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Home My Public Portal About9838 LA ROSA DR_Building__ t _ r APPLICATION FOR:_RUIL®ING PERMIT. � COUNTY OF LOS ANGELES - BUILDING AND SAFETY '- WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS SJO BUILDINGAD ESS - Thereby affirm that I'have a certificate of consent to self insure, ) �1z h; or a certificate of Workers'Compensation Insurance,or a certified ar 0,44 � ZIP ' copy thereof(Sec.3800.Lab.C.) Cify ,.i,LL 'p �� / ' LOCALITY Policy No. Company SIZE OF LOT �`CC `-N`/O.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filedwith the county building Inspection TRACT BLOCK LOT NO. department: USEZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' n.r YES NO COMPENSATION INSURANCE 7t WITHIN 1000 FT OF SCHOOL? AoC � . ^. (This section not be completed if the permit is for one hundred Gr1j ly��•- La IF6sa- 2w , DISTRICT - GROUP `TTPE CONST.'I FIRE ZONE OCESSED V "tire($100)or less.) .ZIP n^, �yp I certify that in the performance of Me work for which this permit _ S(1 �` I /// R�•3 is Issued,_I shall not V employ any person in any manner so as to HITE pR EN N a TEL N V✓ become subject to the Workers'Compensation Laws. - (,+L�S(7�"^ — STATISTICAL CLASSIFICATION APT CONDO Data Applicant ADDRESS LJ t ( CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after makingthis Certificate of 33 F L I REQUIRED TOTAL SETBACK FROM EXIST" Exemption, you should become Subject to the Workers' CONTRACTOR ._- . TEL NO. SETBACK YARD HWY PROPLINE WIDTH Compensation provisions of the Labor Code. you must forthwith FR comply with such provisions or this permit shall be deemFRONT PL ed revoked. ADDRESS .. LIC.NO:.- LICENSED CONTRACTORS DECLARATION CITY LIG CLASS SIDEP L p I hereby affirm that I am licensed under,previsions of Chapter 9 - - - SEWER MAP : o . SIZE NO.OF STORES NO.OF FAMILIES . - (commencing with Sectionmy7000)of.Division 3 of the Business and I 'SQ�7 X. NEW ❑ BK PG • Professions Code,and my license is in full force and effect. / / [o DESCRIPTION OF f�RK ❑ License Number Lic. ADD VALUATION Contractor d' Qh'h�Q S 't �tc,L S`�i ktfl rn Contractor Date .ALTER ❑ $ - Z ❑ I am exempt under Sec REPAIR Ela._ ,y ' B.BP.C.for this reason DEMOL LDMA P/Cp ' USE OF EXISTING BLDG. . - .URM ❑ hi L,( S'gn rZ� 6.[ -� IC NT (PRINT)• !, TEL.NO. LDMA Perm N itiG T 1\ 1, as owner of the property, or my employees with wages as - � ait/ p °T- ,. _ their sole compensation, will do the work and the structure is ADDRESS _ F G.i1/ .uj CIO [EFINALly not intended or offered for sale (Section 7044, Business and G .1 ITEMS PTOfe331003 Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIALZ, j ❑'1;as owner of theproperty, am a%LIUSIVBI contracting Wlttl OR A MIXTURE CONTAINING A HAURDOUS MATERIAL EQUAL TO OR GREATER THAN {y y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? 7 TI)T�}�. v v 0® licensed contractors to construct the project.(Section 7044, YES❑ No❑ Business and Professions Code.) • CNECK Sw.