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HomeMy Public PortalAbout9856 LA ROSA DR_Building__ r 76A638A CE#8036-63 APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALI Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DI DICT GROl1P TYPE PR C B APPI A TO L IN CONST: FTRACT 5FOR P �!)�J STATISTICAL CL SIFICATION SEWER MAP Q ✓�'�✓`• BK 11M=) a'2p K NG SAO CLASS. NO._ 2EDWELL. UNITS - Q/ BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑ L� ` NO. Q HIGHWAY LEI LLL�SS� NO.OF BLDGS. STATE MAJOR SECOND. OCAL y� I/ NOW N OT USE ZONE SPECIAL EUSE XISTING NG BLDG. Ply C G CONDITIONS TEL OWNER NO. BUILOfNGWY TREET NAME EXIST. (� SETBACK YARD HWIDTH ADDR S O - t- �� FRONT .•�O Z ARCHITECT OR _ TEL. U P. L. L. ENGINEER NO, S1DE Pw L } ADDRESS y n g CONT_F/0 YJ N/ N /y, �•.,D ✓ ..Nfl• /G. ��. U ADDRESS r/ o DESCRIPTION O ORK ri CL NEW D If ALTER REPAIR DEMOLISH SFT. STORIES FAMILIES Z SIZE E e[ O USE OF STRUCTURE SIGNATURE !1 APPLICANT �C/� VALUATION $ /� APPROVALS DA TE INSPECTOR'S SIGNATu qE PMT FEE S_ . FOUNDATION MATERIALS ON µ.J/dw •< FRAME: FIRE STOPS. A X.. i _ _ HEREBY THAT THE THAT HAVE REAP THIS APPLICATION BRACING. BOLTS ✓l �r , F.L• AM UWITH STATE THAT THE ABOVE IS CORRECT AND AGREE E COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILBINO CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 83 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RITAT- _ tj ING TO WORKMEN'S MPENSATION ISURANCE. D LATH. EXT. SIGNATURE © HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 6 FINAL O/ .G/(•,j-.� ///a JOHN F. LEWIS, PRINCIPAL'STRUCTURAL ENGINEER PLAN CHECK VALIDATION ON. M.O. CASH PERMIT VALIDATION C, M.O. CASH E ('o 3 6 8 6G SEPI 1 D 1 5.0 0- v APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION" FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDIN AD�f 1 hereby affirm that I have a certificate of consent to self Insure, i 6j or acertificate of Workers'Compensation Insurance,or a certified CI �i � coDY thereof(Sec.3800,Lab.C.) / '7 o U LOCALITY ,n/ 7— / Policy NO. Company SIZE OF L K NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. aNEAREST CROSS ST. ❑ Certified copy is filed with the County building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date—Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION ON INS FROM WORKERS' OWNS a vas No ADDRESS WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ie— s 'PAgiv r DISTRICT ///GGG��'pppOUP TYPE CONST.' FIRE ZONE PROCESSED By dollars($700)Or less.) CIN H .ZIP A/ ' V/ ^ 1 certify that in the performance of the work for which this permit I(\L 5 is issued, I shall not employ any person in any manner So'as to ARCHIT CTO ENGINEER TEL.NO. bacome subJECl t0 the Yorkers'COs�e lion Laws STATISTICAL CLASSIFICATION AlT - O Del71pDIICent f �+�t ,✓ /�[I'GE"M1+ ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate ofREQUIRED TOTALSETBACK FROM EXIST Exemption, you should become subject to the Workers' CON T L.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith15T10J3 FRONT Comply with such provisions or this permit shall be deemed revoked. A DRESS LIC. O. PL �c LICENSED CONTRACTORS DECLARATION LI .CL�Sl PL SIDE p I hereby affirm that I am licensed under provisions of Chapter 9 !/H SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and SO.FWSIZWWV NO.OF STORES NO.OF FAMILIES Professions Code, nd my license is in full force and effect: NEIN ❑ BK PG DESCRIPTION OF WORK , License Nu Lia VALUATIONCI- Class _ ADD ❑ Contract ,�/ � J K�Lmt �r2/�--gam / - ALTER ❑ $ z _ ✓ T L ❑ I am exempt under Sec. REPAIR ❑fTfT22rrrr $ B.BP.C.for this reason DEMOLA LDMA P/C4 Dale: USE OF EXISTING BLDG. URM ❑ - Signature APPLICANT(PRINT) TEL.NO. LDMA Perm 4 1 ❑ I, as owner of the property, or my employees with wages as _ their sole compensation,will do the work and the structure is ADDRESS _ F - ACCT.i- not intended or offered for sale (Section 7044, Business and FINAL DATE Q 7 C..