HomeMy Public PortalAbout9932 LA ROSA DR_Building__ TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 3 '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP'TOF BUILDING CROSS ST.
DISTRICT NO. ROUP TYPE EBBED BY
FOR APPLICANT TO FILL.IN CON
BUILDING STATISTICAL CLASSIFICATION 9 WER MAP
ADDRESS '
� CUSS.NO. ELL.UNITS�—
LOT NO. p BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: cz
TRACE gyfl MAP HIGHWAY
NO.OF SLOGS. NO. ICIRCLEI STATE MAJOR SECON . LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF / CONDITIONS
EXISTING BLDG. no a
TEL.
OWNER C NO. BUILDING YARD HWY STREET NAME E%IST.
SETBACK WIDTH
ADDRESS9 IR FRONT
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
ADDRESS INSPECTION RECORD O
CONTRACTOR NOTELft 3-2
GC
ADDRESS O
DESCAIPITON OF WORK G
`w
NEW ADD ALTER EPAIR DEMOLISH Z
SO. FT. NO. NO.OF
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE
APPLICANT _
VALUATIO
APPROVALS DATE INSPECTORS SIGNATURE
FEE S "� FEE f FOUNDATION: LOCATION I
��+ FORMS. MATERIALS
FRAME:FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. +
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKM COMP 1 ION IN8 RANCE.
LATH,EXT.
SIGNATURE HOUSENUMBERCOR-
FERMITTE RECT AND POSTED
ADDRESS FINAL
J
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION c,L r.o. cA.H PERMIT VALIDATION cK r.o. CASH
TEMPLE CI'T'Y
>.....A.E,.... 1 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER aDDREss
BUILDING AND SAFETY DIVLSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WI LLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT O. GROUP TYPE P SED BY
Q CONST.YT
BUILDING STAT(STI CAL CLASSIFICATION S ER MAP
ADDRESS K
CLASS.NO. DWELL.UNITS
LOT NO. io LOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: Ly
TRACT MAP HIGHWAY STATE MAJOR SECOND OCAL
NO.OF SLOGS. NO. (CIRCLE)
SIZE OF LOT NO ON LOT USE ZONE SPECIAL
USE OF / CONDITIONS
EXISTING BLDG.
1/ TEL.
OWNER ., NO. BUILDINGYARD HWY SIRE NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT
ARCHITECTOR TEL, P.L.
ENGINEER NO. SIDE
P.L d
ADDRESS TO NO INSPECTION RECORD 0
TEL.
CONTRAL
ADORES �
0
DESCRIPTION OF WORE G
D_
- Y>
NEW e`X50 ALTER REPAIR DEMOLISH Z
SQ. FT. NO.OF NO.OF
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATOR OF
APPLICAN
VALUAZ5WS,
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE $ FORMS.MATERIALS 1
FRAME:FIRE STOPS,
I
HEREBY ACK NOW LEDGE THAT HAVE READ THIS APPLICATION BRACING BGLTB
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.INT.
TION OF THE L OR CODE O"HE STATE OF CALIFORNIA RELAT
ING TO WOO 1'S C ((TION I PRANCE. "
LATH.EXT.
St NA F HOUSE NUMBERCOR.
PERMI 1 . RECT AND POSTED
ADDR FINAL
CLYDE N. DIRLAM. PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. CAH PEBb= VALIDATION cK M.o. wx
h J .
]OA09eA CE#0011.10.39 APPLICATION FOR BUILDING PERM T Z
BUILDING AND SAFETY DIVISION BUILDING
Dep. ent of County Engineer ADDRESS
County of Los Angeles LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST 17
DISTRICTMJ . GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN (�
tJ 'N CONST.
BUILDING rJ
ADDRESS fJC STATISTICAL SS IFICATION
LOT NO. BLOCK CLASS. NO._ DWELL. UNITS
MAP STATE YES
NUMBER / HWY
TRACT USE E SPECIAL
NO. OF SLOGS. _ CONDITIONS
/1 E kL T W N LOT
USE OF
EXISTING BLDG. SUl DINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER pJ q FRONT qo(
ADDRES J p/a�[ f �o'dA_� 'SIDE oC
TEL
CITY
` ND � J INSPECTION RECORD
ARCHITECT R TEL.
ENGINEER NO.
ADDRESS -mac
TEL.
CONTRACTOR NO.
HdLE-(' -// Sl'�CT �X/tT/n/C-
ADDRESS O0 WDR71D/tLSG EG/ �F
DESCRIPTION OF WORK
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f P P7 Ae in//— PZ R Ta 'f/n
NEW ADD TE REPAIR DEMOLISH
SOFT. NO. O O.OF /NLS f T�]t�T/0
SIZE STORIES FAMILIES
E F UFTUR - d W lam-��
APPRO
IGNATUR F
APPLICA GATE INSRECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS. MATERIALS OZJl, 57
S 0,ry P. C. $ FRAME: FIRE STOPS.
FEE IIRACING. BOLTS /
VALU;TION $ C FURNA CE: LOCATION.
FEE GAS VENT. DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE I CORRECT AND _
AGREE TO COMPLY WITH ALL COUNTY DINANCES AND LATH. EXT. /
STATE LAWS REGULAT NG B IL CON TRUCTION.
SIGNATU RE)0 HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESSI FINAL
JOHN A. LAMBIE, uNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUgaNRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION c m.o. CASH
2076 SEP 10 1 6.00
76A698A CE#809-]-56 APPLICATION FOR BUILDING PERMIT
BUILDING AND SAFETY DIVISION BUILDING ADDRESS 9932 La Rosa St.
Department of County Engineer
County of Los Angeles LOCALITY Temple -City
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST 'p
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. Baldwin Blvd.
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN r BK Pc
CONST.
BUILDINGADDRESS 9932 La Rosa - STATISTICALCLASSIFICATION
LOT NO. y(, - BLOCK CLASS. NO. DWELL. UNITS
MAP STATE YES NO)
'/ NUMBER HWY
TRACT % �� % / USE ZONE SPE IAL
NO. OF BLOGS. % CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF _
EXISTING SLOG. BUILDING YARD HWY STREET NAME
EXIST.
T`
V
OWNER Mr Hardy SETBACK
WIDTH
MAIL P. L. // AY/.,��(LG:� "�'l•
ADDRESS 9932 Lta Rosa SIDE
Temple Cit TEL. P L
CITY P y NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
CONTRACTORBertram Htg. No•AT04791
ADDRESS 3133 N. Sullivan Ave.
DESCRIPTION OF WORK -
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE - STORIES FAMILIES
USE OF STRUCTURE Imstalling one
Wall Furnace
-1/11/
1 1 ) APPROVALS
SIGNATURE OF
APPLICANT 1tL�a°"L 1 .�1„J
DATE INSPECTOR'S SIGNATURE
ADDRESS 3133 No. Sullivan Ave. FOUNDATION: LOCATION
FORMS. MATERIALS
p-C, S FRAME: FIRESTOPS.
160.00 FEE BRACING. BOLTS !� /-s
VALUATION FURNACES2. 00 GAS VENT. CATION.
FEE
UCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGUL TING BUILDCONSTRUC ION. —
SIGNATURE OF & YtiL IN HOUSE NUMBER COR-
PERMITTEE - C� 'kzt�"jRECT AND POSTED
ADDRESS 3133 NO. Sullivan Ave. FINAL /l9�
JOHN A.LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURALGENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK M.o. cASH
Rosemead _
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