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HomeMy Public PortalAbout9922 LA ROSA DR_Building__ ! DEPARTMENT OF.BUILDING ANAFF 2 BUILDING COUNT4 OF LOS ANGELES �D S i wm. J. FOX, CHIEF ENGINEER - APPLICATION FOR APPLICANT TO ILL IN FOR OFFICE USE ONLY BUILDING �f DISTRICT NO. PLnrl Cc.oa c:No. PERMIT 5 _ ADDREH9 22 1'�/67� 3 Jr' iQ'G] T RE EIVED BV DATE OF APPL. DATE ISSUED Loc In ry} y 4 It. NEAREST ^T CROSS ST. BUILDING Z ADDRESS OWNERJ�n /J MAIL w�y LOCALITYCi 17L 6 ESS ADDRESS NEAREST R. � LA/ TEL CROSS BT. CITY NO. FIRE ND. OFSOUP ARCHITECT OR TEL ZONE PLANS >�Ij ENGINEER NO. BLDG. - 1^/[J L_ FP / SETBACK LINE -- ADORE99 _17L,kv I USE APPROVED w n TEL ZONE BY - DATE CONTRACTOR ///A1 Q re 4 }qs NO. �"Fl rC�l�l� HOUSE NUMBERING ' ADDRESS O S / �C "-/6 MAP NUMBER AM /�NO. ASSIGNED B� LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT C�7 p/ , -C]r NOF BLOBS. - SIZE OF LOT _(�Q'.� 2(05/' NOW ON LOT cN6 USE OF NO. OF W'Y1.�LC EXISTIN BLDG. I FAMILIES pLee A6P.air— DESCRIPTION OF WORK °a NEW ALTERATION ADDITION _ s REPAIR DEMOLITION �v n s� F Sp•FT. NO. OF PLSAlQ, f+ 14Q r'L6,S rF�-QI✓I%� SIZE �OOb ROOMB STORIES whB�G ��� .v./ C.CGL.,✓ 6 COVERING S/ _C' I ROOF C 0 COVERINp USE OF STRUCTURE C� I�—r00Q \>1. C ,�_/s�� NCE ou .0- INSPECTION FOR APPROVALS OCCUPANCYAB INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION n 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. FORMS, MATERIALS A/I iU.�.9 2, PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRESTOP9, CORRECT. BRACING, BOLTS43R / / AND STAEE LAWS REO LATIN'THOALL BUI COUNTY CONaRDINANCES 9TRUCTION. � / y/ FURNACE: LOCATION, / ,� GAS VENT, DUCTS Z BION URE OF ' - LATH, INT. PER 4T.RE " LATH. EXT. ADD RE ��--1 PLASTER, INT. AUTH 2ED AOT. $ PLASTER. EXT. to `Q J 0 0 v P.C.e FEE d HOUSE AND BER .n �R�/hx6��r COR- RECT AND POSTEDED1/ i VALUATION FEE FINAL 76A.0A DDS 3 7-51 17 DEPARTMENT OF'BUILDING AND SAFETY 'BUILDING �J COUNTY OF LOS ANGELES (®q WM. J. FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN Clc. oR REc:No.1. PERMIT NO. ADDRESS n —� IIIIY[ apes .3 ADDRESS .3 V ' RECD BY DATE OF APPL. DATE ISSUED LOCALIT NEAREST J V CROSS ST. 00 wlBUILDING qq ADDRESS I- O„$ Q OWNER1912 & 1 MAIL LOCALITY / ADDRESS Q. NEAREST fin. TEL CROSS ST. Q— r 4t / /V CITY � MAAI P.I ZFIRE NO.OF ONE PLANS TYPE � / OROUP� ARCHITECT OR TEL V ENGINEER NO. BLDG. s7 O ORD. NO. SETBACK LINE L ADDRESS USEyI� APPROVED TEL ZONE/•� BY DATE CONTRACTpR NO. HOUSE NUMBERING ADDRESS V EljnoA4�Q, MAP NUMBER 94 C " NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT �e SIZE OF LT, y�( W NOON BLOBS. GHL131,10L131,10USE OF NO. DF E%I STIN BLDG. FAM I LIER DESCRIPTION OF WORK a 0 NEW ALTERATION ADDITION _ Z D REPAIR DEMOLITION F �I NO.OF IZE ROOMS STORIES SOTWALL I ROOF ly COVERING COVERING USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATOR E DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- � 4_'� / PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: l /Tz CORRECT. BRACING,G, BOLTS V I AGREE TO =MPY ALL COUNTY ORDINANCES FURNACE: LOCATION,AND STATE L pBU -CONSTRUCTION, GAB VENT, DUCTS SIGNATURE LATH, INT. PERMITTE 1J'il�LGr�e6v / / LATH, EXT. ADDRES F PLASTER, INT. Q� AUTHORIZED AST. �t $ PLASTER, EXT. FEE HOUSE NUMBER COR- VALUATION RECT AND PORTED B (, FEE lP 3 FINAL 76A63DA DBS 3 7-Sl