HomeMy Public PortalAbout9818 LA ROSA DR_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Prinl or lvo� onlYl
BUILDING COUNTY OF LOS ANGELES
ADOREss /. 740cillo,
DEPARTMENT OF COUNTY ENGINEER
CITY L�' zIP - BUILDING AND SAFETY D ISI IN
/ NO.OF BLDGBUILDING
SIZE OF LOT X/ NOW ON LOTADDRESS TRACT /Q BLOCK LOTLOCALITY TEL. ^� NEAREST
OWNER a NO. CROSS ST.
ASSESSOR
ADDRESS 4+ MAP BOOK PAGE EL
DISTRICT GROUP ITYPE FIRE PROCE SEO Y
CITY - r ZIP Q' A— C NST. •ZONE
ARCHITECT OR TEL. �e oQ
ENGINEER NO.
_ STATISTICAL CLASS FICA TION
ADDRESS CLASS NOl�_;2�OWE LWE APL,UNITS BKq G
f.�
CONTRACTOR L✓� L - USE ZONE MAP
NO
LIC. NO. (�(
ADDRESS NO. /1 SPE L
CITY LIC CONDITIONS
CLA55 ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER d
NAME AND BRANCH BL .SETBACK FROM
FR NT PROP.LINE OF )STREET) L
ADDRESS CITY
HIS WAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING �
SQ. FT. NO. OF NO, OF CHECK FRONT PROP. LINE HIGHWAY WIDTH H
SIZE ' STOP.)ES FAMILIES ONE
} LL
DESCRIPTION OF WORK - NEW
9/ ADD lqlnFPROP BLDG.SE Z
4V , INEOF (STREET)
ALTER ❑ HIGHWAY } YARD - TOTAL SETBACK M TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE IGHWAY WIDTH
USE OF +. _
EXISTING BLDG. DEMOL ❑
APPLICANT _ TEL CORNER CUTOFF YES ❑ NO ❑
IPRIN T) ND. f'
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATIONVQQ. 7 IJ 1WOv - CATEGORICAL EXEMPTION YES[j NO C]
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL ORDINANCES AND LAWSREGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN 001XG THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEPEBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF'TNE
LABOR CODE OF TME STATE O CALIFORNIA IN RELATING TO _y
WORKMEN'S COMPENSATION INS ANC E.' A��E/` �Jv
SIGNA,;URE OF /
PERMITTEE �" '�' a' /�
ADDRESS 9/124,
TEFINALCITY >° NOL BY
DATE3 �2/ / o �j
P.C. S Q
MARE CHECKS Pit TO: Y Y
HARVEY T. BRANDY, COUNTY
PMT.
NTYTY FEE $ .G!ENGINEER FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA ATIONcK. M.D. CASH
76A638A CEP903 7/73 0"5'7iBEP_23 1 '0 1 5.0 0 A98
..A,,,Aceueo„o APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BILDIN
ADUG
DEPARTMENT OF COUNTY ENGINEER DRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF Bu)Lp)Nc CROSS SL
DISTRI NO. GROUP 'TYPE PRO S D Y
FOR APPLICANT TO FILL IN S� _ 'TYPE
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Rear of 9812 La Rosa BK--
//< q CLASS.NO. / DWELL.UNITS
LOT NO. 14 (i X. ��• G E -/ BLOCK N MAP '7 STATE
YES O
Y.
TRACT 481 USEZONE SPECIAL.
SIZE OF LOT 5070.04 NO.OF.BLDGS CONDITION
,I NOW ON LOT none — a L
USEOF -GlrL D .5 //�
EXISTING BLDG.'-- .none _ BUILDING HWY STREET NAME 7EZIST'
YARD
SETBACK I WIDTH
MAILER �c ar Tambe FRONT 1 f
ADDRESS 9312 La R68a SIDE
CITY Temple City No AT 081 P.L.
ARCHITECT OR O.
INSPECTION RECORD
ENGINEER none NO.'
