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Home My Public Portal About9902 LA ROSA DR_Building__ DEPARTMENT OF BUILDING AND SAFETY f APPLICATION FOR PERMIT COUNTY OF LOS ANGELES1 BUILDING wm. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY + DIST ICT NO. PAN CK.NO. PERMIT NO. D U I LDING .(q ADDRESS – J ,/ LOCALITY RE/C}EO ,U0AY DATE OF APPL. DATE IRSUEDt NEAREST �/� ,— S7 CROBBBT. No ADDREILDI80 OWNER C. H. Hill T L../ ADDRESS 9902-E. T.a=rRoaa Dr LacwurY NEAREST CITY TamIA Ci tv Onl i f_ No' cppae BT. ARCHITECTOR TEL. ZONE P ANB TYPE ENGINEER No. BLDG. ORD.NO. ADDRESS SETBACK LINE SS APPROVED CONTRACTOR Keeler & Stamm O• AT 6 1137 BY &ATE USE APPROVED ADDRESS NE BY OATS LEGAL CORRECTIONS DESCRIPTION I LOT NO. BLOCK TRACT NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.DF NO.OF EXISTING BLDG. FAH'"'. I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR I I MOVING DEMOLISH D_ SO.FT. NO.OF Z SIZE ROOMS STORIES r WALL ROOF COVERING COVERING UIBIILDING Tnstal'&5.000 R-T-11 Wg1_ Floor Furnace 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE AWS R D ATINp B I INp CNBTIGN . FRAME: FIRE STOP e. S. SIGNATURE BRACING.BOLTS PERMITTE LATH. INT. AUTHORIZED ADT ATN. EXT. 96A6 SA-3 a-sD $ PC. B PASTER.INT. FEE PASTER.EXT. B VALUATION FEE FINAL C DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING PLANS BLDG. C FIRE DISTRICT No. JOB NO. PERMIT NO. FILED ZONE �-J ZONE 1 (041 �O TYPE OF BLDG. I 11 ul IV V x GROUP. ) BLDG. SETBACK LINFr DATE APPL. CEIVEDtBY DATE ISSUED ORD. NO. , 'Y. y -3 ' !i Z - APPLICANT FILL IN HEAVILY OUTLINED rOkTLON ON Y c GO JOB NAME ADDRESS yUl ZIADDRESS / LOCALITY 1- p +^ NEAR E9T = Z CITY CROSS ST. Kw STATE < LICENSE NO. le TEL. NO. I N MEI W MAIL ^ /f O NAME Z I ADDRESS < ADDRESS /s,� DO Q O SQ U CITY U V TEL NO. F Z CITY Jd LOT I SIZE OF LOT OSTATE V op NO. OF SLDGS. Z LICENSE NO. TEL. No. ww BLOCK NOW ON LOT e CLASS OF WORK a ' USE OF BLDG. TRACT NOW ON LOT NEW ADDITION X DEMOLISH DESCRIPTION OF WORK ALTERATIONI I REPAIR MOVING USE OF BLDG. ��jj �1 / I, BLDG F-1 L-4SI 9TORIE � 9 I FAMILIES I SPECIFICATIONSFAINCORRECTIONS /J EXTERIOR PI 5• ' Afa�{ -�Z�3� . MATERIAL THICKNESS—TOP $ '1 1 531- 35 n •fr THICKNESS—BOTTOM ~ � DEPTH IN GROUND h SUPERSTRUCTURE S L15PACING SPAN R. W. PLATES (SILL) J ® Q GIRDERS Z JOISTS—FLOOR L U' JOISTS—CEILING yx Y IL O BEARING WALLS L PARTITIONS -- I ROOF RAFTERS C ( • ( 1 l S SILL BOLT- J COVER G WALL I ROOF I HEREBY STATE THAT THE ABOVE IS CORRECT AND ® AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNA2 �/ /� APPROVED f,OWNER OR AUTHORIZED AGENT ATE INSPECTOR'S N E VALUATION FEE S' FINAL Job N--o.��r* Permit No..I.o.('..Td District No... ...... ....1...:...1... Z'oZ^' Date Issued\Q':�.II� BUILDING SET BACK LINE �O I agree to local this building not less than......................feet Job Address. ��Q . 1�.4�a �� ', from the.....{..�.......... ... line of .............. nor less then........................ft. Locality ..... .. .....�.tA......1C.4 3 ., n ... ... ... .QI. .�Q...._..._.. ...._................. t from the... . . neoE. .......... ................... s prodlded by Ordinance No..--- ...... APPLICATION FOR-PERMIT a dedication m Tract No.-.-......................