-. 1 Professions Code.) 00 p ; ,��I „v,_II} MUL EAPPLiO ORNT REBUIWINGOCCUPANTINNOLEA MAWipOUS MATERLLL _ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN Q L ❑ I, as owner Of the.property, am exclusively contracting Wllh THE AMOUNTS SPE FIEDONTHEH DOUeMATMMJSINFORMATION GUIDES FINAL > 1 ITEMS licensed contrsctom to construct the prO)ect.(Section 7044, Business and Professions Code.) rEs❑ No 4, TOTAL � 88 �00 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ,I �l OCCUPANT REOUIREA PERMIT FOR CONSTRUCTONOR MODIFICATION FROM THESOUTHV /J NECK �',•j.' CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERIAITTING CHECKUST V FORGUIDEUNES. .IJ` I hereby affirm that there is a construction lending agency for YES❑ NO - I:HANGE the performance of the work for which this permit i5 issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REWIREMENTS UNDER THE LOS ANGELES r C' CWNTY CODE,TITLE' CHAPTER221SECTIONS 221.100THR000H2MAQ0ONCERMNO i1Qfj[I—[I(I L p W Lenders Name HAIAa7: MPG NG MID FO,R�aTM"NINGAPERMRFROM THE SCAOMD LI1 3: IU9 ' Lenders Address La ty�� �� 9`61 1 All 10:4'i D�EI�--t'..L' o' 1 certify that I have read this application and state that the above p.C.FEE PERMIT FEE �T q g information is correct. I agree to comply with all county V v Q ordinances and State laws relating to building construction,and , gg hereby authorize'representatives Of this County t0 enter Upon ISSUANCE FEE "') O �7 the above-mentioned property for inspection purposes. A n INVESTIGATION FEE TOTAL FEE 1945 00 MPw..MAlmnwy.n Pe. SEE REVERSE FOR EXPLANATORY LANGUAGE. WORKERS' COMPENSATION DECLARATION - hereby dicer that f haWorkeeriCome of consent to ,elf - APPLICATION FOR BUILDING .PERMIT 'insure, or a,cerfificate of Workers' Compensation IpsUraAce,. - ' or a certified copy;thereof (Sac 3800,-Lab.'C.) ., - - COUNTY OF LOS ANGELES -• BUILDING AND SAFETY Policy No. • Company - 4 Y•., - - BUILDING I _ ❑ Certified copy is hereby'furnished. FOR APPLICANT.TO FILL IN ADDRESS ✓1{ lY f [% L( ❑ Certified copy is filed with the county building inspec- BUILDING. �/ tion department. ADDRESS (O Date Applicant - - CITY - ZIP LOCALITY ( ci NO. OF BLDGS. NEAREST _ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT - a - CROSS ST. - COMPENSATION,INSURANCE - ASSESSOR (This section need not be completed if'the permit is for one `. TRACT BLOCK LOT MAP BOOK PAGE PARCEL hundred dollars ($100)or Jess.) .-p`'J' MAP A, USE ZONE .. - OWNER � O G/�l A _ NO. I certify that in the performance of.the work for which this - permit is issued, I shall not employ any person in any manner ADDRESSSPECIAL )V 15:7 CONDITIONS a so as to become subject to the Wor�k�s'Compensation Laws. O �y(/�/�.,.�� CITY . ZIP - _ .. . . V Dat Applicant/ [`?1 ARCHITECT OR ''/I TEL. NO4CE JO APPLICANT: If, after makingthis Certificate of ENGINEER vLL NO. DISTRICT, GROUP TYPE FIRE PROCESSED By CONST ZONE 0 Exemption, you should become subject to the Workers' ./ n Q �% - V Compensation provisions_of the Labor Code, you must forth- ADDRESS O/t1J ` - 1`-✓ ..Y--- a .with comply with such Provisions or this permit shall be an P Y P P • A • TATISTICAL CLASSIFICATION APf. CON Z deemed revoked. � � _ COMRACTOR U L � '�� LICENSED CONTRACTORS DECLARATION • gODRE J T S�uc. CLA55 No. L_DwELL. UNITS- I hereby affirm that I am licensed under provisions of,Chopter 9 NO. [L�/ LIC. J SEWER MAP (commencing with Section 7000)of license is inon 3 of the Business CITY p4./T UC �N� CLASS and Professions Code,and my li<enseis in full force