Ai -L O ��- /—L yam`
ADDRESS -” _
CONTRACTOR Santa Anita COnetwo'AT �
ADDRESS 8717 Las Tunas,_San Gabriel
DESCRIPTION OF WORK
NEWT REPAIR DEMOLISH �f
SQ. NO.OF . NO.OF 77� O /(,4/.�C
SIZE - eZW STORIES 1 FAMILIES,
1 rIn
SUSE TRUCTURE Garage'
- % - ~O W!'IC. D,/f,'�iG /V($ �y
Ih,e in I4 Attached a ew --'a`nId 6 A v`' ri- v 2.o %vxz .
SI N TUBE OF ac ed araze
APPLICANT
-� APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS G�2.� FOUNDATION: LOCATION ?),.t 9� 0
FORMS,MATERIALS
VALUATION S / FRAME: FIRE STOPS.
BRACING,BOLTS
P.C. Soj rpEE $��G FURNACE:GAS VENT,DUCTS
N
FEE - p` FEE C
I HEREBY ACKNOWLEDG THAT I HAVE READ THIS AP.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH. INT.
AGREE TO COMPLY WITH LL COUNTY ORDINANCES AND
STATE LAWS(R TI ILDING CONSTRUCTION. LATH,EXT.
SIGNATURE F ///pU -HOUSE NUMBER COR-
`PERMITTa />( & '�� RECT AND POSTED LA
� '
ADDRESS �� FINAL ,
PLAN CHECK VALIDATIONCLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
M.O. cnsH PERMIT VALIDATION cK. -0. CASH
7582 o fiAR10 3 A 24.00: "
euro8 060— MR22 1 A
48.00 .
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 0111010014
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 9481 LT: 14 SQ. FT STORIES TYPE 9818 LA ROSA DR
STRUCTURE: VN TEMP CA 917803920
ASSESSOR INFORMATION NU NEAREST CROSS STREET: GOLDEN WEST
8589-022-007 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID US ONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/01/01 JK 04/30/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI AL ATE FINAL BY: CODE:
KANEEN BRIAN J (626) 285-1856- 1 4,000
9818 LA ROSA DR
TEMP 917803920 FEES PAID -DESCRIPTION O-WN,
REROOF HOUSE AND GARAGE OVER EXISTING PLYWOOD W/30YR CELOTEX
FEE DESCRIPTION: QUANTITY: UCM: AMOUNT: CLASS A ASPHALT SHINGLE
APPLICANT: TEL. NO:
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
4251 BALDWIN AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE D2 PERMIT W/O.EN=HC7--- 4000.00 VAL 115.80
pt\1GELEST`0 FEES 144.05
CONTRACTOR: TEL. NO: �O�j APPROVALS DATE INSPECTOR SIGNATURE
WEATHERITE ROOFING (626) 287-0669-
4251 BALDWIN AVE LIC. NO LOCATION AND SETBACKS
ELMONTE CA 91731 NIC
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: f FOU DATION/TRENCH FORMS
LIC. SLAB/UNDER FLOOR
RAI ED FLOOR FRAMING
M44H269 SEWER MAP BOOK: PAGE: FIRE 20N3: MPU,7!�(1 (1 O �7 �' (Y n 01DI K (� UNDERFLOOR INSULATION
1 U U ILIA \7`v'!I\1V1/ 141�1111LI1 N\~J FLOOR SHEATHING
NO. OFFAMILIES: DWELLING UNITS: /COND: STAT CLASS:-
NO 21h� �+ A„} ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS \\\\ 0
AIR QUALITY: 1000 FEET MATERIALS O -Q i,'j"• SHEAR PANELS
NO NO NO FRAME INSPECTION
A ® ®g
INKLER HANGUBS
SET
BACK YARD: HWY:REQUIRED APROP
T LINE:FROM WIDTH
G6,/C Ser ViDce That `� INSULATTRE TRON/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATE FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
” ADDITIONAL DATA ON FILE
LOT D AINAG
REPORT ID: OPR261 ROUTE TO: BS0508