_._......._.... I County of Los Angeles tl1� recorded in book..........., page:.,t.._ Maps, Records of L. A. Co. BUILDING a �� "ekOR AUTHORIZED AGENT 'THE BUILDING BUREAU OF THE ;REGIONAL PLANNING COMMISSION COUNTY OFp LOS ANGELES LOT NO. SPECIFICATIONS BLK. NO. FOUNDATION EXTERIOR PIERS TRACT 'I 4 � I MATERIAL I - • I TOP THICKNESS BOTTOM SI E OF LOT SIZE OF BUILDING O % � X L (S. X HT. ABOVE GRADE STORIES NO.OF FAMILIES - DEPTH IN GROUND ^ BLDG. ZONE V ' FIRE DISTRICT - SUPERSTRUCTURE . TYPE I TSH III1, IV V X SIZE O. C. SPAN USEMR. W. PLATES w NAMEJ GIRDERS � ADDRESS@1 ,(� L6 �O JOISTS-FLOOR CITY i 0 Ls t t \�� TEL. NAME JOISTS-CEILING . ADDRESS BEARING WALLS u 0 3 CITY TEL, PARTITIONS I ' < B LICENSE NO. ROOF-RAFTERS z NAME Q -_ ADDRESS COVERING .F CITY TEL, 0 LICENSE NO. \}Wall _ `} Roof ` PLANS FILED 0* pEpE� S \U C'C0 1 �, DATETION REc•D eY NATURE OF JOB DATE D- S- 3 DESCRIPTION OF WORK I ADDITION ' �! MOITCG X D G I AtFBRMYOf�P- VALUATION sv FEE $ I hereby state that the above is correct and all County ordinances and State laws governing building construc- t will be complied wit/h Sign""-..(2 e .... /it"Y� 1.A.:.............................. — OWNER OR AUTHORIZED AGENT 76A638A CE RB03 4/72 Temple City APPLICATION FOR BUILDING PERMIT �] COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ��`�� AIA KE CHECKS PAYABLE TO: ADDRESS xQ HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ., IV.. ONI CROSS S7. G / BUILDING 'DISTRICT NO I GROUP TYPE �� PROC SED BY ADDRESS �/A CONST.-(/ Dr- STATISTICAL( CLA IFICATION �- SEWER IR LOT NO BLOCK. �h�"A//1/ CLASS NO. DWELL:UNITS BF�_ PJ61[J TRACT USE ZONE MAP /� NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT - Ee/ SPECIAL USE OF CONDITIONS EXISTING BLDG: TEL r� �/ OWNER aCh No. 28 -728 N - [HIGHWAY LD SETBACK FROM , ADDRESS - RON OP.LINE OF (STREET) O !� Calif. YPE OF EXIS SETBACK HIGHWAY } YARD = TOTAL CITY Te le Vit lifWIDTH C.L. ARCHITECT OR TEL. } _ ENGINEER NO. - BLDGS ETBACK FROM - d ADDRESS - .SIDE PROP.LINEOF (STREET( CD _ EL 282-1958 TYFE OI EWSTIH. ROM C.L. HIGHWAY } YA = TOTAL O CONTRACTOR Alhambra Roofirig C~,�o. ADDRESS 7 142renga Jorp 32 p NO + w CITY b Cal-if,n 180 CORNER CUTOFF YES ❑ NO Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO. FT. NO. OF NO. OF NEW ❑ SIZE STORIES 2 FAMILIES USE OCTURE Re-roof Flat SEC W j0# ADD El BS & 90# CS & Hot Asphalt. ALTER SIGNATURE OF REPAIR{}:qy( APPLICANT DEMOL ❑ VALUATION $ 200.00 APPROVALS DATE INSPECTOR'S SIGNATURE P,C. PMT. FOUNDATION: LOCATION - FEE S FEE $ 6.00 FORMS, MATERIALS FRAME: FIRE STOPS, -_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE .THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,- - 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 LATH, INT, LABOR CODE OF THE STATE OF CALIFORNIA IN RELA NG TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS 71 $O Naronago AVP_,,- Alhambra FINAL PLAN CHECK VALIDATION _ cN, M.O. DASH _ PERMIT VALIDATION cK. M.D. CASH � ir. 2a' r nuc21 1 0 6.00e..c APPLICATION .FOR P.rXMIT DEPARTMENT-OF BUILDING AND.SAFETY BUILDING 1 COUNTY OF LOS ANGELES -QyVM. J. FOX..CHIEF ENGINEER NO.OF BLDG: ORD:NO: DISTRICT yO. � �PLAN CK. NOS l ��/pERMIT��/N(p�� PLANS I SETBACK.LINE S �r Q"-/ 1 FIRE APPROVSD ZONE' BV DATE RECEWED BY r , DA( APPP(L. �J •DATE