and effect BK PGVALIDATION ' BO. NO. OF NO. OF CHECK License Numbery3l:3/02 .Lia Class_ SIZE .Q STORIES FAMILIES ONE - YALUATIO CoNmy ciorIw e �C / O DESCRIPTION OF WORK L LL,,.s Y11 ADD A NEW ❑ ' 11 / z ❑I am exempt under Sec - hD `� / 1 , _ s� L ALTER /J_ /yy�.,p�.pn� - B.BP.C. for this reason F ` CL C REPAIR ❑ $ I!1!) t ,F A t -tT —Date: USE OF 6 �/�/�/� 1 EXISTING BLDG. DEMOL 1 APPLICANT _ I. A=-CT.f Signature PRINT l p g OWNER-BUILDER DECLARATION f I V� OM DATED 1S /•'L B37 592•JE' hereby affirm that I am exempt from the Contractor's License y- - Law for the following reason (Section 7031.5, Business and ADDRESS / �1 FINAL 1 ITEMS Professions Code): .. PRESENT44- TOTAL ❑ t_ 592 .i; c 1, as owner of the property, or my employees with BUILDING ADDRESS - c� , wages as their sole compensation,will do the work and - - - - -- - ,CHECK .92..cf_ the structure is not intended or offered for sale(Section - LOCALITY _ . 7044, Business and Professions Code.) I MOVING - TEL. , - -. Lx9ANUE.. ,0 I ❑ - - . 1, as owner ofCONTRACTOR NO, property, am exclusively contracting , with licensed contractors to construct the project (Sec- - - - - - .1 ADDRESS tion 7044, Business and Professions Code.) _ �UO[f-Ci[JU1 1/'24/`70 REQUIRED TOT AL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP, LINE WIDTH I hereby affirm that there is a construction lending agency for FRONTj I uIflu 1 PM12.06 1 the performance o4 the work for which this permitis issued P.L. - - - � ; , ( (Sec. 3097, Civ. C.). - SIDE Lender's NameD M - - P.C. Fees 592-1% Permit Fee - 1,3 LDMAV 71 • Lender's Address t...l I certify that I.hove read this application and state that the _ Issuance Fee 13 O- LDMA P/C It f Y' , - 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Toml Fee - LDA1A Perm. p , mand hereby authorize representatives of this County to enter Bb up �t/hj/ e-mention P property for inspection purposes. - - _ 3 - p-. E - -� SEE REVERSE FOR EXPLANATORY LANGUAGE '-' f,T. -+` C. Applicont or Agent C. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411240045 PHONE:. (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 9481 LT: 80 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 9856 LA ROSA DR STRUCTURE: 200 1 VN R3 _ . TEMP CA 917803920 ASSESSOR I FORMATION NUMBER: GARAGE: NEAREST CROSS STREET: AGNES 8589-022-017 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIS BLDG USE: - USE ZONE: ISSUED ON: PR C B : EXPIRES ON: EXIST OCC GRP: - 11/24/04 JK 11/19/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: PRADO ROBERT D;LAURA M - 35,000 -7 9856 LA ROSA DR / ---- TEMP 917803920 S PAID ESCR-PTION OF WORK ADD BEDROOM EXISTING BEDROOM CONVERT TO CLOSET AND EXPAND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EXIST BATHROOM 200 SF. APPLICANT: TEL. NO: O'LEARY (626) 287-0927- AA BLDG PERMIT ISSUANCE 27.75 5823 AGNES AVE AC STRONG MOTION RESID 35000.00 VAL 3.50 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 - AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 35000.00 VAL 662.15 TOTAL FEES 748.10 CONTRACTOR: TEL, N0: APPROVALS DATE INSPECTOR SIGNAT RE TOM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AGNES AVENUE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 489354 B-1 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS f / LIC. NO: SLAB/UNDER FLOOR RAISED F100 FRAMI MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 Ts-T-C9=Fl-GOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN H RS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- -� INSU TION/WEATHER TION/WEATHERSTRIP INTERIOR LATH/DRYWALL -- - EXTEWI-O-RTATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 i 1. COUNTY OF LOS ANGELES TEMPLE CITY q 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306260010 PHONE: (626) 285-0488 'EXT: ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: ITS: 9481 LT: 80 BL: .001 1 SQ. FT STORIES TYPE OCCUP GROUP 9856 LA ROSA DR STRUCTURE:. 