OWNER Alnexander Tamble ' FRONT ADDRESS 9812 La Rosa p L. - SIDE clTv'- Temple City .. NO. 608 8 P..L. INSPECTION RECORD ARCH ITECT OR none TEL: ENGINEER NO. - - ADDRESS TEL. CONTRACTOR Santa Anita Const No. . ADDRE S 8717 Las Tunas, San Gabriel - - DESCRIPTION OF WORK NEW '.ADD ALTER REPAIR �DEMOLI SO.FL NO.OF OF - - SIZE STORIES FAMILIES , USE OF STRUCTURE To Remove Shed SIGNATURE OF f APPROVALS ' 'APPLICANT '- /' id' A DATE INSPECTOR'S SIGNATURE ' ADDRESS FOUNDATION: LOCATION S - FORMS.MATERIALS /n 11 P.C. S ,rte FRAME: FIRE STOPS. (J (/ FEE BRACING, BOLTS VALUATION S LJC- FURNACE: LOCATION. - FEE GAS VENT.DUCTS - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. EXT.. I NATURE OF HOUSE NUMBER COR- ERMITTEE /� /// x.. 11 I /`r RECT AND POSTED ADDRESS FINAL -".J CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PEBMIT VALIDATION CK. M.O. CASH lCo 6 4 6 4.u iShY 151 A 2.00 M f ry, WORKEK�' COMPENSATION DECLARATION .,. hereby affirm that I have certificate of consent,ro =elf APPLICA TION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, - Q or a certified copy thereof (Sec. 3800, Lab. C.). - - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. _ Company - Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS IEPCertified copy.is filed with he county building inspec- DING " - - - - tion department. ADDRESS S F6=fs�b Date Applicant CITY r, G\ ZIP LOCALITY Q - CERTIFICATE OF EXEMPTION FROM WORKERS' .NO. OF BLDGS. NEAREST ' - COMPENSATION INSURANCE - SIZE OF LOT NOW ON LOT CROSS ST. (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, USE?QNE MAP OWNER -�(� 'I{�'/`,• ���VJC a- TEL �3 I certify That�in the performance of the work for which this //''�� (� 1 NO. ' permit is issued, I shall nat'employ any person iii any manner ADDRESS vl� �d1 L ! ( SPECIAL - 0 so as to become subject to-theWorkers'Compensation Laws. CONDITIONS O Date Applicant CITy ZIP - - U ARCHITECT OR TEL. Ix NOTICE TO APPLICANT: If, after making*this Certificate of DISTRICT GROUP TYPE PRE PROC SSED BY O ENGINEER NO. CONST. Z�E V' Exemption, you should' become subject to the Workers' ( Compensation provisions of the Labor Code, you must forth- ADDRESS _ W with comply with such provisions or this permit shall be _ - d' deemed revoked. CONTRACTOR `\ TEL STATISTICAL CLASSIFICATION APT. ONDO. . \C�' NO. N� s0 NZ LICENSED CONTRACTORS DECLARATION \- LIC Q CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter.9 ADDRESS Uvl Y-� NO.�� O ��S (commencing with Section 7000)'of Division 3 of the Business and LIC SEWER/ AP Professions Code, and my license is in full force and effect. CITY 42_�-• CLASSVALIDATION �(' ` SQ. FT. NO.OF NO.'OF CHECK BK. � PG. License Number�)I`s ,�J Lic.Class SIZE STORIES FAMILIES - ONE ~�O VAL�j ION .� ,tQ,,� - - DESCRIPTION OF WORK NEW ❑ O0 I am exempt under Se Coritrador Date _ �J O�`�='/) Sec. F� L` C 1C ADD $ ` J( 1❑ , ALTER B 8P C for this reason Np �`�' REPAIR. ❑ $USE 9 6 2 6 A Gs+ G 'Date: EXISTOI NG BL DEMOL Slgndture APPLICANT TELq �r� I # OWNER-BUILDER DECLARATION PRINT \Q, NO. T'GO L, FINAL ✓��� I hereby affirm that I am exempt from the Contractor's License i'�� DATE l/ i) -1 `Z&8'8 Low for the following reason (Section 7031.5, Business and ADDRESS O'+ pIN r2�4.88U , Professions Code): - B ❑ BUILDING -SA �•`$.8 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ! . 