USE APPROVED - - / /3 )4. ZONE BY DATE • 77 APPLICANT FILL IN HEAVILY OUTLINED PORTION O LY BUILDING p E NAME yUj = ADDRESS I LOCALITY �.LfiD^✓L p�G/WI NEAREST U W CITY CROSS ST. < STATE I TEL. LICENSE NO/ NO. NAME �• AIL O NAME _ ; ADDRESS «� U O TEL. t ADDRESS CITY NO. OZ CIN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U APPLICATION AND STATE THAT THE ABOVE IS'CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES" LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LQT NO. / U SIZE OF LOT T /J� SIGNATURE OF � OWNER / �� 1 NO. OF SLOGS. e2/ AUTHORIZED AGT.�G/11L��•�� BLOCK NOW ON LOT y TRACT CORRECTIONS D USE OF BLDGS. '�"" �'�' NOW ON LOT . a �' '� . /J DESCRIPTION OF WORK A, �- USE orBUILDND •D 2 D r NEW TYPE GROUP NO.OP i NO,OF ALTERATION ROOMS I FAMILIES 'ADDITION SIZE REPAIR STORIES ,MOVING WALL COVERING DEMOLISH R F COVERING i P.C.$ //._ Pf U PRUVAL'/ Fmc ,FINAL A VALUATION PEE DAT[. NAME �' ' t DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES /► WM. J. FOX. CHIEF ENGINEER U ' D G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �/q�L DISTRICT NO. ,PLAN CK.NO. PERMIT NO. BUILDING ue LOCALITY (�, p �TeMr✓�e l/�( 51VED BY D/OF APPL. (ODATEEI(SSSOED' NEAREST C R0559T. \ V A AyII.{/f� / G/ /�- �� ✓l BUILDING OWNER �. U.y / I / ILL ADDRESS MAIL ^/[� (� �•y LOCALITY C/ ADDRESS I\��]L� Awe `� 1 NEAREST 6iy,✓,5 CITY /ldll/�!. �!� TEL. CR095 BT. b N D. ZONE FIRE �� NO.OF TYPE /� GROUP / I ARCHITECTOR TEL. PLANS vim/ ENGINEER elqllm _ NO. J AI BLDG. / OR 4D�.40 ADDRESS 4a/a-P SETBACK LINE i� ��. dV 1R+J -PPROVED - / - TEL' BY DATE CONTRACTOR '1 i t NO. USE �// APPROVED ADDRESS aM ZONEV BY DATE LEGAL I "P" J~' CORRECTIONS DESC GALION( LOT NO. BLOCK TRACT M-13 l /- (7a NO.OF BLDGS. SIZE OF LOT/// NOW ON LOT USE OF �/-{-(�, • EXISTING BLDG. /1P� FO aEg / ROOMS - - DESCRIPTION OF WORK NEW ALTERATION ADpIT10N O A REPAIR MOVING DEMOLISH O Sq.FT. / NO.OF _ SIZE �(JQ ROOMS STORIES D WALL COVERING I COVE RING `!/ F USE OF NEW /� 1 BUILDING l`[� ('�ere �L `dr / U � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE FOORMS, ONi.: LOCATION L AND AGREE A COMPLY WITH ALL COUNTYSTRUCORDINANCES .FORMS, MATERIALS O�„„�e c? AND STATE LAWS REGULATING BUILDING CONSTRUCTION. W,,// FRAME: FIRE STOPS, I 1 SIGNATURE OF ' /V BRACING,BDLTS PERMITTEE T•--fe� vVi LATH. INT. AUTHORIZED AG LATH, EXT. - 76A638A 9-4g - 1 DBS-3 SOM SETS $ p•C.y� PLASTER, INT. FEE PLASTER,EXT. VALUATION FINAL I FEE ENT `Ok- 13=UDING`Or- AN7 ,SAFEr:---,? APPLICATION FOR PERMIT COUNTY OF LOS ANGELES' � ' L ® ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DING !� DISTRICT NO. PLAN CK. NO. PERMIT NO. noo ESS 1` ✓�00 '/ 'q �D S fl- ✓�Y/ VE -� -Z 40 3 LOCALITY /1r Ae /o /!- � /� Y /�RE�C�EIIVVEED BY OAT OF APPL/n. DATE ISSUED NEAREST AL. QN S I/ I=. V /!/P � QRORE BT. /Y NS _OWNER �� / I� / ADDRESS ZGr G.!'' �O$Q /✓✓! / MAIL 2SDo C f} YL O S fl' �/ Y I Vr LOCALITY MAILADDRESS s� /�/A/ .,(� \ Y NEAREST ffGAJ _CITY �6 � ` 1 %7- NO. �T I �4 i'7 CRD59 9T. /'j ARCHITECT OR TEL. ZONE, : I PLANS I TY.P.E .� I GROUP ENGINEER (�4il-�iL.Pi�I� NO. L� / SETBACK LINE /4 OA ORD.�NO. ADDRESS !Y APPROVED /� TEL. BY - DATE CONTRACTOR NO. UBE APPROVED ADDRESS ZONEA�� BY - - DATE LEGAL CORRECTIONS Al— No. I LOT NO. �O I BLOCK TRACT / T SIZE OF LOT K 'ySo.