288 1 V-B U TEMP CA 917803920 ASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: AGNES 18589-022-017 I OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY. TEMPLE CITY, CI I I (TENANT: (EXIST BLDG USE: USE ZONE: 1SSUF.D ON: PROCESSED BY: IEXIST OCC GRP: 106/26/13 SR _I TOWNER: TEL. NO: 11 BLDGS. NOW ON LOT: VALUATION: FI���A�* DATE FINAL BY: CODE: 1 BRAIN ROBERT D;LAURA M - 5,463 A 3 9856 LA AOSA DR ///l_• 451 ITEMP 9178039201 FEES PAID ID S"RIPTION OF WORK v 112' X 14' LATICE COVERED PATIO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I APPLICANT: TEL N0: 1 1 101LEARY, TOM (626) 287-0929- 1AA BLDG PERMIT ISSUANCE 2].80 I- 15823 AGNES AVE IAS STATE GREEN BLDG FEE 5463.00 VAL 1.00 (SPEC IAL CONDITIONS: 1 TEMPLE CITY CA 91780 1AC STRONG MOTION REBID 5463.00 VAN 0.60 1 ID1 PLANCHECK W/O EN-HC 5463.00 VAL 127.00 1 _._ID2 PERMIT W/O EN-HC 5463.00 VAL 149.40 (CONTRACTOR: TEL N0: TOTAL FEES 305.80 JAPF:OVALS DATE INSPECTOR SIGNATURE ITOM O'LEARY CONSTRUCTION (626) 287-0927- I_._ 5823 AGNES AVENUE LIC. NO I ILO-^TION ANp SETBACKS ) ITEMPLE CITY CA 91780 489354 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOCNDATION/TRENCH FORMS LIC. N0: SLA3/SINDER FLOOR RATSED FLOOR FRAMING NAP N0: SEWER MAF BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION 3 001 1 11ST LEVEL FLOOR SHEATH T INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASF _• 0 NO 21 T 12ND LEVEL FLOOR SHEATH I SCHOOL kITHIN HAZARDOUS I IRD-'= SHEATHING I I I 1AIR QUALITY: 1000 FEET MATERIALS I__ 1 NO NO NO I IFIRE DEPT, FRAME INSPECT 111BLI' DEPT. FRAME INSPECT`C_Ll%L �] SHEAR PANELS /-/fq+�,-�1- )/ _ INULATION/WEATHER STRIP( I ' IN':RIOR LATH/DRYWALL I I I I I I I I IEXTERIOR LATH _ I ii I LOT 0:2AINAGE I I I I=_' SMOKE DETECTION DEVICES 1 I (FIRE DEPARTMENT APPROVAL( I 'I * ADDITIONAL DATA ON FILE I I I I I I (REPORT ID: DPR261 ROUTE TO: 850508 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 0308070013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 9481 LT: 80 BL: .001 SQ. FT STORIES TYPE 9856 LA ROSA DR STRUCTURE: VN TEMP CA 917803920 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES 8589-022-017 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: SID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/07/03 JK 08/01/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL)DAT F, "F-tNgL BY,: CODE: PRADO ROBERT D;LAURA M (626) 286-1898- 8,200 / -� 9856 LA ROSA DR TEMP 917803920 FEES PAIDDESCRIPTION 0 T/0 HOUSE & GARAGE; INSTALL GAF 40YR TIMBERLINE FEE DESCRIPTION: QUANTITY: UOM:. AMOUNT: APPLICANT: TEL. NO: EAGLE ROOFING (626) 291-5700- AA BLDG PERMIT ISSUANCE 27.75 2650 MYRTLE UNIT #1 AC STRONG MOTION RESID 8200.00 VAL 0.82 SPECIAL CONDITIONS: MONROVIA 91016 D2 PERMIT W/O EN-HC 8200.00 VAL 199.80 TOTAL FEES 228-37 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE EAGLE ROOFING (626) 291-5700- 2650 MYRTLE UNIT #1 LIC. NO LOCATION AND SETBACKS MONROVIA, CA 91016 698529 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FO MS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 01 FLOOR SH HINNY G NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF ,SHEATHING rA Z.-r rh l/ SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FRAME INSPECTION REQUIRED TOTAL SETBACK FROM XIS FIRE SPRINKLER HANGER SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INT R OR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/C511L A SEM. ! RATED WALL ASSEMBLIES jRATED SHAFTS OPENINGS T-BAR CEILINGS I LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508