HomeMy Public PortalAbout9820 LA ROSA DR_Building__ 7"63.A #03 2/6. APPLICATION, FOR BUILDING PERMIT • -�
COUNTY OF LOS.ANGELES Aoo els"S 1 5��6
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCAL
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. _
DISTRICT NO. GROUP I TYPE PR CESSED'BY
FOR APPLICANT TO FILL IN ASO consr.� QJ
BUILDING /1�� STATISTICAL'CLASS IFICATION SEWER-MAP _
ADDRESS r Za RD SQ 'D CLASS:NO� DWELL.UNITS__�I
LOT NO. •. 9= L S IQ BLOCK MAP V_
J X / STATE YES NO
� NUMBER Vca -i- HWY. - -
TRACT USEZONE SPECIAL - -
/ NO.OF SLOGS, CONDITIONS
SIZE OF LOT 66 /100
IW ON LOT - I
USE OF
EXISTING BLDG. ase
BUILDING ."EXIST. '
TEL. SETBACK YARD HWY STREET NAME- _WIDTH
OWNER {SCD v NOL;4,/T' FRONT- I (,
ADDRESS OSLI D/ / • `, P L
SIDE
ARCHITECT'
OR TEL. P.L_
ENGINEER E No. INSPECTION RECORD
ADDRESS s \ -
w�cP TELL +•�co/ -> /i./m 2Y _T^'�a c?76�
CONTRACTOR D LU IVC I- NO. a-
VADDRESS
DESCRIPTION OF WORK
F
NE ADD ALTER ALTER REPAIR DEMOLISH
SO FT.
FT.
SIZ / 7 o STORIES FAMILIES
p'
'Y 7 qnn �jy�j,,
USE OF CD��/T��. - ', t1 4
• STRUCTURE 1
SIGNATURE OF •`
APPLICANT
VALUATION$ -02 - \t
'APPROVALS DATE INSPECTOR'S SIGNATURE
,� FOUNR,ATI ON: LOCATION
FEE $ FEEMT.$ _ FORMS,MATERIALS A
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS;
BRACIN' LOCATION. tV 'Yf4E.E'
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FU RNACEaO CATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I
LATH-, INT. •� �/ �J'//�j�
WILL NOT EMPLOY ANY PERSON 1 ON CALIFORNIA.THE LATH,EXT.'
WORKMEN'S C�ENSATION LA CALIIA
SIGNATURE HOUSE NUMBER CDR
-
PERMMTE RECT AND POSTED
ADDREss FINAL .4��a
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
tj',Fo3 3 9 5 iw,3R 6 1 D. C1 .0 0
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638 A'CE #8031/]1
' APPLICATION FOR BUILDING PERMIT%
COUNTY OF, LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING _LOCALITY _iJ• _ „ n __
FOR APPLICANT TO FILL IN" " NLAREST
Print or type onl CROSS ST.
'BUILD(NG DIS TRICT�{NO. GR P TYPE CONST. � P OC SED B
ADDRESS Q '5 •� `5� V -,• rj
I STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. +v BLOCK � // n
CLASS NO.�S,�DWELL,UNITS BK CPG.j
TRACT // USE Z NE MAP '�/T`
SIZE OF LOT Ga /4'O NOW ON LOTNO.OF SLOGS
SPECIAL
USE-OF / CONDITIONS
EXISTING SLOG. e '2
TEL
04-172 _
OWNER /- NO.. 7 BLDG.SETBACK FROM
ADDRESS ZQ /cLl— FRONT PROP.LINEOF (STREET)
rHIGHWAY
EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY g WIDTH FROM C.L. -
'ARCHITECT O TEL. } _
ENGINEER NO. ETBA ROM ...ADDRESS OP.LINE (STREET]
a
1 - TEL. TYPE OF EXISTING SETBACK H } 'Vq RO = .NOTAL d
CONTRACTORaw NO. HIGHWAY WIDTH FROM G.L. - O
U
ADDRESS NI. } _
O
LIC.
CITY CLASS CORNER CUTOFF YES ❑ ' NO ❑ W
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE.SIDE FOR SPECIAL APPROVALS Fi
T _
ADDRESS Jr -
SO. FT. - NO. OF NO, OF NEW ❑ `
SIZE �() STORIES FAMILIES
USE OF qpp ,'
STRUCTURE QQ
y ALTER ❑ -e J�
REPAIR[]
SIGNATURE OF ' I
APPLICANT OEMOL i
VALUATIO a
A APPROVALS" TIE m y TOR•s s cry TURE
P.C. PMT. �� FOUNDATION: LOCATION
FEE $ FEE 5J._..) r vim. FORMS, MATERIALS 7�
F RAM E:,FIRE"STOPS,
�I'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT$
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. F
+:WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS '
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO LATH, INT.
