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HomeMy Public PortalAbout9940 LA ROSA DR_Building__ 9GA63BACE.V8036-62APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES I BUILDING 9 n DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISIdON LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDINGI CROSS ST. RICT NO -'G P TYPE 1 O BY FOR APPLICANT O FII 0 CONST. BUILDING �Cr ISTICAL CLASSIFICATION 5 ER MAP ADDRESS73 = yep� / SS. NO. DWELL UNITS LOT NO(ORT:QN�C�EOr .2 BLOR NOT REQUIRED�CEIVED p FICATE: ...CCCJJ TRACT p HIGHWAY SIZE OF LOT Se %2'` NO.OF BLDGIE IRCLE) STATE MAJOR SEGO D LOCAL NOW ON LOTO SPECIAL USE OF i CONDITIONS EXISTING BLDG. '/ oil OWNER {� NO. ING EXIST. 2L LtM IG ��f sT SETBACK YARD HWY STREET NAME WIDTH ADDRESS b /iya NT FRONT //�� ARCHITECT OR TEL. P. L. ot1 o c. 0 ENGINEER NO. SIDE } P. L. D ADDRESS O V CONTRACTOR .�/% TEL.NO. 1 y, ADDRESS I C O DESCRIPTION OF WORK I w I ✓ o NEW ADD ALTER REPAIR DEMOLISH � SO. FT. d NO. OF NO. OF ? SIZE 37.0 STORIES FAMILIES USE OF STRUCTURE SIGNATURE O APPLICANT VALUATION $ APPROVALS DATE INBPECTOfl'B SIGNATURE V V FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL CDUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. j TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN CCCOOMPENSAT30N�INJS`UURRAANCE. n ' ,, ' I,gTH, EXT,SIGNI I \ AITTE �p4� �G/ /f �yl�v{/`'�I HOUSE P RMRE CT AND POS ED- ADDRESS FINAL iy rf.✓r� JOHN F. LEWIS. PR NCIPAL STIR URAL ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION (cK.) M.D. CASH u1o4745G ;Wnll5 1 D 400- , � I WORKERS' COMPENSATION DECLARATION eby affirm the, haver certificate Compensation Int to self APPLICATION FOR BUILDING PERMIT 1111 PP.11cy e, acertificate of Workers' Compensation Insurance,certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS l Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS LOCALITY Date Applicant CITY CO Li ZIP NEAREST CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' / I NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 6Ilk. NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP TRACT BLOCK LOT hundred dollars ($100)or less.) TEL.. NO. SPECIAL Q } I certify that in the performance of the work for which this OWNERT. y NO.c{4]-�1G CONDITIONS 1 permit is issued, I shall not emplo Orly person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY 0 ADDRESS YO f CONST. ZONE so as to b cam subject to the W rk rs'Com nsation Laws. 1, % r i WORKERS'COMPENSATION DECLARATION \ hereby affirm that I havecertificate of consent self APPLICATION FOR BUILDING PERMIT 'insure, or a certificate a�(Workers' Compensation Insurance, or a certified copy thereA(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. f Company BUILDING (! Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS JW Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date ApplicantCITV a ZIP k� qv LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT I b NOW ON LOT CROSS ST I/A_ (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO, MAP BOOK PAGEPARCEL TEL' j �q OWNER NO.yy' ^9MAP �b/ �1 USE ZONE certify that in the performance of the work for which this rV NO. permit is issued, shall not employ any person in any manner SPECIAL so as to become subject to the Wo ker Compensation Laws. ADDRESS OS 0J' ,y �� CONDITIONS V DateS-OI"�3s CITY �(fM p,�� ZIP 1'Z 0 Applicant ARCHITECT O TEL. O NOTICE TO APPLICANT: if, after' aking this Certificate of _ DISTRICT GROUP TYPE FIRE PRO ESSED BY H ENGINEER w tri P.`— NO.