7044, Business and Professions Cade). MOVING TEL. - 1, as owner of the property, am exclusively contracting CONTRACTOR - NO. with licensed contractors to construct the project(Sec' ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE .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. - �'x\ (Sec. 3097, Civ. C.). .SIDE P L. ��. Lender's Name 2 Q LDMA Ref. # ro P.C. Fee E - Permit Fee 111q, JU,' . . Lender's Address 3 1 / /) I certify that,I have read this application and state that the Issuance Fee ( •�U LDM4.PiC# above information is correct. I agree to comply with all County Investigation Fee �I _ ordnd State laws relating to building construction, To a inances ad Fee WMA perm. # - cN hereby authorize representatives of ihis County to enter the bove-mentioned property for inspection purposes j sSEE REVERSE FOR EXPLANATORY.LANGUAGE ignotvre of pplicant or Agent ,Dote- - f - I 4' WORKERS COMPENSATION`DECLARATION t I'he'reby offirm that,I have a cerhficote of consent to,sell ti insure Or a certificate of Workers Compensation Insurance APPLICATION--FOR BUILDING -PERMIT- .� . ora certified copy thereof (Sec 3800,'Cob. C.) '`'°" '" - -"' _.. _ . - - _ ;_ • *r ••. '; , COUNTY OF LOS ANGELES. BUILDING AND SAFETY • , ' Policy No. Company . _ - - - -• - - ' BUILDING Q w.Certified copy is hereby furnished.. FOR-APPLICANT,TO-FILL IN ADDRESS "• .Jct ❑ din' _ _.._:_ -__.___._ _. 'Certified copy t'filed'wit h the county building inspec- BUILDING ) ^ n n n • tion-department'' - - ADDRESS /C.o57-I DRIVE Date •• Applicant .ten ! CITY 1 /"'P E L%IT ZIP I 90 LOCALITY i CERTIFICATE OF EXEMPTION FROM WORKERS', W • - 7- I -NO. Of BLDGS.-' q - - NEAREST .COMPENSATION INSURANCE SIZE OF LOTV U X 5S ' NOW ON LOT t;cr CROSS ST. (Thi section need not be completed•ifahe permit'.is for`one - - JJ'' - ---- -- _ ASSESSOR "I - hundred dollars ($100)or less.) - , - TRACT r-Y I BLOCK - LOT NO. I MAP BOOK PAGE! PARCEL, _ -NO.`'O - . .- . � TEL I certify that in the performance of the work for whiEh�,this WNER LINDA WM-- � USE ONE NO. r }' permit is issued,'[shall not employ any person en any tion Laws. /� 'T�/� _ -SPECIAL+ +- -- - -' O tr - 'ADDRESS I2'-E.-LA-205A-7J,QIV� - CONDITIONS so as to become'sublect to the Worker4­1 1, -Compensation Maws. EM:PLE__cl _ : . , QIP 5^I_q $7 LINDA ' LEb1, arv... 17 v_ Date Applicant , ARCHITECT OR TEL. - - :O NOTICE TO APPLICANT If;'afteOmoking'this Certificate of G(� DISTRICT _ G OUP,f TYPE FIREP OCESSED,BY. V Exemption; you should subject to they Workers' ,--- ENGINEER AIO� NO.. ,Tv f([R) CONST='- ZONE , Gomponsation provisions'of.the'Labor,Code, you'museforth- FADDRESS • S-�U --Y\!� y --'-:.� 6 •with comply with suchrprovlsions or this permit shall be - - — __ EL _.. ___ `Z T STATISTICAL CLASSI�N • APT. CONDO 7 deemed revoked. . '-;� '• e ,y CONTRACTOR I _ - - ._ - _ - _ _.._„_ .__ LICENSED CONTRACTORS DECLARATION: • : - --, -- - :�- - ---- :-- - - -- -- -�- LIC. - -- -,- C1A55 NO. � DWEti. UwTS I hereby affirm that am licensed under provisions of Chapter 9 ADDRESS NO. (common Ing with Section 7000)of Division of the Business and ., -„ _ ._ _._.__ UG - ._ �., SEWER MAP R Professions Code, and my license Is In full force and effect. CITY _ �- CLASS i 'VALIDATION' �' ' '• - 's - _ SO. FT. _ _ _ NO.OF __ N0. OF _ _CHECK BK. PG I L¢ense Number tLic Class SIZE" - STORIES - FAMILIE; - ONE 't ts., _� t:-X /fit __ _.,NEW. :_.