WORKMEN'S COMP, ATION IIJSURANCE LATH, EXT. - '
SIGNATURE kms/ HOUSE NUMBER COR- 4
PERMIT,TE - RECT`A ND POSTED - 3
ADDRESS
FINAL '
JOHN F. LEWIS,,PRI CIP STAT +RAL ENGINEER
PLAN CHECK VALIDATION CK. M Cnse _ PERMIT VALID N+ CK. M.D. CASH
3 5. S
L,11G0 s N r o a_ 0 AY ' 3_ 1 o 2..
"'' _,DMSION OF-BMMING AND SAFETY BUILDING A ®�
.Department of County Engineer {� I
Countof los Angeles
v WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR AP TCANT TO FILL IN
BUILDING L /Fe5l SA"
BUILDING / S LOCALITY /'i' G •
ADDRESS L�
LOCALITY )oxz /
NEAREST. il�r: G d LOG NJ/ FS T
NEAREST •) ' //ff / DISTRICTNO: PU+�R Crc:oR[RHO.
�NO. L/PERMIT NO'/.
CROSS STD /+ Cs�D-� /"' S: _ O �QJ'V 411 Tae!
OWNER /• L — RECEIVED BY DATE OF APPL. 7E ISSUED
7�^' ��/� T
ADDRESS /�
USE ZONE NO. OF I TYPE .-I GROUP I FIRE ZONE
.
TEL. %J_r, I I PLANS n -
CITY N /�I� q �] Gam•
ARCHITECTOR TEL. �d6.0 ZONING, _ -DAIS.
ENGINEER NO. ) APPROVED By
ORD.BUILDINNO.
ADDRESS ww SETBACK GLINE: � d/ r'P; �i - I YO m
CONTRACTO V O NOL BYPRove. r 1 DATE 4 _
CHOUSE NUMBERING
ADDRES ✓ r /
LEGAL L` � 0 MAP NUMBER ,9 Q I l-e t NO: ASSIGNED BY I l
LO
DESCRIPTIO T NO. BLOC/ ��p�GATE I � COLu1CNTIONS I INSPECTOR
TRACT
SIZE OF LOT NOW ON LOT V/Y
EXISTING BLDG. FAMILFI E9I / G 'e;? Q
DF.SCRIPTION OF WORK z
♦J / f- z '
NEW L .ALTERATION ADDITION 7•/ Cd CJI / �g.L.1 V
REPAIR I I DEMOLITION /
HQ. FT. NO. OF -
SIZE ROOMS STOlf-RIES
WANC�fI
EXT. LL
COVERING I COVERING V 6-
USE OF HTAa ,/��j Y_ t/
f��Ull / +
c�......c�s•�o✓ ROVALS
INSPECTOR'jf SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS;
I PLICATION AND STATE THAT THE INFORMATION GIVEN I3
CORRECTBRACING', BOLTS
.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS RE/G♦ULAATING BUILD NGnCONSTR TION. GAS VENT, DUCTS `7
SIGNATUR5.0 ef j/4 f•I {�AF���(/�5��P LATH, INT.Y h/`
�� LATH, EXT. -
ADDRESS YYY /p� 1
T"r IS PLASTER; INT. '/-l.Oi.r.n 0._ /a R /S.H
AUTHORI 71G
PLASTER, IXT: ,
$ 7 • �Jr 'vv FEEc.g/QI - HOUSE N UMBER COR-
RECT AND ROSTED -
VALUATION FEE �,Q 1 ��• FINAL
76AS38A DO$3 2-69
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (P,lo) o )Yoe only)