(Iii WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANTREQUIREA PERMITFOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST - CHANGE., F I)Q FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance of the work for which this permit Is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO (r'��((''��{{�� (��1rr��((''�I 3Og7,CIV.C.J. PERMITTING CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES L+000—DOCI y J/. Trym COUNTYCODE.TITLE2,CHAPTER 230 SECTIONS 230.100THROUGH 2.20.N000NCERNING Lender's Name. HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. _ - 9224 1 A11110 i1 1* Lenders Address �. ow+um Dewwr 1 certify that I have read this application and state that the above $ information is correct. I agree to comply with all county P.C.FEE PERMIT FEE -b D Q ordinances and State laws relating to building construction,and ¢. h [h f12�,r.prt aS 01 Ih13 COU enter UPOn ISSUANCE FEE /l thea inspectio ores. / �® 3� V INVESTIGATION FEE TOTAL FEE- - \ r sM.anaroatMdM.. ' � � SEE REVERSE FOR EXPLANATORY LANGUAGE. WORKERS' COMPENSATION DECLARATION - - tl hereby offirip,that I have'a certifi ate of co sentto self APPLICATION FOR 'RUILDING-PERMIT. - insure, or a certificate of WorketsCompensation Insurance, ' or o cerin°ie8 copy.thereof (Sec. 3800, Lab. C ) - ,,. - - COUNTY OF LOS ANGELES - - 'BUILDING AND SAFETY ' Policy No: - Company, , . - v-... - BUILDING p ❑ Ce�(ified,capy.is hereby furnished. - FOR APPLICANT TO FILL IN i. ADDRESS r (�' S� F �• . ❑ Certified copy is filed with the county building inspec BUBDING•/A - -tion department. ' - _ ADDRE55 'V1{Ij 8 o , f...F��.•Cv. �(�f- [I!4 . -. CITY' 1T YK•.. ly C lr ' ZIP /I��o LOCALITY Date ' Applicant - - NO OF BLDGS. , -CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF.LOT NOW ON LOT ._ CROSS ST. ' COMPENSATION INSURANCE' - _ ASSESSOR (This' need not be completed if the permit is for one • " TRACT BLOCK ' LOT NO. MAP BOOK ' PAGE O PARCEL hundred-dollars ($100)or less.) - TEL. _ • .. OWNER - (. G :N NO.®` `;A USE ZONE MAP I certify that in the performance of the'work for which this q - NO. permit is issued, Fshall not employ,any,person in any manner - ADDRESS -( C=. �C� bBG.T•D it - SPECIAL ` -- CONDITIONS so as to become subject to the Workers'Compensation:Laws. . a - - - .- Q .. i . CITY 'eys/ C.t.(. ZIP p.` Date' Applicant - ARCHITECT O / TEL DISTRICT GROUP TYPE FIRE ED BY - Q '.NOTICE TO APPLICANT If,- after making"this Certificate of - ENGINEER: �1'•aLL - �'.v4=n NO.3S /��-n D CONST—' Z NE F- Exemption, you should become subject to the' Workers 1 (( V F`� � U Compensation'provisions of-the Labor Code, you must forth .. ADDRE55. 93 S RGUx . ' Ft),,r .Q'FG- / f' d with complywith, such provisions.-or this-permih,shall be TEL. STATISTICAL CLASSIFICATION' A . CO O. - N deemed revoked. CONTRACTOR _ NO. - - Z LICENSED:CONTRACTORS DECLARATION - LIC CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter -. ADDRESS NO. - LIC. SEWER MAP y. .(commencing with Section 7000)of Division 3 of the Business CITY CLASS r1t.LT n- and Professions Code,and my license is in full force and effect. - BE. p� _VALIDATION SO FT. - - ST OF NO. OF ' CHECK - 330 TIt.�O'al't'- License Number," Lic:'Class SIZE STORIES FAMILIES ONE I� 'M •DESCRIPTION OF WORK - -'NEW Lys S UAT O �'O� i ITEI l'j ' Contractor Date T(ITA 47 ❑I am exempt under Sec ' •. �2cJ �c�.-oma ADD ❑ - 1 -. ALTER. ❑. ► ' GHEC-t7i 1vF.4, B.BP.C. for-this reason - REPAIR ❑ _ s GHr1tvGE _ USE OF - _ '+..ti- -. . D te: EXISTING BLDG. DEMOL ❑ } ( •� ` �\ �+�} ,s' -J APPLICANT } �L, TEL.. S 1 L•�®�T (PRINT) OJyiCit / IPA( NO.a-S.Y'r_ SLS •FINAL; - C10130-0013i S/1r�(9O OWNER-BUILDER.DE LARATION DATE _ lel/ �. 