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Home My Public Portal About9816 LA ROSA DR_Building__ .......ce Seca tt-sa APPLICATION FOR BUILDING, PERMIT . ' ' 1 - COUNTYOF. LOS .ANGELES BUILDING S1�� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ,JOHN A. LAMBIE: COUNTY ENGINEER NEAREST - - CASSATT D. GRIFFIN,'SullT of B11I1 11NG CROSS ST. ' DISTRICTNO. GROUP TYPE -meq •.PR D FOR APPLICANT TO FILL IN ��` I CONST. ABUILOING DDRESS Rear -of 9812 i/LTIa Rosa STAT ISTICALC/ SEWER EWER MAP LOT NO. 14 EX /[7 D Q-' i _LO K CLASS. JO...{ —DWELL.UNITS T YES W NUMBER J TRACT 9481. USEZONE CIO ONDIT SPECIAL - C(y� NO.OF..SLOGS SIZE OF LOT 76X82 APIJTOX -I NOW ON LOT non@ –/ o • `jam'"°/3� USE OF 7 EXISTING BLDG.-: .-.-none BUILDING YARD HWY STREET ' EXIST' ��.y.,,� m- -SETBACK. - WIDTH ` OWNER . -'q{g laRlbe 1 _ \ FRONT i ,qIMAIL ADDRESS 9812 La. Rosa P L . $ $ SIDE cltiY ':Temple TE City. _ P.L. p. INSPECTION RECORD- ARCH ITECT:OR TEL. .a.- ENGINEER'. none NO. ADDRESS CONTRACTOR Santa Anita Constx�—AT .79744 ADDRESS 8717 Laa Tunas, San Gabriel - DESCRIPTION OF WORK NEW X ADD ALTER - REPAIR- DEMOLISH SO.FT. NO.OF NO.OF - SIZE 1481 STORIES 1 FAMILIESUSE OF �- L2 STRUCTURE Dwelling 5I'GtIATURE OF APPLICANT APPROVALS DATE IN SPECTOR'S SIGNATURE ` ADDRESS FOUNDATION: LOCATION Y T,/�11- '04Z - - VALUATION$ .e..� - FRAME: FIRE STOPS,. - u ' ` BRACING,BOLTS //l U FURNACE:LOCATION. FEE S�jS FEE Sl // �I GAS VENT,DUCTS - 1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND-STATE THAT THE-ABOVE 1S CORRECT AND LATH. INT, AGREE TO COMPLY WITH ALL COUNTY�QRDINANCES AND STATE LAWS//REQ�ti6Ap N �B TLDING CONSTRUCTION. LATH,EXT. . J -iSIGNATUR 6-" .lc>' 7 \ HOUSE NUMBER COR- FINAL OR PERMITT / ,�{'�/i�iii RECT AND POSTED ADDRESS\ /�"�'-t-'. �• � FINAL \ CLYDE N. DIRLAM, PRINCIPAL.ST RAL ENGINEER^ PLAN CHECK-VALIDATION_ _CK M O _ CASH PERMIT VALIDATION GK CASH y. {_rjo 7.5 a 1'�. MAR 10 2 3 A 2 4.0 0 A �. �'TDgO59t,R22: :1.'A '. :48.00 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 .BUILDING ,PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND.SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608230012 _ PHONE: (818), 285-0488 EXT: LEGAL ID: NO. OF CONST.. BUILDING ADDRESS: TR: 9481 LT: 14 BL: .001 SO. FT STORIES TYPE 9816 LA ROSA DR STRUCTURE: V TEMP CA 917803920 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8589-022-006 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: - EXIST BLDG USE: RESID ISSUED ON: PROCESSED BY: EXPIRES ON: EXISTOCCGRP: 08/23/96 TC - 08/23/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEfi FINAL BY ODE: PHILLIPS GENE O;PHYLLIS - 1 300 fj`l/ q 7j 9816 LA ROSA DR TEMP 917803920 FEES PAID ESCRIPTION OF WORK- REPLACE OR REPLACE 4' X 18' GARAGE HEADER / FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: HALL CONSTRUCTION (818) 748-6191= AC STRONG MOTION RESID 300.00 VAL 0.50 �D2 PERMIT W/O EN-HCI 300.00 VAL 43.50 SPECIAL CONDITIONS: OtJL �®� 44.00 CONTRACTOR: TEL. NO: V' APPROVALS DATE INSPECTOR SIGNATURE HALL CONSTRUCTION (818) 798-6191- 4535 EL PRIETO ROAD LIC. NO OL CATION AND SETBACKS ALTADENA, CA 91001 338865/8 ® Y SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: n n n SLAB/UNDER FLOOR 1 R��p RAI SSD LOOR — M4AP NO:4H269 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 P'�,/lL)LI C WORKS UNDERFLOOR INSULATION FLOOR SHEAT Iii ISG— N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 21 O ROOF SHEATHING / SCHOOL WITHIN HAZARDOUS - oO -- O`v SHEAR,PANELS AIR QUALITY: 1000 FEET MATERIALS A` NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST �/��• (� FIRE SPRINKLER HANGERS 'f SET BACK YARD: HWY: PROP LINE: WIDTH: � V E?r -i�� FRONT PL- / INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RVTED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS - LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I • WORKnRS' COMPENSATION DECLARATION " - - 't'-' I M_reby affirm that have a certificate of consent r self • APPLI.CATI®.N, FOR" BUILDING -PERMIT ' - insure or a¢ertiflcate'of Workers' Compe sotion Insuan •• or a certihed'copy thereof (Sec. 3800 La ) ,/ p COUNTY OF LOS;AN�ECE� ' - • BUILDING AND SAFETY , Polic NJfL_/ Company VCerirfied co Is hereby furnished. -7 - - FOR-'APPLICANT TO FILL IN,- BUILDING t PY Y GrL-9 ADDRESS ..,Certified copy is filed with the county building inspec- BUILDING tion department ,v]� {F///� `� ADDRESS - Date'? 