F
COUNTY OF LOS ANGELES
d �sG 4._ 7, "- z. DEPARTMENT OF COUNTY ENGINEER
y :T ziP / O BUILDING AND SAFE I ONNO.OF CLOGSBUILDING
OT IV /4(40 NOW ON LOT ADDRESS
�'f (? BLOCK LOT N07 LOCALITY
TEL. NEAREST
OWNER % / `'- A'r NO. �gA'j�ZS CROSS ST
ASSESSOR
ADDRESS /) f G, C( MAP BOOK PAGE ARCEL
� DISTRICT GROUP TYPE FIFIE PR ESSED BY
CITY Lf. ' ZIP ONST Z NE 1
ARCHITECT O TEL �(/
ENGINEER STATISTICAL CLASSI FI CA TI fQ-
_ 5 WEft p
ADDRESS CLASS N _DWELL.UNITS SK
rADORES5
R d /� NO
US ONE MAP
LIC. NO.
NOSPECIAL
LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO
ION LENDER.BRANCH SLOG.SETBACK FROMFRONT PROP,LINE OF (STREET)
L
CITY TOTAL SETBACK FROM TYPE OF EXISTINGkIGHWAV } YARD -ST OF NO. OF CHECK FRONT PROP. LINESTORIES FAMILIES ONE
DESCRIPTION OF WORKNEW ® + CL
/q ADD ❑LIGHWAY
ROP.EILDG+SETSAL NE OF (STREET)
?
G K ALTER ❑ TOTAL SETBACK M TYPE OF EXISTING
} VqRO = WAY WIDTH
REPAIR❑ S1DE PROP. LINE
USE OF } _
EXISTING BLDG. DEMOL ❑
APPLICAN TEL,
I CORNER CUTOFF YES ❑ NO ❑
I PRINT) �}p� NO. ./ 1
BY (SIGNATURE IN OPEN SPACE YES 1:1 NO ❑
A _ IN COASTAL ZONE
VALUATION UATION CATEGORICAL EXEMPT10N YES❑ NO ❑
� J � ®Q'
I HEREBY (`CMNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL _
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY `IMPACT EXEMPTION DECLARATION SIGNED, (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION, CERTIFY THAT IN DOING THE WORF AUTHORIZED IMPACT REPORT PROCESSED !DATE)
HEREBY 1 WILL'NOT EMPLOY ANT PERSON IN VIOLATION OP'THf
L48OR CODE OF THE TATE OE CALIFORNIA IN RELATING TO01
WORNME NO,
COMPENSA_ ON INSURANCE, /�/-�/� T/✓1 G�ti / OCG) - // t
SIGNA,TUBE OF / 'f`i
P ER h1177
E
ADDRESS O . ."
JJ /� v!
TEL / FINAL BY
CITY �/ /p /ii NO. r��4` DATE -.5��7.5�
.MAKE CHECKS PAYABLE TO:. P.C. - PMT.Q
FEE $ FEE `7
HARVEY T. BRANOT. COUNTY ENGINEER
'PLAN CHECK VALIDATION DH. M.O CASH _ PERMIT VALIDATION cN. M.D. ASH
2 2 7 5 ez�S
76A638A CEi803 7/73
/ 1 l
`n.� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
;�- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - ALTERATIO?4/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0406020031
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST - - BUILDING ADDRESS:
TR: 9481 LT: 14 UN: .002 SQ. -FT STORIES TYPE 9820 LA ROSA OR
STRUCTURE: 2300 VN TEMP CA 917803920
ASSESSOR INFORMATION NUMBER: _ _ NEAREST CROSS STREET: AGNES
8589-022-008 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/02/04 VG 05/28/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT FIN BY: CODE:
HALVERSON JACKIE D;FLORENCE A (626) 285-6052- 3,600 / �
9820 LA RCSA DR _ L 77 l
TEMP 917803920 FEES PAID DESCRIPTION OF WORK
1/0 EXIST ROOF AND INSTALL 30-YR COMP SHINGLES
FEE DESCRIPTION: QUANTITY: COM: AMOUNT:
APPLICANT: TEL. NO:
TEMPLE CITY ROOFING CO. (626) 279-1224- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 3600.00 VAL 0.50 SPECIAL CONDITIONS:
02 PERMIT W/O EN-HC 3600.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS --TATE INSPECTOR SIGNATURE
TEMPLE CITY ROOFING CO. (909) 608-0622-
1216 BEGONIA COURT LIC. NO - LOCATION AND SETBACKS
UPLAND, CA 91784 HIC
SOILS ENGINEER APPROVAL —
ARCtiITECT 0'n ENGINEER: TEL. NO: FOUNDATION/TRENCH
LIC. N0: iS�i�,o/iNDER FLOOR
�RA.IS-.D FLOGR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
RX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: A T/COND: STAT CLASS: _
NO 21 - ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION -
REOUIRED TOTAL SETBACK FROM EXIST F-1—RE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP Li NE: WIDTH:
FRONT PL-
INSULATION/WEATHER STRIP
SIDE PL- _
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
imTEFHAFTS/OPENINGS
7-BAR CEILINGS
* ADDITIONAL DATA ON FILE '
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508