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