�{L{ CONST. ZONE U Exemption, you should become subject to the Workers' / � /I(/ / Compensation provisions of the Labor Code, you must forth- qL{o Ina 5.f�Q �� ✓ R with comply with such provisions or this permit shall be ADDRESS W deemed revoked. CONTRACTOR Ql/� N04(425-q E+ STATISTICAL CLASSIFICATION APT. NDO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS q 01 Lt b La PSD NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY . CLASS BK PG. VALIDATION SQ. FT r--/� NO. E NO OF CHECK License Number Lic Class SIZE V STORIES FAMILIES ONE ❑ VALUATION Contractor Date DESCRIPTION OF WORK NEW O $ , ADD am exempt under Sec. IC O ❑ ALTER B.BP.C. for this reason REPAIR ❑ $ ;220(13A Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT FINAL _ U �q • � . OWNER-BUILDER DECLARATION PRINT) TEL. NO. DATEc �L�C,J O - I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): - PRESENT B I, as owner of the property, or my employees with BURING wages their sole compensation,will o the work and the structure for is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. - I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SET�BACKK YARD UHRED - HWY TOTA PROP. LINE WIDTH M WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. N m Lender's Address P.C. Fee$ Permit Fee I certify that I have read this application and state.that the - Issuance Fee I LDMA P/C p a above information is correct. I agree to comply with all County Investigation Fee ,1 ordinances and State lows relating to building construction, Total Fee (,/ !DMA Perm. M ' an her by Guth "e representatives of this County to enter io up n t above- entioned property for inspection purposes. a LLQZA_A_. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of A plicam or Agent - Date - �° AP13LICATION FOR BUILDING PERMIT 1�COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATIONBUILD ESS FOR APPLICAN TO FILL IN Bu DING DDRESS ` 1 hereby affirm that I have a certificate of consent to self insure, Q � ' or a certificate of Workers'Compensation Insurance,or a certified Copy thew�(JJ$$((aac��.��3B��,��Lab.C.) ,I / CIS^ 21P / w LOCALITY er Po o��'_fCsLZfC�Companyr�%� /� rU/✓h 1 ( SIZE F LOT NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. I NEAREST CROSS ST. ❑ Certified copy is filed with tIW county but g Inspection TRACT BLOCK LOT NO. dB me WJ LIf( USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Dat Applicant SPECIAL CONDITIONS CERTIFICATE OF EXE MPTI FROM WORKERS' O ER TEL.NO. COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? VES NO A DR � YT^ (This section need not be completed if the permit is for one hundred t�frr" DISTRICT GROUPF�PEONST.' FIREZONE PROCESSEDBY dollars(E1oo)or less.) CITY ZIP I certify that in the performance of the work for which this permit L —CI? 2is 139ued, I Shell not employ any person in any manner$D e$ t0 ARCHITE OR ENGINEER TEL NO. ✓ become subject to the Workers'Compensation Laws. STATISTICAL CLLAASSSSSSIIFICATION A" CONGO Date Applicant ADDRESS CLASS NO.=DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REOUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' C RACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith JRI 64 mow Comply with such provisions or this permit shall be deemed revoked. EIONOICII�, v' LI . /. 77 PL > LICENSED CONTRACTORS DECLARATION 14 CL Lit.Cu SIDE a PL p I hereby affirm that I am licensed under provisions of Chapter 9 G SEWER MAP U (commencing with Section 7000)of Division 3 of the Business and NO.OF STORES NO.OF FAMILIES IY Professions Code,and my license is in full force and effec NEW Cl BK PG , CD VALUATION License Number q��/7') Lic.Class O f Q� ADD ❑ O Co Contractor 14AT1 tJ72 Data -3-Z-1-14 Z ALTER ❑ $p 1 Z li�74S/L sy EPAIR ❑ I am exempt under Sec. $ A T BARC.for this reason / / DEMOL ❑ j 386 75 USE OF EXISTING BLDG. ' ''11 LOMA P/C M 33�7 Da U � i ✓�li� /" J IJ ❑ _- 1 ITEMS Signature APPLICANT(PRINT) EL.NO, TDMA Perm p c ❑ I, as owner of the party, or my employees with wages as � %� '✓ = TC ITAL a ' their sole comper, tion, will do the work and the structure is AD 0 CHECK vFY.