4_4 CAppliaant.C� (1,(J - dz,(, CITY' „c O ZIP - LOCALITY 'CERTIFICATE OF EXEMPTION FROM WORKERS' —� SIZE.OF'LO7 ""' NOw ONLLOTS NEAREST` - 'COMPENSATION.INSURA_ NCE - CR O55 ST. '` r - ASSESSOR _ {This section need not b6 completed if the permit is for one - TRAQ7 BL OT NO. MAPBOOK PAGE • PARCEL hundred dollars ($100) or less.) ILL, - r. OWNER NO. - . . USE•ZONE- MAP ., I certify that in the performance of the work for which this _. - - NO. permit is issued,I shall not employ any person in any.manner ADDRESS " ' - - SPECIAL' ' /f "9- // �• _� CONDITIONS eol — so as to become subject to the Workers' Cbmpensation.Laws. � - . - - - O 1. CITY ZIP • Date � Applicant ARCHITECT OR TEL. - PE Q ° 'FIRE PROCESSED BY NOTICE TO APPLICANT: If, after' moki A•g .this Certificate of � - ENGINEER � � �-NO. DISTRICT GROUP TYTY ZONE 0 Exemption,, you should:become subject.to the Workers' - ` - U Compensation provisions of.the Labor Code, you must forth- ADDRESS 3 ✓ LL,G�LL:• d TISTICAL.CLASSIFICATION - APT. CONDO. N with, comply with, such provisions or this permit shall be TEL. / Z deemed revoked. - .CONTRACTOR NO. > � � - LICENSED CONTRACTORS'DECLARATION /� LIC. ` CLASS NO. `�DwEu. uwi5 ' I hereby affirm that I am licensed under provisions ofChapter 9 'ADDRESS 5,J NO. SEWER MAP ' (commencing with Section 7000)of Division of the Business - i LIC. - - and Professions Code,and my license is in full force a effect. - CITY w CLASS BK PGVALIDATION 50. FT. NO. OF NO. OF / CHECK License NumberLic.! Iass SIZE -Q STORIES FAMILIES ONE - ' ' VALUATION r - Coniractoizm % Do.te• - DESCRIPTION OF WORK NEW $ ❑1 am exempt under Sec. ADDAt ❑ , .ALTER ❑ - ' B.BP.C. for,this reason - _ _ - REPAIR ❑ $ —_D I at USE OE EXISTING BLDG. DEMOL ❑ Signature ,; APPLICANT- TEL" FINAL p /J O ER-BUILDER DECLA ATION (PRINT) NO. DATE -��'•I I hereby affirm Wat I am exempt from the Contractor's License — - •- - Low for the following reason (Section 7031.5, Business and ADDRESS FINAL 1 - Professions Code): .. PRESENT - - - _ - - By- - ❑ UILDING I, as owner of the property, or my employees with ADDRESS _ _ A-(.T.a wages as their sole compensation,will do thework and - IOCPd1TY ► - 9303 120.30the structure is not intended or offered for sale(Section 7044, Business and Professions Code..). MOVING - TEL, - 3-03 � 30.00 ❑. I, as owner of the property, am exclusively contracting CONTRACTOR NO. - - iwith licensed contractors to construct the-project (Sec- 'ADDRESS :7-ITEMS tion 7044,.Business and Professions Code.) - �-y 1. REQUIRED TOTAL SETBACK FROM" EXIST. '' " ' TOTAL 159 m ,C}0 CONSTRUCTION LENDING AGENCY. SET BACK YARD HWY PROP. LINE WIDTH hereby affirm thatthere is o construction lending agency tor FRONT _ - _ - ,- , - - _ CHECK --f r _ 159.30 I the performance of the workfor which this.permit'is issued P.L. - - (Sec. 3097, Civ. C.). SIDE CHANGE ,GLI - 'P.L. .- •.Lender's Name LDMA Ref. p P C Fee $' Per Fee Lender's Address J 7 G01.10-0001 `W'8/96 _ - - I certify'that I have read this application and state that the Iseaance.Fee / _DMA P/C It , 1271 1 - AN 9e25 - 8• :above information is correct, I agree to comply with all County Investigation;Fee //� • _ g- `ordinances and State laws relating to building construction, Total Fee D LDMA Perm, p a and hereby authorizerepresentativesof this County to enter -UP2"e e above-m n d pro .for inspection purposes. • - . - a ��A-�S✓�/ ' SEE REVERSE FOR EXPLANATORY LANGUAGE - - Ignature of Applicant or Agent. Date