❑ VALUATION -'_ ._....y .$-7'O 7. 6 ` DESCRIPTION OF WORK- $ Contractor Date Q ADD MI am exempt under Sec s - --� F^' - Gf.�'10-^ U1 UO�.. - - - - - 1 ALTER El 1 6.8P.C. for this reason REPAIR CLmS�nuci tOn _._$ ( .• • 4 9 . ' . - - --� .-• Date: USE OF DEMOL EXISTING BLDG. APPLICANT TEL - n ) f 9 . .... (PRINT) I NDA LG NO �Q�i1L113 FINAL//'' ,� Q Q�... 8 8 OWNER-BUILDER DECLARATION _ _ - .DATE, • - - . --•I�hereby affirm that Lom exemptfromahe Contradods.License ADDRESS z C t-A pwsA 7)kfVE t. F� < `a '-' `j s7 '• i+b�.C� Low for the following reason,(Section 7031.5, Business and r Professions'Code): PRE ENT BUILDING - R. _I, as owner of the property, or my employees with ADDRESS _ _ _, -- i __ _ __ . .:.. _. - ... ..__ _ _ wages as their sole compensation,will do the work and . the structure is not intended or offered for sale(Section LOCALITY --704Q Business and Professions Code) ' "' - - MOVING- - - -TEL.- ,• - I__ __.� . ..T I, as owner of the property, am exclusively contracting CONTRACTOR - NO. t _ 1 _ with licensed contractors to'construct the project (Sec- ....:�_. tion 7044, Business and Professions Code). ADDRESS - - CONSTRUCTION LENDING AGENCY - - ..REQUIRED-- -YARD""HWy -TOTAL SETBACK FR T.I. _a _�Y s1. .... .__„• SET BACK PROP. LINE WIDTHr I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit-is issued - --- P:L- -- - - �- - - ' --- -- - '- -- ^- -• - -- - - '•- - qq -- (Sec. 3097, Civ. C.). P.I. lender's Name , LDMA Ref. # ?, Lender's:Address - - P.C. Fee-$- - Permit Fee-- t I.certify that.,l,have read this application andstate.that.the --� Issuance Fee =lU - I -LDMA P/ If a r•v-- �•' ¢ above information is correct. I agree to comply with all County Investigation Fee - J V T ' o _ordinances and State laws relating to,building construction, _ _._. - - Total Fee--- 4k.- -LDMA-Perm. # - - - - - •- -- -- ^and hereby authorize representatives of+is County to enter ¢ .upon the above-mentioned property for inspection purposes. - - t _ ¢ �/, V�f �Z4A- �.I`'r-8� SEE REVERSE FOR EXPLANATORY LANGUAGE I =f1 . __ Signature of Applicant or Agent-- Date WORKERS' COMPENSATION DECLARATION hereborr a certificate that havecertificate of consent to self APPLICATION FO.R.SUILDING PERMIT '•insure, or o certificate of Workers'-Compensation Insurance, or a certified copy.thereof (Sec. 3800,.Lab..C.), .COUNTY OF LOS ANGELES ` BUILDING AND SAFETY Policy No. Company- El - . BUILDING p Certified copy is hereby furnished. :.` FOR APPLICANT TO FILL TN ADDRESS Q ";Z Certified copy is filed with the county building'inspec- BuuREss // ,�, Q -T� v - tion department. - - ADDRESS ,L. T•!b RosQ L/Y'(I]�Vq�-zT • r CITY' Q.✓11 IQ ZIP _I I !D✓' LOCALITY Date -"• Applicant- - ` - NO. OP BLDGS. NEAREST - _ - CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS 5T. COMPENSATION INSURANCE ASSESSOR pp (This section need not be completed if the permit is for one .