APPLICATION FOR .01U.ILDING PERMIT " COUNTY OF LOS ANGELES �* '• BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS ' I hereby affirm that I have a certificate of consent to self insure, 3G L �/� (/1 Pk or a Certificate of Workers'Compensation Insurance,Or a certifiedId p� l/'f copy thereof(Sec.3800,Lab.C.) CI LG" G/7 ZIP If 7, ' OCAL _ Policy No. Company SIZE OF LOT NO.OF BLOCS.NOW ON LOT ❑ Certified Copy is hereby furnished. Q X Z NEAREST CROSS T. ❑ Certified copy Is filed with the county building Inspection TRACT QBLOCK LOT NO. USE ZONE ' MAP NO. department. O Date—Applicant ASSE OR MAP B K PAGE PAR EL Q SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' °WGA g �/&NO kX—d�, WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE ' ADDRESS (This section need not be completed if the permit is for one hundred 3.Z DR DISTRICT _GROUP TYPE CONST.' FIRE ZONE OCESSE BY I dollars(Etat)Or less.) �ary J .zIP c'�� ox I certify that in the t employ an of the work for which this permit I ITE Zl: T )1 d ✓i IS Issued, I shall not employ any person in any manner SO 89 10 ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers!Compensation Laws. SAF A 7 is 6,1 STATISTICAL CLASSIF CATION APT ONDO Date Applicant ADDRESS Q / CLASS NO. =DWELL UNITS NOTICE TO APPLICANT: If. after makingthis Certificate of 32 1 CR7� ,!Roq-pl9 /vvt� REOUIRED BACK TOTAL SETBACK FROM EXIST Exemption, I C RACTOR TEL.NO. p you ShOUId become subject 10 the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code. you must forthwith �u U FRONT comply With such provisions Or this permit shall be deemed revoked. ADDRESS LIC.NO. P L SIDE " d LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L :.;.T A 0 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP U SO.FT.sIZE NO.OF STORES NO.OF FAMILIES t�jr "1jCD (Commencing with Section 7000)Of Division 3 of the Business and - NEW ❑ BK PG �?�7 4Ji,t o Professions Code,and my license is in full force and effect. 7 License Number Lie.Class DESCRIPTION OF WORK ADDvuunnoN 'I ITEMS IS d � f1 zic 1/N � Contractor Date ALTER ❑ $ —7' 60 TOTAL 454 m 2vZ ❑ lam exempt under Sec. ��7H) �/L REPAIR ❑ $ (_I��IV �*. ' B.BP.C.for this reason £aHON-L DEMOL ❑ LDMA P/Ck CHANG. USE OF E%ISTING 8 DG. Date: S/ 7 A'L URM Db ❑ Signature APPLICANT(MINT) TEL NO. - LOMA Pa.# Z 13,3130-13,3131 L,/ 61?13 I, BE, owner of the property, or my employees with wages as LL �'� 1 O their sole compensation,will do the work and the structure is ADDRESS F 1126 1 AM i:4� not intended or offered for Sale (Section 7044, Business andZZ s Lsyf'/ FINAL DATE ) C Professions Code.) WILLTHEAPPLICANT OR FUTURESUILDING OCCUMNTHANDLE AHAZARDOU MATERIAL ❑ I, as Owner Of theproperty, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN y g THE AMOUNTS SPE IFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE! FINAL BY licensed contractors to construct the project.