{ �I NOW ON LOTS EXIST NDG..O BLV\/Y Lj C FAMILI D I ROOMS DESCRIPTI0�9N SOF WORK NEW ALTERATION ADDITION D F REPAIR MOVING DEMOLISH D, BO. FT. NO.OF - Z 1 SIZE ROOMS STORIES 'r WALL ROOF COVERINGGLr, _ //h�GOVERING�rIcwAT, !III-tee�/ I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION ANDND STATE THAT THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION, FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS �yhl+ 6 OWNER 1_ LATH, INT.: ' 1 AUTHORIZED ASTI LATH, EXT- lL % 1't-Ir—�� $ /OO Ba P a.* PLASTER, INT. CJ FEE PLASTER, EXT. B VALUATION FEE 32 FINAL },1 ' APPLICATION FOR BUILDING PERMIT v iy COUN•T-Y-OF*OS ANGELES ., BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, B ADDRESS ��' 7 O /E—r✓F� - or a certificate of Workers' Compensation Insurance,or a certified, copy thereof (Sec.3800, Lab.C.) C Ze3l LOGALI�T�V ///, Policy No. Company SIZE OF LOT NO.OF BLOBS.NOW ON LOT \1LC��-A 'ems �eC ❑ Certified copy is hereby furnished. I NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO department. USE ZONE MAP NO. ASSESSOR MAP BOOK PA� PARCEL U Date Applicant SPECIAL CONDITIONS 7 , CERTIFICATE OF EXEMPTION FROM WORKERS' TELNO� S-,ro.Gs7 17,7/Y COMPENSATION INSURANCE `F = pG WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not he completed it the permit is for one hundred AD yv /�!}- A��. Dmf. , dollars(S 100)or less.) a DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY I certify that in the performance of the work for Which this permit �.., V,1'1 O C /�(J '�jj ^��/ is issued, I shall not employ any person in any manner so as t0 pgCHITECT�¢Q ENGINEER TEL become subject t0 the Workers Compensation Laws f� STATISTICAL CLASSIFICATIONAPT CONDO Date Applicant ADDRESS CLASS NO .-2 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRAQ �` TEL NO. SET BACK YARD HWV PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �J FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO, PL LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT.SIZE N0.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. QLD $ NEW ❑ BK PG d License Number Lic. Class DESCRIPTIM OF WORK ADD VALD TION Fj-b , O Contractor DateL ALTER SII O 0 ` REPAIR ❑ $ ❑ am exempt under Sec. ADD _D A) / Q U BAP.C. for this reason �` Al ♦ DEMOL ❑ LDMA PIC Date: USE OF EXISTING BLDG. URM ❑ .lL illI`T.a IL Signature L �; -,Z APPLICANT(PRINT) TEL NO. LDMA Perm X 77(( ,_I 11 f as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE / Q Professions Code.) - /U+2( (:�I WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZAWl1 R5 MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El I, OW rof the property, am exclusively contracting with AJACL s SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ��IJJ I=0 e 1-1, licensed cco ontractors to construct the project (Section 7044, ❑ NO❑ Business and Professions Code.) YES WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �''15� r hq + _ Lg V CONSTRUCTION LENDING AGENCY COAST AIR DUALLY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR A GUIDEUNES I hereby affirm that there is a construction lending agency for YES❑ No❑ C1. YES the performance Of the WOfk for which this permit t5issued(Sec. HAVE READ THE HAZARDOUS MATERIALS INFORMATIONGUIDE