^t not intended or offered for sale (Section 7044, Business and FINAL DATE Q Q _ Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZAR2 DOUS MATERIAL I / 3 ° CHANCE ❑ I, as owner of the r0 , am exclusive) contractin with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN P peNy y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINIILB `J licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) (1000-I]SI]1 d/18/93 WILL THE INTENDED USE MI THE BUILDING BY THE APPLICANT OR FUTUREBIOLDINQ THE SOUTH OCCUPANT QUALITYREQUIREMANAGEMENT E T DISTRICT (SCMION fl O)SEED WITTIOM THECKUTN CC _" CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMEM DISTRICT ISGOMD)SEE PFRMITTING CHECKLIST drn D�� 1 AM iU.CIS, FOR GUIDELINES. 1 hereby affirm that there is a construction lending agency for TEs❑ NO❑ """ the performance Civ.C.). Of the WOrI[for which this pef1I111 is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMOw 3097,CIV.C.J. PERMITTING CHECKLTLEIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES �- .1WTHROUGH 2,20,1Q CONCERNING Lender's Name HAZARDOUS SM TUNTY CODE IERALS REPORTING AND F2.CHAPTER 2.03 IOR OBONS 2 TAINIING A PERMIT FROM THE SCAOMD Lender's Address .a P..,RRw.BD.r o I certify that I have read this application and state that the above P.C.FEE PERMIT FEE R information is correct. I agree to comply with all county 3 ordinances and State laws relating to building construction,and 4:;;;/, hereb authorize representatives of this County to enter upon ISSUANCE FEE / the ve-mentionee"roperty for iypecticn purposes. 7 �-/? C ^ n�ro��`��j/lam[� s INVESTIGATION FEE TOTAL FEE 6 � �6 l _ SEE REVERSE FOR EXPLANATORY LANIaUAGE• , I reRS' COMPENSATION DECLARATION jI arm 'that hgye r certificate of consent to self APPLICATION FOR BUILDING PERMIT -dull inure, or d iertit`icare of Workers',Compensation Insurance, pr a cert`ed copy thereof (Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.' Companyf Certified copy is hereby furnished. FOR APPLICANT TO FILL IN - BUILDING //6 v32 ADDRESS [[ Certified copy is filed with the county building inspec- BUILDING (j A.D LA Rb Sla DQ.. tion department. ADDRESS `( Y Lq n Dote Applicant CITY I � /py ZIP' LOCALITY L CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT I'LL, l A +, ji1'"5 NO OF BLDGS. NEAREST COMPENSATION INSURANCE NOW ON LOT CROSS ST. /}JJ + ASSESSOR (This section need not be completed if the permit is for one TRACT C.14' ( BLOCK LOT NO.' Z, hundred dollars ($100)or less.) ' MAP BOOK PAGE PARCEL �OHNt, SUSAN s Q . NO USE Z NE MAP I certify that in the performance of the work for which this 'OWNER' //��//tt nn 3` NO. permit is issued, I shall not employ any person in any manner ADDRESS "Y'I 4V RnsA D Q. �/ SPECIALS so as to become subject to the Workers'Compensation Laws. �•� /� /� CONDITIONS C) Dote`( �iL[Y.L/y �1 pLn� CITY 1Em LC L�1 +4� ZIP X111 Z V Applicant t OC NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL DISTRICT G UP TYPE FIRE PROCESSED BY ENGINEER OWN NO. Q - CONST. 2,ONE (— Exemption, you should become subject to the Workers' _ / W Compensation provisions of the Labor Code, you must forth- ADDRESS �� i/ with comply with such provisions or this permit shall be d deemed revoked. CONTRACTOR NOTEL. STATISTICAL CLASSIFICATION APT. CO (p . L/ LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITZ S_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business andLIC SEWER MAP Professions Code, and my license is in full force and effect. CITY qQ 1 2i5 CLASS BK Ems ]' VALIDATION SQ. FT . OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE fL , VALUATION Contractor Dote DESCRIPTION OF WORK,� NEW ❑ (� ADD L� , I am exempt under Sac. r00 ❑ ALTER '] B.BP.C. for this reason REPAIR Data: USE OF DEMOL EXISTING BLDG. ❑ Signature APPLICANT TEL FINA ;29469A OWNER-BUILDER DECLARATION PRINT NO. DAT �✓ 1hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031.5, Business and ADDRESS FI ( • 2 4 6 7 5 Professions Code): PRESENTB _ ® I, as owner of the property, or my employees with BUILDING ADDRESS t • • 24675 wages