HomeMy Public PortalAbout9815 LA ROSA DR_Building__ 16..... EttBG35-., APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADD ESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
- WILLIAM.A. JENSEN SUPT OF BUILDING CROSS ST.
DIST ICT N ROUP TYPESSED BY '
FOR APPLICANT TO FILL IN. U CONST
BUILDING STATISTICAL CLASSIFICATION ^ BE ER MAP
ADDRESS
CLASS.NO.- -DWELL.UNITS
LOT NO,
BLOCK WATER NOT REQUIRED= RECEIVED Lj
CERTIFICATE:
TRACT / MAP HIGHWAY
1� NO, LCIRCLEI STATE MAJOR SECOND LOCA
/' 1 —" I NO.OF BLDGS.a�
SIZE OF LOT 'f .l _J l NOW ON.LOT U5= ZONE CCONDITIONS SPECIAL
USE OF `� CONDITIONS -
'E ING BLD . 41
BUILDING EXIST.
SETBACK YARD HWY Tft AME' WIDTH
FRONT
ARCHITECT OR _ ,TEL. P. L. - }
ENGINEER NO. -SIDE d
ADDRESS qtj `� INSPECTIONRECORD ;
CONTRACTOR . J ,-31� �. f! /, O
ADDRESS.,
DESCRIPTION OF WORE
NEW ADD ALTER . REPAIR DEMOLISH r
NO.OFNO.OF r I ._ �
IZE ST RIES FAMILI I /D,�.;.
,USE STRUCTURE
df. .• !`/ .n. S S'r 1:?:�_LS �F .f f
[. C✓
SIGNATURE OF
APPLICANT
VALUATION$
/ APPROVALS DATE INSPECTOR'S SIGNATURE f
FEE $ FEE
'$ ��► FOFORMS!MATERIALSON
FRAME: FIRE STOPS, /✓ ® �/
I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION BRACING, BOLTS I'A ./ �!
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ^� K"' /.rv�Jr✓-�Y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS.VENT DUCTS
BUILDING CONSTRUCTION. CERTIFY THAT 1N DOING THE RN /�� /.�1�,y->/•'
'AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN I LA- .'LATH, INT. /••T•CA'iy_iC'DJtIY
TION OF THE LABOR CODE OF,THE STATE OF CALIFORN
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT.- ./rFIL��R.�' / �Y �/
SIGNATURE OF HOUSE NUMBER COR. �gg /
PERMITTEE RECTANDPOSTED
ADORES FINAL
CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK M.O. weH„ PERM VALIDATION M.O. CASH
73a0 JA1423 2 30 22.5. 06 Loll
�Al 07 7 4 8 '1 FEB 2. 0 4 5 .&0 1
/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DErAP-TMENT OF Pf7BLIC WORKS 9901 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY /'LAND DEVELOPMENT TEMPLE CITY CA 91980 HL 0508 1112140030 -
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITR: 9481 LT: 11 UN: .002 SQ. FT STORIES TYPE OCCUR. GROUPI 9815 LA ROSA DR
I ISTRUCTURE: ' 95 1 V-B R-3 I TAMP CA 917803921
(ASSESSOR INFORMATION NUMBER: GARAGE:
I NEAREST CROSS STREET: I
18589-008-009 OTHER: 445 1 V-e R-3 THOMAS PAGE: 599 GRID: A4 LOCALITY: TEMPLE CITY, C
I_
(TENANT: (EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 101/11/12 SR
TOWNER: TEL. NO: iBLDGS. NOW ON LOT: VALUATION: FJ E FINAL BY: CODE: (III
1CHENG, ANGELA (626) 378-2485- 52,690'
9815 LA ROSA DR
TEMP 917803921 FEES PAID IDESCRIPTTnN OF WORK
I1-STORY ADDITION & REMODELING (1) ENCLOSE (E) COVERED PATIO
IEEE DESCRIPTION: QUANTITY: UDM: AMOUNT: INTO (N) BEDRM 42 W/W.I.C., CLOSET (2) (E) KITCHEN, BATHRM q1
APPLICANT: TEL. NO: 1 12, MASTER BEDRM TO BE REMODELED (3) REMOVE & REPLACE ALL (E) I
I LAI, KAMEN (626) 288-2631- IBI PLANCHECK W/ENERGY 52690.00 VAL 281.90 1
18748 E. VALLEY BLVD. IAA BLDG PERMIT ISSUANCE 27.80 1SPECIAL CONDITIONS: 1
ROSEMEAD, CA 91770 . �AB STATE GREEN BLDG FEE 52690.00 VAL 3.00 1
1 IAC STRONG MOTION RESID 52690.00 VAL 5.30 1
1 112 PERMIT W/ENERGY 52690.00 VAL 913.40 1
CONTRACTOR: TEL, NO: 108 CERTIF OF OCCUPANCY 101.30 JAPPROVALS DATE INSPECTOR SIGNATURE
IGEN KWOK CONSTRUCTION CO. (626) 922-6181.- I TOTAL FEES 1,332.70 1
1720 HILL PLACE #3 LIC. NO ILOCATION AND SETBACKS
ILOS ANGELES, CA 90012 591589-B *� -
(SOILS ENGINEER APPROVAL
ITETT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS
I LEE,LER, PETER (626) 280-9000- 1 1rl/]/ ✓I f✓
18748 E. VALLEY BLVD. SUITE L LIC. NO: I ISLAB/UNDER FLOOR I
ROSEMEAD, CA 91"70 591589-8
_ 1RAISED FLOOR FRAMING
IMAI I I
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1UNDERFLOOR INSULATION I I I
3 00
(IST LEVEL FLOOR SHEATH
N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
0 NO 21 12ND LEVEL FLOOR SHEATH
I
I
I SCHOOL WITHIN HAZARDOUS IROOF SHEATHINGI
(AIR QUALITY: 1000 FEET MATERIALS I
1K!
I NO NO NO IFIRE DEPT. FFAR 2 INSPECT{
111 (BLDG DEPT. FRAME INSPECT �M
i ISHEAP. PANELS 11x
(INSULATION/WEATHER STRIP1
I
(INTERIOR LATH/DRYWALL
IEXTERIOR LATH
LOT DRAINAGE
I 1 I I I
ISMOKE DETECTION DEVICES
I I
IPIRE DEPARTMENT APPROVALII I I
I- ADDITIONAL DATA ON FILE
1 I I I I I
(REPORT ID: DPR261 ROUTE TO: BS0508