(Section 7044, YES❑ NO Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANTREOUIREA PERMITFOR CONSTRUCTION OR MODIFICATION FROM THESOUTH _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCADMDI SEE PERMITTING CHECKLIST 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(Sec. I HAVE READ THE HAZARDOUS IMTERIALS INFORMATION GUIDE AND THE SCJNIM � ' '~' 37 I-+ 3097.CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REOUIgEMENW UNDER THE LOS COUNTYC DE,TITLE'{CIUmER 2B)SECTION52al t00TNROUGH Z.ID.MBCONCEANM _ :G Lender's Name HAZARD MATERIALG R PORTING AND FOR OBTNING A PERMIT FROM THE SCACMD."'' �C T... F• Lender's Address o I certity that I have read this application and state that the above o m $ information is correct. I agree to comply withell county P.C.fEE Q Ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE the ave-mentioned property for i tion purposes. 3. I� < !,/ 6-y INVESTIGATION FEE TO inallF-• •S ® cq ^ ;.. SEE REVERSE FOR EXPLANATORY LANG GE , 6 2 WORKERS'COMPENSATION DECLARATION ' 1 sure, a certificate I have r certificate Compensation lnt to Self - - - APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. G) "-- --" I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company+ .- BUILDING �OC Certified copy is hereby furnished.. • r FOR APPLICANT TO FILL IN / ADDRESS Certified copy is filed with the county building inspec- BUILDING p 2 Ip 05 tion department: 1 ADDRESS -/ Z ✓AT IQ05A Date to 17✓H Applicant J CITY --lekg IQ Ofk'c ZIP -- - LOCALITY - CERTIFICATEOF'EXEMPTIONFROERS' - NO. OFBLDGS. -- '/ - NEAREST- ^'N _ . COMPENSATION INSURANCE .• SIZE OF LOT ~ x z( NOW ON LOT CROSS ST. „ ��b V, .ATL4'. (This section need not be completed if the permit is for one - - -- - - - - ASSESSOR hundred dollars ($100) or less.) TRACT BLOCK LOi NO. MAP BOOK' PAGE PARCEL _ �f—� . In;B'MC- - TEL. - NO: I certify that in the performance of the work for which this OWNER-- / USE NE NOP L permit is issued, I shall not employ any person in any manner Z], LA `QO S`I SPECIAL -- -- - -- IL so as to become subject to the Workers'Compensation Laws. ADDRESS -" -' �/ CONDITIONS 0 . r Date . . _ CITY - Ie_ G iC ZIP Applicant ' ` + NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL DISTRICT I GROUP TYPE FIRE PROCE ED BY you should become subject tothe Workers' ". ZONE Exemption, Y I • ENGINEER NO. CONST.J ^2 , Compensation provisions of the Labor Code,you must forth- ADDRESS with comply with•such provisions-or this permit shall be deemed revoked. ,,�f n TE STATISTICAL CLASSIFICATION APT. CONDO. •� ' CONTRACTOR ✓I'l� COj'fS{{'I.fC-(1�Y1 NO. �'73-3�D _ _ LICENSED CONTRACTORS DECLARATION -t - _ __ _.--_. LIC. CLASS- CLASS NO. DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O Box 14 31- NO.�{�,O (commencing with Section 7000)of Division 3 of the Business and yyr� LIC - p SEWER MAP Professions Code, and my license is in full force and effect. CITY L�'1/� OR IO`"� CLASS O . BK - - VALIDATION .! q 4 SO. FT. LJO. OF _ _ _ NO.OF- _ _ _ _ CHECK_, License Number --,r`��T4_tapsT 'lLic.Class 16 SIZE a18no TORIES FAMILIES ONE Sf I�L1 CN�I�q 3�— n� ❑ VALUATION Contractor Date Q DESCRIPTION OF WORK NEW -- n ADD $ OO , I am exempt under Sea "•' ,I �" — ALTER ❑ -• \ - - - - B.BP.C. for this reason REPAIR ❑ $ _ J\ Date: -" USE OF VVV••• EXISTING BLDG. DEMOL ❑ - Signature t APPLICANT Cy N-7q/ qp"y+qv TEL. PRINT NO. FINAL DECLARATION DATE - - I hereby affirm that 19m exempt from the Contractor's License ADDRESS O�V/t I'33�-/.1L!