1 hereby affirm that Pam exempt from the Controctor:s License ADDRESS 8.3108 A AN10:31 Law for the following reason (Section 7031.5, Business and FINAL ..' P scions Code): PRESENT- - - By - BUILDING ``''�� y I, as owner of the property, or my employees with ADDRESS y, s T l SFI j.Z11 wagesas their sole compensation-wall do the work and ^' - -� 1•J�\l(' l 3V ?34.117 the structure isnot intended or offered for sale Section LOCALITYi`� . 7044, Business and Professions Code.) - - - MOVING .- - -TEL: - - ,- 1 v ''1 t- 1 ITEIIto✓ CONTRACTOR NO. S }_ ❑ I, as owner of the property, aonstru t the contracting - .234. .06 _ with licensed contractors to construct the projed-(Sec- • ' -` } f 's� 'tion 7044, Business.and Professions Code.) ADDRESS L'•,` REQUIRED - TOTAL SETBACK FROM EXIST• • , :HECK '34,13,1 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH )1 I hereby affirm that there is a construction lending agency for FRONT CHARGE- _ - •0111 The performance of the work for which this-permit is issued - P.L. (Sec. 3097, Civ. C.). ,. SIDE Lender's Name. 1 - Q1J01[1-IJIJIJ i zj. 1.�1� $ Lender's Address Permit Fee 2v O � 'CDMA R.I. p t 921374 1 AM'1L 4 4 0 1 certify that I have read this application and state that the Issuance Fee 13. U i CDMA P/C N ►' - Flit ' 8 above information is correct. I agree to complywithafl County Investigation Fee :O ordinances and State laws relating to building construction, Total Fee l7 LDMA Perm. IF - a tab y authorize representatives of this Cou ty to enter bo e-mesNionzd prop y for inspe purposes. T � SEE•REVERSE.FOR EXPLANATORY LANGUAGE igrimme of Applicant or gent Date - ` WORKERS' COMPENSATION DECLARATION 1 hereby affirm l haver certificate of t,onconsent ra self - : APPLICATION .FOR-SUILDI I'l PERMIT - �• - insure.or b•certifimte of Workersy_Com pensation Insurance, - ' or certified co y thereof (Sec 3800,'Lab:C.) /t -Lab:C.) COUNTY OF LOS'ANGELES- - BUILDING AND SAFETY 4Pr� Compo r,::in /S 12 BUILDING `3 ❑ Certified,copy is.hereby furnished. FOR'APPLICANT TO'FILL`IN ADDRESS f/ ❑ Certified copy is filLC.n',' th a county b ildmg•in p - BUILDING C �: �L /� _ ., :. , ;. -, _ _ -_ •_ .� < tion.depar1ment. ADDRESS ZIP LOG4LITY lyiC/fffi Date • �Ap� - NO. OF BLDGS. NEAREST -. • CERTIFICATE OF EXEMPTION FROM•WORKERS' SIZE OF LOT - NOW ON LOT •^ - - :• T. COMPENSATION'INSURANCE' CROSS SR - ASSESSOR _ .(This section need not be completed if the permit i3 for one TRACT". BLOCK LOT NO. -" ^ ' MAP BOOK . •• - PAGE PARCEL' ' 'hundred dollars.($100) or less ) :. •.�- - _ /� TEL ') OWNER CL NO. USE ZONE MAP '-/ NO. '..I certify that in the.performance of the work for which.this - --I SPECIAL permit is issued, shat mot employ any person in any manner ADDRESS — i CONDITIONS 0 iso as to become subject to ihe.Workers'Compensation laws: _.� ."" U - CITU _ - ZIP. .•.. - -. .•Date.Applicant - ARCHITECT OR TEL. NOTICE TO_APPLICANT: If, after making thisCertificateof ENGINEER - .NO. DISTRICT . GROUP TYPE -FIRE P ESSED BY, ZpgI ' Exemption, you should become subject CONST. E to the Workers' - 0 D !