as their sole compensation,will do the work and LOCALITY , 4,27-88 the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. t s I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Cade). - CONSTRUCTION LENDING AGENCY SET ACK YARD HWY TOTAL ROP.SETBLCK FROM EXIST. NE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sea. 3097, Civ. C.). SIDE 's P.L. Lenders Name ` rZ( LDMA Ref. p m P.C. Fee E Permit Fee - - Lender's Address i. I certify that I have read this application and state that the Issuance Fee /V ] (/ LDMA P/C If poll, . above information is correct. I agree to comply with all County Investigation Fee - - ordinances and State laws relating to building construction, Total Fee 2 V,6 LDMA Perm. 8 and hereby authorize representatives of this County to enter upo the above-mens' need^prroperty for inspection purposes. �4 AXJ 1( Z `� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date f COUNTY OF LOS ANGELES �f t'EMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804230078 • PHONE: (818) 285-0488 EXT: GAL ID: NO. OF CONST BUILDING ADDRESS: TR: 9481 LT: 21 SQ. FT STORIES TYPE 9940 LA ROSA DR STRUCTURE: 0 VN TEMP CA 917803922 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES & BALDWIN 8589-026-029 THOMAS PAGE: 597 GRID: B4 ' LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED Y: EXPIR ON: EXIST OCC GRP: 04/23/98 UT 04/23/99, OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY ODE: DONOFRIO JOSEPH A;REBECCA A (818) 454-4102- 1 2,700 fl- 9940 ��_ n n LA ROSA OR `]57 TEMP 917803922 ES PAID DESCRIPTION OF WOR FOUNDATION RETROFIT FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: APPLICANT: --TTL. NO. WEINSTEIN CONSTRUCTION (818) 789-1400- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES1D 2700.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 2700.00 VAL 99.15 TOTAL FEES 127.40 CONTRACTOR: TEL. N0: APPROVALS DATE INSPE:TOR SIGNATURE WEINSTEIN CONSTRUCTION, INC. (818) 789-1400 13425 VENTURA BLVD., SUITE 301 LIC. NO LOCATION AND SETBACK SHERMAN OAKS, CA 91423 630439 B SOILS ENGINEER APPROVAL ARCHITECT ORENGINEER: L. N0: FOUNDATION/TRENCH 0 MS LIC. NO: SLAB/UN ER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: LMP: UNDE2FLOOR INSULATION 144H269 3 01 FL0O:: H A7HING NO. OF FAMILIES: DWELLING UNI S: APT C ND: STAT CLASS NO 21 ROOF SHEATHING SCHOOL W THIN ARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME i SPECTION REQUIRED TOTAL SETBACK FROM EXIST FI SP INKL R HANGE S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIO 7HR /D7 R EXTERIOR LATH RATED LOOR LSS RATED W LL ASSEMBLIES RSD SHAFT /OPEN T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1406160045 PHONE: (626) 2B5-0488 EXT: (LEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITS: 9481 LT: 21 1 SQ. FT STORIES TYPE 9940 LA ROSA DR STRUCTURE: 400 TEMP CA 917803922 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AGNES 18589-026-029 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI I I TENANT: IEXIST BLDG USE: SWIMM USE ZONE: JISSUED ON: PROCESSED BY: (EXIST OCC GRP: - 106/16/14 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FLNAL.D TE F AL BY: CODE: MILY COACH (626) 221-2323- 0 19940 LA ROSA DR l _ ITEMS 919803922 FEES PAIDESCR�IPTION OF WORK DEMO SWIMMING POO 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: (SAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.60 102 DEMOLITION INSPECTN 163.50 ISPECIAL CONDITIONS: TOTAL FEES 191.30 1 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I LIC. NO PEDESTRIAN PROTECTION SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. N0: ABANDON PRIVATE DISPOSAL LIC. NO: 1 IUNDERGRND STRUCT REMOVAL AND SOIL AECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 001 1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 0 NO 24 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO III III III III 11 IREPORT ID: DPR261 ROUTE TO: BS0502 I-