✓/J�oly7 Low for the following reason Section 7031.5, Business and FINAL •+ / \ 1�1 Professions Code):- - -' RE NT BY BUILDING J I, as owner of the property, or my employees with ADDRESS _ _ _ _ _ l $ \ ; wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY h h .t +\• T&r 7044, Business and Professions Code). - "' - - MOVING / _ y1� I, as owner of the property, am exclusively contracting CONTRACTOR NO. 15 8 Q 9 A with licensed contractors to construct the project (Sec- - o, 1 tion 7044, Business and Professions Code). ADDRESS # e o e e ' CONSTRUCTION LENDING AGENCY REQUIRED. YARD HWY TOTAL SETBACK. . t ) SET BACK PROP. LINE WIDTH e 87._38 a - - " e / I hereby affirm that there is a construction lending agency for FRONT 1 j! the performance of the work for which this permit is issued P.A.- ^ 8 7.3.8E (Sec. 3097, Civ. C.). SIDE c, _ . P.C.' -- 01. 1 3-86 . Lender's Name LDMA Ref. N m Lender's Address P:C. Fee$' - Permir Fee ^ - - w I certify that I have read thisapplication and state that the _ - Issuance Fee G' ✓ - LRAM P/C N - a above information is correct. I agree to comply with all County Investigation Fee G ` g ordinances and State laws relating to building construction, - u and hereby authorize representatives of this County to enter m upon the a ve-me boned pro a ty or inspection purposes. - - o r (0 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Akplikont or A ent - Date COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0903220054 PHONE: 1626) 285-0488 EXT: DUPLICATE ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1 ITR: 9481 LT: 19 1 SQ. FT STORIES TYPE 9922 LA ROSA DR I 151RUCTURE: 209 VN TEMP CA.917803922 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1 18589-023-005 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY: E%PIKES ON: I IE%IST OCC GRP: 103/23/07 JK 03/17/08 I I I I IOWNER: TEL. NO: BL➢GS. NOW ON LOT: VALUATION: IF AL DA F BY: CODE: IWRIGHT WAYNE A;WANG LUCINDA WEN-HUE - 1 9,200 / I 19922 LA ROSA DR ITEMP 917803922 1 FEES PAID ID SCRIPTI02 OF WORK I I PROPOSED PATIO ENCLOSURE AT REAR OF EXISTING RESIDENCE ICBO I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IER 5832P 209 S.F. 1APPLZCANT: TEL. N0: I I IHAUN (714) 871-4165- IDI PLANCHECK W/O EN-HC 9200.00 VAL 184.11 1 1765 S. STATE COLLEGE IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: 1 IFULLERTON, CA 92631 IAC STRONG MOTION REBID 9200.00 VAL 0.92 1 ID2 PERMIT W/O EN-HC 9200.00 VAL 216.60 1 ] TOTAL FEES _ 429.38 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IAMBIANCE ADDITIONS (714) 871-4165- 1 1 1765 S STATE COLLEGE BLVD LIC. NO 1 VOCATION AND SETBACKS 1 ISUITE # I 541733 B IFULLERTON, CA 92631 ISOILS ENGINEER APPROVAL I I I 1--1-I I (ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS I I I I I I LIC. NO: I ISLAB/UNDER FLOOR I (RAISED FLOOR FRAMING I I 1MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION 1 I 1 I XX 3 011 I I I I I (FLOOR SHEATHING I IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I NO 21 1 IROOF SHEATHING I I I I I 1 1 I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I LAIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO I FRAME INSPECTION I I I REQUIRED TOTAL SETBACK FROM E%IST I IFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I IFRONT Pb- I _ INSULATION/WEATHER STRIPI I I I SIDE PL- I II I IINTERIOR LATH/DRYWALL I I I IEXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I I I (RATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I I IT-BAA CEILINGS I I I ADDITIONAL DATA ON FILE 1 1 ILOT DRAINAGE I I ] ]REPORT ID: DPR261 ROUTE TO: B50508 I I I I