HomeMy Public PortalAbout10733 LORA ST_Building__ ,.��DBpABTN�NN'P OF COUNTY ENGINEER
-BUILDING Y�' �D''�
DIVISION OF BUILDING AND SAFETY'
- COUNTY OF LOS ANGELES
WILLIAM J.'FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PL"N CK.OltRBC:No. PERMIT NO.
ADDRES O 7 33 IL ARA cST �� I a I IJr'"
LOCALITY IC 'Rol " RECEIVE BY DATE OF.APPL. DATE ISSUED
NEAREST
CROSS ST / 0
BUILDING
OWNER �J '7.} I / I(e (,7-r ADDRESS Q ' 3
MAILADDRESS 9 71/'. S.D. /rjN em 1,�Ia� LOCALITY
W.Y. NEAREST.
[� TEL` g CROSS ST.
CITY T3 NOg. I D.6
ARCHITECT OR TEL. FIRE I. NO. OF ' 'I TYPE; �- I GROUP; ..
ENGINEER NO. ZONE PLANS \( J
ADDRESS �•
SETBACK LINE. �Q O.
/ e TEL. USE- APPROVED
CONTRACTOR •ICI �2p p NO. ONE "'I BY' DATE
ADDRESS �}N lT'.�p /� HOUSE NUMBERING
LEGMAP NUMBER '^ �-'- NO. ASSIGNED BY
DESCRIPTAL ION LOT NO. I BLOCK
G. ? pjONRECTIONS
TRACT `
NO. OR BLDGS.
SIZE OF , QO O I NO .ON LOT
USE OF I NO. OF -
EXISTING SLOG. FAMILIE
DF�CRiP'1'ION OF 'WORK o
NEW ALTERATION ADDITION S
REPAIR D LiTION / r.
8 ZE b 3 S ROOMS. ... b STORIES
ROOF
COVERING V GC D I OVER NG CAM1�
USE OF STRUCTURE ,�Qp
A 1r v
APPROv S
_ INSPECT S SIGNATURE DAT
FOUNDATION:LOCATION ,y
FORMS, MATERIALS-
df
ATERIALSF!
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- RRAME: FIRE STOPS, j .!s
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRA ING, BOLTS 'c[�
CORRECT. -
1 AGREE TO COMPLY-WITH ALL .COUNTY ORDINANCES FURNACE:LOCATION. '
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT:.DUCTS
SIGNATURE OF a o� LATH, INT.
PERMITTER
• LATH. EXT.. ..`®
ADD r/
PLASTER,-INT. ^
AUTHORIZED AGT..
.�•� /y,� �� PLASTER,,
-EXT.
FEE E DSA HOUSE NUMBER UMER COR-
I, A a- O y,. hs RECT AND POSTED ' //
VALUATION REE El1� FINAL !G�
76AGSUA DUG 3 8-88 _ -
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self 84 ftICATION U KWILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance, AP
or a certified copy thereof(Sec. 3800, Lab. C.)
Policy No. 104-2251 5�,pany Fremont Indemnity ®LINTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS [ 7
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 10733 Lora Street LOCALITY
10/12/84 Virgin Roof Co.
; NEAREST
Date ApplicantCITY Tem 1 e Cit ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP O/J,
hundred dollars($100)or less.) TRACT BLOCK LOT NO. •NO. / �/
TEL. (n� e1 SPECIAL
I certify that in the performance of the work for which this OWNER Robert BertU 1 i NO. IR-d-� CONDITIONS IL
permit is issued,I shall not employ an person in an manner DISTRICT GROUP TYPE FIRE PROC ED BY
P p Y Y p y ADDRESS 6I/�� CONST ZONE V
so as to become subject to the Workers'Compensation Laws. V 2 �
Date Applicant CITY ZIP STATISTICAL CLASSI ICATION `7 APT. JCON;JD
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NOARCHITECT OR TEL.. � DWELL. UNITS Liu
O.
Exemption, you should become subject to the Workers' CLASS NU
�
Compensation provisions of the Labor Code, you must forth-
ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TEL.
deemed revoked. CONTRACTOR Virgin Roof CO. N0.28 -0 0 BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC. e�'09 Jr
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 160650 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC. # Q 9 4 ll
Professions Code,and my license is in full force and effect. CITY San Giabriell CLASS r q $1000.00
SQ.FT. NO.OF NO.OF CHECK
License Number 160650 Lic.Closs C39 SIZE STORIES FAMILIES ONE
$
Contractor Virgin Roof CO. Date 10/12/84 DESCRIPTION OF WORKRe-roof house 8 ga rA o ❑: _` I o - 59.25
JIM
El I am exempt under Sec. with Class A Fiberglass COm .
ALTER FINAL
B.BP.C. for this reason 27 S s. Flat area with # 0 FS REPAIR DATE ¢ Q Q g 6
Date: USE OF
EXISTING BLDG?. Dwelling DEMOL ❑ BNA
Signature APPLICANT TEL. y
OWNER-BUILDER DECLARATION (PRINT) Vrr 1 n ROOF Co. NO. 28 -O
I hereby affirm that I am exempt from the Contractor's License Q BOX J San Gabriel 91]]8
Law for the following reason (Section 7031.5, Business and ADDRESS P. •
Professions Code): PRESENT
❑ BUILDING
I, as owner of the property, ormy employees with ADDRESS
wages as their sole compensation,will do the work and
the structure 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).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE 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.L.
tSec. 3097, Civ. C.). SIDE
n P.L.
o Lender's Name
P.C. Fee$ Permit Fee 48.75
Lender's Address
rI certify that I have read this application and state that the Issuance Fee 10-50
= above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee 59.25
9 and hereby authorize representatives of this County to enter I _
upon t above-mentioned property f r inspection purposes.
o A44 W
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig ure of Applicant or Agent Date
®s
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BLU LD-I-N"FRM•IZ,
DEPARTMENT OF I+UBLIC WORKS 9071 LAS TUNAS •11ERATION REP R./
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA k�806 00022
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST ;B ILD-I-NL f. DRESS"
TR: 17867 LT: 12 SQ. FT STORIES TYPE -10733 LORA
STRUCTURE: 0 VN TE A-9T7803412
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON
8574-001-012 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLD USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED Y: EXPIRES ON:
EXIST OCC GRP: 06/30/98 UT 06/30/9
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
BERTUGLIA ROBERT;THERESA (626) 444-8498- 1 3,000 J-2-y-1
10733 LORA STe--
TEMP
TEMP 917803412 FEES PAID ESCR4-PiI OF WORK
TEAM-AND-RECOVER-Wiiii-EL-"5-XR .00 P SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
WM. T. NELSON ROOFING (626) 303-0524- AA BLDG PERMIT ISSUANCE 27.75
1245 S. PROPERO DR. AC STRONG MOTION RESID .3000.00 VAL 0.50 SPECIAL CONDITIONS:
GLENDORA, CA D2 PERMIT W/O EN-HC 3000.00 VAL 99.15
TOTAL FEES 127.40
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WM T NELSON ROOF CONTRACTOR (626) 303-0524-
1245 S. PROSPERA DR. LIC. NO LOCATION AND SET13ACKS
GLENDORA, CA 91740 648085 C39
- SOILS ENGINEER APPROVAL
ARCHITECT OR NGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H277 3 01
• FLOORS EATHING
0. OF FAMILIES: DWELLING UNITS: APT CO D: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL ITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
EQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
I EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
I
T-BAR CEILINGS
i
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508
I