AND THE SCAOMD PERMITTING iL+ � (lll O1 3097,civ.C. CHAld��_ J OITLE 2.CHAPTER UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE TITLE I CHAPTER TNG SECTIONS OBTAINING THROUGH 2ROM T CONCERNING HAZARDOUS - 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD o Lender's AddressI�I�Ii�_if r q r rNeP aR wU,1 -1 tf':LI'� 1_i_�f:`�'� o I certify that I have read this application and state under penalty _ o PCA TL .FEE PERMIT F l'_ { 1 of perjury that the above information is correct. agree to comply !`O.S'� IEFjp _�7 J. T �_ with all county ordinances and State laws relating to building •7 v 1 , m con ruction, and hereby authorizewpyleresentatives of this County ISSUANCE FEE m' to .r on the ab e-mentione oparty for inspection rpo s. z. , r INVESTIGATION FEE IOTA F p {i FE svawre w �, (0 A 0 SEE REVERSE FOR EXPLANATORY LANGUAGE ApPUCQTION FOR BMLDNG pC R�iv UT Sul COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILO^ AD RESS I hereby affirm that I have a certificate of consent to self insure, BUILONCgJ53SS �15 or a certificate of Workers Compensation Insurance,or a certified yV ci r, ROSC, copy thereof(Sec. 3800, Lab.C.) CITY_ ZIP Policy No. Company ICM 80 LOCALITY / SIZE OF LO NO.OF SLOGS.NOW ON LOT ❑ Certified copy is hereby furnished. I NEAREST CROSS ST. ❑ Certified copy is filed with the County building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER i - TEL NO. COMPENSATION INSURANCE U LAIOLAW WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESpS dollars ($100)or less.) 9-IU IDS" DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CIT`�I M { ;� ZIP �1 U 3 I certify that in the performance of the work for which this permit 1 �O� /J. J /� is issued, I Shall not employ any per 99n I any manner so as to ARCHITECT O ENGINEER TEL NO. /C J become subject to the Workers per B@Si n Laws. STATISTICAL CLASSIFICATION APT CONDO Date 7--'1.-9 1 Applicant a 1} ADDRESS CLASS NO. LL DWELL UNITS NOTICE TO APPLICANT. If, ter making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith We - a 511 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS ` LIC.NO. P L LICENSED CONTRACTORS DECLARATION 43.73 651 S go SIDE CITY_ nr\ LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 t( ,•`d�� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK Pei d License N bar 7 Lic. Class 5 DESCRIPTION OF WORK ADD ❑ VALUATION D O B.I+ l.Gvse A-O �O ro U Contractor Date "1-,]6•'91 \ 1 ALTER ❑ cc -w-\C 'II 1i Z YY �Jr �4 REPAIR $ 0 ❑ I am exe pt under Sec. J B.SP.C.for this reason v O ` DEMOL ❑ LDMA P/C x W Date: USE OF EXISTING BLDG. URM ❑ d Signature S IF4 Z co APPL,ANT(P NT) 1 TEL NO. LDMA Perm w ❑ I, as owner of the property, or my employees with wages as ON M t�•a'�-Y $75"1)7D zz 1 their sole compensation, will do the work and the structure is ADDRESS',LIS-73 l not intended or offered for sale (Section 7044, BuSineSS and LI 5-73 SOS- : .Q•��ti\ C I �0'T'\e FINAL DATE 2 Q Y III I .T Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANpLE A HAZARDOUS MATERIAL /•�JO�J 0 dVI�J C OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 11]vJ I�_I ❑ 1, as owner Def of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE] FINAL BY T Business contractors to construct the project (Section 