-- TRACT BLOCK LOT NO. MAP BOOK O�� PAGE a`� PARCEL c"3C hundred dollars ($100) or less.) - �I TEL n ' OWNER N t ,.NO. > _I USE ZONE MAP - - I certify that in the performance of the work for which this O pp�� /�J NO. SPECIAL >- permit is issued, I shall not employ any person in any manner ADDRESS 8�2 /C,C$Q 7j/y✓1L-- A — / CONDITIONS a so as to become subject to the Workers' Compensation Laws, /�� - O .. CIN ZIP _ _ . _ :Date Applicant ARCHITECT OR . TEL U NOTICE TO APPLICANT: If,..after. making this Certificate of ENGINEER _ ,.NO. - DISTRICT GROUP TYPE - - FIRE PR CESSED BY Q CONST. Z NE H - Exemption, you should become•subject to the Workers" - V Compensation provisions of the Labor Code,•you must forth- ADDRESS .C� �' a with comply with such provisions or .this permit shall be , o TEL• STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR Y �5� � � z LICENSED CONTRACTORS DECLARATION - - LIC. CLASS NO, :;;L UNITS— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LIC. SEWER MAP .(commencing with Section 7000)of Division 3 of the Business CIN CLASS BK C� VALIDATION - and Professions Code;and my license is in,full force and effect. ,.- G - SO. FT[ NO. OF NO. OF - CHECK License Nun Lic:Class - S12E D STORIES FAMILIES ONE - - VALUATION Contractor Date DESCRIPTIONN(,O,F WORK J L NEW ❑ f l" oDD ❑I am exempt under Sec. &L ' jobre' a_0(Al7 r1,% ADD "❑ 77 , - AUER F-1 B.BP.C. for this,reasom _ _ REPAIR ❑ $ Date: USE OF - - - EXISTING BLDG. `DEMOL ❑ Signature APPLICANTx,Z . -'i. TEL. FINAL OWNER-BUILDER DECLARATION. (PRINT) NO. - I hereby affirm that I am exempt from the Contractor's License `"�• DATE Zi Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code):. _ PRESENT B a VUI, as owner of the property, of my employees with • ADDRESS BUILDINGY H41'T'2 wages as their sole compensation,Mill dotheworkand - - - -- the structure is not intended or offered for sole(Section LOCALITY POP 7044, Business and Professions Code.)- . - MOVING . . .. _ - TEL _. _ ❑ I, as owner of the property; am exclusively'<ohiracting CONTRACTOR NO. - 1 with licensed contractors to construct the project (Sec- ADDRESStion 7044, Business and.Professions Code.) tom) .`t" _ iS -.REQUIRED - iOTALSETBACK•FROM EXIST. �. CONSTRUCTION LENDING AGENCY YARD HWV t SET BACK PROP. LINE i' WIDTH _ I hereby affirm that there is a construction lending agency for FRONT TEM the performance of the work for which this permitisissued PA.' - (Sec. 3097, Civ. C.). - SIDE 19 - Lender's Name _'i .- CHECK '^N*],: i8 LDMA Ref. R -_4.:4 , P.C. Fee$ G• Permit Fee1 ;; :j_ 1{)y Lender's Address T n o I certify that I have read this application and state that the Issuance Fae• r7` LDMA P/C R 8 above information is correct. agree to comply with all County Investigmion Fee - _ - R ordinances and State lows relating to building construction, Total Fee 44 LDMA Perm. N LLLIU'j"�I�'GZ 4r (i a and hereby authorize representatives of this County to enter '�.i rt upon thea ve/mention d property for inspection purposes. - - _ ;Z u L- / �'/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent F Date ' Drr-A:RTrZNT OF COUNTY MGINF.r1t Building & Safety Division Los Angeles, California Records Search Information Ad dre s s�_/�'J I`. . Q 911 SCc, • _ Building --t. Issued (D�te) Final Inspection;,_, Descripti .of work Sq. 7t. 2u_ldl-zg PWt.# Issued(Dat ) Finial Inspection Desc_iption of work Sq.Ft. �. Building F`t.j • Iasued(Date) Final Inspection •1 ' Description of work • Sq. Ft. Baild:np ?--t.# Issued(Date) Final Inspection,. Description of work Building utr Is,sued(Date) Final Inspection. . Description of work Sq.Ft. Build.:Lmg Wit. Issued (Date) Final Inspection.. Descriptior of work COUkTY OF LOS ANGELES •DE►ARTMENT OF COUNTY ENGINEER •, WILDI►tG A SAFETY DIVISION ' •S '