/ /o JCA. s T w Compensation provisionof.the Labor Code, you must forth- ADDRESS D V ✓ vL�S'LL a with-complywith such provisions or this �' STATISTICAL CLASSIFICATION - APT.. CONDO. Z _ p permit shall be TEL. rn deemed revoked. .,,. - CONTRACTOR ' NO. !LICENSED CONTRACTORS DECLARATION Q UC. CLASS NO. DWELL. UNITS— hereby affirm that I am licensed under provisions of Chapter ADDRESS _ .C{ ..NO. - -.(commencing with Section 7000)of Division 3 ofLIC. - SEWER MAPthe'Business // and Professions Code and m cense m in full force and effect CITY -CLASS ( � 67 BK VALIDATION SQ. FT. NO. OF NO:OF - -' "CHECK 1. License Number 4 Lic. Class SIZE . STORIES - FAMILIES ONE , �J•�� VALUATION C� Contractorli[!////7N J '.Date ' DESCRIPTION OFWORK -- NEW ❑ 1 ' ADD. • ❑. f /!- - ❑I am exempt under Sec. l C 1/ _ YL 5 ALTER _❑ - - .. . " - , B,BP.C. forth is reason - /,5' REPAIR ❑ $ - Date: USE.OF . - -- DEMOL'❑ EXISTING BLDG. - Signature - - APPLICANT TEL. OWNER-BUILDER DECLARATION ' - (PRINT'"' N . g FINAL I hereby affirm that I am exempt from the Contractor's License DATE U l 4 - 'Law for the following reason (Section 7031.5, Business and T: ADDRESS {. ,� 1 FINAL - 1 Professions Code): -. _ � , . PRESENT By � t-i •_ BUILDING _... ❑ 'I, as owner of the property, or 'my employees with ADDRESS wages as their sole compensation,:will do the work and - - - ---- - --- - - i- the structure is not intended or offered for sale(Section .+ LOCALITY 7044, Business and Professions Code.) - MOVING. - - . - TEL. Ell 111 � 9E3 c 6:3:3 • I, as owner of the property, am-exclusively.controcting CONTRACTOR NO. , ' with licensed contractors to_construct thero'ect Sec- -- - - - - r -- - ' _ . -r,t, P ( -i' ADDRESS .. _:: ' - tion 7044, Business and Professions Code.) - t. -- -REQUIRED.. TOTAL SETBACK FROM � EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD _ HWV PROP. LINE WIDTH - - t, a{v1Bt hereby affirm that there is a construction lending agency for FROM the performance of the work.for whichthis'permit,is issued P.L. - (Sec. 3097, Civ. C:), - SIDEJ. Lender's Name _ T /doress' Permit FeeLDMA Ref. NLend - t I have read this application and state that the Issuance Fee WMA P/C'Na75bomation is correct. I a ree to_comply with all County In estigation-Feerdi and State s re laking building construction, Total Fee Q. (� LDMA Per, N m and h eby Guth n r presents ives f this County to enter upon a ove. sed p o f r inspection - Q I SEE REVERSE FOR.EXPLANATORY LANGUAGE Signature of Applicant or Agent Date _ ' COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ' ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1210150039 PHONE: (626) 285-0488 EXT: I : 9 ID: NO. OF CONST BUILDING ADDRESS: 1 ITR: 9481 LT: 16 UN: .002 SQ. FT STORIES TYPE 9838 LA ROSA DR STRUCTURF: V-B TEMP CA 917803920 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18589-022-014TRONAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C I I II I I TENANT: IE%IST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GAP: 10/15/12 SR TOWNER: TEL N0: 1HL➢cS. NOW ON LOT: VALUATION I FI/;i�AL PATE FIy/[�/A��L/�)BY: CODE: 1 TWO, ZI JING (626) 487-2884- i 4,000 I , &. - (] 19898 LA AOSA DA `7 V ITEMP 917803920 FEES PAID IDE CRIPTION OF WORK 1 IREMODEL (E) BATHROOM IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I SAME AS OWNER - iAA BLDG PERMIT ISSUANCE 27.80 AB STATE GREEN BLDG FEE 