7044, YES El NO�7 1�EI�-� Business antl Professions Code.) p vl/ L�/ _ _ WILL THE INTENDED USE MI THE BUIDUNG BY THE APPLICANT OR FUTURE E SOUTH TOTAL 103 _Oc OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR EE PERMITTING FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT ISCAQMDI SEE PERMRTING CHELKUSi FOR /' GUIDELINES. LHEc.i\ 107 L15 I hereby affirm that there is construction g agency for vss❑ NO� CHAN6E the performance of the work for which this permitrmit is issued(Sec. ,Qj) q HAVE READ TME HAZAR SMATERIALSINFORMATION GUIDE AND THE SCAOMO PERMITTING N 3097, CIV.C..) CHECKW UNDERSI Y R CUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2 G PTER 220 E TION 2.20.100 THROUGH 2.20.1J0 CONCERNING HAZARDOUS Lender's Name MATERIAL$ EPORnN5 FOR STAINING A PERMIT FROM THE SCAOMD. B- Lender's Address 0000 7/26/93 p W WEF IX A E IT Q I certify that I have read this application and state under penalty 093 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE eQi will all thly ordinances and State laws relating to building w an mctno ereby authorize representatives of this County ISSUANCE FEE �T / toe r ue ove-mentioned property far inspection purposes. O((p.$40 - a m J ♦ INVESTIGATION FEE TOTAL FEE /�/i � D a a= SEE REVERSE FOR EXPLANATORY LANGUAGE _ COUNTY OF IAS ANGELES TEMPLE CITY h 0508 BUILDING PERMIT DEPARRMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112210058 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: IBE: 18 TO: 54 PC: 1 SQ. FT STORIES TYPE 9902 IA ROSA DR I ISTRUCTURE: 2500 V-B I TEMP CA 917803922 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18589-023-040 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI I I I TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY: I I IEXIST OCC GRP: 112/21/11 SR I I I I IOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIBY: CODE: (ALAN, WUEI (626) 282-9481- 1 1 1,200 19902 LA ROSA DR I I 1 ITEMP 917803922 I FEES PAID D CTION OF WORK REPLACE FOUR RETROFIT WINDOWS FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( (APPLICANT: TEL. NO: I IRAFAEL, AGUILAR (626) 448-2806- IAA BLDG PERMIT ISSUANCE 27.80 I_ 12328 COFFEE IAB STATE GREEN BLDG FEE 1200.00 VAL, 1.00 ISPECIAL CONDITIONS: 1 (AVE IAC STRONG MOTION REBID 1200.00 VAL 0.50 IO2 PERMIT W/O EN-HC 1200.00 VAL, 82.20 IFR INV WORK W/0 PERMIT 257.00 DOL 257.00 (CONTRACTOR: TEL. NO: TOTAL FEES 368.50 1APPROVALS DATE INSPECTOR SIGNATURE IG B DEVELOPING CORP (626) 448-2806- 1 12328 DURFEE AVE #G LIC. NO LOCATION AND SETBACKS IEL MONTE CA 91732 929207 B (SOILS ENGINEER APPROVAL I 1ARCHITECT OR ENGINEER: TEL. N0: IFOUNDAT ION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I I I (RAISED FLOOR FRAMING I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM P: I UNDERFLOOR INSULATION 1144H269 3 001 I_ I I I (FLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 1 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS 1- 1-1 - NO NO NO IFRAME INSPECTION I I I (FIRE SPRINKLER HANGERS I I I I I (INSULATION/WEATHER STRIP( I I I (INTERIOR LATH/DRYWALL I I I 1 1E"f.TERIOR LATH I I I I I (RATED FLOOR/CEIL ASSEM. I I I I I (RATED WALL ASSEMBLIES I I (RATED SHAFTS/OPENINGS I I IT-BAR CEILINGS I I_ (LOT DRAINAGE (REPORT LD: DPR251 ROUTE TO: 850509 I I I I I I I