4000.00 VAL 1.00 (SPECIAL CONDITIONS: 1 ' IAC STRONG MOTION AESID 4000.00 VAL 0.50 I III PLANCHECK W/ENERGY 4000.00 VAL 108.20 1 _ IB2 PERMIT W/ENERGY 4000.00 VAL 127.40 (CONTRACTOR: TEL. NO: II TOTAL FEES 264.90 (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER. LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL IARCHITECOR ENGINEER: TEL. NO: FOUNDATION/TRENCH FOAMS 1TRINH, BEE N (626) 864-2372- I I I I I 1813 PONTENOVA AVENUE LIC. N0: (SLAB/UNDER FLOOR HACIEN➢A HIS, CA 91745 NONE RAISED FLOOR. PRAMING I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 1144H269 3 001 I - - I (FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 21 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS ,. (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO FRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I I I INSUL TION/WEATHER STRIPI I I INTERIOR LATH/DRYWALL E%TERIOR LATH RATED FLOOR/CEIL AS SEM. (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS I I (LOT DRAINAGE I I I II I IREPORT ID: DPR261 ROUTE TO: BS0506 I I I I II I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ` DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1110170062 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS': ITR: 9481 LT: 16 ON: .002 SQ. FT STORIES TYPE OCCUP GROUPI 9838 LA ROSA DR I (STRUCTURE: 1932 2 V-B R-3 TEMP CA 917BO3920 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 18509-022-014 } OTHER: 151 1 V-B U 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Ci 1 TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: T .(EXIST DEC GRP: 103/28/12 SR I TOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IF /—�DATE FIyNAL^BY: CODE: I' 1909 ZI JI (626) 987-2889- 268,520 / 19898 LA ROSA A DR I ITEMP 917803920 FEES PAID ID SCR PTION OF WORK v1 IADD & REMODEL 1ST: FLOOR DINING RM, KITCHEN, FAMILY RM, _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MASTER BORN; 2ND: FLOOR 3 BEDRMS, 2 BATHRMS 1932 SF FRONT 1APPLICANT: TEL. NO: I IPORCH 151 SF AND REAR PATIO 292 SF ITRINH, BEN (626) 864-2372- IB1 PLANCHECK W/ENERGY 266520.00 VAL 2,242.60 1813 PONTENOVA AVE IAA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: IHACIENDA HIS 91745 IAB STATE GREEN BLDG FEE 268520.00 VAL 11.00 I IAC STRONG MOTION REBID 268520.00 VAL 26.90 1 B2 PERMIT W/ENERGY 268520.00 VAL 2,644.60 (CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 1APPRC> E ALS DATE INSPECTOR SIGNATUR WU, ZI JING (626) 487-2884- 1 TOTAL FEES 5,054.30 1 19838 LA ROSA DRIVE LIC. NO I (LOCATION. AND SETBACKS ITEMPLE CITY, CA 91780 NONE ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS 1TRINH, BEN (626) 864-2372- 1813 PONTENOVA AVENUE LIC_ NO: SLAB/ONDER FLOOR (HACIENDA HIS, CA 91745 NONE _- 1RAISED FLOOR FRAMING i 1 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( IUNOERFLOOR INSULATION 3 001 11ST LEVEL FLOOR SHEATH IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH a t SCHOOL WITHIN HAZARDOUS 1 1ROOF SHEATHING / J ,/ / 1 1AIR QUALITY: 1000 FEET MATERIALS yii NO NO NO IFIRE DEPT. FRAME INSPECTff I I BLDG DEPT. FRAME INSPECT( SHEAR PANELS INSULATION/WEATHER STRIP 11NTERIOR LATH/DRYWALL / 1 1EXTERIOR LATH ' LOT',DRAINAGE I I 1 ISMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL( I I I 1REPORT ID: DPR261 ROUTE TO: BS050B III I